CA2185196A1 - Method and apparatus for skin rejuvenation and wrinkle smoothing - Google Patents

Method and apparatus for skin rejuvenation and wrinkle smoothing

Info

Publication number
CA2185196A1
CA2185196A1 CA002185196A CA2185196A CA2185196A1 CA 2185196 A1 CA2185196 A1 CA 2185196A1 CA 002185196 A CA002185196 A CA 002185196A CA 2185196 A CA2185196 A CA 2185196A CA 2185196 A1 CA2185196 A1 CA 2185196A1
Authority
CA
Canada
Prior art keywords
skin
light
laser
region
light source
Prior art date
Legal status (The legal status 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 status listed.)
Granted
Application number
CA002185196A
Other languages
French (fr)
Other versions
CA2185196C (en
Inventor
Shimon Eckhouse
Michael Kreindel
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
ESC Medical Systems Ltd
Original Assignee
ESC Medical Systems Ltd
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
Family has litigation
First worldwide family litigation filed litigation Critical https://patents.darts-ip.com/?family=24108276&utm_source=google_patent&utm_medium=platform_link&utm_campaign=public_patent_search&patent=CA2185196(A1) "Global patent litigation dataset” by Darts-ip is licensed under a Creative Commons Attribution 4.0 International License.
Application filed by ESC Medical Systems Ltd filed Critical ESC Medical Systems Ltd
Publication of CA2185196A1 publication Critical patent/CA2185196A1/en
Application granted granted Critical
Publication of CA2185196C publication Critical patent/CA2185196C/en
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A61N5/10—X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • 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
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00137—Details of operation mode
    • A61B2017/00154—Details of operation mode pulsed
    • A61B2017/00172—Pulse trains, bursts, intermittent continuous operation
    • 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
    • A61B2017/00761—Removing layer of skin tissue, e.g. wrinkles, scars or cancerous tissue
    • 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
    • A61B2018/00023—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids closed, i.e. without wound contact by the fluid
    • 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
    • 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
    • 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
    • A61B2018/1807—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 light other than laser radiation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A61N5/06—Radiation therapy using light
    • A61N2005/0658—Radiation therapy using light characterised by the wavelength of light used
    • A61N2005/0659—Radiation therapy using light characterised by the wavelength of light used infrared

Abstract

A method and apparatus for treating skin includes applying pulsed light to the skin to heat and shrinking collagen within the skin, thereby reviving the elasticity of the collagen and of the skin. The epidermis and outer layers of the skin may be protected by cooling with a transparent substance, such as ice or gel, to the skin. The temperature distribution within the skin is controlled by controlling the delay between the time the coolant is applied, and the time the light is applied, by controlling the pulse duration and applying multiple pulses, and by filtering the light and controlling the radiation spectrum, preferably, the spectrum includes light having a wavelength in the range of 600-1200nm. The pulsed light may be incoherent, such as that produced by a flashlamp, or coherent, such as that produced by a Nd(Yag) laser or a ruby laser, and may be directed to the skin using a flexible or rigid light guide. Also, a method and apparatus for cutaneous resurfacing including directing Er:YAG laser light to the skin. The light may be pulsed, preferably with a delay of about 0.5-l0msec between pulses. In one embodiment the pulses have energy fluences of preferably about 100J/cm2.

Claims (48)

1. A method of collagen treatment comprising the steps of applying pulsed light, heating collagen and shrinking the collagen, thereby reviving the elasticity of the collagen.
2. The method of claim 1, wherein said collagen is beneath a layer of skin, further comprising the step of protecting the epidermis and outer layers of said skin by cooling the epidermis and outer layers of said skin.
3. The method of claim 2 wherein the step of cooling includes the step of applying a transparent substance having a temperature less than an ambient temperature, to a region of said skin.
4. The method of claim 3 further including the step of controlling a of delay time between the application of the substance and the application of light, to control a temperature distribution within said skin.
5. The method of claim 3 wherein the substance is ice.
6. The method of claim 3 wherein the substance is a gel.
7. The method of claim 2 wherein the step of cooling includes the step of applying a transparent substance to said region of skin and reducing the temperature of the substance.
8. The method of claim 7 wherein the substance is ice.
9. The method of claim 7 wherein the substance is a gel.
10. The method of claim 2 further including the steps of controlling a pulse duration and applying multiple pulses to control a temperature distribution within said skin.
11. The method of claim 1 wherein the step of applying pulsed light includes the step of pulsing a laser.
12. The method of claim 11 wherein the step of pulsing a laser includes the step of pulsing a Nd (Yag) laser.
13. The method of claim 11 wherein the step of pulsing a laser includes the step of pulsing a ruby laser.
14. The method of claim 1 wherein the step of applying pulsed light includes the step of pulsing a noncoherent light source.
15. The method of claim 14 further including the step of controlling the radiation spectrum by filtering the light to control a temperature distribution within said skin.
16. The method of claim 15 further including the steps of controlling a pulse duration and applying multiple pulses to control a temperature distribution within said skin.
17. The method of claim 1 wherein the step of applying pulsed light includes the step of applying light having a wavelength in the range of 600-1200nm.
18. The method of claim 1 further including the step of directing the light to the skin using a flexible light guide.
19. The method of claim 1 further including the step of directing the light to the skin using a rigid light guide.
20. A method of generating a temperature distribution inside a region of skin having a maximum temperature at a selected depth comprising the steps of cooling the epidermis and outer layers of the region of said skin and applying pulsed light to the region of skin.
21. The method of claim 20 wherein the step of cooling includes the step of applying a transparent substance having a temperature less than an ambient temperature, to the region of skin.
22. The method of claim 21 further including the step of controlling a delay time between the application of the substance and the application of light, to control the temperature distribution.
23. The method of claim 20 wherein the step of cooling includes the step of applying a transparent substance to the region of skin and reducing the temperature of the substance.
24. The method of claim 20 further including the steps of controlling a pulse duration and applying multiple pulses.
25. An apparatus for treating a region of skin comprising a pulsed light source capable of heating collagen and shrinking the collagen, thereby reviving the elasticity of the collagen and of the skin, and a housing, in which the light source is disposed, wherein the housing includes an aperture suitable for directing the light to the region of skin.
26. The apparatus of claim 25 further including a timing circuit coupled to the pulsed light source, for indicating when a delay time has passed after an application of a cooling substance to said skin region.
27. The apparatus of claim 25 wherein the pulsed light source includes a microprocessor for determining the delay time in response to a selected skin temperature profile.
28. The apparatus of claim 25 wherein the pulsed light source includes a microprocessor for determining the delay time in response to a selected skin temperature profile.
29. The apparatus of claim 26 including means for reducing the temperature of the cooling substance, wherein the cooling means is disposed to provide a signal indicative of cooling to the timing circuit.
30. The apparatus of claim 25 further comprising a pulse formation circuit and a pulse duration input, wherein the pulse duration circuit is coupled to the pulsed light source and is adapted to control the duration of pulses emitted by thepulsed light source in response to the pulse duration input.
31. The apparatus of claim 25 wherein the pulsed light source includes a laser.
32. The apparatus of claim 31 wherein the laser is a Nd (Yag) laser.
33. The apparatus of claim 31 wherein the laser is a ruby laser.
34. The apparatus of claim 25 wherein the pulsed light source includes a noncoherent light source.
35. The apparatus of claim 25 further including a filter disposed adjacent to the aperture, wherein a temperature distribution within the skin is controlled in response to a radiation spectrum produced by filtering the light.
36. The apparatus of claim 35 wherein the filter is of the type that does not eliminate light having a wavelength in the range of 600-1200nm.
37. The apparatus of claim 25 further including a flexible light guide attached adjacent to the aperture.
38. The apparatus of claim 25 further including a rigid light guide attached adjacent to the aperture.
39. The apparatus of claim 25 further including a pulse delay in the range of 0.5-10 msec between successive pulses of light emitted by the pulsed light source.
40. A method of cutaneous resurfacing of a region of skin comprising the steps of producing Er:YAG
laser light, and directing the light to the region of skin.
41. The method of claim 40, wherein the step of producing includes the step of pulsing the laser light.
42. The method of claim 41, wherein the step of pulsing includes the step of delaying in the range of 0.5-10 msec between pulses.
43. The method of claim 41, wherein the step of pulsing includes the step of providing pulses having energy fluences on the order of 100J/cm2.
44. An apparatus of cutaneous resurfacing of a region of skin comprising an Er:YAG laser light source disposed in a housing capable of directing light to the region of skin.
45. The apparatus of claim 44, wherein the laser light includes a pulse forming circuit.
46. The apparatus of claim 45, wherein the pulse forming circuit includes a pulse delay circuit for producing a delay in the range of 0.5-10 msec between pulses.
47. The apparatus of claim 44, wherein the light source is capable of providing pulses having energy fluences on the order of 100 J/cm2.
48. An apparatus for the cutaneous resurfacing of a region of skin, including skin resurfacing or wrinkle smoothing, which comprises: an incoherent light source such as a flashlamp; an Er:YAG laser which can be operated in multiple pulse mode; a delivery system disposed to deliver the incoherent light and laser light to the region.
CA002185196A 1995-09-15 1996-09-10 Method and apparatus for skin rejuvenation and wrinkle smoothing Expired - Lifetime CA2185196C (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US08/529,044 1995-09-15
US08/529,044 US5964749A (en) 1995-09-15 1995-09-15 Method and apparatus for skin rejuvenation and wrinkle smoothing

Publications (2)

Publication Number Publication Date
CA2185196A1 true CA2185196A1 (en) 1997-03-16
CA2185196C CA2185196C (en) 2010-03-09

Family

ID=24108276

Family Applications (1)

Application Number Title Priority Date Filing Date
CA002185196A Expired - Lifetime CA2185196C (en) 1995-09-15 1996-09-10 Method and apparatus for skin rejuvenation and wrinkle smoothing

Country Status (9)

Country Link
US (2) US5964749A (en)
EP (1) EP0763371B1 (en)
JP (1) JP3688070B2 (en)
KR (1) KR970014789A (en)
AT (1) ATE273728T1 (en)
AU (1) AU726267B2 (en)
CA (1) CA2185196C (en)
DE (1) DE69633159T2 (en)
DK (1) DK0763371T3 (en)

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DE69633159D1 (en) 2004-09-23
DE69633159T2 (en) 2005-09-08
JPH09103507A (en) 1997-04-22
DK0763371T3 (en) 2005-02-28
JP3688070B2 (en) 2005-08-24
EP0763371A3 (en) 1999-04-14
US6387089B1 (en) 2002-05-14
KR970014789A (en) 1997-04-28
AU6431096A (en) 1997-03-20
US5964749A (en) 1999-10-12
AU726267B2 (en) 2000-11-02
ATE273728T1 (en) 2004-09-15
EP0763371B1 (en) 2004-08-18
CA2185196C (en) 2010-03-09
EP0763371A2 (en) 1997-03-19

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