US Patent 10507035 Surgical instrument providing ultrasonic tissue emulsification and ultrasonic shearing

An instrument includes an ultrasonic blade, a first fluid port in communication with the distal opening of the ultrasonic blade, a clamp arm, an irrigation member positioned adjacent to the distal end of the ultrasonic blade, and a second fluid port in communication with the irrigation member. The ultrasonic blade defines a distal opening. The ultrasonic blade is operable in a first mode to emulsify tissue that is distally positioned relative to the ultrasonic blade. The ultrasonic blade is further operable in a second mode to transect and seal tissue that is transversely positioned relative to the ultrasonic blade. The clamp arm is pivotable toward and away from the ultrasonic blade.