Entries |
Document | Title | Date |
20080200940 | ULTRASONIC DEVICE FOR CUTTING AND COAGULATING - An ultrasonic surgical instrument that is configured to permit selective positioning of the relative distance between an end effector for cutting and coagulating tissue and a power actuation switch that is carried by the instrument for selectively energizing the end effector. In one instance, the end effector is able to change position relative to the actuation switch, alternatively, the actuation switch moves relative to the end effector, and still further, both the end effector and the actuation switch are capable of moving relative to each other. | 08-21-2008 |
20080208231 | HANDPIECE AND HORN FOR ULTRASONIC SURGICAL INSTRUMENT - The present invention aims to provide a handpiece and a horn for an ultrasonic surgical instrument in which better visual recognition of a tip portion of the horn can be given. The handpiece for an ultrasonic surgical instrument includes: a horn of which tip portion vibrates at an ultrasonic wave velocity; and an external cylinder for covering the horn except the tip portion. An external diameter of the tip portion of the horn is larger than an external diameter of a part covered by the external cylinder. | 08-28-2008 |
20080208232 | ULTRASONIC SURGICAL INSTRUMENT - First and second actuators where positive electrodes and negative electrodes are disposed on cylindrical electrostrictive polymers are disposed so as to face each other via a fixing member, a blade inserted into the first actuator is provided on the fixing member, and the blade is ultrasonically vibrated via the fixing member by driving one of the first and second actuators in a stretching and shrinking manner and driving the other in a stretching manner in synchronization with each other. | 08-28-2008 |
20080221603 | ULTRASONIC TREATMENT DEVICE - An ultrasonic treatment device, includes at least a pair of electrodes disposed so as to be spaced from each other in an insulated state, an actuator main body formed from an electrostrictive polymer that disposed between the respective electrodes, where the electrostrictive polymer is driven in a stretching and shrinking manner when voltage is applied between the respective electrodes, a power source supplying voltage between the respective electrodes, and a treatment portion configured to treat a site to be treated by ultrasonic vibration thereof in linkage with driving of the electrostrictive polymer in the stretching and shrinking manner. | 09-11-2008 |
20080234708 | Surgical instruments - A surgical instrument that may include a housing, a transducer engaged with the housing which can produce vibrations, and an end-effector engaged with the transducer. The surgical instrument can further include an adjustable sheath extending from the housing where the sheath is movable relative to the distal tip of the end-effector and where the distance between the distal tip of the sheath and the distal tip of the end-effector can be set such that the sheath can act as a depth stop. The sheath can be adjusted such that, when the distal tip of the sheath contacts the tissue or bone being incised, the surgeon can determine that the appropriate depth of the incision has been reached. In other embodiments, the end-effector can be moved with respect to the sheath in order to adjust the distance between the distal tip of the end-effector and the distal tip of the sheath. | 09-25-2008 |
20080234709 | Ultrasonic surgical instrument and cartilage and bone shaping blades therefor - An ultrasonic surgical blade that includes a blade body that has a treatment region. At least one indentation can be formed in the treatment region of the blade body wherein each indentation forms a tissue cutting edge with an outer surface of the blade body. The indentation may comprise one or more holes, lumens, grooves or dimples or a combination of such structures. In various embodiments, one or more aspiration lumens are provided in the surgical blade which may ultimately communicate with an aspiration lumen or passage in an ultrasonic surgical instrument. | 09-25-2008 |
20080234710 | Ultrasonic surgical instruments - A surgical instrument includes a transducer configured to produce vibrations at a predetermined frequency. The transducer is configured to produce vibrations along a longitudinal axis at a predetermined frequency. An ultrasonic blade extends along the longitudinal axis and is coupled to the transducer. The ultrasonic blade includes a body having a proximal end and a distal end. The distal end is movable relative to the longitudinal axis by the vibrations produced by the transducer. The body includes a treatment region that extends from the proximal end to the distal end. The body includes a substantially flat broad top surface, a bottom surface, and a neck portion protruding from the proximal end adapted to couple to the transducer. | 09-25-2008 |
20080234711 | Surgical instruments - A surgical instrument includes an elongated transmission waveguide defining a longitudinal axis. The transmission waveguide has a distal end and a proximal end. The at least one strike surface is formed on the proximal end and is configured to receive vibratory energy. | 09-25-2008 |
20080234712 | ULTRASONIC OPERATION APPARATUS FOR DETECTING INITIAL RESONANCE FREQUENCY AND FOR SHIFTING TO PLL OPERATION - In an ultrasonic operation apparatus according to the present invention, in order to detect the initial resonance frequency (Fro) promptly once a foot switch is pressed, under the control of a sweeping speed control circuit, the D/A converter D/A converts 8-bits of signals (phase difference amount signal Δθ) representing the amount of the phase difference detected by the phase comparator, and the output of the D/A converter is output to a VCO so as to become a clock for a sweep circuit. When a phase difference amount between θi and θv is large and a drive frequency setting signal (Fs) is far from Fro, the sweeping speed for Fro detection is increased. When a phase difference amount between θi and θv is small and Fs is close to Fro, the sweeping speed for Pro detection is decreased. | 09-25-2008 |
20080243160 | Ultrasonic Dissector - An ultrasonic surgical instrument for dissection and coagulation of tissue is provided. The surgical instrument includes a vibration coupler supported within a housing and operably connected to an ultrasonic generator. An angled blade member is connected to the distal end of the vibration coupler to conduct high frequency vibration from the ultrasonic generator to the blade member. A clamp member is positioned adjacent to the blade member and is movable from a first position to a second approximated position. The clamp member and angled blade member combine to enhance contact between the tissue and the blade member during operation of the instrument to improve the performance of the instrument. | 10-02-2008 |
20080255597 | METHOD AND APPARATUS FOR TISSUE MORCELLATION - The invention relates to a tissue morcellator for minimally invasive surgery. The morcellator has a metallic cutting ring mounted on a visually transparent hollow cylinder, which in combination with a visually transparent outer morcellator tube enables a surgeon to visualize the inside of the morcellator shaft for detection of loose tissue fragments in the device. A tenaculum used with the morcellation device has a spacer for preventing contact with the blade. The cutting tube can oscillate, rather than rotate, along the longitudinal axis of the cutting tube. The morcellator utilizes an extendable tissue guide on the outer tube of the morcellator shaft for preventing the tissue from rotating along the longitudinal axis of the morcellator tube. This allows the tissue to be continuously rotated into the morcellator device for continuous peel. The tissue guide can also be fully retracted to allow for coring of the bulk tissue. | 10-16-2008 |
20080306501 | Device and method for ultrasound wound debridement - An end-effector configured and dimensioned for being connected to an ultrasound surgical device is provided. The end-effector includes means for receiving ultrasound waves generated and propagated by the ultrasound surgical device, and means for debriding tissue on a wound surface. The means for debriding tissue includes at least one non-smooth surface; and means for propagating the received ultrasound waves to the at least one non-smooth surface for vibrating the at least one non-smooth surface, wherein the at least one non-smooth vibrating surface is configured to contact and debride tissue on the wound surface. A method is further provided for debriding wound tissue including the steps of providing ultrasound waves to a non-smooth surface configured for debriding, propagating the ultrasound waves to cause vibration of the non-smooth surface, and contacting the vibrating surface configured for debriding with the wound tissue. | 12-11-2008 |
20080319466 | SURGICAL INSTRUMENT AND METHOD FOR IMPROVING A CRESTAL SINUS LIFT - A surgical instrument for use in a sinus lift includes a substantially cylindrical sleeve which is sealingly insertable into a bore of a jawbone. The sleeve has a lumen and is formed with an inlet channel and an outlet port which is in fluid communication with the lumen. A vibration unit is operatively connected to the instrument for transmitting vibrations into the lumen. | 12-25-2008 |
20090030437 | Surgical instruments - A surgical device. The surgical device may comprise a transducer configured to provide vibrations along a longitudinal axis and an end effector coupled to the transducer and extending from the transducer along the longitudinal axis. The surgical device also may comprise a lower jaw extending parallel to the end effector. The lower jaw may comprise a clamp face extending toward the longitudinal axis. Also, the lower jaw may be slidable relative to the end effector to bring the clamp face toward a distal end of the end effector. | 01-29-2009 |
20090030438 | Ultrasonic surgical instruments - A surgical instrument includes a transducer configured to produce vibrations at a predetermined frequency. The transducer is configured to produce vibrations along a longitudinal axis at a predetermined frequency. An ultrasonic blade extends along the longitudinal axis and is coupled to the transducer. The ultrasonic blade includes a body having a proximal end and a distal end. The distal end is movable relative to the longitudinal axis by the vibrations produced by the transducer. The body includes a treatment region that extends from the proximal end to the distal end. The body includes a tapered concave surface which extends inwardly into the body defining a variety of shapes including a conical shape, a frusto-conical shape, or a partial spheroid. | 01-29-2009 |
20090030439 | Ultrasonic surgical instruments - A surgical instrument includes a transducer configured to produce vibrations at a predetermined frequency. The transducer is configured to produce vibrations at a predetermined frequency. An ultrasonic blade extends along the longitudinal axis and is coupled to the transducer. The ultrasonic blade includes a body having a proximal end and a distal end. The distal end is movable relative to the longitudinal axis by the vibrations produced by the transducer. The body includes a treatment region that extends from the proximal end to the distal end. The body includes surface coatings to prevent the formation of a thin layer of fluid on the body which may be atomized thus creating a mist. The body may also include a bore configured to emit a spray which will also prevent the formation of thin layer of fluid on the body. | 01-29-2009 |
20090030440 | ULTRASONIC CURVED BLADE - An ultrasonic dissection and coagulation system for surgical use is provided. The system includes an ultrasonic instrument, a control module, and a remote actuator. The ultrasonic instrument has a housing and an elongated body portion extending from the housing. An ultrasonic transducer supported within the housing is operatively connected to a cutting jaw by a vibration coupler. The vibration coupler conducts high frequency vibration from the ultrasonic transducer to the cutting jaw. The cutting jaw has a blade surface which is curved downwardly and outwardly in the distal direction with respect to the longitudinal axis of the elongated body portion along its length such that an angle defined by a line drawn tangent to the blade surface and the longitudinal axis of the elongated body portion varies between 5 degrees and 75 degrees. A clamp member having a tissue contact surface is positioned adjacent to the cutting jaw and is movable from an open position in which the tissue contact surface is spaced form the blade surface to a clamped position in which the tissue contact surface is in close juxtaposed alignment with the blade surface to clamp tissue therebetween. The clamp member and the curved cutting jaw combine to enhance contact between tissue and the blade surface of the cutting jaw during cutting. Further, the continuously varying angle of the blade surface with respect to the longitudinal axis of the elongated body portion facilitates selective user control over the application of force on tissue during a cutting or dissecting procedure. | 01-29-2009 |
20090036911 | Ultrasonic surgical instrument with modulator - A surgical instrument includes a transducer configured to produce vibrations along a longitudinal axis at a predetermined frequency. An end effector is adapted to couple to the transducer and extends along the longitudinal axis. The end effector includes a body having a proximal end and a distal end. The distal end is movable relative to the longitudinal axis by the vibrations produced by the transducer. A drive module is coupled to the transducer to generate a modulated drive signal. The distal end of the end effector is movable in response to the vibrations produced by the transducer in response to the modulated drive signal. | 02-05-2009 |
20090036912 | Ultrasonic surgical instruments - A surgical instrument. The surgical instrument may comprise a transducer and an end effector. The transducer may be configured to provide vibrations along a longitudinal axis at a predetermined frequency and may comprise a piezoelectric stack positioned along the longitudinal axis. The transducer also may comprise a first metallic end mass positioned along the longitudinal axis adjacent a first end of the piezoelectric stack and a second metallic end mass positioned along the longitudinal axis adjacent a second end of the piezoelectric stack. The length of the transducer may be greater than or equal to of one wavelength and less than ½ of one wavelength. The end effector may be coupled to the transducer and may extend along the longitudinal axis. The length of the transducer and the end effector may be a multiple of ½ of one wavelength. | 02-05-2009 |
20090036913 | Surgical instruments - A surgical device. The surgical device may comprise a transducer, an end effector, a generator and a control circuit. The transducer may be configured to provide vibrations. The end effector may be coupled to the transducer and may extend from the transducer along the longitudinal axis. The generator may provide an electrical signal to the transducer. Also, the control circuit may modify a current amplitude of the electrical signal in response to a change in a vibration frequency of the end effector. Accordingly to various embodiments, the control circuit may detect a first contribution to a vibration frequency of the end effector, the first contribution originating from tissue in contact with the end effector. Also, according to various embodiments, the control circuit may indicate a change in a vibration frequency of the end effector. | 02-05-2009 |
20090036914 | TEMPERATURE CONTROLLED ULTRASONIC SURGICAL INSTRUMENTS - A surgical instrument includes a transducer configured to produce vibrations at a predetermined frequency. An ultrasonic blade extends along a longitudinal axis and is coupled to the transducer. A controller receives a feedback signal from the ultrasonic blade. A lumen is adapted to couple to a pump. The lumen conducts a fluid therethrough based on the feedback signal. | 02-05-2009 |
20090088785 | SURGICAL OPERATING APPARATUS - A surgical operating apparatus includes a sheath having a distal end portion and a proximal end portion; a shaft-shaped probe body which is inserted in the sheath and has a distal end portion and a proximal end portion, and in which ultrasonic vibration is transmitted; a jaw which is rotatably supported on the distal end portion of the sheath and has a first electrode section which is one of bipolar electrodes; a probe distal end portion which is provided at the distal end portion of the probe body, is engaged with the jaw, and constitutes a second electrode section which is the other of the bipolar electrodes; and a driving member including a tubular body section, which is inserted in the sheath slidably in an axial direction of the sheath, and an operation section which is provided on a distal end side of the body section and has a connection section for connection to the jaw, the driving member rotating the jaw by a sliding operation of the body section, wherein a tube body of the body section has, on an inner peripheral surface side thereof, an insulation tube which effects electrical insulation between the probe body and the body section, and the insulation tube has a projection portion which projects forward of the body section. | 04-02-2009 |
20090099582 | ULTRASONIC DEVICE FOR CUTTING AND COAGULATING - An ultrasonic clamp coagulator assembly that is configured to permit selective cutting, coagulation, and fine dissection required in fine and delicate surgical procedures. The assembly includes a housing, a curved blade assembly and a first shroud and a second shroud. | 04-16-2009 |
20090105739 | High frequency tool - A frequency tool for use in endoscopic electro-surgery, the high frequency tool having a high frequency knife at a distal end of a flexible cord encased in a tube member of a flexible sheath. A tubular rigid tip member of electrically insulating material is fitted in a fore distal end portion of the tube member, forming an annular flat end face together with the tube member. Formed internally of the tubular rigid tip member is a through axial passage hole to receive therein a retractably protrusible electrode member of the high frequency knife. At a fore distal end of a rod portion, the electrode member is provided with a spherically bulged portion of a diameter smaller than inside diameter of the axial passage hole of the tubular rigid tip member. | 04-23-2009 |
20090118751 | APPARATUS AND METHOD FOR ALERTING GENERATOR FUNCTIONS IN AN ULTRASONIC SURGICAL SYSTEM - The present invention provides a system for surgery which includes an ultrasonic hand piece having a end-effector, a console having a digital signal processor (DSP) for controlling the hand piece, and a memory disposed in the end-effector. The generator console sends a drive current to drive the hand piece which imparts ultrasonic longitudinal movement to the blade. As the generator console reads the memory, the hand piece is authenticated for use with the generator console if a copyrighted data string is present in the memory. In a particular embodiment, the data string is an encrypted code, where the hand piece is authenticated for use with the console by decoding a corresponding encryption algorithm resident in the generator console and providing a responding data pattern. | 05-07-2009 |
20090131962 | Ultrasound Medical Instrument Having A Medical Ultrasonic Blade - A first ultrasound medical instrument includes a medical ultrasonic blade having first, second and third blade portions. The second blade portion is more bendable than either of the first and third blade portions. A second ultrasound medical instrument includes a medical ultrasonic blade having a proximal blade portion and a distal blade portion. The distal blade portion bends more easily than does the proximal blade portion. The distal blade portion includes a distal end portion adapted to contact and ultrasonically treat patient tissue. A third ultrasonic medical instrument includes a medical ultrasonic blade. The medical ultrasonic blade includes a proximal blade portion having a centerline and includes a distal blade portion in contact with the proximal blade portion at a substantially planar interface. The interface is oriented at a non-zero angle with respect to a perpendicular to the centerline at the interface. | 05-21-2009 |
20090143795 | Ultrasonic surgical instrument blades - An ultrasonic surgical instrument including an ultrasonically actuated blade or end effector having a treatment portion. The blade can define a central axis and at least one axis which is transverse to the central axis, wherein the transverse axis can lie within a plane which is perpendicular, or normal, to the longitudinal axis and can define a cross-section of the treatment portion. Such a cross-section can include a central portion and a step extending from the central portion, wherein the central portion can comprise a width, and wherein the step can comprise a cutting edge. In at least one embodiment, the cutting edge can be defined by first and second surfaces which define an angle therebetween. In various embodiments, the position of the cutting edge and/or the angle between the cutting edge surfaces can be selected in order to balance the blade with respect to the transverse axis. | 06-04-2009 |
20090143796 | Folded ultrasonic end effectors with increased active length - An end effector for use with an ultrasonic surgical instrument. A body extends along a longitudinal axis. The body includes a proximal end and a distal end. The proximal end of the body is configured to couple to an ultrasonic transducer configured to produce vibrations at a predetermined frequency. A folded element includes a first end coupled to the distal end of the body at a predetermined region between a node and an antinode. The folded element extends along the longitudinal axis from the distal end to the proximal end of the body. The folded element comprises a second free acoustic end. A distal portion of the body and the folded element define a parallel acoustic path. | 06-04-2009 |
20090143797 | Cordless Hand-Held Ultrasonic Cautery Cutting Device - An ultrasonic surgical assembly includes a reusable cordless ultrasonic transducer and a disposable handle body that defines a battery-holding compartment therewithin, having an ultrasonic surgical waveguide, and operable to removably couple the transducer to the waveguide, the transducer being removably couplable to the handle body. | 06-04-2009 |
20090143798 | Cordless Hand-Held Ultrasonic Cautery Cutting Device - An ultrasonic surgical waveguide driving assembly for attachment to a surgical ultrasonic instrument handle with a cordless power source therein includes a reusable cordless ultrasonic transducer that has an ultrasonic waveguide couple at which the transducer is operable to excite a waveguide attached thereto and a power input disposed to substantially simultaneously connect the waveguide couple to a waveguide and the power input to a power source located within the handle. | 06-04-2009 |
20090143799 | Cordless Hand-Held Ultrasonic Cautery Cutting Device - A disposable ultrasonic surgical handle includes a disposable handle body defining a battery-holding compartment shaped to receive a battery therein and operable to couple a proximal end of an ultrasonic waveguide to an ultrasonic transducer therethrough. The body has a transducer dock exposed to the environment and interchangeably housing the transducer and a waveguide attachment dock shaped to align and attach the proximal end of the waveguide to the transducer and hold them at the body when the respectively docked at the transducer and attachment docks. A disposable driving-wave generation circuit in the handle body electrically contacts the battery and the transducer when the battery and the transducer are disposed respectively in the battery-holding compartment and the transducer dock. The circuit generates an output waveform sufficient to cause ultrasonic movement along the waveguide by exciting the transducer when the transducer is coupled to the waveguide. | 06-04-2009 |
20090143800 | Cordless Hand-Held Ultrasonic Cautery Cutting Device - An ultrasonic surgical assembly for connection to an ultrasonic surgical handle includes a reusable exterior body defining an internal compartment and having a connection operable to removably secure the body in a body-holding compartment within the ultrasonic surgical handle, a reusable cordless ultrasonic-movement-generation assembly disposed in the compartment and having an output couple removably attachable to an ultrasonic waveguide and operable to impart ultrasonic movement to the ultrasonic waveguide, and a reusable and rechargeable battery disposed in the compartment and electrically connected to and powering the assembly. | 06-04-2009 |
20090143801 | Cordless Hand-Held Ultrasonic Cautery Cutting Device - A disposable ultrasonic surgical handle includes a disposable handle body that has a first handle body portion defining a handgrip and a second handle body portion connected to the first handle body portion, where the second handle body portion has a waveguide attachment dock exposed to the environment and having a first couple operable to connect an ultrasonic waveguide thereto and an aseptically sealable powered-ultrasonic-motion-generator assembly dock shaped to connect the ultrasonic waveguide in the attachment dock to an assembly within the assembly dock through the second handle body portion. The disposable ultrasonic surgical handle also includes a disposable compartment door movably connected to the second handle body portion to selectively expose the assembly dock to the environment, where the handle has an open position exposing the assembly dock to the environment and permitting entry and removal of the powered-ultrasonic-motion-generator assembly respectively into and from the assembly dock and a closed position aseptically sealing the assembly dock from the environment. | 06-04-2009 |
20090143802 | Cordless Hand-Held Ultrasonic Cautery Cutting Device - An ultrasonic surgical assembly includes a disposable ultrasonic waveguide, a reusable exterior body, and a cordless ultrasonic-movement-generation assembly removably disposed in the body and operable to generate ultrasonic movement of the waveguide when connected thereto. The assembly also includes a reusable and rechargeable battery disposed in the body, a disposable handle having both a waveguide attachment dock exposed to the environment and operably connecting the waveguide thereto and an aseptically sealable assembly dock exposed to the environment and shaped to connect the waveguide in the attachment dock to the assembly through the handle when the assembly is disposed in the assembly dock. The assembly further includes a disposable compartment door that is movably connected to the handle to selectively expose the assembly dock to the environment and has an open position, permitting entry and removal of the assembly respectively into and from the assembly dock, and a closed position, aseptically sealing the assembly dock from the environment. | 06-04-2009 |
20090143803 | Cordless Hand-Held Ultrasonic Cautery Cutting Device - An ultrasonic surgical assembly includes an ultrasonic waveguide and a cordless ultrasonic-movement-generation assembly that has a selectively removable securing connector and an output couple operable to impart ultrasonic movement to the ultrasonic waveguide when the waveguide is connected thereto. The assembly also includes a removable battery and a surgical handle that has a first handle body portion defining therein an aseptically sealable battery-holding compartment selectively exposed to the environment, aseptically removably holding therein the battery and electrically connecting the battery therein to the ultrasonic-movement-generation assembly. A second handle body portion is connected to the first handle body portion and has a waveguide attachment dock that is exposed to the environment and has a first couple operable to connect the waveguide thereto and an ultrasonic-movement-generation assembly dock that is exposed to the environment and shaped to removably secure the second handle body portion to the securing connector and connect the ultrasonic waveguide in the attachment dock to the output couple through the second handle body portion. | 06-04-2009 |
20090143804 | Cordless Hand-Held Ultrasonic Cautery Cutting Device - An ultrasonic assembly that is removably connectable to an ultrasonic waveguide of an ultrasonic surgical handle includes a cordless ultrasonic-movement-generation assembly having an ultrasonic generator and an ultrasonic transducer electrically coupled to the generator and having an output couple, a shell housing therein the ultrasonic-movement-generation assembly and having a securing connection shaped to removably connect to the ultrasonic surgical handle. The output couple is operable to impart ultrasonic movement to the ultrasonic waveguide when the securing connection is connected to the ultrasonic surgical handle and the waveguide is connected to the output couple. | 06-04-2009 |
20090143805 | Cordless Hand-Held Ultrasonic Cautery Cutting Device - A disposable ultrasonic surgical handle connectable to an ultrasonic waveguide, a battery, and an ultrasonic-movement-generator assembly includes a first handle body portion defining therein an aseptically sealable battery-holding compartment shaped to receive the battery therein, a second handle body portion connected to the first handle body portion, and an electrical couple. The second handle body portion has a waveguide attachment dock exposed to the environment and an ultrasonic-movement-generator assembly dock exposed to the environment and shaped to connect the ultrasonic waveguide in the waveguide attachment dock to the ultrasonic-movement-generator assembly through the second handle body portion. The electrical couple is operable to connect a battery within the battery-holding compartment to the ultrasonic-movement-generator-assembly when the ultrasonic-movement-generator assembly is docked at the ultrasonic-movement-generator assembly dock. | 06-04-2009 |
20090143806 | ULTRASONIC SURGICAL BLADES - An ultrasonic surgical blade includes a body having a proximal end, a distal end, and an outer surface. The distal end is movable relative to a longitudinal axis in accordance with ultrasonic vibrations applied to the proximal end. At least a portion of the outer surface of the body comprises a lubricious coating adhered thereto. The lubricious coating has a coefficient of friction that is less than the coefficient of friction of the outer surface of the body. | 06-04-2009 |
20090177218 | ULTRASONIC CUTTING TOOL - The tool's elongate waveguide is operatively connected at a proximal end to a source of ultrasonic vibrations. Cutting and/or coagulating blades are mounted to a distal end of the waveguide. These blades act generally within an operative plane. A handle is mounted to the proximal end of the waveguide and is provided with a re-aligner, operable with a fingertip of a hand grasping the handle, to realign the operative plane of the blades to a preferred direction. | 07-09-2009 |
20090209990 | MOTORIZED SURGICAL CUTTING AND FASTENING INSTRUMENT HAVING HANDLE BASED POWER SOURCE - A surgical cutting and fastening instrument. The instrument comprises an end effector, a shaft connected to the end effector, and a handle connected to the shaft. The handle comprises an electric, DC motor connected to a drive train in the shaft for powering the drive train. The handle also comprises a power pack that comprises at least one charge-accumulating device connected to the DC motor for powering the DC motor. | 08-20-2009 |
20090216257 | SURGICAL TREATMENT APPARATUS - A surgical treatment apparatus includes a first unit including a first vibration transmission member and a first holding member, a second unit including a second vibration transmission member, a second holding member, and an elastic member provided between the second vibration transmission member and the second holding member, configured to be deformed in accordance with a relative arrangement of the second vibration transmission member and the second holding member with respect to the axial direction to give the second vibration transmission member an elastic force in the axial direction, and an adjustment coupling mechanism to couple the first unit and the second unit with each other, arrange the first vibration transmission member and the second vibration transmission member coaxially to abut the end portion of the first vibration transmission member and the end portion of the second vibration transmission member against each other, and adjust a relative arrangement of the first holding member and the second holding member with respect to the coaxial direction to be constant to adjust a deformation amount of the elastic member to be constant. | 08-27-2009 |
20090248050 | ULTRASONIC OPERATING APPARATUS - An ultrasonic operating apparatus includes an ultrasonic transducer which generates ultrasonic vibration, a probe unit which is coupled to the ultrasonic transducer and transmits the ultrasonic vibration from the ultrasonic transducer, an ultrasonic transducer unit having a casing section which contains the ultrasonic transducer, an electric cable which is provided at a proximal end portion of the ultrasonic transducer unit, a handle unit in which the probe unit is inserted and which includes a coupling end portion for coupling to a distal end portion of the ultrasonic transducer unit, and a coupling section which couples an outer periphery of the distal end portion of the ultrasonic transducer unit and a proximal end portion of the handle unit, wherein the coupling section includes a different-type assembly prevention section which prevents assembly between the ultrasonic transducer unit and the handle unit which are different types. | 10-01-2009 |
20090248051 | SURGICAL OPERATING APPARATUS - A surgical operating apparatus includes an ultrasonic treatment section which performs ultrasonic treatment on a living tissue, and a high-frequency treatment section which performs high-frequency treatment on the living tissue, and includes a narrow width part which is provided on at least one of mutually opposed surfaces of a first electrode portion of a first grasping member and a second electrode portion of a second grasping member. The narrow width part is configured to be disposed at a position where the second grasping member does not easily suffer a stress due to ultrasonic vibration when the living tissue is grasped between the second grasping member and the first grasping member, and to make a distance between the mutually opposed surfaces of the first electrode portion and the second electrode portion narrower than a distance at other positions. | 10-01-2009 |
20090259243 | POWER SUPPLY APPARATUS FOR OPERATION - A power supply apparatus for operation for outputting power to a surgical instrument includes a phase difference detection section for detecting a phase difference between an output voltage and an output current in the output, and an abnormality detection section for detecting an abnormality according to whether or not a period of time for which the phase difference deviates from a predetermined normal value range exceeds a predetermined period of time. Further, a power supply apparatus for operation for outputting power to a surgical instrument includes a phase difference detection section for detecting a phase difference between an output voltage and an output current from the power in the output, and an abnormality detection section for detecting an abnormality according to whether or not a variation value of the phase difference per unit time exceeds a predetermined threshold. By detecting the abnormality in this manner, the surgical instrument can be prevented from being broken. | 10-15-2009 |
20090259244 | POWER SUPPLY APPARATUS FOR OPERATION - A power supply apparatus for operation for outputting power to a surgical instrument includes a temperature detection section for detecting a temperature of the surgical instrument, and an abnormality detection section for detecting an abnormality of the surgical instrument on the basis of the detected temperature. The temperature detection section detects the temperature by measuring the electric capacitance of the surgical instrument or directly measures the temperature of the surgical instrument by using a temperature measurement device. More specifically, the abnormality detection section detects the abnormality according to whether or not a temperature variation amount of the surgical instrument per unit time exceeds a predetermined threshold. Further, when the abnormality detection section detects an abnormality, the abnormality detection section stops the output of the power to the surgical instrument. By detecting an abnormality in the manner described above, the surgical instrument can be prevented from being broken. | 10-15-2009 |
20090259245 | VIBRATING KNIFE AND EXCISION APPARATUS - Demands have arisen for a vibrating knife such as a biometrical ultrasonic knife which can easily obtain sharp cut surfaces with little possibility of contamination and the like. In order to meet the demands, the excision portion of a vibrating knife such as a biometrical ultrasonic knife which is brought into contact with an excision target such as living body tissue and vibrated in a direction at an angle to the traveling direction in excision so as to excise the target is coated such that the surface of the portion located on the forward side in the traveling direction in excision becomes hydrophobic, and the surface of the portion located on the backward side in the traveling direction in excision becomes hydrophilic. | 10-15-2009 |
20090264909 | Ultrasonic shears stop pad - An ultrasonic-surgical-shears stop pad has a stop-pad body including a base material and at least one filler material. An alternate ultrasonic-surgical-shears stop pad has a stop-pad body adjacent to tissue pad. An ultrasonic surgical shears includes an ultrasonic surgical blade and a clamping arm which is operable to open and close toward the blade and which has a transversely and resiliently flexible distal tip. An alternate ultrasonic surgical shears includes an ultrasonic surgical blade, a clamping arm operable to open and close toward the blade, and a stop pad attached to the clamping arm and having a blade contact surface, wherein at least a portion of the stop pad is resiliently flexible in a direction substantially perpendicular to the blade contact surface. | 10-22-2009 |
20090264910 | METHODS AND DEVICES FOR DISSECTING TISSUE - Methods and devices are provided for dissecting tissue. In one embodiment, a surgical device can include an elongate shaft configured to be introduced into a body of a patient. A transducer coupled to the elongate shaft can be configured to deliver mechanical energy to the elongate shaft, e.g., axially along the elongate shaft, to rotate, vibrate, and/or flex the elongate shaft to facilitate dissection of tissue adjacent at least a leading end or a distal end of the elongate shaft. In some embodiments the elongate shaft can include at least two coaxial coils, and the transducer can be configured to move at least one of the coaxial coils to facilitate tissue dissection using the elongate shaft. | 10-22-2009 |
20090270891 | Balanced ultrasonic curved blade - Methods and devices that provide reduced transverse motion in a curved ultrasonic blade and/or ultrasonic surgical instrument with functional asymmetries. An ultrasonic blade in accordance with embodiments of the present invention includes a curved functional portion of an ultrasonic blade, wherein the center of mass of the curved functional portion lies on the mid-line of a waveguide delivering ultrasonic energy to the blade. Balancing in accordance with embodiments of the present invention, using placement of the center of mass of the curved portion of the blade appropriately, provides blade balance in a proximal portion of the blade, without reduction of mass and inherent stress increase proximal to the end-effector. | 10-29-2009 |
20090299395 | ULTRASONIC VIBRATION APPARATUS - An ultrasonic vibration apparatus includes a vibrator, wherein the vibrator includes at least two vibration elements to generate ultrasonic vibration when a driving voltage is applied to the vibration elements, at least three electrode portions wherein the vibration elements and the electrode portions is alternately arranged side by side in a vibrating direction, at least the three electrode portions includes at least two first electrode portions and at least one second electrode portion alternately arranged in the vibrating direction, the vibrator integrally vibrates ultrasonically in the vibrating direction when the driving voltage is applied to the first electrode portions and the second electrode portion, and a bridging portion coupling and electrically connecting two first electrode portions of at least the two first electrode portions with each other, and the ultrasonic vibration apparatus further includes an anti-vibration portion to suppress vibration of the bridging portion in any other direction except the vibrating direction. | 12-03-2009 |
20090306693 | Ultrasound Liquid Blade Scalpel Device - An ultrasound assisted liquid blade cutting device such as a scalpel that may be used for routine surgical operations is disclosed in this invention. The ultrasound scalpel comprises an ultrasound generator, ultrasound transducer, transducer tip, a cavity on the transducer tip using a liquid spray shaped to form a cutting surface. The spray serves as a carrier medium for the applied ultrasound energy which enhances the features and performance of the scalpel. Ultrasonic energy transmitted from the transducer tip assists the transport of the liquid to a liquid blade formed outside of the cavity. The ultrasound energy focuses and activates the liquid to allow cutting of tissue with the liquid blade. This device may be utilized for cutting through skin and/other soft tissues during surgical operations, thereby enhancing cutting efficacy, decreasing and/or eliminating necrosis formation. | 12-10-2009 |
20090306694 | Ultrasound Liquid Blade Scalpel Method - An ultrasound assisted liquid blade cutting device such as a scalpel that may be used for routine surgical operations is disclosed in this invention. The ultrasound scalpel comprises an ultrasound generator, ultrasound transducer, transducer tip, a cavity on the transducer tip using a liquid spray shaped to form a cutting surface. The spray serves as a carrier medium for the applied ultrasound energy which enhances the features and performance of the scalpel. Ultrasonic energy transmitted from the transducer tip assists the transport of the liquid to a liquid blade formed outside of the cavity. The ultrasound energy focuses and activates the liquid to allow cutting of tissue with the liquid blade. This device may be utilized for cutting through skin and/other soft tissues during surgical operations, thereby enhancing cutting efficacy, decreasing and/or eliminating necrosis formation. | 12-10-2009 |
20090318944 | ULTRASONIC SURGICAL APPARATUS - An ultrasonic surgical instrument has an ultrasonic transducer unit having an ultrasonic transducer for producing ultrasonic vibration, a transmission member which connects the ultrasonic transducer in the proximal end side, and transmits the ultrasonic vibration produced by the ultrasonic transducer from the proximal end side to the distal end side, a sheath, in which the transmission member is inserted, having an open part on one side of the distal end side, and a treatment portion which is provided at the distal end of the transmission member, and exposed to the open part for carrying out a surgical treatment on an object part by the ultrasonic vibration transmitted from the transmission member. The ultrasonic surgical instrument cuts or shaves hard tissues. | 12-24-2009 |
20090318945 | ULTRASONIC THERAPEUTIC DEVICES - An ultrasonic surgical instrument comprises an ultrasonic transducer producing ultrasonic vibration, a transmission member transmitted ultrasonic vibration from the proximal end to the distal end, a sheath in which the transmission member is inserted, a procedural unit provided to the distal end of the transmission member so that it projects from the distal end of the sheath, and treating a surgical target portion using ultrasonic vibration, a procedural unit main body provided in the procedural unit, a procedural member provided in the sheath so that it projects from the distal end of the sheath to treat the surgical target portion, and a procedural member main body provided at the distal end of the procedural member. In the ultrasonic surgical instrument, the procedural member main body overlaps with the procedural unit main body, and thereby, the procedural member main body and the procedural unit main body treat the portion. | 12-24-2009 |
20090326569 | SURGICAL SYSTEM AND SURGICAL OPERATION METHOD - A surgical system includes a surgical instrument including a conducting section transmitting ultrasound vibration generated by an ultrasound transducer to a distal end portion and transmitting a high-frequency output signal to the distal end portion, an ultrasound drive section outputting an ultrasound drive signal to the ultrasound transducer, a high-frequency output section outputting a high-frequency output signal to the conducting section, a detection section detecting an ultrasound impedance of a surgical site to which ultrasound energy and high-frequency energy are provided from the distal end portion by outputting both signals simultaneously to the surgical instrument, a determination section determining whether the detected ultrasound impedance is in a predetermined range, and a control section performing control to increase a high-frequency output value by a first predetermined amount or decrease the high-frequency output value by a second predetermined amount when the detected ultrasound impedance is out of the predetermined range. | 12-31-2009 |
20100004667 | ULTRASONIC SURGICAL TOOL - At the surgical tool's proximal end, there is a first means ( | 01-07-2010 |
20100004668 | Cordless Hand-Held Ultrasonic Cautery Cutting Device and Method - A disposable ultrasonic surgical handle connectable to an ultrasonic transducer, an ultrasonic waveguide, a removable battery, and an ultrasonic-signal-generator assembly, includes a handle body with a portion defining a battery-holding compartment, the battery-holding compartment having at least two battery contacts, a waveguide attachment dock exposed to the environment and shaped to accept the waveguide therein, a transducer attachment dock exposed to the environment and shaped to place the ultrasonic transducer in coaxial alignment with the waveguide when the waveguide is disposed within the waveguide attachment dock, and an ultrasonic-signal-generator assembly dock exposed to the environment. The ultrasonic-signal-generator assembly dock is shaped to substantially simultaneously selectively removably secure the ultrasonic-signal-generator assembly to the handle body, place an end of the ultrasonic transducer within the transducer attachment dock, and electrically couple the ultrasonic-signal-generator assembly to the at least two battery contacts. | 01-07-2010 |
20100004669 | Cordless Hand-Held Ultrasonic Cautery Cutting Device and Method - A disposable ultrasonic surgical handle connectable to an ultrasonic transducer, an ultrasonic waveguide, a battery, and an ultrasonic-signal-generator assembly, includes a handle body having a power supply portion defining a battery-holding compartment, the battery-holding compartment having at least two battery contacts, a waveguide attachment dock exposed to the environment and shaped to accept the waveguide therein, an ultrasonic-signal-generator assembly dock exposed to the environment and shaped to selectively removably secure the ultrasonic-signal-generator assembly to the handle body and electrically couple the ultrasonic-signal-generator assembly to the battery contacts, and a transducer attachment dock exposed to the environment and shaped to substantially simultaneously place the ultrasonic transducer in coaxial alignment with the waveguide when the waveguide is disposed within the waveguide attachment dock and electrically couple the ultrasonic transducer to the ultrasonic-signal-generator assembly when the ultrasonic-signal-generator assembly is secured to the ultrasonic-signal-generator assembly dock. The battery can be removable. | 01-07-2010 |
20100023043 | ULTRASONIC SURGICAL INSTRUMENT, SHEARS AND TISSUE PAD, METHOD FOR SEALING A BLOOD VESSEL AND METHOD FOR TRANSECTING PATIENT TISSUE - An ultrasonic surgical shears has a bifurcated ultrasonic surgical blade, a clamping arm and a substantially “T”-shaped tissue pad. An alternate ultrasonic surgical shears has an ultrasonic surgical blade, a clamping arm, and a tissue pad having first and second transverse outer portions and a movable transverse central portion. An ultrasonic surgical instrument has an ultrasonic surgical clamp including an ultrasonic member adapted to ultrasonically vibrate and has a surgical cutter distinct from the ultrasonic member. A method for sealing a blood vessel of a patient includes obtaining an ultrasonic surgical clamp, sealing the blood vessel with the ultrasonic member, and transecting the sealed blood vessel using the surgical cutter. An alternate method similarly transects patient tissue and seals a blood vessel therein. An ultrasonic-surgical-shears tissue pad includes first and second transverse outer portions which are more resiliently flexible than is a transverse central portion. | 01-28-2010 |
20100023044 | ULTRASONIC SURGICAL SHEARS AND TISSUE PAD FOR SAME - An ultrasonic-surgical-shears tissue pad has a tissue-pad body including a base material and at least one filler material. An alternate ultrasonic-surgical-shears tissue pad has a tissue-pad body having adjoining first and second regions, wherein the first region includes a first material and wherein the second region includes a second material. An ultrasonic surgical shears includes an ultrasonic surgical blade and a clamping arm which is operable to open and close toward the blade and which has a transversely and resiliently flexible distal tip. An alternate ultrasonic surgical shears includes an ultrasonic surgical blade, a clamping arm operable to open and close toward the blade, and a tissue pad attached to the clamping arm and having a clamping surface, wherein at least a portion of the tissue pad is resiliently flexible in a direction substantially perpendicular to the clamping surface. | 01-28-2010 |
20100030248 | Medical Ultrasonic Cauterization and Cutting Device and Method - An ultrasonic surgical instrument includes a shaft having a proximal end and a distal end and a first jaw having a proximal end and a distal end, the distal end of the shaft terminating at the proximal end of the first jaw and the first jaw has an internal trough running from and through the proximal end of the first jaw and terminating at a point prior to the distal end of the first jaw and a surface having a plurality of teeth on either side of the trough and at the distal end of the first jaw. A second jaw has a surface facing the surface of the first jaw and having a plurality of teeth thereat. An ultrasonic waveguide extends beyond the shaft and is slidably engagable with the trough, where the ultrasonic waveguide has a distal end, a proximal end, a top surface portion, and a tissue compressing surface upwardly sloping from the distal end of the ultrasonic waveguide to the proximal end of the ultrasonic waveguide, at least one of the tissue compressing surface and the top surface portion forming a cutting surface and wherein the jaws are operable to compress tissue therebetween and the ultrasonic waveguide is operable to slide within the trough to further compress and cut the compressed tissue as the ultrasonic waveguide moves in a direction from the proximal end of the first jaw to the distal end of the first jaw. | 02-04-2010 |
20100036405 | ULTRASONIC DEVICE FOR CUTTING AND COAGULATING WITH STEPPED OUTPUT - Various embodiments are directed to an apparatus, system, and method for driving an end effector coupled to an ultrasonic transducer in a surgical instrument. The method comprises generating a first ultrasonic drive signal by a generator coupled to an ultrasonic drive system, actuating the ultrasonic transducer with the first ultrasonic drive signal for a first period, generating a second ultrasonic drive signal by the generator, and actuating the ultrasonic transducer with the second ultrasonic drive signal for a second period, subsequent to the first period. The first drive signal is different from the second drive signal over the respective first and second periods. The first and second drive signals define a step function waveform over the first and second periods. The apparatus comprises a generator configured to couple to an ultrasonic instrument. The system comprises a generator coupled to an ultrasonic instrument. The ultrasonic instrument comprises an ultrasonic drive system comprising an ultrasonic transducer coupled to a waveguide and an end effector coupled to the waveguide, and wherein the ultrasonic drive system is configured to resonate at a resonant frequency. | 02-11-2010 |
20100036406 | Method of Controlling a Surgical System Based on a Load on the Cutting Tip of a Handpiece - A surgical system that is able to sense the onset of an occlusion or other surgical event as well as the instant an occlusion breaks. To help avoid overheating of the tip, the system determines an approximate temperature of the eye using an irrigation flow rate and reduces the power to the handpiece automatically if an overheating situation is predicted. Alternatively or in addition, the system monitors the power drawn by the handpiece, which is indicative of the cutting load on the tip, and automatically adjusts the power or stroke of the tip to compensate for increased loads on the tip. | 02-11-2010 |
20100042126 | ULTRASOUND MEDICAL INSTRUMENT HAVING A MEDICAL ULTRASONIC BLADE - A first ultrasound medical instrument includes a medical ultrasonic blade having first, second and third blade portions. The second blade portion is more bendable than either of the first and third blade portions. A second ultrasound medical instrument includes a medical ultrasonic blade having a proximal blade portion and a distal blade portion. The distal blade portion bends more easily than does the proximal blade portion. The distal blade portion includes a distal end portion adapted to contact and ultrasonically treat patient tissue. A third ultrasonic medical instrument includes a medical ultrasonic blade. The medical ultrasonic blade includes a proximal blade portion having a centerline and includes a distal blade portion in contact with the proximal blade portion at a substantially planar interface. The interface is oriented at a non-zero angle with respect to a perpendicular to the centerline at the interface. | 02-18-2010 |
20100057117 | ULTRASONIC OPERATING APPARATUS - In an ultrasonic operating apparatus which is provided with an insertion portion including a sheath having a distal end and a proximal end and formed of a cylindrical body having at least partially flexibility and a procedure portion disposed at the distal end of the sheath and performing a procedure for resection of a body tissue, and an operation portion disposed at the proximal end of the sheath and operating the procedure portion, the procedure portion is provided with an ultrasonic transducer unit including an ultrasonic transducer generating ultrasonic vibration, a probe portion integrally coupled with the ultrasonic transducer and transmitted with ultrasonic waves output from the ultrasonic transducer, and a casing accommodating the ultrasonic transducer, a jaw caused to face the probe portion which configures a distal end of the ultrasonic transducer and including a supporting point held in a state that the supporting point is not moved to the probe portion axially relative to the probe portion and an operating point movable axially relative to the probe portion, the jaw being driven to be opened and closed to the probe portion, a cover member coupled to the distal end of the sheath and rotatably supporting the operating point of the jaw, and a supporting portion disposed at a distal end of the casing and supporting the supporting point of the jaw, the operation portion is provided with a movable handle moving the operating point of the jaw axially relative to the probe member via the sheath and the cover member and rotating the jaw about the supporting point to drive the jaw to be opened and closed to the probe portion, and the jaw is set in a state that the operating point and the supporting point are positioned on a line orthogonal to a center line of the probe portion in a state that the jaw has been closed to the probe portion. | 03-04-2010 |
20100057118 | ULTRASONIC SURGICAL BLADE - An ultrasonic surgical blade includes a body having an external surface, at least one cutting edge, and a distal end. In at least one embodiment, the cutting edge can be defined by first and second surfaces which define an angle therebetween. In various embodiments, at least a portion of the cutting edge comprises a sharp point. In other embodiments, at least a portion of the cutting edge and surface comprise a sharp point and or a beveled surface. | 03-04-2010 |
20100063525 | Ultrasonic shears force limiting - The present invention relates to an improved arrangement for limiting the force applied to tissue by a mounted pivotal clamp arm of the present clamp coagulator apparatus and providing the appropriate amount of force to correctly positioned tissue. The arrangement is desirably economical in configuration, and cooperates with the associated pivotal clamp arm to position and maintain the clamp arm in substantial alignment with an associated end-effector, notwithstanding normal manufacturing tolerances of the components. | 03-11-2010 |
20100063526 | Jaw - The present invention relates generally to ultrasonic surgical devices, and more particularly to an ultrasonic surgical clamp coagulator apparatus for coagulating and/or cutting tissue, including an arrangement for pivotally mounting a clamp arm of the apparatus in order to form an improved jaw useful in manipulating tissue. | 03-11-2010 |
20100063527 | Tissue pad - The present invention relates generally to ultrasonic surgical devices, and more particularly to an ultrasonic surgical clamp coagulator apparatus for coagulating and/or cutting tissue, including an improved tissue pad for securing tissue within a clamp arm of a surgical clamp coagulator. | 03-11-2010 |
20100063528 | Ultrasonic shears actuating mechanism - The present invention is directed to an improved arrangement for mounting the pivotal clamp arm of the present clamp coagulator apparatus and providing the means to slideably engage the clamp arm via an outer actuating tube sliding over a non-actuating inner tube upon which the clamp arm is mounted. The arrangement is desirably economical in configuration, and cooperates with the associated pivotal clamp arm to position and maintain the clamp arm in substantial alignment with an associated end-effector, notwithstanding normal manufacturing tolerances of the components. | 03-11-2010 |
20100069939 | OPERATION SYSTEM - A surgery system includes: an ultrasonic output device for outputting to an ultrasonic transducer provided in a treatment instrument for performing surgery an ultrasonic drive signal to ultrasonically vibrate the ultrasonic transducer; a high-frequency output device for outputting a high-frequency signal for high-frequency ablation to the treatment instrument; and a connector section including a first connector and a second connector provided to the ultrasonic output device and the high-frequency output device, respectively, the connector section transmitting an output of the ultrasonic drive signal or the high-frequency signal from one of the devices to the other of the devices by connecting both of the connectors. | 03-18-2010 |
20100069940 | Ultrasonic Device for Fingertip Control - An ultrasonic surgical instrument comprises a handpiece and an ultrasonically actuated blade distal to the handpiece. The instrument includes an activation member that is operable to selectively activate the blade and a controller that is operable to select the energy level at which the blade will be activated. The activation member may comprise capacitive switches; resistive sensors; resonant cavity switching technology; infrared sensing technology; technology that uses a resonant, standing wave on a surface that is perturbed by the presence of a finger; and/or any other suitable type of technology. The controller may comprise the same. The controller may permit selection from three or more available ultrasonic energy levels. The activation member and/or controller may be manipulated from various longitudinal positions on the handpiece and/or various rotational positions about the handpiece, such that the handpiece may be gripped in a variety of ways. | 03-18-2010 |
20100087846 | Phacoemulsification Tip with Internal Oriented Structures - A phacoemulsification tip is formed from a tube that encloses an aspiration lumen surrounded by and generally concentric with a structure section. The structure section has a plurality of structures (ridges, vanes, ribs, or fins). The plurality of structures project inward from an inner wall of the tube at the distal end of the tube. The plurality of the structures are disposed at an angle with respect to a face of the distal end of the tube. Alternatively, the plurality of the structures are disposed at a non-perpendicular angle with respect to a plane that is tangent to a curved outer surface of the tube. | 04-08-2010 |
20100094321 | Ultrasound Handpiece - A handpiece having at least one pair of vibrating piezoelectric elements that are polarized and arranged within the handpiece so as to produce vibrations that are orthogonal, or otherwise at an angle to, the longitudinal centerline of the handpiece. Vibrating the cutting tip at an angle to its longitudinal axis creates additional shearing at the distal end of the tip, enhancing the tissue cutting action of the tip. | 04-15-2010 |
20100094322 | Laryngeal microsurgery operating instrument - A laryngeal microsurgery operating instrument comprises a harmonic generator, as smart-chip technology handle, including a piezoelectric ceramics transducer clamped between two steel cylinders and a plurality of blades with a reduced length and size stem, to fit the instrument to the intended specific surgical application. | 04-15-2010 |
20100094323 | TISSUE PAD FOR AN ULTRASONIC DEVICE FOR CUTTING AND COAGULATING - A tissue pad for use with an ultrasonic clamp coagulator assembly that is configured to permit selective cutting, coagulation, and fine dissection required in fine and delicate surgical procedures. The tissue pad defines a first end and a second end and has a first surface adapted for engaging tissue against an ultrasonic end effector. The tissue pad defines a width dimension from the first end to the second end, and the width at the first end is greater than a second width located halfway between the first end and the second end. The second end has a width smaller than the width halfway between both ends. | 04-15-2010 |
20100106173 | ULTRASONIC SURGICAL DEVICE - There is disclosed an ultrasonic surgical instrument which comprises a sheath having a distal end and a proximal end and an ultrasonic probe to be inserted into the sheath, the ultrasonic probe having an interpolating portion positioned in the sheath and a hook-like treatment portion arranged in the distal end of the interpolating portion so that the treatment portion protrudes from the sheath, wherein the treatment portion has an extending portion which extends obliquely forward and downward from the upper portion of the distal end of the interpolating portion, and has a recess formed under the extending portion. | 04-29-2010 |
20100121364 | Method of Controlling A Surgical System Based On A Load On The Cutting Tip Of A Handpiece - A surgical system that is able to sense the onset of an occlusion or other surgical event as well as the instant an occlusion breaks. To help avoid overheating of the tip, the system determines an approximate temperature of the eye using an irrigation flow rate and reduces the power to the handpiece automatically if an overheating situation is predicted. Alternatively or in addition, the system monitors the power drawn by the handpiece, which is indicative of the cutting load on the tip, and automatically adjusts the power to the tip to compensate for increased loads on the tip. | 05-13-2010 |
20100125292 | ULTRASONIC SURGICAL SYSTEM - An ultrasonic surgical system utilizes a digital control system to generate ultrasonic drive current for transducers that are located in a hand piece and are attached to a surgical scalpel or blade in the hand piece so as to vibrate the blade in response to the current. The digital control includes a digital signal processor (DSP) or microprocessor; a direct digital synthesis (DDS) device; a phase detection logic scheme, a control algorithm for seeking and maintaining resonance frequency; and design scheme that allows to regulate current, voltage, and power delivered to an ultrasonic thereby a device. Such system allows the power versus load output curve to be tailored to a specific hand piece, which improves efficiency and reduces heat. Further, the components of the digital system are much less sensitive to temperature variations, thereby allowing it to operate with narrow as needed frequency range around the desired resonance in order to avoid excitation of other resonances. Also, the digital system provides increased flexibility in locating the resonance frequency of the blade and running diagnostic tests. The start of a user initiated diagnostic test that requires movement of the blade is caused by operating two of the system switches, which guards against accidental operation of the blade which could be harmful if in contact with tissue and also generate false diagnostic results. In addition, the system has interlock with an Electrosurgical unit so that it is not effected by the electromagnetic interference generated by that unit. | 05-20-2010 |
20100145373 | NAIL DRILL - Apparatus is provided for drilling a hole in a nail of a subject. A drill bit has a nail-contacting surface for contacting the subject's nail. A drill control unit is configured to drill a hole in the subject's nail by moving the nail-contacting surface in a back-and-forth motion, while the nail-contacting surface is in contact with the subject's nail. Other applications are also described. | 06-10-2010 |
20100179577 | ULTRASONIC SURGICAL INSTRUMENT AND CARTILAGE AND BONE SHAPING BLADES THEREFOR - An ultrasonic surgical blade that includes a blade body that has a treatment region. At least one indentation can be formed in the treatment region of the blade body wherein each indentation forms a tissue cutting edge with an outer surface of the blade body. The indentation may comprise one or more holes, lumens, grooves or dimples or a combination of such structures. In various embodiments, one or more aspiration lumens are provided in the surgical blade which may ultimately communicate with an aspiration lumen or passage in an ultrasonic surgical instrument. | 07-15-2010 |
20100198241 | DEVICE FOR HARVESTING A BLOOD VESSEL - The present invention relates to an apparatus, device and a method for harvesting blood vessels, and in particular, to such an apparatus, device and method in which the internal mammary artery (IMA) is harvested for coronary artery bypass graft (CABG) surgery using a minimally invasive approach or a conventional procedure. | 08-05-2010 |
20100204721 | ULTRASONIC CUTTING TOOL - The ultrasonic surgical tool has an elongate waveguide ( | 08-12-2010 |
20100262172 | ULTRASONIC SURGICAL BLADE HAVING TRANSVERSE AND LONGITUDINAL VIBRATION - An ultrasonic surgical blade includes an ultrasonic-surgical-blade body having a longitudinal axis, a distal tip, a proximal end adapted for longitudinal ultrasonic vibrational excitation, a most-distal longitudinal vibration node, a treatment portion extending from the distal tip toward the most-distal longitudinal vibration node, and a functional asymmetry. The functional asymmetry is asymmetric about the longitudinal axis and translates longitudinal ultrasonic vibrational movement of the proximal end into a combination of a longitudinal ultrasonic vibration and a transverse ultrasonic vibration in at least some of the treatment portion of the ultrasonic-surgical-blade body. An amplitude of the transverse ultrasonic vibration at the distal tip is less than substantially ten percent of a maximum amplitude of the transverse ultrasonic vibration of the treatment portion of the ultrasonic-surgical-blade body. An alternate embodiment of the ultrasonic surgical blade includes at least one functional asymmetry and at least one balance asymmetry. | 10-14-2010 |
20100262173 | BALANCED ULTRASONIC END EFFECTOR - A balanced ultrasonic surgical instrument according to the present invention includes an ultrasonic transmission rod which is connected to a blade or end effector by a balance portion, which includes first and second balance asymmetries designed to compensate for the imbalances induced by the blade. | 10-14-2010 |
20100298851 | COUPLING ARRANGEMENTS AND METHODS FOR ATTACHING TOOLS TO ULTRASONIC SURGICAL INSTRUMENTS - An ultrasonic surgical instrument that has a waveguide that protrudes distally from the handpiece and a surgical tool that is configured to be coupled to the waveguide. The waveguide may have a distal end that is sized to be inserted into a cavity in a proximal end of the surgical tool and then selectively expanded to retain the distal end within the cavity to couple the surgical tool to the waveguide. | 11-25-2010 |
20100324580 | Ultrasound surgical apparatus and calibration method therefor - An ultrasound surgical apparatus includes a handpiece which includes a probe provided with a proximal end portion mechanically coupled to an ultrasound transducer and a distal end portion used for treatment of a living tissue; a drive portion which outputs a drive signal; a detection portion which detects, in the drive signal, a cavitation level signal corresponding to a state of cavitation generated in a calibration solution, based on the drive signal of calibration signal strength corresponding to class information about the handpiece; a condition storage portion which stores calibration information; an output setting portion which sets the vibration strength; and a control portion which controls the drive portion so as to output the drive signal of drive signal strength corresponding to the vibration strength set by the output setting portion, based on the calibration information and the class information | 12-23-2010 |
20100324581 | Torsional Ultrasound Hand Piece That Eliminates Chatter - A torsional ultrasound surgical hand piece lessens or eliminates chatter from lens material by imparting a twisting, rotary motion to a tip of a phacoemulsification needle at a resonant frequency in excess of 32 kHz. The hand piece has a horn that is designed to operate at an elevated frequency while maintaining size constraints for hand-held ophthalmic instruments. Optionally, heat generation is reduced either through the use of a polyimide tubing situated between the needle and the infusion sleeve, through the use of thermal watch to prevent overheating at the incision, and/or through the use of a bypass hole in the needle that diverts flow under suction into the needle via the bypass hole instead of exiting through an irrigation opening in the infusion sleeve when a tip port is occluded by lens material. | 12-23-2010 |
20100331869 | ULTRASONIC SURGICAL INSTRUMENTS - In one general aspect, various embodiments are directed to an ultrasonic surgical instrument that comprises a transducer configured to produce vibrations along a longitudinal axis at a predetermined frequency. In various embodiments, an ultrasonic blade extends along the longitudinal axis and is coupled to the transducer. In various embodiments, the ultrasonic blade includes a body having a proximal end and a distal end, wherein the distal end is movable relative to the longitudinal axis by the vibrations produced by the transducer. | 12-30-2010 |
20100331870 | ULTRASONIC SURGICAL INSTRUMENTS - In one general aspect, various embodiments are directed to an ultrasonic surgical instrument that comprises a transducer configured to produce vibrations along a longitudinal axis at a predetermined frequency. In various embodiments, an ultrasonic blade extends along the longitudinal axis and is coupled to the transducer. In various embodiments, the ultrasonic blade includes a body having a proximal end and a distal end, wherein the distal end is movable relative to the longitudinal axis by the vibrations produced by the transducer. | 12-30-2010 |
20100331871 | ULTRASONIC SURGICAL INSTRUMENTS - In one general aspect, various embodiments are directed to an ultrasonic surgical instrument that comprises a transducer configured to produce vibrations along a longitudinal axis at a predetermined frequency. In various embodiments, an ultrasonic blade extends along the longitudinal axis and is coupled to the transducer. In various embodiments, the ultrasonic blade includes a body having a proximal end and a distal end, wherein the distal end is movable relative to the longitudinal axis by the vibrations produced by the transducer. | 12-30-2010 |
20100331872 | ULTRASONIC SURGICAL INSTRUMENTS - In one general aspect, various embodiments are directed to an ultrasonic surgical instrument that comprises a transducer configured to produce vibrations along a longitudinal axis at a predetermined frequency. In various embodiments, an ultrasonic blade extends along the longitudinal axis and is coupled to the transducer. In various embodiments, the ultrasonic blade includes a body having a proximal end and a distal end, wherein the distal end is movable relative to the longitudinal axis by the vibrations produced by the transducer. | 12-30-2010 |
20100331873 | ULTRASONIC DEVICE FOR CUTTING AND COAGULATING - An ultrasonic clamp coagulator assembly that is configured to permit selective cutting, coagulation, and fine dissection required in fine and delicate surgical procedures. The assembly includes a clamping mechanism, including a clamp arm pivotally-mounted at the distal portion of the instrument using a ball-bearing assembly, which is specifically configured to create a desired level of tissue clamping forces. | 12-30-2010 |
20110004233 | Hand Activated Ultrasonic Instrument - An ultrasonic surgical clamp coagulator apparatus is configured to effect cutting, coagulation, and clamping of tissue by cooperation of a clamping mechanism of the apparatus with an associated ultrasonic end-effector. The handle of the apparatus is configured to permit hand activation for cutting, coagulation, and clamping of tissue during surgical procedures. In order to promote convenient and efficient use of the apparatus, the fingertip controls are provided directly into the disposal shears handle in a position that allows surgeons to activate the device without repositioning their hand. The two buttons provide independent control of the two power levels available from the generator, matching the two foot pedal configuration of the prior art. | 01-06-2011 |
20110009890 | Method of Switching a Cordless Hand-Held Ultrasonic Cautery Cutting Device - A method for operating an ultrasonic, self-powered surgical device, includes the steps of connecting a self-contained power supply to a surgical device handle, providing a control circuit within at least one of the handle and the power supply, the control circuit being operable to carry out at least two operational conditions of the surgical device, and effecting the at least two operational conditions with a two-stage switch electrically connected to the control circuit, a first stage of the switch effecting a first of the at least two operational conditions and a second stage of the switch effecting a second of the at least two operational conditions different from the first operational condition. | 01-13-2011 |
20110015660 | ROTATING TRANSDUCER MOUNT FOR ULTRASONIC SURGICAL INSTRUMENTS - In one general aspect, various embodiments are directed to an ultrasonic surgical instrument that comprises a handpiece housing that operably supports an electrical contact assembly therein that is in electrical communication with a signal source. An acoustic assembly is supported within the handpiece housing in rotatable contact with the electrical contact assembly. In various embodiments, the signal source produces at least one of an ultrasonic signal and a radio frequency signal. | 01-20-2011 |
20110054506 | Two-Stage Switch for Cordless Hand-Held Ultrasonic Cautery Cutting Device - An ultrasonic, self-powered surgical device includes a handle, a self-contained power supply associated with the handle, and a control circuit disposed within the handle and/or the power supply. The control circuit is operable to carry out at least two operational conditions of the surgical device. A two-stage switch is electrically connected to the control circuit and effects the at least two operational conditions of the surgical device. A first stage of the switch effects a first of the at least two operational conditions and a second stage of the switch effects a second of the at least two operational conditions that is different from the first operational condition. | 03-03-2011 |
20110066174 | Low Energy or Minimum Disturbance Method for Measuring Frequency Response Functions of Ultrasonic Surgical Devices in Determining Optimum Operating Point - An ultrasonic system is provided that includes an ultrasonic device having an elongated member configured to impart ultrasonic energy to tissue and a resonator configured to impart a frequency to the elongated member. The system also includes an ultrasonic generator configured to supply power to the resonator of the ultrasonic device. The ultrasonic generator has a drive signal generator configured to provide a drive signal, a noise signal generator configure to provide a noise signal, and a controller. The controller receives an output signal from the ultrasonic device and the noise signal from the noise signal generator, calculates a transfer function based on the output signal and the noise signal, and adjusts the drive signal generator based on the calculated transfer function. | 03-17-2011 |
20110082486 | DEVICES AND TECHNIQUES FOR CUTTING AND COAGULATING TISSUE - Various embodiments are directed to an apparatus and method of driving an end effector coupled to an ultrasonic drive system of a surgical instrument. The method comprises generating at least one electrical signal. The at least one electrical signal is monitored against a first set of logic conditions. | 04-07-2011 |
20110087256 | SURGICAL GENERATOR FOR ULTRASONIC AND ELECTROSURGICAL DEVICES - A method for determining motional branch current in an ultrasonic transducer of an ultrasonic surgical device over multiple frequencies of a transducer drive signal. The method may comprise, at each of a plurality of frequencies of the transducer drive signal, oversampling a current and voltage of the transducer drive signal, receiving, by a processor, the current and voltage samples, and determining, by the processor, the motional branch current based on the current and voltage samples, a static capacitance of the ultrasonic transducer and the frequency of the transducer drive signal. | 04-14-2011 |
20110125174 | ULTRASOUND SURGICAL SAW - This invention discloses methods and devices using ultrasound energy for resecting bone tissue during surgical procedures. The disclosure describes the use of ultrasound surgical saw consisting of an ultrasound generator, ultrasound transducer and ultrasound horn including a cutting blade to resect bone tissue without excessive temperature rise during typical surgical procedures. The cutting blade provides a self-clearing design that includes at least two teeth disposed to prevent accumulation of bone chips within the proximity of the teeth. The design of the cutting blade allows the mechanical motion of the blade and the emission of the ultrasound energy to remove accumulated bone chips and prevent excessive temperature rise. | 05-26-2011 |
20110125175 | FOLDED ULTRASONIC END EFFECTORS WITH INCREASED ACTIVE LENGTH - An end effector for use with an ultrasonic surgical instrument. A body extends along a longitudinal axis. The body includes a proximal end and a distal end. The body comprises an outer surface that defines an inner portion. The proximal end of the body is configured to couple to an ultrasonic transducer configured to produce vibrations at a predetermined frequency and a predetermined amplitude. A folded element includes a first end coupled to the distal end of the body and extending proximally along the longitudinal axis from the distal end of the body toward the proximal end of the body. The folded element comprises a second free acoustic end. The folded element and the outer surface of the body define a single substantially parallel acoustic path. A clamp arm is operatively coupled to the body. | 05-26-2011 |
20110172689 | Method of Maintaining Constant Movement of a Cutting Blade on an Ultrasonic Waveguide - A method of maintaining a constant movement of a cutting blade of an ultrasonic waveguide includes providing an ultrasonic transducer operable to convert a received motional current into a movement of a cutting blade of an ultrasonic waveguide, a measurement circuit connected in a parallel configuration with the ultrasonic transducer, and a variable power source operable to supply current through a set of connection points to the parallel configuration and thereby create the motional current in the ultrasonic transducer. Current is supplied through a set of connection points of the parallel configuration with the variable power source to, thereby, create the motional current in the ultrasonic transducer and the motional current is regulated with a current controller by varying an output of the power source, thereby maintaining a substantially constant rate of movement of the cutting blade across a variety of cutting loads. | 07-14-2011 |
20110178542 | Cordless Hand-Held Ultrasonic Cautery Cutting Device - An ultrasonic surgical assembly includes an ultrasonic transducer operable to convert a received motional voltage into a movement of a cutting blade of an ultrasonic waveguide, a motional feedback circuit connected in a parallel configuration with the transducer, a variable power source operable to apply a first voltage between a set of connection points to the parallel configuration, a voltage meter operable to determine a feedback voltage measured from the motional feedback circuit, and a voltage controller operable to vary an output of the power source based upon the measured feedback voltage, resulting in a substantially constant feedback voltage and maintaining a substantially constant rate of movement of the cutting blade across a variety of cutting loads. | 07-21-2011 |
20110184445 | Cordless Hand-Held Ultrasonic Cautery Cutting Device - An ultrasonic surgical assembly includes an ultrasonic waveguide having a proximal end for receiving ultrasonic movement thereat, an ultrasonic-movement-generator assembly having a shell, an ultrasonic-driving-wave-signal generating circuit housed within the shell, and an ultrasonic transducer having a proximal end disposed within the shell and an ultrasonic-movement-producing distal end, and a handle body having a waveguide attachment dock operable to accept the waveguide therein, an assembly dock shaped to removably secure at least a portion of the ultrasonic-movement-generator assembly thereat, the assembly dock operable to selectively removably secure at least the shell thereat and to position the ultrasonic-movement-producing distal end of the ultrasonic transducer co-axially opposite the proximal end of the ultrasonic waveguide when the ultrasonic waveguide is disposed within the waveguide attachment dock. | 07-28-2011 |
20110184446 | CURVED CLAMP ARM FOR USE WITH ULTRASONIC SURGICAL INSTRUMENTS - The present invention relates to ultrasonic surgical clamping instruments and, more particularly, to a curved clamp arm for use with ultrasonic surgical instruments that have an ultrasonically actuated blade that, in one case, is ultrasonically actuated to have motion in substantially a single plane. The curved clamp arm opens and closes with respect to the blade and also has a plane of curvature that is parallel to the plane of motion of the blade when the clamp arm is in the closed position, and not parallel to the plane of motion of the blade when the clamp arm is in the open position. | 07-28-2011 |
20110190799 | ULTRASONIC TRANSDUCER SYSTEM - A transducer stack ( | 08-04-2011 |
20110190800 | Method of Maintaining Constant Movement of a Cutting Blade of an Ultrasonic Waveguide - A method of maintaining constant movement of a cutting blade of an ultrasonic waveguide includes the steps of providing an ultrasonic transducer operable to convert a received motional voltage into a movement of a cutting blade of an ultrasonic waveguide, a motional feedback circuit connected in a parallel configuration with the ultrasonic transducer, and a variable power source operable to apply a first voltage between a set of connection points to the parallel configuration. A feedback voltage measured from the motional feedback circuit is determined and an output of the power source is varied based upon the measured feedback voltage to result in a substantially constant feedback voltage and, thereby, maintain a substantially constant rate of movement of the cutting blade across a variety of cutting loads. | 08-04-2011 |
20110196398 | SEAL ARRANGEMENTS FOR ULTRASONICALLY POWERED SURGICAL INSTRUMENTS - In one general aspect, various embodiments are directed to ultrasonic surgical instruments that may be used in aqueous environments. The instruments may include cutting a member that is supported within a hollow sheath. Various seal arrangements are disclosed for establishing a substantially fluid-tight seal between the cutting member and the sheath. | 08-11-2011 |
20110196399 | ULTRASONIC SURGICAL INSTRUMENTS WITH ROTATABLE BLADE AND HOLLOW SHEATH ARRANGEMENTS - In one general aspect, various embodiments are directed to an ultrasonic surgical instrument that comprises a handpiece housing that rotatably supports an ultrasonic transducer assembly therein that may be selectively rotated by a motor housed therein. Various forms of blades are disclosed for attachment to the ultrasonic transducer assembly such that the blade may be selectively rotatable within a hollow outer sheath. The hollow outer sheath has at least one opening therein through which the blade tip may be exposed to tissue. Vacuum may be applied to the cutting implement or through the outer sheath to draw tissue through the opening(s) in the sheath and into contact with a portion of the blade. | 08-11-2011 |
20110196400 | ROTATABLE CUTTING IMPLEMENT ARRANGEMENTS FOR ULTRASONIC SURGICAL INSTRUMENTS - In one general aspect, various embodiments are directed to an ultrasonic surgical instrument that comprises a handpiece housing that rotatably supports an ultrasonic transducer assembly therein that may be selectively rotated by a motor housed therein. Various forms of blades and blade and sheath mounting arrangements are disclosed such that the blade may be selectively rotatable within a hollow outer sheath. The hollow outer sheath has at least one opening therein through which the blade tip may be exposed to tissue. Vacuum may be applied to the cutting implement or through the outer sheath to draw tissue through the opening(s) in the sheath and into contact with a portion of the blade. | 08-11-2011 |
20110196401 | ULTRASONIC SURGICAL INSTRUMENTS WITH PARTIALLY ROTATING BLADE AND FIXED PAD ARRANGEMENT - An ultrasonic surgical instrument that supports an ultrasonically excited blade and an outer sheath that can be selectively rotated relative to each other to bring a distal cutting tip of the blade into contact with at least one cutting surface formed on a distal end of the outer sheath. In some embodiments, the distal cutting tip may contact two cutting surfaces located on opposing sides of an opening in the outer sheath through which the distal cutting tip protrudes. Tissue pads may be attached to the cutting surfaces. Various embodiments also include at least one suction lumen. | 08-11-2011 |
20110196402 | DUAL PURPOSE SURGICAL INSTRUMENT FOR CUTTING AND COAGULATING TISSUE - In one general aspect, various embodiments are directed to an ultrasonic surgical instrument that has an ultrasonic blade that protrudes from an ultrasonic transducer assembly. In some embodiments, the ultrasonic blade coaxially extends through a rotatable tissue cutting blade that is rotatably supported by a housing that supports the ultrasonic transducer assembly. In other embodiments, the ultrasonic blade and the tissue cutting blade are both selectively rotatable relative to the housing. In yet other embodiments, the tissue cutting blade and the ultrasonic blade are supported relative to each other in separate sheaths attached to the housing. | 08-11-2011 |
20110196403 | OUTER SHEATH AND BLADE ARRANGEMENTS FOR ULTRASONIC SURGICAL INSTRUMENTS - In various embodiments, a surgical instrument for operation in an aqueous environment is provided. In at least one embodiment, the surgical instrument may include a hollow sheath, a blade disposed at least partially within the hollow sheath and extending through an opening in the sheath, and at least one ultrasonic transducer operably coupled to the blade. The blade may include a polygonal cross-sectional shape and the tip may project away from the sheath's longitudinal axis. In another embodiment, the surgical instrument may include a blade with suction disposed therethrough and at least one ultrasonic transducer operably coupled to the blade. The blade may include a cutting edge that is positioned over a blade opening. Also, the cutting edge may project away from the blade's longitudinal axis. | 08-11-2011 |
20110196404 | ULTRASONIC SURGICAL INSTRUMENTS WITH MOVING CUTTING IMPLEMENT - In various embodiments, a surgical instrument for operation in an aqueous environment is provided. In at least one embodiment, the surgical instrument may include a hollow sheath and a blade disposed at least partially within the sheath. Coupled to the blade may be at least one ultrasonic transducer, which, in turn, may be coupled to a drive system. The drive system may be configured to deliver gross axial motions to the blade such that the blade translates with respect to the hollow sheath when the drive system is activated. Accordingly, tissue may be cut by the blade with gross axial movement of the blade and/or ultrasonic vibrational motion provided by the ultrasonic transducer(s). In alternative embodiments, the blade may be rotated axially instead of translated with respect to the hollow sheath. | 08-11-2011 |
20110196405 | ULTRASONIC SURGICAL INSTRUMENT WITH COMB-LIKE TISSUE TRIMMING DEVICE - In one general aspect, various embodiments are directed to an ultrasonic surgical instrument that has an ultrasonic blade that protrudes from at least one ultrasonic transducer that is movably supported within a handle housing. The ultrasonic blade protrudes through an outer sheath assembly that is attached to the handle housing. A distal end portion of the outer sheath has at least one comb-like portion formed thereon. In some embodiments, a distal end of the ultrasonic blade is axially movable adjacent to the at least one comb-like portion. In other embodiments, the distal end of the ultrasonic blade is rotatable adjacent to the at least one comb-like portion. | 08-11-2011 |
20110213397 | Frequency Shifting Multi Mode Ultrasonic Dissector - An ultrasonic surgical dissection system and method that employs an ultrasonic waveform that provides improved dissection of tissue while simultaneously providing improved hemostasis is disclosed. The disclosed system provides an ultrasonic waveform that includes a carrier frequency that may be pulse modulated at a predetermined rate and/or duty cycle. Embodiments are presented wherein the disclosed system provides an ultrasonic waveform having a frequency modulated carrier frequency. Additionally or alternatively, the disclosed waveform may be amplitude modulated. In yet another embodiment, an amplitude modulation of the ultrasonic signal may be synchronized, at least in part, with a frequency modulation of the ultrasonic signal. The frequency modulation and/or amplitude modulation may include continuously variable modulations and/or substantially instantaneous transitions between a first frequency and a second frequency and/or a first amplitude and a second amplitude. | 09-01-2011 |
20110251632 | Method of Powering a Surgical Instrument - A method for powering electrically powered surgical instruments includes removably inserting a cordless battery assembly into a handle thereof, the instrument handles having a battery chamber and different types. The battery assembly comprises an energy cell powering a signal generation assembly of the instruments. A battery/handle interface has connectors mating with connectors within the chamber. A voltage-control circuit is operable to communicate with and power the signal generation assembly, detect which handle type is connected to the battery assembly, and provide different outputs in response to a detection of the handle types. As the battery assembly is inserted, connectors of the battery/handle interface are coupled with connectors within the battery chamber to communicatively couple the voltage-control circuit to the signal generation assembly and provide power thereto. The connected handle is detected and dependent upon the detected handle type a different one of the outputs are provided. | 10-13-2011 |
20110264126 | Ultrasonic Dissector - An ultrasonic surgical instrument for dissection and coagulation of tissue is provided. The surgical instrument includes a vibration coupler supported within a housing and operably connected to an ultrasonic generator. An angled blade member is connected to the distal end of the vibration coupler to conduct high frequency vibration from the ultrasonic generator to the blade member. A clamp member is positioned adjacent to the blade member and is movable from a first position to a second approximated position. The clamp member and angled blade member combine to enhance contact between the tissue and the blade member during operation of the instrument to improve the performance of the instrument. | 10-27-2011 |
20110295294 | ULTRASONIC TIP FOR MINIMALLY INVASIVE CROWN LENGTHENING - An ultrasonic tip for minimally invasive crown lengthening, the tip includes a distal end having an external side having a serrated and/or a diamond and/or a rough surface or edge, which extends outward to a cutting edge, and an internal side having a polished area ending in a soft angle with the cutting edge; and a proximal end, which is adapted for mechanical coupling to a surgical handpiece that generates ultrasonic vibrations. | 12-01-2011 |
20110301628 | TECHNIQUES FOR USE WITH A NAIL PENETRATION DEVICE - Apparatus and methods are described for cutting a hole in a nail of a subject. The apparatus includes an element having a nail-contacting cutting surface for contacting the subject's nail. A control unit is configured to generate a hole in the subject's nail by moving the nail-contacting surface in a back-and-forth motion, while the nail-contacting surface is in contact with the subject's nail. Other applications are also described. | 12-08-2011 |
20110319918 | BALANCED ULTRASONIC END EFFECTOR - A balanced ultrasonic surgical instrument according to the present invention includes an ultrasonic transmission rod which is connected to a blade or end effector by a balance portion, which includes first and second balance asymmetries designed to compensate for the imbalances induced by the blade. | 12-29-2011 |
20120035637 | APPARATUSES AND METHODS FOR FORMING INCISIONS IN OCULAR TISSUE - A surgical tool includes a surgical blade configured to be moved to form an incision. The surgical tool also includes a wire configured to cause movement of the surgical blade. The surgical tool further includes an actuator configured to shorten a length of the wire to cause the movement of the surgical blade. The surgical tool could be configured to move the surgical blade in a first direction and then in a second direction in response to a single shortening of the wire. Also, the wire could represent a first wire, the surgical tool could include a second wire, and the surgical tool could be configured to move the surgical blade in a first direction in response to shortening the first wire and to move the surgical blade in a second direction in response to shortening the second wire. | 02-09-2012 |
20120078278 | Battery-Powered Hand-Held Ultrasonic Surgical Cautery Cutting Device - A battery assembly for use with a surgical device having a battery terminal and operational parameters includes a housing having a shape formed to removably connect with the terminal. The housing contains a modular battery operable to supply power to the device at the terminal and has a control circuit with a microprocessor, a memory, and a real-time clock. The control circuit is communicatively coupled to the battery and is operable to detect an identity of the surgical device, to determine at least one piece of information pertaining to at least one of the operational parameters of the surgical device based upon the detected identity, to record the piece of information at least in the memory, and to selectively allow or prevent the battery from supplying power to the surgical device dependent upon the piece of information. | 03-29-2012 |
20120101512 | DEBRIDEMENT HAND TOOL - The disclosed embodiments include tools for aiding a user in debriding necrotic tissue. For example, in one embodiment, a debridement tool is disclosed that includes a housing having an interior space. A motor and a power source are disposed within the interior space of the housing. The power source is operable to provide power to the motor. A blade is coupled to a first end of the housing. The blade is operable to vibrate when the motor is powered. The debridement tool further includes a lighting element disposed within the housing and beneath a cutting edge of the blade. The lighting element is operable to illuminate the tissue site. In some embodiments, the lighting element operates at a particular wavelength that assists in distinguishing between necrotic tissue and healthy tissue. | 04-26-2012 |
20120116433 | SURGICAL INSTRUMENT WITH MODULAR CLAMP PAD - An ultrasonic surgical instrument includes a transmission assembly extending from a body assembly that is configured to selectively couple to a disposable clamp arm. In some versions the clamp arm may include a tab that is insertable into a slot of an inner member such that actuation of the inner member rotates the clamp arm relative to a blade. In other versions the clamp arm may include a ball recess and the inner member may include a rod and ball. The clamp arm may be configured to snap onto the ball and rod. Alternatively, the clamp arm may include living hinges coupleable to an outer sheath and the inner member. Such living hinges may be unitarily formed with a clamp pad on the clamp arm. Further still, the clamp arm may be part of an end effector configured to couple to the transmission assembly via resilient tabs and slots. | 05-10-2012 |
20120123458 | ULTRASONIC DEVICE FOR CUTTING AND COAGULATING WITH STEPPED OUTPUT - An apparatus, system, and method for driving an end effector in a surgical instrument are disclosed. The method comprises generating a first ultrasonic drive signal by a generator, actuating the ultrasonic transducer with the first ultrasonic drive signal for a first period, generating a second ultrasonic drive signal by the generator, and actuating the ultrasonic transducer with the second ultrasonic drive signal for a second period, subsequent to the first period. The first drive signal second drive signal are different over the first and second periods. The first and second drive signals define a step function waveform over the first and second periods. The apparatus comprises a generator to couple to an ultrasonic instrument. The system comprises a generator coupled to an ultrasonic instrument comprising an ultrasonic drive system comprising an ultrasonic transducer coupled to a waveguide and an end effector. The ultrasonic drive system resonates at a resonate frequency. | 05-17-2012 |
20120143233 | ULTRASONIC SURGICAL INSTRUMENT, ASSOCIATED SURGICAL METHOD AND RELATED MANUFACTURING METHOD - An ultrasonic therapeutic apparatus includes a handle, a horn or concentrator section terminating in an operative tip, and a transducer assembly set disposed in the handle and operatively engaged with the horn or concentrator section for generating ultrasonic mechanical vibrations therein to vibrate the operative tip during contact thereof with target tissue at a surgical site in a patient. An electrical waveform generator is operatively connected to the transducer assembly for energizing the transducer assembly set with one or more predetermined time reversal ultrasonic waveforms that, upon being applied to the transducer assembly set, result in respective predetermined patterns of motion of the operative tip. | 06-07-2012 |
20120165848 | System and method for treating cartilage - Various embodiments provide systems and methods of treating damaged cartilage. In some embodiments, a method can include targeting the damaged cartilage in region of interest, directing therapeutic ultrasound energy to the damaged cartilage, ablating at least a portion of the damaged cartilage and improving the damaged cartilage. The method can include focusing therapeutic ultrasound energy to create at least one lesion in a portion of the damaged cartilage. The method can also include imaging the damaged cartilage. The method can include increasing blood perfusion to the region of interest. The method can include welding together the damaged cartilage with therapeutic ultrasound energy. The method can include cutting the damaged cartilage and removing it from the joint with therapeutic ultrasound energy. The method can include smoothing the cartilage with therapeutic ultrasound energy. The method can include regenerating cartilage. | 06-28-2012 |
20120172904 | HAND ACTIVATED SURGICAL INSTRUMENT - A hand-held surgical instrument is configured for cutting and coagulation of tissue in cooperation with a clamping mechanism. The handle of the instrument is configured to permit hand activation for cutting, coagulation, and clamping of tissue during surgical procedures. In order to promote convenient and efficient use of the instrument, the activation controls are provided directly onto the shears handle in a position that allows surgeons to clamp tissue, rotate the clamping mechanism and activate the device with a single hand. | 07-05-2012 |
20120179182 | ULTRASONIC CURVED BLADE - An ultrasonic dissection and coagulation system for surgical use is provided. The system includes an ultrasonic instrument, a control module, and a remote actuator. The ultrasonic instrument has a housing and an elongated body portion extending from the housing. An ultrasonic transducer supported within the housing is operatively connected to a cutting jaw by a vibration coupler. The vibration coupler conducts high frequency vibration from the ultrasonic transducer to the cutting jaw. A trocar assembly including a cannula may be provided to slidably receive the elongated portion of the ultrasonic instrument. | 07-12-2012 |
20120191115 | Low Energy or Minimum Disturbance Method for Measuring Frequency Response Functions of Ultrasonic Surgical Devices in Determining Optimum Operating Point - An ultrasonic system is provided that includes an ultrasonic device having an elongated member configured to impart ultrasonic energy to tissue and a resonator configured to impart a frequency to the elongated member. The system also includes an ultrasonic generator configured to supply power to the resonator of the ultrasonic device. The ultrasonic generator has a drive signal generator configured to provide a drive signal, a noise signal generator configure to provide a noise signal, and a controller. The controller receives an output signal from the ultrasonic device and the noise signal from the noise signal generator, calculates a transfer function based on the output signal and the noise signal, and adjusts the drive signal generator based on the calculated transfer function. | 07-26-2012 |
20120203257 | FOLDED ULTRASONIC END EFFECTORS WITH INCREASED ACTIVE LENGTH - An end effector for use with an ultrasonic surgical instrument. A body extends along a longitudinal axis. The body includes a proximal end and a distal end. The body comprises an outer surface that defines an inner portion. The proximal end of the body is configured to couple to an ultrasonic transducer configured to produce vibrations at a predetermined frequency and a predetermined amplitude. An extendable folded element includes a first end coupled to the distal end of the body and extending proximally along the longitudinal axis from the distal end of the body toward the proximal end of the body. The extendable folded element comprises a second free acoustic end. The extendable folded element and the outer surface of the body define a single substantially parallel acoustic path. | 08-09-2012 |
20120209303 | MEDICAL TOOL WITH ELECTROMECHANICAL CONTROL AND FEEDBACK - A medical device for reducing the force necessary to penetrate living being tissue using a variety of reciprocating motion actuators. The reciprocating actuator drives a penetrating member, such as a needle, through the tissue at a reduced force while the device detects the passage of the penetrating member through the tissue. Upon passage of the penetrating member through the tissue, a feedback system monitors electromechanical properties of a control signal of the device and automatically modifies control based thereon, e.g., electrical power to the reciprocating actuator is automatically terminated. | 08-16-2012 |
20120215243 | ULTRASONIC SURGICAL APPARATUS - An ultrasonic surgical apparatus includes a treatment portion, a driving portion which drives the treatment portion by resonance, an operation portion main body which drives and controls the driving portion, and a connecting portion which connects the treatment portion and the operation portion main body. The driving portion includes a piezoelectric film and is formed on the treatment portion inside the connecting portion. The piezoelectric film has a perovskite structure, with crystals constituting the perovskite structure being oriented in the (100) direction or the (001) direction with a degree of orientation of not less than 60%. | 08-23-2012 |
20120215244 | ULTRASONIC SURGICAL SHEARS AND METHOD FOR SEALING A BLOOD VESSEL USING SAME - An ultrasonic surgical shears includes an ultrasonic surgical blade, a clamping arm operable to open and close toward the blade, and a tissue pad attached to the clamping arm. A method for sealing a blood vessel of a patient includes obtaining an ultrasonic surgical shears and positioning the blood vessel between the blade and the tissue pad. The clamping arm is operated to exert an average coaptation pressure on the blood vessel between and including 60 psi and 210 psi. The blade is ultrasonically vibrated to transect and seal the blood vessel. | 08-23-2012 |
20120221029 | RESONANT TRANSDUCER, METHOD OF PRODUCING THE RESONANT TRANSDUCER, AND ULTRASONIC TREATMENT TOOL INCLUDING THE RESONANT TRANSDUCER - A resonant transducer comprising:
| 08-30-2012 |
20120221030 | ULTRASONIC OPERATING APPARATUS - An ultrasonic treatment instrument includes a piezoelectric element assembly, a probe, a backing plate, an electrode assembly, a cylinder and a cylindrical inner cover. The piezoelectric element assembly includes piezoelectric elements and generates ultrasonic vibration. The probe is connected to the piezoelectric element assembly and transmits the ultrasonic vibration. The backing plate is connected to the piezoelectric element assembly. The electrode assembly includes electrodes respectively clamped between the piezoelectric elements, electrifies the piezoelectric elements and generates the ultrasonic vibration. The cylinder is connected to the probe and locates the piezoelectric element assembly, the backing plate and the electrode assembly therein. The cylindrical inner cover includes an inner diameter larger than the backing plate and an outer diameter smaller than the cylinder. The inner cover is disposed between the backing plate and the electrode assembly, and the electrode assembly is disposed between the cylinder and the inner cover. | 08-30-2012 |
20120221031 | Method of Maintaining Constant Movement of a Cutting Blade of an Ultrasonic Waveguide - A method of maintaining a constant movement of a cutting blade of an ultrasonic waveguide includes providing an ultrasonic transducer operable to convert a received motional current into a movement of a cutting blade of an ultrasonic waveguide, a measurement circuit connected in a parallel configuration with the ultrasonic transducer, and a variable power source operable to supply current through a set of connection points to the parallel configuration and thereby create the motional current in the ultrasonic transducer. Current is supplied through a set of connection points of the parallel configuration with the variable power source to, thereby, create the motional current in the ultrasonic transducer and the motional current is regulated with a current controller by varying an output of the power source, thereby maintaining a substantially constant rate of movement of the cutting blade across a variety of cutting loads. | 08-30-2012 |
20120239068 | SURGICAL INSTRUMENT - An ultrasonically actuatable surgical blade comprises a metal blade and an elastomeric, biocompatible polymeric coating integral with the blade. The metal blade is usually titanium or a titanium alloy. The polymeric coating comprises a fluoropolymer resin and exhibits a Shore Hardness of 50 D to 60 D, an elongation at break of at least about 250 percent at a temperature in the range of about 20 EC. to about 200 EC. Optionally aluminum oxide powder can be dispersed in the coating. | 09-20-2012 |
20120253370 | ULTRASONIC SURGICAL INSTRUMENTS - An ultrasonic surgical instrument is provided. The ultrasonic surgical instrument includes a housing having an elongated shaft extending therefrom. A first jaw member disposed at a distal end of the shaft is movable between open and clamping configurations. A pair of second jaw members disposed at the distal end of the shaft are movable between open and clamping configurations. A cutting blade extending to the distal end of the shaft is operably coupled to the housing. The pair of second jaw members and first jaw member are moveable to the clamping configuration to compress tissue of interest for removing moisture therefrom prior to the tissue of interest being treated. | 10-04-2012 |
20120253371 | ULTRASONIC SURGICAL INSTRUMENTS - An ultrasonic surgical instrument is provided. The ultrasonic surgical instrument includes a housing having an elongated shaft extending therefrom. The shaft defines a longitudinal axis therethrough and has a jaw member disposed at a distal end thereof. The jaw member is movable between an open configuration and a clamping configuration. A cutting blade extends from a distal end the shaft and operably couples to the housing and adjacent the jaw member. The cutting blade includes top and bottom portions. The top portion configured to cool the bottom portion while the cutting blade treats tissue. | 10-04-2012 |
20120253372 | ULTRASONIC SURGICAL INSTRUMENTS - An ultrasonic surgical instrument is provided. The ultrasonic surgical instrument includes a housing having an elongated shaft extending therefrom. The shaft has a jaw member disposed at a distal end thereof. The jaw member is movable between an open configuration and a clamping configuration and includes a tissue contacting surface thereon. A cutting blade extends from a distal end of the shaft and operably couples to the housing and adjacent the jaw member to treat tissue. A selectively removable laminate liner is positionable over the tissue contacting surface of the jaw member and configured to prevent contact between the tissue contacting surface and the cutting blade when the cutting blade is treating tissue. | 10-04-2012 |
20120253373 | Mechanism for Assembly of Ultrasonic Instrument - An ultrasonic clamp coagulator system that is configured to permit selective cutting, coagulation and clamping of tissue during surgical procedures. An elongated portion of the instrument can be configured for endoscopic applications and has an outside diameter of less than 6 mm. The system includes a one-piece torque wrench that is provided with cantilever arms aligned in an annular fashion about the centerline of the torque wrench. The cantilever arms include teeth in an inward perpendicular fashion in relation to cantilever arms. The clamp coagulator includes an outer tube retainer that includes spline gears projecting in a perpendicular fashion along the outer circumference of retainer. Torque is transmitted through the cantilever arms to the spline gears for attaching a handpiece to the clamp coagulator. | 10-04-2012 |
20120259353 | SURGICAL INSTRUMENTS - A surgical instrument that may include a housing, a transducer engaged with the housing which can produce vibrations, and an end-effector engaged with the transducer. The surgical instrument can include an adjustable sheath extending from the housing where the sheath is movable relative to the distal tip of the end-effector and where the distance between the distal tip of the sheath and the distal tip of the end-effector can enable the sheath to act as a depth stop. The sheath can be adjusted such that, when the distal tip of the sheath contacts the tissue or bone being incised, the surgeon can determine that the appropriate depth of the incision has been reached. In other embodiments, the end-effector can be moved with respect to the sheath to adjust the distance between the distal tip of the end-effector and the distal tip of the sheath. | 10-11-2012 |
20120265227 | TISSUE TREATMENT - There is provided in accordance with an exemplary embodiment of the invention a method of treating a subject suffering from a nerve related disorder, the method comprising causing a damage region to one or both of a lumen wall or nearby surrounding tissues, the damage region encompassing a volume having dimensions of less than about 6.8 mm in a substantially radial direction, less than about 5.8 mm in a direction substantially tangential to the lumen, less than about 10 mm in a substantially axial direction, the damage region being located no closer than about 0.2 mm from an inner wall of the lumen, the damage region comprises of greater than about 60% of collagen denatured tissue. | 10-18-2012 |
20120271334 | Apparatus and Method for Ablating Tissue - A control system alters one or more characteristics of an ablating element to ablate tissue. In one aspect, the control system delivers energy nearer to the surface of the tissue by changing the frequency or power. In another aspect, the ablating element delivers focused ultrasound which is focused in at least one dimension. The ablating device may also have a number of ablating elements with different characteristics such as focal length. | 10-25-2012 |
20120277778 | ULTRASONIC SURGICAL INSTRUMENT - An ultrasonic surgical instrument includes an ultrasonic vibrator, a vibration transmission section, a grip member, a pad member provided at a position of the grip member which faces the treatment section, and a planar facing surface disposed on the pad member. A distal end portion of the treatment section faces the pad member, and is curved from a proximal end portion side of the treatment section toward the distal end portion side of the treatment section in a direction away from the facing surface. The pad member includes a protruding portion which is disposed on the facing surface, protrudes from the facing surface toward the distal end portion of the treatment section, and abuts on the distal end portion of the treatment section while the grip member is closed. | 11-01-2012 |
20120277779 | MODULATED PULSED ULTRASONIC POWER DELIVERY SYSTEM AND METHOD - A method and apparatus for delivering energy during a surgical procedure such as phacoemulsification is provided. The method and apparatus include applying energy during at least one pulsed energy on period, typically sufficient or intended to rapidly induce and beneficially employ transient cavitation. Applying energy during the pulsed energy on period comprises applying energy during a first high energy period, and applying energy during a second nonzero lower energy period. | 11-01-2012 |
20120277780 | Cordless Hand-Held Ultrasonic Cautery Cutting Device - An ultrasonic surgical assembly includes an ultrasonic transducer operable to convert a received motional current into a movement of a cutting blade of an ultrasonic waveguide, a measurement circuit connected in a parallel configuration with the ultrasonic transducer, a variable power source operable to supply current through a set of connection points to the parallel configuration and thereby create the motional current in the ultrasonic transducer, and a current controller operable to regulate the motional current by varying an output of the variable power source, thereby maintaining a substantially constant rate of movement of the cutting blade across a variety of cutting loads. | 11-01-2012 |
20120277781 | METHODS AND DEVICES TO MODULATE THE AUTONOMIC NERVOUS SYSTEM WITH ULTRASOUND - In some embodiments, sympathetic nerves surrounding arteries or leading to organs are targeted with energy sources to correct or modulate physiologic processes. In some embodiments, different types of energy sources are utilized singly or combined with one another. In some embodiments, bioactive agents or devices activated by the energy sources are delivered to the region of interest and the energy is enhanced by such agents. | 11-01-2012 |
20120289984 | ULTRASONIC SURGICAL INSTRUMENTS - In one general aspect, various embodiments are directed to an ultrasonic surgical instrument that comprises a transducer configured to produce vibrations along a longitudinal axis at a predetermined frequency. In various embodiments, an ultrasonic blade extends along the longitudinal axis and is coupled to the transducer. In various embodiments, the ultrasonic blade includes a body having a proximal end and a distal end, wherein the distal end is movable relative to the longitudinal axis by the vibrations produced by the transducer. | 11-15-2012 |
20120296356 | Medical Ultrasound Instrument with Articulated Jaws - A forceps includes a housing, a shaft assembly, an end effector assembly, and a waveguide assembly. The housing has one or more transducers that generate a mechanical vibration in response to energy transmitted thereto from an energy source. The shaft assembly extends from the housing and includes one or more articulating and clamping members and a longitudinal axis defined therethrough. The end effector assembly is disposed at a distal end of the shaft assembly and includes a pair of opposing jaw members pivotable between approximated and unapproximated configurations in response to movement of the one or more clamping members. The articulating members articulate the jaw members relative to the longitudinal axis of the shaft assembly. The waveguide assembly is positioned within the shaft assembly and receives the mechanical vibration generated by the transducer. The waveguide assembly is positionable within one or both of the jaw members. | 11-22-2012 |
20120310262 | DEVICES AND TECHNIQUES FOR CUTTING AND COAGULATING TISSUE - Various embodiments are directed to an apparatus and method of driving an end effector coupled to an ultrasonic drive system of a surgical instrument. The method comprises generating at least one electrical signal. The at least one electrical signal is monitored against a first set of logic conditions. | 12-06-2012 |
20120310263 | DEVICES AND TECHNIQUES FOR CUTTING AND COAGULATING TISSUE - Various embodiments are directed to an apparatus and method of driving an end effector coupled to an ultrasonic drive system of a surgical instrument. The method comprises generating at least one electrical signal. The at least one electrical signal is monitored against a first set of logic conditions. | 12-06-2012 |
20120310264 | DEVICES AND TECHNIQUES FOR CUTTING AND COAGULATING TISSUE - Various embodiments are directed to an apparatus and method of driving an end effector coupled to an ultrasonic drive system of a surgical instrument. The method comprises generating at least one electrical signal. The at least one electrical signal is monitored against a first set of logic conditions. | 12-06-2012 |
20120316588 | MEDICAL TECHNOLOGY DEVICE AND MEDICAL TECHNOLOGY DEVICE ARRANGEMENT - The invention concerns a medical technology device for treatment of the human or animal body, comprising at least one electrical plug connector which is adapted to be connected to a complementary counterpart plug connector of a further medical technology device and which in an active position is arranged projecting upwardly at the top side of the device. To provide a medical technology device which can be used both as an individual device and also in conjunction with a second device as a device arrangement and which in that respect satisfies existing safety and aesthetic demands, it is provided in accordance with the invention that the plug connector is adapted to be movable from the active position into a passive position, wherein in the passive position the plug connector is removed from the top side of the device and the top side is closed in substantially fluid-tight relationship. | 12-13-2012 |
20120323265 | METHODS FOR DRIVING AN ULTRASONIC SURGICAL INSTRUMENT WITH MODULATOR - Methods for driving a surgical instrument are disclosed. The surgical instrument includes a transducer configured to produce vibrations along a longitudinal axis at a predetermined frequency. An end effector is adapted to couple to the transducer and extends along the longitudinal axis. The end effector includes a body having a proximal end and a distal end. The distal end is movable relative to the longitudinal axis by the vibrations produced by the transducer. A drive module is coupled to the transducer to generate a modulated drive signal. The distal end of the end effector is movable in response to the vibrations produced by the transducer in response to the modulated drive signal. | 12-20-2012 |
20120330338 | BLADES WITH FUNCTIONAL BALANCE ASYMMETRIES FOR USE WITH ULTRASONIC SURGICAL INSTRUMENTS - Disclosed is an ultrasonic surgical instrument that includes a blade end-effector having a curved geometry. The curved geometry creates a curved surface with multiple asymmetries causing multiple imbalances within the blade. Imbalance due to the asymmetries of the blade is corrected by the appropriate selection of the volume and location of material removed from a functional asymmetry. | 12-27-2012 |
20130006285 | BIPOLAR OR ULTRASONIC SURGICAL DEVICE - An electro-mechanical surgical device, system and/or method may include a housing, at least two opposing jaw, and at least one electrical contact associated with at least one of the jaws. The electrical contact may include at least one of a bipolar electrical contact and an ultrasonic electrical contact. The electrical contact may be a row of electrodes located on one or all of the jaws. A sensor may also be associated with any tissue located between the jaws to sense and report the temperature of that tissue. A piercable ampulla containing fluid may also be placed on at least one of the jaws so that the fluid is releasable when the jaws are in closed position and the electrode(s) pass through the tissue into the piercable ampulla. | 01-03-2013 |
20130012970 | ULTRASONIC SURGICAL INSTRUMENT AND CARTILAGE AND BONE SHAPING BLADES THEREFOR - An ultrasonic surgical blade that includes a blade body that has a treatment region. At least one indentation can be formed in the treatment region of the blade body wherein each indentation forms a tissue cutting edge with an outer surface of the blade body. The indentation may comprise one or more holes, lumens, grooves or dimples or a combination of such structures. In various embodiments, one or more aspiration lumens are provided in the surgical blade which may ultimately communicate with an aspiration lumen or passage in an ultrasonic surgical instrument. | 01-10-2013 |
20130035706 | ULTRASONIC DEVICE FOR CUTTING AND COAGULATING WITH STEPPED OUTPUT - Various embodiments are directed to an apparatus, system, and method for driving an end effector coupled to an ultrasonic transducer in a surgical instrument. The method comprises generating a first ultrasonic drive signal by a generator coupled to an ultrasonic drive system, actuating the ultrasonic transducer with the first ultrasonic drive signal, generating a second ultrasonic drive signal by the generator, and actuating the ultrasonic transducer with the second ultrasonic drive signal. The first drive signal is different from the second drive signal. The first and second drive signals define a step function waveform. The system comprises a generator coupled to an ultrasonic instrument. The ultrasonic instrument comprises an ultrasonic drive system comprising an ultrasonic transducer coupled to a waveguide and an end effector coupled to the waveguide. The ultrasonic drive system resonates at a resonant frequency. The apparatus comprises an ultrasonic drive system coupled to a generator. | 02-07-2013 |
20130035707 | ULTRASONIC DEVICE FOR CUTTING AND COAGULATING WITH STEPPED OUTPUT - Various embodiments are directed to an apparatus, system, and method for driving an end effector coupled to an ultrasonic transducer. The method comprises generating a first ultrasonic drive signal by a generator coupled to an ultrasonic drive system, actuating the ultrasonic transducer with the first ultrasonic drive signal, generating a second ultrasonic drive signal by the generator, and actuating the ultrasonic transducer with the second ultrasonic drive signal. The first drive signal is different from the second drive signal. The first and second drive signals define a step function waveform. The apparatus comprises a generator configured to couple to an ultrasonic instrument. The system comprises a generator coupled to an ultrasonic instrument. The ultrasonic instrument comprises an ultrasonic drive system comprising an ultrasonic transducer coupled to a waveguide and an end effector coupled to the waveguide, and wherein the ultrasonic drive system configured to resonates at a resonant frequency. | 02-07-2013 |
20130046320 | APPARATUS AND METHOD FOR COOLING AND MOVING ABLATION ELEMENTS - A medical device comprising a cell including an ablation element and a carrier configured to receive at least a portion of said ablation element is disclosed. The medical device further comprises a tube enclosing the cell. At least a portion of the tube includes a membrane and the tube includes at least one hole proximate the ablation element for facilitating fluid flow. The medical device further comprises a fluid inlet for providing fluid to the interior of the tube. A method of using the medical device is also disclosed. | 02-21-2013 |
20130046321 | Two-Stage Switch for Surgical Device - A self-powered surgical device, comprising a handle having a self-contained power supply and a control circuit operable to carry out at least two operational conditions of the surgical device; and a two-stage switch electrically connected to the control circuit, a first stage of the switch effecting a first of the at least two operational conditions and a second stage of the switch effecting a second of the at least two operational conditions that is different from the first operational condition, the two-stage switch having a variable resistance such that the first stage occurs when a first depression force is applied to the switch, the second stage occurs when a second depression force greater than the first depression force is applied to the switch, and a holding force lower than at least the second depression force is required to maintain the switch in the second stage. | 02-21-2013 |
20130046322 | Method of Switching a Surgical Device - Method for operating a self-powered surgical device, comprising providing a handle with a self-contained power supply and control circuit operable to carry out at least two operational conditions of the surgical device and effecting the at least two operational conditions with a two-stage switch electrically connected to the control circuit, a first stage of the switch effecting a first of the two operational conditions and a second stage of the switch effecting a second of the two operational conditions different from the first operational condition, the two-stage switch having a variable resistance such that the first stage occurs when a first depression force is applied to the switch, the second stage occurs when a second depression force greater than the first depression force is applied to the switch, and a holding force lower than the second depression force is required to maintain the switch in the second stage. | 02-21-2013 |
20130066349 | STIMULATED VOC CHARACTERIZATION - An electronic odor sensor is used in conjunction with a surgical tool, for example when wounds are cleansed to remove dead tissue and exudates, known clinically as debridement. The surgical tool will atomize substrate tissues and thereby mechanically generate vapors that can be sensed. Abrasion will likewise atomize substrate tissues liberating odors. Air near the surgical tool is collected and fed into the electronic odor sensor. The odor is analyzed by the sensor and a signal fed back based on the analysis. | 03-14-2013 |
20130066350 | TREATMENT PLANNING FOR DEEP-BRAIN NEUROMODULATION - Disclosed are methods and systems for treatment planning for deep brain or superficial neuromodulation using ultrasound and other treatment modalities impacting one or multiple points in a neural circuit to produce acute effects or Long-Term Potentiation (LTP) or Long-Term Depression (LTD) to treat indications such as neurologic and psychiatric conditions. Ultrasound transducers or other energy sources are positioned and the anticipated effects on up-regulation and/or down-regulation of their direction of energy emission, intensity, frequency, firing/timing pattern, and phase/intensity relationships mapped onto the recommended treatment-planning targets. The maps of treatment-planning targets onto which the mapping occurs can be atlas (e.g., Tailarach Atlas) based or image (e.g., fMRI or PET) based. Atlas and imaged-based maps may be representative and applied directly or scaled for the patient or may be specific to the patient. | 03-14-2013 |
20130072950 | Ultrasonic Surgical System Having A Fluid Cooled Blade And Related Cooling Methods Therefor - The present disclosure is directed to a fluid cooled ultrasonic surgical instrument and related systems and methods of use therefor. In some embodiments, the disclosed ultrasonic surgical instrument is adapted for used within an insufflated cavity or pneumoperitoneum of a patient. The instrument includes a housing having an elongate shaft, a waveguide disposed at a distal end of the shaft, a coolant inlet port defined in an outer surface of the housing, and a coolant pump disposed within the housing and configured to move coolant from the coolant inlet port to the waveguide. During use, insufflation gas from within the pneumoperitoneum is drawn into the instrument shaft by the coolant pump, and blown over the waveguide to provide cooling. The delivery of ultrasonic energy and activation of the pump may be controlled by a processor in response to user input and waveguide temperature. | 03-21-2013 |
20130090675 | SURGICAL INSTRUMENT WITH CLUTCHING SLIP RING ASSEMBLY TO POWER ULTRASONIC TRANSDUCER - A surgical system includes a power supply, a connector, and a surgical instrument having a body assembly, a transmission assembly, a transducer, and a connection assembly. The connection assembly is configured to selectively electrically couple electrodes on the transducer with wires of the connector. The connection assembly may be operable in response to actuation of a trigger. Various connection assemblies include an extensible member that extends to contact an electrode, a rotatable member that rotates a contact into contact with an electrode, a solenoid that extends contacts coupled to each end of the solenoid into the electrodes, or a solenoid that translates a frame having contacts towards the electrodes. Alternatively, the surgical instrument may include a connection assembly having a slip ring and a weighted cable end. Still further, the connection assembly may include contacts on a coupleable member that may be decoupled from contacts on the transducer. | 04-11-2013 |
20130096592 | METHOD FOR ABLATING BODY TISSUE - A tissue ablation system for treating fibrillation in a patient comprises a steerable interventional catheter having an energy source that emits a beam of energy to ablate tissue thereby creating a conduction block for aberrant electrical pathways. The system also includes a handle disposed near a proximal end of the interventional catheter and has an actuation mechanism for steering the interventional catheter. A console allows the system to be controlled and provides power to the system, and a display pod is electrically coupled with the console. The display pod has a display panel to display system information to a user and allows the user to control the system. A catheter pod is releasably coupled with the handle electrically and mechanically, and also electrically coupled with the display pod. | 04-18-2013 |
20130096593 | SYSTEM AND METHOD FOR ENERGY DELIVERY TO TISSUE WHILE MONITORING POSITION, LESION DEPTH, AND WALL MOTION - Systems and methods for ablating tissue include an ablation device having an energy source and a sensor. The energy source provides a beam of energy directable to target tissue, and the sensor senses energy reflected back from the target tissue. The sensor collects various information from the target tissue in order to facilitate adjustment of ablation operating parameters, such as changing power or position of the energy beam. Gap distance between the energy source and target tissue, energy beam incident angle, tissue motion, tissue type, lesion depth, etc. are examples of some of the information that may be collected during the ablation process and used to help control ablation of the tissue. | 04-18-2013 |
20130096594 | SYSTEM AND METHOD FOR DELIVERY OF ENERGY TO TISSUE WHILE COMPENSATING FOR COLLATERAL TISSUE - A tissue ablation method for treating atrial fibrillation in a patient comprises locating an ostium of a pulmonary vein and positioning an interventional catheter adjacent the ostium. The interventional catheter has an energy source. Collateral tissue adjacent the ostium is located and tissue around the ostium is ablated with energy from the energy source so as to form a contiguous lesion circumscribing the ostium. The lesion blocks aberrant electrical pathways in the tissue so as to reduce or eliminate the atrial fibrillation. The ablating is modified so as to avoid ablating or otherwise damaging the collateral tissue. | 04-18-2013 |
20130096595 | METHODS AND SYSTEMS FOR INDUCING HYPERTHERMIA - A system and methods are provided and thrombi treatments in which hyperthermia is induced in an initial phase and cavitation and/or drug release are induced in a subsequent phase in a region of interest in a human or animal body. The system includes an energy transmitter having a variable intensity and/or a variable frequency; and a control unit arranged to control the energy transmitter to operate in at least two different modes. In one embodiment, the first mode is a mode of operation having a mechanical index below a threshold level for cavitation; and the second mode is a mode of operation having a mechanical index above a threshold level for cavitation. In another embodiment, the first mode induces hyperthermia below a temperature threshold for releasing an encapsulated agent and the second mode induces hyperthermia above the temperature threshold. The initial hyperthermia treatment enhances the effect of subsequent treatments. | 04-18-2013 |
20130096596 | ULTRASONIC PROBE FOR TREATING CELLULITE - An ultrasonic probe transmits ultrasonic energy along a shaft from a proximate end to a distal end. The ultrasonic probe includes at least one notch on its distal end. Fibrous tissue, such as septa that connect skin layers to muscle layers of animal tissue, can be positioned within the notch so that it is in contact with at least a portion of the distal end of the ultrasonic probe. The ultrasonic energy conducted through the ultrasonic probe to the distal end will sever the fibrous tissue in the notch. The ultrasonic probe is also designed, in embodiments, to fragment or emulsify adipose tissue, as part of an ultrasonic assisted lipoplasty (UAL) procedure. | 04-18-2013 |
20130096597 | REAL-TIME MONITORING AND CONTROL OF HIFU THERAPY IN MULTIPLE DIMENSIONS - Energy is transferred ( | 04-18-2013 |
20130103064 | INTEGRATED ABLATION AND MAPPING SYSTEM - A system for ablating and mapping tissue comprises a stand alone tissue ablation system adapted to ablate the tissue, and a stand alone cardiac mapping system adapted to map the tissue. The ablation system is operably coupled with the cardiac mapping system such that mapping data from the cardiac mapping system is provided to the ablation system to create a graphical display of the tissue and the ablation system position relative to the tissue. Motion of the ablation system may be monitored and adjusted based on feedback provided by ablation system actuators as well as position sensors. | 04-25-2013 |
20130103065 | ULTRASONIC DEVICE FOR CUTTING AND COAGULATING - An ultrasonic clamp coagulator assembly configured to permit selective cutting, coagulation and clamping of tissue during surgical procedures. The assembly includes a blade having a first and second tissue contact surface and a clamping mechanism, including a first and second clamp arm pivotally mounted at the distal portion of the instrument for clamping tissue between first and second tissue contact surfaces, respectively. | 04-25-2013 |
20130103066 | Sonotrode - A sonotrode for an ultrasonic surgical instrument. The sonotrode comprises an instrument head which is equipped with a cutting apparatus that extends in the longitudinal direction. The instrument head is provided with a plurality of through-holes, which extend through the instrument head in the transverse direction. The through-holes impart an elastic inherent mobility to the instrument head, by means of which the removal of broken-up bone material is promoted. | 04-25-2013 |
20130116717 | ULTRASONIC DEVICE FOR CUTTING AND COAGULATING - An ultrasonic assembly that is configured to permit selective cutting, coagulation, and fine dissection required in fine and delicate surgical procedures. The balanced blade provides a rounded distal end and concave edges to promote fine dissection and cutting in a variety of surgical procedures. The blade is curved for improved visibility at the blade tip and is designed to provide a multitude of tissue effects: coagulation, cutting, dissection, spot coagulation, tip penetration and tip scoring. The assembly features hand activation configured to provide an ergonomical grip and operation for the surgeon. The assembly further features user selectable blade rotation. A finger switch is placed in the range of the natural axial motion of the user's index finger, whether gripping the surgical instrument right-handed or left handed. | 05-09-2013 |
20130123820 | SURGICAL SYSTEM - A surgical system includes a surgical instrument including a conducting section transmitting ultrasound vibration generated by an ultrasound transducer to a distal end portion and transmitting a high-frequency output signal to the distal end portion, an ultrasound drive section outputting an ultrasound drive signal to the ultrasound transducer, a high-frequency output section outputting a high-frequency output signal to the conducting section, a detection section detecting an ultrasound impedance of a surgical site to which ultrasound energy and high-frequency energy are provided from the distal end portion by outputting both signals simultaneously to the surgical instrument, a determination section determining whether the detected ultrasound impedance is in a predetermined range, and a control section performing control to increase a high-frequency output value by a first predetermined amount or decrease the high-frequency output value by a second predetermined amount when the detected ultrasound impedance is out of the predetermined range. | 05-16-2013 |
20130131704 | Cover, A Treatment Device and a Method of Use of Such a Device - This invention concerns a cover member, especially for a HIFU head, comprising a peripheral outer wall, an open first side configured to partially cover an ultrasound head and a closed second side comprising a flexible membrane adapted for contact with a patient's skin, characterized in that the cover member is removeably attachable to the tip of said ultrasound probe. | 05-23-2013 |
20130131705 | ULTRASONIC PROBE - An ultrasonic probe includes a probe body which includes an outer peripheral portion provided along a longitudinal axis, and a void defining surface defining a void, which is open to an outside along the longitudinal axis in at least one part of the outer peripheral portion, along the longitudinal axis. The void defining surface defines the void in the probe body from a first anti-node position of the ultrasonic vibrations to a second anti-node position of the ultrasonic vibrations different from the first anti-node position. | 05-23-2013 |
20130158576 | VITRECTOMY PROBE WITH ADJUSTABLE CUTTER PORT SIZE - Vitrectomy probes and system related thereto are disclosed herein. The disclosure describes vitrectomy probes having an adjustable cutting port size. The cutting port size may be adjusted by altering a position of a stroke limiter via a stepper motor. Various example features are described for adjusting the size of the cutting port. | 06-20-2013 |
20130158577 | System and Method for Control and Monitoring of Conformal Thermal Therapy - A system and method are disclosed for thermal therapy that takes into account predictive calculations of tissue temperature, and can be used to control the operation of a conformal thermal therapy procedure and device. In some embodiments, the tissue ablation area is part or all of a prostate gland. The method includes, in preferred embodiments, simulations and or calculations of future temperatures based on some or all of the following information: current temperatures, heat diffusion in the tissue, blood perfusion in the tissue, and planned ultrasound energy depositions. The calculated temperature maps can be used to design, control, or terminate the therapy. | 06-20-2013 |
20130178882 | ULTRASONIC SURGICAL INSTRUMENTS - In one general aspect, various embodiments are directed to an ultrasonic surgical instrument that comprises a transducer configured to produce vibrations along a longitudinal axis at a predetermined frequency. In various embodiments, an ultrasonic blade extends along the longitudinal axis and is coupled to the transducer. In various embodiments, the ultrasonic blade includes a body having a proximal end and a distal end, wherein the distal end is movable relative to the longitudinal axis by the vibrations produced by the transducer. | 07-11-2013 |
20130178883 | LOW ENERGY OR MINIMUM DISTURBANCE METHOD FOR MEASURING FREQUENCY RESPONSE FUNCTIONS OF ULTRASONIC SURGICAL DEVICES IN DETERMINING OPTIMUM OPERATING POINT - A method for measuring frequency response is provided that includes supplying ultrasonic energy to an ultrasonic device configured to impart energy to tissue, providing a drive signal and a noise signal, combining the drive signal and the noise signal to create a combined signal, amplifying the combined signal and providing the amplified signal to the ultrasonic device, receiving an output signal from the ultrasonic device and the noise signal, calculating a transfer function estimate based on the output signal and the noise signal, adjusting the drive signal generator based on the calculated transfer function estimate, and determining a phase difference by time aligning the noise signal in the output signal with the noise signal provided. | 07-11-2013 |
20130178884 | ABLATION DEVICES WITH SENSORS STRUCTURES - A cardiac ablation device, including a steerable catheter ( | 07-11-2013 |
20130184728 | Ultrasound Neuromodulation for Diagnosis and Other-Modality Preplanning - Disclosed are methods and systems for non-invasive neuromodulation using ultrasound for diagnosis to evaluate the feasibility of and preplan neuromodulation treatment using other modalities. The neuromodulation can produce acute or long-term effects. The latter occur through Long-Term Depression (LTD) and Long-Term Potentiation (LTP) via training Included is control of direction of the energy emission, intensity, frequency, pulse duration, pulse pattern, mechanical perturbation, and phase/intensity relationships to targeting and accomplishing up regulation and/or down regulation. | 07-18-2013 |
20130184729 | ULTRASONIC THERAPEUTIC APPARATUS - There is provided an ultrasonic therapeutic apparatus, which is capable of shortening a surgery time even in a case of resecting and stopping bleeding of a plurality of sites. | 07-18-2013 |
20130190790 | ULTRASONIC PROBE AND ULTRASONIC TREATMENT DEVICE - An ultrasonic probe includes a surface continuous portion which includes a perpendicular plane perpendicular to a longitudinal axis, and which is provided in a state that a distal end of an outer peripheral portion is an outer edge with a surface thereof being continuous, the surface continuous portion producing cavitation when ultrasonic vibrations in vibration directions parallel to the longitudinal axis are transmitted to the surface continuous portion. The ultrasonic probe includes a suction opening which is located apart from the surface continuous portion, configured to produce the cavitation, toward a proximal direction, and which is extended inward from the outer peripheral portion, the suction opening suctioning a shattered object shattered by the cavitation. | 07-25-2013 |
20130197550 | Ultrasonic Surgical Apparatus with Silicon Waveguide - Ultrasound surgical apparatus are disclosed, including: medical ultrasound handpieces with proximally mounted ultrasound radiators configured to create a distally-focused beam of ultrasound energy, in combination with distal guide members for control of focal point depth; medical ultrasound handpieces with proximally mounted ultrasound radiators configured to create a distally-focused beam of ultrasound energy, in combination with distal rolling members for manipulability and control of focal point depth; medical ultrasound handpiece assemblies with coupled end effectors providing a probe with a probe dilation region configured to have an average outside diameter that is equal to or greater than the average outside diameter of a probe tip and neck; as well as junctions to an ultrasonically inactive probe sheath; medical ultrasound handpiece assemblies with coupled end effectors having positionable, ultrasonically inactive probe sheath ends slidably operable to both cover and expose at least a probe tip; and ultrasound transducer cores including a transducer structure affixed to a longitudinally elongated, generally planar, single crystal or polycrystalline material waveguide. | 08-01-2013 |
20130204285 | Cutting Tips for Ultrasonic Surgical System - A tool is configured to cut a tissue body. The tool includes a first section configured to be coupled to a transducer assembly, and a second section coupled to the first section. The first section at least partially includes a first material. The second section at least partially includes a second material that is different from the first material and denser than the first material. The second includes a cutting member that is configured to vibrate at a predetermined frequency so as to cut a tissue body an operative portion. | 08-08-2013 |
20130211435 | Method of Controlling a Surgical System Based on a Load on the Cutting Tip of a Handpiece - A surgical system that is able to sense the onset of an occlusion or other surgical event as well as the instant an occlusion breaks. To help avoid overheating of the tip, the system determines an approximate temperature of the eye using an irrigation flow rate and reduces the power to the handpiece automatically if an overheating situation is predicted. Alternatively or in addition, the system monitors the power drawn by the handpiece, which is indicative of the cutting load on the tip, and automatically adjusts the power to the tip to compensate for increased loads on the tip. | 08-15-2013 |
20130211436 | TREATMENT OF CARDIAC ARRHYTHMIA UTILIZING ULTRASOUND - A noninvasive or minimally invasive treatment of cardiac arrhythmia such as supraventricular and ventricular arrhythmias, specifically atrial fibrillation and ventricular tachycardia, by treating the tissue with heat produced by ultrasound, including High Intensity Focused Ultrasound or HIFU. A transducer inside the body emits a pulse to assist in focusing the HIFU pulse at the proper location to treat the desired tissue. | 08-15-2013 |
20130211437 | ULTRASOUND TRANSCEIVER AND USES THEREOF - A dual use ultrasonic transceiver device for thermal tissue damage, comprising:
| 08-15-2013 |
20130218185 | ULTRASONIC TREATMENT DEVICE - An ultrasonic treatment device includes a probe in which a hole-shaped portion, being opened at a first opening position placed at a distal end portion of the probe and a second opening position placed at an outer peripheral portion of the probe and allowing the first opening position and the second opening position to communicate with each other, is formed. The ultrasonic treatment device includes a path which is extended in the hole-like portion from the first opening position to the second opening position along the longitudinal axis, and which is extended to an outside of the probe from the second opening position, and the path being extended to the extending position of the fixed handle toward the handle extending direction in the fixed handle. | 08-22-2013 |
20130226207 | ULTRASONIC END EFFECTORS WITH INCREASED ACTIVE LENGTH - A surgical instrument includes an end effector having a proximal end segment, a distal end segment, and an insert segment. The proximal end segment and the distal end segment are composed of a first material. The insert segment is composed of a second material. The insert segment is located between the proximal end segment and the distal end segment along the longitudinal axis of the end effector. The insert segment functions to bridge or fill the nodal energy gap. A surgical instrument includes a transducer configured to produce vibrations along a longitudinal axis as a predetermined frequency. An ultrasonic blade extends along the longitudinal axis coupled to the transducer. An insert segment or a pad is positioned adjacent to the blade such that it engages the blade when the surgical instrument is in a closed position and generates heat filling the nodal energy gap. | 08-29-2013 |
20130226208 | ULTRASONIC SURGICAL INSTRUMENTS - A surgical instrument. The surgical instrument may comprise a transducer and an end effector. The transducer may be configured to provide vibrations along a longitudinal axis at a predetermined frequency and may comprise a piezoelectric stack positioned along the longitudinal axis. The transducer also may comprise a first metallic end mass positioned along the longitudinal axis adjacent a first end of the piezoelectric stack and a second metallic end mass positioned along the longitudinal axis adjacent a second end of the piezoelectric stack. The length of the transducer may be greater than or equal to of one wavelength and less than ½ of one wavelength. The end effector may be coupled to the transducer and may extend along the longitudinal axis. The length of the transducer and the end effector may be a multiple of ½ of one wavelength. | 08-29-2013 |
20130231691 | ULTRASOUND MEDICAL INSTRUMENT HAVING A MEDICAL ULTRASONIC BLADE - An ultrasound medical instrument includes a medical ultrasonic blade having a proximal blade portion and a distal blade portion. The distal blade portion bends more easily than does the proximal blade portion. A user-actuated articulated sheath surrounds a portion of the medical ultrasonic blade. The distal blade portion includes a distal end portion adapted to contact and ultrasonically treat patient tissue. | 09-05-2013 |
20130238004 | ULTRASONIC CUTTING TOOL - The ultrasonic surgical tool has an elongate waveguide operatively connected or connectable at a proximal end to a source of ultrasonic vibrations. At a distal end, an operative element comprises a radially-extending ridge defined between a substantially parallel pair of grooves extending longitudinally of the waveguide. The operative element is curved in a plane transverse to that of the ridge. This arrangement is ergonomically superior and allows a surgeon to work for longer and with improved control. It also allows a clear visualization of the operative elements of the tool and the target tissue. | 09-12-2013 |
20130238005 | Steerable Ablation Device - The invention relates to a flexible assembly for use in a region of a medical or surgical device. In preferred embodiments, the flexible region comprises a set of pull wires for controllably moving a treatment end of the device, and elements to separate the pull wires and maintain the integrity of the shaft of the flexible region in order to improve the operating aspects of the device. The devices and methods can be especially useful in ablation treatments, such as ablation at cardiac or epicardial tissues. | 09-12-2013 |
20130245657 | Battery Assembly for Battery-Powered Surgical Instruments - A battery assembly for use in a number of battery-powered, cordless ultrasonic surgical instruments with handles having a battery chamber and coupled to different ultrasonic waveguide types, comprises a housing having an exterior shape formed to removably connect with the battery chamber of the handles. The housing has at least one energy storage cell operable to power an ultrasonic-signal-generation assembly of the surgical instruments. The ultrasonic-signal-generation assembly is operable to dynamically produce a resonant wave along an ultrasonic waveguide. A battery/handle interface has a plurality of connectors shaped to mate with a plurality of corresponding connectors within the battery chamber of the handles. A voltage-control circuit communicatively couples with and provides power to the ultrasonic-signal-generation assembly, detects which one of the ultrasonic waveguide types is coupled to the handle connected to the housing, and provides an output in response to the detected waveguide type. | 09-19-2013 |
20130245658 | ULTRASONIC CURVED BLADE - An ultrasonic dissection and coagulation system for surgical use is provided. The system includes an ultrasonic instrument, a control module, and a remote actuator. The ultrasonic instrument has a housing and an elongated body portion extending from the housing. An ultrasonic transducer supported within the housing is operatively connected to a cutting jaw by a vibration coupler. The vibration coupler conducts high frequency vibration from the ultrasonic transducer to the cutting jaw. A trocar assembly including a cannula may be provided to slidably receive the elongated portion of the ultrasonic instrument. | 09-19-2013 |
20130245659 | ROTATABLE CUTTING IMPLEMENTS WITH FRICTION REDUCING MATERIAL FOR ULTRASONIC SURGICAL INSTRUMENTS - An ultrasonic surgical instrument includes a housing, an ultrasonic transducer assembly rotatably supported within said housing and communicating with a source of ultrasonic electrical signals, a motor within said housing and communicating with a source of motor drive signals, said motor coupled to said ultrasonic transducer assembly for applying rotational motion thereto, a horn coupled to said ultrasonic transducer assembly, an outer sheath coupled to said housing, said outer sheath including a distal portion, and a blade operably coupled to said horn, said blade rotatably supported relative to said outer sheath, wherein said blade includes an outer sheath contacting surface, wherein said distal portion of said outer sheath includes a blade contacting surface, and wherein at least one of said outer sheath contacting surface and said blade contacting surface includes a friction reducing material. | 09-19-2013 |
20130253557 | SURGICAL INSTRUMENT RINGING A TITANIUM NEEDLE WITH A NODE OF MINIMUM AMPLITUDE IN A SUBSTANTIALLY CYLINDRICAL PORTION OF THE NEEDLE - A surgical instrument and method, for example to accomplish phacoemulsification, are disclosed. The surgical instrument includes a handpiece that has a piezoelectric transducer, and a titanium needle having a free distal tip and a supported end that is attached to the handpiece. The titanium needle has a substantially cylindrical portion with an outer diameter in the range 0.5 mm to 1.5 mm and a length in the range 12 mm to 37 mm. A circuit drives the piezoelectric transducer to periodically longitudinally expand and longitudinally contract at a driving frequency. The driving frequency is selected to ring the titanium needle with a standing wave that is characterized by longitudinal expansion and longitudinal contraction, the standing wave having a distal node of minimum amplitude in the substantially cylindrical portion. | 09-26-2013 |
20130253558 | ULTRASONIC SURGICAL SHEARS AND METHOD FOR SEALING A BLOOD VESSEL USING SAME - An ultrasonic surgical shears includes an ultrasonic surgical blade, a clamping arm operable to open and close toward the blade, and a tissue pad attached to the clamping arm. A method for sealing a blood vessel of a patient includes obtaining an ultrasonic surgical shears and positioning the blood vessel between the blade and the tissue pad. The clamping arm is operated to exert an average coaptation pressure on the blood vessel between and including 60 psi and 210 psi. The blade is ultrasonically vibrated to transect and seal the blood vessel. | 09-26-2013 |
20130253559 | ULTRASONIC TRANSDUCER SYSTEM - A transducer stack ( | 09-26-2013 |
20130261647 | SYSTEM AND METHOD FOR DELIVERING ENERGY TO TISSUE - An ablation system for treating atrial fibrillation in a patient comprises an elongate shaft having proximal and distal ends, a lumen therebetween and a housing adjacent the distal end of the elongate shaft. An energy source is coupled to the housing and is adapted to deliver energy to a target tissue so as to create a zone of ablation in the target tissue that blocks abnormal electrical activity thereby reducing or eliminating the atrial fibrillation in the patient. A sensor is adjacent the energy source and adapted to detect relative position of the energy source to the target tissue or characteristics of the target tissue. The system also has a reflecting element operably coupled with the energy source and adapted to redirect energy emitted from the energy source in a desired direction or pattern. | 10-03-2013 |
20130267975 | SWITCH ARRANGEMENTS FOR ULTRASONIC SURGICAL INSTRUMENTS - Switch assemblies for handheld ultrasonic surgical instruments. The switch assemblies may include a first switch arrangement that is operably supported on a forward portion of a handle housing of the surgical instrument and is selectively movable relative to at least one first switch contact. The switch assembles may further include a second switch arrangement that comprises at least one of a right switch button that is movably supported on a right side of the handle housing relative to at least one right contact and a left switch button that is movably supported on a left side of the handle housing that is selectively movable relative to at least one left contact. | 10-10-2013 |
20130282038 | SURGICAL INSTRUMENT WITH TISSUE DENSITY SENSING - An apparatus comprises an end effector, a body assembly, a power source, and a control module. The end effector is operable for use in a surgical procedure and can deliver energy to a surgical site. The end effector comprises at least one sensor. The sensor is able to measure at least one physical characteristic associated with the surgical site. The body assembly is in communication with the end effector. The power source is in communication with the body assembly and is operable to deliver power to the end effector. The control module is in communication with the sensor and is operable to change delivery of power to the end effector based on data from the sensor indicating a change in tissue density. | 10-24-2013 |
20130282039 | SURGICAL INSTRUMENTS - A surgical device. The surgical device may comprise a transducer, an end effector, a generator and a control circuit. The transducer may be configured to provide vibrations. The end effector may be coupled to the transducer and may extend from the transducer along the longitudinal axis. The generator may provide an electrical signal to the transducer. Also, the control circuit may modify a current amplitude of the electrical signal in response to a change in a vibration frequency of the end effector. Accordingly to various embodiments, the control circuit may detect a first contribution to a vibration frequency of the end effector, the first contribution originating from tissue in contact with the end effector. Also, according to various embodiments, the control circuit may indicate a change in a vibration frequency of the end effector. | 10-24-2013 |
20130282040 | TREATMENT DEVICE AND METHOD FOR OPERATING SAME - The present disclosure in some embodiments provides a medical device and to a method of operating the medical device. The medical device, comprising: a monitoring information processor configured to process and display cardiovascular information acquired through diagnosing or monitoring a target area of a patent body; a comparison unit configured to compare at least one values selected from the cardiovascular information with at least one threshold values; a cardiovascular information analysis unit configured to analyze the cardiovascular information provided depending on the result of comparison performed by the comparison unit and to produce an analysis result; and a therapeutic parameter setup unit configured to generate a setup information based on a part or all of the cardiovascular information and the analysis result and to generate therapeutic pulses for adjusting a level of a treatment on the patient body according to the setup information. | 10-24-2013 |
20130289591 | ROTATABLE ELECTRICAL CONNECTION FOR ULTRASONIC SURGICAL INSTRUMENTS - A connector module for an ultrasonic surgical instrument includes a housing having a spindle and a coupling rotatably mounted on the spindle. A first conductor is mechanically coupled to the housing. A first link is rotatable relative to the first conductor between a first position and a second position and includes a first contact positioned to electrically contact the first conductor and a second contact electrically coupled to the first contact and positioned to electrically contact an ultrasonic hand piece. | 10-31-2013 |
20130289592 | ULTRASONIC DEVICE FOR CUTTING AND COAGULATING - A surgical apparatus comprises a body, an ultrasonic transducer, a shaft, and an end effector. The ultrasonic transducer is operable to convert electrical power into ultrasonic vibrations. The shaft couples the end effector and the body together. The end effector comprises an ultrasonic blade in acoustic communication with the ultrasonic transducer. The ultrasonic blade includes a recess region having a plurality of recesses. The recess region is tapered such that the cross-sectional area of the recess region decreases along the length of the recess region. The ultrasonic blade is also curved such that a central longitudinal axis of the ultrasonic blade extends along a curved path. A reference circuit is used to account for voltage drops of unknown values during operation of the surgical apparatus. | 10-31-2013 |
20130289593 | Ultrasound Transducer Manufacturing Using Rapid-Prototyping Method - An ultrasound therapy system is provided that can include any number of features. In some embodiments, the custom transducer housings can be manufactured using a rapid-prototyping method to arrange a plurality of single-element, substantially flat transducers to share a common focal point. The rapid-prototyping method can include, for example, fused-deposition modeling, 3D printing, and stereolithography. In some embodiments, the therapy system can include a plurality of transducer modules insertable into the openings of the transducer housing. Each transducer module can include an acoustic lens, a substantially flat, single-element transducer, and a matching layer disposed between the lens and the transducer. Methods of use and manufacture are also described. | 10-31-2013 |
20130289594 | CURVED CLAMP ARM FOR USE WITH ULTRASONIC SURGICAL INSTRUMENTS - The present invention relates to ultrasonic surgical clamping instruments and, more particularly, to a curved clamp arm for use with ultrasonic surgical instruments that have an ultrasonically actuated blade that, in one case, is ultrasonically actuated to have motion in substantially a single plane. The curved clamp arm opens and closes with respect to the blade and also has a plane of curvature that is parallel to the plane of motion of the blade when the clamp arm is in the closed position, and not parallel to the plane of motion of the blade when the clamp arm is in the open position. | 10-31-2013 |
20130296908 | TECHNIQUES FOR CUTTING AND COAGULATING TISSUE FOR ULTRASONIC SURGICAL INSTRUMENTS - Various forms are directed to a method for operating an ultrasonic surgical instrument. The ultrasonic surgical instrument may be activated by generating a drive signal provided to the ultrasonic drive system to drive the end effector. A plurality of input variables may be applied to a multi-variable model to generate a multi-variable model output, where the multi-variable model output corresponds to an effect of the ultrasonic instrument on tissue. The plurality of input variables may comprise at least one variable describing the drive signal and at least one variable describing a property of the ultrasonic surgical instrument. When the multi-variable model output reaches a threshold value, feedback may be generated indicating a corresponding state of at least one of the ultrasonic surgical instrument and tissue acted upon by the ultrasonic surgical instrument. | 11-07-2013 |
20130304105 | GRASPING TREATMENT DEVICE - A grasping treatment device includes a first sheath section, a second sheath section including a bending cylindrical section, and a rotating transmitting portion configured to rotate to allow a grasping section and the first sheath section to rotate in one of periaxial directions of a longitudinal axis with respect to the second sheath section. The grasping treatment device includes an opening/closing transmitting portion configured to move a movable portion of the first sheath section toward a proximal direction with respect to a probe fixed portion by being pulled toward the proximal direction, and an acting force transmitting portion configured to transmit an acting force from the probe fixed portion to the bending cylindrical section, the acting force being configured to act on the probe fixed portion from the movable portion toward the proximal direction. | 11-14-2013 |
20130310863 | ENERGY BASED HYPERHIDROSIS TREATMENT - A method and system for energy-based (e.g., ultrasound treatment and/or other modalities) of sweat glands are provided. An exemplary method and system for targeted treatment of sweat glands can be configured in various manners, such as through use of therapy only, therapy and monitoring, imaging and therapy, or therapy, imaging, and monitoring, and/or through use of focused, unfocused, or defocused ultrasound (or other energy) through control of various spatial and temporal parameters. As a result, ablative energy can be deposited at the particular depth at which the aberrant sweat gland population is located below the skin surface. | 11-21-2013 |
20130325047 | Ultrasonic Surgical Instrument - An ultrasonic surgical instrument is provided and includes a housing. A shaft is supported on the housing and defines a longitudinal axis therethrough. The shaft supports a jaw member at a distal end thereof. The jaw member is movable between open and clamping configurations. A probe includes proximal and distal ends. The distal end has an active blade thereon configured to effect tissue when the jaw member is in the clamping configuration. The proximal end has at least one mating feature thereon. A rotating assembly operably supported on the housing is configured to rotate the shaft. The rotating assembly includes a torque adapter that is engageable with the at least one mating feature to selectively and releasably couple the probe to the housing. | 12-05-2013 |
20130331872 | SYSTEMS AND METHODS FOR TISSUE TREATMENT - A system, delivery device and method delivers ultrasonic energy to a target musculoskeletal tissue site. In some embodiments, the delivery device includes a stainless steel needle joined to a horn. In some embodiments, the stainless steel needle is joined to the horn using a heating process or a brazing process. | 12-12-2013 |
20130331873 | TEMPERATURE ESTIMATION AND TISSUE DETECTION OF AN ULTRASONIC DISSECTOR FROM FREQUENCY RESPONSE MONITORING - An ultrasonic surgical apparatus including a first signal generator outputting a drive signal at a predetermined voltage and frequency, a first oscillating structure receiving the drive signal and oscillating at the frequency of the drive signal, and a bridge circuit, detecting the mechanical motion of the first oscillating structure and outputting a signal representative of the mechanical motion. The apparatus also includes a second oscillating structure integrally formed within a portion of the first oscillating structure, the second oscillating structure outputting an electrical signal, and a microcontroller receiving the signal output by the bridge circuit and output by the second oscillating structure, the microcontroller determining an instantaneous frequency at which the first oscillating structure is oscillating based on the received signal, comparing the electrical signal from the second oscillating structure with a known signal value and determining the temperature of the second oscillating structure based on a the comparison. | 12-12-2013 |
20130331874 | TEMPERATURE ESTIMATION AND TISSUE DETECTION OF AN ULTRASONIC DISSECTOR FROM FREQUENCY RESPONSE MONITORING - An ultrasonic surgical apparatus and method, the apparatus including a signal generator outputting a drive signal having a frequency, an oscillating structure, receiving the drive signal and oscillating at the frequency of the drive signal, and a bridge circuit, detecting the mechanical motion of the oscillating structure and outputting a signal representative of the mechanical motion. The ultrasonic surgical apparatus also includes a microcontroller receiving the signal output by the bridge circuit, the microcontroller determining an instantaneous frequency at which the oscillating structure is oscillating based on the received signal, and determining a frequency adjustment necessary to maintain the oscillating structure oscillating at its resonance frequency, the microcontroller further determining the quality (Q value) of the signal received from the bridge circuit and determining material type contacting the oscillating structure. | 12-12-2013 |
20130331875 | TEMPERATURE ESTIMATION AND TISSUE DETECTION OF AN ULTRASONIC DISSECTOR FROM FREQUENCY RESPONSE MONITORING - An ultrasonic surgical apparatus and method of use including a signal generator outputting a drive signal having a frequency, an oscillating structure, receiving the drive signal and oscillating at the frequency of the drive signal, a bridge circuit, detecting the mechanical motion of the oscillating structure and outputting a signal representative of the mechanical motion, and a microcontroller receiving the signal output by the bridge circuit, the microcontroller determining an instantaneous frequency at which the oscillating structure is oscillating based on the received signal, and comparing the instantaneous frequency to a known frequency value and estimating a temperature of the oscillating structure based on the comparison. | 12-12-2013 |
20130338691 | Mechanism for Assembly of Ultrasonic Instrument - An ultrasonic clamp coagulator system that is configured to permit selective cutting, coagulation and clamping of tissue during surgical procedures. An elongated portion of the instrument can be configured for endoscopic applications and has an outside diameter of less than 6 mm. The system includes a one-piece torque wrench that is provided with cantilever arms aligned in an annular fashion about the centerline of the torque wrench. The cantilever arms include teeth in an inward perpendicular fashion in relation to cantilever arms. The clamp coagulator includes an outer tube retainer that includes spline gears projecting in a perpendicular fashion along the outer circumference of retainer. Torque is transmitted through the cantilever arms to the spline gears for attaching a handpiece to the clamp coagulator. | 12-19-2013 |
20130345732 | ULTRASONIC DEVICE FOR CUTTING AND COAGULATING - An ultrasonic clamp coagulator assembly that is configured to permit selective cutting, coagulation, and fine dissection required in fine and delicate surgical procedures. The assembly includes a clamping mechanism, which is specifically configured to provide for variable tissue clamping forces. | 12-26-2013 |
20130345733 | DUAL PURPOSE SURGICAL INSTRUMENT FOR CUTTING AND COAGULATING TISSUE - In one general aspect, various embodiments are directed to an ultrasonic surgical instrument that has an ultrasonic blade that protrudes from an ultrasonic transducer assembly. In some embodiments, the ultrasonic blade coaxially extends through a rotatable tissue cutting blade that is rotatably supported by a housing that supports the ultrasonic transducer assembly. In other embodiments, the ultrasonic blade and the tissue cutting blade are both selectively rotatable relative to the housing. In yet other embodiments, the tissue cutting blade and the ultrasonic blade are supported relative to each other in separate sheaths attached to the housing. | 12-26-2013 |
20130345734 | METHOD OF CREATING A SHEAR STRESS FIELD WITH MEDICAL DEVICE - An ultrasonic horn for use with an ultrasonic surgical hand piece including a resonator comprises a contacting annulus having a plurality of angled lands. The lands are alternated around the annulus such that adjacent lands have opposite angles. As a result of the adjacent angled lands, a shear stress field is developed in contacted tissue due to the promotion of refracted longitudinal ultrasonic waves propagating in different directions at the interface to the coupled tissue. The shear stress field enhances the fragmentation and removal rate of fibrous, elastic, and tenacious tissue. The horn is hollow permitting suction to be applied to the tissue for controlling tissue contact with the lands. | 12-26-2013 |
20140005701 | SURGICAL INSTRUMENTS WITH ARTICULATING SHAFTS | 01-02-2014 |
20140005702 | ULTRASONIC SURGICAL INSTRUMENTS WITH DISTALLY POSITIONED TRANSDUCERS | 01-02-2014 |
20140005703 | SURGICAL INSTRUMENTS WITH ARTICULATING SHAFTS | 01-02-2014 |
20140005704 | ULTRASONIC SURGICAL INSTRUMENTS WITH DISTALLY POSITIONED JAW ASSEMBLIES | 01-02-2014 |
20140005705 | SURGICAL INSTRUMENTS WITH ARTICULATING SHAFTS | 01-02-2014 |
20140005706 | Carotid Body Ablation Via Directed Energy | 01-02-2014 |
20140005707 | MULTIPLE FREQUENCY PHACOEMULSIFICATION NEEDLE DRIVER | 01-02-2014 |
20140012296 | Rounded-End Device, System, and Method for Preventing Posterior Capsular Opacification - Disclosed herein is an apparatus selectively attachable to an ultrasonic device to disrupt target cells from underlying tissue for treatment of an ocular condition, comprising a shaft, a coupling portion at an end of the shaft, and a cell disrupting end extending from a distal portion of the shaft. The shaft has a longitudinal axis and a first diameter. The coupling portion includes a connector portion and a hub configured to selectively couple to the ultrasonic device and impart ultrasonic vibration to the shaft. The cell disrupting end is solid and has a second diameter and a smooth, continuous, curved shape. | 01-09-2014 |
20140012297 | ULTRASONIC SURGICAL INSTRUMENTS - An ultrasonic surgical instrument is provided. The ultrasonic surgical instrument includes a housing having an elongated shaft extending therefrom. The shaft defines a longitudinal axis therethrough and has at least one jaw member disposed at a distal end thereof. The jaw member(s) is movable between open and clamping configurations. A probe extends through the shaft and operably couples to the housing, The probe includes a cutting blade at a distal end thereof adjacent the jaw member(s) to treat tissue of interest. The jaw member(s) and cutting blade are configured such that heat damage to tissue adjacent tissue of interest that has been treated by the cutting blade is reduced and/or eliminated. | 01-09-2014 |
20140012298 | ULTRASONIC SURGICAL INSTRUMENTS - An ultrasonic surgical instrument is provided. The ultrasonic surgical instrument includes a housing having an elongated shaft extending therefrom. The shaft defines a longitudinal axis therethrough and has a jaw member disposed at a distal end thereof. The jaw member is movable between an open configuration and a clamping configuration. The jaw member includes a tissue contacting surface having at least one laminate liner disposed thereon. A cutting blade extends from a distal end of the shaft and operably couples to the housing and adjacent the jaw member to treat tissue. | 01-09-2014 |
20140012299 | ULTRASONIC SURGICAL INSTRUMENTS - An ultrasonic surgical instrument is provided. The ultrasonic surgical instrument includes a housing having an elongated shaft extending therefrom. The shaft has a jaw member disposed at a distal end thereof. The jaw member is movable between an open configuration and a clamping configuration and includes a tissue contacting surface thereon. A cutting blade extends from a distal end of the shaft and operably couples to the housing and adjacent the jaw member to treat tissue. At least one sensor is configured to sense at least one operational parameter of the ultrasonic surgical instrument. At least one controller in operable communication with the at least one sensor is configured to terminate delivery of ultrasonic energy to the cutting blade when the at least one sensor senses the at least one operational parameter. | 01-09-2014 |
20140012300 | Ultrasonic Wave Generator and Method of Lipolysis - The invention relates to a device for generating an ultrasonic field having frequencies between 0.9 MHz and 4 MHz in an object, preferably in water or in human tissue, the device comprising a piezo element ( | 01-09-2014 |
20140025098 | DEVICE FOR OCULAR ULTRASOUND THERAPY HAVING A REFLECTOR - The present invention relates to a device for treating an ocular pathology, including a ring ( | 01-23-2014 |
20140066962 | ULTRASONIC SURGICAL INSTRUMENTS - In various embodiments, a surgical instrument for operation in an aqueous environment is provided. In at least one embodiment, the surgical instrument may include a hollow sheath, a blade disposed at least partially within the hollow sheath and extending through an opening in the sheath, and at least one ultrasonic transducer operably coupled to the blade. The blade may include a polygonal cross-sectional shape and the tip may project away from the sheath's longitudinal axis. In another embodiment, the surgical instrument may include a blade with suction disposed therethrough and at least one ultrasonic transducer operably coupled to the blade. The blade may include a cutting edge that is positioned over a blade opening. Also, the cutting edge may project away from the blade's longitudinal axis. | 03-06-2014 |
20140081299 | Micromachined Ultrasonic Scalpel with Embedded Piezoelectric Actuator - An ultrasonic core including a longitudinally elongated, generally planar waveguide defining an aperture extending from a first side of the waveguide toward a medial plane of the waveguide, and having a transducer element sized and shaped so as to substantially conform to the size and shape of the aperture and to be at least partially embedded within the waveguide. In other aspects, an ultrasonic core including a longitudinally elongated, generally planar silicon waveguide having at least one transducer element secured thereto and a wedge-shaped acoustic horn including an inclined side surface, characterized in that the inclined side surface is oriented along the {1,1,1} crystallographic plane of the silicon material. Also, methods of manufacturing the respective ultrasonic cores and ultrasonic handpieces for an ultrasonic surgical instruments incorporating such cores. | 03-20-2014 |
20140081300 | THERAPEUTIC PROBE FOR TREATING TISSUE USING FOCUSED INTERSECTING ULTRASONIC WAVES - The invention relates to a therapeutic probe comprising a transducer ( | 03-20-2014 |
20140081301 | NERVE MODULATION SYSTEM - Systems for nerve and tissue modulation are disclosed. An example system may include a first elongate element having a distal end and a proximal end and having at least one nerve modulation element disposed adjacent the distal end. The nerve modulation element may be positioned or moveable to target a particular tissue region. The nerve modulation element may be an ultrasound transducer. | 03-20-2014 |
20140081302 | METHOD FOR ABLATING BODY TISSUE - A cardiac ablation method including the following steps: inserting a treatment catheter into an atrium of a heart, the treatment catheter including an ultrasound emitter; positioning the ultrasound emitter to face heart tissue within the left atrium outside of a pulmonary vein; emitting ultrasound energy from the ultrasound emitter while rotating the ultrasound emitter about a rotation axis; and ablating heart tissue with the ultrasound energy to form a lesion outside of a pulmonary vein. | 03-20-2014 |
20140088629 | SYSTEM FOR NERVE MODULATION AND INNOCUOUS THERMAL GRADIENT NERVE BLOCK - Systems for nerve and tissue modulation are disclosed. An example system may include a first elongate element having a distal end and a proximal end and having at least one nerve modulation element disposed adjacent the distal end. The nerve modulation element may be positioned or moveable to target a particular target region. The nerve modulation element may be an ultrasound transducer. The nerve modulation element may be configured to be operated at a low intensity to provide a thermal nerve block or a high intensity to effect tissue modulation. | 03-27-2014 |
20140088630 | SELF-COOLING ULTRASOUND ABLATION CATHETER - Systems for nerve and tissue modulation are disclosed. An example system may include an intravascular nerve modulation system including an elongated shaft having a proximal end region and a distal end region. The system may further include a bar element extending distally from the distal end region of the elongated shaft and one or more ablation transducers affixed to the bar element. | 03-27-2014 |
20140107683 | Fluid-Surgical Instrument With Variable Spray Image - A fluid-surgical instrument includes a nozzle ( | 04-17-2014 |
20140107684 | SURGICAL INSTRUMENT - A surgical instrument is provided. The surgical instrument includes a housing having a shaft operably supported thereon and a jaw member supported at a distal end of the shaft. The jaw member is movable between open and clamping configurations. The surgical instrument also includes a probe that has proximal and distal ends. The distal end has an active blade thereon that is configured to treat tissue when the jaw member is in a clamping configuration. The proximal end of the probe is configured to selectively engage a generator that is configured to selectively couple to the housing. An adjusting assembly is operably supported on the housing and is configured to selectively rotate the probe to engage the proximal end of the probe to the generator to secure the generator to the housing. | 04-17-2014 |
20140114334 | FLEXIBLE HARMONIC WAVEGUIDES/BLADES FOR SURGICAL INSTRUMENTS - In one embodiment, a surgical instrument comprises an articulable harmonic waveguide. The articulable harmonic waveguide comprises a first drive section comprising a proximal end and a distal end. The proximal end of the first drive section may be configured to connect to an ultrasonic transducer. The articulable harmonic waveguide further comprises a first flexible waveguide coupled to the distal end of the first drive section. An end effector extends distally from the first flexible waveguide. The surgical instrument further comprises an articulation actuator to flex the first flexible waveguide. | 04-24-2014 |
20140114335 | SURGICAL HAND PIECE WITH DUAL LUMEN WORK TIP FOR USE WITH INFUSION CANNULA - A surgical hand piece has a source of ultrasonic energy provided to a connecting body having a first passage with one end to receive fluid from a first source and the other end at the connecting body distal end. A work tip has first and second tubes each having at least one opening at its distal end and the proximal end of one or both of the tubes connected to the connecting body distal end to receive the ultrasonic energy and to selectively receive or discharge fluid from either the first or second source as controlled by a valve. A cannula is provided which is adapted to be placed in an opening in the cornea through which the work tip extends during the removal of cataracts from the eye by phacoemulsification. The cannula may be equipped with channels that permit additional infusion of fluid into the eye during the procedure, which infusion also cools the surrounding corneal tissue to protect against heat generated by the ultrasonic vibration of the work tip. | 04-24-2014 |
20140135804 | ULTRASONIC AND ELECTROSURGICAL DEVICES - Disclosed are ultrasonic and electrosurgical devices. The disclosed embodiments include ultrasonic blades comprising various grasping features, devices configured to prevent ingress of surgical matter, e.g., fluid and tissue, in the space between an ultrasonic blade and an inner or outer tube distal of the distal seal, alternate closure mechanisms for ultrasonic devices, ultrasonic transducer rotation limiters to limit the rotation of an ultrasonic transducer, ultrasonic transducer rotation systems to provide unlimited continuous rotation of an ultrasonic device, integrated ultrasonic instrument electrically connected to provide RF spot coagulation with an ultrasonic (RF) generator, and coated ultrasonic/RF blades. | 05-15-2014 |
20140148832 | FLEXIBLE, ULTRASOUND-COUPLED DEVICES AND METHODS FOR ASPIRATING BIOLOGICAL TISSUE - One aspect of the present disclosure relates to a device for aspirating a biological tissue from a subject. The device can comprise a flexible, hollow shaft and an ultrasound assembly. The shaft can have a central portion that extends between a proximal end and a distal end thereof. The shaft can include a first lumen that extends between the proximal and distal ends. The ultrasound assembly can be connected to the distal end of the shaft. The ultrasound assembly can include a casing, at least one ultrasound transducer disposed within the casing, and a second lumen that extends through the ultrasound assembly and is in fluid communication with the first lumen. The at least one ultrasound transducer can be configured to generate acoustical waves having an intensity and frequency sufficient to disrupt, but not substantially damage, the biological tissue so that the biological tissue can be aspirated through the device. | 05-29-2014 |
20140148833 | CONNECTOR FOR SECURING ULTRASOUND CATHETER TO TRANSDUCER - An ultrasound system has an ultrasound transducer having a transducer housing and a horn provided at the distal end of the transducer housing, an ultrasound transmission member, a sonic connector that is connected to the horn and the proximal end of the ultrasound transmission member, and a catheter knob having a proximal end that is coupled to the distal end of the transducer housing. The catheter knob has a proximal bore that houses the sonic connector. The system also includes a nesting piece that is retained inside the proximal bore of the catheter knob. The nesting piece can be moved from a first position where the sonic connector is received inside the nesting piece to a second position where the sonic connector is separated from the nesting piece when ultrasound energy is being propagated through the ultrasound transmission member. | 05-29-2014 |
20140148834 | METHODS FOR TREATING SKIN LAXITY - A method and system for ultrasound treatment of skin laxity are provided. Methods and systems can include ultrasound imaging of the region of interest for localization of the treatment area, delivering ultrasound energy at a depth and pattern to achieve the desired therapeutic effects, and/or monitoring the treatment area to assess the results and/or provide feedback. The exemplary treatment method and system can be configured for producing arrays of sub-millimeter and larger zones of thermal ablation to treat the epidermal, superficial dermal, mid-dermal and deep dermal components of tissue. | 05-29-2014 |
20140155921 | ERGONOMIC SURGICAL INSTRUMENTS - A surgical instrument comprising a trigger configured to be actuated by a proximally directed force and by a distally directed force. The trigger may comprise a proximal trigger portion having a first length and a distal trigger hook comprising a distal portion having a second length. The second length may be less than the first length. The distal trigger hook may be coupled to the proximal trigger portion. | 06-05-2014 |
20140155922 | THERAPEUTIC ULTRASOUND SYSTEM - An ultrasound system has a catheter including an elongate flexible catheter body having at least one lumen extending longitudinally therethrough. The catheter further includes an ultrasound transmission member extending longitudinally through the lumen of the catheter body, the ultrasound transmission member having a proximal end connectable to a separate ultrasound generating device and a distal end coupled to the distal end of the catheter body. The distal end of the catheter body is deflectable. The ultrasound system also includes a sonic connector that connects the ultrasound transmission member to an ultrasound transducer. The ultrasound system also provides a method for reverse irrigation and removal of particles. | 06-05-2014 |
20140163595 | ULTRASONIC SURGICAL BLADE - An ultrasonic instrument comprises an ultrasonic transducer, an acoustic waveguide, and an ultrasonic blade. The blade includes a pair of obliquely extending edges. The obliquely extending edges diverge away from the longitudinal axis of the waveguide and away from each other along respective paths extending distally in relation to the waveguide. A distal portion of the blade is wider than a proximal portion of the blade along a plane. The blade further includes a curved distal edge and several laterally presented surfaces. The laterally presented surfaces may provide combinations of concave and convex curvatures. The laterally presented surfaces may be angled and/or curved along one or more orthogonal planes associated with the longitudinal axis of the waveguide. | 06-12-2014 |
20140180320 | METHOD AND APPARATUS FOR GENERATING FOCUSED ULTRASONIC WAVES WITH SURFACE MODULATION - The invention relates to a method for generating ultrasonic waves focused on a focal zone ( | 06-26-2014 |
20140188144 | ULTRASONIC OSCILLATION PROBE, METHOD FOR MANUFACTURING ULTRASONIC OSCILLATION PROBE, AND ULTRASONIC TREATMENT APPARATUS - This ultrasonic oscillation probe is an ultrasonic oscillation probe for transmitting ultrasonic vibration. A first region where the crystal grain size is relatively small and a second region where the crystal grain size is relatively large are respectively formed in at least one place. A method for manufacturing an ultrasonic oscillation probe respectively forms a first region where the crystal grain size is relatively small and a second region where the crystal grain size is relatively large in at least one place and heats a portion of the ultrasonic oscillation probe to a grain coarsening temperature or higher of a material that forms the ultrasonic oscillation probe, to form the second region. | 07-03-2014 |
20140188145 | SYSTEM FOR NONINVASIVE SKIN TIGHTENING - A method and system for noninvasive face lifts and deep tissue tightening are disclosed. An exemplary method and treatment system are configured for the imaging, monitoring, and thermal injury to treat the SMAS region. In accordance with an exemplary embodiment, the exemplary method and system are configured for treating the SMAS region by first, imaging of the region of interest for localization of the treatment area and surrounding structures, second, delivery of ultrasound energy at a depth, distribution, timing, and energy level to achieve the desired therapeutic effect, and third to monitor the treatment area before, during, and after therapy to plan and assess the results and/or provide feedback. | 07-03-2014 |
20140188146 | STEERABLE ULTRASOUND CATHETER - Ultrasound catheter devices and methods provide enhanced disruption of blood vessel obstructions. Ultrasound catheter devices generally include an elongate flexible catheter body with one or more lumens, an ultrasound transmission member extending longitudinally through the catheter body lumen and a distal head coupled with the transmission member and positioned adjacent the distal end of the catheter body for disrupting occlusions. Improved features of ultrasound catheters include catheter bodies and ultrasound transmission members with increasing distal flexibility, guidewire tubes allowing contact between a guidewire and an ultrasound transmission member, distal heads with improved guidewire lumens, and torquable proximal housings for enhancing disruption of blood vessel occlusions. | 07-03-2014 |
20140200601 | CURVED CLAMP ARM FOR USE WITH ULTRASONIC SURGICAL INSTRUMENTS - The present invention relates to ultrasonic surgical clamping instruments and, more particularly, to a curved clamp arm for use with ultrasonic surgical instruments that have an ultrasonically actuated blade that, in one case, is ultrasonically actuated to have motion in substantially a single plane. The curved clamp arm opens and closes with respect to the blade and also has a plane of curvature that is parallel to the plane of motion of the blade when the clamp arm is in the closed position, and not parallel to the plane of motion of the blade when the clamp arm is in the open position. | 07-17-2014 |
20140207164 | DEVICE AND METHOD FOR VASCULAR RE-ENTRY - In a method for re-entry from extraluminal space into the central lumen of a vessel, a guidewire is advanced into the extraluminal space of the vessel, and then a directional catheter is advanced over the guidewire through the extraluminal space. Thereafter, the guidewire is removed from the directional catheter, an ultrasound device is placed through the directional catheter, and the ultrasound device is advanced through the extraluminal space into the central lumen and then activated. | 07-24-2014 |
20140214064 | ULTRASOUND CATHETER FOR DISRUPTING BLOOD VESSEL OBSTRUCTIONS - Ultrasound catheter devices and methods provide enhanced disruption of blood vessel obstructions. Generally, an ultrasound catheter includes an elongate flexible catheter body with one or more lumens. An ultrasound transmission member or wire extends longitudinally through the catheter body lumen and, in many embodiments, a guide wire tube also extends through the same lumen. A distal head is fixed to or otherwise mechanically coupled with the distal end of the ultrasound transmission member or wire and is positioned adjacent the distal end of the catheter body. Although the distal end of the catheter body overlaps the distal head, the distal head is not directly affixed to the distal end of the catheter body. Thus, the distal tip may move freely, relative to the distal end of the catheter body when ultrasonic energy is applied through the ultrasound transmission member. Such a freely floating distal head enhances the efficiency of an ultrasound catheter, enabling the catheter to ablate calcific occlusions and increasing the useful life of the ultrasound transmission member and catheter. | 07-31-2014 |
20140222052 | TRANSDUCER/WAVEGUIDE ENGAGEMENT MECHANISMS FOR ULTRASONIC SURGICAL INSTRUMENTS - An ultrasonic surgical instrument includes a transducer assembly having a distal engagement member and configured to supply ultrasonic energy. A waveguide defines a longitudinal axis and has a proximal engagement member configured to threadingly engage the distal engagement member. The waveguide is configured to transmit the ultrasonic energy therealong to a distal end thereof for treating tissue. A torque member is coupled to the transducer assembly and is disposed about the longitudinal axis. The torque member is selectively rotatable about the longitudinal axis and relative to the waveguide to threadingly engage the transducer assembly and the waveguide to one another. The torque member includes a plurality of fingers pivotably coupled thereto and movable between a closed position and an open position. In the open position, each finger extends substantially perpendicularly from the longitudinal axis to define a moment arm that facilitates the engagement of the transducer assembly and the waveguide. | 08-07-2014 |
20140236202 | Method for Operating a Two-Stage Switch for Surgical Device - In a surgical device having a control device and a button operatively connected to the control device, the control device operative to carry out at least two operational conditions of the surgical device, a method for operating the surgical device comprising pressing a single actuation member of the button to a first depressed position to thereby effect a first of the at least two operational conditions and pressing the actuation member in substantially the same direction to a second depressed position to thereby effect a second of the at least two operational conditions different from the first operational condition. | 08-21-2014 |
20140243863 | ACTUATION MECHANISM FOR USE WITH AN ULTRASONIC SURGICAL INSTRUMENT - An ultrasonic clamp coagulator assembly that is configured to permit selective cutting, coagulation and clamping of tissue during surgical procedures. An elongated portion of the instrument can be configured for endoscopic applications and has an outside diameter of less than 6 mm. The construction includes a clamping mechanism, including a clamp arm pivotally mounted at the distal portion of the instrument, which is specifically configured to create a desired level of tissue clamping forces, exceeding 4 pounds when the trigger is fully closed. The clamping mechanism includes a force-limiting mechanism that effectively smooths out abusive tissue forces. | 08-28-2014 |
20140243864 | ULTRASONIC SURGICAL INSTRUMENTS - In one general aspect, various embodiments are directed to an ultrasonic surgical instrument that comprises a transducer configured to produce vibrations along a longitudinal axis at a predetermined frequency. In various embodiments, an ultrasonic blade extends along the longitudinal axis and is coupled to the transducer. In various embodiments, the ultrasonic blade includes a body having a proximal end and a distal end, wherein the distal end is movable relative to the longitudinal axis by the vibrations produced by the transducer. | 08-28-2014 |
20140249555 | ULTRASOUND CUTTING DEVICE - In an ultrasound cutting device comprising an ultrasound transducer connected to a generator and provided with a sound conductor which is connected to a cutting blade and extends along a line which deviates from a straight line, the generator includes means for running the ultrasound waves in a controlled manner through a predetermined frequency range. | 09-04-2014 |
20140249556 | ABLATION DEVICES WITH SENSORS STRUCTURES - A cardiac ablation device, including a steerable catheter ( | 09-04-2014 |
20140277028 | Ultrasonic Surgical Drill and Associated Surgical Method - An ultrasonic surgical drill or drill bit includes a tubular member having a longitudinal axis of symmetry and a plurality of fins extending in longitudinal planes each containing the axis. In a surgical method utilizing the drill bit, one places a distal tip of the drill bit in contact with bone, presses the drill bit against the bone, and during that pressing of the drill bit, conducts ultrasonic vibrations into the drill bit. With the fins in contact with the bone, the drill bit is oscillated or angularly reciprocated about a longitudinal axis, so that the fins fragment bone material located between the fins. | 09-18-2014 |
20140277029 | ULTRASONIC SURGICAL SHEARS WITH CLAMPING FEATURE - An apparatus for operating on tissue comprises a shaft, an acoustic waveguide, and an end effector. The acoustic waveguide extends along the shaft and is configured to transmit ultrasonic vibration. The end effector comprises an ultrasonic blade and a clamp arm. The ultrasonic blade is in acoustic communication with the acoustic waveguide. The clamp arm is pivotable toward the ultrasonic blade. The end effector defines a first longitudinal region and a second longitudinal region. The end effector is configured to clamp tissue between the clamp arm and the ultrasonic blade in the first longitudinal region. The end effector is configured to sever tissue with the ultrasonic blade in the second longitudinal region. | 09-18-2014 |
20140277030 | ULTRASONIC CUTTING DEVICE - An ultrasonic surgical device for performing a surgical procedure includes an elongated member having a proximal end and a distal end spaced along a longitudinal axis. The elongated member has an inner surface and an outer surface. The inner surface defines a passageway. A septum is configured to separate the passageway into a first conduit and a second conduit. A distal end of the second conduit terminates before a distal end of the first conduit to form a stepped configuration. An ultrasonic-driven cutting blade is disposed within the second conduit and is configured for cutting tissue such that the cutting blade vibrates ultrasonically to cut tissue. The distal end of the first conduit includes an outlet configured for delivering material to a surgical site and the distal end of the second conduit includes an inlet configured for aspirating the surgical site. | 09-18-2014 |
20140277031 | Ultrasonic Catheter for Renal Denervation - Catheter apparatuses, systems, and methods for achieving renal neuromodulation by intravascular access are disclosed herein. One aspect of the present technology, for example, is directed to a treatment device including a therapeutic assembly having a PVDF transducer. A method for tissue denervation through the application of ultrasonic energy, can include positioning a PVDF transducer within a blood vessel of a patient; applying RF energy to the PVDF transducer thereby causing the PVDF transducer to deliver ultrasonic energy to the tissue; and at least partially denervating tissue that is innervated by neural matter located within or in proximity to the blood vessel via the ultrasonic energy delivered to the tissue. | 09-18-2014 |
20140277032 | METHOD AND APPARATUS FOR MAKING ULTRASONIC IRRADIATION PLAN, AND ULTRASONIC IRRADIATION METHOD - A method and related apparatus are provided for making an ultrasonic irradiation plan include generating a 3D organ model from an input image, generating irradiation information about a unit treatment volume based on at least one of a movement and a deformation of an organ in the 3D organ model, simulating irradiation of ultrasound for virtual treatment by using the generated irradiation information, and making an ultrasonic irradiation plan based on the simulation. Additionally, a method is provided for determining if such an ultrasonic irradiation plan is applicable, and if so carrying it out by emitting appropriate ultrasonic radiation. | 09-18-2014 |
20140277033 | ULTRASOUND-BASED NEUROMODULATION SYSTEM - A neuromodulation system including a catheter having a balloon along its distal end is disclosed in several embodiments. An ultrasound transducer positioned within an interior of the balloon can be selectively activated to emit acoustic energy radially outwardly in order to target nerve tissue and other portions of the subject anatomy. In some embodiments, the system is configured to be delivered over a guidewire. | 09-18-2014 |
20140277034 | SHEATH COUPLING MEMBER AND ASSOCIATED INSTRUMENT ASSEMBLY - A coupling member for an ultrasonic instrument assembly includes a body member having a first port at a first end and a second port at a second end opposite the first end, the body member having a lumen or channel extending from the first end to the second end so that the first and the second port communicate with one another. The body member is made of a flexible resilient material and is provided with at least one protrusion (or projection) extending into the lumen or channel. The protrusion is variously insertable into at least one cooperating groove or recess on an outer surface of a tubular member to enable an adjustment in a degree of insertion of the tubular member into the coupling member. | 09-18-2014 |
20140277035 | SYSTEM AND METHOD FOR R-MODE IMAGING AND TREATMENT PLANNING - System and computer-implemented method for operating an ultrasound transducer and generating an R-Mode image from at least a set of images of a region of interest and generating a treatment plan, wherein the treatment plan can be automatically updated in view of defined constraints or manually modified by the operator. | 09-18-2014 |
20140324084 | TREATMENT ASSEMBLY, TREATMENT DEVICE AND MANUFACTURING METHOD OF TREATMENT DEVICE - A treatment assembly includes: a probe which includes a treatment section at a distal end portion thereof; an inner tube which includes a distal end and into which the probe is inserted in a state that the treatment section of the probe protrudes toward a distal end side with respect to the distal end; an opening which is provided in a side surface of the inner tube and which allows an inner side of the inner tube to communicate with an outer side of the inner tube; a support section which is arranged on the inner side of the inner tube from the outer side of the inner tube through the opening and which is configured to support the probe with respect to the inner tube; and an outer tube which covers the outer side of the inner tube and which is configured to fix the support section. | 10-30-2014 |
20140324085 | SYSTEM AND METHOD FOR ENERGY DELIVERY TO TISSUE WHILE MONITORING POSITION, LESION DEPTH, AND WALL MOTION - Systems and methods for ablating tissue include an ablation device having an energy source and a sensor. The energy source provides a beam of energy directable to target tissue, and the sensor senses energy reflected back from the target tissue. The sensor collects various information from the target tissue in order to facilitate adjustment of ablation operating parameters, such as changing power or position of the energy beam. Gap distance between the energy source and target tissue, energy beam incident angle, tissue motion, tissue type, lesion depth, etc. are examples of some of the information that may be collected during the ablation process and used to help control ablation of the tissue. | 10-30-2014 |
20140330298 | CLAMP ARM FEATURES FOR ULTRASONIC SURGICAL INSTRUMENT - A surgical apparatus comprises a body, an ultrasonic transducer, a shaft, an acoustic waveguide, an articulation section, and an end effector. The ultrasonic transducer is operable to convert electrical power into ultrasonic vibrations. The shaft couples the end effector and the body together. The acoustic waveguide is coupled with the transducer. The end effector comprises a clamp arm and an ultrasonic blade in acoustic communication with the ultrasonic transducer. The clamp arm is configured to pivot toward and away from the ultrasonic blade. The shaft assembly comprises an inner tube configured to longitudinally translate to thereby pivot the clamp arm toward and away from the ultrasonic blade. A distal portion of the inner tube is operable to flex to thereby accommodate pivoting of the clamp arm. | 11-06-2014 |
20140336685 | Steerable ablation device - The invention relates to a flexible assembly for use in a region of a medical or surgical device. In preferred embodiments, the flexible region comprises a set of pull wires for controllably moving a treatment end of the device, and elements to separate the pull wires and maintain the integrity of the shaft of the flexible region in order to improve the operating aspects of the device. The devices and methods can be especially useful in ablation treatments, such as ablation at cardiac or epicardial tissues. | 11-13-2014 |
20140336686 | SURGICAL INSTRUMENTS - A surgical device. The surgical device may comprise a transducer configured to provide vibrations along a longitudinal axis and an end effector coupled to the transducer and extending from the transducer along the longitudinal axis. The surgical device also may comprise a lower jaw extending parallel to the end effector. The lower jaw may comprise a clamp face extending toward the longitudinal axis. Also, the lower jaw may be slidable relative to the end effector to bring the clamp face toward a distal end of the end effector. | 11-13-2014 |
20140364884 | BLADES WITH FUNCTIONAL BALANCE ASYMMETRIES FOR USE WITH ULTRASONIC SURGICAL INSTRUMENTS - Disclosed is an ultrasonic surgical instrument that combines blade end-effector geometry to best affect the multiple functions of a shears-type configuration. The shape of the blade is characterized by a radiused cut offset by some distance to form a curved geometry. The cut creates a curved surface with multiple asymmetries causing multiple imbalances within the blade. Imbalance due to the curve of the instrument is corrected by a non-functional asymmetry proximal to the functional asymmetry. Imbalance due to the asymmetric cross-section of the blade is corrected by the appropriate selection of the volume and location of material removed from a functional asymmetry. The shape of the blade in one embodiment of the present invention is characterized by two radiused cuts offset by some distance to form a curved and potentially tapered geometry. These two cuts create curved surfaces including a concave surface and a convex surface. The length of the radiused cuts affects, in part, the acoustic balancing of the transverse motion induced by the curved shape. | 12-11-2014 |
20140371774 | METHOD, APPARATUS, AND SYSTEM FOR GENERATING ULTRASOUND - An apparatus and a method are provided to generate an ultrasound to be transmitted from an ultrasound irradiation device. The apparatus and the method include acquiring a medical image including anatomical information about a subject, and calculating characteristics of a tissue in the subject, which may affect propagation of the ultrasound based on the medical image. The apparatus and method also determine a parameter of the ultrasound to create a focal point on the subject using the calculated characteristics, and generate the ultrasound according to the determined parameter. | 12-18-2014 |
20150025557 | TOOL FOR SURGICAL OPERATION USING ULTRASONIC WAVES - A tool for surgical operation using ultrasonic waves is provided. The tool includes a transducer generating ultrasonic waves, a cylindrical bar-shaped transmitting rod for transmitting the ultrasonic waves, an end effector for cutting a surgical site using the ultrasonic waves transmitted from the transmitting rod, extended from one end of the transmitting rod, in which a part of the circular cross-sectional area thereof is flatly formed from the point corresponding to a second vibration node so as to allow gain step to start at the second vibration node, a rod cover for encompassing the transmitting rod using, as connection points, a plurality of vibration nodes formed when ultrasonic waves are transmitted through the transmitting rod, and a jaw for holding the surgical site while engaged with the end effector, is combined to one end of the rod cover in a pivotable manner, and is positioned to face the end effector. | 01-22-2015 |
20150039004 | Vascular Re-Entry Device - An ultrasonic device having a tri-axial configuration including an ultrasound transmission member, a dilator, and a sheath is disclosed. The ultrasound device may be used in a procedure to treat an occluded blood vessel. The ultrasound transmission member can transmit ultrasonic energy from an ultrasonic transducer to a distal end. The dilator facilitates entry of the ultrasonic transmission member into the subintimal space of a blood vessel. The sheath may articulate to aid in the process of re-entering the central lumen of the blood vessel. | 02-05-2015 |
20150039005 | System and Method for Minimally Invasive Tissue Treatment - Delivering ultrasonic energy to a target musculoskeletal tissue site includes connecting a delivery device to a vacuum source, a fluid source, and a power signal source. The delivery device has a housing portion maintaining an ultrasound transducer and a tip portion having a sleeve and a cannula. The cannula is coupled to the ultrasound transducer and received in the sleeve to define a covered portion and an exposed portion. Ultrasonic energy is generated by sending a power signal from the power signal source to the ultrasound transducer. The ultrasonic energy is transmitted from the ultrasound transducer to the cannula, such that the exposed portion of the cannula delivers ultrasonic energy at a frequency that is pre-selected to debride musculoskeletal tissue upon percutaneous insertion of the tip portion. | 02-05-2015 |
20150045819 | SURGICAL INSTRUMENTS - A surgical instrument that may include a housing, a transducer engaged with the housing which can produce vibrations, and an end-effector engaged with the transducer. The surgical instrument can further include an adjustable sheath extending from the housing where the sheath is movable relative to the distal tip of the end-effector and where the distance between the distal tip of the sheath and the distal tip of the end-effector can be set such that the sheath can act as a depth stop. The sheath can be adjusted such that, when the distal tip of the sheath contacts the tissue or bone being incised, the surgeon can determine that the appropriate depth of the incision has been reached. In other embodiments, the end-effector can be moved with respect to the sheath in order to adjust the distance between the distal tip of the end-effector and the distal tip of the sheath. | 02-12-2015 |
20150057692 | ULTRASONIC INSTRUMENT ASSEMBLY AND METHOD FOR MANUFACTURING SAME - An ultrasonic surgical instrument assembly has a base, a rigid probe shaft coupled at a proximal end to the base, a probe head at a distal end of the shaft, and a sheath having a rigid distal end portion surrounding the shaft. The shaft has a longitudinal axis and is operatively connectable to a source of ultrasonic vibrational energy. The head extends eccentrically in a transverse direction to one side of the shaft, the head having an operative tip or surface spaced laterally from the axis. The distal end portion of the sheath is provided in a side wall with an aperture, and the probe head is aligned with the aperture. The sheath is coupled at a proximal end to the base and is provided with a partially flexible section between the distal end portion of the sheath and the instrument assembly base, so that the distal end portion is pivotably deflectable transversely to the axis in response to a lateral force applied to the distal end portion, to enable an increased protrusion of the head through the aperture. | 02-26-2015 |
20150066067 | ULTRASONIC SURGICAL INSTRUMENTS - An ultrasonic surgical blade comprising a body having a proximal end and a distal end. The distal end of the body is movable relative to a longitudinal axis by vibrations produced by a transducer. The body comprises a longitudinally extending bore formed within the ultrasonic surgical blade. The ultrasonic surgical blade is configured to emit a spray from the bore at the distal end thereof to substantially prevent fluid from contacting the distal end of the ultrasonic surgical blade. | 03-05-2015 |
20150073457 | ULTRASONIC SURGICAL INSTRUMENT WITH COOLING SYSTEM - An ultrasonic surgical instrument includes a cooling system having a blade conduit disposed within the blade and a cooling fluid. The cooling fluid configured to absorb heat from the blade as the cooling fluid flows through the blade conduit. A surgical system having an ultrasonic surgical instrument and a cooling system is also disclosed. The cooling system can include a fluid control system that automatically pumps a cooling fluid through a blade conduit disposed within the blade of the surgical instrument based on feedback received from sensors. | 03-12-2015 |
20150073458 | ULTRASONIC SURGICAL INSTRUMENT WITH COOLING SYSTEM - A method of treating tissue includes ultrasonically treating tissue by oscillating a blade of an ultrasonic surgical instrument in contact with tissue and activating a fluid control system to pump cooling fluid through a blade conduit of the blade to cool the blade. | 03-12-2015 |
20150073459 | FRAGMENTATION TIP, INTRAOCULAR SURGERY DEVICE PROVIDED WITH SAME, METHOD FOR SUPPRESSING OCCURRENCE OF CAVITATION, AND CATARACT SURGERY METHOD - Provided is a fragmentation tip, an intraocular surgery device, a method for suppressing an occurrence of cavitation, and a cataract surgery method, which can suppress the occurrence of cavitation. The fragmentation tip, which is attached to an intraocular surgery device configured to apply ultrasonic vibration, includes: a cylindrical support portion configured to be mounted on the intraocular surgery device; and a cylindrical tip body provided at a distal end of the support portion to be in communication with an internal space of the support portion, wherein the tip body has a cross sectional shape having a length in a first direction that is larger than a length in a second direction that is orthogonal to the first direction, and vibration is applied to the support portion so that the tip body rotates back and forth about an axis of the tip body that passes through its center in the first and second directions. | 03-12-2015 |
20150073460 | ULTRASONIC SURGICAL INSTRUMENTS - An ultrasonic surgical blade comprises a solid blade body defining an axis. The solid blade body comprises a first length, a proximal end, and a distal end. The solid blade body is configured to acoustically couple to an ultrasonic transducer. The ultrasonic surgical blade further comprises a treatment region and a first edge at the distal end of the solid blade body. The ultrasonic surgical blade comprises an inner concave surface. The inner concave surface comprises a cavity extending proximally from the distal end of the solid blade body along the axis. The cavity terminates at a proximal end of the inner concave surface. The inner concave surface is configured to cause fluid droplets to converge along the axis when the fluid droplets collide with the inner concave surface to enhance visibility of a surgical site. | 03-12-2015 |
20150080924 | ARTICULATION FEATURES FOR ULTRASONIC SURGICAL INSTRUMENT - A surgical apparatus comprises a body, an ultrasonic transducer, a shaft, an acoustic waveguide, an articulation section, an end effector, and an articulation drive assembly. The ultrasonic transducer is operable to convert electrical power into ultrasonic vibrations. The shaft couples the end effector and the body together. The acoustic waveguide is coupled with the transducer. The articulation section includes a collar that is located distal to a nodal portion of the waveguide and is operable to deflect the end effector away from the longitudinal axis. The end effector comprises an ultrasonic blade in acoustic communication with the ultrasonic transducer. The articulation drive assembly is operable to drive articulation of the articulation section. The articulation drive assembly comprises at least one translating articulation driver coupled with the collar. The ultrasonic blade is operable to deliver ultrasonic vibrations to tissue even when the articulation section is in an articulated state. | 03-19-2015 |
20150080925 | ALIGNMENT FEATURES FOR ULTRASONIC SURGICAL INSTRUMENT - An ultrasonic instrument comprises a body, a shaft assembly, an ultrasonic blade, and a pivoting member. The shaft assembly extends distally from the body. The ultrasonic blade is positioned distal to the shaft assembly. The pivoting member is pivotable with respect to the blade from an open position to a closed position to thereby clamp tissue between the pivoting member and the blade. One or both of the shaft assembly or the pivoting member comprise a guide feature. The guide feature is configured to provide lateral alignment of the distal portion of the pivoting member with the blade as the pivoting member is pivoted to the closed position. | 03-19-2015 |
20150080926 | ULTRASOUND APPARATUSES, SYSTEMS, AND METHODS FOR RENAL NEUROMODULATION - Medical devices, systems, and methods for achieving renal neuromodulation by extracorporeal application of energy are disclosed herein. One aspect of the present disclosure is directed to apparatuses, systems, and methods that incorporate a device that employs high-intensity focused ultrasound. The high-intensity focused ultrasound may be used for application of energy to modulate neural fibers that contribute to renal function, or to vascular structures that feed or perfuse the neural fibers. The ultrasound transducer for delivering the energy may be located remotely from the desired treatment area and/or may be located outside the patient's body. In particular embodiments, an ultrasound transducer may be coupled to a targeting system that may be extracorporeal or intravascular. | 03-19-2015 |
20150080927 | ULTRASONIC TRANSMITTING UNIT - An ultrasonic transmitting unit includes a first vibrating section and second vibrating section vibrating at the same predetermined frequency with respect to each other. The ultrasonic transmitting unit includes a relay portion transmitting the ultrasonic vibration toward a first transmitting direction from the first vibrating section to the second vibrating section and positioned at a position corresponding to one of an antinode position of the vibration in the first vibrating section and different from an antinode position and a node position of the vibration in the second vibrating section, and a non-contact vibrating portion extending in a second vibrating section from the relay portion toward a second transmitting direction without contact with the first vibrating section. | 03-19-2015 |
20150088178 | TRANSDUCER FEATURES FOR ULTRASONIC SURGICAL INSTRUMENT - An apparatus for operating on tissue includes a body, a shaft, an ultrasonic blade, and an acoustic assembly. The shaft extends distally from the body. The blade is disposed at the distal end of the shaft. The acoustic assembly comprises an acoustic waveguide coupled with the blade, a piezoelectric transducer element, a fastener, and a coupling member. The transducer element defines an inner diameter surface and an outer diameter surface. The fastener is configured to secure the transducer element relative to the waveguide. The coupling member is configured to provide electrical continuity between the fastener and the inner diameter surface of the transducer element. The outer diameter surface of the transducer element includes an annular recess. Another coupling member is configured to provide electrical continuity between the annular recess of the piezoelectric transducer element and a power source while permitting the piezoelectric transducer element to rotate relative to the body. | 03-26-2015 |
20150088179 | ULTRASONIC INSTRUMENT AND METHOD USING SAME - An ultrasonic medical instrument includes a probe shaft having a threaded coupling at a proximal end and an end effector or head at a distal end. The coupling is configured for operative attachment to a source of ultrasonic mechanical vibratory energy, while the head has an operative surface configured for engagement with organic tissues of a patient. The probe shaft, the coupling, and the head are made of a metal or metal alloy. At least one end-of-life indicator element is affixed to the probe shaft or head, the indicator element being made of a material that gradually disintegrates or degrades with use of the instrument so as to provide a visible indicator of degree of use and remaining useful life of the instrument. | 03-26-2015 |
20150088180 | ULTRASONIC DISSECTOR AND SEALER - A tool assembly includes an ultrasonic blade and a jaw member. The ultrasonic blade includes a proximal portion and a distal portion. The distal portion extends from the proximal portion and defines a longitudinal axis. The distal portion is configured to oscillate along the longitudinal axis to ultrasonically treat tissue. The distal portion includes a top portion, a bottom portion, a notch, and planar side segments. The notch is disposed on the bottom portion. One of the top portion, the bottom portion, or the notch is configured to dissect tissue. The top portion is configured to seal tissue. The jaw member is configured to move relative to the ultrasonic blade and is configured to contact the top portion. | 03-26-2015 |
20150088181 | ULTRASONIC DISSECTOR AND SEALER - A method for ultrasonically treating tissue includes accessing a surgical site with an ultrasonic surgical instrument, dissecting tissue with a first portion of the blade, and sealing tissue with a second portion of the blade. The instrument includes a blade that defines a longitudinal axis. The blade is configured to oscillate along the longitudinal axis to ultrasonically treat tissue. | 03-26-2015 |
20150088182 | ENERGY BASED FAT REDUCTION - Methods for non-invasive fat reduction can include targeting a region of interest below a surface of skin, which contains fat and delivering ultrasound energy to the region of interest. The ultrasound energy generates a thermal lesion with said ultrasound energy on a fat cell. The lesion can create an opening in the surface of the fat cell, which allows the draining of a fluid out of the fat cell and through the opening. In addition, by applying ultrasound energy to fat cells to increase the temperature to between 43 degrees and 49 degrees, cell apoptosis can be realized, thereby resulting in reduction of fat. | 03-26-2015 |
20150100075 | ENERGY BASED HYPERHIDROSIS TREATMENT - A method and system for energy-based (e.g., ultrasound treatment and/or other modalities) of sweat glands are provided. An exemplary method and system for targeted treatment of sweat glands can be configured in various manners, such as through use of therapy only, therapy and monitoring, imaging and therapy, or therapy, imaging, and monitoring, and/or through use of focused, unfocused, or defocused ultrasound (or other energy) through control of various spatial and temporal parameters. As a result, ablative energy can be deposited at the particular depth at which the aberrant sweat gland population is located below the skin surface. | 04-09-2015 |
20150112373 | SURGICAL CUTTING DEVICE AND METHODS OF USING SAME - A vibrational assembly for operative coupling to a surgical cutting element. The vibrational assembly receives a portion of the surgical cutting element and imparts vibration to the surgical cutting element within a single plane. In combination, the vibrational assembly and the surgical cutting element form a surgical cutting device. | 04-23-2015 |
20150119914 | ULTRASONIC SURGICAL INSTRUMENTS - A surgical instrument comprising a transducer configured to produce vibrations along a longitudinal axis. The surgical instrument further comprises an ultrasonic blade extending along the longitudinal axis. The ultrasonic blade is coupled to the transducer and comprises a body and a treatment region. The body comprises a proximal end, a distal end, and a bottom surface. The distal end of the body is movable relative to the longitudinal axis by the vibrations produced by the transducer. The treatment region extends from the proximal end to the distal end. The surgical instrument further comprises a protective sheath disposed adjacent to the bottom surface of the ultrasonic blade. | 04-30-2015 |
20150119915 | ULTRASONIC SURGICAL INSTRUMENTS - A surgical instrument configured to be coupled to a transducer configured to produce vibrations. The surgical instrument comprises an end effector comprising an ultrasonic blade, a protective sheath, and outer tube and an aperture. The ultrasonic blade extends along a longitudinal axis of the end effector and is configured to be coupled to a transducer. The protective sheath extends at least partially around the ultrasonic blade. The outer tube extends at least partially along the longitudinal axis. The aperture defines a channel extending at least partially through the end effector along the longitudinal axis. | 04-30-2015 |
20150119916 | ULTRASONIC SURGICAL INSTRUMENTS WITH MOVING CUTTING IMPLEMENT - In various embodiments, a surgical instrument for operation in an aqueous environment is provided. In at least one embodiment, the surgical instrument may include a hollow sheath and a blade disposed at least partially within the sheath. Coupled to the blade may be at least one ultrasonic transducer, which, in turn, may be coupled to a drive system. The drive system may be configured to deliver gross axial motions to the blade such that the blade translates with respect to the hollow sheath when the drive system is activated. Accordingly, tissue may be cut by the blade with gross axial movement of the blade and/or ultrasonic vibrational motion provided by the ultrasonic transducer(s). In alternative embodiments, the blade may be rotated axially instead of translated with respect to the hollow sheath. | 04-30-2015 |
20150127038 | SURGICAL SYSTEM - A surgical system has an ultrasound treatment instrument having an ultrasound transducer, a power supply apparatus to which the ultrasound treatment instrument is detachably connected, an energy supply section that supplies drive energy to the ultrasound transducer, a clock that measures a present time, a time updating section that outputs the present time, a storage section that stores a final updated time that is updated finally in the present time, and a number of times of use, a time period calculation section that calculates a non-connection time period of the ultrasound treatment instrument to the power supply apparatus, and a processing section that performs processing of generating an update signal that causes the number of times of use to be updated in accordance with a determination result with respect to the non-connection time period and a result of determination with respect to a parameter. | 05-07-2015 |
20150127039 | System and Method for Control and Monitoring of Conformal Thermal Therapy - A system and method are disclosed for thermal therapy that takes into account predictive calculations of tissue temperature, and can be used to control the operation of a conformal thermal therapy procedure and device. In some embodiments, the tissue ablation area is part or all of a prostate gland. The method includes, in preferred embodiments, simulations and or calculations of future temperatures based on some or all of the following information: current temperatures, heat diffusion in the tissue, blood perfusion in the tissue, and planned ultrasound energy depositions. The calculated temperature maps can be used to design, control, or terminate the therapy. | 05-07-2015 |
20150133979 | REMOVABLE BATTERY CASING FOR SURGICAL INSTRUMENT - A surgical instrument includes a body, a grip, and a strip assembly. The strip assembly releasably couples the grip with the body. The grip is movable from a first position to a second position. The grip is coupled with the body in the first position and detached from at least a portion of the body in the second position. At least a portion of the strip assembly detaches from at least a portion of the grip, the body, or another portion of the strip assembly when the grip is in the second position. | 05-14-2015 |
20150133980 | ULTRASONIC SURGICAL INSTRUMENTS - An ultrasonic surgical instrument is provided. The ultrasonic surgical instrument includes a housing having an elongated shaft extending therefrom. A first jaw member disposed at a distal end of the shaft is movable between open and clamping configurations. A pair of second jaw members disposed at the distal end of the shaft are movable between open and clamping configurations. A cutting blade extending to the distal end of the shaft is operably coupled to the housing. The pair of second jaw members and first jaw member are moveable to the clamping configuration to compress tissue of interest for removing moisture therefrom prior to the tissue of interest being treated. | 05-14-2015 |
20150133981 | ULTRASOUND DEVICE FOR PRECISE TISSUE SEALING AND BLADE-LESS CUTTING - An electrosurgical instrument for sealing and cutting tissue is provided. The instrument includes a housing having a plurality of transducers included therein and a waveguide coupled to and extending from the housing. An end effector assembly disposed at a distal end of the waveguide includes a pair of opposing jaw members, where at least one of the jaw members includes a transducer. The transducer is configured to receive an acoustic signal from the plurality of transducers in the housing. | 05-14-2015 |
20150142031 | ULTRASONIC SURGICAL INSTRUMENT WITH INTEGRAL BLADE CLEANING FEATURE - An ultrasonic instrument comprises a body, a shaft assembly, an ultrasonic blade, and a pivoting member. The shaft assembly extends distally from the body. The ultrasonic blade is positioned distal to the shaft assembly. The pivoting member is pivotable with respect to the blade from an open position to a closed position to thereby clamp tissue between the pivoting member and the blade. The shaft assembly comprises a feature to provide for the removal of surgical debris (e.g. tissue, coagulated blood, etc.), body fluid, etc. from the shaft assembly. The feature may remove the surgical debris, body fluid, etc. from a cavity within the shaft assembly. The feature may also prevent the collection of surgical debris, body fluid, etc. within the shaft assembly. | 05-21-2015 |
20150142032 | SURGICAL INSTRUMENT WITH ACTIVE ELEMENT AND SUCTION CAGE - A surgical system comprises an end effector for operating on tissue and a screen positioned around the end effector. The screen is fluidly coupled with a suction source by a conduit such as a tube. The screen is configured to communicate suction through the screen while preventing tissue from contacting the end effector. The screen is further configured to retract proximally relative to the end effector to thereby expose the end effector. | 05-21-2015 |
20150142033 | ULTRASONIC SURGICAL INSTRUMENT WITH FEATURES FOR FORMING BUBBLES TO ENHANCE CAVITATION - An ultrasonic element comprises an ultrasonic transducer and a head or blade. The ultrasonic transducer is operable to convert electrical power into ultrasonic vibrations. The head or blade is in acoustic communication with the ultrasonic transducer such that the ultrasonic transducer is operable to drive the ultrasonic blade to vibrate ultrasonically. The head or blade has a curved distal face. The curved distal face defines a proximally extending concave curve. The transducer and head or blade may be driven using a control logic that is configured to cause the ultrasonic transducer to generate a first vibration set followed by a second vibration set. The first vibration set is configured to generate microbubbles in a fluid. The second vibration set is configured to grow microbubbles generated by the first vibration set. The control logic may provide a pause between the first vibration set and the second vibration set. | 05-21-2015 |
20150142034 | HIGH INTENSITY FOCUSED ULTRASOUND TARGETING - The invention provides for a medical instrument ( | 05-21-2015 |
20150142035 | Devices, Systems, Methods and Kits for Performing Selective Dissection of Lung Tissue - This invention relates to device, systems, kits and methods that enable selective dissection of lung tissue to remove diseased tissue from healthy tissue without damaging blood vessels or airways. The invention and methods enable minimally invasive lung surgery procedures by providing a device and method to perform automated dissection that discriminates against traumatizing critical lung tissue. | 05-21-2015 |
20150148829 | METHODS AND FEATURES FOR COUPLING ULTRASONIC SURGICAL INSTRUMENT COMPONENTS TOGETHER - A surgical apparatus comprises a transducer assembly and a shaft assembly. The transducer assembly is operable to convert electrical power into ultrasonic vibrations. The shaft assembly comprises an ultrasonic waveguide, a sheath, a shroud, and a torque transfer assembly. The waveguide is configured to couple with the transducer assembly. The waveguide is disposed within the sheath. The sheath extends through the shroud. The torque transfer assembly is contained within the shroud. The torque transfer assembly is configured to transfer a predetermined range of torque from the shroud to the waveguide to thereby couple the waveguide with the transducer assembly. The torque transfer assembly is further configured to prevent transfer of torque from the shroud to the waveguide beyond an upper limit of the predetermined range. | 05-28-2015 |
20150148830 | FEATURES FOR COUPLING SURGICAL INSTRUMENT SHAFT ASSEMBLY WITH INSTRUMENT BODY - A surgical apparatus comprises a body assembly, an ultrasonic transducer, a shaft assembly, a motor, and a locking feature. The ultrasonic transducer is operable to convert electrical power into ultrasonic vibrations. The shaft assembly comprises a waveguide operable to transmit ultrasonic vibrations. The motor is operable to rotate the ultrasonic transducer to thereby selectively couple the ultrasonic transducer with the waveguide. The locking feature is configured to selectively prevent rotation of at least a portion of the shaft assembly relative to the body assembly. The locking feature and the motor may be activated automatically in response to an operator positioning a proximal portion of the shaft assembly in a distal portion of the body assembly. The surgical apparatus may include a feature configured to alert a user when the waveguide has been adequately secured to the ultrasonic transducer. | 05-28-2015 |
20150148831 | HANDPIECE AND BLADE CONFIGURATIONS FOR ULTRASONIC SURGICAL INSTRUMENT - A surgical apparatus comprises a body, an ultrasonic transducer, a shaft, and an end effector. The ultrasonic transducer is operable to convert electrical power into ultrasonic vibrations. The body comprises a pivotal trigger. The shaft couples the end effector and the body together. The end effector comprises a clamp arm and an ultrasonic blade in acoustic communication with the ultrasonic transducer. The ultrasonic blade is operable to deliver ultrasonic vibrations to tissue. Pivotal movement of the trigger causes movement of the clamp arm. The trigger includes a compliant feature configured to limit the amount of force delivered to tissue by the clamp arm. The flexible feature may comprise a flexible band, living hinge, a series of living hinges, or a flexible tab. | 05-28-2015 |
20150148832 | FEATURES TO APPLY FLUID TO AN ULTRASONIC BLADE OF A SURGICAL INSTRUMENT - An apparatus comprises a body, a shaft assembly, an end effector, and a wetting member. The shaft assembly extends distally from the body. The end effector is located at a distal end of the shaft assembly. The end effector comprises an ultrasonic blade that is configured to vibrate at an ultrasonic frequency. The wetting member is selectively movable between a first position and a second position. The wetting member is configured to be spaced away from the ultrasonic blade in the first position. The wetting member is configured to contact the ultrasonic blade in the second position and thereby apply a cooling fluid to the ultrasonic blade. | 05-28-2015 |
20150148833 | SHIELDING FEATURES FOR ULTRASONIC BLADE OF A SURGICAL INSTRUMENT - An apparatus comprises a body, a shaft assembly, an end effector, and a shield member. The shaft assembly extends distally from the body. The end effector is located at a distal end of the shaft assembly. The end effector comprises an ultrasonic blade and a clamp arm. The ultrasonic blade is configured to vibrate at an ultrasonic frequency. The clamp arm is movable toward the ultrasonic blade to compress tissue against the ultrasonic blade. The shield member is selectively movable from a first position to a second position in response to movement of the clamp arm toward the ultrasonic blade. The shield member is configured cover at least a first portion of the ultrasonic blade in the first position. The shield member is configured to uncover the first portion of the ultrasonic blade in the second position. | 05-28-2015 |
20150148834 | ULTRASONIC SURGICAL INSTRUMENT WITH STAGED CLAMPING - An apparatus comprises a body, a shaft assembly, and an end effector. The shaft assembly extends distally from the body. The end effector is located at a distal end of the shaft assembly. The end effector comprises an ultrasonic blade and a clamp arm. The ultrasonic blade is configured to vibrate at an ultrasonic frequency. The clamp arm comprises a clamp pad. The clamp arm is movable toward the ultrasonic blade to compress tissue between the clamp pad and the ultrasonic blade in two stages. During the first stage, the clamp arm is configured to compress tissue with only a distal portion of the clamp pad. During the second stage, the clamp arm is configured to compress tissue with the distal portion and a proximal portion of the clamp pad. Thus, the tissue compression begins at the distal portion and subsequently progresses toward the proximal portion. | 05-28-2015 |
20150148835 | SLEEVE FEATURES FOR ULTRASONIC BLADE OF A SURGICAL INSTRUMENT - An apparatus comprises a body, a shaft assembly, and an end effector. The shaft assembly extends distally from the body. The end effector is located at a distal end of the shaft assembly. The end effector comprises an ultrasonic blade, a clamp arm, and a sleeve. The ultrasonic blade is configured to vibrate at an ultrasonic frequency. The clamp arm is configured to move toward the ultrasonic blade. The sleeve extends along at least part of the length of an outer portion of the ultrasonic blade or the clamp arm. The sleeve is configured to prevent tissue from contacting a portion of the ultrasonic blade or clamp arm covered by the sleeve. | 05-28-2015 |
20150320437 | METHOD OF OPERATING AN ARTICULATING ULTRASONIC SURGICAL INSTRUMENT - An apparatus comprises a body assembly, a shaft, an acoustic waveguide, an articulation section, an end effector, and an articulation drive assembly. The shaft extends distally from the body assembly and defines a longitudinal axis. The acoustic waveguide comprises a flexible portion. The articulation section is coupled with the shaft. A portion of the articulation section encompasses the flexible portion of the waveguide. The articulation section comprises a plurality of body portions aligned along the longitudinal axis and a flexible locking member. The flexible locking member is operable to secure the body portions in relation to each other and in relation to the shaft. The end effector comprises an ultrasonic blade in acoustic communication with the waveguide. The articulation drive assembly is operable to drive articulation of the articulation section to thereby deflect the end effector from the longitudinal axis. | 11-12-2015 |
20150320438 | ULTRASONIC SURGICAL INSTRUMENT WITH END EFFECTOR HAVING RESTRICTED ARTICULATION - An apparatus comprises a body assembly, a shaft, an acoustic waveguide, an articulation section, an end effector, and an articulation drive assembly. The shaft extends distally from the body assembly and defines a longitudinal axis. The acoustic waveguide comprises a flexible portion. The articulation section is coupled with the shaft. A portion of the articulation section encompasses the flexible portion of the waveguide. The articulation section comprises a plurality of body portions aligned along the longitudinal axis and a flexible locking member. The flexible locking member is operable to secure the body portions in relation to each other and in relation to the shaft. The end effector comprises an ultrasonic blade in acoustic communication with the waveguide. The articulation drive assembly is operable to drive articulation of the articulation section to thereby deflect the end effector from the longitudinal axis. | 11-12-2015 |
20150327882 | ULTRASONIC DEVICE FOR CUTTING AND COAGULATING - An ultrasonic assembly that is configured to permit selective cutting, coagulation, and fine dissection required in fine and delicate surgical procedures. The balanced blade provides a rounded distal end and concave edges to promote fine dissection and cutting in a variety of surgical procedures. The blade is curved for improved visibility at the blade tip and is designed to provide a multitude of tissue effects: coagulation, cutting, dissection, spot coagulation, tip penetration and tip scoring. The assembly features hand activation configured to provide an ergonomical grip and operation for the surgeon. The assembly further features user selectable blade rotation. A finger switch is placed in the range of the natural axial motion of the user's index finger, whether gripping the surgical instrument right-handed or left handed. | 11-19-2015 |
20150327883 | DEVICES AND TECHNIQUES FOR CUTTING AND COAGULATING TISSUE - Various embodiments are directed to a method of driving an end effector coupled to an ultrasonic drive system of a surgical instrument. In accordance with the method, a generator is configured to generate at least one time varying electrical signal having a resonant frequency, monitor the resonant frequency of the at least one electrical signal, compare the resonant frequency to a threshold frequency, and trigger a first response of the generator when the resonant frequency crosses the threshold frequency. | 11-19-2015 |
20150335344 | TISSUE RESECTION AND TREATMENT WITH SHEDDING PULSES - A fluid stream is directed toward tissue to generate a plurality of shedding clouds. The fluid stream can be scanned such that the plurality of shedding clouds arrive a different overlapping locations. Each of the plurality of shedding clouds can remove a portion of the tissue. In many embodiments, an apparatus to ablate tissue comprises a source of pressurized fluid, and a nozzle coupled to the source of pressurized fluid to release a fluid stream, in which the fluid stream generates a plurality of shedding clouds. | 11-26-2015 |
20150335347 | HANDLE UNIT AND SURGICAL DEVICE - A handle unit for a surgical device that operates an end effector to give various kinds of treatments, includes: a handle main body having a fixed member; a support section that is supported by the same hand of the user and is movable along a turning plane defined by moving closer to or away from the fixed member; a first coupling section that is coupled with the handle main body by moving the support section along the turning plane; a second coupling section that has an extended axis defined by the first coupling section and the support section and is configured to turn the support section in a periaxial direction orthogonal to the extended axis; and a third coupling section that is configured to turn the support section in the periaxial direction of the extended axis. | 11-26-2015 |
20150351789 | DUAL PURPOSE SURGICAL INSTRUMENT FOR CUTTING AND COAGULATING TISSUE - In one general aspect, various embodiments are directed to an ultrasonic surgical instrument that has a cutting blade coupled to a motor and an ultrasonic blade coupled to an ultrasonic transducer. In some embodiments, the cutting blade includes a longitudinally extending lumen and the ultrasonic blade is disposed within the longitudinally extending lumen of the cutting blade. In other embodiments, the ultrasonic blade includes a longitudinally extending lumen and the cutting blade is disposed within the longitudinally extending lumen of the ultrasonic blade. In yet other embodiments, the ultrasonic blade is substantially parallel to the cutting blade. | 12-10-2015 |
20150351791 | SURGICAL INSTRUMENT - An ultrasonically actuatable surgical blade comprises a metal blade and an elastomeric, biocompatible polymeric coating integral with the blade. The metal blade is usually titanium or a titanium alloy. The polymeric coating comprises a fluoropolymer resin and exhibits a Shore Hardness of 50 D to 60 D, an elongation at break of at least about 250 percent at a temperature in the range of about 20 EC. to about 200 EC. Optionally aluminum oxide powder can be dispersed in the coating. | 12-10-2015 |
20150351820 | PIN WIRE DRIVER DEVICE - An instrument for facilitating the insertion of a pin or wire into a bone or other structure. The instrument includes a body, a first shaft and a second shaft at least partially positioned within the body, an actuator in communication with the second shaft, a first holding feature, and a second holding feature. The first shaft may include a lumen about a longitudinal axis, with the first shaft being rotatable about the longitudinal axis. The second shaft may be axially mobile and may be positioned at least partially around the first shaft. The first holding feature may be located adjacent a first position along the longitudinal axis and may be able to passively apply a first force to an elongated member received in the lumen. The second holding feature may be capable of applying a second force to the elongated member received in the lumen. | 12-10-2015 |
20150359558 | REFLECTANCE-FACILITATED ULTRASOUND TREATMENT AND MONITORING - Apparatus comprising a reflection-facilitation element, which is disposed in the pericardial cavity of a subject and on a first side of a tissue of the subject. The reflection-facilitation element comprises an inflatable member, having a first side and a second side, and configured to be inflated while disposed in the pericardial cavity, and a plurality of electrodes, comprising at least a first electrode and a second electrode, the first electrode being disposed on the first side of the inflatable member. The apparatus further comprises an ultrasound transducer placed on a second side of the tissue of the subject, and configured to apply ultrasound energy to the tissue of the subject such that at least a portion of the energy reaches the inflatable member. The inflatable member reflects at least a portion of the ultrasound energy that reaches the inflatable member. | 12-17-2015 |
20160008024 | RENAL DENERVATION WITH STAGED ASSESSMENT | 01-14-2016 |
20160015418 | Systems and Methods for Tissue Treatment - A system, delivery device and method delivers ultrasonic energy to a target musculoskeletal tissue site. In some embodiments, the delivery device includes a stainless steel needle joined to a horn. In some embodiments, the stainless steel needle is joined to the horn using a heating process or a brazing process. | 01-21-2016 |
20160016016 | ULTRASOUND-BASED NEUROMODULATION SYSTEM - A neuromodulation system including a catheter has a balloon along its distal end. An ultrasound transducer positioned within an interior of the balloon can be selectively activated to emit acoustic energy radially outwardly, targeting nerve tissue and other portions of the subject anatomy. Targeted nerve tissue can be heated by the application of ultrasonic energy to neuromodulate the tissue. The system may be delivered over a guidewire. A catheter enhances fluid delivery to a distal end of the catheter while reducing an overall diameter of the catheter. The catheter comprises a guidewire lumen that is eccentric relative to a center axis of the catheter. | 01-21-2016 |
20160022305 | ULTRASONIC BLADE OVERMOLD - An ultrasonic instrument comprises an ultrasonic transducer, an acoustic waveguide, and an ultrasonic blade. The acoustic waveguide comprises a bore extending through the waveguide, an anchor pin, and an acoustic isolator. The anchor pin is insertable through the bore and is operable to longitudinally anchor the acoustic waveguide relative to the ultrasonic instrument. The acoustic isolator is radially disposed about the acoustic waveguide and is operable to acoustically isolate the acoustic waveguide from the ultrasonic instrument. The acoustic isolator comprises an opening extending through the isolator. The opening is configured to receive the anchor pin. The ultrasonic blade is in acoustic communication with the acoustic waveguide such that the ultrasonic transducer is operable to drive the ultrasonic blade to vibrate ultrasonically via the acoustic waveguide. | 01-28-2016 |
20160022306 | APPARATUS AND METHODS FOR TRANSFERRING ULTRASONIC ENERGY TO A BODILY TISSUE - An apparatus includes a monolithically-constructed transmission member that defines a lumen along a longitudinal axis. The transmission member includes a first portion, a second portion, and a third portion. The first portion is configured to be coupled to an ultrasonic energy source. The second portion is configured to contact a bodily tissue to transfer ultrasonic energy from a first portion into the bodily tissue. The third portion is disposed between the first portion and the second portion and defines a cross-sectional moment of inertia that is less than at least one of a cross-sectional area moment of inertia of the first portion or a cross-sectional moment of inertia of the second portion. | 01-28-2016 |
20160030076 | ACTUATION MECHANISMS AND LOAD ADJUSTMENT ASSEMBLIES FOR SURGICAL INSTRUMENTS - An ultrasonic surgical instrument includes an inner tube, an outer tube, an ultrasonic blade, and a clamp member pivotably moveable relative to the ultrasonic blade. The ultrasonic blade is acoustically coupled to an ultrasonic transducer. The clamp member pivotably movable relative to the ultrasonic blade between an open configuration and an approximated configuration with respect to the ultrasonic blade, wherein the clamp member is pivotably coupled to the inner tube, wherein the clamp member is pivotably coupled to the outer tube, and wherein movement of the outer tube relative to the inner tube between the first position and the second position transitions the clamp member between the open configuration and the approximate configuration. | 02-04-2016 |
20160038340 | SYSTEM AND METHOD FOR CONTROLLING A TRANSVERSE PHACOEMULSIFICATION SYSTEM USING SENSED DATA - A method and system for use in an ocular surgical procedure is provided. The design includes a handpiece having an ultrasonically vibrating tip operational within a plurality of operating modes including a first operating mode and a sensing device, such as a vacuum pressure sensor. A controller is connected to the handpiece and sensing device and is configured to receive data from the sensing device and adjust at least one operational parameter (time/duty cycle of operation, power during operation) associated with the first operating mode and adjust at least one parameter associated with another operating mode based on the data received from the sensing device. Operational modes may include multiple longitudinal or non-longitudinal modes (torsional, transversal, etc.) or combinations of longitudinal and/or non-longitudinal modes. | 02-11-2016 |
20160058465 | ULTRASONIC PROBE AND ULTRASONIC TREATMENT APPARATUS - An ultrasonic probe includes a probe bend portion bending relative to a probe main body portion in a first bend direction and a second bend direction with a center of gravity being located on a first bend direction side with respect to a longitudinal axis. In the probe bend portion, a cross-sectional shape in a cross section perpendicular to a first perpendicular direction and a second perpendicular direction varies continuously along the first perpendicular direction and the second perpendicular direction with a cross-sectional center of gravity in the cross section perpendicular to the first perpendicular direction and the second perpendicular direction lying toward the second bend direction, as it is from the first perpendicular direction toward the second perpendicular direction. | 03-03-2016 |
20160074060 | ULTRASONIC SURGICAL INSTRUMENT WITH REMOVABLE CLAMP ARM - An ultrasonic instrument comprises a handle assembly or other kind of body configured to receive an ultrasonic transducer, a shaft assembly having an acoustic waveguide and an ultrasonic blade, and a removable clamp arm. The ultrasonic blade is in acoustic communication with the acoustic waveguide such that the ultrasonic transducer is operable to drive the ultrasonic blade to vibrate ultrasonically via the acoustic waveguide. The clamp arm is configured to selectively couple with and decouple from the shaft assembly and/or handle assembly of the ultrasonic instrument. The clamp arm may include a coupler or other coupling feature configured to selectively couple the clamp arm with the shaft assembly and/or the handle assembly. The ultrasonic instrument may further comprise a guidance system configured to position and/or orient the clamp arm relative to the ultrasonic instrument. | 03-17-2016 |
20160074061 | ULTRASONIC SURGICAL INSTRUMENT WITH RETRACTABLE INTEGRAL CLAMP ARM - An ultrasonic instrument comprises a handle assembly configured to receive an ultrasonic transducer, a shaft assembly having an acoustic waveguide and an ultrasonic blade, and a retractable clamp arm. The ultrasonic blade is in acoustic communication with the acoustic waveguide such that the ultrasonic transducer is operable to drive the ultrasonic blade to vibrate ultrasonically via the acoustic waveguide. The clamp arm is configured to selectively translate between an inoperative position and an operative position. The clamp arm is positioned generally proximal to the ultrasonic blade when the clamp arm is in the inoperative position. The clamp arm is positioned lateral to the ultrasonic blade when the clamp arm is in the operative position. When in the operative position, the clamp arm is operable to move toward and away from the ultrasonic blade so as to capture and compress tissue between the clamp arm and the ultrasonic blade. | 03-17-2016 |
20160089155 | Ultrasonic blade with static casing - An ultrasonic surgical device capable of cutting biological tissues such as bone and cartilage. The ultrasonic surgical device includes a static casing, which sheaths an ultrasonic horn, and a lubrication film, which separates the ultrasonic horn and the static casing. The static casing, which also incorporates a plurality of fluid channels to allow passage of fluids along its length and eventual distribution of such fluids at the cutting end and biological tissue interface, inhibits the transfer of heat generated along the ultrasonic horn. The cutting end and the static casing are separated by a flexible joint, which serves to inhibit the transfer of vibrational energy, and consequently heat, from the cutting end to the static casing. As such, the static casing remains stable and can be used both to manipulate the surgical device with greater haptic control and facilitate effective penetration of larger cross-sections of biological tissue. | 03-31-2016 |
20160095616 | SYSTEM AND METHOD FOR POWERING AN ULTRASONIC SURGICAL DEVICE - An ultrasonic surgical instrument includes a housing, an ultrasonic transducer and generator assembly disposed in the housing, a shaft extending from a distal end of the housing, and an end effector assembly coupled to the shaft and operatively connected to the ultrasonic transducer and generator assembly. The ultrasonic surgical instrument further includes a handle assembly having a first set of power contacts formed thereon and being removably attachable to the housing, a power receiving mechanism having a second set of power contacts formed thereon, and a power cable electrically connected between the first and second power contacts. | 04-07-2016 |
20160095617 | END EFFECTOR WITH A CLAMP ARM ASSEMBLY AND BLADE - An end effector of a surgical instrument may generally comprise a blade, and a clamp arm assembly comprising a clamp arm movable between an open position and a closed position relative to the blade, and at least one camming member rotationally attached to the clamp arm, wherein the at least one camming member is configured to rotate relative to the blade as the clamp arm moves from the open position to the closed position. | 04-07-2016 |
20160096040 | Laminated Needles and Methods of Making and Using Same - Laminated needle assemblies and methods of their manufacture and use are provided herein. | 04-07-2016 |
20160106455 | ACTIVATION FEATURES FOR ULTRASONIC SURGICAL INSTRUMENT - An ultrasonic instrument comprises a handle assembly or other kind of body configured to receive an ultrasonic transducer and a shaft assembly having an acoustic waveguide and an ultrasonic blade. The ultrasonic blade is in acoustic communication with the acoustic waveguide such that the ultrasonic transducer is operable to drive the ultrasonic blade to vibrate ultrasonically via the acoustic waveguide. The ultrasonic instrument further comprises an actuation assembly disposed within the handle assembly. The actuation assembly includes a plurality of buttons disposed about the handle assembly in an angularly spaced array. Each button may be depressed independently of the rest to thereby actuate a switch assembly such that power is provided to the ultrasonic transducer, the acoustic waveguide, and the ultrasonic blade. The actuation assembly is operable to convert radial movement of the buttons into longitudinal, transverse, and/or pivotal movement that actuates the switch assembly. | 04-21-2016 |
20160106456 | ULTRASONIC SURGICAL INSTRUMENT AND ULTRASONIC SURGICAL SYSTEM - Disclosed are an ultrasonic surgical instrument ( | 04-21-2016 |
20160113672 | ULTRASONIC SURGICAL INSTRUMENT - An ultrasonic surgical instrument is provided which includes a handle assembly, a body extending distally from the handle assembly and an end effector configured to effect cutting, dissection, coagulation and/or ligation of tissue. The end effector includes an ultrasonic member. A transducer is supported adjacent, on or within the ultrasonic member and is connected to a power source. Upon actuation of the power source, the transducer effects vibration of the ultrasonic member. In one preferred embodiment, the end effector is mounted for articulation about the distal end of the instrument. | 04-28-2016 |
20160113673 | Medical Ultrasonic Cauterization and Cutting Device and Method - An ultrasonic surgical instrument includes a shaft, a first jaw having a proximal end at the distal end of the shaft, a second jaw and an ultrasonic waveguide. The first jaw has an internal trough running through the proximal end of the first jaw and a surface on either side of the trough. The second jaw has a surface facing the surface of the first jaw. The waveguide extends beyond the shaft and slidably engages the trough and has a blade with a tissue compressing surface upwardly sloping proximally from a distal end thereof the blade and having an upper portion and a substantially horizontal top surface portion at the upper portion. The tissue compressing surface and/or the top surface portion forms a cutting surface. When the jaws compress tissue therebetween, the blade slides within the trough to further compress and cut the compressed tissue as the blade moves distally. | 04-28-2016 |
20160120563 | DEVICES AND TECHNIQUES FOR CUTTING AND COAGULATING TISSUE - Various forms are directed to systems and methods for driving an end effector coupled to an ultrasonic drive system of a surgical instrument. A generator may generate at least one electrical signal. The at least one electrical signal may be monitored against a first set of logic conditions. When an ultrasonic impedance of the surgical instrument exceeds a threshold impedance, a resonant frequency of the at least one electrical signal may be stored as a baseline frequency. A first response of the generator may be triggered upon the occurrence of either the first set of logic conditions being met or the resonant frequency of the at least one electrical signal differing from the baseline frequency by a baseline deviation threshold. | 05-05-2016 |
20160128717 | THERAPEUTIC ULTRASOUND SYSTEM - An ultrasound system has a catheter including an elongate flexible catheter body having at least one lumen extending longitudinally therethrough. The catheter further includes an ultrasound transmission member extending longitudinally through the lumen of the catheter body, the ultrasound transmission member having a proximal end connectable to a separate ultrasound generating device and a distal and coupled to the distal end of the catheter body. The distal end of the catheter body is deflectable. The ultrasound system also includes a sonic connector that connects the ultrasound transmission member to an ultrasound transducer. The ultrasound system also provides a method for reverse irrigation and removal of particles. | 05-12-2016 |
20160135835 | TREATMENT DEVICE AND TREATMENT SYSTEM - A treatment device for use in treating a biological tissue, includes: a holding portion, an ultrasonic transducer unit, a probe, an inner sheath, a first sealing member, an outer sheath that covers an outer peripheral surface of the inner sheath, a second sealing member, and an actuator that moves the ultrasonic transducer unit, the probe and the inner sheath integrally to the outer sheath along the longitudinal axis. | 05-19-2016 |
20160143658 | FEATURES TO DRIVE FLUID TOWARD AN ULTRASONIC BLADE OF A SURGICAL INSTRUMENT - A surgical apparatus comprises a body, a user input feature, a shaft assembly, an end effector, and a blade cooling system. The end effector comprises a clamp arm and an ultrasonic blade that may be coupled with an ultrasonic transducer. The clamp arm is configured to pivot toward and away from the ultrasonic blade. The cooling system is operable to deliver liquid coolant to the ultrasonic blade to thereby cool the ultrasonic blade. The user input feature is operable to both actuate the clamp arm and actuate the cooling system. | 05-26-2016 |
20160157884 | ULTRASONIC PROBE, ULTRASONIC TREATMENT INSTRUMENT AND TREATMENT SYSTEM - A contact portion, provided in an exposed surface of the treating section, treats a treated object by a transmitted ultrasonic vibration while intruding into the treated object toward an intruding direction from a state being in contact with the treated object. An index portion is disposed on an anti-intruding direction side with respect to the contact portion in the exposed surface. The index portion becomes an index indicating an intruding amount of the contact portion into the treated object toward the intruding direction. The index portion includes index surfaces arranged in the intruding direction, and each of the index surfaces has an angle relative to the intruding direction which is different from the angle of the adjacent index surface. | 06-09-2016 |
20160157885 | ULTRASONIC CUTTING DEVICE - An ultrasonic surgical device for performing a surgical procedure includes an elongated member having a proximal end and a distal end spaced along a longitudinal axis. The elongated member has an inner surface and an outer surface. The inner surface defines a passageway. A septum is configured to separate the passageway into a first conduit and a second conduit. A distal end of the second conduit terminates before a distal end of the first conduit to form a stepped configuration. An ultrasonic-driven cutting blade is disposed within the second conduit and is configured for cutting tissue such that the cutting blade vibrates ultrasonically to cut tissue. The distal end of the first conduit includes an outlet configured for delivering material to a surgical site and the distal end of the second conduit includes an inlet configured for aspirating the surgical site. | 06-09-2016 |
20160158580 | ENERGY BASED FAT REDUCTION - Methods for non-invasive fat reduction can include targeting a region of interest below a surface of skin, which contains fat and delivering ultrasound energy to the region of interest. The ultrasound energy generates a thermal lesion with said ultrasound energy on a fat cell. The lesion can create an opening in the surface of the fat cell, which allows the draining of a fluid out of the fat cell and through the opening. In addition, by applying ultrasound energy to fat cells to increase the temperature to between 43 degrees and 49 degrees, cell apoptosis can be realized, thereby resulting in reduction of fat. | 06-09-2016 |
20160158581 | SYSTEM AND METHOD FOR FAT AND CELLULITE REDUCTION - A method and system for providing ultrasound treatment to a tissue that contains a lower part of dermis and proximal protrusions of fat lobuli into the dermis. An embodiment delivers ultrasound energy to the region creating a thermal injury and coagulating the proximal protrusions of fat lobuli, thereby eliminating the fat protrusions into the dermis. An embodiment can also include ultrasound imaging configurations using the same or a separate probe before, after or during the treatment. In addition various therapeutic levels of ultrasound can be used to increase the speed at which fat metabolizes. Additionally the mechanical action of ultrasound physically breaks fat cell clusters and stretches the fibrous bonds. Mechanical action will also enhance lymphatic drainage, stimulating the evacuation of fat decay products. | 06-09-2016 |
20160166274 | SUPERCAVITATING MEDICAL PROBE AND METHOD OF USE | 06-16-2016 |
20160166275 | ULTRASONIC DEVICE FOR CUTTING AND COAGULATING | 06-16-2016 |
20160166276 | Surgical Device | 06-16-2016 |
20160174998 | SEMICONDUCTOR TWEEZERS AND INSTRUMENTATION FOR TISSUE DETECTION AND CHARACTERIZATION | 06-23-2016 |
20160175000 | ULTRASONIC PROBE AND ULTRASONIC TREATMENT APPARATUS | 06-23-2016 |
20160183964 | ENERGY TREATMENT DEVICE - A treatment device includes a longitudinal probe, a distal end portion, a sheath, a fixed handle, a movable handle, a jaw side through hole portion that is provided in the movable handle and formed between a finger placing portion and a jaw, a sheath side through hole portion that is provided in the sheath and provided at a position at which the sheath side through hole portion does not overlap with the hollow portion; and an opening/closing axis member. The opening/closing axis member is inserted in the jaw side through hole portion and the sheath side through hole portion to openably and closably attach the movable handle to the fixed handle. | 06-30-2016 |
20160249949 | ULTRASONIC CUTTING BLADE WITH COOLING LIQUID CONDUCTION | 09-01-2016 |
20160374706 | SHEAR STRESS ULTRASONIC CUTTING BLADE - An ultrasonic horn for use with an ultrasonic surgical handpiece including a resonator comprises a linear cutting blade at the distal end of a horn body. The linear cutting blade includes adjacent side-by-side rows of teeth each of which includes a land through which ultrasonic energy is propagated outwardly from the distal end. The lands of the rows of teeth are angled so that the propagated ultrasonic energy of one plurality of lands intersects the propagated ultrasonic energy from the other row of lands. Shear stress fields are developed at the intersections of the ultrasonic energy that will perform the cutting function on target tissue. An irrigation arrangement is also disclosed. | 12-29-2016 |
20160374707 | ULTRASONIC PROBE AND ULTRASONIC TREATMENT INSTRUMENT - In a width dimension decrease portion forming a distal end of an ultrasonic probe, a width dimension decreases from a proximal direction toward a distal direction, so that a sectional area perpendicular to a longitudinal axis decreases from the proximal direction toward the distal direction. An intermediary portion continuous between a probe body portion and the width dimension decrease portion includes a width dimension increase portion in which the width dimension increases and a thickness dimension decreases from the proximal direction toward the distal direction at the same time. In the intermediary portion, the sectional area perpendicular to the longitudinal axis does not increase and does not decrease at a higher decrease rate than in the width dimension decrease portion toward the distal direction. | 12-29-2016 |
20160374708 | ULTRASONIC SURGICAL INSTRUMENTS - A surgical instrument including a transducer and an end effector is disclosed. The transducer may be configured to generate an acoustic standing wave of vibratory motion along a longitudinal axis and may include a piezoelectric stack positioned along the longitudinal axis. A length of the transducer may be less than ½ of the wavelength of the acoustic standing wave. The end effector may be acoustically coupled to and may extend distally from the transducer along the longitudinal axis. A sum of the length of the transducer and a length of the end effector may be an integer multiple of ½ of the wavelength of the acoustic standing wave. | 12-29-2016 |
20160374711 | ULTRASONIC SURGICAL DEVICE AND METHOD FOR DETECTION OF ATTACHMENT OF ULTRASONIC PROBE - The ultrasonic surgical device includes a power source configured to generate power, an ultrasonic transducer having a first resonant frequency, the ultrasonic transducer electrically coupled to the power source and configured to generate ultrasonic motion in response to the generated power, an ultrasonic probe configured to be mechanically couplable to the ultrasonic transducer, the ultrasonic transducer and the ultrasonic probe having a second resonant frequency when the ultrasonic probe is coupled to the ultrasonic transducer, and a controller configured to determine whether the ultrasonic probe is properly coupled to the ultrasonic transducer based on the first resonant frequency and the second resonant frequency. | 12-29-2016 |
20160374712 | SURGICAL INSTRUMENTS WITH ARTICULATING SHAFTS - Various embodiments are directed to articulatable surgical instruments and surgical systems comprising articulatable surgical instruments. Some embodiments comprise an end effector to treat tissue, where the end effector comprises an ultrasonic blade. A hollow shaft may extend proximally from the end effector along a longitudinal axis. A waveguide may extend through the hollow shaft and may be acoustically coupled to the ultrasonic blade. The waveguide may comprise a distally positioned flange positioned within the hollow shaft proximally from the ultrasonic blade and may be held stationary at a first pivot point positioned within the hollow shaft proximally from the flange. A reciprocatable wedge may be configured to interact with the flange to cause the ultrasonic blade to pivot about the first pivot point in a first direction. | 12-29-2016 |
20160374713 | SURGICAL APPARATUS - A vibration transmitting member for use with a clamp member. The vibration transmitting member provided with vibration from an ultrasonic transducer and including: a body having a distal portion with a surface and an opposite surface, the body further having a proximal portion; wherein: the body extending along a longitudinal axis extending from the proximal toward the distal portion, the surface opposes the clamp member and having a ridge extending along the longitudinal axis, the ridge extends toward the clamp member in a thickness direction more than other portions of the surface, the opposite surface opposes the surface and having a projection extending along the longitudinal axis, the projection protrudes more than other portions of the opposite surface in the thickness direction, and a maximum thickness of the distal portion is smaller than a maximum width of the distal portion in a width direction perpendicular to the thickness direction. | 12-29-2016 |
20190142450 | PROBE, TREATMENT INSTRUMENT AND TREATMENT DEVICE | 05-16-2019 |