495355 A7 -----------B7__ 五、發明說明（丨） 發明之領域 本發明係關於一種用於對於門診病人之醫療控制管理 之設備’及關於一種對於門診病人之醫療控制管理之方法 ’及一種用於對於門診病人之醫療管理之系統。 發明背景 於一個健康照顧之費用持續增加之情況下，門診病人 之照顧對於住院之照顧係節省成本之另一選擇，且此外， 通常一般病患係較喜歡門診病人之照顧。然而，門診病人 之照顧並非沒有問題。特別是，門診病人之順從係一個周 知之問題。不順從可能造成過度治療或不足之治療，兩者 皆爲次佳的且可能對於病患造成嚴重之傷害。藉由使病患 時吊由其之醫師回診而檢查不順從至某一程度，然而，此 笑寸於病患係不方便且成本高的。 本發明係用以避免上述之問題。 發明之目的 本發明之一個目的係爲提供一個用於對於門診病人之 違療管理之設備’門診病人使用該用於對於門診病人之醫 療管理之設備能夠時時被一個醫師、一個護士或其他醫護 人員所控制’而該門診病人不需要會見達成該控制之人員 ’而該達成該控制之人員亦不需要檢查該設備。 本發明之另一個目的係爲提供一個用於控制對於門診 病人之醫療管理之設備的使用之裝置。 本發明之又一個目的係爲提供一種藉由一設備而管理 Μ於門診病人之醫療之方法，門診病人能夠時時被一個醫 _______3_ 不·紙m尺度適用中國國家標準（CNS)A4規格（210 X 297公釐） (請先閱讀背面之注意事項再填寫本頁) · .線 哪355 A7 '^-___B7_ " -------- 五、發明說明（7 ) 師、一個護士或其他醫護人員所控制，而該門診病人不需 要會見達成該控制之人員，而該達成該控制之人員亦不需 要檢查該設備。 由下列之本發明的簡短敘述、圖示一個較佳實施例之 後附圖示、本發明之詳細描述及後附之申請專利範圍，本 發明之進一步之目的將變成明顯的。 發明槪要 根據本發明，其係提供一種上述形式之設備，其包含 • 一個用戶辨別模組（SIM )，卡之讀卡機’其電氣地連接 至用於控制該設備之電子裝置。作爲一個安全之措施，較 佳地’本發明之設備係包含一個記憶單元，病患之辨認資 料係記錄於其內，以用於與由一用戶辨別模組卡讀入之病 患之辨認資料作後續之比較。該資料之辨認的驗證係一個 用於操作該設備之條件。 本發明之該設備之控制係牽涉到下列數項中之一項： 治療次數之控制，於治療間之最大及/或最小可允許之時 間間隔，單一治療之長度，治療參數，一天、一週或其他 時間期間之最大及/或最小可允許之治療次數及其長度， 治療之總時間，對於某一天、某一週或其他時間期間之管 理的限制，且甚至是於時鐘之特定時間。其亦可以使該控 制諸如允許改變一個單一治療之長度，舉例而言，於時間 上增加或減少。類似地，於個別治療間之最大及/或最小 可允許之時間間隔可以被改變，舉例而言，於時間上增加 或減少期間。治療次數之控制係包含，舉例而言，在一個 _ 4_ 本纸張尺度適用中國國家標準（CNS)A4規格（210 X 297公釐）~ ' ---------------------訂--------- (請先閱讀背面之注意事項再填寫本頁) 495355 A7 __B7__ 五、發明說明（）） 醫師或護士允許實施進一步之治療之控制下或在一個醫師 或護士允許實施進一步之治療之處方之下’於該用戶辨別 模組卡必須再激勵（再程式化）之前能夠實施之最大之治 療次數。此能夠於，舉例而言’當該病患看醫師或護士時 而實施。對於一個病患而言’攜帶該用戶辨別模組卡即可 ，而不必攜帶該設備。於再程式化該用戶辨別模組卡之即 ，該醫師或護士可以由該用戶辨別模組卡下載資料至一個 能夠讀出及顯示該資料之電腦或其他裝置。此資料係於治 療期間儲存於該用戶辨別模組卡內且由插入該設備中之卡 所控制之資料。對於一個攜帶如此資料之使用過之用戶辨 別模組卡以，舉例而言郵寄之方式，而送至一個儲存於該 用戶辨別模組卡內之資訊能夠被讀出及解釋之場所係有利 的，該場所舉例而言係該開處方給該病患之門診病人診所 Ο 或者，其亦可能透過一個由調變解調器或其類似裝置 所連接之讀取裝置，將儲存於該用戶辨別模組卡內之資訊 ，由一個除了該門診病人診所或醫師之辦公室等等之位置 ，舉例而言該病患之家，轉移至一個於該門診病人診所或 醫師之辦公室之一個電腦，其係藉由一電話線或一行動電 話或其類似裝置，特別是網際網路，而作資料傳輸。 根據本發明，本發明亦提供一個於用於控制本發明之 設備之可程式化之狀態下之用戶辨別模組卡。較佳地，該 用戶辨別模組卡係用以儲存除了病患辨認資料之外之下列 數個項目之一：該用戶辨別模組卡係有效之治療之次數， ____ 5_________ 大紙張尺度適用中國國家標準（CNS)A4規格（210 X 297公釐） (請先閱讀背面之注意事項再填寫本頁) 訂---------線 Ί 495355 A7 B7 五、發明說明（4 ) 於治療間之間隔，單一治療之長度，治療參數’可以實施 之最大治療次數，該用戶辨別模組卡係有效之治療之總時 間。根據本發明，較佳地，該用戶辨別模組卡係能夠儲存 關於由該設備接收之醫療管理的資料。 根據本發明，本發明進一步提供一個用於程式化用於 本發明之該設備的控制之用戶辨別模組卡的終端機’該用 戶辨別模組卡之程式化終端機係電氣地或藉由射頻或光學 裝置，而連接至一個儲存用於程式化該用戶辨別模組卡之 程式的電腦。該程式可以是一個固定的程式，或是一個能 夠被一個使用者存取而藉由改變輸入資料而適用於一個病 患或一群病患。該用戶辨別模組卡之程式化終端機可以位 於該電腦相同之位置，亦可以是接近該病患之位置。於接 近該病患之位置之情況下，該用戶辨別模組卡之程式化終 端機係透過一電話線或其他資料傳輸線或一無線之連接而 連接至該中央電腦。 根據本發明，本發明亦提供一個上述形式之系統，系 統包含：本發明之許多設備，至少一個對應之數目之用戶 辨別模組卡、一個中央電腦及至少一個用戶辨別模組卡之 程式化終端機。 根據本發明之第一個較佳之技術態樣，該用於對於門 診病人之醫療控制管理之設備，係一個用於在耳性眩暈疾 病及類似情況之治療下管理一個病患之內耳的氣壓脈波之 設備。 m 根據本發明之第二個較佳之技術態樣，該用於對於門 _____ 6_ i紙張尺度適用士國國家標準（CNS)A4規格（21Q x 297公€ 〜 --- ---------------------訂--------- (請先閱讀背面之注意事項再填寫本頁) 495355 A7 ___ B7 ___ 五、發明說明（ζ ) 診病人之醫療控制管理之設備，係一個用於藉由皮膚及/ 或肌肉組織之電激勵而控制疼痛之設備。 根據本發明之第三個較佳之技術態樣，該用於對於門 診病人之醫療控制管理之設備，係一個用於提供對於患有 睡眠失序呼吸之病患強制換氣之設備。 根據本發明之第三個較該佳之技術態樣，該設備係包 含一個配藥單元，該配藥單元係用於諸如藥錠或膠囊之藥 物，或者液體藥物，諸如一由液體產生之一劑量之噴劑或 於用於肌肉內注射之液體載器中之一藥劑。 根據本發明之第五個較佳之技術態樣，該用戶辨別模 組卡可以用於儲存於使用本發明之設備期間取樣之資料。 特別是病人之順從資料及關於該對應之設備或其他不期望 之事件之誤動作之資料。於將該用戶辨別模組卡送回該發 行之診所時，醫師或類似之人員將該用戶辨別模組卡之記 憶內容讀出並使用該資訊作爲繼續修理，包含修改或中斷 ，該設備或類似裝置之基礎。 根據本發明之一個進一步之較佳之技術態樣，該於本 文中使用之用戶辨別模組卡令用於提供給病患之門診病人 治療之昂貴設備之使用有經濟之控制而且免費。某些用於 門診病人照顧之設備係非常昂貴且/或僅需要一短的治療 週期的工作而捨棄其廣泛之應用。根據本發明之系統之該 用戶辨別模組卡使如此之設備能夠以免費或以償;還保f登金 之方式提供給該病患。然後，該病患將僅需要以一個用戶 辨別模組卡之方式購買一給定數量之治療，關於治療之次 7 P氏張尺度適用中國國家標準（CNS)A4規格（21〇χ 297公釐) " ' ~~ (請先閱讀背面之注意事項再填寫本頁) 訂---------線 495355 A7 ____B7 ___ 五、發明說明（^ ) 數或治療之總時間之資訊係儲存於該用戶辨別模組卡上。 假如於完全使用完該用戶辨別模組卡後認爲進一步之治療 係有需要或期望的，則該病患可以購買一個新的用戶辨別 模組卡或者使該舊的用戶辨別模組卡重新程式化。於一個 可以適用於所有種類之病患之標準的治療之情況下，該記 憶體卡係僅需要程式化一次，如同一個智慧卡一樣。 根據本發明，本發明亦提供一用於對於門診病人之醫 療控制管理之方法，該用於對於門診病人之醫療控制管理 之方法包含下列步驟： 提供一個用於管理由數位資料控制之醫療的設備，該 設備包含一用於保持或讀取一卡之讀取器，適合於如此控 制之數位資料係儲存於該讀取器中，且進一步包含一電子 控制電路； (b) 提供一個具有如些之資料儲存於其內之卡； (c) 將該卡插入該讀卡器，藉些於該卡及該電子電路 之間建立電氣之通訊；及 (d) 對一病患實施由該資料控制之醫療。 較佳地，該卡係包含一個能夠再程式化之記憶體晶片 。特別是，該卡較佳地係包含一可抹除電子可程式唯讀記 憶體（EEPROM)。該卡較佳地亦係一用戶辨別模組卡。 此外，較佳地，本發明之方法係包含由該設備轉移數 位資料至用於其內儲存之該卡。 因此，本發明之方法可以進一步包含下列一個或數個 步驟，諸如下列步驟： _ _8____ 本紙張尺度適用中國國家標準（CNS)A4規格（210 X 297公釐） (請先閱讀背面之注意事項再填寫本頁) IAW --------訂·-------丨線 495355 A7 _R7 …-___ 五、發明說明（1 ) (e)儲存與該醫療管理相關所收集之資料於該卡上之 步驟； (f )轉移儲存於步驟（e )中之資料至位於距離該管 理發生之地點一段距離之位置之一個電腦之步驟； (g)再程式化該卡° 於藉由一本發明之設備之智慧卡’特別是一用戶辨別 模組卡，控制之情況下，其包含一單獨之控制或與一形成 其之一整體部分之記憶晶片所共同控制’亦即’不想在至 少部份地拆解該設備之下而被移除之部份。於此應用之中 ，一個用戶辨別模組卡或智慧卡具有大約一般信用卡之大 小或者較佳地係更小，諸如一 “郵票大小”之卡的大小。 該卡可以攜帶印刷之資訊’諸如辨識其意欲使用之設備之 資訊，及指示置入卡片容置器之置入方向的資訊。於此應 用中，一個“卡片容置器”或一個“卡片讀取器” 一般係 指一個能夠暫時容置一智慧卡’特別是一用戶辨別模組卡 ，之裝置，同時電氣地連接該卡及電路，舉例而言，與於 用於醫療管理之設備中之電路。 圖式簡單說明 藉由詳細敘述本發明之較佳實施例及參考後附之圖示 ，本發明之上述目的及其他優點將變得更明白’其中： 第1圖係一個根據本發明之用於治療耳性眩暈疾病之 具有一用戶辨別模組卡及一·^片讀取器之設備之立體圖； 第2圖係第1圖中之該设備之方塊圖， 第3圖係根據本發明之一個門診病人之醫療管理系統 9_____ 本紙張尺度適用中國國家標準（CNS)A4規格（210 X 297公釐） ---------------------訂--------- (請先閱讀背面之注意事項再填寫本頁) 495355 A7 B7 五、發明說明（β ) 之方塊圖。 〔元件符號說明〕 1 2 3 4 5 6 7 8 9 10 17 18 19 2〇 2 1 2 2 2 3 治療耳性眩暈設備 外殼 內殼 裝絞鏈之蓋 可彎曲之管 耳栓 面板 發光二極體指示器 細縫 用戶辨別模組卡 可抹除電子可程式唯讀記憶體 開始/停止鈕 發光二極體指示器 電源供應器 電子控制單元 控制閥 過壓解除閥 壓力不足閥 壓力感測器 幫浦空間 振動膜 電磁鐵 10 -1 - 111 n n n n I 1_1 I— - n I— · ϋ n i-1 n n l n 一0J· «i n ϋ n ϋ n I i (請先閱讀背面之注意事項再填寫本頁) 本紙張尺度適用中國國家標準（CNS)A4規格（210 X 297公釐） 495355 A7 B7 五、發明說明（ 2 4 2 5 3〇 3 1 3 2 3 3 3 4 4 0 4 1 4 2 4 3 4 4 4 5 4 6 5〇 5 1 5 2 5 6 6 0 6 1 6 2 6 3 用戶辨別模組卡讀取器/容置器 用戶辨別模組卡 中央資料管理單元 電腦 卡容置器 介面 天線 用戶辨別模組卡 門診病人治療設備 用戶辨別模組卡讀取器 控制單元 單元中 卡讀取器 天線 用戶辨別模組卡 門診病人治療設備 用戶辨別模組卡讀取器 控制單元 卡讀取器 電話線 用戶辨別模組卡 門診病人治療設備 用戶辨別模組卡讀取器 控制單元 11 (請先閱讀背面之注意事項再填寫本頁) -I · i n n In ·ϋ tMm§ n--I MM WH· ΜΜ W· MM··垂 本紙張尺度適用中國國家標準（CNS)A4規格（210 X 297公釐） 495355 B7 五、發明說明（ί 〇 ) 較佳實施例之說明 用於藉由空氣脈波之管理之治療耳性眩暈設備1係示 於第1圖。該設備1係包含一具有一裝絞鏈之蓋4之外殼 2 ’該裝絞鏈之蓋4提供至該外殼2之內部的途徑。一個 內殼3係設置於距離該外殼2 —距離之處，藉此形成一個 橢圓形之凹槽，當該設備1不使用時一個可彎曲之管5能 夠被儲存於該橢圓形之凹槽之內。該可彎曲之管5由於該 內殼3之壁上之一孔出現，且於其自由端具有一個用以連 接該可彎曲之管5至一病患之耳朵之耳栓6。一個用於由 該病患所操作之面板7包含一個開/關之觸摸開關及數個 發光二極體指示器8。敘述至此之設備1基本上係揭示於 W0 00/01048 4號專利案之中。本發明相較於該 W0 00/010484號專利案係具專利性之設備之特 點在於包含一個用戶辨別模組卡之容置器，其之細縫9係 用於置入一用戶辨別模組卡1 0，該用戶辨別模組卡1〇 包含一可抹除電子可程式唯讀記憶體1 1，如圖1所示。 於第1圖中，該用戶辨別模組卡1 0係示於一個緊接置入 該細縫9之位置。 第1圖中之該設備之示意功能圖係示於第2圖。 一個於該內殼3中之壓力脈波產生器單元產生加壓空 氣之脈波，該加壓空氣之脈波係透過該可彎曲之管5及該 耳栓6而轉移至一病患之內耳朵。該壓力脈波產生器單元 包含一振動膜2 2及一電子控制單元1 6 ’該電子控制單 元16包含一程式化而用於控制該壓力脈波產生器單元之 12_____ 衣紙張尺度適用由國國家標準（CNS)A4規格（210 X 297公釐） ---------------------訂---------線 l^_w. (請先閱讀背面之注意事項再填寫本頁) 495355 A7 ____ B7__ 五、發明說明（ 諸如可抹除電子可程式唯讀記憶體的微處理器。 該設備之一個方塊圖係示於第2圖。該加壓空氣之脈 波係由一個形成一幫浦空間2 1之一壁的振動膜2 2所產 生。該振動膜2 2係由一電磁鐵2 3所控制。該振動膜2 2之位移係藉由高準確度之一電子控制單元1 6所控制， 該電子控制單元1 6包含一微處理器及該電磁鐵2 3。該 電子控制單元16係設有關於選擇用於一特定形式之治療 的波形及透過一個壓力感測器2 0之該幫浦空間2 1中之 壓力的資訊。一個控制閥]_7係設置於一個由該幫浦空間 2 1延伸之導管之中，且於其另一端之開口係至周圍環境 。於每一個脈波中當該控制閥1 7被打開之後，係允許該 振動膜2 2返回一個無負載之位置。由該振動膜2 2產生 之空氣脈波係透過該可彎曲之管5及該耳栓6而由該幫浦 空間2 1轉移至一病患之耳朵。 治療係藉由按壓開始/停止鈕1 2而開始及停止。該 治療進度以預先定義之意義而由指示器8、1 3顯示。爲 了確保病患不暴露於任何錯誤之治療，數個安全系統係建 立於該設備之中。一個於該治療期間用於錯誤之脈波形狀 之警示係由可見之指示器8、1 3所指示。電氣及機械之 安全系統係防止該壓力達到一個危險之水準。於該幫浦空 間2 1中之壓力爲2 5毫巴（mbar)之下，一個整合至該 電子控制系統中之安全功能係關閉至該幫浦磁鐵之電力且 開啓該控制閥1 7。此外，於該幫浦空間2 1中之壓力爲 3 5毫巴（mbar)之下，一個控制一過壓解除閥1 8之機 _____ 13 _____ 本紙張尺度適用中國國家標準（CNS)A4規格（210 x 297公釐） (請先閱讀背面之注意事項再填寫本頁)495355 A7 ----------- B7__ V. Description of the invention (丨) Field of the invention The present invention relates to a device for medical control management of outpatients and a medical control for outpatients Method of management 'and a system for medical management of outpatients. BACKGROUND OF THE INVENTION In the case of a continuous increase in the cost of health care, outpatient care is another cost saving option for inpatient care, and in addition, generally the patient prefers outpatient care. However, outpatient care is not without its problems. In particular, the compliance of outpatients is a well-known issue. Non-compliance can result in over- or undertreatment, both of which are suboptimal and can cause serious harm to the patient. The patient is checked for non-compliance to a certain extent by having the patient's physician return for consultation. However, this smile is inconvenient and costly for the patient. The present invention is intended to avoid the problems described above. OBJECTS OF THE INVENTION An object of the present invention is to provide a device for outpatient management of outpatient patients. The outpatient patient can use the device for medical management of outpatients from time to time by a physician, a nurse or other medical care Personnel controlled 'and the outpatient does not need to meet the person who achieved the control' and the person who achieved the control did not need to check the equipment. Another object of the present invention is to provide a device for controlling the use of equipment for medical management of outpatients. Another object of the present invention is to provide a method for managing medical treatment of outpatients by a device. Outpatients can always be treated by a doctor. _______3_ No. The paper m scale applies the Chinese National Standard (CNS) A4 specification ( 210 X 297 mm) (Please read the notes on the back before filling out this page) ·. Which line 355 A7 '^ -___ B7_ " -------- V. Description of invention (7) Teacher, a nurse Or other medical personnel, and the outpatient does not need to meet with the person who achieved the control, and the person who achieved the control does not need to check the equipment. Further objects of the present invention will become apparent from the following brief description of the present invention, the accompanying drawings illustrating a preferred embodiment, the detailed description of the present invention, and the scope of the appended patent application. Summary of the Invention According to the present invention, it is provided a device of the above-mentioned form, comprising: a subscriber identification module (SIM), a card reader 'which is electrically connected to an electronic device for controlling the device. As a security measure, it is preferable that the device of the present invention includes a memory unit, and the patient's identification data is recorded therein for identification with the patient read by a user identification module card. Make subsequent comparisons. The identification of this information is a condition for operating the equipment. The control of the device of the present invention involves one of the following: control of the number of treatments, the maximum and / or minimum allowable time interval between treatments, the length of a single treatment, treatment parameters, one day, one week, or The maximum and / or minimum allowable number of treatments and their length during other time periods, the total time of treatment, management restrictions on a certain day, week, or other time period, and even a specific time of the clock. It can also make the control such as allowing the length of a single treatment to be changed, for example, increased or decreased in time. Similarly, the maximum and / or minimum allowable time interval between individual treatments can be changed, for example, by increasing or decreasing periods in time. The control of the number of treatments includes, for example, in a _ 4_ this paper size applies the Chinese National Standard (CNS) A4 specification (210 X 297 mm) ~ '------------- -------- Order --------- (Please read the precautions on the back before filling this page) 495355 A7 __B7__ V. Description of the invention ()) The doctor or nurse is allowed to implement further treatment. The maximum number of treatments that can be performed before the user identifies that the module card must be re-energized (reprogrammed) under control or under a doctor or nurse's permission to perform further treatment. This can be done, for example, 'when the patient sees a physician or a nurse. For a patient, it is sufficient to carry the user identification module card instead of carrying the device. After reprogramming the user identification module card, the physician or nurse can download the data from the user identification module card to a computer or other device that can read and display the data. This data is stored in the user identification module card during the treatment and is controlled by the card inserted in the device. It is advantageous for a used user identification module card that carries such information to be sent, for example, by mail, to a place where the information stored in the user identification module card can be read and interpreted, The place is, for example, the outpatient clinic where the patient is prescribed. Or, it may be stored in the user identification module through a reading device connected by a modem or similar device. The information in the card is transferred from a place other than the outpatient clinic or doctor's office, etc., for example, the patient's home, to a computer in the outpatient clinic or doctor's office. A telephone line or a mobile phone or similar device, especially the Internet, for data transmission. According to the present invention, the present invention also provides a user identification module card in a programmable state for controlling the device of the present invention. Preferably, the user identification module card is used to store one of the following items in addition to the patient identification data: the number of effective treatments of the user identification module card, ____ 5_________ the large paper size is applicable to China Standard (CNS) A4 specification (210 X 297 mm) (Please read the precautions on the back before filling this page) Order --------- line 495355 A7 B7 V. Description of the invention (4) For treatment The interval, the length of a single treatment, the maximum number of treatments that can be performed by the treatment parameter, and the total time for the user to identify the module card as a valid treatment. According to the present invention, preferably, the user identification module card is capable of storing data about medical management received by the device. According to the present invention, the present invention further provides a terminal for programming a user-identified module card for controlling the device of the present invention. The programmed terminal of the user-identified module card is electrically or by radio frequency. Or optical device connected to a computer that stores a program for programming the user's identification module card. The program can be a fixed program or a program that can be accessed by a user and adapted to a patient or group of patients by changing the input data. The user-programmed terminal for identifying the module card can be located at the same location as the computer, or it can be near the patient. In the case of approaching the patient's location, the user-programmed terminal of the identification module card is connected to the central computer through a telephone line or other data transmission line or a wireless connection. According to the present invention, the present invention also provides a system of the above-mentioned form. The system includes: many devices of the present invention, at least one corresponding number of user identification module cards, a central computer, and at least one user identification module card. machine. According to a first preferred technical aspect of the present invention, the device for medical control management of outpatients is an air pressure pulse for managing the inner ear of a patient under the treatment of otic dizziness and the like Wave equipment. m According to the second preferred technical aspect of the present invention, it is used for the door _____ 6_ i paper size applicable to the National Standard (CNS) A4 specification (21Q x 297 € ~ --- ----- ---------------- Order --------- (Please read the notes on the back before filling out this page) 495355 A7 ___ B7 ___ 5. Description of the invention (ζ ) A device for medical control management of a patient is a device for controlling pain by electrical stimulation of skin and / or muscle tissue. According to a third preferred aspect of the present invention, the device is used for outpatients. The device for medical control management is a device for providing forced ventilation to a patient suffering from sleep disordered breathing. According to a third preferred aspect of the present invention, the device includes a dispensing unit, which The dispensing unit is for a drug such as a tablet or capsule, or a liquid drug, such as a spray produced from a dose of liquid or a medicament in a liquid carrier for intramuscular injection. Fifth according to the invention A better technical aspect, the user identification module card can be used to store The data sampled during the device of the present invention. Especially the patient's compliance data and the misoperation of the corresponding device or other undesired events. When returning the user identification module card to the issuing clinic, the physician or A similar person reads out the memory content of the user identification module card and uses the information as a basis for continued repair, including modification or interruption, the device or similar device. According to a further preferred technical aspect of the present invention, the The user identification module card used in this article makes the use of expensive equipment for outpatient treatment for patients economically controlled and free. Some equipment for outpatient care is very expensive and / or only requires The work of a short treatment cycle discards its wide application. The user identification module card of the system according to the present invention enables such a device to be provided to the patient for free or for payment; The patient will then only need to purchase a given quantity of treatments by means of a user identifying the module card. Standards are applicable to China National Standard (CNS) A4 specifications (21〇χ 297 mm) " '~~ (Please read the notes on the back before filling this page) Order --------- line 495355 A7 ____B7 ___ 5. The information of the invention description (^) or the total time of treatment is stored on the user identification module card. If the user identification module card is completely used, it is considered that further treatment is necessary or desired , Then the patient can purchase a new user identification module card or reprogram the old user identification module card. In the case of a standard treatment that can be applied to all types of patients, the memory The card system only needs to be programmed once, just like a smart card. According to the present invention, the present invention also provides a method for medical control management of outpatients. The method for medical control management of outpatients includes the following steps: providing a device for managing medical control controlled by digital data The device includes a reader for holding or reading a card, and digital data suitable for such control is stored in the reader, and further includes an electronic control circuit; (b) a device having The card whose data is stored in it; (c) insert the card into the card reader, and establish electrical communication between the card and the electronic circuit; and (d) implement data control on a patient Medical. Preferably, the card contains a reprogrammable memory chip. In particular, the card preferably includes an erasable electronic programmable read-only memory (EEPROM). The card is preferably also a user identification module card. Further, preferably, the method of the present invention includes transferring digital data from the device to the card for storage therein. Therefore, the method of the present invention may further include one or more of the following steps, such as the following steps: _ _8____ This paper size is applicable to China National Standard (CNS) A4 (210 X 297 mm) (Please read the precautions on the back before (Fill in this page) IAW -------- Order · ------- 丨 Line 495355 A7 _R7… -___ V. Description of the invention (1) (e) Store the information collected related to the medical management Steps on the card; (f) Steps of transferring the data stored in step (e) to a computer located some distance from the place where the management occurred; (g) Reprogramming the card. A smart card of the device of the present invention, especially a user identification module card, in the case of control, it includes a separate control or common control with a memory chip that forms an integral part of it, that is, does not want to be in At least partially dismantled the removed part of the device. In this application, a user identification module card or smart card is about the size of a general credit card or preferably smaller, such as the size of a "stamp-size" card. The card can carry printed information, such as information identifying the device it intends to use, and information indicating the placement direction of the card holder. In this application, a "card holder" or a "card reader" generally refers to a device capable of temporarily holding a smart card ', especially a user identification module card, and electrically connecting the card at the same time. And circuits, for example, circuits used in equipment for medical management. Brief Description of the Drawings By describing in detail the preferred embodiments of the present invention and referring to the accompanying drawings, the above-mentioned objects and other advantages of the present invention will become more clear. Among them: FIG. 1 is a diagram for A perspective view of a device for treating ear vertigo disease with a user identification module card and a reader; Figure 2 is a block diagram of the device in Figure 1, and Figure 3 is a block diagram of the device according to the present invention. Medical management system for an outpatient 9_____ This paper size is applicable to China National Standard (CNS) A4 (210 X 297 mm) --------------------- Order- -------- (Please read the notes on the back before filling out this page) 495355 A7 B7 5. Block diagram of the description of the invention (β). [Explanation of component symbols] 1 2 3 4 5 6 7 8 9 10 17 18 19 20 2 1 2 2 2 3 The ear shell of the device for the treatment of dizziness of the ear is equipped with a hinged cover, a flexible tube, an ear plug panel, and a light-emitting diode. Indicator slitting user identification module card can be erased electronic programmable read-only memory start / stop button light emitting diode indicator power supply electronic control unit control valve over-pressure release valve under-pressure valve pressure sensor pump Space vibration diaphragm electromagnet 10 -1-111 nnnn I 1_1 I—-n I— · ϋ n i-1 nnln-0J · «in ϋ n ϋ n I i (Please read the precautions on the back before filling this page) This paper size applies to China National Standard (CNS) A4 (210 X 297 mm) 495355 A7 B7 V. Description of the invention (2 4 2 5 3〇3 1 3 2 3 3 3 4 4 0 4 1 4 2 4 3 4 4 4 5 4 6 5〇5 1 5 2 5 6 6 0 6 1 6 2 6 3 User identification module card reader / capacitor user identification module card central data management unit computer card container interface antenna user Identification module card outpatient treatment equipment user identification module card reader control unit unit card reader day Line User Identification Module Card Outpatient Treatment Equipment User Identification Module Card Reader Control Unit Card Reader Phone Line User Identification Module Card Outpatient Patient Treatment Equipment User Identification Module Card Reader Control Unit 11 (Please read first Note on the back, please fill in this page again) -I · in In · ϋ tMm§ n--I MM WH · MM W · MM ·· The paper size is applicable to China National Standard (CNS) A4 (210 X 297 mm) ) 495355 B7 V. Description of the invention (ί 〇) Description of the preferred embodiment A device 1 for treating otic dizziness by air pulse management is shown in Fig. 1. The device 1 includes a Outer casing 2 of the chain cover 4 'The hinged cover 4 provides access to the interior of the outer casing 2. An inner casing 3 is provided at a distance from the outer casing 2, thereby forming an oval groove When the device 1 is not in use, a flexible tube 5 can be stored in the oval groove. The flexible tube 5 appears due to a hole in the wall of the inner shell 3 and is free With a flexible tube 5 to a patient Ear plugs 6. A panel 7 for operation by the patient includes an on / off touch switch and several light emitting diode indicators 8. The device 1 described so far is basically disclosed at WO 00 / 01048 No. 4 patent case. Compared with the WO 00/010484 patent case, the present invention is a patented device which is characterized in that it contains a user identification module card holder, and its narrow slit 9 is used to insert a user identification module card. 10, the user identification module card 10 includes an erasable electronic programmable read-only memory 11, as shown in FIG. In the first figure, the user identification module card 10 is shown at a position immediately after being inserted into the slit 9. The schematic functional diagram of the device in Figure 1 is shown in Figure 2. A pressure pulse wave generator unit in the inner shell 3 generates a pulse wave of pressurized air, which is transferred into a patient through the flexible tube 5 and the ear plug 6 ear. The pressure pulse wave generator unit includes a vibrating membrane 22 and an electronic control unit 16 ′. The electronic control unit 16 includes a stylized 12_____ for the pressure pulse wave generator unit. Standard (CNS) A4 specification (210 X 297 mm) --------------------- Order --------- line l ^ _w. ( Please read the precautions on the back before filling this page) 495355 A7 ____ B7__ 5. Description of the invention (such as a microprocessor that can erase electronic programmable read-only memory. A block diagram of the device is shown in Figure 2. The pulse wave of the pressurized air is generated by a vibration film 22 that forms a wall of a pump space 21. The vibration film 22 is controlled by an electromagnet 23. The displacement of the vibration film 22 It is controlled by an electronic control unit 16 with high accuracy. The electronic control unit 16 includes a microprocessor and the electromagnet 23. The electronic control unit 16 is provided with options for selecting a specific type of Information on the treatment waveform and the pressure in the pump space 21 through a pressure sensor 20. A control valve] _7 is set in a In the duct extending from the pump space 21, the opening at the other end is tied to the surrounding environment. In each pulse, when the control valve 17 is opened, the diaphragm 22 is allowed to return to a No load position. The air pulse wave generated by the diaphragm 22 is transferred from the pump space 21 to the ear of a patient through the flexible tube 5 and the ear plug 6. The treatment is performed by pressing The start / stop button 12 starts and stops. The progress of the treatment is indicated by indicators 8 and 13 in a predefined meaning. To ensure that the patient is not exposed to any wrong treatment, several safety systems are built on the device Among them, a warning for the wrong pulse shape during the treatment period is indicated by visible indicators 8, 1 3. Electrical and mechanical safety systems prevent the pressure from reaching a dangerous level. At the pump The pressure in space 21 is below 25 mbar, and a safety function integrated into the electronic control system is to turn off the power to the pump magnet and open the control valve 17. In addition, in the help The pressure in Pu space 2 1 is 3 5 Under mbar, a machine that controls an overpressure release valve 1 8 _____ 13 _____ This paper size applies to China National Standard (CNS) A4 (210 x 297 mm) (Please read the precautions on the back before (Fill in this page)
m ί ϋ ί It 一 ον · flu —5 - - - — ..... n I 495355 A7 _____B7 _ 五、發明說明（〇 械安全系統係開啓。任何於1毫巴之下之壓力係由一個壓 力不足閥1 9於該壓力下開啓而獲得防止。該設備係具有 一個可充電電池之形式之電源供應器1 5。直到目前爲止 所敘述之方塊圖基本上係該由瑞典哈姆斯塔（Halmstad) 之帕斯卡（Pascal)醫藥公司所製造之用於治療耳性眩暈疾 病之美耐特（Meniett®)設備。此外’本發明之設備包含 一個用戶辨別模組（SIM)卡讀取器/容置器2 4，該用 戶辨別模組（SIM)卡讀取器/容置器2 4係電氣地連接 至該電子控制單元1 6。一個不具有一用戶辨別模組卡讀 取器2 4之此種設備係揭示於案號爲W0 〇 〇/〇 1 3 4 6之專利案中，其於此係倂入作爲參考。敘述於美國專利 第5，837, 984號（垂漢Trahan等人）之此種但不 設有一用戶辨別模組卡讀取器2 4係被使用。一用戶辨別 模組卡1 0、2 5之該可抹除電子可程式唯讀記憶體1 1 係與該電子控制單元16中之該可抹除電子可程式唯讀記 憶體互補，且該可抹除電子可程式唯讀記憶體1 1係可置 入該用戶辨別模組卡讀取器2 4之中且可被讀取/寫入。 一個用於本發明之用戶辨別模組卡2 5之適合的可抹除電 子可程式唯讀記憶體係1仟位元組之可抹除電子可程式唯 讚記憶體，該可抹除電子可程式唯讀記憶體係具有寫入保 護功能及可程式安全碼型號SLE 4 4 2 8 (德國慕尼黑 貝利其汗不雷特Bereich Halbleiter之西門子公司）。一個 設有一個功效更強之可抹除電子可程式唯讀記憶體之用戶 辨別模組卡1 0、2 5甚至可以取代該電子控制單元丄6 14 本纸張尺度適用中關家標準（CNS)A4規格（21G X 297公爱)' (請先閱讀背面之注意事項再填寫本頁) --------訂---- 線 495355 A7 ___B7 ____ 五、發明說明（\V]) 中之微處理器。 對於一特定之病患之治療資料係以一或數個參數組之 形式儲存於該用戶辨別模組卡中之微晶片（可抹除電子可 程式唯讀記憶體）中。一個參數組包含關於脈波大小、頻 率、壓力增加及減少速率等之資訊。此外，每一個參數組 包含用於控制安全功能之軟體的資料。於該用戶辨別模組 卡中之可抹除電子可程式唯讀記憶體中亦儲存病患之辨識 資料.，及關於由一個醫師或其他醫藥適任人員所決定之適 用於該病患之醫院程式之賣料，該資料係諸如治療之次數 、個別治療間之最大及/或最小可允許之時間間隔。於將 該用戶辨別模組卡1 0、2 5置入該用戶辨別模組卡讀取 器2 4之中時，電氣接點係藉由該用戶辨別模組卡讀取器 2 4而建立於該用戶辨別模組卡2 5及該電子控制單元1 6之間，而致能由該用戶辨別模組卡2 5之該可抹除電子 可程式唯讀記憶體11至該電子控制單元16及由該電子 控制單元1 6至該用戶辨別模組卡2 5之該可抹除電子可 程式唯讀記憶體1 1之資料轉移。由該用戶辨別模組卡2 5之該可抹除電子可程式唯讀記憶體11轉移至該電子控 制單兀1 6之資料係包含病患之辨識資料及給該設備之指 令。由該電子控制單元1 6轉移至該用戶辨別模組卡2 5 且儲存於該可抹除電子可程式唯讀記憶體11中之資料係 包含使病患服藥之治療次數。 用於某一種門診病人之醫療管理的系統係以方塊圖之 形式不於弟3圖’該系統係包含一個中央資料管理單元3 15 ^紙張尺度適用中國國家標準（CNS)A4規格（210 X 297公釐) (請先閱讀背面之注意事項再填寫本頁) 訂---------線- 495355 A7 ______B7 ___ 五、發明說明（外） 0及複數個門診病人治療設備4 1、5 1及6 1，該複數 個門診病人治療設備4 1、5 1及6 1係位於距離該中央 資料管理單元3 0 —段相當距離D。該複數個門診病人治 療設備4 1、5 1及6 1係分別設有用戶辨別模組卡讀取 器4 2、5 2及6 2。接著，該用戶辨別模組卡讀取器4 2、5 2及6 2係分別電氣連接至控制單元4 3、5 3及 6 3。該控制單元4 3、5 3及6 3係包含一個微處理。 該控制單元4 3、5 3及6 3藉由接收由置入該個別之用 戶辨別模組卡讀取器4 2、. 5 2及6 2中之用戶辨別模組 卡4 0、5 0及6 0而來之資料，控制該複數個門診病人 治療設備4 1、5 1及6 1之包含其於時間上之使用的功 能。該用戶辨別模組卡4 0、5 0及6 0亦設計成接收及 儲存由該個別設備而來之資訊，諸如病患之總醫療時間。 此外，每一個用戶辨別模組卡儲存特定病患之辨認資料’ 該辨認資料係與儲存於一設備之該微處理器中之個人辨認、 資料。該設備只有在用戶辨別模組卡之辨認資料及該設備 之個人辨認資料匹配的情況下實施治療。 該中央資料管理單元3 0包含一個電腦及一個用於由 管理該單元之人員輸入及輸出資料之介面3 3。一個由一 卡容置器3 2而來之線、一天線3 4及一電話線5 6係電 氣地與該電腦3 1連接，以輸入/輸出資料。 該卡容置器3 2接收一個病患藉由，舉例而言電子郵 件，而送至該中央資料管理單元3 0之一個用戶辨別模組 卡6 0。儲存於該用戶辨別模組卡6 0中之病患及治療之 __ 16 ____ 本紙張尺度適闬由國國家標準（CNS)A4規格（210 X 297公釐） ---------------------訂--------* 線 (請先閱讀背面之注意事項再填寫本頁) 495355 A7 ____B7___ 五、發明說明（) 資料係轉移至該電腦3 1，儲存於該電腦3 1中並被讀取 及顯示於該介面3 3，該介面3 3舉例而言係爲一個螢幕 。管理該中央資料管理單元3 0之人員決定如何使用於資 料。該些資料可以被使用於：舉例而言，決定如何再程式 化該用戶辨別模組卡6 0、何種其他之醫療可以提供給該 病患、是否呼叫該病患作醫學之檢查等等。管理該中央資 料管理單元3 0之人員不需要一定是醫師或其他醫藥適任 人員。然而，於此種情況下，該管理該中央資料管理單元 3 ◦之人員必須在醫藥適任人員之監督之下實施。該再程 式化之用戶辨別模組卡6 0係藉由電子郵3而送回至該病 患，以允許該病患持續治療。 由一個使用之用戶辨別模組卡及再程式化之轉移的資 料之其他方式係關於用戶辨別模組卡4 0、5 0而示於第 3圖。爲了讀取及/或再程式化，該用戶辨別模組卡4 0 係被置入一個於用於無線資料轉移之單元4 4中之卡讀取 器4 5 ’該單元4 4係諸如一行動電話。透過一天線4 6 ’攜帶該資料之射頻係送至於該中央資料管理單元3 〇中 之一個接收器3 4，於該中央資料管理單元3 0中，該攜 帶該資料之射頻係被轉移至該電腦31且如上述之方式處 理。爲了讀取及/或再程式化，該用戶辨別模組卡5 0係 置入一個卡讀取器5 5，該卡讀取器5 5係藉由一個調變 解調器及一個電話線5 6而與該中央資料管理單元3 0中 之該電腦3 1作電氣連接。一個網際網路之連接可以有利 地用於資料轉移。 _— ___17 (請先閲讀背面之注意事項再填寫本頁) · -線 本纸張尺度適用中國國家標準（CNS)A4規格（210 X 297公釐） 495355 B7 五、發明說明（A) 雖然上述說明已經敘述本發明之較佳實施例，熟悉本 項技藝人士於不偏離本發明之後附之申請專利範圍之範曝 及精神下，能夠對於實施例作許多修改、附加及取代。 此，後附之申請專利範圍係意欲所有在本發明之真正範^ 及精神之內之改變。 ^ 18 本纸張尺度適用中國國家標準（CNS)A4規格（21〇 X 297公釐）m ί ϋ ί It aον · flu —5---— ..... n I 495355 A7 _____B7 _ 5. Description of the invention (0 mechanical safety system is open. Any pressure below 1 mbar is determined by a The under-pressure valve 19 is prevented from opening under this pressure. The device has a power supply 15 in the form of a rechargeable battery. The block diagram described so far basically consists of Hamsta, Sweden ( Halmstad), a Meniett® device manufactured by Pascal Pharmaceuticals for the treatment of vertigo in the ears. In addition, the device of the present invention includes a user identification module (SIM) card reader / holding Device 2 4, the user identification module (SIM) card reader / receiver 2 4 is electrically connected to the electronic control unit 16. One does not have a user identification module card reader 2 4 This type of device is disclosed in the patent case number WO 00 / 〇 1 36, which is hereby incorporated by reference. It is described in US Patent No. 5,837,984 (Trahan et al.) This type but without a user identification module card reader 24 is used. The user recognizes that the erasable electronic programmable read-only memory 1 1 of the module cards 1 0, 2 5 is complementary to the erasable electronic programmable read-only memory in the electronic control unit 16 and the erasable In addition to the electronic programmable read-only memory 1 1, it can be placed in the user identification module card reader 2 4 and can be read / written. A user identification module card 2 5 of the present invention is used. Suitable erasable electronic programmable read-only memory system 1 记忆 byte of erasable electronic programmable read-only memory, the erasable electronic programmable read-only memory system has write protection function and programmable security code Model SLE 4 4 2 8 (Siemens Company of Bereich Halbleiter, Beiliich Halbleiter, Munich, Germany). A user identification module card with a more powerful erasable electronic programmable read-only memory 1 0, 2 5 can even replace the electronic control unit 丄 6 14 This paper size applies the Zhongguanjia Standard (CNS) A4 specification (21G X 297 public love) '(Please read the precautions on the back before filling this page) --- ----- Order ---- Line 495355 A7 ___B7 ____ V. The description of the invention (\ V]) Processor. The treatment data for a specific patient is stored in the form of one or several parameter sets in a microchip (which can erase the electronic programmable read-only memory) in the user identification module card. A parameter The group contains information about pulse wave size, frequency, pressure increase and decrease rate, etc. In addition, each parameter group contains data for software used to control safety functions. The user can identify the erasable electronic programmable in the module card The read-only memory also stores the patient's identification data, as well as sales materials for a hospital program that is determined by a physician or other medically appropriate person for the patient, such data as the number of treatments, individual treatment rooms The maximum and / or minimum allowable time interval. When the user identification module card 10, 2 5 is placed in the user identification module card reader 24, the electrical contact is established by the user identification module card reader 24. Between the user identification module card 25 and the electronic control unit 16 and enabling the user to identify the erasable electronic programmable read-only memory 11 of the module card 25 to the electronic control unit 16 and Data transfer from the electronic control unit 16 to the user identification module card 25 of the erasable electronic programmable read-only memory 11. The data of the erasable electronic programmable read-only memory 11 transferred by the user identification module card 25 to the electronic control unit 16 includes identification data of the patient and instructions to the device. The data transferred from the electronic control unit 16 to the user identification module card 2 5 and stored in the erasable electronic programmable read-only memory 11 includes the number of treatments for the patient to take medicine. The system for medical management of a certain kind of outpatients is in the form of a block diagram. It is not shown in the figure. The system includes a central data management unit. 3 15 ^ The paper size applies the Chinese National Standard (CNS) A4 specification (210 X 297). (Mm) (Please read the precautions on the back before filling this page) Order --------- line- 495355 A7 ______B7 ___ 5. Description of the invention (outside) 0 and multiple outpatient treatment equipment 4 1. 5 1 and 6 1, the plurality of outpatient treatment devices 4 1, 5 1 and 6 1 are located at a considerable distance D from the central data management unit 30-. The plurality of outpatient patient treatment devices 4 1, 5, 1 and 6 1 are respectively provided with user identification module card readers 4 2, 5 2 and 62. Then, the user recognizes that the module card readers 4 2, 5 2 and 6 2 are electrically connected to the control units 4 3, 5 3 and 63 respectively. The control units 4 3, 5 3 and 6 3 contain a micro processor. The control unit 4 3, 5 3, and 6 3 receive the user-identified module card reader 4 2,. 5 2 and 6 2 by receiving the module-identified module card 4 0, 50 and Data from 60 controls the functions of the plurality of outpatient treatment devices 41, 51 and 61 including their use in time. The user identification module cards 40, 50, and 60 are also designed to receive and store information from the individual device, such as the total medical time of the patient. In addition, each user identification module card stores identification data of a specific patient ', and the identification data is related to personal identification and data stored in the microprocessor of a device. The device performs treatment only if the identification information of the user identification module card and the personal identification information of the device match. The central data management unit 30 includes a computer and an interface 33 for inputting and outputting data by personnel managing the unit. A line from a card holder 32, an antenna 34, and a telephone line 5 6 are electrically connected to the computer 31 to input / output data. The card holder 32 receives a patient by, for example, an e-mail, and sends it to a user identification module card 60 of the central data management unit 30. Patients and treatments stored in the user identification module card 60 0 __ 16 ____ This paper is suitable for the national standard (CNS) A4 specification (210 X 297 mm) -------- ------------- Order -------- * Line (Please read the notes on the back before filling this page) 495355 A7 ____B7___ V. Description of the invention () The data is transferred to The computer 3 1 is stored in the computer 31 and read and displayed on the interface 3 3. The interface 3 3 is, for example, a screen. The person managing the central data management unit 30 decides how to use the data. This information can be used: for example, deciding how to reprogram the user identification module card 60, what other medical treatments can be provided to the patient, whether to call the patient for medical examination, and so on. The person managing the central data management unit 30 need not necessarily be a physician or other medically qualified person. However, in this case, the person who manages the central data management unit 3 ◦ must be implemented under the supervision of a competent medical person. The reprogrammed user identification module card 60 is sent back to the patient by e-mail 3 to allow the patient to continue treatment. Other ways of identifying the module card by a user in use and reprogramming the transferred data are shown in Fig. 3 with respect to the user identifying the module card 40, 50. For reading and / or reprogramming, the user identification module card 40 is placed in a card reader 4 5 in a unit 44 for wireless data transfer. The unit 4 4 is such as an action phone. The radio frequency carrying the data via an antenna 4 6 ′ is sent to a receiver 34 of the central data management unit 30, and in the central data management unit 30, the radio frequency carrying the data is transferred to the The computer 31 processes as described above. For reading and / or reprogramming, the user discriminates the module card 5 0 into a card reader 5 5. The card reader 5 5 uses a modem and a telephone line 5 6 and is electrically connected to the computer 31 in the central data management unit 30. An Internet connection can be advantageously used for data transfer. _— ___17 (Please read the notes on the back before filling out this page) ·-The paper size of the thread is applicable to China National Standard (CNS) A4 (210 X 297 mm) 495355 B7 V. Description of the invention (A) The description has described the preferred embodiment of the present invention, and those skilled in the art can make many modifications, additions and substitutions to the embodiment without departing from the scope and spirit of the scope of patent application attached to the present invention. Therefore, the appended claims are intended to be all within the true scope and spirit of the present invention. ^ 18 This paper size is in accordance with China National Standard (CNS) A4 (21 × 297 mm)