Intro to Ellman Part 1/5 (RF vs. ESU)

36
The Ellman RF Product Line Marc Weiser Sr. Director of Intl Sales - APMEA

Transcript of Intro to Ellman Part 1/5 (RF vs. ESU)

Page 1: Intro to Ellman Part 1/5 (RF vs. ESU)

The Ellman RF Product Line

Marc Weiser Sr. Director of Intl Sales - APMEA

Page 2: Intro to Ellman Part 1/5 (RF vs. ESU)

Chapter 1

The Difference between Ellman Radiofrequency & Electrosurgery

Page 3: Intro to Ellman Part 1/5 (RF vs. ESU)

The VERSATILITY of the Ellman RF energy source & accessories give you the capability to do PRECISION surgery

Page 4: Intro to Ellman Part 1/5 (RF vs. ESU)

•  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

Page 5: Intro to Ellman Part 1/5 (RF vs. ESU)

Frequency Chart Card – CC10004A1

Page 6: Intro to Ellman Part 1/5 (RF vs. ESU)

Comparing Incisions on Soft Tissue Courtesy of Constantin Stan, MD

Page 7: Intro to Ellman Part 1/5 (RF vs. ESU)

Clinical Significance of 4.0MHz CCO9021BVFa

Page 8: Intro to Ellman Part 1/5 (RF vs. ESU)

Some more materials….

LIT-71-20

CC100004A2

CC08107SV3F

Page 9: Intro to Ellman Part 1/5 (RF vs. ESU)

Niamtu Article – LIT-71-20

Page 10: Intro to Ellman Part 1/5 (RF vs. ESU)

Always Focus on Clinical Benefits

Page 11: Intro to Ellman Part 1/5 (RF vs. ESU)

Ellman Radiowave Technology Overview

CC100004A2

Page 12: Intro to Ellman Part 1/5 (RF vs. ESU)

Chapter 2

How Ellman RF Works

Page 13: Intro to Ellman Part 1/5 (RF vs. ESU)

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

Page 14: Intro to Ellman Part 1/5 (RF vs. ESU)

Demonstrate on Beef or Chicken

that electrode contacts tissue

Intensity of

Page 15: Intro to Ellman Part 1/5 (RF vs. ESU)

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.

Page 16: Intro to Ellman Part 1/5 (RF vs. ESU)
Page 17: Intro to Ellman Part 1/5 (RF vs. ESU)

Monopolar Cutting Waveforms

Page 18: Intro to Ellman Part 1/5 (RF vs. ESU)

Monopolar Coagulation Waveforms

Page 19: Intro to Ellman Part 1/5 (RF vs. ESU)
Page 20: Intro to Ellman Part 1/5 (RF vs. ESU)

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

Page 21: Intro to Ellman Part 1/5 (RF vs. ESU)

Chapter 3

Review the Different Machines

Page 22: Intro to Ellman Part 1/5 (RF vs. ESU)

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

Page 23: Intro to Ellman Part 1/5 (RF vs. ESU)

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 ✔ ✔ ✔ ✔ ✔

Page 24: Intro to Ellman Part 1/5 (RF vs. ESU)

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 ✖ ✔ ✔ ✔ ✓ ✔ ✔ ✖

Page 25: Intro to Ellman Part 1/5 (RF vs. ESU)

Digital Surg-e-Vac

Page 26: Intro to Ellman Part 1/5 (RF vs. ESU)

Chapter 4

The Most Important Accessories

Accessories account for appr. xx% of all revenue

Page 27: Intro to Ellman Part 1/5 (RF vs. ESU)

How to Order

When in doubt: Blue = Reusable

= Sterile/Single-Use

Page 28: Intro to Ellman Part 1/5 (RF vs. ESU)

How to Order

Please check Price List for electrodes available in 5pk and 3/32” shaft size

Page 29: Intro to Ellman Part 1/5 (RF vs. ESU)

How to Order

Page 30: Intro to Ellman Part 1/5 (RF vs. ESU)

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

Page 31: Intro to Ellman Part 1/5 (RF vs. ESU)

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.

Page 32: Intro to Ellman Part 1/5 (RF vs. ESU)

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

Page 33: Intro to Ellman Part 1/5 (RF vs. ESU)

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:

Page 34: Intro to Ellman Part 1/5 (RF vs. ESU)

Electrode Explanation for DSEP40

Available on DRC!

Page 35: Intro to Ellman Part 1/5 (RF vs. ESU)

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

Page 36: Intro to Ellman Part 1/5 (RF vs. ESU)

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