LASER ASSISTED WOUND HEALING PROTOCOL AND SYSTEM
20230211173 · 2023-07-06
Inventors
Cpc classification
A61C19/043
HUMAN NECESSITIES
A61N2005/063
HUMAN NECESSITIES
A61K38/39
HUMAN NECESSITIES
International classification
Abstract
The present invention provides for devices and methods of treating wounds, including general wounds, gum disease and gingival tissues post scaling/root planning, using a diode laser which generates a beam of light having a wavelength in the visible portion of the electromagnetic spectrum (400 nm-700 nm). Further disclosed are devices and methods capable of stimulating tissue regeneration at the site of a wound.
Claims
1. A system for use in repairing tissue damage subsequent to an acute or chronic injury to an individual, the system comprising: a power source; and an energy source coupled to the power source and configured to emit energy having a power of 0.001 W to 10 W, and a frequency of 40 Hz to 24 GHz; wherein the energy source is configured to be placed over the tissue damage such that the energy can be directed toward the tissue damage and cause tissue regeneration at the acute or chronic injury.
2. The system of claim 1, wherein the energy source is configured to emit energy having a power of 0.001 W to 3 W and a frequency of 40 Hz to 20 kHz
3. The system of claim 1, wherein the energy source is configured to emit energy having a power of 0.001 W to 3 W and a frequency of 40 Hz to 15 kHz.
4. The system of claim 1, further comprising a substrate, wherein: the substrate is configured to induce a biostimulatory response when applied to the tissue damage, the substrate comprises an aqueous solution, a foam, an ointment, or a gel; and the substrate is configured to be applied directly on or into the tissue damage with the energy such that a combination of the energy and the substrate causes tissue regeneration at the acute or chronic injury.
5. The system of claim 4, wherein the substrate comprises at least one nanoparticle, wherein the at least one nanoparticle is selected from a group consisting of copper, silver, iron, Fe3Q4, gold, and platinum, or any combination thereof; and at least one additional compound selected from the group consisting of CuCl3, CuCl2, CuCl, FeCl3, FeCl2, AuCl, AuCl2, AuCl3, AgCl, AgCl2 and hyaluronic acid, and any combination thereof.
6. The system of claim 4, wherein the substrate comprises HCl, CuCl, FeCl2, and a phosphate.
7. The system of claim 4, wherein the substrate comprises: (i) collagen, wherein the collagen comprises collagen limed, collagen unlimed or collagen supplemented with dense or porous tricalcium phosphate crystals; (ii) 0.1 g-1 g soluble silver; (iii) 200 mg-6 g hyaluronic acid; (iv) 0.1 g-1 g Cu, and (v) 0.1 g-1 g Fe.
8. The system of claim 1, further comprising a second energy source coupled to the power source, the second energy source configured to generate a beam of light that has a wavelength selected from the group consisting of from about 520 nm to about 570 nm, from about 620 nm to about 750 nm, from about 750 nm to about 1400 nm, and from about 570 nm to about 590 nm.
9. The system of claim 1, further comprising a second energy source coupled to the power source, the second energy source configured to generate a beam of light having a wavelength in a visible portion of an electromagnetic spectrum between 400 nm-1400 nm wavelength.
10. The system of claim 9, wherein the second energy source is fiber optic, comprises a diode laser, or comprises a light emitting diode (LED), and wherein the wavelength is selected from a group consisting of a green wavelength range (520-570 nm), a red wavelength range (620-750 nm) and a yellow wavelength range (570-590 nm).
11. A method for repairing tissue damage subsequent to an acute or chronic injury to an individual, the method comprising: generating power with a power source; and emitting, with an energy source coupled to the power source, energy having a power of 0.001 W to 10 W, and a frequency of 40 Hz to 24 GHz; and placing the energy source over the tissue damage such that the energy can be directed toward the tissue damage and cause tissue regeneration at the acute or chronic injury.
12. The method of claim 11, wherein the energy source is configured to emit energy having a power of 0.001 W to 3 W and a frequency of 40 Hz to 20 kHz.
13. The method of claim 11, wherein the energy source is configured to emit energy having a power of 0.001 W to 3 W and a frequency of 40 Hz to 15 kHz.
14. The method of claim 11, further comprising applying a substrate to the tissue damage, wherein: the substrate is configured to induce a biostimulatory response when applied to the tissue damage, the substrate comprises an aqueous solution, a foam, an ointment, or a gel; and the substrate is configured to be applied directly on or into the tissue damage with the energy such that a combination of the energy and the substrate causes tissue regeneration at the acute or chronic injury.
15. The method of claim 14, wherein the substrate comprises at least one nanoparticle, wherein the at least one nanoparticle is selected from a group consisting of copper, silver, iron, Fe3Q4, gold, and platinum, or any combination thereof; and at least one additional compound selected from the group consisting of CuCl3, CuCl2, CuCl, FeCl3, FeCl2, AuCl, AuCl2, AuCl3, AgCl, AgCl2 and hyaluronic acid, and any combination thereof.
16. The method of claim 14, wherein the substrate comprises HCl, CuCl, FeCl2, and a phosphate.
17. The method of claim 14, wherein the substrate comprises: (i) collagen, wherein the collagen comprises collagen limed, collagen unlimed or collagen supplemented with dense or porous tricalcium phosphate crystals; (ii) 0.1 g-1 g soluble silver; (iii) 200 mg-6 g hyaluronic acid; (iv) 0.1 g-1 g Cu, and (v) 0.1 g-1 g Fe.
18. The method of claim 11, further comprising coupling a second energy source to the power source, and generating, with the second energy source, a beam of light that has a wavelength selected from the group consisting of from about 520 nm to about 570 nm, from about 620 nm to about 750 nm, from about 750 nm to about 1400 nm, and from about 570 nm to about 590 nm.
19. The method of claim 11, further comprising coupling a second energy source to the power source, and generating, with the second energy source, a beam of light having a wavelength in a visible portion of an electromagnetic spectrum between 400 nm-1400 nm wavelength.
20. The method of claim 19, wherein the second energy source is fiber optic, comprises a diode laser, or comprises a light emitting diode (LED), and wherein the wavelength is selected from a group consisting of a green wavelength range (520-570 nm), a red wavelength range (620-750 nm) and a yellow wavelength range (570-590 nm).
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0022] Other aspects, features, and advantages of the present invention will become more fully apparent from the following detailed description, the appended claim, and the accompanying drawings in which similar elements are given similar reference numerals.
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DETAILED DESCRIPTION OF THE INVENTION
Definitions
[0061] As used herein, the term “gum disease” means periodontal disease which can lead to tooth loss and/or other health problems. Examples of periodontal disease include gingivitis, aggressive periodontitis, chronic periodontitis, periodontitis as a manifestation of systemic diseases, and necrotizing periodontal disease.
[0062] As used herein, the term “tissue disease” means soft or hard tissue disease of acute or chronic nature which can lead to other health problems such as amputation of limbs.
[0063] As used herein, the term “patient” means any individual suffering from a disease of the gums or tissue and in need of treatment for said gum or tissue disease.
[0064] As used herein, the term “locus” means an exact point of measurement within the sulcus or the immediate surrounding area.
[0065] As used herein, the term “substrate mixture” means the mixture of the first substrate and/or the second substrate and/or the third substrate and/or the fourth substrate and/or the fifth substrate and/or sixth substrate disclosed herein for treatment of gum disease and/or tissue disease and/or wounds.
[0066] As used herein, the term “substrate” means any stand alone substrate of the substrates disclosed herein for treatment of gum disease and/or tissue disease and/or wounds.
[0067] As used herein, the term “bone regeneration” means increasing the density of calcium at specific loci in or around the sulcus or the immediate surrounding area.
[0068] As used herein, the term “calcium density” means the measurement of calcium mass around a given loci.
[0069] As used herein the term “wound” means any area that has lost any original tissue or bone or any other structure not named that lost a healthy non-wounded, undamaged and unaged form.
[0070] As used herein, the terms “power” and “average power” are considered synonymous, with “power” referring to continuous power applied to lasers, LEDs or RF devices while “average power” refers to pulsed power applied to lasers, LEDs or RF devices of the present invention.
[0071] As used herein, the terms “laser” or “LED” or “RF” mean types of energy and may be used with or without substrate.
[0072] The LAPOR protocol can be used in the treatment of gum disease and wounds by combining the most effective methods of treatment with the use of a special laser. Approximately 66% of the United States population has some form of gum disease. But many avoid seeking treatment because of the discomfort that often results from gum surgery. LAPOR provides a new choice. The LAPOR protocol is a treatment that is more effective than traditional periodontal surgery, and it is much more beneficial to the patient both in the short and long term. The LATOR protocol can similarly be used for treatment of soft or hard tissue disease and wounds.
[0073] The LAPOR protocol takes only about an hour and only two short follow-up visits. Patients enjoy no downtime with recovery taking only 24 hours. This makes immediate return to work both possible and comfortable.
[0074] After having the LAPOR protocol performed, no resulting gum recession occurs is zero when compared to that which most often follows normal periodontal surgery. This, combined with new cementum formation on the roots, bone formation in previous defects or around failing implants, periodontal ligament formation. After having the LATOR protocol performed in a chronic wound, no resulting subsequent wound fibrosis is found compared to that which most often follows normal treatment, new soft and/or hard tissue formation occurs multi directionally and the wound closes without grafting.
[0075] The LAPOR and LATOR protocols of the present invention can be used to heal wound sites by combining or using separately the most effective methods of treatment with the laser, LED, radiofrequency energy and substrates. In a preferred embodiment, the RF energy waves may be up to 10 W, with most preferably being only as high as 9 W. The carrier wave frequency may be in the range of 0.1 MHz to 20 MHz while the non-sinusoidal waveform/s may be in the range of 0.5 to 40 KHz or from 0.5 to 24 GHz. In a preferred embodiment, the carrier wave frequency is in the range of 0.2 MHz to 10 MHz, preferably 0.3 MHz to 5 MHz. Optionally a 0.001 W to 10 W range RF energy, preferably a 0.001 W to 3 W range, is utilized in the hertz range of 40 Hz to 24 GHz. In a further alternative embodiment, the RF wave is more than one square wave wherein the more than one may demonstrate a pattern. In a further alternative embodiment, the RF wave is more than one sine wave wherein the more than one demonstrates a harmonics pattern.
[0076] The special type of laser used in the LAPOR protocol and the LATOR protocol is the diode, a semiconductor coherent light beam. The laser or LED light used has a wavelength in the visible portion of the electromagnetic spectrum, between 400 nm-700 nm wavelength. Optionally, the green range (520-570 nm) of the visible spectrum is utilized at a laser power or average power of 0.5 to 1.2 watts, which disinfects the site, leaving the gum tissue bacteria free, and biostimulates healing; in conjunction with treatment with a substrate, the laser biostimulates regeneration of the periodontium. Traditional periodontal therapy removes tissue height of a tooth or implant to reduce the pocket depths. The LAPOR protocol is a regenerative procedure. The patient does not lose tissue volume. Tissue volume is increased and bone is regenerated. For general tissue disease, the laser biostimulates regeneration of tissue where traditional therapy removes tissue height to reduce the disease. Optionally, the laser light utilizes the IR wavelength range (700 nm-1400 nm) at a laser power or average power of 0.001 W to 5 W to treat wounds. Optionally, each LED light is used at 10 W or, preferably, 9 W or lower.
[0077] The use of the diode laser in conjunction with routine scaling and root planning is more effective than scaling and root planning alone. It enhances the speed and extent of the patients gingival healing and postoperative comfort. This is accomplished through laser bacterial reduction and biostimulation with a laser light having a wavelength in the visible portion of the electromagnetic spectrum, between 400 nm-700 nm wavelength. Optionally, the green range (520-570 nm) of the visible spectrum is utilized at a laser power or average power of 0.5 to 1.2 watts. Alternatively, the laser power wattage may be in the range of 0.001 W to 5 W, preferably 0.002 W to 4 W, more preferably 0.003 W to 3 W, and most preferably 0.005 W to 2 W.
[0078] Referring to
[0079] Alternatively, the laser tip is a specially designed tip that disperses light energy throughout the wounded sulcus which allows the laser beam to penetrate the existing tissues to decontaminate the tissue, as the heat of the targeted laser light kills the bacteria and as a result block 20 may be eliminated going directly to block 22
[0080] The LAPOR protocol is much less invasive than traditional surgery and offers advantages and benefits over its counterpart. Recovery time is much faster because most, if not all, damage to healthy tissue is avoided through the use of more advanced technology. Because the LAPOR protocol leaves healthy tissue intact, the height of the gums themselves increases around the teeth and is better preserved. The LAPOR protocol prevents long junctional epithelium from migrating downwards into the sulcus, thus preserving the tissue height and allowing for the regeneration of the periodontium.
[0081] Referring to
[0082] The laser energy may have wavelength in the green wavelength range (520-570 nm), red wavelength range (620-750 nm), or yellow wavelength range (570-590 nm) having a wattage of 0.001 W to 5 W. In a preferred embodiment, laser energy has a wattage of 0.001 W to 5 W. The wattage is in the range of 0.001 W to 4 W, more preferred in the range of 0.003 to 3 W, and most preferred in the range of 0.005 W to 2 W. The RF energy may have a power of 10 9 watts or lower.
[0083] The carrier wave frequency may be in the range of 0.1 MHz to 20 MHz while the non-sinusoidal waveform may be in the range of 0.5 to 40 KHz or from 0 to 24 GHz. In a preferred embodiment, the carrier wave frequency is in the range of 0.2 MHz to 10 MHz, preferably 0.3 MHz to 5 MHz. Optionally a 0.001 W to 10 W range RF energy, preferably a 0.001 W to 3 W range, is utilized in the hertz range of 40 Hz to 24 GHz. In a further alternative embodiment, the RF wave is more than one sine wave wherein the more than one demonstrates a harmonics pattern. Optionally, the non-sinusoidal waveform may be single or multiple and in the range of the above parameters in the absence of a carrier wave.
[0084] Referring to
[0085] Referring to
[0086] Referring to
[0087] Referring to
[0088] Referring to
[0089] Referring to
[0090] Referring to
[0091] Referring to
[0092] Firstly, the conditioner is applied to the root or bone surface. The root conditioner comprises the following at Table 1:
TABLE-US-00001 TABLE 1 Component EDTA 20-25 g. Calcium gluconate 10-20 g. Methylparaben Propylparaben .01-.1 g. Ethanolamine 2-8 mls. Carboxymethylcellulose 2-10 g. Green food coloring 1-2 drops Sterile water 100 mls.
[0093] The conditioner is optionally rinsed out prior to application of additional substrates or laser light. Alternatively, the conditioner is left on the root or bone surface with the laser light being applied prior to application of any substrate. In an alternative embodiment, the conditioner is left in with only one substrate applied prior to application of the laser light. Optionally, the conditioner is left in the sulcus and substrate is added prior to any application of laser light.
[0094] The placement of the substrate into the sulcus containing luminesced blood enables the luminesced blood to coagulate upon the substrate.
[0095] Optionally, the liquid substrate or substrate 1 is comprised of the following, per 1 L of solution, at Table 2:
TABLE-US-00002 TABLE 2 % Essential Amino Acids Isoleucine 1.125 Leucine 1.125 Methionine 1.125 Phenylalanine 1.125 Threonine 1.125 Tryptophan 1.125 Valine 1.125 Histidine 1.125 Lysine 9 Non-Essential Amino Acids Alanine 0.25 Arginine 0.25 Aspartate 0.75 Glutamate 0.25 Glycine 0.25 Serine 0.25 Proline 9 Phosphates ADP 0.667 ATP 0.667 Acetylcholine 0.667 Free Bases Adenosine 1.725 Uridine 1.725 Guanosine 1.725 Cytidine 1.725 Benzoic Acid 1 Sodium Chloride 1.1 Sterile water 60 Total: 100
[0096] Optionally, the total sterile water component is adjusted 20% up or down, depending on the desired viscosity to be achieved.
[0097] Optionally, the sterile water component also contains some amount of Hyaluronic Acid.
[0098] In an alternative embodiment, the liquid substrate or substrate 1 is comprised of the following, at Table 3:
TABLE-US-00003 TABLE 3 Grams Essential Amino Acids Isoleucine 11.25 Leucine 11.25 Methionine 11.25 Phenylalanine 11.25 Threonine 11.25 Tryptophan 11.25 Valine 11.25 Histidine 11.25 Lysine 90 Non-Essential Amino Acids Alanine 2.5 Arginine 2.5 Aspartate 7.5 Glutamate 2.5 Glycine 2.5 Serine 2.5 Proline 90 Phosphates ADP 7-8 ATP 7-8 Acetylcholine 6-7 Free Bases Adenosine 13-14 Uridine 13-14 Guanosine 13-14 Cytidine 13-14 Iridine 13-14 Benzoic Acid 20 Sodium Chloride .1-.9 Sterile water .9-1.2 L
[0099] In an alternative embodiment, an additional substrate may be applied, the additional substrate, substrate 2, comprised of dense or porous tricalcium phosphate comprising of one size or variety of sizes of crystals: 4-50 μm, 50-150 μm, 100-300 μm, 500-1000 μm, 1-3 mm, and 3-6 mm and hydroxyapatite crystals.
[0100] In an alternative embodiment, an additional substrate may be applied, the additional substrate, substrate 3, is comprised of the following at Table 4:
TABLE-US-00004 TABLE 4 Hyaluronic acid 200 mg to 5.1 g Grams Fatty acids Linoleic acid (LA) 4 Alpha - linolenic acid (ALA) 4 8 Sugars (except glucose and fucose) Mannose 0.6 Galactose 0.6 N - acetylgalactosamine 0.6 N - acetylglucosamine 0.6 N - acetylneuraminic acid 0.6 Fucose (L config. and no carboxyl at 6 position) 0.6 Xylose 0.6 4.2 Glucose 1.1 Fucose (L config. and no carboxyl at 6 position) 1.1 Lipids A 0.3 D2 0.3 D3 0.3 E 0.3 K1 0.3 K2 0.3 B12 (Methylcobalamin) 0.3 B12 (Nydroxocobalamin) 0.3 Cholesterol 0.3 Diaglycerol 0.3 3.0 Vitamins B1 0.3 B2 0.3 B3 0.3 B5 0.3 B6 0.3 B7 0.3 B9 0.3 C 0.3 Pantothenic acid 0.3 2.7 Electrolyte Sources Calcium chloride .5 Choline Chloride .5 Magnesium Sulfate .5 Potassium Chloride .5 Potassium Phosphate - monobasic 1 Sodium Bicarbonate .5 Sodium Chloride .5 Sodium Iodide .5 4.5 Metals Ag nanoparticles 0.3 Au nanoparticles 0.3 0.6 Iconic metals Copper 0.3 Zinc 0.3 Selenium 0.3 Iron 0.3 Manganese 0.3 Cobalt 0.3 Chromium 0.3 Boron 0.3 Molybdenum 0.3 2.7 Other ionic metals Boron 0.3 Silicon 0.3 Nickel 0.3 Vanadium 0.3 1.2 Benzoic Acid Up to 10.1 Sodium Chloride .1-.9 Sterile water 60-300 ml
[0101] Optionally, the total sterile water component is adjusted 20% up or down, depending on the desired viscosity to be achieved.
[0102] In an alternative embodiment, an additional substrate may be applied, the additional substrate, substrate 4, is comprised of the following at Table 5:
TABLE-US-00005 TABLE 5 Grams Notes Component carbomer 10-40 For acute wound (see FIG. 39) use 10-20 For chronic wound (see FIG. 38) use 25-40 Electrolytes Potassium 0.5-3 chloride Chloride 0.1-1 Sodium 0.1-1 Potassium 0.1-1 Manganese 0.1-1 Calcium tri - 0.5-4 Phosphate Sulfate 0.1-1 Bicarbonate 0.1-1 Snail serum 50-150 ml; for chronic wounds substrate 6 may be incorporated (see FIG. 41); decreases depending of volume of substrate 6 Snail secretion 50-150 mg filtrate HA 3-6 Au 0.1-1 Ag 0.1-1 Cu 0.1-1 Fe 0.1-1 Pt 0.1-1 Collagen 50-150 fucose 0.5-1 Glyceine HCl 0-0.4
[0103] Metals may be increased 50% for chronic wounds (see
[0104] Optionally, the total sterile water component is adjusted 20% up or down, depending on the desired viscosity to be achieved.
[0105] Substrates may have different modalities of delivery, for example; liquid, gel, drops, sprays, injections or intravenous having the same ingredients, as well as sublingual, anal, foam and ointment formulations or drinkable liquids.
[0106] In an alternative embodiment, an additional substrate may be applied, the additional substrate 5 is comprised of the following:
[0107] 1. collagen, limed and/or
[0108] 2. collagen, unlimed, and/or
[0109] 3. collagen, supplemented with porous tricalcium phosphate crystals with one size or variety of sizes: 4-50 μm, 50-150 μm, 100-300 μm, 500-1000 μm, 1-3 mm and 3-6 mm. The tricalcium phosphate crystals may be dense or porous. Optionally, substrate 5 may be used in the absence of other substrates.
[0110] In an alternative embodiment, an additional substrate may be applied, the additional substrate 6 is comprised of the following:
[0111] 1. collagen, limed and/or
[0112] 2. collagen, unlimed and/or
[0113] 3. HCl and/or
[0114] 4. NaCl and/or
[0115] 5. Cu, Ag, Fe, Au, Pt or any combination thereof and/or
[0116] 6. Collagen, supplemented with porous tricalcium phosphate crystals with one size or variety of sizes: 4-50 μm, 50-150 μm, 100-300 μm, 500-1000 μm, 1-3 mm and 3-6 mm. The tricalcium phosphate crystals may be dense or porous. Optionally, substrate 6 may be used in the absence of other substrates.
[0117] 7. nanoparticles wherein the metals nanoparticles are chosen from the group consisting of copper, Au, Ag, iron, Fe3O4, and platinum or any combination thereof and/or
[0118] 8. compounds wherein the compounds are chosen from the group consisting of CuCl3, CuCl2, CuCl, FeCl3, FeCl2, AuCl, AuCl2, AuCl3, AgCl, AgCl2 or any combination thereof, and/or
[0119] 9. Hyaluronic Acid and/or
[0120] 10. Hydroxyapetite, crystals, dense or porous and in a variety of crystal sizes.
[0121] An additional substrate may be applied, the additional substrate comprised of the following: a mixture of tricalcium phosphate and hydroxyapatite crystals. The tricalcium phosphate is precipitated prepared with HCL CaOH/devil's claw oil, in a preferred embodiment. Optionally, the additional substrate includes 50% tricalcium phosphate prepared with 50% hydroxyapatite crystals. The tricalcium phosphate crystals used are granules in the following sizes: 4-50 μm, 50-150 μm, 100-300 μm, 500-1000 μm, 1-3 mm and 3-6 mm. The tricalcium phosphate crystals may be dense or porous.
[0122] The additional substrate may be comprised of hydroxyapatite crystals of granules containing the following sizes: 10-50 μm, 50-150 μm, 100-300 μm, 500-1000 μm, 1-3 mm and 3-6 mm. The hydroxyapatite crystals may be dense or porous.
[0123] In the following examples, the conditioner is applied and subsequently rinsed out. Optionally, the conditioner is left in the sulcus.
[0124] After the conditioner is applied, the sulcus is biostimulated with a laser light. After this occurs, the liquid substrate is applied. Optionally, the additional substrate is applied. For cavities other than oral cavities, a diluted substrate assists treatment when ingested or taken via IV is beneficial although not required.
[0125] In an alternative embodiment, an optional spray substrate, spray 1, may be applied, the spray comprised of the following: Au, and/or Ag, and/or Cu, and/or Fe, and/or Pt, and sterile water.
[0126] In an alternative embodiment, an optional spray substrate, spray 2, may be applied, the spray comprised of the following: Cl, Na, K, Mg, Phosphate, Sulfate, bicarbonate and sterile water.
[0127] The fiber optic device of the present invention is the preferable device placed inside the sulcus for treatment. Optionally more than one fiber can be in the handpiece and each fiber can be of a different wavelength and different average power. The sulcus or wound may also be treated with laser, RF or laser with RF or LED. The remaining disclosed embodiments of the device may be used in wound treatment in conjunction with the substrates depending on the wound site and severity of the wound. Substrates disclosed herein may be a form including, but not limited to, liquid, tablet, enema, gel, injection or foam.
Alternative RF and/or Laser Assisted Wounded Tissue Regeneration:
[0128] 1. Optionally scale/root plane;
[0129] 2. Optionally etch root of tooth or implant;
[0130] 3. Rinse with saline water;
[0131] 4. Optionally place tip of laser, LED or RF into or around the sulcular or any other wound, and turn the laser on for up to 5 seconds or more;
[0132] 5. Repeat step 4 circumferentially vertically and horizontally around tooth or implant until the entire wound has been saturated by energy;
[0133] 6. Place Substrate 1, and/or 2, and/or 3, and/or 4 and/or 5 and/or 6 into glass dappen dishes;
[0134] 7. Mix the desired amount of substrate 1, and/or 2 and/or 3 and/or 4 and/or 5 and/or 6 in dappen dish;
[0135] 8. Place the desired mixture into the sulcular wound or wound where bone/tissue loss occurred;
[0136] 9. Wait a few seconds;
[0137] 10. Place more of the mixture into the sulcular wound where bone/tissue damage occurred if necessary;
[0138] 11. Wait a few seconds;
[0139] 12. Repeat steps 8 until all defects have been filled;
[0140] 13. Wait 1 minute;
[0141] 14. Optionally place hand piece with its laser and/or RF tip and/or LED tip, with or without laser, in proximity to the wound, turn on and keep in position for 1 minute;
[0142] 15. Wait 10 seconds; and
[0143] 16. Repeat RF step 14 until entire wound has been covered with energy and without laser.
Alternative RF and/or Laser Assisted Wounded Tissue Repair:
[0144] 1. Optionally cleanse wound with saline;
[0145] 2. Place any substrate or any combination of substrates onto or into wound;
[0146] 3. Direct RF/laser, RF, LED, or laser energy at wound for 1 minute or longer;
[0147] 4. Place another layer of a chosen substrate or any combination of substrates onto or into wound if necessary;
[0148] 5. Wait 10 seconds;
[0149] 6. Repeat steps 2-5 until wound bed is covered; and
[0150] 7. Alternatively wait a specified period of time in between step 2-6.
[0151] Treatment of the oral cavity, head/neck, tongue, anal, vaginal region and the deeper or surrounding areas reached while treating these may be performed with the RF with substrate (applied substrate or drank with water), RF without substrate, RF plus laser with substrate (applied substrate or drank with water), RF plus laser without substrate and laser with substrate (applied substrate or drank with water), laser without substrate. The treatment described may be utilized throughout the gastrointestinal tract, head/neck and anus. The laser, RF or LED treatment applied to the oral cavity and surrounding structures, anal cavity and its surrounding structures, head and neck region and its surrounding structures has benefits in deeper areas of the structures. Those deeper areas of the corresponding structures are thus part of the treatment site. Surrounding structures include, but are not limited to, all bone, cartilage, muscles, tendons, nerves, blood vessels, epithelium and fascia.
RF and/or Laser Assisted Head and Neck Wound Tissue Repair:
[0152] 1. Optionally drink 4 oz. diluted Substrate 1;
[0153] 2. Wait 15 minutes;
[0154] 3. Optionally drink 4 oz. diluted Substrate 3;
[0155] 4. Wait 15 minutes;
[0156] 5. Direct RF/laser, RF or laser energy at head and neck location and the surrounding structures where wound occurred;
[0157] 6. Keep energy in place or move over desired area until desired effect achieved; and
[0158] 7. Move on to next site until desired result achieved.
[0159] 8. Procedure can be started at Step 1 or Step 5.
[0160] Surrounding structures include, but are not limited to, all bone, cartilage, muscles, tendons, nerves, blood vessels, and epithelium.
[0161] Head and neck includes, but is not limited to, all structures of the head and neck including esophagus and its surrounding structures, mouth including all interior mouth structures such as tongue (entire area of tongue including but not limited to anterior, posterior, dorsal, ventral, and sublingual), floor of mouth including but not limited to arterial and nerve beds, linea alba, buccal mucosa, buccal flanges, lingual flanges, nose, interior of nose (including but not limited to the epithelial lining), all muscles and other structures of the tongue and surrounding the tongue, all muscles of the eye and surrounding the eye, all arterial, venous and nerve beds of the eye and surrounding the eye. All muscles, nerves, veins, all glands, soft and hard tissue of the head and neck, and any other structure of the head and neck.
RF and/or Laser Assisted Vaginal Wound Repair:
[0162] 1. Optionally drink 4 oz. diluted Substrate 1;
[0163] 2. Wait 15 minutes;
[0164] 3. Optionally drink 4 oz. diluted Substrate 2;
[0165] 4. Wait 15 minutes;
[0166] 5. Direct RF/laser, RF or laser energy at the vagina and its surrounding structures;
[0167] 6. Keep energy in place for 10-20 minutes or until desired effect achieved;
[0168] 7. Rotate hand piece; and
[0169] 8. Repeat steps 5-7 until desired result achieved.
[0170] 9. Procedure can be started at Step 1 or Step 5.
Surrounding structures include, but are not limited to, all bone, cartilage, muscles, tendons, nerves, blood vessels, and epithelium.
RF and/or Laser and/or LED Assisted Wound/Tissue Repair—Sphincter Ani Externis:
[0171] 1. Direct RF/laser, RF or laser energy at the anus and its surrounding structures;
[0172] 2. Keep energy in place until desired effect achieved;
[0173] 3. Rotate hand piece if necessary
[0174] 4. Repeat steps 1-4 until desired result achieved.
[0175] Surrounding structures include, but are not limited to, all bone, cartilage, muscles, tendons, nerves, blood vessels, and epithelium and any other structures of the anal cavity.
RF and/or Laser Assisted Wound Repair/Tissue Repair—Breast:
[0176] 1. Optionally drink 4 oz. diluted Substrate 1, and/or 2, and/or 3, and/or 4, and/or 5;
[0177] 2. Wait 15 minutes;
[0178] 3. Optionally drink 4 oz. diluted Substrate 1, and/or 2, and/or 3, and/or 4, and/or 5;
[0179] 4. Wait 15 minutes;
[0180] 5. Direct RF/laser, RF or laser energy at the breast and structures related to the breast;
[0181] 6. Keep energy in place for 10-20 minutes or until desired effect achieved;
[0182] 7. Rotate hand piece; and
[0183] 8. Repeat steps 5-7 until desired result achieved.
[0184] 9. Procedure can be started at Step 1 or Step 5.
Related structures include, but are not limited to, all bone, cartilage, muscles, tendons, nerves, blood vessels, lymph nodes and epithelium.
RF and/or Laser Assisted Wound/Tissue Repair, Tongue and its Supporting Structures in the Swallowing Mechanism:
[0185] 1. Optionally drink 4 oz. diluted Substrate 1, and/or 2, and/or 3, and/or 4, and/or 5;
[0186] 2. Wait 15 minutes;
[0187] 3. Optionally drink 4 oz. diluted Substrate 1, and/or 2, and/or 3, and/or 4, and/or 5;
[0188] 4. Wait 15 minutes;
[0189] 5. Direct RF/laser, RF or laser energy at tongue and its surrounding structures;
[0190] 6. Keep energy in place for 10-20 minutes or until desired effect achieved;
[0191] 7. Rotate hand piece if necessary; and
[0192] 8. Repeat steps 5-7 until desired result achieved.
[0193] 9. Procedure can be started at Step 1 or Step 5.
Surrounding structures include, but are not limited to, all bone, cartilage, muscles, tendons, nerves, blood vessels, and epithelium.
RF and/or Laser Assisted Wound/Tissue Repair, Tongue and its Supporting Structures in the Swallowing Mechanism:
[0194] 1. Direct RF/laser, RF or laser energy at tongue and its surrounding structures lingually, labially, sublingually, pharyngeally or buccally;
[0195] 2. Keep energy in place for until desired effect achieved;
[0196] 3. Rotate hand piece if necessary; and
[0197] 4. Repeat steps 1-3 until desired result achieved.
[0198] Surrounding structures include, but are not limited to, all bone, cartilage, muscles, tendons, nerves, blood vessels, and epithelium.
RF and/or Laser Assisted Wound Regeneration:
[0199] 1. Optionally drink 4 oz. diluted Substrate 1, and/or 2, and/or 3, and/or 4, and/or 5 and/or 6;
[0200] 2. Wait 15 minutes;
[0201] 3. Optionally drink 4 oz. diluted Substrate 1, and/or 2, and/or 3, and/or 4, and/or 5 and/or 6;
[0202] 4. Wait 15 minutes;
[0203] 5. Optionally direct RF/laser, RF, LED or laser energy at wound and its surrounding structures;
[0204] 6. Apply or place Substrate 1, and/or 2, and/or 3, and/or 4, and/or 5 and/or 6;
[0205] 7. Optionally direct RF/laser, RF, LED or laser energy at wound and its surrounding structures;
[0206] 8. Keep energy in place for up to 10-20 minutes or until desired effect achieved;
[0207] 9. Rotate energy source if necessary; and
[0208] 10. Repeat steps 5-9 until desired result achieved.
[0209] 11. Alternatively wait a week in between steps 5-9 and gradually cover wound bed.
[0210] 12. Procedure can be started at Step 1 or Step 5.
[0211] Surrounding structures include, but are not limited to, all bone, cartilage, muscles, tendons, nerves, blood vessels, and epithelium.
RF and/or Laser Assisted Pore Repair:
[0212] 1. Optionally drink 4 oz. diluted Substrate 1, and/or 2, and/or 3, and/or 4, and/or 5;
[0213] 2. Wait 15 minutes;
[0214] 3. Optionally drink 4 oz. diluted Substrate 1, and/or 2, and/or 3, and/or 4, and/or 5;
[0215] 4. Wait 15 minutes;
[0216] 5. Direct RF/laser, RF or laser energy at pores and their surrounding structures;
[0217] 6. Keep energy in place for 10-20 minutes or until desired effect achieved;
[0218] 7. Rotate hand piece; and
[0219] 8. Repeat steps 5-7 until desired result achieved.
[0220] 9. Procedure can be started at Step 1 or Step 5.
[0221] Surrounding structures include, but are not limited to, all bone, cartilage, muscles, tendons, nerves, blood vessels, and epithelium.
RF and/or Laser and/or LED Assisted Oral Cavity Wound Repair:
[0222] 1. Optionally drink 4 oz. diluted Substrate 1, and/or 2, and/or 3, and/or 4, and/or 5 and/or 6;
[0223] 2. Wait 15 minutes;
[0224] 3. Optionally drink 4 oz. diluted Substrate 1, and/or 2, and/or 3, and/or 4, and/or 5 and/or 6;
[0225] 4. Wait 15 minutes;
[0226] 5. Optionally direct RF/laser, RF or laser energy at oral cavity and its' surrounding structures;
[0227] 6. Optionally apply Substrate 1, and/or 2, and/or 3, and/or 4, and/or 5 and/or 6;
[0228] 7. Optionally direct RF/laser, RF, LED or laser energy wound and its surrounding structures;
[0229] 8. Keep energy in place for 10-20 minutes or until desired effect achieved;
[0230] 9. Rotate energy source; and
[0231] 10. Repeat steps 5-9 until desired result achieved.
[0232] 11. Procedure can be started at Step 1 or Step 5.
[0233] Surrounding structures include, but are not limited to, all bone, cartilage, muscles, tendons, nerves, blood vessels, and epithelium.
[0234] Further still, wound treatment may be utilized for additional conditions including, but not limited to, vaginal wound repair, breast wound repair/regeneration/generation, anal wound repair, age spot repair, pore repair, skin and tissue repair and general body wound repair.
[0235] Referring to
[0236] Referring to
[0237] Referring to
[0238] Referring to
Examples
[0239] I. Analysis of Tooth #15 at 12 Unique Loci
[0240] A patient's pocket depths at tooth 15 were measured at 12 separate loci. The root of the tooth was then scaled and planed to remove calculus build up on the root surface. After scaling and planning, bleeding occurs in the sulcus. The sulcus was allowed to air dry and immediately thereafter the conditioner is applied to the sulcus and left for 30 seconds before being rinsed with saline. The tooth was next scaled and planed again to renew blood flow. With blood pooling in the sulcus, the 45 laser tip was placed into the sulcus. The laser light used has a wavelength in the visible portion of the electromagnetic spectrum, between 400 nm-700 nm wavelength. The laser was emitted continuously with only intermittent stops for tissue temperature control. The laser was allowed to penetrate the entire sulcus by moving the tip vertically and horizontally throughout the sulcus for 30 second. The laser tip was cut to 45° in the opposite angle for the second pass into the sulcus and 90° for the third pass to allow the laser bean to penetrate the existing periodontium to decontaminate and biostimulate the sulcular contents.
[0241] In the meantime, the first substrate and the second substrate were mixed in a glass dish. Some of the patient's blood that has been treated with the laser light in the sulcus was also mixed in the glass dish. This mixture is then placed immediately into the sulcus upon mixture. Enough of the mixture was placed into the sulcus to fill the sulcus while ensuring the mixture stayed 3 mm below the top of the gingival margin and remained immersed in blood. The patient's mouth was kept open for 5 minutes to ensure the newly formed blood clot containing the substrate mixture remained intact.
[0242] Treatment was repeated on tooth 15 on four subsequent occasions, at which time the pocket depths at each loci were measured prior to treatment. Measurements are shown in
[0243] II. Analysis of Tooth #12 at 17 Unique Loci
[0244] A patient's pocket depths at tooth 28 were measured at 17 separate loci. The treatment disclosed herein was performed on five subsequent occasions, at which time the pocket depths at each loci were measured prior to treatment. Measurements are shown in
[0245] III. Analysis of Tooth #2, #3 and #15 at 3 Unique Loci Per Tooth
[0246] A patient's pocket depths at tooth 2, tooth 3 and tooth 15 were measured at three separate loci per tooth. The treatment disclosed herein was performed 3 months after the initial treatment, at which time the pocket depths at each loci were measured prior to treatment. Measurements are shown in
[0247] IV. Analysis of Chin Profile
[0248] A patient's chin profile was measured. The treatment disclosed herein was performed once after the initial measurements were taken with measurements repeated following treatment. Measurements are shown in
[0249] V. Analysis of Toe Crease
[0250] A patient's toe crease length was measured. The treatment disclosed herein was performed after initial measurements were obtained with measurements repeated following treatment. Measurements are shown in
[0251] VI. Analysis of Gingival Wound Tissue
[0252] A patient's gingival wounds were measured from the line to the top of the gingiva. The treatment disclosed herein was performed and measurements were repeated following treatment. Images of gingival wounds are shown before and after treatment in
[0253] VII. Analysis of Hand Crease
[0254] A patient's hand crease length was measured. The treatment disclosed herein was performed after initial measurements were taken with measurements repeated following treatment. Measurements are shown in
[0255] VIII. Analysis of New Skin Growth
[0256] A patient's skin leg wound was measured. The treatment disclosed herein was performed after initial measurements were taken with measurements repeated following treatment. Measurements are shown in
[0257] IX. Analysis of Anal Scar Reduction
[0258] A patient's anal scar tissue was measured. The treatment disclosed herein was performed after initial measurements were taken with measurements repeated following treatment. Measurements are shown in
[0259] X. Analysis of Tongue Strength
[0260] Tongue strength and swallowing was assessed for three patients. The treatment disclosed herein was performed after initial assessments were made and tongue strength and swallowing were reevaluated following treatment. Measurements are shown in
[0261] XI. Analysis of Breast Firmness
[0262] Breast firmness was recorded for two patients. The treatment disclosed herein was performed after initial assessments were made and breast firmness was reevaluated following treatment. Comparative firmness is shown in
[0263] XII. Analysis of Epithelial Wound Regeneration
[0264] The epithelial wound regeneration of a patient was assessed. The treatment disclosed herein was performed after initial wound measurement and wound size was remeasured following treatment. Comparative measurements are shown in
[0265] XIII. Analysis of Calcaneal Tendon Wound Regeneration
[0266] The calcaneal tendon wound regeneration of a patient was assessed. The treatment disclosed herein was performed after initial wound measurement and wound size was remeasured following treatment. Comparative measurements are shown in
[0267] XIV. Analysis of Ankle Epithelial Wound Regeneration
[0268] The ankle epithelial wound regeneration of a patient was assessed. The treatment disclosed herein was performed after initial wound measurement and wound size was remeasured following treatment. Comparative measurements for two treatment areas are shown in
[0269] XV. Analysis of Ankle Wound Size Reduction
[0270] The ankle epithelial wound size reduction of a patient was assessed. The treatment disclosed herein was performed after initial wound measurement and wound size was remeasured following treatment. Comparative measurements for two treatment areas are shown in
[0271] XVI. Analysis of Oral Cavity Wound Regeneration
[0272] The oral cavity epithelial wound regeneration of a patient was assessed. The treatment disclosed herein was performed after initial wound measurement and wound size was remeasured following treatment. Comparative measurements are shown in
[0273] XVII. Analysis of Vein Wound Regeneration
[0274] The vein wound regeneration of a patient was assessed. The treatment disclosed herein was performed after initial wound measurement and wound size was remeasured following treatment. Comparative measurements are shown in
[0275] XVIII. Analysis of Tissue Regeneration
[0276] The wound regeneration of a patient was assessed and comparative measurements are shown at
[0277] One embodiment of the present invention provides a device for treating a wound according to the method described herein, the device emitting a laser a beam of light having a wavelength in the green wavelength range (520-570 nm), red wavelength range (620-750 nm), or yellow wavelength range (570-590 nm) having an alternative wattage of 0.001 W to 5 W, preferably 0.002 W to 4 W, more preferably 0.003 W to 3 W, and most preferably 0.005 W to 2 W. Optionally, the laser light utilizes the IR wavelength range (700 nm-1400 nm) at a laser power of 0.001 W to 5 W to treat wounds. Optionally, a LED light utilizes the IR wavelength range to treat wounds.
[0278] Another embodiment of the present invention provides a device for treating a wound according to the method described herein, the device emitting a RF beam up to 10 W or, preferably, 9 W comprised of a carrier wave frequency in the range of 0.1 MHz to 20 MHz and a non-sinusoidal waveform in the range of 0.5 to 40 KHz. In a preferred embodiment, the carrier wave frequency is in the range of 0.2 MHz to 10 MHz, preferably 0.3 MHz to 5 MHz. Optionally a 0.001 W to 10 W range RF energy, preferably a 0.001 W to 3 W range, is utilized in the hertz range of 40 Hz to 24 GHz. In a further alternative embodiment, the RF wave is more than one sine wave wherein the more than one demonstrates a harmonics pattern. Optionally, the non-sinusoidal waveform may be in the range of the above parameters as single or multiple waveforms in the presence or absence of a carrier wave.
[0279] Yet another embodiment of the present invention provides a device for treatment of a wound according to the method described herein, the device emitting a laser beam, a LED beam of light, a RF beam or a combination thereof.
[0280] Still another embodiment of the present invention provides a device for treatment of wounds in the oral cavity according to the method described herein, the device emitting a fiber optic laser beam. In a preferred embodiment, the fiber optic device may be used in conjunction with the laser, and/or RF device for treating general wounds and wounds of the oral cavity. Optionally, the device emits a LED light. Optionally more than one fiber can be in the handpiece and each fiber can be of a different wavelength and different average power.
[0281] While there have been shown and described and pointed out the fundamental novel features of the invention as applied to the preferred embodiments, it will be understood that the foregoing is considered as illustrative only of the principles of the invention and not intended to be exhaustive or to limit the invention to the precise forms disclosed.
[0282] Obvious modifications or variations are possible considering the above teachings. The embodiments discussed were chosen and described to provide the best illustration of the principles of the invention and its practical application to enable one of ordinary skill in the art to utilize the invention in various embodiments and with various modifications as are suited to the particular use contemplated. All such modifications and variations are within the scope of the invention as determined by the appended claims when interpreted in accordance with the breadth to which they are entitled.