CN206499619U - A kind of right heart acoustic contrast auxiliary examination system - Google Patents

A kind of right heart acoustic contrast auxiliary examination system Download PDF

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Publication number
CN206499619U
CN206499619U CN201621267418.XU CN201621267418U CN206499619U CN 206499619 U CN206499619 U CN 206499619U CN 201621267418 U CN201621267418 U CN 201621267418U CN 206499619 U CN206499619 U CN 206499619U
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CN
China
Prior art keywords
auxiliary examination
chair back
seat
right heart
plate
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Expired - Fee Related
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CN201621267418.XU
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Chinese (zh)
Inventor
杜亚娟
罗晓惠
兰贝蒂
张玉顺
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First Affiliated Hospital of Xian Jiaotong University
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First Affiliated Hospital of Xian Jiaotong University
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Priority to CN201621267418.XU priority Critical patent/CN206499619U/en
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Abstract

The utility model discloses a kind of right heart acoustic contrast auxiliary examination system, including chair is checked, check that chair includes seat, described seat rear end is provided with the chair back of angle adjustable, and seat front end movably arranged has pedal;Described back seat sides are provided with air blowing detection means, air blowing detection means includes gas blow pipe and display screen, wherein, electronic pressure gage is integrated with display screen, gas blow pipe is connected by airway tube with electronic pressure gage, and the reading of electronic pressure gage is shown by described display screen.The utility model provides a set of energy auxiliary examination person and ajusts position, carries out Valaslva actions, the system for aiding in doctor deploying and injecting fluid simultaneously, button-up operations when cTTE is checked before radiography can be completed using the system, provided great convenience for medical personnel, while enabling examiner preferably to coordinate the operation of doctor.

Description

A kind of right heart acoustic contrast auxiliary examination system
Technical field
The utility model is related to a kind of medical examination servicing unit, and in particular to a kind of right heart acoustic contrast auxiliary examination system System.
Background technology
Oval foramen is a physiological passage of heart atrial septum embryonic stage, and most of to close after birth, remaining is more Closed in 1 year, if oval foramen does not close title acleistocardia, 20%~25% is there are about in adult, and to there is oval foramen endless Complete closure phenomenon.It is generally few through acleistocardia right-left shunt amount, hemodynamic responses will not be caused;But such as Fruit then may result in a series of serious face when there is obvious right-left shunt after quiescent condition or specific situation induce Bed syndrome, such as cerebral apoplexy, leukodystrophy, hypoxemia, antimigraine, faint, epilepsy.
Existed between acleistocardia and unknown cause cerebral apoplexy it is close contact, its pathomechanism is the " unusual of brain Embolism ", i.e., by the oval foramen of patent, following embolus feels concerned about system into a left side and causes corresponding clinical symptoms:1. deep veins of lower limb Or pelvic veins thrombus;2. bends or the air embolus caused by decompression sickness;3. the fat embolus that is formed after operation or wound.It is right In the acleistocardia patient for occurring the Cardioversions such as cerebral apoplexy, its recurrent danger is still very high.
The monitoring method clinically for acleistocardia-right-left shunt mainly has transesophageal echocardiography sound at present Learn radiography cTEE, transcranial Doppler ultrasound acoustic contrast cTCD and TTE acoustic contrast cTTE.Wherein, cTEE is Patient is more painful in half traumatic examination, operating process, it is difficult to coordinate Valsalva to act;CTCD is although noninvasive, but shortcoming It is the source for being difficult to differentiate between RLS;Therefore the examination that cTTE carries out acleistocardia-right-left shunt is clinically used at present.
But, it is necessary to which examiner is aided with Valsalva actions with merging, while needing quiet to patient in cTTE operating process Arteries and veins injecting normal saline, blood, the mixing liquid of air, can aid in the device of the process currently without a kind of, make checking process In face the problem of patient can not coordinate very well.
The content of the invention
For above-mentioned problems of the prior art, the purpose of this utility model is to make there is provided a kind of right heartfelt wishes Shadow auxiliary examination system, can be when carrying out cTTE inspections, and auxiliary examination person's adjustment position and progress Valaslva actions make inspection Person can preferably coordinate doctor, in favor of being smoothed out for operation.
In order to realize above-mentioned task, the utility model uses following technical scheme:
A kind of right heart acoustic contrast auxiliary examination system, including chair is checked, check that chair includes seat, described seat rear end The chair back of angle adjustable is installed, seat front end movably arranged has pedal;Described back seat sides are provided with air blowing detection Device, air blowing detection means includes gas blow pipe and display screen, wherein, electronic pressure gage is integrated with display screen, gas blow pipe passes through Airway tube is connected with electronic pressure gage, and the reading of electronic pressure gage is shown by described display screen.
Further, described back seat sides are provided with the first sleeve, and the bottom of described display screen is provided with second set Cylinder, is connected between the first sleeve and second sleeve by support;Support includes passing through between two bull sticks be arrangeding in parallel, bull stick Connecting rod is connected.
Further, annular groove is along the circumferential direction offered on the outer wall of described gas blow pipe, one end of gas blow pipe is detachable Ground is provided with muzzle, the airway tube described in the other end connection of gas blow pipe;Inserting for L-shaped is provided with the outer wall of gas blow pipe Bar, the side of the described chair back is provided with the retainer plate for being provided with and coordinating with inserted link in fixed plate, fixed plate.
Further, the side of the described chair back is provided with injection platform, and injection platform includes setting above bottom plate, bottom plate There is the top plate parallel with bottom plate, connected between top plate and bottom plate by one block of side plate, side plate is located on bottom plate away from chair back side Edge on;Described top plate and side plate is transparent configuration.
Further, it is provided with along its length in concave surface, concave surface on the described chair back and is provided with headrest, is set on headrest There is replaceable pillowcase.
Further, described seat front end is hinged with leg support plate, and described pedal is arranged on leg support plate;On pedal It is provided with a pair of stop collars, stop collar and is provided with accommodating chamber.
Further, described bottom seat is arranged on a chassis by height-adjustable column, tray bottom It is provided with trivial roller is taken turns, the height of described column is adjusted by being arranged on the DOCK LEVELER of column side.
Further, the described chair back is hinged on seat, and the back of the chair back offers chute along its length, chute Front end, rear end are respectively arranged with positive stop, backstop;It is equipped with sliding block, sliding block and is cut with scissors by first rotating shaft in described chute Adjusting rod is connected to, the end of adjusting rod is hinged on by the second rotating shaft on described chassis;Motor is provided with described column, It is provided with the output shaft of motor on take-up pulley, take-up pulley and is wound with bracing wire, bracing wire is connected with described sliding block.
Further, injection device is provided with described injection platform, injection device includes one and carries adjusting knob Triple valve, be connected to the first syringe, the second syringe and puncture needle on three passages of triple valve.
The utility model has following technical characterstic:
1. the utility model provides a set of energy auxiliary examination person and ajusts position, carries out Valaslva actions, aid in simultaneously The system of doctor deploying and injecting fluid, button-up operations when cTTE is checked before radiography can be completed using the system, for doctor Shield personnel provide great convenience, while enabling examiner preferably to coordinate the operation of doctor;
2. the utility model employs visual pressure detecting system, patient is when carrying out Valaslva actions, not Current blow gas pressure can be best understood by with angle, Valaslva actions is more conformed to specification, so as to be conducive to radiography to examine The embodiment of image effect when looking into;
3. the angle regulator in the utility model, by ultrasonic doctor control, can adjust the position of examiner, so that shadow The blood flow state in heart is rung, makes image effect more preferable;
4. injection platform of the present utility model, can facilitate medical personnel to take a blood sample and carry out the configuration of hybrid injection liquid, And with anti-spattering function, make configuration process more specification, efficiently;
5. the parts such as muzzle, pillowcase in the utility model are disposable replaceable product, so as to ensure that the system is pacified Entirely, it is hygienic, it is to avoid situations such as cross-infection occur between different examiners.
Brief description of the drawings
Fig. 1 is overall structure diagram of the present utility model;
Fig. 2 is the structural representation of gas outlet in air blowing detection means;
Fig. 3 is the schematic diagram of parenteral solution configuration section;
Fig. 4 is the structural representation at the chair back back side;
Label is represented in figure:1-chair back, 2-concave surface, 3-headrest, 4-seat, 5-leg support plate, 6-pedal, 7-recessed Groove, 8-stop collar, 9-display screen, 10-injection platform, 11-side plate, 12-top plate, 13-bottom plate, 14-detection dress of blowing Put, 15-retainer plate, 16-fixed plate, 17-support, 18-second sleeve, the 19-the first sleeve, 20-airway tube, 21-side Baffle plate, 22-adjusting rod, 23-motor, 24-chassis, the 25-the second rotating shaft, 26-roller, 27-bracing wire, 28-height is adjusted Plate, 29-column, 30-positive stop, 31-backstop, 32-sliding block, 33-chute, 34-first rotating shaft, 35-muzzle, 36-gas blow pipe, 37-annular groove, 38-inserted link, the 39-the first syringe, the 40-the second syringe, 41-adjusting knob, 42- First passage, 43-second channel, 44-third channel, 45-puncture needle, 46-console.
Embodiment
This set system of the present utility model, is set to carry out cTTE to check radiography.Before contrast examination, it is necessary to To the mixing liquid of injecting blood, physiology salt water and air in the vein of examiner, make under ultrasound direct-view it can be seen that the right heart A large amount of bubble shadows in room, at this moment by allowing patient to blow and feel suffocated, and make the pressure of air blowing reach that more than 40mmHg is rear achievable Rise right side pleural pressure, promotes the shunting of right room to atrium sinistrum, at this moment allows after patient loosens rapidly, can be seen under Echocardiography There are a large amount of bubbles to atrium sinistrum, it was demonstrated that there are a large amount of shuntings by oval foramen.Inventor learns from working experience, works as position It is changed to from horizontal position after semireclining position or orthostatic body position, the CBF that atrium dextrum under quiescent condition flows to atrium sinistrum can be increased, If the angle of the upper part of the body, can improve the recall rate of quiescent condition right-left shunt when that is appropriate increase patient checks.
Above-mentioned technical proposal is deferred to, as shown in Figures 1 to 4, is aided in the utility model discloses a kind of right heart acoustic contrast Inspection system, including chair is checked, check that chair includes seat 4, the described rear end of seat 4 is provided with the chair back 1 of angle adjustable, chair The front end movably arranged of face 4 has pedal 6;The described side of the chair back 1 is provided with air blowing detection means 14, and air blowing detection means 14 is wrapped Gas blow pipe 36 and display screen 9 are included, wherein, electronic pressure gage is integrated with display screen 9, gas blow pipe 36 passes through airway tube 20 and electronics Pressure gauge is connected, and the reading of electronic pressure gage is shown by described display screen 9.
Agent structure of the present utility model is available for patient to lie down and adjusts the inspection chair of angle, the wherein chair back 1 including one On be provided with concave surface 2 along its length, concave surface 2 can make examiner more comfortable after lying down;Headrest 3 is provided with concave surface 2, is rested the head on Replaceable pillowcase is provided with 3.The front end of seat 4 is hinged with leg support plate 5, and described pedal 6 is arranged on leg support plate 5;Stepping on It is provided with plate 6 in a pair of stop collars 8, stop collar 8 and is provided with accommodating chamber.As shown in figure 1, stop collar 8 is 1/4 spheric knot Structure, the part edge of stop collar 8 is connected with pedal 6, and remainder is not connected to, then the foot front end of examiner can be plugged into spacing In accommodating chamber in set 8.So after examiner lies down, foot can tilt slightly upward, to meet physiological posture, while foot Power can be borrowed by stop collar 8, it is to avoid patient produces uncomfortable sensation.In addition, setting fluted 7 on leg support plate 5, make calf more Plus it is comfortable, and the both sides of seat 4 are provided with side shield 21.
In this programme, the bottom of seat 4 is arranged on a chassis 24 by height-adjustable column 29, the bottom of chassis 24 It is provided with taking turns equipped with hydraulic means in trivial roller 26, described column 29, the height of column 29 is by being arranged on column The DOCK LEVELER 28 of 29 sides is adjusted.
Further, a kind of device of the angle of specific adjusting back 1 is proposed in this programme:
The described chair back 1 is hinged on seat 4, and the back of the chair back 1 is offered before chute 33, chute 33 along its length End, rear end are respectively arranged with positive stop 30, backstop 31;It is equipped with described chute 33 on sliding block 32, sliding block 32 by One rotating shaft 34 is hinged with adjusting rod 22, and the end of adjusting rod 22 is hinged on by the second rotating shaft 25 on described chassis 24;It is described Column 29 on be provided with to be provided with take-up pulley, take-up pulley on motor 23, the output shaft of motor 23 and be wound with bracing wire 27, bracing wire 27 are connected with described sliding block 32.As Figure 1 and Figure 4, during the rotation of the driving of motor 23 take-up pulley, take-up pulley starts to wind bracing wire 27, the direction that now bracing wire 27 drops sliding block 32 to backstop 31 is moved, at this time in the presence of adjusting rod 22, and the chair back 1 will Packed up to the side of seat 4;And when needing to put down the chair back 1, it is only necessary to rotate backward motor 23.
Being provided with the side on chassis 24 on console 46, console 46 has control knob, and control knob is used for controlled motor 23 Rotating forward, upset, be controlled by ultrasonic doctor in the way of pin is stepped on.
In this programme, patient most important part when coordinating inspection is exactly to carry out Valaslva actions, i.e., patient needs It is insufflated to certain pressure value and is kept for the regular hour.For the ease of precise manipulation, detection dress of blowing is provided with this programme Put 14.The pressure of blow gas is measured by electronic pressure gage, is shown on display screen 9, and examiner can be intuitive to see currently Blow gas pressure whether meet the requirements.As shown in Fig. 2 in this programme, ring is along the circumferential direction offered on the outer wall of gas blow pipe 36 Groove 37, annular groove 37 can facilitate examiner to hold;One end of gas blow pipe 36 is detachably provided with muzzle 35, and muzzle 35 is once Property plastic construction, is changed using complete;Airway tube 20 described in the other end connection of gas blow pipe 36, airway tube 20 uses ripple Pipe, with Telescopic;The inserted link 38 of a L-shaped is provided with the outer wall of gas blow pipe 36, the side of the described chair back 1 is set There is the retainer plate 15 for being provided with and coordinating with inserted link 38 in fixed plate 16, fixed plate 16.After air blowing detection means 14 has been used, it will insert Bar 38 is inserted into retainer plate 15, so that it to be fixed.
As shown in figure 1, the side of the chair back 1 is provided with the first sleeve 19, the bottom of described display screen 9 is provided with second sleeve 18, connected between the first sleeve 19 and second sleeve 18 by support 17;Support 17 includes two bull sticks be arrangeding in parallel, bull stick Between connected by connecting rod, two bull sticks are inserted respectively into the first sleeve 19, second sleeve 18.The setting of support 17, makes Display screen 9 can rotate, and be easy to adjust suitable angle.Above-mentioned fixed plate 16 can be fixed on support 17, so a whole set of Air blowing detection means 14 can be removed integrally after using finishing, or be gone on one side.
In order to coordinate the side for giving the chair back 1 in patient's injecting fluid, this programme in ultrasonic examination to be provided with injection platform 10, injection platform 10 includes bottom plate 13, and the top of bottom plate 13 is provided with the top plate 12 parallel with bottom plate 13, top plate 12 and bottom plate 13 it Between connected by one block of side plate 11, side plate 11 be located at bottom plate 13 on away from the side of the chair back 1 edge on;Described top plate 12 and side Plate 11 is transparent configuration.Such injection structure of platform 10, making the arm of patient can extend into injection platform 10, to carry out The collection of blood, and during medical personnel's operation, during both hands can enter platform from both sides;The effect of top plate 12 and side plate 11 is, When carrying out blood and salt solution married operation, prevent liquid and spill and pollute.
As shown in figure 3, being provided with injection device on injection platform 10, injection device includes one and carries adjusting knob 41 The first syringe 39, the second syringe 40 and puncture needle 45 are connected on triple valve, three passages of triple valve.Triple valve Three passages be first passage 42, second channel 43 and ground third channel 44, wherein the first syringe on first passage 42 39 are equipped with physiological saline, the second syringe 40 equipped with a small amount of air.
In use, first setting up venous channel at patient's ulnar vein using puncture needle 45, triple valve is then connected, is confirmed quiet After Maitong road is unobstructed, using the pumpback 1ml blood of the second syringe 40, by physiological saline, blood and air the first syringe 39, Promoted back and forth between second syringe 40, promote three to be stored in same branch syringe after being sufficiently mixed, it is then that mixing liquid is fast Speed is expelled in the vein of examiner;After injection, patient starts to use air blowing detection means 14, after patient's air blowing, is blown when measuring When atmospheric pressure is more than 40mmHg, holding is relaxed one's efforts rapidly for 10 seconds or so, observes the situation for rear left microbubble development of relaxing one's efforts.
In addition, in the utility model, movably arranged has hydraulic means 47, the output end branch of hydraulic means 47 on chassis Support is at the back of described leg support plate 5.Hydraulic means 47 is driven, after the output end elongation of hydraulic means 47, leg support plate 5 is may be such that Lift, until reaching parallel or less parallel with seat 4.After the chair back 1 that fell, it may be such that whole chair surface is horizontal State, to adapt to the actual demand of different patients.

Claims (9)

1. a kind of right heart acoustic contrast auxiliary examination system, including chair is checked, check that chair includes seat (4), it is characterised in that institute Seat (4) rear end stated is provided with the chair back (1) of angle adjustable, and seat (4) front end movably arranged has pedal (6);It is described The chair back (1) be provided with air blowing detection means (14) sideways, air blowing detection means (14) includes gas blow pipe (36) and display screen (9), wherein, be integrated with electronic pressure gage on display screen (9), gas blow pipe (36) passes through airway tube (20) and connected with electronic pressure gage Connect, the reading of electronic pressure gage is shown by described display screen (9).
2. right heart acoustic contrast auxiliary examination system as claimed in claim 1, it is characterised in that the described chair back (1) side The first sleeve (19) is provided with, the bottom of described display screen (9) is provided with second sleeve (18), the first sleeve (19) and second Connected between sleeve (18) by support (17);Support (17) includes passing through connection between two bull sticks be arrangeding in parallel, bull stick Bar is connected.
3. right heart acoustic contrast auxiliary examination system as claimed in claim 1, it is characterised in that described gas blow pipe (36) Annular groove (37) is along the circumferential direction offered on outer wall, one end of gas blow pipe (36) is detachably provided with muzzle (35), gas blow pipe (36) the airway tube (20) described in other end connection;The inserted link (38) of a L-shaped is provided with the outer wall of gas blow pipe (36), The side of the described chair back (1) is provided with the retainer plate for being provided with and coordinating with inserted link (38) in fixed plate (16), fixed plate (16) (15)。
4. right heart acoustic contrast auxiliary examination system as claimed in claim 1, it is characterised in that the side of the described chair back (1) Face is provided with injection platform (10), and injection platform (10) includes being provided with above bottom plate (13), bottom plate (13) puts down with bottom plate (13) Capable top plate (12), is connected between top plate (12) and bottom plate (13) by one piece of side plate (11), and side plate (11) is located at bottom plate (13) On the upper edge away from the chair back (1) side;Described top plate (12) and side plate (11) is transparent configuration.
5. right heart acoustic contrast auxiliary examination system as claimed in claim 1, it is characterised in that edge on the described chair back (1) Length direction, which is provided with concave surface (2), concave surface (2), is provided with headrest (3), and replaceable pillowcase is provided with headrest (3).
6. right heart acoustic contrast auxiliary examination system as claimed in claim 1, it is characterised in that described seat (4) front end Leg support plate (5) is hinged with, described pedal (6) is arranged on leg support plate (5);A pair of stop collars are provided with pedal (6) (8), it is provided with accommodating chamber in stop collar (8).
7. right heart acoustic contrast auxiliary examination system as claimed in claim 1, it is characterised in that described seat (4) bottom It is arranged on by height-adjustable column (29) on a chassis (24), chassis (24) bottom is provided with the trivial roller of wheel (26), the height of described column (29) is adjusted by being arranged on the DOCK LEVELER (28) of column (29) side.
8. right heart acoustic contrast auxiliary examination system as claimed in claim 7, it is characterised in that the described chair back (1) is hinged On seat (4), the back of the chair back (1) offers chute (33) along its length, and front end, the rear end of chute (33) are set respectively There are positive stop (30), backstop (31);Sliding block (32) is equipped with described chute (33), sliding block passes through first rotating shaft on (32) (34) adjusting rod (22) is hinged with, the end of adjusting rod (22) is hinged on by the second rotating shaft (25) on described chassis (24); It is provided with to be provided with take-up pulley, take-up pulley on motor (23), the output shaft of motor (23) on described column (29) and is wound with Bracing wire (27), bracing wire (27) is connected with described sliding block (32).
9. right heart acoustic contrast auxiliary examination system as claimed in claim 4, it is characterised in that described injection platform (10) On be provided with injection device, injection device is included on a triple valve for carrying adjusting knob (41), three passages of triple valve It is connected to the first syringe (39), the second syringe (40) and puncture needle (45).
CN201621267418.XU 2016-11-22 2016-11-22 A kind of right heart acoustic contrast auxiliary examination system Expired - Fee Related CN206499619U (en)

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CN201621267418.XU CN206499619U (en) 2016-11-22 2016-11-22 A kind of right heart acoustic contrast auxiliary examination system

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Application Number Priority Date Filing Date Title
CN201621267418.XU CN206499619U (en) 2016-11-22 2016-11-22 A kind of right heart acoustic contrast auxiliary examination system

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Cited By (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108187159A (en) * 2018-02-09 2018-06-22 彭殿松 A kind of cardiothoracic surgery novel puncture device
CN108744113A (en) * 2018-06-21 2018-11-06 广东省人民医院(广东省医学科学院) A kind of Fully automated synthesis contrast agent and injection device
CN108853635A (en) * 2018-08-07 2018-11-23 广东省人民医院(广东省医学科学院) A kind of automatic opacifying injection device
CN109394265A (en) * 2018-10-16 2019-03-01 李涛 A kind of quick contrast apparatus of first aid
CN109528192A (en) * 2018-12-17 2019-03-29 福建中医药大学 A kind of electromyographic signal collection subsidiary chair
CN110664580A (en) * 2019-10-15 2020-01-10 姚燕 Operation chair for oral care treatment
CN111345850A (en) * 2020-03-10 2020-06-30 苏州大学附属第一医院 Method for evaluating induced thoracic negative pressure by right-left shunt
CN112025355A (en) * 2020-08-26 2020-12-04 罗细池 Automatic cutting device of aluminum alloy corner connecting piece fixed length
CN113730165A (en) * 2021-09-30 2021-12-03 南京市儿童医院 Device for detecting lymphatic reflux of multiple parts of body surface
CN115500876A (en) * 2019-12-27 2022-12-23 四川大学华西医院 Use of a device for treating patent foramen ovale for the preparation of a device for treating epilepsy and/or migraine

Cited By (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108187159A (en) * 2018-02-09 2018-06-22 彭殿松 A kind of cardiothoracic surgery novel puncture device
CN108744113A (en) * 2018-06-21 2018-11-06 广东省人民医院(广东省医学科学院) A kind of Fully automated synthesis contrast agent and injection device
CN108744113B (en) * 2018-06-21 2024-04-02 广东省人民医院(广东省医学科学院) Automatic synthetic contrast agent and injection device
CN108853635A (en) * 2018-08-07 2018-11-23 广东省人民医院(广东省医学科学院) A kind of automatic opacifying injection device
CN108853635B (en) * 2018-08-07 2024-04-02 广东省人民医院(广东省医学科学院) Automatic radiography injection device
CN109394265A (en) * 2018-10-16 2019-03-01 李涛 A kind of quick contrast apparatus of first aid
CN109394265B (en) * 2018-10-16 2021-04-20 李涛 First-aid quick radiography device
CN109528192A (en) * 2018-12-17 2019-03-29 福建中医药大学 A kind of electromyographic signal collection subsidiary chair
CN110664580A (en) * 2019-10-15 2020-01-10 姚燕 Operation chair for oral care treatment
CN115500876A (en) * 2019-12-27 2022-12-23 四川大学华西医院 Use of a device for treating patent foramen ovale for the preparation of a device for treating epilepsy and/or migraine
CN111345850A (en) * 2020-03-10 2020-06-30 苏州大学附属第一医院 Method for evaluating induced thoracic negative pressure by right-left shunt
CN112025355A (en) * 2020-08-26 2020-12-04 罗细池 Automatic cutting device of aluminum alloy corner connecting piece fixed length
CN113730165A (en) * 2021-09-30 2021-12-03 南京市儿童医院 Device for detecting lymphatic reflux of multiple parts of body surface

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Granted publication date: 20170919