CN211658987U - Multifunctional oropharynx air duct - Google Patents
Multifunctional oropharynx air duct Download PDFInfo
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- CN211658987U CN211658987U CN201922342466.0U CN201922342466U CN211658987U CN 211658987 U CN211658987 U CN 211658987U CN 201922342466 U CN201922342466 U CN 201922342466U CN 211658987 U CN211658987 U CN 211658987U
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- 210000003300 oropharynx Anatomy 0.000 title claims abstract 4
- 229910052760 oxygen Inorganic materials 0.000 claims abstract description 24
- 239000001301 oxygen Substances 0.000 claims abstract description 24
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 claims abstract description 23
- 206010036790 Productive cough Diseases 0.000 claims abstract description 22
- 210000003802 sputum Anatomy 0.000 claims abstract description 22
- 208000024794 sputum Diseases 0.000 claims abstract description 22
- 238000009423 ventilation Methods 0.000 claims abstract description 14
- 230000001105 regulatory effect Effects 0.000 claims description 10
- 230000007246 mechanism Effects 0.000 claims description 8
- 210000004704 glottis Anatomy 0.000 abstract description 12
- 206010062717 Increased upper airway secretion Diseases 0.000 abstract description 5
- 208000026435 phlegm Diseases 0.000 abstract description 5
- 210000003437 trachea Anatomy 0.000 abstract 5
- 230000002349 favourable effect Effects 0.000 abstract 1
- 230000007704 transition Effects 0.000 description 5
- 238000010586 diagram Methods 0.000 description 4
- 210000000214 mouth Anatomy 0.000 description 4
- 230000028327 secretion Effects 0.000 description 4
- 208000028399 Critical Illness Diseases 0.000 description 2
- 230000009286 beneficial effect Effects 0.000 description 2
- 230000000903 blocking effect Effects 0.000 description 2
- 230000006378 damage Effects 0.000 description 2
- 210000003128 head Anatomy 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 238000002627 tracheal intubation Methods 0.000 description 2
- 208000000884 Airway Obstruction Diseases 0.000 description 1
- 206010003497 Asphyxia Diseases 0.000 description 1
- 206010013975 Dyspnoeas Diseases 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 230000009471 action Effects 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 230000006837 decompression Effects 0.000 description 1
- 238000006073 displacement reaction Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 210000000867 larynx Anatomy 0.000 description 1
- 230000000737 periodic effect Effects 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 210000002345 respiratory system Anatomy 0.000 description 1
- 210000004916 vomit Anatomy 0.000 description 1
- 230000008673 vomiting Effects 0.000 description 1
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Abstract
Description
技术领域technical field
本实用新型涉及医疗辅助器械技术领域,尤其涉及一种多功能口咽通气道。The utility model relates to the technical field of medical aids, in particular to a multifunctional oropharyngeal airway.
背景技术Background technique
口咽通气管是一种非气管导管通气管道,是最简单有效经济的气道辅助物,主要用于呼吸道梗阻的患者,尤其是在针对危重病人的呼吸道管理中,由于这类患者常因舌后坠、血液、痰液阻塞呼吸道导致呼吸困难,甚至窒息。此时,一般通过插入口咽通气道清除口腔内、呼吸道内的呕吐物、分泌物,使危重病人保持呼吸道通畅,并且口咽通气道还可以起到限制舌后坠的作用。Oropharyngeal ventilation tube is a non-tracheal tube ventilation tube, which is the simplest, most effective and economical airway aid. It is mainly used for patients with airway obstruction, especially in the airway management for critically ill patients. Falling back, blood, and sputum obstruct the airway, resulting in difficulty breathing and even suffocation. At this time, the vomit and secretions in the oral cavity and respiratory tract are generally removed by inserting the oropharyngeal airway, so that the critically ill patient can keep the airway open, and the oropharyngeal airway can also play a role in restricting the back of the tongue.
中国实用新型专利CN205515881U公开了一种可固定式口咽通气道,包括本体,本体依次由咽端、缓冲段、弧形段和口端组成,咽端的端部设置有防损伤段,防损伤段的长度为0.12~0.15cm,缓冲段的外表面为径向截面呈均匀凹凸相间圆弧的波纹,口端内套设有连接插口,连接插口伸出口端的距离 L1为2.5~2.8cm。口端的端部向外侧延伸形成翼缘,翼缘的厚度为0.11~ 0.14cm。翼缘的左右两侧对称各设置有一个通孔,通孔的孔径为0.4~0.6mm。通过翼缘上的通孔和固定带实现固定通气道的功能。Chinese utility model patent CN205515881U discloses a fixable oropharyngeal airway, including a body, the body is composed of a pharyngeal end, a buffer section, an arc-shaped section and an oral end in sequence, and the end of the pharyngeal end is provided with an anti-damage section, an anti-damage section The length of the buffer section is 0.12-0.15cm, the outer surface of the buffer section is corrugated with a uniform concave-convex arc in radial section, the mouth end is sleeved with a connecting socket, and the distance L1 from the connecting socket to the mouth end is 2.5-2.8cm. The end of the mouth end extends outward to form a flange, and the thickness of the flange is 0.11-0.14 cm. A through hole is symmetrically arranged on the left and right sides of the flange, and the diameter of the through hole is 0.4-0.6 mm. The function of fixing the air passage is realized by the through holes on the flange and the fixing strap.
然而,上述可固定式口咽通气道只具有供氧单一功能,如果需要对患者进行吸痰或清理其它分泌物,还需要另插吸引管,不仅加重了医护人员的工作负担,还增加了患者的痛苦;此外,上述可固定式口咽通气道只能阻挡部分舌体,无法有效对准声门,不能很好调节口咽通气道的位置。However, the above-mentioned fixable oropharyngeal airway only has a single function of supplying oxygen. If the patient needs to suction sputum or clear other secretions, another suction tube needs to be inserted, which not only increases the workload of medical staff, but also increases the number of patients. In addition, the above-mentioned fixable oropharyngeal airway can only block part of the tongue body, cannot effectively align the glottis, and cannot well adjust the position of the oropharyngeal airway.
实用新型内容Utility model content
本实用新型的目的在于提供一种固定更加牢靠,无需另插吸引管,同时方便调节气道本体在患者喉部的位置,有利于口咽通气道对准患者声门的多功能口咽通气道,旨在解决背景技术中阐述的技术问题。The purpose of the utility model is to provide a multifunctional oropharyngeal airway which is more firmly fixed, does not need to insert another suction tube, and at the same time is convenient to adjust the position of the airway body on the patient's larynx, which is conducive to the alignment of the oropharyngeal airway to the patient's glottis , aiming at solving the technical problems set forth in the background art.
1、为实现上述目的,本实用新型提供了一种多功能口咽通气道,包括带唇片的气道本体,以及套接在所述气道本体前端的接头,所述唇片的两侧设置有固定机构,所述气道本体的弧形过渡段上套设有气囊,其中:所述气道本体内开设有吸痰管腔、供氧管腔及通气管腔,所述吸痰管腔与所述供氧管腔贯穿所述气道本体,所述通气管腔的一端与所述气囊接通,所述接头远离所述气道本体的一侧设置有第一端口、第二端口和第三端口,所述第一端口通过第一管路与所述吸痰管腔的一端连通,所述第二端口通过第二管路与所述供氧管腔的一端连通,所述第三端口通过第三管路与所述通气管腔远离所述气囊的一端接通,所述唇片上开设有供患者鼻部通过的避让槽,所述固定机构包括并行设置在所述唇片一侧的两条第一固定带,所述唇片的另一侧对应每条第一固定带分别设置有第二固定带,每条所述第二固定带与对应的第一固定带之间通过魔术贴粘接。1. In order to achieve the above purpose, the present utility model provides a multifunctional oropharyngeal airway, comprising an airway body with a lip, and a joint sleeved on the front end of the airway body, and the two sides of the lip are A fixing mechanism is provided, and an airbag is sleeved on the arc-shaped transition section of the airway body, wherein: the airway body is provided with a sputum suction lumen, an oxygen supply lumen and a ventilation lumen. The cavity and the oxygen supply lumen pass through the airway body, one end of the ventilation lumen is connected to the air bag, and the side of the joint away from the airway body is provided with a first port and a second port and a third port, the first port communicates with one end of the suction lumen through a first pipeline, the second port communicates with one end of the oxygen supply lumen through a second pipeline, and the first The three ports are connected to the end of the ventilation lumen away from the airbag through a third pipeline, the lip is provided with an escape groove for the patient's nose to pass through, and the fixing mechanism includes a parallel arrangement on one end of the lip. There are two first fixing belts on the side, and the other side of the lip is provided with a second fixing belt corresponding to each first fixing belt, and each second fixing belt passes through the corresponding first fixing belt. Velcro bonding.
具体的,所述第三端口上连接有压力调节装置。Specifically, a pressure regulating device is connected to the third port.
具体的,所述压力调节装置包括第四管路,所述第四管路的一端与所述第三端口连通,其另一端上连通有压力囊,所述第四管路上还设置有泄压阀。Specifically, the pressure regulating device includes a fourth pipeline, one end of the fourth pipeline is communicated with the third port, the other end of the fourth pipeline is connected with a pressure bladder, and the fourth pipeline is also provided with a pressure relief valve.
具体的,所述第一端口的一侧设置有与其连通的第五管路,所述第五管路内设置有球阀,所述球阀通过驱动电机驱动其运转。Specifically, one side of the first port is provided with a fifth pipeline that communicates with it, and a ball valve is arranged in the fifth pipeline, and the ball valve is driven to operate by a driving motor.
具体的,所述唇片与气囊之间还是设置有牙垫,所述牙垫通过轴套套接在所述气道本体上Specifically, a tooth pad is still arranged between the lip sheet and the airbag, and the tooth pad is sleeved on the airway body through a shaft sleeve
本实用新型的一种多功能口咽通气道,在使用时,气道本体伸入患者体内,将注射器、压力囊等可以用于调节气囊压力的压力调节装置与接头的第三端口接通,通过压力调节装置向气囊内充气,气囊内压力增大,使得气囊膨胀,由于气囊设置在气道本体的弧形过渡段,因此,在气道本体伸入患者体内后,气囊的位置位于患者的咽喉部,此时充气后的气囊可以扩大患者咽喉部的空间,解除患者咽喉部舌体的阻挡,便于医护人员观察到声门位置,有利于快速准确的调整气道本体的位置使其对准声门,当气道本体的位置调节好后,通过压力调节装置减少气囊内的压力,从而避免患者感到不适,此时,将唇片紧贴在患者唇部周围,然后通过唇片两侧的固定机构将气道本体固定,将供氧设备连通在接头的第二端口上,氧气通过第二管路进入气道本体的供氧管腔内,并通过供氧管腔进入患者的体内;另一方面,当患者喉部痰液较多时,可以将第一端口与吸痰装置连通,痰液从吸痰管腔进入,经第一管道和第一端口进入吸痰装置,无需另插吸引管。The multifunctional oropharyngeal airway of the utility model, when in use, the airway body extends into the patient's body, and the pressure regulating device, such as a syringe and a pressure bag, which can be used to adjust the pressure of the air bag, is connected to the third port of the joint, The air bag is inflated by the pressure regulating device, and the pressure in the air bag increases, which makes the air bag inflated. Since the air bag is arranged in the arc-shaped transition section of the airway body, after the airway body extends into the patient's body, the position of the air bag is located in the patient's body. At this time, the inflated air bag can expand the space of the patient's throat, release the obstruction of the patient's throat and tongue, facilitate the medical staff to observe the position of the glottis, and quickly and accurately adjust the position of the airway body to align it Glottis, when the position of the airway body is adjusted, the pressure in the air bag is reduced by the pressure adjustment device, so as to avoid the patient's discomfort. The fixing mechanism fixes the airway body, connects the oxygen supply equipment to the second port of the joint, oxygen enters the oxygen supply lumen of the airway body through the second pipeline, and enters the patient's body through the oxygen supply lumen; On the one hand, when there is a lot of phlegm in the throat of the patient, the first port can be connected to the sputum suction device, the sputum enters from the sputum suction lumen, and enters the sputum suction device through the first pipe and the first port, without inserting another suction tube. .
综上所述,本实用新型与现有技术相比具有以下有益效果:To sum up, the utility model has the following beneficial effects compared with the prior art:
(1)设置接头和吸痰管腔,在需要对患者吸痰或者清理其它分泌物时,医护人员可以将吸痰装置快速与接头的第一端口接通,无需在气道本体内再另插入吸引管,能有效避免再次插管对患者造成的伤害,减少患者的痛苦,同时也减少了医护人员的工作负担。(1) Set up a joint and a sputum suction lumen. When it is necessary to suck sputum from the patient or clean up other secretions, the medical staff can quickly connect the sputum suction device to the first port of the joint without inserting another into the airway body. The suction tube can effectively avoid the harm caused to the patient by re-intubation, reduce the pain of the patient, and also reduce the workload of the medical staff.
(2)气道本体的弧形过渡段上设置气囊,通过与其连通的通气管腔对其加压后,可以解除患者咽喉部舌体的阻挡,扩大患者咽喉部的空间,便于医护人员观察到声门位置,有利于快速准确的调整气道本体的位置使其对准声门。(2) The airbag is set on the arc-shaped transition section of the airway body, and after it is pressurized by the ventilation lumen connected with it, the blocking of the tongue body of the patient's throat can be released, and the space of the patient's throat can be enlarged, which is convenient for medical staff to observe The position of the glottis is conducive to quickly and accurately adjusting the position of the airway body to align it with the glottis.
(3)相互配合的两组第一固定带和第二固定带可分别通过魔术贴粘接在患者的头部,使得唇片能够紧贴在患者的唇部周围,因此气道本体可以固定得更加牢靠,有效避免了气道本体移位、脱落,配合唇片上开设的避让槽,在增大唇片作用面积的同时,也不会对患者的鼻部造成干涉,减少了患者的不适感。(3) The two sets of first fixing belts and second fixing belts that cooperate with each other can be respectively bonded to the patient's head through Velcro, so that the lip piece can be closely attached around the patient's lip, so the airway body can be fixed It is more reliable and effectively avoids the displacement and falling off of the airway body. With the avoidance groove opened on the lip sheet, it increases the working area of the lip sheet and does not interfere with the patient's nose, reducing the patient's discomfort.
附图说明Description of drawings
为了更清楚地说明本实用新型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实用新型的一些实施例,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 more clearly illustrate the embodiments of the present utility model or the technical solutions in the prior art, 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 These are just some embodiments of the present invention, and for those of ordinary skill in the art, other drawings can also be obtained from these drawings without creative effort.
图1是本实用新型多功能口咽通气道的第一种结构示意图。FIG. 1 is a schematic diagram of the first structure of the multifunctional oropharyngeal airway of the present invention.
图2是本实用新型多功能口咽通气道的第二种结构示意图。Figure 2 is a schematic diagram of the second structure of the multifunctional oropharyngeal airway of the present invention.
图3是本实用新型多功能口咽通气道的第三种结构示意图。3 is a schematic diagram of the third structure of the multifunctional oropharyngeal airway of the present invention.
图4是A位置的放大图。FIG. 4 is an enlarged view of the A position.
图5是气道本体的结构示意图。FIG. 5 is a schematic structural diagram of an airway body.
1-气道本体、2-唇片、3-接头、4-固定机构、5-气囊、6-吸痰管腔、7- 供氧管腔、8-通气管腔、9-第一端口、10-第二端口、11-第三端口、12-压力调节装置、13-第四管路、14-压力囊、15-泄压阀、16-第五管路、17-驱动电机、18-牙垫、19-轴套、20-避让槽、21-第一固定带、22-第二固定带、23- 魔术贴。1-airway body, 2-lip, 3-joint, 4-fixing mechanism, 5-airbag, 6-suction lumen, 7-oxygen supply lumen, 8-ventilation lumen, 9-first port, 10-Second port, 11-Third port, 12-Pressure regulating device, 13-Fourth pipeline, 14-Pressure bladder, 15-Pressure relief valve, 16-Fifth pipeline, 17-Drive motor, 18- Tooth pad, 19-shaft sleeve, 20-avoidance groove, 21-first fixing belt, 22-second fixing belt, 23- Velcro.
具体实施方式Detailed ways
下面详细描述本实用新型的实施例,所述实施例的示例在附图中示出,其中自始至终相同或类似的标号表示相同或类似的元件或具有相同或类似功能的元件。下面通过参考附图描述的实施例是示例性的,旨在用于解释本实用新型,而不能理解为对本实用新型的限制。The following describes in detail the embodiments of the present invention, examples of which are illustrated in the accompanying drawings, wherein the same or similar reference numerals refer to the same or similar elements or elements having the same or similar functions throughout. The embodiments described below with reference to the accompanying drawings are exemplary, and are intended to be used to explain the present invention, but should not be construed as a limitation of the present invention.
在本实用新型的描述中,需要理解的是,术语“长度”、“宽度”、“上”、“下”、“前”、“后”、“左”、“右”、“竖直”、“水平”、“顶”、“底”“内”、“外”等指示的方位或位置关系为基于附图所示的方位或位置关系,仅是为了便于描述本实用新型和简化描述,而不是指示或暗示所指的装置或元件必须具有特定的方位、以特定的方位构造和操作,因此不能理解为对本实用新型的限制。此外,在本实用新型的描述中,“多个”的含义是两个或两个以上,除非另有明确具体的限定。In the description of the present invention, it should be understood that the terms "length", "width", "upper", "lower", "front", "rear", "left", "right", "vertical" , "horizontal", "top", "bottom", "inside", "outside" and other indicated orientations or positional relationships are based on the orientations or positional relationships shown in the accompanying drawings, only for the convenience of describing the present utility model and simplifying the description, Rather than indicating or implying that the indicated device or element must have a particular orientation, be constructed and operate in a particular orientation, it should not be construed as a limitation of the present invention. In addition, in the description of the present invention, "plurality" means two or more, unless otherwise expressly and specifically defined.
请参阅请参阅图1、图2、图4和图5,本实用新型提供一种技术方案:一种多功能口咽通气道,包括带唇片2的气道本体1,以及套接在所述气道本体1前端的接头3,所述唇片2的两侧设置有固定机构4,所述气道本体1的弧形过渡段上套设有气囊5,其中:所述气道本体1内开设有吸痰管腔6、供氧管腔7及通气管腔8,所述吸痰管腔6与所述供氧管腔7贯穿所述气道本体 1,所述通气管腔8的一端与所述气囊5接通,所述接头3远离所述气道本体 1的一侧设置有第一端口9、第二端口10和第三端口11,所述第一端口9通过第一管路与所述吸痰管腔6的一端连通,所述第二端口10通过第二管路与所述供氧管腔7的一端连通,所述第三端口11通过第三管路与所述通气管腔 8远离所述气囊5的一端接通,所述唇片2上开设有供患者鼻部通过的避让槽 20,所述固定机构4包括并行设置在所述唇片2一侧的两条第一固定带21,所述唇片2的另一侧对应每条第一固定带21分别设置有第二固定带22,每条所述第二固定带22与对应的第一固定带21之间通过魔术贴23粘接。Please refer to FIG. 1, FIG. 2, FIG. 4 and FIG. 5, the present utility model provides a technical solution: a multifunctional oropharyngeal airway, comprising an
在本实施方式中,使用时,气道本体1伸入患者体内,将注射器、压力囊14等可以用于调节气囊5压力的压力调节装置12与接头3的第三端口11 接通,通过压力调节装置12向气囊5内充气,气囊5内压力增大,使得气囊 5膨胀,由于气囊5设置在气道本体1的弧形过渡段,因此,在气道本体1伸入患者体内后,气囊5的位置位于患者的咽喉部,此时充气后的气囊5可以扩大患者咽喉部的空间,解除患者咽喉部舌体的阻挡,便于医护人员观察到声门位置,有利于快速准确的调整气道本体1的位置使其对准声门,当气道本体1的位置调节好后,通过压力调节装置12减少气囊内的压力,从而避免患者感到不适,此时,将唇片2紧贴在患者唇部周围,然后通过唇片2两侧的固定机构4将气道本体1固定,将供氧设备连通在接头3的第二端口10上,氧气通过第二管路进入气道本体1的供氧管腔7内,并通过供氧管腔7进入患者的体内;另一方面,当患者喉部痰液较多时,可以将第一端口9与吸痰装置连通,痰液从吸痰管腔6进入,经第一管道和第一端口9进入吸痰装置,无需另插吸引管。In this embodiment, when in use, the
综上所述,该口咽通气道与现有技术相比具有以下有益效果:To sum up, the oropharyngeal airway has the following beneficial effects compared with the prior art:
(1)设置接头3和吸痰管腔6,在需要对患者吸痰或者清理其它分泌物时,医护人员可以将吸痰装置快速与接头3的第一端口9接通,无需在气道本体1内再另插入吸引管,能有效避免再次插管对患者造成的伤害,减少患者的痛苦,同时也减少了医护人员的工作负担。(1) The
(2)气道本体1的弧形过渡段上设置气囊5,通过与其连通的通气管腔 8对其加压后,可以解除患者咽喉部舌体的阻挡,扩大患者咽喉部的空间,便于医护人员观察到声门位置,有利于快速准确的调整气道本体1的位置使其对准声门。(2) The
(3)相互配合的两组第一固定带21和第二固定带22可分别通过魔术贴 23粘接在患者的头部,使得唇片2能够紧贴在患者的唇部周围,因此气道本体1可以固定得更加牢靠,有效避免了气道本体1移位、脱落,配合唇片上开设的避让槽20,在增大唇片2作用面积的同时,也不会对患者的鼻部造成干涉,减少了患者的不适感。(3) The two sets of first fixing
请参阅图1至图3,进一步的,所述第三端口11上连接有压力调节装置 12。Please refer to FIG. 1 to FIG. 3 , further, a
在本实施方式中,压力调节装置12可以用于调节气囊5的压力,当需要调节气道本体1的位置时可对气囊5充气,以使其对准患者声门;当需要取出气道本体1时,可降低气囊5的内的压力,方便医护人员取出。In this embodiment, the
具体的,所述压力调节装置12包括第四管路13,所述第四管路13的一端与所述第三端口11连通,其另一端上连通有压力囊14,所述第四管路13 上还设置有泄压阀14。Specifically, the
在本实施方式中,按压压力囊14可以实现对气囊5加压,打开泄压阀14 可以实现对气囊5减压。In this embodiment, pressing the
请参阅图3,具体的,所述第一端口9的一侧设置有与其连通的第五管路 16,所述第五管路16内设置有球阀,所述球阀通过驱动电机17驱动其运转。Please refer to FIG. 3 , specifically, a
在本实施方式中,在驱动电机17的驱动下,球阀可以间歇性的打开和关闭第五管路16,当第一端口9接通吸痰装置后,在球阀的作用下,第一端口 9间歇性的与外部环境接通,从而使吸痰管腔6的压力均匀变化,使得吸痰装置自动对患者进行周期性吸痰。In this embodiment, driven by the
请参阅图2和图3,进一步的,所述唇片2与气囊5之间还是设置有牙垫 18,所述牙垫18通过轴套19套接在所述气道本体1上。Please refer to Fig. 2 and Fig. 3, further, a
在本实施方式中,牙垫18可以有效防止患者咬坏气道本体1,并且由于牙垫18通过轴套19套接在气道本体1上,因此牙垫18不会对气道本体1的位置造成干涉,使用效果更佳。In this embodiment, the
以上所揭露的仅为本实用新型一种较佳实施例而已,当然不能以此来限定本实用新型之权利范围,本领域普通技术人员可以理解实现上述实施例的全部或部分流程,并依本实用新型权利要求所作的等同变化,仍属于实用新型所涵盖的范围。What has been disclosed above is only a preferred embodiment of the present invention, of course, it cannot limit the scope of rights of the present invention. Those of ordinary skill in the art can understand that all or part of the process of realizing the above-mentioned embodiment can be implemented according to the present invention. The equivalent changes made by the claims of the utility model still belong to the scope covered by the utility model.
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