HK1237292B - Apparatus for treating blood vessels in skin - Google Patents

Apparatus for treating blood vessels in skin Download PDF

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HK1237292B
HK1237292B HK17111160.2A HK17111160A HK1237292B HK 1237292 B HK1237292 B HK 1237292B HK 17111160 A HK17111160 A HK 17111160A HK 1237292 B HK1237292 B HK 1237292B
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blood vessels
skin
electrode
electrical signal
electrodes
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HK1237292A1 (en
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罗琮柱
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维奥尔株式会社
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Description

皮肤内血管的治疗装置Device for treating blood vessels in the skin

技术领域Technical Field

本发明涉及利用电信号来治疗与皮肤及皮肤附属器官相关的血管的装置,更详细地涉及如下的皮肤内血管的治疗装置,即,通过将电极插入皮肤内来将高频、无线电频等电信号传达至皮肤内,比起皮肤组织,使电信号对血管的热反应更加集中,进而治疗皮肤及皮肤附属器官相关的血管。The present invention relates to a device for treating blood vessels associated with the skin and skin appendages using electrical signals, and more specifically to a device for treating blood vessels within the skin, wherein high-frequency, radio-frequency, or other electrical signals are transmitted into the skin by inserting electrodes into the skin, so that the thermal reaction of the electrical signals to the blood vessels is more concentrated than that to the skin tissue, thereby treating the blood vessels associated with the skin and skin appendages.

背景技术Background Art

痣、血管痣、严重色素沉淀、低色素症、玫瑰痤疮、潮红、红斑或微血管扩张等在发生之前不会明确地被发现,其原因被推定为晒太阳、怀孕、药物、体内荷尔蒙变化、遗传因素等。Moles, vascular nevi, severe pigmentation, hypopigmentation, rosacea, flushing, erythema or telangiectasia may not be clearly detected before they occur, and their causes are presumed to be sun exposure, pregnancy, medication, hormonal changes in the body, genetic factors, etc.

与过去不同,治疗脱发(hair loss)、除毛(removal of hair)、皮脂分泌过多、多汗症、狐臭等症状的人口有急速增加的趋势,而现今的治疗装置的治疗效果有限,因此为了获得更好的治疗效果,重视起研究开发改良的治疗装置。Unlike in the past, the number of people seeking treatment for conditions such as hair loss, hair removal, excessive sebum secretion, hyperhidrosis, and body odor is rapidly increasing. However, the effectiveness of current treatment devices is limited. Therefore, in order to achieve better treatment results, research and development of improved treatment devices is becoming increasingly important.

另一方面,现有的皮肤治疗法包括利用激光的治疗法、利用脉冲光(IPL)等多波长光线的治疗法等的利用光线的治疗方法,针对分布于皮肤深处的上述症状的原因血管,如上所述的治疗法不仅无法保障其治疗效果,更有会发生过度热损伤等副作用的技术性障碍。On the other hand, existing skin treatments, including those using lasers and those using multi-wavelength light such as pulsed light (IPL), are not only unable to guarantee therapeutic effects on the blood vessels that are the cause of the above symptoms and are located deep within the skin, but also face technical obstacles such as side effects such as excessive heat damage.

具体而言,因采用现有治疗法之一的脉冲光(intensive pulsed light,简称IPL)而造成烧烫伤的情况时有发生,图1则可以看到激光治疗后的发炎后色素沉淀(postinflammatory hyperpigmentation,简称PIH)的状态。Specifically, burns and scalds caused by intensive pulsed light (IPL), one of the existing treatments, often occur. Figure 1 shows the state of postinflammatory hyperpigmentation (PIH) after laser treatment.

发明内容Summary of the Invention

技术问题Technical issues

因此,本发明的目的为提供一种生成对皮肤内血管起作用的电信号的治疗装置,用于治疗痣、血管痣、色素沉淀、玫瑰痤疮、潮红或微血管扩张等现象,可以针对导致痣、血管痣、色素沉淀、玫瑰痤疮、潮红或微血管扩张等的原因或恶化因素的真皮或表皮的血管,施加适当的热损伤,不仅可以使原因血管的非正常性过度增生恢复正常、诱导原因血管的血管细胞的吞噬作用(phagocytosis)或细胞凋亡(apoptosis),进而提升治疗效果,可以降低现有的治疗法中的对血管过度地施加热损伤而造成的副作用、降低去除的血管的再形成所造成的痣、血管痣、色素沉淀、玫瑰痤疮、潮红或微血管扩张等的再发生率。Therefore, an object of the present invention is to provide a therapeutic device that generates electrical signals that act on blood vessels in the skin, for use in treating moles, vascular nevi, pigmentation, rosacea, flushing, or microvascular dilation. Appropriate thermal damage can be applied to the blood vessels in the dermis or epidermis that are the cause or exacerbating factors of moles, vascular nevi, pigmentation, rosacea, flushing, or microvascular dilation. This can not only restore the abnormal excessive proliferation of the causal blood vessels to normal and induce phagocytosis or apoptosis of the vascular cells of the causal blood vessels, thereby improving the therapeutic effect, but can also reduce the side effects caused by excessive thermal damage to the blood vessels in existing treatment methods and reduce the recurrence rate of moles, vascular nevi, pigmentation, rosacea, flushing, or microvascular dilation caused by the reformation of removed blood vessels.

解决问题的手段Means of solving the problem

为了实现上述目的,本发明的皮肤内血管的治疗装置包括:多个电极,插入于手术对象的皮肤内,用于对上述皮肤内血管施加电信号;电信号发生部,与上述多个电极电连接;以及电源供给部,用于对上述电信号发生部供给电源。In order to achieve the above-mentioned purpose, the treatment device for blood vessels in the skin of the present invention includes: a plurality of electrodes inserted into the skin of the surgical object, for applying electrical signals to the above-mentioned blood vessels in the skin; an electrical signal generating unit, electrically connected to the above-mentioned plurality of electrodes; and a power supply unit, for supplying power to the above-mentioned electrical signal generating unit.

优选地,上述电极所传导的电信号具有至少一次的延迟时间而反复传导。Preferably, the electrical signal conducted by the electrodes is repeatedly conducted with at least one delay time.

并且,上述皮肤内血管位于上述多个电极中的二个电极之间。Furthermore, the blood vessels in the skin are located between two electrodes among the plurality of electrodes.

并且,上述多个电极之间形成电场(electric field)。Furthermore, an electric field is formed between the plurality of electrodes.

并且,上述多个电极之间形成交流(alternative current,简称A.C.)电场。Furthermore, an alternating current (A.C.) electric field is formed between the plurality of electrodes.

并且,上述多个电极包括双极(bipolar)体系。Furthermore, the plurality of electrodes include a bipolar system.

并且,上述多个电极邻接地插入上述皮肤内血管。Furthermore, the plurality of electrodes are adjacently inserted into the intracutaneous blood vessels.

并且,上述皮肤内血管的治疗装置的使用目的为,改善痣(melasma)、血管痣(dermal melasma)、严重色素沉淀(hyperpigmentation)、低色素症(hypopigmentation)、玫瑰痤疮(rosacea)、潮红(flushing)、红斑(erythema)及微血管扩张(telangiectasia)中的至少一种症状。Furthermore, the purpose of using the above-mentioned intradermal blood vessel treatment device is to improve at least one symptom of melasma, dermal melasma, severe hyperpigmentation, hypopigmentation, rosacea, flushing, erythema and telangiectasia.

并且,上述皮肤内血管的治疗装置可影响并治疗与脱发、除毛、皮脂分泌过多、多汗症、狐臭等相关的血管。Furthermore, the above-mentioned device for treating blood vessels in the skin can affect and treat blood vessels related to hair loss, hair removal, excessive sebum secretion, hyperhidrosis, body odor, etc.

并且,由于上述电极的插入于上述手术对象皮肤内的部位所施加的电信号,造成上述皮肤内的血管的热损伤。Furthermore, the electrical signal applied to the portion of the electrode inserted into the skin of the surgical subject may cause thermal damage to blood vessels in the skin.

并且,上述电极的插入于上述手术对象皮肤内的部位所施加的电信号,造成上述皮肤内的血管表皮层的热损伤。Furthermore, the electrical signal applied to the portion of the electrode inserted into the skin of the surgical subject causes thermal damage to the epidermal layer of blood vessels in the skin.

并且,在插入上述电极的皮肤组织中,造成上述电极邻接区域与上述皮肤内血管及上述血管邻接区域的热损伤。Furthermore, in the skin tissue where the electrodes are inserted, thermal damage is caused to the electrode adjacent region, the blood vessels in the skin, and the blood vessel adjacent region.

并且,在插入上述电极的皮肤组织中,造成上述电极邻接区域与上述皮肤内血管的邻接组织区域之间的皮肤组织区域的热损伤。Furthermore, in the skin tissue where the electrode is inserted, thermal damage is caused to the skin tissue region between the electrode adjacent region and the tissue region adjacent to the intracutaneous blood vessels.

并且,上述多个电极插入至上述手术对象的皮肤的真皮层。Furthermore, the plurality of electrodes are inserted into the dermis layer of the skin of the surgical subject.

并且,上述电信号发生部为频率为0.1~100MHz的高频(high frequency)信号发生装置。Furthermore, the electrical signal generating unit is a high frequency signal generating device with a frequency of 0.1 to 100 MHz.

并且,上述电信号发生部为无线电频(radio frequency)的信号发生装置。Furthermore, the electrical signal generating unit is a radio frequency signal generating device.

并且,上述电极插入上述手术对象的皮肤的深度、上述电极施加的电压值、自上述电极所传达的电功率值、上述电极施加上述电信号的时间、上述电极未施加上述电信号的延迟时间中的至少一种是能够预先设定的。Furthermore, at least one of the depth of insertion of the electrode into the skin of the surgical object, the voltage value applied by the electrode, the electric power value transmitted from the electrode, the time for the electrode to apply the electric signal, and the delay time for the electrode not to apply the electric signal can be pre-set.

并且,还包括具有用于固定上述多个电极的固定部的电极模块。Furthermore, the device further includes an electrode module having a fixing portion for fixing the plurality of electrodes.

并且,还包括用于驱动上述电极或电极模块来使上述电极插入皮肤内的驱动部。Furthermore, the device further includes a driving unit for driving the electrodes or the electrode modules to insert the electrodes into the skin.

并且,上述皮肤内血管治疗装置可用于包括皮肤科领域在内的所有医学领域的组织内血管治疗。Furthermore, the above-mentioned intradermal vascular treatment device can be used for intratissue vascular treatment in all medical fields including dermatology.

发明的效果Effects of the Invention

根据本发明,可以针对导致痣、血管痣、色素沉淀、玫瑰痤疮、潮红或微血管扩张等的原因或恶化因素的真皮或表皮的血管,施加适当的热损伤,不仅可以使原因血管的非正常性过度增生恢复正常、诱导原因血管的血管细胞的吞噬作用(phagocytosis)或细胞凋亡(apoptosis),进而提升治疗效果;通过插入皮肤内的电极能够更正确地控制直接造成的热损伤的程度,降低现有的治疗法中,对血管过度地施加热损伤造成的副作用,比起对皮肤整体施加热,改为对血管集中地施加热,能够降低现有的治疗法中,对皮肤全体过度地施加热损伤造成的烧烫伤等副作用、降低去除的血管的再形成所造成的痣、血管痣、色素沉淀、玫瑰痤疮、潮红、红斑或微血管扩张等的再发生率。According to the present invention, appropriate thermal damage can be applied to the blood vessels in the dermis or epidermis that are the cause or exacerbating factors of moles, vascular nevi, pigmentation, rosacea, flushing or microvascular dilation. This can not only restore the abnormal excessive proliferation of the causative blood vessels to normal and induce phagocytosis or apoptosis of the vascular cells of the causative blood vessels, thereby improving the treatment effect; the electrodes inserted into the skin can more accurately control the degree of direct thermal damage, thereby reducing the side effects caused by excessive thermal damage to the blood vessels in existing treatment methods. Instead of applying heat to the entire skin, concentrated heat is applied to the blood vessels, which can reduce the side effects such as burns caused by excessive thermal damage to the entire skin in existing treatment methods, and reduce the recurrence rate of moles, vascular nevi, pigmentation, rosacea, flushing, erythema or microvascular dilation caused by the reformation of removed blood vessels.

附图说明BRIEF DESCRIPTION OF THE DRAWINGS

图1为示出现有治疗装置所造成的副作用的图。FIG. 1 is a diagram showing side effects caused by conventional therapeutic devices.

图2为示出本发明的一实施例中,关于生成对皮肤内血管起作用的电信号的治疗装置结构的图。FIG. 2 is a diagram showing the structure of a treatment device for generating an electrical signal that acts on blood vessels in the skin according to an embodiment of the present invention.

图3为示出本发明的一实施例中,说明生成对皮肤内血管起作用的电信号的治疗装置的血管治疗原理的图。FIG3 is a diagram illustrating the blood vessel treatment principle of a treatment device that generates an electrical signal that acts on blood vessels in the skin according to an embodiment of the present invention.

图4至图12为示出本发明的一实施例中,生成对皮肤内血管起作用的电信号的治疗装置的动物试验及临床效果的图。4 to 12 are diagrams showing animal experiments and clinical effects of a treatment device for generating electrical signals acting on blood vessels in the skin according to an embodiment of the present invention.

图13为示出本发明的一实施例中,治疗装置所生成的电信号的波形的图。FIG. 13 is a diagram showing the waveform of an electrical signal generated by a treatment device in one embodiment of the present invention.

具体实施方式DETAILED DESCRIPTION

以下参照附图,更为详细地说明本发明,应该留意的是,附图中相同的结构要素会以相同的附图标记表示,并且,对于本发明的要旨不必要的公知机能及构成,将省略其详细说明。The present invention will be described in more detail below with reference to the accompanying drawings. It should be noted that the same structural elements in the drawings are represented by the same figure marks, and the detailed description of well-known functions and structures that are not necessary for the gist of the present invention will be omitted.

首先,依据近年来的研究可以了解,痣、血管痣、严重色素沉淀、低色素症、玫瑰痤疮、潮红、红斑、微血管扩张、除毛、脱发、皮脂分泌过多、多汗症、狐臭等病变均与病变内血管的数量、尺寸、形态、机能高度相关。First of all, according to recent research, we can understand that moles, vascular nevi, severe pigmentation, hypopigmentation, rosacea, hot flashes, erythema, microvascular dilation, hair removal, hair loss, excessive sebum secretion, hyperhidrosis, body odor and other lesions are highly correlated with the number, size, shape and function of blood vessels in the lesions.

举例而言,无论是以临床观点或组织学观点来看,比起周边看起来正常的皮肤,血管痣、色素沉淀、玫瑰痤疮、潮红、血管扩张等病变部位的真皮或表皮内的血管的数量与尺寸均为有意义地增加。For example, lesions such as vascular nevi, pigmentation, rosacea, erythema, and vasodilation show a significant increase in the number and size of blood vessels in the dermis or epidermis compared to the surrounding normal-looking skin, both clinically and histologically.

同时,依据病变状态的不同,通过使病变内血管发生变化,可以对治疗产生有益的效果。At the same time, depending on the state of the lesion, changes in the blood vessels within the lesion can have a beneficial effect on the treatment.

具体而言,通过促进血液循环低下的血管产生扩张而增加血液循环量,可能可以治疗脱发病变,血管的数量与尺寸处于增加状态的皮脂分泌过多、多汗症等症状,通过降低前述现象则可能治疗。Specifically, by promoting the dilation of blood vessels with poor blood circulation and increasing blood circulation, it may be possible to treat hair loss. Symptoms such as excessive sebum secretion and hyperhidrosis, where the number and size of blood vessels are increased, may be treated by reducing the above phenomena.

另一方面,玫瑰痤疮、潮红、红斑或微血管扩张等为由于血管性问题的代表性的皮肤美容症状,而痣、血管痣、严重色素沉淀、低色素症等症状的原因也与血管性问题密切相关。On the other hand, rosacea, flushing, erythema, or capillary dilation are representative skin cosmetic symptoms due to vascular problems. The causes of moles, vascular nevi, severe pigmentation, hypopigmentation, etc. are also closely related to vascular problems.

同时,此外,除毛、脱发、皮脂分泌过多、多汗症、狐臭等病变也与供给营养的血管过度发达或低下有关。At the same time, in addition, hair removal, hair loss, excessive sebum secretion, hyperhidrosis, body odor and other diseases are also related to the overdevelopment or low development of blood vessels supplying nutrients.

据此,本发明为利用皮肤组织的各层、各附属器官、各组织之间阻抗率、传导率、电容率的差异,通过侵入性电极将电信号向皮肤内,而能够选择性地对皮肤内的特定组织造成影响的装置,特别是能够选择性地治疗阻抗率率高的血管的装置。Based on this, the present invention is a device that utilizes the differences in impedance, conductivity, and permittivity between the various layers of skin tissue, various appendages, and various tissues to transmit electrical signals into the skin through invasive electrodes, thereby selectively affecting specific tissues within the skin, and is particularly a device that can selectively treat blood vessels with high impedance.

并且,为了调整在血管上发生的热反应的程度,本发明为能够调整所传达的电信号的强度的装置,因此为能够自血管组织的充血(congestion)、再生(regeneration)、重组(remodeling)、增生(growth)、再增生(regrowth)、退化(degradation)、消灭(degeneration)等效果中选择性地诱发想要的效果的治疗装置。Furthermore, in order to adjust the degree of thermal reaction occurring in blood vessels, the present invention is a device capable of adjusting the intensity of the transmitted electrical signal, and is therefore a therapeutic device capable of selectively inducing desired effects from effects such as congestion, regeneration, remodeling, growth, regrowth, degradation, and degeneration of vascular tissue.

同时,本发明以上述的血管变化作为基础,为可以用于治疗痣、血管痣、严重色素沉淀、低色素症、玫瑰痤疮、潮红、红斑、微血管扩张(telangiectasia)、脱发、除毛等的装置。At the same time, the present invention is based on the above-mentioned vascular changes and is a device that can be used to treat moles, vascular nevi, severe pigmentation, hypopigmentation, rosacea, flushing, erythema, telangiectasia, hair loss, hair removal, etc.

并且,本发明为可以用于治疗皮脂分泌过多(hyperseborrhea)、多汗症(hyperhydrosis)等的装置,为可能可以用于治疗与其相关的装置。Furthermore, the present invention is a device that can be used to treat hyperseborrhea, hyperhydrosis, and the like, and may be used to treat conditions related thereto.

并且,本发明为能够于原因或恶化因素的真皮或表皮的血管、皮肤附属器官的血管诱发适当的热反应,使原因血管的血流量增加、或使非正常性过度增生恢复正常、或诱导原因血管的血管细胞的吞噬作用或细胞凋亡,不仅可以提高治疗效果,更可以减少现有的治疗法对血管过度地施加热损伤所产生的副作用、降低去除的血管的过度增生(hyperplasia)、再形成有关的病变的再发生率的装置。Furthermore, the present invention is a device that can induce appropriate thermal responses in the blood vessels of the dermis or epidermis, or the blood vessels of the skin appendages, which are the cause or aggravating factors, thereby increasing the blood flow of the cause blood vessels, or restoring abnormal hyperplasia to normal, or inducing phagocytosis or apoptosis of the vascular cells of the cause blood vessels. This device can not only improve the therapeutic effect, but also reduce the side effects of the existing treatment methods that cause excessive thermal damage to the blood vessels, and reduce the recurrence rate of lesions related to the hyperplasia and reformation of the removed blood vessels.

并且,本发明除血管治疗之外,更能够改善皮肤的黑色素细胞(melanocyte)与基底膜(basement membrane)的病理学的构造与机能,并且影响来自血管的血管内皮生长因子(vascular endothelial growth factor,简称VEGF)的含量与机能的治疗装置。Furthermore, in addition to treating blood vessels, the present invention is a therapeutic device capable of improving the pathological structure and function of melanocytes and basement membranes in the skin, and affecting the content and function of vascular endothelial growth factor (VEGF) from blood vessels.

另一方面,现有的侵入性高频治疗技术是以皮肤内的胶原蛋白的生成为主要目的,因而局限于使皮肤组织自体受热而固化的技术,与为了使血管止血而直接以高热烧灼的技术。On the other hand, existing invasive high-frequency treatment technologies are mainly aimed at the production of collagen in the skin, and are therefore limited to technologies that heat and solidify the skin tissue itself, and technologies that directly use high heat to cauterize blood vessels to stop bleeding.

然而,本发明则与其不同,为于皮肤内形成电场,以治疗皮肤内血管为主的装置,具体而言,本发明是关于将二个以上的电极插入皮肤内,并形成电场的技术。However, the present invention is different from the above. It is a device that forms an electric field in the skin to treat blood vessels in the skin. Specifically, the present invention is a technology that inserts two or more electrodes into the skin to form an electric field.

即,与直接对血管进行电气烧灼不同,而是于一定的区域中形成均匀的电场,据此主要对血管产生选择性的热作用,通过治疗上述各种的病变,与现有技术不同,当于组织内形成特定条件的电场,比起血管以外的组织,血管会优先受到电信号作用的现象,开发了本发明。Specifically, rather than directly cauterizing blood vessels, a uniform electric field is formed in a specific area, thereby selectively heating the blood vessels. This allows for the treatment of the various pathological conditions described above. Unlike conventional techniques, the present invention was developed by realizing that when an electric field under specific conditions is formed within tissue, blood vessels are preferentially affected by the electrical signal compared to tissues other than blood vessels.

即,现有的高频治疗技术由于是以促进皮肤内的胶原蛋白的生成作为其主要目的,因此要求较长的传导时间,本发明则是只需要较短的传导时间,当然,并非仅通过传导时间即可以达成本发明的功效,电压、电功率、皮肤内阻抗率(impedance)等其他条件全数合乎的状况下才能够实现,复合性的条件为必要的。That is, the existing high-frequency treatment technology requires a longer conduction time because its main purpose is to promote the production of collagen in the skin. The present invention only requires a shorter conduction time. Of course, the effect of the present invention cannot be achieved by conduction time alone. It can only be achieved when other conditions such as voltage, electric power, and skin impedance are all met. Complex conditions are necessary.

并且,依据本发明,由于血管的高传导度,在表皮或真皮发生固化之前,血管得以先行固化。Furthermore, according to the present invention, due to the high conductivity of blood vessels, the blood vessels can be solidified before the epidermis or dermis solidifies.

因此,在本发明中,能够造成血管选择性的固化的短暂传导时间主要是指50msec以内的时间,更宽地为100msec以内的时间,再更宽地为300msec以内的时间。Therefore, in the present invention, the short conduction time capable of causing selective blood vessel solidification mainly refers to a time within 50 msec, more preferably within 100 msec, and even more preferably within 300 msec.

另一方面,在本发明中,为了防止血管以外的皮肤组织发生过度的热反应,并使血管集中发生热反应,所能够生成的电信号具有至少一次达一定时间的延迟时间(delaytime)例如,5~100msec,来反复传导。On the other hand, in the present invention, in order to prevent excessive thermal reaction of skin tissue other than blood vessels and to concentrate thermal reaction on blood vessels, the electrical signal that can be generated has at least one delay time (delay time) of a certain period of time, for example, 5 to 100 msec, to be repeatedly transmitted.

换句话说,在本发明中,由于生成具有延迟时间且反复的电信号,相对地提升施加电压,因而电极153与电极153之间能够形成相对宽广的间隔,由于施加电压相对提升,就算是在相同的传导时间内,也能够使血管内的反应程度更为明显,另由于传导时间相对较短,因而能够使对血管以外的周边组织造成的影响达到最小化。In other words, in the present invention, since an electrical signal with a delayed time and repetition is generated and the applied voltage is relatively increased, a relatively wide interval can be formed between electrodes 153 and 153. Since the applied voltage is relatively increased, the reaction degree in the blood vessels can be made more obvious even within the same conduction time. In addition, since the conduction time is relatively short, the impact on peripheral tissues outside the blood vessels can be minimized.

换句话说,在本发明中,通过延迟时间来提升施加的电压,除了可以使血管可以加速反应,同时可以通过延迟时间也可以防止血管之外的组织发生反应。In other words, in the present invention, by increasing the applied voltage by delaying the time, the blood vessels can be accelerated to react, and the delaying time can also prevent tissues other than the blood vessels from reacting.

另一方面,此时反复的一次的传导时间可能会依照装置的各种条件而有所不同,每次的传导时间的长度可以相同,也可以各自不同;并且,每一次的延迟时间的时间长度也可以不同。On the other hand, the repeated conduction time may vary according to various conditions of the device. The length of each conduction time may be the same or different. Furthermore, the length of each delay time may also be different.

同时,本发明的传导时间可以依据电信号的电压、电功率、电流、皮肤内血管的尺寸、粗细、数量等而有所不同,也可以依据手术时电极插入的深度、电极的粗细、间隔、极性配置等而有所不同。At the same time, the conduction time of the present invention may vary depending on the voltage, power, current of the electrical signal, the size, thickness, and number of blood vessels in the skin, and may also vary depending on the depth of electrode insertion during surgery, the thickness, spacing, and polarity configuration of the electrodes.

同时,本发明为插入皮肤内的电极具有双极结构的装置,也是可以作用于除了对血管直接性地电气烧灼以外、以治疗皮肤内血管为目的的任何状况。At the same time, the present invention is a device having a bipolar structure of electrodes inserted into the skin, and can also be used for any conditions aimed at treating blood vessels in the skin, in addition to direct electrical cauterization of blood vessels.

具体而言,无论是以临床观点或组织学观点来看,比起周边看起来正常的皮肤,痣、血管痣、色素沉淀、玫瑰痤疮、潮红或微血管扩张等病变部位的皮肤内血管的数量与尺寸均为有意义地增加。Specifically, lesions such as nevi, vascular nevi, pigmentation, rosacea, erythema, or telangiectasias show a significant increase in the number and size of blood vessels in the skin compared to surrounding normal-appearing skin, both clinically and histologically.

出现在痣、血管痣、色素沉淀、玫瑰痤疮、潮红或微血管扩张等患者身上的此类血管变化与血管内皮生长因子的增加有关的血管新生及血管扩张有关。Such vascular changes seen in patients with moles, vascular nevi, pigmentation, rosacea, flushing, or microvascular dilation are associated with angiogenesis and vasodilation related to increases in vascular endothelial growth factor.

并且,分布于痣、血管痣、色素沉淀、玫瑰痤疮、潮红或微血管扩张等病变部位的皮肤内的血管的数量,与病变皮肤内的色素含量有着重要的关联性,因此又在病变部位的皮肤内血管病变、血管痣、色素沉淀、玫瑰痤疮、潮红或微血管扩张等的发生或恶化扮演重要的角色。Furthermore, the number of blood vessels distributed within the skin of lesions such as moles, vascular nevi, pigmentation, rosacea, redness, or telangiectasia is closely related to the pigment content within the lesion skin, and therefore plays an important role in the occurrence or aggravation of vascular lesions, vascular nevi, pigmentation, rosacea, redness, or telangiectasia within the lesion skin.

因此本发明中,提出了为了去除作为造成上述症状的新生血管或扩张的血管的原因血管的治疗装置。Therefore, the present invention proposes a treatment device for removing the causative blood vessels of the neovascularization or dilated blood vessels that cause the above-mentioned symptoms.

图2为示出本发明的一实施例中,生成对皮肤内血管起作用的电信号的治疗装置100的结构的图,参照图2,本发明的一实施例中,生成对皮肤内血管起作用的电信号的治疗装置100包括电源供给部110、电信号发生部130、电极模块150、驱动部170、输入部180及控制部190。Figure 2 is a diagram showing the structure of a treatment device 100 for generating electrical signals that act on blood vessels in the skin in one embodiment of the present invention. Referring to Figure 2, in one embodiment of the present invention, the treatment device 100 for generating electrical signals that act on blood vessels in the skin includes a power supply unit 110, an electrical signal generating unit 130, an electrode module 150, a driving unit 170, an input unit 180 and a control unit 190.

首先,电极模块150包括用于固定二个以上的电极153的固定部151,电源供给部110用于将来自外部的电源供给电信号发生部130,电信号发生部130通过电信号导引线135等电气传导性物质,将电信号传递给电极模块150的电极153。First, the electrode module 150 includes a fixing part 151 for fixing two or more electrodes 153, and the power supply part 110 is used to supply power from the outside to the electrical signal generating part 130. The electrical signal generating part 130 transmits the electrical signal to the electrode 153 of the electrode module 150 through electrical conductive materials such as the electrical signal guide wire 135.

另一方面,本发明的实施例中,电极153可以在没有电极模块150的状况下,独立地直接或间接地连接电信号发生部130及驱动部170。On the other hand, in the embodiment of the present invention, the electrode 153 can be independently connected to the electrical signal generating unit 130 and the driving unit 170 directly or indirectly without the electrode module 150 .

同时,本发明的实施例中,电极153或电极模块150能够以直接或间接的任何形态电连接电信号发生部130。Meanwhile, in the embodiment of the present invention, the electrode 153 or the electrode module 150 can be electrically connected to the electrical signal generating unit 130 in any form, directly or indirectly.

另一方面,本发明的实施例中,电极153可以为由导电性材料所制作、呈针的形态的针式电极。On the other hand, in the embodiment of the present invention, the electrode 153 may be a needle-type electrode made of a conductive material and in the shape of a needle.

由电信号发生部130所发生的电信号主要是为电磁波(electromagnetic wave)的形态,特别是具有300Hz至300GHz的频率范围的信号。The electrical signal generated by the electrical signal generating unit 130 is mainly in the form of an electromagnetic wave, particularly a signal with a frequency range of 300 Hz to 300 GHz.

本发明的实施例中,电信号发生部130能够产生具有中频(intermediatefrequency)、高频(high frequency)、无线电频(radio frequency)、电磁波(electromagnetic wave)或超音波领域的频率的电信号。In the embodiment of the present invention, the electrical signal generating unit 130 can generate an electrical signal having a frequency in the intermediate frequency, high frequency, radio frequency, electromagnetic wave, or ultrasonic wave range.

由电信号发生部130所发生的电信号产生预定频率的电磁波,上述电信号传达给至少二个以上的电极153,通过电极153传达至病变内皮肤200的电信号再使血管或血管周围组织300发生热。The electrical signal generated by the electrical signal generating unit 130 generates an electromagnetic wave of a predetermined frequency. The electrical signal is transmitted to at least two electrodes 153. The electrical signal transmitted to the skin 200 in the lesion through the electrodes 153 then heats the blood vessels or the tissue 300 surrounding the blood vessels.

另一方面,本发明的实施例中,手术者可以直接用手将电极153插入病变皮肤200内,也可以将固定于电极模块150的电极153插入病变皮肤200内。On the other hand, in the embodiment of the present invention, the operator can directly insert the electrode 153 into the diseased skin 200 by hand, or insert the electrode 153 fixed to the electrode module 150 into the diseased skin 200.

并且,本发明的实施例中,也可以具备能够驱动电极153或电极模块150,使其可以自动插入预先设定的深度的驱动部170。Furthermore, in the embodiment of the present invention, a driving unit 170 capable of driving the electrode 153 or the electrode module 150 so as to automatically insert the electrode 153 or the electrode module 150 to a preset depth may also be provided.

另一方面,这样的状况下,驱动部170可以直接连接电极153或电极模块150,也可以通过中间的其他装置间接地相连。On the other hand, in such a situation, the driving unit 170 may be directly connected to the electrode 153 or the electrode module 150 , or may be indirectly connected via other intermediate devices.

并且,也可以在平常的状况下,驱动部170与电极153或电极模块150为未连接的状态,只有在被驱动时,才推动电极153或电极模块150,使其插入皮肤内。Furthermore, under normal circumstances, the driving unit 170 and the electrode 153 or the electrode module 150 may be in a disconnected state, and only when driven, the electrode 153 or the electrode module 150 is pushed to be inserted into the skin.

驱动部170将力量直接或间接地传达至二个以上的电极153,使其能够插入皮肤200的规定深度(大约为1mm至2.5mm)。The driving unit 170 transmits force directly or indirectly to the two or more electrodes 153 so that the electrodes 153 can be inserted into the skin 200 to a predetermined depth (approximately 1 mm to 2.5 mm).

另一方面,本发明的实施例中,二个以上电极153插入皮肤内之后,能够插入表皮层210适当的深度(大约为0.2mm至1mm),也可以插入能够到达皮肤200的真皮层220的规定深度(大约为1mm至4mm),电极153插入手术对象皮肤200内的插入深度可以为0.2mm至4mm。On the other hand, in an embodiment of the present invention, after two or more electrodes 153 are inserted into the skin, they can be inserted into the epidermis 210 to an appropriate depth (approximately 0.2 mm to 1 mm), or can be inserted to a specified depth (approximately 1 mm to 4 mm) to reach the dermis 220 of the skin 200. The insertion depth of the electrode 153 into the skin 200 of the surgical subject can be 0.2 mm to 4 mm.

另一方面,如果能够达成本发明的目的的治疗皮肤内血管,电极153也可以不插入皮肤内,仅接触皮肤表面。On the other hand, if the purpose of the present invention of treating blood vessels in the skin can be achieved, the electrode 153 may not be inserted into the skin but may only contact the skin surface.

因此,电极153插入手术对象皮肤200内的深度也可以为4mm以下。另一方面,在皮肤的厚度较厚的部位,电极153插入手术对象皮肤200内的深度也可以比4mm更深,而可以为皮肤全层的厚度。Therefore, the electrode 153 may be inserted into the skin 200 of the surgical target to a depth of less than 4 mm. On the other hand, in areas with thicker skin, the electrode 153 may be inserted into the skin 200 of the surgical target to a depth deeper than 4 mm, to the full thickness of the skin.

另一方面,本发明的实施例中,驱动部170可以为致动器、马达、线性马达、步进马达、电磁石、压电组件等,能够使电极153或电极模块150进行直线运动的多种手段。On the other hand, in an embodiment of the present invention, the driving unit 170 may be an actuator, a motor, a linear motor, a stepping motor, an electromagnet, a piezoelectric component, etc., which can be used to make the electrode 153 or the electrode module 150 perform linear motion.

输入部180具有供手术者输入控制命令的输入设备,通过输入部180所输入的控制命令可以为经由电信号发生部130控制导引至电极153的电压的大小、电流的量、此时的电阻值、组织的阻抗率或电信号的导引时间等控制电信号的能量的命令,也可以为通过控制命令来控制电极153插入皮肤内的深度。The input unit 180 has an input device for the operator to input control commands. The control commands input through the input unit 180 can be commands for controlling the energy of the electrical signal, such as the voltage, current, resistance value at this time, tissue impedance or electrical signal guidance time guided to the electrode 153 via the electrical signal generating unit 130, or can be commands for controlling the depth of insertion of the electrode 153 into the skin through control commands.

控制部190依据来自输入部180的控制命令,通过电信号发生部130控制导引至少二个以上电极153的电压的大小、电流的量、电阻值、阻抗率或电压的导引时间等电信号的能量。The control unit 190 controls the energy of the electrical signal such as the voltage, current, resistance, impedance ratio or voltage guidance time guided to at least two electrodes 153 through the electrical signal generating unit 130 according to the control command from the input unit 180 .

同时,控制部190控制电源供给部110,使电源供应部110能够间隔特定的时间反复地将电源供给电信号发生部130,或是如图13所示,直接控制电信号发生部130,使电信号发生部130能够间隔特定的时间反复地发生电信号。At the same time, the control unit 190 controls the power supply unit 110 so that the power supply unit 110 can repeatedly supply power to the electrical signal generating unit 130 at specific intervals, or as shown in Figure 13, directly controls the electrical signal generating unit 130 so that the electrical signal generating unit 130 can repeatedly generate electrical signals at specific intervals.

本发明的实施例中,在加载100Ω的测定基准下,施加电压V1可以为10volt至400volt(优选为20~300volt),延迟时间可以为0.1msec(millisecond)至500msec(优选为5~300msec),传导时间(conduction time)可以为1~450msec(优选为5~300msec)。In an embodiment of the present invention, under a measurement reference of 100Ω loading, the applied voltage V1 can be 10 volt to 400 volt (preferably 20 to 300 volt), the delay time can be 0.1 msec (millisecond) to 500 msec (preferably 5 to 300 msec), and the conduction time can be 1 to 450 msec (preferably 5 to 300 msec).

具体而言,延迟时间太短的状况下(小于0.1msec的状况下),原因血管300以外的组织也可能发生热损伤,太长的状况下(大于500msec的状况下),对导引至原因血管300的信号的连续性造成影响,使原因血管300受到的热反应不够充分。相反地,传导时间太长的状况下(大于450msec的状况下),可能使血管300以外的组织发生过度的热反应,太短的状况下(小于1msec的状况下),使血管300受到的热反应不够充分。Specifically, if the delay time is too short (less than 0.1 msec), tissues other than the causal vessel 300 may suffer thermal damage. If it is too long (greater than 500 msec), the continuity of the signal directed to the causal vessel 300 may be affected, resulting in an insufficient thermal response to the causal vessel 300. Conversely, if the conduction time is too long (greater than 450 msec), tissues other than the causal vessel 300 may experience an excessive thermal response. If it is too short (less than 1 msec), the thermal response to the causal vessel 300 may be insufficient.

另一方面,间隔延迟时间反复传导电信号的次数与施加的电压、电功率、传导时间、延迟时间等密切地关联,反复传导的次数太少的状况下,热反应不够充分,反复传导的次数太多的状况下,可能造成血管300以外的组织过度的热反应。On the other hand, the number of times the electrical signal is repeatedly conducted with an interval delay time is closely related to the applied voltage, electric power, conduction time, delay time, etc. If the number of repeated conductions is too few, the thermal reaction is not sufficient. If the number of repeated conductions is too many, it may cause excessive thermal reaction in tissues outside the blood vessel 300.

另一方面,经发明人试验证实,比起连续性地导引低功率电压的状况,通过上述的延迟时间非连续性地反复导引相对的高功率电压的状况更加有治疗效果。On the other hand, the inventors have verified through experiments that, compared with continuously guiding a low-power voltage, discontinuously and repeatedly guiding a relatively high-power voltage through the aforementioned delay time has a better therapeutic effect.

另一方面,本发明的实施例中,电信号发生部130可以发生如图13所示的脉冲信号,比起发生直流脉冲信号,发生交流脉冲信号更能够正确地诱导热反应的发生。On the other hand, in the embodiment of the present invention, the electrical signal generating unit 130 can generate a pulse signal as shown in FIG13 . Compared with a DC pulse signal, an AC pulse signal can more accurately induce a thermal reaction.

即,本发明的实施例中,插入原因血管300之间的二个电极分别为双极电极153,电极153在插入皮肤内的状态下可以导引交流极性的高频脉冲信号,而能够于皮肤内组织形成交流脉冲电场(alternative current pulsed typed electric field)。That is, in an embodiment of the present invention, the two electrodes inserted between the blood vessels 300 are bipolar electrodes 153. When inserted into the skin, the electrodes 153 can guide high-frequency pulse signals of AC polarity and form an alternative current pulsed typed electric field in the skin tissue.

具体而言,交流极性的高频脉冲信号使原因血管300组织内的水分子发生震动,而使热反应得以发生,因而比直流信号更加有利。Specifically, the high-frequency pulse signal of AC polarity causes water molecules in the tissue of the blood vessel 300 to vibrate, thereby causing a thermal reaction to occur, and is therefore more beneficial than a DC signal.

因此,于本发明中,通过导引极性交替改变的交流极性的高频脉冲信号,比起施加直流极性的高频脉冲信号的状况,更容易于原因血管300诱发选择性热反应。Therefore, in the present invention, by guiding the high-frequency pulse signal of alternating polarity, it is easier to induce a selective thermal response in the cause blood vessel 300 than in the case of applying the high-frequency pulse signal of direct polarity.

因此,本发明的实施例中,位于原因血管300之间的二个电极153之间形成的电场250较佳为交流电场250。Therefore, in the embodiment of the present invention, the electric field 250 formed between the two electrodes 153 located between the cause blood vessels 300 is preferably an alternating current electric field 250 .

另一方面,比起传导低功率电压的状况下,传导高功率电压的状况下更能够于宽广的部位形成均匀、强力的电场。当然,在高功率电压电场内更容易诱导血管300的热反应,相对地,也需要调节缩短传导时间。On the other hand, when conducting high-power voltage, a more uniform and strong electric field can be formed over a wider area than when conducting low-power voltage. Of course, high-power voltage electric fields are more likely to induce thermal reactions in blood vessels 300, and accordingly, the conduction time needs to be shortened.

另一方面,手术者可以通过输入部180输入电极153插入皮肤内的深度,控制部190据此控制驱动部170的驱动程度。On the other hand, the operator can input the depth of the electrode 153 inserted into the skin through the input unit 180 , and the control unit 190 controls the driving degree of the driving unit 170 accordingly.

即,手术者通过输入部180输入电信号的电压值或电功率值、电压导引时间等至少一或多种数值的组合,当设定电极153的插入深度,控制部190即据此控制电信号发生部130生成预定的电信号,电信号发生部130将来自电源供给部110的交流或直流电转换为预订的电信号的型态,该电信号则通过电极153导引出去。That is, the operator inputs at least one or more numerical values such as the voltage value or electric power value of the electrical signal, the voltage guidance time, etc. through the input unit 180. When setting the insertion depth of the electrode 153, the control unit 190 controls the electrical signal generating unit 130 to generate a predetermined electrical signal accordingly. The electrical signal generating unit 130 converts the AC or DC power from the power supply unit 110 into the form of a predetermined electrical signal, and the electrical signal is guided out through the electrode 153.

另一方面,依据手术者通过输入部180所设定的电极153插入皮肤的深度,控制部190能够控制驱动部170的驱动程度,驱动部170依据手术者所设定的电极153插入皮肤的深度,使电极153或电极模块150移动,以将电极153插入上述皮肤200内。On the other hand, based on the depth of the electrode 153 inserted into the skin set by the operator through the input unit 180, the control unit 190 can control the driving degree of the driving unit 170. The driving unit 170 moves the electrode 153 or the electrode module 150 based on the depth of the electrode 153 inserted into the skin set by the operator to insert the electrode 153 into the above-mentioned skin 200.

图3示出本发明的一实施例中,说明生成对皮肤内血管起作用的电信号的治疗装置的血管治疗原理的图。FIG3 is a diagram illustrating the blood vessel treatment principle of a treatment device that generates an electrical signal that acts on blood vessels in the skin according to an embodiment of the present invention.

如图3所示,被手术者的皮肤层200包括表皮层210及真皮层220,痣、血管痣、色素沉淀、玫瑰痤疮、潮红、微血管扩张、或血管扩张等的原因的血管(即,血管300)主要分布于真皮层220。As shown in FIG3 , the patient's skin layer 200 includes an epidermis 210 and a dermis 220 . Blood vessels (i.e., blood vessels 300 ) that may be the cause of nevus, vascular nevus, pigmentation, rosacea, flushing, capillary dilation, or vasodilation are mainly distributed in the dermis 220 .

另一方面,依据不同的状况,作为原因的血管300也可能分布于表皮层210,血管300也可能同时分布于表皮层210及真皮层220。On the other hand, depending on different situations, the causative blood vessels 300 may be distributed in the epidermis 210 , or the blood vessels 300 may be distributed in both the epidermis 210 and the dermis 220 .

本发明的实施例中,依据作为原因的血管300的分布,可以调整电极153的插入位置,只插入到表皮层210为止,或者插入到真皮层220为止。In the embodiment of the present invention, the insertion position of the electrode 153 can be adjusted according to the distribution of the causative blood vessels 300 , so that the electrode 153 is inserted only into the epidermis 210 or into the dermis 220 .

本说明书中,将作为痣、血管痣、过度色素沉淀、低色素症、玫瑰痤疮、潮红、红斑或微血管扩张等的原因的血管300命名为原因血管300。In this specification, a blood vessel 300 that is a cause of a nevus, a vascular nevus, hyperpigmentation, hypopigmentation, rosacea, flushing, erythema, or capillary dilation is referred to as a cause blood vessel 300 .

如图3所示,原因血管300只存在于真皮层220的状况下,电极153插入皮肤内的部位优选为插入到皮肤的真皮层220为止,依据电信号的种类或能量(电压或电功率的数值、传导时间)的不同,电极153插入皮肤内的部位也可以只插入到表皮层210为止。As shown in Figure 3, when the blood vessels 300 only exist in the dermis 220, the electrode 153 is preferably inserted into the skin up to the dermis 220 of the skin. Depending on the type or energy of the electrical signal (voltage or electrical power value, conduction time), the electrode 153 may be inserted into the skin only up to the epidermis 210.

并且,电极153就算不插入皮肤内,只要是足以诱发原因血管300产生热反应的状况下,电极153也可以不插入皮肤内,只接触皮肤的表面。Furthermore, even if the electrode 153 is not inserted into the skin, the electrode 153 may only contact the surface of the skin as long as the condition is sufficient to induce a thermal reaction in the causative blood vessel 300 .

另一方面,插入直到皮肤的真皮层220的电极153是位于病变内的痣、血管痣、色素沉淀、玫瑰痤疮、潮红或微血管扩张等的原因血管300之间。On the other hand, the electrode 153 inserted into the dermis 220 of the skin is located between the blood vessels 300 causing nevus, vascular nevus, pigmentation, rosacea, flushing, or telangiectasia within the lesion.

并且,原因血管300也可以位于二个电极153之间。同时,在原因血管300位于二个电极153之间的状况下,二电极之间可以如图3所示形成电场250。Furthermore, the causative blood vessel 300 may also be located between the two electrodes 153. Meanwhile, when the causative blood vessel 300 is located between the two electrodes 153, an electric field 250 may be formed between the two electrodes as shown in FIG. 3 .

并且,本发明的实施例中,原因血管300可以比电极153位于更深处,依据状况的不同,也可以位于电极153的下方,只要原因血管300可以位于电极153所形成的电场250内,无论实际位置在哪里,位于诱导热反应的发生都不存在问题。Moreover, in an embodiment of the present invention, the causative blood vessel 300 may be located deeper than the electrode 153, and may be located below the electrode 153 depending on the situation. As long as the causative blood vessel 300 is located within the electric field 250 formed by the electrode 153, there is no problem in causing the induced thermal reaction regardless of its actual location.

另一方面,本发明的实施例中,插入于原因血管300之间的二个电极153之间所形成的电场250优选为交流电场250。On the other hand, in the embodiment of the present invention, the electric field 250 formed between the two electrodes 153 inserted between the cause blood vessels 300 is preferably an alternating current electric field 250 .

即,于本发明中,插入于原因血管300之间的二双极电极153在插入皮肤内的状态下,可以导引交流极性的高频信号,而能够只针对皮肤内的血管组织诱导选择性热反应(thermal response)的发生。That is, in the present invention, the two bipolar electrodes 153 inserted between the cause blood vessels 300 can guide the high-frequency signal of AC polarity when inserted into the skin, thereby inducing a selective thermal response only to the blood vessel tissue in the skin.

利用交流电场250只针对原因血管300诱导局限的热反应(选择性热反应),因而可以在对周边组织造成最小的影响及损伤的状态下,只对血管进行选择性的治疗。By using the AC electric field 250 to induce a localized thermal response (selective thermal response) only in the causative blood vessel 300, it is possible to selectively treat only the blood vessel while minimizing the impact and damage to the surrounding tissues.

另一方面,本发明的实施例中,电极153所导引的高频信号优选为0.1Mhz至100Mhz之间的频率。On the other hand, in the embodiment of the present invention, the high-frequency signal guided by the electrode 153 preferably has a frequency between 0.1 MHz and 100 MHz.

另一方面,依据状况的不同,原因血管300可以邻接或相对地远离电极153,于本发明的实施例中,手术者可以依据电极153与原因血管300之间的距离,选择电信号的种类,或调整电信号的电压、电功率或传导时间等。On the other hand, depending on the situation, the causative blood vessel 300 may be adjacent to or relatively far away from the electrode 153. In an embodiment of the present invention, the operator can select the type of electrical signal, or adjust the voltage, electrical power or conduction time of the electrical signal based on the distance between the electrode 153 and the causative blood vessel 300.

更具体而言,插入皮肤200的电极153经由电信号导引线135获得电信号,电极153插入皮肤内的部位所传导的电信号造成原因血管300的损伤。More specifically, the electrode 153 inserted into the skin 200 receives an electrical signal via the electrical signal guide wire 135 , and the electrical signal conducted from the site where the electrode 153 is inserted into the skin causes damage to the blood vessel 300 .

此时,电信号导引线135可以直接连接电极153,或通过印刷电路板(printedcircuit board)、锡焊、电气针(可以传导电气、可以弯折又伸展的针,举例而言,内部具有弹簧等金属性电气传导用弹性针等型态)、单针弹簧连接器(pogo pin)、电气传导板、电气传导棍或电气连接器等间接地电连接电极153,以导引电信号。At this time, the electrical signal guide line 135 can be directly connected to the electrode 153, or indirectly connected to the electrode 153 through a printed circuit board, soldering, an electrical needle (a needle that can conduct electricity, can be bent and stretched, for example, a metal elastic needle for electrical conduction such as a spring inside), a single-pin spring connector (pogo pin), an electrical conduction plate, an electrical conduction rod or an electrical connector to guide the electrical signal.

首先简单地说明电信号对原因血管300造成损伤的机转,引导至病变内的电信号特别集中于原因血管300的周围,及生成热,并通过所生成的热来治疗原因血管300。First, the mechanism by which the electrical signal causes damage to the causative blood vessel 300 will be briefly described. The electrical signal guided into the lesion is particularly concentrated around the causative blood vessel 300, generating heat, and the causative blood vessel 300 is treated by the generated heat.

换句话说,本发明的生成对皮肤内血管起作用的电信号的治疗装置100为通过电极153施加电信号,以于原因血管300或周围部位生成适当的热的装置。In other words, the treatment device 100 of the present invention that generates an electrical signal that acts on blood vessels in the skin is a device that applies an electrical signal through the electrode 153 to generate appropriate heat in the source blood vessel 300 or the surrounding area.

另一方面,为了开发本发明的生成对皮肤内血管起作用的电信号的治疗装置100所进行的临床试验,发明人发现了以下的事实。On the other hand, the inventors discovered the following facts during clinical trials conducted to develop the treatment device 100 of the present invention for generating electrical signals that act on blood vessels in the skin.

痣、血管痣、色素沉淀、玫瑰痤疮、潮红或微血管扩张等的原因血管300大部分为新生血管(即,未成熟血管),比起一般正常血管,构成新生血管的血管壁的细胞之间的结合(cell-cell junction)较为松散,厚度也比正常血管还要纤细,血管壁的细胞构造较为软弱,因此与正常血管不同,相对地对于微弱的电气刺激更轻易地会受到破坏的倾向。Most of the blood vessels 300 that cause moles, vascular nevi, pigmentation, rosacea, flushing, or capillary dilation are neovascular vessels (i.e., immature blood vessels). Compared to normal blood vessels, the cell-cell junctions that make up the walls of neovascular vessels are looser, and the thickness is thinner than that of normal blood vessels. The cell structure of the blood vessel wall is weaker, and therefore, unlike normal blood vessels, they are more easily damaged by weak electrical stimulation.

据此,有人认为只要单纯地对原因血管300施加电信号并造成破坏,即可以轻松治疗痣、血管痣、色素沉淀、玫瑰痤疮、潮红或微血管扩张等,但事实上并不是如此。Based on this, some people believe that simply applying an electrical signal to the causative blood vessel 300 and causing damage can easily treat moles, vascular nevi, pigmentation, rosacea, hot flashes, or capillary dilation, but this is not actually the case.

其理由在于:为了要对原因血管300造成适当的损伤,必须要传导不会太弱也不会太强的电信号,因而必须要精密地控制电信号发生部130,这是因为原因血管300在受到相对不适当的过弱或过强的电信号,而发生人为的刺激、烧灼、去除、严重的破坏之后,将会伴随更加强化的血管的补偿机转(reimbursement mechanisms),加速恢复新的血管的血管过度增生过大再发生现象(vascular hyperplasia)。The reason is that in order to cause appropriate damage to the causative blood vessel 300, an electrical signal that is neither too weak nor too strong must be transmitted, and therefore the electrical signal generating unit 130 must be precisely controlled. This is because when the causative blood vessel 300 is artificially stimulated, burned, removed, or severely damaged by a relatively inappropriate electrical signal that is too weak or too strong, the vascular reimbursement mechanism will be further strengthened, accelerating the recurrence of vascular hyperplasia and the recovery of new blood vessels.

据此,单纯地对痣、血管痣、色素沉淀、玫瑰痤疮、潮红或微血管扩张等的原因血管300施加无意义的人为强度的电信号来进行破坏的治疗方法,反而会诱发比起治疗前,痣、血管痣、色素沉淀、玫瑰痤疮、潮红或微血管扩张等的状态更加恶化的血管过度增生或发炎后色素沉淀。Based on this, a treatment method that simply applies a meaningless electrical signal of artificial intensity to the causative blood vessels 300 of moles, vascular nevi, pigmentation, rosacea, hot flashes or capillary dilation to destroy them will instead induce excessive vascular proliferation or post-inflammatory pigmentation that worsens the condition of moles, vascular nevi, pigmentation, rosacea, hot flashes or capillary dilation compared to before treatment.

为了开发本发明的生成对皮肤内血管起作用的电信号的治疗装置100所进行的临床试验过程中所发现由电信号造成的病变皮肤的变化如下所示。The changes in the diseased skin caused by the electrical signals found during clinical trials conducted to develop the therapeutic device 100 of the present invention for generating electrical signals that act on blood vessels in the skin are as follows.

如图4及图5所示,使用本发明中的治疗装置100,对迷你猪(micro pig)的皮肤施加电信号时,可以观察到真皮内的血管发生选择性的反应,并没有造成血管的破坏或过度的真皮内出血。As shown in FIG4 and FIG5, when the treatment device 100 of the present invention is used to apply an electrical signal to the skin of a micro pig, it can be observed that the blood vessels in the dermis react selectively without causing damage to the blood vessels or excessive intradermal bleeding.

另一方面,具体参照图5,图5的(a)部分电极153所插入的周边组织区域A的内部可以观察到浅粉红色的热损伤组织,原因血管300周边组织区域B的内部也可以观察到于血管壁附近存在浅粉红色的选择性热损伤的组织。On the other hand, referring specifically to FIG5 , light pink thermally damaged tissue can be observed inside the peripheral tissue area A where the electrode 153 is inserted in part (a) of FIG5 , and light pink selectively thermally damaged tissue can also be observed near the vascular wall inside the peripheral tissue area B of the causal blood vessel 300.

具体而言,图5的(a)中的原因血管300周边组织区域B的放大照片为图5(b)中血管壁附近可以更为明确地观察到浅粉红色的选择性热损伤的组织。Specifically, the enlarged photograph of the tissue region B around the causative blood vessel 300 in FIG5(a) is FIG5(b) , where the light pink selectively thermally damaged tissue can be more clearly observed near the blood vessel wall.

另一方面,电极153所插入的周边组织区域A与位于原因血管300周边组织区域B之间的组织并没有受到任何的热损伤。On the other hand, the tissue between the peripheral tissue region A where the electrode 153 is inserted and the peripheral tissue region B located around the causative blood vessel 300 does not suffer any thermal damage.

另一方面,如图6及图7所示,为了更为明确地看到血管的选择性反应,选择以比起皮肤,主要以肝细胞与血管构造所构成,除了血管之外,具有相对均匀的组织阻抗率、传导率、电容率的肝组织进行以下试验,使用本发明的治疗装置100,对牛的肝组织施加电信号,并确认肝组织内的血管的选择性反应。On the other hand, as shown in Figures 6 and 7, in order to more clearly see the selective response of blood vessels, the following experiment was conducted using liver tissue, which is mainly composed of hepatocytes and blood vessels and has relatively uniform tissue impedance, conductivity, and permittivity except for blood vessels, compared to skin. Using the treatment device 100 of the present invention, an electrical signal was applied to the liver tissue of a cow, and the selective response of the blood vessels in the liver tissue was confirmed.

并且,电信号主要于血管构造的外部表面周边造成热反应,并沿血管壁传导其影响。Furthermore, the electrical signal primarily causes a thermal reaction around the outer surface of the vascular structure and transmits its influence along the vascular wall.

此时,可以主要观察到血管的外膜(tunica adventitia)受到电信号发生的热反应的组织变化,于内膜及中膜则相对地保存其组织。At this time, the main tissue changes observed are those in the tunica adventitia of the blood vessels, which are caused by the thermal response to the electrical signal, while the tissues of the tunica intima and tunica media are relatively preserved.

病变皮肤内的血管受到非选择性的过度破坏的状况下,可能会由于血管过度增生,血管内皮生长因子过度表现(overexpression),促进血管再生而使病变更为恶化。When blood vessels in the affected skin are excessively damaged in a non-selective manner, the lesions may be aggravated by excessive proliferation of blood vessels and overexpression of vascular endothelial growth factor, which promotes angiogenesis.

然而,电信号对于原因血管300或血管300的外膜选择性地诱发热反应的状况下,将会促进病变皮肤内的原因血管300构造再生为正常性的皮肤血管构造,减少过度的物理性非选择性血管破坏时所产生的副作用的危险,在临床上能够观察到痣、血管痣、色素沉淀、玫瑰痤疮、潮红或微血管扩张等有好转的效果。However, when the electrical signal selectively induces a thermal response to the causal blood vessel 300 or the outer membrane of the blood vessel 300, it will promote the regeneration of the causal blood vessel 300 structure in the diseased skin into a normal skin blood vessel structure, reducing the risk of side effects caused by excessive physical non-selective vascular destruction. Clinically, it can be observed that there are improvements in moles, vascular nevi, pigmentation, rosacea, flushing or microvascular dilation.

另一方面,为了开发本发明的治疗装置100所进行的临床试验过程中,发明人发现,本发明的治疗装置100并不会对痣、血管痣、色素沉淀、玫瑰痤疮、潮红或微血管扩张等原因血管300造成物理性地过度破坏,而使对该血管的血管壁施加热、对血管的内皮细胞(Endothelial Cell)(vessel wall)施加适当的损伤,使原因血管300的非正常性过度增生能够恢复正常、或使增加的血管内皮生长因子含量或浓度恢复正常,并降低与此相关的血管新生,及大幅逆转血管扩张的现象。On the other hand, during clinical trials conducted to develop the therapeutic device 100 of the present invention, the inventors discovered that the therapeutic device 100 of the present invention does not cause excessive physical damage to the causative blood vessels 300, such as moles, vascular nevi, pigmentation, rosacea, flushing, or capillary dilation. Instead, it applies heat to the vessel wall and inflicts appropriate damage to the endothelial cells of the vessel, thereby restoring the abnormal overgrowth of the causative blood vessels 300 to normal, or restoring the increased content or concentration of vascular endothelial growth factor to normal, thereby reducing the associated angiogenesis and significantly reversing the phenomenon of vasodilation.

另一方面,对血管细胞施加适当的损伤,可以诱导血管细胞的吞噬作用(或细胞凋亡,进而提升治疗效果。On the other hand, applying appropriate damage to vascular cells can induce phagocytosis (or apoptosis) of vascular cells, thereby improving the therapeutic effect.

不仅如此,如图11及图12所示,通过诱导血管细胞的自发性吞噬作用或细胞凋亡的机制,所去除的血管的再发生率明显地下降。Furthermore, as shown in FIG11 and FIG12 , the regeneration rate of the removed blood vessels was significantly reduced by inducing the spontaneous phagocytosis or apoptosis of vascular cells.

通过本发明的治疗装置100,对痣、血管痣、色素沉淀、玫瑰痤疮、潮红或微血管扩张等的原因血管300的血管细胞施加适当的损伤的技术性原理如下所述。The technical principle of applying appropriate damage to the vascular cells of the vessels 300 that are the cause of nevus, vascular nevus, pigmentation, rosacea, flushing, or telangiectasia using the treatment device 100 of the present invention is as follows.

痣、血管痣、色素沉淀、玫瑰痤疮、潮红或微血管扩张等原因血管300内部的血液大部分是由水所构成,因此传导率(conductivity)较高,比起其他皮肤内的组织,电场内的电信号首先强力地吸引、血管壁与血液之间的阻抗率差异较大、血管壁的电容率(permittivity)较高,因而集中于血管壁的电荷震动造成热反应。顺带一提,水分子与离子物质会受到电磁波形态的电信号而发生震动,震动所造成的摩擦进一步发生热。Moles, vascular nevi, pigmentation, rosacea, hot flashes, or capillary dilation are all caused by these factors. The blood within blood vessels 300 is mostly composed of water, so its conductivity is higher. Compared to other tissues within the skin, the electrical signals within the electric field are first attracted to it. The impedance difference between the blood vessel wall and the blood is greater, and the permittivity of the blood vessel wall is higher. As a result, the charge vibration concentrated in the vessel wall causes a thermal reaction. Incidentally, water molecules and ions are vibrated by the electromagnetic wave-like electrical signals, and the friction caused by the vibrations further generates heat.

此时,电信号通过与血管内侧接触的部分的血液而漏出,因而血管壁内层较不会发生热反应,并且,热会由于流动的血液而分散,因而血管壁内层较不会发生热反应,而集中于血管壁的外层。At this time, the electrical signal leaks through the blood in contact with the inner side of the blood vessel, so the inner layer of the blood vessel wall is less likely to react thermally. In addition, the heat is dispersed by the flowing blood, so the inner layer of the blood vessel wall is less likely to react thermally and is concentrated in the outer layer of the blood vessel wall.

假设电信号的导引时间增加的话,全体会发生更多的热,并会由于更多的热而造成更多的血管损伤。If the conduction time of the electrical signal increases, more heat will be generated overall, and more blood vessel damage will be caused due to the increased heat.

另一方面,在血管壁所发生的热会诱发血管细胞发生热损伤。On the other hand, the heat generated in the blood vessel wall can induce thermal damage to vascular cells.

因此,本发明的治疗装置100为针对痣、血管痣、色素沉淀、玫瑰痤疮、潮红或微血管扩张等的原因血管300组织以外的周边皮肤组织不会施加损伤,只诱导血管壁发生热的治疗装置。Therefore, the treatment device 100 of the present invention is a treatment device that does not cause damage to the surrounding skin tissue other than the blood vessel 300 tissue that causes moles, vascular nevi, pigmentation, rosacea, hot flashes or capillary dilation, and only induces heat in the blood vessel wall.

换句话说,本发明的治疗装置100为能够只针对特定血管300的血管细胞诱发热损伤的装置,利用能够诱发水与离子物质发生震动并产生摩擦热的电信号,对血管施加热损伤的治疗装置。In other words, the treatment device 100 of the present invention is a device that can induce thermal damage only to the vascular cells of a specific blood vessel 300, and uses an electrical signal that can induce vibration between water and ionic substances and generate frictional heat to apply thermal damage to the blood vessel.

本发明的治疗装置100使血管细胞的非正常性过度增生能够恢复正常,及使增加的血管内皮生长因子的含量或病变皮肤内的浓度恢复正常,据此治疗与其相关的血管新生或增生的血管扩张。The therapeutic device 100 of the present invention can restore abnormal excessive proliferation of vascular cells to normal, and restore the increased content of vascular endothelial growth factor or the concentration in diseased skin to normal, thereby treating the associated angiogenesis or hyperplasia of blood vessels.

同时,依据本发明的治疗装置100,通过诱导血管细胞的吞噬作用或细胞凋亡,而可以产生治疗效果。At the same time, the therapeutic device 100 according to the present invention can produce a therapeutic effect by inducing phagocytosis or apoptosis of vascular cells.

另一方面,为了通过热损伤来诱导血管细胞的吞噬作用或细胞凋亡,必须对血管细胞造成适当水平的热损伤,发明人为了寻找足以造成适当水平的热损伤,反复进行临床试验以找寻治疗装置100的驱动条件,其结果如下列表1所示On the other hand, in order to induce phagocytosis or apoptosis of vascular cells through thermal damage, an appropriate level of thermal damage must be caused to the vascular cells. To find the driving conditions for the treatment device 100 that can cause an appropriate level of thermal damage, the inventors repeatedly conducted clinical trials. The results are shown in Table 1 below.

表1Table 1

上述表1的电压值及电功率值为本发明的治疗装置100于负载电阻(loadresistance)为100Ω(Ohm;电阻)的状况下所测定的测定值。The voltage values and electric power values in Table 1 are measured values of the treatment device 100 of the present invention when the load resistance (load resistance) is 100Ω (Ohm).

换句话说,电压(Vrms单位;Volt)与电功率为负载电阻为100Ω的基准下的电压与电功率的测定值,指插入于手术对象的皮肤层200(表皮层210或真皮层220)的电极153所导引的电信号的电压值与电功率值。In other words, the voltage (Vrms unit; Volt) and the electric power are the measured values of the voltage and the electric power under the reference of the load resistance of 100Ω, and refer to the voltage value and the electric power value of the electrical signal guided by the electrode 153 inserted into the skin layer 200 (epidermis 210 or dermis 220) of the surgical object.

另一方面,表1中的导引时间(msec单位;0.001second)指电极153插入皮肤层200的状态下,电极153导引电信号的时间。On the other hand, the conduction time (msec unit; 0.001 second) in Table 1 refers to the time during which the electrode 153 conducts the electrical signal when the electrode 153 is inserted into the skin layer 200 .

简单来说,是指以电信号对手术对象的皮肤层200每一次击发(shot)时所施加的时间。Simply put, it refers to the time during which each shot of an electrical signal is applied to the skin layer 200 of the surgical subject.

另一方面,本发明的实施例中,也可以先将表1的参数值中的其一或二以上,经由上述治疗装置100的输入部180输入后,通过控制部190等控制装置以预先设定的数值来控制治疗装置。On the other hand, in an embodiment of the present invention, one or more of the parameter values in Table 1 may be input through the input unit 180 of the treatment device 100, and then the treatment device may be controlled by a control device such as the control unit 190 with a preset value.

即,表1中的驱动条件1可以使痣、血管痣、色素沉淀、玫瑰痤疮、潮红或微血管扩张等病变好转,以驱动条件2的小范围的驱动条件下,可以使病变的治疗效果更加改善。That is, driving condition 1 in Table 1 can improve lesions such as nevus, vascular nevus, pigmentation, rosacea, flushing or microvascular dilation, and under the small-scale driving condition of driving condition 2, the treatment effect of the lesion can be further improved.

并且,比起驱动条件2,设定如驱动条件3的驱动条件时,诱导细胞凋亡或病变的治疗效果最为良好。Furthermore, when the driving condition 3 is set as compared to the driving condition 2, the therapeutic effect of inducing cell apoptosis or pathology is the best.

同时,利用本发明的痣、血管痣、色素沉淀、玫瑰痤疮、潮红或微血管扩张等的治疗装置100,以驱动条件2~3的范围内各自设置参数,即能够以人类或动物等作为对象,进行多样的临床试验,其结果参考图4至图12。At the same time, using the treatment device 100 of the present invention for moles, vascular nevi, pigmentation, rosacea, hot flashes, or microvascular dilation, parameters can be set within the range of driving conditions 2 to 3, that is, various clinical trials can be conducted on humans or animals as subjects, and the results are shown in Figures 4 to 12.

参照图4,是以迷你猪的皮肤作为对象的动物试验结果,于试验前的(a)部分进行比较,于试验后的(b)部分中可以通过组织的变化间接观察到施加电信号时,真皮内的血管选择性地发生反应,且未发生血管破坏或过度的真皮内出血,并可以确认诱导了细胞凋亡的血管细胞的损伤。Referring to Figure 4, the results of animal tests using mini pig skin as the subject are compared in part (a) before the test. In part (b) after the test, it can be indirectly observed through tissue changes that when an electrical signal is applied, the blood vessels in the dermis selectively respond without vascular damage or excessive intradermal bleeding, and damage to vascular cells that induces apoptosis can be confirmed.

图6及图7是以牛的肝脏(bovine liver)作为对象的动物试验结果,揭示于电信号导引之后的状态的图。FIG6 and FIG7 are animal test results using bovine liver as the subject, showing the state after electrical signal guidance.

参照图6及图7,对牛的肝脏组织施加电信号时,肝组织内的血管选择性地发生反应,此时,可以观察到主要为血管的外膜(tunica adventitia)受到电信号造成的热损伤发生组织变化,而内膜与中膜相对地不受到影响。6 and 7 , when an electrical signal is applied to the cow's liver tissue, the blood vessels within the liver tissue selectively react. It can be observed that the outer membrane (tunica adventitia) of the blood vessels undergoes tissue changes due to thermal damage caused by the electrical signal, while the inner membrane and the media are relatively unaffected.

除此之外,通过图8以第一位临床试验患者做为对象的治疗前的皮肤状态的(a)部分,及连续2个月接受每周一次的定期治疗后的皮肤状态的(b)部分,可以确认痣、血管痣、色素沉淀、玫瑰痤疮、潮红或微血管扩张等的巨大的改善效果。In addition, Figure 8 shows the skin condition of the first clinical trial patient before treatment (part (a)) and the skin condition after regular treatment once a week for two consecutive months (part (b)). Significant improvements in moles, vascular nevi, pigmentation, rosacea, hot flashes, and capillary dilation can be confirmed.

通过图9以第二位临床试验患者做为对象的治疗前的皮肤状态的(a)部分,及连续2个月接受每周一次的定期治疗后的皮肤状态的(b)部分,可以确认痣、血管痣、色素沉淀、玫瑰痤疮、潮红或微血管扩张等的巨大的改善效果。Figure 9 shows the skin condition of the second clinical trial patient before treatment (part (a)) and the skin condition after regular treatment once a week for two consecutive months (part (b)). Significant improvements in moles, vascular nevi, pigmentation, rosacea, hot flashes, and telangiectasia can be confirmed.

通过图10以第三位临床试验患者做为对象的治疗前的皮肤状态的(a)部分,及连续2个月接受每周一次的定期治疗后的皮肤状态的(b)部分,可以确认痣、血管痣、色素沉淀、玫瑰痤疮、潮红及微血管扩张等的巨大的改善效果。Figure 10 shows the skin condition of the third clinical trial patient before treatment (part (a)) and the skin condition after regular treatment once a week for two consecutive months (part (b)). Significant improvements in moles, vascular nevi, pigmentation, rosacea, hot flashes, and capillary dilation can be confirmed.

通过图11以第四位临床试验患者做为对象的治疗前的皮肤状态的(a)部分、连续2个月接受每周一次的定期治疗后的皮肤状态的(b)部分,及治疗结束后经过一年的时间后的皮肤状态的图(c),可以确认痣、血管痣、色素沉淀、玫瑰痤疮、潮红或微血管扩张等巨大的改善效果;又与现有的治疗法不同,本发明的治疗结束后经过一年的时间后也不会有病变的再发生现象,反倒是比起2个月的治疗之后更为好转。Figure 11 shows the skin condition of the fourth clinical trial patient before treatment (part (a), the skin condition after two consecutive months of weekly treatment (part (b), and the skin condition one year after the completion of treatment (part (c)). Significant improvements in moles, vascular nevi, pigmentation, rosacea, flushing, and capillary dilation can be confirmed. Furthermore, unlike existing treatments, the present invention shows no recurrence of lesions even one year after the completion of treatment, and is actually better than after two months of treatment.

通过图12以第五位临床试验患者做为对象的治疗前的皮肤状态的(a)部分、连续2个月受每周一次的定期治疗后的皮肤状态的(b)部分,及治疗结束后经过一年的时间后的皮肤状态的图(c),可以确认痣、血管痣、色素沉淀、玫瑰痤疮、潮红或微血管扩张等巨大的改善效果;又与现有的治疗法不同,本发明的治疗结束后经过一年的时间后也不会有病变的再发生现象,反倒是比起2个月的治疗之后更为好转。Figure 12 shows the skin condition of the fifth clinical trial patient before treatment (part (a), the skin condition after two consecutive months of weekly treatment (part (b), and the skin condition one year after the end of treatment (part (c)). Significant improvements can be seen in nevi, vascular nevi, pigmentation, rosacea, flushing, and capillary dilation. Unlike existing treatments, the present invention does not show any recurrence of lesions even one year after the end of treatment, and is actually better than after two months of treatment.

另一方面,于本发明中,导引至皮肤组织的电信号所造成的热反应随传达至的组织内的各种构成组织的电阻值的不同,所引起的电气热反应的影响也会不同。On the other hand, in the present invention, the thermal reaction caused by the electrical signal guided to the skin tissue varies with the resistance values of the various constituent tissues within the tissue to which the electrical signal is transmitted, and the resulting electrical thermal reaction will also vary.

本发明的实施例中,依据不同的状况,导引至皮肤组织的电信号可以由作为阴极的活性电极与作为阳极的接地电极所组成的单极(monopolar)方式传达至皮肤组织,也可以由包括二活性电极的双极方式传达至皮肤组织。In an embodiment of the present invention, depending on different conditions, the electrical signal directed to the skin tissue can be transmitted to the skin tissue in a monopolar manner consisting of an active electrode serving as a cathode and a ground electrode serving as an anode, or in a bipolar manner including two active electrodes.

具体而言,相对于单极方式中,自活性电极中流出的电流(电子)通过患者的身体所形成的接地电极流动的电路,双极方式中,电路则是局限于目标组织的部分,据此,比起单极方式,双极方式对于人体更为安全,且更易于选择性地集中治疗病变部位。Specifically, compared to the monopolar method, in which the current (electrons) flowing from the active electrode flows through the patient's body to form a circuit to the ground electrode, in the bipolar method, the circuit is limited to the target tissue portion. Therefore, compared with the monopolar method, the bipolar method is safer for the human body and makes it easier to selectively focus treatment on the diseased area.

同时,本发明的侵入方法为于目标组织中插入电极后,传达电信号,因此比起现有的非侵入方法能够更精密地调整治疗的深度,比起非侵入方法能够相对均匀地治疗深处,及以非连续性的影响使目标组织形成选择性的组织热反应。At the same time, the invasive method of the present invention is to transmit electrical signals after inserting electrodes into the target tissue. Therefore, compared with existing non-invasive methods, the treatment depth can be adjusted more precisely, and the treatment depth can be treated relatively uniformly compared with non-invasive methods. It can also cause the target tissue to form a selective tissue thermal response through discontinuous influence.

并且,由于对全身性的血管造成影响的状况是致命的,通过侵入方法能够实现局限的局部治疗,因而相对而言较为安全。Furthermore, since systemic vascular damage is fatal, invasive methods allow for localized treatment and are therefore relatively safe.

同时,于本发明中,经由研究过程得知,毛根结构可以作为皮肤中的电流导体,电信号传达至毛根结构时,与于血管组织中通过血管壁的外层所传达者相似,特别是与毛根结构的外部层的外根鞘(outer root sheath)同为纤维性结合组织,因此可以得知所述结果。At the same time, in the present invention, through the research process, it was found that the hair root structure can serve as an electric current conductor in the skin. When the electrical signal is transmitted to the hair root structure, it is similar to that transmitted through the outer layer of the blood vessel wall in the vascular tissue. In particular, the outer root sheath (outer root sheath) of the outer layer of the hair root structure is a fibrous connective tissue, so the above results can be obtained.

据此,通过调节施加毛根组织的电信号的强度,期待可以改善现今难治性病变的脱发,及达成永久性除毛的治疗效果。Based on this, by adjusting the intensity of the electrical signal applied to the hair root tissue, it is expected that the treatment effect of hair loss, which is currently intractable, can be improved and permanent hair removal can be achieved.

另一方面,利用本发明来治疗痣的状况下,为了提升治疗效果及降低再发率,可以同时并行进行净肤激光(laser toning)、药物疗法等现有的治疗法。On the other hand, when using the present invention to treat moles, in order to enhance the treatment effect and reduce the recurrence rate, existing treatments such as laser toning and drug therapy can be performed simultaneously.

综合上述,依据本发明,可以主要只于血管组织诱发热反应,进而可以预防其他组织发生不必要的烧烫伤及损伤。In summary, according to the present invention, a thermal reaction can be induced mainly in vascular tissue, thereby preventing unnecessary burns and injuries to other tissues.

同时,以具备休止区间的脉冲方式导引电信号,可以预防周边组织发生不必要的损伤及过度的血管组织的损伤,通过使周边组织不必要的热损伤可以最小化,能够缩短手术后的恢复期间,可以降低副作用发生的危险性。At the same time, guiding electrical signals in a pulsed manner with a rest interval can prevent unnecessary damage to surrounding tissues and excessive damage to vascular tissue. By minimizing unnecessary thermal damage to surrounding tissues, the post-operative recovery period can be shortened and the risk of side effects can be reduced.

同时,通过本发明能够容易地调整血管组织所受到的热反应的程度,进而可以预防手术过程中发生过多的血管损伤所造成的青肿痕迹、过度补偿性血管过度增生等现象的发生。At the same time, the present invention can easily adjust the degree of thermal reaction to vascular tissue, thereby preventing the occurrence of bruises, over-compensatory vascular hyperplasia, and the like caused by excessive vascular damage during surgery.

同时,现有的治疗方法不同,本发明活用了侵入型电极,而可以治疗位于皮肤内深处的血管组织,并可以均匀地治疗皮肤内的血管组织。At the same time, unlike existing treatment methods, the present invention utilizes invasive electrodes to treat vascular tissue deep within the skin and can evenly treat the vascular tissue within the skin.

并且,通过本发明使用双极电极,电气传导可以局限于局部病变内,比起在全身形成电场的单极(monopolar)电极的状况更加地安全,针对进行心脏疾患、心脏脉搏治疗的患者,能够降低全身效果所造成的危险性。Furthermore, by using bipolar electrodes in the present invention, electrical conduction can be confined to local lesions, which is safer than using monopolar electrodes that form an electric field throughout the body. This can reduce the risk of systemic effects on patients undergoing heart disease or cardiac pulse therapy.

同时,通过本发明可以选择性地只治疗血管组织,能够减少热反应所诱发的疼痛,使被手术者能够更舒适地接受手术。At the same time, the present invention can selectively treat only vascular tissue, which can reduce the pain induced by thermal reaction and enable the patient to undergo surgery more comfortably.

同时,本发明的皮肤内血管治疗装置不仅限于能够应用于皮肤科领域,而可以使用于治疗包括皮肤科领域、包括口腔、咽头、喉头、食道、胃、小肠、大肠、肛门、肝脏、胰脏、胆囊、脾脏等的消化器官、包括气管、肺、胸膜、胸壁等的呼吸器官、包括脑、脊髓等的所有神经器官、皮下(subcutaneous)组织等的所有医学领域的组织内血管。At the same time, the skin intravascular treatment device of the present invention is not limited to being used in the field of dermatology, but can be used to treat tissue blood vessels in all medical fields including the field of dermatology, digestive organs such as the mouth, pharynx, larynx, esophagus, stomach, small intestine, large intestine, anus, liver, pancreas, gallbladder, spleen, etc., respiratory organs such as the trachea, lungs, pleura, chest wall, etc., all nervous organs such as the brain and spinal cord, and subcutaneous tissue.

本发明中所使用的用语仅用于说明特定的实施例,并非用于限定本发明,多数的表现中,包括于上下文中明确不同的一与多个的表现。本申请中,〝包括〞或〝具有〞等用语仅用于说明说明书中所记载的特征、数字、步骤、动作、结构要素、部分或其组合的存在,并非用于预先排除数字、步骤、动作、结构要素、部分或其所组成的存在或附加可能性。The terms used in this application are intended only to describe specific embodiments and are not intended to limit the invention. Many expressions include one or more expressions that are clearly distinguishable from the context. In this application, the terms "including" or "having" are intended only to indicate the presence of a feature, number, step, action, structural element, part, or combination thereof described in the specification and are not intended to preclude the presence or possibility of additional numbers, steps, actions, structural elements, parts, or combinations thereof.

以上图式并说明本发明的优选实施例及应用例,为本发明并不仅以所述特定的实施例及应用例所限定,在未脱出申请专利范围中所请的本发明要旨的前提下,本发明所属技术领域中具有通常知识者的可以进行多样的变形实施,不应理解为与本发明的技术思想或展望不同的内容。The above figures and descriptions of the preferred embodiments and application examples of the present invention are intended to illustrate that the present invention is not limited to the specific embodiments and application examples described above. Without departing from the gist of the present invention as claimed in the scope of the patent application, a person having ordinary knowledge in the technical field to which the present invention belongs may perform various modified implementations, which should not be understood as content that is different from the technical concept or prospect of the present invention.

产业上的可利用性Industrial applicability

本发明在医疗装置产业中的产业利用性中得到了认可。The present invention has been recognized for its industrial applicability in the medical device industry.

Claims (10)

1.一种皮肤内血管的治疗装置,其特征在于,包括:1. A treatment device for intradermal blood vessels, characterized in that it comprises: 多个电极,插入于手术对象的皮肤,用于对上述皮肤内血管施加电信号;Multiple electrodes are inserted into the skin of the surgical subject to apply electrical signals to the blood vessels within the skin. 电信号发生部,与上述多个电极电连接;以及The electrical signal generator is electrically connected to the aforementioned plurality of electrodes; and 电源供给部,用于对上述电信号发生部供给电源;The power supply unit is used to supply power to the aforementioned electrical signal generator; 其中,上述皮肤内血管位于上述多个电极中的二个电极之间;Among them, the aforementioned intradermal blood vessels are located between two of the aforementioned multiple electrodes; 其中,由于上述电极的插入于上述手术对象皮肤内的部位所施加的电信号,造成上述皮肤内的血管的热损伤;Among them, the electrical signal applied by the electrode inserted into the skin of the surgical subject causes thermal damage to the blood vessels in the skin. 其中,上述多个电极所传导的电信号具有至少一次的延迟时间而反复传导,The electrical signals transmitted by the aforementioned electrodes are repeatedly transmitted with at least one delay time. 其中,所述延迟时间在0.1毫秒至500毫秒的范围内,并且,The delay time is in the range of 0.1 milliseconds to 500 milliseconds, and, 其中,将在Vrms为从20伏到250 伏范围内的电压施加到上述多个电极,传输到上述多个电极的功率在从4.0W到625W的范围内,电信号传导到上述多个电极的持续时间在从10毫秒到300 毫秒的范围内;Specifically, a voltage ranging from 20 volts to 250 volts will be applied to the aforementioned electrodes, the power transmitted to the aforementioned electrodes will be ranging from 4.0W to 625W, and the duration of the electrical signal transmission to the aforementioned electrodes will be ranging from 10 milliseconds to 300 milliseconds. 其中,上述多个电极之间形成交流电场;An alternating electric field is formed between the aforementioned multiple electrodes; 其中,上述多个电极包括双极体系。Among them, the aforementioned electrodes include bipolar systems. 2.根据权利要求1所述的皮肤内血管的治疗装置,其特征在于,上述皮肤内血管的治疗装置的使用目的为改善痣、血管痣、严重色素沉淀、低色素症、玫瑰痤疮、潮红、红斑及微血管扩张中的至少一种。2. The treatment device for intradermal blood vessels according to claim 1, characterized in that the purpose of using the treatment device for intradermal blood vessels is to improve at least one of moles, vascular nevi, severe pigmentation, hypopigmentation, rosacea, flushing, erythema, and microvascular dilation. 3.根据权利要求1所述的皮肤内血管的治疗装置,其特征在于,上述电极的插入于上述手术对象皮肤内的部位所施加的电信号,造成上述皮肤内的血管的表皮层的热损伤。3. The treatment device for intradermal blood vessels according to claim 1, characterized in that the electrical signal applied to the portion of the electrode inserted into the skin of the surgical subject causes thermal damage to the epidermal layer of the blood vessels in the skin. 4.根据权利要求1所述的皮肤内血管的治疗装置,其特征在于,在插入上述电极的皮肤组织中,造成上述电极邻接区域与上述皮肤内血管及上述血管邻接区域的热损伤。4. The treatment device for intradermal blood vessels according to claim 1, characterized in that thermal damage is caused in the skin tissue in which the electrode is inserted, between the area adjacent to the electrode and the intradermal blood vessels and the area adjacent to the blood vessels. 5.根据权利要求1所述的皮肤内血管的治疗装置,其特征在于,在插入上述电极的皮肤组织中,造成上述电极邻接区域与上述皮肤内血管的邻接组织区域之间的皮肤组织区域的热损伤。5. The treatment device for intradermal blood vessels according to claim 1, characterized in that thermal damage is caused in the skin tissue region between the electrode's adjacent area and the adjacent tissue region of the intradermal blood vessel in the skin tissue where the electrode is inserted. 6.根据权利要求1所述的皮肤内血管的治疗装置,其特征在于,上述多个电极插入至上述手术对象的皮肤的真皮层。6. The treatment device for intradermal blood vessels according to claim 1, characterized in that the plurality of electrodes are inserted into the dermis of the skin of the surgical subject. 7. 根据权利要求1所述的皮肤内血管的治疗装置,其特征在于,上述电信号发生部为频率为0.1~100 MHz的高频信号发生装置。7. The treatment device for intradermal blood vessels according to claim 1, characterized in that the above-mentioned electrical signal generating unit is a high-frequency signal generating device with a frequency of 0.1 to 100 MHz. 8.根据权利要求1所述的皮肤内血管的治疗装置,其特征在于,上述电极插入上述手术对象的皮肤的深度、上述电极施加的电压值、自上述电极所传达的电功率值、上述电极施加上述电信号的时间、上述电极未施加上述电信号的延迟时间中的至少一种是能够预先设定的。8. The treatment device for intradermal blood vessels according to claim 1, characterized in that at least one of the following: the depth of insertion of the electrode into the skin of the surgical subject, the voltage value applied by the electrode, the electrical power value transmitted from the electrode, the time for the electrode to apply the electrical signal, and the delay time when the electrode does not apply the electrical signal, can be preset. 9.根据权利要求1所述的皮肤内血管的治疗装置,其特征在于,还包括具有用于固定上述多个电极的固定部的电极模块。9. The treatment device for intradermal blood vessels according to claim 1, characterized in that it further comprises an electrode module having a fixing part for fixing the plurality of electrodes. 10.根据权利要求9所述的皮肤内血管的治疗装置,其特征在于,还包括用于驱动上述电极或电极模块来使上述电极插入皮肤内的驱动部。10. The treatment device for intradermal blood vessels according to claim 9, characterized in that it further includes a driving part for driving the electrode or electrode module to insert the electrode into the skin.
HK17111160.2A 2015-02-03 2016-02-02 Apparatus for treating blood vessels in skin HK1237292B (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
KR10-2015-0016793 2015-02-03
KR10-2015-0114641 2015-08-13

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HK1237292A1 HK1237292A1 (en) 2018-04-13
HK1237292B true HK1237292B (en) 2022-04-29

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