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The CUSA® Excel+ Ultrasonic Surgical Aspirator System is indicated for use in surgical procedures where fragmentation, emulsification and aspiration of soft and hard (e.g. bone) tissue is desirable. The CUSA® Excel+ Ultrasonic Surgical Aspirator is indicated for use in: Neurosugery, Plastic and Reconstructive Surgery, Orthopedic Surgery, Gynecologic Surgery, Thoracic Surgery, and the following specific uses: Gastrointestinal and Affiliated Organ Surgery—including removal of benign or malignant tumors or other unwanted tumors or other unwanted tissue, including hepatic parenchyma, in open or laparoscopic procedures, hepatic resection, tumor resection, lobectomy or trisegmentectomy, or removal of tissue during liver allotransplantation and donor hepatectomy. Urological Surgery—including removal of renal parenchyma during nephrectomy or partial nephrectomy. General Surgery—including removal of benign or malignant tumors or other unwanted soft or hard tissue in open or minimally invasive general surgical procedures. Laparoscopic Surgery—including removal of hepatic parenchyma in laparoscopic hepatic resection, lobectomy or trisegmentectomy, in laparoscopic donor hepatectomy or laparoscopic cholecystectomy or laparoscopic pancreatic jejunostomy, or pancreatectomy, or laparoscopic appendectomy, laparoscopic colon resection, or laparoscopic partial gastrectomy.