Method and apparatus for carrying out the controlled heating of tissue in the region of dermis
First Claim
1. Implant apparatus for effecting a controlled heating of tissue at the region of the dermis from a location generally at the interface of dermis and next adjacent subcutaneous tissue, comprising:
- a thermally insulative generally flat support having a support surface and an oppositely disposed insulative surface, said support having a lengthwise dimension extending between leading and trailing ends and a widthwise dimension along an active length;
an electrode circuit supported from said support surface having one or more electrodes energizable from a radiofrequency source to generate heat within tissue at the region of the dermis; and
a lead assemblage extending from each electrode to a lead contact region adjacent said support trailing end.
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Accused Products
Abstract
Implant apparatus and method for effecting a controlled heating of tissue within the region of dermis of skin. The heater implants are configured with a thermally insulative generally flat support functioning as a thermal barrier. One surface of this thermal barrier carries one or more electrodes within a radiofrequency excitable circuit as well as an associated temperature sensing circuit. The implants are located within heating channels at the interface between skin dermis and the next adjacent subcutaneous tissue layer such that the electrodes are contactable with the lower region of dermis. During therapy a conformal heat sink is positioned against the skin above the implants and a slight tamponade is applied through the heat sink to assure uniform dermis contact with electrode surfaces. An adjuvant may be employed to infiltrate dermis to significantly lower the thermal threshold transition temperature for dermis or dermis component shrinkage.
60 Citations
118 Claims
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1. Implant apparatus for effecting a controlled heating of tissue at the region of the dermis from a location generally at the interface of dermis and next adjacent subcutaneous tissue, comprising:
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a thermally insulative generally flat support having a support surface and an oppositely disposed insulative surface, said support having a lengthwise dimension extending between leading and trailing ends and a widthwise dimension along an active length; an electrode circuit supported from said support surface having one or more electrodes energizable from a radiofrequency source to generate heat within tissue at the region of the dermis; and a lead assemblage extending from each electrode to a lead contact region adjacent said support trailing end. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28)
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29. The method for effecting a controlled heating of tissue within the region of the dermis of skin, comprising the steps:
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(a) determining a skin region for treatment; (b) providing one or more heater implants each comprising a thermally insulative generally flat support having a support surface and an oppositely disposed insulative surface, a circuit mounted at the support surface having one or more electrodes; (c) determining one or more heating channel locations along said skin region; (d) locating each heater implant along a heating channel generally at the interface between dermis and next adjacent subcutaneous tissue in an orientation wherein said one or more electrodes are electrically contactable with dermis and in thermally insulative relationship with said next adjacent subcutaneous tissue; (e) applying tamponade over at least a portion of said skin region to an extent effective to maintain substantially uniform and continuous electrical contact between dermis and said one or more electrodes; (f) simultaneously controlling the temperature of the surface of skin within said region to an extent effective to protect the skin surface from thermal injury while permitting the derivation of effective therapeutic temperature at the said region of the dermis; and (g) effecting an a radiofrequency energization of said electrodes toward a setpoint temperature. - View Dependent Claims (30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71)
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72. The method for effecting a controlled heating of tissue within the region of the dermis of skin, comprising the steps:
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(a) determining a skin region for treatment; (b) providing two or more heater implants each comprising a thermally insulative generally flat support having a support surface and an oppositely disposed insulative surface, the support having a lengthwise dimension extending between leading and trailing ends, a widthwise dimension, a circuit mounted at the support surface having one or more electrodes; (c) determining two or more heating channel locations at said skin region, each having a channel entrance location; (d) forming an entrance incision at each channel entrance location; (e) inserting a heater implant leading end through each entrance incision to locate it within a heating channel, the trailing end remaining outside the surface of said skin region, and the one or more electrodes being located for contact with adjacent dermis; (f) applying tamponade over at least a portion of said skin region to an extent effective to maintain uniform electrical contact between the one or more electrodes of each implant and adjacent dermis; (g) applying bipolar radiofrequency energization to the one or more electrodes of the inserted implants from the trailing ends thereof for a therapy interval; and (h) removing the implant active area through the corresponding entrance incision. - View Dependent Claims (73, 74, 75, 76, 77, 78, 79, 80, 81, 82, 83, 84, 85, 86, 87, 88, 89, 90, 91, 92, 93, 94, 95, 96, 97, 98, 99)
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- 100. A method for thermally remodeling skin, the improvement of which comprises remodeling skin in the presence of an effective amount of a collagen thermal transition temperature lowering adjuvant.
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108. The method for effecting a controlled heating of a capillary malformation within a skin region comprising the steps:
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(a) determining the degree of vascular ectasia at said region; (b) providing one or more heater implants each comprising a thermally insulative generally flat support having a support surface and an oppositely disposed insulative surface, the support having an active length, a circuit mounted at the support surface having one or more electrodes along the active length; (c) determining one or more heating channel locations within said region each having an entrance location; (d) locating each heater implant along a heating channel generally at the interface between dermis and next adjacent subcutaneous tissue in an orientation wherein said one or more electrodes are electrically contactable with dermis and in thermally insulative relationship with said next adjacent subcutaneous tissue; (e) applying tamponade over at least a portion of said skin region to an extent effective to maintain substantially uniform and continuous electrical contact between dermis and said one or more electrodes; (f) simultaneously controlling the temperature of the surface of skin within said region to an extent effective to protect the skin surface from thermal injury while permitting the derivation of effective therapeutic temperature at the said skin region dermis; and (g) effecting a radiofrequency energization of said electrodes heating them toward a setpoint temperature atraumatic to dermis while effecting an irreversible vascular coagulation at the skin region. - View Dependent Claims (109, 110, 111, 112, 113, 114, 115, 116, 117, 118)
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Specification