510797 A7 __B7_ _ 五、發明說明（/ ) 技術領域 本發明係關於一種用於治療肌肉內疼痛之肌肉內刺激 針刺裝置。 發明背景 將刺針插入肌肉內以治療肌肉疼痛之肌肉內刺激方法 係首先由Gunn所發展出來（1980年”用於慢性低背疼痛之 肌肉運動神經點乾式針刺：長期追蹤之隨機臨床試驗”， Spine，第五冊第三號第279至191頁）。該方法亦被他人 所使用，例如，1995年Chu於歐洲物理醫療及復建定期雜 誌第五冊第四號第106至第121頁所發表之”相關於腰脊神 經根病之肌筋膜疼痛乾式針刺”。實施肌肉內刺激治療之詳 細方法係說明於Gunn之治療肌筋膜疼痛：神經病起源之 肌筋膜疼痛徵候群之肌肉內刺激，教育資源健康科學中心 ，華盛頓大學，華盛頓州西雅圖（ISBN:l-55910-003-6)。 簡言之，本方法係包含將一類似一針灸用針之細針插 入所治療肌肉之內以及於該肌肉內線性地來回重複移動該 刺針而刺激肌肉。本揭示中之用詞”來回”意謂刺針線性地 推入肌肉之內，然後部分線性地抽回，然後再沿穿透之相 同線性路徑推入。這種動作於數個肌肉處之每一處重複多 次。於以下之說明中將會這種細針之操作方式稱之爲”刺” 〇 所治療之肌肉通常會緊縮。這種肌肉之緊繃會趨於將 過大之壓力或緊束施加於肌肉內之神經纖維中，進而造成 _ _— —_— _ '__—— __ 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) 訂---------線 ». 510797 A7 ____B7 ____ 五、發明說明（y) 慢性疼痛。當該緊縮之肌肉藉由這種重複之肌肉內刺激治 療而放鬆時，疼痛便會消去。這種治療之頻率係依肌肉緊 縮之嚴重性而定。嚴重緊縮之肌肉需要長時期經常之治療 ，而對於輕傷害肌肉而言，該治療頻率則少得多了。該肌 肉內刺激治療經常大都於多數點實行治療，這會較有效率 〇 雖然由Gunn發展出而由他人所使用之方法於治療慢 性肌肉疼痛病人時相當有效率，然而這種方法本身係屬自 我限制的，因爲這對於實行該治療之醫生會有不良效應。 爲了治療一病人，醫生以人爲方式將一刺針刺入一受傷之 肌肉中，其刺入速率約每秒一或兩次。通常，治療期間持 續約45分鐘。此意謂著，每一治療期間人爲刺入次數總計 爲2,700至5,400次。假設一個醫生每天治療八個病患， 每個病患期間需45分鐘。這意謂著，每天總共需要以人工 方式刺針21，600至43,200次。這種極多次數之重複人工 刺針會對醫生肩部及頸部肌肉造成嚴重之緊拉及疼痛，並 且遲早會傷害到醫生的肌肉。除非醫生接受治療(卻反而經 常以IMS治療之），否則最後他/她將無法再從事醫療工作 。這就是爲什麼這種方法是自我限制的原因了。 以人工刺入刺針對於病患而言是非常疼痛的。這是可 想而知的，因爲於治療過程中刺針人工插入及抽出時係固 定地加速及減速。通常病患必須先施予麻醉劑，以避免治 療期間過度之不舒適。 ___ 4............................— 本紙張尺度適用中國國家標準（CNS)A4規格（210 X 297公t ) '_ (請先閱讀背面之注意事項再填寫本頁) --------訂----------線· 510797 A7 ___ B7___ 五、發明說明（） 發明槪要 本發明係揭示一種自動化馬達驅動之針刺儀器，用於 對具有慢性肌肉疼痛之病患實施肌肉內刺激治療。本發明 之肌肉刺激器係以機械方式連結至一電動馬達，接著該馬 達係以電氣方式連接至一可程式控制單元，本發明之肌肉 刺激器係可取代人工操作之肌肉刺激器。具體地說，本發 明揭示一肌肉內刺激針刺裝置，其係以機械方式連結至一 線性操作馬達，以使該馬達以控制方式連續地驅動該刺針 於肌肉內來回地移動。實施治療者可於治療處穩固地握持 該儀器，而此時馬達則提供動力，以控制方式使肌肉內刺 激刺針於固定穿透深處均勻地來回線性移動。如此便可大 大地免除一般人工刺入治療中所產生之煩悶且使肌肉勞累 之勞力，進而解除了醫療人員體力負擔。 對於長時間之肌肉內刺激治療過程而言，即使以手穩 固地握持該機械式針刺裝置亦會使人覺得煩悶。本發明進 一步使用了一固持該刺激針刺儀器之機械式旋轉臂，進而 免除了額外之肌肉勞累。這種機械式旋轉臂係可延長、可 移動於任何方向、以及將該針刺裝置固定於定位。此外， 亦提供一腳部開關，用於以遙控方式啓動及關閉馬達。以 這種方式，便可以最少之勞力來實施肌肉內刺激治療，以 避免對醫療人員造成肌肉傷害。 使用本發明之一主要額外優點在於可大幅減低病患於 醫療過程中所承受之疼痛。以傳統人工刺入之方式，由於 不均勻之人工刺入動作而使刺針經持常加速及減速。這種 _____— s____ 本紙張尺度適用中國國家標準（CNS)A4規格（210 X 297公f ) (請先閱讀背面之注意事項再填寫本頁)510797 A7 __B7_ _ V. Description of the Invention (/) TECHNICAL FIELD The present invention relates to an intramuscular stimulation acupuncture device for treating intramuscular pain. BACKGROUND OF THE INVENTION An intramuscular stimulation method for inserting a needling needle into a muscle to treat muscle pain was first developed by Gunn (1980 "Dry Acupuncture of Muscle Nerve Points for Chronic Low Back Pain: A Randomized Clinical Trial for Long-term Follow-up", Spine, Book No. 3, pp. 279-191). This method has also been used by others, for example, Chu, published in the European Journal of Physical Medicine and Reconstruction Periodicals, Vol. 5, No. 4, Vol. 4, Nos. 106-121, "Dry type of myofascial pain related to lumbar spinal radiculopathy," acupuncture". A detailed method of implementing intramuscular stimulation is described in Gunn's Treatment of Myofascial Pain: Intramuscular Stimulation of Myofascial Pain Symptoms of Neuropathy Origins, Center for Educational Resources and Health Sciences, University of Washington, Seattle, Washington (ISBN: l- 55910-003-6). In short, the method involves stimulating a muscle by inserting a fine needle similar to an acupuncture needle into the muscle to be treated and moving the lancet back and forth linearly within the muscle. The term "back and forth" in this disclosure means that the lancet is linearly pushed into the muscle, then partially linearly withdrawn, and then pushed along the same linear path of penetration. This action is repeated multiple times at each of several muscles. In the following description, this kind of fine needle operation is called "thorn". The muscles to be treated usually tighten. This kind of muscle tension will tend to apply excessive pressure or tight bundles to the nerve fibers in the muscle, which will cause _ _ — —_— _ '__—— __ This paper standard applies to China National Standard (CNS) A4 Specifications (210 X 297 mm) (Please read the precautions on the back before filling this page) Order --------- line ». 510797 A7 ____B7 ____ 5. Description of the invention (y) Chronic pain. When the tightening muscles are relaxed by this repeated intramuscular stimulation treatment, the pain disappears. The frequency of this treatment depends on the severity of the muscle contraction. Severely tightened muscles require frequent treatment over a long period of time, and for lightly injured muscles, the frequency of treatment is much less. This intramuscular stimulation treatment is often performed at most points, which is more efficient. Although the method developed by Gunn and used by others is quite effective in treating patients with chronic muscle pain, this method itself is self-limiting Yes, because it can have an adverse effect on the doctor who is performing the treatment. To treat a patient, a doctor artificially inserts a puncture needle into an injured muscle at a rate of about one or two per second. Usually, the treatment period lasts about 45 minutes. This means that the total number of artificial punctures during each treatment period is 2,700 to 5,400. Suppose a doctor treats eight patients a day, and each patient takes 45 minutes. This means that a total of 21,600 to 43,200 needles need to be manually pierced daily. This kind of repeated artificial puncture will cause severe tension and pain in the shoulder and neck muscles of the doctor, and sooner or later, the doctor's muscles will be injured. Unless the doctor is treated (but often treated with IMS), he / she will no longer be able to engage in medical work. That's why this method is self-limiting. The artificial puncture is very painful for the patient. This is conceivable because the needle is fixedly accelerated and decelerated during manual insertion and withdrawal of the lancet during treatment. Patients must usually be given an anesthetic to avoid excessive discomfort during treatment. ___ 4 ............—— This paper size is applicable to China National Standard (CNS) A4 (210 X 297mm t) '_ (Please read the precautions on the back before filling this page) -------- Order ---------- Line · 510797 A7 ___ B7___ 5. Description of the invention () Summary of the invention The invention discloses an automatic motor-driven acupuncture instrument for performing intramuscular stimulation treatment on patients with chronic muscle pain. The muscle stimulator of the present invention is mechanically connected to an electric motor, and then the motor is electrically connected to a programmable control unit. The muscle stimulator of the present invention can replace a manually operated muscle stimulator. Specifically, the present invention discloses an intramuscular stimulation acupuncture device which is mechanically connected to a linear operation motor such that the motor continuously drives the needling needle to move back and forth within the muscle in a controlled manner. The implementer can hold the instrument firmly at the treatment place, while the motor provides power to control the intramuscular stimulating needle to move linearly back and forth at a fixed penetration depth in a controlled manner. In this way, the pain caused by general manual penetration treatment can be greatly relieved and the muscles are tired, and the medical staff's physical burden is relieved. For a long period of intramuscular stimulation treatment, even if the mechanical acupuncture device is held firmly with a hand, it may be boring. The present invention further uses a mechanical rotating arm holding the stimulation acupuncture instrument, thereby eliminating extra muscle strain. This mechanical swivel arm can be extended, moved in any direction, and the needling device is fixed in position. In addition, a foot switch is provided for remotely turning the motor on and off. In this way, intramuscular stimulation treatment can be performed with minimal effort to avoid causing muscle damage to the medical staff. One of the major additional advantages of using the present invention is that it greatly reduces the pain experienced by the patient during medical procedures. In the traditional manual penetration method, the needle is constantly accelerated and decelerated due to the uneven manual penetration. This _____— s____ This paper size is applicable to the Chinese National Standard (CNS) A4 (210 X 297 male f) (Please read the precautions on the back before filling this page)
510797 B7 五、發明說明（+) 無常的剪切動作會使病患極度疼痛。本發明所提供之固定 速度及均勻移動大大地免除了疼痛一臨床試驗顯示出約可 減少75%病患於醫療過程中所承受之疼痛。 因此本發明主要目的在於提供一自動化機械式肌肉內 刺激針刺裝置，其係以機械方式連結至一可程式電動控制 馬達，進而驅使該刺激刺針於固定之穿透深度處均勻地來 回移動。 本發明另一目的在於提供一肌肉內刺激針刺裝置，其 係經由一電動馬達以均勻控制方式而移動，而可解除必須 人工移動所造成醫療人員肌肉之勞累° 本發明另一目的在於提供一馬達驅動控制肌肉內刺激 針刺裝置，其提供給病患較安全、較有效率、均勻、及較 少疼痛之醫療過程。 本發明之另一目的在於提供一自動化肌肉內刺激針刺 裝置，其不僅可發展一機械式均勻來回移動方式用於刺激 器刺針，亦進一步可有助於刺針於初始刺入皮膚醫療處。 本發明之另一目的在於提供一自動化肌肉內刺激針刺 裝置，其可有助於刺針於初始刺入皮膚醫療處，同時可將 病患於此部份醫療過程所承受之不舒適減至最小之程度。 本發明之另一目的在於提供一種機構，用於穩定並準 確地將該刺激針刺裝置固定於醫療處’而可減少醫療人員 之勞累。 閱讀以下說明及申請專利範圍，熟悉本項技術人士將 可淸楚明瞭本發明該等及其它目的。 — ______—ή —— ----- 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) —訂----- 線 510797 A7 ________ B7 五、發明說明（$ ) 圖式簡單說明 所必須了解者爲，本發明可形成各種不同部件之配置 ，而以下圖式僅爲說明本發明較佳實施例之用，並非反之 以限制本發明範疇。 圖1係爲一自動化肌肉內刺激針刺裝置實施例之側視 圖。 圖2係爲一用於本發明自動化肌肉內刺激針刺裝置之 速度/深度控制單元區塊圖。 圖3係爲圖2控制單元之時序邏輯圖。 圖4係爲用於於所需方向支撐該肌肉內刺激針刺裝置 之完整配置側視圖。 圖5係爲類似於圖1之側視圖，表示根據本發明所產. 生之具有刺入輔助之自動化肌肉內刺激針刺裝置實施例° 圖6係爲用於操作圖5之自動化肌肉內刺激針刺裝置 之控制單元示意圖。 元件符號說明 (請先閱讀背面之注意事項再填寫本頁) 訂---------線， 12 底板 14 保持螺絲 16 注射器固定器 18 軸 20 底板 22 柱塞 本紙張尺度端中g g家標準(CNS)A4 €721() x 2977公釐） 510797 A7 B7 五、發明說明（匕） 24 固定螺絲 26 刺針固定帽 28 保持銷 30 頭部 32 刺針 34 注射器體 36 電線 38 控制單元 40 可變振盪器 42 馬達驅動器 44 可程式計數器 46 正反器 48 電源開啓偵測器 58 固體表面 60 部件 62 底部插銷 64 底部連接點 66 上臂桿 68 下臂桿 70 中間連接點 72 調整螺絲 74 臂桿 76 臂桿 78 端部連接點 (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） 510797 A7 B7 五、發明說明（Ί ) 80 84 86 88 90 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 工具固定器組件 短柄 馬達固定器外殼 固定螺絲 腳部開關 圓筒 電磁圈 肌肉內刺激器 圓板 彈簧 圓柱形柄 軸 架設板 底部 馬達 刺針 導引 固定螺絲 控制器 微處理器 串列埠連接電路 第一群組控制電路 開關 開關 --------訂---------線. (請先閱讀背面之注意事項再填寫本頁) _9 本紙張尺度適用中國國家標準（CNS)A4規格（210 X 297公釐） 510797 A7 B7 五、發明說明（g ) 120 驅動器電路 121 第一驅動電路 122 第二驅動電路 較佳實施例詳細說明 圖1表示一馬達驅動肌肉內刺激(IMS)針刺裝寘，以及 其連接至一控制器之方式，該控制器係用於調整針刺之速 度及深度。 爲了治療病患，醫護人員將一與該針刺裝置配合之注 射器體固定於病患皮膚上方，直接在醫療肌肉上方。該注 射器體包括一入口，一刺針可經該入口自由地移入及移出 。然後將該控制單元啓動，以產生該刺針所需移動。每當 通了動力源能，該刺針便以該控制單元所設定之頻率來回 移動，並移動該控制器所設定之一預設距離長度(亦即刺入 深度）。因此該刺針係貫穿皮膚並開始刺激所欲醫療之肌肉 ，然後便重覆此程序直到該刺針抽出爲止。 該針刺裝置一般係包含六個主要部件，包括一線性馬 達10、一注射器固定器16、一注射器體34、一柱塞22、 一刺針固定帽26、以及刺針32。該線性馬達10具有一 內部齒輪（未示出），該齒輪係將該馬達之旋轉移動轉換爲 線性移動，然後該移動可傳至軸18。提供這種操作之線性 馬達可由 Philips Technologies，of Cheshire，Conn 公司取得 。該馬達旋轉方向決定了該刺針3 2線性移動之方向。例如 ，當該馬達10順時鐘旋轉時，該軸18便向下移動，而當 (請先閱讀背面之注意事項再填寫本頁) I------訂i 線· 本紙張尺度適用中國國家標準（CNS)A4規格（210 X 297公釐） 510797 A7 ____B7____ ___ 五、發明說明（？） 該馬達10逆時鐘旋轉時，該軸18則向上移動。該控制單 元38藉由電線36傳送移動訊號及方向訊號給該線性馬達 10 〇 該注射器固定器16接納了該注射器體34。爲了達到 此目的，該注射器固定器16係最好爲一機製部件’以兩個 保持螺絲14固定至該線性馬達10之底板12 ’並形成一用 於一底板20之保護殼’配合該注射器體34使用。該注射 器固定器16最好由一諸如”Plexiglas®，，之材料製成’其可 機械加工使該注射器體34可輕易地附著於該注射器固定器 16或由該注射器固定器16拆除，例如是一扭鎖機件。該 注射器體34進一步最好爲一透明聚合物材料製成，以便該 刺針32之內部移動可由該注射器體34外部看到。例如’ 市面上可購得之lOcc可丟棄式注射器便可用於該注射器體 34 〇 該柱塞22最好爲一機製部件，由適用之塑膠材料諸如 ”Lexan®”、”Nyl〇n®”或”Tefl〇n@”製成，並可連結該線性馬 達1〇及該刺針32。如圖1所示，該柱塞22之一側係藉由 一固定螺絲24而附著於該馬達軸18上。該柱塞22之另一 側具有一保持銷28，用於以例如一扭鎖機件而保持一刺針 固定帽26。 | 該刺針固定帽26最好爲一機製件，並操作而將該注射 32緊緊地固定於定位’以便於治療病患期間該刺針32可 沿該馬達軸18之軸而對準。該帽26上端具有一扭鎖样， 而可使刺針可迅速地置換。該帽26下端具有一機製孔，用 本紙張尺度綱巾祕㈣X )--— (請先閱讀背面之注意事項再填寫本頁) 訂---------線 1 二---1 I -- -1 Μ 0797 Α7 -_______Β7 _ 五、發明說明（) 以接納該刺針3 2頭部3 0。 該刺針32之直徑最好非常小(諸如一針灸刺針），以便 可有效率地插入皮膚及肌肉纖維。該刺針32最好具有一塑 膠頭30，以便較輕易地緊持該刺針32。 該針刺裝置之該注射器體34、該刺針固定帽26、以及 該刺針32應製成爲可置換，以便當該等部件用於治療一新 病患以前’每次皆可予以消毒。爲了置換一刺針32，首先 將該注射器體34從該注射器固定器保護殼16扭轉出來。 然後將該刺針固定帽26從該柱塞體22扭轉出來，最後並 從該刺針固定帽26移除該刺針32。安裝一新刺針32時則 顛倒這些步驟。 速度及深度控制單元38系爲一種電池或電氣電源之電 子單元’其以該線性馬達1〇行程速度及深度來控制該馬達 之線性移動。如圖2所示，該控制單元38係包含五個主要 電路元件，包括一可變振盪器40、一馬達驅動器42、一可 程式計數器44、一正反器46、以及一電源開啓偵測器48 〇 該可變振盪器40產生一方波訊號，諸如圖3.中50所 示者。產生該方波訊號之時脈訊號頻率最好爲可調整。可 使用一晶體振盪器電路或一計時器積體電路晶片(例如一習 知555計時器晶片）。 該馬達驅動器42係送出一所需電力至該線性馬達1〇 ，用以線性移動該馬達軸18。爲達到此目的，該馬達驅動 器42需要一時脈訊號輸入及一方向訊號輸入。該時脈訊5虎 _ - _19 -------- 本紙張尺度適用中國國家標準（CNS)A4規格（210 X 297公1 ) (請先閱讀背面之注意事項再填寫本頁) — I — I ---1----· · 510797 A7 ______B7______ 五、發明說明（V() 輸入最好爲一脈衝串列，諸如圖3中50所示者。每一脈衝 使該馬達軸18移動一固定距離。因此如果一脈衝使該馬達 軸18移動0.02英吋，則使該馬達軸18移動〇·4英吋則需 20個脈衝，以此類推。該時脈訊號之頻率決定移動速度。 例如，由該可變振盪器40產生之時脈訊號頻率爲100Hz， 則當每一脈衝使該馬達軸18移動0·02英吋時’該馬達軸 18每秒便移動2英吋。該馬達驅動器42亦需要一方向訊 號輸入。該方向訊號輸入係爲一決定該馬達軸18移動方向 之邏輯訊號。例如，當該邏輯訊號係爲高狀態時，該馬達 軸18移動將爲前進方向，而當該邏輯訊號係爲低狀態時’ 該馬達軸18移動將爲倒退方向。 該可程式計數器44係爲一訊號源，用於對該馬達驅動 器42產生方向訊號。該可程式計數器44具有一預設計數 値，當每一時脈脈衝由一該可程式計數器44所計數時，便 決定了該計數値。當到達最終計數時，該可程式計數器44 便產生一對應於一時脈脈衝之邏輯脈衝，如圖3之52所示 。然後將該邏輯脈衝訊號饋送至該正反器電路46。於到達 最終計數之後，該可程式計數器44再載入該預設計數値並 重複相同操作，以產生下一個脈衝訊號。該預設計數値係 予以程式化，且操作者可加以選擇該預設計數値。 該正反器電路46係一邏輯電路，其於接收到一輸入脈 衝訊號時改變其輸出邏輯準位，如圖3所示意者。當該可 程式計數器44並未傳送脈衝訊號輸入時，該正反器46之 輸出便爲低位準狀態，如圖3之54所示。當正反器46接 泰纸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 510797 A7 ______ ____B7__ 五、發明說明（A) 收到一邏輯脈衝時，其輸出改變了邏輯狀態，如圖3之56 所示。因爲該可程式計數器44於最終計數時產生一時脈脈 衝，因此該正反器46之輸出於每一最終計數結束時改變其 邏輯狀態。這意謂著輸入至該馬達驅動器42之方向輸入於 該可程式計數器44之每一最終計數時將會改變。如此更進 一步改變該馬達軸18之移動方向。 當該電源開啓時，該電源開啓偵測器48便產生一邏輯 脈衝。然後該脈衝訊號被饋送至該可程式計數器44及該正 反器46之重置輸入。當接收到此脈衝訊號時，該可程式計 數器44及該正反器46皆重置其輸出，以致該控制單元38 將於每當電源開啓時，在相同邏輯狀態下啓動其操作。 爲了進行一肌內刺激治療，藉由抓住該注射器體34， 該針刺裝置可爲手所持住。然而，握持該針刺裝置一固定 位置一段時間，對操作者而言是一種困難。這種體力負擔 可藉由使用一機械旋轉臂固持該針刺裝置而予以化解，而 同時該操作者則將該針刺裝置固定於所需治療位置。圖4 中顯示出一種這樣之配置。於這配置中，該注射器體34係 經由82而由一包含有部件60之機械旋轉臂所固持。爲達 到此目的，針刺裝置係藉由一馬達固定器外殻86而附著於 一工具固定器組件80上。該固定器外殼86最好爲一鋁製 之機械加工部件。該線性馬達10之頭部係放置於該固定器 外殼86內，並以一固定螺絲88固定之。該固定器外殼86 具有一短柄84，該短柄84係利用一固定螺絲82而附著於 該工具固定器組件80上。該旋轉臂允許於該臂可觸及之處 (請先閱讀背面之注意事項再填寫本頁) -Hi· n n ϋ f.^eJI n ϋ ϋ n n 線 _ 本纸張尺度適用中國國家標準（CNS)A4規格（210 X 297公釐） 510797 A7 __B7____— 五、發明說明（A ) 以任何方向將該針刺裝置定位。爲到達此目的’該臂包含 有3個連接點，包含一底部連接點64、一中間連接點70 以及一端部連接點78 °兩桿延伸於連接點64與連接點70 之間，包含一上臂桿66及一下臂桿68。兩桿亦延伸於該 中間連接點70與該端部連接點78之間’包含一上前臂桿 66及一下前臂桿68。接點64、70、78使臂桿66、68及臂 桿74、76可彎曲及伸縮。就以彎曲及伸縮而百’可藉鎖緊 或放鬆一調整螺絲72而調整該組件之靈活度。該旋轉臂係 藉由一架設底部60而固定於一固體表面58之上。該底部 60具有一凹處，用以容納一底部插銷62。這種配置允許該 旋轉臂做360度之旋轉。該旋轉臂最好由諸如鋼之材料所 構成。臂桿66及臂桿76最好爲中空，以承載由該線性馬 達10而來之電氣接線。至該控制單元38之電氣連接係在, 旋轉單元之底部60處，如圖4所示。一腳部開關9〇最好 係連接至該控制單元38 ’用於遙遠起動或停止馬達。 如圖4所示，當肌肉內刺激針刺裝置附著於旋轉臂時 ，該刺針32可以所有方向自由地移動。爲了治療病患’藉 由延伸該機械式旋轉臂而首先移動該刺針32 療所在處上方皮膚之位置上。定位之後，並初束iJ 針32，接著壓下該腳部開關90以作動該控制單元38 °以 這種方式，便可將操作者手及肌肉之使用減至最{氏之^呈@ ，進而可使該操作者執行肌肉內刺激治療一段_胃_胃’ 而免除發生傷害之風險。 實際上已發現，在上述之機械式旋轉臂定位之後’需 ___———……_is ------一 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) 訂---------線 __ 510797 A7 ___B7 _ 五、發明說明（θ ) 特別注意該刺針32之初次插入。而即使使用針刺裝置治療 而無旋轉臂之輔助時，相同地需有這種考量。其理由在於 ，爲了開始肌肉內刺激治療，該刺針32必須初次刺入皮膚 。然而即使使用一非常尖銳之刺針，皮膚通常還是會呈現 非常僵硬並抵制刺針刺入，特別是當病痛肌肉係位於所刺 入皮膚正下方時尤然。關於這方面之治療程序，爲了將潛 在之疼痛減至最小之程度，應須儘快施行該初次刺入步驟 〇 爲了進一步於該刺針初次入時將潛在之疼痛減至最小 之程度，可使用圖5所示之替代實施例針刺裝置。圖5所 示之針刺裝置係包含圖1所示之實施例針刺裝置之所有基 本元件’再加上用於初次刺入皮膚之輔助裝置，以將肌肉 內刺激治療這部份之潛在疼痛減低至最少之程度。該刺入 輔助裝置係受保護於一圓筒101之內，且包含一電磁圈 102，其係與肌肉內刺激器103串接(結構對應於圖丨所示 之針刺裝置）。爲達到此目的，該電磁圏102係固定於一形 成於該圓筒101頂部中之圓板1〇4上(例如使用固定螺絲 113)。該肌肉內刺激器103係懸置於該圓筒1〇1底部中， 且藉由一彈簧105而偏置與該電磁圈1〇2接合。該圓筒 101具有一圓柱形柄106，其可固定於—機械臂，若需要則 如圖4之臂所示。最好設釐一導引112，用以容納該電磁 圈102之軸107。 爲了開始刺入皮It，首先刺金十lu係非常靠近皮膚而 疋位。然後激能該電磁圈1〇2，使該電磁圏1〇2之軸1〇7 本紙張尺度適用中國國家標準(CNS)A4規格（21〇Γ^^3-* --- (請先閱讀背面之注意事項再填寫本頁) 訂---------線， 510797 A7 ______ _B7_ 五、發明說明（) 快速地向下推進。這個動作將整個肌肉內刺激器103往下 推’進而促使該刺針111刺入皮膚。此時，該彈簧105壓 縮於與馬達110(最好爲步進馬達)相連之架設板108及該圓 筒101之底部109之間。 於該電磁圈102不作動之前，最好開動該馬達110， 以使該刺針111進一步往下並進入皮膚之內（及病痛肌肉) ，如此則當該電磁圏102不作動及該軸107返回其原位置 時，該刺針111將留置於皮膚內。由此點向前進，使用該 肌肉內刺激器103之正常治療便開始了，且如上述者進行 。當所需(單一)治療程序結束時，該電磁圏1〇2便斷電。 使該電磁圏102激能及去能之時序最好由一微處理器 控制器所建立，諸如圖6所示之控制器114。該步進馬達 110亦由該控制器114所控制。對於這種控制器而言，較 佳之實施方式係使用一 STAMP2微控制器晶片(可由明尼蘇 達之Digi Key公司取得），如圖6所示。然而，其它微控 制器晶片可以類似方式用於發展具有相同功能之控制器 114 ° 於圖6之配置中，該控制器114係對一微處理器115 回應而運作，諸如前述之STAMP2微處理器。該微處理器 Π5係與一電腦(諸如一個人電腦)連通，用以建立與所需肌 肉內刺激治療關連之所需程式規劃，最好由一串列璋連接 電路116完成。再者，該微處理器115之連通可提供各種 控制，用於調整針刺裝置操作，如前文所述者。例如，一 第一群組控制電路1Π包括用於將該針刺裝置向上及向下 _____17 ___ 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) --------訂---------線·. 510797 A7 B7 五、發明說明（士） 移動之開關118, 119，以及腳部開關90。一第二群組控制 電路包括開關S1及S2,其係用以允許調整該針刺裝置之 操作參數（諸如注射程序之速度及行程）。該微處理器115 係進一步與一驅動器電路120藕合，其接著與該步進馬達 110藕合；該微處理器115並與一對繼電器驅動電路藕合 ，該對繼電器驅動電路包含一用於激能該步進馬達110之 第一驅動電路121及一用於激能該電磁圈1〇2之第二驅動 電路122。圖6所不之電路兀件係以一已知之方式運作， 以便有效地如前述方式調整該步進馬達110及該電磁圈 102之運作，進而實施所需之肌肉內刺激治療。 應了解到，雖然前文所述包含了許多參考例，但這些 參考例不應成爲本發明範圍之限制，而應僅爲本發明較佳 實施例之舉例說明。因此本發明範圍應爲申請專利範圍及 其均等物所界定，並非由以上這些實例所限制。 (請先閱讀背面之注意事項再填寫本頁) 訂- •線-510797 B7 V. Description of the Invention (+) Impermanent shearing motion can cause extreme pain to the patient. The fixed speed and uniform movement provided by the present invention greatly relieve pain. A clinical trial has shown that it can reduce about 75% of the pain experienced by patients during medical procedures. Therefore, the main object of the present invention is to provide an automatic mechanical intramuscular stimulation acupuncture device which is mechanically connected to a programmable electric control motor, thereby driving the stimulation acupuncture needle to move back and forth uniformly at a fixed penetration depth. Another object of the present invention is to provide an intramuscular stimulation acupuncture device, which is moved by an electric motor in a uniformly controlled manner, and can relieve the fatigue of medical personnel's muscles caused by manual movement. Another object of the present invention is to provide a The motor-driven control intramuscular stimulation acupuncture device provides a safer, more efficient, uniform, and less painful medical procedure for patients. Another object of the present invention is to provide an automatic intramuscular stimulation acupuncture device, which can not only develop a mechanical uniform back and forth movement method for stimulator acupuncture needles, but also further help the acupuncture needles to initially penetrate the skin medical place. Another object of the present invention is to provide an automatic intramuscular stimulation acupuncture device, which can help the acupuncture needle initially penetrate the skin medical place, and at the same time can minimize the discomfort suffered by the patient during this part of the medical process Degree. Another object of the present invention is to provide a mechanism for stably and accurately fixing the stimulating acupuncture device to a medical office 'so as to reduce the burden on medical personnel. After reading the following description and the scope of patent application, those skilled in the art will clearly understand these and other objectives of the present invention. — ______— Price —— ----- This paper size applies to China National Standard (CNS) A4 (210 X 297 mm) (Please read the precautions on the back before filling this page) —Order ----- Line 510797 A7 ________ B7 V. Description of the invention ($) A simple illustration must be understood that the present invention can form a variety of different component configurations, and the following drawings are only used to illustrate the preferred embodiment of the present invention, and not vice versa To limit the scope of the invention. Figure 1 is a side view of an embodiment of an automated intramuscular stimulation needling device. Fig. 2 is a block diagram of a speed / depth control unit used in the automated intramuscular stimulation needling device of the present invention. FIG. 3 is a timing logic diagram of the control unit of FIG. 2. Fig. 4 is a side view of a complete configuration for supporting the intramuscular stimulation needling device in a desired direction. FIG. 5 is a side view similar to FIG. 1, showing an embodiment of an automatic intramuscular stimulation acupuncture device with penetration assist produced according to the present invention. FIG. 6 is an automated intramuscular stimulation for operating FIG. 5. Schematic diagram of the control unit of the needling device. Component symbol description (please read the precautions on the back before filling this page) Order --------- line, 12 bottom plate 14 retaining screw 16 syringe holder 18 shaft 20 bottom plate 22 plunger scale end of the paper gg Home Standard (CNS) A4 € 721 () x 2977 mm) 510797 A7 B7 V. Description of the invention (dagger) 24 Fixing screw 26 Needle fixing cap 28 Retaining pin 30 Head 32 Needle 34 Syringe body 36 Electric wire 38 Control unit 40 may Variable Oscillator 42 Motor Driver 44 Programmable Counter 46 Flip-Flop 48 Power On Detector 58 Solid Surface 60 Component 62 Bottom Pin 64 Bottom Connection Point 66 Upper Arm 68 Lower Arm 70 Middle Connection Point 72 Adjustment Screw 74 Arm 76 Boom 78 end connection point (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) 510797 A7 B7 V. Description of the invention (Ί) 80 84 86 88 90 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 Tool holder assembly Short-hand motor holder Housing fixing screw feet open Cylindrical electromagnetic coil intramuscular stimulator circular plate spring cylindrical arbor erection plate bottom motor barbed needle guide fixing screw controller microprocessor serial port connection circuit first group control circuit switch switch -------- Order --------- line. (Please read the notes on the back before filling this page) _9 This paper size applies to China National Standard (CNS) A4 (210 X 297 mm) 510797 A7 B7 V. DESCRIPTION OF THE INVENTION (g) 120 driver circuit 121 first driver circuit 122 second driver circuit preferred embodiment detailed description FIG. 1 shows a motor-driven intramuscular stimulation (IMS) acupuncture device and its connection to a controller This controller is used to adjust the speed and depth of acupuncture. In order to treat the patient, the medical staff fixed an injector body matched with the acupuncture device on the patient's skin, directly above the medical muscle. The injector body includes an inlet through which a lancet can be moved in and out freely. The control unit is then activated to produce the required movement of the lancet. Whenever the power source is turned on, the lancet moves back and forth at the frequency set by the control unit, and moves a preset distance length (that is, the penetration depth) set by the controller. Therefore, the puncture needle penetrates the skin and begins to stimulate the muscles to be treated, and then repeats this procedure until the puncture needle is withdrawn. The needling device generally includes six main components, including a linear motor 10, a syringe holder 16, a syringe body 34, a plunger 22, a needle holding cap 26, and a needle 32. The linear motor 10 has an internal gear (not shown), and the gear train converts the rotational movement of the motor into a linear movement, which is then transmitted to the shaft 18. Linear motors to provide this operation are available from Philips Technologies, of Cheshire, Conn. The rotation direction of the motor determines the linear movement direction of the lancet 32. For example, when the motor 10 rotates clockwise, the shaft 18 moves downward, and when (please read the precautions on the back before filling this page) I ------ Order i line · This paper size is applicable to China National Standard (CNS) A4 specification (210 X 297 mm) 510797 A7 ____B7____ ___ V. Description of the invention (?) When the motor 10 rotates counterclockwise, the shaft 18 moves upward. The control unit 38 transmits a movement signal and a direction signal to the linear motor 10 through a wire 36. The syringe holder 16 receives the syringe body 34. In order to achieve this, the syringe holder 16 is preferably a mechanism component 'fixed to the bottom plate 12' of the linear motor 10 with two retaining screws 14 and forming a protective case for a bottom plate 20 to fit the syringe body 34 used. The syringe holder 16 is preferably made of a material such as "Plexiglas®," which can be machined so that the syringe body 34 can be easily attached to or removed from the syringe holder 16, such as A twist-lock mechanism. The syringe body 34 is further preferably made of a transparent polymer material so that the internal movement of the lancet 32 can be seen from the outside of the syringe body 34. For example, a commercially available lOcc disposable type A syringe can be used for the syringe body 34. The plunger 22 is preferably a mechanical component made of a suitable plastic material such as "Lexan®", "Nyl〇n®" or "Tefl〇n @" and can be connected The linear motor 10 and the lancet 32. As shown in FIG. 1, one side of the plunger 22 is attached to the motor shaft 18 by a fixing screw 24. The other side of the plunger 22 has a holding A pin 28 is used to hold a lancet fixing cap 26 with, for example, a twist-lock mechanism. The lancet fixing cap 26 is preferably a mechanism and operates to tightly fix the injection 32 in place for ease of treatment The lancet 32 may be along the motor shaft 1 during the patient Align with the axis of 8. The upper end of the cap 26 has a twist lock pattern, which can quickly replace the pricking needle. The lower end of the cap 26 has a mechanism hole, using the paper size outline scarf secret X) --- (please first Read the notes on the back and fill in this page) Order --------- Thread 1 2 --- 1 I--1 Μ 0797 Α7 -_______ Β7 _ 5. Description of the invention () to accept the lancet 3 2 Head 30. The diameter of the lancet 32 is preferably very small (such as an acupuncture lancet) so that skin and muscle fibers can be efficiently inserted. The lancet 32 preferably has a plastic head 30 to more easily hold the Needle 32. The syringe body 34, the needle fixing cap 26, and the needle 32 of the needle needling device should be made replaceable so that they can be sterilized each time before the parts are used to treat a new patient. To replace a lancet 32, the syringe body 34 is first twisted out of the syringe holder protective shell 16. Then the lancet fixing cap 26 is twisted out of the plunger body 22, and finally, the lancet fixing cap 26 is removed. Needle 32. These steps are reversed when installing a new needle 32. Speed and Depth Control The unit 38 is an electronic unit of a battery or electrical power source, which controls the linear movement of the linear motor with the stroke speed and depth of the linear motor. As shown in FIG. 2, the control unit 38 includes five main circuit elements. It includes a variable oscillator 40, a motor driver 42, a programmable counter 44, a flip-flop 46, and a power-on detector 48. The variable oscillator 40 generates a square wave signal, such as in Figure 3. 50. The frequency of the clock signal generating the square wave signal is preferably adjustable. A crystal oscillator circuit or a timer integrated circuit chip (such as a conventional 555 timer chip) can be used. The motor driver 42 sends a required power to the linear motor 10 for linearly moving the motor shaft 18. To achieve this, the motor driver 42 requires a clock signal input and a direction signal input. Newsletter 5 Tigers _-_19 -------- This paper size applies to China National Standard (CNS) A4 (210 X 297 male 1) (Please read the precautions on the back before filling this page) — I — I --- 1 ---- · · 510797 A7 ______B7______ 5. Explanation of the invention (V () input is preferably a series of pulses, such as shown in 50 in Figure 3. Each pulse makes the motor shaft 18 Move a fixed distance. So if one pulse moves the motor shaft 18 by 0.02 inches, it takes 20 pulses to move the motor shaft 18 by 0.4 inches, and so on. The frequency of the clock signal determines the moving speed. For example, if the frequency of the clock signal generated by the variable oscillator 40 is 100 Hz, when each pulse moves the motor shaft 18 by 0.02 inches, the motor shaft 18 moves by 2 inches per second. The motor driver 42 also needs a direction signal input. The direction signal input is a logic signal that determines the moving direction of the motor shaft 18. For example, when the logic signal is high, the movement of the motor shaft 18 will be a forward direction. When the logic signal is low, the motor shaft 18 will move backward. The programmable counter 44 is a signal source for generating a direction signal to the motor driver 42. The programmable counter 44 has a preset count, when each clock pulse is counted by a programmable counter 44 , The count 値 is determined. When the final count is reached, the programmable counter 44 generates a logic pulse corresponding to a clock pulse, as shown in 52 of Figure 3. Then the logic pulse signal is fed to the positive and negative Device circuit 46. After reaching the final count, the programmable counter 44 loads the preset count and repeats the same operation to generate the next pulse signal. The preset count is programmed and the operator can add Select the preset count 値. The flip-flop circuit 46 is a logic circuit that changes its output logic level when an input pulse signal is received, as shown in Figure 3. When the programmable counter 44 is not transmitted When the pulse signal is input, the output of the flip-flop 46 is in a low level state, as shown in 54 of Figure 3. When the flip-flop 46 is connected to Thai paper, the Chinese national standard (CNS) A4 specification is applicable. 210 X 297 mm) (Please read the notes on the back before filling this page) Order --------, line 510797 A7 ______ ____B7__ V. Description of the invention (A) When a logic pulse is received, its output The logic state is changed, as shown in 56 of Fig. 3. Because the programmable counter 44 generates a clock pulse at the final count, the output of the flip-flop 46 changes its logic state at the end of each final count. This means It is said that the direction input to the motor driver 42 is changed at each final count of the programmable counter 44. This further changes the direction of movement of the motor shaft 18. When the power is turned on, the power-on detector 48 generates a logic pulse. The pulse signal is then fed to the reset input of the programmable counter 44 and the flip-flop 46. When the pulse signal is received, both the programmable counter 44 and the flip-flop 46 reset their outputs, so that the control unit 38 will start its operation in the same logic state whenever the power is turned on. For an intramuscular stimulation treatment, the acupuncture device can be held by a hand by grasping the syringe body 34. However, it is difficult for an operator to hold the acupuncture device in a fixed position for a period of time. This physical burden can be resolved by using a mechanical rotating arm to hold the acupuncture device, while the operator fixes the acupuncture device at a desired treatment position. One such configuration is shown in Figure 4. In this configuration, the syringe body 34 is held by a mechanical rotating arm containing a component 60 via 82. To achieve this, the needling device is attached to a tool holder assembly 80 by a motor holder housing 86. The holder housing 86 is preferably an aluminum machined part. The head of the linear motor 10 is placed in the holder housing 86 and fixed by a fixing screw 88. The holder housing 86 has a short handle 84 which is attached to the tool holder assembly 80 by a fixing screw 82. The swivel arm is allowed to be touched by the arm (please read the precautions on the back before filling this page) -Hi · nn ϋ f. ^ EJI n ϋ ϋ nn line _ This paper size applies to China National Standard (CNS) A4 specification (210 X 297 mm) 510797 A7 __B7 ____— 5. Description of the invention (A) Position the acupuncture device in any direction. To this end, the arm contains 3 connection points, including a bottom connection point 64, an intermediate connection point 70, and one end connection point 78 °. The two rods extend between connection point 64 and connection point 70, including an upper arm Rod 66 and lower arm 68. The two rods also extend between the intermediate connection point 70 and the end connection point 78 ', including an upper forearm rod 66 and a lower forearm rod 68. The contacts 64, 70, 78 allow the booms 66, 68 and 74, 76 to flex and expand. In terms of bending and telescoping, the flexibility of the assembly can be adjusted by locking or loosening an adjusting screw 72. The swivel arm is fixed on a solid surface 58 by a mounting base 60. The bottom 60 has a recess for receiving a bottom pin 62. This configuration allows the swivel arm to rotate 360 degrees. The swivel arm is preferably made of a material such as steel. The boom 66 and the boom 76 are preferably hollow to carry electrical wiring from the linear motor 10. The electrical connection to the control unit 38 is at the bottom 60 of the rotating unit, as shown in FIG. 4. A foot switch 90 is preferably connected to the control unit 38 'for remotely starting or stopping the motor. As shown in FIG. 4, when the intramuscular stimulation needling device is attached to the rotating arm, the needling needle 32 can move freely in all directions. To treat the patient ', the lancet 32 is first moved to the position of the skin above the treatment site by extending the mechanical rotary arm. After positioning, the iJ needle 32 is initially bundled, and then the foot switch 90 is depressed to actuate the control unit 38 °. In this way, the use of the operator's hands and muscles can be reduced to the maximum {氏 之 ^ 致 @, This allows the operator to perform an intramuscular stimulation treatment for a period of _stomach_stomach 'without the risk of injury. In fact, it has been found that after the positioning of the above-mentioned mechanical rotary arm, 'needed ___———— …… _is ------ a paper size applicable to the Chinese National Standard (CNS) A4 specification (210 x 297 mm) (Please read the precautions on the back before filling this page) Order --------- Thread __ 510797 A7 ___B7 _ 5. Description of the invention (θ) Pay special attention to the initial insertion of the lancet 32. The same considerations apply when using acupuncture devices without the aid of a rotating arm. The reason is that, in order to start the intramuscular stimulation treatment, the puncture needle 32 must penetrate the skin for the first time. However, even with a very sharp lancet, the skin usually appears very stiff and resists pricking, especially when the ailing muscle system is directly underneath the pierced skin. Regarding the treatment procedure in this regard, in order to minimize the potential pain, the initial puncture step should be performed as soon as possible. In order to further minimize the potential pain when the puncture needle is first entered, use FIG. 5 The alternative embodiment shows a needling device. The acupuncture device shown in FIG. 5 includes all the basic components of the acupuncture device of the embodiment shown in FIG. 1 plus an auxiliary device for the first penetration into the skin to treat intramuscular stimulation to treat this part of potential pain To a minimum. The penetration assisting device is protected in a cylinder 101 and includes an electromagnetic coil 102, which is connected in series with the intramuscular stimulator 103 (the structure corresponds to the acupuncture device shown in Figure 丨). To achieve this, the electromagnetic coil 102 is fixed to a circular plate 104 formed in the top of the cylinder 101 (for example, using a fixing screw 113). The intramuscular stimulator 103 is suspended in the bottom of the cylinder 101 and is biased into engagement with the electromagnetic coil 102 by a spring 105. The cylinder 101 has a cylindrical shank 106 which can be fixed to a mechanical arm, as shown in the arm of Fig. 4 if necessary. A guide 112 is preferably provided to receive the shaft 107 of the solenoid 102. In order to start piercing the skin It, first of all, the Jinshi lu line is very close to the skin and bites. Then excite the electromagnetic coil 102, so that the axis of the electromagnetic coil 102 is 107. The paper size applies the Chinese National Standard (CNS) A4 specification (21〇Γ ^^ 3- * --- (Please read first Note on the back, fill in this page again) Order --------- line, 510797 A7 ______ _B7_ V. Description of the invention () Quickly push down. This action pushes the entire intramuscular stimulator 103 down ' This further causes the pricking needle 111 to penetrate into the skin. At this time, the spring 105 is compressed between the mounting plate 108 connected to the motor 110 (preferably a stepping motor) and the bottom 109 of the cylinder 101. Before the operation, it is better to activate the motor 110 so that the pricking needle 111 goes down and into the skin (and the sick muscle), so when the electromagnetic coil 102 is not activated and the shaft 107 returns to its original position, the pricking needle 111 will remain in the skin. From this point forward, normal treatment using the intramuscular stimulator 103 will begin, and proceed as described above. When the required (single) treatment procedure ends, the electromagnetic 圏 102 The timing of activating and deactivating the electromagnetic chirp 102 is preferably controlled by a microprocessor. To build, such as the controller 114 shown in Figure 6. The stepper motor 110 is also controlled by the controller 114. For this controller, a preferred embodiment is to use a STAMP2 microcontroller chip (available from Minnesota (Acquired by Digi Key Corporation), as shown in Figure 6. However, other microcontroller chips can be used in a similar manner to develop a controller with the same function 114 ° In the configuration of Figure 6, the controller 114 is a microprocessor 115 responds and operates, such as the aforementioned STAMP2 microprocessor. The microprocessor Π5 is connected to a computer (such as a personal computer) to establish the required programming related to the desired intramuscular stimulation treatment, preferably by a The serial connection circuit 116 is completed. Furthermore, the communication of the microprocessor 115 can provide various controls for adjusting the operation of the needling device, as described above. For example, a first group control circuit 1Π includes Put the needling device up and down _____17 ___ This paper size is applicable to China National Standard (CNS) A4 (210 x 297 mm) (Please read the precautions on the back before filling this page) ------ - -Order --------- Line ·. 510797 A7 B7 V. Description of the Invention (Taxi) Switches 118, 119 and Foot Switch 90. A second group control circuit includes switches S1 and S2, It is used to allow adjusting the operating parameters of the acupuncture device (such as the speed and stroke of the injection procedure). The microprocessor 115 is further coupled with a driver circuit 120, which is then coupled with the stepper motor 110; The microprocessor 115 is combined with a pair of relay driving circuits. The pair of relay driving circuits includes a first driving circuit 121 for exciting the stepping motor 110 and a first driving circuit for exciting the electromagnetic coil 102. Two driving circuits 122. The circuit components shown in FIG. 6 operate in a known manner, so as to effectively adjust the operation of the stepping motor 110 and the electromagnetic coil 102 as described above, and then perform the required intramuscular stimulation treatment. It should be understood that, although the foregoing description includes many reference examples, these reference examples should not be construed as limiting the scope of the present invention, but should be merely illustrative of the preferred embodiments of the present invention. Therefore, the scope of the present invention should be defined by the scope of patent applications and their equivalents, and not limited by the above examples. (Please read the notes on the back before filling this page) Order-• Line-
AR 本紙張尺度適用中國國家標準（CNS)A4規格（210 X 297公釐）AR This paper size applies to China National Standard (CNS) A4 (210 X 297 mm)