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CN110547754B - Laryngeal mask convenient for insertion of bronchofiberscope - Google Patents

Laryngeal mask convenient for insertion of bronchofiberscope Download PDF

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Publication number
CN110547754B
CN110547754B CN201910899348.1A CN201910899348A CN110547754B CN 110547754 B CN110547754 B CN 110547754B CN 201910899348 A CN201910899348 A CN 201910899348A CN 110547754 B CN110547754 B CN 110547754B
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China
Prior art keywords
cover bag
bag
guide groove
bronchofiberscope
mask
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CN201910899348.1A
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CN110547754A (en
Inventor
赵华良
刘守奎
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Hangzhou Fushan Medical Appliances Co ltd
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Hangzhou Fushan Medical Appliances Co ltd
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/267Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the respiratory tract, e.g. laryngoscopes, bronchoscopes
    • 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. mouth-to-mouth respiration; 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. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/04Tracheal tubes
    • A61M16/0463Tracheal tubes combined with suction tubes, catheters or the like; Outside connections

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  • Health & Medical Sciences (AREA)
  • Pulmonology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Biomedical Technology (AREA)
  • Engineering & Computer Science (AREA)
  • Emergency Medicine (AREA)
  • Surgery (AREA)
  • Hematology (AREA)
  • Anesthesiology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Biophysics (AREA)
  • Otolaryngology (AREA)
  • Physics & Mathematics (AREA)
  • Physiology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Optics & Photonics (AREA)
  • Pathology (AREA)
  • Endoscopes (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention discloses a laryngeal mask convenient for inserting a bronchofiberscope, which comprises a main pipe and a mask bag integrally formed with one end of the main pipe, wherein an air guide pipeline communicated with the inner cavity of the mask bag is arranged in the main pipe, an air guide hole is formed in the front surface of the mask bag, a stomach tube channel is also arranged in the main pipe, and the stomach tube channel extends into the main pipe from one end of the main pipe, passes through the inner cavity of the mask bag and extends to a stomach tube drainage port arranged at the front end of the mask bag; the inner bottom surface of the cover bag is provided with a guide groove at the position where the air guide pipeline is communicated with the inner cavity of the cover bag, and the extending direction of the guide groove from the inlet to the outlet is arc-shaped upwards and faces the air guide hole of the cover bag. By utilizing the invention, the bronchoscope can be more accurately found out and can be smoothly inserted when the bronchoscope is used.

Description

Laryngeal mask convenient for insertion of bronchofiberscope
Technical Field
The invention belongs to the technical field of medical appliances, and particularly relates to a laryngeal mask convenient for insertion of a bronchofiberscope.
Background
Laryngeal masks were developed successfully in mid-80 s and used clinically for introduction in the domestic 90 s. The use of laryngeal masks has been greatly advanced at present, and the scope of application is becoming wider and wider. The laryngeal mask is applied to general anesthesia operation and is used for establishing a safe airway. In the anesthetic operation using the laryngeal mask, some patients need to insert an endoscope such as a bronchofiberscope into the airway and the lung for observation or auxiliary operation, so that the bronchofiberscope needs to be smoothly inserted into the laryngeal mask; the common double-channel bronchofiberscope laryngeal mask comprises a cavity for passing a gastric tube and a cavity for inserting a bronchofiberscope; when using ordinary binary channels bronchofiberscope laryngeal mask in the operation in-process, often appear that the bronchofiberscope can't aim at the glottis, lead to the bronchofiberscope can not fine get into the air flue, and ordinary single channel laryngeal mask can not effectually prevent to flow back, mistake inhale, and need be equipped with the bite-block when using, increase medical personnel's work load.
The Chinese patent document with the publication number of CN204951869U discloses a laryngeal mask for painless gastroscopy diagnosis and treatment, which comprises a mask bag and an airway catheter, wherein the mask bag is fixedly connected with the airway catheter, the airway catheter forms a ventilation airway, a gastroscope or bronchofiberscope channel and an inflation tube channel, and two ports of the ventilation airway are a ventilation inlet and a ventilation outlet respectively; the two ports of the gastroscope or the bronchofiberscope channel are respectively a gastroscope or a bronchofiberscope channel inlet and a gastroscope or a bronchofiberscope channel outlet; the two ports of the inflation tube channel are respectively an inflation inlet and an inflation outlet, and the inflation outlet is communicated with the cover bag; one end of the airway catheter with the gastroscope or bronchofiberscope channel outlet is fixedly connected with the cover bag, the front end of the cover bag is provided with a notch, the gastroscope or bronchofiberscope channel outlet is arranged at the notch of the cover bag, and the gastroscope or bronchofiberscope channel outlet is contracted in the front end face of the cover bag for a certain interval.
The laryngeal mask is easy to cause that the bronchoscope is not easy to align with the glottis in the using process, so that the bronchoscope cannot well enter the airway.
The Chinese patent literature with the publication number of CN105561454 discloses a drainage type bronchofiberscope laryngeal mask, which comprises a main pipe, a bronchofiberscope channel cavity, a ventilation cavity, an inflation cavity and a drainage cavity are arranged in the main pipe, one end of the inflation cavity, which is positioned at the outer side, is connected with an inflation joint, a first sealing bag and a second sealing bag are arranged at different positions outside the main pipe, and the first sealing bag and the second sealing bag are communicated with the inflation cavity.
The laryngeal mask has the advantages that although the bronchofiberscope is easier to align with the glottis, the problems of complex operation and poor clinical applicability exist, in addition, the existing laryngeal mask commonly adopts an inflatable mask bag, the laryngeal mask with the inflatable mask bag has poor sealing effect, and larger pressure is required for achieving the clinical sealing effect, so that the postoperative throat pain of a patient is often caused.
Disclosure of Invention
In order to solve the problems in the prior art, the invention provides a laryngeal mask which is convenient for inserting a bronchoscope, and can enable the bronchoscope to accurately find a glottis and be smoothly inserted when the bronchoscope is used.
The technical scheme of the invention is as follows:
The laryngeal mask comprises a main pipe and a mask bag integrally formed with one end of the main pipe, wherein an air guide pipeline communicated with the inner cavity of the mask bag is arranged in the main pipe, a stomach tube channel is further arranged in the main pipe, and the stomach tube channel extends into the main pipe from one end of the main pipe, passes through the inner cavity of the mask bag and extends to a stomach tube drainage port arranged at the front end of the mask bag;
the inner bottom surface of the cover bag is provided with a guide groove at the position where the air guide pipeline is communicated with the inner cavity of the cover bag, and the extending direction of the guide groove from the inlet to the outlet is arc-shaped upwards and faces the air guide hole of the cover bag.
According to the invention, the guide groove is arranged in the cover bag and is used for guiding the bronchoscope when the bronchoscope is inserted, so that the bronchoscope can smoothly pass through the air guide hole on the front surface of the cover bag and then be inserted into the air valve.
In order to enable the bronchoscope to be aligned with the air valve smoothly and accurately, the extending direction of the guide groove from the inlet to the outlet is designed to be arc-shaped upwards and towards the air guide hole on the front face of the cover bag.
The ratio of the length of the guide groove to the length of the cover bag is 0.3-0.7, so that the outlet of the guide groove is closer to the air guide hole of the cover bag.
In order to enable the bronchoscope to have certain adjustability in the guide groove, the groove wall height of the guide groove is gradually reduced from the inlet to the outlet, and the position of the outlet of the guide groove is higher than the bottom of the cover bag.
The cross section of the bottom of the guide groove is arc-shaped, so that the bronchoscope can be more smoothly introduced into the guide groove from the air duct, and the arc-shaped bottom of the guide groove is more beneficial to the insertion of the bronchoscope.
In order to make the structure inside the cover bag simpler and more stable, one groove wall of the guide groove is also used as the wall of the stomach tube channel, and at the moment, the part of the stomach tube channel in the cover bag and the inner bottom surface of the cover bag are of an integrated structure.
In order to enable a larger space to be arranged in the cover bag, and simultaneously avoid backflow and aspiration, the side wall of the cover bag gradually closes up upwards along the edge of the bottom of the cover bag to form an air guide hole of the cover bag; the thickness of the side wall of the cover bag gradually decreases towards the direction of the air vent, and the bottom and the side wall of the cover bag form a liquid storage cavity.
The traditional cover bag adopts a side wall air bag structure generally, and can be more attached to pharyngeal cavity tissues during positive pressure ventilation, so that reinforcement sealing is realized. The clinical sealing effect is achieved, and high pressure is required, so that the throat pain of a patient after operation is often caused; when the inflation pressure is low, gas leakage often occurs, so that ventilation failure or aspiration occurs in the mouth water flow air inlet channel.
In the invention, the side wall with a solid structure is preferably adopted, the self-sealing design is adopted, and the thickness of the side wall at the position close to the bottom of the cover bag is thicker and is 4-8 mm; the thickness of the air guide hole is thinner and is 0.5-3 mm.
The side wall of the solid structure is adopted, so that the volume formed by surrounding between the inner bottom surface and the side wall of the mask bag is greatly increased, the inner bottom surface and the side wall of the front end part of the mask bag form a main liquid storage cavity vertically downwards in the use process of the laryngeal mask, and once backflow occurs and liquid flows into the air guide hole on the front surface of the mask bag, the liquid storage cavity can be used for storing the backflow liquid so as to prevent the backflow liquid from flowing into the air passage.
Normally, the inflation-free cover bag structure can well solve the reflux problem by being matched with the liquid storage cavity. Because various emergency conditions can occur in the medical operation, the back of the cover bag is also provided with a special anti-reflux channel in order to further enhance the anti-reflux effect. Even if other measures for preventing backflow are invalid, the backflow prevention channel can enable backflow liquid to be discharged out of the body through the oral cavity rapidly.
In order to further improve the practicability of the laryngeal mask, the laryngeal mask can be suitable for more devices, and the inner diameter of the air guide pipeline is 5-18 mm.
The cover bag is made of silica gel material with excellent elasticity and is soft. The front end of the cover bag is designed into an arc which is more in line with the physiological structure of the human body, so that the esophagus can be better closed, and reflux is prevented.
Compared with the prior art, the invention has the following beneficial effects:
1. According to the invention, the guide groove with a certain length is arranged in the inner cavity of the mask bag aiming at the function of the laryngeal mask requiring the bronchofiberscope, and the guide groove is used as a bronchofiberscope channel, so that the glottis can be accurately found by the bronchofiberscope and can be smoothly inserted when the bronchofiberscope is used.
2. The cover bag is an inflation-free cover bag, adopts the side wall with a solid structure, has the thick lower end and the thin upper end, and when in use, the thin bag part at the upper end of the side wall is tightly attached to the periphery of the throat to achieve the self-sealing function; meanwhile, compared with the air bag structure, the side wall of the solid structure greatly increases the volume of the inner cavity of the cover bag to form a liquid storage cavity, once backflow occurs and liquid flows into the air guide hole on the front surface of the cover bag, the liquid storage cavity can be used for storing the backflow liquid so as to prevent the backflow liquid from flowing into the air passage.
3. The invention designs a special backflow prevention channel at the back of the cover bag, even if extremely special conditions occur, other backflow prevention measures fail, and when backflow occurs, the backflow prevention channel can enable backflow liquid to be discharged out of the body through the oral cavity rapidly.
Drawings
FIG. 1 is a schematic perspective view of a laryngeal mask of the present invention for facilitating insertion of a bronchofiberscope;
FIG. 2 is a top view of a laryngeal mask of the present invention for facilitating insertion of a bronchofiberscope;
FIG. 3 is a schematic view of another angle of laryngeal mask to facilitate insertion of a bronchofiberscope in accordance with the present invention;
figure 4 is a cross-sectional view of the laryngeal mask A-A shown in figure 2, shown in a direction to facilitate insertion of the bronchofiberscope.
In the figure: the device comprises a main pipe 1, a cover bag 2, a 3-air guide pipeline, a 4-stomach tube channel, a 5-guide groove, a 6-stomach tube drainage port, a 7-backflow prevention channel, an 8-liquid storage cavity, a 21-cover bag bottom and a 22-cover bag wall.
Detailed Description
The invention will be described in further detail with reference to the drawings and examples, it being noted that the examples described below are intended to facilitate the understanding of the invention and are not intended to limit the invention in any way.
As shown in figures 1-4, the laryngeal mask convenient for inserting the bronchofiberscope comprises a main pipe 1 and a mask bag 2 integrally formed with one end of the main pipe 1, wherein an air guide pipeline 3 and a stomach tube channel 4 are arranged in the main pipe 1. The air duct 3 extends into one end of the main pipe 1 and is communicated with the inner cavity of the cover bag 2; the stomach tube channel 4 extends into from one end of the main tube 1, passes through the inner cavity of the cover bag 2 and extends to a stomach tube drainage port 6 arranged at the front end of the cover bag 2.
The cover bag 2 is composed of a cover bag bottom 21 and a cover bag wall 22, a guide groove 5 is arranged on the inner bottom surface of the cover bag 2 at the position where the air duct 3 is communicated with the inner cavity of the cover bag 2, and in the embodiment, the ratio of the length of the guide groove 5 to the length of the cover bag 2 is 0.6.
Unlike available laryngeal mask with inflated bag, the present invention has inflated structure, solid silica gel material for the wall 22, and the wall 22 is gradually shrunk upwards to form the air hole of the mask bag 2 and the wall 22 is gradually reduced in thickness towards the air hole.
The cover bag 2 is an inflation-free cover bag, a silica gel material with excellent elasticity is adopted, the position of the cover bag wall 22 close to the bottom is designed to be thicker, the cover bag is convenient to have enough supporting capacity, the upper end is designed to be thinner, the material is soft, positive pressure ventilation can be realized in the operation process through the extrusion of positive pressure of oxygen, the upper end thin bag part of the cover bag wall 22 is more closely attached to pharyngeal cavity tissues, and the self-sealing function is achieved, namely, the higher the positive pressure is, the better the sealing effect is.
On the other hand, the inflation-free mask bag structure greatly increases the volume formed between the mask bag wall 22 and the mask bag bottom 21, the position of the outlet of the guide groove 5 is higher than that of the mask bag bottom 21, the front end of the mask bag 2 is vertically downward in the use process of the laryngeal mask, the inner bottom surface of the front end part of the mask bag and the mask bag wall 22 form a liquid storage cavity 8, once the reflux occurs and the liquid flows into the air guide hole on the front surface of the mask bag, the liquid storage cavity 8 can be used for storing the reflux liquid so as to prevent the reflux liquid from flowing into the airway.
As shown in fig. 3, the back of the cover bag 2 (i.e. the outer bottom surface of the cover bag) is also provided with a special backflow prevention channel 7, and even if some unexpected extremely special situations occur, other backflow prevention measures fail, and when backflow occurs, the backflow prevention channel 7 can enable backflow liquid to be quickly discharged out of the body through the oral cavity.
As shown in fig. 4, the direction from the inlet to the outlet of the guide groove 5 is inclined upwards, and has a certain radian, the extending direction of the outlet of the guide groove 5 faces the air guide hole on the front surface of the cover bag 2, and when the bronchoscope is inserted from the air guide pipeline 3, the bronchoscope is naturally aligned with the air guide hole of the cover bag 2 along the guide groove 5, so that the glottis can be smoothly found and inserted.
The bottom of the guide groove 5 is designed into an arc shape, and the bronchoscope naturally transits into the guide groove 5 after coming out of the air duct 3, so that the friction force resistance is small. In addition, the height of the groove wall of the guide groove 5 gradually becomes smaller from the inlet to the outlet, and the height of the groove wall is zero when the guide groove reaches the outlet, so that the bronchoscope has certain adjustability in the guide groove 5.
Because the stomach tube passageway 4 passes the inner chamber of cover bag 2 and extends to the stomach tube drainage mouth 6 that cover bag 2 front end set up, in order to make the inside structure of cover bag 2 succinct more and stable, a cell wall of guide way 5 is doubling as by the pipe wall of stomach tube passageway 4, and at this moment, the stomach tube passageway 4 is in the part of cover bag 2 and the interior bottom surface of cover bag structure as an organic whole.
The invention is specially researched aiming at the function of the bronchoscope required to be placed on the laryngeal mask, and the guide groove for guiding the bronchoscope is designed according to the specific working mode and the working principle of the bronchoscope, so that the bronchoscope can more accurately find the glottis and can be smoothly inserted when the bronchoscope is used.
The foregoing embodiments have described in detail the technical solution and the advantages of the present invention, it should be understood that the foregoing embodiments are merely illustrative of the present invention and are not intended to limit the invention, and any modifications, additions and equivalents made within the scope of the principles of the present invention should be included in the scope of the invention.

Claims (3)

1. The utility model provides a laryngeal mask convenient to bronchofiberscope male, includes is responsible for and is responsible for one end integrated into one piece's cover bag, be equipped with in being responsible for the air duct with cover bag inner chamber intercommunication, the front of cover bag is equipped with the air vent, be responsible for in still be equipped with the stomach tube passageway, the stomach tube passageway stretch into by the one end of being responsible for, pass cover bag inner chamber and extend to the stomach tube drainage mouth that cover bag front end set up, its characterized in that:
The inner bottom surface of the cover bag is provided with a guide groove at the position where the air guide pipeline is communicated with the inner cavity of the cover bag, and the extending direction of the guide groove from the inlet to the outlet is arc-shaped upwards and faces the air guide hole of the cover bag;
The ratio of the length of the guide groove to the length of the cover bag is 0.3-0.7; the height of the groove wall of the guide groove gradually becomes smaller from the inlet to the outlet; the bottom section of the guide groove is arc-shaped; one groove wall of the guide groove is also used as the wall of the stomach tube channel;
the side wall of the cover bag gradually closes up upwards along the edge of the bottom of the cover bag to form an air guide hole of the cover bag; the thickness of the side wall of the cover bag gradually decreases towards the direction of the air vent, and the bottom and the side wall of the cover bag form a liquid storage cavity;
The thickness of the side wall of the cover bag is 4-8 mm at the position close to the bottom of the cover bag; the thickness of the part close to the air guide hole is 0.5-3 mm; the back of the cover bag is provided with an anti-backflow channel.
2. The laryngeal mask for facilitating insertion of a bronchofiberscope according to claim 1, wherein the inner diameter of the air guide pipeline is 5-18 mm.
3. The laryngeal mask for facilitating insertion of a bronchofiberscope of claim 1, wherein said mask balloon is of a silicone material.
CN201910899348.1A 2019-09-23 2019-09-23 Laryngeal mask convenient for insertion of bronchofiberscope Active CN110547754B (en)

Priority Applications (1)

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CN110547754B true CN110547754B (en) 2024-08-30

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Families Citing this family (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111744087B (en) * 2020-07-06 2021-09-03 无锡圣诺亚科技有限公司 Laryngeal mask for airway operation
CN112790728B (en) * 2021-02-09 2022-11-29 烟台毓璜顶医院 Device suitable for hard bronchoscope implantation and breathing management
CN116059488A (en) * 2023-02-14 2023-05-05 浙江曙光科技有限公司 Integrated laryngeal mask capable of being inserted with endoscope

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CN201263829Y (en) * 2008-08-25 2009-07-01 天津美迪斯医疗用品有限公司 Monotube multi-cavity type ProSeal laryngeal mask airway
CN107137807A (en) * 2017-05-02 2017-09-08 浙江简成医疗科技有限公司 Laryngeal mask
CN208405637U (en) * 2017-08-01 2019-01-22 杨作庶 Laryngeal mask is inflated in multifunctional integrated molding certainly
CN208893404U (en) * 2018-01-31 2019-05-24 昊谱(杭州)生物科技有限公司 Exempt to inflate drainage laryngeal mask tracheal catheter
CN211022567U (en) * 2019-09-23 2020-07-17 杭州富善医疗器械有限公司 Laryngeal mask convenient for bronchofiberscope insertion

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CN103223204A (en) * 2013-04-12 2013-07-31 浙江曙光科技有限公司 Integrated double anti-aspiration drainage-type laryngeal mask with multiple cavities
CN105377347B (en) * 2013-06-20 2017-07-04 安布股份有限公司 Laryngeal mask
CN106178209A (en) * 2016-08-05 2016-12-07 罗强 A kind of laryngeal mask airway device with transmission of video function
CN206762011U (en) * 2017-01-19 2017-12-19 南昌贝欧特医疗科技股份有限公司 Laryngeal mask
CN208212272U (en) * 2017-09-18 2018-12-11 杨作庶 The multifunctional integrated laryngeal mask of free bonding air bag
CN108042894A (en) * 2018-01-31 2018-05-18 昊谱(杭州)生物科技有限公司 Exempt to inflate drainage laryngeal mask tracheal catheter

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN201263829Y (en) * 2008-08-25 2009-07-01 天津美迪斯医疗用品有限公司 Monotube multi-cavity type ProSeal laryngeal mask airway
CN107137807A (en) * 2017-05-02 2017-09-08 浙江简成医疗科技有限公司 Laryngeal mask
CN208405637U (en) * 2017-08-01 2019-01-22 杨作庶 Laryngeal mask is inflated in multifunctional integrated molding certainly
CN208893404U (en) * 2018-01-31 2019-05-24 昊谱(杭州)生物科技有限公司 Exempt to inflate drainage laryngeal mask tracheal catheter
CN211022567U (en) * 2019-09-23 2020-07-17 杭州富善医疗器械有限公司 Laryngeal mask convenient for bronchofiberscope insertion

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