JP2020018897A - 皮膚組織の低温処置のための方法及び装置 - Google Patents
皮膚組織の低温処置のための方法及び装置 Download PDFInfo
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
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- A61F7/007—Heating or cooling appliances for medical or therapeutic treatment of the human body characterised by electric heating
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- A—HUMAN NECESSITIES
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- A61B2018/00452—Skin
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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
- A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
- A61B2018/00452—Skin
- A61B2018/0047—Upper parts of the skin, e.g. skin peeling or treatment of wrinkles
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- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00636—Sensing and controlling the application of energy
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00773—Sensed parameters
- A61B2018/00875—Resistance or impedance
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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
- A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
- A61B2018/0231—Characteristics of handpieces or probes
- A61B2018/0237—Characteristics of handpieces or probes with a thermoelectric element in the probe for cooling purposes
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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
- A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
- A61B2018/0231—Characteristics of handpieces or probes
- A61B2018/0262—Characteristics of handpieces or probes using a circulating cryogenic fluid
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
- A61F2007/0001—Body part
- A61F2007/0052—Body part for treatment of skin or hair
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
- A61F2007/0054—Heating or cooling appliances for medical or therapeutic treatment of the human body with a closed fluid circuit, e.g. hot water
- A61F2007/0056—Heating or cooling appliances for medical or therapeutic treatment of the human body with a closed fluid circuit, e.g. hot water for cooling
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
- A61F7/007—Heating or cooling appliances for medical or therapeutic treatment of the human body characterised by electric heating
- A61F2007/0075—Heating or cooling appliances for medical or therapeutic treatment of the human body characterised by electric heating using a Peltier element, e.g. near the spot to be heated or cooled
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
- A61F2007/0094—Heating or cooling appliances for medical or therapeutic treatment of the human body using a remote control
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
- A61F2007/0095—Heating or cooling appliances for medical or therapeutic treatment of the human body with a temperature indicator
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Abstract
Description
本出願は、2011年11月16日に出願された米国仮特許出願第61/560,621号に関連するとともに優先権を主張し、その開示の全体が本明細書に参照によって完全に組み込まれている。
110 突起部
120 ベース
130 ハンドル
140 ギャップ
200 装置
210 中空リザーバー
220 冷媒
400 装置
410 突起部
420 流路
450 装置
460 高い熱伝導率を有する材料の層
500 装置
510 ペルチェデバイス
520 温度センサ
600 装置
610 熱センサ
620 熱制御構成部
625 配線
700 装置
710 熱伝導性構成部
720 絶縁材料
750 装置
800 装置
810 光学導管
820 突起部
Claims (31)
- ベース構成部と、
前記ベース構成部と近位端において接触して提供される複数の突起部と、を含み、
前記突起部の遠位端の幅が約2mmから約20mmの間であり、
前記突起部の遠位端が実質的に平坦であるかまたは少なくともわずかに凸面であるかの少なくとも一方である、皮膚組織を冷却するための装置。 - 前記突起部の遠位端の幅が約5mmよりも大きい、請求項1に記載の装置。
- 前記突起部の遠位端の幅が約8mmよりも大きい、請求項1に記載の装置。
- 前記突起部の遠位端と前記ベースの下面との間の前記突起部の長さが約1cmよりも小さい、請求項1に記載の装置。
- 前記突起部の遠位端と前記ベースの下面との間の前記突起部の長さが約5mmよりも小さい、請求項1に記載の装置。
- 前記突起部が、前記皮膚組織の熱拡散率よりも少なくとも10倍大きな熱拡散率を有する材料から形成される、請求項1に記載の装置。
- 前記突起部が、グラファイト、ダイヤモンドまたはダイヤモンドライクカーボンの少なくとも1つを含む、請求項6に記載の装置。
- 前記突起部のうち隣接するものの遠位端の間の平均距離が、前記遠位端の幅とほぼ同一である、請求項1に記載の装置。
- 前記突起部のうち隣接するものの遠位端の間の平均距離が、前記遠位端の幅よりも小さい、請求項1に記載の装置。
- 前記突起部と熱的に接触して提供される冷却構成部をさらに含む、請求項1から9のいずれか一項に記載の装置。
- 前記冷却構成部が、ペルチェデバイス、冷媒もしくは相変化材料の少なくとも1つを閉じ込めるように構成されたリザーバー、または内部を通して冷媒を循環させるように構成された少なくとも1つの配管の少なくとも1つを含む、請求項10に記載の装置。
- 前記冷却構成部が、約−5℃よりも低い温度まで前記突起部の少なくとも一部を冷却するように構成された、請求項10に記載の装置。
- 前記冷却構成部が、約−7℃よりも低い温度まで前記突起部の少なくとも一部を冷却するように構成された、請求項10に記載の装置。
- 前記冷却構成部が、約−7℃から−10℃の間の温度まで前記突起部の少なくとも一部を冷却するように構成された、請求項10に記載の装置。
- 前記冷却構成部が、約−5℃から−20℃の間の温度まで前記突起部の少なくとも一部を冷却するように構成された、請求項10に記載の装置。
- 温度センサをさらに含む、請求項10に記載の装置。
- 前記突起部の少なくとも1つの近位端の幅が、前記突起部の遠位端の幅よりも大きい、請求項10に記載の装置。
- 前記突起部の近位部の幅が、前記突起部の遠位端の幅の少なくとも2倍である、請求項10に記載の装置。
- 前記突起部の少なくとも1つが、ピラミッドまたは円錐形のうち少なくとも1つの形状を有する、請求項10に記載の装置。
- 前記突起部の少なくとも一部の間に提供される熱絶縁材料をさらに含む、請求項1に記載の装置。
- 前記突起部の少なくとも1つに近接する皮膚組織の凍結を検出するように構成された感知構成部をさらに含む、請求項10に記載の装置。
- 感知構成部が、温度センサ、光学センサ、電気インピーダンス検出器または機械的検出器の少なくとも1つを含む、請求項21に記載の装置。
- 皮膚組織の、複数の離隔された表面領域を冷却する段階を含み、
前記皮膚組織の冷却される領域の少なくとも2つの隣接する領域の幅が約2mmよりも大きく、
前記冷却の条件が前記皮膚組織の少なくとも一部を凍結させるように選択される、皮膚組織を冷却するための美容の方法。 - 前記冷却する段階が、前記皮膚組織の表面を複数の低温物体に接触させる段階を含み、
前記皮膚組織に接触する前記低温物体の遠位端の幅が約2mmよりも大きい、請求項23に記載の方法。 - 前記低温物体の温度が、約−5℃よりも低い状態で提供される、請求項24に記載の方法。
- 前記低温物体の温度が、約−7℃よりも低い状態で提供される、請求項24に記載の方法。
- 前記低温物体の温度が、約−7℃から−10℃の間で提供される、請求項24に記載の方法。
- 前記低温物体の温度が約−5℃から−20℃の間で提供される、請求項24に記載の方法。
- 前記皮膚組織の表面が、約1分よりも短い持続時間の間、前記低温物体に接触される、請求項24から28のいずれか一項に記載の方法。
- 皮膚組織に接触する前記低温物体の少なくとも一つに近接する前記皮膚組織の凍結の検出をさらに含む、請求項24から28のいずれか一項に記載の方法。
- 皮膚組織の凍結が検出された後に、前記皮膚組織の表面が、約1分よりも短い持続時間の間、前記低温物体にに接触した状態で提供される、請求項29に記載の方法。
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US201161560621P | 2011-11-16 | 2011-11-16 | |
US61/560,621 | 2011-11-16 |
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JP2016223046A Active JP6661517B2 (ja) | 2011-11-16 | 2016-11-16 | 皮膚組織の低温処置のための方法及び装置 |
JP2019200981A Pending JP2020018897A (ja) | 2011-11-16 | 2019-11-05 | 皮膚組織の低温処置のための方法及び装置 |
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JP2016223046A Active JP6661517B2 (ja) | 2011-11-16 | 2016-11-16 | 皮膚組織の低温処置のための方法及び装置 |
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US (2) | US9974684B2 (ja) |
EP (2) | EP3649973A1 (ja) |
JP (3) | JP6046158B2 (ja) |
KR (3) | KR102087894B1 (ja) |
CN (2) | CN109602489A (ja) |
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CN104394813B (zh) | 2018-11-09 |
CN109602489A (zh) | 2019-04-12 |
KR102087894B1 (ko) | 2020-03-12 |
EP2779969A4 (en) | 2015-08-12 |
US20190029876A1 (en) | 2019-01-31 |
KR20210117349A (ko) | 2021-09-28 |
JP6661517B2 (ja) | 2020-03-11 |
JP2017051645A (ja) | 2017-03-16 |
KR20190133299A (ko) | 2019-12-02 |
KR102359731B1 (ko) | 2022-02-08 |
US11197776B2 (en) | 2021-12-14 |
US9974684B2 (en) | 2018-05-22 |
WO2013075006A1 (en) | 2013-05-23 |
CN104394813A (zh) | 2015-03-04 |
IL232670B (en) | 2019-07-31 |
EP2779969A1 (en) | 2014-09-24 |
IL232670A0 (en) | 2014-07-31 |
EP3649973A1 (en) | 2020-05-13 |
JP2015504336A (ja) | 2015-02-12 |
JP6046158B2 (ja) | 2016-12-14 |
US20140303697A1 (en) | 2014-10-09 |
EP2779969B1 (en) | 2019-10-09 |
KR20150023215A (ko) | 2015-03-05 |
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