A method of ultrasonic sealing includes activating an ultrasonic blade temperature sensing, measuring a first resonant frequency of an ultrasonic electromechanical system that includes a transducer coupled to the blade via a waveguide, making a first comparison between the measured first resonant frequency and a first predetermined resonant frequency, and adjusting a power level applied to the transducer based on the first comparison. The first predetermined frequency may correspond to an optimal tissue coagulation temperature. The method may further include measuring a second resonant frequency of the system, making a second comparison between the measured second frequency and a second predetermined frequency, and adjusting the power level based on the second comparison. The second predetermined frequency may correspond a melting point temperature of a clamp arm pad. An ultrasonic instrument and a generator may implement the method.

A vibration transmission member includes: a main body that extends from a front end toward a proximal end of the vibration transmission member to define a longitudinal axis direction and that has a proximal end to which an ultrasonic transducer configured to generate ultrasonic vibration is connected; and an end effector that is installed at a front end of the main body and that has a curved shape which curves in a first direction toward the front end of the vibration transmission member, the first direction being orthogonal to the longitudinal axis direction, the end effector being configured to apply the ultrasonic vibration to a body tissue to treat the body tissue.

A generator, ultrasonic device, and method for controlling a temperature of an ultrasonic blade are disclosed. A control circuit coupled to a memory determines an actual resonant frequency of an ultrasonic electromechanical system comprising an ultrasonic transducer coupled to an ultrasonic blade by an ultrasonic waveguide. The actual resonant frequency is correlated to an actual temperature of the ultrasonic blade. The control circuit retrieves from the memory a reference resonant frequency of the ultrasonic electromechanical system. The reference resonant frequency is correlated to a reference temperature of the ultrasonic blade. The control circuit then infers the temperature of the ultrasonic blade based on the difference between the actual resonant frequency and the reference resonant frequency. The control circuit controls the temperature of the ultrasonic blade based on the inferred temperature.

Various aspects of a generator, ultrasonic device, and method for estimating and controlling a state of an end effector of an ultrasonic device are disclosed. The ultrasonic device includes an electromechanical ultrasonic system defined by a predetermined resonant frequency, including an ultrasonic transducer coupled to an ultrasonic blade. A control circuit measures a complex impedance of an ultrasonic transducer, wherein the complex impedance as defined as

[00001]$Z_g\left(t\right)=\frac{V_g\left(t\right)}{I_g\left(t\right)};$

The control circuit receives a complex impedance measurement data point and compares the complex impedance measurement data point to a data point in a reference complex impedance characteristic pattern. The control circuit then classifies the complex impedance measurement data point based on a result of the comparison analysis and assigns a state or condition of the end effector based on the result of the comparison analysis. The control circuit estimates the state of the end effector of the ultrasonic device and controls the state of the end effector of the ultrasonic device based on the estimated state.

The disclosed technology is directed to an ultrasonic probe comprises a probe main portion configured to transmit ultrasonic vibration generated by an ultrasonic transducer. A treatment portion is configured on a distal side of the probe main portion along a longitudinal axis thereof. The treatment portion includes first direction surfaces disposed in a first direction intersecting the longitudinal axis and second direction surfaces that are adjacent to the first direction surfaces and are disposed in a second direction different from the first direction surfaces. The first direction surfaces further includes a plurality of surfaces formed into a staircase shape when being viewed from the treatment portion and one or more surfaces formed into a staircase shape when being viewed from a side opposed to the distal side of the treatment portion. The second direction surfaces further includes a plurality of surfaces formed into a staircase shape toward the distal side.

A vibrating tissue separator suitable for use in separating a lenticule established by a femtosecond laser during a smile procedure may include a surgical implement such as a blunt spatula mounted on a handle that carries a haptic actuator for applying vibratory motion to the surgical implement. A damping arrangement may be provided to isolate the surgeons hand from the vibrations which would otherwise be transmitted through the handle. The actuator may apply a linear vibration along the axis of the handle which applies a lifting and chopping motion to the tip of a surgical implement having a bend. The tip may be suitable to the tissue being separated. For example, for SMILE lenticule separation, a blunt or semi-sharp spatula, blunted wire or loop may be used. The direction of vibration at the tip may be changed by rotating the implement in a plane other than the plane of the bend or by rotating an actuator such as an LRA with respect to the handle.

The present invention discloses a ball probe ultrasonic bone removal device that is designed to assist surgeons with foraminotomy procedures. The device comprises a shaft at a first end of the device and a spherical ball tip at a second end of the device. In between the shaft and the ball tip is a foot piece that connects to the shaft through an angle. On the foot piece, serrations or a course surface cover a portion of the circumference of the foot piece. In some embodiments, serrations or a course surface may also cover a portion of the circumference of the shaft. The spherical ball tip is smooth and designed to cause no damage to the sensitive nerves and tissue in the intervertebral foramina, but the surface with the serrations or the course protrusions are designed to remove bone and tissue under ultrasonic movement (e.g., vertical vibration, rotational oscillation).

In a surgical method, an elongate probe is inserted into a spinal disc exemplarily into a nucleus pulposus thereof in a direction generally parallel to vertebral end faces adjacent to the spinal disc. During the inserting of the elongate probe, the probe is ultrasonically vibrated. Thereafter, while ultrasonically vibrating the elongate probe, one moves the elongate probe to sever a prismatic portion of the spinal disc including a prismatic section of the nucleus pulposus. The prismatic portion of the spinal disc is removed from a remaining portion of the spinal disc.

An ultrasound probe includes a treatment portion that is formed at a distal end of a probe body that can transmit input vibration energy. The treatment portion can vibrate with a predetermined amplitude to cut a treatment target object. The treatment portion includes: a first striking face that faces in a distal direction along an axial direction of the ultrasound probe; a second striking face that faces in the distal direction at a position on a proximal end side of the first striking face in the axial direction; and a first side surface that connects the first striking face and the second striking face in the axial direction and that has a predetermined length in the axial direction. The first side surface has a length that is equal to or less than an amplitude of vibration of the treatment portion caused by the input vibration energy.

An ultrasonic transmitter unit includes: a sheath that forms a cylindrical shape and is having a proximal end and a distal end; an ultrasonic transmitter configured to be inserted into the sheath; and a cover member that covers a part of the ultrasonic transmitter and has an inner surface and an outer surface. The ultrasonic transmitter includes: a first area surrounded by the sheath; a second area protruding from the distal end of the sheath; and a distal-end treatment portion provided in a distal end of the second area. The cover member covers the second area of the ultrasonic transmitter, and exposes the distal-end treatment portion of the ultrasonic transmitter to an outside, and is made of fluorine-based resin.