Energized by simplicity

In the standard version of TUR-P, monopolar current flows from the resection loop through the prostate tissue to the neutral electrode which is attached to the patient’s body with full-surface contact. A salt-free irrigation solution must be used when carrying out resection with monopolar current. The preset for monopolar TUR-P on the HF-GENERATOR 2260 is explicitly geared toward ensuring outstanding cutting results when resecting the prostate tissue.

Bipolar TUR-P represents a technological step forward compared to conventional TUR-P. Rather than the electrolyte-free solution, it uses a physiological saline solution as the irrigation fluid and current conductor. The current circuit is closed via the loop and the branch of the electrode, which means that the current does not flow through the patient’s body. In the case of bipolar TUR-P, a plasma bubble forms on the electrode loop which enables ablation of the prostate tissue. The preset for bipolar TUR-P on the HF-GENERATOR 2260 features outstanding ignition and cutting behavior from the electrode. The plasma bubble forms on the electrode loop even without direct tissue contact and ensures excellent resection as well as vaporization and coagulation of the prostate tissue.

Excellent cutting behavior, especially with the monopolar and bipolar electrodes from Richard Wolf.

Particularly in the case of larger prostates, endoscopic enucleation of the prostate (EEP) is proving to be a more patient-friendly method than standard TUR-P and is becoming increasingly established around the world. Holmium and thulium laser enucleation (HoLEP & ThuLEP) are most commonly used with this type of procedure. Bipolar enucleation (bipolEP) is a cost-efficient alternative to laser therapy. The HF-GENERATOR 2260 provides a specially coordinated preset for bipolEP and ensures excellent performance when used on tissue, particularly in combination with the bipolar enucleation electrode from Richard Wolf.

Bipolar enucleation electrode for endoscopic enucleation of the prostate (EEP).

From a technical perspective, monopolar TUR-B works in the same way as monopolar resection of the prostate (TUR-P). The preset for monopolar TUR-B on the HF-GENERATOR 2260 is ideal for precise effect and cutting performance, and ensures effective resection and coagulation of the tissue.

This method increases patient safety as the emitted current does not flow through the entire body. In the case of bipolar TUR-B, a plasma bubble forms on the electrode loop which enables resection of the NMIBC. The preset for bipolar TUR-B on the HF-GENERATOR 2260 ensures that the plasma bubble forms quickly on the electrode tip even without direct tissue contact. It is essential that the electrode delivers effective and precise ignition and cutting behavior for sampling and treatment of an NMIBC, particularly when it comes to the resection of surface tissue and marking of the tumor edges.

Particularly thin cutting electrode.

The aim of en bloc resection (ERBT) is to remove the NMIBC in one piece. With classic TUR-B, it is specifically the fractionated manner in which the tumor is removed that presents certain disadvantages – the individual tumor fragments make it impossible to carry out an exact pathological assessment of the free resection margins and prevent spatial mapping of the specimen. The horizontal and vertical resection margins and the general invasion depth are a key indicator for the quality and completeness of a resection. The ERBT method enables excellent resection results, particularly in combination with System blue for photodynamic diagnostics (PDD). Richard Wolf provides a particularly thin cutting electrode as well as a special oval cutting electrode for ERBT, which – in combination with the preset for bipolar TUR-B on the HF-GENERATOR 2260 – ensure precise marking of the tumor edges and effective resection of the NMIBC.

Oval cutting electrode for en bloc resection.

In the field of surgery, the aim of the new HF-GENERATOR was to elevate the performance of the Richard Wolf instruments to the highest possible level. Presets for laparoscopic surgery that are perfectly adapted to the ERAGON instrument family automatically enable the best possible results. Possible applications for the HF-GENERATOR 2260 in general and visceral surgery include all minimally invasive and laparoscopic surgical techniques – from standard procedures such as laparoscopic cholecystectomy to bariatric surgery and colorectal surgery. Areas of application in gynecology, meanwhile, include laparoscopic hysterectomy (TLH, LASH, LAVH) and fertility and myoma surgery.

Together with the new ERAGONseal* bipolar vessel sealing instrument, Richard Wolf provides a way of preparing, coagulating, and sealing vessels or tissue bundles precisely and effectively without having to switch instrument – saving time and money. Thanks to the design of the instrument and the insulation of ERAGON SEAL, only the tissue between the jaw insert is sealed and separated. This prevents any thermal damage to surrounding tissue.

*Available soon