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CN204352360U - The Intracranial hematoma drain tube of cranium pressure can be surveyed - Google Patents

The Intracranial hematoma drain tube of cranium pressure can be surveyed Download PDF

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CN204352360U
CN204352360U CN201420815159.4U CN201420815159U CN204352360U CN 204352360 U CN204352360 U CN 204352360U CN 201420815159 U CN201420815159 U CN 201420815159U CN 204352360 U CN204352360 U CN 204352360U
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tube
intracranial
intracranial hematoma
drainage
drain tube
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周化庆
周本原
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Abstract

本实用新型公开了一种可测颅压的颅内血肿引流管,包括前端封闭、后端敞口的圆形管体,管体内部设有若干个管径大小不同的管腔,管体的前端或前端靠近管腔的侧壁上置有微型压力传感器,其中至少一个管腔内穿有连接微型压力传感器与外部信号处理器的导线。本实用新型结构简单、引流效果较佳,通过在引流管前端加装微型压力传感器,能够在清除血肿的同时及时准确地监测颅内压,提前预防在引流术中出现颅高压等并发症,并且减少病人脑室穿刺的疼痛,适于推广应用。

The utility model discloses an intracranial hematoma drainage tube capable of measuring cranial pressure, which comprises a circular tube body with a closed front end and an open rear end. Several lumens with different diameters are arranged inside the tube body. A miniature pressure sensor is placed on the front end or the side wall close to the lumen, and at least one of the lumens is pierced with a wire connecting the miniature pressure sensor and an external signal processor. The utility model has simple structure and better drainage effect. By adding a miniature pressure sensor at the front end of the drainage tube, the intracranial pressure can be monitored timely and accurately while the hematoma is removed, and complications such as intracranial hypertension can be prevented in advance during the drainage operation, and It can reduce the pain of ventricle puncture for patients and is suitable for popularization and application.

Description

可测颅压的颅内血肿引流管Intracranial hematoma drainage tube with intracranial pressure measurement

技术领域technical field

本实用新型涉及医疗设备领域,特别是涉及一种可测颅压的颅内血肿引流管。The utility model relates to the field of medical equipment, in particular to an intracranial hematoma drainage tube capable of measuring cranial pressure.

背景技术Background technique

现代医疗中,当颅内出现血肿时会及时采用颅内血肿引流术,目的是能在较短时间内清除血肿,有效减轻出血后继发脑水肿及脑神经的损害,而引流术的完成离不开引流管。引流管由弹性固体硅橡胶制成,该材料具有良好的生物相容性,对人体组织无刺激性、无毒性、无过敏反应、机体排异反应极少;具有良好的理化特性,与体液以及组织接触过程中能保持其原有的弹性和柔软度,不被降解,是一种相当稳定的惰性物质。使用引流管时借助导引针实现穿刺,穿刺或拔管时,导引针插入引流管的管体内并与管体前端接触,导引针的材料一般为钛合金或不锈钢材料。In modern medical treatment, intracranial hematoma drainage will be used in time when there is a hematoma in the brain. Open the drainage tube. The drainage tube is made of elastic solid silicone rubber, which has good biocompatibility, is non-irritating to human tissue, non-toxic, has no allergic reaction, and has very little rejection of the body; it has good physical and chemical properties, and is compatible with body fluids and It can maintain its original elasticity and softness during tissue contact without being degraded, and is a fairly stable inert substance. When using the drainage tube, the puncture is achieved with the help of the guide needle. When puncturing or extubating the tube, the guide needle is inserted into the tube body of the drainage tube and contacts the front end of the tube body. The material of the guide needle is generally titanium alloy or stainless steel.

在实施颅内血肿引流术的过程中,如若处理不当可能会引起脑积水等并发症,从而引起颅高压,给患者带来更多疾病的困扰和疼痛,因此实时监测患者的颅内压是必不可少的。临床上监测颅内压多采用颅内压监护仪,利用光导纤维探头,监测脑组织、脑室、硬膜下压力。颅内压监测包括有创颅内压监测和无创颅内压监测,无创颅内压监测包括基于闪光视觉诱发电位和无创脑电阻抗监测技术等,可实现连续颅内压监测,但因为它们均是间接地通过电生理的方法估算的颅内压,准确性差,目前临床上没有被应用。有创颅内压监测包括脑室内测压、硬膜下测压、硬膜外测压、腰穿测压,最常用的是腰穿测压,但腰穿测压只能反应当时的压力,不能进行连续监测;最准确测压的方法为脑室内测压,通过在颅缝与瞳孔中线交点处行颅骨钻孔并行脑室穿刺,或在在手术中置入细硅胶管,导管与测压装置相连接实现。因此颅内压监测仍需要单独进行穿刺完成,如若能够在颅内血肿引流术的同时进行颅内压监测,可使患者减少一次病痛折磨,并及时观察患者病情变化、早期诊断。In the process of intracranial hematoma drainage, if it is not handled properly, it may cause complications such as hydrocephalus, which will cause intracranial hypertension and bring more troubles and pains to patients. Therefore, real-time monitoring of patients' intracranial pressure is important necessary. Clinically, intracranial pressure monitors are mostly used to monitor intracranial pressure, and optical fiber probes are used to monitor brain tissue, ventricle, and subdural pressure. Intracranial pressure monitoring includes invasive intracranial pressure monitoring and non-invasive intracranial pressure monitoring. It is an indirect estimate of intracranial pressure by electrophysiological methods, which has poor accuracy and is not currently used clinically. Invasive intracranial pressure monitoring includes intraventricular pressure measurement, subdural pressure measurement, epidural pressure measurement, and lumbar puncture pressure measurement. The most commonly used method is lumbar puncture pressure measurement, but lumbar puncture pressure measurement can only reflect the pressure at that time. Continuous monitoring is not possible; the most accurate method of manometry is intraventricular manometry, by drilling a skull hole at the intersection of the suture and pupil midline followed by ventriculocentesis, or by placing a thin silicone tube, catheter, and manometry device intraoperatively connected to achieve. Therefore, the intracranial pressure monitoring still needs to be punctured separately. If the intracranial pressure monitoring can be performed at the same time as the intracranial hematoma drainage, the patient can be saved from one pain and suffering, and the patient's condition can be observed in time for early diagnosis.

实用新型内容Utility model content

本实用新型所要解决的技术问题是提供一种可测颅压的颅内血肿引流管,能够在清除血肿的同时及时监测颅内压。The technical problem to be solved by the utility model is to provide an intracranial hematoma drainage tube capable of measuring intracranial pressure, which can monitor the intracranial pressure in time while removing the hematoma.

为解决上述技术问题,本实用新型采用的一个技术方案是:提供一种可测颅压的颅内血肿引流管,包括前端封闭、后端敞口的圆形管体,管体内部设有若干个管径大小不同的管腔,管体的前端或前端靠近管腔的侧壁上置有微型压力传感器,其中至少一个管腔内穿有连接微型压力传感器与外部信号处理器的导线。In order to solve the above technical problems, a technical solution adopted by the utility model is to provide a drainage tube for intracranial hematoma that can measure intracranial pressure, which includes a circular tube body with a closed front end and an open rear end. There are three lumens with different diameters, the front end of the tube body or the side wall close to the lumen is provided with a miniature pressure sensor, and at least one of the lumens is threaded with a wire connecting the miniature pressure sensor and an external signal processor.

在本实用新型一个较佳实施例中,所述管体的前侧有周向间隔布置的若干外凸弧形条,每两个相邻的弧形条之间均有一个豁口,弧形条所对应弦的长度走向与管体的轴线走向相一致,每一豁口均与管体内最大管径的管腔连通,所述管腔的最大管径与所述弦的长度的比例为1:(3—6)。该种结构的引流管的引流效果较佳,弧形条所对应弦的长度为弧形条的轴向投影长度,故弧形条的轴向投影长度远大于管腔的最大管径,以致每两个相邻弧形条之间的那个豁口,其轴向长度也远大于管腔的最大管径。缘于此,引流过程中,颅内的血块难以堵塞所述豁口,颅内产生的血块能实现随到随排,血块排放的及时性较好,以至该种结构的引流管引流通畅、引流效果较佳。In a preferred embodiment of the present utility model, the front side of the pipe body has several outwardly convex arc-shaped strips arranged at intervals in the circumferential direction, and there is a gap between every two adjacent arc-shaped strips, and the arc-shaped strips The length direction of the corresponding chord is consistent with the axial direction of the pipe body, and each gap is connected with the lumen of the largest pipe diameter in the pipe body, and the ratio of the maximum pipe diameter of the pipe chamber to the length of the chord is 1:( 3-6). The drainage tube with this structure has a better drainage effect, and the length of the chord corresponding to the arc-shaped strip is the axial projection length of the arc-shaped strip, so the axial projection length of the arc-shaped strip is much larger than the maximum diameter of the lumen, so that each The axial length of the gap between two adjacent curved strips is also much larger than the maximum diameter of the lumen. Because of this, during the drainage process, the intracranial blood clots are difficult to block the opening, and the blood clots generated in the cranium can be discharged as they arrive, and the timeliness of blood clot discharge is better, so that the drainage tube with this structure can drain smoothly and achieve drainage effect. better.

在本实用新型一个较佳实施例中,所述弧形条的数量为三个或四个。这样,上述结构的引流管简单而合理,其轴向的相应强度较佳。In a preferred embodiment of the utility model, the number of said arc bars is three or four. In this way, the drainage tube with the above-mentioned structure is simple and reasonable, and its corresponding strength in the axial direction is better.

在本实用新型一个较佳实施例中,管体的前侧周向设置若干间隔布置的小孔,管体的最大管径与小孔直径的比例为(2—4):1。该种结构的引流管结构简单、易于加工、成本低。In a preferred embodiment of the present invention, a number of small holes arranged at intervals are arranged on the front side of the pipe body, and the ratio of the maximum diameter of the pipe body to the diameter of the small holes is (2-4):1. The drainage tube with this structure is simple in structure, easy to process and low in cost.

在本实用新型一个较佳实施例中,所述管体的材料为医用级弹性固体硅橡胶或医用级PVC。该材料具有良好的生物相容性、理化特性,与体液以及组织接触过程中能保持其原有的弹性和柔软度,弹性恢复力好。In a preferred embodiment of the utility model, the material of the tube body is medical grade elastic solid silicone rubber or medical grade PVC. The material has good biocompatibility and physical and chemical properties, and can maintain its original elasticity and softness when in contact with body fluids and tissues, and has good elastic recovery.

本实用新型的有益效果是:本实用新型结构简单、引流效果较佳,通过在引流管前端加装微型压力传感器,能够在清除血肿的同时及时准确地监测颅内压,提前预防在引流术中出现颅高压等并发症,并且减少病人脑室穿刺的疼痛,适于推广应用。The beneficial effects of the utility model are: the utility model has a simple structure and better drainage effect. By adding a miniature pressure sensor at the front end of the drainage tube, the intracranial pressure can be monitored timely and accurately while the hematoma is removed, and the drainage effect can be prevented in advance. Complications such as intracranial hypertension occur, and the pain of ventricle puncture is reduced, so it is suitable for popularization and application.

附图说明Description of drawings

图1是本实用新型可测颅压的颅内血肿引流管实施例1的立体图(所述引流管处于正常形态或穿刺后的引流状态)。Fig. 1 is a perspective view of Embodiment 1 of an intracranial hematoma drainage tube capable of measuring intracranial pressure of the present invention (the drainage tube is in a normal shape or a drainage state after puncture).

图2是所述引流管实施例1的另一立体图(所述引流管处于穿刺时的使用状态或拔管时的使用状态)。Fig. 2 is another perspective view of Embodiment 1 of the drainage tube (the drainage tube is in the state of use during puncture or the state of use during extubation).

图3是所述引流管实施例1的结构示意图(所述引流管处于穿刺时的使用状态或拔管时的使用状态)。Fig. 3 is a schematic structural view of Embodiment 1 of the drainage tube (the drainage tube is in use when it is punctured or when it is extubated).

图4是图3的A-A剖视图。Fig. 4 is a cross-sectional view along line A-A of Fig. 3 .

图5是所述引流管实施例2的立体图(本引流管处于正常形态或穿刺后的引流状态)。Fig. 5 is a perspective view of Embodiment 2 of the drainage tube (the drainage tube is in a normal shape or a drainage state after puncture).

图6是图5的主视图(本引流管处于正常形态或穿刺后的引流状态)。Fig. 6 is a front view of Fig. 5 (the drainage tube is in a normal shape or a drainage state after puncture).

图7是图6的B-B放大剖视图。Fig. 7 is an enlarged sectional view taken along line B-B of Fig. 6 .

图8是所述引流管实施例3的立体图(本引流管处于正常形态或穿刺后的引流状态)。Fig. 8 is a perspective view of Embodiment 3 of the drainage tube (the drainage tube is in a normal state or a drainage state after puncture).

图9是所述引流管与外部信号处理器连接的使用状态图。Fig. 9 is a diagram of the use state of the drainage tube connected to an external signal processor.

附图中各部件的标记如下:1、管体,11、弧形条,12、豁口,13、条形槽,14、小孔,2、管腔,3、微型压力传感器,4、信号处理器,5、导线,6、导引针。The marks of each part in the accompanying drawings are as follows: 1. Tube body, 11. Curved strip, 12. Notch, 13. Strip groove, 14. Small hole, 2. Lumen, 3. Miniature pressure sensor, 4. Signal processing Device, 5, wire, 6, guide needle.

具体实施方式Detailed ways

下面结合附图对本实用新型的较佳实施例进行详细阐述,以使本实用新型的优点和特征能更易于被本领域技术人员理解,从而对本实用新型的保护范围做出更为清楚明确的界定。The preferred embodiments of the utility model will be described in detail below in conjunction with the accompanying drawings, so that the advantages and characteristics of the utility model can be more easily understood by those skilled in the art, so that the protection scope of the utility model can be defined more clearly .

实施例1:Example 1:

请参见图1至图4,所述引流管包括前端封闭、后端敞口的圆形管体1,管体1的前端置有微型压力传感器3,管体1的材料为医用级弹性固体硅橡胶或医用级PVC。管体1的前侧有周向间隔布置的三个外凸弧形条11,每两个相邻的弧形条11之间均有一个豁口12,弧形条11所对应弦的长度走向与管体1的轴线走向相一致,每一豁口12均与管体1内最大管径的管腔2连通,所述管腔2的最大管径与所述弦的长度的比例为1:6(为更加清楚地说明问题起见,在图1至图4中,管体1、弧形条11并没有实际按照上述比例示出)。Please refer to Figures 1 to 4. The drainage tube includes a circular tube body 1 with a closed front end and an open rear end. A miniature pressure sensor 3 is placed at the front end of the tube body 1. The material of the tube body 1 is medical grade elastic solid silicon. Rubber or medical grade PVC. The front side of the pipe body 1 has three outwardly convex arc-shaped strips 11 arranged at intervals in the circumferential direction, and there is a gap 12 between every two adjacent arc-shaped strips 11, and the length direction of the chord corresponding to the arc-shaped strips 11 corresponds The axial direction of the pipe body 1 is consistent, and each gap 12 is connected with the lumen 2 of the largest diameter in the pipe body 1, and the ratio of the largest diameter of the lumen 2 to the length of the chord is 1:6 ( In order to illustrate the problem more clearly, in Fig. 1 to Fig. 4, the pipe body 1 and the arc bar 11 are not actually shown according to the above scale).

穿刺或拔管时,导引针6插入管体1内并与管体1前端接触,迫使弧形条11伸长、回落,以致管体1前侧的截面形状为圆形,且每两个相邻弧形条11之间形成一个轴向延伸的条形槽13。When puncturing or pulling out the tube, the guide needle 6 is inserted into the tube body 1 and contacts the front end of the tube body 1, forcing the arc bar 11 to elongate and fall back, so that the cross-sectional shape of the front side of the tube body 1 is circular, and every two An axially extending bar-shaped groove 13 is formed between adjacent arc-shaped bars 11 .

所述弧形条11的规格相同,以致各豁口12的规格相同、各条形槽13的规格也相同。The specifications of the curved strips 11 are the same, so that the specifications of the notches 12 are the same, and the specifications of the bar-shaped grooves 13 are also the same.

实施例2:Example 2:

请参阅图5至图7,所述引流管包括前端封闭、后端敞口的圆形管体1,管体1的前端靠近管腔2的侧壁上置有微型压力传感器3,管体1的材料为医用级弹性固体硅橡胶或医用级PVC。管体1的前侧有周向间隔布置的四个外凸弧形条11,每两个相邻的弧形条11之间均有一个豁口12,弧形条11所对应弦的长度走向与管体1的轴线走向相一致,每一豁口12均与管体1内最大管径的管腔2连通,所述管腔2的最大管径与所述弦的长度的比例为1:3(为更加清楚地说明问题起见,在图5至图7中,管体1、弧形条11并没有实际按照上述比例示出)。Please refer to Figures 5 to 7, the drainage tube includes a circular tube body 1 with a closed front end and an open rear end, and a miniature pressure sensor 3 is placed on the front end of the tube body 1 near the side wall of the lumen 2, and the tube body 1 The material is medical grade elastic solid silicone rubber or medical grade PVC. The front side of the pipe body 1 has four outwardly convex arc-shaped strips 11 arranged at intervals in the circumferential direction, and there is a gap 12 between every two adjacent arc-shaped strips 11. The length direction of the chord corresponding to the arc-shaped strips 11 is the The axial direction of the pipe body 1 is consistent, and each gap 12 is connected with the lumen 2 of the largest diameter in the pipe body 1, and the ratio of the largest diameter of the lumen 2 to the length of the chord is 1:3 ( In order to illustrate the problem more clearly, in Fig. 5 to Fig. 7, the pipe body 1 and the arc bar 11 are not actually shown according to the above scale).

穿刺或拔管时,导引针6插入管体1内并与管体1前端接触,迫使弧形条11伸长、回落,以致管体1前侧的截面形状为圆形,且每两个相邻弧形条11之间形成一个轴向延伸的条形槽13。When puncturing or pulling out the tube, the guide needle 6 is inserted into the tube body 1 and contacts the front end of the tube body 1, forcing the arc bar 11 to elongate and fall back, so that the cross-sectional shape of the front side of the tube body 1 is circular, and every two An axially extending bar-shaped groove 13 is formed between adjacent arc-shaped bars 11 .

所述弧形条11的规格相同,以致各豁口12的规格相同、各条形槽13的规格也相同。The specifications of the curved strips 11 are the same, so that the specifications of the notches 12 are the same, and the specifications of the bar-shaped grooves 13 are also the same.

实施例3:Example 3:

请参阅图8,所述引流管包括前端封闭、后端敞口的圆形管体1,管体1的前端置有微型压力传感器3,管体1的材料为医用级弹性固体硅橡胶或医用级PVC。所述管体1的前侧周向设置若干间隔布置的小孔14,管体1的最大管径与小孔14直径的比例为3:1。Please refer to Figure 8, the drainage tube includes a circular tube body 1 with a closed front end and an open rear end, and a miniature pressure sensor 3 is arranged at the front end of the tube body 1, and the material of the tube body 1 is medical grade elastic solid silicone rubber or medical grade Grade PVC. The front side of the pipe body 1 is provided with several small holes 14 arranged at intervals in the circumferential direction, and the ratio of the maximum pipe diameter of the pipe body 1 to the diameter of the small holes 14 is 3:1.

以上所述实施例中,所述引流管前端的结构不同,但管体1是相同的,管体1内部均设有若干个管径大小不同的管腔2,其中至少一个管腔2内穿有连接微型压力传感器3与外部信号处理器4的导线。请参阅图9,穿刺时,所述引流管的后端连接外部信号处理器4,借助于导引针6进入颅内(此时,管体1前侧的截面形状为圆形),当将导引针6从管体1内拔出后,管体1通过其自身所具有的弹性恢复力,使得管体1的前侧有周向间隔布置的若干外凸弧形条11,且在若干弧形条11的围合作用下形成周向间隔布置的若干豁口12(此时,所述引流管为穿刺后的引流状态);或者管体1前侧本身具有若干小孔14。颅内血肿即通过所述豁口12或小孔14中排出,与此同时,所述引流管的前端或前端靠近管腔2的侧壁上置有微型压力传感器3,其可以实时监测颅内压,提前预防在引流术中出现颅高压等并发症,并且减少病人脑室穿刺的疼痛,适于推广应用。In the above-mentioned embodiments, the structure of the front end of the drainage tube is different, but the tube body 1 is the same, and the inside of the tube body 1 is provided with several lumens 2 with different diameters, and at least one of the lumens 2 penetrates There are wires connecting the miniature pressure sensor 3 and the external signal processor 4 . Please refer to Fig. 9, when puncturing, the rear end of the drainage tube is connected to the external signal processor 4, and enters the cranium by means of the guide needle 6 (at this time, the cross-sectional shape of the front side of the tube body 1 is circular), when the After the guide needle 6 is pulled out from the tube body 1, the tube body 1 has a number of convex arc-shaped strips 11 arranged at intervals in the circumferential direction on the front side of the tube body 1 through the elastic restoring force of the tube body 1. Under the enclosing action of the arc strip 11, several notches 12 arranged at intervals in the circumferential direction are formed (at this time, the drainage tube is in the drainage state after puncture); or the front side of the tube body 1 itself has several small holes 14 . The intracranial hematoma is discharged through the gap 12 or the small hole 14. At the same time, a miniature pressure sensor 3 is placed on the front end of the drainage tube or the side wall near the lumen 2, which can monitor the intracranial pressure in real time. It can prevent intracranial hypertension and other complications in the drainage operation in advance, and reduce the pain of ventricle puncture in patients, and is suitable for popularization and application.

以上所述仅为本实用新型的实施例,并非因此限制本实用新型的专利范围,凡是利用本实用新型说明书及附图内容所作的等效结构或等效流程变换,或直接或间接运用在其他相关的技术领域,均同理包括在本实用新型的专利保护范围内。The above is only an embodiment of the utility model, and does not limit the patent scope of the utility model. Any equivalent structure or equivalent process conversion made by using the utility model specification and accompanying drawings, or directly or indirectly used in other Related technical fields are all included in the patent protection scope of the present utility model in the same way.

Claims (5)

1. can survey the Intracranial hematoma drain tube of cranium pressure for one kind, comprise that front end is closed, the circular body of rear end opening, it is characterized in that, tubular body is provided with the different tube chamber of several pipe diameter sizes, the front end of body or front end are equipped with micro pressure sensor on the sidewall of tube chamber, are wherein installed with the wire connecting micro pressure sensor and external signal processor at least one tube chamber.
2. the Intracranial hematoma drain tube surveying cranium pressure according to claim 1, it is characterized in that, there are the spaced apart some evagination arc strips of circumference the front side of body, a gap is all had between every two adjacent arc strips, the length trend of string corresponding to arc strip moves towards consistent with the axis of body, each gap is all communicated with the tube chamber of caliber maximum in body, and the ratio of the maximum caliber of described tube chamber and the length of described string is 1:(3-6).
3. the Intracranial hematoma drain tube surveying cranium pressure according to claim 2, is characterized in that, the quantity of described arc strip is three or four.
4. the Intracranial hematoma drain tube surveying cranium pressure according to claim 1, is characterized in that, the front side circumference of body arranges some spaced apart apertures, and the maximum caliber of body and the ratio of hole diameter are (2-4): 1.
5., according to the Intracranial hematoma drain tube of the arbitrary described cranium the surveyed pressure of Claims 1-4, it is characterized in that, the material of described body is medical grade elastic solid (Hookean body) silicone rubber or medical grade PVC.
CN201420815159.4U 2014-12-20 2014-12-20 The Intracranial hematoma drain tube of cranium pressure can be surveyed Expired - Lifetime CN204352360U (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104436418A (en) * 2014-12-20 2015-03-25 周化庆 Intracranial hematoma drainage tube capable of measuring cranium pressure
CN105013064A (en) * 2015-08-26 2015-11-04 中国人民解放军第二军医大学 Improved external ventricular drainage tube

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104436418A (en) * 2014-12-20 2015-03-25 周化庆 Intracranial hematoma drainage tube capable of measuring cranium pressure
CN105013064A (en) * 2015-08-26 2015-11-04 中国人民解放军第二军医大学 Improved external ventricular drainage tube

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