CN107088081A - A kind of external physical vibration lithagoue machine and its method - Google Patents
A kind of external physical vibration lithagoue machine and its method Download PDFInfo
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- CN107088081A CN107088081A CN201710283156.9A CN201710283156A CN107088081A CN 107088081 A CN107088081 A CN 107088081A CN 201710283156 A CN201710283156 A CN 201710283156A CN 107088081 A CN107088081 A CN 107088081A
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- external physical
- therapeutic bed
- row
- physical vibration
- scanner
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- 238000000034 method Methods 0.000 title claims abstract description 14
- 239000004575 stone Substances 0.000 claims abstract description 47
- 230000001225 therapeutic effect Effects 0.000 claims abstract description 37
- 210000003734 kidney Anatomy 0.000 claims abstract description 28
- 230000005540 biological transmission Effects 0.000 claims abstract description 13
- 230000007246 mechanism Effects 0.000 claims abstract description 9
- 230000009467 reduction Effects 0.000 claims abstract description 4
- 238000003384 imaging method Methods 0.000 claims description 8
- 230000033001 locomotion Effects 0.000 claims description 5
- 238000002604 ultrasonography Methods 0.000 claims description 5
- 238000000926 separation method Methods 0.000 claims description 3
- 230000009286 beneficial effect Effects 0.000 abstract description 3
- 230000010355 oscillation Effects 0.000 description 5
- 230000002485 urinary effect Effects 0.000 description 5
- 230000000694 effects Effects 0.000 description 4
- 210000003205 muscle Anatomy 0.000 description 4
- 230000008859 change Effects 0.000 description 3
- 208000000913 Kidney Calculi Diseases 0.000 description 2
- 206010029148 Nephrolithiasis Diseases 0.000 description 2
- 208000000014 Ureteral Calculi Diseases 0.000 description 2
- 206010016256 fatigue Diseases 0.000 description 2
- 210000003744 kidney calice Anatomy 0.000 description 2
- 208000018299 prostration Diseases 0.000 description 2
- 238000002560 therapeutic procedure Methods 0.000 description 2
- 210000000626 ureter Anatomy 0.000 description 2
- 210000001635 urinary tract Anatomy 0.000 description 2
- 210000002700 urine Anatomy 0.000 description 2
- 210000003741 urothelium Anatomy 0.000 description 2
- 208000035473 Communicable disease Diseases 0.000 description 1
- 206010011409 Cross infection Diseases 0.000 description 1
- 206010029803 Nosocomial infection Diseases 0.000 description 1
- 206010068676 Pneumoretroperitoneum Diseases 0.000 description 1
- 208000005727 Retropneumoperitoneum Diseases 0.000 description 1
- 208000009911 Urinary Calculi Diseases 0.000 description 1
- 230000004308 accommodation Effects 0.000 description 1
- 210000003484 anatomy Anatomy 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 230000001419 dependent effect Effects 0.000 description 1
- 238000009792 diffusion process Methods 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 238000002224 dissection Methods 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 230000005611 electricity Effects 0.000 description 1
- 230000005484 gravity Effects 0.000 description 1
- 230000008676 import Effects 0.000 description 1
- 230000006872 improvement Effects 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 230000027939 micturition Effects 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 210000004400 mucous membrane Anatomy 0.000 description 1
- 230000003387 muscular Effects 0.000 description 1
- 238000010408 sweeping Methods 0.000 description 1
- 210000001519 tissue Anatomy 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B17/225—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for for extracorporeal shock wave lithotripsy [ESWL], e.g. by using ultrasonic waves
- A61B17/2255—Means for positioning patient, shock wave apparatus or locating means, e.g. mechanical aspects, patient beds, support arms, aiming means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B17/225—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for for extracorporeal shock wave lithotripsy [ESWL], e.g. by using ultrasonic waves
- A61B17/2256—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for for extracorporeal shock wave lithotripsy [ESWL], e.g. by using ultrasonic waves with means for locating or checking the concrement, e.g. X-ray apparatus, imaging means
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Biomedical Technology (AREA)
- Vascular Medicine (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Engineering & Computer Science (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Radiology & Medical Imaging (AREA)
- Surgical Instruments (AREA)
Abstract
A kind of external physical vibration lithagoue machine, including therapeutic bed and the fixation oscillator being arranged in the middle part of therapeutic bed, it is also associated with driving the transmission mechanism of therapeutic bed Sloped rotating, in addition to the computer based on scanner three-dimensional reconstruction reduction kidney stereochemical structure and the row's of calculating stone path below therapeutic bed.A kind of external physical vibration lithagogue method, including (1) are scanned by scanner to the renal tract of patient;(2) computer is reduced to the three-dimensional structure of the kidney of patient and calculus position;(3) incline direction and angle of adjustment therapeutic bed, while adjusting the vibration frequency and amplitude of fixed oscillator.Beneficial effects of the present invention are:By the accurately row's of adjustment stone position, clinician more accurate can discharge calculus, the validity of the row's of raising stone.
Description
Technical field
The present invention relates to a kind of medicine equipment, arranged more particularly, to a kind of external physical vibration for treating calculi in urinary system
Stone machine and its method.
Background technology
External physical vibration row's stone art (EPVL) is by being conducted into vivo, being shaken by fixation by multi-direction simple harmonic oscillation ripple
The simple harmonic oscillation ripple that son is produced, reduces lithangiuria and the frictional force of tissue, the spherical diffusion with reference to produced by hand-held oscillator
Impact involve can Multidirectional-moving therapeutic bed, by rubble, lighten restrictions on and drive effect, by urinary system microlith actively row
Except a kind of external treatment method.
In therapeutic process, doctor first passes through imaging data (plain film, CT and B ultrasound etc.) and judges substantially position where calculus
Put, clinical experience is relied on according to the gross anatomy situation of the position of calculus, kidney or ureter, thus it is speculated that the direction of calculus discharge.
According to clinic contemplate calculus discharge scheme, adjustment patient posture and row the cubic meter of stone to, rule of thumb treat 6-18 minutes, by calculus
From internal discharge.
External physical vibration row Stone technique can still have good effect, and safety for the treatment of stone in urinary system
Property is very good.But obtain and realize preferable therapeutic effect dependent on the theoretical level of doctor, clinical experience even abstract sky
Between thinking ability because the urination path of human body is a complicated three-dimensional structure.
The urine of human body is produced in kidney, is drained into renal plevis through kidney calices, bladder is drained into from renal plevis by ureter, finally from wing
Guang is discharged.Calculi in urinary system particularly upper urinary stone (kidney, ureteral calculi) may reside in any position of urinary tract.It is defeated
The traveling of urinary catheter is relatively fixed, and directionality is moved towards inside it clearly, the discharge direction of urine and calculus is substantially stationary, i.e., by up to
Under.Thus, in the treatment of ureteral calculi, to the less demanding of patient body position, head height pin is low.But row's stone of kidney stone
Effect is not satisfactory, for the residual stone after external stone crushing and intracavity operation rubble, although external physical vibration row's stone will can be tied
Stone is discharged, and is but difficult by its emptying.For primary renal calculus, its effective discharge rate is lower.
The content of the invention
The invention aims to the defect for solving present in external physical vibration lithagoue machine in the prior art, there is provided one
High accurancy and precision, efficient lithagoue machine is planted to solve the above problems.
To achieve these goals, technical scheme is as follows:
A kind of external physical vibration lithagoue machine, including therapeutic bed and the fixation oscillator being arranged in the middle part of therapeutic bed, its feature
It is, is also associated with driving the transmission mechanism of therapeutic bed Sloped rotating below the therapeutic bed, in addition to based on scanner three
Tie up the computer in reconstruction technique reduction kidney stereochemical structure and the row's of calculating stone path.
Above-mentioned a kind of external physical vibration lithagoue machine, it is characterised in that also including sweeping for being scanned to renal tract
Instrument is retouched, the scanner connects computer, and the computer is also connected with transmission mechanism and fixed oscillator.
Above-mentioned a kind of external physical vibration lithagoue machine, it is characterised in that the scanner includes one of following:
CT, B ultrasound.
Above-mentioned a kind of external physical vibration lithagoue machine, it is characterised in that the transmission device includes being connected to therapeutic bed
Lower support column and the drive inclined driving motor of support column.
Above-mentioned a kind of external physical vibration lithagoue machine, it is characterised in that also including hand-held mobile oscillator.
Above-mentioned a kind of external physical vibration lithagoue machine, it is characterised in that the outside of the hand-held mobile oscillator is provided with
Dismountable disposable isolating pad is provided with therapeutic bed above dismountable disposable separation sleeve, the fixed oscillator.
Above-mentioned a kind of external physical vibration lithagoue machine, it is characterised in that the therapeutic bed includes bed body and bed body bottom
Baffle plate.
A kind of external physical vibration lithagogue method, it is characterised in that comprise the following steps:
(1) renal tract of patient is scanned by scanner;
(2) computer passes through three-dimensional reconstruction skill after imaging data of the scanner to kidneys of patients position is received
Art reduces the three-dimensional structure of the kidney of patient and calculus position;
(3) three-dimensional structure based on kidney and calculus position, then the row's of calculating stone path adjusts therapeutic bed
Incline direction and angle, while adjusting the vibration frequency and amplitude of fixed oscillator.
Above-mentioned a kind of external physical vibration lithagoue machine, it is characterised in that step (2) Computer is swept receiving
After instrument is retouched to the imaging data at kidneys of patients position, by three-dimensional reconstruction by the three-dimensional structure and knot of the kidney of patient
Stone position is reduced over the display.
Above-mentioned a kind of external physical vibration lithagoue machine, it is characterised in that three-dimensional structure and calculus institute based on kidney
In position, computer calculates row's stone path, and controls to adjust the incline direction and angle of therapeutic bed, is shaken while adjusting fixation
The vibration frequency and amplitude of son.
Beneficial effects of the present invention are:By the accurately row's of adjustment stone position, clinician can be more accurate by calculus
Discharge, the validity of the row's of raising stone.Meanwhile, in this programme, patient is fixed on row's stone bed, it is only necessary to which the row's of following stone bed is passive to be moved
It is dynamic, actively exerted oneself without muscle, muscle will not be nervous during row's stone, therefore physical vibration wave energy is more effectively conducted into body
It is interior.Meanwhile, after three-dimensional reconstruction, the size and location of calculus can be evaluated whether out, according to the friction of calculus and urothelium tissue
Coefficient, it is estimated that required, row's stone angle, time of vibration and vibrational energy --- i.e. amplitude is (in physics simple harmonic oscillation
Under the conditions of, determine vibrational energy for amplitude), so that row's stone of clinician operates more accurate, the damage to patient
It is smaller.
Brief description of the drawings
Fig. 1 is structural representation of the invention.
Embodiment
To make to have a better understanding and awareness to architectural feature of the invention and the effect reached, to preferably
Embodiment and accompanying drawing coordinate detailed description, are described as follows:
Referring to Fig. 1, a kind of external physical vibration lithagoue machine, including therapeutic bed 100 and it is arranged at consolidating for the middle part of therapeutic bed 100
Determine oscillator 210, the lower section of therapeutic bed 100 is also associated with driving the transmission mechanism 110 of the Sloped rotating of therapeutic bed 100, transmission mechanism 110
Can be to the three-dimensional Sloped rotating of therapeutic bed 100 be driven, patient is lain in therapeutic bed 100 can be with the rotation of therapeutic bed 100
Tilt and change the incline direction and angle of body.
Present invention additionally comprises reduce kidney stereochemical structure and the row's of calculating stone path based on the three-dimensional reconstruction of scanner 400
Computer 300 and the scanner 400 that is scanned to renal tract, the connection computer 300 of scanner 400, computer
300 are also connected with transmission mechanism 110 and fixed oscillator 210.Scanner 400 is scanned to the renal tract of patient, then will
Imaging data imports computer 300, and computer 300 will utilize three-dimensional reconstruction by patient by the imaging data of patient
Kidney three-dimensional structure and calculus position reduce on display, the row's of the calculating stone path of simultaneous computer 300, and leading to
Cross control transmission mechanism 110 and the incline direction and angle and the fixed oscillator of adjustment of the fixed adjustment of oscillator 210 therapeutic bed 100
210 vibration frequency and amplitude, to enable calculus to be discharged to the row's stone path calculated according to computer 300.Originally simultaneously
Can also be according to the volume of calculus, and calculus and the coefficient of friction of upper urinary tract mucous membrane, required for estimating calculus discharge in scheme
Time and Oscillation Amplitude.This parameter will help doctor more accurately to adjust the parameters such as time, amplitude in therapeutic process.
In the present invention, scanner 400 is CT or B ultrasound.In recent years, the Three-dimensional Gravity based on CT and ultrasonic technique (B ultrasound)
Build beginning increasing applied to clinic.At present, common CT is unenhanced can also reduce kidney (spy by three-dimensional reconstruction
Be not renal plevis kidney calices) stereochemical structure.
Transmission device 110 includes being connected to 100 times support columns of therapeutic bed 111 and drives the inclined transmission electricity of support column 111
Machine 112.
Also include hand-held mobile oscillator 220 in the present invention, hand-held mobile oscillator 220 can be to being aided at calculus
Vibration, doctor can use hand-held mobile oscillator to enter after the stereochemical structure of renal tract and calculus position is observed
Row local vibration, further helps calculus discharge.
In order to prevent the cross infection because of infectious disease caused by equipment administration or disease of skin, hand-held mobile oscillator
220 outside is provided with dismountable disposable separation sleeve, the therapeutic bed 100 of the fixed top of oscillator 210 and is provided with detachably
Disposable isolating pad.
Therapeutic bed 100 includes the baffle plate 120 of bed body and bed body bottom, and the purpose of baffle plate 120 is to prevent patient in inclination
When slide bed body.
A kind of external physical vibration lithagogue method, it is characterised in that comprise the following steps:
(1) renal tract of patient is scanned by scanner 400;
(2) computer 300 passes through three-dimensional after imaging data of the scanner 400 to kidneys of patients position is received
Reconstruction technique reduces the three-dimensional structure of the kidney of patient and calculus position over the display, so that doctor intuitively knows
Not;
(3) three-dimensional structure based on kidney and calculus position, the row's of the calculating stone path of computer 300, are then adjusted
The incline direction and angle of whole therapeutic bed 100, while the vibration frequency and amplitude of fixed oscillator 210 are adjusted, to cause knot
Stone can give the row's stone path calculated according to computer 300 to discharge.
Two kidney positions of human body are relatively fixed from the perspective of human dissection, i.e., prostration is in the pneumoretroperitoneum of human body.
Arrange during stone, patient such as prostration are on row's stone bed, and the three-dimensional motion of row's stone bed and the three-dimensional motion direction of kidneys of patients are in fact
It is consistent.Therefore after patient being fixed on into row's stone bed above, kidneys of patients can be calculated indirectly by the movement angle for arranging stone bed
Movement angle.If patient during row's stone if without active accommodation position, but on the row of being fixed in stone bed
Passive to change in position, patient treatment procedure without muscular tone, the incoming internal efficiency of vibration wave can be higher.
Beneficial effects of the present invention are:By the accurately row's of adjustment stone position, clinician can be more accurate by calculus
Discharge, the validity of the row's of raising stone.Meanwhile, in this programme, patient is fixed on row's stone bed, it is only necessary to which the row's of following stone bed is passive to be moved
It is dynamic, actively exerted oneself without muscle, muscle will not be nervous during row's stone, therefore physical vibration wave energy is more effectively conducted into body
It is interior.Meanwhile, after three-dimensional reconstruction, the size and location of calculus can be evaluated whether out, according to the friction of calculus and urothelium tissue
Coefficient, it is estimated that required, row's stone angle, time of vibration and vibrational energy --- i.e. amplitude is (in physics simple harmonic oscillation
Under the conditions of, determine vibrational energy for amplitude), so that row's stone of clinician operates more accurate, the damage to patient
It is smaller.
General principle, principal character and the advantages of the present invention of the present invention has been shown and described above.The technology of the industry
Personnel are it should be appreciated that the present invention is not limited to the above embodiments, and that described in above-described embodiment and specification is the present invention
Principle, various changes and modifications of the present invention are possible without departing from the spirit and scope of the present invention, these change and
Improvement is both fallen within the range of claimed invention.The protection domain of application claims by appended claims and its
Equivalent is defined.
Claims (10)
1. a kind of external physical vibration lithagoue machine, including therapeutic bed and the fixation oscillator being arranged in the middle part of therapeutic bed, its feature exist
In, it is also associated with driving the transmission mechanism of therapeutic bed Sloped rotating below the therapeutic bed, in addition to it is three-dimensional based on scanner
Reconstruction technique reduces the computer in kidney stereochemical structure and the row's of calculating stone path.
2. a kind of external physical vibration lithagoue machine according to claim 1, it is characterised in that also including entering to renal tract
The scanner of row scanning, the scanner connects computer, and the computer is also connected with transmission mechanism and fixed oscillator.
3. a kind of external physical vibration lithagoue machine according to claim 2, it is characterised in that under the scanner includes
One of row:CT, B ultrasound.
4. a kind of external physical vibration lithagoue machine according to claim 1 or 3, it is characterised in that the transmission device bag
Include and be connected to support column and the drive inclined driving motor of support column under therapeutic bed.
5. a kind of external physical vibration lithagoue machine according to claim 4, it is characterised in that also shaken including hand-held movement
Son.
6. a kind of external physical vibration lithagoue machine according to claim 5, it is characterised in that the hand-held mobile oscillator
Outside is provided with the therapeutic bed above dismountable disposable separation sleeve, the fixed oscillator and is provided with removably disposably
Isolating pad.
7. a kind of external physical vibration lithagoue machine according to claim 1 or 6, it is characterised in that the therapeutic bed includes
Bed body and the baffle plate of bed body bottom.
8. a kind of external physical vibration lithagogue method, it is characterised in that comprise the following steps:
(1) renal tract of patient is scanned by scanner;
(2) computer, will by three-dimensional reconstruction after imaging data of the scanner to kidneys of patients position is received
The three-dimensional structure of the kidney of patient and the reduction of calculus position;
(3) three-dimensional structure based on kidney and calculus position, then the row's of calculating stone path adjusts the inclination of therapeutic bed
Direction and angle, while adjusting the vibration frequency and amplitude of fixed oscillator.
9. a kind of external physical vibration lithagoue machine according to claim 8, it is characterised in that calculated in the step (2)
Machine is after imaging data of the scanner to kidneys of patients position is received, by three-dimensional reconstruction by the kidney of patient
Three-dimensional structure and the reduction of calculus position are over the display.
10. a kind of external physical vibration lithagoue machine according to claim 8 or claim 9, it is characterised in that the three-dimensional based on kidney
Structure and calculus position, computer calculate row's stone path, and control to adjust the incline direction and angle of therapeutic bed,
The vibration frequency and amplitude of fixed oscillator are adjusted simultaneously.
Priority Applications (1)
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CN201710283156.9A CN107088081A (en) | 2017-04-26 | 2017-04-26 | A kind of external physical vibration lithagoue machine and its method |
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CN201710283156.9A CN107088081A (en) | 2017-04-26 | 2017-04-26 | A kind of external physical vibration lithagoue machine and its method |
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN111359106A (en) * | 2020-03-09 | 2020-07-03 | 青岛市中医医院(青岛市海慈医院、青岛市康复医学研究所) | Radiotherapy positioning bed |
Citations (5)
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---|---|---|---|---|
JPH0751279A (en) * | 1993-08-12 | 1995-02-28 | Toshiba Corp | Shock wave treatment device |
CN1695565A (en) * | 2004-05-12 | 2005-11-16 | 宝健科技股份有限公司 | Exosomatic calculus crusher and device for tracing and positioning calculus |
CN104055556A (en) * | 2013-03-22 | 2014-09-24 | 郑州富健达医疗器械有限公司 | In-vitro calculus removing equipment |
CN203874048U (en) * | 2014-05-15 | 2014-10-15 | 陈海启 | In-vitro vibration type calculus removing machine |
CN106214417A (en) * | 2016-09-20 | 2016-12-14 | 深圳市慧康精密仪器有限公司 | A kind of urinary system calculus bed of many positions |
-
2017
- 2017-04-26 CN CN201710283156.9A patent/CN107088081A/en active Pending
Patent Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JPH0751279A (en) * | 1993-08-12 | 1995-02-28 | Toshiba Corp | Shock wave treatment device |
CN1695565A (en) * | 2004-05-12 | 2005-11-16 | 宝健科技股份有限公司 | Exosomatic calculus crusher and device for tracing and positioning calculus |
CN104055556A (en) * | 2013-03-22 | 2014-09-24 | 郑州富健达医疗器械有限公司 | In-vitro calculus removing equipment |
CN203874048U (en) * | 2014-05-15 | 2014-10-15 | 陈海启 | In-vitro vibration type calculus removing machine |
CN106214417A (en) * | 2016-09-20 | 2016-12-14 | 深圳市慧康精密仪器有限公司 | A kind of urinary system calculus bed of many positions |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN111359106A (en) * | 2020-03-09 | 2020-07-03 | 青岛市中医医院(青岛市海慈医院、青岛市康复医学研究所) | Radiotherapy positioning bed |
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