CN113367778B - Ultrasonic-guided nerve block puncture support for anesthesia department - Google Patents
Ultrasonic-guided nerve block puncture support for anesthesia department Download PDFInfo
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- CN113367778B CN113367778B CN202110646659.4A CN202110646659A CN113367778B CN 113367778 B CN113367778 B CN 113367778B CN 202110646659 A CN202110646659 A CN 202110646659A CN 113367778 B CN113367778 B CN 113367778B
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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
- A61B17/3403—Needle locating or guiding means
- A61B2017/3405—Needle locating or guiding means using mechanical guide 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
- A61B17/3403—Needle locating or guiding means
- A61B2017/3413—Needle locating or guiding means guided by ultrasound
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Abstract
The invention belongs to the technical field of medical puncture brackets, in particular to an ultrasonic-guided nerve block puncture bracket for an anesthesia department, which provides a solution for solving the problems of unstable fixation, follow-up and difficulty in control of tightness of the puncture bracket for the anesthesia department fixed on an ultrasonic probe in the prior art; the technical scheme includes that the sucker base is provided with a balancing weight, a vertical rod is arranged at the top of the balancing weight, a sleeve ring is slidably mounted on the outer side of the vertical rod, a locking bolt is in threaded connection with the outer side of the sleeve ring, the end of the locking bolt extends into the sleeve ring and is in contact with the vertical rod, a telescopic rod is arranged on the outer side of the sleeve ring, the output end of the telescopic rod is connected with a sleeve, and the sleeve is connected with a frame structure. The ultrasonic-guided nerve block puncture bracket for the anesthesia department has the advantages of simple structure and convenience in operation, can effectively fix an ultrasonic probe, avoids the manual holding again by an anesthesia department doctor, reduces the working difficulty, and solves the problems of clamping and deviation during puncture of a puncture needle.
Description
Technical Field
The invention relates to the technical field of medical puncture brackets, in particular to an ultrasonic-guided nerve block puncture bracket for an anesthesia department.
Background
The nerve block of ultrasonic guidance is that under the dynamic monitoring of ultrasonic visualization, the primary focus is more accurately injected with medicine according to the rule of nerve walking and innervation and the functional anatomy of skeletal muscle to form nerve block, thereby forming the effect of anesthesia; the nerve block guided by the ultrasound has the characteristics of simplicity, safety and minimal invasion, so that the nerve block is more and more favored by the field of medical anesthesia.
However, the nerve block guided by the ultrasound has higher technical requirements on anesthetists, and can be correctly implemented only through long-time professional training.
In the implementation process of the nerve block guided by the ultrasound, an anesthesiologist needs to hold the ultrasound probe with one hand and puncture the nerve with the other hand by using a puncture needle, and a medicament is injected into the upstream of the nerve to form the nerve anesthesia effect; the doctor needs accurate coordination and use of two hands, just can play accurate detection, the effect of accurate dosing, and the operation degree of difficulty is great.
At present, a convenient puncture support is generally adopted to support puncture, the puncture support is generally fixed on an ultrasonic probe, and a puncture needle is clamped on a needle clamp auxiliary device arranged beside the puncture support and forms a certain angle with the ultrasonic probe to perform puncture operation.
During the operation, the following problems mainly exist:
(1) the problem of unstable fixation: the puncture bracket can not be stably fixed on the ultrasonic probe, so that the puncture needle can still not be accurately fixed and punctured;
(2) the following problem: the puncture support is fixed on the ultrasonic probe, but the ultrasonic probe needs to move in real time in the process of detecting nerves, so that the needle clamp auxiliary device is driven to move together, namely to follow up, and at the moment, the support and the needle clamp auxiliary device need to be adjusted, so that the whole operation process is complex, and even the workload of doctors is increased;
(3) difficulty in tightness control: in the process of puncture, the tightness of the clamping of the puncture needle by the needle clamp auxiliary device is not easy to control, if the clamping is too loose, the clamping effect cannot be achieved, and if the clamping is too tight, the puncture needle is not easy to insert into the body of a patient, so that the risk of needle sliding exists.
Therefore, it is desirable to provide an ultrasound-guided nerve block puncture stent which can effectively solve the above problems and facilitate an anesthesiologist to accurately perform an ultrasound-guided nerve block puncture procedure.
Disclosure of Invention
The invention aims to solve the problems that a puncture bracket is fixed on an ultrasonic probe unstably and is difficult to follow up and control in tightness in the prior art, and provides an ultrasonic-guided nerve block puncture bracket for an anesthesia department.
In order to achieve the purpose, the invention adopts the following technical scheme:
an ultrasonic-guided nerve block puncture bracket for anesthesia department comprises a sucker seat, wherein a balancing weight is arranged on the sucker seat, a vertical rod is arranged at the top of the balancing weight, a lantern ring is slidably arranged on the outer side of the vertical rod, a locking bolt is in threaded connection with the outer side of the lantern ring, the end of the locking bolt extends into the lantern ring and is in contact with the vertical rod, a telescopic rod is arranged on the outer side of the lantern ring, the output end of the telescopic rod is connected with a sleeve, a frame structure is connected onto the sleeve, an ultrasonic probe is arranged in the frame structure, a sliding strip is connected to the front side of the frame structure, a sliding groove is formed in the right side of the sliding strip, a sliding block is slidably arranged in the sliding groove, a puncture needle supporting plate is fixedly arranged on the right side of the sliding block, a plurality of puncture holes are obliquely formed in the top of the puncture needle supporting plate, the plurality of puncture holes are different in size, openings are formed in the inner walls of the plurality of puncture holes, and the diameter of the openings is smaller than the diameter of the corresponding puncture holes, the opening in-connection has the firm unit of conflict, and the right side of slider is provided with the lever, rotates on the lever to install and presses the depression bar, presses depression bar movable mounting to have the inserted bar, and the inserted bar slides with the slider and links to each other, has evenly seted up a plurality of slots on the inner wall of spout, and the inserted bar links to each other with the slot activity, presses to be connected with the extension spring between the inboard of depression bar and the slider.
Preferably, frame construction includes U type frame, rubber pad and returning face plate, and the left side of U type frame links to each other with telescopic right side is fixed, and the returning face plate rotates with U type frame and links to each other, and the rubber pad is two and links to each other with the inboard of U type frame and returning face plate respectively, and ultrasonic probe is located between U type frame and the returning face plate, is connected with the buckle unit between U type frame and the returning face plate.
Preferably, the buckle unit comprises a male buckle and a female buckle, the male buckle is connected with the turnover plate, the female buckle is connected with the U-shaped frame, and the male buckle is connected with the female buckle.
Preferably, the firm unit of conflict includes rubber push pedal, rubber head and arc pad, and the rubber push pedal slides with the opening that corresponds and links to each other, and the rubber head links to each other with the outside of rubber push pedal, and the arc pad links to each other with the inboard of rubber push pedal.
Preferably, a limiting groove is formed in the inner wall of the opening, a limiting block is fixedly mounted on the outer side of the rubber pushing plate, and the limiting block is connected with the limiting groove in a sliding mode.
Preferably, the inner wall of the sliding groove is fixedly provided with a square strip, the outer side of the sliding block is provided with a square notch, and the square strip is connected with the inner wall of the square notch in a sliding manner.
Preferably, the pressing rod is provided with an elliptical hole, a shaft pin is movably connected in the elliptical hole, and the shaft pin is rotatably connected with the inserted link.
Preferably, the outer side of the sleeve is in threaded connection with a fixing bolt, and the end head of the fixing bolt extends into the sleeve and is in contact with the output end of the telescopic rod.
Compared with the prior art, the invention has the advantages that:
(1) the ultrasonic-guided nerve block puncture support for the anesthesia department can increase the overall stability of the support through the sucker seat and the balancing weight, the ultrasonic probe can be fixed through the U-shaped frame, the turnover plate and the buckle unit, and the telescopic rod, the sleeve, the fixing bolt, the locking bolt, the lantern ring and the vertical rod can prevent the ultrasonic probe from being manually supported on one hand, so that the working difficulty is reduced, the position of the ultrasonic probe can be adjusted on the other hand, and the use is convenient;
(2) the puncture holes are arranged, puncture of the puncture needle is effectively guided, puncture clamping or deviation is avoided, the puncture needles with different diameters can be used correspondingly due to the fact that the diameters of the puncture holes are different, the puncture holes are obliquely arranged, the puncture needle can be used conveniently, and if the puncture positions are staggered before puncture, the positions of the puncture holes can be adjusted;
(3) when the puncture is completed or needs to be suspended, in order to avoid the displacement of the puncture needle, the puncture needle can be pressed and fixed through the abutting stabilizing unit, and the puncture needle is prevented from deviating.
The invention has simple structure and convenient operation, can fix the ultrasonic probe, avoids manual holding of a nerve block puncture bracket doctor guided by ultrasonic in an anesthesia department, reduces the working difficulty and solves the problems of clamping and deviation when a puncture needle punctures.
Drawings
Fig. 1 is a schematic structural diagram of an ultrasonic-guided nerve block puncture stent for anesthesia department according to the present invention;
FIG. 2 is a schematic top view of the telescopic rod, the U-shaped frame, the ultrasonic probe, the puncture needle support plate and the like according to the present invention;
FIG. 3 is a schematic diagram of the structure of part A in FIG. 2;
FIG. 4 is a schematic structural diagram of part B of FIG. 3 according to the present invention;
FIG. 5 is a schematic front perspective view of a support plate according to the present invention;
FIG. 6 is a schematic back perspective view of a support plate according to the present invention;
fig. 7 is a track diagram of the puncture holes on the supporting plate according to the present invention.
In the figure: 1. a sucker seat; 2. a balancing weight; 3. a vertical rod; 4. a collar; 5. locking the bolt; 6. a telescopic rod; 7. a sleeve; 8. fixing the bolt; 9. a U-shaped frame; 10. an ultrasonic probe; 11. a slide bar; 12. a puncture needle support plate; 13. a rubber pad; 14. a turnover plate; 15. a buckle unit; 16. a slider; 17. inserting a rod; 18. a slot; 19. a lever; 20. a pressing lever; 21. a tension spring; 22. a chute; 23. square strips; 24. puncturing a hole; 25. an opening; 26. a rubber push plate; 27. a rubber head; 28. a limiting groove; 29. a limiting block; 30. an arc pad.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments.
Referring to fig. 1 to 7, an ultrasonic-guided nerve block puncture stent for anesthesia department comprises a sucker seat 1, wherein a balancing weight 2 is arranged on the sucker seat 1, a vertical rod 3 is arranged at the top of the balancing weight 2, a lantern ring 4 is slidably arranged on the outer side of the vertical rod 3, a locking bolt 5 is in threaded connection with the outer side of the lantern ring 4, the end head of the locking bolt 5 extends into the lantern ring 4 and contacts with the vertical rod 3, the locking bolt 5 is arranged for fixing the lantern ring 4 and the vertical rod 3, the lantern ring 4 and the vertical rod 3 can horizontally rotate and slide highly, a telescopic rod 6 is arranged on the outer side of the lantern ring 4, the output end of the telescopic rod 6 is connected with a sleeve 7, a frame structure is connected onto the sleeve 7, an ultrasonic probe 10 is arranged in the frame structure, a slide bar 11 is connected to the front side of the frame structure, a slide groove 22 is arranged on the right side of the slide bar 11, a slide block 16 is slidably arranged in the slide groove 22, and a puncture needle support plate 12 is fixedly arranged on the right side of the slide bar 16, the top of the puncture needle support plate 12 is obliquely provided with a plurality of puncture holes 24, the puncture holes 24 have different sizes, the inner walls of the puncture holes 24 are all provided with openings 25, the diameter of each opening 25 is smaller than that of the corresponding puncture hole 24, the puncture holes 24 are arranged for guiding puncture of the puncture needle to avoid puncture clamping or deviation, the set inclination can be changed according to requirements, abutting and stabilizing units are connected in the openings 25, the right side of the slider 16 is provided with a lever 19, a pressing rod 20 is rotatably arranged on the lever 19, an insertion rod 17 is movably arranged on the pressing rod 20, the insertion rod 17 is connected with the slider 16 in a sliding manner, a plurality of slots 18 are uniformly arranged on the inner wall of the sliding groove 22, the insertion rod 17 is movably connected with the slots 18, a tension spring 21 is connected between the inner side of the pressing rod 20 and the slider 16, the tension spring 21 provides resetting tension for the pressing rod 20, so that the insertion rod 17 enters the corresponding slots 18, the stability of the slider 16 can be ensured.
In this embodiment, frame construction includes U type frame 9, rubber pad 13 and returning face plate 14, the left side of U type frame 9 links to each other with the right side of sleeve 7 is fixed, returning face plate 14 rotates with U type frame 9 and links to each other, rubber pad 13 is two and links to each other with the inboard of U type frame 9 and returning face plate 14 respectively, ultrasonic probe 10 is located between U type frame 9 and returning face plate 14, be connected with buckle unit 15 between U type frame 9 and the returning face plate 14, when ultrasonic probe 10 sets up between U type frame 9 and returning face plate 14, it is fixed with ultrasonic probe 10 through buckle unit 15, the rubber pad 13 of setting can increase the frictional force when fixed to ultrasonic probe 10.
In this embodiment, the buckle unit 15 includes public first buckle and female first buckle, and public first buckle links to each other with returning face plate 14, and female first buckle links to each other with U type frame 9, and public first buckle links to each other with female first buckle.
In this embodiment, the firm unit of conflict includes rubber push pedal 26, rubber head 27 and arc pad 30, rubber push pedal 26 slides with the opening 25 that corresponds and links to each other, rubber head 27 links to each other with the outside of rubber push pedal 26, arc pad 30 links to each other with the inboard of rubber push pedal 26, the firm unit of conflict that sets up is used for extruding the puncture needle fixedly, when concrete puncture is accomplished or need pause, in order to avoid the puncture needle displacement, need fix the puncture needle, push rubber head 27, rubber head 27 promotes corresponding rubber push pedal 26 and arc pad 30 and puncture needle contact, there is frictional force between rubber push pedal 26 and the opening 25, can press the puncture needle fixedly.
In this embodiment, the inner wall of the opening 25 is provided with a limiting groove 28, the outer side of the rubber pushing plate 26 is fixedly provided with a limiting block 29, the limiting block 29 is connected with the limiting groove 28 in a sliding manner, and the limiting block 29 is arranged in the limiting groove 28 in a sliding manner, so that the rubber pushing plate 26 can only move horizontally.
In this embodiment, fixed mounting has square strip 23 on the spout 22 inner wall, and square notch has been seted up in the outside of slider 16, and square strip 23 slides with square notch's inner wall and links to each other, and the square strip 23 that sets up slides with square notch, can guarantee that slider 16 can only slide in spout 22.
In this embodiment, the pressing rod 20 is provided with an elliptical hole, and a shaft pin is movably connected in the elliptical hole and is rotatably connected with the insertion rod 17.
In this embodiment, the outside threaded connection of sleeve 7 has fixing bolt 8, and fixing bolt 8's end extends to in the sleeve 7 and contacts with the output of telescopic link 6, twists fixing bolt 8 tightly, can link to each other ultrasonic probe 10 with telescopic link 6.
In the embodiment, when the ultrasonic surgical device is used, the suction cup seat 1 is placed beside an operating bed, the vertical rod 3 is stabilized through negative pressure suction generated by the suction cup seat 1, the counterweight block 2 increases stability, the ultrasonic probe 10 is placed between the U-shaped frame 9 and the turnover plate 14, the U-shaped frame 9 is connected with the turnover plate 14 through the buckle unit 15, the ultrasonic probe 10 is fixed, the telescopic rod 6 is inserted into the sleeve 7, the rotation angle of the ultrasonic probe 10 is adjusted, the fixing bolt 8 is screwed tightly, the ultrasonic probe 10 can be connected with the telescopic rod 6, the telescopic length of the telescopic rod 6 is adjusted, the telescopic position of the ultrasonic probe 10 is adjusted to be close to a patient, the locking bolt 5 is loosened, the lantern ring 4 is loosened downwards, the rotation angle of the lantern ring 4 can be adjusted simultaneously, the ultrasonic probe 10 is enabled to be contacted with the position of the patient needing puncture, then the fixing is realized through the locking bolt 5, and the manual holding of the ultrasonic probe 10 can be avoided, selecting a proper puncture needle and inserting the proper puncture needle into the corresponding puncture hole 24, wherein the puncture needles with different diameters can be used for puncture needles with different diameters due to the fact that the puncture holes 24 are arranged obliquely, the puncture needles can be conveniently used for puncture, if the puncture positions are staggered before puncture, the pressing rod 20 is pressed by adjusting the positions of the puncture holes 24, the pressing rod 20 drives the insertion rod 17 to move by taking the lever 19 as a fulcrum, the insertion rod 17 leaves the corresponding slot 18, the position of the sliding block 16 in the sliding groove 22 can be adjusted, the position of the puncture hole 24 on the puncture needle support plate 12 is adjusted, whether the pressing rod 20 is proper or not is adjusted, the insertion rod 17 enters the corresponding slot 18 under the action of the tensile force of the tension spring 21, the sliding block 16 and the puncture needle support plate 12 can be fixed, the stability of the puncture holes 24 is improved, position deviation during puncture is avoided, and when puncture is completed or needs to be paused, in order to avoid the displacement of the puncture needle, the puncture needle needs to be fixed, the rubber head 27 is pushed, the rubber head 27 pushes the corresponding rubber push plate 26 and the corresponding arc-shaped pad 30 to be contacted with the puncture needle, friction force exists between the rubber push plate 26 and the opening 25, the puncture needle can be pressed and fixed, and when the puncture needle needs to continue to work, the rubber head 27 is pulled, the fixation of the puncture needle is released, and the puncture needle can continue to be used.
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 should be considered to be within the technical scope of the present invention, and the technical solutions and the inventive concepts thereof according to the present invention should be equivalent or changed within the scope of the present invention.
Claims (5)
1. The utility model provides a department of anesthesia supersound guide's nerve block puncture support, including sucking disc seat (1), be provided with balancing weight (2) on sucking disc seat (1), a serial communication port, the top of balancing weight (2) is provided with montant (3), the outside slidable mounting of montant (3) has lantern ring (4), the outside threaded connection of lantern ring (4) has locking bolt (5), the end of locking bolt (5) extends to in the lantern ring (4) and contacts with montant (3), the outside of lantern ring (4) is provided with telescopic link (6), the output of telescopic link (6) is connected with sleeve (7), be connected with frame construction on sleeve (7), be provided with ultrasonic probe (10) in the frame construction, frame construction's front side is connected with draw runner (11), spout (22) have been seted up on the right side of draw runner (11), slidable mounting has slider (16) in spout (22), the right side of the sliding block (16) is fixedly provided with a puncture needle supporting plate (12), the top of the puncture needle supporting plate (12) is obliquely provided with a plurality of puncture holes (24), the plurality of puncture holes (24) are different in size, the inner walls of the plurality of puncture holes (24) are respectively provided with an opening (25), the openings (25) are internally connected with a conflict stabilizing unit, the right side of the sliding block (16) is provided with a lever (19), a pressing rod (20) is rotatably arranged on the lever (19), the pressing rod (20) is movably provided with an inserting rod (17), the inserting rod (17) is slidably connected with the sliding block (16), the inner wall of the sliding groove (22) is uniformly provided with a plurality of slots (18), the inserting rod (17) is movably connected with the slots (18), a tension spring (21) is connected between the inner side of the pressing rod (20) and the sliding block (16), the frame structure comprises a U-shaped frame (9), a rubber pad (13) and a turnover plate (14), the left side of a U-shaped frame (9) is fixedly connected with the right side of a sleeve (7), a turnover plate (14) is rotatably connected with the U-shaped frame (9), two rubber pads (13) are respectively connected with the inner sides of the U-shaped frame (9) and the turnover plate (14), an ultrasonic probe (10) is positioned between the U-shaped frame (9) and the turnover plate (14), a buckling unit (15) is connected between the U-shaped frame (9) and the turnover plate (14), the buckling unit (15) comprises a male buckle and a female buckle, the male buckle is connected with the turnover plate (14), the female buckle is connected with the U-shaped frame (9), the male buckle is connected with the female buckle, the collision stabilizing unit comprises a rubber push plate (26), a rubber head (27) and an arc-shaped pad (30), the rubber head (26) is connected with a corresponding opening (25) in a sliding manner, and the rubber head (27) is connected with the outer side of the rubber push plate (26), the arc-shaped pad (30) is connected with the inner side of the rubber push plate (26).
2. The ultrasonic-guided nerve block puncture bracket for the anesthesia department according to claim 1, wherein a limiting groove (28) is formed in the inner wall of the opening (25), a limiting block (29) is fixedly mounted on the outer side of the rubber push plate (26), and the limiting block (29) is connected with the limiting groove (28) in a sliding manner.
3. The ultrasonic-guided nerve block puncture bracket for the anesthesia department according to claim 1, wherein a square strip (23) is fixedly mounted on the inner wall of the sliding groove (22), a square notch is formed in the outer side of the sliding block (16), and the square strip (23) is connected with the inner wall of the square notch in a sliding manner.
4. The ultrasonic-guided nerve block puncture stent for the anesthesia department according to claim 1, wherein the pressing rod (20) is provided with an elliptical hole, a shaft pin is movably connected in the elliptical hole, and the shaft pin is rotatably connected with the insertion rod (17).
5. The ultrasonic-guided nerve block puncture support for the department of anesthesia as recited in claim 1, wherein a fixing bolt (8) is threadedly connected to the outer side of the sleeve (7), and the end of the fixing bolt (8) extends into the sleeve (7) and contacts with the output end of the telescopic rod (6).
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| CN202110646659.4A CN113367778B (en) | 2021-06-10 | 2021-06-10 | Ultrasonic-guided nerve block puncture support for anesthesia department |
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| CN202110646659.4A CN113367778B (en) | 2021-06-10 | 2021-06-10 | Ultrasonic-guided nerve block puncture support for anesthesia department |
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| CN113367778B true CN113367778B (en) | 2022-06-17 |
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Families Citing this family (3)
| Publication number | Priority date | Publication date | Assignee | Title |
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| CN116035671B (en) * | 2023-03-31 | 2023-05-26 | 中国人民解放军总医院第三医学中心 | Nerve block puncture positioning device under ultrasonic guidance |
| CN116327335B (en) * | 2023-04-13 | 2023-09-01 | 皖南医学院第二附属医院 | Auxiliary fixing bracket for ultrasonic guided nerve block and auxiliary method thereof |
| CN116549072B (en) * | 2023-05-25 | 2024-03-22 | 成都市公共卫生临床医疗中心 | Ultrasonic guided puncture device |
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| CN212939766U (en) * | 2020-05-29 | 2021-04-13 | 重庆市沙坪坝区人民医院 | Medical intervention ultrasonic puncture device |
| CN111938767A (en) * | 2020-07-31 | 2020-11-17 | 卢瑾 | Ultrasonic positioning device |
| CN212234625U (en) * | 2020-09-24 | 2020-12-29 | 邓江北 | Puncture device with adjustable supersound guide angle |
| CN112603494A (en) * | 2020-12-22 | 2021-04-06 | 苏州市立普医疗科技有限公司 | Puncture support and puncture device |
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