CN218889681U - Patient limb adjustment fixing device for ultrasonic examination - Google Patents

Patient limb adjustment fixing device for ultrasonic examination Download PDF

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CN218889681U
CN218889681U CN202223486559.9U CN202223486559U CN218889681U CN 218889681 U CN218889681 U CN 218889681U CN 202223486559 U CN202223486559 U CN 202223486559U CN 218889681 U CN218889681 U CN 218889681U
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bed board
bed
board
patient
folding
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柯淑丽
车鹏飞
杨剑
胡莉莉
向小蔚
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China Three Gorges University CTGU
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Abstract

本实用新型公开了用于超声检查的患者肢体调节固定装置,包括床板,设在床板床尾中部的手扶架,以及设在床板床头两侧的束缚带,床板床尾处中部的两端均铰接有折叠板,折叠板的上表面与床板的上表面相平齐;折叠板远离铰接处的一端共同开设有定位孔,床板对应定位孔的板体部分开设有穿孔,床板通过穿孔插设有固定杆,固定杆延伸至床板内部并与折叠板上的定位孔相匹配。本实用新型在使用的过程中,能够在患者进行乳腺超声检查和胸腔积液超声检查的过程中,实现对患者体位的有效调整和固定,能够避免出现占用医生超声检查操作空间以及患者体位无法保持阻碍医生正常的超声检查操作的进行,使用方便,有利于进行推广。

Figure 202223486559

The utility model discloses a device for adjusting and fixing a patient's limbs for ultrasonic examination, which comprises a bed board, a hand support frame arranged in the middle of the bed end of the bed board, and binding belts arranged on both sides of the head of the bed board, and both ends of the middle part of the bed board are hinged. There is a folding board, the upper surface of the folding board is flush with the upper surface of the bed board; the end of the folding board far away from the hinge is jointly provided with a positioning hole, and the part of the bed board corresponding to the positioning hole is provided with a perforation, and the bed board is inserted through the perforation. Rod, the fixed rod extends to the inside of the bed board and matches with the positioning hole on the folding board. During the use of the utility model, the patient can effectively adjust and fix the patient's body position during the breast ultrasound examination and pleural effusion ultrasound examination, and can avoid occupying the operating space of the doctor's ultrasound examination and the patient's body position cannot be maintained. It hinders the doctor's normal ultrasonic examination operation, is convenient to use, and is conducive to popularization.

Figure 202223486559

Description

用于超声检查的患者肢体调节固定装置Patient Limb Adjustment Fixtures for Ultrasound Exams

技术领域technical field

本实用新型涉及医用辅助器械技术领域,尤其涉及用于超声检查的患者肢体调节固定装置。The utility model relates to the technical field of medical auxiliary equipment, in particular to a patient's limb adjustment and fixing device for ultrasonic examination.

背景技术Background technique

医学超声检查(超声检查、超声诊断学)是一种基于超声波(超声)的医学影像学诊断技术,使肌肉和内脏器官——包括其大小、结构和病理学病灶可视化。Medical sonography (ultrasonography, ultrasonography) is a medical imaging diagnostic technique based on ultrasound (ultrasound) that visualizes muscles and internal organs - including their size, structure and pathological lesions.

超声检查时,针对不同病症需要患者配合不同的体位进行检查,包括有腹部超声检查、颈部超声检查、下肢血管超声检查、乳腺超声检查、心脏超声检查以及胸腔积液超声检查等,其中进行乳腺超声检查时,患者需采取“上衣全部脱掉,双臂上举或包头,充分暴露乳腺及腋窝”的方式,而较多患者在采取上述体位时,易出现双臂上举时间不够、放下双臂后中断医生检查的现象;以及胸腔积液超声检查时,患者需采取“坐位,背对医生,衣服拉高,充分暴露背部”的体位,由于超声科的超声仪器多放置于检查床头,医生坐在超声仪器旁,此时患者需要搬个板凳达到上述体位,且占用医生操作超声仪器的空间,使用不便。为此,我们提出了用于超声检查的患者肢体调节固定装置。During ultrasonography, patients need to cooperate with different postures for examination according to different diseases, including abdominal ultrasonography, neck ultrasonography, lower extremity vascular ultrasonography, breast ultrasonography, heart ultrasonography and pleural effusion ultrasonography, among which mammary gland ultrasonography is performed During the ultrasound examination, the patient needs to adopt the method of "taking off all the tops, raising the arms or wrapping the head, and fully exposing the breast and armpits". The phenomenon of interrupting the doctor's examination behind the arm; and during the ultrasound examination of pleural effusion, the patient needs to adopt the posture of "sitting, facing the doctor, raising the clothes, and fully exposing the back". The doctor sits next to the ultrasonic instrument, and the patient needs to move a bench to reach the above position at this time, and it takes up the space for the doctor to operate the ultrasonic instrument, which is inconvenient to use. To this end, we propose a patient limb adjustment immobilization device for ultrasonography.

实用新型内容Utility model content

本实用新型的目的是为了解决现有技术中存在的缺点,而提出的用于超声检查的患者肢体调节固定装置。The purpose of the utility model is to solve the shortcomings in the prior art, and propose a patient's limb adjustment and fixing device for ultrasonic examination.

为了实现上述目的,本实用新型采用了如下技术方案:In order to achieve the above object, the utility model adopts the following technical solutions:

用于超声检查的患者肢体调节固定装置,包括床板,设在床板床尾中部的手扶架,以及设在床板床头两侧的束缚带,所述床板床尾处中部的两端均铰接有折叠板,所述折叠板的上表面与床板的上表面相平齐;所述折叠板远离铰接处的一端共同开设有定位孔,所述床板对应定位孔的板体部分开设有穿孔,所述床板通过穿孔插设有固定杆,所述固定杆延伸至床板内部并与折叠板上的定位孔相匹配;所述床板通过折叠板之间的上表面中部开设有嵌入槽,所述手扶架铰接于嵌入槽内的前端,且所述手扶架收纳于嵌入槽内时的上表面与床板的上表面相平齐。A device for adjusting and fixing a patient's limbs for ultrasonic examination, including a bed board, a hand frame set in the middle of the bed end of the bed board, and restraint belts arranged on both sides of the head of the bed board, the two ends of the bed board at the middle of the bed end are hinged with folding plates , the upper surface of the folding board is flush with the upper surface of the bed board; the end of the folding board away from the hinge is jointly provided with a positioning hole, and the board body part of the bed board corresponding to the positioning hole is provided with a perforation, and the bed board passes through A fixed rod is inserted through the hole, and the fixed rod extends to the inside of the bed board and matches the positioning hole on the folding board; the bed board is provided with an embedded groove through the middle part of the upper surface between the folding boards, and the handrail is hinged on the The front end is embedded in the groove, and the upper surface of the handrail is flush with the upper surface of the bed board when it is accommodated in the embedded groove.

优选的,所述床板靠近束缚带两侧的板体开设有操作槽,所述操作槽呈弧形状。Preferably, the bed board is provided with operation grooves on both sides of the bed board close to the restraint belt, and the operation grooves are arc-shaped.

优选的,所述床板的床尾下表面中部固定安装有撑架,所述撑架起到支撑作用。Preferably, a bracket is fixedly installed in the middle of the lower surface of the bed foot of the bed board, and the bracket plays a supporting role.

优选的,所述固定杆延伸至床板外部的一端安装有拉扣,所述拉扣由扁平状的橡胶板组成。Preferably, a pull buckle is installed at one end of the fixing rod extending to the outside of the bed board, and the pull buckle is composed of a flat rubber plate.

优选的,所述床板下表面的四角处均安装有床腿,所述床腿的长度大于折叠板的长度。Preferably, bed legs are installed at the four corners of the lower surface of the bed board, and the length of the bed legs is longer than that of the folding board.

优选的,所述床板、折叠板上均粘贴有一次性床单,所述一次性床单靠近床板的外缘处均设有双面胶带。Preferably, the bed board and the folding board are pasted with disposable sheets, and the disposable sheets are provided with double-sided adhesive tape near the outer edge of the bed board.

优选的,所述手扶架为“T”字形,所述床板靠近手扶架上的横向架体部分开设有扣槽,所述扣槽与嵌入槽相连通。Preferably, the handrail is in the shape of a "T", and the bed board is provided with a buckle groove on the lateral frame body part close to the handrail, and the buckle groove communicates with the embedded groove.

本实用新型提出的用于超声检查的患者肢体调节固定装置,有益效果在于:The patient's limb adjustment and fixation device for ultrasonic examination proposed by the utility model has the beneficial effects of:

1、针对乳腺超声检查时:实现对患者双臂的固定,避免在超声检查过程中出现的双臂上举时间不够,阻碍医生超声探头的移动的现象;1. For breast ultrasound examination: realize the fixation of the patient's arms, avoiding the phenomenon that the time for lifting the arms up during the ultrasound examination is not enough, which hinders the movement of the doctor's ultrasound probe;

2、针对胸腔积液超声检查时:患者通过扣槽拉开手扶架,双手握住手扶架上的横向架体,且面向床头坐立于床板上的中部,此时患者能够实现不占用医生进行超声检查时的空间,且不用从别处拿取座椅,使用方便。2. For ultrasonography of pleural effusion: the patient pulls out the armrest through the buckle groove, holds the horizontal frame on the armrest with both hands, and sits facing the head of the bed in the middle of the bed board. At this time, the patient can realize Occupies the space of the doctor during the ultrasound examination, and does not need to take the seat from other places, so it is convenient to use.

附图说明Description of drawings

图1为本实用新型提出的用于超声检查的患者肢体调节固定装置的结构示意图;Fig. 1 is the structural representation of the patient's limb adjustment and fixation device for ultrasonic examination proposed by the utility model;

图2为本实用新型提出的用于超声检查的患者肢体调节固定装置的一次性床单的结构仰视图;Fig. 2 is the bottom view of the structure of the disposable bed sheet of the patient's limb adjustment and fixing device proposed by the utility model;

图3为本实用新型提出的用于超声检查的患者肢体调节固定装置的展开结构示意图;Fig. 3 is a schematic diagram of the unfolded structure of the patient's limb adjustment and fixing device for ultrasonic examination proposed by the utility model;

图4为本实用新型提出的用于超声检查的患者肢体调节固定装置的展开结构仰视图;Fig. 4 is a bottom view of the expanded structure of the patient's limb adjustment and fixing device for ultrasonic examination proposed by the utility model;

图5为本实用新型提出的用于超声检查的患者肢体调节固定装置的束腹带的安装示意图。Fig. 5 is a schematic diagram of the installation of the abdominal corset of the patient's limb adjustment and fixation device for ultrasonic examination proposed by the utility model.

图中:1、床板;2、床腿;3、操作槽;4、一次性床单;5、束缚带;6、拉扣;7、折叠板;8、手扶架;9、双面胶带;10、扣槽;11、固定杆;12、嵌入槽;13、定位孔;14、撑架;15、穿孔。In the figure: 1. Bed board; 2. Bed leg; 3. Operation slot; 4. Disposable bed sheet; 5. Restraint belt; 6. Pull buckle; 7. Folding board; 10. Buckle groove; 11. Fixing rod; 12. Embedding groove; 13. Positioning hole; 14. Bracket; 15. Perforation.

具体实施方式Detailed ways

下面将结合本实用新型实施例中的附图,对本实用新型实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅仅是本实用新型一部分实施例,而不是全部的实施例。The technical solutions in the embodiments of the present invention will be clearly and completely described below in conjunction with the accompanying drawings in the embodiments of the present invention. Obviously, the described embodiments are only part of the embodiments of the present invention, not all of them. example.

在本实用新型的描述中,需要理解的是,术语“上”、“下”、“前”、“后”、“左”、“右”、“顶”、“底”、“内”、“外”等指示的方位或位置关系为基于附图所示的方位或位置关系,仅是为了便于描述本实用新型和简化描述,而不是指示或暗示所指的装置或元件必须具有特定的方位、以特定的方位构造和操作,因此不能理解为对本实用新型的限制。In describing the present utility model, it should be understood that the terms "upper", "lower", "front", "rear", "left", "right", "top", "bottom", "inner", The orientation or positional relationship indicated by "outside" is based on the orientation or positional relationship shown in the drawings, which is only for the convenience of describing the utility model and simplifying the description, rather than indicating or implying that the referred device or element must have a specific orientation , are constructed and operated in a specific orientation and therefore cannot be construed as limiting the invention.

参照图1-5,用于超声检查的患者肢体调节固定装置,包括床板1,设在床板1床尾中部的手扶架8,以及设在床板1床头两侧的束缚带5,床板1床尾处中部的两端均铰接有折叠板7,折叠板7的上表面与床板1的上表面相平齐;Referring to Figures 1-5, the patient's limb adjustment and fixing device for ultrasonic examination includes a bed board 1, a hand frame 8 arranged in the middle of the bed end of the bed board 1, and restraint belts 5 arranged on both sides of the bed head of the bed board 1, and the bed board 1 at the end of the bed Both ends of the middle part are hinged with a folding plate 7, and the upper surface of the folding plate 7 is flush with the upper surface of the bed board 1;

折叠板7远离铰接处的一端共同开设有定位孔13,床板1对应定位孔13的板体部分开设有穿孔15,床板1通过穿孔15插设有固定杆11,固定杆11延伸至床板1内部并与折叠板7上的定位孔13相匹配;The end of the folding plate 7 away from the hinge is jointly provided with a positioning hole 13, and the body part of the bed board 1 corresponding to the positioning hole 13 is provided with a perforation 15, and the bed board 1 is inserted with a fixing rod 11 through the perforation 15, and the fixing rod 11 extends to the inside of the bed board 1 And match with the positioning hole 13 on the folding plate 7;

床板1通过折叠板7之间的上表面中部开设有嵌入槽12,手扶架8铰接于嵌入槽12内的前端,且手扶架8收纳于嵌入槽12内时的上表面与床板1的上表面相平齐。The middle part of the upper surface between the folding boards 1 is provided with an embedding groove 12 on the bed board 1, and the hand frame 8 is hinged at the front end in the embedding groove 12, and the upper surface of the hand railing frame 8 when it is accommodated in the embedding groove 12 is in contact with the bed board 1. The upper surface is even.

床板1靠近束缚带5两侧的板体开设有操作槽3,操作槽3呈弧形状,床板1的床尾下表面中部固定安装有撑架14,撑架14起到支撑作用,提供折叠板7之间的床板1的结构强度,进一步的实现患者坐立时的稳定性。The board body of the bed board 1 near the two sides of the restraint belt 5 is provided with an operation groove 3, the operation groove 3 is arc-shaped, and the middle part of the lower surface of the bed end of the bed board 1 is fixedly equipped with a support frame 14, which plays a supporting role and provides a folding board 7 The structural strength of the bed boards 1 between them further realizes the stability of the patient when sitting or standing.

固定杆11延伸至床板1外部的一端安装有拉扣6,拉扣6由扁平状的橡胶板组成,床板1下表面的四角处均安装有床腿2,床腿2的长度大于折叠板7的长度,避免出现折叠板7放下后无法竖直影响患者坐立的情况。The end of the fixed rod 11 extending to the outside of the bed board 1 is equipped with a pull button 6, the pull button 6 is composed of a flat rubber plate, the four corners of the lower surface of the bed board 1 are equipped with bed legs 2, and the length of the bed leg 2 is longer than that of the folding board 7 The length of the folding plate 7 avoids the situation that the patient cannot be vertically affected when the folding plate 7 is put down.

床板1、折叠板7上均粘贴有一次性床单4,一次性床单4靠近床板1的外缘处均设有双面胶带9,通过特质的一次性床单4实现对床板1上各部位的覆盖,且使用双面胶带9完成对一次性床单4的稳定粘结,避免现有技术中患者躺卧时出现一次性床单4的移位现象,利于使用。Both the bed board 1 and the folding board 7 are pasted with a disposable bed sheet 4, and the outer edge of the disposable bed sheet 4 near the bed board 1 is provided with a double-sided adhesive tape 9, and each part of the bed board 1 is covered by the special disposable bed sheet 4 , and use the double-sided adhesive tape 9 to complete the stable bonding of the disposable bed sheet 4, avoiding the displacement phenomenon of the disposable bed sheet 4 when the patient is lying down in the prior art, which is beneficial to use.

手扶架8为“T”字形,床板1靠近手扶架8上的横向架体部分开设有扣槽10,扣槽10与嵌入槽12相连通,患者通过扣槽10将手扶架8抬起,双手握住手扶架8实现坐立的稳定,避免出现坐立过程中晃动影响医生超声检查的顺利进行。The armrest 8 is in the shape of a "T", and the bed board 1 is provided with a buckle groove 10 near the horizontal frame body on the handrail 8. The buckle groove 10 communicates with the embedded groove 12, and the patient lifts the handrail 8 through the buckle groove 10. Get up, hold the handrail 8 with both hands to realize the stability of sitting and standing, and avoid shaking in the process of sitting and standing to affect the smooth progress of the doctor's ultrasound examination.

使用原理及优点:应用于超声检查的患者肢体调节固定装置在使用时,具体为针对乳腺超声检查时:患者躺卧于床板1上,随即双臂抬起,使得胸部和腋下均显露出来,然后医生拉动束缚带5将患者的双臂压住,实现对患者双臂的固定,避免在超声检查过程中出现的双臂上举时间不够,阻碍医生超声探头的移动的现象;Principles of use and advantages: When using the patient’s limb adjustment and fixation device for ultrasound examination, specifically for breast ultrasound examination: the patient lies on the bed board 1, and then raises his arms, so that the chest and underarms are exposed. Then the doctor pulls the restraint belt 5 and presses the patient's arms to realize the fixation of the patient's arms, avoiding the phenomenon that the time for raising the arms during the ultrasonic examination is not enough to hinder the movement of the doctor's ultrasonic probe;

针对胸腔积液超声检查时:医生通过拉扣6抽开固定杆11,随即折叠板7落下,此时床板1的床尾处呈现“山”字状,随即患者通过扣槽10拉开手扶架8,双手握住手扶架8上的横向架体,且面向床头坐立于床板1上的中部,此时患者能够实现不占用医生进行超声检查时的空间,且不用从别处拿取座椅,使用方便。For ultrasonographic examination of pleural effusion: the doctor pulls out the fixing rod 11 through the pull button 6, and then the folding plate 7 falls down. 8. Hold the horizontal frame body on the hand frame 8 with both hands, and sit on the middle part of the bed board 1 facing the head of the bed. At this time, the patient can realize that the doctor does not occupy the space for the ultrasound examination, and does not need to take the seat from other places. chair, easy to use.

综上:该装置能够在患者进行乳腺超声检查和胸腔积液超声检查的过程中,实现对患者体位的有效调整和固定,能够避免出现占用医生超声检查操作空间以及患者体位无法保持阻碍医生正常的超声检查操作的进行,使用方便,有利于进行推广。In summary: the device can effectively adjust and fix the patient's position during breast ultrasound examination and pleural effusion ultrasound examination, and can avoid occupying the doctor's ultrasound examination operation space and preventing the doctor from being unable to maintain the patient's normal position. The operation of ultrasonic inspection is easy to use and is conducive to popularization.

以上所述,仅为本实用新型较佳的具体实施方式,但本实用新型的保护范围并不局限于此,任何熟悉本技术领域的技术人员在本实用新型揭露的技术范围内,根据本实用新型的技术方案及其实用新型构思加以等同替换或改变,都应涵盖在本实用新型的保护范围之内。The above is only a preferred embodiment of the utility model, but the scope of protection of the utility model is not limited thereto. The equivalent replacement or change of the new technical solution and the concept of the utility model shall be covered by the protection scope of the utility model.

Claims (7)

1.用于超声检查的患者肢体调节固定装置,其特征在于,包括床板(1),设在床板(1)床尾中部的手扶架(8),以及设在床板(1)床头两侧的束缚带(5),所述床板(1)床尾处中部的两端均铰接有折叠板(7),所述折叠板(7)的上表面与床板(1)的上表面相平齐;1. The patient's limb adjustment and fixing device for ultrasonic examination is characterized in that it includes a bed board (1), a hand support frame (8) located at the middle of the bed end of the bed board (1), and located at both sides of the bed board (1) head of the bed The binding belt (5) of the bed board (1) is hinged with folding plates (7) at both ends of the middle part of the bed end, and the upper surface of the folding board (7) is flush with the upper surface of the bed board (1); 所述折叠板(7)远离铰接处的一端共同开设有定位孔(13),所述床板(1)对应定位孔(13)的板体部分开设有穿孔(15),所述床板(1)通过穿孔(15)插设有固定杆(11),所述固定杆(11)延伸至床板(1)内部并与折叠板(7)上的定位孔(13)相匹配;The end of the folding plate (7) away from the hinge is jointly provided with a positioning hole (13), and the plate body part of the bed board (1) corresponding to the positioning hole (13) is provided with a perforation (15), and the bed board (1) A fixing rod (11) is inserted through the perforation (15), and the fixing rod (11) extends to the inside of the bed board (1) and matches with the positioning hole (13) on the folding board (7); 所述床板(1)通过折叠板(7)之间的上表面中部开设有嵌入槽(12),所述手扶架(8)铰接于嵌入槽(12)内的前端,且所述手扶架(8)收纳于嵌入槽(12)内时的上表面与床板(1)的上表面相平齐。The bed board (1) is provided with an embedding groove (12) through the middle part of the upper surface between the folding boards (7), and the hand rail frame (8) is hinged at the front end in the embedding groove (12), and the hand railing The upper surface of the frame (8) when it is accommodated in the insertion groove (12) is flush with the upper surface of the bed board (1). 2.根据权利要求1所述的用于超声检查的患者肢体调节固定装置,其特征在于,所述床板(1)靠近束缚带(5)两侧的板体开设有操作槽(3),所述操作槽(3)呈弧形状。2. The patient's limb adjustment and fixing device for ultrasonic examination according to claim 1, characterized in that, the bed board (1) is provided with an operation groove (3) on the board body near the both sides of the restraint belt (5), so that The operation groove (3) is arc-shaped. 3.根据权利要求1所述的用于超声检查的患者肢体调节固定装置,其特征在于,所述床板(1)的床尾下表面中部固定安装有撑架(14),所述撑架(14)起到支撑作用。3. The patient's limb adjustment and fixing device for ultrasonic examination according to claim 1, characterized in that, a bracket (14) is fixedly installed in the middle of the lower surface of the bed end of the bed board (1), and the bracket (14) ) play a supporting role. 4.根据权利要求1所述的用于超声检查的患者肢体调节固定装置,其特征在于,所述固定杆(11)延伸至床板(1)外部的一端安装有拉扣(6),所述拉扣(6)由扁平状的橡胶板组成。4. The patient's limb adjustment and fixing device for ultrasonic examination according to claim 1, characterized in that, the end of the fixing rod (11) extending to the outside of the bed board (1) is equipped with a pull button (6), the Pull button (6) is made up of flat rubber plate. 5.根据权利要求1所述的用于超声检查的患者肢体调节固定装置,其特征在于,所述床板(1)下表面的四角处均安装有床腿(2),所述床腿(2)的长度大于折叠板(7)的长度。5. The patient's limb adjustment and fixing device for ultrasonic examination according to claim 1, characterized in that, bed legs (2) are installed at the four corners of the lower surface of the bed board (1), and the bed legs (2) ) is greater than the length of the folded plate (7). 6.根据权利要求1所述的用于超声检查的患者肢体调节固定装置,其特征在于,所述床板(1)、折叠板(7)上均粘贴有一次性床单(4),所述一次性床单(4)靠近床板(1)的外缘处均设有双面胶带(9)。6. The patient's limb adjustment and fixing device for ultrasonic examination according to claim 1, characterized in that, a disposable bed sheet (4) is pasted on the bed board (1) and the folding board (7), and the once Double-sided adhesive tapes (9) are all provided on the outer edge of the bed sheet (4) near the bed board (1). 7.根据权利要求1所述的用于超声检查的患者肢体调节固定装置,其特征在于,所述手扶架(8)为“T”字形,所述床板(1)靠近手扶架(8)上的横向架体部分开设有扣槽(10),所述扣槽(10)与嵌入槽(12)相连通。7. The patient's limb adjustment and fixing device for ultrasonic examination according to claim 1, characterized in that, the hand frame (8) is in the shape of a "T", and the bed board (1) is close to the hand frame (8). ) is provided with a buckle groove (10) on the transverse frame part, and the buckle groove (10) communicates with the embedded groove (12).
CN202223486559.9U 2022-12-27 2022-12-27 Patient limb adjustment fixing device for ultrasonic examination Expired - Fee Related CN218889681U (en)

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Application Number Priority Date Filing Date Title
CN202223486559.9U CN218889681U (en) 2022-12-27 2022-12-27 Patient limb adjustment fixing device for ultrasonic examination

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CN202223486559.9U CN218889681U (en) 2022-12-27 2022-12-27 Patient limb adjustment fixing device for ultrasonic examination

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