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    Basics of Electrosurgery and RF

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    Trí Hồ Minh

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    Basics of Electrosurgery and RF

    Uploaded by

    Trí Hồ Minh
    8 views38 pages

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    8 views38 pages

    Basics of Electrosurgery and RF

    Uploaded by

    Trí Hồ Minh

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 38

    Basics of Electrosurgery & RF

    PRECISION ELECTROSURGERY
    The Role of Heat
    The Role of Heat

    09.01.2024 Sutter Medizintechnik GmbH 3


    The Role of Heat

    Changes in the application

    • Since 3000 years physicians use heat for hemostasis

    • In the 19/20th century cautery was used


    direct current heats an object

    • High frequency (HF) and Radiofrequency (RF) developed in the 1970`s


    alternating current heats the tissue

    09.01.2024 Sutter Medizintechnik GmbH 4


    The Role of Heat

    Electrocautery ≠ Electrosurgery

    09.01.2024 Sutter Medizintechnik GmbH 5


    The Role of Heat

    09.01.2024 Sutter Medizintechnik GmbH 6


    The Principles of Electrosurgery
    The Principles of Electrosurgery

    CUT (fast) COAG (slow)

    • Dynamic process • Static process


    (electrode is moved (electrode remains
    through tissue) in place)

    • lateral heat generally • certain heat spread


    undesired necessary for effect
    (electrode size !)
    • yet: hemostatic • yet: too wide
    cut sometimes distribution of heat
    important (more undesired - focus
    lateral heat)

    09.01.2024 Sutter Medizintechnik GmbH 8


    The Principles of Electrosurgery

    09.01.2024 Sutter Medizintechnik GmbH 9


    The Principles of Electrosurgery

    09.01.2024 Sutter Medizintechnik GmbH 10


    The Principles of Electrosurgery

    CUT (fast) COAG (slow)

    Fast energy flow let cells explode Slow energy flow seals open vessels
    (100°C) (60-70°C)

    09.01.2024 Sutter Medizintechnik GmbH 11


    The Principles of Electrosurgery

    09.01.2024 Sutter Medizintechnik GmbH 12


    The Principles of Electrosurgery

    Monopolar

    Bipolar

    09.01.2024 Sutter Medizintechnik GmbH 13


    Monopolar

    - inhomogeneous electrical field


    09.01.2024 Sutter Medizintechnik GmbH 14
    Bipolar

    - homogeneous electrical field


    09.01.2024 Sutter Medizintechnik GmbH 15
    Monopolar Settings

    CUT 1 CUT 2 Soft Spray Contact

    09.01.2024 Sutter Medizintechnik GmbH 16


    4MHz Radiofrequency
    Technology
    Traditional HF-Generators

    → Mainly for general surgery


    → More tissue damage as compared to Radiofrequency Technology
    09.01.2024 Sutter Medizintechnik GmbH 18
    Difference HF - RF

    09.01.2024 Sutter Medizintechnik GmbH 19


    Three Key Features

    09.01.2024 Sutter Medizintechnik GmbH 20


    4MHz Radiofrequency Technology

    09.01.2024 Sutter Medizintechnik GmbH 21


    4MHz Radiofrequency Technology

    09.01.2024 Sutter Medizintechnik GmbH 22


    High Frequency vs. RADIOFREQUENCY

    09.01.2024 Sutter Medizintechnik GmbH 23


    4MHz Radiofrequency Technology

    09.01.2024 Sutter Medizintechnik GmbH 24


    High Frequency

    09.01.2024 Sutter Medizintechnik GmbH 25


    Radiofrequency

    09.01.2024 Sutter Medizintechnik GmbH 26


    4MHz Radiofrequency Technology

    High Frequency Radiofrequency


    (300KHz – 1MHz) (>1MHz)

    09.01.2024 Sutter Medizintechnik GmbH 27


    4MHz Radiofrequency Technology

    09.01.2024 Sutter Medizintechnik GmbH 28


    4MHz Radiofrequency Technology

    09.01.2024 Sutter Medizintechnik GmbH 29


    AutoRF

    Power Output

    Impedance

    09.01.2024 Sutter Medizintechnik GmbH 30


    AutoRF

    Monopolar cutting:
    Sections 1 to 5 illustrate the different kinds of tissues and
    cutting speeds to which the unit adjusts its power output.
    09.01.2024 Sutter Medizintechnik GmbH 31
    Pulsed power performance

    50 ON-OFF Cycles per Second

    09.01.2024 Sutter Medizintechnik GmbH 32


    Pulsed power performance

    +
    = precision cutting

    + +
    = precision bipolar coagulation
    09.01.2024 Sutter Medizintechnik GmbH 33
    Advantages of
    RF and CURIS®
    CURIS®

    Advantages of CURIS®

    Less lateral heat damage

    Precise energy supply

    Better wound healing

    Minimally invasive

    For micro surgery

    Less expensive than Laser

    09.01.2024 Sutter Medizintechnik GmbH 35


    Precise bipolar coagulation

    Charlie Teo, MD,


    Conjoint Professor, University of NSW
    Director of the Centre for Minimally Invasive Neurosurgery, Sydney

    09.01.2024 Sutter Medizintechnik GmbH 36


    „
    Precise cutting

    Radiofrequency surgery causes considerably


    less damage to the edge of tissue than
    conventional electrosurgery. It generally
    leads to improved wound healing and better
    „
    cosmetic results.

    Robert Kasten, MD, PhD

    09.01.2024 Sutter Medizintechnik GmbH 37


    Minimal lateral thermal damage

    Illustration: After a partial tonsil resection (same patient): left with the
    CO2 laser; right with CURIS radiofrequency. Klaus Stelter, MD, PhD,
    Munich LMU University ENT Clinic

    09.01.2024 Sutter Medizintechnik GmbH 38

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