• Journal of the Korean Institute of Electrical and Electronic Material Engineers
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• v.31 no.3
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• pp.152-155
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• 2018

Ultrasonic wave technologies have been widely used in ultrasonic washing machines, ultrasonic surgery, ultrasonic welding machines, ultrasonic sensors, and medical instruments. Ultrasonic surgery can be realized through the cavitation effect of ultrasonic waves. In this study, piezoelectric ceramics were manufactured to achieve the optimum design of a piezoelectric vibrator in a handheld generator for ultrasonic surgery. The best specimen showed the excellent piezoelectric properties of kp＝0.624, Qm＝1,531, and $d_{33}=356pC/N$. Numerical modeling based on the finite element method was performed to find the resonance frequency, the anti-resonance frequency, and the displacement properties of the handheld ultrasonic generator. Maximum displacement was observed in the six-step piezoelectric vibrator at $6.36{\mu}m$.

• Journal of the Korean Society of Manufacturing Process Engineers
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• v.15 no.3
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• pp.102-108
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• 2016

A dental ultrasonic surgical instrument, commercially known as a scaler, is a high-value-added advanced technology that is used for tartar removal, implant operations, and gum and jaw bone surgery. In this study, the piezoelectric phenomenon for making linear motion associated with input electrical signals was studied, and the behavior of the ultrasonic vibrator was investigated by using the commercially available finite element program ANSYS(R) for the purpose of designing dental surgery tools. Modal analysis was carried out, and the optimal frequency range was calculated from the analyzed results. The ultrasonic vibrator was then redesigned based on the calculated optimal frequency range. The performance of the system was tested, and consequently, the proposed methodology was proven useful in vibrator design.

• Archives of Plastic Surgery
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• v.47 no.1
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• pp.20-25
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• 2020

Background Ultrasonic dissection devices cause less thermal damage to the surrounding tissue than monopolar electrosurgical devices. We compared the effects of using an ultrasonic dissection device or an electrocautery device during prosthetic breast reconstruction on seroma development and short-term postoperative complications. Methods We retrospectively reviewed the medical records of patients who underwent implant-based reconstruction following mastectomy between March 2017 and September 2018. Mastectomy was performed by general surgeons and reconstruction by plastic surgeons. From March 2017 to January 2018, a monopolar electrosurgical device was used, and an ultrasonic dissection device was used thereafter. The other surgical methods were the same in both groups. Results The incidence of seroma was lower in the ultrasonic dissection device group than in the electrocautery group (11 [17.2%] vs. 18 [31.0%]; P=0.090). The duration of surgery, total drainage volume, duration of drainage, overall complication rate, surgical site infection rate, and flap necrosis rate were comparable between the groups. Multivariate analysis revealed that the risk of seroma development was significantly lower in the ultrasonic dissection device group than in the electrocautery group (odds ratio for electrocautery, 3.252; 95% confidence interval, 1.242-8.516; P=0.016). Conclusions The findings of this study suggest that the incidence of seroma can be reduced slightly by using an ultrasonic dissection device for prosthesis-based breast reconstruction. However, further randomized controlled studies are required to verify our results and to assess the cost-effectiveness of this technique.

• Journal of the Korean Institute of Electrical and Electronic Material Engineers
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• v.30 no.10
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• pp.656-664
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• 2017

This paper presents the design and fabrication of a high power piezoelectric ultrasonic surgery unit for multi-purpose dental implantation. A conventional piezoelectric ultrasonic surgery units consists of a transducer and a tip. However, the drawback of this simple structure is that the output performance of the transducer considerably changes with the change of the tips. An ultrasonic surgery unit that has an additional booster between the transducer and the tip can solve this problem to some extent; for this, an optimal structural design for the transducer is required. We used the Bolted Langevin Transducer (BLT) as the basic transducer; it consists of piezoelectric ceramics and a metal body. It's structure was optimized using mathematical methods to determine the length and radius of the tail and head masses. Additionally, the booster was also subjected to the same methods. Using these mathematical methods, optimal results in terms of the resonance frequency (24.96 kHz), displacement ($14.27{\mu}m$), and pressure (2.8 MPa), could be obtained. The validity of this proposed surgery unit was confirmed experimentally, exhibiting a cutting force of around 7% higher than that of a conventional surgery unit.

• Journal of the Korean Society for Precision Engineering
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• v.33 no.5
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• pp.377-383
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• 2016

Recently, research on bone fracture and osteoplasty using ultrasonic bone surgery unit has been ongoing in the fields of dentistry, plastic surgery, and otorhinolaryngology. However, detailed data evaluation with ultrasonic bone surgery unit has not been conducted to date. In this study, we developed handpiece moving system (HMS) for cutting performance evaluation. In the experimental setup of HMS, a handpiece was immobilized, and bone samples from cortical bone of bovine leg were prepared. Also, the experimental process was described in detail, and a basic experiment was carried out to evaluate the cutting performance. Future study is required on all experimental process conditions by HMS.

• Journal of the Korean Society of Manufacturing Process Engineers
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• v.15 no.1
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• pp.1-7
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• 2016

In the dentistry field, an ultrasonic surgery unit is widely used in bone cutting and scaling to reduce operation time and minimize hemorrhage. The purpose of this study was to evaluate bone cutting and the effect of a specimen's temperature on the two-type ultrasonic surgery unit using a handpiece moving system(HMS). A HMS, which can cut the bone, was developed to perform the experimental procedure with precision of motion control. Bone specimens were prepared from a combination of epoxy-hardener and cortical bone of bovine leg. Through the bone-cutting experiment, the cutting depth was evaluated by not only scanning electron microscopy, but also Vernier calipers. Also, the temperature distribution was measured by a thermo-graphic camera. This study may be applied methodically in various experimental evaluations on a performance test by a HMS.

• Journal of Gastric Cancer
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• v.12 no.1
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• pp.49-52
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• 2012

Through the advent of surgical techniques and the improvement of laparoscopic tools including the ultrasonic activated scissor, laparoscopic gastrectomy has been increasingly used in far more cases of benign or malignant gastric lesions for the benefit of patients without compromising therapeutic outcomes. Even though possible complications provoked by the ultrasonic activated scissor can be prevented during the procedure with increasing advanced laparoscopic experience and supervision, unexpected late complications after the operations rarely occur. An extremely rare case of left incarcerated diaphragmatic hernia of the transverse colon developed in an 81-year-old female patient as a late complication, 8 months after laparoscopy-assisted total gastrectomy for gastric cancer, with laparoscopy successfully resumed and without the need to sacrifice any portion of the bowel.

• Proceedings of the Korean Society for Noise and Vibration Engineering Conference
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• 1997.04a
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• pp.506-512
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• 1997

Ultrasonic knives have been successfully used for the surgery of many medical fields. However, the conventional ultrasonic knives for surgical operation cannot be controlled its resonant frequency. So if the material to cut has different characteristic impedance then different ultrasonic knife will be needed. Because the optimum driving frequency of ultrasonic knife is different by characteristic impedance of material. In this work, using a frequency variable ultrasonic transducer made of multi-layered PZT vibrator, a frequency controllable ultrasonic knife will be suggested. The design and computation principles will be also derived. For this work, firstly, the characteristics of this ultrasonic knife will be analyzed by transmission line model equivalent circuit, and the free admittance characteristics and vibrational velocity distributions will be obtained. Secondly, we will design and make the frequency controllable electrical oscillator for driving this ultrasonic knife.

• Journal of Veterinary Clinics
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• v.34 no.5
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• pp.359-365
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• 2017

Two spaniel dogs were presented with a history of lethargy, weakness, refractory hypoglycemia, and episodic seizure. A pancreatic mass on the distal end of the left limb was identified through screening tests including dualphase CT angiography in each patient. Canine insulinoma was suspected with low blood glucose, low fructosamine, and normal to high serum insulin levels. Exploratory laparotomies were performed, and partial pancreatectomy using an ultrasonic-activated scalpel was achieved without enzyme leakage or fistula formation after surgery. The lesions were definitively diagnosed as insulinoma via histopathologic examination. One dog has been doing well until POD 870 with medication; in the other dog, diffuse hepatic nodules noted during surgery were confirmed as a liver metastasis. This dog died at POD 45. This case report addresses the utility of the ultrasonic scalpel in partial pancreatectomy for the treatment of canine insulinoma and differences in prognosis according to disease stage.

• The Journal of Advanced Prosthodontics
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• v.14 no.5
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• pp.273-284
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• 2022

PURPOSE. Computer-aided design and manufacturing (CAD-CAM) of implant abutments has been shown to result in surface contamination from site-specific milling and fabrication processes. If not removed, these contaminants can have a potentially adverse effect and may trigger inflammatory responses of the peri-implant tissues. The aim of the present study was to evaluate the bacterial disinfection and cleaning efficacy of ultrasonic reprocessing in approved disinfectants to reduce the microbial load of CAD-CAM abutments. MATERIALS AND METHODS. Four different types of custom implant abutments (total N = 32) with eight specimens in each test group (type I to IV) were CAD-CAM manufactured. In two separate contamination experiments, specimens were contaminated with heparinized sheep blood alone and with heparinized sheep blood and the test bacterium Enterococcus faecium. Abutments in the test group were processed according to a three-stage ultrasonic protocol and assessed qualitatively and quantitatively by determination of residual protein. Ultrasonicated specimens contaminated with sheep blood and E. faecium were additionally eluted and the dilutions were incubated on agar plates for seven days. The determined bacterial counts were expressed as colony-forming units (CFU). RESULTS. Ultrasonic reprocessing resulted in a substantial decrease in residual bacterial protein to less than 80 ㎍ and a reduction in microbiota of more than 7 log levels of CFU for all abutment types, exceeding the effect required for disinfection. CONCLUSION. A three-stage ultrasonic cleaning and disinfection protocol results in effective bacterial decontamination. The procedure is reproducible and complies with the standardized reprocessing and disinfection specifications for one- or two-piece CAD-CAM implant abutments.