201002303 九、發明說明： 【發明所屬之技術領域】. 本發明係提供-種應用在人體上之醫療及美容醫學方 面藉由溶解脂肪組織之利用皮膚接觸冷卻之非侵入性超 音波導引抽脂整形裝置及其方法。 ° 【先前技術】 在先前技術中，在應用於醫療及美容醫學上，有利用 不同形式能量以得到良好效果之多種實用設備；例如：頒 發給Eshel先生的美國第6,6〇7,498號專利案(在下文中鬥稱 為Eshd‘498)，其裝置具有一指向頭，包括一或多個超音波 發射體，可在病人表皮及内部組織產生一有益震動以及空 穴效應。 ι - 在Eshd ‘498中，其超音波能量提供一預定之能量及 頻率，係透過-與該裝置神相連接之㈣單元加以調 整，並根據所實施之治療及面積而加以手動調整。在上述 裝置中，其適合之提供能量一般係由操作人員或治療師藉 由他們的專業知識及經驗所決定，在治療當時無法得知超 音波治療對於溶解脂質組織的效果。 〜因為人體中域及料之結構_，會有一使所提供能 里效果更好、吸收更佳之共振頻率；然而，在先前技術關 於此治療之已知裝置中，並未提供一有效決定該共振頻率 之方法。 ^夫疋該，、振頻率可提供操作人m療師在治療過程 中月匕最有效率地對病人進行治療，避免病人過量曝露在未 201002303 利用能量中，同時## 副作用。而所提供之Μ/當治療條件下所產生之有害 高之風險，其產生規定之效果可能會有過 部發炎。目穴作用或因摩擦而過熱導致局 試圖避免上述問題；但因程分:f的密集治療方式， 其不便。 ；丙而浪費時間在多次就診造成 方法人性溶解腊f組織之裝置及 最隹化之參數實施。 之該魏醉縣礎、並以 【發明内容】 錢細嫩雜入性超 可輪1 了*L楚說明，”可變頻率之治療敷貼器，，特別指- 出於—_區_連續㈣變化頻率之敷鮮。 波發之實施例係使用—具有一或多個可變頻率超音 方式，f之h療敷貼器來調整其輸出能量，以自動或手動 率y透過-共振感應器加以侧每一位病人之該共振頻 及tbf本發明~較佳實施例中，該治療敷貼11係包括一低 及中頻率之電刺激電極。 低 在，發明之另一實施例中，該治療敷貼器係包括至少 ''、緣高鮮刺激電極，其為電阻式或電容式。 射體i本r月—較佳實施例中，該裝置包括一由超音波發 -S理旎量之共振感應器，藉以考慮到其吸收及反射能 201002303 測量值和賦值。而該共振感應器係連接到-控制 頻t決定提供給病人身體組織最高效率之能量時的工作 在本發明一較佳實施例中，該裝置掃描整個工作頻率 °°曰’，同時測量出-可提供最有效率超音 應器)之_。該最佳化之頻柯該共振感 定區域上組織的能量之共振頻率結構特 利用Μ中，同時確保仍有更佳之治療效果。 立之ίί發明之另一實施例中，該共振感應器係位在-獨 敷貝^ 上，獨狀設置有該超音波發射體之該治療 波導=體所載，為首次提供-非侵入性超音 竹身體雕塑之裝置’該裝置係包括 一 超音波發射體之可變頻率治療敷貼器，以及⑻-=至少-超音波發射體之輸出頻率的 嶋㈣二超音波 職:=，，該輸出頻率係介—至 之頻__率係介於—咖Ζ至馳 提供該例中’该控制單元係用來以—連續波模式 在較佳實施例中，該控制單元係用來以一突波模式提 201002303 供該輸出頻率。 在較佳實施例中’ s亥控制單元係用以掃目苗一 頻率區間及時間間隔之該輸出頻率。 在較佳實施例中，該治療敫貼器係包括至少一電刺激 經設計之 電極 根據本發明所載’為首次提供一非侵入性超 身體雕塑之裝置，該裝置係包括：⑻―具有至少—可 率超音波發射體之可變頻率治瘁數貼哭 只 、厶 卞/口縻敖貼态，（b)—用來決定一 Ϊ = 振，的共振感應器，以及⑷—根據一來自 出頻率至該共振頻率之控制單元。 找射體之輸 上。#政g k例巾’雜振感應祕位於該治療敷貼器 綠振感應嫌在—獨立於該治 在較佳實施例中，每认， 之區間。 該輪出頻率係介於25kHz至60kHz 該控制單元係用來以一連續波模式 在較佳實施例中 提供該輪出頻率。 該控制單元係用來以一突波模式提 在較佳實施例中， 供該輪出頻率。 在較佳實施例中，兮 頻率區間及時間間隔切=彳單元係用以掃目I經設計之 Λ匈出頻率。 在較佳實施例中，兮仏由* μ ~療敷貼器係包括至少一電刺激 201002303 電極。 根據本發明所載，為首 身體雕塑之裝置， 「2人性超音波针 敷貼器上之冷卻裝置，位在該治療 一超音波發射體之控解元。 輪出轉到該至少 在較佳實施例中，該冷卻, Γ: 一超音波發射體上之至少一孔道^。’、吏冷郃劑通過至少 控制在較佳實施财，該冷由—熱電冷卻裳置所 根據本發明所载，為 身體雕塑之方法，該方法入性超音波料 至少-可變頻率超音波發射具有 以及_整，利用一控制單元敷钻器， 輸出功率。 主夕—超音波發射體之 根據本發明所载，為贫次 身體雕塑之方法，該方法 「料入性超音波導弓! 至少一可變頻率史立 表、已 以下步驟：（a)提供一具有 灸頭平超曰波發射體之— 決定，利用-共振感㈣、了_料療敷點器⑼ 調整，利用—— /〇療區域之共振頻率，以及(c) 使至少—據i自該聽顧器之訊號， 非侵人身=提供「利用皮膚接觸冷卻之 (也供—具有至少—可變辦超音波發射體之-可 201002303 變頻率治療敷貼器(b)冷卻至少一超音波發射體，以及(幻實 施’利用一控制單元、.一至少一超音波發射體之輸出頻率。 透過下列說明以及範例，上述及另外實施例將會更明 白易懂。 【實施方式】 本發明係揭示一種「非侵入性超音波導引身體雕塑裝 置及方法」，透過下列說明及相對應圖示以說明其原理 作過程：201002303 IX. Description of the invention: [Technical field to which the invention pertains] The present invention provides non-invasive ultrasonic guided liposuction using skin contact cooling by dissolving adipose tissue in medical and cosmetic medicine applied to the human body. Shaping device and method therefor. ° [Prior Art] In the prior art, there are many practical devices that use different forms of energy to obtain good effects in medical and cosmetic medicine; for example, the US Patent No. 6,6,7,498 issued to Mr. Eshel (hereinafter referred to as Eshd '498), the device has a pointing head that includes one or more ultrasonic emitters that produce a beneficial shock and cavitation effect in the patient's epidermis and internal tissues. ι - In Eshd ‘498, the ultrasonic energy provides a predetermined energy and frequency, which is adjusted through the unit (4) connected to the device and manually adjusted according to the treatment and area being implemented. In the above devices, the appropriate energy supply is generally determined by the operator or the therapist by their expertise and experience, and the effect of the ultrasound treatment on dissolving the lipid tissue is not known at the time of treatment. ~ Because of the structure of the human body and the material, there is a resonance frequency that provides better energy and better absorption; however, in the prior art known devices for this treatment, an effective determination of the resonance is not provided. The method of frequency. The husband's frequency can provide the operator with the most effective treatment of the patient during the treatment process, avoiding excessive exposure of the patient to the energy used in 201002303, while ## side effects. However, the risk of the sputum provided under the conditions of treatment may be over-inflamed. The effect of the eye point or overheating due to friction attempts to avoid the above problems; but it is inconvenient because of the intensive treatment of the procedure: f. C wasted time in multiple visits to create a method for the human body to dissolve the wax f tissue and the most degraded parameters were implemented. The Wei drunk county foundation, and [invention content] money fine and mixed into the super wheel 1 * L Chu said, "variable frequency therapeutic applicator, especially - out of -_ district_ continuous (four) The frequency of change is applied. The embodiment of the wave is used - with one or more variable frequency supersonics, the f-therapy applicator adjusts its output energy to automatically or manually rate the y-resonance sensor The resonant frequency and tbf of each patient on the side are preferred. In the preferred embodiment, the therapeutic application 11 comprises a low and medium frequency electrical stimulation electrode. In another embodiment of the invention, The therapeutic applicator comprises at least a '' edge high-stimulus electrode, which is resistive or capacitive. The emitter i is in the month of the month - in the preferred embodiment, the device comprises an ultrasonic wave Resonance sensor, taking into account its absorption and reflection energy 201002303 measurements and assignments. The resonance sensor is connected to the control frequency t to determine the energy to provide the highest efficiency to the patient's body tissue. In an embodiment, the device scans the entire operating frequency °°曰' At the same time, it is measured - the most efficient supersonic device can be provided. The optimized frequency of the resonant frequency structure of the energy in the resonance-sensing region is utilized in the sputum, while ensuring better therapeutic effects. In another embodiment of the invention, the resonant inductor is tied to the singularly placed, and the therapeutic waveguide body of the ultrasonic emitter is provided in a single shape for the first time - non-invasive Sexual Ultrasonic Bamboo Body Sculpture Device 'This device is a variable frequency therapeutic applicator that includes an ultrasonic emitter, and (8)-=at least the output frequency of the ultrasonic emitter is 嶋(四)二超音波:=, The output frequency is - to the frequency __ rate is between - Ζ Ζ 提供 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 The output frequency is provided in a surge mode for 201002303. In the preferred embodiment, the 'shai control unit is used to sweep the output frequency of a frequency interval and time interval. In a preferred embodiment, the treatment The patch system includes at least one electrical stimulus designed Electrode according to the present invention is a device for providing a non-invasive super-body sculpture for the first time, the device comprising: (8) - variable frequency therapy with at least - rate ultrasonic emitters, crying, 厶卞 / The mouth and mouth state, (b) - the resonance sensor used to determine a Ϊ = vibration, and (4) - the control unit according to a frequency from the output frequency to the resonance frequency. The input of the target body. #政gk例The towel's vibration sensor is located in the treatment applicator, and the green vibration sensor is suspected to be independent of the treatment. In the preferred embodiment, each interval is determined. The wheel frequency is between 25 kHz and 60 kHz. The wheeling frequency is provided in a preferred embodiment in a continuous wave mode. The control unit is used in a preferred embodiment for the wheeling frequency in a spur mode. In the preferred embodiment, the 频率 frequency interval and the time interval cut = 彳 cell are used to scan the frequency of the design of the Λ Λ 。. In a preferred embodiment, the μ is comprised of at least one electrical stimulation 201002303 electrode. According to the present invention, the device for the first body sculpture, "the cooling device on the 2-human ultrasonic needle applicator, is located in the control solution of the treatment of an ultrasonic emitter. Turning to the at least the preferred implementation In the example, the cooling, Γ: at least one hole in the ultrasonic emitter is controlled by the at least one control, and the cold-heated cooling is disposed according to the present invention. For the body sculpture method, the method-incorporated ultrasonic material is at least-variable-frequency ultrasonic emission having and _tegrating, using a control unit to drill the drill, and outputting power. The main eve-ultrasonic emitter is according to the present invention. For the method of poor body sculpture, the method "into the supersonic waveguide bow! At least one variable frequency history table, has the following steps: (a) to provide a moxibustion flat super-chopper emitter - decision, use - Resonance (4), _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Skin contact cooling (also for Having at least a variable ultrasonic emitter - a 201002303 variable frequency therapeutic applicator (b) cooling at least one ultrasonic emitter, and (using a control unit, a at least one ultrasonic emitter) The above and other embodiments will be more apparent from the following description and examples. [Embodiment] The present invention discloses a "non-invasive ultrasonic guided body sculpture device and method", through the following description and Corresponding to the diagram to illustrate the principle of the process:
明厂閱第圖所示，為本發明超音波導引身體雕塑裝 置’其最佳實施例之整體示賴，—治療敷貼器1G係透過 ^^，、㈣連接至-控制單心一超音波發射體叫例 -垄電疋件)係設置在該治療敷貼器1〇之一端。該控制單 財之鮮翻畴麟超讀發射體16 在本發明之較佳實施例中，— 超音波影像雜朗倾18(例如_ 來控制該超音波發射體16之輸出頻;;其係用 :單元_該超音波發射體16之輪出：二 ，㈣決定其共振頻率，該控制單元 二 為該超音波發射體16之卫作頻率 用U頻率作 治療。該控制單元12也可選擇:二，達斷 中心之狹幅區間内掃晦該超音波發射體共振頻率為 其他實施财，該共振感應器18係位於_^輸出頻率，·在 貼器10之頭部（圖中未示）。 ’、 ' 獨立於該治療敷 201002303 在本發明之較佳貫施例中，係設置有該控制單元12， 故該治療敷貼器1G可以—較寬廣區間之頻率（例如 20〜50驗)舰超音波發射；在較佳實施射，該超音波發 射之工作頻輕間係介於25〜_z，該控制單以2可刺激 並控制該#壓電π件⑼該超音波發碰Μ)提供超音波 該超音波發射體16不但可在掃目苗或共振頻率模式下、 也可在連續波或突波週期模式下操作；而在該掃瞎頻率模 式下，選擇-鮮區間’ _該控制單幻2制隔一預定 時間連續地改魏辭，該胸解模式可使該治療之深度 在該共振頻率模式下，為了能有效率地產生-空穴泡， 其中頻率仙定在-預定之共振頻率，其係根據所治療脂肪 組織之體積、密度及厚度不_調整，·而為了使治療效 佺π亥共振頻率必須设定為僅針對脂肪組織有影響、對 邊組織不會造成影響。 在該連續賴式下’超音波發射係連續地實施在該、ν 療區域上，由於該治療敷貼器1G中有—冷卻裝置(於後= 述）’因此可完成各單-療程細；在紐週期模式中， 控制單元12係以-開/關工作週期來提供一連串治療脈衝: 用以製造-更大量之微小泡泡；另外，前述之突波模 由局σρΜ力梯度產生-震波，加以增進治療之效果。 該超音波發射之共振吸㈣取決於欲治療組織 尺寸Lx及厚度；該共振鮮仙手動蚊、或藉由^ 201002303 控制單元透獅自㈣絲㈣ω上之 料數據訊號加以自動決定;該脂肪組織在暴露於= H下Λ鼓賴小泡泡，並#動改變時，因為膨脹及崩 ^因皮膚表面下讀射如及触應，在皮膚接觸表面並 /又有纣厭的熱效應），進而溶解脂質組織。 y 2本發明之較佳實施例中，一冷卻管路20中之一冷卻 Z循fl，係用來冷卻該超音波發射體16在—熱電冷卻ί置 卻皮膚翻转模式下所產生之熱4，_熱電冷 裝=2 _由該冷卻管路2Q連接至該治療敷點器 驻=不斷提供冷卻至該超音波發射體16之循環室，·當 ^是格振頻率及(或)連續波模式運作時，這樣的冷卻 另實知例中，该治療敷貼器内喪有一電刺激兩 提供加強之治療能力，該電刺激電極 進5〜5(Χ)ΗΖ)之電流，絲刺激並收縮該組織， 隔離ί探針；該電刺激電極24亦可裝設在一電氣 之電流，· i。，提供—介於处頻率區間(例如1〜10ΜΗΖ) 身:二成程中’一輔助電極26係放置接觸在病人 器之圖為本發明較佳實施例中，該裝置上治療敷貼 係用來提二局:意=:例中，該治療敷貼器10 28 <下半部展示其⑽祕之圖示。 5屬電冷較置22係透過該冷卻管路2〇提供冷卻，其 201002303 由厂循環外罩30傳送至該超 及該超音波發射: 電元h 須冷卻該超音波發射體16之該壓 操作時振辭及(或)在連續波模式下 )埃供病人舒賴，_在治療過程巾可連 該峨斷伽該頻率之過程中， 療敷本發明之較佳實施例中，第二八圖之該治 =刺激電極24在該超音波發射…; =發_以有限的數個實關詳加 /匕、修改及本發明的其他申請親可被_者。種變 【圖式簡單說明】 第 第 第一圖置為之本H軸，綱峰丨身體雕塑裝 Α::=實施例_之 m明最佳實施例中，第二“中該治療敷貼 态與皮膚接觸面之侧視示意圖。 【主要元件符號說明】 10、治療敷貼器 22、熱電冷卻裝置 12、控制單元 24、電刺激電極 14 201002303 14 、連接纜線 26 16 、超音波發射體 28 18 、共振感應器 30 20 、冷卻管路 32 、輔助電極 封套 循環外罩 冷卻孔道As shown in the figure of Mingchang, it is the overall demonstration of the best embodiment of the ultrasonic guided body sculpture device of the present invention. The therapeutic applicator 1G is connected to the control unit by a ^^, (4) The sound wave emitter is called an example of a ridge electric device, and is disposed at one end of the therapeutic applicator. In the preferred embodiment of the present invention, the ultrasonic image is mixed with 18 (for example, _ to control the output frequency of the ultrasonic emitter 16; The unit: the rotation of the ultrasonic emitter 16: two, (four) determines its resonant frequency, the control unit 2 is the U 96 frequency for the operating frequency of the ultrasonic emitter 16. The control unit 12 can also be selected : Second, within the narrow interval of the break center, the ultrasonic transmitter's resonant frequency is other implementations. The resonant sensor 18 is located at the _^ output frequency, at the head of the patch 10 (not shown) ', ' is independent of the therapeutic application 201002303. In a preferred embodiment of the present invention, the control unit 12 is provided, so the therapeutic applicator 1G can have a relatively wide frequency (for example, 20 to 50) Ship ultrasonic wave launch; in the preferred implementation, the ultrasonic frequency of the ultrasonic wave is between 25~_z, and the control unit can stimulate and control the # piezoelectric π piece (9) the ultrasonic wave Providing ultrasonic waves, the ultrasonic emitter 16 can be used not only in the sweeping or resonant frequency mode Down, it can also be operated in continuous wave or glitch cycle mode; in the broom frequency mode, select - fresh interval ' _ the control single illusion 2 system continuously changes the predetermined time, the chest mode The depth of the treatment can be made in the resonant frequency mode, in order to efficiently generate - cavity bubbles, wherein the frequency is at a predetermined resonance frequency, which is not based on the volume, density and thickness of the treated adipose tissue. Adjustment, in order to make the therapeutic effect 佺 共振 resonance frequency must be set to only affect the adipose tissue, no impact on the edge tissue. In the continuous mode, the 'ultrasonic emission system is continuously implemented on the ν treatment area, and the treatment applicator 1G has a cooling device (hereinafter referred to as "described"), so that each single-treatment course can be completed; In the Newcycle mode, the control unit 12 provides a series of treatment pulses with an on/off duty cycle: to make - a larger number of tiny bubbles; in addition, the aforementioned surge mode is generated by a local σρΜ force gradient-seismic wave, Improve the effect of treatment. The resonance absorption of the ultrasonic wave (4) depends on the size Lx and the thickness of the tissue to be treated; the resonance fresh hand mosquito, or the material data signal of the lion from the (4) silk (4) ω is automatically determined by the control unit; When exposed to = H, the drums are smashed, and when the movements are changed, because of the swelling and collapse, the surface of the skin is exposed and touched, and the surface of the skin contacts and/or has an annoying thermal effect. Dissolve lipid tissue. y 2 In a preferred embodiment of the invention, one of the cooling lines 20 cools the Z-cycle fl, which is used to cool the heat generated by the ultrasonic emitter 16 in the thermoelectric cooling mode but in the skin flip mode. , _ thermoelectric cooling = 2 _ connected by the cooling line 2Q to the therapeutic applicator station = continuously providing cooling to the circulation chamber of the ultrasonic emitter 16, when ^ is the grid frequency and / or continuous wave When the mode is operated, such cooling is also known. In the therapeutic applicator, there is an electrical stimulation to provide an enhanced therapeutic capability. The electrical stimulation electrode has a current of 5 to 5 (Χ) ,, and the wire stimulates and contracts. The tissue, the isolation probe, the electrical stimulation electrode 24 can also be installed in an electrical current, i. Provided - in the frequency range (for example, 1 to 10 ΜΗΖ) body: in the two-way process, an auxiliary electrode 26 is placed in contact with the patient device. In the preferred embodiment of the present invention, the device is applied to the therapeutic application system. To mention the second game: meaning =: In the example, the therapeutic applicator 10 28 < the lower half shows its (10) secret illustration. The 5th electrical cooling device 22 provides cooling through the cooling circuit 2〇, and the 201002303 is transmitted from the plant circulating cover 30 to the ultrasonic wave and the ultrasonic wave: the voltage h of the ultrasonic emitter 16 must be cooled. When the rhetoric and/or in the continuous wave mode) the patient is comfortable, _ in the course of the treatment process can be connected to the frequency of the smashing, in the preferred embodiment of the present invention, the second eight The treatment of the figure = the stimulating electrode 24 is emitted in the ultrasonic wave;; = _ with a limited number of real-time details / 匕, modification and other applications of the present invention can be _. Variety change [simplified description of the figure] The first picture is set to the H axis, the outline of the body is framed by the body:: = the embodiment _ m is the best embodiment, the second "the treatment of the application Schematic diagram of the contact between the state and the skin. [Main component symbol description] 10. The therapeutic applicator 22, the thermoelectric cooling device 12, the control unit 24, the electrical stimulation electrode 14 201002303 14 , the connection cable 26 16 , the ultrasonic emitter 28 18 , resonance sensor 30 20 , cooling line 32 , auxiliary electrode envelope circulation cover cooling channel
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