WO2015076584A1 - Dispositif de thérapie laser, procédé de commande pour dispositif de thérapie laser et dispositif de pièce à main pour dispositif de thérapie laser - Google Patents

Dispositif de thérapie laser, procédé de commande pour dispositif de thérapie laser et dispositif de pièce à main pour dispositif de thérapie laser Download PDF

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Publication number
WO2015076584A1
WO2015076584A1 PCT/KR2014/011200 KR2014011200W WO2015076584A1 WO 2015076584 A1 WO2015076584 A1 WO 2015076584A1 KR 2014011200 W KR2014011200 W KR 2014011200W WO 2015076584 A1 WO2015076584 A1 WO 2015076584A1
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Prior art keywords
laser
refrigerant gas
generator
handpiece
wavelength
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PCT/KR2014/011200
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English (en)
Korean (ko)
Inventor
이수영
김상준
김영호
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연세대학교 원주산학협력단
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Publication of WO2015076584A1 publication Critical patent/WO2015076584A1/fr

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    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61N5/00—Radiation therapy
    • A61N5/10—X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N5/1077—Beam delivery systems
    • 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
    • A61B18/203—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 applying laser energy to the outside of the body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • 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
    • A61B18/22—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 the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
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    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
    • A—HUMAN NECESSITIES
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    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H39/00—Devices for locating or stimulating specific reflex points of the body for physical therapy, e.g. acupuncture
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    • A61B18/201—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 with beam delivery through a hollow tube, e.g. forming an articulated arm ; Hand-pieces therefor
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    • A61B2018/00011—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids
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    • 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
    • A61B2018/2015—Miscellaneous features
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    • 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
    • A61B2018/2065—Multiwave; Wavelength mixing, e.g. using four or more wavelengths
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    • 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
    • A61B18/22—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 the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
    • A61B2018/225—Features of hand-pieces
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
    • A61F2007/0098—Heating or cooling appliances for medical or therapeutic treatment of the human body ways of manufacturing heating or cooling devices for therapy

Definitions

  • a laser treatment apparatus a method of controlling the laser treatment apparatus, and a handpiece apparatus for the laser treatment apparatus.
  • laser treatment is effectively used for the treatment of skin diseases such as hair removal and vascular disorders.
  • a laser of a specific wavelength selected may be irradiated to a target area of the skin to treat damaged blood vessels or used to remove melanin, and the laser procedure may be used to remove hair that the operator wishes to remove. For example, it can be used for hair removal.
  • laser-based procedures are used for treatment in ophthalmology, dentistry, surgical operations, or dermatology.
  • laser treatment apparatuses used for lesions such as skin diseases or vascular diseases occurring on the skin may be irradiated to the skin with a laser having a predetermined wavelength and intensity to achieve a therapeutic purpose.
  • 2007-0108132 discloses a replacement for a medical laser treatment tip and a method for using the same.
  • the present invention seeks to provide a skin cooling system for relieving pain during treatment of thermal stimulation of the dermal layer of the laser treatment equipment and for suppressing damage to the epidermis such as blisters or copies due to burns.
  • the present invention provides a refrigerant temperature control mechanism for preventing under- or over-cooling of the skin caused by a change in temperature of the refrigerant due to adiabatic cooling.
  • a refrigerant temperature control mechanism for preventing under- or over-cooling of the skin caused by a change in temperature of the refrigerant due to adiabatic cooling.
  • a laser generator for generating a laser having at least one or more pulses
  • a refrigerant gas generator for generating a refrigerant gas
  • refrigerant gas A connecting part including a moving tube and a wire for controlling signal input and output, connected to one side of the connecting part, a handpiece for irradiating a laser to a specific area of the body skin, and spraying the refrigerant gas to a specific area, a laser generator, and a refrigerant gas
  • It includes a control unit for transmitting a control signal to at least one of the generator, the handpiece, the handpiece is a laser irradiator for irradiating a laser to a specific region through at least one lens, the refrigerant gas injected to the specific region to correspond to the pulse Laser therapy including a regulating valve and a bubble sensor to detect bubbles in the tube It can provide value.
  • control unit generating at least one control signal, in the laser generator, generating a laser based on the control signal, in the refrigerant gas generator, the refrigerant gas based on the control signal Generating, moving the laser generated through the optical fiber, moving the refrigerant gas through the tube, irradiating the laser to a specific area of the body skin through the at least one lens, in the handpiece, tube in the handpiece
  • a control method of the laser treatment apparatus comprising the step of detecting a bubble in the inside, spraying the refrigerant gas to a specific region to correspond to the pulse in the handpiece.
  • the optical fiber for moving the laser having at least one pulse generated from the body of the laser treatment device to the handpiece, the tube and the laser treatment for moving the refrigerant gas generated by the refrigerant gas generator to the handpiece
  • a connection including a wire for transmitting a control signal generated from the main body of the device to the handpiece, and a handpiece connected to one side of the connection, for irradiating a laser to a specific area of the body skin, and for injecting refrigerant gas into the specific area.
  • the handpiece includes a laser irradiator for irradiating a laser to a specific region through at least one lens, a valve for regulating refrigerant gas injected into the specific region to correspond to a pulse, and a bubble sensor for detecting a bubble in the tube.
  • a laser irradiator for irradiating a laser to a specific region through at least one lens
  • a valve for regulating refrigerant gas injected into the specific region to correspond to a pulse
  • a bubble sensor for detecting a bubble in the tube.
  • any one of the above-described problem solving means it is possible to provide a control mechanism of the refrigerant temperature excellent in the cooling effect compared to the existing chip cooling (Chip Cooling) and air cooling (Air Cooling) system. Unnecessary skin damage by heat stimulation can be suppressed. Due to the high cooling effect, it is possible to provide a laser treatment device having a wide range of treatment by only making some improvements or modifications without changing the output portion of the existing laser treatment device. It is possible to provide a skin cooling system for suppressing damage to the epidermis, such as blisters or copies due to burns during laser treatment.
  • HFC-134a Hydrofluoro Fluro Carbon-134a
  • FIG. 1 is a view showing a laser treatment apparatus according to an embodiment of the present invention.
  • FIG. 2 is a block diagram of a laser treatment apparatus according to an embodiment of the present invention.
  • FIG. 3 is a configuration diagram of an optical unit according to an embodiment of the present invention.
  • Figure 4 is a block diagram of a handpiece according to an embodiment of the present invention.
  • FIG. 5 is a diagram illustrating an interface for transmitting a control signal according to an embodiment of the present invention.
  • FIG. 6 is a view showing the operation of the pulse according to an embodiment of the present invention.
  • FIG. 7 is a view showing the operation flow of the laser treatment apparatus according to an embodiment of the present invention.
  • FIG. 8 is an operation flowchart showing a control method of the laser treatment apparatus according to an embodiment of the present invention.
  • a laser treatment apparatus for skin treatment is described as an example.
  • embodiments of the present invention may be carried out when necessary in various laser treatment devices, such as a laser treatment device for surgery as well as a laser treatment device for skin treatment.
  • the present invention may be embodied in many different forms and should not be construed as limited to the embodiments set forth herein.
  • parts irrelevant to the description are omitted in order to clearly describe the present invention, and like reference numerals designate like parts throughout the specification.
  • the term 'unit' includes a unit realized by hardware, a unit realized by software, and a unit realized by both.
  • one unit may be realized using two or more pieces of hardware, and two or more units may be realized by one piece of hardware.
  • the laser treatment apparatus 10 includes a laser generator 101, a refrigerant gas generator 102, a connection portion 103, a handpiece 104, a control unit 105, an optical unit 106, and a foot switch. 107 may include.
  • the configuration of the laser treatment apparatus 10 of FIG. 1 is only an embodiment of the present invention, the present invention is not limited to and interpreted through FIG. 1.
  • the laser generator 101 may generate a laser having at least one pulse.
  • the laser generator 101 may include a first laser generator for generating a laser of a first wavelength and a second laser generator for generating a laser of a second wavelength.
  • the first wavelength may be any one of 1470 nm, 532 nm, 1064 nm and 808 nm
  • the second wavelength may be another one of 1470 nm, 532 nm, 1064 nm and 808 nm.
  • the laser generator 101 is an ND-YAG laser having a 1064 nm wavelength, a green laser having a 532 nm wavelength, a hair removal laser having a 808 nm wavelength, and a 15W class diode laser having a 1470 nm wavelength. Lasers of various wavelengths used in the dermatology can be generated. In addition, the laser generator 101 may generate one of a Q-switched Ruby laser, a Q-switched Alexandrite laser, and a Q-switched ND-YAG laser to treat pigmented lesions, and a copper vapor laser and KTP to treat vascular lesions.
  • the first laser generator may be a laser generator for generating an endigag laser
  • the second laser generator may be a laser generator for generating green laser.
  • the laser generator 101 may measure a current flowing when the laser is generated.
  • the laser generator 101 may use a current sensor.
  • the current sensor may be included in the laser generator 101 or may be located at a predetermined position outside the laser generator 101.
  • the laser generator 101 may stop the operation when the measured current exceeds the threshold range. In order to stop the operation of the laser generator 101, the power supply may be stopped.
  • the current sensor may measure the current, or control at least one of the output size, the supply power or the operation of the laser generator 101 according to the measured current.
  • the refrigerant gas generator 102 may generate refrigerant gas.
  • the refrigerant gas generator may include a refrigerant gas reservoir, a refrigerant gas tube, a heater, and a pressure sensor.
  • the refrigerant gas generator may control a temperature sensor for detecting a temperature of the refrigerant gas tube, and a power source for the heater corresponding to the temperature detected by the temperature sensor.
  • the heater switch may further include.
  • the refrigerant gas may be HFC-134a (Hydro Fluro Carbon-134a) gas, which is a colorless, odorless refrigerant gas that is not harmful to the human body.
  • the refrigerant gas may be a fluorocarbon compound.
  • the type of refrigerant gas is not limited to those exemplified above, and various refrigerant gases may be used.
  • the refrigerant gas reservoir may store the refrigerant gas and move the refrigerant gas to the handpiece 104 through the refrigerant gas pipe connected to the refrigerant gas reservoir.
  • the heater may maintain the temperature of the refrigerant gas reservoir or the refrigerant gas pipe by changing the pressure of the refrigerant gas or changing the injection amount of the refrigerant when the temperature changes according to the injection of the refrigerant.
  • the heater is controlled by a temperature sensor that checks the temperature of the heater, and the operation can be stopped by the heater switch based on the temperature measured by the temperature sensor.
  • the heater switch may stop the operation of the heater by cutting off the power of the heater when the temperature of the tube through which the refrigerant gas moves is measured above the set temperature.
  • the connection unit 103 may include an optical fiber through which the laser moves, a tube through which the refrigerant gas moves, and a wire for inputting and outputting control signals.
  • the laser generated from the laser generator is moved to the handpiece 104 through the optical fiber
  • the refrigerant gas generated from the refrigerant gas generator is moved to the handpiece 104 through the tube, and a control signal for the laser treatment apparatus 10. May be transmitted to the handpiece 104 via wires.
  • the connection unit 103 may be connected with the handpiece 104 to transmit the laser, the refrigerant gas, and the control signal to the handpiece 104 in the laser treatment apparatus 10.
  • the optical fiber includes a plurality of sub-fibers, wherein a laser of a first wavelength may be moved through a first sub-fiber among the plurality of sub-fibers, and a laser of a second wavelength may be moved through a second optical fiber among the plurality of sub-fibers.
  • a laser of a first wavelength may be moved through a first sub-fiber among the plurality of sub-fibers
  • a laser of a second wavelength may be moved through a second optical fiber among the plurality of sub-fibers.
  • the handpiece 104 is connected to one side of the connection portion, and irradiates a laser to a specific area of the body skin, and irradiates a refrigerant gas to a specific area of the body skin.
  • the handpiece 104 includes a laser irradiator 1041 for irradiating a laser to a specific region through at least one lens, a valve 1043 for adjusting a refrigerant gas injected to a specific region in response to a laser pulse, and a refrigerant gas to be moved. It may include a bubble sensor 1042 for detecting a bubble in the tube to be.
  • the controller 105 may transmit a control signal for at least one of the laser generator 101, the refrigerant gas generator 102, and the handpiece 104.
  • the controller 105 may transmit a control signal for controlling the number of pulses of the laser to the laser generator 101, and may transmit a control signal such as whether or not refrigerant gas is generated and manual generation of refrigerant gas to the refrigerant gas generator 102. have.
  • the controller 105 may calculate at least one of a usable time, a used time, and a remaining use time of the refrigerant gas based on the injection time of the refrigerant gas generated by the refrigerant gas generator 102.
  • the controller 105 controls the refrigerant gas generator 102 to charge the refrigerant gas, thereby replacing the refrigerant gas reservoir. Difficulty can be reduced.
  • at least one or more of the total usable time, used time, and remaining usable time of the refrigerant gas may be displayed through the touch panel display.
  • the controller 105 may generate a control signal for turning off the operation of the refrigerant gas generator 102 or the valve 1042, and the controller 105 may generate a control signal.
  • a user input may be received through the interface touch panel interface.
  • the optical unit 106 may include at least one lens, a first mirror that totally reflects the wavelength of the second laser while transmitting the wavelength of the first laser, a second mirror that totally reflects the laser of the second wavelength, and a laser of the first wavelength; It may include a laser connector for guiding the laser of the second wavelength into one optical fiber.
  • FIG. 3 is a block diagram of the optical unit 106 according to an embodiment of the present invention.
  • the optical unit 106 receives lasers having different wavelengths generated from the first laser generator and the second laser generator, and uses the first laser as the first collimation lens 1061. Can be made parallel through, and the second laser can be made parallel through the second collimation lens 1062.
  • the first laser that is scanned in parallel through the first collimation lens 1061 transmits the wavelength of the first laser and passes through the first mirror 1064 that totally reflects the wavelength of the second laser so that the focus lens 1063
  • the second laser transmitted to and scanned in parallel through the second collimation lens 1062 is totally reflected on the second mirror 1065 which totally reflects the wavelength of the second laser, and totally reflected on the first mirror 1064 to focus. May be delivered to the lens 1063.
  • the first and second lasers delivered to the focus lens 1063 may be guided to one optical fiber by the laser connector 1066 and delivered to the handpiece 104 through the optical fiber.
  • the foot switch 107 may receive an input by a user's foot, and the laser generator 101 may generate a laser based on the input of the foot switch 107.
  • the laser generator 101 may generate a laser based on the input of the foot switch 107.
  • one pulse laser can be generated in the single mode, and a plurality of pulse lasers can be generated while the input of the foot switch 107 is continued in the multi mode.
  • the laser generator 101 may include a first laser generator for generating a laser diode in a 1470 nm wavelength band and a second laser generator for generating a laser diode in a 532 nm wavelength band. Different lasers generated by the generator 101 may be delivered to the optical unit 106 and guided to one optical fiber, and may be delivered to the handpiece 104 through the connection unit 103.
  • the refrigerant gas generator 102 may include a refrigerant gas reservoir, a refrigerant gas tube, a heater, a temperature sensor, and a pressure sensor.
  • the refrigerant gas stored in the refrigerant gas reservoir may be delivered to the handpiece 104 through the refrigerant gas pipe.
  • the pressure of the refrigerant gas reservoir is changed in accordance with the injection of the refrigerant gas, the pressure of the refrigerant gas is changed to change the injection amount of the refrigerant gas.
  • Refrigerant gas tube is a tube, it may be a PFA (Perfluorinated Acid) tube.
  • the controller 105 may transmit a control signal for at least one of the laser generator 101, the refrigerant gas generator 102, and the handpiece, and the control signal may be transmitted through a wire.
  • the laser generated from the laser generator 101, the refrigerant gas generated from the refrigerant gas generator 102, and the control signal transmitted from the control unit 105 are respectively transmitted through the optical fiber, the tube, and the wire, and the hand is connected through the connection unit 103. May be delivered to piece 104.
  • FIG. 4 is a block diagram of a handpiece 104 according to an embodiment of the present invention.
  • an optical fiber for moving a laser having at least one pulse generated from the main body of the laser treatment apparatus 10 to the handpiece 104, and a refrigerant gas generated by the refrigerant gas generator 102 are handpiece 104.
  • the handpiece 104 for injecting gas into a particular area may include a laser irradiator 1041, a valve 1043 and a bubble sensor 1042.
  • the laser irradiator 1041 includes a collimation lens 401 for irradiating the laser beam transmitted from the connecting portion 103 in parallel, and a moving focus lens 402 for irradiating the laser to a specific area of the body skin. This allows the laser to be focused and irradiated on specific areas of the body's skin.
  • the valve 1043 is a solenoid valve and may adjust at least one or more of the amount and the injection time of the refrigerant gas based on at least one or more of the number, magnitude, and time of the pulse.
  • the valve 1043 may adjust at least one of the number of injections, the amount of injection, and the injection time of the refrigerant gas based on the bubbles sensed by the bubble sensor 1402.
  • the valve 1043 may adjust the number of injections of the refrigerant gas to N + 1 times.
  • the valve 1043 may allow the refrigerant gas to be injected before and after the laser is injected.
  • the valve 1043 may adjust the number of injections of the refrigerant gas such that the refrigerant gas is injected between the laser pulses being scanned.
  • the laser and the refrigerant gas may cross and be injected or scanned, and the valve 1043 may be injected with the refrigerant gas before and after the laser injection. It may be adjusted so that the refrigerant gas may be injected at least once more than the number of laser scans.
  • FIG. 5 is a diagram illustrating an interface for transmitting a control signal according to an embodiment of the present invention.
  • laser fluence or gas emission time may be adjusted through a user interface. Fluence is a value obtained by dividing the energy of a laser by an area. Higher fluence means higher energy in the same area, and adjusting the laser fluence may mean adjusting the power of the laser.
  • a burn may be caused by laser heat.
  • refrigerant gas is injected to prevent burns.
  • the cooling gas is sprayed for a long time, the treatment site may freeze, and if it is emitted too little, a burn may occur, so that an appropriate time adjustment is required.
  • the refrigerant gas is injected in consideration of the laser image, but when the user does not want the injection of the refrigerant gas, the injection of the refrigerant gas can be stopped.
  • the gas emission control interface 501 503 to 504
  • the refrigerant gas may not be injected during the procedure, which may cause burns.
  • Bubbles in the tube can be removed.
  • FIG. 6 is a view showing the operation of the pulse according to an embodiment of the present invention.
  • the number of laser pulses is four, and the pulse train when the refrigerant gas is injected is shown.
  • the pulse train shown in FIG. 6 is one shot
  • one shot is irradiated when the user presses the foot switch 107 once in the single mode 507
  • the multi mode At 508, one shot may be irradiated while the user presses the foot switch 107, and after one second has elapsed, one shot may be irradiated continuously.
  • the term of time after one shot is investigated is not limited to the one second illustrated. In the single mode 507, only one shot is irradiated even when the foot switch 107 is kept pressed.
  • the shots 507-508 and the number 509 of laser pulses can be adjusted to up 510 and down 511.
  • the injection of the refrigerant gas may also be changed to the same number, or after all the reserved pulses are injected according to the setting, the refrigerant gas pulse may be injected one more time.
  • Fluence and refrigerant gas injection time are affected by the number of laser pulses.
  • the fluence corresponding to the energy of the laser changes the laser power by the changed number of laser pulses, and the refrigerant gas injection time is pulsed. It can be dispersed by a number so that gas can be emitted between laser pulses.
  • the cumulative time 512 of the laser emission and the cumulative time 513 of the refrigerant gas injection may be displayed.
  • the replacement time can be estimated by checking the laser use time and the refrigerant gas use time.
  • the replacement of the refrigerant gas reservoir or the charge of the refrigerant gas into the refrigerant gas reservoir is relatively easy, but the replacement of the laser diode generating the laser requires the skill of an expert, and it may be important to accumulate and display the use time.
  • the reset button 514 may be used to reset the accumulated use time.
  • FIG. 7 is a view showing the operation flow of the laser treatment apparatus according to an embodiment of the present invention.
  • the gas heater is operated (S701) such that the pressure of the refrigerant gas generator 102 becomes a preset pressure, and the refrigerant gas generator 102 reaches a target pressure.
  • the laser treatment apparatus 10 may be switched to a standby by state (S703).
  • parameters such as the intensity of the laser, the number of pulses, and the injection time of the refrigerant gas, which are used for the procedure, are set (S704), and if necessary, the currently used parameters may be stored or In addition, the stored parameters can be called and applied to the procedure.
  • the laser treatment apparatus 10 When the laser treatment apparatus 10 needs to be corrected, the laser treatment and the injection of the refrigerant gas may be corrected (S706).
  • the laser treatment apparatus 10 When the calibration is completed, the laser treatment apparatus 10 is switched to the ready state (S707).
  • the user's input is received through the foot switch 107 of the laser treatment apparatus 10 in the ready state (S708), the laser treatment apparatus 10 emits the laser and the refrigerant gas (S709).
  • FIG. 7 is only one of various embodiments of the present invention, and is not limited thereto.
  • FIG. 8 is an operation flowchart showing a control method of the laser treatment apparatus according to an embodiment of the present invention.
  • the control method of the laser treatment apparatus illustrated in FIG. 8 may be performed by the laser control apparatus 10 described above with reference to FIGS. 1 to 7. Therefore, even if omitted below, the description of the laser treatment apparatus 10 through FIGS. 1 to 7 is also applied to FIG. 8.
  • the laser generator 101 of the laser treatment apparatus 10 may be configured based on the generated control signal.
  • the laser is generated (S802), and the refrigerant gas generator 102 may generate the refrigerant gas based on the control signal (S803).
  • the generated laser is moved through the optical fiber (S804), the generated refrigerant gas is moved through the tube (S805) may be delivered to the handpiece 104.
  • the handpiece 104 irradiates a laser to a specific area of the skin of the body through at least one lens (S806), and the handpiece 104 detects bubbles in the tube (S807) to supply refrigerant gas to correspond to the pulse of the laser. Spray to a specific region (S808).
  • the control method of the laser treatment apparatus described above may also be implemented in the form of a recording medium including instructions executable by a computer, such as a program module executed by the computer.
  • Computer readable media can be any available media that can be accessed by a computer and includes both volatile and nonvolatile media, removable and non-removable media.
  • Computer readable media may include both computer storage media and communication media.
  • Computer storage media includes both volatile and nonvolatile, removable and non-removable media implemented in any method or technology for storage of information such as computer readable instructions, data structures, program modules or other data.
  • Communication media typically includes computer readable instructions, data structures, program modules, or other data in a modulated data signal such as a carrier wave, or other transmission mechanism, and includes any information delivery media.

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Abstract

L'invention concerne un dispositif de thérapie laser qui comporte : un générateur de laser pour générer un laser ayant au moins une impulsion ; un générateur de gaz frigorigène pour générer un gaz frigorigène ; une unité de liaison comprenant une fibre optique à travers laquelle se déplace le laser, un tube à travers lequel se déplace le gaz frigorigène, et un fil électrique pour faire entrer et sortir un signal de commande ; une pièce à main qui est reliée à un premier côté de l'unité de liaison, qui irradie une région particulière de la peau avec le laser et qui pulvérise le gaz frigorigène sur la région particulière ; une unité de commande pour émettre le signal de commande à au moins un parmi le générateur de laser, le générateur de gaz frigorigène et la pièce à main, la pièce à main comprenant : un dispositif d'irradiation laser pour irradier la région particulière avec le laser à travers au moins une lentille ; une valve pour ajuster le gaz frigorigène pulvérisé sur la région particulière en fonction de l'impulsion ; un capteur de bulle pour détecter des bulles dans le tube.
PCT/KR2014/011200 2013-11-21 2014-11-20 Dispositif de thérapie laser, procédé de commande pour dispositif de thérapie laser et dispositif de pièce à main pour dispositif de thérapie laser WO2015076584A1 (fr)

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CN107929953A (zh) * 2017-12-29 2018-04-20 西安交通大学 一种用于太田痣治疗的冷热双气体耦合制冷剂喷雾冷却系统
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Publication number Priority date Publication date Assignee Title
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KR102286527B1 (ko) * 2019-10-17 2021-08-09 엘레메닉(주) 레이저 치료 장치
US11278341B2 (en) 2020-07-14 2022-03-22 Recensmedical, Inc. Method of safely using controlled cooling systems and devices
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KR102389164B1 (ko) * 2021-06-25 2022-04-25 주식회사 엘트라글로벌 실시간 피부온도 측정이 가능한 피부치료 레이저 출력 장치
KR20230155880A (ko) 2022-05-04 2023-11-13 주식회사 오로 기포감지유닛 및 그를 포함하는 레이저 치료장치

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR920010604B1 (ko) * 1983-12-29 1992-12-10 아마다 엔지니어링 엔드 써어비스 캄파니 인코오포레이트 고속축 유동 방식의 가스레이저 발진기
JP2001030199A (ja) * 1999-07-16 2001-02-06 Olympus Optical Co Ltd レーザープローブ
JP2001358397A (ja) * 2000-06-15 2001-12-26 Matsushita Electric Ind Co Ltd レーザ加熱装置
KR100434195B1 (ko) * 1996-03-04 2004-12-03 이노테크 유에스에이 인코포레이티드 외과용레이저장치및그사용방법
KR20120115703A (ko) * 2011-04-11 2012-10-19 주식회사 루트로닉 레이저 치료장치 및 이를 이용한 레이저 치료장치의 제어방법

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR920010604B1 (ko) * 1983-12-29 1992-12-10 아마다 엔지니어링 엔드 써어비스 캄파니 인코오포레이트 고속축 유동 방식의 가스레이저 발진기
KR100434195B1 (ko) * 1996-03-04 2004-12-03 이노테크 유에스에이 인코포레이티드 외과용레이저장치및그사용방법
JP2001030199A (ja) * 1999-07-16 2001-02-06 Olympus Optical Co Ltd レーザープローブ
JP2001358397A (ja) * 2000-06-15 2001-12-26 Matsushita Electric Ind Co Ltd レーザ加熱装置
KR20120115703A (ko) * 2011-04-11 2012-10-19 주식회사 루트로닉 레이저 치료장치 및 이를 이용한 레이저 치료장치의 제어방법

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11318324B2 (en) 2015-07-09 2022-05-03 Lutronic Corporation Treatment apparatus and control method for treatment apparatus
CN106621069A (zh) * 2016-12-29 2017-05-10 西安蓝极医疗电子科技有限公司 激光光源、激光光源控制主机和治疗男性勃起功能障碍的装置
CN107929953A (zh) * 2017-12-29 2018-04-20 西安交通大学 一种用于太田痣治疗的冷热双气体耦合制冷剂喷雾冷却系统

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