Integra Cusa EXcel Ultrasonic Electrosurgical Unit

Footswitch
The CUSA® Excel+ Ultrasonic electrosurgical unit offers multiple solutions to assist
Neurosurgeons in their practice of cranial tumor removal providing a combination
of speed and selectivity needed to perform both debulking
and delicate dissection of soft up to tough tissues.

Speed
CUSA® Excel+ system is powered by C4 technology which provide four synergistic technologies working together to optimize surgical performance :

Constant Tissue Contact
The high suction maintains consistent contact between tip and targeted tissues enhancing cavitation effect¹

High Frequency (36 kHz) Handpiece
The reduced amplitude provides more concentrated effect, minimizing risk of collateral impact.

Adaptative Power
It automatically adjusts power proportionally to tissue needs to maintain tip vibration when challenged by resistant structure.

ShearTip™ surgical tip
Its specific design creates intersecting acoustic waves which enhances cavitation without any mechanical force required..

Selectivity
TissueSelect® setting allows Neurosurgeons to increase selectivity and control while removing tissue close to critical structures such as pia mater or vessels.

It uses pulsed energy and controlled reserve power that create a rebound effect at the tip when it encounters a collagen-rich structure.

The tactile feedback improves Neurosurgeons ability to differentiate between targeted tissue and critical structures and allows them to move the tip before it may cause damages, creating a wider margin of control.

Versatility
TipSelect™ feature offers a large choice of 12 tips for 12 solutions dedicated to eurosurgery:
9 conventional tips for soft tissue removal featuring 3 different inner diameters and 3 different designs
ShearTip™ surgical tip designed for tough and fibrous tissue removal
MicroTip Plus™ surgical tip designed for transnasal approaches or in depth tumor removal
SaberTip™ surgical tip designed for bone sculpting

The most appropriate tip can thus be selected based on targeted tissue profile (consistency, location, size and access) and Neurosurgeon’s preference, to contribute to tissue removal performance.
While working under microscope, the curved tips and pre-aspiration holes help improving visualization of the surgical site.
The tip can also be changed during surgery in case of changing surgical conditions.
Intuitive use
The user-friendly control panel, color-coded tubing and tubing paths allow intuitive set-up of the system by clinical staff and help to save valuable time in the operating room.