1111111111111111 IIIIII IIIII 1111111111 11111 1111111111 1111111111 lllll 111111111111111 11111111
`US 20130238061Al
`
`c19) United States
`c12) Patent Application Publication
`RON EDOUTE et al.
`
`c10) Pub. No.: US 2013/0238061 Al
`Sep. 12, 2013
`(43) Pub. Date:
`
`(54) ESTHETIC DEVICE
`
`Publication Classification
`
`(75)
`
`Inventors: Oded RON EDOUTE, Tel Aviv (IL);
`Orit RON EDOUTE, Tel Aviv (IL)
`
`(73) Assignee: VENUS CONCEPT LTD., Karmiel (IL)
`
`(21) Appl. No.: 13/603,619
`
`(22) Filed:
`
`Sep.5,2012
`
`(51)
`
`Int. Cl.
`A61B 18118
`(52) U.S. Cl.
`CPC ...................................... A61B 18118 (2013.01)
`USPC .......................................................... 607/101
`
`(2006.01)
`
`(57)
`
`ABSTRACT
`
`Related U.S. Application Data
`
`(60) Provisional application No. 61/531,029, filed on Sep.
`5, 2011.
`
`means for performing tissue diathermy. The combination of
`techniques provides a synergistic improvement of the cos(cid:173)
`metic appearance of the skin.
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`410
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`Patent Application Publication
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`Sep. 12, 2013 Sheet 1 of 5
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`US 2013/0238061 Al
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`100
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`200
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`Patent Application Publication
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`400
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`Patent Application Publication
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`Sep. 12, 2013 Sheet 3 of 5
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`US 2013/0238061 Al
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`~300
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`Patent Application Publication
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`Sep. 12, 2013 Sheet 4 of 5
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`Patent Application Publication
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`501
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`US 2013/0238061 Al
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`1
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`ESTHETIC DEVICE
`
`FIELD OF THE INVENTION
`
`[0001] This invention relates generally to means and meth(cid:173)
`ods for providing cosmetic improvement to the skin. It spe(cid:173)
`cifically relates to means and methods for providing cosmetic
`improvement to the skin that combine pulsed electromagnetic
`fields, diathermy, acoustic waves, vacuum, pressure applying
`means and pulsed electrical currents.
`
`BACKGROUND OF THE INVENTION
`
`[0002]
`Improving the appearance of the skin has been the
`goal of many esthetic products and procedures for many
`years, since a tight skin, without wrinkles or cellulite, has a
`younger and more appealing appearance. Apart from age
`related changes, the skin also suffers from exposure to chemi(cid:173)
`cal and physical injuries, such as tobacco, cosmetics, esthet(cid:173)
`ics and radiation from the sun and other sources. Those fac(cid:173)
`tors contribute to the decrease in collagen production, to
`reduced elasticity, and the appearance of wrinkles.
`[0003]
`It is widely known that as the muscle deteriorates
`through the aging process, the attached skin loses it elasticity,
`causing the skin to sag and wrinkle. Strengthening relevant
`muscle groups restores and maintains the original shape and
`contour of the muscles. As the muscles get stronger, they get
`shorter and flatter, causing the attached skin to become firmer
`and smoothing wrinkles, thus improving the overall appear(cid:173)
`ance. Additionally, since the blood supply to a contracting
`muscle is 10 times greater than of a muscle at rest, the addi(cid:173)
`tional supply of blood to the muscles being strengthened
`delivers vital oxygen and nutrients to the skin, revitalizing the
`tissue.
`[0004] A few main approaches to tightening of the skin are
`common practice today. The surgical approach carries disad(cid:173)
`vantages related to the anesthesia, the surgical complications,
`and the healing process, which may cause scars. The chemical
`peel approach usually involves injury to the outermost layer
`of the skin-the epidermis-which may cause discoloration.
`Since collagen fibers are found in the dermis-the subcuta(cid:173)
`neous layer of the skin, and since heat was shown to contract
`these fibers and generate their production [Zelickson B D,
`Kist D, Bernstein E, Brown D B, Ksenzenko S, Burns J,
`Kilmer S, Mehregan D, Pope K. Histological and ultrastruc(cid:173)
`tural evaluation of the effects of a radiofrequency-based
`nonablative dermal remodeling device: a pilot study. Arch
`Dermatol. 2004 February; 140(2):204-9], methods of differ(cid:173)
`entially heating the dermis (deep tissue diathermy) have
`recently arisen.
`[0005] A unique method of treating the dermis is called
`Pulsed Electromagnetic Fields (PEMF) therapy. This method
`usually employs electromagnetic radiation of different fre(cid:173)
`quencies-ranging from static magnetic fields, through
`extremely low frequencies (ELF) to higher radiofrequencies
`(RF)-administered in pulses.
`[0006] PCT Pat. Appl. No. PCT/IL2009/000644 (hence(cid:173)
`forth '644), for example, discloses a device that uses a com(cid:173)
`bination of pulses of electromagnetic energy, heating (di(cid:173)
`athermy), and electric current to improve the cosmetic
`appearance of the skin. In contrast to other devices known in
`the art, the device disclosed in '644 relies on application of
`electrical currents of -1 mA and voltages>4 V in addition to
`
`heat and pulsed electromagnetic fields. It was found that these
`conditions provide better results than those provided by other
`devices known in the art.
`[0007] Other methods known to have therapeutic effect is
`the use of ultrasound. Despite the advances made by the
`above, a need remains for a device that can provide cosmetic
`improvement to the skin in a more efficient, effective and
`long-lasting manner.
`
`SUMMARY OF THE INVENTION
`
`[0008] The present invention is designed to meet this long(cid:173)
`felt need. In particular, it discloses a device comprises a
`synergistic combination of skin treatments including acous(cid:173)
`tic, pulsed magnetic fields, and tissue diathermy.
`[0009] According to one embodiment, the housing of the
`device is designed to be partially evacuated such that the skin
`is elevated into the housing, increasing the contact between
`the skin and the treatment probes.
`[0010]
`It is one object of the present invention to provide a
`device for providing cosmetic improvement to the skin,
`wherein said device comprises:
`[0011]
`a housing 100 comprising an open end adapted
`for being placed against the or in proximity to the skin;
`[0012]
`at least one RF probe 200 provided with a coil 210
`for producing RF waves, said transducer attached to a
`surface of said housing such that when said device is in
`use, said RF transducer is in physical contact with said
`skin; and
`[0013]
`at least one suction unit.
`[0014]
`It is another object of the present invention to pro(cid:173)
`vide the device further comprising at least one acoustic trans(cid:173)
`ducer 300.
`[0015]
`It is another object of the present invention to pro(cid:173)
`vide at least one first coil 310 wrapped around at least a
`portion of at least one acoustic transducer 300.
`[0016]
`It is another object of the present invention to pro(cid:173)
`vide the device as defined above, wherein said housing con(cid:173)
`taining at least one port 400 through which air can enter and
`exit.
`[0017]
`It is another object of the present invention to pro(cid:173)
`vide the device as defined above, additionally comprising at
`least one probe 200 made of an electrically and magnetically
`conductive material capable of transferring energy to the skin,
`said at least one probe attached to a surface of said housing
`such that when said device is in use, said probe is in physical
`contact with said skin.
`[0018]
`It is another object of the present invention to pro(cid:173)
`vide the device as defined above, wherein said energy is heat
`being transferred to the skin;
`[0019]
`It is another object of the present invention to pro(cid:173)
`vide the device as defined above, wherein said acoustic trans(cid:173)
`ducer 300 is made of a metallic material.
`[0020]
`It is another object of the present invention to pro(cid:173)
`vide the device as defined above, additionally comprising at
`least one second coil 210 wrapped around at least a portion of
`said at least one probe.
`[0021]
`It is another object of the present invention to pro(cid:173)
`vide the device as defined above, additionally comprising at
`least one second coil 210 being positioned within said probe.
`[0022]
`It is another object of the present invention to pro(cid:173)
`vide the device as defined above, wherein said at least one first
`coil 310 wrapped around said at least a portion of said at least
`one probe.
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`It is another object of the present invention to pro(cid:173)
`[0023]
`vide the device as defined above, wherein said at least one
`acoustic transducer is a piezoelectric transducer.
`It is another object of the present invention to pro(cid:173)
`[0024]
`vide the device as defined above, comprising a plurality of
`acoustic transducers, wherein a separate coil is wrapped
`around each acoustic transducer.
`It is another object of the present invention to pro(cid:173)
`[0025]
`vide the device as defined above, comprising a plurality of
`acoustic transducers, wherein a single coil is wrapped around
`all of said acoustic transducers.
`It is another object of the present invention to pro(cid:173)
`[0026]
`vide the device as defined above, comprising a plurality of
`probes.
`It is another object of the present invention to pro(cid:173)
`[0027]
`vide the device as defined above, wherein each of said probes
`is characterized by substantially a different size and shape.
`It is another object of the present invention to pro(cid:173)
`[0028]
`vide the device as defined above, wherein a single coil is
`wrapped around all of said acoustic transducers.
`It is another object of the present invention to pro(cid:173)
`[0029]
`vide the device as defined above, wherein at least one coil is
`wrapped around at least one of said probes and at least one of
`said acoustic transducers.
`It is another object of the present invention to pro(cid:173)
`[0030]
`vide the device as defined above, wherein said housing is
`adapted to produce, when the lip of said open end is placed
`against or in proximity to the skin and said ports are in fluid
`connection with means for evacuating the interior of said
`housing, a seal sufficiently air-tight that evacuation of air
`through said ports produces an at least partial vacuum within
`the interior of said housing.
`It is another object of the present invention to pro(cid:173)
`[0031]
`vide the device as defined above, when the lip of said open end
`is placed against the skin and said ports are in fluid connection
`with means for evacuation of air through said ports produces
`an at least partial vacuum within the interior of said housing
`It is another object of the present invention to pro(cid:173)
`[0032]
`vide the device as defined above, comprising a plurality of
`ports.
`It is another object of the present invention to pro(cid:173)
`[0033]
`vide the device as defined above, wherein the diameter said
`housing is sufficiently large relative to its depth that when the
`lip of said open end is placed against or in proximity to the
`skin, said ports are in fluid connection with means for evacu(cid:173)
`ating the interior of said housing upon evacuation, and the
`interior of said housing is evacuated, at least part of the skin
`enters said housing to a depth sufficient to make contact with
`said at least one port.
`It is another object of the present invention to pro(cid:173)
`[0034]
`vide the device as defined above, wherein said means for
`evacuating the interior of said housing are adapted to apply
`either pulses of suction or a constant vacuum.
`It is another object of the present invention to pro(cid:173)
`[0035]
`vide the device as defined above, further comprising:
`[0036] means for exhausting air from said housing, said
`means in fluid connection with said ports;
`a source of alternating electrical current in elec(cid:173)
`[0037]
`trical connection with said transducers;
`a first source of time-varying electric current in
`[0038]
`electrical connection with said first coil;
`a source of electrical current in electrical connec(cid:173)
`[0039]
`tion with said at least one probe; and,
`
`a source of heat in thermal contact with said at
`[0040]
`least one probe.
`It is another object of the present invention to pro(cid:173)
`[0041]
`vide the device as defined above, additionally comprising an
`independent second source of time-varying electric current in
`electrical connection with said second coil.
`It is another object of the present invention to pro(cid:173)
`[0042]
`vide the device as defined above, wherein said source of
`alternating electrical current is adapted to provide alternating
`electrical current that will drive said transducers such that
`said transducers produce acoustic (e.g., ultrasonic waves) of
`frequency between about 0.5 Hz and about 40 MHz and a
`power of between about 1 mW/cm2 and about 100 W/cm2
`,
`more specifically between about 1 m W/cm2 and about 10
`W/cm2
`, a magnetic flux density from about Oto about 3 Tesla,
`a magnetic field strength from about O to 50 Gauss, a pulse
`duration from 0.1 to 1000 msec.
`It is another object of the present invention to pro(cid:173)
`[0043]
`vide the device as defined above, wherein said two sources of
`time-varying electric current are adapted to produce time(cid:173)
`varying electrical currents of substantially the same fre(cid:173)
`quency, amplitude, phase, and waveform.
`It is another object of the present invention to pro(cid:173)
`[0044]
`vide the device as defined above, wherein said two sources of
`time-varying electric current are adapted to produce time(cid:173)
`varying electrical currents in which at least one of the fre(cid:173)
`quency, the amplitude, the phase, and the waveform differ.
`It is another object of the present invention to pro(cid:173)
`[0045]
`vide the device as defined above, wherein the relative wave(cid:173)
`forms, amplitudes, phases and frequencies of the electric
`currents produced by said at least one sources of time-varying
`electric current are adapted to produce a predetermined pat(cid:173)
`tern.
`It is another object of the present invention to pro(cid:173)
`[0046]
`vide the device as defined above, wherein said source of
`time-varying electric current is adapted to produce a current
`that will induce in said at least one probe a time-varying
`magnetic field of a form chosen from the group consisting of
`square wave, sine wave, saw tooth wave, ramped wave, tri(cid:173)
`angular pulses, and any mathematical combination thereof.
`It is another object of the present invention to pro(cid:173)
`[0047]
`vide the device as defined above, wherein the peak magnetic
`field provided by said probes is between O and about 3 T,
`specifically, 0 to 100 Gauss, more specifically Oto 50 Gauss.
`It is another object of the present invention to pro(cid:173)
`[0048]
`vide the device as defined above, wherein said time-varying
`magnetic field is in the form of pulses of duration of between
`about 0.1 milliseconds and about 1000 milliseconds.
`It is another object of the present invention to pro(cid:173)
`[0049]
`vide the device as defined above, wherein said time-varying
`magnetic field has a frequency of between about 0.5 Hz and
`about 40 MHz.
`It is another object of the present invention to pro(cid:173)
`[0050]
`vide the device as defined above, comprising a plurality of
`probes and further comprising at least one source of RF
`electrical current in electrical connection with said plurality
`of probes.
`It is another object of the present invention to pro(cid:173)
`[0051]
`vide the device as defined above, wherein each of said probes
`is characterized by substantially a different size and shape.
`It is another object of the present invention to pro(cid:173)
`[0052]
`vide the device as defined above, wherein each of said source
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`of RF electrical current is adapted to provide to each of said
`plurality of probes with a substantially different RF fre(cid:173)
`quency.
`[0053]
`It is another object of the present invention to pro(cid:173)
`vide the device as defined above, wherein each of said plu(cid:173)
`rality of probes is adapted to apply a substantially different
`RF frequency to the skin of said patient.
`[0054]
`It is another object of the present invention to pro(cid:173)
`vide the device as defined above, further comprising tempera(cid:173)
`ture measurement means and control means adapted to regu(cid:173)
`late at least one said RF electrical current, said time-varying
`current, and said alternating current such that the measured
`skin temperature does not go outside of predetermined limits.
`[0055]
`It is another object of the present invention to pro(cid:173)
`vide the device as defined above, wherein said predetermined
`limits are ambient temperature and 50° C.
`[0056]
`It is another object of the present invention to pro(cid:173)
`vide the device as defined above, wherein said predetermined
`limits are 30° C. and 100° C.
`[0057]
`It is another object of the present invention to pro(cid:173)
`vide the device as defined above, further comprising modu(cid:173)
`lation means for modulating the output of at least one of the
`group consisting of said first source of time-varying current,
`said second source of time-varying current, and said source of
`alternating current.
`[0058]
`It is another object of the present invention to pro(cid:173)
`vide the device as defined above, wherein said modulation
`means comprises means chosen from the group consisting of
`amplitude modulation, frequency modulation, phase modu(cid:173)
`lation, and any combination of the above.
`[0059]
`It is another object of the present invention to pro(cid:173)
`vide the device as defined above, wherein said modulation
`means comprises means chosen from the group consisting of
`pulse-width modulation, pulse-frequency modulation, pulse(cid:173)
`code modulation (PCT), and pulse-density modulation.
`[0060]
`It is another object of the present invention to pro(cid:173)
`vide the device as defined above, wherein said modulation
`means is adapted to provide ELF modulation of said current.
`[0061]
`It is another object of the present invention to pro(cid:173)
`vide the device as defined above, further comprising means
`for cooling the skin.
`[0062]
`It is another object of the present invention to pro(cid:173)
`vide the device as defined above, wherein said means for
`cooling the skin is chosen from the group consisting of a
`Peltier effect cooling device, irrigation with cool water, and
`means for blowing air.
`[0063]
`It is another object of the present invention to pro(cid:173)
`vide a method for improving the cosmetic appearance of the
`skin, comprising:
`[0064] obtaining a device comprising:
`[0065]
`a housing 100 comprising an open end adapted
`for being placed against the or in proximity to the
`skin;
`at least one acoustic transducer 300 adapted for
`[0066]
`producing ultrasonic waves, said acoustic transducer
`attached to a surface of said housing such that when
`said device is in use, said acoustic transducer is in
`physical contact with said skin; and,
`[0067]
`at least one first coil 310 wrapped around at
`least a portion of said at least one acoustic transducer;
`[0068] placing said device such that said at least one
`acoustic transducer and at least one probe are in physical
`contact with or in proximity to the skin to be treated;
`
`[0069]
`at least partially evacuating said housing until
`said skin is elevated sufficiently to make physical con(cid:173)
`tact with said at least one port;
`[0070]
`activating said source of alternating current,
`thereby activating said at least one acoustic transducer;
`and,
`[0071]
`activating said first source of time-varying cur(cid:173)
`rent, thereby producing an electric current in said first
`coil and a time-varying magnetic field in said at least one
`acoustic transducer.
`[0072]
`It is another object of the present invention to pro(cid:173)
`vide the method as defined above, wherein said housing con(cid:173)
`taining at least one port 400 through which air can enter and
`exit.
`[0073]
`It is another object of the present invention to pro(cid:173)
`vide the method as defined above, additionally step of pro(cid:173)
`viding said device with at least one probe 200 made of an
`electrically and magnetically conductive material capable of
`transferring energy to the skin, said at least one pro be attached
`to a surface of said housing such that when said device is in
`use, said probe is in physical contact with said skin.
`[0074]
`It is another object of the present invention to pro(cid:173)
`vide the method as defined above, wherein each of said plu(cid:173)
`rality of probes is adapted to apply a substantially different
`RF frequency to the skin of said patient.
`[0075]
`It is another object of the present invention to pro(cid:173)
`vide the method as defined above, additionally step of pro(cid:173)
`viding additionally said device with at least one second coil
`210 wrapped around at least a portion of said at least one
`probe.
`[0076]
`It is another object of the present invention to pro(cid:173)
`vide the method as defined above, further comprising a step of
`activating a second source of time-varying current, thereby
`producing an electric current in said second coil and a time(cid:173)
`varying magnetic field in said at least one probe.
`[0077]
`It is another object of the present invention to pro(cid:173)
`vide the method as defined above, further comprising a step of
`providing said acoustic transducer 300 being made of a metal(cid:173)
`lic material.
`[0078]
`It is another object of the present invention to pro(cid:173)
`vide the method as defined above, additionally step of posi(cid:173)
`tioning said at least one second coil 210 within said probe.
`[0079]
`It is another object of the present invention to pro(cid:173)
`vide the method as defined above, additionally step of dispos(cid:173)
`ing said at least one first coil 310 wrapped around said at least
`a portion of said at least one probe
`[0080]
`It is another object of the present invention to pro(cid:173)
`vide the method as defined above, further comprising a step of
`maintaining for the duration of treatment the at least partial
`vacuum obtained in said step of evacuating said housing.
`[0081]
`It is another object of the present invention to pro(cid:173)
`vide the method as defined above, wherein said step of acti(cid:173)
`vating said source of alternating current further comprises a
`step of activating said source of alternating current such that
`said at least one acoustic transducer produces ultrasonic
`waves of frequency between about 0.5 Hz and about 40M Hz
`and a power of between about 1 mW/cm2 and about 100
`W/cm2
`, more specifically between about 1 mW/cm2 and
`about 10 W/cm2
`.
`[0082]
`It is another object of the present invention to pro(cid:173)
`vide the method as defined above, wherein said step of acti(cid:173)
`vating said second source of time-varying current further
`comprises a step of activating said second source of time(cid:173)
`varying current so as to produce a time-varying electric cur-
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`rent of substantially the same frequency, amplitude, phase,
`and waveform as the current produced in said step of activat(cid:173)
`ing said first source of time-varying current.
`[0083]
`It is another object of the present invention to pro(cid:173)
`vide the method as defined above, wherein said step of acti(cid:173)
`vating said second source of time-varying current further
`comprises a step of activating said second source of time(cid:173)
`varying current so as to produce a time-varying electrical
`current in which at least one of the frequency, the amplitude,
`the phase, and the waveform differs from that produced in
`said step of activating said first source of time-varying cur(cid:173)
`rent.
`[0084]
`It is another object of the present invention to pro(cid:173)
`vide the method as defined above, wherein said step of acti(cid:173)
`vating said second source of time-varying current further
`comprises a step of activating said second source of time(cid:173)
`varying current so as to produce a time-varying electrical
`current in which at least one of the frequency, the amplitude,
`the phase, and the waveform differs from that produced in
`said step of activating said first source of time-varying current
`so as to produce a predetermined beat pattern.
`[0085]
`It is another object of the present invention to pro(cid:173)
`vide the method as defined above, wherein said step of acti(cid:173)
`vating said second source of time-varying current further
`comprises a step of activating said second source of time(cid:173)
`varying current so as to induce in said at least one probe a
`time-varying magnetic field of a form chosen from the group
`consisting of square wave, sine wave, sawtooth wave, ramped
`wave, triangular pulses, and any mathematical combination
`thereof.
`[0086]
`It is another object of the present invention to pro(cid:173)
`vide the method as defined above, wherein said step of acti(cid:173)
`vating said second source of time-varying current further
`comprises a step of activating said second source of time(cid:173)
`varying current so as to induce in said at least one probe a
`time-varying magnetic field adapted to result in eddy currents
`in said skin.
`[0087]
`It is another object of the present invention to pro(cid:173)
`vide the method as defined above, wherein said step of acti(cid:173)
`vating said second source of time-varying current further
`comprises a step of activating said second source of time(cid:173)
`varying current so as to induce in said at least one probe a
`time-varying magnetic field with a peak of between O and
`about 3 T, specifically, 0 to 100 Gauss, more specifically Oto
`50 Gauss.
`[0088]
`It is another object of the present invention to pro(cid:173)
`vide the method as defined above, wherein said step of acti(cid:173)
`vating said second source of time-varying current further
`comprises a step of activating said second source of time(cid:173)
`varying current so as to induce in said at least one probe a
`time-varying magnetic field in the form of pulses of duration
`between about 0.1 milliseconds and about 1000 milliseconds.
`[0089]
`It is another object of the present invention to pro(cid:173)
`vide the method as defined above, wherein said step of acti(cid:173)
`vating said second source of time-varying current further
`comprises a step of activating said second source of time(cid:173)
`varying current so as to induce in said at least one probe a
`time-varying magnetic field with a frequency of between
`about 0.5 Hz and about 40 MHz.
`[0090]
`It is another object of the present invention to pro(cid:173)
`vide the method as defined above, further comprising:
`[0091] obtaining at least two probes;
`[0092] placing said at least two probes in contact with
`said skin;
`
`[0093] obtaining a source of RF electrical current;
`[0094] placing said source of RF electrical current in
`electrical connection with at least two of said at least two
`probes; and,
`[0095]
`activating said source of RF electrical current.
`[0096]
`It is another object of the present invention to pro(cid:173)
`vide the method as defined above, further comprising:
`[0097] obtaining temperature measurement means;
`[0098] obtaining control means adapted to regulate at
`least one said RF electrical current, said time-varying
`current, and said alternating current; and,
`[0099]
`controlling at least one of said RF electrical cur(cid:173)
`rent, said time-varying current, and said alternating cur(cid:173)
`rent such that the measured skin temperature does not go
`outside of predetermined limits.
`[0100]
`It is another object of the present invention to pro(cid:173)
`vide the method as defined above, wherein said predeter(cid:173)
`mined limits are ambient temperature and 50° C.
`[0101]
`It is another object of the present invention to pro(cid:173)
`vide the method as defined above, wherein said predeter(cid:173)
`mined limits are 30° C. and 100° C.
`[0102]
`It is another object of the present invention to pro(cid:173)
`vide the method as defined above, further comprising a step of
`modulating the output of at least one of said first source of
`time-varying current, said second source of time-varying cur(cid:173)
`rent, and said source of alternating current.
`[0103]
`It is another object of the present invention to pro(cid:173)
`vide the method as defined above, wherein said step of modu(cid:173)
`lating includes a step chosen from the group consisting of
`modulating the amplitude of said output, modulating the fre(cid:173)
`quency of said output, modulating the phase of said output,
`and any combination of the above.
`[0104]
`It is another object of the present invention to pro(cid:173)
`vide the method as defined above, wherein said step of modu(cid:173)
`lating includes a step chosen from the group consisting of
`modulating the pulse width, modulating the pulse frequency,
`modulating the pulse code, and modulating the pulse density.
`[0105]
`It is another object of the present invention to pro(cid:173)
`vide the method as defined above, further comprising a step of
`modulating said output at an Extremely Low Frequency
`(ELF).
`[0106]
`It is another object of the present invention to pro(cid:173)
`vide the method as defined above, further comprising a step of
`cooling the skin.
`[0107]
`It is another object of the present invention to pro(cid:173)
`vide the method as defined above, wherein said step of cool(cid:173)
`ing the skin comprises a further step chosen from the group
`consisting of cooling the skin with a Peltier effect cooling
`device, irrigating the skin with cool water, and blowing air
`across the skin.
`[0108]
`It is another object of the present invention to pro(cid:173)
`vide a device for providing cosmetic improvement to the skin
`(and any other dermis treatment), wherein said device com(cid:173)
`prises:
`a housing 100 comprising an open end adapted
`[0109]
`for being placed against the or in proximity to the skin;
`[0110]
`at least one acoustic transducer 300 adapted for
`producing ultrasonic waves, said acoustic transducer
`attached to a surface of said housing such that when said
`device is in use, said acoustic transducer is in physical
`contact with said skin; and,
`[0111]
`at least one first coil 310 being positioned within
`at least a portion of said at least one acoustic transducer.
`
`Allergan EX1080
`Page 10
`
`

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`US 2013/0238061 Al
`
`Sep. 12, 2013
`
`5
`
`[0112]
`It is another object of the present invention to pro(cid:173)
`vide the device as defined above, wherein said housing con(cid:173)
`taining at least one port 400 through which air can enter and
`exit.
`[0113]
`It is another object of the present invention to pro(cid:173)
`vide the device as defined above, additionally comprising at
`least one probe 200 made of an electrically and magnetically
`conductive material capable of transferring energy to the skin,
`said at least one probe attached to a surface of said housing
`such that when said device is in use, said probe is in physical
`contact with said skin.
`[0114]
`It is another object of the present invention to pro(cid:173)
`vide the device as defined above, wherein each of said probes
`is adapted to apply a substantially different RF frequency to
`the skin of said patient.
`[0115]
`It is another object of the present invention to pro(cid:173)
`vide the device as defined above, wherein said energy is heat
`being transferred to the skin;
`[0116]
`It is another object of the present invention to pro(cid:173)
`vide the device as defined above, wherein said acoustic trans(cid:173)
`ducer 300 is made of a metallic material.
`[0117]
`It is another object of the present invention to pro(cid:173)
`vide the device as defined above, additiona