CN1642489A - 将射频用于皮肤治疗的方法和系统 - Google Patents

将射频用于皮肤治疗的方法和系统 Download PDF

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CN1642489A
CN1642489A CNA038070553A CN03807055A CN1642489A CN 1642489 A CN1642489 A CN 1642489A CN A038070553 A CNA038070553 A CN A038070553A CN 03807055 A CN03807055 A CN 03807055A CN 1642489 A CN1642489 A CN 1642489A
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迈克尔·克赖恩德
阿米尔·瓦尔德曼
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1402—Probes for open surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053—Mechanical features of the instrument of device
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    • A—HUMAN NECESSITIES
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    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
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Abstract

本发明公开了一种用于皮肤治疗的方法和系统。所述方法包括，改变皮肤形状使之突出于周围皮肤，和对该皮肤施用射频能量。所述系统包括皮肤塑形器，其能够改变皮肤区域的形状，使之突出于周围皮肤。所述系统还包括一个或多个射频电极，其设计用于将射频能量施用于皮肤。本发明可用于治疗皮下脂肪组织和软骨的疾患。

Description

将射频用于皮肤治疗的方法和系统
技术领域
本发明涉及用于皮肤治疗的方法和设备。
背景技术
皮肤组织包括外部的表皮层和下方的真皮层，真皮层与皮下脂肪组织层接触。长久以来，已知按摩皮肤能够改善皮下脂肪组织的血液循环。各种类型的按摩设备已被用于治疗脂肪组织疾患。专利号为5,961,475的美国专利公开了一种按摩设备，其中，在按摩的同时对皮肤施以负压。所述联合治疗措施能够改善皮下脂肪组织的血液循环，并破坏组织中脂肪细胞间的连接。
Altshuler等的专利号为6,273,884的美国专利公开了同时对皮肤施以光能和负压的方法，以治疗皮肤疾患。
发明内容
本发明基于以下发现：加热皮肤能够增加皮肤的弹性和血液中氧从血红蛋白上的解离。增加的皮肤弹性允许更为剧烈的皮肤按摩，并且从血红蛋白上解离的氧可引起脂肪组织的破坏。为了获得所述加热皮下脂肪组织的有益效果，有必要在不损伤皮肤的前提下，将热量从皮肤表面传导至皮下约1cm深的皮肤组织处。
本发明也基于以下发现：改变皮肤区域的形状，使之突出于周围皮肤，能够增强向皮下脂肪组织和软骨的热传导。
根据本发明，改变需要治疗的皮肤区域的形状，使之突出于周围皮肤，并使用一个或多个射频(RF)电极将射频能量施用于所述突出的皮肤区域。在优选的实施方案中，通过在皮肤区域上施以负压来改变该区域皮肤的形状。在皮肤上施以负压也加速了该处皮肤的血液循环。可湿润皮肤表面，以改善与电极的接合。
在治疗期间，射频电极可选择性地用于监测皮肤阻抗。由于皮肤温度的增加会引起皮肤阻抗的改变，因此通过检测皮肤阻抗可以了解皮肤中的温度分布情况，从而可通过改变治疗参数(压力或射频能量的强度)使治疗得到最优化。
因而，本发明的第一个方面提供了实施所述皮肤治疗的方法，该方法用于治疗一个或多个皮肤区域，该方法包括：
(a)改变皮肤形状，使待治疗区域的皮肤突出于周围皮肤；
(b)对所述皮肤区域施以射频能量。
本发明的另一个方面提供了用于皮肤治疗的系统，该系统包括：
(a)皮肤塑形器，其能够改变皮肤形状，使待治疗区域的皮肤突出于周围皮肤；和
(b)一个或多个射频电极，其将射频能量施用于皮肤。
附图说明
为了理解本发明和观察其如何在实践中应用，下文将结合下列附图仅仅以非限制性实施例的方式描述本发明的一个优选的实施方案：
图1显示了依据本发明的用于皮肤治疗的一个系统；
图2显示了依据本发明的、将负压和射频能量施用于皮肤的一套设备；和
图3显示了使用图2所述的设备对皮肤施以形状改变。
具体实施方式
本发明的、将负压和射频能量施用于皮肤的设备已经显示在图1和图2中。将设备701施用于患者的待治疗的皮肤区域703，该设备将在下文中详细描述。设备701通过缆线702连接于控制单元704。通过从泵706沿缆线702伸入内腔106的管道118，泵706抽去所述设备的内腔106中的空气。控制单元704包括一个电源705。通过导线115和116，电源705连接于设备701中的一对射频电极201和202，所述导线115和116穿过缆线702中的管道118。控制单元704具有一个输入装置如小键盘707，使用者通过该小键盘可以输入治疗参数的选择值，例如射频能量的功率或负压的强度。控制单元704选择性地具有处理器708，其用于监测和控制该设备的各种功能。例如，处理器708可以监测射频电流和电压，也可以计算治疗过程中的皮肤温度。
亦如图2所显示的，设备701具有一个钟型的盖105，其围成了内腔106。由于内腔106开口于底部，因此当施用于皮肤区域108时，内腔106与皮肤接触。与内腔106接触的皮肤区域的面积优选为1-50cm2(平方厘米)。皮肤组织包括表皮层130和真皮层132，后者位于皮下脂肪组织层133之上。当施用于皮肤表面时，环绕盖边缘的密封垫107封闭了皮肤表面的区域108。置于盖105内部的射频电极201和202用于将射频能量施用于待治疗的皮肤区域。
亦如图2所显示的，管道118的尺寸恰好适合于盖105顶部的接头203。导线115和116分别连接于端子120和121。通过位于盖105内的导线125和126，端子120和121分别电连接于电极201和202。热电冷却器140和141用于冷却电极201和202，以防止烫伤皮肤。
开动泵706可以部分抽空所述设备的内腔106，从而在设备701内部产生负压。图3显示所述设备的内腔106部分抽空后的情况，与所述设备内腔接触的皮肤区域108已经改变形状，突入到所述设备的内腔。经过对皮肤的所述处理，皮下脂肪组织133与射频电极201和202的距离更为接近。然后射频能量通过电极施用于皮肤。在射频治疗过程中，可将皮肤按摩器(未示出)与所述设备联合使用，以按摩皮肤。
将本发明所述系统用于治疗面积约为10cm2的皮肤区域时，可使用下列示例性的参数值：
射频频率：0.3-10MHz(兆赫兹)。
平均输出功率：约1W(瓦)-约300W。
内腔106中的气压：0.2-1个大气压。

Claims (20)

1、一种实施皮肤治疗的方法，该方法用于治疗一个或多个皮肤区域，该方法包括：
(a)改变皮肤形状，使该皮肤区域突出于周围皮肤；
(b)将射频能量施用于皮肤。
2、如权利要求1所述的方法，该方法还包括按摩皮肤。
3、如权利要求1所述的方法，该方法还包括冷却皮肤。
4、如权利要求1所述的方法，其中，改变皮肤形状包括将负压施用于皮肤。
5、如权利要求1所述的方法，其中，治疗包括对皮下脂肪组织或软骨的治疗。
6、如权利要求1所述的方法，其中，射频能量的频率在0.3-10兆赫兹之间。
7、如权利要求1所述的方法，其中，射频能量的功率在1-300瓦之间。
8、如权利要求4所述的方法，其中，负压为0.2-1个大气压。
9、一种用于皮肤治疗的系统，该系统包括：
(a)一种皮肤塑形器，其改变皮肤形状，使该皮肤区域突出于周围皮肤；和
(b)一个或多个射频电极，其将射频能量施用于皮肤。
10、如权利要求9所述的系统，其中，通过将负压施用于皮肤来改变皮肤形状。
11、如权利要求10所述的系统，其中，皮肤塑形器包括：
(a)一种设计施用于皮肤的设备，其具有形成非完全封闭空间的盖，在施用于皮肤时所述空间完全封闭；
(b)一个泵，当施用于皮肤时，该泵抽去所述空间中的空气。
12、如权利要求9所述的系统，该系统还包括一个用于按摩皮肤的按摩器。
13、如权利要求9所述的系统，该系统还包括一个用于冷却皮肤的冷却器。
14、如权利要求9所述的系统，该系统还包括一个阻抗计，其用于测量一对或多对射频电极之间的阻抗。
15、如权利要求9所述的系统，该系统还包括一个处理器，其设计用于根据一个或多个阻抗测量结果，确定皮肤中的热量分布情况。
16、如权利要求9所述的系统，其中，所述处理器还设计用于根据一个或多个阻抗测量结果，确定射频能量的一个或多个参数。
17、如权利要求16所述的系统，其中，所述的一个或多个参数选自于射频能量的脉冲持续时间、射频能量的频率、射频能量的功率、和冷却皮肤与施用射频能量之间的延迟时间。
18、如权利要求9所述的系统，其中，射频能量的频率在0.3-10兆赫兹之间。
19、如权利要求9所述的系统，其中，射频能量的功率在1-300瓦之间。
20、如权利要求10所述的系统，其中，负压在0.2-1个大气压之间。
CNB038070553A 2002-03-26 2003-03-13 将射频用于皮肤治疗的系统 Expired - Fee Related CN100400009C (zh)

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EP1489984A1 (en) 2004-12-29
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CN100400009C (zh) 2008-07-09
US20030187488A1 (en) 2003-10-02

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