Effects of different tissue loads on high power ultrasonic surgery scalpel.

The objective of this study is to investigate the influence of various tissue loads on the working characteristic of the ultrasonic scalpel, including working frequency, input admittance and reflection factor. Ex vivo animal experiments are carried out and relevant discussions of experimental results are provided. Admittance measurement results show that different tissue loads have different effects on a scalpel's working ability. Soft tissue makes the working frequency decrease and bone tissue makes it increase. Radius of admittance circles and reflection factor are also different. Equivalent circuit model is found and with a least-square parameter identification method, input admittance of ultrasonic scalpel with different tissue loads is solved. Results show that admittance circle radius is determined by the value of R1. Changes in L1 and C1 contribute to the shift of working frequency. This study will help decrease the sensitivity of ultrasonic scalpel to loads and greatly increase surgery efficiency.

[1]  L. Bond,et al.  Physics of ultrasonic surgery using tissue fragmentation: Part II. , 1996, Ultrasound in medicine & biology.

[2]  H. Suma,et al.  Use of the Harmonic Scalpel for harvesting arterial conduits in coronary artery bypass. , 1998, European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery.

[3]  A D Walmsley,et al.  Investigations into the use of an ultrasonic chisel to cut bone. Part 2: Cutting ability. , 2000, Journal of dentistry.

[4]  L. Shuyu Load characteristics of high power sandwich piezoelectric ultrasonic transducers. , 2005, Ultrasonics.

[5]  S. E. Kvashnin,et al.  THE APPLICATION OF ULTRASONIC VIBRATION DRILLS IN TRAUMATOLOGY , 2003 .

[6]  Shuyu Lin,et al.  Effect of electric load impedances on the performance of sandwich piezoelectric transducers. , 2004, IEEE transactions on ultrasonics, ferroelectrics, and frequency control.

[7]  Y.H. Liu,et al.  Development and application of ultrasonic surgical instruments , 1997, IEEE Transactions on Biomedical Engineering.

[8]  Lewis Balamuth,et al.  Ultrasonics and Dentistry , 1963 .

[9]  L. J. Bond,et al.  Physics of ultrasonic surgery using tissue fragmentation , 1995, 1995 IEEE Ultrasonics Symposium. Proceedings. An International Symposium.

[10]  H. Wiksell,et al.  Miniaturised ultrasonic aspiration handpiece for increased applicability. , 2000, European journal of ultrasound : official journal of the European Federation of Societies for Ultrasound in Medicine and Biology.

[11]  J. Mizuno,et al.  Ultrasonic bone curettes in spinal surgery , 2004 .