intro to ellman part 1/5 (rf vs. esu)
TRANSCRIPT
The Ellman RF Product Line
Marc Weiser Sr. Director of Intl Sales - APMEA
Chapter 1
The Difference between Ellman Radiofrequency & Electrosurgery
The VERSATILITY of the Ellman RF energy source & accessories give you the capability to do PRECISION surgery
• Fewer teeth in the saw blade results in splintered ends which is appropriate for some uses but not for finish carpentry.
• For non-aesthetic procedures, optimizing the incisions is not as important
• More teeth in the saw blade results in smooth ends which is more appropriate for finish carpentry.
• For aesthetic procedures, the smoothest cuts are essential
Ellman (4 Mhz) has about 10 times the cycles of other ESUs (~400 khz)
Carpentry helps differentiate ESUs from RF
Frequency Chart Card – CC10004A1
Comparing Incisions on Soft Tissue Courtesy of Constantin Stan, MD
Clinical Significance of 4.0MHz CCO9021BVFa
Some more materials….
LIT-71-20
CC100004A2
CC08107SV3F
Niamtu Article – LIT-71-20
Always Focus on Clinical Benefits
Ellman Radiowave Technology Overview
CC100004A2
Chapter 2
How Ellman RF Works
The Lateral Heat Formula
T = Time that electrode contacts tissue P = Intensity of power
F = Frequency
Electrode type and selected waveform also impact thermal build up
Demonstrate on Beef or Chicken
that electrode contacts tissue
Intensity of
Finer electrodes are for Cutting Fatter electrodes are for Coagulation
Electrode Type Affects Thermal Heat
The Vari-Tip Electrode controls depth of penetration with an adjustable wire.
Monopolar Cutting Waveforms
Monopolar Coagulation Waveforms
Bipolar Coagulation
! Radiowaves travel only between the two tips of the forceps. Antennae is not used but it must be plugged into the machine.
! Pin-point accuracy, micro-coagulation in a wet field
! Ideal for coagulation in and around critical anatomy
* For Surgitron Dual RF and S5 units, BIPOLAR waveform operates at 1.7 MHz. This produces more lateral heat than 4.0MHz, due to increased coagulation
Chapter 3
Review the Different Machines
Technical Specs/Capabilities Features PelleveS5 Dual120 Dual-EMC90 Acusect EMC
Componentry SS(SolidState)
SS SS SS Analog(VacuumTube)
InternalCooling Yes No No No No
Display ColorLCD Digital Digital Knobs Knobs
Mono/Bipolar 4.0/1.7 4.0/1.7 4.0/1.7 4.0/4.0 3.8*BipolarConverter
WarmUp 0sec 0sec 0sec 0 30sec
DutyCycle 60sec 60sec 60sec 20sec 10-15sec
FootPedal Double Double Double Double Single
Fingerswitch 3-BuVon 3-BuVon 3-BuVon 1-buVon Addon1-buVon
IEC&CEMarked
Yes Yes Yes No No
Standard Accessories PelleveS5
Dual120
Dual-EMC
Acusect EMC
2YearWarrantee ✔ ✖ ✖ ✖ ✖
PlaZnumPkg.(1Cart,3BoxesofGlideSafe,38ozJarsofTreatmentGel,1IRTempGun)
✔ ✖ ✖ ✖ ✖
MarkeZngKit/PRC/PPF ✔ ✖ ✖ ✖ ✖
Sterile/SSNeutralPlate 1Box 1Plate 1Plate ✖ ✖
Autocl.NeutralPlate ✖ ✔ ✔ ✔ ✔
3-FingerbuVonHP ✔ ✔ ✔ ✖ ✖
1-FingerbuVonHP ✖ ✖ ✖ ✔ ✗ *EMCKA,XKO1
Sterile/SSBipolarCables ✔ ✔ ✔ ✔ ✖
BipolarForcep ✖ ✔ ✔ ✔ ✗*JX/E,
EMCH95A
FootControlledHP ✔ ✔ ✔ ✔ ✔
Power/Applications EnhancedWaveform
CUT BLEND COAG Fulg. Bipolar
PelleveS5 ✔ 120 80 60 40 120
Dual120 ✔ 120 80 60 40 120
Dual-EMC ✔ 90 65 45 35 90
Acusect ✖ 50 50 35 N/A 35
EMC ✖ 90 75 45 35 ?
PellevePelleFirm
Derm Ophth/Bleph
FaceliL Breast/Abdom.
Gyn ENTOffice
ENTHospital
PelleveS5 ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔
Dual120 ✖ ✔ ✔ ✔ ✔ ✔ ✔ ✔
Dual-EMC90 ✖ ✔ ✔ ✔ ✓ ✔ ✔ ✔
Acusect ✖ ✔ ✓ ✖ ✖ ✖ ✔ ✖
EMC ✖ ✔ ✔ ✔ ✓ ✔ ✔ ✖
Digital Surg-e-Vac
Chapter 4
The Most Important Accessories
Accessories account for appr. xx% of all revenue
How to Order
When in doubt: Blue = Reusable
= Sterile/Single-Use
How to Order
Please check Price List for electrodes available in 5pk and 3/32” shaft size
How to Order
Ordering handpieces, accessories & cables that plug into all machines
When ordering surgical handpieces, accessories, and cables that plug into our IEC machines (Pelleve S5, Dual 120, Dual-EMC, and Acusect) you must put an “IEC-” before the item code.
When ordering surgical handpieces, accessories, and cables that plug into our EMC machine you do not put an “IEC-” before the item code. Devices that plug into the EMC machine have a banana plug that we stopped using for our machines due to IEC regulations.
Here are some examples: DescripQon EMCMachineCode IECMachineCode
FootControlledHP(2pcs) XHP1 IEC-XHP1
SucZonCoagulator(Reusable) H40 IEC-H40
QuickConnectCable SP020 IEC-SP020
NeutralPlate H4 IEC-NPC
Neutral Plates
• Passive electrode draws the radio signal back to the radiosurgical unit.
• The closer the Antenna Plate is to the surgical site, the less power is required from the unit.
• Being consistent in where you place the neutral plate will help maintain more standard energy settings.
• Reusable neutral plate does not have to make direct skin contact
• Sterile/Single-Use neutral plate requires direct skin contact. Please be careful in making sure there are no wrinkles or small areas of the skin not touching the sticky pad.
• Sterile/single-use neutral plate should always be used for Pelleve and PelleFirm procedures for stronger, more consistent energy flow, and reduced procedural time (skin heats up faster). All of our protocols have been developed using IEC-NPD.
Sterile/Single-Use RF Electrodes Available in 1/16” Shaft Only (25pcs per pack)
DSEP40 – Medical Electrode Set – Includes 5 of each electrode:
A2D (xx%)
Fine Wire Electrode, ⅜” Length
Fine initial skin incisions
F1D (xx%)
Broad Needle Electrode Pinpoint coagulation, Fulguration
A8D (xx%)
Vari-TipTM Wire Electrode, Adjustable Wire
Initial skin incision, dissection
B1D (xx%)
Round Loop Electrode, ¼” Dia.
Shaving, biopsy, excision
B2D (xx%)
Round Loop Electrode, ⅜” Dia.
Shaving, biopsy, excision
C3D (xx%)
Diamond Loop Electrode, 3/16” Dia.
Elliptical excisions
D8D (xx%)
Ball Electrode, 2.3mm Coagulation
A3D/OS (xx%)
Needle Electrode, ¾” Length
Cutting with coagulation
133D Pin Electrode Pinpoint coagulation
E4D (xx%)
Scalpel Electrode, 1” Length
Dissection with heavy coagulation
E3D (xx%)
Scalpel Electrode, ½” Length
Dissection with heavy coagulation (shorter)
Sterile/Single-Use RF Electrodes Available in 1/16” Shaft Only (25pcs per pack)
Additional Disposable Electrodes:
Electrode Explanation for DSEP40
Available on DRC!
Empire microIncision Needles Sterile/Single-Use (Pack of 2)
Top 10 Empire Sellers 2013 (86% of all Empire Revenue) 1) QTEEXXX (xx%) 2) TEEXXX (16%) 3) QTEEXXX (8%) 4) TEEXXX (6%) 5) QTEEXXX (6%) 6) QTEEXXX (5%) 7) QTEEXXX (5%) 8) QTEEXXX (3%) 9) TEEXXX (2%) 10) TEEXXX (1%)
*Q Empires make up XX% of Empire Revenue
Bipolar Forceps Top 10 Bipolar Forceps 1) JX (XX%) 2) JXX (X%) 3) JXX (X%) 4) ACBF-0XX (X%) 5) ACBF-0XX (X%) 6) JX (X%) 7) ACBF-0XX (X%) 8) ACBF-0XX (X%) 9) JXX (X%) 10) ACBF-0XX (X%)
*These Top 10 bipolar forceps made up XX% of all bipolar forceps Revenue
*Ace-Tip Non-Stick Forceps made up XX% of all Bipolar Forceps Revenue