CN108245228A - A kind of ultrasonic wave added fixing device for reducing respiratory movement influence internal organs and puncturing - Google Patents

A kind of ultrasonic wave added fixing device for reducing respiratory movement influence internal organs and puncturing Download PDF

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Publication number
CN108245228A
CN108245228A CN201810101688.0A CN201810101688A CN108245228A CN 108245228 A CN108245228 A CN 108245228A CN 201810101688 A CN201810101688 A CN 201810101688A CN 108245228 A CN108245228 A CN 108245228A
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CN
China
Prior art keywords
rod
suction tray
internal organs
electromagnetic switch
ultrasonic wave
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Pending
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CN201810101688.0A
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Chinese (zh)
Inventor
辛海光
盛建国
李楠
殷建华
樊丹
倪武
徐文胜
王俊学
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Second Affiliated Hospital Army Medical University
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Second Affiliated Hospital Army Medical University
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Priority to CN201810101688.0A priority Critical patent/CN108245228A/en
Publication of CN108245228A publication Critical patent/CN108245228A/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3403Needle locating or guiding means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3403Needle locating or guiding means
    • A61B2017/3413Needle locating or guiding means guided by ultrasound
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2046Tracking techniques
    • A61B2034/2063Acoustic tracking systems, e.g. using ultrasound

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Pathology (AREA)
  • Robotics (AREA)
  • Ultra Sonic Daignosis Equipment (AREA)

Abstract

The present invention relates to a kind of ultrasonic wave added fixing devices for reducing respiratory movement and influencing internal organs and puncturing, and adsorptive racks are hollow, and lower part sets outer suction tray and interior suction tray respectively, and outer suction tray and interior suction tray are respectively uniformly distributed on adsorptive racks;Lower shrinking connecting-rod and upper shrinking connecting-rod are respectively articulated on adsorptive racks, lower shrinking connecting-rod and upper shrinking connecting-rod are respectively hinged on sleeve, the first locking nut of the fixed ultrasonic probe of side setting of sleeve;Outer suction tray connects air pump by the first electromagnetic switch, and interior suction tray connects air pump, the first electromagnetic switch by the second electromagnetic switch, and the second electromagnetic switch and air pump connect controller, controller connection liquid crystal display respectively.The present invention it is versatile, flexible adsorb, be conveniently operated, angles and positions facilitate adjusting.

Description

A kind of ultrasonic wave added fixing device for reducing respiratory movement influence internal organs and puncturing
Technical field
The present invention relates to medicine pricking device technical field, particularly it is a kind of it is versatile, flexible adsorb, be conveniently operated, Angles and positions facilitate the respiratory movement that reduces of adjusting to influence the ultrasonic wave added fixing device that internal organs puncture.
Background technology
A branch of Interventional Ultrasound (Interventional Ultrasound) technology as Modern ultrasound medicine, it It is the new technology to grow up on the basis of ultrasonoscopy further to meet the needs of clinical diagnosis and treatment.1972 Year Holm and Goldberg carries out biopsy using the porose ultrasound guided probe in center respectively for the first time, has started Interventional Ultrasound in clinic Using.In world's interventional ultrasound academic conference that nineteen eighty-three holds in Copenhagen, formally determining interventional ultrasound technology into For a new subject in ultrasound medicine.It is mainly characterized by under the monitoring or guiding of ultrasound, completing various punctures when implementing The operations such as biopsy, x-ray radiography and suction, intubation, drug-injection in treatment can reach and surgical operation to avoid certain surgical operations Comparable effect.
In the guided fine needle aspiration of ultrasonic device, focal area is directly reached, carries out suction cyst fluid or injection of medicine Corresponding operatings are waited, clinical symptoms is made to alleviate therewith.Fine needle puncture, which has, does not operate on, is minimally invasive, lacks wound safely, no pain, do not answer Many advantages, such as sending out, not being hospitalized, has met the treatment concept of postmodern medicine.Ultrasound intervention has many good qualities:(1) because real-time It is punctured under ultrasonic monitoring, accuracy can be improved;(2) complication is few, relatively safe;(3) due to being worn under real-time dynamic surveillance Thorn, the organ big to small lesion and mobility puncture it is unaffected, can simultaneous display puncture process internal situation;(4) it grasps Make simple, convenient and rapid, expense is low, and repeatability is strong, and practical value is high;(5) ultrasonic device is easy to remove, can be carried out when necessary in bedside It punctures.
Existing ultrasonic puncture guiding fixed system is mostly each company's ultrasonic probe institute separate configurations, lacks general put down Platform causes relevant expense to remain high;In addition, current puncture requires patient respiratory and moving height to coordinate, for year Old patient or infant are difficult to realize, and in addition current Ultrasound-guided Biopsy requirement squeezes skin and subcutaneous tissue, causes Ultrasound may fail to detect the blood vessel or nerve in crimping section tissue, the bleeding being easy to cause after being punctured after accidentally injuring or nerve The series of problems such as damage;Repeatable poor, the very different between examiner and puncture procedure person of last ultrasonic puncture, it is former Because of the relatively accurate coordinate reference for being to lack ultrasound probe position.
Need it is a kind of it is versatile, flexible adsorb, be conveniently operated, angles and positions facilitate the reduction respiratory movement shadow of adjusting Ring the ultrasonic wave added fixing device that internal organs puncture.
Invention content
The object of the present invention is to provide it is a kind of it is versatile, flexible adsorb, be conveniently operated, angles and positions facilitate adjusting Reducing respiratory movement influences the ultrasonic wave added fixing device that internal organs puncture.
A kind of ultrasonic wave added fixing device for reducing respiratory movement influence internal organs and puncturing, including:
Adsorptive racks, the adsorptive racks are hollow, and lower part sets outer suction tray and interior suction tray respectively, the outer suction tray and interior Suction tray is respectively uniformly distributed on adsorptive racks;
Lower shrinking connecting-rod and upper shrinking connecting-rod, the lower shrinking connecting-rod and upper shrinking connecting-rod are respectively articulated on the adsorptive racks It is respectively hinged on sleeve, the first locking nut of the fixed ultrasonic probe of side setting of the sleeve;
The outer suction tray connects air pump by the first electromagnetic switch, and the interior suction tray is connected by the second electromagnetic switch Air pump, first electromagnetic switch, the second electromagnetic switch and air pump connect controller respectively, and the controller connects liquid crystal display.
The through-hole of the side setting fixing support rack of the sleeve, support frame as described above is equipped with scale, and sets sliding mark Determine block, puncture needle is set in the slip calibrating block, the puncture needle intersects with the axle center of sleeve.
The puncture needle, which is hinged on, to be slided in calibrating block, and hinged place is locking wheel, and equipped with the angle index of calibration puncture needle.
The adsorptive racks are fixed on universal shaft, and the universal shaft is fixed on telescopic supporting rod, the retractable support bar side Face sets the second locking nut, and bottom is fixed on the sliding platform with pulley.
Operation console on the telescopic supporting rod is set, places liquid crystal display on the operation console, first electromagnetic switch, Two electromagnetic switch, air pump and controller are fixed on sliding platform.
The adsorptive racks are arc, and annular, triangle is oval, one kind in rectangle.
The quantity of the lower shrinking connecting-rod is more than two, and the quantity of the upper shrinking connecting-rod is more than two.
The sleeve is circle, and the sleeve is uniformly distributed the threaded hole for fixing the first locking nut, first locking Nut is at least distributed in each up and down one of sleeve.
Adsorptive racks of the present invention are hollow, and lower part sets outer suction tray and interior suction tray, outer suction tray and interior suction tray point respectively It is not evenly distributed on adsorptive racks;It is respectively articulated with lower shrinking connecting-rod and upper shrinking connecting-rod on adsorptive racks, lower shrinking connecting-rod and above stretches Contracting connecting rod is respectively hinged on sleeve, the first locking nut of the fixed ultrasonic probe of side setting of sleeve;Outer suction tray passes through First electromagnetic switch connects air pump, and interior suction tray connects air pump, the first electromagnetic switch by the second electromagnetic switch, and the second electromagnetism is opened It closes and air pump connects controller, controller connection liquid crystal display respectively.Adsorptive racks are placed on patient body-surface to be detected, outer suction tray and Interior suction tray alternating sorbent, controller and liquid crystal display composition interactive interface, when controller controls the unlatching of the first electromagnetic switch, outer suction Attached disk is opened, and when the second electromagnetic switch of control is opened, interior suction tray is opened.Lower shrinking connecting-rod and upper shrinking connecting-rod are hinged to set Cylinder, rotates sleeve, facilitates fixed ultrasonic probe fitting human body, and the first locking nut is used to fix different model shape Ultrasonic probe.The present invention it is versatile, flexible adsorb, be conveniently operated, angles and positions facilitate adjusting.
Description of the drawings
Fig. 1 is the structural diagram of the present invention;
Fig. 2 is the vertical view of adsorptive racks of the present invention;
In figure:1st, adsorptive racks, 2, outer suction tray, 3, interior suction tray, 4, lower shrinking connecting-rod, 5, upper shrinking connecting-rod, 6, sleeve, 7th, the first locking nut, 8, ultrasonic probe, the 9, first electromagnetic switch, the 10, second electromagnetic switch, 11, air pump, 12, controller, 13rd, liquid crystal display, 14, supporting rack, 15, slide calibrating block, 16, puncture needle, 17, universal shaft, 18, telescopic supporting rod, the 19, second lock Tight nut, 20, operation console, 21, sliding platform.
Specific embodiment
Below in conjunction with the drawings and specific embodiments, the present invention will be further described.
A kind of ultrasonic wave added fixing device for reducing respiratory movement influence internal organs and puncturing, including:Adsorptive racks 1, absorption Frame 1 is hollow, and lower part sets outer suction tray 2 and interior suction tray 3 respectively, and outer suction tray 2 and interior suction tray 3, which are respectively uniformly distributed, to be inhaled In attached frame 1;Lower shrinking connecting-rod 4 and upper shrinking connecting-rod 5 are respectively articulated on adsorptive racks 1, lower shrinking connecting-rod 4 and upper shrinking connecting-rod 5 divide It is not hinged on sleeve 6, the first locking nut 7 of the fixed ultrasonic probe 8 of side setting of sleeve 6;Outer suction tray 2 passes through first Electromagnetic switch 9 connect air pump 11, interior suction tray 3 by the second electromagnetic switch 10 connect air pump 11, the first electromagnetic switch 9, second Electromagnetic switch 10 and air pump 11 connect controller 12 respectively, and controller 12 connects liquid crystal display 13.
The through-hole of the side setting fixing support rack 14 of sleeve 6, supporting rack 14 is equipped with scale, and sets slip calibrating block 15, it slides and puncture needle 16 is set in calibrating block 15, puncture needle 16 intersects with the axle center of sleeve 6.Puncture needle 16 is hinged on sliding mark Determine on block 15, hinged place is locking wheel, and equipped with the angle index of calibration puncture needle 16.Adsorptive racks 1 are fixed on universal shaft 17, and ten thousand Telescopic supporting rod 18 is fixed on to axis 17,18 side of telescopic supporting rod sets the second locking nut 19, and bottom is fixed on cunning On the sliding platform 21 of wheel.Operation console 20 on telescopic supporting rod 18 is set, places liquid crystal display 13 on operation console 20, the first electromagnetism is opened 9 are closed, the second electromagnetic switch 10, air pump 11 and controller 12 are fixed on sliding platform 21.Adsorptive racks 1 are arc, annular, triangle Shape, oval, one kind in rectangle.The quantity of lower shrinking connecting-rod 4 is more than two, and the quantity of upper shrinking connecting-rod 5 is two groups More than.Sleeve 6 is circle, and sleeve 6 is uniformly distributed the threaded hole for fixing the first locking nut 7, and the first locking nut 7 is at least distributed At each up and down one of sleeve 6.
Adsorptive racks 1 are placed on patient body-surface to be detected, 3 alternating sorbent of outer suction tray 2 and interior suction tray, controller 12 and liquid 13 composition interactive interface of crystalline substance screen, when controller 12 controls the unlatching of the first electromagnetic switch 9, outer suction tray 2 is opened, and controls the second electromagnetism When switch 10 is opened, interior suction tray 3 is opened.Lower shrinking connecting-rod 4 and upper shrinking connecting-rod 5 are hinged to sleeve 6, allow 6 turns of sleeve It is dynamic, fixed ultrasonic probe 8 is facilitated to be bonded human body, the first locking nut 7 is used to fix the ultrasonic probe 8 of different model shape.
Can be in series connection (a hollow gas pipeline links all insides or outside suction tray) between suction tray, in parallel (all inside suction trays have respectively independent hollow gas pipeline link to be connected to negative pressure pump through electromagnetic switch) or mixing Connection (the inside suction tray series connection in the range of such as 0 to 90 degree, the gas then spent with 90 to 180,180 to 270 and 270 to 360 Body pipeline is in parallel again to be connected to through electromagnetic switch in gas pump) it is connected in gas pump by electromagnetic switch.
The specific course of work:First in the ultrasonic probe insertion sleeve 6 of head end daubing coupling agent, pass through locking nut 7 Position above and below fixed probe, then by overall structure, (adsorptive racks 1, electromagnetic switch, negative pressure pump and controller and slip are flat Platform) patient's body side to be checked is slid into, inspection personnel passes through the upper shrinking connecting-rod 5 of 6 tail portion of sleeve and lower shrinking connecting-rod 4 first Ultrasonic probe is adjusted to suitable position, and records the three-dimensional position of ultrasonic probe, controller 12, warp are started by liquid crystal display 13 Suitable vacuum suction is generated by electromagnetic switch 9 and 10 and gas pump 11, adsorptive racks 1 are fixed to and treat site of puncture, during which Patient's pectus and abdomen to be checked are realized according to Dynamic Adsorption-release cycle of the time length by interior outside suction nozzle is punctured Flail connection, then by sliding platform 21 or be fixed to the modes such as wall, examination couch and apply an outside tractive force, Conveniently wait to intend to spike through abundant exposure (subcutaneous nerve and blood vessel) of the tissue under ultrasound, and after the side through sleeve 6 The through-hole of supporting rack 14 is inserted into puncture needle 16, adjusts the angle of puncture needle 16 by sliding calibrating block 15 under ultrasonic probe guide Degree, and lock, read respective angles and record, implement puncture procedure, through abundant pressing haemostatic rear enclosed point of puncture, release attracts The negative pressure of frame will be removed integrally and check patient, discharges ultrasonic probe, completes all operations and inspection.
Ultrasonic probe stent supports system to include:First, dynamic negative-pressure attracts fixed part;2nd, ultrasonic probe is included in branch It holds and three-dimensional coordinate alignment system;The former, by vacuum suction pectus and skin of abdomen, is formed by bionical octopus feeler The relative position of internal organs is further realized in the flail connection of the two by the drawing with the fixtures such as examination couch or wall Fixed, related negative pressure suction head is designed as dynamically deconstructable-attraction in addition, is persistently attracted to local skin group with reducing negative pressure The possibility damage knitted, punctures after finally fixing and pulling the not extruding of the past due to related negative pressure, high frequency ultrasound is facilitated to visit Parsing of the head to subcutaneous linked groups reduces the accidental injury of the blood vessel contained in pneumothorax caused by puncturing and subcutaneous tissue and nerve Etc. complication.The latter realizes that the position coordinates for being included in ultrasonic probe provide by relevant device part, draws to improve ultrasound Lead the repeatability of puncture procedure.
Compared with prior art, advantages of the present invention:
First, there is dynamic negative-pressure to attract fixed part, by bionical octopus feeler, pass through vacuum suction pectus and abdomen skin Skin forms the flail connection of the two, further by realizing internal organs with pulling for fixtures such as examination couch or walls Relative position is fixed, and related negative pressure suction head is designed as dynamically deconstructable attraction in addition, is persistently attracted to part with reducing negative pressure The possibility damage of skin histology, punctures after finally fixing and pulling the not extruding of the past due to related negative pressure, facilitates high frequency Parsing of the ultrasonic probe to subcutaneous linked groups reduces the blood vessel and nerve contained in pneumothorax caused by puncturing and subcutaneous tissue The complication such as accidental injury.
2nd, realize that the position coordinates for being included in ultrasonic probe provide, to improve the repeatability of ultrasound guided puncture operation.
3rd, universal design, compatible ultrasonic probe common on the market save correlative charges.
The basic principles, main features and advantages of the invention have been shown and described above.The technical staff of the industry should Understand, the present invention is not limited to the above embodiments, and the above embodiments and description only describe the originals of the present invention Reason, various changes and improvements may be made to the invention without departing from the spirit and scope of the present invention, these changes and improvements It all fall within the protetion scope of the claimed invention.The claimed scope of the invention is by appended claims and its equivalent circle It is fixed.

Claims (8)

1. a kind of ultrasonic wave added fixing device for reducing respiratory movement influence internal organs and puncturing, which is characterized in that including:
Adsorptive racks (1), the adsorptive racks (1) are hollow, and lower part sets outer suction tray (2) and interior suction tray (3), the outer suction respectively Attached disk (2) and interior suction tray (3) are respectively uniformly distributed on adsorptive racks (1);
It is respectively articulated with lower shrinking connecting-rod (4) and upper shrinking connecting-rod (5) on the adsorptive racks (1), the lower shrinking connecting-rod (4) and upper Shrinking connecting-rod (5) is respectively hinged on sleeve (6), the first locking of the fixed ultrasonic probe (8) of side setting of the sleeve (6) Nut (7);
The outer suction tray (2) connects air pump (11) by the first electromagnetic switch (9), and the interior suction tray (3) passes through the second electricity Magnetic switch (10) connection air pump (11), first electromagnetic switch (9), the second electromagnetic switch (10) and air pump (11) connect respectively Controller (12), controller (12) the connection liquid crystal display (13).
2. a kind of ultrasonic wave added fixing device for reducing respiratory movement influence internal organs and puncturing according to claim 1, It is characterized in that, the through-hole of the side setting fixing support rack (14) of the sleeve (6), support frame as described above (14), which is equipped with, to be carved Degree, and set and slide calibrating block (15), puncture needle (16), the puncture needle (16) and set are set on the slip calibrating block (15) Intersect in the axle center of cylinder (6).
3. a kind of ultrasonic wave added fixing device for reducing respiratory movement influence internal organs and puncturing according to claim 2, It is slided in calibrating block (15) it is characterized in that, the puncture needle (16) is hinged on, hinged place is locking wheel, and is punctured equipped with calibration The angle index of needle (16).
4. a kind of ultrasonic wave added fixing device for reducing respiratory movement influence internal organs and puncturing according to claim 1, It is characterized in that, the adsorptive racks (1) are fixed on universal shaft (17), the universal shaft (17) is fixed on telescopic supporting rod (18), telescopic supporting rod (18) side sets the second locking nut (19), and bottom is fixed on the sliding platform with pulley (21) on.
5. a kind of ultrasonic wave added fixing device for reducing respiratory movement influence internal organs and puncturing according to claim 4, It is characterized in that, setting operation console (20) on the telescopic supporting rod (18), liquid crystal display (13) is placed on the operation console (20), First electromagnetic switch (9), the second electromagnetic switch (10), air pump (11) and controller (12) are fixed on sliding platform (21) On.
6. a kind of ultrasonic wave added fixing device for reducing respiratory movement influence internal organs and puncturing according to claim 1, It is characterized in that, the adsorptive racks (1) are arc, annular, triangle is oval, one kind in rectangle.
7. a kind of ultrasonic wave added fixing device for reducing respiratory movement influence internal organs and puncturing according to claim 1, It is characterized in that, the quantity of the lower shrinking connecting-rod (4) is more than two, the quantity of the upper shrinking connecting-rod (5) for two groups with On.
8. a kind of ultrasonic wave added fixing device for reducing respiratory movement influence internal organs and puncturing according to claim 1, It is characterized in that, the sleeve (6) is circle, the sleeve (6) is uniformly distributed the threaded hole for fixing the first locking nut (7), First locking nut (7) is at least distributed in each up and down one of sleeve (6).
CN201810101688.0A 2018-02-01 2018-02-01 A kind of ultrasonic wave added fixing device for reducing respiratory movement influence internal organs and puncturing Pending CN108245228A (en)

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CN201810101688.0A CN108245228A (en) 2018-02-01 2018-02-01 A kind of ultrasonic wave added fixing device for reducing respiratory movement influence internal organs and puncturing

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2020259292A1 (en) * 2019-06-25 2020-12-30 杭州德柯医疗科技有限公司 Adsorption head and adsorption device

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN201040027Y (en) * 2007-05-28 2008-03-26 孟宪文 Mobile forearm hand rest treating frame
JP5032075B2 (en) * 2006-09-08 2012-09-26 株式会社東芝 Ultrasonic probe system and ultrasonic diagnostic apparatus
CN204384749U (en) * 2014-12-30 2015-06-10 湖南大汉至诚建设机械有限公司 The telescopic attaching frame of a kind of double leval jib
CN205458948U (en) * 2016-02-04 2016-08-17 广州中医药大学第一附属医院 Supersound localize puncture bullnose
CN208756107U (en) * 2018-02-01 2019-04-19 中国人民解放军第二军医大学第二附属医院 A kind of fixed device of ultrasonic wave added for reducing respiratory movement influence internal organs and puncturing

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP5032075B2 (en) * 2006-09-08 2012-09-26 株式会社東芝 Ultrasonic probe system and ultrasonic diagnostic apparatus
CN201040027Y (en) * 2007-05-28 2008-03-26 孟宪文 Mobile forearm hand rest treating frame
CN204384749U (en) * 2014-12-30 2015-06-10 湖南大汉至诚建设机械有限公司 The telescopic attaching frame of a kind of double leval jib
CN205458948U (en) * 2016-02-04 2016-08-17 广州中医药大学第一附属医院 Supersound localize puncture bullnose
CN208756107U (en) * 2018-02-01 2019-04-19 中国人民解放军第二军医大学第二附属医院 A kind of fixed device of ultrasonic wave added for reducing respiratory movement influence internal organs and puncturing

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2020259292A1 (en) * 2019-06-25 2020-12-30 杭州德柯医疗科技有限公司 Adsorption head and adsorption device

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