CUSA Excel+

Integra’s CUSA Excel+ system is evidence of their continued commitment to the advancement of ultrasonic tissue ablation technology and their goal is to enable neurosurgeons to operate with confidence. The various models of our CUSA systems support a broad selection of hand pieces and surgical tips, allowing the surgeon to select the most appropriate combination based on the surgical procedure.

The CUSA ShearTip™ brings fast, efficient fibrous tissue removal capability to the market-leading CUSA EXcel®+ and CUSA EXcel® Tissue Ablation Systems. Combined with the compact and powerful CUSA EXcel® 36 kHz handpiece, the CUSA ShearTip™ enables fragmentation of tenacious, collagen-rich and fibrous tissues. The CUSA ShearTip™ has been designed to remove tissues, such as fibrous meningiomas, that are resistant to fragmentation with traditional ultrasonic tips.

The revolutionary design of the CUSA ShearTip™ creates shear stresses within fibrous tissue by directing intersecting waves of ultrasonic energy from tapered serrations on the tip end. While energy from traditional ultrasonic tips tends to stretch fibers longitudinally, ShearWave™ Technology causes fibers to break by cutting through them. This increases the removal rate of tenacious, fibrous, and collagen-rich tissues up to 50%, enabling the CUSA EXcel®+ and CUSA EXcel® to address a wider range of tissue types while helping save valuable time in the operating room.

When used with the TissueSelect® function, the CUSA ShearTip™ provides a wider margin of safety, allowing surgeons to Operate with Confidence™ around critical structures.

SURGEON BENEFITS:

• As great as 50% faster fibrous tissue removal rate compared to conventional CUSA EXcel® tips.

• Compatible with the small and powerful 36 kHz CUSA EXcel® handpiece, providing better control and improved tactical feedback to the surgeon.

• Small tip diameter for improved visualization and access to the surgical site.

• Tip changeable in the sterile field.

• Pre-aspiration holes reduce misting in the field and cool the tip.

• Titanium-Nitride (TN) treatment improves wear resistance.

> Unique tissue select feature designed to enhance:

   * tissue selectivity and safety

   * maximizes tactile feedback

> Brings together powerful aspiration, precise ablation, and cauterizing capabilities.

> Efficient dissection: the refined approach to liver surgery.

> Proficient preservation of delicate structures.

> 23 and 36 KHz hand piece

> Laparoscopic mode for effective minimal invasive procedures.

> Power maximum amplitude.

> Provides maximum suction power to increase tip/tissue coupling and fragmentation ability.

> Contamination Guard

> Foot switch, Cooling reservoir

Handpieces available:
•    23 kHz Straight Handpiece
•    23 kHz Angled Handpiece
•    36 kHz Straight Handpiece

CUSA Excel 23 kHz Tips:

MicroTip™                :  MicroTip and Flue
Standard Tip Series   :  Standard Tip and Flue
                                  Straight Extended Standard Tip and Flue Curved Extended Standard Tip and Flue
MacroTip™               :  MacroTip and Flue
Laparoscopic Tip       :  Laparoscopic Extended Life Tip (ELT)

CUSA Excel 36 kHz Tips
PrecisionTip™ Series:  PrecisionTip and Flue
                                     Straight Extended PrecisionTip and Flue
                                     Curved Extended PrecisionTip and Flue

MicroTip™ Series    :       MicroTip and Flue
                                      Straight Extended MicroTip and Flue
                                      Curved Extended MicroTip and Flue

Standard Tip Series    :    Standard Tip and Flue
                                      Straight Extended Standard Tip and Flue
                                      Curved Extended Standard Tip and Flue

MicroTip™ Plus           :   Excel Extended MicroTip Plus
CUSA® SaberTip™     :   CUSA SaberTip
CUSA® ShearTip™     :   CUSA ShearTip