TW200938247A - System and apparatus for dermatological treatment - Google Patents

System and apparatus for dermatological treatment Download PDF

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Publication number
TW200938247A
TW200938247A TW97147700A TW97147700A TW200938247A TW 200938247 A TW200938247 A TW 200938247A TW 97147700 A TW97147700 A TW 97147700A TW 97147700 A TW97147700 A TW 97147700A TW 200938247 A TW200938247 A TW 200938247A
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radiation
arrangement
tissue
rti
filter
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TW97147700A
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TWI453048B (en
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Dieter Manstein
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Gen Hospital Corp
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Abstract

Exemplary embodiments of system and apparatus can be provided for treating various dermatological and biological conditions using electromagnetic energy in the form of optical radiation. For example, energy can be provided by a chemical reaction, such as by combustion of a fine metallic filament, which can be used to generate a high-intensity pulse of energy without requiring external energy sources. Various parameters of the reactive materials and enclosures can be selected and/or applied to provide a radiation pulse having particular characteristics, including fluence, peak intensity, and radiation wavelength distribution. Various filters may be provided to further modify characteristics of the radiation. Such radiation pulses can be used to irradiate tissue such as skin to obtain various therapeutic or beneficial effects, including improvement in the appearance of pigmented or venous lesions.

Description

200938247 六、發明說明: 【發明所屬之技術領域】 本發明係關於利用電磁輻射於皮膚治療的方法與設 備’更明確地說’係關於利用例如燃燒燈中之化學反應 產生的光輻射照射皮膚組織之目標位置的方法、系統與 設備。 〇 【先前技術】 老化、曰曬、皮膚疾病、外傷作用、遺傳等造成之皮 膚缺陷的修補或改善的需求日益增多。某些治療可藉由 電磁能量照射皮膚來改善皮膚缺陷,其可導致有利反應 以改善治療之皮膚狀態。 明確地說,以光輻射提供之能量可用於多種皮膚治 療。光輻射可包括在可見光譜範圍中具有一或更多波長 〇 的電磁輻射、紫外光輻射與/或紅外線輻射。光輻射可由 生物組織吸收,而上述吸收量取決於輻射波長與強度、 組織與/或特定生物結構的特徵或其中的化學化合物 等。生物組織中的光能量吸收可產生熱與/或破壞叙織中 的物理結構與/或某些生物功能,這接著導致長時間 利或治療效果。 應用光輕射的皮膚治療可包括諸如移除刺青或毛髮、 減少粉刺或靜脈或色素性病1 蛛網狀血皆或葡萄酒色斑)的出現以及移除敏紋。: 4 200938247 示範應用中,通常自外在能量调楂1± 重源傳送輻射並提供至組織 的目標區域。通常較佳係以尖峰 了 乂穴峰強度大且週期短的一或 更多能量脈衝提供上述能量以 里^逆判組織中的所欲生物反 射、電子 應。提供上述能量的能量源可包括諸如多種雷 閃光燈等的任何一者。 可利用光學佈置(諸如,油逡—、+ ^ 波導或光纖,且可更包括一或 更多透鏡、棱鏡、反射器等、將本 扣窃寻)將先忐量自上述能量源引導 至皮膚組織。上述光學佈β 伸罝接者可將能量聚焦或引導至 關注之目標區域。例如,上述輻射可較佳地由皮膚或毛 髮的部分(諸如’黑、色素或血管)吸收,造成局部加熱。 上述治療中用來提供能量(例如,光輕射)給皮廣或其 他組織的常見設備可包括手持機件等,其可易於相對患 者改變位置。上述手持機件可田忠 丁行很:仟了用來引導光學佈置提供之 能量至一或更多即將治療的特定目標區域。 ❹ 本文所述之施加能量至皮膚組織的常見方法與設備存 在許多安全問題。例如’能量源(諸如,雷射或電子閃光 燈)引起過度曝光(例如,引導過量的能量至組織)的顯著 風險,且若沒有小心控制與施加上述能量會對組織導致 不欲且可能的顯著傷害。音庙田、丄_ ^ °嘗應用延些示範能量源時通常 提供安全預防措施。例如’包括雷射或其他外部能量源 的設備通常包括-或更多控制佈置,其可在某些條件下 調控、限制與/或關掉能量輸出以減少皮膚組織過度曝光 於施加之輻射的風險。上述佈置可包括例如脈衝佈置(配 置以脈衝能量源而不是提供連續能量),其亦可避免能量 5 200938247 源的過度加熱。 替代或額外地’若上述手持機件轉移通過皮膚區域以 引導能量至皮膚上’則可提供與手持機件連結之速度或 位置感應器以避免過度曝露。亦可提供反饋佈置以控制 能量源,且反镇佈置可配置成以貞測到危險情況則減少 或中斷能量源的能量輸出。上述反饋佈置根據諸如即將 治療之組織的測得溫度、反射性或其他影像特性等。這 些安全裝置增加多種能量應用系統的複雜度與成本。 可用於上述治療的常見能量源亦需要進一步的安全措 施。例如,雷射能量源需要給設備操作者與/或即將治療 患者眼睛保護、上述即將操作能量源之區域的限制進 出、大量的使用者訓練等。 提供光學能量給生物組織的常見設備亦是昂責的,且 :些醫生或其他從業者因為經濟因素而難以使用上述設 備。利用上述設備提供之治療對患者與/或健康保險業者 ^亦是昂責的。再者,某些設備僅適用於特定治療。 因此根據諸如經濟因素、醫學設施中的有限存放:門 等,讓從業者擁有多種上述設備以提供廣泛治林:: 係不切實際的。且、维持上述設備亦是昂#的。&quot; 因此’需要提供兼具安全、效力與經濟治療之應用光 射至皮膚組織之設備與方法的示範實施例改 膚缺陷與其他治療。 改善皮 【發明内容】 6 200938247 本發明目標之-係提供促進安全與經濟治療之系統與 設備的示範實施例,以改善皮膚缺陷與其他包括應用光 輻射至皮膚組織之治療。本發明另―目標係提供可用於 許多上述治療之系統與設備的示範實施例’以致單一從 業者可治療多種皮膚症狀而不需顯著地金融投資設備 (諸如,能量源、手持機件等)與/或明顯的存放空間以容 納上述裝置。進一步目標係提供上述治療皮膚症狀之方 e 法與設備的示範實施例,其足夠安全而可由消費者在家 應用。 這些與其他目標可由根據本發明之系统與設備的示範 實施例達成,其中可提供配置成自化學反應產生一或更 多光輻射脈衝的輻射源。輻射源可包括密封之封圍件, 其包含反應性材料(例如,可燃材料)。封圍件可由玻璃、 塑膠或另一材料或材料組合(諸如,塗覆塑膠或聚合物的 玻璃)所形成。例如,輻射源可為燃燒燈等。可應用當進 行化學反應能夠產生本文所述之足夠強烈輻射脈衝的任 一反應性材料。 可燃材料可為金屬或金屬合金,諸如鋁、海裝鋁、鋁 合金或另一金屬、或金屬與另一物質的組合。可將可燃 材料提供成細絲或箔的形式好讓材料進行快逮反應(例 如,燃燒八上述快速反應可產生強度高且週期短(例如歹, 數十毫秒或更少等級)的輻射脈衝。可在封圍件中提供特 定空氣好進行或增強反應或燃燒。上述空氣可包括諸如 約術〇與約100%之間的無水氧氣、或約80%與約⑽% 7 200938247 之間的無水氧氣。 亦可在封圍件中提供示範點燃佈置以幫助開始化學反 應。上述示範觸發佈置可包括提供的引發物質㈣膽 substa⑽)接觸二或更多電極接點,電極接點可穿過封圍 件的壁並因此可自封圍件外應用。 本發明某些示範實施例中,可提供包括驅動能量源與 Ο ❹ 開關或觸發器的觸發佈置。可提供驅動能量给點燁佈置 以在封圍件中引發化學反應。驅動能量源可包括諸如小 電池或能量電池或壓電元件。 根據本發明進一步的示範實施例,可提供配置成支撐 與/或包圍燃燒燈純m與即將治療之组織相隔預 疋距離放置上述燈或源的外罩。替代或額外地,包含反 應性或可燃材料的封圍件亦可提供上述外罩。 本發明又進—步的示範實施例中’可提供光學佈置以 將=學反應產生之光輻射引導至即將治療的組織。上述 不範光學佈置可包括諸如提供在㈣源之外罩或封圍件 至少一部分上的反射表面或塗層。 輻射源提供之光輻射脈衝的週期係在諸如約5毫秒盘 約_毫秒之間、或約10毫秒與約1〇〇毫秒之間或: :〇毫秒與約50毫秒之間。亦可提供較長的脈衝週期, 例如約一秒或更長的等級。可藉由撰摆仏私、s &amp; M ^ 』精由選擇輻射源與可燃材 ^與/或提供複數個在不同時間活化的輻射源於 卜罩中來提供上述脈衝週期。 輕射源提供之光輻射對即將治療之組織的通量 8 ❹ ❿ 200938247 — a)可在諸如約1 &quot;一與約3〇 W之間 J/cm 與約 15 j/cm2 之間 插m 間右有需要亦可提供較高的通量 一 ^ 輛射源、較大量的可燃材料、引道 輻射脈衝至較小區域上等。 等 本發明某此示範眚# /Slf + 矛一 丁乾貫施例中,可提供一或更多濾 弱或阻擋輻射源產生之某此 ^ 減 呆二波長或某些波長範圍的輻 封。例如’可提供濾件以減少紫外光與/或紅外光韓射昭 射即將治療之組織的數量。亦可提供其他滤件以渡除; 見光譜t某些波長的輻射。可將上述濾件提供成不同片 /或者可⑸用提供上述過濾、特性的材料形成輻射 源封圍件與/或外罩的部分。 某些不範實施例中,可提供水遽件以減少輕射源產生 之紅外線韓射量。可將上述之水濾件形成為封圍件或外 罩的部分或可附加於其上。可冷卻或冷束水濾件,藉此 除了遽除某些紅外線輻射外並提供即將治療之組織的冷 卻。 進-步示範實施例中,可提供包括一或更多孔隙的 板,其促進光輻射穿過其間並照射組織的特定區域同時 避免組織其他部分暴露於輻射。可提供許多具有不同大 小與/或形狀之孔隙的上述板,其可利用單一結構的輻射 源來照射許多大小不同的病變、皮膚缺陷等。 當結合所附之圖示閱讀下列本發明實施例的詳細描述 後,可更佳明瞭這些與其他本發明的目的、特徵與優勢。 9 200938247 【實施方式】 通常用於傳統治療設備的光能量源(諸如,雷射、電子 閃光燈等)可經配置以提供較長時間週期的連續輻射與/ 或複數個輻射脈衝。可藉由轉換直接或間接取自能量源 (牆壁插座或發電機)外的能量來提供上述輻射。例如, 當連接至電池或電插座時’傳統燈泡可持續發光並因此 散發光輻射。上述光輻射並非存放於燈泡本身中,而係 〇 由燈泡外取得之電能轉換而得。 相反地,本發明之示範實施例可提供產生與引導特定 量的光能源或其他輻射至皮膚組織上之設備與方法的示 範實施例。上述設備與方法可包括設備本身透過化學反 應提供的光能量源,諸如燃燒燈或閃光燈泡。配置成當 進行自發反應時產生-或更多強度足夠之光輻射脈衝: 任何其他化學系統(包括但不限於燃燒或氧化反應)亦可 用於本發明之示範實施例。 本文所提供之燃燒燈可參照密封燈泡或其他封圍件, 其包含可利用能量較低的外部刺激或信號釋放之能量儲 存形式。上述燃燒燈的實例可為傳統攝影閃光燈泡,其 可用於照射即將攝影之物件。上述燃燒燈可釋放内部儲 存的能量,而一次可用單一上述燈泡來提供單一能量脈 衝。本文可交替應用詞彙燃燒燈與閃光燈泡。 -第1圖顯示燃燒燈100的示範圖*,可根據本發明之 示範實施例而應用之。例如,燃燒燈丨00可包括封圍件 200938247 U〇 ’其約成球狀或可提供成另-形狀。封圍件110可由 玻璃塑膠或某些較佳可讓至少某些輻射波長穿過之其 他材料所形成。可妨杜、两加 ’、 週期維持封圍件圍件材料以在長期時間 — 兄括其中提供的任何氣體)的恆 二二封固件n°可由塗覆一層塑膠或漆的玻璃所 :成’其包含當燃燒燈100活化且釋放光能量時 破碎的玻璃片斷。 — ❹ Ο 材=:如110可包含可燃細絲120,其可包括或由可燃 ’金屬,諸如鋁、海裝鋁、或另一鋁合金、另 金屬等)製成。可用非常細的金屬線與/或 =供…。。細絲12&quot;小尺寸有助於促進: =速反應(例如,氧化),且可藉此提供週期或脈衝 《峰強度咼的光能量脈衝。-般而言,細絲U0 愈〗尺寸(例如’較細的金屬線或箱)可導致反應時間 與脈衝週期較長而波峰輸出強度較小。 二错由蓋130或其他密封佈置將細絲12〇形成與,或密 封於封圍件1 1 〇中。·、蛋扭 中了選擇性地形成密封佈置1:30為封 二牛7的部分。密封封圍件110之前,可移除空氣並 :其中提供特定數量與/或壓力水平的無水氧氣。封圍件 1可提供有諸如約㈣與約100%之間的無水氧氣、或 80%與約100%之@的無水氧氣。如本文所述,可 2地選㈣圍件11G之材料以維持上述氣體或氣體混 » (包括其之水分程度)在長期時間週期中相當固定。 上述封圍# m之内部環境中的以可改善燃燒燈1〇〇 200938247 性能之可靠性與可預測性。 可提供複數個部分於封圍# 110與蓋13〇外的接點200938247 VI. INSTRUCTIONS OF THE INVENTION: TECHNICAL FIELD OF THE INVENTION The present invention relates to a method and apparatus for treating skin using electromagnetic radiation. More specifically, it relates to illuminating skin tissue with light radiation generated by, for example, a chemical reaction in a combustion lamp. Method, system and equipment for the target location. 〇 【Prior Art】 There is an increasing demand for repair or improvement of skin defects caused by aging, sun exposure, skin diseases, traumatic effects, and heredity. Certain treatments can illuminate the skin by electromagnetic energy to improve skin defects, which can result in a favorable response to improve the condition of the skin being treated. Specifically, the energy provided by optical radiation can be used in a variety of skin treatments. Optical radiation can include electromagnetic radiation, ultraviolet radiation, and/or infrared radiation having one or more wavelengths 〇 in the visible spectral range. The light radiation can be absorbed by the biological tissue, and the above absorption depends on the wavelength and intensity of the radiation, the characteristics of the tissue and/or the specific biological structure, or the chemical compounds therein. Absorption of light energy in biological tissue can generate heat and/or destroy physical structures and/or certain biological functions in the woven fabric, which in turn leads to prolonged benefit or therapeutic effects. Skin treatment with light light exposure may include, for example, removal of tattoos or hair, reduction of acne or venous or pigmented disease 1 arachnoid blood or wine stains, and removal of sensitive lines. : 4 200938247 In the demonstration application, radiation is usually transmitted from an external energy source and is supplied to the target area of the tissue. It is generally preferred to provide one or more of the energy pulses with a sharp peak and a short period of peak energy to provide the above-mentioned energy to counteract the desired biological reflections and electrons in the tissue. The energy source providing the above energy may include any one of a variety of lightning flashes and the like. Optical arrangements (such as oil 逡-, + ^ waveguides or optical fibers, and may include one or more lenses, prisms, reflectors, etc., to sneak) may be utilized to direct the amount of energy from the energy source to the skin organization. The optical cloth β splicer can focus or direct energy to the target area of interest. For example, the above radiation may preferably be absorbed by portions of the skin or hair, such as &apos;black, pigment or blood vessels, resulting in localized heating. Common devices used in the above treatments to provide energy (e.g., light light) to the skin or other tissues can include hand-held components and the like that can be easily changed in position relative to the patient. The above-mentioned hand-held parts can be made by Tian Zhong, who is used to guide the energy provided by the optical arrangement to one or more specific target areas to be treated.常见 There are many safety issues with the common methods and equipment for applying energy to skin tissue as described herein. For example, an 'energy source (such as a laser or an electronic flash) causes a significant risk of overexposure (eg, directing excess energy to the tissue), and without careful control and application of the above energy can cause undesired and potentially significant damage to the tissue. . Sound temples, 丄 _ ^ ° often provide safety precautions when applying extended demonstration energy sources. For example, 'a device that includes a laser or other external source of energy typically includes - or more control arrangements that can regulate, limit, and/or turn off the energy output under certain conditions to reduce the risk of skin tissue being overexposed to the applied radiation. . The above arrangement may include, for example, a pulse arrangement (configured with a pulsed energy source rather than providing continuous energy), which may also avoid overheating of the energy source 5 200938247. Alternatively or additionally, if the handpiece is transferred through the skin area to direct energy to the skin&apos;, a speed or position sensor coupled to the handpiece can be provided to avoid overexposure. A feedback arrangement can also be provided to control the energy source, and the anti-town arrangement can be configured to reduce or interrupt the energy output of the energy source by detecting a dangerous condition. The feedback arrangement described above is based on measured temperature, reflectivity or other image characteristics of the tissue to be treated, and the like. These safety devices add complexity and cost to a variety of energy application systems. Further safety measures are also required for common energy sources that can be used in the above treatments. For example, a laser energy source requires eye protection for the device operator and/or the patient to be treated, limited access to the area where the energy source is to be operated, a large amount of user training, and the like. It is also a common responsibility to provide optical energy to common equipment in biological tissues, and some doctors or other practitioners have difficulty using the above equipment due to economic factors. The treatment provided by the above devices is also blame for patients and/or health insurers. Furthermore, some devices are only available for specific treatments. Therefore, depending on factors such as economic factors, limited storage in medical facilities: doors, etc., it is impractical for practitioners to have multiple of these devices to provide extensive forest management: Moreover, maintaining the above equipment is also an ang #. &quot;Therefore, there is a need to provide an exemplary embodiment of a device and method for safe, effective, and economical therapeutic application of light to skin tissue to modify defects and other treatments. IMPROVED 皮皮 [Abstract] 6 200938247 The object of the present invention is to provide an exemplary embodiment of a system and apparatus for promoting safe and economical treatment to improve skin defects and other treatments including the application of light radiation to skin tissue. Another object of the present invention is to provide an exemplary embodiment of a system and apparatus that can be used in many of the above treatments such that a single practitioner can treat a variety of skin conditions without significant financial investment equipment (such as energy sources, handpieces, etc.) and / or obvious storage space to accommodate the above devices. A further object is to provide an exemplary embodiment of the above-described method of treating skin symptoms, which is sufficiently safe to be applied by a consumer at home. These and other objects can be achieved by an exemplary embodiment of the system and apparatus in accordance with the present invention, wherein a source of radiation configured to generate one or more pulses of optical radiation from a chemical reaction can be provided. The radiation source can include a sealed enclosure that includes a reactive material (eg, a combustible material). The enclosure may be formed from glass, plastic or another material or combination of materials, such as a plastic or polymer coated glass. For example, the radiation source can be a combustion lamp or the like. Any reactive material that is capable of producing a sufficiently strong radiation pulse as described herein when subjected to a chemical reaction can be applied. The combustible material may be a metal or a metal alloy such as aluminum, sea aluminum, aluminum alloy or another metal, or a combination of metal and another material. The combustible material can be provided in the form of a filament or foil to allow the material to undergo a rapid catch response (e.g., burning eight of the above rapid reactions can produce radiation pulses of high intensity and short period (e.g., enthalpy, tens of milliseconds or less). Specific air may be provided in the enclosure to enhance or enhance the reaction or combustion. The air may include, for example, between about 100% anhydrous oxygen, or about 80% and about (10)% 7 200938247. An exemplary ignition arrangement may also be provided in the enclosure to assist in initiating the chemical reaction. The exemplary triggering arrangement described above may include providing an initiating substance (iv) bile substa (10)) contacting two or more electrode contacts, the electrode contacts may pass through the enclosure The wall and therefore can be applied outside the self-sealing enclosure. In certain exemplary embodiments of the invention, a triggering arrangement including a drive energy source and a 开关 switch or flip flop may be provided. Drive energy can be provided to the point arrangement to initiate a chemical reaction in the enclosure. The source of drive energy can include, for example, a small battery or an energy battery or a piezoelectric element. In accordance with a further exemplary embodiment of the present invention, a cover configured to support and/or surround the burner lamp pure m at a predetermined distance from the tissue to be treated may be provided. Alternatively or additionally, a closure comprising a reactive or combustible material may also provide the outer cover. In an exemplary embodiment of the present invention, an optical arrangement can be provided to direct the optical radiation produced by the scholastic reaction to the tissue to be treated. The above-described anomalous optical arrangement may include a reflective surface or coating such as provided on at least a portion of the (iv) source outer cover or enclosure. The period of the optical radiation pulse provided by the radiation source is between about _milliseconds, or about 10 milliseconds and about 1 millisecond, or between: 〇 milliseconds and about 50 milliseconds. Longer pulse periods can also be provided, such as a level of about one second or longer. The pulse period described above can be provided by arranging the smuggling, s &amp; M^ 』 precision radiation source and combustible material and/or providing a plurality of radiation sources activated at different times. The light radiation provided by the light source provides a flux to the tissue to be treated 8 ❹ ❿ 200938247 — a) can be interspersed between J/cm and approximately 15 j/cm2 between approximately 1 &quot;1 and approximately 3〇W There is also a need to provide a higher throughput, a larger amount of combustible material, and an approach radiation pulse to a smaller area. In the embodiment of the present invention, one or more of the fading or blocking wavelengths of the radiation source may be provided by one or more of the fading or blocking radiation sources. For example, a filter can be provided to reduce the amount of tissue that is to be treated by ultraviolet light and/or infrared light. Other filter elements may also be provided to eliminate; see radiation at certain wavelengths of the spectrum t. The filter elements described above may be provided in different pieces/or (5) portions of the radiation source enclosure and/or outer cover may be formed from materials providing the above-described filtration and characteristics. In some embodiments, a water hammer can be provided to reduce the amount of infrared radiation generated by the light source. The water filter member described above may be formed as part of or may be attached to the enclosure or the cover. The water filter element can be cooled or cooled to remove some of the infrared radiation and provide cooling to the tissue to be treated. In an exemplary embodiment, a plate comprising one or more apertures may be provided that facilitates the passage of optical radiation therethrough and illuminates a particular area of tissue while avoiding exposure of other portions of the tissue to radiation. A plurality of such panels having apertures of different sizes and/or shapes may be provided which may utilize a single structured source of radiation to illuminate many differently sized lesions, skin defects, and the like. These and other objects, features and advantages of the present invention will become more fully apparent from the < 9 200938247 [Embodiment] A source of optical energy (such as a laser, an electronic flash, etc.) typically used in conventional therapeutic devices can be configured to provide continuous radiation and/or a plurality of radiation pulses over a longer period of time. The above radiation can be provided by converting energy directly or indirectly from an energy source (wall outlet or generator). For example, when connected to a battery or an electrical outlet, the conventional bulb will continue to illuminate and thus illuminate. The above-mentioned optical radiation is not stored in the bulb itself, but is derived from the electrical energy obtained from the outside of the bulb. Rather, exemplary embodiments of the present invention can provide an exemplary embodiment of an apparatus and method for generating and directing a particular amount of optical energy or other radiation onto skin tissue. The above apparatus and method may include a source of optical energy provided by the device itself through a chemical reaction, such as a combustion lamp or a flash bulb. It is configured to produce - or more sufficient pulses of optical radiation when subjected to a spontaneous reaction: any other chemical system, including but not limited to combustion or oxidation reactions, can also be used in the exemplary embodiments of the present invention. The burner lamps provided herein can be referred to as sealed bulbs or other enclosures that include an energy storage form that can utilize lower energy external stimuli or signal release. An example of such a burner lamp may be a conventional photographic flash bulb that can be used to illuminate an object to be photographed. The burner lamp described above can release the energy stored internally, and a single energy bulb can be provided at a time to provide a single energy pulse. This article can alternately apply vocabulary burning lights and flash bulbs. - Figure 1 shows an exemplary diagram of a combustion lamp 100, which may be applied in accordance with an exemplary embodiment of the present invention. For example, the burner 00 may include a closure member 200938247 U 〇 ' which is approximately spherical or may be provided in another shape. The closure member 110 can be formed from a glass plastic or some other material that preferably allows at least some of the wavelength of the radiation to pass through. It can be used to apply a layer of plastic or lacquered glass to the 'two, two cycles' of the material to maintain the sealing material in a long period of time - any of the gases provided by the brother. It contains a piece of glass that breaks up when the burner lamp 100 is activated and emits light energy. - Ο = = =, such as 110 may comprise combustible filaments 120, which may include or be made of a combustible metal such as aluminum, aluminum, or another aluminum alloy, another metal, or the like. Very fine metal wires and / or = for... can be used. . The filament 12&quot;small size helps to promote: = speed response (e.g., oxidation) and can thereby provide a pulse of light energy for the period or pulse "peak intensity". In general, the size of the filament U0 (e.g., 'thin metal wire or box') can result in longer reaction times and longer pulse periods and lower peak output intensity. The second error is formed by the cover 130 or other sealing arrangement to form or seal the filament 12 〇 in the closure member 1 1 。. · The egg twisted selectively forms a sealed arrangement 1:30 for the portion of the two cows 7. Prior to sealing the enclosure 110, air may be removed and: a specified amount and/or pressure level of anhydrous oxygen is provided therein. The enclosure 1 may be provided with anhydrous oxygen such as between about (iv) and about 100%, or anhydrous oxygen of 80% and about 100%. As described herein, the material of the (4) enclosure 11G can be selected to maintain the gas or gas mixture (including the degree of moisture therein) fairly constant over a long period of time. The above-mentioned internal environment of the enclosed #m can improve the reliability and predictability of the performance of the combustion lamp 1〇〇200938247. Can provide a plurality of parts in the seal #110 and cover 13 〇 outside the joint

14〇。接點140可電性接觸一或更多密封於封圍件11〇中 引發件(pnmer)l5G£&gt;引發件15G可相似於用於傳統攝 影閃光燈泡中的那些物質。可對接點U0施加低能量信 號以活化!丨發件15G,例如造成其之燃燒。上述信號可 為諸如電池、Μ電元件等提供之職。引發件150的活 匕可引起封圍彳110中之細絲12〇的快速化學反應(例 氧化),其可在相當短時間内自封圍件11〇釋出顯著 數量的能量。 ,例如,示範燃燒燈_之活化提供之光輻射脈衝的脈 衝寬度係例如數十毫秒等級。上述脈衝寬度或週期可位 於諸如約1〇毫秒與/或約⑽毫秒或更高之間、或較佳 約1 0-50毫秒之間。 再者,在燃燒燈100活化後約2〇_5〇毫秒等級亦出現 輻射脈衝的尖峰強度。上述於特定燃燒燈10&quot;發現之 脈衝延遲取決於許多因素,包括諸如燈泡大小、所用之 細絲120的平均直徑、寬度與/或數量、封圍# 13〇中細 絲120的結構、封圍# 13&quot;提供的氧氣量等。例如, 較粗的細絲120可提供較長的脈衝延遲,因為相對於較 細的細絲,較粗細絲的氧化進行較慢。 根據本發明某些實施例之示範設備2〇〇的圖示係顯示 於第2圖中。示範燃燒燈1〇〇可提供於外罩22〇中。可 連結於料220而提供活化佈£ 23〇,且其更電性連接 12 200938247 至燃燒燈100。活化佈置230更包括開關與/或按紐24〇, 當按壓按鈕240時可促進電信號提供至燃燒燈1〇(^燃 燒燈100可接著釋放儲存於其中的能量,諸如「閃光」 或短週期的強烈光輻射脈衝。 可用諸如鈴、半球型等之外形來提供示範外罩220’ 且其經配置可放置於或覆蓋即將治療之皮膚組織280的 區域表面270上。外罩220亦可包括反射表面或塗層或 ❹ 其他光學佈置,其經配置以引導較大量燃燒燈1 〇〇釋放 的光輻射至即將治療之皮膚280。上述示範光學佈置可 藉此φζ向特定燃燒燈100的效率。效率提高可促進示範 燃燒燈100提供較高強度與/或通量的輻射至皮膚組織 280。替代或額外地,效率提高可促進較小燈泡1〇〇(例 如’包含較少數量可燃材料的燈泡丨00)提供特定強度與/ 或通量至皮膚組織280。 活化佈置230可包括諸如小電池、塵電元件或任何其 ® 他能量源,其可經配置以活化燃燒燈i〇〇。可將示範設 備200提供成拋棄型裝置。替代或額外地,可替換燃燒 燈1〇〇以致可重複使用外罩220與/或活化佈置230。 本發明某些示範實施例中,設備200可提供有一或更 多選擇性濾件250。上述濾件250可位於燃燒燈1〇〇與 皮膚表面270之間。例如,可提供濾件250於外罩220 中。替代或額外地’濾件250可位於外罩220表面的較 低位置,以至其可接觸皮膚280之表面270。 濾件250可經配置以例如避免或部分抑制燃燒燈1 〇〇 13 200938247 散發之某些波長或波長範圍的光輻射到達即將治療之皮 膚組織280部分。可根據即將治療之特定缺陷或症狀選 擇上述波長或波長範圍。 若有提供濾件250的話,則濾件25〇係可移動的,以 置許多上述濾件250(各個可能經配置以抑制不同波長與 /或波長範圍之光輻射的傳送)之一者可與例如特定類型 的示範燃燒燈100用於單一外罩22〇或複數個外罩 ⑩ 中。此方式中,單一類型之燃燒燈100的能量輸出特徵 了、C修鄭或修改以改善特定應用的效率與/或安全性。 例如,濾件250可為紫外光(uv)濾件,其可被提供以 便避免例如大部分波長短於約6〇〇 nm或短於約55〇 nm 之光輻射照射於即將治療之組織上。上述uv濾件通常 與應用寬頻光輻射源(諸如,強烈脈衝光源與/或電子閃 光燈)之傳統光療裝置一起應用。 濾件250亦可經配置或建造成減弱或阻擋燃燒燈 碜 產生之光輻射位於紅外線範圍中的至少一部分。例如, 水濾件可用來減少波長約9〇〇 nm與約u〇〇_13〇〇 之 間的光輻射照射在即將治療之組織上的數量。水濾件可 包括淺的封圍件或容器(至少部分以水填充),其提供在 光輻射源100與即將治療之組織28〇之間。例如,上述 水濾、件可附著在外罩220的較低部分。上述水濾件亦可 用於某些利用寬頻光輻射源的傳統光療裝置。 可用於本發明進-步示範實施例之示範設備結構烟 係顯示於第3圖中。例如,上述示範設備可包括提 14 200938247 供於外罩220中的燃燒燈100、及與外罩220連結而提 供之活化佈置230 ^活化佈置23〇可進一步包括開關/按 紐240 ’當其觸發時可造成電子信號提供至燃燒燈丨〇〇。 可用第3圖所示之大致形狀提供示範設備3〇0,以致 其易於用手抓取並按壓於即將治療之皮膚28〇的表面 270上。此示範結構中,當外罩22〇與活化佈置23〇被 抓在手中時,可易於藉由例如使用者的拇指按壓開關/按 〇 紐240 °類似於第2圖中顯示之示範設備200,外罩220 的一部份可提供有反射表面或塗層以引導來自燃燒燈 100的光輻射朝向即將治療之皮膚28〇。 本發明進一步示範實施例中,可提供如第4圖所示包 括複數個燃燒燈1〇〇於單一外罩220中之設備400。例 如’燃燒燈100可選擇性連接至單一活化佈置23〇,以 致可藉由單一按紐240同時活化各個燃燒燈1 〇〇。比起 第2圖中所示之設備2〇〇中的單一燃燒燈1〇〇所能達成 β 的’此不範結構可促進較高的通量到達皮膚組織28〇。 示範没備400亦可包括大外罩22〇,其可提供特定通量 值給皮膚280的較大區域(相對於第2圖中所示知單一燈 泡設備200)。 替代或額外地,活化佈置23〇可連接至單一燃燒燈 100’以致當按壓按鈕24〇時僅有一個上述燈泡1〇〇被直 接活化。例如,活化之燃燒燈釋放的能量可進一步活化 鄰近的燃燒燈。因此,由活化佈置23〇活化的單一燃燒 燈100可在紐暫預定延遲後接著活化其他燃燒燈1 〇〇。 15 200938247 上述延遲可為數十毫秒等級,而延遲量進一步取決於各 個燃燒燈刚之特徵。此方式中,可藉由提供超過—個 上述燈泡100於單—外罩220中並僅直接活化燃燒燈100 的某者’可達成皮虜280較長暴露時間於燃燒燈 提供之輻射。此方式令,可用複數個燃燒燈ι〇〇促進之 複數個連續或非同時脈衝的形式來提供光輻射暫時的延 長釋出。14〇. The contacts 140 can be electrically contacted with one or more seals in the enclosure 11 nitmer l5G£&gt; The initiator 15G can be similar to those used in conventional flashlight bulbs. A low energy signal can be applied to contact U0 to activate! The hair piece 15G, for example, causes its burning. The above signals can be used for functions such as batteries, battery components, and the like. The active action of the initiator 150 can cause a rapid chemical reaction (e.g., oxidation) of the filaments 12 in the weir 110, which can release a significant amount of energy from the enclosure 11 in a relatively short period of time. For example, the pulse width of the optical radiation pulse provided by the activation of the exemplary combustion lamp is, for example, on the order of tens of milliseconds. The above pulse width or period may be between, for example, about 1 〇 milliseconds and/or about (10) milliseconds or more, or preferably about 10 to 50 milliseconds. Furthermore, the peak intensity of the radiation pulse also occurs at about 2 〇 5 〇 milliseconds after activation of the burner lamp 100. The pulse delays described above for a particular burner 10&quot; are dependent on a number of factors including, for example, the size of the bulb, the average diameter, width and/or number of filaments 120 used, the structure of the filament 120 in the enclosure #13, #13&quot; The amount of oxygen supplied, etc. For example, the thicker filaments 120 can provide longer pulse delays because the oxidation of the thicker filaments is slower relative to the finer filaments. An illustration of an exemplary device 2A in accordance with some embodiments of the present invention is shown in FIG. An exemplary combustion lamp 1 〇〇 can be provided in the housing 22 。. An activation cloth can be attached to the material 220 to provide an activation cloth, and it is more electrically connected 12 200938247 to the combustion lamp 100. The activation arrangement 230 further includes a switch and/or a button 24 that facilitates the supply of electrical signals to the combustion lamp 1 when the button 240 is depressed (^the burner 100 can then release the energy stored therein, such as "flash" or short cycle A strong optical radiation pulse. The exemplary outer cover 220' can be provided in a shape such as a bell, hemisphere, etc. and configured to be placed over or over the area surface 270 of the skin tissue 280 to be treated. The outer cover 220 can also include a reflective surface or Coating or ❹ Other optical arrangement configured to direct a greater amount of light released by the combustion lamp 1 辐射 to the skin 280 to be treated. The exemplary optical arrangement described above can thereby efflux the efficiency of the particular combustion lamp 100. Promoting the exemplary combustion lamp 100 provides higher intensity and/or flux of radiation to the skin tissue 280. Alternatively or additionally, an increase in efficiency may facilitate a smaller bulb (eg, 'bulb 00 containing a smaller amount of combustible material) Specific strength and/or flux is provided to the skin tissue 280. The activation arrangement 230 can include, for example, a small battery, a dust electrical element, or any other energy source thereof that can be configured to The combustion apparatus may be provided as a disposable device. Alternatively or additionally, the combustion lamp 1 may be replaced so that the outer cover 220 and/or the activation arrangement 230 may be reused. Certain exemplary embodiments of the invention The device 200 can provide one or more selective filter elements 250. The filter element 250 can be located between the combustion lamp 1A and the skin surface 270. For example, a filter member 250 can be provided in the housing 220. Alternatively or additionally The filter element 250 can be located at a lower position on the surface of the outer cover 220 such that it can contact the surface 270 of the skin 280. The filter element 250 can be configured to, for example, avoid or partially inhibit certain wavelengths or wavelengths emitted by the combustion lamp 1 〇〇13 200938247 The range of light radiation reaches the portion of the skin tissue to be treated 280. The above wavelength or range of wavelengths may be selected depending on the particular defect or symptom to be treated. If the filter member 250 is provided, the filter member 25 is movable to accommodate many One of the filter elements 250 described above (each of which may be configured to inhibit transmission of optical radiation of different wavelengths and/or wavelength ranges) may be used with a single type of exemplary combustion lamp 100, for example, for a single The outer cover 22 is or in a plurality of outer covers 10. In this manner, the energy output of a single type of combustion lamp 100 is characterized, modified or modified to improve the efficiency and/or safety of a particular application. For example, the filter 250 can be An ultraviolet (uv) filter element that can be provided to avoid, for example, most of the optical radiation having a wavelength shorter than about 6 〇〇 nm or shorter than about 55 〇 nm is irradiated onto the tissue to be treated. The above uv filter is usually used and applied. A conventional phototherapy device for a broadband optical radiation source, such as a strong pulsed light source and/or an electronic flash. The filter member 250 can also be configured or constructed to attenuate or block at least a portion of the light generated by the combustion lamp in the infrared range. . For example, a water filter can be used to reduce the amount of light radiation having a wavelength between about 9 〇〇 nm and about u 〇〇 _13 照射 illuminating the tissue to be treated. The water filter element can include a shallow enclosure or container (at least partially filled with water) provided between the source of optical radiation 100 and the tissue to be treated 28〇. For example, the water filter, member may be attached to the lower portion of the outer cover 220. The water filter described above can also be used in some conventional phototherapy devices that utilize broadband optical radiation sources. An exemplary apparatus structure for use in the exemplary embodiment of the present invention is shown in Figure 3. For example, the above exemplary apparatus may include a combustion lamp 100 for use in the outer cover 220 and an activation arrangement 230 provided in conjunction with the outer cover 220. The activation arrangement 23 may further include a switch/button 240' when it is triggered. Causes an electronic signal to be supplied to the burner. The exemplary device 3〇0 can be provided in the general shape shown in Fig. 3 so that it is easily grasped by hand and pressed against the surface 270 of the skin 28 to be treated. In this exemplary configuration, when the outer cover 22 and the activation arrangement 23 are grasped in the hand, it is easy to press the switch/button 240 by, for example, the thumb of the user, similar to the exemplary device 200 shown in FIG. 2, the cover A portion of 220 may be provided with a reflective surface or coating to direct light radiation from the combustion lamp 100 toward the skin to be treated. In a further exemplary embodiment of the present invention, an apparatus 400 including a plurality of burners 1 in a single housing 220 as shown in FIG. 4 may be provided. For example, the 'combustion lamp 100 can be selectively coupled to a single activation arrangement 23A such that each burner 1 can be simultaneously activated by a single button 240. This non-standard structure can be achieved by a single burner lamp 1 in the device 2 shown in Fig. 2, which promotes a higher flux reaching the skin tissue. The exemplary device 400 can also include a large outer cover 22 that can provide a particular flux value to a larger area of the skin 280 (relative to the single light bulb device 200 shown in Figure 2). Alternatively or additionally, the activation arrangement 23A can be coupled to a single burner 100' such that only one of the above bulbs 1 is directly activated when the button 24 is depressed. For example, the energy released by the activated combustion lamp can further activate adjacent combustion lamps. Thus, the single burner lamp 100 activated by the activation arrangement 23A can then activate the other burner lamps 1 after a predetermined delay. 15 200938247 The above delay can be on the order of tens of milliseconds, and the amount of delay is further dependent on the characteristics of each burner. In this manner, the radiation provided by the burner can be achieved by providing more than one of the above-described bulbs 100 in the single-outlet cover 220 and directly activating only one of the burners 100. This approach allows for the provisional extended release of optical radiation in the form of a plurality of continuous or non-simultaneous pulses facilitated by a plurality of burner lamps.

❺ 根據本發明進—步實施例之又-示範設備50G的圖示 係顯示於第5A圖中。如本文所述般,示範設備5〇〇可包 括側壁510與底面520,其-起形成封圍件,封圍件包 含可燃細絲、120與引發件15〇。可將活化佈置23〇與開 關240替換式或永久地安狀於封圍件上或中。示範設備 5〇〇可用來提供光輻射脈衝給位於設備5〇〇下方之皮膚 組織280的區域。 可用如第5A圖所示之鈴狀或半球狀外形提供示範設 備500,其較佳具有約圓形的外形(由上方觀看”其他示 範外形亦可甩於某些應用。例如,設備5〇〇可具有橢圓 形外形或大致矩形外形(由上方觀看),例如若上方外形 較佳符合即將治療之皮膚組織280的區域。設備5〇〇可 經配置以直接接觸皮膚組織280之表面270而放置。因 此,設備500之底面520係大致平坦與/或其可沿著可接 收光輻射之皮膚組織280之區域中皮膚表面27〇的輪廓。 示範設備500的底面52〇可相當厚(例如,後於側壁 510),以致其呈現大熱質(therinal mass)。厚底面520有 200938247 助於保護皮膚表面27。免於不欲之熱傷害(當細絲i2〇氧 化或以其他方式反應來產生光輻料,由細絲12〇散發 之熱量以其他方式所引發)。例如,在應用於皮膚表面27〇 之前可冷卻(例如,藉由將其置於冰箱中)整個設備 5〇〇(包括等面520),以進一步幫助避免上述不欲之熱傷 害。當與表® 270進行接觸時,冷卻之底&amp; 52〇亦可促 進冷卻皮膚組織280,這亦可促進減少與/或排除與皮膚 组織280暴露於光輻射脈衝有關之疼痛。 側壁510的部分(例如,其之外表面)可提供有反射塗 層或層515。如本文所述,上述反射塗層515可引導更 多細絲120之燃燒或反應釋放的能量朝向即將治療之皮 膚組織280,因此有可能利用更多可取得的能量來照射 皮膚組織280。 本發明某些示範實施例中,可利用某些材料或添加劑 形成與/或塗覆底面520,某些材料或添加劑可作為淚件 以部分或完全地阻擋細絲120產生之某些波長或波長範 圍的光賴射’藉此減少與/或避免至少一部分具有特定波 長的輻射通過底面520且進入皮膚組織280。相似地, 第1圖中所示之燃燒燈1〇〇的封圍件11〇亦可利用具有 上述光過濾特性之材料加以形成。於本文中描述上述過 濾作用的優點。 根據本發明進一步實施例之又一示範設備54〇係顯示 於第5B圖中。示範設備540係實質相似於第5a圖中顯 示之設備500。示範設備540可進一步提供狹縫或孔隙 17 200938247 550於底面52〇中。可在狹縫55〇中提供薄的遽件则。 如本文所述’薄的濾、件560可用來抑制或避免具有某些 波長之光輻射照射於即將治療之組織上。濾件偏可由 任何具有所欲光過濾特性之適當材料(諸如,塑膠、玻 璃、膠體等)加以形成。例如,藉由改變遽件56〇的種類, 可改變照射於即將治療之組織上由設備54〇產生之光轄 ㈣特徵’以治療不同類型的症狀或特徵。濾件56〇亦 _ 可為減㈣件’其主要係減少穿過其間並接著與皮膚組 織280交互作用之光輻射的尖峰強度與/或通量。 某二示範實施例中,可提供複數個狹縫或孔隙5 5 〇於 設備540中。此示範結構促進複數個濾件56〇用來進一 步修飾穿過其間且照射於即將治療之組織上的光輻射波 長光譜。替代或額外地,狹縫55〇寬到足以接收複數個 濾件560以提供上述之光輻射的光譜修飾。 不範設備5 40亦可裝設板570於底面5 2〇上,而板5 70 可包括一或更多穿過其間之孔隙或開口 575。板570可 用來遮蔽設備5 4 0下方一部分的組織,以致例如僅有孔 隙575下方之組織暴露於設備所產生之光輻射。因此, 單一類型的設備540可用來提供光輻射給一或更多孔隙 575下方的治療位置,同時避免或減少組織其他鄰近區 域不被照射。 板5 70可附加或固定於設備540之底面520。替代或 額外地’板570可位於組織表面上以致孔隙575直接位 於即將暴露於光輻射之組織的特定區域上。設備540接 18 200938247 著可置於定位之板570上,並如本文所述啟動以提供光 輻射脈衝穿過孔隙575,並引導至即將治療之組織區域 上。可提供許多具有不同大小孔隙575之上述可多次利 用板570來治療大小與/或形狀不同之組織的特定區域。 上述示範板570亦可與本文所述之本發明示範實施例任 一者一同應用。 根據本發明又進一步實施例之另一示範設備58〇係顯 ❹ 不於第5C圖中。示範設備580亦實質相似於第5A圖中 顯示之設備500。設備58〇之底面52〇可包括腔59〇。腔 590可裝滿水以形成水濾件,水濾件可如本文所述般減 少與/或排除穿過其間之紅外線輻射量。例如,包括水填 滿腔590之示範設備58()可存放於冰箱中。當設備彻 放置於即將治療之組織上且藉由活化可燃材料120而產 生光輻射脈衝時’結;東水層可提供紅外線過遽與組織冷 卻兩者作用。亦可在腔590中提供其他具有特定輻射過 料性之材料或混合物。上述材料或混合物形式可為固 體、液體或氣體。 _比起根據本發明之進-步示範實施例提供之某些其他 不範、纟°構,第5A-5C圖顯示之示範設備500、540、580(可 不包括分離外罩)特別簡單與/或製造便宜。 根據本發明之不範實施例,可應用具有不同特性之燃 燒燈_將應用之特定燃燒燈相關之特性包括本文所述 、^ 一特陸,其可根據即將提供之特定治療與/或即將治 療之特足組織缺陷或症狀而加以選擇。例如,許多攝影 19 200938247 閃光燈泡之特性(包括諸如脈衝週期、總輸出(流明-秒) 與尖峰強度(流明))係描述於W.D. M〇rgan,Synen)fiashThe illustration of the further exemplary device 50G in accordance with the further embodiments of the present invention is shown in Figure 5A. As described herein, the exemplary apparatus 5A can include a side wall 510 and a bottom surface 520 that together form an enclosure that includes combustible filaments 120 and an initiator 15〇. The activation arrangement 23A and the switch 240 can be replaced or permanently mounted on or in the enclosure. The exemplary device 5 can be used to provide an optical radiation pulse to the area of the skin tissue 280 located beneath the device 5〇〇. The exemplary device 500 can be provided with a bell-like or hemispherical shape as shown in Figure 5A, which preferably has an approximately circular shape (viewed from above). Other exemplary shapes can also be used for certain applications. For example, device 5〇〇 There may be an elliptical shape or a generally rectangular shape (viewed from above), for example if the upper shape preferably conforms to the area of the skin tissue 280 to be treated. The device 5〇〇 may be configured to be placed in direct contact with the surface 270 of the skin tissue 280. Thus, the bottom surface 520 of the device 500 is substantially flat and/or it can be contoured along the skin surface 27A in the region of the skin tissue 280 that can receive optical radiation. The bottom surface 52 of the exemplary device 500 can be relatively thick (eg, after Side wall 510) such that it exhibits a thermonal mass. Thick bottom surface 520 has 200938247 to help protect skin surface 27. Protect from unwanted heat damage (when filament i2 is oxidized or otherwise reacted to produce light radiation) The heat emitted by the filament 12 is otherwise induced. For example, the entire device can be cooled (for example, by placing it in a refrigerator) before being applied to the skin surface 27 〇〇 (including the equal surface 520) to further help avoid the above-mentioned unwanted thermal damage. When in contact with the Table® 270, the cooling bottom &amp; 52〇 also promotes cooling of the skin tissue 280, which also promotes reduction and / or to exclude pain associated with exposure of skin tissue 280 to light radiation. Portions of sidewall 510 (eg, its outer surface) may be provided with a reflective coating or layer 515. As described herein, reflective coating 515 described above may be The energy released by the combustion or reaction of more filaments 120 is directed toward the skin tissue 280 to be treated, so it is possible to utilize more of the available energy to illuminate the skin tissue 280. In certain exemplary embodiments of the invention, certain The material or additive forms and/or coats the bottom surface 520, and certain materials or additives may act as tears to partially or completely block light at certain wavelengths or wavelength ranges produced by the filament 120' thereby reducing and/or avoiding At least a portion of the radiation having a specific wavelength passes through the bottom surface 520 and enters the skin tissue 280. Similarly, the sealing member 11 of the burning lamp 1A shown in FIG. 1 can also utilize the light having the above-mentioned light. The properties of the material are formed. The advantages of the filtering described above are described herein. Yet another exemplary device 54 in accordance with further embodiments of the present invention is shown in Figure 5B. The exemplary device 540 is substantially similar to that shown in Figure 5a. Apparatus 500. The exemplary apparatus 540 can further provide a slit or aperture 17 200938247 550 in the bottom surface 52. A thin element can be provided in the slit 55. The thin filter 560 can be used to inhibit as described herein. Or avoiding the irradiation of light having certain wavelengths onto the tissue to be treated. The filter element may be formed from any suitable material (such as plastic, glass, colloid, etc.) having the desired light filtering characteristics. For example, by varying the type of element 56, the light characteristic (i) characteristic produced by device 54(R) on the tissue to be treated can be altered to treat different types of symptoms or features. The filter member 56 can also be a minus (four) member&apos; which primarily reduces the peak intensity and/or flux of light radiation passing therethrough and then interacting with the skin tissue 280. In a second exemplary embodiment, a plurality of slits or apertures 5 5 may be provided in device 540. This exemplary structure facilitates the use of a plurality of filter elements 56 for further modifying the spectrum of optical radiation wavelengths passing therethrough and illuminating the tissue to be treated. Alternatively or additionally, the slits 55 are wide enough to receive a plurality of filter members 560 to provide spectral modifications of the optical radiation described above. The non-standard device 5 40 can also be provided with a plate 570 on the bottom surface 5 2 , and the plate 5 70 can include one or more apertures or openings 575 therethrough. Plate 570 can be used to shield tissue under a portion of device 504 such that, for example, only tissue beneath aperture 575 is exposed to optical radiation generated by the device. Thus, a single type of device 540 can be used to provide optical radiation to a treatment location below one or more of the apertures 575 while avoiding or reducing other adjacent areas of the tissue from being illuminated. Plate 5 70 can be attached or affixed to bottom surface 520 of device 540. Alternatively or additionally, the plate 570 can be located on the surface of the tissue such that the apertures 575 are directly on a particular area of tissue that is about to be exposed to optical radiation. Device 540 is placed on a positioning plate 570 and activated as described herein to provide a pulse of light radiation through aperture 575 and onto the tissue region to be treated. A plurality of the above-described multi-purpose panels 570 having apertures 575 of different sizes may be provided to treat specific regions of tissue of different sizes and/or shapes. The above exemplary board 570 can also be applied with any of the exemplary embodiments of the invention described herein. Another exemplary apparatus 58 in accordance with still further embodiments of the present invention is not shown in Figure 5C. The exemplary device 580 is also substantially similar to the device 500 shown in Figure 5A. The bottom surface 52 of the device 58 can include a cavity 59. The chamber 590 can be filled with water to form a water filter that can reduce and/or eliminate the amount of infrared radiation passing therethrough as described herein. For example, an exemplary device 58() including a water filled cavity 590 can be stored in the refrigerator. When the device is placed completely on the tissue to be treated and the optical radiation pulse is generated by activating the combustible material 120, the east water layer provides both infrared and tissue cooling. Other materials or mixtures having specific radiant properties may also be provided in chamber 590. The above materials or mixtures may be in the form of a solid, a liquid or a gas. _ The exemplary device 500, 540, 580 (which may not include a separate cover) shown in Figures 5A-5C is particularly simple and/or comparable to some of the other features provided in accordance with the further exemplary embodiments of the present invention. Made cheap. According to an exemplary embodiment of the invention, combustion lamps having different characteristics may be applied - the characteristics associated with the particular burner lamp to be applied include, as described herein, which may be based on the particular treatment to be provided and/or to be treated Choose from specific defects or symptoms. For example, many photography 19 200938247 Characteristics of flash bulbs (including such as pulse period, total output (lumens-seconds) and peak intensity (lumen)) are described in W.D. M〇rgan, Synen) fiash

Photography,Morgan &amp; Lester,New York,NY (1939) 39-54。基於上述傳統閃光燈泡的結構可易於改造、建造 或修改燃燒燈,使其具有某些適於特定光療應用的示範 特徵。 例如,某些應用的示範脈衝週期可在約5毫秒與約2〇 毫秒之間或例如約100毫秒或更久(若想要的話)。亦可 提供其他脈衝週期,例如高達約1秒的脈衝寬度。特定 燃燒燈提供之脈衝週期係基於燃燒燈1〇〇十提供之細絲 W (諸如,金屬線或荡)的寬度或厚度。一般而言,例如 較粗的細絲可導致較大的脈衝寬度,因為其可在燃燒燈 100中維持較長的反應時間。脈衝寬度亦會受到諸如用 於形成細絲uo之特定材料與/或封圍件11〇中提供之氧 氣量所影響。Photography, Morgan &amp; Lester, New York, NY (1939) 39-54. Based on the structure of the conventional flash bulb described above, the burner lamp can be easily retrofitted, constructed or modified to have certain exemplary features suitable for a particular phototherapy application. For example, an exemplary pulse period for some applications may be between about 5 milliseconds and about 2 milliseconds or, for example, about 100 milliseconds or longer (if desired). Other pulse periods can also be provided, such as pulse widths of up to about 1 second. The pulse period provided by a particular burner is based on the width or thickness of the filament W (such as a wire or swash) provided by the burner. In general, for example, a thicker filament can result in a larger pulse width because it can maintain a longer reaction time in the combustion lamp 100. The pulse width is also affected by the amount of oxygen provided in the particular material and/or enclosure 11 诸如 used to form the filament uo.

、本文所述之某些傳統燃燒埂可具有〇。〖的色 /皿上述燈在提供之光輕射形式的電磁能量因此可包括 位於可見光譜中的波長範圍。如本文所述,可選擇性地 利用不同示範濾、件佈置以促進僅有某些燃燒燈散發光之 :皮長照射皮膚。可根據許多因素(諸如,即將治療之組織 或缺陷、患者皮膚組織的通常色素水平等)選擇上述 波長。 可根據許多參數確定應用 之輻射的特定通量。例如, 於皮膚組織28〇的目標區域 可藉由改變燃燒燈1〇〇中提 20 200938247 供之細絲120量來改變燃燒帛1〇〇與/或其他本文所述 之示範設備構造所散發之輻射總量。例如,較大的封圍 件110可促進較大量的細絲12()提供於單—燃⑽⑽ 中。可將複數個燃燒燈100提供於單—外罩220中,這 亦可提供外罩220下方之由磨細磁oorv “ υ I'刀·^反贋組織280較大的通量。Some of the conventional combustion crucibles described herein may have defects. The color of the above-mentioned lamp in the form of light provided by the light can thus include a range of wavelengths in the visible spectrum. As described herein, different exemplary filter arrangements can be selectively utilized to facilitate the luminescence of only certain burner lamps: the skin length illuminates the skin. The above wavelengths can be selected based on a number of factors, such as the tissue or defect to be treated, the usual pigment level of the patient's skin tissue, and the like. The specific flux of the applied radiation can be determined based on a number of parameters. For example, a target area of 28 皮肤 of the skin tissue can be modified by changing the amount of filament 120 supplied by the burner lamp 20 200938247 to comminute the combustion 帛 1 〇〇 and/or other exemplary device configurations described herein. Total amount of radiation. For example, a larger enclosure 110 can facilitate the supply of a relatively large amount of filaments 12() in the single-fire (10) (10). A plurality of burner lamps 100 can be provided in the single-outer cover 220, which can also provide a larger flux from the fine-grained magnetic oorv "υ I' knife ^ 赝 structure 280 under the outer cover 220.

包含可燃細絲120或其他反應材料之不同燃燒燈或封 圍件幾何圖案亦可用於特定應用。例如,可應用第5α_5 圖中顯示之較寬封圍件而不是例如第i圖之燃燒燈ι〇〇 中顯示之類球體外形。上述示範封圍件之高度可經選擇 :提供所欲數量的細絲12〇覆蓋設備下方之組織的各個 單位面積以達成特定通量。亦可改變上述設備由上方觀 之的大小與外形。❹’燃燒燈1〇〇或封圍件ιι〇可配 置成小尚度與相當寬的基部(例如,類似薄盤的外形), 其提供相當少量的細絲(及相應較小的光輻射通量)覆蓋 較大的組織區域。替代或額外地,具有較小基部的較高 封圍件可用於提供較高的通量以應用較強的光輻射脈衝 至特定的組織區域。 例如,封圍件或具有較高封圍件(例如,高度大於約卜2 cm)的設備可提供更多細絲12〇覆蓋組織的各個單位面 積,當啟動時其可產生較大的光輻射通量。相反地,例 如具有低輪廓的封圍件(例如,高度約1 cm或更低)僅可 提供少量的可燃或反應性細絲120覆蓋組織的各個單位 面積。上述低輪廓燈或封圍件可產生較少的光輻射通量 照射於下方組織。可影響照射皮膚之光輻射通量的某些 21 200938247 因素包括封圍株、&amp; 固件燈泡與/或設備的幾何圖形、可燃/反應 材枓與即將治旅+ A , 療之組織間的距離、其中提供之反應性細 :的 數量、可引導產生之輻射朝向組織的反射表 :於燃燒燈與组織間的任何過渡件。可考慮上述示 、以產生特定光療應用的適當通量水平。 ❹Different combustion lamps or enclosure geometry including flammable filaments 120 or other reactive materials can also be used for a particular application. For example, a wider enclosure shown in the 5a_5 diagram can be applied instead of the sphere shape as shown in the combustion lamp ι of the i-th diagram. The height of the above exemplary enclosure can be selected to provide a desired amount of filament 12 to cover the various unit areas of the tissue beneath the device to achieve a particular flux. It is also possible to change the size and shape of the above device from the top. ❹ 'Combustion lamp 1 〇〇 or enclosure ιι〇 can be configured to have a small width and a fairly wide base (for example, a thin disk-like shape) that provides a relatively small amount of filament (and correspondingly smaller radiant flux) Amount) covers a large area of tissue. Alternatively or additionally, a higher enclosure having a smaller base can be used to provide a higher flux to apply a stronger pulse of optical radiation to a particular tissue region. For example, a closure or a device with a higher closure (eg, a height greater than about 2 cm) can provide more filaments 12〇 covering the various unit areas of the tissue, which can produce greater light radiation when activated. Flux. Conversely, an enclosure having a low profile (e.g., having a height of about 1 cm or less) can only provide a small amount of flammable or reactive filaments 120 covering the various unit areas of the tissue. The low profile lamp or enclosure described above produces less light radiant flux to illuminate the underlying tissue. Some of the factors that can affect the radiant flux of light that illuminate the skin. 200938247 Factors include the enclosed strain, &amp; the geometry of the firmware bulb and/or equipment, the flammable/reactive material 枓 and the imminent travel + A, the distance between the treated tissues The amount of reactivity provided therein: the amount of radiation that can be directed to the tissue toward the tissue: any transition between the burner and the tissue. The above indications can be considered to produce an appropriate flux level for a particular phototherapy application. ❹

;同/α療或皮膚處理之示範通量值通常選自諸如 約與約200 W之間、或較佳係約⑽^與 約30 J/em2之間、或更佳係約1 J/em2與約15 J/Cm2之 間。上述示範通量範圍可在皮膚表面27〇與/或皮膚組織 280中產生不同的加熱量與/或熱傷害。 本發明某些示範實施例可包括帶子、黏著劑或另一固 定件’其可用來固定外1 22〇覆蓋即將治療之皮膚組織 280的區域。可選擇性與外罩22〇及燃燒燈⑽分開地 提供按鈕240與活化佈置23〇。例如,可與外罩22〇相 隔某段距離來提供活化佈置23〇與開關24〇,並可利用 例如金屬線等來連接至燃燒燈1〇〇 (例如,電性連接至引 發件150)而提供。替代或額外地,活化佈置23〇可固定 於外罩220,而開關240可與活化佈置23〇相隔某段距 離並利用例如金屬線等來連接而提供。 本發明之示範實施例可用來例如治療許多缺陷並提供 皮膚組織許多治療,其可包括以光學能量或其他電磁輻 射照射組織。如本文所述般,燃燒燈可經選擇或設計以 提供所欲治療適當數量與類型的輻射。可輕易利用計算 或少數測量確定上述參數(諸如,燃燒燈大小(例如,其 22 200938247 中包含的細絲120數量)、外農 卜罩2 2 0的大小與外形、過濾 佈置250的選擇性應用等)的镦儿 t Α 扣寻)的變化以得到適合特定治療或 應用的照射參數。 可利用本文所述之本發明;於由u , 赞月不乾實施例治療不同的色素 性與/或靜脈病變及其他由虚广处&amp; ^ 文夂/、他反膚症狀與缺陷。上述皮膚症狀 與缺陷的實例包括(但不限於、諾 取仏)褚如老人斑(雀斑)、粉刺、 葡萄酒色斑、血管瘤、蜘蛛網狀血管、不欲毛髮移除、 φ 光動力療法、皺紋移除與膠原收縮等。 本文所述之本發明示範實施例提供之光輻射亦可結合 不同物質以提供某些症狀的更有效治療。例如,可施加 發光團(chromophore)於即將治療之組織的某些部分以增 強光輻射的吸收。上述發光團包括諸如溶液或馬克筆中 提供的碳微粒或光療應用中應用的任何其他常見發光 團。 _ 光敏劑亦可與本發明實施例一起應用以增強光輻射對 組織的作用。上述光敏劑可用於例如光動力療法處理 中。亦可將利多卡因(lidocaine)膠或溶液施加至組織以助 ;減y疼痛知覺並作為光敏劑。某些示範實施例中,可 提供利多卡因膠於外罩或封圍件的較低表面,以致治療 前备设備置於組織上時膠可接觸組織表面。其他常見光 敏劑亦可與本文所述之示範系統與設備產生之光輻射一 起應用。 詳細插述治療的某些特定實施例。例如,本發明之示 勒1實施例可用於許多通常應用輻射脈衝數目相當少之光 23 200938247 療處理。 實施例1 第6 A圖顯示突起櫻桃色血管瘤(測量約5 mm寬)的相 片根據本發明某些示範實施例治療血管瘤,藉由將血 s瘤暴露於例如M3攝影閃光燈泡提供之單一光輻射脈 衝在燃燒燈周gj提供反射佈置且不應用光輕射渡件。 ❹ 透過位於櫻桃色血管瘤上的孔隙提供輻射。施加之輻射 的乙量’’勺9-10 j/cm2 ’而單一脈衝提供之總能量係約4 J。脈衝週期約10-15毫秒。 在第一週中發現血管瘤的若干初步轉黑與變硬❶治療 約六週後的血管瘤外觀顯示於第6b圖的照片中,與第 6A圖中顯不之照片以相同倍率拍攝。似乎明顯改善此缺 陷的外觀,血管瘤整體變淡且尺寸縮小。若想要的話可 &amp;應、用第二次脈衝以進一步改善外觀。第6B圖之照片中明 顯有某些對企管瘤周圍健康組織的殘餘傷害。可減少上 述不欲之影響,例如藉由提供本文所述之紫外光渡件、 減少施加之光輻射脈衝的通量、或這些改變的組合。 第7A圖顯示正常(平坦)血管瘤(直 uim) m 片。根據本發明之示範方法’將此血管瘤暴露於例如Μ; 攝影閃光燈泡提供之未過濾光輻射的單—脈衡。可在燃 燒燈周圍提供反射佈置,並透過位於血管瘤上的孔隙提 24 200938247 供輻射。施加之輻射的通量約9_1(W/em2,而單一脈衝 中提供之總能量約4卜脈衝週期約10-15毫秒。 第一週内,發現血管瘤的若干直接突起與轉黑及出現 血管瘤的若干變硬。治療約六週後的血管瘤外觀顯示於 第7B圖的照片中。血管瘤似乎明顯變淡變小。第7B圖 之照片中明顯有少量對血管瘤周圍皮膚的傷害,這可以 減少,例如藉由提供UV濾件給輻射脈衝與/或輕微地減 少施加之通量。 t施例3 根據本發明之示範實施例,藉由將第8 A圖之照片中顯 示的棕色老人斑(雀斑)(測量約3 mm寬)暴露於例如單一 光輻射脈衝而加以治療。藉由位於反射外罩中的M3攝 衫閃光燈泡提供未過濾之輻射。將孔隙置於雀斑上。輻 射脈衝的總體通量約9-10 J/cm2,而施加之能量約4 j。 脈衝週期約1〇_15毫秒。 發現雀斑的若干初步變滑,且第一天中出現雀斑的變 黑而在約一周内褪色。治療約六週後的雀斑外觀顯示於 第8B圖的照片中。雖然此第8A圖的灰階影像中非顯而 易見’但第8A圖之照片中顯示之雀斑的褐色外觀明顯減 少’而較深區域在第8B圖之照片中的外觀係淡紅色。因 此’藉由本治療可減少雀斑的色素增強。第8A圖中顯示 之深色區域指出某些與色素性病變本身的照亮相關而出 現的皮膚組織傷害。可減少上述附屬的傷害,例如藉由 25 200938247 提供紅外線濾件給光輻射脈衝與/或減少施加至上述老 人斑之脈衝的通量。 因此可以理解熟悉技術之人士能夠設計多種具體化本 發明理論之系統、佈置與方法,雖然本文未明白地顯示 或描述,但係位於本發明之精神與範圍中。此外,本文 提及之所有刊物、專利與專利申請案藉由其全文以參考 資料併入本文中。 【囷式簡單說明】 為了更完全了解本發明與其優點,現參照上述與附屬 圖示,其中: 第1圖係根據本發明示範實施例應用之示範燃燒燈的 圖示; 第2圖係根據本發明示範實施例提供光學能量給組織 _ 之示範設備的圖示; 第3圖係根據本發明進一步示範實施例提供光學能量 給組織之進一步示範設備的圖示; 第4圖係根據本發明某些示範實施例提供光學能量給 組織之又進一步示範設備的圖示; 第5 A圖係根據本發明特定示範實施例提供光輻射給 組織之示範設備的圖示; 第5B圖係根據本發明進一步示範實施例提供光學量 給皮膚組織之另一示範設備的圖示; 26 200938247 圖係根據本發明又進-步示範實施例提供光學 -量給皮膚I且織之又另一示範設備的圖示; 第6A圖係突起櫻桃色血彡I ; 昭圖係根據本發明示範實施例以單—光輻射脈衝 A圖顯不之櫻桃色也管瘤例如6周後的影像; 第7A圖係平坦血管瘤的示範影像;The exemplary flux values for the same/alpha therapy or skin treatment are typically selected from, for example, between about 200 W, or preferably between about 10 J^ and about 30 J/em2, or more preferably about 1 J/em2. Between approximately 15 J/cm2. The above exemplary flux ranges can produce different amounts of heating and/or thermal damage in the skin surface 27 and/or skin tissue 280. Certain exemplary embodiments of the invention may include a strap, an adhesive, or another fastener that can be used to secure the outer surface of the skin tissue 280 to be treated. The button 240 and the activation arrangement 23A are selectively provided separately from the outer cover 22 and the combustion lamp (10). For example, the activation arrangement 23〇 and the switch 24〇 may be provided at a distance from the outer cover 22〇 and may be provided by, for example, a wire or the like connected to the combustion lamp 1 (eg, electrically connected to the initiator 150). . Alternatively or additionally, the activation arrangement 23A may be fixed to the outer cover 220, and the switch 240 may be provided at a distance from the activation arrangement 23A and connected by, for example, a metal wire or the like. Exemplary embodiments of the present invention can be used, for example, to treat a number of deficiencies and provide a number of treatments for skin tissue, which can include illuminating tissue with optical energy or other electromagnetic radiation. As described herein, the burner light can be selected or designed to provide the desired amount and type of radiation to be treated. The above parameters (such as the size of the burner (e.g., the number of filaments 120 included in 22 200938247), the size and shape of the outer cover 220, and the selective application of the filter arrangement 250 can be readily determined using calculations or a few measurements. The changes in the t Α 扣 扣 以 以 以 以 以 以 以 以 。 。 。 。 。 。 。 。 。 。 。 The invention described herein can be utilized; in the treatment of different pigmented and/or venous lesions and other by the u, the sacred month, and other symptoms and defects by the imaginary genus &amp; Examples of such skin conditions and deficiencies include, but are not limited to, sputum, acne, wine stains, hemangioma, spider reticular vessels, unwanted hair removal, φ photodynamic therapy, Wrinkle removal and collagen contraction. The optical radiation provided by the exemplary embodiments of the invention described herein may also be combined with different materials to provide a more effective treatment for certain symptoms. For example, a chromophore can be applied to certain portions of the tissue to be treated to enhance absorption of optical radiation. The above luminophores include carbon particles such as those provided in solution or markers or any other common luminophore used in phototherapy applications. The photosensitizer can also be used in conjunction with embodiments of the invention to enhance the effect of light radiation on the tissue. The above photosensitizers can be used, for example, in photodynamic therapy treatments. Lidocaine gum or solution can also be applied to the tissue to help reduce y pain perception and act as a photosensitizer. In certain exemplary embodiments, lidocaine gum may be provided on the lower surface of the outer cover or closure so that the glue contacts the tissue surface when the treatment device is placed on the tissue. Other common photosensitizers can also be used in conjunction with the optical radiation produced by the exemplary systems and devices described herein. Some specific embodiments of the treatment are detailed in detail. For example, the embodiment of the present invention can be used in a number of applications that typically employ relatively few pulses of radiation 23 200938247. Example 1 Figure 6A shows a photograph of a raised cherry hemangioma (measured about 5 mm wide) for treating a hemangiomas according to certain exemplary embodiments of the present invention, by exposing the blood tumor to a single unit such as an M3 photographic flash bulb The optical radiation pulse provides a reflective arrangement at the burning lamp circumference gj and does not apply a light light emitter. Rad Provides radiation through pores located on cherry hemangiomas. The amount of radiation applied is '9-10 j/cm2' and the total energy provided by a single pulse is about 4 J. The pulse period is about 10-15 milliseconds. Several initial blackening and hardening treatments of hemangiomas were found in the first week. The appearance of the aneurysm after about six weeks was shown in the photograph of Figure 6b, taken at the same magnification as the photograph shown in Figure 6A. It appears that the appearance of this defect is significantly improved, and the hemangioma is generally lighter and smaller in size. If desired, the second pulse should be used to further improve the appearance. In the photograph of Figure 6B, there are some residual injuries to the healthy tissue surrounding the tumor. The above undesirable effects can be reduced, for example, by providing an ultraviolet light-emitting member as described herein, reducing the flux of the applied light radiation pulse, or a combination of these changes. Figure 7A shows a normal (flat) hemangiomas (straight uim) m slices. The hemangioma is exposed to, for example, sputum according to an exemplary method of the invention; a single-pulse balance of unfiltered light radiation provided by a photographic flash bulb. A reflective arrangement can be provided around the burner lamp and radiated through the pores located on the hemangioma. The flux of the applied radiation is about 9_1 (W/em2, while the total energy provided in a single pulse is about 4-15 pulse periods of about 10-15 milliseconds. During the first week, several direct processes of hemangiomas and blackening and blood vessels are found. Some of the tumors became hard. The appearance of the aneurysm after treatment for about six weeks is shown in the photograph of Figure 7B. The hemangioma appears to be significantly lighter and smaller. In the photograph of Figure 7B, there is a small amount of damage to the skin around the hemangioma. This can be reduced, for example, by providing a UV filter to pulse the radiation and/or to slightly reduce the applied flux. t Example 3 According to an exemplary embodiment of the invention, the brown color shown in the photograph of Figure 8A is shown. Old age spots (freckles) (measured approximately 3 mm wide) are treated with, for example, a single pulse of light radiation. Unfiltered radiation is provided by an M3 flash bulb placed in a reflective enclosure. The aperture is placed on the freckles. The overall flux is about 9-10 J/cm2, and the applied energy is about 4 j. The pulse period is about 1 〇 15 milliseconds. Some initial changes in freckles are found, and the freckles appear black on the first day. Fading in a week. Treatment about six The appearance of the freckles is shown in the photograph of Figure 8B. Although the grayscale image of Figure 8A is not obvious, the brown appearance of the freckles shown in the photograph of Figure 8A is significantly reduced, while the deeper area is in Figure 8B. The appearance in the photograph is light red. Therefore, the pigmentation enhancement of freckles can be reduced by this treatment. The dark area shown in Fig. 8A indicates some skin tissue damage associated with the illumination of the pigmented lesion itself. Reducing the above-mentioned accessory damage, for example, by providing an infrared filter to pulse the optical radiation and/or reducing the flux applied to the pulse of the above-mentioned age spots by 25 200938247. It is therefore understood that those skilled in the art can design various embodiments of the invention. The system, the arrangement and the method are not intended to be shown or described herein, but are intended to be within the spirit and scope of the present invention. In addition, all publications, patents, and patent applications mentioned herein are hereby incorporated by reference in their entirety. [Simplified Explanation of the 囷] In order to more fully understand the present invention and its advantages, reference is now made to the above and accompanying drawings, in which: 1 is an illustration of an exemplary combustion lamp applied in accordance with an exemplary embodiment of the present invention; FIG. 2 is an illustration of an exemplary apparatus for providing optical energy to a tissue in accordance with an exemplary embodiment of the present invention; Exemplary embodiments provide an illustration of further exemplary apparatus for optical energy to tissue; FIG. 4 is an illustration of yet another exemplary apparatus for providing optical energy to tissue in accordance with certain exemplary embodiments of the present invention; FIG. 5A is in accordance with the present invention A particular exemplary embodiment provides an illustration of an exemplary apparatus for optical radiation to tissue; FIG. 5B is an illustration of another exemplary apparatus for providing optical quantities to skin tissue in accordance with further exemplary embodiments of the present invention; 26 200938247 The further exemplary embodiment provides an illustration of another exemplary apparatus for optically imparting to skin I and weaving; Figure 6A is a protuberance of cherry-colored blood sputum; Figure 2 is a single-optical radiation according to an exemplary embodiment of the invention. The pulse A picture shows that the cherry color is also an image of the tumor, for example, after 6 weeks; the 7A picture is a demonstration image of the flat hemangioma;

第7B圖係根據本發明示範實施例以單一光輕射脈衝 ’&lt;、、射第7A圖顯示之血管瘤例如6周後的影像; 第8A圖係標色老人斑(雀斑)的示範影像;及 ,第8B ®係根據本發明示範實施例以單一光學能量脈 衝照射第8A圖顯示之老人斑例如6周後的影像。 除非另有明示’否則圖示中相同元件數字與符號係用 於代表所述實施例的類似特徵、元件、部件或部分。再 者,雖然現參照圖示詳細地描述本發明,但亦可參照描 述之實施例而達成。Fig. 7B is an image of a hemangiomas displayed by a single light pulse pulse '&lt;,, Fig. 7A, for example, after 6 weeks, according to an exemplary embodiment of the present invention; Fig. 8A is an exemplary image of a color senile plaque (freckles) And, 8B® illuminates the image of the age spots shown in FIG. 8A, for example, after 6 weeks, in a single optical energy pulse according to an exemplary embodiment of the present invention. The same element numbers and symbols are used to represent similar features, elements, components or parts of the described embodiments, unless otherwise indicated. Further, although the present invention will now be described in detail with reference to the accompanying drawings, FIG.

【主要元件符號說明】 100 燃燒燈 110 封圍件 120 細絲 130 蓋 140 接點 150 引發件 200、 300 、 400 、 500、540、580 設備 220 外罩 230 活化佈置 240 按鈕 250 ' 560 澹十 27 200938247 270 表面 280 皮膚組織 510 側壁 515 反射塗層 520 底面 550 狹缝 570 板 575 孔隙 590 腔 〇 28[Main component symbol description] 100 Burning lamp 110 Enclosure 120 Filament 130 Cover 140 Contact 150 Initiator 200, 300, 400, 500, 540, 580 Equipment 220 Cover 230 Activation arrangement 240 Button 250 ' 560 澹10 27 200938247 270 Surface 280 Skin Tissue 510 Sidewall 515 Reflective Coating 520 Bottom 550 Slit 570 Plate 575 Pore 590 Cavity 〇 28

Claims (1)

200938247 七、申請專利範圍: 1. 種鉍加光輻射於至少一生物組織的設備,其至少包 括: · 幸田射佈置,设置以根據—化學反應而產生該輻射; 及 其中該光輻射對該至少一生物組織的至少一部分產生一 生物效應。 Φ 2. 如申請專利範圍第i項所述之設備,其中該輻射佈置包 括一燃燒燈。 3.如申請專利範圍第或第2項所述之設備,其中該 輻射佈置包括-密封之封圍件與—提供於該密封之封圍件 中的可燃材料。 〇 :一如金申屬請專利範圍第3項所述之設備’其中該可燃材料包 5. 如申請專利範圍第4項所述之設傜 ,义心&quot;又備,其中該金屬包括 鋁、海裝鋁(hydronalium)或一鋁合金的至少一者。 6, 如申請專利範圍第3-5項任何一項所述之設備,其中該 可燃材料係以一金屬線之一形式提供。 S 29 200938247 7·如申請專利範圍第3-5項任何— 可燃材料係以一箔之一形式提供。 項所述之設備,其中該 8.如申请專利範圍第3_7項任 π从仗堪項所述之設備 輻射佈置更包括一氣體提供於該 发在封之封圍件中 包括約8〇%與約i 〇〇%之間的無水氧氣 其中該 該氣體200938247 VII. Scope of application: 1. A device for illuminating radiation to at least one biological tissue, comprising at least: • a Koda ray arrangement arranged to generate the radiation according to a chemical reaction; and wherein the optical radiation is at least At least a portion of a biological tissue produces a biological effect. Φ 2. The apparatus of claim i, wherein the radiation arrangement comprises a combustion lamp. 3. The apparatus of claim 2, wherein the radiation arrangement comprises a sealed enclosure and a combustible material provided in the seal of the seal. 〇: As for Jinshen, please refer to the equipment mentioned in item 3 of the patent scope 'where the combustible material package is 5. If the application mentioned in item 4 of the patent application scope is ambiguous, the metal includes aluminum. At least one of a sea-based aluminum (hydronalium) or an aluminum alloy. 6. The apparatus of any of claims 3-5, wherein the combustible material is provided in the form of one of a metal wire. S 29 200938247 7 • Any of the items 3-5 of the patent application – combustible materials are supplied in one form of a foil. The apparatus described in the above, wherein the apparatus of claim 3, wherein the radiant arrangement of the apparatus further comprises a gas provided in the seal of the seal comprising about 8〇% About i 〇〇% of anhydrous oxygen, which is the gas 9.如申請專利範圍第ι_8項任何_ 一设置以引發該化學反應之觸發佈 括一開關與一驅動能量源。 項所述之設備’更包括 置,其中該觸發佈置包 10.如申請專利範圍第9項所述之設備, 包括一電池或一壓電晶體的至少一者。 其中該驅動能量源 ❹ 11·如申請專利範圍第9與/或第 人矛1 υ項任何一項所述之設 備’其中該輕射佈置更包括-提供於該密封之封圍件中的 點燃佈置,且其中該觸發佈置係經設置以提供該驅動能量 給該點燃佈置以在該密封之封圍件中引發該化學反應。 12.如申請專利範圍第Hi項任何—項所述之設備,更包括 -光學佈置,以引導該光轉射的至少一部分朝向該至 少一生物組織。 30 200938247 13.如申請專利範圍第12項所述之設備 包括一反射表面。 其中該光學佈置 I4.如申請專利範圍第13項所述之設備, 包括一反射層提供於該輻射佈置的至少〜 的至少一者。 其中該反射表面 部分之上或之中 15.如申請專利範圍第 括一外罩,設置以一 輻射佈置。 1 14項任何一項所述之設備,更包 預定距離遠離該組織而坐落或放置該 16.如申請專利範圍第15項所述之設備 少一部分包括一反射表面。 ’其中該外罩的至9. A trigger for the initiation of the chemical reaction, as set forth in claim _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ The apparatus of the present invention further includes the apparatus of claim 9, wherein the apparatus of claim 9 includes at least one of a battery or a piezoelectric crystal. Wherein the driving energy source ❹ 11· the apparatus of any one of the claims of claim 9 and/or the lance 1 wherein the light illuminating arrangement further comprises - igniting in the sealed enclosure Arranged, and wherein the triggering arrangement is configured to provide the drive energy to the ignition arrangement to initiate the chemical reaction in the sealed enclosure. 12. Apparatus according to any of the preceding claims, further comprising - an optical arrangement for directing at least a portion of the light transition toward the at least one biological tissue. 30 200938247 13. The apparatus of claim 12, comprising a reflective surface. The apparatus of claim 13, wherein the apparatus of claim 13 includes a reflective layer provided on at least one of the at least one of the radiation arrangements. Where the reflective surface portion is above or in the middle portion 15. A cover is provided as in the patent application, and is disposed in a radiating arrangement. The apparatus of any of the preceding claims, further comprising a predetermined distance away from the tissue or placed. 16. A portion of the apparatus of claim 15 includes a reflective surface. 'The outer cover of the cover 17.如申請專利範圍第1_16 該輻射源係經設置以至少― 項任何一項所述之設備,其中 脈衝的形式提供該光輻射。 18.如申請專利範圍第17項 T迷之a又備,其中該至少一脈 衝的一週期係約5毫秒與約2〇〇毫秒之間。 19.如申請專利範圍第17項 叮迷之a又備,其中該至少一脈 衝的一週期係約10毫秒與約1〇〇毫秒之間。 20. 如申請專利範圍第Π項所述之設備 其中該至少一脈 31 200938247 · 衝的一週期係約10毫秒與約s。毫秒之間。‘ =如申請專利範圍…。項任何一項所述之設 棱供於該組織上之該光輻射的至少一 、 1 J/crn2與約3〇 J/cm2之間。 V 、—通量係約 • ==_17,項任何-項所述之… ©中k供於該組織上之該光轄射的至少一 〆、 1 J/cm2與約15 J/cm2之間。 、夏係約 23.如申請專利範圍第1-22 括提供於該輻射佈置與該至 置其中該滤件佈置係經設 長的至少一部分照射於該至 項任何一項所述之設備,更包 少—生物組織之間的一濾件佈 置以避免該光輻射具有特定波 少一生物組織上。17. The scope of the invention is set forth in any one of the preceding claims, wherein the radiation source is provided in the form of a pulse. 18. As claimed in claim 17 of the invention, wherein the period of the at least one pulse is between about 5 milliseconds and about 2 milliseconds. 19. The object of claim 17 is further provided, wherein the period of the at least one pulse is between about 10 milliseconds and about 1 millisecond. 20. The device of claim 3, wherein the at least one pulse 31 200938247 comprises a cycle of about 10 milliseconds and about s. Between milliseconds. ‘=If you apply for a patent range... The rib of any of the items is for at least one of the optical radiation on the tissue, between 1 J/crn 2 and about 3 〇 J/cm 2 . V, - flux is about = = = _17, any item mentioned in the item... © k is used in the organization for at least one 〆, 1 J/cm 2 and about 15 J/cm 2 of the light . </ RTI> </ RTI> <RTIgt; </ RTI> <RTIgt; </ RTI> <RTIgt; </ RTI> <RTIgt; </ RTI> <RTIgt; </ RTI> </ RTI> </ RTI> </ RTI> </ RTI> </ RTI> The package is less - a filter arrangement between the biological tissues to avoid the light radiation having a specific wave less on a biological tissue. 如申請專利範圍第23項所述之設備 包括一紫外光濾件。 其中該濾件佈置 乂如申請專利範圍第24項所述之㈣,其中該紫外光滤 件係經設置以避免該光輻射之波長小於約55〇⑽的至少 —部分照射於該至少一生物組織上。 26.如申請專利範圍第23項所述之設備,其中該濾件佈置 包括一紅外線濾件。 32 200938247 27. 如申請專利範圍第 # # 項所述之設備,其中該紅外線濾 仵係Μ设置以避免嗜 光光輪射之波長大於約1100 nm的至少 一部分照射於該至少一4 ^ ^ 生物組織上。 28. 如申請專利範圍第%鱼 /、或第27項任何一項所述之設 ❻ 鲁 備’其中該紅外線濾件包括—水濾件。 29·如申請專利範圍第28 唄所述之s又備,其中該水濾件包 括-。3水的封圍# ’其係提供於該輻射佈置與該至少一 生物組織之間。 爪如申請專利範圍第29項所述之設備,其中該水 經設置而被冷束且在軸射佈置產生該光輻射時與該至: 一生物組織的至少一部分熱接觸而放置。 夕 3!.如申請專利範圍第23項所述之設備,其中該濾件 係經配置以避免料輻射之波長在可見光譜中的至少μ 分照射於該至少一生物組織上^ 〇Ρ 32·如申請專利範圍第23-;η項任佃一 喟任何一項所述之設備,I 中該濾件佈置與該輻射佈置係以一單一 ’、 早 組件而提供。 33.如申請專利範圍第23_32項 哨任何項所述之設備,其 33 200938247 中該設備包括複數個濾件佈置。 34·如申請專利範圍第Κ33項任何一項所述之設備,更包 括一遮罩,其包括至少一孔隙延伸穿過其間,其中該遮罩 係經設置以避免該光輻射照射於該至少一生物組織的至少 - 一部分上。 ❹ 35.如申睛專利範圍第1 -34項任何一項所述之設備,其中 該光輕射的一部分係經設置以被該至少—生物組織的至少 一色素性病變(pigmented lesion)所吸收。 3 6 ·如申请專利範圍第1 _ 3 4項任何一項所述之設備,其中 該光輻射的一部分係經設置以被該至少—生物組織的至少 一靜脈病變所吸收。 © 37·如申請專利範圍第1-34項任何一項所述之設備,其中 該光輻射的一部分係經設置以被位於該至少一生物組織中 的至少一髮囊所吸收。 3 8.如申請專利範圍第1-34項任何一項所述之設備,其中 該光輻射的一部分係經設置以被施加於該組織的至少—部 分之至少一發光團(chromophore)所吸收。 39.如申凊專利範圍第1-34項任何一項所述之設備,其中 34 200938247 該光輻射的一部分係經設置以被施加於該組織的至少一部 分之至少一光敏劑所吸收。The apparatus of claim 23 includes an ultraviolet filter. Wherein the filter arrangement is as described in claim 4, wherein the ultraviolet filter element is arranged to prevent at least a portion of the optical radiation having a wavelength of less than about 55 〇 (10) from being irradiated to the at least one biological tissue. on. 26. The apparatus of claim 23, wherein the filter arrangement comprises an infrared filter. The apparatus of claim 1, wherein the infrared filter system is configured to prevent at least a portion of the wavelength of the phosphorescent light from being greater than about 1100 nm from illuminating the at least one of the 4^^ biological tissues on. 28. The apparatus of any of the preceding claims, wherein the infrared filter comprises a water filter. 29) As described in claim 28, wherein the water filter comprises -. A seal of water 3 is provided between the radiation arrangement and the at least one biological tissue. The device of claim 29, wherein the water is disposed to be cold bundled and placed in thermal contact with at least a portion of a biological tissue when the axial arrangement produces the optical radiation. The apparatus of claim 23, wherein the filter element is configured to prevent at least μ of the wavelength of the radiation of the material from being irradiated onto the at least one biological tissue in the visible spectrum. The apparatus of claim 1 wherein the filter arrangement and the radiation arrangement are provided as a single ', early component, as claimed in any one of the claims. 33. The apparatus of any of the claims of claim 23, wherein the apparatus comprises a plurality of filter arrangements. The apparatus of any of claims 33, further comprising a mask comprising at least one aperture extending therethrough, wherein the mask is configured to prevent the light radiation from illuminating the at least one At least part of the biological tissue. The apparatus of any one of claims 1 to 34, wherein a portion of the light ray is configured to be absorbed by at least one pigmented lesion of the at least biological tissue . The device of any one of claims 1 to 3, wherein a portion of the optical radiation is configured to be absorbed by at least one venous lesion of the at least biological tissue. The device of any of claims 1 to 34, wherein a portion of the optical radiation is configured to be absorbed by at least one hair follicle located in the at least one biological tissue. The device of any of claims 1 to 34, wherein a portion of the optical radiation is configured to be absorbed by at least one chromophore applied to at least a portion of the tissue. 39. The device of any of claims 1 to 34, wherein 34 200938247 a portion of the optical radiation is configured to be absorbed by at least one photosensitizer applied to at least a portion of the tissue. 3535
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US10980596B2 (en) 2006-02-07 2021-04-20 Viveve, Inc. Vaginal remodeling device and methods
US11511110B2 (en) 2018-06-27 2022-11-29 Viveve, Inc. Methods for treating urinary stress incontinence

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US5405368A (en) * 1992-10-20 1995-04-11 Esc Inc. Method and apparatus for therapeutic electromagnetic treatment
US20040087889A1 (en) * 2001-03-30 2004-05-06 Jan Simonsen Therapeutic treatment device
US7722600B2 (en) * 2003-08-25 2010-05-25 Cutera, Inc. System and method for heating skin using light to provide tissue treatment
US20080093418A1 (en) * 2005-06-22 2008-04-24 Weihs Timothy P Multifunctional Reactive Composite Structures Fabricated From Reactive Composite Materials

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US10376307B2 (en) 2006-02-07 2019-08-13 Viveve, Inc. Vaginal remodeling device and methods
US10980596B2 (en) 2006-02-07 2021-04-20 Viveve, Inc. Vaginal remodeling device and methods
TWI648028B (en) * 2009-09-18 2019-01-21 美商維芙芙公司 Apparatus for reshaping a treatment area within a tissue beneath the mucosal epithelium of a female reproductive tissue
US11154349B2 (en) 2009-09-18 2021-10-26 Viveve, Inc. Vaginal remodeling device and methods
US11511110B2 (en) 2018-06-27 2022-11-29 Viveve, Inc. Methods for treating urinary stress incontinence

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