Abstract: An ultrasonically-vibratable surgical tool for cement removal in revision arthroplasty, comprises an elongate solid shaft. This can be mounted at its proximal end to a source of ultrasonic vibrations, so that the shaft acts as a waveguide for propagation of the ultrasonic vibrations. The shaft has at its distal end an operative head to act on the cement. An intermediate portion of the elongate shaft is provided with at least one row of dimples extending helically along and around that portion of the elongate shaft. Each dimple is separate from each adjacent dimple. The dimples may have a shallow part-spherical profile.

Abstract: Apparatus for generating torsional-mode ultrasonic vibrations, for example in a surgical tool, comprises an ultrasonic transducer that would conventionally produce longitudinal-mode ultrasonic vibrations, with a long, hollow, cylindrical, mode converter mounted coaxially to its distal end. A plurality of holes are formed through the walls of the mode converters. These holes are arranged in multiple parallel helical rows, extending along and around the cylindrical mode converters. Holes within the same row are spaced relatively closely, compared with the spacing between rows. Relationships have been established between the hole diameter (d), the spacing between rows (W), the spacing between holes in the same row (l), the spacing between individual holes in adjacent rows (L), and the overall diameter of the mode converter (D). In a preferred version, the holes through the walls of the second mode converter are tapered inwardly, rather than being cylindrical holes as in the first mode converter.

Abstract: A series of surgical tools (11, 21, 31, 41, 51, 61, 71, 81) have respective operative heads (16, 26, 36, 46, 56, 66, 76, 86 & 96) mounted adjacent a distal end of an elongate waveguide (12, 13, 14). The operative heads (16, 26, 36, 46, 56, 66, 76, 86 & 96) are used to remove PMMA bone cement (2, 5) from within a hollow bone (1), such as a femur (1), as part of a prosthesis revision operation, such as replacement of an artificial hip joint. Torsional-mode ultrasonic vibrations are transmitted along the waveguide (12, 13, 14) to the respective operative heads (16, 26, 36, 46, 56, 66, 76, 86 & 96), which are applied to the bone cement (2, 5), softening it and facilitating its removal. Elongate radial channels (18, 23, 28, 38) extend across cement-contacting faces of several of the surgical tools (11, 21, 31, 41, 71, 81), acting to focus and transmit the torsional-mode ultrasonic vibrations into adjacent cement (2, 5).

Abstract: Apparatus for generating torsional-mode ultrasonic vibrations, for example in a surgical tool, comprises an ultrasonic transducer that would conventionally produce longitudinal-mode ultrasonic vibrations, with a long, hollow, cylindrical, mode converter mounted coaxially to its distal end. A plurality of holes are formed through the walls of the mode converters. These holes are arranged in multiple parallel helical rows, extending along and around the cylindrical mode converters. Holes within the same row are spaced relatively closely, compared with the spacing between rows. Relationships have been established between the hole diameter (d), the spacing between rows (W), the spacing between holes in the same row (l), the spacing between individual holes in adjacent rows (L), and the overall diameter of the mode converter (D). In a preferred version, the holes through the walls of the second mode converter are tapered inwardly, rather than being cylindrical holes as in the first mode converter.

Abstract: A torsional-mode ultrasonic vibration generator is manufactured with longitudinal slots extending along its horn which damp unwanted vibrational modes and allow it to be made significantly smaller than previous apparatus. The torsional-mode ultrasonic generator is operable with a suite of surgical tools, to perform portions of an orthopaedic arthroplasty revision procedure. Three of the tools are for removing bone cement from within a bone cavity on a prosthesis cemented into the bone cavity. Three other tools are for separating an uncemented prosthesis from ingrown bone by cutting the bone between the prosthesis and walls of the bone cavity. The seventh tool is provided with sensors to determine a separation between a bone-cutting tool head and a metal prosthesis, feedback from the sensors being used to control servo motors of an articulated mounting for the seventh tool, to maintain the separation at a desirable value.

Abstract: A torsional-mode ultrasonic vibration generator is manufactured with longitudinal slots extending along its horn which damp unwanted vibrational modes and allow it to be made significantly smaller than previous apparatus. The torsional-mode ultrasonic generator is operable with a suite of surgical tools, to perform portions of an orthopaedic arthroplasty revision procedure. Three of the tools are for removing bone cement from within a bone cavity on a prosthesis cemented into the bone cavity. Three other tools are for separating an uncemented prosthesis from ingrown bone by cutting the bone between the prosthesis and walls of the bone cavity. The seventh tool is provided with sensors to determine a separation between a bone-cutting tool head and a metal prosthesis, feedback from the sensors being used to control servo motors of an articulated mounting for the seventh tool, to maintain the separation at a desirable value.

Abstract: A transducer stack (10) includes rings (16) of piezo-electric ceramic alternating with metal electrodes (18) along a threaded central shaft (32) extending from a titanium back plate (20). A spacer or threaded element (14) threaded on to the shaft (32) holds the ceramic rings (16) and electrodes (18) in compression against the back plate (20). The transducer stack (10) is mountable eccentrically to a horn (12) of an ultrasonically-vibratable tool, away from an axis of an elongate waveguide (56) extending from the horn (12). The transducer stack (10) may vibrate in a flexural mode perpendicular to the waveguide (56), generating torsional mode ultrasonic vibrations in the horn (12) and waveguide (56), or in a flexural mode parallel to the waveguide (56), generating longitudinal mode ultrasonic vibrations in the horn (12) and waveguide (56).

Abstract: The ultrasonic surgical tool has an elongate waveguide operatively connected or connectable at a proximal end to a source of ultrasonic vibrations. At a distal end, an operative element comprises a radially-extending ridge defined between a substantially parallel pair of grooves extending longitudinally of the waveguide. The operative element is curved in a plane transverse to that of the ridge. This arrangement is ergonomically superior and allows a surgeon to work for longer and with improved control. It also allows a clear visualization of the operative elements of the tool and the target tissue.

Abstract: The shaped output is for use with an ultrasonic surgical tool vibratable in torsional mode. The output has a generally cylindrical first waveguide (1) with, at a distal end a second waveguide extension member (3) of reduced diameter. The second waveguide (3) is curved in one plane from the axis of the first waveguide. It has at least two blade faces (4) extending radially outwardly from its distal end.

Abstract: At the surgical tool's proximal end, there is a first means (3) to generate ultrasonic vibration in a torsional shear mode. There is also a second means (2) to generate ultrasonic vibration in a longitudinal compression mode. A wave guide (4) is operatively connected to both generating means and extending therefrom by a distance of n?/2 to a distal end provided with cutting and/or coagulating means. The ratio of the wavelengths of the longitudinal compression wave and the torsional shear wave, ?c: ??, is an odd number. Preferably ?c=Nx?? (where N is an odd integral number and x is an integer). Delicate shear motion of the torsional ultrasonic vibrational mode is combined with the more vigorous excitation of the longitudinal compression wave ultrasonic vibration.

Abstract: Apparatus (5,50) for generating torsional-mode ultrasonic vibrations comprises a stack of axially-polarized piezo-electric ceramic rings (10) having a torsional converter (1,51,53) mounted coaxially to either one face of the stack or to two opposite faces thereof. Each torsional converter (1,51,53) has a cross-sectional inhomogeneity comprising a plurality of helically-extending grooves (2,55) extending substantially from end to end of the converter. The grooves (2,55) each have a length, measured axially along the converter (1,51,53), of approximately half the wavelength of ultrasonic vibrations therein. When the stack is energized, the stack and the converter (1) or converters (51,53) resonate together in a purely torsional-mode vibration. The apparatus (5,50) is compact and axisymmetric, and is straightforward to incorporate into a simple tool handpiece. The ultrasonic vibrations may be transmitted along a conventional elongate waveguide (3) of a tool to a distal operative tip (35).

Abstract: An ultrasonic surgical tool has an elongate waveguide operatively connected or connectable to a source of ultrasonic vibrations. An operative element at a distal end of the waveguide has a diameter less than that of the waveguide. A connecting portion of intermediate diameter may connect the operative element and the waveguide. A proximal end of the operative element forms a first step junction, located at a nodal plane of ultrasonic vibrations in the waveguide and operative element, producing a velocity amplitude gain across the step junction. A second zero-gain step junction between the connecting portion and the waveguide is located at an anti-nodal plane. The operative element may include a curved distal cutting and welding element having a pair of elongate welding grooves defining a cutting edge. Alternatively, the operative element may include a welding element having a flat or slightly ridged operative face.

Abstract: A transducer stack (10) includes rings (16) of piezo-electric ceramic alternating with metal electrodes (18) along a threaded central shaft (32) extending from a titanium back plate (20). A spacer or threaded element (14) threaded on to the shaft (32) holds the ceramic rings (16) and electrodes (18) in compression against the back plate (20). The transducer stack (10) is mountable eccentrically to a horn (12) of an ultrasonically-vibratable tool, away from an axis of an elongate waveguide (56) extending from the horn (12). The transducer stack (10) may vibrate in a flexural mode perpendicular to the waveguide (56), generating torsional mode ultrasonic vibrations in the horn (12) and waveguide (56), or in a flexural mode parallel to the waveguide (56), generating longitudinal mode ultrasonic vibrations in the horn (12) and waveguide (56).

Abstract: The ultrasonic surgical tool has an elongate waveguide operatively connected or connectable at a proximal end to a source of ultrasonic vibrations. At a distal end, an operative element comprises a radially-extending ridge defined between a substantially parallel pair of grooves extending longitudinally of the waveguide. The operative element is curved in a plane transverse to that of the ridge. This arrangement is ergonomically superior and allows a surgeon to work for longer and with improved control. It also allows a clear visualization of the operative elements of the tool and the target tissue.

Abstract: A switch unit (40) is mountable to a distal end of a handpiece of an electrically-activatable surgical tool, such as an ultrasonically-vibratable surgical tool. The switch unit (40) has a generally bullet-shaped outer form with an axial bore (42) through which a waveguide of the tool extends. A resiliently deformable band (1) extends around the switch unit (40) above a polygonal-section contact zone (2), such that fingertip pressure on the band (1) may locally depress the band (1) towards a flat area (12) of the contact zone (2). Switch contacts (11) are mounted to an inner surface of the band (1) opposite a plated circuit (10) located on each flat area (12) so as to form a plurality of switches. A switch to activate the tool is thus easily accessible to a user's fingertip in any orientation of the handpiece in the user's hand. The switch contacts (11) may each comprise a body having an electrical resistance dependent on a pressure exerted thereon.

Abstract: The shaped output is for use with an ultrasonic surgical tool vibratable in torsional mode. The output has a generally cylindrical first waveguide (1) with, at a distal end a second waveguide extension member (3) of reduced diameter. The second waveguide (3) is curved in one plane from the axis of the first waveguide. It has at least two blade faces (4) extending radially outwardly from its distal end.

Abstract: Apparatus (5,50) for generating torsional-mode ultrasonic vibrations comprises a stack of axially-polarised piezo-electric ceramic rings (10) having a torsional converter (1,51,53) mounted coaxially to either one face of the stack or to two opposite faces thereof. Each torsional converter (1,51,53) has a cross-sectional inhomogeneity comprising a plurality of helically-extending grooves (2,55) extending substantially from end to end of the converter. The grooves (2,55) each have a length, measured axially along the converter (1,51,53), of approximately half the wavelength of ultrasonic vibrations therein. When the stack is energised, the stack and the converter (1) or converters (51,53) resonate together in a purely torsional-mode vibration. The apparatus (5,50) is compact and axisymmetric, and is straightforward to incorporate into a simple tool handpiece. The ultrasonic vibrations may be transmitted along a conventional elongate waveguide (3) of a tool to a distal operative tip (35).

Abstract: The system generates resonant ultrasonic vibrations, preferably in a torsional mode. A control circuit monitors, feedback signals therefrom, which are scanned to determine the frequency at which minima occur. The frequency of the ultrasonic signal is then adjusted to the frequency at which the minimum occurs.

Abstract: A transducer stack (10) includes rings (16) of piezo-electric ceramic alternating with metal electrodes (18) along a threaded central shaft (32) extending from a titanium back plate (20). A spacer or threaded element (14) threaded on to the shaft (32) holds the ceramic rings (16) and electrodes (18) in compression against the back plate (20). The transducer stack (10) is mountable eccentrically to a horn (12) of an ultrasonically-vibratable tool, away from an axis of an elongate waveguide (56) extending from the horn (12). The transducer stack (10) may vibrate in a flexural mode perpendicular to the waveguide (56), generating torsional mode ultrasonic vibrations in the horn (12) and waveguide (56), or in a flexural mode parallel to the waveguide (56), generating longitudinal mode ultrasonic vibrations in the horn (12) and waveguide (56).