Page 1
Skull Base, Micro-
RADIOFREQUENCY
p
3
pulsed power
performance
and Neurosurgery
Solutions with the CURIS® 4 MHz Radiofrequency Generator
Page 2
CURIS® 4 MHz Radiofrequency Generator
RADIOFREQUENCY
One unit – many applications
The CURIS® 4 MHz radiofrequency generator relies on our impedance - controlled 4 MHz technology:
It is gentle to the tissue and effective for coagulation and for cutting. Scientic studies have shown
that tissue trauma may be reduced by using CURIS® 4 MHz radiofrequency technology.
Impedance - controlled 4 MHz radiofrequency technology
The higher the frequency, the less the resistance of biological tissue to electromagnetic elds –
up to the point where cell membranes are capacitively coupled. This effect is created by the CURIS®
4 MHz radiofrequency generator in all monopolar and bipolar modes. When using conventional electrosurgical units the electromagnetic eld concentrates between the cells and only heats up the outer layer.
However, with the CURIS® 4 MHz radiofrequency generator cell membranes are conductive, and energy
is absorbed evenly inside the cells. As a result, energy is administered gently and in a highly focused
fashion. Precise monopolar cuts are possible while lateral heat damage is kept to a minimum.
1
2
Permittivity/Frequency
Muscle
Fat tissue
Blood
This diagram shows the permittivity of tissue,
which depends on the frequency of the electromagnetic eld.
1
Muehlfay G. et al., A study on the type of lesions achieved by three electrosurgical methods and their way of healing. Romanian Journal of Morphology &
Embryology, 2015, 56(4): 1383 - 1388
2
Hoffmann T.K. et al., Comparative analysis of resection tools suited for transoral robot - assisted surgery, European Archives Oto - Rhino - Lar yngology,
2014, 271 (5) : 1207 - 1213
3
Holder, D. S., “Brief introduction to Bioimpedance” in: Electrical Impedance Tomography – Methods, History and Applications. IOP Publishing Ltd, 2005
Conventional electrosurgical units
(between 300 - 500 kHz)
The electromagnetic eld concentrates between
the cells and heats up only the outer layer.
3
CURIS®4 MHz radiofrequency
generator
Cell membranes are conductive and the energy
is absorbed evenly inside the cells.
The results are highly focussed tissue effects.
3
2 | Sutter • CURIS® • Skull Base, Micro- and Neurosurgery • 2024
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Page 3
p
3
pulsed power
performance
Precision thanks to AutoRF ™
AutoRF ™ is a smart impedance control function that will tailor the power output of the CURIS® 4 MHz radiofrequency generator to the tissue condition. Whether it is cutting through different types of tissue (such as
mucosa, muscle, fat or connective tissue) or altering tissue conditions during coagulation, the AutoRF ™
feature will deliver adapted power output as required by the different tissue impedance.
When dissecting different types of tissue in one cut (skin, fat, muscles), the unit has to process and
respond to the AutoRF ™ data in a ash. For this reason, the CURIS® 4 MHz radiofrequency generator has
two microprocessors for additional safety and speed.
CURIS®
CUT
Monopolar cutting:
Sections 1 to 5 show the different kinds of tissues
and cutting speeds to which the unit adjusts its
power output automatically.
t
Illustration only.
p
3TM
-technology
3TM
p
, which stands for pulsed power performance, is active in all coagulation modes of the CURIS® 4 MHz
radiofrequency generator. Radiofrequency energy is delivered in about 50 small packages per second.
Due to the pulsed power output, there are short breaks between the individual packages, giving the tissue
enough time to absorb the energy. Highly focused, yet gentle coagulation with minimal thermal damage is
possible.
“The CURIS® 4 MHz radiofrequency generator
provides unparalleled precision to the neurosurgeon seeking optimal control in neurosurgical
cases. I have used the device for surgery in
the cavernous sinus, resection of cavernous
malformation from the motor cortex, minimally
invasive clipping of anterior communicating artery
aneurysm, and resection of acoustic neuroma.
I found the ability to perform pinpoint coagulation
with minimal thermal and electrical spread increasing the safety and efcacy of my operations.”
Ali Zomorodi, MD
Duke Neurosurgery, Durham, NC (USA)
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CURIS®: one unit
- many applications
| 3Sutter • CURIS® • Skull Base, Micro- and Neurosurgery • 2024
Page 4
Swyng® non-stick bipolar forceps, single-use
shown here:
total length: 21.0 cm
working length 8.0 cm
tips: 1.0 mm
78 44 110 ST
Our entire range of products can be found on our website www.sutter-med.com
Low weight and optimal balance
Light-weight aluminum core and innovative product design featuring a dynamic curved shape that
follows the natural ergonomics of the hand for improved comfort and ideal balance.
Two Product Lines
Standard
The pylon guide prevents scissoring
of the tips and facilitates the precise
coagulation and dissection in your
surgical cases. Available with straight
and angled tips.
Large Product Portfolio
Slim
The slim prole is designed for
improved visualization of the surgical
eld, even in narrow operating corridors.
Standard
• 18 different models
• straight and angled tip styles
• three lengths and tip sizes available
• two product lines
4 | Sutter • CURIS® • Skull Base, Micro- and Neurosurgery • 2024
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Page 5
Optimal spring force
PRECISION
MEETS
VERSATILITY
Discover our disposable
non-stick bipolar forceps line!
The right instrument
for your surgical needs
The Swyng® non-stick bipolar forceps offer precision and versatility
in the operating room with a wide range of available patterns!
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| 5Sutter • CURIS® • Skull Base, Micro- and Neurosurgery • 2024
Page 6
SuperGliss® non-stick bipolar forceps
SuperGliss® non-stick Technology
The material specially developed for SuperGliss® non-stick
bipolar forceps prevents overheating of the tips during coagulation.
Laboratory tests conrm the non-stick properties that last
throughout the lifetime of the instrument.
4
SuperGliss® non-stick tips remain cool.
SuperGliss® non-stick bipolar forceps
shown here:
bayonet, total length: 20.0 cm, tips: 0.7 mm
78 21 83 SG
The MicroTip geometry makes
the insulation disappear from the
surgeon‘s sight and opens up
the view through the tips.
with US pin connector:
78 21 83 SGS
SuperGliss® non-stick ELP bipolar forceps
“The design and construction of the SuperGliss® non-stick ELP bipolar forceps with different
angles and sizes represent a technical innovation that can lead to improved surgical outcomes.
These bipolar forceps enhance the quality and quantity of tumor and tissue resection and
dissection in skull base surgery and open the possibility of new surgical approaches to
microscopic tumor resection and hemorrhage coagulation in the anatomical areas of the
skull base.“
Uta Schick, MD
Münster (Germany)
Our entire range of products can be found on our website www.sutter-med.com
*Sutter Medizintechnik GmbH, data on le, Freiburg (Germany)
The classic plateau shape gives instruments a strong grip, and allows
dissection, grasping and coagulation
of larger structures and vessels.
SuperGliss® non-stick ELP bipolar forceps
shown here: bayonet, total length: 20.0 cm, tips: 0.4 mm, 45° angled upwards
4
Sutter Medizintechnik GmbH, data on le, Freiburg (Germany)
6 | Sutter • CURIS® • Skull Base, Micro- and Neurosurgery • 2024
78 22 86 SL
The Extra Low Prole (ELP) tips are shorter and
more delicate. They are designed to meet the challenges
of ne, microsurgical interventions.
Our entire range of products can be found on our website www.sutter-med.com
with US pin connector:
78 22 86 SLS
Intraoperative use of SuperGliss®
non-stick ELP bipolar forceps:
Removal of medial sphenoid wing
meningioma
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SuperGliss® non-stick zhora bipolar forceps
"The sharp tips allow a precision that surpasses all other bipolar forceps I have used throughout
my career. The forceps are well-balanced and the tines are very slender, but strong. With the small
upward angulation of the tips, the SuperGliss® non-stick zhora bipolar forceps are perfect for skull
base tumors in deep and narrow elds, as well as for more supercial, minimally invasive procedures."
Torstein R. Meling, MD
Geneva (Switzerland)
SuperGliss® non-stick zhora bipolar forceps
shown here: bayonet, total length: 20.0 cm, tips: 0.2 mm, 10° eccentric
78 49 86 SGZ
The zhora tines are specially delicate. Due
to their tip design by a 10° upward skew, the
tips are clearly visible in the operating eld.
In narrow and conned spaces this is
particularly advantageous.
with US pin connector:
78 49 86 SGSZ
SuperGliss® non-stick TEO bipolar forceps
“These Sutter bipolar forceps offer the versatility required for standard microsurgery and endoscope - assisted
surgery. They are well-balanced, have a minimal amount of non - insulated ends for obvious safety benets, tips
with different thickness for different tissues, various angled tips for different viewing angles, and good grip.
I believe they are the best bipolar forceps on the market.“
Charlie Teo, MD
Randwick (Australia)
Our entire range of products can be found on our website www.sutter-med.com
CC guide – To match tines exactly
and prevent scissoring of the tips.
Reinforced for optimized spring tension.
SuperGliss® non-stick TEO bipolar forceps
shown here: bayonet, total length: 23.0 cm, tips: 2.0 mm, 60° and 7.0 mm angled upwards
78 31 96 SG
The SuperGliss® non-stick TEO bipolar forceps
offer more insulation towards the distal tip.
In addition, TEO tips are shorter and rounder
compared to the other SuperGliss® non-stick
models. Different angles enable the surgeon
to work “around corners”- benecial for
endoscope-assisted procedures.
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Our entire range of products can be found on our website www.sutter-med.com
with US pin connector:
78 31 96 SGS
The serrated tips of SuperGliss® non-stick
TEO bipolar forceps provide an even better
grip for improved grasping of tissue.
| 7Sutter • CURIS® • Skull Base, Micro- and Neurosurgery • 2024
Page 8
Masterpiece™ non-stick bipolar forceps for microsurgery
shown here:
bayonet
tips: 0.4 mm
total length: 23.0 cm
working length: 19.0 cm
78 81 89
Our entire range of products can be found on our website www.sutter-med.com
Masterpiece™ non-stick
Bipolar forceps
The Masterpiece™ non-stick bipolar forceps were designed with precision and control
in mind. I use the Masterpiece™ non-stick bipolar forceps for the precise coagulation of
small-diameter vessels in narrow spaces. Fine tips, slim tines and easy rotation add to
your skills and improve your performance even at targets far from the surface. The nonstick material reduces charring and sticking.
S. Rosahl, MD
Erfurt (Germany)
Each MasterpieceTM non-stick comes with a storage tray for safe cleaning and sterilization.
Non-stick technology: Our specially developed material
prevents overheating of the tips during coagulation
SuperGrip: Pinpoint grasping and a better grip
thanks to microstructured tips
Unparalleled view onto the tips
thanks to slim and sturdy tines
Micro
The MicroTip geometry opens up the view to
the tips. Available in a tip width of 0.2 mm
and 0.4 mm. Tip length: 4.0 mm.
Effortless and comfortable use thanks to
good balance and low weight
Grip and rotation in the hand due to
soft-touch material and round-edged handle
CC guide to match tines exactly and
prevent scissoring of the tips
Bipolar coagulation with
Masterpiece™ non-stick bipolar
forceps during brainstem
cavernoma surgery.
Classic
The Classic plateau-shaped tips are available
in a tip width of 0.4 mm and 0.7 mm. Tip
length: 6.0 mm.
Please note: Masterpiece™ non-stick bipolar forceps are uninsulated precision instruments which do not full sections 201.8.8.3 103 and -104 of IEC 60601-2-2:2010-01. For safety information, please observe the instructions for use.
8 | Sutter • CURIS® • Skull Base, Micro- and Neurosurgery • 2024
Masterpiece™ non-stick bipolar
forceps vs. conventional bipolar
forceps
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Calvian endo-pen® bipolar forceps
shown here:
bayonet
tips: 0.7 mm, 15° angled – horizontal movement
total length: 30.0 cm
working length: 14.0 cm
70 09 16
US pin connector:
70 09 16 S
„The angled, thin tips of the Calvian endo-pen® bipolar forceps have proven to be very
effective and precise for soft tissue coagulation to achieve hemostasis. Even very small
vessels can be occluded selectively. Moreover, the instrument is helpful for outward
dissection in separating normal from tumor tissue. Its easy intraoperative handling
and precise coagulation make it a promising instrument for EETS for central skull
base pathologies. With its slender shaft and ne tips, the instrument offers all the
characteristics required for minimally invasive endonasal surgery.“
R. Gerlach, MD
Erfurt (Germany)
Our entire range of products can be found on our website www.sutter-med.com
Calvian endo-pen® bayonet
Bipolar forceps
Calvian endo-pen® non-stick bipolar forceps
shown here:
straight tips: 0.7 mm, 15° angled – horizontal movement
total length: 23.0 cm
working length: 10.0 cm
70 09 89 SG
US pin connector:
70 09 89 SGS
Calvian endo-pen® non-stick bipolar forceps
shown here:
straight tips: 0.7 mm, 15° angled – horizontal movement
total length: 31.0 cm
working length: 18.0 cm
70 09 88 SG
US pin connector:
70 09 88 SGS
Each Calvian endo-pen® comes with a storage tray for safe cleaning and sterilization.
Different tips available
Our entire range of products can be found on our website www.sutter-med.com
Our entire range of products can be found on our website www.sutter-med.com
Horizontal movement Vertical movement
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Bipolar coagulation in endonasal and transnasal endoscopic surgery
with Calvian endo-pen
®
| 9Sutter • CURIS® • Skull Base, Micro- and Neurosurgery • 2024
Page 10
Calvian® duckbill
+
bipolar forceps
15°
ARROW
Calvian® duckbill+
bipolar forceps
with suction
45° angled tip
working length: 12.0 cm
70 09 39
tip
™ monopolar microdissection electrodes
Calvian® duckbill
bipolar forceps
with suction
15° angled tip
working length: 12.0 cm
70 09 38
Our entire range of products can be found on our website www.sutter-med.com
+
45°
Front - end coagulation is possible.
Hard - to - reach vessels and
structures can be coagulated
thanks to the recessed
opening of the suction channel.
Calvian® duckbill+
bipolar forceps
with suction
45° angled tip
working length: 12.0 cm
70 09 39
“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 favorably by the application of
radiofrequency current through an angled probe.“
T. Kühnel, MD, Regensburg (Germany)
ARROW
tip
™ monopolar microdissection electrode, single-use
Ø 0.3 mm, 45° angled, total length: 105 mm
36 44 42
ARROW
tip
™
monopolar microdissection electrode
single-use
45° angled
total length: 53 mm
36 44 21
tip
™
ARROW
monopolar microdissection electrode
single-use
straight
total length: 53 mm
36 44 20
Our entire range of products can be found on our website www.sutter-med.com
10 | Sutter • CURIS® • Skull Base, Micro- and Neurosurgery • 2024
10 | Sutter • CURIS® • Skull Base, Micro- and Neurosurgery • 2024
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Page 11
CURIS® 4 MHz Radiofrequency Generator - basic equipment
CURIS® basic equipment
Qty. REF Description
1 36 01 00-01 CURIS® 4 MHz radiofrequency generator
(incl. main cord, user‘s manual and test protocol)
1 36 01 10 Foot switch with two pedals for CURIS® (cut & coag) with holding bracket, cable length: 4 m
or 1 36 01 14 Foot switch with two pedals for CURIS® (cut & coag) without holding bracket, cable length: 4 m
or 1 36 01 07 Foot switch with one pedal for CURIS® (coag only) cable length: 4 m
1 37 01 54 L Bipolar cable for CURIS®, cable length: 3 m
1 36 07 04 Monopolar handpiece (pencil) cut & coag, shaft 2.4 mm, cable length 3 m
1 36 02 38 Cable for single-use patient plates, cable length: 3 m
Available patient plates:
1 (x 100) 29 00-5 Single-use patient plate, split, for adults and children, PU 20 x 5 pcs.
Kabel I Cables
Kabel Cables
Generator connector Length
CURIS®
4 MHz radiofrequency generator
US Standard, Erbe ICC International
Disclaimer:
Products shown in this catalog are subject to regulatory approval in individual markets. Products may therefore not be available in all markets.
The listed working lengths serve as a guideline and may be rounded up or down. The actual lengths may vary slightly.
Safety connector /
EU at connector
3.0 m 37 01 54 L 37 01 54 G 37 01 54 S 37 01 54 SG
4.5 m 37 01 35 L 37 01 35 G 37 01 35 S 37 01 35 SG
Angled connector /
EU at connector
Safety connector /
US 2-pin connector
Angled connector /
US 2-pin connector
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| 11Sutter • CURIS® • Skull Base, Micro- and Neurosurgery • 2024
| 11Sutter • CURIS® • Skull Base, Micro- and Neurosurgery • 2024
Page 12
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TEL. +49(0)7641-96256-0 · FAX +49(0)7641-96256-30
WWW.SUTTER-MED.COM · [email protected]
© Sutter Medizintechnik · Subject to change · REF 1309 F – X03 · printed on acid free paper
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