CN216854808U - Artificial perforation device for obstetric clinical use - Google Patents
Artificial perforation device for obstetric clinical use Download PDFInfo
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- CN216854808U CN216854808U CN202120479370.3U CN202120479370U CN216854808U CN 216854808 U CN216854808 U CN 216854808U CN 202120479370 U CN202120479370 U CN 202120479370U CN 216854808 U CN216854808 U CN 216854808U
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- 238000001179 sorption measurement Methods 0.000 claims abstract description 17
- 239000012528 membrane Substances 0.000 claims abstract description 15
- 239000000823 artificial membrane Substances 0.000 claims abstract description 10
- 238000005485 electric heating Methods 0.000 claims description 15
- 230000007704 transition Effects 0.000 claims description 9
- 239000012780 transparent material Substances 0.000 claims description 5
- 210000002219 extraembryonic membrane Anatomy 0.000 abstract description 36
- 210000004381 amniotic fluid Anatomy 0.000 abstract description 17
- 210000004379 membrane Anatomy 0.000 abstract description 11
- 229920001296 polysiloxane Polymers 0.000 abstract description 2
- 210000001215 vagina Anatomy 0.000 description 10
- 238000000034 method Methods 0.000 description 8
- 230000008569 process Effects 0.000 description 6
- 230000006872 improvement Effects 0.000 description 4
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 description 2
- 230000009286 beneficial effect Effects 0.000 description 2
- 210000003679 cervix uteri Anatomy 0.000 description 2
- 238000010438 heat treatment Methods 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- 239000000741 silica gel Substances 0.000 description 2
- 229910002027 silica gel Inorganic materials 0.000 description 2
- 102000029816 Collagenase Human genes 0.000 description 1
- 108060005980 Collagenase Proteins 0.000 description 1
- 102000016387 Pancreatic elastase Human genes 0.000 description 1
- 108010067372 Pancreatic elastase Proteins 0.000 description 1
- 240000007643 Phytolacca americana Species 0.000 description 1
- 208000036029 Uterine contractions during pregnancy Diseases 0.000 description 1
- 230000009471 action Effects 0.000 description 1
- 210000001691 amnion Anatomy 0.000 description 1
- 210000003756 cervix mucus Anatomy 0.000 description 1
- 230000035606 childbirth Effects 0.000 description 1
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- 229960002424 collagenase Drugs 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
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- 210000003754 fetus Anatomy 0.000 description 1
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Abstract
本实用新型公开了一种产科临床用人工破膜装置,属于产科破膜技术领域,包括筒体、锥形吸盘、集液观察筒、负压筒;所述的筒体的一端连接锥形吸盘端口小的一端,筒体的另一端连接集液观察筒的一端,集液观察筒的另一端连接负压筒的一端;所述的锥形吸盘外端设有弧形吸槽,弧形吸槽内部两侧的表面分别设有吸附凹槽;所述的弧形吸槽内部的中间设有破膜针;本实用新型中通过采用锥形吸盘贴合胎膜,通过泵体提供负压,将胎膜吸附至至弧形吸槽内,胎膜被吸附接触破膜针头,造成刺穿,操作简单,使用灵活、增加吸附凹槽,提高局部吸附能力,不会因为胎膜刺穿,造成胎膜整体从锥形硅胶吸盘中脱落,保证集液观察筒正常采集羊水,安全系数高,科学有效。
The utility model discloses an artificial membrane rupture device for clinical obstetrics, belonging to the technical field of obstetric membrane rupture, comprising a cylinder body, a conical suction cup, a liquid collecting observation cylinder and a negative pressure cylinder; one end of the cylinder body is connected with the conical suction cup The small end of the port, the other end of the cylinder body is connected to one end of the liquid collection observation cylinder, and the other end of the liquid collection observation cylinder is connected to one end of the negative pressure cylinder; the outer end of the conical suction cup is provided with an arc suction groove, and the arc suction The surfaces on both sides of the inside of the groove are respectively provided with adsorption grooves; the inner middle of the arc-shaped suction groove is provided with a membrane-breaking needle; in the utility model, the conical suction cup is used to fit the fetal membrane, and the pump body provides negative pressure, The fetal membrane is adsorbed into the arc-shaped suction groove, and the fetal membrane is adsorbed and contacted with the membrane-breaking needle, resulting in puncture. The operation is simple, the use is flexible, the adsorption groove is increased, and the local adsorption capacity is improved, and the fetal membrane will not be punctured. The fetal membrane as a whole falls off from the conical silicone suction cup to ensure the normal collection of amniotic fluid by the liquid collection observation tube, with a high safety factor, scientific and effective.
Description
技术领域technical field
本实用新型属于产科破膜技术领域,具体涉及一种产科临床用人工破膜装置。The utility model belongs to the technical field of obstetric membrane rupture, in particular to an artificial membrane rupture device for obstetric clinical use.
背景技术Background technique
人工破膜即人为的方式干预撕破宫口处羊膜,以便观察羊水颜色、加强宫缩、加速产程进展,是自然分娩过程中较为常见的一种引产方式,人工破膜后,宫颈前列腺素含量增加,在前列腺素的作用下,贮存在白细胞内的胶原酶及弹性蛋白酶释放,进而导致胶原降解,宫颈成熟、宫颈软化、宫口扩张从而加速产程。Artificial rupture of membranes is an artificial way of intervening to tear the amniotic membrane at the cervix in order to observe the color of the amniotic fluid, strengthen uterine contractions, and accelerate the progress of the labor process. It is a common way of inducing labor during natural childbirth. Under the action of prostaglandins, collagenase and elastase stored in leukocytes are released, leading to collagen degradation, cervical ripening, cervical softening, and cervix dilation, thereby accelerating the labor process.
目前临床实践中通常采用左手中、食指深入阴道,右手持有齿钳钳夹或针头,撕开胎膜或者用针头钩破胎膜,对操作者要求较高,操作不便;现有的破膜器使用时,操作不灵活,安全性较低,不易收集羊水观察,同时由于产妇阴道分泌液体较多,现有的装置粘上容易从手上滑落,危险系数高,而且现有的破膜器没有预热功能,伸入产妇阴道,温差极易造成产妇的不适。At present, in clinical practice, the left hand and index finger are usually used to penetrate the vagina, and the right hand holds a toothed forceps or a needle to tear the fetal membrane or use a needle to hook the fetal membrane, which requires high operator requirements and is inconvenient to operate. When using the device, the operation is inflexible, the safety is low, and it is not easy to collect amniotic fluid for observation. At the same time, due to the large amount of vaginal secretion of puerperae, the existing device is easy to slip from the hand when it sticks, and the risk factor is high, and the existing membrane rupture device. There is no preheating function, and the temperature difference can easily cause maternal discomfort when it extends into the vagina of the parturient.
实用新型内容Utility model content
本实用新型针对现有技术的不足,提供了一种操作灵活、安全系数高、易收集羊水、不易滑落、具备预热功能的产科临床用人工破膜装置。Aiming at the deficiencies of the prior art, the utility model provides an artificial membrane rupture device for obstetrics clinical use, which is flexible in operation, high in safety factor, easy to collect amniotic fluid, not easy to slip off, and has a preheating function.
为了实现上述目的,本实用新型的技术方案如下:In order to achieve the above object, the technical scheme of the present utility model is as follows:
一种产科临床用人工破膜装置,包括筒体、锥形吸盘、集液观察筒、负压筒;所述的筒体的一端连接锥形吸盘端口小的一端,筒体的另一端连接集液观察筒的一端;所述的集液观察筒的另一端连接负压筒的一端;所述的锥形吸盘外端设有弧形吸槽;所述的弧形吸槽内部两侧的表面分别设有吸附凹槽;所述的弧形吸槽内部的中间设有破膜针;所述的破膜针的针头方向朝外设置;所述的筒体内部中空;所述的筒体内分别安装有电加热片、抽液管、负压管A、电池;靠近集液观察筒一端的筒体内设置电池;靠近锥形吸盘一端的筒体的内壁设置电加热片;靠近集液观察筒一端的筒体表面设有防滑套件,所述的防滑套件外侧设有防滑条纹;所述的集液观察筒内部中空;所述的集液观察筒的一侧设有负压管B;所述的负压管B设有阀门;所述的负压筒内部中空;所述的负压筒内安装有泵体;所述的电池分别与电加热片和泵体电性连接;所述的泵体的负压端口设有三通;所述的三通的第二接口与负压管A的一端连接,所述的负压管A的另一端连通吸附凹槽;所述的三通的第三接口与负压管B的一端连接,所述的负压管B的另一端连通集液观察筒的内部,所述的抽液管一端连通集液观察筒的内部,另一端连接破膜针的出口端。所述的筒体和集液观察筒皆采用透明材质制作。An artificial membrane rupture device for obstetrics clinical use, comprising a cylinder body, a conical suction cup, a liquid collecting observation cylinder, and a negative pressure cylinder; One end of the liquid observation cylinder; the other end of the liquid collection observation cylinder is connected to one end of the negative pressure cylinder; the outer end of the conical suction cup is provided with an arc-shaped suction groove; the surfaces on both sides of the inside of the arc-shaped suction groove There are adsorption grooves respectively; the inner middle of the arc-shaped suction groove is provided with a membrane perforating needle; the needle head of the membrane permeating needle is set outward; the interior of the cylinder body is hollow; Electric heating sheet, suction pipe, negative pressure pipe A, and battery are installed; the battery is set in the cylinder close to one end of the liquid collection observation cylinder; the inner wall of the cylinder close to one end of the conical suction cup is provided with an electric heating sheet; close to the end of the liquid collection observation cylinder The surface of the cylinder body is provided with a non-slip kit, and the outside of the non-slip kit is provided with anti-skid stripes; the inside of the liquid collection observation tube is hollow; the side of the liquid collection observation tube is provided with a negative pressure tube B; the The negative pressure pipe B is provided with a valve; the inside of the negative pressure cylinder is hollow; a pump body is installed in the negative pressure cylinder; the battery is electrically connected with the electric heating sheet and the pump body; The negative pressure port is provided with a tee; the second interface of the tee is connected to one end of the negative pressure pipe A, and the other end of the negative pressure pipe A is connected to the adsorption groove; the third interface of the tee It is connected with one end of the negative pressure tube B, the other end of the negative pressure tube B is connected to the inside of the liquid collection observation tube, one end of the described liquid suction tube is connected to the inside of the liquid collection observation tube, and the other end is connected to the outlet of the membrane perforating needle. end. Both the cylinder body and the liquid collecting observation cylinder are made of transparent materials.
作为进一步技术改进,所述的锥形吸盘采用透明材质;所述的筒体中部设有LED灯;所述的LED灯的方向朝向锥形吸盘;所述的LED灯与电池电性连接。所述的LED灯是为了方便医生观察阴道内的情况,不用再另外使用灯光照明,降低手术操作难度。所述的锥形吸盘采用透明硅胶材质制成,与胎膜贴合性更好;所述的LED灯采用弱光照射;所述的泵体采用小功率负压泵,负压小,且缓慢负压。As a further technical improvement, the conical suction cup is made of transparent material; the middle of the barrel is provided with an LED light; the direction of the LED light is toward the conical suction cup; the LED light is electrically connected to the battery. The LED light is for the convenience of the doctor to observe the situation in the vagina, no need to use additional lighting, and reduces the difficulty of the operation. The conical suction cup is made of transparent silica gel material, which has a better fit with the fetal membrane; the LED light is irradiated with weak light; the pump body adopts a low-power negative pressure pump, with low negative pressure and slow negative pressure.
作为进一步技术改进,所述的集液观察筒的底部设有排液口;所述的排液口安装有盖体。所述的排液口用于将收集的羊水排出,装置使用结束后方便清洁。As a further technical improvement, the bottom of the liquid collecting observation tube is provided with a liquid discharge port; the liquid discharge port is provided with a cover body. The liquid discharge port is used to discharge the collected amniotic fluid, and the device is convenient to clean after use.
作为进一步技术改进,所述的弧形吸槽的边角采用圆弧过渡。弧形吸槽的边角采用圆弧过渡后,与胎膜接触不易对胎膜产生摩擦损伤。As a further technical improvement, the edges and corners of the arc-shaped suction slot adopt arc transitions. After the edges and corners of the arc-shaped suction groove adopt arc transition, the contact with the fetal membrane is not easy to cause friction damage to the fetal membrane.
作为进一步技术改进,所述的吸附凹槽的边角采用圆弧过渡。吸附凹槽的边角采用圆弧过渡后,与胎膜接触不易对胎膜产生摩擦损伤,与胎膜贴合性更高,吸附更牢靠。As a further technical improvement, the corners of the adsorption groove adopt arc transitions. After the corners of the adsorption groove adopt arc transition, the contact with the fetal membrane is not easy to cause friction damage to the fetal membrane, and the adhesion with the fetal membrane is higher, and the adsorption is more reliable.
本实用新型的使用方法:The use method of this utility model:
使用时,装置整体消毒,电加热片通电对筒体进行预热,电加热片加热程度调至与人体阴道内温度相同,医生用左手对产妇阴道进行扩张,观察胎膜位置,将锥形吸盘外圈贴合胎膜,启动泵体,将胎膜吸附至弧形吸槽内,由于负压状态,胎膜被吸附接触破膜针头,直至针头插入至胎膜内,过程不会发生胎膜撕裂或戳伤婴儿,打开负压管B的阀门,泵体将集液观察筒内空气慢慢抽出,集液观察筒内形成负压,羊水从破膜针头流至抽液管,再排入到集液观察筒,羊水收集至合适液位后,关闭阀门,停止集液,医生透过集液观察筒观察羊水颜色,判断结束后,关闭泵体停止负压,取出整个装置,打开排液口,将羊水排出,再进行清洗消毒,待下次手术使用。When in use, the device is sterilized as a whole, the electric heating sheet is energized to preheat the cylinder, and the heating degree of the electric heating sheet is adjusted to the same temperature as the temperature in the human vagina. The outer ring is attached to the fetal membrane, the pump body is activated, and the fetal membrane is adsorbed into the arc-shaped suction groove. Due to the negative pressure state, the fetal membrane is adsorbed and contacted with the membrane-breaking needle until the needle is inserted into the fetal membrane, and the fetal membrane will not occur during the process. To tear or poke the baby, open the valve of the negative pressure tube B, the pump body slowly draws out the air in the liquid collection observation tube, the negative pressure is formed in the liquid collection observation tube, the amniotic fluid flows from the membrane perforating needle to the suction tube, and then drains After the amniotic fluid is collected to an appropriate level, the valve is closed to stop the liquid collection. The doctor observes the color of the amniotic fluid through the liquid collection observation tube. After the judgment is completed, close the pump body to stop the negative pressure, take out the whole device, and open the drain. The amniotic fluid is drained, and then cleaned and disinfected for use in the next operation.
与现有技术相比,本实用新型具有的有益效果如下:Compared with the prior art, the beneficial effects that the utility model has are as follows:
1.本实用新型中通过采用锥形吸盘贴合胎膜,通过泵体提供负压,将胎膜吸附至至弧形吸槽内,胎膜被吸附接触破膜针头,造成刺穿,操作简单,使用灵活、增加吸附凹槽,提高局部吸附能力,不会因为胎膜刺穿,造成胎膜整体从锥形硅胶吸盘中脱落,保证集液观察筒正常采集羊水,安全系数高,科学有效。1. In the utility model, by adopting the conical suction cup to fit the fetal membrane, negative pressure is provided by the pump body, and the fetal membrane is adsorbed into the arc-shaped suction groove, and the fetal membrane is adsorbed and contacts the membrane perforating needle, causing piercing, and the operation is simple , flexible use, increase the adsorption groove, improve the local adsorption capacity, will not cause the fetal membrane as a whole to fall off the conical silicone suction cup due to fetal membrane puncture, ensure the normal collection of amniotic fluid by the liquid collection observation tube, high safety factor, scientific and effective.
2.本实用新型在负压管B内设置阀门,医生通过控制阀门开关在集液观察筒内负压收集羊水,控制集液的集液进程,缓慢集液,安全可控,使用方便,收集简单;采用透明材质的集液观察筒,易于医生观察羊水颜色况,做出相应判断,提高手术效率。2. The utility model sets a valve in the negative pressure tube B, the doctor collects the amniotic fluid under negative pressure in the liquid collection observation tube by controlling the valve switch, controls the liquid collection process of the liquid collection, the liquid collection is slow, safe and controllable, easy to use, and collected. Simple; using a transparent material collection observation tube, it is easy for doctors to observe the color of the amniotic fluid, make corresponding judgments, and improve the efficiency of the operation.
3.本实用新型增加电加热片,手术前提前对筒体前段伸入阴道的部分进行预热使其达到与产妇阴道相近的温度,伸入的过程减少产妇阴道不适,提升手术舒适度。3. The utility model adds an electric heating sheet. Before the operation, the part of the front part of the cylinder extending into the vagina is preheated to reach a temperature similar to that of the vagina of the parturient. The process of insertion reduces the discomfort of the vagina of the parturient and improves the comfort of the operation.
4.本实用新型采用内置LED灯作为手术光源,医生容易观察到锥形吸盘的外圈贴合状态,有利于手术的进行,其中LED灯采用弱光照射,有效避免强光造成胎儿不适。4. The utility model uses a built-in LED light as the light source for the operation, the doctor can easily observe the fit state of the outer ring of the conical suction cup, which is beneficial to the operation. The LED light is irradiated with weak light, which can effectively avoid the discomfort of the fetus caused by the strong light.
5.本实用新型在筒体外增加带有防滑条纹的防滑套件,装置粘上不易从手上滑落,提高装置使用安全性。5. The utility model adds an anti-skid kit with anti-skid stripes on the outside of the cylinder, so that the device is not easily slipped from the hand when it is glued, and the safety of the device is improved.
附图说明Description of drawings
图1 为本实用新型的结构示意图。Figure 1 is a schematic structural diagram of the utility model.
图2为锥形吸盘的正视结构示意图。FIG. 2 is a schematic view of the front structure of the conical suction cup.
其中,上述各图标记及其对应的部件名称如下:Among them, the above symbols and their corresponding component names are as follows:
1-筒体,2-弧形吸槽,3-破膜针,4-吸附凹槽,5-锥形吸盘,6-电加热片,7-抽液管,8-负压管A,9-LED灯,10-集液观察筒,11-阀门,12-泵体,13-负压筒,14-负压管B,15-盖体,16-电池,17-防滑套件。1-Cylinder body, 2-Arc suction groove, 3-Membrane breaking needle, 4-Adsorption groove, 5-Conical suction cup, 6-Electric heating plate, 7-Liquid suction tube, 8-Negative pressure tube A, 9 -LED light, 10- liquid collection observation tube, 11- valve, 12- pump body, 13- negative pressure tube, 14- negative pressure tube B, 15- cover body, 16- battery, 17- anti-skid kit.
具体实施方式Detailed ways
为使基本实用新型的上述目的、特征和优点能够更加明显易懂,下面结合附图和具体实施方式对本实用新型作进一步详细的说明。In order to make the above objects, features and advantages of the basic utility model more clearly understood, the present utility model will be described in further detail below with reference to the accompanying drawings and specific embodiments.
实施例:Example:
如附图1-2所示,本实施例的一种产科临床用人工破膜装置,包括筒体1、锥形吸盘5、集液观察筒10、负压筒13;所述的筒体1的一端连接锥形吸盘5端口小的一端,筒体1的另一端连接集液观察筒10的一端;所述的集液观察筒10的另一端连接负压筒13的一端;所述的锥形吸盘5外端设有弧形吸槽2;所述的弧形吸槽2内部两侧的表面分别设有吸附凹槽4;所述的弧形吸槽2内部的中间设有破膜针3;所述的破膜针3的针头方向朝外设置;所述的筒体1内部中空;所述的筒体1内分别安装有电加热片6、抽液管7、负压管A8、电池16;靠近集液观察筒10一端的筒体1内设置电池16;靠近锥形吸盘5一端的筒体1的内壁设置电加热片6;靠近集液观察筒10一端的筒体1表面设有防滑套件17,所述的防滑套件17外侧设有防滑条纹;所述的集液观察筒10内部中空;所述的集液观察筒10的一侧设有负压管B14;所述的负压管B14设有阀门11;所述的负压筒13内部中空;所述的负压筒13内安装有泵体12;所述的电池16分别与电加热片6和泵体12电性连接;所述的泵体12的负压端口设有三通;所述的三通的第二接口与负压管A8的一端连接,所述的负压管A8的另一端连通吸附凹槽4;所述的三通的第三接口与负压管B14的一端连接,所述的负压管B14的另一端连通集液观察筒10的内部,所述的抽液管7一端连通集液观察筒10的内部,另一端连接破膜针3的出口端。As shown in Figures 1-2, an artificial membrane perforation device for obstetric clinical use in this embodiment includes a
所述的锥形吸盘5采用透明材质;所述的筒体1中部设有LED灯9;所述的LED灯9的方向朝向锥形吸盘5;所述的LED灯9与电池16电性连接。所述的LED灯9是为了方便医生观察阴道内的情况,不用再另外使用灯光照明,降低手术操作难度。所述的锥形吸盘5采用透明硅胶材质制成,与胎膜贴合性更好;所述的LED灯9采用弱光照射。The
所述的集液观察筒10的底部设有排液口;所述的排液口安装有盖体15。所述的排液口用于将收集的羊水排出,装置使用结束后方便清洁。The bottom of the liquid
所述的弧形吸槽2的边角采用圆弧过渡。弧形吸槽2的边角采用圆弧过渡后,与胎膜接触不易对胎膜产生摩擦损伤。The corners of the arc-
所述的吸附凹槽4的边角采用圆弧过渡。吸附凹槽4的边角采用圆弧过渡后,与胎膜接触不易对胎膜产生摩擦损伤,与胎膜贴合性更高,吸附更牢靠。The corners of the
本实施例的使用方法:How to use this embodiment:
使用时,装置整体消毒,电加热片6通电对筒体1进行预热,电加热片6加热程度调至与人体阴道内温度相同,打开LED灯9,LED灯9透过锥形吸盘5,照射到胎膜上,医生用左手对产妇阴道进行扩张,观察胎膜位置,将锥形吸盘5外圈贴合胎膜,启动泵体12,将胎膜吸附至弧形吸槽2内,由于负压状态,胎膜被吸附接触破膜针头,直至针头插入至胎膜内,过程不会发生胎膜撕裂或戳伤婴儿,打开负压管B14的阀门11,泵体将集液观察筒10内空气慢慢抽出,集液观察筒10内形成负压,羊水从破膜针头流至抽液管7,再排入到集液观察筒13,羊水收集至合适液位后,关闭阀门11,停止集液,医生透过集液观察筒10观察羊水颜色,判断结束后,关闭泵体12停止负压,取出整个装置,打开排液口,将羊水排出,再进行清洗消毒,待下次手术使用。When in use, the device is sterilized as a whole, the
以上所述仅是本实用新型的具体实施方式,使本领域技术人员能够理解或实现本实用新型。对这些实施例的多种修改对本领域的技术人员来说将是显而易见的,本文中所定义的一般原理可以在不脱离本实用新型的精神或范围的情况下,在其它实施例中实现。因此,本实用新型将不会被限制于本文所示的这些实施例,而是要符合与本文所申请的原理和新颖特点相一致的最宽的范围。The above are only specific embodiments of the present invention, so that those skilled in the art can understand or realize the present invention. Various modifications to these embodiments will be readily apparent to those skilled in the art, and the generic principles defined herein may be implemented in other embodiments without departing from the spirit or scope of the invention. Thus, the present invention is not to be limited to the embodiments shown herein, but is to be accorded the widest scope consistent with the principles and novel features claimed herein.
Claims (5)
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN116035675A (en) * | 2023-01-10 | 2023-05-02 | 浙江大学医学院附属妇产科医院 | Membrane rupture assisting device for puerpera |
| CN118370586A (en) * | 2022-12-15 | 2024-07-23 | 温州医科大学附属第二医院(温州医科大学附属育英儿童医院) | Artificial membrane rupture device |
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN118370586A (en) * | 2022-12-15 | 2024-07-23 | 温州医科大学附属第二医院(温州医科大学附属育英儿童医院) | Artificial membrane rupture device |
| CN116035675A (en) * | 2023-01-10 | 2023-05-02 | 浙江大学医学院附属妇产科医院 | Membrane rupture assisting device for puerpera |
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