CN105455868B - A kind of Sengstaken-Blakemore tube hitch frame with tensiometer - Google Patents
A kind of Sengstaken-Blakemore tube hitch frame with tensiometer Download PDFInfo
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- CN105455868B CN105455868B CN201610004817.5A CN201610004817A CN105455868B CN 105455868 B CN105455868 B CN 105455868B CN 201610004817 A CN201610004817 A CN 201610004817A CN 105455868 B CN105455868 B CN 105455868B
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- Prior art keywords
- tensiometer
- sengstaken
- pulley
- adjusting rod
- blakemore tube
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12131—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G7/00—Beds specially adapted for nursing; Devices for lifting patients or disabled persons
- A61G7/05—Parts, details or accessories of beds
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B2017/12004—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for haemostasis, for prevention of bleeding
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- General Health & Medical Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Reproductive Health (AREA)
- Engineering & Computer Science (AREA)
- Vascular Medicine (AREA)
- Nursing (AREA)
- Infusion, Injection, And Reservoir Apparatuses (AREA)
- Orthopedics, Nursing, And Contraception (AREA)
Abstract
The invention discloses a kind of Sengstaken-Blakemore tube hitch frame with tensiometer,Solve existing Sengstaken-Blakemore tube traction method installation and awkward technical problem,The present invention carries the Sengstaken-Blakemore tube hitch frame of tensiometer,Including mounting seat,Pulley,Fixing pipe,Adjusting rod,Pull rope and tensiometer,Mounting seat is connected to the lower end of fixing pipe,It is also equipped with engaging the governor motion of connection in fixing pipe with adjusting rod,Governor motion is rotated to drive adjusting rod to move up and down,Governor motion includes adjusting knob,Adjusting knob is provided with locating dowel,Fixing pipe is provided with positioning hole,Locating dowel is inserted into positioning hole with secured adjusted bar position,Pull rope is connected between tensiometer and pulley,Pulley is provided with through hole,Through-hole wall is at least provided with a neck,The rotating shaft of through hole is provided through on adjusting rod,Rotating shaft is provided with the projection coordinated with neck,When projection is outside neck,Pulley freely rotates along rotating shaft,When projection is in neck,Pulley is fixedly connected in rotating shaft.
Description
【Technical field】
The present invention relates to medical auxiliary apparatus technical field, more particularly to a kind of Sengstaken-Blakemore tube traction with tensiometer
Frame.
【Background technology】
Sengstaken-Blakemore tube is that treatment massive hemorrhage of gastrointestinal tract is most direct, effectively method, is typically clinically to be placed in patient
After Sengstaken-Blakemore tube, the pipeline of stomach tube, stomach Qi capsule and esophageal balloon is closed with blood vessel clamp, then three lumens are effectively led
Draw, so as to ensure that Sengstaken-Blakemore tube reaches the purpose of hemostasis by compression.
In the prior art, clinically only focus on patient and receive Sengstaken-Blakemore tube hemostasis by compression treatment within the most short time,
And the traction method of Sengstaken-Blakemore tube has different methods without the device of fixation, different hospitals, even same doctor
The method of the different department traction of institute is also not quite similar.Generally by Sengstaken-Blakemore tube through in nostril insertion patient's stomach, being noted to gastric pouch
After gas, gently firmly outwards traction, feels after having certain elastic resistance, then is fixed with external traction.The traction of generally use is consolidated
The method of determining is:Bandage directly ties up to Sengstaken-Blakemore tube opening, on the horizontal hook for hanging over infusion device of bandage or is fixed on bed
In tail mobile device, a bottling liquid not broken a seal is tied up in end again;Or Sengstaken-Blakemore tube is fixed on patient with wide adhesive plaster
Face and cheek, keep suitable tension force, play a part of hemostasis by compression, in the prior art Sengstaken-Blakemore tube traction method installation and
Using very inconvenient, and the weight hung can be rocked back and forth, and patient is caused to pull, pain is brought to patient;Additionally due to
The tractive force that different patients uses is different, it is therefore desirable to the weight of standby multiple different weights, operates cumbersome.
【The content of the invention】
Problem to be solved by this invention is just to provide a kind of Sengstaken-Blakemore tube hitch frame with tensiometer, has installation
And the characteristics of easy to use.
In order to solve the above technical problems, the present invention adopts the following technical scheme that:
A kind of Sengstaken-Blakemore tube hitch frame with tensiometer, including mounting seat, pulley, fixing pipe, it is inserted into fixing pipe
Interior adjusting rod, pull rope and tensiometer, the mounting seat are connected to the lower end of fixing pipe, be also equipped with the fixing pipe with
The governor motion of adjusting rod engagement connection, rotates the governor motion to drive adjusting rod to move up and down, the governor motion
Including adjusting knob, the adjusting knob is provided with locating dowel, and the fixing pipe is provided with positioning hole, and the locating dowel is inserted into
It is connected in positioning hole with the height and position of secured adjusted bar, the outer end of the pull rope with tensiometer, it is inner on pulley,
The pulley is provided with through hole, and the through-hole wall is provided through turning for through hole at least provided with a neck on the adjusting rod
Axle, the rotating shaft are provided with the projection coordinated with neck, and when the projection is outside neck, the pulley freely turns along rotating shaft
Dynamic, when the projection is in neck, the pulley is fixedly connected in rotating shaft.
It is also equipped with engaging company with adjusting rod in the fixing pipe of the Sengstaken-Blakemore tube hitch frame with tensiometer of the present invention
The governor motion connect, rotating governor motion can drive adjusting rod to move up and down, and be so designed that, can be according to different building shape
Patient adjusts the height of adjusting rod, reaches the purpose for the treatment of, is tried to gain time precious to one for rescue life, governor motion includes regulation
Knob, adjusting knob are provided with locating dowel, and fixing pipe is provided with positioning hole, and locating dowel is inserted into positioning hole, when needing to adjust
During the height of adjusting rod, pulling out adjusting knob makes locating dowel depart from out of positioning hole, then rotates adjusting knob driving and adjusts
Pole moves up and down, and after the position adjustments of adjusting rod are good, pressing inward against adjusting knob makes locating dowel be inserted into positioning hole
With the height and position of secured adjusted bar, prevent the adjusting rod after regulation from teetertottering, so as to increase the comfort of patient, this
Mounting seat in invention is arranged on tailstock, so can connect as one Sengstaken-Blakemore tube hitch frame with sick bed, occupy little space,
It is not easy to topple over, stability and security are higher, facilitate the transfer of patient.In addition, the tensiometer in the present invention replaces weight, due to
The pulling force adjusting range of tensiometer is wider, therefore without the weight of standby multiple different weights, also ensures the capsule of three chamber two in addition
The pulling force that pipe is subject to is stable, adds the comfort of patient, and specific embodiment is:Pulley slides axially so that projection is located at
Outside neck, tensiometer is articulated on Sengstaken-Blakemore tube, and rotate pulley and carry out rope closing or put rope action, pulling force regulation is arrived
Suitable value, subsequently reverse direction propelling sheave, which slides, makes projection be installed in neck, and now pulley can not rotate, and thereby ensure that three
The pulling force that the capsule pipe of chamber two is subject to is in constant state all the time, compared to existing technologies, Sengstaken-Blakemore tube of the invention traction
Frame is installed and use is more convenient, and structure is simpler.
First specific embodiment:The governor motion also include connecting rod and with adjusting rod meshed gears, the company
Extension bar is connected between adjusting knob and gear, and the connecting rod is provided with gag lever post.It is so designed that, ensures gear and adjusting rod
At a fully engaged state is remained, extends the service life of gear.
Second specific embodiment:The adjusting rod includes vertical bar and crossbeam, and the gear engages connection with vertical bar,
The pulley is arranged on crossbeam.It is so designed that, bigger installing space is provided for pulley
3rd specific embodiment:Hook is additionally provided with the crossbeam.It is so designed that, Sengstaken-Blakemore tube hitch frame also can use
In being affiliated to for infusion bottle, the scope of application is wider.
4th specific embodiment:The through-hole wall circumference uniform intervals are provided with several described necks, the projection
It is arranged on the end of rotating shaft.It is so designed that, increases the degree of regulation of value of thrust.
5th specific embodiment:The length of the rotating shaft is H, and the raised axial length is h, the axle of the pulley
It is h1 to length, meets H=h+h1.Be so designed that, can anti-limited slip wheel glanced off when freely rotating, to rope closing and put rope and make
Into inconvenience.
6th specific embodiment:The pulling force is calculated as electronic tension meter, and the electronic tension meter shows provided with value of thrust
Display screen.It is so designed that, is easy to observe value of thrust.
7th specific embodiment:The pull rope and the angle of horizontal direction are 45 °.It is so designed that, patient can be increased
Comfort, haemostatic effect is more preferable.
8th specific embodiment:The mounting seat is provided with iInstalling bayonet, and the iInstalling bayonet inwall is provided with soft pad
Piece.It is so designed that, effectively protects the shape and outward appearance of tailstock, extends the service life of sick bed.
The present invention these features and advantage will be detailed in following embodiment, accompanying drawing exposure.
【Brief description of the drawings】
The present invention is described further below in conjunction with the accompanying drawings:
Fig. 1 is the use state figure of the Sengstaken-Blakemore tube hitch frame with tensiometer in the preferred embodiment of the present invention;
Fig. 2 is the partial sectional view of the Sengstaken-Blakemore tube hitch frame with tensiometer in the preferred embodiment of the present invention;
Fig. 3 is the structural representation of governor motion in the preferred embodiment of the present invention;
Fig. 4 is the structural representation of preferred embodiment of the present invention middle pulley;
Fig. 5 is located at structural representation when in neck for preferred embodiment of the present invention protrusions;
Fig. 6 is located at structural representation when outside neck for preferred embodiment of the present invention protrusions.
【Embodiment】
The technical scheme of the embodiment of the present invention is explained and illustrated with reference to the accompanying drawing of the embodiment of the present invention, but under
It is only the preferred embodiments of the present invention to state embodiment, and not all.Based on the embodiment in embodiment, those skilled in the art
Other embodiment is obtained on the premise of creative work is not made, belongs to protection scope of the present invention.
As shown in Fig. 1 to 2, the Sengstaken-Blakemore tube hitch frame with tensiometer in the preferred embodiment of the present invention includes installation
Seat 1, fixing pipe 2, adjusting rod 3, governor motion 4, bolt 5, pull rope 7 and tensiometer 8, wherein Sengstaken-Blakemore tube hitch frame are installed
On the tailstock of sick bed 10, that is, mounting seat 1 is fixedly connected on by bolt 5 at the tailstock of sick bed 10, in order to ensure tailstock
Outward appearance and prevent tailstock from deforming, soft pad 6, soft pad 6 are additionally provided with the iInstalling bayonet inwall of mounting seat 1
Rubber sheet gasket, silica gel pad etc. can be used, the effect of being effectively protected can be so played to tailstock, extends the use of sick bed 10
Life-span.Fixing pipe 2 is integrally formed with mounting seat 1, and the lower end of adjusting rod 3 is inserted into fixing pipe 2, and upper end is revealed in fixing pipe 2
Outside, adjusting rod 3 include vertical bar 31 and crossbeam 32, and vertical bar 31 engages connection with governor motion 4, cunning is mounted with crossbeam 32
Wheel 322, is so designed that, can be that pulley 322 provides bigger installing space, anti-limited slip wheel 322 interferes with adjusting rod 3.This
The Sengstaken-Blakemore tube hitch frame with tensiometer in invention is used to draw Sengstaken-Blakemore tube 9, and Sengstaken-Blakemore tube 9 is through patient nostril
In insertion patient's stomach, to after gastric pouch gas injection, gently firmly outwards traction, feels after having certain elastic resistance, then is drawn with external
It is fixed.Fixing means is:One end of tensiometer 8 is connected with Sengstaken-Blakemore tube 9, and the other end is connected with the outer end of pull rope 7, traction
The inner winding of rope 7 is connected on pulley 322, realizes traction and patient's massive hemorrhage of gastrointestinal tract is stopped blooding.Wherein pull rope 7 with
The angle of horizontal direction is a, and angle a is 45 °, is so designed that, can increase the comfort of patient, haemostatic effect is more preferable.Compared to existing
For having technology, the mounting seat 1 in the present invention is fixedly mounted on tailstock, Sengstaken-Blakemore tube hitch frame is connected as one with sick bed 10
Body, occupy little space, be not easy to topple over, stability and security are higher, facilitate the transfer of patient.
Hook 321 is additionally provided with crossbeam 32 in the present invention, hook 321 can be used for being affiliated to infusion bottle so that three chambers two
Capsule pipe hitch frame uses as infusion device, and the scope of application is wider.
As shown in figure 3, governor motion 4 includes adjusting knob 40, gear 41 and connecting rod 42, gear 41 is nibbled with vertical bar 31
Close connection, one end and the gear 41 of connecting rod 42 be integrally formed, and the other end is fixedly connected with adjusting knob 40, fixing pipe 2 it is interior
Two fixed plates 23 are also fixedly connected with wall, fixed plate 23 is used for the positioning that above-below direction is carried out to gear 41, prevents its production
Life is teetertottered, and locating dowel 401 is additionally provided with adjusting knob 40, several positioning holes are circumferentially interval with fixing pipe 2
21, locating dowel 40 is inserted into positioning hole 21, when needing to adjust the height of adjusting rod 3, pulls out adjusting knob 40, and it is fixed to make
Position post 401 departs from out of positioning hole 21, and rotates adjusting knob 40, and then is rotated with moving gear 41, and gear 41 drives vertical bar
31 move up and down.The patient of different building shape is adapted to by adjusting the height of adjusting rod 3, reaches the purpose for the treatment of, for rescue
Life tries to gain time precious to one.
In order to prevent when pulling out adjusting knob 40, the connection of engaging between gear 41 and vertical bar 31 disconnects,
Connecting rod 42 is provided with gag lever post 421, and when locating dowel 401 departs from away out of positioning hole 21 completely, gag lever post 421 is with fixing
The inwall of pipe 2 is offseted, and fully engaged state is now still kept between gear 41 and vertical bar 31, does not influence gear 41 and vertical bar
Transmission between 31, extend the service life of gear 41.
After the height of adjusting rod 3 is regulated, adjusting knob 40 is pressed inward against, locating dowel 401 is inserted into positioning hole 21
It is interior, prevent adjusting rod 3 from teetertottering with this, cause the height and position of adjusting rod 3 unstable, increase the sense of discomfort of patient.
Compared to existing technologies, the Sengstaken-Blakemore tube hitch frame with tensiometer is installed and using more convenient, structure in the present invention
Also it is simpler.
As shown in Fig. 2 in order to ensure that adjusting rod 3 is in vertical movement state all the time in lifting process, in fixing pipe 2
Upper end also integrally formed with guide sleeve 22, is so designed that, can prevent from causing to engage the disconnected of teeth due to the skew of adjusting rod 3
Split, extend the service life of Sengstaken-Blakemore tube hitch frame.
As shown in Figs. 4-6, the tensiometer 8 in the present invention is electronic tension meter, and the scope of its value of thrust is 4N~10N, can
Corresponding pulling force regulation is carried out for different patients, without the weight of standby multiple different weights, is provided with and draws on tensiometer 8
Force value display screen 81, it is easy to observe value of thrust, is provided with through hole 323 at the center of pulley 322, on the inwall of through hole 323 between circumference
Every being uniformly provided with several necks 324, rotating shaft 325 is connected with crossbeam 32, projection is provided with the one end in the outside of rotating shaft 325
326.In use, propelling sheave 322 makes projection 326 outside neck 324 to the right, now pulley 322 can be in rotating shaft 325 freely
Rotate, extend pull rope 7 by rotating pulley 322, and tensiometer 8 is connected with Sengstaken-Blakemore tube 9, then rotate and slide manually
The progress rope closing of wheel 322 and the action for putting rope, to adjust the value of thrust of tensiometer 8, are obtained desired by value of thrust display screen 81
After value of thrust, pulley 322 is promoted to the left, projection 326 is installed in neck 324, now pulley 322 can not rotate, and ensure
The value of thrust regulated is in constant state, when so can both prevent that pulling force is excessive, causes excessively to pull causing stomach to stick to patient
Film ischemic necrosis and air bag slip, and increase the comfort of patient, can also prevent from being unable to reach hemostasis when pulling force deficiency.Right
When patient is shifted, weight of the prior art can produce significantly horizontal jitter, and serious discomfort, this hair are caused to patient
Tensiometer 8 in bright in the Sengstaken-Blakemore tube hitch frame with tensiometer will not produce large-amplitude sloshing under traction, to three chambers two
The traction of capsule pipe 9 is more stable, therefore can increase the comfort of patient, and structurally and operationally simpler.
In order to improve the degree of regulation of value of thrust, the neck 324 in the present invention is 6, and rotating shaft 325 is circumferential to be arranged with 2
Individual raised 326,2 projections 326 further anti-limited slip wheel 322 can rotate;In addition, the length of rotating shaft 325 is H, the axle of projection 326
Be h to length, the axial length of pulley 322 is h1, meets H=h+h1, can run-off the straight when freely rotating of anti-limited slip wheel 322,
Make rope closing and put the more smooth convenience of rope.
The foregoing is only a specific embodiment of the invention, but protection scope of the present invention is not limited thereto, and is familiar with
The those skilled in the art should be understood that the present invention includes but is not limited to accompanying drawing and interior described in embodiment above
Hold.The modification of any function and structure principle without departing from the present invention is intended to be included in the scope of claims.
Claims (6)
- A kind of 1. Sengstaken-Blakemore tube hitch frame with tensiometer, it is characterised in that:Including mounting seat, pulley, fixing pipe, inserting Adjusting rod, pull rope and tensiometer in fixing pipe, the mounting seat are connected to the lower end of fixing pipe, gone back in the fixing pipe The governor motion that connection is engaged with adjusting rod is installed, rotates the governor motion to drive adjusting rod to move up and down, it is described Governor motion includes adjusting knob, and the adjusting knob is provided with locating dowel, and the fixing pipe is provided with positioning hole, the positioning Post is inserted into positioning hole with the height and position of secured adjusted bar, and the governor motion also includes connecting rod and engaged with adjusting rod Gear, the connecting rod is connected between adjusting knob and gear, and the connecting rod is provided with gag lever post, the pull rope Outer end is connected with tensiometer, and the inner is on pulley, and the pulley is provided with through hole, and the through-hole wall is at least provided with one Neck, the rotating shaft of through hole is provided through on the adjusting rod, and the rotating shaft is provided with the projection coordinated with neck, the raised position When outside neck, the pulley freely rotates along rotating shaft, and when the projection is in neck, the pulley is fixedly connected on rotating shaft On, the through-hole wall circumference uniform intervals are provided with several described necks, and the projection is arranged on the end of rotating shaft, described turn The length of axle is H, and the raised axial length is h, and the axial length of the pulley is h1, meets H=h+h1.
- 2. the Sengstaken-Blakemore tube hitch frame according to claim 1 with tensiometer, it is characterised in that:The adjusting rod bag Vertical bar and crossbeam are included, the gear engages connection with vertical bar, and the pulley is arranged on crossbeam.
- 3. the Sengstaken-Blakemore tube hitch frame according to claim 2 with tensiometer, it is characterised in that:On the crossbeam also Provided with hook.
- 4. the Sengstaken-Blakemore tube hitch frame according to claim 1 with tensiometer, it is characterised in that:The pulling force is calculated as Electronic tension meter, the electronic tension meter are provided with value of thrust display screen.
- 5. the Sengstaken-Blakemore tube hitch frame according to claim 1 with tensiometer, it is characterised in that:The pull rope with The angle of horizontal direction is 45 °.
- 6. the Sengstaken-Blakemore tube hitch frame with tensiometer according to one of claim 1 to 5, it is characterised in that:It is described Mounting seat is provided with iInstalling bayonet, and the iInstalling bayonet inwall is provided with soft pad.
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CN201610004817.5A CN105455868B (en) | 2016-01-05 | 2016-01-05 | A kind of Sengstaken-Blakemore tube hitch frame with tensiometer |
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CN201610004817.5A CN105455868B (en) | 2016-01-05 | 2016-01-05 | A kind of Sengstaken-Blakemore tube hitch frame with tensiometer |
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CN108837227B (en) * | 2018-08-30 | 2023-09-12 | 江苏省人民医院(南京医科大学第一附属医院) | Multifunctional medical infusion support for infant infusion |
CN111904594B (en) * | 2020-08-28 | 2021-05-04 | 江苏普力优创科技有限公司 | Microwave ablation needle and microwave ablation therapeutic apparatus thereof |
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CN205286439U (en) * | 2016-01-05 | 2016-06-08 | 俞宁平 | Sengstaken -Blakemore tube traction frame with tensiometer |
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FR2664807A1 (en) * | 1990-07-17 | 1992-01-24 | Brehaut Gilles | Haemostatic arterial compressor |
CN203591365U (en) * | 2013-10-09 | 2014-05-14 | 上海市同济医院 | Portable horizontal cervical traction stand without counter weight |
CN203970477U (en) * | 2014-07-22 | 2014-12-03 | 四川大学华西医院 | Traction bracket for double-bag three-cavity tube |
CN204671212U (en) * | 2015-05-07 | 2015-09-30 | 西安交通大学医学院第二附属医院 | Pulley-type three chamber two capsule pipe traction frame |
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