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Details
Inventors: Davison, Thomas W.; DiMatteo, Stephen; Smith, Paul; Whipple, Gary;
Assignee: Ultracision, Inc. (Smithfield, RI)
Primary Examiner: Cohen; Lee S.
Assistant Examiner: Pfaffle; K. M.
Attorney, Agent or Firm: Nixon & Vanderhye

An ultrasonic surgical apparatus includes a surgical instrument having a handpiece with a transducer for converting an electrical signal into longitudinal vibratory motion of a blade connected to the handpiece and an accessory releasably connected to the handpiece to enable clamping of tissue against the vibrating blade to afford improved coagulating and cutting of tissue. Scissors-like grips actuate a pivoted clamp jaw along one side of the ultrasonically vibrating blade to compress and bias tissue against the blade in a direction normal to the direction of longitudinal vibratory movement. The clamp jaw and blade are rotatable relative to one another to align a selected blade edge of a multi-edged blade with the clamp jaw for cutting and coagulating while clamping or circumferentially spacing a selected blade edge from the clamp jaw for cutting and coagulating without clamping.

DETAILED DESCRIPTION What is claimed is: 1.
Ultrasonic surgical apparatus comprising: a housing; an ultrasonic element carried by said housing for generating ultrasonic vibration; a surgical blade having an elongated edge carried by said housing and coupled to said ultrasonic element for receiving ultrasonic vibration therefrom for vibration in a longitudinal direction parallel to said blade edge; a clamp carried by said apparatus in opposition to said blade and along one side thereof for biasing tissue between the clamp and the blade for movement in a direction toward the blade and substantially normal to the longitudinal direction of vibration of said blade; and means for selectively displacing said clamp toward and away from said blade.
2.
Apparatus according to claim 1 wherein said means for selectively displacing said clamp further includes means for pivoting said clamp toward and away from said blade.
3.
Apparatus according to claim 1 wherein said blade and said clamp are mounted for movement relative to one another about an axis extending parallel to the longitudinal direction of vibration of said blade to locate said blade edge in an operative position relative to said clamp, and means carried by said apparatus for effecting relative movement of said blade and said clamp to locate said blade edge in said operative position.
4.
Apparatus according to claim 1 wherein said blade has at least two elongated discrete edges spaced circumferentially from one another about an axis of the blade extending generally parallel to the longitudinal direction of vibration, said blade and said clamp being mounted for movement relative to one another to selectively locate one of said blade edges in an operative position relative to said clamp, and means carried by said apparatus for effecting relative movement of said blade and said clamp to located said one of said blade edges in said operative cutting position.
5.
Apparatus according to claim 4 including means cooperable between said housing and said clamp for rotating said blade about an axis generally parallel to the direction of vibration for selectively locating said one of said blade edges in said operative position



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