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¹Van Yüzüncü Yıl Üniversitesi, Tıp Fakültesi, Beyin ve Sinir Cerrahisi Anabilim Dalı, Van, Türkiye The Cavitron Ultrasonic Surgical Aspirator (CUSA) is nowadays widely used in neurosurgery, hepatobiliary surgery, gynecology, urology and gastrointestinal surgery practice. In parallel with the developments in technology, many modifications have been produced. The most important function of the ultrasonic surgical aspirator is to ensure precise removal of tumor tissue and to prevent any damage to the vital tissues and vessels around it. This feature has an important role in reducing intraoperative bleeding and the perioperative mortality-morbidity rates. There is no serious contraindication for the use of the ultrasonic surgical aspirator. There are often limitations due to the high cost and the availability of personnel experienced in using the device. Here, we aimed to describe the ultrasonic surgical aspirator device. Anahtar Kelimeler : Cusa, Neurosurgery, Safe surgery