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Title:
HANDLING DEVICE WITH INCREASED FUNCTIONALITY FOR HAIR TRANSPLANTATION OPERATIONS
Document Type and Number:
WIPO Patent Application WO/2023/031635
Kind Code:
A1
Abstract:
A handling device (1) with increased functionality for hair transplantation operations, which comprises a main body with an elongated shape structure which is ergonomically shaped to be gripped by a hand of an operator. In more detail, the main body is provided with incision means (2) and with explantation and implantation means (3) for the transplantation of at least one follicular unit from the scalp of a patient to a tissue to be treated. The main body comprises at least one distal section (4) and at least one proximal section (5) which are detachably mutually associated. Advantageously, the proximal section (5) encloses drive means inside it which are associated with the incision means (2) and with the explantation and implantation means (3) for their functional movement. Likewise advantageously, the incision means (2) and the explantation and implantation means (3) are associated with the distal section (4) in such a manner as to be separable from the drive means and be subjected to surgical sterilization procedures. Conveniently, between the interface surfaces (6, 7) of the proximal section (5) and of the distal section (4) there are mechanical interconnection means (8a, 8b, 8c, 9a, 9b, 9c) for the kinematic association of the drive means with the incision means (2) and with the explantation and implantation means (3).

Inventors:
MAULLU GIORGIO (IT)
Application Number:
PCT/IB2021/000563
Publication Date:
March 09, 2023
Filing Date:
September 02, 2021
Export Citation:
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Assignee:
TRICOS TECH S R L (SM)
International Classes:
A61B17/3205; A61B17/34; A61B90/00; A61B17/00
Domestic Patent References:
WO2015186146A12015-12-10
Foreign References:
US20070078475A12007-04-05
CN213249343U2021-05-25
US20120303044A12012-11-29
US20120116417A12012-05-10
Attorney, Agent or Firm:
MODIANO, Micaela, Nadia (IT)
Download PDF:
Claims:
CLAIMS

1. A handling device (1) with increased functionality for hair transplantation operations, which comprises a main body with an elongated shape structure which is ergonomically shaped to be gripped by a hand of an operator; said main body being provided with incision means (2) and with explantation and implantation means (3) for the transplantation of at least one follicular unit from the scalp of a patient to a tissue to be treated; characterized in that said main body comprises at least one distal section (4) and at least one proximal section (5) which are mutually detachably associated; said proximal section (5) enclosing inside it drive means which are associated with said incision means (2) and with said explantation and implantation means (3) for their functional movement; said incision means (2) and said explantation and implantation means (3) being associated with said distal section (4) in such a manner as to be separable from said drive means and be subjected to surgical sterilization procedures; between the interface surfaces (6, 7) of said proximal section (5) and of said distal section (4) there being mechanical interconnection means (8a, 8b, 8c, 9a, 9b, 9c) for the kinematic association of said drive means with said incision means (2) and with said explantation and implantation means (3).

2. The handling device (1) according to claim 1, characterized in that said distal section (4) and said proximal section (5) are mutually associated via a shape coupling connector of the bayonet type.

3. The handling device (1) according to claim 1 or 2, characterized in that it comprises an analysis and verification portion (16) which is associated with said main body proximately to said explantation and implantation means (3) and is adapted to contain said at least one follicular unit.

4. The handling device (1) according to claim 3, characterized in that said analysis and verification portion (16) comprises at least one suction conduit (17), made of a material transparent to light, which is directly associated with said explantation and implantation means (3) and adapted to contain said at least one follicular unit.

5. The handling device (1) according to one or more of the preceding claims, characterized in that said incision means (2) comprise a needle (10) of the surgical type that can move via the actuation of said drive means between an inactive position, in which said needle (10) is retracted into said distal section (4), and an incision position, in which said needle (10) is extracted from said distal section (4).

6. The handling device (1) according to claim 5, characterized in that said needle (10) is of the type that can be disengaged from said distal section (4) for its easy and immediate substitution.

7. The handling device (1) according to one or more of the preceding claims, characterized in that said explantation and implantation means (3) comprise a hollow cannula (12) associated at one end thereof with a punch (13) of the surgical type that can move about its own longitudinal axis via the actuation of said drive means for the core sampling of said at least one follicular unit.

8. The handling device (1) according to claim 7, characterized in that said punch (13) is of the type that can be disengaged from said distal section (4) for its easy and immediate substitution.

9. The handling device (1) according to claims 7 and 8, characterized in that said at least one suction conduit (17) is interposed between said hollow cannula (12) and said punch (13).

10. The handling device (1) according to one or more of the preceding claims, characterized in that it comprises suction means associated with said explantation and implantation means (3) for at least one operation chosen from the suction and the thrusting of said at least one follicular unit.

11. The handling device (1) according to claim 10, characterized in that said suction means comprise a solenoid valve (14) associated with said hollow cannula (12) and associable with a suction apparatus; said solenoid valve (14) being detachably associated with said proximal section (5) via a fixing collar (15).

12. The handling device (1) according to one or more of the preceding claims, characterized in that it comprises command and image acquisition means (18) associated with said analysis and verification portion (16) for the acquisition of images of the contents of said analysis and verification portion (16); said command and image acquisition means (18) being functionally associated with at least one screen for displaying said images on an enlarged scale showing the contents of said analysis and verification portion (16) in such a manner as to examine and verify the properties of said at least one follicular unit directly from said analysis and verification portion (16) before its implantation.

13. The handling device (1) according to claim 12, characterized in that said command and image acquisition means (18) comprise at least one still camera (19) which is configured in such a manner as to frame the contents of said analysis and verification portion (16).

14. The handling device (1) according to claim 13, characterized in that said at least one still camera (19) is associated with said distal section (4) via a slider (20) provided with a fastening hook (21) which can engage with a fastening screw (22) associated with said at least one still camera (19) for its locking.

15. The handling device (1) according to one or more of the preceding claims, characterized in that said at least one screen is defined by an analysis and verification unit and in that said command and image acquisition means (18) are functionally associated with said analysis and verification unit for the transmission and display of the images acquired on said at least one screen.

16. The handling device (1) according to claim 15, characterized in that said analysis and verification unit is external with respect to said handling device (1).

17. The handling device (1) according to one or more of the preceding claims, characterized in that said drive means comprise micro-motors of the brushless type.

Description:
HANDLING DEVICE WITH INCREASED FUNCTIONALITY FOR HAIR TRANSPLANTATION OPERATIONS

The present invention relates to a handling device with increased functionality for hair transplantation operations.

In the hair transplantation sector, the use is known of handling devices which are adapted to the removal and subsequent implantation of follicular units from one region where the hair is thicker (for example the nape of the neck) to a region where hair is thinning.

In more detail, the surgical methodology used nowadays entails the explantation of a follicular unit using a suction instrument provided with a punch in its distal portion, the function of which is to perform a form of core sampling of the follicular unit and of part of the surrounding cutaneous tissue; this is then followed by a stage of analysis and verification of the explanted follicular unit using a microscope, which entails the manipulation and positioning of the follicular unit on a suitable laboratory holder, typically a glass slide.

If, following the analysis and verification operations, the follicular unit meets the necessary requirements for implantation, it is implanted in the scalp of the patient.

This operation first of all entails the incision of the scalp in order to define a hole/cut for grafting, and subsequently the surgeon proceeds with the implantation of the follicular unit that was previously explanted.

Typically, there are three surgical instruments, one dedicated to each individual step, i.e.: a first instrument for the explantation of the follicular unit, a second instrument for creating the hole for grafting and a third instrument for the implantation of the follicular unit.

This conventional surgical technique and these conventional instruments are not devoid of drawbacks, which include first and foremost the fact that the shape structure and the peculiarities of the surgical instruments described above are such as to not enable their straightforward sterilization.

This drawback substantially translates into the fact that for each operation, the instruments need to be replaced with new and sterile instruments (obtained, for example, by virtue of a complex sterilization process).

In fact, hair transplants are a form of cosmetic surgery and require the use of sterilized instruments.

In consideration of the cost that substitution of the surgical instruments for each operation can entail, it is easy to imagine that this practice contributes considerably to the overall cost of the operation.

These costs also rise owing to the need to adopt operating methods (and also sterilization methods) that are highly complex, which require the intervention of specialist technicians (a staff of approximately 3 or 4 persons) for extended periods.

Another drawback of the conventional surgical technique consists in that, in carrying out the manipulation using tweezers and the microscope analysis on special glass slides of each follicular unit, it is not unusual for the unit to be irreparably damaged, which means it is no longer suitable for grafting.

In fact, the hair bulb of each follicular unit is extremely delicate and sensitive to any type of manipulation.

The aim of the present invention is to provide a handling device with increased functionality that is capable of overcoming the above mentioned drawbacks.

Within this aim, an object of the present invention is to provide a handling device the parts of which that are designed to come into contact with the patient can be sterilized both cold (with liquid) and, subsequently, in an autoclave.

Another object of the present invention is to provide a handling device and a surgical procedure that are capable of safeguarding the integrity of each explanted follicular unit before its implantation.

A further object of the present invention is to provide a handling device that avails of technologies that are known per se and that therefore is economically competitive.

This aim and these and other objects which will become more apparent hereinafter are achieved by a handling device with increased functionality for hair transplantation operations, which comprises a main body with an elongated shape structure which is ergonomically shaped to be gripped by a hand of an operator; said main body being provided with incision means and with explantation and implantation means for the transplantation of at least one follicular unit from the scalp of a patient to a tissue to be treated; characterized in that said main body comprises at least one distal section and at least one proximal section which are mutually detachably associated; said proximal section enclosing inside it drive means which are associated with said incision means and with said explantation and implantation means for their functional movement; said incision means and said explantation and implantation means being associated with said distal section in such a manner as to be separable from said drive means and be subjected to surgical sterilization procedures; between the interface surfaces of said proximal section and of said distal section there being mechanical interconnection means for the kinematic association of said drive means with said incision means and with said explantation and implantation means.

Further characteristics and advantages of the invention will become more apparent from the detailed description of a preferred, but not exclusive, embodiment of a handling device with increased functionality for hair transplantation operations, illustrated by way of non-limiting example with the aid of the accompanying drawings wherein:

Figure 1 is a perspective view from the right of a handling device according to the present invention; Figure 2 is a perspective view from the left of the handling device shown in Figure 1 ;

Figure 3 is a side view from the right of the handling device shown in the previous figures;

Figure 4 is a side view from the left of the handling device shown in the previous figures;

Figure 5 is a partially exploded perspective view from the right of the handling device shown in the previous figures;

Figure 6 is a perspective view from the right of the proximal section of the handling device shown in the previous figures;

Figure 7 is a perspective view from the right of the distal section of the handling device shown in the previous figures;

Figure 8 is a perspective view from the left of the distal section shown in Figure 7;

Figures from 9 to 12 are four perspective views from the left, showing the internal components of the distal section shown in Figures 7 and 8.

With reference to the figures, the handling device with increased functionality for hair transplantation operations, generally designated by the reference numeral 1, comprises a main body with an elongated shape structure which is ergonomically shaped to be gripped by a hand of an operator.

In more detail, such main body is provided with incision means 2 and with explantation and implantation means 3 for the transplantation of at least one follicular unit from the scalp of a patient to a tissue to be treated.

According to the invention, the main body comprises at least one distal section 4 and at least one proximal section 5 which are detachably mutually associated.

In the embodiment proposed, this mutual association is achieved with a shape coupling connector of the bayonet type, as shown in Figure 5.

Also according to the invention, the proximal section 5 encloses drive means inside it which are not shown for the sake of graphic simplicity and are associated with the incision means 2 and with the explantation and implantation means 3 for their functional movement and these latter means are both associated with the distal section 4 in such a manner as to be separable from the drive means and be subjected to surgical sterilization procedures such as, for example, cold sterilization and subsequent sterilization in an autoclave.

In more detail, the mentioned drive means comprise micro-motors of the brushless type and between the interface surfaces 6 and 7, respectively, of the proximal section 5 and of the distal section 4 there are mechanical interconnection means 8a, 8b, 8c, 9a, 9b and 9c, which are known per se and therefore not described in detail, for the kinematic association of the drive means with the incision means 2 and with the explantation and implantation means 3.

In the embodiment proposed, the incision means 2 comprise a needle 10 (or other instrument provided with a distal cutting edge) of the surgical type that can move via the actuation of the drive means between an inactive position, in which the needle 10 is retracted into the distal section 4, i.e. into a safety cannula 11 as shown in Figures 1 to 3, and an incision position, in which the needle 10 is extracted from the distal section 4, as shown in Figures 4, 5 and 7.

Advantageously, the needle 10 is of the type that can be disengaged from the distal section 4 for its easy and immediate substitution (it being profitably of the sterilizable and/or single-use type) and is controlled by a first brushless motor the motion of which is transmitted from the proximal section 5 to the distal section 4 via a first pair of mechanical interconnection means 8a and 9a.

Furthermore, the needle 10, controlled by the first brushless motor, can translate in the direction of its longitudinal axis.

In the embodiment proposed, the explantation and implantation means 3 comprise a hollow cannula 12 associated at one end thereof with a punch 13 of the surgical type that can move about its own longitudinal axis via the actuation of the drive means for the core sampling of the follicular unit.

Advantageously, the punch 13 is also of the type that can be disengaged from the distal section 4 for its easy and immediate substitution (the punch 13 can positively also be of the sterilizable and/or single-use type) and is controlled by a respective (second) brushless motor the motion of which is transmitted from the proximal section 5 to the distal section 4 via a respective pair of mechanical interconnection means 8b and 9b.

Conveniently, there are suction means associated with the explantation and implantation means 3 for sucking in the follicular unit during the step of explantation.

A pair of mechanical interconnection means 8c and 9c controls an ejector 13a (understood to be a component adapted to dispense the follicular unit that was previously explanted) which effects the implantation of the follicular unit once the punch 13 has been positioned on the incision that was made previously.

However, the possibility is not ruled out of effecting the reimplantation via a pneumatic actuation (using air flow) that pushes the follicular unit into the incision.

In more detail, such suction means, which are associated with the hollow cannula 12 on the opposite side with respect to the punch 13, comprise a solenoid valve 14 associated with the hollow cannula 12 and associable with an external suction apparatus.

In the embodiment, this solenoid valve 14 is detachably associated with the proximal section 5 via a fixing collar 15.

Advantageously, the handling device 1 comprises an analysis and verification portion 16 which is associated with the main body proximately to the explantation and implantation means 3 and is adapted to contain the follicular unit. In more detail, the analysis and verification portion 16 comprises at least one suction conduit 17, made of a material transparent to light, such as for example glass, which is directly associated with the explantation and implantation means 3 and adapted to contain the follicular unit.

In the embodiment proposed, the suction conduit 17 is interposed between the hollow cannula 12 and the punch 13. The suction conduit 17 and the punch 13 are generally identified as a single component known as a corer.

Furthermore, there are command and image acquisition means 18 associated with the analysis and verification portion 16 for the acquisition of images of its contents.

The command and image acquisition means 18 comprise control elements for the operator (with which he or she can activate the handpiece 1 in conformance with the current specific operating phase), in addition to specific optical sensors of the type of a micro-camera, a still camera, a photocell and the like.

The command and image acquisition means 18 are functionally associated with at least one screen for displaying the images on an enlarged scale showing the contents of the analysis and verification portion 16 in such a manner as to examine and verily the properties of the follicular unit directly from the analysis and verification portion 16 before its implantation, without the necessity of having to manipulate it in any way and without the use of external microscopes.

In the embodiment proposed, such image acquisition means 18 comprise at least one still camera/micro-camera 19 which is configured in such a manner as to frame the contents of the analysis and verification portion 16 and is associated with the distal section 4 via a slider 20 provided with a fastening hook 21 which can engage with a fastening screw 22 associated with the still camera 19 for its locking.

With regard to the screen, not shown for the sake of graphic simplicity, it is defined by an analysis and verification unit external to the handling device 1 and the image acquisition means 18 are functionally associated therewith for sending the images acquired and displaying them on this screen.

The surgical procedure for hair transplantation operations, which can be carried out using a handling device 1 like the one just described, comprises the following steps:

- provision of a handling device 1 that has incision means 2, explantation and implantation means 3, an analysis and verification portion 16 defined proximately to the explantation and implantation means 3, image acquisition means 18 associated with the analysis and verification portion 16 and comprising the still camera 19 configured in such a manner as to frame the contents of the analysis and verification portion 16 and at least one screen defined by an analysis and verification unit which is functionally associated with the image acquisition means 18;

- use of the handling device 1 ;

- explantation of at least one follicular unit from the scalp of a patient using the explantation and implantation means 3, i.e. via the rotation of the punch 13, and its transfer into the analysis and verification portion 16;

- acquisition of images of the follicular unit contained in the analysis and verification portion 16;

- sending of the acquired images to the analysis and verification unit;

- display of the images on an enlarged scale showing the follicular unit on the screen for viewing by an operator;

- examination and verification, by the operator, of the properties of the follicular unit directly from the analysis and verification portion 16.

Conveniently, after the step of examination and verification and if the follicular unit meets the specified requirements for implantation, there is the step of cutting into a tissue to be treated using the incision means 2.

In more detail, the step of incision entails the exit of the needle 10 in such a manner as to cut into (using the handpiece 1 as if it were a scalpel) the tissue to be treated, which can be defined by a region of the scalp of the same patient affected by baldness, and effecting the implantation hole.

At this point comes the step of implantation of the follicular unit in the tissue to be treated using the explantation and implantation means 3.

Alternatively, after the step of examination and verification and if the follicular unit is discarded because it failed to meet the specified requirements, there is the step of expulsion of the follicular unit from the analysis and verification portion 16.

Conveniently, the steps previously described are iterated for the explantation and implantation of a plurality of follicular units.

It should be noted that the step of transferring the explanted follicular unit into the analysis and verification portion 16, i.e. into the suction conduit 17, occurs using suction means associated with the explantation and implantation means 3 in such a manner as to enable the transfer of the explanted follicular unit from the explantation and implantation means 3 into the analysis and verification portion 16 and vice versa without the explanted one follicular unit being handled by the operator.

In practice it has been found that the handling device according to the present invention achieves the set aim and objects, in that it makes it possible to separate the sterilizable parts from the non-sterilizable parts in such a manner as to be able to subject the former to sterilization processes and therefore to be able to reuse them.

In particular, in the handling device according to the present invention, all the components subject to sterilization are arranged on the distal section and all the components not subject to sterilization are arranged on the proximal section.

Another advantage of the device according to the present invention consists in that it safeguards the integrity of each explanted follicular unit before its implantation by avoiding the necessity of its having to be handled by the operator.

Profitably the handpiece according to the invention can be used even by a single operator (without the need to involve a team of people), also by performing short treatments, for example localized and limited to specific areas of the scalp (thus minimizing the pain after the operation on the patient). The patient can therefore elect, by virtue of the present invention, to undergo many small minimally invasive operations, instead of a single long operation affecting large portions of scalp, as occurs in the known art.

The handling device thus conceived is susceptible of numerous modifications and variations all of which are within the scope of the appended claims.

Moreover, all the details may be substituted by other, technically equivalent elements.

In practice the materials employed, provided they are compatible with the specific use, and the contingent dimensions and shapes, may be any according to requirements.

Where the technical features mentioned in any claim are followed by reference numerals and/or signs, those reference numerals and/or signs have been included for the sole purpose of increasing the intelligibility of the claims and accordingly, such reference numerals and/or signs do not have any limiting effect on the interpretation of each element identified by way of example by such reference numerals and/or signs.