CN104095650A - Radiotherapy equipment - Google Patents
Radiotherapy equipment Download PDFInfo
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- CN104095650A CN104095650A CN201310121405.6A CN201310121405A CN104095650A CN 104095650 A CN104095650 A CN 104095650A CN 201310121405 A CN201310121405 A CN 201310121405A CN 104095650 A CN104095650 A CN 104095650A
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Abstract
The invention discloses radiotherapy equipment, which comprises a radiotherapy part, a patient bed and a PET (position emission tomography) monitoring part, wherein the patient bed is used for supporting and moving a patient, and the PET monitoring part is arranged on the patient bed in the horizontal moving direction. The radiotherapy equipment has the advantage that the to-be-treated patient is scanned by the PET monitoring part in real time, and the therapy scheme is adjusted according to the scanning results, so the precision and speed of radiotherapy are effectively improved, and the injury to the healthy issues of the patient is minimized when enough radioactive dose is enabled to be radiated to a tumor area.
Description
Technical field
The present invention relates to field of medical, especially a kind of radiotherapy equipment with PET control function.
Background technology
Radiotherapy equipment refers to the equipment that utilizes high-energy electromagnetic radiation (X-radiation, gamma radiation) or particle radiation (electronics, proton, carbon ion) to destroy the tissue of pathological changes, is widely used in oncotherapy in medical science.Emission center at radiotherapy equipment produces high radiological dose targetedly, the problem that usually there will be radiation target to change in health in the process of radiation.As grown up or dwindled in the time of tumor between plan radiation and actual radiation.And treatment process according to the carrying out of radiation, the center of lesion region changes.Proposed to monitor the position of radiation target in health by imaging device in radiative process for this reason; to control accordingly ray or can interrupt if desired radiation and improve thus therapeutic effect; this for the radiation target in epigastrium and hypogastric region and pelvic cavity, be even more important as prostate; for making the minimum tissue that also protects the health thus of radiological dose outside target area, all the generation of rays is carried out around lesion region.Make thus roentgendosis concentrate in the ray in rotating shaft region.
Image forming medium for monitor treatment has proposed X-ray apparatus and ultrasonic unit.But these devices only provide limited solution to this problem.Ultrasonic imaging lacks penetration depth for a lot of application.In x-ray imaging, X ray sensor may be accelerated gamma ray destruction or the injury of device.In addition be usually the effect that can not reach satisfied to the shooting quality of tissue.
Therefore the main labelling that adopts auxiliary locator and fixture or stick on patient skin ensures that patient is arranged in the position identical with previous radiation plan and makes thus the emission center of radiological unit also in fact overlap with radiation target in radiological unit at present.But these auxiliary locators and fixture are more expensive, and patient is brought to uncomfortable sensation.Containing in addition the danger of radiating error, because conventionally can not reexamine the physical location of emission center in radiative process.These problems have all caused the precision of therapeutic process and the factor of speed of affecting.The health tissues that reduces as far as possible infringement patient when the sufficiently high radiation dose of guarantee is radiated at tumor region becomes urgent problem.
Summary of the invention
In order to solve the problems of the prior art, in the present invention by Positron Emission Computed Tomography (PositronEmission Tomography, be called for short PET) the technology mode of being combined with radiotherapy apparatus, by PET monitoring part real-time disease is gone accurately to monitor, effectively improve radiocurable precision.
In order to reach described object, radiotherapy equipment of the present invention comprises: radio-therapy unit; For supporting and mobile patient's sick bed; And the bed board that is arranged on sick bed moves horizontally the PET monitoring part in direction.
Optionally, in described radiotherapy equipment, described radio-therapy unit comprises the bed board passage that bed board is passed through, and sick bed is positioned at the front, PET monitoring site of radio-therapy unit in the back side of radio-therapy unit.
Optionally, in described radiotherapy equipment, described PET monitoring site is in the front of radio-therapy unit, and sick bed is between radio-therapy unit and PET monitoring part.
Optionally, in described radiotherapy equipment, described radio-therapy unit comprises the bed board passage that bed board is passed through, and PET monitoring site is in the front of radio-therapy unit, and sick bed is positioned at the back side of radio-therapy unit.
Optionally, in described radiotherapy equipment, described sick bed is positioned at the back side of radio-therapy unit, and PET monitoring site is between radio-therapy unit and sick bed.
Optionally, in described radiotherapy equipment, described sick bed is positioned at the front of radio-therapy unit, and PET monitoring site is between radio-therapy unit and sick bed.
Optionally, in described radiotherapy equipment, described radio-therapy unit comprises the bed board passage that bed board is passed through.
Optionally, in described radiotherapy equipment, described radiotherapy equipment also comprises and being arranged between radio-therapy unit and PET monitoring part, for supporting the support of sick bed.
Optionally, in described radiotherapy equipment, described support comprises the elevating lever of bed board made and the underframe that elevating lever is carried out to lifting driving.
Optionally, in described radiotherapy equipment, described elevating lever is T-shaped elevating lever wide at the top and narrow at the bottom.
Optionally, in described radiotherapy equipment, the upper surface of described elevating lever contact sick bed is provided with movable pulley.
PET imaging technique is as the special technology for tumor, its inspection advantage to tumor is that the equipment such as CT or magnetic resonance is incomparable, Medical Equipment for Radiotherapy of the present invention utilizes PET imaging technique, the precise synchronization image location of realizing the oncotherapy to patient, effectively raises treatment precision and efficiency.
Brief description of the drawings
Fig. 1 is the first embodiment front schematic view of radiotherapy equipment of the present invention;
Fig. 2 is the first embodiment schematic rear view of radiotherapy equipment of the present invention;
Fig. 3 is the first embodiment side schematic view of radiotherapy equipment of the present invention;
Fig. 4 is the T-shaped support schematic diagram of radiotherapy equipment of the present invention;
Fig. 5 is the second embodiment side schematic view of radiotherapy equipment of the present invention;
Fig. 6 is the 3rd embodiment side schematic view of radiotherapy equipment of the present invention;
Fig. 7 is the 4th embodiment side schematic view of radiotherapy equipment of the present invention;
Fig. 8 is the 5th embodiment side schematic view of radiotherapy equipment of the present invention.
Symbol description
10: radio-therapy unit 11: rotating disk 12: accelerator
13: detector 14: swivel base 15: bed board passage
21: bed board 22: bed board driver 30:PET frame
31:PET monitoring part 32: imaging band 40: support
41: movable pulley 42: elevating lever 43: underframe
Detailed description of the invention
PET imaging is the isotope thing that serves as a mark that utilizes transmitting positron, be introduced into a certain some areas in brain and participate in known biochemical metabolism process, utilize the metabolic rate of the specific metabolic process that modernization computed tomography participates in label to express with the form of three-dimensional imaging.PET checks that 85% is the inspection for tumor at present, because most malignant tumor glucose metabolisms are high, FDG as with the compound of glucose structural similarity, after intravenous injection, can get up in malignant cell inner accumulated, so PET can differentiate malignant tumor and benign tumor and normal structure, also can be distinguished the tumor of recurrence and necrosis around and scar tissue simultaneously, now be used for pulmonary carcinoma, breast carcinoma, colorectal cancer, ovarian cancer, lymphoma, the inspection of melanoma etc., its accuracy rate of diagnosis is more than 90%.Whether this inspection there is transfer for malignant neoplastic disease, and the position of shifting is very clear, and whether this needs the scope of operation and excision to play important directive function to diagnosing tumor by stages.Early stage in chemotherapy of tumors, radiotherapy, whether PET checks can find oncotherapy onset, and for determining that next step therapeutic scheme offers help.In the present invention, utilize just above-mentioned PET imaging advantage, by the mode of PET imaging technique and radiotherapy technology combination, effectively raise radiocurable accuracy and therapeutic effect.
Describe specific embodiments of the invention in detail below in conjunction with accompanying drawing.
The first embodiment
Describe in detail according to the first embodiment of the present invention below with reference to Fig. 1 to Fig. 4.
Fig. 1 is the first embodiment front schematic view of radiotherapy equipment of the present invention; Fig. 2 is the first embodiment schematic rear view of radiotherapy equipment of the present invention; Fig. 3 is the first embodiment side schematic view of radiotherapy equipment of the present invention; Fig. 4 is T-shaped support 40 schematic diagrams of radiotherapy equipment of the present invention.As shown in Figures 1 to 4, radiotherapy equipment comprises radio-therapy unit 10, PET monitoring part 31 and sick bed.Wherein radio-therapy unit 10 comprises the accelerator 12 for launching lonizing radiation; The center lonizing radiation that penetrate perpendicular to accelerator 12, are plane, and for determining the detector 13 of contour shape of radiotherapy wire harness, detector 13 is collapsible or be accommodated in radio-therapy unit 10 as requested.Under original state, described accelerator 12 and detector 13 lay respectively at patient's above and below, and lonizing radiation arrive on detector 13 by patient.In order to adjust the incident angle of lonizing radiation, the centrage that described accelerator 12 and detector 13 move horizontally direction taking bed board 21 under the drive of rotating disk 11 is rotated as axle center.Described rotating disk 11 is provided with the cylindrical shape bed board passage 15 that connects rotating disk 11, for increasing the scope that moves horizontally of sick bed.
One side of accelerator 12 and detector 13 is set as positive taking radio-therapy unit 10, sick bed is positioned at the front of radio-therapy unit 10.Described sick bed comprises the bed board 21 and the bed board driver 22 that lie low for patient, and bed board 21 can level or the movement of tilting under the driving of bed board driver 22.On the bottom surface of sick bed, be also provided with discoid swivel base 14, described swivel base 14, centered by the vertical center line of swivel base 14, drives sick bed to be rotated.
Described PET monitoring part 31 is arranged in the back side of radio-therapy unit 10, needs the part checking to form image to human body.In radiotherapy equipment of the present invention, PET monitoring part 31 is equipment independently, drives by driving device independently, is not subject to the impact of radio-therapy unit 10.
In the radiotherapy equipment of the present embodiment, sick bed need to be by arriving the imaging band 32 of PET monitoring part 31 after the bed board passage 15 of radio-therapy unit 10, the length of sick bed just needs to lengthen like this, for the adverse effect that bed board 21 Flexible changes that reduce after lengthening are accurately controlled sick bed, between PET monitoring part 31 and radio-therapy unit 10, be also provided with the support 40 of bed board made.
Described support 40 is in order to coordinate the lifting of bed board 21, also be designed to liftable support 40, described support 40 comprises for this reason: elevating lever 42, and the underframe 43 that elevating lever 42 is carried out to lifting driving, described elevating lever 42 can be T-shaped structure wide at the top and narrow at the bottom, this structure can increase contact area, the increase stress surface of elevating lever 42 and bed board 21, stability to equipment is favourable, above elevating lever 42, can also increase movable pulley 41, reduce bed board 21 while moving and the frictional force of elevating lever 42 upper surfaces.
The second embodiment
Describe in detail according to a second embodiment of the present invention below with reference to Fig. 5.
Fig. 5 is the second embodiment side schematic view of radiotherapy equipment of the present invention.Radiotherapy equipment comprises radio-therapy unit 10, PET monitoring part 31 and sick bed as shown in Figure 5.Wherein radio-therapy unit 10 comprises the accelerator 12 for launching lonizing radiation; The center lonizing radiation that penetrate perpendicular to accelerator 12, be plane, be used for the detector 13 of the contour shape of determining radiotherapy wire harness, detector 13 is collapsible or be accommodated in radio-therapy unit 10 as requested, under original state, described accelerator 12 and detector 13 lay respectively at patient's above and below, and described lonizing radiation arrive on detector 13 by patient.In order to adjust the incident angle of lonizing radiation, the centrage that described accelerator 12 and detector 13 move horizontally direction taking bed board 21 under the drive of rotating disk 11 is rotated as axle center.Described rotating disk 11 is provided with the cylindrical shape bed board passage 15 that connects rotating disk 11, for increasing the scope that moves horizontally of sick bed.
One side of accelerator 12 and detector 13 is set as positive taking radio-therapy unit 10, PET monitoring part 31 is positioned at the front of radio-therapy unit 10, and sick bed is between radio-therapy unit 10 and PET monitoring part 31.Described sick bed comprises the bed board 21 and the bed board driver 22 that lie low for patient, and bed board 21 can level or the movement of tilting under the driving of bed board driver 22.On the bottom surface of sick bed, be also provided with discoid swivel base 14, described swivel base 14, centered by the vertical center line of swivel base 14, drives sick bed to be rotated.
Described PET monitoring part 31 forms image to the part that needs in human body to check.In radiotherapy equipment of the present invention, PET monitoring part 31 is equipment independently, drives by driving device independently, is not subject to the impact of radio-therapy unit 10.
Different from the first embodiment is, here sick bed is between radio-therapy unit 10 and PET monitoring part 31, sick bed is as long as just move horizontally forward and patient can be delivered within the scope of radiation, move horizontally backward the imaging region that just patient can be delivered to PET monitoring part 31, with respect to the first embodiment, in the process checking, bed board 21 does not need through radio-therapy unit 10, so that bed board 21 does not need is oversize, can save space.
The 3rd embodiment
Describe a third embodiment in accordance with the invention in detail below with reference to Fig. 4, Fig. 6.
Fig. 6 is the 3rd embodiment side schematic view of radiotherapy equipment of the present invention.Radiotherapy equipment comprises radio-therapy unit 10, PET monitoring part 31 and sick bed as shown in Figure 6.Wherein radio-therapy unit 10 comprises the accelerator 12 for launching lonizing radiation; The center lonizing radiation that penetrate perpendicular to accelerator 12, be plane, be used for the detector 13 of the contour shape of determining radiotherapy wire harness, detector 13 is collapsible or be accommodated in radio-therapy unit 10 as requested, under original state, described accelerator 12 and detector 13 lay respectively at patient's above and below, and described lonizing radiation arrive on detector 13 by patient.In order to adjust the incident angle of lonizing radiation, the centrage that described accelerator 12 and detector 13 move horizontally direction taking bed board 21 under the drive of rotating disk 11 is rotated as axle center.Described rotating disk 11 is provided with the cylindrical shape bed board passage 15 that connects rotating disk 11, for increasing the scope that moves horizontally of sick bed.
One side of accelerator 12 and detector 13 is set as positive taking radio-therapy unit 10, sick bed is positioned at the back side of radio-therapy unit 10.Described sick bed comprises the bed board 21 and the bed board driver 22 that lie low for patient, and described bed board 21 can level or the movement of tilting under the driving of bed board driver 22.On the bottom surface of sick bed, be also provided with discoid swivel base 14, described swivel base 14, centered by the vertical center line of swivel base 14, drives sick bed to be rotated.
Described PET monitoring part 31 needs between sick bed and radio-therapy unit 10, to human body the part checking to form image, according in radiotherapy equipment of the present invention, PET monitoring part 31 is equipment independently, drives by driving device independently, is not subject to the impact of radio-therapy unit 10.
In the radiotherapy equipment of the present embodiment, sick bed need to be by arriving the imaging band 32 of PET monitoring part 31 after the bed board passage 15 of radio-therapy unit 10, the length of sick bed just needs to lengthen like this, for the adverse effect that bed board 21 Flexible changes that reduce after lengthening are accurately controlled sick bed, between PET monitoring part 31 and radio-therapy unit 10, be also provided with the support 40 of bed board made.
Fig. 4 is the T-shaped support schematic diagram of radiotherapy equipment of the present invention.Support 40 is in order to coordinate the lifting of bed board 21, also be designed to liftable support 40, described support 40 comprises for this reason: elevating lever 42, and the underframe 43 that elevating lever 42 is carried out to lifting driving, described elevating lever 42 can be T-shaped structure wide at the top and narrow at the bottom, and this structure can increase contact area, the increase stress surface of elevating lever 42 and bed board 21, favourable to the stability of equipment, above elevating lever 42, can also increase movable pulley 41, reduce bed board 21 while moving and the frictional force of elevating lever 42 upper surfaces.
With respect to the first embodiment, here PET monitoring part 31 is near sick bed, and the shiftable haulage line of sick bed meets first inspection treats again, also needs to check the treatment flow process of therapeutic effect after treatment, improves the efficiency of whole treatment.
The 4th embodiment
Describe a fourth embodiment in accordance with the invention in detail below with reference to Fig. 4, Fig. 7.
Fig. 7 is the 4th embodiment side schematic view of radiotherapy equipment of the present invention.Radiotherapy equipment comprises radio-therapy unit 10, PET monitoring part 31 and sick bed as shown in Figure 7.Wherein radio-therapy unit 10 comprises the accelerator 12 for launching lonizing radiation; The center lonizing radiation that penetrate perpendicular to accelerator 12, be plane, be used for the detector 13 of the contour shape of determining radiotherapy wire harness, detector 13 is collapsible or be accommodated in radio-therapy unit 10 as requested, under original state, described accelerator 12 and detector 13 lay respectively at patient's above and below, and described lonizing radiation arrive on detector 13 by patient.In order to adjust the incident angle of lonizing radiation, the centrage that described accelerator 12 and detector 13 move horizontally direction taking bed board 21 under the drive of rotating disk 11 is rotated as axle center.Described rotating disk 11 is provided with the cylindrical shape bed board passage 15 that connects rotating disk 11, for increasing the scope that moves horizontally of sick bed.
One side of accelerator 12 and detector 13 is set as positive taking radio-therapy unit 10, sick bed is positioned at the back side of radio-therapy unit 10.Described sick bed comprises the bed board 21 and the bed board driver 22 that lie low for patient, and described bed board 21 can level or the movement of tilting under the driving of bed board driver 22.On the bottom surface of sick bed, be also provided with discoid swivel base 14, described swivel base 14, centered by the vertical center line of swivel base 14, drives sick bed to be rotated.
Described PET monitoring part 31 is arranged in the front of radio-therapy unit 10, needs the part checking to form image to human body.In radiotherapy equipment of the present invention, PET monitoring part 31 is equipment independently, drives by driving device independently, is not subject to the impact of radio-therapy unit 10.
In the radiotherapy equipment of the present embodiment, sick bed need to be by arriving the imaging band 32 of PET monitoring part 31 after the bed board passage 15 of radio-therapy unit 10, the length of sick bed just needs to lengthen like this, for the adverse effect that bed board 21 Flexible changes that reduce after lengthening are accurately controlled sick bed, between PET monitoring part 31 and radio-therapy unit 10, be also provided with the support 40 of bed board made.
Fig. 4 is the T-shaped support schematic diagram of radiotherapy equipment of the present invention.Support 40 is in order to coordinate the lifting of bed board 21, also be designed to liftable support 40, described support 40 comprises for this reason: elevating lever 42, and the underframe 43 that elevating lever 42 is carried out to lifting driving, described elevating lever 42 can be T-shaped structure wide at the top and narrow at the bottom, and this structure can increase contact area, the increase stress surface of elevating lever 42 and bed board 21, favourable to the stability of equipment, above elevating lever 42, can also increase movable pulley 41, reduce bed board 21 while moving and the frictional force of elevating lever 42 upper surfaces.
With respect to front several embodiment, here PET monitoring part 31 obviously shortens with the distance of the accelerator 12 of radio-therapy unit 10, favourable for the driving error in minimizing sick bed moving process, has realized the object of accurate treatment.
The 5th embodiment
Describe in detail according to a fifth embodiment of the invention below with reference to Fig. 4, Fig. 8.
Fig. 8 is the 5th embodiment side schematic view of radiotherapy equipment of the present invention.Radiotherapy equipment comprises radio-therapy unit 10, PET monitoring part 31 and sick bed as shown in Figure 8.Wherein radio-therapy unit 10 comprises the accelerator 12 for launching lonizing radiation; The center lonizing radiation that penetrate perpendicular to accelerator 12, be plane, be used for the detector 13 of the contour shape of determining radiotherapy wire harness, detector 13 is collapsible or be accommodated in radio-therapy unit 10 as requested, under original state, described accelerator 12 and detector 13 lay respectively at patient's above and below, and described lonizing radiation arrive on detector 13 by patient.In order to adjust the incident angle of lonizing radiation, the centrage that described accelerator 12 and detector 13 move horizontally direction taking bed board 21 under the drive of rotating disk 11 is rotated as axle center.Described rotating disk 11 is provided with the cylindrical shape bed board passage 15 that connects rotating disk 11, for increasing the scope that moves horizontally of sick bed.
One side of accelerator 12 and detector 13 is set as positive taking radio-therapy unit 10, sick bed is positioned at the back side of radio-therapy unit 10, described sick bed comprises the bed board 21 and the bed board driver 22 that lie low for patient, and described bed board 21 can level or the movement of tilting under the driving of bed board driver 22.On the bottom surface of sick bed, be also provided with discoid swivel base 14, described swivel base 14, centered by the vertical center line of swivel base 14, drives sick bed to be rotated.
Described PET monitoring part 31 is arranged in the front of radio-therapy unit 10, needs the part checking to form image to human body.With in tool radiotherapy equipment of the present invention, PET monitoring part 31 is equipment independently, drives by driving device independently, is not subject to the impact of radio-therapy unit 10.
In the radiotherapy equipment of the present embodiment, sick bed need to be by arriving the imaging band 32 of PET monitoring part 31 after the bed board passage 15 of radio-therapy unit 10, the length of sick bed just needs to lengthen like this, for the adverse effect that bed board 21 Flexible changes that reduce after lengthening are accurately controlled sick bed, between PET monitoring part 31 and radio-therapy unit 10, be also provided with the support 40 of bed board made.
Fig. 4 is the T-shaped support schematic diagram of radiotherapy equipment of the present invention.Support 40 is in order to coordinate the lifting of bed board 21, also be designed to liftable support 40, described support 40 comprises for this reason: elevating lever 42, and the underframe 43 that elevating lever 42 is carried out to lifting driving, described elevating lever 42 can be T-shaped structure wide at the top and narrow at the bottom, and this structure can increase contact area, the increase stress surface of elevating lever 42 and bed board 21, favourable to the stability of equipment, above elevating lever 42, can also increase movable pulley 41, reduce bed board 21 while moving and the frictional force of elevating lever 42 upper surfaces.
With respect to front several embodiment, here PET monitoring part 31 is near sick bed, and the shiftable haulage line of sick bed meets first inspection treats again, also needs to check the treatment flow process of therapeutic effect after treatment, improves the efficiency of whole treatment.And PET monitoring part 31 obviously shortens with the distance of the accelerator 12 of radio-therapy unit 10, favourable for reducing driving error in sick bed moving process, realize the object of accurate treatment.
Although the present invention discloses as above with preferred embodiment; so it is not in order to limit the present invention, any those skilled in the art, without departing from the spirit and scope of the present invention; when doing a little amendment and perfect, therefore protection scope of the present invention is worked as with being as the criterion that claims were defined.
Claims (11)
1. a radiotherapy equipment, is characterized in that comprising: radio-therapy unit; For supporting and mobile patient's sick bed; And the bed board that is arranged on sick bed moves horizontally the PET monitoring part in direction.
2. radiotherapy equipment as claimed in claim 1, is characterized in that: described radio-therapy unit comprises the bed board passage that bed board is passed through, and sick bed is positioned at the front, PET monitoring site of radio-therapy unit in the back side of radio-therapy unit.
3. radiotherapy equipment as claimed in claim 1, is characterized in that: described PET monitoring site is in the front of radio-therapy unit, and sick bed is between radio-therapy unit and PET monitoring part.
4. radiotherapy equipment as claimed in claim 1, is characterized in that: described radio-therapy unit comprises the bed board passage that bed board is passed through, and PET monitoring site is in the front of radio-therapy unit, and sick bed is positioned at the back side of radio-therapy unit.
5. radiotherapy equipment as claimed in claim 1, is characterized in that: described sick bed is positioned at the back side of radio-therapy unit, and PET monitoring site is between radio-therapy unit and sick bed.
6. radiotherapy equipment as claimed in claim 1, is characterized in that: described sick bed is positioned at the front of radio-therapy unit, and PET monitoring site is between radio-therapy unit and sick bed.
7. the radiotherapy equipment as described in claim 3 or 5 or 6, is characterized in that: described radio-therapy unit comprises the bed board passage that bed board is passed through.
8. the radiotherapy equipment as described in claim 2 or 4 or 5 or 6, is characterized in that: described radiotherapy equipment also comprises and being arranged between radio-therapy unit and PET monitoring part, for supporting the support of sick bed.
9. radiotherapy equipment as claimed in claim 8, is characterized in that: described support comprises the elevating lever of bed board made and the underframe that elevating lever is carried out to lifting driving.
10. radiotherapy equipment as claimed in claim 9, is characterized in that: described elevating lever is T-shaped elevating lever wide at the top and narrow at the bottom.
11. radiotherapy equipments as claimed in claim 10, is characterized in that: the upper surface of described elevating lever contact sick bed is provided with movable pulley.
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Cited By (1)
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CN106924889A (en) * | 2015-12-31 | 2017-07-07 | 上海联影医疗科技有限公司 | A kind of Medical Devices |
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