WO2012174672A1 - System zum absaugen von fluiden aus einem körper mittels unterdruck - Google Patents
System zum absaugen von fluiden aus einem körper mittels unterdruck Download PDFInfo
- Publication number
- WO2012174672A1 WO2012174672A1 PCT/CH2012/000132 CH2012000132W WO2012174672A1 WO 2012174672 A1 WO2012174672 A1 WO 2012174672A1 CH 2012000132 W CH2012000132 W CH 2012000132W WO 2012174672 A1 WO2012174672 A1 WO 2012174672A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- pump
- drainage
- line
- fluid
- drainage line
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Ceased
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/71—Suction drainage systems
- A61M1/78—Means for preventing overflow or contamination of the pumping systems
- A61M1/784—Means for preventing overflow or contamination of the pumping systems by filtering, sterilising or disinfecting the exhaust air, e.g. swellable filter valves
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/71—Suction drainage systems
- A61M1/73—Suction drainage systems comprising sensors or indicators for physical values
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/71—Suction drainage systems
- A61M1/73—Suction drainage systems comprising sensors or indicators for physical values
- A61M1/732—Visual indicating means for vacuum pressure
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/84—Drainage tubes; Aspiration tips
- A61M1/85—Drainage tubes; Aspiration tips with gas or fluid supply means, e.g. for supplying rinsing fluids or anticoagulants
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/71—Suction drainage systems
- A61M1/74—Suction control
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M2205/00—General characteristics of the apparatus
- A61M2205/33—Controlling, regulating or measuring
- A61M2205/3331—Pressure; Flow
- A61M2205/3344—Measuring or controlling pressure at the body treatment site
Definitions
- the present invention relates to a system for aspirating fluids from a human or animal body by means of negative pressure according to the preamble of patent claim 1, a drainage pump unit according to the preamble of patent claim 11 and a method for operating such a system according to the preamble of claim 12.
- Drainage pump systems are used for aspirating body fluids or fluids in the medical field, for example during thorax drainage or during wound drainage, but also during or after surgical interventions or during the aspiration of body fats.
- These systems typically include a suction or vacuum pump, one or more fluid collection containers, and a drainage tube connection between the patient and the fluid collection container.
- the fluid collection container may be connected to the pump via an external vacuum hose and a water lock, as for example in WO 03/103747 is disclosed. However, it may also be releasably attached to the housing of the drainage pump, as proposed for example in US 2009/0163882 and US 2009/0157019.
- the vacuum line runs inside the pump housing. It is also known to guide a service line from the pump to the patient in addition to the drainage line.
- a double-lumen tube is used, wherein a first lumen forms the drainage line and the second lumen is an air line which opens into the drainage line at the patient-side end.
- this lumen can be used as a measuring line to determine flow or pressure differences.
- a service line connected to the patient-side end of the drainage tube is also used to rinse the drainage line in order to avoid or eliminate occlusions of the line by sucked-in fluid lumps or tissue.
- US 2011/0071415 also shows a drainage tube and a separate flushing line.
- WO 2010/126444 and WO 2011/037524 relate to a wound drainage system with a flushing line and an additional pump. This second pump is used to draw air from the fluid collection reservoir through the purge line to the wound and from there through the drainage line back into the fluid collection reservoir.
- the system according to the invention for aspirating fluids from a body by means of negative pressure comprises: a drainage line for discharging the fluid from the body, a fluid collecting container connected to the drainage line for collecting the extracted fluid, a pump for generating the negative pressure used for aspirating the fluid in the Drainage line and an auxiliary line whose proximal end is in fluid-communicating connection with a proximal end of the drainage line.
- a closed or approximately closed circuit is present or can be generated in the system which connects this pump, the auxiliary line, the drainage line and the fluid collection container and through which air or a liquid can be pumped, wherein the auxiliary line can be used for flushing the drainage tube.
- a two-way valve is provided in the system to form the closed or approximately closed circuit, the two-way valve having a first position in which the connection between the pump and the auxiliary line is broken, so that air sucked out by the pump is discharged into the environment and the circuit is open. In this position, a negative pressure is built up in the fluid collection container and in the drainage line and so the body fluid from the
- the circuit is usually only approximately closed, because the drainage line terminates in a connecting piece, which has suction openings to the wound through which wound fluid can be sucked.
- the drainage line and the auxiliary line terminate in a common catheter or other common fitting.
- catheters and fittings are known in the art.
- the drainage pump unit according to the invention for use in a system according to the invention has a suction pump for generating a negative pressure used for the suction of a fluid, which can be applied in a drainage line which can be connected to the drainage pump unit.
- the Drainage pump unit is connectable to an auxiliary line whose proximal end is in fluidkommunipreparingder connection with a proximal end of the drainage line.
- the drainage pump unit further comprises a two-way valve, the two-way valve serving in a first position for venting the suction pump in the environment and in a second position for connecting the suction pump with the auxiliary line. In this second position of the two-way valve, the auxiliary line for flushing the drainage tube is used.
- This drainage pump unit may comprise the suction pump and its control. Preferably, it also comprises one or more fluid collection containers, which can be fastened to the housing of the suction pump. Preferably, this drainage pump unit is designed as a portable device.
- a connection is created between the pump and the auxiliary line, through which air flows from the pump through the auxiliary line.
- an approximately closed circuit is created, which connects this pump, the auxiliary line, the drainage line and the fluid collection container with each other, which air is pumped through the drainage line into the fluid collection container, whereby the drainage line is cleaned.
- a liquid may also be pumped from the pump through the auxiliary line to clean the drainage line.
- a salt solution is suitable.
- Air which the vacuum pump discharges into the environment when the circuit is open is now pumped into the auxiliary line.
- the speed of the pump controls the speed (intensity) of the air flow without affecting the pressure level. No external air is used for the flushing. This is particularly desirable in a hospital environment because the risk of introducing external germs into the wound is minimized. However, it is also possible to pump a liquid through the auxiliary line to the drainage line instead of air so as to purify the system. It is a further object of the invention to provide a system and method by which pressure in the region of the body cavity can be measured.
- a pressure sensor it is easy to determine the pressure in the area of the wound or another body cavity.
- the drainage line is first rinsed as described above and then the pressure in the drainage line and thus also in the cavity of the body is measured when the pump is switched off.
- the pressure sensor can be arranged on the container-side outlet of the pump, between fluid collection container and pump, in the fluid collection container or in the drainage line.
- the sensor is arranged between the pump and the fluid collection container. It is thus not necessary to arrange a sensor near the wound or in the area of the auxiliary line. It is possible to use the same pressure sensor, which also monitors the operation of the pump during the drainage process.
- a blockage can be easily recognized. If the pressure at the pressure sensor rises when flushing, the closed circuit is not free and a blockage must be rectified.
- the flushing and also preferably the pressure measurement is automatic and repetitive.
- the appropriate control of the two-way valve can be done via the control of the pump. It is also advantageous that only one valve must be actuated and not further pumps or other components are involved. This simplification reduces development and manufacturing costs, increases the reliability in use and reduces any maintenance work.
- the system according to the invention thus successfully removes secretion blockages from the tube system, offers active prevention of blockages, detects existing blockages and makes possible a relatively accurate pressure measurement in the region of the body cavity or the wound.
- the system according to the invention is particularly suitable as a wound drainage system, as a cardiodrainage system and as a chest drainage system.
- a wound drainage system as a cardiodrainage system and as a chest drainage system.
- other applications mentioned above are also possible.
- Further embodiments and variants of the method according to the invention are specified in the dependent claims.
- Figure 1 is a schematic representation of the inventive system in
- Figure 2 is a schematic representation of the inventive system in
- FIG. 1 shows the system according to the invention during wound drainage.
- the system comprises a suction pump 1, preferably a motor-driven electric vacuum pump, in particular a diaphragm pump of known type.
- a fluid collection container 2 is connected to a first outlet of the suction pump 1, so that a negative pressure generated by the pump is applied in the container 2 .
- the filter 20 is of known type, in particular it is an overflow and / or bacterial and / or odor filter.
- the container 2 may be located outside of the pump housing or it may be releasably secured thereto.
- a drainage line 3 opens into the fluid collection container 2, this line 3 the Interior of the container 2 connects to a cavity of a human or animal body.
- the cavity in this example is a wound on which a wound covering W is attached.
- the drainage line 3 leads into this wound covering W or is attached to a coupling piece arranged thereon.
- the drainage line 3 can be inserted in the container 2 by means of a suitable connection part. However, it can also, as is known from the above-mentioned prior art, be inserted via a suitable coupling part in the housing of the pump 1 and releasably connected to the container 2.
- a pressure sensor 4 for measuring the pressure in the vacuum line 10 and thus also in the drainage line 3 is arranged.
- the sensor 4 can also be arranged at a different location as long as its position is suitable for measuring the pressure in the drainage line 3.
- the pump 1 is connected at a second output to an input 60 of a two-way valve 6.
- a connection from the input 60 to a first output 61 of the valve 6 is created.
- This output 61 forms the vent or the exhaust of the system or he performs a vent line 7 to such an exhaust.
- the pump operates as a vacuum pump, wherein a negative pressure in the fluid collection container 2 and in the drainage line 3 is applied and fluids and secretions are sucked from the wound in the container 2.
- the extracted secretion is provided with the reference numeral 21 in FIG.
- the two-way valve 6 has a second output 62.
- an auxiliary line 5 also called flushing line, connected.
- This auxiliary conduit 5 also leads to the wound, being in fluid communication with the wound end of the drainage conduit 3 at its wound end. Preferably, both of these ends merge into a common wound fitting.
- Connectors are known from the prior art.
- the auxiliary line 5 and the drainage line 3 may be two completely separate hoses, in particular made of silicone. However, it is also possible that the two tubes are at least partially attached to each other. Preferably, however, a double-lumen tube is used, with a first lumen forming the drainage line 3 and a second lumen forming the auxiliary line 5.
- the auxiliary line 5 preferably has a smaller inner diameter than the drainage line 3.
- the auxiliary line 5 can also serve other purposes, for example, for introducing liquids and medicaments into the cavity. For this purpose, a separate and lockable input, not shown here, may be present in the auxiliary line 5.
- At least one filter 50 of known type is arranged in the flushing line 5 in order to prevent contamination of the pump or the wound.
- the filter 50 may be disposed at the second output 62 of the two-way valve 6.
- valves which are preferably electronically actuated and which have an input and two selectively and alternately connectable to the input outputs. If the two-way valve 6 is now in its second position, the connection between the input 60 and the first output 61 is interrupted, but the connection between the input 60 and the second output 62 is established. It is thereby formed a closed circuit of the lines 3, 5, 10. Only the openings of the catheter or the connection piece are still present.
- the circuit extends from the vacuum pump 1 via the two-way valve 6 and the auxiliary line 5 to the wound end of the auxiliary line 5 and from there via the drainage line 3 back to the fluid collection 2, the vacuum line 10 and the pump 1.
- the transition from the auxiliary line 5 to the drainage line 3 are located at a small distance from the end of the drainage line 3 or directly at this end.
- a pressure measurement in the cavity, in particular in the wound can be carried out.
- the pump 1 is stopped and the pressure is measured statically with the pump-internal pressure sensor 4.
- the rinsing is preferably carried out continuously or periodically at different Lucas What. Liquid velocities.
- the rinsing time can be a few seconds to a few minutes, in particular during periodic operation.
- the rinse can be triggered manually by a user.
- the control of the system is designed so that it is automatically rinsed repeatedly during a drainage process at defined intervals.
- FIG. 2 shows the system according to the invention in an application in thorax or cardiodrainage.
- the system is the same. Identical parts are provided with the same reference numerals.
- the drainage line 3 and the auxiliary line 5 end here in a catheter.
- two different catheter types Kl and K2 are shown. Other types of couplings or catheters may also be used.
- the inventive system prevents and removes blockages in the drainage line and also allows a relatively accurate measurement of the negative pressure in the body cavity. LIST OF REFERENCE NUMBERS
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- Health & Medical Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Biomedical Technology (AREA)
- Hematology (AREA)
- Veterinary Medicine (AREA)
- Vascular Medicine (AREA)
- Engineering & Computer Science (AREA)
- Anesthesiology (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Surgery (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Pulmonology (AREA)
- External Artificial Organs (AREA)
Priority Applications (5)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| BR112013033015A BR112013033015A2 (pt) | 2011-06-23 | 2012-06-14 | sistema para aspiração de fluidos, unidade de bomba de drenagem e método para a operação de um sistema |
| EP12728368.7A EP2723413B1 (de) | 2011-06-23 | 2012-06-14 | System zum absaugen von fluiden aus einem körper mittels unterdruck |
| CN201280031000.7A CN103648537B (zh) | 2011-06-23 | 2012-06-14 | 用于借助于负压从身体中吸出流体的系统 |
| JP2014516147A JP6325440B2 (ja) | 2011-06-23 | 2012-06-14 | 陰圧の手段によって身体から流動体を吸引するためのシステム |
| US14/127,428 US10076592B2 (en) | 2011-06-23 | 2012-06-14 | System for aspirating fluids from a body using negative pressure |
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CH10642011 | 2011-06-23 | ||
| CH1064/11 | 2011-06-23 |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| WO2012174672A1 true WO2012174672A1 (de) | 2012-12-27 |
Family
ID=46320719
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| PCT/CH2012/000132 Ceased WO2012174672A1 (de) | 2011-06-23 | 2012-06-14 | System zum absaugen von fluiden aus einem körper mittels unterdruck |
Country Status (6)
| Country | Link |
|---|---|
| US (1) | US10076592B2 (enExample) |
| EP (1) | EP2723413B1 (enExample) |
| JP (1) | JP6325440B2 (enExample) |
| CN (1) | CN103648537B (enExample) |
| BR (1) | BR112013033015A2 (enExample) |
| WO (1) | WO2012174672A1 (enExample) |
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| CN104815385A (zh) * | 2015-04-23 | 2015-08-05 | 广州新诚生物科技有限公司 | 多功能负压引流系统 |
| US9474654B2 (en) | 2008-08-08 | 2016-10-25 | Smith & Nephew, Inc. | Wound dressing of continuous fibers |
| US9801985B2 (en) | 2007-12-06 | 2017-10-31 | Smith & Nephew Plc | Apparatus for topical negative pressure therapy |
| US9889241B2 (en) | 2009-06-01 | 2018-02-13 | Smith & Nephew, Inc. | System for providing continual drainage in negative pressure wound therapy |
| US9956389B2 (en) | 2010-12-22 | 2018-05-01 | Smith & Nephew, Inc. | Apparatuses and methods for negative pressure wound therapy |
| US10010658B2 (en) | 2013-05-10 | 2018-07-03 | Smith & Nephew Plc | Fluidic connector for irrigation and aspiration of wounds |
| US10035006B2 (en) | 2005-04-27 | 2018-07-31 | Smith & Nephew Plc | Wound treatment apparatus and method |
| US10076594B2 (en) | 2015-05-18 | 2018-09-18 | Smith & Nephew Plc | Fluidic connector for negative pressure wound therapy |
| US10076449B2 (en) | 2012-08-01 | 2018-09-18 | Smith & Nephew Plc | Wound dressing and method of treatment |
| CN108904900A (zh) * | 2018-07-12 | 2018-11-30 | 李艳丽 | 一种胸外科护理防堵引流监控系统 |
| US10406036B2 (en) | 2009-06-18 | 2019-09-10 | Smith & Nephew, Inc. | Apparatus for vacuum bridging and/or exudate collection |
| EP3407956A4 (en) * | 2016-03-03 | 2019-09-18 | Esculon, LLC | DEVICES AND METHOD FOR MANAGING THORAX DRAINAGE |
| US10667955B2 (en) | 2012-08-01 | 2020-06-02 | Smith & Nephew Plc | Wound dressing and method of treatment |
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| EP3354243A1 (en) | 2007-11-21 | 2018-08-01 | Smith & Nephew PLC | Wound dressing |
| US8366692B2 (en) | 2008-01-08 | 2013-02-05 | Richard Scott Weston | Sustained variable negative pressure wound treatment and method of controlling same |
| WO2012122267A1 (en) | 2011-03-07 | 2012-09-13 | Theranova, Llc | Sensing foley catheter |
| WO2012006625A2 (en) | 2010-07-09 | 2012-01-12 | Velomedix, Inc. | Method and apparatus for pressure measurement |
| US9962516B2 (en) | 2010-09-09 | 2018-05-08 | University Of Florida Research Foundation, Incorporated | Context-sensitive flow interrupter and drainage outflow optimization system |
| GB201015656D0 (en) | 2010-09-20 | 2010-10-27 | Smith & Nephew | Pressure control apparatus |
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- 2012-06-14 BR BR112013033015A patent/BR112013033015A2/pt not_active IP Right Cessation
- 2012-06-14 JP JP2014516147A patent/JP6325440B2/ja active Active
- 2012-06-14 EP EP12728368.7A patent/EP2723413B1/de active Active
- 2012-06-14 CN CN201280031000.7A patent/CN103648537B/zh active Active
- 2012-06-14 US US14/127,428 patent/US10076592B2/en active Active
- 2012-06-14 WO PCT/CH2012/000132 patent/WO2012174672A1/de not_active Ceased
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| US11298453B2 (en) | 2003-10-28 | 2022-04-12 | Smith & Nephew Plc | Apparatus and method for wound cleansing with actives |
| US10035006B2 (en) | 2005-04-27 | 2018-07-31 | Smith & Nephew Plc | Wound treatment apparatus and method |
| US11147714B2 (en) | 2005-04-27 | 2021-10-19 | Smith & Nephew Plc | Wound treatment apparatus and method |
| US9801985B2 (en) | 2007-12-06 | 2017-10-31 | Smith & Nephew Plc | Apparatus for topical negative pressure therapy |
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| US10828404B2 (en) | 2009-06-01 | 2020-11-10 | Smith & Nephew, Inc. | System for providing continual drainage in negative pressure wound therapy |
| US10406036B2 (en) | 2009-06-18 | 2019-09-10 | Smith & Nephew, Inc. | Apparatus for vacuum bridging and/or exudate collection |
| US11247034B2 (en) | 2010-12-22 | 2022-02-15 | Smith & Nephew, Inc. | Apparatuses and methods for negative pressure wound therapy |
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| US10076449B2 (en) | 2012-08-01 | 2018-09-18 | Smith & Nephew Plc | Wound dressing and method of treatment |
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| US11864981B2 (en) | 2012-08-01 | 2024-01-09 | Smith & Nephew Plc | Wound dressing and method of treatment |
| US10667955B2 (en) | 2012-08-01 | 2020-06-02 | Smith & Nephew Plc | Wound dressing and method of treatment |
| US10010658B2 (en) | 2013-05-10 | 2018-07-03 | Smith & Nephew Plc | Fluidic connector for irrigation and aspiration of wounds |
| US11439741B2 (en) | 2013-05-10 | 2022-09-13 | Smith & Nephew Plc | Fluidic connector for irrigation and aspiration of wounds |
| CN104815385A (zh) * | 2015-04-23 | 2015-08-05 | 广州新诚生物科技有限公司 | 多功能负压引流系统 |
| WO2016169146A1 (zh) * | 2015-04-23 | 2016-10-27 | 广州新诚生物科技有限公司 | 多功能负压引流系统 |
| US11154649B2 (en) | 2015-05-18 | 2021-10-26 | Smith & Nephew Plc | Fluidic connector for negative pressure wound therapy |
| US10076594B2 (en) | 2015-05-18 | 2018-09-18 | Smith & Nephew Plc | Fluidic connector for negative pressure wound therapy |
| US12042361B2 (en) | 2015-05-18 | 2024-07-23 | Smith & Nephew Plc | Fluidic connector for negative pressure wound therapy |
| EP3407956A4 (en) * | 2016-03-03 | 2019-09-18 | Esculon, LLC | DEVICES AND METHOD FOR MANAGING THORAX DRAINAGE |
| CN108904900A (zh) * | 2018-07-12 | 2018-11-30 | 李艳丽 | 一种胸外科护理防堵引流监控系统 |
Also Published As
| Publication number | Publication date |
|---|---|
| CN103648537B (zh) | 2016-11-09 |
| US20140194835A1 (en) | 2014-07-10 |
| CN103648537A (zh) | 2014-03-19 |
| JP2014519930A (ja) | 2014-08-21 |
| EP2723413B1 (de) | 2017-10-25 |
| US10076592B2 (en) | 2018-09-18 |
| JP6325440B2 (ja) | 2018-05-16 |
| EP2723413A1 (de) | 2014-04-30 |
| BR112013033015A2 (pt) | 2019-09-24 |
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