Development and evaluation of a titanium-based planar ultrasonic scalpel for precision surgery

Hofmann, Martin; Haeberlin, Andreas; de Brot, Simone; Stahel, Andreas; Keppner, Herbert; Burger, Jürgen (2023). Development and evaluation of a titanium-based planar ultrasonic scalpel for precision surgery Ultrasonics, 130, p. 106927. Elsevier 10.1016/j.ultras.2023.106927

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This paper introduces a titanium-based planar ultrasonic microscalpel. The concept of silicon-based planar ul­trasonic transducers has already been proven, but they are not yet suitable for clinical use due to material failure. The main objective of this work was to develop a smaller, lighter, and more cost-effective ultrasonic scalpel that could be used as an alternative or supplementary device to current surgical instruments. Various prototypes were fabricated and characterized, differing in bonding by three epoxy adhesives and two solder pastes as well as three variations in tip design. The instruments were designed to operate in the frequency range of commercial in­ struments and to generate a longitudinal displacement amplitude. The electro-mechanical characterization through impedance analysis and vibration measurements was complemented by an in vitro cutting trial and an acute in vivo animal experiment in comparison to commercial ultrasonic and electrosurgical devices. The operating frequency was around 40 kHz and 48 kHz depending on whether matched or unmatched operation was used. Unmatched operation turned out to be more suitable, achieving displacement amplitudes of 25.3 μm and associated velocity amplitudes of up to 7.9 m/s at an electrical power of 10.2 W. The cutting ability was demonstrated in vivo by successful dissection even under anticoagulation. The geometry of the instrument tip was found to have a major influence on cutting performance by affecting the resonance behaviour and tissue penetration.

Item Type:

Journal Article (Original Article)

Division/Institute:

School of Engineering and Computer Science > Institute for Human Centered Engineering (HUCE) > HUCE / Laboratory for Sensors
School of Engineering and Computer Science

Name:

Hofmann, Martin;
Haeberlin, Andreas;
de Brot, Simone;
Stahel, Andreas;
Keppner, Herbert and
Burger, Jürgen

Subjects:

Q Science > QC Physics

ISSN:

0041-624X

Publisher:

Elsevier

Language:

English

Submitter:

Andreas Stahel

Date Deposited:

25 Jan 2023 09:10

Last Modified:

25 Jan 2023 09:10

Publisher DOI:

10.1016/j.ultras.2023.106927

Uncontrolled Keywords:

Ultrasonic scalpel Ultrasonic surgery Precision surgery Piezoelectric transducer Hemostasis Equipment design

ARBOR DOI:

10.24451/arbor.18774

URI:

https://arbor.bfh.ch/id/eprint/18774

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