CN110152208A - Combine transplanting applicating device - Google Patents

Combine transplanting applicating device Download PDF

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Publication number
CN110152208A
CN110152208A CN201910458672.XA CN201910458672A CN110152208A CN 110152208 A CN110152208 A CN 110152208A CN 201910458672 A CN201910458672 A CN 201910458672A CN 110152208 A CN110152208 A CN 110152208A
Authority
CN
China
Prior art keywords
combination
sleeve
transplanting
combination block
block
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN201910458672.XA
Other languages
Chinese (zh)
Inventor
王先良
王培�
黎杰
康盛伟
谭燕
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Sichuan Cancer Hospital
Original Assignee
Sichuan Cancer Hospital
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Sichuan Cancer Hospital filed Critical Sichuan Cancer Hospital
Priority to CN201910458672.XA priority Critical patent/CN110152208A/en
Publication of CN110152208A publication Critical patent/CN110152208A/en
Pending legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • A61N5/10X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N5/1001X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy using radiation sources introduced into or applied onto the body; brachytherapy
    • A61N5/1002Intraluminal radiation therapy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • A61N5/10X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N5/1001X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy using radiation sources introduced into or applied onto the body; brachytherapy
    • A61N5/1007Arrangements or means for the introduction of sources into the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • A61N5/10X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N5/1001X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy using radiation sources introduced into or applied onto the body; brachytherapy
    • A61N5/1007Arrangements or means for the introduction of sources into the body
    • A61N2005/101Magazines or cartridges for seeds

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Pathology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)

Abstract

The invention discloses a kind of combination transplanting applicating device, including sleeve, locking cap and several combination blocks, one end of the sleeve is equipped with the sealing element in segment shape, and the locking cap is removably connected to the other end of the sleeve, and the locking cap is equipped with through-hole;Several limit plates for limiting to combination block are evenly distributed with along its circumferential direction on the inner sidewall of the sleeve, the combination block is equipped with card slot corresponding with limit plate, the combination block is set in the sleeve, and is spliced into cylindrical body by combination piece after limit plate limit;The one end being fitted and connected in the combination block with sealing element is arc-shaped;The surface of the combination block is equipped with notch along its axis direction, and the center of the combination block is equipped with the insertion hole for installing transplanting needle along its axis direction, and the notch formed after the splicing of all combination blocks is the putting hole for applicating device in installation cavity.Have the advantages that be freely combined according to patient profiles, meet individual's treatment.

Description

Combine transplanting applicating device
Technical field
The present invention relates to radiotherapy technology fields, it particularly relates to a kind of combination transplanting applicating device.
Background technique
Cervical carcinoma is relatively common one of the malignant tumour of China women, most according to National Cancer Center publication in 2018 The Nattonal Cancer statistical data of a new phase, cervical carcinoma are located at the 6th of female tumor disease incidence, disease incidence 6.04%.Radiation Treatment is one of three big means for the treatment of of human cervical cancer, and dress is the master die of Radiotherapy of Carcinoma Cervix after External radiotherapy combines Formula.Cervical lesion screening work in China's is still unsound, and Locally Advanced is had developed into when some patientss are diagnosed.External exposure joint is single Pure intracavitary afterloading therapy has good therapeutic effect to early cervical carcinoma, but has limitation to Locally advanced cervical carcinoma.Dress is controlled after transplanting It treats to fill according to the conformal transplanting of target area form, but merely after transplanting and easily makes uterine neck central area underdosage, intracavitary+tissue interleaves The treatment mode of plant can obtain satisfied dosage distribution.However time-consuming there are process, individuation is inserted for existing intracavitary+transplanting technology Plant the problems such as applicating device type is few, high to the requirement of doctor's qualification.
Summary of the invention
To solve problems of the prior art, the present invention provides a kind of combination transplanting applicating device, and having can be according to trouble Person's situation independent assortment meets the advantages of individual's treatment.
To achieve the above object, the technical solution adopted by the present invention is that: a kind of combination transplanting applicating device, including sleeve, solid Determine cap and several combination blocks, one end of the sleeve is equipped with the sealing element in segment shape, and the locking cap is removably connected to The other end of the sleeve, the locking cap are equipped with through-hole;
Several limit plates for limiting to combination block are evenly distributed with along its circumferential direction on the inner sidewall of the sleeve, it is described Combination block is equipped with card slot corresponding with limit plate, and the combination block is set in the sleeve, and is limited by the limit plate It is spliced into cylindrical body in combination piece afterwards;One end of the combination block and the inner sidewall of the sealing element fit, the other end with The locking cap fits;
The one end being fitted and connected in the combination block with sealing element is arc-shaped;The surface of the combination block is along its axis direction Equipped with notch, the center of the combination block is equipped with the insertion hole for installing transplanting needle, and all combination blocks along its axis direction The notch formed after splicing is the putting hole for applicating device in installation cavity, and the diameter of the through-hole is greater than the interior of all insertion holes Public affairs cut diameter of a circle.
One end of sleeve is in segment shape, and sleeve is bonded well with vagina end;It is set on wall inside the sleeve Set several locating parts so that combination block be mounted in sleeve after be not in rotation, while being equipped with and fixing in the other end of sleeve Cap is that combination block slides out sleeve in use in order to prevent, while locking cap is equipped with through-hole, is to be inserted into hole Expose with putting hole, facilitates the implantation of transplanting needle.
Preferably, the sealing element of the sleeve be equipped with for the applicating device expose opening, the insertion hole with it is described Putting hole exposes out of described opening.
Setting opening is in order to enable sleeve forms end penetrating type and the non-penetrating type two in end on the sealing element of sleeve Kind, selection end penetrating type or the non-penetrating type in end is actually needed according to patient in doctor.
Preferably, one end arc-shaped in the combination block includes bayonet part and sticking part, the radian of the bayonet part with The radian of the bottom inside wall of the sleeve matches, the radian of the bottom outside wall of the radian of the sticking part and the sleeve Match;The combination block is installed in the sleeve equipped with opening, the inner sidewall of the sealing element of the bayonet part and the sleeve After fitting, segment is formed with the sticking part.
It include bayonet part and sticking part by the arc-shaped one end of combination block, the inner sidewall of the sealing element of bayonet part and sleeve pastes After conjunction, segment is formed with sticking part, when using the sleeve of end penetrating type the transplanting applicating device is protruded into patient body One end is preferably bonded with vagina end.
Preferably, the card slot is located in the middle part of the lateral wall of the combination block, and the card slot is along the axis of the combination block The setting of line direction.
Card slot is located in the middle part of the lateral wall of the combination block or positioned at the lateral wall two sides of the combination block, and the card slot It is arranged along the axis direction of the combination block, is for the ease of positioning combination block.
Preferably, the card slot is located at the lateral wall two sides of the combination block, and the card slot is along the axis of the combination block The setting of line direction.
The width that card slot and the card slot is arranged is limit board width 1/2, the length and the length phase of card slot of limit plate Match, is that there are gaps after combination block assembles in order to prevent.
The beneficial effects of the present invention are:
(1), the applicating device is freely combined according to patient profiles, meets individual's Treatment need;
(2), the applicating device is reusable after sterilization, reduces patient economy burden;
(3), it only need to determine that sleeve diameter, image data determine combination block according to patient's gynecologial examination situation, not need 3D The long-times waiting processs such as printing shorten patient's waiting time;
(4), transplanting pin hole has different angles in combination block, reduces doctor's transplanting difficulty;
(5), it avoids after selecting suitable sleeve diameter using hand stretching or cotton balls filling vagina, alleviates the pain of patient It is bitter;
(6), this method carries out image scan before being inserted into combination block and transplanting needle after being implanted into sleeve, since sleeve has There is good fixed function, organ deformation caused by can effectively reducing because of applicating device implantation improves transplanting precision.
Detailed description of the invention
Fig. 1 is the entirety of the non-penetrating type transplanting applicating device in end of the embodiment of combination transplanting applicating device of the present invention Structural schematic diagram;
Fig. 2 is the set of the transplanting applicating device of the non-penetrating type in end of the embodiment of combination transplanting applicating device of the present invention The structural schematic diagram of cylinder;
Fig. 3 is the structural schematic diagram of the combination block of the embodiment of combination transplanting applicating device of the present invention;
Fig. 4 is the structural schematic diagram of the locking cap of the embodiment of combination transplanting applicating device of the present invention;
Fig. 5 is the sleeve of the end penetrating type transplanting applicating device of the embodiment of combination transplanting applicating device of the present invention Structural schematic diagram;
Fig. 6 is the whole knot of the end penetrating type transplanting applicating device of the embodiment of combination transplanting applicating device of the present invention Structure schematic diagram;
Fig. 7 is the whole complete of the end penetrating type transplanting applicating device of the embodiment of combination transplanting applicating device of the present invention Cut open structural schematic diagram;
Fig. 8 is the overall structure diagram of the combination block of the embodiment of combination transplanting applicating device of the present invention;
Fig. 9 is the overall structure diagram of the embodiment of combination transplanting applicating device of the present invention;
Description of symbols:
1, sleeve;2, locking cap;3, combination block;4, through-hole;5, limit plate;6, card slot;7, it is inserted into hole;8, putting hole;9, Opening;10, notch;11, bayonet part;12, sticking part;13, sealing element.
Specific embodiment
The embodiment of the present invention is described in detail with reference to the accompanying drawing.
Embodiment 1:
As shown in Figure 1, Figure 2, shown in Fig. 3, Fig. 4, Fig. 8 and Fig. 9, a kind of combination transplanting applicating device, including sleeve 1,2 and of locking cap Several combination blocks 3, one end of the sleeve 1 are equipped with the sealing element 13 in segment shape, and the locking cap 2 is removably connected to institute The other end of sleeve 1 is stated, the locking cap 2 is equipped with through-hole 4;
Several limit plates 5 for limiting to combination block 3 are evenly distributed with along its circumferential direction on the inner sidewall of the sleeve 1, The combination block 3 is equipped with card slot 6 corresponding with limit plate 5, and the combination block 3 is set in the sleeve 1, and passes through the limit Position plate 5 is combined and spliced at cylindrical body with sleeve 1 after limiting;The inner sidewall phase of one end of the combination block 3 and the sealing element 13 Fitting, the other end fit with the locking cap 2;
The one end being fitted and connected in the combination block 3 with sealing element 13 is arc-shaped;The surface of the combination block 3 is along its axis Direction is equipped with notch 10, and the center of the combination block 3 is equipped with the insertion hole 7 for installing transplanting needle, and institute along its axis direction Having the notch 10 formed after the splicing of combination block 3 is the putting hole 8 for applicating device in installation cavity, and the diameter of the through-hole 4 is greater than The diameter of the internal common tangent circle in all insertion holes 7.
The sealing element 13 of sleeve 1 is in segment shape, and sleeve 1 is bonded well with vagina end;In 1 inside of sleeve Several locating parts are set on wall so that combination block 3 be mounted in sleeve 1 after be not in rotation, while in the other end of sleeve 1 It is that combination block 3 slides out sleeve 1 in use in order to prevent, while locking cap 2 is equipped with through-hole 4, is equipped with locking cap 2 Expose in order to which hole 7 and putting hole 8 will be inserted into, facilitates the implantation of transplanting needle.
Embodiment 2:
As illustrated in figs. 5-7, on the basis of embodiment 1, the sealing element 13 of the sleeve 1 is equipped with described in confession the present embodiment The opening 9 that applicating device exposes, the insertion hole 7 is exposed out of described opening with the putting hole 8.
Setting opening 9 is in order to enable sleeve 1 forms end penetrating type and end is non-penetrating on the sealing element 13 of sleeve 1 Two kinds of type, selection end penetrating type or the non-penetrating type in end is actually needed according to patient in doctor.
Embodiment 3:
As shown in figs 1-9, on the basis of embodiment 1, arc-shaped one end includes card to the present embodiment in the combination block 3 Oral area 11 and sticking part 12, the radian of the bayonet part 11 and the radian of the bottom inside wall of the sleeve 1 match, the patch The radian in conjunction portion 12 and the radian of the bottom outside wall of the sleeve 1 match;The combination block 3 is installed on the set equipped with opening In cylinder 1, after the inner sidewall of the bayonet part 11 and the sealing element 13 of the sleeve 1 fits, segment is formed with the sticking part.
It include bayonet part 11 and sticking part 12, the bottom inside of bayonet part 11 and sleeve 1 by the arc-shaped one end of combination block 3 After wall fitting, segment is formed with sticking part 12, makes the transplanting applicating device protrude into patient when using the sleeve 1 of end penetrating type Intracorporal one end is preferably bonded with vagina end.
Embodiment 4:
As shown in Fig. 1, Fig. 3, Fig. 6, Fig. 8 and Fig. 9, on the basis of embodiment 1, the card slot 6 is located at institute to the present embodiment In the middle part of the lateral wall for stating combination block 3, and the card slot 6 is arranged along the axis direction of the combination block 3.
Card slot 6 is located in the middle part of the lateral wall of the combination block 3 or positioned at the lateral wall two sides of the combination block 3, and should Card slot 6 is arranged along the axis direction of the combination block 3, is for the ease of positioning combination block 3.
Embodiment 5:
As shown in Figure 1-3, the present embodiment is on the basis of embodiment 1, the card slot 6 is located at the outside of the combination block 3 Wall two sides, and the card slot 6 is arranged along the axis direction of the combination block 3.
The width that card slot 6 and the card slot 6 is arranged is the 1/2 of 5 width of limit plate, the length of limit plate 5 and the length of card slot 6 Match, is that there are gaps after combination block 3 assembles in order to prevent, influences later period dosage irradiation precision.
In the specific embodiment for the treatment of cervical cancer patient:
1), prepare before patient's transplanting, such as enteron aisle processing, the placement of urethral catheterization packet, sterilization of instruments etc..
2) the uterine cavity pipe using intracavitary therapy, is chosen whether, if using, is implanted into uterine cavity pipe, if without using this step is skipped, Execute step 3).
3) suitable 1 size of sleeve, is selected according to patient's vagina condition, is implanted into end penetrating type sleeve 1, and with fixed Frame is fixed to sleeve 1 and uterine cavity pipe (if use).
4), to patient carry out image scan, according to patient image determine and record certain direction transplanting needle inserting needle angle and Depth of needle.
5), according to 1 diameter of sleeve, the needle angle recorded determines certain direction combination block 3 to be used.
6) combination block 3 in certain fixed direction, is inserted into corresponding direction in sleeve 1, locking cap 2 is tightened, prevents group Block 3 is closed to slide.
7) it, is marked point according to the depth of needle of 1 length of sleeve and record in transplanting needle connecting pin, mark point position=insert Plant needle length-(hole length+depth of needle is inserted into combination block 3).
8) transplanting needle, is implanted into mark point position.This step may be selected that transplanting needle is numbered, and guarantee to design with plan The number that applicating device is rebuild in the process is consistent.
9) image scan is carried out after, being implanted into transplanting needle, determine target area and jeopardizes organ site, if to transplanting needle inserting needle Angle and depth of needle are dissatisfied, are suitably adjusted.
10), according to implantation transplanting needle after image drawing target outline and jeopardize organ, give prescription, design treatment plan, shine It penetrates.
11) transplanting needle and combination transplanting applicating device, are taken out after treatment end, lays down locking cap 2, take out combination block 3, cleaning Disinfection.Patient carries out next step treatment.
Treatment for vagina partial center tumour:
1), prepare before patient's treatment, such as enteron aisle processing, the placement of urethral catheterization packet, sterilization of instruments etc..
2) suitable 1 size of sleeve and matched combination block 3, are selected according to patient's vagina condition, combination block 3 is inserted into end Non-penetrating jacket cylinder 1 is held, locking cap 2 is tightened, prevents combination block 3 from sliding,
3), implantation combination transplanting applicating device is fixed sleeve 1 with fixed bracket.
4) image scan, is carried out to patient, according to the image drawing target outline after implantation combination transplanting applicating device and jeopardizes device Official.
5) prescription, is given, treatment plan is designed.Certain direction group is determined with the position for jeopardizing organ according to target area during this Close whether block 3 is implanted into transplanting needle.
6), the top of transplanting needle is inserted to the bottom end of certain directional combination block 3, i.e., the end of non-penetrating jacket cylinder 1, herein It is the transplanting needle vertex rebuild in step 5).
7) it, treats.
8) transplanting needle and combination transplanting applicating device, are taken out after treatment end, lays down locking cap 2, take out combination block 3, cleaning Disinfection.Patient carries out next step treatment.
Treatment for the carcinoma of the rectum:
1), prepare before patient's treatment, such as enteron aisle processing, the placement of urethral catheterization packet, sterilization of instruments etc..
2) suitable 1 size of sleeve and matched combination block 3, are selected according to patient's rectum condition, combination block 3 is inserted into end Non-penetrating jacket cylinder 1 is held, locking cap 2 is tightened, prevents combination block 3 from sliding,
3), implantation combination transplanting applicating device is fixed sleeve 1 with fixed bracket.
4) image scan, is carried out to patient, according to the image drawing target outline after implantation combination transplanting applicating device and jeopardizes device Official.
5) prescription, is given, treatment plan is designed.Certain direction group is determined with the position for jeopardizing organ according to target area during this Close whether block 3 is implanted into transplanting needle.
6), the top of transplanting needle is inserted to the bottom end of certain directional combination block 3, i.e., the end of non-penetrating jacket cylinder 1, herein It is the transplanting needle vertex rebuild in step 5).
7) it, treats.
8) transplanting needle and combination transplanting applicating device, are taken out after treatment end, lays down locking cap 2, take out combination block 3, cleaning Disinfection.Patient carries out next step treatment.
Fixed device mentioned in the present invention is the fixation device for being currently used for radiotherapy.
A specific embodiment of the invention above described embodiment only expresses, the description thereof is more specific and detailed, but simultaneously Limitations on the scope of the patent of the present invention therefore cannot be interpreted as.It should be pointed out that for those of ordinary skill in the art For, without departing from the inventive concept of the premise, various modifications and improvements can be made, these belong to guarantor of the invention Protect range.

Claims (6)

1. a kind of combination transplanting applicating device, which is characterized in that including sleeve, locking cap and several combination blocks, the one of the sleeve End is equipped with the sealing element in segment shape, and the locking cap is removably connected to the other end of the sleeve, on the locking cap Equipped with through-hole;
Several limit plates for limiting to combination block, the combination are evenly distributed with along its circumferential direction on the inner sidewall of the sleeve Block be equipped with card slot corresponding with limit plate, the combination block be set to the sleeve in, and by the limit plate limit after with A combination thereof block is spliced into cylindrical body;One end of the combination block and the inner sidewall of the sealing element fit, the other end with it is described Locking cap fits;
The combination block and one end that sealing element is fitted and connected are arc-shaped;The surface of the combination block is equipped with along its axis direction and lacks Mouthful, the center of the combination block is equipped with the insertion hole for installing transplanting needle along its axis direction, and after the splicing of all combination blocks The notch of formation is the putting hole for applicating device in installation cavity, and the diameter of the through-hole is greater than the internal common tangent circle in all insertion holes Diameter.
2. combination transplanting applicating device according to claim 1, which is characterized in that the sealing element of the sleeve is equipped with for institute The opening of applicating device exposing is stated, the insertion hole is exposed out of described opening with the putting hole.
3. combination transplanting applicating device according to claim 2, which is characterized in that arc-shaped one end packet in the combination block Bayonet part and sticking part are included, the radian of the bayonet part and the radian of the bottom inside wall of the sleeve match, the fitting The radian in portion and the radian of the bottom outside wall of the sleeve match;The combination block is installed in the sleeve equipped with opening, After the inner sidewall of the sealing element of the bayonet part and the sleeve fits, segment is formed with the sticking part.
4. combination transplanting applicating device according to claim 1, which is characterized in that the card slot is located at the outer of the combination block In the middle part of side wall, and the card slot is arranged along the axis direction of the combination block.
5. combination transplanting applicating device according to claim 1, which is characterized in that the card slot is located at the outer of the combination block Side wall two sides, and the card slot is arranged along the axis direction of the combination block.
6. combination transplanting applicating device according to claim 5, which is characterized in that the width of the card slot is the limit plate The half of width.
CN201910458672.XA 2019-05-29 2019-05-29 Combine transplanting applicating device Pending CN110152208A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201910458672.XA CN110152208A (en) 2019-05-29 2019-05-29 Combine transplanting applicating device

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Application Number Priority Date Filing Date Title
CN201910458672.XA CN110152208A (en) 2019-05-29 2019-05-29 Combine transplanting applicating device

Publications (1)

Publication Number Publication Date
CN110152208A true CN110152208A (en) 2019-08-23

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Family Applications (1)

Application Number Title Priority Date Filing Date
CN201910458672.XA Pending CN110152208A (en) 2019-05-29 2019-05-29 Combine transplanting applicating device

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Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111298278A (en) * 2020-03-31 2020-06-19 中国医学科学院北京协和医院 Bulb catheter implantation needle source applicator
CN111569275A (en) * 2020-03-31 2020-08-25 中国医学科学院北京协和医院 Nested inserting needle source applicator
CN113018706A (en) * 2021-03-22 2021-06-25 广州富瑞价值医疗健康产业有限公司 Treatment needle of multichannel vagina afterloading treatment device and fixing method of treatment tube
CN113018672A (en) * 2021-03-16 2021-06-25 河南科技大学第一附属医院 Source applicator and source application system for radiotherapy of anal canal cancer

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111298278A (en) * 2020-03-31 2020-06-19 中国医学科学院北京协和医院 Bulb catheter implantation needle source applicator
CN111569275A (en) * 2020-03-31 2020-08-25 中国医学科学院北京协和医院 Nested inserting needle source applicator
CN111298278B (en) * 2020-03-31 2022-03-01 中国医学科学院北京协和医院 Bulb catheter implantation needle source applicator
CN113018672A (en) * 2021-03-16 2021-06-25 河南科技大学第一附属医院 Source applicator and source application system for radiotherapy of anal canal cancer
CN113018706A (en) * 2021-03-22 2021-06-25 广州富瑞价值医疗健康产业有限公司 Treatment needle of multichannel vagina afterloading treatment device and fixing method of treatment tube
CN113018706B (en) * 2021-03-22 2022-07-26 广州富瑞价值医疗健康产业有限公司 Treatment needle of multichannel vagina afterloading treatment device and fixing method of treatment tube

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