systems and methods for simultaneous ultrasound therapy of multiple foci in multiple dimensions

专利摘要:
These are modalities of a dermatological cosmetic treatment and / or image system and method adapted to alter the placement and position of multiple cosmetic treatment zones in the ultrasound beam tissue from a transducer, simultaneous multifocal therapy at multiple depths and / or stippling ultrasound beams from a transducer to change the placement and position of multiple cosmetic treatment zones on the tissue. The system can include a hand stick, a removable transducer module and a control module. In some modalities, the cosmetic treatment system can be used in various cosmetic procedures.
公开号:BR112020011206A2
申请号:R112020011206-2
申请日:2019-01-22
公开日:2020-11-17
发明作者:Charles D. Emery
申请人:Ulthera, Inc.；
IPC主号:

专利说明:

[0001] [0001] Provisional Patent Application No. US 62 / 622,394 filed on January 26, 2018 is incorporated into this document as a reference in its entirety for all purposes. BACKGROUND FIELD
[0002] [0002] Various embodiments of the invention refer to non-invasive energy-based treatments to obtain aesthetic and / or cosmetic enhancement effects on the skin and / or tissue near the skin of a face, head, neck and / or human body with delivery simultaneous or almost simultaneous energy in multiple dimensions (for example, depths, heights, widths, spacings, orientations, positions) of tissue under a skin surface. DESCRIPTION OF RELATED TECHNIQUE
[0003] [0003] Some cosmetic procedures involve invasive procedures that may require invasive surgery. Not only do patients need to endure weeks of recovery time, but they also often need to undergo risky anesthetic procedures. Non-invasive energy-based therapeutic devices and methods are available, but may have several shortcomings in terms of efficiency and effectiveness. SUMMARY
[0004] [0004] In various modalities, systems and methods are provided that successfully achieve an aesthetic effect with the use of targeted and precise ultrasound to cause a visible and effective cosmetic result by means of a thermal route dividing an ultrasound therapy beam in two, three, four or more simultaneous focal zones to perform various treatment and / or imaging procedures. In several modalities, an ultrasound system is configured to focus the ultrasound to produce mechanical movement located within tissues and cells in order to produce localized heating for tissue coagulation or for mechanical interruption of the cell membrane intended for non-invasive aesthetic use. In several modalities, an ultrasound system is configured to lift a forehead (for example, an eyebrow lift). In various modalities, an ultrasound system is set up to lift flaccid, loose or drooping tissue, such as submental tissue (below the chin) and neck. In several modalities, an ultrasound system is configured to improve the lines and wrinkles of the neckline. In several modalities, an ultrasound system is configured to reduce fat. In several modalities, an ultrasound system is configured to reduce the appearance of cellulite. In some embodiments, a system is provided to reduce fat and subsequently treat loose skin that results from fat reduction.
[0005] [0005] Although various modalities of aesthetic treatments are contemplated in this document, the systems and procedures described in this document are also used for non-aesthetic applications in some modalities.
[0006] [0006] In several modalities, an ultrasound system is configured for imaging to visualize tissue (eg, dermal and subdermal layers of tissue) to ensure proper coupling of the transducer to the skin. In various modalities, an ultrasound system is configured for imaging to visualize tissue (eg, dermal and subdermal layers of tissue) to confirm the appropriate treatment depth, in order to avoid certain tissues (eg, bone).
[0007] [0007] In various modalities, the treatment of tissues, such as skin tissues, with multiple bundles provides one or more advantages, such as, for example, reduction of treatment time, creation of unique heating patterns, leverage of multiple channels for greater potency, the option of skin treatment at two or more depths with equal or different levels of potency (for example, a thermal coagulation point in the superficial muscle-aponeurotic system (“SMAS”) and other blurred energy on the skin surface or other combinations), optional simultaneous treatment at different depths (for example, such as at depths below a skin surface of 1.5 mm, 3 mm and / or 4.5 mm thermal coagulation points simultaneously or over a period of overlapping time); and / or treatment with one, two or more simultaneous linear or linear foci, such as at different depths below the skin surface or spaced apart. In some modalities, simultaneous multiple focus therapy uses dithering.
[0008] [0008] According to one modality, an ultrasonic treatment system creates two or more simultaneous therapeutic treatment points and / or focal areas under the skin surface for a cosmetic treatment, in which the treatment points are increased by dotting the bundles of ultrasound. In one embodiment, a focal zone is a point. In one embodiment, a focal zone is a line. In one embodiment, a focal zone is a plan. In one embodiment, a focal zone is a volume or three-dimensional shape. Dithering the focus points of the ultrasound beam increases the treatment area by shaking, blurring or spattering the focus point or the focus zone (for example, a focus point, line, plane or volume) like paint using a brush of air spreading mechanically and / or electronically the location of the focus points, varying the frequency and, therefore, the focal point of the ultrasonic treatment beams. In some modalities, dithering increases effectiveness by creating larger treatment points and / or focal areas. In some modalities, stippling reduces pain, as the temperature of the hot spot is spread over a larger volume of tissue, allowing for a potential reduction in the dose. In some modalities, mechanical dithering is a method of spreading the acoustic energy of the ultrasound beam, so that there is less confidence in the thermal conduction of the tissue away from the focus. In a mechanical dithering mode, the therapy transducer is moved locally around the intended center of the thermal coagulation point (TCP). The movement of the acoustic beam can be from side to side, from top to bottom and / or angular. In a mechanical dithering mode, the movement of the movement mechanism is fast enough to create a flatter temperature profile around the intended TCP, which allows a reduction in the total acoustic energy for the same volume of affected tissue or the same energy total acoustics for a greater volume of affected tissue or any combination thereof.
[0009] [0009] According to various modalities, frequency modulation modifies the location of a focal zone and / or spacing between focal zones, so that the electronic dotting of the beam by means of frequency modulation changes and / or moves, with accuracy, the position of the beam focus point (s). For example, in a modality, a spacing of 1.5 mm can be dotted with +/- 0.1 mm using a small frequency oscillation. In various modalities, any one or more spacing of 0.5, 0.75, 1.0, 1.2, 1.5, 2.0 mm can be dotted with +/- 0.01, 0.05, 0 , 1, 0.12, 0.15, 0.20, 0.25, 0.30 mm using a frequency oscillation. In various modalities, a frequency is modulated by 1 to 200% (for example, 1%, 5%, 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 100%, 120%, 150%, 180%, 200% and any range among them).
[0010] [0010] Various modalities refer to devices, systems and methods for providing one or more (for example, a plurality or multiple) zones of focus and / or ultrasound treatment points in the performance of various treatment and / or image procedures ultrasound in a fast, safe, efficient and effective way. In some embodiments, no image is used. Some modalities refer to the division of an ultrasound therapy beam into two, three, four or more focal areas of a single ultrasound transducer and / or a single ultrasound transduction element. In some modalities, multiple ultrasound beams are manipulated electronically with frequency modulation.
[0011] [0011] In various modalities disclosed in this document, non-invasive ultrasound systems are adapted to be used to obtain one or more of the following beneficial aesthetic and / or cosmetic improvement effects: a face lift, a frontal lift, a chin lift , an eye treatment (for example, malar pouch, treat infraorbital flaccidity), a reduction of wrinkles, reduction of fat (for example,
[0012] [0012] According to various modalities, a system and / or method of cosmetic ultrasonic treatment can produce, in a non-invasive way, single or multiple dotted cosmetic treatment zones and / or thermal coagulation points, where the ultrasound is focused on a or more locations in a treatment region in the tissue under a skin surface and moved through changes in frequency (for example, through frequency modulation). Some systems and methods provide cosmetic treatment at different locations in the fabric, such as at different depths, heights, widths and / or positions. In one embodiment, a method and system comprises a multiple depth / height / width transducer system configured to provide ultrasound treatment to one or more regions of interest, such as between at least one depth of treatment region of interest, a surface region of interest and / or a subcutaneous region of interest. In one embodiment, a method and system comprises a transducer system configured to provide ultrasound treatment to more than one region of interest, such as between at least two points at various locations (for example, at one or more depths, heights, widths and / or fixed or variable orientations, etc.) in a region of interest in the tissue. Some modalities can divide a beam to focus on two, three, four or more focal points (for example, multiple focal points, multifocal points) for cosmetic treatment areas and / or for imaging in a region of interest in the tissue. The position and / or stippling of the focal points can be positioned axially, laterally or otherwise within the tissue. Some modalities can be configured for spatial control, such as by the location and / or dotting of a focus point, changing the distance from a transducer to a reflecting surface and / or changing the focused or unfocused energy angles in the region of interest and / or configured for temporal control, such as controlling changes in frequency, amplitude of the trigger and transducer timing. In some modalities, the position and / or dithering of multiple treatment zones or focal points is achieved with polarization, phase polarization, biphasic polarization and / or multiphase polarization. In some modalities, the position of multiple treatment zones or focal points with phasing, as in one modality, electrical phasing. As a result, changes in the location of the treatment region, number, shape, size and / or volume of lesions or treatment zones in a region of interest, as well as thermal conditions, can be dynamically controlled over time.
[0013] [0013] According to various modalities, a system and / or method of cosmetic ultrasonic treatment can create multiple cosmetic treatment zones with the use of one or more among frequency modulation, phase modulation, polarization, non-linear and / or transformed acoustics Fourier to create any periodic spatial pattern with one or multiple ultrasound portions. In one embodiment, a system delivers, simultaneously or sequentially, single or multiple treatment zones using polarization on a ceramic level. In one embodiment, a polarization pattern is a function of focal depth and frequency and the use of odd or even functions. In one embodiment, a polarization pattern that can be a combination of odd or even functions, is applied and is based on frequency and / or depth. In one embodiment, a process can be used in two or more dimensions to create any periodic spatial pattern. In one embodiment, an ultrasound beam is split axially and sideways to significantly reduce treatment time through the use of nonlinear acoustics and Fourier transform. In one embodiment, the modulation of a system and the amplitude modulation of a ceramic or transducer can be used to place multiple treatment zones on the tissue, sequentially or simultaneously.
[0014] [0014] In one embodiment, an image and aesthetic treatment system includes an ultrasonic probe that includes an ultrasound transducer configured to apply ultrasonic therapy to the tissue in a plurality of locations at a focal depth with electronic dotting of multiple energy beam openings with frequency modulation. In one embodiment, the system includes a control module coupled to the ultrasonic probe to control the ultrasound transducer.
[0015] [0015] In one embodiment, the system includes dithering configured to provide variable spacing between a plurality of individual cosmetic treatment zones. In one embodiment, a sequence of individual cosmetic treatment zones has a treatment spacing in a range of about 0.01 mm to about 25 mm (for example, 1 mm, 1.5 mm, 2 mm, 2.5 mm mm, 3 mm, 5 mm, 10 mm, 20 mm and any value ranges within them), with a spacing change in spacing of 1 to 50% (for example, 1%, 5%, 10%, 15% , 20%, 25%, 30%, 35%, 40%, 45%, 50% and any range among them). In one embodiment, a sequence of individual cosmetic treatment zones has a treatment spacing in a range of about 0.01 mm to about 100 mm (for example, 1 mm, 1.5 mm, 2 mm, 2.5 mm mm, 3 mm, 5 mm, 10 mm, 20 mm, 25 mm, 30 mm, 35 mm, 40 mm, 45 mm, 50 mm, 60 mm, 70 mm, 80 mm, 90 mm and 100 mm and any ranges of value among them), with a change in dot spacing from 1 to 50% (for example, 1%, 5%, 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45 %, 50% and any range among them).
[0016] [0016] In one embodiment, the system also includes a movement mechanism configured to be programmed to provide constant or variable spacing between the plurality of individual cosmetic treatment zones. In one embodiment, a sequence of individual cosmetic treatment zones has a treatment spacing in a range of about 0.01 mm to about 50 mm (for example, 0.1, 0.5, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 15, 19, 20, 25, 30, 35, 40, 45, 49 mm or any range or value among them). In one embodiment, a sequence of individual cosmetic treatment zones has a treatment spacing in a range of about 0.01 mm to about 100 mm (for example, 0.1, 0.5, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 15, 20, 25, 30, 35, 40, 50, 100 mm or any range or value among them). In one embodiment, treatment zones are provided over a distance of about 25 mm. In one embodiment, the treatment zones are provided over a distance of about 50 mm. In various modalities, the treatment zones are provided over a distance of 5 mm to 100 mm (for example, 10 mm, 20 mm, 25 mm, 35 mm, 50 mm, 75 mm, 100 mm and any quantities or ranges treatment zones are provided along a linear and / or curved distance.
[0017] [0017] For example, in some non-limiting modalities, the transducers can be configured for a tissue depth of 0.5 mm, 1.0 mm, 1.5 mm, 2 mm, 3 mm, 4.5 mm, 6 mm, less than 3 mm, between 0.5 mm and 5 mm, between 1.5 and 4.5 mm, more than 4.5 mm, more than 6 mm and at any depth in the 0.1 mm ranges to 3 mm, 0.1 mm to 4.5 mm, 0.1 mm to 25 mm, 0.1 mm to 100 mm and any depths within them (for example, 6 mm, 10 mm, 13 mm, 15 mm , 17 mm). In various embodiments, the tissue is treated at a depth below the skin's surface and the skin's surface is not damaged. Instead, the therapeutic effect achieved at depth below the skin's surface results in a favorable cosmetic appearance of the skin's surface. In other embodiments, the skin surface is treated with ultrasound (for example, at a depth of less than 0.5 mm).
[0018] [0018] A benefit of a movement mechanism is that it can provide a more efficient, accurate and accurate use of an ultrasound transducer, for imaging and / or therapy purposes. An advantage that this type of movement mechanism has over conventional fixed arrays of several transducers fixed in space in a housing is that the fixed arrays are at a fixed distance. In one embodiment, the transducer module is configured to provide acoustic power from ultrasonic therapy in a range between about 1 W to about 100 W or 100 W to
[0019] [0019] In several modalities, an ultrasonic treatment system to dot multiple simultaneous focus points from an ultrasound transducer includes an ultrasonic probe and a control module coupled to the ultrasonic probe to control the ultrasound transducer. The ultrasonic probe includes an ultrasound transducer with a unique transduction element adapted to simultaneously apply ultrasonic therapy to tissue in a plurality of locations spaced at a focal depth. The ultrasound transducer is polarized with at least a first polarization configuration and a second polarization configuration. The control module modifies the spacing between the spaced locations by dithering a first focal zone and a second focal zone, so that dithering by modulating a frequency accurately moves a position from a focus point the beam at spaced locations.
[0020] [0020] In one embodiment, the plurality of locations is positioned in a linear sequence within a cosmetic treatment zone, in which the spaced locations are separated with dotted spacing through a frequency oscillation. In a modality, a first set of locations is positioned within a first cosmetic treatment zone and a second set of locations is positioned within a second cosmetic treatment zone, the first zone being different from the second zone. ultrasound transducer is adapted to apply ultrasonic therapy using amplitude modulation, in which a plurality of portions of the ultrasound transducer is adapted to emit ultrasonic therapy in a plurality of amplitudes of acoustic intensity, in which a first amplitude is different from an second amplitude. In one embodiment, at least a portion of the ultrasonic transducer is adapted to emit ultrasonic therapy at two or more amplitudes of acoustic intensity, and in which the amplitude of ultrasonic therapy emitted by at least a portion of the piezoelectric varies over time. In one embodiment, the ultrasound transducer comprises piezoelectric material and the plurality of portions of the ultrasound transducer is adapted to create a plurality of corresponding variations in piezoelectric material in response to an electric field applied to the ultrasound transducer. In one embodiment, the plurality of variations of piezoelectric material comprises at least one among expansion of the piezoelectric material and contraction of the piezoelectric material. In one embodiment, the ultrasound transducer is adapted to apply ultrasonic therapy by means of phase shift, in which a plurality of portions of the ultrasound transducer is adapted to deliver ultrasonic therapy in a plurality of phases of acoustic intensity, in which a first phase is different from a second phase. In one embodiment, the plurality of phases comprises discrete phase values. In one embodiment, the ultrasound transducer is adapted to apply ultrasonic therapy using amplitude modulation, in which a plurality of portions of the ultrasound transducer is adapted to deliver ultrasonic therapy in a plurality of acoustic intensity ranges, in which a first amplitude is different from a second amplitude, and applying ultrasonic therapy, in which a plurality of portions of the ultrasound transducer is adapted to deliver ultrasonic therapy in a plurality of phases of acoustic intensity, in which a first phase is different from a second phase. Skin tightening by reducing sagging skin is achieved in some modalities to treat the individual with excessive or loose skin after weight loss, whether a weight loss that occurs naturally or performed surgically.
[0021] [0021] In several modalities, an ultrasonic treatment system for use in cosmetic treatment for dotting multiple simultaneous focal points from an ultrasound transducer includes an ultrasonic probe that includes a control module adapted to modify a spacing between a first zone focal and a second focal zone by means of dithering, a switch that operationally controls an ultrasonic treatment function to provide an ultrasonic treatment and a movement mechanism adapted to direct ultrasonic treatment in at least a pair of simultaneous sequences of individual zones of cosmetic heat treatment and a transducer module adapted to apply ultrasonic therapy. The transducer module is adapted for ultrasonic imaging and ultrasonic treatment. The transducer module is adapted for coupling to the ultrasonic probe. The transducer module includes an ultrasound transducer adapted to apply ultrasonic therapy to tissue in a plurality of locations at a focal depth. The transducer module is adapted to be operationally coupled to at least one of the switch and the movement mechanism. The control module includes a processor and a display to control the transducer module.
[0022] [0022] In one embodiment, the transducer module is adapted to apply ultrasonic therapy using amplitude modulation, in which a plurality of portions of the transducer module is adapted to emit ultrasonic therapy in a plurality of acoustic intensity amplitudes, in which one first amplitude is different from a second amplitude. In one embodiment, the transducer module is adapted to deliver ultrasonic therapy in which a plurality of portions of the transducer module is adapted to deliver ultrasonic therapy in a plurality of phases of acoustic intensity, in which a first phase is different from a second phase.
[0023] [0023] In several modalities, an ultrasonic treatment system for dotting treatment of multiple foci includes a module comprising an ultrasound transducer. The ultrasound transducer is adapted to simultaneously apply ultrasonic therapy to the tissue in a plurality of spaced locations in the tissue, where the module modifies a spacing between the plurality of spaced locations by dithering a first focal area and a second focal zone, so that the dotting by means of modulation of a frequency accurately moves a position of a focus point of the beam in the plurality of spaced places, in which the module also comprises an interface guide designed for coupling removable to a manual stick to provide electronic communication and power between the module and the manual stick.
[0024] [0024] In one embodiment, the ultrasound transducer is adapted to apply ultrasonic therapy using amplitude modulation, in which a plurality of portions of the ultrasound transducer is adapted to deliver ultrasonic therapy in a plurality of amplitudes of acoustic intensity, in that a first amplitude is different from a second amplitude. In one embodiment, the ultrasound transducer is adapted to deliver ultrasonic therapy whereby a plurality of portions of the ultrasound transducer is adapted to deliver ultrasonic therapy in a plurality of phases of acoustic intensity, where a first phase is different from a second phase . In one embodiment, the ultrasound transducer comprises piezoelectric material and the plurality of portions of the ultrasound transducer is adapted to create a plurality of corresponding variations in piezoelectric material in response to an electric field applied to the ultrasound transducer. In one embodiment, at least a portion of the ultrasonic transducer is adapted to emit ultrasonic therapy at two or more amplitudes of acoustic intensity, and in which the amplitude of the ultrasonic therapy emitted by at least a portion of the ultrasonic transducer remains constant over time. In one modality, the ultrasonic treatment is at least one of a facial facelift, a frontal facelift, a chin facelift, an eye treatment (for example, malar bag, treats infraorbital flaccidity), a reduction of wrinkles, an neckline, a buttock lift, a reduction of scars, a burn treatment, a tattoo removal, a skin tightening (for example, treatment of abdominal flaccidity or skin tightening in other areas of the body and face, such as any excess skin or tissue, such as during or after weight loss, such as, for example, abdomen, buttocks, thighs, arms and other areas), a removal of veins, a reduction of a vein, a treatment in a sweat gland, a hyperhidrosis treatment, sunscreen removal, fat treatment, vaginal rejuvenation and acne treatment.
[0025] [0025] In several modalities, a method of dotting simultaneous focused ultrasound treatment beams includes the provision of an ultrasonic probe comprising an ultrasound transducer comprising a single transduction element adapted to simultaneously apply ultrasonic therapy to the tissue in a plurality of locations spaced at a focal depth and a control module coupled to the ultrasonic probe to control the ultrasound transducer and dot spacing between the spaced locations of a first focal zone and a second focal zone by modulating a frequency to move a position from an ultrasound focus point to spaced locations.
[0026] [0026] In one embodiment, the method includes imaging the first focal zone with an ultrasound image element. In one embodiment, the method includes imaging the second focal zone with an ultrasound image element. In one embodiment, the spacing between the first focal zone and the second focal zone is dotted in a range between 1 and 50%. In one embodiment, the spacing between the first focal zone and the second focal zone is 1.5 mm and is 0.1 mm. In one mode, the frequency modulation is in a range between 1 and 50%.
[0027] [0027] In various modalities, a method of stipulating a focused ultrasound beam includes providing an ultrasonic probe comprising a single transduction element and a control module, in which the single transduction element is adapted to apply ultrasonic therapy to the tissue in a focal zone at a focal depth, where the control module is coupled to the ultrasonic probe to control the single transduction element and dot the focal zone by modulating a frequency to change a size of the focal zone in the tissue .
[0028] [0028] In one mode, the relative position of the focal zone is dotted in a range between 1 and 50%. In one embodiment, a second focal zone is emitted simultaneously from the single transduction element. In one embodiment, the method includes generating images of the focal zone with an ultrasound image element. In one mode, the frequency modulation is in a range between 1 and 50%.
[0029] [0029] In several modalities, an ultrasonic treatment system to create multiple focal points and different depths with an ultrasound transducer, includes an ultrasonic probe that comprises an ultrasound transducer configured to apply ultrasound therapy to the tissue in a plurality of locations with at least two focal depths with at least one of the group consisting of amplitude modulation polarization and phase shift, a movement mechanism configured to be programmed to provide spacing between the plurality of individual cosmetic treatment zones; where a sequence of individual cosmetic treatment zones has a treatment spacing in a range of 1 mm to 50 mm and a control module coupled to the ultrasonic probe to control the ultrasound transducer, where the ultrasonic transducer is configured to provide a acoustic power of ultrasonic therapy in a range between 10W and 1,000W and a frequency of 1 MHz to 20 MHz to thermally heat the tissue to cause coagulation. In one embodiment, the plurality of locations is positioned in a substantially linear sequence within a cosmetic treatment zone and the ultrasound transducer comprises a single ultrasound transduction element. In one embodiment, a first set of locations is positioned within a first cosmetic treatment zone and a second set of locations is positioned within a second cosmetic treatment zone, the first zone being different from the second zone. In one embodiment, the first cosmetic treatment zone comprises a substantially linear sequence of the first set of sites and the second cosmetic treatment zone comprises a substantially linear sequence of the second set of sites. In one embodiment, the ultrasound transducer is adapted to apply ultrasonic therapy using amplitude modulation, in which a plurality of portions of the ultrasound transducer is configured to deliver ultrasonic therapy in a plurality of amplitudes of acoustic intensity, in which a first amplitude is different from a second amplitude.
[0030] [0030] In one embodiment, the ultrasound transducer is configured to apply phase shift of ultrasonic therapy, in which a plurality of portions of the ultrasound transducer is configured to emit ultrasonic therapy in a plurality of phases of acoustic intensity, in which one first stage is different from a second stage.
[0031] [0031] In various modalities, treatment system to create multiple focal points simultaneously at different depths with an ultrasound transducer, the system includes an ultrasonic probe with a first switch that operationally controls an ultrasonic imaging function to provide an ultrasonic image, a second switch that operationally controls an ultrasonic treatment function to provide an ultrasonic treatment and a movement mechanism configured to direct the ultrasonic treatment in at least one sequence of individual cosmetic heat treatment zones and a transducer module configured for apply ultrasonic therapy with at least one of the group consisting of amplitude modulation polarization and phase displacement, in which the transducer module is configured for ultrasonic imaging and ultrasonic treatment, in which the transducer module is configured for coupling to the ultrasonic probe , in that the transducer module comprises an ultrasound transducer configured to apply ultrasonic therapy to the tissue in a plurality of locations with at least two focal depths, where the transducer module is configured to be operatively coupled to at least one of the first switch, the second switch and the movement mechanism; and a control module, wherein the control module comprises a processor and a display for controlling the transducer module.
[0032] [0032] In one embodiment, ultrasonic treatment is a cosmetic treatment, in which the plurality of locations is positioned in a substantially linear sequence within a cosmetic treatment zone.
[0033] [0033] In several modalities, a treatment system to provide simultaneous treatment at multiple depths, the system includes a control device that operationally controls an ultrasonic treatment function to provide an ultrasonic treatment; and a manual stick configured to target ultrasonic treatment in a sequence of individual cosmetic heat treatment zones, the manual stick includes a transducer configured to apply ultrasonic therapy to tissue at a location at a focal depth, the location positioned within a zone of thermal cosmetic treatment, in which the transducer is further configured to simultaneously apply ultrasonic therapy to the tissue in a plurality of locations at the focal depth.
[0034] [0034] In several modalities, a method to perform a non-invasive cosmetic procedure on the skin, creating multiple simultaneous focal points at multiple depths with a single transducer, the method includes the coupling of a transducer module with an ultrasonic probe; wherein the ultrasonic probe comprises a first switch to control the acoustic image; wherein the ultrasonic probe comprises a second switch for controlling acoustic therapy to cause a plurality of individual cosmetic treatment zones; wherein the ultrasonic probe comprises a movement mechanism to provide the desired spacing between the individual cosmetic treatment zones; placing the transducer module in contact with a subject's skin surface; activate the first switch on the ultrasonic probe to generate acoustic images, with the transducer module, of a region below the skin surface; and activate the second switch on the ultrasonic probe to acoustically treat, with the transducer module, the region below the skin surface in a desired sequence of individual cosmetic treatment zones that is controlled by the movement mechanism, in which the transducer module comprises a single ultrasound transducer configured to apply ultrasonic therapy to tissue at a plurality of focal depths.
[0035] [0035] In several modalities, an ultrasound treatment system to create multiple focal points simultaneously at multiple depths in the tissue with an ultrasound transducer, the system includes a control device that operationally controls an ultrasonic treatment function to provide an ultrasonic treatment; and a manual stick configured to target ultrasonic treatment in a sequence of individual cosmetic heat treatment zones, the manual stick comprising: a transducer configured to apply ultrasonic therapy to tissue in a plurality of locations at a focal depth.
[0036] [0036] In several modalities, an imaging and treatment system for use in cosmetic treatment at multiple depths in the tissue, the system includes an ultrasonic probe configured for ultrasonic imaging and ultrasonic treatment of tissue in a plurality of focal depths, including a transducer module configured to couple with the ultrasonic probe, in which the transducer module comprises an ultrasound transducer configured to apply an ultrasonic therapy to the tissue in the plurality of locations at the focal depth, a first switch that operationally controls an ultrasonic imaging function for provide an ultrasonic image; a second switch that operationally controls an ultrasonic treatment function to provide ultrasonic therapy; and a movement mechanism configured to direct the ultrasonic treatment in at least one sequence of individual cosmetic heat treatment zones; and wherein the transducer module is configured to be operationally coupled to at least one of the first switch, the second switch and the movement mechanism; and a control module, wherein the control module comprises a processor and a display for controlling the transducer module.
[0037] [0037] In one embodiment, the plurality of locations is positioned in a substantially linear sequence within a cosmetic treatment zone. In one embodiment, a first set of locations is positioned within a first cosmetic treatment zone and a second set of locations is positioned within a second cosmetic treatment zone, the first zone being different from the second zone.
[0038] [0038] In several modalities, an ultrasound treatment system with multiple foci for simultaneous treatment at multiple depths, the system includes a control device that operationally controls an ultrasonic treatment function to provide an ultrasonic treatment; and a manual stick configured to target ultrasonic treatment in a sequence of individual cosmetic heat treatment zones, the manual stick includes a transducer configured to apply ultrasonic therapy to tissue at a location at a focal depth, the location positioned within a zone of thermal cosmetic treatment, in which the transducer is further configured to apply ultrasonic therapy to the tissue simultaneously in a plurality of locations at the focal depth.
[0039] [0039] In several modalities, a simultaneous multiple focus imaging and treatment system at multiple depths, including a module comprising an ultrasound transducer, in which the ultrasound transducer is configured to apply ultrasonic therapy to tissue at a plurality of depths focal points with at least one of the group consisting of amplitude modulation polarization and phase shift, in which the module also comprises an interface guide designed for removable coupling to a manual pole to provide electronic communication and power between the module and the manual stick.
[0040] [0040] In one embodiment, the plurality of locations is positioned in a substantially linear sequence within a cosmetic treatment zone. In one embodiment, a first set of locations is positioned within a first cosmetic treatment zone and a second set of locations is positioned within a second cosmetic treatment zone, the first zone being different from the second zone. In one embodiment, the first cosmetic treatment zone comprises a substantially linear sequence of the first set of sites and the second cosmetic treatment zone comprises a substantially linear sequence of the second set of sites. In one embodiment, the ultrasound transducer is adapted to apply ultrasonic therapy using amplitude modulation, in which a plurality of portions of the ultrasound transducer is adapted to deliver ultrasonic therapy in a plurality of acoustic intensity ranges, in which a first amplitude is different from a second amplitude. In one embodiment, the ultrasound transducer is configured to apply the phase shift of ultrasonic therapy in which a plurality of portions of the ultrasound transducer is configured to emit ultrasonic therapy in a plurality of phases of acoustic intensity, where a first phase is different from a second phase. In one embodiment, the ultrasound transducer is configured to apply ultrasonic therapy using amplitude modulation, in which a plurality of portions of the ultrasound transducer is configured to deliver ultrasonic therapy in a plurality of acoustic amplitudes, in which a first amplitude is different from a second amplitude; and applying ultrasonic therapy phase shift in which a plurality of portions of the ultrasound transducer is configured to emit ultrasonic therapy in a plurality of phases of acoustic intensity, in which a first phase is different from a second phase.
[0041] [0041] In several modalities, a treatment system for simultaneous treatment at multiple depths, the system comprises: a control device that operationally controls an ultrasonic treatment function to provide an ultrasonic treatment; and a manual stick configured to target ultrasonic treatment in a sequence of individual cosmetic heat treatment zones, the manual stick includes a transducer configured to simultaneously apply ultrasonic therapy to tissue in a plurality of locations at a focal depth.
[0042] [0042] In several modalities, a non-invasive method to simultaneously perform a cosmetic procedure at multiple depths that is not performed by a doctor, the method includes attaching a transducer module to an ultrasonic probe; wherein the transducer module comprises an ultrasound transducer configured to apply ultrasonic therapy to the tissue in a plurality of locations at a focal depth with at least one of the group consisting of amplitude modulation polarization and phase shift, in which the ultrasonic probe comprises a first switch for controlling the acoustic image; wherein the ultrasonic probe comprises a second switch for controlling acoustic therapy to cause a plurality of individual cosmetic treatment zones; wherein the ultrasonic probe comprises a movement mechanism to provide the desired spacing between the individual cosmetic treatment zones; placing the transducer module in contact with a subject's skin surface; activate the first switch on the ultrasonic probe to generate acoustic images, with the transducer module, of a region below the skin surface; and activate the second switch on the ultrasonic probe to acoustically treat, with the transducer module, the region below the skin surface in a desired sequence of individual cosmetic treatment zones that is controlled by the movement mechanism.
[0043] [0043] In various modalities, an ultrasound treatment system to dot multiple simultaneous focus points from an ultrasound transducer at multiple depths includes an ultrasonic probe comprising an ultrasound transducer with a single transduction element adapted to apply simultaneously ultrasonic tissue therapy at a plurality of spaced focal depths, where the ultrasound transducer is polarized with at least a first polarization configuration and a second polarization configuration, a control module coupled to the ultrasonic probe to control the ultrasound transducer , in which the control module modifies the spacing between the spaced locations by dithering a first focal zone and a second focal zone, so that the dithering by modulating a frequency accurately moves a position of a beam focus point at widely spaced locations.
[0044] [0044] In one embodiment, the plurality of locations is positioned in a linear sequence within a cosmetic treatment zone, in which the spaced locations are separated with dotted spacing by means of a frequency oscillation. In a modality, a first set of locations is positioned within a first cosmetic treatment zone and a second set of locations is positioned within a second cosmetic treatment zone, the first zone being different from the second zone. ultrasound transducer is adapted to apply ultrasonic therapy using amplitude modulation, in which a plurality of portions of the ultrasound transducer is adapted to emit ultrasonic therapy in a plurality of amplitudes of acoustic intensity, in which a first amplitude is different from an second amplitude. In one embodiment, at least a portion of the ultrasonic transducer is adapted to emit ultrasonic therapy at two or more amplitudes of acoustic intensity, and in which the amplitude of ultrasonic therapy emitted by at least a portion of the piezoelectric varies over time.
[0045] [0045] In various modalities, an ultrasound treatment system for use in cosmetic treatment for dotting multiple simultaneous focal points at multiple depths from an ultrasound transducer, the system includes an ultrasonic probe with a control module adapted to modify a spacing between a first focal zone and a second focal zone by means of dithering, a switch that operationally controls an ultrasonic treatment function to provide an ultrasonic treatment; and a movement mechanism adapted to direct the ultrasonic treatment in at least a pair of simultaneous sequences of individual cosmetic heat treatment zones; and a transducer module adapted to apply ultrasonic therapy, in which the transducer module is adapted for ultrasonic imaging and ultrasonic treatment, in which the transducer module is adapted to be coupled to the ultrasonic probe, in which the transducer module comprises a transducer of ultrasound adapted to apply ultrasound therapy to tissue in a plurality of locations with at least two focal depths, where the transducer module is adapted to be operationally coupled to at least one of the switch and the movement mechanism; and wherein the control module comprises a processor and a display for controlling the transducer module.
[0046] [0046] In one embodiment, the transducer module is adapted to apply ultrasonic therapy using amplitude modulation, in which a plurality of portions of the transducer module is adapted to deliver ultrasonic therapy in a plurality of acoustic intensity ranges,
[0047] [0047] In various modalities, an ultrasound treatment system to dot the simultaneous treatment of multiple foci at a plurality of depths includes a module comprising an ultrasound transducer, in which the ultrasound transducer is adapted to apply simultaneously the ultrasonic tissue therapy at a plurality of spaced depths in the tissue, in which the module modifies a spacing between the plurality of spaced depths by dithering a first focal zone and a second focal zone, so that the dithering by means of modulation of a frequency, accurately move a position of a beam focus point in the plurality of spaced depths, in which the module also comprises an interface guide designed for removable coupling to a manual rod to provide electronic communication and power between the module and the manual stick.
[0048] [0048] In one embodiment, the ultrasound transducer is adapted to apply ultrasonic therapy using amplitude modulation, in which a plurality of portions of the ultrasound transducer is adapted to deliver ultrasonic therapy in a plurality of amplitudes of acoustic intensity, in that a first amplitude is different from a second amplitude. In one embodiment, the ultrasound transducer is adapted to deliver ultrasonic therapy, in which a plurality of portions of the ultrasound transducer is adapted to deliver ultrasonic therapy in a plurality of phases of acoustic intensity, where a first phase is different from a second phase. In one embodiment, the ultrasound transducer comprises piezoelectric material and the plurality of portions of the ultrasound transducer is adapted to create a plurality of corresponding variations in piezoelectric material in response to an electric field applied to the ultrasound transducer. In one embodiment, at least a portion of the ultrasonic transducer is adapted to emit ultrasonic therapy at two or more amplitudes of acoustic intensity, and in which the amplitude of the ultrasonic therapy emitted by at least a portion of the ultrasonic transducer remains constant over time. In one modality, the ultrasonic treatment is at least one of a facial facelift, a frontal facelift, a chin facelift, an eye treatment, a wrinkle reduction, a cleavage improvement, a buttock lift, a scar reduction, a burn treatment, a tattoo removal, a skin tightening, a vein removal, a vein reduction, a sweat gland treatment, a hyperhidrosis treatment, a sunspot removal, a fat treatment, a treatment cellulite treatment, abdominal flaccidity treatment, vaginal rejuvenation and acne treatment.
[0049] [0049] In several modalities, a method of dotting ultrasound treatment beams focused simultaneously at a plurality of depths, includes providing an ultrasonic probe comprising an ultrasound transducer comprising a single transduction element adapted to apply simultaneously to ultrasonic tissue therapy in a plurality of locations spaced at a plurality of focal depths and a control module coupled to the ultrasonic probe to control the ultrasound transducer and dot the spacing between the spaced locations of a first focal zone and a second focal zone by means of modulating a frequency to move a position from a focus point of the ultrasound to spaced locations.
[0050] [0050] In one mode, the method also includes the generation of images of the first focal zone with an ultrasound image element. In one embodiment, the method also includes generating images of the second focal zone with an ultrasound image element. In one embodiment, the spacing between the first focal zone and the second focal zone is dotted in a range between 1 and 50%. In one embodiment, the spacing between the first focal zone and the second focal zone is 1.5 mm and is 0.1 mm. In one mode, the frequency modulation is in a range between 1 and 50%. In one modality, the ultrasound treatment is at least one of a facial facelift, a frontal facelift, a chin facelift, an eye treatment, a wrinkle reduction, a cleavage improvement, a buttock lift, a scar reduction , a burn treatment, a tattoo removal, a skin tightening, a vein removal, a vein reduction, a sweat gland treatment, a hyperhidrosis treatment, a sunspot removal, a fat treatment, a vaginal rejuvenation, an abdominal sagging treatment and an acne treatment.
[0051] [0051] In several modalities, a simultaneous dotting method of an ultrasound beam focused at multiple depths includes providing an ultrasonic probe comprising a single transduction element and a control module, in which the single transduction element is adapted to apply ultrasonic tissue therapy in a focal zone at a focal depth, where the control module is coupled to the ultrasonic probe to control the single transduction element and dot the focal zone by modulating a frequency to change a size of the focal zone on the fabric.
[0052] [0052] In one mode, the relative position of the focal zone is dotted in a range between 1 and 50%. In one embodiment, a second focal zone is emitted, simultaneously, from the single transduction element. In one mode, the frequency modulation is in a range between 1 and 50%. In one embodiment, the system is designed to function non-invasively to treat tissues. In one embodiment, the method works non-invasively to treat tissues.
[0053] [0053] In various modalities, an ultrasound treatment system to provide simultaneous treatment of multiple foci at a plurality of depths with an electrostrictor includes a module comprising an ultrasound transducer, in which the ultrasound transducer is adapted to apply simultaneously , the ultrasonic therapy to the tissue in a plurality of depths spaced in the tissue with the application of an electrostrictor, in which the module modifies a spacing between the plurality of depths spaced by dithering a first focal zone and a second focal zone, from so that the stippling by means of modulation of a frequency accurately moves a position of a beam focus point in the plurality of spaced depths, in which the module also comprises an interface guide designed for removable coupling to a rod manual to provide electronic communication and power between the module and the manual pole.
[0054] [0054] In one embodiment, the ultrasound transducer is adapted to apply ultrasonic therapy using amplitude modulation, in which a plurality of portions of the ultrasound transducer is adapted to emit ultrasonic therapy in a plurality of acoustic intensity ranges, in that a first amplitude is different from a second amplitude. In one embodiment, the ultrasound transducer is adapted to deliver ultrasonic therapy, in which a plurality of portions of the ultrasound transducer is adapted to deliver ultrasonic therapy in a plurality of phases of acoustic intensity, where a first phase is different from a second phase. In one embodiment, the ultrasound transducer comprises piezoelectric material and the plurality of portions of the ultrasound transducer is adapted to create a plurality of corresponding variations in piezoelectric material in response to an electric field applied to the ultrasound transducer. In one embodiment, at least a portion of the ultrasonic transducer is adapted to emit ultrasonic therapy at two or more amplitudes of acoustic intensity, and in which the amplitude of the ultrasonic therapy emitted by at least a portion of the ultrasonic transducer remains constant over time. In one modality, the ultrasonic treatment is at least one of a facial facelift, a frontal facelift, a chin facelift, an eye treatment, a wrinkle reduction, a cleavage improvement, a buttock lift, a scar reduction, a burn treatment, a tattoo removal, a skin tightening, a vein removal, a vein reduction, a sweat gland treatment, a hyperhidrosis treatment, a sunspot removal, a fat treatment, a treatment cellulite treatment, abdominal flaccidity treatment, vaginal rejuvenation and acne treatment.
[0055] [0055] In several modalities, an ultrasound treatment system is provided with one or more of the attributes described in the description. In several modalities, a method is provided to reduce image misalignment in a moving ultrasound transducer, with one or more of the attributes described in the description. In several embodiments, an ultrasound treatment system is provided to produce multiple simultaneous focus points from an ultrasound transducer with one or more of the attributes described in the description. In several embodiments, an ultrasound treatment system is provided to provide treatment of multiple foci with one or more of the attributes described in the description. In various modalities, an ultrasound treatment module is provided for use in cosmetic treatment to form multiple focal zones simultaneously from an ultrasound transducer with one or more of the attributes described in the description. In several modalities, a method is provided to generate simultaneous focused ultrasound treatment beams using a multichannel signal mix with one or more of the attributes described in the description. In various embodiments, a method is provided to generate focused focused ultrasound beams with one or more of the attributes described in the description.
[0056] [0056] In several of the modalities described in this document, the procedure is entirely cosmetic and not a medical act. For example, in one embodiment, the methods described in this document need not be performed by a doctor, but in a spa or other beauty institute. In some embodiments, a system can be used for non-invasive cosmetic treatment of the skin.
[0057] [0057] The methods summarized above and set out in more detail below describe certain actions performed by a professional; however, it must be understood that they may also include the instruction of these actions by another party. Thus, actions, such as "dotting a beam of energy" include "instructing the dotting of a beam of energy".
[0058] [0058] In some modalities, the system comprises several resources that are present as unique attributes (as opposed to several attributes). For example, in one embodiment, the system includes a single transduction element that produces two simultaneous treatment focus points that are stippled. Multiple attributes or components are provided in alternative modalities. In various modalities, the system comprises, consists essentially of, or consists of, one, two, three or more modalities of any attributes or components disclosed in this document. In some embodiments, an attribute or component is not included and can be negatively waived from a specific claim, so that the system does not have that resource or component.
[0059] [0059] In addition, the areas of applicability will become evident from the description provided in this document. It should be understood that the specific description and examples are for illustrative purposes only and are not intended to limit the scope of the modalities disclosed in this document. BRIEF DESCRIPTION OF THE DRAWINGS
[0060] [0060] The drawings described in this document are for illustrative purposes only and are not intended to limit the scope of this disclosure in any way. The modalities of the present invention will become more fully understood from the detailed description and the accompanying drawings, in which:
[0061] [0061] Figure 1A is a schematic illustration of an ultrasound system according to various modalities of the present invention.
[0062] [0062] Figure 1B is a schematic illustration of an ultrasound system according to various modalities of the present invention.
[0063] [0063] Figure 1C is a schematic illustration of an ultrasound system according to various modalities of the present invention.
[0064] [0064] Figure 2 is a schematic illustration of an ultrasound system coupled to a region of interest according to various modalities of the present invention.
[0065] [0065] Figure 3 is a schematic illustration of a portion of a transducer according to various embodiments of the present invention.
[0066] [0066] Figure 4 is a side view in partial section of an ultrasound system according to various modalities of the present invention.
[0067] [0067] Figure 5 is a table illustrating the separation of foci for openings with different spatial frequencies according to various modalities of the present invention.
[0068] [0068] Figure 6 is a graph that illustrates the separation of foci for openings with different spatial opening frequencies according to various modalities of the present invention.
[0069] [0069] Figure 7 is a graph that illustrates the separation of foci for openings with different spatial opening frequencies according to various modalities of the present invention.
[0070] [0070] Figure 8 is a schematic representation of the opening polarization with a spatial frequency that can be modified by exciting channels according to various modalities of the present invention.
[0071] [0071] Figure 9 is a schematic representation of a polished ceramic with a spatial frequency that can be modified by exciting channels covering two polarized areas of the ceramic according to various modalities of the present invention.
[0072] [0072] Figure 10 is a schematic representation of a matrix transducer modality with an image transducer.
[0073] [0073] Figure 11 are schematic views of a transducer as seen from a convex side, lateral cross-section and concave side according to various modalities of the present invention.
[0074] [0074] Figure 12 is a schematic view of a transducer as seen from a convex side, lateral cross-section and concave side according to various modalities of the present invention.
[0075] [0075] Figure 13 are schematic views of a transducer as seen from a convex side, lateral cross-section and concave side according to various modalities of the present invention.
[0076] [0076] Figure 14 are schematic views of a transducer as seen from a convex side, lateral cross-section and concave side according to various modalities of the present invention.
[0077] [0077] Figure 15 are schematic views of a transducer as seen from a convex side, lateral cross-section and concave side according to various modalities of the present invention.
[0078] [0078] Figure 16 are schematic views of a transducer as seen from a convex side, lateral cross-section and concave side according to various modalities of the present invention.
[0079] [0079] Figure 17 is a schematic view of a transducer as seen from a convex side and a concave side, according to various embodiments of the present invention.
[0080] [0080] Figure 18 is a schematic view of multiple zones of thermal coagulation at various depths produced by a transducer according to various modalities of the present invention.
[0081] [0081] Figure 19 is a schematic view of an x-z plane of the multiple thermal coagulation zones at various depths produced by a transducer according to Figure 18.
[0082] [0082] Figure 20 is a schematic view of a y-z plane of the multiple thermal coagulation zones at various depths produced by a transducer according to Figure 18.
[0083] [0083] Figure 21 is a schematic view of multiple zones of thermal coagulation at various depths produced by a transducer according to various modalities of the present invention.
[0084] [0084] Figure 22 is a schematic view of an x-z plane of the multiple thermal coagulation zones at various depths produced by a transducer according to Figure 21.
[0085] [0085] Figure 23 is a schematic view of a y-z plane of the multiple thermal coagulation zones at various depths produced by a transducer according to Figure 21.
[0086] [0086] Figure 24 is a schematic view of multiple zones of thermal coagulation at various depths produced by a transducer according to various modalities of the present invention.
[0087] [0087] Figure 25 is a schematic view of an x-z plane of the multiple thermal coagulation zones at various depths produced by a transducer according to Figure 24.
[0088] [0088] Figure 26 is a schematic view of a y-z plane of the multiple thermal coagulation zones at various depths produced by a transducer according to Figure 24.
[0089] [0089] Figure 27 is a schematic view of multiple zones of thermal coagulation at various depths produced by a transducer according to various modalities of the present invention.
[0090] [0090] Figure 28 is a schematic view of an x-z plane of the multiple thermal coagulation zones at various depths produced by a transducer according to Figure 27.
[0091] [0091] Figure 29 is a schematic view of a y-z plane of the multiple thermal coagulation zones at various depths produced by a transducer according to Figure 27.
[0092] [0092] Figure 30 is a schematic view of a transducer as seen from a convex side and a concave side according to various embodiments of the present invention.
[0093] [0093] Figure 31 is a schematic view of multiple zones of thermal coagulation at various depths produced by a transducer according to various modalities of the present invention.
[0094] [0094] Figure 32 is a schematic view of an x-z plane of the multiple thermal coagulation zones at various depths produced by a transducer according to Figure 31.
[0095] [0095] Figure 33 is a schematic view of a y-z plane of the multiple thermal coagulation zones at various depths produced by a transducer according to Figure 31.
[0096] [0096] Figure 34 is a schematic view of multiple zones of thermal coagulation at various depths produced by a transducer according to various modalities of the present invention.
[0097] [0097] Figure 35 is a schematic view of an x-z plane of the multiple thermal coagulation zones at various depths produced by a transducer according to Figure 34.
[0098] [0098] Figure 36 is a schematic view of a y-z plane of the multiple thermal coagulation zones at various depths produced by a transducer according to Figure 34.
[0099] [0099] Figure 37 is a graph that illustrates the amplitude and the direct current corresponding to the foci of the focal plane produced by a transducer according to various modalities of the present invention. DETAILED DESCRIPTION
[0100] [0100] The following description sets out examples of modalities, and is not intended to limit the present invention or its teachings, applications or uses. It should be understood that, throughout the drawings, the corresponding numerical references indicate equal or corresponding parts and attributes. The description of specific examples indicated in various embodiments of the present invention is for illustrative purposes only and is not intended to limit the scope of the invention disclosed in this document. In addition, the citation of several modalities with declared attributes is not intended to exclude other modalities with additional attributes or other modalities that incorporate different combinations of the declared attributes. In addition, attributes in one modality (such as a figure) can be combined with descriptions (and figures) of other modalities.
[0101] [0101] In various modalities, systems and methods for ultrasound tissue treatment are adapted and / or configured to provide cosmetic treatment. In some embodiments, devices and methods for directing ultrasound therapy to a single focus point or multiple focus points simultaneously, using ultrasound images to confirm sufficient acoustic coupling to a treatment area to improve performance or provide an improved correlation between the movement in a first and second direction when forming images in cosmetic and / or medical procedures are provided in several modalities. In various modalities, as used in this document, "simultaneous" refers to the occurrence at the same time or with a time difference of less than 1 ms, 0.5 ms, 0.1 ms, 0.05 ms or 0.01 ms . In various modalities, the tissue below or even on the skin surface, such as epidermis, dermis, fascia, muscle, fat and superficial musculo-aponeurotic system ("SMAS"), are treated non-invasively with ultrasound energy. Ultrasound energy can be focused on one or more points and / or treatment zones, it can be unfocused and / or blurred and can be applied to a region of interest that contains at least one of the epidermis, dermis, hypodermis, fascia, muscle, fat, cellulite and SMAS to achieve a cosmetic and / or therapeutic effect. In various modalities, systems and / or methods provide non-invasive skin treatment through thermal treatment, coagulation, ablation and / or stiffening. In various modalities disclosed in this document, non-invasive ultrasound is used to achieve one or more of the following effects: a facial facelift, a frontal facelift, a chin facelift, an eye treatment (for example, malar pouch, treat infraorbital flab) , a wrinkle reduction, fat reduction (for example, adipose and / or cellulite treatment), cellulite treatment (for example, dimpled or non-dimpled female gynoid lipodystrophy), improved neckline (for example, upper thorax), a buttock lift (for example, buttock tightening), a skin sagging treatment (for example, tissue tightening treatment or an abdominal sagging treatment), a reduction of scars, a burn treatment, a tattoo removal, a vein removal, a vein reduction, a sweat gland treatment, a hyperhidrosis treatment, sunspot removal, an acne treatment and a pimple removal. In one embodiment, fat reduction is achieved. In several modalities, the reduction or softening of cellulite (for example, dimpled or non-dimpled gynoid lipodystrophy) of one or more characteristics (such as dimples, nodularity, "orange peel" appearance, etc.) is achieved in about 10 to 20%, 20 to 40%, 40 to 60%, 60 to 80% or higher (as well as overlapping bands), compared to, for example, untreated fabric. In one embodiment, the neckline is treated. in some modalities, two, three or more beneficial effects are achieved during the same treatment session and can be achieved simultaneously.
[0102] [0102] Various embodiments of the present invention relate to devices or methods for controlling the delivery of energy to the tissue. In various modalities, various forms of energy can include acoustics, ultrasound, light, laser, radio frequency (RF), microwave, electromagnetic,
[0103] [0103] In one embodiment, TCPs can be created in a linear or substantially linear, curved or substantially curved zone or sequence, with each individual TCP separated from neighboring TCPs by a treatment spacing. In one embodiment, multiple sequences of TCPs can be created in a treatment region. For example, TCPs can be formed over a first sequence and a second sequence separated by a treatment distance from the first sequence. Although therapeutic ultrasound treatment can be administered by creating individual TCPs in a sequence and sequences of individual TCPs, it may be desirable to reduce the treatment time and the corresponding risk of pain and / or discomfort experienced by a patient. Therapy time can be reduced by forming multiple TCPs simultaneously, almost simultaneously or sequentially. In some modalities, a treatment time can be reduced by 10%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 55%, 60%, 65%, 70%, 75% , 80% or more creating multiple TCPs.
[0104] [0104] Several embodiments of the present invention address potential challenges posed by the administration of ultrasound therapy. In several modalities, the time to perform the formation of TCPs for a desired cosmetic and / or therapeutic treatment for a desired clinical approach in a target tissue is reduced. In various modalities, the target tissue is, but is not limited to, any of the skin, eyelids, eyelashes, eyebrows, caruncula lacrimalis, crow's feet, wrinkles, eyes, nose, mouth (for example, nasolabial fold, perioral wrinkles), tongue , teeth, gums, ears, brain, heart, lungs, ribs, abdomen (for example, for abdominal flaccidity), stomach, liver, kidneys, uterus, breast, vagina, prostate, testicles, glands, thyroid glands, internal organs, hair , muscle, bone, ligaments, cartilage, fat, fat lobes, adipose tissue, subcutaneous tissue, implanted tissue, an implanted organ, lymphoid, a tumor, a cyst, an abscess or a portion of a nerve or any combination thereof.
[0105] [0105] Various modalities of simultaneous ultrasound treatment at various locations in the tissue are described in Order No. US 14 / 193.234, published as Publication No. US 2014/0257145 on September 11, 2014, which is incorporated into this document by way of reference in its entirety. SYSTEM OVERVIEW
[0106] [0106] Referring to the illustration in Figures 1A, 1B and 1C, various modalities of an ultrasound system 20 include a hand stick (eg handpiece) 100, module (eg transducer module, cartridge, probe) 200 and a controller (for example, console) 300. In some embodiments, a console 300 comprises a communication system (for example, wifi, Bluetooth, modem, etc. to communicate with another party, a manufacturer, a supplier, a provider services, the Internet and / or a cloud. In some embodiments, a 301 cart provides mobility and / or system position 20 and may include wheels, surfaces for writing or placing components and / or compartments 302 (for example, drawers, containers , shelves, etc.), for example, to store or organize components. In some embodiments, the car has a power source, such as a power connection to a battery and / or one or more cables to connect power, communications ( eg Ethernet) to system 2 0. In some embodiments, the system 20 comprises a carriage 301. In some embodiments, the system 20 does not comprise a carriage 301. The hand rod 100 can be coupled to the controller 300 by an interface 130, which can be an interface with or without thread. Interface 130 can be coupled to hand pole 100 via connector 145. The distal end of interface 130 can be connected to a controller connector on circuit 345 (not shown). In one embodiment, interface 130 can transmit controllable power from controller 300 to manual stick 100. In one embodiment, system 20 has multiple image channels (for example, 8 channels) for viewing in ultra-clear (high definition) HD structures subcutaneous to improve the image. In one embodiment, the multiple therapy channel system 20 (for example, 8 channels) and a precision linear drive motor that doubles the treatment accuracy while increasing the speed (for example, by 25%, 40%, 50% , 60%, 75%, 100% or more). Together, these attributes establish one of the most versatile system platforms in the industry and provide a foundation for unprecedented future possibilities.
[0107] [0107] In several modalities, the controller 300 can be adapted and / or configured for operation with the hand stick 100 and the module 200, as well as the general functionality of the ultrasound system 20. In several modalities, multiple controllers 300, 300 ', 300 ", etc. can be adapted and / or configured for operation with multiple manual rods 100, 100', 100", etc. and or multiple modules 200, 200 ', 200 ”, etc.
[0108] [0108] In one embodiment, hand stick 100 includes one or more finger-activated controllers or switches, such as 150 and 160. In various embodiments, one or more heat treatment controllers 160 (for example, switch, button) activate and / or interrupt treatment. In various embodiments, one or more image controllers 150 (for example, switch, button) activate and / or interrupt image generation. In one embodiment, hand stick 100 may include a removable module
[0109] [0109] In one embodiment, module 200 can be coupled with manual stick 100. Module 200 can emit and receive energy, such as ultrasonic energy. Module 200 can be electronically coupled to hand pole 100 and this coupling can include an interface that is communicating with controller 300. In one embodiment, interface guide 235 can be adapted and / or configured to provide electronic communication between module 200 and hand stick 100. Module 200 can comprise various probe and / or transducer configurations. For example, module 200 can be adapted and / or configured for a dual mode combined imaging / therapy transducer, coupled or co-attached imaging / therapy transducers, separate imaging and therapy probes and the like.
[0110] [0110] In some embodiments, an access key 320 (for example, a secure USB drive, key) is connected (for example, removably) to a system 20 to allow system 20 to function. In several ways, the passkey is programmed to be customer specific and serves a variety of functions, including system security, specific access to country / region treatment guidelines and functionality, software updates, support log transfers and / or credit transfer and / or storage. In several modalities, system 20 has internet and / or data connectivity. In one embodiment, connectivity provides a method in which data is transferred between the system provider 20 and the customer. In various ways, the data includes credits, software updates and support logs. Connectivity is divided into different model modalities, based on how a user's console is connected to the Internet. In one mode, the connectivity of the Disconnected Model comprises a console disconnected from the Internet and the customer does not have access to the Internet. Credit transfers and software updates are conducted by sending the access key (s) (for example, USB drives) to the customer. In a modality, the connectivity of the Semiconected Model comprises a console disconnected from the Internet, but the customer has access to the Internet. Credit transfers, software updates and support log transfers are conducted using the customer's personal computer, smart phone or other computing device in conjunction with the system's access key to transfer data. In one modality, the connectivity of the Totally Connected Model comprises a console that is connected wirelessly to the Internet using wifi, cellular modem, Bluetooth or other protocol. Credit transfers, software updates and support log transfers are made directly between the console and the cloud. In several modalities, system 20 connects to an online portal, for simplified inventory management, on-demand treatment purchases and business analysis views to take the client's aesthetic treatment business to the next level.
[0111] [0111] In various modalities, the tissue below or even on a skin surface, such as epidermis, dermis, hypodermis, fascia and superficial musculo-aponeurotic system ("SMAS"), and / or muscle, is treated in a non invasive with ultrasound energy. The tissue can also include blood vessels and / or nerves. Ultrasound energy can be focused, unfocused or blurred and applied to a region of interest that contains at least one of the epidermis, dermis, hypodermis, fascia and SMAS to achieve a therapeutic effect. Figure 2 is a schematic illustration of the ultrasound system 20 coupled to a region of interest 10. In various embodiments, the tissue layers of the region of interest 10 can be anywhere on a subject's body. In one embodiment, the layers of tissue are in the region of the subject's head and face. The cross-sectional portion of the tissue in the region of interest 10 includes a skin surface 501, an epidermal layer 502, a dermal layer 503, a fat layer 505, a superficial muscle-aponeurotic system 507 (hereinafter "SMAS 507"), and a muscle layer
[0112] [0112] With reference to the illustration in Figure 2, a modality of the ultrasound system 20 includes the hand pole 100, the module 200 and the controller 300. In one embodiment, the module 200 includes a transducer
[0113] [0113] Referring to the illustration in Figure 4, module 200 can include a transducer 280 that can emit energy through an acoustically transparent member 230. In various embodiments, a depth can refer to focal depth 278. In one embodiment, the transducer 280 can have a displacement distance 270, which is the distance between transducer 280 and an acoustically transparent member surface
[0114] [0114] The coupling components can comprise various substances, materials and / or devices to facilitate the coupling of the transducer 280 or module 200 to a region of interest. For example, the coupling components may comprise an acoustic coupling system adapted and / or configured for acoustic coupling of energy and ultrasound signals. The acoustic coupling system with possible connections, such as pipes, can be used to couple the sound to the region of interest, providing focus on the lens filled with liquid or fluid. The coupling system can facilitate such coupling through the use of one or more coupling means, including air, gases, water, liquids, fluids, gels, solids, non-gels and / or any combination thereof or any other means that allows signals are transmitted between transducer 280 and a region of interest. In one embodiment, one or more coupling means are provided within a transducer. In one embodiment, a fluid-filled module 200 contains one or more coupling means within a housing. In one embodiment, a fluid-filled module 200 contains one or more coupling means within a sealed housing, which is separable from a dry portion of an ultrasonic device. In various embodiments, a coupling means is used to transmit ultrasound energy between one or more devices and tissues with a transmission efficiency of 100%, 99% or more, 98% or more, 95% or more, 90% or more , 80% or more, 75% or more, 60% or more, 50% or more, 40% or more, 30% or more, 25% or more, 20% or more, 10% or more and / or 5% or more.
[0115] [0115] In several embodiments, transducer 280 can image and treat a region of interest at any suitable depth of tissue 279. In one embodiment, transducer module 280 can provide acoustic power in a range of about 1 W or less , between about 1 W to about 100 W and more than about 100 W, for example, 200 W, 300 W, 400 W, 500 W. In one embodiment, transducer module 280 can provide acoustic power at a frequency from about 1 MHz or less, between about 1 MHz to about 10 MHz (for example, 3 MHz, 4 MHz, 4.5 MHz, 7 MHz, 10 MHz) and more than about 10 MHz. , module 200 has a focal depth 278 for treatment at a tissue depth 279 of about 4.5 mm below the surface of the skin
[0116] [0116] In several modalities, changing the number of focal point locations (for example, such as with a 279 tissue depth) for an ultrasonic procedure can be advantageous, as it allows the treatment of a patient at varying tissue depths , even if the focal depth 278 from a transducer 270 is fixed. This can provide synergistic results and maximize the clinical results of a single treatment session. For example, treatment at multiple depths under a single surface region allows for a greater overall tissue treatment volume, which results in better collagen formation and stiffness. In addition, treatment at different depths affects different types of tissue, thus producing different clinical effects that together provide an improved overall cosmetic result. For example, surface treatment can reduce the visibility of wrinkles and deeper treatment can induce the formation of more collagen growth. Likewise, treatment in several locations at the same or different depths can improve treatment.
[0117] [0117] Although treating a subject in different locations in a session may be advantageous in some modalities, sequential treatment over time can be beneficial in other modalities. For example, a subject can be treated under the same surface region at a depth at time one, a second depth at time two, etc. In various modalities, the time can be in the order of nanoseconds, microseconds, milliseconds, seconds, minutes, hours, days, weeks, months or other periods of time. The new collagen produced by the first treatment may be more sensitive to subsequent treatments, which may be desired for some indications. Alternatively, treatment at multiple depths under the same surface region in a single session can be advantageous, as treatment at one depth can synergistically improve or supplement treatment at another depth (due, for example, to improved blood flow, stimulation of growth factors, hormonal stimulation, etc.). In various modalities, different transducer modules provide treatment at different depths. In one embodiment, a single transducer module can be adjusted or controlled to varying depths. Safety features to minimize the risk of incorrect depth selection can be used in conjunction with the single module system.
[0118] [0118] In several modalities, a method of treating the lower face and neck area (for example, the submental area) is provided. In various modalities, a method of treating (for example, smoothing) the mentholabial folds is provided. In other modalities, a method of treating the eye region is provided (for example, malar bags, treatment of infraorbital flaccidity). The improvement of the upper eyelid flaccidity and improvement of the periorbital lines and texture will be achieved by several modalities, treating at varying depths. When treating at different locations in a single treatment session, it is possible to achieve optimal clinical effects (for example, smoothing, stiffening). In various modalities, the treatment methods described in this document are non-invasive cosmetic procedures. In some modalities, the methods can be used in conjunction with invasive procedures, such as surgical facial liftings or liposuction, where skin tightening is desired. In various modalities, the methods can be applied to any part of the body.
[0119] [0119] In one embodiment, a transducer module 200 allows a treatment sequence at a fixed depth on or below the skin surface. In one embodiment, a transducer module allows a treatment sequence at one, two or more variable or fixed depths below the dermal layer. In several modalities, the transducer module comprises a movement mechanism adapted and / or configured to direct the ultrasonic treatment in a sequence of individual thermal lesions (hereinafter "thermal coagulation points" or "TCPs") at a fixed focal depth. In one embodiment, the sequence of individual TCPs has a treatment spacing in a range of about 0.01 mm to about 25 mm (for example, 1 mm, 1.5 mm, 2 mm, 2.5 mm, 3 mm, 5 mm, 10 mm, 20 mm and any value ranges between them), with a spacing change in spacing from 1 to 50% (for example, 1%, 5%, 10%, 15%, 20% , 25%, 30%, 35%, 40%, 45%, 50% and any range between them). For example, the spacing can be 1.1 mm or less, 1.5 mm or more, between about 1.1 mm and about 1.5 mm, etc. In one embodiment, individual TCPs are discrete. In one embodiment, the individual TCPs are overlapping. In one embodiment, the movement mechanism is adapted and / or configured to be programmed to provide variable spacing between the individual TCPs. In one embodiment, dithering can be adapted and / or configured to provide variable spacing between individual TCPs. In several modalities, a transducer module comprises a movement mechanism adapted and / or configured to direct the ultrasonic treatment in a sequence, so that the TCPs are formed in linear or substantially linear sequences separated by a treatment distance. For example, a transducer module can be adapted and / or configured to form
[0120] [0120] In one embodiment, the first and second removable transducer modules are provided. In one embodiment, each of the first and second transducer modules are adapted and / or configured for ultrasonic imaging and ultrasonic treatment. In one embodiment, a transducer module is adapted and / or configured for treatment only. In one embodiment, an image transducer can be attached to a probe handle or to a manual stick. The first and second transducer modules are adapted and / or configured for interchangeable coupling to a manual rod. The first transducer module is adapted and / or configured to apply ultrasonic therapy to a first layer of tissue, while the second transducer module is adapted and / or configured to apply ultrasonic therapy to a second layer of tissue. The second layer of fabric is at a different depth than the first layer of fabric.
[0121] [0121] As illustrated in Figure 3, in various modalities, the delivery of energy emitted 50 at a focal depth 278, distribution, timing and adequate energy level is provided by module 200 through operation controlled by control system 300 to achieve the desired therapeutic effect of controlled thermal injury to treat at least one of the epidermis layer 502, dermis layer 503, fat layer 505, SMAS layer 507, muscle layer 509 and / or hypodermis 504. Figure 3 illustrates a modality of a depth that corresponds to a depth for muscle treatment. In various modalities, the depth can correspond to any tissue, tissue layer, skin, epidermis, dermis, hypodermis, fat, SMAS, muscle, blood vessel, nerve or other tissue. During operation, module 200 and / or transducer 280 can also be scanned mechanically and / or electronically along surface 501 to treat an extended area. Before, during and after delivery of ultrasound energy 50 to at least one of the epidermis layer 502, dermis layer 503, hypodermis 504, fat layer 505, SMAS layer 507 and / or muscle layer 509, monitoring the area of treatment and the surrounding structures can be provided to plan and evaluate the results and / or provide feedback to the controller 300 and the user through a graphical interface 310.
[0122] [0122] In one embodiment, an ultrasound system 20 generates ultrasound energy that is directed and focused below the surface
[0123] [0123] In several modalities, the transducer modules can comprise one or more transduction elements. The transduction elements can comprise a piezoelectrically active material, such as lead zirconate titanate (PZT), or any other piezoelectrically active material, such as a piezoelectric ceramic, crystal, plastic and / or composite materials, as well as lithium niobate, titanate lead, barium titanate and / or lead methaniobate. In various modalities, in addition to or alternative to a piezoelectrically active material, the transducer modules can comprise any other materials adapted and / or configured to generate radiation and / or acoustic energy. In various modalities, the transducer modules can be adapted and / or configured to operate at different frequencies and treatment depths. The properties of the transducer can be defined by an external diameter (“OD”) and focal length
[0124] [0124] In several modalities, spatial frequency analysis techniques based on Fourier analysis and Fourier optics can be used to increase the efficiency of therapeutic treatment. When a system that has an impulse response h (t) is excited by a stimulus x (t), the relationship between input x (t) and output y (t) is related by the convolution function as follows:
[0125] [0125] In several modalities, the Fourier transform can be applied to compute the convolution of equation (1). The continuous one-dimensional Fourier transform can be defined as:
[0126] [0126] where f is frequency, t is time. It can be shown that convolution in the time domain is equivalent to multiplication in the frequency domain:
[0127] [0127] In several modalities, the Fraunhofer approximation can be used to derive a relationship between a span or opening of the transducer and a resulting ultrasonic beam response. The derivation of the Fraunhofer approach is described by Joseph Goodman in Introduction to Fourier Optics (3rd ed. 2004), which is incorporated in this document in its entirety for reference. According to Fraunhofer's approximation, a complex amplitude pattern of distant field produced by a complex aperture is equal to a two-dimensional Fourier transform of the amplitude and phase of the aperture. In several modalities, this relationship in optics can be extended to ultrasound, since linear wave equations can be used to represent the propagation of light and the propagation of sound. In the case of optics and / or ultrasound, the two-dimensional Fourier transform can determine an amplitude distribution of the pressure of the sound wave in the focus of a transducer.
[0128] [0128] For a focused system, the variable z, which represents the depth, can be replaced by zf, which represents a focal length. fx = x0 / λzf (4a) fy = y0 / λzf (4b)
[0129] [0129] In several modalities, Fourier optics and Fourier transform identities (some of which are listed in Table 1 below) can be used for ultrasound transducers in order to determine the intensity distribution corresponding to a transducer. For example, the Fourier transform of a rectangle rect (ax) is a sinc function. According to another example, the Fourier transform of a two-dimensional circle of uniform amplitude is a first order Bessel function that can be represented as JI.
[0130] [0130] In various modalities, an ultrasound transducer can have a rectangular opening of adequate dimensions and focal length. In various embodiments, an ultrasound transducer can have a circular opening with adequate dimensions and focal length. In one embodiment, a transducer can have a circular opening with an external radius of approximately 9.5 mm, an internal diameter of approximately 2 mm and a focal length of approximately 15 mm. The opening of a circular transducer can be described as:

权利要求:
Claims (50)
[1]
1. Treatment system to create multiple focal points simultaneously at different depths with an ultrasound transducer, the system characterized by the fact that it comprises: an ultrasonic probe comprising: a first switch that operationally controls an ultrasonic imaging function to provide an ultrasonic image; a second switch that operationally controls an ultrasonic treatment function to provide ultrasonic treatment; and a movement mechanism configured to direct the ultrasonic treatment in at least one sequence of individual cosmetic heat treatment zones; and a transducer module configured to apply ultrasonic therapy with at least one of the group consisting of amplitude modulation polarization and phase displacement, in which the transducer module is configured for ultrasonic imaging and ultrasonic treatment, in which the transducer module is configured for coupling to the ultrasonic probe, in which the transducer module comprises an ultrasound transducer configured to apply ultrasonic therapy to the tissue in a plurality of locations with at least two focal depths, where the transducer module is configured to be operationally coupled to at least one of the first switch, the second switch and the movement mechanism; and a control module, wherein the control module comprises a processor and a display for controlling the transducer module.
[2]
2. Treatment system, according to claim 1, characterized by the fact that the ultrasonic treatment is a cosmetic treatment, in which the plurality of locations is positioned in a substantially linear sequence within a cosmetic treatment zone.
[3]
3. Treatment system, according to claim 1, characterized by the fact that ultrasonic treatment is an aesthetic treatment, in which a first set of sites is positioned within a first treatment zone and a second set of sites is positioned within a second treatment zone, the first zone being different from the second zone.
[4]
Treatment system according to claim 3, characterized in that the first treatment zone comprises a substantially linear sequence of the first set of sites and the second treatment zone comprises a substantially linear sequence of the second set of sites.
[5]
Treatment system according to any one of claims 1 to 4, characterized in that the transducer module is configured to apply ultrasonic therapy using amplitude modulation, in which a plurality of portions of the transducer module is configured to emit therapy ultrasonic in a plurality of amplitudes of acoustic intensity, in which a first amplitude is different from a second amplitude.
[6]
Treatment system according to any one of claims 1 to 4, characterized in that the transducer module is configured to apply the phase shift of ultrasonic therapy, in which a plurality of portions of the transducer module is configured to emit ultrasonic therapy in a plurality of phases of acoustic intensity, in which a first phase is different from a second phase.
[7]
7. Treatment system according to any one of claims 1 to 4, characterized by the fact that the transducer module is configured for:
apply ultrasonic therapy using amplitude modulation, in which a plurality of portions of the transducer module is configured to emit ultrasonic therapy in a plurality of amplitudes of acoustic intensity, in which a first amplitude is different from a second amplitude; and applying phase shift of ultrasonic therapy, in which a plurality of portions of the transducer module is configured to emit ultrasonic therapy in a plurality of phases of acoustic intensity, in which a first phase is different from a second phase.
[8]
Treatment system according to any one of claims 1 to 4, characterized by the fact that the plurality of phases comprises discrete phase values.
[9]
Treatment system according to any one of claims 1 to 4, characterized in that the transducer module comprises piezoelectric material and the plurality of portions of the transducer module is configured to create a plurality of corresponding variations of piezoelectric material in response to an electric field applied to the transducer module.
[10]
10. Treatment system, according to claim 9, characterized by the fact that the plurality of variations of piezoelectric material comprises at least one among the expansion of the material and contraction of the material.
[11]
11. Treatment system according to any one of claims 1 to 4, characterized by the fact that at least a portion of the transducer module is configured to emit ultrasonic therapy in two or more amplitudes of acoustic intensity and in which the amplitude of the therapy ultrasound emitted by at least a portion of the transducer module varies with time.
[12]
Treatment system according to any one of claims 1 to 4, characterized in that the movement mechanism is configured to be programmed to provide variable spacing between a plurality of individual cosmetic heat treatment zones.
[13]
13. Treatment system according to any one of claims 1 to 4, characterized in that a sequence of individual cosmetic heat treatment zones has a treatment spacing in the range of 1 mm to 25 mm.
[14]
Treatment system according to any one of claims 1 to 4, characterized by the fact that the first and second switches comprise keys or buttons operated by the user.
[15]
Treatment system according to any of claims 1 to 4, characterized by the fact that at least one of the first switch and the second switch is activated by the control module.
[16]
16. Treatment system according to any one of claims 1 to 4, characterized by the fact that the treatment function is at least one of a face lift, a frontal lift, a chin lift, an eye treatment, a wrinkle reduction, scar reduction, burn treatment, tattoo removal, skin tightening, vein removal, vein reduction, sweat gland treatment, hyperhidrosis treatment, stain removal sun treatments, a fat treatment, a cellulite treatment, a cleavage treatment, a vaginal rejuvenation and an acne treatment.
[17]
17. Treatment system according to any one of claims 1 to 4, characterized by the fact that the transducer module is configured to provide an acoustic power for ultrasonic therapy in a range between 10 W to 1,000 W and a frequency of 1 MHz at 20 MHz to thermally heat the tissue to cause clotting.
[18]
18. Ultrasonic treatment system for dotting multiple simultaneous focus points from an ultrasound transducer at various depths, characterized by the fact that it comprises:
an ultrasonic probe comprising an ultrasound transducer with a unique transduction element adapted to simultaneously apply ultrasonic therapy to the tissue at a plurality of spaced focal depths, in which the ultrasound transducer is polarized with at least one first polarization configuration and a second polarization configuration, a control module coupled to the ultrasonic probe to control the ultrasound transducer, in which the control module modifies the spacing between the spaced locations by dithering a first focal zone and a second focal zone, so that dithering by modulating a frequency accurately moves a position of a beam focus point at spaced locations.
[19]
19. Treatment system, according to claim 18, characterized by the fact that the plurality of places is positioned in a linear sequence within a cosmetic treatment zone, in which the spaced places are separated with a dotted spacing through a frequency oscillation.
[20]
20. Treatment system according to claim 18, characterized by the fact that a first set of locations is positioned within a first cosmetic treatment zone and a second set of locations is positioned within a second cosmetic treatment zone, the first zone being different from the second zone.
[21]
21. Treatment system according to claim 18, characterized by the fact that the ultrasound transducer is adapted to apply ultrasonic therapy using amplitude modulation, in which a plurality of portions of the ultrasound transducer is adapted to deliver therapy ultrasonic in a plurality of amplitudes of acoustic intensity, in which a first amplitude is different from a second amplitude.
[22]
22. Treatment system according to claim 21, characterized by the fact that at least a portion of the ultrasonic transducer is adapted to emit ultrasonic therapy in two or more amplitudes of acoustic intensity and in which the amplitude of the ultrasonic therapy emitted by the at least a portion of the piezoelectric varies over time.
[23]
23. Treatment system according to claim 21, characterized in that the ultrasound transducer comprises piezoelectric material and the plurality of portions of the ultrasound transducer is adapted to create a plurality of corresponding variations of piezoelectric material in response to a electric field applied to the ultrasound transducer.
[24]
24. Treatment system according to claim 23, characterized by the fact that the plurality of variations of piezoelectric material comprises at least one among expansion of the piezoelectric material and contraction of the piezoelectric material.
[25]
25. Treatment system according to any one of claims 18 to 21, characterized in that the ultrasound transducer is adapted to apply ultrasonic therapy by means of phase displacement, in which a plurality of portions of the ultrasound transducer is adapted to deliver ultrasonic therapy in a plurality of phases of acoustic intensity, in which a first phase is different from a second phase.
[26]
26. Treatment system according to claim 25, characterized by the fact that the plurality of phases comprises discrete phase values.
[27]
27. Treatment system according to any one of claims 18 to 21, characterized by the fact that the ultrasound transducer is adapted to: apply ultrasonic therapy using amplitude modulation, in which a plurality of portions of the ultrasound transducer it is adapted to deliver ultrasonic therapy in a plurality of amplitudes of acoustic intensity, in which a first amplitude is different from a second amplitude; and applying ultrasonic therapy in which a plurality of portions of the ultrasound transducer is adapted to deliver ultrasonic therapy in a plurality of phases of acoustic intensity, in which a first phase is different from a second phase.
[28]
28. Treatment system according to any one of claims 18 to 21, characterized by the fact that the ultrasonic treatment is at least one of: a facelift, a frontal facelift, a chin facelift, an eye treatment, an reduction of wrinkles, an improvement of cleavage, a lifting of buttocks, a reduction of scars, treatment of burns, a tightening of skin, a reduction of blood vessels, a treatment on a sweat gland, a removal of sunspots, a treatment of fat, an abdominal flab treatment and a cellulite treatment.
[29]
29. Treatment system according to any one of claims 18 to 21, characterized in that the ultrasonic probe comprises a movement mechanism adapted to direct ultrasonic treatment in at least a pair of simultaneous sequences of individual cosmetic heat treatment zones .
[30]
30. Treatment system according to any one of claims 18 to 21, characterized by the fact that the ultrasonic probe is configured for generating an ultrasonic image and ultrasonic treatment.
[31]
31. Treatment system according to any one of claims 18 to 21, characterized by the fact that the ultrasonic probe comprises a transducer module adapted to apply ultrasonic therapy.
[32]
32. Method for simultaneously dotting an ultrasound beam focused at various depths, characterized by the fact that it comprises:
provide an ultrasonic probe comprising a single transduction element and a control module, where the single transduction element is adapted to apply ultrasonic therapy to the tissue in a focal zone at a focal depth, where the control module is coupled to the ultrasonic probe to control the single transduction element, and dot the focal zone by modulating a frequency to change a size of the focal zone in the tissue.
[33]
33. Method, according to claim 32, characterized by the fact that the relative position of the focal zone is dotted in a range between 1 and 50%.
[34]
34. Method according to claim 32, characterized by the fact that a second focal zone is emitted simultaneously from the single transduction element.
[35]
35. Method, according to claim 32, characterized by the fact that it also comprises the image generation of the focal zone with an ultrasound image element.
[36]
36. Method, according to claim 32, characterized by the fact that the frequency modulation is in a range between 1 and 50%.
[37]
37. Treatment system according to claim 32, characterized by the fact that the system is designed to work non-invasively to treat tissues.
[38]
38. Method according to any one of claims 32 to 36, characterized in that the method works in a non-invasive manner to treat tissues.
[39]
39. Ultrasonic treatment system to provide simultaneous treatment of multiple foci at a plurality of depths with an electrostrictor, characterized by the fact that it comprises:
a module comprising an ultrasound transducer, in which the ultrasound transducer is adapted to simultaneously apply ultrasonic therapy to the tissue at a plurality of depths spaced in the tissue with the application of an electrostrector, in which the module modifies a spacing between the plurality of spaced depths by dithering a first focal zone and a second focal zone, so that dithering, by modulating a frequency, accurately moves a position of a beam focal point in the plurality of depths spaced apart, in which the module also includes an interface guide designed for removable coupling to a manual pole to provide electronic communication and power between the module and the manual pole.
[40]
40. Treatment system according to claim 39, characterized by the fact that the ultrasound transducer is adapted to apply ultrasonic therapy using amplitude modulation, in which a plurality of portions of the ultrasound transducer is adapted to deliver therapy ultrasonic in a plurality of amplitudes of acoustic intensity, in which a first amplitude is different from a second amplitude.
[41]
41. Treatment system according to claim 39, characterized in that the ultrasound transducer is adapted to apply ultrasonic therapy, wherein a plurality of portions of the ultrasound transducer is adapted to deliver ultrasonic therapy in a plurality of phases of acoustic intensity, in which a first phase is different from a second phase.
[42]
42. Treatment system according to claim 39, characterized in that the ultrasound transducer comprises piezoelectric material and the plurality of portions of the ultrasound transducer is adapted to create a plurality of corresponding variations of piezoelectric material in response to a electric field applied to the ultrasound transducer.
[43]
43. Treatment system according to claim 39, characterized by the fact that at least a portion of the ultrasonic transducer is adapted to emit ultrasonic therapy in two or more amplitudes of acoustic intensity and in which the amplitude of the ultrasonic therapy emitted by the at least a portion of the ultrasonic transducer remains constant over time.
[44]
44. Treatment system according to any of claims 39 to 43, characterized by the fact that the ultrasonic treatment is at least one of a facial facelift, a frontal facelift, a chin facelift, an eye treatment, a reduction of wrinkles, an improvement of cleavage, a lifting of buttocks, a reduction of scars, a treatment of burns, a removal of tattoos, a tightening of skin, a removal of veins, a reduction of veins, a treatment in a sweat gland, a treatment of hyperhidrosis, a removal of sunspots, a treatment of fat, a treatment of cellulite, a treatment of abdominal flaccidity, a vaginal rejuvenation and a treatment for acne.
[45]
45. Ultrasonic treatment system characterized by the fact that it has one or more of the attributes described in the previous description.
[46]
46. Method for reducing image misalignment in a moving ultrasound transducer characterized by the fact that it has one or more of the attributes described in the previous description.
[47]
47. Ultrasonic treatment system to produce multiple points of simultaneous focus from an ultrasound transducer characterized by the fact that it has one or more of the attributes described in the previous description.
[48]
48. Ultrasonic treatment system to provide treatment for multiple foci characterized by the fact that it has one or more of the attributes described in the previous description.
[49]
49. Ultrasonic treatment module for use in cosmetic treatment to form multiple focal zones simultaneously from an ultrasound transducer characterized by the fact that it has one or more of the attributes described in the previous description.
[50]
50. Method for generating focused and simultaneous ultrasonic treatment beams characterized by the fact that it uses a multichannel signal mix with one or more of the attributes described in the previous description.

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