CN111759423A - Gynaecology and obstetrics uses amniotic fluid drainage device - Google Patents
Gynaecology and obstetrics uses amniotic fluid drainage device Download PDFInfo
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- CN111759423A CN111759423A CN202010710419.1A CN202010710419A CN111759423A CN 111759423 A CN111759423 A CN 111759423A CN 202010710419 A CN202010710419 A CN 202010710419A CN 111759423 A CN111759423 A CN 111759423A
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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
- A61B17/3403—Needle locating or guiding means
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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
- A61B17/3415—Trocars; Puncturing needles for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters
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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
- A61B17/3494—Trocars; Puncturing needles with safety means for protection against accidental cutting or pricking, e.g. limiting insertion depth, pressure sensors
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/08—Detecting organic movements or changes, e.g. tumours, cysts, swellings
- A61B8/0866—Detecting organic movements or changes, e.g. tumours, cysts, swellings involving foetal diagnosis; pre-natal or peri-natal diagnosis of the baby
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/44—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device
- A61B8/4483—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device characterised by features of the ultrasound transducer
- A61B8/4488—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device characterised by features of the ultrasound transducer the transducer being a phased array
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/44—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device
- A61B8/4483—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device characterised by features of the ultrasound transducer
- A61B8/4494—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device characterised by features of the ultrasound transducer characterised by the arrangement of the transducer elements
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- A61M1/0023—
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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
- A61B17/3403—Needle locating or guiding means
- A61B2017/3413—Needle locating or guiding means guided by ultrasound
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Abstract
The invention relates to a amniotic fluid drainage device for obstetrics and gynecology department, which comprises a main control computer, a control cabinet, a first B ultrasonic probe, a second B ultrasonic probe and a puncture drainage device, wherein the main control computer is connected with the control cabinet; the computer is connected with a control cabinet, and the control cabinet is connected with the first B ultrasonic probe, the second B ultrasonic probe and the puncture drainage device; the control cabinet is provided with a first ultrasonic driver, a second ultrasonic driver and a drainage controller. The invention uses two B ultrasonic probes to provide guidance for the puncture drainage device, and the puncture drainage device can accurately find out a safe puncture position. The second B ultrasonic probe locates the puncture needle from the side, the puncture process is completed by using mechanical power, the puncture needle adopts a multilayer structure, the puncture depth and precision can be controlled more accurately and stably, and the operation is simple and convenient.
Description
Technical Field
The invention relates to the field of medical instruments, in particular to a amniotic fluid drainage device for obstetrics and gynecology department.
Background
The frequent amniotic fluid is a common problem in obstetrics, which easily causes the enlargement of pregnant uterus, causes the too high uterine tension, easily causes premature birth, premature rupture of fetal membranes, postpartum hemorrhage and the like, increases the death rate of perinatal infants, and avoids the adverse effect caused by the frequent amniotic fluid, the obstetrician can discharge part of the frequent amniotic fluid, namely the so-called amniotic fluid drainage, and reduces the occurrence of adverse fatalities.
Application No.: 201510283674.1 discloses an outward flow formula rupture of membranes device is prevented to gynaecology and obstetrics, including the pipeline storage compartment, amniotic fluid drainage case and rupture of membranes ware case, pipeline storage compartment downside is equipped with hidden battery case, be equipped with pipeline storehouse door on the pipeline storage compartment, pipeline storehouse door passes through pipeline storehouse door loose-leaf and is connected with the pipeline storage compartment, be equipped with amniotic fluid cache bottle in the amniotic fluid drainage case, amniotic fluid cache bottle right side is equipped with cache bottle removal handle, amniotic fluid cache bottle upside is equipped with cache bottle lid, rupture of membranes ware case left side is equipped with rupture of membranes ware shield, be equipped with the propelling movement crossbeam draw-in groove in the rupture of membranes ware case, be equipped with crossbeam anti-drop base in the propelling movement crossbeam draw-in groove, crossbeam anti-drop base left side is equipped with rupture of membranes ware propelling. However, the depth of the punctured fetal membrane is not easy to grasp during operation, the puncture depth process may damage the fetus, the operation difficulty is high, and the problems that the flow and the flow rate of the amniotic fluid are not easy to control and the instruments are not easy to disinfect exist.
Disclosure of Invention
Aiming at the content, in order to solve the problems, the amniotic fluid drainage device for the obstetrics and gynecology department is provided, which comprises a main control computer, a control cabinet, a first B ultrasonic probe, a second B ultrasonic probe and a puncture drainage device; the computer is connected with a control cabinet, and the control cabinet is connected with the first B ultrasonic probe, the second B ultrasonic probe and the puncture drainage device; the control cabinet is provided with a first ultrasonic driver, a second ultrasonic driver and a drainage controller;
the main control computer is a double-screen computer, and a detection image of the first B ultrasonic probe is uploaded to the main control computer through the first ultrasonic driver and displayed on a first screen of the main control computer; the detection image of the second B ultrasonic probe is uploaded to the main control computer through a second ultrasonic driver and displayed on a second screen of the main control computer;
the first B ultrasonic probe is an annular phased array probe, the puncture drainage device is detachably arranged on the first B ultrasonic probe, and a drainage needle of the puncture drainage device is coaxial with the central line of the annular phased array of the first B ultrasonic probe;
the drainage controller is connected with the puncture drainage device, and a drainage needle of the puncture drainage device penetrates through the first B ultrasonic probe and conducts amniotic fluid drainage under the guidance of the first B ultrasonic probe.
The first B ultrasonic probe comprises a probe handle and a probe ring, an annular ultrasonic phased array is annularly arranged in the probe ring, and the annular phased array is of a self-generating and self-receiving type;
the probe ring is annular, the center of the probe ring is provided with a mounting hole for mounting the puncture drainage device, and the inner diameter of the mounting hole is 5-15 mm; the upper surface of the probe ring is provided with an annular bulge on the surface contacted with the puncture drainage device;
the second B ultrasonic probe is a linear array probe or a convex array probe, and the frequency of the second B ultrasonic probe is different from that of the first B ultrasonic probe.
The puncture drainage device comprises a bracket, a first sleeve, a second sleeve and a drainage needle; the bracket comprises a lower boss and an upper boss, the lower boss is annular and is matched with the annular bulge of the first B ultrasonic probe in size, so that the lower boss can be just clamped into the annular bulge of the first B ultrasonic probe; the lower boss and the upper boss are fixedly connected with the first sleeve, the upper boss is arranged at the top of the first sleeve, and the lower boss is arranged at the middle lower part of the first sleeve; when the lower boss is clamped in the annular bulge, the first sleeve passes through the first B-ultrasonic probe, and the lower end face of the first sleeve is flush with the lower end face of the probe ring of the first B-ultrasonic probe;
a second sleeve is arranged in the first sleeve, and a drainage needle is arranged in the second sleeve;
the second sleeve penetrates through the upper boss, a first driving gear for driving the second sleeve to move along the axis of the first sleeve is arranged in the upper boss, and teeth matched with the first driving gear are arranged on the outer wall of the second sleeve;
the drainage needle is arranged in the second sleeve, and the outer wall of the drainage needle is in close contact with the inner wall of the second sleeve; a second driving gear for driving the drainage needle to move along the axis of the first sleeve is arranged in the upper boss, and teeth matched with the second driving gear are arranged on the outer wall of the drainage needle; and the second sleeve is provided with a notch at the position of the second driving gear, so that the second driving gear can contact the drainage needle.
The first sleeve, the second sleeve and the drainage needle are all made of metal materials, and the wall thickness of the second sleeve is 0.1-0.3 mm; the bottom end face of the wall of the second sleeve is a smooth curved surface; the bottom surface of the drainage needle is a sharp needle end surface.
The first driving gear is driven by a first motor, and the second driving gear is driven by a second motor; the first motor and the second motor are both arranged in the upper boss; the outer wall of the first sleeve is provided with a switch for respectively controlling the rotation direction and the speed of the first motor and the second motor; the puncture drainage device is powered by the drainage controller.
Magnetism is arranged on the lower boss and the annular protrusion, so that the lower boss and the annular protrusion can be well fixed through magnetic force.
The invention has the beneficial effects that: the two B ultrasonic probes are used for providing guidance for the puncture drainage device, and when the puncture drainage device is actually used, the first B ultrasonic probe and the drainage device are coaxial, so that a position capable of being safely punctured can be accurately found under the ultrasonic mediation, and the puncture condition of the puncture position can be observed in real time in the puncture process; the second B-ultrasonic probe further positions the puncture needle from the side surface, can accurately observe the entering depth of the puncture needle, and can accurately control the puncture depth through the handle;
the whole puncture is completed by using mechanical power, is not limited by the strength of an operator, and can more accurately control the depth and the precision of the puncture; the puncture needle is composed of a multilayer structure, the first sleeve provides support outside the skin, the second sleeve and the drainage needle are inserted into the abdomen together, good support can be provided for the drainage needle in the abdomen, and when the end part of the second sleeve reaches the puncture position of the uterus, the drainage needle is only inserted, so that the wound surface of internal organs such as the uterus can be reduced, and the recovery is faster;
the whole puncture process uses one drainage needle of two probes, but can guarantee that one-man bimanualness is accomplished, unusual convenience.
Drawings
The accompanying drawings, which are included to provide a further understanding of the disclosed subject matter, are incorporated in and constitute a part of this specification. The drawings illustrate the implementations of the disclosed subject matter and, together with the detailed description, serve to explain the principles of implementations of the disclosed subject matter. No attempt is made to show structural details of the disclosed subject matter in more detail than is necessary for a fundamental understanding of the disclosed subject matter and various modes of practicing the same.
FIG. 1 is a schematic view of the overall structure of the present invention;
FIG. 2 is a schematic view of a first probe according to the present invention;
FIG. 3 is a schematic view of the puncture flow diverter of the present invention.
Detailed Description
The advantages, features and methods of accomplishing the same will become apparent from the drawings and the detailed description that follows.
Example 1:
this embodiment describes a specific structure of the present invention. With reference to the attached figures 1-3, a amniotic fluid drainage device for obstetrics and gynecology department comprises a main control computer 1, a control cabinet 2, a first B ultrasonic probe 3, a second B ultrasonic probe 4 and a puncture drainage device 5; the computer is connected with the control cabinet 2, and the control cabinet 2 is connected with the first B ultrasonic probe 3, the second B ultrasonic probe 4 and the puncture drainage device 5; the control cabinet 2 is provided with a first ultrasonic driver 21, a second ultrasonic driver 22 and a drainage controller 23;
the main control computer 1 is a double-screen computer, and a detection image of the first B ultrasonic probe 3 is uploaded to the main control computer 1 through the first ultrasonic driver 21 and displayed on a first screen 11 of the main control computer 1; the detection image of the second B ultrasonic probe 4 is uploaded to the main control computer 1 through a second ultrasonic driver 22 and displayed on a second screen 12 of the main control computer 1;
the first B ultrasonic probe 3 is an annular phased array probe, the puncture drainage device 5 is detachably arranged on the first B ultrasonic probe 3, and a drainage needle 53 of the puncture drainage device 5 is coaxial with the central line of the annular phased array of the first B ultrasonic probe 3;
the drainage controller 23 is connected with the puncture drainage device 5, and a drainage needle 53 of the puncture drainage device 5 passes through the first B-ultrasonic probe 3 and conducts amniotic fluid drainage under the guidance of the first B-ultrasonic probe 3.
The first B ultrasonic probe 3 comprises a probe handle 31 and a probe ring 32, an annular ultrasonic phased array 33 is annularly arranged in the probe ring 32, and the annular phased array is of a self-transmitting and self-receiving type;
the probe ring 32 is annular, the center of the probe ring is provided with a mounting hole for mounting the puncture drainage device 5, and the inner diameter of the mounting hole is 5-15 mm; the upper surface of the probe ring 32, which is in contact with the puncture drainage device 5, is provided with an annular bulge 34;
the second B ultrasonic probe 4 is a linear array probe or a convex array probe, and the frequency of the second B ultrasonic probe 4 is different from that of the first B ultrasonic probe 3.
The puncture drainage device 5 comprises a bracket, a first sleeve 51, a second sleeve 52 and a drainage needle 53; the bracket comprises a lower boss 54 and an upper boss 55, wherein the lower boss 54 is annular and is matched with the annular bulge 34 of the first B-ultrasonic probe 3 in size, so that the lower boss 54 can be just clamped into the annular bulge 34 of the first B-ultrasonic probe 3; the lower boss 54 and the upper boss 55 are both fixedly connected with the first sleeve 51, wherein the upper boss 55 is arranged at the top of the first sleeve 51, and the lower boss 54 is arranged at the middle lower part of the first sleeve 51; when the lower boss 54 is clamped in the annular boss 34, the first sleeve 51 passes through the first B-ultrasonic probe 3, and the lower end face of the first sleeve 51 is flush with the lower end face of the probe ring 32 of the first B-ultrasonic probe 3;
a second sleeve 52 is arranged in the first sleeve 51, and a drainage needle 53 is arranged in the second sleeve 52;
the second sleeve 52 passes through the upper boss 55, a first driving gear 56 for driving the second sleeve 52 to move along the axis of the first sleeve 51 is arranged in the upper boss 55, and teeth matched with the first driving gear 56 are arranged on the outer wall of the second sleeve 52;
the drainage needle 53 is arranged in the second sleeve 52, and the outer wall of the drainage needle 53 is in close contact with the inner wall of the second sleeve 52; a second driving gear 57 for driving the drainage needle 53 to move along the axis of the first sleeve 51 is arranged in the upper boss 55, and teeth matched with the second driving gear are arranged on the outer wall of the drainage needle 53; and a notch is arranged on the second sleeve 52 at the position of the second driving gear, so that the second driving gear can contact the drainage needle 53.
The first sleeve 51, the second sleeve 52 and the drainage needle 53 are all made of metal materials, and the wall thickness of the second sleeve 52 is 0.1-0.3 mm; and the bottom end surface of the wall of the second sleeve 52 is a smooth curved surface; the bottom surface of the drainage needle 53 is a sharp needle end surface.
The first drive gear 56 is driven by a first motor and the second drive gear is driven by a second motor; the first motor and the second motor are both arranged in the upper boss 55; the outer wall of the first sleeve 51 is provided with switches for respectively controlling the rotation direction and speed of the first motor and the second motor; the puncture drainage device 5 is powered by the drainage controller 23.
The lower boss 54 and the annular protrusion 34 are provided with magnetism, so that the lower boss 54 and the annular protrusion 34 can be well fixed by magnetic force.
Example 2:
this embodiment is described with respect to a method of using the apparatus of the present invention.
Firstly, disinfecting appliances;
secondly, the first B ultrasonic probe is opened and is placed on the abdomen of the person to be examined, B ultrasonic examination is carried out on the fetus inside, and a safe puncture point is determined; keeping the first B-ultrasonic probe still, and installing the puncture drainage device on the first B-ultrasonic probe;
thirdly, puncturing under the guiding condition of the second B ultrasonic probe and the first B ultrasonic probe, and observing a punctured image in real time;
fourthly, controlling the second sleeve and the drainage needle to descend synchronously, and enabling the drainage needle to penetrate into the abdomen, and meanwhile, enabling the second sleeve to be inserted into the abdomen along the direction of the drainage needle; observing an image of the first B-ultrasonic probe, and determining that the needle point of the drainage needle is close to the outer wall of the uterus; controlling the second sleeve to descend, and keeping the drainage needle motionless, wherein the second sleeve props against the outer wall of the uterus;
fifthly, controlling the drainage needle to be inserted into the uterus to drain the amniotic fluid; and after the drainage quantity is enough, the drainage needle is controlled to withdraw, the second sleeve is also withdrawn, and the drainage operation is completed.
The first sleeve, the second sleeve and the drainage needle of the drainage device can be independently detached, so that the disinfection is very convenient.
The above description is only for the preferred embodiment of the present invention, but the scope of the present invention is not limited thereto, and any person skilled in the art can easily conceive of the changes or substitutions within the technical scope of the present invention, and the changes or substitutions should be covered within the scope of the present invention. Therefore, the protection scope of the present invention shall be subject to the protection scope of the appended claims.
Claims (6)
1. A amniotic fluid drainage device for obstetrics and gynecology department comprises a main control computer (1), a control cabinet (2), a first B ultrasonic probe (3), a second B ultrasonic probe (4) and a puncture drainage device (5); the computer is connected with the control cabinet (2), and the control cabinet (2) is connected with the first B ultrasonic probe (3), the second B ultrasonic probe (4) and the puncture drainage device (5); the control cabinet (2) is provided with a first ultrasonic driver (21), a second ultrasonic driver (22) and a drainage controller (23);
the ultrasonic diagnosis and treatment system is characterized in that the main control computer (1) is a double-screen computer, and a detection image of the first B ultrasonic probe (3) is uploaded to the main control computer (1) through the first ultrasonic driver (21) and displayed on a first screen (11) of the main control computer (1); the detection image of the second B ultrasonic probe (4) is uploaded to the main control computer (1) through a second ultrasonic driver (22) and displayed on a second screen (12) of the main control computer (1);
the first B ultrasonic probe (3) is an annular phased array probe, the puncture drainage device (5) is detachably mounted on the first B ultrasonic probe (3), and a drainage needle (53) of the puncture drainage device (5) is coaxial with the central line of the annular phased array of the first B ultrasonic probe (3);
the drainage controller (23) is connected with the puncture drainage device (5), and a drainage needle (53) of the puncture drainage device (5) passes through the first B ultrasonic probe (3) and conducts amniotic fluid drainage under the guidance of the first B ultrasonic probe (3).
2. The amniotic fluid drainage device for obstetrics and gynecology department according to claim 1, wherein:
the first B ultrasonic probe (3) comprises a probe handle (31) and a probe ring (32), an annular ultrasonic phased array (33) is annularly arranged in the probe ring (32), and the annular phased array is of a self-transmitting and self-receiving type;
the probe ring (32) is annular, the center of the probe ring is provided with a mounting hole for mounting the puncture drainage device (5), and the inner diameter of the mounting hole is 5-15 mm; an annular bulge (34) is arranged on the surface of the upper surface of the probe ring (32) which is contacted with the puncture drainage device (5);
the second B ultrasonic probe (4) is a linear array probe or a convex array probe, and the frequency of the second B ultrasonic probe (4) is different from that of the first B ultrasonic probe (3).
3. The amniotic fluid drainage device for obstetrics and gynecology department according to claim 2, wherein:
the puncture drainage device (5) comprises a bracket, a first sleeve (51), a second sleeve (52) and a drainage needle (53); the bracket comprises a lower boss (54) and an upper boss (55), wherein the lower boss (54) is annular and is matched with the size of the annular bulge (34) of the first B ultrasonic probe (3), so that the lower boss (54) can be just clamped into the annular bulge (34) of the first B ultrasonic probe (3); the lower boss (54) and the upper boss (55) are fixedly connected with the first sleeve (51), wherein the upper boss (55) is arranged at the top of the first sleeve (51), and the lower boss (54) is arranged at the middle lower part of the first sleeve (51); when the lower boss (54) is clamped in the annular bulge (34), the first sleeve (51) penetrates through the first B-ultrasonic probe (3) and the lower end face of the first sleeve (51) is flush with the lower end face of the probe ring (32) of the first B-ultrasonic probe (3);
a second sleeve (52) is arranged in the first sleeve (51), and a drainage needle (53) is arranged in the second sleeve (52);
the second sleeve (52) penetrates through the upper boss (55), a first driving gear (56) for driving the second sleeve (52) to move along the axis of the first sleeve (51) is arranged in the upper boss (55), and teeth matched with the first driving gear (56) are arranged on the outer wall of the second sleeve (52);
the drainage needle (53) is arranged in the second sleeve (52), and the outer wall of the drainage needle (53) is tightly contacted with the inner wall of the second sleeve (52); a second driving gear (57) for driving the drainage needle (53) to move along the axis of the first sleeve (51) is arranged in the upper boss (55), and teeth matched with the second driving gear are arranged on the outer wall of the drainage needle (53); and a notch is arranged on the second sleeve (52) at the position of the second driving gear, so that the second driving gear can contact the drainage needle (53).
4. The amniotic fluid drainage device according to claim 3, wherein:
the first sleeve (51), the second sleeve (52) and the drainage needle (53) are all made of metal materials, and the wall thickness of the second sleeve (52) is 0.1-0.3 mm; the bottom end surface of the wall of the second sleeve (52) is a smooth curved surface; the bottom surface of the drainage needle (53) is a sharp needle end surface.
5. The amniotic fluid drainage device according to claim 4, wherein:
a first drive gear (56) driven by the first motor and a second drive gear driven by the second motor; the first motor and the second motor are both arranged in the upper boss (55); the outer wall of the first sleeve (51) is provided with switches for respectively controlling the rotating directions and the speeds of the first motor and the second motor; the puncture drainage device (5) is powered by a drainage controller (23).
6. The amniotic fluid drainage device according to claim 5, wherein:
magnetism is arranged on the lower boss (54) and the annular protrusion (34), so that the lower boss (54) and the annular protrusion (34) can be well fixed through magnetic force.
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Cited By (1)
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CN114052912A (en) * | 2021-12-18 | 2022-02-18 | 山东百多安医疗器械股份有限公司 | Neurosurgery ultrasonic navigation drainage system |
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CN114052912A (en) * | 2021-12-18 | 2022-02-18 | 山东百多安医疗器械股份有限公司 | Neurosurgery ultrasonic navigation drainage system |
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