CN211675036U - Portable lithotomy position training auxiliary device - Google Patents
Portable lithotomy position training auxiliary device Download PDFInfo
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- CN211675036U CN211675036U CN202020156541.4U CN202020156541U CN211675036U CN 211675036 U CN211675036 U CN 211675036U CN 202020156541 U CN202020156541 U CN 202020156541U CN 211675036 U CN211675036 U CN 211675036U
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- 238000002504 lithotomy Methods 0.000 title claims abstract description 38
- 230000004323 axial length Effects 0.000 claims description 4
- 230000003014 reinforcing effect Effects 0.000 claims description 3
- 239000010985 leather Substances 0.000 claims 1
- 238000004519 manufacturing process Methods 0.000 abstract description 7
- 208000025962 Crush injury Diseases 0.000 abstract 1
- 210000002414 leg Anatomy 0.000 description 43
- 208000027418 Wounds and injury Diseases 0.000 description 6
- 230000006378 damage Effects 0.000 description 6
- 208000014674 injury Diseases 0.000 description 6
- 238000001356 surgical procedure Methods 0.000 description 4
- 208000002197 Ehlers-Danlos syndrome Diseases 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 208000032984 Intraoperative Complications Diseases 0.000 description 1
- 206010057765 Procedural complication Diseases 0.000 description 1
- 210000002255 anal canal Anatomy 0.000 description 1
- 210000001217 buttock Anatomy 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 238000000034 method Methods 0.000 description 1
- 210000002640 perineum Anatomy 0.000 description 1
- 230000037380 skin damage Effects 0.000 description 1
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Abstract
Description
技术领域technical field
本实用新型涉及一种可移动截石位训练辅助装置,属于截石位训练领域。The utility model relates to a movable auxiliary device for lithotomy position training, belonging to the field of lithotomy position training.
背景技术Background technique
截石位是肛门手术最常用的体位,患者仰卧于检查床上,臀部靠近床边,双腿放到支腿架上,能最大限度显露会阴,是直肠、肛管手术及妇科检查的常用体位。如体位不当,可导致局部皮肤压伤等并发症。The lithotomy position is the most commonly used position for anal surgery. The patient lies supine on the examination bed, the buttocks are close to the bedside, and the legs are placed on the outriggers to maximize the exposure of the perineum. It is a common position for rectal, anal canal surgery and gynecological examinations. Improper posture can lead to complications such as local skin crushing.
由于目前尚无合适的截石位训练辅助装置,医护人员虽然会在术前告知患者截石位的要领及注意事项,但由于患者手术中的高度紧张,常会发生因体位不当而导致的局部皮肤压伤等并发症,因此,急需开发一种截石位辅助训练装置,让患者术前在病房内即可对截石位进行有效训练,以减少术中因体位不当而导致的局部皮肤压伤等并发症。Since there is currently no suitable lithotomy position training aid, although the medical staff will inform the patient about the essentials and precautions of the lithotomy position before the operation, but due to the high tension of the patient during the operation, local skin damage caused by improper posture often occurs. Therefore, it is urgent to develop an auxiliary training device for the lithotomy position, so that patients can effectively train the lithotomy position in the ward before surgery, so as to reduce the local skin pressure injury caused by improper posture during the operation. and other complications.
实用新型内容Utility model content
本实用新型提供一种可移动截石位训练辅助装置,可对截石位术前患者进行有效训练,使患者准确熟练截石位体位,以减少术中因体位不当而导致的局部皮肤压伤等并发症。The utility model provides a movable lithotomy position training auxiliary device, which can effectively train patients in the lithotomy position before the operation, so that the patients can be accurately proficient in the lithotomy position, so as to reduce the local skin pressure injury caused by improper posture during the operation and other complications.
为解决上述技术问题,本实用新型所采用的技术方案如下:In order to solve the above-mentioned technical problems, the technical scheme adopted by the present utility model is as follows:
一种可移动截石位训练辅助装置,包括支撑台、支撑柱、万向轮、横向调节装置、托腿架和调节杆;支撑台为长方形结构;支撑柱有结构相同、高度相等的四根,四根支撑柱分别设在支撑台底部的四角处;万向轮为带锁定功能的万向轮,万向轮有四个,分别安装在四根支撑柱底部;横向调节装置有结构相同的两个,两个横向调节装置相对设置在支撑台顶部长度方向的两端,且两个横向调节装置的横向调节方向均与支撑台的长度方向一致;托腿架有结构相同、且相对设置的两个,两个托腿架分别通过两根调节杆连接在两个横向调节装置上,两根调节杆均为高度可调结构。A movable auxiliary device for lithotomy position training, comprising a support platform, a support column, a universal wheel, a lateral adjustment device, a leg support and an adjustment rod; the support platform is a rectangular structure; the support column has four structures with the same structure and the same height , the four support columns are respectively arranged at the four corners of the bottom of the support platform; the universal wheel is a universal wheel with a locking function, and there are four universal wheels, which are respectively installed at the bottom of the four support columns; the lateral adjustment device has the same structure. Two, two lateral adjustment devices are oppositely arranged at both ends of the length direction of the top of the support table, and the lateral adjustment directions of the two lateral adjustment devices are consistent with the length direction of the support table; Two, two leg rests are respectively connected to two lateral adjustment devices through two adjustment rods, both of which are height-adjustable structures.
带锁定功能的万向轮直接购买现有市售产品即可。The universal wheel with locking function can be purchased directly from the existing commercial products.
使用时,直接将训练装置推到患者病床前,并从床尾进入,使支撑台架设在床面上,锁定万向轮,根据患者体型,通过调节横向调节装置和调节杆以确定两托腿架的横向位置和高度,通过调节支撑台的位置实现托腿架纵向位置的调整,患者将两条腿分别架设在两个托腿架上,在医护人员的指导下,进行截石位的训练,使患者在术前熟练掌握截石位的要点和注意事项,以减少术中因体位不当而导致的局部皮肤压伤等并发症。When in use, push the training device directly in front of the patient's bed, and enter from the end of the bed, so that the support table is erected on the bed surface, lock the universal wheel, and adjust the lateral adjustment device and adjustment rod according to the patient's body to determine the two leg rests. The horizontal position and height of the leg rest can be adjusted by adjusting the position of the support table to realize the adjustment of the longitudinal position of the leg rest. The patient sets up two legs on the two leg rests respectively. Make the patient master the key points and precautions of the lithotomy position before the operation, so as to reduce the complications such as local skin pressure injury caused by improper position during the operation.
本申请上下、左右、顶部、底部等方位词,均指装置正常使用的相对位置。Orientation terms such as up and down, left and right, top and bottom in this application all refer to the relative positions of the device in normal use.
为了方便制造、降低成本,同时方便使用,横向调节装置包括滑动横杆、连接件和定位螺栓;滑动横杆为方管结构,滑动横杆的长度方向与支撑台的长度方向一致,滑动横杆底部两端设有等高度的增高垫体,增高垫体连接在支撑台上;连接件为方形环结构,连接件套在滑动横杆外围,连接件的侧壁上设有螺纹孔,定位螺栓螺纹连接在螺纹孔上、并与滑动横杆相抵,形成滑动横杆和连接件的相对固定,调节杆的底部连接在连接件的顶部。当需要调节托腿架的横向位置时,松开定位螺栓,调整好位置后,重新旋紧定位螺栓至与滑动横杆相抵。In order to facilitate manufacture, reduce costs, and at the same time be convenient to use, the lateral adjustment device includes sliding bars, connecting pieces and positioning bolts; Both ends of the bottom are provided with height-enhancing pads of equal height, which are connected to the support table; the connecting piece is a square ring structure, the connecting piece is sleeved on the periphery of the sliding crossbar, and the side wall of the connecting piece is provided with threaded holes and positioning bolts The screw is connected on the threaded hole and abuts against the sliding cross bar to form a relative fixation between the sliding cross bar and the connecting piece, and the bottom of the adjusting rod is connected to the top of the connecting piece. When it is necessary to adjust the lateral position of the leg support, loosen the positioning bolts, and after adjusting the position, re-tighten the positioning bolts until they are in contact with the sliding cross bar.
为了提高定位螺栓的稳定性,连接件侧壁上螺纹孔的轴向长度为0.5~1cm。螺纹孔的轴向长度也即螺纹孔的深度。In order to improve the stability of the positioning bolt, the axial length of the threaded hole on the side wall of the connecting piece is 0.5-1 cm. The axial length of the threaded hole is also the depth of the threaded hole.
为了进一步提高定位螺栓的稳定性,滑动横杆的外围设有弹性皮。这样能有效避免定位螺栓的打滑。In order to further improve the stability of the positioning bolts, the outer periphery of the sliding crossbar is provided with elastic skins. This can effectively avoid the slippage of the positioning bolts.
为了方便使用,滑动横杆底部两端的增高垫均通过螺栓可拆卸地连接在支撑台上。这样可根据需要拆掉横向调节装置、托腿架和调节杆,以用作餐桌。For the convenience of use, the booster pads at both ends of the bottom of the sliding crossbar are detachably connected to the support table through bolts. This allows the lateral adjustment, leg rests and lever to be removed as required for use as a dining table.
托腿架为开口向上的U字形结构,为了方便托腿架角度的调整,两个托腿架分别通过旋转接头连接在两个调节杆的顶部,这样也即托腿架可作水平的旋转。The leg support is a U-shaped structure with an upward opening. In order to facilitate the adjustment of the angle of the leg support, the two leg supports are respectively connected to the top of the two adjustment rods through the rotary joint, so that the leg support can be rotated horizontally.
为了提高使用的稳定性,两个托腿架上均设有腿部固定带;腿部固定带包括两个连接分带,两个连接分带的一端分别连接在托腿架的两侧、两个连接分带的另一端活动连接在一起。In order to improve the stability of use, both leg support brackets are provided with leg fixing straps; the leg fixing strap includes two connecting sub-bands, one end of the two connecting sub-bands is respectively connected to the two sides of the leg supporting frame, and the two The other ends of the connected strips are actively connected together.
为了提高使用舒适性,两个托腿架内侧均设有可拆洗的弹性垫,弹性垫可根据需要进行拆卸、清洁、消毒、更换;两个托腿架的起始端均设有向下延伸的弧形折边。In order to improve the comfort of use, there are removable and washable elastic pads on the inside of the two leg rests, which can be disassembled, cleaned, disinfected and replaced as needed; the starting ends of the two leg rests are provided with downwardly extending Curved hem.
为了方便制造、降低成本,同时方便调节,调节杆包括下管、上管和固定螺栓;下管的内径大于上管的外径;下管上沿高度方向设有等间距设置的第一通孔,第一通孔包括设在下管同一高度、且相对设置的两个通孔;上管上沿高度方向设有等间距设置的第二通孔,第二通孔包括设在上管同一高度、且相对设置的两个通孔;上管插入下管内,固定螺栓同时穿过第一通孔和第二通孔,并通过螺母固定。In order to facilitate manufacture, reduce costs, and facilitate adjustment, the adjusting rod includes a lower tube, an upper tube and a fixing bolt; the inner diameter of the lower tube is larger than the outer diameter of the upper tube; the lower tube is provided with first through holes arranged at equal intervals along the height direction , the first through hole includes two through holes arranged at the same height of the lower tube and oppositely arranged; the upper tube is provided with second through holes arranged at equal intervals along the height direction, and the second through holes include two through holes arranged at the same height of the upper tube, And two through holes arranged oppositely; the upper pipe is inserted into the lower pipe, the fixing bolts pass through the first through hole and the second through hole at the same time, and are fixed by nuts.
为了提高装置的使用稳定性,支撑台宽度方向上、相邻两支撑柱之间设有加强杆。In order to improve the use stability of the device, a reinforcing rod is arranged between the two adjacent support columns in the width direction of the support platform.
为了不影响使用,支撑台长度方向上、相邻两支撑柱之间的间距大于90cm;支撑柱的高度大于50cm。这样便于装置能顺利的从床尾推入,使支撑台位于床面以上。现有大多数病床的宽度在80~90cm,高度在40~50cm,支撑台长度方向上、相邻两支撑柱之间的间距要大于病床的宽度,支撑柱的高度要大于病床的高度。In order not to affect the use, the distance between two adjacent support columns in the length direction of the support platform is greater than 90cm; the height of the support columns is greater than 50cm. In this way, the device can be smoothly pushed in from the end of the bed, so that the support table is located above the bed surface. The width of most existing hospital beds is 80-90cm and the height is 40-50cm. In the length direction of the support table, the distance between two adjacent support columns is greater than the width of the hospital bed, and the height of the support column is greater than the height of the hospital bed.
为了提高使用的适应性,支撑柱设置为高度可调结构,方便托腿架高度的调整。In order to improve the adaptability of use, the support column is set to a height-adjustable structure to facilitate the adjustment of the height of the leg support.
为了更加便于纵向位置的调整,上述训练装置还包括纵向调节装置,纵向调节装置有结构相同的两个,两个纵向调节装置与两个横向调节装置一一对应,两个纵向调节装置相对设置在支撑台顶部长度方向的两端,每个纵向调节装置包括两个相对、且平行的滑动纵杆,滑动纵杆的长度方向与支撑台的宽度方向平行,滑动纵杆上设有间距设置的螺纹孔,与纵向调节装置相对应的滑动横杆的两端分别通过螺栓固定在两个滑动纵杆的螺纹孔上,滑动纵杆与滑动横杆相互垂直。In order to facilitate the adjustment of the longitudinal position, the above training device further includes a longitudinal adjustment device. There are two longitudinal adjustment devices with the same structure. The two longitudinal adjustment devices correspond to the two lateral adjustment devices one-to-one. At both ends of the length direction of the top of the support table, each longitudinal adjustment device includes two opposite and parallel sliding longitudinal rods, the length direction of the sliding longitudinal rods is parallel to the width direction of the supporting table, and the sliding longitudinal rods are provided with threads arranged at intervals The two ends of the sliding transverse rods corresponding to the longitudinal adjustment device are respectively fixed on the threaded holes of the two sliding longitudinal rods through bolts, and the sliding longitudinal rods and the sliding transverse rods are perpendicular to each other.
本实用新型未提及的技术均参照现有技术。The technologies not mentioned in the present invention refer to the prior art.
本实用新型可移动截石位训练辅助装置,可对截石位术前患者进行有效训练,使患者准确熟练截石位体位,以减少术中因体位不当而导致的局部皮肤压伤等并发症;方便移动,使用灵活,托腿架的横向位置、纵向位置和高度均可调,适应性强;稳定性好、结构简单、方便制造、成本低廉。The movable lithotomy position training auxiliary device of the utility model can effectively train patients in the lithotomy position before the operation, so that the patients can be accurately proficient in the lithotomy position, so as to reduce complications such as local skin pressure injury caused by improper posture during the operation ; Easy to move, flexible to use, the lateral position, vertical position and height of the leg support can be adjusted, and the adaptability is strong; good stability, simple structure, convenient manufacture and low cost.
附图说明Description of drawings
图1为可移动截石位训练辅助装置结构示意图一;Fig. 1 is the structure schematic diagram 1 of the movable lithotomy position training auxiliary device;
图2为可移动截石位训练辅助装置结构示意图二;Fig. 2 is the second structural schematic diagram of the movable lithotomy position training aid;
图中,1为支撑台,11为支撑台的长度方向,2为支撑柱,3为万向轮,4为横向调节装置,41为滑动横杆,42为连接件,43为定位螺栓,44为增高垫体,5为托腿架,51 为腿部固定带,6为调节杆,61为下管,62为上管,63为固定螺栓,7为纵向调节装置, 71为滑动纵杆,72为螺纹孔。In the figure, 1 is the support table, 11 is the length direction of the support table, 2 is the support column, 3 is the universal wheel, 4 is the lateral adjustment device, 41 is the sliding cross bar, 42 is the connecting piece, 43 is the positioning bolt, 44 5 is the leg support, 51 is the leg fixing belt, 6 is the adjusting rod, 61 is the lower tube, 62 is the upper tube, 63 is the fixing bolt, 7 is the longitudinal adjustment device, 71 is the sliding longitudinal rod, 72 is a threaded hole.
具体实施方式Detailed ways
为了更好地理解本实用新型,下面结合实施例进一步阐明本实用新型的内容,但本实用新型的内容不仅仅局限于下面的实施例。In order to better understand the present utility model, the contents of the present utility model are further explained below in conjunction with the embodiments, but the contents of the present utility model are not limited to the following embodiments.
实施例1Example 1
如图1所示,一种可移动截石位训练辅助装置,包括支撑台、支撑柱、万向轮、横向调节装置、托腿架和调节杆;支撑台为长方形结构;支撑柱有结构相同、高度相等的四根,四根支撑柱分别设在支撑台底部的四角处;万向轮为带锁定功能的万向轮,万向轮有四个,分别安装在四根支撑柱底部;横向调节装置有结构相同的两个,两个横向调节装置相对设置在支撑台顶部长度方向的两端,且两个横向调节装置的横向调节方向均与支撑台的长度方向一致;托腿架有结构相同、且相对设置的两个,两个托腿架分别通过两根调节杆连接在两个横向调节装置上,两根调节杆均为高度可调结构。As shown in Figure 1, a movable lithotomy position training auxiliary device includes a support table, a support column, a universal wheel, a lateral adjustment device, a leg support and an adjustment rod; the support table is a rectangular structure; the support columns have the same structure , four equal heights, and the four support columns are located at the four corners of the bottom of the support platform; the universal wheel is a universal wheel with a locking function, and there are four universal wheels, which are respectively installed at the bottom of the four support columns; There are two adjustment devices with the same structure. The two lateral adjustment devices are oppositely arranged at both ends of the length direction of the top of the support platform, and the lateral adjustment directions of the two lateral adjustment devices are consistent with the length direction of the support platform; the leg bracket has a structure Two identical and oppositely arranged, two leg rests are respectively connected to two lateral adjusting devices through two adjusting rods, both of which are height-adjustable structures.
使用时,直接将训练装置推到患者病床前,并从床尾进入,使支撑台架设在床面上,锁定万向轮,根据患者体型,通过调节横向调节装置和调节杆以确定两托腿架的横向位置和高度,患者将两条腿分别架设在两个托腿架上,在医护人员的指导下,进行截石位的训练,使患者在术前熟练掌握截石位的要点和注意事项,以减少术中因体位不当而导致的局部皮肤压伤等并发症。When in use, push the training device directly in front of the patient's bed, and enter from the end of the bed, so that the support table is erected on the bed surface, lock the universal wheel, and adjust the lateral adjustment device and adjustment rod according to the patient's body to determine the two leg rests. The lateral position and height of the lithotomy position, the patient sets the two legs on the two leg supports respectively, and under the guidance of the medical staff, carries out the training of the lithotomy position, so that the patient can master the main points and precautions of the lithotomy position before the operation. , in order to reduce intraoperative complications such as local skin pressure injury caused by improper body position.
实施例2Example 2
在实施例1的基础上,进一步作了如下改进:为了方便制造、降低成本,同时方便使用,横向调节装置包括滑动横杆、连接件和定位螺栓;滑动横杆为方管结构,滑动横杆的长度方向与支撑台的长度方向一致,滑动横杆底部两端设有等高度的增高垫体,增高垫体连接在支撑台上;连接件为方形环结构,连接件套在滑动横杆外围,连接件的侧壁上设有螺纹孔,定位螺栓螺纹连接在螺纹孔上、并与滑动横杆相抵,调节杆的底部连接在连接件的顶部。当需要调节托腿架的横向位置时,松开定位螺栓,调整好位置后,重新旋紧定位螺栓至与滑动横杆相抵。On the basis of
实施例3Example 3
在实施例2的基础上,进一步作了如下改进:为了提高定位螺栓的稳定性,连接件侧壁上螺纹孔的轴向长度为0.5~1cm。On the basis of
实施例4Example 4
在实施例3的基础上,进一步作了如下改进:为了进一步提高定位螺栓的稳定性,滑动横杆的外围设有弹性皮。这样能有效避免定位螺栓的打滑。On the basis of
实施例5Example 5
在实施例2或3或4的基础上,进一步作了如下改进:为了方便使用,滑动横杆底部两端的增高垫均通过螺栓可拆卸地连接在支撑台上。这样可根据需要拆掉横向调节装置、托腿架和调节杆,以用作餐桌。On the basis of
实施例6Example 6
在实施例5的基础上,进一步作了如下改进:托腿架为开口向上的U字形结构,为了方便托腿架角度的调整,两个托腿架分别通过旋转接头连接在两个调节杆的顶部,这样也即托腿架可作水平的旋转。为了提高使用的稳定性,两个托腿架上均设有腿部固定带;腿部固定带包括两个连接分带,两个连接分带的一端分别连接在托腿架的两侧、两个连接分带的另一端活动连接在一起。为了提高使用舒适性,两个托腿架内侧均设有可拆洗的弹性垫;两个托腿架的起始端均设有向下延伸的圆弧折边。On the basis of
实施例7Example 7
在实施例6的基础上,进一步作了如下改进:为了方便制造、降低成本,同时方便调节,调节杆包括下管、上管和固定螺栓;下管的内径大于上管的外径;下管上沿高度方向设有等间距设置的第一通孔,第一通孔包括设在下管同一高度、且相对设置的两个通孔;上管上沿高度方向设有等间距设置的第二通孔,第二通孔包括设在上管同一高度、且相对设置的两个通孔;上管插入下管内,固定螺栓同时穿过第一通孔和第二通孔,并通过螺母固定。On the basis of Example 6, the following improvements are further made: in order to facilitate manufacture, reduce costs, and facilitate adjustment, the adjusting rod includes a lower tube, an upper tube and a fixing bolt; the inner diameter of the lower tube is larger than the outer diameter of the upper tube; the lower tube There are first through holes arranged at equal intervals along the height direction, and the first through holes include two through holes arranged at the same height of the lower tube and arranged oppositely; the upper tube is provided with second through holes arranged at equal intervals along the height direction. The second through hole includes two through holes arranged at the same height of the upper tube and oppositely arranged; the upper tube is inserted into the lower tube, and the fixing bolts pass through the first through hole and the second through hole at the same time, and are fixed by nuts.
实施例8Example 8
在实施例7的基础上,进一步作了如下改进:为了提高装置的使用稳定性,支撑台宽度方向上、相邻两支撑柱之间设有加强杆。为了不影响使用,支撑台长度方向上、相邻两支撑柱之间的间距大于90cm;支撑柱的高度大于50cm。这样便于装置能顺利的从床尾推入,使支撑台位于床面以上。现有大多数病床的宽度在80~90cm,高度在40~50cm,支撑台长度方向上、相邻两支撑柱之间的间距要大于病床的宽度,支撑柱的高度要大于病床的高度。On the basis of Embodiment 7, the following improvements are further made: in order to improve the use stability of the device, a reinforcing rod is provided in the width direction of the support platform and between two adjacent support columns. In order not to affect the use, the distance between two adjacent support columns in the length direction of the support platform is greater than 90cm; the height of the support columns is greater than 50cm. In this way, the device can be smoothly pushed in from the end of the bed, so that the support table is located above the bed surface. The width of most existing hospital beds is 80-90cm and the height is 40-50cm. In the length direction of the support table, the distance between two adjacent support columns is greater than the width of the hospital bed, and the height of the support column is greater than the height of the hospital bed.
实施例9Example 9
如图2所示,在实施例2的基础上,进一步作了如下改进:还包括纵向调节装置,纵向调节装置有结构相同的两个,两个纵向调节装置与两个横向调节装置一一对应,两个纵向调节装置相对设置在支撑台顶部长度方向的两端,每个纵向调节装置包括两个相对、且平行的滑动纵杆,滑动纵杆的长度方向与支撑台的宽度方向平行,滑动纵杆上设有间距设置的螺纹孔,与纵向调节装置相对应的滑动横杆的两端分别通过螺栓固定在两个滑动纵杆的螺纹孔上,滑动纵杆与滑动横杆相互垂直。这样更加便于纵向位置的调整。As shown in Figure 2, on the basis of
上述各例的可移动截石位训练辅助装置,可对截石位术前患者进行有效训练,使患者准确熟练截石位体位,以减少术中因体位不当而导致的局部皮肤压伤等并发症;方便移动,使用灵活,托腿架的横向位置、纵向位置和高度均可调,适应性强;稳定性好、结构简单、方便制造、成本低廉。The movable lithotomy position training aids in the above cases can effectively train the patients in the lithotomy position before surgery, so that the patients can be accurately and proficient in the lithotomy position, so as to reduce the complications such as local skin pressure injury caused by improper posture during the operation. It is easy to move, flexible to use, the lateral position, longitudinal position and height of the leg support can be adjusted, and the adaptability is strong; the stability is good, the structure is simple, the manufacture is convenient, and the cost is low.
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