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JP3239157B2 - Hand blood flow regulator - Google Patents
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JP3239157B2 - Hand blood flow regulator - Google Patents

Hand blood flow regulator

Info

Publication number
JP3239157B2
JP3239157B2 JP30036891A JP30036891A JP3239157B2 JP 3239157 B2 JP3239157 B2 JP 3239157B2 JP 30036891 A JP30036891 A JP 30036891A JP 30036891 A JP30036891 A JP 30036891A JP 3239157 B2 JP3239157 B2 JP 3239157B2
Authority
JP
Japan
Prior art keywords
blood flow
pressure
chambers
hand
wrist
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Fee Related
Application number
JP30036891A
Other languages
Japanese (ja)
Other versions
JPH05137730A (en
Inventor
雄幸 中村
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Terumo Corp
Original Assignee
Terumo Corp
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Terumo Corp filed Critical Terumo Corp
Priority to JP30036891A priority Critical patent/JP3239157B2/en
Publication of JPH05137730A publication Critical patent/JPH05137730A/en
Application granted granted Critical
Publication of JP3239157B2 publication Critical patent/JP3239157B2/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

Links

Classifications

    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02EREDUCTION OF GREENHOUSE GAS [GHG] EMISSIONS, RELATED TO ENERGY GENERATION, TRANSMISSION OR DISTRIBUTION
    • Y02E60/00Enabling technologies; Technologies with a potential or indirect contribution to GHG emissions mitigation
    • Y02E60/10Energy storage using batteries

Landscapes

  • Surgical Instruments (AREA)
  • Measuring Pulse, Heart Rate, Blood Pressure Or Blood Flow (AREA)

Description

【発明の詳細な説明】DETAILED DESCRIPTION OF THE INVENTION

【0001】[0001]

【産業上の利用分野】本発明は、手首に固定されて手の
血流を調整する手の血流調整装置に関するものである。
BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a hand blood flow adjusting device fixed to a wrist to adjust a hand blood flow.

【0002】[0002]

【従来の技術】従来、無血下の手術が必要とされる手の
外科においては、上腕部に装着する駆血帯(タニケッ
ト)を用い、通常被検者の収縮期血圧の2倍の加圧が必
要といわれていた。しかし、この方法では、加圧による
多大な苦しみを与えることが経験上よく知られている。
2. Description of the Related Art Conventionally, in hand surgery requiring bloodless surgery, a tourniquet attached to the upper arm is used, and the pressure is usually twice the systolic blood pressure of the subject. Was said to be necessary. However, it is well known from experience that this method causes a great deal of pain due to pressurization.

【0003】一方、手の血流状態の確認方法としてアレ
ンテストがよく知られている。これは、いわゆる尺骨ま
たは橈骨動脈の閉鎖確認テスト(radiclcompression tes
t)とよばれ、「手の支配動脈の血流状態を検査する方法
で、被検者に手をにぎらせ、手首を屈曲させた後、被検
者の橈骨および尺骨動脈を検者の両手の母指により圧迫
し、ここで被検者の手を広げさせると手掌は蒼白となっ
ている。このとき尺骨動脈の圧迫を取除くと、通常の血
行があれば、5秒以内に手掌は赤味が復する。赤味が戻
らぬ場合は、尺骨動脈の血行不全があるので、橈骨動脈
穿刺を行ってはならない。」(最新医学大辞典,44
頁:医歯薬出版)といった方法であるが、本法自体が手
の駆血方法の1つと考えられている。
On the other hand, the Allen test is well known as a method for checking the blood flow state of the hand. This is the so-called ulnar or radial artery closure test (radiclcompression tes).
t), `` A method of examining the blood flow condition of the artery of the hand, allowing the subject to pinch his hand, bending the wrist, and then moving the subject's radial and ulnar arteries When the patient's hand spreads, the palm is pale. At this time, if the compression of the ulnar artery is removed, if there is normal blood circulation, the palm will If the redness does not return, the ulnar artery may have inadequate blood circulation, so the radial artery puncture should not be performed. "
Page: Medical and Dental Medicine Publishing), but this method itself is considered to be one of the methods for hand avascularization.

【0004】[0004]

【発明が解決しようとしている課題】ところで、アレン
テストに準じた方法で前腕部における駆血の可能性を調
べたところ、先述のように上腕で実施した場合、収縮期
の血圧の2倍の加圧が必要とされていたが、本法のよう
に前腕で駆血をおこなった場合は、収縮期の血圧に約2
0mmHgの加圧で、無血手術を目的とした駆血をおこ
ない得ることが確認されている(第34回日本形成外科
学会学術集会「手間接部動脈圧迫による手指血行の変化
とその臨床的応用について」)。
By the way, when the possibility of avascularization in the forearm was examined by a method according to the Allen test, it was found that when performed on the upper arm as described above, the pressure was twice as high as the systolic blood pressure. Although pressure was required, if the abdomen was performed with the forearm as in this method, the systolic blood pressure would be about 2
It has been confirmed that anastomosis for the purpose of bloodless surgery can be performed by applying a pressure of 0 mmHg (The 34th Annual Meeting of the Japanese Society of Plastic Surgery, "Changes in finger blood circulation due to hand arterial compression and its clinical application"). )).

【0005】本発明は、このように従来検者自身の手指
で実施されていた方法を忠実に再現することにより、患
者への過剰な苦痛を与えることなく、また無血野での手
術を容易ならしめる駆血装置として使用でき、前腕(手
首)に固定できて橈骨動脈及び尺骨動脈のいずれの血流
をも調整できる簡易な手の血流調整装置を提供すること
を目的とする。
[0005] The present invention faithfully reproduces the method conventionally performed by the examiner's own fingers without causing excessive pain to the patient and facilitating surgery in a bloodless field. It can be used as a blood augmentation device, can be fixed to the forearm (wrist), and can flow either radial artery or ulnar artery
And to provide a blood flow adjusting device having a simple hand that can adjust also.

【0006】又、血圧測定も可能である手の血流調整装
置を提供することを目的とする
It is another object of the present invention to provide a hand blood flow adjusting device capable of measuring blood pressure .

【0007】[0007]

【課題を解決するための手段】この課題を解決するため
に、本発明の手の血流調整装置は、手首の橈骨動脈と尺
骨動脈との間隔に対応する所定間隔をあけて設置され
空気圧により拡張及び縮小する2つの室と、該2つの室
を接続する導管と、該導管に接続される空気圧発生手段
と、前記室または前記導管に内蔵あるいは接続される圧
力検出手段と、前記2つの室が設置され両端に固定用
具の装着された手首に着脱可能なバンドと、前記導管の
前記空気圧発生手段が接続される部分に設置され、前記
2つの室のいずれの室の圧力も解除できる三方コックと
を備えることを特徴とする。ここで、前記空気圧発生手
段による加圧時に前記2つの室が前記手首の骨及び腱等
で形成される溝にくいこむよう、前記2つの室の膨張を
規制する本帯を備える。また、前記バンドの長手方向の
前記室の幅は、前記手首の橈骨動脈と尺骨動脈との間隔
に対応する所定間隔に比較して短い
In order to solve this problem, a blood flow adjusting device for a hand according to the present invention comprises a radial artery of a wrist and a ulnar.
It is installed at a predetermined interval corresponding to the interval with the bone artery ,
Two chambers that expand and contract by air pressure, a conduit connecting the two chambers, air pressure generating means connected to the conduit, pressure detecting means built in or connected to the chamber or the conduit, One of the chambers is provided, and band detachable from the loaded wrist retainer on both ends of the conduit
The air pressure generating means is installed at a portion to be connected,
The pressure of any chamber of the two chambers characterized in that it also comprises a <br/> and three-way cock that can be released. Here, the air pressure generating means
When pressurized by a step, the two chambers serve as bones and tendons of the wrist, etc.
Expansion of the two chambers so that the grooves formed by
It has a main belt to regulate . In addition, in the longitudinal direction of the band
The width of the chamber is shorter than a predetermined interval corresponding to the interval between the radial artery and the ulnar artery of the wrist .

【0008】また、当該手の血流調整装置で、手首の橈
骨動脈と尺骨動脈とに対し収縮期の血圧以上まで加圧を
行つた後に減圧を行いながら指の末梢動脈の血流を測
定することにより血圧測定が可能であることを特徴と
する
Further, in the blood flow modulation device of the hand, the pressure to over systolic blood pressure with respect to the wrist of the radial artery and the ulnar artery after having conducted, measuring the blood flow in peripheral arteries of the fingers while vacuum and characterized in that it is possible to measure the blood pressure by
I do .

【0009】[0009]

【実施例】本実施例の手の血流調整装置の構成を図1に
示した。
DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS FIG. 1 shows the configuration of a hand blood flow adjusting device according to the present embodiment.

【0010】被検者の橈骨動脈,尺骨動脈上に室(エラ
スチツクバル−ン)12,12′が乗るように、本帯
(エラスチツクシート)11をセツトし、腕帯1を巻き
つけて、腕帯固定をマジツクテープ2,2′でおこな
う。次いで、ゴム球15による加圧用導管13と三方コ
ツク14を介した加圧をおこない、圧力トランスジユー
サ21と測定用導管22により負荷圧力を圧力測定/表
示器23で確認する。
The main belt (elastic sheet) 11 is set so that the chambers (elastic balloons) 12 and 12 'ride on the radial artery and ulnar artery of the subject, and the arm band 1 is wound around the arm band. The band is fixed with Velcro 2, 2 '. Then, pressure is applied by the rubber ball 15 through the pressurizing conduit 13 and the three-way hook 14, and the load pressure is confirmed by the pressure measuring / display unit 23 by the pressure transducer 21 and the measuring conduit 22.

【0011】以下本装置の使用例を説明する。Hereinafter, an example of use of the present apparatus will be described.

【0012】<無血野手術の場合> 三方コツク14で
ゴム球15と繋いでエラスチツクバル−ン12,12´
をともに膨張させ、駆血帯として使用する。
<Case of Bloodless Field Surgery> The elastic balloons 12 and 12 ′ are connected to the rubber balls 15 with the three-way hook 14.
Are inflated together and used as a tourniquet.

【0013】<アレンテストの場合> 無血野手術の場
合と同様にエラスチツクバル−ン12,12′をともに
膨張させ、収縮期の血圧に20〜40mmHg程度加算
した圧力を付加する。次いで、三方コツク14のバルブ
をきりかえ、エラスチツクバル−ン12或いは12′に
よる加圧を解除した後の手指の血行動態の観察をおこな
う。
<Allen test> As in the case of the bloodless field operation, the elastic balloons 12, 12 'are both inflated, and a pressure obtained by adding about 20 to 40 mmHg to the systolic blood pressure is applied. Next, the valve of the three-way cock 14 is changed, and the hemodynamics of the finger after the pressurization by the elastic balloon 12 or 12 'is released is observed.

【0014】<血圧測定の場合> 無血野手術の場合と
同様にエラスチツクバル−ン12,12′をともに膨張
させ、収縮期の血圧に20〜40mmHg程度加算した
圧力を付加する。次いで、三方コツク14のバルブをき
りかえ、エラスチツクバル−ン12或いは12′による
加圧を徐々に減じながら、指の末梢動脈の血流をレーザ
・ドツプラ血流計等で測定する。。
<Measurement of Blood Pressure> As in the case of bloodless field surgery, the elastic balloons 12, 12 'are both inflated, and a pressure obtained by adding about 20 to 40 mmHg to the systolic blood pressure is applied. Next, the valve of the three-way cock 14 is changed over, and the blood flow in the peripheral arteries of the finger is measured with a laser Doppler blood flow meter or the like while gradually reducing the pressure applied by the elastic balloon 12 or 12 '. .

【0015】本装置において、駆血する目的では、柔軟
な材料(例えば、シリコン,ポリウレタン,ポリエステ
ル,ポリオレフィン等のエラストマ)により構成された
本帯11に内蔵された、柔軟な材料により構成され圧力
により拡張する室12,12´が、その付加された圧力
に応じて過度に手の支配動脈を押圧駆血して、その機能
をはたす。この時、2本の動脈をそれぞれ押圧可能なよ
うに、図1に示すごとく分離した2本の室として設置さ
れていることが望ましく、これらの室は、外側の本帯1
1によりその膨張が規制されているため、加圧時には骨
および腱等で形成される溝にくいこみ、2本の支配動脈
をそれぞれ押圧するものである。本装置の使用時の状態
が図3に断面図で示されている。
In the present device, for the purpose of advancing blood, the main belt 11 made of a flexible material (for example, an elastomer such as silicon, polyurethane, polyester, or polyolefin) is used. The expanding chambers 12, 12 'perform their function by over-pressing the arteries of the hand in response to the applied pressure. At this time, it is desirable that the two arteries are installed as two separate chambers as shown in FIG. 1 so as to be able to press each artery.
Since the expansion is regulated by 1, the groove is difficult to be formed by bones and tendons during pressurization, and presses two governing arteries. FIG. 3 is a cross-sectional view showing a state when the apparatus is used.

【0016】また、それぞれの室或いは導管のいずれか
には圧力センサが装着されており、加圧時の圧力をモニ
タし、不要に過剰な圧力をかけることを防止する。
A pressure sensor is mounted in each of the chambers or the conduits, and monitors the pressure at the time of pressurization, thereby preventing unnecessary excessive pressure from being applied.

【0017】また、本装置は支配動脈の遮断後に、この
2室よりなる駆血室のいずれかを開放(復圧)すること
により、手の支配動脈の血流状態の確認試験(アレンテ
スト)をおこなうことができるものである。このため、
導管には三方コツクが設置されている。初めに三方開放
の状態で加圧をおこない、ついで目的とする動脈の他方
の動脈を押圧している室の圧力を解除するように、三方
のコツクの一方を開く。この時の手の赤味の観察等によ
り血流の状態を確認する。
In addition, after the control artery is shut off, the apparatus opens (recompresses) one of the two blood-advancing chambers, thereby confirming the blood flow state of the control artery of the hand (Allen test). Can be performed. For this reason,
The conduit has a three-way hook. First, pressurization is performed in a three-way open state, and then one of the three-way clicks is opened so as to release the pressure in the chamber pressing the other artery of the target artery. At this time, the state of blood flow is confirmed by observing the redness of the hand.

【0018】さらには、聴診器におけるK音(コルトコ
フ音)の確認と上記血圧モニタより、手の末梢における
血圧測定をおこなうことができるものである。
Furthermore, it is possible to confirm the K sound (Kortkov sound) with a stethoscope and measure the blood pressure at the periphery of the hand by the blood pressure monitor.

【0019】本発明に従い、図2に示す装置を作成し
た。図2に示した寸法は日本人の成人を対象にした値で
あり、対象により寸法を変えるほうが有効である。
In accordance with the present invention, the device shown in FIG. 2 was made. The dimensions shown in FIG. 2 are values for Japanese adults, and it is more effective to change the dimensions depending on the subject.

【0020】健常人を被検者として、ゴム球での加圧を
おこないながら、一方では、レーザ・ドツプラ血流計(A
DVANCE LASER FLOWMETER ALF 2100)のプルーブを被検者
の第3指尖掌側に装着して、手指の末梢動脈の血流を測
定した。実際に、K音聴診法で測定した本被検者の正常
時の血圧は135mmHgであり、これは上腕で測定し
た血圧とほぼ同等であつた。加圧前の被検者の手指にお
ける血流量は25(ml/min/100g) であつた。
Using a healthy person as a subject and applying pressure with a rubber ball, a laser Doppler blood flow meter (A
A probe of DVANCE LASER FLOWMETER ALF 2100) was attached to the third finger tip side of the subject, and the blood flow in the peripheral artery of the finger was measured. Actually, the normal blood pressure of the subject measured by the K sound auscultation method was 135 mmHg, which was almost equal to the blood pressure measured by the upper arm. The blood flow in the finger of the subject before pressurization was 25 (ml / min / 100 g).

【0021】被検者の加圧後の血流変化を図4にまとめ
た。このように、本実施例の手の血流調整装置により、
収縮期の血圧に対し約20mmHgの加圧で、無血手術
を目的とした駆血をおこない得ることが解る。
FIG. 4 summarizes changes in blood flow of the subject after pressurization. Thus, by the blood flow adjusting device of the hand of the present embodiment,
It can be understood that the avascularization for the purpose of bloodless surgery can be performed by applying a pressure of about 20 mmHg to the systolic blood pressure.

【0022】[0022]

【発明の効果】本発明により、患者への過剰な苦痛を与
えることなく、また無血野での手術を容易ならしめる駆
血装置として使用でき、前腕(手首)に固定できて橈骨
動脈及び尺骨動脈のいずれの血流をも調整できる簡易な
手の血流調整装置を提供できる。又、この手の血流調整
装置を使用して血圧測定も可能である
According to the present invention, without giving excessive pain to the patient, also it is used as avascularization device makes it easy surgery bloodless field, and can be fixed to the forearm (wrist) radius
It can provide blood flow adjusting device having a simple hand that can adjust any of arterial blood flow and ulnar arteries. In addition, blood pressure can be measured using such a blood flow adjusting device.

【0023】特に、形成外科おこなう手の手術にあた
り実施する末梢の血流確認アレンテストの装置とし
て使用でき、さらに、手の手術をおこなうにあたつて、
前腕部の末梢動脈を従来の上腕部で実施する収縮血圧
の2倍の加圧で止血をおこなうことと比較し、著しく低
い加圧で止血可能な止血帯として機能し、手術の患者の
苦痛を軽減する。また、前腕に装着する血圧計としての
機能を持ち、患者被検者上、重要な情報となる末梢血圧
の測定装置となるものである。
In particular, it can be used as a device for confirming peripheral blood flow ( Allen test ) performed in hand surgery performed in plastic surgery. In addition, in performing hand surgery,
Peripheral artery of the forearm portion as compared to performing the hemostasis at twice the pressure of the systolic blood pressure be carried out in a conventional upper arm, acts as significantly lower pressure hemostasis possible tourniquet in pressure, pain patient surgery To reduce Further, it has a function as a sphygmomanometer to be worn on the forearm, and serves as a peripheral blood pressure measuring device that is important information on a patient subject.

【図面の簡単な説明】[Brief description of the drawings]

【図1】本実施例の手の血流調整装置の主たる構成を示
す図である。
FIG. 1 is a diagram showing a main configuration of a blood flow adjusting device of a hand according to an embodiment.

【図2】本実施例の手の血流調整装置の作成例を示す図
である。
FIG. 2 is a diagram showing a creation example of a hand blood flow adjusting device of the present embodiment.

【図3】本実施例の手の血流調整装置の使用状態を示す
断面図である。
FIG. 3 is a cross-sectional view showing a use state of the hand blood flow adjusting device of the present embodiment.

【図4】図2の本実施例の手の血流調整装置の作成例を
使用した被検者の加圧後の血流変化を示す図である。
FIG. 4 is a diagram showing a change in blood flow of the subject after pressurization using the creation example of the hand blood flow adjusting device of the present embodiment in FIG. 2;

【符号の説明】[Explanation of symbols]

1…腕帯、2,2′…腕帯固定具(マジツクテープ)、
11…本帯(エラスチツクシート)、12,12′…室
(エラスチツクバル−ン)、13…加圧用導管、14…
三方コツク、15…加圧用ゴム球、21…圧力トランス
ジユーサ、22…測定用導管、23…血圧測定/表示器
1 ... arm band, 2, 2 '... arm band fixing device (magic tape),
11 ... main belt (elastic sheet), 12, 12 '... chamber (elastic balloon), 13 ... pressurizing conduit, 14 ...
Three-way nut, 15: rubber ball for pressurization, 21: pressure transducer, 22: conduit for measurement, 23: blood pressure measurement / display

───────────────────────────────────────────────────── フロントページの続き (56)参考文献 特開 平1−265941(JP,A) 特開 昭64−72726(JP,A) 特公 昭16−101(JP,B1) 実公 昭39−13085(JP,Y1) (58)調査した分野(Int.Cl.7,DB名) A61B 17/12 A61B 5/00 A61B 5/02 - 5/295 ──────────────────────────────────────────────────続 き Continuation of the front page (56) References JP-A-1-265941 (JP, A) JP-A-64-72726 (JP, A) JP-B 16-101 (JP, B1) JP-B-39 13085 (JP, Y1) (58) Fields investigated (Int. Cl. 7 , DB name) A61B 17/12 A61B 5/00 A61B 5/02-5/295

Claims (4)

(57)【特許請求の範囲】(57) [Claims] 【請求項1】 手首の橈骨動脈と尺骨動脈との間隔に対
応する所定間隔をあけて設置され空気圧により拡張及
び縮小する2つの室と、 該2つの室を接続する導管と、 該導管に接続される空気圧発生手段と、 前記室または前記導管に内蔵あるいは接続される圧力検
出手段と、 前記2つの室が設置され両端に固定用具の装着された
手首に着脱可能なバンドと 前記導管の前記空気圧発生手段が接続される部分に設置
され、前記2つの室のいずれの室の圧力も解除できる三
方コックと を備えることを特徴とする手の血流調整装
置。
(1) The distance between the radial artery and the ulnar artery of the wrist is determined.
Is installed at a predetermined interval to respond, the two chambers to expand and contract by air pressure, a conduit connecting the two chambers, and air pressure generating means connected to the conduit, built in the chamber or the pipe, or Pressure detecting means to be connected, The two chambers are installed , and fixing tools are attached to both ends.
Installed in a portion where the band detachable wrist, said pneumatic generating means of the conduit is connected
And the pressure in any one of the two chambers can be released.
A blood flow adjusting device for a hand, comprising a side cock .
【請求項2】 前記空気圧発生手段による加圧時に前記
2つの室が前記手首の骨及び腱等で形成される溝にくい
こむよう、前記2つの室の膨張を規制する本帯を備える
ことを特徴とする請求項1記載の手の血流調整装置。
2. The apparatus according to claim 2, wherein said air pressure is generated by said air pressure generating means.
Two chambers are difficult to groove formed by bones and tendons of the wrist
The blood flow adjusting device according to claim 1 , further comprising a main band for restricting expansion of the two chambers .
【請求項3】 前記バンドの長手方向の前記室の幅は、
前記手首の橈骨動脈と尺骨動脈との間隔に対応する所定
間隔に比較して短いことを特徴とする請求項1記載の手
の血流調整装置。
3. The width of the chamber in the longitudinal direction of the band,
A predetermined distance corresponding to the distance between the radial artery and the ulnar artery of the wrist
2. The blood flow adjusting device according to claim 1, wherein the distance is shorter than the interval .
【請求項4】 当該手の血流調整装置で、手首の橈骨動
脈と尺骨動脈とに対し収縮期の血圧以上まで加圧を行つ
た後に減圧を行いながら指の末梢動脈の血流を測定す
ることにより血圧測定が可能であることを特徴とする
請求項1乃至3のいずれかに記載の手の血流調整装置。
In the blood flow adjusting device wherein the hand, the pressure to over systolic blood pressure with respect to the wrist of the radial artery and the ulnar artery after having conducted, measuring the blood flow in peripheral arteries of the fingers while vacuum blood flow conditioner hand according to any one of claims 1 to 3, characterized in that it is possible to measure the blood pressure by.
JP30036891A 1991-11-15 1991-11-15 Hand blood flow regulator Expired - Fee Related JP3239157B2 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP30036891A JP3239157B2 (en) 1991-11-15 1991-11-15 Hand blood flow regulator

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
JP30036891A JP3239157B2 (en) 1991-11-15 1991-11-15 Hand blood flow regulator

Publications (2)

Publication Number Publication Date
JPH05137730A JPH05137730A (en) 1993-06-01
JP3239157B2 true JP3239157B2 (en) 2001-12-17

Family

ID=17883939

Family Applications (1)

Application Number Title Priority Date Filing Date
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