Micro-pulsed liquid spray for cooling

1. An apparatus for cooling tissues which are treated with an energy-based device, such as a laser, the apparatus comprising:

a spray nozzle which generates an atomized liquid spray for the treatment area, wherein the atomized liquid spray is based on a mixture of liquid and gas, wherein said spray nozzle comprises at least one liquid outlet which ejects a liquid in the form of liquid droplets, and at least one gas outlet which ejects a gas stream, wherein the at least one liquid outlet is spatially separated from the at least one gas outlet and arranged such that the gas stream ejected from the at least one gas outlet will intersect and interact with the liquid droplets ejected from the at least one liquid outlet, such that the liquid droplets are carried away by the gas stream to generate the atomized liquid spray;

at least one delivery tube for delivering pressurized gas to said spray nozzle; and

a pump for said liquid, wherein said pump is configured to operate in pulses;

wherein said apparatus is configured in such a way that the gas stream ejected from said at least one gas outlet has a direction of motion, and the atomized liquid spray generated by said spray nozzle has the direction of motion of the gas stream.

2. The apparatus according to claim 1 , further comprising a controller configured to control the gas pressure within said delivery tube in the range from 0.1 to 10 bar.

3. The apparatus according to claim 1 , further comprising a controller configured to cause the liquid to be ejected from said liquid outlet with a low pressure in the range from 0.1 and 0.5 bar.

4. The apparatus according to claim 1 , further comprising a controller configured such that the liquid flow through said pump is in the range from 0.001 to 10 ml/min.

5. The apparatus according to claim 1 , wherein said liquid outlet has an orifice, wherein said orifice has a diameter from 0.1 to 1 mm.

6. The apparatus according to claim 1 , further comprising a controller configured to operate said pump with a frequency from 0.1 to 1 kHz.

7. The apparatus according to claim 1 , further comprising a controller in communication with a temperature measuring unit which measures the temperature of the tissue, and the controller is configured to regulate said pump and/or said at least one delivery tube according to the measured temperature of the tissue.

8. The apparatus according to claim 1 , wherein said spray nozzle comprises one liquid outlet in combination with a plurality of gas outlets.

9. The apparatus according to claim 8 , wherein each one of said plurality of gas outlets has a corresponding delivery tube, and

further comprising a controller configured to control the gas flow from each gas outlet independently of the other gas outlets.

10. The apparatus according to claim 8 , wherein each gas outlet of said plurality of gas outlets is aligned to a different point within the treatment area and its surroundings.

11. A laser system including a handpiece, wherein the apparatus according to claim 1 is mounted on said handpiece.

12. The laser system according to claim 11 , wherein said apparatus is configured in such a way that the spray operation is synchronized with the laser pulses of the laser system.

13. The laser system according to claim 11 , wherein a device which ejects a jet of cold air is additionally mounted on said handpiece.

14. The laser system according to claim 11 , further comprising a spacer with a fixed length for keeping the height of the spray nozzle above the treatment area approximately constant, wherein the spacer is configured to contact a region of the tissue surface outside the treatment area.