CN215739181U - Tissue space spreader for peritoneoscope total extraperitoneal single-hole hernia port - Google Patents
Tissue space spreader for peritoneoscope total extraperitoneal single-hole hernia port Download PDFInfo
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- CN215739181U CN215739181U CN202122412490.4U CN202122412490U CN215739181U CN 215739181 U CN215739181 U CN 215739181U CN 202122412490 U CN202122412490 U CN 202122412490U CN 215739181 U CN215739181 U CN 215739181U
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- air inlet
- exhaust
- hole
- port
- hernia
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- 206010019909 Hernia Diseases 0.000 title claims abstract description 45
- 238000000034 method Methods 0.000 claims description 9
- -1 polyethylene Polymers 0.000 claims description 8
- 229920000573 polyethylene Polymers 0.000 claims description 8
- 210000005077 saccule Anatomy 0.000 claims description 8
- 239000004698 Polyethylene Substances 0.000 claims description 6
- 238000004891 communication Methods 0.000 claims description 3
- 239000000463 material Substances 0.000 claims description 3
- 210000001139 rectus abdominis Anatomy 0.000 abstract description 5
- 230000008439 repair process Effects 0.000 abstract description 4
- 210000001519 tissue Anatomy 0.000 description 25
- 230000003187 abdominal effect Effects 0.000 description 18
- 210000003205 muscle Anatomy 0.000 description 14
- 210000004303 peritoneum Anatomy 0.000 description 9
- 206010033675 panniculitis Diseases 0.000 description 4
- 210000004304 subcutaneous tissue Anatomy 0.000 description 4
- 230000006378 damage Effects 0.000 description 3
- 208000014674 injury Diseases 0.000 description 3
- 230000027939 micturition Effects 0.000 description 3
- 206010048869 Peritoneal hernia Diseases 0.000 description 2
- 238000005516 engineering process Methods 0.000 description 2
- 230000002980 postoperative effect Effects 0.000 description 2
- 238000011084 recovery Methods 0.000 description 2
- 238000007789 sealing Methods 0.000 description 2
- 230000008733 trauma Effects 0.000 description 2
- 210000002700 urine Anatomy 0.000 description 2
- 206010002091 Anaesthesia Diseases 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 210000001015 abdomen Anatomy 0.000 description 1
- 210000003815 abdominal wall Anatomy 0.000 description 1
- 230000009471 action Effects 0.000 description 1
- 230000004075 alteration Effects 0.000 description 1
- 230000037005 anaesthesia Effects 0.000 description 1
- 238000010241 blood sampling Methods 0.000 description 1
- 210000004204 blood vessel Anatomy 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 230000006872 improvement Effects 0.000 description 1
- 238000001802 infusion Methods 0.000 description 1
- 238000002357 laparoscopic surgery Methods 0.000 description 1
- 238000002324 minimally invasive surgery Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 239000011801 monoporous material Substances 0.000 description 1
- 230000036407 pain Effects 0.000 description 1
- 210000003200 peritoneal cavity Anatomy 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 238000000926 separation method Methods 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
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Abstract
The utility model discloses a tissue space spreader for a laparoscope total extraperitoneal single-hole hernia port, which comprises an exhaust port, an exhaust valve, an exhaust ball, an exhaust rod, an exhaust hole, a support cylinder, an air inlet valve, an air inlet ball, an annular ball bag, a central ring, an air inlet hole and an air inlet rod, wherein the exhaust port is arranged on the support cylinder; the tissue space spreader for the laparoscopic total extraperitoneal single-hole hernia port adopts the instrument, when the total extraperitoneal single-hole hernia repair is performed under a laparoscope, the central ring of the instrument can be used and placed at the posterior sheath of the rectus abdominis of a patient, the annular balloon is inflated to expand the central ring, the expanded annular balloon spreads the tissue space required for placing the single-hole hernia port instrument, and then the potr for the hernia single hole is placed in the spread space to perform the total extraperitoneal single-hole hernia operation under the laparoscope. Through clinical use, the utility model has convenient and flexible use, can quickly establish the total extraperitoneal single-hole hernia port placement space, obviously saves the operation time and improves the operation efficiency.
Description
Technical Field
The utility model relates to the technical field of blood sampling and infusion apparatus application, in particular to a tissue space spreader for a laparoscopic total extraperitoneal single-hole hernia port.
Background
Along with the improvement of the living standard of people, the requirements of patients on medical service and medical quality are higher and higher, and accordingly, the laparoscopic minimally invasive surgery is more and more pursued by patients and surgeons, the laparoscopic surgery has the characteristics of small abdominal wall trauma of the patients, quick postoperative recovery of the patients and light pain of the patients, and in recent years, on the basis of the traditional laparoscopic technology, a single-port laparoscope has the advantages of smaller incision of the patients, smaller tissue trauma, quicker postoperative recovery and better incision attractiveness, and is more favored by the surgeons and the patients. When the peritoneoscope is operated in the whole extraperitoneal single-hole hernia, firstly, a single-hole port needs to be placed outside the peritoneum below the navel of a patient, and the operation of the whole extraperitoneal hernia is carried out by using a laparoscope surgical instrument in the front gap of the peritoneum of the patient through the placed single-hole port. However, in practice, during a single-port laparoscopic full extraperitoneal hernia operation, the establishment of the first operation space for placing single-port instruments is difficult, and in the prior art, an operator firstly uses an operation blade to cut the skin, subcutaneous tissues and an abdominal rectus muscle front sheath below the navel of a patient, and then uses a finger to slide left and right and back and forth in front of the abdominal rectus muscle rear sheath and behind the abdominal rectus muscle to manually establish a peritoneal front tissue space for placing a single-port instrument, and then uses the single-port peritoneal front hernia port space established by the finger to place the single-port instrument for the peritoneal front single-port operation. In clinical actual operation, often can be because operation operator's action is gentle inadequately, patient's peritoneum is naturally weak, appear that the operator uses the finger to establish the space in-process, break patient's peritoneum very easily, directly get into patient's peritoneal cavity, can't get into clearance before the patient's peritoneum, can't be the exact operation clearance of establishing, and then can't place the haplopore port, and can't continue the operation. Causing troubles for surgeons who want to open the operation of the single-port laparoscopic peritoneal hernia surgery.
SUMMERY OF THE UTILITY MODEL
The utility model aims to provide a tissue space spreader for a laparoscopic total extraperitoneal single-hole hernia port, which can effectively solve the problems in the background technology.
In order to achieve the purpose, the utility model provides the following technical scheme: a tissue space spreader for a laparoscope total extraperitoneal single-hole hernia port comprises an air outlet, an air outlet valve, an air outlet ball, an air outlet rod, an air outlet hole, a support cylinder, an air inlet valve, an air inlet ball, an annular ball bag, a central ring, an air inlet hole and an air inlet rod; the method is characterized in that: the exhaust port is connected with an exhaust ball through an exhaust valve; the exhaust ball is connected with the support cylinder through an exhaust rod and an exhaust hole; the air inlet is connected with the air inlet ball through an air inlet valve; the air inlet balloon is connected with the support cylinder through an air inlet rod and an air inlet hole; the supporting cylinder is connected with the annular saccule through the central ring.
Further, the exhaust port is an exhaust passage, and the air inlet is an air inlet passage.
Further, the exhaust valve and the intake valve are valves which are made of rubber materials, have valve structures and enable gas to flow in a single way.
Further, the exhaust ball and the air inlet ball are resilient ball bags made of rubber.
Furthermore, the exhaust rod is a rod-shaped structure which can slide in an exhaust pipeline behind the exhaust valve, and the exhaust rod is provided with an exhaust hole, so that the exhaust hole is controlled to be communicated with the support cylinder through the sliding of the exhaust rod.
Furthermore, the air inlet rod is of a rod-shaped structure which can slide in the air inlet pipeline behind the air inlet valve, and the air inlet rod is provided with an air inlet hole which controls the communication between the air inlet and the support cylinder through the sliding of the air inlet rod.
Furthermore, the supporting cylinder is of a hollow cylindrical structure made of polyethylene, one end of the supporting cylinder is closed, and the other end of the supporting cylinder is communicated with the hollow center ring.
Furthermore, the center inside of the hollow oblate polyethylene center ring is communicated with the inside of the supporting cylinder, and the periphery of the center ring is communicated with the annular balloon.
Furthermore, the rubber-made, elastic and oblate annular balloon is connected with the hollow center ring in a closed manner, the annular balloon expands towards the periphery after being inflated, and the annular balloon shrinks to the position of the center ring after being exhausted.
Compared with the prior art, the tissue space spreader for the peritoneoscope total extraperitoneal single-hole hernia port can conveniently establish the tissue space required by the single-hole hernia peritoneum anterior single-hole port by adopting the tissue space spreader for the peritoneoscope total extraperitoneal single-hole hernia port. When the laparoscopic single-hole peritoneal hernia operation needs to be performed, firstly, transversely cutting is performed below the navel of a patient, the skin, subcutaneous tissues and the abdominal rectus muscle front sheath of the patient are cut, an operation blade is used for cutting the abdominal rectus muscle front sheath, and after the abdominal rectus muscle front sheath and the abdominal rectus muscle are outwards pulled by a draw hook for operation, the abdominal rectus muscle rear sheath is exposed; the operation instrument of the utility model is taken, the annular saccule is inflated in the annular saccule when the annular saccule is in an uninflated state and the oblate central ring is placed in front of the posterior sheath of the rectus abdominis and behind the rectus abdominis, the annular saccule is inflated to the diameter of the ring carried by the single-hole port, the annular saccule can artificially establish a space for placing the single-hole port between the front of the posterior sheath of the rectus abdominis and the back of the rectus abdominis of a patient, and because the inflatable saccule is used for opening operation, the establishment of the space is a tissue space establishment completed under the condition of relatively mild and uniform inflation, so that the side injury of blood vessel damage caused by violent separation of fingers in the space establishment process can be obviously reduced, the quick and good effect can be achieved, the whole operation efficiency is improved, the operation time is saved, and the operation instrument is particularly suitable for the patient who carries out monopore hernia operation before peritoneum with a small number of cases, or an inexperienced operator of preperitoneal single-hole hernia portal placement.
Drawings
FIG. 1 is a schematic view of the overall structure of the present invention;
in the reference symbols: the air inlet and outlet device comprises an air outlet 1, an air outlet valve 2, an air outlet ball 3, an air outlet rod 4, an air outlet hole 5, a support cylinder 6, an air inlet valve 7, an air inlet 8, an air inlet ball 9, an annular ball bag 10, a central ring 11, an air inlet hole 12 and an air inlet rod 13.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
Referring to fig. 1, the present invention provides a technical solution:
a tissue space spreader for a laparoscope total extraperitoneal single-hole hernia port comprises an exhaust port 1, an exhaust valve 2, an exhaust ball 3, an exhaust rod 4, an exhaust hole 5, a support cylinder 6, an air inlet valve 7, an air inlet 8, an air inlet ball 9, an annular balloon 10, a central ring 11, an air inlet 12 and an air inlet rod 13; the method is characterized in that: the exhaust port 1 is connected with an exhaust ball 3 through an exhaust valve 2; the exhaust ball 3 is connected with the support cylinder 6 through an exhaust rod 4 and an exhaust hole 5; the air inlet 8 is connected with an air inlet ball 9 through an air inlet valve 7; the air inlet ball 9 is connected with the support cylinder 6 through the air inlet rod 4 and the air inlet hole 5; the support cylinder 6 is connected with an annular balloon 10 through a central ring 11.
Further, the exhaust port 1 is an exhaust passage, and the intake port 8 is an intake passage.
Further, the exhaust valve 2 and the intake valve 7 are valves having a valve structure made of rubber and allowing gas to flow in a single direction.
Further, the exhaust ball 3 and the intake ball 9 are resilient balloons made of rubber.
Further, the exhaust rod 4 is a rod-shaped structure which can slide in an exhaust pipeline behind the exhaust valve 2, and the exhaust rod 4 is provided with an exhaust hole 5, and the exhaust hole 1 is controlled to be communicated with the support cylinder 6 by the sliding of the exhaust rod 4.
Further, the air inlet rod 13 is a rod-shaped structure which can slide in the air inlet pipe behind the air inlet valve 7, and the air inlet rod 13 is provided with an air inlet hole 12, and the communication between the air inlet 8 and the support cylinder 6 is controlled by the sliding of the air inlet rod 13.
Further, the support cylinder 6 is a hollow cylindrical structure made of polyethylene, and one end of the support cylinder is closed, and the other end of the support cylinder is communicated with the hollow center ring 11.
Further, the center of the hollow oblate polyethylene central ring 11 is communicated with the inside of the supporting cylinder 6, and the periphery of the central ring 11 is communicated with the annular balloon 10.
Further, the rubber-made, elastic, oblate annular balloon 10 is connected with the hollow center ring 11 in a closed manner, the annular balloon 10 expands to the periphery after being inflated, and the annular balloon 10 contracts to the center ring after being exhausted.
This full extraperitoneal haplopore hernia port of peritoneoscope is with tissue space struts ware, concrete connection structure is: the exhaust port 1 is connected with an exhaust ball 3 in a sealing way through an exhaust valve 2 with a valve structure; the exhaust ball 3 is communicated with the support cylinder 6 through the exhaust valve 2; an exhaust rod 4 with an exhaust hole 5 is designed between the exhaust ball 3 and the support cylinder 6 to control the smoothness and the sealing of an exhaust pipeline; the exhaust rod 4 penetrates through the exhaust pipeline, the exhaust rod 4 can move up and down in the exhaust pipeline, an exhaust hole 5 is formed in one end of the exhaust rod 4, the exhaust rod 4 is moved in the exhaust pipeline, and when the exhaust hole 5 in the exhaust rod 4 and the exhaust pipeline are smoothly established, exhaust can be achieved; when the exhaust hole 5 in the exhaust rod 4 is not in the exhaust pipeline, the exhaust is stopped (the principle of the exhaust hole is similar to that of the structure of a urination control valve on the existing medical urine collection bag, and the exhaust hole is a method and a technical scheme which are commonly used in clinic, and the technical aim and the technical difficulty which are not achieved by the patent are not achieved, so that the exhaust is not detailed here); an air inlet 8 is connected with an air inlet balloon 9 through an air inlet valve 7, the air inlet balloon 9 is connected with a support cylinder 6 through the air inlet valve 7, and an air inlet hole 12 on an air inlet rod 13 is arranged between the air inlet balloon 9 and the support cylinder 6 to control the smoothness and the closing of an air inlet pipeline; the air inlet rod 13 penetrates through the air inlet pipeline, the air inlet rod 13 can move up and down in the air inlet pipeline, when the air inlet hole 13 is positioned in the air inlet pipeline after the air inlet rod 13 moves up and down in the air inlet pipeline, the air inlet pipeline is in a smooth state, and when the air inlet hole 13 is positioned outside the air inlet pipeline after the air inlet rod 13 moves up and down in the air inlet pipeline, the air inlet pipeline is in a closed state (the principle of the air inlet pipeline is similar to that of a urination control valve on the existing medical urine collection bag, the principle of the urination control valve is a common method and a technical scheme in clinic, and technical targets and technical difficulties which are not achieved by the patent are not detailed here); the supporting cylinder 6 is a hollow pipeline structure made of polyethylene, one end of the supporting cylinder 6 is closed, and the other end of the supporting cylinder is connected with a hollow oblate central ring 11; the center ring 11 is made of polyethylene, is hollow inside, is communicated with the support cylinder 6, is sealed on the outer layer of the center ring 11, is made of rubber, can be expanded after being inflated, can be contracted after being exhausted, and is an oblate annular balloon 10 with an annular structure, and the annular balloon 10 is communicated with the center ring 11 in a sealed mode.
The tissue space spreader for the peritoneoscope total extraperitoneal single-hole hernia port has the advantages that: when the laparoscopic single-hole hernia operation is performed outside the whole peritoneum, the surgical instrument can be quickly and safely completed, and a first surgical instrument space is established. When the single-hole extraperitoneal hernia operation is performed under a laparoscope, an incision is transversely made below the navel of a patient, skin, subcutaneous tissues, an abdominal rectus muscle front sheath is cut, the abdominal rectus muscle is pulled open, an abdominal rectus muscle rear sheath is exposed, when the device is used, gas in an annular balloon 10 is firstly discharged, the annular balloon 10 is contracted at a central ring 11, an operator holds a supporting cylinder 6 of the device, the central ring 11 is placed between the abdominal rectus muscle rear sheath and the abdominal rectus muscle of the patient, at the moment, the central ring 11 is inflated, the annular balloon 10 on the outer layer of the central ring 11 is inflated and expanded, a tissue space required by the patient extraperitoneal is expanded in the abdominal rectus muscle front sheath of the patient through the expansion of the annular balloon 10, after the space is expanded, the gas in the annular balloon 10 is removed, the tissue expander is removed from the patient, and the extraperitoneal single-hole hernia port device for the operation can be placed in the just expanded space, the operation of the full extraperitoneal hernia repair operation is carried out, the tissue space required by placing the full extraperitoneal single-hole hernia port on the patient can be safely and quickly unfolded by using the device, and the problems of damage to the peritoneum of the patient, unsatisfied establishment of the tissue space and the like can be effectively prevented.
The specific use method of the tissue space spreader for the peritoneoscope total extraperitoneal single-hole hernia port comprises the following steps: when a patient needs to perform a single-hole extraperitoneal hernia repair operation in clinical work, the surgical instrument can safely, effectively and quickly establish a tissue space required for placing an extraperitoneal hernia port, and the specific use method comprises the following steps: after anesthesia, the patient lies horizontally and is disinfected, a transverse incision is made under the navel, the skin and subcutaneous tissues are cut, the abdominal rectus anterior sheath is opened by 2cm, the abdominal rectus anterior sheath and the abdomen are pulled to one side of the patient by using a surgical draw hook, the abdominal rectus posterior sheath of the patient is exposed, the annular balloon 10 in an uninflated state is taken, the central ring 11 is placed in the space in front of the abdominal rectus posterior sheath caused by the draw hook of the patient, at the moment, the exhaust rod 4 is closed, the air inlet rod 13 is opened, the air inlet balloon 9 is pressed for a plurality of times, air enters the annular balloon 10 through the air inlet 8, the air inlet valve 7, the air inlet hole 12, the support cylinder 6 and the central ring 11, the annular balloon 10 is inflated to expand, enlarge and expand, the tissue space required for placing the single-hole hernia port is expanded, the air inlet balloon 9 is pressed to be inflated to the diameter required by the single-hole port circular ring, and then the whole extraperitoneal tissue gap expanding operation of the patient is completed, finishing the establishment of the tissue space expansion; at the moment, the air inlet rod 13 is closed, the air exhaust rod 4 is opened, the air exhaust hole 5 is communicated with an air exhaust pipeline, the air exhaust ball 3 is pressed, air in the annular balloon 10 can be exhausted through the annular balloon 10, the center ring 11, the support cylinder 6, the air exhaust hole 5, the air exhaust valve 2, the air exhaust ball 3 and the air exhaust port 1, after the air exhaust is finished, the tissue spreader can be taken out of the patient, then the port for laparoscopic full extraperitoneal single-hole hernia is placed in the spread tissue space, and the operation of the laparoscopic full extraperitoneal single-hole hernia repair operation under the laparoscope of the patient is carried out. Through clinical practical use, the tissue space spreader for the peritoneoscope total extraperitoneal single-hole hernia port is convenient, flexible, accurate and quick to use, and is worthy of clinical popularization.
Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the utility model, the scope of which is defined in the appended claims and their equivalents.
Claims (9)
1. A tissue space spreader for a laparoscope total extraperitoneal single-hole hernia port comprises an air outlet, an air outlet valve, an air outlet ball, an air outlet rod, an air outlet hole, a support cylinder, an air inlet valve, an air inlet ball, an annular ball bag, a central ring, an air inlet hole and an air inlet rod; the method is characterized in that: the exhaust port is connected with an exhaust ball through an exhaust valve; the exhaust ball is connected with the support cylinder through an exhaust rod and an exhaust hole; the air inlet is connected with the air inlet ball through an air inlet valve; the air inlet balloon is connected with the support cylinder through an air inlet rod and an air inlet hole; the supporting cylinder is connected with the annular saccule through the central ring.
2. The laparoscopic total extraperitoneal single-hole hernia port tissue space distractor of claim 1, wherein: the exhaust port is an exhaust passage, and the air inlet is an air inlet passage.
3. The laparoscopic total extraperitoneal single-hole hernia port tissue space distractor of claim 1, wherein: the exhaust valve and the intake valve are valves which are made of rubber materials, have valve structures and enable gas to flow in a single way.
4. The laparoscopic total extraperitoneal single-hole hernia port tissue space distractor of claim 1, wherein: the air exhaust ball and the air inlet ball are resilient ball bags made of rubber.
5. The laparoscopic total extraperitoneal single-hole hernia port tissue space distractor of claim 1, wherein: the exhaust rod is of a rod-shaped structure which can slide in an exhaust pipeline behind the exhaust valve, and the exhaust rod is provided with an exhaust hole which controls the communication between the exhaust hole and the support cylinder through the sliding of the exhaust rod.
6. The laparoscopic total extraperitoneal single-hole hernia port tissue space distractor of claim 1, wherein: the air inlet rod is of a rod-shaped structure which can slide in the air inlet pipeline behind the air inlet valve, and is provided with an air inlet hole, and the air inlet is controlled to be communicated with the support cylinder by the sliding of the air inlet rod.
7. The laparoscopic total extraperitoneal single-hole hernia port tissue space distractor of claim 1, wherein: the supporting cylinder is of a hollow cylindrical structure made of polyethylene materials, one end of the supporting cylinder is closed, and the other end of the supporting cylinder is communicated with the hollow center ring.
8. The laparoscopic total extraperitoneal single-hole hernia port tissue space distractor of claim 1, wherein: the center of the hollow oblate polyethylene center ring is communicated with the inside of the supporting cylinder, and the periphery of the center ring is communicated with the annular balloon.
9. The laparoscopic total extraperitoneal single-hole hernia port tissue space distractor of claim 1, wherein: the rubber-made, elastic and oblate annular balloon is connected with the hollow center ring in a closed mode, the annular balloon expands towards the periphery after being inflated, and the annular balloon shrinks to the position of the center ring after being exhausted.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202122412490.4U CN215739181U (en) | 2021-10-08 | 2021-10-08 | Tissue space spreader for peritoneoscope total extraperitoneal single-hole hernia port |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202122412490.4U CN215739181U (en) | 2021-10-08 | 2021-10-08 | Tissue space spreader for peritoneoscope total extraperitoneal single-hole hernia port |
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| Publication Number | Publication Date |
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| CN215739181U true CN215739181U (en) | 2022-02-08 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202122412490.4U Expired - Fee Related CN215739181U (en) | 2021-10-08 | 2021-10-08 | Tissue space spreader for peritoneoscope total extraperitoneal single-hole hernia port |
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| Country | Link |
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| CN (1) | CN215739181U (en) |
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2021
- 2021-10-08 CN CN202122412490.4U patent/CN215739181U/en not_active Expired - Fee Related
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| GR01 | Patent grant | ||
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Granted publication date: 20220208 |