A PIEZO ULTRASONIC AND ELECTROSURGICAL HANDPIECE

摘要

An ultrasonic and electrosurgical handpiece (10) housing (11) has an axis, a distal end (12), a proximal end (13) and a passage (14) defined by an inside wall (40). A piezo stack (26) has elements (16) carried along a plane (17) generally transverse to the axis. A retainer (18) for the elements (16) has distal, intermediate and proximal portions (21). The distal portion (19) has a fastener (22); the proximal portion (21) has a threaded shoulder bolt (24). The stack (26) about the shoulder has an energy input (29) and a reference output (30) positioned axi ally apart from one another. An insulating sleeve (31) about the bolt is between central openings of the elements (16) and the bolt. A pair of insulators (32) about the bolt has the stack (26) therebetween; one insulator (32) is between the plane (17) and the stack (26) and the other is near the threads. The intermediate portion (20) attaches to the housing (11) at the plane (17) with decoupling and sealing. An irrigation channel (44) conveys fluid. The drive energy input (29), the feedback signal and the reference outputs (30) are insulated by the sleeve (31) and pair from the bolt. A washer (34) against the insulator (32) and about the threads applies axial but not torsion to the insulator (32) when a clamping nut (35) on the threads holds components on the bolt. The clamping nut (35) is in circuit with electrosurgical energy as the reference return for electrosurgery. A tool (36) fastens to a connector (37) for transmitting axial vibrations in the form of a predefined stroke at a tip (38) thereof.