Method and apparatus for photothermal treatment of tissue at depth

• US 8,915,948 B2
• Filed: 02/15/2008
• Issued: 12/23/2014
• Est. Priority Date: 06/19/2002
• Status: Expired due to Term

• Current Assignee: Palomar Medical Technologies Incorporated (Hologic Incorporated), The General Hospital Corporation (Mass General Brigham, Inc.)
• Original Assignee: Palomar Medical Technologies Incorporated (Hologic Incorporated), The General Hospital Corporation (Mass General Brigham, Inc.)
• Inventors: Altshuler, Gregory B., Erofeev, Andrei V., Zenzie, Henry, Anderson, Richard Rox, Manstein, Dieter, Burke, James III, Radl, Andrew, Smirnov, Michael Z.
• Primary Examiner(s): FARAH, AHMED M
• Application Number:
  US12/032,004
• Publication Number:
  US 20090024193A1
• Time in Patent Office: 2,503 Days
• Field of Search: 606 3- 29, 606 88- 94, 606 96-103, 606/115, 607 88- 92, 601/84, 601/85, 601/89, 601/97, 601100-104, 128/898
• US Class Current: 607/88
• CPC Class Codes: A61B 18/14 Probes or electrodes therefor
• CPC Class Codes: A61B 18/203 applying laser energy to the outside of the body
• CPC Class Codes: A61B 2018/00005 Cooling or heating of the probe or tissue immediately surrounding the probe
• CPC Class Codes: A61B 2018/00011 with fluids
• 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 5/6843 Monitoring or controlling sensor contact pressure
• CPC Class Codes: A61N 1/20 continuous direct currents
• CPC Class Codes: A61N 1/32 alternating or intermittent currents applying electric fields by inductive or capacitive coupling A61N1/40; microwave apparatus A61N5/02
• CPC Class Codes: A61N 1/328 for improving the appearance of the skin, e.g. facial toning or wrinkle treatment
• CPC Class Codes: A61N 2005/0659 infrared
• CPC Class Codes: A61N 2007/0008 Destruction of fat cells
• CPC Class Codes: A61N 2007/0034 Skin treatment
• CPC Class Codes: A61N 5/0613 Apparatus adapted for a specific treatment
• CPC Class Codes: A61N 5/0616 Skin treatment other than tanning
• CPC Class Codes: A61N 5/0625 Warming the body, e.g. hyperthermia treatment
• CPC Class Codes: A61N 7/00 Ultrasound therapy lithotripsy A61B17/22, A61B17/225; massage using supersonic vibration A61H23/00 ; using ultrasound for introducing media into the body A61M37/0092

Abstract

The present invention provides method and apparatus for treating tissue in a region at depth by applying optical radiation thereto of a wavelength able to reach the depth of the region and of a selected relatively low power for a duration sufficient for the radiation to effect the desired treatment while concurrently cooling tissue above the selected region to protect such tissue. Treatment may be enhanced by applying mechanical, acoustic or electrical stimulation to the region.

Claims

1. Apparatus for treating at least a selected region at depth of a patient while protecting tissue above the selected region, comprising:

an optical radiation source for delivering infrared optical radiation at a power density of between about 0.2 W/cm² and about 50 W/cm² to the patient'"'"'s skin, said power density varying at least in part as a function of the depth of said selected region;

a water filter to at least attenuate wavelengths from said optical radiation source which are selectively absorbed by water; and

a cooling mechanism configured to cool tissue.

2. Apparatus as claimed in claim 1 wherein said water filter includes chilled water flowing between said optical radiation source and the patient'"'"'s body, said flowing chilled water also functioning as part of said cooling mechanism.

3. Apparatus as claimed in claim 1 wherein said optical radiation source provides radiation at least primarily at one or more wavelengths between about 800 nm and about 2300 nm.

4. Apparatus as claimed in claim 3 wherein said source provides radiation at least primarily at one or more wavelengths between about 800 nm and about 1850 nm.

5. Apparatus as claimed in claim 4 wherein said source provides radiation at least primarily at one or more wavelengths between about 800 nm and about 1350 nm.

6. Apparatus as claimed in claim 4 wherein said source provides radiation at least primarily at one or more wavelengths between about 1050 nm and about 1250 nm.

7. Apparatus as claimed in claim 1 wherein said source includes optics for shaping radiation to be delivered to said selected region.

8. Apparatus as claimed in claim 1 wherein said optical radiation source and said cooling mechanism are concurrently operated for a period of at least two seconds.

9. Apparatus as claimed in claim 8 wherein said optical radiation source and said cooling mechanism are concurrently operated for a period of at least five seconds.

10. Apparatus as claimed in claim 8 including a precooling mechanism which cools tissue above said selected region prior to the concurrent operation of said optical radiation source and said cooling mechanism.

11. Apparatus as claimed in claim 10 wherein said cooling mechanism and said precooling mechanism are the same mechanism.

12. Apparatus as claimed in claim 10 wherein said optical radiation power and said period of concurrent operation are based at least in part on said precooling mechanism.

13. Apparatus as claimed in claim 1 wherein said optical radiation source and said cooling mechanism are concurrently operated for a period of between about two seconds and about two hours.

14. Apparatus as claimed in claim 1 wherein said source includes a broadband optical radiation source, and a filter through which radiation from said broadband source is passed, at least 50% of the filtered light having wavelengths between 900 nm and 1400 nm such that said apparatus is an apparatus for fat reduction, said radiation heating subdermal fat tissue.

15. Apparatus as claimed in claim 1 including a stimulation mechanism for stimulating tissue in said selected region.

16. Apparatus as claimed in claim 15 wherein said stimulation mechanism comprises at least one of a vibrator, a massager, a skin tensioning stimulator, acoustic stimulator, and an electrical stimulator.

17. Apparatus as claimed in claim 1 wherein said selected region contains at least one hair bulb, and wherein parameters for said apparatus, including said optical radiation source, are selected to slowly damage said bulb.

18. Apparatus for treating at least a selected region at depth of a patient while protecting tissue above the selected region, comprising:

an optical radiation source for delivering optical radiation at a power density of between about 0.2 W/cm² and about 50 W/cm² to the patient'"'"'s skin, said power density varying at least in part as a function of the depth of said selected region;

a water filter to at least attenuate wavelengths from said optical radiation source which are selectively absorbed by water;

a cooling mechanism configured to cool tissue; and

a mechanism for removing heat from said water filter.

19. A method for treating at least a selected region at depth of a patient'"'"'s body while protecting tissue above the selected region, comprising:

(a) selectively delivering optical radiation generated by a narrow spectral source at a power density between approximately 0.2 W/cm² and 50 W/cm² to the patient'"'"'s body above said selected region, said power density varying at least in part as a function of the depth of said selected region, said optical radiation being applied to said selected region for at least approximately 2 seconds; and

(b) concurrently cooling patient tissue above said selected region to a temperature below that of the selected region.

20. A method as claimed in claim 19 wherein said power density is between about 0.5 W/cm² and about 20 W/cm².

21. A method as claimed in claim 19 wherein step (a) includes filtering said optical radiation before delivering it to said patient'"'"'s body.

22. A method as claimed in claim 19 wherein said method is a method for performing therapy on at least one of subdermal muscle, ligament and bone, said radiation causing heating of such muscle/ligament/bone and of tissue in the area thereof to at least increase blood flow in such area.

23. A method as claimed in claim 19 wherein said method is a method for treating a selected unwanted growth, said radiation heating said growth sufficiently to cause the destruction thereof.

24. The method of claim 19, wherein the electromagnetic energy is at least primarily at one or more wavelengths between about 600 nm and about 1850 nm.

25. The method of claim 24, wherein the electromagnetic energy is at least primarily at one or more wavelengths between about 800 nm and about 1350 nm.

26. The method of claim 24 wherein the electromagnetic energy is at least primarily at one or more wavelengths between about 1050 nm and about 1250 nm.

27. The method of claim 19 wherein step (a) and step (b) are performed concurrently for a period of at least two seconds.

28. The method of claim 27 wherein step (a) and step (b) are performed concurrently for a period of at least five seconds.

29. The method of claim 19 wherein step (a) and step (b) are performed concurrently for a period of between about two seconds and about two hours.

30. The method of claim 19 including the step of precooling tissue above said selected region.

31. The method of claim 30 wherein said optical radiation power and a period of said concurrent operation are based at least in part on said precooling step.

32. The method of claim 19 wherein said selected region is heated during step (a).

33. The method of claim 19 including the step of stimulating tissue in said selected region.

34. The method of claim 33 wherein said step of providing stimulation provides at least one of vibrating stimulation, massaging stimulation, skin tensioning, acoustic stimulation and electrical stimulation.

35. The method of claim 19 wherein said selected region contains at least one hair bulb, and wherein parameters for said method, including said radiation, are selected to slowly damage said bulb.

37. The method of claim 19, further comprising:

(c) applying at least one of vibrating, massaging, skin tensioning, acoustic and electrical stimulation to said region.

38. The method of claim 19, wherein said method is a method for performing at least one of wrinkle removal, pain treatment, and cellulite treatment.

39. The method of claim 19, wherein said narrow spectral optical radiation source is a monochromatic source.

40. The method of claim 19, wherein said narrow spectral optical radiation source is a laser.

41. The method of claim 40, wherein said laser is a fiber laser or a diode laser.

42. The method of claim 19, wherein said narrow spectral optical radiation source is an LED.

36. A method for treating at least a selected region at depth of a patient'"'"'s body while protecting tissue above the selected region, comprising:

(a) selectively delivering radiation to the patient'"'"'s body above said selected region to heat the region;

(b) concurrently cooling patient tissue above said selected region to a temperature below that of the selected region; and

(c) applying at least one of vibrating, massaging, skin tensioning, acoustic and electrical stimulation to said region.

56. A method as claimed in claim 36 wherein said selected region contains subdermal fat;

and wherein said radiation at least includes at least one wavelength selectively absorbed by fat.

43. A method for treating at least a selected region at depth of a patient'"'"'s body while protecting tissue above the selected region, comprising:

(a) selectively delivering optical radiation at a power density between about 0.5 W/cm² and about 5 W/cm² to the selected region, said optical radiation being applied to said selected region for at least approximately 2 seconds; and

(b) concurrently cooling patient tissue above said selected region to a temperature below that of the selected region.

44. Apparatus for treating at least a selected region at depth of a patient while protecting tissue above the selected region, comprising:

a narrow spectral optical radiation source for delivering infrared radiation at a power density of between approximately 0.2 W/cm² and 50 W/cm² to the patient'"'"'s skin for a duration between two seconds and two hours, both said power density and said duration increasing with increased depth for said selected region; and

a cooling mechanism for cooling tissue above said selected region to a temperature below that of said selected region.

45. The apparatus of claim 44, wherein said optical radiation source provides radiation at least primarily at one or more wavelengths between about 800 nm and about 2300 nm.

46. The apparatus of claim 44, wherein said optical radiation source provides radiation at least primarily at one or more wavelengths between about 800 nm and about 1850 nm.

47. Apparatus for treating at least a selected region at depth of a patient while protecting tissue above the selected region, comprising:

a narrow spectral optical radiation source for delivering radiation of a wavelength between 600 nm and 1850 nm and at a power density of between approximately 0.2 W/cm² and 5 W/cm² to the patient'"'"'s skin, the wavelength and the power density both varying as a function of the depth of the selected region; and

a cooling mechanism for cooling tissue above said selected region to a temperature below that of said selected region.

48. Apparatus for treating at least a selected region at depth of a patient while protecting tissue above the selected region, comprising:

a narrow spectral optical radiation source for delivering radiation of a wavelength between about 600 nm and about 1850 nm, at a power density of between approximately 0.2 W/cm² and 50 W/cm² to the patient'"'"'s skin for a duration between about two seconds and two hours, the wavelength, duration and power density all varying as a function of the depth of the selected region; and

a cooling mechanism for cooling tissue above said selected region to a temperature below that of said selected region.

49. The apparatus of claim 48, wherein said narrow spectral optical radiation source is a monochromatic source.

50. The apparatus of claim 48, wherein said narrow spectral optical radiation source is a laser.

51. The apparatus of claim 50, wherein said laser is a fiber laser or a diode laser.

52. The apparatus of claim 48, wherein said narrow spectral optical radiation source is an LED.

53. A method for treating subdermal fat at depth of a patient'"'"'s body, comprising:

(a) selectively delivering radiation at a power density between approximately 0.2 W/cm² and 50 W/cm² to a selected region of subdermal fat of the patient'"'"'s body for a duration of about two seconds to about two hours, both said power density and said duration varying with the depth of said selected region; and

(b) concurrently cooling patient tissue above said selected region to a temperature below that of the selected region.

54. The method of claim 53, wherein said radiation has a wavelength selected from the group of about 925 nm, about 1206 nm, about 1730 nm and about 2300 nm.

55. A method for treating at least a selected region at depth of a patient'"'"'s body while protecting tissue above the selected region, comprising:

(a) selectively delivering radiation of a wavelength between about 600 nm and about 1850 nm and at a power density between approximately 0.2 W/cm² and 5 W/cm² to the patient'"'"'s body above said selected region, both said power density and wavelength varying as a function of the depth of said selected region; and

(b) concurrently cooling patient tissue above said selected region to a temperature below that of the selected region.