A surgical instrument , comprising: (a) an end effector , including: (i) an ultrasonic blade , (ii) a clamp arm configured to move relative to the ultrasonic blade from an opened position toward a closed position, wherein the ultrasonic blade and the clamp arm are configured to receive tissue in the opened position, wherein the clamp arm is configured to clamp tissue against the ultrasonic blade in the closed position, (iii) a first electrode operably connected with the clamp arm, and (iv) a second electrode associated with the ultrasonic blade, wherein the electrodes are operable to apply bipolar radiofrequency (RF) energy to tissue captured in the end effector; (b) a clamp arm actuator operatively connected to the clamp arm and configured to selectively direct the clamp arm respectively from the opened position toward the closed position; (c) a first button operable to activate the ultrasonic blade to thereby provide a cutting and sealing mode at the end effector; and (d) a second button operable to activate the electrodes to thereby provide a spot coagulation mode at the end effector; characterised in that the clamp arm comprises a top pad and a bottom pad , wherein the bottom pad is located between the top pad and the ultrasonic blade, and wherein the top pad and the bottom pad are spaced apart within the clamp arm, and wherein the first electrode is included with the top pad, and wherein a third electrode is included with the bottom pad, wherein the third electrode has opposite polarity of the first electrode. (a) an end effector , including: (i) an ultrasonic blade , (ii) a clamp arm configured to move relative to the ultrasonic blade from an opened position toward a closed position, wherein the ultrasonic blade and the clamp arm are configured to receive tissue in the opened position, wherein the clamp arm is configured to clamp tissue against the ultrasonic blade in the closed position, (iii) a first electrode operably connected with the clamp arm, and (iv) a second electrode associated with the ultrasonic blade, wherein the electrodes are operable to apply bipolar radiofrequency (RF) energy to tissue captured in the end effector; (i) an ultrasonic blade , (ii) a clamp arm configured to move relative to the ultrasonic blade from an opened position toward a closed position, wherein the ultrasonic blade and the clamp arm are configured to receive tissue in the opened position, wherein the clamp arm is configured to clamp tissue against the ultrasonic blade in the closed position, (iii) a first electrode operably connected with the clamp arm, and (iv) a second electrode associated with the ultrasonic blade, wherein the electrodes are operable to apply bipolar radiofrequency (RF) energy to tissue captured in the end effector; (b) a clamp arm actuator operatively connected to the clamp arm and configured to selectively direct the clamp arm respectively from the opened position toward the closed position; (c) a first button operable to activate the ultrasonic blade to thereby provide a cutting and sealing mode at the end effector; and (d) a second button operable to activate the electrodes to thereby provide a spot coagulation mode at the end effector; <EOS>