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CN114082061A - Take nose pharynx breather pipe of toper nose of gasbag - Google Patents

Take nose pharynx breather pipe of toper nose of gasbag Download PDF

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Publication number
CN114082061A
CN114082061A CN202111531006.8A CN202111531006A CN114082061A CN 114082061 A CN114082061 A CN 114082061A CN 202111531006 A CN202111531006 A CN 202111531006A CN 114082061 A CN114082061 A CN 114082061A
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China
Prior art keywords
tube
head
conical
airbag
carbon dioxide
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CN202111531006.8A
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Chinese (zh)
Inventor
傅国强
王轶湛
高寅林
田志红
王刚
谢伟平
耿炜莲
陈常兴
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Shanghai Lanjia Medical Technology Co ltd
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Shanghai Lanjia Medical Technology Co ltd
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Priority to CN202111531006.8A priority Critical patent/CN114082061A/en
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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
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/04Tracheal tubes
    • A61M16/0402Special features for tracheal tubes not otherwise provided for
    • A61M16/0431Special features for tracheal tubes not otherwise provided for with a cross-sectional shape other than circular
    • 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
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/04Tracheal tubes
    • A61M16/0402Special features for tracheal tubes not otherwise provided for
    • 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
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/04Tracheal tubes
    • A61M16/0434Cuffs
    • 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
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/04Tracheal tubes
    • A61M16/0488Mouthpieces; Means for guiding, securing or introducing the tubes
    • A61M16/049Mouthpieces
    • A61M16/0495Mouthpieces with tongue depressors
    • 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
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/04Tracheal tubes
    • A61M16/0488Mouthpieces; Means for guiding, securing or introducing the tubes
    • A61M16/0497Tube stabilizer

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  • Health & Medical Sciences (AREA)
  • Pulmonology (AREA)
  • Emergency Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Hematology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Otolaryngology (AREA)
  • Respiratory Apparatuses And Protective Means (AREA)

Abstract

本发明公开一种带气囊的锥形翘头的鼻咽通气管,鼻咽通气管有进气口和出气口,通气管下端出气口上方管壁外设有气囊,管壁内设有气囊充气管、二氧化碳采集管,出气口末端延续有光滑的翘头,翘头包括一个尾端和一个头端,头端呈锥型,锥型的顶端为半球形,尾端为导管壁的一部分按照一定弧度延伸。通过翘头的弧度设计与气囊的配合为气道提供有效支撑,撑开压迫向咽后壁的舌根,并且在经鼻置入时具有引导作用。借助于圆滑的头端,使其顺自然解剖弧度引导进入,对组织的损伤更小。

Figure 202111531006

The invention discloses a conical upturned nasopharyngeal ventilation tube with an airbag. The nasopharyngeal ventilation tube is provided with an air inlet and an air outlet, an airbag is provided outside the tube wall above the air outlet at the lower end of the ventilation tube, and an airbag is provided in the tube wall for inflation. Tube, carbon dioxide collection tube, the end of the gas outlet continues with a smooth warped head, the warped head includes a tail end and a head end, the head end is tapered, the top of the cone is hemispherical, and the tail end is a part of the tube wall according to a certain Arc extension. The curved design of the tilted head and the cooperation of the air bag provide effective support for the airway, spread the tongue base that compresses the posterior pharyngeal wall, and play a guiding role during nasal placement. With the help of the smooth head end, it can be guided into the natural anatomical arc, and the damage to the tissue is less.

Figure 202111531006

Description

Take nose pharynx breather pipe of toper nose of gasbag
Technical Field
The invention relates to medical equipment, in particular to a medical upper respiratory tract ventilation device for improving the patency of an upper respiratory tract, and particularly relates to a nasopharynx ventilation tube with a conical nose of an air bag.
Background
The nasopharyngeal airway is generally an artificial supraglottic ventilation auxiliary device which is clinically used for improving the patency of the upper respiratory tract so as to improve the ventilation effect.
Poor ventilation effect is usually caused by local obstruction due to the fact that the root of the tongue drops down to the posterior pharyngeal wall and blocks the upper respiratory tract of a patient in an anesthesia state or a coma state. To improve the ventilation effect, the tongue root of the pharyngeal posterior wall is pressed to be spread by the supporting function of the ventilation pipe, the obstruction is reduced, and the upper respiratory tract which is possibly blocked is improved by the aid of the pipe cavity of the ventilation pipe.
The nasopharynx air vent that uses at present, from structural, only simple coaxial tubulose, in some patients, because the pipe diameter is less, relative support scope is not enough, and the gas outlet end is still difficult to avoid sometimes being covered by the tongue root of software and blockked and can not play the unobstructed effect of keeping upper respiratory track.
The existing nasopharyngeal airway has the defects that the air outlet end is a bevel cut surface, so that the existing nasopharyngeal airway is easily blocked by tissues in the implantation process and is also easily damaged by the tissues.
Disclosure of Invention
In view of the above defects in the prior art, the invention provides a nasopharynx air tube with a conical nose of an air bag, which provides effective support for an air passage through the matching of the arc design of the nose and the air bag, and can prop open and press the tongue root of the posterior pharyngeal wall, and can lead the air tube to enter along the natural anatomical arc by virtue of a smooth head end when the air tube is placed through the nose, so that the damage to tissues is less.
In order to solve the technical problems, the invention adopts the following technical scheme:
the invention provides a nasopharynx breather pipe with a conical nose of an air bag, which is provided with an air inlet and an air outlet, wherein the air bag is arranged outside the pipe wall above the air outlet, and an air bag inflation pipe and a carbon dioxide collection pipe are arranged inside the pipe wall of the nasopharynx breather pipe; the tail end of the air outlet extends to be provided with a smooth conical warping head, the conical warping head comprises a tail end and a head end, the head end is conical, the top end of the conical shape is hemispherical, and the tail end is connected with the pipe wall of the tail end part of the air outlet and extends in an arc shape.
In some such embodiments, the nasopharyngeal airway is > 160mm in length and 5.0mm to 6.5mm in diameter.
In some embodiments, the conical nose is located laterally below the air outlet, the tail end is connected to a portion of the tube wall at the end of the air outlet and extends in an arc shape, the radius of the inner arc of the arc shape is less than 15mm, the arc degree is 80-100 degrees, and the hemisphere at the head end is a hemisphere with a diameter of 4 mm.
In some embodiments, the outside of the air bag is arranged outside the pipe wall above the air outlet by more than 5-20mm, and the outer diameter of the air bag after being inflated is less than 25 mm.
In some embodiments, the lower end of the air bag inflation tube is communicated with the air bag, and the upper end of the air bag inflation tube is connected with an air bag inflation interface with a one-way valve.
In some embodiments, the lower end of the carbon dioxide collecting tube is provided with a carbon dioxide collecting port, the carbon dioxide collecting port is positioned in the inner cavity of the tube wall of the air outlet, the upper end of the carbon dioxide collecting tube is connected with a carbon dioxide collecting interface, and the carbon dioxide collecting interface is connected with a carbon dioxide monitor for monitoring the concentration of carbon dioxide.
In some embodiments, the air inlet is provided with a multifunctional three-way joint used in cooperation with the air inlet, the lower end of the multifunctional three-way joint is an airway interface, the side surface of the multifunctional three-way joint is a breathing circuit interface, and a sealing cover and a funnel-shaped elastic valve membrane are sequentially arranged right above the airway interface from top to bottom.
In some embodiments, the breathing circuit interface is provided with an internal port and an external port.
Compared with the prior art, the invention has the following beneficial effects:
the invention obviously expands the actual local outer diameter by means of the local supporting action of the warping head and the air bag, prevents the air outlet of the vent pipe from being blocked by the tongue root which falls backwards, can effectively ensure the smoothness of the upper respiratory tract, and performs effective oxygen supply and auxiliary ventilation treatment. Meanwhile, due to the smooth bending and head raising, the utility model not only has the function of guiding the nasal cavity to enter the throat part along the natural anatomy, but also can reduce the friction damage of the catheter with the tissue in the process of placing.
The conception, the specific structure and the technical effects of the present invention will be further described with reference to the accompanying drawings to fully understand the objects, the features and the effects of the present invention.
Drawings
The present invention will be described in further detail with reference to the accompanying drawings and examples.
FIG. 1 is an overall view of a nasopharyngeal airway with a tapered nose with an air bag according to an embodiment of the present invention;
fig. 2 is a structural diagram of an air outlet end of a nasopharynx breather pipe with a conical nose of an air bag according to an embodiment of the present invention.
Fig. 3 is a cross-sectional view of a nasopharynx breather tube wall with a conical nose of an air bag according to an embodiment of the present invention.
Fig. 4 is a multi-functional three-way joint used with a nasopharynx breather pipe with a conical nose of an air bag according to an embodiment of the present invention.
Fig. 5 is a breathing circuit interface end of a multifunctional three-way joint used with a nasopharynx breather pipe with a conical nose of an air bag according to an embodiment of the present invention.
Fig. 6 is a working port end with a closing cap and a funnel-like valve membrane of a multifunctional three-way joint used with a nasopharynx air vent pipe with a conical nose of an air bag according to an embodiment of the present invention.
Wherein the reference numerals are as follows:
101 is a breather pipe, 102 is an air inlet, 103 is an air outlet, 103-1 is a conical warped head, 201 is an air bag inflation pipe, 202 is an air bag inflation interface, 203 is an air bag, 301 is a carbon dioxide collection pipe, 302 is a carbon dioxide collection interface, 303 is a carbon dioxide collection port, 401 is a multifunctional three-way connector, 402 is a working port of the multifunctional three-way connector, 403 is a sealing cover, 404 is a funnel-shaped elastic valve membrane, 405 is a breathing circuit interface, 406 is an inner port, 407 is an outer port, and 408 is an air passage interface.
Detailed Description
In order to make the technical means, the characteristics, the purposes and the functions of the invention easy to understand, the invention is further described with reference to the specific drawings. However, the present invention is not limited to the following embodiments.
It should be understood that the structures, ratios, sizes, and the like shown in the drawings and described in the specification are only used for matching with the disclosure of the specification, so as to be understood and read by those skilled in the art, and are not used to limit the conditions under which the present invention can be implemented, so that the present invention has no technical significance, and any structural modification, ratio relationship change, or size adjustment should still fall within the scope of the present invention without affecting the efficacy and the achievable purpose of the present invention.
As shown in figure 1, the nasopharynx breather pipe 101 with the conical nose-raising of the air bag is provided with an air inlet 102 and an air outlet 103, the air bag 203 is arranged outside the pipe wall above the air outlet 103, and the air bag inflation pipe 201 and the carbon dioxide collection pipe 301 are arranged inside the pipe wall of the nasopharynx breather pipe 101. The tail end of the air outlet 103 extends to form a smooth conical warping head 103-1, the conical warping head comprises a tail end and a head end, the head end is conical, the top end of the conical shape is hemispherical, and the tail end is connected with part of the pipe wall at the tail end of the air outlet 103 and extends in an arc shape. The radian design through the waning head and the cooperation of gasbag provide effective support for the air flue, strut the tongue root of oppression to the pharynx back wall to have the guide effect.
As shown in figure 1, the nasopharynx breather tube 101 of the conical nose with air bag has a length of more than 160mm and a diameter of 5.0mm to 6.5 mm. The warped head 103-1 is positioned below the side of the air outlet 103, the tail end is connected with the pipe wall of the end part of the air outlet and extends in an arc shape, the radius of the inner arc of the arc shape is less than 15mm, the radian is 80-100 degrees, the hemisphere of the head end is 4mm in diameter, and the radian is 80-100 degrees.
As shown in FIG. 1, the air bag 203 is arranged on the pipe wall above the air outlet 103 by more than 5mm, the upper and lower diameters are more than 15mm, and the outer diameter is less than 25mm after inflation. The lower end of the air bag inflation tube 201 is communicated with the air bag 203, and the upper end is connected with an air bag inflation connector 202 with a one-way valve. The air inlet 102 is provided with a multifunctional three-way joint 401 matched with the air inlet.
As shown in fig. 1, the upper end of the carbon dioxide collection tube 301 is connected to a carbon dioxide collection interface 302, and the carbon dioxide collection interface 302 can be connected to a carbon dioxide monitor for monitoring the concentration of carbon dioxide.
As shown in FIGS. 2 and 3, a carbon dioxide collecting port 303 is arranged at the lower end of the carbon dioxide collecting tube 301, the carbon dioxide collecting port 303 is positioned in the inner cavity of the tube wall of the air outlet 103, and the air bag inflating tube 201 is communicated with the air bag 203.
As shown in fig. 4, the lower end of the multi-functional three-way joint is an airway interface 408, the side surface is a breathing circuit interface 405, and a closing cover 403 and a funnel-shaped elastic valve film 402 are sequentially arranged right above the airway interface 408 from top to bottom. The breathing circuit interface 405 is provided with an inner port 406 and an outer port 407.
Aiming at the patients needing to use the air passage to carry out auxiliary ventilation, the ventilation pipes with different models are selected, when in use, the patients generally take the horizontal position, the air bag 203 is deflated, the air inlet 102 is held by hands, the warped head 103-1 is upwards inserted through the nostril (left or right), because the warped head 103-1 has a diameter smaller than that of the nostril and a smooth surface, the patient can be easily sent into the throat along the nasal cavity, tissue friction injury is not easy to generate during the placement, meanwhile, the upward guiding function of the warped head 103-1 has obvious resistance when the patient is placed and touches the epiglottis valley, the placement depth is prompted to be in place, the ventilation pipe 101 is slightly withdrawn by 5mm, at the moment, the air outlet 103 is not easy to be pressed and blocked due to the support of the warped head 103-1, the air bag 203 is inflated at the moment, the air outlet 103 is effectively supported and kept in a difficult blocking state, and the tongue root part of the back drop can not cover the air outlet 103 of the ventilation pipe, an effective unobstructed airway can be established.
As shown in fig. 4, the lower end of the multi-functional three-way joint 401 is an airway interface 408, the side surface is a breathing circuit interface 405, and is provided with an inner port 406 and an outer port 407, and a closing cover 403 and a funnel-shaped elastic valve film 404 are sequentially arranged right above the airway interface 408 from top to bottom. The carbon dioxide collecting interface 302 is connected with a carbon dioxide monitor, so that the concentration of the carbon dioxide can be effectively collected and monitored. The breathing circuit interface 405 may connect breathing circuits as needed.
As shown in FIG. 5, oxygen may be supplied by inserting a nasogastric oxygen tube directly into the internal port 406.
As shown in fig. 6, the position of the closing cover 403 is above the funnel-shaped elastic valve film 404, the horizontal position of the funnel-shaped elastic valve film 404 is higher than the respiratory circuit interface 405, and if necessary, the closing cover can be opened to send a sputum suction pipe to wash and suck the throat and also send a bronchofiberscope to visually inspect.
The nose-raising design which can adapt to natural anatomical radian is comprehensively considered in shape, and the air bag design of the air outlet makes the ventilation tube smooth and small in damage when being placed, and can be accurately positioned at the root of the tongue of the throat after being placed.
The multifunctional three-way joint matched with the ventilation channel for use has the advantages that due to the funnel-shaped valve film, when the valve film is used for embedding operations such as bronchofiberscope and sputum suction tube, the valve film can prevent secretions possibly generated by respiratory tract choking from splashing to operators and operating environment due to the wrapping isolation effect of the valve film on the embedded body, and has good isolation protection effect in the treatment of respiratory infectious diseases such as new crown, SASS and other patients.
The vent pipe is made of medical plastic materials.
The foregoing detailed description of the preferred embodiments of the invention has been presented. It should be understood that numerous modifications and variations could be devised by those skilled in the art in light of the present teachings without departing from the inventive concepts. Therefore, the technical solutions available to those skilled in the art through logic analysis, reasoning and limited experiments based on the prior art according to the concept of the present invention should be within the scope of protection defined by the claims.

Claims (8)

1.一种带气囊的锥形翘头的鼻咽通气管,其特征在于,该鼻咽通气管设有进气口和出气口,所述出气口上方管壁外设有气囊,所述鼻咽通气管的管壁内设有气囊充气管、二氧化碳采集管;所述出气口末端延伸设有光滑的锥形翘头,该锥形翘头包括一个尾端和一个头端,头端呈锥型,锥型的顶端为半球形,尾端与出气口末端部分的管壁连接并呈弧形延伸。1. a nasopharyngeal air tube with a conical head-turned air bag, is characterized in that, this nasopharyngeal air tube is provided with an air inlet and an air outlet, and an air bag is provided outside the tube wall above the air outlet, and the nasal passage is provided with an air bag. A balloon inflation tube and a carbon dioxide collection tube are arranged in the tube wall of the pharyngeal airway; the end of the air outlet is extended with a smooth conical upturned head, the conical upturned head includes a tail end and a head end, and the head end is tapered The top of the cone is hemispherical, and the tail end is connected with the pipe wall of the end part of the air outlet and extends in an arc. 2.如权利要求1所述的一种带气囊的锥形翘头的鼻咽通气管,其特征在于,所述鼻咽通气管的长度>160mm,其直径为5.0mm-6.5mm。2 . The nasopharyngeal ventilation tube with a conical upturned head with an airbag according to claim 1 , wherein the length of the nasopharyngeal ventilation tube is >160 mm, and the diameter thereof is 5.0 mm-6.5 mm. 3 . 3.如权利要求1所述的一种带气囊的锥形翘头的鼻咽通气管,其特征在于,所述的锥形翘头位于所述出气口的侧下方,所述尾端与出气口末端部分的管壁连接并呈弧形延伸,该弧形的内弧半径<15mm,弧度为80-100度,所述头端的半球形为4mm直径的半球形。3 . The nasopharyngeal air tube with a conical upturned head with an airbag according to claim 1 , wherein the conical upturned head is located below the side of the air outlet, and the tail end is connected to the outlet. 4 . The pipe wall of the end part of the gas port is connected and extends in an arc shape, the inner arc radius of the arc shape is less than 15mm, the arc is 80-100 degrees, and the hemisphere of the head end is a hemisphere with a diameter of 4mm. 4.如权利要求1所述的一种带气囊的锥形翘头的鼻咽通气管,其特征在于,所述的气囊外设于出气口上方5-20mm以上的管壁外,充气后气囊的外径<25mm。4. A nasopharyngeal air tube with a conical upturned head with an airbag according to claim 1, wherein the airbag is externally arranged outside the tube wall above the air outlet 5-20mm above the air outlet, and the airbag is inflated after inflation. The outer diameter is less than 25mm. 5.如权利要求1所述的一种带气囊的锥形翘头的鼻咽通气管,其特征在于,所述的气囊充气管下端与所述气囊相连通,所述的气囊充气管上端连接带有单向阀的气囊充气接口。5. A nasopharyngeal ventilation tube with a conical upturned head with an airbag according to claim 1, wherein the lower end of the airbag inflation tube is communicated with the airbag, and the upper end of the airbag inflation tube is connected to the airbag Airbag inflation port with one-way valve. 6.如权利要求1所述的一种带气囊的锥形翘头的鼻咽通气管,其特征在于,所述的二氧化碳采集管的下端设有二氧化碳采集口,该二氧化碳采集口位于所述出气口管壁内腔,所述的二氧化碳采集管的上端与二氧化碳采集接口相连,该二氧化碳采集接口与二氧化碳监测仪连接用于监测二氧化碳浓度。6 . The nasopharyngeal ventilation tube with a conical upturned head with an airbag according to claim 1 , wherein a carbon dioxide collection port is provided at the lower end of the carbon dioxide collection tube, and the carbon dioxide collection port is located at the outlet. 7 . In the inner cavity of the gas port tube wall, the upper end of the carbon dioxide collection tube is connected with the carbon dioxide collection interface, and the carbon dioxide collection interface is connected with the carbon dioxide monitor for monitoring the carbon dioxide concentration. 7.如权利要求1所述的一种带气囊的锥形翘头的鼻咽通气管,其特征在于,所述的进气口设有与之配套使用的多功能三通接头,所述的多功能三通接头下端为通气道接口,侧面为呼吸回路接口,所述的通气道接口的正上方由上到下依次设有封闭盖和漏斗型弹性阀膜。7. The nasopharyngeal ventilation tube with a conical upturned head with an airbag as claimed in claim 1, wherein the air inlet is provided with a multifunctional three-way joint for use with it, and the The lower end of the multi-function three-way connector is an airway interface, and the side is a breathing circuit interface. The upper part of the airway interface is sequentially provided with a closing cover and a funnel-shaped elastic valve membrane from top to bottom. 8.如权利要求7所述的一种带气囊的锥形翘头的鼻咽通气管,其特征在于,所述的呼吸回路接口设有内口和外口。8 . The nasopharyngeal air tube with a conical upturned head with an airbag according to claim 7 , wherein the breathing circuit interface is provided with an inner port and an outer port. 9 .
CN202111531006.8A 2021-12-15 2021-12-15 Take nose pharynx breather pipe of toper nose of gasbag Pending CN114082061A (en)

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Cited By (2)

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CN115970113A (en) * 2023-02-24 2023-04-18 上海市第六人民医院 Airway device
CN116747401A (en) * 2023-06-26 2023-09-15 中国人民解放军总医院第一医学中心 A new type of high-flow humidification therapy device connector

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US20180093059A1 (en) * 2015-03-20 2018-04-05 Deltamedics Improved sidestream or mainstream oropharyngeal or nasopharyngeal cannula
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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN115970113A (en) * 2023-02-24 2023-04-18 上海市第六人民医院 Airway device
CN116747401A (en) * 2023-06-26 2023-09-15 中国人民解放军总医院第一医学中心 A new type of high-flow humidification therapy device connector

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