The CUSA® Excel+ Ultrasonic Surgical Aspirator 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 Neurosurgery:
- 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.