WO2017159927A1 - Appareil de drainage et de compression de sang, et bas de contention pour chirurgie monté sur celui-ci et procédé pour son enroulement - Google Patents
Appareil de drainage et de compression de sang, et bas de contention pour chirurgie monté sur celui-ci et procédé pour son enroulement Download PDFInfo
- Publication number
- WO2017159927A1 WO2017159927A1 PCT/KR2016/006652 KR2016006652W WO2017159927A1 WO 2017159927 A1 WO2017159927 A1 WO 2017159927A1 KR 2016006652 W KR2016006652 W KR 2016006652W WO 2017159927 A1 WO2017159927 A1 WO 2017159927A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- ring
- stockings
- hollow
- coated
- compression
- 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
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Images
Classifications
-
- A—HUMAN NECESSITIES
- A41—WEARING APPAREL
- A41B—SHIRTS; UNDERWEAR; BABY LINEN; HANDKERCHIEFS
- A41B11/00—Hosiery; Panti-hose
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
- A61B17/132—Tourniquets
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
- A61B17/132—Tourniquets
- A61B17/135—Tourniquets inflatable
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F13/00—Bandages or dressings; Absorbent pads
- A61F13/06—Bandages or dressings; Absorbent pads specially adapted for feet or legs; Corn-pads; Corn-rings
- A61F13/08—Elastic stockings; for contracting aneurisms
Definitions
- the present invention relates to a surgical bleeding and compression device, and more particularly, hemostasis by squeezing the upper part of the surgical site while bleeding while maximally removing the blood in the vein blood vessels of the surgical site during limb surgery and further the possibility of thrombosis during surgery and postoperative pain Significantly lower It relates to a blood transfusion and compression device.
- the present invention also relates to a surgical compression stocking method and a winding method thereof, which does not require an incision to prevent thrombi of the surgical site and expose the surgical site during limb surgery.
- a pneumatic tonicette for controlling blood flow and a cuff surrounding the limbs are used together to secure the field of view of the surgical site.
- the pneumatic tonic is tied to the upper portion of the surgical site using air pressure to secure a clear view of the bleeding surgical site, and the limb including the surgical site is wrapped with a Starinet or a cuff.
- the strong air pressure applied to the limbs by the tonicet causes serious postoperative pain in the patient after the operation, and the area where the cuff of the tonicet is wound is damaged due to pneumatic pressure and contraction of muscle fibers, resulting in more rehabilitation. Time is needed, and furthermore, it is a source of thrombus development during or after surgery.
- the bleeding and compression device that wound the compression stockings in the ring has the following problems.
- the conventional ring measures the thickness of the limbs before surgery, and selects a ring of a suitable size among rings of various sizes.
- the thickness of the ring is often not suitable according to the muscle condition of the patient, so that the desired pressure is not secured, and bleeding may occur at the surgical site.
- the present invention is to solve the above problems, more convenient and easier to remove the intravenous blood and hemostasis in a faster time, significantly lower the likelihood of thrombus occurrence during surgery and postoperative pain, and obtain the target hemostatic pressure It is a challenge to provide a bleeding and compression device that can apply additional pressure during surgery.
- the present invention is more convenient and easy to wear at a faster time, it is a problem to provide a surgical compression stocking without the need for incision of the surgical site.
- the present invention is made of a hollow ring shape having a circular cross section so as to fit in the limbs of the body, a ring made of an elastic material, provided to surround the outer circumference of the ring
- the present invention discloses a blood donor and compression device including a tightening part provided to selectively tighten the ring so that the hollow of the ring is contracted.
- the tightening unit may include a strap disposed around an outer circumferential surface of the ring, and a tightening device for tightening or loosening the strap.
- Grooves may be formed around the outer circumferential surface of the ring to accommodate the strap.
- the fastening device a hollow is formed on the inner circumferential surface is formed, the hollow is formed on one side of the opening, the housing is formed with a hole into which the strap is introduced into the hollow on the other side, the thread is engaged with the hollow of the housing is formed It may include a bolt that is inserted into the hollow inside of the housing or withdrawn to the outside while rotating, the strap is fixed to the hollow through the hole.
- It may further include a plurality of protrusions formed on the surface of the ring, protruding to stimulate the surface of the body skin when the ring is fitted to the body.
- It may further include a towing belt penetrating through the hollow of the ring, and wound around the ring to form a closed loop, by pulling one side of the closed loop so that the ring is rotated about a cross-section center.
- the surface in contact with the surface of the ring of the towing belt may be formed of a material of high friction.
- the hollow circular cross section is formed so as to have a hollow circular cross section to be applied to the distal end of the body limbs, which one end is opened, is provided to press the surface of the body limbs while being coated, formed separately from the stockings, the hollow circular cross section It may further include a surgical compression stockings including a starkine which is open at both ends, is coated on the upper side of the site where the stockings are coated, and is provided to cover the body surface of the area where the stockings are coated.
- the stockings are formed to have a hollow circular cross section to be applied to the distal end of the body limbs, and one end is opened, and provided to press the surface of the body limbs while being coated, separately from the stockings It is formed, has a circular circular cross-section, both ends are open, is coated on the upper side of the area to which the stockings are applied, surgical compression stockings comprising a starkinenet provided to cover the body surface of the area to be coated is provided do.
- a surgical compression stockings having a circular cross-section is coated on the upper side of the site where the stockings are coated, including a starkine provided to cover the body surface of the area to be coated, the reverse step of inverting the inside and outside of the starkinenet Inserting the stocking into the hollow of the inverted starkinnet; matching step of matching the open end of the inserted stocking with the open end of the inverted starchynet; Including winding step of winding, wherein the winding step is wound for surgery while the inner side of the stockings are rotated to the outside The winding method of nights stocking is provided.
- the conventional ring is a stocking or a starkinnet wound integrally when wearing the tights surrounding the ring to interfere with the expansion of the ring was worn, but the present invention is a compression stocking and the ring is separated, so when wearing the ring It is easier to wear because it is not hindered by compression stocking, and the stockings can be worn first to open the valve of blood vessels, and the blood in the vessels can be easily removed by using the appropriate pressure of the ring. .
- the protrusions formed on the ring can be pressed more precisely to the muscle surrounding the blood vessels can be removed by pressing the blood in the blood vessels.
- the present invention uses silicone having excellent elasticity alone, so that one size ring can cope with a wide range of limb thickness or various human flexion.
- the ring after wearing the ring, the ring can be tightened through the tightening part and additional pressure can be applied to obtain a desired hemostatic effect.
- the multiple-stranded thin wire is rolled up and rolled up with the starchynet and the ring in reverse, and a lot of force is required to pull the narrowed interior due to the thickly rolled starkynet, but the present invention has A wide towing belt is used and the inner surface of the loop that contacts the ring surface is made of a material with high friction, which makes the ring towing easier.
- FIG. 1 is a perspective view showing a blood transfusion and compression device of the present invention
- FIG. 2 is a side view of the ring of FIG. 1;
- FIG. 3 is an exploded perspective view showing the tightening device of FIG.
- FIG. 4 is a cross-sectional view showing when the fastening device is released and the strap is loosened;
- Fig. 5 is a sectional view showing when the tightening device is tightened and the strap is tightened.
- Figure 6 is a perspective view showing a blood transfusion and compression device equipped with another form of the tightening device of this embodiment
- FIG. 7 is an exploded perspective view of FIG. 6;
- FIG. 8 is a perspective view of another embodiment of the ring of FIG. 1;
- FIG. 9 is a perspective view of another embodiment of the ring of FIG. 1;
- FIG. 10 is a perspective view showing a state in which the towing belt is provided in the ring of FIG.
- FIG. 11 is a side view illustrating the towing of the ring through the towing belt of FIG. 9;
- FIG. 12 is a side view illustrating a state in which the blood and compression apparatus of FIG. 1 is worn on a body to tighten a surgical site;
- Figure 13 is a side view of the compression stocking of the present invention.
- FIG. 15 is a perspective view showing a state in which a starkeynet is reversed in an inversion step
- FIG. 16 is a side view of the starkinnet and stockings reversed through the inversion of FIG. 15; FIG.
- FIG. 17 is a side view illustrating a state where a stocking is inserted into the inside of the starkinnet of FIG. 16 and the ends thereof are matched in the matching step;
- 18 is a side view showing the stocking and the starkinnet being rolled up in the winding-up step
- 19 is a perspective view of a surgical compression tights complete winding
- 20 is a side view showing a state where pressure stockings are applied to the legs of the body
- 21 is a side view showing the compression stocking completed wearing.
- the blood donor and compression device may include a ring 110 and a tightening part 120.
- the ring 110 may be formed of a material having elasticity and flexibility, such as silicone, rubber, synthetic resin, and the like.
- the ring 110 has a circular cross section and is formed in a donut-shaped annular shape to form a hollow 112 in the center, and the limbs such as arms or legs of the body may be fitted into the hollow 112.
- the ring 110 may be pressed from the lower or lower arm of the arm or leg of the body to rise toward the upper limb or upper arm and press the inserted portion of the body by its elasticity to push the blood upward.
- the tightening unit 120 is provided to surround the outer circumference of the ring, the hollow 112 of the ring 110 may be provided to tighten the ring 110 to compress the body part is inserted into the contraction. have.
- the tightening unit 120 may include a strap 122 and a tightening device 124.
- a groove 114 in which the strap 122 is accommodated may be formed around the outer circumferential surface of the ring 110.
- the strap 122 is roundly disposed around the outer circumferential surface of the ring 110 and may be disposed to be accommodated in the groove 114.
- the tightening device may include a housing 126 and a bolt 128, as shown in FIG.
- the housing 126 has a hollow in which a thread is formed on an inner circumferential surface thereof, and one side of the hollow is opened to allow the bolt 128 to be inserted therein, and the other side of the hollow is introduced into the hollow in which the strap 122 is introduced. Holes may be formed.
- the bolt 128 has a screw thread formed on an outer circumferential surface thereof so as to be engaged with the hollow of the housing 126, and a strap 122 drawn into the hollow of the housing 126 may be fixed.
- the head 129 may be formed at the other end of the bolt 128 so as to be easily held and turned by hand.
- the bolt 128 may be drawn into the housing 126 or withdrawn outside the housing 126 while being in reverse rotation.
- the strap 122 is loosened or taut as the bolt 128 is pulled into or out of the housing 126. 110 may be tightened.
- the tightening device 124 can be made of another configuration as long as the strap 122 can be pulled and fixed in addition to the housing 126 and the bolt 128, the present invention is not limited to the tightening device.
- the tightening device may be formed in other forms as shown in FIGS. 6 and 7.
- the shoelace tightening device includes a base member 300, a winding member 400 rotatably installed on the base member 300, and a base member 300 to cover the winding member 400. It may include a rotary cover unit 500 and a latch unit 600 that is rotatably installed.
- the base member 300 may form a base on which the above-described winding member 400, the rotary cover unit 500, and the latch unit 600 are installed.
- winding member 400 may be rotatably installed on the base member 300, has a driven gear 420 on an inner circumference, and the strap 122 may be a member wound around an outer circumferential surface thereof.
- the rotary cover unit 500 is installed on the base member 300 so as to be rotatable in one direction, and drive gear 530 selectively geared to the driven gear 420 of the winding member 400.
- the driving gear 530 may be installed to be movable between a restrained position connected to the driven gear 420 and a release position separated from the driven gear 420.
- the latch unit 600 has the rotation cover unit 500 in one direction so that the winding member 400 may rotate in conjunction with the rotation cover unit 500 in the direction in which the strap 122 is recovered and tightened. Can be limited to rotate only.
- the rotary cover unit 500 when the rotary cover unit 500 is pressed, the rotary cover unit 500 is moved to a restraint position so that the driving gear unit 530 and the driven gear unit 420 are connected, and the rotary cover unit 500 When pulled out in the opposite direction, the rotary cover unit 500 may be moved to a release position to separate the drive gear part 530 and the driven gear part 420.
- the rotary cover unit 500 is pressed to a driving position where the driving gear part 530 and the driven gear part 420 are connected, and the rotary cover unit When the 500 is rotated, the rotating cover unit 500 and the winding member 400 are rotated together, so that the strap 122 is wound around the winding member 400 to tighten the ring 1110. Can be.
- the rotating cover unit 500 may be pulled out in the opposite direction and moved to a release external position in which the connection between the drive gear 530 and the driven gear 420 is separated.
- the gear connection between the driving gear 530 and the driven gear 420 is separated, so that the winding member 400 is freely rotated, and thus the strap 122 that is tightly tightened may be loosened.
- the ring 110 is made of a urethane-like material having elasticity, if the strap 122 is tightened because the width of the strap 122 is narrowed to penetrate the inside of the groove 114 can damage the ring 110
- a coating for improving hardness may be made or a separate guard (not shown) may be provided.
- the protector may be provided with a material such as tough leather or synthetic resin and has a suitable flexibility and elasticity so as not to interfere with the movement of the strap 122 without stretching the ring 110. .
- a plurality of protrusions 116 may be formed on the surface of the ring 110.
- the protrusion 116 as described above serves to press or stimulate the skin of the body when the ring 110 is moved from the lower or lower leg to the upper or lower limb so that the blood of the lower or lower limb is pushed to the upper or lower limb. can do.
- the protrusion 116 as described above may be formed in a circular or elliptical shape, it is not limited to the shape and size.
- the protrusions 118 may be formed to continuously form a band along the circumference of the ring 110.
- the protrusion 118 may be inclined to tilt without being parallel to the circumferential direction of the ring 110.
- the ring 110 may be rotated to squeeze the skin continuously so that the effect of pushing the blood may be more excellent.
- the towing belt 130 may be further included.
- the towing belt 130 is a component for pulling the ring 110 when the body 110 to which the ring 110 is fitted is difficult to lift the ring 110, and the hollow 112 of the ring 110 is pulled out. ) And may be wound around the ring 110 to form a closed loop extending outward.
- the surface 132 in contact with the surface of the ring 110 of the towing belt 130 may be coated with a material such as synthetic resin or rubber with high friction.
- the towing belt 130 may increase frictional force with the protrusion 116 protruding from the surface of the ring 110.
- the ring 110 may be rotated while being twisted as if it is inverted about the cross section of the ring 110, and may be raised while pressing the body.
- the ring 110 may be positioned above the surgical site in the same manner as described above, and then the ring 110 may be tightened through the fastener 120 to complete the mounting.
- the tightening part 120 is provided, so that even if the size of the ring 110 is somewhat larger than the body size, it is possible to exert a hemostatic function, so as to mount on the patient's body It is easy to use and does not need to be provided for various sizes.
- the towing belt 130 since the towing belt 130 is provided, there is an advantage that the ring 110 can be used even if the size of the body is somewhat smaller than the thickness of the body.
- compression stocking can be used.
- Such compression stockings can push the blood of the lower side (lower or lower jaw) than the surgical site to the upper side (upper limb or upper limb) to prevent blood clots from occurring.
- the compression stocking 200 may include a stocking 210 and a stockkinet 220 stockinet.
- the stockings 210 is formed to have a circular cross section to form a space for inserting the body as being coated toward the upper limbs or upper limbs from the lower extremities or the lower extremities, which are the distal ends of the body limbs, and made of high elastic yarn or the like It may be to press the surface.
- the end of the stocking 210 is closed in the shape of a sock, the opposite side may be opened so that the lower part 10 of the body is inserted.
- the present invention is not necessarily limited thereto, and may also be applied to an arm or the like.
- the star key net 220 is formed separately from the stockings 210, is formed to form a space in which the body is inserted, is formed so as to be coated on the upper side of the site where the stockings 210 is applied, the portion to be coated It may be made of a material such as cotton or nylon to cover the body surface of the.
- the stocking 210 is applied to the lower or lower abdomen of the body, and the starkinet 220 may be coated to be spaced apart from the stocking 210 and exposed to the surgical site at an upper side than the portion where the stocking is coated. have.
- the stockings 210 and the starkinnet 220 are separately formed and coated, so that the surgical site of the body can be exposed without the need to dissect the stockings.
- the winding method of the surgical compression stock according to the present embodiment may include a reversal step (S110), insertion step (S120), matching step (S130) and winding step (S140). .
- the reversal step (S110), as shown in FIG. 15, is a step of inverting the inside and outside of the star key net 220.
- one side end of the star key net 220 can be pulled back or pulled out through the inner hollow, or pulled back to flip the inside and the outside.
- the inverted StarKinet 220 and stockings 210 may be positioned as shown in FIG. 16.
- the insertion step S120 is a step of inserting the stocking 210 into the star key net 220 which is inverted in the inversion step S110. At this time, the opened side of the stockings 210 may be inserted into the star key net 220.
- the matching step S130 is performed.
- the open side end of the inserted stockings 210 may coincide with the end of the open end of the inverted Starkinnet 220.
- the winding step (S140) may be performed.
- the winding step (S140) as shown in Figure 18, in the matching step (S130) is rolled up from the open end of the stockings 210 and the starkine 220 with the end matched, at this time, stockings The inside of 210 may be wound while being rotated to face the outside.
- the stockings 210 and the starkine 220 having been wound may be wound in a donut shape without an internal hollow.
- the surgical compression stocking 200 in the state in which the starkinet 220 is inverted, the open end of the stocking 210 is located therein, and the stockings from the open end of the stocking 210 in the state The inside of 210 is rolled up while being rolled upside down.
- the center of the wound surgical compression stocking 200 is placed on the toe of the body and then cover the upper limbs while loosening the curled portion.
- the starkinet 220 in the unfolded state can be pulled up to be spaced apart from the stockings 210 toward the upper limb or upper limb of the surgical site to place the surgical site exposed therebetween.
- the surgical compression stocking of the present embodiment is first worn, and the valve in the blood vessel is opened by the pressure of the stockings, and thereafter, more venous blood may be bleeded during the wearing of the ring.
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- Engineering & Computer Science (AREA)
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- Biomedical Technology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Veterinary Medicine (AREA)
- Vascular Medicine (AREA)
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- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
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Abstract
La présente invention concerne un appareil de drainage et de compression de sang qui est capable de comprimer une extrémité supérieure d'un site d'opération pour arrêter le saignement tout en drainant, jusqu'à une limite maximale, le sang hors des veines au site d'opération pendant une chirurgie des membres et capable de diminuer significativement la possibilité de thrombose et de douleur post-opératoire. Un appareil de drainage et de compression de sang, selon un mode de réalisation de la présente invention, comprend : un anneau qui est constitué d'un matériau élastique, et est formé de façon à avoir une forme d'anneau creux ayant une section transversale circulaire de telle sorte que le membre d'un corps peut être inséré dans celui-ci ; et une partie de fixation qui est disposée de façon à entourer une circonférence externe de l'anneau, et qui est conçue pour fixer sélectivement l'anneau de telle sorte que le creux de l'anneau est rétréci.
Applications Claiming Priority (4)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| KR10-2016-0032342 | 2016-03-17 | ||
| KR10-2016-0032332 | 2016-03-17 | ||
| KR1020160032332A KR20170108439A (ko) | 2016-03-17 | 2016-03-17 | 배혈 및 압박장치 |
| KR1020160032342A KR101759074B1 (ko) | 2016-03-17 | 2016-03-17 | 수술용 압박스타킹 및 이의 권취방법 |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| WO2017159927A1 true WO2017159927A1 (fr) | 2017-09-21 |
Family
ID=59852290
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| PCT/KR2016/006652 Ceased WO2017159927A1 (fr) | 2016-03-17 | 2016-06-23 | Appareil de drainage et de compression de sang, et bas de contention pour chirurgie monté sur celui-ci et procédé pour son enroulement |
Country Status (1)
| Country | Link |
|---|---|
| WO (1) | WO2017159927A1 (fr) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN113288306A (zh) * | 2021-05-27 | 2021-08-24 | 同济大学 | 一种自动化止血按压器 |
Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| KR200249290Y1 (ko) * | 2001-05-19 | 2001-11-16 | 김태완 | 압박대 |
| JP2004508101A (ja) * | 2000-09-04 | 2004-03-18 | イノテラ トピック インターナショナル | 静脈手術後に下肢を固定するための管状圧迫性装具 |
| US20050080367A1 (en) * | 2003-06-18 | 2005-04-14 | Phillip March | Pressurizing compression apparatus for body part extremities |
| KR20110006119U (ko) * | 2009-12-11 | 2011-06-17 | 주식회사 메디오니아 | 견인용 끈이 부착된 혈전 예방용 압박스타킹 |
| KR20150117857A (ko) * | 2014-04-11 | 2015-10-21 | 백관호 | 지혈대 및 이를 포함한 지혈 기구 |
-
2016
- 2016-06-23 WO PCT/KR2016/006652 patent/WO2017159927A1/fr not_active Ceased
Patent Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP2004508101A (ja) * | 2000-09-04 | 2004-03-18 | イノテラ トピック インターナショナル | 静脈手術後に下肢を固定するための管状圧迫性装具 |
| KR200249290Y1 (ko) * | 2001-05-19 | 2001-11-16 | 김태완 | 압박대 |
| US20050080367A1 (en) * | 2003-06-18 | 2005-04-14 | Phillip March | Pressurizing compression apparatus for body part extremities |
| KR20110006119U (ko) * | 2009-12-11 | 2011-06-17 | 주식회사 메디오니아 | 견인용 끈이 부착된 혈전 예방용 압박스타킹 |
| KR20150117857A (ko) * | 2014-04-11 | 2015-10-21 | 백관호 | 지혈대 및 이를 포함한 지혈 기구 |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN113288306A (zh) * | 2021-05-27 | 2021-08-24 | 同济大学 | 一种自动化止血按压器 |
| CN113288306B (zh) * | 2021-05-27 | 2022-05-17 | 同济大学 | 一种自动化止血按压器 |
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