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JP6758706B2 - Auxiliary equipment - Google Patents

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JP6758706B2
JP6758706B2 JP2016172794A JP2016172794A JP6758706B2 JP 6758706 B2 JP6758706 B2 JP 6758706B2 JP 2016172794 A JP2016172794 A JP 2016172794A JP 2016172794 A JP2016172794 A JP 2016172794A JP 6758706 B2 JP6758706 B2 JP 6758706B2
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shoulder
axilla
auxiliary
arm
intermediate portion
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JP2018040069A (en
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基充 高木
基充 高木
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森松株式会社
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Description

本発明は、脳梗塞等で半身が不自由となった人が、回復期リハビリテーション病院等で行われる理学療法や作業療法等の合間の時間帯に装着していることで、腕や肩の機能の回復を補助する補助装具に関する。
本発明の補助装具は、他人の介助が無くとも、患者本人が簡単に装着し/取り外すことが可能であるため、気軽に使用できる。
The present invention is worn by a person who has become physically handicapped due to a cerebral infarction or the like during a time period between physical therapy and occupational therapy performed at a convalescent rehabilitation hospital, etc. Regarding auxiliary equipment that assists in recovery.
The assistive device of the present invention can be easily attached / detached by the patient himself / herself without the assistance of another person, and thus can be easily used.

回復期リハビリテーション病院では、理学療法や作業療法等の各種のリハビリが行われるのであるが、そのための時間は比較的短く、合間の時間がかなり長い。その間、何もしないでいることは、患者にとって、精神的な苦痛である。 At convalescent rehabilitation hospitals, various types of rehabilitation such as physical therapy and occupational therapy are performed, but the time for that is relatively short, and the time between them is quite long. In the meantime, doing nothing is a mental pain for the patient.

上腕部を身体から離すようにして外側上方へ若干持ち上げると、ダラリと垂れ下がっていた腕の重量で肩に加わっていた力の方向が変わり、回復期の患者にとって楽である。また、肘の伸びる方向も変わるため、血行促進等の効果もあり、回復の助けとなる。
テーピング等で上腕部を持ち上げることも考えられるが、半身が不自由な患者が一人でテーピングを行うことは不可能であり、介助者が必要となるため、現実的ではない。つまり、理学療法や作業療法等の合間の時間帯に気軽に行うことはできない。
When the upper arm is lifted slightly upward from the body, the weight of the hanging arm changes the direction of the force applied to the shoulder, which is comfortable for patients in the convalescent period. In addition, since the direction in which the elbow extends changes, it also has the effect of promoting blood circulation and helps recovery.
It is conceivable to lift the upper arm by taping or the like, but it is not realistic because it is impossible for a patient with a half-body disability to perform taping alone and an assistant is required. In other words, it cannot be done casually during the time between physical therapy and occupational therapy.

上腕部を身体から離すようにして外側上方へ若干持ち上げるための装具であって、半身が不自由な患者が一人で装着し/取り外すことができるものは提供されていない。
なお、特開2016−000875号公報(特許文献1)には、肩に装着するための関節用サポータや、サポータ用支持具について記載されている。
There is no brace for lifting the upper arm slightly upward and outward away from the body, which can be worn / removed by a person with a disability.
Japanese Patent Application Laid-Open No. 2016-000875 (Patent Document 1) describes a joint supporter to be worn on the shoulder and a supporter for the supporter.

特開2016−000875号公報Japanese Unexamined Patent Publication No. 2016-000875

本発明は、上腕部を身体から離すようにして外側上方へ押し上げ得る装具であって、理学療法や作業療法の合間等の暇な時間帯に、半身が不自由な患者が、介助者の助け無く一人で装着し/取り外すことができる装具を提供することを目的とする。 The present invention is a device that can push the upper arm part outward and upward so as to separate it from the body, and a patient with a half-body disability can help a caregiver during a spare time such as between physical therapy and occupational therapy. It is an object of the present invention to provide an orthosis that can be attached / detached by one person.

本発明の構成を、下記[1]〜[3]に記す。なお、この項([課題を解決するための手段])と次項([発明の効果])に於いて、符号は理解を容易にするために付したものであり、本発明を符号の構成に限定する趣旨ではない。 The configuration of the present invention is described in the following [1] to [3]. In this section ([Means for Solving the Problems]) and the next section ([Effects of the Invention]), the reference numerals are added for easy understanding, and the present invention is incorporated into the structure of the reference numerals. It is not intended to be limited.

[1]構成1
肩H1に掛止される部位である掛止部11と、該掛止部11から一体に連設された中間部13と、該中間部13から一体に連設された介挿部15とを有し、該介挿部15が腋窩H9に介挿されて上腕部H31を外側へ押し上げることにより腕H3の機能の回復を補助する補助装具であって、
前記掛止部11の先端側は、肩H1から背部H5の中央H50へ向けて下がる形状を成し、
前記介挿部15の先端側は、腋窩H9から上腕部H31の外側H311へ向けて上がる形状を成し、
前記掛止部11と前記介挿部15を繋ぐ前記中間部13は、肩H1から胸部H7の縁H71を経て腋窩H9へ向けて下がる形状を成し、
前記介挿部15が腋窩H9に介挿された状態で、前記掛止部11と前記中間部13とで肩H1を上側から挟み、前記中間部13と前記介挿部15とで腕H3の付け根H30を下側から挟む、
ことを特徴とする補助装具。
介挿部15は、腋窩H9に介挿された状態で上腕部H31を外側へ押し上げ得る程度に太く、また、押し上げ得る程度に硬い。患者の体格や回復の程度によっても異なるが、太さは、例えば、500cc〜1500ccのペットボトル程度である。
掛止部11の先端側が背部H5の中央H50へ向けて下がるように体表に沿って湾曲する形状を成し、介挿部15の先端側が上腕部H31の外側H311へ向けて上がるように体表に沿って湾曲する形状を成し、掛止部11と介挿部15を繋ぐ中間部13が肩H1から胸部H7の縁H71を経て腋窩H9へ向けて下がるように体表に沿って湾曲する形状を成すと、装具全体としては、略螺旋状の湾曲形状を成す。
介挿部15が腋窩H9に介挿された状態で、掛止部11と中間部13とで肩H1を上側から弾性的に挟み、中間部13と介挿部15とで腕H3の付け根H30を下側から弾性的に挟むように構成すると、本補助装具が、より外れ難くなる。
[1] Configuration 1
A hooking portion 11 which is a portion to be hooked on the shoulder H1, an intermediate portion 13 integrally connected to the hooking portion 11, and an interposing portion 15 integrally connected to the intermediate portion 13 are provided. It is an auxiliary orthosis that assists the recovery of the function of the arm H3 by having the insertion portion 15 inserted into the axilla H9 and pushing the upper arm portion H31 outward.
The tip end side of the hook portion 11 has a shape that descends from the shoulder H1 toward the center H50 of the back portion H5.
The distal end side of the insertion portion 15 has a shape that rises from the axilla H9 toward the outer side H311 of the upper arm portion H31.
The intermediate portion 13 connecting the hook portion 11 and the insertion portion 15 has a shape that descends from the shoulder H1 through the edge H71 of the chest H7 toward the axilla H9.
With the insertion portion 15 inserted into the axilla H9, the shoulder H1 is sandwiched between the hook portion 11 and the intermediate portion 13 from above, and the intermediate portion 13 and the insertion portion 15 of the arm H3. Hold the base H30 from below,
Auxiliary equipment characterized by that.
The insertion portion 15 is thick enough to push the upper arm portion H31 outward while being inserted into the axilla H9, and hard enough to push it up. Although it depends on the physique of the patient and the degree of recovery, the thickness is, for example, about 500 cc to 1500 cc of PET bottle.
The tip side of the hooking portion 11 is curved along the body surface so as to be lowered toward the center H50 of the back portion H5, and the tip side of the insertion portion 15 is raised toward the outer side H311 of the upper arm portion H31. The shape is curved along the surface, and the intermediate portion 13 connecting the hook portion 11 and the insertion portion 15 is curved along the body surface so as to descend from the shoulder H1 through the edge H71 of the chest H7 toward the axilla H9. When the shape is formed, the entire fitting has a substantially spiral curved shape.
With the insertion portion 15 inserted into the axilla H9, the shoulder H1 is elastically sandwiched between the hook portion 11 and the intermediate portion 13 from above, and the base H30 of the arm H3 is elastically sandwiched between the intermediate portion 13 and the insertion portion 15. If the auxiliary device is configured to be elastically sandwiched from below, the auxiliary device will be more difficult to come off.

[2]構成2
構成1に於いて、
前記補助装具は、各々所定の輪郭形状を成す2枚のポリ塩化ビニル樹脂シートの縁全周を溶着して成り、当該2枚のシート間に空気を封入することにより前記形状を成す、
ことを特徴とする補助装具。
[3]構成3
構成1に於いて、
前記補助装具は発泡スチロール製である、
ことを特徴とする補助装具。
[2] Configuration 2
In configuration 1,
The auxiliary orthosis is formed by welding the entire circumference of the edges of two polyvinyl chloride resin sheets each having a predetermined contour shape, and the shape is formed by enclosing air between the two sheets.
Auxiliary equipment characterized by that.
[3] Configuration 3
In configuration 1,
The auxiliary brace is made of Styrofoam,
Auxiliary equipment characterized by that.

構成1は、肩H1に掛止される部位である掛止部11と、該掛止部11から一体に連設された中間部13と、該中間部13から一体に連設された介挿部15とを有し、該介挿部15が腋窩H9に介挿されて上腕部H31を外側へ押し上げることにより腕H3の機能の回復を補助する補助装具であって、前記掛止部11の先端側は、肩H1から背部H5の中央H50へ向けて下がる形状を成し、前記介挿部15の先端側は、腋窩H9から上腕部H31の外側H311へ向けて上がる形状を成し、前記掛止部11と前記介挿部15を繋ぐ前記中間部13は、肩H1から胸部H7の縁H71を経て腋窩H9へ向けて下がる形状を成し、前記介挿部15が腋窩H9に介挿された状態で、前記掛止部11と前記中間部13とで肩H1を上側から挟み、前記中間部13と前記介挿部15とで腕H3の付け根H30を下側から挟むことを特徴とする補助装具であるため、介助者の助けが無くとも、理学療法や作業療法の合間等の暇な時間帯に、患者が一人で装着し/取り外すことができる。また、装着することにより、ダラリと垂れ下がっていた腕の重量で肩に加わっていた力の方向が変わるため患者にとって楽であり、肘の伸びる方向も変わるため、血行促進等の効果もあり、回復の助けともなる。
構成2や構成3によると、本補助装具に適した具体的な素材例を提供できる。
The configuration 1 includes a hooking portion 11 which is a portion to be hooked on the shoulder H1, an intermediate portion 13 integrally connected to the hooking portion 11, and an interposition integrally connected to the intermediate portion 13. An auxiliary device having a portion 15 and assisting the recovery of the function of the arm H3 by inserting the insertion portion 15 into the axilla H9 and pushing the upper arm portion H31 outward, and the hook portion 11 of the hook portion 11. The tip side has a shape that descends from the shoulder H1 toward the center H50 of the back H5, and the tip side of the insertion portion 15 has a shape that rises from the axilla H9 toward the outer side H311 of the upper arm portion H31. The intermediate portion 13 connecting the hook portion 11 and the insertion portion 15 has a shape that descends from the shoulder H1 through the edge H71 of the chest H7 toward the axilla H9, and the insertion portion 15 is inserted into the axilla H9. In this state, the shoulder H1 is sandwiched between the hooking portion 11 and the intermediate portion 13 from above, and the base H30 of the arm H3 is sandwiched between the intermediate portion 13 and the insertion portion 15 from below. Since it is an assistive device, the patient can put it on / off by himself / herself in his / her spare time such as between physical therapy and occupational therapy without the help of a caregiver. In addition, by wearing it, the weight of the hanging arm changes the direction of the force applied to the shoulder, which is comfortable for the patient, and the direction in which the elbow extends also changes, which has the effect of promoting blood circulation and recovery. It also helps.
According to the second and third configurations, it is possible to provide specific material examples suitable for the present auxiliary orthosis.

実施の形態の補助装具を示し、(a)は左腕・左肩に装着した状態を斜め後方から見た斜視図、(b)は(a)の補助装具の斜視図。The auxiliary orthosis of the embodiment is shown, (a) is a perspective view of the state of being attached to the left arm and the left shoulder as viewed diagonally from the rear, and (b) is a perspective view of the auxiliary orthosis of (a). 図1の補助装具を示し、(a)は左腕・左肩に装着した状態を後方から見た斜視図、(b)は左腕・左肩に装着した状態を前方から見た斜視図。The auxiliary orthosis of FIG. 1 is shown. FIG. 1A is a perspective view of the state of being worn on the left arm / left shoulder as viewed from the rear, and FIG. 1B is a perspective view of the state of being worn on the left arm / left shoulder as viewed from the front.

図面を参照して、本発明の実施の形態を説明する。図示の例は左腕・左肩に装着するための補助装具であるが、右腕・右肩用の補助装具の場合は、左右が反対の対称形となる他は、図示の例と同様に構成できる。 Embodiments of the present invention will be described with reference to the drawings. The illustrated example is an auxiliary brace for wearing on the left arm / left shoulder, but the auxiliary brace for the right arm / right shoulder can be configured in the same manner as the illustrated example except that the left and right sides have opposite symmetrical shapes.

本補助装具は、発泡スチロール製であり、図示のように、掛止部11、介挿部15、及び、掛止部11と介挿部15を繋ぐ中間部13から成る。これら3つの部位は一体に連設されており、全体として略螺旋状の形状を成す。
この全体形状は、例えば、この全体形状を成す複数の部分をそれぞれ発泡スチロールから削りだした後、接着することによって構成することができる。
This auxiliary orthosis is made of Styrofoam, and as shown in the figure, includes a hooking portion 11, an interposing portion 15, and an intermediate portion 13 connecting the hooking portion 11 and the interposing portion 15. These three parts are integrally connected to each other and form a substantially spiral shape as a whole.
This overall shape can be formed, for example, by shaving each of a plurality of portions forming the overall shape from Styrofoam and then adhering them.

掛止部11は、肩H1に掛止される部位であり、その先端側は、肩H1から背部H5の中央H50へ向けて体表に沿って下がる湾曲形状を成す。
介挿部15は、腋窩(脇の下)H9に介挿されて上腕部H31を外側へ押し上げることにより腕H3や肩H1の機能回復を補助するための部位であり、その先端側は、腋窩H9から上腕部H31の外側H311へ向けて体表に沿って上がる湾曲形状を成す。
中間部13は、掛止部11と介挿部15を繋ぐ部位であり、肩H1から胸部H7の縁H71を経て腋窩H9へ向けて体表に沿って下がる湾曲形状を成す。
The hooking portion 11 is a portion to be hooked on the shoulder H1, and the tip end side thereof has a curved shape that descends from the shoulder H1 toward the center H50 of the back portion H5 along the body surface.
The insertion portion 15 is a portion inserted into the axilla (armpit) H9 to push the upper arm portion H31 outward to assist the functional recovery of the arm H3 and the shoulder H1, and the tip side thereof is from the axilla H9. It forms a curved shape that rises along the body surface toward the outer side H311 of the upper arm portion H31.
The intermediate portion 13 is a portion connecting the hook portion 11 and the insertion portion 15, and has a curved shape that descends from the shoulder H1 through the edge H71 of the chest H7 toward the axilla H9 along the body surface.

本補助装具を患者が装着した状態では、左の肩H1が、掛止部11の先端側と、中間部13の掛止部寄りの部位とで、上側から挟み込まれるとともに、左の腕H3の付け根(腋窩H9,脇の下)H311の部分が、介挿部15の先端側と、中間部13の介挿部15寄りの部位とで、下側から挟み込まれる。このように上下から挟み込まれるため、本補助装具は簡単には外れ難く、患者は、理学療法や作業療法等のリハビリの合間に想定される通常の動作を、本補助装具を特別に意識することなく行うことができる。言い換えれば、リハビリの合間に装着していても、生活に支障は無い。 When the patient wears this assistive device, the left shoulder H1 is sandwiched between the tip side of the hooking portion 11 and the portion of the intermediate portion 13 near the hooking portion, and the left arm H3 The portion of the base (axilla H9, armpit) H311 is sandwiched from the lower side by the tip side of the insertion portion 15 and the portion of the intermediate portion 13 near the insertion portion 15. Since it is sandwiched from above and below, it is difficult for the assistive device to come off easily, and the patient should be specially aware of the normal movements that are expected during rehabilitation such as physical therapy and occupational therapy. Can be done without. In other words, even if you wear it between rehabilitation, it will not hinder your life.

介挿部15の中で腋窩(脇の下)H9に介挿される部位の太さは、患者の体格や回復の程度に合わせて、例えば、直径5cm〜15cm程度に設定されている。このため、腋窩H9に介挿された状態では、上腕部が外側上方へ押し上げられて、その結果、ダラリと垂れ下がっていた腕の重量で肩に加わっていた力の方向が変わるとともに、肘の伸びる方向も変わるため、回復期の患者にとって楽である。また、血行促進等の効果もあるため、機能回復の助けともなると考えられる。 The thickness of the portion of the insertion portion 15 to be inserted into the axilla (armpit) H9 is set to, for example, about 5 cm to 15 cm in diameter according to the physique of the patient and the degree of recovery. Therefore, in the state of being inserted into the axilla H9, the upper arm is pushed upward and outward, and as a result, the direction of the force applied to the shoulder is changed by the weight of the hanging arm, and the elbow is extended. It is easier for convalescent patients because it changes direction. It also has the effect of promoting blood circulation, and is thought to help recovery of function.

介挿部15の中で腋窩H9に介挿される部位の太さや硬さは、上腕部を外側上方へ押し上げ得る太さや硬さとして決められるが、他の部位、即ち、介挿部15の先端側、掛止部11、及び、中間部13の太さや硬さは、それぞれ当該の機能を奏し得るものであり、且つ、装着した状態で患者の生活に支障が無いものであれば、任意である。 The thickness and hardness of the part of the insertion part 15 that is inserted into the axilla H9 is determined as the thickness and hardness that can push the upper arm part outward and upward, but other parts, that is, the tip of the insertion part 15. The thickness and hardness of the side, the hooking portion 11, and the intermediate portion 13 are optional as long as they can perform the corresponding functions and do not interfere with the patient's life when worn. is there.

例えば、本補助装具を、樹脂製又は軽い金属製の芯材(掛止部,中間部,介挿部に相当する部位を備えた芯材)と、該芯材の周面上に厚みを形成するように設ける厚み材とで構成し、介挿部の中で腋窩H9に介挿される部位の周囲にのみ厚み材を設けるように構成してもよい。この厚み材は、例えば、芯材の周面上に布を多層に巻き付ける等して構成することができる。或いは、紙粘土を付着させる等して構成することもできる。 For example, this auxiliary orthosis is formed with a resin or light metal core material (a core material having a portion corresponding to a hook portion, an intermediate portion, and an insertion portion) and a thickness formed on the peripheral surface of the core material. It may be configured to be composed of a thick material provided so as to be provided, and the thick material may be provided only around the portion inserted into the axilla H9 in the insertion portion. This thick material can be constructed, for example, by wrapping a cloth in multiple layers on the peripheral surface of the core material. Alternatively, it can be configured by attaching paper clay or the like.

前述の実施の形態では、補助装具を発泡スチロールで構成しており、それにより、軽量化も達成しているが、本発明の補助装具は、発泡スチロール製に限定されない。本補助装具の機能を奏し得るものであれば、適宜の素材を使用することができる。 In the above-described embodiment, the auxiliary brace is made of Styrofoam, whereby the weight is reduced, but the auxiliary brace of the present invention is not limited to the one made of Styrofoam. Appropriate materials can be used as long as they can perform the functions of this auxiliary device.

例えば、2枚の塩化ビニル等の軟質樹脂シートの縁を溶着し、両シート間に空気を吹き入れて封入して、図示の形状のように立体化してもよい。そのようにすると、若干の弾力を有するため、装着した状態で、より患者の体表にフィットするようになる。
さらに、吹き入れ口に開閉自在な栓を設け、必要に応じて空気の吹き入れ/排出を行い得るようにしてもよい。そのようにすると、使用しないときには、邪魔にならないように小さく折り畳むこともできる。
For example, the edges of two soft resin sheets such as vinyl chloride may be welded and air may be blown between the two sheets to seal the sheets to form a three-dimensional shape as shown in the figure. By doing so, it has some elasticity, so that it fits the patient's body surface better when worn.
Further, a plug that can be opened and closed may be provided at the air inlet so that air can be blown in / out as needed. That way, when not in use, it can be folded into small pieces out of the way.

11 掛止部
13 中間部
15 介挿部
H1 肩
H3 腕
H30 腕の付け根
H31 上腕部
H311 上腕部の外側
H5 背部
H50 背部の中央
H7 胸部
H71 胸部の縁
H9 腋窩
11 Hook 13 Intermediate 15 Intersection H1 Shoulder H3 Arm H30 Base of arm H31 Upper arm H311 Outer upper arm H5 Back H50 Central back H7 Chest H71 Chest edge H9 Axilla

Claims (3)

肩に掛止される部位である掛止部と、該掛止部から一体に連設された中間部と、該中間部から一体に連設された介挿部とを有し、該介挿部が腋窩に介挿されて上腕部を外側へ押し上げることにより腕の機能の回復を補助する補助装具であって、
前記掛止部の先端側は、肩から背部の中央へ向けて下がる湾曲形状を成し、
前記介挿部の先端側は、腋窩から上腕部の外側へ向けて上がる湾曲形状を成し、
前記掛止部と前記介挿部を繋ぐ前記中間部は、肩から胸部の縁を経て腋窩へ向けて下がる湾曲形状を成し、
前記介挿部が腋窩に介挿された状態で、前記掛止部と前記中間部とで肩を上側から挟み、前記中間部と前記介挿部とで腕の付け根を下側から挟む、
ことを特徴とする補助装具。
It has a hooking portion that is a portion to be hooked on the shoulder, an intermediate portion that is integrally connected to the hooking portion, and an interposing portion that is integrally connected to the intermediate portion. It is an auxiliary orthosis that assists the recovery of arm function by inserting the part into the axilla and pushing the upper arm part outward.
The tip side of the hooking portion has a curved shape that descends from the shoulder toward the center of the back.
The tip side of the insertion portion has a curved shape that rises from the axilla toward the outside of the upper arm portion.
The intermediate portion connecting the hook portion and the insertion portion has a curved shape that descends from the shoulder to the axilla through the edge of the chest.
With the insertion portion inserted into the axilla, the shoulder is sandwiched between the hook portion and the intermediate portion from above, and the base of the arm is sandwiched between the intermediate portion and the insertion portion from below.
Auxiliary equipment characterized by that.
請求項1に於いて、
前記補助装具は、各々所定の輪郭形状を成す2枚のポリ塩化ビニル樹脂シートの縁全周を溶着して成り、当該2枚のシート間に空気を封入することにより前記形状を成す、
ことを特徴とする補助装具。
In claim 1,
The auxiliary orthosis is formed by welding the entire circumference of the edges of two polyvinyl chloride resin sheets each having a predetermined contour shape, and the shape is formed by enclosing air between the two sheets.
Auxiliary equipment characterized by that.
請求項1に於いて、
前記補助装具は発泡スチロール製である、
ことを特徴とする補助装具。
In claim 1,
The auxiliary brace is made of Styrofoam,
Auxiliary equipment characterized by that.
JP2016172794A 2016-09-05 2016-09-05 Auxiliary equipment Expired - Fee Related JP6758706B2 (en)

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Family Cites Families (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP5124720B2 (en) * 2007-10-30 2013-01-23 株式会社洛北義肢 Shoulder pain relief device
JP2012090920A (en) * 2010-10-29 2012-05-17 Nagano Gishi:Kk Shoulder-joint fixing orthosis
JP3176428U (en) * 2012-04-09 2012-06-21 恬▲デェ▼仕股▲ふん▼有限公司 Annular protective cushion
JP2015532885A (en) * 2012-10-31 2015-11-16 スリーディー システムズ インコーポレーテッド Spiral brace

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