{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,3]],"date-time":"2026-03-03T08:13:42Z","timestamp":1772525622126,"version":"3.50.1"},"reference-count":69,"publisher":"MDPI AG","issue":"15","license":[{"start":{"date-parts":[[2020,7,27]],"date-time":"2020-07-27T00:00:00Z","timestamp":1595808000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003725","name":"National Research Foundation of Korea","doi-asserted-by":"publisher","award":["2020R1A2C4001606"],"award-info":[{"award-number":["2020R1A2C4001606"]}],"id":[{"id":"10.13039\/501100003725","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003725","name":"National Research Foundation of Korea","doi-asserted-by":"publisher","award":["NRF-2017M3A9E2056461"],"award-info":[{"award-number":["NRF-2017M3A9E2056461"]}],"id":[{"id":"10.13039\/501100003725","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003052","name":"Ministry of Trade, Industry and Energy","doi-asserted-by":"publisher","award":["S2520804"],"award-info":[{"award-number":["S2520804"]}],"id":[{"id":"10.13039\/501100003052","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Sensors"],"abstract":"<jats:p>A wireless ultrasound surgical system (WUSS) with battery modules requires efficient power consumption with appropriate cutting effects during surgical operations. Effective cutting performances of the ultrasound transducer (UT) should be produced for ultrasound surgical knives for effective hemostasis performance and efficient dissection time. Therefore, we implemented a custom-made UT with piezoelectric material and re-poling process, which is applied to enhance the battery power consumption and output amplitude performances of the WUSS. After the re-poling process of the UT, the quality factor increased from 1231.1 to 2418 to minimize the unwanted heat generation. To support this UT, we also developed a custom-made generator with a transformer and developed 2nd harmonic termination circuit, control microcontroller with an advanced reduced instruction set computer machine (ARM) controller, and battery management system modules to produce effective WUSS performances. The generator with a matching circuit in the WUSS showed a peak-to-peak output voltage and current amplitude of 166 V and 1.12 A, respectively, at the resonant frequency. The performance with non-contact optical vibrators was also measured. In the experimental data, the developed WUSS reduced power consumption by 3.6% and increased the amplitude by 20% compared to those of the commercial WUSS. Therefore, the improved WUSS performances could be beneficial for hemostatic performance and dissection time during surgical operation because of the developed UT with a piezoelectric material and re-poling process.<\/jats:p>","DOI":"10.3390\/s20154165","type":"journal-article","created":{"date-parts":[[2020,7,27]],"date-time":"2020-07-27T09:24:49Z","timestamp":1595841889000},"page":"4165","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Wireless Ultrasound Surgical System with Enhanced Power and Amplitude Performances"],"prefix":"10.3390","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5866-465X","authenticated-orcid":false,"given":"Jungsuk","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Biomedical Engineering, Gachon University, 534-2, Hambakmoe-ro, Incheon 21936, Korea"}]},{"given":"Kiheum","family":"You","sequence":"additional","affiliation":[{"name":"Department of Medical IT Convergence Engineering, Kumoh National Institute of Technology, 350-27 Gumi-daero, Gumi 39253, Korea"}]},{"given":"Sun-Ho","family":"Choe","sequence":"additional","affiliation":[{"name":"R&amp;D Center, Metabiomed Corporation, 215 Osongsaenmyeong1-ro, Chenongu 28161, Korea"}]},{"given":"Hojong","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Medical IT Convergence Engineering, Kumoh National Institute of Technology, 350-27 Gumi-daero, Gumi 39253, Korea"}]}],"member":"1968","published-online":{"date-parts":[[2020,7,27]]},"reference":[{"key":"ref_1","unstructured":"Jacobson, J.A. (2017). Fundamentals of Musculoskeletal Ultrasound, Elsevier Health Sciences."},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Postema, M. (2011). Fundamentals of Medical Ultrasound, Taylor and Francis.","DOI":"10.1201\/9781482266641"},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Choi, H., Yeom, J.-Y., and Ryu, J.-M. (2018). Development of a Multiwavelength Visible-Range-Supported Opto\u2013Ultrasound Instrument Using a Light-Emitting Diode and Ultrasound Transducer. Sensors, 18.","DOI":"10.3390\/s18103324"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1109\/TBME.2018.2821201","article-title":"Noninvasive Ultrasonic Neuromodulation in Freely Moving Mice","volume":"66","author":"Li","year":"2018","journal-title":"IEEE Trans. Biomed. Eng."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1935","DOI":"10.1109\/TBME.2016.2631224","article-title":"A Modulated Excitation Imaging System for Intravascular Ultrasound","volume":"64","author":"Qiu","year":"2016","journal-title":"IEEE Trans. Biomed. Eng."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"106865","DOI":"10.1016\/j.measurement.2019.106865","article-title":"A novel therapeutic instrument using an ultrasound-light-emitting diode with an adjustable telephoto lens for suppression of tumor cell proliferation","volume":"147","author":"Choi","year":"2019","journal-title":"Measurement"},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"Brown, B.H., Smallwood, R.H., Barber, D.C., Lawford, P., and Hose, D. (2017). Medical Physics and Biomedical Engineering, Taylor & Francis.","DOI":"10.1201\/9781315275604"},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Hoskins, P.R., Martin, K., and Thrush, A. (2019). Diagnostic Ultrasound: Physics and Equipment, Cambridge University Press.","DOI":"10.1201\/9781138893603"},{"key":"ref_9","doi-asserted-by":"crossref","unstructured":"Choi, H. (2019). Class-C Linearized Amplifier for Portable Ultrasound Instruments. Sensors, 19.","DOI":"10.3390\/s19040898"},{"key":"ref_10","doi-asserted-by":"crossref","unstructured":"Suetens, P. (2017). Fundamentals of Medical Imaging, Cambridge University Press.","DOI":"10.1017\/9781316671849"},{"key":"ref_11","doi-asserted-by":"crossref","unstructured":"Halls, M., Martinez-Cecilia, D., Barbaro, S., and Hilal, M.A. (2017). Laparoscopic Techniques in Major Liver Resections. Minimally Invasive Surgery for Upper Abdominal Cancer, Springer.","DOI":"10.1007\/978-3-319-54301-7_29"},{"key":"ref_12","first-page":"123","article-title":"Research Trend Analysis by using Text-Mining Techniques on the Convergence Studies of AI and Healthcare Technologies","volume":"18","author":"Yoon","year":"2019","journal-title":"J. Inf. Technol. Serv."},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Hengrasmee, P., Ito, T., and Lam, A. (2018). Hemostatic agents in laparoscopic surgery. Practical Manual of Minimally Invasive Gynecologic and Robotic Surgery, CRC Press.","DOI":"10.1201\/9781351006507-37"},{"key":"ref_14","doi-asserted-by":"crossref","unstructured":"Rogula, T.G., Fouse, T., and Schauer, P.R. (2018). Prevention and Management of Complications in Bariatric Surgery, Oxford University Press.","DOI":"10.1093\/med\/9780190608347.001.0001"},{"key":"ref_15","unstructured":"Machi, J., and Staren, E.D. (2005). Ultrasound for Surgeons, Lippincott Williams & Wilkins."},{"key":"ref_16","unstructured":"Arregui, M.E., Robert, J., Katkhouda, N., McKernan, J.B., and Reich, H. (2012). Principles of Laparoscopic Surgery: Basic and Advanced Techniques, Springer Science & Business Media."},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Choi, H., Choe, S.-w., and Ryu, J.-M. (2019). A Macro Lens-Based Optical System Design for Phototherapeutic Instrumentation. Sensors, 19.","DOI":"10.3390\/s19245427"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"1558","DOI":"10.1109\/TUFFC.2012.2355","article-title":"A multifunctional, reconfigurable pulse generator for high-frequency ultrasound imaging","volume":"59","author":"Weibao","year":"2012","journal-title":"IEEE Trans. Ultrason. Ferroelectr. Freq. Control"},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Choe, S.-w., and Choi, H. (2018). Suppression Technique of HeLa Cell Proliferation Using Ultrasonic Power Amplifiers Integrated with a Series-Diode Linearizer. Sensors, 18.","DOI":"10.3390\/s18124248"},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"Stefanescu, D.M. (2011). Handbook of Force Transducers: Principles and Components, Springer Science & Business Media.","DOI":"10.1007\/978-3-642-18296-9"},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"Lucas, M., and Mathieson, A. (2015). Ultrasonic cutting for surgical applications. Power Ultrasonics, Woodhead Publishing.","DOI":"10.1016\/B978-1-78242-028-6.00023-5"},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Hashimoto, M., Bandoh, K., and Wakako, R. (2005, January 2\u20136). Development of ultrasonically activated bending scalpel using a link mechanism. Proceedings of the IEEE\/RSJ International Conference on Intelligent Robots and Systems, Edmonton, AB, Canada.","DOI":"10.1109\/IROS.2005.1545489"},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Friedrich, F., Lockhart, R., Briand, D., Isarakorn, D., Margairaz, P., Sandoz, J.-P., Brossard, J., Keppner, H., Olson, W., and Dietz, T. (2012, January 7\u201310). Silicon micromachined ultrasonic transducer with improved power transfer for cutting applications. Proceedings of the 2012 IEEE Ultrasonics Symposium, Dresden, Germany.","DOI":"10.1109\/ULTSYM.2012.0291"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"020010","DOI":"10.1121\/2.0000735","article-title":"The effect of Ti-6Al-4V microstructure on the performance of ultrasonic soft tissue cutting tips","volume":"32","author":"Wilkie","year":"2017","journal-title":"Proc. Meet. Acoust."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"1271","DOI":"10.1177\/0954406219892750","article-title":"Piezoelectric transducer design for an ultrasonic scalpel with enhanced dexterity for minimally invasive surgical robots","volume":"234","author":"Li","year":"2020","journal-title":"Proc. Inst. Mech. Eng. Part C J. Mech. Eng. Sci."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"012014","DOI":"10.1088\/1757-899X\/815\/1\/012014","article-title":"Development of an Ultrasonic Scalpel","volume":"815","author":"Ngo","year":"2020","journal-title":"IOP Conf. Ser. Mater. Sci. Eng."},{"key":"ref_27","unstructured":"Nakamura, K. (2012). Ultrasonic Transducers: Materials and Design for Sensors, Actuators and Medical Applications, Elsevier."},{"key":"ref_28","doi-asserted-by":"crossref","unstructured":"Choi, H., and Choe, S.-w. (2019). Acoustic Stimulation by Shunt-Diode Pre-Linearizer Using Very High Frequency Piezoelectric Transducer for Cancer Therapeutics. Sensors, 19.","DOI":"10.3390\/s19020357"},{"key":"ref_29","doi-asserted-by":"crossref","unstructured":"Kim, J., Kim, K., Choe, S.-H., and Choi, H. (2020). Development of an Accurate Resonant Frequency Controlled Wire Ultrasound Surgical Instrument. Sensors, 20.","DOI":"10.3390\/s20113059"},{"key":"ref_30","doi-asserted-by":"crossref","unstructured":"Zhou, Y. (2015). Principles and Applications of Therapeutic Ultrasound in Healthcare, CRC press.","DOI":"10.1201\/b19638"},{"key":"ref_31","unstructured":"Szabo, T.L. (2013). Diagnostic Ultrasound Imaging: Inside Out, Elsevier Academic Press."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"2785","DOI":"10.1121\/1.4919318","article-title":"A sidelobe suppressing near-field beamforming approach for ultrasound array imaging","volume":"137","author":"He","year":"2015","journal-title":"J. Acoust. Soc. Am."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1016\/j.pmatsci.2014.06.001","article-title":"Piezoelectric single crystal ultrasonic transducers for biomedical applications","volume":"66","author":"Zhou","year":"2014","journal-title":"Prog. Mater Sci."},{"key":"ref_34","unstructured":"Miele, F.R. (2013). Ultrasound Physics & Instrumentation, Pegasus Lectures, Inc."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"1201","DOI":"10.3233\/BME-130921","article-title":"Optimization of acoustic emitted field of transducer array for ultrasound imaging","volume":"24","author":"He","year":"2014","journal-title":"Bio-Med. Mater. Eng."},{"key":"ref_36","unstructured":"Jun-ru, W., and Wesley, N. (2006). Emerging Therapeutic Ultrasound, World Scientific Publishing."},{"key":"ref_37","unstructured":"Mortensen, A. (2006). Concise Encyclopedia of Composite Materials, Elsevier."},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"Sheng, W.W., and Colino, R.P. (2004). Power Electronic Modules: Design and Manufacture, CRC Press.","DOI":"10.1201\/9780203507308"},{"key":"ref_39","doi-asserted-by":"crossref","unstructured":"Ebnesajjad, S. (2015). Fluoroplastics, Volume 2: Melt Processible Fluoropolymers-The Definitive User\u2019s Guide and Data Book, William Andrew.","DOI":"10.1016\/B978-1-4557-3197-8.00009-2"},{"key":"ref_40","doi-asserted-by":"crossref","unstructured":"Choi, H., Woo, P.C., Yeom, J.-Y., and Yoon, C. (2017). Power MOSFET Linearizer of a High-Voltage Power Amplifier for High-Frequency Pulse-Echo Instrumentation. Sensors, 17.","DOI":"10.3390\/s17040764"},{"key":"ref_41","unstructured":"Edelman, S.K. (2012). Understanding Ultrasound Physics, Baker & Taylor."},{"key":"ref_42","doi-asserted-by":"crossref","unstructured":"Choi, H. (2019). Stacked Transistor Bias Circuit of Class-B Amplifier for Portable Ultrasound Systems. Sensors, 19.","DOI":"10.3390\/s19235252"},{"key":"ref_43","doi-asserted-by":"crossref","unstructured":"Zimmerman, W.B. (2006). Multiphysics Modeling with Finite Element Methods, World Scientific Publishing Company.","DOI":"10.1142\/6141"},{"key":"ref_44","unstructured":"Marghitu, D.B. (2001). Mechanical Engineer\u2019s Handbook, Elsevier."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1016\/S0921-5093(97)00806-X","article-title":"Mechanical properties of biomedical titanium alloys","volume":"243","author":"Niinomi","year":"1998","journal-title":"Mater. Sci. Eng. A"},{"key":"ref_46","doi-asserted-by":"crossref","unstructured":"Choi, H. (2019). Prelinearized Class-B Power Amplifier for Piezoelectric Transducers and Portable Ultrasound Systems. Sensors, 19.","DOI":"10.3390\/s19020287"},{"key":"ref_47","doi-asserted-by":"crossref","unstructured":"Choi, H. (2019). Development of a Class-C Power Amplifier with Diode Expander Architecture for Point-of-Care Ultrasound Systems. Micromachines, 10.","DOI":"10.3390\/mi10100697"},{"key":"ref_48","doi-asserted-by":"crossref","unstructured":"Choi, H., and Choe, S.-w. (2018). Therapeutic Effect Enhancement by Dual-bias High-voltage Circuit of Transmit Amplifier for Immersion Ultrasound Transducer Applications. Sensors, 18.","DOI":"10.3390\/s18124210"},{"key":"ref_49","unstructured":"Leblebici, D., and Leblebici, Y. (2009). Fundamentals of High-frequency CMOS Analog Integrated Circuits, Cambridge University Press."},{"key":"ref_50","doi-asserted-by":"crossref","unstructured":"Choi, H., Park, C., Kim, J., and Jung, H. (2017). Bias-Voltage Stabilizer for HVHF Amplifiers in VHF Pulse-Echo Measurement Systems. Sensors, 17.","DOI":"10.3390\/s17102425"},{"key":"ref_51","unstructured":"Kang, S.-M., and Leblebici, Y. (2003). CMOS Digital Integrated Circuits, McGraw-Hill Education."},{"key":"ref_52","unstructured":"Floyd, T.L. (2010). Digital Fundamentals, Pearson Education."},{"key":"ref_53","unstructured":"Thrall, D.E. (2017). Textbook of Veterinary Diagnostic Radiology, Elsevier Health Sciences."},{"key":"ref_54","doi-asserted-by":"crossref","unstructured":"Shin, S.-H., Yoo, W.-S., and Choi, H. (2019). Development of Public Key Cryptographic Algorithm Using Matrix Pattern for Tele-Ultrasound Applications. Mathematics, 7.","DOI":"10.3390\/math7080752"},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1016\/j.measurement.2016.10.053","article-title":"An impedance measurement system for piezoelectric array element transducers","volume":"97","author":"Jeong","year":"2017","journal-title":"Measurement"},{"key":"ref_56","doi-asserted-by":"crossref","unstructured":"Choi, H., Jeong, J.J., and Kim, J. (2017). Development of an Estimation Instrument of Acoustic Lens Properties for Medical Ultrasound Transducers. J. Healthcare Eng., 7.","DOI":"10.1155\/2017\/6580217"},{"key":"ref_57","unstructured":"Shung, K.K., Smith, M., and Tsui, B.M. (2012). Principles of Medical Imaging, Academic Press."},{"key":"ref_58","doi-asserted-by":"crossref","unstructured":"You, K., and Choi, H. (2020). Wide Bandwidth Class-S Power Amplifiers for Ultrasonic Devices. Sensors, 20.","DOI":"10.3390\/s20010290"},{"key":"ref_59","doi-asserted-by":"crossref","unstructured":"Zawawi, R.B.A., Abbasi, W.H., Kim, S.-H., Choi, H., and Kim, J. (2020). Wide-Supply-Voltage-Range CMOS Bandgap Reference for In Vivo Wireless Power Telemetry. Energies, 13.","DOI":"10.3390\/en13112986"},{"key":"ref_60","doi-asserted-by":"crossref","unstructured":"Shung, K.K. (2015). Diagnostic Ultrasound: Imaging and Blood Flow Measurements, Taylor & Francis.","DOI":"10.1201\/b18323"},{"key":"ref_61","doi-asserted-by":"crossref","unstructured":"Choi, H., Yoon, C., and Yeom, J.-Y. (2017). A Wideband High-Voltage Power Amplifier Post-Linearizer for Medical Ultrasound Transducers. Appl. Sci., 7.","DOI":"10.3390\/app7040354"},{"key":"ref_62","doi-asserted-by":"crossref","unstructured":"Finkenzeller, K. (2010). RFID Handbook: Fundamentals and Applications in Contactless Smart Cards, Radio Frequency Identification and Near-Field Communication, John Wiley & Sons.","DOI":"10.1002\/9780470665121"},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"111616","DOI":"10.1016\/j.sna.2019.111616","article-title":"Development of negative-group-delay circuit for high-frequency ultrasonic transducer applications","volume":"299","author":"Choi","year":"2019","journal-title":"Sens. Actuators A"},{"key":"ref_64","unstructured":"Razavi, B. (2008). Fundamentals of Microelectronics, Wiley."},{"key":"ref_65","unstructured":"Gray, P.R. (2009). Analysis and Design of Analog Integrated Circuits, John Wiley & Sons."},{"key":"ref_66","doi-asserted-by":"crossref","unstructured":"Choi, H., Jo, J.-Y., and Ryu, J.-M. (2019). A Novel Focal Length Measurement Method for Center-Obstructed Omni-Directional Reflective Optical Systems. Appl. Sci., 9.","DOI":"10.3390\/app9112350"},{"key":"ref_67","doi-asserted-by":"crossref","unstructured":"You, K., Kim, S.-H., and Choi, H. (2020). A Class-J Power Amplifier Implementation for Ultrasound Device Applications. Sensors, 20.","DOI":"10.3390\/s20082273"},{"key":"ref_68","unstructured":"Chen, W.-K. (2009). Analog and VLSI Circuits, CRC Press."},{"key":"ref_69","unstructured":"Allen, P.E., and Holberg, D.R. (2002). CMOS Analog Circuit Design, Oxford University Press."}],"container-title":["Sensors"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1424-8220\/20\/15\/4165\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T09:51:57Z","timestamp":1760176317000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1424-8220\/20\/15\/4165"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7,27]]},"references-count":69,"journal-issue":{"issue":"15","published-online":{"date-parts":[[2020,8]]}},"alternative-id":["s20154165"],"URL":"https:\/\/doi.org\/10.3390\/s20154165","relation":{},"ISSN":["1424-8220"],"issn-type":[{"value":"1424-8220","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,7,27]]}}}