investigate the effect of small spot size and fluence for laser hair removal in lanyu pigs

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以蘭嶼豬為動物實驗模型探討小光斑與能量密度 於雷射除毛的可行性 Investigate the Effect of Small Spot Size and Fluence for Laser Hair Removal in Lanyu Pigs 江昱緯 Yu-Wei Chiang 1 陳凱榮 Kai-Jung Chen 1 林志諺 Chih-Yen Lin 1 廖燿璋 Yao-Chang Liao 2 郭奕谷 I-Ku Kuo 2 鍾高基 Kao-Chi Chung 1* 1 國立成功大學醫學工程研究所 Institute of Biomedical Engineering, National Cheng Kung University 2 成果科技股份有限公司Kera Harvest Inc. *Corresponding Email[email protected] 一、中文摘要 目前市面上的除毛雷射系統,多數以高能量 較大光斑(直徑618 mm)進行除毛治療,雖然可 縮短除毛療程所需的時間,但對於毛囊週邊組織 的熱傷害具有較高的發生率。本研究運用小光斑 直徑(11.52 mm)雷射擊發單一毛孔標的, 以蘭嶼豬動物實驗模型探討小光斑與能量密度之 二極體雷射系統應用於除毛的可行性。其特定目 標: (A)設計小光斑二極體雷射系統雛型; (B)動物 實驗設計,以808 nm雷射源搭配光路與手持裝置 機構設計,並驗證功率、光斑及脈衝寬度值。動 物模型與部位選用前導實驗得知蘭嶼豬腹部皮膚 與毛髮結構與人類相近,證實蘭嶼豬為合適的雷 射除毛動物實驗模型。動物皮膚組織切片實驗顯 示:光班1 mm能量密度40 J/cm 2 時有毛髮外根鞘部 分破壞、毛幹結構解體、毛囊周圍水腫、及毛幹 內呈現液泡,證實小光斑雷射除毛具可行性,可 作為新的雷射除毛治療方式。 關鍵詞:雷射除毛,光斑尺寸,蘭嶼豬 Abstract In order to achieve the efficacy of Laser hair removal, laser system usually adopt a large spot (Diameter 6~18 mm) for treatment. Although the treatment time could be reduced, big spot will cause unnecessary tissue thermal injury near hair follicle. The purpose of this research is to investigate small spot size on hair removal (Diameter 11.52 mm). This research utilizes animal testing (Lanyu pig) to probe the feasibility of hair removal by small spot size and laser diode system application. There are two specific purposes of this research. (A) First, to design the prototype of small spot size laser diode system.(B) Second, to design the animal testing of Lanyu pig. Here we use 808 nm laser source, hand piece device, and optical mechanism design. Also, we verify the power, spot size and pulse width. To apply on animal model and selection treatment parts by the leading experimental data , the layer thickness of porcine abdominal skin , hair structure , are similar to human. We confirmed that Lanyu pig is the appropriate animal model for laser hair removal. We did a section and staining for tissue of pig skin. The results show that when conditions are within 1 mm spot size, fluence 40 J/cm 2 , there is some outer root damage, hair shaft structural disintegration, the hair follicles swelling around, and the vacuoles presenting within the hair shaft after injection. Therefore, we prove that small spot size laser has the feasibility on hair removal; it could be a new treatment of laser hair removal. Keywords: Laser Hair Removal, Spot Size, Lanyu Pig. 二、緣由與目的 目前市面上的除毛雷射系統,多數以較大光 (直徑 618 mm)進行除毛治療。大光斑、高能 量的設計使醫療人員在徒手治療的過程中達到快 速治療的目的,然而容易在治療過程中使皮膚累 積過多的熱能而造成傷害,導致皮膚反黑、紅腫 與起水泡等等的副作用。本研究提出一個新的雷 射除毛治療方式,是運用小光斑雷射擊發毛孔標 的(直徑 11.52 mm)達到除毛效用,以期降 低治療過程中的熱傷害及副作用發生的機率。因 此本研究目的以蘭嶼豬探討小光斑與能量密度於 雷射除毛的可行性。 三、材料與方法 本研究整體流程分別為: A 設計小光斑二極 體雷射系統雛型;B 動物實驗。 A. 設計小光斑二極體雷射系統雛型: 本系統雛型包含: (a)二極體雷射源與驅動器; (b)光路與手持裝置機構設計;(c)雛型校正。

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本研究整體流程分別為: A設計小光斑二極體雷射系統雛型;B動物實驗。

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Investigate the Effect of Small Spot Size and Fluence for Laser Hair Removal in Lanyu Pigs Yu-Wei Chiang1 Yao-Chang Liao21

Kai-Jung Chen1 I-Ku Kuo2

Chih-Yen Lin1 Kao-Chi Chung1*

Institute of Biomedical Engineering, National Cheng Kung University 2 Kera Harvest Inc. *Corresponding [email protected]

(618 mm) 11.52 mm (A)(B) 808 nm 1 mm40 J/cm2 Abstract In order to achieve the efficacy of Laser hair removal, laser system usually adopt a large spot (Diameter 6~18 mm) for treatment. Although the treatment time could be reduced, big spot will cause unnecessary tissue thermal injury near hair follicle. The purpose of this research is to investigate small spot size on hair removal (Diameter 11.52 mm). This research utilizes animal testing (Lanyu pig) to probe the feasibility of hair removal by small spot size and laser diode system application. There are two specific purposes of this research. (A) First, to design the prototype of small spot size laser diode system.(B) Second, to design the animal testing of Lanyu pig. Here we use 808 nm laser source, hand piece device, and optical mechanism design. Also, we verify the power, spot size and pulse width. To

apply on animal model and selection treatment parts by the leading experimental data , the layer thickness of porcine abdominal skin , hair structure , are similar to human. We confirmed that Lanyu pig is the appropriate animal model for laser hair removal. We did a section and staining for tissue of pig skin. The results show that when conditions are within 1 mm spot size, fluence 40 J/cm2, there is some outer root damage, hair shaft structural disintegration, the hair follicles swelling around, and the vacuoles presenting within the hair shaft after injection. Therefore, we prove that small spot size laser has the feasibility on hair removal; it could be a new treatment of laser hair removal. Keywords: Laser Hair Removal, Spot Size, Lanyu Pig. ( 618 mm) 11.52 mm A B A. (a) (b)(c)

(a) 808 nm20 W (200 mN.A.0.22 SMA 905 ) 6V/20A RS232( )

mm 1mm 1.5mm 2mm f 40 30 20 p 48 34 22 q 240 255 220 D 40 30 20 ho 6.75 4.78 3.09 s 17.79 40.02 71.15 M 5 7.5 10

() p 5. 4. q 4.2. 1 11.52 mm 1 1 2 1 3 (M3-4) 4 (Y49-481) 5 6 2 7 (MSV2_6) 8 (SM05SMA) 9 3 10

(b) f D a O p() O b q( ) o a hop tan(o) () o8 200m 11.52 mm M 57.510

(a)

(b)

(a)(b) (c)

29 A5 Y aX b

11.52 mm

10 30 60 20 40 50 70 ms 5 N-SF11 (0.7 @7501550 nm) B. () () () ()

() () () I.

III. ()() (a) (b) (c) (d) (e) (f) (g) () (a) (b) (c) (d) (e) (f) (g) (h)

50120 m 30140 m 10 : 1 13 : 1[24]

() () (A) (a) y = 2.3901x - 4.5128 R = 0.99

(Arrector pili muscle)(Sweat glands) (Collagen fibers)(Elastic fibers) (Medulla) (Cortex)(Internal root sheath) (Outer root sheath)[24] () (Biopsy punch) () [3] II.

20 18 16 14 12 10 8 6 4 2 0 2 3

(W)

(W )

y = 2.5696x - 4.6167 R= 0.997

4

5

6

7

8

9

10

(A)

618 mm 10 50 J/cm2 1 1.52 mm203040 J/cm2 [4]

(b) ()( = 0.8321= 0.863mm)() (= 1.421mm= 1.382() (= 1.926= 1.954mm)

() 1 mm 40 J/cm2

(c) ms

(HE ) (a) (b) 1 mm 40 J/cm2 [1] G.B. Altshuler, R.R. Anderson,D. Manstein ,H.H. Zenzie, and M.Z. Smirnov (2001) Lasers in Surgery and Medicine, 29:416-432. Tory P. Sullivan, William H. Eaglstein, Stephen C. Davis, Patricia Mertz, (2001) Wound Repaair and Regeneration , 9:66-76. Nina Otberg, Heike Richter, Hans Schaefer, Ulrike Blume-Peytavi, Wolfram Sterry, and Jrgen Lademann (2004) The Journal of Investigative Dermatology,122:14-19. Lin. TY, Manuskiatti W, Dierickx C.C., Farinelli WA, Fisher ME, Flotte T, Baden HP, Anderson RR. (1998) J Invest Dermatol. , 111:107-113.

1

2

3 10.2 20.0 29.8 40.0 50.0 60.2 70.2

4 10.2 19.8 30.2 39.8 50.1 59.8 70.0

5 9.8 20.0 30.0 40.2 50.2 60.1 70.0

Mean SD 10.04 19.92 30.00 40.04 50.02 60.02 70.00 0.17 0.11 0.14 0.17 0.15 0.15 0.14

10 20 30 40 50 60 70

10.0 10.0 20.0 19.8 30.0 30.0 40.0 40.2 50.0 49.8 60.0 60.0 70.0 69.8

[2] [3]

(B) () ()

[4]

(DY-01-01-04-98)

(HE ) (A)(B) ()