KR101732649B1 - High intensity focused ultrasound operating apparatus - Google Patents

Abstract

A manipulation handpiece having a handle used as a handle of a practitioner; 1. An ultrasound diagnostic system, comprising: a cartridge having an ultrasonic therapeutic unit connected to a manipulation handpiece on one side and generating high intensity focused ultrasound (HIFU); And a driver for driving the ultrasonic treatment unit, wherein the cartridge comprises: a cartridge body detachably mountable to the procedure handpiece, the cartridge body having a cylindrical shape or a bar shape so as to be insertable into the vagina of a subject to be treated; A window coupled to the cartridge body to transmit the high-intensity focused ultrasound; And a cushioning part made of a flexible material having a hardness lower than that of the cartridge body and provided as a part of the cartridge body.

Description

[0001] HIGH INTENSITY FOCUSED ULTRASOUND OPERATING APPARATUS [0002]

The present invention relates to a high-intensity focused ultrasound treatment apparatus, and more particularly, to a high-intensity focused ultrasound treatment apparatus and method for treating a gynecological disease and / or vasoconstriction.

Recently, interest in skin beauty and obesity treatment is increasing, and various medical devices for skin beauty and obesity treatment are being developed. For example, a variety of skin care medical devices have been developed for patients who wish to perform face lifting or skin tightening procedures, and on the other hand, medical devices for the treatment of obese patients are being developed.

As a skin beauty medical device, there are invasive medical devices for dissecting skin tissue. However, as the safety problem of the patient and the rejection of patients are highlighted, non-invasive medical devices capable of performing the operation without cutting the skin tissue are attracting attention have. This tendency is similar in the fields of skin beauty and obesity treatment, and it is expected that this tendency will also appear in other medical fields.

In keeping with this trend, ultrasonic medical devices using high intensity focused ultrasound (HIFU) as a non-invasive medical device are in the spotlight recently. For example, there is an ultrasonic medical device that non-invasively performs skin lifting or skin tightening by irradiating a high-intensity focused ultrasonic wave into skin tissues for skin cosmetic surgery. In order to treat obesity, a high-intensity focused ultrasonic wave is applied to the subcutaneous fat layer, High Intensity focused ultrasound (HIFU) to irradiate non-invasive fat tissue or dissolve fat tissue.

On the other hand, patients with gynecological diseases have been increasing steadily. Gynecological diseases can be broadly categorized into a wide variety of conditions, including benign, inflammatory, menstrual, sexually transmitted, and sexual dysfunction. More specifically, typical tumors include cervical cancer, ovarian cancer, and uterine myoma. Inflammatory diseases include cold air, and menstrual disorders include amenorrhea, menstrual cramps, and menstrual cycle disorders. Sexual function disorders include sexual desire disorder, sexual arousal disorder, orgasmic disorder, pain disorder, and vasoconstrictive disorder. Among them, sexual dysfunction means symptoms that are not satisfied or have difficulty through sexual intercourse. Traditional sexual dysfunction is often a natural disability due to childbirth or aging. Recently, however, people with sexual dysfunction have been increasing in young people in their 20s and 30s. There are various causes of this phenomenon, but excessive smoking, drinking, drug abuse, and stress are known to be the main causes of increased sexual dysfunction in young people.

Methods of treating such gynecological diseases can be roughly classified into pharmaceutical treatment methods and medical treatment methods. Among them, the treatment method using a medical device means a treatment using a hyperthermia treatment device, a moxibustion device, a bathing device, and a laser treatment device. However, it is known that the treatment using a hyperthermia treatment, a moxa sponge and a bathing suit is not a direct treatment, and its effect is also very poor. In addition, in the case of the treatment using the laser therapy apparatus, bleeding occurs with strong pain during the procedure, and pain and side effects occur after the procedure, which is a great inconvenience to daily life.

U.S. Published Patent Application No. 2007-0232913 Korean Patent Publication No. 2011-0091831 Korean Patent Publication No. 2007-0065332 Korea Patent Publication No. 2012-0116908 Korean Patent Publication No. 2011-0121701

One aspect of the present invention can provide a high-intensity focused ultrasound treatment device with improved reliability.

Another aspect of the present invention can provide a high-intensity focused ultrasound treatment device capable of delivering ultrasound more stably.

Still another aspect of the present invention provides a high-intensity focused ultrasound treatment apparatus capable of improving the safety of gynecological disease treatment and / or vasoconstriction.

A high-intensity focused ultrasound treatment device according to an embodiment of the present invention includes a treatment handpiece having a handle used as a handle of a practitioner; 1. An ultrasound diagnostic system, comprising: a cartridge having an ultrasonic therapeutic unit connected to a manipulation handpiece on one side and generating high intensity focused ultrasound (HIFU); And a driver for driving the ultrasonic treatment unit, wherein the cartridge comprises: a cartridge body detachably mountable to the procedure handpiece, the cartridge body having a cylindrical shape or a bar shape so as to be insertable into the vagina of a subject to be treated; A window coupled to the cartridge body to transmit the high-intensity focused ultrasound; And a cushioning part made of a flexible material having a hardness lower than that of the cartridge body and provided as a part of the cartridge body.
Here, the medium to be filled in the cartridge body, the window, and the internal space of the cartridge surrounded by the buffer may be further included.
In addition, the ultrasonic wave treatment unit may mitigate the internal pressure that increases as the temperature of the medium increases while generating the high-intensity focused ultrasonic wave.
Also, the buffering portion can mitigate the internal pressure, which is increased as the ultrasonic therapeutic portion is moved within the cartridge body.

At this time, the buffer portion may be made of a material having elasticity.

Further, the window may be disposed in one direction at a side of the cartridge body, and the buffer portion may be disposed at a side of the cartridge body in the other direction opposite to the one direction.

Further, the buffering portion may be disposed to be deflected from one side of the cartridge or the other side of the cartridge at the longitudinal center of the cartridge.

Further, at least a part of the buffer part may be positioned closer to the other side end of the cartridge than the other side of the window.

The skin contact surface of the window may be planar.

Further, the buffer portion may have a relatively low elastic modulus as compared with the cartridge body.

A high-intensity focused ultrasound treatment device according to an embodiment of the present invention includes a treatment handpiece having a handle used as a handle of a practitioner; A cartridge provided inside the ultrasonic therapeutic unit for generating high intensity focused ultrasound (HIFU); And a driver for driving the ultrasonic treatment unit, wherein the cartridge comprises: a cartridge body detachably mountable to the procedure handpiece, the cartridge body having a cylindrical shape or a bar shape so as to be insertable into the vagina of a subject to be treated; And a window coupled to a side surface of the cartridge body to allow the high intensity focused ultrasound to be transmitted therethrough, wherein a skin contact surface of the HIFU window has a plane.

At this time, the cartridge body may be provided with a projection protruding from a side surface of the cartridge body in a direction perpendicular to the longitudinal direction of the cartridge body, to which the HIFU window is coupled.

In addition, the surface including the protrusion and the border of the cartridge body is a curved surface, and the surface including the protrusion and the contact line of the HIFU window may be planar.

The cartridge may further include a cushioning portion made of a flexible material having a hardness lower than that of the cartridge body and provided as a part of the cartridge body.

In addition, the cartridge may further include a cushioning portion provided as a part of the cartridge body with a relatively low elastic modulus as compared with the cartridge body.

According to an embodiment of the present invention, at least one of the safety of the procedure, the reliability of the apparatus, and the life of the apparatus can be improved in the high-intensity focused ultrasound treatment apparatus.

The high-intensity focused ultrasound treatment apparatus according to the present invention is a device for treating high-intensity focused ultrasound by comparing the image data of vaginal internal dermal tissue to be formed with a thermal lesion to the reference data, And / or the safety of the vasoconstriction procedure can be improved.

The high-intensity focused ultrasound treatment apparatus according to the present invention can perform the treatment by determining whether the cartridge inserted into the vagina during the procedure is normally positioned in the vagina and then performing the procedure so that the thermal lesions are accurately irradiated to the predetermined skin tissue, Or the safety of the vasoconstriction procedure can be improved.

The high-intensity focused ultrasound treatment apparatus according to the embodiment of the present invention may be provided with cartridges compatible with the condition of the subject to be treated and compatible with the procedure handpiece, and then the selected cartridge may be mounted on the procedure handpiece , And the cartridge replacement can perform patient-specific procedures with a single device.

The high-intensity focused ultrasound procedure according to the present invention is a method of treating high-intensity focused ultrasound by comparing the image data of vaginal internal dermal tissue to be formed with a thermal lesion to the reference data, And / or the safety of the vasoconstriction procedure can be improved.

The high-intensity focused ultrasound treatment method according to the present invention is a method of treating a gynecological disease and / or a gynecological disease by performing thermal treatment after determining whether the cartridge inserted into the vagina is normally positioned in the vagina, Or the safety of the vasoconstriction procedure can be improved.

The high-intensity focused ultrasound treatment method according to the embodiment of the present invention can prepare cartridges having a procedure condition suitable for the condition of a subject to be interchangeably prepared on a procedure handpiece and then mount the selected cartridges on the procedure handpiece, Patient-tailored procedures can be performed through cartridge replacement as a single device.

1 is a perspective view schematically illustrating a high intensity focused ultrasound treatment apparatus according to an embodiment of the present invention.
FIG. 2 is a view for explaining a coupling procedure of the first procedure handpiece and the first cartridge shown in FIG. 1;
3 is a cross-sectional view schematically illustrating the first procedure handpiece and the first cartridge shown in Fig.
4 is a view illustrating first and second cartridges according to an embodiment of the present invention.
FIG. 5 is a view for explaining a procedure of performing a procedure using the first procedure handpiece shown in FIG.
6 is a view for explaining the operation principle of a high intensity focused ultrasound treatment apparatus using a second procedure handpiece and a third cartridge according to an embodiment of the present invention.
FIG. 7 is a perspective view showing the second procedure handpiece and the third cartridge shown in FIG. 1; FIG.
FIG. 8 is a view for explaining a mutual coupling process of the second procedure handpiece and the third cartridge shown in FIG. 7;
FIG. 9 is a first sectional view showing a coupling structure of the second procedure handpiece and the third cartridge shown in FIG. 7; FIG.
FIG. 10 is a second sectional view showing a coupling structure of the second procedure handpiece and the third cartridge shown in FIG. 7; FIG.
11 is a view for explaining various examples of the arrangement structure of the ultrasound therapy unit and the image probe shown in FIG.
12 is a perspective view schematically illustrating a high-intensity focused ultrasound treatment apparatus according to another embodiment of the present invention.
13 is a side view of Fig.
14 is a bottom view of Fig.
FIG. 15 is a view for explaining the high-intensity focused ultrasound treatment apparatus shown in FIG.
16 is a view for explaining the principle of performing a procedure using a high-intensity focused ultrasound treatment apparatus according to an embodiment of the present invention.
17 is a view for explaining a principle of performing a procedure using a high-intensity focused ultrasound treatment apparatus according to another embodiment of the present invention.

BRIEF DESCRIPTION OF THE DRAWINGS The advantages and features of the present invention and the manner of achieving them will become apparent with reference to the embodiments described in detail below with reference to the accompanying drawings. The present invention may, however, be embodied in many different forms and should not be construed as limited to the embodiments set forth herein. These embodiments are provided so that the disclosure of the present invention is complete and that those skilled in the art will fully understand the scope of the present invention. Like reference numerals designate like elements throughout the specification.

The terms used herein are intended to illustrate embodiments and are not intended to limit the invention. In the present specification, the singular form includes plural forms unless otherwise specified in the specification. It is to be understood that the terms 'comprise', and / or 'comprising' as used herein may be used to refer to the presence or absence of one or more other components, steps, operations, and / Or additions.

In addition, the embodiments described herein will be described with reference to cross-sectional views and / or plan views, which are ideal illustrations of the present invention. In the drawings, the detailed size, shape, thickness, curvature, etc. of each structure are exaggerated or schematized for effective explanation of technical contents, and the shape may be modified by tolerance or the like.

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS Hereinafter, with reference to the accompanying drawings, a high-intensity focused ultrasound treatment apparatus and a treatment method thereof according to an embodiment of the present invention will be described in detail.

FIG. 1 is a perspective view schematically illustrating a high-intensity focused ultrasound treatment apparatus according to an embodiment of the present invention, and FIG. 2 is a view for explaining a process of combining the first procedure handpiece and the first cartridge shown in FIG. 3 is a cross-sectional view schematically illustrating the first procedure handpiece and the first cartridge shown in Fig.

1 to 3, the high intensity focused ultrasound treatment apparatus 10 according to the embodiment of the present invention can perform two or more different treatments using high intensity focused ultrasound (HIFU) May be a medical device.

At this time, the above two or more procedures may include non-invasive face lifting or skin tightening procedures, reduction or removal of non-invasive subcutaneous fat layer, and gynecological disease treatment and / have.

The high-intensity focused ultrasound (hereinafter, referred to as 'HIFU') may be used to form a thermal lesion 12 by focusing the ultrasound waves in a single focus. Such a thermal lesion 12 may be a thermal focus at a high temperature of about 60 캜 or more. Therefore, the high-intensity focused ultrasound treatment apparatus 10 may be configured to form the thermal lesions 12 in the dermal layer, the fascia layer, or the SMAS layer located at about 1.5 mm to 4.5 mm from the surface of the skin to perform face lifting or skin A skin tightening procedure may be performed or a fat reduction or removal procedure may be performed by forming the thermal lesion 12 on the subcutaneous fat layer located at about 6.0 mm to 15.0 mm from the skin surface. Alternatively, a thermal lesion (22 in Fig. 16) is formed for muscles that play a certain depth of skin tissue or vasoconstriction from the vaginal surface of a woman, such as Endopelvic Fascia (EPF, Fig. 16, 70) A procedure for regenerating or restoring the semipermeable foil 70 can be performed.

The high-intensity focused ultrasound treatment apparatus (hereinafter, referred to as HIFU treatment apparatus) 10 includes a main body 100, a first handpiece assembly 200, a first cartridge set 300, a second handpiece assembly 400 ), A second cartridge set 500, and the like.

The equipment main body 100 may provide information related to the procedure to a practitioner (not shown), and the practitioner may operate or operate the HIFU procedure device 10. [ For example, the apparatus main body 100 may be provided with a display 110 for displaying information related to a procedure of a practitioner, and an operation unit 120 for operating or controlling the HIFU operator 10 by a practitioner. As the operation unit 120, a touch screen or the like may be used.

The first handpiece assembly 200 may include a first procedure handpiece 210 and a first connection cable 220. The first procedure handpiece 210 is for irradiating the subject with HIFU, and may be provided in a hand-held form for the convenience of user's operation. For example, the first manipulation handpiece 210 may include a first manipulation part 212 to enable a practitioner to grasp the first manipulation handpiece 210. A first operation switch 212a for controlling an ultrasonic irradiation operation may be provided at an upper end of the first handle 212. The first connection cable 220 may be for electrically and physically connecting the first manipulation handpiece 210 and the apparatus main body 100. One end of the first connection cable 220 may be connected to the first manipulation handpiece 210 and the other end may be detachably connected to the device body 100 in a connecting manner.

The first cartridge set 300 may be a set of a plurality of cartridges. For example, the first cartridge set 300 may include a first cartridge 310 and a second cartridge 320 having different operating conditions. The first cartridge 310 and the second cartridge 320 are different from each other in terms of the purpose of the operation. Specifically, the first cartridge 310 is for reducing or removing the non-invasive subcutaneous fat layer, 2 cartridge 320 may be for non-invasive face lifting or skin tightening procedures. Details of the operation procedures and the operating conditions of the first and second cartridges 310 and 320 will be described later.

Each of the first and second cartridges 310 and 320 may be detachably attached to the first procedure handpiece 210. For example, a first guide portion 214 for fastening the first cartridge set 300 to the cartridge (310 of FIG. 2, etc.) may be provided at the front end of the first handle 212. In one embodiment, the first guide portion 214 may be provided in a bar shape protruding in the front end direction of the first handle portion 212. A through hole 312a having a shape corresponding to an end surface of the first guide part 214 may be provided in a central area of the first cartridge body 312. [ 2 (a), by inserting the first guide portion 214 into the through hole 312a, the first cartridge 310 is inserted into the first procedure handpiece 210 Can be mounted. At this time, a locking device 214a may be provided at the front end of the first guide part 214 to prevent the first cartridge 310 from being mounted, So that the first cartridge 310 can be locked or unlocked.

The first guide part 214 may be provided with a first image probe 216 for imaging the tissue to be treated. The first image probe 216 may be provided in a substantially bar shape along the first guide portion 214. The first image probe 216 may generate an ultrasound image to image the skin tissue to be treated, that is, the subcutaneous fat layer. The first guide part 214 may be disposed on the first and second cartridges 310 and 320 when the first and second cartridges 310 and 320 are fastened to the first procedure handpiece 210, May be provided to be positioned on top of the treatment transducers 314 provided in each. Accordingly, the treatment transducer 314 performs a function of irradiating the HIFU while moving back and forth in the lower part of the first guide part 214. Accordingly, the treatment transducer 314 may be referred to as an ultrasound treatment part have. In addition, the first image probe 216 may generate a separate ultrasound image to image the subcutaneous fat layer and display the subcutaneous fat layer on the display unit 110.

Here, for the longitudinal movement of the treatment transducer 314, a first driver 218 may be provided on the first procedure handpiece 210. The first actuator 218 and the treatment transducer 314 may be connected to each other by a support 316. The first actuator 218 may be a stepping motor, have. Accordingly, the first actuator 218 moves the support 316 back and forth so that the treatment transducer 314 can be moved back and forth.

The first actuator 218 may move the treatment transducer 314 in the anteroposterior direction so that the treatment transducer 314 has a treatment interval of approximately 40.0 mm to 100.0 mm. More specifically, the first driver 218 may be provided as a stepping motor, and the treatment transducer 314 may be moved back and forth by a selected length within a range of approximately 40.0 mm to 100.0 mm. Here, the first driver 218 shown in FIG. 3 may be a coaxial section of the stepping motor. At this time, the treatment transducer 314 may irradiate the HIFU while moving the range. The treatment transducer 314 may be set to irradiate the HIFU at regular intervals so that the thermal lesion 12 forms a plurality of dots along the same line or the thermal lesion 12 may be set so as to form a straight line May be configured to examine the HIFU.

On the other hand, if the length of the transverse direction of the therapeutic transducer 314 is less than 40.0 mm, the procedure time for the skin lifting, skin tightening or subcutaneous fat layer may be too short. When the therapeutic transducer 314 moves back and forth over a range of 100.0 mm, the treatment transducer 314 moves the treatment transducer 314 to the HIFU The first HIFU irradiation depth and the last HIFU irradiation depth for the subcutaneous fat layer are different from each other, so that the risk of HIFU irradiation to the area outside the subcutaneous fat layer may be increased. This risk can similarly occur in terms of skin lifting or skin tightening. Accordingly, the first actuator 218 is set such that the treatment transducer 314 can be moved back and forth within a range of approximately 40.0 mm to 100.0 mm, more preferably within a range of 60.0 mm to 80.0 mm May be suitable for shortening the procedure time while securing the procedure safety.

Each of the first and second cartridges 310 and 320 may be provided with a cooling fluid for cooling the heat generated by the operation of the treatment transducer 314. In one embodiment, each of the first and second cartridges 310 and 320 is provided so that the cooling water can be filled therein, and the cooling water is circulated by a separate cooling water circulation line (not shown) , It is possible to prevent the treatment transducer 314 from overheating. For this, when the first and second cartridges 310 and 320 are mounted on the first handpiece 210, the cooling water in the first and second cartridges 310 and 320 flows through the coolant circulation line And the cooling water circulation line is connected to a cooling water storage container (not shown) inside the apparatus main body 100, and can circulate the cooling water in the cooling water storage container. On the other hand, although not shown, a circulation means such as a pump may be installed on the cooling water circulation line.

The high-intensity focused ultrasound treatment apparatus 10 having the above-described structure may be configured such that the first cartridge 310 and the second cartridge 320, which have conditions suitable for different types of operations, The operator selects a cartridge capable of performing a desired operation among the first and second cartridges 310 and 320 and attaches the cartridge to the first procedure handpiece 210, can do. In this case, as compared with a high-intensity focused ultrasound medical instrument capable of only a single-purpose operation, various operations can be performed only by replacing a cartridge as a single device, so that a structure of a multi-purpose ultrasonic medical device can be realized.

Particularly, in case of non-invasive ultrasonication of face lifting and non-invasive ultrasonication of subcutaneous fat layer reduction, the depth and intensity condition of high-intensity focused ultrasound and skin tissue of imaging target are completely different. It was very difficult to implement. However, the high-intensity focused ultrasound treatment apparatus 10 may include a first image probe 216 that is shared with the first and second cartridges 310 and 320 of different types in the first procedure handpiece 210 The technical barriers are solved by enabling the heterodyning through the replacement of the first and second cartridges 310 and 320. [

As described above, the high-intensity focusing ultrasound treatment apparatus 10 according to the embodiment of the present invention includes the first cartridge 310 having different therapeutic objectives, the first cartridge set The cartridges capable of performing a desired operation are selected from among the first and second cartridges 310 and 320 and mounted on the first procedure handpiece 210. Thus, . Accordingly, the high-intensity focused ultrasound treatment apparatus according to the present invention may include a treatment handpiece having a variety of treatment objectives, followed by a face lifting or skin tightening procedure and a reduction or removal of the subcutaneous fat layer using a treatment handpiece So that two or more high-intensity focused ultrasound procedures can be performed as a single device. Also, the high-intensity focused ultrasound treatment apparatus according to the embodiment of the present invention may include cartridges having a treatment condition suitable for the condition of a subject to be treated, and may be installed in a procedure handpiece, And a patient-tailored procedure can be performed through cartridge replacement as a single device.

Next, the first cartridge set 300 according to the embodiment of the present invention will be described in detail. Here, the contents overlapping with the description of the high-intensity focused ultrasound treatment apparatus 10 can be omitted or simplified.

4 is a view for explaining the first and second cartridges 310 and 320 according to the embodiment of the present invention. 4 (a) is a view for explaining a procedure condition of the first cartridge 310 according to the embodiment of the present invention, and FIG. 4 (b) is a cross- 320, respectively.

Referring to FIG. 4 (a), the first cartridge 310 according to the embodiment of the present invention may be for reducing or removing the subcutaneous fat layer. In one embodiment, the first cartridge 310 can be used when the thickness T1 of the subcutaneous fat layer 20 to be treated is 25.0 mm or more. That is, the first cartridge 310 may be set in a condition that the thickness Tl of the subcutaneous fat layer 20 is 25.0 mm. In this case, the procedure patient may be highly obese. The first cartridge 310 is adjusted so that the irradiation depth from the skin surface of the HIFU is approximately 11.0 mm to 15.0 mm while the vertical length H1 of the HIFU lesion 30 is adjusted to approximately 8.0 mm to 12.0 mm . If the vertical length H1 of the HIFU lesion 30 is less than about 8.0 mm, the reduction efficiency of the subcutaneous fat layer 20 may be lowered. In contrast, if the HIFU lesion 30 has a vertical length H1 of more than about 12.0 mm, a HIFU lesion can be formed in an area outside the subcutaneous fat layer 20. In addition, if the irradiation depth is less than about 11.0 mm or more than about 15.0 mm, the HIFU lesion 30 may escape from the subcutaneous fat layer 20 during the procedure. Therefore, the treatment transducer 314 of the first cartridge 310 is adjusted such that the vertical length H1 of the HIFU lesion 30 is substantially controlled and the irradiation depth of the HIFU is regulated to be the subcutaneous fat layer 20 The thickness Tl of the subcutaneous fat layer 20 is 25.0 mm or more, it is possible to alleviate the risk of being performed on the tissue other than the subcutaneous fat layer 20.

In another embodiment, the first cartridge 310 can be used when the thickness T1 of the subcutaneous fat layer 20 to be treated is 7.0 mm or more and less than 25.0 mm. That is, the first cartridge 310 may be set to a condition that can be practiced when the thickness T1 of the subcutaneous fat layer 20 is at least 7.0 mm, but thinner than 25.0 mm. In this case, the procedure patient may be highly likely to be a primary obese patient. In this case, the first cartridge 310 is configured such that the irradiation depth from the skin surface of the HIFU is approximately 6.0 mm to 10.0 mm while the HIFU lesion 30 has a vertical length H1 of approximately 5.0 mm to 9.0 mm, Lt; / RTI > If the vertical length H1 of the HIFU lesion 30 is less than approximately 5.0 mm, the reduction efficiency of the subcutaneous fat layer 20 may be reduced. In contrast, if the vertical length H1 of each of the HIFU lesions 30 is greater than about 9.0 mm, the HIFU lesion 30 may be formed in an area outside the subcutaneous fat layer 20. In addition, if the irradiation depth is less than about 6.0 mm or more than about 10.0 mm, the HIFU lesion 30 may escape from the subcutaneous fat layer 20 during the procedure. Therefore, the treatment transducer 314 of the first cartridge 310 is adjusted such that the vertical length H1 of the HIFU lesion 30 is substantially controlled and the irradiation depth of the HIFU is regulated to be the subcutaneous fat layer 20 Is less than or equal to 7.0 mm and less than or equal to 25.0 mm, it is possible to alleviate the risk of being performed on skin tissues other than the subcutaneous fat layer 20.

Here, the treatment transducer 314 of the first cartridge 310 may generate a plurality of HIFU lesions 30 while performing a forward movement or a backward movement, that is, a linear reciprocating motion. At this time, the interval between the HIFU lesions 30 is absent or less than 1.0 mm so that the HIFU lesions 30 are formed as a straight line or column shape without interruption, and the subcutaneous fat layer 20 Can be pyrolyzed. However, if the HIFU lesions 30 are superimposed on each other, it may be ideal that the HIFU is irradiated adjacent to the HIFU lesions 30 under the condition that the HIFU lesions 30 do not overlap, because the pain suffered by the patient can be great.

Referring to FIG. 4 (b), the second cartridge 320 according to the embodiment of the present invention may be for face lifting or skin tightening, unlike the first cartridge 310 described above. In one embodiment, the dermal tissue 40 to be treated in the second cartridge 320 may include a dermal layer, a fascia layer, and a SMAS layer at a depth of approximately 1.5 mm to 4.5 mm from the skin surface. At this time, the second cartridge 320 can be adjusted so that the HIFU lesion 50 is generated in a substantially spherical shape, an elliptical shape, or a water droplet shape having a diameter of about 0.5 mm to 1.5 mm. If the diameter of the HIFU lesion 50 is less than about 0.5 mm, the damage to the HIFU target tissue is very small, and it may be difficult to achieve the effect of face lifting or skin tightening through regeneration after intentional skin damage. On the contrary, if the diameter of the HIFU lesion 50 exceeds 1.5 mm, the HIFU lesion 50 may be formed in an area outside the skin tissue 40 to be treated. In addition, if the irradiation depth is less than about 1.5 mm or more than about 4.5 mm, the HIFU lesion 50 may escape from the skin tissue 40 to be treated during the procedure. Therefore, it is preferable that the treatment transducer 314 of the second cartridge 320 is adjusted such that the diameter of the HIFU lesion 50 is approximately adjusted, and the irradiation depth of the HIFU is adjusted to 1.5 to 4.5. Most preferably, the irradiation depth of the HIFU lesion 50 is any one selected from 1.5 mm, 3.0 mm, and 4.5 mm, and the diameter of the HIFU lesion 50 may be approximately inside or outside.

Here, the treatment transducer of the second cartridge 320 may generate a plurality of HIFU lesions 50 while performing a forward movement or a backward movement, that is, a linear reciprocating motion. At this time, the interval between the HIFU lesions 50 is set to be about 0.5 mm to less than 2.0 mm so that the HIFU lesions 50 are consequently spaced apart from each other by a predetermined distance, Can be adjusted to form dots. If the distance between the HIFU lesions 50 is less than 0.5 mm, the HIFU lesions 50 are consequently connected to each other, which may cause skin necrosis or the like as an excessive thermal injury to the skin tissue. Conversely, if the distance between the HIFU lesions 50 exceeds 2.0 mm, the interval between the HIFU lesions 50 is very large, and consequently, the effect of face lifting or skin tightening may be significantly reduced.

Next, a method of using the high-intensity focused ultrasound-based first procedure handpiece according to the embodiment of the present invention will be described in detail. Here, the description of the high intensity focused ultrasound therapy apparatus 10 according to the embodiment of the present invention can be omitted or simplified.

FIG. 5 is a view for explaining a procedure of performing a procedure using the first procedure handpiece shown in FIG. Referring to FIGS. 1 to 5, first, a type of treatment to be performed can be selected for a patient to be treated (S110). For example, a practitioner (not shown) may select a type of treatment to be performed on a patient to be treated (not shown). At this time, the types of procedures that can be selected may include at least one of face lifting, skin tightening, and subcutaneous fat layer reduction or removal. If the practitioner wishes to perform the subcutaneous fat layer reduction or removal procedure, the practitioner may consider the thickness of the subcutaneous fat layer, the depth of the subcutaneous fat layer, the condition of the subject to be treated, The first cartridge 310 can be selected. Here, in order to confirm the thickness of the subcutaneous fat layer, the practitioner recognizes the thickness of the subcutaneous fat layer directly by hand or identifies the subcutaneous fat layer imaged through the image probe 216 provided in the first procedure handpiece 210, The thickness of the subcutaneous fat layer can be accurately calculated.

Next, a cartridge capable of performing the selected procedure can be selected and mounted on the first procedure handpiece 210 of the high-intensity focused ultrasound treatment apparatus 10 (S120). For example, the practitioner may select the first cartridge 310 in the first cartridge set 300 and mount the first cartridge 310 on the first procedure handpiece 210 when performing the subcutaneous fat layer reduction or removal procedure. Alternatively, if the practitioner wishes to perform the face lifting or skin tightening procedure, the second cartridge 320 may be selected from the first cartridge set 300 and mounted on the first procedure handpiece 210.

Next, the high-intensity focused ultrasound procedure can be performed using the selected cartridge (S130). For example, the practitioner can perform a face lifting or skin tightening procedure and a subcutaneous fat layer reduction or a subcutaneous fat reduction treatment on the subject using the first procedure handpiece 210 equipped with any one of the first and second cartridges 310 and 320 Removal procedure can be performed.

As described above, in the method using the high-intensity focused ultrasound according to the embodiment of the present invention, the first cartridge 310 or the second cartridge 310, which can perform a desired operation in the first cartridge set 300, It is possible to select the second cartridge 320 and attach it to the first procedure handpiece 210 and perform the procedure. Accordingly, the method using the high-intensity focused ultrasound according to the present invention can be applied to a variety of procedures, such as a procedure of preparing cartridges having a variety of procedures to be compatible with a procedure handpiece, a face lifting or skin tightening procedure, Two or more high-intensity focused ultrasound procedures can be performed as a single device by mounting a target cartridge on a procedure handpiece. Furthermore, a cartridge for a desired treatment out of the gynecological disease treatment and vasoconstriction surgery described later may be mounted on the procedure handpiece to perform the procedure. In addition, the method using the high-intensity focused ultrasound according to the present invention can be applied to a cartridge for skin beauty treatment having various treatment conditions compatible with the procedure handpiece, By performing the procedure for reducing the subcutaneous fat layer by attaching to the procedure handpiece, customized treatment can be performed for each patient or each site.

Hereinafter, a second procedure handpiece of high-intensity focused ultrasound according to an embodiment of the present invention and a gynecological disease treatment and / or a vasoconstriction procedure using the same will be described in detail. Here, the description of the high-intensity focused ultrasound treatment apparatus 10 described above may be omitted or simplified.

FIG. 6 is a block diagram schematically illustrating a gynecological disease treatment and / or vaginal contraction procedure of a high-intensity focused ultrasound treatment apparatus using a second procedure handpiece and a third cartridge according to an embodiment of the present invention. Referring to FIG. 6, the second handpiece assembly 400 and the second cartridge set 500 of the high-intensity focused ultrasound treatment apparatus 10 according to the embodiment of the present invention may use a high-intensity focused ultrasonic wave to treat gynecological diseases and / Vaginal constriction can be performed.

The gynecological disease and vaginal contraction procedure may include treatment for the treatment of tumors, tumor diseases, inflammatory diseases, menstrual disorders, sexually transmitted diseases, sexual dysfunction, and the like. As an example, the high-intensity focused ultrasound treatment device 10 for treating the gynecological disease and vasoconstriction may be adapted to deliver a dose of about 0.5 (v / v) from the skin surface of vagina (60 in FIG. 11) to treat sexual dysfunction or impairment due to birth or aging. After intentionally damaging or irritating the skin tissue at a depth of mm to 3.0 mm, it is possible to perform a procedure of restoring normal tissue through densification or regeneration of the skin tissue. As another example, a high-intensity focused ultrasound treatment apparatus 10 for gynecological disease treatment and vasoconstriction surgery is provided for treating contractions of vagina (60 in Fig. 16) to treat sexual dysfunction or disorders due to birth or aging An endopelvic fascia (EPF, Fig. 16, 70) can be performed for densification or regeneration.

Here, the HIFU may be for focusing ultrasound on one focal point to form a thermal lesion (22 in FIG. 16). Such a thermal lesion 22 may be a thermal focus at a high temperature of about 60 캜 or more. Accordingly, the high-intensity focused ultrasound treatment apparatus 10 forms a thermal lesion 22 for skin tissue in the vicinity of the skin surface of the vagina 60, for example, in a range of about 0.5 mm to 3.0 mm from the vaginal skin surface, Or after stimulation, it is possible to perform a procedure of restoring normal tissue through densification or regeneration of such a skin tissue. Alternatively, the high-intensity focused ultrasound treatment apparatus 10 may be configured to measure the internal lesion 70 (see FIG. 11) with respect to the internal iliac crest 70 located at a depth of about 1.0 to 30.0 mm from the inner wall surface 62 of the vagina 60 22 may be intentionally damaged or irritated to improve the contractile force of the vagina 60 by restoring or regenerating the intramuscular cavity 70.

The high-intensity focused ultrasound treatment apparatus 10 for treatment of gynecological diseases and / or vasoconstriction may include an indicator 110, a controller 130, a database 140, an ultrasound therapy unit 514, A portion 516, and a detector 519. [

The indicator 110 may include an imaging device for displaying the information of the gynecological disease treatment and / or vasoconstriction to the practitioner. The controller 130 compares the image data photographed by the second image pro- pecting unit 516 with the reference data stored in the database 140 to provide the practitioner with information necessary for the operation. For example, in the database 140, reference data for the average thickness of female vaginal muscles, the position or depth of vaginal muscles, skin tissue of a specific depth for forming a thermal lesion 22 from the vaginal skin surface are stored Can be. The second image probe 516 measures the quality thickness, position, and depth of a subject to be treated and transmits the measured thickness to the controller 130. The controller 130 compares the transmitted image data with the reference data , It is possible to display information necessary for the operation on the display device 110. [

The high-intensity focused ultrasound treatment apparatus 10 may be configured such that the cartridge (e.g., the third cartridge 510) incorporating the ultrasound therapy unit 514 is normally positioned at a predetermined position on the inner wall of the vagina 60, And a detector 519 for detecting whether or not the mobile terminal 100 is operating. The detector 519 is for sensing the normal position of the cartridge so that the ultrasonic treatment unit 514 can accurately form a thermal lesion 22 in the desired tissue for treatment by using various sensing techniques, 130 may control the ultrasound therapy unit 514 by determining the sensed data of the sensor 519. The reference data for determining the sensing data of the sensor 519 may further be stored in the database 140.

Next, one specific embodiment of the above-described high-intensity focused ultrasound treatment apparatus 10 will be described. Here, a detailed description of the apparatus main body 100 and the like commonly applied to other procedures will be omitted or simplified.

FIG. 7 is a perspective view showing the second procedure handpiece and the third cartridge shown in FIG. 1, and FIG. 8 is a view for explaining a process of coupling the second procedure handpiece and the third cartridge shown in FIG. FIG. 9 is a first sectional view showing a coupling structure of the second procedure handpiece and the third cartridge shown in FIG. 7, FIG. 10 is a sectional view showing the coupling structure of the second procedure handpiece and the third cartridge shown in FIG. 2 is a cross-sectional view. FIG. 11 is a view for explaining various examples of the arrangement structure of the ultrasound therapy unit and the image probe shown in FIG.

Referring to Figures 1 and 6-11, a second handpiece assembly 400 and a second cartridge set 500 of the high intensity focused ultrasound treatment device 10 according to an embodiment of the present invention may be provided .

The second handpiece assembly 400 may include a second procedure handpiece 410 and a second connection cable 420. The second procedure handpiece 410 may be manipulated by a practitioner to irradiate a subject with HIFU, and may be provided in a hand-held form for the convenience of manipulation of a practitioner. For example, the second procedure handpiece 410 may include a second handle 412 to enable a practitioner to hold the second procedure handpiece 410. The second handle 412 may be provided with a second operation switch (not shown) for controlling the HIFU irradiation operation by the operator. The second connection cable 420 may be for electrically and physically connecting the second procedure handpiece 410 and the apparatus main body 100. One end of the second connection cable 420 may be connected to the second manipulation handpiece 410 and the other end of the second connection cable 420 may be detachably connected to the device body 100 in a connecting manner.

The second cartridge set 500 may be a set of a plurality of cartridges. For example, the second cartridge set 500 may include third to fifth cartridges 510, 520, and 530 having the same or similar structure with each other. Each of the third through fifth cartridges 510, 520, and 530 is provided as an insertion portion to be inserted into the vagina 60 at the time of procedure, and the HIFU As an HIFU irradiating unit for irradiating the HIFU.

As an example, the third to fifth cartridges 510, 520, and 530 may have the same purpose and condition as the procedure. That is, each of the third to fifth cartridges 510, 520, and 530 has the same HIFU irradiation intensity, depth and angle, and the same size and formation position of the thermal lesion 22 formed by the HIFU May be set. Thus, each of the third through fifth cartridges 510, 520, and 530 may irradiate HIFU with the same or similar condition as the inner wall of the vagina of a woman during the procedure, thereby forming the thermal lesion 22. The operator inserts the third cartridge 310 of the third through fifth cartridges 510, 520 and 530 into the second procedure handpiece 210 and uses the third cartridge 310 of the third cartridge 310, It is possible to continuously perform the gynecological disease treatment by using the fourth or fifth cartridge 520 or 530 instead of the third cartridge 310. [

As another example, the third to fifth cartridges 510, 520, and 530 may have different purposes or conditions of operation. For example, the third cartridge 510 is configured to form a thermal lesion of a relatively large HIFU, and the fourth cartridge 520 forms a thermal lesion of HIFU relatively small as compared with the third cartridge 510 . ≪ / RTI > Furthermore, the fifth cartridge 530 may be set to form a thermal lesion of a relatively small HIFU relative to the fourth cartridge 520. [ Alternatively, the third cartridge 510 is set to form a thermal lesion 22 in the skin tissue at a shallow depth from the vaginal inner wall surface 62 relatively, and the fourth cartridge 520 is set in the third cartridge < RTI ID = 510 may be configured to form thermal lesions 22 in the skin tissue at a deep depth from the vaginal inner wall surface 62 relatively. Further, the fifth cartridge 530 may be configured to form a thermal lesion 22 at a deeper depth from the vaginal lining representation 62 relative to the fourth cartridge 520.

As described above, since each of the third to fifth cartridges 510, 520, and 530 has a similar structure, details of the third cartridge 510 will be described in detail with reference to the third cartridge 510, 520, and 530, respectively.

The third cartridge 510 may have a second cartridge body 512 of a generally cylindrical or bar shape. The second cartridge body 512 may be provided in a form and material that can be easily inserted into the vagina 60 of the woman. Accordingly, the front end of the second cartridge body 512 may protrude in a convex shape, and the circumference may be rounded as a curved bend. In addition, the second cartridge body 512 may be made of a material that is harmless to the human body and has high durability and corrosion resistance.

A window 512a provided along the longitudinal direction of the second cartridge body 512 may be provided around the second cartridge body 512. [ The window 512a may be made of a material having high ultrasonic transmittance so that the HIFU generated by the ultrasonic treatment unit 514 provided in the third cartridge 510 can be efficiently transmitted. In addition, a scale 512b provided along the longitudinal direction of the second cartridge body 512 may be provided around the second cartridge body 512. The scale 512b may be provided by a practitioner to determine the extent to which the second cartridge body 512 is inserted into the vagina. In addition, an additional scale (not shown) provided along the circumferential direction of the second cartridge body 512 may be provided around the second cartridge body 512. The additional scale may be provided for the operator to grasp the degree of rotation of the second cartridge body 512 and the like. Although the scale 512b has been described as an example of a means by which a practitioner can measure the degree of insertion of the second cartridge body 512 in the present embodiment, The means may be variously modified or modified.

The third cartridge 510 may be detachably attached to the second procedure handpiece 410. For example, a second guide portion 416 for fastening the third cartridge 510 to the third cartridge 510 may be provided at a front end of the second handle 412. For example, the second guide portion 416 may be provided as a hole or a groove recessed toward the rear end of the second handle portion 412. A coupling portion 512c having a shape corresponding to that of the second guide portion 416 may be provided at a portion of the second cartridge body 512 which is coupled to the second guide portion 416. The fastening portion 512c may be provided as a bar-shaped structure protruding to be inserted into the second guide portion 416. [ In this case, the second guide portion 416 and the coupling portion 512c may be coupled, separated, or rotated by a force fitting method, a screw bolt method, or a simple rotatable coupling method. The third cartridge 510 can be attached to the second procedure handpiece 410 by inserting the coupling portion 512c into the second guide portion 416. [ In one embodiment, the coupling portion 512c may be coupled to the second guide portion 416 so as to be rotatable at 360 ° C. At this time, in order to prevent the third cartridge 510 from being mounted, the second manipulation handpiece 410 or the third to fifth cartridges 510, 520, and 530 may be provided with a separate lock A device (not shown) may be provided.

The third cartridge 510 may be provided with an ultrasound therapy unit 514. The ultrasound therapy unit 514 may include at least one ultrasonic transducer for generating the HIFU. 9 and 10, the ultrasound therapy unit 514 includes at least one independent transducer that forms a single thermal lesion of HIFU at a certain depth from the inner wall of the vagina 60 . In this case, the independent transducer may be configured to scan the HIFU while moving along the window 512a. As another example, the ultrasound therapy unit 514 may include at least one transducer array that forms a multi-thermal lesion of HIFU at a certain depth from the inner wall of the vagina. That is, the transducer array may be designed to form a plurality of thermal lesions 22 in one transducer body. In this case, the transducer array may be installed to be fixed within the second cartridge body 512 without being moved, or may be designed to have a smaller moving distance than the independent transducer.

Meanwhile, each of the third to fifth cartridges 510, 520, and 530 may be provided with a second image probe 516 for imaging the subject's skin tissue. The second image probe 516 is for imaging the skin tissue in which the thermal lesion 22 is formed. The configuration and arrangement of the second image probe 516 may be variously changed. 11 (a), the second image probe 516 may be coupled to the center of the ultrasound therapy unit 514 and may be provided integrally with the ultrasound therapy unit 514. [ have. In this case, the image prober 516 may be provided in the central region of the ultrasound therapy unit 514 so as not to interfere with the high-intensity focused ultrasound irradiation path of the ultrasound therapy unit 514. As another example, as shown in FIG. 11 (b), the second image probe 516 may be coupled adjacent to the periphery of the ultrasound therapy unit 514. FIG. At this time, it may be arranged on the same line as the moving direction of the ultrasonic treatment unit 514 of the image probe 516. In this case, the second image probe 516 may move ahead of the ultrasound therapy unit 516 during surgery or move along the ultrasound therapy unit 516 to sequentially move the skin tissue formed with the thermal lesion 22 Can be imaged. 11 (c), the second image probe 516 may be disposed on the upper portion of the ultrasound therapy unit 514 along a moving direction of the ultrasound therapy unit 514, bar < / RTI > In this case, the second image probe 516 can image the skin tissue on which the thermal lesion 22 is formed, without interfering with the back and forth motion of the ultrasonic treatment unit 514. Alternatively, as shown in FIG. 11 (d), the second image probe 516 may be separately provided from the ultrasound therapy unit 514. At this time, the second image probe 516 may be provided at a position where the skin to be treated can be imaged without interfering with the movement path of the ultrasonic treatment unit 514. To this end, the second image probe 516 may be driven by a driver (not shown) separate from the driver for driving the ultrasonic treatment unit 514.

The second procedure handpiece 410 may further include a second actuator 418 for moving the ultrasound therapy unit 514 forward and backward. For example, a stepping motor or the like may be used as the second driver 418, and the driving of the second driver 418 may be controlled by the operation unit 120 described above. The second driver 418 and the ultrasound therapy unit 514 may be connected to each other by a predetermined support. Accordingly, when the second actuator 418 is controlled by the operation unit 120 and the coaxial shaft 418a is moved back and forth, the supporter coupled to the coaxial shaft 418a is moved so that the ultrasonic treatment unit 514 moves forward and backward Can be exercised. As such, the second driver 418 is provided for common use with the third through fifth cartridges 510, 520, and 530, and the third through fifth cartridges 510, 520, and 530 The ultrasound treatment unit 514 can be moved back and forth.

Meanwhile, the second procedure handpiece 400 includes a cartridge coupled to the second procedure handpiece 400 among the third through fifth cartridges 510, 520, and 530, that is, 510) can be rotated by an operator at an angle. As an example, the third cartridge 510 may be rotated from 0 ° C to 360 ° C by manual operation of the operator on the second procedure handpiece 410. More specifically, the second handle portion 412 of the second procedure handpiece 410 may include a fixed portion 412a and a cartridge rotation portion 412b. The fixing portion 412a may be for holding the position of the second procedure handpiece 410 when the operator grips the first handpiece 410 with one hand (e.g., the left hand). The cartridge rotation part 412b is rotatably mounted on the fixing part 412a and rotates together with the third cartridge 510 coupled to the second procedure handpiece 410. The third cartridge 510 rotates in the same direction, Lt; / RTI > The cartridge rotation unit 412b may be provided to rotate the third cartridge 510 when the operator grips the second cartridge 510 with the other hand (for example, a right hand). The second manipulation handpiece 410 having the above structure is configured such that the operator holds the fixing portion 412a with his left hand and rotates the cartridge rotating portion 412b with a right hand at a predetermined angle so that the third cartridge 510 The thermal lesions 22 can be formed on the entire inner vaginal wall by rotating the third cartridge 510 in the range of 0 to 360 revolutions with respect to the longitudinal axis of the third cartridge 510. In one embodiment, the frame fixing portion 416a is coupled to the inside of the cartridge rotation portion 412b and the second driver 418 described above can be fixed to the frame 416b coupled to the frame fixing portion 416a , So that the frame 416b and the second driver 418 can rotate together when the cartridge rotation part 412b rotates.

As another example, the third cartridge 510 can be automatically rotated from 0 ° C to 360 ° C by the operator's simple on-off operation on the second procedure handpiece 410. More specifically, the second driver 418 of the second handpiece 410 can rotate the third cartridge 510 by a predetermined angle about the longitudinal direction of the second cartridge body 512 as a rotation axis . To this end, the second driver 418 may include a rotation motor for rotating the third cartridge 510. The second driver 418 rotates the third cartridge 510 in the vagina 60 during the operation so that the ultrasonic treatment unit 514 is moved along the inner wall of the vagina 60 at a predetermined interval To form the thermal lesions 22. Such rotational movement of the cartridge can enable HIFU procedures for the entire inner wall of the vagina 60 in a short time. At this time, in order to smoothly rotate the cartridge, it is preferable that the second guide portion 416 and the coupling portion 512c are provided so as not to interfere with the rotation operation.

In addition, the second driver 418 can be moved in the forward and backward directions so that the ultrasonic treatment unit 514 has a treatment interval of approximately 10.0 mm to 120.0 mm. More specifically, the second driver 418 may be provided as a stepping motor controlled by the manipulation unit 120, and the ultrasonic treatment unit 514 may be provided by a predetermined length within a range of approximately 10.0 mm to 120.0 mm It can be moved back and forth. At this time, the ultrasound therapy unit 514 may irradiate the HIFU during the movement of the range. The ultrasound therapy unit 514 may be set so that the thermal lesions 22 are irradiated with HIFU at regular intervals so as to form a plurality of dots along the same line or that the thermal lesions 22 are aligned in a straight line May be configured to examine the HIFU.

If the anteroposterior movement length of the ultrasonic treatment unit 514 is less than 10.0 mm, the procedure time may be very long due to a small operation area in the single operation procedure. On the other hand, considering the length and shape of the female vagina 60 or the lateral biceps 70, etc., if the forward and backward travel distance of the ultrasonic treatment unit 514 exceeds 120.0 mm, The risk of HIFU exposure to skin tissues other than the skin can be very high. Therefore, the second driver 418 is set so that the ultrasonic treatment unit 514 can be moved back and forth within a range of approximately 10.0 mm to 120.0 mm, more preferably, within a range of 20.0 mm to 100.0 mm May be suitable for shortening the procedure time while securing the procedure safety.

Each of the third to fifth cartridges 510, 520, and 530 may be provided with a cooling fluid for cooling the heat generated by the operation of the ultrasonic treatment unit 514. In one embodiment, each of the third to fifth cartridges 510, 520, and 530 is provided so that cooling water can be filled therein, and the cooling water is circulated by a separate cooling water circulation line (not shown) The overheat phenomenon of the ultrasonic treatment unit 514 can be prevented. When the third to fifth cartridges 510, 520, and 530 are mounted on the second handpiece 410, the cooling water in the third to fifth cartridges 510, 520, The cooling water circulation line is connected to a cooling water storage vessel (not shown) inside the apparatus main body 100, and can circulate the cooling water in the cooling water storage vessel. On the other hand, although not shown, a circulation means such as a pump may be installed on the cooling water circulation line.

The third cartridge 510 includes a detector 519 for detecting whether the third cartridge 510 is normally positioned at a predetermined position on the inner wall of the vagina 60, And a determination unit 130 for determining whether the third cartridge 510 is in a normal position and controlling a procedure condition or the like. The determination of whether the third cartridge 510 is normally positioned by the determination unit 130 may be made by determining whether the third cartridge 510 is completely in contact with or close to the inner wall of the vagina to be treated.

More specifically, the detector 519 may include a plurality of sensors disposed at different locations of the second cartridge body 512. For example, the detector 519 may include a first sensor 519a disposed on one side of the window 512a of the second cartridge body 512 and a second sensor 519b disposed on the other side of the window 512a . The first sensor 519a and the second sensor 519b are sense sensors having the same condition and detect whether or not the vagina 60 is in contact with the skin surface at different positions of the second cartridge body 512 can do. As the first and second sensors 519a and 519b, an optical sensor, a pressure sensor, or the like may be used.

The determination unit 130 may receive the sensing data sensed by the sensor 519 and determine whether the third cartridge 510 is normally in contact with or close to the inner wall of the vagina 60. [ When the first sensor 519a and the second sensor 519b are both in contact with the inner wall of the vagina 60, the determination unit 130 determines that the third cartridge 510 is in contact with the vagina 60 As shown in FIG. In contrast, if any one of the first and second sensors 519a and 519b does not contact the inner wall of the vagina 60, the determination unit 130 determines that the third cartridge 510 is in contact with the vaginal wall 60, As shown in Fig. The determination result may be displayed on the notation 110 or the like so that the practitioner (not shown) can recognize the result.

In addition, the determination unit 130 may control the procedure condition of the third cartridge 510 based on the detection result of the detector 519. For example, when the first sensor 519a and the second sensor 519b are both in contact with the inner wall of the vagina 60, the determination unit 130 may determine that the HIFU irradiation is performed automatically, And the second driver 418 and the like. If the determination unit 130 determines that any one of the first and second sensors 519a and 519b does not contact the inner wall of the vagina 60 and the HIFU inspection of the ultrasonic treatment unit 514 occurs It is possible to prevent the thermal lesions 22 from being formed in addition to the predetermined skin tissue.

Here, the first and second sensors 519a and 519b may be disposed on an imaginary line 80 that intersects the center of the window 512a. That is, as described above, the HIFU is irradiated through the window 512a, and whether or not the third cartridge 510 is at the normal position is detected when both the first and second sensors 519a and 519b are sensed The presence of the first and second sensors 519a and 519b on the virtual line 80 can accurately determine whether the window 512a is completely in contact with the vagina 60. [ have. If the first and second sensors 519a and 519b are disposed off the imaginary line 80 in sensing whether the third cartridge 510 is normally positioned within the vagina 60, Accuracy may be poor.

In addition to the first and second sensors 519a and 519b, a plurality of sensors may be added to improve the accuracy of the determination of the normal position of the third cartridge 510. [ Alternatively, it is possible to determine the normal position of the third cartridge 510 as various arrangements, not limited to the arrangement of the first and second sensors 519a and 519b. However, it may be important that the window 512a is completely in contact with the inner wall of the vagina 60 in consideration of the structure of the third cartridge 510 and the position of the operation of the third cartridge 510, It may be desirable to be optimized for sensing.

Meanwhile, the detector 519 and the determination unit 130 may sense the insertion depth of the third cartridge 510 with respect to the vagina 60 and recognize the inserted depth of the third cartridge 510 by the operator. More specifically, the detector 519 may further include third sensors 519c arranged in a line along the longitudinal direction of the second cartridge body 512. [ The third sensors 519c may be spaced apart from each other on the same straight line across the longitudinal direction of the second cartridge body 512. The third sensors 519c are spaced apart from each other by a specific unit so that the interval between the third sensors 519c can be a unit for measuring the insertion depth of the third cartridge 510. [ Each of the third sensors 519c may be implemented by an optical sensor of the same specification, a pressure sensor, or the like. Accordingly, when the third cartridge 510 is inserted into the vagina 60, the third sensors 519c sequentially contact the vagina 60 and sense whether or not the third cartridge 510 is in contact with the vagina 60, The controller 130 analyzes the sensed data transmitted from the third sensors 519c and displays the sensed data on the display unit 110 so that the practitioner can recognize the inserted depth of the third cartridge 510. [

The high intensity focused ultrasound treatment apparatus 10 according to the embodiment of the present invention may include a third cartridge 510 inserted into the vagina 60 of the practitioner to irradiate the HIFU, An image probe 516 for imaging the skin tissue at a predetermined depth from the skin surface of the vagina 60 as an object and an image probe 516 for receiving the image data from the image probe 516, And a controller 130 for controlling the controller 130. [ In this case, the high-intensity focused ultrasound treatment apparatus 10 confirms the thickness or condition of the skin tissue to be treated, such as vaginal muscles, to the practitioner, Ultrasonic irradiation conditions can be adjusted. Accordingly, the high-intensity focused ultrasound treatment apparatus according to the present invention can image the vaginal internal dermal tissue to be thermally formed during the procedure and then compare the image data with the reference data to change the irradiation condition of the thermal lesion, The safety of treatment and / or vasoconstriction can be improved.

The high-intensity focused ultrasound treatment apparatus 10 according to the embodiment of the present invention may further include a third cartridge 510 inserted into the vagina 60 of the practitioner to irradiate the HIFU, And a controller 515 for detecting whether or not the third cartridge 510 is normally positioned by receiving detection data from the detector 519. The detector 519 senses whether the third cartridge 510 is in contact with the skin tissue, And a determination unit (130) for controlling the display unit. In this case, the HIFU treatment device 10 determines whether the third cartridge 510 inserted into the vagina 60 is normally positioned at a predetermined position at the time of the procedure, and accurately measures thermal lesions 22 may be formed. Accordingly, the high-intensity focused ultrasound treatment apparatus according to the present invention can perform the procedure after determining whether the cartridge inserted into the vagina in the procedure is normally positioned in the vagina, and to accurately irradiate the thermal lesions to predetermined skin tissue, The safety of treatment and vasoconstriction can be improved.

In addition, the high-intensity focused ultrasound treatment apparatus 10 according to the embodiment of the present invention not only allows a practitioner to move forward or backward through the ultrasound therapy unit 514 on the second procedure handpiece 410, 514 may be rotated from 0 to 360 at a constant angle to form the thermal lesions 22 over the entire inner wall of the vagina. In this case, since the practitioner can irradiate the thermal lesions 22 over the entire inner wall of the vagina 60 with only a simple operation of the second procedure handpiece 410, the treatment of the gynecological disease and / The procedure time can be shortened and the procedure efficiency can be improved. Accordingly, in the high-intensity focused ultrasound treatment apparatus according to the embodiment of the present invention, the practitioner can simultaneously perform the front-back motion and the rotational motion of the ultrasound therapy unit 514 as a simple operation of the procedure handpiece, It is possible to shorten the procedure time of gynecological disease treatment and / or vaginal shrinkage procedure, and to improve the procedure efficiency.

In addition, the high-intensity focused ultrasound treatment apparatus 10 according to the above-described embodiment of the present invention can directly recover and restore the in-vivo bifurcated foil 70 that substantially takes up vasoconstriction, rather than the vaginal surface 60, Can be reproduced. In this case, the high-intensity focused ultrasound treatment apparatus 10 is less likely to suffer from pain and bleeding than the case of burning the skin tissue by directly irradiating the inner wall surface of the vagina 60, such as the conventional CO ₂ laser treatment apparatus, There is no pain and side effects after the procedure, so it may not cause discomfort to daily life. Accordingly, the high-intensity focused ultrasound treatment apparatus for gynecological disease treatment and / or vasoconstriction according to the present invention can noninvasively regenerate or restore the intramural bony muscle responsible for vasoconstriction using high-intensity focused ultrasound, As the pain is less and the bleeding is reduced compared with the laser device burning the inner wall directly, normal daily life can be maintained even after the procedure.

12 is a perspective view schematically illustrating a high intensity focused ultrasound treatment apparatus according to another embodiment of the present invention, FIG. 13 is a side view of FIG. 12, FIG. 14 is a bottom view of FIG. 12, And a high intensity focused ultrasound treatment apparatus.

Referring to the drawings, a high-intensity focused ultrasound treatment apparatus according to another embodiment of the present invention may include a sixth cartridge 610 and a third procedure handpiece, and may further include a rotation control unit.

On the other hand, the sixth cartridge 610 and the third procedure handpiece may have similar shapes and structures to those of the third cartridge and the second procedure handpiece described above with reference to Figs. 7 to 11, The description will be omitted.

Although not shown, the high-intensity focused ultrasound treatment apparatus according to the present embodiment may be connected to the equipment body 100 or the like by a cable such as the connection cables 220 and 420 described above. On the other hand, it may be operated alone without being connected to cables or other equipment.

In one embodiment, the sixth cartridge 610 may include a sixth cartridge body 612, a window 612a, and a cushioning portion 601. The sixth cartridge body 612 may have a cylindrical shape or a bar shape. The sixth cartridge body 612 may have a cylindrical shape or a bar shape, so that the sixth cartridge 610 may be smoothly inserted into the human body and the discomfort may be minimized. have. In addition, the sixth cartridge body 612 may be made of a material having relatively high hardness. Accordingly, the cartridge can be smoothly inserted into the human body, and can be firmly held in contact with the skin tissue in a state of being inserted into the human body, thereby protecting the parts provided inside the sixth cartridge 610.

In one embodiment, the sixth cartridge body 612 may be provided with a cushioning portion 601. At this time, the cushioning portion 601 is made of a material having a higher flexibility than the sixth cartridge body 612, and can function to buffer pressure changes inside the sixth cartridge body 612. The buffer portion 601 may be made of a material having elasticity in addition to flexibility. For example, the buffer part 601 may preferably be made of a material having a lower elastic modulus as compared with a hard resin such as rubber or a soft resin. Particularly, the cushioning portion 601 is made of a material having a relatively low elastic modulus as compared with the sixth cartridge body 612, so that the outer shape of the cushioning portion 601 can be changed relatively flexibly to the inner pressure change in the sixth cartridge body 612 And the like.

As the high-intensity focused ultrasonic wave irradiation operation proceeds, the temperature of the ultrasonic treatment unit 614 rises, and the medium (319 in Fig. 3, etc.) functions to prevent the superheat phenomenon by cooling the ultrasonic treatment unit 614 In this process, the temperature of the medium is increased. As a result, the pressure inside the sixth cartridge body 612 rises, and the pressure rise phenomenon can be alleviated by providing the buffer portion 601.

In addition, in a state in which the sixth cartridge body 612 is implemented with a material having a high hardness, as described above, the pressure distribution due to the medium in the sixth cartridge body 612 due to the movement of the ultrasonic treatment unit 614 is non- And as a result, an excessive load may be applied to a specific area inside the sixth cartridge body 612. [ In addition, since the ultrasound treatment unit 614 is moved within the sixth cartridge body 612 filled with various parts and media in a relatively narrow space, the medium can be prevented from being damaged by the movement of the ultrasound treatment unit 614 Lt; / RTI > However, in the high-intensity focused ultrasound treatment apparatus according to one embodiment of the present invention, the buffer cartridge 601 is provided on the sixth cartridge body 612, so that the uneven pressure distribution inside the sixth cartridge body 612 can be buffered , The resistance at the time of movement of the ultrasonic treatment unit 614 can be reduced, so that the reliability of the cartridge can be improved and the service life can be prolonged.

In addition, when the pressure inside the sixth cartridge body 612 rises, the buffering portion 601 is loosened and the internal pressure increase phenomenon can be alleviated. Even though the pressure inside the sixth cartridge body 612 is reduced, 601 remain in the relaxed state, the degree of filling of the medium inside the sixth cartridge body 612 can be reduced. That is, since the volume of the inside of the sixth cartridge body 612 is increased due to the relaxation of the buffer 601, the medium may not completely fill the inside of the sixth cartridge body 612. At this time, if the region between the ultrasonic treatment unit 614 and the window 612a is not completely filled with the medium, a disturbance may occur in the ultrasonic wave transmission. However, according to the embodiment of the present invention, the buffering part 601 is made of a material having flexibility as well as elasticity, so that the ultrasonic wave can be stably transmitted while buffering the pressure change inside the sixth cartridge body 612.

In one embodiment, the buffer 601 may be disposed on the opposite side of the window 612a. That is, the window 612a is disposed in one direction (upward reference in FIG. 13) on the side of the sixth cartridge body 612, and the buffer portion 601 is disposed on the side of the sixth cartridge body 612 in a direction opposite to the one- (The lower reference direction in Fig. 13). Further, the buffer portion 601 may be disposed to be deflected at the distal end of the cartridge. For example, if a portion of the sixth cartridge 610 coupled to the third procedure handpiece is referred to as one side of the sixth cartridge body 612, the sixth cartridge body 612 612 may be provided at a position biased in one direction or the other direction. Furthermore, the outermost portion of the buffer portion 601 may be disposed closer to the other side of the sixth cartridge body 612 than the outermost portion of the window 612a.

As described above, as the ultrasound treatment unit 614 is moved inside the sealed sixth cartridge body 612, the pressure of the medium is unevenly changed. In particular, the end of the sixth cartridge body 612, that is, In the case of a region close to one side or the other side of the body 612, the pressure may instantaneously increase with the movement of the ultrasound therapy unit 614. Therefore, by arranging the buffer part 601 closer to one side or the other side than the center of the sixth cartridge body 612, it is possible to more effectively relieve such a pressure rise.

It can be seen that the change in the internal pressure in the vicinity of the ultrasonic wave treatment unit 614 is relatively large compared with the change in the internal pressure in the other region due to the heating phenomenon and the movement operation of the ultrasonic wave treatment unit 614. Therefore, the buffering part 601 is disposed in the area around the ultrasonic treatment part 614, which is advantageous for alleviating the change in the internal pressure. However, when the window 612a is provided on one surface of the sixth cartridge body 612, the high-intensity focused ultrasonic waves irradiated by the ultrasonic treatment unit 614 pass through the window 612a and are applied to the skin tissue. , It is difficult to provide the buffer portion 601 at a position that is the same as or overlapped with the window 612a.

17 and the like) for driving the ultrasonic wave treatment unit 614 such as a support are positioned on the opposite side of the ultrasonic wave treatment unit 614, the space arrangement efficiency can be improved even if the space inside the cartridge is relatively small have. However, due to the operation of the elements for driving the ultrasonic wave treatment unit 614, a biased phenomenon may be caused in the pressure distribution of the medium. However, as in the embodiment of the present invention, the cushioning portion 601 is disposed on the opposite side of the window 612a, so that such pressure distribution biasing can be more effectively mitigated.

In one embodiment, the sixth cartridge 610 may be implemented such that the contact surface of the skin tissue with the window 612a described above is planar. Furthermore, the sixth cartridge body 612 is provided with the projection 612t, and the window 612a is fixedly coupled to the end of the projection 612t.

As described above, the insertion efficiency of the sixth cartridge 610 is improved by forming the sixth cartridge body 612 in the shape of a cylinder or a bar, but the window 612a provided in the sixth cartridge body 612 also has the sixth When the curvature is similar to that of the cartridge body 612, there is a high possibility that the entire window 612a is not completely adhered to the skin tissue. On the other hand, as in the present embodiment, when the skin-contacting surface of the window 612a is flat, the entire window 612a is advantageously completely adhered to the skin tissue.

When the sixth window 612a is directly connected to the sixth cartridge body 612 in the state where the sixth cartridge body 612 is formed in a cylindrical shape and the windows 612a are formed at the center of the sixth cartridge body 612, The diameter of the sixth cartridge body 612 is smaller than the diameter of the sixth cartridge body 612. Therefore, the sixth cartridge body 612 can be more strongly adhered to the skin tissue than the portion of the window 612a. That is, the degree to which the portion of the window 612a is adhered to the skin tissue can be weakened. However, according to the embodiment of the present invention, the window 612a having a flat surface is fixed to one end of the protrusion 612t protruding from the sixth cartridge body 612, so that the entire surface of the window 612a is covered with the skin tissue And can be closely adhered to each other.

Although the buffer portion 601 and the window 612a have been described above with reference to Figs. 12 to 15, similar principles may be applied to the above-described embodiments. That is, as illustrated in FIG. 1, the buffer cartridge 501 may also be provided in the fifth cartridge 530 similar to the third cartridge 510, thereby alleviating the problem due to an increase in internal pressure. In addition, the seventh cartridge 540 illustrated in Fig. 1 may have the projection 512t and the window 512a described above. 8 and 10 illustrate an example in which the buffer cartridge 501 is provided in the third cartridge 510. As shown in FIG.

In one embodiment, the sixth cartridge 610 may be detachably attached to one end of the third procedure handpiece 620. At this time, the rotation control unit 630 may be provided at the other end of the third procedure handpiece 620. By rotating the rotation control unit 630 while holding the third procedure handpiece 620, the sixth cartridge 610 Can be rotated. On the other hand, the scale 631 may be provided on the surface of the rotation control unit 630 so that the practitioner can more accurately recognize the degree of rotation of the cartridge. In addition, a convex portion 635 may be provided to prevent the hand of the practitioner from sliding in the rotation control portion 630 during the rotation of the rotation control portion 630.

Further, a fourth sensor 619c may be provided on one side of the sixth cartridge 610, and the function of the fourth sensor 619c is similar to that of the third sensor 519c described above.

FIG. 16 is a view for explaining a principle of performing a procedure using a high-intensity focused ultrasound treatment apparatus according to an embodiment of the present invention. FIG. Fig. 8 is a diagram for explaining the principle of performing the procedure.

16, in a state in which the third through fifth cartridges 510, 520, and 530 having different irradiation conditions of the high-intensity focused ultrasonic waves are prepared, the quality of the subject to be treated is checked, A suitable cartridge can be selected and mounted on the procedure handpiece. Then, the mounted cartridge 510 can be inserted into the vagina 60 of the subject to be treated. More specifically, the practitioner can insert the selected cartridge 510 into the vagina 60 to a desired depth. At this time, an auxiliary agent such as an ultrasonic gel may be applied to the selected cartridge 510 for smooth insertion of the selected cartridge 510 and efficient ultrasonic treatment.

When the selected cartridge 510 is normally inserted into the vagina 60, the inner skin tissue of the vaginal body 60 to be treated can be imaged (S250). More specifically, a second image probe 516 provided within the cartridge 510 inserted into the vagina 60 is adapted to receive image ultrasound waves toward the inner skin tissue of the vagina 60 to which the high intensity focused ultrasound is irradiated You can investigate. The image ultrasound may be transmitted through the window 512a provided in the cartridge 510. [ The image data by the image probe 516 is transmitted to the controller 130 and can display the skin tissue condition and the appropriate treatment condition information so that the practitioner can recognize the inner skin tissue of the vagina 60 (S260). Such an indication of the information can be guided to the practitioner through the indicator 110, and the practitioner can adjust the condition of the treatment to the appropriate treatment condition using such information. For example, the controller 130 compares the image data with the reference data to determine whether the thickness of the vaginal muscle 60 is thicker or thinner than a predetermined thickness, or the position of the muscle. If the thickness of the vaginal muscle 60 is larger than the upper and lower widths of the thermal lesion 22, the controller 130 determines whether the thermal lesion 22 has a vertical width greater than a thickness of the vaginal muscle 60 It is possible to prevent the thermal lesion 22 from being formed in tissues other than the muscle of the vagina 60 by controlling the ultrasonic treatment unit 514 so as to be thin. Alternatively, when the thickness of the vaginal muscle 60 is thinner than a specific thickness, the controller 130 controls the ultrasonic treatment unit 514 to decrease the intensity or intensity of the high-intensity focused ultrasonic waves, 60) to prevent muscle damage. In addition, the controller 130 controls the second driver 418 so that the position of the ultrasonic treatment unit 514 is aligned so that the thermal lesion 22 can be accurately formed in the skin tissue to be treated It is possible. The controller 130 may control the ultrasound therapy unit 514 or the second driver 418 by comparing the control condition with the reference data in the database 140. Alternatively, the controller 130 may display the correct image on the display 110 and guide the appropriate operation conditions. The manipulation of the manipulation condition may be performed by the operator manipulating the manipulation unit 120 to manipulate the ultrasound therapy unit 514, By adjusting the conditions of the second driver 418.

When the operation condition is adjusted, the inserted cartridge 510 may be rotated at a predetermined angle to perform gynecological disease treatment and / or vasoconstriction. For example, when the position of the second procedure handpiece 410 is determined, the operator appropriately operates the operation unit 120, the second operation switch 414, and the like, and the ultrasound therapy unit 514 performs high- A thermal lesion 22 of ultrasound may be formed at a predetermined location of the inner skin tissue of the vagina 60. At this time, as the selected cartridge 510 is linearly reciprocated and rotated by the second driver 418 or a manual operation of the operator, a plurality of the thermal lesions 22 are moved along the inner circumference of the vagina 60 And can be formed three-dimensionally.

More specifically, the practitioner grips and fixes the fixing portion 412a of the second procedure handpiece 410 with one hand and then pushes the operation switch (not shown) of the second procedure handpiece 410 (Not shown) or turn on / off the footswitch. The ultrasonic treatment unit 514 in the selected cartridge 510 moves the thermal lesions 22 along the imaginary first line to the inner wall skin tissue while moving forward along the longitudinal direction of the selected cartridge 510 . When the formation of the thermal lesions 22 according to the back and forth movement is completed, the operator can rotate the cartridge rotation part 412b of the second procedure handpiece 410 by a predetermined angle with the other hand. The selected cartridge 510 can be rotated at a predetermined angle along the rotation direction R based on the axis of the selected cartridge 510 in accordance with the rotation of the cartridge rotation part 412b. The operator operates the operation switch or the foot switch so that the ultrasound therapy unit 514 heats the thermal lesions 22 along a second line parallel to the first line and spaced apart from the first line by a predetermined distance, Can be formed.

By repeating the above procedure, the thermal lesions 22 are formed in the form of a plurality of dots spaced from each other along the same line at a predetermined depth throughout the inner skin tissue of the vagina 60 . Accordingly, the internal specific skin tissue of the vagina (60) is suitably damaged and irritated by the thermal lesions (22), and the damaged skin tissue is recovered and regenerated so that the skin tissue of the vagina (60) Or the in-vivo and medial-femoral foil 70 can be densified.

On the other hand, before performing the gynecological disease treatment and / or the vasoconstriction procedure, it can be determined whether the selected cartridge 510 is normally positioned on the inner wall of the vagina 60 to be treated. For example, the determination unit 130 receives the sensing data from the first and second sensors 519a and 519b, and determines that both the first and second sensors 519a and 519b normally receive the sensing data It is possible to judge whether or not the skin is detected as being in contact with the surface of the skin. In this case, the determination unit 130 may determine that the selected cartridge 510 is normally located within the vagina. The determination unit 130 receives the sensing data from the first and second sensors 519a and 519b and determines whether any one of the first and second sensors 519a and 519b is in the quality , It can be determined that the selected cartridge 510 is abnormally positioned inside the vagina 60. In addition, The determination unit 130 determines whether the selected cartridge 510 is inserted into the vagina 60 and is transmitted from the sensor of the third sensor 519c that senses contact with the inner wall of the vagina 60 The insertion depth of the selected cartridge 510 can be measured by sensing the sensed data. As described above, the information measured through the first to third sensors 519a, 519b, and 519c is integrated so that the determination of the normal position of the selected cartridge 510 can be made. Accordingly, the determination unit 130 may display the abnormal state of the cartridge 510 on the outside through a display unit such as an indicator 110 so that the operator can recognize the abnormal position of the cartridge 510. As described above, when the selected cartridge 510 is normally positioned inside the vagina 60, gynecological disease treatment and vasoconstriction surgery can be performed.

17 shows an example in which the sixth cartridge 610 according to the embodiment described with reference to Figs. 12 to 15 is coupled to the third procedure handpiece 620 to perform the procedure. And duplicated matters are omitted.

When the sixth cartridge 610 is inserted into the vagina 60, the window is brought into close contact with the skin tissue. In this state, the ultrasonic treatment unit 614 operates to form the thermal lesion 22. A third driver 618 that performs an operation similar to the second actuator 418 described above may be provided on the third procedure handpiece 620 to linearly move the ultrasound therapy unit 614. [ At this time, the increase of the internal pressure caused by the operation or movement of the ultrasound therapy unit 614 can be alleviated through the buffering unit 601. [ In addition, the sixth cartridge 610 can be rotated by rotating the rotation control unit 630 in a state in which the third procedure handpiece 620 is grasped. The ultrasound therapy unit 614 may include a third image probe 616 and the like to collect and provide necessary information such as information inside the skin tissue.

Although a specific embodiment of the high-intensity focused ultrasound treatment apparatus according to the present invention has been described above, it is apparent that various modifications can be made without departing from the scope of the present invention. Therefore, the scope of the present invention should not be limited to the embodiments described, but should be determined by the equivalents of the claims and the claims. It is to be understood that the above-described embodiments are illustrative in all aspects and should not be construed as limiting, and the scope of the present invention is indicated by the appended claims rather than the foregoing description, and the meaning and scope of the claims and their equivalents All changes or modifications that come within the scope of the present invention should be construed as being included within the scope of the present invention.

10, 600: High intensity focused ultrasound treatment device
12, 22: thermal lesion 20: subcutaneous fat layer
30, 50: HIFU lesion
40: Skin tissue to be treated
60: Vagina 70: my back and back
80: virtual line 100: machine body
110: Indicator 120:
130: Controller 140: Database
200: first handpiece assembly
210: first treatment handpiece 212: first handle part
212a: first operation switch 214: first guide part
216: first image probe 218: first driver
220: First connection cable
300: First cartridge set
310: first cartridge 312: first cartridge body
314: Therapy transducer 316: Support
320: second cartridge
400: second handpiece assembly
410: second procedure handpiece 412: second handle portion
414: second operation switch 416: second guide portion
418: second driver 420: second connection cable
500: second cartridge set
510: third cartridge 512: second cartridge body
514: ultrasound treatment unit 516: second image probe
519: Detector 520: Fourth cartridge
530: fifth cartridge 540: seventh cartridge
601: Buffer 610: Sixth cartridge
612: Sixth cartridge body 612a: Window
612t: protrusion 614: ultrasound treatment unit
616: Third image probe 618: Third driver
619c: fourth sensor 620: third procedure handpiece
630: rotation control unit 631: scale
635:

Claims (12)

A manipulation handpiece having a handle used as a handle of a practitioner;
1. An ultrasound diagnostic system, comprising: a cartridge having an ultrasonic therapeutic unit connected to a manipulation handpiece on one side and generating high intensity focused ultrasound (HIFU); And
And a driver for driving the ultrasound therapy unit,
Said cartridge comprising:
A cartridge body detachably attached to the procedure handpiece and having a cylindrical shape or a bar shape so as to be insertable into the vagina of a subject to be treated;
A window coupled to the cartridge body to transmit the high-intensity focused ultrasound;
A cushioning part made of a flexible material having a hardness lower than that of the cartridge body and provided as a part of the cartridge body; And
A medium filled in the internal space of the cartridge surrounded by the cartridge body, the window, and the buffer;
≪ / RTI >
The buffering part may mitigate at least one of an internal pressure that increases as the temperature of the medium increases as the high intensity focused ultrasonic wave is generated and an internal pressure that increases as the ultrasonic treatment part moves inside the cartridge body A high intensity focused ultrasound procedure device. The method according to claim 1,
Wherein the buffering portion is made of a material having elasticity. The method according to claim 1,
Wherein the window is disposed in one direction on a side surface of the cartridge body,
Wherein the cushioning portion is disposed on the side of the cartridge body in the other direction opposite to the one direction. The method according to claim 1,
Wherein the cushioning portion is disposed to be deflected from a longitudinal center of the cartridge toward one side of the cartridge or the other side of the cartridge. The method according to claim 1,
Wherein at least a portion of the cushioning portion is positioned closer to the other side end of the cartridge than the other side of the window. The method according to claim 1,
Wherein the skin contact surface of the window is in a planar shape. The method according to claim 1,
Wherein the cushioning portion has a relatively low elastic modulus as compared to the cartridge body. delete delete delete delete delete

Images