CN114271813A - Medical otolithiasis diagnosis and treatment system - Google Patents

Medical otolithiasis diagnosis and treatment system Download PDF

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Publication number
CN114271813A
CN114271813A CN202111596657.5A CN202111596657A CN114271813A CN 114271813 A CN114271813 A CN 114271813A CN 202111596657 A CN202111596657 A CN 202111596657A CN 114271813 A CN114271813 A CN 114271813A
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patient
seat
motor
rotating
vertical
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CN202111596657.5A
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杜荣海
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Abstract

The invention discloses a medical otolith diagnosis and treatment system, wherein a rack is fixedly arranged on the ground, a sliding table and the rack form a moving pair, a vertical moving motor drives the sliding table to move, the lower end of a bent arm and the sliding table form a rotating pair, a longitudinal rotating motor can drive the bent arm to rotate so as to realize longitudinal rotating motion of a seat, a transverse moving frame is rotatably connected with the front end of the bent arm, a vertical rotating motor can drive the transverse moving frame to rotate so as to realize vertical rotating motion of the seat, a vertical rotating arm and the transverse moving frame form a moving pair, a transverse moving motor drives the vertical rotating arm to move so as to realize transverse moving of the seat, the lower end of the vertical rotating arm is rotatably connected with the seat, and a transverse rotating motor can drive the transverse rotating motion of the seat; the chair is provided with a seat plate for a patient to sit, a backrest for the patient to lean on and foot supports for supporting the feet of the patient, the upper side of the seat plate is provided with an upper bandage, and the position corresponding to the position of the lower leg of the patient is provided with a lower bandage; the upper end of the backrest is provided with a headrest; the compression bar is rotationally connected with the chair, and the electric push rod drives the compression bar to rotate, so that the upper half of the patient is fixed and released.

Description

Medical otolithiasis diagnosis and treatment system
Technical Field
The invention relates to the technical field of medical instruments, in particular to a medical otolithiasis diagnosis and treatment system.
Background
Otolith is also called Benign Paroxysmal Positional Vertigo (BPPV), otolith is a tiny calcium carbonate salt crystal in the inner ear, the otolith is attached to an otolith membrane under normal conditions, the otolith can swim in the lymph fluid in the inner ear after being detached, when the head of a human body changes, the semicircular canal also changes position, and the submerged otolith can move along with the flowing of the fluid, so that semicircular canal hair cells are stimulated, the body is caused to have strong vertigo, and severe symptoms such as nausea and vomiting can be accompanied; the semicircular canal is an important structure for sensing the posture change of a human body, and is divided into an upper semicircular canal, a lower semicircular canal and an outer semicircular canal, wherein the planes of the upper semicircular canal, the lower semicircular canal and the outer semicircular canal are vertical to each other, and the change postures of the human body on different planes are sensed; the diagnosis and treatment principle of the semicircular canals is that the corresponding semicircular canals are stimulated by accelerating or decelerating rotation of the plane where the corresponding semicircular canals are located, and the function conditions of the semicircular canals can be known through the examination of the eye shake.
The treatment of otolithiasis mainly comprises reduction, namely, the otolith falling into the semicircular canal returns to the oval sac again by using the posture change. The clinical treatment methods are divided into manual reduction and medical device reduction, wherein manual reduction is commonly used, but manual reduction has some defects: firstly, the requirement on an attending physician is very high, the physician needs to determine a diagnosis means for the pathogenesis of otolithiasis, and the treatment method has very professional knowledge; secondly, the reduction angle cannot be accurately mastered in the treatment process, and only a plurality of attempts can be made by experience; for obese patients or patients suffering from lumbar spondylosis and cervical spondylosis, the reduction treatment difficulty is higher, and secondary damage to the lumbar vertebra or the cervical vertebra of the patients is easily caused; fourthly, the physical strength requirement of the doctors is high, the body positions of the patients need to be changed for many times in the treatment process, and the doctors are easy to feel tired. Clinical medical equipment that adopts resets and treats has degree of automation height, the efficient characteristics of treatment, but present otolith diagnosis and treatment equipment that resets still has some defects: firstly, the equipment has larger volume and weight, which causes larger occupied space; the freedom degree is less, and generally only two rotational freedom degrees are provided, so that the patient needs to frequently adjust the body position in the resetting treatment process; thirdly, the pipe pair has no freedom of movement, and can not carry out vertigo diagnosis on the semicircular canal in an acceleration or deceleration state; the head position accurate positioning is lacked, the plane of the semicircular canal cannot be accurately positioned, and the accurate positioning of the semicircular canal has very important significance for otolithiasis reduction diagnosis and treatment; the mature system is mostly imported equipment, which causes high purchase cost and is not beneficial to popularization to small and medium hospitals. Therefore, the otolithiasis diagnosis and treatment system with multiple degrees of freedom, low cost and rich functions is developed to finish diagnosis and treatment of patients, and has obvious economic and social benefits.
Disclosure of Invention
In order to overcome the defects of the prior art, the invention aims to provide the otolith diagnosis and treatment system which is low in cost, high in intelligent degree and good in effect.
The technical scheme adopted by the invention is as follows: the utility model provides a system is diagnose to medical otolith disease, includes seat, depression bar, perpendicular rocking arm, sideslip frame, erects to change motor, lead screw, erects to move motor, frame, curved boom, slip table, sideslip motor, electric putter, sideslip motor, rack, gear, indulge and change motor, its characterized in that: the frame is fixedly installed on the ground, the sliding table and the frame form a vertical moving pair, the vertical moving motor drives the sliding table to move through a lead screw, the lower end of the bent arm and the sliding table form a rotating pair, the longitudinal rotating motor can drive the bent arm to rotate so as to realize longitudinal rotating motion of the seat, the transverse moving frame is rotatably connected with the front end of the bent arm, the vertical moving motor can drive the transverse moving frame to rotate so as to realize vertical rotating motion of the seat, the vertical rotating arm and the transverse moving frame form a moving pair, the transverse moving motor drives the vertical rotating arm to move through a gear and rack structure so as to realize transverse moving of the seat, the lower end of the vertical rotating arm is rotatably connected with two sides of the seat, and the two transverse moving motors can drive the transverse rotating motion of the seat; the chair is provided with a seat plate for a patient to sit, a backrest for the patient to lean on and foot supports for supporting the feet of the patient, the upper side of the seat plate is provided with an upper bandage, and the position corresponding to the position of the lower leg of the patient is provided with a lower bandage; the upper end of the backrest is provided with a headrest for fixing the head of a patient; the upper end of the pressure lever is rotationally connected with the seat, and the electric push rod drives the pressure lever to rotate, so that the upper part of the body of the patient is fixed and released.
Preferably, the chair is movable and locked in position on the cross-frame so that a centrifugal test can be performed on a patient's unilateral semicircular canal.
Preferably, the compression bar can realize the fixation of the upper half of the body of the patient on the chair, two handles which can be held by both hands of the patient are arranged on the front side of the compression bar, and the compression bar is beneficial to the stabilization of the body of the patient and the enhancement of the safety of the patient in the resetting treatment process.
Preferably, the upper bandage is used for fixing the thigh of the patient, the lower bandage is used for fixing the lower leg of the patient, so that the lower body of the patient is fixed on the chair, and the upper bandage and the lower bandage can be quickly connected and opened through the socket structure.
As preferred, the headrest surface covers there is the silica gel material, also has comparatively comfortable contact experience when realizing patient's head location.
Preferably, the upper end of the pressure lever is arranged to be spacious, so that the shoulders of a patient are prevented from being crushed, and the lower end of the pressure lever is arranged to be a transverse lever protruding forwards, so that the pressure lever is prevented from causing excessive compression on the abdomen of the patient.
Preferably, the number of the transverse rotating motors is two, so that the rotating torques at two sides of the seat are the same, and seat torsion caused by single-side driving is avoided.
The invention has the beneficial effects that: the chair has three rotational degrees of freedom, so that the patient can rotate in any angle and direction in three dimensions of space, and the reduction treatment of the otolithiasis of the patient is completed through the rotation and the positioning of the three dimensions; the chair has two degrees of freedom of movement, and the transverse moving motor can enable a patient to realize transverse acceleration or deceleration, so that the semicircular canal can be tested in an acceleration and deceleration state; the vertical movement motor can vertically accelerate or decelerate the patient, so that the semicircular tube can be tested in an overweight and weightless state; and thirdly, the centrifugal test can be carried out on the unilateral semicircular canal of the patient by changing the vertical rotation axis position of the seat.
Drawings
Fig. 1 is a schematic view of the overall structure of the present invention.
Fig. 2 is a schematic view of the overall structure of the present invention.
Fig. 3 is a schematic view showing four postures of otolith diagnosis and treatment according to the present invention.
FIG. 4 is a schematic diagram of a semicircular tube centrifugation test.
Reference numerals: the device comprises a seat 1, a headrest 1.1, an upper binding band 1.2, a lower binding band 1.3, a foot support 1.4, an adapter seat 1.5, a pressure lever 2, a handle 2.1, a rotating lever 2.2, a vertical rotating arm 3, a transverse moving frame 4, a vertical rotating motor 5, a lead screw 6, a vertical moving motor 7, a rack 8, a bent arm 9, a sliding table 10, a lead screw sliding block 10.1, a transverse rotating motor 11, an electric push rod 12, a transverse moving motor 13, a rack 14, a gear 15 and a longitudinal rotating motor 16.
Detailed Description
The present invention will be further described with reference to specific examples, which are illustrative of the invention and are not to be construed as limiting the invention.
As shown in fig. 1 and 2, the frame 8 is a door frame structure, a flat plate structure is arranged at the lower end of the frame 8, the flat plate structure is fixedly mounted on the ground through anchor bolts, so as to fix the frame 8, two parallel guide rails are vertically arranged on the front side of the frame 8, a lead screw 6 is vertically arranged in the frame 8, the lead screw 6 and the frame 8 form a revolute pair, an encoder and a brake mechanism are integrated in a vertical movement motor 7, so as to realize accurate angular rotation and stable locking and positioning, the vertical movement motor 7 is fixedly mounted at the top end of the frame 8 through a screw, an output shaft of the vertical movement motor 7 is coaxially and fixedly connected with the upper end of the lead screw 6, four sliders arranged on the rear side of the sliding table 10 are matched and mounted with the two guide rails on the front side of the frame 8, so that the sliding table 10 and the frame 8 form a moving pair, a lead screw slider 10.1 is also arranged on the rear side of the sliding table 10, and the lead screw slider 10.1 is matched and mounted to form a lead screw slider transmission, so that the vertical movement motor 7 can drive the movement of the slide table 10 in the vertical direction.
The bending arm 9 is of a 90-degree bending rod structure, a rotating shaft is arranged at the lower end of the rear side of the bending arm 9 and is rotatably connected with the sliding table 10, the longitudinal-rotation motor 16 is fixedly mounted at the rear side of the sliding table 10 through screws, an output shaft of the longitudinal-rotation motor 16 is coaxially and fixedly connected with the rotating shaft at the lower end of the rear side of the bending arm 9, an encoder and a brake mechanism are integrated in the longitudinal-rotation motor 16, accurate angle rotation and stable locking and positioning can be achieved, and therefore the longitudinal-rotation motor 16 can drive longitudinal-rotation movement and positioning of the bending arm 9; 4 downside of sideslip frame transversely be equipped with the guide rail of two parallels, 4 upside intermediate position of sideslip frame are equipped with the pivot, the pivot rotates with the 9 front ends of curved boom to be connected, it installs in 9 front ends of curved boom upper sides through screw fixed to erect changes motor 5, and erect the output shaft of changeing motor 5 and the coaxial fastening connection of pivot of 4 upsides of sideslip frame, it has encoder and brake mechanism to erect the 5 internal integration of changeing motor, can realize accurate angle rotation and firm locking location, thereby erect and change motor 5 and can drive the perpendicular transition motion and the location of sideslip frame 4.
Four sliding blocks are fixedly arranged at the upper end of the vertical rotating arm 3 and are matched with two guide rails on the lower side of the transverse moving frame 4, so that the vertical rotating arm 3 and the transverse moving frame 4 form a moving pair, a rack 14 is transversely and fixedly arranged on the rear side of the transverse moving frame 4, a transverse moving motor 13 is fixedly arranged at the upper end of the vertical rotating arm 3 through screws, a gear 15 is coaxially and fixedly connected with an output shaft of the transverse moving motor 13, the gear 15 is meshed with the rack 14 to form a gear-rack transmission structure, an encoder and a brake mechanism are integrated in the transverse moving motor 13, accurate angle rotation and stable locking and positioning can be realized, and the transverse moving motor 13 can drive the vertical rotating arm 3 to transversely move and position; the lower end of the vertical rotating arm 3 is divided into a left fork arm and a right fork arm, the left fork arm and the right fork arm are both provided with lightening holes, the left side of the seat 1 is transversely provided with a left rotating shaft, the left rotating shaft is fixedly connected with the left side of the seat 1 through three support rods, the right side of the seat 1 is transversely provided with a right rotating shaft, the right rotating shaft is fixedly connected with the right side of the seat 1 through three support rods, the central axes of the left rotating shaft and the right rotating shaft are superposed, the lower end of the left fork arm and the left rotating shaft on the left side of the seat 1 form a rotating pair, the outer side of the lower end of the left fork arm is fixedly provided with a transverse rotating motor 11, the output shaft of the transverse rotating motor 11 is coaxially and fixedly connected with the left rotating shaft, the lower end of the right fork arm and the right rotating shaft on the right side of the seat 1 form a rotating pair, the outer side of the lower end of the left fork arm is fixedly provided with a transverse rotating motor, the output shaft of the transverse rotating motor is coaxially and fixedly connected with the right rotating shaft, encoders and brake mechanisms are integrated in the two transverse rotating motors, precise angular rotation and stable locking positioning can be achieved, so that the two yaw motors 11 can jointly drive the yaw movement and positioning of the seat 1.
The seat 1 is provided with a seat plate for a patient to sit, the upper side of the seat plate is provided with an upper bandage 1.2, the upper bandage 1.2 can be quickly connected and opened through a socket structure, the upper bandage 1.2 is used for binding the thigh part of the patient and fixing the body of the patient on the seat, the back is arranged at the rear side of the seat 1, the top end of the back is provided with a headrest 1.1, the middle of the headrest 1.1 is of a concave structure for positioning the head of the patient, the left and right swing of the head of the patient in the resetting treatment process is prevented, the outer surface of the headrest 1.1 is covered with silica gel materials, more comfortable contact experience is realized while the head is positioned, the lower end of the seat 1 is provided with a foot support 1.4, the foot supports 1.4 can be trampled by the feet of the patient, the lower bandage 1.3 is arranged at the position of the lower leg of the seat 1 corresponding to the patient, the lower bandage 1.3 can be quickly connected and opened through the socket structure, the lower bandage 1.3 is used for binding the shank part of the patient, the lower leg is fixed to the seat 1.
2 upper ends of depression bar and the 1 upper end rear side of seat rotate to be connected, depression bar 2 is pipe fitting bending structure, be used for compressing tightly patient's upper part of the body on the back, 2 outside claddings of depression bar have the silica gel material, make the patient have better contact experience, 2 front sides of depression bar are equipped with two handles 2.1, handle 2.1 can supply patient's both hands to grip, the health that is favorable to the patient to stabilize oneself and reinforcing patient's sense of safety in the treatment process that resets, because shoulder position soft tissue covers less, so the comparatively spacious that 2 upper ends of depression bar set up, prevent to press wounded patient's shoulder, because the belly position does not have the skeleton protection, so 2 lower extremes of depression bar set up to outstanding horizontal pole forward, prevent that depression bar 2 from causing too much oppression to patient's belly.
As shown in fig. 2, an adapter 1.5 is arranged at the rear side of the backrest, a rotating rod 2.2 is arranged at the rear end of the pressure lever 2, the lower end of the electric push rod 12 is rotatably connected with the adapter 1.5, the upper end of the electric push rod 12 is rotatably connected with the rotating rod 2.2, so that the electric push rod 12 extends to enable the pressure lever 2 to rotate downwards and press the upper half of the patient, and the electric push rod 12 contracts to enable the pressure lever 2 to rotate upwards to enable the patient to get on or off the chair.
The first embodiment is as follows: when diagnosing otolith patient, for guaranteeing patient's personal safety and treatment effect that resets, need effectively be fixed in on the seat 1 with the patient, electric putter 12 contracts at first and makes depression bar 2 upwards rotate the back and open, the patient sits on seat 1, the head is close to headrest 1.1 and the holding position is motionless, later electric putter 12 extension makes depression bar 2 push down the patient upper part of the body after rotating downwards, patient's both hands grip two handles 2.1 tightly, under medical staff's help, it makes patient thigh position be fixed in on the seat to tie up last bandage 1.2, it makes patient shank position be fixed in on the seat to tie up bandage 1.3 down again, thereby realize that the whole health of patient is fixed in the seat on the seat.
Example two: the transverse rotation motor 11 can realize the transverse rotation and the positioning of a patient, the longitudinal rotation motor 16 can realize the longitudinal rotation and the positioning of the patient, the vertical rotation motor 5 can realize the vertical rotation and the positioning of the patient, namely, the patient can realize the rotation of any angle and direction in three dimensions of space, thereby enabling the patient to determine the state of an illness of the patient through detecting the condition of eye shake in the three-dimensional acceleration or deceleration rotation process, and completing the reset treatment of otolith of the patient through the rotation and the positioning of the three dimensions.
Example three: the traversing motor 13 can transversely accelerate or decelerate the patient, so that the semicircular canal can be tested in a horizontal acceleration and deceleration state; the vertical movement motor 7 can accelerate or decelerate the patient in the vertical direction, so that the semicircular tube can be tested under the overweight and weightless states.
Example four: when the seat 1 is positioned under the axis of the vertical rotation motor 5, the vertical rotation motor 5 can drive a patient on the seat 1 to rotate by taking the middle position of the left ear and the right ear as the axis after rotating, and the bilateral semicircular canal centrifugal test can be carried out in the state for detecting the functional state of the eye shake.
Example five: the transverse moving motor 13 rotates to enable the seat 1 to move leftwards, the right ear semicircular canal is located under the axis of the vertical rotating motor 5, and the vertical rotating motor 5 can drive a patient on the seat 1 to rotate by taking the position of the right ear semicircular canal as the axis after rotating, so that the left ear semicircular canal can be subjected to centrifugal test in the state;
the transverse moving motor 13 rotates to enable the seat 1 to move rightwards, the left ear semicircular canal is located under the axis of the vertical rotating motor 5, the vertical rotating motor 5 can drive a patient on the seat 1 to rotate by taking the position of the left ear semicircular canal as the axis, and centrifugal test can be conducted on the right ear semicircular canal in the state.

Claims (7)

1. The utility model provides a system is diagnose to medical otolith disease, includes seat, depression bar, perpendicular rocking arm, sideslip frame, erects to change motor, lead screw, erects to move motor, frame, curved boom, slip table, sideslip motor, electric putter, sideslip motor, rack, gear, indulge and change motor, its characterized in that: the frame is fixedly installed on the ground, the sliding table and the frame form a vertical moving pair, the vertical moving motor drives the sliding table to move through a lead screw, the lower end of the bent arm and the sliding table form a rotating pair, the longitudinal rotating motor can drive the bent arm to rotate so as to realize longitudinal rotating motion of the seat, the transverse moving frame is rotatably connected with the front end of the bent arm, the vertical moving motor can drive the transverse moving frame to rotate so as to realize vertical rotating motion of the seat, the vertical rotating arm and the transverse moving frame form a moving pair, the transverse moving motor drives the vertical rotating arm to move through a gear and rack structure so as to realize transverse moving of the seat, the lower end of the vertical rotating arm is rotatably connected with two sides of the seat, and the two transverse moving motors can drive the transverse rotating motion of the seat; the chair is provided with a seat plate for a patient to sit, a backrest for the patient to lean on and foot supports for supporting the feet of the patient, the upper side of the seat plate is provided with an upper bandage, and the position corresponding to the position of the lower leg of the patient is provided with a lower bandage; the upper end of the backrest is provided with a headrest for fixing the head of a patient; the upper end of the pressure lever is rotationally connected with the seat, and the electric push rod drives the pressure lever to rotate, so that the upper part of the body of the patient is fixed and released.
2. The medical otolithiasis diagnosis and treatment system according to claim 1, wherein: the chair can be moved and locked in position on the cross-frame to allow for centrifugal testing of a patient's unilateral semicircular canal.
3. The medical otolithiasis diagnosis and treatment system according to claim 1, wherein: the depression bar can realize that the patient is first fixed on the seat, the depression bar front side is equipped with two handles that can supply patient's both hands to grip, is favorable to the patient to stabilize oneself and strengthens patient's sense of safety at the treatment process that resets.
4. The medical otolithiasis diagnosis and treatment system according to claim 1, wherein: the upper bandage is used for fixing the thigh of the patient, the lower bandage is used for fixing the shank of the patient, so that the lower body of the patient is fixed on the chair, and the upper bandage and the lower bandage can be quickly connected and opened through the socket structure.
5. The medical otolithiasis diagnosis and treatment system according to claim 1, wherein: headrest surface cover have the silica gel material, also have comparatively comfortable contact when realizing patient's head location and experience.
6. The medical otolithiasis diagnosis and treatment system according to claim 1, wherein: the depression bar upper end set up comparatively spaciously, prevent to press wounded the patient shoulder, the depression bar lower extreme sets up to outstanding horizontal pole forward, prevents that the depression bar from causing too much oppression to patient's belly.
7. The medical otolithiasis diagnosis and treatment system according to claim 1, wherein: the number of the transverse rotating motors is two, so that the rotating torques at two sides of the seat are the same, and the seat torsion caused by unilateral driving is avoided.
CN202111596657.5A 2021-12-24 2021-12-24 Medical otolithiasis diagnosis and treatment system Pending CN114271813A (en)

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Application Number Priority Date Filing Date Title
CN202111596657.5A CN114271813A (en) 2021-12-24 2021-12-24 Medical otolithiasis diagnosis and treatment system

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Application Number Priority Date Filing Date Title
CN202111596657.5A CN114271813A (en) 2021-12-24 2021-12-24 Medical otolithiasis diagnosis and treatment system

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CN114271813A true CN114271813A (en) 2022-04-05

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Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1901869A (en) * 2003-11-14 2007-01-24 托马斯·理查德-维托 Examination chair
DE102008043157A1 (en) * 2008-10-24 2010-05-06 Kuka Roboter Gmbh Medical robot comprises holding device for fixing person, controller, robot arm and mounting device, where robot arm has multiple axes which are controlled by controller
CN104116614A (en) * 2014-07-31 2014-10-29 安阳工学院 Big arm left-and-right swinging rehabilitation training device
CN105769440A (en) * 2015-10-22 2016-07-20 华中科技大学同济医学院附属协和医院 Otolithiasis diagnosis and treatment and semicircular canal function test integrated system
CN205411144U (en) * 2015-09-24 2016-08-03 屈寅弘 Positioning system device is diagnose to gear formula vertigo
CN108670698A (en) * 2018-04-10 2018-10-19 国医华科(天津)医疗科技集团有限公司 Inspection chair for vertigo diagnosis and treatment

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1901869A (en) * 2003-11-14 2007-01-24 托马斯·理查德-维托 Examination chair
DE102008043157A1 (en) * 2008-10-24 2010-05-06 Kuka Roboter Gmbh Medical robot comprises holding device for fixing person, controller, robot arm and mounting device, where robot arm has multiple axes which are controlled by controller
CN104116614A (en) * 2014-07-31 2014-10-29 安阳工学院 Big arm left-and-right swinging rehabilitation training device
CN205411144U (en) * 2015-09-24 2016-08-03 屈寅弘 Positioning system device is diagnose to gear formula vertigo
CN105769440A (en) * 2015-10-22 2016-07-20 华中科技大学同济医学院附属协和医院 Otolithiasis diagnosis and treatment and semicircular canal function test integrated system
CN108670698A (en) * 2018-04-10 2018-10-19 国医华科(天津)医疗科技集团有限公司 Inspection chair for vertigo diagnosis and treatment

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