TWI719844B - Powder spray hemostatic device - Google Patents

Powder spray hemostatic device Download PDF

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TWI719844B
TWI719844B TW109106620A TW109106620A TWI719844B TW I719844 B TWI719844 B TW I719844B TW 109106620 A TW109106620 A TW 109106620A TW 109106620 A TW109106620 A TW 109106620A TW I719844 B TWI719844 B TW I719844B
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powder
gas
tube
air supply
supply pipe
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TW109106620A
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TW202131870A (en
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陳志鴻
林錫璋
陳炯瑜
莊喬雄
康瑞文
王堯生
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林錫璋
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Abstract

A powder spray hemostatic device is disclosed, including a medical-grade gas generator, a gas delivery controller, a powder container, and a powder delivery tube; the medical-grade gas generator comprising a main gas supply tube to output gas and connected to the gas delivery controller; the gas delivery controller comprising a first and a second gas supply tubes and controlling timing of both; the first gas supply tube being connected to the powder container, and the powder container being disposed with a one-way gas supply valve to prevent powder from flowing backward; the powder delivery tube being connected to an outlet end of the powder container, disposed with a powder passage inside, and a gas supply manifold on tube wall to communicate with the powder passage; the second gas supply tube being connected to the gas supply manifold, and the end of powder delivery tube connected to a powder spraying tube.

Description

粉末噴灑止血器 Powder spray hemostatic device

本發明為一種粉末噴灑止血器的技術領域,尤其指一種用於人體且可於噴灑止血粉末之醫療器材。The present invention relates to the technical field of a powder spraying hemostatic device, in particular to a medical device used in the human body and capable of spraying hemostatic powder.

微創手術,是一種最現代及新主流的手術技巧。手術經由幾個微小傷口(約0.5-1.5公分)代替以往一個大傷口的開刀手術,配合先進清晰的內視鏡影像系統,醫師經由影像系統可清楚得知病灶位置,利用精密的機械手臂完成手術。因此手術傷口較小,術後疼痛減少、出血和感染機會也減少。復原時間短而美觀上也大為進步,對病人意義重大。Minimally invasive surgery is one of the most modern and new mainstream surgical techniques. The operation involves several small wounds (approximately 0.5-1.5 cm) instead of the previous large wound operation. With the advanced and clear endoscopic imaging system, the doctor can clearly know the location of the lesion through the imaging system, and the precise robotic arm is used to complete the operation. . Therefore, the surgical wound is smaller, the postoperative pain is reduced, the chance of bleeding and infection is also reduced. The recovery time is short and the aesthetics is also greatly improved, which is of great significance to the patient.

微創手術中雖可利用內視鏡觀察手術狀態,主要仍仰賴使用各式醫療器材進行操作,但手術過程中仍會產生一些無法預測的狀況,例如局部出血不止,此會危及患者生命,也可能造成內視鏡頭被遮蔽,影響手術進行,傳統開放式手術可投放大量止血粉末於出血處,達到快速止血的目的。為此,本發明人思考如何在微創手術中,在狹小的作業空間,利用細小噴管,配合內視鏡使用,在影像導引下,於止血處噴灑止血粉末,覆蓋出血處,達到止血的目的,如此就必須創新研究一組特殊專用的醫療器材。另外此醫療器材之粉末噴管在運作前,必須避免血液進入管內,因為此會導致止血粉末提前於管內與血液作用凝固造成管內阻塞,且也會有污染問題,如何也增加產品設計上的難度。Although endoscopy can be used in minimally invasive surgery to observe the status of the operation, it still relies mainly on the use of various medical equipment for operation, but there are still some unpredictable conditions during the operation, such as local bleeding, which will endanger the life of the patient. It may cause the endoscopic lens to be blocked and affect the operation. In traditional open surgery, a large amount of hemostatic powder can be put on the bleeding site to achieve the purpose of rapid hemostasis. For this reason, the inventor thinks about how to use a small nozzle in a small working space in a minimally invasive surgery to cooperate with an endoscope. Under the guidance of the image, hemostatic powder is sprayed on the hemostatic area to cover the bleeding area and achieve hemostasis. The purpose of this, so it is necessary to innovate and research a group of special dedicated medical equipment. In addition, the powder nozzle of this medical device must prevent blood from entering the tube before it is operated, because this will cause the hemostatic powder to coagulate in the tube in advance and the blood will coagulate in the tube, and there will also be pollution problems. How to increase the product design Difficulty.

為解決上述之問題,本發明之主要目的是提供一種粉末噴灑止血器,主要是利用氣體送進粉末,配合本發明採用的特殊氣流控制方式,在未噴出止血粉末前,維持小流量的氣流,保持管路暢通及防止血液進入。欲使用時再切換迴路送入大量間歇氣體推送止血粉末,精確讓止血粉末覆蓋出血處,以達止血之目的。In order to solve the above-mentioned problems, the main purpose of the present invention is to provide a powder spraying hemostatic device, which mainly uses gas to feed the powder, and cooperates with the special air flow control method adopted by the present invention to maintain a small flow of air flow before spraying the hemostatic powder. Keep the pipeline unobstructed and prevent blood from entering. When you want to use it, switch the loop and send a large amount of intermittent gas to push the hemostatic powder, so that the hemostatic powder can cover the bleeding site accurately to achieve the purpose of hemostasis.

為達上述之目的,本發明粉末噴灑止血器包括醫療級氣體產生器、氣體輸送控制器、粉末容器及粉末輸送管。醫療級氣體產生器設有主供氣管輸出氣體。氣體輸送控制器設有第一供氣管及第二供氣管,主供氣管連接於氣體輸送控制器。氣體輸送控制器控制第一供氣管與第二供氣管的供氣時機及流量。粉末容器設有容器接頭、單向供氣止逆閥、腔體,腔體內為止血粉末設置區域,單向供氣止逆閥位於腔體內且緊鄰容器接頭,前述第一供氣管連接於容器接頭,適時供氣至粉末容器內;粉末輸送管串接於粉末容器出口端,粉末輸送管內部具有一粉末通道,管壁另設有供氣歧管與粉末通道相通,第二供氣管連接於供氣歧管。粉末輸送管未端設有粉末噴出管。To achieve the above purpose, the powder spraying hemostatic device of the present invention includes a medical-grade gas generator, a gas delivery controller, a powder container and a powder delivery tube. The medical-grade gas generator is equipped with a main gas supply pipe to output gas. The gas delivery controller is provided with a first gas supply pipe and a second gas supply pipe, and the main gas supply pipe is connected to the gas delivery controller. The gas delivery controller controls the gas supply timing and flow rate of the first gas supply pipe and the second gas supply pipe. The powder container is provided with a container connector, a one-way air supply check valve, a cavity, and a hemostatic powder setting area in the cavity. The one-way air supply check valve is located in the cavity and next to the container connector. The first air supply pipe is connected to the container connector. , Supply air to the powder container in time; the powder delivery tube is connected in series to the outlet end of the powder container, the powder delivery tube has a powder channel inside, the tube wall is additionally provided with an air supply manifold communicating with the powder channel, and the second air supply tube is connected to the supply Gas manifold. The end of the powder delivery pipe is provided with a powder ejection pipe.

在本發明的較佳實施例中,氣體輸送控制器在同一個時間中僅使第一供氣管與第二供氣管兩者其中之一供氣。In a preferred embodiment of the present invention, the gas delivery controller allows only one of the first gas supply pipe and the second gas supply pipe to supply gas at the same time.

在本發明的較佳實施例中,粉末容器在使用時呈直立狀設置。In a preferred embodiment of the present invention, the powder container is set upright when in use.

在本發明的較佳實施例中,腔體為透明殼體,可在運作時立即觀察止血粉末是否噴出。In a preferred embodiment of the present invention, the cavity is a transparent shell, and it can be immediately observed whether the hemostatic powder is sprayed out during operation.

在本發明的較佳實施例中,氣體輸送控制器是採間歇式供給氣體。In a preferred embodiment of the present invention, the gas delivery controller adopts intermittent gas supply.

在本發明的較佳實施例中,粉末噴出管為細長小管徑的管件,止血粉末的顆粒須小於管內徑30%。In a preferred embodiment of the present invention, the powder ejection tube is a slender tube with a small diameter, and the particles of the hemostatic powder must be less than 30% of the inner diameter of the tube.

本發明之粉末噴灑止血器,在使用上具有下列幾項具體功效: 1.能精準於出血處由粉末噴出管噴出止血粉末,達到快速止血的目的。 2.在預備狀態下,利用第二供氣管供給小量氣體,之後經粉末噴出管送出,維持粉末噴出管的通暢,一方面避免血液進入管內造成污染,另一方面也避止血粉末送出時提前與血液在管內反應而凝結阻塞。 3.粉末容器可為透明殼體,可立即在粉末噴出時確認噴出狀態。 4.本發明粉末噴灑止血器可廣泛應用於體腔內手術如腸胃道手術、或泌尿道手術中或腫瘤治療,或其他可能產生大出血的微創手術。 The powder spraying hemostatic device of the present invention has the following specific effects in use: 1. It can accurately spray hemostatic powder from the powder spray tube at the bleeding site to achieve the purpose of rapid hemostasis. 2. In the standby state, use the second air supply pipe to supply a small amount of gas, and then send it out through the powder ejection pipe to maintain the smoothness of the powder ejection pipe. On the one hand, it prevents blood from entering the pipe and causing pollution, and on the other hand, it also avoids when the hemostatic powder is sent out. It reacts with blood in the tube in advance and clots and blocks. 3. The powder container can be a transparent shell, and the spraying state can be confirmed immediately when the powder is sprayed. 4. The powder spraying hemostatic device of the present invention can be widely used in body cavity surgery, such as gastrointestinal surgery, or urinary tract surgery or tumor treatment, or other minimally invasive surgery that may cause major bleeding.

如圖1及圖2所示,分別為本發明粉末噴灑止血器之立體圖及平面示意圖。本發明粉末噴灑止血器包括一醫療級氣體產生器1、一氣體輸送控制器2、一粉末容器3、以及一粉末輸送管4。醫療級氣體產生器1負責輸出氣體,經氣體輸送控制器2切換氣體送至粉末容器3及粉末輸送管4的時機。在尚未需供給粉末時,提供小流量氣體先經粉末輸送管4送出,維持管路暢通且避免血液回流。之後欲噴出粉末時,再供給大量氣體且將氣流切換至粉末容器3、經粉末輸送管4噴出粉末,使止血處被止血粉末所覆蓋,達到快速止血的目的。As shown in Figure 1 and Figure 2, respectively are a three-dimensional view and a schematic plan view of the powder spraying hemostatic device of the present invention. The powder spraying hemostatic device of the present invention includes a medical grade gas generator 1, a gas delivery controller 2, a powder container 3, and a powder delivery tube 4. The medical-grade gas generator 1 is responsible for outputting gas, and the gas delivery controller 2 switches the timing of the gas delivery to the powder container 3 and the powder delivery pipe 4. When there is no need to supply powder, a small flow of gas is provided first to be sent out through the powder delivery pipe 4 to keep the pipeline unblocked and avoid blood backflow. When the powder is to be sprayed later, a large amount of gas is supplied and the air flow is switched to the powder container 3, and the powder is sprayed through the powder delivery tube 4 so that the hemostatic area is covered by the hemostatic powder to achieve the purpose of rapid hemostasis.

接著就本發明各構件的結構作一詳細的說明:Then make a detailed description of the structure of each component of the present invention:

醫療級氣體產生器1為一空氣壓縮機內含醫療級過濾器,設有一主供氣管11讓產生的氣體輸出。The medical-grade gas generator 1 is an air compressor containing a medical-grade filter, and is provided with a main air supply pipe 11 to output the generated gas.

氣體輸送控制器2為一氣流切換用電子控制閥,主供氣管11連接於此。氣體輸送控制器2另設有第一供氣管21及第二供氣管22作為氣體的輸出管。氣體輸送控制器2控制第一供氣管21與第二供氣管22的供氣時機及流量。在本實施例中,氣體輸送控制器2在同一個時間中僅使第一供氣管21或第二供氣管22兩者其中之一供氣。第一供氣管21末端連接於粉末容器3,負責能供大流量的氣體,利用氣體將粉末容器3內的止血粉末5送出。第二供氣管22連接於粉末噴出管4側壁,此管主要提供小流量的氣體,維持管路的暢通。The gas delivery controller 2 is an electronic control valve for gas flow switching, and the main gas supply pipe 11 is connected here. The gas delivery controller 2 is additionally provided with a first gas supply pipe 21 and a second gas supply pipe 22 as gas output pipes. The gas delivery controller 2 controls the gas supply timing and flow rate of the first gas supply pipe 21 and the second gas supply pipe 22. In this embodiment, the gas delivery controller 2 supplies gas to only one of the first gas supply pipe 21 or the second gas supply pipe 22 at the same time. The end of the first air supply pipe 21 is connected to the powder container 3, and is responsible for supplying a large flow of gas, and the hemostatic powder 5 in the powder container 3 is sent out by the gas. The second air supply pipe 22 is connected to the side wall of the powder ejection pipe 4, and this pipe mainly provides a small flow of gas to keep the pipeline unblocked.

該粉末容器3為一長條狀的中空管件,由上而下分別為容器接頭31、單向供氣閥32、腔體33。該容器接頭31具有一大尺寸凸環311,此凸環311可在使用時利用其他機構或支架固定粉末容器3的位罝,使該粉末容器3呈直立狀或斜一角度狀。該腔體33內形成一腔室,此為止血粉末5的設置區域。腔體33為透明殼體,可在運作時立即觀察止血粉末是否噴出。止血粉末5並不限醫藥用品,也可為醫材、植物或食物粉末等,只要具有能在出血處提升止血之乾燥粉末皆可。單向供氣止逆閥32設於腔體33內位置緊鄰容器接頭31。單向供氣止逆閥32僅讓氣體由容器接頭31進入腔體33內,避免氣流切換時止血粉末5逆流至第一供氣管21內。腔體33出口是串接於粉末輸出管4。The powder container 3 is a long hollow tube, and from top to bottom are the container connector 31, the one-way air supply valve 32, and the cavity 33, respectively. The container connector 31 has a large-sized convex ring 311. The convex ring 311 can use other mechanisms or brackets to fix the position of the powder container 3 during use, so that the powder container 3 is upright or inclined at an angle. A cavity is formed in the cavity 33, where the hemostatic powder 5 is arranged. The cavity 33 is a transparent shell, and it can be immediately observed whether the hemostatic powder is sprayed out during operation. The hemostatic powder 5 is not limited to medical supplies, and can also be medical materials, plant or food powder, etc., as long as it has a dry powder that can improve hemostasis at the bleeding site. The one-way air supply check valve 32 is arranged in the cavity 33 close to the container connector 31. The one-way air supply check valve 32 only allows the gas to enter the cavity 33 from the container connector 31 to prevent the hemostatic powder 5 from flowing back into the first air supply pipe 21 when the air flow is switched. The outlet of the cavity 33 is serially connected to the powder output pipe 4.

粉末輸送管4為三方向的T型分流管。該粉末輸送管4內部具有一粉末通道41,管壁另設有供氣歧管42與該粉末通道41相通。該粉末通道41入口是連通於粉末容器3內的腔室,出口位於 粉末輸送管4末端再設有一粉末噴出管43。該粉末噴出管43為一細長小管徑的管件,以利在手術中伸入體內的止血處。該止血粉末5的顆粒須小於粉末噴出管43管內徑30%,以利氣體能推送止血粉末5經狹長小管徑的粉末噴出管43噴出。該第二供氣管22是連接於該供氣歧管42處 。The powder conveying pipe 4 is a three-directional T-shaped shunt pipe. The powder conveying pipe 4 has a powder passage 41 inside, and an air supply manifold 42 is provided on the wall of the pipe to communicate with the powder passage 41. The inlet of the powder channel 41 is connected to the cavity in the powder container 3, and the outlet is located at the end of the powder delivery pipe 4 and a powder ejection pipe 43 is provided. The powder ejection tube 43 is a slender tube with a small diameter, which is used to extend into the hemostasis of the body during the operation. The particles of the hemostatic powder 5 must be 30% smaller than the inner diameter of the powder ejection pipe 43 so that the gas can push the hemostatic powder 5 to be ejected through the powder ejection pipe 43 with a long and narrow diameter. The second air supply pipe 22 is connected to the air supply manifold 42.

接著就本發明實際的運作流程作一詳細的說明:Next, a detailed description will be given of the actual operation process of the present invention:

在手術過程中,可配合內視鏡的操作將粉末噴出管43末端導引至出血處,在導引放置的過程中或等待運作的狀態下,如圖3所示,醫療級氣體產生器1持續產生氣體,經氣體輸送控制器2切換且提供小流量氣體經第二供氣管22、粉末輸出管4、粉末噴出管43送出,此小流量氣體,可維持粉末噴出管43暢通,避免異物或血液侵入粉末噴出管43內。During the operation, the end of the powder ejection tube 43 can be guided to the bleeding site in cooperation with the operation of the endoscope. During the guiding placement process or in the state of waiting for operation, as shown in Figure 3, the medical-grade gas generator 1 The gas is continuously generated. The gas is switched by the gas delivery controller 2 and a small flow of gas is supplied through the second air supply pipe 22, the powder output pipe 4, and the powder ejection pipe 43. This small flow of gas can maintain the powder ejection pipe 43 unblocked and avoid foreign matter or The blood penetrates into the powder ejection tube 43.

如圖4所示,欲於出血處噴出粉末時,由氣體輸送控制器2進行切換,停止第二供氣管22的供氣,改由供給該第一供氣管21大量的氣體,而此方式可採間歇式大量氣體供氣,讓氣體通過粉末容器3內的單向供氣閥32,推送腔體33內的止血粉末5進入粉末輸送管4的粉末通道41內,最後經該粉末噴出管43於出血處噴出止血粉末5。其中該單向供氣止逆閥32可防止氣體停止時氣體及粉末產生逆流,避免粉末污染。另外本發明採用間歇的氣體可避免氣體因連續噴出時,粉末因架橋現象出現只噴出氣體不出粉末的現象,且氣體間歇動作也會減少粉末因過度飛揚的現象而影響附著效果。另外粉末容器3可呈直立狀設置,以利粉末有效地噴出。如此使本發明能滿足使用內視鏡,體腔內手術如腸胃道手術、或泌尿道手術中或腫瘤治療,可能需要快速止血的目的。As shown in Figure 4, when powder is to be sprayed from the bleeding area, the gas delivery controller 2 switches to stop the gas supply from the second gas supply pipe 22, and instead supplies a large amount of gas to the first gas supply pipe 21. This method can Use intermittent mass gas supply, let the gas pass through the one-way gas supply valve 32 in the powder container 3, push the hemostatic powder 5 in the cavity 33 into the powder channel 41 of the powder delivery pipe 4, and finally pass through the powder ejection pipe 43 Spray hemostatic powder 5 on the bleeding site. The one-way gas supply check valve 32 can prevent backflow of gas and powder when the gas stops, and avoid powder contamination. In addition, the use of intermittent gas in the present invention can avoid the phenomenon that the powder is only sprayed out of the powder due to the bridging phenomenon when the gas is continuously sprayed, and the intermittent action of the gas can also reduce the phenomenon of excessive flying of the powder and affect the adhesion effect. In addition, the powder container 3 can be set upright to facilitate the effective spraying of the powder. In this way, the present invention can meet the purpose of using endoscopes, intracavitary surgery such as gastrointestinal surgery, or urinary tract surgery or tumor treatment, which may require rapid hemostasis.

以上所述者僅為用以解釋本發明的較佳實施例,並非企圖據以對本發明做任何形式上的限制,是以,凡有在相同的發明精神下所作有關本發明的任何修飾或變更,皆仍應包括在本發明意圖保護的範疇。The above descriptions are only used to explain the preferred embodiments of the present invention, and are not intended to restrict the present invention in any form. Therefore, any modification or change related to the present invention is made under the same spirit of the invention. , Should still be included in the scope of the present invention's intended protection.

1:醫療級氣體產生器 11:主供氣管 2:氣體輸送控制器 21:第一供氣管 22:第二供氣管 3:粉末容器 4:粉末輸送管 41:粉末通道 42:供氣歧管 43:粉末噴出管 5:止血粉末 1: Medical grade gas generator 11: Main air supply pipe 2: Gas delivery controller 21: The first air supply pipe 22: The second air supply pipe 3: powder container 4: Powder delivery tube 41: Powder channel 42: gas supply manifold 43: Powder ejection tube 5: Hemostatic powder

圖1為本發明之立體圖;Figure 1 is a perspective view of the present invention;

圖2為本發明之平面示圖;Figure 2 is a plan view of the present invention;

圖3為本發明預備狀態的氣體流動方向示意圖;Fig. 3 is a schematic diagram of the gas flow direction in the preparation state of the present invention;

圖4為本發明使用時粉末噴出的流動方向示意圖。Fig. 4 is a schematic diagram of the flow direction of powder spraying when the present invention is used.

1:醫療級氣體產生器 1: Medical grade gas generator

11:主供氣管 11: Main air supply pipe

2:氣體輸送控制器 2: Gas delivery controller

21:第一供氣管 21: The first air supply pipe

22:第二供氣管 22: The second air supply pipe

3:粉末容器 3: powder container

31:容器接頭 31: Vessel connector

311:凸環 311: Convex Ring

32:氣體單向止逆閥 32: Gas one-way check valve

33:腔體 33: Cavity

4:粉末輸送管 4: Powder delivery tube

42:供氣歧管 42: gas supply manifold

43:粉末噴出管 43: Powder ejection tube

5:止血粉末 5: Hemostatic powder

Claims (3)

一種粉末噴灑止血器,包括:一醫療級氣體產生器,設有主供氣管輸出氣體;一氣體輸送控制器,設有第一供氣管及第二供氣管,該主供氣管連接於該氣體輸送控制器,由該氣體輸送控制器控制該第一供氣管與該第二供氣管的供氣時機及流量,該氣體輸送控制器在同一個時間中僅使該第一供氣管與該第二供氣管兩者其中之一供氣,且該氣體輸送控制器經該第一供氣管輸出間歇氣體;一粉末容器,呈長條狀中空管件,包括容器接頭、單向供氣止逆閥、腔體,該腔體內為止血粉末設置區域,該單向供氣止逆閥位於該腔體內且緊鄰該容器接頭,該第一供氣管連接於該容器接頭;一粉末輸送管,呈三方向T型分流管,串接於該粉末容器出口端,該粉末輸送管內部具有粉末通道,管壁另設有供氣歧管與該粉末通道相通,該第二供氣管連接於該供氣歧管,該粉末輸送管未端設有粉末噴出管。 A powder spraying hemostatic device, comprising: a medical-grade gas generator with a main gas supply pipe to output gas; a gas delivery controller with a first gas supply pipe and a second gas supply pipe, the main gas supply pipe is connected to the gas delivery The gas delivery controller controls the timing and flow rate of the first air supply pipe and the second air supply pipe. The gas delivery controller only makes the first air supply pipe and the second air supply pipe at the same time. One of the two gas pipes supplies gas, and the gas delivery controller outputs intermittent gas through the first gas supply pipe; a powder container, which is a long hollow pipe, includes a container joint, a one-way gas supply check valve, and a cavity , The hemostatic powder setting area in the cavity, the one-way air supply check valve is located in the cavity and is adjacent to the container connector, the first air supply tube is connected to the container connector; a powder delivery tube in a three-way T-shaped shunt A tube is connected in series to the outlet end of the powder container. The powder delivery tube has a powder channel inside. The tube wall is additionally provided with an air supply manifold communicating with the powder channel. The second air supply tube is connected to the air supply manifold. The end of the delivery pipe is provided with a powder ejection pipe. 如請求項1所述之粉末噴灑止血器,該粉末容器在使用時呈直立狀設置。 According to the powder spraying hemostatic device according to claim 1, the powder container is set upright when in use. 如請求項1所述之粉末噴灑止血器,該腔體為透明殼體。 According to the powder spraying hemostatic device according to claim 1, the cavity is a transparent shell.
TW109106620A 2020-02-27 2020-02-27 Powder spray hemostatic device TWI719844B (en)

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Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20140207097A1 (en) * 2010-01-15 2014-07-24 Xin Ji Internal Dry Powder Delivery System and Method Thereof
CN207822255U (en) * 2017-06-08 2018-09-07 北京环球利康科技有限公司 For clinical powder particles flusher
TWM597150U (en) * 2020-02-27 2020-06-21 林錫璋 Powder spray hemostat

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20140207097A1 (en) * 2010-01-15 2014-07-24 Xin Ji Internal Dry Powder Delivery System and Method Thereof
CN207822255U (en) * 2017-06-08 2018-09-07 北京环球利康科技有限公司 For clinical powder particles flusher
TWM597150U (en) * 2020-02-27 2020-06-21 林錫璋 Powder spray hemostat

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