Abstract: An ultrasonic surgical instrument which incorporates a thumb and finger ring-actuated structure for the ultrasonic clamping device which is finger-operated in a scissor-like mode. Provided is either a fixed or removable blade tip and clamp assembly for ultrasonic treatments, so as to impart to the surgical instrument the ability of providing a variety of essentially exchangeable tips while reducing operationally engendered vibrations and stresses at the point of the coupling thereof to the clamp arm. The assembly is actuatable by relative movements between a blade extender and an outer tubular sheath extending to a handle end connected to the thumb and finger ring-actuated structure.

Abstract: An ultrasonic surgical clamp coagulator apparatus is configured to effect cutting, coagulation, and clamping of tissue by cooperation of a clamping mechanism of the apparatus with an associated ultrasonic end-effector. Rotational positioning of an elongated portion and end-effector is achieved by the provision of a clutch mechanism incorporated into a housing apparatus. The arrangement permits the elongated portion to be rotatably positioned with respect to the apparatus housing and permits rotation of a the end-effector relative to the elongated portion.