WO2005056105A2

WO2005056105A2 - Device consisting of a sonic applicator and a carrier element

Info

Publication number: WO2005056105A2
Application number: PCT/DE2004/002730
Authority: WO
Inventors: Hans-Werner Bender
Original assignee: Hans-Werner Bender
Priority date: 2003-12-11
Filing date: 2004-12-12
Publication date: 2005-06-23
Also published as: EP1711228A2; WO2005056105A3; WO2005056105A8

Abstract

Low-frequency ultrasound treatment can have various effects according to conditions of treatment. The same can be said for combinatory treatment. Low-frequency ultrasound systems are not versatile enough in order to exploit the full potential of low-frequency treatment. The versatility of low-frequency treatment can be increased by means of a device, which according to requirements can be assembled in a modular manner, the carrier element thereof forming an interface. Other supply devices or treatment devices, in addition to a sonic applicator, can be arranged on the carrier element. The device can be used in the treatment of biological systems.

Description

Device consisting of a mail applicator and carrier element

description

The invention relates to a device comprising at least one mail applicator and at least one carrier element for improved adaptation of the sound applicator to treatment conditions in the treatment of biological systems and other objects. A treatment of a biological system can be a non-therapeutic and / or a therapeutic treatment and a biological system can be an in-vivo system or an in-vitro system.

Ultrasound treatment, especially low-frequency ultrasound treatment, has proven to be very versatile. Depending on the treatment conditions, different effects can be achieved. Combining low-frequency ultrasound treatment with other forms of treatment (e.g. topical application of an active ingredient, cavitation treatment, etc.) can also achieve improved and even new effects. However, a mail applicator is currently not flexible enough to be able to perform several different tasks equally well. Therefore, the potential that lies, for example, in low-frequency ultrasound treatment cannot be used correctly and comprehensively.

The following is a description of devices that are based on a common principle, namely that a device that consists of at least one mail applicator (and / or at least one sound applicator device) and at least one carrier element corresponds to the need (if the device is not completely assembled) ist) can be assembled in a modular manner so that treatment requirements can be adapted. The aforementioned problems can be solved with such a device. Because the support element allows the mail applicator to be significantly expanded in its treatment and application options and greater flexibility (here as versatility) can be achieved. This applies to individual treatment and / or also in the combination of sound treatment with other treatment methods, such as medication, another physical treatment, cavitation treatment and other methods.

Schailapplikator

A mail applicator of the description can be any suitable mail applicator, for example a mechanically not flexible (mechanically firm, not elastically mouldable, a surface cannot be individually adapted, is usually based on a conventional technique [magnetostrictive, piezoceramic], an array system, however, can be used despite using Piezoceramics etc. can be mechanically flexible, a mechanically inflexible mail applicator can be shaped) or a mechanically flexible one

Mail applicator (flexible, plastic, elastic formable / deformable, individually adaptable to a surface, for example foil-like) [Definition of mechanically flexible and mechanically inflexible also applies to carrier element, adhesive element, device, etc.). A suitable mail applicator meets the requirements placed on the treatment, e.g. B. with a cavitation treatment, a schail applicator must be sufficiently powerful (efficient with regard to sound pressure, intensity, amplitude, etc. [in the case of piezoelectric polymer films, PVDF films, for example the sound pressure transverse to the film surface]) in order to be able to generate cavitation, or z , B. Schailapplicator, which is to be adapted and / or modeled on the contour and / or shape of an object, mechanically flexible. In the case of a mechanically flexible mail applicator, a distinction can still be made as to whether the mail applicator has its own dimensional / structural stability (even if it can be elastically and plastically deformable, for example, according to the description of FIGS. 19, 19a). or is not dimensionally stable (e.g. if the mail applicator is film-like or film-like). A mechanically flexible mail applicator will be a preferred mail applicator if the mail applicator and / or the device is to be adapted to the contour of an object (for example in the illustration in FIGS. 8c, 8e and others) or if the mail applicator is to be adapted in shape to the carrier element is (exemplary in Figure 9 and others) or if the device is to be mechanically flexible (exemplary in Figure 8a and others). However, a mechanically inflexible mail applicator can also be a preferred mail applicator, depending on the situation.

A sound generator emits sound with at least one frequency in a frequency range from 1 Hz to over 20 MHz. It is preferably ultrasound in the frequency range from 20 kHz to over 20 MHz. If the sound is ultrasound, this can either be high-frequency ultrasound in a frequency range from 800 kHz to over 20 MHz, preferably low-frequency ultrasound in the frequency range from 20 kHz to 800 kHz, more preferably from 20 kHz to 100 kHz, and others preferred frequency ranges are between 20 kHz and 50 kHz and between 50 kHz and 100 kHz. A mail applicator is the part that emits the sound (in general usage this is the transducer). A sound applicator device is a functional system consisting of a sound applicator and power supply and sound generator and control of the sound applicator. Only the term mail applicator will be used in the description, even if a sound applicator device were attached. The term mail applicator is used in the singular, even if the description applies to multiple mail applicators. Further general information on the mail applicator and especially on the mechanically flexible mail applicator will follow later as part of the extended, supplementary description.

A carrier element is to be defined as a mechanical element (or device or device) to which a mail applicator can be attached / connected and the mechanical element is not an original structural part of a sound applicator. On

Structural element [e.g. B. a carrier material, e.g. B. a carrier film] as the original, constructive part of a sound applicator, as is the case, for example, in the structuring [described for example in FIG. 19 a) with structuring design of piezoelectric films / elements, using the example of PVDF film]) thereof [because of Clarity, but not in principle]. Such a structural element [carrier film, carrier element as a structural part of a

Sound applicator, such as. 19a] can be a carrier element and the the following description of the carrier element [as a non-originally constructive part of a sound applicator] can apply completely or partially to a structural element [as an originally constructive part of a sound applicator] and should then also be used in accordance with the description. The design options presented in the description of carrier elements can also be transferred to a mail applicator that is not connected to at least one carrier element (this is in particular a mail applicator that can be replaced by structuring measures [e.g. structural foils such as for example to FIG. 19, 19a explained by way of example] the mail applicator inherently has a certain stability / form stability [ie no flexible, dimensionally unstable film character] and corresponding to how a device comprising the mail applicator and carrier element can be handled, i.e. the structuring elements of such sound applicators such as for example 19a (as one of the possible examples of a sound applicator with structuring elements), if applicable, can be used as a carrier element, a mail applicator with structuring elements, eg a structural film (Fig. 19a) can be used like a device made of carrier element and Schaila plicator can be used, the description of the carrier element and / or a device comprising the carrier element and the mail applicator also being able to be transferred completely or partially to such structural elements / structural foils [e.g. B. the equipment with one or more utilities, attachment to a holding device, etc.]. The description for a carrier element as an originally non-constructive part of a sound applicator is to be given below. However, this is in no way meant to be a limitation. The aforementioned options, e.g. B. a support element as a structural part of a sound applicator should also be able to be used according to the description.

In the following, the description is made partly on the basis of skin, foot, leg as examples for an object surface and / or an object and / or a biological system. This representation with skin, foot, leg is not intended to represent any restriction with regard to the treatment of a biological system and / or the treatment of an object. What an object should be and what the adaptation to an object should mean will be explained later at the end of this description. Further definitions and / or examples also follow later [e.g. on substance, solid, active substance, physiological effect, compound, etc.] as a component of the description, which should be applied to the descriptions of the device, carrier element, mail applicator, etc. if necessary.

In the following, the description is mainly made with a cavitation medium, e.g. B. a cavitation liquid, this should not be a limitation with regard to the coupling medium (a sound-conducting medium) but is only an important example [the description of the sound-conducting medium and the cavitation medium is given later].

In the example representations, there is predominantly a distance between the sound-emitting surface of the sound applicator and the object surface / object (as, for example, in FIGS. 1b, 1c, 3e, 8c and others), and the volume (16) between them the surface (20) and the mail applicator (1) can, for example, be filled with a coupling medium (eg a cavitation medium). The device can surface at its edges contact and / or be attached z. B. with an adhesive / adhesive or a contact element (17) (examples in the figures Fig. 1 b, Fig. 1c, Fig. 6c and others). The space (16) which is formed between the surface and the sound applicator / device can be closed off from the outside or (as for example in FIG. 8c and others) open to the outside. Such an attachment as, for example, in FIG. 8c, with the space between the surface and the applicator not being closed to the outside, will be possible with a subaqual treatment. A plane, e.g. B. full-surface attachment of the sound applicator and / or the device on the surface and adaptation to the surface can be a further possibility [z. B. by volume-variable elements as in Figure Fig. 15 - 15b or z. B. by an adhesive such as. 3b and can, for example, be applied similarly to and / or as a plaster].

Another possibility is that the device can be aligned with the aid of a holding device or a corresponding device on a surface or on an object (for example in FIGS. 8-8e and others). A treatment in which the device consisting of the mail applicator and carrier element is aligned with the object with a holding device or another corresponding device is particularly (but not exclusively) suitable for sub-equivalent treatment if the space between the mail applicator or device and the object is not covered by an additional one Element to the environment is closed (for example in Fig. 8c and others), but the space can be closed in a similar device by an additional element (z. B. a contact element) to the environment (for example in Fig. 8d).

In the example representations of devices using at least one mail applicator [mechanically inflexible or mechanically flexible mail applicator, e.g. B. a piezoelectric PVDF film and / or at least one piezoelectric element] remains to be found that electrodes, the supply of electrical energy to the mail applicator, the sound generator, the control device and other elementary devices and equipment [which are necessary for operating a sound applicator] may be / should be part of the device, but, since this is the generally known state of the art, no further mention and description should be made and only occasionally [z. 5 - 5d], d. H. z. B. the supply lines (+/-) required for operating the sound applicator (+/-) from the supply device (energy source, [electronic] control] [signaling], sound generation) to the electrodes or to the electrical contact (3, 5) is only occasionally shown in the following figures [mostly not] shown, but they are part of a device.

Features and benefits

By connecting / attaching a mail applicator to at least one carrier element to form a device, the treatment options with a mail applicator can be expanded in that a carrier element provides various additional functions for the treatment. Functions of a carrier element can be, for example, the mail applicator to an object

(the term object will be defined later) to attach / align to an object, to give hold and / or shape to a mail applicator (especially if the mail applicator is a mechanically flexible mail applicator, for example shown in FIG. 8c and others). Other functions can be that the carrier element as a supply device, for. B. for energy supply and / or sound generation and / or control of the sound applicator or as an active ingredient depot, etc. (shown as an example, for example, in Figures 6, 6a and others). Further functions of support elements will be described later.

A mail applicator can be connected (attached) to various carrier elements equipped with different functions. A device consisting of a mail applicator and carrier element can be assembled or assembled in a modular manner, in accordance with the requirements and the treatment, completely or partially individually or is already assembled for the treatment and the purpose of the treatment (e.g. as a shoe insert in FIG. 10). A mail applicator can be permanently connected to a carrier element (there is an irreversible connection between the mail applicator and carrier element) or a mail applicator can be connected to a carrier element in order to then form a permanent, irreversible connection or a mail applicator can be connected to a Carrier element connected and detached therefrom (separated).

A carrier element is a kind of interface or adapter, docking station, with which it is possible to carry out different treatments simultaneously or in chronological order and with which the sound treatment is given greater flexibility (versatility, possible use, adaptability).

Examples of solutions and advantages that a device consisting of at least one mail applicator and at least one carrier element are possible are, for example, that a device (or sound applicator device or mail applicator) is in the form of an object to be treated (e.g. a biological system) and / or can be adapted to the surface of the object so that a relatively defined, as narrow as possible, almost constant cavitation layer or defined coupling layer or treatment layer can be set. In conjunction with a preferred cavitation medium (e.g. water and carbon dioxide as will be described later), cavitation can then take place near and / or on the surface of the object. With a highly effective cavitation medium, such as. B. carbon dioxide and water as a preferred cavitation medium, cavitation can also take place with a less powerful mail applicator [a less powerful mail applicator is, for example, a mechanically flexible mail applicator, especially if it is on piezoelectric polymer film and the like (e.g. PVDF film) based. Even with a highly effective cavitation medium, the power (e.g. the transverse sound pressure for a polymer film) must be sufficient to be able to generate cavitation. An increase in performance (e.g. transversely to the sound-emitting surface of the sound applicator) can e.g. B. by structuring, as is described by way of example for FIGS. 19 and 19a,].

A carrier element can be exchanged for a different carrier element with different functions or several identical or different carrier elements can be combined, thereby different treatments can be possible with the same mail applicator. A device can be composed of at least one mail applicator and one carrier element or a plurality of carrier elements in a modular and individual manner as required. A support element can also be exchanged for another (different) support element during the treatment or can be supplemented with a further support element. This makes it possible to adapt the device to the requirements of the treatment; treatment can be influenced better and in a more targeted manner.

As a possible design option, a carrier element can simultaneously act as a kind of interface (or adapter) for attaching further carrier elements, for example a carrier element with a supply function (e.g. the added carrier element can contain an active ingredient which is released to the device during treatment 5e) and / or it can be a carrier element with another treatment method (e.g. a physical treatment method) and / or the mail applicator is alternately turned against another treatment device (e.g. B. a physical treatment device) and / or the support element is used to adapt the sound treatment to another treatment method. Subaqual treatment, e.g. B. for cosmetic purposes, is possible, for example, cavitation treatment in a water bath (according to the illustration in Fig. 18). Also a cavitation treatment that is not subaqual and in the z. B. the cavitation medium can be supplied during the treatment is possible (for example, shown in Figure 5e). It is also possible that at least one substance (e.g. cavitation medium, active ingredient, etc.) can be added during the treatment and changed during the treatment, so that several different substances (e.g. active ingredients) can be treated simultaneously during a treatment and / or can be applied sequentially.

Further features and advantages can be that a device z. B. be attached to the body and linger there for a long time, whereby the patient can maintain his mobility (mobility), and / or a support element during the sound treatment can provide further additional treatment options and / or by further devices / devices of the support element to influence the treatment.

Treatment with sound, better with ultrasound, even better with low-frequency ultrasound, can be expanded in use and / or use by a device comprising at least one mail applicator and at least one carrier element. This applies in particular if the device [consisting of a mail applicator and carrier element] is equipped with additional devices which can control the device independently of place, for example, and / or which the device can be attached to an object individually and / or which is treated by at least one other device can be influenced and / or the device can be adapted to objects and / or a treatment medium and / or coupling medium can be influenced during the treatment and / or at least one substance (e.g. cavitation fluid, active substance etc.) before / during / after the treatment can be supplied and / or removed and / or at least one additional Effect / irritation (physically and / or mechanically and / or chemically and / or physiologically / biologically) can take place etc., whereby all equipment variants can result in new devices. By connecting / attaching a mail applicator (the same mail applicator) to different carrier elements, there may be different possible uses. A mail applicator (the same mail applicator) becomes multifunctional in that it is connected / attached to different, different carrier elements depending on the situation, treatment and application.

One possibility may be that a treatment facility can be exchanged for another care facility during a treatment (eg depot with active ingredient “A” against depot with active ingredient “B”).

Mobility (location-independent, mobile, changeable) of the device and the patient (patient in the sense of a person to be treated, this can also be a non-therapeutic and non-diagnostic treatment. Animal or another object are also possible) can be achieved by for example the energy supply in the carrier element in the form of a

Foil battery or integrated in the form of an organic photovoltaic film or attached to it by the control, the sound generation is integrated or attached to the carrier element through film-like switching elements. Further, other possibilities are described. It may be important for this group of people as a layperson that these devices are individually coordinated and that they are easy to use because they are easy and safe to use.

Flexibility (versatility) can be achieved in that the mail applicator can be reversibly attached to the carrier element, e.g. B. by plugging together a Schailapplicator and a carrier element for use. The carrier element contains utilities such. B. the energy supply, the control system and / or also other or other supply facilities (for example an active substance depot / active substance reservoir).

adhesive element

An adhesive element is for attachment attachment, connection, of z. B. a Schailapplicator and / or a device, etc., defined on a surface. A support member may also be for attachment, attachment, connection to a surface, but need not. On the order of magnitude, the adhesive element and carrier element can be of the same size, a carrier element can also be considerably larger. An adhesive strip is a special version of a carrier element. A design feature that is mentioned in the case of an adhesive strip and that can be transferred to another carrier element should also apply to another carrier element. Likewise, design features of a carrier element should be able to apply to an adhesive strip and / or another carrier element if this design feature can be used for the adhesive strip and / or another carrier element.

The Schailapplicator or the device are expensive and should therefore be separated from devices that have only a short life, z. B. the power supply in the form of a battery, a foil battery, an organic photovoltaic cell, an active substance depot, etc. This can be done, for example, by the fact that such devices are integrated / attached in the adhesive strip (2) and when a mail applicator (1) is connected to the adhesive strip, a connection is also made to these devices , The illustration with an adhesive element and a further device is shown in Figures 2 - 3 f. Other, corresponding representations are made when describing a carrier element.

1 shows the application of an adhesive element (2) around a leg in accordance with a bandage (2.1) or in a square shape similar to a plaster (2.2). 1 to 3f, a description of an adhesive element (2) is given as a special embodiment of a carrier element. The adhesive element in the example description should consist of at least one carrier layer (2a), this can consist of only one substance / material and / or of several substances / materials and / or substance / material combinations. It can be a single-layer or a multilayer carrier layer. A multilayer carrier layer can consist of different layers with different features / properties, e.g. B. a layer that is elastic and compressible, another layer that is not compressible, etc. The carrier layer is made of at least one solid, for. B. consist of a plastic (additional features / properties of solids / plastics are set out in the description), a layer (or several layers) can be a design option containing liquid and / or gas.

The adhesive element is intended to be useful for being able to attach / attach a mail applicator (1) and / or a device (9) to a surface and / or an object simply and quickly. This attachment connection can be permanent, but it is better if the adhesive element is to be separated from the surface and / or from the object again, and it is even better if the mail applicator is to be separated from the adhesive element again and will be preferred if the mail applicator is used several times same adhesive element can be attached and detached again. An adhesive / adhesive for attachment / connection can be, for example, an adhesive adhesive, a polymer adhesive or another adhesive which is suitable for detaching the adhesive element from the surface (at least from the skin) and likewise for the mail applicator to be removable again from the adhesive element to be able to peel off (it should also be possible that the mail applicator can be attached to and removed from the same adhesive element several times). A connection between the adhesive element and the mail applicator can, for example, also take place mechanically (an example of this in Figure 1c and in other figures) and / or by magnetic forces and / or by other physical and / or chemical effects / forces [the definition of ( physical) connections will be made later, and should apply if applicable]. The attachment of a sound applicator to an object with the help of an adhesive element is intended to be a longer treatment, e.g. B. can go for hours or longer, better enable. A mechanically flexible mail applicator will preferably be attached to the adhesive element, but a mechanically inflexible mail applicator may also be suitable for this. An adhesive element can also be used to form a mail applicator into an object to adapt, to establish a defined distance between the object surface and the mail applicator and to be able to maintain this during the treatment. This distance will have to be adjusted according to the treatment and the requirements by the adhesive element, e.g. B. the mail applicator (1) can lie flat on the object surface and contact it (e.g. in Fig. 3b, or there is a distance between the mail applicator and the surface (e.g. in Fig.3e), there is a suitable one in between Coupling medium / sound-conducting medium, e.g. a gel, a cavitation medium etc.

An adhesive element can thus also be used to maintain a distance from the object, to shape the sound applicator, to position the sound applicator to the object, to adapt to the treatment or treatment conditions, etc. To adapt to the shape of an object and / or the contour of a surface, the adhesive element / carrier element is preferably mechanically flexible or partially mechanically flexible, e.g. B. by mechanically flexible zones, which allow the adhesive element / carrier element to be adapted to a contour and / or shape (for example FIG. 1). An even further designed adhesive element can have additional functions and these, e.g. B. during treatment. A function can be, for example, to supply the mail applicator with power, to enable the signaling and / or the electronic control of the sound applicator.

Power sources in the form of button cells and foil batteries, organic photovoltaic cells in foil form and also novel fuel cells can for example be integrated in and / or attached to an adhesive element. The same applies to very thin, elastic electronic circuits. The power supply, the sound generation, and the control of the sound generator can take place via an adhesive element, wherein the adhesive element can be the transmitter of an external supply device (e.g. FIG. 2 -Fig. 2e) or the adhesive element is a supply device 3f). It is possible to integrate the supply device (current / energy, sound generator, control) into the mail applicator as part of the sound applicator; such a supply device can also be integrated into a mechanically flexible applicator or attached to the surface. It will be better to use these supply elements, especially those with a short lifespan, e.g. B. the power supply by a foil battery to separate from the Schailapplicator and integrate into the adhesive element. It is therefore possible to apply the entire supply for operating the sound generator to the mail applicator and / or to the adhesive element and / or to a carrier element and / or to another carrier (e.g. garment, bracelet, etc.) and / or therein to integrate. Such care facilities allow the patient, as the carrier of the devices (mail applicator with adhesive element and / or with carrier element), to achieve greater mobility (mobility). The attachment and / or integration of a supply device (which is defined in the description) on / in an adhesive element and / or on / in a carrier element makes sense because these can then also be conceived as a further possibility as a disposable article with a short lifespan. In addition to the aforementioned, other, more powerful energy sources can also be integrated and / or attached.

The illustrations in FIGS. 2 to 3e are examples of how the same applies to the connection between a mail applicator and an adhesive element (for a carrier element the corresponding and will be presented later) at least one supply line can be closed [in the entire description a supply device (13 / 13a) is a device that the mail applicator requires for functionality, that is energy / power supply, sound generator, signaling and control / electronic Control and the lines (12) from the mail applicator to the supply device and from the supply device to the mail applicator. Electrodes are part of the sound applicator and are only occasionally shown in the pictures]. The supply device (13 / 13a) should be an example in the description, also for other supply devices. Further examples of other possible utilities are mentioned later in the description.

An adhesive element (as well as a carrier element) can be useful as a design option as an interface (docking point, adapter), for example in order to be able to carry out different treatments simultaneously and / or in chronological order, for example. B. by several identical or different devices and / or treatment devices and / or supply devices and / or contact elements can be attached simultaneously and / or a mail applicator (and / or device, carrier element, treatment device, supply device, contact element) during treatment against at least one other Device, carrier element, treatment device, supply device, contact element and / or another mail applicator can be exchanged, the mail applicator and / or other treatment devices / supply devices can be attached to the adhesive element. A simple adhesive element can, for example, as z. As shown in Figure 1a, consist of a carrier layer (2a) which is coated on both sides with an adhesive / adhesive layer (2b, 2c). The carrier layer (2a) can be one-component (consist of one substance / material) or the carrier layer can be multi-component (consist of several substances / materials). A carrier layer can be single-layer or a carrier layer can consist of several layers. In addition, each layer can have other characteristics (e.g. as mentioned in the definition of substance, solid, plastic, etc.) as a further characteristic.

An adhesive strip (2) is used to attach a mail applicator to a surface (e.g. on the leg as shown in Figure 1). For this purpose, the adhesive strip should be completely or partially mechanically flexible or contain mechanically flexible zones in order to be able to adapt the adhesive strip to the contour of the object (such as the leg in FIG. 1). The adhesive strip is attached to the place on the object where the mail applicator is to be attached later. The adhesive tape is attached to the object (e.g. the leg) using a suitable adhesive, e.g. B. an adhesive layer, an adhesive layer. The attachment / connection of the sound applicator on

Adhesive strips can also be made using a suitable adhesive / adhesive, for example with an adhesive layer between the adhesive strips and the mail applicator (e.g. Fig. 1b) and / or by means of further mechanical and / or physical and / or chemical connections (e.g. Fig 1c) [e.g. B. magnetic forces, adhesion, screws, connectors, etc.]. If an adaptation to the contour of the object is to take place, the mail applicator will preferably be a mechanically flexible mail applicator, but this will not always have to be a prerequisite, so that mechanically, too flexible mail applicator may be possible.

In Figure 1, the mail applicator is attached to and with the adhesive strip in a plaster-like form or as a plaster (2.2) or in the form of a bandage (2.1). An adhesive strip can be cut to size on the spot according to need (e.g. as non-fabricated bulk goods, bulk goods) as the attachment (2.1) of the adhesive strip in Fig. 1, Fig. 3c or Fig. 3d shows. The attachment (2.2) of the adhesive strip z. 1 can also be cut to size and / or is already made up in this form (made up means that it is ready for use and / or already cut in size and / or shape. In the figures, for example, in FIG. 1 , Fig. 3c in the form of a square adhesive strip (2.2) [or adhesive pad] with a central square recess for the mail applicator), z. B. in the form of a plaster.

Further features of the adhesive strip (the same can apply to the carrier element) can be that the adhesive strip is elastic in the longitudinal and / or transverse direction with its own restoring force (for example, that the adhesive strip can be stretched and restored by its own restoring force) original length / width. Similar to an elastic bandage or bandage). An adhesive strip can be an elastic bandage / bandage / tape bandage, etc., to which at least one mail applicator can be attached at any point or at specially prepared points.

Flexible, stretchable zones (made of the same or different material) with their own restoring force (for example as shown in Fig.3a) can also be a design feature. By tensile elasticity and / or elastic zones can be achieved that an adhesive strip can be better adapted to a surface, for. B. if the adhesive strip is to close firmly on the surface [e.g. B. to complete the interior (16) against the environment]. For better adaptation of the adhesive strip to a surface, there are other options, e.g. For example, as shown in FIGS. 15-15c, the adhesive strip contains a layer (25) with a volume-changing material (a volume-changing element that is compressible and / or expandable in volume). In the figure Fig. 1a, the carrier layer (2a) of the adhesive strip (2) is one layer, but the carrier layer (2a) can also be multi-layer, z. B. contain a layer with a volume-variable element (25). This volume-variable element (25) can consist, for example, of a foam, a compressible plastic or another suitable material as described for FIGS. 15-15 c. A casing (FIG. 15c) made of an elastic material (e.g. a plastic film, a rubber film or another suitable material) that is filled with a liquid and / or a gas can also be a design option. The compressibility enables the element (25) to be well adapted to surfaces (for example in the illustration in FIG. 15a and others).

A mail applicator (1) or a device (9) comprising a mail applicator (1) and carrier element (8) can be connected / attached in the edge area of the sound applicator or in the edge area of the device (for example in FIG. 1c), the connection can also be made over the entire surface or the adhesive strip is reduced to an adhesive layer. An adhesive strip can be an additional sound-conducting layer (as in FIG. 16), which for example can contain at least one supply device, e.g. B. electrodes that when attaching the adhesive strip to the surface Touch surface, e.g. B. a drug depot etc.

In the case of a full-surface connection of the mail applicator and / or of the device with the adhesive strip, the adhesive strip must be completely or partially sound-conducting if the sound-emitting surface of the sound applicator is directed in the direction of the adhesive strip, such as (the adhesive strip can also be on the non-sound-emitting surface of the sound applicator be attached if, as an example, an adhesive strip is used to attach the mail applicator to a surface (e.g. on the wall of a tub).

In the illustrations in the description, the representation is in most cases such that there is a distance between the object or object surface and the sound-emitting surface of the sound applicator (direct coupling or full-surface mounting as a possibility has been explained above). This distance (the distance between the mail applicator and the surface [given by the height / thickness of the adhesive strip (2) / carrier element (8)] can initially be arbitrary, e.g. contact or be less than 1 mm, less than 1 cm, 1 - 2 cm, over 2 cm. The width / length of the adhesive strip (2) can initially be arbitrary) forms a volume (16) which is covered with a material, e.g. B. can be filled with a coupling medium / sound-conducting medium (for example with an ultrasound gel, cavitation medium, etc.). This volume can be limited, e.g. B. if the space between the surface and Schailapplicator by another device [z. B. by an adhesive strip (2) which is attached as in Figure 1 in the form (2.2) or z. B. is limited or open by a contact element (17) as in Fig. 8d], in which case a mass transfer between the environment and the volume between the surface and the applicator can take place, for example in the subaqual treatment. In the case of a higher-viscosity coupling medium (such as, for example, a gel), it is less important whether the stated volume has been completed or not. In the case of an attachment (2.2) as in FIG. 1, the adhesive strip closes off from the surroundings. The volume in the interior (16), u. a. determined by the layer thickness / height of the adhesive strip.

The attachment of the adhesive strip (2) to an object and the attachment of the sound applicator or the device (9) to the adhesive strip was shown in FIGS. 1 - 1c. In addition to attaching the sound applicator, an adhesive strip can have other functions, e.g. B. as shown in the figures Fig. 2 to Fig. 3f. Representation with external supply facility (13 / 13a). In the illustration, the adhesive strips (2) contain contact surfaces (3) for the power supply (+/-) and for the control of the sound applicator (1). If the mail applicator is attached / attached to the adhesive strip, the mail applicator contacts the contact (3) of the adhesive strip with the contact (5), the electrodes (4) supply and control the electrodes (4) via the feed line (6). The mail applicator is ready for use. The contact / line (3) can run along (or across) the entire connecting element and / or runs only in certain segments. Further design options for the adhesive element can consist in the fact that the carrier layer (2a) can be electrically conductive (electrically conductive material) and / or can contain an electrically conductive layer and / or can contain an electrically conductive line, etc. Furthermore, the adhesive / adhesive layer (2b) and / or the adhesive / adhesive layer (2c) can be conductive (e.g. electrically conductive). The adhesive / adhesive layer on the mail applicator can be conductive (e.g. electrically conductive). There is a further design of the adhesive strip if the adhesive strip contains at least one supply device (ie integrated and / or attached to it, for example in the form of a film). This should be illustrated using the example of the supply device (13 / 13a) [power supply / energy supply, sound generation, signaling / control]. This is shown in Figs. 3-3f. The adhesive strip (2) contains the supply device (13 / 13a). If the mail applicator (1) is connected to the adhesive strip (2), contact is established between the contact point (3) on the adhesive strip and the contact point (5) on the mail applicator. In the exemplary illustrations, the contact points (3), (5) are simultaneously designed as a mechanical connection. The energy supply line (12) from the supply (13 / 13a) to the contact point can be represented in different ways.

With a corresponding arrangement of the contacts (3) and contacts (5) or electrodes and with a suitable arrangement of the circuits, it can be achieved that a mail applicator can always be attached correctly (+/-) with the electrodes (so that it is always functional) and even a layperson can safely establish a functional connection to a supply facility in order to put the device into operation.

Further, additional description of the adhesive element in the description of the illustrations for the adhesive element and in the description of the carrier element.

Carrier element The description and / or parts of the description for an adhesive element should also apply to a carrier element if this is required and is technically feasible. Conversely, the description of a carrier element should apply to any other carrier element and / or adhesive element if this is required and is technically feasible. A carrier element (e.g. as a mechanical element, device, device) can initially consist of at least any substance / material (for example a solid [for example glass, metal, metal-containing substance, plastic, according to the definitions that follow at the end of the description to fabric, solid, plastic, etc.]) and / or a carrier element can consist of at least two different, arbitrary fabrics / materials and / or their combination. A solid can be mechanically flexible or mechanically inflexible and / or have other features (as defined below under solid / plastic). A carrier element can consist of at least one mechanically inflexible and / or at least one mechanically flexible substance / material and / or at the same time consist of at least one mechanically inflexible and at least one mechanically flexible substance / material. A carrier element can be completely mechanically inflexible (fixed, rigid) or completely mechanically flexible or partly mechanically flexible and partly mechanically not flexible. A support element can be flexible as a design element, e.g. B. elastic, zones and / or be completely elastic and / or not elastic. As a design feature, a carrier element can be single-layer or multi-layer. As a design feature, a carrier element can consist of the same and / or different material as the mail applicator. A mail applicator and a carrier element can be one part or at least two parts. A carrier element can consist of at least one mechanical element (device, device) or of at least two identical and / or at least two different elements. A carrier element can initially have any desired properties and / or features and / or shape and / or shape and / or size / volume and / or dimension and / or functions etc. (for example mechanically not flexible or mechanically flexible [e.g. plastic and / or elastically mouldable / deformable, pliable] and / or conductive or non-conductive [e.g. shell, heat, current, energy], piezoelectric etc., for example the shape [e.g. body shape,

Volume shape, outline shape, outline shape] and / or the size [e.g. B. base, diameter, height, volume] can initially be any [z. B. cylindrical, hemispherical, plate-shaped / disc-shaped, flat, curved, round, cube-shaped, rectangular, conical, bell-shaped, irregularly shaped, etc.] and / or other layout / outline shapes [e.g. B. rectangular, round, oval, polygonal, irregular, and other outline / plan shapes]).

Material, properties, shape, size, features, etc. will depend on the function of the support element, on the area of application, etc., wherein a support element can have one or more functions simultaneously and / or several functions alternately (e.g. if 2 different ones Supply facilities are connected to the carrier element simultaneously or alternately in time).

A basic function of a carrier element is that a mail applicator is attached to it (connected to it), with a connection of the mail applicator and carrier element over the entire surface or over part of the surface (e.g. on at least one edge and / or segmentally and / or pointwise at at least one point in the edge area or in the area of the sound applicator, etc.). Attachment of the sound applicator to a carrier element can be in the area of the

Sound applicators take place (e.g. as in FIG. 8), transversely to the surface of the sound applicator (as in FIG. 3e) or in another orientation. A connection of the mail applicator to the carrier element can be carried out with suitable adhesive / and / or mechanical and / or physical and / or chemical and / or another possibility according to the definition of (physical) connection which follows later (some possible example representations are shown in Fig 14-14c and others as a mechanical connection). Other connections are also possible, e.g. B. adhesives, adhesive strips, magnetic forces and others (further examples will follow). A further function of the carrier element can be to give the mail applicator support and / or shape and / or shape and / or to be able to adapt the mail applicator to an object (for example in the form). Further functions can be to be able to position the mail applicator on an object and / or to be able to attach it to an object, while maintaining a distance (e.g. as in FIG. 8c) or directly (e.g. as in FIG. 9c) can take place.

Further design options with regard to the function of the carrier element can be that a carrier element provides a supply device to a mail applicator when the mail applicator is connected / attached to the carrier element.

Examples of possible utilities are mentioned later in the description.

A supply device can be external to the carrier element (located at a distance from the carrier element) and connected to it by at least one supply line or discharge line. A supply device can be part (integrated therein) of a carrier element, one

Supply device can be attached outside on the carrier element, a Supply device can be partially integrated in the support element, a supply device can be attached within a support element.

A (at least one) connection / line (12) as a supply and / or discharge from the supply device to the support element can be fixed, not to be detached or a connection can be established and detached again, e.g. B. by a clutch. A connection can e.g. B. serve for power supply, for signaling for the Schailapplikator, for controlling the sound applicator and / or also for mass transport and for material transfer and / or for other tasks that are provided by a supply device and / or by the carrier element. A supply device and / or line can be connected to a support element in a fixed, non-detachable manner, or a supply device can be attached and / or inserted and detached / removed from the mail applicator. Lines can run inside the carrier element and / or on a surface of the carrier element. Furthermore, it may be possible that when connecting (connecting) the mail applicator to the carrier element and / or when connecting the carrier element to at least one further device / device / element (e.g. a further carrier element or another element / device / device ) a line and / or contact can be closed. B. using the example of an electrical contact in Fig. 2b, Fig. 3d.

A carrier element can thus itself act as a supply device if the carrier element is connected to at least one supply device and provides the mail applicator with additional functions when connected to the carrier element and / or thereby produces the functionality of the sound applicator (e.g. by controlling the sound applicator but also influencing the treatment and / or influencing treatment conditions and / or by providing additional treatment options, treatment methods etc. may be possible), such an additional supply device can be used, for example, to function the sound applicator to be able to control, it may also be that such a supply device can be used to influence / influence and / or control etc. the treatment (for example by supplying substance [eg cavitation liquid, gas, active substance etc.] and / or he removal [z. B. liquid, pollutant, etc.] and / or by mechanical action, irritation, stimulation (z. B. that of the skin) and / or by influencing the cavitation properties of a cavitation medium [z. B. by controlling the sound applicator, sound pressure, intensity, gas bubbles, etc.,]. by supplying and / or removing at least one substance, a gas, a cavitation medium.

A carrier element can have one or more functions (e.g. the carrier element can be used to shape the sound applicator [for example, if a mail applicator does not have its own dimensional stability] and at the same time serve to supply power and / or perform other functions). There are further design options for a device (9) comprising at least one carrier element (8) and at least one mail applicator (1) to be modularly supplemented with further carrier elements, supply devices, devices (e.g. in FIG. 5). In the Figures 5 - 5e) with a reservoir (19), for example filled with a preferred cavitation medium made of water and carbon dioxide

A device (9) consisting of at least one support element (8) and at least one mail applicator (1) can be individually adapted to a shape, an object or the support element is already adapted to a shape (for example, Fig. 10). A pre-shaped support element is generally required (eg in FIG. 9) or (as in FIG. 10) a carrier element has to fulfill a very specific task and is shaped for this task

Further design options for the carrier element and / or the adhesive strip and / or the device

The support element can be mechanically inflexible (mechanically strong, not flexible) and / or mechanically flexible (plastic, elastically mouldable, flexible) and / or partially flexible in parts / partial areas mechanically flexible and mechanically not flexible The support element can initially be made of at least any material and / or combinations thereof to

Example of a mechanically flexible / mechanically firm and / or mechanically inflexible solid (e.g. plastic [e.g. mechanically inflexible, mechanically flexible], natural material, composite material, metal, alloy, glass, porcelain, etc. according to the description of fabric, plastic, etc.) , The substance can also have additional features / properties (according to the definition). The carrier element can serve as a spacing device from the mail applicator to the surface in order to be able to provide a volume for the cavitation medium

The support element can be coated on the inside and / or outside of the walls with a material that provides functions (similar to the mail applicator). An inner coating (full or partial surface) can be, for example, a support material coating for dispensing a substance (e.g. gas, active substance, etc ), a coating for gas bubble formation, e.g. on nanoporous surfaces

If the device and / or the support element is mechanically flexible, the device and / or the support element can be better adapted to a surface and thus the interior (16) formed by the device and the surface (20) can also be required be completed

Support elements in the figures are often shaped and / or are shaped. If they are preformed, they can be made of a mechanically inflexible material, if they are shaped, they can be made of a mechanically flexible material and / or the material can be formed by a further design ( For example, according to FIG. 8a), the mail applicator is preferably a mechanically flexible mail applicator, but a mechanically inflexible mail applicator can also be used. The at least one mail applicator can be attached over the entire surface of the carrier element, or the mail applicator is partially flat (not Applied over the entire surface of the support element, only in partial areas and / or only at one or more locations / segments) A device can be assembled and / or assembled according to individual requirements. This also applies to a device as a plaster and nd / or bandage and / or in plaster form.

Mail applicator and / or a device consisting of mail applicator and carrier element / adhesive element can be designed as a plaster and / or as a plaster-like product (pad), the application to / on the surface using a suitable adhesive / adhesive over the entire surface and / or partially (e.g. B. in the edge region of the device and / or the sound applicator).

Further design options for a plaster and / or a plaster-like product can consist in the fact that the power supply and / or the sound generator and / or the electronic control are integrated in the plaster / plaster-like product and / or are attached to the surface thereof, e.g. B. integrated in a Schailapplikator and / or attached to the surface of the sound applicator, for. B. integrated in a carrier element and / or attached to the surface of the sound applicator, in which case a schail applicator can be attached / connected to such a carrier element to a plaster / plaster-like product, the carrier element and the schail applicator being firmly connected or to be separated again. Such integration and / or attachment is particularly suitable in the case of film-like power supply and / or film-like electronics / circuits (for example printed circuits). Another possibility can be that only the cables are integrated / attached and the supply is carried out externally. The mail applicator for a patch / plaster-like product may preferably be a mechanically flexible mail applicator, the performance of which must be sufficient to meet the requirements, e.g. B. by the mechanically flexible mail applicator in its output by design (e.g. a ~ / multi-component, multi-layer composite structure) and construction is strengthened. Further design options can be that a plaster / plaster-like product is chip-controlled, the chip as a further possibility containing individual data of a patient (for example with a programmable chip, or reading device for individual patient data on a chip card etc.) and / or the analysis serves. Further design options for a plaster and / or a plaster-like product were discussed with the adhesive element and / or carrier element.

The electronic control, e.g. B. the chip control, as it was described for the patch (chip-controlled, the chip as a further possibility can contain individual data of a patient (for example with a programmable chip, or reader for individual patient data on a chip card, etc.) is also intended for adhesive element and / or carrier element and / or device and / or supply device can apply.

Adhesive elements can be available as bulk goods or ready-made. An individual composition of an adhesive element can also be a design option or the individual assembly with different functions.

Adhesive element and carrier element can be combined with one another, for example that a mail applicator is attached to a carrier element by an adhesive element and / or that a device comprising a mail applicator and carrier element (without or with a supply device) and / or a carrier element with supply device is attached to an adhesive element.

Connection lines (supply / discharge), ducts, ventilation, etc. can be equipped with devices (e.g. a valve, check valve, etc.) that can control, allow or prevent a pipe. Applied to the device with a reservoir (e.g. containing a liquid), this means that a backflow of the liquid from the device (9) and the space (16) into the reservoir (19) can be prevented, for example, by a backflow valve , The flow from the reservoir to the device with the space (16) can be improved, for example, by pressure, for example by virtue of the fact that the mechanical part of the reservoir (19a) consists partly or completely of a mechanically flexible material, which can be pressed together by hand, for example can and thus, for example, a liquid is pressed out of the chamber (19b) of the reservoir. Further possibilities may exist that there should be possibilities for aeration / ventilation from the reservoir and / or the device. Furthermore, the reservoir and / or the device (9) must be emptied and / or filled with a corresponding device (for example drain / inflow). Further possibilities may exist that the mass transfer (e.g. a liquid) from the reservoir into the device (9) and the space (16) takes place actively through physical and / or chemical action, for example that the reservoir contains a corresponding device and / or connected to it (e.g., a plunger such as a syringe, pump, mail applicator, etc.). Further design options can be that the medium in the room (16), for example a cavitation medium, can be exchanged continuously and / or discontinuously. The reservoir (19) can have more than one chamber (19b), wherein all chambers can contain the same substance or different substances. The chambers are connected to one another by at least one (lockable) connection (for example in order to mix the substances) or the chambers are separate from one another and the substance is fed separately from the chamber into the device (9), this feed being carried out corresponding devices can be controlled manually and / or electronically internally and / or externally (e.g. chip, sensor, time, concentration, etc.). Analogous design options can apply to other utilities.

Further design options can be that such a device comprising at least one carrier element and at least one mail applicator into an opening (eg body opening [eg wound] and / or into a liquid (eg body liquid) and / or into an object (e.g. biological system, artificial biosystem, artificial object [e.g. treatment object]) can be introduced completely or partially.

If the treatment is carried out subaqual (e.g. in a water bath with water and carbon dioxide as the cavitation medium according to Fig. 18), a mass transfer between the environment and the cavitation layer between the applicator and the surface can take place if the space between the surface and the applicator is outward is not completed. It is also possible that the mail applicator and / or the devices and / or the carrier element can initially have openings of any shape (e.g. also perforated) for the exchange of any substances and / or substance combinations, such as liquids, gases, active substances, cavitation. There is a possibility that the substance can be transported through these openings in a normal manner, e.g. B. diffuses through or as a further possibility by additional mechanical / physical and / or chemical processes and / or forces are transported through these openings, e.g. B. by pressure, negative pressure and the like.

A device and / or a supply device and / or the carrier element and / or the mail applicator and / or a further element of the device can be used as a further design option (eg mechanically and / or electronically [eg by means of a chip] and / or controlled by sensor). The control can be carried out externally (from the outside) and / or internally (as part of the device, supply device, carrier element, mail applicator or further element). An adhesive element / carrier element can serve as a further design option to attach further additional treatment devices in addition to a mail applicator. This can be at the same time or in chronological order, so that, for example, the mail applicator can be removed and another treatment device can be attached to the adhesive strip (e.g. electrodes for electrostimulation, other devices for physical therapy, wound plasters, drug plasters, drug delivery device, reservoir, other treatment facilities). This can be used, for example, for intermittent treatment of various treatment methods. Further possibilities are that an adhesive strip can be equipped with electrodes for electrostimulation (or with at least one other treatment device. Further, additional description of the carrier element in the description of the illustrations of the carrier element and in the description of the adhesive element.

contact element

Possibilities for designing the contact element (17) can be that the

Contact element can establish a connection / contact from the device to the object. Other and / or additional functions of the contact element (17) can consist of a

Contact element (17) can produce a distance between the device and / or the mail applicator and the object / object surface. Furthermore, the space (16) between the mail applicator and the object can be closed off from the outside by the contact element, so that a closed space is created between the device and the object and a volume is made available, for example with a liquid can be filled. Further possibilities can be that a contact element can act as an adhesive, in that at least the side of the contact element that contacts the surface can be coated with a suitable adhesive. Furthermore, a contact element can be useful as padding and / or for adapting to contours of objects / object surfaces [variable-volume element]. Further functions can be distribution functions for a medium, a substance (possible examples, the contact element contains an active substance which is released. The contact element is coated on the surface with particles which promote gas bubble formation in a liquid, for example nanoparticles, etc. Additional functions can also consist in that a contact element can contain at least one supply device and / or at least one supply line and / or a derivative for a supply device. A contact element can be fixed to a carrier element be attached or the contact element can be attached to the carrier element and removed again. A carrier element can be equipped with lines and / or channels or these can be attached to the surface or guided externally. A contact element can also have lines / channels (supply / discharge). If the contact element is connected to the carrier element, then no line and / or one and / or more lines / channels of the carrier element are connected to those of the contact element (for example in FIG. 11). For example, you can select which supply facility is to be used. It is also possible to feed a substance close to the surface, etc. A substance can be supplied via a line, and discharged via a further line (this also applies to the carrier element / adhesive element). A contact element can initially consist of at least any substance / material or of several substances / materials and / or their combinations, for example a solid (e.g. plastic [e.g. mechanically inflexible, mechanically flexible], natural substance, composite, etc .) exist, whereby the substance can have additional characteristics / properties (substance, solid, natural substance, plastic, characteristics / properties according to the definition). There may also be the possibility that the contact element can initially be of any size, shape, height, width, length, volume, etc. Other design options can be that by establishing a connection, for. B. between the contact element and carrier element, a supply device can be put into operation by making a contact, lines are closed. Further properties / features (e.g. with regard to the material) can correspond to that of a carrier element.

The cavitation should not be disturbed when, for example, the water enriched with carbon dioxide is fed into the hollow body. This can be done, for example, by slowly introducing the cavitation medium without pressure. The enriched water should enter and distribute near the surface to be treated, the cavitation should be in the vicinity of the

Surface. This can be done, for example, by means of at least one additional device in the vicinity of the openings in the contact element (e.g. a mesh-like membrane) that allows the cavitation medium to flow in slowly without degassing the water (which can also be a further possibility for obtaining gas bubbles). That can e.g. B. also a perforated film, a perforated plate / perforated plate (z. B. metal, plastic) and / or the guidance of the water (z. B. meandering) and / or passage through a porous solid, etc.

devices

Device consisting of at least one mail applicator and at least one carrier element and / or adhesive element. Device consisting of at least one mail applicator and a cavitation medium.

Device consisting of at least one mail applicator and at least one supply device.

Device comprising at least one supply device and a cavitation medium. Device comprising at least one mail applicator and at least one carrier element and / or adhesive element and a cavitation medium. Device consisting of at least one mail applicator and at least one supply device and a cavitation medium. Device consisting of at least one mail applicator and at least one Carrier element and / or adhesive element and at least one supply device and a cavitation medium.

Further devices result from the possible combinations of the devices and / or devices and / or elements. The device can be permanently and permanently connected to one another and thereby consist of the same substance / material and / or consist of different substance / material or a device can be assembled and separated again.

Utilities Utilities can be power sources. For a mail applicator, a complete supply device consists of a power supply, sound generator, control / electronic control and the associated supply / discharge lines to / from the mail applicator. Other supply facilities can be, for example, substance / active substance carriers, substance / active substance depot, substance / active substance delivery devices, reservoir, exchanger device and others. Supply facilities can also be facilities for dispensing and / or taking up a substance [e.g. B. drug delivery, absorption of liquids, waste products, pollutants, etc., also plaster, wound plasters and other medical aids in health care and other areas. Supply facilities can also be facilities for the delivery of mechanical / physical and / or chemical and / or biological / physiological effects / irritation [e.g. B. sound, pressure / train, light, IR light, UV light, laser, heat, cold,

Electrostimulation, electrotherapy, electroporation, iontophoresis, phonophoresis, sonophoresis, a device for physical treatment, etc.). Utilities can also be monitoring devices (analytics, monitoring, sensors, etc.). Supply devices can also be a device for controlling physical and / or chemical and / or biological processes (eg chip). Utilities can be an electronic control.

Supply devices include the supply and / or discharge lines, for example for electrical transmission, for mass transport, for signal lines, for heat transfer, etc. The supply device includes contact points (example in FIGS. 2-2c and others). The supply facility may include ventilation, facilities for

Loading / unloading, control, commissioning, decommissioning and other facilities necessary for the functionality of a supply facility etc. Supply facilities can be integrated and / or attached to and / or externally connected to the mail applicator. Utilities can be integrated in and / or attached to the carrier element and / or externally connected to it. Utilities can be integrated and / or attached to the device and / or externally connected to it. Utilities can have control functions, e.g. B. for the Schail applicator, substance delivery, cavitation, gas bubble development. Utilities can also act on the surface, e.g. B. by electrodes, which are installed in an adhesive element and / or carrier element and / or device and when attaching the same to the surface, the electrodes contact the surface. Utilities can Affect treatment conditions and / or act as a treatment.

Exchanger device. The function of an exchanger device is to enrich at least one substance "A" in at least one substance "B" and / or to separate / remove / remove at least one substance "A" from at least one substance "B", for example carbon dioxide as substance " A "and water as substance" B ". A high-quality cavitation medium (e.g. carbon dioxide and water) can be produced with the hollow fiber membrane gas exchange device. The operating principle of a hollow fiber membrane exchanger device is state of the art (from Mitsubishi Rayon, Fraunhofer Institute) and is not the subject of the invention. In addition to the enrichment of at least one substance with at least one other substance (substance e.g. gas, liquid, active ingredient, salt, organic, inorganic compound), it may be possible for at least one substance to be dissolved out of at least one other substance, for example for Separation, cleaning, etc. (e.g. dirt, pollutant, analyte, microorganisms, valuable material, etc.). It may also be possible for the mechanical, physical and / or chemical, biochemical and / or physiological, biological properties and / or characteristics of at least one substance (e.g. cavitation medium) to be influenced (for example the Solubility of a gas, heat exchange, electrical properties and / or changing the properties of the medium, triggering a reaction, etc.). The exchanger device as a hollow fiber membrane gas exchanger was named. In addition, other substances may also be suitable for gas exchange and / or for introducing a gas into a cavitation medium and / or for introducing a substance into a liquid and / or into a cavitation medium and generally for enriching at least one substance with at least one other substance, e.g. , B. other permeable, semipermeable membranes, solids, textiles, porous solids, nanostructural solids (as defined, for example, zeolites, nanotubes, composite nanotubes, carbon nanotubes, etc.). Ion exchanger, sorption / desorption processes, gas bubble formation on microporous and / or microstructural surfaces (eg nanostructural solids), through active substance carriers and / or carrier substances and / or carrier substances. The exchanger can have any shape and / or shape and / or size and / or dimension, for example as a flat membrane and / or as a hollow fiber membrane, with hollow fiber membranes in a flat shape (e.g. arranged in one plane, arranged in a circle, etc.) can be arranged and / or in a bundled form / strand. The exchanger surface can, for example, be flat, and / or folded and / or bundled and / or shaped in some other way.

Reservoir. A reservoir serves for the permanent and / or temporary storage and / or absorption of at least one substance "B" and / or at least one substance "A". Wherein substance "A" and / or substance "B" from the reservoir to the device and / or can be taken up by this device and / or substance "A" and / or substance "B" from the reservoir to the exchanger device and / or from the exchanger device can be delivered to the reservoir.

Further design options A design feature that is used for the adhesive element and / or the carrier element and / or the contact element and / or a device and / or a supply device and / or a another device / element is shown and / or described in an illustration and / or can be / should be described elsewhere in the description, if there is a need and this design feature is possible (e.g. technically possible), generally for an adhesive element and / or carrier element and / or contact element and / or device and / or supply device and / or another device / element can be used.

The description of the figures is intended to be a description.

It may be possible to activate and deactivate supply elements. It can be possible to control supply elements (e.g. to block and / or open the supply and / or discharge lines), whereby control can take place mechanically (e.g. using a shut-off valve, e.g. using a Switches, for example by an interruption of a connection, etc.) and / or electronically, it being possible for external control and / or to be part of the device. The controller can e.g. B. be timed, e.g. B. be controlled by sensors (measurement parameters), etc., measurement / control parameters can, for. B. the duration, the intensity, etc.

Between the sound-emitting surface of the sound applicator and the surface, in addition to the coupling medium, there can be further (at least one) sound-conducting layer / medium / material

(29) from any substance, properties, strength, dimension, function etc. The coupling medium can be omitted. This layer (better medium) can be, for example: gel, active substance-doped carrier substance, active substance, medicament, remedy, hydrocolloid gel (whereby the cavitation liquid can be an interface between the hydrocolloid and the surface of the biological system) and / or a liquid, a solid, a mechanical inflexible or mechanically flexible solid, and / or other materials and / or a composition of different materials (for example also gas, active substance and / or containing active substance, e.g. also a coupling medium for sound / ultrasound and / or a medium for another This can be, for example, at least one further treatment medium (substance, medium, compound, solid, preparation, etc.), which is used for treatment, for example (but is not an active ingredient / medicament), for example for dispensing and / or absorbing at least one other substance, for example modern wound dressings or their stocks Such a layer can e.g. B. can also be a variable-volume layer (variable-volume element, Fig. 15 - 15c).

This layer (29) can be a functional layer, for example with a conductor / transfer function (e.g. heat-conducting, electrically conductive) and / or for the delivery of mechanical and / or physical and / or chemical and / or physiological / biological Effect, irritation, stimulation etc. The additional layer can be another object, for example a

Be the object of treatment to which the device (mail applicator, carrier element) has been put (for understanding an example of a normal wound healing plaster, on the outside of which a mechanically flexible mail applicator [e.g. film applicator in foil form] can be put on, e.g. Fig. 16 The layer between the applicator and the surface can be a supply device as defined. These could be electrodes that are on the surface. Layer in this case in the sense of device / device / element. The whole does not have to be Area that is covered by the support element are taken.

pictures

As a design feature in the edge area (28), the mail applicator can have a special design, which makes it possible, for example, to attach the mail applicator to the adhesive element (2) and / or to the carrier element (8) and / or to another element / device / device (examples to be able to take over in the figures Fig. 14 - 14c and others) and / or another / further function. The design of the edge area of the sound applicator is generally not shown in the figures. For the commissioning of a mail applicator, utilities and the supply lines from the utilities to the mail applicator belong to the state of the art. Utilities and / or lines are shown in some cases, but in most cases they are not shown in the figures, but are part of it. Other technical design features that are self-evident but do not contribute to the solution are not shown (e.g. seals of connecting couplings, ventilation and exhaust, valves, etc.).

The illustrations and the description relating to FIGS. 17, 18, 19, 19a serve for information and are not a description of the invention. The representations of the description are exemplary representations of possible solutions and are not intended to limit the examples mentioned. Features, properties

Design options that are described for one of the illustrations can be transferred to other illustrations in the description and other solutions, if necessary, this is useful and / or technically possible, such as. B. the design with a supply device and / or a contact element and / or with another described feature, property, design option.

The figures in this description are examples [examples of arrangement, device, equipment, possible solutions, etc.] and are not intended to be restrictive at first, that is to say all the descriptions of the description are examples of other possible embodiments and are intended to include other embodiments. The representations are schematic and illustrative and are no information about the shape (e.g. of the mail applicator, of the carrier element, etc.), dimension, size, size relationships, etc. Furthermore, the example representations (and other possible further examples) should be combined with one another. The names and numbering of the pictures are identical and consistent [e.g. B. Schailapplicator (1), surface (20), carrier element (8), space between the Schailapplicator and object (16), etc., so that the names / numbering of a picture in other corresponding pictures can be adopted]. The design features as described for the illustrations are changeable and can be changed. Described design options can be removed, new design options can be added [e.g. B. by supply elements, line elements, electrical contact elements as they are presented elsewhere in this description]. That means the representation in the pictures represents the basic principle and one Solution to this, this can be modified.

1 to 3e a description of an adhesive element (2) is given as a special form of a carrier element. The adhesive element is intended to be able to easily and quickly attach / attach a mail applicator (1) and / or a carrier element and / or a device and / or a supply device to a surface and / or an object. In addition to a biological system, an object can also be a technical object, e.g. B. a wall, a tub, a treatment device, a vessel, a container, etc. The illustrations in Figures 2 to 3e are examples of how a connection between a mail applicator and an adhesive element (for a carrier element the corresponding applies and will be shown later) at least one supply line can be closed [in the above figures Fig. 2 - Fig.3e it is the line between a supply device (13 / 13a) for the energy / power supply, the sound generation, the electronic Control and the sound generator]. Fig. 1 - Fig. 1c. Adhesive element (2), carrier layer (2a), adhesive / adhesive layer (2b) for fastening the adhesive element on the surface (20) and / or on the object. Adhesive / adhesive layer (2c) for attaching the mail applicator (1) to the adhesive element (2). Sound-emitting surface (1a) from the mail applicator (1) [this sound-emitting surface is usually not shown in the figures in the entire description, the sound-emitting surface is generally aligned with the object to be treated).

Fig. 1 describes the attachment of an adhesive element (2) on one leg. In the illustration (2.1), two adhesive elements are attached all around the leg (around the leg like a bandage). In the illustration (2.2), the adhesive element has a square shape like a plaster, with a cutout in the middle for the mail applicator. Fig. 1a describes (detail) a simple adhesive element (2) consisting of the carrier layer (2a) and two adhesive / adhesive layers (2b, 2c). An adhesive layer (2b) for attaching the adhesive element to the surface and an adhesive layer (2c) for attaching the sound applicator to the adhesive element. In the example representation, the carrier layer (2a) has one layer. A carrier layer (2a) can also consist of several different layers. These layers can consist of different substances / materials and / or a combination thereof (e.g. solid, plastic, metal, fabric, etc.). These layers can have different properties and / or features (as described, for example, in the case of solids, plastics) and / or can also have different functions. The carrier layer (2a) is preferably elastically and / or elastically formable in order to be able to attach an adhesive element around an object (example leg). The carrier layer is preferably elastic and / or elastic in the transverse and / or longitudinal direction.

Fig. 1b describes in a detail representation the attachment of the mail applicator (1) to the adhesive element (2) (which corresponds to the illustration in Fig. 1a), the mail applicator (1) in the edge area of the sound applicator through the adhesive / adhesive layer (2c) on Adhesive element (2) is attached / connected. The adhesive element (2) is attached to the surface (20) with the adhesive / adhesive layer (2b).

Fig. 1c describes in the excerpt an example in which the mail applicator in the edge area Design [in the example in FIG. 1c, this is a cone-shaped design (14) of the edge area, wherein the designed edge area can be made of the same material / fabric and / or of different material / fabric as the mail applicator. Examples for the design of the edge area in Fig. 14a, Fig. 14b and other images]. The adhesive element (2) is also designed in the example of FIG. 1c and, in addition to the adhesive / adhesive layer (2c), has a groove-like recess (14a) through which the mail applicator with its peg-shaped design (14) is to be mechanically connected. The groove-like recess (14a) and / or the peg-shaped configuration (14) can also be additionally coated with an adhesive. The adhesive layer (2c) of Figure 1c can be omitted as one possibility. The peg-shaped and groove-like design is an example of how a mail applicator can be mechanically connected to an adhesive element [and / or also to a carrier element]. The groove-like depression can run like a joint along the length of the adhesive element (or in the transverse direction) and / or the groove-like / hole-like depression is located at certain points of the adhesive element. This also applies to the edge area of the sound applicator, which must correspond to the adhesive element in its design.

1b and 1c, the adhesive element (2) is attached to the surface (20) by an adhesive / adhesive layer (2b). The sound applicator is attached in the edge area of the sound applicator. Depending on the height of the adhesive element (2), there is a distance between the mail applicator (1) and the surface (20) with a space (16). If this space from the adhesive element, for. B. Completed on all sides as in FIG. 1 in the attachment (2.2), an interior space (16) is created which is closed off from the surroundings and, for example, with a cavitation liquid and / or another liquid and / or another not very viscous Fabric can be filled. If a subaqual treatment takes place or if a more viscous coupling medium (e.g. a gel) is used, the all-round closure is not critical. Another possibility is that the mail applicator can be connected to the adhesive element over the entire surface, the adhesive element then having to be sufficiently sound-conducting. It may also be possible to reduce the adhesive element to an adhesive layer, so that the mail applicator can be attached directly to the surface with the adhesive layer. Fig. 2 - 2e (Fig. 2 - 2c are detail representations. The adhesive element (2) from Fig. 1a is used with an additional contact layer (3). In the example representations of the illustrations Fig. 2 - Fig. 3e has this contact layer (3) has at least the characteristic of electrical conductivity and is used for the power supply / signal supply (+/-) and for controlling the sound applicator (1). The contact / contact layer (3) is first of all in accordance with the aforementioned function from any electrically conductive or potentially electrically conductive substance / material and initially of any shape, size, length, width, dimension, etc.

In the example representation of FIG. 2, the contact layer (3) is embedded in the carrier layer (a) and is open / exposed to the side facing the mail applicator. In the figures from FIGS. 2 to 2 e, the supply device is external, the supply line from the supply device takes place via lines (+/-). Backing layer (2a), adhesive layer (2b) for fastening the adhesive element on the surface and / or on the object. Adhesive layer (2c) for attaching the mail applicator (1) to the adhesive element. Sound-emitting surface (1a) from the mail applicator (1), contact layer (3). Fig. 2a describes the adhesive element from Fig. 2 plus the Schailapplicator (1), which is to be attached with the edge area on the adhesive element (2) in the direction of the arrow [only the edge area is shown]. The contacts (5) with leads (6) to the electrodes (4) (at least one contact per electrode) are located in the edge area of the sound applicator.

2b describes the attachment of the sound applicator (1) to the adhesive element (from FIG. 2a). By attaching the sound applicator (1) to the adhesive element (2), the contact (3) of the adhesive element contacts the contact (5) of the sound applicator. A connection is established between the aforementioned external supply device and the electrodes (4), the mail applicator is ready for operation. It is attached using the adhesive layer (2c).

Instead of a contact layer (3), individual, isolated contact points (3) are also possible, both of which are called contacts (3).

2c describes, as a further example, an adhesive element (2) with a contact (3), in this example this contact being embedded in the carrier layer (2a) and separated by a further layer (2c) [e.g. B. an adhesive layer] is isolated from the outside. The mail applicator (1) has in the edge area

Contacts (5) which are designed in the form of a dome. Cables (6) lead from the contacts (5) to the electrodes (4). If the mail applicator is placed on the adhesive element (2) in the direction of the arrow in order to connect it to the adhesive element, the mandrel (5) pierces the layer (2c), a connection is established between the supply device and the electrodes. 2d describes the attachment of an adhesive element to a leg by partially or fully attaching the adhesive element (2 pieces, +/-) to the leg (2.1) or the adhesive element is similar to a plaster as in the attachment (2.2) attached, with a recess (16) for the mail applicator. The contacts (3) on the adhesive element and the electrodes / contacts (4/5) on the mail applicator (1) are arranged in such a way that the mail applicator can be rotated by 90 ° to supply the electrodes. A corresponding design of the electrodes / contacts (4/5) for the attachment (2.1) is also possible.

View of the sound applicator from below, the side later facing the leg. Fig. 2e, the Schailapplicator (1) is attached to the adhesive element (2.2).

3 - 3f

Further than in the figures from Fig. (1) to Fig. 2e are solutions in which the adhesive element (2) contains at least one supply device (13 / 13a) as a component (the supply device can be integrated in or attached to the adhesive element). This is illustrated using an example where the supply device is used to supply energy and control the sound applicator. If the mail applicator (1) is connected to the adhesive element (2), contact is established between the contact points (3) on the adhesive element and the contact points (5) on the mail applicator.

3 - 3f, the contact points (3, 5) are simultaneously designed as mechanical connections. The energy supply line (12) from the supply (13 / 13a) to the contact point (3) can be represented in different ways (some examples are shown in Fig. 3, Fig., 3c, Fig. 3d shown).

Figures 3, 3a, 3c, 3d are a top view, Figures 3b,

3e are a cross-sectional side view.

Fig. 3 - Fig. 3f, Schailapplicator (1), adhesive element (2), contact (3) on the adhesive element, electrodes (4) from

Mail applicator, contact (5) on the mail applicator, supply line (6) from contact (5) to electrode (4),

Supply line (12) from the supply device (13 / 13a) to the contact (3), energy supply (13),

Sound generator / control (13a), supply device (13 / 13a). The contacts (5a and 3a) have no forwarding function but serve for mechanical fastening. Carrier element (8),

Device (9) comprising at least one carrier element and at least one mail applicator.

Fig. 3 describes the Schailapplicator (1) and the adhesive element (2), both are not connected to each other. Since only one of the two adhesive elements (2) carries a supply device (13 / 13a), only the contacts (3) are functional. The contacts (3a) of the second adhesive element without a supply device can only be used for mechanical fastening of the sound applicator. Accordingly, the contacts (5a) of the sound applicator are also only mechanical

Attachment provided. A lead (6) to the electrodes (4) is provided by the contacts (5) but not by the contacts (5a). When attaching the sound applicator to the adhesive element, care must be taken to determine which side of the sound applicator is to be attached to which adhesive element (e.g. by marking on the adhesive element and mail applicator). FIG. 3a describes the mail applicator (1) which is connected to the adhesive elements (2) from FIG. 3 and is therefore functional. The contacts (3) touch the contacts (5), the supply of the electrodes (4) is established. In Fig. 3a, an additional elastic element (38) is shown as an additional design element, which in the stretched shape (38a) has a restoring force in the direction of the arrow. The elastic element should enable a better and firmer attachment to an object (e.g. leg, arm).

Fig. 3b as a side view of Fig. 3. The adhesive strip (2) is attached to the surface (20) by an adhesive layer (2b). The mail applicator (1) with a sound-emitting surface (1a) is mechanically connected to the adhesive element. Power supply (13) and the sound generator / control (13a), for. B. in foil form, are attached above the adhesive strip (2) on the adhesive strip. Supply line (12) from the supply device to the contact (3). The contact (3) contacts the contact (5) of the sound applicator, from there the energy / signal transmission (6) to the electrodes (4) takes place. In the example, the schail applicator is applied flat on the surface (20) and makes full contact with the sound-emitting surface (1a). Not shown in the example are further possibilities that a thin layer of a coupling medium (e.g. an ultrasound gel) or an active substance carrier layer (e.g. a polymer film) can be applied between the sound-emitting surface (1a) and the surface (20). etc.

3c describes an adhesive element (2) in a rectangular shape (e.g. as a plaster, bandage, etc.) with a recess in the middle for the mail applicator (1). In this arrangement, the mail applicator can be rotated through 180 ° (by means of an appropriate circuit / wiring on the

Mail applicator with further contacts and electrodes would also be possible 90 °). The contacts (3a, 5a) only serve for mechanical fastening as in Fig. 3, but not for

Power supply / signaling. Any other shapes (e.g. round, square, etc.) are also possible.

Fig. 3d, both adhesive elements (2) each contain at least one supply device (13 / 13a). The segmented mail applicator (1) contains several electrodes, one of each

Electrode pair (+/-) can be controlled together and depending on each other. Here too, the alignment of the sound applicator with the adhesive elements should not be taken into account. The mail applicator can be turned through 180 °. Fig. 3e as a side view with an adhesive element (2) [in supervision as a ready-made round plaster with a recess (16a) in the middle for receiving the mail applicator]. The adhesive element is designed with a hollow-body-like elevation in the part which is to receive the mail applicator. In this survey, the groove-like contacts (3.1) and (3.2) running around the inner circumference of the survey are attached. Supply lines (12) lead from the supply device (13 / 13a), which is attached to the adhesive element, to the contacts (3.1) and (3.2). The adhesive element (2) is attached / connected to the surface (20) with an adhesive / adhesive layer (2b).

The mail applicator (1) is equipped with [its round circumference] circumferential, pin-like contacts (5.1) and (5.2). From there, lines (6) lead to the electrodes (4). The arrangement of the circuit allows the contact (5.1) to always meet the groove (3.1) and the contact (5.2) to always meet the groove (3.2), regardless of the orientation of the sound applicator. This can be rotated 0 to 360 ° in its axis.

The mail applicator (1) is placed on the adhesive element (2) in the direction of the arrow and connected to the adhesive element. The contact (3.1) contacts the contact (5.1) and the contact (3.2) the contact (5.2). Between the sound-emitting surface (1a) and the surface (20) there remains a space which can be filled with a substance / medium, e.g. B. with a

Cavitation. In this example, the mail applicator does not make contact with the surface (20) with its sound-emitting surface (1a).

By a different design of the mail applicator and / or the adhesive strip [z. B. by lowering the contacts (3.1) and (3.2)], a contact between sound-emitting surface (1a) and surface (20) can be achieved. Further options will be presented later. The supply device can be integrated in the adhesive element and / or attached to the adhesive element on the surface (as in FIG. 3e). The supply device can be designed in the form of a film or in another suitable form. In Fig. 3f a device (9) from the carrier element (8) and mail applicator (1) is shown. The device can be attached to the adhesive element (e.g. from FIG. 3e). The contacts (5.1) (5.2) run around the carrier element as it was shown in Fig. 3e for the mail applicator. The distance from the mail applicator can be determined by the design of the support element (e.g. overall height, position of the contacts (5.1, 5.2) above, below, in the middle of the support element and / or by other design features [e.g. thread] etc.) be adjusted to the surface.

The following figures show devices (9) made from carrier element (8) and mail applicator (1). An adhesive element (2) is a special version of a carrier element. The description of the adhesive element can, if technically possible, be transferred to a carrier element if required. Overall, carrier elements are more variable than an adhesive element. Devices (9) from the following figures consisting of at least one mail applicator and at least one carrier element are more variable than devices consisting of at least one mail applicator and at least one adhesive element. For example, they are more variable because a device can consist of several carrier elements, carrier elements can have different shapes and / or functions.

Figures 4 - 3b are detail representations of some devices (9) for establishing a connection between the mail applicator and the supply device (13 / 13a). Fig. 4-4b. Mail applicator (1) with a sound-emitting surface (1a), the electrodes (4) of the sound applicator, contact points (5) on the mail applicator and the lines (6) from the contacts (5) to the electrodes (4). Carrier element (8), second carrier element (8a), contact points (3) from the carrier element, lines (12) from the supply device (13 / 13a) to the contacts (3) on the carrier element.

The attachment of the sound applicator and / or the attachment of a device consisting of a mail applicator and carrier element to a second carrier element is carried out mechanically in the example representations. The attachment can also, as described for example in the case of the adhesive elements, take place in a different way (also the definition of connections which follows later).

The supply device (13 / 13a) is for the power supply, signal supply and control of the sound applicator. Other utilities are also possible and will be described later. The supply device for supplying the sound applicator is exemplary and, if this is technically possible and there is a need, the description can be transferred to other supply devices.

Fig. 4 describes a device (9) consisting of a mail applicator (1) and a carrier element (8). This device is to be mechanically attached to a second carrier element (8a) with a supply device (13 / 13a). The carrier element (8) is designed in such a way that part of the carrier element has a peg-shaped configuration and this is provided with a (positive) thread (46) [made from the same material as the carrier element and / or from a different material]. Contacts (5) are attached to the tip of the peg-shaped design and in the threaded part of the peg. Cables (6) lead from these contacts (5) to the electrodes (4) of the sound applicator (1). The second carrier element (8a) contains a supply device (13 / 13a), which is integrated in the carrier element (8a) in the example of FIG. 4. Cables (12) lead from the supply device (13 / 13a) to contact points (3) in the carrier element (8a). The carrier element (8a) has a groove-like depression in the size corresponding to the peg-like configuration of the carrier element. This groove-like depression is equipped with a (negative) thread (46a), so that the device (9) can be screwed into the carrier element (8a). The contacts (3) are attached to the bottom of the groove-like depression and all around in the threaded part. If the device (9) is screwed into the carrier element (8a), there is a connection between the supply device (13 / 13a) and the Mail applicator (1).

Fig. 4a shows a device (9) from Schailapplicator (1) and carrier element (8). A supply device (13 / 13a) is integrated in the carrier element. Cables (12) lead from this supply device to external pin-like contacts (74) on the carrier element (8). The supply device is not directly connected to the electrodes (4) of the sound applicator. There are contacts (5) on the device (9), from which lines (6) lead to the electrodes (4).

An additional support element (8a) is in the form of a hollow cylinder and is attached to the surface (20) on one of the two open sides of the hollow cylinder with the edges by means of an adhesive (2b). The hollow cylindrical support element (8a) is equipped with two different contacts (73) and (3), lines (12a) connect the contacts (73) and (3). The contacts (73) have pin-like depressions. If the device (9) with the pin-like contacts (74) is inserted into the hollow cylindrical support element in the contacts (73), the contacts (3) contact the contacts (5) in the device (9). The connection from the supply device (13 / 13a) to the mail applicator is established. This device of FIG. 4a is advantageous if the device (9) is to be exchanged for at least one further device during a treatment. The further device can also be a device with an ultrasound applicator (e.g. a different frequency) and / or a device of a different form of treatment (e.g. a physical form of treatment, active substances, etc.). Fig. 4b describes a device consisting of a mail applicator (1) and a carrier element (8), the carrier element having a hollow cylindrical shape, at one end / opening of which the mail applicator is attached, and in this example the mail applicator is attached transversely to the carrier element. In this example, the mail applicator is attached directly to the carrier element, without a further, additional carrier element. The carrier element (8) is directed with the second opening onto the surface (20). There is an adhesive layer (2b) on the edge of the carrier element facing the surface. With this the carrier element contacts the surface and with this HafWKI layer (2b) the carrier element (8) is attached to the surface (20) in this example (other possibilities are shown elsewhere). The supply device is located externally / outside of the carrier element [one

Supply device could also be located inside the carrier element in the interior (16), integrated in the carrier element or attached to the carrier element outside]. Supply lines (+/-) lead from the supply device to the contacts (3) in the carrier element. These lines (+/-) can be permanently and permanently connected to the carrier element or are connected to the carrier element (e.g. with the aid of a coupling) and can be separated again. The contacts (3) are groove-shaped / hole-like. The contacts (5) on the mail applicator are cone-like / pin-like and connect the contacts (5) to the electrodes (4) with lines (6). The mail applicator is plugged into the groove-shaped contacts (3) in the direction of the arrow with the pin-like / pin-like contacts (5). The interior (16) is then closed off from the outside, a connection between the supply device and the electrodes (4) of the sound applicator is then established. 5-5e describe the modular structure of a treatment system, the device (9) comprising the mail applicator (1) and carrier element (8) forming the basis. Another device (10), in the example from an additional carrier element (8a) and a supply device (13 / 13a) [in the example from FIGS. 5-5e, the supply device is the power supply, the sound generator, the electronic control for the mail applicator ]. Another supply device, in the example a reservoir (19), which completes the cavitation medium (in the example, the water with carbon dioxide dissolved therein), the treatment system of this example. The carrier element (8) is joined to the device (9) with the mail applicator (1). In the given example, the mail applicator is not functional in the device (9) because the power supply, the sound generator and the control are missing. The mail applicator becomes functional when the device (9) is connected to the device (10). An additional supply device, the reservoir (19), can be connected to the existing device in order, for example, to influence a treatment (in the present example it is a cavitation medium).

Figures 5-5e. Mail applicator (1), adhesive surface (2b), contact (3) on the additional carrier element (8a), belonging to the supply device (13 / 13a). Electrodes and contacts on the mail applicator (4/5). Surface (20). The lines (12) from the supply device (13 / 13a) to the contacts (3) and the lines (6) from the contacts (5) to the electrodes (4) are not shown, since in the example of FIGS 5e the device and the electrodes are to be equipped with contacts. In Fig. 5 the devices for treatment are not yet assembled. A carrier element (8) contains lines / channels (24) for the forwarding of a substance, for. B. a liquid. The channels are closed at their ends (mouth, mouth) by capsules (59). On the underside, the carrier element is provided with an adhesive layer (2b) for attachment to the surface (20). On the upper side, the carrier element (8) is provided with a groove (14a), this groove can be circumferential or only in certain positions on the carrier element. The carrier element is provided with a recess (69) for the mail applicator.

The channels (24) contain a mechanical, conical part (47), which is described in Figure 6a and which has a function when the reservoir is attached. In the example, the device (10) consists of the carrier element (8a), which is provided on the underside with pins (14) made of the same or different material as the carrier element. The carrier element contains the supply device (13 / 13a) and the contact points (3). The carrier element (8a) has channels, each of which is closed with a capsule (59) in the present example. The channels can be opened by removing the capsules and closed again by the capsules.

The reservoir (19) with the outer shell / housing (19a) and the inner volume (19b) is filled with water containing carbon dioxide as the cavitation medium in the example. Tubular lugs (62) on the reservoir are open to the interior of the reservoir and are in contact with the cavitation medium, the other side of the lugs is sealed with a seal (61) [e.g. B. a film, a protective cap, etc.] closed so that the cavitation medium can not leak from the reservoir.

The lugs (62) must fit the channels of the carrier element (8a) in diameter. Per approach (62) on the reservoir (19) should have a corresponding channel in the carrier element (8a) and carrier element (8).

Fig. 5a. As a first step, the carrier element (8) is attached to the surface (20) with the adhesive surface (2a). The capsules (59) are removed, the channels (24) with the conical part (47) are visible, Fig. 5b. The mail applicator (1) is attached to the support element (8) at the intended location. In the example, the mail applicator is placed in the recess (69) provided on the carrier element.

5c, 5d. The device (10) comprising the carrier element (8a) and the supply device (13 / 13a) is mechanically fastened with the pins (14) to the carrier element (8) with the groove (14a), for example by placing the device (10) on the Device (9) is pressed so that the pin (14) and the groove (14a) fit together. The contacts (3) of the device (10) contact the contacts (5) of the sound applicator (1). The line from the supply device (13 / 13a) to the electrodes (4) of the sound applicator is established. The assembly of the device (9) and the device (10) creates a space (16) which is closed off from the outside. The space (16) via the channels (24) with a material such. B. a liquid to be filled when the capsules (59) are removed.

Fig. 5e. In the example, the reservoir (19) is plugged onto the device (10) by guiding the shoulders (62) into the channels (24) of the device (10). The conical part (47) penetrates the seal (61) at the lugs. The cavitation medium can thus flow from the reservoir through the channels into the space (16) (no ventilation / aeration from the reservoir or from the space (16) has been drawn in. The cavitation medium flows from the interior (19a) of the reservoir (19) through the Channels and exits from the channels into the space (16) in openings (24a) near the surface.

Figure 6-6c also describes a device to which a utility device can be attached.

6 - 6c. Mail applicator (1), carrier element (8), the space (16) formed by the device and the surface (20), contact element (17). Container (44) as part of the support element which can be opened and closed again, e.g. B. with a lid (45). Reservoir (19) with an opening which is closed by a protective film (61) or the like. There is a substance inside the reservoir (e.g. an active ingredient, a cavitation medium, etc.). Supply device (power supply 13, sound generator / control 13a), the z. B. is attached in foil form to the carrier element (8), with lines (12) from the supply device (13 / 13a) to the mail applicator (1). The mail applicator can be attached to the carrier element and detached again [the contacts (3) and (5) and the electrodes (4) are not shown in the example in FIG. 6], or the mail applicator is firmly connected to the carrier element

Fig. 6 describes a carrier element (8) with a special design of the carrier element. Design in the form of a type of chamber (44) for the introduction and / or removal of at least one further device, for example a reservoir (19) which can be filled with and can release at least one substance and / or for receiving at least one Material. The type chamber (44) is mechanical in the example and can, for. B. can be opened and closed by a cover (45) [with hinge (22) and lock / bolt (21)].

There is an opening (24) between the chamber (44) and the space (16) formed by the device (9) and the surface (20) [in the example, this opening (24) leads through the surface of the sound applicator (1)] which is formed by the conical mechanical part (47).

The device is designed in the form of a disc in the example. The device (9) or the carrier element (8) is equipped with at least one contact element (17) in the edge region that contacts the surface (20). In the bottom of the chamber (44) there is a conical or thorn-shaped part (47), which is shown in simplified form in the partial illustration in FIG. 6a. The part (47) is conical in shape with a continuous channel and an opening (24) on both sides.

The part (47) projects above the bottom of the device (44). If the reservoir (19) is placed in the opened device (44) in the direction of the arrow with the seal / protective film (61) downward and the cover (45) is closed, the cover (45) presses the reservoir (19) in the device (44) down and the part (47) pierces the protective film / seal (61). In Fig. 6b (illustration without the supply device and without lines, contacts, etc.), a connection is established between the interior of the reservoir (19) and the interior (16) of the device. The substance can reach the space (16) from the reservoir (19) through the opening (24). In Fig. 6c at least 2 utilities [z. B. supply device (13 / 13a) and supply device (19)] and an additional carrier element (8a) combined to form a device. For example, a supply device (13 / 13a) for the power supply, the signaling, the control of the sound applicator (1), another supply device (19), for example as a reservoir (further options for the supply device are shown elsewhere). The device (9) [carrier element (8) and mail applicator (1)] has a continuous opening (24) in the example of FIG. 6c. In the edge area of the opening there are contacts (5) with lines (6) to the electrodes (not shown in the figure) of the sound applicator. The

Supply device (13 / 13a) has feed lines (12) to the contacts (5) on the additional carrier element (8a). If the device is pressed into the opening of the carrier element (8) in the direction of the arrow, then the contacts (3) contact the contacts (5), which in the example are simultaneously a mechanical attachment of the device to the carrier element (8). The mail applicator is powered and controlled.

In the example, the second supply device is an active substance reservoir (19), the active substance via a permeable / permeable wall / floor (24a) [z. B. arbitrarily shaped openings, channels, holes, membrane, etc.] of the reservoir can get into the room (16). Further design options can consist in that at least one supply device can be attached to the additional carrier element (8a). This supply device is firmly connected to the additional support element (8a), it is better if the at least one supply device can be removed from the support element again, for. B. if one active ingredient is to be exchanged for another during treatment. A supply device of the device (10) can be, for example, an active substance depot, a second supply device can, for example, be a supply device for electronic control of the active substance delivery. Further design options result from the corresponding possibilities of the utilities shown elsewhere.

Figures 7-7d describe some other ways to attach a reservoir to a device. Figures 7. 7d describe the mechanical attachment of a reservoir (19) to a device (9) comprising a carrier element (9) and a mail applicator (1). After attachment to the device (9), the reservoir (19) can be firmly connected or can be separated again.

Fig. 7 - Fig. 7d, Schailapplicator (1), carrier element (8), space (16) which is formed by the surface (20) and the device (9). Openings (24) in the carrier element (8). Lock (22) and inlet / outlet nozzle (63) with a capsule (59) on the reservoir (19). Further design features of the reservoir (19) can be openings (24) in the reservoir through a seal (61) [z. B. a protective film] are closed.

Fig. 7 In the example, the carrier element is a cylindrical hollow body, in which one side is open and with this side is directed towards the object. The device (9) comprising the carrier element (8) and the mail applicator (1) contacts the surface (20) through contact elements (17). Openings (24) are located on the top of the carrier element / the device to the side of the sound applicator (1). The mail applicator is attached to the carrier element on the side opposite the surface. The space (16) formed by the surface (20) and the device (9) is initially empty. A reservoir (19) with inlet / outlet nozzle (63) and at least one movable lock (22) [z. B. clasp, bracket] for attaching the reservoir to the device (19) or

Carrier element (8). The carrier element (8) has at least one notch (71) on which the clasp (22) for fastening the reservoir to the carrier element snaps (FIG. 7a).

The reservoir has a T-shaped part (49) which partially protrudes from the reservoir through an opening and is partially in the reservoir. The part (49b) in the reservoir has an insulation / seal (61) on the underside, with this insulation the openings (24) at the bottom of the reservoir are closed. The part (49a) which protrudes from the reservoir is provided with a compression spring (48), this compression spring pressing the T-shaped part (49) against the inner bottom of the reservoir and thereby opening (24) with the insulation / seal (61) ) closed in the bottom of the reservoir. Fig. 7a, the reservoir (19) is placed on the carrier element (8) in the direction of the arrow, the clip (22) snaps into the notch (71). The T-piece (49) is raised, the spring (48) is tensioned, thereby opening the openings (24) in the bottom of the reservoir, a connection between the interior of the reservoir and the space (16) of the device (9) is made. The substance in the reservoir (19) can reach the space (16) through the openings (24). If the reservoir is removed from the device again, the tensioned spring presses the T-piece (49) back into the starting position and closes the openings in the bottom of the reservoir again. The inlet /

Outlet plunger (63) can be used for venting the reservoir and / or for filling and / or

Drain the reservoir.

In Fig. 7b and Fig. 7c only the parts that are new are discussed.

7b, the reservoir (19) and the carrier element (8) are provided with a thread (46) in order to be able to screw the reservoir onto and off the carrier element.

Fig. 7c, the reservoir (19) and the carrier element (8) are with a mechanical coupling provided, which is described in Fig. 7d.

Fig. 7b, Fig. 7d. At least one opening (24) with a guide (64) for the device (47) is located in the bottom of the reservoir (19). The opening is through a seal (61) [z. B. a protective film] closed, in the example of Fig. 7b. Fig. 7c from the outside. The carrier element (8) is provided on the upper side opposite the surface (20) with a device (47) [which was shown in FIG. 6a]. If the reservoir (19) is placed on the carrier element (8) in the direction of the arrow and connected to it, the device (47) pierces the insulation (61) on the bottom of the reservoir. The connection from the reservoir to the room (16) is established. The substance can pass from the reservoir through the opening (24) of the device (47) into the room (16). The connection is established in FIG. 7c. In Fig. 7b the Schailapplicator is in space (16), in Fig. 7c on the side walls of the carrier element. 7d describes a possible embodiment of a mechanical coupling of reservoir (19) and carrier element (8). The carrier element is in the side wall with at least one guide channel (66) for receiving the device (19.1) with groove-like depressions (14a) from the reservoir. In the guide channel, hemispheres (67) are attached in the example, which are movably supported by springs (48) and yield under pressure. If the device (19.1) is inserted into the guide channel (66), the hemispheres (67) give in and snap into the groove (14a). The reservoir can also be removed. The device (19.1) is an extension (leg) from the reservoir (19).

In Figures 8 to 8e, at least one mail applicator (1) is attached to at least one support element (8). The attachment / connection can be done in the manner as described elsewhere, e.g. B. on at least one edge of the sound applicator. The attachment of the sound applicator to the carrier element is flat in the illustrations mentioned, that is to say parallel to the surface of the carrier element [another possibility would be that the mail applicator perpendicular to the carrier element and / or at an angle between +/- 0 ° and +/- 180 ° to the

Carrier element is attached]. The carrier element can be shaped or the carrier element is first planar (e.g. as in FIG. 8) and is shaped after the sound applicator has been attached (e.g. as in FIGS. 8a, 8b and others). The shape can be, for example, to adapt the sound applicator or the device to the object, to the object shape (for example, of the leg and foot as in FIGS. 8b, 8c, 8e). By adapting the device or

For example, a cavitation layer can be better adjusted to the sound applicator on the contour (shape) of an object in order to allow cavitation to occur on the object surface and near the object surface. The example representations of the devices in FIGS. 8-8e are particularly (but not exclusively) suitable for a subaqual treatment (example representation of a subaqual treatment in FIG. 18) in a water bath, since the arrangement of the device from a mail applicator (1) and support element (8) on the leg or foot (as an example for an object) the space (16) between the object and the mail applicator or the device is not closed, but remains open to the environment and thereby a mass transfer (e.g. cavitation fluid ) between the layer (16) and the environment is possible. In Fig. 8d there is another element, a contact element (17). With this contact element, the space (16) can face outwards be completed.

The devices comprising the mail applicator (1) and the carrier element (8) are positioned and aligned on the object in FIGS. 8-8e by an additional holding device / holding device (15) (for example as shown in FIG. 18). , The devices shown in Figures 8 through 8e may include other design features. These are design features as described elsewhere in the description, for example the carrier element can contain at least one supply device and / or can be connected to at least one supply device. Figures 8-8e. Mail applicator (1), carrier element (8), space (16) between object and mail applicator, holding device (15).

8 shows a device consisting of a mail applicator (1) and at least one carrier element (8), the carrier element initially consisting of any material (e.g. plastic, metal, etc. according to the definition of substance, solid, plastic, etc.) and can initially have any properties, features, size, dimension, shape, function, etc. [according to the general description of a carrier element].

The mail applicator can be permanently connected to the carrier element or can be disconnected again. 8 (the support element (8) can also be designed, for example as a further possibility [eg in FIG. 9]. At least one further mechanical device / device (15) holds the device Device (consisting of at least one mail applicator and at least one carrier element) in position (e.g. horizontally and / or vertically adjustable, rotatable) and aligns the device to the object.

FIG. 8 a shows this device (called FIG. 8) comprising a mail applicator (1) and carrier element when adapting to a leg, the device [mail applicator (1) and carrier element] can be shaped in this example. The carrier element can, for. B. consist of a flexible material (z. B. a flexible plastic) and / or the carrier element can consist of several elements (71) made of mechanically inflexible material (z. B. a mechanically inflexible solid, metal, alloy, plastic, etc .) consist. These elements (71) can be flexibly connected to one another in an array form by means of a type of joint (68). A device consisting of a mail applicator and carrier element can be shaped manually and adapted to an object and / or the adaptation is carried out using a further device, such as, for. B. a mechanical device (18), the carrier element being attached to the device (18a). The shape can e.g. B. by turning the adjusting screws (18a). Further solutions can be, for example, that the adaptation is carried out with the aid of a motor, mechanically and / or electrically. Manually controlled and / or electronically. The carrier element can also contain such a device for shape adaptation.

Fig. 8b, the device (from Fig. 8) is adapted to the contour of the leg, schail applicator (1), carrier element (8), further mechanical element / device (15), distance (16) between the leg and schail applicator. FIG. 8c corresponds to FIG. 8b in supervision, with partial encirclement of the leg (a complete encirclement of the leg may also be possible with a larger device). 8d describes the adaptation of the device and the sound applicator to a leg. In addition, contact elements (17), which are attached to the edge of the carrier element, are added in the figure. With these contact elements, the interior (16) can be closed off from the surroundings when the contact elements run completely around the carrier element. A contact element can have other properties and functions that are described elsewhere.

8e shows the adaptation of the device to the heel. The room (16) is not closed off from the surroundings, but the room (16) is open to the surroundings.

Fig. 8f, a schematic attachment of a device, wherein the carrier element is flexible and can be adapted to a shape and thereby also a connection (z. B. with at least one contact element which is not shown) of the device to the surface is possible. The carrier element can be mechanically flexible and / or mechanically flexible in parts.

Figures 9 to 9g describe preformed devices consisting of at least one mail applicator and at least one carrier element. In FIGS. 9 to 9c, the carrier element (8) has a hollow body shape (in a kind of hoop or clasp) with a round cross section. In the illustrations, the two halves of the carrier element can be opened [hinge (22)] and closed again by a latch (21), for example for placing on a leg, arm, etc. At least one mail applicator (1) can cover the inner surface of the hollow body-shaped carrier element line completely or partially.

The device can be attached to an object (e.g. a leg) such that there is a distance (16) between the mail applicator and the surface (e.g. as described similarly to FIG. 8c). With such an attachment, a mass transfer between the room (16) and the environment can take place. By attaching contact elements (17) [corresponding to the figure Fig. 9d], which at the upper and lower ends of the carrier element in full

Are attached inside diameter, the device can be closed to the environment. In the interior (16), which is formed by the device, the contact elements and the object surface (20) (FIG. 9d), a cavitation medium can be filled, for example, for a cavitation treatment. In Fig. 9c, the mail applicator (1) contacts the object (leg). The contact and the adaptation of the sound applicator to the shape of the object is to be improved by a volume-elastic element (25) [description of the volume-elastic element in FIGS. 15-15c)]. FIGS. 9e to 9g describe devices which do not include an object in its entirety but only in part (e.g. in FIG. 9e). One of the devices described in FIGS. 9e to 9g can be attached to the object by an additional device (39) (for example, like a wristwatch).

The mail applicator is preferably a mechanically flexible mail applicator, e.g. B. a sound pressure reinforced PVDF film, an Araaysystem, a system made of porous piezoelectric polymers.

The devices in FIGS. 9-9g can also be used with additional Design options are equipped, for. B. with at least one supply facility. The device can be attached and held on the object without a further device, or the device is held on the object by an additional holding device. The devices in FIGS. 9-9g, in particular the carrier element (8) and / or the other layers, consist of a mechanically inflexible or a mechanically flexible material and / or of both.

In the general description of the carrier element, the carrier element (8) in the examples of FIGS. 9-9g can be, for example [as an example of many], a mechanically non-flexible substance and / or a mechanically flexible substance and / or a combination thereof. The carrier element should be completely or partially elastic and / or mechanically flexible so that it can be placed around an object.

9-9g. Mail applicator (1), carrier element (8), space (16), hinge (22), latch (21), volume-elastic element (25), contact element (17). Fig. 9 describes a hollow element-shaped carrier element (8). The support element consists of a mechanically inflexible material (e.g. a mechanically inflexible plastic, metal, metal alloy, etc.) and is divided into two parts, and can be opened and closed in this representation using at least one hinge (22) become. The carrier element (8) can be closed with an additional mechanical element, e.g. B. with a bolt (21). In the inner surface of the hollow body-shaped carrier element, at least one mail applicator (1) is attached / connected over the entire inner surface (as in the illustration in FIG. 12a, for example) or over part of the surface. The attachment is flat on the inner wall of the carrier element. Additional additional layers, such as. B. a volume-variable element (25) are possible according to the requirements. If the carrier element (8) is mechanically flexible, z. B. the device can be opened without a hinge. The carrier element can be elastic in the longitudinal and / or transverse direction.

In the illustration, the device is equipped as an option with at least one additional elastic elastic element (38), which in the stretched state is improved by a restoring force in the original shape in order to adapt the device to an object. Fig. 9a. The elastic element (38) is too elastic and, when stretched, has a restoring force in the direction of the arrow. Due to the contraction (return in the stretched state by the restoring force) of the element (38), the inner surface (mail applicator) of the device of FIG. 9 is better pressed against the surface and can thereby improve the contact between the mail applicator and the surface, even if between Mail applicator and surface is a coupling medium. FIG. 9b shows the device from FIG. 9 in the open state when placed on a leg.

FIG. 9c shows the device from FIG. 9 after being placed on a leg. The mail applicator contacts the leg. The adaptation to the shape of the leg is improved by a volume-elastic layer (25). The device can also be set so that a distance remains between the mail applicator and the leg. Fig. 9d. The space (16) formed by the mail applicator (1) of the device and the surface (20) can be closed off from the outside by contact elements (17). The In Fig. 12c, contact elements (17) are attached to the inner upper and inner lower edge of the carrier element and run around the full inner circumference of the hollow cylindrical carrier element. Contact elements can be part of the carrier equipment and / or are additionally attached. Fig. 9e, the device when adapting to an arm (41) [in cross section]. In the illustration, the carrier element is designed according to FIG. 9 as a half-shell, which should also be fastened to an object, for. B. with at least one further mechanical element (39) such. B. a strap with Velcro (40) or with hooks and eyes and other closure options. Fastening element (42) for fastening the mechanical element (39) to the device. In Fig. 9f with contact elements (17) for adaptation to the arm. Between arm (41) and

Schailapplicator (1) in Fig. 9f, a space (16) z. B. can be filled with a cavitation medium if the space (16) by the contact elements (17) or by another measure and / or another element can be closed all around. If space (16) is not completely sealed off from the surroundings, the device can be used, for example, for subaqual treatment, and also if less fluid is used

Coupling medium, e.g. B. a gel, the complete completion of room (16) is not critical. An additional support element (8a) is attached / connected to a supply device (13 / 13a) on the device. The supply device can, for example, be a reservoir with an active substance and / or a cavitation medium and / or another supply device. Fig.9g. Adaptation of a device to a leg, support element (8), mechanical fastening (39).

Figures 10-10c are example representations of a preformed carrier element to which at least one mail applicator can be attached. The carrier element is only intended for one treatment, carrier elements which are intended to take on a very specific task for a very specific treatment and are preformed for this task, in these examples for the treatment of the heel and the underside of the foot.

Figures 10-10c. Carrier element (8) in the form of an insole, schail applicator (1) connected to the carrier element (8). The sole of the foot touches the mail applicator or there may be a coupling medium / sound-conducting medium between the mail applicator and the sole of the foot (e.g. a gel).

10 - 10c, carrier element (8), a (e.g. elastic) cushion element (31) lies on the carrier element (8) or is connected to the carrier element. At least one mail applicator (1) is attached to the upholstery element (31), which means that the mail applicator is connected to the upholstery element and / or there is at least one recess in the upholstery element for the mail applicator to attach the sound applicator to the carrier element (8). A

Design options [as it can also apply to other example representations] can be that the mail applicator [as described for carrier elements] z. B. can be inserted into the recess, wherein an electrical contact [as shown above], can be made and / or further connections to additional supply devices can be made. The electrodes for supply devices and supply lines are not shown.

A supply line can also be conservative, with supply lines from an external supply facility directly to the mail applicator.

The electrical supply line can also be provided externally and / or through the cushion element. Fig. 10b, Fig. 10c, the cushion element (31) is higher than the Schailapplicator, whereby a space (16) can be filled with a medium (z. B. cavitation liquid). The devices can be connected to other devices / devices, e.g. B. in connection with a vessel, tub, etc., for example in a foot bath to treat the feet. For example (Fig. 10c) further cushion elements (33) could be attached to the carrier element, for example these cushion elements could be fixed or movable, e.g. B. can also be removed and / or attached to different positions. For example, a carrier element such as a sandal (Fig. 10c) can be worn, fixation on the foot, for example, by at least one mechanical element (55) [e.g. B. belt], mechanical attachment (56) [or other type] of the belt to the support member. For example with a cushion / support element (34) at the back (e.g. in the Achilles tendon area), which e.g. B. fixed or can be movable by at least one joint (35). The illustration in FIG. 10c can be, for example, for positioning and fixing the foot during a treatment. For example, the device of FIG. 10c can be part of a further treatment device, for example a foot tub which, for. B. is filled with a cavitation medium.

Other possible design options, the sandal can be equipped with a sensor (pressure, pressure monitoring). The sandal can be designed with a special training for the toe area and / or other critical points. Furthermore, the shape of the support element (8) and / or the cushion element (31), (33) can be adapted to the foot (e.g. partially enclose the foot to give it support). Furthermore, the device can consist of one and / or at least two parts which can be put together and taken apart again (e.g. the carrier element can consist of one part or several parts) in order to better adapt and position the mail applicator on the heel to be able to reach the foot.

Fig. 11, Fig. 11a shows a contact element (17) with a volume-elastic element (17b) and a further part (17a). This part (17a) is designed and contains a contact (29) which leads through the channel (12c) to the openings (24) in the contact element (17). A seal (17c) is attached in the area of contact (29). The carrier element has several channels (12, 12a) leading to the outside, which are not shown completely. A seal (61) can close off the channels. In Fig. 11a, the contact element (17) is coupled to a channel (12), the channel (12a) is closed by the seal (17c). The coupling of the contact element (17) to the carrier element (8) connects the duct / line (12) to the duct (12c) and, for example, a liquid can flow through the opening (24) into the space (16). The element (17b) contacts the surface (20).

Through a further design of the contact element and / or through further devices / elements [z. B. by a lattice structure at the opening (24) can be achieved, for example, that the liquid only slowly seeps into the space (16). Fig. 12, Fig. 12a. The carrier element (8) can be opened and closed to accommodate at least one mail applicator (1). In this example, the connection between the mail applicator and the carrier element is made by mechanical elements (23) that hold the mail applicator in place. The interior (16) [as in the example in FIG. 12a] can be open and / or closed. Between the carrier element (8) and the mail applicator (1) there are openings (24) to the intermediate space (16), ie the mail applicator does not end at the edge with the carrier element (8), but openings (24) remain through which z. B. a mass transfer can take place. However, it may also be the case that the mail applicator is firmly closed on the wall by the carrier element (8).

Figures 13-13d. Mail applicator (1) with sound-emitting surface (1a), support element (8), lines (12), electrodes (4), contacts on the mail applicator (5), (5.1), (5.2), contacts (3), (3.1) ( 3.2) from the support element. An arrangement of the contacts (3) on the carrier element (8) and the switching of the lines (12) can ensure that the electrodes of the sound applicator always meet contacts (3) in such a way that a complete connection is made and the mail applicator is functional. 13a shows a row arrangement of the contacts, FIG. 13b shows a point arrangement of the contacts (3).

Figures 13c and 13d. Pin-like contacts (5.1) and (5.2) are attached asymmetrically to the mail applicator (1). Groove-like contacts (3.1) and (3.2) on the adhesive strip (2) correspond to this arrangement. 13d shows the arrangement of the groove-like contacts (3.1) and (3.2) in a concentric arrangement, in the middle of the adhesive strip (2) a cutout for the mail applicator.

Such arrangements of the contacts (3) (5), the electrodes and the corresponding switching of the lines (12) are intended to ensure that when a sound applicator is attached to a carrier element, there is always a functional connection to a supply device, and even a layperson has such a connection can manufacture safely in order to put a device into operation.

14-14c show schematic examples of how an edge area (28) of a sound applicator (1) can be designed in order to fasten the mail applicator to the carrier element (8). The edge area can be made of the same or a different material than the mail applicator, the mail applicator can be mechanically connected at the edge area (e.g. with screws) or with a suitable adhesive. Fig. 14 the Schailapplicator (1) with edge area (28).

14a. The carrier element (8) is designed with a groove-like recess (14a), a pin-like design (14) of the edge region (28) is elastically supported by a spring (48). The edge area consists of two parts (28a) and (28b). Both are movable against each other. The compression spring (48) is attached to the part (28a). Part (28b) can be pressed against this spring and is movable because of the spring and can snap into the recess of the carrier element.

14b is corresponding. In the edge area (28) a ball (72) is elastically supported by a spring (48) [compression spring attached to part (28), the edge area can snap into the recess (14a) with the ball and presses the ball into the spring Recess (14a).

Fig. 14 shows a type of clamp for fastening the edge area (28). Two legs can go through a hinge can be opened. The contact (3) will snap into the recess with the contact (5) when the clamp is closed. A line leads from the contact (5) to the electrode. The coupling could be designed so that the contact (3) also represents the electrode for the mail applicator. After closing the clamp z. B. the upper leg can be moved backwards to tension the mail applicator.

Figures 15-15c

The close attachment of the mail applicator to the surface and / or the adaptation to the shape of the surface can be achieved, for example [as a solution] by volume-variable elements (25), as shown in FIGS. 15-15c. The shape adjustment by using volume-changing substances / elements and / or volume-changing support elements (25). Volume-variable elements (25) can be compressed and / or expanded in volume. In addition to the examples mentioned, element (25), carrier element (8) and mail applicator (1) can also be arranged. The use of more than one and / or different volume-variable elements can, especially taking into account that such an element can also be attached to the sound-emitting side and result in a multitude of possibilities through other arrangement options. The element (25) can also be a carrier element and / or act as a carrier element. The mail applicator is attached to the element (25) in FIGS. 15-15b. A volume-variable element can initially correspond to the description of a carrier element, the carrier element being at least elastically deformable and / or compressible and / or expandable, e.g. B. plastically formable solid, gel, foam, etc.

Figures 15-15c. Mechanically flexible mail applicator (1), volume-variable element (25),

Carrier element (8).

15a The device is adapted to the object (for example by pressing the device in the direction of the arrow) to the object (in the example, a foot) by pressing the device onto the object and compressing the element (25) when it is pressed against the object becomes. The mechanically flexible mail applicator can thus be better adapted to the surface and / or the shape of the object. 15b. The adaptation takes place by expanding the element (25), for example by filling the element (25) with a gas, a liquid, etc. Volume expansion through a chemical reaction and / or through a physical effect (e.g. heat) is also an option.

15c. The volume-variable element (25) can consist of a mechanically flexible envelope (25a) (e.g. a plastic film, a rubber film, etc.). This envelope is closed, in the interior (25b) of the envelope (25a) there is at least one other substance. This substance can be, for example, a gas, a liquid, a gel and / or another substance that can be compressed and / or expanded in volume and / or its shape is variable (deformable) under pressure. A Another possibility is to add and / or remove a substance during / during the adaptation of the casing (25a) and the interior (25b) by means of a suitable device (for example an inlet / outlet, valve, etc.). Another possibility is to fill the cover with the material bulging or less bulging (the element becomes more malleable).

Fig. 16 is a schematic representation where a carrier element (8) in the edge region of a plaster

(29) with plaster content (29a) is attached. A mail applicator (1), which is adjustable in height (if possible, it should also be mechanically flexible to adapt to the plaster) is attached to the mail applicator.

Contact element (17). Further details, including the coupling medium for coupling the sound applicator to the surface of the patch, have been omitted.

17 for information shows a sawtooth-shaped sound characteristic with sound burst (52), burst time t _b , interrupt time tj.

Fig. 18 for information. A subaqual treatment of a leg in a tub, the volume (16) of which is filled with water. A holding device for the mail applicator can be moved in the individual links (86) by joints (85). In the example, the holding device is attached to the tub (84), for example mechanically by means of a holding plate. In this example, the mail applicator (1) is fully immersed in the water.

19, 19a are for information and are not the subject of the invention. 19, 19a show examples of the design / structuring of PVDF films with the purpose of being transversal

Boost sound pressure power (the sound pressure perpendicular to the sound-emitting surface).

Lines (6), segmented electrodes (55), reference electrode (53), PVDF film (54), carrier material (58), waves in the carrier material (56), fastening points (57) of the PVDF film on the carrier material, coupling layer (16) , Surface (20).

19 shows an embodiment of a flexible sound applicator, at least two piezoelectric foils, preferably PVDF foils (54) being connected to one another, with a reference electrode (53) and segmented electrodes (55), the flexible schail applicator being at least two piezoelectric foils connected to one another has, preferably PVDF foils (54), and between the foils a reference electrode (53) is arranged which makes electrical contact with the piezoelectric foils, the reference electrode being switched to zero potential, the piezoelectric / piezoelectric foil / foils, better PVDF foils (54) have segmented electrodes (55), the piezoelectric / piezoelectric foil / foils, better PVDF foils, being arranged on the respective outer surfaces of the piezoelectric foil / foils, the segmented electrodes of the first piezoelectric foil, better PVDF film, and the segmented electrodes of the further piezoe dielectric film, better PVDF film, are arranged opposite one another and are poled differently. Electrical lead to the electrodes (56). 19a shows an embodiment of a structural film and a device comprising a spacer and a mail applicator, a piezoelectric film, preferably a PVDF film (54), on one molded carrier film (58) is fixed at points (56). Foil sound applicator with at least one piezoelectric film, preferably a PVDF film, the mail applicator having a wave-shaped piezoelectric film, preferably PVDF film (54), the piezoelectric film being fixed in its troughs, so that it contracts and dilation of the piezoelectric film act as a vibration node, the troughs of the piezoelectric film being fixed to at least one carrier material (58) which is arranged adjacent to the piezoelectric film, preferably PVDF film, the carrier material being a carrier film, the carrier material being on their surface oriented to the piezoelectric film has a structure with elevations, such as a wave structure or a nub structure or another structure or shape, and the troughs of the piezoelectric film on the opposite side

Elevations (56) of the structure are fixed (57), the carrier film is elastic and / or flexible and / or highly viscous and / or inelastic. The application of a voltage, which causes a contraction of the PVDF film, leads to a tightening with a strong z component in the movement due to the fixation. Between the PVDF film (54) and the surface, e.g. B. the skin (10) is the contact or coupling layer (16), z. B. a cavitation medium.

The following further description of further design represents further possibilities with which the above-described descriptions of the devices can be combined and / or used and are part of the description.

Cavitation treatment with surface and / or depth action and / or bioactive action will play an important role in the devices described, so the availability of a good cavitation medium is important. This applies to sub-aqua treatment as well as to other forms of treatment with a cavitation medium.

For cavitation treatment, the cavitation medium must contact the surface directly, and sound must be introduced into the cavitation medium. This can be done by completely or partially immersing the mail applicator in the cavitation medium or touching it at an interface. However, it can also be the case that the sound is transmitted from the schail applicator to at least one further sound-conducting layer / sound-conducting medium (initially with any layer thickness) and from this at least one layer further to the cavitation medium. The sound-conducting layer can be, for example, a gel, metal, alloy, metal-containing substance, plastic, plastic film, polymer, active substance carrier, porous solid, nanoporous solid, etc. Such a layer can also be a coating of the sound applicator. A corresponding sound-conducting layer as above can also be applied (coated) to the inner walls of the support element over the entire surface or over part of the surface (coating, for example, as an active substance reservoir, for improved gas bubble formation, gas bubble germ, as a gas reservoir, etc.).

Cavitation medium The effect of a cavitation treatment depends on the availability of cavitation-capable Gas bubbles on and / or on the surface. The enrichment of a surface and / or a layer / liquid layer near the surface with gas and / or gas bubbles is therefore advantageous for cavitation. The enrichment of the surface and / or the layer close to the surface is less good if a cavitation medium is used which already contains a large number of gas bubbles. The enrichment is better if the gas is brought to the surface in a very high concentration by the cavitation medium and gas bubbles for the cavitation are preferably formed in situ on and on the surface during the treatment, e.g. B. by the sound exposure to the cavitation medium during treatment. Such a cavitation medium can e.g. B. water or a water-containing liquid with a high / very high concentration of up to well over 1000 mg / kg (at 40 ° C, normal pressure) dissolved carbon dioxide. Suitable solutions are difficult to obtain because only a few natural sources meet the requirements. Processes have recently become available (e.g. Mitsubishi Rayon, Fraunhofer Institute) that allow technically suitable cavitation media to be manufactured. The solutions are also relatively stable in high / very high concentrations, which are present in almost saturated, often in supersaturated, form without the formation of gas bubbles, which are disruptive to cavitation (due to too many and / or too large gas bubbles, larger resonance size) , The carbon dioxide is predominantly dissolved in molecular form, also in the form of associated molecules and in a finely divided, homogeneous distribution of gas bubbles. Such a solution is suitable for use as a highly effective cavitation medium, and far better than a solution into which gas bubbles are introduced in a disperse, inhomogeneous manner.

In addition to the known dissociation equilibrium (which can easily be disturbed by internal and / or external physical and / or chemical influence on the solution and gas bubbles are formed in the above-mentioned border areas of the saturated / supersaturated solution), carbon dioxide is predominantly molecularly dissolved and / or in the form of an associated one Molecules (aggregation and / or association and / or cluster and / or micelle and / or other composite form) and as gas bubbles in finely / finely dispersed form. Overall, the solution is homogeneously distributed with a high availability of gas and / or gas bubbles in the entire cavitation medium. Carbon dioxide has a much higher solubility in water or water-containing liquids (serum, ethanol) than other biocompatible gases (e.g. air, oxygen). This is why carbon dioxide can be used to produce better cavitation media with high quality and with considerable advantages for cavitation.

Due to the high concentration and the finely dispersed, highly homogeneous distribution of the carbon dioxide, surfaces can be better enriched with carbon dioxide, since the gas comes directly to the surface through the cavitation medium (which touches the surface as the coupling medium of the sound applicator to the skin) and there enriched form for cavitation is available. So even under topographically difficult conditions (fine skin cracks, jagged wounds, pores,

Bacterial surfaces, captains), when the cavitation medium reaches these regions, cavitation still occurs. Due to the high distribution of carbon dioxide and the high (potential) availability of cavitation-capable and / or resonance-capable gas bubbles, the performance requirements of a sound applicator can be reduced (this is an advantage for a mechanically flexible mail applicator), the cavitation takes place at a lower intensity , the cavitation takes place more evenly, the cavitation can be better controlled and adapted to the application (e.g. gentle cavitation on sensitive surfaces [e.g. granulating wound], strong cavitation during cleaning, infections, etc.). Further features and advantages are that a sufficiently high cavitation activity (ie cavitation required for the treatment purpose) can be achieved even with low sound power. Large numbers of gas bubbles are quickly available for cavitation, and cavitation can take place without significant delay in the immediate vicinity of the object surface and / or on the object surface (e.g. by ensuring that a sufficient number of gas bubbles are available even in a small cavitation layer ), the cavitation can take place in high density and high distribution over the surface and / or volume (for example, cavitation should take place as evenly as possible and not “spot by spot”).

Carbon dioxide gas bubbles can be formed in the cavitation medium (e.g. through pressure changes, alternating pressure, sound pressure and other forms of energy [e.g. laser, high temperature], chemical influences [e.g. pH value], by reducing the solubility of carbon dioxide in the Water [Salting-out effect by adding at least one suitable substance, for example salts, ions, to the solution] Gas bubbles can be formed before and / or during the treatment

Sound treatment in the cavitation medium takes place in situ (i.e. close to the surface and on the surface). The cavitation medium represents a potential gas bubble reservoir (gas bubble source) from which cavitation-capable and / or resonant gas bubbles can develop and / or develop during the treatment by exposure to sound. Furthermore, gas bubbles, cavitation and the treatment or the effect of the treatment can be influenced in the cavitation medium by the sound properties, for. B. also during the treatment in order to be able to influence the treatment. The cavitation can thus be adapted and controlled to the requirements, the purpose of treatment, the biological system, the sound properties can be kept constant during the treatment or at least one sound property can be changed continuously and / or in time intervals (periodically) during the treatment.

Sound properties are, for example, the frequency and / or the sound intensity (intensity, sound pressure of the sound emitted by the mail applicator to the cavitation medium). Further sound properties are the sound characteristics (e.g. the signal / wave form, for example the pulsed form of sound emission and / or the continuous form and / or the frequency-modulated burst form and / or the sweep form and / or any combination of at least two possible shapes, for example the burst shape can be sawtooth-shaped and / or sinusoidal and / or rectangular and / or triangular and / or have another shape and / or any combination of at least 2 possible different shapes. For example, there may be a time pause between two sound bursts and / or the signal / waveform (for example, an asymmetrical signal and waveform with, for example, different pressure values in the absolute values [the absolute value of the positive pressure pulse is greater than the absolute value of the negative pressure pulse or vice versa] and / or asymmetrical time values [the positive pressure pulse lasts longer than the negative pressure pulse or vice versa] and / or other symmetrical and / or asymmetrical signal / waveforms and / or combinations of different signal ΛΛ / waveforms). Another (important) possibility is that sound with only one frequency or sound with at least two different frequencies is used. In the case of different sound frequencies, these can be used simultaneously or continuously alternating or alternating in time (intermittent). The sound emitted by the mail applicator can have any frequency, preferably between 20 Hz and 20 MHz, more preferably between 15 kHz and 5 MHz, at least one mail applicator should emit sound which is preferably in the frequency range from 20 kHz to 100 kHz.

The preferred cavitation medium made of water and carbon dioxide shown has advantages over other cavitation media in terms of better distribution and availability, better enrichment on surfaces (e.g. if very narrow cavitation layers (layers of the cavitation medium near the surface) are set and high cavitation activity is nevertheless to be achieved) , effectiveness, availability, etc.

Carbon dioxide dissolved in water in the form and quality shown is used without further chemical and / or physical intervention in the treatment of vascular diseases, in cosmetics, in the wellness area and in other areas of application. The carbon dioxide diffuses through the skin into the tissue, so it must be in a molecular and / or very finely divided form (finely dispersed) in order to be able to pass through the skin.

In the quality shown, carbon dioxide can be introduced into the water by new technical processes (e.g. hollow fiber membrane gas exchange, from Mitsubishi Rayon, Fraunhofer Institute). Such a cavitation agent can also be obtained from natural sources. The carbon dioxide can be introduced into the cavitation medium before and / or during the treatment, the gas can be formed before and / or during the treatment, the gas bubbles can be formed before and / or during the treatment.

One possibility is that at least one additional substance can be added to the cavitation medium before and / or during and / or after the ultrasound treatment, for example one Active ingredient that will be defined later.

Further design options for the cavitation medium A cavitation medium can be a liquid and / or a liquid mixture and / or a liquid-containing preparation and / or a liquid-containing medium and / or a liquid vapor and / or a liquid mist and / or another cavitation-capable and sound-conducting medium and / or sound conductive medium (which is liquid or partially liquid and / or vaporous during treatment). A cavitation medium should contain at least one gas and / or at least one gas should be able to form in the cavitation medium.

10 The selection of biocompatible gases is limited (in addition to the preferred carbon dioxide, air, oxygen, nitrogen, noble gases, organic gases and also gas bubble-like structures, such as are used in imaging diagnostics. The selection of non-biocompatible gases is much higher, and of them are some at least as good and / or more soluble than carbon dioxide (e.g.

15 ammonia, sulfur dioxide, organic gases, etc.). In principle, all possible cavitation processes / forms of cavitation from transient cavitation, gas cavitation, transitional forms of different cavitation forms should be possible, but preferably forms of cavitation that are partially, better completely and / or predominantly attributable to gas cavitation.

20 The cavitation should initially be independent of the mail applicator used (e.g. flexible, not flexible) and the technology for sound generation (e.g. piezoceramic, magnetostrictive), the shape, shape, size, etc. of the sound applicator. The sound frequency for cavitation and / or gas bubble formation should initially encompass a frequency range from 10 Hz to over 20 MHz, preferably ultrasound in the frequency range 20 kHz to 20 MHz, more preferably low-frequency ultrasound in the frequency range from

25 20 kHz to 500 kHz and thereof preferably from 20 kHz to 100 kHz, further preferred frequency ranges can be: 20 kHz to 50 kHz, 50 kHz to 100 kHz, 100 kHz to 200 kHz, 200 kHz to 500 kHz, 500 kHz to 3 MHz, 3 MHz to 20 MHz. The cavitation layer can initially be any, better less than 10 cm, of which preferably less than 5 cm, more preferably less than 2 cm, even more preferably 1 cm and less to less than 0.1 mm and less

30 and / or this distance can be adjusted. The concentration of carbon dioxide in water is initially arbitrary, better 100 to 500 ppm, preferably over 500 to over 1000 ppm, more preferably up to (and / or over) 1500 ppm [1 ppm = 1 mg / kg]. The peak sound pressure emitted by the mail applicator [for cavitation, for gas bubble development] should initially be arbitrary, e.g. B. range from 0.5 Pa to over 50,000 kPa, preferably 0.5 Pa

35 to 500 kPa, further preferred sound pressure ranges 0.5 Pa to 50 kPa, 50 kPa to 2100 kPa, 100 kPa to 300 kPa, 300 kPa to 500 kPa. The sound intensity should initially be arbitrary, e.g. B. from 0.005 watts / cm ² to 500 watts / cm ² , 0.005 watts up to 10 watts / cm ² 0.005 watts to 5 watts / cm ² , 0.005 watts / cm ² to 2 watts / cm ² .

In addition to the preferred cavitation medium (water and carbon dioxide) described, there may be other preferred cavitation media if they have comparable (similar) features and / or comparable (similar, equivalent) advantages and / or comparable (similar, equivalent) cavitation properties as carbon dioxide and water.

There are several methods available for introducing a gas into a cavitation medium, e.g. B. biological processes (e.g. fermentation), chemical reactions, through enrichment / exchanger processes (e.g. hollow fiber membrane gas exchangers and other membranes, ion exchangers) via carrier systems (sorption, desorption), for example in the case of porous solids / nanoporous solids [ z. B: zeolites] etc. and release of gases therefrom by physical and / or chemical action). Further possibilities exist that the object (object surface) is a gas bubble source by enriching the surface with gas, e.g. B. by improved adhesion of gas and surface and / or improved adsorption of the gas on the surface and / or the surface beforehand (before the treatment) accordingly (z. B. with gas and / or a liquid-vapor - gas mixture, water vapor / Carbon dioxide etc.) is treated.

Schailapplikator

If the mechanically flexible mail applicator is a microarray / array system (consisting of individual piezoelectric elements [eg ceramic, crystal, composites, porous piezoelectric polymer, etc.] which are flexibly connected to one another, the performance is given. Even with novel porous piezoelectric polymers / Polymer films (with a significantly higher piezoelectric effect than other polymers, information on porous piezoelectric polymers can be found on the Internet under the keyword "porous piezoelectric polymers") are suitable for cavitation. When using a piezoelectric polymer film / PVDF film, the power output must be The mechanical flexibility is to be retained in the process. This can be achieved by a corresponding structure of the foils (multilayer, single- or multi-component composite structure). Figures 19, 19a and the associated description are B examples of this and are for information only, but are not the subject of the invention.

A mechanically flexible mail applicator can consist of a piezoelectric flexural vibrator and / or piezoelectric film and / or piezoelectric polymer film and / or piezoelectric PVDF film and / or porous piezoelectric polymer film and / or porous piezoelectric polymer and / or other piezoelectrically powerful polymers / polymer films and / or flexible array system made of piezoelectric elements (eg piezoelectric crystals and / or piezoelectric ceramics and / or piezoelectric polymers and / or porous piezoelectric polymers and / or from other piezoelectric elements and / or from combinations different piezoelectric elements, wherein piezoelectric elements are flexibly movably connected to each other) and / or consist of combinations of the same and / or different piezoelectric elements.

A mail applicator can be a mail applicator of known technology (magnetostrictive technology, piezoelectric elements such as ceramics, crystals, composites), such a mail applicator is a mechanically inflexible mail applicator. The use of piezoelectric bending transducers, polymer films, PVDF films generally does not result in a mechanically flexible mail applicator. Not because z. B. a polymer film / PVDF film vibrates when a voltage is applied in the lateral direction of the film. In order to force a lateral oscillation into a transverse oscillation (perpendicular and / or at an angle of> 0 ° to +/- 90 ° to the film plane), the film must be mechanically fixed at its ends (e.g. by fastening the film ends to) a mechanically inflexible solid, e.g. a housing). As a result, the mail applicator is not mechanically flexible. But even with such a mail applicator, the power of the transverse vibration (sound amplitude, sound pressure, intensity) is low with low-frequency ultrasound (20 kHz - 100 kHz) and is insufficient or insufficient for cavitation.

The performance of a PVDF film can be achieved in a composite form (multi-layer structure composed of one or more different components) while possibly retaining the mechanical flexibility (information on this in the description of FIGS. 19, 19a, which is intended for information and is not an object of the present description).

Further design options can be that at least two sound applicators can be used and operated separately from one another (for example not mechanically and / or electronically connected) and / or operated separately (for example sound generation / generation and / or sound emission etc. can be independent of one another and / or can also be independent of one another in time) and / or at least 2 sound applicators are combined with one another (for example mechanically and / or electronically connected to one another) and / or can be operated with one another, when two or more sound applicators are used, all sound applicators can be of the same type or at least two sound applicators of different types, whereby type means that a mail applicator for

Example a magnetostrictive mail applicator and / or an electrical mail applicator (for example a piezoelectric mail applicator consisting of at least one piezoelectric element) and / or a mechanically flexible mail applicator (made of elastic, mechanically flexible piezoelectric material) and / or another mail applicator and / or or to be understood by different types, for example that at least two sound applicators with different sound properties are operated. Another possibility can be that a mail applicator has one or two or more than can have two sound-emitting surfaces and further that these sound-emitting surfaces can emit the sound in one direction or in at least two directions, a sound applicator / sound applicator device can be unidirectional or bidirectional and / or multidirectional and there is also the possibility that at least two sound-emitting surfaces same sound orientation can lie in one plane and / or in mutually offset planes. Another possibility can be a stationary (fixed) or movable (horizontal, vertical) sound applicator device. At least one sound-emitting surface of the sound applicator should be oriented perpendicular to the surface of the object to be treated (that is, parallel to the surface) and / or deviating therefrom, at an angle of greater than +/- 0 degrees to +/- 180 degrees.

The sound-emitting surface of the sound applicator can directly touch the surface of the object, or the sound coupling to the surface is carried out by a gel, a liquid, a gas and / or by another coupling medium / sound-conducting medium.

A mail applicator of the devices can be fixed, permanent, immovable and non-alignable / non-positionable on a device (e.g. on the wall, in the wall) (e.g. mounted, mechanically screwed) and / or firm, permanent but movable (e.g. with the aid of a holding device as in FIG. 18) and positionable on an object. However, a mail applicator can also be connected to a device only temporarily and not permanently, so that the mail applicator and device can be separated from each other again. A device and / or a mail applicator can be stationary and / or non-stationary and movable. A mail applicator and / or a device can be attached to a surface (e.g. with adhesive and / or mechanically e.g. with an adhesive tape etc.) and / or to a surface with the aid of a holding device (e.g. in 8c) are positioned on a surface. There is also the possibility that a mail applicator can be moved horizontally and / or vertically and / or axially and / or radially. The sound applicator can be moved manually or by a drive (e.g. mechanical drive, electric drive, e.g. motor drive). The movement of the sound applicator can run continuously and / or at time intervals. Manual and / or electronic control of the movement of the sound applicator.

The power supply can be conventional (power network, battery, button cells, transformer, etc.) or use new types of power supply elements (foil batteries, photovoltaic cells, fuel cells and / or other new types of batteries [e.g. glucose / sugar, organic compounds / substances, biochemical substances / compounds , body's own substances / compounds,

Use microorganisms to generate energy, manufacture of paper-thin photovoltaic foils (organic solar cells, Siemens, www.siemens.de). It has recently been successful for To develop fuel cell membranes (Polyfuel), which should allow because of their small size, for. B. small technical devices [e.g. B. Handy] to operate with fuel cells).

Sound generator, control device (wherein the control device or the sound generator can have an electronic circuit, for example the sound generation / control can be chip-controlled), the technology is known. New developments should be considered. B. with regard to the production of electronic circuits and / or electronic components (such as, for example, new manufacturing processes for electronic components, for example printing technology for polymer electronics [for example Xerox: "Printed Organic Electronics," Organic Semiconductor Materials "", Chemnitz University of Technology; "Printed polymer electronics").

The technique of the electrodes for the mail applicator is known, the attachment of the electrodes to the mail applicator (e.g. PVDF film) is known (e.g. evaporated, applied, printed). The material for the electrodes is known (e.g. metal film, electrically conductive plastic, electrically conductive polymer, metal-containing plastic, other metal-containing components, other electrically conductive material and other solutions)

Electrically conductive elements can consist of any electrically conductive material in any shape and / or design, for. B. metal film, metal wire, metal-containing plastic and / or metal-containing components / connections, electrically conductive plastic, electrically conductive polymer, electrically conductive adhesive / adhesive and other electrically conductive substances, other electrically conductive material and / or material suitable for electrical conductors and / or combinations of different materials and other possible solutions, possibly also as multi-component systems (whereby the bringing together / connection of at least two components results in a conductor).

Electrical conductors can on z. B. printed, evaporated, applied and / or other mechanical and / or physical and / or chemical manner applied. Connection of mail applicator, sound generator, control, power supply via normal, known connecting lines and / or wireless. The mail applicator and / or one of the devices is spatially separated (external) from the

Devices Sound generator, control, power supply and / or at least one of the devices mentioned is spatially connected to the mail applicator and / or a device.

The sound applicator surface (sound-emitting surface) can be coated, e.g. B. with a biocompatible substance, e.g. B. plastic, and / or with a functional material, for. B. with a substance to prevent gas bubbles from accumulating on the sound-emitting surface and / or an active ingredient carrier, for. B. polymer and / or nanoporous solids / nanotubes and others. There can be more than one sound-conducting layer between the sound-emitting surface of the sound applicator and the object surface (initially made of any material). Where at least one substance from which the further sound-conducting medium should be made can be, for example, a liquid and / or a gas and / or a solution, but preferably a preparation and / or composition (eg a gel) and / or a mechanically solid and / or mechanically flexible and / or mechanically mouldable solid and / or a crystalline and / or amorphous solid and / or a homogeneous and / or inhomogeneous solid and / or a mixture and / or a combination of at least two different solids (and / or substances), which substance and / or solid may have other properties and / or characteristics, e.g. B. solid, flexible, mouldable, crystalline, amorphous, homogeneous, inhomogeneous, etc., the solid can, for. B. a metal and / or metal and / or an alloy and / or a plastic and / or glass and / or ceramic and / or another solid and / or a mixture and / or combination of at least two different solids, the Plastic can be, for example, a thermoset and / or a thermoplastic and / or an elastomer and again can be, for example, a hard polymer and / or soft polymer and / or another plastic and / or a mixture and / or combination of at least two different ones Plastics (plastics will be defined later). A further possibility can be that at least one substance and / or at least one solid has at least one further feature, for example electrically conductive, sound-conducting, heat-conducting, piezoelectric, porous and other features, it also being possible for at least one solid to consist of at least one and / or consists of at least two identical elastic, mechanically flexible piezoelectric material and / or of at least two different elastic, mechanically flexible piezoelectric materials and / or and / or can be a membrane and / or a permeable and / or semipermeable membrane and / or a preparation and / or this at least one sound-conducting substance can be a liquid-containing and / or water-containing preparation (for example a gel, an ultrasound gel, a hydrocolloid and other preparations).

A further possibility can be that at least one further substance can be introduced into and / or combined with and / or connected and / or applied and / or present in this in at least one further sound-conducting medium, or in any other form, preferably, for example, in a form such that this substance can be easily detached and / or released, again preferably, for example, under the action of sound and / or through contact with the cavitation medium, where this can be at least one further substance, for example also not sound-conducting, wherein this at least one further substance can be an active substance, the substances and / or active substances used here are described in detail elsewhere in the description.

There may also be the possibility that the at least one sound-conducting medium can be an active substance-doped medium, for example a solid, a mechanically solid solid or a mechanically flexible solid and / or a preparation, for example active substance-doped gel, hydrocolloid, polymer film. There may also be the possibility that the surface of the sound applicator can be doped with an active ingredient and / or an active ingredient can be introduced into the interior of the sound applicator, preferably in the case of a device with a sound applicator device made of elastic, mechanically flexible piezoelectric material, in particular of piezoelectric PVDF film and / or porous piezoelectric polymer and / or porous piezoelectric polymer film and / or array system.

The size and capacity of that formed by the device and the surface

Space (16) can range from a few milliliters and below to a few hundred liters, e.g. B. range from less than 0.05 ml to over 1000 I, further possibilities 1000 I - 10000 I, over 1 000 L, for example over 100 I, over 10 I to 100 I, 2 I to 10 I, 1-2 I , 0.5-11, 100 ml - 500 ml, 50 ml - "100ml, 10 ml - 50 ml, 5 ml - 10 ml, 2 ml - 5 ml, 1 ml - 2 ml, below 1 ml, below 0, 5 ml.

Adhesive surfaces can be covered with a protective film (which can be removed) before use. A mail applicator, in particular a mechanically flexible mail applicator, can be provided on one or all sides with a protective film and / or protective layer. This protective film / protective layer is not a carrier element and is not shown in the figures. The term "a", "an", "one" etc. in the description stands for "at least one", "at least one", "at least one", etc. whenever more than "a", "one", "one" "etc. are possible.

In the case of an open device (e.g. treatment in a tub as in FIG. 18), disruptive gas bubbles which arise during the sound treatment can escape. In a closed device, these gas bubbles cannot escape; this requires at least ventilation. This can be, for example, one or more openings in the surface of the sound applicator, in the edge region of the sound applicator, in the wall of the carrier element, etc. Other options are pressure regulating vent valves, which, for. B. be operated manually or open by overpressure (pressure valve) or electronically controlled, but also by suction of the gas etc. This applies to a device as well as a mail applicator, reservoir, exchanger etc. Also when filling / emptying the device with a substance , e.g. B. a cavitation medium, the displaced material (gas, liquid, etc.) must be able to escape, for. B. via a ventilation and / or ventilation and / or a discharge and / or supply line. For all representations of the devices, mail applicator, exchanger, reservoir, it should apply that further representation possibilities can exist in such a way that the material supply and / or the material discharge can be controlled by at least one further element, for example by a shut-off valve and / or a shut-off valve and / or another suitable device, wherein the control (eg "open," closed ", quantity, etc.) can take place mechanically and / or electronically.

Further design options can be that the exchange process (e.g. of water, enriched water) is continuous or discontinuous (e.g. periodically at predetermined time intervals and / or sensor-controlled [e.g. via the carbon dioxide content, gas bubble content, reaction product, pH -Value, temperature etc.]) that the exchange process (supply and / or discharge of at least one substance) can be controlled manually (e.g. mechanically) or electronically (e.g. via chip).

Exchange process, for example, for the (used) cavitation medium in a thin Exchange cavitation layer (70) for new enriched cavitation medium. Cavitation and / or gas bubble formation can also be controlled (manual operation, electronically controlled).

Further design options are that the supply line / discharge line (e.g. from the reservoir to the hollow body) can be opened and closed using valves, shut-off valves, etc. Opening / closing can be controlled manually and / or electronically (e.g. chip). It may also be possible that the exchange between the hollow body and a supply device by means of membranes and other suitable solid bodies. Further design elements can be that, for example, a reservoir (exchanger device) can contain at least one mail applicator (as described above) (and / or another device for physical and / or chemical action) and this with any frequency (e.g. 20 Hz - 20 MHz) can be operated (e.g. for pretreating the cavitation medium).

Further possible, the active substance depot can not be replaced as part of the carrier element, further possible, the introduction / removal of the active substance depot can take place via a mechanical device (e.g. cover, drawer, plug connection, etc.). Further possible, the device or the device can serve as a base and / or basic product and / or starting product and / or component for other products and / or can be built into other products and / or can be fully integrated into other products, the device and / or the product remains outside the body, the device and / or the product entering the body and / or being implanted and / or being introduced into the body in another way and / or way and / or method and / or method. It is also possible to use the corresponding products wound treatment systems and / or implants and / or drug delivery systems and / or implantable drug delivery systems and / or other drug delivery systems and / or systems for diagnosis and / or systems for monitoring and / or Systems for stimulation and / or systems for stimulation and / or systems for maintaining vital functions and / or stimulating metabolic functions and / or physiological functions and other products can be.

A further design option can exist in such a way that the sound applicator can be attached to the support element at the intended locations, punctually and / or as desired (e.g. the electrical supply is possible with each attachment).

Also possible, the reservoir / substance depot is and / or contains a mail applicator.

Further design options can be the “mail applicator” as a sensor (eg pressure). Further design options for the adhesive element (2) and / or contact element can consist in that at least one supply device is attached or contained, and further that the adhesive element and / or contact element are an active ingredient carrier. Definitions for description

Subaqual defines the treatment conditions (in water, under water), but not the purpose (e.g. cosmetics, therapy, etc.). A treatment that takes place in water and / or under water is a sub-aqua treatment. These are treatments that take place in a bath (eg bathtub, tub, vessel, foot bath, hydrotherapy, balneology etc. [an example in Fig. 18 with description]. Instead of water, another liquid can occur. The application in A bath is therefore subaqual because the object to be treated (eg leg) is completely or partially immersed in the liquid and completely or partially surrounded and / or wetted by the liquid (beyond the surface to be treated) Cavitation medium is not synonymous with subaqual.

Object and biological system. Biological in-vivo systems are living organisms (for example humans, animals [mammals, warm-blooded animals, cold-blooded animals], plants, microorganisms [bacteria, viruses, fungi, yeasts and other microorganisms]) and / or parts thereof in and / or on the living organism itself (e.g. body parts, skin, organs, muscles, cells, cell components, cell juices, blood,

Blood components, vascular system, tissue fluids, cell fluids, enzymes, hormones and other biochemical compounds, other body fluids, other body substances, plant cells, plant juices and others). Biological in-vitro systems are parts of the living organism that are outside of it, in separated form and / or in culture (e.g. cultures of bacteria, cells, skin, viruses, stem cells etc.) as preparations, biological systems in unchanged and / or in a modified / modified form, e.g. substances that occur in and / or can be obtained from biological systems and / or are produced with the help of a biological system / biological systems [e.g. biosynthetic, biocatalytic ] can be [e.g. cell components, blood components, proteins, metabolites of bacteria, yeast, fungi etc., components of viruses, bacteria, fungi, yeast etc., vaccines etc. and / or also the manufacturing and / or production processes , for example: plant extracts, active ingredients, pharmaceuticals, flavorings, nutrients). Artificial systems are, for example, objects of everyday life, from the fields of medicine, medical technology, hygiene, technology, industry, research, development, production, chemistry, pharmacy, biotechnology, agricultural technology, food technology, IT, vehicle / aircraft construction, household and other.

Surface effect, depth effect, bioactive (physiological) effect of ultrasound and cavitation Biologically active (bioactive) should mean that the treatment of healthy and / or non-pathologically modified and / or pathologically modified biological systems can develop a physiological effectiveness. Physiological activity has a positive and / or negative influence on the life processes of a biological system, for example metabolism, regulating mechanisms, regulation, growth, production and release of regulating substances, messenger substances etc., synthesis and Release of the body's own substances, degradation of nutrients etc., metabolism, immune reactions, cell division, morphology of the cell, oxygen supply, energy turnover, transport of nutrients, liquids, etc. For example (as an example) influencing the metabolism can be used to break down substances (e.g. . Environmental toxins, pollutants), converting substances (e.g. catalysis) to produce and / or obtain substances (e.g. active substances, hormones, proteins, etc.). Further should belong

Cell migration, cell resonance, improvement of pathophysiological conditions, painful general well-being, sensation, pain, sleep, relaxation (mental, muscles, etc.) etc.

The ultrasound and cavitation treatment of a biological system with surface, depth and bioactive effects using the example of the skin.

Treatment for cosmetic purposes and / or for care and / or for increasing well-being and / or for therapy, d. H. Treatment of healthy skin, broken skin, diseased, pathologically altered skin, and non-pathologically altered skin. Treatment for example of age-related changes in the skin, cosmetic skin problems (e.g. cellulite, skin folds, pigmentation, vasodilation [spider veins, visible superficial veins], reddening of the skin, oily and / or dry and / or flaky skin, fat pads, scars, minor injuries , Abrasion of the skin and other cosmetic indications). Skin cleaning, hygiene. Treatment of skin diseases (e.g. psoriasis, neurodermatitis, eczema, acne, dermatophytosis, epizoonosis, dermatosis, dermatosclerosis, superficial vessels (spider veins), edema, skin infections (e.g. fungus, bacteria), inflammation, other skin diseases Examples of wounds (chronic wounds, problem wounds, infected wounds, for example in venous leg ulcers, arterial leg ulcers, surgical wounds, diabetic foot (diabetic foot syndrome), burn wounds, intestinal stoma, amputation stump (including pain treatment), amputation-prone (amputation threatens) wounds, wounds and bone infections, burns, mixed forms thereof, other wounds), further treatment of vasodilation, vascular occlusion, metabolic disorders,

Circulatory disorders (microcirculation disorders, microangiopathy, macroangiopathy) etc. There is also the possibility that the treatment of the skin can also serve to produce a feeling of wellbeing, relaxation (wellness) and / or in the physiotherapeutic area to stimulus therapy and / or massage to relieve tension and / or pain relief / pain relief (e.g. muscle, bone, walking apparatus).

There is also the possibility that the treatment of the skin can also be used to supply the body and / or the skin with at least one substance, for example an active ingredient, and / or with the skin, at least one substance, for example a metabolic product to take a diagnostic indicator substance, a pollutant. Another possibility that the treatment of the skin for preparation and / or aftertreatment and / or simultaneous treatment, for example in the case of a surgical intervention and / or a transplant (for example a skin graft) and / or another therapeutic and / or cosmetic and / or other type treatment can serve.

Further possibilities in the combination treatment with at least one active substance, the active substance being able to be applied simultaneously and / or with a time delay (for example after the sound treatment). Further options in combination treatment with at least one other

Treatment method (e.g. physical treatment methods such as hydrotherapy, light, IR, laser, electrotherapy, magnetic field, massage, heat, etc.) and / or with at least one other product (e.g. wound covering).

The surface effect of the cavitation is a bioactive and / or mechanical and / or physical and / or chemical effect. The surface effect can be, for example, a change in properties and / or characteristics of the surface, for example a change in the lipophilic, hydrophilic property, the charge, the electrical properties, a change in structure, a change in permeability, change in the diffusion length, reduction in diffusion barriers, active transport of Substances and / or particles, the complete or partial and / or local

Removal / removal of any substances, particles, matter, cargo, microorganisms, a temporary or permanent enrichment of the surface with substances, chemical reaction, the introduction and / or transport through surfaces through any substances, active substances and the like. a. the removal of substances (e.g. pollutant, toxin, microorganisms, particles, dirt etc.) from the surface, the removal / removal of substances (e.g. analyte, metabolic product etc.) from the skin and / or tissue Surfaces. The surface effect is correspondingly transferable to artificial systems (e.g. extraction of substances [e.g. gas, active substance] from a solid, a porous solid, a nanoporous solid, a plastic, a polymer, a carrier substance, etc.).

In the following, further definitions and examples of important terms such as, for example, substance, solid, plastic, active ingredient, medicinal product, etc., which can be used if possible, and are described below.

Connections (attachment, attachment, application), e.g. B. again separable connections can be mechanical (e.g. screw connection, screw lock, bayonet lock, plug connection, Velcro connection, tongue and groove connection, undercut, contact / adhesive element), also other connections that are based on other physical effects (e.g. Magnetic, electromagnetic, static, pressure, thermal, adhesion, pressure, negative pressure, physical interactions, etc.) and / or chemical effects (e.g. reusable adhesive, chemical reaction, interactions, etc.) may be possible. Fixed, non-separable connections can e.g. B. mechanical connections (screw connection, Riveting, welding etc.) and / or based on physical effects (e.g. thermal) and / or chemical effects (e.g. gluing).

For example, connections can also be made by printing on a support, application, vapor deposition, coating, calendering, etc. Connections can be made over the entire area or over part of the area (e.g. at certain points, at the edges, in segments, etc.).

Any substance and / or any material is preferably element (metal, semimetal, non-metal, noble gases), only one type of molecule of an organic, inorganic, biochemical compound, further a mixture, mixture, combination of same substances, combination of different substances, one substance , a preparation and / or an active ingredient, a solid, a plastic, etc.

A solid body cannot be mechanically flexible or mechanically flexible. Other possible features are amorphous, crystalline, mechanically formable / not formable, homogeneous, inhomogeneous, porous, electrically conductive / non-conductive, sound-conducting / non-conductive, heat-conducting / heat-insulating, fiber-reinforced, piezo-electric, etc. Solid bodies are, for example, glass, metal (pure metal, Alloy, metal-containing, metal-non-metal combinations), plastic, crystal, ceramics, stone textile solids, membranes, foils and others. Next, porous solids, nanoporous solids (e.g. zeolites, nanotubes, carbon nanotubes, composite nanotubes). Plastics from the group of thermoplastics (also semi-crystalline thermoplastics, amorphous thermoplastics), thermosets (thermosets, thermosets), elastomers. Also composites, polymer composites, composites, homo- and copolymers, compound copolyesters, also plastics mixed with fibrous materials (e.g. carbon fiber, glass fiber, carbon fibers), metals and other substances, also coated with another substance (e.g. metal) , also plastics with additional characteristics as described for solids. But also bioplastics (e.g. cellulose acetate, lactic acid polymers, lactic acid polyesters, polymers made from starch, etc.). Especially the polymers, including PVDF. PUR / PUR elastomers, polycarbonate, polyamide, polyester, PVC etc. rubber, caoutchouc, latex and others. Especially biocompatible plastics.

Active ingredients, drugs / medicines, medicines and aids; biochemical substances (enzymes, hormones, steroids, etc.) biomaterial (obtained from biological systems, obtained biosynthetically, microorganisms, components thereof and metabolic products, component / component from gene therapy and genetic engineering, blood components, etc.) for topical and / or transdermal and / or systemic Application in biological systems and partly in topical application (e.g. active substances, biochemical substances) in artificial systems.

Active substances are exemplary substances with a caring effect, with a physiological effect (e.g. nutrients, regulating substances, stimulating, metabolism regulating, hormone regulating, growth-regulating, stimulation, calming, building up, etc.), with therapeutic effect (drugs / medication / biomaterial), wound treatment, nail treatment, skin treatment (healing, care, disinfection, cleaning, care), with cosmetic effect (e.g. cellulite, age-related Changes in the skin, skin changes, vascular changes, etc.), with a wash-active and / or surface-active effect (e.g. cleaning, hygiene, body care, body cleaning, skin care, skin cleaning, skin treatment, hair cleaning, hair care, hair treatment, nail cleaning, nail care, nail treatment , Surface treatment), with disinfectant, germicidal, antimicrobial effect (anti-inflammatory, anti-inflammatory, anti-inflammatory, anti-infectious effect, anti-infectives, disinfection, infection treatment, [eg for MRSA, generally against bacteria, fungi, yeasts, viruses, parasites, etc.] with relaxing effect (wellness, well-being), with separating Wi strengthening (solvents, extraction, separation, separating agents, flow agents), with an absorbing / adsorbing and / or desorbing effect, and further toxins (toxins (e.g. B. Butolinustoxin), antitoxins), addictive substances, nutritional stimulants and / or foods (preservative, food additive, emulsifier, antioxidants, catalysis, stabilizer, emulsifier, acid agent, dye, pigment, nutrients, vital substances, trace elements, stimulants, intoxicants, addictive substances, hallucinogens , Drugs, alkaloids [e.g. nicotine, caffeine, etc.], flavorings, fragrances, flavors),

Other substances with vasodilating, circulation-promoting, thrombolytic, fibrinolytic, granulation-promoting, angiogenic-promoting effects. Further with diagnostic effect, with analgesic, analgesic effect.

Plant protection and care (biocide, pesticide, fungicide). Active ingredients can also be other organic, organometallic, inorganic compounds and / or substances (e.g. solvents). Active ingredients can also be from the group of biochemical substances (growth factors, hormones, enzymes, vitamins, steroids, nucleic acids, peptides, poly sugars, proteins, amino acids, üpide, oligonucleotides, carbohydrates, fatty acids, etc.).

Transport means (for other substances, compounds, materials, active substances and the like) and / or also a combination of several of these substances., And / or an organic compound and / or an inorganic compound and / or a metal-organic compound and / or a salt and / or substance and / or substrate and / or compound and / or preparation and / or material, and / or biomaterial and / or carrier material and / or carrier substance and / or carrier particles (of z. B. active ingredients) and / or solid particles and / or liquid particles and the like is to be referred to, or a mixture and / or combination of several of these substances.

Use of a preferred cavitation medium and / or one of the devices described for use and / or use as described above. Use of a cavitation medium and / or a preferred cavitation medium to produce a device as described above. Use of a cavitation medium as described above and a sonic applicator as previously described for the manufacture of a device as previously described. Use of a reservoir and / or an exchanger device and / or a sound applicator and / or a cavitation medium for producing a device as described above. Use of a carrier element and / or adhesive element and / or a sound applicator and / or and / or a supply device and / or a cavitation medium for producing a device as described above. Use of one of the devices as previously described for application and / or use as previously described. Use of one of the subaqual treatment devices. Use of one of the devices for the treatment of biological in vivo and / or of biological in vitro systems and / or treatment of artificial systems with surface and / or deep action and / or bioactive activity as described above.

Further, additional possible uses of at least one of the devices mentioned in the processing, production, extraction, treatment of active substances, chemical, pharmaceutical, biological substances and / or compounds, chemical, pharmaceutical, biological substances, natural substances, biomaterial, biosynthesis, biocatalysis, biomaterial, Surface treatment, possible uses of the described preferred cavitation medium and / or at least one of the devices mentioned in exemplary areas such as life science and / or human medicine and / or veterinary medicine and / or medical care and / or physiotherapy and / or hydrotherapy and / or balneology and / or baths and / or cures and / or diagnostics and / or other health care and / or in other areas such as cosmetics, care, hygiene, cleaning, body care, wellness etc. but also in exemplary areas of technology, industry, production, pharmacy, chemistry, biotechnology e, household appliances, process engineering and others.

Claims

protection claims

1. Device comprising at least one mail applicator and at least one carrier element for improved adaptation of the sound applicator to treatment conditions during treatment

5 of biological systems and other objects, characterized in that a device is assembled from a suitable mail applicator and a carrier element and, in addition, to the device a further supply device for controlling the sound applicator and / or the treatment can be attached. 2. Device according to claim 1, characterized in that the device can be assembled modularly and / or plugged together. 3. Device according to claim 1 and 2, characterized in that the device can be assembled modularly with at least one further device and / or at least one supply device. 4. The device according to claim 1, 2, 3, characterized in that the device is an interface 5 for attaching further treatment devices. 5. The device according to claim 1-4, characterized in that the device is a plaster and / or a bandage. 6. The device according to claim 1-5, characterized in that the device is a plaster and / or bandage that can be assembled modularly.

20 7. Device according to claim 1-6, characterized in that the device is attached to an object by an adhesive. 8. The device according to claim 1-6, characterized in that the device is mechanically attached to an object. 9. The device according to claims 1-6, characterized in that the device is aligned with an object 5 without touching the object. 10.Device according to claims 1-9, characterized in that the device is mechanically flexible to adapt to the shape of an object and / or an object surface. 11.Device according to claims 1-10, characterized in that a defined distance to the object surface is to be set with the device. 12. The device according to claims 1-11, characterized in that the device is shaped according to the shape of an object and / or an object surface and has a corresponding shape. 13. The apparatus according to claim 1, characterized in that a mail applicator can be attached to the carrier element and removed again. 35 14. Device according to claim 1, 13 characterized in that the carrier element has contacts for supply, control and attachment of the sound applicator. 15. The apparatus according to claim 1, 13, 14, characterized in that a supply device is put into operation by bringing the applicator and carrier element together. 16. The device according to claim 1 and one of the preceding claims, characterized in that a supply device is integrated in and / or attached to the carrier element. 17. The device according to claim 1 and one of the preceding claims, characterized in that a supply device for power supply, sound generation, control of the sound applicator. 5 18. Device according to claim 1, 17, characterized in that a supply device for power supply, sound generation, control of the sound applicator and this is film-like. 19. The device according to claim 1-16, characterized in that a supply device is a reservoir and / or an exchanger device. 20. The apparatus of claim 1, 19, characterized in that the exchanger device for the production of a highly enriched water with carbon dioxide. 21. The apparatus according to claim 1, 19, 20, characterized in that the exchanger device for producing a highly enriched water with carbon dioxide is a hollow fiber membrane gas exchanger. 22. The apparatus according to claim 1, 19 characterized in that the exchanger device for 5 enrichment of a medium with a substance, preferably an active ingredient. 23. The device according to claim 1, 19 characterized in that the reservoir of the device contains a cavitation medium with water and highly enriched carbon dioxide. 24. The device according to claim 1, 19, 23, characterized in that the reservoir of the device contains a substance, preferably an active ingredient. 25. The device according to claim 1, characterized in that the mail applicator is not mechanically flexible. 26. The device according to claim 1, characterized in that the mail applicator is mechanically flexible. 27. The apparatus of claim 1, 26 characterized in that the mechanically flexible 5 schail applicator is power-reinforced transversely to the sound applicator surface. 28. The device according to claim 1, 19, 21, 23, characterized in that the cavitation medium is water or water and strongly enriched with carbon dioxide in a concentration of up to over 1000 mg / kg. 29. The device according to claim 1, 19, 21, 23, 24, characterized in that the carbon dioxide in 0 high concentration is molecularly, as associated molecules, supersaturated finely dispersed and homogeneously dissolved. 30. The device according to claim 1, 19, 21, 23, 28, 29, characterized in that gas bubbles are formed in situ on the surface in the cavitation medium by the sound during the treatment. 35 31.Use of the device according to one of the preceding claims as a clip for attachment to an object. 32. Use of the device according to one of the preceding claims with a cavitation medium.

33. Use of water with highly enriched carbon dioxide according to one of the preceding claims as a cavitation medium.

34. Use of the device according to one of the preceding claims for subaqual treatment.