System for electromagnetic radiation dermatology and head for use therewith

• US 8,328,794 B2
• Filed: 09/22/2008
• Issued: 12/11/2012
• Est. Priority Date: 12/02/1996
• Status: Expired due to Fees

• Current Assignee: Palomar Medical Technologies Incorporated (Hologic Incorporated)
• Original Assignee: Palomar Medical Technologies Incorporated (Hologic Incorporated)
• Inventors: Altshuler, Gregory B., Zenzie, Henry H.
• Primary Examiner(s): Sirmons, Kevin C
• Assistant Examiner(s): GRAY, PHILLIP A
• Application Number:
  US12/234,892
• Publication Number:
  US 20090137995A1
• Time in Patent Office: 1,541 Days
• Field of Search: 606/9, 606/2, 606 13- 19, 607 88- 94, 600473-476
• US Class Current: 606/9
• CPC Class Codes: A61B 18/203 applying laser energy to the outside of the body
• CPC Class Codes: A61B 18/22 the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
• CPC Class Codes: A61B 2017/00057 Light
• CPC Class Codes: A61B 2017/00084 Temperature
• CPC Class Codes: A61B 2017/00106 ultrasonic
• CPC Class Codes: A61B 2017/00747 Dermatology
• CPC Class Codes: A61B 2017/00752 Hair removal or transplantation
• CPC Class Codes: A61B 2017/00756 Port wine stains
• CPC Class Codes: A61B 2017/00769 Tattoo removal
• CPC Class Codes: A61B 2018/00005 Cooling or heating of the probe or tissue immediately surrounding the probe
• CPC Class Codes: A61B 2018/00023 closed, i.e. without wound contact by the fluid
• CPC Class Codes: A61B 2018/00041 Heating, e.g. defrosting
• CPC Class Codes: A61B 2018/00452 Skin
• CPC Class Codes: A61B 2018/00458 Deeper parts of the skin, e.g. treatment of vascular disorders or port wine stains
• CPC Class Codes: A61B 2018/00476 Hair follicles
• CPC Class Codes: A61B 2018/1807 using light other than laser radiation
• CPC Class Codes: A61B 2018/2261 with scattering, diffusion or dispersion of light
• CPC Class Codes: A61B 2090/065 for measuring contact or contact pressure
• CPC Class Codes: A61N 5/0617 Hair treatment

Abstract

A system for treating a selected dermatological problem and a head. The head may include an optical waveguide having a first end to which EM radiation appropriate for treating the condition is applied. The waveguide also has a skin-contacting second end opposite the first end, which is in contact with the skin, and has a reflection aperture which is substantially as great as the radiation back-scatter aperture from the patient'"'"'s skin. The portion of the back-scattered radiation entering the waveguide is substantially internally reflected therein, with a reflector being provided. The reflector may be angle dependent so as to more strongly reflect back scattered light more perpendicular to the skin surface than back scattered radiation more parallel to the skin surface. The head may also have a mechanism for forming a reflecting chamber under the waveguide and drawing a fold of skin therein.

Claims

1. A dermatological system, comprising:

an optical waveguide for transmitting radiation received at a first end thereof to a second end configured to directly contact a subject'"'"'s skin surface so as to irradiate a portion of the skin, and

a reflecting plate adapted to contact a portion of the skin surface and surrounding at least a portion of said second waveguide end,

said reflecting plate returning at least a portion of radiation backscattered from the irradiated skin portion to the subject'"'"'s skin.

2. A dermatological system according to claim 1, wherein said plate comprises an aperture sized and shaped for receiving at least a portion of said second end of the waveguide.

3. A dermatological system according to claim 1, wherein said reflecting plate has a concave shape.

4. A dermatological system according to claim 1, wherein said reflecting plate is formed of a thermally conductive material.

5. A dermatological system according to claim 4, further comprising a heating element in thermal contact with said reflecting plate for heating thereof.

6. A dermatological system according to claim 5, wherein said heating element comprises a thermoelectric element.

7. A dermatological system according to claim 1, wherein said reflective plate comprises an angle-dependent reflective coating.

8. A dermatological system according to claim 1, wherein said reflective plate provides specular reflection of radiation.

9. A dermatological system according to claim 1, wherein said reflective plate provides diffuse reflection of radiation.

10. A dermatological system according to claim 1, wherein said second end of the waveguide comprises reflecting side walls for returning at least a portion of radiation applied to the patient'"'"'s skin that is retroreflected into the waveguide back to the patient'"'"'s skin.

11. A dermatological system according to claim 10, wherein said waveguide further comprises a chamber optically coupled to the second end for internally reflecting at least a portion of backscattered radiation extending through the second end into said chamber back to the patient'"'"'s skin.

12. A system for treating a dermatological condition located in a volume of a patient'"'"'s skin, comprising:

a solid optical waveguide having a first end for receiving radiation generated by a radiation source and a second end configured to directly contact a patient'"'"'s skin, said waveguide transmitting said received radiation from the first end to the second end for application to the patient'"'"'s skin, and

a reflector disposed within said waveguide for returning at least a portion of backscattered radiation entering the waveguide back to the patient'"'"'s skin, and

a chamber optically coupled to the first end of the waveguide for internally reflecting at least a portion of backscattered radiation extending through the second end of the waveguide into said chamber back to the patient'"'"'s skin.

13. A system according to claim 12, wherein said reflector comprises reflecting side walls of said waveguide, said reflecting walls returning at least a portion of radiation applied to the patient'"'"'s skin that is retroreflected into the waveguide back to the patient'"'"'s skin.

14. A system according to claim 12, wherein said second end of the waveguide has an aperture at least substantially as large as a backscatter aperture of radiation backscattered from the patient'"'"'s skin.

15. A system according to claim 14, wherein said reflector has a reflection aperture D at least substantially as great as said backscatter aperture.

16. A system according to claim 12, wherein said reflector comprises at least a portion of said second end of the waveguide formed as a reflection plate.

17. A system according to claim 12, wherein said reflection plate has a concave shape.

18. A system according to claim 12, wherein said reflector comprises a portion disposed along at least a portion of a sidewall of said waveguide.

19. A system according to claim 18, wherein said reflector has a coefficient of reflection for reflecting backscattered radiation more strongly at angles nearly perpendicular to the skin surface than at angles parallel to the skin surface.

20. A system according to claim 12, wherein said solid waveguide is formed of a thermally conductive material.

21. A system according to claim 12, wherein said solid waveguide comprises sapphire.