The present invention relates to a skin procedure guidance and feedback system, and more particularly to a skin procedure guidance and feedback system configured to derive displacements of points before and after formation of a coagulation spot at each point on the skin surface based on an energy-based medical device, and to calculate and feed back a minimum distance that prevents coagulation zones from overlapping when coagulation spots are generated several times based thereon.
The number of consumers visiting dermatologists due to skin sagging and undergoing skin procedures, such as lifting procedures, has been continuously increasing since such skin procedures have relatively short recovery periods compared to plastic surgeries and effectively enable facial wrinkle lifting (that is, skin area contraction).
Here, an energy-based medical device for skin area contraction forms a coagulation zone on the reticular dermis around a target point. In more detail, the reticular dermis includes spiral collagen bundles, which are arranged in a direction parallel to the skin surface, and when each bundle is thermally coagulated, a spiral structure unwinds and becomes tangled to be shorter. When energy is applied to one point of a reticular dermis layer to form a coagulation spot, the reticular dermis layer within a range of coagulation around the point contracts in a direction toward the coagulation spot in a plane parallel to the skin surface. When several such coagulation spots are formed with a narrow range, immediate contraction of the skin area is observed. Therefore, the energy-based medical device uses this principle to induce a cosmetic effect by flattening the skin.
However, there is a limitation that the effect is not constant when the procedure is performed on actual patients. In other words, efficiency of planar contraction of the skin through induction of multiple dermal coagulation spots is not consistent, and thus the efficiency of linear plane contraction is reduced. In addition, there is the case where efficiency of linear plane contraction is reduced due to overlap between coagulation zones, and when temperature excessively rises (for example, to about 80 degrees Celsius), there is a risk of covalent bonds inside collagen molecules breaking down, causing dissolution thereof.
Therefore, in theory, for optimal plane contraction, there is need for technology for generating a coagulation spot so that adjacent contraction zones are in contact. However, at present, in this procedure, a distance between coagulation spots and output adjustment of the device depend on intuition of an operator, and thus there are limitations in terms of efficiency, reproducibility, and safety of the procedure. Further, since an aspect of skin contraction induced by formation of dermal coagulation spots varies depending on skin conditions of the patients and various factors, there is a problem that efficiency is not consistent every time the procedure is performed.
In addition, a distance between multiple coagulation spots in an energy-based medical device is arbitrarily fixed, and even when a procedure distance can be changed by changing a set value of the device or replacing a handpiece, a determination on usage of a distance value depends on experience and intuition of the operator. In addition, when adjustment of the distance between multiple coagulation spots is limited, efforts are made to increase contraction efficiency by adjusting output of the energy-based medical device. However, this adjustment is made intuitively, and thus there are limitations in terms of efficiency, reproducibility, safety, etc.
Therefore, the present invention has been made in view of the above problems, and it is an object of the present invention to provide a skin procedure guidance and feedback system configured to acquire skin surface information before and after formation of a dermal coagulation spot of the skin through an energy-based medical device, and provide feedback to optimize a minimum distance that prevents coagulation zones from overlapping and an output energy factor of the energy-based medical device.
In accordance with the present invention, the above and other objects can be accomplished by the provision of a skin procedure guidance and feedback system including a photographing unit configured to photograph skin before and after a procedure by an energy-based medical device, a displacement calculator configured to derive landmark displacement data from landmark location data of the skin photographed by the photographing unit, and to derive location data of a contraction center O based on the landmark displacement data, a boundary deriver configured to derive a boundary of a contraction zone from the contraction center O in the skin procedure, and a procedure feedback unit configured to take result data derived by the boundary deriver as input to feed back optimal parameter information for the procedure.
The energy-based medical device may be configured to apply energy to one focus of the skin to cause a local temperature rise, thereby generating a contraction zone based on the one focus of the skin, and include high-frequency, laser, and high-intensity focused ultrasound (HIFU) devices.
The photographing unit may photograph a skin surface before the procedure and a skin surface after the procedure based on the energy-based medical device.
Landmarks of the skin may include dots or lines marked with pigment, and sweat glands, hair glands, sebaceous glands, pigmented lesions, moles, skin tumors, blood vessels, and wrinkle lines on a skin surface as reference points enabling tracking of positional change of a skin procedure target part before and after the procedure in the photographed images before and after the skin procedure through the energy-based medical device.
The displacement calculator may include a preprocessor configured to convert location data A of landmarks before the skin procedure on a skin surface in an image of the skin surface before the skin procedure into A[(i, j)ij], and to convert location data B of landmarks after the skin procedure on the skin surface in an image of the skin surface after the procedure into B[(i′, j′)ij], and a displacement data calculator configured to calculate, as the landmark displacement data D, a displacement vector reflecting a result of movement from location data before the skin procedure to location data after the procedure based on the landmark location data of the skin derived by the preprocessor.
The displacement data calculator may represent the landmark displacement data D as [(i′−i, j′−j)ij].
(Here, i′ and j′ are a row i′ and a column j′ of B[(i′, j′)ij], and i and j are a row i and a column j of A[(i, j)ij].)
The boundary deriver may include a graph deriver configured to derive a displacement graph of each point moving toward the contraction center O for each location on a straight line passing through, at an angle, the contraction center O corresponding to a location of a focus to which the energy-based medical device applies energy based on the landmark displacement data, and a boundary deriver configured to calculate a distance R from the contraction center O to the boundary of the contraction zone based on graph analysis result data derived by the graph deriver.
The graph deriver may set the location data of the contraction center O corresponding to a location of a focus to which the energy-based medical device applies energy based on the landmark displacement data D, the location data of the contraction center O may be a location of a point to which landmark points on a skin surface are commonly directed during skin coagulation according to the procedure, and a location of an intersection point of straight lines, which are obtained by points corresponding to respective elements (i, j)ij of location data A of landmarks before the skin procedure on the skin surface each directed in a direction of an element {right arrow over (δ)}ij vector of the landmark displacement data D, may be set to (io, jo).
The graph deriver may perform parallel translation by −io on an i-axis and −jo on a j-axis with respect to a contraction center O (io, jo, 0) in the skin procedure, and perform rotation by the angle θ at which the contraction center O in the skin procedure is passed through on a k-axis, thereby deriving a graph of k with respect to i in an ik-plane (j=0).
The boundary deriver may be configured to derive a graph of a regression curve of a distance by which each point moves toward the contraction center O in the skin procedure for each location on a horizontal line (θ=0) passing through the contraction center O in the skin procedure, and calculate a distance from the contraction center O to the boundary R of the contraction zone from the photographed image before the procedure based on a fact that the distance is close to a distance from the contraction center O to a point where a slope of a tangent becomes 0 on the regression curve.
The procedure feedback unit may include a simultaneous energy feedback unit configured to feed back a minimum distance D preventing coagulation zones from overlapping each other when coagulation spots are simultaneously generated through the energy-based medical device (simultaneous model).
When a size of the contraction zone derived by the boundary deriver is smaller than a fixed procedure distance of the energy-based medical device, the simultaneous energy feedback unit may feed back high output energy value information to the energy-based medical device so that output of the energy-based medical device is allowed to be increased.
When a size of the contraction zone derived by the boundary deriver is greater than a fixed procedure distance of the energy-based medical device, the simultaneous energy feedback unit may feed back low output energy value information to the energy-based medical device so that output of the energy-based medical device is allowed to be decreased.
The procedure feedback unit may include a sequential energy feedback unit configured to feed back a minimum distance D′ that prevents coagulation zones in (N−1)th to Nth rounds from overlapping when coagulation spots on the skin are sequentially generated through the energy-based medical device (sequential model).
The sequential energy feedback unit may feed back a location of a coagulation spot to be generated in the Nth round based on a displacement graph derived by the boundary deriver and information on a size and shape of a contraction zone based on one coagulation spot generated in the (N−1)th round.
According to the skin procedure guidance and feedback system described above:
First, it is possible to derive displacement of each point on a skin surface that contracts when one focal point of skin is treated using an energy-based medical device.
Second, it is possible to derive a location of a contraction center caused by the procedure based on photographs taken before and after the procedure.
Third, it is possible to quantitatively express an aspect of skin contraction by the procedure based on the derived data.
Fourth, it is possible to quantitatively express an aspect of skin contraction, which varies according to a patient undergoing the procedure and a part thereof and according to a type and output of the device, whenever the system is applied.
Fifth, it is possible to generate data necessary for deriving an optimal next procedure location or procedure output during the procedure based on mathematical calculation rather than intuition of the operator.
Sixth, it is possible to combine distribution information on a contraction aspect of skin in several parts in one procedure target to calculate and propose a two-dimensional (2D) arrangement and order of several procedure points for realizing a change to desired appearance through manipulation of a location of each point on the skin.
A skin procedure guidance and feedback system according to embodiments of the present invention will be described in detail with reference to the accompanying drawings. Since the present invention may undergo various changes and have various forms, specific embodiments will be illustrated in the drawings and described in detail in the text. However, this is not intended to limit the present invention to a specific form disclosed, and should be understood to include all modifications, equivalents, or substitutes included in the spirit and scope of the present invention. Like reference numerals have been used for like elements throughout the description of each figure. In the accompanying drawings, dimensions of structures are illustrated to be larger than actual ones for clarity of the present invention, or reduced compared to actual ones for understanding of schematic configurations.
In addition, even though terms such as first and second may be used to describe various components, the components should not be limited by the terms. The terms are only used for the purpose of distinguishing one component from another. For example, a first component may be referred to as a second component, and similarly, the second component may be may be referred to as the first component, without departing from the scope of the present invention. Meanwhile, unless defined otherwise, all terms used herein, including technical or scientific terms, have the same meaning as commonly understood by a person of ordinary skill in the art to which the present invention pertains. Terms such as those defined in commonly used dictionaries should be interpreted as having meanings consistent with meanings in the context of the related art, and should not be interpreted as having ideal or excessively formal meanings unless explicitly defined in the present application.
The present invention provides a skin procedure guidance and feedback system configured to acquire skin surface information before and after formation of a dermal coagulation spot of the skin through an energy-based medical device, and provide feedback to optimize a minimum distance that prevents coagulation zones from overlapping and an output energy factor of the energy-based medical device.
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A more detailed description will be given with reference to
The location data B of the landmarks on the skin surface after the skin procedure may be represented by a matrix [(i′, j′)ij] having, as an element, coordinates (i′, j′) of a point at which each element [(i, j)ij] of the matrix A arrives after contraction.
Referring to
(Here, i′ and j′ are a row i′ and a column j′ of B[(i′, j′)ij], and i and j are a row i and a column j of A[(i, j)ij].
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According to optimal embodiments of the present invention, the graph deriver 300a derives a displacement graph after the procedure with respect to a distance of each of landmarks on a straight line, which passes through the contraction center O in the skin procedure at the desired angle, from the contraction center O before the procedure, performs parallel translation by −io on the i-axis and −jo on the j-axis with respect to the contraction center O (io, jo, 0) in the skin procedure, and performs rotation by the angle at which the contraction center O in the skin procedure is passed through on a k-axis, thereby deriving a graph of k with respect to i in an ik-plane (j=0). That is, in more detail, in a three-dimensional (3D) Cartesian coordinate system obtained by adding the k-axis to the Cartesian coordinate system of the i-axis and the j-axis, a set of points [i, j, |{right arrow over (δ)}ij|], where values corresponding to the i-axis and the j-axis are set to values i and j of an element [(i, j)ij] of the matrix A, and a value corresponding to the k-axis is set to the magnitude |{right arrow over (δ)}ij| of a vector element of the data D corresponding to the element [(i, j)ij] of matrix A, may be represented by a graph, which may be moved by −io on the i-axis and −jo on the j-axis to place a center of symmetry thereof on the k-axis, then rotated by the angle θ around the k-axis, and then expressed as a graph of k with respect to i in the ik-plane (j=0). In the process of deriving a graph, a location of a coagulation center O is not given, and a description has been given of a method capable of calculating a displacement distribution graph for all straight lines passing through the unknown coagulation center O. However, when the location of the coagulation center O is previously known, or only a displacement graph on one straight line is to be obtained, the corresponding step in the process of deriving a graph may be omitted.
Referring to
As an embodiment of the present invention, the graph of the distance (displacement) by which each point moves toward the contraction center O for each point on the straight line passing through the contraction center O at the desired angle θ in the captured image before the procedure obtained by the graph deriver 300a regresses to a distribution curve D(i) having positive numbers as elements (Lognormal distribution, Chi-square distribution, F-distribution, and other distribution curves having positive numbers as elements). Thus, with respect to a distance (i) from the contraction center O to an element of the location data A before the procedure derived by the preprocessor 100, a graph of a distance (i′) to an element of the location data B after the procedure corresponding to the element may be represented by B(i)=i−D(i). Therefore, the boundary deriver 300b may derive a size and shape of the contraction zone based on the fact that an i-coordinate at a point where a slope B′ (i) of a tangent is 1 is close to a distance from the contraction center O to the boundary R of the contraction zone in the same direction on the curve B(i). Here, the graph of the distance (i′) to the element of the location data B after the procedure corresponding to the element of the location data A before the procedure with respect to the distance (i) from the contraction center O to the element of the location data A before the procedure derived by the preprocessor 100 regresses to the curve B(i).
Further, in an embodiment of the present invention, when a cross section of the displacement graph derived by the graph deriver 300a regresses to a distribution curve having positive numbers as elements, the boundary deriver 300b may calculate the size and shape of the contraction zone based on the fact that a mode of the distribution, that is, an i-coordinate at a highest point where a slope of a tangent is 0 is close to a distance from the contraction center O to the boundary R of the contraction zone on a straight line passing through the contraction center O at an angle corresponding to the cross section. Since the distance from the contraction center O to the boundary R of the contraction zone may vary depending on the direction of the straight line passing through the contraction center O, the 3D graph derived by the graph deriver 300a may be rotated by a desired angle around the contraction center O to cause the boundary deriver 300b to calculate a distance to the boundary R of the contraction zone in all directions with respect to the contraction center O, which corresponds to obtaining the size and shape of the contraction zone.
Referring to
In the regressing displacement distribution curve D(i), a highest point corresponds to a mode, and a slope D′(i) of a tangent at the point is 0. In the lognormal distribution, a mode is eμ-σ
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When coagulation spots are simultaneously generated through the energy-based medical device (simultaneous model), the simultaneous energy feedback unit 400a feeds back a minimum distance D preventing coagulation zones from overlapping each other. As an embodiment of the present invention, when a size of the contraction zone derived by the boundary deriver 300 is smaller than a fixed procedure distance of the energy-based medical device, the simultaneous energy feedback unit 400a feeds back high output energy value information to the energy-based medical device so that output of the energy-based medical device may be increased. Conversely, when the size of the contraction zone derived by the boundary deriver 300 is greater than the fixed procedure distance of the energy-based medical device, low output energy value information is fed back to the energy-based medical device so that output of the energy-based medical device may be decreased.
That is, in more detail, the simultaneous energy feedback unit 400a causes the energy-based medical device that promotes skin area contraction to generate several coagulation spots on the skin. Here, a type in which a plurality of coagulation spots is simultaneously generated is referred to as a simultaneous model. In the case of the simultaneous model, based on a calculation system of the present invention, a device capable of freely adjusting a distance between coagulation spots performs feedback so that output is increased when contraction zones are excessively small, and thus contraction zones are excessively far apart even when a distance between coagulation spots is minimized to an implementable distance, and conversely performs feedback so that output is decreased when contraction zones are excessively large, and thus contraction zones overlap each other even when the distance is maximized.
In addition, in the case of the simultaneous model, a device in which a distance between coagulation spots is fixed (or a device including discontinuous values for each step) performs feedback so that output is further increased when sizes of generated contraction zones are excessively small as a result of calculation, and thus a distance between boundaries is excessively large even in the case of an implementable minimum distance, and conversely performs feedback so that output is further decreased when contraction zones are excessively large, and thus it is determined that contraction zones overlap each other when several contraction zones are generated at a current interval.
Finally, in the case of a device in which a distance is adjusted to discontinuous values such as step 1/step 2/step 3, etc., feedback may be performed to increase or decrease the step of the distance or to decrease or increase the output.
When coagulation spots of the skin are sequentially generated through the energy-based medical device (sequential model), the sequential energy feedback unit 400b feeds back a minimum distance D′ that prevents coagulation zones in (N−1)th to Nth rounds from overlapping, and feeds back a location of a coagulation spot to be generated in the Nth round based on the displacement graph derived by the boundary deriver 300 and information on a size and shape of a contraction zone based on one coagulation spot generated in the (N−1)th round. That is, in more detail, a type in which a plurality of coagulation spots is simultaneously generated is referred to as a simultaneous model, and in the case of the simultaneous model, a preferable location of a coagulation spot to be generated in an (N+1)th round is fed back based on a displacement graph obtained as a result of calculation based on a skin contraction aspect caused by one coagulation spot generated in the Nth round and information on a size and shape of a contraction zone.
According to the device factor calculation system based on skin surface displacement described above, there are the following effects. According to the device factor calculation system based on skin surface displacement described above, there are the following effects. First, it is possible to derive displacement of each point on a skin surface that contracts when one focal point on the skin is treated using an energy-based medical device. Second, it is possible to derive a location of a contraction center caused by the procedure based on photographs taken before and after the procedure. Third, it is possible to quantitatively express an aspect of skin contraction by the procedure based on the derived data. Fourth, it is possible to quantitatively express an aspect of skin contraction, which varies according to a patient undergoing the procedure and a part thereof and according to a type and output of the device, whenever the system is applied. Fifth, it is possible to generate data necessary for deriving an optimal next procedure location or procedure output during the procedure based on mathematical calculation rather than intuition of the operator. Sixth, it is possible to combine distribution information on a contraction aspect of skin in several parts in one procedure target to calculate and propose a 2D arrangement and order of several procedure points for realizing a change to desired appearance through manipulation of a location of each point on the skin.
Even though the detailed description of the present invention described above has been given with reference to preferred embodiments of the present invention, those skilled in the art or those having ordinary knowledge in the art may understand that the present invention may be variously modified and changed within the scope not departing from the spirit and technical scope of the present invention described in the claims to be described later.
The device factor calculation system based on skin surface displacement may be installed in various energy-based medical devices such as fractional fine needle radiofrequency, fractional laser, and high-intensity focused ultrasound devices, and cosmetic effects may be maximized through automatic calculation of contraction of a skin plane and a calculated value.
Number | Date | Country | Kind |
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10-2022-0097351 | Aug 2022 | KR | national |
Filing Document | Filing Date | Country | Kind |
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PCT/KR2022/017759 | 11/11/2022 | WO |