TWM597150U - Powder spray hemostat - Google Patents

Powder spray hemostat Download PDF

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TWM597150U
TWM597150U TW109202260U TW109202260U TWM597150U TW M597150 U TWM597150 U TW M597150U TW 109202260 U TW109202260 U TW 109202260U TW 109202260 U TW109202260 U TW 109202260U TW M597150 U TWM597150 U TW M597150U
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powder
gas
gas supply
tube
container
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TW109202260U
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Chinese (zh)
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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

一種粉末噴灑止血器,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且連接至氣體輸送控制器;氣體輸送控制器設有第一供氣管及第二供氣管且控制兩者的供氣時機;第一供氣管連接至粉末容器,粉末容器內設單向供氣止逆閥避免粉末逆流;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,粉末輸送管末端另連接著粉末噴出管;藉此本創作能避免粉末噴出管在未使用前被阻塞或污染,且能精確地控制粉末噴灑量及時機。 A powder spray hemostat includes a medical-grade gas generator, a gas delivery controller, a powder container and a powder delivery tube; the medical-grade gas generator is provided with a main gas supply tube to output gas and is connected to the gas delivery controller; the gas delivery controller is provided There is a first gas supply pipe and a second gas supply pipe and control the gas supply timing of the two; the first gas supply pipe is connected to the powder container, and a one-way gas supply check valve is provided in the powder container to avoid powder backflow; the powder delivery pipe is connected in series to the powder At the outlet end of the container, there is a powder channel inside the powder delivery tube, and a gas supply manifold is connected to the powder channel on the wall, the second gas supply tube is connected to the gas supply manifold, and the powder delivery tube is also connected to the powder injection tube at the end; This creation can prevent the powder spray tube from being blocked or contaminated before being used, and can accurately control the powder spraying amount and timing.

Description

粉末噴灑止血器 Powder spray hemostat

本創作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。This creation is a technical field of powder spray hemostatic device, especially refers to a medical device for human body that can spray 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 a most modern and new mainstream surgical technique. The operation replaces the previous operation of a large wound through several small wounds (about 0.5-1.5 cm), and with the advanced and clear endoscopy imaging system, the physician can clearly know the location of the lesion through the imaging system, and complete the operation with a precision mechanical arm . Therefore, the surgical wound is smaller, and postoperative pain is reduced, and the chance of bleeding and infection is also reduced. The recovery time is short and the appearance 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,本創作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 to observe the operation status during minimally invasive surgery, it still mainly relies on various types of medical equipment for operation. However, some unpredictable conditions may still occur during the operation, such as local bleeding, which will endanger the life of the patient and also The internal view lens may be blocked, which may affect the operation. Traditional open surgery can put a lot of hemostatic powder on the bleeding site to achieve the purpose of rapid hemostasis. To this end, the author thinks about how to use a small nozzle and an endoscope in a small working space in a minimally invasive surgery. Under the guidance of the image, hemostatic powder is sprayed on the hemostatic area to cover the bleeding area to achieve hemostasis. The purpose of this is to innovate and research a group of special medical equipment. In addition, before the operation of the powder nozzle of this medical device, blood must be prevented from entering the tube, because this will cause the hemostatic powder to coagulate with the blood in the tube in advance and cause blockage in the tube, and there will also be pollution problems. How to increase the product design On the difficulty.

為解決上述之問題,本創作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,配合本創作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 problems, the main purpose of this creation is to provide a powder spray hemostat, which mainly uses gas to feed the powder, in conjunction with the special air flow control method adopted in this creation, to maintain a small flow of air flow before the hemostatic powder is sprayed, Keep the pipeline clear and prevent blood from entering. When you want to use it, switch the circuit and send a large amount of intermittent gas to push the hemostatic powder, so that the hemostatic powder can accurately cover the bleeding site to achieve the purpose of hemostasis.

為達上述之目的,本創作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。In order to achieve the above purpose, the powder spray 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 provided 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 joint, a one-way air supply check valve, a cavity, and a region for setting the blood powder in the cavity. The one-way air supply check valve is located in the cavity and is close to the container joint. The aforementioned first air supply pipe is connected to the container joint , Timely supply air into the powder container; the powder conveying pipe is connected in series with the powder container outlet, the powder conveying pipe has a powder channel inside, the pipe wall is also provided with a gas supply manifold to communicate with the powder channel, and the second gas supply pipe is connected to the supply Gas manifold. A powder ejection tube is provided at the end of the powder conveying tube.

在本創作的較佳實施例中,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 the preferred embodiment of the present invention, the gas delivery controller supplies only one of the first gas supply pipe and the second gas supply pipe at the same time.

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

在本創作的較佳實施例中,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 the preferred embodiment of the present invention, the cavity is a transparent shell, and it is possible to immediately observe whether the hemostatic powder is ejected during operation.

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

本創作之粉末噴灑止血器,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.本創作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 spray hemostatic device of this creation has the following specific effects in use: 1. It can spray the hemostatic powder from the powder spray tube precisely at the bleeding site to achieve the purpose of rapid hemostasis. 2. In the standby state, use the second gas supply tube to supply a small amount of gas, and then send it out through the powder ejection tube to maintain the smoothness of the powder ejection tube. It reacts with the blood in the tube in advance to clot and block it. 3. The powder container can be a transparent shell, and the discharge status can be confirmed immediately when the powder is discharged. 4. This creative powder spray hemostat 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,分別為本創作粉末噴灑止血器之立體圖及平面示意圖。本創作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 Figures 1 and 2, they are respectively a perspective view and a schematic plan view of a powder spray hemostat created by the author. The creative powder spray hemostat 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 the gas, and the gas delivery controller 2 switches the timing of the gas to the powder container 3 and the powder delivery tube 4. When there is no need to supply powder, the gas with a small flow rate is first sent out through the powder delivery tube 4 to maintain the smoothness of the pipeline and avoid blood backflow. Later, when powder is to be sprayed, a large amount of gas is supplied and the gas flow is switched to the powder container 3, and the powder is sprayed through the powder delivery tube 4, so that the hemostatic site is covered with the hemostatic powder to achieve rapid hemostasis.

接著就本創作各構件的結構作一詳細的說明:Then give a detailed explanation of the structure of each component of this creation:

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 gas 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 thereto. The gas delivery controller 2 is further 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 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 gas 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 gas 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 maintain the smoothness of the pipeline.

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。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,使粉末容器3呈直立狀或斜一角度狀。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 an elongated hollow tube, and from top to bottom are a container joint 31, a one-way air supply valve 32, and a cavity 33, respectively. The container joint 31 has a large-sized convex ring 311, which can be used to fix the position of the powder container 3 by other mechanisms or supports during use, so that the powder container 3 is in an upright or oblique angle. A cavity is formed in the cavity 33, so far the area where the hemostatic powder 5 is installed. The cavity 33 is a transparent shell, and it can immediately observe whether the hemostatic powder is ejected during operation. The hemostatic powder 5 is not limited to medical supplies, but can also be medical materials, plants or food powders, etc., as long as it has a dry powder that can enhance hemostasis at the bleeding site. The one-way air supply check valve 32 is provided in the cavity 33 and is located adjacent to the container joint 31. The one-way gas supply check valve 32 only allows the gas to enter the cavity 33 from the container joint 31 to prevent the hemostatic powder 5 from flowing back into the first gas supply pipe 21 when the gas flow is switched. The outlet of the cavity 33 is connected in series with the powder output tube 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 delivery tube 4 is a T-shaped shunt tube in three directions. The powder conveying pipe 4 has a powder passage 41 inside, and a gas supply manifold 42 is further provided on the wall to communicate with the powder passage 41. The inlet of the powder passage 41 is a chamber that communicates with the powder container 3, and the outlet is located at the end of the powder delivery tube 4 and a powder ejection tube 43 is provided. The powder ejection tube 43 is an elongated tube with a small diameter, so as to extend into the hemostasis part of the body during surgery. The particles of the hemostatic powder 5 must be less than 30% of the inner diameter of the tube of the powder ejection tube 43, so that the gas can push the hemostatic powder 5 to be ejected through the powder ejection tube 43 of narrow and small diameter. The second air supply pipe 22 is connected to the air supply manifold 42.

接著就本創作實際的運作流程作一詳細的說明:Then give a detailed description of the actual operation process of this creation:

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 injection tube 43 can be guided to the bleeding site in conjunction with the operation of the endoscope. During the placement of the guide or in the state of waiting for operation, as shown in FIG. 3, the medical-grade gas generator 1 The gas is continuously generated, and is switched by the gas delivery controller 2 and provides a small flow of gas to be sent through the second gas supply pipe 22, the powder output pipe 4, and the powder injection pipe 43. This small flow of gas can maintain the smooth flow of the powder injection pipe 43 to avoid foreign objects or Blood enters the powder discharge 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。另外本創作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。如此使本創作能滿足使用內視鏡,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 FIG. 4, when the powder is to be sprayed at the bleeding site, the gas delivery controller 2 switches to stop the gas supply of the second gas supply pipe 22, and instead supplies a large amount of gas to the first gas supply pipe 21. A large amount of gas is supplied intermittently, allowing the gas to pass through the one-way gas supply valve 32 in the powder container 3, pushing the hemostatic powder 5 in the cavity 33 into the powder channel 41 of the powder delivery tube 4, and finally passing through the powder discharge tube 43 Spray the 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 pollution. In addition, the use of intermittent gas in this creation can avoid the phenomenon that when the gas is continuously ejected, the powder cannot be ejected due to the bridging phenomenon, and the intermittent action of the gas will also reduce the effect of the powder due to excessive flying and affect the adhesion effect. In addition, the powder container 3 can be arranged in an upright shape to facilitate the powder to be effectively ejected. In this way, the creation can meet the purpose of using endoscopy, intracavity 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創作的較佳實施例,並非企圖據以對本創作做任何形式上的限制,是以,凡有在相同的創作精神下所作有關本創作的任何修飾或變更,皆仍應包括在本創作意圖保護的範疇。The above are only the preferred embodiments for explaining this creation, and are not intended to restrict the creation in any way, so any modification or change to this creation under the same spirit of creation , Should still be included in the scope of protection of this creative intention.

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 gas supply tube 22: Second gas supply tube 3: powder container 4: Powder delivery tube 41: Powder channel 42: Gas supply manifold 43: Powder discharge tube 5: Hemostatic powder

圖1為本創作之立體圖;Figure 1 is a perspective view of the creation;

圖2為本創作之平面示圖;Figure 2 is a plan view of the creation;

圖3為本創作預備狀態的氣體流動方向示意圖;Figure 3 is a schematic diagram of the direction of gas flow in preparation for the creation;

圖4為本創作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 during the creation and use.

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 gas supply tube

22:第二供氣管 22: Second gas supply tube

3:粉末容器 3: powder container

31:容器接頭 31: Container joint

311:凸環 311: convex ring

32:氣體單向止逆閥 32: Gas 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 discharge tube

5:止血粉末 5: Hemostatic powder

Claims (5)

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; 一粉末容器,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,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,該粉末輸送管未端設有粉末噴出管。 A powder spray hemostatic device, including: A medical-grade gas generator with a main gas supply tube to output gas; A gas delivery controller is provided with a first gas supply pipe and a second gas supply pipe, the main gas supply pipe is connected to the gas delivery controller, and the gas supply controller controls the supply of the first gas supply pipe and the second gas supply pipe Gas timing and flow; A powder container includes a container joint, a one-way gas supply check valve, and a cavity. In the cavity, a region for setting the blood powder, the one-way gas supply check valve is located in the cavity and is close to the container joint, the first supply The trachea is connected to the container joint; A powder conveying pipe is connected in series to the outlet end of the powder container. The powder conveying pipe has a powder channel inside, and a gas supply manifold is provided on the wall of the pipe to communicate with the powder channel. A powder ejecting pipe is provided at the end of the powder conveying pipe. 如請求項1所述之粉末噴灑止血器,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。According to the powder spray hemostat of claim 1, the gas delivery controller supplies only one of the first gas supply pipe and the second gas supply pipe at the same time. 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。The powder spray hemostat according to claim 1, the powder container is arranged 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。The powder spray hemostat according to claim 1, the cavity is a transparent housing. 如請求項1所述之粉末噴灑止血器,其中該氣體輸送控制器能輸出間歇氣體。The powder spray hemostat according to claim 1, wherein the gas delivery controller can output intermittent gas.
TW109202260U 2020-02-27 2020-02-27 Powder spray hemostat TWM597150U (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
TWI719844B (en) * 2020-02-27 2021-02-21 林錫璋 Powder spray hemostatic device
TWI812509B (en) * 2022-10-17 2023-08-11 國立成功大學 Functional powder delivery device and system thereof

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
TWI719844B (en) * 2020-02-27 2021-02-21 林錫璋 Powder spray hemostatic device
TWI812509B (en) * 2022-10-17 2023-08-11 國立成功大學 Functional powder delivery device and system thereof

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