CN105708550A - Non-invasive head holder for neuronavigation - Google Patents
Non-invasive head holder for neuronavigation Download PDFInfo
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- CN105708550A CN105708550A CN201610207620.1A CN201610207620A CN105708550A CN 105708550 A CN105708550 A CN 105708550A CN 201610207620 A CN201610207620 A CN 201610207620A CN 105708550 A CN105708550 A CN 105708550A
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- base
- fixed arm
- galianconism
- bolt
- neuronavigation
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Abstract
The invention relates to a non-invasive head holder for neuronavigation, which comprises a base and a fixed arm, wherein the base is rectangular; a fixed silica gel protection pad is arranged on the front of the base, and the silica gel protection pad is in the shape of a circular ring; a groove is formed in the back of the base; the fixed arm is L-shaped and is divided into a short arm and a long arm; the short arm is matched with the groove and can slide along the groove, a waist-shaped hole is formed in the short arm, the waist-shaped hole is provided with a short arm fixing bolt, and the short arm fixing bolt is provided with a handle; and a waist-shaped hole is formed in the long arm, the waist-shaped hole is provided with a screwing-in bolt, the screwing-in bolt passes through the waist-shaped hole, clamping nuts matched with a screw rod of the screwing-in bolt are respectively arranged at two sides of the long arm, and a fixed plate is arranged at the tail of the screwing-in bolt. When the non-invasive head holder for neuronavigation is used for removing bone nails, the head does not need to hang in the air, so that the non-invasive head holder is superior to an invasive head holder in the aspect of comfort; for an elder patient who has poor heart and lung functions and can not tolerate a general anesthesia operation, a local anesthesia operation can be carried out; and the head holder is convenient to install and can be operated by one person.
Description
Technical field
The present invention relates to technical field of medical instruments, specifically, be a kind of noinvasive headstock for Use of Neuronavigation.
Background technology
Neuronavigation system one provides preoperative formulation operation plan, art instructs the placement technology of operation technique, it is by neuroimaging diagnostic techniques, stereotactic surgery and microsurgery are combined by high-performance computer, fictionalize the three dimensional structure of patient's intracranial, between virtual digitized image and actual nervous system anatomical structure, GPS positioning principle is used to set up dynamic contact, understand the relation at operation technique position and surrounding important structures in real time, reach to obtain the purpose of removal of lesions with minimum surgical injury, and function of nervous system can be retained to greatest extent.Neuronavigation system is as a kind of medical science auxiliary positioning equipment, it is possible to provides information in real-time art for doctor, effectively compensate for traditional neural deficiency surgically, improve surgical quality.At present, in neurosurgery, patients head is fixed (such as the DORO tri-ailhead frame that Germany produces) by conventional invasive three ailhead frame, it is by piercing through scalp by head nail, it is embedded on skull immobilized patients head, such headstock good stability, it is possible to meet good head position and fix, but it has a disadvantage in that (1) wound is big, the headstock is when fixing head, and three sharp-pointed head nails need to wear out scalp, the through lamina externa cranii of muscle, it is easy to hurt blood vessel and the nerve of scalp and muscle;(2) sequela is obvious, owing to head suffers three nail wounds, causes the hemorrhage and postoperative long headache of point of puncture, scalp pain or numbness of scalp, this pain and numbness of scalp usually protracted course of disease, makes doctors and patients quite worried;(3) affect attractive in appearance, when forehead is fixed, head nail need beat at frons, not having hair to cover, often a hole for nailing is at the doozy position of forehead herein, and sometimes due to accidentally, even head nail slides and causes bigger wound, it is necessary to sews up, largely effects on attractive in appearance;(4) headstock installation procedure is complicated, all needs to check equipment performance before and after using every time, once find that head nail by rust of a specified duration or occurs that the abnormal conditions such as barb just can not re-use, installation process at least needs two people to coordinate, and for preventing pain, patient needs general anesthesia more.Additionally, three ailhead framves are in use it is also possible to cause the generation of some complication, as hemorrhage in skull nail, wound infection;After operation terminates, while laying down headstock grasping system, air can penetrate into vein blood vessel from skull nail rapidly, to cause the danger that air embolism occurs;For some patient, skull itself is relatively thin or the infant patient of incomplete development, the skull also having itself to cause because there is pathological changes in brainpan becomes the relatively thin patient of ratio, it is possible that some symptoms during headstock grasping system in carrying out craniocerebral operations, the danger such as such as meningitis, epidural hematoma, cerebrospinal leak, severe patient results even in cerebral cortex injury.Fig. 1 is the fixing head situations of existing three ailhead framves.
Chinese patent 2015205394866 discloses a kind of for the headstock in cranial nerve MVD, and including fixing brachium pontis, mobile brachium pontis, the described headstock also includes the fixing cushion of occipitalia, the fixing cushion of forehead, temples support head rest;It is curved that described occipitalia fixes cushion, forehead fixes cushion;Described temples support head rest is rounded, and this headstock has non-invasive, and to scalp, muscle and skull not damaged, fixed effect is definite, and stability is strong, it is possible to meet operation requirement.Chinese patent 201520558897X discloses a kind of neurosurgery Multifunctional head frame, including head rest body, head rest balladeur train and head rest connect axle, head rest body and head rest connect axle and are dynamically connected with head rest sledge slide, nail frame includes the first nail frame and the second nail frame, the rack structure of the second nail frame and the groove slip clamping of described first nail frame, fixing connection dish respectively with the first nail frame, head rest connects axle and bracing frame connector is rotationally connected, support frame as described above connector and bottom support frame are connected by universal drive shaft, this headstock is avoided using head nail, may insure that operative site is centrally located, more practical and convenience in operation.And about the noinvasive headstock that the present invention is used for Use of Neuronavigation, yet there are no report.
Summary of the invention
It is an object of the invention to for deficiency of the prior art, it is provided that a kind of noinvasive headstock for Use of Neuronavigation.
For achieving the above object, the present invention adopts the technical scheme that:
A kind of noinvasive headstock for Use of Neuronavigation, including base and fixed arm, described base is rectangle;The front of described base is provided with fixing silica gel protective pad, and silica gel protective pad is annular;The back side of described base is provided with groove;Described fixed arm is " L " shape, is divided into galianconism and long-armed two parts;Described galianconism and groove fit also can be slided along groove, described galianconism is provided with mounting hole, mounting hole is provided with the fixing bolt of galianconism, and the fixing bolt of galianconism is provided with handle, drives galianconism to fix bolt rotation by swing handle and realizes galianconism and the fixing of base and slip;The described long-armed mounting hole that is provided with, mounting hole is provided with precession bolt;Described precession bolt through mounting hole, long-armed is respectively provided on two sides with the clamping nut matched with precession bolt screw rod, and the afterbody of precession bolt is provided with fixing plate.
Described fixed arm has three, respectively head fixed arm, the first temples fixed arm and the second temples fixed arm;Described first temples fixed arm and the second temples fixed arm lay respectively at outside the long limit of rectangular seat;Described head fixed arm is positioned at outside the minor face of rectangular seat;The groove of described base back surface has two, respectively transverse concave groove and longitudinal fluting;Described transverse concave groove is perpendicular to the long limit of base, and the galianconism of transverse concave groove and the first temples fixed arm and the second temples fixed arm coordinates, and the galianconism of the first temples fixed arm and the second temples fixed arm can horizontally slip along transverse concave groove;Described longitudinal fluting is perpendicular to the minor face of base, and longitudinal fluting coordinates with the galianconism of head fixed arm, and the galianconism of head fixed arm can slide up and down along longitudinal fluting.
Described fixing plate is circular, and the surface of fixing plate is provided with sponge cushion.
The described long-armed navigational reference frame mounting seat that is provided with, navigational reference frame mounting seat is provided with ratchet.
Described precession bolt also can slide up and down along mounting hole through mounting hole, by screw the clamping nut of long-armed both sides precession can be bolted to long-armed on.
The described long-armed plane being perpendicular to base place, precession bolt can slide up and down along the mounting hole on long-armed, by controlling the slip of precession bolt thus the height of adjustment fixing plate and base.
By rotating the width of the fixing plate of precession bolt scalable and base center.
Described galianconism and groove fit also can horizontally slip along groove, the fixing plate of slip scalable by controlling galianconism and the width at base center.
Described precession bolt is additionally provided with pressing against knob, the female thread of pressing against knob matches with the screw rod of precession bolt, fixing plate can be regulated to base center position by rotary presser knob, pressing against knob surface is provided with sleeve, sleeve is provided with circular hole, the pressing against knob surface that circular hole is corresponding is provided with hemispherical groove, and circular hole is provided with forcing screw and spring, and hemispherical groove is provided with steel ball.
The invention has the advantages that:
Nail removed by the Use of Neuronavigation noinvasive headstock of the present invention, and head is without unsettled, the invasive headstock it is better than in comfortableness, utilize double; two temples and top effectively to fix, it is adaptable to navigation puncture, have great advantage in hypertensive cerebral hemorrhage with hematoma puncturing operation, for older, the patient that cardio-pulmonary function is poor, be not resistant to general anesthesia operation can carry out local anaesthesia, and the headstock is easy for installation, and a people is just operable.
Accompanying drawing explanation
Accompanying drawing 1 is used for the noinvasive headstock structural representation of Use of Neuronavigation for the present invention.
Accompanying drawing 2 is used for the noinvasive headstock structural representation () in another angle of Use of Neuronavigation for the present invention.
Accompanying drawing 3 is used for the noinvasive headstock structural representation (two) in another angle of Use of Neuronavigation for the present invention.
Accompanying drawing 4 is the pressue device structural representation of the noinvasive headstock of the present invention.
Detailed description of the invention
Below in conjunction with detailed description of the invention, the present invention is expanded on further.Should be understood that these embodiments are merely to illustrate the present invention rather than restriction the scope of the present invention.In addition, it is to be understood that after having read the content that the present invention records, the present invention can be made various changes or modifications by those skilled in the art, and these equivalent form of values fall within the application appended claims limited range equally.
The accompanying drawing labelling related in accompanying drawing and ingredient are as follows:
1. base 2. fixed arm
3. silica gel protective pad 4. groove
5. galianconism 6. is long-armed
7. the fixing bolt of mounting hole 8. galianconism
9. handle 10. precession bolt
11. clamping nut 12. fixes plate
13. sponge cushion 14. navigational reference frame mounting seat
15. ratchet 16. pressing against knob
17. sleeve 18. circular hole
19. hemispherical groove 181. forcing screw
182. spring 191. steel ball
21. head fixed arm 22. first temples fixed arm
23. the second temples fixed arm 41. transverse concave groove
42. longitudinal fluting.
Embodiment 1
Refer to Fig. 1-3, Fig. 1 is the present invention noinvasive headstock structural representation for Use of Neuronavigation;Fig. 2 is the present invention for the noinvasive headstock of Use of Neuronavigation at the structural representation of another angle;Fig. 3 is the present invention for the noinvasive headstock of Use of Neuronavigation at the structural representation of another angle.The described noinvasive headstock includes base 1 and fixed arm 2, and described base 1 is rectangle, is provided with silica gel protective pad 3 in the front (one side for immobilized patients head) of base 1;Described silica gel protective pad 3 is annular, and the internal diameter of silica gel protective pad 3 is 5-8cm, and external diameter is 8-14cm;The back side of described base 1 is provided with groove 4;Described fixed arm 2 is " L " shape, and it is made up of galianconism 5 and long-armed 6 two parts;Described galianconism 5 coordinates with groove 4 and can slide along groove 4, described galianconism 5 is provided with mounting hole 7, mounting hole 7 is provided with the fixing bolt 8 of galianconism, fixing bolt 8 head diameter of galianconism is more than the width of mounting hole 7, the fixing bolt 8 of galianconism is connected with base 1, the fixing bolt 8 of galianconism is provided with handle 9, drives the fixing bolt 8 of galianconism to rotate by swing handle 9, thus realizing fixing and slide (the tight and pine) of galianconism 5 and base 1;Described long-armed 6 are provided with mounting hole 7, and mounting hole 7 is provided with precession bolt 10, and the screw rod of precession bolt 10 may pass through mounting hole 7, and long-armed 6 are respectively provided on two sides with the clamping nut 11 matched with precession bolt 10 screw rod;The afterbody of described precession bolt 10 is provided with fixing plate 12, and fixing plate 12 is circular, and the surface of fixing plate 12 is provided with sponge cushion 13.Described fixed arm 2 has three, respectively head fixed arm the 21, first temples fixed arm 22 and the second temples fixed arm 23;Described first temples fixed arm 22 and the second temples fixed arm 23 lay respectively at outside the long limit of rectangular seat 1;Described head fixed arm 21 is positioned at outside the minor face of rectangular seat 1;The groove 4 at described base 1 back side has two, respectively transverse concave groove 41 and longitudinal fluting 42;Described transverse concave groove 41 is perpendicular to the long limit of base 1, and transverse concave groove 41 coordinates with the galianconism 5 of the first temples fixed arm 22 and the second temples fixed arm 23, and the galianconism 5 of the first temples fixed arm 22 and the second temples fixed arm 23 can horizontally slip along transverse concave groove 41;Described longitudinal fluting 42 is perpendicular to the minor face of base 1, and longitudinal fluting 42 coordinates with the galianconism 5 of head fixed arm 21, and the galianconism 5 of head fixed arm 21 can slide up and down along longitudinal fluting 42;Described long-armed 6 are provided with navigational reference frame mounting seat 14, and navigational reference frame mounting seat 14 is provided with ratchet 15, and navigational reference frame mounting seat 14 is used for installing navigational reference frame;Described precession bolt 10 is placed through the mounting hole 7 on long-armed 6 and can slide up and down along mounting hole 7, can be fixed on long-armed 6 by precession bolt 10 by screwing the clamping nut 11 of long-armed 6 both sides;Described long-armed 6 planes being perpendicular to base 1 place, precession bolt 10 can slide up and down along the mounting hole 7 on long-armed 6, by controlling the slip of precession bolt 10 thus the height of adjustment fixing plate 12 and base 1;By rotating the width of the fixing plate 12 of precession bolt 10 scalable and base 1 center;Described galianconism 5 coordinates with groove 4 and can horizontally slip along groove 4, fixes the width of plate 12 and base 1 center by controlling the slip scalable of galianconism 5.
Embodiment 2
The present embodiment is improvement project, refer to Fig. 4, described noinvasive headstock general structure is similar to embodiment 1, it is distinctive in that on described precession bolt 10 and is additionally provided with pressing against knob 16, the female thread of pressing against knob 16 matches with the screw rod of precession bolt 10, fixing plate 12 can be regulated to base 1 center position by rotary presser knob 16, pressing against knob 16 surface is provided with sleeve 17, sleeve 17 is provided with circular hole 18, pressing against knob 16 surface of circular hole 18 correspondence is provided with hemispherical groove 19 (not shown), circular hole 18 is provided with forcing screw 181 and spring 182, hemispherical groove 19 is provided with steel ball 191 (not shown).The effect of this part-structure is: regulates forcing screw 181, makes the spring 182 of forcing screw 181 bottom that steel ball 191 is pressed into hemispherical groove 19 so that pressing against knob 16 needs to overcome the elastic force of spring 182 when rotating;This device can realize the effect that fixing plate 12 accurately clamps, the size of fixing plate 12 clamping force of pressure controllable system by regulating forcing screw 181, utilized this device to control fixing plate 12 before fixing head the preliminary of head is fixed, it is to avoid precession bolt 10 regulates excessive the causing of pressure and weighs wounded.
Described noinvasive headstock specification is preferably: the length of described base 1 is 25-40cm, wide for 20-35cm;Described silica gel protective pad 3 internal diameter is 5-9cm, and external diameter is 7-12cm;The length of described transverse concave groove 41 is 20-35cm;Described longitudinal fluting 42 is long for 15-20cm;The length of described galianconism 5 is 15-20cm;The described length of long-armed 6 is 20-35cm;The length of described mounting hole 7 is 10-15cm;Described fixing plate 12 ranges for 10-20cm apart from the height adjustable of base 1;The described fixing plate 12 width adjustable extent apart from base 1 center is 5-20cm.Above specification for inventor according to Long-term clinical working experience sum up draw, be can blanket specification, be not construed as this area routine techniques means.
It should be noted that in embodiment, the front of described base 1 is provided with silica gel protective pad 3;Described silica gel protective pad 3 is annular, is placed on silica gel protective pad 3 by patient's head during use, and head is without unsettled, and patient is more comfortable.In embodiment, the afterbody of described precession bolt 10 is provided with fixing plate 12, fixing plate 12 is circular, the surface of fixing plate 12 is provided with sponge cushion 13 (not shown), the sponge cushion 13 utilizing fixing plate 12 and surface thereof replaces the head of prior art to follow closely, and patient will not be caused wound, for older time fixing, the patient that cardio-pulmonary function is poor, be not resistant to general anesthesia operation can carry out local anaesthesia, and safety is greatly improved.In embodiment, by controlling the slip of precession bolt 10 thus the height of adjustment fixing plate 12 and base 1;By rotating the width of the fixing plate 12 of precession bolt 10 scalable and base 1 center;The width of plate 12 and base 1 center is fixed by controlling the slip scalable of galianconism 5;The height of fixed position, width can be adjusted according to the head circumference size of patient, and practicality is higher.In embodiment, described;Described long-armed 6 are provided with navigational reference frame mounting seat 14, navigational reference frame mounting seat 14 is provided with ratchet 15, navigational reference frame mounting seat 14 is used for installing navigational reference frame, navigational reference frame mounting seat and headstock Integral design, is prevented effectively from frame of reference and shifts the error caused.In embodiment, described described precession bolt 10 is additionally provided with pressing against knob 16, the size of fixing plate 12 clamping force of pressure controllable system by regulating forcing screw 181, utilized this device to control fixing plate 12 before fixing head the preliminary of head is fixed, precession bolt 10 can be avoided to regulate excessive the causing of pressure and weigh wounded;In embodiment, described fixed arm 2 has three, respectively head fixed arm the 21, first temples fixed arm 22 and the second temples fixed arm 23, utilizes double; two temples and head to be fixed more efficient.
The above is only the preferred embodiment of the present invention; it should be pointed out that, for those skilled in the art, under the premise without departing from the inventive method; can also making some improvement and supplement, these improve and supplement and also should be regarded as protection scope of the present invention.
Claims (9)
1. for a noinvasive headstock for Use of Neuronavigation, including base (1) and fixed arm (2), it is characterised in that: described base (1) is rectangle;The front of described base (1) is provided with fixing silica gel protective pad (3), and silica gel protective pad (3) is annular;The back side of described base (1) is provided with groove (4);Described fixed arm (2) is " L " shape, is divided into galianconism (5) and long-armed (6) two parts;Described galianconism (5) coordinates with groove (4) and can slide along groove (4), described galianconism (5) is provided with mounting hole (7), mounting hole (7) is provided with the fixing bolt (8) of galianconism, galianconism is fixed bolt (8) and is provided with handle (9), drives galianconism to fix bolt (8) by swing handle (9) and rotates the fixing and slip realizing galianconism (5) and base (1);Described long-armed (6) are provided with mounting hole (7), and mounting hole (7) is provided with precession bolt (10);Described precession bolt (10) traverse mounting hole (7), long-armed (6) are respectively provided on two sides with the clamping nut (11) matched with precession bolt (10) screw rod, and the afterbody of precession bolt (10) is provided with fixing plate (12).
2. the noinvasive headstock for Use of Neuronavigation according to claim 1, it is characterized in that: described fixed arm (2) has three, respectively head fixed arm (21), the first temples fixed arm (22) and the second temples fixed arm (23);Described first temples fixed arm (22) and the second temples fixed arm (23) lay respectively at outside the long limit of rectangular seat (1);Described head fixed arm (21) is positioned at outside the minor face of rectangular seat (1);The groove (4) at described base (1) back side has two, respectively transverse concave groove (41) and longitudinal fluting (42);Described transverse concave groove (41) is perpendicular to the long limit of base (1), transverse concave groove (41) coordinates with the galianconism (5) of the first temples fixed arm (22) and the second temples fixed arm (23), and the galianconism (5) of the first temples fixed arm (22) and the second temples fixed arm (23) can horizontally slip along transverse concave groove (41);Described longitudinal fluting (42) is perpendicular to the minor face of base (1), longitudinal fluting (42) coordinates with the galianconism (5) of head fixed arm (21), and the galianconism (5) of head fixed arm (21) can slide up and down along longitudinal fluting (42).
3. the noinvasive headstock for Use of Neuronavigation according to claim 1, it is characterised in that: described fixing plate (12) is circular, and the surface of fixing plate (12) is provided with sponge cushion (13).
4. the noinvasive headstock for Use of Neuronavigation according to claim 1, it is characterized in that: described long-armed (6) are provided with navigational reference frame mounting seat (14), and navigational reference frame mounting seat (14) is provided with ratchet (15).
5. the noinvasive headstock for Use of Neuronavigation according to claim 1, it is characterized in that: described precession bolt (10) is through mounting hole (7) and can slide up and down along mounting hole (7), can precession bolt (10) be fixed on long-armed (6) by screwing the clamping nut (11) of long-armed (6) both sides.
6. the noinvasive headstock for Use of Neuronavigation according to claim 2, it is characterized in that: described long-armed (6) are perpendicular to the plane at base (1) place, precession bolt (10) can slide up and down along the mounting hole (7) on long-armed (6), by controlling the slip of precession bolt (10) thus the height of adjustment fixing plate (12) and base (1).
7. the noinvasive headstock for Use of Neuronavigation according to claim 2, it is characterised in that: by rotating the width of the fixing plate (12) of precession bolt (10) scalable and base (1) center.
8. the noinvasive headstock for Use of Neuronavigation according to claim 2, it is characterized in that: described galianconism (5) coordinates with groove (4) and can horizontally slip along groove (4), fix the width of plate (12) and base (1) center by controlling the slip scalable of galianconism (5).
9. the noinvasive headstock for Use of Neuronavigation according to claim 2, it is characterized in that: described precession bolt 10 is additionally provided with pressing against knob 16, the female thread of pressing against knob 16 matches with the screw rod of precession bolt 10, fixing plate 12 can be regulated to base 1 center position by rotary presser knob 16, pressing against knob 16 surface is provided with sleeve 17, sleeve 17 is provided with circular hole 18, pressing against knob 16 surface of circular hole 18 correspondence is provided with hemispherical groove 19, circular hole 18 is provided with forcing screw 181 and spring 182, and hemispherical groove 19 is provided with steel ball 191.
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CN201610207620.1A CN105708550A (en) | 2016-04-05 | 2016-04-05 | Non-invasive head holder for neuronavigation |
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CN201610207620.1A CN105708550A (en) | 2016-04-05 | 2016-04-05 | Non-invasive head holder for neuronavigation |
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Cited By (4)
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CN107233127A (en) * | 2017-07-25 | 2017-10-10 | 复旦大学附属金山医院 | A kind of servicing unit punctured for Use of Neuronavigation |
CN107260198A (en) * | 2017-05-16 | 2017-10-20 | 李兴泽 | Head fixing device for radiography |
CN112022565A (en) * | 2020-10-09 | 2020-12-04 | 茂名市人民医院 | Head fixing device for ophthalmic therapy |
CN112296455A (en) * | 2019-07-30 | 2021-02-02 | 中国石油化工股份有限公司 | External thread cleaning tool |
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CN201182646Y (en) * | 2008-04-14 | 2009-01-21 | 毕经旺 | Head rest |
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Publication number | Priority date | Publication date | Assignee | Title |
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CN107260198A (en) * | 2017-05-16 | 2017-10-20 | 李兴泽 | Head fixing device for radiography |
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CN112296455A (en) * | 2019-07-30 | 2021-02-02 | 中国石油化工股份有限公司 | External thread cleaning tool |
CN112022565A (en) * | 2020-10-09 | 2020-12-04 | 茂名市人民医院 | Head fixing device for ophthalmic therapy |
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Application publication date: 20160629 |