# US 2013/0158440 A1 · Treatment planning systems and methods for body contouring application

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- Number: US 2013/0158440 A1
- Document ID: US20130158440A1
- Status: Published application
- Kind: A1
- Application number: 13/588,948
- Filed: 2012-08-17
- Published: 2013-06-20
- Earliest claimed: 2008-09-25
- Assignees: Zeltiq Aesthetics, Inc.
- Inventors: John W. Allison
- Web page: https://patentgrep.com/patent/US20130158440A1

## CPC

- G16H 20/40: relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
- A61B 34/10: Computer-aided planning, simulation or modelling of surgical operations
- A61F 7/00: Heating or cooling appliances for medical or therapeutic treatment of the human body (hyperthermia using electric or magnetic fields or ultrasound A61N)
- A61N 5/00: Radiation therapy (ultrasound therapy A61N7/00; devices or apparatus applicable to both therapy and diagnosis A61B6/00)
- A61N 7/00: Ultrasound therapy (lithotripsy A61B17/22, A61B17/225; massage using supersonic vibration A61H23/00 {; using ultrasound for introducing media into the body A61M37/0092})
- G16H 50/20: for computer-aided diagnosis, e.g. based on medical expert systems
- A61B 18/203: {applying laser energy to the outside of the body}
- A61B 2018/00452: {Skin}
- A61B 2034/102: {Modelling of surgical devices, implants or prosthesis}
- A61B 2034/256: {having a database of accessory information, e.g. including context sensitive help or scientific articles}
- A61F 7/10: Cooling bags, e.g. ice-bags
- A61F 2007/0075: {using a Peltier element, e.g. near the spot to be heated or cooled}
- A61N 7/02: Localised ultrasound hyperthermia
- A61N 2005/1041: {using a library of previously administered radiation treatment applied to other patients}
- A61N 2007/0008: {Destruction of fat cells}
- G16H: HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)
- A61F: FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS (dental prosthetics A61C)
- A61N: ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY (measurement of bioelectric currents A61B; surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body A61B18/00; anaesthetic apparatus in general A61M; incandescent lamps H01K; infrared radiators for heating H05B)

## Abstract

Methods and system for treatment planning for non- and minimally-invasive alteration of body adipose tissue for reduction and contouring of body fat are described herein. Treatment plans can be generated by capturing current body part data (e.g., positioning, contour/shape, thickness of adipose tissue, etc.), determining desired outcome of treatment (e.g., percent reduction of adipose tissue thickness, degree of contour change, etc.), and determining treatment parameters to achieve desired results. Algorithms can be used to determine best-fit treatment parameters to use in treatment sessions. In some embodiments, the system can provide a predictive end-result image for communication to patient and/or for determining alteration of desired outcome. In various embodiments, real-time monitoring of feedback data can be used to determine treatment plan efficacy. Additional algorithms can provide real-time comparison of feedback data to anticipated feedback data, and can be used to change treatment parameters in real-time to achieve desired effects.

## Claims

### Claim at position 1

-51. (canceled)

### Claim 52

A method performed using a treatment system for non-invasively and transdermally altering a patient's subcutaneous fat, the method comprising:
receiving, by the treatment system, patient information, the patient information including target region information that indicates a target region of the patient;
receiving, by the treatment system, treatment session information, the treatment session information is associated with a number of treatment sessions for the patient; and
transmitting the patient information and the treatment session information over a network; and
storing the transmitted patient information and the transmitted treatment session information.

### Claim 53 (depends on 52)

The method of claim 52, further comprising manually inputting the patient information into a client computer of the treatment system.

### Claim 54 (depends on 52)

The method of claim 52, further comprising manually inputting the treatment session information into a client computer of the treatment system.

### Claim 55 (depends on 52)

The method of claim 52 wherein receiving the patient information comprises imaging a portion of the patient using at least one medical imaging device.

### Claim 56 (depends on 52)

The method of claim 52, further comprising storing patient-specific treatment session number information that includes a number of treatment sessions in a treatment plan for the patient.

### Claim 57 (depends on 52)

The method of claim 52 wherein the patient information further includes the patient's gender, the method further comprises:
generating a patient-specific treatment plan based on the target region information and the patient's gender, wherein the patient-specific treatment plan is adapted for implementation by the treatment system to non-invasively and transdermally alter the patient's subcutaneous fat.

### Claim 58 (depends on 52)

The method of claim 52, further comprising:
comparing a number of treatment sessions in a treatment plan for the patient and the stored treatment session information; and
displaying information for viewing by an operator of the treatment system, wherein the displayed information is based on the comparison.

### Claim 59 (depends on 52)

The method of claim 52, further comprising storing information indicating:
a number of treatment sessions in a patient plan for the patient, and
a number of completed treatment sessions in the patient plan.

### Claim 60 (depends on 52)

The method of claim 52, further comprising:
receiving, by the treatment system, a desired treatment period for the patient; and
generating a treatment plan for the patient based, at least in part, on the desired treatment period and the patient information, wherein the treatment plan provides a plurality of treatment sessions over the desired treatment period.

### Claim 61 (depends on 52)

The method of claim 52, further comprising:
receiving, by the treatment system, patient-specific data associated with the patient information;
displaying a first graphical image representing the patient-specific data;
receiving, by the treatment system, objective post-treatment data relating to a target treatment result; and
displaying a second graphical image representing the target treatment result, wherein the second graphical image is based on the patient-specific data and the objective post-treatment data.

### Claim 62 (depends on 52)

The method of claim 52, further comprising:
transmitting information relating to the treatment session information from the network to a database after the treatment session information has been manually inputted into a client computer of the treatment system.

### Claim 63

A method performed using a treatment system for non-invasively and transdermally altering a subject's subcutaneous tissue, the method comprising:
receiving, by the treatment system, subject information, the subject information including target region information that indicates a subcutaneous region of the subject to undergo non-invasive transdermal alteration, number of treatment sessions associated with the subject, and gender of the subject;
transmitting the subject information over a network; and
storing the subject information that was transmitted over the network.

### Claim 64 (depends on 63)

The method of claim 63, further comprising generating, by the treatment system, a subject-specific treatment plan for non-invasively and transdermally altering the subject's subcutaneous tissue, wherein the subject-specific treatment plan is generated based, at least in part, on the subject information.

### Claim 65 (depends on 63)

The method of claim 63, further comprising:
non-invasively and transdermally altering fat of the subcutaneous region by removing heat from the fat, delivering radio frequency energy to the fat, and/or delivering ultrasound energy to the fat.

### Claim 66

A method performed using a treatment system for non-invasively and transdermally altering a subject's subcutaneous tissue, the method comprising:
receiving, by the treatment system, treatment session information, wherein the treatment session information is associated with a number of treatment sessions for non-invasively and transdermally affecting the subject's subcutaneous lipid-rich cells; and
storing the treatment session information and a subject-specific treatment plan for achieving a target treatment result for the subject, the treatment plan including a number of treatment sessions for the subject.

### Claim 67 (depends on 66)

The method of claim 66, further comprising inputting the treatment session information into a client computer of the treatment system.

### Claim 68 (depends on 66)

The method of claim 66, further comprising:
receiving, by the treatment system, pre-treatment session data; and
evaluating the pre-treatment session data and the treatment session information to generate an updated treatment plan associated with the subject.

### Claim 69 (depends on 66)

The method of claim 66, further comprising:
evaluating the treatment session information and the subject specific treatment plan for the subject; and
non-invasively and transdermally altering the subject's subcutaneous lipid-rich cells based, at least in part, on the evaluation.

### Claim 70 (depends on 69)

The method of claim 69 wherein non-invasively and transdermally altering the subject's subcutaneous lipid-rich cells includes:
removing heat from the subject's lipid-rich cells using the treatment system,
delivering high intensity focused ultrasound energy to the subject's subcutaneous lipid-rich cells using the treatment system, and/or
delivering radio frequency energy to the subject's subcutaneous lipid-rich cells using the treatment system.

### Claim 71 (depends on 66)

The method of claim 66, further comprising transmitting the treatment session information to a storage device of the treatment system.

### Claim 72 (depends on 66)

The method of claim 66, further comprising:
after receiving the treatment session information and non-invasively and transdermally altering the subject's subcutaneous lipid-rich cells, retrieving information indicating the number of completed treatment sessions associated with the subject; and
transmitting the retrieved information to a data storage device.

### Claim 73 (depends on 72)

The method of claim 72 wherein transmitting the retrieved information includes transmitting the retrieved information via a network to the data storage device, the data storage device includes one or more databases.
