APPARATUS, TIP AND METHOD FOR TREATING TISSUE

1 .- 14 . (canceled)

15 . An apparatus for treating tissue, the apparatus comprising:

a vacuum chamber having a closed top portion and an open bottom portion, the vacuum chamber open bottom portion configured to be placed proximate to the tissue;

a vacuum pump coupled to the vacuum chamber, the vacuum pump being configured to cause a vacuum to be created in the vacuum chamber and to cause movement of an area of the tissue to be raised towards the opening of the vacuum chamber and into the vacuum chamber; and

a plurality of energy transmitting elements to apply energy to at least a portion of the area of the tissue within the vacuum chamber, the plurality of energy transmitting elements including:

(1) at least one light source arranged to deliver light into the vacuum chamber, (2) at least two or more radio frequency energy transmitting elements;

wherein the at least two radio frequency energy transmitting elements are positioned at the open bottom portion of the vacuum chamber and the at least one light source is positioned within the top closed portion of the vacuum chamber;

further comprising a control module, the control module being configured to control the vacuum pump, the at least two radio frequency energy elements and the at least one light source;

and wherein the control module activates the at least two radio frequency energy elements and the at least one light source based on:

measurement of the level of light reflection in the vacuum chamber from the tissue indicating the extent of the amount of tissue that has been raised toward and into the opening of the vacuum chamber.

16 . The apparatus of claim 15 :

wherein the at least two radio frequency energy elements are arranged on rollers across the open bottom portion of the vacuum chamber.

17 . The apparatus of claim 16 wherein the rollers are configured to move inward and outward across the opening of the vacuum chamber.

18 . The apparatus of claim 15 wherein the vacuum pump is configured to cause a sequence of vacuum pulses to be created in the vacuum chamber.

19 . The apparatus of claim 15 wherein the vacuum pump is configured to cause a sequence of vacuum pulses to be created in the vacuum chamber to cause a pulsed periodic movement of the area of the tissue towards and into the opening in the vacuum chamber.

20 . The apparatus of claim 15 further comprising a pump-control mechanism operatively connected with the control module to control operation of the vacuum pump.

21 . The apparatus of claim. 15 further comprising a filter mechanism to prevent entry into the vacuum pump of at least some substances disposed on the area of the tissue.

22 . The apparatus of claim 15 further comprising a vacuum solenoid valve configured to couple the vacuum chamber to one of the vacuum pump and air in an area outside the chamber such that when the vacuum solenoid couples the vacuum chamber to the vacuum pump and the vacuum pump is powered, vacuum is created in the vacuum chamber, and when the vacuum solenoid couples the vacuum chamber to the area outside the vacuum chamber the air pressure level in the vacuum chamber converges to the air pressure level in the area outside the vacuum chamber.

23 . The apparatus of claim 15 wherein the plurality of energy transmitting elements further comprises one or more ultrasound energy sources.

24 . The apparatus of claim 15 wherein the at least one light source is selected from: an intense pulsed light (IPL) source or a laser light source.

25 . The apparatus of claim 15 further comprising a cooling sub-system to cool the apparatus and/or the tissue.

26 . The apparatus of claim 15 wherein the control module activates the radio frequency energy elements and the light source simultaneously.

27 . The apparatus of claim 15 wherein the control module activates the radio frequency energy elements alternatively with the light source.