GDS - Sutter 'CURIS' Microsurgical Radiofrequency Generator

CURIS®

Microsurgical Radiofrequency Generator

for ENT and in Plastic/Esthetic Surgery

Sutter · CURIS® · 2011 | | Sutter · CURIS® · 20112 | | 3

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 frequency of the electromagnetic fi eld.

Permittivity/Frequency

Muscle

Fat tissue

Blood

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.

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.

CURIS® p3™-Technology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

CURIS® 4 MHz-Technology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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. 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.

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 fl ash. 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 fi bres that

transmit signals at high-speed and without any loss of quality.

CURIS® Microsurgical Radiofrequency Generator One unit – many applications

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Versatility in ENT 4

Plastic and Esthetic Surgery 12

CURIS® Basic Set 15

Instrument Sets 15

Technical Data 17

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4 | Sutter · CURIS® · 2011 | 5Sutter · CURIS® · 2011

% 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 predefi 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 signifi 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

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RaVoR™ of the tongue base

Puncture sites for the treatment of the tongue base

The low profi le 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 procedu-re. 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)

RaVoR™ of the turbinates

RaVoR™ is successful in the short and long term. The re-usable probes make the treatment affor-dable 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

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Inferior turbinate – Preoperative condition and six months postoperatively with signi-fi cantly 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 per-form. 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 complications and hardly any bleedings. This method is ideal for the offi ce-based setting.A. Marinescu, MDWinnenden (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“

CURIS® Versatility in ENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .


To scale 1:1 Bipolar RaVoR™ electrodes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

To scale 1:1 Bipolar RaVoR™/ENT electrodes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

70 04 62Bipolar RaVoR™ needle electrode type “Binner” with protective insulation,work length 110 mm

Other products for treatment in the nose

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

1:1

1:1

1:1

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

71 50 15 Monopolar suction tube Ø 3,3 mm, WL: 13 cm

71 50 19 Monopolar suction tube, malleable Ø 3,3 mm, 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

78 21 81SG SuperGliss® non-stickBayonet, 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

78 01 75SG SuperGliss® non-stickLength: 20 cm, angled tips: 1 mm

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

1:1

70 04 99Bipolar RaVoR™ needle electrode for the tongue base with protective insulation,work length 110 mm

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

1:1

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

1:1

70 04 55Bipolar electrode for ENT for coagulation of the nose, work length 80 mm

70 04 50Bipolar electrode for ENT for coagulation of the tonsils, work length 110 mm

70 04 51Bipolar electrode for ENT for coagulation of the larynx, work length 270 mm

1:1

1:1

1:1

1:1

90°C

134°C

autoclavable

90°C

134°C

autoclavable


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Radiofrequency Tonsillotomy Microdissection electrode ARROWtip™

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 cartilage

Fig. right:Endoscopic view of the operating fi eld

Radiofrequency Tonsillectomy

1:1

Other products for the treatment of the tonsils

71 50 19 Monopolar suction tube, malleable Ø 3,3 mm, WL: 13 cm

78 01 75SG SuperGliss® non-stickLength: 20 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

78 01 75SG SuperGliss® non-stickLength: 20 cm, angl. tips: 1 mm

78 01 76SG SuperGliss® non-stickLength: 20 cm, angl. tips: 2 mm

36 04 40 Blade electrodeWork length: 32 mm

Other products for treatment of the larynx

71 50 17 Monopolar suction tube Ø 3,3 mm, work 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.

Tonsillotomy with radiofrequency is a safe and easy-to-learn procedure. Child-

ren with symptomatic tonsillar hyperplasia profi 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

Identifi 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 fi eld. We have operated on 92 tumors, mainly T1

glottic tumors, using the ARROWtip™ electrodes.

Prof. J. Basterra, Valencia (Spain)

210 mm

Monopolar ARROWtip™ electrode, work length: 210 mm 1:1

90°C

134°C

autoclavable

90°C

134°C

autoclavable

90°C

134°C

autoclavable

36 03 42Microdissection electrode ARROWtip™ angled, 65 mm

36 03 65Tonsillotomy electrode ARROWtip™ angled, 65 mm


Other products for treatment in sinus surgery

Other products for epistaxis

Other products for oral surgery

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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 fi ndings

Intraoperative situs during radiofre-quency treatment of nasal heredi-tary haemorrhagic telangiectasi

Result of radiofrequency treatment six months post-operatively

Sublingual Papilloma on the left 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 (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

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

71 50 10 Monopolar suction tubeØ 2,8 mm, WL: 13 cm

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

1:1

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 diffi 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)

Microdissection electrode ARROWtip™

36 03 42Microdissection electrode ARROWtip™ angled, 65 mm

1:1

36 08 14 Loop electrode loop Ø 5 mm

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

70 09 48 Calvian™ bipolar clamp, WL 18 cm

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

· MA

LLEABLE · MALLEAB

LE

·

BIE

GBAR · BIEGBAR

p

37 01 54R

NEW

90°C

134°C

autoclavable

90°C

134°C

autoclavable

90°C

134°C

autoclavable

45°


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 out-

come 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)

radioplasty® is a non-ablative method to treat small wrinkles and lax skin.

It relies on 4 Megahertz radiofrequency technology to smoothen out wrink-

les and tighten the skin. The energy applied reaches the cutaneous and

subcutaneous layers of the skin where heat stimulates the production of

new fi broblasts 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 Radio-frequency-based non-ablative dermal remodeling device. Arch Dermatol. 2004; 140: 204-209

* Results may vary from patient to patient.

Perioral region before radioplasty® Perioral region after radioplasty®

non-invasive

radiant skinTM

Non-invasive radiofrequency „lifting“

non-surgicaleasyfastnon-ablativepleasant

radioplasty® is an effi cient, 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 5 mm

Ø 10 mm

Ø 15 mm

CURIS® Plastic and Esthetic Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1:1

radioplasty® gel

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 homo-

genous electromagnetic fi eld. For the unit to adjust to ever changing condi-

tions 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 fi 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

non-invasive skin tightening

Couperosa, warts, etc.

Mammaplasty

Otoplasty

Face-lifts

Abdominoplasty („Tummy Tuck“)

Radiofrequency Electrosurgery

87 06 50 radioplasty® set


Radiofrequency Ablation of Papular Melanocytic Naevi

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1:1

Microdissection electrode ARROWtip™ for dermatology

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

36 03 21ARROWtip™ electrodeshort 45° angled, work length 20 mm

36 03 22ARROWtip™ electrode90° angled, work length 20 mm

36 03 25 ARROWtip™ electrodestraight, work length 30 mm

36 03 28 ARROWtip™ electrode45° angled, work 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

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 95 RaVoR™ probe for the soft palate

1 70 04 89 RaVoR™ probe for the posterior pillars

2 36 03 28 ARROWtip™ monopolar microdissection needle, WL 30 mm, angled


1 80 00 00 Container and instrument tray

87 00 05 – RaVoR™ Set for Hospital



1 70 04 95 RaVoR™ probe for the soft palate

1 70 04 89 RaVoR™ probe for the posterior pillars

1 70 04 99 RaVoR™ probe for the tongue base




87 00 40 – Radiofrequency set for ENT surgery


1 78 01 75SG SuperGliss® non-stick bipolar forceps, straight, length 19 cm, tips 1.0 mm angled

1 78 21 81SG SuperGliss® non-stick bipolar forceps, bayonet, length 20 cm, tips 1.0 mm

1 78 01 78SG SuperGliss® non-stick bipolar forceps type „Meuser“, length 19 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


Instrument sets for ENT

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


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

Ø 1,0 mm

90°C

134°C

autoclavable

| 17Sutter · CURIS® · 2011| 16Sutter · CURIS® · 2011

CURIS® Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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.

Instrument sets for ENT

87 00 80 – Radiofrequency set for fi ne surgery and microdissection


1 78 02 37SG SuperGliss® non-stick bipolar forceps, straight, length 10.5 cm, tips 0.4 mm

1 78 01 51SG SuperGliss® non-stick bipolar forceps, straight, length 16.5 cm, tips 1 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



87 00 90 – Radiofrequency set for plastic surgery


78 01 71SG SuperGliss® non-stick bipolar forceps, straight 20.0 cm, tips 1.0 mm

36 04 40 Blade electrode monopolar

36 04 41 Needle electrode monopolar

36 04 42 Ball electrode monopolar, ball Ø 4 mm

80 00 00 Container and instrument tray

87 00 60 – Radiofrequency set for eye surgery


1 78 02 37SG SuperGliss® non-stick bipolar forceps, straight, length 12 cm, tips 0,4 mm


2 36 03 21 ARROWtip™ monopolar microdissection needle, WL 20 mm, short angled

2 36 04 43 Loop electrode monopolar, loop Ø 10 mm


87 06 50 – radioplasty® set


1 36 06 50 radioplasty® electrode Ø 5 mm



5 99 06 50 Bottles cooling radioplasty® gel

Instrument sets for dermatology

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

87 00 80 – Radiofrequency set for nose surgery


1 70 08 60 Bipolar forceps with suction canal, bayonet, length 20 cm, tips 1.4 mm

1 78 21 81SG SuperGliss® non-stick bipolar forceps, bayonet, length 20 cm, tips 1.0 mm



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


1 70 09 60 To-BiTE™ non-stick, bipolar clamp for non-stick tonsillectomy

1 78 21 81SG Bipolar CURIS® cable for To-BiTE™ non-stick

88 00 70 – Radiofrequency set for Larynx surgery


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, 90° angled dwn.

2 36 03 74 ARROWtip™ electrode for larynx, WL: 210 mm, 90° 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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 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 fl oating) defi brillator-proof

German MPG class. II b

Quality assurance EN 13485

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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]

CURIS® – Commonly used unit settings*

*Please see disclaimer on page 9. 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

radioplasty® REF 87 06 50 (only available in set) Cut 1 monopolar skin tightening radioplasty® electrode Ø 5mm 7 watts radioplasty® electrode Ø 10mm 20 watts radioplasty® electrode Ø 15mm 57 watts

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 SuperGliss® non-stick Precise for coagulation REF 78 04 49SG OR 78 01 49SG 12 watts

Face-lifts 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

Face-lifts SuperGliss® non-stick Precise for coagulation bipolar REF 78 01 52SG OR 78 04 49SG OR 78 01 49SG 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 SuperGliss® non-stick Precise for bipolar coagulation REF 78 01 52SG 20 watts OR 78 01 38SG 15 - 25 watts

Brest surgery ARROWtip™ microdissection electrode Cut 1 or 2 for skin incision monopolar REF 36 03 20, 36 03 50 7 - 12 watts

Brest surgery SuperGliss® non-stick Precise for bipolar coagulation REF 780151SG OR 780291SG 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 SuperGliss® non-stick Precise REF 78 01 75SG 15 - 30 watts

Tonsillectomy with To-BiTE™ Bipolar Macro To-BiTE™ REF 70 09 60SG 30 - 40 watts

Larynx-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

Documents

GDS - Sutter 'CURIS' Microsurgical Radiofrequency Generator