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CN102940531B - A kind of for skin attemperator and using method in argon helium knife art - Google Patents

A kind of for skin attemperator and using method in argon helium knife art Download PDF

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CN102940531B
CN102940531B CN201210484466.4A CN201210484466A CN102940531B CN 102940531 B CN102940531 B CN 102940531B CN 201210484466 A CN201210484466 A CN 201210484466A CN 102940531 B CN102940531 B CN 102940531B
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water
heat preservation
water outlet
bag body
temperature
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CN102940531A (en
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陈旭东
窦永充
王露平
吴宇旋
蔡进中
曾延华
单爱军
袁家林
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Shenzhen Peoples Hospital
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Abstract

本发明公开了一种用于氩氦刀术中皮肤保温装置及使用方法,由储水器经一个可调节速度的水泵装置连接至该皮肤保温装置,该皮肤保温装置主要由保温袋体前部、保温袋体后部连接的保温袋体部组成,所述保温袋体部由中空的软硅胶材料所制成,其方法步骤为将入水管末端与入水口连接,中段锲入水泵,开口端置入储水器并置入水中,将出水管末端置入储水器,分别连接温度感应器显示装置,打开水泵开关,观察温度感应器发出的温度信号,术完毕后,提起入水管开口置入水面以上,关水泵,关闭出水端及远端管道阀门,解除之间连接;一次性硅胶材料作为医疗垃圾处理。

The invention discloses a skin heat preservation device used in argon-helium knife surgery and a use method thereof. A water storage device is connected to the skin heat preservation device through a speed-adjustable water pump device. The skin heat preservation device is mainly composed of the front part of the heat preservation bag body. 1. The thermal insulation bag body connected to the rear part of the thermal insulation bag body is composed of a hollow soft silicone material. The method steps are to connect the end of the water inlet pipe with the water inlet, the middle section is wedged into the water pump, and the open end is Put the water storage device into the water, put the end of the water outlet pipe into the water storage device, connect the temperature sensor display device respectively, turn on the water pump switch, and observe the temperature signal from the temperature sensor. After the operation, lift the water inlet pipe opening to place Above the water surface, turn off the water pump, close the water outlet and remote pipe valves, and release the connection between them; the disposable silicone material is treated as medical waste.

Description

一种用于氩氦刀术中皮肤保温装置及使用方法A kind of skin heat preservation device and using method for argon-helium knife operation

技术领域technical field

本发明涉及临床医学方向实体肿瘤氩氦刀冷冻消融技术领域,为氩氦刀手术过程中冷热转换时所需的人体体表保温装置,可以为体表提供适宜的温度,在氩氦刀手术冷冻过程预防患者皮肤冻伤等并发症及减轻手术过程中的不适。The invention relates to the technical field of argon-helium knife cryoablation of solid tumors in the direction of clinical medicine. It is a human body surface heat preservation device required for the conversion of cold and heat in the process of argon-helium knife surgery, which can provide suitable temperature for the body surface. The freezing process prevents complications such as frostbite of the patient's skin and relieves discomfort during the operation.

背景技术Background technique

氩氦刀冷冻消融术(cryocaresurgicalsystem,CryocareCryoablation)有4或8个能单独或组合应用的热绝缘超导刀,超导刀中空,可输出高压氩气,并籍高压氩气在刀尖的快速膨胀作用而使病变组织快速降温,在靶区形成冰球,再当输出高压氦气时,又使冰球在数分钟内解冻及迅速升温。通过几个循环(一般为两个循环)的“冷冻-复温”过程,细胞可因冷冻破裂(freezerupture)【1】而发生一系列瀑布效应最终导致靶区细胞死亡。Argon-helium cryoablation (cryocaresurgicalsystem, CryocareCryoablation) has 4 or 8 thermally insulated superconducting knives that can be used alone or in combination. The superconducting knives are hollow and can output high-pressure argon gas, and rely on the rapid expansion of high-pressure argon gas at the tip of the knife As a result, the temperature of the diseased tissue is rapidly cooled, and ice balls are formed in the target area. When the high-pressure helium is output, the ice balls are thawed and heated rapidly within a few minutes. Through the "freezing-rewarming" process of several cycles (generally two cycles), cells can undergo a series of cascade effects due to freeze rupture ( 1 ), eventually leading to cell death in the target area.

氩氦刀冷冻术治疗恶性肿瘤具有创伤小,疼痛轻,恢复快,疗效好等特点。有实验表明,氩氦刀冷冻治疗术可以避免“煮沸效应(boilingeffect)【2】”,有效减少腹腔脏器恶性肿瘤的腹腔种植转移,在肝癌【3】、肾癌【2】等介入治疗中具有普遍推广的意义。然而在治疗过程中患者需要忍受氩气在病灶区形成的冰球在体内存在数分钟之久,并可能引起体表冻伤。由于快速致冷常使氩氦刀杆温度亦快速降低,若与皮肤表面接触也易导致皮肤冻伤,常表现为皮肤水泡,局部皮肤暗红水肿有渗出【4】。虽然现在所用的氩氦刀探针针杆有热绝缘层,可以避免针杆内部的温度传导到探针的表面,同时,进入的气体是常温气体,在尖端制冷的气体在排除的过程中,与进入的气体热量交换,也使得气体接近常温,但是我们观察到,除了价格较昂贵的无霜探针,绝大多数的氩氦刀探针在通氩气的过程中均会在探针近体表部形成厚薄不等的霜,使患者在术中可能出现寒冷、寒战、体表冻伤,严重的可能发生冷休克(coldshock)【5】。在氩氦刀冷冻治疗术中对体表进行保温有几种方法,如:保温毯、暖风吹送法、暖水袋热敷法等。然而这些方法较为原始,无法对保温温度进行设定,存在着耗时耗力,不符合手术室安全卫生规范等弊病。Argon-helium cryosurgical treatment of malignant tumors has the characteristics of small trauma, light pain, quick recovery and good curative effect. Experiments have shown that argon-helium cryotherapy can avoid the "boiling effect (boiling effect) 2 " and effectively reduce the abdominal implantation and metastasis of malignant tumors of abdominal organs. It has the significance of general promotion. However, during the treatment, the patient needs to endure that the ice ball formed by argon gas in the lesion area exists in the body for several minutes, and may cause frostbite on the body surface. Due to the rapid cooling, the temperature of the argon-helium tool rod also decreases rapidly, and if it comes into contact with the skin surface, it is easy to cause skin frostbite, which often manifests as skin blisters, and local skin is dark red and edematous with exudation 【4】 . Although the needle rod of the argon-helium knife probe used now has a thermal insulation layer, it can prevent the temperature inside the needle rod from being transmitted to the surface of the probe. At the same time, the gas entering is normal temperature gas. The heat exchange with the incoming gas also makes the gas close to normal temperature, but we have observed that, except for the more expensive frost-free probes, most of the argon-helium knife probes will be close to the probe during the argon gas flow process. Frost of varying thickness is formed on the surface of the body, causing patients to experience cold, chills, frostbite on the body surface during the operation, and severe cold shock (coldshock) may occur 【5】 . There are several ways to keep the body surface warm during argon-helium cryotherapy, such as: insulation blanket, warm air blowing method, hot water bag hot compress method, etc. However, these methods are relatively primitive, unable to set the heat preservation temperature, and there are disadvantages such as time-consuming and labor-intensive, and do not meet the safety and hygiene standards of the operating room.

选择合适、适形的保温装置可以保证氩氦刀冷冻手术的效率,提高手术过程的安全可靠性及患者舒适度,并减低冻伤等并发症的发生率,也有助推动氩氦刀冷冻消融术在癌症治疗中的广泛应用。Choosing a suitable and conformal thermal insulation device can ensure the efficiency of argon-helium knife cryoablation, improve the safety and reliability of the operation process and the comfort of patients, and reduce the incidence of complications such as frostbite, and also help to promote the use of argon-helium knife cryoablation Widespread application in cancer therapy.

发明内容Contents of the invention

本发明解决上述问题提供一种氩氦刀冷冻治疗术的皮肤保温装置,该装置可以覆盖体表,并可以提供适宜温度范围的保温功能。The present invention solves the above problems and provides a skin heat preservation device for argon-helium cryotherapy. The device can cover the body surface and provide a heat preservation function in a suitable temperature range.

为解决上述技术问题,本发明通过以下技术方案来实现:一种用于氩氦刀术中皮肤保温装置,由储水器经一个可调节速度的水泵装置连接至该皮肤保温装置,该皮肤保温装置主要由保温袋体前部、保温袋体后部连接的保温袋体部组成,所述保温袋体部由中空的软硅胶材料所制成,所述保温袋体前部设置有入水口、阀门、前部出水端,所述前部出水端设有若干出水口,所述保温袋体后部内设有温控感应器、软硅胶管道、后部出水端,该软硅胶管道连接到储水器,达到收集并回流到储水器中,该皮肤保温装置通过温控感应器的显示温度,并按温度范围调节水泵抽水的速度,使注入的温水经冷冻区域后保持在适宜的水温范围内。In order to solve the above-mentioned technical problems, the present invention is realized through the following technical solutions: a skin heat preservation device used in argon-helium knife surgery, the water storage device is connected to the skin heat preservation device through a speed-adjustable water pump device, and the skin heat preservation device The device is mainly composed of the front part of the thermal insulation bag body and the thermal insulation bag body connected to the rear part of the thermal insulation bag body. The thermal insulation bag body is made of hollow soft silica gel material. The front part of the thermal insulation bag body is provided with a water inlet, The valve, the front water outlet, the front water outlet is provided with several water outlets, the temperature control sensor, the soft silicone pipe, and the rear water outlet are arranged in the rear of the thermal insulation bag body, and the soft silicone pipe is connected to the storage tank. The water tank is collected and returned to the water storage. The skin heat preservation device displays the temperature through the temperature control sensor, and adjusts the pumping speed according to the temperature range, so that the injected warm water can be maintained in a suitable water temperature range after passing through the freezing area. Inside.

优选地,所述前部出水端呈齿梳样设计,每个齿梳设置一个出水口。Preferably, the water outlet end at the front is designed like a toothed comb, and each toothed comb is provided with a water outlet.

优选地,所述入水口及后部出水端由有单向阀门的聚乙烯材料所制成。Preferably, the water inlet and the rear water outlet are made of polyethylene material with a one-way valve.

优选地,所述温控感应器连接一个温度显示屏,并设有醒目转换标示,用以提示超出所需温度范围的情况。Preferably, the temperature control sensor is connected to a temperature display screen, and is provided with an eye-catching conversion mark, which is used to prompt the situation of exceeding the required temperature range.

一种用于氩氦刀术中皮肤保温装置使用方法,其主要步骤,A method for using a skin heat preservation device in argon-helium knife surgery, the main steps of which are:

a、将储水器的入水管末端与入水口连接,中段锲入水泵,入水管开口端置入储水器并置入水中。a. Connect the end of the water inlet pipe of the water storage device to the water inlet, wedge the middle section into the water pump, put the open end of the water inlet pipe into the water storage device and put it into the water.

b、选择好需要开放出水口,待氩氦刀布针完毕后,出水口绕过氩氦刀针与远端出水收集管道一次相连,后部出水端接上出水管,将出水管末端置入储水器,形成水的回流利用。b. Select the water outlet that needs to be opened. After the argon-helium knife cloth needle is completed, the water outlet bypasses the argon-helium knife needle and connects to the remote water outlet collection pipe once. The rear water outlet end is connected to the water outlet pipe, and the end of the water outlet pipe is placed in The water storage is used to form the return flow of water.

c、通过打开水泵开关,观察温度感应器显示屏所显示的温度值,c. By turning on the water pump switch, observe the temperature value displayed on the display screen of the temperature sensor,

如显示温度过高,降低水泵功率,调慢泵水速度或在储水器中加用低温水;If the display temperature is too high, reduce the power of the water pump, slow down the pumping speed or add low-temperature water to the water storage;

如温度显示过低,加大水泵功率,加快泵水速度,若加快泵水速度,温度显示仍然低于适宜温度范围,则加用热水或换储水器中温水。If the temperature display is too low, increase the power of the water pump and increase the water pumping speed. If the water pumping speed is increased and the temperature display is still lower than the appropriate temperature range, then add hot water or replace the warm water in the water storage.

d、手术完毕后,提起入水管开口端置入水面以上,关水泵,关闭出水口及远端管道阀门,解除之间的连接,最后做一次性硅胶材料作为医疗垃圾处理。d. After the operation, lift the open end of the water inlet pipe and place it above the water surface, turn off the water pump, close the water outlet and the valve of the remote pipe, remove the connection between them, and finally make a disposable silicone material as medical waste disposal.

本新型的皮肤保温装置是用中空的软硅胶为主要材料,保证其具有适形性,能够充分覆盖病灶区体表范围。本装置设1个入水口,温水置于5L储水器(配置的非专利内设备)中,经一个可调节速度的泵装置(配置的非专利内设备)泵入,并从入水口注入。前部出水端呈齿梳样设计,以满足定位针及氩氦刀探针病灶区布针的空间需要。每个齿梳配一个出水口,在前部出水端各齿梳另设一个温控感应器和阀门,每个温度感应器连接一个温度显示屏,按温度调节水泵速度,使注入的温水经冷冻区域后保持在适宜的水温范围内;按术的大小觉得开放几个出水口。出水口连接无温度感应器的保温袋体后部设置的软硅胶管道,与软硅胶部分呈镜像关系设计。温水经出水端后,由硅胶管道收集并回流到储水器中。如增快泵水速度仍不能升高出水端温度达适宜水平,可以调节储水器中水温(换水或增加热水)。The new skin heat preservation device uses hollow soft silica gel as the main material to ensure that it has conformability and can fully cover the body surface of the lesion area. The device is provided with a water inlet, and warm water is placed in a 5L water reservoir (configured non-patent internal equipment), pumped in through a speed-adjustable pump device (configured non-patent internal equipment), and injected from the water inlet. The front water outlet is designed like a toothed comb to meet the space requirements for positioning needles and argon-helium knife probe needle placement in the lesion area. Each tooth comb is equipped with a water outlet, and each tooth comb is equipped with a temperature control sensor and valve at the front water outlet. Each temperature sensor is connected to a temperature display screen, and the speed of the water pump is adjusted according to the temperature, so that the injected warm water is refrigerated. Keep the area within the appropriate water temperature range; open several water outlets according to the size of the surgery. The water outlet is connected to the soft silicone pipe provided at the rear of the heat preservation bag without a temperature sensor, and is designed in a mirror image relationship with the soft silicone part. After the warm water passes through the water outlet, it is collected by the silicone pipe and returned to the water storage. If increasing the pumping speed still fails to raise the water outlet temperature to an appropriate level, adjust the water temperature in the water storage (change the water or increase the hot water).

本发明为达到手术无菌要求,本装置为一次性无菌使用材料,其整个装置的硅胶部分制作时用量不足一只无菌手套的软硅胶用量,整个装置的连接到开始使用过程不过30秒,利用温度感应器指导调节泵水速度、调节水温,指标客观;保温装置的作用范围大小可以简单调节;在整使用过程中循环使用水资源,避免过多浪费。简易的操作流程更适合临床的具体应用。In order to meet the aseptic requirements of the operation, the present invention is a one-time aseptic use material, and the amount of the silicone part of the whole device is less than the amount of soft silicone used for a sterile glove, and the whole device is connected to the beginning of use within 30 seconds. , Use the temperature sensor to guide the adjustment of pumping speed and water temperature, and the indicators are objective; the range of action of the heat preservation device can be easily adjusted; water resources are recycled during the entire use process to avoid excessive waste. The simple operation process is more suitable for specific clinical applications.

附图说明Description of drawings

图1为本发明的正面结构图;Fig. 1 is the front structural diagram of the present invention;

图2为本发明的侧面结构图。Fig. 2 is a side structural view of the present invention.

具体实施方式detailed description

如图1、图2所示,一种用于氩氦刀术中皮肤保温装置,由储水器经一个可调节速度的水泵装置连接至该皮肤保温装置,该皮肤保温装置主要由保温袋体前部21、保温袋体后部22连接的保温袋体部组成,所述保温袋体部由中空的软硅胶材料所制成,所述保温袋体前部21设置有入水口1、阀门、前部出水端31,所述前部出水端31设有若干出水口5,所述保温袋体后部22内设有温控感应器4、软硅胶管道、后部出水端32,该软硅胶管道连接到储水器,达到收集并回流到储水器中,该皮肤保温装置通过温控感应器4的显示温度,并按温度范围调节水泵抽水的速度,使注入的温水经冷冻区域后保持在适宜的水温范围内;前部出水端31呈齿梳样设计,每个齿梳设置一个出水口5。入水口1及后部出水端32由有单向阀门的聚乙烯材料所制成,温控感应器4连接一个温度显示屏,并设有醒目转换标示,用以提示超出所需温度范围的情况。As shown in Figure 1 and Figure 2, a skin heat preservation device used in argon-helium knife surgery is connected to the skin heat preservation device by a water storage device through a speed-adjustable water pump device. The skin heat preservation device is mainly composed of a heat preservation bag The front part 21 and the heat preservation bag body connected by the heat preservation bag body rear part 22 are composed of the heat preservation bag body made of hollow soft silica gel material, and the heat preservation bag body front 21 is provided with a water inlet 1, a valve, The front water outlet 31, the front water outlet 31 is provided with several water outlets 5, the temperature control sensor 4, the soft silicone pipe, and the rear water outlet 32 are arranged in the rear part 22 of the heat preservation bag body. The pipeline is connected to the water storage to achieve collection and return to the water storage. The skin heat preservation device controls the temperature displayed by the temperature sensor 4, and adjusts the pumping speed according to the temperature range, so that the injected warm water can be maintained after passing through the freezing area. Within a suitable water temperature range; the front water outlet 31 is designed like a toothed comb, and each toothed comb is provided with a water outlet 5 . The water inlet 1 and the rear water outlet 32 are made of polyethylene material with a one-way valve. The temperature control sensor 4 is connected to a temperature display screen, and is provided with a conspicuous conversion mark to remind the situation of exceeding the required temperature range. .

第一步:将储水器的入水管末端与入水口1连接,中段锲入水泵,入水管开口端置入储水器并置入水中。Step 1: Connect the end of the water inlet pipe of the water reservoir to the water inlet 1, insert the middle section into the water pump, put the open end of the water inlet pipe into the water reservoir and put it into the water.

第二步:选择好需要开放出水口5,待氩氦刀布针完毕后,出水口5绕过氩氦刀针与远端出水收集管道一次相连,后部出水端32接上出水管,将出水管末端置入储水器,形成水的回流利用。Step 2: Select the water outlet 5 that needs to be opened. After the argon-helium knife cloth needle is completed, the water outlet 5 bypasses the argon-helium knife needle and connects to the remote water outlet collection pipe once, and the rear water outlet 32 is connected to the water outlet pipe. The end of the water outlet pipe is placed into a water reservoir to form a return flow of water for use.

第三步:打开水泵开关,观察温度感应器显示屏所显示的温度值,如显示温度过高,降低水泵功率,调慢泵水速度或在储水器中加用低温水;如温度显示过低,加大水泵功率,加快泵水速度,若加快泵水速度,温度显示仍然低于适宜温度范围,则加用热水或换储水器中温水。Step 3: Turn on the water pump switch and observe the temperature value displayed on the display screen of the temperature sensor. If the temperature displayed is too high, reduce the power of the water pump, slow down the pumping speed or add low-temperature water in the water storage; if the temperature display is too high Low, increase the power of the water pump and speed up the water pumping speed. If you speed up the water pumping speed and the temperature display is still lower than the appropriate temperature range, add hot water or change the warm water in the water storage.

第四步:手术完毕后,提起入水管开口端置入水面以上,关水泵,关闭出水口5及远端管道阀门,解除之间的连接,最后做一次性硅胶材料作为医疗垃圾处理。Step 4: After the operation is completed, lift the open end of the water inlet pipe and place it above the water surface, turn off the water pump, close the water outlet 5 and the valve of the remote pipe, remove the connection between them, and finally make a disposable silicone material as medical waste disposal.

在氩氦刀冷冻治疗术定位后对病灶区布针,在输出高压氩气前在布针区体表放置抽憋的氩氦刀冷却器,向冷却器入水口端注入温水,各出水口阀门关闭,冷却器充盈后关闭入水口阀门。After the cryotherapy with argon-helium knife is positioned, needles are placed on the lesion area. Before outputting high-pressure argon gas, a suffocated argon-helium knife cooler is placed on the body surface of the needle-laying area, and warm water is injected into the water inlet of the cooler. Close, close the water inlet valve after the cooler is filled.

当通过温控感应器4反映水温处于适宜范围内即可开始输出高压氩气开始冷冻,在冷冻-复温-冷冻的循环过程中观测温控感应器4反映的水温变化;When it is reflected by the temperature control sensor 4 that the water temperature is within a suitable range, the high-pressure argon gas can be output to start freezing, and the water temperature change reflected by the temperature control sensor 4 can be observed during the cycle of freezing-rewarming-freezing;

当水温下降到所需温度范围以下时,则须开启入水口1及各出水口阀门,排出原有温水同时注入新的温水以维持靶区体表适宜温度。此过程可重复,直至氩氦刀冷冻治疗术治疗完毕,患者一般情况稳定后,一次性氩氦刀冷却器即可丢弃。When the water temperature drops below the required temperature range, the water inlet 1 and the water outlet valves must be opened to discharge the original warm water and inject new warm water at the same time to maintain the suitable temperature of the body surface of the target area. This process can be repeated until the argon-helium knife cryotherapy treatment is completed, and after the patient's general condition is stable, the disposable argon-helium knife cooler can be discarded.

以上所述仅为本发明的优选实例,并非因此限制本发明的专利范围,凡是利用本发明说明书及附图内容所作的等效结构或等效流程变换,或直接或间接运用在其它相关的技术领域,均同理包括在本发明的专利保护范围内。The above is only a preferred example of the present invention, and does not limit the patent scope of the present invention. Any equivalent structure or equivalent process conversion made by using the description of the present invention and the contents of the accompanying drawings, or directly or indirectly used in other related technologies fields, all of which are equally included in the scope of patent protection of the present invention.

Claims (1)

1.一种用于氩氦刀术中皮肤保温装置,由储水器经一个可调节速度的水泵装置连接至该皮肤保温装置,其特征在于:该皮肤保温装置主要由保温袋体前部(21)、保温袋体后部(22)连接的保温袋体部组成,所述保温袋体部由中空的软硅胶材料所制成,所述保温袋体前部(21)设置有入水口(1)、阀门、前部出水端(31),所述前部出水端(31)设有若干出水口(5),所述保温袋体后部(22)内设有温控感应器(4)、软硅胶管道、后部出水端(32),该软硅胶管道连接到储水器,达到收集并回流到储水器中,该皮肤保温装置通过温控感应器(4)显示温度,并按温度范围调节水泵抽水的速度,使注入的温水经冷冻区域后保持在适宜的水温范围内,所述前部出水端(31)呈齿梳样设计,每个齿梳设置一个出水口(5),所述入水口(1)及后部出水端(32)由有单向阀门的聚乙烯材料所制成,所述温控感应器(4)连接一个温度显示屏,并设有醒目转换标示,用以提示超出所需温度范围的情况。1. A skin heat preservation device used in argon-helium knife surgery, which is connected to the skin heat preservation device by a water reservoir through a speed-adjustable water pump device, characterized in that: the skin heat preservation device is mainly composed of the front part of the heat preservation bag body ( 21), the thermal insulation bag body is composed of the thermal insulation bag body connected to the rear part (22), the thermal insulation bag body is made of hollow soft silica gel material, and the thermal insulation bag body front (21) is provided with a water inlet ( 1), the valve, the front water outlet (31), the front water outlet (31) is provided with several water outlets (5), and the rear part (22) of the heat preservation bag is provided with a temperature control sensor (4 ), a soft silicone pipe, and a rear water outlet (32). The soft silicone pipe is connected to the water storage to collect and return to the water storage. The skin heat preservation device displays the temperature through the temperature control sensor (4), and Adjust the water pumping speed according to the temperature range, so that the injected warm water remains within a suitable water temperature range after passing through the freezing area. The front water outlet (31) is designed like a toothed comb, and each toothed comb is provided with a water outlet (5 ), the water inlet (1) and the rear water outlet (32) are made of polyethylene material with a one-way valve, and the temperature control sensor (4) is connected to a temperature display screen, and is provided with an eye-catching switch Marked to indicate conditions outside the required temperature range.
CN201210484466.4A 2012-11-23 2012-11-23 A kind of for skin attemperator and using method in argon helium knife art Expired - Fee Related CN102940531B (en)

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