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Valleylab CUSA EXcel-8 - Cooling; Fragmentation; Overview; Tip Motion

Valleylab CUSA EXcel-8
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Overview
Overview
Fragmentation
The
CUSA
EXcel
system
is
an
ultrasonic
surgical
aspirator
that
allows
a
surgeon
to
remove
tissue—selectively
and
with
precise
control—from
the
body.
It
performs
three
functions:
*
Fragmentation
+
Irrigation
*
Aspiration
(suction).
All
three
functions
may
occur
at
the
same
time.
The
CUSA
Excel
system
includes
the
following
components:
+
The
console:
4
The console
body
houses
electronics,
pumps,
and
other
parts
that
make
the
system
work.
4
The
control
panel
allows
the
user
to
control
the
system.
e
The
handpiece
is
the
handheld
surgical
device
that
actually
touches
the
patient.
e
Accessories
include
a
variety
of
items;
for
example, manifold
tubing,
a
large
selection
of
tips,
a
tip
torquing
base
and torque
wrench,
and
a
sterilizer
case.
Tip
Motion
Fragmentation
occurs
when
the
vibrating
tip
interacts
with
tissue.
As
the
tip
begins
to
move
toward
tissue,
it
accelerates,
impacts
the
tissue,
then
penetrates
the
tissue.
The
acceleration,
impact,
and
penetration
produce
a
combination
of
direct
mechanical
forces
and
hydrodynamic
pressures
that
burst
cells.
For
more
information
on
how
the
handpiece
works,
refer
to
Section
6,
Principles
of
Operation,
in
this
manual.
Cooling
The
high
frequency
vibration
generates
heat.
To
reduce
the
heat,
the
CUSA
EXcel
system
includes
a
closed,
recirculating
cooling
water
system.
This
system
pulls
water
from
a
cooling
water
reservoir,
through
a
tube
in
the
handpiece
cable,
through
the
handpiece,
and
through
a
return
tube
in
the
handpiece
cable
to
the
cooling
water
reservoir.
Cooling
water
flows
at
35
to
50
cc/min.
As
it
passes
through
the
handpiece,
the
water
removes
heat.Normal
handpiece
temperature,
in
sustained
heavy
use,
remains
at
about
40°
C.
CUSA
EXcel-8
System
Service
Manuál

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