Method and apparatus for fractional skin treatment

• US 9,072,882 B2
• Filed: 04/15/2014
• Issued: 07/07/2015
• Est. Priority Date: 07/20/2009
• Status: Active Grant

• Current Assignee: Syneron Medical Limited (Syneron Incorporated)
• Original Assignee: Syneron Medical Limited (Syneron Incorporated)
• Inventors: Adanny, Yossef Ori, Nahshon, Genady, Levine, Baruch, Rosenberg, Avner
• Primary Examiner(s): PEFFLEY, MICHAEL F
• Application Number:
  US14/252,832
• Publication Number:
  US 20140228834A1
• Time in Patent Office: 448 Days
• Field of Search: 606 32- 35, 606 41- 50
• US Class Current: 1/1
• CPC Class Codes: A61B 18/1233 with circuits for assuring patient safety
• CPC Class Codes: A61B 18/14 Probes or electrodes therefor
• CPC Class Codes: A61B 18/18 by applying electromagnetic radiation, e.g. microwaves radiation therapy A61N5/00
• CPC Class Codes: A61B 2018/0016 Energy applicators arranged in a two- or three dimensional array
• CPC Class Codes: A61B 2018/00452 Skin
• CPC Class Codes: A61B 2018/0047 Upper parts of the skin, e.g. skin peeling or treatment of wrinkles
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00589 Coagulation
• CPC Class Codes: A61B 2018/00642 with feedback, i.e. closed loop control
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/00827 Current
• CPC Class Codes: A61B 2018/00875 Resistance or impedance
• CPC Class Codes: A61B 2018/1467 using more than two electrodes on a single probe
• CPC Class Codes: A61B 2018/162 located on the probe body
• CPC Class Codes: A61B 2018/165 Multiple indifferent electrodes
• CPC Class Codes: A61N 1/0476 Array electrodes (including any electrode arrangement with more than one electrode for at least one of the polarities)
• CPC Class Codes: A61N 5/00 Radiation therapy ultrasound therapy A61N7/00; devices or apparatus applicable to both therapy and diagnosis A61B6/00

Abstract

An apparatus for cosmetic RF skin treatment where the RF energy supply is isolated from the patient treated, such that in course of treatment no undesired current flows through the subject body.

Claims

1. An RF skin treatment apparatus, comprising:

an RF voltage source configured to connect to a tip to apply an RF pulse to skin in order to achieve a desired skin effect; and

at least one processor configured to;

monitor skin impedance as the RF pulse is applied to the skin;

compare the monitored skin impedance to at least one of a pre-set lower threshold or a pre-set upper threshold;

provide at least one of;

a) a wet skin notification to an operator of the skin treatment apparatus indicative of a need to dry the skin when the monitored skin impedance is below the pre-set lower threshold;

or

b) a tip notification to the operator indicative of at least one of a need to check for proper attachment of the tip or a need to clean the tip when the monitored skin impedance is above the pre-set upper threshold; and

increase a time of the RF pulse when the monitored skin impedance is below the pre-set lower threshold until an increase in resistance is detected.

2. The RF skin treatment apparatus of claim 1, wherein the desired skin effect includes at least one of wrinkle removal, hair removal, collagen shrinking, collagen destruction, and skin rejuvenation.

3. The RF skin treatment apparatus of claim 1, wherein the RF voltage source and the at least one processor are configured to cause fractional skin ablation.

4. The RF skin treatment apparatus of claim 1, wherein the RF voltage source and the at least one processor are configured to cause fractional skin treatment.

5. The RF skin treatment apparatus of claim 1, wherein the at least one processor is further configured to provide an inefficient pulse notification advising the operator to exclude inefficient pulses.

6. The RF skin treatment apparatus of claim 1, wherein the at least one processor is further configured to provide a low resistance notification advising the operator of a low value of resistance below the pre-set lower threshold when the monitored skin impedance is below the pre-set lower threshold.

7. The RF skin treatment apparatus of claim 1, wherein the at least one processor is further configured to provide a high resistance notification advising the operator of a high value of resistance above the pre-set upper threshold when the monitored skin impedance is above the pre-set upper threshold.

8. The RF skin treatment apparatus of claim 1, wherein the at least one processor is further configured to cut the RF pulse when the monitored skin impedance is above the pre-set upper threshold.

9. The RF skin treatment apparatus of claim 1, wherein the RF voltage source and the at least one processor are further configured to deliver RF energy to electrodes on the tip.

10. The RF skin treatment apparatus of claim 9, wherein the RF voltage source and the at least one processor are configured to cause ablation in tissue below the electrodes.

11. The RF skin treatment apparatus of claim 9, wherein the tip has an asymmetrical electrode arrangement.

12. The RF skin treatment apparatus of claim 11, wherein the asymmetrical electrode arrangement includes a plurality of energy applying electrodes including electrodes of a first size, and at least one larger electrode of a second size located at a periphery of the plurality of energy applying electrodes, the second size being substantially greater than the first size.

13. The RF skin treatment apparatus of claim 12, wherein a combined area of the at least one larger electrode is substantially greater than a combined area of the energy applying electrodes.

14. The RF skin treatment apparatus of claim 11, wherein the asymmetrical electrode arrangement includes at least one electrode having a size greater than a size of another electrode.

15. The RF skin treatment apparatus of claim 1, wherein the at least one processor is part of a control circuit.

16. The RF skin treatment apparatus of claim 1, wherein the at least one processor is configured to monitor skin impedance by measuring current.

17. The RF skin treatment apparatus of claim 1, wherein the at least one processor is configured to monitor skin impedance by sampling substantially continuously.

18. The RF skin treatment apparatus of claim 1, wherein the at least one processor is configured to monitor skin impedance by sampling every few tens of a microsecond.

19. The RF skin treatment apparatus of claim 1, wherein at least one of the pre-set upper threshold and the pre-set lower threshold are chosen to minimize pain to a subject under treatment.

20. The RF skin treatment apparatus of claim 1, wherein the at least one processor is further configured to provide both the wet skin notification and the tip notification.

21. The RF skin treatment apparatus of claim 1, wherein the at least one processor is configured to provide the wet skin notification to the operator indicative of the need to dry the skin when the monitored skin impedance is below the pre-set lower threshold;

and to provide the tip notification to the operator indicative of at least one of the need to check for proper attachment of the tip or the need to clean the tip when the monitored skin impedance is above the pre-set upper threshold.

22. The RF skin treatment apparatus of claim 1, further comprising a switch configured to close when the monitored skin impedance is above the pre-set upper threshold so that current is directed to an energy absorbing element.