JP5801386B2 - セルライトの出現を減少させるためのダイセクションハンドピースおよび方法 - Google Patents
セルライトの出現を減少させるためのダイセクションハンドピースおよび方法 Download PDFInfo
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Description
本出願は、米国出願第12/555,746号(2009年9月8日出願)の一部継続出願であり、その優先権を主張する。同米国出願第12/555,746号は、米国出願第11/515,634号(2006年9月5日出願)、及び米国出願第11/334,794号(2006年1月17日出願、現米国特許第7,588,547号)の一部継続出願であり、それらの優先権を主張する。同米国出願第11/515,634号、及び同米国出願第11/334,794号は、米国仮出願第60/715,398号(2005年9月7日出願)の優先権を主張する。上記全ての出願での開示内容は、参照によりその全体が本出願に組み込まれる。
また本出願は、米国出願第12/247,853号(2008年10月8日出願)の一部継続出願であり、その優先権を主張する。同米国出願第12/247,853号は、米国仮出願第60/978,607号(2007年10月9日出願)の優先権を主張する。
同米国出願第12/247,853号、及び同米国仮出願第60/978,607号の開示内容は、参照によりその全体が本出願に組み込まれる。本出願者は、これら一環の関連出願全ての優先権を主張する。
本発明は、皮下構造を修正し、セルライトの出現を減少させるための手術道具、及びインプラント器具に関する。
さらには、本発明の治療法は、周知の脂肪除去法や、スキンタイトニング法、皮膚を厚くする方法等と組み合わせて使用することができる。
この治療は、周知の脂肪除去法や、スキンタイトニング法、皮膚を厚くする方法等と組み合わせて使用することができる。
治療薬は、局所麻酔薬(鎮痛薬)、抗生物質、また類似の医療目的で使用される治療薬の組み合わせ等を含む。場合によっては、ポート2201の代わりに、真空発生源と接続する吸引ポートを設置してもよく、そうすることで流体を吸引し、流体の蓄積を最小限にすることができる。
好ましくは、ワイヤ2203の出口を、先端部2205とそこから3cmほど基端部側へ離れた箇所の間に配置する。実施形態によっては、ワイヤの尖った面が切断器具102の先端部2205側を向いてもよく、その場合は、切断器具をその先端部方向に動かすことで切断が行われる。他の実施形態としては、ワイヤの尖った面が先端部2205とは反対の基端部側を向くようにしてもよく、その場合、切断器具をある先端部側位置から引き戻すことで切断が行われる。場合によっては、ワイヤの両端を尖鋭化して、どちらの方向に動かしても切断が行われるようにしてもよい。任意であるが、切断ワイヤ2203を、切断中の一連のスイープ動作の中で段階的に展開してもよい。そうすることで、一回のスイープ動作毎にワイヤが少しずつ押し出され、広い切開(ダイセクション)面を形成することができる。図22Bが示すのはワイヤの尖鋭化されていない部分であり、図22Cは半尖鋭化部分、図22Dは、切断器具102から展開された時の十分に尖鋭化した端部である。ポート2201は、治療領域に液体を投与するのに使用してもよいし、線維隔壁の切断時や脂肪組織の破壊時に治療領域から組織を吸引するのに使用してもよい。
Claims (16)
- 低侵襲性皮膚治療装置であって、
周囲面を画定する周囲立上り部および頂部を有し、当該周囲立上り部および頂部により陥凹部を共同で形成し、前記周囲立上り部および前記頂部の内側部分で前記陥凹部側を向く対向面を形成するハンドピースと、
少なくとも一部が前記周囲立上り部を通って前記陥凹部内へと延びるように構成された切断器具と、
前記ハンドピースに作動的に連結されたガイドトラックであって、当該ガイドトラックと関連する前記切断器具の基端部の一部を拘束して、当該ガイドトラックの所定経路に沿って縦方向及び横方向に動かすようにする、ガイドトラックと、
前記周囲立上り部を貫通する通路であって、前記通路の内側に設けられるとともに前記陥凹部に面する挿入口を有する通路と、
を備え、
前記挿入口は、前記切断器具の先端部が前記通路を通って前記陥凹部内に進入しているときに、回動支点となり、
前記ガイドトラックの所定の経路と回動支点とは、前記ハンドピースの前記頂部とほぼ平行な面内で、前記陥凹部内の縦方向及び横方向のいずれの方向にも、且つ前記所定の経路によって確定される形状内で、前記切断器具の先端を動かすように構成されている、低侵襲性皮膚治療装置。 - 請求項1の低侵襲性皮膚治療装置において、
前記ガイドトラックを有し、前記ハンドピースに作動的に連結されたプラットフォームと、
前記器具に作動的に連結されたガイドピンであって、前記器具が前記所定経路に沿って動くように前記ガイドトラックに摺動可能に嵌合するガイドピンと、
をさらに備えている、低侵襲性皮膚治療装置。 - 請求項2の低侵襲性皮膚治療装置において、
前記プラットフォームは、前記ハンドピースに固定され、前記ハンドピースの底端部にほぼ直交する、低侵襲性皮膚治療装置。 - 請求項2の低侵襲性皮膚治療装置において、
前記ガイドトラックは、前記プラットフォームの頂部に形成された溝を形成する、低侵襲性皮膚治療装置。 - 請求項2の低侵襲性皮膚治療装置において、
前記ガイドトラックがアンダーカット部を有するとともに、前記ガイドピンが拡張頭部を有し、前記拡張頭部と前記ガイドトラックの前記アンダーカット部との間の干渉によって、前記ガイドピンが前記所定経路に沿って移動できるようにするとともに、前記拡張頭部が前記ガイドトラックから外れることを防止する、低侵襲性皮膚治療装置。 - 請求項1の低侵襲性皮膚治療装置において、
前記切断器具が、
切断ブレードと、
前記切断ブレードに連結され、前記切断ブレードを往復運動させる往復運動モータと、
を備えている、低侵襲性皮膚治療装置。 - 請求項6の低侵襲性皮膚治療装置において、
前記切断器具はスリーブをさらに備え、
前記切断ブレードは、少なくとも部分的に摺動可能に前記スリーブ内に配置されている、低侵襲性皮膚治療装置。 - エラストマー隔壁をさらに備え、当該エラストマー隔壁は、前記切断器具が貫通できるように構成され、前記切断器具が引き抜かれるとほぼ自動的にシールされるように構成され、これによって、前記陥凹部に真空状態を作り出したときには、当該陥凹部からの真空漏れをほぼ防ぐように構成されている、請求項1に記載の低侵襲性皮膚治療装置。
- 前記頂部及び周囲立ち上がり部の一方と作動的に接続され、且つ前記陥凹部と流体接続されている真空用取付具をさらに備えている、請求項1に記載の低侵襲性皮膚治療装置。
- 前記真空用取付具と流体連結されている真空ポンプをさらに備え、
当該真空ポンプは、前記陥凹部が組織の上に位置した時に、前記陥凹部内で吸引力を発生させて、組織を前記対向面に接触させるように確実に吸い上げるように構成されている、請求項9に記載の低侵襲性皮膚治療装置。 - 前記頂部は、調整可能に構成され、当該頂部の調整により、前記陥凹部の容積が変更される、請求項1から10のいずれかに記載の低侵襲性皮膚治療装置。
- 前記調整可能な頂部は、リバーシブル式の蓋を備え、当該リバーシブル式の蓋は、前記陥凹部の容積を変更することができるように、前記ハンドピースから取り外し可能であると同時に、ひっくり返して再び取り付けることができるように構成されている、請求項11に記載の低侵襲性皮膚治療装置。
- 前記ハンドピースの頂部は、前記周囲立上り部の立ち上がり壁に対し、ねじ込み嵌合部によって作動的に連結されるとともに、前記ハンドピースの頂部が前記周囲立上り壁の上で回転可能であり、前記周囲立上り壁に対する前記頂部の回転により、前記陥凹部の容積が調整される、請求項11に記載の低侵襲性皮膚治療装置。
- 前記頂部は、第1基準マーク及び第2基準マークをさらに備え、
前記第1基準マークが、前記第2基準マークから所定の回転距離をおいて配置されることで、前記回転距離が、前記ねじ込み嵌合部に沿った所定の垂直距離に対応する、請求項13に記載の低侵襲性皮膚治療装置。 - 前記器具の周囲からの漏れを最小限にするために前記通路に配置された弾力のある密閉剤をさらに備えている、請求項1から14のいずれかに記載の低侵襲性皮膚治療装置。
- 前記切断器具は、針、高周波カッター、ウォータジェット、レーザー、及び超音波メスで構成されるグループから選択されるものである、請求項1から15のいずれかに記載の低侵襲性皮膚治療装置。
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