CN107049518B - Prostate puncture biopsy operation position fixer - Google Patents
Prostate puncture biopsy operation position fixer Download PDFInfo
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- CN107049518B CN107049518B CN201710250115.XA CN201710250115A CN107049518B CN 107049518 B CN107049518 B CN 107049518B CN 201710250115 A CN201710250115 A CN 201710250115A CN 107049518 B CN107049518 B CN 107049518B
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- fixing assembly
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- upper body
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- shank
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/10—Parts, details or accessories
- A61G13/12—Rests specially adapted therefor; Arrangements of patient-supporting surfaces
- A61G13/1205—Rests specially adapted therefor; Arrangements of patient-supporting surfaces for specific parts of the body
- A61G13/1245—Knees, upper or lower legs
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/10—Parts, details or accessories
- A61G13/12—Rests specially adapted therefor; Arrangements of patient-supporting surfaces
- A61G13/1205—Rests specially adapted therefor; Arrangements of patient-supporting surfaces for specific parts of the body
- A61G13/122—Upper body, e.g. chest
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/10—Parts, details or accessories
- A61G13/12—Rests specially adapted therefor; Arrangements of patient-supporting surfaces
- A61G13/1205—Rests specially adapted therefor; Arrangements of patient-supporting surfaces for specific parts of the body
- A61G13/125—Ankles or feet
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G2203/00—General characteristics of devices
- A61G2203/10—General characteristics of devices characterised by specific control means, e.g. for adjustment or steering
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G2203/00—General characteristics of devices
- A61G2203/70—General characteristics of devices with special adaptations, e.g. for safety or comfort
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- Y—GENERAL 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
- Y02—TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
- Y02A—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
- Y02A50/00—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
- Y02A50/30—Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change
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- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Orthopedics, Nursing, And Contraception (AREA)
Abstract
The application relates to the technical field of medical equipment, in particular to a body position fixer for prostate puncture biopsy, which is formed by hinging an upper body fixing assembly, a thigh fixing assembly, a shank fixing assembly and a sole fixing assembly which are sequentially connected, wherein the assemblies are connected and fixed through fastening bolts. The upper body fixing assembly comprises a first inner cylinder and a first outer cylinder which are sleeved in a sliding manner, the thigh fixing assembly comprises a second inner cylinder and a second outer cylinder which are sleeved in a sliding manner, the shank fixing assembly comprises a third inner cylinder and a third outer cylinder which are sleeved in a sliding manner, the sole fixing assembly is L-shaped and comprises a side wall and a bottom plate, the upper end of the side wall is hinged with the shank fixing assembly, and the lower end of the side wall is connected with the bottom plate. The prostate puncture biopsy operation position fixer provided by the application is beneficial to maintaining the correct position of a patient in a prostate puncture operation, reduces the pain of the patient, saves the operation time and is simple and safe to operate.
Description
Technical Field
The application relates to the technical field of medical appliances, in particular to a body position fixer for prostate puncture biopsy.
Background
Prostate aspiration biopsy is the gold standard for prostate cancer diagnosis, and clinically diagnosing prostate is mainly performed by taking tissues through a rectal prostate aspiration biopsy for pathological examination.
There are three problems with current prostate biopsy procedures: 1. the patient cannot clearly and accurately puncture the body position, so that a doctor spends a great deal of time guiding the body position of the patient to be placed, and the patient cannot accurately put out the optimal body position according to the direction of the doctor; 2. the current treatment bed can not fix a patient, and the patient can not maintain a proper position due to stimulation or fatigue in the process of puncture, so that the patient needs to repeatedly guide and readjust the whole position in the process of puncture; 3. the traditional fixing method, such as a restraint strap, has poor fixing effect on one hand, and patients suffer from pain and poor subjective feeling during fixing on the other hand. In view of the above, the application designs and manufactures the prostate puncture biopsy operation position fixer.
Disclosure of Invention
The application aims to provide a prostate puncture biopsy operation position fixer, which can simply and conveniently put a patient in a proper and accurate puncture position and avoid the occurrence of related complications after puncture operation caused by involuntary position change due to poor position putting or puncture stimulation in the operation process of the patient.
The application provides a prostate puncture biopsy position fixer, which is formed by hinging an upper body fixing component, a thigh fixing component, a shank fixing component and a sole fixing component which are sequentially connected, wherein the components are fixedly connected through fastening bolts. The upper body fixing assembly, the thigh fixing assembly, the shank fixing assembly and the sole fixing assembly can be adjusted and maintained to fix angles among the assemblies through adjusting fastening bolts and corresponding nuts.
The upper body fixing component is used for fixing the upper body. The upper body fixing assembly comprises an inner cylinder I and an outer cylinder I which are in sliding sleeve joint, a fork opening is formed in the bottom end of the side wall of the inner cylinder I, teeth meshed with a gear of the adjusting hand wheel are arranged on one side of the fork opening, the adjusting hand wheel further comprises a handle coaxial with the gear, and the shaft penetrates through a shaft hole in the outer cylinder I and is in threaded connection with the handle placed on the outer side of the outer cylinder I. The rotary handle and the gear rotate, and the first inner cylinder and the first outer cylinder can slide relatively through the movement of the first inner cylinder driven by the teeth meshed with the gear, so that the length of the upper body fixing assembly is changed to adapt to patients with different heights.
The thigh fixing component is used for fixing the thigh. Similar to the structure of the upper body fixing assembly, the thigh fixing assembly also comprises a second inner cylinder and a second outer cylinder which are sleeved in a sliding manner, a fork opening is formed in the bottom end of the side wall of the second inner cylinder, teeth meshed with a gear of an adjusting hand wheel are arranged on one side of the fork opening, the adjusting hand wheel also comprises a handle coaxial with the gear, and the shaft penetrates through a shaft hole in the second outer cylinder and is connected with the handle placed on the outer side of the second outer cylinder through threads. The rotary handle and the gear rotate, and the second inner cylinder is driven to move through the teeth meshed with the gear, so that the second inner cylinder and the second outer cylinder can slide relatively, the length of the thigh fixing assembly is changed, and patients with different heights are adapted.
The shank fixing component is used for fixing the shank. Similar to the structure of the upper body fixing assembly, the lower leg fixing assembly also comprises an inner cylinder III and an outer cylinder III which are sleeved in a sliding manner, a fork opening is formed in the bottom end of the side wall of the inner cylinder III, teeth meshed with a gear of an adjusting hand wheel are arranged on one side of the fork opening, the adjusting hand wheel also comprises a handle coaxial with the gear, and the shaft penetrates through a shaft hole in the outer cylinder III and is connected with the handle placed on the outer side of the outer cylinder III through threads. The rotary handle and the gear rotate, and the inner cylinder III is driven to move through the teeth meshed with the gear, so that the inner cylinder III and the outer cylinder III can slide relatively, and the length of the shank fixing assembly is changed to adapt to patients with different heights.
The sole fixing component is L-shaped and comprises a side wall and a bottom plate, the upper end of the side wall is hinged with the shank fixing component, and the lower end of the side wall is connected with the bottom plate. Be equipped with the horizontal pole between the both sides wall, can put patient's sole on the bottom plate, block under the horizontal pole, block people's foot through horizontal pole, bottom plate and lateral wall, fixed sole.
Preferably, the first outer cylinder is hinged with the second inner cylinder, the second outer cylinder is hinged with the third inner cylinder, and the third outer cylinder is hinged with the sole fixing assembly.
Preferably, the first inner cylinder, the first outer cylinder, the second inner cylinder, the second outer cylinder, the third inner cylinder and the third outer cylinder are box-type structures, so that the placement of the upper body, the thighs and the calves is more comfortable.
The fastening bolts are arranged at the ends of the corresponding connecting parts of the upper body fixing assembly, the thigh fixing assembly, the shank fixing assembly and the sole fixing assembly in a penetrating way to form hinge connection, so that the bending of joints of a human body is simulated, the upper body fixing assembly, the thigh fixing assembly, the shank fixing assembly and the sole fixing assembly can move to relative angles required by puncture operation, and the upper body fixing assembly, the thigh fixing assembly, the shank fixing assembly and the sole fixing assembly are fixed through the nuts, so that a patient can achieve correct body position when being fixed on the prostate puncture biopsy body position fixer provided by the application.
Preferably, the nut is provided with a butterfly-type hand-held part which is convenient to screw.
Preferably, the top end of the upper body fixing assembly comprises an inward concave groove for comfortable placement of the head of the patient.
When in use, the chin of a patient is propped against the groove at the top end of the upper body fixing component; the adjusting hand wheel is rotated according to the height of a patient, so that the lengths of the upper body fixing assembly, the thigh fixing assembly and the shank fixing assembly are adjusted to adapt to the patient; loosening the nut, adjusting the relative angles among the upper body fixing assembly, the thigh fixing assembly, the shank fixing assembly and the sole fixing assembly, so that the upper body, the thigh, the shank and the sole are coupled with the relative angles among the upper body, the thigh, the shank and the sole when the prostate of a human body is punctured, and then tightening the nut; at this time, the patient holds the upper body fixing assembly with both hands on the operating table, and the chest, the thigh, the shank and the sole are respectively attached to the upper body fixing assembly, the thigh fixing assembly, the shank fixing assembly and the sole fixing assembly, so that the correct prostate puncture body position can be quickly achieved.
The position fixer for the prostate puncture biopsy is beneficial to maintaining the correct position of a patient in the prostate puncture operation, saves the operation time and reduces the pain of the patient. The application is simple and safe to operate.
Drawings
Fig. 1 is a schematic structural view of a prostate puncture biopsy posture anchor of the present application.
Fig. 2 is a schematic structural view of the first inner cylinder and the first outer cylinder after being disassembled.
Fig. 3 is a schematic view of the structure of the adjusting handwheel.
Fig. 4 is an enlarged view of a portion of the engagement of the teeth with the gears on the adjustment hand wheel.
Fig. 5 is a schematic view of the structure of the fastening bolt and the nut.
Fig. 6 is a cross-sectional view of a plane of symmetry based on fig. 1.
Reference numerals and components referred to in the drawings are as follows:
1-upper body fixing component, 2-thigh fixing component, 3-shank fixing component, 4-sole fixing component, 5-regulating hand wheel, 6-fastening bolt, 7-nut, 8-tooth, 9-shaft hole, 11-inner cylinder I, 12-outer cylinder I, 21-inner cylinder II, 22-outer cylinder II, 31-inner cylinder III, 32-outer cylinder III, 111-groove, 41-side wall, 42-bottom plate, 43-cross bar, 51-handle, 52-gear and 53-shaft.
Detailed Description
The application will be described in further detail below with reference to the drawings and examples, but the practice of the application is not limited thereto.
Example 1
Referring to fig. 1 and 6, fig. 1 is a schematic structural view of a prostate puncture positioning fixture according to the present application, and fig. 6 is a cross-sectional view of a symmetry plane based on fig. 1. The prostate puncture position fixer consists of an upper body fixing component 1, a thigh fixing component 2, a shank fixing component 3 and a sole fixing component 4 which are connected in sequence in a hinged mode, wherein the upper body fixing component 1 is used for fixing an upper body, the thigh fixing component 2 is used for fixing a thigh, the shank fixing component 3 is used for fixing a shank, and the sole fixing component 4 is used for fixing a sole. The components are fixedly connected through fastening bolts 6. The upper body fixing assembly 1, the thigh fixing assembly 2, the shank fixing assembly 3 and the sole fixing assembly 4 can adjust and maintain the angles among the assemblies in fixing through adjusting the fastening bolts 6 and the corresponding nuts 7.
As shown in fig. 2 and 6, the upper body fixing assembly 1 includes an inner cylinder 11 and an outer cylinder 12 that are slidably sleeved, a fork opening is formed at the bottom end of the side wall of the inner cylinder 11, one side of the fork opening is provided with teeth 8 (as shown in fig. 2, 4 and 6) meshed with a gear 52 of the adjusting hand wheel 5, the adjusting hand wheel 5 further includes a handle 51 (shown in fig. 3) coaxial with the gear 52, and the shaft 53 passes through a shaft hole 9 on the outer cylinder 12 and is in threaded connection with the handle 51 placed outside the outer cylinder 12.
When in use, the handle 51 is rotated to drive the gear 52 to rotate, and the teeth 8 meshed with the gear 52 drive the inner cylinder I11 to move, so that the inner cylinder I11 and the outer cylinder I12 can slide relatively, and the length of the upper body fixing assembly 1 is changed to adapt to patients with different heights.
The first inner cylinder 11 and the first outer cylinder 12 are of box-type structures, so that the upper body is placed more comfortably.
The thigh fixing assembly 2 comprises an inner cylinder II 21 and an outer cylinder II 22 which are in sliding sleeve joint, a fork opening is formed in the bottom end of the side wall of the inner cylinder II 21, teeth 8 (shown in fig. 4 and 6) meshed with a gear 52 of the adjusting hand wheel 5 are arranged on one side of the fork opening, the adjusting hand wheel 5 further comprises a handle 51 (shown in fig. 3) coaxial with the gear 52, and the shaft 53 penetrates through a shaft hole in the outer cylinder II 22 to be in threaded connection with the handle 51 placed on the outer side of the outer cylinder II 22.
When the thigh fixing device is used, the handle 51 is rotated, the gear 52 rotates, the teeth 8 meshed with the gear 52 drive the inner cylinder II 21 to move, and the inner cylinder II 21 and the outer cylinder II 22 can slide relatively, so that the length of the thigh fixing assembly 2 is changed, and patients with different heights can be accommodated.
The second inner cylinder 21 and the second outer cylinder 22 are of box-type structures, so that the thighs are placed more comfortably.
The shank fixing assembly 3 comprises an inner cylinder III 31 and an outer cylinder III 32 which are in sliding sleeve joint, a fork opening is formed in the bottom end of the side wall of the inner cylinder III 31, teeth 8 (shown in fig. 4 and 6) meshed with a gear 52 of the adjusting hand wheel 5 are arranged on one side of the fork opening, the adjusting hand wheel 5 further comprises a handle 51 (shown in fig. 3) coaxial with the gear 52, and the shaft 53 penetrates through a shaft hole in the outer cylinder III 32 to be in threaded connection with the handle 51 placed on the outer side of the outer cylinder III 32.
When the novel leg fixing device is used, the handle 51 is rotated, the gear 52 rotates, the inner barrel III 31 is driven to move through the teeth 8 meshed with the gear 52, and the inner barrel III 31 and the outer barrel III 32 can slide relatively, so that the length of the leg fixing assembly 3 is changed, and patients with different heights can be accommodated.
The inner barrel III 31 and the outer barrel III 32 are box-type structures, so that the placing of the lower legs is more comfortable.
As shown in fig. 1, the sole fixing member 4 is L-shaped and includes a side wall 41 and a bottom plate 42, and the upper end of the side wall 41 is hinged to the lower leg fixing member 3 and the lower end is connected to the bottom plate 42. A cross bar 43 is arranged between the side walls, the feet of the patient are placed between the bottom plate 42 and the cross bar 43, and the feet of the patient are clamped through the cross bar 43, the bottom plate 42 and the side walls 41, so that the sole position is fixed.
As shown in fig. 1, the first outer cylinder 12 is hinged to the second inner cylinder 21, the second outer cylinder 22 is hinged to the third inner cylinder 31, and the third outer cylinder 32 is hinged to the side wall 41 of the sole fixing assembly 4.
The hinging of the components is realized by a fastening bolt 6 and a nut 7 (as shown in fig. 5), the first outer cylinder 12 and the second inner cylinder 21 are overlapped at the end parts, are connected by penetrating the fastening bolt 6, and are screwed and fixed by the nut 7. When in use, the nut 7 is rotated, the connection is loosened, so that the first outer cylinder 12 and the second inner cylinder 21 can move relatively, the required angle is adjusted, the nut 7 is screwed, and the angle is fixed.
Similarly, the second outer cylinder 22 and the third inner cylinder 31, the third outer cylinder 32 and the side wall 41 of the sole fixing assembly 4 are hinged and fixed in the same manner through the fastening bolts 6 and the nuts 7, so that the adjustment and fixation of the relative angles of the assemblies are realized. The nut 7 is provided with a butterfly-type hand-held part which is convenient to screw.
The top of the upper body fixing assembly 1 is provided with an inward concave groove 111, and the head of a patient can be comfortably placed in the groove 111.
In use, the chin of the patient is abutted against the groove 111 at the top end of the upper body fixing assembly 1; rotating the adjusting handwheel 5 according to the height of the patient, thereby adjusting the lengths of the upper body fixing assembly 1, the thigh fixing assembly 2, and the shank fixing assembly 3 to suit the patient; loosening the nut 7, adjusting the relative angles among the upper body fixing assembly 1, the thigh fixing assembly 2, the shank fixing assembly 3 and the sole fixing assembly 4, so that the relative angles among the upper body, the thigh, the shank and the sole are coupled when the prostate of a human body is punctured, and then tightening the nut 7; at this time, the patient holds the upper body fixing assembly 1 with both hands on the operating table, and the chest, the thigh, the shank and the sole are respectively attached to the upper body fixing assembly 1, the thigh fixing assembly 2, the shank fixing assembly 3 and the sole fixing assembly 4, so that the correct prostate puncture body position can be quickly achieved.
The prostate puncture position fixer is beneficial to maintaining the correct position of a patient to be placed in a prostate puncture operation, saves the operation time, reduces the pain of the patient and is simple and safe to operate.
While the preferred embodiments of the present application have been described in detail, the present application is not limited to the embodiments, and various equivalent modifications and substitutions can be made by those skilled in the art without departing from the spirit of the present application, and these equivalent modifications and substitutions are intended to be included in the scope of the present application as defined in the appended claims.
Claims (4)
1. A prostate puncture biopsy position fixator, characterized in that: comprises an upper body fixing component, a thigh fixing component, a shank fixing component and a sole fixing component which are connected in sequence, wherein the components are connected and fixed through fastening bolts,
the upper body fixing assembly comprises an inner cylinder I and an outer cylinder I which are in sliding sleeve joint, a fork opening is formed in the bottom end of the side wall of the inner cylinder I, teeth meshed with a gear of the adjusting hand wheel are arranged on one side of the fork opening, the adjusting hand wheel also comprises a handle coaxial with the gear, and the shaft penetrates through a shaft hole in the outer cylinder I and is in threaded connection with the handle placed on the outer side of the outer cylinder I;
the thigh fixing assembly comprises a second inner cylinder and a second outer cylinder which are in sliding sleeve joint, a fork opening is formed in the bottom end of the side wall of the second inner cylinder, teeth meshed with gears of the adjusting hand wheel are arranged on one side of the fork opening, the adjusting hand wheel further comprises a handle coaxial with the gears, and the shaft penetrates through a shaft hole in the second outer cylinder to be connected with the handle placed on the outer side of the second outer cylinder through threads;
the shank fixing assembly comprises an inner cylinder III and an outer cylinder III which are in sliding sleeve joint, a fork opening is formed in the bottom end of the side wall of the inner cylinder III, teeth meshed with a gear of the adjusting hand wheel are arranged on one side of the fork opening, the adjusting hand wheel further comprises a handle coaxial with the gear, and the shaft penetrates through a shaft hole in the outer cylinder III and is in threaded connection with the handle placed on the outer side of the outer cylinder III;
the sole fixing component is L-shaped and comprises a side wall and a bottom plate, the upper end of the side wall is hinged with the shank fixing component, and the lower end of the side wall is connected with the bottom plate;
when in use, the chin of a patient is propped against the groove at the top end of the upper body fixing component; the adjusting hand wheel is rotated according to the height of a patient, so that the lengths of the upper body fixing assembly, the thigh fixing assembly and the shank fixing assembly are adjusted to adapt to the patient; loosening the nut, adjusting the relative angles among the upper body fixing assembly, the thigh fixing assembly, the shank fixing assembly and the sole fixing assembly, so that the upper body, the thigh, the shank and the sole are coupled with the relative angles among the upper body, the thigh, the shank and the sole when the prostate of a human body is punctured, and then tightening the nut; at this time, the patient holds the upper body fixing assembly with both hands on the operating table, and the chest, the thigh, the shank and the sole are respectively attached to the upper body fixing assembly, the thigh fixing assembly, the shank fixing assembly and the sole fixing assembly.
2. The prostate puncture biopsy instrument of claim 1, wherein said first outer barrel is hinged to said second inner barrel, said second outer barrel is hinged to said third inner barrel, and said third outer barrel is hinged to said sole securing assembly.
3. The prostate puncture biopsy instrument of claim 1 or 2, wherein said first inner cylinder, first outer cylinder, second inner cylinder, second outer cylinder, third inner cylinder, third outer cylinder are box-type structures.
4. The prostatectomy position fixator of claim 1 wherein the upper body securing assembly is provided with a recess at its top end.
Priority Applications (1)
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CN201710250115.XA CN107049518B (en) | 2017-04-17 | 2017-04-17 | Prostate puncture biopsy operation position fixer |
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CN201710250115.XA CN107049518B (en) | 2017-04-17 | 2017-04-17 | Prostate puncture biopsy operation position fixer |
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CN107049518B true CN107049518B (en) | 2023-08-25 |
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Families Citing this family (2)
Publication number | Priority date | Publication date | Assignee | Title |
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CN107928764A (en) * | 2017-12-08 | 2018-04-20 | 唐山同仁和微创医疗器械有限公司 | Puncture template navigation positional device |
CN110063798A (en) * | 2019-05-28 | 2019-07-30 | 中国科学院大学宁波华美医院(宁波市第二医院) | A kind of intraspinal tube pricking body position puts auxiliary tool |
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