title: An ultrasonic orthopaedic surgical device based on a cymbal transducer.
abstract: An ultrasonic orthopaedic surgical device is presented, where the ultrasonic actuation relies on a modification of the classical cymbal transducer. All current devices consist of a Langevin ultrasonic transducer with a tuned cutting blade attached, where resonance is required to provide sufficient vibrational amplitude to cut bone. However, this requirement restricts the geometry and offers little opportunity to propose miniaturised devices or complex blades. The class V flextensional cymbal transducer is proposed here as the basis for a new design, where the cymbal delivers the required vibrational amplitude, and the design of the attached cutting insert can be tailored for the required cut. Consequently, the device can be optimised to deliver an accurate and precise cutting capability. A prototype device is presented, based on the cymbal configuration and designed to operate at 25.5kHz with a displacement amplitude of 30μm at 300V. Measurements of vibrational and impedance responses elucidate the mechanical and electrical characteristics of the device. Subsequent cutting tests on rat femur demonstrate device performance consistent with a commercial Langevin-based ultrasonic device and show that cutting is achieved using less electrical power and a lower piezoceramic volume. Histological analysis exhibits a higher proportion of live cells in the region around the cut site for the cymbal device than for a powered sagittal or a manual saw, demonstrating the potential for the ultrasonic device to result in faster healing.
authors.affiliation: School of Engineering, University of Glasgow, Glasgow G12 8QQ, UK.
authors.forename: Fernando
authors.initials: F
authors.lastname: Bejarano
authors.affiliation: School of Engineering, University of Glasgow, Glasgow G12 8QQ, UK.
authors.forename: Andrew
authors.initials: A
authors.lastname: Feeney
authors.affiliation: School of Clinical Sciences, University of Edinburgh, Edinburgh EH16 4SB, UK.
authors.forename: Robert
authors.initials: R
authors.lastname: Wallace
authors.affiliation: School of Clinical Sciences, University of Edinburgh, Edinburgh EH16 4SB, UK.
authors.forename: Hamish
authors.initials: H
authors.lastname: Simpson
authors.affiliation: School of Engineering, University of Glasgow, Glasgow G12 8QQ, UK. Electronic address: Margaret.Lucas@glasgow.ac.uk.
authors.forename: Margaret
authors.initials: M
authors.lastname: Lucas
mesh_terms: D004867:Equipment Design; D008904:Miniaturization; D009983:Orthopedic Equipment; D014159:Transducers; D014464:Ultrasonic Therapy / Q000295:instrumentation*; D014732:Vibration
keywords: Cymbal transducer; Orthopaedic surgery; Ultrasonic surgical device