TWI870209B - Laser treatment system for skin - Google Patents
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Abstract
Description
本發明關於一種用於皮膚的雷射處置系統。 The present invention relates to a laser treatment system for the skin.
本發明關於一種用於皮膚的雷射處置系統。雷射在皮膚上的應用最早可追溯至1963年美國皮膚科醫師Goldman發表使用紅寶石雷射治療皮膚的各種病灶的文章。在這之後,分別應用於血管增生疾病及各種表皮和真皮疾病的氬雷射及二氧化碳雷射於1964年問世。然而,這兩種雷射都容易產生副作用,例如:肥厚性疤痕或色素過度沉澱等。 The present invention relates to a laser treatment system for skin. The earliest application of laser on skin can be traced back to 1963 when American dermatologist Goldman published an article on the use of ruby laser to treat various skin lesions. After that, argon laser and carbon dioxide laser, which were used for vascular proliferative diseases and various epidermal and dermal diseases respectively, came out in 1964. However, both types of lasers are prone to side effects, such as hypertrophic scars or excessive pigmentation.
此後,Anderson及Parrish於1983年提出「選擇性光熱分解效應(Selective photothermalysis)」理論,其利用不同波長的雷射對不同的色素有相對應的吸收光譜的原理搭配選擇小於或等於色素之熱遲緩時間的脈衝長度,來達到破壞色素而不傷害到其周遭組織的效果,讓治療的效率達到高峰。此理論成為近代雷射在皮膚上的應用的重要發展基礎,陸續發展出脈衝式染料雷射、脈衝式二氧化碳雷射以及各種Q-開關雷射等,將皮膚科與整形 外科帶進一個共同領域-雷射美容醫學。 After that, Anderson and Parrish proposed the "Selective photothermalysis" theory in 1983. It uses the principle that lasers of different wavelengths have corresponding absorption spectra for different pigments, and selects a pulse length that is less than or equal to the thermal delay time of the pigment to achieve the effect of destroying the pigment without damaging the surrounding tissue, so that the treatment efficiency reaches the peak. This theory has become an important development foundation for the application of modern lasers on the skin. Pulsed dye lasers, pulsed carbon dioxide lasers, and various Q-switched lasers have been developed successively, bringing dermatology and plastic surgery into a common field - laser cosmetic medicine.
雷射換膚(resurfacing)是雷射美容醫學中的一個項目,其利用遠紅外線的雷射光將組織的水分子吸收並產生汽化作用,依序由表淺的部位開始層層去除。脈衝式二氧化碳雷射(1996年美國FDA認證)是首先被拿來用在換膚的雷射,相較於早期連續波二氧化碳雷射容易造成組織過度熱傷害而導致疤痕產生,脈衝式二氧化碳雷射能夠更進一步降低對周遭組織造成熱傷害的風險。雷射換膚可分為剝離式換膚(Ablative resurfacing)與非剝離式換膚(Non-ablative resurfacing),其主要差異為是否有移除皮膚組織。一般而言,非剝離式換膚所造成的恢復期較短,但同時所需要的治療次數就會增加,且對於除皺的效果相較於剝離式換膚較不明顯;而剝離式換膚雖然效果顯著,但因破壞力較強導致較多的副作用。 Laser resurfacing is a procedure in laser cosmetic medicine that uses far-infrared laser light to absorb and vaporize water molecules in tissues, removing them layer by layer starting from the surface. Pulsed CO2 laser (approved by the US FDA in 1996) was the first laser used for resurfacing. Compared to the early continuous wave CO2 laser, which easily causes excessive thermal damage to tissues and leads to scarring, pulsed CO2 laser can further reduce the risk of thermal damage to surrounding tissues. Laser resurfacing can be divided into ablative resurfacing and non-ablative resurfacing. The main difference is whether skin tissue is removed. Generally speaking, non-ablative resurfacing has a shorter recovery period, but at the same time, the number of treatments required will increase, and the effect of wrinkle removal is less obvious than ablative resurfacing. Although ablative resurfacing has significant effects, it has more side effects due to its strong destructive power.
從上面關於雷射在皮膚上的應用的說明中可看出,在雷射美容醫學的領域中仍存在待改進之處,例如,如何在以雷射處置皮膚的過程中精準地將雷射施加到待處置的目標區域、降低周遭組織所受到的熱傷害等。 From the above description of the application of laser on the skin, it can be seen that there is still room for improvement in the field of laser cosmetic medicine, for example, how to accurately apply the laser to the target area to be treated during the process of laser treatment of the skin, and how to reduce the thermal damage to the surrounding tissues.
本發明的目的在於提供一種用於皮膚的雷射處置系統,其能夠精準地將雷射施加到皮膚上待處置的目標區域且還能夠避免對皮膚上的目標區域外的周遭組織造成不必要的傷害。 The object of the present invention is to provide a laser treatment system for skin, which can accurately apply laser to the target area to be treated on the skin and can also avoid causing unnecessary damage to the surrounding tissue outside the target area on the skin.
根據本發明所提供之用於皮膚的雷射處置系統包括:攝像組件,配置來獲得皮膚的第一影像;控制組件,連接到攝像組件,以控制攝像組件並接收來自攝像組件之皮膚的第一影像;雷射光源,連接到控制組件,且配置為發射雷射光束;深度偵測裝置,連接到控制組件,且配置為發射偵測光束;雷射掃描施用裝置,配置為接收來自雷射光源的雷射光束,並引導雷射光束使其施加到皮膚;以及驅動裝置,連接到控制組件,且配置為驅動雷射掃描施用裝置,以改變雷射光束施加在皮膚上的位置。控制組件可基於攝像組件所獲得的皮膚的第一影像決定皮膚之要被處置的目標區域,並在決定目標區域之後,再次控制攝像組件使其獲得目標區域的第二影像,且使深度偵測裝置對目標區域發射偵測光束以獲得目標區域的深度資訊,控制組件接著基於目標區域的第二影像及深度資訊控制驅動裝置來驅動雷射掃描施用裝置,使得雷射掃描施用裝置能夠對目標區域施加雷射光束。 The laser treatment system for skin provided according to the present invention includes: an imaging component, configured to obtain a first image of the skin; a control component, connected to the imaging component to control the imaging component and receive the first image of the skin from the imaging component; a laser light source, connected to the control component and configured to emit a laser beam; a depth detection device, connected to the control component and configured to emit a detection beam; a laser scanning application device, configured to receive the laser beam from the laser light source and guide the laser beam to be applied to the skin; and a driving device, connected to the control component and configured to drive the laser scanning application device to change the position where the laser beam is applied to the skin. The control component can determine the target area of the skin to be treated based on the first image of the skin obtained by the camera component, and after determining the target area, control the camera component again to obtain a second image of the target area, and make the depth detection device emit a detection beam to the target area to obtain depth information of the target area. The control component then controls the driving device to drive the laser scanning application device based on the second image of the target area and the depth information, so that the laser scanning application device can apply a laser beam to the target area.
在本發明上述之用於皮膚的雷射處置系統中,藉由控制組件、攝像組件與深度偵測裝置等的配合,雷射處置系統除了能夠自動辨識出皮膚上的目標區域(例如,病灶)外,還可進一步獲得皮膚上的目標區域的深度資訊,在這樣的情況下,能夠基於辨識出的目標區域的第二影像及深度資訊控制雷射掃描施用裝置使其對目標區域精準地施加雷射光束進行處置。 In the laser treatment system for skin of the present invention, through the cooperation of the control component, the camera component and the depth detection device, the laser treatment system can not only automatically identify the target area (e.g., lesion) on the skin, but also further obtain the depth information of the target area on the skin. In this case, the laser scanning application device can be controlled based on the second image and depth information of the identified target area to accurately apply the laser beam to the target area for treatment.
較佳地,在上述用於皮膚的雷射處置系統中,攝像組件可包括攝像裝置及變焦裝置,攝像裝置配置來獲得皮膚的第一影像及目標區域的第二影像,且在決定目標區域之後,變焦裝置可在控制組件的控制下使攝像裝置的焦距改變,以獲得目標區域的放大影像。更佳地,攝像裝置可為廣角攝像裝置。 Preferably, in the above-mentioned laser treatment system for skin, the camera assembly may include a camera and a zoom device, the camera is configured to obtain a first image of the skin and a second image of the target area, and after determining the target area, the zoom device can change the focal length of the camera under the control of the control assembly to obtain an enlarged image of the target area. More preferably, the camera can be a wide-angle camera.
較佳地,上述用於皮膚的雷射處置系統還可包括第一分光鏡,其被設置在深度偵測裝置與雷射掃描施用裝置之間,以及被設置在雷射光源與雷射掃描施用裝置之間,使得來自深度偵測裝置的偵測光束可透射通過第一分光鏡並進入雷射掃描施用裝置,且來自雷射光源的雷射光束可經由第一分光鏡反射並進入雷射掃描施用裝置。 Preferably, the laser treatment system for skin may further include a first spectroscope, which is disposed between the depth detection device and the laser scanning application device, and between the laser light source and the laser scanning application device, so that the detection beam from the depth detection device can be transmitted through the first spectroscope and enter the laser scanning application device, and the laser beam from the laser light source can be reflected by the first spectroscope and enter the laser scanning application device.
較佳地,上述用於皮膚的雷射處置系統還可包括第二分光鏡,其被設置在攝像組件與皮膚之間,以及被設置在雷射掃描施用裝置與皮膚之間,使得攝像組件可透過第二分光鏡來獲得皮膚的第一影像及目標區域的第二影像,且來自雷射光源並通過雷射掃描施用裝置的雷射光束及來自深度偵測裝置並通過雷射掃描施用裝置的偵測光束可經由第二分光鏡反射朝向目標區域。 Preferably, the laser treatment system for skin may further include a second spectroscope, which is disposed between the imaging component and the skin, and between the laser scanning application device and the skin, so that the imaging component can obtain a first image of the skin and a second image of the target area through the second spectroscope, and the laser beam from the laser light source and passing through the laser scanning application device and the detection beam from the depth detection device and passing through the laser scanning application device can be reflected toward the target area through the second spectroscope.
較佳地,上述用於皮膚的雷射處置系統還可包括可移動件,攝像組件、深度偵測裝置、雷射掃描施用裝置、驅動裝置、第一分光鏡及第二分光鏡均被設置於可移動件上。更佳地,此可移動件可為機械手臂,且控制 組件可控制機械手臂使得設置於機械手臂上的攝像組件、深度偵測裝置、雷射掃描施用裝置、驅動裝置、第一分光鏡及第二分光鏡能夠沿著X方向、Y方向及/或Z方向移動。 Preferably, the laser treatment system for skin may further include a movable part, on which the camera assembly, the depth detection device, the laser scanning application device, the driving device, the first spectroscope and the second spectroscope are all disposed. More preferably, the movable part may be a robotic arm, and the control component may control the robotic arm so that the camera assembly, the depth detection device, the laser scanning application device, the driving device, the first spectroscope and the second spectroscope disposed on the robotic arm can move along the X direction, the Y direction and/or the Z direction.
較佳地,在上述用於皮膚的雷射處置系統中,深度偵測裝置可為共焦偵測裝置或眼斷層掃描裝置。 Preferably, in the above-mentioned laser treatment system for skin, the depth detection device can be a confocal detection device or an ocular tomography scanning device.
較佳地,在上述用於皮膚的雷射處置系統中,控制組件可包括中央處理器及使用者介面,中央處理器配置為接收來自攝像組件所獲得的皮膚的第一影像和目標區域的第二影像以及來自深度偵測裝置所獲得的目標區域的深度資訊並將其顯示於使用者介面,使用者介面還配置為可供操作者輸入相關的處置參數。 Preferably, in the above-mentioned laser treatment system for skin, the control component may include a central processor and a user interface, the central processor is configured to receive a first image of the skin and a second image of the target area obtained from the camera component and depth information of the target area obtained from the depth detection device and display it on the user interface, and the user interface is also configured to allow the operator to input relevant treatment parameters.
較佳地,在上述用於皮膚的雷射處置系統中,攝像組件在雷射掃描施用裝置對目標區域施加雷射光束的同時仍可持續獲得目標區域的第二影像,且深度偵測裝置在雷射掃描施用裝置對目標區域施加雷射光束的同時仍可持續發出偵測光束以獲得目標區域的深度資訊,控制組件還配置為基於攝像組件持續獲得的目標區域的第二影像,即時地判斷目標區域是否在X方向及/或Y方向上發生偏移,且控制組件還配置為基於深度偵測裝置持續獲得的目標區域的深度資訊,即時地判斷雷射光束對目標區域在Z方向上的已處置程度,以進一步控制雷射掃描施用裝置對目標區域所施加的雷射光束。 Preferably, in the above-mentioned laser treatment system for skin, the camera assembly can continue to obtain a second image of the target area while the laser scanning application device applies a laser beam to the target area, and the depth detection device can continue to emit a detection beam to obtain depth information of the target area while the laser scanning application device applies a laser beam to the target area, and the control component is further configured to control the depth of the target area based on the camera assembly. The control component is configured to determine whether the target area is offset in the X direction and/or the Y direction based on the second image of the target area continuously obtained by the depth detection device, and the control component is also configured to determine the extent to which the laser beam has been applied to the target area in the Z direction based on the depth information of the target area continuously obtained by the depth detection device, so as to further control the laser beam applied to the target area by the laser scanning application device.
較佳地,在上述用於皮膚的雷射處置系統中,雷 射光源可為飛秒雷射光源。更佳地,此飛秒雷射光源所發出的飛秒雷射光束可具有從500奈米到1500奈米的波長、從5微米到50微米的光斑尺寸、從300飛秒到5000飛秒的雷射脈衝寬度、以及1百萬赫茲以下的雷射重複率。 Preferably, in the above-mentioned laser treatment system for skin, the laser light source may be a femtosecond laser light source. More preferably, the femtosecond laser beam emitted by the femtosecond laser light source may have a wavelength from 500 nanometers to 1500 nanometers, a spot size from 5 micrometers to 50 micrometers, a laser pulse width from 300 femtoseconds to 5000 femtoseconds, and a laser repetition rate below 1 million Hz.
較佳地,在上述用於皮膚的雷射處置系統中,雷射光源可為深紫光雷射光源。更佳地,此深紫光雷射光源所發出的深紫光雷射光束可具有從193奈米到308奈米的波長、從50微米到500微米的光斑尺寸、以及1000赫茲以下的雷射重複率。 Preferably, in the above-mentioned laser treatment system for skin, the laser light source may be a deep violet laser light source. More preferably, the deep violet laser light beam emitted by the deep violet laser light source may have a wavelength from 193 nanometers to 308 nanometers, a spot size from 50 micrometers to 500 micrometers, and a laser repetition rate below 1000 Hz.
在本發明上述之用於皮膚的雷射處置系統中,由於控制組件能夠即時地藉由攝像組件所獲得的目標區域的影像來判斷目標區域是否在X方向及/或Y方向上發生偏移,在這樣的情況下,即使皮膚上的目標區域(病灶)在以雷射光束對皮膚進行處置的過程中有移動的情況,控制組件也能夠即時地控制雷射掃描施用裝置修正雷射光束施加到皮膚上的位置以精準地進行處置。除此之外,由於控制組件還能夠即時地藉由深度偵測裝置所獲得的目標區域的深度資訊來判斷雷射光束對皮膚上的目標區域在Z方向上的已處置程度,在以雷射光束對皮膚上的目標區域進行處置的過程中,本發明上述之用於皮膚的雷射處置系統還能夠避免雷射光束對皮膚上的目標區域的不當處置(例如,過度處置),進一步避免對皮膚在目標區域外的正常組織產生傷害。 In the laser treatment system for skin of the present invention, since the control component can determine in real time whether the target area is offset in the X direction and/or the Y direction by using the image of the target area obtained by the camera component, in this case, even if the target area (lesion) on the skin moves during the process of treating the skin with a laser beam, the control component can control the laser scanning application device in real time to correct the position where the laser beam is applied to the skin for accurate treatment. In addition, since the control component can also judge the extent to which the target area on the skin has been treated in the Z direction by the laser beam in real time through the depth information of the target area obtained by the depth detection device, during the process of treating the target area on the skin with the laser beam, the laser treatment system for skin of the present invention can also avoid improper treatment of the target area on the skin by the laser beam (for example, excessive treatment), and further avoid damage to normal skin tissue outside the target area.
此外,在本發明上述之用於皮膚的雷射處置系統中,由於雷射光源可採用飛秒雷射光源,且飛秒的瞬間超高功率可使皮膚內的組織由固態經由幾乎可以忽略的液態到達氣態(電漿氣化),在幾乎不會產生熱效應的情況下打斷組織間的分子鍵,或者,由於雷射光源可採用深紫光雷射光源,且深紫光的光子能量高到足以直接地使皮膚內的組織氣化,因此,本發明之用於皮膚的雷射處置系統還能夠大幅降低在以雷射處置皮膚的過程中對皮膚上的目標區域周遭的組織造成熱傷害的機率。 In addition, in the laser treatment system for skin of the present invention, since the laser light source can adopt a femtosecond laser light source, and the instantaneous ultra-high power of the femtosecond can make the tissue in the skin go from solid to gaseous state (plasma vaporization) via almost negligible liquid state, and break the molecular bonds between tissues without generating any thermal effect, or, since the laser light source can adopt a deep violet laser light source, and the photon energy of the deep violet light is high enough to directly vaporize the tissue in the skin, the laser treatment system for skin of the present invention can also significantly reduce the probability of causing thermal damage to the tissue around the target area on the skin during the process of laser treatment of the skin.
1:攝像組件 1: Camera components
2:控制組件 2: Control components
3:雷射光源 3: Laser light source
4:深度偵測裝置 4: Depth detection device
5:雷射掃描施用裝置 5: Laser scanning application device
6:驅動裝置 6: Driving device
7:第一分光鏡 7: First spectroscope
8:第二分光鏡 8: Second spectroscope
9:可移動件 9: Movable parts
11:攝像裝置 11: Camera equipment
12:變焦裝置 12: Zoom device
21:中央處理器 21: Central Processing Unit
22:使用者介面 22: User Interface
100:雷射處置系統 100:Laser treatment system
200:方法 200:Methods
LB:雷射光束 LB: Laser beam
DB:偵測光束 DB: Detection beam
S1~S9:步驟 S1~S9: Steps
T:目標區域 T: Target area
參照以下詳細說明,特別是當結合所附圖式來考量時,本發明之更完整的理解及其許多附帶的優點將變得容易理解,其中:第一圖為根據本發明的實施例之用於皮膚的雷射處置系統的方塊圖。 A more complete understanding of the present invention and its many attendant advantages will become readily apparent with reference to the following detailed description, particularly when considered in conjunction with the accompanying drawings, wherein: FIG1 is a block diagram of a laser treatment system for skin according to an embodiment of the present invention.
第二圖與第三圖為根據本發明的實施例之用於皮膚的雷射處置系統對皮膚進行處置的方法流程圖。 The second and third figures are flow charts of the method for treating the skin using a laser treatment system for the skin according to an embodiment of the present invention.
以下是通過特定的具體實施例來說明本發明所公開有關“用於皮膚的雷射處置系統”的實施方式,本領域技術人員可由本說明書所公開的內容瞭解本發明的 優點與效果。本發明可通過其他不同的具體實施例加以施行或應用,本說明書中的各項細節也可基於不同觀點與應用,在不悖離本發明的構思下進行各種修改與變更。另外,本發明的附圖僅為簡單示意說明,並非依實際尺寸的描繪,事先聲明。以下的實施方式將進一步詳細說明本發明的相關技術內容,但所公開的內容並非用以限制本發明的保護範圍。 The following is a specific embodiment to illustrate the implementation method of the "laser treatment system for skin" disclosed in the present invention. The technical personnel in this field can understand the advantages and effects of the present invention from the content disclosed in this manual. The present invention can be implemented or applied through other different specific embodiments, and the details in this manual can also be modified and changed based on different viewpoints and applications without deviating from the concept of the present invention. In addition, the attached drawings of the present invention are only for simple schematic illustrations and are not depicted according to actual sizes. Please note in advance. The following implementation method will further explain the relevant technical content of the present invention in detail, but the disclosed content is not used to limit the scope of protection of the present invention.
應當可以理解的是,雖然本文中可能會使用到“第一”、“第二”、“第三”等術語來描述各種元件或者信號,但這些元件或者信號不應受這些術語的限制。這些術語主要是用以區分一元件與另一元件,或者一信號與另一信號。另外,本文中所使用的術語“或”,應視實際情況可能包括相關聯的列出項目中的任一個或者多個的組合。 It should be understood that although the terms "first", "second", "third" and so on may be used in this article to describe various components or signals, these components or signals should not be limited by these terms. These terms are mainly used to distinguish one component from another component, or one signal from another signal. In addition, the term "or" used in this article may include any one or more combinations of the related listed items depending on the actual situation.
將在下文中參照所附圖式描述本發明的實施例。 An embodiment of the present invention will be described below with reference to the attached drawings.
第一圖為根據本發明的實施例之用於皮膚的雷射處置系統100的方塊圖。如第一圖所示,用於皮膚的雷射處置系統100包括攝像組件1、控制組件2、雷射光源3、深度偵測裝置4、雷射掃描施用裝置5、以及驅動裝置6。 The first figure is a block diagram of a laser treatment system 100 for skin according to an embodiment of the present invention. As shown in the first figure, the laser treatment system 100 for skin includes an imaging component 1, a control component 2, a laser light source 3, a depth detection device 4, a laser scanning application device 5, and a driving device 6.
攝像組件1配置為獲得皮膚的第一影像並將其傳送到控制組件2,控制組件2可基於攝像組件1所獲得之皮膚的第一影像來決定要被處置的目標區域T,並 控制攝像組件1使其獲得此目標區域T的第二影像。 The imaging component 1 is configured to obtain a first image of the skin and transmit it to the control component 2. The control component 2 can determine the target area T to be treated based on the first image of the skin obtained by the imaging component 1, and control the imaging component 1 to obtain a second image of the target area T.
更具體地,攝像組件1可包括攝像裝置11及變焦裝置12,其中,攝像裝置11配置來獲得皮膚的第一影像及目標區域T的第二影像,且在控制組件2決定目標區域T之後,變焦裝置12可在控制組件2的控制下使攝像裝置11的焦距改變,以獲得目標區域T的放大影像。在本發明的實施例中,攝像裝置11可為廣角攝像裝置,以在初步獲得皮膚的第一影像時盡可能地擷取大面積的影像,並供控制組件2進行辨識,以節省決定要被處置的目標區域T所需花費的時間。 More specifically, the camera assembly 1 may include a camera 11 and a zoom device 12, wherein the camera 11 is configured to obtain a first image of the skin and a second image of the target area T, and after the control assembly 2 determines the target area T, the zoom device 12 may change the focal length of the camera 11 under the control of the control assembly 2 to obtain an enlarged image of the target area T. In an embodiment of the present invention, the camera 11 may be a wide-angle camera to capture as large an area of the image as possible when initially obtaining the first image of the skin, and provide the control assembly 2 for identification, so as to save the time required to determine the target area T to be treated.
雷射光源3配置為朝向雷射掃描施用裝置5發射雷射光束LB。在本發明的實施例中,雷射光源3可為飛秒雷射光源,且其所發出的雷射光束為飛秒雷射光束。更具體地,此飛秒雷射光束較佳地可具有從500奈米到1500奈米的波長、從5微米到50微米的光斑尺寸、從300飛秒到5000飛秒的雷射脈衝寬度、以及1百萬赫茲以下的雷射重複率。替代地,雷射光源3可為深紫光雷射光源,且其所發出的深紫光雷射光束具有從193奈米到308奈米的波長、從50微米到500微米的光斑尺寸、以及1000赫茲以下的雷射重複率。然而,本發明並不以此為限,根據皮膚所需進行的處置,可適當地選擇各種雷射光源及其所發出的雷射光束。 The laser light source 3 is configured to emit a laser beam LB toward the laser scanning application device 5. In an embodiment of the present invention, the laser light source 3 may be a femtosecond laser light source, and the laser beam emitted by it is a femtosecond laser light beam. More specifically, the femtosecond laser light beam preferably has a wavelength from 500 nanometers to 1500 nanometers, a spot size from 5 micrometers to 50 micrometers, a laser pulse width from 300 femtoseconds to 5000 femtoseconds, and a laser repetition rate of less than 1 million hertz. Alternatively, the laser light source 3 may be a deep violet laser light source, and the deep violet laser light beam emitted by it has a wavelength from 193 nanometers to 308 nanometers, a spot size from 50 micrometers to 500 micrometers, and a laser repetition rate of less than 1000 hertz. However, the present invention is not limited to this. Various laser light sources and the laser beams they emit can be appropriately selected according to the treatment required for the skin.
深度偵測裝置4配置為發射偵測光束DB。雷射掃描施用裝置5配置為接收雷射光束LB並將其施加到 皮膚(例如,目標區域T)。 The depth detection device 4 is configured to emit a detection beam DB. The laser scanning application device 5 is configured to receive the laser beam LB and apply it to the skin (e.g., the target area T).
控制組件2在決定目標區域T之後,將會控制深度偵測裝置4發出偵測光束DB,並藉由通過雷射掃描施用裝置5的偵測光束DB來獲得皮膚的目標區域T的深度資訊。在本發明的實施例中,深度偵測裝置4較佳地為共焦偵測裝置或眼斷層掃描裝置,其均配置為可獲得皮膚的目標區域T的深度資訊。 After determining the target area T, the control component 2 will control the depth detection device 4 to emit a detection beam DB, and obtain the depth information of the target area T of the skin by passing the detection beam DB of the laser scanning application device 5. In the embodiment of the present invention, the depth detection device 4 is preferably a confocal detection device or an ocular tomography scanning device, both of which are configured to obtain the depth information of the target area T of the skin.
進一步言之,根據本發明的實施例之用於皮膚的雷射處置系統100還包括第一分光鏡7及第二分光鏡8。 Furthermore, the laser treatment system 100 for skin according to the embodiment of the present invention also includes a first spectroscope 7 and a second spectroscope 8.
第一分光鏡7設置在深度偵測裝置4與雷射掃描施用裝置5之間,且設置在雷射光源3與雷射掃描施用裝置5之間,使得來自深度偵測裝置4的偵測光束DB可透射通過第一分光鏡7並進入雷射掃描施用裝置5,且來自雷射光源3的雷射光束LB可經由第一分光鏡7反射並進入雷射掃描施用裝置5。 The first spectroscope 7 is disposed between the depth detection device 4 and the laser scanning application device 5, and between the laser light source 3 and the laser scanning application device 5, so that the detection beam DB from the depth detection device 4 can be transmitted through the first spectroscope 7 and enter the laser scanning application device 5, and the laser beam LB from the laser light source 3 can be reflected by the first spectroscope 7 and enter the laser scanning application device 5.
第二分光鏡8設置在攝像組件1與皮膚(例如,目標區域T)之間,且設置在雷射掃描施用裝置5與皮膚(例如,目標區域T)之間,使得攝像組件1可透過第二分光鏡8來獲得皮膚的第一影像及目標區域T的第二影像,且來自雷射光源3並通過雷射掃描施用裝置5的雷射光束LB及來自深度偵測裝置4並通過雷射掃描施用裝置5的偵測光束DB可經由第二分光鏡8反射朝向目標區域T。 The second spectroscope 8 is disposed between the imaging component 1 and the skin (e.g., the target area T), and between the laser scanning application device 5 and the skin (e.g., the target area T), so that the imaging component 1 can obtain a first image of the skin and a second image of the target area T through the second spectroscope 8, and the laser beam LB from the laser light source 3 and passing through the laser scanning application device 5 and the detection beam DB from the depth detection device 4 and passing through the laser scanning application device 5 can be reflected toward the target area T through the second spectroscope 8.
驅動裝置6配置為驅動雷射掃描施用裝置5以改變雷射光束LB施加在皮膚上的位置。較佳地,根據本發明的實施例之用於皮膚的雷射處置系統100還包括可移動件9,攝像組件1、深度偵測裝置4、雷射掃描施用裝置5、驅動裝置6、第一分光鏡7及第二分光鏡8均設置於此可移動件9上。在本發明的實施例中,可移動件9較佳地為機械手臂,且控制組件2可控制可移動件9(機械手臂)使得設置於可移動件9(機械手臂)上的攝像組件1、深度偵測裝置4、雷射掃描施用裝置5、驅動裝置6、第一分光鏡7及第二分光鏡8能夠沿著X方向、Y方向及/或Z方向移動。 The driving device 6 is configured to drive the laser scanning application device 5 to change the position where the laser beam LB is applied to the skin. Preferably, the laser treatment system 100 for skin according to the embodiment of the present invention further includes a movable part 9, and the camera assembly 1, the depth detection device 4, the laser scanning application device 5, the driving device 6, the first spectroscope 7 and the second spectroscope 8 are all arranged on this movable part 9. In the embodiment of the present invention, the movable part 9 is preferably a robot arm, and the control component 2 can control the movable part 9 (robot arm) so that the camera component 1, the depth detection device 4, the laser scanning application device 5, the driving device 6, the first spectroscope 7 and the second spectroscope 8 arranged on the movable part 9 (robot arm) can move along the X direction, the Y direction and/or the Z direction.
因為雷射光束LB與偵測光束DB會同時且持續施加於目標區域T,且攝像組件1需持續獲得目標區域T的影像,使上述裝置同步移動有利於雷射掃描施用裝置5以高精準度對皮膚上的目標區域T施加雷射光束LB進行處置。 Because the laser beam LB and the detection beam DB are applied to the target area T simultaneously and continuously, and the camera assembly 1 needs to continuously obtain the image of the target area T, making the above devices move synchronously is conducive to the laser scanning application device 5 applying the laser beam LB to the target area T on the skin with high precision.
控制組件2可包括中央處理器21及使用者介面22,中央處理器21配置為接收來自攝像組件1所獲得的皮膚的第一影像和目標區域T的第二影像以及來自深度偵測裝置4所獲得的目標區域T的深度資訊並將其顯示於使用者介面22,使用者介面22還配置為可供操作者輸入相關的處置參數。在本發明的實施例中,使用者介面22可包括螢幕和鍵盤,但並不以此為限。例如,使用者介面22亦可能為觸控式螢幕等。 The control component 2 may include a central processor 21 and a user interface 22. The central processor 21 is configured to receive the first image of the skin and the second image of the target area T obtained from the camera component 1 and the depth information of the target area T obtained from the depth detection device 4 and display it on the user interface 22. The user interface 22 is also configured to allow the operator to input relevant treatment parameters. In an embodiment of the present invention, the user interface 22 may include a screen and a keyboard, but is not limited thereto. For example, the user interface 22 may also be a touch screen, etc.
接下來,將參照第二圖說明藉由根據本發明的實施例之用於皮膚的雷射處置系統100對皮膚進行處置的方法200流程圖。 Next, a flow chart of a method 200 for treating skin using a laser treatment system 100 for skin according to an embodiment of the present invention will be described with reference to the second figure.
首先,在步驟S1中,藉由攝像組件1獲得皮膚的第一影像,並將皮膚的第一影像傳送到控制組件2。 First, in step S1, the first image of the skin is obtained by the camera component 1, and the first image of the skin is transmitted to the control component 2.
接著,在步驟S2中,控制組件2辨識從攝像組件1傳來的皮膚的第一影像,並決定皮膚上要被處置的目標區域T(例如,病灶)。 Next, in step S2, the control component 2 recognizes the first image of the skin transmitted from the imaging component 1 and determines the target area T (e.g., lesion) on the skin to be treated.
接下來,在步驟S3中,控制組件2控制攝像組件1使其獲得目標區域T的第二影像(例如,病灶之放大影像)。 Next, in step S3, the control component 2 controls the imaging component 1 to obtain a second image of the target area T (e.g., an enlarged image of the lesion).
接著,在步驟S4中,控制組件2控制深度偵測裝置4使其發出偵測光束DB以獲得目標區域T的深度資訊(例如,病灶之深度)。 Next, in step S4, the control component 2 controls the depth detection device 4 to emit a detection beam DB to obtain the depth information of the target area T (e.g., the depth of the lesion).
最後,在步驟S5中,根據在步驟S3中所獲得的目標區域T的第二影像和深度資訊,控制組件2控制驅動裝置6,使其驅動雷射掃描施用裝置5對目標區域T施加雷射光束LB。應注意的是,在本發明的實施例中,在雷射掃描施用裝置5對目標區域T施加雷射光束LB的同時,攝像組件1仍持續獲得目標區域T的第二影像,且深度偵測裝置4仍持續發出偵測光束DB以持續獲得目標區域T的深度資訊。接下來將參照第三圖說明。 Finally, in step S5, according to the second image and depth information of the target area T obtained in step S3, the control component 2 controls the driving device 6 to drive the laser scanning application device 5 to apply the laser beam LB to the target area T. It should be noted that in the embodiment of the present invention, while the laser scanning application device 5 applies the laser beam LB to the target area T, the camera component 1 continues to obtain the second image of the target area T, and the depth detection device 4 continues to emit the detection beam DB to continue to obtain the depth information of the target area T. Next, refer to the third figure for explanation.
在這樣的情況下,如第三圖的步驟S6所示,控制組件2還可基於攝像組件1持續獲得的目標區域T的 第二影像,即時地判斷目標區域T是否在X方向及/或Y方向上發生偏移。 In this case, as shown in step S6 of the third figure, the control component 2 can also determine in real time whether the target area T is offset in the X direction and/or the Y direction based on the second image of the target area T continuously obtained by the camera component 1.
例如,如第三圖的步驟S7所示,若控制組件2判斷目標區域T在X方向及/或Y方向上發生偏移,則其可控制雷射掃描施用裝置5暫停對目標區域T施加雷射光束LB,並控制驅動裝置6調整雷射掃描施用裝置5所施加的雷射光束LB施加到皮膚上的位置後,再繼續以雷射光束LB對皮膚上的目標區域T進行處置。 For example, as shown in step S7 of the third figure, if the control component 2 determines that the target area T is offset in the X direction and/or the Y direction, it can control the laser scanning application device 5 to pause applying the laser beam LB to the target area T, and control the driving device 6 to adjust the position of the laser beam LB applied by the laser scanning application device 5 to the skin, and then continue to treat the target area T on the skin with the laser beam LB.
如第三圖的步驟S8所示,控制組件2可基於深度偵測裝置4持續獲得的目標區域T的深度資訊,即時地判斷雷射光束LB對目標區域T在Z方向上的已處置程度,進而進一步控制雷射掃描施用裝置5對目標區域T所施加的雷射光束LB。此外,如第三圖的步驟S9所示,若控制組件2判斷雷射光束LB對目標區域T在Z方向上的已處置程度已達到所設定的目標值(例如,病灶已被去除),則其可控制雷射掃描施用裝置5停止對目標區域T施加雷射光束LB,結束處置。 As shown in step S8 of the third figure, the control component 2 can judge the degree of treatment of the target area T in the Z direction by the laser beam LB in real time based on the depth information of the target area T continuously obtained by the depth detection device 4, and further control the laser beam LB applied to the target area T by the laser scanning application device 5. In addition, as shown in step S9 of the third figure, if the control component 2 judges that the degree of treatment of the target area T in the Z direction by the laser beam LB has reached the set target value (for example, the lesion has been removed), it can control the laser scanning application device 5 to stop applying the laser beam LB to the target area T and end the treatment.
藉由本發明的實施例之用於皮膚的雷射處置系統,在控制組件、攝像組件與深度偵測裝置等的配合下,由於雷射處置系統除了能夠藉由攝像組件和控制組件自動辨識出皮膚上的目標區域(例如,病灶)外,還可藉由深度偵測裝置進一步獲得皮膚上的目標區域的深度資訊,因此能夠基於辨識出的目標區域的第二影像及深度資訊來控制雷射掃描施用裝置使其以非常高的精準度對 皮膚上的目標區域施加雷射光束進行處置。 With the cooperation of the control component, the imaging component and the depth detection device, the laser treatment system for skin of the embodiment of the present invention can not only automatically identify the target area (e.g., lesion) on the skin by the imaging component and the control component, but also further obtain the depth information of the target area on the skin by the depth detection device. Therefore, the laser scanning application device can be controlled based on the second image and depth information of the identified target area to apply a laser beam to the target area on the skin with very high accuracy for treatment.
此外,在本發明之用於皮膚的雷射處置系統中,由於控制組件能夠藉由攝像組件所獲得的目標區域的第二影像即時地判斷目標區域是否在X方向及/或Y方向上有偏移的情況,即使皮膚上的目標區域(病灶)在以雷射光束對皮膚進行處置的過程中有移動的情況(例如,患者移動),根據本發明之用於皮膚的雷射處置系統也能夠即時地修正雷射光束施加於皮膚上的位置,避免對皮膚上的其它非目標區域造成傷害。 In addition, in the laser treatment system for skin of the present invention, since the control component can judge whether the target area is offset in the X direction and/or Y direction in real time through the second image of the target area obtained by the camera component, even if the target area (lesion) on the skin moves during the process of treating the skin with a laser beam (for example, the patient moves), the laser treatment system for skin of the present invention can also correct the position of the laser beam applied to the skin in real time to avoid causing damage to other non-target areas on the skin.
另一方面,在本發明之用於皮膚的雷射處置系統中,由於控制組件還能夠藉由深度偵測裝置所獲得的目標區域的深度資訊即時地判斷雷射光束對目標區域在Z方向上的已處置程度,在以雷射光束對皮膚上的目標區域進行處置的過程中,本發明之用於皮膚的雷射處置系統還能夠避免雷射光束對皮膚上的目標區域的不當處置(例如,過度處置),進一步避免對皮膚在目標區域外的正常組織產生傷害。 On the other hand, in the laser treatment system for skin of the present invention, since the control component can also judge the degree of treatment of the target area in the Z direction by the laser beam in real time through the depth information of the target area obtained by the depth detection device, during the process of treating the target area on the skin with the laser beam, the laser treatment system for skin of the present invention can also avoid improper treatment of the target area on the skin by the laser beam (for example, excessive treatment), and further avoid damage to normal skin tissue outside the target area.
最後,在本發明之用於皮膚的雷射處置系統中,若雷射光源採用飛秒雷射光源或深紫光雷射光源,由於飛秒的瞬間超高功率可使皮膚內的組織由固態經由幾乎可以忽略的液態到達氣態(電漿氣化),在幾乎不會產生熱效應的情況下打斷組織間的分子鍵,或由於深紫光的光子能量高到足以直接地使皮膚內的組織氣化,根據本發明之用於皮膚的雷射處置系統還能夠大幅降低以在 雷射對皮膚進行處置的過程中對皮膚上的目標區域周遭的組織造成熱傷害的機率。 Finally, in the laser treatment system for skin of the present invention, if the laser light source adopts a femtosecond laser light source or a deep violet laser light source, the instantaneous ultra-high power of the femtosecond can make the tissue in the skin go from solid to gaseous state (plasma vaporization) via an almost negligible liquid state, breaking the molecular bonds between tissues without generating any thermal effect, or because the photon energy of the deep violet light is high enough to directly vaporize the tissue in the skin, the laser treatment system for skin of the present invention can also significantly reduce the probability of causing thermal damage to the tissues around the target area on the skin during the laser treatment of the skin.
在本文中所描述的實施例的圖式旨在提供對於本發明的理解。換言之,圖式僅為代表性的且可能未按比例繪製。圖式中的某些比例可能被放大,而其他比例可能被縮小。據此,圖式應被視為示意性的而非限制性的。 The drawings of the embodiments described herein are intended to provide an understanding of the present invention. In other words, the drawings are representative only and may not be drawn to scale. Certain proportions in the drawings may be exaggerated, while other proportions may be reduced. Accordingly, the drawings should be regarded as illustrative rather than restrictive.
雖然已於上述實施例中參照附圖說明本發明的各種實施例,但上述實施例僅為本發明的較佳實施例,並非意圖用來將本發明侷限於上文中所描述及附圖中所示的特徵及結構。應理解的是,在不偏離本發明的範疇的情況下,熟知本領域的技術人士所能夠設想到各種其它的省略、置換、變化和修改亦被包含在本發明的範疇內。 Although various embodiments of the present invention have been described in the above embodiments with reference to the attached drawings, the above embodiments are only preferred embodiments of the present invention and are not intended to limit the present invention to the features and structures described above and shown in the attached drawings. It should be understood that various other omissions, substitutions, changes and modifications that can be imagined by a person skilled in the art without departing from the scope of the present invention are also included in the scope of the present invention.
1:攝像組件 1: Camera components
2:控制組件 2: Control components
3:雷射光源 3: Laser light source
4:深度偵測裝置 4: Depth detection device
5:雷射掃描施用裝置 5: Laser scanning application device
6:驅動裝置 6: Driving device
7:第一分光鏡 7: First spectroscope
8:第二分光鏡 8: Second spectroscope
9:可移動件 9: Movable parts
11:攝像裝置 11: Camera equipment
12:變焦裝置 12: Zoom device
21:中央處理器 21: Central Processing Unit
22:使用者介面 22: User Interface
100:雷射處置系統 100:Laser treatment system
LB:雷射光束 LB: Laser beam
DB:偵測光束 DB: Detection beam
T:目標區 T: Target area
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| TW202023646A (en) * | 2018-11-30 | 2020-07-01 | 美商奧賽拉公司 | Systems and methods for enhancing efficacy of ultrasound treatment |
| TW202206033A (en) * | 2020-04-24 | 2022-02-16 | 美商凡克洛斯公司 | Methods and systems for venous disease treatment |
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| TW202023646A (en) * | 2018-11-30 | 2020-07-01 | 美商奧賽拉公司 | Systems and methods for enhancing efficacy of ultrasound treatment |
| TW202206033A (en) * | 2020-04-24 | 2022-02-16 | 美商凡克洛斯公司 | Methods and systems for venous disease treatment |
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