Abstract: An ultrasonic tool or instrument has a probe shaft with a linear proximal end portion and a linear distal end portion disposed at an angle relative to one another and joined at a bend in the shaft. A coupling is provided at a proximal end of the shaft for connecting the probe to a source of ultrasonic vibrational energy. A head provided at a distal end of the shaft extends eccentrically in a transverse direction to one side of the shaft. The head has an operative tip spaced laterally from the axis and is formed with at least one cutout for reducing mass of the head and concomitantly eccentric mass of the probe. The tool or instrument has at least one interior antinode along the shaft and the bend is located substantially distally of the antinode.

Abstract: An ultrasonic surgical instrument assembly includes a handpiece, a generator of ultrasonic mechanical vibrations disposed in the handpiece, a probe, and a light source. The probe is attached to a distal end of the handpiece and is operatively connected to the generator. The light source is removably attached to the handpiece and is configured and mounted to direct at least visible electromagnetic radiation in a direction along the probe so as to illuminate a surgical site distal of the probe.

Abstract: A medical instrument includes a handpiece, an electromechanical transducer disposed in the handpiece, and an electrical circuit disposed at least partially in the handpiece for supplying alternating electrical current of a predetermined frequency to the transducer. A probe is operatively connected to the transducer for transmitting vibrations generated by the transducer to an operative site in a patient. A switching device is mounted to the handpiece and is operatively connected to the circuit and the transducer for enabling the supply of power to the transducer during a motion of the probe in a preselected direction relative to the handpiece and for disabling the supply of power to the transducer upon a termination of motion of the probe in the preselected direction.

Abstract: A surgical shield includes an at least partially rigid shield member extending in at least two spatial dimensions, at least one flexible sheet member, and a coupling element. The shield member has an aperture traversable by a surgical instrument, while the coupling element is provided on the shield member for releasably connecting the shield member to the instrument. The flexible sheet member is attached to the shield member so as to define, with the shield member, an enclosure having one open side opposing the shield member.

Abstract: 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.

Abstract: An ultrasonic surgical includes a probe with an operative edge or surface at a distal end, an electromechanical transducer connected to the probe, and an activation circuit connected to the transducer for supplying thereto an electrical waveform having an ultrasonic frequency and an amplitude. The activation circuit includes a signal generator and further includes a power reduction circuit operatively connected to the signal generator for inducing the signal generator to automatically reduce the amplitude of the waveform upon a sensing by the power reduction circuit of reduced load on the probe.

Abstract: An ultrasonic surgical instrument includes at least two tools each having a respective operating head with an operative surface or edge. At least one source of ultrasonic mechanical vibratory energy is provided which produces at least two vibration modes out of phase with one another. The tools are each connected to the source of ultrasonic mechanical vibratory energy for enabling transmission of a respective one of the vibration modes into the respective tool so that the tools are driven out of phase with one another.

Abstract: 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.

Abstract: 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.

Abstract: An ultrasonic surgical instrument includes an elongate substantially rigid probe and an elongate tubular sheath member. The probe is operatively connected at a proximal end to a source of ultrasonic mechanical vibrations and has a distal tip configured for transmitting ultrasonic vibration energy into organic tissues. The probe longitudinally traverses the sheath member. The sheath member has a distal edge with a first portion on one side of the probe and a second portion on an opposite side of the probe. The first portion of the distal edge of the sheath member is disposed substantially closer than the second portion of the sheath's distal edge to the distal tip of the probe. The second portion of the distal edge is so spaced from the distal tip as to permit effective visualization of the distal tip during use of the instrument.

Abstract: An ultrasonic surgical instrument includes an elongate substantially rigid probe and an elongate tubular sheath member. The probe is operatively connected at a proximal end to a source of ultrasonic mechanical vibrations and has a distal tip configured for transmitting ultrasonic vibration energy into organic tissues. The probe longitudinally traverses the sheath member. The sheath member has a distal edge with a first portion on one side of the probe and a second portion on an opposite side of the probe. The first portion of the distal edge of the sheath member is disposed substantially closer than the second portion of the sheath's distal edge to the distal tip of the probe. The second portion of the distal edge is so spaced from the distal tip as to permit effective visualization of the distal tip during use of the instrument.

Abstract: A medical instrument includes a handpiece, an electromechanical transducer disposed in the handpiece, and an electrical circuit disposed at least partially in the handpiece for supplying alternating electrical current of a predetermined frequency to the transducer. A probe is operatively connected to the transducer for transmitting vibrations generated by the transducer to an operative site in a patient. A switching device is mounted to the handpiece and is operatively connected to the circuit and the transducer for enabling the supply of power to the transducer during a motion of the probe in a preselected direction relative to the handpiece and for disabling the supply of power to the transducer upon a termination of motion of the probe in the preselected direction.

Abstract: An ultrasonic surgical instrument includes an elongate substantially rigid probe and an elongate tubular sheath member. The probe is operatively connected at a proximal end to a source of ultrasonic mechanical vibrations and has a distal tip configured for transmitting ultrasonic vibration energy into organic tissues. The probe longitudinally traverses the sheath member. The sheath member has a distal edge with a first portion on one side of the probe and a second portion on an opposite side of the probe. The first portion of the distal edge of the sheath member is disposed substantially closer than the second portion of the sheath's distal edge to the distal tip of the probe. The second portion of the distal edge is so spaced from the distal tip as to permit effective visualization of the distal tip during use of the instrument.

Abstract: An ultrasonic medical treatment device has a probe, a transducer for mechanically vibrating the probe at an ultrasonic frequency, a voltage source for energizing the transducer, and another electrical voltage source for feeding to the probe a high-frequency alternating waveform of limited current and limited voltage to be conducted into a patient through the operative tip of the probe after placement of the operative tip into contact with the patient. The alternating waveform has a current and a voltage so limited as to prevent damage to organic tissues while stimulating nerves to reduce or suppress pain.

Abstract: An ultrasonic probe includes a shaft having a longitudinal axis and a head disposed at a distal end of the shaft. The head has a cylindrical lateral surface and an end face oriented perpendicularly to the axis. The head has three shaping surfaces at a distal end of the cylindrical surface, each shaping surface extending at an acute angle to the axis. Each of the shaping surfaces intersects or is contiguous with both the cylindrical surface and the end face.

Abstract: An elongate probe, with a suction channel extending longitudinally along the probe, is inserted into a patient so that a distal tip of the probe is in contact with a fibroid mass inside the patient. Thereafter the probe is ultrasonically vibrated so that the distal tip has an excursion amplitude or distance greater than 275 microns. During probe vibration, suction is applied to the channel at a vacuum level greater than 24? Hg to thereby maintain the target tissue mass in engagement with the distal tip during the vibrating of the probe and enable ablation of at least a selectable portion of the target tissue mass.

Abstract: A medical instrument includes a handpiece, an electromechanical transducer disposed in the handpiece, and an electrical circuit disposed at least partially in the handpiece for supplying alternating electrical current of a predetermined frequency to the transducer. A probe is operatively connected to the transducer for transmitting vibrations generated by the transducer to an operative site in a patient. A switching device is mounted to the handpiece and is operatively connected to the circuit and the transducer for enabling the supply of power to the transducer during a motion of the probe in a preselected direction relative to the handpiece and for disabling the supply of power to the transducer upon a termination of motion of the probe in the preselected direction.