CN112568958A - Pressing device in thyroid operation - Google Patents
Pressing device in thyroid operation Download PDFInfo
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- CN112568958A CN112568958A CN202011445753.5A CN202011445753A CN112568958A CN 112568958 A CN112568958 A CN 112568958A CN 202011445753 A CN202011445753 A CN 202011445753A CN 112568958 A CN112568958 A CN 112568958A
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B2017/12004—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for haemostasis, for prevention of bleeding
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Abstract
The invention discloses a pressing device in thyroid operation, which comprises a helmet main body, a supporting mechanism and an adjusting mechanism, wherein the helmet main body is worn on the head of a patient, the top of the supporting mechanism is rotatably arranged on the bottom side of the side part of the helmet main body, and the bottom of the supporting mechanism is abutted against the shoulder; the articulated connection of adjustment mechanism's one end is on supporting mechanism's lateral wall, and adjustment mechanism is including adjusting pole, regulating tube and regulating plate, and the articulated connection of the one end of adjusting the pole is on the lateral wall of second bracing piece, and the one end that the second bracing piece was kept away from to the regulation pole inserts regulating tube and threaded connection, and the rotatable setting of regulating plate is kept away from the one end of adjusting the pole at the regulating tube. This thyroid gland art pressure device passes through supporting mechanism to be connected between shoulder and helmet main body, has the supporting role, plays the fixed action to adjustment mechanism simultaneously, through rotating the control tube, the length of extension and regulation regulating lever makes the regulating plate oppress the incision to reach better hemostatic effect.
Description
Technical Field
The invention relates to the technical field of medical auxiliary appliances, in particular to a pressing device in thyroid surgery.
Background
The thyroid gland is a very important gland of vertebrates and belongs to an endocrine organ. The thyroid gland is the largest endocrine gland of adults, is located in the front of the neck, is brownish red, is conical in the left and right lobes of the thyroid gland, is attached to the side surfaces of the larynx and trachea, and is located below the thyroid cartilage of the neck and on the two sides of the trachea. The thyroid gland of human is named after it is like butterfly, like the shield. When the thyroid is seriously diseased, a thyroidectomy is needed, and two types of thyroidectomy are needed, namely, one type of thyroidectomy is to completely remove one side of the thyroid, but not both thyroid glands are completely removed; the other is partial resection, which tends to preserve all or part of the contralateral thyroid tissue and maintain the desired physiological function.
After carrying out thyroid gland operation (operations such as thyroid gland unilateral excision, thyroid gland bilateral excision), because thyroid gland blood vessel is abundant, the easy hemorrhage of postoperative adopts the local sand bag method of incision to oppress hemostasis now clinically usually, nevertheless because the sand bag lacks effectual fixed, shifts easily and drops to need medical personnel to assist to oppress fixedly, increased medical personnel's intensity of labour. In addition, the pressurizing degree of the sand bag is not easy to adjust and control, and the postoperative hemostatic effect is also influenced.
Disclosure of Invention
Aiming at the defects in the prior art, the invention provides a pressing device in thyroid operation, which solves the problems that the pressing force of the existing thyroid incision is not easy to control and the fixation is easy to loosen.
In order to realize the technical effects, the technical scheme adopted by the invention is as follows:
a thyroid intraoperative compression device comprising:
a helmet body for wearing on a head of a patient, the helmet body comprising a top portion and two side portions, the top portion and the two side portions being integrally formed;
the top of the supporting mechanism is rotatably arranged at the bottom side of the side part, and the bottom of the supporting mechanism is used for abutting against the shoulder part; and
adjustment mechanism, adjustment mechanism's the articulated connection of one end is on supporting mechanism's lateral wall, and the other end is used for oppressing on the incision, adjustment mechanism is including adjusting pole, regulating tube and regulating plate, and the articulated connection of one end of adjusting the pole is on the lateral wall of second bracing piece, has seted up the internal thread on the inner wall of regulating tube, and the one end that the second bracing piece was kept away from to the regulation pole inserts the inside threaded connection of one end of regulating tube, and the rotatable setting of regulating plate is kept away from the one end of adjusting the pole at.
Above-mentioned pressure device in thyroid gland art passes through supporting mechanism to be connected between shoulder and helmet main body, has the supporting role, plays the fixed action to adjustment mechanism simultaneously, through rotating the control tube, the length of extension and regulation regulating lever makes the regulating plate oppress the incision to reach better hemostatic effect.
Furthermore, the adjusting mechanism further comprises an adjusting bearing and an adjusting column, the outer side face of the adjusting bearing is fixedly arranged in the adjusting pipe far away from one end of the adjusting rod, one end of the adjusting column is inserted into the inner side face of the adjusting bearing and is fixedly connected with the adjusting plate, and the other end of the adjusting column is fixedly connected with the adjusting plate. The adjusting plate can rotate relative to the adjusting pipe through the matching of the adjusting bearing and the adjusting column, and the adjustment of incision compression force is facilitated.
Furthermore, the number of the supporting mechanisms is two, the two supporting mechanisms are rotatably arranged at the bottom side of the side part of the helmet main body, and the two supporting mechanisms are both provided with adjusting mechanisms. Two adjustment mechanism can oppress simultaneously patient's neck both sides simultaneously.
Further, the supporting mechanism comprises a first supporting rod, a second supporting rod and a supporting spring, the top of the first supporting rod is rotatably connected with the bottom side of the side portion of the helmet main body, a supporting groove is formed in the top surface of the second supporting rod along the axis direction of the second supporting rod, one end of the supporting spring is connected with the bottom wall of the supporting groove, the bottom end of the first supporting rod is inserted into the supporting groove and connected with one end, far away from the bottom wall of the supporting groove, of the supporting spring, and the bottom end of the second supporting rod is used for abutting against the shoulder portion. The support pad is supported on the shoulder, and the support spring is arranged at the bottom of the first support rod, so that a supporting force is always applied to the first support rod, the first support rod and the second support rod are in a tightening state, the helmet main body is always supported, and meanwhile the shaking of the adjusting mechanism is also avoided.
Further, the bottom of second bracing piece is equipped with the supporting pad, and the relative second bracing piece of supporting pad can rotate, and the supporting pad is the arcwall face with the contact surface of shoulder. The supporting pad can increase the area of contact with the shoulder, strengthens supporting role's stability, avoids the second bracing piece to remove on the shoulder, increases patient's comfort level simultaneously.
Furthermore, the bottom side card of helmet main part lateral part is equipped with the swivelling chute, and the top of first bracing piece is passed through support bearing and is connected with the swivelling chute rotation. The second bracing piece passes through support bearing can relative supporting pad relative rotation for rotate the second bracing piece, conveniently adjust the orientation of adjusting the pole.
Furthermore, the outer side wall of the second supporting rod is provided with a hinge groove along the axis direction, a hinge seat is fixedly arranged in the hinge groove, and one end, away from the adjusting pipe, of the adjusting rod is hinged with the hinge seat through a hinge joint. Adjust the articulated setting of pole and second bracing piece and can further adjust the orientation angle of adjusting the pole to the adjusting plate can accurate oppression on the incision.
Further, the medial surface of first helmet main part is equipped with the protection pad for patient's head does not with helmet main part direct contact, increases the comfort level of head.
The invention has the beneficial effects that: the pressing device in the thyroid operation is connected between the shoulder and the helmet main body through the supporting mechanism, has a supporting function, and plays a role in fixing and adjusting the direction of the adjusting mechanism; the length of the adjusting mechanism is prolonged by rotating the adjusting pipe, so that the adjusting plate can press the incision, and the pressing force of the adjusting plate on the incision can be adjusted by rotating the adjusting pipe, so that a better hemostasis effect is achieved, and the healing of the incision is promoted; in addition, the hinged arrangement of the adjusting pipe and the second supporting rod can enable the adjusting rod to be accurately aligned to the direction of the notch, and the problem that the hemostasis by compression cannot be achieved due to inaccurate positioning is avoided.
Drawings
In order to more clearly illustrate the embodiments of the present invention, the drawings, which are required to be used in the embodiments, will be briefly described below. In all the drawings, the elements or parts are not necessarily drawn to actual scale.
FIG. 1 is a front view of the present invention;
FIG. 2 is a schematic view of the adjustment mechanism;
FIG. 3 is a top view of the helmet body;
reference numerals:
10-helmet body, 11-top, 12-side, 13-rotation groove, 14-protection pad, 15-elastic net, 20-support mechanism, 21-first support bar, 22-second support bar, 23-support spring, 24-support groove, 25-support pad, 26-support bearing, 27-hinge groove, 30-adjustment mechanism, 31-adjustment bar, 32-adjustment tube, 33-adjustment plate, 34-adjustment bearing, 35-adjustment column, 41-hinge seat, 42-locking bolt nut component, 43-hinge joint.
Detailed Description
Embodiments of the present invention will be described in detail below with reference to the accompanying drawings. The following examples are only for illustrating the technical solutions of the present invention more clearly, and therefore are only examples, and the protection scope of the present invention is not limited thereby.
In the description of the present invention, it is to be understood that the terms "center", "length", "width", "thickness", "upper", "lower", "front", "rear", "left", "right", "vertical", "horizontal", "top", "bottom", "inner", "outer", etc., indicate orientations or positional relationships based on those shown in the drawings, and are only for convenience of description and simplicity of description, and do not indicate and imply that the positions or elements referred to must have particular orientations, be constructed and operated in particular ways, and thus, are not to be construed as limiting the present invention.
Furthermore, the terms "first", "second" and "first" are used for descriptive purposes only and are not to be construed as indicating or implying relative importance or implicitly indicating the number of technical features indicated. Thus, a feature defined as "first" or "second" may explicitly or implicitly include one or more features. In the description of the present invention, "a plurality" means at least two, e.g., two, three, etc., unless specifically limited otherwise.
Referring to fig. 1, the pressing device for use in thyroid operation according to the present invention includes a helmet main body 10, a supporting mechanism 50 and an adjusting mechanism 30, the helmet main body 10 is adapted to be worn on the head of a patient, the helmet main body 10 includes a top portion 11 and two side portions 13, and the top portion 11 and the two side portions 13 are integrally formed. The top 11 of the supporting mechanism 50 is rotatably disposed at the bottom side of the side 13 of the helmet main body 10, and the bottom of the supporting mechanism 50 is used for abutting against the shoulder, so as to support the helmet main body 10. The number of the supporting mechanisms 50 is two, the two supporting mechanisms 50 are respectively rotatably arranged at the bottom sides of the two side parts 13 of the helmet main body 10, the two supporting mechanisms 50 are respectively provided with the adjusting mechanism 30, the adjusting mechanism 30 is used for pressing an incision, the hemostatic effect is achieved, and meanwhile the pressing force on the incision can be adjusted according to the incision condition of a patient.
The supporting mechanism 50 includes a first supporting rod 21, a second supporting rod 22 and a supporting spring 23, the top 11 of the first supporting rod 21 is connected to the bottom side of the side portion 13 of the helmet main body 10, a supporting groove 24 is formed on the top surface of the second supporting rod 22 along the axial direction thereof, one end of the supporting spring 23 is connected to the bottom wall of the supporting groove 24, the bottom end of the first supporting rod 21 is inserted into the supporting groove 24 and connected to one end of the supporting spring 23 away from the bottom wall of the supporting groove 24, and the bottom end of the second supporting rod 22 is used for abutting against the shoulder. Wherein, the bottom of second bracing piece 22 is equipped with supporting pad 25, and the relative second bracing piece 22 of supporting pad 25 can rotate, and the contact surface of supporting pad 25 and shoulder is the arcwall face, can increase the area of contact of supporting pad 25 and shoulder, strengthens the stability of supporting role. The rotation groove 13 is clamped at the bottom side of the side portion 13 of the helmet body 10, the top portion 11 of the first support rod 21 is rotatably connected with the rotation groove 13 through the support bearing 26, so that the first support rod 21 can rotate relative to the helmet body 10, and the first support rod 21 is rotated to adjust the orientation of the adjusting mechanism 30, so that the adjusting mechanism 30 can be accurately aligned with the notch.
Wear the main part with broad when the patient on the head, support supporting pad 25 at the shoulder, because supporting spring 23's setting has a holding power in the bottom of first bracing piece 21 all the time at first bracing piece 21 for be in the state of tightening between first bracing piece 21 and the second bracing piece 22, have supporting role all the time to helmet main part 10, also avoided rocking of adjustment mechanism 30 simultaneously.
Referring also to fig. 2, one end of the adjusting mechanism 30 is hinged to the outer side wall of the supporting mechanism 50, and the other end is used to press on the incision. Specifically, the adjusting mechanism 30 includes an adjusting rod 31, an adjusting tube 32, an adjusting plate 33, an adjusting bearing 34 and an adjusting post 35, one end of the adjusting rod 31 is hinged to the outer side wall of the second supporting rod 22, an inner thread is formed on the inner wall of the adjusting tube 32, and one end of the adjusting rod 31, which is far away from the second supporting rod 22, is inserted into the inner thread of the adjusting tube 32. The fixed setting of lateral surface of adjusting bearing 34 is in the inside of adjusting pipe 32 keeping away from regulation pole 31 one end, and the medial surface and the fixed connection of adjusting bearing 34 are inserted to the one end of adjusting post 35, other end and regulating plate 33 fixed connection for the rotatable setting of regulating plate 33 is in the one end of adjusting pipe 32 keeping away from regulation pole 31. Through rotating the adjusting tube 32, make the adjusting tube 32 rotate for adjusting the pole 31, because adjusting tube 32 and adjusting pole 31 threaded connection for adjusting tube 32 removes to the incision direction, applys the oppression power to the incision, and through clockwise or anticlockwise rotation adjusting tube 32, the oppression dynamics of adjustment regulating plate 33 to the incision, so that reach better hemostatic effect through the adjustment of oppression power, promote the healing of incision.
Preferably, the outer side wall of the second support rod 22 is provided with a hinge groove 27 along the axial direction, a hinge seat 41 is fixedly arranged in the hinge groove 27, a hinge head 43 is arranged at one end of the adjusting rod 31 far away from the adjusting tube 32, and the hinge head 43 is hinged to the hinge seat 41. Specifically, the bottom end fixed connection of articulated seat 41 is on the diapire of articulated groove 27, and first hinge hole has been seted up on the top of articulated seat 41, and the one end that regulation pole 31 was kept away from to hinge head 43 is equipped with the second hinge hole, and first hinge hole passes through lockbolt nut component 42 and is connected with the second hinge hole is articulated. The hinged arrangement of the adjusting rod 31 and the second supporting rod 22 can further adjust the orientation angle of the adjusting rod 31, so that the adjusting plate 33 can be accurately pressed on the notch; and the orientation of the adjusting rod 31 is fixed by loosening or screwing the locking bolt and nut assembly 42, so that the orientation of the adjusting rod 31 is prevented from being changed in the pressing process.
As shown in fig. 1, in this embodiment, the inner side surface of the helmet main body 10 is provided with a protection pad 14, so that the head of the patient does not directly contact with the helmet main body 10, and the comfort of the head is increased.
As shown in fig. 3, in the embodiment, the top 11 of the helmet main body 10 is a hollow structure, and the hollow structure is an elastic net 15, so that the helmet main body 10 has elasticity, and the helmet main body 10 can be smoothly worn on the head of a patient through elastic deformation; meanwhile, the elastic net 15 has a ventilation function, so that the situation that the interior of the helmet body 10 is not ventilated when a patient wears the helmet body is avoided.
The working principle of the invention is as follows: when in use, firstly, the helmet main body 10 is worn on the head, the supporting mechanism is compressed, the supporting plate is rotated to be attached to the neck, the supporting mechanism is loosened, and the first supporting rod 21 and the second supporting rod 22 are in a tightened state under the action of the supporting spring 23; then, the second support rod 22 is rotated, and the locking bolt and nut assembly 42 is loosened, so that the orientation of the adjusting mechanism 30 is aligned with the direction of the notch; then the adjusting pipe 32 is rotated to extend the length of the adjusting mechanism 30, so that the adjusting pad is pressed on the incision, and the pressing force of the adjusting pad on the incision is adjusted; finally, the locking bolt and nut assembly 42 is tightened to fix the angle of the adjustment tube 32 relative to the second support rod 22.
The invention has the beneficial effects that: the pressing device in the thyroid operation is connected between the shoulder and the helmet main body 10 through the supporting mechanism 50, has a supporting function, and plays a role in fixing and adjusting the direction of the adjusting mechanism 30; the length of the adjusting mechanism 30 is prolonged by rotating the adjusting tube 32, so that the adjusting plate 33 presses the incision, and the pressing force of the adjusting plate 33 on the incision can be adjusted by rotating the adjusting tube 32, so that a better hemostasis effect is achieved, and the healing of the incision is promoted; in addition, the hinged arrangement of the adjusting tube 32 and the second support rod 22 can enable the adjusting rod 31 to be accurately aligned to the direction of the incision, so that the problem that the compression hemostasis cannot be achieved due to inaccurate positioning is avoided.
The above examples are only intended to illustrate the technical solution of the present invention, but not to limit it; while the invention has been described in detail and with reference to the foregoing embodiments, it will be understood by those skilled in the art that: the technical solutions described in the foregoing embodiments may still be modified, or some or all of the technical features may be equivalently replaced; such modifications and substitutions do not depart from the spirit and scope of the present invention, and they should be construed as being included in the following claims and description.
Claims (8)
1. An intraoperative compression device for thyroid, comprising:
a helmet body for wearing on a head of a patient, the helmet body comprising a top portion and two side portions, the top portion and the two side portions being integrally formed;
the top of the supporting mechanism is rotatably arranged at the bottom side of the side part, and the bottom of the supporting mechanism is used for abutting against the shoulder part; and
adjustment mechanism, adjustment mechanism's the articulated connection of one end is on supporting mechanism's lateral wall, and the other end is used for oppressing on the incision, adjustment mechanism is including adjusting pole, regulating tube and regulating plate, and the articulated connection of one end of adjusting the pole is on the lateral wall of second bracing piece, has seted up the internal thread on the inner wall of regulating tube, and the one end that the second bracing piece was kept away from to the regulation pole inserts the inside threaded connection of one end of regulating tube, and the rotatable setting of regulating plate is kept away from the one end of adjusting the pole at.
2. The intraoperative compression device of claim 1, wherein: the adjusting mechanism further comprises an adjusting bearing and an adjusting column, the outer side face of the adjusting bearing is fixedly arranged in the adjusting pipe far away from one end of the adjusting rod, one end of the adjusting column is inserted into the inner side face of the adjusting bearing and is fixedly connected with the adjusting plate, and the other end of the adjusting column is fixedly connected with the adjusting plate.
3. The intraoperative compression device of claim 2, wherein: the number of the supporting mechanisms is two, the two supporting mechanisms are rotatably arranged at the bottom side of the side part of the helmet main body, and the two supporting mechanisms are both provided with adjusting mechanisms.
4. The intraoperative compression device of claim 3, wherein: the supporting mechanism comprises a first supporting rod, a second supporting rod and a supporting spring, the top of the first supporting rod is rotatably connected with the bottom side of the side portion of the helmet main body, a supporting groove is formed in the top surface of the second supporting rod along the axis direction of the top surface of the second supporting rod, one end of the supporting spring is connected with the bottom wall of the supporting groove, the bottom end of the first supporting rod is inserted into the supporting groove and is connected with one end, far away from the bottom wall of the supporting groove, of the supporting spring, and the bottom end of the second supporting rod is used for being.
5. The intraoperative compression device of claim 4, wherein: the bottom of second bracing piece is equipped with the supporting pad, and the relative second bracing piece of supporting pad can rotate, and the supporting pad is the arcwall face with the contact surface of shoulder.
6. The intraoperative compression device of claim 4, wherein: the bottom side card of helmet main part lateral part is equipped with the swivelling chute, and the top of first bracing piece is passed through support bearing and is connected with the swivelling chute rotation.
7. The intraoperative compression device of claim 4, wherein: the hinge groove is formed in the outer side wall of the second supporting rod in the axis direction, a hinge seat is fixedly arranged in the hinge groove, and one end, away from the adjusting pipe, of the adjusting rod is hinged to the hinge seat through a hinge joint.
8. The intraoperative compression device of claim 1, wherein: the inner side surface of the helmet main body is provided with a protective pad.
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CN202011445753.5A CN112568958B (en) | 2020-12-08 | 2020-12-08 | Pressing device in thyroid operation |
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CN202011445753.5A CN112568958B (en) | 2020-12-08 | 2020-12-08 | Pressing device in thyroid operation |
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CN112568958B CN112568958B (en) | 2022-02-25 |
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US5195947A (en) * | 1991-10-15 | 1993-03-23 | Bode Gerd B | Calibrated cervical traction device |
US20050113728A1 (en) * | 2003-10-17 | 2005-05-26 | Heinz Thomas J. | Cervical support system |
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CN105533886A (en) * | 2015-12-24 | 2016-05-04 | 陈清欣 | Improved type protective helmet |
US20170157364A1 (en) * | 2015-12-04 | 2017-06-08 | Brandon D. D'Aloiso | Cannula stabilization device |
CN209790584U (en) * | 2019-01-13 | 2019-12-17 | 卢燕 | Medical three-cavity two-sac tube fixing support |
CN210931610U (en) * | 2019-07-31 | 2020-07-07 | 中国医科大学附属第一医院 | Thyroid gland postoperative care is with oppression formula neck cover that stanchs |
CN211067257U (en) * | 2019-08-06 | 2020-07-24 | 邢守军 | Intelligent cervical vertebra rehabilitation therapeutic apparatus |
CN211131253U (en) * | 2019-11-22 | 2020-07-31 | 南通大学附属医院 | Postoperative thyroid compression hemostasis device |
CN211244226U (en) * | 2018-06-19 | 2020-08-14 | 华北理工大学 | Postoperative neck support for thyroid gland |
CN211634157U (en) * | 2019-12-27 | 2020-10-09 | 东阳市人民医院 | Thyroid surgery auxiliary device |
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Patent Citations (12)
Publication number | Priority date | Publication date | Assignee | Title |
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US4373523A (en) * | 1980-10-23 | 1983-02-15 | Treutelaar Edward J | Helmet mounted constant tension traction device |
US5195947A (en) * | 1991-10-15 | 1993-03-23 | Bode Gerd B | Calibrated cervical traction device |
US20050113728A1 (en) * | 2003-10-17 | 2005-05-26 | Heinz Thomas J. | Cervical support system |
CN202313548U (en) * | 2011-10-31 | 2012-07-11 | 张威 | Medical multifunctional head protective device |
US20170157364A1 (en) * | 2015-12-04 | 2017-06-08 | Brandon D. D'Aloiso | Cannula stabilization device |
CN105533886A (en) * | 2015-12-24 | 2016-05-04 | 陈清欣 | Improved type protective helmet |
CN211244226U (en) * | 2018-06-19 | 2020-08-14 | 华北理工大学 | Postoperative neck support for thyroid gland |
CN209790584U (en) * | 2019-01-13 | 2019-12-17 | 卢燕 | Medical three-cavity two-sac tube fixing support |
CN210931610U (en) * | 2019-07-31 | 2020-07-07 | 中国医科大学附属第一医院 | Thyroid gland postoperative care is with oppression formula neck cover that stanchs |
CN211067257U (en) * | 2019-08-06 | 2020-07-24 | 邢守军 | Intelligent cervical vertebra rehabilitation therapeutic apparatus |
CN211131253U (en) * | 2019-11-22 | 2020-07-31 | 南通大学附属医院 | Postoperative thyroid compression hemostasis device |
CN211634157U (en) * | 2019-12-27 | 2020-10-09 | 东阳市人民医院 | Thyroid surgery auxiliary device |
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