TWI625115B - Positioning apparatus for head and neck assessment or intervention - Google Patents
Positioning apparatus for head and neck assessment or intervention Download PDFInfo
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/08—Detecting organic movements or changes, e.g. tumours, cysts, swellings
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/08—Detecting organic movements or changes, e.g. tumours, cysts, swellings
- A61B8/0891—Detecting organic movements or changes, e.g. tumours, cysts, swellings for diagnosis of blood vessels
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/44—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
- A61B2034/2046—Tracking techniques
- A61B2034/2063—Acoustic tracking systems, e.g. using ultrasound
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Abstract
本發明提供一種用於頭頸部評估的定位裝置，包含一底座；一頭部固定總成，其包括一主體、一引導件以及一耳部對準構件；一第一連接器，其樞接至該主體之側端；一第一光發射器；以及一夾持器總成，其包括固定至該底座之一可調式的第一立架，以及樞接至該第一立架的夾持器，其用以固持用於所述評估或介入治療之醫療裝置。The present invention provides a positioning device for head and neck evaluation, including a base; a head fixing assembly, which includes a main body, a guide, and an ear alignment member; and a first connector that is pivotally connected to A side end of the main body; a first light emitter; and a holder assembly including an adjustable first stand fixed to the base, and a holder pivotally connected to the first stand , Which is used to hold a medical device for said evaluation or interventional treatment.
Description
本發明係關於一種用於頭頸部評估或介入治療的定位裝置，特別係關於一種可參照患者之一個以上的所需參考平面以固定該患者頭部位置的定位裝置。The invention relates to a positioning device for head and neck assessment or interventional treatment, and more particularly to a positioning device that can refer to one or more required reference planes of a patient to fix the position of the patient's head.
美國專利No. 6,425,865揭示一種用於醫療超音波的系統，其中該超音波探頭在該超音波操作者和該電腦的共享控制下由機械手臂定位。US Patent No. 6,425,865 discloses a system for medical ultrasound where the ultrasound probe is positioned by a robotic arm under the shared control of the ultrasound operator and the computer.
US 2015/0297176 A1揭示一種配置用於醫療患者頭部的頭部框架，包含一探頭之支撐件，其配置用於成像、治療、或成像和治療兩者；以及剛性構造之一頸部支撐件，所述頸部支撐件配置用於接觸、為所述患者之頸部提供剛性支撐。US 2015/0297176 A1 discloses a head frame configured for use on a medical patient's head, comprising a probe support configured for imaging, treatment, or both imaging and treatment; and a neck support, one of the rigid constructions The neck support is configured to contact and provide rigid support for the neck of the patient.
本發明提供一種用於個體頭頸部評估或介入治療的定位裝置，包含：一底座；一頭部固定總成，其包括(i)一主體，其附接至該底座，該主體具有向上延伸的兩個側端；(ii)一引導件，其代表該個體之第一參考平面，該引導件自各該側端向上並稍微向內延伸；以及(iii)一耳部對準構件，其配置在各該側端之內側上，用於對準該個體之耳道開口；一第一連接器，其具有第一端及相對的一第二端，該第一端於第一樞軸點樞接至主體之側端的外側上；一第一光發射器配置於該第一連接器之第二端，用以投射一第一光束，使得該第一光束定義通過該第一樞軸點的第二參考平面；以及一夾持器總成，其包括固定至該底座的一可調式的第一立架；以及一夾持器，其樞接至該第一立架，用以固持用於該評估或介入治療的醫療裝置。The invention provides a positioning device for individual head and neck assessment or interventional treatment, comprising: a base; a head fixing assembly including (i) a main body attached to the base, the main body having an upwardly extending Two side ends; (ii) a guide representing the first reference plane of the individual, the guide extending upwardly and slightly inward from each of the side ends; and (iii) an ear alignment member configured at On the inner side of each of the side ends, it is used to align the ear canal opening of the individual; a first connector having a first end and an opposite second end, the first end being pivotally connected at a first pivot point To the outside of the side end of the main body; a first light emitter is disposed at the second end of the first connector, and is used for projecting a first light beam, so that the first light beam defines a second light passing through the first pivot point A reference plane; and a holder assembly including an adjustable first stand that is fixed to the base; and a holder that is pivotally connected to the first stand to hold it for the evaluation Or interventional medical devices.
在本發明的部分具體實施例中，該定位裝置更包含一第二立架，其固定至該底座並向上延伸至上端；一第二連接器，其具有第一端及相對的第二端，該第一端於第二樞軸點處樞接至該第二立架之上端；以及一第二光發射器，其配置於該第二連接器之第二端，用以投射第二光束，使得該第二光束定義通過該第二樞軸點的第三參考平面。In some specific embodiments of the present invention, the positioning device further includes a second stand, which is fixed to the base and extends upward to the upper end; a second connector having a first end and an opposite second end, The first end is pivotally connected to the upper end of the second stand at a second pivot point; and a second light transmitter is disposed at the second end of the second connector for projecting a second light beam, The second light beam is caused to define a third reference plane passing through the second pivot point.
在本發明的部分具體實施例中，該引導件包括一線條，其代表該第一參考平面。在一些具體實施例中，該引導件包括一透明基板，其自各該側端向上並稍微向內延伸。根據本發明之一特定具體實施例，該透明基板係標記有代表該第一參考平面的一線條。在另一具體實施例中，該透明基板投射以一光束，其作為代表該第一參考平面的線條。In some specific embodiments of the present invention, the guide includes a line that represents the first reference plane. In some embodiments, the guide includes a transparent substrate that extends upward and slightly inward from each of the side ends. According to a specific embodiment of the present invention, the transparent substrate is marked with a line representing the first reference plane. In another specific embodiment, the transparent substrate projects a light beam as a line representing the first reference plane.
根據本發明的部分具體實施例，該耳部對準構件具有用於安裝進該個體耳道中的突出部分。較佳地，該第一樞軸點位於該耳部對準構件之突出部分之縱軸上。在一些其他具體實施例中，該耳部對準構件包括一第三光發射器，其投射用於對準該個體耳道的線形光束(例如投射線形雷射光的雷射發射器)。較佳地，該第一樞軸點位於延伸自所述線形光束的假想線上。According to some embodiments of the present invention, the ear alignment member has a protruding portion for fitting into the ear canal of the individual. Preferably, the first pivot point is located on a longitudinal axis of a protruding portion of the ear alignment member. In some other specific embodiments, the ear alignment member includes a third light emitter that projects a linear light beam (eg, a laser emitter that projects linear laser light) for aligning the ear canal of the individual. Preferably, the first pivot point is located on an imaginary line extending from the linear light beam.
較佳地，該頭部固定總成包括兩個耳部對準構件。另一方面，該頭部固定總成可配置一第一光發射器，或在對稱於該主體之該兩個側端上配置兩個第一光發射器。Preferably, the head fixing assembly includes two ear alignment members. On the other hand, the head fixing assembly may be provided with a first light emitter, or two first light emitters may be arranged on the two side ends symmetrical to the main body.
根據本發明之部分較佳具體實施例，該第一參考平面係該個體之法蘭克福特水平面（Frankfort horizontal plane）。According to some preferred embodiments of the present invention, the first reference plane is a Frankfort horizontal plane of the individual.
較佳地，該第一光發射器係為投射線形雷射光的雷射發射器，及/或該第二光發射器係為投射線形雷射光的雷射發射器。Preferably, the first light emitter is a laser emitter that projects linear laser light, and / or the second light emitter is a laser emitter that projects linear laser light.
根據本發明的部分具體實施例，該頭部固定總成之主體可滑動地附接至該底座。According to some embodiments of the present invention, the main body of the head fixing assembly is slidably attached to the base.
根據本發明的部分具體實施例，該頭部固定總成更包括一枕頭構件，其用於支撐該個體之頭部，該枕頭構件設置於該主體上的該等側端之間。較佳地，該枕頭構件適於相對該個體之橫向平面調整該個體之頭部之傾斜角度。According to some specific embodiments of the present invention, the head fixing assembly further includes a pillow member for supporting the head of the individual, and the pillow member is disposed between the side ends on the main body. Preferably, the pillow member is adapted to adjust the inclination angle of the head of the individual relative to the lateral plane of the individual.
在本發明之一具體實施例中，該第二立架在該頭部固定總成之中線通過的固定點處固定至該底座。在此類具體實施例中，該第三參考平面可為該個體之一正中平面。In a specific embodiment of the present invention, the second stand is fixed to the base at a fixing point through which the middle line of the head fixing assembly passes. In such specific embodiments, the third reference plane may be a median plane of the individual.
依據部分較佳具體實施例，該第一立架包括一第一臂，其自該底座向上延伸至上端；一第二臂，其以直角連接至該第一臂之上端，且沿著平行於該頭部固定總成之中線的方向延伸至後端；一第三臂，其以直角連接至該第二臂之後端，且沿著垂直於該頭部固定總成之中線的方向延伸至中端；以及一第四臂，其以直角連接至該第三臂之中端，且向下延伸至下端。較佳地，各臂之長度皆可調整。在一具體實施例中，該夾持器樞接至該第四臂之下端。在一些具體實施例中，該頭部固定總成更包括一枕頭構件，其設置於該主體上的該等側端之間，用以支撐該個體之頭部，該枕頭構件適於相對於該個體之一橫向平面以調整該個體之頭部之傾斜角度。According to some preferred embodiments, the first stand includes a first arm extending upwardly from the base to an upper end; and a second arm connected to the upper end of the first arm at a right angle and parallel to The direction of the centerline of the head fixing assembly extends to the rear end; a third arm, which is connected to the rear end of the second arm at a right angle, and extends in a direction perpendicular to the centerline of the head fixing assembly To the middle end; and a fourth arm connected to the middle end of the third arm at a right angle and extending downward to the lower end. Preferably, the length of each arm can be adjusted. In a specific embodiment, the holder is pivotally connected to the lower end of the fourth arm. In some specific embodiments, the head fixing assembly further includes a pillow member disposed between the side ends of the main body to support the head of the individual, and the pillow member is adapted to be opposite to the head A lateral plane of an individual to adjust the tilt angle of the individual's head.
本發明之定位裝置可更包含一電腦模組，其適於偵測及記憶所述各臂之長度，及/或偵測及記憶枕頭構件之位置，該位置對應於個體之頭部相對於個體之橫向平面的傾斜角度。The positioning device of the present invention may further include a computer module adapted to detect and memorize the length of each arm and / or detect and memorize the position of the pillow member, the position corresponding to the head of the individual relative to the individual The inclination of the horizontal plane.
在本發明的部分具體實施例中，該夾持器總成更包括一馬達，其用以相對於該第一立架旋轉該夾持器。In some specific embodiments of the present invention, the holder assembly further includes a motor for rotating the holder relative to the first stand.
在本發明之部分較佳具體實施例中，該夾持器總成更包括一緩衝元件，其用以緩衝該醫療裝置相對於該夾持器之移動。In some preferred embodiments of the present invention, the holder assembly further includes a buffer element for buffering movement of the medical device relative to the holder.
根據本發明的部分具體實施例，該夾持器包含一框架部件和一夾持部件，該框架部件樞接至該第一立架，該夾持部件樞接至該框架部件並適用以固持該醫療裝置。在一具體實施例中，該夾持器更包含一馬達，其用以相對於該框架部件旋轉該夾持部件。在另一具體實施例中，該夾持部件包括一緩衝元件，其用以緩衝該醫療裝置相對於該夾持部件之移動。According to some specific embodiments of the present invention, the holder includes a frame member and a clamping member, the frame member is pivotally connected to the first stand, the clamping member is pivotally connected to the frame member and is adapted to hold the frame member. Medical device. In a specific embodiment, the holder further includes a motor for rotating the holding member relative to the frame member. In another specific embodiment, the clamping member includes a buffer element for buffering the movement of the medical device relative to the clamping member.
根據本發明之一個較佳具體實施例，該定位裝置使用於個體阻塞性睡眠呼吸中止症的超音波成像評估。在此類具體實施例中，該第二參考平面可為該個體之舌骨外耳道平面（hyoid-external auditory meatus plane）。According to a preferred embodiment of the present invention, the positioning device is used for evaluation of ultrasound imaging of obstructive sleep apnea in individuals. In such specific embodiments, the second reference plane may be the hyoid-external auditory meatus plane of the individual.
根據本發明，該定位裝置亦可在至少下列評估或介入治療中使用：超音波導引介入治療（例如穿刺、注射、切片檢查、和神經阻斷術），以及頸部、頸動脈、頸部淋巴結、甲狀腺、副甲狀腺或腮腺之周圍動靜脈之超音波成像。According to the invention, the positioning device can also be used in at least the following assessments or interventions: ultrasound guided interventions (such as puncture, injection, biopsy, and nerve block), and the neck, carotid artery, neck Ultrasound imaging of arteries and veins around lymph nodes, thyroid, parathyroid, or parotid glands.
從以下的配合附圖的較佳具體實施例之說明，瞭解本發明之所述方面及其他方面，然而，在不悖離本文揭露的創新概念的精神與範圍下可進行變化及修改。The aspects and other aspects of the present invention will be understood from the following description of preferred embodiments with reference to the accompanying drawings. However, changes and modifications can be made without departing from the spirit and scope of the innovative concepts disclosed herein.
除非另有定義，否則此處所用的所有技術與科學詞彙具有與本領域中的技藝人士所瞭解者相同的涵義。Unless defined otherwise, all technical and scientific terms used herein have the same meaning as understood by those skilled in the art.
本文中所使用的單數形的「一」及「該」，除非文中另外明確指出，涵蓋複數個指稱物。因此，例如，「一樣本」之指稱包含的複數個本領域中的技藝人士所理解的此種樣本及其等同等物。As used herein, the singular forms "a" and "the" include plural referents unless the context clearly dictates otherwise. Thus, for example, the reference to the "same copy" includes a plurality of such samples and their equivalents as understood by those skilled in the art.
本發明提供一種用於個體頭頸部評估或介入治療的定位裝置。該定位裝置包含一底座、一頭部固定總成、一第一連接器、一第一光發射器以及一夾持器總成。該頭部固定總成包括一主體；一引導件，其代表該個體之第一參考平面；及一耳部對準構件。該主體附接至該底座，且具有向上延伸的兩個側端。該引導件自各該側端向上並稍微向內延伸。該耳部對準構件將對準該個體之耳道開口。該耳部對準構件配置在各該側端之內側上。該第一連接器具有第一端及相對的第二端。該第一端於第一樞軸點樞接至主體之側端的外側上。因此，該第一連接器可相對該第一樞軸點旋轉。該第一光發射器能投射第一光束，且配置於該第一連接器之第二端，使得該第一光束定義通過該第一樞軸點的第二參考平面。該夾持器總成包括可調式的一第一立架；以及一夾持器，其用以固持用於該評估或介入治療的醫療裝置。該第一立架固定至該底座，且該夾持器樞接至該第一立架。The invention provides a positioning device for individual head and neck assessment or interventional treatment. The positioning device includes a base, a head fixing assembly, a first connector, a first light emitter, and a holder assembly. The head fixing assembly includes a main body; a guide member representing a first reference plane of the individual; and an ear alignment member. The body is attached to the base and has two side ends extending upward. The guide extends upward and slightly inward from each of the side ends. The ear alignment member will be aligned with the ear canal opening of the individual. The ear alignment member is disposed on an inner side of each of the side ends. The first connector has a first end and an opposite second end. The first end is pivotally connected to the outside of the side end of the main body at a first pivot point. Therefore, the first connector is rotatable relative to the first pivot point. The first light emitter is capable of projecting a first light beam and is disposed at a second end of the first connector, so that the first light beam defines a second reference plane passing through the first pivot point. The holder assembly includes an adjustable first stand and a holder for holding a medical device for the evaluation or interventional treatment. The first stand is fixed to the base, and the holder is pivotally connected to the first stand.
本發明之定位裝置一般係設計用於個體處於躺下或向後傾身位置的頭頸部評估或介入治療。因此，該定位裝置之底座較佳為適於平靠在及/或固定在床台上的板狀底座。根據本發明之一個具體實施例，該底座在其側邊上配置有可用於將該底座固定至該床台的一條或多條帶子。The positioning device of the present invention is generally designed for head or neck assessment or interventional treatment of an individual in a lying or leaning back position. Therefore, the base of the positioning device is preferably a plate-shaped base suitable for flat resting and / or fixing on a bed. According to a specific embodiment of the present invention, the base is provided on one side thereof with one or more straps which can be used for fixing the base to the bed.
根據本發明的部分具體實施例，該耳部對準構件具有用於安裝進該個體耳道中的突出部分。較佳地，該第一樞軸點位於該耳部對準構件之突出部分之縱軸上。在一些其他具體實施例中，該耳部對準構件包括一第三光發射器，其投射用於對準該個體耳道的線形光束(例如投射線形雷射光的雷射發射器)。較佳地，該第一樞軸點位於從所述線形光束延伸的假想線上。According to some embodiments of the present invention, the ear alignment member has a protruding portion for fitting into the ear canal of the individual. Preferably, the first pivot point is located on a longitudinal axis of a protruding portion of the ear alignment member. In some other specific embodiments, the ear alignment member includes a third light emitter that projects a linear light beam (eg, a laser emitter that projects linear laser light) for aligning the ear canal of the individual. Preferably, the first pivot point is located on an imaginary line extending from the linear light beam.
根據本發明的部分具體實施例，該頭部固定總成之主體可滑動地附接至該底座。According to some embodiments of the present invention, the main body of the head fixing assembly is slidably attached to the base.
在本發明的部分具體實施例中，該引導件包括一線條，其代表該第一參考平面。在一些具體實施例中，該引導件包括一透明基板，其自各該側端向上並稍微向內延伸。根據本發明之一特定具體實施例，該透明基板係標記有一代表該第一參考平面的線條。在另一具體實施例中，該透明基板投射以一光束，其用作為代表該第一參考平面的線條。In some specific embodiments of the present invention, the guide includes a line that represents the first reference plane. In some embodiments, the guide includes a transparent substrate that extends upward and slightly inward from each of the side ends. According to a specific embodiment of the present invention, the transparent substrate is marked with a line representing the first reference plane. In another specific embodiment, the transparent substrate projects a light beam, which is used as a line representing the first reference plane.
根據本發明，該引導件較佳為長度可伸縮。舉例來說，該透明基板可為條帶狀並適於滑動進出該主體，使得該引導件可部分推入該主體之側端中，以便利該個體之頭部放置在主體上的該等側端之間，且稍後可拉出以在操作者參照該引導件之線條調整該個體之頭部位置時，將該線條之端點與在該個體之頭部上的某個參考點對準。According to the invention, the guide is preferably telescopic in length. For example, the transparent substrate may be strip-shaped and adapted to slide in and out of the main body, so that the guide can be partially pushed into the side ends of the main body to facilitate the head of the individual to be placed on the sides of the main body. Between the ends, and can be pulled out later to align the endpoint of the line with a reference point on the head of the individual when the operator adjusts the position of the head of the individual with reference to the line of the guide .
根據本發明的部分具體實施例，該耳部對準構件和該第一連接器同軸連接至該主體，使得該第一樞軸點（亦即該第一連接器樞轉至該主體之側端處）位於該耳部對準構件之突出部分之縱軸上。在一些具體實施例中，該耳部對準構件和該第一連接器可相對於該主體之側端同步地可滑動，允許操作者調整該耳部對準構件之位置，以將該耳部對準構件之突出部分安裝進該個體耳道中。According to some specific embodiments of the present invention, the ear alignment member and the first connector are coaxially connected to the main body, so that the first pivot point (that is, the first connector is pivoted to a side end of the main body) At) on the longitudinal axis of the protruding portion of the ear alignment member. In some specific embodiments, the ear alignment member and the first connector are slidable synchronously with respect to the side end of the main body, allowing an operator to adjust the position of the ear alignment member to the ear A protruding portion of the alignment member fits into the individual's ear canal.
根據本發明的部分具體實施例，該頭部固定總成更包括一枕頭構件，其用於支撐該個體之頭部。該枕頭構件設置於該主體上的該等側端之間。較佳地，該枕頭構件適於相對於該個體之橫向平面以調整該個體之頭部之傾斜角度。此外，該枕頭構件可為可更換式。According to some embodiments of the present invention, the head fixing assembly further includes a pillow member for supporting the head of the individual. The pillow member is disposed between the side ends on the main body. Preferably, the pillow member is adapted to adjust the inclination angle of the head of the individual with respect to the lateral plane of the individual. In addition, the pillow member may be replaceable.
在本發明的部分具體實施例中，該引導件配置成使得代表該第一參考平面的線條正交於該耳部對準構件之突出部分之縱軸及該底座兩者。換言之，該第一參考平面通過該第一樞軸點，因而亦通過該個體耳道之開口。根據本發明之部分較佳具體實施例，該第一參考平面係該個體之法蘭克福特水平面。該法蘭克福特水平面可定義為自該外耳道（上方）畫至眶下緣（infraorbital rim）最下方的線。因此，在此類具體實施例中，操作者可藉由將該（該等）耳部對準構件之該（該等）突出部分安裝進該個體之該（該等）耳道中，且隨後將該（該等）引導件之線條之端點與該個體之該（該等）眶下緣最下方對準，而使用該（該等）引導件輔助定位該個體之頭部，以將該個體之頭部調整（例如使用該枕頭構件調整該頭部之傾斜角度）至該個體之法蘭克福特水平面正交於該底座的位置。In some specific embodiments of the present invention, the guide is configured such that a line representing the first reference plane is orthogonal to both a longitudinal axis of a protruding portion of the ear alignment member and the base. In other words, the first reference plane passes through the first pivot point, and thus also through the opening of the individual's ear canal. According to some preferred embodiments of the present invention, the first reference plane is the Frankfurt special horizontal plane of the individual. The Frankfurt horizontal plane can be defined as the line drawn from the external auditory canal (above) to the lowest of the infraorbital rim. Therefore, in such specific embodiments, the operator may install the ear (s) of the ear-aligning member into the ear (s) of the ear canal, and then The end of the line of the guide (s) is aligned with the bottom of the orbital inferior orbit of the individual, and the guide (s) is used to assist in positioning the individual's head to position the individual Adjust the head of the head (such as using the pillow member to adjust the tilt angle of the head) to the position where the Frankfurt horizontal plane of the individual is orthogonal to the base.
依據部分較佳具體實施例，該第一立架包括一第一臂，其自該底座向上延伸至一上端；一第二臂，其以直角連接至該第一臂之該上端，且沿著平行於該頭部固定總成之中線的方向延伸至一後端；一第三臂，其以直角連接至該第二臂之該後端，且沿著垂直於該頭部固定總成之中線的方向延伸至一中端；以及一第四臂，其以直角連接至該第三臂之該中端，且向下延伸至一下端。較佳地，各臂之長度皆可調整。在一具體實施例中，該夾持器樞接至該第四臂之該下端。根據本發明的部分具體實施例，該夾持器為了不同評估/介入治療目的而訂製或可調整。舉例而言，一些夾持器適於「橫向超音波掃描」，而其他夾持器適於「縱向超音波掃描」。或者，舉例而言，該夾持器可相對於該第四臂旋轉，以在「橫向超音波掃描」模式與「縱向超音波掃描」模式之間進行切換。According to some preferred embodiments, the first stand includes a first arm extending upward from the base to an upper end; a second arm connected to the upper end of the first arm at a right angle, and along the A direction parallel to the centerline of the head fixing assembly extends to a rear end; a third arm connected to the rear end of the second arm at a right angle, and along a direction perpendicular to the head fixing assembly The direction of the center line extends to a middle end; and a fourth arm connected to the middle end of the third arm at a right angle and extending downward to the lower end. Preferably, the length of each arm can be adjusted. In a specific embodiment, the holder is pivotally connected to the lower end of the fourth arm. According to some embodiments of the invention, the holder is customized or adjustable for different evaluation / intervention treatment purposes. For example, some holders are suitable for "transverse ultrasonic scanning", while others are suitable for "longitudinal ultrasonic scanning". Alternatively, for example, the holder can be rotated relative to the fourth arm to switch between a "transverse ultrasonic scanning" mode and a "vertical ultrasonic scanning" mode.
根據本發明之一具體實施例，考量個別差異，該耳部對準構件可調整式，亦即其與該個體之耳部的距離可調整。According to a specific embodiment of the present invention, in consideration of individual differences, the ear alignment member is adjustable, that is, the distance between the ear alignment member and the ear of the individual can be adjusted.
根據本發明的部分具體實施例，該定位裝置更包含一第二光發射器。該第二光發射器能投射定義第三參考平面的第二光束。在一些較佳具體實施例中，該第三參考平面代表該個體之一正中平面。在本發明之一具體實施例中，該第二光發射器配置於面向該頭部固定總成的側面上該第一立架之第四臂上。According to some specific embodiments of the present invention, the positioning device further includes a second light emitter. The second light emitter is capable of projecting a second light beam defining a third reference plane. In some preferred embodiments, the third reference plane represents a median plane of the individual. In a specific embodiment of the present invention, the second light emitter is disposed on a fourth arm of the first stand on a side facing the head fixing assembly.
在本發明的部分具體實施例中，該定位裝置更包含一第二立架、一第二連接器以及一第二光發射器。該第二立架固定至該底座並向上延伸至一上端。該第二連接器具有第一端及相對的第二端。該第二連接器之第一端於第二樞軸點樞接至該第二立架之該上端，使得該第二連接器可相對該第二樞軸點旋轉。該第二光發射器能投射第二光束，且配置在該第二連接器之第二端，使得該第二光束定義通過該第二樞軸點的第三參考平面。在本發明之一具體實施例中，該第二立架在該頭部固定總成之中線通過的固定點處固定至該底座。在此類具體實施例中，該第三參考平面可為該個體之一正中平面。In some specific embodiments of the present invention, the positioning device further includes a second stand, a second connector, and a second optical transmitter. The second stand is fixed to the base and extends upward to an upper end. The second connector has a first end and an opposite second end. A first end of the second connector is pivotally connected to the upper end of the second stand at a second pivot point, so that the second connector can rotate relative to the second pivot point. The second light emitter is capable of projecting a second light beam and is disposed at the second end of the second connector, so that the second light beam defines a third reference plane passing through the second pivot point. In a specific embodiment of the present invention, the second stand is fixed to the base at a fixing point through which the middle line of the head fixing assembly passes. In such specific embodiments, the third reference plane may be a median plane of the individual.
然而，在本發明的一些其他具體實施例中，該第二立架係建構為與該定位裝置分離的模組，而非固定至該底座，藉此允許操作者將該第二立架及該第二光發射器設置在所需位置，以使該第二光束適當地投射至該個體上以描繪出第三參考平面。However, in some other specific embodiments of the present invention, the second stand is configured as a module separate from the positioning device, instead of being fixed to the base, thereby allowing an operator to place the second stand and the The second light emitter is disposed at a desired position so that the second light beam is appropriately projected onto the individual to delineate a third reference plane.
又或者，該第二光發射器可配置於上述的第一立架之第四臂（例如在面向該頭部固定總成的側面處）上。較佳地，該第二光發射器可相對該第四臂進行調整，以使操作者可調整該第二光束所定義的第三參考平面。Alternatively, the second light transmitter may be disposed on the fourth arm of the first stand (for example, at a side facing the head fixing assembly). Preferably, the second light emitter can be adjusted relative to the fourth arm, so that an operator can adjust a third reference plane defined by the second light beam.
根據本發明的部分具體實施例，該第一連接器及/或該第二連接器的長度可伸縮，以使操作者可將該第一光發射器及/或該第二光發射器調整至所需的位置。According to some specific embodiments of the present invention, the length of the first connector and / or the second connector is retractable, so that an operator can adjust the first optical transmitter and / or the second optical transmitter to Desired location.
較佳地，該第一光發射器係為投射線形雷射光的雷射發射器，及/或該第二光發射器係為投射線形雷射束的雷射光發射器。Preferably, the first light emitter is a laser emitter that projects a linear laser light, and / or the second light emitter is a laser light emitter that projects a linear laser beam.
根據本發明，定義該第二參考平面的第一光束以及定義該第三參考平面的第二光束可在該個體上形成一交叉點，其代表進行該評估或介入治療的理想的點。舉例而言，操作者可使用該夾持器總成之可調式的第一立架將該醫療裝置移至指向前述交叉點，以進行特定的評估或介入治療。According to the present invention, the first light beam defining the second reference plane and the second light beam defining the third reference plane may form an intersection on the individual, which represents an ideal point for performing the evaluation or interventional treatment. For example, the operator can use the adjustable first stand of the holder assembly to move the medical device to point to the aforementioned intersection for a specific evaluation or interventional treatment.
據此，該第一立架較佳為可提供該醫療裝置某種移動自由度，使得操作者可透過電腦控制系統或手動地將該醫療裝置移至適當位置以進行該評估或介入治療。According to this, the first stand preferably can provide a certain degree of freedom of movement of the medical device, so that the operator can move the medical device to an appropriate position through the computer control system or manually for the evaluation or interventional treatment.
在本發明的部分具體實施例中，該夾持器總成更包括一馬達，其用以相對於該第一立架旋轉該夾持器。此類具體實施例特別可用於需要一掃描範圍的3D超音波成像中。該夾持器之移動/旋轉型式可由電腦程式進行控制。In some specific embodiments of the present invention, the holder assembly further includes a motor for rotating the holder relative to the first stand. Such specific embodiments are particularly useful in 3D ultrasound imaging where a scanning range is required. The movement / rotation pattern of the gripper can be controlled by a computer program.
根據本發明的部分具體實施例，該夾持器包含一框架部件及一夾持部件，該框架部件樞接至該第一立架，該夾持部件樞接至該框架部件並適於固持該醫療裝置。在一具體實施例中，該夾持器更包含一馬達，其用以相對於該框架部件旋轉該夾持部件，使得該醫療裝置之前端可朝向該個體的一上方方向及/或一下方方向移動。又，在超音波掃描的情況下，該夾持部件可相對框架部件同軸地旋轉而用於在「橫向超音波掃描」模式與「縱向超音波掃描」模式之間進行切換，但不限於此。在另一具體實施例中，該夾持部件包括一緩衝元件，其用以緩衝該醫療裝置相對於該夾持部件之移動。According to some specific embodiments of the present invention, the holder includes a frame member and a clamping member, the frame member is pivotally connected to the first stand, and the clamping member is pivotally connected to the frame member and is adapted to hold the frame member. Medical device. In a specific embodiment, the holder further includes a motor for rotating the holding member relative to the frame member, so that the front end of the medical device can face an upper direction and / or a lower direction of the individual. mobile. Moreover, in the case of ultrasonic scanning, the holding member can be rotated coaxially with respect to the frame member to switch between the "lateral ultrasonic scanning" mode and the "vertical ultrasonic scanning" mode, but it is not limited thereto. In another specific embodiment, the clamping member includes a buffer element for buffering the movement of the medical device relative to the clamping member.
在本發明之部分較佳具體實施例中，該夾持器總成更包括一緩衝元件，其用以緩衝該醫療裝置相對於該夾持器之移動。這使得該醫療裝置在需要保持接近並靠在該個體上的評估區域及/或在其附近移動時減少個體之不適。In some preferred embodiments of the present invention, the holder assembly further includes a buffer element for buffering movement of the medical device relative to the holder. This allows the medical device to reduce an individual's discomfort when it is necessary to stay close to and rest on the evaluation area of the individual and / or move around it.
根據本發明之一個較佳具體實施例，該定位裝置係使用於阻塞性睡眠呼吸中止症的超音波成像評估。在此類具體實施例中，該第二參考平面可為該個體之一舌骨-外耳道平面，而該第三參考平面可為該個體之一正中平面。According to a preferred embodiment of the present invention, the positioning device is used for ultrasound imaging evaluation of obstructive sleep apnea. In such specific embodiments, the second reference plane may be a hyoid bone-external auditory canal plane of the individual, and the third reference plane may be a median plane of the individual.
根據本發明，該定位裝置亦可在至少下列評估或介入治療中使用：超音波導引介入治療（例如穿刺、注射、切片檢查及神經阻斷術），以及頸部、頸動脈、頸部淋巴結、甲狀腺、副甲狀腺或腮腺之周圍動靜脈之超音波成像。According to the present invention, the positioning device can also be used in at least the following assessments or interventions: ultrasound guided interventions (such as puncture, injection, biopsy, and nerve block), and cervical, carotid, and cervical lymph nodes Ultrasound imaging of arteries and veins surrounding the thyroid, parathyroid, or parotid glands.
以下說明本發明之部分較佳具體實施例。Some preferred embodiments of the present invention will be described below.
參照圖1至圖3，提供用於個體頭頸部評估或介入治療的定位裝置100。定位裝置100包含一底座10、一頭部固定總成20、一第一連接器30、一第一光發射器40、一夾持器總成50、一第二立架60、一第二連接器70、和一第二光發射器80。頭部固定總成20包括一主體21；一引導件24，其代表該個體之第一參考平面92；以及一耳部對準構件26。主體21附接至底座10，且具有向上延伸的兩個側端22。引導件24自各該側端22向上並稍微向內延伸。耳部對準構件26配置在各該側端22之內側222上，且具有用於納入該個體耳道中的突出部分262。頭部固定總成20可更包括一枕頭構件28，其用於支撐該個體之頭部，枕頭構件28設置於主體21上的側端22之間。較佳地，枕頭構件28適於相對該個體之橫向平面調整該個體之頭部之傾斜角度。1 to 3, a positioning device 100 for individual head and neck assessment or interventional treatment is provided. The positioning device 100 includes a base 10, a head fixing assembly 20, a first connector 30, a first light emitter 40, a holder assembly 50, a second stand 60, and a second connection器 70, and a second light emitter 80. The head fixing assembly 20 includes a main body 21; a guide 24, which represents the first reference plane 92 of the individual; and an ear alignment member 26. The main body 21 is attached to the base 10 and has two side ends 22 extending upward. The guides 24 extend upward and slightly inward from each of the side ends 22. The ear alignment member 26 is disposed on the inner side 222 of each of the side ends 22, and has a protruding portion 262 for being incorporated in the ear canal of the individual. The head fixing assembly 20 may further include a pillow member 28 for supporting the head of the individual. The pillow member 28 is disposed between the side ends 22 on the main body 21. Preferably, the pillow member 28 is adapted to adjust the inclination angle of the head of the individual relative to the lateral plane of the individual.
第一連接器30具有第一端302及相對第一端302之第二端304。第一端302在位於耳部對準構件26之突出部分262之縱軸2622（參見圖2）上的第一樞軸點306處，樞接至在外側224上的主體21之側端22。第一光發射器40能投射第一光束，且配置於第一連接器30之第二端304，使得該第一光束定義通過第一樞軸點306的第二參考平面94 （參見圖2）。夾持器總成50包括可調式的一第一立架52以及一夾持器54。夾持器54用以固持用於該評估或介入治療的醫療裝置55 （參見圖1及圖3）。第一立架52固定至底座10，且夾持器54樞接至第一立架52。第二立架60固定至底座10並向上延伸至上端62。第二連接器70具有第一端702和相對第一端702之第二端704。第二連接器70之第一端702在第二樞軸點706處樞接至第二立架60之上端62。第二光發射器80能投射第二光束，且配置於第二連接器70之第二端704處，使得該第二光束定義通過第二樞軸點706的第三參考平面96。在此具體實施例中，第二立架60在頭部固定總成20之中線29通過的固定點64處固定至底座10。如此一來，若第二連接器70處於直立位置，則第三參考平面96可為該個體之一正中平面。此外，第一立架52包括一第一臂522，其自底座10向上延伸至上端5222；一第二臂524，其以直角連接至第一臂522之上端5222，且沿著平行於頭部固定總成20之中線29的方向延伸至後端5242；一第三臂526，其以直角連接至第二臂524之後端5242，且沿著垂直於頭部固定總成20之中線29的方向延伸至中端5262；以及一第四臂528，其以直角連接至第三臂526之中端5262，且向下延伸至下端5282。夾持器54包括一框架部件542和一夾持部件544。框架部件542樞接至第一立架52之第四臂528之下端5282。夾持部件544樞接至框架部件542並適用以固持醫療裝置55 （參見圖3）。夾持器54更包括一馬達5422，其用以相對於框架部件542旋轉夾持部件544。夾持部件544包括一緩衝元件5442，其用以緩衝醫療裝置55相對於夾持部件544之移動。The first connector 30 has a first end 302 and a second end 304 opposite to the first end 302. The first end 302 is pivotally connected to the side end 22 of the main body 21 on the outer side 224 at a first pivot point 306 on a longitudinal axis 2622 (see FIG. 2) of the protruding portion 262 of the ear alignment member 26. The first light emitter 40 is capable of projecting a first light beam and is disposed at the second end 304 of the first connector 30 so that the first light beam defines a second reference plane 94 passing through the first pivot point 306 (see FIG. 2) . The holder assembly 50 includes a first stand 52 and a holder 54 that are adjustable. The holder 54 is used to hold a medical device 55 for the evaluation or interventional treatment (see FIGS. 1 and 3). The first stand 52 is fixed to the base 10, and the holder 54 is pivotally connected to the first stand 52. The second stand 60 is fixed to the base 10 and extends upward to the upper end 62. The second connector 70 has a first end 702 and a second end 704 opposite to the first end 702. The first end 702 of the second connector 70 is pivotally connected to the upper end 62 of the second stand 60 at a second pivot point 706. The second light emitter 80 is capable of projecting a second light beam and is disposed at the second end 704 of the second connector 70 such that the second light beam defines a third reference plane 96 passing through a second pivot point 706. In this specific embodiment, the second stand 60 is fixed to the base 10 at a fixing point 64 through which the middle line 29 of the head fixing assembly 20 passes. As such, if the second connector 70 is in an upright position, the third reference plane 96 may be a median plane of the individual. In addition, the first stand 52 includes a first arm 522 extending upward from the base 10 to an upper end 5222; a second arm 524 connected to the upper end 5222 of the first arm 522 at a right angle and parallel to the head The direction of the centerline 29 of the fixing assembly 20 extends to the rear end 5242; a third arm 526 is connected at a right angle to the rear end 5242 of the second arm 524, and is perpendicular to the centerline 29 of the fixing assembly 20 And a fourth arm 528 connected at a right angle to the middle end 5262 of the third arm 526 and extending downward to the lower end 5282. The holder 54 includes a frame member 542 and a holding member 544. The frame member 542 is pivotally connected to the lower end 5282 of the fourth arm 528 of the first stand 52. The clamping member 544 is pivotally connected to the frame member 542 and is adapted to hold the medical device 55 (see FIG. 3). The holder 54 further includes a motor 5422 for rotating the holding member 544 relative to the frame member 542. The holding member 544 includes a buffer element 5442 for buffering the movement of the medical device 55 relative to the holding member 544.
圖4係例示個體阻塞性睡眠呼吸中止症的超音波成像評估中，使用根據本發明的定位裝置的透視圖。連同圖1至圖2參照圖4，在該個體躺下並將他/她的頭部放置在枕頭構件28上的頭部固定總成20中，且兩個耳部對準構件26之該等位置皆調整成對準該個體耳道之對應開口之後，該個體之頭部之傾斜角度可首先透過枕頭構件28借助於引導件24進行調整，使得該個體之法蘭克福特水平面（由第一參考平面92表示）平行於該底座之法線方向（且因而垂直於該檢查床台（未顯示）之表面）。其後，該操作者可手動識別該個體舌骨之位置並據此調整第一連接器30，使得由來自第一光發射器40的第一光束所定義的第二參考平面94代表該個體之舌骨外耳道平面，且該第一光束描繪在該個體表面上的第一線942（ 通過該所識別之舌骨位置）。又，第二連接器70可調整成直立位置，使得由來自第二光發射器80的第二光束所定義的第三參考平面96代表該個體之正中平面，且該第二光束描繪在該個體表面上的第二線962。第一線942和第二線962將在該個體表面上的C點處交叉。然後，該操作者可調整可調式的第一立架52以將超音波探頭之前端引導至C點，以掃描該個體之舌後區(retroglossal region)和軟顎後區(retropalatal region)。在另一實例中，針對甲狀腺的檢查，操作者可辨別出該個體甲狀軟骨的位置，並據此調整第一連接器30，使得由來自第一光發射器40的第一光束所定義的第二參考平面94代表該個體之甲狀軟骨-外耳道平面，且該第一光束描繪在該個體表面上的第一線942 （通過該所識別之甲狀軟骨之位置）。如此一來，第一線942和第二線962交叉的C點代表該個體甲狀軟骨之中心點，該操作者可朝向其調整可調式的第一立架52以引導超音波探頭之前端進行甲狀腺檢查。FIG. 4 is a perspective view illustrating the use of a positioning device according to the present invention in an ultrasound imaging evaluation of obstructive sleep apnea in an individual. Referring to FIG. 4 together with FIGS. 1 to 2, the individual is lying down and placing his / her head on the pillow member 28 in a head fixing assembly 20, and the two ears are aligned with the members 26 After the positions are adjusted to align with the corresponding openings in the ear canal of the individual, the inclination angle of the individual's head can first be adjusted through the pillow member 28 with the help of the guide 24, so that the individual's Frankfurt level (Represented by 92) parallel to the normal direction of the base (and thus perpendicular to the surface of the examination table (not shown)). Thereafter, the operator can manually identify the position of the individual's hyoid bone and adjust the first connector 30 accordingly, so that the second reference plane 94 defined by the first light beam from the first light emitter 40 represents the individual's The hyoid bone is in the plane of the external ear canal, and the first light beam traces a first line 942 (through the identified hyoid bone position) on the surface of the individual. Also, the second connector 70 can be adjusted to an upright position so that the third reference plane 96 defined by the second light beam from the second light emitter 80 represents the median plane of the individual, and the second light beam is depicted on the individual Second line on the surface 962. The first line 942 and the second line 962 will cross at point C on the surface of the individual. The operator can then adjust the adjustable first stand 52 to guide the front end of the ultrasonic probe to point C to scan the individual's retroglossal region and retropalatal region. In another example, for a thyroid examination, the operator can identify the position of the individual's thyroid cartilage and adjust the first connector 30 accordingly so that it is defined by the first light beam from the first light emitter 40 The second reference plane 94 represents the thyroid cartilage-external auditory canal plane of the individual, and the first light beam depicts a first line 942 on the surface of the individual (through the position of the identified thyroid cartilage). In this way, the point C where the first line 942 and the second line 962 intersect represents the center point of the individual's thyroid cartilage. The operator can adjust the adjustable first stand 52 to guide the front end of the ultrasonic probe. Thyroid examination.
在本發明之部分較佳具體實施例中，該夾持器總成更包括一緩衝元件，其用以緩衝該醫療裝置相對於該夾持器之移動。這使得該醫療裝置在需要保持接近並靠在該個體上的評估區域及/或在其附近移動時減少個體之不適感。In some preferred embodiments of the present invention, the holder assembly further includes a buffer element for buffering movement of the medical device relative to the holder. This allows the medical device to reduce the individual's discomfort when it needs to remain close to and against the evaluation area of the individual and / or move around.
相信本發明所屬技術領域中具有通常知識者，基於本文所描述，在不需要進一步說明之下能夠運用本發明至最廣的程度。因此，應了解所提供的說明與申請專利範圍僅為例示之目的，而非以任何方式限制本發明之範圍。It is believed that those with ordinary knowledge in the technical field to which the present invention pertains can apply the present invention to the widest extent without further explanation based on the description herein. Therefore, it should be understood that the description provided and the scope of patent application are provided for illustrative purposes only and are not intended to limit the scope of the invention in any way.
10 底座 12 側邊 14 帶子 20 頭部固定總成 21 主體 22 側端 222 內側 224 外側 24 引導件 242 透明基板 246 線條 26 耳部對準構件 262 突出部分 2622 縱軸 28 枕頭構件 29 中線 30 第一連接器 302 第一端 304 相對的第二端；第二端 306 第一樞軸點 40 第一光發射器 50 夾持器總成 52 可調式的第一立架；第一立架 522 第一臂 5222 上端 524 第二臂 5242 後端 526 第三臂 5262 中端 528 第四臂 5282 下端 54 夾持器 542 框架部件 5422 馬達 544 夾持部件 5442 緩衝元件 55 醫療裝置 60 第二立架 62 上端 64 固定點 70 第二連接器 702 第一端 704 第二端 706 第二樞軸點 80 第二光發射器 92 第一參考平面 94 第二參考平面 942 第一線 96 第三參考平面 962 第二線 100 定位裝置10 Base 12 Side 14 Strap 20 Head fixing assembly 21 Body 22 Side end 222 Inner side 224 Outer side 24 Guide 242 Transparent substrate 246 Line 26 Ear alignment member 262 Projection 2622 Vertical axis 28 Pillow member 29 Center line 30 No. A connector 302 has a first end 304 opposite to the second end; a second end 306, a first pivot point 40, a first light emitter 50, a holder assembly 52, an adjustable first stand, and a first stand 522. One arm 5222 upper end 524 second arm 5242 rear end 526 third arm 5262 middle end 528 fourth arm 5282 lower end 54 holder 542 frame member 5422 motor 544 holding member 5442 cushioning element 55 medical device 60 second stand 62 upper end 64 Fixing point 70 Second connector 702 First end 704 Second end 706 Second pivot point 80 Second light transmitter 92 First reference plane 94 Second reference plane 942 First line 96 Third reference plane 962 Second Line 100 positioning Device
搭配附圖閱讀時，可更佳地瞭解以上的摘述以及以下的本發明之詳細說明。在圖式中：When read in conjunction with the drawings, you can better understand the above summary and the following detailed description of the present invention. In the scheme:
圖1係本發明的一定位裝置之透視圖。FIG. 1 is a perspective view of a positioning device of the present invention.
圖2係說明第一、第二及第三參考平面的示意圖。FIG. 2 is a schematic diagram illustrating the first, second and third reference planes.
圖3係本發明的一定位裝置之夾持器之透視圖。Figure 3 is a perspective view of a holder of a positioning device of the present invention.
圖4係例示藉由超音波成像，使用本發明的定位裝置評估個體阻塞性睡眠呼吸中止症。FIG. 4 illustrates the evaluation of obstructive sleep apnea by using the positioning device of the present invention using ultrasound imaging.
無no
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| TW105136956A TWI625115B (en) | 2016-11-11 | 2016-11-11 | Positioning apparatus for head and neck assessment or intervention |
| CN201710226905.4A CN108065966B (en) | 2016-11-11 | 2017-04-06 | Positioning device for head and neck assessment or interventional therapy |
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| TWI751542B (en) * | 2020-04-30 | 2022-01-01 | 道鑛有限公司 | Device, body, method and system for health-care |
| TWI751543B (en) * | 2020-04-30 | 2022-01-01 | 道鑛有限公司 | Device, body, method and system for health-care |
| CN113577540A (en) * | 2020-04-30 | 2021-11-02 | 道鑛有限公司 | Health care device |
| CN112274180B (en) * | 2020-10-29 | 2021-05-14 | 西北妇女儿童医院 | All-round detection B ultrasonic appearance of head |
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| TW201817384A (en) | 2018-05-16 |
| CN108065966A (en) | 2018-05-25 |
| CN108065966B (en) | 2021-02-12 |
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