The apparatus relates to the field of cosmetic skin treatment apparatuses and in particular to hair removal apparatuses.
Cosmetic skin treatment apparatuses and in particular apparatuses for hair removal with the help of light are known for some time. These apparatuses use coherent (laser) or non-coherent (IPL) light to deliver high intensity light pulse to the skin. The light heats the skin and growing on it hair. The hair that usually is darker than the skin is absorbs a larger amount of heat and is heated to temperatures higher than the skin is heated. The temperature of the hair could reach 50 or 60 degrees Celsius and is sufficient to destroy the hair follicle, which practically removes the hair. The skin, however, is also heated to a relatively high temperature and to avoid skin burns, the surface of skin is cooled by different methods that include application of liquid gases, thermoelectric cooling devices and water or air cooling.
The hair removal apparatus usually includes an applicator designed to be held by the caregiver and applied to the treated segment of skin. The applicator has a transparent window through which the light provided by a source of light is applied to the skin. A typical size of the light application area of the applicator is between 10×20 mm to 30×30 mm. The caregiver attaches the application area firmly to the skin, activates the light source and applies one or more pulses of light to the treated segment of skin. Following this the caregiver repositions the applicator to the next segment of skin to be treated and repeats the process. Alternatively, the caregiver can move the applicator with the application area moving continuously over the skin surface while the light source is periodically activated to expose a segment of skin.
Some apparatuses apply to the skin a combination of light and RF (radio frequency) energy. Combination of light and RF energy facilitates faster heating of deeper skin layers where the hair follicle resides and improves the hair removal process. Application of RF also allows reducing the skin surface temperature, although the treatment process is similar to the treatment by applicators providing light only. The caregiver attaches the application area firmly to the skin, activates the light and RF source and applies one or more pulses of combined energy to the treated segment of skin. Following this the caregiver repositions the applicator to the next segment of skin to be treated and repeats the process. Alternatively, the caregiver can move the applicator with the application area moving continuously over the skin surface while the light and RF sources are periodically activated.
Presented is an apparatus for treatment of large skin areas that includes a treatment head or applicator that could be displaced in one or two directions. The treatment head is configured to apply to skin different treatment energies. The treatment head could be displaced or moved manually or automatically on a frame configured to be applied to a large skin segment. The frame could include guides on which the treatment head could reciprocate. The frame includes a pair of handles located on opposite sides of the frame. The handles facilitate the frame handling including positioning on a surface of skin to be treated.
The treatment head includes one or more sources of treatment energy. Such energy could be light energy, RF energy, ultrasound energy and a combination of the above energies. The treatment energies are applied to the treated skin segment in course of the treatment head reciprocating movement.
A controller governs operation of the apparatus. The movement of the applicator and in particular automated and controlled movement along the skin open possibilities for optimized skin treatment and inclusion of various sensors. A number of various sensors, such as temperature sensors, impedance detecting circuits, encoders, and cameras communicated with the controller and provide feedback on the skin treatment process. Some of the sensors could be configured to measure skin properties before the treatment and some sensors could be configured to measure skin properties after the treatment. Based on this feedback, the controller could change the skin treatment parameters. The skin treatment parameters could be changed in course of the treatment in a dynamic mode or between the treatments.
A cooling device is associated with the treatment head and configured to cool the treated skin segments.
The apparatuses and applicators described are built to treat segments of skin with an area matching the size of the transparent window through which the light provided by a source of light is applied to the skin. Removal of hair from a relatively large skin area, for example chest, back or leg becomes a tedious task. The caregiver has to move manually an applicator with relatively small application area, for example, 10×10 sqmm over a large skin area to be treated. In addition to hard work it is difficult for the caregiver to deliver a uniform coverage of the skin. There is a risk of delivering too much energy to some skin segments and not delivering enough energy to other skin segments. The result might be insufficient treatment in some skin segments and adverse effects in other skin segments.
The existing skin treatment applicators use light or other energy delivery surface also as a skin cooling surface. Use of the same surface for a number of actions does not support optimal control of the cooling; it depends on the caregiver attachment time of the applicator on the skin before delivering the light or other energy pulse. U.S. Pat. No. 6,383,176 to Connors disclose a manually displaced skin treatment device where the light energy delivery surface and skin cooling surface are different and separate surfaces. Since the device is manually displaced it does not support optimal control of energy delivery and cooling times.
Control of the skin treatment process by such applicators is complicated. Inclusion of various sensors to control for example, the skin temperature in course of the treatment process is difficult in such applicators. Treated skin properties are almost impossible to determine, although it would be beneficial to know skin properties before, during and after application of the treatment energy.
These and other problems could be resolved by optimal timing of delivery of the treatment RF energy, ultrasound energy, cooling and light energy to obtain optimal temperature distribution inside the tissue and optimal skin treatment process. It is difficult to implement all of these functions in an applicator whose movement on the skin is done manually by the caregiver. For example, it could be optimal to cool the skin first for half a second before the application of the energy. This could also be the time between two successive light or RF pulses. A caregiver cannot perform this kind of treatment and maintain optimal timing just by moving the applicator and pushing the trigger.
The present apparatus offers an efficient way for conducting a skin treatment process. It facilitates inclusion of different sensors into the apparatus, optimization of the skin treatment process and in particular treatment of large skin areas.
Reference is made to
Treatment head 116 could be configured to maintain in course of the treatment head 116 reciprocating movement a permanent or intermittent contact with the treated skin segment. Contact with the treated skin segment could facilitate delivery of treatment energy to the treated skin segment, skin temperature measurement and other skin treatment processes. A spring or solenoid (not shown) could be used as a mechanism configured to facilitate and maintain a permanent or intermittent contact of the treatment head 116 with the treated skin segment.
The reciprocating movement of treatment head 116 shown in
The treatment head or applicator 116 could also include a skin cooling device 212 configured to cool the treated skin segment. The cooling device 212 could be attached to the treatment head 116 and move with the treatment head in a reciprocating type movement as shown by arrow 200. Cooling device 212 could be attached on one or both sides of treatment head 116. When cooling device 212 is attached to the leading edge of treatment head 116 it will first cool a skin segment to which light energy will be applied. When cooling device is attached to the trailing edge of treatment head 116 it will cool a skin segment to which light energy has been already applied. A combination of a cooling device attached to both leading and trailing edges of treatment head 116 could also be implemented. In one example, light guide 124 could be cooled. Such applicator structure could be configured to support the treated skin segment cooling before application to it of light energy, concurrently with the application of light energy and after the application of light energy to the treated skin segment. For example, light guide 124 could be made from sapphire, which is known to have good heat conducting properties. Cooling of the treated skin segment by any of the cooling devices 212 configuration (leading edge, trailing edge or light guide) can be done for example, by contact of a solid element with the skin. The solid element could be made of ceramics, glass, and heat conducting plastic or metal. The solid cooled element can be cooled by flow of a fluid, which can be air, water, oil or other fluids, or it can be cooled by thermo-electric-cooler (TEC). According to another example, non-contact cooling could be used to cool the treated skin segment. The non-contact cooling could be achieved by directing a spray of cold liquid or gas to the treated skin segment.
The size of the cooling device, light pulse rate and movement velocity are optimally matched to get the desired temperature profiles in the treated skin. Such matching could be achieved by automatic and controlled movement of the treatment head or applicator 116.
The light energy used for skin treatment is absorbed exponentially when propagating into the skin, typically delivering more energy to the upper skin layer. However, in most cases, and specifically for hair removal, the heating is required in deeper skin (1-3 mm deep) layers. The heating of upper skin is a major cause of discomfort, pain, and sometimes adverse events of burns. Excessive heating of the upper skin layer limits the possibility of delivering enough energy to deep skin and to get good treatment effects, and in particular hair removal.
As disclosed above, a combination of a cooling device attached to both leading and trailing edges of treatment head 116 could also be implemented. Operation of the leading and trailing edge cooling devices 212 could be further enhanced by cooling of light guide 124 to serve as a cooling device. Different combinations of the cooling devices operation modes could be implemented and the cooling time could be distributed between the cooling devices. For example, if the leading edge cooling device and a cooled light guide are operative to cool the treated skin segment, and assuming the light pulse is very short compared to a/V, there is a difference in cooling time at the leading and trailing edge of skin section 308. To reduce this difference, according to an example, a can be selected to be as small as possible. This is also advantageous for reducing pain. Lower practical limit of a is determined by the light scattering losses inside the skin. Below a=2 mm, light scattering loss could be significant, so value of a between 2 mm to 8 mm, or between 4 mm to 6 mm seems optimal. Different cooling time proportions between different combinations and operation modes of the cooling devices are possible.
In one example, illustrated in
Typical parameters of a treatment head with cooling devices would be in the range of: a—2 mm to 20 mm or more typically between 3 mm to 10 mm or 4 mm to 6 mm; b—3 mm to 30 mm or more typically 5 mm to 15 mm; V—5 mm/sec to 50 mm/sec; and cooling sections temperature 5 to 25 degrees Celsius.
In one example, light guide 124 could also be cooled and be in contact with the treated segment of skin to provide continuous cooling of the treated skin segment until the treatment light energy pulse arrives. When the light guide is cooled, there could be a difference in the ratio of the light energy footprint that becomes equal to the cooling footprint, since the skin under the leading edge of the light guide 124 gets less cooling than the skin under the trailing edge of the light guide 124. The difference in the cooling times is a/V. By making a smaller than b we make this difference smaller. This difference could be reduced by implementing the dimension a substantially smaller than the dimension b (a<<b). In the example, where there could be a gap between the light guide 124 and the skin segment to be treated a non-contact cooling of the treated skin segment could be implemented.
One or more different sensors could be located in treatment head 116. Some of the sensors, for example 500 (
Some of the sensors could be one or more optical sensors. Such sensors could sense the treated skin segment properties. Such sensors also could be optical sensors 600 (
Light sources 604 could be configured to illuminate the skin segments used to facilitate assessment of the treated skin segment properties. Light sources 604 could be configured to illuminate the treated skin segment to facilitate formation of an image of the treated skin segment. According to one example, light sources 604 could be a white light “Light Emitting Diode” (LED) such as for example, Luxeon series White LEDs commercially available from Philips Lumileds Lighting Company, San Jose, Calif. USA or similar. In one example, light source 604 could be one or more LEDs emitting light of different colors. The colors could be selected arbitrarily and be Red, Green, Blue (RGB), Orange, Yellow and others. In one example, light sources 604 could be a combination of white and color LEDs. Light sources 604 could be configured to operate in pulse or continuous mode, as it could be best adapted to explore particular skin properties.
Apparatus 100 could also include a controller 700 (
It has been theoretically and experimentally discovered that delivery of RF energy to the skin during relatively long time supports the optimal temperature distribution inside the skin. In some cases delivery of RF energy could be combined with the cooling of upper skin layer. On the other hand, in some cases it is preferred to have a much shorter light energy pulse. The physical reason is the selective absorption of light. More light energy is absorbed in the hair follicles, raising them to higher temperature than the surrounding tissue to obtain the selective effect for hair removal. Heat conduction reduces the temperature difference therefore reduces the selective treatment of hair. Short light pulses are helpful in improving selective effect of hair removal. Existing skin treatment applicators do not possess geometry optimal for long RF energy application times and short light energy pulses. It is difficult if not impossible to implement accurate control of the time the applicator is applied to the skin, RF energy and light energy application timing. Existing manually displaced skin applicators do not support implementation of effective skin cooling from the moment of the applicator to skin application and through the end of the treatment. The automatic and controlled movement of the treatment head or applicator 116 facilitates accurate and optimal timing of the cooling, RF and light energies application.
Operation of the pair of RF electrodes 504 and 508 that, as explained above, could be fed by a low voltage to measure the treated skin segment impedance and determine the treated skin segment temperature, could be enhanced by supplying to them higher magnitude RF energy for example, voltage of about 50 to 500 volt. Such RF energy could be applied to the treated segment of skin in addition to light energy and also heat the treated skin segment. The RF energy at different RF frequencies could be applied to the treated skin segment in course of the treatment head movement and it could be applied before, concurrently or after application of light energy pulses. Different overlapping in time applications of RF energy and light energy are possible. The RF energy could be supplied in pulse mode or in continuous mode. The RF electrodes electronic driving circuit could be configured to measure skin impedance Skin impedance measurement could be performed in one or more RF frequencies applied to the treated skin segment 704. Controller 700 could be configured to extract from the skin impedance the skin temperature variations during treatment head or applicator 116 movement.
The pair of RF electrodes 800 similar to electrodes 504 and 508 could be located on both sides of a light guide, on both sides of a cooling device (
Electronic driving circuit could drive RF electrodes 504, 508, and 800 in various ways. These could be independent RF electronic driving circuit or one common electronic driving circuit that distributes RF energy between the electrodes. For example, the RF energy may be switched between electrodes 504 and 508, and/or 800-1 and 800-3. Other possible combination of RF energy supply to the electrodes could be used. According to an example, RF energy could be delivered continuously between electrodes 800-2 and 800-3 (
In some examples therapeutic ultrasound applied by one or more ultrasound transducers, could be used to heat the skin and in particular the hair follicle typically located 1 to 2 mm below the skin surface. This ultrasound skin segment heating could be combined, as disclosed above with light treatment and cooling of the upper skin layer.
One or more different sensors could be located in treatment head 1000. Some of the sensors, for example 500 could be configured to measure the treated skin segment temperature. Such sensor could be an optical sensor, an infrared (non-contact) temperature sensor, a thermistor, or a thermocouple. The optical sensor could be configured to sense additional to the temperature skin properties, for example, skin color. Alternatively, a pair of electrodes 504 and 508 could communicate with controller 700 that among others could include a simple electronic circuit, similar to circuit 512 that could be configured to operate at a number of RF frequencies and determine the treated skin segment impedance and accordingly the treated skin segment temperature. The sensors could be mounted inside treatment head 1000 or on one or both sides of the light energy guide 124 and operate in course of the treatment head 1000 movement.
Some of the optical sensors could be one or more optical sensors configured to sense skin color. Some of the optical sensors could be configured to operate as imaging devices 600 configured to form an image of the treated skin segment and assess the treated skin segment properties. For example, some of the optical sensors configured to operate as imaging devices could be located and configured to image the treated skin segment located under light energy guide 124. According to another example, one optical sensor 600 configured as an imaging device could be located in one side of the light energy guide 124 and another imaging device 600 could be mounted at the other side of the light energy guide 124. Both optical sensors 600 operating as imaging devices could be configured to explore skin properties, for example, skin color before and after the application of the light energy. Both devices could operate in course of treatment head or applicator 1000 movement along the treated segment of the skin 1004. According to one example, cooling devices 212 could be made from glass and optical sensors 500 or 600 configured as imaging devices could be mounted over such cooling devices 212 on both sides of the light energy guide 124. Both optical sensors 600 could be configured to explore skin properties, for example, skin color before and after the application of the light energy. Both optical sensors could operate in course of treatment head or applicator 1000 movement along the treated segment of the skin 1004.
Treatment head 1000 could include a mechanism configured to provide the treatment head position along guides 108. The mechanism could be similar to the described above rotary and linear encoders.
The present apparatus is an apparatus for cosmetic skin treatment of large skin segments. In some examples, for treatment of even larger skin segments than skin segments determined by the size of the apparatus frame upon completion of a treated skin segment treatment, the apparatus could be repositioned to treat a next large skin segment. Apparatus repositioning could be made fairly accurate, since usually signs of the previous treatment could be present on the skin and the apparatus or the frame could be repositioned to avoid overlapping the already treated skin segment.
It will be appreciated by persons skilled in the art the present apparatus is not limited by what has been illustrated and described in the present specifications. It is intended that the specification and examples be considered as exemplary only, with a true scope and spirit of the apparatus being indicated by the following claims.
Filing Document | Filing Date | Country | Kind |
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PCT/IL14/00016 | 3/10/2014 | WO | 00 |
Number | Date | Country | |
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61781166 | Mar 2013 | US |