diff --git a/apps/web/src/App.tsx b/apps/web/src/App.tsx
index ac3fb75..8f0c383 100644
--- a/apps/web/src/App.tsx
+++ b/apps/web/src/App.tsx
@@ -47,6 +47,7 @@ const AiUsageDashboard = lazy(() => import('./pages/health/AiUsageDashboard'));
 const AlertList = lazy(() => import('./pages/health/AlertList'));
 const AlertDashboard = lazy(() => import('./pages/health/AlertDashboard'));
 const AlertRuleList = lazy(() => import('./pages/health/AlertRuleList'));
+const DeviceManage = lazy(() => import('./pages/health/DeviceManage'));
 
 // 内容管理
 const ArticleManageList = lazy(() => import('./pages/health/ArticleManageList'));
@@ -252,6 +253,7 @@ export default function App() {
                       <Route path="/health/alerts" element={<AlertList />} />
                       <Route path="/health/alert-dashboard" element={<AlertDashboard />} />
                       <Route path="/health/alert-rules" element={<AlertRuleList />} />
+                      <Route path="/health/devices" element={<DeviceManage />} />
                       {/* 内容管理 */}
                       <Route path="/health/articles" element={<ArticleManageList />} />
                       <Route path="/health/articles/new" element={<ArticleEditor />} />
diff --git a/apps/web/src/api/health/devices.ts b/apps/web/src/api/health/devices.ts
new file mode 100644
index 0000000..c6347b4
--- /dev/null
+++ b/apps/web/src/api/health/devices.ts
@@ -0,0 +1,32 @@
+import client from '../client';
+import type { PaginatedResponse } from '../types';
+
+// --- Types ---
+export interface DeviceItem {
+  id: string;
+  patient_id: string;
+  device_id: string;
+  device_model: string;
+  device_type: string;
+  bound_at: string;
+  last_sync_at: string;
+  version: number;
+}
+
+// --- API ---
+export const deviceApi = {
+  listDevices: (params?: {
+    patient_id?: string;
+    device_type?: string;
+    page?: number;
+    page_size?: number;
+  }) =>
+    client
+      .get('/health/devices', { params })
+      .then((r) => r.data.data as PaginatedResponse<DeviceItem>),
+
+  unbindDevice: (id: string, version: number) =>
+    client
+      .delete(`/health/devices/${id}`, { data: { version } })
+      .then((r) => r.data.data as DeviceItem),
+};
diff --git a/apps/web/src/layouts/MainLayout.tsx b/apps/web/src/layouts/MainLayout.tsx
index 5162bae..ab41509 100644
--- a/apps/web/src/layouts/MainLayout.tsx
+++ b/apps/web/src/layouts/MainLayout.tsx
@@ -94,6 +94,7 @@ const routeTitleFallback: Record<string, string> = {
   '/health/alerts': '告警列表',
   '/health/alert-dashboard': '告警仪表盘',
   '/health/alert-rules': '告警规则',
+  '/health/devices': '设备管理',
 };
 
 function getTitleFromMenus(path: string, menus: MenuInfo[]): string | undefined {
diff --git a/apps/web/src/pages/health/DeviceManage.tsx b/apps/web/src/pages/health/DeviceManage.tsx
new file mode 100644
index 0000000..42982f7
--- /dev/null
+++ b/apps/web/src/pages/health/DeviceManage.tsx
@@ -0,0 +1,164 @@
+import { useCallback, useEffect, useState } from 'react';
+import { Button, Input, message, Popconfirm, Select, Space, Table, Tag } from 'antd';
+import type { ColumnsType } from 'antd/es/table';
+import dayjs from 'dayjs';
+
+import { deviceApi, type DeviceItem } from '../../api/health/devices';
+
+const DEVICE_TYPE_OPTIONS = [
+  { label: '血压', value: 'blood_pressure' },
+  { label: '血糖', value: 'blood_glucose' },
+  { label: '心率', value: 'heart_rate' },
+  { label: '血氧', value: 'blood_oxygen' },
+  { label: '步数', value: 'steps' },
+  { label: '体温', value: 'temperature' },
+];
+
+const DEVICE_TYPE_COLOR: Record<string, string> = {
+  blood_pressure: 'red',
+  blood_glucose: 'purple',
+  heart_rate: 'volcano',
+  blood_oxygen: 'blue',
+  steps: 'green',
+  temperature: 'orange',
+};
+
+function formatTime(val?: string | null): string {
+  if (!val) return '-';
+  return dayjs(val).format('YYYY-MM-DD HH:mm');
+}
+
+export default function DeviceManage() {
+  const [data, setData] = useState<DeviceItem[]>([]);
+  const [total, setTotal] = useState(0);
+  const [loading, setLoading] = useState(false);
+  const [page, setPage] = useState(1);
+
+  const [filterPatientId, setFilterPatientId] = useState('');
+  const [filterDeviceType, setFilterDeviceType] = useState<string | undefined>(undefined);
+
+  const fetchDevices = useCallback(async () => {
+    setLoading(true);
+    try {
+      const res = await deviceApi.listDevices({
+        page,
+        page_size: 20,
+        ...(filterPatientId ? { patient_id: filterPatientId } : {}),
+        ...(filterDeviceType ? { device_type: filterDeviceType } : {}),
+      });
+      setData(res.data);
+      setTotal(res.total);
+    } catch {
+      message.error('加载设备列表失败');
+    } finally {
+      setLoading(false);
+    }
+  }, [page, filterPatientId, filterDeviceType]);
+
+  useEffect(() => {
+    fetchDevices();
+  }, [fetchDevices]);
+
+  const handleUnbind = async (record: DeviceItem) => {
+    try {
+      await deviceApi.unbindDevice(record.id, record.version);
+      message.success('设备已解绑');
+      fetchDevices();
+    } catch {
+      message.error('解绑失败');
+    }
+  };
+
+  const columns: ColumnsType<DeviceItem> = [
+    {
+      title: '设备 ID',
+      dataIndex: 'device_id',
+      width: 120,
+      render: (v: string) => v.slice(0, 8),
+    },
+    {
+      title: '设备型号',
+      dataIndex: 'device_model',
+      width: 160,
+    },
+    {
+      title: '设备类型',
+      dataIndex: 'device_type',
+      width: 100,
+      render: (v: string) => {
+        const label = DEVICE_TYPE_OPTIONS.find((d) => d.value === v)?.label || v;
+        return <Tag color={DEVICE_TYPE_COLOR[v] || 'default'}>{label}</Tag>;
+      },
+    },
+    {
+      title: '绑定时间',
+      dataIndex: 'bound_at',
+      width: 170,
+      render: (v: string) => formatTime(v),
+    },
+    {
+      title: '最后同步',
+      dataIndex: 'last_sync_at',
+      width: 170,
+      render: (v: string) => formatTime(v),
+    },
+    {
+      title: '操作',
+      width: 80,
+      render: (_, record) => (
+        <Popconfirm
+          title="确认解绑"
+          description="解绑后设备将不再关联该患者，确定继续？"
+          onConfirm={() => handleUnbind(record)}
+          okText="确定"
+          cancelText="取消"
+        >
+          <Button size="small" type="link" danger>
+            解绑
+          </Button>
+        </Popconfirm>
+      ),
+    },
+  ];
+
+  return (
+    <div style={{ padding: 24 }}>
+      <h2 style={{ marginBottom: 16 }}>设备管理</h2>
+
+      <Space style={{ marginBottom: 16 }} wrap>
+        <Input
+          placeholder="患者 ID"
+          value={filterPatientId}
+          onChange={(e) => setFilterPatientId(e.target.value)}
+          style={{ width: 200 }}
+          allowClear
+        />
+        <Select
+          placeholder="设备类型"
+          value={filterDeviceType}
+          onChange={setFilterDeviceType}
+          options={DEVICE_TYPE_OPTIONS}
+          style={{ width: 140 }}
+          allowClear
+        />
+        <Button type="primary" onClick={() => setPage(1)}>
+          查询
+        </Button>
+      </Space>
+
+      <Table<DeviceItem>
+        rowKey="id"
+        columns={columns}
+        dataSource={data}
+        loading={loading}
+        pagination={{
+          current: page,
+          total,
+          pageSize: 20,
+          showTotal: (t) => `共 ${t} 条`,
+          onChange: (p) => setPage(p),
+        }}
+      />
+    </div>
+  );
+}
diff --git a/apps/web/src/pages/health/PatientDetail.tsx b/apps/web/src/pages/health/PatientDetail.tsx
index 41b322b..29d2277 100644
--- a/apps/web/src/pages/health/PatientDetail.tsx
+++ b/apps/web/src/pages/health/PatientDetail.tsx
@@ -26,6 +26,7 @@ import { VitalSignsTab } from './components/VitalSignsTab';
 import { LabReportsTab } from './components/LabReportsTab';
 import { HealthRecordsTab } from './components/HealthRecordsTab';
 import { FollowUpTab } from './components/FollowUpTab';
+import { DeviceReadingsTab } from './components/DeviceReadingsTab';
 import { GENDER_OPTIONS, BLOOD_TYPE_OPTIONS } from '../../constants/health';
 import { useThemeMode } from '../../hooks/useThemeMode';
 
@@ -276,6 +277,7 @@ export default function PatientDetail() {
                   size="small"
                   items={[
                     { key: 'vital', label: '体征数据', children: <VitalSignsTab patientId={id} /> },
+                    { key: 'device', label: '设备数据', children: <DeviceReadingsTab patientId={id} /> },
                     { key: 'lab', label: '化验报告', children: <LabReportsTab patientId={id} /> },
                     { key: 'records', label: '健康档案', children: <HealthRecordsTab patientId={id} /> },
                   ]}
diff --git a/apps/web/src/pages/health/components/DeviceReadingsTab.tsx b/apps/web/src/pages/health/components/DeviceReadingsTab.tsx
new file mode 100644
index 0000000..48192c5
--- /dev/null
+++ b/apps/web/src/pages/health/components/DeviceReadingsTab.tsx
@@ -0,0 +1,312 @@
+import { useCallback, useMemo, useState } from 'react';
+import { Table, Select, Tabs, Card, Typography } from 'antd';
+import { deviceReadingApi } from '../../../api/health/deviceReadings';
+import type { DeviceReading, HourlyReading } from '../../../api/health/deviceReadings';
+import { usePaginatedData } from '../../../hooks/usePaginatedData';
+
+const { Text } = Typography;
+
+/* ---------- 常量 ---------- */
+
+const DEVICE_TYPE_OPTIONS = [
+  { value: 'heart_rate', label: '心率' },
+  { value: 'blood_oxygen', label: '血氧' },
+  { value: 'blood_pressure', label: '血压' },
+  { value: 'blood_glucose', label: '血糖' },
+  { value: 'steps', label: '步数' },
+  { value: 'temperature', label: '体温' },
+] as const;
+
+const TIME_RANGE_OPTIONS = [
+  { value: 1, label: '最近 1 小时' },
+  { value: 6, label: '最近 6 小时' },
+  { value: 24, label: '最近 24 小时' },
+  { value: 168, label: '最近 7 天' },
+] as const;
+
+const DAYS_RANGE_OPTIONS = [
+  { value: 1, label: '1 天' },
+  { value: 3, label: '3 天' },
+  { value: 7, label: '7 天' },
+  { value: 30, label: '30 天' },
+] as const;
+
+const DEVICE_TYPE_MAP: Record<string, string> = Object.fromEntries(
+  DEVICE_TYPE_OPTIONS.map((o) => [o.value, o.label]),
+);
+
+const PAGE_SIZE = 10;
+
+/* ---------- Props ---------- */
+
+interface Props {
+  patientId: string;
+}
+
+/* ---------- 原始数据 Tab ---------- */
+
+interface RawFilters {
+  deviceType: string | undefined;
+  hours: number;
+}
+
+function RawDataTab({ patientId }: Props) {
+  const [deviceType, setDeviceType] = useState<string | undefined>(undefined);
+  const [hours, setHours] = useState<number>(24);
+
+  const fetcher = useCallback(
+    async (page: number, pageSize: number) => {
+      return deviceReadingApi.query({
+        patient_id: patientId,
+        device_type: deviceType,
+        hours,
+        page,
+        page_size: pageSize,
+      });
+    },
+    [patientId, deviceType, hours],
+  );
+
+  const { data, total, page, loading, refresh } = usePaginatedData<DeviceReading>(
+    fetcher,
+    PAGE_SIZE,
+    false,
+  );
+
+  const columns = useMemo(
+    () => [
+      {
+        title: '测量时间',
+        dataIndex: 'measured_at',
+        key: 'measured_at',
+        width: 180,
+        render: (v: string) => v ?? '-',
+      },
+      {
+        title: '设备类型',
+        dataIndex: 'device_type',
+        key: 'device_type',
+        width: 100,
+        render: (v: string) => DEVICE_TYPE_MAP[v] ?? v,
+      },
+      {
+        title: '指标',
+        dataIndex: 'raw_value',
+        key: 'metric',
+        width: 120,
+        render: (v: Record<string, unknown>) => {
+          const keys = Object.keys(v);
+          return keys.length > 0 ? keys.join(', ') : '-';
+        },
+      },
+      {
+        title: '原始值',
+        dataIndex: 'raw_value',
+        key: 'raw_value',
+        render: (v: Record<string, unknown>) => JSON.stringify(v),
+      },
+      {
+        title: '设备型号',
+        dataIndex: 'device_model',
+        key: 'device_model',
+        width: 120,
+        render: (v?: string) => v ?? '-',
+      },
+    ],
+    [],
+  );
+
+  return (
+    <>
+      <div style={{ display: 'flex', gap: 12, marginBottom: 12 }}>
+        <Select
+          placeholder="设备类型"
+          allowClear
+          style={{ width: 140 }}
+          options={[...DEVICE_TYPE_OPTIONS]}
+          value={deviceType}
+          onChange={(v) => {
+            setDeviceType(v);
+            refresh(1);
+          }}
+        />
+        <Select
+          style={{ width: 140 }}
+          options={[...TIME_RANGE_OPTIONS]}
+          value={hours}
+          onChange={(v) => {
+            setHours(v);
+            refresh(1);
+          }}
+        />
+      </div>
+
+      <Table
+        columns={columns}
+        dataSource={data}
+        rowKey="id"
+        loading={loading}
+        size="small"
+        pagination={{
+          current: page,
+          total,
+          pageSize: PAGE_SIZE,
+          onChange: (p) => refresh(p),
+          showTotal: (t) => `共 ${t} 条`,
+          size: 'small',
+        }}
+      />
+    </>
+  );
+}
+
+/* ---------- 小时聚合 Tab ---------- */
+
+interface HourlyFilters {
+  deviceType: string | undefined;
+  days: number;
+}
+
+function HourlyAggTab({ patientId }: Props) {
+  const [deviceType, setDeviceType] = useState<string | undefined>(undefined);
+  const [days, setDays] = useState<number>(7);
+
+  const fetcher = useCallback(
+    async (page: number, pageSize: number) => {
+      if (!deviceType) {
+        return { data: [] as HourlyReading[], total: 0 };
+      }
+      return deviceReadingApi.queryHourly({
+        patient_id: patientId,
+        device_type: deviceType,
+        days,
+        page,
+        page_size: pageSize,
+      });
+    },
+    [patientId, deviceType, days],
+  );
+
+  const { data, total, page, loading, refresh } = usePaginatedData<HourlyReading>(
+    fetcher,
+    PAGE_SIZE,
+    false,
+  );
+
+  const columns = useMemo(
+    () => [
+      {
+        title: '小时起始时间',
+        dataIndex: 'hour_start',
+        key: 'hour_start',
+        width: 180,
+        render: (v: string) => v ?? '-',
+      },
+      {
+        title: '设备类型',
+        dataIndex: 'device_type',
+        key: 'device_type',
+        width: 100,
+        render: (v: string) => DEVICE_TYPE_MAP[v] ?? v,
+      },
+      {
+        title: '最小值',
+        dataIndex: 'min_val',
+        key: 'min_val',
+        width: 100,
+        render: (v?: number) => (v != null ? v.toFixed(2) : '-'),
+      },
+      {
+        title: '最大值',
+        dataIndex: 'max_val',
+        key: 'max_val',
+        width: 100,
+        render: (v?: number) => (v != null ? v.toFixed(2) : '-'),
+      },
+      {
+        title: '平均值',
+        dataIndex: 'avg_val',
+        key: 'avg_val',
+        width: 100,
+        render: (v: number) => v.toFixed(2),
+      },
+      {
+        title: '采样数',
+        dataIndex: 'sample_count',
+        key: 'sample_count',
+        width: 80,
+      },
+    ],
+    [],
+  );
+
+  return (
+    <>
+      <div style={{ display: 'flex', gap: 12, marginBottom: 12 }}>
+        <Select
+          placeholder="设备类型"
+          allowClear
+          style={{ width: 140 }}
+          options={[...DEVICE_TYPE_OPTIONS]}
+          value={deviceType}
+          onChange={(v) => {
+            setDeviceType(v);
+            refresh(1);
+          }}
+        />
+        <Select
+          style={{ width: 140 }}
+          options={[...DAYS_RANGE_OPTIONS]}
+          value={days}
+          onChange={(v) => {
+            setDays(v);
+            refresh(1);
+          }}
+        />
+      </div>
+
+      {!deviceType ? (
+        <Text type="secondary">请先选择设备类型</Text>
+      ) : (
+        <Table
+          columns={columns}
+          dataSource={data}
+          rowKey="id"
+          loading={loading}
+          size="small"
+          pagination={{
+            current: page,
+            total,
+            pageSize: PAGE_SIZE,
+            onChange: (p) => refresh(p),
+            showTotal: (t) => `共 ${t} 条`,
+            size: 'small',
+          }}
+        />
+      )}
+    </>
+  );
+}
+
+/* ---------- 主组件 ---------- */
+
+export function DeviceReadingsTab({ patientId }: Props) {
+  return (
+    <Card size="small">
+      <Tabs
+        items={[
+          {
+            key: 'raw',
+            label: '原始数据',
+            children: <RawDataTab patientId={patientId} />,
+          },
+          {
+            key: 'hourly',
+            label: '小时聚合',
+            children: <HourlyAggTab patientId={patientId} />,
+          },
+        ]}
+      />
+    </Card>
+  );
+}
diff --git a/crates/erp-health/src/error.rs b/crates/erp-health/src/error.rs
index c803e86..c0fb0a1 100644
--- a/crates/erp-health/src/error.rs
+++ b/crates/erp-health/src/error.rs
@@ -68,6 +68,9 @@ pub enum HealthError {
     #[error("知情同意记录不存在")]
     ConsentNotFound,
 
+    #[error("设备绑定不存在")]
+    DeviceNotFound,
+
     #[error("告警规则不存在")]
     AlertRuleNotFound,
 
@@ -118,6 +121,7 @@ impl From<HealthError> for AppError {
             | HealthError::ThresholdNotFound
             | HealthError::ConsentNotFound
             | HealthError::AlertRuleNotFound
+            | HealthError::DeviceNotFound
             | HealthError::AlertNotFound
             | HealthError::DialysisPrescriptionNotFound
             | HealthError::FollowUpTemplateNotFound
diff --git a/crates/erp-health/src/handler/device_handler.rs b/crates/erp-health/src/handler/device_handler.rs
new file mode 100644
index 0000000..a6382bd
--- /dev/null
+++ b/crates/erp-health/src/handler/device_handler.rs
@@ -0,0 +1,85 @@
+//! 设备管理 API — 设备列表查询与解绑
+
+use axum::extract::{FromRef, Path, Query, State};
+use axum::response::IntoResponse;
+use axum::Extension;
+use serde::Deserialize;
+use utoipa::IntoParams;
+use uuid::Uuid;
+
+use erp_core::error::AppError;
+use erp_core::rbac::require_permission;
+use erp_core::types::{ApiResponse, PaginatedResponse, TenantContext};
+
+use crate::dto::DeleteWithVersion;
+use crate::service::device_service;
+use crate::state::HealthState;
+
+/// 设备列表查询参数
+#[derive(Debug, Deserialize, IntoParams)]
+pub struct DeviceListQuery {
+    /// 按患者 ID 筛选
+    pub patient_id: Option<Uuid>,
+    /// 按设备类型筛选
+    pub device_type: Option<String>,
+    pub page: Option<u64>,
+    pub page_size: Option<u64>,
+}
+
+/// GET /api/v1/health/devices — 设备绑定列表
+pub async fn list_devices<S>(
+    State(state): State<HealthState>,
+    Extension(ctx): Extension<TenantContext>,
+    Query(query): Query<DeviceListQuery>,
+) -> Result<impl IntoResponse, AppError>
+where
+    HealthState: FromRef<S>,
+    S: Clone + Send + Sync + 'static,
+{
+    require_permission(&ctx, "health.devices.list")?;
+    let page = query.page.unwrap_or(1);
+    let page_size = query.page_size.unwrap_or(20);
+
+    let (items, total) = device_service::list_devices(
+        &state,
+        ctx.tenant_id,
+        query.patient_id,
+        query.device_type.as_deref(),
+        page,
+        page_size,
+    )
+    .await?;
+
+    Ok(axum::Json(ApiResponse::ok(PaginatedResponse {
+        data: items,
+        total,
+        page,
+        page_size,
+        total_pages: total.div_ceil(page_size.max(1)),
+    })))
+}
+
+/// DELETE /api/v1/health/devices/{id} — 解绑设备（软删除）
+pub async fn unbind_device<S>(
+    State(state): State<HealthState>,
+    Extension(ctx): Extension<TenantContext>,
+    Path(id): Path<Uuid>,
+    axum::Json(body): axum::Json<DeleteWithVersion>,
+) -> Result<impl IntoResponse, AppError>
+where
+    HealthState: FromRef<S>,
+    S: Clone + Send + Sync + 'static,
+{
+    require_permission(&ctx, "health.devices.manage")?;
+
+    let device = device_service::unbind_device(
+        &state,
+        ctx.tenant_id,
+        id,
+        ctx.user_id,
+        body.version,
+    )
+    .await?;
+
+    Ok(axum::Json(ApiResponse::ok(device)))
+}
diff --git a/crates/erp-health/src/handler/mod.rs b/crates/erp-health/src/handler/mod.rs
index 26f2b8e..086e7b7 100644
--- a/crates/erp-health/src/handler/mod.rs
+++ b/crates/erp-health/src/handler/mod.rs
@@ -9,6 +9,7 @@ pub mod consent_handler;
 pub mod critical_alert_handler;
 pub mod critical_value_threshold_handler;
 pub mod daily_monitoring_handler;
+pub mod device_handler;
 pub mod device_reading_handler;
 pub mod diagnosis_handler;
 pub mod medication_record_handler;
diff --git a/crates/erp-health/src/module.rs b/crates/erp-health/src/module.rs
index 51d3901..3d188f8 100644
--- a/crates/erp-health/src/module.rs
+++ b/crates/erp-health/src/module.rs
@@ -7,7 +7,7 @@ use erp_core::module::{ErpModule, PermissionDescriptor};
 
 use crate::handler::{
     alert_handler, alert_rule_handler,
-    appointment_handler, article_category_handler, article_handler, article_tag_handler, consultation_handler, consent_handler, critical_alert_handler, critical_value_threshold_handler, daily_monitoring_handler, device_reading_handler, diagnosis_handler, doctor_handler, follow_up_handler, follow_up_template_handler,
+    appointment_handler, article_category_handler, article_handler, article_tag_handler, consultation_handler, consent_handler, critical_alert_handler, critical_value_threshold_handler, daily_monitoring_handler, device_handler, device_reading_handler, diagnosis_handler, doctor_handler, follow_up_handler, follow_up_template_handler,
     health_data_handler, medication_record_handler, patient_handler, points_handler, stats_handler,
 };
 
@@ -653,6 +653,15 @@ impl HealthModule {
                 "/health/alert-rules/{id}/deactivate",
                 axum::routing::put(alert_rule_handler::deactivate),
             )
+            // 设备管理
+            .route(
+                "/health/devices",
+                axum::routing::get(device_handler::list_devices),
+            )
+            .route(
+                "/health/devices/{id}",
+                axum::routing::delete(device_handler::unbind_device),
+            )
     }
 }
 
@@ -884,6 +893,18 @@ impl ErpModule for HealthModule {
                 description: "提交设备采集数据".into(),
                 module: "health".into(),
             },
+            PermissionDescriptor {
+                code: "health.devices.list".into(),
+                name: "查看设备绑定".into(),
+                description: "查看设备绑定记录列表".into(),
+                module: "health".into(),
+            },
+            PermissionDescriptor {
+                code: "health.devices.manage".into(),
+                name: "管理设备绑定".into(),
+                description: "解绑设备".into(),
+                module: "health".into(),
+            },
             PermissionDescriptor {
                 code: "health.alerts.list".into(),
                 name: "查看告警".into(),
diff --git a/crates/erp-health/src/service/device_service.rs b/crates/erp-health/src/service/device_service.rs
new file mode 100644
index 0000000..fb7a474
--- /dev/null
+++ b/crates/erp-health/src/service/device_service.rs
@@ -0,0 +1,72 @@
+//! 设备管理服务 — 设备绑定记录的查询与解绑
+
+use chrono::Utc;
+use sea_orm::entity::prelude::*;
+use sea_orm::ActiveValue::Set;
+use sea_orm::{QueryOrder, QuerySelect};
+use uuid::Uuid;
+
+use crate::entity::patient_devices;
+use crate::error::{HealthError, HealthResult};
+use crate::state::HealthState;
+
+/// 查询设备绑定记录（分页），支持按 patient_id / device_type 筛选
+pub async fn list_devices(
+    state: &HealthState,
+    tenant_id: Uuid,
+    patient_id: Option<Uuid>,
+    device_type: Option<&str>,
+    page: u64,
+    page_size: u64,
+) -> HealthResult<(Vec<patient_devices::Model>, u64)> {
+    let limit = page_size.min(100);
+    let offset = page.saturating_sub(1) * limit;
+
+    let mut query = patient_devices::Entity::find()
+        .filter(patient_devices::Column::TenantId.eq(tenant_id))
+        .filter(patient_devices::Column::DeletedAt.is_null());
+
+    if let Some(pid) = patient_id {
+        query = query.filter(patient_devices::Column::PatientId.eq(pid));
+    }
+    if let Some(dt) = device_type {
+        query = query.filter(patient_devices::Column::DeviceType.eq(dt));
+    }
+
+    let total = query.clone().count(&state.db).await?;
+    let items = query
+        .order_by_desc(patient_devices::Column::CreatedAt)
+        .limit(limit)
+        .offset(offset)
+        .all(&state.db)
+        .await?;
+
+    Ok((items, total))
+}
+
+/// 解绑设备 — 设置 deleted_at 实现软删除，递增 version
+pub async fn unbind_device(
+    state: &HealthState,
+    tenant_id: Uuid,
+    device_id: Uuid,
+    user_id: Uuid,
+    version: i32,
+) -> HealthResult<patient_devices::Model> {
+    let device = patient_devices::Entity::find_by_id(device_id)
+        .filter(patient_devices::Column::TenantId.eq(tenant_id))
+        .filter(patient_devices::Column::DeletedAt.is_null())
+        .one(&state.db)
+        .await?
+        .ok_or(HealthError::DeviceNotFound)?;
+
+    // 乐观锁校验
+    erp_core::error::check_version(device.version, version)?;
+
+    let mut active: patient_devices::ActiveModel = device.into();
+    active.deleted_at = Set(Some(Utc::now()));
+    active.updated_at = Set(Utc::now());
+    active.updated_by = Set(Some(user_id));
+    active.version = Set(version + 1);
+
+    Ok(active.update(&state.db).await?)
+}
diff --git a/crates/erp-health/src/service/mod.rs b/crates/erp-health/src/service/mod.rs
index 2183fb6..81ffd7a 100644
--- a/crates/erp-health/src/service/mod.rs
+++ b/crates/erp-health/src/service/mod.rs
@@ -11,6 +11,7 @@ pub mod critical_alert_service;
 pub mod critical_value_threshold_service;
 pub mod daily_monitoring_service;
 pub mod device_reading_service;
+pub mod device_service;
 pub mod diagnosis_service;
 pub mod medication_record_service;
 pub mod doctor_service;
diff --git a/crates/erp-server/migration/src/lib.rs b/crates/erp-server/migration/src/lib.rs
index 46a5cf6..3bf66d6 100644
--- a/crates/erp-server/migration/src/lib.rs
+++ b/crates/erp-server/migration/src/lib.rs
@@ -94,6 +94,7 @@ mod m20260428_000091_dead_letter_events;
 mod m20260429_000092_device_readings_metric;
 mod m20260429_000093_trend_analysis_prompt_v2;
 mod m20260429_000094_device_readings_unique_constraint;
+mod m20260429_000095_seed_alert_device_menus;
 
 pub struct Migrator;
 
@@ -195,6 +196,7 @@ impl MigratorTrait for Migrator {
             Box::new(m20260429_000092_device_readings_metric::Migration),
             Box::new(m20260429_000093_trend_analysis_prompt_v2::Migration),
             Box::new(m20260429_000094_device_readings_unique_constraint::Migration),
+            Box::new(m20260429_000095_seed_alert_device_menus::Migration),
         ]
     }
 }
diff --git a/crates/erp-server/migration/src/m20260429_000095_seed_alert_device_menus.rs b/crates/erp-server/migration/src/m20260429_000095_seed_alert_device_menus.rs
new file mode 100644
index 0000000..d6ee38c
--- /dev/null
+++ b/crates/erp-server/migration/src/m20260429_000095_seed_alert_device_menus.rs
@@ -0,0 +1,84 @@
+//! 补充告警和设备管理菜单种子数据
+
+use sea_orm_migration::prelude::*;
+
+#[derive(DeriveMigrationName)]
+pub struct Migration;
+
+#[async_trait::async_trait]
+impl MigrationTrait for Migration {
+    async fn up(&self, manager: &SchemaManager) -> Result<(), DbErr> {
+        let db = manager.get_connection();
+
+        // 获取默认租户 ID
+        let result = db.query_one(sea_orm::Statement::from_string(
+            sea_orm::DatabaseBackend::Postgres,
+            "SELECT id::text FROM tenant LIMIT 1".to_string(),
+        ))
+        .await?;
+
+        let tid = match result {
+            Some(row) => row.try_get_by_index::<String>(0).unwrap_or_default(),
+            None => return Ok(()),
+        };
+
+        let sys = "00000000-0000-0000-0000-000000000000";
+        let d3 = "a0000000-0000-0000-0000-000000000003"; // 健康管理目录
+
+        // 告警相关菜单（排在 AI 用量统计之后）
+        insert_menu(db, &tid, d3, "b0000003-0000-0000-0000-000000000016", "告警仪表盘", "/health/alert-dashboard", "AlertOutlined", 15, sys).await?;
+        insert_menu(db, &tid, d3, "b0000003-0000-0000-0000-000000000017", "告警列表", "/health/alerts", "BellOutlined", 16, sys).await?;
+        insert_menu(db, &tid, d3, "b0000003-0000-0000-0000-000000000018", "告警规则", "/health/alert-rules", "ControlOutlined", 17, sys).await?;
+
+        // 设备管理菜单
+        insert_menu(db, &tid, d3, "b0000003-0000-0000-0000-000000000019", "设备管理", "/health/devices", "ApiOutlined", 18, sys).await?;
+
+        Ok(())
+    }
+
+    async fn down(&self, manager: &SchemaManager) -> Result<(), DbErr> {
+        let db = manager.get_connection();
+
+        let ids = [
+            "b0000003-0000-0000-0000-000000000016",
+            "b0000003-0000-0000-0000-000000000017",
+            "b0000003-0000-0000-0000-000000000018",
+            "b0000003-0000-0000-0000-000000000019",
+        ];
+
+        for id in &ids {
+            db.execute(sea_orm::Statement::from_string(
+                sea_orm::DatabaseBackend::Postgres,
+                format!("DELETE FROM menus WHERE id = '{id}'"),
+            ))
+            .await
+            .ok();
+        }
+
+        Ok(())
+    }
+}
+
+async fn insert_menu(
+    db: &sea_orm_migration::SchemaManagerConnection<'_>,
+    tenant_id: &str,
+    parent_id: &str,
+    id: &str,
+    title: &str,
+    path: &str,
+    icon: &str,
+    sort: i32,
+    sys: &str,
+) -> Result<(), DbErr> {
+    let esc_title = title.replace('\'', "''");
+    db.execute(sea_orm::Statement::from_string(
+        sea_orm::DatabaseBackend::Postgres,
+        format!(
+            "INSERT INTO menus (id, tenant_id, parent_id, title, path, icon, sort_order, visible, menu_type, permission, created_at, updated_at, created_by, updated_by, deleted_at, version) \
+             VALUES ('{id}', '{tenant_id}', '{parent_id}', '{esc_title}', '{path}', '{icon}', {sort}, true, 'menu', NULL, NOW(), NOW(), '{sys}', '{sys}', NULL, 1) \
+             ON CONFLICT (id) DO NOTHING"
+        ),
+    ))
+    .await?;
+    Ok(())
+}