CN2546045Y - Multifunction rhinobyon - Google Patents
Multifunction rhinobyon Download PDFInfo
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- CN2546045Y CN2546045Y CN 02231044 CN02231044U CN2546045Y CN 2546045 Y CN2546045 Y CN 2546045Y CN 02231044 CN02231044 CN 02231044 CN 02231044 U CN02231044 U CN 02231044U CN 2546045 Y CN2546045 Y CN 2546045Y
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- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 claims abstract description 64
- 239000001301 oxygen Substances 0.000 claims abstract description 64
- 229910052760 oxygen Inorganic materials 0.000 claims abstract description 64
- 230000002146 bilateral effect Effects 0.000 claims abstract description 17
- 238000005192 partition Methods 0.000 claims abstract description 5
- 239000007789 gas Substances 0.000 claims description 7
- 239000004033 plastic Substances 0.000 claims description 4
- 238000006213 oxygenation reaction Methods 0.000 claims description 2
- 238000002640 oxygen therapy Methods 0.000 abstract description 23
- 238000012544 monitoring process Methods 0.000 abstract description 11
- 239000003814 drug Substances 0.000 abstract description 8
- 229940079593 drug Drugs 0.000 abstract description 8
- 238000002664 inhalation therapy Methods 0.000 abstract description 7
- 206010028735 Nasal congestion Diseases 0.000 description 11
- 238000010586 diagram Methods 0.000 description 9
- 238000000034 method Methods 0.000 description 7
- 210000003928 nasal cavity Anatomy 0.000 description 6
- 210000003128 head Anatomy 0.000 description 5
- 239000002390 adhesive tape Substances 0.000 description 4
- 238000005070 sampling Methods 0.000 description 4
- 208000028399 Critical Illness Diseases 0.000 description 2
- 230000006378 damage Effects 0.000 description 2
- 238000002651 drug therapy Methods 0.000 description 2
- 210000004400 mucous membrane Anatomy 0.000 description 2
- 206010014989 Epidermolysis bullosa Diseases 0.000 description 1
- 206010020880 Hypertrophy Diseases 0.000 description 1
- 206010028748 Nasal obstruction Diseases 0.000 description 1
- 206010040007 Sense of oppression Diseases 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 238000012377 drug delivery Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 230000000622 irritating effect Effects 0.000 description 1
- 230000007774 longterm Effects 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 210000003097 mucus Anatomy 0.000 description 1
- 210000002850 nasal mucosa Anatomy 0.000 description 1
- 210000000492 nasalseptum Anatomy 0.000 description 1
- 230000036387 respiratory rate Effects 0.000 description 1
- 230000028327 secretion Effects 0.000 description 1
- 230000037380 skin damage Effects 0.000 description 1
- 210000001584 soft palate Anatomy 0.000 description 1
- 230000004936 stimulating effect Effects 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
- 210000001944 turbinate Anatomy 0.000 description 1
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Abstract
本实用新型涉及一种医用多功能鼻塞,其包括:一多功能鼻塞接头,在其一侧有插入病人双侧鼻孔的两个鼻孔导管,主体内部有一隔板,能够将主体管腔相互分隔开,在主体的另一侧有一多功能特殊专用接头,与鼻孔导管之一相通,在多功能特殊专用接头的头部有帽塞,在主体管腔的两端为两个给氧结合口,分别与两根给氧导管的远端相连接;两根给氧导管;一三通控制装置,其上有两个接口,分别与两根给氧导管的近端相连接,另一接口与供氧装置的供气管相连接,通过旋转三通控制装置的开关即可实现双侧或单侧鼻孔给氧;一固定装置,套在两根给氧导管外,且可移动,多功能鼻塞可用于进行单纯氧治疗,也可用于氧治疗与CO2监测或与药物吸入治疗同时进行。
The utility model relates to a medical multifunctional nasal plug, which comprises: a multifunctional nasal plug connector, on one side of which there are two nostril catheters inserted into the patient's bilateral nostrils, and a partition inside the main body, which can separate the main lumen from each other On the other side of the main body, there is a multi-functional special joint, which communicates with one of the nostril catheters. There is a cap plug on the head of the multi-functional special special joint, and there are two oxygen supply ports at both ends of the main body lumen. , respectively connected to the far ends of the two oxygen supply catheters; two oxygen supply catheters; a three-way control device with two interfaces on it, which are respectively connected to the proximal ends of the two oxygen supply catheters, and the other interface is connected to the proximal ends of the two oxygen supply catheters. The air supply pipes of the oxygen supply device are connected, and the oxygen supply can be realized by rotating the switch of the three-way control device; a fixed device, which is set outside the two oxygen supply catheters, is movable, and the multifunctional nasal plug can be used It can be used for oxygen therapy alone, it can also be used for oxygen therapy and CO 2 monitoring, or it can be used simultaneously with drug inhalation therapy.
Description
技术领域technical field
本实用新型涉及一种医疗器械,特别是一种医用多功能鼻塞。The utility model relates to a medical device, in particular to a medical multifunctional nasal plug.
背景技术Background technique
在医院里经常需要给病人吸氧或进行氧治疗,现有的给氧装置有两种,一种是鼻导管,另一种是普通鼻塞。Often need to inhale oxygen or carry out oxygen treatment to patient in hospital, existing oxygen supply device has two kinds, and a kind of is nasal cannula, and another kind is common nasal obstruction.
鼻导管法是一种简单实用且最能稳定提高吸入氧浓度的方法,如图8所示,一般将质地柔软、前端多孔(以分散气流冲力、保护粘膜)、内径2毫米的胶管或导尿管,经一侧鼻孔缓慢插入达软腭水平,深约8~10厘米,用胶布固定后给氧。其优点是:结构简单、易于使用和病人可以耐受等,目前仍是最常用的氧输送装置。其缺点是:①两个鼻孔需交替使用;②不宜双侧鼻腔同时进行氧治疗;③鼻导管对患者鼻腔具有较强刺激作用;④由于鼻导管插入的位置较深,故可增加管腔被呼吸道粘液堵塞的机会。⑤需要采用胶布固定。Nasal cannula is a simple and practical method that can most stably increase the concentration of inhaled oxygen. As shown in Figure 8, a rubber tube or catheter with a soft texture and a porous front end (to disperse the force of the airflow and protect the mucous membrane) with an inner diameter of 2 mm is generally used. The tube is slowly inserted through one nostril to the level of the soft palate, about 8 to 10 cm deep, fixed with adhesive tape and given oxygen. Its advantages are: simple structure, easy to use and patient tolerance, etc. It is still the most commonly used oxygen delivery device. Its disadvantages are as follows: ①Two nostrils need to be used alternately; ②It is not suitable for bilateral nasal cavities to receive oxygen therapy at the same time; ③The nasal cannula has a strong stimulating effect on the nasal cavity of the patient; Chances of mucus blockage in the airways. ⑤ It needs to be fixed with adhesive tape.
普通鼻塞有单侧或双侧两型,单侧鼻塞的基本结构如图9之A所示。双侧鼻塞的基本结构如图9之C和D所示,给氧导管7与双侧鼻孔导管相通,在鼻塞接头内部并无中间的隔板,亦无给氧导管的控制装置。其优点是:连接和使用方法简便,带有简单的固定装置,双侧鼻孔采用两个鼻孔导管,不影响口腔护理与进食,设计紧凑,使用方便。其缺点是:①单侧鼻塞(如图9之B所示)上多无固定装置,使用时需用胶布进行粘贴,故去除时患者的不适感明显;②使用普通鼻塞进行氧治疗时,不能同时进行PETCO2监测和吸入药物治疗。如果危重症病人需要同时进行PETCO2监测,需采用单侧鼻塞进行氧治疗,而将CO2监测仪的采样管51直接放置在另一侧鼻前庭或鼻腔内,并用胶布固定,如图10单侧鼻塞氧治疗和PETCO2监测同时应用的示意图所示。如果患者是采用双侧普通鼻塞进行氧治疗,在进行PETCO2监测和吸入药物治疗时,则需要暂停氧治疗;③在目前所用的普通鼻塞中,其鼻孔导管的内径较细,在成年人使用较高氧流量时,由于气流速度较快,故对患者鼻腔具有刺激作用,病人的不适感明显;④型号单一,多为两种型号,故多不适用于婴幼儿和特大体型的成年人;⑤常用硬塑料制成,可对鼻孔造成压迫,不宜长期使用,尤其是在所用普通鼻塞型号较大的情况下。Ordinary nasal congestion has two types: unilateral or bilateral. The basic structure of unilateral nasal congestion is shown in Figure 9-A. The basic structure of the bilateral nasal congestion is shown in C and D of Figure 9. The
发明内容Contents of the invention
本发明的目的在于克服现有技术的不足与缺陷,提出一种多功能鼻塞,其型号全,连接和使用方法简便,带有特殊的固定装置,双侧鼻孔采用不同的鼻孔导管,可在不中断氧治疗的情况下,进行PETCO2监测和药物吸入治疗。The purpose of the present invention is to overcome the deficiencies and defects of the prior art, and propose a multifunctional nasal plug, which has complete models, easy connection and use methods, special fixing devices, and different nostril catheters for bilateral nostrils. In case of interruption of oxygen therapy, PET CO 2 monitoring and drug inhalation therapy were performed.
为实现上述目的,本实用新型采取下述技术方案。In order to achieve the above object, the utility model adopts the following technical solutions.
一种医用多功能鼻塞,其包括:A medical multifunctional nasal plug, which comprises:
一多功能鼻塞接头,其主体为一空腔管形结构,由具有一定硬度的软橡胶制成,在其一侧有插入病人双侧鼻孔的两个鼻孔导管,主体内部有一隔板,能够将主体管腔相互分隔开,在主体的另一侧有一多功能特殊专用接头,与鼻孔导管之一相通,在多功能特殊专用接头的头部有帽塞,在主体管腔的两端为两个给氧结合口,分别与两根给氧导管的远端相连接;A multifunctional nasal plug connector, the main body of which is a hollow tubular structure made of soft rubber with a certain hardness. On one side, there are two nostril catheters inserted into the patient's bilateral nostrils. There is a partition inside the main body, which can hold the main body The lumens are separated from each other. On the other side of the main body, there is a multi-functional special joint, which communicates with one of the nostril catheters. There is a cap plug on the head of the multi-functional special joint, and two ends at the two ends of the main body lumen. an oxygen supply port, respectively connected to the distal ends of the two oxygen supply catheters;
两根给氧导管,为由软塑料制成的空腔导管;Two oxygen catheters, which are hollow catheters made of soft plastic;
一三通控制装置,其上有两个接口,分别与两根给氧导管的近端相连接,另一接口与供氧装置的供气管相连接,通过旋转三通控制装置的开关即可实现双侧或单侧鼻孔给氧;A three-way control device, on which there are two interfaces, which are respectively connected to the proximal ends of the two oxygen supply catheters, and the other interface is connected to the gas supply pipe of the oxygen supply device, which can be realized by rotating the switch of the three-way control device Bilateral or unilateral nostril oxygenation;
一固定装置,为一活动性管形结构,套在两根给氧导管之外,并可在两根给氧导管上移动。A fixing device, which is a movable tubular structure, is set outside the two oxygen supply conduits and can move on the two oxygen supply conduits.
所述的鼻孔导管的长度为5~10毫米。The length of the nostril catheter is 5-10 mm.
所述的一个鼻孔导管的前端为圆钝导管状,其外径为2~3毫米。The front end of the catheter for one nostril is in the shape of a round blunt catheter with an outer diameter of 2 to 3 millimeters.
所述的另一个鼻孔导管的前端为圆钝的球形,球外径为4~9毫米。The front end of the other nostril catheter is blunt and spherical, and the outer diameter of the ball is 4-9 mm.
所述的帽塞与多功能特殊专用接头的头部通过内插式路厄锁卡结构相连接,以将多功能特殊专用接头的开口关闭。The cap plug is connected with the head of the multi-functional special-purpose joint through an inserting luer lock structure, so as to close the opening of the multi-functional special-purpose joint.
所述的三通控制装置的另一接口与供氧装置的供气管通过可拆卸式路厄锁卡结构相连接。The other interface of the three-way control device is connected with the gas supply pipe of the oxygen supply device through a detachable Luer lock structure.
所述的每根给氧导管的长度为50~60厘米。The length of each oxygen supply catheter is 50-60 centimeters.
所述的给氧导管的远端与主体管腔的两端结合口为永久性固定连接。The distal end of the oxygen supply catheter is permanently fixedly connected with the joint ports at both ends of the main body lumen.
所述的给氧导管的近端与三通控制装置的两个接口也为永久性固定连接。The proximal end of the oxygen supply catheter is also permanently fixedly connected to the two interfaces of the three-way control device.
本实用新型的优点:Advantage of the utility model:
1.连接和使用方法简便,全部使用操作过程可在5秒内完成。1. The method of connection and use is simple, and the entire operation process can be completed within 5 seconds.
2.型号全,小、中、大和特号分别适用于婴幼儿、小儿、正常成年人和体型较大的成年人。2. All models, small, medium, large and special are suitable for infants, children, normal adults and larger adults respectively.
3.带有特殊固定装置,毋需采用传统的胶布粘贴方法,卸除时病人无不适感。另外,此种固定方式亦适用于皮肤易发生损伤的患者,如大疱性表皮松解症和烧伤患者。3. Equipped with a special fixing device, no need to use the traditional tape sticking method, and the patient will not feel uncomfortable when it is removed. In addition, this fixation method is also suitable for patients with prone to skin damage, such as epidermolysis bullosa and burn patients.
4.双侧鼻孔采用不同的鼻孔导管,鼻孔导管1较细,前端呈圆钝状,故长期应用病人较为舒适,且对鼻前庭的黏膜组织损伤较轻。鼻孔导管2的前端呈球形,且有不同的外径,故可与病人的鼻孔周壁呈较紧密的结合,另外,通过三通控制装置可阻断鼻孔导管2与氧气供应装置的连接,所以外界气体对CO2监测采样的干扰较轻。4. Different nostril catheters are used for both sides of the nostril. The
5.由于鼻孔导管1和2仅是位于病人的鼻前庭,而且内径较粗,所以可减少高速氧气流对鼻腔黏膜的损伤,而且给氧效果不受鼻甲肥大和鼻中隔扭曲的影响,很少被分泌物堵塞,不存在重复呼吸问题。另外,亦不影响口腔护理与进食。5. Since
6.可在不中断氧治疗的情况下,进行药物吸入治疗,此在危重病人抢救治疗中极具临床意义。另外,由于其是直接将药物送入鼻腔内,故吸入给药治疗的效果好。6. Drug inhalation therapy can be performed without interrupting oxygen therapy, which is of great clinical significance in the emergency treatment of critically ill patients. In addition, since the drug is directly delivered into the nasal cavity, the therapeutic effect of inhalation administration is good.
7.设计紧凑,占用空间小。7. Compact design, small footprint.
8.制造材料简单,价格便宜。8. The manufacturing material is simple and the price is cheap.
9.装置中采用路厄锁卡连接装置,不仅连接紧密可靠,而且脱开连接十分快捷容易,能与目前许多供氧装置的输气管相连接。9. The luer lock connection device is used in the device, which is not only tightly connected and reliable, but also very quick and easy to disconnect, and can be connected with the gas pipelines of many current oxygen supply devices.
10.采用三通开关作为控制装置,故改变使用模式十分方便。10. The three-way switch is used as the control device, so it is very convenient to change the use mode.
附图说明Description of drawings
图1为多功能鼻塞的基本结构示意图;Fig. 1 is the basic structure schematic diagram of multifunctional nasal plug;
图2为多功能鼻塞接头的结构示意图;Fig. 2 is the structural representation of multifunctional nasal plug connector;
图3为多功能特殊专用接头头部与帽塞配合的结构示意图;Fig. 3 is a schematic diagram of the structure of the cooperation between the head of the multifunctional special joint and the cap;
图4为三通控制装置的结构示意图;Fig. 4 is the structural representation of three-way control device;
图5为多功能鼻塞在单纯氧治疗中应用的示意图;Fig. 5 is the schematic diagram of the application of multifunctional nasal congestion in simple oxygen therapy;
图6为多功能鼻塞在氧治疗和PETCO2监测中应用的示意图;Figure 6 is a schematic diagram of the application of multifunctional nasal plug in oxygen therapy and PET CO2 monitoring;
图7为多功能鼻塞在氧治疗和药物吸入治疗中应用的示意图;Figure 7 is a schematic diagram of the application of multifunctional nasal congestion in oxygen therapy and drug inhalation therapy;
图8为现有技术鼻导管给氧的示意图;Fig. 8 is the schematic diagram of prior art nasal cannula oxygen supply;
图9为现有技术普通鼻塞的结构和应用示意图;Fig. 9 is a schematic diagram of the structure and application of a common nasal plug in the prior art;
图10为现有技术单侧鼻塞氧治疗和PETCO2监测同时应用的示意图。Fig. 10 is a schematic diagram of simultaneous application of unilateral nasal congestion oxygen therapy and PET CO 2 monitoring in the prior art.
具体实施方式Detailed ways
下面结合附图和实施例详细说明本实用新型的具体实施方式。The specific implementation of the utility model will be described in detail below in conjunction with the accompanying drawings and examples.
如图1、2、3、4所示,一种医用多功能鼻塞,其包括:As shown in Figures 1, 2, 3, and 4, a medical multifunctional nasal plug comprises:
一多功能鼻塞接头1,其主体为一空腔管形结构,由具有一定硬度的软橡胶制成,在其一侧有插入病人双侧鼻孔的两个鼻孔导管11和12,主体内部有一隔板13,能够将主体管腔相互分隔开,在主体的另一侧有一多功能特殊专用接头14,与鼻孔导管12相通,在多功能特殊专用接头14的头部有帽塞15,在主体管腔的两端为两个给氧结合口16和17,分别与两根给氧导管2的远端相连接;A multifunctional
两根给氧导管2,为由软塑料制成的空腔导管;Two
一三通控制装置3,其上有两个接口31和32,分别与两根给氧导管2的近端相连接,另一接口33与供氧装置的供气管相连接,通过旋转三通控制装置的开关34即可实现双侧或单侧鼻孔给氧;A three-
一固定装置4,为一活动性管形结构,同时套在两根给氧导管2之外,并可在两根给氧导管2上移动。A fixing device 4 is a movable tubular structure, which is set outside the two
所述的鼻孔导管11和12的长度根据不同的型号为5~10毫米。The lengths of the
所述的一个鼻孔导管11的前端为圆钝导管状,其外径根据不同的型号为2~3毫米。The front end of a described
所述的另一个鼻孔导管12的前端为圆钝的球形,球外径根据不同的型号为4~9毫米。The front end of another
所述的帽塞15与多功能特殊专用接头14头部通过内插式路厄锁卡结构相连接,在不需使用特殊功能时,可以将多功能特殊专用接头14的开口关闭。The cap plug 15 is connected with the head of the multi-functional special-purpose joint 14 through an inserting Luer lock structure, and when no special function is needed, the opening of the multi-functional special-purpose joint 14 can be closed.
所述的三通控制装置3的另一接口33与供氧装置的供气管通过可拆卸式路厄锁卡结构相连接,其内部结构与图3所示相仿。The
所述的每根给氧导管2的长度根据不同的型号为50~60厘米。The length of each
所述的给氧导管2的远端与主体管腔的两端结合口16和17为永久性固定连接。The distal end of the
所述的给氧导管2的近端与三通控制装置3的两个接口31和32也为永久性固定连接。The proximal end of the
多功能鼻塞可用于进行单纯氧治疗,也可用于氧治疗与CO2监测同时进行,还可用于氧治疗与与药物吸入治疗同时进行。The multifunctional nasal plug can be used for oxygen therapy alone, or for oxygen therapy and CO2 monitoring at the same time, or for oxygen therapy and drug inhalation therapy at the same time.
如图5所示,当进行单纯氧治疗时,将多功能鼻塞一侧的两个鼻孔导管11和12分别插入病人的双侧鼻孔,将三通控制装置3的开关34旋至与双侧给氧导管2相通的状态,将接头33与氧输送装置的供气管相连接即可进行氧治疗。As shown in Figure 5, when performing oxygen therapy alone, insert the two
如图6所示,当氧治疗与CO2监测同时进行时,将多功能鼻塞一侧的两个鼻孔导管11和12分别插入病人的双侧鼻孔,将三通控制装置3的开关34旋至仅与一侧给氧导管2相通的状态(该侧给氧导管2与鼻孔导管12相通),以进行单侧鼻孔给氧。将多功能特殊专用接头14上的帽塞15卸除,将前端带路厄锁卡装置的CO2采样管51与多功能特殊专用接头14相连接,将CO2采样管58的近端连接至CO2监测仪52即可进行PETCO2和呼吸频率监测。As shown in Figure 6, when oxygen therapy and CO monitoring are carried out simultaneously, the two
在此种使用状态下,通过多功能鼻塞接头内部的挡板13和三通控制装置3可有效将双侧鼻腔进行有效分隔,从而分别实现氧治疗和PETCO2监测的目的。In this state of use, the
如图7所示,当氧治疗与与药物吸入治疗同时进行时,将多功能鼻塞一侧的两个鼻孔导管11和12分别插入病人的双侧鼻孔,将三通控制装置3的开关34旋至仅与一侧给氧导管2相通的状态,该侧给氧导管2与鼻孔导管12相通,以进行单侧鼻孔给氧。将多功能特殊专用接头14上的帽塞15卸除,将前端带路厄锁卡装置的专用给药连接管61与多功能特殊专用接头14相连接,再将专用给药连接管61的近端与定量给药装置62相连接即可。在病人吸气时启动定量给药装置62,以在氧治疗的同时进行药物吸入治疗。As shown in Figure 7, when the oxygen therapy is carried out simultaneously with the drug inhalation therapy, the two
多功能鼻塞接头1共有四种型号:小号适用于婴幼儿;中号适用于小儿患者;大号适用于正常成年患者;特大号适用于体型较大的成年患者。There are four types of multi-functional nasal plug connector 1: the small size is suitable for infants; the medium size is suitable for pediatric patients; the large size is suitable for normal adult patients; and the extra large size is suitable for larger adult patients.
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Cited By (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN102665810A (en) * | 2009-11-23 | 2012-09-12 | 皇家飞利浦电子股份有限公司 | Patient interface device with single-sided nasal component |
| US10456541B2 (en) | 2008-12-30 | 2019-10-29 | Koninklijke Philips N.V. | System and respiration appliance for supporting the airway of a subject |
| EP3506974A4 (en) * | 2016-08-31 | 2020-04-22 | Fisher&Paykel Healthcare Limited | PATIENT INTERFACE, SYSTEM AND METHOD |
| CN111297414A (en) * | 2019-11-19 | 2020-06-19 | 河北省儿童医院 | Suspension device for protecting soft palate uvula for operation and method of using the same |
| CN111658915A (en) * | 2019-07-04 | 2020-09-15 | 刘莹 | Length-adjustable ventilating device |
-
2002
- 2002-04-18 CN CN 02231044 patent/CN2546045Y/en not_active Expired - Fee Related
Cited By (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US10456541B2 (en) | 2008-12-30 | 2019-10-29 | Koninklijke Philips N.V. | System and respiration appliance for supporting the airway of a subject |
| CN102665810A (en) * | 2009-11-23 | 2012-09-12 | 皇家飞利浦电子股份有限公司 | Patient interface device with single-sided nasal component |
| US9138554B2 (en) | 2009-11-23 | 2015-09-22 | Koninklijke Philips N.V. | Patient interface device with single-sided nasal component |
| CN102665810B (en) * | 2009-11-23 | 2017-03-15 | 皇家飞利浦电子股份有限公司 | There is the patient interface device of unilateral nose piece |
| EP3506974A4 (en) * | 2016-08-31 | 2020-04-22 | Fisher&Paykel Healthcare Limited | PATIENT INTERFACE, SYSTEM AND METHOD |
| CN111658915A (en) * | 2019-07-04 | 2020-09-15 | 刘莹 | Length-adjustable ventilating device |
| CN111297414A (en) * | 2019-11-19 | 2020-06-19 | 河北省儿童医院 | Suspension device for protecting soft palate uvula for operation and method of using the same |
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