TWI453048B - Apparatus for applying optical radiation to biological tissue - Google Patents
Apparatus for applying optical radiation to biological tissue Download PDFInfo
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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。The present invention relates to a method and apparatus for treating skin using electromagnetic radiation, and more particularly to a method, system and apparatus for illuminating a target location of skin tissue with light radiation generated by, for example, a chemical reaction in a combustion lamp.
老化、日曬、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。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 treated skin condition.
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/或破壞組織中的物理結構與/或某些生物功能,這接著導致長時間的有利或治療效果。In particular, 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 in the visible spectral range. Optical radiation can be absorbed by biological tissues, and the amount of absorption described above depends on the wavelength and intensity of the radiation, the characteristics of the tissue and/or the particular 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 tissue, which in turn leads to prolonged beneficial or therapeutic effects.
應用光輻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變(諸如,老人斑、血管瘤、蜘蛛網狀血管或葡萄酒色斑)的出現以及移除皺紋。這些示範應用中,通常自外在能量源傳送輻射並提供至組織的目標區域。通常較佳係以尖峰強度大且週期短的一或更多能量脈衝提供上述能量以達到組織中的所欲生物反應。提供上述能量的能量源可包括諸如多種雷射、電子閃光燈等的任何一者。Skin treatments that employ light radiation can include, for example, removal of tattoos or hair, reduction of acne or the appearance of venous or pigmented lesions such as age spots, hemangiomas, spider reticular vessels, or wine stains, as well as the removal of wrinkles. In these exemplary applications, radiation is typically delivered from an external source of energy and provided to a target area of the tissue. It is generally preferred to provide the above energy with one or more energy pulses of high peak intensity and short period to achieve the desired biological response in the tissue. The energy source that provides the above energy may include any of a variety of lasers, electronic flashes, and the like.
可利用光學佈置(諸如,波導或光纖,且可更包括一或更多透鏡、棱鏡、反射器等)將光能量自上述能量源引導至皮膚組織。上述光學佈置接著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。Light energy can be directed from the energy source to the skin tissue using an optical arrangement, such as a waveguide or fiber, and can further include one or more lenses, prisms, reflectors, and the like. The optical arrangement described above can then focus or direct energy to the target area of interest. For example, the above radiation may preferably be absorbed by a portion of the skin or hair, such as melanin or blood vessels, resulting in localized heating.
上述治療中用來提供能量(例如,光輻射)給皮膚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。Common devices used to provide energy (e.g., optical radiation) to the skin or other tissue in the above treatments can include handpieces and the like that can be easily changed position relative to the patient. The handheld device described above can be used to direct the energy provided by the optical arrangement to one or more specific target areas to be treated.
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。當應用這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一或更多控制佈置,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),其亦可避免能量源的過度加熱。The common methods and apparatus for applying energy to skin tissue as described herein present a number of safety issues. 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 unintentional and possible significant damage to the tissue if not carefully controlled and applied. . Safety precautions are often provided when applying these exemplary energy sources. For example, devices that include lasers or other external energy sources typically include one or more control arrangements that can regulate, limit, and/or turn off 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 instead of providing continuous energy), which may also avoid overheating of the energy source.
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,且反饋佈置可配置成若偵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。Alternatively or additionally, if the hand piece is transferred through the skin area to direct energy to the skin, a speed or position sensor coupled to the handpiece can be provided to avoid excessive exposure. A feedback arrangement can also be provided to control the energy source, and the feedback arrangement can be configured to reduce or interrupt the energy output of the energy source if a dangerous condition is detected. 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.
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。Further safety measures are also required for common energy sources that can be used in the above treatments. For example, a laser energy source needs to provide protection to the device operator and/or the patient's eye protection, the above-mentioned restricted access to the energy source, a large amount of user training, and the like.
提供光學能量給生物組織的常見設備亦是昂貴的,且某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/或健康保險業者來說亦是昂貴的。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空間等,讓從業者擁有多種上述設備以提供廣泛治療給患者係不切實際的。且維持上述設備亦是昂貴的。Common equipment that provides optical energy to biological tissue is also expensive, and some doctors or other practitioners have difficulty using the equipment because of economic factors. Treatment provided by the above devices is also expensive for patients and/or health insurers. Furthermore, some devices are only available for specific treatments. It is therefore impractical for practitioners to have multiple of these devices to provide extensive treatment to patients based on factors such as economic factors, limited storage space in medical facilities, and the like. And maintaining the above equipment is also expensive.
因此,需要提供兼具安全、效力與經濟治療之應用光輻射至皮膚組織之設備與方法的示範實施例,以改善皮膚缺陷與其他治療。Accordingly, there is a need to provide exemplary embodiments of devices and methods for applying light radiation to skin tissue that are safe, effective, and economical to improve skin defects and other treatments.
本發明目標之一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。本發明另一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。One of the objectives 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 optical 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 method and apparatus for treating skin conditions that is sufficiently safe to be applied by a consumer at home.
這些與其他目標可由根據本發明之系統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。These and other objects can be achieved by an exemplary embodiment of a 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 source of radiation 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 glass coated with plastic or polymer. 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.
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速反應(例如,燃燒)。上述快速反應可產生強度高且週期短(例如,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40%與約100%之間的無水氧氣、或約80%與約100%之間的無水氧氣。The combustible material can be a metal or 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 react quickly (e.g., burn). The above rapid reaction can produce radiation pulses of high intensity and short period (e.g., tens of milliseconds or less). Specific air can be provided in the enclosure to enhance or enhance the reaction or combustion. The air may include, for example, between about 40% and about 100% anhydrous oxygen, or between about 80% and about 100% anhydrous oxygen.
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(primer substance)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。An exemplary ignition arrangement can also be provided in the enclosure to help initiate the chemical reaction. The exemplary triggering arrangement described above may include providing a primer substance that contacts two or more electrode contacts, the electrode contacts may pass through the wall of the enclosure and thus may be applied externally to the enclosure.
本發明某些示範實施例中,可提供包括驅動能量源與開關或觸發器的觸發佈置。可提供驅動能量給點燃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。In certain exemplary embodiments of the invention, a triggering arrangement including a drive energy source and a switch or trigger may be provided. Drive energy can be provided to the ignition 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.
根據本發明進一步的示範實施例,可提供配置成支撐與/或包圍燃燒燈或輻射源且與即將治療之組織相隔預定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。In accordance with further exemplary embodiments of the present invention, a housing configured to support and/or surround a combustion light or radiation source and to place the lamp or source 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 described above.
本發明又進一步的示範實施例中,可提供光學佈置以將化學反應產生之光輻射引導至即將治療的組織。上述示範光學佈置可包括諸如提供在輻射源之外罩或封圍件至少一部分上的反射表面或塗層。In still further exemplary embodiments of the invention, an optical arrangement can be provided to direct the optical radiation produced by the chemical reaction to the tissue to be treated. The exemplary optical arrangement described above can include a reflective surface or coating such as provided on at least a portion of the outer cover or enclosure of the radiation source.
輻射源提供之光輻射脈衝的週期係在諸如約5毫秒與約200毫秒之間、或約10毫秒與約100毫秒之間、或約10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。可藉由選擇輻射源與可燃材料之特性與/或提供複數個在不同時間活化的輻射源於單一外罩中來提供上述脈衝週期。The period of the optical radiation pulse provided by the radiation source is between about 5 milliseconds and about 200 milliseconds, or between about 10 milliseconds and about 100 milliseconds, or between about 10 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 selecting the characteristics of the radiation source and the combustible material and/or providing a plurality of sources of radiation that are activated at different times in a single housing.
輻射源提供之光輻射對即將治療之組織的通量(fluence)可在諸如約1J/cm2 與約30J/cm2 之間、或約1J/cm2 與約15J/cm2 之間。若有需要亦可提供較高的通量值,例如應用較大的輻射源、較大量的可燃材料、引導輻射脈衝至較小區域上等。The radiance of the optical radiation provided by the radiation source to the tissue to be treated may be between about 1 J/cm 2 and about 30 J/cm 2 , or between about 1 J/cm 2 and about 15 J/cm 2 . Higher flux values can also be provided if desired, such as applying a larger source of radiation, a larger amount of combustible material, directing the radiation pulse to a smaller area, and the like.
本發明某些示範實施例中,可提供一或更多濾件以減弱或阻擋輻射源產生之某些波長或某些波長範圍的輻射。例如,可提供濾件以減少紫外光與/或紅外光輻射照射即將治療之組織的數量。亦可提供其他濾件以濾除可見光譜中某些波長的輻射。可將上述濾件提供成不同片或板。或者,可利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。In certain exemplary embodiments of the invention, one or more filter elements may be provided to attenuate or block radiation of certain wavelengths or certain wavelength ranges produced by the radiation source. For example, a filter element can be provided to reduce the amount of tissue to be treated by ultraviolet light and/or infrared light radiation. Other filter elements may also be provided to filter out certain wavelengths of radiation in the visible spectrum. The filter elements described above can be provided in different sheets or plates. Alternatively, portions of the radiation source enclosure and/or outer cover may be formed from materials that provide the above described filtration characteristics.
某些示範實施例中,可提供水濾件以減少輻射源產生之紅外線輻射量。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。可冷卻或冷凍水濾件,藉此除了濾除某些紅外線輻射外並提供即將治療之組織的冷卻。In certain exemplary embodiments, a water filter may be provided to reduce the amount of infrared radiation produced by the radiation 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 can be cooled or chilled, in addition to filtering out some of the infrared radiation and providing cooling of the tissue to be treated.
進一步示範實施例中,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。In a further exemplary embodiment, a plate comprising one or more apertures can be provided that facilitates the passage of light 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 that may utilize a single source of radiation to illuminate many differently sized lesions, skin defects, and the like.
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。These and other objects, features and advantages of the present invention will become more apparent from the <RTIgt;
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,而係由燈泡外取得之電能轉換而得。Light energy sources (such as lasers, electronic flash lamps, 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, conventional light bulbs continue to illuminate and thus illuminate the radiant radiation. The above-mentioned optical radiation is not stored in the bulb itself, but is converted from electrical energy obtained outside the bulb.
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一或更多強度足夠之光輻射脈衝的任何其他化學系統(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。Rather, exemplary embodiments of the present invention can provide exemplary embodiments of apparatus and methods for generating and directing a particular amount of optical energy or other radiation onto skin tissue. The above apparatus and methods 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. Any other chemical system (including but not limited to combustion or oxidation reactions) configured to generate one or more pulses of sufficient intensity of light when subjected to a spontaneous reaction can also be used in the exemplary embodiments of the present invention.
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。上述燃燒燈可釋放內部儲存的能量,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。The burner lamps provided herein can be referred to as sealed bulbs or other enclosures that include an energy storage form that utilizes less energy external stimulation or signal release. An example of such a combustion lamp may be a conventional photographic flash bulb that can be used to illuminate an item to be photographed. The burner lamp described above can release energy stored internally, and a single energy bulb can be used to provide a single energy pulse at a time. This article can alternately apply vocabulary burning lights and flash bulbs.
第1圖顯示燃燒燈100的示範圖示,可根據本發明之示範實施例而應用之。例如,燃燒燈100可包括封圍件110,其約成球狀或可提供成另一形狀。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。可較佳地選擇封圍件材料以在長期時間週期維持封圍件中環境(包括其中提供的任何氣體)的恆定。例如,封圍件110可由塗覆一層塑膠或漆的玻璃所形成,其包含當燃燒燈100活化且釋放光能量時斷裂或破碎的玻璃片斷。Figure 1 shows an exemplary illustration of a combustion lamp 100 that can be applied in accordance with an exemplary embodiment of the present invention. For example, the combustion lamp 100 can include an enclosure 110 that is approximately spherical or can be provided in another shape. Enclosure 110 may be formed from glass, plastic or some other material that preferably allows at least some of the wavelength of the radiation to pass through. The enclosure material can be preferably selected to maintain a constant environment (including any gas provided therein) in the enclosure during long term periods. For example, the enclosure 110 may be formed from a layer of plastic or lacquered glass that includes a piece of glass that breaks or breaks when the burner 100 is activated and emits light energy.
封圍件110可包含可燃細絲120,其可包括或由可燃材料(例如,金屬,諸如鋁、海裝鋁、或另一鋁合金、另一金屬等)製成。可用非常細的金屬線與/或非常薄的箔之形式提供細絲120。細絲120的小尺寸有助於促進細絲的快速反應(例如,氧化),且可藉此提供週期或脈衝寬度短且尖峰強度高的光能量脈衝。一般而言,細絲120的較小尺寸(例如,較細的金屬線或箔)可導致反應時間與脈衝週期較長而波峰輸出強度較小。Enclosure 110 may comprise combustible filaments 120, which may include or be made of a combustible material (eg, a metal such as aluminum, aluminum in the sea, or another aluminum alloy, another metal, etc.). The filaments 120 can be provided in the form of very thin metal wires and/or very thin foils. The small size of the filaments 120 helps to promote rapid reaction (e.g., oxidation) of the filaments, and can thereby provide pulses of light energy with short periods or pulse widths and high peak intensities. In general, the smaller size of the filament 120 (e.g., a thinner metal wire or foil) can result in longer reaction times and pulse periods and less peak output intensity.
可藉由蓋130或其他密封佈置將細絲120形成與/或密封於封圍件110中。可選擇性地形成密封佈置130為封圍件110的部分。密封封圍件110之前,可移除空氣並於其中提供特定數量與/或壓力水平的無水氧氣。封圍件110可提供有諸如約40%與約100%之間的無水氧氣、或較佳約80%與約100%之間的無水氧氣。如本文所述,可較佳地選擇封圍件110之材料以維持上述氣體或氣體混合物(包括其之水分程度)在長期時間週期中相當固定。上述封圍件110之內部環境中的恆定可改善燃燒燈100性能之可靠性與可預測性。The filaments 120 may be formed and/or sealed in the enclosure 110 by a cover 130 or other sealing arrangement. The sealing arrangement 130 can be selectively formed as part of the enclosure 110. Prior to sealing the enclosure 110, air may be removed and a specified amount and/or pressure level of anhydrous oxygen provided therein. The enclosure 110 can be provided with between about 40% and about 100% anhydrous oxygen, or preferably between about 80% and about 100% anhydrous oxygen. As described herein, the material of the enclosure 110 can be preferably selected to maintain the gas or gas mixture (including the degree of moisture therein) relatively fixed over a long period of time. The constant in the internal environment of the enclosure member 110 described above can improve the reliability and predictability of the performance of the combustion lamp 100.
可提供複數個部分於封圍件110與蓋130外的接點140。接點140可電性接觸一或更多密封於封圍件110中之引發件(primer)150。引發件150可相似於用於傳統攝影閃光燈泡中的那些物質。可對接點140施加低能量信號以活化引發件150,例如造成其之燃燒。上述信號可為諸如電池、壓電元件等提供之電壓。引發件150的活化可引起封圍件110中之細絲120的快速化學反應(例如,氧化),其可在相當短時間內自封圍件110釋出顯著數量的能量。A plurality of contacts 140 that are external to the enclosure 110 and the cover 130 can be provided. The contacts 140 can be electrically contacted with one or more of the primers 150 sealed in the enclosure member 110. The trigger 150 can be similar to those used in conventional photographic flash bulbs. A low energy signal can be applied to the junction 140 to activate the initiator 150, for example, causing it to burn. The above signals may be voltages such as batteries, piezoelectric elements, and the like. Activation of the initiator 150 can cause a rapid chemical reaction (e.g., oxidation) of the filaments 120 in the enclosure 110, which can release a significant amount of energy from the closure member 110 in a relatively short period of time.
例如,示範燃燒燈100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10毫秒與/或約100毫秒或更高之間、或較佳約10-50毫秒之間。For example, the pulse width of the optical radiation pulse provided by the activation of the exemplary combustion lamp 100 is, for example, on the order of tens of milliseconds. The pulse width or period may be located, for example, between about 10 milliseconds and/or about 100 milliseconds or more, or preferably about 10-50 milliseconds.
再者,在燃燒燈100活化後約20-50毫秒等級亦出現輻射脈衝的尖峰強度。上述於特定燃燒燈100中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、封圍件130中細絲120的結構、封圍件130中提供的氧氣量等。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。Furthermore, the peak intensity of the radiation pulse also occurs at a level of about 20-50 milliseconds after activation of the burner lamp 100. The pulse delays found above in the particular burner 100 are dependent upon 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 filaments 120 in the enclosure 130, and the enclosure. The amount of oxygen provided in 130, 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.
根據本發明某些實施例之示範設備200的圖示係顯示於第2圖中。示範燃燒燈100可提供於外罩220中。可連結於外罩220而提供活化佈置230,且其更電性連接至燃燒燈100。活化佈置230更包括開關與/或按鈕240,當按壓按鈕240時可促進電信號提供至燃燒燈100。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。An illustration of an exemplary apparatus 200 in accordance with some embodiments of the present invention is shown in FIG. An exemplary combustion lamp 100 can be provided in the outer cover 220. An activation arrangement 230 can be provided coupled to the outer cover 220 and is more electrically coupled to the combustion lamp 100. The activation arrangement 230 further includes a switch and/or button 240 that facilitates the supply of electrical signals to the combustion lamp 100 when the button 240 is depressed. The burner light 100 can then release the energy stored therein, such as a "flash" or a short period of intense light radiation pulses.
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其他光學佈置,其經配置以引導較大量燃燒燈100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提高特定燃燒燈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100(例如,包含較少數量可燃材料的燈泡100)提供特定強度與/或通量至皮膚組織280。The exemplary outer cover 220 can be provided with a shape such as a bell, hemisphere, etc., and is 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 other optical arrangement configured to direct the light released by the greater amount of combustion light 100 to be radiated to the skin 280 to be treated. The exemplary optical arrangement described above can thereby increase the efficiency of a particular combustion lamp 100. The increased efficiency may facilitate the exemplary combustion lamp 100 to provide higher intensity and/or flux radiation to the skin tissue 280. Alternatively or additionally, an increase in efficiency may facilitate the delivery of a particular intensity and/or flux to the skin tissue 280 by the smaller bulb 100 (eg, the bulb 100 containing a smaller amount of combustible material).
活化佈置230可包括諸如小電池、壓電元件或任何其他能量源,其可經配置以活化燃燒燈100。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100以致可重複使用外罩220與/或活化佈置230。The activation arrangement 230 can include, for example, a small battery, a piezoelectric element, or any other energy source that can be configured to activate the combustion lamp 100. The exemplary device 200 can be provided as a disposable device. Alternatively or additionally, the combustion lamp 100 can be replaced such that the outer cover 220 and/or the activation arrangement 230 can be reused.
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100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。In certain exemplary embodiments of the invention, device 200 may provide one or more selective filters 250. The filter element 250 described above can be located between the combustion lamp 100 and the skin surface 270. For example, a filter 250 can be provided in the outer cover 220. Alternatively or additionally, the filter member 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.
濾件250可經配置以例如避免或部分抑制燃燒燈100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。The filter member 250 can be configured to, for example, avoid or partially inhibit light radiation of certain wavelengths or ranges of wavelengths emitted by the combustion lamp 100 from reaching the portion of the skin tissue 280 to be treated. The above wavelength or range of wavelengths may be selected depending on the particular defect or condition to be treated.
若有提供濾件250的話,則濾件250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220或複數個外罩220中。此方式中,單一類型之燃燒燈100的能量輸出特徵可經修飾或修改以改善特定應用的效率與/或安全性。If filter element 250 is provided, filter element 250 is movable to accommodate one of many of said filter elements 250 (each of which may be configured to inhibit transmission of optical radiation of different wavelengths and/or wavelength ranges), for example A particular type of exemplary combustion lamp 100 is used in a single housing 220 or in multiple housings 220. In this manner, the energy output characteristics of a single type of combustion lamp 100 can be modified or modified to improve the efficiency and/or safety of a particular application.
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600nm或短於約550nm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。For example, filter element 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 600 nm or shorter than about 550 nm from being irradiated onto the tissue to be treated. The UV filters described above are typically applied with conventional phototherapy devices that employ broadband optical radiation sources such as intense pulsed light sources and/or electronic flash lamps.
濾件250亦可經配置或建造成減弱或阻擋燃燒燈100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900nm與約1100-1300nm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280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。The filter member 250 can also be configured or constructed to attenuate or block at least a portion of the optical radiation generated by the combustion lamp 100 in the infrared range. For example, a water filter can be used to reduce the amount of light radiation having a wavelength between about 900 nm and about 1100-1300 nm that is on the tissue to be treated. The water filter member can include a shallow enclosure or container (at least partially filled with water) that is provided between the source of optical radiation 100 and the tissue 280 to be treated. For example, the water filter member described above may be attached to a 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.
可用於本發明進一步示範實施例之示範設備結構300係顯示於第3圖中。例如,上述示範設備300可包括提供於外罩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230可進一步包括開關/按鈕240,當其觸發時可造成電子信號提供至燃燒燈100。An exemplary device structure 300 that can be used with further exemplary embodiments of the present invention is shown in FIG. For example, the exemplary apparatus 300 described above can include a combustion light 100 provided in the outer cover 220, and an activation arrangement 230 provided in connection with the outer cover 220. The activation arrangement 230 can further include a switch/button 240 that, when triggered, can cause an electrical signal to be provided to the combustion light 100.
可用第3圖所示之大致形狀提供示範設備300,以致其易於用手抓取並按壓於即將治療之皮膚280的表面270上。此示範結構中,當外罩220與活化佈置230被抓在手中時,可易於藉由例如使用者的拇指按壓開關/按鈕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280。The exemplary device 300 can be provided in the general shape shown in Figure 3 so that it can be easily grasped and pressed by hand onto the surface 270 of the skin 280 to be treated. In this exemplary configuration, when the outer cover 220 and the activation arrangement 230 are grasped in the hand, the switch/button 240 can be easily pressed by, for example, the user's thumb. Similar to the exemplary apparatus 200 shown in FIG. 2, a portion of the outer cover 220 can be provided with a reflective surface or coating to direct light radiation from the combustion lamp 100 toward the skin 280 to be treated.
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100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230,以致可藉由單一按鈕240同時活化各個燃燒燈100。比起第2圖中所示之設備200中的單一燃燒燈100所能達成的,此示範結構可促進較高的通量到達皮膚組織280。示範設備400亦可包括大外罩220,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)。In a further exemplary embodiment of the present invention, apparatus 400 including a plurality of burner lamps 100 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 230 such that each of the combustion lamps 100 can be simultaneously activated by a single button 240. This exemplary structure can promote a higher flux to the skin tissue 280 than can be achieved with a single burner 100 in the apparatus 200 shown in FIG. The exemplary device 400 can also include a large outer cover 220 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 FIG. 2).
替代或額外地,活化佈置230可連接至單一燃燒燈100,以致當按壓按鈕240時僅有一個上述燈泡100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230活化的單一燃燒燈100可在短暫預定延遲後接著活化其他燃燒燈100。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100之特徵。此方式中,可藉由提供超過一個上述燈泡100於單一外罩220中並僅直接活化燃燒燈100的某一者,可達成皮膚280較長暴露時間於燃燒燈100提供之輻射。此方式中,可用複數個燃燒燈100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。Alternatively or additionally, the activation arrangement 230 can be coupled to the single burner 100 such that only one of the above-described bulbs 100 is directly activated when the button 240 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 230 can then activate the other combustion lamps 100 after a short predetermined delay. The above delay may be on the order of tens of milliseconds, and the amount of delay is further dependent on the characteristics of each of the burner lamps 100. In this manner, the radiation provided by the combustion lamp 100 can be achieved with a longer exposure time of the skin 280 by providing more than one of the above-described bulbs 100 in a single housing 220 and directly activating only one of the burner lamps 100. In this manner, a plurality of continuous or non-simultaneous pulses facilitated by a plurality of burner lamps 100 can be used to provide temporary extended release of optical radiation.
根據本發明進一步實施例之又一示範設備500的圖示係顯示於第5A圖中。如本文所述般,示範設備500可包括側壁510與底面520,其一起形成封圍件,封圍件包含可燃細絲120與引發件150。可將活化佈置230與開關240替換式或永久地安狀於封圍件上或中。示範設備500可用來提供光輻射脈衝給位於設備500下方之皮膚組織280的區域。A further illustration of an exemplary apparatus 500 in accordance with a further embodiment of the present invention is shown in FIG. 5A. As described herein, the exemplary apparatus 500 can include a sidewall 510 and a bottom surface 520 that together form an enclosure that includes the combustible filament 120 and the initiator 150. The activation arrangement 230 and the switch 240 can be replaced or permanently mounted on or in the enclosure. The demonstration device 500 can be used to provide a pulse of light radiation to an area of the skin tissue 280 located beneath the device 500.
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)。其他示範外形亦可用於某些應用。例如,設備500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500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270的輪廓。The exemplary apparatus 500 can be provided with a bell 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 500 can have an elliptical shape or a generally rectangular shape (viewed from above), such as if the upper shape preferably conforms to the area of skin tissue 280 to be treated. Device 500 can be configured to be placed in direct contact with surface 270 of skin tissue 280. Thus, the bottom surface 520 of the device 500 is substantially flat and/or it can follow the contour of the skin surface 270 in the region of the skin tissue 280 that can receive optical radiation.
示範設備500的底面520可相當厚(例如,後於側壁510),以致其呈現大熱質(thermal mass)。厚底面520有助於保護皮膚表面270免於不欲之熱傷害(當細絲120氧化或以其他方式反應來產生光輻射時,由細絲120散發之熱量以其他方式所引發)。例如,在應用於皮膚表面270之前可冷卻(例如,藉由將其置於冰箱中)整個設備500(包括等面520),以進一步幫助避免上述不欲之熱傷害。當與表面270進行接觸時,冷卻之底面520亦可促進冷卻皮膚組織280,這亦可促進減少與/或排除與皮膚組織280暴露於光輻射脈衝有關之疼痛。The bottom surface 520 of the demonstration device 500 can be relatively thick (eg, posterior to the sidewall 510) such that it exhibits a thermal mass. The thick bottom surface 520 helps protect the skin surface 270 from unwanted heat damage (the heat emitted by the filaments 120 is otherwise induced when the filaments 120 oxidize or otherwise react to produce optical radiation). For example, the entire device 500 (including the isosurface 520) can be cooled (e.g., by placing it in a refrigerator) prior to application to the skin surface 270 to further help avoid the above-described unwanted thermal damage. Upon contact with the surface 270, the cooled bottom surface 520 can also promote cooling of the skin tissue 280, which can also facilitate reducing and/or eliminating pain associated with exposure of the skin tissue 280 to light radiation pulses.
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。Portions of sidewall 510 (eg, its outer surface) may be provided with a reflective coating or layer 515. As described herein, the reflective coating 515 described above can direct the combustion of more filaments 120 or the energy released by the reaction toward the skin tissue 280 to be treated, thus making it possible to illuminate the skin tissue 280 with more achievable energy.
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濾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輻射,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100的封圍件110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。In certain exemplary embodiments of the invention, certain materials or additives may be utilized to form and/or coat the bottom surface 520, and certain materials or additives may act as a filter to partially or completely block certain wavelengths or wavelengths produced by the filaments 120. A range of optical radiation thereby reducing and/or avoiding at least a portion of the radiation having a particular wavelength through the bottom surface 520 and into the skin tissue 280. Similarly, the enclosing member 110 of the burning lamp 100 shown in Fig. 1 can also be formed using a material having the above-described optical filtering characteristics. The advantages of the above filtration are described herein.
根據本發明進一步實施例之又一示範設備540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550於底面520中。可在狹縫550中提供薄的濾件560。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560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,藉由改變濾件560的種類,可改變照射於即將治療之組織上由設備540產生之光輻射的特徵,以治療不同類型的症狀或特徵。濾件560亦可為減弱濾件,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。Yet another exemplary apparatus 540 in accordance with a further embodiment of the present invention is shown in FIG. 5B. The exemplary device 540 is substantially similar to the device 500 shown in Figure 5A. The demonstration device 540 can further provide a slit or aperture 550 in the bottom surface 520. A thin filter member 560 can be provided in the slit 550. As described herein, a thin filter element 560 can be used to inhibit or avoid exposure of light having certain wavelengths to the tissue to be treated. Filter member 560 can be formed from any suitable material (such as plastic, glass, gel, etc.) having the desired optical filtering characteristics. For example, by varying the type of filter member 560, the characteristics of the light radiation generated by device 540 on the tissue to be treated can be altered to treat different types of symptoms or features. Filter element 560 can also be a weakened filter element that primarily reduces the peak intensity and/or flux of light radiation passing therethrough and then interacting with skin tissue 280.
某些示範實施例中,可提供複數個狹縫或孔隙550於設備540中。此示範結構促進複數個濾件560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550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。In some exemplary embodiments, a plurality of slits or apertures 550 may be provided in device 540. This exemplary structure facilitates the use of a plurality of filter elements 560 to further modify the wavelength spectrum of the optical radiation passing therethrough and onto the tissue to be treated. Alternatively or additionally, the slit 550 is wide enough to receive a plurality of filter members 560 to provide spectral modifications of the optical radiation described above.
示範設備540亦可裝設板570於底面520上,而板570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540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。The demonstration apparatus 540 can also include a plate 570 on the bottom surface 520, and the plate 570 can include one or more apertures or openings 575 therethrough. Plate 570 can be used to shield a portion of the tissue beneath device 540 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 apertures 575 while avoiding or reducing other adjacent areas of tissue from being illuminated.
板570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。Plate 570 can be attached or affixed to bottom surface 520 of device 540. Alternatively or additionally, the plate 570 can be located on the tissue surface such that the aperture 575 is directly on a particular area of tissue that is about to be exposed to optical radiation. Device 540 can then be placed on positioning plate 570 and activated as described herein to provide a pulse of optical radiation through aperture 575 and onto the tissue area to be treated. A plurality of the above-described reusable 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.
根據本發明又進一步實施例之另一示範設備580係顯示於第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580之底面520可包括腔590。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580可存放於冰箱中。當設備580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,結凍水層可提供紅外線過濾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濾特性之材料或混合物。上述材料或混合物形式可為固體、液體或氣體。Another exemplary device 580 in accordance with yet further embodiments of the present invention is shown in FIG. 5C. The exemplary device 580 is also substantially similar to the device 500 shown in Figure 5A. The bottom surface 520 of the device 580 can include a cavity 590. 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 580 that includes a water filled cavity 590 can be stored in the refrigerator. The frozen aqueous layer can provide both infrared filtration and tissue cooling when the device 580 is placed on the tissue to be treated and the optical radiation pulse is generated by activating the combustible material 120. Other materials or mixtures having specific radiation filtering characteristics 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.
比起根據本發明之進一步示範實施例提供之某些其他示範結構,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。The exemplary apparatus 500, 540, 580 (which may not include a separate housing) shown in Figures 5A-5C is particularly simple and/or inexpensive to manufacture, as compared to certain other exemplary configurations provided in accordance with further exemplary embodiments of the present invention.
根據本發明之示範實施例,可應用具有不同特性之燃燒燈。即將應用之特定燃燒燈相關之特性包括本文所述之那些特性,其可根據即將提供之特定治療與/或即將治療之特定組織缺陷或症狀而加以選擇。例如,許多攝影閃光燈泡之特性(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. Morgan,Syncroflash Photography,Morgan & 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。According to an exemplary embodiment of the present invention, a combustion lamp having different characteristics can be applied. The characteristics associated with a particular burner lamp to be applied include those described herein that may be selected based on the particular treatment to be provided and/or the particular tissue defect or condition to be treated. For example, the characteristics of many photographic flash bulbs (including such as pulse period, total output (lumens-second) and peak intensity (lumen)) are described in WD Morgan, Syncroflash Photography, Morgan & 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.
例如,某些應用的示範脈衝週期可在約5毫秒與約20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100中提供之細絲120(諸如,金屬線或箔)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120之特定材料與/或封圍件110中提供之氧氣量所影響。For example, an exemplary pulse period for some applications may be between about 5 milliseconds and about 20 milliseconds or such as about 100 milliseconds or longer (if desired). Other pulse periods may also be provided, such as a pulse width of up to about 1 second. The pulse period provided by a particular burner lamp is based on the width or thickness of the filaments 120 (such as metal wires or foils) provided in the combustion lamp 100. 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 110 such as used to form the filaments 120.
本文所述之某些傳統燃燒燈可具有約3800°K的色溫。上述燈泡提供之光輻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波長照射皮膚。可根據許多因素(諸如,即將治療之組織狀況或缺陷、患者皮膚組織的通常色素水平等)選擇上述波長。Some of the conventional combustion lamps described herein can have a color temperature of about 3800 °K. The electromagnetic energy in the form of optical radiation provided by the above bulbs may thus comprise a range of wavelengths in the visible spectrum. As described herein, different exemplary filter arrangements can be selectively utilized to facilitate illuminating the skin with only the wavelength at which some of the burners emit light. The above wavelengths can be selected based on a number of factors, such as the condition or defect of the tissue to be treated, the usual pigment level of the patient's skin tissue, and the like.
可根據許多參數確定應用於皮膚組織280的目標區域之輻射的特定通量。例如,可藉由改變燃燒燈100中提供之細絲120量來改變燃燒燈100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120提供於單一燃燒燈100中。可將複數個燃燒燈100提供於單一外罩220中,這亦可提供外罩220下方之皮膚組織280較大的通量。The specific flux of radiation applied to the target area of skin tissue 280 can be determined based on a number of parameters. For example, the total amount of radiation emitted by the combustion lamp 100 and/or other exemplary device configurations described herein can be varied by varying the amount of filament 120 provided in the combustion lamp 100. For example, a larger enclosure 110 can facilitate the provision of a larger amount of filaments 120 in a single burner 100. A plurality of burner lamps 100 can be provided in a single housing 220, which can also provide a greater flux of skin tissue 280 beneath the housing 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5A-5C圖中顯示之較寬封圍件而不是例如第1圖之燃燒燈100中顯示之類球體外形。上述示範封圍件之高度可經選擇以提供所欲數量的細絲120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。例如,燃燒燈100或封圍件110可配置成小高度與相當寬的基部(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。Different combustion lamps or enclosure geometric patterns comprising combustible filaments 120 or other reactive materials can also be used for a particular application. For example, a wider enclosure shown in Figures 5A-5C can be applied instead of a sphere shape as shown, for example, in the burner 100 of Figure 1. The height of the above exemplary enclosure can be selected to provide the desired number of filaments 120 covering 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. For example, the combustion lamp 100 or enclosure 110 can be configured to have a small height and a relatively wide base (eg, a thin disk-like profile) that provides a relatively small amount of filament (and correspondingly smaller optical radiant flux) coverage. Large organizational area. 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.
例如,封圍件或具有較高封圍件(例如,高度大於約1-2cm)的設備可提供更多細絲120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1cm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因素包括封圍件、燈泡與/或設備的幾何圖形、可燃/反應材料與即將治療之組織間的距離、其中提供之反應性細絲的種類與數量、可引導產生之輻射朝向組織的反射表面、位於燃燒燈與組織間的任何過濾件。可考慮上述示範因素以產生特定光療應用的適當通量水平。For example, a closure or a device having a higher closure (eg, a height greater than about 1-2 cm) can provide more filaments 120 covering the various unit areas of the tissue, which can produce greater radiant light when activated. the amount. Conversely, for example, a closure having a low profile (eg, 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 can produce less light radiant flux to illuminate the underlying tissue. Some of the factors that can affect the radiant flux of light that illuminates the skin include the enclosure, the geometry of the bulb and/or device, the distance between the flammable/reactive material and the tissue to be treated, and the type of reactive filaments provided therein. The amount, the radiation that can be directed to the reflective surface of the tissue, any filter between the burner and the tissue. The above exemplary factors can be considered to produce an appropriate flux level for a particular phototherapy application.
用於不同治療或皮膚處理之示範通量值通常選自諸如約0.5J/cm2 與約200J/cm2 之間、或較佳係約1J/cm2 與約30J/cm2 之間、或更佳係約1J/cm2 與約15J/cm2 之間。上述示範通量範圍可在皮膚表面270與/或皮膚組織280中產生不同的加熱量與/或熱傷害。Exemplary flux values for the different treatments are typically selected from skin treatment or as between about 0.5J / cm 2 and about 200J / cm 2, or preferably between about line 1J / cm 2 and about 30J / cm 2, or More preferably, it is between about 1 J/cm 2 and about 15 J/cm 2 . The above exemplary flux ranges can produce different amounts of heating and/or thermal damage in skin surface 270 and/or skin tissue 280.
本發明某些示範實施例可包括帶子、黏著劑或另一固定件,其可用來固定外罩220覆蓋即將治療之皮膚組織280的區域。可選擇性與外罩220及燃燒燈100分開地提供按鈕240與活化佈置230。例如,可與外罩220相隔某段距離來提供活化佈置230與開關240,並可利用例如金屬線等來連接至燃燒燈100(例如,電性連接至引發件150)而提供。替代或額外地,活化佈置230可固定於外罩220,而開關240可與活化佈置230相隔某段距離並利用例如金屬線等來連接而提供。Certain exemplary embodiments of the invention may include a strap, an adhesive, or another fastener that can be used to secure the outer cover 220 to cover the area of the skin tissue 280 to be treated. The button 240 and activation arrangement 230 are selectively provided separately from the outer cover 220 and the combustion lamp 100. For example, the activation arrangement 230 and the switch 240 can be provided at a distance from the outer cover 220 and can be provided by, for example, a wire or the like connected to the combustion lamp 100 (eg, electrically connected to the initiator 150). Alternatively or additionally, the activation arrangement 230 can be secured to the outer shroud 220, and the switch 240 can be provided at a distance from the activation arrangement 230 and connected using, for example, a wire or the like.
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,其中包含的細絲120數量)、外罩220的大小與外形、過濾佈置250的選擇性應用等)的變化以得到適合特定治療或應用的照射參數。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 combustion lamp can be selected or designed to provide the appropriate amount and type of radiation to be treated. Variations of the above parameters, such as the size of the burner (e.g., the number of filaments 120 contained therein), the size and shape of the outer cover 220, the selective application of the filter arrangement 250, etc., can be readily determined using calculations or a few measurements to obtain a particular fit. Irradiation parameters for treatment or application.
可利用本文所述之本發明示範實施例治療不同的色素性與/或靜脈病變及其他皮膚症狀與缺陷。上述皮膚症狀與缺陷的實例包括(但不限於)諸如老人斑(雀斑)、粉刺、葡萄酒色斑、血管瘤、蜘蛛網狀血管、不欲毛髮移除、光動力療法、皺紋移除與膠原收縮等。Different pigmented and/or venous lesions and other skin conditions and defects can be treated using the exemplary embodiments of the invention described herein. Examples of such skin conditions and deficiencies include, but are not limited to, such as age spots (freckles), acne, wine stains, hemangioma, spider reticular vessels, unwanted hair removal, photodynamic therapy, wrinkle removal, and collagen contraction. Wait.
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。The optical radiation provided by the exemplary embodiments of the invention described herein may also incorporate different substances 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 marker or any other common luminophore used in phototherapy applications.
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於減少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,以致治療前當設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。Photosensitizers can also be used 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 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 may contact the tissue surface when the device is placed on the tissue prior to treatment. Other common photosensitizers can also be used with the optical radiation produced by the exemplary systems and devices described herein.
詳細描述治療的某些特定實施例。例如,本發明之示範實施例可用於許多通常應用輻射脈衝數目相當少之光療處理。Some specific embodiments of the treatment are described in detail. For example, exemplary embodiments of the present invention are applicable to many phototherapy processes that typically employ a relatively small number of radiation pulses.
實施例1Example 1
第6A圖顯示突起櫻桃色血管瘤(測量約5mm寬)的相片。根據本發明某些示範實施例治療血管瘤,藉由將血管瘤暴露於例如M3攝影閃光燈泡提供之單一光輻射脈衝。在燃燒燈周圍提供反射佈置且不應用光輻射濾件。透過位於櫻桃色血管瘤上的孔隙提供輻射。施加之輻射的通量約9-10J/cm2 ,而單一脈衝提供之總能量係約4J。脈衝週期約10-15毫秒。Figure 6A shows a photograph of a protruding cherry hemangioma (measured about 5 mm wide). Hemangiomas are treated in accordance with certain exemplary embodiments of the invention by exposing the hemangiomas to a single pulse of optical radiation provided by, for example, an M3 photographic flash bulb. A reflective arrangement is provided around the combustion lamp and no optical radiation filter is applied. Radiation is provided through pores located on a cherry hemangioma. The flux of the applied radiation is about 9-10 J/cm 2 , while the total energy provided by a single pulse is about 4 J. The pulse period is about 10-15 milliseconds.
在第一週中發現血管瘤的若干初步轉黑與變硬。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圖中顯示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血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濾件、減少施加之光輻射脈衝的通量、或這些改變的組合。Several initial blackening and hardening of hemangiomas were found in the first week. The appearance of the aneurysm after treatment for about six weeks is shown in the photograph of Fig. 6B, and the photograph shown in Fig. 6A was taken at the same magnification. It appears that the appearance of this defect is significantly improved, and the hemangioma is generally lighter and smaller in size. A second pulse can be applied if desired to further improve the appearance. Some of the residual damage to healthy tissue surrounding the aneurysm is evident in the photograph of Figure 6B. The above undesirable effects can be reduced, for example, by providing an ultraviolet filter as described herein, reducing the flux of the applied optical radiation pulses, or a combination of these changes.
實施例2Example 2
第7A圖顯示正常(平坦)血管瘤(直徑約4mm)的照片。根據本發明之示範方法,將此血管瘤暴露於例如M3攝影閃光燈泡提供之未過濾光輻射的單一脈衝。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供輻射。施加之輻射的通量約9-10J/cm2 ,而單一脈衝中提供之總能量約4J。脈衝週期約10-15毫秒。Figure 7A shows a photograph of a normal (flat) hemangiomas (about 4 mm in diameter). In accordance with an exemplary method of the invention, the hemangioma is exposed to a single pulse of unfiltered light radiation provided by, for example, an M3 photographic flash bulb. A reflective arrangement can be provided around the burner lamp and provided through the apertures located on the hemangioma. The flux of the applied radiation is about 9-10 J/cm 2 , while the total energy provided in a single pulse is about 4 J. The pulse period is about 10-15 milliseconds.
第一週內,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。During the first week, several direct protrusions of the hemangioma were found to be hardened with blackening and several hemangioma. The appearance of the aneurysm after treatment for about six weeks is shown in the photograph of Figure 7B. Hemangiomas appear to fade significantly. There is a significant amount of damage to the skin surrounding the hemangioma in the photograph of Figure 7B, which can be reduced, for example by providing a UV filter to pulse the radiation and/or to slightly reduce the applied flux.
實施例3Example 3
根據本發明之示範實施例,藉由將第8A圖之照片中顯示的棕色老人斑(雀斑)(測量約3mm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攝影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9-10J/cm2 ,而施加之能量約4J。脈衝週期約10-15毫秒。According to an exemplary embodiment of the invention, the brown age spots (freckles) shown in the photograph of Fig. 8A (measured about 3 mm wide) are treated by, for example, a single pulse of light radiation. Unfiltered radiation is provided by an M3 photographic flash bulb located in a reflective enclosure. Place the pores on the freckles. The overall flux of the radiation pulse is about 9-10 J/cm 2 and the applied energy is about 4 J. The pulse period is about 10-15 milliseconds.
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內褪色。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。Some initial changes in freckles were found, and the freckles turned black on the first day and faded in about a week. The appearance of freckles after about six weeks of treatment is shown in the photograph of Figure 8B. Although this is not apparent in the grayscale image of Fig. 8A, the brown appearance of the freckles shown in the photograph of Fig. 8A is remarkably reduced, while the appearance of the deeper regions in the photograph of Fig. 8B is reddish. Therefore, the pigmentation enhancement of freckles can be reduced by the present treatment. The dark areas shown in Figure 8A indicate some of the skin tissue damage associated with the illumination of the pigmented lesion itself. The associated damage can be reduced, for example by providing an infrared filter to pulse the light and/or reduce the flux applied to the pulse of the age spot.
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。It will be appreciated that those skilled in the art are able to devise a variety of systems, arrangements, and methods of the present invention, which are not shown or described herein. In addition, all publications, patents, and patent applications mentioned herein are hereby incorporated by reference in their entirety herein.
100...燃燒燈100. . . Burning lamp
110...封圍件110. . . Enclosure
120...細絲120. . . Filament
130...蓋130. . . cover
140...接點140. . . contact
150...引發件150. . . Initiator
200、300、400、500、540、580...設備200, 300, 400, 500, 540, 580. . . device
220...外罩220. . . Cover
230...活化佈置230. . . Activation arrangement
240...按鈕240. . . Button
250、560...濾件250, 560. . . Filter element
270...表面270. . . surface
280...皮膚組織280. . . Skin tissue
510...側壁510. . . Side wall
515...反射塗層515. . . Reflective coating
520...底面520. . . Bottom
550...狹縫550. . . Slit
570...板570. . . board
575...孔隙575. . . Porosity
590...腔590. . . Cavity
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:In order to more fully understand the present invention and its advantages, reference is made to the above and the accompanying drawings, in which:
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;1 is an illustration of an exemplary combustion lamp applied in accordance with an exemplary embodiment of the present invention;
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;2 is a diagram of an exemplary apparatus for providing optical energy to a tissue in accordance with an exemplary embodiment of the present invention;
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;Figure 3 is a diagram of a further exemplary apparatus for providing optical energy to tissue in accordance with a further exemplary embodiment of the present invention;
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;4 is a diagram of yet another exemplary apparatus for providing optical energy to tissue in accordance with certain exemplary embodiments of the present invention;
第5A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;5A is a diagram of an exemplary apparatus for providing optical radiation to tissue in accordance with certain exemplary embodiments of the present invention;
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;5B is a diagram of another exemplary apparatus for providing optical quantities to skin tissue in accordance with further exemplary embodiments of the present invention;
第5C圖係根據本發明又進一步示範實施例提供光學能量給皮膚組織之又另一示範設備的圖示;5C is a diagram of yet another exemplary apparatus for providing optical energy to skin tissue in accordance with still further exemplary embodiments of the present invention;
第6A圖係突起櫻桃色血管瘤的示範影像;Figure 6A is an exemplary image of a protruding cherry hemangioma;
第6B圖係根據本發明示範實施例以單一光輻射脈衝照射第6A圖顯示之櫻桃色血管瘤例如6周後的影像;6B is an image of a cherry hemangiomas shown in FIG. 6A, for example, after 6 weeks, irradiated with a single pulse of light radiation in accordance with an exemplary embodiment of the present invention;
第7A圖係平坦血管瘤的示範影像;Figure 7A is an exemplary image of a flat hemangioma;
第7B圖係根據本發明示範實施例以單一光輻射脈衝照射第7A圖顯示之血管瘤例如6周後的影像;Figure 7B is an image of a hemangiomas displayed in Figure 7A, for example, after 6 weeks, in a single optical radiation pulse, in accordance with an exemplary embodiment of the present invention;
第8A圖係棕色老人斑(雀斑)的示範影像;及Figure 8A is a demonstration image of brown age spots (freckles); and
第8B圖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。8B is an image of an age spot, such as after 6 weeks, as shown in FIG. 8A, illuminated with a single optical energy pulse, in accordance with an exemplary embodiment of the present invention.
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。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 invention will now be described in detail with reference to the drawings, the invention may
100...燃燒燈100. . . Burning lamp
200...設備200. . . device
220...外罩220. . . Cover
230...活化佈置230. . . Activation arrangement
240...按鈕240. . . Button
250...濾件250. . . Filter element
270...表面270. . . surface
280...皮膚組織280. . . Skin tissue
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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 |
US20050171581A1 (en) * | 2003-08-25 | 2005-08-04 | Connors Kevin P. | System and method for heating skin using light to provide tissue treatment |
WO2007002378A2 (en) * | 2005-06-22 | 2007-01-04 | Reactive Nanotechnologies, Inc. | Method and apparatus for electromagnetic emission by reactive composite materials |
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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 |
US20050171581A1 (en) * | 2003-08-25 | 2005-08-04 | Connors Kevin P. | System and method for heating skin using light to provide tissue treatment |
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