CURIS. 4 MHz Radiofrequency Generator for different Applications in Microsurgery. 4MHz Radiofrequency

Transcription

1 CURIS 4 MHz Radiofrequency Generator for different Applications in Microsurgery 4MHz Radiofrequency 9

2 Welcome Sutter Medizintechnik is a family owned and managed company based in Freiburg, Germany. Founded in 1970 the company s successful growth and development has been based on innovative products for minimally-invasive electrosurgery such as non-stick bipolar forceps and the 4 MHz CURIS radiofrequency generator. In 2000, Sutter Medizintechnik was the first company to introduce non-stick bipolar forceps on the market. Since then, Sutter has established itself as one of the leading European manufacturers and offers customers an unparalleled selection of designs and models. A key aspect of Sutter s success is the in-house production and Quality made in Germany. Highly qualified instrument makers manufacture the bipolar forceps according to the highest quality standards by hand in Freiburg. In 2007 Sutter introduced the innovative CURIS radiofrequency generator; offering multiple surgical disciplines the advantages of an ultra-high 4 MHz frequency in monopolar and bipolar modes. 100% customer satisfaction is a central goal which we pursue with 100% quality control for each and every product we manufacture and sell. A key motivational factor for our work is the positive feedback that we receive from surgeons around the world. This reinforces us in our objective: the improvement of clinical outcomes with high-quality and long-lasting surgical devices and instruments. 2

3 The Technology CURIS 4 MHz-Technology The higher the frequency, the less the resistance of biological tissue to electromagnetic fields 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 fields are active in the tissue cells not, as is the case with conventional electrosurgical units, between the cells. muscles fat blood 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 potentially reduced. This diagram shows the permittivity of tissue, which depends on the frequency of the electromagnetic field. Conventional electrosurgical units: The electromagnetic field concentrates between the cells and heats up only the outer layer. Source: University Collage London, Dept of Medical Physics, Appendix A: Brief Introduction to Bioimpedance, Epub (undated) CURIS 4 MHz: Cell membranes are conductive and the energy is absorbed evenly inside the cells. The result are highly focussed tissue effects. CURIS p3 TM -Technology p3 TM 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 p3 TM process is, of course, also AutoRF controlled. p 3 pulsed power performance 3

4 CURIS : one device - many applications 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 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. 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 illustrate the different kinds of tissues and cutting speeds to which the unit adjusts its power output automatically. 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. 4

5 ENT RaVoR of the inferior turbinates RaVoR of the soft palate The CURIS 4 MHz radiofrequency generator offers clinicians and private practitioners coverage of a breadth of ENT indications. The performance and clinical outcome when using the CURIS have been widely evaluated and published in numerous case reports and peer-reviewed scientific journal articles. So that you and your patients can be assured that the CURIS and radiofrequency are tested and trusted. The Radiofrequency Volume Reduction (RaVoR ) of inferior turbinates is an excellent example. RaVoR has become a standard treatment option in sleep surgery, i.e. to treat habitual snoring, mild sleep apnea and to increase both comfort and compliance of CPAP treatments. Moreover, it can be beneficial to improve nasal breathing, even together with septum correction, or to treat symptoms of rhinitis. 5

6 RaVoR of the inferior turbinates Bipolar disposable needle electrode for inferior turbinates by Binner 1:1 Schematic view of the puncture sites for the application of radiofrequency energy of the hypertrophic turbinates. 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) Inferior turbinate Preoperative condition and six months postoperatively with significantly enlarged nasal passage. RaVoR of the soft palate 1: Bipolar disposable needle electrode for the soft palate The radiofrequency assisted soft palate procedure 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 radiofrequency energy in the soft palate Dissection of surplus uvula tissue and incision lines for the triangular excision of the posterior palatal pillars. (With microdissection electrode ARROWtip, REF: ) 6

7 CURIS Basic set/accessories CURIS Basic-set CURIS basic set with single-use patient plates Anzahl REF Beschreibung CURIS radiofrequency generator (incl. mains cord, user s manual and test protocol) L Bipolar cable for CURIS, length 3 m Monopolar handpiece (pencil) cut & coag, shaft 2.4 mm, cable 3 m Cable for single use patient plates, length 3 m 1 (x50) Safety patient plates, single use, packing 5 x 10 pcs. (not shown) Fuego Trolley 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. CURIS Trolley bag 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 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 treatment 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. 7

8 CURIS Technical data 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 % 800 Ω 4,0 MHz SOFTSPRAY (Coag) 60 W ± 20 % 300 Ω 4,0 MHz bipolar CUT 1 80 W ± 20 % 200 Ω 4,0 MHz CUT 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 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 ; DIN EN Safety class I EMC (Interference suppr.) EN Type CF (cardiac floating) defibrillator-proof German MPG class. II b Quality assurance EN Sutter Medizintechnik Subject to change REF 1259 P08 printed on acid free paper Sutter Medizintechnik GmbH Tullastraße Freiburg/Germany Tel. +49(0) Fax +49(0) info@sutter-med.de 8