CN103917272A - System and method for treating skin and underlying tissues for improved health, function and/or appearance - Google Patents

System and method for treating skin and underlying tissues for improved health, function and/or appearance Download PDF

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Publication number
CN103917272A
CN103917272A CN201280052027.4A CN201280052027A CN103917272A CN 103917272 A CN103917272 A CN 103917272A CN 201280052027 A CN201280052027 A CN 201280052027A CN 103917272 A CN103917272 A CN 103917272A
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China
Prior art keywords
tissue
processing
face
facial
module
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CN201280052027.4A
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Chinese (zh)
Inventor
J·克鲁尼克
T·贝克赛
L·L·小拉斯奇
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Sigma Instruments Holdings LLC
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Sigma Instruments Holdings LLC
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Publication of CN103917272A publication Critical patent/CN103917272A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • A61N5/06Radiation therapy using light
    • A61N5/0613Apparatus adapted for a specific treatment
    • A61N5/0616Skin treatment other than tanning
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/0033Features or image-related aspects of imaging apparatus classified in A61B5/00, e.g. for MRI, optical tomography or impedance tomography apparatus; arrangements of imaging apparatus in a room
    • A61B5/004Features or image-related aspects of imaging apparatus classified in A61B5/00, e.g. for MRI, optical tomography or impedance tomography apparatus; arrangements of imaging apparatus in a room adapted for image acquisition of a particular organ or body part
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/0059Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
    • A61B5/0077Devices for viewing the surface of the body, e.g. camera, magnifying lens
    • AHUMAN NECESSITIES
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    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/05Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves 
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316Modalities, i.e. specific diagnostic methods
    • A61B5/389Electromyography [EMG]
    • AHUMAN NECESSITIES
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    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/44Detecting, measuring or recording for evaluating the integumentary system, e.g. skin, hair or nails
    • A61B5/441Skin evaluation, e.g. for skin disorder diagnosis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H23/00Percussion or vibration massage, e.g. using supersonic vibration; Suction-vibration massage; Massage with moving diaphragms
    • A61H23/006Percussion or tapping massage
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H23/00Percussion or vibration massage, e.g. using supersonic vibration; Suction-vibration massage; Massage with moving diaphragms
    • A61H23/02Percussion or vibration massage, e.g. using supersonic vibration; Suction-vibration massage; Massage with moving diaphragms with electric or magnetic drive
    • A61H23/0218Percussion or vibration massage, e.g. using supersonic vibration; Suction-vibration massage; Massage with moving diaphragms with electric or magnetic drive with alternating magnetic fields producing a translating or oscillating movement
    • AHUMAN NECESSITIES
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    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H23/00Percussion or vibration massage, e.g. using supersonic vibration; Suction-vibration massage; Massage with moving diaphragms
    • A61H23/02Percussion or vibration massage, e.g. using supersonic vibration; Suction-vibration massage; Massage with moving diaphragms with electric or magnetic drive
    • A61H23/0218Percussion or vibration massage, e.g. using supersonic vibration; Suction-vibration massage; Massage with moving diaphragms with electric or magnetic drive with alternating magnetic fields producing a translating or oscillating movement
    • A61H23/0236Percussion or vibration massage, e.g. using supersonic vibration; Suction-vibration massage; Massage with moving diaphragms with electric or magnetic drive with alternating magnetic fields producing a translating or oscillating movement using sonic waves, e.g. using loudspeakers
    • AHUMAN NECESSITIES
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    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/328Applying electric currents by contact electrodes alternating or intermittent currents for improving the appearance of the skin, e.g. facial toning or wrinkle treatment
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
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    • A61B5/103Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/1032Determining colour for diagnostic purposes
    • AHUMAN NECESSITIES
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    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H39/00Devices for locating or stimulating specific reflex points of the body for physical therapy, e.g. acupuncture
    • A61H2039/005Devices for locating or stimulating specific reflex points of the body for physical therapy, e.g. acupuncture by means of electromagnetic waves, e.g. I.R., U.V. rays
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    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/10Characteristics of apparatus not provided for in the preceding codes with further special therapeutic means, e.g. electrotherapy, magneto therapy or radiation therapy, chromo therapy, infrared or ultraviolet therapy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/50Control means thereof
    • A61H2201/5007Control means thereof computer controlled
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/50Control means thereof
    • A61H2201/5007Control means thereof computer controlled
    • A61H2201/501Control means thereof computer controlled connected to external computer devices or networks
    • A61H2201/5012Control means thereof computer controlled connected to external computer devices or networks using the internet
    • AHUMAN NECESSITIES
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    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/50Control means thereof
    • A61H2201/5023Interfaces to the user
    • A61H2201/5035Several programs selectable
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/50Control means thereof
    • A61H2201/5023Interfaces to the user
    • A61H2201/5038Interfaces to the user freely programmable by the user
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/50Control means thereof
    • A61H2201/5023Interfaces to the user
    • A61H2201/5043Displays
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/50Control means thereof
    • A61H2201/5058Sensors or detectors
    • A61H2201/5092Optical sensor
    • AHUMAN NECESSITIES
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    • A61H2205/00Devices for specific parts of the body
    • A61H2205/02Head
    • A61H2205/022Face
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2230/00Measuring physical parameters of the user
    • A61H2230/60Muscle strain, i.e. measured on the user, e.g. Electromyography [EMG]
    • A61H2230/605Muscle strain, i.e. measured on the user, e.g. Electromyography [EMG] used as a control parameter for the apparatus
    • AHUMAN NECESSITIES
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    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N7/00Ultrasound therapy
    • A61N2007/0004Applications of ultrasound therapy
    • A61N2007/0034Skin treatment
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61N7/00Ultrasound therapy

Abstract

Systems and methods for treating facial soft tissues of a patient in a healthcare or cosmetic treatment environment such as, for example, a spa, clinic, or a medical practitioner's office are presented herein. The facial treatment system includes a facial stimulator instrument and/or an acoustic oscillator to deliver therapeutic stimulation to the facial tissues of a patient including percussive massage, electrical stimulation, and acoustic stimulation. A facial treatment application executing on a processor of a computing device identifies a treatment protocol and operates the facial stimulator instrument and/or acoustic oscillator to implement the facial tissue treatment.

Description

Process skin and lower-hierarchy, to improve the system and method for health, function and/or appearance
The cross reference of related application
The application requires the U.S. Provisional Patent Application No.61/535 of JIUYUE in 2011 submission on the 15th, 225, the priority of " Systems and Methods for Preventing and/or Treating Peripheral Neuropathy and Peripheral Vascular Disease ".
The application also requires the U.S. Provisional Patent Application No.61/616 submitting on March 28th, 2012,967, the priority of " System and Method for Treating Skin and Underlying Tissues for Improved Health, Function and/or Appearance ".The content of all above-mentioned patent applications is incorporated by reference in this entirety.
Technical field
Various aspects of the present invention relate to the system and method relevant with beauty treatment to skin health.More specifically, the present invention relates at health care or cosmetic treatments environment, in the office such as SPA, clinic or medical practitioner, process medical system and the method for patient's facial soft tissue.
Background technology
Prevention or improvement aging are the principal focal points of health & beauty industry on the impact of skin of face.Except ubiquitous cosmetic cream and other local skin processing compound, many other processing attempt to be devoted to the wrinkling and forfeiture colour of skin, such as abnormal facial muscle tongue, face nerve is abnormal, and the basic reason of confusion in facial systemic vascular circulation.The low invasive processing of being devoted to these basic reasons comprises beauty needle thorn therapy and facial Firm processing, such as the active exercise of facial muscle, or utilizes the passive exercise of the facial muscle of the electricity irritation of facial muscle.But, due to the standardized disappearance of the management of these low invasive processing, and assessing effect limited in one's ability of these processing, patient may select to produce significantly and the larger processing of invasive of direct result.
Invasive beauty treatment process, such as Clostridium botulinum inject facial muscle, and such as carry that eyebrow, eyelid lift, face draws skin and collagen injection surgical operation be attended by the intrinsic material risk of injection of any surgical operation or foreign body.In addition, no matter the effect of these invasive beauty treatment processes, be bad, be generally all difficult for reversing, and may be temporary, may cause the long-term degradation of facial tissue.
Need to utilize standardized diagnostic criteria in one, non-invasively process the system and method for the facial tissue such as muscle, nerve and loop organization in standardized mode.In addition, need one in standardized without prejudice mode, the system and method for effect that assessment facial tissue processes.This system and method should overcome the many current limitation of the Noninvasive face processing method such as facial anxiety, makes the safety and the effective replacement scheme that are generally used for the invasive cosmetic surgery that improves the old and feeble impact on facial tissue become possibility.
Summary of the invention
The system of a kind of patient's of processing facial tissue is disclosed here.In one embodiment, described system comprises display and input equipment, at least one camera, and be selected from least one instrument of facial stimulator instrument and sonic oscillator.Face stimulator is configured to one or morely try hard to recommend the moving electricity irritation of knocking sex massage and/or comprising one or more electric pulses and put on facial tissue comprising.Face stimulator is also configured to measure facial tissue's or response to electric pulse of applying one of one of moving to trying hard to recommend of applying, to assess the situation of facial tissue.Sonic oscillator is configured to the sound that comprises one or more pings to stimulate the facial tissue that puts on patient.
In this embodiment, system also comprises at least one processor and data base.Data base can comprise the processing scheme of at least one preservation, and the patient data of preservation is measured associated instrument control with at least one and set.The patient data of preserving can comprise the face-image of at least one preservation; With at least one processing scheme specific to patient.
System in the present embodiment also comprises the face processing application of being carried out by processor, to utilize described at least one camera, obtain at least one face-image, according to described at least one face-image, assess the symmetry of one or more face feature points, and select processing scheme.Processing scheme can comprise one or more instrument control settings, and pending one or more face feature points.
Face process application also can comprise utilize figure show, instruct the processing of described one or more face feature points to the operator of system, by one of operating instrument, according to the processing scheme of one or more selections, realize one or more processing to facial tissue.Described one or more processing are selected from neural processing, muscle treatment and circular treatment.Neural processing comprises the one or more face feature points relevant to face nerve, applies one or more knock sex massage and/or one or more electricity irritation.Muscle treatment comprises the one or more face feature points relevant to facial muscle, applies one or more knock sex massage and/or one or more electricity irritation.Circular treatment comprises the one or more face feature points relevant to facial systemic vascular, applies one or more sound stimulations.
The method of a kind of patient's of processing facial tissue is disclosed in addition, here.In one embodiment, described method comprises utilizes at least one camera, obtain at least one face-image, according to described at least one face-image, assess the symmetry of one or more face feature points, with selection processing scheme, described processing scheme comprises one or more instrument control settings, and pending one or more face feature points.
In the present embodiment, described method also comprises utilizes figure to show, instructs the processing of described one or more face feature points, by operating at least one instrument to operator, according to the processing scheme of one or more selections, realize one or more processing to facial tissue.Described at least one instrument is selected from facial stimulator instrument and sonic oscillator.
In the present embodiment, one or more processing that utilize described method to realize comprise neural processing, muscle treatment and circular treatment.Neural processing comprises the one or more face feature points relevant to face nerve, applies one or more knock sex massage and/or one or more electricity irritation.Muscle treatment comprises the one or more face feature points relevant to facial muscle, implements one or more knock sex massage and/or one or more electricity irritation.Circular treatment comprises the one or more face feature points relevant to facial systemic vascular, implements one or more sound stimulations.
In addition, disclosed herein is the second embodiment that processes the system of patient's facial tissue, comprises memorizer, at least one camera, at least one instrument, and multiple modules of moving at least one processor.Described memorizer comprises the processing scheme of at least one preservation, the patient data of preservation, and at least one measures pertinent instruments control setting.The patient data of preserving comprises the face-image of at least one preservation, and at least one is specific to patient's processing scheme.
Described at least one instrument can comprise comprising one or more facial stimulator instruments of trying hard to recommend the moving electricity irritation of knocking sex massage and/or comprising one or more electric pulses and putting on facial tissue.It is one of moving to trying hard to recommend of applying that face stimulator instrument is also measured facial tissue, or response to one of electric pulse applying, to assess the situation of facial tissue.Described at least one instrument also can comprise stimulates the sound that comprises one or more pings the sonic oscillator that puts on facial tissue.
Described multiple module comprises processing scheme selection module, neural processing module, muscle treatment module and circular treatment module.Processing scheme selection module according to following one of at least, select one or more processing schemes: the patient data of preservation, the analysis of the situation of facial tissue, one or more schemes in the processing scheme of preserving, preserve specific to one or more schemes in patient's processing scheme, and operator's processing scheme of specifying.The neural processing module pair one or more face feature points relevant to face nerve, realize and comprise one or more nerve processing of knocking sex massage and/or one or more electricity irritation.The muscle treatment module pair one or more face feature points relevant to facial muscle, realize and comprise one or more muscle treatment of knocking sex massage and/or one or more electricity irritation.The circular treatment module pair one or more face feature points relevant to facial systemic vascular, realize and comprise the circular treatment that one or more sound stimulates.
Here open a kind of for following one of at least: improve skin appearance, reduce wrinkle of skin, improve the colour of skin or improve function of organization, the system of patient's tissue is processed on beauty treatment ground.In one embodiment, described system comprises display, input equipment, CPU, memorizer, a RF head, RF receptor antenna, multiple the 2nd RF head and EMG sensor.Display comprises the screen of LCD or other type, is configured to show the information relevant to the processing of tissue.Input equipment and display telecommunication, comprise the input mechanism of keyboard, touch screen or other type.Input equipment is configured to receive the information relevant to the processing of tissue.CPU and input equipment telecommunication.Memorizer and CPU telecommunication, comprise the processing parameter relevant to the processing of tissue.The one RF head can with CPU telecommunication, comprise piezoelectric transducer array.Described array is configured to produce RF in the frequency range that can not occur by single piezoelectric transducer.RF receptor antenna can with CPU telecommunication, and be configured to detect from a RF head, see through tissue RF energy.Concerning described multiple the 2nd RF heads, each the 2nd RF head have be tuned to the piezoelectric transducer of unique frequencies, and can with CPU telecommunication.EMG sensor can with CPU telecommunication, and be configured to detect tissue in electromyogram.When a RF head and RF receptor antenna applications in the time organizing, described system is configured to: a) make a RF head grant RF energy to tissue in a series of RF frequencies; B) make RF receptor antenna sensing see through the RF energy of granting of tissue; C) which frequency in a series of described RF frequency that identification is granted to tissue has the maximum transmission with respect to described tissue; And d) recommend the 2nd RF head of the RF frequency that identification can be provided in described multiple RF head.When recommend the 2nd RF head and EMG sensor application in the time organizing, described system is configured to: a) make recommend the 2nd RF head in a series of pulse frequencies with identification RF frequency grant RF energy to tissue; B) make EMG sensor detect the electromyogram in the tissue occurring due to the RF energy of granting to described tissue in a series of pulse frequencies; C) which pulse frequency in a series of pulse frequencies that identification is granted to described tissue causes the highest electromyogram reading in tissue; And d) under the pulse frequency of identification, with the RF frequency of identifying, with the 2nd RF head processing tissue of recommending.
Depend on the distortion of the described embodiment of system, described array is configured to the step-length of about 200KHz, in the scope of about 1.5MHz, produce RF at about 500KHz with for example about 50KHz.
In the one distortion of the described embodiment of system, the piezoelectric transducer of array comprises the first piezoelectric transducer, the second piezoelectric transducer and the 3rd piezoelectric transducer, and wherein first, second, and third piezoelectric transducer all produces RF under different frequency.In the one distortion of the described embodiment of system, described multiple the 2nd RF heads comprise each the 2nd RF head that is all tuned to the unique frequencies differing from one another, each unique frequencies at about 500KHz between about 1.5MHz.
In the one distortion of the described embodiment of system, when the 2nd RF head that makes to recommend is granted the RF energy under the RF frequency of identification in a series of pulse frequencies to patient, the scope of pulse frequency at about 1Hz between about 300Hz.In the one distortion of the described embodiment of system, make the 2nd RF head of recommending with the scheme by means of preserving, for the step-length of organization type programme-control and optimization, within the scope of the pulse frequency of about 1.5MHz, grant RF energy with the RF frequency of identifying to patient at about 500KHz.
In the one distortion of the described embodiment of system, system also comprise can with CPU telecommunication, and comprise the pusher head (impulse head) that is configured to promote to organized delivery machinery the Electromagnetic Drive anvil (solenoid driven anvil) of energy.Described pusher head also comprises the transducer sensor for detection of the ripple producing in tissue by grant machinery promotion energy to tissue.
In the one distortion of the described embodiment of system, system also comprise can with CPU telecommunication, and be configured to implement electricity irritation to tissue, and read the electrode of the electrical characteristics of the tissue of the described electricity irritation of response.Described electrode can be supported in pusher head.
In the one distortion of the described embodiment of system, system also comprise can with CPU telecommunication, and be configured to the camera of the image of taking tissue.System is configured to the image of comparison Help of System at the tissue of taking before and after treatment.
Here also open a kind of for following one of at least: improve skin appearance, reduce wrinkle of skin, improve the colour of skin or improve function of organization, the method for patient's tissue is processed on beauty treatment ground.In one embodiment, described method comprises: in a series of RF frequencies, grant RF energy to tissue; The RF energy that detection is granted; Which frequency of identifying in described a series of RF frequency has the maximum transmission with respect to described tissue; Recommend the RF frequency of identification, in to the further RF energy process of tissue; In a series of pulse frequencies, grant the RF energy under the RF frequency of identification to tissue; Which pulse frequency of identifying in described a series of pulse frequency causes the highest electromyogram reading in tissue; Recommend the pulse frequency of identification, in to the further RF energy process of tissue; With with identification RF frequency and the pulse frequency of identification grant RF energy to tissue.
In the one distortion of the described embodiment of method, in a series of frequencies, granting RF energy to tissue is to complete by RF head, described RF head has the piezoelectric transducer array that is all tuned to independent unique frequencies, and described array is configured in the scope of about 1.5MHz, produce RF at about 500KHz.
In the one distortion of the described embodiment of method, in a series of frequencies, granting RF energy to tissue is the step-length to about 200KHz with about 50KHz, at about 500KHz to carrying out in the scope of about 1.5MHz.
In the one distortion of the described embodiment of method, the RF frequency of recommending identification, for the further RF energy process of tissue is comprised from described multiple RF heads, identifies the specific RF head that is configured to the RF frequency that recommendation is provided.
In the one distortion of the described embodiment of method, the RF energy of granting under the RF frequency of identification to tissue in a series of pulse frequencies is in the scheme by preserving, carries out within the scope of the pulse frequency of about 300Hz for the approximately 1Hz of organization type programme-control and optimization.
In the one distortion of the described embodiment of method, the RF energy of granting under the RF frequency of identification to patient in a series of pulse frequencies is to carry out within the scope of the pulse frequency of about 30Hz at about 1Hz.
Although disclose multiple embodiment, but according to detailed description below, to one skilled in the art, other embodiment of the present disclosure will be apparent, and detailed description below represents and described illustration embodiment of the present disclosure.Will appreciate that, the present invention has the leeway of modification in all fields, and all such modifications do not depart from spirit and scope of the present disclosure.Thereby drawings and detailed description should be regarded as illustrating of the present invention, rather than limitation of the present invention.
Accompanying drawing explanation
Fig. 1 is the block diagram of facial processing system.
Fig. 2 is that the face that is configured to move on computing equipment is processed the block diagram of applying.
Fig. 3 is the block diagram that face is processed the preservation processing scheme selection module of application.
Fig. 4 is the flow chart that the embodiment of processing scheme selection module is preserved in graphic extension.
Fig. 5 is the block diagram that face is processed the symmetrical evaluation module of face of application.
Fig. 6 is the 2D face-image that comprises the grid of stack.
Fig. 7 is the block diagram of 2D directiveness image analysis module.
Fig. 8 is the embodiment of face-image display screen.
Fig. 9 is 3D face-image.
Figure 10 is the flow chart of the embodiment of the symmetrical evaluation module of graphic extension face.
Figure 11 is the block diagram of trigger point analysis module.
Figure 12 is the flow chart of the embodiment of graphic extension trigger point analysis module.
Figure 13 is the block diagram of neural processing module.
Figure 14 is the neural embodiment that instructs display screen that processes.
Figure 15 is the flow chart of the embodiment of the neural processing module of graphic extension.
Figure 16 is the block diagram of muscle treatment module.
Figure 17 is the embodiment that muscle treatment instructs display screen.
Figure 18 is the flow chart of the embodiment of graphic extension muscle treatment module.
Figure 19 is the block diagram of circular treatment module.
Figure 20 is the embodiment that circular treatment instructs display screen.
Figure 21 is the flow chart of the embodiment of graphic extension circular treatment module.
Figure 22 is the cross-sectional side view of facial stimulator instrument.
Figure 23 is according to the diagnosis of facial tissue's obstacle, selects the data base's of processing scheme schematic diagram.
Figure 24 A-24D is the diagram of the embodiment of the probe of facial stimulator instrument.
Figure 25 represents to describe the computer screen of waveform and the Wave data drawing.
Figure 26 is the cross-sectional side view of sonic oscillator.
Figure 27 comprises and the data base's who the instrument control of the relevant preservation of the realization of trying hard to recommend the electricity irritation that moving frequency response becomes applying is set with facial tissue schematic diagram.
Figure 28 is data base's the schematic diagram that the instrument control that comprises the preservation relevant to the realization of electricity irritation is set, and described electricity irritation becomes with the variation to the electroresponse in the reaction of the electricity irritation applying recording.
Figure 29 is the schematic diagram that is used in the alternative of patient's system with it.
Figure 30 is the schematic diagram of system of evaluating the system embodiment that RF head and RF antenna describe for Figure 29.
Figure 31 is the schematic diagram of the system embodiment of Figure 29, and processing RF head and the EMG sensor wherein selected are couple to system, and are applied to patient.
Figure 32 is the schematic diagram of the processing RF head of handle selection and the system of the system embodiment that EMG sensor is described for Figure 29.
Figure 33 is the flow chart of the operational approach that graphic extension is relevant to the system embodiment of Figure 29.
Figure 34 grants under (the best) RF of the identification of illustration frequency, and the curve chart of the RF energy of carrying with pulse under (the best) pulse frequency of the identification of illustration.
Figure 35 be with Figure 34 in the example of the similar pulse output signals described.
Figure 36 is the example of modulated output signal.
Figure 37 adopts the schematic diagram that utilizes the clinic part of network connection and the system of domestic part.
Figure 38 adopts the schematic diagram that utilizes the clinic part of intermediate equipment connection and the system of domestic part.
In each accompanying drawing, corresponding Reference numeral is indicated corresponding element.The title using in figure should not be construed as the restriction of the scope to claim.
The specific embodiment
Here the facial tissue that discloses a kind of assessment and process patient, includes, but is not limited to: the system and method for face nerve, muscle, connective tissue and systemic vascular.In one aspect, described system is configured to knock the form of sex massage, electricity irritation, sound stimulation and their combination in any, and one or more processing of the facial tissue to patient are provided.In other side, system also can be configured to before or after one or more are processed, and obtains one or more assessments of the situation of facial tissue, and these assessments are kept in data base.In one aspect, the assessment of these preservations can be used for assessing effect of one of one or more processing, and supervision facial tissue is along with the variation of time, and the selection of notice subsequent treatment.In each embodiment of system, can utilize one or more methods to select to process, include, but is not limited to: from predetermined menus or processing scheme, select to process, according to the Analysis deterrmination processing of the situation of patient's facial tissue, from the predetermined menus of the processing scheme specific to patient, select to process, or the processing scheme of designated user definition.
In one aspect, facial processing system can be used for keeping and/or strengthening health and the outward appearance of facial tissue.Can utilize the health of facial tissue of facial processing system processing and the non-limitative example of the various aspects of outward appearance to comprise: the cosmetic variation relevant to the erosion of old and feeble and subcutaneous fat, comprise the attenuation of skin, the forfeiture of elasticity and the colour of skin, the corners of the mouth is sagging, and jowled formation; Wrinkle, comprises forehead wrinkle, glabellar frown lines, crows-feet, perioral aging lines, puppet stricture of vagina and platysma stricture of vagina; With the variation of the colour of skin being caused by the skin such as acne erythematosa or dermatitis or irregular.In other side, facial processing system can be used for processing the various discomforts that make one or more in facial tissue organize pain.Can utilize the uncomfortable non-limitative example of facial processing system processing to comprise: stravismus, blepharospasm, facial spasm and other face muscle spasm, face myasthenia, the interinhibitive forfeiture of facial muscle, the motor control weakening, facial muscle hypertonicity, hyperhidrosis, chronic migraine, TMJ pain disorder, trigeminal neuralgia, postherpetic neuralgia, comprises the face nerve damage of neurapraxia, neurotmesis and axonotmesis; Bell's palsy, facial paralysis; Disorderly relevant facial tissue is abnormal to general, such as amyotrophy, and middle cerebral artery aneurysm and 2 type geniculate ganglion syndromes (RHS), the sense organ relevant to facial nerve function obstacle is abnormal, such as tinnitus or dysgeusia; Central facial palsy, dysarthria, facial synkinesia, delacrimation, actinal surface muscular disorders, such as stucking out one's tongue, dysphagia, the speech disorder relevant to abnormal facial muscular tension, atypia prosopodynia, facial spasm and herpes auris.
Here the facial tissue that the various aspects of facial processing system of explanation are patient provides standardized repeatably processing scheme, also provided before processing, among and afterwards, the ability of the information that acquisition preservation are relevant to the situation of facial tissue.Described information makes the operator can be after processing immediately, and time between processing in the past after, effect of monitoring processing; Described information also can notifier processes scheme selection and/or during implementing and processing, dynamically adjust described scheme.
Describe facial processing system below in detail, be included in each equipment in facial processing system, and utilize the embodiment of the method for facial processing system.
I. facial processing system
The element of facial processing system 100 has been described in Fig. 1.System 100 comprises computing equipment 102, one or more camera 104, facial stimulator instrument 106 harmony (RF) agitator 108.The non-limitative example of suitable computing equipment comprises laptop computer, personal digital assistant, tablet PC, standard personal computer or any other known treatment facility.Computing equipment 102 comprises and is configured to send, receive and process from the data of the operator of system 100, described or multiple camera 104, facial stimulator instrument 106 and sonic oscillator 108 and/or communicates by letter, so that the situation of the facial tissue of assess patient 110, select processing scheme, and realize one or more processors and the memorizer of the processing of patient 110 facial tissue.
Described one or more camera 104 be configured to obtain process before, among and/or afterwards, can be used for the patient's 110 of the situation of assessing facial tissue face-image.Face stimulator instrument 106 is configured in processing procedure, transmits multiple knocking property shock waves and/or multiple electric pulse to patient 110 facial tissue.Face stimulator instrument 106 is also configured to the characteristic of the facial tissue of measuring patient 110, such as the tissue reaction during applying knocking property shock wave, or tissue electricity reaction during applying electric pulse.Sonic oscillator 108 is configured in processing procedure, transmits ping to patient's facial tissue.Described one or more camera 104, facial stimulator instrument 106 and sonic oscillator 108 are also configured to reception from the data of computing equipment 102 and/or communicate by letter, to during utilizing system 100 to implement to process, operate in phase each equipment.
Computing equipment 102 comprises the display 112 being configured to operator's video data and/or graphic user interface (GUI) 116.The non-limitative example that is suitable for the equipment that is used as display 112 comprises computer monitor and touch screen.Computing equipment 102 also can comprise input equipment 114, and input equipment 114 includes, but is not limited to keyboard and/or indicating equipment, such as mouse, tracking ball, pen or touch screen.Input equipment 114 is configured to data inputs for realizing the GUI116 of operation of system 100, or with GUI116 interaction.In an embodiment, display 112 and input equipment 114 can be single integrated equipments, such as touch screen.GUI116 make system 100 operator can with the menu of the operation for control system 100 and other data entry form lattice reciprocal action.
Computing equipment 102 also comprises and is configured to reception with deal with data and/or communicates by letter, and produces and send the data of various functions of the system 100 for realizing explanation above and describe in detail below and/or the face of communicating by letter is processed application 120.Face is processed data and/or the communication that application 120 produces can be sent to display 112, with various functions to operator's guidance system 100 of system 100 through and through.In addition, data and/or communication can be sent to described one or more camera 104, and facial stimulator instrument 106 and/or sonic oscillator 108, at system 100 duration of works, operate in phase these equipment.
Computing equipment 102 also comprises the processing scheme 124 that is configured to preserve multiple preservation, the patient data 126 of preservation and the data base 122 who measures associated instrument control setting 132.The processing scheme 124 of preserving can be included in the system 100 of utilizing, and realizes the data of utilizing during one or more processing of patient 110.For example, one of processing scheme 124 of preservation can comprise for the treatment of the parameter of enforcement, such as the processing position in the facial tissue patient 110, with Instrument operation parameter, such as power setting or the persistent period of instrumentation.The patient data 126 of preserving can comprise for the past along with the time, monitor the situation of patient 110 facial tissue, the record of formerly processing that keeping system 100 is carried out, the following timetable of processing is provided, and utilizes system 100 particular patient 110 to be carried out to the information specific to patient of customized treatment.The patient data 126 of preserving can comprise described one or more camera 104 of utilization, the face-image 128 of the preservation being obtained by system 100.The patient data 126 of preserving also can comprise the processing scheme 130 specific to patient, processing scheme 130 can comprise for implementing the formerly assessment according to the situation of patient 110 facial tissue, and/or utilize system 100, the formerly processing that particular patient 110 is carried out is the parameter of the processing of the processing customization of particular patient 110.
II. face is processed application
Fig. 2 is that the face moving on computing equipment 102A is processed the block diagram of applying 120A.According to an aspect, computing equipment 102A comprises processing system 202, and processing system 202 comprises one or more processors or miscellaneous equipment.Processing system 202 is carried out face and is processed application 120A, to select and to provide the processing of the facial tissue of patient's 110 (not shown) that utilize facial stimulator instrument 106 (not shown) and/or sonic oscillator 108 (not shown).Face is processed application 120A can utilize one or more camera 104 (not shown), obtains and analyze patient 110 face-image, with the situation of the facial tissue of assess patient.At run duration, face is processed application 120A accessible database 122, and so that information to be provided, described information comprises (but being not limited to): the face-image of preservation and the patient information of other preservation, and the processing scheme of preservation, and the instrument control of preserving is set.
In one aspect, computing equipment 102A comprises that being furnished with face processes the computer-readable medium (" CRM ") of applying 120A.Face is processed application 120A and is comprised and can be carried out by processing system 202, so that user can implement instruction or the module of the processing of the facial tissue to patient 110.
CRM204 can comprise Volatile media, non-volatile media, detachable media, non-dismountable medium and/or the another kind of usable medium that can be accessed by computing equipment 102A.For example (but being not limited to), computer-readable medium 204 comprises computer-readable storage medium and communication media.Computer-readable storage medium comprises the storage means of category information or the non-volatile storage of technology realization used such as computer-readable instruction, data structure, program module or other data, Volatile media, non-volatile media, detachable media and/or non-dismountable medium.Communication media can comprise computer-readable instruction, data structure, program module or other data, comprises information transmitting medium or system.
GUI module 206 transmits one or more GUI116 (not shown) to display 112 (not shown).As mentioned above, the operator of system 110 and the one or more GUI interactions that receive from computing equipment 102, to check processing scheme, input data and the menu setecting carrying out for utilizing system 100 enforcements to process.The example of the screenshot capture of one or more GUI116 of various aspects is provided below.
In one aspect, face is processed application 120A and is comprised according to the patient data of preserving, the analysis of patient's facial tissue, selection in the menu of the processing scheme of preserving, and/or the appointment of the operator of system 100 processing scheme of carrying out, select the processing scheme selection module 208 of suitable processing scheme.Face is processed application 120A also can comprise the module of patient's facial tissue being implemented to particular procedure, comprises neural processing module 216, muscle treatment module 218 and circular treatment module 220.Provide face to process the detailed description of the modules of application 120A below.
III. processing scheme selection module
Processing scheme selection module 208 is selected one or more processing schemes that patient 110 facial tissue is carried out.Can from the menu of the processing scheme of preservation, select described one or more processing schemes, can determine processing scheme according to the assessment of the situation of patient's facial tissue, or the operator of system 100A can designated treatment scheme.Processing scheme selection module 208 in embodiment can comprise stores processor scheme module 210, and facial symmetrical evaluation module 212 and operator select processing module 214.
A. stores processor scheme module
Stores processor scheme module 210 is configured to produce operator can therefrom select the menu of the processing scheme of the processing of the facial tissue to patient, and the processing scheme selected from menu of implementation and operation person.In embodiment in Fig. 3 shown in diagram, stores processor scheme module 210 can comprise processing scheme selection module 302, instrument control setting module 304 and processing selecting module 306.Processing scheme selection module 302 produces the menu of processing scheme, and by GUI116 (not shown), shows this menu to operator.The menu of processing scheme can be by the list of the standard processing of one or more organizational forms arrangements, include, but is not limited to: the region of face, the type of facial tissue, the type of facial tissue's obstacle, the processing of in the past patient being carried out, the expected result that facial tissue processes, and about the timetable of patient's plan processing.In an embodiment, stores processor scheme module 210 can be from data base's 122 (not shown), and the patient information that access is preserved, to produce specific to the menu of patient's processing scheme.For example, stores processor scheme module 210 can be from the data base 122 shown in Fig. 1, fetches one or more processing schemes 130 specific to patient, for the menu of processing scheme.
Return referring to Fig. 3, stores processor scheme module 208 also can comprise instrument control setting module 304, instrument control setting module 304 is configured to be identified for realization and utilizes processing scheme selection module 302 by operator, the suitable setting of one or more instrument of the processing scheme of selecting from the menu of processing scheme.As shown in diagram in Fig. 1, system 100 can be utilized one or more instrument, includes, but is not limited to facial stimulator instrument 106 and sonic oscillator, implements and processes.In an embodiment, instrument control setting module 304 can be determined one or more controls settings of facial stimulator instrument 106, include, but is not limited to: prestrain tissue compression power, size and frequency that knocking property is impacted, and power and the waveform of the electricity irritation in facial tissue to be applied.In another embodiment, instrument control setting module 304 can be determined one or more controls settings of sonic oscillator 108, includes, but is not limited to size and the frequency of the ping in facial tissue to be applied.Illustrating in greater detail the other instrument control that can be determined by instrument control setting module 304 below, sets.
Stores processor scheme module 208 also can comprise processing selecting module 306.Determine processing scheme once utilize processing scheme selection module 302, and utilize instrument control setting module 304 to initialize instrument control and set, processing selecting module 306 just can start the execution for facial muscular tissue, face nerve and/or facial systemic vascular being implemented to one or more processing modules of processing.
Fig. 4 is illustrated in the embodiment of stores processor scheme module 208, the flow chart of a series of actions of being undertaken by the operator of system.In this embodiment, in step 402, the operator of system selects to access stores processor scheme database.In step 404, operator, from the list of the processing scheme of the storage of demonstration, selects the processing scheme of expecting subsequently.Once select processing scheme, subsequently in step 406, operator just selects to carry out one of processing module.In step 406, can limit by stores processor scheme module 208 for the processing module of carrying out, thereby only include those processing modules that are suitable for the processing scheme of selecting.
B. facial symmetrical evaluation module
Return referring to Fig. 2, face is processed the situation that application 120 also comprises the facial tissue that is configured to assess patient, and according to the situation of the facial tissue of assessment, determines the symmetrical evaluation module 212 of face of the processing scheme of recommending.The symmetrical evaluation module 212 of face can analysis and utilization 2D or one or more face-images of obtaining of 3D camera (not shown), to assess the symmetry between corresponding left and right facial characteristics or face feature point (landmark).In the present embodiment, symmetrical not if the analysis of one or more face feature points is indicated between corresponding left and right face feature point, face processing application 120 can recommend to relate to one or more processing schemes of the facial tissue relevant to asymmetric face feature point so.
Fig. 5 is the block diagram of the embodiment of the symmetrical evaluation module 212 of graphic extension face.In the present embodiment, facial symmetrical evaluation module 212 can comprise and is configured to utilize 2D camera, obtains and analyze the symmetrical evaluation module 502 of 2D face of face-image.The symmetrical evaluation module 212 of face also can comprise and be configured to utilize 3D camera, obtains and analyze the symmetrical evaluation module 504 of 3D face of face-image.By utilizing Other Instruments (not shown), such as facial stimulator instrument 106 and/or sonic oscillator 108, trigger point analysis module 506 can be realized the further assessment that utilizes the selected facial tissue that the symmetrical evaluation module 502 of 2D face or the symmetrical evaluation module 504 of 3D face identify.Once identify the processing scheme of recommendation, instrument control setting module 508 just provides suitable instrument control to set, the beginning of processing selecting module 510 one or more processing schemes of order.The 2D and/or the 3D face-image that before or after processing, obtain, and any relevant patient data and/or processing scheme information can be kept in data base's 206 (not shown) by face-image memory module 512.
I.2D facial symmetrical evaluation module
The symmetrical evaluation module 502 of 2D face can comprise the 2D image collection module 514 that is configured to the 2D face-image that obtains patient.2D camera interface module 516 can be passed through input equipment 114 and display 112, operation camera, thus obtain 2D face-image.Patient is placed in fixed position, utilizes the input from operator catching by other interface on GUI or input equipment 114, can obtain 2D image.The location of patient's face in the picture of face-image, the brightness of the image of acquisition and/or contrast, resolution, and any other parameter relevant to 2D face-image can be determined automatically by 2D image collection module 514.On the other hand, 2D image collection module 514 can generate GUI116 (not shown), and GUI116 is configured to through and through to instruct to operator the obtaining of 2D image of patient's face.Patient's 2D face-image 600 can comprise the grid 602 of stack, as shown in diagram in Fig. 6, to help to analyze patient's Facial symmetry.
By utilizing known method, such as patient's head being fixed in standardized chair or device, make patient in normal place, can obtain standard 2D face-image.In standard 2D face-image, the distance between the face feature point in face-image and the scaling of actual range are known standard proportionals; In addition, available standards can repetitive mode, obtain level and/or the vertical orientation of face-image.On the other hand, in the situation that not utilizing modular station, can obtain non-type 2D face-image.Non-type 2D face-image also can comprise the scale elements such as scale or reference line in the background of 2D face-image.Can utilize known image treatment technology such as the rotation of bi-directional scaling and axle non-type 2D face-image to be converted to the 2D face-image of standard, so that subsequent analysis is easier.In another embodiment, can utilize the relative displacement assessment Facial symmetry of face feature point, thereby not need to obtain standardized 2D face-image.For example, can be used as relative measurement as the pupil spacing of the eyes of the mark of maximum head breadth.
The symmetrical evaluation module 502 of 2D face also can comprise and is configured to the face-image according to 2D, the symmetric 2D image analysis module 518 of the face feature point that assessment is selected.2D directiveness image analysis module 520 can, by by GUI116 (not shown), instruct a series of image analysis step to operator through and through, carries out the analysis of 2D face-image.Also can utilize 2D automated image analysis module 522, carry out the automatic evaluation of 2D face-image.In each embodiment, can carry out guiding graphical analysis and/or automated image analysis to 2D face-image.In one aspect, 2D automated image analysis module 522 can, by the similar mode of method realizing with the analysis module of the 2D directiveness image analysis module 520 the following describes, be identified and compare face feature point, to determine unsymmetry automatically.On the other hand, the symmetrical evaluation module 502 of 2D face can utilize the combination of guiding graphical analysis and automatic analysis, the symmetry of the face feature point that assessment is selected.
Fig. 7 is the block diagram of the embodiment of graphic extension 2D directiveness image analysis module 520.In the present embodiment, operator's identification is presented at the face-image being generated by face-image interface module 702 and analyzes at least one face feature point on the 2D face-image in GUI800 (not shown).Here the face feature point of definition refers to the facial characteristics for assessment of Facial symmetry that can identify from face-image.The non-limitative example of face feature point comprises: the eye feature such as pupil, iris, canthus, outside or canthus, inner side or eyebrow; Ear feature such as ear-lobe (lobule), helix or tragus; Nose feature such as the bridge of the nose, nostril or nose; Such as chin split or mandibular joint chin or jaw feature; Such as the corners of the mouth mouth feature; Forehead feature; Facial wrinkles; Or be easy to any other facial characteristics of finding out on 2D or 3D face-image.
The example of the graphical analysis GUI800 that in Fig. 8, graphic extension is generated by face-image interface module 702.In this example, operator identifies face feature point 802 corresponding to the bottom vertical with auris dextra patient on 2D face-image 600.The face feature point that operator identifies can be expressed as round dot or other symbol represents, includes, but is not limited to square or other geometry, cross hairs, or operator's any other expression of being easy to find out.Graphical analysis GUI800 also can comprise and can be activated, to carry out one or more control knob 804A-804K of the required action relevant with analysis to the collection of 2D image.Utilize the input equipment of mouse class to click control knob by utilizing any known user input method, comprising, and/or touch the control knob 804 being presented in touch screen input equipment, can enable and/or inactive control knob 804A-804K.
As shown in Figure 8, control knob 804A-804K can control the various functions relevant to guiding 2D graphical analysis.By starting respectively control knob 804H and 804K, can utilize 2D camera to obtain 2D image, or fetch the face-image of preservation from data base.By starting control knob 804A, operator can sequentially identify other face feature point.By starting control knob 804I, can revise the face feature point that operator selects, such as the bottom of auris dextra vertical 802, or by starting control knob 804K, can revise the face feature point that all operations person selects.By starting control knob 804D, can show the history of the face feature point of all operations person's identification, by starting control knob 804E, can print present image and analyze GUI800.Operator can, by starting control knob 804C, continue the assessment of Facial symmetry, by starting control knob 804E, cancels the execution of 2D image analysis module, or by starting control knob 804G, exits face completely and process application 120.
Return referring to Fig. 7,2D guide image analysis module 704 also comprises and is configured to the face feature point that compare operation person utilizes face-image interface module 702 to identify, and assesses symmetric many analysis module 704-718 of corresponding left and right face feature point.For example, can be relatively relevant to the bottom of patient's left ear-lobe face feature point 802 and the face feature point relevant with the vertical bottom of patient's auris dextra, with the symmetry of the ear-lobe of assess patient.
Reference axis designated module 704 can be determined the position corresponding to reference axis on 2D image.Reference axis can be used for providing the geometric reference of standard, according to described geometric reference, can determine such as all distances apart from height or the horizontal spacing of facial axis of symmetry.For example, patient's nose center line can be designated as with reference to vertical axis, and can be designated as reference levels axle perpendicular to the line of patient's nose center line.Other face feature point of patient, the face feature point that includes, but is not limited to eye pupil and any other operator's identification can be used to establish one or more reference axis.Can be described above, with respect to patient's face, or with respect to abswolute level axle and/or vertical axis, designated reference axle.For example, patient's face-image can comprise reference scale, such as the scale of horizontal orientation and/or the scale of vertical orientation.In this example, can utilize absolute distance, or utilize the distance with respect to further feature point feature, the distance of face feature point is separated in statement.For example, the position of the vertical bottom of auris dextra can be expressed as the horizontal and vertical distance (unit: cm) of the initial point of specifying with respect to operator.On the other hand, the position of the vertical bottom of auris dextra can be expressed as the relative distance such as the percentage ratio of pupil spacing.In system 100, can use any known reference axis to be, include, but is not limited to Cartesian coordinates, polar coordinate system and conformal grid coordinate system.
The position of the face feature point that eyes comparison module 706 is relatively more relevant to patient's left eye and with right eye the position of relevant face feature point.For example, eyes comparison module 706 can compare the lateral separation of left and right pupil with respect to the bridge of the nose.In another example, can compare left eye angle with respect to the position of left side eyebrow and right eye angle the position with respect to right side eyebrow.In another example, relatively position and the scope of the flap on the eyelid of left and right.In another example, can compare the corneal reflex rate of right and left eyes.
The position of the face feature point that ear comparison module 708 is relatively more relevant to patient's left ear and with auris dextra the position of relevant face feature point.For example, can compare the position of patient's left and right ear-lobe.
The position of the position of the face feature point that cheek evaluation module 710 is relatively more relevant to patient's left cheek and the face feature point relevant with right cheek.For example, can be relatively on left side and the right side of patient's face, the position of the fold in the skin between side and the cheek of nose.
The position of the face feature point that 712 assessments of nose evaluation module are relevant to nose, and the position of other face feature point of patient.For example, can compare the position of nose center line and patient's forehead centrage or Ke center.
The position of the face feature point that mouth evaluation module 714 is relatively more relevant to mouth, and the position of other face feature point of patient.For example, can compare position and the angle of patient's the left and right corners of the mouth.In another example, can compare shape, thickness and/or the length of the lip of the left and right sides at Zui center.
Jawline evaluation module 716 compares in the left and right sides of patient's face, the position of the face feature point relevant to lower jaw.For example, can compare the position of patient's left and right genial angle, or the angle of patient's left and right mandibular border.
Any difference between position, left and right or the angular orientation of above-mentioned any face feature point that utilization comparison/evaluation module 706-716 calculates can be indicated the asymmetric situation of face feature point.Referring to Fig. 5, after the symmetry analysis of 2D face-image finishes, facial asymmetric display module 534 can utilize display 112 (not shown), shows any asymmetric between the face feature point of left and right to operator.
The symmetrical evaluation module of ii.3D face
Return referring to Fig. 5, the asymmetric evaluation module 212 of face also can comprise use module and the method similar with method to the respective modules of the symmetrical evaluation module 502 of 2D face of being configured to, obtain and analyze 3D face-image, to determine the symmetrical evaluation module 504 of 3D face of the unsymmetry between the face feature point of selection.The symmetrical evaluation module 504 of 3D face comprises and is configured to use 3D camera, stereoscopic camera or any other 3D rendering recording equipment or scanner of utilizing 3D camera interface module 526 to operate, obtains the 3D rendering acquisition module 524 of 3D face-image.
In Fig. 9, graphic extension utilizes the example of the 3D face-image 900 that 3D rendering acquisition module 524 obtains.In one aspect, can, around the axle rotation of any selection so that 3D rendering is analyzed the form that easier virtual 3D represents, show 3D face-image 900.In yet another aspect, can represent corresponding to a series of 2D of the different views of 3D rendering, include, but is not limited to front view, side view, rearview, perspective view, top view and/or bottom view, and/or can make 3D face-image analyze the form that easier any other 2D represents, show 3D face-image 900.
Return referring to Fig. 5,3D rendering analysis module 528 comprises 3D directiveness image analysis module 530 and 3D automated image analysis module 532.3D directiveness image analysis module 530 is carried out guiding 3D rendering analysis to 3D face-image 900, wherein utilize GUI prompting operation person on 3D face-image 900, to identify a series of face feature point, a series of face feature point described in subsequent analysis, to determine numerical value degree of asymmetry.3D rendering analysis can be assessed the unsymmetry of corresponding left/right face feature point with respect to the plane of symmetry.For example, the plane of symmetry can be corresponding to the median sagittal plane of the nose center line by patient.The face feature point that utilizes 3D directiveness image analysis module 530 to analyze is similar to the face feature point illustrating about the face feature point that utilizes 2D directiveness image analysis module 520 to analyze above.Utilize 3D automated image analysis module 532, by automatic face feature point identification and analytical method, can carry out similar 3D rendering analysis.
Utilize and the similar method of method illustrating about the degree of asymmetry being produced by 2D graphical analysis the degree of asymmetry between the corresponding left/right face feature point that can quantize to determine with the asymmetric evaluation module 504 of 3D face above.In addition, utilize and the similar method of method about the explicit declaration of 2D degree of asymmetry above, the asymmetric display module 534 of available face, shows the 3D degree of asymmetry of each face feature point.
Figure 10 is the flow chart of the embodiment of the symmetrical evaluation module 212A of graphic extension face.In the present embodiment, in step 1002, can select obtaining and analyzing of 2D face-image.In step 1004, obtain 2D image, in step 1006, carry out the symmetrical assessment of directiveness of 2D image.On the other hand, or except 2D graphical analysis, in step 1008, can select obtaining and analyzing of 3D face-image.Can obtain 3D rendering in step 1010, then carry out the automatic symmetrical assessment of 3D rendering in step 1012.In step 1014, can select to show and further analyze the sufficiently high face feature point of degree of asymmetry.In step 1016, operator can stop facial symmetry analysis, thereby returns to main processing screen, to select other action, processes such as the facial tissue to patient implements.
Iii. trigger point analysis module
Return referring to Fig. 5, utilize the asymmetric particular procedure scheme of indicating about one or more facial tissues of the definite numerical value of facial symmetrical evaluation module 502.The asymmetric face feature point that can utilize trigger point analysis module 506 further to analyze of also can identifying of numerical value.For example, if patient's the left corners of the mouth at the longitudinal right corners of the mouth higher than correspondence, so this asymmetric can indication relevant to the location of patient's the corners of the mouth muscle tonus, neuron activation pattern and/or vascularization aspect asymmetric.
Trigger point analysis module 506 can be by measuring tissue characteristics, include, but is not limited to the electricity reaction of facial tissue, tissue is to the moving response of trying hard to recommend applying, or any other side of the facial tissue relevant or associated to the health of facial tissue and situation, the further situation of the facial tissue of assess patient.Trigger point analysis module 506 can utilize any known instrument, carry out the extra assessment of the situation of facial tissue, the facial stimulator instrument that includes, but is not limited to the following describes, electromyographic electrode, or be suitable for measuring any other known measurement device of facial tissue's characteristic.
Figure 11 is the block diagram of the embodiment of graphic extension trigger point analysis module 506A.Trigger point analysis module 506A comprises to be provided by operator for the GUI that uses one or more equipment and measure or the instrument interface module 1102 at other interface, the signal acquisition module 1104 of the measuring-signal that record obtains with described one or more equipment, process the signal from equipment, to determine the signal analyse block 1106 of situation of facial tissue, with provide instrument control set, such as power setting, the frequency that knocking property is impacted, the voltage of the electric pulse applying and/or waveform, the frequency of the ping applying, with to the instrument control setting module 1108 of relevant any other parameter of processing scheme of selecting.
Trigger point analysis module 506A can be configured to instruct following steps to operator from the beginning to the end: location face feature point, initialize instrument, and to measure near the characteristic of facial tissue face feature point, and utilize instrument to obtain one or more measurement results.Utilize trigger point analysis module 506A, can instruct the measurement about one or more face feature points to operator.Trigger point analysis module 506A can, in conjunction with the degree of asymmetry of characteristic point, process the measurement result of the characteristic of each face feature point, to determine the processing scheme of recommendation.
Figure 12 is the flow chart of the embodiment of graphic extension trigger point analysis module 506B.In this embodiment, in Figure 12, be called as promote marble system (impulse wave subsystem) facial stimulator instrument 106 be used to measure tissue to the moving response of trying hard to recommend applying.In step 1202, make facial stimulator instrument 106 be positioned at the face feature point of appointment.In one aspect, can utilize facial symmetrical evaluation module 212, the face feature point of specifying is identified as to the characteristic point relevant to higher degree of asymmetry.Utilize display 112, can show the face feature point that trigger point to be experienced is analyzed to the operator of system 100.In step 1204, apply and try hard to recommend movingly to facial tissue, in step 1206, utilize signal acquisition module 1104, obtain facial tissue the signal of trying hard to recommend moving response coding applying.In step 1208, signal analyse block 1106 is analyzed described signal, in step 1210, utilizes instrument control setting module 1108 to determine instrument control setting.Instrument control is set by one or more processing module 216-220 for the processing of the facial tissue to patient is provided.
In one aspect, signal analyse block 106 can analyzing responding any one or more characteristics of trying hard to recommend moving facial tissue that apply of face process instrumentation 106, include, but is not limited to the waveform of facial tissue's response.Can utilize the non-limiting aspect of the waveform of facial tissue's response that signal analyse block 106 analyzes to comprise peak value or the peak swing of waveform, time to peak, rise time, fall time, area under frequency and ripple.Here the time to peak of definition refers to starting to the time of the peak amplitude of waveform from waveform.Here the rise time of definition refers in the time that amplitude rises towards peak amplitude, the time of passing by between 10% and 90% the amplitude of wave form that be peak amplitude.Here refer in the time that amplitude declines from peak amplitude the time of passing by the fall time of definition between 90% and 10% the amplitude of wave form that be peak amplitude.
Be not limited to any specific theory, comparatively complicated to trying hard to recommend the differentiation of shape of the waveform that moving response is relevant to facial tissue.In one aspect, signal analyse block 1106 can produce the mathematical notation of the waveform of facial tissue response, can further process and explain described mathematical notation, so that the repellence of definition facial tissue, the size of mobility, situation and/or other characteristic.
Signal analyse block 1106 is configured to analyze the relation of processing and measure relevant all response factors to facial tissue, that is, the analysis of waveform, because they are conventionally relevant to facial tissue.With stiffness characteristics (waveform peak), the relation of hysteresis function (wave) and frequency response provides the useful information about the state of tested tissue.
In one aspect, tested waveform can be sinusoidal wave, affected by tissue property, described tissue property includes, but is not limited to movement of tissue or mobility resistant, fascia tension force, muscular tone power, connective tissue elasticity or inertia, local edema and their combination in any.By determining peak amplitude, time to peak, rise time, fall time and switching rate, can levy each such ripple in mathematics earth's surface; These values can make frequency response and for mathematics to define the calculating of some ratio of waveform characteristic easier.By the mathematics of analysis waveform characteristic, can utilize in the past definite waveform characteristic and the relation of organization factors, the situation of assessment facial tissue.
Because data are collected and record, thereby after carrying out all relevant mathematical calculations, the summary that can present waveform and analysis on display 112 shows 2500, as shown in diagram in Figure 25.Summary shows that 2500 can comprise that the figure of waveform shows 2502, can show relevant data 2504 and the ratio 2506 drawing, so that during trigger point is analyzed, for operator's assessment.In the data relevant to summary demonstration 2500, be stored in data base 122, process application 120 for face and set for definite suitable processing scheme and relevant instrument control.In addition, analyzing relevant data to trigger point and can being integrated into for utilizing analytical method of preservation, includes, but is not limited to clinical hypothesis and statistical model, proposes and revises in the more fully data base of predetective diagnosis.The normal value relevant to the waveform of healthy facial tissue can be compiled, preserve and for than compared with normal facial tissue and abnormal facial tissue.The data of preserving also can be used to facial tissue more before and after treatment.
Iv. facial asymmetric display module
Return referring to Fig. 5, can processing and utilizing the unsymmetry of the definite face feature point of the symmetrical evaluation module 212 of face, to utilize facial asymmetric display module 534, show to operator.Available any known numeral or graphical format, the unsymmetry of expression face feature point.In one aspect, the unsymmetry of each face feature point can be expressed as digital degree of asymmetry, here, numeral degree of asymmetry is defined by left side face feature point and corresponding right side face feature point with respect to benchmark, such as the digital value between lateral displacement or the angular orientation of axis of symmetry described above or the plane of symmetry.
Can utilize the absolute difference between left and right distance or the angle of corresponding face feature point, represent degree of asymmetry.On the other hand, digital degree of asymmetry can be expressed as with reference to value, such as the meansigma methods of left and right distance or angle, or difference between left and right distance or the angle of the percentile corresponding face feature point of total maximum or minimum range or angle.In yet another aspect, by each difference between the left and right distance of corresponding face feature point or angle divided by numerical constant, among all face feature points of analyzing, maximum or minimal difference between corresponding left and right distance or angle, make digital degree of asymmetry normalization.
In other side, utilize facial symmetry analysis module 502, can analyze 2D face-image 600 and 3D face-image 900, and can be in conjunction with the result of 2D and 3D symmetry analysis.For example, can be in the hope of the meansigma methods of the degree of asymmetry of each face feature point of producing by the analysis of 2D and 3D rendering.On the other hand, at each face feature point, minimum or maximum degree of asymmetry can be selected, to show to operator, or combination any other known method from the data of separate sources can be used.
Face-image display module 534 can utilize any known form, includes, but is not limited to list, form or chart, or other picture format, produces the demonstration of the unsymmetry of face feature point.The non-limitative example that can show the appropriate format of the unsymmetry of face feature point comprises: the list of the digital degree of asymmetry of face feature point and each characteristic point, comprise the form of the face feature point of digital degree of asymmetry, summarize bar diagram or other chart of the digital degree of asymmetry of each face feature point, with at each face feature point, markd 2D face-image superposes, wherein the degree of asymmetry of each characteristic point is encoded into stack numeral, color and/or the color intensity of the labelling of characteristic point.
V. instrument control setting module
Referring to Fig. 5, facial symmetrical evaluation module 212 also can comprise the instrument control setting module 508 that is configured to the control setting of determining the instrument that the facial tissue's execution for to patient is processed.Control that set can be according to the degree of asymmetry of each face feature point, and determined by any other characteristic of the definite facial tissue of trigger point analysis module 506.In an embodiment, instrument control setting module 508 can be determined one or more controls settings of facial stimulator instrument 106, include, but is not limited to: prestrain tissue compression power, try hard to recommend moving size and frequency, and power and the waveform of the electricity irritation in facial tissue to be applied.In another embodiment, instrument control setting module 508 can be determined one or more controls settings of sonic oscillator 108, includes, but is not limited to size and the frequency of the ping in facial tissue to be applied.
Vi. processing selecting module
Referring to Fig. 5, the symmetrical evaluation module 212 of face also comprises the analysis being configured to according to the degree of asymmetry by the asymmetric evaluation module 502 of 2D face and/or the definite facial tissue of the asymmetric evaluation module 504 of 3D face, and by other definite facial tissue's characteristic of trigger point analysis module 506, select the processing selecting module 510 of one or more processing schemes.In one aspect, the processing scheme of recommendation can be used as the list of processing scheme option, is displayed to operator.Operator can select one or more processing schemes from the list showing, to start one or more processing of the facial tissue to patient.
Vii. face-image memory module
Return referring to Fig. 5, facial symmetrical evaluation module 212 also can comprise and is configured to one or more face-images and related data to be kept at the face-image memory module 512 in data base's 122 (not shown).The non-limitative example of face-image is included in the 2D face-image 600 and the 3D face-image 900 that before or after the processing of facial tissue, obtain.The non-limitative example of the data relevant to one or more face-images of being preserved by face-image memory module 512 comprises: face feature point, the degree of asymmetry of each face feature point, utilize other characteristic of the facial tissue that trigger point analysis module 506 measures, instrument control is set, and utilizes the formerly facial tissue of system 100 to process historical.In one aspect, the information that face-image memory module 512 is preserved can be used to the degree of asymmetry of more facial processing to handled facial tissue or the effect of other characteristic.On the other hand, the subsequent treatment that the processing scheme information relevant to one or more face-images of preservation can be used to specify facial tissue.
C. operator selects processing module
Return referring to Fig. 2, processing scheme selection module 208 comprises that the operator who is configured to manifest the processing scheme of specifying by input equipment 114 with implementation and operation person selects processing module 214.In one aspect, operator select processing module 214 can menu or the voltage applying, stimulus frequency, try hard to recommend moving size, promote the form of the suggested range of any other parameter that the frequency that produces is relevant with the processing scheme of selecting to operator, provide guidance to operator.
In one aspect, operator can specify specific tupe and face feature point to be processed.In this respect, can, in GUI display screen, show face-image, to show pending selected face feature point.In the time selecting specific face feature point, GUI can set for the treatment of the control of the instrument of patient's facial tissue to operator's demonstration.Operator can pass through GUI subsequently, specifies the control of instrument to set.On the other hand, GUI can instruct to operator the measurement of the another kind of characteristic of facial tissue, according to the situation of the facial tissue recording, recommends the control of instrument to set to operator.Instrument control is set to be used to be configured for patient's facial tissue is implemented to the instrument of processing.
IV. processing module
Return referring to Fig. 2,120A is described above for processing scheme selection module, selects the processing scheme of the facial tissue that processes patient.For the processing scheme of implementing to select, system 100A can utilize one or more processing modules: neural processing module 216, muscle treatment module 218 and circular treatment module 220.Conventionally, each processing module provides operator with it according to the processing scheme of selecting, to be configured for the interface of the instrument of the facial tissue that processes patient.In addition, each processing module can provide guidance progressively to operator, so that instrument is placed on patient's one or more selected face feature point, and operation is for providing the instrument of the processing of being specified by the processing scheme of selecting.
In one aspect, after finishing the processing of facial tissue, can obtain 2D face-image 600 after treatment and/or 3D face-image 900, so that any variation of the situation of the facial tissue that record is produced by described processing.In yet another aspect, can obtain other measurement result of the situation of facial tissue, include, but is not limited to respond the response of the facial tissue that tries hard to recommend moving or electric pulse applying.In one embodiment, image after treatment and measurement result can be stored in data base 122.
Describe neural processing module 216, muscle treatment module 218 and circular treatment module 220 below in detail.
A. neural processing module
In one aspect, neural processing module 216, according to the processing scheme of selecting, instructs the processing of face nerve tissue to operator.Aspect this, neural processing module 216 can be utilized facial stimulator instrument 106, applies knocking property impact to face nerve.In other embodiments, other processing scheme be can implement, electricity irritation and/or the sound oscillation of face nerve tissue included, but is not limited to put on.
Be not limited to any specific theory, the processing scheme of implementing by neural processing module 216 can the Golgi tendon organ in patient's facial tissue be target.Golgi tendon organ is the mechanoreceptor that is positioned at the parcel of tendon and belly of muscle junction.Due to during muscle contraction, muscle fiber shortens, therefore the golgi's sac (capsule) that comprises Golgi tendon organ becomes distortion, and the contraction that forms the fiber of golgi's sac applies strain to the collagen bundle of the parcel in golgi's sac, causes the distortion of sensory nerve ending.Golgi tendon organ has very low activation threshold, and even single myokymia all can cause the electric discharge from this sensor.The discharge frequency control proprioreceptor response of Golgi tendon organ.Under the muscle fibers contract extending, under the muscle fibers contract such as the prolongation in static and the stressed lower generation of muscle that extend, the discharge frequency of Golgi tendon organ diminishes, and causes making proprioreceptor response to be down to minimum, or disappears completely.The result responding as the proprioreceptor of decay, the activity of agonist/antagonist becomes spasm and static state.In addition, the static strength situation of prolongation can cause the overacfivity of nociceptor response, thereby causes pain and other muscle twitches.
Knownly promote to excite harmonically Golgi tendon organ to be up to the stimulation of 80Hz, and more than 80Hz, sub-mediation excites Golgi tendon organ (1/2~1/3).Known Golgi tendon organ (I in addition b) import demonstration into respect to (I a) the contrary activity pattern that imports into.As a result, motion response may be inversely proportional to tendon device and excite (firing); Because the discharge frequency of Golgi tendon organ is suppressed, therefore motion response is more active.So the reduction of the frequency that the Golgi tendon organ under the static muscle contraction extending excites may cause and the similar motion response overacfivity of muscle hypertonicity.
If by the given frequency response window of golgi's sac, apply the forced oscillation of low amplitude, stimulate Golgi tendon organ, so consequent Golgi tendon organ discharge frequency can respond the frequency of oscillation of induction harmonically, thereby causes suitable proprioception response.Especially, the forced oscillation applying can cause the reconciliation response that the Ib of Golgi tendon organ imports into, cause alleviating of the nociceptor signaling that reduces and pain, and do not have the other factors such as chemical irritant, infection or inflammation in processed facial tissue.
Figure 13 is the block diagram of the embodiment of the neural processing module 216A of graphic extension.Neural processing module 216A can comprise the face nerve image display 1302 that produces the GUI for instruct the processing of face nerve tissue to operator.Instrument configuration module 1304 can be used for the control of the facial stimulator of specifying the processing for implementing face nerve tissue to be set, the persistent period of the size of the percussion power that includes, but is not limited to apply and frequency and processing.Trigger point frequency analysis module 1306 can instruct to operator the carrying out of analysis, in described analysis, utilize facial stimulator in a series of frequency ranges of the percussion power applying, to measure the response of facial tissue, with according to the analysis of tissue response of measuring, determine what one or more instrument control was set.Instrument interface module 1308 provides by operator in the time implementing the processing scheme of selecting, and operates GUI or other interface of facial stimulator instrument.
The example of graphic extension face nerve display screen 1400 in Figure 14.Face nerve display screen 1400 can comprise the position that shows face nerve, to help operator to locate the neural image 1402 of suitable processing region.In one aspect, utilize the position of the face feature point 1404A-1404F that processing scheme selection module 208 identifies can be superimposed on neural image 1402.By utilizing the GUI control element the slider control 1408 shown in diagram in Figure 14, can show and/or specify to face nerve tissue to apply and try hard to recommend moving frequency.
Face nerve display screen 1400 also comprises the button 1406A-1406N of each other side of the processing for controlling facial nervous tissue.By selecting one of button 1406F-1406I, can specify in the moving number of trying hard to recommend that each face feature point applies.By selecting one of button 1406J-1406M, the size can specified force promoting.By selecting button 1406E, can start trigger point and analyze.By selecting button 1406C, operator can access useful reference information.Operator can, by selecting button 1406B, move between pending face feature point, by selecting button 1406A, restarts to process, or by selecting button 1406N, stops the processing of facial nervous tissue.
Figure 15 is the flow chart of the embodiment of the neural processing module 216B of graphic extension.In step 1502 and 1504, can be in face nerve display screen 1400, show neural image 1402, and about the control of facial stimulator instrument 106.In step 1506, neural processing module 216B determines whether and utilizes stores processor scheme module 210 or facial symmetrical evaluation module 212, has specified instrument control to set.If do not specify instrument control to set, so in step 1508, fill instrument control with default value and set.Once be written into default value, in step 1510, neural processing module 216B just determines whether needs trigger point to analyze to revise default setting.If need, so in step 1512, carry out trigger point analysis at face feature point.
If in step 1506, specify instrument control to set, so in step 1514, setting is written in face nerve display screen 1400.In step 1516, pending face feature point is presented on face nerve display screen 1400.Analyzed if carry out trigger point, and so in step 1518, the instrument control of recommending was set and is written in face nerve display screen 1400, and then in step 1520, implemented to process.
B. muscle treatment module
Return referring to Fig. 2, muscle treatment module 218 is configured to, according to the processing scheme of selecting, instruct the processing of the one or more facial muscle relevant to one or more face feature points to operator.In this respect, muscle treatment module 218 can be utilized facial stimulator instrument 106, applies knocking property impact and/or electricity irritation to facial muscle.In other embodiments, can implement other processing scheme, include, but is not limited to put on the sound oscillation of facial muscle.In each embodiment, sound (audio frequency) vibration can be the form of impulse modulation RF and/or amplitude modulation RF, comprises square wave or sine wave.
In one aspect, utilize the processing scheme that muscle treatment module 218 implements to be retarded by silt by reducing fluid, thereby alleviate the muscle inflammation being caused by the change of the chemical environment of organizing, and improvement organizes metabolism, promote the health of facial muscle.In other side, muscle treatment module 218 can be implemented tendon vibration processing, and tendon vibration processing can stimulate mechanoreceptor, thereby causes the lax of muscle.
The lax appearance that can reduce the facial wrinkles relevant to the long-term deflation of one or more facial muscle of the facial muscle that caused by the processing scheme of utilizing muscle treatment module 218 to implement.After the processing of facial muscle, the non-limitative example that may reduce the facial wrinkles of appearance comprises: the horizontal volume stricture of vagina relevant to the contraction of frontalis; The glabellar frown lines relevant to the contraction of corrugator supercilii and procerus; The crows-feet relevant to the motion of orbicularis oculi; The perioral aging lines relevant to the contraction of orbicularis oris; The puppet stricture of vagina relevant to the contraction of depressor anguli oris; The platysma band relevant to platysmamyoides contraction; With their combination in any.
Figure 16 is the block diagram of the embodiment of graphic extension muscle treatment module 218A.Muscle treatment module 218A can comprise the facial muscle image display 1602 that produces the GUI for instruct the processing of face nerve tissue to operator.Instrument configuration module 1604 can be used to the control of the facial stimulator instrument 106 of specifying the processing for implementing facial muscle tissue and set, and what include, but is not limited to apply tries hard to recommend moving size and frequency, and the persistent period of processing.Trigger point frequency analysis module 1606 can instruct and wherein utilize facial stimulator instrument to operator, the response of measuring facial tissue in moving a series of frequencies of trying hard to recommend applying, and according to the analysis of the tissue response of measuring, determine the analysis that one or more instrument control is set.Instrument interface module 1608 provides by operator in the time implementing the processing scheme of selecting, and operates GUI or other interface of facial stimulator instrument.
The example of graphic extension facial muscle display screen 1700 in Figure 17.Facial muscle display screen 1700 can comprise the position of graphic extension facial muscle, to help operator to locate the muscle image 1702 of suitable processing region.In one aspect, utilize the position of the face feature point 1704A-1704E that processing scheme selection module 208 identifies can be superimposed on muscle image 1702.Apply and try hard to recommend moving frequency by utilizing the GUI control element of all slider control 1708 as illustrated in Figure 17 and so on, can showing and/or specify to facial muscle tissue.
Facial muscle display screen 1700 also can comprise the button 1706A-1706N of each other side of the processing for controlling facial muscular tissue.By selecting one of button 1706F-1706I, can specify in the moving number of trying hard to recommend that each face feature point applies.By selecting one of button 1706J-1706M, the size can specified force promoting.By selecting button 1706E, can start trigger point and analyze.By selecting button 1706C, operator can access useful reference information.Operator, by selecting button 1706B, can move between pending face feature point, by selecting button 1706A, can restart to process, or by selecting button 1706N, can stop the processing of facial muscular tissue.
Figure 18 is the flow chart of the embodiment of graphic extension muscle treatment module 218B.In step 1802 and 1804, can be in facial muscle display screen 1700, show muscle image 1702, and about the control of facial stimulator instrument 106.In step 1806, muscle treatment module 216B determines whether and utilizes stores processor scheme module 210 or facial symmetrical evaluation module 212, has specified instrument control to set.If do not specify instrument control to set, so in step 1808, fill instrument control with default value and set.Once be written into default value, in step 1810, muscle treatment module 218B just determines whether needs trigger point to analyze to revise default setting.If need, so in step 1812, carry out trigger point analysis at face feature point.
Set if identified instrument control in step 1806, so in step 1814, setting is written in facial muscle display screen 1700.In step 1816, pending face feature point is presented on facial muscle display screen 1700.Analyzed if carry out trigger point, and so in step 1818, the instrument control of recommending was set and is written in facial muscle display screen 1700, and then in step 1820, implemented to process.
C. circular treatment module
Return referring to Fig. 2, circular treatment module 220 is configured to, according to the processing scheme of selecting, instruct the processing of the one or more facial systemic vasculars relevant to one or more face feature points to operator.In this respect, circular treatment module 220 can be utilized sonic oscillator 108, applies ping to facial systemic vascular.In other embodiments, can implement other processing scheme, include, but is not limited to put on moving and/or the electricity irritation tried hard to recommend of facial systemic vascular.
The processing scheme that circular treatment module 220 is implemented can stimulate the enhancing blood flow to facial tissue, thereby strengthens health and the outward appearance of facial tissue.
Figure 19 is the block diagram of the embodiment of graphic extension circular treatment module 220A.Circular treatment module 220 can comprise the facial systemic vascular image display 1902 that produces the GUI for instruct the processing of facial systemic vascular to operator.Instrument configuration module 1904 can be used to the control of the sonic oscillator of specifying the processing for implementing facial systemic vascular tissue and set, the size of the ping that includes, but is not limited to apply and frequency, and the persistent period of processing.Instrument interface module 1908 provide by operator for implement select processing scheme time, the GUI of operation sound agitator or other interface.
Trigger point frequency analysis module 1906 can instruct to operator the carrying out of analysis, in described analysis, utilize facial stimulator instrument 106, at each face feature point that is processing selecting, in a series of frequencies of the percussion power applying, measure the response of facial tissue, and according to the analysis of the tissue response of measuring, determine one or more instrument control settings.For example, trigger point frequency analysis module 1906 can be utilized the tissue response of being measured by facial stimulator instrument 106, for each face feature point is determined resonant frequency.These resonant frequencies can be used as the basis of the frequency of the ping that will apply at each face feature point in the appointment of the processing frequency scheme of each face feature point.
In one aspect, processing frequency scheme can be wherein with the form of programmable duty cycle transmitted wave, provides the frequency sweep of ping to concentrate frequency scheme.In this respect, ping can have the frequency of oscillation that arrives about 1MHz with about 3Hz to the approximately 800KHz of the pulsation rate transmission of about 300Hz.In this respect, pulsation rate can concentrate in the harmonic wave and subharmonic of the resonant frequency definite by trigger point frequency analysis module 1906.Can be used as bursts or the form with amplitude modulation, transmit this pulse.
In yet another aspect, processing frequency scheme can be to concentrate the similar harmonic wave frequency sweep of frequency scheme centralized solution with frequency sweep, except pulsation rate can be set at the accurate resonant frequency that trigger point frequency analysis module 1906 is determined at first, and subsequently upwards outside downward inswept harmonic wave scope.
In yet another aspect, processing frequency scheme can be to concentrate frequency scheme and the similar resonance centralized solution of harmonic wave frequency sweep scheme with frequency sweep, except pulsation rate is initialised and remains on the definite concrete resonant frequency of trigger point frequency analysis module 1906.
The example of graphic extension systemic vascular display screen 2000 in Figure 20.Systemic vascular display screen 2000 can comprise the position of graphic extension systemic vascular, to help operator to locate the systemic vascular image 2002 of suitable processing region.In one aspect, utilize the position of the face feature point 2004A-2004G that processing scheme selection module 208 identifies can be superimposed on systemic vascular image 2002.By utilizing the GUI control element the slider control 2008 shown in diagram in Figure 20, can show and/or specify the frequency that applies ping to facial loop organization.
Face systemic vascular display screen 2000 also comprises the button 2006A-2006N of each other side of the processing for controlling facial systemic vascular.By selecting one of button 2006F-2006I, can specify in the persistent period of the ping that each face feature point applies.By selecting one of button 2006J-2006M, can specify the size of ping.By selecting button 2006E, can start trigger point and analyze.By selecting button 2006C, operator can access useful reference information.Operator can, by selecting button 2006B, move between pending face feature point, by selecting button 2006A, restarts to process, or by selecting button 2006N, stops the processing of facial systemic vascular.
Figure 21 is the flow chart of the embodiment of graphic extension circular treatment module 220B.In step 2102 and 2104, can be in systemic vascular display screen 2000, show systemic vascular image 2002, and about the control of sonic oscillator 108.In step 2106, circular treatment module 220B determines whether and utilizes stores processor scheme module 210 or facial symmetrical evaluation module 212, has specified instrument control to set.If do not specify instrument control to set, so in step 2108, fill instrument control with default value and set.Once be written into default value, in step 2110, circular treatment module 220B just determines whether needs trigger point to analyze to revise default setting.If need, so in step 2112, carry out trigger point analysis at face feature point.
If in step 2106, specify any instrument control to set, so in step 2114, setting is written in systemic vascular display screen 2000.In step 2116, pending face feature point is presented on facial systemic vascular display screen 2000.Analyzed if carry out trigger point, and so in step 2118, the instrument control of recommending was set and is written in facial systemic vascular display screen 2000, and then in step 2120, implemented to process.
V. data base
Return referring to Fig. 1, data base 122 preserves for facial processing system 100 for the various data of processing of the facial tissue to patient are provided.In one aspect, the processing scheme 124 that data base 122 can comprise and preserve, the patient data 126 of preservation is set 132 relevant entries with the associated instrument control of measurement.In one aspect, the patient data 126 of preservation can comprise the face-image 128 of preservation and the processing scheme 130 specific to patient.Face is processed the modules of application 120 can access the entry being kept in data base 122, to help the situation of the facial tissue that analyzes patient, select processing scheme, specify the one or more instrument controls settings relevant with the characteristic of the processing scheme of selecting and/or the facial tissue that records, and utilize system 100 to implement facial tissue's processing.
The processing scheme of a. preserving
In one aspect, the processing scheme 124 of preservation can provide any out of Memory of instrument control setting, face feature point and/or designated treatment scheme.Figure 23 is the schematic diagram of the embodiment of the processing scheme 124A of preservation.In this respect, stores processor scheme database 124A comprises the list of Illnesses Diagnoses entry 2302 and relevant processing scheme 2304.Illnesses Diagnoses entry 2302 can be that the disease of the facial tissue that illustrates is above one of any.The non-limitative example of Illnesses Diagnoses entry 2302 comprises the cosmetic variation relevant to the erosion of old and feeble and subcutaneous fat, the attenuation of skin, the forfeiture of elasticity and the colour of skin, wrinkle and jowled formation, the variation of the colour of skin or irregular, and any obstacle of facial tissue, comprise face muscle spasm, the motor control weakening, chronic migraine, prosoponeuralgia, facial paralysis, face nerve damage, abnormal with the facial tissue relevant to general obstacle such as muscular dystrophy.
B. the patient data of preserving
In yet another aspect, data base 122 also can comprise the patient data 126 of preservation, include, but is not limited to patient for information about, such as age, height, body weight and case history, the analysis result of patient's facial tissue, the processing that patient's facial tissue is carried out, operator's annotation and comment, and the timetable of the processing that will carry out in the future.The information in the patient data 126 of preservation of being included in provides by the operator of system 100 to be processed for selecting, effect of the processing that assessment is implemented, and/or select the information of following processing scheme.The history that patient analyzes and processes can be collected, and for patient's situation and progress are discussed, and proves continue to process and rehabilitation.
I. the face-image of preserving
In yet another aspect, the patient's who obtained before, during and/or after processing face-image can be stored in the face-image 128 of preservation.Face-image can be 2D face-image described above and/or 3D face-image.Can be one or more and process preservation face-image, the face-image of preservation was used in very long a period of time, effect of evaluation process.On the other hand, the out of Memory such as the asymmetric data of face feature point, analysis result, calculating and the processing of suggestion in the past can be associated with face-image, and be kept in the face-image 128 of preservation.
Ii. specific to patient's processing scheme
In yet another aspect, for one group of processing scheme of particular patient customization can be used as the processing scheme 130 specific to patient, be stored in the patient data 126 of preservation.Entry in patient's processing scheme can comprise information, include, but is not limited to pending face feature point, the type of processing to be applied, the instrument control relevant to processing scheme is set, and can be used for any out of Memory that defines specific processing scheme and implement this processing.In one aspect, can be accessed by operator specific to patient's processing scheme 130, and for implementing patient's the processing of facial tissue, and do not need other measurement of the situation of the symmetrical assessment of facial tissue or patient's facial tissue.On the other hand, can comprise the timetable proposing according to operator, the processing scheme of processing to be implemented specific to patient's processing scheme 130.
The instrument control of iii. preserving is set
In yet another aspect, comprise for according to one or more measurement results of the situation of facial tissue, determine that one or more forms of the entry of one or more instrument control settings can be stored in the associated instrument control setting 132 of measurement.Face is processed the relevant modules such as dynamic adjustment, the enforcement of processing scheme etc. to trigger point is analyzed, control is set of application can access these entries.Here the function of any measurement result that can be used as facial tissue is set in any instrument control of any instrument of explanation, is stored in and measures in associated instrument control setting 132.
The example 132A of graphic extension form in Figure 27.In form 132A, the instrument control relevant to electricity irritation is set 2702 practical frequencies of trying hard to recommend moving facial tissue that are saved as applying in response to facial stimulator instrument 106 and is responded 2704 function.In addition, instrument control is set 2702 and can be saved the function of surveying facial tissue characteristics 2706 for another.
Another example 132B of graphic extension form in Figure 28.In form 132B, the instrument control relevant to electricity irritation is set 2802 actual measurements that are saved the electroresponse of the facial tissue of the electric pulse for applying in response to facial stimulator instrument 106 and is changed 2804 function.In addition, 2802 functions that can be saved as facial tissue's characteristic 2806 of another actual measurement are set in instrument control.
VI. camera
Return referring to Fig. 1, facial processing system 100 can comprise one or more camera of the face-image that obtains the symmetric patient for analyzing face feature point.Can utilize facial processing system 100, before, during and/or after processing patient's facial tissue, take these images.The analysis of face-image can be used for determining the processing scheme of recommending, and by analysis more after treatment and analysis before treatment, assesses the treatment effect of facial tissue, and/or by comparing the two or more analyses in a period of time, monitors the situation of facial tissue.
In system 100, can comprise and computing equipment 102 compatibilities, especially process any equipment that can obtain digital picture of application 120 compatibilities with face.In one aspect, described one or more camera 104 can be by the module of utilization face processing application 114 by operated from a distance.Any known device that can record face-image with number format can be included in system 100, includes, but is not limited to 2D camera, 3D stereoscopic camera and 3D scanning device.The non-limitative example of 3D scanning device comprises flight time 3D laser scanner, triangulation 3D laser scanner, LIDAR scanner, structure light 3 D scanner, light modulated 3D scanner, CT scanner, MRI scanner and any other known 3D scanning device.In yet another aspect, can obtain other various face-images with miscellaneous equipment, include, but is not limited to infrared imaging device and ultrasonic scanner.
VII. facial stimulator
Again referring to Fig. 1, utilize one or multiple instrument, comprise facial stimulator instrument 106, the facial tissue that can implement patient processes.Face stimulator instrument 106 can be configured to transmit machinery to facial tissue and try hard to recommend moving and/or electricity irritation.In addition, facial stimulator instrument 106 can be configured to measure by patient's facial tissue being applied to the facial tissue that tries hard to recommend moving and/or electric pulse and produce and reacts.
Figure 22 is the side view of the facial stimulator instrument 106 of an aspect.Face stimulator instrument 106 comprises the facial tissue that contacts patient, tries hard to recommend promotion and the sensing head 2202 of moving and/or electric pulse to transmit machinery.Promote and sensing head 2202 comprise probe 2204, probe 2204 have contact patient facial tissue one or more most advanced and sophisticated 2216.Piezoelectric transducer 2206 is attached on probe 2204 securely, and anvil 2208 is attached on piezoelectric transducer 2206 securely.The solenoid component 2220 that comprises the armature 2212 inserting in solenoid 2210 is also contained in promotion and sensing head 2202 non-cohesively.Pressure transducer 2214 can be attached on 2202, and is configured to so that when probe 2204 is pressed in patient's facial tissue, and while reaching predetermined pressure, described pressure transducer 2214 causes the release of burst current, so that solenoid 2210 is switched on.In the time that solenoid 2210 is energized, armature 2210 is accelerated, thereby clashes into anvil 2208, thus produce try hard to recommend moving, described in try hard to recommend moving through piezoelectric transducer 2206 and probe 2204, thereby trying hard to recommend the moving facial tissue that sends the patient who contacts with probe 2204 to.
As shown in diagram in Figure 24 A-24D, the probe 2204 of various different structures can be for promoting and sensing head 2202.For example, as shown in diagram in Figure 25 A, two tip probe 2204A have and end at two most advanced and sophisticated 2216B that are spaced laterally apart and the shape of a hoof of 2216C; Most advanced and sophisticated 2216B and 2216C can be made up of soft material.Most advanced and sophisticated 2216B and 2216C are attached on trunk 2402A.In use, the end contrary with 2216C with most advanced and sophisticated 2216B of trunk 2402A can be couple to piezoelectric transducer 2206 (not shown).Electrode 2218C and 2218D that each most advanced and sophisticated 2216B and 2216C can end to adhere to.Most advanced and sophisticated 2216B and the 2216C of two tip probe 2204A stretch out equal distance from main body 2402A conventionally.As shown in Figure 24 B, the alternative 2204B of two tip probe can have the most advanced and sophisticated 2216D and the 2216E that stretch out unequal distance from main body 2402B.
In another embodiment, as shown in diagram in Figure 24 C, single tip probe 2204C can comprise from main body 2402C and stretching out, and end at the unicuspid end 2216F of unitary electrode 2218E.In this embodiment, near the face feature point that can be forced at unicuspid end button 2204C, on patient's skin, adhere to the second electrode patch or other conductor, to implement electricity irritation.In another embodiment, single tip probe 2204D can comprise unicuspid end 2216G, and to be attached to main body 2402D upper contrary with most advanced and sophisticated 2216G, and pair of electrodes 2218F and 2218G are attached on unicuspid end 2216G.In the present embodiment, utilize single tip probe 2204D to implement electricity irritation, and do not need extra electrode patch or other conductor.
Conventionally,, among each embodiment, the concrete shape of probe 2204 is different with size.In one aspect, the most advanced and sophisticated 2216B of two tip probe 2204A and 2216C can stretch out the distance more greater or lesser than the distance shown in Figure 24 A from main body 2402A, or can be spaced laterally apart the distance more greater or lesser than the distance shown in Figure 24 A.In yet another aspect, the length difference of most advanced and sophisticated 2216D and 2216E can be greater than or less than the length difference shown in Figure 24 B.In yet another aspect, the length of the most advanced and sophisticated 2216F of single tip probe 2204C, width and shape of cross section, and the position of electrode can be different from the embodiment shown in diagram in Figure 24 C.In other side, the shape of most advanced and sophisticated 2218 end can change conventionally between at least several shapes, comprise the flat tip as shown in diagram in Figure 24 C and 24D, the circle as shown in diagram in Figure 24 A and 24B or hemispherical tip, and any other known pointed shape.
Return referring to Figure 22, promotion and sensing head 2202 also comprise elongated general cylindrical shell 2228, and shell 2228 has insert 2230, and insert 2230 is tapered, thereby forms pyramidal structure at front end 2232.The other end of shell 2228 possesses cylindrical blind end 2234.Shell 2228 utilizes to be threaded with blind end 2234 and is connected separably, thereby can contact the inside and each assembly that separates facial stimulator instrument 106 of shell 2228, to repair, replace etc.After blind end 2234 screws off shell 2228, shell 2228 can slide back to, and insert 2230 also can be screwed off from shell 2228.
Probe 2204 also can comprise the one or more electrode 2218A and the 2218B that are attached to one or more most advanced and sophisticated 2216, so that electrode 2218A contacts patient's skin with 2218B, to transmit electricity irritation to facial tissue.Electricity irritation unit 2222 can adopt high frequency generator 2224 and power amplifier 2226 to generate a series of high frequency electric pulse, described high frequency electric pulse with after through electrode 2218A and the 2218B of contact patient skin, be delivered to patient's facial tissue.
The design of face stimulator instrument 106 also provides when applying to facial tissue while trying hard to recommend moving and electricity irritation, tries hard to recommend ability moving and electricity irritation described in supervision.Try hard to recommend when moving when applying, described in piezoelectric transducer 2206 can monitor, try hard to recommend moving, with the facial tissue of assess patient to trying hard to recommend the moving response applying; The signal that piezoelectric transducer 2206 produces can be exported to computing equipment 102, processes to process application 120 by face.Pressure transducer 2214 can be exported to computing equipment 102 the data characteristic of the pressure of the probe 2204 contacting with patient's facial tissue, processes to process application 120 by face.
Face stimulator instrument 106 can, through cable 2236, obtain electric power from computing equipment 102.On the other hand, can, by extending to the additional wire (not shown) being electrically connected with external power source, suitable socket etc. in shell 2228, supply with electric power.
In one aspect, facial stimulator instrument 106 receives signal from computing equipment 102, and described signal is according to the processing scheme of utilizing the foregoing facial modules of processing application 120 to select and specify, generation and the transmission of control force promotion and/or electricity irritation.The design of the facial stimulator instrument 106 relevant with the transmission of trying hard to recommend moving and electricity irritation is described in more detail below.
A. try hard to recommend movable property raw
In one aspect, facial stimulator instrument 106 is configured to form and tries hard to recommend the moving facial tissue that passes to patient a series of, thereby sex massage processing is knocked in generation.Repeatedly accelerate armature 2212 by the frequency with controlled and predetermined period of time, to clash into anvil 2208, the probe 2204 of facial stimulator instrument 106 can vibrate.Face stimulator instrument 106 is by cable 2236 or other signal communication means, one or more characteristics that the control signal control force receiving from computing equipment 102 promotes.The non-limitative example of trying hard to recommend moving characteristic comprises the frequency of trying hard to recommend moving generation, eachly tries hard to recommend moving peak force, a series ofly tries hard to recommend the moving persistent period.
In yet another aspect, trying hard to recommend moving generation frequency can be at about 0.1Hz between about 12Hz.In yet another aspect, the frequency of trying hard to recommend moving generation can be shown and change according to the scheduled time of processing application 120 receptions from face.For example, try hard to recommend the increment that the frequency of moving generation can about 0.1Hz, be increased to about 12Hz from about 4Hz gradually.In yet another aspect, can process the analysis of applying the measurement result of trying hard to recommend moving response of carrying out to face according to facial tissue, constantly change the frequency of trying hard to recommend moving generation.
In yet another aspect, facial stimulator instrument 106 can with the transmission of electricity irritation transmit in phase try hard to recommend moving.For example, accelerate armature 2212 with produce try hard to recommend moving in, can produce the electricity irritation such as electric pulse, and pass to patient through electrode 2218A and 2218B.Utilize facial stimulator instrument 106 to process from face the signals that application 120 receives, can control force promote and the coordination of the transmission of electricity irritation.
Try hard to recommend the tip 2216 that influencing meridian is positioned at the probe 2204 of the front end 2232 of shell 2228, be delivered to facial tissue.In one aspect, can give most advanced and sophisticated 2216 to add liner, to contact pending soft tissue.Probe 2204 can be made up of the rigid material such as metal, plastics.Probe 2204 can screw in or frictionally insert in piezoelectric transducer 2206.Depend on the expectation function of facial stimulator instrument 106, can use difform probe 2204.For example, if facial stimulator instrument 106 is measured facial tissue to trying hard to recommend moving response, can use so and the variform probe of probe 2204 of processing for realizing facial tissue.Electrode 2218A and 2218B can be supported on probe tip 2216, while probe 2204 being applied to patient with box lunch, fully electrically contact with skin 4.
Shell 2228 comprises solenoid component 2220.Assembly 2220 comprises that solenoid 2210 and non-cohesive ground are longitudinally back and forth arranged on the armature 2212 in coil 2210.Armature 2212 is configured to so that in the time that solenoid 2210 is switched on, anvil 2208 will be clashed in the end of armature 2212.Anvil 2212 is fixed to a side of piezoelectric transducer 2206.Clash into produce try hard to recommend moving, described in try hard to recommend movingly through pressure transducer 2206, make pressure transducer 2206 produce waveform.
When in one of any each probe 2204 facial tissue that is pressed in patient time, the end contrary with patient of probe 2204 firmly resides on pressure transducer 2206, and pressure transducer 2206 firmly resides in again on anvil 2208.In one aspect, be positioned at shell 2228, and the initiation that promotes of pressure transducer between blind end 2234 and the solenoid component 2220 of shell 2,228 2214 controllable force.Other assembly synergistic ground work of pressure transducer 2214 and each, so that when the pressure of the facial tissue to patient reaches while exceeding predetermined threshold, pressure transducer 2214 signals release burst current, described burst current is switched on solenoid 2210, thereby cause the acceleration of the armature 2212 in solenoid 2210, until armature 2212 clashes into anvil 2208.
Armature 2212 to the shock of anvil 2208 produce try hard to recommend moving, described in try hard to recommend moving along substantially with just before clashing into, the consistent direction of moving direction of armature 2212 propagates through pressure transducer 2206.In one aspect, try hard to recommend the moving direction of propagation and can be subject on the contrary with anvil 2208, put on the drag effects of the probe 2204 of piezoelectric transducer 2206.Described resistance is produced by probe 2204 and the contact force of patient's skin.
Kinetic energy when armature 2212 clashes into anvil 2218 makes pressure transducer 2206 send the anvil side for being positioned at pressure transducer 2206, and the Mechatronic Systems relative with patient's the facial tissue of probe side that is positioned at piezoelectric transducer 2206 produce effectively vectorial distinctive electronic wave form.This electronic wave form can be processed the modules reception of application 120 and process by face, and can further be kept in data base 122.
The quality of armature 2212 equals the quality of anvil 2208 substantially, so that in the time that armature 2212 clashes into anvil 2208, the counteracting force being caused by the shock of armature 2212, by anvil 2208, piezoelectric transducer 2206 and the probe 2204 that adheres to, is transmitted to patient's facial tissue.The initial separation of armature 2212 and anvil 2208 can be fixed intentionally, so that only by changing in the time clashing into anvil 2208, the speed of armature 2212, can change kinetic energy and consequent impact force.Use the time (actuation duration) of constant voltage and current magnetization solenoid 2210 by change, change the induction force of solenoid 2210 to armature 2212, can change the speed of armature 2212.
In one aspect, by as mentioned above, process the measurement result from pressure transducer 2214, and in the time that the pressure recording meets or exceeds pressure threshold, start solenoid component 2220, can start solenoid component 2220.Pressure transducer 2214 can be any known pressure-sensing equipment, includes, but is not limited to load cell.
In yet another aspect, by probe tip 2216 being pressed on patient's skin, generation can utilize the movement of shell 2228 with respect to solenoid component 2220, starts the trigger point of solenoid component 2220.Described movement can be configured in the time meeting or exceeding preset probe tip pressure, connects the power supply circuits of solenoid component 2220.In one aspect, between the structure at shell 2228 and the supporting structure of solenoid component 2220, add the flexible member such as spring, change the resistance that relatively move of shell 2228 to probe tip pressure, can change described set pressure.In yet another aspect, the relative movement distance needing by changing into the power supply circuits of connection solenoid component 2220, can change described set pressure.
B. electrostimulator function
In one aspect, face stimulator instrument 106 is configured to form the electricity irritation that comprises a series of electric pulses, and described electricity irritation by being arranged on electrode 2218A and the 2218B of probe tip, pass to patient's facial tissue, thereby the electricity irritation processing to facial tissue be provided.Face stimulator instrument 106 is by cable 2236 or other signal communication means, one or more characteristics of the control signal control electricity irritation receiving from computing equipment 102.The non-limitative example of the characteristic of electricity irritation comprises the frequency of the generation of electric pulse, the waveform of electric pulse, the curtage of electric pulse, and the persistent period of a series of electric pulses.
Electricity irritation is in the known range that is generally used for this processing.For example, the frequency of the generation of electric pulse can change between about 0.1Hz and about 150Hz.The non-limitative example of the suitable waveform of the electric pulse using in electricity irritation comprises high-voltage one-phase, high-pressure two-phase, Russian symmetry is biphase, square wave is single-phase, square wave is biphase and their combination in any.In yet another aspect, the electroresponse avaivable electrode 2218A of processed facial tissue and 2218B monitoring, and processed the modules processing of application 120 by face, to calculate any variation of electroresponse of the facial tissue being caused by processing.The variation of the electroresponse of the processed facial tissue of calculating can be used for determining whether changing, and how to change the electricity irritation of processing.Can during processing, monitor constantly, before discontinuous processing, in period, measure, and/or in period, measure electroresponse after discontinuous processing.
The electricity irritation that face stimulator instrument 106 is granted facial tissue is to utilize the high frequency generator 2224 and the power amplifier 2226 that are electrically connected to electrode 2218A and 2218B to produce.When on the skin that is crushed on patient, electric current is transmitted to patient's facial tissue from electrode 2218.In one embodiment, face is processed transmission that application one or more modules of 120 make electricity irritation and is tried hard to recommend moving transmission and synchronize.The peak amplitude of electricity irritation can be by during processing, patient's comfort level restriction.The peak amplitude of electric pulse is lower, and patient more can stand the electricity irritation that utilizes electrode 2218 to transmit.
In one aspect, facial tissue is applied to electricity irritation and relate to the pair of electrodes 2218A and the 2218B that are attached to probe tip 2216 are pressed on patient's skin, make current impulse flow back to another electrode 2218B from an electrode 2218A through facial tissue.In yet another aspect, the applying to relate to of electricity irritation is pressed in single electrode 2218 on patient's skin, and makes current impulse flow to electrode patch or other electric conductor the skin that is also attached to patient from electrode 2218.In this respect, described electrode patch or other electric conductor can, near the position of pressing the face feature point of electrode, be adhered to or be otherwise attached on patient's skin.
VIII. sonic oscillator (utilizing the RF generator of sound (audio frequency) modulators modulate)
Again referring to Fig. 1, can utilize sonic oscillator 108, the facial tissue that realizes patient 110 processes.Sonic oscillator 108 can be configured to transmit a series of ping to patient's facial tissue.The operation of sonic oscillator is generally to utilize by face to process and apply 120 GUI that produce or other graphics display control.
The embodiment of graphic extension sonic oscillator 108A in Figure 26.Acoustic coupler can comprise the transducer 2602 being electrically connected with band filter and bonder 2604.Frequency and amplitude that electrical oscillator 2608 and amplifier 2606 can be expected, supply with the electric oscillation signal for driving transducer 2602.The cable 2612 that is electrically connected to computing equipment 102 is powered to sonic oscillator.In addition, cable 2612 is at sonic oscillator with reside in face on computing equipment 102 and process and transmit the signal to data encoding between application 120.Shell 2610 can comprise band filter and bonder 2604, electrical oscillator 2608 and amplifier 2606.In addition, transducer 2602 can be installed in one end of shell 2610.
In one aspect, sonic oscillator 108 receives signal from computing equipment 102, and the processing scheme that described signal is selected and specified according to the modules that utilizes foregoing face to process application 120, controls generation and the transmission of ping.Sonic oscillator 120 can receive the instrument control being produced by face processing application 120A and set, include, but is not limited to acoustic-type, frequency of sound wave and sonic wave amplitude in ping, the frequency of the generation of ping, the persistent period of a series of pings, and any other relevant instrument control is set.
In one aspect, sonic oscillator 108 can the RF pulse of generated frequency within the scope of about 500kHz and about 1.5MHz.In yet another aspect, sonic oscillator 108 can generate the ping with about 800kHz frequency.The form of the RF pulse generating can be any known RF waveform, includes, but is not limited to sinusoidal wave form.
In yet another aspect, the pulse generate speed of ping can be in the scope of about 1Hz and about 300Hz.Amplitude or the intensity of the ping that in yet another aspect, sonic oscillator generates can be corresponding to sound wave or supersonic oscillations.
In yet another aspect, system 100 also comprises monitoring of pulse equipment (not shown), includes, but is not limited to: the pulse monitor that is arranged on patient's arm, finger, chest or other position; EKG equipment; Ultrasound wave cardiographic apparatus; Blood pressure rubber hoop cuff or other blood pressure sensor device; With any other known monitoring of pulse equipment.In this respect, can utilize system 100 to monitor patient's pulse, can be before patient's heart beating, among or scheduled time afterwards, implement applying of ping, to strengthen the effect of ping.In yet another aspect, can on patient's skin, apply the sound conduction gel such as aqueous gel compound, to strengthen the efficiency of transmission of ping to patient's facial tissue.
XI. under optimum RF frequency and optimum pulse frequency, grant RF energy to tissue
In an embodiment of the system 100 of Fig. 1, system 100 comprises any above-mentioned feature, also comprises the part as the system 100 of Fig. 1, the pressure wave system or the module that use together with sonic oscillator 108.Particularly, exist except facial stimulator instrument 106 and support equipment and algorithm, or replace the pressure wave module of facial stimulator instrument 106 and support equipment and algorithm.Such pressure wave system or module 5010 have schematically been described in Figure 29.In one embodiment, pressure wave module 5010 and relevant method comprise the pulse to 300Hz with frequency 1Hz, pressure wave (for example, sound wave) 20 skin histologies that pass to patient are (for example, the skin histology of patient's face, cervical region etc.) 25, to carry out nerve stimulation.In other words, in one embodiment, organize 25 to patient's facial tissue, transmission of pressure wave energy train of pulse 20.
Can understand (Figure 29 is the schematic diagram that is used in patient 15 system 5010 with it) from Figure 29, system comprises display 5030, input equipment 5035, central processing unit (CPU) 5040, memorizer 5045 and at least one pressure wave (RF energy) generator (for example, sonic generator) 108.Display can comprise the screen of LCD or other type, the relevant information of use of the system 5010 during for display and processing patient 15.For example, display 5030 can show patient's age, face, name, case history, processes persistent period, sequential and scheme, and pressure wave shape, frequency etc.
Input equipment 5035 and display 5030 telecommunications, can comprise the input mechanism of keyboard, touch screen, mouse, stylus and/or other type.Input equipment is configured to receive the information relevant to patient's processing, such as patient age, and skin histology situation and position, the processing persistent period of expectation, sequential, and processing scheme etc.
CPU5040 and display 5030, input equipment 505 and memorizer 5045 telecommunications.Memorizer 5045 can comprise the processing parameter relevant to patient's processing and scheme, such as the pressure wave kind of the patient for dissimilar, frequency, amplitude etc., patient skin tissue and skin histology situation.
Pressure wave generating apparatus 108 and CPU5040 telecommunication, and be configured to the tissue 25 to patient 15, for example skin region of other cosmetic treatments of face, cervical region or patient, transmission of pressure ripple (for example, sound wave).Pressure wave generating apparatus 108 can be the form of hand-held club, as shown in the figure, or can be equipped with belt or other device, to allow a pressure wave generating apparatus 108 to be bundled in it patient 15.Pressure wave generating apparatus 108 can generate various pressure energies (for example acoustic energy), comprise supertension (for example, ultrasound wave), and shortwave is to long wave.In one embodiment, the pressure energy 20 that pressure wave generating apparatus 108 generates is long wave pressure waves.
Generally, on patient's skin histology 25, apply conduction gel, with help wave transmission to patient's skin and under tissue and muscle.It is the pressure wave of 500kHz to 1.5MHz that pressure wave generating apparatus 108 is configured to transmitted frequency.In a preferred embodiment, pressure wave generating apparatus 108 transmits the pressure wave of 800kHz to patient 15.Best, pressure wave has sinusoidal wave form, but also can generate other waveform and wave profile.
In each embodiment, the pressure wave that pressure wave generating apparatus 108 generates can be modulated, with run through patient skin and under tissue and muscle, transmit pressure wave.For example, can be under lower frequency, with pulse discharge pressure ripple.In an example, can 1Hz to the lower frequency of 300Hz, with pulse frequency of delivery be the pressure wave that 500kHz arrives about 1.5MHz, thereby with the known frequency of arousing neuropotential, transmit the energy of pressure wave.The pulse output of ripple also reduces the heat being accumulated in tissue, makes lower frequency reach maximum to tissue and/or neural mechanical influence.
CPU5040 makes pressure wave generating apparatus 108 generate the pressure wave of expected frequency, amplitude and persistent period, to realize nerve stimulation.For example, by with within programmable period, the sweep method of all frequencies within the scope of introducing is carried 800MHz transmission wave with pulse at 1Hz in the frequency range of 300Hz, introduces the pressure wave of pulse, obtains pressure wave.Can generate continuously and modulated pressure ripple.Figure 35 graphic extension comprises two kinds of patterns of amplitude modulation.Equipment provides square wave or sine wave.
According to the desired use of system and/or user, each embodiment of system 5010 can comprise more or less feature.For example, system 5010 embodiment can be configured to for patient at home.The present embodiment of system 5010 can not have a large amount of watch-dogs.On the contrary, another embodiment of system 10 can be clinical practice and establishes.The clinical example of system 5010 can comprise all monitoring equipments of explanation here, and other monitoring equipment or the armarium of medical professional's expectation.Be configured to equipment that family uses or clinical practice is irrelevant, system and method disclosed herein is its excite nerve system and blood circulation advantageously, thereby improve patient tissue, generally the focus of health & beauty processing, such as the skin of face, cervical region etc. and under muscle and function and the outward appearance of tissue.
In one embodiment, system and method disclosed herein can be included under definite RF frequency in tissue with high-transmission rate, and under the pulse frequency that causes maximum electromyogram reading of determining, grants RF energy to patient tissue.As a result, will RF energy be propagated under the RF frequency of ultimate range in patient tissue, granting of RF energy is occurring, and RF energy grant the nerve stimulation that provides the most useful by being suitable for.
Can understand according to Figure 29, system also can comprise evaluates RF 5200, pressure wave generating apparatus 108, RF antenna 5210 and EMG sensor 5215.Pressure wave generating apparatus 108 can be the form of multiple processing RF 5202 (5205a-g).Evaluate RF 5200 and RF antenna and/or sound measurement equipment can with CPU5040 telecommunication.
As shown in Figure 30 diagram, Figure 30 is the schematic diagram that adopts the system 5010 of evaluating RF 5200 and RF antenna 5210, evaluate the array 5203 that RF 5200 comprises piezoelectric transducer 5220a-e, piezoelectric transducer 5220a-e is conductively coupled to multiplexer or impulse controller 5225, multiplexer or impulse controller 5225 are conductively coupled to automatic gain control amplifier 5230, automatic gain control amplifier 5230 and frequency sweep clapp oscillator 5235 electric couplings.Evaluate RF 5200 and be conductively coupled to comparator 5237, comparator 5237 is conductively coupled to CPU5040 and display 5030.
Each piezoelectric transducer 5220a-e of array 5203 is by tuning separately, thereby compared with other piezoelectric transducer of array, produces RF energy under different frequencies.The piezoelectric transducer 5220a-e that forms the array 5203 of evaluating RF 5200 is the step-length to about 200KHz with about 50KHz, provides a series of different RF energy frequencies at about 500KHz in the scope of about 1.5MHz.For example, the first piezoelectric transducer 5220a can be tuned to 500KHz, the second piezoelectric transducer 5220b can be tuned to 600KHz, remaining piezoelectric transducer the like, so that array 5203 can be with the step-length of 100KHz, provide RF energy at about 500KHz to the frequency range of about 1.5MHz, result forms the array 5203 with 11 independent tuning piezoelectric transducers.Thereby array 5203 is configured to produce RF energy in a series of frequencies that can not realize by single piezoelectric transducer.
Can understand from Figure 30, RF receptor antenna 5210 is conductively coupled to band filter 5240, and band filter 5240 couples with linear amplifier 5245, linear amplifier 5245 and level detector 5250 electric couplings, level detector 5250 and comparator 5237 electric couplings.As shown in Figure 29 and 30, evaluate RF 5200 and be applied to patient tissue, RF receptor antenna and or sound measurement equipment 5210 with evaluating RF the diverse location that 5200 positions that are applied to patient tissue separate, be applied to another region of patient tissue.RF receptor antenna is configured to detect from evaluating RF 5200, sees through the RF energy of patient tissue.For example, as shown in Figure 29, be near the crows-feet lateral edge at patient's eye implementing the organizational objective position of processing, the forehead that RF receptor antenna 5210 can be above eyebrow, with the buccal under eyes, be attached on patient's skin.
In the time evaluating RF 5200 and RF receptor antenna 5210 and be applied to patient tissue, system 5010 is configured to make to evaluate RF 5200 by means of in the frequency range of array 5203, stepping ground produces the frequency sweep clapp oscillator 5235 of a series of frequency, with in the time that clapp oscillator 5235 produces suitable step frequency, described suitable step frequency is sent to the multiplexer 5225 of suitable piezoelectric transducer 5220a-5220e, in a series of RF frequencies, grant RF energy to patient tissue.In the time evaluating inswept each frequency of array 5203 of RF 5200, the RF energy that sees through patient that RF receptor antenna 5210 sensings are granted.Be combined with CPU5040, comparator 5237 is identified the array 5203 through evaluating RF 5200, and in a series of RF frequencies of granting to patient, which RF frequency has the maximum transmission with respect to patient.System 5010, by for example display 5030, is recommended the processing RF head of the RF frequency that identification can be provided in multiple processing RF 5202 (5205a-5205e).
Each processing RF 5205a-5205e in multiple processing RF shown in Figure 29 5202 have be tuned to the piezoelectric transducer of the unique frequencies different from the frequency of other processing RF 5205a-5205e.Thereby described multiple processing RF 5202 (5205a-5205e) can be made up of abundant processing RF head, so that stepping ground covers RF frequency range.For example, the processing RF 5205a-5205e in described multiple processing RF 5202 is by tuning separately, thereby compared with other processing RF 5205a-5205e in multiple processing RF 5202, produces RF energy under different frequencies.A processing RF 5205a-5205e in described multiple processing RF 5202 is the step-length to about 200KHz with about 50KHz, provides a series of different RF energy frequencies at about 500KHz in the scope of about 1.5MHz.For example, first processing RF 5205a have be tuned to 500KHz piezoelectric transducer, second processing RF 5205b have be tuned to the piezoelectric transducer 5300 of 600KHz, remaining processing RF head the like, so that described multiple processing RF 5202 (5205a-5205e) can be with the step-length of 100KHz, provide RF energy at about 500KHz to the frequency range of about 1.5MHz, result forms multiple processing RF 5202 with 11 independent tuning processing RF heads.Thereby, can from described multiple processing RF 5202, select coupling as above about described in Figure 29, a processing RF 5205a-5205e of the RF frequency of identifying by array 5203 and comparator 5237.
Once selected a processing RF 5205a-5205e of the RF frequency of coupling identification from multiple processing RF 5202, the processing RF head of selection is just electrically coupled to system 5010, as shown in diagram in Figure 31.For example, about described in Figure 29, utilize array 5203 and comparator 5237 by as above, the frequency of determining 600KHz has the maximum transmission with respect to patient tissue 25, as a result, system 5010, from multiple processing RF 5202, recommends to be tuned to a processing RF 5205b who works under 600KHz.As shown in Figure 31, a processing RF 5205b is conductively coupled to system 5010, and EMG sensor 5215 is conductively coupled to system 5010.A processing RF 5205b and EMG sensor 5215 are all applied to patient tissue 25.
System 5010 is now as shown in signal in Figure 32.Particularly, the processing RF of a selection 5205b comprises the piezoelectric transducer 5300 that is conductively coupled to pulser 5225, and impulse controller 5225 is conductively coupled to pulse amplifier 5230, and pulse amplifier 5230 is conductively coupled to frequency sweep clapp oscillator 5235.A processing RF 205b is conductively coupled to comparator 5237, and comparator 5237 is conductively coupled to CPU5040 and the display 5030 about Figure 29 explanation above.
Can understand from Figure 32, the EMG sensor 5215 with electrode is conductively coupled to band filter 5240, band filter 5240 is conductively coupled to linear amplifier 5245, and linear amplifier 5245 is conductively coupled to level detector 5250, and level detector 5250 is conductively coupled to comparator 5237 again.As shown in Figure 31 and 32, a processing RF 5205b is applied to patient tissue 25, and EMG sensor 5215, at the diverse location separating with the position that a processing RF 5205b is applied to patient tissue, is applied to patient tissue 25.EMG sensor is configured to detect by a treated RF 5205b, grants the electromyogram in the patient tissue 25 of RF power generation of patient tissue.For example, as shown in diagram in Figure 31, be near the crows-feet lateral edge at patient's eye implementing the organizational objective position of processing, the forehead that EMG sensor 5215 can be above eyebrow, with the buccal under eyes, be attached on patient's skin.
In the time that a processing RF 5205b and EMG sensor 5215 are applied to patient tissue, system 5010 be configured to make a processing RF 5205b by the 600KHz RF energy that makes to grant in a series of pulse frequencies that produced by frequency sweep clapp oscillator 5235, the frequency sweep clapp oscillator 5235 of pulsing under a series of frequency to stepping and impulse controller 5225, in a series of pulse frequencies, under the RF frequency (being 600KHz in this example) of identification, grant RF energy to patient tissue.In one embodiment, generator 5235 is configured to make a processing RF 5205b to determine the algorithm of sweep time by permission user, with the step-length that defines in software (in one embodiment, between about 1Hz between 30Hz), on a series of pulse frequencies of about 300Hz, grant the RF energy of the RF frequency (being 600KHz in this example) of identification at about 1Hz to patient.Rule of thumb data can be that the optimum scanning time is established in the regions such as every kind of organization type and/or face, cervical region in data base.For example, the data base who is included in the memorizer of system can be used to, according to the tissue of the care in the interface of input system or region, select in advance sweep time, and in data base, the organization type of every kind of care or region are associated with specific sweep time.
In the time that generator 5235 makes inswept each frequency of a processing RF 5205b, the electromyogram in the consequent patient of EMG sensor 5215 sensing.Be combined with CPU5040, comparator 5237 is identified which pulse frequency in a series of pulse frequencies that generator 5235 and a processing RF 5205b grant to patient has the maximum electromyogram reading in patient.System 5010, by for example display 5030, is recommended by generator 5235, and the processing pulse frequency in multiple processing pulse frequencies that can adopt for a processing RF 5205b is set.For example, EMG sensor is worked together with comparator, determines the pulse frequency of the 20Hz that causes the maximum electromyogram reading in patient.Thereby system 5010 recommends to utilize a processing RF 5205b under the pulse frequency of 20Hz, grant 600KHz RF energy (,, in the time being granted patient tissue, 600KHz RF energy is pressed 20Hz pulsation).Figure 34 graphic extension is granted as (the best) RF frequency 600KHz by identification using in this example, and by the curve chart of the RF energy of (the best) pulse frequency 20Hz pulsation of identification.Figure 35 is and the similar example of the output signal of pulsation shown in Figure 34.Figure 36 is the example of the output signal of modulation.In some embodiment of system, can be by (the best) RF frequency of identification (for example, 600KHz), grant, and by (the best) pulse frequency of identification (for example, 20Hz) pulsation RF energy, so that be similar to described in Figure 35, make RF energy pulse.In certain embodiments, can by with the similarly pulse frequency of identification of the pulse frequency described in Figure 36, be modulated at the RF energy under the RF frequency of identification.
Can understand according to the aforementioned discussion about Figure 29-32, disclose a kind ofly by the RF frequency of transmission more here, and by the pulse frequency that causes the highest electromyogram reading, apply the method for RF energy.For example, can understand from Figure 33, by means of the transducer array 5203 of evaluating RF 5200, in a series of RF frequencies, grant RF energy [square frame 6000] to patient.By means of RF receptor antenna and/or sound measurement equipment 5210, detect the RF energy [square frame 6005] of granting.CPU5040 and comparator 5237 are identified which RF frequency in described a series of RF frequency has maximum transmitance [square frame 6010] with respect to patient.Display 5030 recommend for the further RF energy process to patient the RF frequency [square frame 6015] of identification.From described multiple processing RF 5202, select applicable processing RF the 5205b corresponding with the RF frequency of identifying, and be couple to system 5010[square frame 6020].By EMG sensor 5125, obtain patient's benchmark electromyogram reading [square frame 6022], utilize afterwards a processing RF 5205b who selects in a series of pulse frequencies, grant RF energy [square frame 6025] by the RF frequency of identification to patient.EMG sensor 5215, comparator 5237 and CPU5040 are used to identify the pulse frequency [square frame 6030] that causes the maximum electromyogram reading in patient in a series of pulse frequencies, display 5030 recommend for the further RF energy process to patient the RF frequency [square frame 6035] of identification.A processing RF 5205b who selects is used to grant the RF energy (square frame 6040) under the RF frequency of identification and the pulse frequency of identification to patient subsequently.
Although the system embodiment of discussing about Figure 29-33 is above by the RF frequency of identification and the pulse frequency of identification, apply RF energy to patient tissue, but in certain embodiments, system 5010 can be in the scope of stepping amplitude, rather than in a series of pulse frequencies of stepping, apply the RF frequency of identification.Thereby, once being identified as, specific stepping amplitude causes maximum EMG reading, just can, by the RF frequency of identification and the amplitude of identification, apply RF energy to patient tissue.
By the RF frequency by identifying and the pulse frequency of identification, grant RF energy to patient tissue, RF energy just can be under providing as the pulse frequency of the maximum therapy result with the indication of EMG sensor reading, propagable ultimate range in patient tissue, described EMG sensor reading provides the immediate feedback of the treatment impact of RF energy, and this immediate feedback unlikely utilizes tissue temperature reading, tissue oxygenation reading or other measurement result to obtain.Along with the past of time, and in the processing procedure by means of system 10, patient tissue characteristic can change with respect to being considered to RF frequency best concerning therapeutic effect and/or pulse frequency.Thereby, can again use the method for summarizing in Figure 33, to identify new optimum RF frequency, this need to, from multiple processing RF heads, select new processing RF head.In addition, described new processing RF head and said method can be used for identifying new optimum pulse frequency.System can be used to, by new optimum RF frequency and pulse frequency, grant RF energy to patient tissue subsequently.
The favourable part that applies the RF energy of pulse to patient tissue is that its produces and propagates through patient tissue, thereby the boundary region innervating at the height such as fascia, muscle, tendon or bone discharges the corresponding ripple of its energy.This release in the mechanical energy of boundary region can be excited nerve and vascular system, thereby provides treatment benefit for the tissue of the focus that is generally traditional health & beauty processing.Compared with RF energy under the optimum RF frequency applying continuously, make RF energy pulse also reduce tissue heating by best RF frequency.
Also can be described in Figure 37 and 38, adopt the embodiment of the system of discussing about Fig. 1-36 above, wherein system can adopt the part (, domestic part) using in the part (, clinic part) of clinic with at patient's family for doctor.Particularly, doctor utilizes clinic part diagnosis patient in clinic, determines patient's processing scheme, processes patient, and the preservation deal with data relevant to patient's actual treatment.Domestic part possesses definite processing scheme, and the deal with data that may preserve in addition, and is sent back to patient's family together with patient, thereby can proceed to process at patient's family, and needn't return to clinic.For example, data and process information can download to family part from clinic part.In one embodiment, can be similar to one of any formation clinic, ground part of the embodiment of said system, can form similarly domestic part, but structure be more portable, the possibility of result has less function, and can set up data link with clinic part.
From Figure 37-38, in one embodiment, domestic part 400 can data link 420 be connected with clinic part 410.Data link 420 can comprise the connection that can upload the data relevant to the operation of the processing of carrying out in domestic part 400 and/or result between domestic part 400 and clinic part 410.Data link 420 can comprise any device for connecting readable server, document storage system or data base of domestic part 400 and clinic part 410 or clinic part 410.For example, as shown in Figure 37, data link can comprise network and connect 430, such as Ethernet or Wi-Fi connect, honeycomb connects, or any other network connects, can directly or pass through intermedium, such as by the Internet or any other network, be connected to clinic part 410.Data link 420 can be uploaded to clinic part for analyzing operation and/or result data subsequently.
In each embodiment, data link 420 can comprise the I/O port that can communicate by letter with intermediate equipment 440, and intermediate equipment 440 is communicated by letter with clinic part 410.For example, as shown in diagram in Figure 38, intermediate equipment 440 can comprise can physically be transported to clinic part 410, or is connected to and the portable data storage device of the equipment of clinic part 410 telecommunications.This can comprise and be connected to usb driver, such as conventional USB flash drive, external fixed disk drive or other allow universal serial bus (USB) port of the storage device of USB.Usb driver can be connected to domestic part 400, can receive the data relevant to the operation of the processing of carrying out in domestic part 400 and/or result from data link 420.Usb driver can physically be taken to the position of clinic part 410 subsequently, and data are uploaded to clinic part 410 through data link 420.In each other embodiment, usb driver can be connected to the equipment of home computer or any permission the Internet, and data can be uploaded to clinic part 410.
In each embodiment, data link 420 can be configured to automatically operation and/or result data be sent to clinic part.Can, in the time that domestic part completes processing, by the interval of setting, answer the request of clinic part, or according to result, carry out described transmission.For example, data link can be at weekend weekly, upload operation and/or result data automatically.In another example, when result is in the time exceeding threshold value aspect certain, data link is upload operation and/or result data automatically.This can comprise one of many relevant comparisons.For example, except following the tracks of user's result, domestic part also can record average result and standard deviation.If a period of time user's result is unsatisfactory on average, may need to revise so user's processing scheme, thereby data link can, automatically about poor result meansigma methods, send to clinic part operation and/or result data.Similarly, if user finds the exceptional value result outside one group of average deviation who sets with respect to meansigma methods, result can be uploaded so.The communication link connecting at non-network, domestic system can point out user to connect intermediate equipment, thereby or data upload to clinic part, or intermediate equipment is brought to their doctor.
Only for example understand principle of the present invention above.In view of the instruction here, to one skilled in the art, will be apparent to the various modifications and changes of described embodiment.Although thereby should be understood that those skilled in the art can design here not clearly demonstration or explanation, imbody principle of the present invention, thereby numerous systems, layout and method within the spirit and scope of the present invention.According to explanation and accompanying drawing above, those of ordinary skill in the art understands, show and the specific embodiment of explanation just for illustrating, rather than restriction to scope of the present invention.Mentioning of details to specific embodiment is not intended to limit the scope of the invention.

Claims (45)

  1. For following one of at least: improve skin appearance, reduce wrinkle of skin, improve the colour of skin or improve a function of organization, the system of patient's tissue is processed on beauty treatment ground, and described system comprises:
    Display, described display comprises the screen of LCD or other type, is configured to show the information relevant to the processing of tissue;
    With the input equipment of display telecommunication, comprise the input mechanism of keyboard, touch screen or other type, described input equipment is configured to receive the information relevant to the processing of tissue;
    CPU with input equipment telecommunication;
    With the memorizer of CPU telecommunication, comprise the processing parameter relevant to the processing of tissue;
    The one RF head, a described RF head can with CPU telecommunication, and comprise piezoelectric transducer array, described array is configured to produce RF in a series of frequencies that can not occur by single piezoelectric transducer;
    RF receptor antenna, described RF receptor antenna can with CPU telecommunication, and be configured to detect from a RF head see through tissue RF energy;
    Multiple the 2nd RF heads, each the 2nd RF head have be tuned to the piezoelectric transducer of unique frequencies, and can with CPU telecommunication; With
    EMG sensor, described EMG sensor can with CPU telecommunication, and be configured to detect tissue in electromyogram;
    Wherein when a RF head and RF receptor antenna applications in the time organizing, described system is configured to: a) make a RF head grant RF energy to tissue in a series of RF frequencies; B) make RF receptor antenna sensing see through the RF energy of granting of tissue; C) which the RF frequency in described a series of RF frequencies that identification is granted to tissue has the maximum transmission with respect to described tissue; And d) recommend the 2nd RF head of the RF frequency that identification can be provided in described multiple RF head,
    Wherein when recommend the 2nd RF head and EMG sensor application in the time organizing, described system is configured to: a) make recommend the 2nd RF head in a series of pulse frequencies with identification RF frequency grant RF energy to tissue; B) make EMG sensor detect the electromyogram in the tissue occurring due to the RF energy of granting to described tissue in described a series of pulse frequencies; C) which pulse frequency in a series of pulse frequencies that identification is granted to described tissue causes the highest electromyogram reading in tissue; And d) under the pulse frequency of identification, with the RF frequency of identifying, with the 2nd RF head processing tissue of recommending.
  2. 2. according to system claimed in claim 1, wherein said array is configured in the scope of about 1.5MHz, produce RF at about 500KHz.
  3. 3. according to system claimed in claim 2, wherein said array is configured to the step-length to about 200KHz with about 50KHz, produces RF at about 500KHz in the scope of about 1.5MHz.
  4. 4. according to system claimed in claim 1, the piezoelectric transducer of wherein said array comprises the first piezoelectric transducer, the second piezoelectric transducer and the 3rd piezoelectric transducer, and wherein each in first, second, and third piezoelectric transducer produces RF under different frequency.
  5. 5. according to system claimed in claim 1, wherein said multiple the 2nd RF heads comprise each each the 2nd RF head that is tuned to the unique frequencies differing from one another, and each unique frequencies arrives between about 1.5MHz at about 500KHz.
  6. 6. according to system claimed in claim 1, wherein, in the time that the 2nd RF head that makes to recommend is granted the RF energy of RF frequency of identification to patient in a series of pulse frequencies, the scope of pulse frequency arrives between about 300Hz at about 1Hz.
  7. 7. according to system claimed in claim 6, wherein make the 2nd RF head of recommending with the scheme by means of preserving, for the step-length of organization type programme-control and optimization, within the scope of the pulse frequency of about 1.5MHz, grant RF energy with the RF frequency of identifying to patient at about 500KHz.
  8. 8. according to system claimed in claim 1, also comprise can with CPU telecommunication, and comprising the pusher head that is configured to promote to organized delivery machinery the Electromagnetic Drive anvil of energy, described pusher head also comprises the transducer sensor for detection of the ripple producing in tissue by grant machinery promotion energy to tissue.
  9. 9. according to system claimed in claim 1, also comprise can with CPU telecommunication, and be configured to implement electricity irritation and read the electrode in response to the electrical characteristics of the tissue of described electricity irritation to tissue.
  10. 10. according to system claimed in claim 9, wherein said electrode is supported in pusher head.
  11. 11. according to system claimed in claim 1, also comprise can with CPU telecommunication, and be configured to take the camera of image of tissue, described system is configured to the image of comparison Help of System at the tissue of taking before and after treatment.
  12. 12. 1 kinds for following one of at least: improve skin appearance, reduce wrinkle of skin, improve the colour of skin or improve function of organization, the method for patient's tissue is processed on beauty treatment ground, and described method comprises:
    In a series of RF frequencies, grant RF energy to tissue;
    The RF energy that detection is granted;
    Which frequency of identifying in described a series of RF frequency has the maximum transmission with respect to described tissue;
    Recommend the RF frequency of identification, in to the further RF energy process of tissue;
    In a series of pulse frequencies, grant the RF energy of the RF frequency of identification to tissue;
    Which pulse frequency of identifying in described a series of pulse frequency causes the highest electromyogram reading in tissue;
    Recommend the pulse frequency of identification, in to the further RF energy process of tissue; With
    Grant RF energy with the RF frequency of identification and the pulse frequency of identification to tissue.
  13. 13. in accordance with the method for claim 12, wherein in a series of frequencies, granting RF energy to tissue completes by RF head, described RF head has each piezoelectric transducer array that is tuned to independent unique frequencies, and described array is configured in the scope of about 1.5MHz, produce RF at about 500KHz.
  14. 14. in accordance with the method for claim 12, wherein in a series of frequencies to tissue grant RF energy be with about 50KHz to the step-length of about 200KHz, at about 500KHz to carrying out in the scope of about 1.5MHz.
  15. 15. in accordance with the method for claim 12, wherein recommends the RF frequency of identification, for the further RF energy process of organizing is comprised identify the specific RF head that is configured to the RF frequency that recommendation is provided from described multiple RF heads.
  16. 16. in accordance with the method for claim 12, and the RF energy of wherein granting the RF frequency of identification to tissue in a series of pulse frequencies is in the scheme by preserving, carries out on the pulse frequency scope of about 300Hz for the approximately 1Hz of organization type programme-control and optimization.
  17. 17. in accordance with the method for claim 12, and the RF energy of wherein granting the RF frequency of identification to patient in a series of pulse frequencies is to carry out on the pulse frequency scope of about 30Hz at about 1Hz.
  18. Process the system of patient's facial tissue for 18. 1 kinds, described system comprises:
    Display and input equipment;
    At least one camera;
    Be selected from least one instrument of facial stimulator instrument and sonic oscillator,
    Described facial stimulator instrument is configured to:
    One or morely try hard to recommend the moving electricity irritation of knocking sex massage and/or comprising one or more electric pulses and put on facial tissue comprising; With
    Measure facial tissue's or response to electric pulse of applying one of one of moving to trying hard to recommend of applying, to assess the situation of facial tissue,
    Described sonic oscillator is configured to the sound that comprises one or more pings to stimulate the facial tissue that puts on patient;
    At least one processor;
    Data base, described data base comprises:
    The processing scheme of at least one preservation; With
    The patient data of preserving, comprising:
    The face-image of at least one preservation; With
    At least one is specific to patient's processing scheme; With
    At least one is measured associated instrument control and sets;
    The face of being carried out by processor is processed application, so that:
    Utilize described at least one camera, obtain at least one face-image;
    According to described at least one face-image, assess the symmetry of one or more face feature points;
    Select processing scheme, described processing scheme comprises one or more instrument control settings and pending one or more face feature points;
    Utilize figure to show processing from described one or more face feature points to the operator of system that instruct, by operating at least one instrument, according to the processing scheme of one or more selections, realize one or more processing to facial tissue, wherein said one or more processing are selected from:
    Neural processing, described neural processing comprises the one or more face feature points relevant to face nerve one or more knocked to sex massage and/or one or more electricity irritation;
    Muscle treatment, described muscle treatment comprises knocks sex massage and/or one or more electricity irritation to one or more face feature points relevant to facial muscle one or more; With
    Circular treatment, described circular treatment comprises to stimulate one or more sound of one or more face feature points relevant to facial systemic vascular.
  19. 19. according to the system described in claim 18, and wherein input equipment is touch panel device.
  20. 20. according to the system described in claim 18, and wherein said at least one face-image is 2D image or 3D rendering.
  21. 21. according to the system described in claim 20, the face-image of wherein said at least one preservation comprises at least one face-image, one or more face feature points in face-image, and utilize face to process the unsymmetry of each face feature point of application assessment.
  22. 22. according to the system described in claim 21, the face-image of wherein said at least one preservation is included in to facial tissue and implements the first facial image obtaining before described one or more processing, and is implementing the second face-image obtaining after described one or more processing to facial tissue.
  23. 23. according to the system described in claim 18, and wherein the processing scheme of at least one preservation comprises at least one entry, each diagnosis that comprises facial tissue's obstacle and the processing scheme relevant to described diagnosis in described at least one entry.
  24. 24. according to the system described in claim 18, wherein utilizes one of the following to select processing scheme:
    Select one of processing scheme of preserving;
    Select specific to one of processing scheme of patient;
    The tissue disorder identifying according to the symmetric assessment of the one or more face feature points according to face-image, selects processing scheme; With
    By input equipment, manually input processing scheme.
  25. 25. according to the system described in claim 18, its Instrumental control set comprise following one of at least:
    From described one or more frequencies of trying hard to recommend moving generation, described one or more try hard to recommend the each peak force of disorder of internal organs and knock persistent period of sex massage, select knock sex massage control parameter;
    The electricity irritation control parameter of selecting in the persistent period of each frequency and electricity irritation in each peak point current or voltage, described one or more electric pulses in each waveform, described one or more electric pulses from the frequency of the generation of described one or more electric pulses, described one or more electric pulses; With
    The sound of selecting in the persistent period that in each type of waveform, described one or more pings, in each frequency, described one or more pings, the frequency harmony of the generation of each amplitude, ping stimulates from described one or more pings stimulates controls parameter.
  26. 26. according to the system described in claim 25, and wherein said one or more frequencies of trying hard to recommend moving generation are that about 0.1Hz is to about 12Hz.
  27. 27. according to the system described in claim 25, and the frequency of the generation of wherein said one or more electric pulses is that about 0.1Hz is to about 150Hz.
  28. 28. according to the system described in claim 25, and in wherein said one or more electric pulses, each waveform is selected from high-voltage one-phase, high-pressure two-phase, Russian symmetry is biphase, square wave is single-phase, square wave is biphase and their combination in any.
  29. 29. according to the system described in claim 25, and the frequency of the generation of wherein said one or more pings is that about 1Hz is to about 300Hz.
  30. 30. according to the system described in claim 25, and in wherein said one or more pings, each frequency is that about 500kHz is to about 1.5MHz.
  31. 31. according to the system described in claim 18, wherein for instruct to the operator of system described one or more face feature points processing figure show comprise:
    One of overlapping face-image that has one or more symbols, face feature point of each symbology;
    The list that instrument control is set;
    At least one control knob, the selection of the control knob that wherein figure shows realizes a kind of processing capacity.
  32. 32. according to the system described in claim 31, the indication of the degree of asymmetry that wherein said one or more symbols comprise the face feature point of selecting from color, chart and numerical value coverage diagram.
  33. 33. according to the system described in claim 31, and the processing capacity of one of them control knob is selected from: start face feature point processing, stop processing, restart to process, advance to next face feature point, editor's instrument control and one of set and exit figure and show.
  34. 34. according to the system described in claim 18, and the realization of wherein said one or more processing also comprises:
    Described at least one instrument of operation, to measure the response of facial tissue;
    Analyze the response of facial tissue, to estimate the situation of facial tissue;
    According to the situation of the facial tissue estimating, adjust the one or more settings in instrument control setting.
  35. 35. according to the system described in claim 34, and wherein the response of facial tissue is selected from:
    Be selected from area under peak amplitude, time to peak, rise time, fall time, frequency and ripple to the waveform of trying hard to recommend moving facial tissue's response applying; With
    To the electric skin response of the electric pulse applying.
  36. 36. according to the system described in claim 35, wherein carries out the adjustment of instrument control setting in one or more discontinuous time, and the described time is selected from: before implementing described one or more processing, and the time of selecting the operator by system.
  37. 37. according to the system described in claim 35, wherein, during implementing described one or more processing, carries out the adjustment of instrument control setting basic continous.
  38. Process the method for patient's facial tissue for 38. 1 kinds, described method comprises:
    Utilize at least one camera, obtain at least one face-image;
    According to described at least one face-image, assess the symmetry of one or more face feature points;
    Select processing scheme, described processing scheme comprises one or more instrument control settings and pending one or more face feature points;
    Utilize figure to show, instruct the processing of described one or more face feature points to operator, be selected from least one instrument of facial stimulator instrument and sonic oscillator by operation, according to the processing scheme of one or more selections, facial tissue is implemented to one or more and process, wherein said one or more processing are selected from:
    Neural processing, described neural processing comprises the one or more face feature points relevant to face nerve one or more knocked to sex massage and/or one or more electricity irritation;
    Muscle treatment, described muscle treatment comprises knocks sex massage and/or one or more electricity irritation to one or more face feature points relevant to facial muscle one or more; With
    Circular treatment, described circular treatment comprises to stimulate one or more sound of one or more face feature points relevant to facial systemic vascular.
  39. Process the system of patient's facial tissue for 39. 1 kinds, described system comprises:
    Memorizer, described memorizer comprises:
    The processing scheme of at least one preservation; With
    The patient data of preserving, comprising:
    The face-image of at least one preservation; With
    At least one is specific to patient's processing scheme; With
    At least one is measured associated instrument control and sets;
    At least one camera;
    Be selected from least one instrument of facial stimulator instrument and sonic oscillator,
    Described facial stimulator instrument is configured to:
    One or morely try hard to recommend the moving electricity irritation of knocking sex massage and/or comprising one or more electric pulses and put on facial tissue comprising; With
    Measure facial tissue's or response to electric pulse of applying one of one of moving to trying hard to recommend of applying, to assess the situation of facial tissue,
    Described sonic oscillator is configured to the sound that comprises one or more pings to stimulate the facial tissue that puts on patient;
    Multiple modules of moving at least one processor, described module comprises:
    Processing scheme selection module, described processing scheme selection module according to following one of at least, select one or more processing schemes: the patient data of preservation, the analysis of the situation of facial tissue, one or more schemes in the processing scheme of preserving, preserve specific to one or more schemes in patient's processing scheme, and operator's processing scheme of specifying;
    Neural processing module, the described neural processing module pair one or more face feature points relevant to face nerve, implement and comprise one or more nerve processing of knocking sex massage and/or one or more electricity irritation;
    Muscle treatment module, the described muscle treatment module pair one or more face feature points relevant to facial muscle, implement and comprise one or more muscle treatment of knocking sex massage and/or one or more electricity irritation; With
    Circular treatment module, the described circular treatment module pair one or more face feature points relevant to facial systemic vascular, implement and comprise the circular treatment that one or more sound stimulates.
  40. 40. according to the system described in claim 39, and wherein processing scheme selection module also comprises:
    Preserve processing scheme module, comprising:
    Processing scheme selection module, for showing the menu of processing scheme of preservation, and receives the selection of the processing scheme of the preservation in the menu to showing;
    Instrument control setting module, sets for the instrument control that the control of described at least one instrument setting is initialized to the processing scheme of the preservation of selection; With
    Processing selecting module, for initializing the execution of the processing module of being specified by the processing scheme of the preservation of selecting;
    The symmetrical evaluation module of face, comprising:
    Image collection module, comprises for utilizing camera to obtain the camera interface module of face-image;
    Image analysis module, for identifying one or more face feature points, and assesses the symmetry of face feature point, and this module comprises:
    Directiveness image analysis module, for showing face-image, utilizes the operator of a GUI prompt system to identify one or more face feature points, and the symmetry of the face feature point of analysis operation person's identification; With
    Automated image analysis module, for the symmetry of the face feature point that the one or more face feature points of identification and analysis are identified automatically;
    Trigger point analysis module, utilize facial stimulator instrument for prompting operation person, obtain the other measurement result of facial tissue at one or more face feature points, wherein said other measurement result is selected from: to the moving facial tissue's response of trying hard to recommend applying, and the facial tissue of the electric pulse applying is responded;
    Processing selecting module, for according to following one or more, selects one or more processing schemes: the other measurement result of the symmetry of one or more face feature points of analysis and facial tissue; With
    Face-image memory module, for being kept at face-image the face-image of one or more preservations of the patient data of preservation.
  41. 41. according to the system described in claim 40, and wherein guiding image analysis module also comprises:
    Reference axis designated module, for determining axis of symmetry or the plane of symmetry of one or more face-images;
    Face-image interface module, for showing a GUI, and receives operator's input by a GUI;
    Eyes comparison module, for assessment of the left/right symmetry of the face feature point relevant with right eye to patient's left eye;
    Ear comparison module, for assessment of the left/right symmetry of the face feature point relevant with auris dextra to patient's left ear;
    Cheek comparison module, for assessment of the left/right symmetry of the face feature point relevant with right cheek to patient's left cheek;
    Nose evaluation module, for assessment of the left/right symmetry of the face feature point relevant to patient's nose;
    Mouth evaluation module, for assessment of the left/right symmetry of the face feature point relevant to patient's mouth; With
    Jawline evaluation module, for assessment of the left/right symmetry of the face feature point relevant to patient's jawline.
  42. 42. according to the system described in claim 40, and wherein trigger point analysis module also comprises:
    Instrument interface module, for utilizing the 2nd GUI to show, instructs the other measurement result that obtains facial tissue's response to operator;
    Signal acquisition module, for receiving other measurement result;
    Signal analyse block, for analyzing other measurement result, and the situation of estimation facial tissue; With
    Instrument control setting module, sets for the instrument control of the use of determining selective processing scheme.
  43. 43. according to the system described in claim 39, and wherein neural processing module also comprises:
    Face nerve image display, instructs neural the 3rd GUI processing for generating to operator;
    Instrument configuration module, sets for receiving and realize instrument control;
    Trigger point frequency analysis module, for obtaining and analyze the other measurement result of facial tissue, to estimate the situation of nervous tissue, and according to the situation of the nervous tissue estimating, adjusts instrument control and sets; With
    Instrument interface module, for through the 3rd GUI, receives operator's input of operating instrument, to realize neural processing.
  44. 44. according to the system described in claim 39, and wherein muscle treatment module also comprises:
    Facial muscle image display, for generating the 4th GUI that instructs muscle treatment to operator;
    Instrument configuration module, sets for receiving and realize instrument control;
    Trigger point frequency analysis module, for obtaining and analyze the other measurement result of facial tissue, to estimate the situation of muscular tissue, and according to the situation of the muscular tissue of estimating, adjusts instrument control and sets; With
    Instrument interface module, for through the 4th GUI, receives operator's input of operating instrument, to implement muscle treatment.
  45. 45. according to the system described in claim 39, and wherein circular treatment module also comprises:
    Face systemic vascular image display, for generating the 5th GUI that instructs circular treatment to operator;
    Instrument configuration module, sets for receiving and realize instrument control;
    Trigger point frequency analysis module, for obtaining and analyze the other measurement result of facial tissue, to estimate the situation of loop organization, and according to the situation of the loop organization of estimating, adjusts instrument control and sets; With
    Instrument interface module, for through the 5th GUI, receives operator's input of operating instrument, to implement circular treatment.
CN201280052027.4A 2011-09-15 2012-09-14 System and method for treating skin and underlying tissues for improved health, function and/or appearance Pending CN103917272A (en)

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
US201161535225P 2011-09-15 2011-09-15
US61/535,225 2011-09-15
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EP2755721A4 (en) 2015-05-06

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