CN221931921U - A device for assisting fiberoptic bronchoscopic intubation - Google Patents
A device for assisting fiberoptic bronchoscopic intubation Download PDFInfo
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- CN221931921U CN221931921U CN202323139368.XU CN202323139368U CN221931921U CN 221931921 U CN221931921 U CN 221931921U CN 202323139368 U CN202323139368 U CN 202323139368U CN 221931921 U CN221931921 U CN 221931921U
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- 238000002627 tracheal intubation Methods 0.000 title claims description 25
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- 229910002027 silica gel Inorganic materials 0.000 claims 1
- 238000003780 insertion Methods 0.000 abstract description 13
- 230000037431 insertion Effects 0.000 abstract description 13
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- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
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- 229910052760 oxygen Inorganic materials 0.000 description 2
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- 230000002411 adverse Effects 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
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- 230000002526 effect on cardiovascular system Effects 0.000 description 1
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- 230000002265 prevention Effects 0.000 description 1
- 230000000241 respiratory effect Effects 0.000 description 1
- 210000004872 soft tissue Anatomy 0.000 description 1
- 210000003437 trachea Anatomy 0.000 description 1
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Abstract
Description
技术领域Technical Field
本实用新型属于医疗器械技术领域,具体涉及一种辅助纤支镜插管的装置。The utility model belongs to the technical field of medical equipment, and in particular relates to a device for assisting fiberbronchoscope intubation.
背景技术Background Art
气道管理是麻醉医师临床工作中常常需要面对的主要挑战,针对困难气道的病人,重复气管插管尝试会造成患者口腔、气道损伤以及各种不良的心血管反应,严重甚至危及患者的生命安全Airway management is a major challenge that anesthesiologists often face in their clinical work. For patients with difficult airways, repeated attempts at endotracheal intubation can cause oral and airway damage and various adverse cardiovascular reactions, which can even endanger the patient's life.
气管插管是指将一特制的气管内导管经声门置入气管的技术称为气管插管,这一技术能为气道通畅、通气供氧、呼吸道吸引和防止误吸等提供最佳条件,现有技术中,通常会通过纤维支气管镜(以下简称纤支镜)引导气管插管,先将纤支镜插入咽喉部,通过纤支镜观察喉部的情况找到声门的准确位置,再进行气管插管,这样的操作简单快速,并且成功率高,降低了对黏膜的损伤。Tracheal intubation refers to the technique of inserting a special endotracheal tube into the trachea through the glottis. This technology can provide the best conditions for airway patency, ventilation and oxygen supply, respiratory suction and prevention of aspiration. In the existing technology, tracheal intubation is usually guided by a fiberoptic bronchoscope (hereinafter referred to as a fiberoptic bronchoscope). The fiberoptic bronchoscope is first inserted into the throat, and the condition of the throat is observed through the fiberoptic bronchoscope to find the exact position of the glottis, and then tracheal intubation is performed. This operation is simple and fast, with a high success rate and reduces damage to the mucosa.
但是,纤支镜的镜身柔软,在通过口腔软组织时容易偏离路径,造成气管插管失败,在操作不熟练的人员中更容易出现;且从口腔内插入纤支镜时,由于纤支镜的插入引起喉部的不适,会引起舌头的收缩,以及牙齿的咬合甚至使患者的口腔内壁受伤等情况,均会给插入纤支镜带来阻碍,难以将纤支镜插入喉部。However, the body of the bronchoscope is soft and can easily deviate from the path when passing through the soft tissue of the oral cavity, resulting in tracheal intubation failure, which is more likely to occur among unskilled operators. Also, when inserting the bronchoscope into the oral cavity, the insertion of the bronchoscope may cause discomfort in the throat, contraction of the tongue, occlusion of the teeth, and even injury to the inner wall of the patient's oral cavity, which may hinder the insertion of the bronchoscope and make it difficult to insert the bronchoscope into the throat.
因此,为了解决上述问题,我们提出了一种辅助纤支镜插管的装置。Therefore, in order to solve the above problems, we propose a device for assisting fiberbronchoscope intubation.
以上背景技术部分中公开的以上信息只是用来加强对本文所描述技术的背景技术的理解,因此,背景技术中可能包含某些信息,这些信息对于本领域技术人员来说并未形成在本国已知的现有技术。The above information disclosed in the above background technology section is only used to enhance the understanding of the background technology of the technology described in this article. Therefore, the background technology may contain certain information that does not form the prior art known in this country to those skilled in the art.
实用新型内容Utility Model Content
为了解决上述现有技术中纤支镜插入过程中容易偏离路径,且操作不熟练人员,难以将纤支镜插入的技术问题,本实用新型提出一种辅助纤支镜插管的装置。In order to solve the technical problems in the prior art that the fiberoptic bronchoscope is easily deviated from the path during insertion and it is difficult for unskilled operators to insert the fiberoptic bronchoscope, the utility model proposes a device to assist the fiberoptic bronchoscope intubation.
本实用新型采用的技术方案如下:The technical solution adopted by the utility model is as follows:
一种辅助纤支镜插管的装置,包括弧形的辅助镜管,所述辅助镜管沿辅助镜管的管体方向的内部开设有引导槽,所述辅助镜管在引导槽的一侧设有侧开口。A device for assisting fiberoptic bronchoscope intubation comprises an arc-shaped auxiliary mirror tube, wherein a guide groove is provided inside the auxiliary mirror tube along the tube body direction of the auxiliary mirror tube, and a side opening is provided on one side of the guide groove.
采用上述技术方案,本实用新型通过在沿辅助镜管的管体方向的内部开设引导槽,并在引导槽的一侧设有侧开口,在进行纤支镜插管时,先将弧形的辅助镜管插入患者的口腔,进入到咽喉部后,将纤支镜从辅助镜管一侧的侧开口放入,顺着引导槽顺利进入人体内部,方便了临床工作中的纤支镜的进镜操作,节省了纤支镜的进镜时间,同时对患者的口腔内壁进行保护,由于纤支镜位于辅助镜管的引导槽内,还能避免患者的牙齿咬合而给插入纤支镜带来阻碍以及损坏纤支镜的情况。相比于现有技术,本实用新型作为辅助纤支镜插管的装置,即使是操作不熟练的人员进行操作时,辅助镜管的导向槽能够给纤支镜进行导向,且辅助镜管能够对患者口腔及喉部进行保护,能够有效的避免多次重复插入而引起患者喉部的不适以及口腔内壁受伤的情况,使插管过程能够快速完成,提高了患者的体验。By adopting the above technical scheme, the utility model opens a guide groove along the inner body direction of the auxiliary mirror tube, and provides a side opening on one side of the guide groove. When performing bronchoscope intubation, the arc-shaped auxiliary mirror tube is first inserted into the patient's oral cavity, and after entering the throat, the bronchoscope is inserted from the side opening on one side of the auxiliary mirror tube, and smoothly enters the human body along the guide groove, which facilitates the insertion operation of the bronchoscope in clinical work, saves the time of the bronchoscope, and protects the patient's oral cavity inner wall at the same time. Since the bronchoscope is located in the guide groove of the auxiliary mirror tube, it can also avoid the patient's teeth occluding and causing obstacles to the insertion of the bronchoscope and damage to the bronchoscope. Compared with the prior art, the utility model is used as a device for assisting bronchoscope intubation. Even when operated by unskilled personnel, the guide groove of the auxiliary mirror tube can guide the bronchoscope, and the auxiliary mirror tube can protect the patient's oral cavity and throat, which can effectively avoid the discomfort of the patient's throat and injury to the inner wall of the oral cavity caused by repeated insertion, so that the intubation process can be completed quickly, improving the patient's experience.
在进一步的技术方案中,所述辅助镜管包括拐角处为弧形的L形镜管,所述辅助镜管为透明材料制成。In a further technical solution, the auxiliary mirror tube comprises an L-shaped mirror tube with an arc-shaped corner, and the auxiliary mirror tube is made of a transparent material.
采用上述技术方案,拐角处为弧形的L形镜管能够很好的伸入患者的喉部,方便喉部的保护及纤支镜的导向,而由透明材料制成,可以方便观察伸入的位置,有利于使用。By adopting the above technical solution, the L-shaped mirror tube with an arc at the corner can be well inserted into the patient's throat, which is convenient for protecting the throat and guiding the bronchoscope. It is made of transparent material, which makes it easy to observe the insertion position and is conducive to use.
在进一步的技术方案中,所述辅助镜管包括压舌板、连接板和上颌板,所述压舌板和上颌板平行设置,所述连接板的两端分别与压舌板和上颌板连接,所述侧开口位于辅助镜管中连接板的相对一侧。In a further technical solution, the auxiliary mirror tube includes a tongue depressor, a connecting plate and a maxillary plate, the tongue depressor and the maxillary plate are arranged in parallel, the two ends of the connecting plate are respectively connected to the tongue depressor and the maxillary plate, and the side opening is located on the opposite side of the connecting plate in the auxiliary mirror tube.
采用上述技术方案,通过压舌板、连接板和上颌板三块板组合成辅助镜管,从而辅助纤支镜插管,结构简单,实用性强,将压舌板的沿两侧进行延伸,可有效的对患者的舌头进行压制,避免影响纤支镜插管。By adopting the above technical scheme, the tongue depressor, the connecting plate and the maxillary plate are combined into an auxiliary mirror tube to assist the bronchoscopic intubation. The structure is simple and practical. The tongue depressor is extended on both sides to effectively suppress the patient's tongue and avoid affecting the bronchoscopic intubation.
在进一步的技术方案中,所述辅助镜管上设有把手。In a further technical solution, a handle is provided on the auxiliary mirror tube.
采用上述技术方案,操作者或者其助手通过握持把手,方便对辅助镜管进行拿取。By adopting the above technical solution, the operator or his assistant can conveniently take the auxiliary mirror tube by holding the handle.
在进一步的技术方案中,所述辅助镜管上端的侧壁上设有阻尼旋转关节,所述把手通过阻尼旋转关节连接在辅助镜管上。In a further technical solution, a damping rotation joint is provided on the side wall of the upper end of the auxiliary mirror tube, and the handle is connected to the auxiliary mirror tube via the damping rotation joint.
采用上述技术方案,通过阻尼旋转关节可以使辅助镜管和把手呈不同角度,方便使用和收纳。By adopting the above technical solution, the auxiliary mirror tube and the handle can be at different angles through the damping rotation joint, which is convenient for use and storage.
在进一步的技术方案中,所述把手为多块伸缩板依次套设而成,相邻所述伸缩板之间采用间隙配合。In a further technical solution, the handle is formed by a plurality of telescopic plates being sleeved in sequence, and adjacent telescopic plates are clearance-fitted.
采用上述技术方案,把手由多块伸缩板依次套设而成,可以进行伸缩调整长度,方便握持。By adopting the above technical solution, the handle is formed by a plurality of telescopic plates which are sequentially mounted, and the length can be adjusted by telescoping, so that it is convenient to hold.
在进一步的技术方案中,所述辅助镜管的表面设有硅胶软垫。In a further technical solution, a silicone pad is provided on the surface of the auxiliary mirror tube.
采用上述技术方案,通过在辅助镜管的表面包覆硅胶软垫,能够降低对患者口腔即喉部的损伤,有利于使用。By adopting the above technical solution, by coating the surface of the auxiliary mirror tube with a silicone pad, damage to the patient's oral cavity, i.e., throat, can be reduced, which is convenient for use.
在进一步的技术方案中,所述辅助镜管的管体表面设有刻度线。In a further technical solution, scale lines are provided on the surface of the tube body of the auxiliary mirror tube.
采用上述技术方案,通过刻度线可以方便操作者了解辅助插管伸入患者喉部的深度,有利于使用。By adopting the above technical solution, the operator can understand the depth of the auxiliary cannula inserted into the patient's throat through the scale lines, which is convenient for use.
值得一提的是,在导向槽内增加光源,方便插管,以及增加吸引管,用于连接吸痰器或者通入氧气,均为现有技术中常规技术手段,本领域技术人员完全能够想到并运用到本实用新型中,故此处不再赘述。It is worth mentioning that adding a light source in the guide groove to facilitate intubation, and adding a suction tube for connecting a suction pump or introducing oxygen are all conventional technical means in the prior art. Those skilled in the art can fully think of and apply them to the present utility model, so they will not be repeated here.
综上所述,由于采用了上述技术方案,本实用新型的有益效果是:In summary, due to the adoption of the above technical solution, the beneficial effects of the utility model are:
1、本实用新型作为辅助纤支镜插管的装置,即使是操作不熟练的人员进行操作时,辅助镜管的导向槽能够给纤支镜进行导向,且辅助镜管能够对患者口腔及喉部进行保护,能够有效的避免多次重复插入而引起患者喉部的不适以及口腔内壁受伤的情况,使插管过程能够快速完成,提高了患者的体验。1. The utility model is a device for assisting fiberoptic bronchoscope intubation. Even when the operation is performed by unskilled personnel, the guide groove of the auxiliary mirror tube can guide the fiberoptic bronchoscope, and the auxiliary mirror tube can protect the patient's mouth and throat, which can effectively avoid repeated insertions that may cause discomfort to the patient's throat and injury to the inner wall of the oral cavity, so that the intubation process can be completed quickly, improving the patient's experience.
2、本实用新型通过将纤支镜从辅助镜管一侧的侧开口伸入,并沿着顺着引导槽进入人体内部,方便纤支镜的插入,同时节省了纤支镜的进镜时间,还能避免患者的牙齿咬合而给插入纤支镜带来阻碍以及损坏纤支镜的情况。2. The utility model facilitates the insertion of the bronchoscope by inserting the bronchoscope from the side opening on one side of the auxiliary mirror tube and entering the human body along the guide groove, while saving the insertion time of the bronchoscope and avoiding the situation in which the insertion of the bronchoscope is hindered by the patient's teeth occluding and the bronchoscope is damaged.
3、本实用新型的把手通过阻尼旋转关节连接在辅助镜管的侧壁上,可以使辅助镜管和把手呈不同角度,方便使用和收纳。3. The handle of the utility model is connected to the side wall of the auxiliary mirror tube through a damping rotation joint, so that the auxiliary mirror tube and the handle can be at different angles, which is convenient for use and storage.
附图说明BRIEF DESCRIPTION OF THE DRAWINGS
本实用新型将通过例子并参照附图的方式说明,其中:The present invention will be described by way of examples with reference to the accompanying drawings, in which:
图1为本实用新型的结构示意图;Fig. 1 is a schematic diagram of the structure of the utility model;
图2为本实用新型另一方向的结构示意图。FIG. 2 is a schematic structural diagram of the utility model in another direction.
附图标记:1-辅助镜管、101-压舌板、102-连接板、103-上颌板、2-引导槽、3-侧开口、4-把手、5-阻尼旋转关节。Figure numerals: 1-auxiliary mirror tube, 101-tongue depressor, 102-connecting plate, 103-maxillary plate, 2-guide groove, 3-side opening, 4-handle, 5-damping rotation joint.
具体实施方式DETAILED DESCRIPTION
为使本申请实施例的目的、技术方案和优点更加清楚,下面将结合本申请实施例中附图,对本申请实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅是本申请一部分实施例,而不是全部的实施例。通常在此处附图中描述和示出的本申请实施例的组件可以各种不同的配置来布置和设计。因此,以下对在附图中提供的本申请的实施例的详细描述并非旨在限制要求保护的本申请的范围,而是仅仅表示本申请的选定实施例。基于本申请的实施例,本领域技术人员在没有做出创造性劳动的前提下所获得的所有其他实施例,都属于本申请保护的范围。To make the purpose, technical scheme and advantages of the embodiments of the present application clearer, the technical scheme in the embodiments of the present application will be clearly and completely described below in conjunction with the drawings in the embodiments of the present application. Obviously, the described embodiments are only a part of the embodiments of the present application, rather than all of the embodiments. The components of the embodiments of the present application usually described and shown in the drawings here can be arranged and designed in various configurations. Therefore, the following detailed description of the embodiments of the present application provided in the drawings is not intended to limit the scope of the application claimed for protection, but merely represents the selected embodiments of the present application. Based on the embodiments of the present application, all other embodiments obtained by those skilled in the art without making creative work belong to the scope of protection of the present application.
在本申请实施例的描述中,需要说明的是,术语“上”、“下”、“左”、“右”、“竖直”、“水平”、“内”、“外”等指示的方位或位置关系为基于附图所示的方位或位置关系,或者是该实用新型产品使用时惯常摆放的方位或位置关系,仅是为了便于描述本申请和简化描述,而不是指示或暗示所指的装置或元件必须具有特定的方位、以特定的方位构造和操作,因此不能理解为对本申请的限制。此外,术语“第一”、“第二”、“第三”等仅用于区分描述,而不能理解为指示或暗示相对重要性。In the description of the embodiments of the present application, it should be noted that the terms "upper", "lower", "left", "right", "vertical", "horizontal", "inside", "outside", etc. indicate positions or positional relationships based on the positions or positional relationships shown in the accompanying drawings, or are the positions or positional relationships in which the utility model product is usually placed when in use. They are only for the convenience of describing the present application and simplifying the description, and do not indicate or imply that the device or element referred to must have a specific orientation, be constructed and operated in a specific orientation, and therefore cannot be understood as a limitation on the present application. In addition, the terms "first", "second", "third", etc. are only used to distinguish the description, and cannot be understood as indicating or implying relative importance.
下面结合图1-图2本实用新型作详细说明。The utility model is described in detail below in conjunction with Figures 1-2.
实施例1:Embodiment 1:
参阅图1,本实施例提供一种辅助纤支镜插管的装置,包括拐角处为弧形的L形辅助镜管1,能够很好的伸入患者的喉部,且由透明材料制成,有利于观察,辅助镜管1沿辅助镜管1的管体方向的内部开设有引导槽2,用于对纤支镜进行导向,辅助镜管1在引导槽2的一侧设有侧开口3,方便纤支镜从侧面进入,节约纤支镜的进镜时间。Referring to Figure 1, this embodiment provides a device for assisting the intubation of a fiberoptic bronchoscope, including an L-shaped auxiliary mirror tube 1 with an arc-shaped corner, which can be well inserted into the patient's throat and is made of transparent material to facilitate observation. The auxiliary mirror tube 1 is provided with a guide groove 2 along the tube body direction of the auxiliary mirror tube 1 for guiding the fiberoptic bronchoscope. The auxiliary mirror tube 1 is provided with a side opening 3 on one side of the guide groove 2 to facilitate the entry of the fiberoptic bronchoscope from the side, thereby saving the time for inserting the fiberoptic bronchoscope.
在本实施例中,参阅图1,辅助镜管1包括压舌板101、连接板102和上颌板103,压舌板101和上颌板103平行设置,连接板102的两端分别与压舌板101和上颌板103连接,侧开口3位于辅助镜管1中连接板102的相对一侧。具体的,通过压舌板101、连接板102和上颌板103三块板组合成辅助镜管1,从而辅助纤支镜插管,结构简单,实用性强,将压舌板101的沿两侧进行延伸,可有效的对患者的舌头进行压制,避免影响纤支镜插管。In this embodiment, referring to FIG. 1 , the auxiliary mirror tube 1 includes a tongue depressor 101, a connecting plate 102 and a maxillary plate 103. The tongue depressor 101 and the maxillary plate 103 are arranged in parallel, and the two ends of the connecting plate 102 are respectively connected to the tongue depressor 101 and the maxillary plate 103. The side opening 3 is located on the opposite side of the connecting plate 102 in the auxiliary mirror tube 1. Specifically, the tongue depressor 101, the connecting plate 102 and the maxillary plate 103 are combined into the auxiliary mirror tube 1, thereby assisting the fiberoptic bronchoscopic intubation. The structure is simple and practical. The tongue depressor 101 is extended along both sides to effectively suppress the patient's tongue to avoid affecting the fiberoptic bronchoscopic intubation.
实施例2:Embodiment 2:
本实施例是在实施例1的基础上继续优化得到的,在本实施例中,辅助镜管1的管体表面设有硅胶软垫,能够对患者的口腔和喉部进行保护,降低患者受伤的概率。This embodiment is obtained by further optimizing the embodiment 1. In this embodiment, a silicone cushion is provided on the surface of the tube body of the auxiliary mirror tube 1, which can protect the oral cavity and throat of the patient and reduce the probability of injury to the patient.
在另一个实施例中,辅助镜管1的管体表面设有刻度线,可以方便操作者了解辅助插管伸入患者喉部的深度,有利于使用。In another embodiment, the surface of the auxiliary mirror tube 1 is provided with scale lines, which can help the operator understand the depth of the auxiliary cannula inserted into the patient's throat, facilitating use.
实施例3:Embodiment 3:
本实施例是在实施例1或实施例2的基础上继续优化得到的,本实施例是在实施例1的基础上继续优化得到的,参阅图2,在本实施例中,辅助镜管1上设有把手4,方便操作者或者其助手拿取辅助镜管1。This embodiment is obtained by further optimizing on the basis of Embodiment 1 or Embodiment 2. Referring to FIG. 2 , in this embodiment, a handle 4 is provided on the auxiliary mirror tube 1 to facilitate the operator or his assistant to take the auxiliary mirror tube 1 .
在另一个实施例中,参阅图2,辅助镜管1上端的侧壁上设有阻尼旋转关节5,把手4通过阻尼旋转关节5连接在辅助镜管1上,可以使辅助镜管1和把手4呈不同角度,方便使用和收纳。In another embodiment, referring to FIG. 2 , a damping rotation joint 5 is provided on the side wall of the upper end of the auxiliary mirror tube 1 , and the handle 4 is connected to the auxiliary mirror tube 1 via the damping rotation joint 5 , so that the auxiliary mirror tube 1 and the handle 4 can be at different angles for easy use and storage.
在另一个实施例中,参阅图2,把手4为三块伸缩板依次套设而成,相邻伸缩板之间采用间隙配合,可以进行伸缩调整长度,方便握持。In another embodiment, referring to FIG. 2 , the handle 4 is formed by three telescopic plates which are sequentially sleeved, and adjacent telescopic plates are fitted with clearances so that the length can be adjusted by telescoping to facilitate holding.
对于本领域技术人员而言,显然本实用新型不限于上述示范性实施例的细节,而且在不背离本实用新型的精神或基本特征的情况下,能够以其他的具体形式实现本实用新型。因此,无论从哪一点来看,均应将实施例看作是示范性的,而且是非限制性的,本实用新型的范围由所附权利要求而不是上述说明限定,因此旨在将落在权利要求的得同要件的含义和范围内的所有变化囊括在本实用新型内。不应将权利要求中的任何附图标记视为限制所涉及的权利要求。It is obvious to those skilled in the art that the present invention is not limited to the details of the exemplary embodiments described above, and that the present invention can be implemented in other specific forms without departing from the spirit or essential features of the present invention. Therefore, the embodiments should be regarded as exemplary and non-limiting from any point of view, and the scope of the present invention is defined by the appended claims rather than the above description, and it is intended that all changes falling within the meaning and scope of the equivalent elements of the claims are included in the present invention. Any reference numeral in a claim should not be regarded as limiting the claim to which it relates.
以上所述,以上实施例仅用以说明本实用新型的技术方案,而非对其限制;尽管参照前述实施例对本实用新型进行了详细的说明,本领域的普通技术人员应当理解:其依然可以对前述各实施例所记载的技术方案进行修改,或者对其中部分技术特征进行等同替换;而这些修改或者替换,并不使相应技术方案的本质脱离本实用新型各实施例技术方案的精神和范围。As described above, the above embodiments are only used to illustrate the technical solutions of the utility model, rather than to limit it. Although the utility model has been described in detail with reference to the aforementioned embodiments, those skilled in the art should understand that the technical solutions described in the aforementioned embodiments can still be modified, or some of the technical features can be replaced by equivalents. However, these modifications or replacements do not deviate the essence of the corresponding technical solutions from the spirit and scope of the technical solutions of the various embodiments of the utility model.
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