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US3598118A - Method of introducing an intravenous catheter into the vascular system - Google Patents

Method of introducing an intravenous catheter into the vascular system Download PDF

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Publication number
US3598118A
US3598118A US3598118DA US3598118A US 3598118 A US3598118 A US 3598118A US 3598118D A US3598118D A US 3598118DA US 3598118 A US3598118 A US 3598118A
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needle
catheter
tube
vessel
expansion
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Joseph E Warren
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Joseph E Warren
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/06Body-piercing guide needles or the like
    • A61M25/065Guide needles

Abstract

A needle comprising a tube, having a pointed leading end, a longitudinal hairline slot extending the length thereof, collar means spaced from the pointed leading end, and tube walls of sufficient flexibility to permit expansion of the needle upon insertion of a catheter therethrough when the catheter has an outside diameter which is larger than the inside diameter of the tube, is employed to introduce catheters into body cavities. In use, the needle is inserted into the cavity, the catheter is then passed through the needle into the cavity causing expansion of the needle, the needle is withdrawn from the body along the catheter and, by use of the collar to further expand the needle, removed longitudinally from the needle.

Description

United States Patent [72] Inventor Joseph 13. Warren Old Chester Road, Gladstone, NJ. 07934 2| Appl. No 778,914 [22] Filed Nov. 4, 1968 [45] Patented Aug. 10, I971 Continuation-impart of application Ser. No. 564,935, July 13, 1966, now abandoned.

[54] METHOD OF INTRODUCING AN INTRAVENOUS CATHETER INTO THE VASCULAR SYSTEM 2 Claims, 6 Drawing Figs.

[52] U.S. C1 128/214.4, 128/343. 128/348 {51] Int. Cl A61m 5/00 [50] Field 01' Search 128/214.4, 221,343,345, 348

[56] References Cited UNITED STATES PATENTS 673,598 5/1901 Dolge 128/345 X Primary ExaminerDalton L. Truluck Attorneys-Kenyon & Kenyon and Reilly, Carr & Chapin ABSTRACT: A needle comprising a tube, having a pointed leading end, a longitudinal hairline slot extending the length thereof, collar means spaced from the pointed leading end, and tube walls of sufficient flexibility to permit expansion of the needle upon insertion of a catheter therethrough when the catheter has an outside diameter which is larger than the inside diameter of the tube, is employed to introduce catheters into body cavities. In use, the needle is inserted into the cavity, the catheter is then passed through the needle into the cavity causing expansion of the needle, the needle is withdrawn from the body along the catheter and, by use of the collar to further expand the needle, removed longitudinally from the needle.

PATENTED M1810 I91! INVEN'I HR.

JOSEPH E. W/JRREN DY d/ METHOD OF INTRODUCING AN INTRAVENOUS CATHETER INTO THE VASCULAR SYSTEM This application is a continuation-in-part of copending application Ser. No. 564,935 filed July 13, 1966, now abandoned.

This invention is concerned with a needle useful in the introduction of catheters into body cavities, and to a method for its use.

More particularly, this invention relates to an expandable needle which is useful for introducing catheters into body cavities, and in a preferred form relates to an intravascular needle which eliminates the need for performing a surgical cutdown procedure and avoid the disadvantages of retained intravascular needle procedures.

The surgical cutdown procedure consists of making an incision through the skin and subcutaneous tissue until the desired blood vessel is reached. The blood vessel is isolated from its bed, ligatures are applied and the distal end of the vessel is tied. After the distal ligature is tied, the vessel is incised and an intravascular catheter is inserted into the lumen of the vessel through the incision, where the catheter is anchored.

A common alternative to the surgical cutdown procedure has been the implacement of a conventional intravenous needle for purposes of catheterization, infusion or transfusion. However, this alternative procedure may result in damage to the vessel by the relatively rigid and sharp needle, thereby resulting in inflammation, phlebitis, leakage and infiltration of solutions being administered, and the occurrence of pain, discomfort, tissue damage, sloughing and the loss of therapeutic effect.

The present expansion needle and catheter technique provides for the insertion of a catheter by simple needle puncture, followed by advancing the catheter within the needle, and allows for immediate removal of the needle, which if left in place could cause the complications referred to above.

With specific reference to intravascular catheterization procedures, the present invention provides for the simple, sterile insertion of the needle into a blood vessel, insertion of the catheter through the expandable bore of the needle into the blood vessel lumen and removal and discard of the needle in one, continuous, simple procedure which combines the advantages of catheter cannulation and needle infusion.

The sterility of the needle and intravascular portion of the catheter is maintained by disposable and easily removable plastic sterile field covers.

The device is readily adaptable for use with conventional infusion and transfusion sets.

Attempts to solve the problem of implanting a catheter in the lumen of a blood vessel without surgical cutdown or incision have heretofore failed to provide a satisfactory solution. For example, catheter introducers not employing the principles of this invention have had the shortcoming of requiring a much larger introducer than the catheter being implanted. Thus, a larger than necessary opening was required through the skin and subcutaneous tissue, with attendant damage to the blood vessel itself. Other problems of these prior art devices include an undesirable slippage of the catheter within an unexpandable, inflexible introducer, and leakage and damage to tissues and blood vessels due to a relatively large longitudinal opening in the introducer which tends to snag and fill up with skin and subcutaneous tissue. Also, some of the devices require pinching and extensive manipulation of the catheter within the introducer, with consequent damage thereto and discomfort to the patient.

Other devices have utilized a slotted sheath or other introducer which is longitudinally removable. Such devices, however, still require a separate needle attached to the catheter tube which is not slotted nor longitudinally removable and which, therefore, requires leaving the needle in place during transfusion or infusion unless the apparatus is taken apart to remove the needle, with all the complications that would result. Such instruments utilize an inordinatenumber of parts which might cause complications and which make their use more difficult and time consuming.

The prior art devices also have the distinct disadvantage of not being packaged in a sterile container and utilized as a single unit whereby the needle or introducer can be simply withdrawn and longitudinally removed and disposed of, leaving only the implanted catheter. The simply utilized packaged unit envisioned here has the attendant advantage of being sterile and ready for use, making a transfusion or infusion simpler to perform.

The present invention allows for continuous fluid transfusion or infusion after the catheter has been implanted while the needle is being withdrawn and removed. The pressure of the fluid from the flask through the infusion tubing through the catheter tube itself remains relatively constant at a preselected rate, during this operation, which assists in the prevention of clotting, leakage, and the other problems noted above.

The principle of flexibility and expandability in the needle of the present invention by means of a hairline slot in the needle allows the use of a needle that has approximately the same inside diameter as that of the catheter itself. This makes the introduction and implanting of the catheter a simpler, safer and more comfortable operation, as well as making the longitudinal removal of the needle possible. It also allows the greatest volume of fluid to pass through the catheter, consistent with the size of the opening required to be made through the skin, subcutaneous tissue and blood vessel wall.

An object of this invention is to provide for a simple method of catheterization, infusion or transfusion by means of a needle-catheter device which combines the advantages of catheter cannulation and conventional needle infusion.

A further object of this invention is to provide for a' simple method of catheterization, infusion or transfusion by means of a needle-catheter device which allows for the placement of a catheter within the lumen of a blood vessel by means of a flexible expandable intravascular needle, which may then be easily withdrawn, removed and discarded.

Still another object of this invention is to provide for a simple method of catheterization, infusion or transfusion by means of a needle-catheter device which allows for the placement of a catheter within the lumen of a blood vessel by means of a slotted flexible, expandable intravascular needle, which by reason of such slot, may be easily withdrawn, removed and discarded.

Further objects and advantages of this invention will appear from the following description.

FIG. I is a perspective view of the intravascular expansion needle and catheter connected to a typical adapter and fluid source, after the needle has been inserted and the catheter advanced within the needle.

FIG. 2 is a sectional view taken along line 2-2 of FIG. I and seen in the direction of the arrows.

FIG. 3 is a sectional view of the intravascular expansion needle taken along line 3-3 of FIG. 2 and seen in the direction of the arrows.

FIG. 4 is a perspective view showing the relation of the expansion needle to the catheter after the expansion needle has implanted the catheter in the blood vessel and as the expansion needle is being withdrawn in the direction of the arrow.

FIG. 5 is a sectional view of the expansion needle and the catheter tube as the expansion needle is being longitudinally removed from the catheter tube after the needle has been withdrawn axially along the catheter tube as shown in FIG. 4.

FIG. 6 is a perspective view showing the catheter tube implanted within the blood vessel after the expansion needle has been withdrawn, removed and discarded.

Referring to the figures, and particularly to FIG. I, infusion flask I is shown connected to an adapter which is in turn connected to infusion tube 3 which is in turn connected to catheter l0. Catheter I0 is surrounded by expansion needle 4 which is made of metal and is slotted at 5. A flexible flange 6 is attached to the needle 4 for easy insertion, withdrawal, and

removal of the needle. The needle 4 and catheter 10 have been inserted through the skin and subcutaneous tissue 7 into the lumen 8 of blood vessel 9.

The sharp intravascular needle 4 permits simple penetration of the blood vessel wall 9. As the catheter 10 is passed through the inserted needle 4 into the blood vessel lumen 8 the expansion needle slot 5 allows for gradual unobstructed and save passage of the catheter l and when the walls of the needle tube are of substantially uniform thickness the inside surface of the tube conforms to and remains in contact with the outside surface of the catheter. The tip 11 of the catheter 10 can then be easily held in place with the fingers by simply pressing down on the skin area 7 overlying the catheterized vessel 9. The needle 4 can then be withdrawn over the infusion tubing 3 and the catheter l0 anchored in the vessel 9 by conventional taping of the externally remaining portion of the catheter 10 to the skin surface. To remove the needle 4 from the tubing 3, the needle flange 6 is simply spread apart and the needle 4 lifted away from the tubing 3 through the expanded needle slot and the needle 4 discarded.

The intravascular catheter is designed to decrease the possibility of leakage, vessel puncture and tissue damage, and to minimize the possible formation of blood clots or thrombi. The tapered, shaped, rounded edge I] is relatively atraumatic. The progressive stepwise decrease in diameter from infusion flask l to infusion tubing 3 to the intravascular catheter allows for a proportional increase in fluid pressure and velocity of the infused solution at the catheter tip ll. This provides further insurance against obstruction to effective catheter flow and against formation of blood clots and thrombi. Compounding of the plastic material with silicone when so desired provides additional protection against clot formation.

While the foregoing discussion has been specifically directed toward intravascular procedures, it is clear that the present invention is useful in connection with any procedure in which catheterization of a body cavity by penetration of body tissues is required. For example, the needle and method of the present invention are useful for catheterization of the thoracic cavity, the abdominal cavity, the cardiac cavity and the like, as well as the venous and arterial cavities comprising the vascular cavity.

What I claim is:

I. A method for introducing a catheter into a patients body cavity with an expansion needle comprising a flexible tube having a circular cross section, a pointed leading end and a single longitudinal hairline slot through the tube wall and extending the entire length of said tube, the wall of said tube being sufliciently flexible to permit radial expansion of said needle on insertion of a catheter having an outside diameter which is greater than the normal inside diameter of said tube through said tube and collar means for withdrawing the needle from the patient along the catheter and for removing it longitudinally therefrom by further expansion of said needle, said method comprising passing said needle through body tissues and into a body cavity, passing a catheter having an outside diameter greater than the inside diameter of said tube through the bore of said tube and into said cavity, whereby the walls of said tube expand about said catheter, withdrawing said needle from the body of said patient along said catheter while leaving said catheter in place, and further expanding said needle and withdrawing it longitudinally from said catheter.

2. A method for introducing a catheter into the lumen of a blood vessel as defined in claim I.

Claims (2)

1. A method for introducing a catheter into a patient''s body cavity with an expansioN needle comprising a flexible tube having a circular cross section, a pointed leading end and a single longitudinal hairline slot through the tube wall and extending the entire length of said tube, the wall of said tube being sufficiently flexible to permit radial expansion of said needle on insertion of a catheter having an outside diameter which is greater than the normal inside diameter of said tube through said tube and collar means for withdrawing the needle from the patient along the catheter and for removing it longitudinally therefrom by further expansion of said needle, said method comprising passing said needle through body tissues and into a body cavity, passing a catheter having an outside diameter greater than the inside diameter of said tube through the bore of said tube and into said cavity, whereby the walls of said tube expand about said catheter, withdrawing said needle from the body of said patient along said catheter while leaving said catheter in place, and further expanding said needle and withdrawing it longitudinally from said catheter.
2. A method for introducing a catheter into the lumen of a blood vessel as defined in claim 1.
US3598118A 1968-11-04 1968-11-04 Method of introducing an intravenous catheter into the vascular system Expired - Lifetime US3598118A (en)

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Cited By (31)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3651807A (en) * 1970-02-19 1972-03-28 James A Huggins Detachable, hollow guide needle
US3774605A (en) * 1971-12-28 1973-11-27 Medical Sciences Int Inc Catheter devices
US4306562A (en) * 1978-12-01 1981-12-22 Cook, Inc. Tear apart cannula
US4327722A (en) * 1979-08-20 1982-05-04 Groshong Leroy E Methods and apparatus for intravenous therapy and hyperalimentation
EP0125843A2 (en) * 1983-05-03 1984-11-21 Catheter Technology Corporation Apparatus for inserting a catheter
USRE31855E (en) * 1978-12-01 1985-03-26 Cook, Inc. Tear apart cannula
EP0163165A2 (en) * 1984-06-01 1985-12-04 Peter Dr. Ing. Osypka Appliance for the transveinous introduction of pacemaker electrodes or the like
US4610671A (en) * 1985-03-28 1986-09-09 Luther Medical Products, Inc. Assembly of stylet and catheter
US4743265A (en) * 1986-04-23 1988-05-10 Dij Catheter Corp Articulated catheter placement device
US4846791A (en) * 1988-09-02 1989-07-11 Advanced Medical Technology & Development Corp. Multi-lumen catheter
US4957489A (en) * 1988-10-19 1990-09-18 Critikon, Inc. Through the needle catheter insertion device and technique
US4957488A (en) * 1988-10-19 1990-09-18 Critikon, Inc. Through the needle catheter device
US4964854A (en) * 1989-01-23 1990-10-23 Luther Medical Products, Inc. Intravascular catheter assembly incorporating needle tip shielding cap
US4994040A (en) * 1988-10-19 1991-02-19 Critikon, Inc. Through the needle catheter insertion device and technique
WO1991012037A1 (en) * 1990-02-12 1991-08-22 Ahmed Abdul Mateen Medical valve
US5135501A (en) * 1990-12-06 1992-08-04 Ethicon, Inc. Material for through the needle catheter
US5160325A (en) * 1986-10-06 1992-11-03 C. R. Bard, Inc. Catheter with novel lumens shapes
US5322512A (en) * 1993-05-07 1994-06-21 The Kendall Company Splittable needle for epidural anesthesia
US5441486A (en) * 1990-07-26 1995-08-15 Yoon; Inbae Endoscopic portal for use in endoscopic procedures and methods therefor
US5683446A (en) * 1995-05-25 1997-11-04 Medtronic, Inc. Medical electrical lead having an anchoring sleeve retaining device
US5683370A (en) * 1996-06-06 1997-11-04 Luther Medical Products, Inc. Hard tip over-the-needle catheter and method of manufacturing the same
US6083203A (en) * 1990-07-26 2000-07-04 Yoon; Inbae Endoscopic portal
US6554802B1 (en) * 1999-03-31 2003-04-29 Medtronic, Inc. Medical catheter anchor
US20070078478A1 (en) * 2005-07-27 2007-04-05 Atkins Joseph R Catheter and tunneling device therefor
US20090082733A1 (en) * 2005-03-24 2009-03-26 Jms Co., Ltd. Indwelling needle device
US20110202123A1 (en) * 2010-02-18 2011-08-18 P Tech, Llc Anatomic needle system
US20120109101A1 (en) * 2005-03-01 2012-05-03 Irving Mizus System for access into bodily cavity
US20140039546A1 (en) * 2012-08-01 2014-02-06 Arstasis Inc. Access closure configuration
CN104368060A (en) * 2014-12-02 2015-02-25 江南大学 Fixed type venous indwelling needle
US20150238684A1 (en) * 2014-02-27 2015-08-27 Shinein Biotechnology Co,, Ltd. Overtube and uses thereof
US9498249B2 (en) 2012-11-21 2016-11-22 P Tech, Llc Expandable access systems and methods

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US673598A (en) * 1900-07-27 1901-05-07 Carl B Dolge Vein opener and clamp.
US2566499A (en) * 1950-02-14 1951-09-04 Richter Bruno Expansile surgical needle
US2842133A (en) * 1957-02-27 1958-07-08 Surgic Company Ltd Surgical or medical vein dilating device
US3330278A (en) * 1964-06-22 1967-07-11 Louis S Santomieri Hypodermic needle for a cannula placement unit
US3359978A (en) * 1964-10-26 1967-12-26 Jr Raymond M Smith Guide needle for flexible catheters
DK109789A (en) * 1988-03-08 1989-09-09 Ciba Geigy Ag Biocidally active compounds

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US673598A (en) * 1900-07-27 1901-05-07 Carl B Dolge Vein opener and clamp.
US2566499A (en) * 1950-02-14 1951-09-04 Richter Bruno Expansile surgical needle
US2842133A (en) * 1957-02-27 1958-07-08 Surgic Company Ltd Surgical or medical vein dilating device
US3330278A (en) * 1964-06-22 1967-07-11 Louis S Santomieri Hypodermic needle for a cannula placement unit
US3359978A (en) * 1964-10-26 1967-12-26 Jr Raymond M Smith Guide needle for flexible catheters
DK109789A (en) * 1988-03-08 1989-09-09 Ciba Geigy Ag Biocidally active compounds

Cited By (46)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3651807A (en) * 1970-02-19 1972-03-28 James A Huggins Detachable, hollow guide needle
US3774605A (en) * 1971-12-28 1973-11-27 Medical Sciences Int Inc Catheter devices
USRE31855E (en) * 1978-12-01 1985-03-26 Cook, Inc. Tear apart cannula
US4306562A (en) * 1978-12-01 1981-12-22 Cook, Inc. Tear apart cannula
US4327722A (en) * 1979-08-20 1982-05-04 Groshong Leroy E Methods and apparatus for intravenous therapy and hyperalimentation
FR2520236A1 (en) * 1979-08-20 1983-07-29 Groshong Leroy Method and apparatus for the implementation of therapy comprising intravenous hyperalimentation
EP0125843A2 (en) * 1983-05-03 1984-11-21 Catheter Technology Corporation Apparatus for inserting a catheter
EP0125843A3 (en) * 1983-05-03 1985-04-03 Catheter Technology Corporation Method and apparatus for inserting a catheter
EP0163165A2 (en) * 1984-06-01 1985-12-04 Peter Dr. Ing. Osypka Appliance for the transveinous introduction of pacemaker electrodes or the like
EP0163165A3 (en) * 1984-06-01 1986-08-27 Peter Dr. Ing. Osypka Appliance for the transveinous introduction of pacemaker electrodes or the like
US4610671A (en) * 1985-03-28 1986-09-09 Luther Medical Products, Inc. Assembly of stylet and catheter
US4743265A (en) * 1986-04-23 1988-05-10 Dij Catheter Corp Articulated catheter placement device
US5160325A (en) * 1986-10-06 1992-11-03 C. R. Bard, Inc. Catheter with novel lumens shapes
US4846791A (en) * 1988-09-02 1989-07-11 Advanced Medical Technology & Development Corp. Multi-lumen catheter
US5411473A (en) * 1988-10-07 1995-05-02 Ahmed; A. Mateen Medical valve
US5071408A (en) * 1988-10-07 1991-12-10 Ahmed Abdul Mateen Medical valve
US4957489A (en) * 1988-10-19 1990-09-18 Critikon, Inc. Through the needle catheter insertion device and technique
US4994040A (en) * 1988-10-19 1991-02-19 Critikon, Inc. Through the needle catheter insertion device and technique
US4957488A (en) * 1988-10-19 1990-09-18 Critikon, Inc. Through the needle catheter device
US4964854A (en) * 1989-01-23 1990-10-23 Luther Medical Products, Inc. Intravascular catheter assembly incorporating needle tip shielding cap
WO1991012037A1 (en) * 1990-02-12 1991-08-22 Ahmed Abdul Mateen Medical valve
US6083203A (en) * 1990-07-26 2000-07-04 Yoon; Inbae Endoscopic portal
US5441486A (en) * 1990-07-26 1995-08-15 Yoon; Inbae Endoscopic portal for use in endoscopic procedures and methods therefor
US5135501A (en) * 1990-12-06 1992-08-04 Ethicon, Inc. Material for through the needle catheter
US5322512A (en) * 1993-05-07 1994-06-21 The Kendall Company Splittable needle for epidural anesthesia
US5683446A (en) * 1995-05-25 1997-11-04 Medtronic, Inc. Medical electrical lead having an anchoring sleeve retaining device
US5683370A (en) * 1996-06-06 1997-11-04 Luther Medical Products, Inc. Hard tip over-the-needle catheter and method of manufacturing the same
US5913848A (en) * 1996-06-06 1999-06-22 Luther Medical Products, Inc. Hard tip over-the-needle catheter and method of manufacturing the same
US5916208A (en) * 1996-06-06 1999-06-29 Luther Medical Products, Inc. Hard tip over-the-needle catheter and method of manufacturing the same
US5957893A (en) * 1996-06-06 1999-09-28 Becton Dickinson & Co. Hard tip over-the needle catheter and method of manufacturing the same
US6554802B1 (en) * 1999-03-31 2003-04-29 Medtronic, Inc. Medical catheter anchor
US20120109101A1 (en) * 2005-03-01 2012-05-03 Irving Mizus System for access into bodily cavity
US8801669B2 (en) * 2005-03-01 2014-08-12 Irving Mizus System for access into bodily cavity
US7682339B2 (en) * 2005-03-24 2010-03-23 Jms Co., Ltd. Indwelling needle device
US20090082733A1 (en) * 2005-03-24 2009-03-26 Jms Co., Ltd. Indwelling needle device
US20070078478A1 (en) * 2005-07-27 2007-04-05 Atkins Joseph R Catheter and tunneling device therefor
US8251975B2 (en) * 2005-07-27 2012-08-28 Atkins Joseph R Catheter and tunneling device therefor
US20100174291A1 (en) * 2005-07-27 2010-07-08 Galt Medical Corp. Catheter and tunneling device therefor
US20110202123A1 (en) * 2010-02-18 2011-08-18 P Tech, Llc Anatomic needle system
US9168163B2 (en) * 2010-02-18 2015-10-27 P Tech, Llc Anatomic needle system
US20140039546A1 (en) * 2012-08-01 2014-02-06 Arstasis Inc. Access closure configuration
US20160100829A1 (en) * 2012-08-01 2016-04-14 Arstasis Inc. Access closure configuration
US9498249B2 (en) 2012-11-21 2016-11-22 P Tech, Llc Expandable access systems and methods
US20150238684A1 (en) * 2014-02-27 2015-08-27 Shinein Biotechnology Co,, Ltd. Overtube and uses thereof
KR20150101957A (en) * 2014-02-27 2015-09-04 샤인인 바이오테크놀로지 코., 엘티디. overtube AND USES THEREOF
CN104368060A (en) * 2014-12-02 2015-02-25 江南大学 Fixed type venous indwelling needle

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