Sutter Curis 18 en Web
Sutter Curis 18 en Web
Sutter Curis 18 en Web
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.
RaVoR™-Mode: The pulsed power output with short intervals Monopolar cutting: Sections 1 to 5 show the different kinds of
between the individual packages gives enough time for the tissues and cutting speeds to which the unit adjusts its power
coagulated tissue to absorb the applied energy. 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.
........................................................................
Versatility in ENT 4
............................................................
Plastic and Esthetic Surgery 12
.......................................................................
CURIS® Basic Set 14
Instrument Sets .
........................................................................ 16
..........................................................................
Technical Data 17
NAS Score
RF uvulopalatopharyn- 40
goplasty (UPPP)
30
RF tonsillotomy/TE
20
RaVoR™
10
of the tongue base
0
0 1 2 3 4
RaVoR™ of the
tongue base tonsills
Pat. preop. Pat. postop.
1:1
70 04 99
Bipolar RaVoR™ needle electrode for the tongue base
1:1
70 04 62
Bipolar RaVoR™ needle electrode type “Binner”
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. Inferior turbinate – Preoperative condition
M. A. Sarte, MD, The Medical City and six months postoperatively with signi-
ficantly enlarged nasal passage.
Manila (Philippines)
70 04 95
Bipolar RaVoR™ needle electrode for the soft palate
RaVoR™ of “Webbing“
1:1
70 04 89
Bipolar needle electrode for “webbing“
For the posterior pillars alone two sessions may Pillar immediately after radiofrequency
treatment
be required. It is noteworthy that there have not c
been any perioperative or postoperative compli-
cations and hardly any bleedings. This method is a
ideal for the office-based setting.
A. Marinescu, MD b
Winnenden (Germany)
autoklavierbar
autoclavable
70 04 62
Bipolar RaVoR™ needle electrode type “Binner” with protective insulation,
Working length 110 mm
1:1
71 50 15 36 08 17 70 21 81
Monopolar suction tube Monopolar ball electrode Bipolar forceps
Ø 3.3 mm, Lumen 2.0, WL: 13 cm Ø 3 mm, WL: 20 mm Bayonet, length: 20 cm, tips: 1 mm
71 50 19 36 04 62
Monopolar suction tube, malleable Monopolar ball electrode
Ø 4.3 mm, Lumen 2.9, WL: 13 cm Ø 4 mm, WL: 110 mm
1:1
70 04 95
Bipolar RaVoR™ needle electrode for the soft palate with protective insulation,
Working length 110 mm
70 04 89
Bipolar RaVoR™ electrode for the posterior pillars with protective insulation,
1:1 Working length 110 mm
36 03 42 70 01 75
Monop. ARROWtip™ Electrode Bipolar forceps
Ø 0.3 mm, WL: 65 mm Length: 19 cm, angled tips: 1 mm
6 | Sutter · CURIS ® · 2017 *The listed working lengths serve as a guideline and may be rounded up or down. The actual lengths may vary slightly.
134°C
90°C
To scale 1:1 Bipolar RaVoR™/ENT electrodes autoclavable
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . autoklavierbar
.autoclavable
. . . . . . . . . . . 134°C
.......
1:1
autoklavierbar
autoclavable
70 04 99
Bipolar RaVoR™ needle electrode for the tongue base with protective insulation,
Working length 110 mm
1:1
70 04 97
Bipolar RaVoR™ needle electrode for the tongue-base tonsils with protective
insulation, Working length 141 mm
1:1
70 04 65
Bipolar electrode for ENT for coagulation of the pharyngeal tonsils,
Working length 110 mm, 45° angled
1:1
70 04 66
Bipolar electrode for ENT for coagulation of the pharyngeal tonsils,
Working length 100 mm, 90° angled
70 04 55
Bipolar electrode for ENT for coagulation of the nose, Working length 80 mm
1:1
70 04 50
1:1 Bipolar electrode for ENT for coagulation of the tonsils, Working length 110 mm
70 04 51
Bipolar electrode for ENT for coagulation of the larynx, Working length 270 mm
1:1
70 04 52
Bipolar electrode for ENT for coagulation of the larynx, Working length 270 mm
1:1
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
..................................................................................................................
Radiofrequency Tonsillectomy
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.“ Tonsillar dissection Identification of glosso pharyngeal nerve
P. Tolsdorff, MD
Bad Honnef (Germany)
..................................................................................................................
autoklavierbar
autoclavable
36 03 65
Tonsillotomy electrode ARROWtip™ angled, 65 mm
70 01 75 71 50 19
Bipolar forceps Monopolar suction tube, malleable
Length: 19 cm, angled tips: 1 mm Ø 4.3 mm, Lumen 2.9, WL: 13 cm
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90°C
...................
autoklavierbar
70 09 60SG autoclavable
To-BiTE™ bipolar non-stick tonsillectomy clamp
37 01 54R
Bipolar CURIS® cable for To-BiTE™/Calvian™ (not shown)
70 01 75 70 01 76 36 04 40
Bipolar forceps Bipolar forceps Blade electrode
Length: 19 cm, angl. tips: 1 mm Length: 19 cm, angl. tips: 2 mm Working length: 32 mm
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90°C
...................
autoklavierbar
autoclavable
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.
71 50 17
Monopolar suction tube
Ø 3.3 mm, Lumen 2.0, Working length: 25.5 cm
The uncinate process incised and Incision starting at the cranial The posterior part of the uncinate Nearly bloodless incision at
lifted anteriorly. Arrow (a) indicates attachment of right uncinate process can be incised by means of the anterior edge of the uncinate
the incised anterior edge, arrow (b) process utilizing angled mono- the angled tip. No deterioration of process.
indicates posterior margin. polar RF probe. ARROWtip™ the inferior turbinate.
(REF: 36 03 42).
..................................................................................................................
Patient with Rendu-Osler-Weber Intraoperative view during radiofre- Result of radiofrequency treatment
syndrome, pre-operative findings quency treatment of nasal heredi- six months post-operatively
tary haemorrhagic telangiectasia
..................................................................................................................
Sublingual Papilloma on the right Reduced-bleeding excision of Post-operative site after precise and
side the papilloma with a monopolar full tumor resection
needle electrode ARROWtip™
(REF 36 03 22)
autoklavierbar
Other products for treatment in sinus surgery autoclavable
45° 70 09 46
Calvian® bipolar clamp with suction, WL 23 cm
37 01 54R
Bipolar CURIS® cable for To-BiTE™/Calvian®
(not shown)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90°C
...................
BA
BIE
R
B LE ·
· MAL
autoclavable
autoklavierbar
EA
L
AB L
E
36 08 17
LE · MAL
autoclavable 134°C
Malleable RF ball electrode, ball Ø 3.0 mm, WL: 20 mm
1:1
autoklavierbar
autoclavable
36 04 62
RF ball electrode, ball Ø 4.0 mm, long shaft, WL: 110 mm
71 50 10
Monopolar suction tube
Ø 4.0 mm, Lumen 2.8,
WL: 13 cm
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90°C
...................
36 03 22
Microdissection electrode ARROWtip™ 90° angled, Working length 20 mm
autoklavierbar
autoclavable
36 08 14 70 01 50
Loop electrode Bipolar forceps
loop Ø 5 mm Length: 16.5 cm, straight tips: pointed
Couperosa,
warts, etc. Radiofrequency Electrosurgery
Mammaplasty
Abdominoplasty
(„Tummy Tuck“) Lateral thermal damage following radio- Lateral thermal damage after conventional
frequency excision: 155 µm electrosurgery excision: 286 µm
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.
A R · B I EG
1:1 GB
BA
BIE
R
Ø 1.0 mm
B LE ·
· MAL
EA
LE
A L
36 08 16 BL
E · MAL
Removing the remaining part of the lesion Eight weeks after radiofrequency ablation
with gentle movements
.................................................................................................................
Ø 0.3 mm
autoklavierbar
autoclavable 36 03 21
ARROWtip™ electrode
short 45° angled, Working length 20 mm
Ø 0.3 mm
36 03 22
ARROWtip™ electrode
90° angled, Working length 20 mm
30 mm
Ø 0.3 mm
36 03 25
ARROWtip™ electrode
straight, Working length 30 mm
Ø 0.3 mm
36 03 28
ARROWtip™ electrode
45° angled, Working length 30 mm
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)
Permittivity/Frequency
Conventional electrosurgical units: The electromagentic field con- CURIS® 4 MHz: Cell membranes are conductive and the energy is
centrates between the cells and heats up only the outer layer. absorbed evenly inside the cells. The result are highly focussed
tissue effects.
CURIS® p3 TM-Technology
..................................................................................................
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.
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 19 cm)
1 70 17 47 Instrument tray
Fuego Trolley
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.
99 01 10
Technical Data
CURIS® trolley bag
CURIS®
..................................................................................................
monopolar
CUT 1 (unmodulated) 100 W ± 20 % 300 Ω 4.0 MHz Modulation frequency 33 kHz
CUT 2 (modulated) 80 W ± 20 % 300 Ω 4.0 MHz Mains supply 100-240 V; 50/60 Hz
CONTACT (Coag) 80 W ± 20 % 800 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
Mode of operation Intermittent INT 10 s / 30 s equals 25 % ED
bipolar Standards DIN EN 60601-1; DIN EN 60601-2-2
BICUT 1 80 W ± 20 % 200 Ω 4.0 MHz Safety class I
BICUT 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) defibrillation 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
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.
*Please see disclaimer on page 17. Values are recommendations only and may be changed at the discretion of the physician!