Electrosurgical systems and components thereof configured to deliver RF energy to a target site of a human or other animal patient with selectable RF energy delivery profiles, temperature sensors and controls, and/or electrodes configured to more uniformly or effectively delivery energy to target tissue.
A61B 18/12 - 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
A61B 18/08 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by means of electrically-heated probes
H01S 3/09 - Processes or apparatus for excitation, e.g. pumping
H01S 3/10 - Controlling the intensity, frequency, phase, polarisation or direction of the emitted radiation, e.g. switching, gating, modulating or demodulating
3.
METHODS AND APPARATUS FOR CONTROLLED RF TREATMENTS AND RF GENERATOR SYSTEM
Electrosurgical systems and components thereof configured to deliver RF energy to a target site of a human or other animal patient with selectable RF energy delivery profiles, temperature sensors and controls, and/or electrodes configured to more uniformly or effectively delivery energy to target tissue.
A61B 18/16 - Indifferent or passive electrodes for grounding
A61B 18/18 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
A61B 18/20 - 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
In part, the disclosure relates to systems and methods for applying treatment energy, e.g., electromagnetic radiation such as laser radiation, to body areas having bulges and fat deposits and loose skin. Methods and systems disclosed herein are surprisingly effective in generating a desirable temperature profile in a target region (e.g., moderate hyperthermia in a range of about 42 to about47 C)). Such systems and methods also provide a dynamic balance of heating (via the application of optical radiation to the skin surface) and cooling, while substantially confining treatment temperatures to the treatment region (e.g., at or below the dermal-hypodermal (D/H) junction). In some aspects, systems and methods are provided that simultaneously reduce fatty deposits (e.g., through lipolysis) and tighten the skin (e.g., through the increased production of collagen) while minimizing patient discomfort and unintended damage, for example, within the epidermis and hypodermis regions adjacent the treatment region.
A61B 18/20 - 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
5.
NON-INVASIVE, UNIFORM AND NON-UNIFORM RF METHODS AND SYSTEMS
Systems and methods utilizing RF energy to treat a patient's skin (e.g., dermis and hypodermis) or other target tissue including at a depth below a tissue surface (e.g., skin surface, mucosal surfaces of the vagina or esophagus) are provided herein. In various aspects, the methods and systems described herein can provide a RF-based treatment in which the deposition of RF energy can be selectively controlled to help ensure heating uniformity during one or more of body sculpting treatment (lipolysis), skin tightening treatment (laxity improvement), cellulite treatment, vaginal laxity or rejuvenation treatment, urinary incontinence treatment, fecal incontinence treatment, all by way of non-limiting examples. In various aspects, the systems can comprise one or more sources of RF energy (e.g., a RF generator), a treatment applicator comprising one or more electrode arrays configured to be disposed in contact with a tissue surface, and a return electrode (e.g., a neutral pad) to the tissue surface.
A61B 18/00 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
A61B 18/12 - 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
Systems and methods utilizing RF energy to treat a patient's skin (e.g., dermis and hypodermis) or other target tissue including at a depth below a tissue surface (e.g., skin surface, mucosal surfaces of the vagina or esophagus) are provided herein. In various aspects, the methods and systems described herein can provide a RF-based treatment in which the deposition of RF energy can be selectively controlled to help ensure heating uniformity during one or more of body sculpting treatment (lipolysis), skin tightening treatment (laxity improvement), cellulite treatment, vaginal laxity or rejuvenation treatment, urinary incontinence treatment, fecal incontinence treatment, all by way of non-limiting examples. In various aspects, the systems can comprise one or more sources of RF energy (e.g., a RF generator), a treatment applicator comprising one or more electrode arrays configured to be disposed in contact with a tissue surface, and a return electrode (e.g., a neutral pad) to the tissue surface.
A61B 18/00 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
A61B 18/12 - 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
7.
SYSTEMS AND METHODS OF UNATTENDED TREATMENT OF A SUBJECT'S HEAD OR NECK
In accordance with various aspects of the present teachings, systems and methods for applying treatment energy, e.g., electromagnetic radiation such as laser radiation in the visible and near infrared wavelengths, to body areas having bulges and fat deposits, loose skin, pain, acne and/or wounds. In some aspects, the systems and methods can enable relatively lengthy treatments to be performed by having the practitioner set-up and/or start the treatment, thereafter allowing the treatment to proceed safely and effectively without the continued presence of the practitioner.
A61B 18/20 - 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
A61B 18/22 - 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 fibreHand-pieces therefor
44 - Medical, veterinary, hygienic and cosmetic services; agriculture, horticulture and forestry services
Goods & Services
Light-based medical apparatus for the medical treatment of the face, body, tissue and skin; Light-based medical apparatus for dermatological uses; Light-based apparatus for the cosmetic treatment of the face, body, tissue and skin; Light-based apparatus for the cosmetic treatment of one or more of the epidermal skin layer, dermal skin layer, and below the dermal skin layer; Light-based apparatus for the cosmetic treatment of the epidermal skin layer; Light-based apparatus for the cosmetic treatment of the dermal skin layer; Light-based apparatus for the cosmetic treatment below the dermal skin layer; Light-based apparatus for the non-medical cosmetic treatment of the face, body, tissue and skin; Laser apparatus for the non-medical cosmetic treatment of the face, body, tissue and skin; Lamp apparatus for the non-medical cosmetic treatment of the face, body, tissue and skin Medical consulting services in the field of dermatology and cosmetic treatments; providing medical information in the field of dermatology and cosmetic treatments; medical services, namely, light-based procedures for treatment of the face, body, tissue and skin
9.
CONTROLLED PHOTOMECHANICAL AND PHOTOTHERMAL TISSUE TREATMENT IN THE PICOSECOND REGIME
Systems and methods for treating tissue by concentrating a laser emission to at least one depth at a fluence sufficient to create an ablation volume in at least a portion of the target tissue and controlling pulse width within the picosecond regime to provide a desired mechanical pressure in the form of shock waves and/or pressure waves.
B23K 26/06 - Shaping the laser beam, e.g. by masks or multi-focusing
A61B 18/26 - 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 fibreHand-pieces therefor for producing a shock wave, e.g. laser lithotripsy
A61B 18/20 - 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
A61N 5/067 - Radiation therapy using light using laser light
In part, the disclosure relates to an electromagnetic current displacement apparatus that includes one or more magnetic field sources and an alternating current source. The apparatus includes current delivery electrodes that may be part of a cuff, a hand held device, or individual electrode pads suitable for temporary fixation to skin. In one embodiment, an alternating current is transcutaneously delivered using skin contacting electrodes sized and arranged to avoid hotspots and provide a uniform delivery of the current. In turn, current attractors and repulsors can be arranged on the skin or in a suitable device to push or pull sections of the current that is disposed below such elements. Magnetic fields can be applied and focused to the regions through which the current passes, effectively pushing the current deeper into a target region below the surface of the skin.
A61B 18/12 - 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
The present disclosure relates systems and methods for tissue remodeling, that ameliorate fat deposits by disrupting adipocytes through low-temperature extended treatment time approaches, in conjunction with selective treatment and/or localized cooling of the treatment site to prevent or minimize damage to non-target tissues.
Methods, systems and apparatus are disclosed for delivery of pulsed treatment radiation by employing a pump radiation source (210) generating picosecond pulses at a first wavelength, and a frequency-shifting resonator (220) having a lasing medium and resonant cavity configured to receive the picosecond pulses from the pump source (210) at the first wavelength and to emit radiation at a second wavelength in response thereto, wherein the resonant cavity of the frequency-shifting resonator has a round trip time shorter than the duration of the picosecond pulses generated by the pump radiation source. The second wavelength my be amplified in an amplifier (24) and frequency doubled in a suitable medium (250). The resonator (220) may be realized by a short monolithic Nd:YAG or Nd:YV04 laser crystal which is highly doped.
H01S 3/11 - Mode lockingQ-switchingOther giant-pulse techniques, e.g. cavity dumping
H01S 3/08 - Construction or shape of optical resonators or components thereof
H01S 3/093 - Processes or apparatus for excitation, e.g. pumping using optical pumping by incoherent light of flash lamp focusing or directing the excitation energy into the active medium
H01S 3/107 - Controlling the intensity, frequency, phase, polarisation or direction of the emitted radiation, e.g. switching, gating, modulating or demodulating by controlling devices placed within the cavity using electro-optic devices, e.g. exhibiting Pockels or Kerr effect
Apparatuses and methods are disclosed for applying laser energy having desired pulse characteristics, including a sufficiently short duration and/or a sufficiently high energy for the photomechanical treatment of skin pigmentations and pigmented lesions, both naturally-occurring (e.g., birthmarks), as well as artificial (e.g., tattoos). The laser energy may be generated with an apparatus having a resonator with the capability of switching between a modelocked pulse operating mode and an amplification operating mode. The operating modes are carried out through the application of a time-dependent bias voltage, having waveforms as described herein, to an electro-optical device positioned along the optical axis of the resonator.
H01S 3/10 - Controlling the intensity, frequency, phase, polarisation or direction of the emitted radiation, e.g. switching, gating, modulating or demodulating
A61N 5/067 - Radiation therapy using light using laser light
This application provides a consumer device for aesthetic applications, and methods for titrating doses of therapeutic light output from the device in the form of a non-uniform beam, in connection with dermal rejuvenation and cosmetic applications.
A61N 5/067 - Radiation therapy using light using laser light
A61B 5/00 - Measuring for diagnostic purposes Identification of persons
A61B 19/00 - Instruments, implements or accessories for surgery or diagnosis not covered by any of the groups A61B 1/00-A61B 18/00, e.g. for stereotaxis, sterile operation, luxation treatment, wound edge protectors(protective face masks A41D 13/11; surgeons' or patients' gowns or dresses A41D 13/12; devices for carrying-off, for treatment of, or for carrying-over, body liquids A61M 1/00)
15.
NON-INVASIVE FAT REDUCTION BY HYPERTHERMIC TREATMENT
The present disclosure relates systems and methods for tissue remodeling, that ameliorate fat deposits by disrupting adipocytes through low-temperature extended treatment time approaches, in conjunction with selective treatment and/or localized cooling of the treatment site to prevent or minimize damage to non-target tissues.
A61B 18/20 - 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
A61N 5/067 - Radiation therapy using light using laser light
In one aspect, a method is disclosed of delivering therapeutic light to a treatment region to effect heating in the treatment region. The method includes providing a light emitting diode and driving the light emitting diode to generate therapeutic light during a pulse period. The method further includes directing the therapeutic light to the treatment region at an average power density of about 200 W/cm2 or more at the treatment region during the pulse period and maintaining the light emitting diode in a non-emitting state for a recovery period which is longer than the pulse period.
A laser surgical method is disclosed including: providing a laser surgical device including a handpiece including: an optical delivery component that transmits laser energy from a source to a treatment volume; and an accelerometer configured to provide information indicative of the position of the handpiece. The method includes using the handpiece to transmit laser energy from the source to a plurality of positions within the treatment volume; using the accelerometer, providing information indicative of the position of the handpiece; determining information indicative of an amount of energy delivered at each of the plurality of positions within the treatment volume based on the information indicative of the position of the handpiece, and displaying a graphical representation indicative of the amount of energy delivered at each of the plurality of positions within the treatment volume.
A61B 18/28 - 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 fibreHand-pieces therefor for heating a thermal probe or absorber
An apparatus is disclosed for monitoring a thermal surgical procedure including a thermal camera for monitoring temperature at a plurality of locations within at least a portion of a surgical field undergoing thermal surgical treatment and generating a series of thermal images based on said monitoring, a processor for processing the thermal images, and a display for displaying, in real time, a series of display images indicative of temperature at the plurality of positions.
An apparatus is disclosed including: an incoherent light source that generates a treatment beam having a non-uniform energy profile, the non-uniform energy profile being included of regions of relatively high energy per unit area within a substantially uniform background region of relatively low energy per unit area.
A61B 18/18 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
A laser surgical method is disclosed including: providing a laser surgical device including a handpiece including: an optical delivery component that transmits laser energy from a source to a treatment volume; and an accelerometer configured to provide information indicative of the position of the handpiece. The method includes using the handpiece to transmit laser energy from the source to a plurality of positions within the treatment volume; using the accelerometer, providing information indicative of the position of the handpiece; determining information indicative of an amount of energy delivered at each of the plurality of positions within the treatment volume based on the information indicative of the position of the handpiece, and displaying a graphical representation indicative of the amount of energy delivered at each of the plurality of positions within the treatment volume.
A61B 18/18 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
A laser surgical method is disclosed including: providing a laser surgical device including a handpiece including: an optical delivery component that transmits laser energy from a source to a treatment volume; and an accelerometer configured to provide information indicative of the position of the handpiece. The method includes using the handpiece to transmit laser energy from the source to a plurality of positions within the treatment volume; using the accelerometer, providing information indicative of the position of the handpiece; determining information indicative of an amount of energy delivered at each of the plurality of positions within the treatment volume based on the information indicative of the position of the handpiece, and displaying a graphical representation indicative of the amount of energy delivered at each of the plurality of positions within the treatment volume.
A61B 18/20 - 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
An apparatus is disclosed for monitoring a thermal surgical procedure including a thermal camera for monitoring temperature at a plurality of locations within at least a portion of a surgical field undergoing thermal surgical treatment and generating a series of thermal images based on said monitoring, a processor for processing the thermal images, and a display for displaying, in real time, a series of display images indicative of temperature at the plurality of positions.
G02F 1/01 - Devices or arrangements for the control of the intensity, colour, phase, polarisation or direction of light arriving from an independent light source, e.g. switching, gating or modulatingNon-linear optics for the control of the intensity, phase, polarisation or colour
H01L 31/00 - SEMICONDUCTOR DEVICES NOT COVERED BY CLASS - Details thereof
A surgical probe apparatus is disclosed including a handpiece which includes an optical system configured to deliver therapeutic light to provide treatment of an area of tissue; and at least one suction port configured to remove a byproduct of the treatment from the area of tissue in response to an applied vacuum.
A surgical probe is disclosed which includes a stiff treatment waveguide extending between a first end and a second end, the first end being adapted for connection to a handpiece, the second end being adapted for insertion through an incision into an area of tissue. The treatment waveguide is configured to receive treatment light from the handpiece at the first end, transmit the light to the second end, and emit the light from the second end into a portion of the tissue proximal the second end. The treatment waveguide is adapted to penetrate through a portion of the area of tissue in response to pressure applied to the handpiece.
Apparatuses and methods are disclosed for applying laser energy having desired pulse characteristics, including a sufficiently short duration and/or a sufficiently high energy for the photomechanical treatment of skin pigmentations and pigmented lesions, both naturally- occurring (e g, birthmarks), as well as artificial (e g, tattoos). The laser energy may be generated with an apparatus havin resonator (fig 2) with the capability of switching between a modelocked pulse operating mode and an amplification operating mode. The operating modes are carried out through the application of a time-dependent bias voltage, having waveforms as described herein an electro-optical device (e g, a Pockels cell) positioned along the optical axis of the resonator.
