# US 11,992,452 B2 · Device for the non-invasive treatment of muscular and neuromuscular pathologies and support to aesthetic treatments

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- Number: US 11,992,452 B2
- Document ID: US11992452B2
- Status: Granted
- Kind: B2
- Application number: 17/044,042
- Filed: 2019-04-04
- Published: 2021-04-01
- Granted: 2024-05-28
- Earliest claimed: 2018-04-05
- Assignees: Ad Swiss Medtech SA
- Applicants: Ad Swiss Medtech SA
- Inventors: Filippo Spalletta
- Web page: https://patentgrep.com/patent/US11992452B2

## CPC

- A61H 23/04: with hydraulic or pneumatic drive {(hydraulic or Pneumatic massages, A61H9/00; underwater massages, A61H33/00)}
- A61H 9/0071: {by localized pressure, e.g. air streams or jets}
- A61H 2201/0153: hand-held
- A61H 2201/1409: Hydraulic or pneumatic means
- A61H 2201/5002: Means for controlling a set of similar massage devices acting in sequence at different locations on a patient
- A61H: PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY (electrotherapy, magnetotherapy, radiation therapy or ultrasound therapy A61N)

## Abstract

A device for the non-invasive treatment of muscular and neuromuscular pathologies by applying a succession of mechanical-sound waves to a muscle.

## Claims

### Claim 1

Device for treatment of non-invasive muscular and neuromuscular pathologies by applying a succession of mechanical-sound waves to a muscle, comprising:
a flow modulator of the mechanical-sound waves having a predetermined frequency and a predetermined intensity of mechanical sound-waves;
a mechanical actuator of said mechanical sound-waves for application to an epidermis at said muscle, which are operatively combined with mechanical-sound waves from the flow modulator;
wherein the flow modulator comprises a casing having an outer casing inside which a pneumatic chamber is defined and subdivided in a first portion and in a second portion, and rotor element arranged between the first and the second portions of the pneumatic chamber;
wherein the casing comprises a central body and an upper cover that is coupled so as to define the first portion of said pneumatic chamber and a lower cover that can be coupled to the central body so as to define the second portion of the pneumatic chamber, said rotor element is facing the second portion of the pneumatic chamber,
wherein the rotor element is disc-shaped and has a first plurality of passages to pass through the rotor from an upper surface until reaching a circular perimetric surface and a second plurality of passages such as to pass through the rotor from a lower surface until reaching the circular perimetric surface, the first plurality of passages and the second plurality of passages alternatively reaching the perimetric surface in sequence.

### Claim 2 (depends on 1)

The device according to claim 1, wherein, in an operating configuration of the device, the rotor element rotates around a symmetry axis (X) of the pneumatic chamber and has an axysimmetric form.

### Claim 3 (depends on 1)

The device according to claim 1, wherein the central body has a housing portion configured to contain, at least partially, the rotor element in an operating configuration device.

### Claim 4 (depends on 3)

The device according to claim 3, wherein the central body has a first plurality of passages, the first portion of the pneumatic chamber fluidically communicating with the housing portion and a second plurality of passages at the housing portion and the housing portion fluidically communicating with the outer portion of the central body.

### Claim 5 (depends on 4)

The device according to claim 4, wherein there is a control unit to vary the frequency and intensity of the mechanical-sound waves applied.

### Claim 6 (depends on 4)

The device according to claim 4, wherein the flow modulator of the mechanical-sound waves generate mechanical-sound waves with a frequency greater than 30 Hz.

### Claim 7 (depends on 4)

The device according to claim 4, wherein the flow modulator of the mechanical-sound waves generates selective square-wave mechanical-sound waves.

### Claim 8 (depends on 4)

The device according to claim 4, further including a plurality of mechanical actuators to impart multiple of the mechanical-sound waves; wherein a plurality of flow modulators of the mechanical-sound waves contemporaneously applying synchronous mechanical-sound waves to the muscle.

### Claim 9 (depends on 4)

The device according to claim 4 having quick pneumatic couplings at the second plurality of passages on the outer portion of the central body of the flow modulator.

### Claim 10 (depends on 9)

The device according to claim 9, wherein the respective sealed quick coupling is configured for being connected to a hybrid panel coupling and being configured to be connected to a free-hanging hybrid coupling.

### Claim 11 (depends on 3)

The device according to claim 3, wherein in an operating configuration, the rotor element, arranged at least partially in the housing portion and rotated selectively and alternatively connects the first portion of the pneumatic chamber to an outer portion of the central body fluidically by temporary matching of the first plurality of passages of the central body with the first plurality of passages of the rotor element.

### Claim 12 (depends on 11)

The device according to claim 11, wherein the rotor element selectively and alternatively connects the second portion of the pneumatic chamber fluidically to the outer portion of the central body by temporary matching of the second plurality of passages of the central body with the second plurality of passages of the rotor element.

### Claim 13 (depends on 3)

The device according to claim 3, wherein the upper surface of the rotor element is facing the inside of the housing portion of the central body, the lower surface of the rotor element is facing the second portion of the pneumatic chamber and the circular perimetric surface of the rotor element is facing a corresponding part of the housing portion.

### Claim 14 (depends on 1)

The device according to claim 1, wherein the first portion of the pneumatic chamber and the second portion of the pneumatic chamber are governed by different pressure values in an operating configuration of the device, the pressure difference between the first and second portions of the pneumatic chamber being of about 1 bar.

### Claim 15 (depends on 1)

The device according to claim 1, wherein the mechanical actuator of the mechanical-sound waves on the epidermis comprises an actuator shaped in a shape of a hemispherical cap actuator, the hemispherical cap actuator being configured for an automatic application on the muscle and/or epidermis of a patient.

### Claim 16 (depends on 15)

The device according to claim 15, wherein the hemispherical cap actuator has a gripping portion configured for manual gripping and temporary fixing to dispense the mechanical-sound waves and a contact portion configured for coming into contat with the epidermis of the patient, the gripping portion and the contact portion being made in one piece by at least one plastic polymer.

### Claim 17 (depends on 16)

The device according to claim 16, wherein the hemispherical cap actuator has a reversible coupling portion configured for being sealingly connected to the mechanical-sound waves, the reversible coupling portion comprising at least one sealed quick-coupling portion.

### Claim 18 (depends on 1)

The device according to claim 1, wherein the mechanical actuator of the mechanical-sound waves on the epidermis comprises a prismatic actuator configured for a manual application on the muscle and/or epidermis of a patient, the prismatic actuator having at least one conical and/or truncated-cone shaped portion.

### Claim 19 (depends on 18)

The device according to claim 18, wherein the prismatic actuator comprises a dispensing portion to dispense the mechanical-sound waves and a base portion, the base portion the actuator comprising a reversible coupling portion.

### Claim 20 (depends on 1)

The device according to claim 1, wherein the mechanical actuator of the mechanical-sound waves on the epidermis comprises a handgrip having, at one end, a sealed quick coupling and, at an opposite end, comprising a reversible coupling portion threaded for a sealing connection with the mechanical actuator.

### Claim 21 (depends on 20)

The device according to claim 20, wherein said handgrip comprises adjusting means configured to adapt the frequency of the mechanical-sound waves depending on a different type of therapy and/or anatomic portion to be threaded.

### Claim 22 (depends on 21)

The device according to claim 21, wherein the adjusting means is configured to control operation of production of the mechanical-sound waves in an operating configuration of the device.

### Claim 23 (depends on 20)

The device according to claim 20, further comprising a transmission of the mechanical-sound waves comprising at least one pneumatic tube having a quick coupling, on at least one fee end, suitable for being fitted with a respective portion of the reversible coupling of the hemispherical cap actuator of the handgrip.

### Claim 24 (depends on 23)

The device according to claim 23, the at least one pneumatic tube having, on a further free end thereof, the quick coupling suitable for being fitted with a respective sealed quick coupling of the central body of the flow modulator.

### Claim 25 (depends on 1)

The device according to claim 1, wherein the mechanical actuator of the mechanical-sound waves on the epidermis comprises a spoon-shaped actuator having a concave portion, the spoon-shaped actuator being configured for a manual application on the muscle and/or epidermis of a patient.

### Claim 26 (depends on 25)

The device according to claim 25, wherein the concave portion has a planform of circular or elliptical shape, the concave portion having a plan development between 2 and 12 square cm.

### Claim 27 (depends on 26)

The device according to claim 26, wherein the spoon-shaped actuator has a minimum length of at least 7 cm and a total thickness or depth of about 2 cm.