JPS5822071A - Laser treating apparatus for dermatology - Google Patents

Abstract

(57)【要約】本公報は電子出願前の出願データであるた
め要約のデータは記録されません。(57) [Summary] This bulletin contains application data before electronic filing, so abstract data is not recorded.

Description

【発明の詳細な説明】 この発＠けアルプンレーザによる皮膚科用のレーデ治療
装置に関すＪ＆もｎで島る。よ秒１１ＦＬ＜は、＾常慮
管詳や点状色素ｌ［Ｘ＆どの、いわゆる有色性母斑を除
去する皮膚科用のレーザ治療装置に関するものである。DETAILED DESCRIPTION OF THE INVENTION J&N regarding this dermatological Rede treatment device using an alpine laser. 11FL< is related to a laser treatment device for dermatology that removes so-called colored nevus, such as ^Jukikansho and punctate pigment l[X&.

一アブなどの有色性の異常細胞は正常ａｍと比較して一
般Ｋｍ度が低く、明度の高い正常細胞に（らべ可視光線
をより強（＠収する。したがってこの異常細胞に可視光
線域の高エネルギｒ＋シ←ザぜ−ムを照射すると、該ビ
ームは、異常細胞ｒ−選択的Ｗｃ殴収冨れて熱エネルギ
で変えられ為、その結果異常細胞は強（焼けて破壊され
る。一方正常細胞は一般に明度が高１．ｎため上記レー
ザビームの１収は少１にい、そｎ七め正常細胞の熱ｒよ
為細胞の損傷は少１ｋＶｈ、シたがって毛管拡張性疾患
ｖｒ対して、かかるレーザビームを照射す籠ば異常ｍ胞
が遁択的に焼かれて血液が流れなｌ／Ａため赤子ザは消
失するが、比較的明度の高−正常細胞や汗線（皮膚など
はレーザビー基をほとんど吸収しないので非可道的損傷
が避けられレーザビームｒよ為正を細胞や皮膚表ｆｌｊ
ｔｎ火傷は微小の粂痕影成とともＣ急速Ｗ：ＩＩＩ！１
癩す為。Pigmented abnormal cells such as the common fly have a lower Km degree than normal cells, and absorb visible light more strongly (compared to brighter normal cells). When a high-energy r+seam is irradiated, the beam concentrates on abnormal cells r-selectively and is converted into thermal energy, resulting in the abnormal cells being intensely burnt and destroyed. Since normal cells generally have a high brightness of 1.n, the intensity of the laser beam is small, and due to the heat r on normal cells, the damage to the cells is only 1 kVh, therefore, it is effective against telangiectatic disease. If such a laser beam is irradiated, the abnormal cells will be selectively burned and the blood will not flow, causing the baby's skin to disappear. Since it hardly absorbs laser beam radicals, irreversible damage can be avoided and the laser beam can be absorbed into cells and skin surfaces.
tn burns are accompanied by the formation of minute ridge marks C rapid W: III! 1
For leprosy.

上記有色性母斑の治＊ｅｃｖ効な可視光線域で利用で自
るレーザとしては、波長５ｚｏｏｆｔｎアルゴンレーザ
や波長６９０Ｏｒｎルビーレーザ等が有効で＆為と冨れ
ている。その中でもアルゴンレーｆｉｔ出力が絢２ｇと
他０レーず【（らべて低いという欠点を有しているもの
の、ビームの制御性が良好で、かり照射面ｌＩｌが小纂
（、操咋性が良好で取−＊Ｖ−ＳいｋｎＱ時微から精巧
な治療を要す為部分の治療（ＩＩしてＩ７％為・ 従来かか為皮膚科層の治療用チルボンレーザ装置として
は一米！ｉのコヒーレント社（より設計纂れ九装置があ
ろ・この装置は電源およびレーザ発振チューブが一体と
なって収納されたパワー装置から機械的なシャッタでよ
物、パルスｖｃ纂れたーの一光学ダラスファイバを導光
路＆して、該ファイバ先端ｒ取着ｇｔｔｔレーザガンに
導かれ、該ガンｔｙけられたレンズで約１−に集光され
て患−ｆｊｌＩ射され為よう４ＩＩｌｉａ冨れてい為、
かか為装置は治療時施術者がレーザガンを手で持ち、患
部を内膜で確認Ｌｌがら照射位置を１■づつ順次移動さ
せ、足踏みスイツナでレーザを照射して治療を行つてい
る・ＬかＬ＆がら唱■の照射円を内膜で確１１Ｌ＆がも
均一に配列したー、各ビームの１１射時間を一電虻保つ
ことは相当−一である・そｎ結墨Ｍ射円の配列が乱れて
腫＆勢合いが激しくなれば、異常細胞の損傷が着Ｌ＜１
にり、鮫痕が残る。一方・照射円の間隔−關禽す「ふと
その部分が未処置部分として消失されずｒＷＡされる。As lasers that can be used in the visible light range to treat the colored nevus mentioned above, there are many effective lasers such as a wavelength 5zooftn argon laser and a wavelength 690orn ruby laser. Among them, the argon beam has a low output of 2 g, which is lower than the others, but it has good beam controllability, has a small irradiation surface, and has good maneuverability. Detori-*V-SiknQ When it comes to treatment of parts that require delicate treatment (II and I7%), it is the best Chilbong laser device for treatment of the conventional dermatological layer!i. Coherent Co., Ltd. (There are 9 devices designed and assembled together.) This device is a power device that houses a power supply and a laser oscillation tube in one piece, and a mechanical shutter that connects the pulse VC to an optical Dallas fiber. As a light guide path, the fiber is guided to the laser gun attached to the tip of the fiber, and the gun is focused by a sharpened lens to about 1-200 mL of light, which is then emitted.
During treatment, the practitioner holds the laser gun in their hand, moves the irradiation position one step at a time while checking the affected area with the endometrium, and performs treatment by irradiating the laser with a foot switch. The irradiation circles of the L and rays are arranged uniformly on the endothelial membrane, and it is quite possible to maintain the irradiation time of each beam at 11 times. If the tumor and force become disordered and intense, damage to abnormal cells will occur L<1
Garlic and shark marks remain. On the other hand, when it comes to the distance between the irradiation circles, that area suddenly does not disappear as an untreated area and is subjected to rWA.

ｔた、一定わ照射時間を保つことがで自なければ焼けＩ
［が生じ易（％特ｌ！隔射時間が長くなると皮膚表ｇｒ
ｓ損傷を避は為ことはで自ない、し七がって内膜で確ｌ
ＩＬながらレーザ照射を行う従来装置では時間的曹スが
多（、かつ施術者の癩労が激しいため効率良（治療を行
うことは困−である。Also, if you cannot maintain a constant irradiation time, it will cause burns.
[Easy to occur (%Special!) The longer the interval time, the more skin surface gr.
There is nothing that can be done to avoid damage, so it is important to ensure that the intima
Conventional devices that perform laser irradiation while performing IL treatment require a lot of time and effort, and are difficult to perform efficiently.

Ｖ１亀γルプンレーザは急激に高いエネルギを蛎時ｉ１
（例えば＆ｇｌＧ１秒）Ｃ加えることので自為高出力の
ルビーレーザなどと比較して低出力のため亀上記エネル
ギと同等の□エネルギを照射するためには長時＠照射を
行わなければならない、ＬかＬながら低エネルギ量のレ
ーずを長時間車＠に＠射す為と、照射筒れ−に総エネル
ギのうち異常細胞ｒ）４度上昇に寄与すふエネルギ４に
対し１本来泊療する必要のな一肩閤の組織を熱伝導によ
り無差別に１１ｇ熱す為エネルギ量−多（なる、そのた
め有効な治療を行うためｔｔに長時間照射を行わｆ；ｂ
会得ない、ＬかＬ＆がら長時＠照射を行うとｍ１１の組
織を４砿嬢す為るれがあ一好ｔＬイな−。The V1 turtle gamma lupun laser suddenly generates high energy at the moment i1.
(For example &glG1 second) Because of the low output compared to natural high-output ruby lasers etc., in order to irradiate energy equivalent to the energy above, it is necessary to irradiate for a long time, L However, in order to irradiate a car with a low energy amount of laser beams for a long time, the total energy of the irradiation tube is due to the amount of energy that contributes to the rise of abnormal cells by 4 degrees, which requires overnight treatment. In order to indiscriminately heat 11 g of the tissue of the nonaichi shoulder by thermal conduction, the amount of energy is large (therefore, in order to perform effective treatment, irradiation is performed for a long time at tt f; b
I don't understand, if you irradiate for a long time with L or L&, it will destroy the m11 tissue by 4 times.

以上のように従来のアルゴンレーザによ為皮膚ｉｋＭＩ
のレーず治療装置は種々の欠点を有しており１実際の治
療ば応Ｎ５れ禽Ｈｔ、実質的にその効率が低減冨れてＬ
まＶ％４Ｉ＃ＩＩな、治療を行うことＷ：困−冨を生じ
墨かつ亀。As mentioned above, conventional argon laser is used to treat skin ikMI.
The laser treatment device has various drawbacks and in actual treatment, its efficiency is substantially reduced and L
Well, V%4I#II, to perform treatment W: to cause trouble and tortoise.

このような事情に鑑みて、本出願人等はすでｒかか為レ
ーザ治療装置の効率を低減番せることな（有効１治療を
行う改皇冨れセ装置を提案している・す亀わｔこｒｘ＊
ｗはレーザ発振装置よ抄発振纂れ禽し−ずを光ア了イバ
で、該７アイパ先錫に装着したレーザガン１導光り、譲
ガン先端よりレーザビームをＨａｔ雇射照射為皮膚科用
のレーず治療１１ｗｅおいて、−記レーザガンを水平お
よび１１亀は一直方向移動機構を有する支持台に取着−
れて、モータ【よって前後および左右方向に駆動され為
移動台に着脱自在ｒ装着しな−のでする。In view of these circumstances, the present applicants have already proposed a modified laser treatment device that provides effective treatment without reducing the efficiency of the laser treatment device. watko rx*
W is a laser oscillation device, which is used to oscillate and connect the laser beam with an optical fiber, and the laser gun 1 attached to the tip of the seven eyeglasses is guided, and the laser beam is emitted from the tip of the laser gun for dermatological irradiation. In the laser treatment 11, the laser gun is mounted horizontally and the 11 is mounted on a support stand having a unidirectional movement mechanism.
Since the motor is driven in the front-rear and left-right directions, it must be removably mounted on the movable table.

ところで、この種治療装置では、移動台１＠着され禽レ
ーザガンの移動とレーザ照射とが適宜、安全下で実行５
れる必＃がする。By the way, in this type of treatment device, the movement of the bird laser gun and the laser irradiation are carried out under safe conditions when the moving table 1 is attached.
It must be done.

Ｌか為に、上記構成ｎものは、レーザガンを装着しな移
動台を制御装Ｗｆよ勧遣宜移動で自為よう（＊つては−
る４わの、レーザガンの移動中の資金対策が十分で考慮
されてぃゐとはい％ｔｈ＠＜。For L, the above configuration can be easily moved by moving the movable table without the laser gun attached to the control unit Wf (*In case of -
4. Please make sure that you have enough financial support while moving the laser gun.

このため移動照射中の故障により、所ｉｉｒｍ射領域を
魅えて照射１れをりするおそれがあり、解決策の早急な
実現化がＩｉＩすれでＩＡ為。For this reason, there is a risk that a malfunction during moving irradiation may cause the irradiation area to be missed and the irradiation to be missed.

しな−って、この発ｓ＃ｆａｉ冨の全域−Ｌ（は一部の
所＊ｍ射領域ｆ）１１１辺に付着した境＃慶示材を磁に
もＬ＜Ｉｆ光学的に検＠ｇせ、この検知信号を利用して
レーザガンを保持する移動台の駆動層のモータと、レー
ザガン駆動回路を制御筒せるよう虻して、患部へｎ均一
＆順射を実行で自為ことは勿論のこと、所ｖ１照射領域
外への不用意な照射を確実に防止で自為皮膚科用のレー
ザ治療！ＩＩＩを擾供す為ごとを目的としていゐ。Therefore, the boundary #celebratory material attached to the 111th side of the entire area of this emitted s#fai region -L (is a part *m radiation area f) is optically inspected if L<If@ Of course, this detection signal can be used to control the motor of the drive layer of the moving stage that holds the laser gun and the laser gun drive circuit to perform uniform and sequential irradiation to the affected area. Laser treatment for artificial dermatology that reliably prevents inadvertent irradiation outside the v1 irradiation area! The purpose is to serve III.

以下−この発明の一実施例を一面にしたがってａｖｉｉ
する。Below - one embodiment of this invention according to one aspect avii
do.

纏１ｇＮはこ０発＠ｒ係為皮膚科用のレーザ治療装＠ｔ
ｎ−例を示すもむで＆為。1gN is 0 shots @r Laser treatment equipment for dermatology @t
n-Momude & Tame to show examples.

ｌ１ｌｌｌ置はアルゴンレーザ発ｍ装置唯と、レーザ光
の導光層の光７テイパ２と・蒙ファイバ２の先端ｗ！−
敢着冨れ禽し−ザガン墨と、レーザガン１を装着し禽−
後方向（矢印ａ、ｂ方向）ならびに左右方向（１１１図
矢印・、直方向）ｆ）移動台（以下Ｘ−Ｙ？−プルとｖ
ｈ’ｓ）Ａ＆％蒙移動６４を装着Ｌｔ支持台２と、上記
Ｘ−丁テーブル４およびレーザ層ＩＩＩＩを操作するた
めの閣御装置６でＪｌｌ處纂れてい為、７＆１制御装置
を遣■操作するための遠隔操作スイッチである。上記支
持台５は、好ｔＬ＜は一台車ａＭ！固電１れ象筒状の垂
直軸９と、該軸？ＩＬ”沿って昇降町歯ｌ！装着ｉ１些
た可動体１０と、こｆ１１１１０００ｆ前後方向ヘスラ
イＹ自在に保持された水平部材１１　（＠２［参層）と
で構成纂れてお一面この水平−材１１の前端ｔ１＃後お
よび左右方向の首振機構１２を介して上記Ｉ−Ｙテーブ
ル４が装置１れている。上記垂直軸９の上端には滑車唱
６が取り付けられており１この滑車＜Ｓｒ掛設されセラ
イヤ１４ｆ１一端に上ε可動体１゜が係着纂れ％ｔＸ＆
他端にパランｔ１ｓが取り付けられている・１６は可動
体１０に螺着されてこの可動体ＩＱを所定位置に固定す
る象めの締付−材であ為・水平部材１１１１１励体１ｏ
内で設けられたスラスト方向の軸受（図示せず）ｆスラ
イド自在ｒ軸支されを構造である。勿論・上記水平１材
１噸はいずれ１ラック機構など虻よ勧移動させ為ことが
で愈るが、こＤ実施例のようにスライド自在ＣａＷする
ことにより、レーザガン！＆の大凡の位置決めを乎＠で
、かつ迅速で行なえる利点がある。１１は水平部材１１
を所定位ｆｉｌ（＠定す為ための締付部材、１＄は台車
１ｏの取手、嘔９は争ヤスタ、２０１１八ンマー四ツタ
である。The l1llll position is the argon laser emitting device m, the light guide layer of the laser light 7 taper 2, and the tip of the Mongolian fiber 2 w! −
Daring to arrive full of birds - a bird equipped with Zagan ink and laser gun 1 -
Backwards (arrows a, b directions) and left/right directions (arrows, vertical directions in Figure 111) f) Moving table (hereinafter referred to as X-Y?-Pull and v
h's) Install the A & % movement 64, the Lt support stand 2, the X-table 4 and the control device 6 for operating the laser layer III. This is a remote control switch for operation. The support stand 5 is preferably tL<is one car aM! A solid electric current 1 has an cylindrical vertical axis 9, and the axis ? It is made up of a small movable body 10, and a horizontal member 11 (@2) which is freely held in the forward and backward direction. The above-mentioned I-Y table 4 is attached to the device 1 behind the front end t1# of the material 11 and via a swinging mechanism 12 in the left and right direction.A pulley swing 6 is attached to the upper end of the vertical shaft 9, and this pulley <The upper ε movable body 1° is attached to one end of the Sr layer 14f1 %tX&
Paran t1s is attached to the other end. ・16 is the fourth tightening material that is screwed onto the movable body 10 and fixes the movable body IQ in a predetermined position.・Horizontal member 11111 Excitation body 1o
A thrust-direction bearing (not shown) is provided within the sliding structure. Of course, the above-mentioned horizontal material 1 piece may eventually be moved by a 1 rack mechanism etc., but by using a freely sliding CaW as in the D embodiment, a laser gun! It has the advantage that the general positioning of & can be done quickly and with 乎@. 11 is the horizontal member 11
The tightening member for fixing the fil (@) is the handle of the trolley 1o, 9 is the handle of the trolley, and the 2011 eight-hammer four-piece.

上記Ｘ−Ｙ？−プル４は箇１図で示すようにペース２噛
と−このペース２唱上に移動自在【取勢付けられをＹテ
ーブル２２と、とｎτＹテーブル２上ｒ固定瘍れたペー
ス２ｓと、このペース２ｓ上で、上記Ｙテーブル２２と
直交する方向【移動自在Ｃ毅けられ禽×テーブル２４で
構鳴冨れてぃ轟、上ｆ４ＸおよびＹ？−プル２４，２２
ｄ４に＊ステラプ畳−タ２５．２４の回転力を受けた螺
子欅２７．２虐の一転で＊＊道ならびに左右進すゐよう
ｒ＊ｍｇれてＶｈ　Ａ　＠上記Ｘ−Ｉｆ−１ｓｔ４ｔｎ
移動を安電虻行うため、好ｔＬ（け％冬テーブル１２．
２４と＆Ｃ少なくとも１本のガイｙＩＩ材２９゜３０が
螺子欅２７．２−と離１’ｌして平行に装備−れて−為
、上記Ｘおよび！テーブルＩＡ、１’ｉは全く同−ｎ＠
状をｆしている。Ｘ−Ｙ？　−”ｌｋ４は上記構造の他
の公知の櫨々０構造のものをｍＮすること−で自る。Above X-Y? -Pull 4 can be freely moved on top of Pace 2 as shown in Figure 1. On the pace 2s, in the direction perpendicular to the Y table 22 [Movable C resolute bird x table 24, structure is full of roars, upper f4X and Y? -Pull 24, 22
On d4, the screw keyaki 27.2 received the rotational force of the *stairup tatami mat 25.24, causing it to move along the road and left and right.Vh A @X-If-1st4tn above
In order to move safely, it is preferable to use tL (ke% winter table 12.
24 and &C At least one guy y II material 29°30 is installed parallel to the screw keyaki 27.2- with a distance of 1'l, so that the above X and! Table IA, 1'i are exactly the same -n@
The condition is f. X-Y? ``lk4'' can be obtained by multiplying the above-mentioned structure by mN of the other known Hashiwa 0 structure.

、墨１はＸテーブル１４Ｋｍ定されて前方へ突出するブ
ラケットでｈ伽、該ブ予ケツ）３唯の先端では申空円廖
１ＩｉＩ１０よ１な保持部材墨！が固電寥れており、６
部材でレーデガン墨が装着されているｅ勿−１上ｇｌｉ
ｌＮ部材３意は、レーザガン５の形伏−大ｍ１ｅｎｓ更
に容易Ｃ対応で愈るような挾着榔造を採ることもで禽る
。, Ink 1 is a bracket that protrudes forward with an X table 14km fixed, and at the tip of 3, there is a holding member that is similar to Shenku Enliao 1IiI10! has a fixed electric charge, and 6
E-Mu-1 upper gli with Redegan ink attached to the parts
The 1N member 3 may also have a clamping structure that can easily accommodate the shape of the laser gun 5 and the size of the laser gun.

上１ａＸ−Ｙテーブル４ｖｃＪ：為レーザガンＳわ移動
制御およびレーザビーム照射制御系０構−を箇４１ｉ１
ｅ示す。Upper 1a
Show e.

ｊｉｌｌｌｌ！ｆお−て、Ａｓ、Ｂ４ＦＩＸｆ−プル２
４の移動方向両端を対応して設けられて、＠Ｘテーブル
２４ｎスシーータエンドを決定す為り々ットスイッチ、
３５．３！＃ｆ１！テ一ブル２２０移動１向両端に対応
して設けられて、酸Ｙテーブル１１のス）曹−タエンド
を決定するリミツシスイッチ、ｉｓ７．５８喧それぞれ
！およびＹテーブル２４゜２、ｔｆｉ原点位置の検出器
で、ＸおよびＹテーブル２４．２１がそれぞれのモー＃
２５．２４＠を最も近づＶ＆魚像位置原点として設定さ
せ為よ’ＳＫ亀ってＬＡ為・ 墨やは上記各Ｖ竜ットスイツナ墨暴〜ｓ６などから６９
号を受けてＩおよび！テーブル１４４１０駆−回路４０
．４１をｌ１ｌｌｌする制御ｌｌ１ｉ１路、４２は上記
１唱上榔回路５９からの一面信号を受けてレーザＩν５
ＩＦ１シャッタ（図示せず）をＨ閉舗榔するレーザガン
駆動−路でする。jillll! f-te, As, B4FIXf-pull 2
4 is provided correspondingly to both ends of the moving direction, and a right switch is provided to determine the @X table 24n switch end
35.3! #f1! A limit switch is provided corresponding to one direction and both ends of the table 220 to determine the end of the table 11, IS7.58, respectively! and Y table 24.2, TFI origin position detector, X and Y table 24.21 each mode #
25. Set 24 @ as the origin of the closest V & fish image position 'SK turtle is LA, so Sumi is 69 from each of the above V dragons and Suitsuna Bokubō ~ s6 etc.
After receiving the issue, I and! Table 14410 drive-circuit 40
．． 41 is a control ll1i1 path, and 42 receives a one-plane signal from the above-mentioned one-shot circuit 59 to control the laser Iν5.
The laser gun drive path closes the IF1 shutter (not shown).

Ａｓ、４４はレーずガン移動時の各号−＃−２５゜２４
の一転を検出する御飯検出器で、各モータ２５．１４ｅ
回転を確関す為ものであゐ。As, 44 is each number when moving the laser gun - # - 25° 24
Each motor 25.14e has a rice detector that detects a reversal of the
This is to ensure rotation.

４！ＳＦ！上記レーザガン１４に近接して上記プラケツ
）墨Ｓｔ＊＠＠を保持冨れ禽−気もしくは光学的七ン豐
、七にえばフオトセシ管であ−、箇４ｗｉの患＠　ｌ　
ｆ）全域４Ｌ＜は−１ＩＩＦ）照射領域の周辺に装着し
亀銀籠テープｎよＬＩ％冷境界表示材ｓＯを検出して一
検出信号を上記制御回路ｓ９に送出するようぎ＊＊冨れ
ている・４６は警報回路で、スヒーカやプず−をどの聴
覚報知手段４７と、ランプや発光ダイオードなどの視覚
的報知手段４＠を有すゐ・ つぎ【−上記構一の動作でついて説明す為。4! SF! Hold the above-mentioned plaque near the laser gun 14, and use an air or optical tube, for example, a photo tube, to hold the black St*@@.
f) Whole area 4L< is -1IIF) A tape attached around the irradiation area to detect the LI% cold boundary display material sO and send a detection signal to the control circuit s9.・46 is an alarm circuit, which has an auditory notification means 47 such as a speaker or a puzzle, and a visual notification means 4 such as a lamp or light emitting diode.Next, the operation of the above structure will be explained. To.

（１）手動操作の場合寡 會ず、支持台６を構−する水平部材１１を調整して、蒙
水ＪＰＩＩ材１１の一端に取着≦れたＸ−丁テーブル４
をベッド４９上の患者Ｍ（ｌｌｌｌｇｆ）ｆｌ治療すべ
１患１１１近くで位置決めし１更にレーザガン墨の先端
と患Ｎｓとの距離を１６〜４６■に設定する一つｔ！ｌ
に制御装置轟によ＊Ｘ−Ｙテーブル４会調盛して患部ａ
の仕置を原点０（箇４ｗＪ）２して決点する。遠隔スイ
ッチにより、上記決点冨れた原点０よりＸ方向前方（島
方向）ｒａｉｌを確１［Ｌながらレーザガンを移−し、
レーザを照射する。レーず照射＃ｆ！方向移動中だけ行
なわれ為・つ「に、丁方向、亀と見は左方向（矢印・方
向）へ唯一移動した後、上述上同様ｆＸ方向後方（矢印
）方向）τレーザガン墨を移動およびレーザ照射冨せ１
ｋがら任意の位置へ復帰させ為・この動作を連＊ｓｒ行
って患＠　ｇ　ｔまたとえば全域でレーずビー＾を照射
すればよい・ （ｇ）自動操作の場合； 宜ず、手動操作時と同様（Ｘ−Ｙテーブル４会患＠　５
１　Ｆ’３近（ｋ位置決めしル−ザガン墨の先端と上記
１１１部−との間隔会設定す為、赤テザのよへ＊Ｈ＠ｓ
−比稜的大禽−場舎は、上記患ｇｓ会１１ＩＩ状に分割
して・各分割領域ごと（雇射す轟拳隔射作業で先立って
、境界表示材としてｎ＃ｌｌｆｔ１喰どから＆為数−幅
ｖ戻射テープＳＯを嬉ＡｌｌのようＣ患曝ｍｅおける所
定照射領域ｌｌｌの屑辺に貼着す為・勿論・上記患１１
１ｍの大禽冨が比較的小筒く、分１１１１１＃Ｌ＆＜で
もよい場合は、患部畠そのものの屑辺ｆ上記反射ｔ−プ
５０を貼着する・こ−０反射テープ貼着後、手動操作で
Ｘ−Ｙ？−プル４會駆ｓしてレーザガン墨が所定ｒ１１
ＩＩ射領埃ａ１を逸脱すれば一フォト令ン菅４５１１上
記デーーｙ５・を検知で自ることを確１ｌＩＬでお（。(1) In the case of manual operation, adjust the horizontal member 11 that constitutes the support stand 6, and attach the X-D table 4 to one end of the Monsui JPII material 11.
Position patient M (llllgf) on bed 49 near patient 111, and further set the distance between the tip of the laser gun ink and patient Ns to 16 to 46■! l
The control device Todoroki adjusts the four X-Y tables and adjusts the affected area a.
Set the punishment to the origin 0 (section 4wJ) 2 and decide the point. Using the remote switch, move the laser gun while moving the rail forward in the X direction (toward the island) from the origin 0, which has the above determined point, to 1 [L].
Irradiate the laser. Laser irradiation #f! This is done only while moving in the direction, so after moving only in the left direction (arrow direction), move the laser gun ink in the fX direction (backwards (arrow) direction) and laser Irradiation rich 1
To return the patient to any desired position, repeat this operation repeatedly and irradiate the laser beam over the entire area until the patient is exposed. (g) In case of automatic operation; In case of manual operation. Same as (X-Y table 4 meeting @ 5
1 Near F'3 (K positioning - To set the interval between the tip of the Luzagan ink and the above part 111 - go to the red tether *H@s
- Hiryo's Big Bird - The venue is divided into the above-mentioned GGS group 11 II shape, and each divided area (prior to the work of firing the Gouken distance gun, as a boundary marking material) In order to attach the number-width v return tape SO to the waste side of the predetermined irradiation area lll in the C patient exposure me, of course, the above patient 11
If the 1m long field is relatively small and 11111#L&< is acceptable, attach the above reflective tape 50 to the waste side of the affected field itself. After applying the reflective tape, manually X-Y by operation? -Pull 4 times and the laser gun ink is set to R11
If you deviate from the II radiation area a1, you can be sure that you will be able to detect the above data 4511 in one photo.

この状態で、制御値−４＃′）リセツシスイッチ（図示
せず）を投入し、レーザガン墨を原点ａｔ復帰冨せｔｌ
Ｉ％スタートスイッチ（図示讐ず）を投入する。これｒ
よＩｌｌ、　Ｘ？−プル！４が矢印島方向へ駆動筒れ一
し−ザＩン５が上記原点Ｏから所＠ｎスパーン移―隔射
する。所定のスバーン移―Ｌｕｍ１％丁テーブル２！−
１ステップ分矢印・方向へ駆動筒れ、レーザガンｓ１こ
れｒｙｅで移動する。ついでこの位置から再びレーザガ
ン墨は所定ｎスバーン分後遍・つ１り矢印す方向へ移動
りながら零位置資で移−麿射し一上記零位置から再μ゛
Ｙテーブル２２の１ステップ分のｗｕａｃ応じてレーザ
ガンＳも矢印・方間へ移＃Ｌ１この点から再び矢印ａ″
ｊｉ向への移動照射を行なら、これを４１＃−返すこと
によ−、分＠１れた所ｉ＊ｒ［射領域ｇ、６麗射が完了
Ｌ％残った領域は病理学的に必要と纂れる一奮の日時を
おいてから行なわれ為。In this state, turn on the control value -4#') reset switch (not shown) and return the laser gun ink to the origin.
Turn on the I% start switch (not shown). This is r
Yo Ill, X? -Pull! 4 is aligned with the driving cylinder in the direction of the arrow island, and the cylinder 5 is moved from the origin O to a distance of n spans. Predetermined Subaan Transfer - Lum1% Ding Table 2! −
Move the drive barrel one step in the direction of the arrow and move the laser gun s1 with this rye. Next, from this position, the laser gun ink is emitted again by the zero position while moving in the direction indicated by the arrow after a predetermined number of n steps. In response to wuac, the laser gun S also moves to the arrow/direction #L1 From this point, arrow a'' again
If a moving irradiation is performed in the ji direction, by returning this to 41#, the area after 1 minute is i * r [emission area g, 6 rays are completed, and the remaining area is pathological. It was carried out after the necessary time and date.

ここで、自動操作によるレーザガン３の移１ｌｌＩｌｌ
射申Ｗ：、故ｉ１して所定のスパーンをオーバーＬｌ場
合ｌ！は、レーザガンＳに近ＪＩＩして設けられてい為
フオ学トセンサ４ｓが反射テープＳＯを光学的に検知Ｌ
％この検知信書を制ｉｍＶＡ＊ｓｔｇｃ送尚する。制ｎ
ｌ１ｉ路墨９は樵・検知儒晋壷受けるに５１１報−踏ム
４會作ｌｌｌ１纂せ、ざらにモータ駆動回路４０．４唱
を介して各モータ２５．２４の駆動を停止−せ為とに−
にル−ザガン駆動回路４２を介してレーザガン墨のシャ
ッタを閉成５せろ・このなめ、上ε所定の照射−域ａ、
をはみ出して照射されることは未然に肪止冨れるｅ また、上記レーザガン５の移動照射中に一各噌−Ｊ１２
ｊ１．２４％故障すれば、各−ｔ−夕２Ｌ２４０１転検
出＠４３．４４からの出力を受けた制御回路５９は亀瞥
報ｌ路４６を一動纂せ％さらにレーザガン易のシャッタ
をｌｌ！成纂せ為から、同一位置に連続して照射−れ為
おそれはない・纂らｗ：ｌた、自動ｔたは手動操作時に
おいて一し−ずガン墨がＸ−ｘテーブル４の端ｇ會で過
度に移動りようとすれば、り電ツシスイツナＳ１〜５４
ｒ１％／ｈずれかからのストロータエンド検知信号を受
は象制御回路３９が一報回路１６を作動させ、ｊらｆレ
ーずガン５のシャッタを閉成瘍せる・なお−上ε患Ｍ８
の所＊照射−域Ｉｔの膚辺に貼鳩１れる照射テープ５Ｄ
を磁気テープとし、この磁気ｔ−プをリードスイッチな
どの磁気セン号を用いて検出２せる手段を導入すること
もで龜為。Here, the laser gun 3 is moved by automatic operation.
Shooting W: If i1 exceeds the predetermined span Ll! is installed close to the laser gun S, so the photo sensor 4s optically detects the reflective tape SO.
%Resend this detection message to imVA*stgc. Control n
The l1i road marker 9 receives the woodcutter's detection and composes the 511 report - the treadmill 4 assembly lll1, and roughly stops the drive of each motor 25.24 via the motor drive circuit 40.4. ni-
Close the shutter of the laser gun ink via the loser gun drive circuit 42 at this point.
If the laser gun 5 is irradiated while the laser gun 5 is moving, the irradiation will result in fat retention.
j1.24% If a failure occurs, the control circuit 59 that receives the output from each -t-t2L2401 rotation detection @43.44 transmits the Kamebesu signal line 46 in one motion, and then activates the shutter of the laser gun! There is no risk of continuous irradiation at the same position because of the printing process.Also, during automatic or manual operation, the gun ink will never reach the edge of the X-x table 4. If you try to move too much during a meeting, you will have to move around too much.
Upon receiving the stroker end detection signal from one of r1%/h, the control circuit 39 activates the notification circuit 16 and closes the shutter of the laser gun 5.
*Irradiation tape 5D applied to the skin of the irradiation area It
It is also possible to use a magnetic tape and introduce a means for detecting this magnetic tape using a magnetic sensor such as a reed switch.

、以上ｎよう虻、この発明はｌｌ１ｉ！全鳩もしくは−
ＷＩｈの新音照射領域０肩辺に付着した境界表示材を磁
％もしくは光学ｆＩＪプ検出させて、モータとレーザ駆
＃１回路会制御冨せるようｃしたから、患部もしく嬬所
′１ｌＷＡＩＩ＃領域外への不用意なレーず照射を防止
で愈、安全１１１を確保し得為皮膚科用のレーザ, this invention is ll1i! Whole pigeon or -
The boundary display material attached to the shoulder side of the new sound irradiation area of WIh is detected by magnetic or optical fIJ to control the motor and laser drive #1 circuit, so it is possible to control the motor and laser drive #1 circuit. A laser for dermatology that ensures safety by preventing inadvertent laser irradiation outside the area.

【図面の簡単な説明】[Brief explanation of drawings]

壌ｔｇはこの発明の皮膚科用のレーザ治療装置の一例を
示すＩＩ面図、纏２図は同レーザ発振装置を除％ｌｈ＆
ＪＰ面図、第５１はレーザガンを保持した移動台の概略
斜視図、１１４図は同装置の要謳Ｖブーツ＃図、箇１図
はレーザガンと患者との位置関係ｎ説明図、１１４図は
同装置の動作説明用のレーずガン移動図である。 １−レーザ発振装置、２−・光ファイバ、昌・−レーザ
ガン・４・・・移動台・ト・・支持台・ト一台車・２ｓ
、２４−１−＃、Ｓ　？−・制御Ｈ１ｍ１．ＡＯ６４１
・・・モータ駆動回路、４２・・・レーザガン駆動回路
、１５・・・センナ・ｓＯ・・・境界表示材、８・・・
患部。Figure 2 shows an example of the laser treatment device for dermatology according to the present invention, and Figure 2 shows the same laser oscillation device.
JP side view, No. 51 is a schematic perspective view of the movable table holding the laser gun, No. 114 is the essential V boot # view of the device, No. 1 is an explanatory view of the positional relationship between the laser gun and the patient, and No. 114 is the same It is a movement diagram of the laser gun for explaining the operation of the device. 1 - Laser oscillation device, 2 - Optical fiber, Chang - Laser gun, 4... Moving table, T... Support stand, T1 Cart, 2s
, 24-1-#, S? -・Control H1m1. AO641
...Motor drive circuit, 42...Laser gun drive circuit, 15...Senna/sO...Boundary display material, 8...
Affected area.

Claims (1)

【特許請求の範囲】[Claims] （１）レーザ発振装置で発！ｌ冨れたレーザを光ファイ
バを介しτ受電してレーずビームを麿Ｗｔｔ雇射す為レ
ーザガンと、金車に支持台を介して塔１１冨れて、上記
レーザガンを前後および左右方向へ移動Ｉｊｒ−ｃ保持
す為移動台上、上記レーザガン虻対す為＊＊および左右
方向の移動駆動用の各モータと、レーザガンの近傍ｃＷ
Ｉ！置纂れて一患部全域もしくは一一の所定照射領域の
膚辺に付着冨れた境界表ｉ材を磁気もしくは光学的で検
出するセンすと−このセンすからの検知信号を受けて１
各七−赤駆動ＩｇＩＩＩおよびレーザガン駆＠回路を制
御する制御−路とを具備した皮膚科用のレーザ治療装置
。(1) Emit with a laser oscillation device! In order to receive power from the loaded laser via an optical fiber and emit a laser beam, the laser gun and the tower 11 are loaded on the metal wheel via a support stand, and the laser gun is moved back and forth and left and right. -c on the movable table for holding, motors for opposing the above laser gun** and for driving movement in the left and right direction, and cW near the laser gun.
I! A sensor that magnetically or optically detects the border surface material that has been placed and adhered to the entire affected area or the skin side of one predetermined irradiation area - Upon receiving the detection signal from this sensor,
A dermatological laser treatment device comprising seven red drive IgIII and a control path for controlling a laser gun drive circuit.