CN104665897B - A kind of ejected wave knife for preventing pneumothorax from occurring follows the trail of label implantation puncture needle - Google Patents
A kind of ejected wave knife for preventing pneumothorax from occurring follows the trail of label implantation puncture needle Download PDFInfo
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- CN104665897B CN104665897B CN201510086407.5A CN201510086407A CN104665897B CN 104665897 B CN104665897 B CN 104665897B CN 201510086407 A CN201510086407 A CN 201510086407A CN 104665897 B CN104665897 B CN 104665897B
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- closing member
- nook closing
- needle
- label
- trail
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3468—Trocars; Puncturing needles for implanting or removing devices, e.g. prostheses, implants, seeds, wires
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B10/00—Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
- A61B10/02—Instruments for taking cell samples or for biopsy
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3403—Needle locating or guiding means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N5/00—Radiation therapy
- A61N5/10—X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
- A61N5/1048—Monitoring, verifying, controlling systems and methods
- A61N5/1049—Monitoring, verifying, controlling systems and methods for verifying the position of the patient with respect to the radiation beam
- A61N2005/1051—Monitoring, verifying, controlling systems and methods for verifying the position of the patient with respect to the radiation beam using an active marker
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Medical Informatics (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Molecular Biology (AREA)
- Pathology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Infusion, Injection, And Reservoir Apparatuses (AREA)
Abstract
Label implantation puncture needle is followed the trail of the present invention relates to a kind of ejected wave knife for preventing pneumothorax from occurring, it is provided with the stylophore comprising stylophore handle and needle scabbard body, the nook closing member comprising nook closing member handle and nook closing member body, described nook closing member body is inserted in needle scabbard body, nook closing member body leading portion is cylinder, receiving space is formed between nook closing member body back segment and needle scabbard body, described stylophore handle is provided with the adapter with glue capsule joint and lancet, described adapter is connected with the receiving space, described needle scabbard body is provided with through hole, and described through hole is connected with the receiving space.The present invention can inject liquid biological glue during end recession pin is punctured to the receiving space, the liquid biological glue of via through holes outflow can timely seal needle track and stop blooding, effectively prevent exogenous gas from entering to form pneumothorax in vivo, the pneumothorax that can also prevent IA gas from leaking and cause, and tissue adhesion can be prevented, it is that the operation techniques such as aspiration biopsy, implantable marker thing bring great safety guarantee.
Description
Technical field
The present invention relates to technical field of medical instruments, specifically, it is related to a kind of ejected wave knife for preventing that pneumothorax from occurring and chases after
Track label is implanted into puncture needle.
Background technology
The means of various treatment tumours tend to be minimally invasive or even noninvasive in Modern Medical Field, and ejected wave knife treatment is machine
People's X-ray stereotactic radiotherapy technology can be rated as the precision of submillimeter, can abundant body especially for there is the mobile tumour of breathing
Reveal its advantage, so the preparation before needing to be treated when treating lung tumors, plants under CT guiding through body puncture
Enter label, current biopsy of thoracic technology is very ripe, is mainly used in the skills such as needle biopsy of thoracic, seeds implanted
Art.Because the puncture needle that current puncture technique is used is easy to cause pneumothorax when taking biopsy or seeds implanted, when pneumothorax hair
When raw, great risk can all be brought to doctor and patient because how poor tumor patient lung functions are, if before the treatment or
When having damage during treatment to PFT or having larger risk, many patients can abandon treating or abandoning the chance for taking biopsy,
Will so have an impact to later therapeutic scheme and the precision of radiotherapy, so most of doctor can prepare before puncture
Occurs the emergency measures of pneumothorax well, to occur to be rescued in time during pneumothorax, serious pneumothorax, which is put, needs recovery two weeks to arrive after pipe
Next step treatment could be carried out within one month, directly affects the treatment of patient, delayed best occasion for the treatment.Conventional at present is several
Money chest puncture needle has the following disadvantages：1st, puncture needle is made up of nook closing member and stylophore, after puncturing successfully, is arranged without any protection
Pleural cavity can be closed by applying.2nd, take after biopsy, tissue bleeding, without in time to surface of a wound hemostasis, it is easy to cause haemopneumothorax.
In summary, need badly it is a kind of there is good air-tightness, can prevent pneumothorax, more safety and be easy to the warp of operation
The puncture needle of label is followed the trail of in body surface implantation.
The content of the invention
The purpose of the present invention is that there is provided a kind of ejected wave knife for preventing pneumothorax from occurring tracking for deficiency of the prior art
Label is implanted into puncture needle.
To achieve the above object, the present invention is adopted the technical scheme that：
A kind of ejected wave knife for preventing pneumothorax from occurring follows the trail of label implantation puncture needle, and described ejected wave knife follows the trail of label
It is implanted into puncture needle and is provided with stylophore, nook closing member, described stylophore is provided with stylophore handle and needle scabbard body, and described nook closing member is provided with nook closing member handle
With nook closing member body, described nook closing member body is inserted in needle scabbard body, and nook closing member body leading portion is cylinder, between nook closing member body back segment and needle scabbard body
Form receiving space；Described stylophore handle is provided with adapter, and described adapter is connected with the receiving space；It is described
Needle scabbard body be provided with through hole, described through hole is connected with the receiving space.
The section of described nook closing member body back segment is triangle, circle, rhombus, square or rectangular.
The section of described nook closing member body back segment is triangle, and described through hole has three row and arranged each along stylophore axial direction
Row, three sides of three row through holes respectively just to the nook closing member body back segment.
Described through hole is located at the front end of needle scabbard body.
Described adapter is provided with glue capsule joint and lancet.
Described lancet is in the cavity of glue capsule joint.
Described nook closing member handle is provided with block, deviation button and guide groove；Described stylophore handle is provided with guide rail, label
Filling hole；Described guide rail can be engaged with guide groove makes nook closing member slide axially；Described block can be braked by the rear end of guide rail,
And then prevent nook closing member forward end from sliding；Described adapter, label filling hole are connected with the receiving space three.
Described ejected wave knife follows the trail of label implantation puncture needle and is additionally provided with glue capsule, and described glue capsule is depressible bullet
Property structure, provided with matching at diaphragm seal, and opening with the adapter at opening.
The invention has the advantages that：
1st, provided with the adapter for connecting glue capsule, the nook closing member body back segment design shape such as triangularity, with needle scabbard body it
Between formed be easy to liquid biological glue forward extreme direction flowing receiving space, needle scabbard body be provided with through hole, puncture terminate recession
Liquid biological glue, the liquid biological flowed out through side opening can be injected during pin to the receiving space between nook closing member body and needle scabbard body
Glue can timely seal needle track and stop blooding, and can effectively prevent exogenous gas from entering to form pneumothorax in vivo, can also prevent alveolar
The pneumothorax that interior gas is leaked and caused, and tissue adhesion can be prevented, it is that the operation techniques such as aspiration biopsy, implantable marker thing are brought
Great safety guarantee；
2nd, the shape of nook closing member body back segment is reasonable in design, and guiding liquid biological glue, extreme direction quickly flows forward, and profit
In the discharge of liquid biological glue；
3rd, nook closing member body leading portion is cylinder, and the end face of front end is designed to circle, facilitates and definite label is released into pin
Sheath, and glue is discharged to greatest extent from the side opening of needle scabbard body；
4th, the reasonable in design of adapter and glue capsule, conveniently assembles and punctures glue capsule, easy to use, saves operation
Time.
Brief description of the drawings
Accompanying drawing 1 is that the ejected wave knife of the present invention follows the trail of label implantation puncture needle structure schematic diagram.
Accompanying drawing 2 is biased into button case of bending schematic diagram.
Accompanying drawing 3 is the structural representation of adapter.
Accompanying drawing 4 is glue capsule structural representation.
Accompanying drawing 5 is the structural representation of nook closing member body.
Embodiment
The embodiment that the present invention is provided is elaborated below in conjunction with the accompanying drawings.
The reference and part being related in accompanying drawing are as follows：
1. nook closing member, 11. nook closing member handles, 111. blocks, 112. deviation buttons, 113. guide grooves, 12. nook closing member bodies, 121. pins
Core body back segment, 122. nook closing member body leading portions
2. stylophore, 21. stylophore handles, 211. finger-holes, 212. guide rails, 213. label filling holes, 214. adapters,
2141. connect bands, 2142. filling hole closing caps, 2143. glue capsule joints, 2144. lancets, 22, needle scabbard body, 221. through holes
3. glue capsule
Embodiment 1
Fig. 1 is refer to, the ejected wave knife that Fig. 1 is the present invention follows the trail of label implantation puncture needle structure schematic diagram.Described penetrates
Ripple knife follows the trail of label implantation puncture needle and is provided with nook closing member 1 and stylophore 2.The described rear end of nook closing member 1 is provided with nook closing member handle 11, described
Nook closing member handle 11 is provided with block 111, deviation button 112 and guide groove 113；The described front end of nook closing member 1 is provided with nook closing member body 12.It is described
The rear end of stylophore 2 be provided with stylophore handle 21, described stylophore handle 21 is provided with finger-hole 211, guide rail 212, label filling hole 213
With adapter 214, described label filling hole 213 is wedge-shaped square hole, and described adapter 214 is provided with connect band 2141, dress
Filling perforation closing cap 2142, glue capsule joint 2143 and the (not shown) of lancet 2144, described one end of connect band 2141 are consolidated
It is scheduled on stylophore handle 21, one end is connected with filling hole closing cap 2142, described filling hole closing cap 2142 is filled with label
Filling perforation 213, which matches, to be closed, and described glue capsule joint 2143 is located at the top of filling hole closing cap 2142；Described pin
The front end of sheath 2 is provided with needle scabbard body 22, and described needle scabbard body 22 is connected with label filling hole 213, and on the side wall of needle scabbard body 22
Provided with through hole 221, described through hole 221 lines up three row along stylophore axial direction.Described nook closing member body 12 can pass through stylophore 2
Rear end is inserted in needle scabbard body 22；Described guide rail 212 can be engaged with guide groove 113 makes nook closing member 1 axially sliding along nook closing member body 12
It is dynamic, even if nook closing member 1 and the relative motion of stylophore 2；Described block 111 can be braked by the rear end of guide rail 212, and then prevent nook closing member 1
Forward end is slided.
Fig. 2 is refer to, Fig. 2 is biased into button case of bending schematic diagram.Described deviation button 112 is elastomer, can be
Bent under external force effect, its control block 111 while bending deviates nook closing member axial direction, so as to bypass guide rail 212
Rear end, release nook closing member 1 it is spacing so that nook closing member 1 holds slip further along.
Fig. 3 is refer to, Fig. 3 is the structural representation of adapter.Described adapter 214 (is not marked provided with internal thread in figure
Go out), described lancet 2144 is fixed on the cavity center of glue capsule joint 2143, the cavity of described glue capsule joint 2143
It is connected with label filling hole 213.
Fig. 4 is refer to, Fig. 4 is glue capsule structural representation.Described glue capsule 3 is depressible elastic construction, opening
Place is provided with diaphragm seal (not shown), and the external screw thread matched with the internal thread of adapter 214 is provided with opening.
Fig. 5 is refer to, Fig. 5 is the structural representation of nook closing member body.Nook closing member body back segment 121 is after tri-prismoid, i.e. nook closing member body
The cross section of section 121 is triangle；Nook closing member body leading portion 122 is cylinder, and the end face of the front end of nook closing member body leading portion 122 is circle.
The present invention ejected wave knife follow the trail of label implantation puncture needle application method be：In use, by nook closing member body 12 from rear
In end insertion needle scabbard body 22, deviation button 112 is pressed so that block 111 deviates the axial direction of nook closing member body 12, so that nook closing member body
12 completely into needle scabbard body 22, and now the front end surface of nook closing member body 12 is concordant with the front end surface of needle scabbard body 22, in preceding end group
The degree of injury caused when puncturing, can so be preferably minimized by one solid face of this formation.Nook closing member 1 is installed with stylophore 2
Puncture procedure can be carried out according to the guiding of CT images after good, when CT images show that the tip of needle scabbard body 22 reaches ideal position,
Nook closing member handle 11 can be pulled to withdraw from nook closing member body 12, label is loaded into label filling hole 213, then again turn back to nook closing member body 12
In needle scabbard body 22, block 111 is inserted into always and touches the rear end of guide rail 212, untill nook closing member body 12 can not be inserted into, is now seen again
CT positioning images are examined, after confirming that the tip location of needle scabbard body 22 is correct, deviation button 112 are pressed, by nook closing member body 12 along guide rail
212 continue to push downwards, so that label is pushed out outside needle scabbard body 22, are placed on the position to be marked, when needs are same
One puncture plane need to only withdraw from nook closing member body 12 again when placing label again according to above step, load label, push away again
Send.After the completion of label implantation when pin is removed, the glue capsule 3 that will be equipped with liquid biological glue is assembled on adapter 214,
Now the diaphragm seal at the opening of glue capsule 3 is punctured pin 2144 and punctured, and glue is extruded during needle scabbard body 22 is extracted out in vitro
Capsule 3, liquid biological glue slowly enters nook closing member body back segment 121 and needle scabbard body 22 through adapter 214, label filling hole 213
Between receiving space in, finally discharged from through hole 221, reach sealing needle track prevent pneumothorax formation with needle track stop blooding work
With being also prevented from tissue adhesion.
It should be noted that herein, described " rear end " refers to that the ejected wave knife of the present invention is followed the trail of label implantation and punctured
Pin is in use close to one end of patient, and described " front end " refers to one end apart from patient farther out during use；Institute
State " nook closing member body back segment 121 " refers to the rear end end face of nook closing member body 12 to the section of middle certain of nook closing member body 12, described " pin
Core body leading portion 122 " refers to the front end surface of nook closing member body 12 to the section of middle certain of nook closing member body 12, " nook closing member body back segment 121 "
With " nook closing member body leading portion 122 " collectively forms whole nook closing member body.Described nook closing member body back segment 121 is designed to that section is triangle, can
So as to liquid biological glue, extreme direction flows forward with the formation receiving space of needle scabbard body 22, and the design of triangular-section to be formed
Receiving space it is larger, and form axial diversion passage, guide functions are obvious；Three row through holes 221 are respectively just to triangular prism shaped pin
Three sides of core body back segment 121, contribute to the discharge as much as possible of liquid biological glue；Described nook closing member body back segment 121 is not
This is only limitted to, it can also be designed to other shapes, it is circle, rhombus, square, rectangle to be such as designed to section, as long as can
Receiving space is formed with needle scabbard body 22 and is beneficial to the discharge of liquid biological glue, but preferably triangle.Described nook closing member
Body leading portion 122 is designed to cylinder, and the end face of front end is designed to circle, facilitates definite by label release needle scabbard body 22,
And glue is discharged from side opening 221, to be sealed and be stopped blooding to needle track to greatest extent.Described through hole 221
Decision design is sealed to whole needle track as far as possible in the front end of needle scabbard body 22.Described glue capsule 3 is depressible elasticity
Structure, can be silica gel or plastic material specifically, be preferably designed to organ type compressible structure.Described label filling
Wedgewise square hole is designed in hole 213, and the effect with funnel, for loading label, is loaded when label is put into the label
During hole 213, label can voluntarily drop in the intracavitary of needle scabbard body 22, the position and direction without manually adjusting label, operation
It is convenient.Described stylophore handle 21 is used to grip, and can insert forefinger and middle finger in two finger-holes 211 respectively during gripping.Herein
Described in label be the material with biocompatibility and iconography characteristic, such as proof gold, titanium alloy material.The present invention's
Principle is applicable not only to ejected wave knife and follows the trail of label implantation puncture needle, is equally applicable to aspiration biopsy device.
The present invention can not only prevent exogenous gas from entering to form pneumothorax in vivo, can also pass through liquid biological glue
The pneumothorax that hemostatic seal effect prevents IA gas from leaking and caused, and tissue adhesion is effectively prevented, this will live to puncture
The operation techniques such as inspection, implantable marker thing bring great safety guarantee.
Described above is only the preferred embodiment of the present invention, it is noted that for the ordinary skill people of the art
Member, on the premise of the inventive method is not departed from, can also make some improvement and supplement, and these are improved and supplement also should be regarded as
Protection scope of the present invention.
Claims (6)
1. a kind of ejected wave knife for preventing pneumothorax from occurring follows the trail of label implantation puncture needle, described ejected wave knife is followed the trail of label and planted
Enter puncture needle provided with stylophore, nook closing member, described stylophore is provided with stylophore handle and needle scabbard body, described nook closing member provided with nook closing member handle and
Nook closing member body, described nook closing member body is inserted in needle scabbard body, it is characterised in that nook closing member body leading portion be cylinder, nook closing member body back segment with
Receiving space is formed between needle scabbard body；Described stylophore handle is provided with adapter, described adapter and the receiving space
It is connected；Described needle scabbard body is provided with through hole, and described through hole is connected with the receiving space；Described nook closing member body back segment
Section be triangle, described through hole have three row and each along stylophore axial direction arrange, three row through holes respectively just to described
Three sides of nook closing member body back segment.
2. ejected wave knife according to claim 1 follows the trail of label implantation puncture needle, it is characterised in that described through hole is located at
The front end of needle scabbard body.
3. ejected wave knife according to claim 1 follows the trail of label implantation puncture needle, it is characterised in that described adapter is set
There are glue capsule joint and lancet.
4. ejected wave knife according to claim 3 follows the trail of label implantation puncture needle, it is characterised in that described lancet is set
In in the cavity of glue capsule joint.
5. ejected wave knife according to claim 1 follows the trail of label implantation puncture needle, it is characterised in that described nook closing member handle
Provided with block, deviation button and guide groove；Described stylophore handle is provided with guide rail, label filling hole；Described guide rail can be with
Guide groove, which is engaged, makes nook closing member slide axially；Described block can be braked by the rear end of guide rail, and then prevent nook closing member forward end from sliding
It is dynamic；Described adapter, label filling hole are connected with the receiving space three.
6. ejected wave knife according to claim 1 follows the trail of label implantation puncture needle, it is characterised in that described ejected wave knife is chased after
Track label implantation puncture needle is additionally provided with glue capsule, and described glue capsule is provided with sealing at depressible elastic construction, opening
Match at film, and opening with the adapter.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510086407.5A CN104665897B (en) | 2015-02-16 | 2015-02-16 | A kind of ejected wave knife for preventing pneumothorax from occurring follows the trail of label implantation puncture needle |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510086407.5A CN104665897B (en) | 2015-02-16 | 2015-02-16 | A kind of ejected wave knife for preventing pneumothorax from occurring follows the trail of label implantation puncture needle |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN104665897A CN104665897A (en) | 2015-06-03 |
| CN104665897B true CN104665897B (en) | 2017-11-07 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201510086407.5A Active CN104665897B (en) | 2015-02-16 | 2015-02-16 | A kind of ejected wave knife for preventing pneumothorax from occurring follows the trail of label implantation puncture needle |
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Families Citing this family (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107998507A (en) * | 2016-11-02 | 2018-05-08 | 北京脑泰科技发展有限公司 | Handle anti-triggering device of magnetic stimulation instrument |
| KR20210130756A (en) * | 2019-02-15 | 2021-11-01 | 씨. 알. 바드, 인크. | hemostatic biopsy tube supplies |
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| CN101156798A (en) * | 2006-10-04 | 2008-04-09 | 伊西康内外科公司 | Device to treat intraluminal bleeding using an adhesive |
| CN101164501A (en) * | 2006-10-20 | 2008-04-23 | 伊西康内外科公司 | Adhesive applicator |
| CN101485588A (en) * | 2009-02-25 | 2009-07-22 | 中国人民解放军总医院 | Puncture needle for minimally invasive treatment |
| CN203138573U (en) * | 2012-12-21 | 2013-08-21 | 中国人民解放军第二军医大学 | Implantation device for stereoscopic radiotherapy tracking marker |
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| CN2699842Y (en) * | 2003-04-18 | 2005-05-18 | 刘建 | Hemostat for vessel puncture hole |
| US20050123588A1 (en) * | 2003-06-16 | 2005-06-09 | Zhu Yong H. | Deployable multifunctional hemostatic agent |
| DE602006020488D1 (en) * | 2005-10-05 | 2011-04-14 | Univ Loma Linda Med | Vascular wound closure device |
| US20090216151A1 (en) * | 2008-02-27 | 2009-08-27 | Speeg Trevor W V | Biopsy Probe With Hypodermic Lumen |
| JP5631880B2 (en) * | 2008-08-13 | 2014-11-26 | アンドレア デル コルソＤＥＬ ＣＯＲＳＯ， Ａｎｄｒｅａ | Vascular surgery occlusion device |
| CN102764477A (en) * | 2012-06-15 | 2012-11-07 | 唐华平 | Particle implanting device under bronchoscope |
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Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN101156798A (en) * | 2006-10-04 | 2008-04-09 | 伊西康内外科公司 | Device to treat intraluminal bleeding using an adhesive |
| CN101164501A (en) * | 2006-10-20 | 2008-04-23 | 伊西康内外科公司 | Adhesive applicator |
| CN101485588A (en) * | 2009-02-25 | 2009-07-22 | 中国人民解放军总医院 | Puncture needle for minimally invasive treatment |
| CN203138573U (en) * | 2012-12-21 | 2013-08-21 | 中国人民解放军第二军医大学 | Implantation device for stereoscopic radiotherapy tracking marker |
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| CN104665897A (en) | 2015-06-03 |
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