A high-power ultrasonic transducer operating on a unique principle for minimally invasive treatments is proposed, capable of treating areas inaccessible by HIFU treatments. This transducer employs two elliptical reflectors that efficiently focus ultrasound waves into a thin waveguide by utilizing mode conversion. Additionally, a slit structure is introduced to suppress wave diffraction, further enhancing the focusing capabilities of the transducer. Finite element analysis demonstrates that the proposed transducer achieves an impressive energy density magnification factor of 325, with an energy efficiency of 24.2%. This efficiency is 3.4 times higher than that of a conventional transducer, DPLUS.