Harmonic scalpel


The Harmonic scalpel is a surgical instrument used to simultaneously cut and cauterize tissue. Unlike Electrosurgery, the harmonic uses ultrasonic vibrations instead of electric current to cut and cauterize tissue.

Medical use

The harmonic scalpel may be superior to electrosurgery in that it can cut through thicker tissue, creates less toxic surgical smoke,.

Mechanism

A Harmonic scalpel cuts via vibration. The scalpel surface itself cuts through tissue by vibrating in the range of 55,500 Hz. The high frequency vibration of tissue molecules generates stress and friction in tissue, which generates heat and causes protein denaturation. This technique causes minimal energy transfer to surrounding tissue, potentially limiting collateral damage.

Manufacture

The Harmonic brand is manufactured in Mexico and distributed by Ethicon Endo-Surgery a subsidiary of Johnson & Johnson.