CN219481192U - A Subglottic Suction and Irrigation Endotracheal Tube Device - Google Patents
A Subglottic Suction and Irrigation Endotracheal Tube Device Download PDFInfo
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- CN219481192U CN219481192U CN202320397623.1U CN202320397623U CN219481192U CN 219481192 U CN219481192 U CN 219481192U CN 202320397623 U CN202320397623 U CN 202320397623U CN 219481192 U CN219481192 U CN 219481192U
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Abstract
本实用新型公开了医用辅助装置领域的一种声门下吸引与冲洗气管导管装置,包括导管、输液管、输气管和气囊,气囊底部粘接于导管外侧壁上,气囊上部与导管之间留有间隙,输液管一端连通有收集组件;收集组件包括收集瓶、瓶盖和负压吸引管。将导管伸入气管内分泌物下方,向气囊内输送气体使其膨胀进行固定,收集瓶通过输液管吸入气管内的液体。方便将冲洗液体或分泌物吸入收集瓶中进行收集。收集完成后对气囊进行泄气,气囊与导管之间形成向上开口的收纳腔室,向上抽出导管,气囊外壁在气管内滑动,将气管内壁残留的冲洗液体或分泌物收入收纳腔室中。方便了对气管内壁残留的冲洗液体或分泌物进行收集,避免了出现冲洗液或分泌物下行感染的问题。
The utility model discloses a subglottic suction and flushing endotracheal catheter device in the field of medical auxiliary devices, which comprises a catheter, an infusion tube, an air delivery tube and an air bag. One end of the infusion tube is connected to a collection assembly; the collection assembly includes a collection bottle, a bottle cap and a negative pressure suction tube. The catheter is inserted under the secretions in the trachea, gas is delivered to the balloon to inflate it for fixation, and the collection bottle sucks the liquid in the trachea through the infusion tube. It is convenient to draw flushing liquid or secretion into the collection bottle for collection. After the collection is completed, the balloon is deflated, and an upwardly opening storage chamber is formed between the balloon and the catheter. The catheter is pulled out upwards, and the outer wall of the balloon slides in the trachea, and the residual flushing liquid or secretions on the inner wall of the trachea are collected into the storage chamber. It facilitates the collection of residual flushing liquid or secretion on the inner wall of the trachea, and avoids the problem of descending infection of the flushing liquid or secretion.
Description
技术领域technical field
本实用新型属于医用辅助装置领域,具体是一种声门下吸引与冲洗气管导管装置。The utility model belongs to the field of medical auxiliary devices, in particular to a subglottic suction and flushing trachea catheter device.
背景技术Background technique
在危重症患者的抢救及治疗过程中,常常需要行气管切开术,并置入气切套管。气切套管的气囊上方常常会积聚唾液以及返流误吸的返流物,这些潴留的液体常常会成为新的感染源或者这些液体沿着气囊与气管壁之间的缝隙流入肺内,造成肺部感染加重。现有的气切套管有多种类型,其中,声门下吸引气切套管可以吸引气囊上方的分泌物,其原理是在气切套管外壁上放置一根吸引管,通过外接吸引装置将分泌物吸出,但是仍存在如下不足之处,吸引管通常只有一个开口,分泌物浓稠,或是存在痰痂时,吸引管容易堵塞,不能持续吸引,持续吸引时容易将气管黏膜吸住,从而损伤气管黏膜,且增加患者的不适感。In the rescue and treatment of critically ill patients, tracheotomy and tracheotomy are often required. Above the air bag of the tracheotomy tube, saliva and reflux and aspiration often accumulate. These retained fluids often become a new source of infection or these liquids flow into the lungs along the gap between the air bag and the tracheal wall, resulting in Lung infection worsens. There are many types of existing tracheotomy tubes. Among them, the subglottic suction tracheotomy tube can absorb the secretions above the air bag. The principle is to place a suction tube on the outer wall of the tracheotomy tube, and draw The secretion is sucked out, but there are still the following disadvantages. The suction tube usually has only one opening. When the secretion is thick, or when there is sputum scab, the suction tube is easy to be blocked, and the suction cannot be continued. Thereby damaging the tracheal mucosa and increasing the patient's discomfort.
为了解决上述问题,中国专利公告号为CN215135297U的专利公开了一种可持续声门下冲洗吸引气切套管,包括气切套管本体和声门下持续冲洗吸引装置,所述气切套管本体的前端套设有气囊,所述声门下持续冲洗吸引装置包括外套管、内芯管和冲洗管,所述冲洗管紧贴于外套管,并且两者均位于气切套管本体外壁上,所述冲洗管的一端设置有盖子,所述盖子上设置有接头,所述气囊上设置有用于对气囊进行充气的充气组件,本实用新型结构简单,通过设计外套管、内芯管及冲洗管,可以持续进行声门下冲洗和吸引,保证了声门下分泌物及返流物的充分引流,同时避免负压过大损伤气管粘膜,使用方便。In order to solve the above problems, the Chinese Patent Publication No. CN215135297U discloses a sustainable subglottic irrigation and suction gas cutting sleeve, which includes a gas cutting sleeve body and a continuous subglottic irrigation and suction device. The front end is covered with an air bag, and the subglottic continuous irrigation and suction device includes an outer sleeve, an inner core tube and an irrigation tube, and the irrigation tube is close to the outer sleeve, and both are located on the outer wall of the tracheotomy sleeve body. One end of the flushing pipe is provided with a cover, the cover is provided with a joint, and the air bag is provided with an inflatable component for inflating the air bag. The utility model has a simple structure, and by designing the outer casing, the inner core pipe and the flushing pipe, it can Continuous subglottic flushing and suction ensures adequate drainage of subglottic secretions and reflux, while avoiding damage to the tracheal mucosa due to excessive negative pressure, and is easy to use.
但是,在对气管壁冲洗后,将气囊放气再将装置取出,可能会出现冲洗液体或分泌物残留在气管壁上,该装置不便于对残留的冲洗液或分泌物进行收集,装置取出后冲洗液体或分泌物可能会随气管壁下流,造成冲洗液或分泌物下行感染,并且,该装置不便于收集吸出的冲洗液或分泌物,因此,有必要设置一种声门下吸引与冲洗气管导管装置。However, after rinsing the tracheal wall, deflate the balloon and then take out the device, flushing liquid or secretions may remain on the tracheal wall, and the device is not convenient for collecting the residual flushing liquid or secretions. Flushing fluid or secretions may flow down the tracheal wall, causing downstream infection of the flushing fluid or secretions, and the device is not convenient for collecting the suctioned flushing fluid or secretions, so it is necessary to set up a subglottic suction and irrigation tracheal tube device.
实用新型内容Utility model content
为了解决上述问题,本实用新型提出了一种声门下吸引与冲洗气管导管装置,以方便对冲洗液或分泌物进行收集,并且可以避免造成冲洗液或分泌物下行感染。In order to solve the above problems, the utility model proposes a subglottic suction and flushing endotracheal catheter device to facilitate the collection of flushing fluid or secretions, and to avoid downward infection of flushing fluid or secretions.
为了实现上述目的,本实用新型的技术方案如下:一种声门下吸引与冲洗气管导管装置,包括导管,导管内粘接有输液管和输气管,导管外套有气囊,气囊底部粘接于导管外侧壁上,气囊上部与导管之间留有间隙,输气管一端贯穿导管并与气囊连通,输气管另一端连通有输气组件;输液管一端贯穿导管,输液管另一端连通有收集组件;收集组件包括收集瓶,收集瓶口上螺纹配合有瓶盖,输液管贯穿瓶盖,瓶盖上连通有负压吸引管,负压吸引管上连通有负压泵;输液管上还连通有输液组件,输液组件包括支流管,输液管靠近支流管处设有阀门,支流管连通远离输液管一端连通有针筒,直流管上连通有三通阀,三通阀连通有吸液管。In order to achieve the above object, the technical scheme of the utility model is as follows: a subglottic suction and flushing endotracheal catheter device, including a catheter, an infusion tube and a gas delivery tube are bonded inside the catheter, a balloon is placed over the catheter, and the bottom of the balloon is bonded to the outside of the catheter On the wall, there is a gap between the upper part of the airbag and the catheter, one end of the air delivery tube runs through the catheter and communicates with the air bag, and the other end of the air delivery tube is connected with an air delivery component; one end of the infusion tube runs through the catheter, and the other end of the infusion tube is connected with a collection component; Including the collection bottle, the thread on the mouth of the collection bottle is matched with a bottle cap, the infusion tube runs through the bottle cap, the bottle cap is connected with a negative pressure suction tube, and the negative pressure suction tube is connected with a negative pressure pump; the infusion tube is also connected with an infusion component, and the infusion The assembly includes a branch pipe, a valve is arranged near the branch pipe of the infusion pipe, a syringe is connected to the end of the branch pipe far away from the infusion pipe, a three-way valve is connected to the straight pipe, and a suction pipe is connected to the three-way valve.
采用上述方案的原理和有益效果:使用该装置时,医务人员将导管伸入患者气管内,使气囊位于分泌物下方,使用输气组件通过输气管向气囊内输送气体,使气囊膨胀,气囊将装置卡于患者气管内。医务人员关闭阀门,调节三通阀,使吸液管与针筒连通,使针筒通过洗液管吸入清洗液,再调节三通阀将针筒与导管连通。此时使用针筒通过输液管向气管内输送清洗液对患者气管内的分泌物进行冲洗。冲洗过后开启阀门,再次调节三通阀使针筒与吸液管连通,此时支流管为封闭状态。开启负压泵,使负压吸引管吸引收集瓶内的空气,使收集瓶内产生负压,由于收集瓶与输液管连通,收集瓶通过输液管吸入气管内的液体。由此方便将冲洗液体或分泌物吸入收集瓶中进行收集,当收集瓶收集完冲洗液体或分泌物后可将收集瓶从瓶盖上取下,在对冲洗液体或分泌物进行处理。The principle and beneficial effect of adopting the above scheme: when using the device, the medical staff will extend the catheter into the patient's trachea so that the air bag is located under the secretions, and use the gas delivery component to deliver gas into the air bag through the air tube to inflate the air bag, and the air bag will The device becomes lodged in the patient's trachea. The medical staff closes the valve, adjusts the three-way valve, makes the suction pipe communicate with the syringe, makes the syringe suck cleaning liquid through the lotion pipe, and then adjusts the three-way valve to connect the syringe with the catheter. At this time, the syringe is used to deliver cleaning solution into the trachea through the infusion tube to flush the secretions in the patient's trachea. After flushing, open the valve, adjust the three-way valve again to make the syringe communicate with the suction pipe, and the branch pipe is in a closed state at this time. Turn on the negative pressure pump to make the negative pressure suction tube suck the air in the collection bottle, so that negative pressure is generated in the collection bottle. Since the collection bottle is connected with the infusion tube, the collection bottle sucks the liquid in the trachea through the infusion tube. This makes it easy to suck the flushing liquid or secretion into the collection bottle for collection. After the collection bottle has collected the flushing liquid or secretion, the collection bottle can be removed from the bottle cap, and the flushing liquid or secretion can be processed.
冲洗液体或分泌物收集完成后,使用输气组件对气囊进行泄气,此时,由于气囊底部粘接于导管外侧壁上,气囊上部与导管之间留有间隙,气囊与导管之间形成向上开口的收纳腔室,此时向上抽出导管,气囊外壁在气管内壁滑动,将气管内壁残留的冲洗液体或分泌物收入收纳腔室中,将装置完全从患者体内取出后,可将收纳腔室中的冲洗液体或分泌物倒出。由此方便了对气管内壁残留的冲洗液体或分泌物进行收集,避免了出现冲洗液或分泌物下行感染的问题。After the flushing fluid or secretions are collected, use the air delivery unit to deflate the air bag. At this time, since the bottom of the air bag is bonded to the outer wall of the catheter, there is a gap between the upper part of the air bag and the catheter, and an upward opening is formed between the air bag and the catheter. At this time, the catheter is pulled out upwards, the outer wall of the balloon slides on the inner wall of the trachea, and the residual flushing liquid or secretions on the inner wall of the trachea are collected into the receiving chamber. After the device is completely taken out of the patient's body, the Flush fluid or secretions and pour them out. Thus, it is convenient to collect the flushing liquid or secretion remaining on the inner wall of the trachea, and the problem of descending infection of the flushing liquid or secretion is avoided.
进一步,输液管与支流管为一体成型。Further, the infusion tube and the branch tube are integrally formed.
有益效果:一体成型密封性较好,避免了发生泄露。Beneficial effect: the integral molding has good sealing performance, and the occurrence of leakage is avoided.
进一步,瓶盖内粘接有密封圈。Further, a sealing ring is glued inside the bottle cap.
有益效果:密封圈增强了瓶盖与收集瓶之间的气密性,避免了收集瓶发生泄露。Beneficial effect: the sealing ring enhances the airtightness between the bottle cap and the collection bottle, and prevents the collection bottle from leaking.
进一步,导管一端固定连接有橡胶头,橡胶头上设有圆端口。Further, a rubber head is fixedly connected to one end of the catheter, and a round port is provided on the rubber head.
有益效果:橡胶头可以避免导管在进入气管时,划伤气管内壁。Beneficial effect: the rubber head can prevent the catheter from scratching the inner wall of the trachea when it enters the trachea.
进一步,导管的外侧壁上刻有第一刻度线。收集瓶上设有第二刻度线。Further, a first scale mark is engraved on the outer wall of the catheter. There is a second graduation mark on the collection bottle.
有益效果:第一刻度线可以方便观察导管进入气管的长度;第二刻度线可以方便观察冲洗液体或分泌物的收集量。Beneficial effects: the first scale line can facilitate observation of the length of the catheter entering the trachea; the second scale line can facilitate observation of the amount of flushing liquid or secretion collected.
进一步,输气组件为打气筒,打气筒与输气管连通。Further, the air delivery component is an air pump, and the air pump is connected with the air delivery pipe.
有益效果:打气筒可以方便对气囊进行充气和泄气。Beneficial effect: the air pump can conveniently inflate and deflate the air bag.
进一步,导管远离橡胶头一端连接有接头。Further, the end of the conduit away from the rubber head is connected with a joint.
有益效果:接头可以方便连通其他设备。Beneficial effect: the joint can be conveniently connected with other equipment.
进一步,针筒包括圆筒,圆筒与支流管连通,圆筒内滑动配合有活塞,活塞远离支流管一侧固定连接有连接杆,连接杆上固定连接有手柄。Further, the syringe includes a cylinder, which communicates with the branch pipe, and a piston is slidably fitted in the cylinder, and a connecting rod is fixedly connected to the side of the piston away from the branch pipe, and a handle is fixedly connected to the connecting rod.
有益效果:使用针筒时,可以手持手柄,拉动或推动连接杆,使活塞在圆筒内滑动,抽吸或挤压清洗液。Beneficial effect: when using the syringe, the handle can be held, pulled or pushed the connecting rod, so that the piston slides in the cylinder, and the cleaning fluid can be sucked or squeezed.
附图说明Description of drawings
图1为本实用新型实施例的示意图声门下吸引与冲洗气管导管装置结构图。Fig. 1 is a schematic diagram of an embodiment of the utility model, and a structure diagram of a subglottic suction and flushing endotracheal tube device.
具体实施方式Detailed ways
下面通过具体实施方式进一步详细说明:The following is further described in detail through specific implementation methods:
说明书附图中的附图标记包括:导管1、橡胶头2、圆端口3、输液管4、输气管5、气囊6、打气筒7、收集瓶8、第一刻度线9、第二刻度线10、瓶盖11、负压吸引管12、负压泵13、支流管14、圆筒15、活塞16、连接杆17、手柄18、三通阀19、吸液管20、阀门21。The reference signs in the drawings of the description include: catheter 1, rubber head 2, round port 3, infusion tube 4, air tube 5, air bag 6, pump 7, collection bottle 8, first scale line 9, second scale Line 10, bottle cap 11, negative pressure suction pipe 12, negative pressure pump 13, branch pipe 14, cylinder 15, piston 16, connecting rod 17, handle 18, three-way valve 19, suction pipe 20, valve 21.
实施例基本如附图1所示:一种声门下吸引与冲洗气管导管装置,包括导管1,导管1一端固定连接有橡胶头2,橡胶头2上设有圆端口3,导管1远离橡胶头2一端连接有接头。导管1的外侧壁上刻有第一刻度线9。导管1内侧壁粘接有输液管4和输气管5,导管1外套有气囊6,气囊6底部粘接于导管1外侧壁上,气囊6上部与导管1之间留有间隙,输气管5一端贯穿导管1并与气囊6连通,输气管5另一端连通有输气组件,输气组件为打气筒7。输液管4一端贯穿导管1,输液管4另一端连通有收集组件;收集组件包括收集瓶8,收集瓶8上刻第二刻度线10。收集瓶8口上螺纹配合有瓶盖11,瓶盖11内粘接有密封圈,输液管4贯穿瓶盖11,收集瓶8还连通有负压吸引管12,负压吸引管12贯穿瓶盖11,负压吸引管12上连通有负压泵13;输液管4上还连通有输液组件,输液组件包括支流管14,输液管4与支流管14为一体成型,输液管4靠近支流管14处粘接有阀门21(图中未示出),支流管14连通远离输液管4一端连通有针筒,针筒包括圆筒15,圆筒15与支流管14连通,圆筒15内滑动配合有活塞16,活塞16远离支流管14一侧固定连接有连接杆17,连接杆17上固定连接有手柄18。直流管上连通有三通阀19,三通阀19连通有吸液管20。The embodiment is basically shown in Figure 1: a subglottic suction and flushing endotracheal catheter device, including a catheter 1, one end of the catheter 1 is fixedly connected with a rubber tip 2, and a round port 3 is provided on the rubber tip 2, and the catheter 1 is far away from the rubber tip 2 One end is connected with a connector. A first scale mark 9 is engraved on the outer wall of the catheter 1 . An infusion tube 4 and an air delivery tube 5 are bonded to the inner wall of the catheter 1. The catheter 1 is covered with an air bag 6. The bottom of the air bag 6 is bonded to the outer wall of the catheter 1. There is a gap between the upper part of the air bag 6 and the catheter 1. One end of the air bag 5 is It runs through the catheter 1 and communicates with the air bag 6 , and the other end of the air delivery pipe 5 is connected with an air delivery component, which is an air pump 7 . One end of the infusion tube 4 runs through the catheter 1 , and the other end of the infusion tube 4 communicates with a collection assembly; the collection assembly includes a collection bottle 8 with a second scale line 10 engraved on the collection bottle 8 . The mouth of the collection bottle 8 is threaded with a bottle cap 11, and a sealing ring is glued inside the bottle cap 11. The infusion tube 4 runs through the bottle cap 11, and the collection bottle 8 is also connected with a negative pressure suction tube 12, which runs through the bottle cap 11. , the negative pressure suction tube 12 is connected with a negative pressure pump 13; the infusion tube 4 is also connected with an infusion assembly, the infusion assembly includes a branch tube 14, the infusion tube 4 and the branch tube 14 are integrally formed, and the infusion tube 4 is close to the branch tube 14 Bonded with a valve 21 (not shown in the figure), the branch pipe 14 communicates with a syringe at one end away from the infusion tube 4, and the syringe includes a cylinder 15, which communicates with the branch pipe 14, and the cylinder 15 is slidably fitted with a The piston 16 is fixedly connected to the side of the piston 16 away from the branch pipe 14 with a connecting rod 17 , and the connecting rod 17 is fixedly connected with a handle 18 . A three-way valve 19 is communicated with the direct-current pipe, and the three-way valve 19 is communicated with a liquid suction pipe 20 .
具体实施过程如下:使用该装置时,医务人员将导管1伸入患者气管内,使气囊6位于分泌物下方,使用输气组件通过输气管5向气囊6内输送气体,使气囊6膨胀,气囊6将装置卡于患者气管内。医务人员关闭阀门21,调节三通阀19,使吸液管20与针筒连通,使针筒通过洗液管吸入清洗液,再调节三通阀19将针筒与导管1连通。此时使用针筒通过输液管4向气管内输送清洗液对患者气管内的分泌物进行冲洗。使用针筒时,可以手持手柄18,拉动或推动连接杆17,使活塞16在圆筒15内滑动,抽吸或挤压清洗液。冲洗过后开启阀门21,再次调节三通阀19使针筒与吸液管20连通,此时支流管14为封闭状态。开启负压泵13,使负压吸引管12吸引收集瓶8内的空气,使收集瓶8内产生负压,由于收集瓶8与输液管4连通,收集瓶8通过输液管4吸入气管内的液体。由此方便将冲洗液体或分泌物吸入收集瓶8中进行收集,当收集瓶8收集完冲洗液体或分泌物后可将收集瓶8从瓶盖11上取下,在对冲洗液体或分泌物进行处理。The specific implementation process is as follows: when using the device, the medical staff will extend the catheter 1 into the patient's trachea so that the air bag 6 is located below the secretions, and use the air delivery component to deliver gas to the air bag 6 through the air delivery tube 5 to inflate the air bag 6 and the air bag 6 will be inflated. 6 Hold the device in the patient's trachea. The medical staff closes the valve 21, adjusts the three-way valve 19, makes the suction pipe 20 communicate with the syringe, makes the syringe inhale cleaning liquid through the lotion pipe, and then adjusts the three-way valve 19 to communicate with the syringe 1. At this time, the syringe is used to deliver the cleaning solution into the trachea through the infusion tube 4 to flush the secretions in the patient's trachea. When using the syringe, you can hold the handle 18, pull or push the connecting rod 17, make the piston 16 slide in the cylinder 15, and suck or squeeze the cleaning liquid. Open the valve 21 after flushing, adjust the three-way valve 19 again to make the syringe communicate with the liquid suction pipe 20, and now the branch pipe 14 is in a closed state. Open the negative pressure pump 13, make the negative pressure suction tube 12 suck the air in the collection bottle 8, make the collection bottle 8 produce negative pressure, because the collection bottle 8 communicates with the infusion tube 4, the collection bottle 8 sucks the air in the trachea through the infusion tube 4 liquid. This makes it easy to suck the flushing liquid or secretions into the collection bottle 8 for collection. After the collection bottle 8 has collected the flushing liquid or secretions, the collection bottle 8 can be removed from the bottle cap 11, and the flushing liquid or secretions can be collected. deal with.
冲洗液体或分泌物收集完成后,使用输气组件对气囊6进行泄气,此时,由于气囊6底部粘接于导管1外侧壁上,气囊6上部与导管1之间留有间隙,气囊6与导管1之间形成向上开口的收纳腔室,此时向上抽出导管1,气囊6外壁在气管内壁滑动,将气管内壁残留的冲洗液体或分泌物收入收纳腔室中,将装置完全从患者体内取出后,可将收纳腔室中的冲洗液体或分泌物倒出。由此方便了对气管内壁残留的冲洗液体或分泌物进行收集,避免了出现冲洗液或分泌物下行感染的问题。After the flushing fluid or secretions are collected, the air bag 6 is deflated by using the air delivery assembly. At this time, since the bottom of the air bag 6 is bonded to the outer wall of the catheter 1, there is a gap between the upper part of the air bag 6 and the catheter 1. The air bag 6 and the catheter 1 A storage chamber with an upward opening is formed between the catheters 1. At this time, the catheter 1 is pulled out upwards, and the outer wall of the air bag 6 slides on the inner wall of the trachea, and the residual flushing liquid or secretions on the inner wall of the trachea are collected into the storage chamber, and the device is completely taken out of the patient's body. Afterwards, the flushing liquid or secretions in the receiving chamber can be poured out. Thus, it is convenient to collect the flushing liquid or secretion remaining on the inner wall of the trachea, and the problem of descending infection of the flushing liquid or secretion is avoided.
以上所述的仅是本实用新型的实施例,方案中公知的具体结构和/或特性等常识在此未作过多描述。应当指出,对于本教学模具领域的技术人员来说,在不脱离本实用新型结构的前提下,还可以作出若干变形和改进,这些也应该视为本实用新型的保护范围,这些都不会影响本实用新型实施的效果和专利的实用性。本申请要求的保护范围应当以其权利要求的内容为准,说明书中的具体实施方式等记载可以用于解释权利要求的内容。What is described above is only the embodiment of the present utility model, and common knowledge such as the specific structure and/or characteristic known in the solution is not described too much here. It should be pointed out that for those skilled in the field of teaching molds, some deformations and improvements can be made without departing from the structure of the utility model, and these should also be regarded as the protection scope of the utility model, and these will not affect The effect of the utility model implementation and the practicability of the patent. The scope of protection required by this application shall be based on the content of the claims, and the specific implementation methods and other records in the specification may be used to interpret the content of the claims.
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CN116833175B (en) * | 2023-09-01 | 2023-12-01 | 江苏英斯坦福环境科技有限公司 | Tracheal catheter wall cleaner |
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