# US 2022/0087745 A1 · Method and apparatus for skin stabilization and positioning > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 2022/0087745 A1 - Document ID: US20220087745A1 - Status: Published application - Kind: A1 - Application number: 17/543,264 - Filed: 2021-12-06 - Published: 2022-03-24 - Earliest claimed: 2009-10-22 - Inventors: Dieter MANSTEIN - Web page: https://patentgrep.com/patent/US20220087745A1 ## CPC - A61B 18/20: using laser - A61B 5/150022: {for capillary blood or interstitial fluid} - A61B 5/150748: {Having means for aiding positioning of the piercing device at a location where the body is to be pierced (means for aiding positioning of devices for bringing media into the body A61M5/427, locating blood vessels A61B5/489)} - A61B 5/15136: {by use of radiation, e.g. laser} - A61M 37/00: Other apparatus for introducing media into the body (for reproduction or fertilisation A61B17/425; apparatus for iontophoresis or cataphoresis A61N1/30); Percutany, i.e. introducing medicines into the body by diffusion through the skin (salt baths A61H33/04) - A61B 18/203: {applying laser energy to the outside of the body} - A61B 2018/00452: {Skin} - A61B 2018/00458: {Deeper parts of the skin, e.g. treatment of vascular disorders or port wine stains} - A61B 2018/0047: {Upper parts of the skin, e.g. skin peeling or treatment of wrinkles} - A61B 2018/00577: {Ablation} - A61B 2018/2005: {with beam delivery through an interstitially insertable device, e.g. needle} - A61H 39/02: Devices for locating such points - A61M 2037/0007: {having means for enhancing the permeation of substances through the epidermis, e.g. using suction or depression, electric or magnetic fields, sound waves or chemical agents} - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) - A61M: DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY (introducing media into or onto the bodies of animals A61D7/00; means for inserting tampons A61F13/26; devices for administering food or medicines orally A61J; containers for collecting, storing or administering blood or medical fluids A61J1/05); DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY (surgery A61B; chemical aspects of surgical articles A61L); DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR {(Electrotherapy, e.g. producing anaesthesia by the use of alternating or intermittent currents A61N1/36021)} - 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 Exemplary embodiments of a method, device, and apparatus for positioning an apparatus on a location of a tissue. For example, a substantially rigid film over an area of tissue to be treated can be provided. The film can include a positioning arrangement that facilitates a particular spatial engagement with the apparatus. The exemplary method can further include applying a portion of the film to a portion of a surface of the tissue and positioning the apparatus at the location by the engagement of the film to the apparatus using the feature of the film. ## Claims ### Claim at position 1 1-35. (canceled) ### Claim 36 A system for ablating at least one particular location of a biological tissue, comprising: a film configured to engage with at least one portion of a surface of the tissue that includes the at least one particular location; and a device comprising a source of ablative electromagnetic radiation, wherein the film comprises at least one first feature, and the device comprises at least one second feature, wherein the at least one first feature comprises a first track arrangement and the at least one second feature comprises a second track arrangement, wherein at least one of the first track arrangement or the second track arrangement extends for approximately the entire distance between opposing edges of at least respective one of the device or the film along approximately a straight axis, wherein at least one portion of the film comprises one or more first holes, wherein the at least one first feature is structured or configured to engage or cooperate with the at least one second feature of the device to position the device over the particular location, such that, in operation, the device provides an ablative radiation through the one or more holes provided in the film over the at least one particular location such that the ablative radiation passes through an entire thickness of at least one of the one or more first holes, and impacts the tissue at the at least one particular location to ablate at least one second hole in the tissue when the device is activated. ### Claim 37 (depends on 36) The system of claim 36, wherein the film comprises at least one of a plastic, a polymer, a metal, a foam, a gel or a liquid. ### Claim 38 (depends on 36) The system of claim 36, wherein the source of ablative electromagnetic radiation comprises an ablative laser. ### Claim 39 (depends on 36) The system of claim 36, wherein the film is engaged with the surface of the tissue using at least one of an adhesive, a surgical glue, a cyanoacrylate compound, a cement, a glue, an epoxy, or a curable polymer. ### Claim 40 (depends on 36) The system of claim 36, wherein the at least one first feature includes a first positioning arrangement and the at least one second feature includes at least one second positioning arrangement. ### Claim 41 (depends on 40) The system of claim 40, wherein each of the first and second positioning arrangements further comprises at least one of a recess, a protrusion or a magnetic material. ### Claim 42 (depends on 36) The system of claim 36, further comprising a further device, wherein the further device comprises at least one third feature that is structured or configured to engage with the at least one first feature of the film to position the further device over the at least one particular location, and wherein the further device is configured to generate a further effect in the at least one ablated second hole at the at least one particular location. ### Claim 43 (depends on 42) The system of claim 42, wherein the further device comprises a source of further electromagnetic radiation, and the further device is configured to direct the further electromagnetic energy into the at least one ablated second hole at the at least one particular location. ### Claim 44 (depends on 42) The system of claim 42, wherein the further device is configured to insert at least one object at least partially into the at least one ablated second hole at the at least one particular location. ### Claim 45 (depends on 44) The system of claim 44, wherein the further device is configured to insert the at least one object which is at least one substance which is configured to produce at least one of a physical effect or a biological effect. ### Claim 46 (depends on 45) The system according to claim 45, wherein the at least one substance includes a substance having a form of at least one of a liquid, a lotion, a suspension or solution. ### Claim 47 (depends on 44) The system of claim 44, wherein the object is at least one of a radiation-providing device, a probe, a waveguide, a sensor, a needle, or an optical fiber. ### Claim 48 (depends on 36) The system of claim 36, wherein the at least one first and second track arrangements are configured to engage one another such that the device is constrained to follow a particular path over the film. ### Claim 49 (depends on 48) The system of claim 48, wherein each of the first and second track arrangements comprises at least one of a guide, a ridge, a groove, or a track. ### Claim 50 (depends on 48) The system of claim 48, further comprising: at least one marker provided at least one of on or proximal to the at least one first track arrangement; and at least one sensor associated with the device, wherein the at least one sensor is configured to detect the at least one marker when the first and second track arrangements are engaged with one another and the device is located at a certain position relative to the film. ### Claim 51 (depends on 50) The system of claim 50, wherein the at least one marker includes at least one of a bump, a notch, a magnetic element, or a pigmented marking. ### Claim 52 (depends on 50) The system of claim 50, wherein the at least one sensor is configured to provide a signal to control an aspect of the device when the sensor detects the at least one marker. ### Claim 53 A method for affecting a biological tissue at at least one particular location, comprising: adhering a film comprising one or more first holes to at least one portion of a surface of the tissue that includes the at least one location, wherein the film comprises at least one first feature; providing a device comprising a source of ablative electromagnetic radiation and at least one second feature, engaging or cooperating the at least one first feature with the at least one second feature to position the device at a certain position relative to the at least one particular location; and activating the device to provide an ablative electromagnetic radiation through an entire thickness of at least one of the one or more holes of the film over the at least one particular location, and to further impact the tissue to ablate at least one second hole at the at least one particular location, wherein the at least one first feature comprises a first track arrangement and the at least one second feature comprises a second track arrangement, and wherein at least one of the first track arrangement or the second track arrangement extends for approximately the entire distance between opposing edges of at least respective one of the device or the film along approximately a straight axis. ### Claim 54 (depends on 53) The method of claim 53, further comprising engaging the at least one first and second track arrangements with one another such that the device is constrained to follow a particular path over the film. ### Claim 55 (depends on 54) The method of claim 54, wherein each of the first and second track arrangements comprises at least one of a guide, a ridge, a groove, or a track. ### Claim 56 (depends on 54) The method of claim 54, further comprising: providing at least one marker provided at least one of on or proximal to the at least one first track arrangement; providing at least one sensor associated with the device; and with the at least one sensor, detecting the at least one marker when the first and second track arrangements are engaged with one another and the device is located at a certain position relative to the film. ### Claim 57 (depends on 56) The method of claim 56, wherein the at least one marker includes at least one of a bump, a notch, a magnetic element, or a pigmented marking. ### Claim 58 (depends on 56) The method of claim 56, further comprising, with the at least one sensor, providing a signal to control an aspect of the device when the at least one sensor detects the at least one marker.