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CN110599879A - Venous catheter tube washing and sealing teaching device and method - Google Patents

Venous catheter tube washing and sealing teaching device and method Download PDF

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CN110599879A
CN110599879A CN201910916946.5A CN201910916946A CN110599879A CN 110599879 A CN110599879 A CN 110599879A CN 201910916946 A CN201910916946 A CN 201910916946A CN 110599879 A CN110599879 A CN 110599879A
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blood vessel
rubber layer
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sealing
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罗金莲
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First Affiliated Hospital of Gannan Medical University
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    • G09BEDUCATIONAL OR DEMONSTRATION APPLIANCES; APPLIANCES FOR TEACHING, OR COMMUNICATING WITH, THE BLIND, DEAF OR MUTE; MODELS; PLANETARIA; GLOBES; MAPS; DIAGRAMS
    • G09B23/00Models for scientific, medical, or mathematical purposes, e.g. full-sized devices for demonstration purposes
    • G09B23/28Models for scientific, medical, or mathematical purposes, e.g. full-sized devices for demonstration purposes for medicine
    • G09B23/285Models for scientific, medical, or mathematical purposes, e.g. full-sized devices for demonstration purposes for medicine for injections, endoscopy, bronchoscopy, sigmoidscopy, insertion of contraceptive devices or enemas

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Abstract

本发明涉及医疗教学器械领域,具体地涉及一种静脉导管冲管封管教学装置及方法,包括基座、用于模拟人体皮肤的橡胶层和用于模拟人体血管的血管体,所述基座的内部设置血管体用于提供液体,基座上设置有连通该基座内部的血管体的排液口,排液口上安装有塞盖,橡胶层设置于所述基座的顶部,所述血管体由薄橡胶形成用于模拟人体血管,连接于橡胶层的下部。所述教学装置还包括静脉导管和注射器,静脉导管通过橡胶层插入到血管体内,注射器能够与静脉导管连接。冲管封管时观察血管体、静脉导管内液体的混合效果来达到教学评测的目的。本装置具有结构简单,成本低廉,效果实用明显的优点。

The invention relates to the field of medical teaching instruments, in particular to a teaching device and method for flushing and sealing an intravenous catheter, comprising a base, a rubber layer for simulating human skin, and a blood vessel body for simulating human blood vessels, the base A blood vessel body is arranged inside the base to provide liquid, a drain port that communicates with the blood vessel body inside the base is arranged on the base, a plug cover is installed on the drain port, a rubber layer is arranged on the top of the base, and the blood vessel is The body is formed of thin rubber to simulate human blood vessels and is connected to the lower part of the rubber layer. The teaching device further comprises an intravenous catheter and a syringe, the intravenous catheter is inserted into the blood vessel through the rubber layer, and the syringe can be connected with the intravenous catheter. To achieve the purpose of teaching evaluation, observe the mixing effect of the blood vessel body and the fluid in the venous catheter when the tube is flushed and sealed. The device has the advantages of simple structure, low cost and obvious practical effect.

Description

静脉导管冲管封管教学装置及方法Intravenous catheter flushing and sealing teaching device and method

技术领域technical field

本发明涉及医疗教学领域,具体地涉及一种静脉导管冲管封管教学装置及方法。The invention relates to the field of medical teaching, in particular to a teaching device and method for flushing and sealing an intravenous catheter.

背景技术Background technique

随着当前医疗水平的逐步提高,对护理工作的要求也愈加严格,除了严格掌握理论知识还要具备操作技能。静脉留置针等静脉导管是用于多次输液治疗的医疗器械,当医护人员利用静脉导管对患者血管穿刺后,将穿刺针从留置导管中拔出,留下较为柔软的静脉导管留置于人体的血管中,通过静脉导管进行间断地输液。每次输液完成后都需要冲管及封管操作,这对临床护士尤其是经验较少的护士考验较大,需要长时间的练习才能达到目的。With the gradual improvement of the current medical level, the requirements for nursing work are becoming more and more strict. In addition to strictly mastering theoretical knowledge, they also have operational skills. Intravenous catheters such as venous indwelling needles are medical devices used for multiple infusion therapy. When the medical staff uses the venous catheter to puncture the patient's blood vessels, the puncture needle is pulled out from the indwelling catheter, leaving a relatively soft venous catheter indwelling in the human body. In blood vessels, fluids are given intermittently through intravenous catheters. After each infusion is completed, it is necessary to flush and seal the tube, which is a big challenge for clinical nurses, especially those with less experience, and requires a long time of practice to achieve the goal.

在临床教学中,有时使用注射器演示脉冲冲管和正压封管的手法,在具体操作的过程中发现这种方法无法判断学生手法的准确性,不便于直观地显示,也无法衡量判断冲管及封管教学实践中学生操作的正确性及效果。在练习静脉导管的穿刺时,目前使用的实习教具成本昂贵,容易损坏需频繁更换,也无法观察冲管及封管的效果,学员较多时又不利于学生的练习操作,学生接触的次数较少,使得教学工作难以有效开展。In clinical teaching, sometimes a syringe is used to demonstrate the techniques of pulse flushing and positive pressure sealing. In the process of specific operation, it is found that this method cannot judge the accuracy of the students' techniques, it is not convenient to display it intuitively, and it is impossible to measure and judge the flushing. And the correctness and effect of students' operation in the practice of sealing tube teaching. When practicing the puncture of the venous catheter, the currently used practical teaching aids are expensive, easy to damage and need to be replaced frequently, and the effect of flushing and sealing the tube cannot be observed. , making teaching difficult to carry out effectively.

发明内容SUMMARY OF THE INVENTION

有鉴于此,本发明旨在提出一种静脉导管冲管封管教学装置及方法,该静脉导管冲管封管教学装置便于观察评估护士学员操作的正确性和准确性,其具有结构简单合理,成本低廉,效果明显实用的优点。In view of this, the present invention aims to provide a teaching device and method for venous catheter flushing and sealing. The venous catheter flushing and sealing teaching device is convenient for observing and evaluating the correctness and accuracy of the operation of nurse trainees, and has a simple and reasonable structure. The cost is low and the effect is obvious and practical.

为了实现上述目的,本发明一方面提供一种静脉导管冲管封管教学装置,包括基座,所述基座的内部设置有血管体用于提供液体,所述基座上设置有连通该基座内部的血管体的排液口,所述排液口上安装有塞盖;In order to achieve the above object, one aspect of the present invention provides a teaching device for flushing and sealing an venous catheter, comprising a base, a blood vessel body is arranged inside the base for supplying liquid, and a connection with the base is provided on the base. a drain port of the blood vessel body inside the seat, a plug cover is installed on the drain port;

用于模拟人体皮肤的橡胶层,所述橡胶层设置于所述基座的顶部;A rubber layer for simulating human skin, the rubber layer is arranged on the top of the base;

所述血管体由薄橡胶形成用于模拟人体血管,连接于橡胶层的下部。The blood vessel body is formed of thin rubber for simulating human blood vessels, and is connected to the lower part of the rubber layer.

优选地,所述基座的底面为水平面或者内凹U型面;并且/或者,所述基座的底面磨砂处理。Preferably, the bottom surface of the base is a horizontal plane or a concave U-shaped surface; and/or, the bottom surface of the base is frosted.

优选地,所述基座的两侧设置有用于固定该基座的固定扎带。Preferably, both sides of the base are provided with fixing straps for fixing the base.

优选地,所述固定扎带为尼龙魔术贴或卡扣结构。Preferably, the fixing strap is a nylon Velcro or a snap-fit structure.

优选地,所述基座、橡胶层和血管体均由透明材质形成。Preferably, the base, the rubber layer and the vascular body are all formed of transparent materials.

优选地,所述教学装置还包括静脉导管和注射器,所述静脉导管能够通过所述橡胶层插入到所述血管体内,所述注射器能够与所述静脉导管连接。Preferably, the teaching device further comprises an intravenous catheter and a syringe, the intravenous catheter can be inserted into the blood vessel through the rubber layer, and the syringe can be connected to the intravenous catheter.

本发明还提供一种利用静脉导管冲管封管教学方法,该方法在上述的教学装置中进行,该方法包括以下步骤:The present invention also provides a teaching method for flushing and sealing a tube using an venous catheter. The method is carried out in the above-mentioned teaching device, and the method includes the following steps:

S1.向基座的血管体内加满生理盐水,将静脉导管的穿刺针通过橡胶层穿刺到血管体内;S1. Fill the vascular body of the base with physiological saline, and puncture the puncture needle of the venous catheter into the vascular body through the rubber layer;

S2.向注射器内添加易于区分颜色的有色液体,将注射器与静脉导管连接;S2. Add a colored liquid that is easy to distinguish colors into the syringe, and connect the syringe to the intravenous catheter;

S3.进行冲管封管操作。S3. Carry out the pipe flushing and sealing operation.

优选地,所述步骤S3为根据所述注射器及静脉导管内有色液体和血管体的生理盐水的混合情况来判断冲管封管操作的正确性与有效性。Preferably, the step S3 is to judge the correctness and effectiveness of the flushing and sealing operation according to the mixing condition of the colored liquid in the syringe and the venous catheter and the physiological saline of the vascular body.

现有技术存在冲管封管教学教具成本昂贵,本发明的静脉导管冲管封管教学装置通过橡胶层来模拟人体皮肤,通过设置基座来模拟人体的前臂,通过由薄橡胶形成的血管体来模拟人体血管;设置排液口便于添加更换液体;进一步配合静脉导管完成穿刺教学;利用本发明的教学装置的教学方法,通过在血管体内添加生理盐水,注射器内为易于区分颜色的有色液体,通过注射器与静脉导管的液体混合效果完成冲管封管教学的评测,结果直观清楚,便于评价学员操作的正确性与准确性。本装置具有结构简单、制造成本低的优点,便于在医院、学校推广使用。In the prior art, the teaching aids for tube flushing and tube sealing are expensive. The teaching device for tube flushing and tube sealing of the venous catheter of the present invention simulates human skin through a rubber layer, simulates the forearm of a human body by setting a base, and passes through the vascular body formed by thin rubber. to simulate human blood vessels; set a drain port to facilitate adding and replacing liquid; further cooperate with intravenous catheters to complete puncture teaching; using the teaching method of the teaching device of the present invention, by adding physiological saline into the blood vessel, the syringe is filled with colored liquid that is easy to distinguish between colors, Through the liquid mixing effect of the syringe and the venous catheter, the evaluation of the flushing and tube sealing teaching is completed. The results are intuitive and clear, which is convenient for evaluating the correctness and accuracy of the students' operation. The device has the advantages of simple structure and low manufacturing cost, and is easy to be popularized and used in hospitals and schools.

附图说明Description of drawings

构成本发明的一部分的附图用来提供对本发明的进一步理解,本发明的示意性实施方式及其说明用于解释本发明,并不构成对本发明的不当限定。The accompanying drawings constituting a part of the present invention are used to provide further understanding of the present invention, and the schematic embodiments of the present invention and their descriptions are used to explain the present invention and do not constitute an improper limitation of the present invention.

在附图中:In the attached image:

图1为本发明静脉导管冲管封管教学装置的结构示意图;Fig. 1 is the structural representation of the teaching device of venous catheter flushing and sealing according to the present invention;

图2为本发明静脉导管冲管封管教学装置A-A方向的剖视图;Fig. 2 is the sectional view of the A-A direction of the venous catheter flushing tube sealing teaching device of the present invention;

图3为本发明静脉导管冲管封管教学装置的局部的俯视图。FIG. 3 is a partial top view of the teaching device for flushing and sealing the venous catheter according to the present invention.

附图标记说明Description of reference numerals

10-基座 101-排液口10-Base 101-Drain port

102-塞盖 103-固定扎带102-plug cover 103-fixed cable tie

20-橡胶层 30-薄橡胶20-rubber layer 30-thin rubber

301-血管体 40-静脉导管301-Vascular body 40-Venous catheter

50-注射器50-syringe

具体实施方式Detailed ways

以下结合附图对本发明的具体实施方式进行详细说明。应当理解的是,此处所描述的具体实施方式仅用于说明和解释本发明,并不用于限制本发明。The specific embodiments of the present invention will be described in detail below with reference to the accompanying drawings. It should be understood that the specific embodiments described herein are only used to illustrate and explain the present invention, but not to limit the present invention.

在本发明中,在未作相反说明的情况下,使用的方位词如“上、下、左、右”通常是指参考附图1和图2所示的上、下、左、右;“内、外”是指相对于各部件本身的轮廓的内、外。下面将参考附图并结合实施方式来详细说明本发明。In the present invention, unless otherwise stated, the directional words used such as "up, down, left and right" generally refer to up, down, left and right as shown in Fig. 1 and Fig. 2; " "Inside and outside" means inside and outside relative to the contours of each component itself. The present invention will be described in detail below with reference to the accompanying drawings and in conjunction with the embodiments.

参阅图1-图3所示,本发明提供一种静脉导管冲管封管教学装置,包括基座10,所述基座10的内部设置有血管体301用于提供液体,所述基座10上设置有连通该基座10内部的血管体301的排液口101,所述排液口101上安装有塞盖102;用于模拟人体皮肤的橡胶层20,所述橡胶层20设置于所述基座10的顶部;所述血管体301由薄橡胶30形成用于模拟人体血管,连接于橡胶层20的下部。Referring to FIGS. 1 to 3 , the present invention provides an intravenous catheter flushing tube sealing teaching device, including a base 10 , a blood vessel body 301 is provided inside the base 10 for supplying liquid, and the base 10 There is a drain port 101 communicating with the blood vessel body 301 inside the base 10, and a plug cover 102 is installed on the drain port 101; a rubber layer 20 for simulating human skin, the rubber layer 20 is arranged on the the top of the base 10 ; the blood vessel body 301 is formed of thin rubber 30 to simulate human blood vessels, and is connected to the lower part of the rubber layer 20 .

排液口101与血管体301相连通,用于向血管体301内添加液体或者排出液体,便于更换血管体301内的液体,达到静脉导管冲管封管教学装置的重复多次利用,更换液体后的血管体301也便于观察封管教学的效果,所述基座10的顶部由橡胶层20形成以达到模拟人体皮肤的目的。The drain port 101 is communicated with the blood vessel body 301, and is used for adding liquid to the blood vessel body 301 or discharging the liquid, which is convenient for replacing the liquid in the blood vessel body 301, so as to achieve the repeated use of the venous catheter flushing tube sealing teaching device and replace the liquid. The rear vascular body 301 is also convenient to observe the effect of tube sealing teaching, and the top of the base 10 is formed by the rubber layer 20 to achieve the purpose of simulating human skin.

进一步地,所述基座10的底部为内凹弧形、U型、直线型或者适当形状以使得该基座10能够与人体前臂相配合,或者便于将基座10固定,以使得使用时能够达到真实模拟医护现场的效果,并且更加地稳固便于穿刺和冲管、封管教学的实施进行。Further, the bottom of the base 10 is in a concave arc, U-shape, straight line or suitable shape so that the base 10 can be matched with the human forearm, or the base 10 can be easily fixed so that the base 10 can be easily fixed during use. It can achieve the effect of simulating the medical scene, and it is more stable and convenient for the implementation of puncture, flushing and sealing.

在本发明一优选实施方式中,所述基座10的两侧设置有用于固定该基座10的固定扎带103,所述固定扎带103以尼龙魔术贴或卡扣的结构连接,当基座10与前臂相配合后,再使用固定扎带103将基座10与前臂固定为一体,防止穿刺和冲管、封管时出现晃动而影响教学效果;或者将基座10置于桌面上,然后利用固定扎带103扎紧,使得静脉导管冲管封管教学装置稳固安装。In a preferred embodiment of the present invention, two sides of the base 10 are provided with fixing straps 103 for fixing the base 10. The fixing straps 103 are connected by a nylon Velcro or a buckle structure. After the seat 10 is matched with the forearm, the base 10 and the forearm are fixed together with the fixing strap 103, so as to prevent the shaking during puncturing, flushing and sealing the tube and affect the teaching effect; or place the base 10 on the desktop, Then, use the fixing band 103 to fasten it tightly, so that the teaching device for flushing and sealing the venous catheter can be stably installed.

进一步地,所述基座10、血管体301和橡胶层20均为透明材质形成,在教学过程中能够更加直观地观察到教学步骤或者学员的操作。Further, the base 10 , the blood vessel body 301 and the rubber layer 20 are all formed of transparent materials, so that the teaching steps or the operations of the students can be observed more intuitively during the teaching process.

进一步地,该静脉导管冲管封管教学装置还包括静脉导管40和注射器50,所述留置针50能够通过所述橡胶层20插入到所述血管体301内,完成穿刺教学;所述注射器50能够与所述静脉导管40连接,以完成冲管封管教学。Further, the venous catheter flushing tube sealing teaching device also includes an venous catheter 40 and a syringe 50, the indwelling needle 50 can be inserted into the vascular body 301 through the rubber layer 20 to complete the puncture teaching; the syringe 50 It can be connected with the venous catheter 40 to complete the teaching of flushing and sealing.

利用本发明的静脉导管冲管封管教学装置进行冲管封管教学的方法,包括:The method for teaching flushing and sealing by utilizing the venous catheter flushing and sealing teaching device of the present invention includes:

S1.向基座10的血管体301内加满生理盐水,将静脉导管40的穿刺针通过橡胶层20穿刺到血管体301内;S1. Fill the vascular body 301 of the base 10 with physiological saline, and puncture the puncture needle of the venous catheter 40 into the vascular body 301 through the rubber layer 20;

S2.向注射器50内添加易于区分颜色的有色液体,将注射器50与静脉导管40连接;S2. add the colored liquid that is easy to distinguish the color in the syringe 50, and connect the syringe 50 with the venous catheter 40;

S3.进行冲管封管操作。S3. Carry out the pipe flushing and sealing operation.

其中,所述步骤S3在冲管时采用推一下停一下使注射器50内的有色冲管液在静脉导管40内形成小旋涡的冲洗方法,在封管时采用正压封管;或者非正压接头,则注射器50需要一边推注有色液体封管,另一边注射器50从静脉导管40内后退以维持静脉导管40内的正压状态。Wherein, the step S3 adopts the flushing method of pushing and stopping the colored flushing fluid in the syringe 50 to form a small vortex in the venous catheter 40 when flushing the tube, and adopting positive pressure sealing when sealing the tube; or non-positive pressure If the connector is connected, the syringe 50 needs to inject the colored liquid to seal the tube while the syringe 50 is retracted from the intravenous catheter 40 to maintain the positive pressure state in the intravenous catheter 40 .

具体地,在进行封管教学时,推注射器50内的有色封管液至剩余0.5ml,用上述的边推注药液边退针的方法,拔出注射器50的针头,并且推注速度大于拔针速度;或者,推注射器50内的有色封管液至剩余0.5ml,使用医用小夹子夹闭静脉导管40;具体的方法是一手持医用小夹子,另一手拿捏输液接头侧,快速将小夹子推至底部使得静脉导管40的延长管被夹闭,再边推边退注射器50的针头。Specifically, when teaching the tube sealing, push the colored tube sealing solution in the syringe 50 to the remaining 0.5ml, and use the above-mentioned method of withdrawing the needle while pushing the liquid medicine to pull out the needle of the syringe 50, and the injection speed is greater than Needle withdrawal speed; or, push the colored tube sealing solution in the syringe 50 to the remaining 0.5ml, and use a small medical clip to clamp the venous catheter 40; The clip is pushed to the bottom so that the extension tube of the intravenous catheter 40 is clamped, and the needle of the syringe 50 is withdrawn while pushing.

步骤S3是根据注射器50、血管体301和静脉导管40内的生理盐水和有色液体的混合情况来判断冲管封管操作的正确性与有效性。Step S3 is to judge the correctness and effectiveness of the flushing and sealing operation according to the mixing situation of the physiological saline and colored liquid in the syringe 50 , the vascular body 301 and the venous catheter 40 .

在本发明中所述血管体301内加满生理盐水,所述注射器50提供的液体为易于与生理盐水区分颜色的有色液体,在注射器50与静脉导管40连接后进行冲管封管操作,教员通过观察生理盐水和有色液体的混合情况来判断学员的冲管封管操作是否正确和准确;同时在教员教学的过程中也便于学员学习掌握冲管封管操作,能够大大地提高教学质量。In the present invention, the vascular body 301 is filled with physiological saline, and the liquid provided by the syringe 50 is a colored liquid that can be easily distinguished from the physiological saline. By observing the mixture of normal saline and colored liquids, we can judge whether the students’ flushing and sealing operations are correct and accurate; at the same time, it is also convenient for students to learn and master the flushing and sealing operations during the teaching process, which can greatly improve the teaching quality.

在教学过程中,血管体301内的生理盐水与有色液体混合,随着冲管封管教学的次数增多,应及时通过排液口101更换生理盐水,防止血管体301内的生理盐水和注射器50的有色液体的颜色不易区分而影响教学效果或者无法准确评估学员操作的准确性。During the teaching process, the physiological saline in the vascular body 301 is mixed with the colored liquid. As the number of flushing and sealing teaching increases, the physiological saline should be replaced through the drain port 101 in time to prevent the physiological saline in the vascular body 301 and the syringe 50 The color of the colored liquid is not easy to distinguish, which affects the teaching effect or cannot accurately evaluate the accuracy of the student's operation.

以上详细描述了本发明的基本结构、操作方法和本发明的优点,但是,本发明并不限于此,例如,本发明中的静脉导管也可以是留置针,在本发明的技术构思范围内,可以对本发明的技术方案进行多种简单变型,包括各个技术特征以任何其它的合适方式进行组合,这些简单变型和组合同样应当视为本发明所公开的内容,均属于本发明的保护范围。The basic structure, operation method and advantages of the present invention have been described in detail above, but the present invention is not limited thereto. For example, the venous catheter in the present invention can also be an indwelling needle. Within the scope of the technical concept of the present invention, Various simple modifications can be made to the technical solutions of the present invention, including combining various technical features in any other suitable manner. These simple modifications and combinations should also be regarded as the contents disclosed in the present invention, and belong to the protection scope of the present invention.

Claims (8)

1. The utility model provides a venous catheter wash tub tube sealing teaching device which characterized in that includes:
the blood vessel drainage device comprises a base (10), wherein a blood vessel body (301) is arranged in the base (10) and used for providing liquid, a liquid drainage port (101) communicated with the blood vessel body (301) in the base (10) is formed in the base (10), and a plug cover (102) is installed on the liquid drainage port (101);
the rubber layer (20) is used for simulating the skin of a human body, and the rubber layer (20) is arranged on the top of the base (10);
the blood vessel body (301) is formed by thin rubber (30) and used for simulating a human blood vessel, and is connected to the lower part of the rubber layer (20).
2. Instructional device according to claim 1, characterized in that the bottom surface of the base (10) is a horizontal surface or a concave U-profile; and/or the bottom surface of the base (10) is frosted.
3. Instructional device according to claim 1, characterized in that the base (10) is provided on both sides with securing ties (103) for securing the base (10).
4. Instructional device according to claim 3, characterized in that the securing tie (103) is a nylon velcro or a snap-on construction.
5. Instructional device according to claim 1, characterized in that said base (10), said rubber layer (20) and said vascular body (301) are made of transparent material.
6. Instructional device according to claim 1, characterized in that it further comprises an intravenous catheter (40) and a syringe (50), said intravenous catheter (40) being insertable into said vascular body (301) through said rubber layer (20), said syringe (50) being connectable to said intravenous catheter (40).
7. A method for teaching the closing of an intravenous catheter during flushing, the method being performed in the teaching device of any one of claims 1-6, the method comprising the steps of:
s1, filling physiological saline into a blood vessel body (301) of a base (10), and puncturing a puncture needle of a venous catheter (40) into the blood vessel body (301) through a rubber layer (20);
s2, adding colored liquid which is easy to distinguish colors into the injector (50), and connecting the injector (50) with the venous catheter (40);
and S3, performing pipe washing and pipe sealing operation.
8. The method for teaching the intravenous catheter flushing and sealing according to claim 7, wherein the step S3 is to determine the correctness and validity of the flushing and sealing operation according to the mixing condition of the colored liquid in the syringe (50) and the intravenous catheter (40) and the physiological saline in the blood vessel body (301).
CN201910916946.5A 2019-09-26 2019-09-26 Venous catheter tube washing and sealing teaching device and method Pending CN110599879A (en)

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Application publication date: 20191220