US20110270364A1 - Method and device for collagen growth stimulation - Google Patents

Abstract

Provided is an applicator for skin treatment having one or more RF electrodes. An article is located between the electrodes, such as a roller or flexible belt containing one or more protruding pins electrically isolated from the RF electrodes. Also provided is a system for skin treatment including the applicator and a control unit. Further provided is a method of treating skin disorders in which a section of the skin is heated while, essentially simultaneously, one or more holes are placed in the heated section of the skin. The present method may be used, for example, in collagen remodeling.

Description

FIELD OF THE INVENTION
• This invention relates to electromagnetic energy skin treatment and, in particular, skin treatment for dermatological and cosmetic purposes.
BACKGROUND OF THE INVENTION
• It is known that skin damage can stimulate the growth of new collagen. Uncontrolled skin damage may cause scarring, which is excessive collagen growth. However, controlled damage of the skin which is intentionally introduced can stimulate controlled re-growth of collagen in such a way as to improve the appearance of the skin. A well known method of controlled skin damage is ablating the epidermis using laser radiation with wavelengths having strong water absorption. Typical lasers used for epidermal ablation are CO₂and Er:YAG lasers. U.S. Pat. No. 6,309,387 to Eggers et al. discloses ablation of the epidermis using RF current. This treatment significantly reduces wrinkles and improves skin appearance. The main disadvantages of skin resurfacing are the long healing period that can last for more than a month, and a high risk of dischromia. These disadvantages have reduced the popularity of ablative skin re-surfacing.
• Non-ablative skin resurfacing is based on heating the dermis up to a sub-necrotic temperature with simultaneous cooling of the skin surface. U.S. Pat. No. 5,810,801 to Anderson et al. describes the use of infrared laser radiation penetrating into the skin dermis with dynamic cooling of the skin surface using a cryogen spray. U.S. Pat. No. 5,755,753 to Knowlton describes a method of skin tightening using uni-polar or bi-polar RF electrodes to create skin heating in combination with cooling to generate a negative skin temperature gradient in which the dermis is hotter than the epidermis. The main barrier for introducing RF current is the stratum cornea, which should be hydrated by an electrolytic type of liquid prior the treatment. Non-ablative treatment is much safer and has no down time but the results of the treatment are less satisfactory.
• A method described in U.S. patent publication 20030216719 tries to retain the efficiency of ablative treatment coupled with a shorter healing time and with a lower risk of adverse effects. The device described in this patent publication coagulates fragments of the skin having a size in the range of tens of microns while keeping the distance between the fragments larger than the damaged zone. This treatment provides skin healing within a few days, but the results are very superficial and less satisfactory than with a CO₂laser, even after multiple sessions.
SUMMARY OF THE INVENTION
• Disclosed is a system and method for collagen growth stimulation. The method and the system use a combination of two different methods of stimulating collagen growth to provide a collagen remodeling process that is controlled and effective.
• This method can be applied to a plurality of clinical treatments including different skin disorders, such as wrinkle treatment, skin tightening, skin rejuvenation, skin dischromia treatment, and others.
• The system comprises a mechanical part creating spaced apart blind micro-holes in the skin with controlled size and surface density and one or more sources of energy providing skin heating.
• Thus, in one of its aspects, the invention provides an applicator for skin treatment, said applicator comprising:
• • (a) one or more RF electrodes adapted to be applied to skin surface; and
  • (b) an article located between the electrodes, said article containing one or more protruding pins electrically isolated from the RF electrodes.
• In another of its aspects, the invention provides a system for skin treatment, said system comprising:
• • (a) an applicator for skin treatment, said applicator including:
    • i) one or more RF electrodes adapted to be applied to skin surface; and
    • ii) an article located between the electrodes said article containing one or more protruding pins electrically isolated from the RF electrodes; and
  • (b) a control unit.
• The invention also provides a method of treating skin disorders, said method comprising heating a section of the skin while, essentially simultaneously, piercing one or more holes in the heated section of the skin.
• The invention still further provides a method of collagen remodeling, said method comprising:
• • (a) puncturing a section of skin by one or more invasive pins, and introducing fragmental holes into the skin; and
  • (b) stimulating collagen growth in the skin using an RF electrode and heating the skin.
BRIEF DESCRIPTION OF THE DRAWINGS
• In order to understand the invention and to see how it may be carried out in practice, embodiments will now be described, by way of non-limiting example only, with reference to the accompanying drawings, in which:
• FIG. 1 is a schematic illustration of an exemplary embodiment of a system for skin treatment in accordance with the present method;
• FIG. 2 is a schematic illustration of an exemplary embodiment of the applicator for use in the system ofFIG. 1;
• FIG. 3 is a schematic illustration of a perspective view of the applicator ofFIG. 2; and
• FIG. 4 is a schematic illustration of another exemplary embodiment of the applicator for skin treatment in accordance with the present method.
DETAILED DESCRIPTION OF EMBODIMENTS
• Reference is made toFIG. 1, which is a schematic illustration of an exemplary embodiment of a system for skin treatment in accordance with the present method. Thesystem100 includes anapplicator104 and acontrol unit108 both of which will be described in detail below. Acable112 connects theapplicator104 to thecontrol unit108.Applicator104 is adapted to be applied to theskin116 of an individual and moved over theskin116surface120.
• Control unit108 includes anRF energy generator124 that is connected to RF electrodes204 (FIG. 2) in theapplicator104 via wires incable112.Control unit108 has an input device such as akeypad128 that allows an operator to input selected values of parameters of the treatment, such as the frequency, pulse duration and intensity of the RF energy.Control unit108 optionally contains aprocessor132 for monitoring and controlling various functions of the system. For example,processor132 may monitor the electrical impedance between theelectrodes204 in theapplicator104, and determine the temperature distribution close to and at the target skin section.Processor132 may also determine the parameters of the treatment based upon the impedance betweenelectrodes204 measurements.
• Control unit108 may include a source ofpower supply136 that provides power to an optional light source located inapplicator104. In the course of operation, when RF is supplied toelectrodes204, the temperature of the electrodes may increase.Electrodes204 can be cooled using thermo-electric coolers (not shown) or a cold fluid that has a temperature less than that of the skin surface.Control unit108 may include asource140 of such a fluid, and pump the fluid to the electrodes when needed.
• FIG. 2 is a schematic illustration of an exemplary embodiment of the applicator for use in the system ofFIG. 1.Applicator104 is shown applied to askin surface120.Applicator104 contains one ormore RF electrodes204, but typically would have a pair ofRF electrodes204, and an article having a form of aroller208 withpins212 protruding and extending outwardly in radial direction, electrically isolated from RF electrodes.Article208 is located betweenelectrodes204 and is made from an electrically insulating or dielectric material. The diameters ofpins212 are less than 0.5 mm and their length is not more than 3 mm. The typical length of the pins is 0.7 mm and the typical diameter is 0.1 mm. Any biocompatible material, for example, stainless steel, plastic material, and composite materials could be used for making the pins. The density of the pins should be high enough to provide uniform treatment of the treated skin surface. Typically, a pin density of 10-20 per square centimeter is sufficient for successful treatment results.Pins212 made of metal may be inserted into theroller208 insulating material. Alternatively, pins212 may be formed from the same insulating material being an integral part ofroller208.
• FIG. 3 is a schematic illustration of a perspective view of the applicator ofFIG. 2.FIG. 2 is a schematic illustration of an exemplary embodiment of the applicator for use in the system ofFIG. 1.Applicator104 has abody304, which is convenient to hold and serves as a frame that contains a pair ofRF electrodes204, andarticle208 having a form of a roller with protrudingpins212 electrically isolated from RF electrodes.
• In an alternative embodiment shown inFIG. 4, the article has the form of an endlessflexible belt406 withpins410 similar topins212 protruding from the belt.Belt406 may be tensioned between tworollers414 and, if necessary, conform to a treated section ofskin116. The distance between the rollers may be longer or shorter than the length ofelectrodes204.
• In use,applicator104 or404 is applied to skin such thatRF electrodes204 contact theskin116surface120. Following this,applicator104 is moved overskin116, maintaining contact withskin surface120. Asapplicator104 is moved over theskin surface120, article208 (roller208) orbelt406 rolls over theskin surface120.Pins212 or410 puncture the skin and create blind holes in it, penetrating into the skin to reach acollagen layer228 located at a depth of over70 microns below the skin surface. Simultaneously RF energy is supplied toelectrodes204 and an RF current is made to flow between theelectrodes204 throughcollagen layer228 of the skin.RF electrodes204 deliver an RF current to the skin section with holes created in it bypins212 or410 and provide heating of thecollagen structure228. The RF power applied should be sufficient to heat a treated skin section by at least 5 (five) degrees C. The optimal skin heating is 10-20 degrees C. over the normal skin temperature. The RF power is preferably in the range of 10-500 W, more preferably 20-100 W. The RF current frequency is in the range of 0.2-100 MHZ, with a typical operating range of 1-10 MHz.Control unit108 regulates and switches ON or OFF supply of RF power toelectrodes204 by monitoring the impedance betweenelectrodes204.
• Pins212 or410 made of an isolating or dielectric material have a resistance higher than that of the skin and the damaged section of the skin around the pin/s. The lower conductivity of the plastic or dielectric in the interior of blind holes causes the current density to be maximal around the circumference of the holes. Holes produced bypins212 or410 are spaced apart from each other and there is no contact between them. The holes damage a small fragment of theskin116. The high density of RF current around the punctured holes heats the fraction of the skin around each hole more strongly and further stimulates collagen growth.
• As noted above,electrodes204 may be shorter or longer than the punctured skin section.FIG. 4 illustrateselectrodes204 that are longer than the puncturedskin section420 typically located betweenrollers414.Applicator404 continues its movement to the next skin section to be treated. For example, in one of the directions indicated byarrow424, leaving the blind holes created bypins410 filled with air. The lower conductivity of the air in the interior of blind holes causes the current density to be maximal around the circumference of the holes. The high density of RF current around the punctured holes heats more strongly the fraction of the skin around each hole, and longer electrodes extend the treatment time, further stimulating collagen growth.
• The treatedskin surface120 is affected by rolling the article over the skin. Pins of the article penetrateskin116 and should be sterilized before each treatment. In order to avoid this and simplify the treatment process, bothroller208 andbelt406 could be made as disposable items.
• In another embodiment, instead of an RF current, the skin can be heated using optical energy. The optical energy can be produced by a laser, an incandescent lamp, a flash lamp, or a LED. The belt or roller may be made of transparent material, for example, glass, Polycarbonate, or Perspex™ enabling heating with light energy simultaneous with puncturing. Alternatively, light sources may be mounted to illuminate/irradiate from both sides ofroller208.
• The present apparatus and method enable collagen remodeling due to fragmental stimulation of collagen growth in the skin using an electrical electrode and invasive pins.
• While the method and apparatus have been described with respect to a limited number of embodiments, it will be appreciated that many variations, modifications and other applications of the method and apparatus may be made.

Claims (6)

1-22. (canceled)

23. A method of treating skin disorders, comprising heating a section of the skin while, essentially simultaneously, piercing one or more holes in the heated section of the skin.

24. The method of treating skin disorders according toclaim 23, wherein the skin is heated by a source of RadioFrequency (RF).

25. The method of treating skin disorders according toclaim 23, wherein the skin is heated by a source of light.

26. The method of treating skin disorders according toclaim 23, wherein the skin is cooled by a source of cooling fluid.

27. The method of treating skin disorders according toclaim 23, further comprising:

(a) puncturing a section of skin by one or more invasive pins, and introducing fragmental holes into the skin; and

(b) stimulating collagen growth in the skin using an RF electrode and heating the skin.

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