A miniature surgical drill using ultrasonic/sonic frequency vibration

A study is presented of a miniature ultrasonic surgical drill designed for bone biopsy, based on an ultrasonic/sonic drill which converts high frequency to low frequency vibrations through a freely vibrating mass between an ultrasonic transducer-horn and a drill bit. For conventional surgical drilling using a rotary drill or an ultrasonic drill, considerable power is required to penetrate into bone and the efficiency is low. However, for ultrasonic/sonic drilling, sufficient acoustic energy is accumulated and then released through each impact to achieve precise drilling with a lower power requirement. The ultrasonic/sonic drill was originally invented for rock drilling in low gravity environments. In this study it is incorporated in a miniature ultrasonic surgical drill and the effective impulse delivered to the bone is used to evaluate the drilling performance. To develop a miniature surgical device based on maximising the effective impulse, optimisation of the ultrasonic horn and free-mass is first demonstrated. The shape and dimensions of the ultrasonic horn and free-mass are determined through FEA, which focuses on maximising the postcollision velocity of the free-mass. Then, the entire dynamic stack constituting the surgical drill device is modelled as a massspring-damper system to analyse the dynamic behaviour. The numerical model is validated through experiments, using a prototype drill, which record the velocity of the free-mass and the drilling force. The results of the numerical models and experiments indicate this miniature ultrasonic surgical drill can deliver sufficient impulse to penetrate bone and form the basis of an ultrasonically activated bone biopsy device. © 2015 The Authors. Published by Elsevier B.V. Peer-review under responsibility of the Scientific Committee of 2015 ICU Metz.