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CN111588947A - Injection device for stopping bleeding of cervical vertebral canal venous plexus - Google Patents

Injection device for stopping bleeding of cervical vertebral canal venous plexus Download PDF

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CN111588947A
CN111588947A CN202010451916.4A CN202010451916A CN111588947A CN 111588947 A CN111588947 A CN 111588947A CN 202010451916 A CN202010451916 A CN 202010451916A CN 111588947 A CN111588947 A CN 111588947A
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pipe
tube
venous plexus
piston
hemostasis
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王贝宇
黄诚一
刘浩
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West China Hospital of Sichuan University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/178Syringes
    • A61M5/30Syringes for injection by jet action, without needle, e.g. for use with replaceable ampoules or carpules
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/12Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/178Syringes
    • A61M5/31Details
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/178Syringes
    • A61M5/31Details
    • A61M5/315Pistons; Piston-rods; Guiding, blocking or restricting the movement of the rod or piston; Appliances on the rod for facilitating dosing ; Dosing mechanisms
    • A61M5/31511Piston or piston-rod constructions, e.g. connection of piston with piston-rod
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/12Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B2017/12004Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for haemostasis, for prevention of bleeding

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Abstract

本发明涉及一种用于颈椎椎管静脉丛止血的注射装置,属于医疗工具技术领域,该注射装置包括装有流体明胶的内管和装有明胶海绵的外管,内管固接于外管内,内管内装有第一活塞,外管与内管之间的空腔中装有第二活塞;外壳以及装在外壳内的第一平推装置和第二平推装置,外壳连接于外管的左端,第一平推装置的动力输出端伸入内管中并与第一活塞相连,第二平推装置的动力输出端伸入外管与内管之间的空腔中并与第二活塞相连。通过上述结构,本发明提供的用于颈椎椎管静脉丛止血的注射装置能够依次推出流体明胶和明胶海绵以对颈椎椎管静脉丛常见典型部位进行快速而有效的止血,并且还可以控制流出的流体明胶的量,减小浪费,实用性更强。

Figure 202010451916

The invention relates to an injection device for hemostasis of cervical vertebral canal venous plexus, belonging to the technical field of medical tools. The injection device comprises an inner tube filled with fluid gelatin and an outer tube filled with gelatin sponge, and the inner tube is fixed in the outer tube, A first piston is installed in the inner tube, a second piston is installed in the cavity between the outer tube and the inner tube; the outer casing and the first and second flattening devices are installed in the outer casing, and the outer casing is connected to the outer tube. At the left end, the power output end of the first flat pushing device extends into the inner tube and is connected with the first piston, and the power output end of the second flat pushing device extends into the cavity between the outer tube and the inner tube and is connected with the second piston. connected. Through the above structure, the injection device for hemostasis of cervical vertebral canal venous plexus provided by the present invention can push out fluid gelatin and gelatin sponge in sequence to quickly and effectively stop bleeding in common typical parts of cervical vertebral canal venous plexus, and can also control the outflow of the venous plexus. The amount of fluid gelatin reduces waste and is more practical.

Figure 202010451916

Description

一种用于颈椎椎管静脉丛止血的注射装置An injection device for hemostasis of cervical vertebral canal venous plexus

技术领域technical field

本发明属于医疗工具技术领域,特别涉及一种用于颈椎椎管静脉丛止血的注射装置。The invention belongs to the technical field of medical tools, and in particular relates to an injection device for hemostasis of cervical vertebral canal venous plexus.

背景技术Background technique

在颈椎前路间盘切除融合术(anteriorcervicaldiscectomyandfusion,ACDF)中,锥管静脉丛出血因其出血量大以及难以直接压迫止血的特点成为较为棘手的术中并发症。由于该手术野狭小而对减压要求高,如何安全且迅速地控制减压过程硬膜外静脉丛出血,仍然是脊柱外科医师至今面临的问题。In anterior cervical discectomy and fusion (ACDF), conical venous plexus hemorrhage is a difficult intraoperative complication due to its large amount of bleeding and the difficulty of direct compression to stop bleeding. Due to the narrow surgical field and high requirements for decompression, how to safely and quickly control epidural venous plexus bleeding during decompression is still a problem faced by spine surgeons.

目前,有些医师在对该处进行止血时使用流体明胶,但是由于颈椎椎管静脉丛具有出血快而且量大的特点,故而在无物理压迫和吸附的情况下凝血级联反应难以顺利进行,止血难度仍然较大,而且流体明胶的量不易控制,容易造成浪费;也有一些医师使用明胶海绵进行止血,借助于明胶海绵的遇水高膨胀性能,能起到一定的止血效果,但是明胶海绵无法直接接触被骨性结构阻挡出血的锥管静脉丛而导致止血效果不佳。At present, some physicians use fluid gelatin for hemostasis. However, due to the rapid and large amount of bleeding in the cervical spinal venous plexus, it is difficult for the coagulation cascade to proceed smoothly without physical compression and adsorption. The difficulty is still relatively large, and the amount of fluid gelatin is not easy to control, which is easy to cause waste; some physicians also use gelatin sponge to stop bleeding. With the help of the high swelling property of gelatin sponge, it can play a certain hemostatic effect, but gelatin sponge cannot directly Inadequate hemostasis due to contact with the conical venous plexus, which is blocked by bony structures.

发明内容SUMMARY OF THE INVENTION

本发明提供一种用于颈椎椎管静脉丛止血的注射装置,用于解决颈椎椎管静脉丛不易止血以及止血时流体明胶的量不易控制的技术问题。The invention provides an injection device for hemostasis of cervical vertebral canal venous plexus, which is used to solve the technical problems that the cervical vertebral canal venous plexus is difficult to stop bleeding and the amount of fluid gelatin is difficult to control during hemostasis.

本发明通过下述技术方案实现:一种用于颈椎椎管静脉丛止血的注射装置,包括:The present invention is achieved through the following technical solutions: an injection device for hemostasis of cervical vertebral canal venous plexus, comprising:

装有流体明胶的内管和装有明胶海绵的外管,所述内管固接于所述外管内且所述内管的右端与所述外管的右端齐平,所述内管内装有第一活塞,所述外管与所述内管之间的空腔中装有第二活塞;The inner tube containing fluid gelatin and the outer tube containing gelatin sponge, the inner tube is fixed in the outer tube and the right end of the inner tube is flush with the right end of the outer tube, and the inner tube is equipped with the first tube. a piston, a second piston is installed in the cavity between the outer tube and the inner tube;

外壳以及装在所述外壳内的第一平推装置和第二平推装置,所述外壳与所述外管相连,所述第一平推装置的动力输出端伸入所述内管中并与所述第一活塞相连以用于将所述流体明胶从所述内管的右端推出,所述第二平推装置的动力输出端伸入所述外管与所述内管之间的空腔中并与所述第二活塞相连以用于将所述明胶海绵从所述外管的右端推出。The casing and the first and second smoothing devices installed in the casing, the casing is connected with the outer pipe, and the power output end of the first smoothing device extends into the inner pipe and Connected with the first piston for pushing the fluid gelatin out of the right end of the inner tube, the power output end of the second pusher extends into the space between the outer tube and the inner tube. cavity and connected to the second piston for pushing the gelatin sponge out of the right end of the outer tube.

进一步地,为了更好的实现本发明,所述第一平推装置包括第一电机、第一丝杠、第一螺母以及第一推杆,所述第一电机安装在所述外壳内,所述第一丝杠通过第一联轴器连接在所述第一电机的转轴上,所述第一螺母螺接在所述第一丝杠上,所述第一推杆连接在所述第一螺母外壁上,所述外壳的内壁上设有对所述第一丝杠形成支撑的第一支撑板,所述第一推杆的右端伸入所述内管中并与所述第一活塞相连。Further, in order to better realize the present invention, the first flat pushing device includes a first motor, a first lead screw, a first nut and a first push rod, and the first motor is installed in the housing, so The first lead screw is connected to the rotating shaft of the first motor through a first coupling, the first nut is screwed on the first lead screw, and the first push rod is connected to the first The outer wall of the nut and the inner wall of the casing are provided with a first support plate that supports the first lead screw, and the right end of the first push rod extends into the inner tube and is connected to the first piston .

进一步地,为了更好的实现本发明,所述第二平推装置包括第二电机、第二丝杠、第二螺母以及第二推杆,所述第二电机安装在所述外壳内,所述第二丝杠通过第二联轴器连接在所述第二电机的转轴上,所述第二螺母螺接在所述第二丝杠上,所述第二推杆连接在所述第二螺母外壁上,所述外壳的内壁上还设有对所述第二丝杠形成支撑的第二支撑板,所述第二推杆的右端伸入所述外管和内管之间的空腔中。Further, in order to better realize the present invention, the second flat pushing device includes a second motor, a second lead screw, a second nut and a second push rod, and the second motor is installed in the housing, so The second lead screw is connected to the rotating shaft of the second motor through a second coupling, the second nut is screwed on the second lead screw, and the second push rod is connected to the second The outer wall of the nut and the inner wall of the casing are also provided with a second support plate that supports the second lead screw, and the right end of the second push rod extends into the cavity between the outer tube and the inner tube middle.

进一步地,为了更好地实现本发明,还包括安装在外壳左端的握柄,所述握柄内安装有电池,并且所述握柄的外壁上安装有第一开关和第二开关,所述第一电机通过第一导线与所述电池电连接且所述第一开关电连接在所述第一导线中,所述第二电机通过第二导线与所述电池电连接且所述第二开关电连接在所述第二电线中。Further, in order to better realize the present invention, it also includes a handle installed at the left end of the casing, a battery is installed in the handle, and a first switch and a second switch are installed on the outer wall of the handle, the The first motor is electrically connected to the battery through a first wire and the first switch is electrically connected in the first wire, the second motor is electrically connected to the battery through a second wire and the second switch is electrically connected Electrically connected in the second wire.

进一步地,为了更好地实现本发明,所述内管中的空腔为内孔,所述内管和所述外管之间的空腔为外孔,所述内孔的孔径小于所述外孔的孔径,并且所述内管的外壁贴附于所述外管的内壁上。Further, in order to better realize the present invention, the cavity in the inner tube is an inner hole, the cavity between the inner tube and the outer tube is an outer hole, and the diameter of the inner hole is smaller than that of the the diameter of the outer hole, and the outer wall of the inner tube is attached to the inner wall of the outer tube.

进一步地,为了更好地实现本发明,还包括由锥管和直管组成的管体,所述锥管的锥底端设于所述外管的右端,所述直管设于所述锥管的锥顶端,并且所述锥管与所述直管以及所述外管同轴设置;Further, in order to better realize the present invention, it also includes a tube body composed of a tapered tube and a straight tube, the tapered bottom end of the tapered tube is arranged on the right end of the outer tube, and the straight tube is arranged on the tapered tube. the tapered top end of the tube, and the tapered tube is arranged coaxially with the straight tube and the outer tube;

所述管体的内壁上设有凸部,所述凸部上设有贯穿所述管体左右两端的流道,所述流道的左端与所述内孔导通。The inner wall of the pipe body is provided with a convex portion, the convex portion is provided with a flow channel penetrating the left and right ends of the pipe body, and the left end of the flow channel is connected with the inner hole.

进一步地,为了更好地实现本发明,还包括能够将所述直管右端封住的盖子,所述盖子旋合在所述直管的右端。Further, in order to better realize the present invention, a cover capable of sealing the right end of the straight pipe is also included, and the cover is screwed on the right end of the straight pipe.

进一步地,为了更好地实现本发明,所述第一推杆的右端设有第一推板,所述第一推板与所述第一活塞适配,所述第二推杆的右端设有第二推板且所述第二推板与所述第二活塞适配。Further, in order to better realize the present invention, the right end of the first push rod is provided with a first push plate, the first push plate is adapted to the first piston, and the right end of the second push rod is provided with a first push plate. There is a second push plate and the second push plate is adapted to the second piston.

进一步地,为了更好地实现本发明,所述第二活塞的右端设有与所述锥管适配的锥形块,所述锥形块的右端端面中心位置设有与所述直管适配的插块。Further, in order to better realize the present invention, the right end of the second piston is provided with a conical block adapted to the tapered pipe, and the center position of the end face of the right end of the conical block is provided with a conical block adapted to the straight pipe. matching plug.

进一步地,为了更好地实现本发明,所述外壳的右端外壁上设有左安装耳,所述外管的左端外壁上设有右安装耳,所述左安装耳和所述右安装耳通过螺钉进行锁紧。Further, in order to better realize the present invention, the outer wall of the right end of the outer casing is provided with a left mounting ear, the outer wall of the left end of the outer tube is provided with a right mounting ear, and the left mounting ear and the right mounting ear pass through. Tighten the screw.

本发明相较于现有技术具有以下有益效果:Compared with the prior art, the present invention has the following beneficial effects:

本发明提供的用于颈椎椎管静脉丛止血的注射装置,包括内管和外管,内管固接在外管内且内管的右端和外管的右端齐平,内管中装有流体明胶,外管中装有明胶海绵,而且内管中还安装有适配的第一活塞,外管与内管之间的空腔中安装有适配的第二活塞,还包括外壳和装在外壳内的第一平推装置以及第二平推装置,该外壳与上述外管的左端相连,第一平推装置的动力输出端伸入内管中并与第一活塞相连以驱动第一活塞在内管中移动而将内管中的流体明胶从内管的右端推出,第二平推装置的动力输出端伸入外管和内管之间的空腔中并作用在第二活塞上以驱动第二活塞将外管中的明胶海绵推出,通过上述结构,当需要对手术中的颈椎椎管静脉丛进行止血时,使用者首先操控第一平推装置以将适量的流体明胶推至内管的右端,随后即可操控第二平推装置以将明胶海绵推至外管的右端,流体明胶从颈椎椎管静脉丛处的间隙进入而进行化学止血,明胶海绵遇血水膨胀而对颈椎椎管静脉丛的间隙以及到达该处的流体明胶进行压迫而起到物理止血,这样,借助于流体明胶和明胶海绵的共同作用,则可以对颈椎椎管静脉丛出血部位进行快速而有效的止血,并且,使用者可以根据需要而控制从内管出来的颈椎椎管静脉丛处的流体明胶的量,减少浪费。The injection device for hemostasis of the cervical vertebral canal venous plexus provided by the invention comprises an inner tube and an outer tube, the inner tube is fixed in the outer tube, the right end of the inner tube and the right end of the outer tube are flush, and the inner tube is filled with fluid gelatin, The outer tube is equipped with gelatin sponge, and the inner tube is also equipped with a matching first piston, the cavity between the outer tube and the inner tube is equipped with a matching second piston, and also includes an outer casing and a fitting inside the outer casing. The first and second flattening devices, the outer casing is connected with the left end of the above-mentioned outer tube, the power output end of the first flattening device extends into the inner tube and is connected with the first piston to drive the first piston in the inner tube The fluid gelatin in the inner tube is pushed out from the right end of the inner tube, and the power output end of the second flat pushing device extends into the cavity between the outer tube and the inner tube and acts on the second piston to drive the second piston Push out the gelatin sponge in the outer tube, through the above structure, when the cervical vertebral canal venous plexus needs to be stopped during the operation, the user first controls the first flat push device to push an appropriate amount of fluid gelatin to the right end of the inner tube, Then the second flat push device can be manipulated to push the gelatin sponge to the right end of the outer tube, and the fluid gelatin enters from the space at the cervical spinal venous plexus to perform chemical hemostasis. The space and the fluid gelatin that reaches the place are compressed to play physical hemostasis. In this way, with the help of the joint action of the fluid gelatin and the gelatin sponge, the bleeding site of the cervical spinal canal venous plexus can be quickly and effectively stopped. The amount of fluid gelatin at the cervical spinal venous plexus coming out of the inner tube can be controlled as needed to reduce waste.

附图说明Description of drawings

为了更清楚地说明本发明实施例或现有技术中的技术方案,下面将对实施例或现有技术描述中所需要使用的附图作简单地介绍,显而易见地,下面描述中的附图仅仅是本发明的一些实施例,对于本领域普通技术人员来讲,在不付出创造性劳动的前提下,还可以根据这些附图获得其他的附图。In order to explain the embodiments of the present invention or the technical solutions in the prior art more clearly, the following briefly introduces the accompanying drawings that need to be used in the description of the embodiments or the prior art. Obviously, the accompanying drawings in the following description are only These are some embodiments of the present invention. For those of ordinary skill in the art, other drawings can also be obtained according to these drawings without creative efforts.

图1是本发明实施例中的用于颈椎椎管静脉丛止血的注射装置的结构示意图;1 is a schematic structural diagram of an injection device for hemostasis of cervical vertebral canal venous plexus according to an embodiment of the present invention;

图2是图1中的A区域局部放大图;Fig. 2 is a partial enlarged view of A region in Fig. 1;

图3是图1所示结构的爆炸图。FIG. 3 is an exploded view of the structure shown in FIG. 1 .

图中:In the picture:

1-流体明胶;2-内管;3-明胶海绵;4-外管;5-第一活塞;6-第二活塞;7-外壳;8-第一平推装置;81-第一电机;82-第一丝杠;83-第一螺母;84-第一推杆;85-第一联轴器;86-第一支撑板;9-第二平推装置;91-第二电机;92-第二丝杠;93-第二螺母;94-第二推杆;95-第二联轴器;96-第二支撑板;10-握柄;11-电池;12-第一开关;13-第二开关;14-锥管;15-直管;16-盖子;17-第一推板;18-第二推板;19-锥形块;20-插块;21-左安装耳;22-右安装耳;23-螺钉。1-fluid gelatin; 2-inner tube; 3-gelatin sponge; 4-outer tube; 5-first piston; 6-second piston; 7-shell; 8-first pusher device; 81-first motor; 82-first screw; 83-first nut; 84-first push rod; 85-first coupling; 86-first support plate; 9-second push device; 91-second motor; 92 -2nd screw; 93-second nut; 94-second push rod; 95-second coupling; 96-second support plate; 10-grip; 11-battery; 12-first switch; 13 -2nd switch; 14-cone pipe; 15-straight pipe; 16-cover; 17-first push plate; 18-second push plate; 19-cone block; 20-insert block; 21-left mounting ear; 22-right mounting ear; 23-screw.

具体实施方式Detailed ways

为使本发明的目的、技术方案和优点更加清楚,下面将对本发明的技术方案进行详细的描述。显然,所描述的实施例仅仅是本发明一部分实施例,而不是全部的实施例。基于本发明中的实施例,本领域普通技术人员在没有做出创造性劳动的前提下所得到的所有其它实施方式,都属于本发明所保护的范围。In order to make the objectives, technical solutions and advantages of the present invention clearer, the technical solutions of the present invention will be described in detail below. Obviously, the described embodiments are only some, but not all, embodiments of the present invention. Based on the embodiments of the present invention, all other implementations obtained by those of ordinary skill in the art without creative work fall within the protection scope of the present invention.

实施例1:Example 1:

本实施例提供一种用于颈椎椎管静脉丛止血的注射装置,用于在手术中对颈椎椎管静脉丛出血部位进行快速而有效的止血,以减小对患者的伤害以及术中并发症发生的几率。This embodiment provides an injection device for hemostasis of the cervical vertebral venous plexus, which is used to quickly and effectively stop the bleeding of the cervical vertebral venous plexus during surgery, so as to reduce the injury to the patient and the intraoperative complications probability of occurrence.

如图1和图3所示,该颈椎椎管静脉丛止血的注射装置包括内管2和外管4,内管2固接在外管4中,此时,上述内管2中的空腔为内孔,上述内管2和外管4之间的空腔为外孔,外孔的孔径大于内孔的孔径,也即外孔的截面积大于内孔的截面积。上述内管2中装有流体明胶1,外管4与内管2之间的空腔中装有明胶海绵3,内管2中安装有适配的第一活塞5,外管4与内管2之间的空腔中安装第二活塞6,该第一活塞5能够将内管2中的流体明胶1从内管2的右端推出,第二活塞6能够将上述外孔中的明胶海绵3从外管4的右端推出。As shown in Figures 1 and 3, the cervical vertebral canal venous plexus hemostasis injection device includes an inner tube 2 and an outer tube 4, the inner tube 2 is fixed in the outer tube 4, at this time, the cavity in the inner tube 2 is In the inner hole, the cavity between the inner tube 2 and the outer tube 4 is an outer hole, and the diameter of the outer hole is larger than that of the inner hole, that is, the cross-sectional area of the outer hole is larger than that of the inner hole. The fluid gelatin 1 is housed in the above-mentioned inner pipe 2, the gelatin sponge 3 is housed in the cavity between the outer pipe 4 and the inner pipe 2, the first piston 5 that fits is installed in the inner pipe 2, the outer pipe 4 and the inner pipe A second piston 6 is installed in the cavity between Push out from the right end of the outer tube 4 .

还包括外壳7和装在外壳7中的第一平推装置8以及第二平推装置9,第一平推装置8的动力输出端以及第二平推装置9的动力输出端均能够伸出外壳7的右端,该外壳7的右端与上述外管4的左端可拆卸固接在一起,上述第一平推装置8的动力输出端则从左端伸入上述内管2并作用在第一活塞5的左端,值得注意的是,上述流体明胶1位于第一活塞5的右端,此时,第一平推装置8运行时则可以驱动第一活塞5将流体明胶1从内管2的右端推出,上述第二平推装置9的动力输出端从左端伸入上述外孔中并作用在第二活塞6的左端,上述明胶海绵3置于第二活塞6的右端,故而该第二平推装置9运行时则能够驱动第二活塞6将明胶海绵3从外管4的右端推出。It also includes a housing 7 and a first flat pushing device 8 and a second flat pushing device 9 installed in the housing 7. Both the power output end of the first flat pushing device 8 and the power output end of the second flat pushing device 9 can extend out of the housing. 7, the right end of the casing 7 and the left end of the above-mentioned outer tube 4 are detachably fixed together, and the power output end of the above-mentioned first pusher 8 extends into the above-mentioned inner tube 2 from the left end and acts on the first piston 5. It is worth noting that the above-mentioned fluid gelatin 1 is located at the right end of the first piston 5, and at this time, the first piston 5 can be driven to push out the fluid gelatin 1 from the right end of the inner tube 2 when the first pusher 8 is in operation, The power output end of the above-mentioned second pusher 9 extends into the above-mentioned outer hole from the left end and acts on the left end of the second piston 6, and the above-mentioned gelatin sponge 3 is placed on the right end of the second piston 6, so this second pusher 9 During operation, the second piston 6 can be driven to push out the gelatin sponge 3 from the right end of the outer tube 4 .

采用上述结构,本实施例提供的用于颈椎椎管静脉丛止血的注射装置在使用时,将上述外管4对准颈椎椎管静脉丛出血的部位,首先操控第一平推装置8和第二平推装置9同时运行以将流体明胶1推至内管2的右端且将明胶海绵3推至外管4的右端,随后操控第一平推装置8将适量的流体明胶1从内管2的右端推出,推出的流体明胶1将进入并快速扩散在颈椎椎管静脉丛出血处的间隙中并作用于出血部位而进行化学止血,当流体明胶1推出的量达到合适时,则即可操控第二平推装置9,以将明胶海绵3推出,由于操控的连接性,使得明胶海绵3能够无缝连接在流出的流体明胶1上,明胶海绵3遇血水立即产生膨胀而压紧在颈椎椎管静脉丛出血的间隙以及出血部位以及达到出血部位的流体明胶1上以进行压迫,从实现物理止血,这样,借助于流体明胶1和明胶海绵3的共同作用,则可以起到快速且有效的止血效果,而且医护人员可以根据需要而控制流出内管2的流体明胶1的量,从而起到减少浪费的效果。With the above structure, when the injection device for hemostasis of cervical vertebral canal venous plexus provided in this embodiment is in use, the above-mentioned outer tube 4 is aligned with the bleeding site of cervical vertebral canal venous plexus, and firstly, the first flattening device 8 and the second vertebral plexus are operated. The two pushers 9 operate simultaneously to push the fluid gelatin 1 to the right end of the inner tube 2 and push the gelatin sponge 3 to the right end of the outer tube 4, and then operate the first pusher 8 to push an appropriate amount of fluid gelatin 1 from the inner tube 2 The right end is pushed out, and the pushed out fluid gelatin 1 will enter and quickly diffuse into the space at the bleeding site of the cervical spinal canal venous plexus and act on the bleeding site to perform chemical hemostasis. When the amount of fluid gelatin 1 pushed out reaches an appropriate amount, it can be controlled The second flat push device 9 is to push out the gelatin sponge 3, due to the connectivity of the manipulation, the gelatin sponge 3 can be seamlessly connected on the outflowing fluid gelatin 1, and the gelatin sponge 3 encounters blood and immediately produces swelling and is compressed on the cervical vertebra. The gap of the vascular venous plexus hemorrhage and the bleeding site and the fluid gelatin 1 reaching the bleeding site can be compressed to achieve physical hemostasis. Hemostatic effect, and the medical staff can control the amount of fluid gelatin 1 flowing out of the inner tube 2 as required, thereby reducing waste.

作为本实施例的一种最佳实施方式,本实施例中,在上述外壳7的右端外壁上设有左安装耳21,在外管4的左端外壁上设有右安装耳22,外管4的形状以及尺寸与外壳1的形状以及尺寸适配,安装时,将外壳7和外管4对拼使得左安装耳21和右安装耳22相贴,随后使用螺钉23将左安装耳21和右安装耳22连接在一起。采用该种结构,使得外壳7和外管4能够快速地拆装,当外管4中的明胶海绵3和/或内管2中的流体明胶1使用完之后,则可以进行快速地拆装更换。As a best implementation of this embodiment, in this embodiment, a left mounting ear 21 is provided on the outer wall of the right end of the outer casing 7, and a right mounting ear 22 is provided on the outer wall of the left end of the outer tube 4. The shape and size are adapted to the shape and size of the shell 1. During installation, the shell 7 and the outer tube 4 are put together so that the left mounting ear 21 and the right mounting ear 22 are attached, and then the left mounting ear 21 and the right mounting ear 21 are installed with screws 23. The ears 22 are connected together. With this structure, the outer shell 7 and the outer tube 4 can be quickly disassembled and assembled, and when the gelatin sponge 3 in the outer tube 4 and/or the fluid gelatin 1 in the inner tube 2 are used up, they can be quickly disassembled and replaced. .

作为本实施例的一种更优实施方式,本实施例中的内管2和外管4均是透明材料制成的结构件,比如有机玻璃或者透明塑料,以便于使用者观察外管4和内管2中的情况,而且,在外管4以及内管2的管壁上均设有刻度线(图中未画出),以便于使用者控制推出内管2的流体明胶1的量。As a more preferred implementation of this embodiment, the inner tube 2 and the outer tube 4 in this embodiment are both structural parts made of transparent materials, such as plexiglass or transparent plastic, so that the user can observe the outer tube 4 and the In the case of the inner tube 2, and the outer tube 4 and the tube wall of the inner tube 2 are provided with scale lines (not shown in the figure), so as to facilitate the user to control the amount of fluid gelatin 1 pushed out of the inner tube 2.

实施例2:Example 2:

本实施例作为实施例1的一种具体实施方式,本实施例中的第一平推装置8包括第一电机81、第一丝杠82、第一螺母83以及第一推杆84,上述第一电机81安装在外壳7内且第一电机81的转轴朝右,上述第一丝杠82则通过第一联轴器85连接在上述第一电机81的转轴上且该第一丝杠82的轴向也是朝右,上述第一螺母83螺接在上述第一丝杠82上,第一推杆84则连接在第一螺母83的外壁上,第一推杆84的右端伸出外壳7并伸入内管2中以与第一活塞5相连,当第一电机84运行时,则可以带动第一丝杠82转动,第一螺母83受到第一推杆84的限制而只能在第一丝杠82上产生平移,从而带动第一推杆84平移,进而实现推动第一活塞5。上述外壳7的内壁上设有第一支撑板86,该第一支撑板86的数量为两块,上述第一丝杠82的两端分别转动插接在两块第一支撑板86上,更优地,上述第一丝杠82的两端均设有圆轴,圆轴通过轴承连接在对应的第一支撑板86上,从而使得第一丝杠82的转动更加平顺。This embodiment is a specific implementation of Embodiment 1. The first flat pushing device 8 in this embodiment includes a first motor 81 , a first lead screw 82 , a first nut 83 and a first push rod 84 . A motor 81 is installed in the housing 7 with the rotating shaft of the first motor 81 facing right, the first lead screw 82 is connected to the rotating shaft of the first motor 81 through the first coupling 85 and the first lead screw 82 is The axial direction is also to the right, the first nut 83 is screwed on the first lead screw 82, the first push rod 84 is connected to the outer wall of the first nut 83, and the right end of the first push rod 84 extends out of the housing 7 and It extends into the inner tube 2 to be connected with the first piston 5. When the first motor 84 runs, it can drive the first lead screw 82 to rotate. The first nut 83 is restricted by the first push rod 84 and can only operate in the first The lead screw 82 generates translation, thereby driving the first push rod 84 to translate, thereby pushing the first piston 5 . The inner wall of the housing 7 is provided with a first support plate 86, the number of the first support plate 86 is two, the two ends of the first lead screw 82 are respectively rotated and inserted on the two first support plates 86, and more Preferably, both ends of the first lead screw 82 are provided with round shafts, and the round shafts are connected to the corresponding first support plates 86 through bearings, so that the rotation of the first lead screw 82 is smoother.

采用该种结构,则可以使得第一平推装置8的动力输出端(也即第一推杆84)的运动得到有效的控制,以便于医护人员根据需要而控制第一活塞5推出的流体明胶1的量。By adopting this structure, the movement of the power output end (ie, the first push rod 84 ) of the first pusher 8 can be effectively controlled, so that the medical staff can control the fluid gelatin pushed out by the first piston 5 as required. 1 amount.

更优地,上述第二平推装置9包括第二电机91、第二丝杠92、第二螺母93以及第二推杆94,上述第二电机91安装在外壳7内且第二电机91的转轴朝右,上述第二丝杠92则通过第二联轴器95连接在上述第二电机91的转轴上且该第二丝杠92的轴向也是朝右,上述第二螺母93螺接在上述第二丝杠92上,第二推杆94则连接在第二螺母93的外壁上,第二推杆94的右端伸出外壳7并伸入内管2和外管4之间的空腔中以与第二活塞6相连,当第二电机91运行时,则可以带动第二丝杠92转动,第二螺母93受到第二推杆94的限制而只能在第二丝杠92上产生平移,从而带动第二推杆94平移,进而实现推动第二活塞6。上述外壳7的内壁上设有第二支撑板96,该第二支撑板96的数量为两块,上述第二丝杠92的两端分别转动插接在两块第二支撑板96上,更优地,上述第二丝杠92的两端均设有圆杆,圆杆通过轴承连接在对应的第二支撑板96上,从而使得第二丝杠92的转动更加平顺。More preferably, the second pusher 9 includes a second motor 91 , a second lead screw 92 , a second nut 93 and a second push rod 94 , the second motor 91 is installed in the housing 7 and the second motor 91 is The rotating shaft faces to the right, the second lead screw 92 is connected to the rotating shaft of the second motor 91 through the second coupling 95, and the axial direction of the second lead screw 92 is also directed to the right, and the second nut 93 is screwed on the rotating shaft of the second motor 91. On the above-mentioned second lead screw 92, the second push rod 94 is connected to the outer wall of the second nut 93, and the right end of the second push rod 94 protrudes out of the casing 7 and into the cavity between the inner tube 2 and the outer tube 4 The middle is connected to the second piston 6. When the second motor 91 is running, it can drive the second lead screw 92 to rotate. The second nut 93 is restricted by the second push rod 94 and can only be generated on the second lead screw 92. Translate, thereby driving the second push rod 94 to translate, thereby pushing the second piston 6 . The inner wall of the casing 7 is provided with a second support plate 96, the number of the second support plate 96 is two, the two ends of the second lead screw 92 are respectively rotated and inserted on the two second support plates 96, more Preferably, both ends of the second lead screw 92 are provided with round rods, and the round rods are connected to the corresponding second support plates 96 through bearings, so that the rotation of the second lead screw 92 is smoother.

采用该种结构,则可以使得第二平推装置9的动力输出端(也即第二推杆94)的运动得到有效的控制,以便于医护人员根据需要及时控制明胶海绵3推出,保证明胶海绵3与流体明胶1之间形成无缝连接。By adopting this structure, the movement of the power output end (that is, the second push rod 94 ) of the second pusher 9 can be effectively controlled, so that the medical staff can control the gelfoam 3 to push out in time as needed, and ensure that the gelfoam 3 is pushed out in time. 3 forms a seamless connection with the fluid gelatin 1.

作为本实施例的一种最佳实施方式,本实施例中,在上述外壳7的左端安装有握柄10,具体地,该握柄10为一壳体结构且其通过紧固螺钉安装在外壳7的左端。该握柄10内安装有电池11,并且在握柄10的外壁上安装有第一开关12和第二开关13,上述第一电机81通过第一导线与电池11电连接且上述第一开关12电连接在第一导线中,第二电机91通过第二导线与电池11电连接且第二开关13电连接在第二导线中。使用时,医护人员握住握柄10,并用手控制第一开关12和第二开关13的开启以及关闭,并可以控制第一电机81以及第二电机91的工作状态,以进一步提高本实施例提供的用于颈椎椎管静脉丛止血的注射装置的可控性,并且控制效果更好,进而可以进一步减少浪费,并保证明胶海绵3与流体明胶1之间的无缝连接。As a best implementation of this embodiment, in this embodiment, a handle 10 is installed on the left end of the above-mentioned casing 7. Specifically, the handle 10 is a shell structure and is installed on the casing by tightening screws Left end of 7. A battery 11 is installed in the handle 10, and a first switch 12 and a second switch 13 are installed on the outer wall of the handle 10. The first motor 81 is electrically connected to the battery 11 through a first wire, and the first switch 12 is electrically connected to the handle 10. Connected in the first wire, the second motor 91 is electrically connected with the battery 11 through the second wire and the second switch 13 is electrically connected in the second wire. When in use, the medical staff holds the handle 10, and manually controls the opening and closing of the first switch 12 and the second switch 13, and can control the working state of the first motor 81 and the second motor 91, so as to further improve the present embodiment. The provided injection device for hemostasis of the cervical vertebral canal venous plexus has better controllability and better control effect, thereby further reducing waste and ensuring the seamless connection between the gelatin sponge 3 and the fluid gelatin 1 .

最佳地,本实施例中的第一电机81和第二电机81均是正反转电动机,当第一推杆84和/或第二推杆94推出后能够方便地回缩。Preferably, the first motor 81 and the second motor 81 in this embodiment are both forward and reverse motors, and the first push rod 84 and/or the second push rod 94 can be easily retracted after being pushed out.

实施例3:Example 3:

本实施例作为上述实施例的一种更优实施方式,本实施例中,在上述外管4的右端还连接有锥管14,具体地,锥管14的锥底端与上述外管4连接,在锥管14的锥顶端连接有直管15,此时,锥管14与直管15以及外管4同轴,而且锥管14与直管15组成管体,最佳地,锥管14与外管4之间以及锥管14与直管15之间采用一体成型的方式连接在一起,在上述管体的内壁上设有凸部,凸部上设有流道,该流道贯穿管体的左端壁以及右端壁,并且该流道的左端与上述内孔导通。This embodiment is a more preferred implementation of the above-mentioned embodiment. In this embodiment, a tapered pipe 14 is also connected to the right end of the above-mentioned outer pipe 4 . Specifically, the cone bottom end of the above-mentioned outer pipe 4 is connected to the above-mentioned outer pipe 4 . , a straight pipe 15 is connected to the top of the tapered pipe 14. At this time, the tapered pipe 14 is coaxial with the straight pipe 15 and the outer pipe 4, and the tapered pipe 14 and the straight pipe 15 form a pipe body. It is connected with the outer tube 4 and between the tapered tube 14 and the straight tube 15 by integral molding. The inner wall of the above-mentioned tube body is provided with a convex portion, and the convex portion is provided with a flow channel, which runs through the tube. The left end wall and the right end wall of the body, and the left end of the flow channel communicates with the inner hole.

作为本实施例的另一种具体实施方式,本实施例中的锥管14与直管15以及外管4一体成型后形成通管,上述内管2则直接贴附在通管的管壁上且内管2的右端与上述直管15的右端齐平。As another specific implementation of this embodiment, the tapered tube 14 in this embodiment is integrally formed with the straight tube 15 and the outer tube 4 to form a through tube, and the above-mentioned inner tube 2 is directly attached to the tube wall of the through tube And the right end of the inner tube 2 is flush with the right end of the above-mentioned straight tube 15 .

采用该种结构,上述直管15的管径小于外管4的管径,这样,则可以通过设计不同的直管15管径而满足不同流血口口径,也可以将不同管径的直管15制成不同的型号,医护人员可以根据需要选用相应的型号,以保证流体明胶1能够精准地进入颈椎椎管静脉丛出血的部位。最佳地,上述直管15右端的开口形状以及尺寸均与椎管静脉丛在椎间孔处的骨性结构形状以及尺寸适配。With this structure, the diameter of the above-mentioned straight pipe 15 is smaller than that of the outer pipe 4. In this way, different diameters of the straight pipes 15 can be designed to satisfy the different diameters of the bleeding ports. Different models are made, and medical staff can choose corresponding models according to their needs, so as to ensure that the fluid gelatin 1 can accurately enter the bleeding site of the cervical spinal canal venous plexus. Preferably, the shape and size of the opening at the right end of the straight tube 15 are adapted to the shape and size of the bony structure of the spinal canal venous plexus at the intervertebral foramen.

实施例4:Example 4:

本实施例作为实施例3的更优实施方式,本实施例中,在上述直管15的右端旋合有能够将其封盖住的盖子16,当不需要使用时,则可以利用盖子16盖住,以避免流体明胶1泄露,并且可以减少外界环境对流体明胶1以及明胶海绵3的污染,以保持卫生。当需要使用时,则将盖子16取下即可。This embodiment is a more preferred embodiment of Embodiment 3. In this embodiment, a cover 16 capable of covering the straight pipe 15 is screwed to the right end of the above-mentioned straight pipe 15. When it is not needed, the cover 16 can be used to cover it. to avoid leakage of the fluid gelatin 1, and to reduce the contamination of the fluid gelatin 1 and the gelatin sponge 3 by the external environment, so as to maintain hygiene. When needed, the cover 16 can be removed.

实施例5:Example 5:

本实施例作为上述实施例的一种更优实施方式,本实施例中,在上述第一推杆84的右端设有第一推板17,该第一推板17能够在内管2中平移,并且该第一推板17与上述第一活塞5适配,这样,则可以使得第一推杆84能够更好地推动第一活塞5,在上述第二推杆94的右端设有第二推板18,该第二推板18能够在内管2和外管4之间的间隙中平移,并且第二推板18与第二活塞6适配,这样,则可以使得第二推杆94能够更好地推动第二活塞6。This embodiment is a more preferred implementation of the above-mentioned embodiment. In this embodiment, a first push plate 17 is provided at the right end of the above-mentioned first push rod 84 , and the first push plate 17 can translate in the inner tube 2 , and the first push plate 17 is adapted to the first piston 5, so that the first push rod 84 can better push the first piston 5, and the right end of the second push rod 94 is provided with a second push rod 94. The push plate 18, the second push plate 18 can translate in the gap between the inner tube 2 and the outer tube 4, and the second push plate 18 is adapted to the second piston 6, so that the second push rod 94 can be The second piston 6 can be pushed better.

实施例6:Example 6:

本实施例作为上述实施例的一种更优实施方式,本实施例中,在上述第二活塞6的右端设有与锥管14适配的锥形块19,该锥形块19能够进入锥管14中,在锥形块19的右端端面中心位置设有插块20,该插块20能够进入直管15中。采用该种结构,当第二推杆94推动第二活塞6朝右移动时,第二活塞6作用在明胶海绵3上的直接部件为上述锥形块19端面以及插块20端面,从而使得作用面积更小,以便于能够顺利将明胶海绵3推出直管15。This embodiment is a more preferred implementation of the above-mentioned embodiment. In this embodiment, the right end of the second piston 6 is provided with a conical block 19 adapted to the tapered tube 14, and the conical block 19 can enter the cone. In the pipe 14 , an insert block 20 is provided at the center of the right end face of the conical block 19 , and the insert block 20 can enter the straight pipe 15 . With this structure, when the second push rod 94 pushes the second piston 6 to move to the right, the direct parts that the second piston 6 acts on the gelatin sponge 3 are the end face of the tapered block 19 and the end face of the insert block 20, so that the The area is smaller, so that the gelatin sponge 3 can be pushed out of the straight tube 15 smoothly.

作为本实施例的另一种实施方式,本实施例中,也可以直接使用第二推杆94作用在明胶海绵3上,并且将第二推杆94制成与上述直管15适配的直杆结构。As another implementation of this embodiment, in this embodiment, the second push rod 94 can also be directly used to act on the gelatin sponge 3, and the second push rod 94 can be made into a straight pipe that fits with the above-mentioned straight pipe 15. rod structure.

以上所述,仅为本发明的具体实施方式,但本发明的保护范围并不局限于此,任何熟悉本技术领域的技术人员在本发明记载的技术范围内,可轻易想到变化或替换,都应涵盖在本发明的保护范围之内。因此,本发明的保护范围应以所述权利要求的保护范围为准。The above are only specific embodiments of the present invention, but the protection scope of the present invention is not limited to this. Any person skilled in the art can easily think of changes or substitutions within the technical scope of the present invention. should be included within the protection scope of the present invention. Therefore, the protection scope of the present invention should be based on the protection scope of the claims.

Claims (10)

1. An injection device for hemostasis of the venous plexus of the cervical spine, comprising:
the device comprises an inner pipe and an outer pipe, wherein the inner pipe is filled with fluid gelatin, the outer pipe is filled with gelatin sponge, the inner pipe is fixedly connected in the outer pipe, the right end of the inner pipe is flush with the right end of the outer pipe, a first piston is arranged in the inner pipe, and a second piston is arranged in a cavity between the outer pipe and the inner pipe;
the shell and dress are in first flat push device and the second flat push device in the shell, the shell connect in the left end of outer tube, the power take off end of first flat push device stretch into in the inner tube and with first piston links to each other in order to be used for with fluid gelatin follows the right-hand member of inner tube is released, the power take off end of second flat push device stretch into the outer tube with in the cavity between the inner tube and with the second piston links to each other in order to be used for with gelatin sponge follows the right-hand member of outer tube is released.
2. The injection device for hemostasis of the venous plexus of a cervical spine according to claim 1, wherein: first flat push device includes first motor, first lead screw, first nut and first push rod, first motor is installed in the shell, first lead screw is in through first coupling joint in the pivot of first motor, first nut spiro union is in on the first lead screw, first push rod is connected on the first nut outer wall, it is right to be equipped with on the inner wall of shell first lead screw forms the first backup pad that supports, the right-hand member of first push rod stretch into in the inner tube and with first piston links to each other.
3. The injection device for hemostasis of the venous plexus of the cervical spine according to claim 2, wherein: the second horizontal pushing device comprises a second motor, a second lead screw, a second nut and a second push rod, the second motor is installed in the shell, the second lead screw is connected to a rotating shaft of the second motor through a second coupler, the second nut is in threaded connection with the second lead screw, the second push rod is connected to the outer wall of the second nut, a second supporting plate supporting the second lead screw is further arranged on the inner wall of the shell, and the right end of the second push rod extends into a cavity between the outer tube and the inner tube.
4. The injection device for hemostasis of the venous plexus of the cervical spine according to claim 3, wherein: still including installing the grab handle of shell left end, install the battery in the grab handle, and install first switch and second switch on the outer wall of grab handle, first motor through first wire with the battery electricity is connected just first switch electricity is connected in the first wire, the second motor through the second wire with the battery electricity is connected just second switch electricity is connected in the second electric wire.
5. The injection device for hemostasis of the venous plexus of the cervical spine according to claim 4, wherein: the cavity in the inner tube is an inner hole, the cavity between the inner tube and the outer tube is an outer hole, the aperture of the inner hole is smaller than that of the outer hole, and the outer wall of the inner tube is attached to the inner wall of the outer tube.
6. The injection device for hemostasis of the venous plexus of the cervical spine according to claim 5, wherein: the conical pipe is characterized by also comprising a pipe body consisting of a conical pipe and a straight pipe, wherein the conical bottom end of the conical pipe is connected to the right end of the outer pipe, the straight pipe is arranged at the conical top end of the conical pipe, and the conical pipe, the straight pipe and the outer pipe are coaxially arranged;
the inner wall of the tube body is provided with a convex part, the convex part is provided with a flow passage which penetrates through the left end and the right end of the tube body, and the left end of the flow passage is communicated with the inner hole.
7. The injection device for hemostasis of the venous plexus of the cervical spine according to claim 6, wherein: the cover can seal the right end of the straight pipe, and the cover is screwed on the straight pipe.
8. The injection device for hemostasis of the venous plexus of a cervical spine according to claim 7, wherein: the right-hand member of first push rod is equipped with first push pedal, first push pedal with first piston adaptation, the right-hand member of second push rod is equipped with the second push pedal just the second push pedal with second piston adaptation.
9. The injection device for hemostasis of the venous plexus of a cervical spine according to claim 8, wherein: the right end of the second piston is provided with a conical block matched with the conical pipe, and the center of the end face of the right end of the conical block is provided with an inserting block matched with the straight pipe.
10. An injection device for hemostasis of the venous plexus of a cervical spine according to any one of claims 1-9, wherein: the outer tube is characterized in that a left mounting lug is arranged on the outer wall of the right end of the outer shell, a right mounting lug is arranged on the outer wall of the left end of the outer tube, and the left mounting lug and the right mounting lug are locked through screws.
CN202010451916.4A 2020-05-26 2020-05-26 Injection device for stopping bleeding of cervical vertebral canal venous plexus Pending CN111588947A (en)

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Application Number Priority Date Filing Date Title
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US20130296777A1 (en) * 2004-10-29 2013-11-07 Spinal Restoration, Inc. Apparatus And Method For Injection Of Fibrin Sealant In Spinal Applications
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CN201612906U (en) * 2010-03-16 2010-10-27 赵云 One-tube two-liquid syringe
CN107635611A (en) * 2014-09-11 2018-01-26 伊西康有限责任公司 For delivering liquid and the method and apparatus of powdered styptic and sealant altogether
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