Wound hemostasis device for emergency department
Technical Field
The invention relates to the technical field of wound hemostasis, in particular to a wound hemostasis device for emergency department.
Background
Wound hemostasis is a critical and common emergency procedure in the daily work of the emergency department. The bleeding caused by the wound is complex and various, and rapid and effective hemostasis is important for saving the life of patients and reducing the occurrence rate of complications.
Through the search of the existing wound hemostasis device and method, the related technology is found to mainly comprise the following categories:
1. Traditional tourniquets, such as rubber tube tourniquets, block blood flow by encircling the limb and tightening.
2. The inflatable tourniquet adopts the air bag to inflate to generate pressure for hemostasis, and has a certain improvement on pressure control compared with the traditional tourniquet.
3. The hemostatic dressing is combined with the compression device, and the dressing with hemostatic function (such as hemostatic gauze, hemostatic powder and the like) is combined with the mechanical compression device to perform hemostasis.
The utility model relates to the technical field of medical treatment, in particular to a wound hemostasis device for emergency department, which comprises a hemostasis frame, wherein a fixing frame with a grid is arranged at the top of the hemostasis frame, and an opening is arranged in the middle of the fixing frame; an air bag is arranged on the inner wall of the hemostatic frame, a catheter connected with the air bag is arranged on the hemostatic frame, and the catheter is connected with a medical rubber ball; a magic tape is arranged at the bottom of the air bag, and hemostatic cotton is arranged at the bottom of the magic tape; the utility model solves the problems that the existing hemostatic bandage cannot be suitable for wound hemostasis without pulling out foreign matters, and the hemostatic bandage is easy to loosen, and is suitable for popularization and use;
The utility model discloses a tourniquet for limbs, which comprises a rectangular block, wherein two threaded holes are formed in the rectangular block, a fastening column is connected to the inner side wall of the threaded hole in a threaded manner, a rotary button is fixedly connected to the end part of the fastening column, a compression mechanism is rotationally connected to the other end of the fastening column, stabilizing blocks are connected to the side walls on two sides of the rectangular block through a connecting mechanism, arc-shaped blocks are fixedly connected to the bottoms of the stabilizing blocks, arc-shaped grooves are formed in the bottoms of the arc-shaped blocks, bandages are fixedly connected to the side walls of the stabilizing blocks, and a tensioning mechanism is arranged on the bandages.
The utility model discloses a hemostatic bandaging fixing device, which comprises a pressurizing bandaging pad, wherein two bandaging air bags are arranged inside the pressurizing bandaging pad, the bandaging air bags are communicated through a communication pipeline, the lower ends of the bandaging air bags are connected with an air charging and discharging mechanism, the lower ends of the pressurizing bandaging pad are connected with a proximal inflatable tourniquet, the proximal inflatable tourniquet is provided with a combined buckle and a hinge rod, the right end of the proximal inflatable tourniquet is also connected with an air charging and discharging mechanism, two ends of the pressurizing bandaging pad are provided with fastening belts, a fixing rod slot is arranged in the middle of the pressurizing bandaging pad, and a telescopic fixing rod is inserted into the fixing rod slot.
At present, in the prior art, although the hemostatic device can achieve the hemostatic function of the wound of a patient, the traditional hemostatic device does not consider the change of the body temperature of the patient and the ambient temperature, and partial wounded people can drop the body temperature due to massive bleeding when sending to emergency department, when the core body temperature is less than 36 ℃, the platelet adhesion function is reduced, the aggregation capability is weakened, the activity of blood coagulation factors is reduced, PT and APTT are prolonged, the synthesis of fibrinogen is blocked, the fibrinolytic activity is enhanced, and researches show that the low temperature of 34 ℃ can increase the blood loss by 20 percent, and under the condition, the traditional hemostatic device can reduce the hemostatic effect.
Disclosure of Invention
(One) solving the technical problems
Aiming at the defects of the prior art, the invention provides a wound hemostasis device for emergency department, which solves the problems that the traditional hemostasis device does not consider the changes of the body temperature and the environmental temperature of patients, and partial wounded persons possibly drop the body temperature due to massive bleeding when sending to the emergency department, so that the hemostasis effect is reduced.
(II) technical scheme
The wound hemostasis device for emergency department comprises an inflatable hemostasis air bag, wherein a constant-temperature film bag is fixedly connected to the lower surface of the inflatable hemostasis air bag, hemostatic gauze strips are detachably connected to the lower surface of the constant-temperature film bag, a fixing component is installed on the outer side of the inflatable hemostasis air bag, a first gas transmission pipeline is fixedly connected to one side of the upper surface of the inflatable hemostasis air bag, a gas supply component is connected to one end, far away from the inflatable hemostasis air bag, of the first gas transmission pipeline, an exhaust pipeline is fixedly connected to the other side of the upper surface of the inflatable hemostasis air bag, an exhaust valve is fixedly installed on the outer surface of the exhaust pipeline, a constant-temperature water storage tank is connected to the rear side of the constant-temperature film bag through a first liquid suction component, a saline tank body is fixedly connected to the side wall of the constant-temperature water storage tank, a second liquid suction component is connected between the constant-temperature water storage tank and the saline tank body, the second liquid suction component is connected with the constant-temperature film bag, four inner grooves are formed in the lower surface of the constant-temperature film bag, and water outlet components are installed inside the inner grooves.
Preferably, the third magic subsides of equal fixedly connected with in lower surface both sides of constant temperature film bag, one side fixedly connected with two fourth magic subsides that hemostatic gauze strip is close to constant temperature film bag, two the fourth magic subsides are located hemostatic gauze strip surface's both sides respectively, the third magic is pasted with the fourth magic subsides that correspond and is glued, is close to constant temperature film bag with hemostatic gauze strip earlier, lets third magic subsides and fourth magic paste to bond together, accomplishes hemostatic gauze strip's fixed.
Preferably, the fixing component comprises a first fixing belt and a second fixing belt, the first fixing belt is fixedly connected to one side of the inflatable hemostatic air bag, the first magic tape is fixedly connected to the upper surface of the first fixing belt, the second fixing belt is fixedly connected to the other side of the inflatable hemostatic air bag, the second magic tape is fixedly connected to the lower surface of the second fixing belt, the first magic tape is matched with the second magic tape, the inflatable hemostatic air bag and the hemostatic gauze strip are fixed to a wound through the first fixing belt and the second fixing belt, the first magic tape is adhered to the second magic tape, the first fixing belt and the second fixing belt are adhered together, and the fixing at different wounds can be realized by adjusting the adhering positions of the first magic tape and the second magic tape.
Preferably, the air supply assembly comprises a pressing air bag, the pressing air bag is fixedly connected with one end of a first air conveying pipeline, which is far away from the inflatable hemostatic air bag, a first one-way valve is fixedly arranged on the outer surface of the first air conveying pipeline, a second air conveying pipeline is fixedly connected with the outer surface of the pressing air bag, a second one-way valve is fixedly arranged on the outer surface of the second air conveying pipeline, the air inside the pressing air bag is continuously pinched to enter the inflatable hemostatic air bag through the first air conveying pipeline, the inflatable hemostatic air bag is inflated, the wounded wound is extruded, hemostatic yarn strips are tightly attached to the wounded wound, the air inside the inflatable hemostatic air bag can be discharged through the air discharging pipeline, and the pressure of the inflatable hemostatic air bag on the wounded wound is changed.
Preferably, the first liquid drawing component comprises a first liquid drawing pump, the first liquid drawing pump is fixedly connected to the top of the constant temperature water storage tank, an outlet of the first liquid drawing pump extends to the inside of the constant temperature water storage tank, an inlet of the first liquid drawing pump is fixedly connected with a first liquid drawing pipeline, one end of the first liquid drawing pipeline, which is far away from the first liquid drawing pump, is fixedly connected with the rear side of the constant temperature film bag, a first water valve is fixedly arranged on the outer surface of the first liquid drawing pipeline, the first liquid drawing pump is started, the first water valve on the first liquid drawing pipeline is opened, water inside the constant temperature film bag is drawn through the first liquid drawing pipeline, and finally the water enters the inside of the constant temperature water storage tank.
Preferably, the second liquid extraction assembly comprises a second liquid extraction pump, an inlet of the second liquid extraction pump is fixedly connected with a second liquid extraction pipeline, one end of the second liquid extraction pipeline, which is far away from the second liquid extraction pump, is fixedly connected with the side wall of the constant temperature film bag, a second water valve is fixedly arranged on the outer surface of the second liquid extraction pipeline, a third liquid extraction pipeline is fixedly connected with the side wall of the second liquid extraction pipeline, one end of the third liquid extraction pipeline, which is far away from the second liquid extraction pipeline, is fixedly connected with the side wall of the brine tank body, a third water valve is fixedly connected with the outer surface of the third liquid extraction pipeline, an outlet of the second liquid extraction pump is fixedly connected with a fourth liquid extraction pipeline, one end of the fourth liquid extraction pipeline, which is far away from the second liquid extraction pipeline, is fixedly connected with the rear side of the constant temperature film bag, a fourth water valve is fixedly arranged on the outer surface of the fourth liquid extraction pipeline, the second water valve and the fourth liquid extraction pipeline are opened, the second liquid extraction pump is started, the second liquid extraction pipeline is pumped through the second liquid extraction pipeline, one end of the second liquid extraction pipeline is far away from the constant temperature film bag, and the fourth liquid extraction pipeline is filled into the constant temperature film bag through the constant temperature film bag.
Preferably, the water outlet assembly comprises a water outlet pipeline fixedly connected inside the inner groove, the water outlet pipeline is communicated with the inner cavity of the constant temperature film bag, and an electromagnetic valve is fixedly connected to the outer surface of the water outlet pipeline.
Preferably, the constant temperature water storage tank and the inside of the brine tank body are provided with temperature sensors and heating devices, the outside of the constant temperature water storage tank and the outside of the brine tank body are provided with temperature controllers, and the temperature sensors and the heating devices are electrically connected with the temperature controllers.
(III) beneficial effects
The invention provides a wound hemostasis device for emergency department. The beneficial effects are as follows:
1. According to the invention, the second liquid pump is started, the second liquid pump pumps water in the constant-temperature water storage tank through the second liquid pump pipeline, the water enters the constant-temperature film bag through the fourth liquid pump pipeline to ensure the temperature of a wound, meanwhile, the first liquid pump is started, the first water valve on the first liquid pump pipeline is opened, the water in the constant-temperature film bag is pumped through the first liquid pump pipeline, and finally, the water enters the constant-temperature water storage tank, so that the water in the constant-temperature film bag is always in a constant-temperature state, the temperature is ensured to be close to the optimal point (about 37 ℃) of thrombin reaction, platelet aggregation and fibrin formation can be accelerated, and the method is safe and efficient, can minimize tissue damage, and speeds up hemostasis.
2. According to the invention, the second liquid pump is started, the second liquid pump pumps warm saline water in the saline tank body through the third liquid pump pipeline, the warm saline water enters the constant temperature film bag through the fourth liquid pump pipeline, the electromagnetic valve is opened, and the warm saline water in the constant temperature film bag flows onto the hemostatic gauze strip through the water outlet pipeline, so that compression hemostasis is carried out on the wound of the wounded, and the rapid hemostasis of the wounded is facilitated.
3. When the hemostatic gauze strip is used for hemostatic treatment of wounds of a wounded, the hemostatic gauze strip is firstly close to the constant-temperature film bag, the third magic tape and the fourth magic tape are bonded together to fix the hemostatic gauze strip, then the hemostatic gauze strip is attached to the wounds of the wounded, the inflatable hemostatic air bag and the hemostatic gauze strip are fixed to the wounds through the first fixing belt and the second fixing belt, the first magic tape and the second magic tape are bonded together, the first fixing belt and the second fixing belt can be bonded together, and the fixing at different wounds can be suitable by adjusting the bonding positions of the first magic tape and the second magic tape.
Drawings
Fig. 1 is a schematic overall perspective view of a wound hemostasis device for emergency department;
FIG. 2 is a schematic view of an inflatable hemostatic balloon of the trauma hemostatic device for emergency department;
fig. 3 is a schematic structural view of a hemostatic gauze strip of a traumatic hemostatic device for emergency department;
FIG. 4 is a schematic view of a constant temperature film bag structure of a wound hemostasis device for emergency department;
FIG. 5 is an enlarged schematic view of the wound hemostasis device shown in FIG. 1A for emergency department;
Fig. 6 is an enlarged schematic view of the structure of fig. 4B of the trauma hemostasis device for emergency department according to the present invention.
Wherein, 1, an inflatable hemostatic air bag; 2, a constant temperature film bag, 3, a hemostatic gauze strip, 4, a first fixing belt, 5, a first magic tape, 6, a second fixing belt, 7, a second magic tape, 8, a third magic tape, 9, a first gas transmission pipeline, 10, a pressing airbag, 11, a second gas transmission pipeline, 12, a first one-way valve, 13, a second one-way valve, 14, a gas exhaust pipeline, 15, a gas exhaust valve, 16, a first liquid pump, 17, a first liquid pumping pipeline, 18, a first water valve, 19, a constant temperature water storage tank, 20, a brine tank body, 21, a second liquid pump, 22, a second liquid pumping pipeline, 23, a third liquid pumping pipeline, 24, a second water valve, 25, a third water valve, 26, a fourth liquid pumping pipeline, 27, a fourth water valve, 28, an inner groove, 29, a water outlet pipeline, 30 and an electromagnetic valve.
Detailed Description
The following description of the embodiments of the present invention will be made clearly and completely with reference to the accompanying drawings, in which it is apparent that the embodiments described are only some embodiments of the present invention, but not all embodiments. All other embodiments, which can be made by those skilled in the art based on the embodiments of the invention without making any inventive effort, are intended to be within the scope of the invention.
Examples:
As shown in fig. 1-6, the embodiment of the invention provides a wound hemostasis device for emergency department, which comprises an inflatable hemostasis air bag 1, wherein a constant temperature film bag 2 is fixedly connected to the lower surface of the inflatable hemostasis air bag 1, a hemostatic yarn cloth strip 3 is detachably connected to the lower surface of the constant temperature film bag 2, a third magic tape 8 is fixedly connected to both sides of the lower surface of the constant temperature film bag 2, two fourth magic tapes are fixedly connected to one side of the hemostatic yarn cloth strip 3, which is close to the constant temperature film bag 2, the two fourth magic tapes are respectively positioned at both sides of the surface of the hemostatic yarn cloth strip 3, the third magic tape 8 is bonded with the corresponding fourth magic tape, the hemostatic yarn cloth strip 3 is firstly close to the constant temperature film bag 2, and the third magic tape 8 is bonded with the fourth magic tape to finish the fixation of the hemostatic yarn cloth strip 3;
The outer side of the inflatable hemostatic air bag 1 is provided with a fixing component, the fixing component comprises a first fixing belt 4 and a second fixing belt 6, the first fixing belt 4 is fixedly connected to one side of the inflatable hemostatic air bag 1, the upper surface of the first fixing belt 4 is fixedly connected with a first magic tape 5, the second fixing belt 6 is fixedly connected to the other side of the inflatable hemostatic air bag 1, the lower surface of the second fixing belt 6 is fixedly connected with a second magic tape 7, the first magic tape 5 is matched with the second magic tape 7, the inflatable hemostatic air bag 1 and hemostatic gauze strips 3 are fixed to wounds through the first fixing belt 4 and the second fixing belt 6, the first magic tape 5 is adhered to the second magic tape 7, the first fixing belt 4 can be adhered to the second fixing belt 6, and the fixing at different wounds can be realized by adjusting the adhering positions of the first magic tape 5 and the second magic tape 7;
The inflatable hemostatic air bag comprises an inflatable hemostatic air bag 1, and is characterized in that one side of the upper surface of the inflatable hemostatic air bag 1 is fixedly connected with a first air conveying pipeline 9, one end of the first air conveying pipeline 9, which is far away from the inflatable hemostatic air bag 1, is connected with an air supply assembly, the air supply assembly comprises a pressing air bag 10, the pressing air bag 10 is fixedly connected with one end of the first air conveying pipeline 9, which is far away from the inflatable hemostatic air bag 1, the outer surface of the first air conveying pipeline 9 is fixedly provided with a first one-way valve 12, the outer surface of the pressing air bag 10 is fixedly connected with a second air conveying pipeline 11, the outer surface of the second air conveying pipeline 11 is fixedly provided with a second one-way valve 13, the air in the pressing air bag 10 flows to the first air conveying pipeline 9 through continuous pinching of the pressing air bag 10, so that the inflatable hemostatic air bag 1 is inflated and expanded, the wounded part is extruded, the hemostatic yarn cloth 3 is tightly attached to the wounded part, the air in the direction of the inflatable hemostatic air bag 1 can be discharged through the air conveying pipeline 14, the pressure of the inflatable hemostatic air bag 1 on the wounded part is changed, and the second one-way valve 11 flows to the second air conveying pipeline 11;
The other side of the upper surface of the inflatable hemostatic airbag 1 is fixedly connected with an exhaust pipeline 14, the outer surface of the exhaust pipeline 14 is fixedly provided with an exhaust valve 15, the rear side of the thermostatic film bag 2 is connected with a thermostatic water storage tank 19 through a first liquid pumping assembly, the first liquid pumping assembly comprises a first liquid pumping pump 16, the first liquid pumping pump 16 is fixedly connected to the top of the thermostatic water storage tank 19, the outlet of the first liquid pumping pump 16 extends to the inside of the thermostatic water storage tank 19, the inlet of the first liquid pumping pump 16 is fixedly connected with a first liquid pumping pipeline 17, one end of the first liquid pumping pipeline 17 far away from the first liquid pumping pipeline 16 is fixedly connected with the rear side of the thermostatic film bag 2, the outer surface of the first liquid pumping pipeline 17 is fixedly provided with a first water valve 18, the side wall of the thermostatic water storage tank 19 is fixedly connected with a salt water tank body 20, the thermostatic water storage tank 19 and the inside of the salt water tank body 20 are respectively provided with a temperature sensor and a heating device, the temperature controller is respectively and electrically connected with the temperature controller and the heating device respectively, the temperature controller is respectively arranged at the outside of the thermostatic water storage tank 19 and the salt water tank body 20, the first liquid pumping pipeline 17 is opened, the first liquid pumping pipeline 17 is always connected with the first liquid pumping pipeline 17, the first liquid pumping pipeline 17 is kept into the thermostatic film bag 2, and the thermostatic water is always kept into the thermostatic water state inside the thermostatic film bag 2;
A second liquid extraction component is connected between the constant temperature water storage tank 19 and the brine tank body 20, the second liquid extraction component comprises a second liquid extraction pump 21, an inlet of the second liquid extraction pump 21 is fixedly connected with a second liquid extraction pipeline 22, one end of the second liquid extraction pipeline 22, which is far away from the second liquid extraction pump 21, is fixedly connected with the side wall of the constant temperature water storage tank 19, a second water valve 24 is fixedly arranged on the outer surface of the second liquid extraction pipeline 22, a third liquid extraction pipeline 23 is fixedly connected with the side wall of the brine tank body 20, one end of the third liquid extraction pipeline 23, which is far away from the second liquid extraction pipeline 22, is fixedly connected with a third water valve 25, an outlet of the second liquid extraction pump 21 is fixedly connected with a fourth liquid extraction pipeline 26, one end of the fourth liquid extraction pipeline 26, which is far away from the second liquid extraction pump 21, is fixedly connected with the rear side of the constant temperature film bag 2, a fourth water valve 27 is fixedly arranged on the outer surface of the fourth liquid extraction pipeline 26, a second water valve 24 on the second liquid extraction pipeline 22 and a fourth water extraction valve 27 on the fourth liquid extraction pipeline 26 are opened, one end of the third liquid extraction pipeline 23, which is far away from the second liquid extraction pipeline 22, a third water valve 25 is fixedly connected with the side wall of the brine tank 20, a third liquid extraction pipeline 21 is fixedly connected with the constant temperature water storage tank 21, and the second liquid extraction pump 21 is filled into the constant temperature water storage tank 2, which is pumped by the second liquid extraction pipeline 21, and enters into the constant temperature water storage bag 2;
The second liquid drawing component is connected with the constant temperature film bag 2, four inner grooves 28 are formed in the lower surface of the constant temperature film bag 2, a water outlet component is arranged in the inner grooves 28, the water outlet component comprises a water outlet pipeline 29 fixedly connected with the inner parts of the inner grooves 28, the water outlet pipeline 29 is communicated with the inner cavity of the constant temperature film bag 2, an electromagnetic valve 30 is fixedly connected with the outer surface of the water outlet pipeline 29, a third water valve 25 on the third liquid drawing pipeline 23 and a fourth water valve 27 on the fourth liquid drawing pipeline 26 are opened, the second liquid drawing pump 21 is started, the second liquid drawing pump 21 draws warm brine of the brine tank body 20 through the third liquid drawing pipeline 23, the warm brine enters the constant temperature film bag 2 through the fourth liquid drawing pipeline 26, and meanwhile, an electromagnetic valve 30 is opened, and the warm brine in the constant temperature film bag 2 flows onto the hemostatic gauze 3 through the water outlet pipeline 29.
Working principle:
When a wounded wound is subjected to hemostatic treatment, firstly, the hemostatic gauze strip 3 is close to the constant-temperature film bag 2, the third magic tape 8 and the fourth magic tape are bonded together to complete the fixation of the hemostatic gauze strip 3, then the hemostatic gauze strip 3 is attached to the wounded part of the wounded, the inflatable hemostatic air bag 1 and the hemostatic gauze strip 3 are fixed to the wounded part through the first fixing belt 4 and the second fixing belt 6, the first magic tape 5 and the second magic tape 7 are bonded together, the first fixing belt 4 and the second fixing belt 6 can be bonded together, and the fixing at different wounded parts can be realized by adjusting the bonding positions of the first magic tape 5 and the second magic tape 7;
The water temperature is heated to 40-60 ℃ through a heating device in the constant-temperature water storage tank 19 (adjusted according to the body temperature of a patient and the ambient temperature), the temperature controller and the temperature sensor are kept in a constant-temperature state, a second water valve 24 on a second liquid extraction pipeline 22 and a fourth water valve 27 on a fourth liquid extraction pipeline 26 are opened, a second liquid extraction pump 21 is started, the second liquid extraction pump 21 extracts water in the constant-temperature water storage tank 19 through the second liquid extraction pipeline 22, the water enters the constant-temperature film bag 2 through the fourth liquid extraction pipeline 26, the temperature of a wound is ensured, meanwhile, a first liquid extraction pump 16 is started, a first water valve 18 on the first liquid extraction pipeline 17 is opened, water in the constant-temperature film bag 2 is extracted through the first liquid extraction pipeline 17, and finally the water enters the constant-temperature water storage tank 19, so that the water in the constant-temperature film bag 2 is always in a constant-temperature state;
Through constantly pinching the pressing air bag 10, air in the pressing air bag 10 enters the inflatable hemostatic air bag 1 through the first air conveying pipeline 9, so that the inflatable hemostatic air bag 1 is inflated, the wounded part of a wounded is extruded, the hemostatic yarn cloth strips 3 are tightly attached to the wounded part, and through opening the exhaust valve 15, the air in the inflatable hemostatic air bag 1 can be discharged through the exhaust pipeline 14, and the pressure of the inflatable hemostatic air bag 1 to the wounded part is changed;
In some cases, warm saline gauze is needed to perform compression hemostasis, the water temperature is heated to 50-60 ℃ through a heating device in the saline tank body 20 (adjusted according to the body temperature of a patient and the ambient temperature), the warm saline gauze compression hemostasis at 50-60 ℃ is the optimal choice, the temperature is close to the optimal point (about 37 ℃) of thrombin reaction, a temperature controller and a temperature sensor are kept in a constant temperature state, a third water valve 25 on a third liquid drawing pipeline 23 and a fourth water valve 27 on a fourth liquid drawing pipeline 26 are opened, a second liquid drawing pump 21 is started, warm saline of the saline tank body 20 is drawn through the third liquid drawing pipeline 23, the warm saline enters the interior of the constant temperature film bag 2 through the fourth liquid drawing pipeline 26, meanwhile, an electromagnetic valve 30 is opened, the warm saline inside the constant temperature film bag 2 flows onto the hemostatic gauze 3 through a water outlet pipeline 29, the hemostatic wound is compressed, and the hemostatic gauze 3 is replaced according to the water seepage condition on the hemostatic gauze 3.
It is noted that relational terms such as first and second, and the like are used solely to distinguish one entity or action from another entity or action without necessarily requiring or implying any actual such relationship or order between such entities or actions. Moreover, the terms "comprises," "comprising," or any other variation thereof, are intended to cover a non-exclusive inclusion, such that a process, method, article, or apparatus that comprises a list of elements does not include only those elements but may include other elements not expressly listed or inherent to such process, method, article, or apparatus. Without further limitation, an element defined by the phrase "comprising a reference structure" does not exclude the presence of other like elements in a process, method, article, or apparatus that comprises the element.
Although embodiments of the present invention have been shown and described, it will be understood by those skilled in the art that various changes, modifications, substitutions and alterations can be made therein without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.