CN105686877A - Supporting device for catheter-based renal sympathetic denervation robot pusher - Google Patents

Supporting device for catheter-based renal sympathetic denervation robot pusher Download PDF

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Publication number
CN105686877A
CN105686877A CN201410697001.6A CN201410697001A CN105686877A CN 105686877 A CN105686877 A CN 105686877A CN 201410697001 A CN201410697001 A CN 201410697001A CN 105686877 A CN105686877 A CN 105686877A
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China
Prior art keywords
renal artery
ablation catheter
longitudinal
revolution
supporting arrangement
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CN201410697001.6A
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Chinese (zh)
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CN105686877B (en
Inventor
敬正鑫
王荣军
赵士勇
曾玉祥
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Lepu Medical Technology Beijing Co Ltd
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Lepu Medical Technology Beijing Co Ltd
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Priority to CN201410697001.6A priority Critical patent/CN105686877B/en
Publication of CN105686877A publication Critical patent/CN105686877A/en
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Publication of CN105686877B publication Critical patent/CN105686877B/en
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Abstract

The invention relates to the field of medical apparatus, and discloses a supporting device for a catheter-based renal sympathetic denervation robot pusher. The supporting device is characterized by comprising transverse regulating mechanisms and a supporting assembly, wherein the supporting assembly comprises height regulating mechanisms, a longitudinal regulating mechanism, a turning mechanism and a slewing mechanism; two transverse regulating mechanisms and two height regulating mechanisms are arranged; the two transverse regulating mechanisms are arranged on two sides of a medical bed; each of the height regulating mechanisms is arranged on the corresponding transverse regulating mechanism; the longitudinal regulating mechanism spans the two height regulating mechanisms; the turning mechanism comprises a turning base, a long handle and a turning plate; the turning base is arranged on the longitudinal regulating mechanism; one end of the turning plate is hinged with the turning base and the other end is provided with a spherical chute; a spherical nail is arranged at the front end of the long handle; a turning regulating button is arranged at the rear end of the long handle; the long handle inserts on and is connected to the turning base in a threaded mode; the spherical nail is connected to the spherical chute; and the slewing mechanism is arranged on the turning plate.

Description

Renal artery ablation catheter robot pusher supporting arrangement
Technical field
The present invention relates to medical instruments field, particularly relate to a kind of renal artery ablation catheter robot pusher supporting arrangement。
Background technology
Hypertension has become as the major issue affecting Global Health。At present, the primary therapeutic modality medicine of hyperpietic, but effect is still undesirable, although some patients applies 5 kinds of antihypertensives, blood pressure is still not up to standard, thus derives intractable hypertension symptom。Intractable hypertension refers on the basis of the mode of making the life better, and rule is enough takes 3 kinds that include a kind of diuretic or more than 3 kinds Altace Ramiprils, but blood pressure still can not person up to standard。Hypertension is the modal cardiovascular diseasess of person in middle and old age, is also the important risk factor causing coronary heart disease, congestive heart failure, renal failure, aortic aneurysm, the first cause be that middle-aged and elderly people is lethal, disabling。
Medical research shows, sympathetic nervous system is the important step of hypertension incidence。Especially renal sympathetic nerve discharge (renalsympatheticnerveactivity, RSNA) can cause renal tubules sodium fluid reabsorption to increase, cause renin release and renal vascular resistance to change, so that blood pressure raises。Although the sympathectomy in past has turned out its antihypertensive effect, but there is multiple severe complication, and there is case fatality rate occurred frequently and disability rate in performing the operation, therefore this therapeutic strategy is replaced by the method for Drug therapy gradually。2009, Krum teaches reported first and uses the percutaneous catheter of interventional technique to melt renal artery to remove sympathetic nerve art (catheter-basedrenalsympatheticdenervation, RDN), the research (i.e. sympatheticHTN-1) of intractable hypertension is treated。Along with carrying out of research, its result shows renal artery ablation (RND) and treats safety and the effectiveness of intractable hypertension, achieves challenging antihypertensive effect。Obstinate hypertension is carried out renal artery radiofrequency ablation art, it is bring a kind of new hope for hyperpietic, also it is a kind of new method of non-hypertension therapy simultaneously, and the clinical trial according to external early stage shows that the method is safely and effectively, can be widely used。Simultaneously along with the development of radio-frequency ablation procedure can also make the method be not limited only to treatment intractable hypertension, but also may be used for the non-drug therapy of general hypertension, hyperpietic can be made to break away from the puzzlement of drug administration every day。
In renal artery ablative surgery, traditional manual intubation existing defects: the controllable poor performance of conduit, frequently maloperation and trial so that the effect and the success rate that intubate are low, and easily blood vessel is caused damage;Long-term work under X ray environment is big to clinician body injury;Doctor's operation skill is required height, complicated operation, fatiguability, and instability by manual mode, it is impossible to ensures the accuracy of intubation intervention, affects surgical quality, and then affect life in patients。In ablation procedure, the handle of doctor's manual operation ablation catheter determining the position of ablation points and the bending degree of conduit, its performance accuracy is low, and head end reclines instability, causes that ablation effect is poor, the complication such as edema occurs。These defect strong influences Rapid Popularization of renal artery ablation hypertension。Patent publication No. CN203790029U discloses a kind of renal artery ablation catheter robot pusher, and this patent disclosure can solve the problem that the problems referred to above, and in use, renal artery ablation catheter robot pusher needs to be arranged on hospital bed, coordinates hospital bed to use。Prior art lacks available supporting arrangement, enables renal artery ablation catheter robot pusher to coordinate hospital bed to use。
Therefore, it is badly in need of a kind of renal artery ablation catheter robot pusher supporting arrangement that can be suitable for。
Summary of the invention
(1) to solve the technical problem that
It is an object of the invention to provide a kind of renal artery ablation catheter robot pusher supporting arrangement, for installing, move and location renal artery ablation catheter robot pusher, facilitate the use of renal artery ablation catheter robot pusher, improve therapeutic effect, and reduce the labor intensity of user。
(2) technical scheme
In order to solve above-mentioned technical problem, the present invention provides a kind of renal artery ablation catheter robot pusher supporting arrangement, including: lateral adjustment and support assembly, described support assembly includes height adjustment mechanism, longitudinal adjusting mechanism, switching mechanism and slew gear;Described lateral adjustment and height adjustment mechanism are two, and two described lateral adjustment are arranged on hospital bed both sides;Each described height adjustment mechanism is separately mounted in a described lateral adjustment;Described longitudinal adjusting mechanism rides upon on two described height adjustment mechanisms;Described switching mechanism includes upset base, long handle and returning face plate, and described upset floor installation is on described longitudinal adjusting mechanism;One end of described returning face plate is hinged with described upset base, and the other end is provided with spherical chute;The front end of described long handle is provided with spherical nail, and its rear end is provided with upset adjusting knob, and described long handle screw thread cross-under is on described upset base, and described spherical nail is connected with described spherical chute;Described slew gear is arranged on described returning face plate, is used for installing described renal artery ablation catheter robot pusher。
Wherein, described slew gear includes keyset, friction plate and revolution positioning component, and described friction plate and keyset overlay on described returning face plate successively, and is connected with described returning face plate by described revolution positioning component。
Wherein, described revolution connects assembly and includes revolution thread spindle and rotary locking nut;Described returning face plate, friction plate and keyset are equipped with revolution installing hole;The rear end of described revolution thread spindle is provided with limited cap, and the front end of described revolution thread spindle is through described revolution installing hole, and described rotary locking nut is threadeded with described revolution thread spindle。
Wherein, described longitudinal adjusting mechanism includes longitudinal regulating base board, optical axis and longitudinal slide, and described longitudinal regulating base board is two, and two described longitudinal regulating base boards are separately mounted on two described height adjustment mechanisms;Described optical axis is arranged on described longitudinal regulating base board by the fixing seat of optical axis;Described longitudinal slide is slidably mounted on described optical axis;Described upset base is connected with described longitudinal slide。
Wherein, described longitudinal adjusting mechanism also includes longitudinally adjusted folder, and described longitudinally adjusted folder includes holder, the first nock fixture block, the second nock fixture block and grip bolt;Described holder is fixing with described upset base to be connected;Described first nock fixture block and the second nock fixture block are fixed on described holder, and are oppositely arranged on the both sides of described optical axis;Described grip bolt connects described first nock fixture block and the second nock fixture block。
Wherein, it is provided with stiffener between two described longitudinal regulating base boards。
Wherein, described height adjustment mechanism includes altitude mixture control base plate, the first DOCK LEVELER, the second DOCK LEVELER and altitude mixture control top board;Described second DOCK LEVELER is fixed on the upper surface of described altitude mixture control base plate;Described first DOCK LEVELER is fixed on the lower surface of described altitude mixture control top board;Described first DOCK LEVELER is provided with organizes height adjusting holes more;Described first DOCK LEVELER is connected by height clamping screw the second DOCK LEVELER。
Wherein, described lateral adjustment includes laterally a block, horizontal Ji Liang, horizontal slide rail, transverse slider, apart transverse support plates and horizontal lock sleeve;Described horizontal Ji Liang props up block by described transverse direction and is arranged on described hospital bed both sides;Described horizontal slide rail is fixed on described horizontal Ji Liang, and described apart transverse support plates is slidably mounted on described horizontal slide rail by described transverse slider, and described apart transverse support plates is used for supporting described altitude mixture control base plate;Described horizontal lock sleeve is arranged in described apart transverse support plates, for sealed described altitude mixture control base plate。
Wherein, described horizontal slide rail is provided with multiple cross spacing hole;In described apart transverse support plates, cross-under has a cross spacing nail, and described cross spacing nail can be inserted in described cross spacing hole。
Wherein, described horizontal slide rail two ends are provided with two buffer stoppers。
(3) beneficial effect
Renal artery provided by the invention ablation catheter robot pusher supporting arrangement, it is provided with lateral adjustment, longitudinal adjusting mechanism, height adjustment mechanism, switching mechanism and slew gear, can the adjustment of multiple dimensions of actual renal artery ablation catheter robot pusher, the suitability is strong, facilitate the use of renal artery ablation catheter robot pusher, ensure that user freely can regulate in required angle, improve therapeutic effect, and reduce the labor intensity of user。
Accompanying drawing explanation
Fig. 1 is the schematic perspective view of the use state of the embodiment of the present invention;
Fig. 2 is the perspective view of the embodiment of the present invention;
Fig. 3 is the support assembly perspective view of the embodiment of the present invention;
Fig. 4 is the perspective view of the height adjustment mechanism of the embodiment of the present invention;
Fig. 5 is the perspective view of the longitudinal sliding motion mechanism of the embodiment of the present invention;
Fig. 6 is the perspective view of the longitudinally adjusted folder of the embodiment of the present invention;
The switching mechanism of Fig. 7 embodiment of the present invention and the perspective view of slew gear;
Fig. 8 is the lateral adjustment perspective view of the embodiment of the present invention。
In figure, 100: renal artery ablation catheter robot pusher;200: support assembly;300: lateral adjustment;210: height adjustment mechanism;220: longitudinal adjusting mechanism;230: switching mechanism;240: slew gear;211: altitude mixture control base plate;213: the first DOCK LEVELERs;212: the second DOCK LEVELERs;214: altitude mixture control top board;221: longitudinal regulating base board;222: optical axis fixes seat;223: longitudinal slide;224: optical axis;225: longitudinally regulate folder;2251: holder;2252: the first nock fixture blocks;2253: the second nock fixture blocks;2254: grip bolt;226: stiffener;231: upset base;232: upset hinged seat;233: returning face plate;234: long handle;235: upset adjusting knob;236: spherical nail;237: hush panel;241: keyset;242: friction plate;243: revolution thread spindle;2431: limited cap;244: rotary locking nut;301: a laterally block;302: horizontal Ji Liang;303: buffer stopper;304: horizontal slide rail;305: apart transverse support plates;306: horizontal lock sleeve;307: cross spacing is followed closely;308: transverse slider。
Detailed description of the invention
Below in conjunction with drawings and Examples, the specific embodiment of the present invention is described in further detail。Following instance is used for illustrating the present invention, but is not limited to the scope of the present invention。
Shown in 8, the renal artery ablation catheter robot pusher supporting arrangement of the present invention, including: lateral adjustment 300 and support assembly 200, support assembly 200 includes height adjustment mechanism 210, longitudinal adjusting mechanism 220, switching mechanism 230 and slew gear 240。Lateral adjustment 300 and height adjustment mechanism 210 are two, and two lateral adjustment 300 are arranged on hospital bed both sides。Each height adjustment mechanism 210 is separately mounted in a lateral adjustment 300。Longitudinal adjusting mechanism 220 rides upon on two height adjustment mechanisms 210。Switching mechanism 230 includes upset base 231, long handle 234 and returning face plate 233, and upset base 231 is arranged on longitudinal adjusting mechanism 220, moves longitudinally under the adjustment of longitudinal adjusting mechanism 220。One end of returning face plate 233 is hinged with upset base 231 by overturning hinged seat 232, and the other end is provided with spherical chute。The front end of long handle 234 is provided with spherical nail 236, and the rear end of long handle 234 is provided with upset adjusting knob 235, and long handle 234 screw thread cross-under is on upset base 231, and spherical nail 236 is connected with spherical chute。Spherical chute is offered to the inside by returning face plate 233 end, after spherical nail 236 inserts spherical chute, uses a hush panel 237 to be connected with returning face plate 233 end, it is prevented that spherical nail 236 is deviate from。Slew gear 240 is arranged on returning face plate 233, is used for installing renal artery ablation catheter robot pusher。
Further, slew gear 240 includes keyset 241, friction plate 242 and revolution positioning component, and friction plate 242 and keyset 241 overlay on returning face plate 233 successively, and is connected with returning face plate 233 by turning round positioning component。Revolution connects assembly and includes revolution thread spindle 243 and rotary locking nut 244, is equipped with revolution installing hole on returning face plate 233, friction plate 242 and keyset 241;The rear end of revolution thread spindle 243 is provided with limited cap 2431, and the front end of revolution thread spindle 243 is through revolution installing hole, and rotary locking nut 244 is threadeded with revolution thread spindle 233。Preferably, friction plate 242 adopts the soft materials such as rubber to make。In use, when needs rotate renal artery ablation catheter robot pusher 100, unclamp rotary locking nut 244, make keyset 241 can rotate around revolution thread spindle 243, when renal artery ablation catheter robot pusher 100 is adjusted to required position, locking rotary locking nut 244, now limited cap 2431 clamps keyset 241。
Further, longitudinal adjusting mechanism 220 includes longitudinal regulating base board 221, optical axis 224 and longitudinal slide 223, and longitudinal regulating base board 221 is two, and two longitudinal regulating base boards 221 are separately mounted on two height adjustment mechanisms 210。Optical axis 224 is arranged on longitudinal regulating base board 221 by the fixing seat 222 of optical axis。Preferably, optical axis 224 is a plurality of, and a plurality of optical axis 224 is arranged in parallel to be arranged on longitudinal regulating base board 221。Longitudinal slide 233 is slidably mounted on optical axis 224;Upset base 231 is connected with longitudinal slide 223。Preferably, in order to strengthen the intensity of longitudinal adjusting mechanism 220, it is to avoid longitudinal adjusting mechanism 220 fractures damage, is provided with stiffener 226 between two longitudinal regulating base boards 221。
Further, longitudinal adjusting mechanism 220 also includes longitudinally adjusted folder 225, and longitudinally adjusted folder 225 includes holder the 2251, first nock fixture block the 2252, second nock fixture block 2253 and grip bolt 2254。Holder 2251 is fixing with upset base 231 to be connected。First nock fixture block 2252 and the second nock fixture block 2253 are fixed on holder 2251, and are oppositely arranged on the both sides of optical axis 224;Grip bolt 2254 connects the first nock fixture block 2252 and the second nock fixture block 2253。When needs are when longitudinal register, tighten grip bolt 2254, make the first nock fixture block 2252 and the second nock fixture block 2253 clamp optical axis, make upset base 231 be positioned on optical axis 224, it is prevented that upset base 231 moves;When needs longitudinally regulate, then unclamp grip bolt 2254, mobile longitudinal slide 223, so that upset base 231 moves on optical axis 224, adjust position。It should be noted that the quantity of longitudinal slide 223 is multiple, longitudinally adjusted folder 225 can also as one of them longitudinal slide。
Further, height adjustment mechanism 210 includes altitude mixture control base plate the 211, first DOCK LEVELER the 213, second DOCK LEVELER 212 and altitude mixture control top board 214。Second DOCK LEVELER 212 is fixed on the upper surface of altitude mixture control base plate 211, and altitude mixture control base plate 211 is used for being arranged on lateral adjustment 300。First DOCK LEVELER 213 is fixed on the lower surface of altitude mixture control top board 214, and longitudinal regulating base board 221 is arranged on the upper surface of altitude mixture control top board 214, and altitude mixture control top board 214 can be structure as a whole with longitudinal regulating base board 221。First DOCK LEVELER 213 is provided with many group height adjusting holes 215;First DOCK LEVELER 213 is connected by height clamping screw the second DOCK LEVELER 212。Organize height adjusting holes it should be noted that can also arrange on the second adjustable plate 212 more。When needs regulate height, unclamp height clamping screw, the position of mobile first DOCK LEVELER 213 and the second DOCK LEVELER 212, select suitable height adjusting holes 215 corresponding with the installing hole of the second DOCK LEVELER 212, locking height clamping screw, namely completes altitude mixture control。
Further, lateral adjustment 300 includes laterally a block 301, horizontal base beam 302, horizontal slide rail 304, transverse slider 308, apart transverse support plates 305 and horizontal lock sleeve 306。Horizontal base beam 302 is arranged on hospital bed both sides by a laterally block 301。Horizontal slide rail 304 is fixed on horizontal base beam 302, and apart transverse support plates 305 is slidably mounted on horizontal slide rail 304 by transverse slider 308, and apart transverse support plates 305 is for support height regulating base board 211。Horizontal lock sleeve 306 is arranged in apart transverse support plates 304, for sealed altitude mixture control base plate 211。Horizontal slide rail 301 is provided with multiple cross spacing hole, and in apart transverse support plates, cross-under has a cross spacing nail 307, and cross spacing nail 307 can be inserted in cross spacing hole。Horizontal slide rail 304 two ends are provided with two buffer stoppers 303。In use, when renal artery ablation catheter robot pusher 100 laterally moves, cross spacing nail 307 is not inserted in cross spacing hole, equipped with the support assembly 200 of renal artery ablation catheter robot pusher along horizontal slide rail 304 transverse shifting;When needs position, cross spacing is followed closely in 307 insertion cross spacing holes, it is achieved the located lateral to renal artery ablation catheter robot pusher。
The renal artery ablation catheter robot pusher supporting arrangement of the present invention, it is provided with lateral adjustment, longitudinal adjusting mechanism, height adjustment mechanism, switching mechanism and slew gear, can the adjustment of multiple dimensions of actual renal artery ablation catheter robot pusher, the suitability is strong, facilitate the use of renal artery ablation catheter robot pusher, ensure that user freely can regulate in required angle, improve therapeutic effect, and reduce the labor intensity of user。
The foregoing is only presently preferred embodiments of the present invention, not in order to limit the present invention, all within the spirit and principles in the present invention, any amendment of making, equivalent replacement, improvement etc., should be included within protection scope of the present invention。

Claims (10)

1. a renal artery ablation catheter robot pusher supporting arrangement, it is characterised in that including: lateral adjustment and support assembly, described support assembly includes height adjustment mechanism, longitudinal adjusting mechanism, switching mechanism and slew gear;Described lateral adjustment and height adjustment mechanism are two, and two described lateral adjustment are arranged on hospital bed both sides;Each described height adjustment mechanism is separately mounted in a described lateral adjustment;Described longitudinal adjusting mechanism rides upon on two described height adjustment mechanisms;Described switching mechanism includes upset base, long handle and returning face plate, and described upset floor installation is on described longitudinal adjusting mechanism;One end of described returning face plate is hinged with described upset base, and the other end is provided with spherical chute;The front end of described long handle is provided with spherical nail, and its rear end is provided with upset adjusting knob, and described long handle screw thread cross-under is on described upset base, and described spherical nail is connected with described spherical chute;Described slew gear is arranged on described returning face plate, is used for installing described renal artery ablation catheter robot pusher。
2. as claimed in claim 1 renal artery ablation catheter robot pusher supporting arrangement, it is characterized in that, described slew gear includes keyset, friction plate and revolution positioning component, described friction plate and keyset overlay on described returning face plate successively, and are connected with described returning face plate by described revolution positioning component。
3. as claimed in claim 2 renal artery ablation catheter robot pusher supporting arrangement, it is characterised in that described revolution connects assembly and includes revolution thread spindle and rotary locking nut;Described returning face plate, friction plate and keyset are equipped with revolution installing hole;The rear end of described revolution thread spindle is provided with limited cap, and the front end of described revolution thread spindle is through described revolution installing hole, and described rotary locking nut is threadeded with described revolution thread spindle。
4. the renal artery ablation catheter robot pusher supporting arrangement as described in any one of claims 1 to 3, it is characterized in that, described longitudinal adjusting mechanism includes longitudinal regulating base board, optical axis and longitudinal slide, described longitudinal regulating base board is two, and two described longitudinal regulating base boards are separately mounted on two described height adjustment mechanisms;Described optical axis is arranged on described longitudinal regulating base board by the fixing seat of optical axis;Described longitudinal slide is slidably mounted on described optical axis;Described upset base is connected with described longitudinal slide。
5. as claimed in claim 4 renal artery ablation catheter robot pusher supporting arrangement, it is characterized in that, described longitudinal adjusting mechanism also includes longitudinally adjusted folder, and described longitudinally adjusted folder includes holder, the first nock fixture block, the second nock fixture block and grip bolt;Described holder is fixing with described upset base to be connected;Described first nock fixture block and the second nock fixture block are fixed on described holder, and are oppositely arranged on the both sides of described optical axis;Described grip bolt connects described first nock fixture block and the second nock fixture block。
6. as claimed in claim 4 renal artery ablation catheter robot pusher supporting arrangement, it is characterised in that be provided with stiffener between two described longitudinal regulating base boards。
7. as claimed in claim 4 renal artery ablation catheter robot pusher supporting arrangement, it is characterised in that described height adjustment mechanism includes altitude mixture control base plate, the first DOCK LEVELER, the second DOCK LEVELER and altitude mixture control top board;Described second DOCK LEVELER is fixed on the upper surface of described altitude mixture control base plate;Described first DOCK LEVELER is fixed on the lower surface of described altitude mixture control top board;Described first DOCK LEVELER is provided with organizes height adjusting holes more;Described first DOCK LEVELER is connected by height clamping screw the second DOCK LEVELER。
8. as claimed in claim 7 renal artery ablation catheter robot pusher supporting arrangement, it is characterised in that described lateral adjustment includes laterally a block, horizontal Ji Liang, horizontal slide rail, transverse slider, apart transverse support plates and horizontal lock sleeve;Described horizontal Ji Liang props up block by described transverse direction and is arranged on described hospital bed both sides;Described horizontal slide rail is fixed on described horizontal Ji Liang, and described apart transverse support plates is slidably mounted on described horizontal slide rail by described transverse slider, and described apart transverse support plates is used for supporting described altitude mixture control base plate;Described horizontal lock sleeve is arranged in described apart transverse support plates, for sealed described altitude mixture control base plate。
9. as claimed in claim 8 renal artery ablation catheter robot pusher supporting arrangement, it is characterised in that described horizontal slide rail is provided with multiple cross spacing hole;In described apart transverse support plates, cross-under has a cross spacing nail, and described cross spacing nail can be inserted in described cross spacing hole。
10. as claimed in claim 8 renal artery ablation catheter robot pusher supporting arrangement, it is characterised in that described horizontal slide rail two ends are provided with two buffer stoppers。
CN201410697001.6A 2014-11-26 2014-11-26 Arteria renalis ablation catheter robot pusher supporting arrangement Active CN105686877B (en)

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CN105686877B CN105686877B (en) 2018-03-09

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112656518A (en) * 2020-12-23 2021-04-16 上海御瓣医疗科技有限公司 Medical catheter placing structure
US11760420B1 (en) * 2021-01-21 2023-09-19 Accuform Polymers, Inc. Universal mounts for canopies to rollover protection bars of varied attitudes

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112656518A (en) * 2020-12-23 2021-04-16 上海御瓣医疗科技有限公司 Medical catheter placing structure
US11760420B1 (en) * 2021-01-21 2023-09-19 Accuform Polymers, Inc. Universal mounts for canopies to rollover protection bars of varied attitudes

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