Applicator and tissue interface module for dermatological device

• US 8,535,302 B2
• Filed: 11/15/2012
• Issued: 09/17/2013
• Est. Priority Date: 08/01/2011
• Status: Active Grant

• Current Assignee: miraDry, Inc. (Sientra Incorporated)
• Original Assignee: Miramar Labs, Inc. (Sientra Incorporated)
• Inventors: Ben-Haim, Yoav, Bentley, Peter J., Chun, Dong Hoon, Francis, Daniel, Johnson, Jessi E., Shan, Kevin, Su, Ted, Kim, Steven
• Primary Examiner(s): Peffley, Michael
• Assistant Examiner(s): FOWLER, DANIEL WAYNE
• Application Number:
  US13/677,648
• Publication Number:
  US 20130072930A1
• Time in Patent Office: 306 Days
• Field of Search: 606/27, 606/34, 606/41
• US Class Current: 606/33
• CPC Class Codes: A61B 18/1815 using microwaves
• CPC Class Codes: A61B 2017/00681 Aspects not otherwise provided for
• CPC Class Codes: A61B 2018/00023 closed, i.e. without wound contact by the fluid
• CPC Class Codes: A61B 2018/00291 using suction
• CPC Class Codes: A61B 2018/00452 Skin
• CPC Class Codes: A61B 2018/00821 measured by a thermocouple
• CPC Class Codes: A61N 5/04 Radiators for near-field treatment

Abstract

An tissue interface module has an applicator chamber on a proximal side of the tissue interface module and a tissue acquisition chamber on a distal side of the tissue interface module. The applicator chamber may include: an opening adapted to receive the applicator; an attachment mechanism positioned in the applicator chamber and adapted to attach the tissue interface module to the applicator; a sealing member positioned at a proximal side of the applicator chamber; and a vacuum interface positioned at a proximal side of the applicator chamber and adapted to receive a vacuum inlet positioned on a distal end of the applicator. The invention also includes corresponding methods.

Claims

1. A method of treating a patient comprising:

attaching a tissue interface module to an applicator, wherein the distal end of the applicator is positioned in an applicator chamber of the tissue interface module;

placing a distal opening of a tissue acquisition chamber of the tissue interface module against a skin surface, wherein the applicator chamber and the tissue acquisition chamber are separated by, and in fluid communication with, a flexible bio-barrier;

pulling a portion of the patient'"'"'s skin into the tissue acquisition chamber and pulling the flexible bio-barrier against a distal end of the applicator by creating a vacuum in the tissue acquisition chamber, the vacuum being created by drawing air from the tissue acquisition chamber to a vacuum source in the applicator through a vacuum path comprising the applicator chamber and a filter between the applicator chamber and the tissue acquisition chamber; and

applying microwave energy through said flexible bio-barrier to tissue positioned in the tissue acquisition chamber.

2. The method of claim 1 wherein the method further comprises cooling tissue in the tissue acquisition chamber during the application of microwave energy.

3. The method of claim 1, wherein air is pulled from the tissue acquisition chamber, through the filter, into the applicator chamber and into a vacuum interface positioned on the distal end of the applicator.

4. The method of claim 1 further comprising varying a size of an opening between the tissue acquisition chamber and the filter during the step of creating a vacuum.

5. The method of claim 4 wherein the varying step comprises pulling the flexible bio-barrier against the distal end of the applicator.

6. A method of treating a patient comprising:

attaching a tissue interface module to an applicator, wherein the distal end of the applicator is positioned in an applicator chamber of the tissue interface module;

placing a distal opening of a tissue acquisition chamber of the tissue interface module against a skin surface, the applicator chamber and the tissue acquisition chamber being separated by, and in fluid communication with, a flexible bio-barrier;

pulling a portion of the patient'"'"'s skin into the tissue acquisition chamber and pulling the flexible bio-barrier against a distal end of the applicator by reducing the air pressure in the applicator chamber below the air pressure in the tissue acquisition chamber; and

applying microwave energy through the flexible bio-barrier to tissue positioned in the tissue acquisition chamber.

7. The method of claim 6 further comprising drawing air from the tissue acquisition chamber to a vacuum source in the applicator through a vacuum path comprising:

the applicator chamber; and

a filter between the applicator chamber and the tissue acquisition chamber.

8. The method of claim 7 wherein air pressure in the applicator chamber is maintained at a pressure below the air pressure in the tissue acquisition chamber for at least as long as air continues to pass through the filter.

9. The method of claim 8 wherein the method further comprises cooling tissue adjacent the bio-barrier during the application of microwave energy.

10. The method of claim 6 wherein the step of reducing the air pressure in the applicator chamber comprises drawing air from the applicator chamber through a vacuum inlet at a proximal end of the applicator chamber via a vacuum interface at a distal end of the applicator.

11. The method of claim 6 wherein the attaching step comprises magnetically coupling the tissue interface module to the applicator.

12. The method of claim 11 wherein the step of magnetically coupling comprises the steps of:

sensing the presence of the tissue interface module in the proximity of the distal end of the applicator;

evacuating air from the applicator chamber to position the tissue interface module on the applicator; and

energizing a magnetic circuit to engage the tissue interface module to the applicator.

13. The method of claim 12 wherein the tissue interface module comprises at least one engagement plate and the applicator includes a magnetic circuit with at least two magnetic extenders arranged at a distal end of the applicator, the step of positioning the tissue interface module comprising the steps of:

placing the engagement plate in the proximity of the magnetic extenders; and

activating a magnetic circuit.

14. The method of claim 13 wherein the step of placing the engagement plate in the proximity of the magnetic extenders comprises the step of placing an engagement surface of the engagement plate in contact with the magnetic extenders such that the engagement plate forms at least a portion of a magnetic circuit with the magnetic extenders.

15. The method of claim 14 wherein the step of activating the magnetic circuit comprises increasing the magnetic force applied to the engagement surface.

16. The method of claim 15 wherein a flexible bio-barrier separates the applicator chamber from the tissue acquisition chamber, the engagement surface being disposed at an angle of approximately 22.5 degrees with respect to the flexible bio-barrier.

17. A method of treating a patient comprising:

attaching a tissue interface module to an applicator, wherein the distal end of the applicator is positioned in an applicator chamber of the tissue interface module;

placing a distal opening of a tissue acquisition chamber of the tissue interface module against a tissue surface;

pulling a portion of the patient'"'"'s skin into the tissue acquisition chamber by creating a vacuum in the tissue acquisition chamber, the vacuum being created by drawing air from the tissue acquisition chamber to a vacuum source in the applicator through a vacuum path comprising the applicator chamber and a filter between the applicator chamber and the tissue acquisition chamber, creating the vacuum further comprising varying a size of an opening between the tissue acquisition chamber and the filter during the step of creating a vacuum; and

applying microwave energy to tissue positioned in the tissue acquisition chamber.

18. The method of claim 17 wherein the varying step comprises pulling the flexible bio-barrier against the distal end of the applicator.

19. A method of treating a patient comprising:

magnetically coupling a tissue interface module to an applicator, wherein the distal end of the applicator is positioned in an applicator chamber of the tissue interface module, the magnetically coupling comprising sensing the presence of the tissue interface module in the proximity of the distal end of the applicator, evacuating air from the applicator chamber to position the tissue interface module on the applicator, and energizing a magnetic circuit to engage the tissue interface module to the applicator;

placing a distal opening of a tissue acquisition chamber of the tissue interface module against a tissue surface;

pulling a portion of the patient'"'"'s skin into the tissue acquisition chamber by reducing the air pressure in the applicator chamber below the air pressure in the tissue acquisition chamber; and

applying microwave energy to tissue positioned in the tissue acquisition chamber.

20. The method of claim 19 wherein the tissue interface module comprises at least one engagement plate and the applicator includes a magnetic circuit with at least two magnetic extenders arranged at a distal end of the applicator, the step of positioning the tissue interface module comprising the steps of:

placing the engagement plate in the proximity of the magnetic extenders; and

activating a magnetic circuit.

21. The method of claim 20 wherein the step of placing the engagement plate in the proximity of the magnetic extenders comprises the step of placing an engagement surface of the engagement plate in contact with the magnetic extenders such that the engagement plate forms at least a portion of a magnetic circuit with the magnetic extenders.

22. The method of claim 21 wherein the step of activating the magnetic circuit comprises increasing the magnetic force applied to the engagement surface.

23. The method of claim 22 wherein a flexible bio-barrier separates the applicator chamber from the tissue acquisition chamber, the engagement surface being disposed at an angle of approximately 22.5 degrees with respect to the flexible bio-barrier.