A control circuit of a surgical device is disclosed. The control circuit includes a first circuit portion coupled to at least one switch operable between an open state and a closed state. The first circuit portion communicates with a surgical generator over a conductor pair to receive a control signal to determine a state of the at least one switch.

Surgical generator for ultrasonic and electrosurgical devices

Provided herein are methods, devices and compositions to conductively or to inductively fix substrates, including tissues, using electromagnetic energy. Also provided is a method of controlling the fixing process via feedback monitoring of a property of the composition and/or of the electromagnetic energy used.

Electromagnetic treatment of tissues and cells

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.

Ultrasonic surgical instruments

A surgical instrument for supplying energy to tissue may comprise a handle, a trigger, an electrical input, and a shaft extending from the handle. The surgical instrument may comprise and end effector first and second tissue engaging surfaces that are slanted with respect to a transection plane. The end effector may, for example, have an electrode defining a V-shaped cross sectional profile. The end effector may comprise a plurality of raised surfaces that are received by a plurality of indentions when the end effector is in the closed position. The end effector may comprise a cutting member having a plurality of bands. A surgical instrument for supplying energy to tissue may comprise a handle, a trigger, an electrical input, and a shaft extending from the handle. The surgical instrument may comprise an end effector. The end effector may comprise a cammed compression surface. The end effector may comprise an electrode comprising a tapered tissue contacting surface. Some surgical instruments may comprise an overload member.

Surgical instrument with jaw member

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.

Ultrasonic device for cutting and coagulating with stepped output

An ultrasonic diagnosis apparatus for raising tissue temperature for hypothermic treatments, including an ultrasonic source for generating an ultrasonic treatment wave and a driving means for driving the ultrasonic source such that a frequency of the ultrasonic treatment wave generated by the ultrasonic source changes with time. The frequency of the ultrasonic treatment wave is changed along the time axis. By this change in frequency, some bubbles formed by cavitation as a result of the ultrasonic treatment wave are divided, and some bubbles are collapsed and therefore eliminated. Side effect cavitation and spread of a thermal degeneration area is suppressed, and thermal degeneration can be accurately induced in a desired area, thereby realizing a reliable, safe ultrasonic thermotherapy. Since cavitation is positively suppressed, the total treatment period can be shortened because cavitation would otherwise interfere with and slow down the thermal degeneration process. Therefore, treatment throughput can be improved as compared with a case in which cavitation is left to naturally break and disappear.

Ultrasonic apparatus for thermotherapy with variable frequency for suppressing cavitation

An ultrasonic wave medical treatment apparatus capable of preventing the displacement of the focal point of the ultrasonic waves from the treatment target portion within the patient, eliminating a need for re-positioning of the ultrasonic wave applicator with respect to the patient, and taking MR images to be utilized during the treatment at a high resolution. In this apparatus, the ultrasonic wave applicator can be integrally incorporated within a treatment table for carrying the patient into the MRI gantry for taking the MR images. The surface coil for taking the MR images can be provided on a surface film of a water bag in the ultrasonic wave applicator, or on a body cavity probe on which the ultrasonic transducer is also provided. The mixing rate of the coupling fluid can be adjusted, and the impedance matching between the ultrasonic transducer and the driving circuit can be maintained by minimizing the reflected electric power from the ultrasonic transducer.

Ultrasonic wave medical treatment apparatus suitable for use under guidance of magnetic resonance imaging

An ultrasound medical treatment apparatus includes an ultrasound applicator for applying ultrasound irradiation to a treatment target. The treatment apparatus also includes an ultrasound imaging device that transmits ultrasound pulses to image the treatment target. The treatment apparatus is capable of reducing noises occurring at an ultrasound imaging device due to the ultrasound irradiation generated by the ultrasound application during ultrasound medical treatment. The noises may be reduced by increasing a transmission power of the ultrasound pulses. Alternatively, the noises may be reduced by subtracting pre-recorded noise components from the ultrasound pulses received by the ultrasound imaging device, where the pre-recorded noise components are characteristic of noise occurring at the ultrasound imaging device due to the ultrasound irradiation generated by the ultrasound applicator.

Ultrasound medical treatment apparatus with reduction of noise due to treatment ultrasound irradiation at ultrasound imaging device

Method and apparatus for ultrasonic wave medical treatment using computed tomography

An ultrasound medical treatment system capable of determining the hot spot at high spatial resolution, and preventing the displacement of the hot spot from the focal point. In the system, the imaging device for obtaining image data of a treatment portion containing a treatment target and an irradiation device for applying radiation onto the treatment target are controlled in such a manner that the imaging device is controlled to obtain hot spot detection image data after the irradiation device is controlled to apply radiation at a prescribed level, so that a hot spot indicating a change due to a temperature change caused by the radiation at the prescribed level can be detected from the hot spot detection image data. The irradiation device is then controlled to apply a treatment radiation at a treatment level higher than the prescribed level according to the detected hot spot.

Katsuhiko Fujimoto

Papers

Ultrasonic apparatus for thermotherapy with variable frequency for suppressing cavitation

Ultrasonic wave medical treatment apparatus suitable for use under guidance of magnetic resonance imaging

Ultrasound medical treatment apparatus with reduction of noise due to treatment ultrasound irradiation at ultrasound imaging device

Method and apparatus for ultrasonic wave medical treatment using computed tomography

Method and apparatus for ultrasound medical treatment