WO2013164996A1 - Dispositif de réduction de la transpiration - Google Patents

Dispositif de réduction de la transpiration Download PDF

Info

Publication number
WO2013164996A1
WO2013164996A1 PCT/JP2013/062545 JP2013062545W WO2013164996A1 WO 2013164996 A1 WO2013164996 A1 WO 2013164996A1 JP 2013062545 W JP2013062545 W JP 2013062545W WO 2013164996 A1 WO2013164996 A1 WO 2013164996A1
Authority
WO
WIPO (PCT)
Prior art keywords
electrode needle
cooling
electrode
hole
cooling member
Prior art date
Application number
PCT/JP2013/062545
Other languages
English (en)
Japanese (ja)
Inventor
正典 佐伯
Original Assignee
Saeki Masanori
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Saeki Masanori filed Critical Saeki Masanori
Priority to KR1020147030557A priority Critical patent/KR20150014441A/ko
Priority to JP2014513375A priority patent/JP6025828B2/ja
Priority to KR1020177033559A priority patent/KR101984021B1/ko
Publication of WO2013164996A1 publication Critical patent/WO2013164996A1/fr

Links

Images

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1477—Needle-like probes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/1815—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00743—Type of operation; Specification of treatment sites
    • A61B2017/00747—Dermatology
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00005—Cooling or heating of the probe or tissue immediately surrounding the probe
    • A61B2018/00011—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids
    • A61B2018/00029—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids open
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00005—Cooling or heating of the probe or tissue immediately surrounding the probe
    • A61B2018/00047—Cooling or heating of the probe or tissue immediately surrounding the probe using Peltier effect
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/0016—Energy applicators arranged in a two- or three dimensional array
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00452—Skin
    • A61B2018/0047—Upper parts of the skin, e.g. skin peeling or treatment of wrinkles

Definitions

  • the present invention relates to a perspiration control device that suppresses excessive perspiration of a human body.
  • Patent Document 1 discloses an energy delivery device that includes an energy delivery element that delivers and destroys energy to at least one sweat gland in a target tissue and a cooling element that protects and cools non-target tissue.
  • the energy delivery element is composed of, for example, a plurality of electrode needles inserted into the target tissue
  • the cooling element is composed of, for example, a puncture needle disposed between adjacent electrode needles.
  • the depth of the sweat glands from the surface of the epidermis varies not only depending on the individual but also depending on the type of sweat glands. Therefore, in order to accurately destroy the sweat glands by supplying heat energy, it is necessary for each part of the human body to be used. It is necessary to cool the surrounding non-target tissue sufficiently while optimizing the insertion depth of the electrode needle to locally supply heat energy to the target tissue.
  • the conventional energy delivery device has a problem that it is difficult to achieve both optimal supply of thermal energy to the target tissue and reliable cooling of the non-target tissue, and the skill and experience of the practitioner are required.
  • an object of the present invention is to provide a sweating suppression device that can quickly, safely and easily destroy sweat glands by supplying heat energy and effectively suppress excessive sweating.
  • the object of the present invention is to provide an electrode needle that punctures a target tissue including a sweat gland and supplies thermal energy from the tip, and a cooling hole having a cooling part on the surface side and through which the electrode needle can be inserted.
  • a member, a support that movably accommodates the electrode needle, and supports the cooling member so that the electrode needle can be inserted into the through-hole, and advancing and retracting the electrode needle inserted into the through-hole This is achieved by a perspiration control device comprising driving means for causing the tip portion to protrude from the cooling portion.
  • the sweating suppression apparatus further includes a control unit that controls the driving of the driving unit so that the protruding length of the electrode needle from the cooling unit becomes a preset length.
  • the driving means can include a motor, an encoder that detects the number of rotations of the motor, and a rod that advances and retreats in the support body due to the rotation of the motor.
  • the protruding length of the electrode needle can be controlled based on the detection of the encoder.
  • the through hole is preferably formed in a long hole shape, and the plurality of electrode needles are preferably disposed so as to pass through both end edges of the through hole.
  • the support preferably includes a mounting portion to which the driving means is mounted and a cartridge that can be attached to and detached from the mounting portion, and the electrode needle is housed in the cartridge together with the holder.
  • the cartridge preferably includes a biasing unit that biases the holder so that the electrode needle is retracted inside the cartridge, and the driving unit resists a biasing force of the biasing unit. By pressing the holder, the electrode needle can be configured to protrude from the cooling part.
  • the cooling member is preferably supported by the mounting portion by a support arm, and the cartridge is preferably disposed between the mounting portion and the cooling member.
  • the cooling member is movably supported by the support so that the cooling member can be retracted in a direction substantially orthogonal to the advancing / retreating direction of the electrode needle.
  • the cooling member may include a Peltier element, a cooling plate disposed on the heat absorption side of the Peltier element and forming the cooling portion, and a heat dissipation block disposed on the heat generation side of the Peltier element. it can.
  • a sweating suppression device capable of quickly, safely and easily destroying sweat glands by supplying heat energy and effectively suppressing excessive sweating.
  • FIG. 2 is a cross-sectional view of the sweat suppression device shown in FIG. 1 taken along the line AA. It is sectional drawing for demonstrating the usage method of the perspiration suppression apparatus shown in FIG. It is a bottom view of the perspiration suppression apparatus which concerns on other embodiment of this invention. It is a principal part bottom view of the perspiration suppression apparatus which concerns on other embodiment of this invention. It is a side view of the perspiration suppression apparatus which concerns on further embodiment of this invention.
  • FIG. 7 is an EE cross-sectional view of the sweating suppression device shown in FIG. 6. It is sectional drawing which shows the use condition of the perspiration suppression apparatus shown in FIG.
  • FIG. 1 is a side view of a perspiration control device according to an embodiment of the present invention
  • FIG. 2 is a cross-sectional view taken along line AA of FIG.
  • the sweating suppression device 1 includes an electrode needle 10, a cooling member 20, a support 30 and a driving device 40 as main components.
  • the electrode needle 10 is made of a conductive metal material such as stainless steel, and is tapered so that the tip 10a can be punctured. Portions other than the tip portion 10a of the electrode needle 10 are covered with an insulating film 10b made of an electrically insulating material.
  • a plurality of electrode needles 10 are arranged in a matrix and are fixed to a holder 12 having a rectangular plate shape.
  • the number of electrode needles 10 is not particularly limited, and may be single.
  • a plurality of electrode needles 10 are arranged, for example, about 20 to 30 needles (or more) are preferably arranged, and the interval between adjacent electrode needles 10 is, for example, 0.5 to 3 mm (more preferably 1 to 3 mm). ) Is preferably set to a degree.
  • each electrode needle 10 is preferably about 0.1 to 0.3 mm, for example.
  • the arrangement shape of the plurality of electrode needles 10 may be various shapes such as an annular shape and a polygonal shape in addition to the matrix shape.
  • the holder 12 is made of a plastic material or the like, and has a recess 12a at the center.
  • An engagement protrusion 12b that is elastically deformable is provided on the inner peripheral surface of the recess 12a.
  • the cooling member 20 includes a Peltier element 22, a cooling plate 24, and a heat dissipation block 26.
  • the Peltier element 22 has a known configuration in which a p-type semiconductor and an n-type semiconductor are thermally arranged in parallel.
  • a cooling plate 24 is provided on the heat absorption side of the Peltier element 22, and a heat dissipation block 26 is provided on the heat generation side of the Peltier element 22. Is provided.
  • a plurality of Peltier elements 22 having an appropriate size are arranged in a matrix.
  • the cooling plate 24 and the heat dissipation block 26 have a plurality of openings 24 a and 26 a formed in gaps between the plurality of Peltier elements 22, and a plurality of penetrations penetrating the front and back surfaces of the cooling member 20 by the openings 24 a and 26 a facing each other.
  • a hole 28 is formed.
  • the cooling plate 24 has a planar cooling part 24b on the surface side, and the cooling part 24b can be brought into close contact with the skin of the human body.
  • the cooling part 24b can be formed in an arcuate shape or a wavy curved surface shape in addition to the planar shape.
  • the cooling member 20 may have, for example, a configuration in which a cooling pipe through which a refrigerant passes is embedded, in addition to the configuration in which the cooling is performed by energization as described above. Furthermore, the cooling member 20 may have a configuration in which, for example, the cooling member 20 is cooled by injecting a cooling gas onto the epidermis in addition to the configuration in which the cooling member 20 is cooled by being brought into close contact with the human epidermis.
  • the through hole 28 of the cooling member 20 may have various shapes such as a honeycomb shape, a mesh shape, and a slit shape.
  • the support 30 includes a rectangular housing portion 32 having a rectangular shape when viewed from below in FIG. 2 and a cylindrical portion 34 connected so as to communicate with the center of the top plate of the housing portion 32.
  • the electrode needle 10 is accommodated inside the portion 32.
  • the housing part 32 has a guide groove 32a formed in the vicinity of the opening of a pair of side walls facing each other.
  • the cooling member 20 is supported by the support body 30 so that the heat radiation block 26 can slide along the guide groove 32a, and the distal end portion 10a of each electrode needle 10 is in a closed position that covers the opening of the housing portion 32. Is opposed to the through hole 28, and the electrode needle 10 can be inserted into the through hole 28.
  • a terminal portion 32b (see FIG. 3A) is provided in the guide groove 32a, and the Peltier element 22 can be energized when the cooling member 20 is in the closed position.
  • the drive device 40 includes a drive motor 42 such as a servo motor, an encoder 44 that detects the rotation speed of the drive motor 42, and a rod 46 that moves forward and backward by the rotation of the drive motor 42.
  • a shaft 43 is connected to the rotating shaft 42 a of the drive motor 42, and a screw portion 43 a is formed on the outer peripheral surface of the shaft 43.
  • the rod 46 is formed in a hollow cylindrical shape and is slidably accommodated in the cylindrical portion 34 of the support 30.
  • a nut 46 a that is screwed into the threaded portion 43 a of the shaft 43 is fixed to the inner peripheral surface of the rod 46.
  • a protrusion 46 b is provided on the outer peripheral surface of the rod 46, and the protrusion 46 b engages with a groove 34 a formed on the inner peripheral surface of the cylindrical portion 34, thereby preventing the rod 46 from rotating.
  • the rod 46 can be advanced in the direction of arrow B in FIG. 2 by the rotation of the drive motor 42, and the advancement amount of the rod 46 is controlled based on the detection of the encoder 44.
  • the electrode needle 10 can be protruded from the cooling part 24 of the cooling member 20 by a desired length.
  • An engagement recess 46c is formed on the outer peripheral surface of the tip end side (the lower end side in FIG. 2) of the rod 46, and the rod 46 is fitted into the recess 12a of the holder 12 so that the engagement recess 46c becomes the engagement protrusion 12b.
  • the holder 12 can be detachably fixed to the rod 46.
  • the holder 12 can be pressed by the driving device 40, and the tip portion 10a of the electrode needle 10 can be caused to appear and disappear from the cooling portion 24b by the advancement and retreat of the rod 46.
  • the protruding length of the electrode needle 10 from the lowermost surface of the cooling unit 24b is not particularly limited, but can be set to about 0.1 to 10 mm, for example.
  • a terminal (not shown) for supplying power to each electrode needle 10 when the holder 12 is mounted is provided at the tip of the rod 46, and each electrode is connected to a high frequency oscillator (not shown) installed outside.
  • the needle 10 is electrically connected.
  • the electrode needle 10 can apply a high-frequency current to a surface electrode (not shown) separately provided on the surface of the human body while being punctured in the human body, thereby heating the living tissue in the vicinity of the electrode needle 10. can do.
  • a high-frequency current can be applied between two adjacent electrode needles 10, 10.
  • the energization of the electrode needle 10, the cooling member 20, and the driving device 40 can be performed by a switch operation of the operation unit 50 provided in the cylindrical portion 34 of the support 30.
  • the sweating suppression apparatus 1 of this embodiment can be connected to the control apparatus 100 which can be installed outside, such as a personal computer, and the protrusion length of the electrode needle 10 is input to the control apparatus 100 to drive the drive apparatus 40. Can be controlled.
  • the control device 100 can also be built in the operation unit 50, and can be configured to set the protruding length of the electrode needle 10 by operating the operation unit 50.
  • the holder 12 including the electrode needle 10 is attached to the rod 46 of the driving device 40.
  • the engagement protrusion 12b is inserted by inserting the holder 12 in the direction indicated by the arrow C in a state where the cooling member 20 is retracted from the support 30 and the opening of the housing portion 32 is opened.
  • the engaging recess 46 c can be engaged to fix the holder 12 to the rod 46.
  • a cover member 12c that covers the electrode needle 10 is previously attached to the holder 12 as shown by a broken line, and the cover member 12c is removed after the holder 12 is mounted. Also good.
  • the cooling member 20 is slid in the arrow D direction to the closed position, whereby the terminal portion 32b of the support 30 is engaged with the terminal portion (not shown) of the cooling member 20, and the cooling member 20 is energized. As done, the cooling member 20 is positioned.
  • the holder 12 can be attached to the rod 46 by screwing or the like instead of being fitted as in the present embodiment.
  • the cooling part 24b of the cooling member 20 is cooled in close contact with the epidermis surface S in the vicinity of the target site including the sweat glands, and treatment is performed by operating the operation part 50 (see FIG. 1).
  • the control device 100 rotates the drive motor 42 of the drive device 40 by a rotation amount corresponding to a preset protruding length L of the electrode needle 10.
  • the rod 46 advances in accordance with the amount of rotation of the drive motor 42 because the protrusion 46b engages with the groove 34a and cannot rotate, and the nut 46a is screwed with the shaft 43. Is protruded from the cooling part 24b.
  • tip part 10a of the electrode needle 10 passes the through-hole 28, is punctured by the human body, and is arrange
  • the supply of thermal energy can be performed using various things such as a high frequency, a radio wave, a microwave, and a laser. Since the periphery of the puncture site is cooled by the close contact of the cooling part 24b, the epidermis surface S can prevent burns and can improve analgesia at the time of puncture and supply of thermal energy.
  • An anesthetic cream may be applied in advance to the skin surface S to which the cooling unit 24b is in close contact.
  • the cooling unit 24b is configured to inject cooling gas onto the skin surface S, a good burn prevention effect and analgesic effect can be obtained by starting the injection of cooling gas immediately before the electrode needle 10 is punctured into the skin surface S. Can do.
  • the above-described setting of the protruding length L of the electrode needle 10 is set individually by taking into account the gender, age, body shape, etc. of the subject in addition to the treatment purpose (for example, treatment of odor and hyperhidrosis). can do.
  • the protrusion length L when supplying heat energy to the apocrine sweat gland, the protrusion length L is set to about 1.0 to 8.0 mm, and when supplying heat energy to the eccrine sweat gland, the protrusion length L is set to 0.8 to 7. What is necessary is just to set to about 0 mm.
  • the above numerical value is a guideline and is not limited to this numerical value.
  • the amount of heat energy to be supplied may be set as appropriate in consideration of the size of sweat glands, with reference to the case of ablation treatment that has been performed conventionally.
  • the electrode needle 10 is raised by the operation of the driving device 40 and is accommodated in the casing 32 again.
  • the treatment of the target tissue as a target is completed.
  • the treatment can be started after the cooling member 20 is retracted along the guide groove 32a and the holder 12 is replaced with a new one.
  • the holder 12 is configured to be detachable and replaceable, so that the sterilization treatment of the electrode needle 10 is not necessary and rapid treatment can be performed.
  • the cooling member 20 can also be removed from the guide groove 32a and replaced with a new one.
  • the sweat suppression device 1 of the present embodiment can advance the electrode needle 10 through the through hole 28 formed in the cooling member 20 to puncture the target tissue, and supply thermal energy to the sweat gland included in the target tissue.
  • the sweat gland can be accurately heated and destroyed while sufficiently cooling the vicinity of the target tissue. Therefore, the sweat gland can be destroyed quickly, safely and easily, and excessive sweating can be effectively suppressed.
  • the suppression of perspiration refers to the purpose of reducing the amount of perspiration itself (for example, hyperhidrosis treatment) and the purpose of reducing the odor associated with perspiration even if the amount of perspiration is very small (for example, odor odor) ) Treatment).
  • control apparatus 100 controls the drive of the drive means 40 so that the protrusion length of the electrode needle 10 from the cooling unit 24b becomes a preset length, the optimum depth for different subjects, sweat glands, and the like.
  • the tip portion 10a of the electrode needle 10 can be easily disposed at the position, and the treatment can be performed accurately and safely without depending on the skill of the practitioner.
  • the through holes 28 formed in the cooling member 20 do not necessarily correspond to the plurality of electrode needles 10 individually, and may be configured such that the plurality of electrode needles 10 are inserted into one through hole 28.
  • the through hole 28 is formed in the cooling member 20 in the shape of a long hole so that the two electrode needles 10 pass through both end edges in the longitudinal direction of the through hole 28.
  • each electrode needle 10 may be fixed to the holder 12.
  • the inner peripheral surface of the through-hole 28 can guide the advancement / retraction of each electrode needle 10 while facilitating the insertion of each electrode needle 10 into the through-hole 28, thereby further puncturing the surface of the epidermis. It can be done reliably.
  • the shape of the through hole 28 may be a polygonal shape such as a triangular shape or a quadrangular shape shown in FIGS. 5A and 5B other than the long hole shape described above.
  • FIG. 6 is a side view of a perspiration control device according to another embodiment of the present invention
  • FIG. 7 is a cross-sectional view taken along the line AA in FIG. 6 and 7, the same reference numerals are given to the same components as those shown in FIGS. 1 and 2, and detailed description thereof is omitted.
  • the mounting portion 36 is formed in a casing shape, and a driving device 40 is provided at the upper portion, and an engagement rail 36 a that engages with the cartridge 60 is provided at the lower portion.
  • a cylindrical portion 34 is provided inside the mounting portion 36, and the shaft 43 and the rod 46 of the driving device 40 are accommodated inside the cylindrical portion 34, similarly to the configuration shown in FIG. 2.
  • the cartridge 60 is formed with an engagement groove 62a that engages with the engagement rail 36a on the upper surface of the cartridge main body 62, and the cartridge 60 is attached to and detached from the mounting portion 36 by moving the cartridge 60 along the engagement rail 36a. Can be installed as possible.
  • the cartridge 60 is fixed to the mounting portion 36 by fitting of fitting portions (not shown) provided in the engagement rail 36a and the engagement groove 62a.
  • the holder 12 that supports the plurality of electrode needles 10 is housed inside the cartridge body 62.
  • the holder 12 is urged by a spring member 64 as urging means so as to retract the electrode needle 10 inside the cartridge body 62.
  • An insertion hole 62a through which the tip 46d of the rod 46 can pass is formed in the upper part of the cartridge body 62, and the tip 46d is configured to be able to press the holder 12 when the rod 46 advances.
  • a through hole 62 b through which the electrode needle 10 passes is formed in the lower portion of the cartridge body 62.
  • the cooling member 20 is supported by the mounting portion 36 via the support arm 21, and the cartridge 60 is disposed between the mounting portion 36 and the cooling member 20.
  • the support arm 21 has flexibility and can hold the cartridge 60 between the mounting portion 36 and the cooling member 20.
  • the support arm 21 accommodates wiring, signal lines, and the like that connect the cooling member 20 and the operation unit 50.
  • the through hole 28 of the cooling member 20 is formed so as to be aligned with the through hole 62 b of the cartridge 60.
  • the shapes of the through hole 28 and the through hole 62b are not particularly limited, and can be, for example, a long hole shape or a polygonal shape shown in FIGS.
  • the distal end portion 46 d of the rod 46 resists the urging force of the spring member 64 as shown in FIG. 8.
  • the tip 10a of the electrode needle 10 passes through the through hole 28 and the through hole 62b and protrudes from the cooling member 20.
  • the holder 46 is moved again to the retracted position by the urging force accumulated in the spring member 64 by retracting the rod 46.
  • the cartridge 60 can be quickly and easily treated by replacing the mounting portion 36 with a new one.
  • the cooling member 20 is supported by the mounting portion 36 by the support arm 21 having flexibility, so that the cartridge 60 can be sandwiched between the cooling member 20 and the mounting portion 36, and the through hole 28 and the through hole 62 b. Can be easily aligned.
  • the cooling member 20 can be configured to be detachable from the cartridge 60.

Abstract

[Problème] Décrire un dispositif de réduction de la transpiration avec lequel il est possible de conduire rapidement, sûrement, et aisément la destruction de glandes sudoripares par application d'énergie thermique, et de réduire efficacement une transpiration excessive. [Solution] La présente invention concerne un dispositif de réduction de la transpiration (1) qui comprend : des stylets à électrode (10) qui viennent toucher un tissu cible comprenant une glande sudoripare et l'alimenter en énergie thermique depuis des parties d'extrémité conductrices (10a); un élément réfrigérant (20) comprenant en outre une partie réfrigérante (24b) dont le côté superficiel comporte des trous débouchants (28) à travers lesquels les stylets à électrode (10) peuvent passer; un corps de support (30) qui loge de façon mobile les stylets à électrode (10) et soutient l'élément réfrigérant (20) de sorte que les stylets à électrode (10) puissent passer à travers les trous débouchants (28); et des moyens d'entraînement (40) pour amener les parties d'extrémité conductrices (10a) à faire saillie depuis la partie réfrigérante (24b) et tomber derrière celle-ci par extension ou rétraction des stylets à électrode (10) passés à travers les trous débouchants (28).
PCT/JP2013/062545 2012-05-01 2013-04-30 Dispositif de réduction de la transpiration WO2013164996A1 (fr)

Priority Applications (3)

Application Number Priority Date Filing Date Title
KR1020147030557A KR20150014441A (ko) 2012-05-01 2013-04-30 발한 억제 장치
JP2014513375A JP6025828B2 (ja) 2012-05-01 2013-04-30 発汗抑制装置
KR1020177033559A KR101984021B1 (ko) 2012-05-01 2013-04-30 발한 억제 장치

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
JP2012-104641 2012-05-01
JP2012104641 2012-05-01

Publications (1)

Publication Number Publication Date
WO2013164996A1 true WO2013164996A1 (fr) 2013-11-07

Family

ID=49514395

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/JP2013/062545 WO2013164996A1 (fr) 2012-05-01 2013-04-30 Dispositif de réduction de la transpiration

Country Status (3)

Country Link
JP (2) JP6025828B2 (fr)
KR (2) KR101984021B1 (fr)
WO (1) WO2013164996A1 (fr)

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2015141411A1 (fr) * 2014-03-17 2015-09-24 正典 佐伯 Dispositif de ponction
CN109199481A (zh) * 2017-07-03 2019-01-15 江苏风和医疗器材股份有限公司 用于缝合穿刺孔的缝合组件
EP3838208A1 (fr) * 2014-09-15 2021-06-23 Novoxel Ltd. Procédés et dispositifs pour la vaporisation et la compression thermiques de tissu
US11241278B2 (en) 2017-03-06 2022-02-08 Lutronic Corporation Treatment apparatus and method of controlling same
US11833361B2 (en) 2017-01-06 2023-12-05 Lutronic Corporation Treatment apparatus, method of controlling same and the treatment method

Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR102531937B1 (ko) * 2021-02-08 2023-05-11 부산대학교 산학협력단 자동 압축 원형 문합기 및 이의 제어방법
DE102022205706A1 (de) 2022-06-03 2023-12-14 Richard Wolf Gmbh System zur Durchführung einer transkutanen photodynamischen Therapie (PDT) in einem Organ oder Organsegment eines organischen Körpers

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2000016707A1 (fr) * 1998-09-18 2000-03-30 Hidehiro Yamamoto Dispositif d'alimentation en energie pour endoscope
JP2009506870A (ja) * 2005-09-07 2009-02-19 ザ ファウンドリー， インコーポレイテッド 皮下組織を治療する方法
JP2010524591A (ja) * 2007-04-19 2010-07-22 ザ ファウンドリー， インコーポレイテッド 汗の産生を低減するための方法および装置
JP2012506293A (ja) * 2008-10-22 2012-03-15 ミラマー ラブズ， インコーポレイテッド マイクロ波エネルギーを用いた組織の非侵襲的処置のためのシステム、装置、方法、および手順

Family Cites Families (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2000342617A (ja) * 1999-04-02 2000-12-12 Hattori Heating Kogyo Kk 疼痛緩和器、及びこれに用いたプローブ
US7160296B2 (en) * 2001-05-10 2007-01-09 Rita Medical Systems, Inc. Tissue ablation apparatus and method
EP1742588B1 (fr) * 2004-04-01 2016-10-19 The General Hospital Corporation Appareil de traitement dermatologique et remodelage de tissus
KR101732144B1 (ko) * 2004-10-06 2017-05-02 가이디드 테라피 시스템스, 엘.엘.씨. 초음파 치료 시스템
KR100943089B1 (ko) * 2009-01-23 2010-02-18 강동환 피부처치 장치
WO2010100883A1 (fr) * 2009-03-04 2010-09-10 パナソニック株式会社 Dispositif de perfusion médicamenteuse
US20110172637A1 (en) * 2010-01-08 2011-07-14 Ratio, Inc. Drug delivery device including tissue support structure

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2000016707A1 (fr) * 1998-09-18 2000-03-30 Hidehiro Yamamoto Dispositif d'alimentation en energie pour endoscope
JP2009506870A (ja) * 2005-09-07 2009-02-19 ザ ファウンドリー， インコーポレイテッド 皮下組織を治療する方法
JP2010524591A (ja) * 2007-04-19 2010-07-22 ザ ファウンドリー， インコーポレイテッド 汗の産生を低減するための方法および装置
JP2012506293A (ja) * 2008-10-22 2012-03-15 ミラマー ラブズ， インコーポレイテッド マイクロ波エネルギーを用いた組織の非侵襲的処置のためのシステム、装置、方法、および手順

Cited By (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11083515B2 (en) 2013-12-18 2021-08-10 Novoxel Ltd. Methods and devices for thermal tissue vaporization and compression
US11291498B2 (en) 2013-12-18 2022-04-05 Novoxel Ltd. Methods and devices for thermal tissue vaporization and compression
WO2015141411A1 (fr) * 2014-03-17 2015-09-24 正典 佐伯 Dispositif de ponction
EP3838208A1 (fr) * 2014-09-15 2021-06-23 Novoxel Ltd. Procédés et dispositifs pour la vaporisation et la compression thermiques de tissu
US11833361B2 (en) 2017-01-06 2023-12-05 Lutronic Corporation Treatment apparatus, method of controlling same and the treatment method
US11241278B2 (en) 2017-03-06 2022-02-08 Lutronic Corporation Treatment apparatus and method of controlling same
CN109199481A (zh) * 2017-07-03 2019-01-15 江苏风和医疗器材股份有限公司 用于缝合穿刺孔的缝合组件
CN109199481B (zh) * 2017-07-03 2021-01-05 江苏风和医疗器材股份有限公司 用于缝合穿刺孔的缝合组件

Also Published As

Publication number Publication date
JPWO2013164996A1 (ja) 2015-12-24
JP2017029778A (ja) 2017-02-09
KR101984021B1 (ko) 2019-05-30
KR20150014441A (ko) 2015-02-06
KR20170130637A (ko) 2017-11-28
JP6025828B2 (ja) 2016-11-16
JP6317796B2 (ja) 2018-04-25

Similar Documents

Publication Publication Date Title
JP6317796B2 (ja) 発汗抑制装置、冷却部材、およびカートリッジ
JP6942919B2 (ja) 穿刺装置
US20120041525A1 (en) Devices and methods for dermatological treatment
EP2373239B1 (fr) Système de cryochirurgie intégré avec fluide frigorigène et source d'énergie électrique
US20100204695A1 (en) Methods for applying energy to tissue using a graphical interface
EP2667801B1 (fr) Procédé et appareil pour dermabrasion discontinue
US20120158100A1 (en) Driving Microneedle Arrays into Skin and Delivering RF Energy
EP2802280A1 (fr) Protection de la peau pour le remodelage sous-cutané cryogénique dans le cadre de soins cosmétiques et autres traitements
WO2012082798A2 (fr) Méthode pour réduire les rides faciales hyperdynamiques
KR102537814B1 (ko) 고주파 및 약물 겸용 미용시술 장치
WO2013106857A1 (fr) Protection de la peau pour le remodelage sous-cutané cryogénique dans le cadre de soins cosmétiques et autres traitements
KR101276716B1 (ko) 레이저 치료 장치의 핸드피스
JP2017086096A (ja) 発汗抑制装置
WO2015141411A1 (fr) Dispositif de ponction
JP2017086099A (ja) 薬液注入装置
JP2004337296A (ja) 穿刺時疼痛軽減用の冷却装置
EP2687174B1 (fr) Tête de réseau pour appareil de thérapie par réfrigération

Legal Events

Date Code Title Description
121 Ep: the epo has been informed by wipo that ep was designated in this application

Ref document number: 13784452

Country of ref document: EP

Kind code of ref document: A1

ENP Entry into the national phase

Ref document number: 2014513375

Country of ref document: JP

Kind code of ref document: A

ENP Entry into the national phase

Ref document number: 20147030557

Country of ref document: KR

Kind code of ref document: A

NENP Non-entry into the national phase

Ref country code: DE

122 Ep: pct application non-entry in european phase

Ref document number: 13784452

Country of ref document: EP

Kind code of ref document: A1