GDS - Sutter 'CURIS' Microsurgical Radiofrequency Generator by GDS MedTech

CURIS速 Microsurgical Radiofrequency Generator for ENT and in Plastic/Esthetic Surgery

CURIS®

4 MHz-Technology

CURIS®

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Permittivity/Frequency

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. 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.

Muscle

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. Due to 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.

Fat tissue

Blood

This diagram shows the permittivity of tissue, which depends on the frequency of the electromagnetic ﬁeld.

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.

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.

Conventional electrosurgical units: The electromagentic ﬁeld concentrates 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.

CURIS®

Microsurgical Radiofrequency Generator One unit – many applications

..................................................................................................... CURIS®

p3 ™-Technology

..................................................................................................... p3™ 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™ process is, of course also, AutoRF ™ controlled.

2 | Sutter · CURIS ® · 2011

Versatility in ENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Plastic and Esthetic Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

CURIS® Basic Set . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Instrument Sets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Technical Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Sutter · CURIS ® · 2011 | 3

RaVoR™ of the turbinates CURIS®

Versatility in ENT

..................................................................................................... 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 signiﬁcant reduction in snoring intensity, improvement in sleep quality and QOL, and reduction in daytime sleepiness. The Journal of Laryngology & Otology (2009), 123, 750-754

Endonasal RF surgery RaVoR™ of the turbinates

1:1

70 04 62 Bipolar RaVoR™ needle electrode type “Binner”

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 predeﬁned pitch (the further the lesion progresses, the higher the activation sound).

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)

Schematic view of the puncture sites for the application of radiofrequency energy of the hypertrophic turbinates.

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)

Inferior turbinate – Preoperative condition and six months postoperatively with signiﬁcantly enlarged nasal passage.

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RaVoR™ of the soft palate

RF otoplasty RaVoR™ of the soft palate

% 50

RF uvulopalatopharyngoplasty (UPPP)

NAS Score

1:1

70 04 95 Bipolar RaVoR™ needle electrode for the soft palate

RaVoR™ is successful in the short and long term. The re-usable probes make the treatment affordable for more patients. C. Neruntarat, MD, Faculty of Medicine Bangkok (Thailand)

RF tonsillotomy/TE 20

RaVoR™ of the tongue base

10 0

RaVoR™ of the tongue base tonsills

1 Pat. preop.

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)

Pat. postop.

RF for the larynx 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

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: 36 03 42)

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RaVoR™ of the tongue base

RaVoR™ of “Webbing“ 1:1

1:1

70 04 99

70 04 89 Bipolar needle electrode for “webbing“

Bipolar 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-related breathing disorder surgery can be improved. The treatment is useful and should be considered in the treatment of patients with tonguebase collapse. M. A. Sarte, MD, The Medical City Manila (Philippines)

For the posterior pillars alone two sessions may be required. It is noteworthy that there have not been any perioperative or postoperative complications and hardly any bleedings. This method is ideal for the ofﬁce-based setting. A. Marinescu, MD Winnenden (Germany)

Puncture sites for the treatment of the tongue base

4 | Sutter · CURIS ® · 2011

The low proﬁle of the instrument and its strong shaft enable the surgeon to insert the probe at the back of the tongue.

Pillar immediately after radiofrequency treatment

Histology of the pillar: Coagulation and necrosis (a), thrombosis (b), atrophic muscle (c) Retracted pillar one week post-operatively

Sutter · CURIS ® · 2011 | 5

134°C To scale 1:1

134°C 90°C

Bipolar RaVoR™ electrodes

autoclavable

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To scale 1:1

Bipolar RaVoR™/ENT electrodes

90°C autoclavable

..................................................................................................... 1:1

70 04 99

70 04 62

Bipolar RaVoR™ needle electrode for the tongue base with protective insulation, work length 110 mm

Bipolar RaVoR™ needle electrode type “Binner” with protective insulation, work length 110 mm 1:1

1:1

70 04 97 Bipolar RaVoR™ needle electrode for the tongue-base tonsils with protective insulation, work length 110 mm

Other products for treatment in the nose

71 50 15

36 08 17

78 21 81SG

Monopolar suction tube Ø 3,3 mm, WL: 13 cm

Monopolar ball electrode Ø 3 mm, WL: 20 mm

71 50 19

36 04 62

Monopolar suction tube, malleable Ø 3,3 mm, WL: 13 cm

Monopolar ball electrode Ø 4 mm, WL: 110 mm

1:1

SuperGliss non-stick Bayonet, length: 20 cm, tips: 1 mm

70 04 65 Bipolar electrode for ENT for coagulation of the pharyngeal tonsils, work length 110 mm, 45° angled 1:1

1:1

70 04 66 Bipolar electrode for ENT for coagulation of the pharyngeal tonsils, work length 100 mm, 90° angled

70 04 95 Bipolar RaVoR™ needle electrode for the soft palate with protective insulation, work length 110 mm

70 04 55 70 04 89 Bipolar RaVoR™ electrode for the posterior pillars with protective insulation, work length 110 mm

1:1

Bipolar electrode for ENT for coagulation of the nose, work length 80 mm

70 04 50

Ideal product combination for RF surgery of the soft palate

1:1

36 03 42

78 01 75SG

Monop. ARROWtip™ Electrode Ø 0,3 mm, WL: 65 mm

SuperGliss® non-stick Length: 20 cm, angled tips: 1 mm

70 04 51 1:1

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Bipolar electrode for ENT for coagulation of the tonsils, work length 110 mm

Bipolar electrode for ENT for coagulation of the larynx, work length 270 mm

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Radiofrequency Tonsillotomy

Microdissection electrode ARROWtip™

134°C 1:1

90°C

Tonsillotomy with radiofrequency is a safe and easy-to-learn procedure. Children with symptomatic tonsillar hyperplasia proﬁt from it enormously. Compared 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)

autoclavable 36 03 42 Microdissection electrode ARROWtip™ angled, 65 mm

36 03 65 Tonsillotomy electrode ARROWtip™ angled, 65 mm

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

Other products for the treatment of the tonsils

78 01 75SG

71 50 19

SuperGliss® non-stick Length: 20 cm, angled tips: 1 mm

Monopolar suction tube, malleable Ø 3,3 mm, WL: 13 cm

Radiofrequency Tonsillectomy The newly designed To-BiTE™ clamp combining four functions in one instrument is a safe and effective tool for performing tonsillectomies. Vis-à-vis the traditional approach, it seems to make tonsillectomies faster and easier.“ P. Tolsdorff, MD Bad Honnef (Germany)

To-BiTE™ non-stick for bipolar RF Tonsillectomy

134°C 90°C autoclavable

Tonsillar dissection

70 09 60SG

Identiﬁcation of glosso pharyngeal nerve

To-BiTE™ bipolar non-stick tonsillectomy clamp

37 01 54R Bipolar CURIS® cable for To-BiTE™/Calvian™ (not shown)

Other products for tonsillectomy

Small vessel before coagulation

78 01 75SG

78 01 76SG

36 04 40

SuperGliss® non-stick Length: 20 cm, angl. tips: 1 mm

SuperGliss® non-stick Length: 20 cm, angl. tips: 2 mm

Blade electrode Work length: 32 mm

Wound immediately after tonsillectomy

Microdissection electrode ARROWtip™ for RF of the Larynx

Radiofrequency of the Larynx

134°C

210 mm

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 ﬁeld. We have operated on 92 tumors, mainly T1 glottic tumors, using the ARROWtip™ electrodes. Prof. J. Basterra, Valencia (Spain) Fig. left: Cordectomy type V. Arrow indicates internal surface of thyroid cartilage Fig. right: Endoscopic view of the operating ﬁeld

90°C autoclavable

1:1

Monopolar ARROWtip™ electrode, work length: 210 mm

36 03 71

36 03 72

36 03 73

36 03 74

36 03 75

straight

45° angled dwn.

90° angled dwn.

90° angled upw.

45° angled upw.

Other products for treatment of the larynx

71 50 17 Monopolar suction tube Ø 3,3 mm, work length: 25,5 cm

8 | Sutter · CURIS ® · 2011

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Radiofrequency in Sinus Surgery

Microdissection electrode ARROWtip™

134°C 1:1

90°C

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 radiofrequency current through an angled probe. Prof. T. Kühnel, Regensburg (Germany)

autoclavable 36 03 42 Microdissection electrode ARROWtip™ angled, 65 mm

Other products for treatment in sinus surgery

45°

70 09 48 Calvian™ bipolar p clamp, WL 18 cm

NEW 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 monopolar RF probe. ARROWtip™ (REF: 36 03 42).

The posterior part of the uncinate process can be incised by means of the angled tip. No deterioration of the inferior turbinate.

37 01 54R

Nearly bloodless incision at the anterior edge of the uncinate process.

Bipolar CURIS® cable for To-BiTE™/Calvian™ (not shown)

(Malleable) Ball electrode

134°C 90°C

B LE ·

36 08 17 Malleable RF ball electrode, ball Ø 3,0 mm, WL: 20 mm

A R · B I EG BA

· MAL

Prof. B. J. Folz; C.-G. Konnerth, MD, Lippspringe (Germany)

BIE

1:1

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 predominantely occurs in Osler‘s disease. Despite a broad armamentarium of treatment methods, successful therapy in this patient group is difﬁcult to achieve. RF coagulation is an inexpensive alternative to laser treatment, and preliminary results are promising.

Radiofrequency treatment of Epistaxis

LE · MAL

autoclavable

1:1

36 04 62 RF ball electrode, ball Ø 4,0 mm, long shaft, WL: 110 mm

Other products for epistaxis

71 50 10 Monopolar suction tube Ø 2,8 mm, WL: 13 cm Patient with Rendu-Osler-Weber syndrome, pre-operative ﬁndings

Intraoperative situs during radiofrequency treatment of nasal hereditary haemorrhagic telangiectasi

Result of radiofrequency treatment six months post-operatively

Microdissection electrode ARROWtip™

Radiofrequency in Oral Surgery 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)

134°C 90°C

1:1

autoclavable

36 03 22 Microdissection electrode ARROWtip™ 90° angled, work length 20 mm

Other products for oral surgery

Sublingual Papilloma on the left side

10 | Sutter · CURIS ® · 2011

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

36 08 14 Loop electrode loop Ø 5 mm

78 01 54SG SuperGliss® non-stick Length: 18,5 cm, straight tips: 0,4 mm

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CURIS®

radiant skin

Plastic and Esthetic Surgery

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Blepharoplasty Otoplasty Face-lifts non-invasive skin tightening Couperosa, warts, etc.

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, MD Mainz (Germany)

Radiofrequency

non-invasive

non-surgical easy fast non-ablative pleasant

Electrosurgery

Mammaplasty

Non-invasive radiofrequency „lifting“ Abdominoplasty („Tummy Tuck“)

87 06 50 Lateral thermal damage following radiofrequency excision: 155 μm

radioplasty® set

Lateral thermal damage after conventional electrosurgery excision: 286 μm 1:1

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 ﬁeld. 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 ﬁne 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.

Hemangioma on the upper arm

Ø 5 mm Perioral region before radioplasty®

Perioral region after radioplasty®

radioplasty® is an efﬁcient, easy-to-perform, biological, non-invasive and – not to forget – rather inexpensive treatment for skin rejuvenation. The effect seems to last for more than a year and possibly up to two years. A. Dilmac, E. Bakkal, MD Karlsruhe (Germany) Ø 10 mm

radioplasty® is a non-ablative method to treat small wrinkles and lax skin. It relies on 4 Megahertz radiofrequency technology to smoothen out wrinkles and tighten the skin. The energy applied reaches the cutaneous and subcutaneous layers of the skin where heat stimulates the production of new ﬁbroblasts and collagen. As a result the skin will appear rejuvenated and smoother [1].* The unique 4 MHz technology together with the innovative AutoRF ™ function of the CURIS® RF generatoris the ideal power source. When this technology is applied with the special thermo-conductible probes and the cooling radioplasty® gel, there will be no ablative re action due to heat formation in the surface level of the skin. [1] Zellickson B. D. et al. (2004), Histological and Ultrastructural evaluation of the effects of a Radiofrequency-based non-ablative dermal remodeling device. Arch Dermatol. 2004; 140: 204-209 * Results may vary from patient to patient.

12 | Sutter · CURIS ® · 2011

Ø 15 mm

Excision of a hemangioma with minimal bleeding

radioplasty® gel

Sutter · CURIS ® · 2011 | 13

Radiofrequency Ablation of Papular Melanocytic Naevi CURIS®

EA LE · MAL

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)

CURIS® Basic set 870010 – CURIS® basic set with single-use patient plates

Papular nevus on left cheek

Tangential excision of papular nevus

Microdissection electrode ARROWtip™ for dermatology

90°C

Ø 2,4 mm

Ø 0.3 mm 36 03 20 ARROWtip™ electrode straight, work length 20 mm

autoclavable

REF

Description

1 1 1 1 1 1 (x50)

360100-01 360110 370154L 360704 360238 360222

CURIS® radiofrequency generator (incl. mains cord, user‘s manual and test protocol) Footswitch two pedals for CURIS® (cut & coag), 4 m cable 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 Safety patient plates, single use, packing 5 x 10 pcs. (not shown)

Eight weeks after radiofrequency ablation

......................................................................................................................

20 mm

Qty.

Optional model CURIS® basic set with re-usable patient plate (REF 870020)

Removing the remaining part of the lesion with gentle movements

134°C

Basic set /Accessories

.....................................................................................................

B LE ·

BIE

36 08 16 Malleable ball electrode, WL: 20 mm

A R · B I EG R

L · MAL

Ø 1,0 mm

1:1

Instrument sets for ENT 87 86 05 – RaVoR™ Set for Surgery Qty.

REF

Description

2 1 1 2 2 1

70 04 62 70 04 95 70 04 89 36 03 28 36 03 42 80 00 00

RaVoR™ (Binner) probe for turbinate reduction RaVoR™ probe for the soft palate RaVoR™ probe for the posterior pillars ARROWtip™ monopolar microdissection needle, WL 30 mm, angled ARROWtip™ monopolar microdissection needle, WL 65 mm, angled Container and instrument tray

87 00 05 – RaVoR™ Set for Hospital

Ø 0.3 mm 36 03 21 ARROWtip™ electrode short 45° angled, work length 20 mm

Ø 0.3 mm 36 03 22 ARROWtip™ electrode 90° angled, work length 20 mm 30 mm Ø 0.3 mm 36 03 25 ARROWtip™ electrode straight, work length 30 mm

Qty.

REF

Description

1 1 1 1 2 2 1

70 04 62 70 04 95 70 04 89 70 04 99 36 03 28 36 03 42 80 00 00

RaVoR™ (Binner) probe for turbinate reduction RaVoR™ probe for the soft palate RaVoR™ probe for the posterior pillars RaVoR™ probe for the tongue base ARROWtip™ monopolar microdissection needle, WL 30 mm, angled ARROWtip™ monopolar microdissection needle, WL 65 mm, angled Container and instrument tray

87 00 40 – Radiofrequency set for ENT surgery Qty.

REF

Description

1 1 1 2 2 2 2 1

78 01 75SG 78 21 81SG 78 01 78SG 36 03 42 36 03 21 36 04 43 36 04 40 80 00 00

SuperGliss® non-stick bipolar forceps, straight, length 19 cm, tips 1.0 mm angled SuperGliss® non-stick bipolar forceps, bayonet, length 20 cm, tips 1.0 mm SuperGliss® non-stick bipolar forceps type „Meuser“, length 19 cm, tips 2.0 mm ARROWtip™ microdissection needle monopolar, WL 65 mm, angled ARROWtip™ microdissection needle monopolar, WL 20 mm, angled Loop electrode monopolar, ball Ø 10 mm Blade electrode monopolar Container and instrument tray

Ø 0.3 mm 36 03 28 ARROWtip™ electrode 45° angled, work length 30 mm

14 | Sutter · CURIS ® · 2011

Sutter · CURIS ® · 2011 | 15

CURIS®

Accessories

CURIS®

.....................................................................................................

Accessories

.....................................................................................................

Instrument sets for ENT

Fuego Trolley

87 00 80 – Radiofrequency set for nose surgery

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.

Qty.

REF

Description

1 1 1 1

70 08 60 78 21 81SG 70 04 62 80 00 00

Bipolar forceps with suction canal, bayonet, length 20 cm, tips 1.4 mm SuperGliss® non-stick bipolar forceps, bayonet, length 20 cm, tips 1.0 mm RaVoR™ (Binner) probe for turbinate reduction Container and instrument tray

70 00 60 – Radiofrequency set for Tonsillectomy with To-BiTE™ non-stick Qty.

REF

Description

1 1

70 09 60 78 21 81SG

To-BiTE™ non-stick, bipolar clamp for non-stick tonsillectomy Bipolar CURIS® cable for To-BiTE™ non-stick

36 09 00 Fuego trolley

88 00 70 – Radiofrequency set for Larynx surgery Qty.

REF

Description

2 2 2 2 2 1

36 03 71 36 03 72 36 03 73 36 03 74 36 03 75 71 50 17

ARROWtip™ electrode for larynx, WL: 210 mm, straight ARROWtip™ electrode for larynx, WL: 210 mm, 45° angled dwn. ARROWtip™ electrode for larynx, WL: 210 mm, 90° angled dwn. ARROWtip™ electrode for larynx, WL: 210 mm, 90° angled upw. ARROWtip™ electrode for larynx, WL: 210 mm, 45° angled upw. Monopolar suction tube Ø 3,3 mm, WL: 255 mm

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.

Instrument sets for dermatology 87 00 80 – Radiofrequency set for ﬁne surgery and microdissection Qty.

REF

Description

1 1 2 2 2 2 1

78 02 37SG 78 01 51SG 36 03 28 36 03 20 36 03 21 36 03 25 80 00 00

SuperGliss® non-stick bipolar forceps, straight, length 10.5 cm, tips 0.4 mm SuperGliss® non-stick bipolar forceps, straight, length 16.5 cm, tips 1 mm ARROWtip™ monopolar microdissection needle, WL 30 mm, angled ARROWtip™ monopolar microdissection needle, WL 20 mm, straight ARROWtip™ monopolar microdissection needle, WL 20 mm, short angled ARROWtip™ monopolar microdissection needle, WL 20 mm, straight Container and instrument tray

CURIS®

99 01 10 CURIS® trolley bag

Technical Data

..................................................................................................... RF output max.

performance

oper. frequency

100 W ± 20 % 300 Ω

4.0 MHz

Modulation frequency

33 kHz

80 W ± 20 % 300 Ω

4.0 MHz

Mains supply

100-240 V; 50/60 Hz

87 00 90 – Radiofrequency set for plastic surgery Qty.

REF

Description

78 01 71SG 36 04 40 36 04 41 36 04 42 80 00 00

SuperGliss® non-stick bipolar forceps, straight 20.0 cm, tips 1.0 mm Blade electrode monopolar Needle electrode monopolar Ball electrode monopolar, ball Ø 4 mm Container and instrument tray

monopolar CUT 1 (unmodulated) CUT 2 (modulated)

REF

Description

1 2 2 2 1

78 02 37SG 36 03 20 36 03 21 36 04 43 80 00 00

SuperGliss® non-stick bipolar forceps, straight, length 12 cm, tips 0,4 mm ARROWtip™ monopolar microdissection needle, WL 20 mm, straight ARROWtip™ monopolar microdissection needle, WL 20 mm, short angled Loop electrode monopolar, loop Ø 10 mm Container and instrument tray

80 W ± 20 % 200 Ω

4.0 MHz

Measurements W x H x D

320 mm x 170 mm x 385 mm

SOFTSPRAY (Coag)

60 W ± 20 % 300 Ω

4.0 MHz

Weight

approx. 5.2 kg

bipolar

87 00 60 – Radiofrequency set for eye surgery Qty.

CONTACT (Coag)

Mode of operation

Intermittent INT 10 s / 30 s equals 25 % ED

Standards

DIN EN 60601-1; DIN EN 60601-2-2 I

CUT 1

80 W ± 20 % 200 Ω

4.0 MHz

Safety class

CUT 2

80 W ± 20 % 200 Ω

4.0 MHz

EMC (Interference suppr.)

EN 60601-1-2

EXCISE (Cut)

80 W ± 20 % 200 Ω

4.0 MHz

Type

CF (cardiac ﬂoating) deﬁbrillator-proof

MACRO (Coag)

100 W ± 20 % 50 Ω

4.0 MHz

German MPG class.

II b

PRECISE (Coag)

50 W ± 20 % 50 Ω

4.0 MHz

Quality assurance

EN 13485

RaVoR™

40 W ± 20 % 50 Ω

4.0 MHz

87 06 50 – radioplasty® set Qty.

REF

Description

1 1 1 5

36 06 50 36 06 51 36 06 52 99 06 50

radioplasty® electrode Ø 5 mm radioplasty® electrode Ø 10 mm radioplasty® electrode Ø 15 mm Bottles cooling radioplasty® gel

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.

Sutter · CURIS ® · 2011 | 16

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CURIS® – Commonly used unit settings* Indication

Instrument

Unit settings

Syringoma

Blade electrode REF 36 04 40

Cut 1 5 - 8 watts

Spider Naevi, Couperosa, Spider Veins

ARROWtip™ microdissection electrode REF 36 03 20

Contact Coagulation 5 - 8 watts

Age Spots

Loop electrode REF 36 04 43

Cut 1 or Spray Coagulation 12 - 15 watts

Birthmark

ARROWtip™ microdissection electrode REF 36 03 20

Cut 1 or Cut 2 20 watts

Warts, Fibrosis

Loop electrode REF 36 04 43

Softspray 7 - 25 watts Cut 2: 10 - 25 watts

Neurofibroma

ARROWtip™ microdissection electrode REF 36 03 21

Cut 1 7 watts

Papular Melanocytic Naevi

Ball electrode REF 36 08 16

Cut 1 4 watts

Tongue lesions

ARROWtip™ microdissection electrode REF 36 03 42

Cut 1 10 watts

radioplasty® monopolar skin tightening

REF 87 06 50 (only available in set) radioplasty® electrode Ø 5mm radioplasty® electrode Ø 10mm radioplasty® electrode Ø 15mm

Cut 1 7 watts 20 watts 57 watts

Blepharoplasty for skin incision

ARROWtip™ microdissection electrode REF 36 03 20, 36 03 21, 36 03 22, 36 03 25

Cut 2 10 – 16 watts

Blepharoplasty for coagulation

SuperGliss® non-stick REF 78 04 49SG OR 78 01 49SG

Precise 12 watts

Face-lifts for skin incision monopolar

ARROWtip™ microdissection electrode REF 36 03 20, 36 03 21, 36 03 22, 36 03 25

Cut 1 10 - 16 watts

Face-lifts for coagulation bipolar

SuperGliss® non-stick REF 78 01 52SG OR 78 04 49SG OR 78 01 49SG

Precise 15 - 25 watts OR 10 - 15 watts

Hand surgery for skin incision monopolar

ARROWtip™ microdissection electrode REF 36 03 20

CUT 1 or 2 12 - 15 watts

Hand surgery for monopolar coagulation

Ball electrode REF 36 08 16

Contact Coagulation 20 watts OR 5 - 7 watts for slow coagulation

Hand surgery for bipolar coagulation

SuperGliss® non-stick REF 78 01 52SG OR 78 01 38SG

Precise 20 watts 15 - 25 watts

Brest surgery for skin incision monopolar

ARROWtip™ microdissection electrode REF 36 03 20, 36 03 50

Cut 1 or 2 7 - 12 watts

Brest surgery for bipolar coagulation

SuperGliss® non-stick REF 780151SG OR 780291SG

Precise 15 - 25 watts

RaVoR™ nasal turbinates

Bipolar electrode type „Binner“ REF 70 04 62

RaVoR™ (AudioFeedback) 8 - 10 watts

RaVoR™ Soft Palate

Bipolar Marinescu electrode REF 70 04 95

RaVoR™ (AudioFeedback) 10 watts

RaVoR™ Tongue Base

Bipolar tongue base electrode REF 70 04 99

RaVoR™ (AudioFeedback) 12 watts

UPPP

ARROWtip™ microdissection electrode REF 36 03 42

Monopolar Cut 2 12 watts

Tonsillotomy

ARROWtip™ microdissection electrode REF 36 03 42, 36 03 65 SuperGliss® non-stick REF 78 01 75SG

Monopolar Cut 2 20 - 25 watts Precise 15 - 30 watts

Tonsillectomy with To-BiTE™

To-BiTE™ REF 70 09 60SG

Bipolar Macro 30 - 40 watts

Larynx-Tumors

ARROWtip™ microdissection electrode REF 36 03 71 - 35

Monopolar CUT 2 5 - 20 watts

Epistaxis

Ball elelectrode REF 36 08 17 oder 36 04 62

Monopolar CONTACT COAG 8 - 12 watt

Plastic/Esthetic surgery

ENT

*Please see disclaimer on page 9. Values are recommendations only and may be changed at the discretion of the physician!

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Dermatology