CN212522317U - Medical children's kidney biopsy puncture bed - Google Patents

Medical children's kidney biopsy puncture bed Download PDF

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Publication number
CN212522317U
CN212522317U CN202020587380.4U CN202020587380U CN212522317U CN 212522317 U CN212522317 U CN 212522317U CN 202020587380 U CN202020587380 U CN 202020587380U CN 212522317 U CN212522317 U CN 212522317U
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CN
China
Prior art keywords
fixed
puncture
ultrasonic probe
rod
splint
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Expired - Fee Related
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CN202020587380.4U
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Chinese (zh)
Inventor
路苓
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ZAOZHUANG MUNICIPAL HOSPITAL
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ZAOZHUANG MUNICIPAL HOSPITAL
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Publication of CN212522317U publication Critical patent/CN212522317U/en
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Abstract

A medical children kidney biopsy puncture bed comprises a bed body and is characterized in that a kidney biopsy puncture frame is detachably fixed on one side of the bed body, an upper limb fixer is fixed at one end of the bed body, and a lower limb fixer is fixed at the other end of the bed body; the kidney biopsy puncture frame comprises adjustable bracket and puncture anchor clamps, and the puncture anchor clamps articulate in the tip of adjustable bracket to on being fixed in adjustable bracket through the fastening handle, the puncture anchor clamps comprise first backup pad, second backup pad, first supersound probe anchor clamps and second supersound probe anchor clamps, on first backup pad was fixed in the connecting plate, through connecting block fixed connection between first backup pad and the second backup pad, the middle part of connecting block was fixed with the pjncture needle sleeve. The puncture bed can improve the success rate of kidney biopsy of children, and the puncture depth is closer to the actual depth so as to obtain a satisfactory sample; meanwhile, the puncture bed can effectively restrain the children, and the puncture failure caused by the turning of the children in the puncture process is prevented.

Description

Medical children's kidney biopsy puncture bed
Technical Field
The utility model relates to the field of medical equipment, concretely relates to medical children's kidney biopsy puncture bed.
Background
Renal biopsy is an indispensable means for clinical diagnosis and research of modern renal diseases, and is one of the most important clinical examination items for renal diseases. In order to ensure the puncture success rate of the kidney biopsy, the kidney biopsy is conducted under the guidance of B ultrasonic. The conventional percutaneous renal biopsy under B-ultrasonic guidance is usually carried out by fixing a biopsy needle of an automatic puncture gun and a B-ultrasonic probe on the same puncture frame at the same time, and the biopsy mode has the problem that the puncture depth measured by a single B-ultrasonic probe is often inconsistent with the actual depth, so that a needle is difficult to obtain satisfactorily. For children needing kidney biopsy, the existing bed body lacks corresponding restraint measures for the children so as to prevent the children from turning over during the kidney biopsy. In view of the above, there is a clinical urgent need for a medical children kidney biopsy puncture bed, which can improve the success rate of children kidney biopsy, and the puncture depth is closer to the actual depth to obtain a satisfactory sample; meanwhile, the puncture bed can effectively restrain the children, and the puncture failure caused by the turning of the children in the puncture process is prevented.
SUMMERY OF THE UTILITY MODEL
The utility model discloses a medical children kidney biopsy puncture bed designed for solving the problems of the existing kidney biopsy puncture technology and the lack of restraint during children kidney biopsy, which can improve the success rate of children kidney biopsy and the puncture depth is closer to the actual depth to obtain a satisfied sample; meanwhile, the puncture bed can effectively restrain the children, and the puncture failure caused by the turning of the children in the puncture process is prevented.
In order to achieve the purpose, the utility model discloses a following technical scheme realizes:
the utility model provides a medical children's kidney biopsy puncture bed, includes the bed body, can dismantle on the bed body and be fixed with kidney biopsy puncture frame, kidney biopsy puncture frame comprises adjustable support and puncture anchor clamps, and puncture anchor clamps articulate in adjustable support's tip to be fixed in on the adjustable support through the fastening handle. The adjustable support consists of a fixed base, a telescopic rod and a swing rod. The fixing base is of a C-shaped structure, a threaded hole is formed in the bottom of the fixing base, a fastening screw rod is connected in the threaded hole in a threaded mode, and a fastening piece is fixed to the end portion of the fastening screw rod. The telescopic base is fixed at the top of the fixed base, the telescopic base is of a hollow structure, the telescopic rod is inserted into a cavity of the telescopic base and can slide up and down along the telescopic base, a threaded hole is formed in the upper portion of the telescopic base, a fastening screw rod is connected with the threaded hole in a threaded manner, and the fastening screw rod can be screwed into the cavity of the telescopic base and extrudes the telescopic rod to fix the telescopic rod at a certain height of the telescopic base. One end of the oscillating bar is hinged to the top of the telescopic rod and can rotate around a hinged point, a threaded rod is fixed to the end of the oscillating bar, a hinged hole is formed in the top of the telescopic rod, and the threaded rod of the oscillating bar is locked on the telescopic rod through a fastening handle after penetrating through the hinged hole. The other end of the swing rod is provided with a U-shaped rotating groove, a connecting plate of the puncture clamp is clamped into the U-shaped rotating groove and hinged to the swing rod, a threaded rod is fixed to one surface of the connecting plate, penetrates out of one side of the U-shaped rotating groove and is locked on the swing rod through a fastening knob, a hinge rod is fixed to the other surface of the connecting plate, and the hinge rod is hinged to the other groove surface of the U-shaped rotating groove.
The puncture clamp comprises first backup pad, second backup pad, first supersound probe anchor clamps and second supersound probe anchor clamps, and on first backup pad was fixed in the connecting plate, through connecting block fixed connection between first backup pad and the second backup pad, the middle part of connecting block was fixed with the pjncture needle sleeve, and the pjncture needle sleeve sets up with the connecting block is perpendicular. An automatic renal biopsy needle is inserted from the needle hub. The both sides of first backup pad are opened there is the slip regulation hole, and the both sides of second backup pad are opened and are had the slip regulation hole that corresponds with slip regulation hole position, and the upper portion of first backup pad and second backup pad is opened respectively has the breach that link up with the slip regulation hole, and the first ultrasonic probe anchor clamps of being convenient for and second ultrasonic probe anchor clamps are installed or are dismantled from this breach. First ultrasonic probe anchor clamps and second ultrasonic probe anchor clamps's structure is the same, comprises solid fixed splint and apron, and on the apron was fixed in solid fixed splint through the screw is detachable, solid fixed splint's openly was opened there was the ultrasonic probe storage tank, and open at the top of ultrasonic probe storage tank has the wire to draw forth the breach, and the bottom of ultrasonic probe storage tank is equipped with ultrasonic probe contact breach, and solid fixed splint's both sides are fixed with threaded rod and hinge bar respectively. Threaded rods of the first ultrasonic probe clamp and the second ultrasonic probe clamp penetrate out of the sliding adjusting hole of the first supporting plate, the hinged rod penetrates out of the sliding adjusting hole of the second supporting plate, and the first ultrasonic probe clamp and the second ultrasonic probe clamp can rotate between the first supporting plate and the second supporting plate to adjust the B-ultrasonic guide angle of the ultrasonic probe. The threaded rods of the first ultrasonic probe clamp and the second ultrasonic probe clamp are fixed on the first supporting plate through the fastening knobs.
In order to fix children conveniently, one end of the bed body is fixed with an upper limb fixer, and the other end of the bed body is fixed with a lower limb fixer. The upper limb fixer is composed of an upper clamping plate and a lower clamping plate, arc-shaped clamping grooves are formed in the upper clamping plate and the lower clamping plate, through screw holes are formed in the upper clamping plate, screw holes are formed in the lower clamping plate, and the constraint screw rod penetrates through the screw holes of the upper clamping plate, is inserted into the screw holes of the lower clamping plate and forms constraint on the upper limbs penetrating through the clamping grooves. Two rows of adjusting screw holes are formed in the bed body, and the lower clamping plate is detachably fixed in the adjusting screw holes through a screw rod. The lower limb fixer consists of a lower restraint plate and an upper restraint plate, clamping grooves are formed in the lower restraint plate and the upper restraint plate, the lower restraint plate is fixed on the bed body through bolts, and the upper restraint plate is fixed on the lower restraint plate through restraint screws.
The utility model has the advantages that: the puncture bed can improve the success rate of kidney biopsy of children, and the puncture depth is closer to the actual depth so as to obtain a satisfactory sample; meanwhile, the puncture bed can effectively restrain the children, and the puncture failure caused by the turning of the children in the puncture process is prevented.
Drawings
In order to more clearly illustrate the technical solutions of the embodiments of the present invention, the drawings used in the description of the embodiments will be briefly introduced below, and it is obvious that the drawings in the following description are only some embodiments of the present invention, and it is obvious for those skilled in the art that other drawings can be obtained according to these drawings without creative efforts.
FIG. 1 is a schematic diagram of the overall structure of a medical children kidney biopsy puncture bed;
FIG. 2 is a schematic view of the structure of the upper and lower limb holders;
FIG. 3 is a schematic structural view of the renal biopsy frame;
FIG. 4 is an enlarged view of a portion of the structure of the biopsy frame;
FIG. 5 is a schematic structural view of the first ultrasonic probe holder;
FIG. 6 is a schematic structural view of the fixing splint;
fig. 7 is a working schematic diagram of the medical children kidney biopsy puncture bed under the guidance of a B-ultrasonic probe.
In the drawings, the components represented by the respective reference numerals are listed below:
1-bed body, 2-upper limb fixer, 3-lower limb fixer, 4-adjustable bracket, 5-puncture clamp, 6-lower splint, 7-screw hole, 8-upper splint, 9-constraint screw, 10-adjusting screw hole, 11-lower restraint plate, 12-bolt, 13-upper restraint plate, 14-fixed base, 15-fastening piece, 16-telescopic base, 17-fastening screw, 18-telescopic rod, 19-swing rod, 20-fastening handle, 21-connecting plate, 22-fastening knob, 23-first supporting plate, 24-second supporting plate, 25-connecting block, 27-sliding adjusting hole, 28-puncture needle sleeve, 29-fixed splint, 30-threaded rod, 31-cover plate, 32-ultrasonic probe containing groove, 33-lead leading-out notch, 34-ultrasonic probe contact notch, 35-hinged rod, 36-first ultrasonic probe, 37-second ultrasonic probe, 38-target kidney, 39-cortex.
Detailed Description
The technical solutions in the embodiments of the present invention will be described clearly and completely with reference to the accompanying drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only some embodiments of the present invention, not all embodiments. Based on the embodiments of the present invention, all other embodiments obtained by a person of ordinary skill in the art without creative efforts belong to the protection scope of the present invention.
As shown in fig. 1-2, a medical children kidney biopsy puncture bed comprises a bed body 1, wherein a kidney biopsy puncture frame is detachably fixed on the bed body 1. One end of the bed body 1 is fixed with an upper limb fixer 2, and the other end of the bed body 1 is fixed with a lower limb fixer 3. Upper limbs fixer 2 comprises punch holder 8 and lower plate 6, and it has curved centre gripping recess to open on punch holder 8 and the lower plate 6, and it has the screw that link up to open on punch holder 8, and it has screw 7 to open on the lower plate 6, and restraint screw 9 passes and inserts in the screw 7 of lower plate behind the screw of punch holder and to forming the restraint to the upper limbs that pass the centre gripping recess. Two rows of adjusting screw holes 10 are arranged on the bed body 1, and the lower clamping plate 6 is detachably fixed in the adjusting screw holes 10 through a screw rod. The lower limb fixer 3 consists of a lower restraint plate 11 and an upper restraint plate 13, clamping grooves are formed in the lower restraint plate and the upper restraint plate, the lower restraint plate 11 is fixed on the bed body 1 through bolts 12, and the upper restraint plate 13 is fixed on the lower restraint plate 11 through a restraint screw 9.
As shown in fig. 3-4, the renal biopsy puncture frame is composed of an adjustable bracket 4 and a puncture clamp 5, wherein the puncture clamp 5 is hinged at the end of the adjustable bracket 4 and is fixed on the adjustable bracket 4 through a locking knob 22. The adjustable bracket 4 consists of a fixed base 14, a telescopic base 16, a telescopic rod 18 and a swing rod 19. The fixing base 14 is of a C-shaped structure, a threaded hole is formed in the bottom of the fixing base 14, a fastening screw 17 is connected to the threaded hole in a threaded mode, and a fastening piece 15 is fixed to the end portion of the fastening screw 17. The fixed base 14 is clamped at one side of the bed body 1, the fastening screw 17 is screwed, and the bed body 1 is fixed on the bed body through the extrusion effect of the fastening piece 15 and the bed body 1. The telescopic base 16 is fixed on the top of the fixed base 14, the telescopic base 16 is of a hollow structure, the telescopic rod 18 is inserted into a cavity of the telescopic base 16 and can slide up and down along the telescopic base 16, a threaded hole is formed in the upper portion of the telescopic base 16, a fastening screw 17 is connected to the threaded hole in a threaded mode, the fastening screw 17 can be screwed into the cavity of the telescopic base 16, and the telescopic rod 18 is extruded to be fixed on a certain height of the telescopic base 16. One end of the swing rod 19 is hinged to the top of the telescopic rod 18 and can rotate around a hinged point, a threaded rod is fixed to the end of the swing rod 19, a hinged hole is formed in the top of the telescopic rod 18, and the threaded rod of the swing rod 19 penetrates through the hinged hole and then is locked on the telescopic rod through a fastening handle 20. The other end of the swing rod 19 is provided with a U-shaped rotating groove, a connecting plate 21 of the puncture clamp is clamped into the U-shaped rotating groove and hinged on the swing rod 19, a threaded rod is fixed on one surface of the connecting plate 21, penetrates out of one side of the U-shaped rotating groove and is locked on the swing rod 19 through a fastening knob 22, a hinged rod is fixed on the other surface of the connecting plate 21, and the hinged rod is hinged on the other groove surface of the U-shaped rotating groove. The fastening knob 22 and the fastening handle 20 have the same structure and are both composed of an anti-skid handle and a threaded sleeve. The height of the telescopic rod 18 can be adjusted, and the angle between the swing rod and the telescopic rod and the angle between the puncture clamp and the swing rod can be adjusted, so that the puncture clamp can be attached to a cortex to be punctured.
Puncture anchor clamps 5 comprises first backup pad 23, second backup pad 24, first supersound probe anchor clamps 261 and second supersound probe anchor clamps 262, and on first backup pad 23 was fixed in connecting plate 21, through connecting block 25 fixed connection between first backup pad 23 and the second backup pad 24, the middle part of connecting block 25 is fixed with pjncture needle sleeve 28, pjncture needle sleeve 28 and the perpendicular setting of connecting block 25. An automatic renal biopsy needle is inserted from the needle hub 28. The two sides of the first supporting plate 23 are provided with sliding adjusting holes 27, the two sides of the second supporting plate are provided with movable adjusting holes corresponding to the sliding adjusting holes, and the upper parts of the first supporting plate 23 and the second supporting plate 24 are respectively provided with a notch communicated with the sliding adjusting holes 27, so that the first ultrasonic probe clamp 261 and the second ultrasonic probe clamp 262 can be conveniently installed or detached from the notches.
As shown in fig. 5 to 6, the first ultrasonic probe clamp 261 and the second ultrasonic probe clamp 262 have the same structure and are composed of a fixed clamp plate 29 and a cover plate 31, the cover plate 31 is detachably fixed on the fixed clamp plate 29 by screws, an ultrasonic probe accommodating groove 32 is formed in the front surface of the fixed clamp plate 29, a lead leading-out notch 33 is formed in the top of the ultrasonic probe accommodating groove 32, an ultrasonic probe contact notch 34 is formed in the bottom of the ultrasonic probe accommodating groove 32, and a threaded rod 30 and a hinge rod 35 are respectively fixed on two sides of the fixed clamp plate 29. After the first ultrasonic probe clamp 261 is taken out from between the first supporting plate and the second supporting plate, the cover plate is opened, the first ultrasonic probe is placed in the ultrasonic probe accommodating groove 32 of the fixed bottom plate 29, the front end of the first ultrasonic probe is exposed from the ultrasonic probe contact notch 34, and the lead of the first ultrasonic probe extends out from the lead leading-out notch 33 to be connected with the B-ultrasonic machine; after the installation is finished, the upper cover plate is covered, the first ultrasonic probe clamp is clamped in from the notches at the tops of the first supporting plate 23 and the second supporting plate 24 until the threaded rods and the hinged rods at the two sides of the first ultrasonic probe clamp respectively enter the sliding adjusting holes 27. And passes out of the sliding adjustment holes 27 of the first support plate 23 from the threaded rods 30 of the first ultrasonic probe holder 261 and the second ultrasonic probe holder 262, and passes out of the sliding adjustment holes of the second support plate 24 from the hinged rods 35, and the first ultrasonic probe holder and the second ultrasonic probe holder can rotate between the first support plate and the second support plate to adjust the B-ultrasonic guide angle of the ultrasonic probe. The threaded rods of the first ultrasonic probe clamp and the second ultrasonic probe clamp are fixed on the first supporting plate through the fastening knobs. After the fastening knob 22 is unscrewed, the first ultrasonic probe clamp 261 and the second ultrasonic probe interval 262 are in a hinged state, and at the moment, the first ultrasonic probe clamp 261 and the second ultrasonic probe clamp 262 can be rotated to adjust the fitting angles of the first ultrasonic probe and the second ultrasonic probe with the cortex, so that the distance measurement accuracy of the ultrasonic probes is ensured.
As shown in fig. 7, the first ultrasonic probe 36 and the second ultrasonic probe 37 are fixed to the first ultrasonic probe holder 261 and the second ultrasonic probe holder 262, respectively, and their angles are adjusted so that the first ultrasonic probe and the second ultrasonic probe are attached to the skin layer 39, and the tape measure the distance d3 between the first ultrasonic probe and the second ultrasonic probe. Then, the first ultrasonic probe 36 is turned on, d1 of the distance between the first ultrasonic probe and the lesion on the target kidney is measured, then, the first ultrasonic probe 36 is turned off, the second ultrasonic probe 37 is turned on, d2 of the distance between the second ultrasonic probe and the lesion is measured, and the cosine value cos α between the first ultrasonic probe 36 and the cortex 39 is obtained by the cosine law [ (d1)2+(d3)2-(d2)2]And a/2 d1 d3, calculating an alpha value, and then calculating the vertical distance d from the cortex puncture point to the focus, namely d1 sin alpha, so as to obtain the depth of the puncture needle from the cortex to obtain a biopsy sample at the focus.
In the description herein, references to the description of "one embodiment," "an example," "a specific example," etc., mean that a particular feature, structure, material, or characteristic described in connection with the embodiment or example is included in at least one embodiment or example of the invention. In this specification, the schematic representations of the terms used above do not necessarily refer to the same embodiment or example. Furthermore, the particular features, structures, materials, or characteristics described may be combined in any suitable manner in any one or more embodiments or examples.
The preferred embodiments of the present invention disclosed above are intended only to help illustrate the present invention. The preferred embodiments are not intended to be exhaustive or to limit the invention to the precise embodiments disclosed. Obviously, many modifications and variations are possible in light of the above teaching. The embodiments were chosen and described in order to best explain the principles of the invention and its practical applications, to thereby enable others skilled in the art to best understand the invention for and utilize the invention. The present invention is limited only by the claims and their full scope and equivalents.

Claims (4)

1. A medical children kidney biopsy puncture bed comprises a bed body and is characterized in that a kidney biopsy puncture frame is detachably fixed on one side of the bed body, an upper limb fixer is fixed at one end of the bed body, and a lower limb fixer is fixed at the other end of the bed body;
the kidney biopsy puncture frame consists of an adjustable bracket and a puncture clamp, the puncture clamp is hinged at the end part of the adjustable bracket and is fixed on the adjustable bracket through a fastening handle; the adjustable support comprises a fixed base, a telescopic rod and a swing rod, wherein the fixed base is of a C-shaped structure, a threaded hole is formed in the bottom of the fixed base, a fastening screw rod is connected in the threaded hole in a threaded manner, and a fastening piece is fixed at the end part of the fastening screw rod; the telescopic base is fixed at the top of the fixed base, the telescopic base is of a hollow structure, the telescopic rod is inserted into a cavity of the telescopic base and can slide up and down along the telescopic base, a threaded hole is formed in the upper part of the telescopic base, a fastening screw rod is connected with the threaded hole in a threaded manner and can be screwed into the cavity of the telescopic base, one end of the oscillating rod is hinged to the top of the telescopic rod and can rotate around a hinged point, a U-shaped rotating groove is formed in the other end of the oscillating rod, and a connecting plate of the puncture clamp is clamped into the U-shaped rotating groove and;
the puncture clamp comprises a first supporting plate, a second supporting plate, a first ultrasonic probe clamp and a second ultrasonic probe clamp, the first supporting plate is fixed on the connecting plate, the first supporting plate and the second supporting plate are fixedly connected through a connecting block, a puncture needle sleeve is fixed in the middle of the connecting block, sliding adjusting holes are formed in two sides of the first supporting plate, sliding adjusting holes corresponding to the sliding adjusting holes are formed in two sides of the second supporting plate, and notches communicated with the sliding adjusting holes are formed in the upper portions of the first supporting plate and the second supporting plate respectively; first ultrasonic probe anchor clamps and second ultrasonic probe anchor clamps constitute by solid fixed splint and apron, the apron is fixed in on the solid fixed splint through the screw is detachable, gu open in fixed splint's the front has the ultrasonic probe storage tank, open at the top of ultrasonic probe storage tank has the wire to draw forth the breach, the bottom of ultrasonic probe storage tank is equipped with ultrasonic probe contact breach, gu fixed splint's both sides are fixed with threaded rod and hinge bar respectively, the threaded rod of first ultrasonic probe anchor clamps and second ultrasonic probe anchor clamps is worn out from the slide adjusting hole of first backup pad, the hinge bar is worn out from the slide adjusting hole of second backup pad, first ultrasonic probe anchor clamps and second ultrasonic probe anchor clamps can rotate between first backup pad and second backup pad.
2. The medical children kidney biopsy puncture bed according to claim 1, wherein the upper limb fixer comprises an upper splint and a lower splint, the upper splint and the lower splint are provided with arc-shaped clamping grooves, the upper splint is provided with through screw holes, the lower splint is provided with screw holes, the restraining screw rods penetrate through the screw holes of the upper splint and then are inserted into the screw holes of the lower splint to restrain the upper limbs penetrating through the clamping grooves, the bed body is provided with two rows of adjusting screw holes, the lower splint is detachably fixed in the adjusting screw holes through the screw rods, the lower limb fixer comprises a lower restraining plate and an upper restraining plate, the lower restraining plate and the upper restraining plate are provided with clamping grooves, the lower restraining plate is fixed on the bed body through bolts, and the upper restraining plate is fixed on the lower restraining plate through the restraining screw rods.
3. The medical children's kidney biopsy puncture bed according to claim 1 or claim 2, wherein the puncture needle sleeve is arranged perpendicular to the connection block.
4. The medical children kidney biopsy puncture bed according to claim 3, wherein a threaded rod is fixed to the end of the swing rod, a hinge hole is formed in the top of the telescopic rod, the threaded rod of the swing rod penetrates through the hinge hole and then is locked to the telescopic rod through a fastening handle, the threaded rod is fixed to one surface of the connecting plate, penetrates out of one side of the U-shaped rotating groove and is locked to the swing rod through a fastening knob, a hinge rod is fixed to the other surface of the connecting plate, and the hinge rod is hinged to the other groove surface of the U-shaped rotating groove.
CN202020587380.4U 2020-04-17 2020-04-17 Medical children's kidney biopsy puncture bed Expired - Fee Related CN212522317U (en)

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Application Number Priority Date Filing Date Title
CN202020587380.4U CN212522317U (en) 2020-04-17 2020-04-17 Medical children's kidney biopsy puncture bed

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202020587380.4U CN212522317U (en) 2020-04-17 2020-04-17 Medical children's kidney biopsy puncture bed

Publications (1)

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CN202020587380.4U Expired - Fee Related CN212522317U (en) 2020-04-17 2020-04-17 Medical children's kidney biopsy puncture bed

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114878752A (en) * 2022-05-19 2022-08-09 中北大学 Double-frequency ultrasonic cavitation experimental device with multiple degrees of freedom

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114878752A (en) * 2022-05-19 2022-08-09 中北大学 Double-frequency ultrasonic cavitation experimental device with multiple degrees of freedom

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Granted publication date: 20210212