TW201429509A - Light guiding device for assisting intubation - Google Patents
Light guiding device for assisting intubation Download PDFInfo
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- TW201429509A TW201429509A TW102102144A TW102102144A TW201429509A TW 201429509 A TW201429509 A TW 201429509A TW 102102144 A TW102102144 A TW 102102144A TW 102102144 A TW102102144 A TW 102102144A TW 201429509 A TW201429509 A TW 201429509A
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- 238000002627 tracheal intubation Methods 0.000 title claims abstract description 39
- 241001465754 Metazoa Species 0.000 claims abstract description 18
- 239000000463 material Substances 0.000 claims description 7
- 201000009310 astigmatism Diseases 0.000 claims description 6
- 239000013307 optical fiber Substances 0.000 claims description 3
- 210000004704 glottis Anatomy 0.000 description 5
- 238000003780 insertion Methods 0.000 description 5
- 230000037431 insertion Effects 0.000 description 4
- 238000013461 design Methods 0.000 description 3
- 238000010586 diagram Methods 0.000 description 3
- 210000002409 epiglottis Anatomy 0.000 description 3
- 238000000034 method Methods 0.000 description 3
- 238000000149 argon plasma sintering Methods 0.000 description 2
- 238000011976 chest X-ray Methods 0.000 description 2
- ORQBXQOJMQIAOY-UHFFFAOYSA-N nobelium Chemical compound [No] ORQBXQOJMQIAOY-UHFFFAOYSA-N 0.000 description 2
- 210000003437 trachea Anatomy 0.000 description 2
- 206010021143 Hypoxia Diseases 0.000 description 1
- 238000004140 cleaning Methods 0.000 description 1
- 238000007796 conventional method Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 239000000835 fiber Substances 0.000 description 1
- 230000007954 hypoxia Effects 0.000 description 1
- 230000001939 inductive effect Effects 0.000 description 1
- 210000000867 larynx Anatomy 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 210000003928 nasal cavity Anatomy 0.000 description 1
- 239000000382 optic material Substances 0.000 description 1
- 230000000149 penetrating effect Effects 0.000 description 1
- 230000035515 penetration Effects 0.000 description 1
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Abstract
Description
本發明是有關於一種輔助插管之光引裝置，特別是一種利用發光元件使導管前端發出可自體內穿出之光線，以可從體外確認導管即時位置，以利進行後續插管作業之輔助插管之光引裝置。 The invention relates to a light guiding device for an auxiliary cannula, in particular to a light-emitting element for emitting a light which can be self-piercing from the front end of the catheter, so as to confirm the instantaneous position of the catheter from outside the body, so as to facilitate the subsequent intubation operation. Intubation light guide.
傳統醫療插管方式是使用一喉鏡，從病人口中深入進去，而喉鏡前端有一葉片如同鏡面，當將病人舌頭推開並將葉片放置到舌根與會厭軟骨交界處後，醫師可從葉片反射光來看到雙側聲門，藉此再插入插管。而這種方式在緊急搶救時，或是一般插管時，因病人會覺得不舒適而亂動，進而可能造成醫師插管位置錯誤。因此，現有許多新的裝置皆是使用類似內視鏡的攝影裝置來解決上述之問題。 The traditional medical intubation method uses a laryngoscope to penetrate deep into the patient's body. The front end of the laryngoscope has a blade that is like a mirror. When the patient's tongue is pushed away and the blade is placed at the junction of the tongue and the epiglottic cartilage, the physician can reflect from the blade. Light to see the double-sided glottis, which is then inserted into the cannula. In this way, in the case of emergency rescue, or in general intubation, the patient may feel uncomfortable and turbulent, which may cause the doctor to intubate the wrong position. Therefore, many new devices are currently using an endoscope-like photographic device to solve the above problems.
然而，這種裝置的缺點在於醫師在操作時必須看著由攝影裝置所拍攝到的影像來決定插管的路徑，使用上並不直接簡易，且該裝置在成本上較昂貴。 However, this device has the disadvantage that the physician must look at the image taken by the camera to determine the path of the cannula during operation, which is not straightforward to use and which is relatively expensive in cost.
有鑑於此，本發明為了能避免誤插而造成遺憾，且為了能讓醫師使用上更為簡易，本發明之發明人係設計一種輔助插管之光引裝置，透過引導光線的引導標示，來告知醫師插管位置是否正確，以降低插管風險。 In view of the above, the present invention is unfortunate in order to avoid mis-insertion, and in order to make the use of the doctor easier, the inventor of the present invention designs a light guiding device for assisting the intubation through the guiding indication of the guiding light. Inform the physician if the intubation position is correct to reduce the risk of intubation.
有鑑於上述習知技藝之問題，本發明之目的就是在提供一種輔助插管之光引裝置，讓使用者透過其所發出之光線快速且精準地判斷導管當下之位置。 In view of the above-mentioned problems of the prior art, it is an object of the present invention to provide a light guide for an auxiliary cannula that allows a user to quickly and accurately determine the current position of the catheter through the light emitted therefrom.
依據本發明之主要目的，其包含一導管與一發光元件。導管係為可塑形材質，發光元件係發出可自動物身體內穿透體表之光線，並設置於該導管之一端；當該導管設有該發光元件之該端插入動物體內時，該發光元件發出之光線係穿透動物之體表，藉以即時顯示該導管之該端的位置。 According to a primary object of the invention, a catheter and a light-emitting element are included. The catheter is a plastic material, and the light-emitting element emits light that penetrates the body surface in the body of the body, and is disposed at one end of the catheter; when the catheter is provided with the end of the light-emitting element inserted into the animal body, the light-emitting element The emitted light penetrates the body surface of the animal to instantly show the position of the end of the catheter.
較佳者，該發光元件係為具有指向性之光源，以增進位置辨識之便利性。 Preferably, the light-emitting element is a light source having directivity to enhance the convenience of position recognition.
較佳者，該發光元件係為發光二極體。 Preferably, the light emitting element is a light emitting diode.
較佳者，該發光元件所發出之光線係為波長為590nm至760nm之可見光。 Preferably, the light emitted by the light-emitting element is visible light having a wavelength of 590 nm to 760 nm.
較佳者，該發光元件係以可拆卸式的方式組裝於該導管，藉此以便於更換或清潔。 Preferably, the illuminating element is assembled to the catheter in a detachable manner for ease of replacement or cleaning.
進者，本發明係再提供一種輔助插管之光引裝置，其包含一導管與一發光元件。導管為可塑形並可傳遞光線之材質，發光元件發出可自動物身體內穿透體表之光線，並設置於該導管之一端；當該導管未設有該發光元件之該端插入動物體內時，該發光元件發出之光線係經該導管傳遞至該導管的另端發出，再穿透動物之體表，藉以即時顯示該導管之該端的位置。藉此，亦可達到於 體表外觀測到導管前端的位置，利於插管作業之實施。 Further, the present invention further provides a light guiding device for an auxiliary cannula, which comprises a catheter and a light emitting element. The catheter is shaped to transmit light, and the light-emitting element emits light that penetrates the body surface in the body and is disposed at one end of the catheter; when the catheter is not provided with the end of the light-emitting element inserted into the animal body The light emitted by the illuminating element is transmitted through the catheter to the other end of the catheter and then penetrates the body surface of the animal to instantly display the position of the end of the catheter. This can also be achieved by The position of the front end of the catheter is observed outside the body surface, which facilitates the implementation of the intubation operation.
較佳者，該導管係為光纖材質。 Preferably, the conduit is made of fiber optic material.
較佳者，該導管設有該發光元件之該端係設有一收光元件，係用以聚集該發光元件所發出之該光線，以導入該導管。 Preferably, the end of the light-emitting element is provided with a light-receiving element for collecting the light emitted by the light-emitting element for introduction into the catheter.
較佳者，該導管未設有該發光元件之一端，係設有一散光元件，藉以使該光線散射。 Preferably, the catheter is not provided with one end of the light-emitting element, and is provided with a light-scattering element for scattering the light.
綜上所述，本發明所提供之輔助插管之光引裝置，其提供下列的優點： In summary, the light guide device of the auxiliary cannula provided by the present invention provides the following advantages:
(1)本發明之輔助插管之光引裝置，藉由裝設於導管一端之發光元件所發出之光線，用來協助醫師判定導管目前之位置，且進一步可使醫師進行後續插管作業，藉此可避免插管位置不正確。 (1) The light guiding device of the auxiliary cannula of the present invention is used to assist the physician in determining the current position of the catheter by the light emitted from the light-emitting element mounted at one end of the catheter, and further enables the physician to perform subsequent intubation operations. This prevents the position of the cannula from being incorrect.
(2)本發明之輔助插管之光引裝置，藉由裝設於導管一端之發光元件所發出之光線，可直接透射顯示於動物體表，進而可讓醫師目視判斷得知導管目前位置，以利於爭取後續插管搶救之黃金時間。 (2) The light guiding device of the auxiliary cannula of the present invention can be directly transmitted and displayed on the body surface of the animal by the light emitted from the light-emitting element mounted at one end of the catheter, thereby allowing the physician to visually judge the current position of the catheter. In order to facilitate the golden time of subsequent intubation rescue.
(3)本發明之輔助插管之光引裝置，可活動地套設於一般急救之插管，醫師可先插入導管，並透過光線先確認欲插管之位置後，再使插管沿導管精確地插入所需位置，進而可使醫師快速且精準地完成插管作業。 (3) The light guiding device of the auxiliary cannula of the present invention can be movably set in the general emergency intubation, and the physician can insert the catheter first, and confirm the position of the tube to be intubated through the light, and then make the cannula along the catheter. Accurate insertion into the desired position allows the physician to complete the intubation procedure quickly and accurately.
為利 貴審查員瞭解本發明之技術特徵、內容與優點及其所能達成之功效，茲將本發明配合附圖，並以實施例之表達形式詳細說明如下，而其中所使用之圖式，其主旨僅為示意及輔助說明書之用，未必為本發明實施後之真實比例與精準配置，故不應就所附之圖式的比例與配置關係解讀、侷限本發明於實際實施上的權利範圍，合先敘明。 The technical features, contents, and advantages of the present invention, as well as the advantages thereof, can be understood by the present inventors, and the present invention will be described in detail with reference to the accompanying drawings. The subject matter is only for the purpose of illustration and description. It is not intended to be a true proportion and precise configuration after the implementation of the present invention. Therefore, the scope and configuration relationship of the attached drawings should not be interpreted or limited. First described.
為使本發明之上述目的、特徵和優點能更明顯易懂，下文依本發明輔助插管之光引裝置，特舉較佳實施例，並配合所附相關圖式，作詳細說明如下，其中相同的元件將以相同的元件符號加以說明。 In order to make the above-mentioned objects, features and advantages of the present invention more comprehensible, the following is a detailed description of the light guiding device of the auxiliary intubation according to the present invention, and the following related drawings are accompanied by the following detailed description, wherein The same elements will be described with the same element symbols.
請一併參閱第一圖至第三圖。第一圖係為本實施例之輔助插管之光引裝置之第一實施例之第一示意圖；第二圖係為本實施例之輔助插管之光引裝置之第二實施例示意圖；第三圖係為本實施例之輔助插管之光引裝置之第二實施例之收光元件與散光元件之示意圖。 Please refer to the first to third figures together. The first figure is a first schematic diagram of a first embodiment of the light guide device of the auxiliary cannula of the embodiment; the second figure is a schematic view of the second embodiment of the light guide device of the auxiliary cannula of the embodiment; The three figures are schematic diagrams of the light-receiving element and the astigmatism element of the second embodiment of the light-inducing device of the auxiliary cannula of the embodiment.
如圖所示，輔助插管之光引裝置1包含一導管10及一發光元件20。 As shown, the light guide device 1 of the auxiliary cannula comprises a catheter 10 and a light-emitting element 20.
導管10為可塑性材質，在實際應用中可以依據實際狀況加以更變其材質特性，以利於應用。發光元件20以可拆卸式的設置於導管10之其中一端，且其可發出一光線201。由於可拆卸式的設計為習知之技術，例如使發光元件20上設有符合管徑的塞體或是夾子，即可直接 以插設或是夾設的方式結合，皆可輕易地完成可拆卸式的設計，並且此領域的相關技術人員可直接無異議地達到，故於此不加贅述。 The duct 10 is made of a plastic material, and in actual applications, the material characteristics can be changed according to actual conditions to facilitate application. The light-emitting element 20 is detachably disposed at one end of the catheter 10 and emits a light 201. Since the detachable design is a conventional technique, for example, the light-emitting element 20 is provided with a plug body or a clip corresponding to the diameter of the tube, The detachable design can be easily accomplished by means of insertion or clamping, and can be directly and unambiguously achieved by those skilled in the art, and thus will not be described herein.
其中，在較佳的應用中，發光元件20可以是具有指向性的光源，例如：現今常見之各式發光二極體。當導管10設有發光元件20之該端，插入動物體內(圖式以人體為例，實際應用不以此為限)時，發光元件20發出之光線201可以穿透動物之體表，藉以顯示出插入動物體內之導管10當下之正確位置。值得一提的是，為利於光線201穿透於動物體表(於此特別是指人體)，光線201可以是波長為590nm至760nm之可見光；換言之，可以是可發出紅光之發光二極體。 Among them, in a preferred application, the light-emitting element 20 may be a light source having directivity, for example, various types of light-emitting diodes which are common today. When the catheter 10 is provided with the end of the light-emitting element 20 and inserted into the animal body (the figure is taken as an example for the human body, the practical application is not limited thereto), the light 201 emitted by the light-emitting element 20 can penetrate the body surface of the animal to display The catheter 10 inserted into the animal is in the correct position. It is worth mentioning that, in order to facilitate the penetration of the light 201 into the surface of the animal (in this case, especially the human body), the light 201 may be visible light having a wavelength of 590 nm to 760 nm; in other words, it may be a light emitting diode capable of emitting red light. .
再者，本發明之另一實施例係將發光元件20設置於導管10之一端(非進入人體的一端)，配合可塑形與可傳遞光線之材質所製成之導管10，例如以光纖材質製成之導管，藉此，可將發光元件20所發出之光線201有效地傳遞至前端，以達到上述可於動物體內透射出光線201之功效。 Furthermore, in another embodiment of the present invention, the light-emitting element 20 is disposed at one end of the catheter 10 (not at the end of the human body), and the catheter 10 is made of a material that can be shaped and transmitted with light, for example, made of optical fiber. The catheter is formed, whereby the light 201 emitted by the illuminating element 20 can be effectively transmitted to the front end to achieve the above-mentioned effect of transmitting the light 201 in the animal body.
進者，如第三圖所示，為使光線201可有效地從動物體內散射至體表，可以於導管10之兩端分別裝設一收光元件101及一散光元件102，並將發光元件20相鄰於收光元件101裝設。換言之，發光元件20所發出之光線201，可以先透過收光元件101適度聚集後，再進入導管10(當然，可以配合上述之光纖結構)，而當光線201傳 遞至導管10另一端時，可以透過散光元件102之作用，以使光線201有效地散射，進而更有效地穿射出動物體表。又，收光元件又稱聚光元件，可由凹透鏡或是數片折射鏡等材質所製成，其樣式種類有數種，同理，散光元件亦可由凸透鏡或是數片折射鏡所組成。熟悉本領域的技術人員皆可直接無歧異地了解，故於此不加贅述。 As shown in the third figure, in order to enable the light 201 to be effectively scattered from the animal body to the body surface, a light-receiving element 101 and a light-scattering element 102 may be respectively disposed at both ends of the catheter 10, and the light-emitting element may be disposed. 20 is adjacent to the light collecting element 101. In other words, the light ray 201 emitted by the illuminating element 20 can be moderately collected by the light-receiving element 101 before entering the conduit 10 (of course, it can be combined with the above-mentioned optical fiber structure), and when the light ray 201 is transmitted When it is delivered to the other end of the catheter 10, it can pass through the astigmatism element 102 to effectively scatter the light 201, thereby more effectively penetrating the surface of the animal. Moreover, the light-receiving element, which is also called a concentrating element, can be made of a concave lens or a plurality of refractors, and has several types of patterns. Similarly, the astigmatism element can also be composed of a convex lens or a plurality of refractors. Those skilled in the art can directly understand without any disagreement, and thus will not be described herein.
請參閱第四圖，其係為本實施例之輔助插管之光引裝置之輔助插管進行之示意圖。如圖所示，在實際醫療插管急救作業中，醫療人員需先將病人的舌頭推開並將喉鏡葉片放置到舌根與會厭軟骨交界處，醫師才可從喉鏡葉片的反射光來看到雙側聲門，藉此再插入插管。此一操作方法不但費時且容易因為病患因疼痛亂動，而造成插管插錯位置之醫療疏失。為此，結合本發明之輔助插管之光引裝置1，可達到快速且準確地完成插管作業。 Please refer to the fourth figure, which is a schematic diagram of the auxiliary cannula of the light guiding device of the auxiliary cannula of the embodiment. As shown in the figure, in the actual medical intubation emergency operation, the medical staff must first push the patient's tongue away and place the laryngoscope blade at the junction of the tongue root and the epiglottic cartilage, so that the doctor can see from the reflected light of the laryngoscope blade. Go to the double-sided glottis and insert the cannula again. This method of operation is not only time-consuming and easy because of the patient's painful movement, which causes the medical treatment of the intubation to be misplaced. For this reason, in combination with the light guiding device 1 of the auxiliary cannula of the present invention, the intubation operation can be completed quickly and accurately.
如圖所示，輔助插管之光引裝置1可以與一插管裝置2相互配合應用。當醫療人員欲對一病患進行插管作業時，可以先利用本發明之輔助插管之光引裝置1進行插管位置之確認。待確認插管位置後，再將插管裝置2套設於導管10，進而使插管裝置2直接沿導管10滑入人體，到達光線標示的位置後，即完成插管作業，而當完成插管作業後，可以直接將導管10抽離插管裝置2。 As shown, the light guide device 1 of the auxiliary cannula can be used in conjunction with a cannula device 2. When the medical staff wants to perform an intubation operation on a patient, the intubation position can be confirmed by using the light guide device 1 of the auxiliary cannula of the present invention. After the intubation position is confirmed, the intubation device 2 is sleeved on the catheter 10, and then the intubation device 2 is directly slid into the human body along the catheter 10, and after reaching the position indicated by the light, the intubation operation is completed, and when the insertion is completed, the insertion is completed. After the tube operation, the catheter 10 can be directly withdrawn from the intubation device 2.
具體地說，醫療人員可以先將導管10從病人之口中或鼻腔深入至體內，因為發光元件20會發出紅光(光線201)，且可以從體內穿透射出，所以醫療人員可看到紅光 在身體的哪個位置，藉此可協助醫療人員判定欲插管之位置。待確認欲插管之位置後，再將插管裝置2套上導管10，並使其順著導管10直接插入至病人的氣管，然後再將導管10拔出，以完成插管的動作。 Specifically, the medical staff can first penetrate the catheter 10 from the mouth of the patient or the nasal cavity into the body, because the light-emitting element 20 emits red light (light 201) and can be transmitted through the body, so the medical staff can see the red light. In which position of the body, the medical staff can be assisted in determining the position to be intubated. After confirming the position to be intubated, the intubation device 2 is placed on the catheter 10 and inserted directly into the patient's trachea along the catheter 10, and then the catheter 10 is pulled out to complete the intubation action.
另外，值得一提的是，在實際應用中，如果醫療人員於插管操作過程中，看不到病人的聲門時，可以將導管10前端，彎曲成某些弧度，進而可以嘗試順著病人的會厭往前推，藉此可以從導管10之發光元件20所發出之光線201出現之位置，來判斷此導管10是否已經到達氣管的位置。換言之，在喉頭鏡挑起下顎之後，如果聲門被會厭遮住，就可以用導管10，將會厭撥開，藉此醫療人員可以看到聲門，進而可以判斷導管10應該往哪個方向前進，以完成導管10(即欲插管位置)的定位。 In addition, it is worth mentioning that, in practical applications, if the medical staff can not see the patient's glottis during the intubation operation, the front end of the catheter 10 can be bent into a certain arc, and then the patient can be tried. The epiglot is pushed forward, whereby the position of the light 201 emitted from the light-emitting element 20 of the catheter 10 can be judged to determine whether the catheter 10 has reached the position of the trachea. In other words, after the laryngoscope picks up the chin, if the glottis is covered by the epiglottis, the catheter 10 can be used, and the patient can be distracted, so that the medical staff can see the glottis, and then it can be determined in which direction the catheter 10 should go to complete. Positioning of the catheter 10 (ie, the position to be intubated).
綜上所述，本發明之輔助插管之光引裝置，醫療人員可以在喉結的位置清楚的看到發光元件的光線，藉此可確認導管是否確實在氣管內，據此可以避免因聽診器聽不清楚病人的呼吸音，而誤認已經插管完成，或是等待照射胸部X光後閱片，來確定插管完成，而形成病人缺氧太久的危險。也就是說，本發明之輔助插管之光引裝置係已改善現行用聽診器或是用胸部X光，來確定氣管內管的位置之不便。故本發明之輔助插管之光引裝置，可以使醫療人員花費最少的時間，快速完成插管作業。 In summary, in the light guiding device of the auxiliary cannula of the present invention, the medical staff can clearly see the light of the light-emitting element at the position of the larynx, thereby confirming whether the catheter is indeed in the airway, thereby avoiding listening to the stethoscope It is not clear what the patient's breath sounds, and the misunderstanding has been completed, or waiting for the chest X-ray to read the film to determine the completion of the intubation, and form the patient's risk of hypoxia for too long. That is to say, the light guiding device of the auxiliary cannula of the present invention has improved the current inconvenience of using a stethoscope or using chest X-ray to determine the position of the endotracheal tube. Therefore, the light guiding device of the auxiliary cannula of the invention can enable the medical staff to complete the intubation operation quickly with the least time.
以上所述之實施例僅係為說明本發明之技術思想及特點，其目的在使熟習此項技藝之人士能夠瞭解本發明 之內容並據以實施，當不能以之限定本發明之專利範圍，即大凡依本發明所揭示之精神所作之均等變化或修飾，仍應涵蓋在本發明之專利範圍內。 The embodiments described above are merely illustrative of the technical idea and features of the present invention, and the purpose thereof is to enable those skilled in the art to understand the present invention. The content of the invention is not limited thereto, and the equivalent variations or modifications made by the spirit of the invention are still to be included in the scope of the invention.
1‧‧‧輔助插管之光引裝置 1‧‧‧Auxiliary intubation light guide
10‧‧‧導管 10‧‧‧ catheter
101‧‧‧收光元件 101‧‧‧Lighting elements
102‧‧‧散光元件 102‧‧‧ astigmatism components
20‧‧‧發光元件 20‧‧‧Lighting elements
201‧‧‧光線 201‧‧‧Light
2‧‧‧插管裝置 2‧‧‧Intubation device
第1圖 係為本發明之輔助插管之光引裝置之第一實施例之示意圖。 BRIEF DESCRIPTION OF THE DRAWINGS Fig. 1 is a schematic view showing a first embodiment of a light guiding device for an auxiliary cannula of the present invention.
第2圖 係為本發明之輔助插管之光引裝置之第二實施例之示意圖。 Fig. 2 is a schematic view showing a second embodiment of the light guiding device of the auxiliary cannula of the present invention.
第3圖 係為本發明之輔助插管之光引裝置之第二實施例結合收光元件與散光元件之示意圖。 Fig. 3 is a schematic view showing a second embodiment of the light guiding device of the auxiliary cannula of the present invention in combination with a light collecting element and an astigmatism element.
第4圖 係為本發明實施例輔助插管之光引裝置之操作實施示意圖。 Fig. 4 is a schematic view showing the operation of the light guiding device of the auxiliary cannula according to the embodiment of the present invention.
1‧‧‧輔助插管之光引裝置 1‧‧‧Auxiliary intubation light guide
10‧‧‧導管 10‧‧‧ catheter
20‧‧‧發光元件 20‧‧‧Lighting elements
201‧‧‧光線 201‧‧‧Light
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| TW102102144A TW201429509A (en) | 2013-01-21 | 2013-01-21 | Light guiding device for assisting intubation |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| TW102102144A TW201429509A (en) | 2013-01-21 | 2013-01-21 | Light guiding device for assisting intubation |
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| Publication Number | Publication Date |
|---|---|
| TW201429509A true TW201429509A (en) | 2014-08-01 |
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