CN209951626U - Cerebral blood flow actuating device - Google Patents

Cerebral blood flow actuating device Download PDF

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Publication number
CN209951626U
CN209951626U CN201820996319.8U CN201820996319U CN209951626U CN 209951626 U CN209951626 U CN 209951626U CN 201820996319 U CN201820996319 U CN 201820996319U CN 209951626 U CN209951626 U CN 209951626U
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patient
blood
blood flow
adaptation
cerebral blood
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侯双兴
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SHANGHAI PUDONG HOSPITAL
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Abstract

The utility model discloses a cerebral blood flow actuating device, which comprises a turnover type treatment bed, wherein a fixed end of the turnover type treatment bed is provided with a body position fixing part and a lower limb blood pump, the body position fixing part is used for fixing a patient, and the lower limb blood pump is used for improving the blood pressure of the patient; the rotating end is provided with a pivot which is used for driving the turnover type treatment bed to turn upwards so as to enable the patient to form a low head, high foot and high body position; the blood circulation control device is characterized by further comprising an ischemia pre-adaptation evaluator detachably arranged on one side of the turnover type treatment bed, the ischemia pre-adaptation evaluator is in signal connection with the lower limb blood pumping device through a controller, the ischemia pre-adaptation evaluator is used for sending blood vessel health status signals of a patient to the controller, and the controller controls the lower limb blood pumping device to be turned on and off according to the blood vessel health status signals. The utility model provides a cerebral blood flow actuating device can carry out accurate aassessment to patient's blood vessel health status, avoids the formation of symptoms such as four limbs swelling extravasated blood and vein thrombus, simultaneously can effectual realization create the ischemia of wound and adapt to the training in advance.

Description

Cerebral blood flow actuating device
Technical Field
The utility model relates to the technical field of medical equipment, in particular to a cerebral blood flow actuating device for improving intracranial arterial stenosis, cerebral perfusion insufficiency or cerebral blood supply insufficiency of patients.
Background
At present, cerebrovascular diseases become the first disease of the current society, according to statistics, about 30% of patients with cerebrovascular diseases have transient cerebral ischemia before paralysis, in China, the condition mostly comes from symptomatic intracranial arterial stenosis, and researches show that repeated transient ischemia on distant tissues or organs can stimulate endogenous neuroprotection of the patients with ischemic cerebrovascular diseases in vivo and improve neurological deficit symptoms and cerebral blood flow conditions, and the ischemia pre-adaptation method can induce cerebral ischemia tolerance to generate endogenous protection.
However, most of the application research of ischemia pre-adaptation to cardiovascular and cerebrovascular diseases at present stays in experimental research, and although the application research is proved in animal experiments and a plurality of invention patents are also reported, clinical application for a certain period of time shows that the existing ischemia pre-adaptation patent products have a plurality of problems, for example, although the functions can be basically realized according to the requirements of remote ischemia pre-adaptation training, the purposes of real ischemia pre-adaptation cannot be achieved, or hidden troubles of limb swelling and congestion and venous thrombosis exist, and the purposes of ensuring the health of limbs and blood vessels and effectively realizing the ischemia pre-adaptation cannot be realized.
For example, chinese utility model patent publication No. CN203263775U discloses an ischemia pre-adaptation training device, in which a circuit board inside a main unit is provided with programs I, II, and III, different blood blocking times and releasing times are designed in the corresponding programs, and training is completed by a compression band tied to the upper limb or the lower limb of a human body, so that the blocked limb is subjected to transient ischemic stimulation to generate stress reaction. However, the training instrument is equivalent to the CN202335859U, two arm belts are adopted, a pressure display screen is added, the blood supply of the brain is improved by dynamically pressing the arms of the user, and the venous blood vessels on the superficial layers of the two arms are blocked by misoperation in the process of dynamic pressing, so that the blood stasis and swelling at the parts of the fingers at the far ends are caused.
Also for example, chinese utility model patent publication No. CN205849744U discloses an integrated external counterpulsation treatment device, which comprises a treatment bed and a treatment instrument frame disposed under the treatment bed, and the working principle of the device is that the head is tilted backwards through the treatment bed, and the four limbs and the buttocks are extruded by air bags, the patient's own electrocardiosignal is utilized to perform fixed triggering, and the device keeps strict synchronous work with the heart, and forces the blood to return to the aorta, so as to increase the aortic diastolic pressure, and the cerebral blood supply arterial pressure is increased accordingly. However, the posture is not accurately limited, the effective degree of air bag extrusion is not given, and the possibility of limb swelling and blood stasis and the probability of venous thrombosis are increased by simultaneously carrying out air bag extrusion on the limbs.
SUMMERY OF THE UTILITY MODEL
An object of the utility model is to overcome prior art defect to a cerebral blood flow actuating device is provided, this cerebral blood flow actuating device can carry out accurate aassessment to patient's vascular health situation, avoids the formation of symptoms such as four limbs swelling extravasated blood and vein thrombus, simultaneously can effectual realization create the ischemia of wound and adapt to the training in advance.
In order to achieve the above object, the present invention provides the following technical solutions:
a cerebral blood flow actuating device comprises a turnover treatment bed, wherein the turnover treatment bed comprises a fixed end and a rotating end, the fixed end is provided with a body position fixing part and a lower limb blood pump, the body position fixing part is used for fixing the feet of a patient on the turnover treatment bed, and the lower limb blood pump is used for extruding the legs of the patient to improve the blood pressure of the patient; the rotating end is provided with a pivot, and the pivot drives the fixed end of the turnover type treatment bed to turn upwards so that the patient forms a low-head high-foot high body position;
the cerebral blood flow actuating device further comprises an ischemia pre-adaptation evaluator, the ischemia pre-adaptation evaluator is detachably arranged on one side of the turnover type treatment bed and is in signal connection with the lower limb blood pump through a controller, the ischemia pre-adaptation evaluator is used for sending a blood vessel health condition signal of a patient to the controller, and the controller controls the lower limb blood pump to be turned on or off according to the blood vessel health condition signal.
Preferably: the pivot is provided with a pneumatic valve, the pneumatic valve is also in signal connection with the controller, and when the controller judges that the blood vessel of the patient is healthy, the controller opens the pneumatic valve to drive the pivot to rotate so as to turn over the turnover type treatment bed.
Preferably: the side end of the pivot is provided with a positioning piece, and the positioning piece is used for limiting the overturning angle of the overturning type treatment bed in a specified range.
Preferably: the overturning angle of the overturning type treatment bed is 60-70 degrees.
Preferably: the lower limb blood pump comprises an air pressure pulse device, a thigh base plate and a shank base plate which are hinged with each other, wherein the thigh base plate and the shank base plate are communicated with the air pressure pulse device through conduits respectively.
Further: the outside ring of atmospheric pressure pulse device is equipped with the sound-proof housing, be equipped with the expansion plate between sound-proof housing and the atmospheric pressure pulse device.
And further: the tip of sound-proof housing is equipped with accomodates the bag, the opening part of accomodating the bag is equipped with the fixed band.
Further: and a power supply module is also arranged on the air pressure pulse transposing device and used for supplying power to the air pressure pulse device, a universal wheel is arranged at the bottom of the air pressure pulse transposing device, and a wheel brake is arranged on the universal wheel.
And further: the power module is provided with a charging hole, and the power module is charged through the charging hole.
Preferably: the ischemia pre-adaptation evaluator comprises a left arm band, a right arm band and a sphygmomanometer which is respectively connected with the left arm band and the right arm band, wherein the sphygmomanometer is used for measuring the blood pressure of a patient through the left arm band and the right arm band which are worn on the arm of the patient, measuring the systolic pressure, the diastolic pressure and the pulse of the patient, and simultaneously transmitting the calculation result to the controller.
Compared with the prior art, the utility model discloses following beneficial effect has:
(1) the utility model discloses a cerebral blood flow actuating device mainly includes ischemia pre-adaptation evaluator, convertible treatment bed and lower limbs pump blood ware, compare with traditional cerebral blood flow actuating device, at first ischemia pre-adaptation evaluator can evaluate patient's vascular health device before ischemia pre-adaptation treatment, measure the blood pressure difference between patient's both arms earlier promptly, and calculate and analyze the difference of systolic pressure and diastolic mean value of flattening of patient's left and right arms, if blood pressure difference is greater than or equal to 10mmHg between patient's both arms, then the patient probably suffers from peripheral angiopathy, this type of patient needs careful treatment; if the blood pressure difference is less than 10mmHg, treatment can be carried out, the ischemia pre-adaptation evaluator sends a blood vessel health condition signal to the controller after an evaluation result is obtained, the controller can control and determine whether to start a lower limb blood pump according to the signal, the blood vessel health condition is effectively judged by measuring and calculating the blood pressure difference between two arms through the setting of the ischemia pre-adaptation evaluator, the cardiovascular and cerebrovascular death risk is reduced, and the treatment purpose of ischemia pre-adaptation can be realized on the premise of the four limb blood vessel health of a patient;
in addition, the cerebral blood flow actuating device of the utility model adopts the combination of the turnover type treatment bed and the lower limb blood pump to carry out ischemia pre-adaptation treatment on the patient, the turnover type treatment bed can ensure the sufficient perfusion of the cerebral blood flow through the low and high position of the head, and the lower limb blood pump is combined to continuously promote the far end blood flow of the limb to be perfused into the brain, thereby avoiding the problems of ischemia after the sufficient reflux of the cerebral blood flow is generated and the strengthening of the tolerance of cerebral blood vessels to ischemia pre-adaptation,
the utility model discloses an evaluate the blood vessel health status earlier, avoid treating the problem of symptoms such as the four limbs swelling extravasated blood and venous thrombosis that produces because of the blood vessel is unhealthy, adopt convertible treatment bed and low limbs pump blood ware to combine together simultaneously and carry out the treatment of ischemia pre-adaptation, can carry out the ischemia pre-adaptation training of relapse, short duration, non-invasive, through modes such as nerve, body fluid, immunoregulation, when producing the auto-protective material, promote the neogenesis of brain small vessel and little blood vessel remolding, promote the formation of collateral circulation, improve the brain blood supply; the tolerance of the brain tissue to ischemia and anoxia is increased, and noninvasive ischemia pre-adaptation training is effectively realized.
(2) The utility model also arranges a pneumatic valve on the pivot of the turnover type treatment bed, thereby realizing the automatic opening or suspension of the turnover of the treatment bed after the health condition of the blood vessel of the patient is estimated, and deciding whether to open the lower limb blood pump under the action of the controller to assist the treatment;
(3) the utility model discloses set up the sound-proof housing in the outside of atmospheric pressure pulse transposition, can avoid too big atmospheric pressure pulse device work sound in the treatment process, thereby comfort when improving patient's treatment, it can the shock attenuation effectively to set up the expansion plate between sound-proof housing and atmospheric pressure pulse device, further noise reduction, this expansion plate can all set up one in four positions about atmospheric pressure pulse transposition about, realize balanced absorbing effect, the length of expansion plate can be preferred 20-50cm, be equipped with at the tip of sound-proof housing in addition and accomodate the bag, opening part at the accomodate bag sets up the fixed band, can be convenient for accomodate and carry low limbs pump blood ware, as better implementation scheme, can also set up the universal wheel bottom the atmospheric pressure pulse transposition, set up the wheel on the universal wheel and stop, such design is removed conveniently, the work noise is little.
Drawings
In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings used in the description of the embodiments or the prior art will be briefly described below, it is obvious that the drawings in the following description are only some embodiments of the present invention, and for those skilled in the art, other drawings can be obtained according to the drawings without creative efforts.
Fig. 1 is a schematic structural diagram of an embodiment of the present invention.
Description of reference numerals:
1. a turnover type treatment bed; 2. a body position fixing part; 3. a pivot; 31. a pneumatic valve; 32. a positioning member; 4. a lower limb blood pump; 41. an air pressure pulse device; 42. thigh pads; 43. a shank shim; 44. a conduit; 45. a sound-proof housing; 46. a retractable plate; 47. a storage bag; 471. fixing belts; 48. a power supply module; 481. a charging hole; 49. a universal wheel; 491. wheel braking; 5. an ischemia pre-adaptation evaluator; 51. a left arm strap; 52. a right arm strap; 53. a sphygmomanometer; 6. and a controller.
Detailed Description
The technical solution of the present invention will be described clearly and completely with reference to the accompanying drawings, and obviously, the described embodiments are some, but not all embodiments of the present invention. Based on the embodiments in the present invention, all other embodiments obtained by a person skilled in the art without creative work belong to the protection scope of the present invention.
In the description of the present invention, it should be noted that the terms "center", "upper", "lower", "left", "right", "vertical", "horizontal", "inner", "outer", and the like indicate orientations or positional relationships based on the orientations or positional relationships shown in the drawings, and are only for convenience of description and simplification of description, but do not indicate or imply that the device or element referred to must have a specific orientation, be constructed and operated in a specific orientation, and thus, should not be construed as limiting the present invention.
In the description of the present invention, it is to be noted that, unless otherwise explicitly specified or limited, the terms "mounted," "connected," and "connected" are to be construed broadly, and may be, for example, fixedly connected, detachably connected, or integrally connected; can be mechanically or electrically connected; they may be connected directly or indirectly through intervening media, or they may be interconnected between two elements. The specific meaning of the above terms in the present invention can be understood in specific cases to those skilled in the art.
Furthermore, the technical features mentioned in the different embodiments of the invention described below can be combined with each other as long as they do not conflict with each other.
As shown in fig. 1, the utility model provides a cerebral blood flow actuating device, which comprises a turnover type treatment bed 1, wherein the turnover type treatment bed comprises a fixed end 1 and a rotating end, the fixed end is provided with a body position fixing part 2 and a lower limb blood pump 4, the body position fixing part 2 is used for fixing the feet of a patient on the turnover type treatment bed 1, and the lower limb blood pump 4 is used for extruding the legs of the patient to improve the blood pressure of the patient; the rotating end is provided with a pivot shaft 3, and the pivot shaft 3 drives the fixed end of the turnover type treatment bed 1 to turn upwards so that the patient forms a low-head high-foot high body position; the cerebral blood flow actuating device further comprises an ischemia pre-adaptation evaluator 5, the ischemia pre-adaptation evaluator 5 is detachably arranged on one side of the turnover type treatment bed 1 and is in signal connection with the lower limb blood pump 4 through a controller 6, the ischemia pre-adaptation evaluator 5 is used for sending a blood vessel health condition signal of a patient to the controller 6, and the controller 6 controls the lower limb blood pump 4 to be opened and closed according to the blood vessel health condition signal.
The utility model discloses a cerebral blood flow actuating device mainly includes ischemia pre-adaptation evaluator 5, convertible treatment bed 1 and lower limbs pump blood ware 4, compare with traditional cerebral blood flow actuating device, at first ischemia pre-adaptation evaluator 5 can assess the healthy device of patient's blood vessel before ischemia pre-adaptation treatment, measure the blood pressure difference between patient's both arms earlier promptly, and calculate and analyze the difference of systolic pressure and diastolic mean value of flattening of patient's left and right arms, if blood pressure difference is greater than or equal to 10mmHg between patient's both arms, then the patient probably suffers from peripheral angiopathy, this kind of patient needs careful treatment; if the blood pressure difference is less than 10mmHg, treatment can be carried out, the ischemia pre-adaptation evaluator 5 sends a blood vessel health condition signal to the controller 6 after an evaluation result is obtained, the controller 6 can control and determine whether to start the lower limb blood pump 4 according to the signal, the setting of the ischemia pre-adaptation evaluator 5 effectively judges the blood vessel health condition through measurement and calculation of the blood pressure difference between two arms, the risk of cardiovascular and cerebrovascular death is reduced, and the purpose of treating ischemia pre-adaptation can be realized on the premise of the health of four limbs of a patient; in addition, the cerebral blood flow actuating device of the utility model adopts the combination of the turnover type treatment bed 1 and the lower limb blood pump 4 to carry out ischemia pre-adaptation treatment on the patient, the turnover type treatment bed 1 can ensure the sufficient cerebral blood flow perfusion through the low and high position of the head, and combines the lower limb blood pump 4 to continuously promote the far end blood flow of the limb to perfuse into the brain, thereby avoiding the problems of ischemia after the sufficient cerebral blood flow reflux is generated, and the improvement of the cerebral blood vessel tolerance to ischemia pre-adaptation,
the utility model discloses an ischemia pre-adaptation evaluator 5 evaluates the blood vessel health condition earlier, avoid treating the problem of symptoms such as the four limbs swelling extravasated blood and venous thrombosis that produce because of the blood vessel is unhealthy, adopt convertible treatment bed 1 and low limbs pump blood ware 4 to combine together to carry out the treatment of ischemia pre-adaptation simultaneously, can carry out the ischemia pre-adaptation training of relapse, the short duration, the non-invasiveness, through modes such as nerve, body fluid, immunoregulation, when producing the auto-protective material, promote the neogenesis of brain small vessel and little blood vessel remolding, promote the formation of collateral circulation, improve the brain blood supply; the tolerance of the brain tissue to ischemia and anoxia is increased, and noninvasive ischemia pre-adaptation training is effectively realized.
Wherein, to convertible treatment bed 1, can also be for automatic upset for manual upset, when for automatic upset, set up pneumatic valve 31 on pivot 3 of convertible treatment bed 1, pneumatic valve 31 and 6 signal connection of controller, when controller 6 judges that patient's blood vessel is healthy, controller 6 opens pneumatic valve 31 and drives pivot 3 rotation so that convertible treatment bed 1 overturns, so set up can realize estimating the upset of automatic opening or pause convertible treatment bed 1 behind the patient's blood vessel health status, and decide whether to open lower limbs pump blood ware 4 and assist with the treatment under the effect of controller 6. Of course, it is also possible to provide a positioning member 32 at the side end of the pivot shaft 3, the positioning member 32 can be a positioning protrusion connected with a positioning slot in a snap fit manner, the positioning member 32 is used to limit the turning angle of the turnover type therapeutic bed 1 within a specified range, and usually, the turning angle can be set to 60-70 degrees, because the therapeutic effect is best in the low-head and high-foot positions under the angle;
for the lower limb blood pump 4, it mainly includes the air pressure pulse device 41, and thigh bolster 42 and shank bolster 43 articulated each other, the air pressure pulse is transposed 41 is used for inflating into thigh bolster 42 and shank bolster 43 through the conduit 44, thigh bolster 42 and shank bolster 43 carry on the gasbag to squeeze to the patient's both legs, in order to increase the blood flow speed and pressure in the patient's body, improve the curative effect of ischemia preconditioning; as a preferred embodiment, the utility model discloses set up sound-proof housing 45 in the outside of atmospheric pressure pulse transpose 41, can avoid atmospheric pressure pulse device 41 work sound too big in the treatment process, thereby improve the comfort when the patient is treated, it can the shock attenuation effectively to set up expansion plate 46 between sound-proof housing 45 and atmospheric pressure pulse device 41, further noise reduction, this expansion plate 46 can all set up one in four position about atmospheric pressure pulse transpose 41, realize balanced shock attenuation's effect, the length of expansion plate 46 can be preferred 20-50cm, in addition be equipped with storage bag 47 at the tip of sound-proof housing 45, set up fixed band 471 at storage bag 47's opening part, can be convenient for accomodate and carry low limbs pump blood ware 4; the bottom of the air pressure pulse device 41 can be provided with a universal wheel 49, and a wheel brake 491 is arranged on the universal wheel 49, so that the design is convenient to move and has low working noise;
the utility model discloses a low limbs pump blood ware 4 can work alone, sets power module 48 on the atmospheric pressure pulse device 41 of low limbs pump blood ware 4, sets up charging hole 481 on power module 48, and power module 48 can independently be the power supply of atmospheric pressure pulse device 4 to charge continuation of the journey through charging hole 481.
The ischemia pre-adaptation evaluator 5 comprises a left arm belt 51, a right arm belt 52 and a sphygmomanometer 53 connected with the left arm belt 51 and the right arm belt 52 respectively, wherein the sphygmomanometer 53 is provided with a calculation and analysis module, a patient wears the two arm belts on the left arm and the right arm in a distributed manner, the sphygmomanometer 53 firstly carries out blood pressure measurement on the left arm and the right arm respectively, calculates systolic pressure, diastolic pressure and pulse respectively, automatically memorizes and stores results after the measurement is finished, automatically displays the difference value of the systolic pressure and the diastolic pressure of the left arm and the right arm on a screen after the effective measurement is repeated for three times, and simultaneously transmits the calculation results to the controller 6.
The above description is only for the specific embodiments of the present invention, but the protection scope of the present invention is not limited thereto, and any changes or substitutions that can be easily conceived by those skilled in the art within the technical scope of the present invention should be covered by the protection scope of the present invention. Therefore, the protection scope of the present invention shall be subject to the protection scope of the claims.

Claims (10)

1. The cerebral blood flow actuating device is characterized by comprising an overturning treatment bed, wherein the overturning treatment bed comprises a fixed end and a rotating end, the fixed end is provided with a body position fixing part and a lower limb blood pumping device, the body position fixing part is used for fixing the feet of a patient on the overturning treatment bed, and the lower limb blood pumping device is used for extruding the legs of the patient to improve the blood pressure of the patient; the rotating end is provided with a pivot, and the pivot drives the fixed end of the turnover type treatment bed to turn upwards so that the patient forms a low-head high-foot high body position;
the cerebral blood flow actuating device further comprises an ischemia pre-adaptation evaluator, the ischemia pre-adaptation evaluator is detachably arranged on one side of the turnover type treatment bed and is in signal connection with the lower limb blood pump through a controller, the ischemia pre-adaptation evaluator is used for sending a blood vessel health condition signal of a patient to the controller, and the controller controls the lower limb blood pump to be turned on or off according to the blood vessel health condition signal.
2. The cerebral blood flow actuator according to claim 1, wherein a pneumatic valve is disposed on the pivot and is also in signal connection with the controller, and when the controller determines the health of the blood vessel of the patient, the controller turns on the pneumatic valve to drive the pivot to rotate so as to turn the turnover-type treatment couch.
3. The cerebral blood flow actuator device according to claim 1, wherein a positioning member is disposed at a side end of the pivot, and the positioning member is used to limit the turning angle of the convertible therapeutic bed within a specified range.
4. The cerebral blood flow actuation device of claim 1, wherein the flip angle of the flip-over treatment couch is 60 ° -70 °.
5. The cerebral blood flow actuator device according to claim 1, wherein the lower limb blood pump comprises an air pressure pulse device, and a thigh pad and a shank pad hinged to each other, and the thigh pad and the shank pad are respectively communicated with the air pressure pulse device through a conduit.
6. The cerebral blood flow activation device according to claim 5, wherein the outer ring of the pneumatic pulse device is provided with a sound-proof enclosure, and a telescopic plate is provided between the sound-proof enclosure and the pneumatic pulse device.
7. The cerebral blood flow activation device according to claim 6, wherein a storage bag is provided at an end of the sound insulation cover, and a fixing band is provided at an opening of the storage bag.
8. The cerebral blood flow stimulation device according to claim 5, wherein a power module is further provided on the pneumatic pulse device, the power module is used for supplying power to the pneumatic pulse device, a universal wheel is provided on a bottom of the pneumatic pulse device, and a wheel brake is provided on the universal wheel.
9. The cerebral blood flow stimulation device according to claim 8, wherein the power module is provided with a charging hole through which the power module is charged.
10. The cerebral blood flow actuation device according to claim 1, wherein the ischemia pre-adaptation evaluator comprises a left arm band, a right arm band, and a sphygmomanometer connected to the left arm band and the right arm band, respectively, for measuring the blood pressure of the patient through the left arm band and the right arm band worn on the arm of the patient, and for measuring the systolic pressure, the diastolic pressure, and the pulse of the patient, while transmitting the calculation results to the controller.
CN201820996319.8U 2018-06-26 2018-06-26 Cerebral blood flow actuating device Active CN209951626U (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112690767A (en) * 2020-12-21 2021-04-23 首都医科大学宣武医院 Household ischemia pre-adaptation training instrument, training method and storage medium

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112690767A (en) * 2020-12-21 2021-04-23 首都医科大学宣武医院 Household ischemia pre-adaptation training instrument, training method and storage medium

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Effective date of registration: 20220512

Address after: 2800 Gongwei Road, Huinan Town, Pudong New Area, Shanghai, 201399

Patentee after: SHANGHAI PUDONG Hospital

Address before: Neurology department, Pudong hospital, No. 2800, Gongwei Road, Huinan Town, Pudong New Area, Shanghai

Patentee before: Hou Shuangxing