CN217285948U - Compression hemostat - Google Patents

Compression hemostat Download PDF

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Publication number
CN217285948U
CN217285948U CN202220113163.0U CN202220113163U CN217285948U CN 217285948 U CN217285948 U CN 217285948U CN 202220113163 U CN202220113163 U CN 202220113163U CN 217285948 U CN217285948 U CN 217285948U
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CN
China
Prior art keywords
pulse sensor
comparator
electrically connected
compression hemostat
deflation
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Expired - Fee Related
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CN202220113163.0U
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Chinese (zh)
Inventor
邓世莲
唐晓美
鲁茜
卢凯
母舟彤
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Chinese Peoples Liberation Army Army Specialized Medical Center
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Chinese Peoples Liberation Army Army Specialized Medical Center
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Priority to CN202220113163.0U priority Critical patent/CN217285948U/en
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Abstract

The utility model provides a hemostasis by compression ware, including being the banding flexible area body, the internal gasbag that is equipped with of area, the gasbag is connected with through the trachea and fills the gassing device, the inboard of the area body still has the hemostasis briquetting, still be equipped with on the area body and respond to the pulse sensor that the artery was beated in the puncture, the pulse sensor is established in the rear end of hemostasis briquetting, the area still is equipped with the display device who can show the artery and beat the power with pulse sensor electricity is connected outward, the signal output part of pulse sensor is connected with the controller, the output control end of controller and the enable end electricity of filling the gassing device are connected. The utility model discloses a femoral artery is beaten when setting up the pulse sensor and coming the response hemostasis by compression power, and the controller is based on patient's femoral pulse is beaten power and is controlled to fill the gassing device and aerify or exit to the gasbag to make the area body be unlikely to tension or too pine, provide suitable oppression power, improve use comfort, can effectively alleviate the condition of hematoma.

Description

Compression hemostat
Technical Field
The utility model belongs to the field of medical supplies, concretely relates to hemostasis by compression ware.
Background
At present, percutaneous femoral artery puncture is intervened to inspect and treat and is widely applied, after interventional therapy operation, compression hemostasis of femoral artery is carried out, and a femoral artery compression hemostat is a hemostasis device applied to blood vessel intervention operation.
The current main method used clinically is to press the finger for hemostasis for 10-15 minutes, then use gauze pads and bandages for pressure dressing, and according to the bleeding amount, the hemostasis can be realized in 6-8 hours at a small time and in 24 hours at a large time. The method has the obvious defects that the finger pressing force is difficult to grasp, and the labor intensity of medical staff is high; moreover, the gauze pad and the bandage are used for pressing and bandaging for a long time, so that the phenomena of bleeding and hematoma are easily caused, and particularly, the hemostasis of patients using an anticoagulant in interventional therapy is particularly difficult.
SUMMERY OF THE UTILITY MODEL
The utility model aims at solving the technical problem existing in the prior art, and the purpose of the utility model is to provide a compression hemostat.
In order to achieve the above purpose, the utility model adopts the following technical scheme: the compression hemostat comprises a strip-shaped flexible belt body, wherein an air bag is arranged in the belt body, the air bag is connected with an air charging and discharging device through an air pipe, a hemostasis pressing block is arranged on the inner side of the belt body, a pulse sensor capable of sensing puncture arterial pulsation pressure is further arranged on the belt body, and a display device which is electrically connected with the pulse sensor and can display the strength of arterial pulsation is further arranged outside the belt body.
Among the above-mentioned technical scheme, the area sets up the gasbag in, and the gasbag aerifys the back and the contact of skin is the curved surface, uses comfortablely, has reduced the pain that the patient's blood flow is not smooth to arouse greatly. Set up hemostasis briquetting, oppress patient's femoral artery puncture point by hemostasis briquetting, can improve unit area's pressing force, reduce its compressive strength, can effectively reduce the influence to acral end blood circulation. Set up the puncture artery and beat when pulse sensor comes the response hemostasis by compression power, medical personnel inflate or deflate the gasbag according to patient's artery power to make the area body be unlikely to tension or too loose, provide suitable compressive force, improve use comfort, can effectively alleviate the condition of hematoma.
In a preferred embodiment of the present invention, the pulse sensor is disposed at the rear end of the hemostatic pressure block. Therefore, the tightness of the band body can be controlled by measuring the pulse strength of the artery at the rear end of the hemostatic pressing block.
In a preferred embodiment of the present invention, the signal output end of the pulse sensor is connected to the controller, and the output control end of the controller is electrically connected to the enable end of the inflation/deflation device.
Among the above-mentioned technical scheme, through setting up the controller, control by the controller according to patient's thigh pulse is beaten the power and is filled the gassing device and aerify or deflate the gasbag, make this hemostasis by compression ware can be according to the strong and weak automatically regulated oppression power of patient's artery pulse, more intelligent to reduce medical personnel's intensity of labour.
The utility model discloses an in a preferred embodiment, the controller includes first comparator and second comparator, the first input of first comparator is connected with low threshold value memory, the first input of second comparator is connected with high threshold value memory, the signal output part of pulse sensor is connected with the second input of first comparator and the second input of second comparator electricity respectively, the output of first comparator with fill gassing device's gassing end electricity and be connected, the output of second comparator is connected with the end electricity of aerifing of charging and discharging device through not the door.
Among the above-mentioned technical scheme, the low threshold memory stores the lower limit pulse beat pressure and the upper limit pulse beat pressure that the suitable dynamics oppression power corresponds in the memory of high threshold respectively, when patient's artery pulse beat pressure is less than the lower limit pulse beat time, control and fill the gassing device and deflate in order to reduce the oppression power of hemostasis briquetting to the gasbag, when patient's artery beat pressure is higher than the upper limit pulse beat pressure, control and fill the gassing device and aerify in order to increase the oppression power of hemostasis briquetting to the gasbag.
In a preferred embodiment of the present invention, the pulse sensor is elastically connected to the belt body through an elastic member.
In the technical scheme, the elastic piece enables the pulse sensor to be always in contact with the artery pressurization part (such as the operation incision of femoral artery) of the patient in the inflating and deflating process of the air bag.
The utility model discloses an in the preferred embodiment, be equipped with the atmospheric pressure detection device that is used for detecting atmospheric pressure on the area body or on the trachea, atmospheric pressure detection device's signal output part is connected with the display device electricity.
Among the above-mentioned technical scheme, set up air pressure detection device, the medical personnel of being convenient for know the air supply pressure who fills air bleeder and the area body and exert the pressure on patient's limbs.
In another preferred embodiment of the present invention, the portable electronic device further comprises a timer and an alarm, wherein a timing output end of the timer is electrically connected to an alarm end of the alarm.
Among the above-mentioned technical scheme, utilize the time-recorder to set for the time, the timing time of time-recorder arrives the back, and the siren sends the police dispatch newspaper, reminds medical personnel in time to loosen the area body, prevents that patient hemostatic time overlength from causing the harm to the limbs.
In another preferred embodiment of the present invention, the timing output end of the timer is electrically connected to the air exhaust end of the air exhaust/discharge device.
In the technical scheme, the timer counts the time, the air in the air bag is pumped out by the air charging and discharging device, and the belt body is loosened. In noisy environment, when medical personnel do not hear the alarm that the siren sent, this area body also can loosen automatically, prevents that the patient from stanching the time overlength.
In another preferred embodiment of the present invention, the two ends of the belt body are connected by a magic tape; and/or the hemostatic pressing block is detachably connected with a disinfection hemostatic tablet.
Among the above-mentioned technical scheme, paste through the magic and connect, conveniently adjust according to patient's limbs thickness, improve the convenience of using. Compared with the method that the disinfection hemostasis sheet is placed on the artery puncture point of the patient in advance and then the hemostasis body is bound, the scheme is that the disinfection hemostasis sheet is arranged on the hemostasis pressing block, so that the displacement of the disinfection hemostasis sheet in the process of binding the body can be avoided; and be convenient for audio-visually find patient's artery point of puncture, can set up the hemostasis briquetting littleer, improve and use the comfort.
In another preferred embodiment of the utility model, the area body is gone back the rigid coupling and is had the anesthetic pump that can inject the narcotic to the patient hypodermically, and the anesthetic pump adopts the automatic narcotic of injection of electronic control to subcutaneous, and the liquid outlet of anesthetic pump is connected with the injection hose, and the end of injection hose has the nipple of a needle, and the nipple of a needle is connected with and to be able to export confined sealing cap with the nipple of a needle.
Among the above-mentioned technical scheme, set up the anesthetic pump and make this hemostasis by compression ware have the function of relieving pain, and the back of puncture, accessible anesthetic pump is to patient subcutaneous injection anesthesia to be stopped pain, and the anesthesia in the anesthetic pump slowly injects by oneself.
Additional aspects and advantages of the invention will be set forth in part in the description which follows and, in part, will be obvious from the description, or may be learned by practice of the invention.
Drawings
The above and/or additional aspects and advantages of the present invention will become apparent and readily appreciated from the following description of the embodiments, taken in conjunction with the accompanying drawings of which:
fig. 1 is a schematic structural view of a compression hemostat according to a first embodiment of the present application.
Fig. 2 is a schematic sectional view a-a in fig. 1.
Fig. 3 is a schematic structural view of a compression hemostat according to the second embodiment of the present application.
Reference numerals in the drawings of the specification include: the tourniquet body 10, the magic tape 11, the side band 12, the air bag 20, the communication pipe 21, the inflation and deflation device 30, the air pipe 31, the air pressure detection device 32, the hemostatic press block 40, the sterilized hemostatic sheet 41, the pulse sensor 50, the seat body 51, the mounting hole 52, the elastic piece 53, the connecting block 54, the display device 60, the anesthetic pump 70, the injection hose 71, the needle nipple 72, the sealing cap 73, the clamp 74, the timer 80 and the alarm 90.
Detailed Description
Reference will now be made in detail to the embodiments of the present invention, examples of which are illustrated in the accompanying drawings, wherein like reference numerals refer to the same or similar elements or elements having the same or similar functions throughout. The embodiments described below with reference to the accompanying drawings are exemplary only for explaining the present invention, and should not be construed as limiting the present invention.
In the description of the present invention, it is to be understood that the terms "longitudinal", "transverse", "vertical", "up", "down", "front", "back", "left", "right", "vertical", "horizontal", "top", "bottom", "inner", "outer", etc. indicate orientations or positional relationships based on the orientations or positional relationships shown in the drawings, and are only for convenience of description and simplicity of description, but do not indicate or imply that the device or element referred to must have a particular orientation, be constructed and operated in a particular orientation, and therefore, are not to be construed as limiting the present invention.
In the description of the present invention, unless otherwise specified and limited, it is to be noted that the terms "mounted," "connected," and "connected" are to be construed broadly, and may be, for example, mechanically or electrically connected, or may be connected between two elements through an intermediate medium, or may be directly connected or indirectly connected, and specific meanings of the terms may be understood by those skilled in the art according to specific situations.
Example one
This embodiment provides a hemostasis by compression ware, as shown in fig. 1 and fig. 2 in the utility model discloses a preferred embodiment, it is including being long banding flexible area body 10, area body 10 is the flexible band that has certain width, and magic subsides 11 detachable fixed connection are passed through at the both ends of area body 10. An air bag 20 is arranged in the band body 10, and the air bag 20 is connected with an inflation and deflation device 30 through an air pipe 31. The airbag 20 is composed of a plurality of sub-airbags 20, and two adjacent sub-airbags are communicated through a communication pipe 21; or the air bag 20 is a large air bag separately provided. The inflation/deflation device 30 may be an air pump that can simultaneously perform inflation and deflation functions in the prior art, or the inflation/deflation device 30 may be composed of two air pumps that can only perform inflation and deflation, or the inflation/deflation device 30 may be a manual inflatable balloon, as long as the inflation/deflation function can be achieved.
The inside of the band body 10 is also provided with a hemostatic pressing block 40, the band body 10 is also provided with a pulse sensor 50 capable of sensing the pulse of the punctured artery, preferably, the pulse sensor 50 is positioned at the rear end of the hemostatic pressing block 40 along the flowing direction of the blood in the artery, and the band body 10 is also provided with a display device 60 which is electrically connected with the pulse sensor 50 and can display the strength of the artery pulse. Hemostatic pressure block 40 and pulse sensor 50 all stagger the setting with gasbag 20 and just are close to the tip setting of the area body 10, and pulse sensor 50 establishes on the annular body that area body 10 was equipped with gasbag 20, or lie in the area body 10 not set up on the sideband 12 of gasbag, and preferred hemostatic pressure block 40 and pulse sensor 50 set up along the width direction interval of the area body 10, and pulse sensor 50 can respond to the power that the artery was beaten when making hemostatic pressure block 40 oppress the artery puncture point.
When using this artery compressor, for example when being used for femoral artery puncture point hemostasis, medical personnel wear the area body 10 on the limbs that the patient was done the puncture, make hemostasis briquetting 40 press on patient's femoral artery puncture point, and pulse sensor 50 aims at the puncture femoral artery and is located the part (henceforth referred to as femoral artery rear end) of hemostasis briquetting 40 rear end, then pastes 11 through the magic and adjusts the elasticity of area body 10 and fix. Then the charging and discharging device 30 is started to charge the air bag 20, the hemostatic pressing block 40 presses the puncture point to stop bleeding, the pulse sensor 50 detects the strength of the pulse at the rear end of the femoral artery in real time in the pressing process and the display device 60 displays the strength, and medical staff operates the charging and discharging device 30 to charge or discharge the air bag 20 according to the strength of the pulse at the rear end of the femoral artery. Specifically, when the pulsation of the rear end of the femoral artery is weaker than a set value, the compression force is too large, the blood in the femoral artery is difficult to flow backwards, and the air bag 20 is deflated to reduce the compression force of the hemostatic pressing block 40, so that the compression force of the hemostatic pressing block 40 on the puncture point is proper, and the hematoma is reduced or even avoided; when the pulse at the posterior end of the femoral artery is stronger than the set value, the compression force is insufficient to stop bleeding, and the balloon 20 should be inflated to increase the compression force of the hemostatic pressure block 40.
The artery compressor can be used repeatedly, and the band body 10, the hemostatic pressing block 40 on the band body 10 and the pulse sensor 50 are disinfected by a medical care personnel before each use.
In another preferred embodiment, the signal output terminal of the pulse sensor 50 is connected to a controller, and the output control terminal of the controller is electrically connected to the enable terminal of the inflation/deflation device 30. Specifically, the controller includes a first comparator and a second comparator, a first input end of the first comparator is connected with the low threshold memory, a first input end of the second comparator is connected with the high threshold memory, a signal output end of the pulse sensor 50 is respectively and electrically connected with a second input end of the first comparator and a second input end of the second comparator, an output end of the first comparator is electrically connected with a gas discharge end of the gas discharge and discharge device 30, an output end of the second comparator is connected with a not-gate input end, and a not-gate output end is electrically connected with a gas discharge end of the gas discharge and discharge device 30.
By arranging the controller, the lower limit pulse pulsation pressure and the upper limit pulse pulsation pressure of the arterial pulsation corresponding to the appropriate force compression force are respectively stored in the low threshold value memory and the high threshold value memory of the controller. When the artery pulse pressure of the patient is lower than the lower limit pulse pressure, which represents that the compression force is too large, the controller controls the inflation and deflation device 30 to deflate the air bag 20 so as to reduce the compression force of the hemostatic pressure block 40; when the arterial pulse pressure of the patient is higher than the upper limit pulse pressure, which represents that the compression force is not enough to stop bleeding, the controller controls the inflation and deflation device 30 to inflate the air bag 20 to increase the compression force of the hemostatic press block 40, so that the compression force applied to the puncture point by the hemostatic press block 40 is proper.
In another preferred embodiment, as shown in fig. 2, the pulse sensor 50 is elastically connected to the band body 10 by an elastic member 53, so that the pulse sensor 50 can be always in contact with the femoral artery of the patient during the inflation and deflation of the balloon 20. Specifically, a seat body 51 is fixedly connected to the inner side of the belt body 10, the pulse sensor 50 is fixedly mounted on a connecting block 54, the connecting block 54 is elastically connected to the seat body 51 through an elastic member 53, for example, a mounting hole 52 with an upper end opening is formed in the middle of the seat body 51, the lower end of the elastic member 53 is fixedly connected to the bottom of the mounting hole 52, the upper end of the elastic member 53 is fixedly connected to the lower end of the connecting block 54, preferably, the connecting block 54 has an annular side wall sleeved outside the seat body 51, and the annular side wall of the connecting block 54 is vertically slidably connected to the seat body 51.
In another preferred embodiment, an air pressure detecting device 32 for detecting air pressure is provided on the belt body 10 or on the air tube 31, and a signal output end of the air pressure detecting device 32 is electrically connected with the display device 60. The air pressure detecting device 32 is an air pressure sensor, and the pressure value measured by the air pressure detecting device is displayed by the display device 60. The medical staff can know the pressure applied by the belt body 10 on the limb of the patient (for example, the air pressure in the air bag 20 is 0.05-0.1MPa of gauge pressure) by observing the pressure of the air pressure detection device 32, so that the belt body 10 can not be too tight or too loose.
In another preferred embodiment, as shown in fig. 1, the compression hemostat further comprises a timer 80 and an alarm 90, wherein the timing output end of the timer 80 is electrically connected with the alarm end of the alarm 90, and the timer 80 starts to count time when the hemostasis pressure block 40 compresses the puncture point of the patient to stop bleeding. The timer 80 can be manually started, the timing time of the timer 80 can be preset, and when the belt is used next time, the timer 80 is started again, for example, the timing time of the timer 80 is set to be 8min, and the alarm 90 gives an alarm when the timing time reaches, so as to remind medical staff to loosen the belt 10 in time.
In another preferred embodiment, the timing output end of the timer 80 is electrically connected to the deflation terminal of the inflation and deflation device 30. In the present embodiment, the inflation and deflation device 30 is an air pump, and the timing output end of the timer 80 is electrically connected to the deflation end of the air pump. When the timer 80 times out, the air pump automatically pumps out the air in the air bag 20. The amount of gas pumped out can be controlled in time according to the flow rate of the air pump, for example 5 s; or completely exhausting the gas in the airbag 20; or controlled according to the air pressure in the air bag 20, for example, the air pressure in the air bag 20 is reduced to zero gauge pressure, and the air suction is finished.
In another preferred embodiment, as shown in fig. 2, a sterile hemostatic sheet 41 is detachably connected to the hemostatic press block 40, for example, the sterile hemostatic sheet 41 is fixed to the hemostatic press block 40 in a snap-fit manner, and the sterile hemostatic sheet 41 may be a sterile cotton or a hemostatic non-woven fabric. Before use, medical staff disinfect the hemostatic pressing block 40 and then clamp the disinfected hemostatic sheet 41 on the hemostatic pressing block 40.
Example two
The structure principle of the present embodiment is basically the same as that of the first embodiment, except that the compression hemostat of the present embodiment also has a hemostatic function. As shown in fig. 3, in the present embodiment, an anesthetic pump 70 capable of injecting anesthetic into the patient subcutaneously is further fixed to the band 10, and the anesthetic pump 70 is installed outside the band 10 and located at an end away from the hemostatic pressure block 40. An injection hose 71 is connected to a liquid outlet of the anesthetic pump 70, a nipple 72 is provided at a tip of the injection hose 71, a sealing cap 73 capable of sealing an outlet of the nipple 72 is connected to the nipple 72, and the outlet of the nipple 72 is sealed by the sealing cap 73 when the needle is not connected in a normal state. Band body 10 is preferably secured to a clip 74 that can be snapped into place with an injection hose.
After the puncture, when pain is to be relieved to the patient, the medical staff removes the sealing cap 73, connects the needle head with the nipple 72, and then inserts the needle head into the subcutaneous space of the patient to inject the anesthetic. According to the actual situation, the compression hemostasis can be realized while the anesthetic injection is injected to a patient to relieve pain; the anesthesia pump 70 can be used independently when hemostasis is not performed, and the belt body 10 is worn on the puncture limb of a patient when the hemostasis device is used, so that the anesthesia pump 70 is fixed, and the air bag 20 does not need to be inflated.
In the present embodiment, the shape, structure and principle of the anesthetic pump 70 are the same as those of the insulin pump in the prior art, and the anesthetic pump 70 automatically injects anesthetic into the subcutaneous tissue by electronic control in the same way as the insulin pump, and will not be described in detail; of course, the anesthetic injection may be performed manually by a medical worker.
In the description of the present specification, reference to the description of the terms "preferred embodiment," "one embodiment," "some embodiments," "an example," "a specific example" or "some examples" or the like means that a particular feature, structure, material, or characteristic described in connection with the embodiment or example is included in at least one embodiment or example of the present invention. In this specification, the schematic representations of the terms used above do not necessarily refer to the same embodiment or example. Furthermore, the particular features, structures, materials, or characteristics described may be combined in any suitable manner in any one or more embodiments or examples.
While embodiments of the present invention have been shown and described, it will be understood by those of ordinary skill in the art that: various changes, modifications, substitutions and alterations can be made to the embodiments without departing from the principles and spirit of the invention, the scope of which is defined by the claims and their equivalents.

Claims (10)

1. The compression hemostat is characterized by comprising a strip-shaped flexible belt body, wherein an air bag is arranged in the belt body, the air bag is connected with an inflation and deflation device through an air pipe, a hemostasis pressing block is arranged on the inner side of the belt body, a pulse sensor capable of sensing the pressure of puncture arterial pulsation is further arranged on the belt body, and a display device which is electrically connected with the pulse sensor and can display the strength of arterial pulsation is further arranged outside the belt body.
2. A compression hemostat as in claim 1 wherein the pulse sensor is located at the rear end of the hemostatic press block.
3. A compression hemostat as recited in claim 1 wherein the signal output terminal of the pulse sensor is connected to a controller, and the output control terminal of the controller is electrically connected to the enabling terminal of the inflation/deflation device.
4. A compression hemostat according to claim 3 wherein the controller includes a first comparator and a second comparator, the first input terminal of the first comparator is connected to a low threshold memory, the first input terminal of the second comparator is connected to a high threshold memory, the signal output terminal of the pulse sensor is electrically connected to the second input terminal of the first comparator and the second input terminal of the second comparator respectively, the output terminal of the first comparator is electrically connected to the deflation terminal of the inflation and deflation device, and the output terminal of the second comparator is electrically connected to the inflation terminal of the inflation and deflation device through a not gate.
5. A compression hemostat according to any one of the claims 1-4, characterized in that the pulse sensor is elastically connected with the belt body by means of an elastic member.
6. A compression hemostat according to any one of claims 1-4 and wherein an air pressure detecting device for detecting air pressure is provided on said band or on the air tube, a signal output terminal of said air pressure detecting device being electrically connected to said display device.
7. A compression hemostat according to any one of the claims 1-4 further comprising a timer and an alarm, the timer having a timer output electrically connected to an alarm end of the alarm.
8. A compression hemostat as recited in claim 7 wherein the timing output of said timer is electrically connected to the deflation terminal of said deflation and deflation device.
9. A compression hemostat as in any one of claims 1-4 wherein the two ends of the strap are connected by velcro; and/or the hemostatic pressing block is detachably connected with a disinfection hemostatic sheet.
10. A compression hemostat as recited in any one of claims 1-4 wherein said band body is further fixedly connected to an anesthetic pump capable of injecting anesthetic under the skin of a patient, said anesthetic pump automatically injects anesthetic under the skin by electronic control, an injection hose is connected to a liquid outlet of said anesthetic pump, a needle nipple is provided at a distal end of said injection hose, and a sealing cap capable of sealing an outlet of said needle nipple is connected to said needle nipple.
CN202220113163.0U 2022-01-17 2022-01-17 Compression hemostat Expired - Fee Related CN217285948U (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN117064482A (en) * 2023-10-12 2023-11-17 首都医科大学附属北京佑安医院 Arterial compressor based on pressure data acquisition and using method

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN117064482A (en) * 2023-10-12 2023-11-17 首都医科大学附属北京佑安医院 Arterial compressor based on pressure data acquisition and using method
CN117064482B (en) * 2023-10-12 2024-01-26 首都医科大学附属北京佑安医院 Arterial compressor based on pressure data acquisition and using method

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Granted publication date: 20220826