Radiofrequency Probe & Radiofrequency Generator Connector ...
Microsurgical Radiofrequency Generator for ENT and in ... · PDF fileMicrosurgical...
Transcript of Microsurgical Radiofrequency Generator for ENT and in ... · PDF fileMicrosurgical...
CURIS®
Microsurgical Radiofrequency Generator
for ENT and in Plastic/Esthetic Surgery
2 | Sutter · CURIS® · 2015
The higher the frequency, the less the resistance of
biological tissue to electromagnetic fi elds – up to the point
where the cell membranes are capacitively coupled.
This is exactly what happens with the 4 MHz produced by
the CURIS® (both in the monopolar and the bipolar modes).
The electromagnetic fi elds are active in the tissue cells –
not, as is the case with conventional electrosurgical units,
between the cells.
As a result energy is administered gently and in a highly focused fashion. For example precise monopolar cuts are
possible while lateral heat damage is reduced.
Conventional electrosurgical units: The electromagentic fi eld con-centrates between the cells and heats up only the outer layer.
CURIS® 4 MHz: Cell membranes are conductive and the energy is absorbed evenly inside the cells. The result are highly focussed tissue effects.
This diagram shows the permittivity of tissue, which depends on the fre uency of the electromagnetic eld.
Permittivity/Frequency
Muscle
Fat tissue
Blood
p3TM is active in all coagulation modes of the CURIS®. Radiofrequency energy is delivered in small packages of about 50
per second. Due to the pulsed power output, there are very short breaks between the individual packages. The tissue has
the time to absorb and distribute the energy and will generally be less traumatised. Highly-focussed, yet gentle coagulation with minimal thermal damage is possible. The p3TM process is, of course also, AutoRF ™ controlled.
CURIS® p3TM-Technology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CURIS® 4 MHz-Technology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
| 3Sutter · CURIS® · 2015
RaVoR™-Mode: The pulsed power output with short intervals between the individual packages gives enough time for the coagulated tissue to absorb the applied energy.
Monopolar cutting: Sections 1 to 5 show the different kinds of tissues and cutting speeds to which the unit adjusts its power output automatically.
CURIS® Precision thanks to AutoRF ™ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
The AutoRF ™ function is the main control feature of the CURIS®. It responds to tissue impedance in all modes and controls
and adjusts the power output according to tissue resistance. AutoRF ™ the CURIS® will tailor the energy output (if need be even cut off or drive to the chosen maximum) in order to ensure reproducible surgical results while cutting or coagulating.
When for instance dissecting different types of tissue in one cut (skin, fat, muscles), the unit has to process and respond
to the AutoRF ™ data in a flash. For this reason the CURIS®, like modern mainframe computers, has two microprocessors
for additional safety and speed. Instead of conventional cables, signal transmission is guaranteed by light fibres that
transmit signals at high-speed and without any loss of quality.
CURIS® Microsurgical Radiofrequency Generator One unit – many applications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Versatility in ENT 4
Plastic and Esthetic Surgery 12
CURIS® Basic Set 14
Instrument Sets 16
Technical Data 17
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4 | Sutter · CURIS® · 2015
% 50
40
0
10
20
30
0
NA
S S
core
1 2 3 4
Pat. preop. Pat. postop.
Snoring intensity pre- and post-operatively after treatment of nasal turbinates and soft palate
Marinescu, A. (2004) Bipolare Radiofrequenz-Volumenreduktion mit “ORL-Set” bei habituellem Rhonchus. Laryngo-Rhino-Otol 83: 610 – 616
Endonasal RF surgery
RF otoplasty
RaVoR™ of the soft palate
RF tonsillotomy/TE
RaVoR™ of the tongue base tonsills
RaVoR™ of the tongue base
RF for the larynx
RF uvulopalatopharyn-goplasty (UPPP)
RaVoR™ of the turbinates
RaVoR™ - Radiofrequency Volume Reduction
(of the turbinates, soft palate, tongue base, etc.)
AutoRF ™ is an intelligent mode with impedance
control that will tailor the power output of the
CURIS® to the tissue condition. As soon as the
right size of a lesion has been achieved, the
CURIS® generator will automatically stop the
activation (AUTO STOP mode) and give an
acoustic signal.
If desired, an acoustic feedback function (AUDIO
FEEDBACK) can be activated for additional safety.
While the lesion is created, a change in tissue
condition is signalled according to a prede ned
pitch (the further the lesion progresses, the higher
the activation sound).
Bipolar radiofrequency volumetric tissue reduction,
using Sutter technology, appears to have promising
results for patients with snoring and mild OSA. One
treatment session resulted in signi cant reduction in
snoring intensity, improvement in sleep quality and
QOL, and reduction in daytime sleepiness.
The Journal of Laryngology & Otology (2009), 123, 750-754
RaVoR™ of the tongue base
Puncture sites for the treatment of the tongue base
The low profile of the instrument and its strong shaft enable the surgeon to insert the probe at the back of the tongue.
1:170 04 99Bipolar RaVoR™ needle electrode for the tongue base
In my clinical practice I successfully make use of the tongue-base radiofrequency procedure. My experience shows that when using this minimally invasive method together with other surgical techniques, the outcome of sleep-rela- ted breathing disorder surgery can be improved. The treatment is useful and should be conside-red in the treatment of patients with tongue-base collapse.M. A. Sarte, MD, The Medical City Manila (Philippines)
CURIS® Versatility in ENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
| 5Sutter · CURIS® · 2015
RaVoR™ of the turbinates
RaVoR™ is successful in the short and long term. The re-usable probes make the treat-ment affordable for more patients.C. Neruntarat, MD, Faculty of Medicine Bangkok (Thailand)
Dissection of surplus uvula tissue and inci-sion lines for the triangular excision of the posterior palatal pillars. (With microdissec-tion electrode ARROWtip™, REF: 36 03 42)
The radiofrequency assisted soft palate proce-dure is a minimally invasive, safe and quick procedure. It is well tolerated by patients. We have not observed any bleeding that needed special attention.D. Brehmer, MD Göttingen (Germany)
Puncture sites for the application of radio-frequency energy in the soft palate
70 04 95Bipolar RaVoR™ needle electrode for the soft palate
RaVoR™ of the soft palate
1:1
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Inferior turbinate – Preoperative condition and six months postoperatively with signi-ficantly enlarged nasal passage.
Schematic view of the puncture sites for the application of radiofrequency energy of the hypertrophic turbinates.
70 04 62Bipolar RaVoR™ needle electrode type “Binner”
1:1
The procedure is safe and, for the surgeon, it is fast and easy to perform. Unlike with other radiofrequency systems the probes supplied are re-usable and may be autoclaved to keep the cost per procedure reasonable.M. A. Sarte, MD, The Medical City Manila (Philippines)
RaVoR™ is a modern surgical technique showing good and long-lasting treatment results when used to reduce the volume of hypertrophic turbinates. At the same time it preserves the mucosa and its function.R. Romeo, MD, Israelitic Hospital Rome (Italy)
For the posterior pillars alone two sessions may be required. It is noteworthy that there have not been any perioperative or postoperative compli-cations and hardly any bleedings. This method is ideal for the office-based setting.A. Marinescu, MD Winnenden (Germany)
70 04 89Bipolar needle electrode for “webbing“
Retracted pillar one week post-operatively
1:1
Histology of the pillar: Coagulation and necrosis (a), thrombosis (b), atrophic muscle (c)
a
b
c
Pillar immediately after radiofrequency treatment
RaVoR™ of “Webbing“
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6 | Sutter · CURIS® · 2015
To scale 1:1 Bipolar RaVoR™ electrodes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
70 04 62Bipolar RaVoR™ needle electrode type “Binner” with protective insulation,Working length 110 mm
Other products for treatment in the nose
70 04 89Bipolar RaVoR™ electrode for the posterior pillars with protective insulation,Working length 110 mm
1:1
1:1
1:1
70 04 95Bipolar RaVoR™ needle electrode for the soft palate with protective insulation,Working length 110 mm
71 50 15 Monopolar suction tube Ø 3.3 mm, Lumen 2.0, WL: 13 cm
71 50 19 Monopolar suction tube, malleable Ø 4.3 mm, Lumen 2.9, WL: 13 cm
36 08 17 Monopolar ball electrode Ø 3 mm, WL: 20 mm
36 04 62Monopolar ball electrode Ø 4 mm, WL: 110 mm
70 21 81 Bipolar forceps Bayonet, length: 20 cm, tips: 1 mm
Ideal product combination for RF surgery of the soft palate
36 03 42 Monop. ARROWtip™ Electrode Ø 0.3 mm, WL: 65 mm
70 01 75 Bipolar forceps Length: 19 cm, angled tips: 1 mm
autoclavable
90°C
134°C
*The listed working lengths serve as a guideline and may be rounded up or down. The actual lengths may vary slightly.
| 7Sutter · CURIS® · 2015
To scale 1:1 Bipolar RaVoR™/ENT electrodes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
70 04 97Bipolar RaVoR™ needle electrode for the tongue-base tonsils with protectiveinsulation, Working length 141 mm
1:1
70 04 99Bipolar RaVoR™ needle electrode for the tongue base with protective insulation,Working length 110 mm
70 04 66Bipolar electrode for ENT for coagulation of the pharyngeal tonsils,Working length 100 mm, 90° angled
1:1
70 04 65Bipolar electrode for ENT for coagulation of the pharyngeal tonsils,Working length 110 mm, 45° angled
1:1
70 04 55Bipolar electrode for ENT for coagulation of the nose, Working length 80 mm
70 04 50Bipolar electrode for ENT for coagulation of the tonsils, Working length 110 mm
70 04 51Bipolar electrode for ENT for coagulation of the larynx, Working length 270 mm
1:1
1:1
1:1
1:1
90°C
134°C
autoclavable
8 | Sutter · CURIS® · 2015
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Radiofrequency Tonsillotomy
Radiofrequency of the Larynx
Fig. left:The protruding part of the tonsil is cut along the incision line and parallel to the palatal pillar.Fig. right:Surgical site during radiofrequency tonsillotomy
Fig. left:Cordectomy type V. Arrow indicates internal surface of thyroid cartilageFig. right:Endoscopic view of the operating eld
Radiofrequency Tonsillectomy
Tonsillotomy with radiofrequency is a safe and easy-to-learn procedure. Child-
ren with symptomatic tonsillar hyperplasia pro t from it enormously. Compa-
red to all other procedures for removing parts of or even all tonsillar tissue
we prefer radiofrequency tonsillotomy for children with symptomatic tonsillar
hyperplasia without chronic tonsillitis.
R. Hirt, MD, Dessau (Germany)
The newly designed To-BiTE™ clamp com-
bining four functions in one instrument is a
safe and effective tool for performing tonsil-
lectomies. Vis-à-vis the traditional approach,
it seems to make tonsillectomies faster and
easier.“
P. Tolsdorff, MD Bad Honnef (Germany)
Tonsillar dissection
Wound immediately after tonsillectomy
Identi cation of glosso pharyngeal nerve
Small vessel before coagulation
Compared to laser procedure, microelectrodes used with radiofrequency enhance the surgical technique by giving
tactile feedback and other advantages. No special safety precautions are necessary and scarring is similar in both
procedures. Made of super-hard tungsten and especially designed to reach every part of the laryngeal anatomy,
micro-tips in different angles allow good access to the surgical eld. We have operated on 2 tumors, mainly T1
glottic tumors, using the ARROWtip™ electrodes.
Prof. J. Basterra, Valencia (Spain)
| 9Sutter · CURIS® · 2015
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Microdissection electrode ARROWtip™1:1
Other products for the treatment of the tonsils
71 50 19 Monopolar suction tube, malleable Ø 4.3 mm, Lumen 2.9, WL: 13 cm
70 01 75 Bipolar forceps Length: 19 cm, angled tips: 1 mm
To-BiTE™ non-stick for bipolar RF Tonsillectomy
Microdissection electrode ARROWtip™ for RF of the Larynx
70 09 60SG To-BiTE™ bipolar non-stick tonsillectomy clamp
37 01 54R Bipolar CURIS® cable for To-BiTE™/Calvian™ (not shown)
Other products for tonsillectomy
70 01 75 Bipolar forcepsLength: 19 cm, angl. tips: 1 mm
70 01 76 Bipolar forcepsLength: 19 cm, angl. tips: 2 mm
36 04 40 Blade electrodeWorking length: 32 mm
Other products for treatment of the larynx
71 50 17 Monopolar suction tube Ø 3.3 mm, Lumen 2.0, Working length: 25.5 cm
36 03 71straight
36 03 7245° angled dwn.
36 03 7390° angled dwn.
36 03 7490° angled upw.
36 03 7545° angled upw.
210 mm
Monopolar ARROWtip™ electrode, Working length: 210 mm 1:1
90°C
134°C
autoclavable36 03 42Microdissection electrode ARROWtip™ angled, 65 mm
36 03 65Tonsillotomy electrode ARROWtip™ angled, 65 mm
90°C
134°C
autoclavable
90°C
134°C
autoclavable
10 | Sutter · CURIS® · 2015
Radiofrequency in Sinus Surgery
Radiofrequency in Oral Surgery
The uncinate process incised and lifted anteriorly. Arrow (a) indicates the incised anterior edge, arrow (b) indicates posterior margin.
Incision starting at the cranial attachment of right uncinate process utilizing angled mono-polar RF probe. ARROWtip™ (REF: 36 03 42).
Patient with Rendu-Osler-Weber syndrome, pre-operative ndings
Intraoperative view during radiofre-quency treatment of nasal heredi-tary haemorrhagic telangiectasia
Result of radiofrequency treatment six months post-operatively
Sublingual Papilloma on the right side
Reduced-bleeding excision of the papilloma with a monopolar needle electrode ARROWtip™ (REF 36 03 22)
Post-operative site after precise and full tumor resection
The posterior part of the uncinate process can be incised by means of the angled tip. No deterioration of the inferior turbinate.
Nearly bloodless incision at the anterior edge of the uncinate process.
Radiofrequency treatment of Epistaxis
Endoscopic endonasal sinus surgery demands subtle hemostasis and the
precise cutting performance of the instruments employed. The disadvantages
of “cold steel” can be levelled out favourably by the application of radio-
frequency current through an angled probe.
Prof. T. Kühnel, Regensburg (Germany)
Blood vessels on the surface of the nasal mucosa are often the cause for recurrent nasal bleeding. Radiofrequency coagulation (RF coagulation) is a new method for the treatment of such vessels with the advantage of causing less thermal damage to the surrounding mucosa. Recurrent epistaxis predo-minantely occurs in Osler‘s disease. Despite a broad armamentarium of treatment methods, successful therapy in this patient group is dif cult to achieve. RF coagulation is an inexpensive alternative to laser treatment, and preliminary results are promising.
Prof. B. J. Folz; C.-G. Konnerth, MD, Lippspringe (Germany)
Radiofrequency excision of lesions in the oral cavities (tongue, tongue base, buccal mucosa,
lips or base of the mouth) such as benign and malign tumors as well as precancerous lesions
is a gentle and very easy treatment which can be done under local anaesthesia.
S. Arndt, MD; E. Rieh, MD, Freiburg (Germany)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
| 11Sutter · CURIS® · 2015
Other products for treatment in sinus surgery
Other products for epistaxis
Other products for oral surgery
(Malleable) Ball electrode
Microdissection electrode ARROWtip™
36 08 17 Malleable RF ball electrode, ball Ø 3.0 mm, WL: 20 mm
1:1
36 04 62 RF ball electrode, ball Ø 4.0 mm, long shaft, WL: 110 mm
1:1
71 50 10 Monopolar suction tubeØ 4.0 mm, Lumen 2.8, WL: 13 cm
36 03 22 Microdissection electrode ARROWtip™ 90° angled, Working length 20 mm
1:1
Microdissection electrode ARROWtip™
36 03 42Microdissection electrode ARROWtip™ angled, 65 mm
1:1
36 08 14 Loop electrode loop Ø 5 mm
70 01 50 Bipolar forcepsLength: 16.5 cm, straight tips: pointed
70 09 46 Calvian® bipolar clamp with suction, WL 23 cm
37 01 54R Bipolar CURIS® cable for To-BiTE™/Calvian® (not shown)
· MA
LLEABLE · MALLEAB
LE
·
BIE
GBAR · BIEGBAR
90°C
134°C
autoclavable
90°C
134°C
autoclavable
90°C
134°C
autoclavable
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
45°
12 | Sutter · CURIS® · 2015
Lateral thermal damage following radio-frequency excision: 155 μm
Lateral thermal damage after conventional electrosurgery excision: 286 μm
Radiofrequency surgery causes less lateral tissue damage than conventional
electrosurgery. Consequently faster wound healing and a better cosmetic
outcome can be expected. Studies have even shown better cosmetic results
for radiofrequency skin surgery than for CO2 laser applications. Radiofrequency
also improves operation comfort by enabling germ-free and pressure-free cuts
with minimal bleeding in a very cost-effective way.
R. Kasten, MDMainz (Germany)
CURIS® Plastic and Esthetic Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Precise cutting allows the tissue to heal with minimal postoperative pain and
scarring. The degree of haemostasis is determined by the surgeon. It goes
without saying that the CURIS® will produce clear, clean cuts. This only works
when the energy delivered is highly focussed and there is minimal lateral heat
damage.
The frequency of 4 MHz and AutoRF ™ combine to create a homogenous
electromagnetic eld. For the unit to adjust to ever changing conditions during
cutting skin, fat, muscle in one stroke, active performance control with AutoRF ™
is able to ensure reproducible results.
Best possible coagulation results, according to the doctor’s requirements,
with two bipolar modes. For instruments with wider tips of 1 mm and more, the
MACRO mode is ideal. The advantage of ne instruments – their precision – is
enhanced by the PRECISE mode, which can be adjusted in steps of 0.5 watts.
Its gentleness and characteristics guarantee safe coagulation results during
subtle interventions and near sensitive structures.
Excision of a hemangioma with minimal bleedingHemangioma on the upper arm
Blepharoplasty
Couperosa, warts, etc.
Mammaplasty
Otoplasty
Face-lifts
Abdominoplasty („Tummy Tuck“)
Radiofrequency Electrosurgery
| 13Sutter · CURIS® · 2015
Radiofrequency Ablation of Papular Melanocytic Naevi
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1:1
Microdissection electrode ARROWtip™ for dermatology
36 03 20 ARROWtip™ electrode straight, Working length 20 mm
36 03 21ARROWtip™ electrodeshort 45° angled, Working length 20 mm
36 03 22ARROWtip™ electrode90° angled, Working length 20 mm
36 03 25 ARROWtip™ electrodestraight, Working length 30 mm
36 03 28 ARROWtip™ electrode45° angled, Working length 30 mm
20 mm
30 mm
Ø 0.3 mm
Ø 0.3 mm
Ø 0.3 mm
Ø 0.3 mm
Ø 0.3 mm
Ø 2.4 mm
The range of radiofrequency surgery has
now been extended to ablative, vaporising
methods in aesthetic medicine. This novel
method complements the armamentarium
of the dermatologist in the operating room
as well as those of the plastic surgeon and
ENT specialist. Elevated benign naevi may
now be removed elegantly and painlessly
producing excellent cosmetic results.
R. Kasten, MD Mainz (Germany)
Papular nevus on left cheek
Eight weeks after radiofrequency ablation
Tangential excision of papular nevus
Removing the remaining part of the lesion with gentle movements
36 08 16 Malleable ball electrode, WL: 20 mm
· MA
LLEABLE · MALLEAB
LE
·
BIE
GBAR · BIEGBAR
Ø 1.0 mm
90°C
134°C
autoclavable
14 | Sutter · CURIS® · 2015
CURIS® Basic set/Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
87 86 05 – RaVoR™ Set for Surgery
Qty. REF Description
2 70 04 62 RaVoR™ (Binner) probe for turbinate reduction 1 70 04 5 RaVoR™ probe for the soft palate 1 70 04 RaVoR™ probe for the posterior pillars 2 36 03 28 ARROWtip™ monopolar microdissection needle, WL 30 mm, angled 2 36 03 42 ARROWtip™ monopolar microdissection needle, WL 65 mm, angled 1 80 00 00 Container with accessories (31 x 10 x 1 cm) 1 70 17 47 Instrument tray
87 00 05 – RaVoR™ Set for Hospital
Qty. REF Description
1 70 04 62 RaVoR™ (Binner) probe for turbinate reduction 1 70 04 5 RaVoR™ probe for the soft palate 1 70 04 8 RaVoR™ probe for the posterior pillars 1 70 04 RaVoR™ probe for the tongue base 2 36 03 28 ARROWtip™ monopolar microdissection needle, WL 30 mm, angled 2 36 03 42 ARROWtip™ monopolar microdissection needle, WL 65 mm, angled 1 80 00 00 Container with accessories (31 x 10 x 1 cm) 1 70 17 47 Instrument tray
Radiofrequency set for ENT surgery
Qty. REF Description
1 70 01 75 Bipolar forceps, straight, length 1 cm, tips 1.0 mm angled 1 70 21 81 Bipolar forceps, bayonet, length 20 cm, tips 1.0 mm 1 70 01 78 Bipolar forceps type „Meuser“, length 18 cm, tips 2.0 mm 2 36 03 42 ARROWtip™ microdissection needle monopolar, WL 65 mm, angled 2 36 03 21 ARROWtip™ microdissection needle monopolar, WL 20 mm, angled 2 36 04 43 Loop electrode monopolar, ball Ø 10 mm 2 36 04 40 Blade electrode monopolar 1 80 00 00 Container with accessories (31 x 10 x 1 cm) 1 70 17 47 Instrument tray
Instrument sets for ENT
87 00 10 – CURIS® basic set with single-use patient plates
Qty. REF Description
1 360100-01 CURIS® radiofrequency generator (incl. mains cord, user‘s manual and test protocol) 1 360110 Footswitch two pedals for CURIS® (cut & coag), 4 m cable 1 370154L Bipolar cable for CURIS®, length 3 m 1 360704 Monopolar handpiece (pencil) cut & coag, shaft 2.4 mm, cable 3 m 1 360238 Cable for single use patient plates, length 3 m 1 (x50) 360222 Safety patient plates, single use, packing 5 x 10 pcs. (not shown)
Optional model CURIS® basic set with re-usable patient plate (REF 870020)
CURIS® Basic set
15 | Sutter · CURIS® · 2015
CURIS®– Commonly used unit settings*
*Please see disclaimer on page 17. Values are recommendations only and may be changed at the discretion of the physician!
Indication Instrument Unit settings
Dermatology
Syringoma Blade electrode Cut 1 REF 36 04 40 5 - 8 watts
Spider Naevi, Couperosa, ARROWtip™ microdissection electrode Contact Coagulation Spider Veins REF 36 03 20 5 - 8 watts
Age Spots Loop electrode Cut 1 or Spray Coagulation REF 36 04 43 12 - 15 watts
Birthmark ARROWtip™ microdissection electrode Cut 1 or Cut 2 REF 36 03 20 20 watts
Warts, Fibrosis Loop electrode Softspray REF 36 04 43 7 - 25 watts Cut 2: 10 - 25 watts
Neurofi broma ARROWtip™ microdissection electrode Cut 1 REF 36 03 21 7 watts
Papular Melanocytic Ball electrode Cut 1 Naevi REF 36 08 16 4 watts
Tongue lesions ARROWtip™ microdissection electrode Cut 1 REF 36 03 42 10 watts
Plastic/Esthetic surgery
Blepharoplasty ARROWtip™ microdissection electrode Cut 2 for skin incision REF 36 03 20, 36 03 21, 36 03 22, 36 03 25 10 – 16 watts
Blepharoplasty Bipolar forceps Precise for coagulation REF 70 02 48 OR 70 02 40 12 watts
Facelift ARROWtip™ microdissection electrode Cut 1 for skin incision monopolar REF 36 03 20, 36 03 21, 36 03 22, 36 03 25 10 - 16 watts
Facelift Bipolar forceps Precise for coagulation bipolar REF 70 01 52 OR 70 02 48 OR 70 02 40 15 - 25 watts OR 10 - 15 watts
Hand surgery ARROWtip™ microdissection electrode CUT 1 or 2 for skin incision monopolar REF 36 03 20 12 - 15 watts
Hand surgery Ball electrode Contact Coagulation for monopolar coagulation REF 36 08 16 20 watts OR 5 - 7 watts for slow coagulation
Hand surgery Bipolar forceps Precise for bipolar coagulation REF 70 01 52 20 watts OR 70 02 38 15 - 25 watts
Breast surgery ARROWtip™ microdissection electrode Cut 1 or 2 for skin incision monopolar REF 36 03 20, 36 03 50 7 - 12 watts
Breast surgery Bipolar forceps Precise for bipolar coagulation REF 70 01 51 OR 70 02 91 15 - 25 watts
ENT
RaVoR™ Bipolar electrode type „Binner“ RaVoR™ (AudioFeedback) nasal turbinates REF 70 04 62 8 - 10 watts
RaVoR™ Bipolar Marinescu electrode RaVoR™ (AudioFeedback) Soft Palate REF 70 04 95 10 watts
RaVoR™ Bipolar tongue base electrode RaVoR™ (AudioFeedback) Tongue Base REF 70 04 99 12 watts
UPPP ARROWtip™ microdissection electrode Monopolar Cut 2 REF 36 03 42 12 watts
Tonsillotomy ARROWtip™ microdissection electrode Monopolar Cut 2 REF 36 03 42, 36 03 65 20 - 25 watts Bipolar forceps Precise REF 70 01 75 15 - 30 watts
Tonsillectomy with To-BiTE™ Bipolar Macro To-BiTE™ REF 70 09 60SG 30 - 40 watts
Laryngeal tumors ARROWtip™ microdissection electrode Monopolar CUT 2 REF 36 03 71 - 35 5 - 20 watts
Epistaxis Ball elelectrode Monopolar CONTACT COAG REF 36 08 17 oder 36 04 62 8 - 12 watt
| 16Sutter · CURIS® · 2014
Instrument sets for ENT
Radiofrequency set for ne surgery and microdissection
Qty. REF Description
1 70 02 41 Bipolar forceps, straight, length 10,5 cm, tips 0.5 mm 1 70 01 51 Bipolar forceps, straight, length 16.5 cm, tips 1 mm 2 36 03 28 ARROWtip™ monopolar microdissection needle, WL 30 mm, angled 2 36 03 20 ARROWtip™ monopolar microdissection needle, WL 20 mm, straight 2 36 03 21 ARROWtip™ monopolar microdissection needle, WL 20 mm, short angled 2 36 03 25 ARROWtip™ monopolar microdissection needle, WL 20 mm, straight 1 80 00 00 Container with accessories (31 x 10 x 1 cm) 1 70 17 47 Instrument tray
Radiofrequency set for plastic surgery
Qty. REF Description
1 70 01 71 Bipolar forceps, straight 1 cm, tips 1.0 mm 2 36 04 40 Blade electrode monopolar 2 36 04 41 Needle electrode monopolar 2 36 04 42 Ball electrode monopolar, ball Ø 4 mm 1 80 00 00 Container with accessories (31 x 10 x 1 cm) 1 70 17 47 Instrument tray
Radiofrequency set for eye surgery
Qty. REF Description
1 70 02 41 Bipolar forceps, straight, length 10,5 cm, tips 0.5 mm 2 36 03 20 ARROWtip™ monopolar microdissection needle, WL 20 mm, straight 2 36 03 21 ARROWtip™ monopolar microdissection needle, WL 20 mm, short angled 2 36 04 43 Loop electrode monopolar, loop Ø 10 mm 1 80 00 00 Container with accessories (31 x 10 x 1 cm) 1 70 17 47 Instrument tray
Instrument sets for dermatology
Radiofrequency set for nose surgery
Qty. REF Description
1 70 08 60 Bipolar forceps with suction canal, bayonet, length 20 cm, tips 1.4 mm 1 70 21 81 Bipolar forceps, bayonet, length 20 cm, tips 1.0 mm 1 70 04 62 RaVoR™ (Binner) probe for turbinate reduction 1 80 00 00 Container with accessories (31 x 10 x 1 cm) 1 70 17 47 Instrument tray
Radiofrequency set for Tonsillectomy with To-BiTE™ non-stick
Qty. REF Description
1 70 0 60S To-BiTE™ non-stick, bipolar clamp for non-stick tonsillectomy 1 37 01 54R Bipolar CURIS® cable for To-BiTE™ non-stick
Radiofrequency set for Larynx surgery
Qty. REF Description
2 36 03 71 ARROWtip™ electrode for larynx, WL: 210 mm, straight 2 36 03 72 ARROWtip™ electrode for larynx, WL: 210 mm, 45° angled dwn. 2 36 03 73 ARROWtip™ electrode for larynx, WL: 210 mm, 0° angled dwn. 2 36 03 74 ARROWtip™ electrode for larynx, WL: 210 mm, 0° angled upw. 2 36 03 75 ARROWtip™ electrode for larynx, WL: 210 mm, 45° angled upw. 1 71 50 17 Monopolar suction tube Ø 3.3 mm, WL: 255 mm
CURIS® Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
| 17Sutter · CURIS® · 2014
CURIS® Storage / Transport . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Disclaimer: The information presented herein has been carefully researched and compiled with the help of specialist physicians. They are not meant to serve as a detailed treat-ment guide. They do not replace the user instructions for the medical devices used. Sutter accepts no liability for the treatment results beyond the mandatory legal regulations.
The CURIS® trolley bag with its hard case is ideally suited
to preserve your radiofrequency generator from damage.
It enables a convenient and robust transport.
CURIS® Trolley bag
CURIS® Technical Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Fuego Trolley
The trolley has a solid design and guarantees that the
CURIS® RF-generator will not shift. It also comes with a
hook to mount the footswitch.
Two storage baskets for accessories and documentation.36 09 00 Fuego trolley
99 01 10 CURIS® trolley bag
RF output max. performance oper. frequency
monopolar
CUT 1 (unmodulated) 100 W ± 20 % 300 Ω 4.0 MHz
CUT 2 (modulated) 80 W ± 20 % 300 Ω 4.0 MHz
CONTACT (Coag) 80 W ± 20 % 200 Ω 4.0 MHz
SOFTSPRAY (Coag) 60 W ± 20 % 300 Ω 4.0 MHz
bipolar
BICUT 1 80 W ± 20 % 200 Ω 4.0 MHz
BICUT 2 80 W ± 20 % 200 Ω 4.0 MHz
EXCISE (Cut) 80 W ± 20 % 200 Ω 4.0 MHz
MACRO (Coag) 100 W ± 20 % 50 Ω 4.0 MHz
PRECISE (Coag) 50 W ± 20 % 50 Ω 4.0 MHz
RaVoR™ 40 W ± 20 % 50 Ω 4.0 MHz
Modulation frequency 33 kHz
Mains supply 100-240 V; 50/60 Hz
Measurements W x H x D 320 mm x 170 mm x 385 mm
Weight approx. 5.2 kg
Mode of operation Intermittent INT 10 s / 30 s equals 25 % ED
Standards DIN EN 60601-1; DIN EN 60601-2-2
Safety class I
EMC (Interference suppr.) EN 60601-1-2
Type CF (cardiac floating) defibrillator-proof
German MPG class. II b
Quality assurance EN 13485
© S
utte
r Med
izin
tech
nik
· Sub
ject
to c
hang
e · R
EF 1
027
E –
O0
3 ·
prin
ted
on a
cid
free
pap
er
SUTTER MEDIZINTECHNIK GMBHTULLASTRASSE 87 · 79108 FREIBURG/GERMANY · TEL. +49(0)761-51551-0 · FAX +49(0)761-51551-30
WWW.SUTTER-MED.COM · WWW.SUTTER-MED.DE · E-MAIL: [email protected]