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CUSA® Excel+

Limit uncertainty and maximize cranial tumors removal with combination of speed and selectivity.

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.


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.

C2602 - 1


  • 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.



  • 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.

1- Compared to higher amplitude.


The CUSA® Excel+ ultrasonic surgical aspirator is intended for surgical procedures where fragmentation, emulsification and aspiration of soft tissue is desirable, including Neurosurgery, Gastrointestinal and affiliated organ surgery, Urological surgery, Plastic and Reconstructive Surgery, General Surgery, Orthopedic Surgery, Gynecological Surgery, Thoracic Surgery, Laparoscopic Surgery and Thoracoscopic Surgery.


Do not use the CUSA® Excel+ ultrasonic surgical aspirator for other indications than the ones specified in the instructions for use.

Ordering Information

Catalog No.DescriptionQuantity
CUSAEXCEL9 CUSA® Excel+ Console with FootswitchEach 1
C260023 kHz Straight HandpieceEach 1
C260123 kHz Curved HandpieceEach 1
C260236 kHz Straight HandpieceEach 1

Product Catalogues

Regulatory Information

For more information, please contact your Integra representative.
For complete product information, please consult product labels and inserts for any indications, contraindications, hazards, warnings, precautions, and instructions for use.