Handpiece for use in tissue dissection

• US 9,078,688 B2
• Filed: 12/22/2014
• Issued: 07/14/2015
• Est. Priority Date: 08/07/2009
• Status: Active Grant

• Current Assignee: Ulthera Inc. (Merz Pharma GmbH & Company Kgaa)
• Original Assignee: Ulthera Inc. (Merz Pharma GmbH & Company Kgaa)
• Inventors: Clark, Robert L III, Chomas, James E., Merchant, Adnan I., Brian, Ben F. III
• Primary Examiner(s): EASTWOOD, DAVID C
• Application Number:
  US14/579,721
• Publication Number:
  US 20150127041A1
• Time in Patent Office: 204 Days
• Field of Search: 606161-162, 606166-167, 606170-172, 606/185, 606190-191, 606/198, 600/131, 600/132, 600135-137, 600/565, 600/571, 604115-117, 604/542
• US Class Current: 1/1
• CPC Class Codes: A61B 17/00 Surgical instruments, devices or methods, e.g. tourniquets A61B18/00 takes precedence; contraceptive devices, pessaries, or applicators therefor A61F6/00; eye surgery A61F9/007; ear surgery A61F11/00
• CPC Class Codes: A61B 17/32 Surgical cutting instruments A61B18/042 takes precedence; suture cutters A61B17/0467; instruments for ligaturing or cutting A61B17/128; instruments for rupturing the amniotic membrane A61B17/4208; specially adapted knives for eye surgery A61F9/0133
• CPC Class Codes: A61B 17/320016 Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes A61B10/0233, A61B17/29, A61B17/3207 take precedence
• CPC Class Codes: A61B 17/32002 with continuously rotating, oscillating or reciprocating cutting instruments
• CPC Class Codes: A61B 17/3201 Scissors for biopsy A61B10/02
• CPC Class Codes: A61B 17/32093 for skin incisions
• CPC Class Codes: A61B 18/1402 Probes for open surgery
• CPC Class Codes: A61B 18/1477 Needle-like probes
• CPC Class Codes: A61B 18/18 by applying electromagnetic radiation, e.g. microwaves radiation therapy A61N5/00
• CPC Class Codes: A61B 18/20 using laser
• CPC Class Codes: A61B 2017/00119 alarm; indicating an abnormal situation
• CPC Class Codes: A61B 2017/00747 Dermatology
• CPC Class Codes: A61B 2017/00761 Removing layer of skin tissue, e.g. wrinkles, scars or cancerous tissue
• CPC Class Codes: A61B 2017/308 with suction cups
• CPC Class Codes: A61B 2017/320028 with reciprocating movements
• CPC Class Codes: A61B 2017/32004 having a laterally movable cutting member at its most distal end which remains within the contours of said end
• CPC Class Codes: A61B 2017/320052 Guides for cutting instruments by marking A61B2090/395
• CPC Class Codes: A61B 2017/320056 Tunnelers
• CPC Class Codes: A61B 2017/32006 with a cutting strip, band or chain, e.g. like a chainsaw
• CPC Class Codes: A61B 2017/3405 using mechanical guide means
• CPC Class Codes: A61B 2017/3407 : including a base for support on the body
• CPC Class Codes: A61B 2018/0016 : Energy applicators arranged in a two- or three dimensional array
• CPC Class Codes: A61B 2018/00291 : using suction
• CPC Class Codes: A61B 2018/00452 : Skin
• CPC Class Codes: A61B 2018/00702 : Power or energy
• CPC Class Codes: A61B 2018/00791 : Temperature
• CPC Class Codes: A61B 2018/00875 : Resistance or impedance
• CPC Class Codes: A61B 2018/143 : multiple needles
• CPC Class Codes: A61B 2018/1432 : curved
• CPC Class Codes: A61B 2090/0811 : for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument
• CPC Class Codes: A61B 2090/0815 : Implantable devices for insertion in between organs or other soft tissues
• CPC Class Codes: A61B 2217/005 : with suction drainage system
• CPC Class Codes: A61B 2217/007 : with irrigation system
• CPC Class Codes: A61B 2218/002 : Irrigation
• CPC Class Codes: A61H 2201/0207 : heated
• CPC Class Codes: A61H 2201/10 : with further special therapeutic means, e.g. electrotherapy, magneto therapy or radiation therapy, chromo therapy, infrared or ultraviolet therapy
• CPC Class Codes: A61H 2201/105 : with means for delivering media, e.g. drugs or cosmetics
• CPC Class Codes: A61H 2207/00 : Anti-cellulite devices
• CPC Class Codes: A61H 23/0245 : with ultrasonic transducers, e.g. piezoelectric
• CPC Class Codes: A61N 1/306 : Arrangements where at least part of the apparatus is introduced into the body
• CPC Class Codes: A61N 1/327 : for enhancing the absorption properties of tissue, e.g. by electroporation
• CPC Class Codes: A61N 1/328 : for improving the appearance of the skin, e.g. facial toning or wrinkle treatment
• CPC Class Codes: A61N 1/403 : for thermotherapy, e.g. hyperthermia
• CPC Class Codes: A61N 2007/0008 : Destruction of fat cells
• CPC Class Codes: A61N 7/02 : Localised ultrasound hyperthermia hyperthermia in general A61F7/00

Abstract

A dermatological skin treatment device is provided. The device comprises a handpiece and a cutting tool, wherein the tool is inserted through the conduit and percutaneously inserted into a tissue disposed within a recessed area of the handpiece. The device and method cut the fibrous structures under the skin that cause cellulite at an angle substantially parallel to the surface of the skin and replace these structures with a non-cellulite forming structure by deploying a highly fibrous mesh through a single needle hole to create a highly fibrous layer directly or through wound healing processes.

Claims

1. A tissue treatment system, comprising:

a handpiece comprising a recessed chamber,

wherein the recessed chamber comprises a top comprising a reversible lid having a first and a second tissue apposition surface,

wherein the recessed chamber is configured to allow positioning of a target tissue into the recessed chamber and into contact with either the first or the second tissue apposition surface, depending on whether the first or the second tissue apposition surface is facing the target tissue,

wherein the target tissue comprises subcutaneous tissue,

wherein the recessed chamber further comprises a conduit positioned at a distance from the first or the second apposition surface that defines a depth at which the target tissue is treated;

a tissue cutting device comprising a tissue cutting blade,

a guidance track configured to operably connect to the handpiece and to operatively engage the tissue cutting device,

wherein engagement of the tissue cutting device with the guidance track allows a portion of the tissue cutting blade to pass through the conduit, into the recessed chamber and into the target tissue at the defined depth; and

wherein the guidance track is configured to allow movement of the tissue cutting device along the guidance track and to cause the tissue cutting blade to move in forward, reverse and side to side directions within the target tissue within the recessed chamber,

wherein the defined depth may be adjusted depending on whether the first or the second tissue apposition surface is facing the target tissue.

2. The treatment system of claim 1, wherein the tissue cutting device is configured to operably connect with a motor module, the motor module being configured to move the tissue cutting blade.

3. The treatment system of claim 2, wherein the motor module reciprocates the tissue cutting blade.

4. The treatment system of claim 1, wherein the tissue cutting device further comprises a guide pin, the guide pin being configured to engage the guidance track and constrain the movement of the tissue cutting device to a predetermined shape, wherein the forward, reverse and side to side movement of the tissue cutting blade is within a plane that is substantially parallel to the tissue apposition surface, and wherein the defined depth is between 4 mm and 20 mm from the tissue apposition surface.

5. The treatment system of claim 1, wherein the recessed chamber of the handpiece further comprises a port connectable to a vacuum source.

6. The treatment system of claim 5, wherein application of vacuum pressure via the port draws the target tissue into contact with the apposition surface.

7. The treatment system of claim 1, wherein the guidance track comprises a shape, the tissue cutting device being constrained to move within the shape.

8. The treatment system of claim 1, wherein the conduit is configured to enable the tissue cutting device to be pivoted in an arc about the conduit.

9. The treatment system of claim 1, wherein the guidance track comprises a recessed groove.

10. The treatment system of claim 1, wherein the guidance track is disposed within a platform, and wherein the guidance track is formed from an edge within the platform.

11. The treatment system of claim 1, further comprising a microprocessor configured to control movement of the tissue cutting device with respect to the guidance track.

12. A tissue treatment system, comprising:

a handpiece comprising a recessed chamber,

wherein the recessed chamber is defined by a perimeter wall and a top comprising an apposition surface,

wherein the perimeter wall comprises a conduit that is configured to provide access to a tissue positioned within the recessed chamber, the conduit comprising a seal;

a tissue cutting module comprising a base and a cutting element,

wherein a portion of the cutting element can be positioned within the recessed chamber by passing the portion of the cutting element through the conduit and the seal, wherein the portion of the cutting element is positioned at a distance from the apposition surface by being passed through the perimeter wall; and

a platform configured to be operably connected to the handpiece and configured to engage the tissue cutting module while being in contact with the base of the tissue cutting module,

wherein the platform constrains movement of the cutting module to forward, reverse and side to side directions, wherein the cutting element pivots about the conduit during movement of the tissue cutting module,

wherein the recessed chamber is configured allow the tissue to be contacted with the apposition surface,

wherein the platform is configured to remain in contact with the base of the tissue cutting module as the tissue cutting module is moved,

wherein movement of the tissue cutting module causes movement of the cutting element within a subcutaneous layer of the tissue positioned in the recessed chamber and in contact with the apposition surface, and

wherein the movement of the cutting element occurs at the distance from the apposition surface.

13. The treatment system of claim 12, wherein the tissue cutting element comprises one or more tissue cutting blades, and wherein the tissue cutting blades move in forward, reverse and side to side directions within the subcutaneous layer.

14. The treatment system of claim 12, wherein the top is adjustable with respect to the handpiece, wherein adjustment of the top changes the distance from the apposition surface to the position of the cutting element within the recessed chamber.

15. The treatment system of claim 14, wherein the adjustable top comprises a reversible lid.

16. The treatment system of claim 14, wherein the adjustable top comprises a threaded lid that engages with corresponding threads on the handpiece, and wherein rotation of the adjustable lid adjusts the distance from the apposition surface.

17. The treatment system of claim 14, wherein the adjustable top comprises a rigid upper lid, a rigid inner lid, and a bladder disposed between the rigid upper lid and rigid inner lid, wherein the rigid inner lid is configured to move up and down with respect to the raised perimeter wall, the rigid inner lid being at its lowest point when the bladder is fully expanded, and being at its highest point when the bladder is deflated.

18. The treatment system of claim 12, wherein the handpiece further comprises a vacuum port configured to apply vacuum pressure to the handpiece recessed area.

19. The treatment system of claim 12, further comprising a microprocessor configured to control movement of the tissue cutting module with respect to the platform.