Number of Applications: Unlimited
Adjustment of unit: recommended intensity:3
Anaesthesia: Local
Spray a topical anaesthetic (such as lidocaine 10%) into the posterior oral cavity. After 3-4 minutes a 1.0 ml mixture of 2% lidocaine with 1:1000,000 epinephrine and 0.5 ml of 0.5% bupivicaine is injected at the junction of the soft palate and the uvula bilaterally and into the base of the uvula.

METHOD OF USE
Patient selection requires careful review of the medical history and thorough physical evaluation. The hypopharynx should be ruled out as the primary site of airway obstruction.
Initially, it should be mentioned that for patients with pathological snoring and obstructive sleep apnea, adequate nasal airflow must be ensured. This is achieved surgically with ultrasound as has been mentioned above (Shrinkage of overgrown lower nasal turbinates, removal of nasal spurs, shrinkage or removal of nasal polyps, treatment of synechia etc).
In addition, shrinkage of overgrown tonsils can also be performed if necessary with ultrasound method as mentioned above.
*Stage 1: Using the special forceps hold the lower part of the uvula and slightly pull it downwards. Then, with the sharp blade of the special ultrasonic attachment (KE 1833) touch the loose part of the uvula which you desire to cut. Activate the scalpel by the foot pedal and with a very slow, even movement cut all the loose part of the uvula, ensuring you do not injure the muscle of the uvula.
*Stage 2: After that in the same way cut the trenches on the free edge of the soft palate at either side of the uvula.
*Stage 3: Change the attachment on the head, putting the nasal rupturer KE1831 attachment on. Insert the attachment (activated by the foot pedal) into the soft palate submucosally for a second at five points (Fig.1)