CN214074455U - A clog drainage device for going up jaw cyst operation - Google Patents

A clog drainage device for going up jaw cyst operation Download PDF

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Publication number
CN214074455U
CN214074455U CN202021939255.1U CN202021939255U CN214074455U CN 214074455 U CN214074455 U CN 214074455U CN 202021939255 U CN202021939255 U CN 202021939255U CN 214074455 U CN214074455 U CN 214074455U
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China
Prior art keywords
drainage
balloon
negative pressure
cavity
drainage device
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Expired - Fee Related
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CN202021939255.1U
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Chinese (zh)
Inventor
秦兴军
张金凤
郭兵
生苏睿
马春跃
王良
王磊
李欣
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Ninth Peoples Hospital Shanghai Jiaotong University School of Medicine
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Ninth Peoples Hospital Shanghai Jiaotong University School of Medicine
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Abstract

The application discloses a clog drainage device for maxilla cyst operation. The device comprises an expansion bag, a catheter, a plurality of drainage branch pipes and a drainage main pipe. The inflatable balloon has a balloon cavity having a first state when not filled with a medium and an inflated second state after filling with a medium. The catheter is communicated with the sac cavity. Many drainage branch pipes set up in the bag wall of bag chamber, and every drainage branch pipe includes the inside and outside drainage hole of a plurality of intercommunication drainage branch pipes. The drainage main pipe is communicated with all the drainage branch pipes and the negative pressure drainage device. The expansion bag can be filled with the bone cavity of upper and lower jaw cyst when the second state, prevent that outside foreign matter from getting into and causing the infection in the bone cavity, can also play hemostatic effect, can alleviate the misery of taking out the expansion bag greatly when the shrink is first state, can also attract out with hematocele and/or hydrops between the inner wall of expansion bag and upper and lower jaw cyst bone cavity continuously through negative pressure drainage device, greatly reduced postoperative complication, the healing speed that makes the wound zone after the operation is faster.

Description

A clog drainage device for going up jaw cyst operation
Technical Field
The present application relates to medical devices, and more particularly, to a tamponade drainage device for use in maxillary and mandibular cyst surgery.
Background
Maxillary and mandibular cysts are frequently encountered and frequently encountered in oral and maxillofacial surgery. For decades, after the traditional maxillary cyst surgical treatment, the maxillary cyst cavity is partially empty, the iodoform gauze is required to be filled for compression hemostasis, the iodoform gauze is required to be drawn out in 8-10 days after the surgical treatment, and the drawing-out process can generate 'unbearable' pain due to large friction force. Therefore, how to relieve the pain of the patient in the treatment process of the maxillary cyst is a problem to be solved in clinic. Since the jaw cyst is a frequently encountered disease and a common disease, and the number of patients is huge, the clinical problem solving has important social benefits.
Disclosure of Invention
The application discloses a clog drainage device for maxilla cyst operation. The device can obviously alleviate the pain of a patient and greatly reduce postoperative hematocele and/or complications such as infection caused by effusion.
To achieve the above purpose, the embodiments of the present application disclose a tamponade drainage device for maxillary cyst surgery. The device comprises an expansion bag, a catheter, a plurality of drainage branch pipes and a drainage main pipe. The inflatable balloon has a balloon cavity having a first state when not filled with a medium and an inflated second state after filling with a medium. A catheter communicates with the balloon cavity to inject or withdraw the medium into or out of the balloon cavity. Many drainage branch pipes set up in the bag wall of bag chamber, and every drainage branch pipe includes a plurality of drainage holes, every the drainage hole intercommunication drainage branch pipe's inside and outside. One end of the drainage main pipe is communicated with all the drainage branch pipes, and the other end of the drainage main pipe is communicated with the negative pressure drainage device. So set up, have following beneficial effect at least: 1) the expansion capsule is placed in the bone cavity of the maxillary and mandibular cyst after operation in a first state, and is expanded into a second state after the medium is injected to fill the bone cavity after operation, so that the external foreign matter is prevented from entering the bone cavity to cause infection; 2) the expansion bag reaches a second state after being expanded, and can press the inner wall of the bone cavity after the operation to play a role in hemostasis; 3) after the medium is extracted, the expansion capsule contracts to become a first state, and then the expansion capsule is extracted from the bone cavity, and the contracted expansion capsule (such as the expansion capsule made of silica gel) hardly causes any stimulation or pain to a patient; 4) many drainage branch pipes intercommunication drainage house steward and negative pressure drainage device, can with the inflation bag with hematocele and/or hydrops between the inner wall of bone cavity attract out continuously, greatly reduced because the postoperative complication of infection is aroused to hematocele and/or hydrops, make the healing speed of postoperative wound region faster.
Optionally, the drainage holes of the drainage branch tubes are evenly distributed on the outer surface of the expansion balloon. So set up, the inflation bag is in the bone intracavity inflation after the cyst operation does behind the second state, drainage that drainage hole is even in the bone intracavity after the cyst operation, drainage that can bigger degree the hematocele and/or the hydrops in the bone intracavity avoid hematocele and/or the hydrops in the bone intracavity arouse the infection.
Optionally, the drainage holes are staggered from each other, and any three adjacent drainage holes are distributed at the vertex of the equilateral triangle under the condition that the sac chamber is expanded to the second state. So set up, can guarantee more easily the even distribution of drainage hole makes the degree of difficulty low, also drainage of bigger degree the hematocele and/or the hydrops of bone intracavity are avoided hematocele and/or hydrops in the bone intracavity arouse the infection.
Optionally, at least some of the drainage apertures are circular or elliptical in shape. So set up under the material of inflation bag is the condition of silica gel, can guarantee the tension of silica gel material, avoid stress concentration to cause fill drainage device impaired.
Optionally, in the case that the drainage holes are circular, the diameter of each drainage hole is 2 mm to 5 mm. So set up, can be to a great extent with hematocele and/or hydrops drainage go, moreover, can not make because the drainage hole is too big the intensity of branch drainage pipe reduces, also can not make hydrops and/or hematocele drainage unsmooth because the drainage hole is too thin.
Optionally, the number of the branch drainage tubes is 6-12, and/or the branch drainage tubes are uniformly distributed on the outer surface of the expansion bag or embedded in the bag wall of the expansion bag. So set up, the quantity of drainage branch pipe can not make the technology complicated at above-mentioned within range, also can not make the drainage effect poor because of drainage branch pipe is too few. The location of the branch drainage tube on the outer surface of the balloon also allows for a simple process. The drainage branch pipes are uniformly distributed, so that the drainage effect is good.
Optionally, each of the drainage branch tubes has a diameter of 5 mm to 8 mm. So set up for the drainage is unobstructed, and drainage branch pipe occupation space is little, convenient to use.
Optionally, the inflatable bladder is spherical in shape in the second state. So set up, can be better fill in the bone cavity plays the hemostatic effect of oppression, in addition, also can be better with hydrops/hematocele drainage in the bone cavity goes out.
Optionally, the negative pressure drainage device comprises a negative pressure ball, the negative pressure ball comprises a negative pressure inner cavity, the negative pressure ball is pressed to form negative pressure in the negative pressure inner cavity to suck out effusion and/or hematocele between a wall of the expansion balloon and a cyst bone cavity, and the volume of the negative pressure inner cavity is 50 ml to 150 ml. The hematocele and/or the effusion are/is drained out through negative pressure, the operation is convenient, and the volume of the negative pressure inner cavity is 50 ml-150 ml, so that the generated negative pressure is not too large to cause pain.
Optionally, the material of the inflation bladder is silicone. According to the arrangement, the silica gel material is soft, and the material is combined with the shape of the expansion capsule, so that the pain of the expansion capsule can be reduced as much as possible when the expansion capsule presses the bone cavity.
Drawings
FIG. 1 is a schematic view of a tamponade drainage device of the present application in a first state for maxillary cyst surgery;
FIG. 2 is a schematic view of the tamponade drainage device of the present application in a second state for maxillary cyst surgery;
fig. 3 is a top view of the tamponade drainage device for maxillary cyst surgery in a second state.
Detailed Description
Reference will now be made in detail to the exemplary embodiments, examples of which are illustrated in the accompanying drawings. When the following description refers to the accompanying drawings, like numbers in different drawings represent the same or similar elements unless otherwise indicated. The embodiments described in the following exemplary embodiments do not represent all embodiments consistent with the present application. Rather, they are merely examples of apparatus consistent with certain aspects of the present application, as detailed in the appended claims.
The terminology used herein is for the purpose of describing particular embodiments only and is not intended to be limiting of the application. Unless otherwise defined, technical or scientific terms used herein shall have the ordinary meaning as understood by one of ordinary skill in the art to which this application belongs. The use of the terms "a" or "an" and the like in the description and in the claims of this application do not denote a limitation of quantity, but rather denote the presence of at least one. The word "comprising" or "comprises", and the like, means that the element or item listed as preceding "comprising" or "includes" covers the element or item listed as following "comprising" or "includes" and its equivalents, and does not exclude other elements or items. The terms "connected" or "coupled" and the like are not restricted to physical or mechanical connections, but may include electrical connections, whether direct or indirect. "plurality" includes two, and is equivalent to at least two. As used in this specification and the appended claims, the singular forms "a", "an", and "the" are intended to include the plural forms as well, unless the context clearly indicates otherwise. It should also be understood that the term "and/or" as used herein refers to and encompasses any and all possible combinations of one or more of the associated listed items.
Referring to fig. 1 to 3, an embodiment of the present application discloses a tamponade drainage device for maxillary cyst surgery. The stuffing drainage device can be used for maxillary cyst operation and also can be used for mandibular cyst operation. The device comprises an expansion bag 1, a catheter 2, a plurality of drainage branch pipes 3, a drainage main pipe 4 and a negative pressure drainage device 5. The inflatable balloon 1 has a balloon cavity which has a first state when not filled with a medium, as shown in fig. 1, and which is inflated to a second state after filling with a medium, as shown in fig. 2. Such as a sterile saline solution for injection, a gas, etc., as long as it can inflate the inflatable bladder 1 and is harmless to the human body.
The catheter 2 is communicated with the balloon cavity and comprises an injection channel 21, so that the medium can be injected into the balloon cavity through the injection channel 21 of the catheter 2 to expand the expansion balloon 1 into the second state, wherein the flow direction of the medium is shown by an arrow A1 in FIG. 2; alternatively, the medium (e.g., saline) in the balloon lumen is withdrawn through the infusion channel 21 of the catheter 2 to cause the balloon to contract to the first state, facilitating removal of the balloon 1 at the desired time after surgery. The shape and structure of the guide duct 2 are not limited as long as the aforementioned object can be achieved.
The plurality of branch drainage tubes 3 are used for draining the hematocele and/or the effusion in the bone cavity after the maxillary cyst operation at any time, and in some embodiments, the branch drainage tubes 3 are disposed on the wall 11 of the capsule cavity, for example, embedded in the wall 11, or, as shown in fig. 2, disposed on the surface of the wall 11. Each of the branch drainage tubes 3 includes a plurality of drainage holes 31, and each of the drainage holes 31 communicates between the inside and the outside of the branch drainage tube 3.
One end of the drainage manifold 4 is communicated with all the drainage branch pipes 3, and the other end is communicated with the negative pressure drainage device 5, so that the drainage branch pipes 3 and the drainage manifold 4 form a drainage channel 41, and the flow direction of the effusion and/or the hematocele is shown as an arrow A2 in figure 2. The drainage channel 41 and the injection channel 21 are two channels independent of each other, as shown in fig. 2.
The operation mode of the stuffing drainage device for the maxillary cyst operation is described by taking the medium as the sterile physiological saline for injection as an example as follows:
after an operation, the inflatable balloon 1 having the first state is placed in a bone cavity after a maxillary cyst operation, and then, a sterile saline solution for injection is injected into the balloon cavity of the inflatable balloon 1 through the injection passage 21 of the catheter 2, and the flow direction of the saline solution is as shown by an arrow a1 in fig. 2, and 10 ml to 20 ml is generally injected according to the size of the bone cavity of the cyst. In one embodiment, a one-way valve may be provided on the catheter 2, which is only opened in the direction of a1 in fig. 2 and closed in the direction opposite to the direction of a1, so that saline flows only in one direction into the balloon cavity and not out of the balloon cavity. The expansion balloon 1 is inflated with the injection of the physiological saline for sterile injection, and finally fills the bone cavity after the maxillary and mandibular cyst surgery, and at this time, the expansion balloon 1 is inflated to the second state. That is, the first state is a state in which the inflatable bladder 1 is not filled with a medium (e.g., physiological saline). The second state is the state in which the balloon 1 is filled with a medium, such as saline, and fills the bone cavity. As the bone cavity after the cyst of the upper and lower jaws is operated is filled by the expansion capsule 1, foreign matters outside the bone cavity can be prevented from entering the bone cavity, the bone cavity is prevented from being infected, and the healing speed of the wound area is obviously improved; secondly, the expansion capsule 1 compresses the inner wall of the bone cavity after being expanded, thereby playing the role of hemostasis. After the operation, if hematocele and/or effusion are generated in the bone cavity, the hematocele and/or the effusion are continuously drained from the drainage branch pipe 3 to the drainage main pipe 4 through the negative pressure drainage device 5 and finally flow into the negative pressure drainage device 5, so that the hematocele and/or the effusion are timely sucked, the infection can be avoided, and the healing speed of the wound area is higher. The scale arranged on the negative pressure drainage device 5 can also accurately observe the amount of hematocele and/or hydrops in the negative pressure drainage device 5 in unit time, judge the blood loss condition and the operation effect of the patient after the operation, and provide accurate basis for the curative effect evaluation after the operation.
The media inside the balloon 1 is withdrawn, for example by means of a syringe, in communication with the catheter 2, by sucking the media inside the balloon cavity of the balloon 1 out through the injection channel 21 of the catheter 2. In case a one-way valve is arranged on said catheter 2, the suction created by the syringe causes the one-way valve to open, whereby the injected medium is sucked out. Along with the medium is sucked out, the expansion capsule 1 is contracted from the second state to the first state, then the expansion capsule 1 is taken out, compared with the mode of adopting an iodoform yarn, because the volume of the expansion capsule 1 is reduced, the friction with the inner wall of the bone cavity can be reduced, particularly, when the expansion capsule 1 is made of a silica gel material, the friction force can be greatly reduced, the pain of a patient is obviously relieved, and the treatment comfort of the patient is obviously improved.
In some embodiments, referring to fig. 1 to 3, the drainage holes 31 of the branch drainage tube 3 are uniformly distributed on the outer surface of the balloon wall 11, so that after the expansion balloon 1 is expanded to the second state in the bone cavity after the cyst operation, the drainage holes 31 are uniformly distributed in the bone cavity of the cyst, thereby draining the hematocele and/or the effusion in the bone cavity to a greater extent and avoiding infection caused by the hematocele and/or the effusion in the bone cavity.
In some embodiments, the drainage apertures 31 are offset from one another, and any adjacent three of the drainage apertures are distributed at the vertices of an equilateral triangle when the bladder is inflated to the second state. So set up, can guarantee more easily the even distribution of drainage hole 31, it is low to make the degree of difficulty, drainage that also can bigger degree the hematocele and/or the hydrops of intraosseous bone are avoided hematocele and/or hydrops in the intraosseous bone cause the infection.
In one embodiment, referring to fig. 1 to 3, at least a portion of the drainage holes 31 are circular or oval in shape. That is, some of the drainage holes 31 may be circular or elliptical in shape, while other drainage holes 31 may be formed in other shapes, or all of the drainage holes 31 may be circular or elliptical in shape. So set up under the condition that the material of expansion bag 1 is silica gel, can guarantee the tension of silica gel material, avoid stress concentration to cause fill drainage device impaired. Of course, the skilled artisan will appreciate that in some embodiments, the drainage apertures 31 may be other shapes, such as triangular, etc. In short, the shape of the drainage hole is not limited as long as the effusion and/or the hematocele can be drained.
In one embodiment, referring to fig. 1-3, in the case where the drainage holes 31 are circular, the diameter of each drainage hole is 2 mm to 5 mm, such as 2 mm, 3 mm, 4 mm, or 5 mm. So set up, can be to a great extent with hematocele and/or hydrops drainage flow, moreover, can not make because the drainage hole is too big the intensity of branch drainage pipe reduces. When the diameter is larger than 5 mm, the strength of the drainage tube is affected, and the drainage tube is easy to damage; when the diameter is less than 2 mm, the drainage holes 31 are too thin, so that effusion and/or hematocele drainage is not smooth.
In some embodiments, the drainage manifold 3 has 6 to 12 branches, for example, 6, 7, 8, 9, 10, 11, or 12 branches. Fig. 3 shows that there are 8 drainage branches 3. The number of the branch drainage pipes 3 in the above range does not complicate the process, and the poor drainage effect due to too few branch drainage pipes 3 is not caused. The location of the branch drainage tube 3 on the outer surface of the balloon also makes the process simple.
In some embodiments, the branch drainage tubes 3 are uniformly distributed on the outer surface of the expansion balloon or embedded in the balloon wall 11 of the expansion balloon 1. So set up, the quantity of branch drainage pipe 3 can not make the technology complicated at above-mentioned within range, also can not arouse the drainage effect not good because branch drainage pipe 3 is too few. The location of the branch drainage tube 3 on the outer surface of the balloon also makes the process simple. The skilled person will appreciate that the branch drainage tubes 3 may be distributed uniformly over the outer surface of the balloon 1 or embedded in the wall 11 of the balloon 1 in the case of 6 to 12 tubes. The drainage effect is good because the drainage branch pipes 3 are uniformly distributed.
In some embodiments, each of the drainage legs 3 has a diameter of 5 mm to 8 mm. Under the condition that the diameter of the drainage branch pipe 3 is less than 5 mm, the drainage is not smooth, and hematocele and/or effusion can cause swelling, pain and the like; under the condition that the diameter of the drainage branch pipe 3 is larger than 8 mm, the drainage branch pipe 3 is too thick, occupies space, and is inconvenient and unnecessary.
In some embodiments, referring to fig. 2, the inflatable bladder 1 is spherical in shape in the second state. So set up, can be better fill in the bone cavity plays the effect of hemostasis by compression. Meanwhile, the accumulated liquid/blood in the bone cavity can be better drained.
In some embodiments, referring to fig. 1 and 2, the negative pressure drainage device 5 includes a negative pressure ball including a negative pressure lumen, the negative pressure ball is pressed to make the negative pressure lumen generate negative pressure to suck out hematocele and/or effusion between the expansion bladder 1 and the bone cavity of the maxillary and mandibular cysts, and the volume of the negative pressure lumen is 50 ml to 150 ml, such as 50 ml, 55 ml, 60 ml, 62 ml, 66 ml, 68 ml, 70 ml, 74 ml, 75 ml, 78 ml, 80 ml, 85 ml, 90 ml, 92 ml, 98 ml, 100 ml, 105 ml, 110 ml, 112 ml, 115 ml, 118 ml, 120 ml, 123 ml, 125 ml, 130 ml, 132 ml, 135 ml, 138 ml, 140 ml, 145 ml or 150 ml. So set up, negative pressure drainage device 5 can not only be with hematocele and/or hydrops suction, moreover, the volume of negative pressure inner chamber is 50 ml ~ 150 ml makes the suction of pressing negative drainage device 5 production appropriate, is difficult to produce painful uncomfortable and feels. In some embodiments, the negative pressure drainage device can be provided with scales, so that the amount of hematocele and/or effusion can be known through the scales, the amount of hemorrhage and the operation effect of a patient can be judged according to the amount of hematocele and/or effusion in the negative pressure drainage device, and an accurate basis is provided for evaluating the operation curative effect. In some embodiments, in order to easily press the negative pressure drainage device 5, the material of the cavity wall of the negative pressure drainage device 5 is silica gel.
The above description is only for the purpose of illustrating the preferred embodiments of the present application and is not to be construed as limiting the present application, and any modifications, equivalents, improvements, etc. made within the spirit and principle of the present application should be included in the scope of the present application.

Claims (10)

1. A tamponade drainage device for maxillary cyst surgery, the device comprising:
an inflatable balloon having a balloon cavity, the balloon cavity having a first state when not filled with a medium and being inflated to a second state after filling with a medium;
a catheter communicating with the balloon cavity for injecting the medium into the balloon cavity or withdrawing the medium from the balloon cavity;
the drainage branch pipes are arranged on the wall of the sac cavity, each drainage branch pipe comprises a plurality of drainage holes, and each drainage hole is communicated with the inside and the outside of the drainage branch pipe;
and one end of the drainage main pipe is communicated with all the drainage branch pipes, and the other end of the drainage main pipe is communicated with the negative pressure drainage device.
2. The tamponade drainage device of claim 1, wherein the drainage apertures of the branch drainage tubes are evenly distributed over the outer surface of the balloon.
3. The tamponade drainage device of claim 2, wherein the drainage apertures are staggered such that any adjacent three of the drainage apertures are distributed at the vertices of an equilateral triangle when the balloon is expanded to the second state.
4. The tamponade drainage device of any of claims 1 to 3 where at least some of the drainage apertures are circular or elliptical in shape.
5. The tamponade drainage device of claim 4, where the drainage apertures are circular, each of the drainage apertures having a diameter of 2 to 5 mm.
6. The tamponade drainage device of claim 1, whereby there are 6 to 12 branches and/or the branches are evenly distributed over the outer surface of the balloon or embedded in the wall of the balloon.
7. The tamponade drainage device of claim 1 or 6, wherein each drainage branch has a diameter of 5 to 8 mm.
8. The tamponade drainage device of claim 1, wherein the balloon is spherical in the second state.
9. The tamponade drainage device of claim 1 wherein the negative pressure drainage device comprises a negative pressure ball comprising a negative pressure lumen that is pressed to create negative pressure within the negative pressure lumen to aspirate effusion and/or hematocele between the wall of the balloon and the cystic bone cavity, the negative pressure lumen having a volume of 50-150 ml.
10. The tamponade drainage device of claim 1, wherein the material of the balloon is silicone.
CN202021939255.1U 2020-09-07 2020-09-07 A clog drainage device for going up jaw cyst operation Expired - Fee Related CN214074455U (en)

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CN202021939255.1U CN214074455U (en) 2020-09-07 2020-09-07 A clog drainage device for going up jaw cyst operation

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Application Number Priority Date Filing Date Title
CN202021939255.1U CN214074455U (en) 2020-09-07 2020-09-07 A clog drainage device for going up jaw cyst operation

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114431912A (en) * 2021-11-25 2022-05-06 上海交通大学医学院附属第九人民医院 Postoperative filling device

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114431912A (en) * 2021-11-25 2022-05-06 上海交通大学医学院附属第九人民医院 Postoperative filling device
CN114431912B (en) * 2021-11-25 2023-09-19 上海交通大学医学院附属第九人民医院 Postoperative filling device

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