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92 results about "Pelvic organs" patented technology

System and method for nerve stimulation, closed-loop feedback, and pelvic organ prolapse

A closed-loop neuromodulation system includes at least one implantable neurostimulator configured to deliver electrical stimulation to a target nerve innervating a muscle; at least one biosignal sensor configured to detect a physiological signal associated with the target muscle, wherein the physiological signal may include an electromyographic (EMG) or electroneurographic (ENG) signal; and a controller operatively coupled to the neurostimulator and the sensor. The controller is configured to receive the physiological signal from the sensor, determine whether the signal satisfies a predefined condition indicative of weakness, strength, fatigue, muscle underactivity, or overstimulation, and, in response to detecting that the condition is satisfied, automatically adjust one or more stimulation parameters selected from amplitude, frequency, pulse width, train duration, or train count.
Owner:REGENERATIVE BIOELECTRONICS INC

Pelvic floor muscle support garment

ActiveJP7614695B1Weft knittingOrnamental textile articlesPelvic regionFemale external genitalia
This can enhance the effects of supporting the pelvic floor muscles, preventing pelvic organ prolapse, and improving lymphatic flow, while also providing a soft feel when worn. The pelvic floor muscle support garment 10 of the present invention is formed from knitted fabric, and the crotch portion 13 has a three-layer structure including an outer knitted fabric 131, an inner knitted fabric 132, and an intermediate layer 133 therebetween, with the intermediate layer 133 having a predetermined thickness forming an annular bulge 134. As it is the inner knitted fabric 132 that comes into contact with the periphery of the female external genitalia, it feels soft against the skin, and the annular bulge 134 has high cushioning properties, so it is possible to increase the pressure on the periphery of the external genitalia while relieving localized pressure. This promotes lymphatic flow, further enhancing the preventive effect against lymphedema, etc.
Owner:MITSUI MEDICAL JAPAN CO LTD

Computed tomography (CT)-guided pelvic organ group module for vagina posterior fornix puncture injection

The invention relates to the technical field of medical teaching aids or medical experimental models, and discloses a CT-guided vagina posterior fornix puncture injection pelvic organ group module, a manufacturing method of the CT-guided vagina posterior fornix puncture injection pelvic organ group module and a female pelvic cavity model. The pelvic organ group module or the female pelvic cavity model provided by the invention is used for the training of the current clinical improved operation of transvaginal posterior fornix puncture injection of biological gel, so that the technology can be popularized as soon as possible, and the reliability and the safety of a transvaginal posterior fornix medical isolation rubber injection puncture operation based on CT guidance are improved.
Owner:SHANGHAI RUINING BIOTECH CO LTD

Devices, systems and methods for training pelvic floor muscles

The invention relates to devices, systems and methods for training pelvic floor muscles. Characterized by intravaginal devices and methods of using these devices to observe the status of pelvic floor muscles of an individual in order to diagnose, treat or prevent pelvic floor conditions (e.g., pelvic organ prolapse and incontinence) and associated symptoms thereof, and methods of using these devices to treat or prevent vaginal conditions (e.g., skin laxity) in a subject using energy transmitters (e.g., radio frequency transmitters). The features are also algorithms for detecting pelvic floor motion and physiological markers from the sensor data.
Owner:AXENA HEALTH INC

Pre-shaped allograft implant for pelvic organ prolapse

An acellular dermal matrix (ADM) graft product for a pelvic organ prolapse repair procedure includes an ADM graft derived from full-thickness skin, with a pre-formed shape having one or more of a mesh pattern formed in a central portion thereof, suture punch or slit features or radii transitions about the perimeter. The ADM graft is pre-hydrated, placed in a sterilization package and irradiated to provide a two-year shelf-life for the ADM graft product, which is used in the time-saving, efficient, and effective surgical reconstruction of soft tissue defects. One manufacturing method involves providing a portion of full-thickness donor-derived skin, removing an epidermis, basement membrane, and a fat layer form the portion of the skin, decellularizing the skin to form a portion of ADM graft material, pre-shaping and meshing the ADM graft material, verifying a thickness of the ADM graft material, and packaging the pre-shaped, meshed ADM graft material in a sterilizable package and irradiating for a two-year shelf-life to form the ADM graft product. Other embodiments are also disclosed.
Owner:ALLOSOURCE

Devices, systems, and methods for training pelvic floor muscles

ActiveUS12220345B2Inertial sensorsCatheterPelvic regionPelvic Floor Diseases
Featured are intravaginal devices and methods of using the devices to observe the state of an individual's pelvic floor muscles in order to diagnose, treat, or prevent pelvic floor disorders (e.g., pelvic organ prolapse and incontinence) and their accompanying symptoms and methods of using the devices to treat or prevent vaginal disorders (e.g., skin laxity) in a subject using an energy transmitter (e.g., a radiofrequency transmitter).
Owner:AXENA HEALTH INC

Method of preparing a suture fixation device for use in surgery to treat pelvic organ prolapse

A method of preparing a suture fixation device for use in surgery to treat pelvic organ prolapse includes providing a delivery device and a tissue fixation device. The tissue fixation device includes a tab connected to a tissue anchor, with the tissue anchor having a suture eyelet. The method includes instructing a user to hold the tab and insert the tissue anchor into the delivery device and breaking the tab away from the tissue anchor leaving the tissue anchor in the delivery device.
Owner:COLOPLAST AS

Automatic pelvic organ prolapse measurement and evaluation system

The invention belongs to the technical field of gynecological examination instruments, and provides an automatic pelvic organ prolapse measurement and evaluation system which comprises a scale measuring ruler, a pressure sensor and an automatic evaluation panel. A pressure sensor is embedded in the far end of the measuring scale and fixed in a groove in the far end of the measuring scale, the near end of the sensor is connected with an automatic evaluation panel through a wire, the near end of the measuring scale is embedded in a locking mechanism of the automatic evaluation panel, and different indicator lamps on the automatic evaluation panel feed back data of the pressure sensor qualitatively. The plurality of physical keys control startup, measurement and automatic evaluation calculation, the loudspeaker feeds back evaluation data, and the display screen can visually interact the evaluation data with doctors; the pressure sensor is used for feeding back contact, reading errors can be reduced, various data of POP-Q scores can be conveniently, rapidly and accurately measured, the data are automatically analyzed to evaluate POP-Q staging, work of clinical operators can be greatly facilitated, and evaluation time is shortened.
Owner:BEIJING SHUNYI DISTRICT MATERNAL & CHILD HEALTH HOSPITAL

Magnetic therapy chair

The invention relates to medical therapeutic and prophylactic low-frequency magnetic pulse devices for providing therapeutic and general stimulation (massage) of tissues by means of electromagnetic induction, specifically for magnetic stimulation of the pelvic floor and pelvic organs. The technical result consists in increasing the reliability of a device for magnetic stimulation of the pelvic floor and pelvic organs. The technical result is achieved by means of a magnetic therapy chair, comprising a body in the form of a chair with a seat, and a magnetic field inductor, wherein the magnetic field inductor is located under the seat and the body of the chair is mounted on a frame, to which an assembly for the movement of the inductor is rigidly attached, said assembly comprising guides along which move carriages that set the magnetic field inductor in motion with the aid of a transmission which converts the motion of the motor into translational motion of the inductor along the guides.
Owner:OBSHCHESTVO S OGRANICHENNOI OTVETSTVENNOSTIU INTERFIN

A positioning method of uterine cardinal ligament and sacral ligament and a pelvic floor finite element evolution model construction method

The application discloses a positioning method of uterine cardinal ligament and sacral ligament and a pelvic floor finite element evolution model construction method, and belongs to the field of two-dimensional digital modeling and biomechanics research. According to the pelvic floor anatomy structure, the starting point and the ending point of the cardinal ligament and the sacral ligament in the two-dimensional finite element model are determined, and a distributed nonlinear hyperelastic spring group is proposed to simulate the suspension mechanical properties of the cardinal ligament and the sacral ligament. An organ tissue proportional damage simulation method and a proportional damage expression are proposed, the nonlinear material stress-strain curve of the pelvic floor organ tissue is multiplied by a proportional damage factor to simulate the mechanical properties of the pelvic floor organ damage. A concentrated load application method and a concentrated force-displacement expression of the initial shape feature are proposed to simulate the initial genital cleft and the uterine-vaginal angle. The evolution model can intuitively show the mechanical changes and shape feature change trends of the pelvic floor from the initial injury to the severe prolapse, and provides a basis for the reconstruction surgery design of the pelvic organ prolapse.
Owner:KUNMING UNIV OF SCI & TECH

Information processing system, information processing method, and information processing program

This information processing system comprises at least one processor. The at least one processor acquires one or more target images indicating one or more target pelvic organs of a subject, and inputs each of the one or more target images to an image analysis model, which is trained so as to identify the pelvic organ and at least one lesion related to the pelvic organ from the input image, to generate one or more analysis result images indicating the result of processing by the image analysis model in a format in which each of the one or more target pelvic organs and a target lesion that is the lesion of the subject are distinguished from each other.
Owner:CHUGAI PHARMA CO LTD +1

Devices, systems and methods for vaginal therapeutics

A range of surgical treatment options for pelvic organ prolapse (POP) and urinary incontinence (UI) as well as non-surgical treatments exist for POP and UI. However, the fitting of physical non-surgical devices such as Kegel assist devices and pessaries is by best guess or trial-and-error. The inventors have established methods, processes and devices to provide measurements of user specific anatomy and physiology in a reproducible manner with devices and systems that remove measurement artifacts, errors, bias etc. whilst providing the patient with an improved experience and the medical personnel with ergonomic, efficient, and easy to use systems. Further, new and improved designs, processes and methods for providing user specific physical non-surgical devices based upon such measurements are established that incorporate user specific anatomy and physiology, user lifestyle, and user experiences into the design and implementation of custom vaginal therapeutic devices.
Owner:COSM MEDICAL CORP

Natural silk patch for treating female pelvic floor dysfunction diseases and preparation method thereof

The invention discloses a natural silk patch for treating female pelvic floor dysfunction diseases and a preparation method thereof. The preparation method of the natural silk patch comprises the following steps: carrying out warp knitting on natural silk threads, and then carrying out heat setting to obtain the natural silk patch, and the diameter of the natural silk threads is 20 / 22 / 24D. The natural silk patch prepared by the invention can be used as a pelvic organ prolapse patch. The natural silk patch disclosed by the invention is good in mechanical property, capable of meeting mechanical support required by the pelvic floor, good in biocompatibility and light in foreign matter reaction.
Owner:PEOPLES HOSPITAL PEKING UNIV

Scaffold for soft tissue augmentation and reinforcement

The disclosure relates to a scaffold graft material, or platelet rich plasma (PRP) graft, and method of production thereof, for tissue repair and / or support (e.g. reinforcement). In one particular application, the scaffold material is used for treating pelvic organ prolapse (POP).
Owner:SMARTFEM MEDICAL TECH PTY LTD

Flexible cone-shaped intra-vaginal support device

In accordance with embodiments of the present disclosure, a flexible and non-absorbent vaginal insert device shaped to be held securely in place in a vagina when inserted, so as to improve symptoms associated with pelvic organ prolapse or urinary incontinence or both, is provided. The device is designed to be relatively easy to insert and remove. An applicator may be used to aid with insertion. The vaginal insert device comprises an upper portion, having a cone-shaped body, having a circular transverse cross-section throughout its length, having a wall with an interior side and an exterior side, an upper open end, a lower end, and a hollow interior, wherein the upper open end of the upper portion is the innermost portion of the device during insertion, and wherein the wall of the upper portion can be squeezed to make the upper portion more compact for easier insertion of the device, and wherein after insertion the wall expands back to its original shape. The device further comprises an exterior rim surrounding and protruding from the exterior side of the wall and being adjacent to the upper open end, and a plurality of ridges surrounding and protruding from the exterior side of the wall, and a removal portion extending from said lower end of said upper portion to assist in removal of the device. The device can also comprise one or more ventilation openings.
Owner:WATKINS CONTI PRODUCTS INC

Artificial fascia and its construction method and application

The application discloses an artificial fascia which is a composite material with a five-layer structure and is composed of fat stem cell-loaded amniotic membrane, PRP gel and polyurethane film; the five-layer structure material is in sequence of fat stem cell-loaded amniotic membrane, PRP gel, polyurethane film, PRP gel and fat stem cell-loaded amniotic membrane; the fat stem cell-loaded amniotic membrane is acellular amniotic membrane paved with fat stem cells and is prepared by the following method: inoculating fat stem cells on the acellular amniotic membrane and growing for 7-14 days to obtain the fat stem cell-loaded amniotic membrane. The application further discloses a preparation method of the artificial fascia and application of the artificial fascia in preparation of a biological patch for treating hernia or in preparation of a mesh for treating pelvic organ prolapse. The artificial fascia has high tensile strength, good tissue compatibility, good immune function and degradability, is a biological composite material with excellent performance, can be used for treating hernia and pelvic organ prolapse and has great application potential.
Owner:SHENYANG CELL THERAPY ENG TECH R & D CENT CO LTD +1

Pelvic organ prolapse degree evaluation method and system based on MRI three-dimensional reconstruction pelvis

The invention provides a pelvic organ prolapse degree assessment method, system, medium and device based on MRI three-dimensional reconstruction pelvis, and the method comprises the following steps: obtaining MRI data of a pelvic organ of a to-be-assessed object, and constructing a pelvic organ complex model with anatomical features based on the MRI data; constructing a three-dimensional reference plane based on the pelvic three-dimensional model of the pelvic organ complex model; marking point positions of prolapse measuring points based on the pelvic organ complex model, constructing a vertical line of the shortest distance from the prolapse measuring points to the three-dimensional reference plane, marking intersection points of the vertical line and the three-dimensional reference plane as foot points, and calculating the distance from the prolapse measuring points to the foot points to obtain a prolapse quantity value; and implementing POP-Q check based on the same object to be evaluated to obtain a POP-Q scoring result, and comparing the POP-Q scoring result with the prolapse quantity value to obtain a prolapse degree evaluation result. By means of the method, POP-Q evaluation deviation caused by different hospitals and doctors can be eliminated, and pelvic floor reconstruction operation approach selection is guided.
Owner:HAINAN PROVINCIAL PEOPLES HOSPITAL

Method for constructing uterus main ligament and sacral ligament positioning and pelvic floor finite element evolution model

The invention discloses a uterus main ligament and sacral ligament positioning and pelvic floor finite element evolution model construction method, and belongs to the field of two-dimensional digital modeling and biomechanical research. According to the pelvic floor anatomy structure, the starting point and the ending point of the main ligament and the sacral ligament in the two-dimensional finite element model are determined, and a distributed nonlinear super-elastic spring set is provided for simulating the suspension mechanical property of the main ligament and the sacral ligament. An organ tissue proportional damage simulation method and a proportional damage expression are provided, and the mechanical property of the pelvic floor organ damage is simulated by multiplying a nonlinear material stress-strain curve of the pelvic floor organ tissue by a proportional damage factor. A concentrated load applying method and a concentrated force-displacement expression of initial form and position characteristics are provided, and initial reproductive fissure and uterus-vagina angles are simulated. The evolution model can visually display the trend of mechanical change and shape and position characteristic change in the process that the pelvic floor is evolved into severe prolapse from the initial stage of injury, and a basis is provided for reconstruction operation design of pelvic organ prolapse.
Owner:KUNMING UNIV OF SCI & TECH

Pelvic organ prolapse detection device

The utility model discloses a pelvic organ prolapse detection device, which comprises a grip, the rear end of the grip is fixedly connected with a measuring rod, the outside of the measuring rod is provided with a plurality of groups of size grooves which are arranged outside the measuring rod in a linear array, the rear end of the measuring rod is fixedly connected with an insertion head, and the insertion head is connected with the measuring rod. The measuring rod and the inserting head are sleeved with a storage box, anti-skid grooves are formed in the position, close to the front end, of the outer portion of the grip, and the multiple sets of anti-skid grooves are formed in the outer portion of the grip in a circumferential array mode. The film is firmly fixed to ensure that the reading of the size groove cannot be deviated, the two groups of structures of the fixing blocks can ensure that the film is fixed more firmly and cannot fall off, the disposable film is fixed more firmly through the structure, and the problems that in the past, the film needs to be held by a doctor for measurement operation, reading deviation is likely to be generated, and the measurement accuracy is high are solved. And the measurement accuracy is easy to deviate, and the accuracy of arriving positions is different, so that the measurement accuracy is improved.
Owner:FOSHAN GAOMING DISTRICT PEOPLES HOSPITAL

An Automatic Identification Method for Pelvic Organ Prolapse Based on Deep Learning and PCL Lines

This invention discloses an automatic identification method for pelvic organ prolapse based on deep learning and the PCL line, comprising: S1: acquiring and preprocessing medical images of the pelvic floor region, and simultaneously annotating the bladder, uterus, rectum, and bony anatomical structures to construct a training dataset; S2: constructing and training a multi-objective deep learning segmentation model based on the training data to achieve automatic segmentation of the bladder, uterus, rectum, pubic symphysis, and the two vertebrae from the coccyx; S3: extracting the lowest edge point of the segmented pubic symphysis region and the highest edge point of the two vertebrae from the coccyx region to construct a set of bony key points; S4: connecting the bony key points to automatically generate the pelvic floor reference line (PCL line); S5: analyzing the spatial positional relationship of the bladder, uterus, and rectum relative to the PCL line to obtain the downward displacement feature information of the pelvic organs; S6: automatically determining the degree of pelvic organ prolapse based on the spatial positional relationship. This invention achieves automated identification of the degree of pelvic organ prolapse, reduces subjective errors caused by manual measurement, and improves the consistency, accuracy, and efficiency of the assessment.
Owner:KUNMING UNIV OF SCI & TECH

Devices and methods for image-guided vaginal fixation

Devices and methods for performing image-guided vaginal fixation, such as sacrospinous ligament vaginal fixation, to treat pelvic organ prolapse are disclosed. The device is configured for transvaginal or subcutaneous approach methods, including a rotatable and translatable vaginal device with image-guided indicia, an anchoring device, an anchor, and a pulley and pusher. A path is established between the vaginal wall and the pelvic ligament by precise placement of the vaginal device and the anchoring device and is used for insertion of a retention assembly that is capable of juxtaposing and securing the vaginal wall to the pelvic ligament for vaginal fixation.
Owner:裴庚泰

Urethral mesh for female urinary incontinence and moderate pelvic organ prolapse

The present application relates to a urethral mesh for female urinary incontinence and moderate pelvic organ prolapse, which comprises a middle support sheet, a first wing sheet and a second wing sheet; a first preset mesh fixing line and a second preset mesh fixing line are arranged on the front side of the middle support sheet; a third preset mesh fixing line and a fourth preset mesh fixing line are arranged on the back side of the middle support sheet; a fifth middle mark traction line is arranged between the first preset mesh fixing line and the second preset mesh fixing line; and a sixth middle mark traction line is arranged between the third preset mesh fixing line and the fourth preset mesh fixing line. The advantages are that the urethral tip can be provided with support strength to prevent the anterior pelvic organ from bulging; meanwhile, the bladder neck and the posterior urethral segment are reconstructed, and the middle urethral support is strengthened, which is particularly suitable for patients with larger urethral activity, wider vaginal split, recurrent cases and shorter anterior vaginal wall, so as to reduce the operation difficulty and the incidence of complications, and can become a new type of medical instrument with wide application prospect.
Owner:SHANGHAI CHUJING MEDICAL TECH CENT

Flexible cone-shaped intra-vaginal support device

In accordance with embodiments of the present disclosure, a flexible and non-absorbent vaginal insert device shaped to be held securely in place in a vagina when inserted, so as to improve symptoms associated with pelvic organ prolapse or urinary incontinence or both, is provided. The device is designed to be relatively easy to insert and remove. An applicator may be used to aid with insertion. The vaginal insert device comprises an upper portion, having a cone-shaped body, having a circular transverse cross-section throughout its length, having a wall with an interior side and an exterior side, an upper open end, a lower end, and a hollow interior, wherein the upper open end of the upper portion is the innermost portion of the device during insertion, and wherein the wall of the upper portion can be squeezed to make the upper portion more compact for easier insertion of the device, and wherein after insertion the wall expands back to its original shape. The device further comprises an exterior rim surrounding and protruding from the exterior side of the wall and being adjacent to the upper open end, and a plurality of ridges surrounding and protruding from the exterior side of the wall, and a removal portion extending from said lower end of said upper portion to assist in removal of the device. The device can also comprise one or more ventilation openings.
Owner:WATKINS CONTI PRODUCTS INC

Uterine prolapse teaching mold

The utility model relates to a uterine prolapse teaching model, which comprises a pelvic organ model, the pelvic organ model comprises a vagina anterior wall, a vagina posterior wall and a uterus, the pelvic organ model is equally divided into a first model and a second model along the vertical direction, and the first model and the second model can rotate relatively. The vagina front wall and the vagina rear wall are located on the sides, close to each other, of the first model and the second model respectively, the first model and the second model are arranged in a closed mode in the initial state, and the uterus is located in a channel formed by the vagina front wall and the vagina rear wall and can move along the channel. The vagina front wall and the vagina rear wall are both provided with scale marks used for displaying uterine prolapse scale division. The uterine prolapse teaching mold not only can clearly demonstrate different prolapse graduations of the uterus and ensure the teaching quality, but also is convenient to store when not in use.
Owner:CHONGQING MATERNAL & CHILD HEALTH HOSPITAL (CHONGQING OBSTETRICS & GYNECOLOGY HOSPITAL CHONGQING INST OF GENETICS & REPRODUCTION)

Restorative fibroblast preparation for treating pelvic organ prolapse

The invention relates to the technical field of cell therapy, and particularly discloses a repairable fibroblast preparation for treating pelvic organ prolapse. The active ingredients of the preparation are fibroblasts which highly express HAS1, POLR3G and DDR2 at the same time and do not express alpha-smooth muscle actin, and the preparation is compatible with pharmaceutic adjuvants such as normal saline, human serum albumin and dimethyl sulfoxide. The dosage form of the composition comprises an injection and a gel containing a hyaluronic acid matrix. The preparation method comprises the following steps: performing enzymolysis treatment to obtain primary cells, promoting repair phenotypic differentiation through estrogen induction, purifying target cells by adopting a fluorescence labeling flow sorting technology, and performing amplification in a serum-free culture medium to prepare a final preparation. According to the preparation, through the synergistic effect of fibroblasts and pericytes and the perivascular positioning characteristic, targeted repair of pelvic floor supporting tissue can be achieved; according to the preparation method, the cell phenotype stability and the preparation reproducibility are ensured by optimizing process parameters and quality control standards.
Owner:SHANXI MEDICAL UNIV

Device and method for use in transvaginal procedures to reduce recurrence of pelvic organ prolapse

A device and method for use in transvaginal procedures involving the suturing in place of a permanent suture anchored to the obturator membranes at the posterior vaginal wall. An introducer assembly includes a hollow sheath and an introducer having a screw tip. The hollow sheath includes a knob with an anchor compartment. The introducer is selectively secured, axially and radially, relative to the sheath. A suture line is threaded along a channel of the introducer and through anchor holes of an anchor stored in the anchor compartment. After removal of the introducer from the sheath, a latch covering the anchor compartment is opened and the suture is pulled to draw the anchor out of the compartment, and through the sheath. The anchor may then be secured to an obturator membrane.
Owner:THE RGT UNIV OF MICHIGAN

Herbal compounds and methods for treating infections, vulvovaginal and pelvic organ inflammation

The present disclosure relates to a pharmaceutical composition comprising a group of herbal compositions and to a method of treating diseases or conditions for caring for the vagina and pelvic organs of women or treating different types of infections associated with these parts. The method comprises administering an effective amount of a herbal disinfectant composition to a subject, wherein the herbal disinfectant composition comprises at least one or more plants from the genus Citrus grandis, Myrrh, Myrtle or / and Rosa, or a combination of these plants. The herbal disinfectant composition may be injected into the vagina through a fiber envelope; the fiber envelope may comprise a cylinder, a string having two ends, the string may be connected to the cylinder from one end and a middle portion, the middle portion may be used to retain the herbal disinfectant composition.
Owner:BANOOYE ARMAGHAN TEB

Pelvic organ prolapse pressure measuring device and application thereof

A pelvic organ prolapse pressure measuring device and an application thereof are provided. The pelvic organ prolapse pressure measuring device includes a pelvic organ prolapse pressure sensing system and a data acquisition system, the prolapse pressure sensing system includes a support body and pressure sensors which are distributed outside the support body. The pelvic organ prolapse pressure measuring device is applied to the pressure detection around the cavity. The above-mentioned pelvic organ prolapse pressure measuring device is adopted, which can objectively and accurately judge the abnormal stress relationship inside the prolapsed organ, and accurately evaluate the weak area of the pelvic floor muscle fascia. Its operation method is simple, and its cost is low.
Owner:CANCER INST & HOSPITAL CHINESE ACADEMY OF MEDICAL SCI