The CUSA NXT^™ Ultrasonic Tissue Ablation System was designed to enable surgeons and nurses to focus on patient care rather than worrying about operation of the surgical equipment. The easy-to-use system features revolutionary NXT Digital Architecture™, supports current CUSA Selector® handpieces, and provides an expandable platform enabling exciting future handpiece capabilities. The touch screen user interface is easy to understand, provides rich visual feedback, and gives clinicians quick access to general system information.

NXT Digital Architecture^™

The CUSA NXT System features NXT Digital Architecture™, an advanced digital control system. This proprietary ultrasonic power circuitry ensures consistent performance, giving surgeons procedural control and peace of mind.  NXT Digital Architecture enables features  that enhance clinical performance and  improve ease of use, including:

	Tip Resonance Optimization
	Sine Wave Resonance
	Touch Screen Monitor
	Custom Presets
	Graphic System Support
	Integrated Troubleshooting

Advanced Aspiration System

NXT Digital Architecture also enables advanced control of the CUSA NXT aspiration system’s variable vane pump technology, resulting in:

	50% more suction power than CUSA Selector®
	More consistent aspiration control at all settings
	Improved handpiece cooling

Intraoperative MRI

The CUSA NXT System is designed for use in suites with intraoperative Magnetic Resonance Imaging equipment. The RapidRestore™ feature returns the CUSA NXT to its most recent system settings when powered on after imaging.

CUSA^® brand systems have led the ultrasonic surgical aspiration market for over 30 years. Since the introduction of the CUSA NS100 in 1977, the CUSA name has been  associated with premium quality and technological sophistication in ultrasonic surgical aspiration. The CUSA EXcel system is evidence of Integra’s continued commitment to the advancement of ultrasonic surgical aspiration technology and our goal to enable surgeons to continue to Operate with Confidence™.

The CUSA EXcel offers the most advanced feature set of any ultrasonic surgical system on the market. 

Unique to the CUSA EXcel, TissueSelect^™ maintains fragmentation capability for tumor removal while maximizing selectivity for surgeon control around critical structures.  As the setting is increased, “softer” tissue is still easily fragmented, but “stronger” tissue is more resistant providing superior tactile feedback to the surgeon

The CUSA EXcel system supports an extensive selection of handpieces and surgical tips. This TipSelect^™ flexibility allows the surgeon to choose the most appropriate tip/handpiece combination based on the surgical procedure. The user-friendly console, color-coded tubing and tubing paths allow for easy system set-up.

The CUSA Electrosurgery Module (CEM^™) enables the powerful combination of electrosurgery and ultrasonics in one handpiece.  Monopolar electrocautery can be simultaneously delivered to the tip with ultrasonic vibration, permitting  more rapid tissue debulking.

Additional advanced features include:

	Tissue Release Function
	Completely Disposable Suction Path
	Pre-aspiration Holes
	Laparoscopic Function

The Selector^® system for ultrasonic surgery combines selective tissue ablation with simultaneous irrigation and aspiration. Developed and manufactured in the U.K., the Selector system is quick to set up and easy to operate and maintain.

The Selector console is the power source for the Selector handpieces and provides aspiration and irrigation control. Irrigation control is provided via an integral peristaltic pump, able to deliver a range of flow rates from 1 - 50 ml/min.

The linear action footswitch places the ultrasonic power and irrigation rate directly under the surgeon’s control.  Depression of the power pedal delivers a proportional increase in the ultrasonic power with accompanying irrigation and aspiration up to the maximum level selected on the console. The separate irrigation pedal provides a variable flow rate of irrigation fluid, useful when a bolus of fluid is required.

The Selector Service Module provides a source of aspiration and waste collection for the Selector system. Alternatively, the console can be connected directly to the suction/waste source within the operating room.