2013 radiation oncology accessories catalog

poSitioning and immobilization

motion management

robotic positioning

couchtops & overlays

Radiation Oncology Accessories Catalog

Welcome to the Radiation Oncology Accessories Catalog

Elekta is a medical technology company pioneering clinical

solutions for the treatment of cancer and brain disorders. Our

advanced technologies for radiotherapy, radiosurgery and

brachytherapy, including dose planning and software systems,

are used in 6,000 hospitals worldwide to improve, prolong and

save lives of close to one million patients every year.

Since its foundation in 1972 in Stockholm, Sweden, Elekta has

remained a pioneer in its field by working in close association

with doctors to create the tools they need to treat patients more

effectively, precisely and efficiently. Elekta employs around 3,300

employees globally.

As part of the overall product portfolio Elekta offers a range

of product accessories to aid Radiation Therapists in clinical

practice. Elekta has an open architecture philosophy, allowing

its products to be used in multi-vendor environments.

For the latest information and developments please log on at:

http://ecatalog.elekta.com/

The products in this catalog may not be cleared for sale in all markets. Please contact your Elekta sales representative for more information. Elekta is not held responsible for any clinical advice given during training sessions.

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Contents

Motion Management

Active Breathing Coordinator™ 6• Configurations 8• Upgrades 9

Robotic Positioning

HexaPOD™ evo RT System 11• Configuration 14• Basic Components 16

Couchtops & Overlays

Connexion™ • Modular Couchtop 20

• Basic Components 22• Connexion Configuration 25

iBEAM® evo Couchtop 28• Basic Components 30• Configuration 32

iBEAM® evo CT Overlay 34• Basic Components 36

Cranial, Head & Neck Positioning and

Immobilization

Fraxion™ 38• Basic Components 40• Configurations 44• Kits 45

HeadFIX® 46• Basic Components 48• Reusable Components 51• Disposable Components 52• Kits 54

HeadSTEP™ 58• Configurations 60• Basic Components 62• Disposable Components 65

Breast & Thorax Positioning and Immobilization

BodyFIX® 67• Basic Components 70• Disposable Components 74• Reusable Components 75• Kits 76• Configurations 78

WingSTEP™ 82• Configurations 84• Reusable Components 85

FoamSTEP™ 89• Reusable Components 89

BreastSTEP™ 88• Configurations 90• Reusable Components 91

Hip & Pelvic Positioning and Immobilization

BodyFIX® 93

BellySTEP™ 94• Configurations 96• Basic Components 97

ProSTEP™ 98• Configurations 100• Basic Components 101

Miscellaneous Positioning Products

BlueBAG™ 103• Basic Components 104• Reusable Components 105

Index

Product Name 106

Part Number 109

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Active Breathing Coordinator™

Motion M

anagement

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The primary aim of radiation therapy treatments is

to deliver an optimal dose to the target volume while

minimizing dose to the surrounding normal structures.

Although increasingly complex plans are being employed

to achieve this clinical goal, there remain a number of

challenges posed by the inaccuracies of treating patients,

where tumors and critical structures are constantly moving

and adapting with normal physiological functions.

Firstly the respiratory cycle of the patient results in large

inaccuracies being introduced into both the planning

and delivery of radiation treatment, especially in the

abdominal and thoracic regions. Secondly, the anatomical

positioning of critical structures relative to the target

volume can be such that the prescribed dose cannot be

delivered without an unacceptable volume of critical

structure being irradiated, such as the heart for left-sided

breast treatments.

Various methods have been designed to gain control of

respiratory motion. However the best clinical solution will

be able to easily cope with a number of unique clinical

scenarios, such as applying simple and efficient breath

holds at an applicable threshold level.

To manage these challenges Elekta designed Active

Breathing Coordinator™, a solution enabling accurate

and reproducible breath holds to be repeatedly applied.

It allows clinicians to pause a patient’s breathing at a

precisely indicated volume and co-ordinate treatment

delivery, or imaging with this pause.

Active Breathing Coordinator adds precision and

repeatability to the well-conceived concept of deep

inspiration breath hold. The system is entirely portable,

allowing it to be used in any treatment or imaging room.

Active Breathing Coordinator with simulation and/or CT

simulation, provides enhanced data with which to plan

more precise treatments.

Active Breathing Coordinator™

Effective Motion Management

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Safely and reproducibly applies assisted breath-holds, responding to a number of clinical challenges

Provides improved image quality due to immobilization of patients

respiratory cycle and anatomy

Can significantly reduce the cardiac volume within a left sided breast tangential field

Portable, ensuring efficient use of resources

Compatible with use in any treatment, simulation or imaging room

Why Active Breathing Coordinator™?

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http://ecatalog.elekta.com

ABC Full SystemThe Active Breathing Coordinator provides all features required to implement a breath-holding technique within the clinical environment. This system is stand alone and can be easily utilized with a range of linear accelerators and CT scanners.

ABC Intermediate SystemThe Intermediate ABC system does not include the Control Laptop and Flat Panel Patient Monitor.

ABC Minimum SystemThe Minimum ABC system does not include the Control Laptop, Flat Panel Patient Monitor, CYBEX Transmitter/Receiver, Mouthpiece Kit (Set of 40), ABC Cart System and CAT 5 LAN cable.

Motion ManagementActive Breathing Coordinator™ • Configurations

Art No TRT 0361 consisting of Control Computer with Control Software installed

Flat Panel Patient Monitor

CYBEX Transmitter/Receiver

Transducer (pick-up assembly)

Transducer (turbine)

Balloon Valve

Patient Control Switch

Mirror & Mouthpiece Support System

Mouthpiece & Filter one-time use kit (set of 40)

ABC Cart System

CAT 5 LAN Cable (please state required length in your order

Art No TRT 0371 consisting of ABC Controller

Software

CYBEX Transmitter/Receiver



Balloon Valve



Mouthpiece & Filter one-time use kit (set of 40)

ABC Cart System

CAT 5 LAN Cable (please state required length in your order)

Art No TRT 0381 consisting of ABC Control Module

Software



Balloon Valve



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Motion ManagementActive Breathing Coordinator™ • Upgrades

ABC R2.0 Full Upgrade KitThis upgrade allows customers installed with Active Breathing Coordinator R1.02 to obtain the features included in R2.0. It consists of the following components and benefits:

Hardware• Modified connection port on the mirror support system supports the Transducer

turbine and pickup assembly and minimizes strain on the transducer cable.

• Color coding kit allows the user to identify the component parts of the respiratory system, to aid easy identification during assembly/ disassembly.

• Higher specification laptop with Windows XP, offering a more stable platform and ease of data.

Software• Increased response time of the balloon valve, thereby improving the threshold

accuracy capture.

• New user front end to allow for easier navigation and selection of control parameters.

• New record and pause functionality allowing specific selection of data captured in each session.

• New tools to allow retrospective analysis including:- View current session traces- Import up to 5 previous session traces- Align respiratory traces to specific breath-hold’s- Manipulation of view, including zoom, pan and reset tools.- Volume and time measurement tools

• New format for Session History and Output File viewing.

ABC R2.0 Basic Upgrade KitThis upgrade kit does not include the laptop computer. All other components and features are the same as for the ABC R2.0 Full Upgrade Kit.

Art No TRT 3701 consisting of Mirror Support Connector with Strain Relief

Laptop Computer with CD R/W Drive

Coupler with Color Coding

Release 2.0 Firmware

Identification Color Coding Kit

ABC Release 2.0 Software

Art No TRT 3711 consisting of Mirror Support Connector with Strain Relief

Laptop Computer with CD R/W Drive

Coupler with Color Coding

Release 2.0 Firmware

Identification Color Coding Kit

ABC Release 2.0 Software

HexaPOD™ evo RT System

Robotic Positioning

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Achieving Accuracy

One of the major obstacles to achieving accuracy in the delivery of radiation therapy is patient positioning and organ motion. The introduction of Elekta Synergy® and Elekta Axesse™ minimizes the uncertainties arising from target motion by providing 3D volume imaging at the time of treatment, highlighting any positional discrepancies before treatment begins. This allows clinicians to reduce margins with confidence, escalate dose and move towards hypofractionated treatment regimes. HexaPOD™ evo RT System completes the image guided radiation therapy (IGRT) localization chain by enabling accurate and remote geometric correction of any discrepancies observed and then detecting any table movement before treatment.

A Unique Patient Positioning System

HexaPOD evo RT System is a unique fully robotic patient positioning system with six degrees of freedom to correct for any misalignments detected by X-ray volume imaging (XVI) or portal imaging, provided by the Elekta range of digital linear accelerators. The computer controlled robotic treatment couch allows six independent degrees of freedom: x, y, z, pitch, roll and yaw and is able to achieve submillimeter 6D conformal positioning accuracy.

HexaPOD evo RT System comprises the HexaPOD evo RT Couchtop, equipped with the new generation homogenous carbon fiber couchtop – based on the iBEAM® evo Couchtop and iGUIDE® system – including the camera tracking system and control consoles, both inside and outside the treatment room.

Fast and Flexible Cost Saving Tool

HexaPOD evo RT System technology is compatible with a range of Elekta linear accelerators and, when integrated with the iGUIDE software, enables fast, flexible and automated patient set-up. This makes it a time and cost saving tool for any modern radiation therapy department.

iGUIDE® Tracking System and iGUIDE Software

The intuitive user interface of the iGUIDE software uses clinical workflows to aid the user and supports accurate positioning of the HexaPOD evo RT Couchtop to the defined isocenter co-ordinates, relative table position or a new position based on correctional data received from XVI, using all six degrees of freedom. The iGUIDE software is accessible inside and outside the treatment room.

HexaPOD evo RT System can also be controlled manually by using the handheld control when required.

The iGUIDE Tracking System along with the iGUIDE software controls the robotic couchtop and validates the table position. The high-precision camera tracks the markers on the reference frame in real time, making it possible to calculate the position of the robotic couchtop and patient.

HexaPOD™ evo RT SystemRobotic Patient Positioning System

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HexaPOD™ evo RT System can interface to XVI where image registration is carried out, which provides the table correction vectors required to compensate for any observed organ, or patient movement. All table correction movements can be remotely performed by HexaPOD evo RT Couchtop and no additional table movements are required to correct for any misalignment.

HexaPOD™ evo RT System Workflow

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The iGUIDE Reference Frame is placed over the patient and the patient is aligned according to their tattoos.

Once aligned to tattoos, the iGUIDE software registers the patient and then the relative table movements are made.

Operator selects the Unload position at the HexaPOD evo RT Couchtop and lowers the Precise table for the patient to stand up conveniently.

Patient receives treatment.

Select patient prescription on iGUIDE® software.

The patient lies on the treatment couch in the BodyFIX® vacuum cushion.

iGUIDE software automatically moves the HexaPOD evo RT Couchtop to the corrected isocenter position as defined by the XVI system.

An Elekta VolumeView™ image is acquired.

Elekta VolumeView image registration with reference CT scan to achieve translations and rotations required to correct the patient position.

The kV panel and collimator are moved into position.

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Why HexaPOD™ evo RT System?

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Automatic data transfer from XVI Positional Error Correction values

to iGUIDE

Workflow integration with XVI 4.5 or above

Improved patient access with lower loading and unloading height

Increased patient clearance on the linac

Computer-controlled robotic treatment couchtop enables a physical rotation point at the tumor iscocenter

Six degrees of freedom (x, y, z, roll, pitch and yaw)

Remote positioning correction

Achieves sub-millimeter positioning accuracy

iGUIDE graphical user interface is easy to use and self-explanatory

Specifically designed for intensity modulated radiation therapy (IMRT), image-guided radiation therapy (IGRT), stereotactic radiation therapy (SRT) and volumetric modulated arc therapy (VMAT)

Equipped with the newest generation of carbon fiber couchtop which significantly reduces appearance of artifacts


Robotic PositioningHexaPOD™ evo RT System • Configuration

HexaPOD evo RT SystemThe HexaPOD evo RT Couchtop is only compatible with the iGUIDE Tracking System. The robotic couchtop can be easily connected to the Elekta Precise table. The Precise table can be ordered with the necessary integrated cables.

Couchtop Dosimetric Properties

Component Attenuationat 6 MV

Attenuationat 10 MV

iBEAM evo Couchtop

2.4% 1.9%

iBEAM evo Extension 650

2.4% 1.9%


1.5% 1.3%

iBEAM evo Extension H&N

1.5% 1.3%

Hardware Upgrade

This upgrade package enables an upgrade from the HexaPOD RT Couchtop to the HexaPOD evo RT Couchtop and from iGUIDE 1.1 to iGUIDE 2.0.

Consists of Art No

HexaPOD evo RT Couchtop with iGUIDE 1.1 Art No P10603-900

HexaPOD evo RT Couchtop with iGUIDE 2.0 Art No P10603-911*

Consists of Art No

Upgrade to HexaPOD evo RT Couchtop Art No P10603-750

Upgrade to iGUIDE 2.0 Art No P10603-600

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Axis Movement range

Pitch (rotation around the X axis)

± 3o

Roll (rotation around the Y axis)

± 3o

Yaw (rotation around the Z axis)

± 3o

Resolution 0.1 mm

Moving speed Up to 16 mm/second linear translational movement

Loading height of the system 19.2 cm

Rotational Treatment Range at the Start Position

Axis Translations from the zero position

Movement range

X Lateral ± 30 mm

Y Longitudinal ± 30 mm

Z Vertical ± 30 mm

HexaPOD evo RT System Specifications

HexaPOD evo RT System enables accurate and remote geometric correction of patient position.

Overall accuracy of the HexaPOD evo RT System

RMS (root mean square)

95% CI (confidence interval)

Maximum Error

Translational movements < 0.5 mm 0.5 mm < 1.0 mm

Rotational movements < 0.1o 0.1o < 0.2o

Translational Treatment Range at the Start Position

*Note: The iGUIDE 2.0 is not yet cleared for sale in all regions. Please contact your authorized Elekta representative for details.

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Robotic PositioningHexaPOD™ evo RT System • Configuration

Handheld Controller

iGUIDE Reference

Frame

iBEAM Indexing Bars

HexaPOD evo RT Couchtop with homogeneous

carbon fiber couchtop

TREATMENT ROOM Control room

EnableSwitch Board

Universal Camera Mounting

iGUIDE Tracking System

iGUIDE Workstation

iGUIDE Software

iGUIDE Terminal



Robotic PositioningHexaPOD™ evo RT System • Basic Components

Reference Frame Bottom Plate*The Reference Frame Bottom Plates enables a safe storing of the iGUIDE Reference Frame.

iGUIDE Reference Frame*The iGUIDE Reference Frame carries infrared markers which are constantly monitored by the iGUIDE Tracking System for validation of the patient position.

iGUIDE Calibration Tool*The iGUIDE Calibration Tool is only requested for the Set-to-work procedure and is mounted on the carbon fiber couchtop.

Calibration Tool Position Helper*The Calibration Tool Position Helper enables easy positioning of the calibration tool.

Handheld Controller*The Handheld Controller enables manual positioning of the HexaPOD evo Couchtop.

EnableSwitch Board*The EnableSwitch Board is located in the control room and enables the movement of the HexaPOD evo RT Couchtop when pushing the two “Enable” buttons.

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iBEAM evo Extension 415The iBEAM evo Extension 415 is designed to support the patients head and neck region and extends off the end of the couchtop by 415 mm.

iGUIDE Tracking System* NDI, Canada

The iGUIDE Tracking System detects the position of the infrared markers on the iGUIDE Reference Frame to move the HexaPOD evo RT Couchtop into the exact position.

Polaris Accuracy Assessment Kit*The Polaris Accuracy Assessment Kit is a service tool to help determine if the Polaris Spectra Position Sensor should be returned to NDI for re-characterization.

* These components can be ordered as spare parts via the service department.

Art No P10105-412

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iBEAM evo Extension H&NThe iBEAM evo Extension H&N is designed to support the patient’s head and neck region and extends off the end of the iBEAM evo Couchtop by 400 mm. The small profile (omega shape) optimizes the access to the treatment area, facilitating the use of complex beam angles.

iBEAM evo Extension 650The iBEAM evo Extension 650 is designed to support the patients upper body and extends off the end of the iBEAM evo Couchtop by 650 mm, thus allowing prostate treatment for very tall patients.

Art No P10105-413

Art No P10105-423

iBEAM evo Removable Rails EPThe removable accessory rails are positioned along the superior lateral area of the couchtop. They are designed to be simply and easily removed between treatments.

iBEAM evo Couch AdapterAllows mounting of other head fixation accessories with hook & latch interfaces.

Art No P10105-551

Art No P10105-149



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Connexion™ Modular Couchtop

iBEAM® evo Couchtop

iBEAM® evo CT Overlay

Couchtops & O

verlays

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Connexion™

Modular Couchtop - Uncompromised Patient Setup

New from Elekta, Connexion™ Modular Couchtop is the

next generation couchtop system based on an award-

winning modular design. Individual modules can be

easily configured to meet specific patient requirements,

making an ideal table top solution for both conventional

treatments as well as radiotherapy techniques such

as Image Guided Radiation Therapy (IGRT), Intensity

Modulated Radiation Therapy (IMRT), Volume Modulated

Arc Therapy (VMAT), and Stereotactic Radiation

Therapy (SRT).

How do you Support Multiple Treatment Setups?

With a growing range of imaging and treatment techniques

available, couchtops need to be able to support different

approaches without compromising the set-up time.

With its unique modular design, Connexion removes the

restrictions of a single couchtop, allowing you to adapt

the couch to individual patients needs. Building on

Elekta’s choice in patient positioning solutions, Connexion

offers clinics the flexibility to select the most appropriate

couchtop providing personalized efficiency, and

strengthening the ability to optimize treatment outcomes.

A Single Solution to Meet a Range of Clinical Needs

Patient throughput is an essential part of any clinic.

Connexion allows clinics to maintain this essential

requirement with easily exchangeable, lightweight

modules by providing seamless transition of the individual

modules. As a single solution, adaptable to suit the

individual patient treatment needs, Connexion supports

a number of modules designed to fulfill specific

treatment indications.

Connexion™ - Easy and Efficient Workflow

To mount the inlay of the Connexion Central Opening Module, simply place it into the aperture of the module. To remove it, press against the inlay from below and remove it.

To remove a module, open the locking mechanism by spinning the wheel and pulling the handle on one side of the base board.

All Connexion modules are mounted and removed in the same way. Set the module at a slight angle so that the small safety pins on both sides of the base board interlock. Slide the module straight in until you hear a click and the module is flush with the baseboard.

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Optimized for low attenuation and dose build-up

Tailored options for imaging and treatment techniques

Versatile modular design gives uncompromised setup techniques

Increased clearance around the couchtop for extra flexibility in treatment set-up

Compatible with all iBEAM evo Extensions and Tabletop Adapters

3rd party accessory compatibility

Seamless transition between modules for efficient workflow

Industry standard integrated indexing system- compatible with a wide range of existing industry standard accessories

Why Connexion™?

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Dosimetric Properties

Component Attenuation @ 6 MV Attenuation @ 10 MV

Connexion Lateral Opening Module

2.4% 1.9%

Connexion Central Opening Module

3.6% 2.9%

Connexion Imaging Module

2.4% 1.9%

Connexion Head & Neck Module

2.4% 1.9%

Connexion Solid Inlay1.0% 0.9%


2.4% 1.9%


1.5% 1.3%

iBEAM evo Extension H&N

1.5% 1.3%

Phantom: Solid WaterField size: 9.6 x 10.4 cmSSD 95 cm; d = 5 cmPTW Multidose


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Connexion™ Basic Components

Connexion Central Opening Module with Connexion Solid InlayBeing able to reduce attenuation in this scenario results in lower skin dose to the patient. The Connexion Central Opening Module provides a central opening where attenuation and dose build-up are minimized, allowing you to reduce skin doses. The module is supplied with a Solid Inlay.

Connexion Head and Neck ModuleProviding patient-specific immobilization for head and neck treatments often require a variety of immobilization devices. The Connexion Head and Neck Module provides a dedicated solution to support head and neck immobilization, by providing a common interface to not only Elekta immobilization devices, but also other commonly used third party accessories.

Connexion Solid InlayThe Solid Inlay is required for the Connexion Central Opening Module. It provides an area with low attenuation properties.

Connexion Base BoardThe Connexion modular couchtop consists of a Base Board that attaches to the Precise Table and several modules which can be attached (and detached) to the Base Board. Each of the different modules is designed to fulfill specific treatment scenarios.

Connexion Imaging ModuleDesigned to address the needs of IGRT, IMRT and VMAT techniques, the Connexion Imaging Module accomplishes this through its low, homogenous beam attenuation properties, providing a sophisticated solution for modern treatment techniques.

Connexion Lateral Opening Module with Connexion Short Indexing BarBy reducing attenuation and build-up doses to the skin from treatment fields that would normally pass though the couchtop, the lateral opening module is designed for techniques that use oblique fields, such as SBRT. This module increases clearance around the couchtop, giving you extra flexibility in treatment set-up when you need it. The Short Indexing Bar is included for repositioning of accessories. (Connexion Indexing Bridges Set are available. See separate entry for more information).

Art No P10105-200

Art No P10105-210

Art No P10105-241

Art No P10105 -240

Art No P10105-213

Art No P10105-254

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Connexion™

Basic Components

Connexion Module CaseThe Module Case protects the different modules against damage during storage.

Connexion Short Indexing BarThe Short Indexing bar is required for accurate repositioning of accessories at the middle area of the Connexion Lateral Opening Module.

Connexion Indexing Bridges Set (Set of 2)The Indexing Bridges are required in order to use the BodyFIX 14 Target Positioner together with the Connexion Lateral Opening Module for SBRT.

Connexion Removable Side Rail Set (Set of 2)The removable accessory rails are positioned along the superior lateral area of the Connexion™ Imaging Module and the Connexion™ Central Opening Module. They are designed to be simply and easily removed between treatments.

Connexion Side Rail Arc ReplacementIn some cases, the side rail at the Connexion Base Board foot end has to be demounted for reasons of space. The Side Rail Arc Replacement allows closing the holes on the Base Board.

Art No P10105-251

Art No P10105-250

Art No P10105-256

Art No P10105-257

Art No P10105-253


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Connexion™ Basic Components

iBEAM evo Extension 650The iBEAM evo Extension 650 is designed to support the patients upper body and extends off the end of the iBEAM evo Couchtop by 650 mm, thus allowing for treatment of the prostate in very tall patients.

Art No P10105-423

iBEAM Indexing Bar (Set of 3)The iBEAM Indexing Bar is designed for the BodyFIX 14 Indexing System and allows indexing and positioning of compatible surface mounted accessories.

Art No P10105-110

iBEAM evo Extension 415The iBEAM evo Extension 415 is designed to support the patient’s head and neck region and extends off the end of the iBEAM evo Couchtop by 415 mm.

Art No P10105-412

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iBEAM evo Extension H&NThe iBEAM evo Extension H&N is designed to support the patient’s head and neck region and extends off the end of the iBEAM evo Couchtop by 400 mm. The small profile (omega shape) optimizes the access to the treatment area, facilitating the use of complex and non coplanar beam angles.

Art No P10105-413

System HeadSTEP iBEAM evo ExtensionThe HeadSTEP iBEAM evo extension is designed for routine head and neck immobilization on the iBEAM evo Couchtop and / or Connexion Imaging Module. It extends the end of the iBEAM evo couchtop or Connexion Imaging Module. Includes height adjustment with 23 angles and shoulder adapters.

Art No P10107-702 consisting ofP10107-402 HeadSTEP iBEAM evo Extension Basic Module

P10107-200 Pillow A Standard Black

P10107-201 Pillow B High Black

P10107-202 Pillow C Wedge

P10107-203 Pillow Y Prone Large

P10107-204 Pillow Z Prone Small

P10107-205 Distance Plate

P10107-206 Pillow D Tilt Blue

P10107-407 HeadSTEP Shoulder Adapter extension


Connexion System with Imaging ModuleThis system contains the Connexion Base Board with the Connexion Imaging Module and a set of iBEAM Indexing bars. It has equivalent dosimetric properties to the iBEAM evo Couchtop. (iBEAM evo Extensions are not included in this system but are required for conducting treatments).

Connexion System with Central Opening ModuleThis system contains the Connexion Base Board with the Connexion Central Opening Module, the Connexion Solid Inlay and a set of iBEAM Indexing bars. (iBEAM evo Extensions are not included in this system but are required for conducting treatments).

Connexion System with all 4 ModulesThis system contains the Connexion Base Board and all modules. It also contains a storage case for the modules further components and a set of iBEAM Indexing bars.

Art No P10105-750 consisting of P10105-200 Connexion Base Board

P10105-210 Connexion Imaging Module

P10105-110 iBEAM Indexing Bars (set of 3)


P10105-240 Connexion Central Opening Module with Solid Inlay





P10105-241 Connexion Lateral Opening Module with Short Indexing Bars

P10105-213 Connexion Head and Neck Module

P10105-250 Connexion Removable Side Rail Set (set of 2)


P10105-257 Connexion Module Case (4x)

Connexion™

Connexion™ Configurations

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Connexion System with Imaging Module Incl. ExtensionsThis system contains the Connexion Base Board with the Connexion Imaging Module and a set of iBEAM Indexing bars. Additionally it also contains two iBEAM evo Extensions. It has equivalent dosimetric properties to the iBEAM evo Couchtop.

Connexion System with Central Opening Module Incl. ExtensionsThis system contains the Connexion Base Board with the Connexion Central Opening Module, the Connexion Solid Inlay and a set of iBEAM Indexing bars. Additionally it also contains two iBEAM evo Extensions.

Connexion System with all 4 Modules Incl. ExtensionsThis system contains the Connexion Base Board and all modules. It also contains a storage case for the modules further components and a set of iBEAM Indexing bars plus two iBEAM evo Extensions.




P10105-412 iBEAM evo Extension 415







Art No P10105-755 consisting of P10105-210 Connexion Imaging Module


P10105-241 Connexion Lateral Opening Module with Short Indexing Bars

P10105-213 Connexion Head and Neck Module

P10105-250 Connexion Removable Side Rail Set (set of 2)


P10105-257 Connexion Module Case (4x)



Connexion™ Connexion™ Configurations

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iBEAM evo Couchtop quick-release mechanism with no metal components

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iBEAM® evo CouchtopThe clear vision upgrade

The iBEAM® evo Couchtop is in perfect synergy with

modern radiation therapy techniques, such as IMRT,

IGRT and a range of imaging modalities. IGRT requires

high-quality kV or MV imaging to enable optimized

image registration for misalignment detection and

subsequent correction.

The iBEAM evo Couchtop is the next generation couchtop

for both imaging and treatment, providing outstanding

in situ imaging quality and minimizing artifacts.

Conventional couchtops offer dedicated treatment areas

with relatively low attenuation. However, these often

contain metal and other solid support structures that

attenuate the beam creating limitations to image quality

and beam angles. The iBEAM evo Couchtop unique

homogenous carbon fiber sandwich design contains

no metal in the treatment area and offers improved

radiotranslucency with a minimized attenuation spread

across the range of beam entry angles, providing the

perfect solution for IMRT, VMAT and IGRT.

The improved homogenous construction of the iBEAM

evo Couchtop provides high rigidity and strength, thus

eliminating local patient sagging (as can occur with “tennis

racket” inserts) and permitting increased patient load of

200 kg (440 lb.) with less table flex. The integrated indexing

system optimizes patient positioning accuracy and

reproducibility, reducing patient setup time, minimizing

patient setup inaccuracies and maximizing the stability

of positioning devices.

The iBEAM evo Couchtop interchangeable extensions

are light, easy to attach and enable flexible patient

positioning, rapid patient setup and improved clinical

workflow.

The iBEAM evo Couchtop also addresses the clinical needs

of intracranial and extracranial stereotactic treatments,

providing a solid foundation for stereotactic hardware

(e.g. BodyFIX® and HeadFIX® stereotactic frames and

Fraxion™ frame).

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iBEAM evoCouchtop

setup withFraxion™

Frame

iBEAM evo Couchtop removable side rails

iBEAM evoCouchtop

setup withHeadFIX®

System

Outstanding Image Quality

Tennis racket Couchtop iBEAM evo Couchtop

Support barTennis racket

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Dosimetric Properties

Component Attenuation @ 6 MV Attenuation @ 10 MV

iBEAM® evoCouchtop

2.4% 1.9%

iBEAM® evo Extension 650

2.4% 1.9%

iBEAM® evo Extension 415

1.5% 1.3%

iBEAM® evo Extension H&N

1.5% 1.3%

Phantom: PMMAField size: 96 x 104 mmSSD 952 mm d = 48 mmPTW Multidose

Unique, optimized carbon fiber sandwich construction – low and

homogenous beam attenuation

Outstanding image quality – perfect for KV and MV imaging at the time of treatment

No metal in the treatment areaIndustry standard integrated indexing system – compatible to a wide range of existing industry standard accessories

Light and easy interchangeable extensions

Fixed rails and easy removable rails are available on the total length of the couchtop

iBEAM evo Couchtop EP can be retrofitted to Elekta Precise PSS table and iBEAM evo Couchtop product line – can also be retrofitted to other vendors’ linac treatment tables

Why iBEAM® evo Couchtop?

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Couchtops and OverlaysiBEAM® evo Couchtop • Basic Components




iBEAM evo Couchtop EPThe iBEAM evo Couchtop EP is compatible to the Elekta Precise PSS.

iBEAM evo Couchtop CAThe iBEAM evo Couchtop CA is compatible to Siemens ZXT, Varian ETR and Nucletron Simulix table pedestals with the configuration of the respective iBEAM Couchbase Adapters.

iBEAM evo Couchtop VEThe iBEAM evo Couchtop VE is compatible to the Varian Exact table pedestal.

Art No P10105-148

Art No P10105-163

Art No P10105-175

Art No P10105-413

Art No P10105-412

Art No P10105-423

22 30


Couchtops and OverlaysiBEAM® evo Couchtop • Basic Components

iBEAM evo Couch AdapterAllows mounting of the BrainLAB Couchmount System for Varian Exact. Check compatibility with Elekta Precise PSS with your local Elekta sales representative.

Art No P10105-149

iBEAM evo Removable Rails EP (Set of 2)The removable accessory rails are positioned along the superior lateral area of the iBEAM evo Couchtop EP. They are designed to be simply and easily removed between treatments.

iBEAM evo Removable Rails VE (Set of 2)The removable accessory rails are positioned along the superior lateral area of the iBEAM evo Couchtop VE. They are designed to be simply and easily removed between treatments.

Art No P10105-551

Art No P10105-176

31

Couchtop Calibration Bar VEThe Couchtop Calibration Bar VE can be positioned on the surface of the couch top and integrates with the BodyFIX 14 Indexing System. The featured cross hair can be used for the couch alignment to the isocenter in longitudinal and lateral directions, according to the defined table calibration procedure of the respective couch manufacturer.


Art No P10105-110

Art No P10105-155


Couchtops and OverlaysiBEAM® evo Couchtop • Configurations

iBEAM evo Couchtop EP (for Elekta Precise PSS)

iBEAM evo Couchtop CA ETR (for Varian ETR couch)

iBEAM evo Couchtop CA ZXT (for Siemens ZXT couch)

iBEAM evo Couchtop for Elekta Precise

iBEAM evo Couchtop VE (for Varian Exact couch)

The iBEAM evo Couchtop is available in several configurations for commonly used linacs and simulators. Please contact your account representative for further details.

Art No P10105-711 consisting of P10105-110 iBEAM Indexing Bar (Set of 3)

P10105-148 iBEAM evo Couchtop EP

P10105-413 iBEAM evo Extension H&N


P10105-148 iBEAM evo Couchtop EP



P10105-551 iBEAM evo Removable Rails EP


P10105-175 iBEAM evo Couchtop VE



P10105-145 iBEAM Couchbase Adapter Varian ETR

P10105-163 iBEAM evo Couchtop CA



P10105-115 iBEAM Couchbase Adapter SIEMENS ZXT

P10105-163 iBEAM evo Couchtop CA


24 32


33

iBEAM® evo CT OverlayThe clear vision upgrade

Designed for Treatment Planning

• Allows accounting for the geometry and dosimetric properties of the iBEAM evo Couchtop

• Designed to minimize image artifacts

Accurate Patient Positioning• Integrated indexing system enables

positioning of industry standard accessories and optimizes accuracy of patient setups and reproducibility

Improved Patient Throughput and Clinical Efficiency

• Lightweight and easy interchangeable extensions

34

iBEAM® evo CT Overlay Simple Steps

iBEAM evo CT Overlay quick-release mechanism with no metal components

The iBEAM® evo CT Overlay facilitates new potentials for

treatment planning and simulation.

The iBEAM evo CT Overlay is identical in design, geometry

and dosimetric properties with the iBEAM evo Couchtop

and offers the total departmental solution in combination

with an iBEAM evo Couchtop (installed on the linac table).

The iBEAM evo CT Overlay rests above the plane of the

original CT cradle. The digital removal of the cradle

provides the capability to take into account the beam

attenuation and dosimetric aspects of the iBEAM evo

Couchtop in your treatment planning data set.

By utilizing the same tabletop configuration for planning

and treatment, both patient position and beam modeling

can be accurately represented and replicated.

The integrated indexing system optimizes patient

positioning accuracy and reproducibility, reducing patient

setup time, minimizing patient setup inaccuracies further

in the treatment chain and maximizing the stability of

positioning devices.

The iBEAM evo interchangeable extensions are light, easy

to attach and enable flexible patient positioning, rapid

patient setup and improved clinical workflow throughout

the oncology center.

The iBEAM evo CT Overlay also addresses the clinical needs

of intracranial and extracranial stereotactic treatments,

providing a solid foundation for stereotactic hardware

(e.g. BodyFIX®, HeadFIX® and Fraxion™ stereotactic frames).

1 35

Future-proof for the latest RT techniques

35

CT scan of iBEAM® evo CT Overlay

CT cradle can be digitally removed

iBEAM® evoCT Overlay

Patient

Equivalent geometric and dosimetric configuration to iBEAM evo Couchtop

Integrated indexing system compatible with a wide range of existing surface mounted industry standard accessories

Designed to reduce image artifacts

Compatible with iBEAM evo extensions

Quick and easy installation and removal of the iBEAM evo CT Overlay

The iBEAM evo CT Overlay is available for various vendors’ CT models


iBEAM evo CT Overlay

Couchtops and OverlaysiBEAM evo CT Overlay • Basic Components


Art No P10105-110

Art No P10105-160 iBEAM evo CT Overlay GE Lightspeed RT16

P10105-165 iBEAM evo CT Overlay Siemens P20: • Somatom Sensation Open

• Somatom Volume Zoom / Access • Somatom Plus 4

• Somatom Sensation 4 • Somatom Sensation 16

P10105-169 iBEAM evo CT Overlay Philips BCT

P10105-171 •GE Lightspeed Plus • GE Lightspeed Ultra

• GE Lightspeed RT4

P10105-177 Toshiba Aquilion LB

28


Art No P10105-413


Art No P10105-412


Art No P10105-423

The iBEAM evo CT Overlay is available in several configurations for several commercially available CTs. Please contact your authorized Elekta representative for details.

36

Extensions and Indexing Bars have to be ordered separately.

1

Cranial, Head &

Neck Positioning and Im

mobilization

Fraxion™

HeadFIX®

HeadSTEP™

37

Accuracy and precision in patient positioning is a must

when delivering safe and effective cranial radiation

therapy. The key is having a single solution for

immobilization which allows you to choose the

technique best suited for your patient. Fraxion™

is the first to introduce an innovative solution which

brings all the proven immobilization options into one

single solution. This allows immobilization to be

tailored to patients’ needs using one system,

providing individual assurance.

Fraxion™

Patient-specific cranial immobilization

Unique Vacuum MouthpieceThe patient-specific vacuum mouthpiece and head cushion provides non-invasive accurate and comfortable patient immobilization.

Thermoplastic Mask Head ImmobilizationThe partial and full head thermoplastic masks provide alternative immobilization options in non-invasive setup, without compromising on accuracy.

Thermoplastic Mask Nose & Mouthpiece CombinationThe thermoplastic mask can be used in combination with the vacuum mouthpiece to provide flexibility in set-up options, allowing optimal set-up to best fit the patient’s needs.

How can Fraxion meet the needs of each individual patient?

38

Component Material Thickness (mm) Beam orientation Attenaution at 6MV [%]

Attenaution at 10MV [%]

Posts Carbon fiber, foam 25 Transversal (90°) 2.2 1.7

Headrest Carbon fiber 2 Sagittal (0°) 0.6 0.5

Mouthpiece PPS / Sagittal (0°) 1.1 0.7

Frontpiece, bottom plate Carbon fiber 6 Sagittal (0°) 2.8 2.3

Frontpiece, sliding plate Carbon fiber 7 Sagittal (0°) 3.3 2.6

Frontpiece, top plate Carbon fiber 6 Sagittal (0°) 2.7 2.3

Phantom: PMMA Field size: 10x10 cm² Measurement chamber: PTW multidose

Attenuation Measurements for Fraxion Frame

1

Offers several intracranial immobilization techniques (Vacuum Mouthpiece and Thermoplastic

Mask immobilization or a combination of both )

Frame-based and frameless solution

Choice of immobilization

Accuracy and precision for SRT and SRS

Simple design for optimized treatment workflow

Interface to Leksell Coordinate G Frame for SRS

Stereotactic frame for target localization and positioning

Precise positioning through micro adjustments via Pitch and Roll (2o of freedom) rotation

Optional Repositioning Check Tool to measure the relation of patient contour to frame

Optional Isocenter Alignment Tool (IAT) to perform QA on the Frame and the Stereotactic Frame, for both imaging and treatment. Can also be used for radation isocenter alignment and checking via Winston Lutz test.

Design allows combined / follow up use with Extend™ Program of Leksell Gamma Knife® Perfexion™

Why Fraxion™?

Target PositionerThe target positioner provides accurate target localization for stereotactic planning, imaging and treatment.

39


Cranial Positioning and ImmobilizationFraxion™ • Basic Components

Fraxion FrameThe Fraxion Frame is the main component of the system. It provides the interface between the patient-immobilization components and the table top.

Art No P10106-100

Fraxion FrontpieceThe Fraxion Frontpiece is attached to the Fraxion Frame in order to set-up the patient with the mouthpiece.

Art No P10106-101

Fraxion Patient Control Unit (PCU)The Patient Control Unit (PCU) provides the vacuum necessary for securing the mouthpiece to the patient’s maxilla, thus securely immobilizing the patient. It monitors the vacuum level to the mouthpiece and provides an alert when the mouthpiece becomes loosened. Additionally, the PCU is used for forming the vacuum cushion.

Art No P10106-102

Fraxion Stereotactic FrameThe Fraxion Stereotactic Frame is for target localization in stereotactic radiation therapy and radiosurgery. The purpose of the stereotactic frame is to impose fiducials on images of the patient acquired during CT scanning. The fiducials are used for determining target coordinates and for slice alignment by treatment planning software. The frame includes also the necessary marking sheets (Set of 5).

Art No P10106-103

Fraxion Marking Sheets (5 units)The Fraxion Marking Sheets are used togethter with the Fraxion Stereotactic Frame in order to locate the treatment target in the coordinate system and position the patient. The marking sheets will be stored together with all patient-specific parts in the storage box for the whole treatment time.

Art No P10106-200

Fraxion CT Adapter The indexed Fraxion CT Adapter allows you to prepare patients for CT imaging.

Art No P10106-104

32 40



Fraxion Tabletop Adapter Fraxion is secured to the treatment table top by various tabletop adapter depending on your treatment table. The tabletop adapters are available with 0 degree of freedom (0DoF) and 2 degree of freedom (2DoF) in order to align the patient to the lasers.

Art NoP10106-120 Fraxion Linac Tabletop Adapter VE (2DoF) for VARIAN Exact

P10106-122 Fraxion Linac Tabletop Adapter iB (2DoF) for iBEAM

P10106-123 Fraxion Linac Tabletop Adapter iBe (2DoF) for iBEAM evo

P10106-130 Fraxion Linac Tabletop Adapter VE for VARIAN Exact

P10106-131 Fraxion Linac Tabletop Adapter iB for iBEAM

P10106-132 Fraxion Linac Tabletop Adapter iBe for iBEAM evo

Fraxion Vacuum CushionThe Fraxion Vacuum cushions are formed to the patients head and enable highly accurate patient repositioning. Each cushion will be moulded individually for each patient and will be stored together with all patient-specific parts in the storage box for the whole treatment time. There are two sizes available: S and M.

Art NoP10106-210 Fraxion Vacuum Cushion S / 0.7L

P10106-211 Fraxion Vacuum Cushion M / 1.2 L

Fraxion Thermoplastic Mask (10 pcs)The Fraxion Thermoplastic Masks provide a large number of immobilization points over the patient’s head. The thermoplastic masks are available in nose (combination with mouthpiece) and head design. It will be stored together with all patient-specific parts in the storage box for the whole treatment time. Available only in micro perforation format.

Art NoP10106-300 Fraxion Thermoplastic Mask Head (10 pcs)

P10106-301 Fraxion Thermoplastic Mask Nose (10 pcs)

Fraxion Dental Impression Material (DIM) Pentron Clinical Technologies, USAThe Fraxion Dental Impression Material contains for tubes of dental impression material for generating the mouthpiece impressions.

Art No P10106-310

Fraxion Saliva Stop Patient (20 pcs)The saliva stop is a patient-specific component which connects the mouthpiece to the Patient Control Unit. It prevents saliva from reaching the Patient Control Unit.

Art No P10106-311

41



Fraxion DIM Adhesive (29 ml) Pentron Clinical Technologies, USAThe Fraxion DIM Adhesive cements the dental impression material to the mouthpiece.

Art No P10106-312

Fraxion Mixer and Dispenser Henry Schein INC., USAThe Fraxion Mixer and Dispenser enables easy filling of the mouthpiece with dental impression material.

Art No P10106-313

Fraxion Storage Box (5 pcs)The storage boxes are available for storing all patient-specific components: Vacuum cushion, Frontpiece with mouthpiece, Thermoplastic mask, Saliva stop, marking sheets, any protocols.

Art No P10106-400

Fraxion Torque WrenchThe Fraxion Torque Wrench is needed to tighten all screws with the appropriate torque of 2 Nm.

Art No P10106-105

Fraxion MouthpieceThe Fraxion Mouthpiece is affixed to the Fraxion Frontpiece assuring safe immobilization and precise (re-) positioning. The mouthpiece is also fixed to the patient’s maxilla with a vacuum. Several sizes are available.

Art NoP10106-320 Fraxion Mouthpiece Small (10 pcs)

P10106-321 Fraxion Mouthpiece Medium (10 pcs)

P10106-322 Fraxion Mouthpiece Large (10 pcs)

P10106-323 Fraxion Mouthpiece Small P2 (10 pcs)

P10106-324 Fraxion Mouthpiece X-Large P2 (10 pcs)

34 42



Fraxion Isocenter Alignment Tool (IAT)The Fraxion Isocenter Alignment Tool is required for performing QA for the Fraxion Frame and the Stereotactic Frame, for both imaging and treatment. It can also be used for radiation isocenter alignment and checking via the Winston Lutz test.

Art No P10106-401

Fraxion Headrest EC The Fraxion Headrest EC allows to treat patient from Leksell Gamma Knife® Perfexion™ to Linac because of the identical geometry of the Headrests. For further information contact your local Elekta sales representative.

Art No P10106-402

Fraxion Repositioning Check Tool (RCT)The Fraxion Reposition Check Tool (RCT) is used to ensure that the patient is repeatedly positioned identically throughout the imaging and treatment series. You use the probe to measure the distance of the patient’s skull from the RCT and compare the measurements to the previous patient positioning. The QA tool delivered with the RCT allows you to calibrate the probes and to regularly verify that there have been no changes to the RCT.

Art No P10106-403

43


Cranial Positioning and ImmobilizationFraxion™ • Configurations

Fraxion SystemThe Fraxion System contains all the necessary components to generate individual patient set-ups with mouthpieces and mask system. The adapter is not included and needs to be selected depending on installed couchtop. The Stereotactic Frame, the Isocenter Alignment Tool and the Repositioning Check Tool are not included and can be selected optionally.

Art No P10106-700 consisting ofP10106-100 Fraxion Frame

P10106-101 Fraxion Frontpiece (3 pcs.)

P10106-102 Fraxion Patient Control Unit

P10106-104 Fraxion CT Adapter

P10106-600 Vacuum Cushion Kit

P10106-601 Fraxion Mouth Piece Kit

P10106-602 Fraxion Dental Kit

P10106-603 Fraxion Patient Preparation Kit

P10106-604 Fraxion Thermoplastic Mask Kit

Fraxion System AxesseThe Fraxion System Axesse includes all the necessary parts to generate individual patient set-ups with mouthpieces and mask system. Additionally it comes with the Isocenter Alignment Tool and the appropriate Linac Tabletop Adapter iBEAM evo (0DoF) which is compatible to the HexaPOD evo RT Couchtop on the Axesse system. The Stereotactic Frame and the Repositioning Check Tool are not included and can be selected optionally.

Art No P10106-701 consisting ofP10106-100 Fraxion Frame

P10106-101 Fraxion Frontpiece (3 pcs.)

P10106-102 Fraxion Patient Control Unit

P10106-104 Fraxion CT Adapter

P10106-132 Linac Tabletop Adapter iBEAM evo

P10106-401 Isocenter Alignment Tool

P10106-600 Vacuum Cushion Kit

P10106-601 Fraxion Mouth Piece Kit

P10106-602 Fraxion Dental Kit

P10106-603 Fraxion Patient Preparation Kit

P10106-604 Fraxion Thermoplastic Mask Kit

36 44


Cranial Positioning and ImmobilizationFraxion™ • Kits

Fraxion Vacuum Cushion Kit The Fraxion Vacuum Cushion Kit includes small and medium cushions for the headrest. The cushions are formed to the patients head and enable a higher repositioning accuracy. Each cushion will be moulded individually for each patient and will be stored together with all patient-specific parts in the storage box for the whole treatment time.

Art No P10106-600 consisting ofP10106-210 Vacuum Cushion S (5 pcs.) / 0.7L

P10106-211 Vacuum Cushion M (3 pcs.) / 1.2 L

Fraxion Mouthpiece KitThe Fraxion Mouthpiece Kit includes different sizes of mouthpieces in order to have always the right size for each patient. The mouthpiece is fixed to the patient’s maxilla with a vacuum.

Art No P10106-601 consisting ofP10106-320 Fraxion Mouthpiece Small (10 pcs)

P10106-321 Fraxion Mouthpiece Medium (10 pcs)

P10106-322 Fraxion Mouthpiece Large (10 pcs)

P10106-323 Fraxion Mouthpiece Small P2 (10 pcs)

P10106-324 Fraxion Mouthpiece X-Large P2 (10 pcs)

Fraxion Dental KitThe Fraxion Dental Kit includes all necessary components to generate a patient-specific mouthpiece. It contains also the necessary Saliva Stop Patient which prevents saliva from reaching the Patient Control Unit (sufficient for up to 20 patients).

Art No P10106-602 consisting ofP10106-310 Dental Impression Material (3pcs.)

P10106-311 Saliva Stop Patient (20pcs.)

P10106-312 DIM Adhesive (2pcs.)

Fraxion Patient Preparation KitThe Fraxion Patient Preparation Kit includes individual patient storage boxes and all necessary components to prepare the individual patient set-up together with the Fraxion Mouthpiece Kit and the Fraxion Dental Kit.

Art No P10106-603 consisting ofP10106-313 Mixer and Dispenser

P10106-400 Storage Box (5 pcs)

P10106-105 Fraxion Torque Wrench

Fraxion Thermoplastic Mask KitThe Fraxion Thermoplastic Mask Kit contains the Thermoplastic Masks to perform a moulding of 20 patient heads. Available only in micro perforation format.

Art No P10106-604 consisting ofP10106-300 Thermoplastic Mask Head (10 pcs)

P10106-301 Thermoplastic Mask Nose (10 pcs)

45

HeadFIX Clinical Setups and Applications

HeadFIX CranialThe HeadFIX Cranial features enhanced immobilization and repositioning in patient setups. The HeadFIX Cranial is specially made for various cranial treatment applications including paranasal sinus or orbital treatments.

HeadFIX Head & NeckThe HeadFIX Head & Neck features enhanced immobilization and repositioning in patient setups. The HeadFIX Head & Neck is specially designed for various head and neck treatment applications including tongue carcinoma, upper esophagus carcinoma or cervical vertebrae carcinoma.

HeadFIX with NosepieceThe nosepiece is an alternative to the mouthpiece for toothless patients and patients with mycoses in the mouth. It offers less (re)positioning accuracy than the HeadFIX Mouthpiece. The HeadFIX Nosepiece is designed for various head and neck treatment applications.

HeadFIX®

Precision head and neck positioning and immobilization

HeadFIX Simple Steps

Carefully place the patient’s head on the vacuum cushion, insert the mouthpiece into the patient’s mouth and mold the vacuum cushion around the back of the patient’s head.

Set up the stereotactic frame and lock the quick-release clips.

Set up the HeadFIX Base Plate on the table top.

Position the HeadFIX Vacuum Cushion between the posts and index it to the base plate.

46

Precision treatments require accurate, reproducible patient

positioning and reliable immobilization. HeadFIX® is a

vacuum-activated head frame system, specifically designed

to overcome the drawbacks of conventional invasive

fixation and non-invasive thermoplastic masks.

To achieve high-precision positioning and reproducibility,

the HeadFIX system uses a mouthpiece with the patient’s

upper palate impression and solid vacuum bonding with

the hard palate. The patient-specific dental mold is quickly

and easily formed, using a dental impression material

and the HeadFIX Mouthpiece. The vacuum-activated

mouthpiece immobilizes the patient.

The nosepiece is an alternative to the mouthpiece for

toothless patients and patients with mycoses in the mouth.

HeadFIX is constructed entirely of radiotranslucent carbon

fiber compatible with CT scanners, X-ray volume imaging

and portal imaging. The construction ensures rigidity and

reliability while restricting patient movement during both

imaging and treatment.

Non-invasive stereotactic reference frames are available for

both intracranial and head-and-neck regions of interest,

providing precise target localization and patient setup for

imaging and treatment.

The BlueBAG HeadFIX Vacuum Cushion provides additional

patient comfort while ensuring cranial and head-and-

neck support.

1


BlueBAG HeadFIX T-Shape with Neck RollThe integrated, yet freely movable neck roll allows the formation of a very stable, optimized mold of the patient’s head and neck contours. The neck roll becomes rigid during evacuation of the cushion and is made of the same filling material as the vacuum cushion.

The custom-formed vacuum cushion provides comfortable support for the head and neck as well as for the shoulders.

Adult patients (Innsbruck University, Sweeney R.A.J.)

Craniocaudal mean accuracy of 0.73 ± 0.45 mmAnteroposterior of 0.62 ± 0.44 mmMediolateral of 0.47 ± 0.33 mmRepositioning accuracy of 0.96 ± 0.41 mm

Pediatric patients (Children‘s Hospital Los Angeles, Olch A, J., Lavey R.)

Mean deviation in any one direction of 0.8–1.2 mmMean 3D deviation of 1.8 ± 0.6 mm

HeadFIX Positioning AccuracyHeadFIX Mouthpiece immobilization

Reposition accuracy of bite block based systems was never as good as expected. The problem therefore with bite block based systems was mainly the difficulty in establishing an objective, identical and reproducible connection of the impression tray to the upper palate. The key feature of the HeadFIX system is its Mouthpiece with the patient’s upper palate impression. The custom formed Mouthpiece is drawn to the patient’s maxilla using a vacuum process. It is fixed without the active cooperation of the patient, and control of the vacuum pressure ensures adequate immobilization and accurate repositioning.

Patented Mouthpiece Immobilization

Non-invasive, stereotactic cranial/ head-and-neck immobilization

Open design promotes patient comfort and confidence

Unique vacuum technology ensures secure immobilization and reliability

Precise repeatable positioning accuracy

Does not cause skin bolus effect as known from thermoplastic mask systems

Made from radiotranslucent carbon fiber construction

Supports frame-based and image guided stereotactic treatments

Why HeadFIX®?

47


HeadFIX Base Plate P2The Base Plate is a small open carbon fiber frame. Three-point leveling screws, one at midline beyond the top of the patient’s head and one lateral to each side of the patient’s neck, give the ability to precisely level the system on the CT, simulation and treatment couches. The plate is attached to the diagnostic or treatment couch by two pins.

HeadFIX Post Set P2HeadFIX Post Set P2 is a set of carbon fiber vertical support posts, available with a length of 231 mm (9.09”) and 271 mm (10.67”) which are attached to the base plate.

HeadFIX Localizer Head & NeckThe HeadFIX Localizer Head & Neck is a non-invasive stereotactic reference frame for Head & Neck target localization. In combination with the vacuum based mouthpiece it references the immobilized patient in a precise manner in stereotactic space.

HeadFIX Localizer CRANIAL P2The HeadFIX Localizer Cranial P2 is a non-invasive stereotactic reference frame for cranial target localization. In combination with the vacuum based mouthpiece it references the immobilized patient in a precise manner in stereotactic space.

HeadFIX Angulating Fixation SetThe HeadFIX Angulating Fixation Set is for the attachment of the mouthpiece module allowing the patient to be securely affixed to the HeadFIX system and to be precisely (re-) positioned.

HeadFIX Quick ReleaseFor quick release from the relocatable frame.

Head and Neck Positioning and ImmobilizationHeadFIX® • Basic Components

Art No P10103-114

Art No P10103-115

Art No P10103-104

Art No P10103-406

Art NoP10103-208 HeadFIX Angulating Fixation Set

P10103-209 HeadFIX Angulating Fixation Set long

Art NoP10103-113 HeadFIX Post Set 271 P2

P10103-117 HeadFIX Post Set 231 P2

40 48


HeadFIX Vacuum Pump Medela Medizintechnik, Switzerland

The HeadFIX Vacuum Pump is necessary when repositioning the patient with a vacuum mouthpiece based system.


HeadFIX Vacuum Pump SetThe HeadFIX Vacuum Pump Set is a tubing set including all necessary tubes for the vacuum pump.

HeadFIX Fiducial Set AluminumThe HeadFIX Localizers feature three Localizer screens specially designed for stereotactic application. Each of these Localizer screens has three slots with special plastic tubes already inserted. As an alternative to the plastic tubes, these Aluminum contrast rods allow improved visualization in CT.

HeadFIX Marking SetA single HeadFIX Marking Set comprises 3 marking plates for the HeadFIX Localizers. These plates assist in patient positioning and light field verification.

HeadFIX Independent Indexing Couchtop Adapter P2The HeadFIX Independent Indexing Couchtop Adapter P2 is used to attach the HeadFIX Base Plate to the respective tabletop.

HeadFIX Mixer and Dispenser Henry Schein INC., USA

The HeadFIX Mixer and Dispenser enables easy filling of the mouthpiece tray with dental impression material. It is also used for dispensing the impression material for nose impressions.

Art No P10103-107

Art No P10103-109

Art NoP10103-105 HeadFIX Vacuum Pump 115V

P10103-106 HeadFIX Vacuum Pump 230V

Art NoP10103-414 HeadFIX Independent Indexing Couchtop Adapter P2

P10103-415 HeadFIX Independent Indexing Couchtop Adapter P2 long

Art NoP10103-210 HeadFIX Marking Set Cranial P2

P10103-407 HeadFIX Marking Set Head & Neck

Art NoP10103-215 HeadFIX Cranial P2 Fiducial Set Aluminum

P10103-216 HeadFIX Localizer H&N Fiducial Set Aluminum

49



HeadFIX Storage BoxThe storage boxes are available for storing of patient-specific components.

HeadFIX Torque WrenchThe HeadFIX Torque Wrench is used to tighten the glasfibre screws of the Angulating Fixation Set.

Art No P10103-118

Art No P10103-203 HeadFIX Storage Box A4

P10103-408 HeadFIX Storage Box A3

42 50


Head and Neck Positioning and ImmobilizationHeadFix® •Reusable Components

BlueBAG HeadFIX Rectangular

BlueBAG HeadFIX T-Shape

HeadFIX Patient SetThe HeadFIX Patient Sets include a standard angulating fixation set, a BlueBAG and the HeadFIX Marking Set.

BlueBAG HeadFIX T-Shape with Neck Roll

Art No P10103-211 HeadFIX Patient Set Cranial P2

P10103-410 HeadFIX Patient Set Head & Neck P2

Art No P10104-300 BlueBAG HeadFIX Rectangular 250x350mm/1,5L

P10104-301 BlueBAG HeadFIX Rectangular 250x350mm/1,7L

P10104-302 BlueBAG HeadFIX Rectangular 250x350mm/2L

Art No P10104-601 BlueBAG HeadFIX T-Shape 650x650mm/7L

P10104-604 BlueBAG HeadFIX T-Shape 310x400mm/2L

Art No P10104-605 BlueBAG HeadFIX T-Shape 850x800mm/16,5L

51


HeadFIX Dental Impression Material Pentron Clinical Technologies, USA

The HeadFIX Dental Impression Material contains four tubes of dental impression material for generating the mouthpiece and nosepiece impressions.

HeadFIX Adhesive (29 ml) Pentron Clinical Technologies, USA

HeadFIX Adhesive is used to coat the inner side of the impression tray lightly for optimal adhesion between the dental impression material and the mouthpiece.

HeadFIX Saliva Stop (10 pcs.)HeadFIX Saliva Stop is connected between the vacuum pump and the mouthpiece preventing saliva from reaching the vacuum pump.

HeadFIX Friction Plates (Set of 20)Friction plates are used with the HeadFIX Angulating Fixation Set and must be removed after the patient treatment cycle.

HeadFIX Nosepiece Hygienic CoverThe HeadFIX Nosepiece Hygienic Cover is a foil which is used when the nasal impression is made on the patient.

HeadFIX Nosepiece (5 pcs.)The HeadFIX Nosepiece set contains five nosepieces for assuring safe immobilization and precise repositioning of the head and neck by the patient’s nose. The nosepiece is affixed to the HeadFIX Angulating Fixation Set.

Head and Neck Positioning and ImmobilizationHeadFIX® • Disposable Components

Art No P10103-308

Art No P10103-310

Art No P10103-309

Art No P10103-506

Art No P10103-403

Art No P10103-404

44 52


Pump Filters (10 pcs.)Disposable bacteria filter for Medela HeadFIX Pump.

HeadFIX Mouthpiece The mouthpiece is affixed to the HeadFIX Angulating Fixation Set assuring safe immobilization and precise (re-) positioning.

Head and Neck Positioning and ImmobilizationHeadFIX® • Disposable Components

Art No P10103-512

Art NoP10103-311 HeadFIX Mouthpiece Small P2 (10 pcs.)

P10103-312 HeadFIX Mouthpiece X-large P2 (10 pcs.)

P10103-313 HeadFIX Mouthpiece Mixed Size P2 (10 pcs.)

P10103-601 HeadFIX Mouthpiece Mixed Sizes (10 pcs.)

P10103-602 HeadFIX Mouthpiece Small (10 pcs.)

P10103-603 HeadFIX Mouthpiece Medium (10 pcs.)

P10103-604 HeadFIX Mouthpiece Large (10 pcs.)

53


Head and Neck Positioning and ImmobilizationHeadFIX® • Kits

HeadFIX Localization Set Cranial P2

HeadFIX Localization Set Head & Neck

HeadFIX Mouthpiece Kit Mixed Size Regular Tray

HeadFIX Mouthpiece Kit Small Regular Tray with Sidebars

HeadFIX Base Set P2 115V

HeadFIX Base Set P2 230V

HeadFIX Mouthpiece Kit Medium Regular Tray No Sidebars

Art No P10103-750 consisting of P10103-104 HeadFIX Quick Release


P10103-107 HeadFIX Vacuum Pump Set

P10103-109 HeadFIX Mixer and Dispenser


P10103-114 HeadFIX Base Plate P2

P10103-118 HeadFIX Torque Wrench

Art No P10103-751 consisting of P10103-104 HeadFIX Quick Release


P10103-107 HeadFIX Vacuum Pump Set

P10103-109 HeadFIX Mixer and Dispenser


P10103-114 HeadFIX Base Plate P2

P10103-118 HeadFIX Torque Wrench

Art No P10103-752 consisting of P10102-105 Localizer Syringe Set

P10103-115 HeadFIX Localizer CRANIAL P2

Art No P10103-753 consisting of P10102-105 Localizer Syringe Set

P10103-406 HeadFIX Localizer HEAD&NECK

Art No P10103-754 consisting of P10103-308 HeadFIX Dental Impression Material

P10103-309 HeadFIX Saliva Stop (10 pcs.)

P10103-310 HeadFIX Adhesive

P10103-601 HeadFIX Mouthpiece Mixed Sizes (10 pcs.)




P10103-602 HeadFIX Mouthpiece Small (10 pcs.)




P10103-603 HeadFIX Mouthpiece Medium (10 pcs.)

46 54



HeadFIX Mouthpiece Kit X-large P2 Wide Tray

HeadFIX Mouthpiece Kit mixed sizes P2 Wide Tray

HeadFIX Mouthpiece Kit Large Regular Tray with Sidebars

HeadFIX Nosepiece Set

HeadFIX Mouthpiece Kit Small P2 Wide Tray

HeadFIX System Head & Neck 120 V

HeadFIX System Cranial 120 V

Art No P10103-700 consisting of P10103-211 HeadFIX Patient Set CRANIAL P2

P10103-414 HeadFIX Independent Indexing Couchtop Adapter P2

P10103-507 HeadFIX Spare Parts Set P2

P10103-508 HeadFIX Screw Set P2

P10103-750 HeadFIX Base Set P2 115V

P10103-752 HeadFIX Localization Set Cranial P2

P10103-754 HeadFIX Mouthpiece Kit Mixed Size Regular Tray

Art No P10103-702 consisting of P10103-410 HeadFIX Patient Set HEAD&NECK P2





P10103-753 HeadFIX Localization Set Head & Neck





P10103-604 HeadFIX Mouthpiece Large (10 pcs.)




P10103-312 HeadFIX Mouthpiece X-large P2 (10 pcs.)




P10103-311 HeadFIX Mouthpiece Small P2 (10 pcs.)




P10103-313 HeadFIX Mouthpiece Mixed Size P2 (10 pcs.)


P10103-403 HeadFIX Nosepiece (5 pcs.)

P10103-404 HeadFIX Nosepiece Hygienic Cover

55


HeadFIX System 120 V Cranial / Head & Neck

HeadFIX System 230 V Cranial / Head & Neck

HeadFIX System Head & Neck 230 V

HeadFIX System Cranial 230 V


48


P10103-410 HeadFIX Patient Set HEAD&NECK P2









P10103-410 HeadFIX Patient Set HEAD&NECK P2








Art No P10103-703 consisting of P10103-410 HeadFIX Patient Set HEAD&NECK P2














56

The HeadSTEP iFRAME based immobilization system

provides one of the easiest to use devices available on the

market. Its excellent robustness and quality guarantees

precise and simple repositioning in routine cranial as well

as head, neck and shoulder immobilization. The HeadSTEP

system is designed to include the iCAST thermoplastic

material and the disposable iFRAME. The iFRAME allows

easy molding and symmetrical pull-down by one therapist.

The joint of the wing-shaped iFRAME is one of the great

advantages of the system, combining the total coverage

of the anterior, lateral and superior head regions with the

iFRAME locked in the shaped channels, minimizing the

rotation of the head in all three axes.

The low-temperature iCAST thermoplastic is available in

a variety of perforation patterns. Its rigidity, resistance to

shrinkage and easy molding quality is outstanding.

The HeadSTEP system uses a 23-step elevation mechanism,

which permits immobilization at variable head angles

without the use of wedges. It can be used on all

commercially available couches and is also indexable for

enhanced reproducibility.

HeadSTEP™ *

Head and Neck immobilization

Mold around the chin andthe eyes, advising the patient to keep their eyes closed. Let the mask cool off for 5 minutes until it is really hardened.

Snap the frame ends in the baseplate and lock it at the back.

Mold the mask materialaround the patient´s facialoutline. The molding of thenose bridge is of crucialimportance, as this is thereference point of the mask.

Tilting slightly downward at the chin, gently and steadily press the thermoplastic down, over the patient’s face, until the outer frame touches the baseplate.

HeadSTEP Simple Steps

Set the HeadSTEP System on the tabletop.

Choose the suitable position of the head out of 24 different possibilities.

Position the patient’s head in the head support.

Center the iFRAME with theiCAST mask material overthe patient´s face.

58

1 59

HeadSTEP iFRAME AdvantagesThe iFRAME allows easy molding and symmetrical pull-down by one therapist. The joint of the wing shaped iFRAME is one of the great advantages of the system, combining the total coverage of the anterior, lateral and superior head regions with the iFRAME locked in the shaped channels, minimizing the rotation of the head in all three axes.

Symmetrical pull-down

Single technician molding

Variable head angles without any wedges

iFRAME – wing profile frame with a joint

Minimizes rotation of the head in all three axes

Saves time and simplifies radiation therapy procedures

Integrated indexing system

Why HeadSTEP™?

59


Head and Neck Positioning and ImmobilizationHeadSTEP™ • Configurations

System HeadSTEP CarbonThe HeadSTEP system is designed for routine head and neck immobilization. Includes height adjustment with 23 angles and integrated indexing system.

Art No P10107-700 consisting ofP10107-100 HeadSTEP Carbon Basic Module








P10107-406 Indexing Adapter

52

HeadSTEP ShoulderThe HeadSTEP Shoulder system is designed for routine head and shoulder immobilization. Includes height adjustment with 23 angles, integrated indexing system and shoulder adapter.

HeadSTEP IMRTThe HeadSTEP IMRT is designed for routine head and shoulder immobilization on a normal couchtop and extends the end of the couchtop. Includes height adjustment with 23 angles, integrated indexing system and shoulder adapter.

Art No P10107-706 consisting of P10107-413 HeadSTEP Shoulder Basic Module









P10107-411 HeadSTEP Shoulder comfort module

Art No P10107-705 consisiting of P10107-412 HeadSTEP IMRT Basic Module









60


Head and Neck Positioning and ImmobilizationHeadSTEP™ • Configurations

System HeadSTEP Carbon - FlatThe HeadSTEP flat system is designed for routine head and neck immobilization.

System HeadSTEP MRThe HeadSTEP MR fiberglass system is designed for routine head and neck immobilization in the MRI. Includes height adjustment with 23 angles

System HeadSTEP iBEAM evo ExtensionThe HeadSTEP iBEAM evo extension is designed for routine head and neck immobilization on the iBEAM evo Couchtop and / or Connexion Imaging Module. It extends the end of the iBEAM evo couchtop or Connexion Imaging Module. Includes height adjustment with 23 angles and shoulder adapters.

Art No P10107-702 consisting ofP10107-402 HeadSTEP iBEAM evo Extension Basic Module









Art No P10107-703 consisting ofP10107-101 HeadSTEP Flat Basic Module









Art No P10107-704 consisting ofP10107-400 HeadSTEP MR Basic Module









61


Head and Neck Positioning and ImmobilizationHeadSTEP™ • Basic Components

ProneSTEPThe ProneSTEP is designed for head immobilization in prone position as an add on system for the HeadSTEP.

Pillow WedgeHigh precision wedge for HeadSTEP pillow, 10° angle.

HeadSTEP Basic ModuleBasic module without pillows, indexing adapter and distancing screws.

HeadSTEP BiteHeadSTEP Bite is an extended module of the HeadSTEP system providing high precision positioning and re-positioning for IMRT and stereotactic radiation.

PillowsHead support cushion for supine position with centering disc.

Art No P10107-403

Art NoP10107-100 HeadSTEP Carbon Basic Module

P10107-101 HeadSTEP Flat Basic Module

P10107-400 HeadSTEP MR Basic Module

P10107-402 HeadSTEP iBEAM evo Extension Basic Module

P10107-412 HeadSTEP IMRT Basic Module

P10107-413 HeadSTEP Shoulder Basic Module

Art No P10107-447 HeadSTEP BiteSTEP Post Set

P10107-448 HeadSTEP BiteSTEP Angulation Fixation Set Cranial

P10107-449 HeadSTEP BiteSTEP Angulation Fixation Set H&N

P10107-450 HeadSTEP Silicon covers (set of 50)

P10107-451 HeadSTEP BiteSTEP Quick release

Art NoP10107-200 Pillow A Standard Black


P10107-209 Pillow E Short Neck Blue

P10107-210 Pillow F Small pillow for children

Art No P10107-202

54 62



HeadSTEP Shoulder AdapterThe HeadSTEP shoulder adapter is designed for routine head and shoulder immobilization as an add-on system for the HeadSTEP.

HS Indexing AdapterThe HS indexing adapter enables the reproducible attachment of the HeadSTEP directly on an indexed CT or a linac couchtop by using industry standard indexing bars.

Tilt PillowHead support cushion for supine tilt position with centering disc.

Art No P10107-406

Art NoP10107-404 HeadSTEP Shoulder Adapter

P10107-407 HeadSTEP Shoulder Adapter Extension

Art NoP10107-206 Pillow D Tilt Blue

P10107-216 Pillow G Tilt Low

Prone PillowHead support cushion for prone position with centering disc. Small and large versions are available.

Art NoP10107-203 Pillow Y Prone large

P10107-204 Pillow Z Prone small

63



Distance Plate2mm distance plate for HeadSTEP pillows.

HS Independent Indexing ClampThe HS independent indexing clamp enables the reproducible attachment of the HeadSTEP directly on a non-indexed CT or linac couch with 530 or 500 mm width.

GreyBAGThe GreyBAG is designed to create customized positioning molds for each patient for the HeadSTEP systems.

Low Density PillowsLow density Head support cushion for prone position with centering disc made of low density foam.

Grip Ring (set of 3)By holding the Grip Ring, patient arm movement is reduced so increasing comfort and safety.

Art No P10107-410

Art No P10107-205

Art NoP10107-405 HS Independent Indexing Clamp 530

P10107-408 HS Independent Indexing Clamp 500

Art NoP10107-207 GreyBAG Adapter

P10107-208 GreyBAG

Art NoP10107-211 Pillow A Standard Yellow - low density

P10107-212 Pillow B High Yellow - low density

P10107-213 Pillow D Tilt Yellow - low density

P10107-214 Pillow E Short Neck Yellow - low density

P10107-215 Pillow F Small Yellow - low density

P10107-217 Pillow G Yellow - Tilt small - low density

56 64


Head and Neck Positioning and ImmobilizationHeadSTEP™ • Disposable Components

iBEAM Indexing Bar Carbon (set of 2)The HeadSTEP iBEAM Indexing Bar carbon is designed for the BodyFIX 14 Indexing System and allows indexing and positioning of compatible surface mounted accessories.

Art No P10107-409

iCAST Precut HeadMask material for head immobilization including disposable iFRAME.

iCAST Precut Head and NeckMask material for head and neck immobilization including disposable iFRAME.

iCAST Precut Head and ShoulderMask material for head and shoulder immobilization including disposable iFRAME.

Art NoP10107-300 iCAST Precut Head Maxi Perforation (5 pcs)

P10107-301 iCAST Precut Head Micro Perforation (5 pcs)

P10107-306 iCAST Precut Double Head Maxi Perforation (5 pcs)

P10107-307 iCAST Precut Double H&N Micro Perforation (5 pcs)

P10107-312 iCAST Precut Head Maxi Perforation with mouth port (5 pcs)

P10107-313 iCAST Precut Head Micro Perforation with mouth port (5 pcs)

Art NoP10107-302 iCAST Precut H&N Maxi Perforation (5 pcs)

P10107-303 iCAST Precut H&N Micro Perforation (5 pcs)

P10107-314 iCAST Precut H&N Maxi Perforation with mouth port (5 pcs)

P10107-315 iCAST Precut H&N Micro Perforation with mouth port (5 pcs)

Art NoP10107-304 iCAST Precut H&S Maxi Perforation (5 pcs)

P10107-305 iCAST Precut H&S Micro Perforation (5 pcs)

P10107-316 iCAST Precut H&S Maxi Perforation with mouth port (5 pcs)

P10107-317 iCAST Precut H&S Micro Perforation with mouth port (5 pcs)

65

Breast & Th

orax Positioning and Imm

obilizationBodyFIX®

WingSTEP™

BreastSTEP™

66

67

BodyFIX Stereotactic System with LocalizerThe stereotactic localizer is used as a coordinate system for frame-based localization during imaging.

BodyFIX with Diaphragm ControlBy applying pressure on the abdomen, BodyFIX Diaphragm Control is used to minimize the movements of targets affected by diaphragm motion .

BodyFIX Stereotactic System with Target PositionerThe target positioner is used for orientation and target setup for frame-based stereotactic treatments.

BodyFIX BlueBAG for Breast and Thorax SetupThe BodyFIX BlueBAG T shape is specially designed for various treatment applications including breast, lung and abdominal tumors.

BodyFIX BlueBAG Hip SetupThe BodyFIX BlueBAG rectangular is available for abdominal and pelvis treatment applications including prostate and cervical tumors.

BodyFIX BlueBAG Total Body SetupBodyFIX BlueBAG rectangular cushion offers comfortable and reproducible patient positioning for total body positioning.

Motion is a major cause of artifacts in modern imaging

and errors in high-precision therapy. BodyFIX® enables

accurate, precise patient positioning and immobilization,

providing the foundation for successful imaging and

treatment in radiation therapy.

The patented BodyFIX dual vacuum technology maximizes

repositioning accuracy and intra-treatment patient

stability by reducing both involuntary and voluntary

patient movement.

Manufactured entirely from radiotranslucent materials,

BodyFIX provides artifact-free image clarity with minimal

beam attenuation. The unique cover sheet nestles around

the patient and produces a uniform pressure, securely

immobilizing the patient’s body parts.

The immobilization system requires only one radiation

therapist for first and daily patient set-up.

The BlueBAG BodyFIX Vacuum Cushions create a

comfortable, stable and precise mold of the patient’s

position for up to six weeks. They can be used for

different clinical set-ups and indications such as

thorax, hip or total body.

Whenever precise localization and targeting are required,

non-invasive stereotactic reference frames are available

for extracranial stereotaxy.

BodyFIX®

Patient positioning for treatment accuracy

BodyFIX® Diaphragm Control Workflow

BodyFIX® Workflow

68

Switch on the vacuum pump connected to the BodyFIX BlueBAG vacuum cushion to generate a vacuum and mold the cushion around the patient‘s contours.

Position the arc of the diaphragm control and the appropriate plate over the diaphragm (above the cover sheet), below the ribs.

Position the BodyFIX BlueBAG vacuum cushion on the imaging or treatment table using the indexing bars (prerequisite is the BodyFIX 14 indexing system).

Position the patient on the BodyFIX BlueBAG vacuum cushion.

Position the manifold tube between the patient’s legs to provide optimal distribution of the air flow. Then place the manifold cushions over the patient.

Cover the patient with the cover sheet, making sure it is accurately attached with the adhesive tape and switch on the BodyFIX Vacuum Pump connected to the manifold tube.

Position the patient on the BlueBAG BodyFIX vacuum cushion according to the region of interest.

Position the manifold tube between the patient’s legs to provide optimal distribution of the airflow. Then place the manifold cushions over the patient.

Cover the patient with the cover sheet, making sure it is accurately attached to the BlueBAG BodyFIX and switch on the BodyFIX vacuum pump connected to the manifold tube.

Position the BlueBAG™

BodyFIX® vacuum cushion on the imaging or treatment table using the indexing bars.

To generate an optimal mold of the patient, firmly pull on the cover sheet.

Switch on the vacuum pump which is connected to the BlueBAG BodyFIX and generate a vacuum between 600 and 650mbar.

Set the required vacuum level for the immobilization of the patient. Patient is now ready for imaging and/or radiation therapy.

Remove the BlueBAG BodyFIX from the tabletop and store safely for subsequent fractions.

1 69

Non-invasive and accurate reproducible patient positioning

Dual vacuum technology provides maximum intra-treatment patient stability

Unique cover sheet securely immobilizes the patient’s body parts

Modular construction, adaptable to most clinical environments from diagnostic imaging to treatment

Compatible with CT, PET/CT, SPECT and ultrasound imaging modalities as well as various tabletops

Reproducible and consistent results for high confidence in treatment

Simple, flexible and comfortable immobilization solution

Intra- and inter-fractional motion reduction

Vendor neutral, able to index to any treatment couch

Why BodyFIX®?

69

Innsbruck University, Nevinny-Stickel M., Sweeney RA., Bale R., Posch A., Auberger T., Lukas P.

Mean 3D repositioning error: 2.5 ± 1.1 mm

Martin Fuss, M.D., Sean X. Cavanaugh, Bill J. Salter, Ph.D., Premavathy Rassiah, Dennis Cheek, Terence S. Herman, M.D., Dept. of Radiation Oncology, University of Texas Health Science Center at San Antonio

Mean computed absolute target translation:2.9 ± 3.3, 2.3 ± 2.5, 3.2 ± 2.7 mm in x, y and z directions

Meg Schneider, John Way, Robert Smee, Janet Williams, Prince of Wales Hospital, Department of Radiation Oncology, Sydney, Australia

Maximum deviation of setup accuracy: < 2 mm

BodyFIX® Repositioning Accuracy

Attenuation Measurements for BodyFIX Component

BodyFIX Component Material Thickness

Beam attenuation @ 6 MV [%] /

0° gantry

Beam attenuation @ 15 MV [%] / 0° gantry

BlueBAG StyroporeNylon

10 mm 0.2 0.3


50 mm 1.2 1.2


100 mm 2.9 2.1

Stereotactic Base Plate (Sandwich)

CFK 22 mm 1.3 1.1

Diaphragm Control / Only frame

Carbon Fiber

Wall thickness:1.5 mm

1.0 1.0

Percentage Depth Dose for Elekta Synergy at 6MV and 15MVField Size: 10 X 10 cm2


Breast and Thorax Positioning and ImmobilizationBodyFIX® • Basic Components

BodyFIX Vacuum Pump P3The BodyFIX® Vacuum Pump P3 is a high-performance vacuum pump that controls the patented dual-vacuum technology, used for precise patient positioning and immobilization of the BodyFIX® System (includes all necessary parts).

The BodyFIX® Vacuum Pump P3 can be used for several working voltages by simply changing it with the voltage selector. Possible settings are 100 V, 120 V (110 V), 230 V (220 V) and 240 V.

BodyFIX Tube P3 (length 5 m)The BodyFIX Tube P3 is connected between the Vacuum Pump P3 on the one side and the Vacuum Manifold on the other side.

Art No P10102-122

Art No P10102-150

Art No P10104-024

Art No 03-999-1064

62

BlueBAG Tube P3The BlueBAG Tube P3 connects the Vacuum Pump P3 to the BlueBAG BodyFIX Vacuum Cushion (BlueBAG) enabling deflation of the BlueBAG.

BodyFIX Vacuum Pump FilterThe BodyFIX Vacuum Pump P3 has a filter for the BodyFIX System. With average use, you will have to exchange the filter about once a year. A symbol to indicate the necessary exchange of the BodyFIX filter will appear on the touchscreen as soon as expedient.

70

BodyFIX 14 Base Plate Stereotactic STANDARD (2000 x 530 x 22 mm)This base plate is specially designed for using BodyFIX stereotactic on non-indexed couchtops.

BodyFIX 14 Target Positioner STANDARDThe BodyFIX14 Target Positioner STANDARD enables the exact targeting of the tumor isocenter on the linac identified with the localizer on the CT.

BodyFIX 14 Localizer STANDARDThe BodyFIX 14 Localizer STANDARD enables precise localization of the tumor isocenter. The x-, y-, z-isocenter coordinates can easily be determined with the rods of the localizer.

BodyFIX Diaphragm ControlRespiration-induced motion of tumors (such as liver and lung tumors) is still a clinical challenge in modern radiotherapy. Larger margins are required to account for respiratory motion and consequently a larger volume of healthy tissue is irradiated. To increase the accuracy and efficiency for these kinds of treatments, BodyFIX Diaphragm Control has been developed to specifically minimize diaphragm movements.



Art No P10102-112

Art No P10102-114

Art No P10102-115

Art No P10102-119

71

BodyFIX Manifold TubeTogether with the Manifold Cushion the BodyFIX Manifold Tube establishes a permanent and equal vacuum over the patient.

BodyFIX Manifold CushionThe BodyFIX Manifold cushion prevents the Cover Sheet from collapsing directly against the vacuum tube by distributing the airflow around the patient.

Art NoP10102-210 BodyFix Manifold Tube 1000 mm

P10102-212 BodyFix Manifold Tube 1500 mm

P10102-213 BodyFix Manifold Tube 2000 mm

Art NoP10102-200 BodyFix Manifold Cushion 600 mm

P10102-201 BodyFix Manifold Cushion 700 mm





BodyFIX Indexing Adapter P2 (set of 3)The BodyFIX Indexing Adapter P2 is used for attaching the BodyFIX base plate to indexed tabletops provided by other manufacturers. This is required for using the BodyFIX System on other tabletops. The delivery set of the BodyFIX Indexing Adapter P2 contains three indexing adapters.

BodyFIX Localizer Syringe SetThe Localizer Syringe Set enables injection of special substances (such as contrast medium) into the rods of the localizer to receive special receptions for the treatment planning process.

Art No P10102-413

Art No P10102-105

BodyFIX Independent Indexing LINAC Couch Adapter (Set of 2)The BodyFIX Independent Indexing LINAC Couch Adapter enables the attachment of the BodyFIX Base Plate directly to a non-indexed linac couch to enable the use of the BodyFIX system.

BodyFIX Independent Indexing CT Couch Adapter (Set of 2)The BodyFIX Independent Indexing CT Couch Adapter enables the attachment of the BodyFIX Base Plate directly to a non-indexed CT couch to enable the use of the BodyFIX system.

BodyFIX Stabilizing CushionThe BodyFIX stabilizing cushion provides improved stabilization of the patient when setting up the vacuum.

BodyFIX Comfort ModuleThe BodyFIX Comfort Module is a cushion to place the head and upper body comfortably on the couchtop where no BlueBAG is beyond the patient’s body.

Art NoP10102-216 BodyFix Stabilizing Cushion 800x600 mm

P10102-217 BodyFix Stabilizing Cushion OP-PORTAL

Art NoP10102-101 BodyFix Comfort Module 500x200 mm

P10102-102 BodyFix Comfort Module 500x400 mm

Art No P10102-408

Art No P10102-409

64 72

BodyFIX Manifold Connector STANDARDThe BodyFIX Manifold Connector is used to attach the manifold cushion to the manifold tube.

BodyFIX Localizer Fiducial Set AluminiumThe BodyFIX Localizer features three Localizer screens specially designed for stereotactic application. Each of these Localizer screens has three slots with special plastic tubes already inserted. As an alternative to the plastic tubes, these aluminum contrast rods allow improved visualization in CT.

BodyFIX 14 Marking Set STANDARDThe Marking Set Standard contains marking plates for the BodyFIX Target Positioner to assist in patient positioning and light field verification.



Art No P10102-223

Art No P10102-214

Art No P10102-227

73


Breast and Thorax Positioning and ImmobilizationBodyFIX® • Disposable Components

BodyFIX Hygienic Drape Manifold Tube (2x15000 mm)The BodyFIX Hygienic Drape Vacuum Manifold Tube is used to cover the vacuum manifold tube for hygienic purposes.

BodyFIX Adhesive TapeThe BodyFIX Adhesive Tape is a spare tape for fixing the cover sheet against the BodyFIX BlueBAGs.

BodyFIX Cover Sheet HIPThe BodyFIX Cover Sheet HIP with sleeve includes five cover sheets. The cover sheets are placed over the patient to generate the vacuum. This set is used for the BodyFIX 14 BlueBAG HIP and Total Body.

BodyFIX Cover Sheet THORAXThe BodyFIX Cover Sheet THORAX with sleeve includes five cover sheets. The cover sheets are placed over the patient to generate the vacuum. This set is used for the BodyFIX 14 BlueBAG THORAX.

BodyFIX Sleeve TubeThe BodyFIX Sleeve Tube is used for reinforcement of Cover Sheet and BodyFIX Tube.

Art No P10102-305

Art No P10102-306 5 pieces

Art NoP10102-302 BodyFIX Cover Sheet THORAX 1800x1600 mm (Set of 5)

P10102-303 BodyFIX Cover Sheet THORAX 2700x1600 mm (Set of 5)

Art NoP10102-307 Set of 3

P10102-308 Single unit

Art NoP10102-300 BodyFIX Cover Sheet HIP 2000x1400 mm (Set of 5)

P10102-301 BodyFIX Cover Sheet HIP PLUS 2200x1400 mm (Set of 5)

P10102-304 BodyFIX Cover Sheet TOTAL BODY 2700x1400 mm (Set of 5)

66 74

BlueBAG BodyFIX Rectangular Shape

BlueBAG BodyFIX T-Shape

BlueBAG BodyFIX with Knee Roll

BlueBAG BodyFIX Pentagon Shape


Breast and Thorax Positioning and ImmobilizationBodyFIX® • Reusable Components

Art NoP10104-842 BlueBAG BodyFIX 14 Rectangular / Knee Roll 700x1825mm/58L

P10104-843 BlueBAG BodyFIX 14 Rectangular / Knee Roll 850x1825mm/62L

Art NoP10104-820 BlueBAG BodyFIX 14 Pentagon Shape 1050x1325 mm/45L

P10104-838 BlueBAG BodyFIX 14 Pentagon Shape 1200x1325 mm/52L

Art NoP10104-836 BlueBAG BodyFIX 14 T-Shape 1130x1375 mm/51L

P10104-839 BlueBAG BodyFIX 14 T-Shape 1280x1325 mm/60L

Art NoP10104-806 BlueBAG BodyFIX 14 Rectangular 700x1025 mm/30L

P10104-819 BlueBAG BodyFIX 14 Rectangular 700x1625 mm/45L









75

All "BlueBAG BodyFIX 14" are indexed with Indexing lath (Standard).

BodyFIX 14 Hip Fixation Set WIDEThis set includes all necessary components to enable patient positioning especially for treatment of the pelvis.

Art No P10102-758 consisting ofP10102-200 BodyFIX Manifold Cushion 600 mm

P10102-202 BodyFIX Manifold Cushion 800 mm

P10102-212 BodyFIX Manifold Tube 1500 mm

P10102-214 BodyFIX Manifold Connector STANDARD

P10104-824 BlueBAG BodyFIX 14 Rectangular 850x1625 mm/58 L


Breast and Thorax Positioning and ImmobilizationBodyFIX® • Kits

BodyFIX 14 Stereotactic Localization SetThe BodyFIX 14 Stereotactic Localization Set includes the localizer to localize the isocenter of the tumor and the target positioner to position the patient correctly for the treatment. This set also includes a marking set and the localizer syringe.

BodyFIX Basic Accessories SetThe BodyFIX Basic Accessories Set includes a stabilizing cushion 800x600 mm (31x24 Inch), a cushion OP portal 800x600 mm (31x24 Inch), a comfort cushion 500x200 mm (20x8 Inch) for the head and a comfort cushion 500x400 mm (20x16 Inch) for the upper part of the body.

BodyFIX 14 Hip Fixation Set STANDARDThis set includes all necessary components to enable patient positioning especially for treatment of the pelvis.

68

Art No P10102-753 consisting ofP10102-105 BodyFIX Localizer Syringe Set

P10102-114 BodyFIX 14 Localizer STANDARD

P10102-115 BodyFIX 14 Target Positioner STANDARD

P10102-223 BodyFIX 14 Marking Set STANDARD

Art No P10102-754 consisting ofP10102-101 BodyFIX Comfort Module 500x200 mm

P10102-102 BodyFIX Comfort Module 500x400 mm

P10102-216 BodyFIX Stabilizing Cushion 800x600 mm

P10102-217 BodyFIX Stabilizing Cushion OP-PORTAL






76

BodyFIX 14 Hip PLUS Fixation Set STANDARDThis set includes all necessary components to enable patient positioning especially for treatment of the pelvis.

BodyFIX 14 Hip PLUS Fixation Set WIDEThis set includes all necessary components to enable patient positioning especially for treatment of the pelvis.

BodyFIX 14 THORAX Pentagon Shape Fixation Set STANDARDThis set includes all necessary components to enable patient positioning especially for treatment of the thorax.

BodyFIX 14 THORAX Pentagon Shape Fixation Set WIDEThis set includes all necessary components to enable patient positioning especially for treatment of the thorax.


Breast and Thorax Positioning and ImmobilizationBodyFIX® • Kits

77
















P10104-820 BlueBAG BodyFIX 14 Pentagon Shape 1050x1325 mm/45 L





P10104-838 BlueBAG BodyFIX 14 Pentagon-Shape 1200x1325 mm/52 L


Breast and Thorax Positioning and ImmobilizationBodyFIX® • Configurations

BodyFIX 14 THORAX T-Shape Fixation Set STANDARDThis set includes all necessary components to enable patient positioning especially for treatment of the thorax.

BodyFIX 14 TOTAL BODY Fixation Set STANDARDThis set includes all necessary components to enable patient positioning especially for total body treatment.

BodyFIX 14 TOTAL BODY Fixation Set WIDEThis set includes all necessary components to enable patient positioning especially for total body treatment.

BodyFIX 14 THORAX T-Shape Fixation Set WIDEThis set includes all necessary components to enable patient positioning especially for treatment of the thorax.

70





P10104-836 BlueBAG BodyFIX 14 T-Shape 1130x1325 mm/51 L





P10104-839 BlueBAG BodyFIX 14 T-Shape 1280x1325 mm/60 L











78


79

BodyFIX® 14 System Stereotactic Frame-based for Non-indexed TabletopsThis is a system for non-indexed tabletops. It’s ideal for immobilization and accurate repositioning of the patient from planning to treatment delivery, using a stereotactic target positioner and localizer.

Art No P10102-780 consisting ofP10102-112 BodyFIX 14 Base Plate Stereotactic

P10102-223 BodyFIX 14 Marking Set Standard

P10102-304 BodyFIX Cover Sheet TOTAL BODY

P10102-305 BodyFIX Hygienic Drape Manifold Tube

P10102-307 BodyFIX Adhesive Tape (Set of 3)

P10102-408 BodyFIX Independent Indexing LINAC Couch Adapter (Set of 2)

P10102-409 BodyFIX Independent Indexing CT Couch Adapter (Set of 2)

P10102-413 BodyFIX Indexing Adapter P2 (Set of 3)

P10102-753 BodyFIX 14 Stereotactic Localization Set

P10102-773 BodyFIX 14 TOTAL BODY Fixation Set

P10102-774 BodyFIX 14 TOTAL BODY Fixation Set WIDE

P10105-110 iBEAM Indexing Bar (Set of 3)

P10102-150 BodyFIX Vacuum Pump P3


BodyFIX® 14 System Stereotactic Frameless for Non-indexed TabletopsThis is a system for non-indexed tabletops. It’s ideal for immobilization and accurate repositioning of the patient from planning to treatment delivery. It is the solution for use with IGRT for dose escalated hypofractionated treatment delivery. It is designed for the treatment of the total body.

Art No P10102-781 consisting ofP10102-112 BodyFIX 14 Base Plate Stereotactic




P10102-408 BodyFIX Independent Indexing LINAC Couch Adapter (Set of 2)

P10102-409 BodyFIX Independent Indexing CT Couch Adapter (Set of 2)

P10102-413 BodyFIX Indexing Adapter P2 (Set of 3)







BodyFIX® 14 System Stereotactic Frame-based for Indexed TabletopsThis is a system for indexed tabletops. It’s ideal for immobilization and accurate repositioning of the patient from planning to treatment delivery, using a stereotactic target positioner and localizer. It is designed for the treatment of the total body.

Art No P10102-782 consisting ofP10102-223 BodyFIX 14 Marking Set Standard




P10102-753 BodyFIX 14 Stereotactic Localization Set







74

BodyFIX® 14 System Stereotactic Frameless for Indexed TabletopsThis is a system for indexed tabletops. It’s ideal for immobilization and accurate repositioning of the patient from planning to treatment delivery. It is the solution for use with IGRT for dose escalated hypofractionated treatment delivery. It is designed for the treatment of the total body.

Art No P10102-783 consisting ofP10102-304 BodyFIX Cover Sheet TOTAL BODY







80


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WingSTEP™ enables easy positioning, precise repositioning

and high patient comfort during breast and thorax

treatment. With its excellent robustness and quality, this

patient friendly and non-invasive positioning system is a

novel device designed to improve the accuracy of radiation

therapy for the breast, thorax and upper abdomen areas.

The WingSTEP comfortably positions and supports the arms

above the head in supine position. The new system allows

natural movement of the upper and lower arm, at the same

time guaranteeing very precise, comfortable and easily

reproducible positioning. The head cushion is indexed,

assuring a reproducible patient position throughout the total

course of treatment.

The WingSTEP, especially adapted to fit through all common

CT gantries to achieve precise planning, simplifies and

expedites the radiation therapy procedure to increase

time efficiency. In addition, even MRI or PET planning

is possible since WingSTEP consists of high quality

metal-free materials.

The WingSTEP can be used on all brands of couches available

on the market for diagnostic and radiotherapy settings.

WingSTEP™ *

Precise patient positioning

WingSTEP™ Simple Steps

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WingSTEP on MCT Wedge

Set the WingSTEP system on the treatment table.

Position the patient‘s head on the head support. Place the patient‘s arms above the head into the upper and lower arm supports.

Select the appropriate pillow for the patient and place it on the WingSTEP.

Before first use: Click the upper and lower arm supports onto the ball joint.

1 83

Easy positioning and precise repositioning

Reproducible, flexible arm and wrist support

Minimizes patient movement of arms and wrists

High comfort in breast and thorax positioning

Suitable for CT, MRI and PET planning

High quality metal-free materials

Easy fit through CT aperture

Easy handling and high quality

Maximum stability and durability


Why WingSTEP™?

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Breast and Thorax Positioning and ImmobilizationWingSTEP™ • Configurations

System WingSTEP High - Pin JointThe WingSTEP High – Pin Joint system is designed for routine breast and thorax positioning with big CT apertures. (bore diameter >70 cm) The system includes the WingSTEP baseplate, a set of two covered wrist and two covered arm supports mounted on pin joints and the standard blue pillow. It can be reproducibly attached to tabletops with the integrated Indexing Systems by using industry standard indexing bars.

System WingSTEP Low - Pin JointThe WingSTEP Low – Pin Joint system is designed for routine breast and thorax positioning with small CT apertures. (bore diameter < 70 cm) The system includes the WingSTEP baseplate, a set of two covered wrist and two covered arm supports mounted on pin joints and the standard blue pillow. It can be reproducibly attached to tabletops with the integrated Indexing Systems by using industry standard indexing bars.

Art No P10107-740

Art No P10107-741

System WingSTEP Low - Ball JointBall Joint system is designed for routine breast and thorax positioning with small CT apertures. (bore diameter < 70 cm) The system includes the WingSTEP baseplate, a set of two covered wrist and two covered arm supports mounted on ball joints and the standard blue pillow. It can be reproducibly attached to tabletops with the integrated Indexing Systems by using industry standard indexing bars.

Art No P10107-742

System WingSTEP High - Ball JointThe WingSTEP High Ball Joint system is designed for routine breast and thorax positioning with big CT apertures. (bore diameter > 70 cm) The system includes the WingSTEP baseplate, a set of two covered wrist and two covered arm supports mounted on ball joints and the standard blue pillow. It can be reproducibly attached to tabletops with the integrated Indexing Systems by using industry standard indexing bars.

Art No P10107-743

78 84


Breast and Thorax Positioning and ImmobilizationWingSTEP™ • Reusable Components

Pillow B High BlueHead support cushion for WingSTEP, high blue.

Pillow A Standard BlueHead support cushion for WingSTEP, standard blue.

Arm Support - Ball JointFlexible covered wrist support - attached to ball joint.

Wrist SupportFlexible covered wrist support - attached to ball joint.

Arm Support - Pin JointFlexible covered arm support - attached with pin joint.

Art No P10107-240

Art No P10107-241

Art No P10107-443

Art NoP10107-441 Arm Support - Pin Joint - Small (2 pcs)

P10107-442 Arm Support - Pin Joint - Large (2 pcs)

MCT Wedge10° wedge for WingSTEP, covered with artificial leather.

Art NoP10107-444 Arm Support - Ball Joint - Small (2 pcs)

P10107-445 Arm Support - BallJoint - Large (2 pcs)

Art No P10107-440

85


Wall HolderCompatible with WingSTEP, ProSTEP and BreastSTEP.

Breast and Thorax Positioning and ImmobilizationWingSTEP™ • Reusable Components

PU Cover

Art NoP10107-242 PU Cover for Arm Support (2 pcs)

P10107-243 PU Cover for Wrist Support (2 pcs)

Art No P10107-446

80 86


Breast and Thorax Positioning and ImmobilizationFoamSTEP™ • Reusable Components

Art No P10107-454

87

FoamSTEP SetThe FoamSTEP Set contains 8 different rolls, wedges and rectangular positioning pillows.

FoamSTEP WedgeThe FoamSTEP Wedge enables quick, stable and comfortable positionings with different angles.

FoamSTEP RectangleThe FoamSTEP Rectangle enables quick, stable and comfortable routine positioning.

FoamSTEP RollThe FoamSTEP Roll enables quick, stable and comfortable head or leg positioning.

Art No P10107-784 consisting ofP10107-454 FoamSTEP Rectangle 270 x 180 x 70 mm

P10107-455 FoamSTEP Roll 300 x Ø 70 mm



P10107-458 FoamSTEP Wedge 270 x 250 x 120 to 10 mm




Art NoP10107-458 FoamSTEP Wedge 270 x 250 x 120 to 10 mm




Art NoP10107-455 FoamSTEP Roll 300 x Ø 70 mm



BreastSTEP™ guarantees high comfort and simple

positioning, assuring a reproducible patient position

throughout the total course of treatment. The BreastSTEP

is designed to improve the accuracy of radiation therapy

for the breast, thorax and upper abdomen areas in a

patient friendly and non-invasive manner.

BreastSTEP consists of a base plate and an upper plate

made of a low-density foam core covered with thin layers

of carbon fiber. It allows the beam to pass through the

BreastSTEP from any angle with minimal attenuation.

Further features of the BreastSTEP are the indexed

aperture for placing head supports, the bottom stop and

the adjustable height arm and wrist supports, allowing

comfortable, easy, customized patient positioning.

BreastSTEP can be positioned at four different upper

heights, 18 upper arm and eight lower arm options which

comfortably position and support the arms above the head

in supine position.

BreastSTEP can be used on all brands of couches available

on the market for diagnostic and radiotherapy settings.

BreastSTEP™ *


BreastSTEP™ Simple Steps

Set the BreastSTEP on the tabletop.

Select the appropriate position of the upper body from four different possibilities using the height adjustment system.

Select and adjust the appropriate position of the slide stop.

Select the appropriate position of the upper arms with different heights and angles of the arm support system.

Adjust the wrist support systems to the appropriate position.

Position the patient‘s head on the head support and place the patient‘s arms above the head into the arm and wrist supports.

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Easy positioning and precise repositioning

Minimizes patient movement of arms and wrists

High comfort in breast and thorax positioning

Reproducible arm and wrist support

4 different plate heights, in 5° steps

Arm support - height adjustment with 3 numbered positions

Arm support - rotatable in 6 numbered positions (15° steps)

Wrist support - height adjustment with 2 different positions

Wrist support - 4 numbered positions in 30° steps



Why BreastSTEP™?

89


System BreastSTEP Conventional Indexed LongThe BreastSTEP system is designed for routine breast and thorax positioning. It allows four different upper heights, 18 arm and eight wrist support options. The BreastSTEP Conventional can be used on tabletops with integrated indexing systems as well as on non-indexable couches.

System BreastSTEP Indexed ShortThe BreastSTEP system is designed for routine breast and thorax positioning. BreastSTEP Indexed Short can be reproducibly attached to tabletops with integrated indexing systems using standard indexing bars.

Breast and Thorax Positioning and ImmobilizationBreastSTEP™ • Configuration

Art No P10107-720

Art No P10107-721

84 90


Slide StopSlide stop prevents patients from sliding down the board.

PU Cover

Breast and Thorax Positioning and ImmobilizationBreastSTEP™ • Reusable Components

Pillow AdapterThe Pillow Adapter enables moving the head rest to the right/left side or cranial/caudal.

Round PillowHead support cushion for lateral positioning with centering disc.

Pillow B High BlueHead support cushion for BreastSTEP, high blue.

Pillow A Standard BlueHead support cushion for BreastSTEP, standard blue.

Art No P10107-240

Art No P10107-241

Art No P10107-420

Art NoP10107-220 PU Cover for Arm Support (2pcs)

P10107-221 PU Cover for Wrist Support (2pcs)

Art NoP10107-421 Pillow Adapter for left - right

P10107-422 Pillow Adapter for cranio - caudal

Art No P10107-453

91

Hip &

Pelvic Positioning and Imm

obilization

BodyFIX®

BellySTEP™

ProSTEP™

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Hip and Pelvic Positioning and ImmobilizationBodyFIX®

BodyFIX BlueBAG Hip Setup

The BodyFIX BlueBAG Rectangular is available for abdominal and pelvis treatment applications including prostate and cervical tumors.

BodyFIX BlueBAG Total Body Setup

BodyFIX BlueBAG Rectangular cushion offers comfortable and reproducible patient positioning for total body positioning.

For further detailed information please refer to pages 59-75.

Attenuation Measurements for BodyFIX BlueBAG

BodyFIX Component Material Thickness

Beam attenuation @ 6 MV [%] /

0° gantry

Beam attenuation @ 15 MV [%] / 0° gantry


10 mm 0.2 0.3


50 mm 1.2 1.2


100 mm 2.9 2.1

Percentage Depth Dose for Elekta Synergy at 6MV and 15MVField Size: 10 X 10 cm2

BellySTEP™ foam based positioning system provides

one of the most comfortable devices available on the

market. The three different size belly inserts guarantee

customized bowel displacement. This allows high precision

repositioning in routine pelvic and belly positioning.

BellySTEP is designed to reduce the irradiated small bowel

volume of patients to facilitate a proper and comfortable

prone position during pelvic area treatment.

BellySTEP consists of a foam based baseplate covered

with artificial leather, interchangeable belly inserts and

the BellySTEP prone pillow. All BellySTEP parts are made

of polyethylene foam which offers patients high comfort

without compromising stability.

BellySTEP allows for patient friendly, non-invasive

positioning whenever accurate and reproducible patient

positioning is essential for optimized therapy schedules. It

simplifies and expedites the radiation therapy procedure

to increase time efficiency.

In addition, even MRI or PET planning is possible since

BellySTEP consists of high quality metal-free and non

conductive materials.

BellySTEP with Prone Pillow

Position the patient onto the BellySTEP, starting cranially and sliding into the caudal direction. The pubic bone must be positioned in the caudal aperture for an optimal reduction of the small bowel volume.

Position the patient‘s head on the prone position head support. Place the crossed arms of the patient over the BellySTEP prone position pillow.

Set the BellySTEP baseplate on the table top.

Select the appropriate belly insert and snap it into the baseplate.

BellySTEP™ *


BellySTEP™ Simple Steps

94

1

Simple positioning and precise repositioning

Minimizes patient movements

High comfort in belly and pelvic positioning

Three different inserts

Prone position pillow

Foam based bellyboard

Consistent patient comfort

Suitable for CT, MRI and PET planning

Artificial leather protection

Why Belly STEP™?

95


Hip and Pelvic Positioning and ImmobilizationBellySTEP™ • Configuration

System BellySTEPThe BellySTEP system is designed for the positioning of the hip region for precise radiation in comfortable prone position, therefore minimizing the radiation exposure of the small intestine as much as possible. The BellySTEP includes a base plate, three different interchangeable inserts and a prone position pillow.

Art No P10107-760

90 96


Hip and Pelvic Positioning and ImmobilizationBellySTEP™ • Basic Components

BellySTEP Base PlateMade of polyethylene foam and covered with artificial leather for easy disinfection.

BellySTEP Insert A - MediumInsert A is a polyethylene cushion that fits into the BellySTEP baseplate. Made for patients with a normal belly. Double skinfoam coated.

BellySTEP Prone Position PillowThe BellySTEP Prone Position Pillow releases pressure in the breast area by supporting the shoulders and therefore allowing higher position stability.

BellySTEP Insert B - LargeInsert B is a polyethylene cushion that fits into the BellySTEP baseplate. Made for patients with a big belly. Double skinfoam coated.

BellySTEP Insert C - SmallInsert C is a polyethylene cushion that fits into the BellySTEP baseplate. Made for patients with a small belly. Double skinfoam coated.

Indexing AdapterThe BellySTEP Indexing Adapter is used for attaching the BellySTEP base plate to indexed tabletops. The Indexing Adapter is designed to index the BellySTEP with two U-profiles.

Art No P10107-160

Art No P10107-161

Art No P10107-162

Art No P10107-163

Art No P10107-164

Art No P10107-165

97

Position the patient onto the ProSTEP.

Choose the appropriate position of the legs with the sliding bed system of the FeetSTEP.

Select the appropriate position of the KneeSTEP. If necessary, use the elevation block for height adjustment.

Set the ProSTEP system on the table top.

Select the appropriate position of the feet with the sliding bed system of the FeetSTEP.

ProSTEP™ Simple Steps

ProSTEP™ is designed to improve the accuracy of the

positioning and repositioning of the lower abdomen and

extremities. This system combines the advantages and the

functionality of the FeetSTEP and the KneeSTEP, which are

available in both ABS and carbon fiber quality.

By using both cushions together with the ProSTEP base

plate, performance is enhanced, especially when treating

in the pelvic area.

On the lower end of the base plate, the KneeSTEP can

be adjusted and eventually combined with KneeSTEP

elevation blocks to acquire the optimal height and

comfort.

The mounted sliding bed for the FeetSTEP allows 17

different longitudinal (1.5 cm steps) and 10 different

indexed angular adjustment positions (5° steps).

Because of the indexed positioning of the lower

extremities, the ProSTEP guarantees high precision

repositioning in the pelvic area, thus simplifying and

expediting radiation therapy. The ProSTEP base plate is

compatible with two pin indexing bars and can be used

on all brands of couches available on the market for

diagnostic and radiotherapy settings.

ProSTEP™ *


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Simple positioning and precise repositioning

KneeSTEP in combination with elevation blocks

Mounted sliding bed adjusted with FeetSTEP

17 different indexed longitudinal adjustment positions (1.5 cm steps)

10 different indexed angular adjustment positions (5° steps)

High comfort in pelvic position

Carbon or hard plastic cushions

Comfortable patient positioning



Why ProSTEP™?

99


Hip and Pelvic Positioning and ImmobilizationProSTEP™ • Configuration

ProSTEP CarbonThe ProSTEP Carbon system is designed for the positioning of the lower abdomen and the extremities. Offering 17 longitudinal and 10 angular positions with integrated indexing system.

ProSTEP ABSThe ProSTEP ABS system is designed for the positioning of the lower abdomen and the extremities. Offering 17 longitudinal and 10 angular positions with integrated indexing system.

ProSTEP ABS MRIThe ProSTEP ABS MRI system is designed for the positioning of the lower abdomen and the extremities. Offering 17 longitudinal and 10 angular positions with integrated indexing system. The system is compatible with a MRI.

HipSTEPThe HipSTEP system is designed to cover the entire abdomen and pelvis with one sheet of thermoplastic.

BrachySTEPThe BrachySTEP is designed for CT planned treatment in lithotomy position.

Art No P10107-783

Art No P10107-186

Art No P10107-785

Art No P10107-781

Art No P10107-780

94 100


Hip and Pelvic Positioning and ImmobilizationProSTEP™ • Basic Components

KneeSTEP Elevation Block ABSDistance cushion for the elevation of the KneeSTEP in hard plastic, with integrated indexing system.

FeetSTEPFeet support cushion, fast, easy and accurate feet positioning, flexible handles on both sides, with two integrated indexing positions. Available in carbon fiber or hard plastic.

KneeSTEPKnee support cushion, fast, easy and accurate knee positioning, flexible handles on both sides, with three integrated indexing positions. Available in carbon fiber or hard plastic.

Shoulder Retractor2 Straps with hand grips can be attached in 7 different color coded positions on the ProSTEP systems.

HipSTEP Mask (5pcs)3.2mm mask material for HipSTEP including disposable iFRAME

Wall HolderCompatible with WingSTEP, ProSTEP and BreastSTEP.

Art NoP10107-180 KneeSTEP ABS

P10107-181 KneeSTEP Carbon

Art NoP10107-182 FeetSTEP ABS

P10107-183 FeetSTEP Carbon

Art No P10107-184

Art No P10107-185

Art No P10107-380

Art No P10107-446

101

Miscellaneous Positioning Products

BlueBAG™

102

Accurate, non-invasive patient positioning

Patient mold integrity for up to six weeks

Precise, passive patient positioning

Flexible and reliable, adapting to various clinical surroundings

Easy to clean, reusable and environmentally friendly

Easy to set up and handle

Why BlueBAG™?BlueBAG™ Vacuum Cushions offer one of the most advanced vacuum

cushion technology available today. BlueBAG Vacuum Cushions create

a comfortable, stable and precise mold of the patient’s position. The

method is very simple: when a negative pressure of about 650 mbar is

initially generated in the cushion, the BlueBAG retains its shape and

ensures integrity of the patient mold for up to six weeks.

BlueBAG Vacuum Cushions facilitate reproducible positioning of

the patient, from imaging to treatment and subsequent treatment

fractions, while preserving patient comfort and improving the

clinical workflow.

Manufactured entirely from radiotranslucent materials, BlueBAG

Vacuum Cushions provide consistent artifactfree image clarity

with minimal beam attenuation.

The combination of high quality coating materials with a special

filling of polystyrene spheres ensures a highly conformal, patient-

specific mold. Specially coated nylon material enables smooth mold

definition, comfortable patient positioning and ease of cleaning.

All materials are engineered to resist radiation degradation in the

clinical environment, providing long life expectancy.

BlueBAG Vacuum Cushions are available for a range of

clinical setups and indications such as head and neck,

thorax, hip and total body.

BlueBAG™

Make a good impression of your patient

103


Miscellaneous Positioning ProductsBlueBAG™ • Basic Components

BlueBAG Vacuum Cushion for Total BodyThe BlueBAG Rectangular molds the patient from the head down to the feet. The BlueBAG Total Body is specially made for various abdominal and pelvis treatment applications including prostate or ovarian tumors.

BlueBAG Vacuum Cushion for HipThe BlueBAG Rectangular molds the patient’s body from above the hip down to the feet. Different sizes are available for smaller or larger patients. The BlueBAG Hip is specially made for various treatment applications including prostate or ovarian tumors.

BlueBAG Vacuum Cushion for Breast and ThoraxFor breast treatment, one or both arms are usually placed sideways with the hands located under the head. The BlueBAG T-Shape is specially made for various treatment applications including breast, lung or abdominal tumors.

BlueBAG Vacuum Pump KNF, Germany

This high quality vacuum pump is a mandatory component of the BlueBAG system. It is used for the evacuation of air from the BlueBAG vacuum cushion.

BlueBAG Vacuum Pump SetThis set includes all necessary tubes to connect the BlueBAG Vacuum Pump to the vacuum cushion. Not for BodyFIX Vacuum Pump P3.

Art No P10104-003

Art No P10104-001 BlueBAG Vacuum Pump 115V

P10104-002 BlueBAG Vacuum Pump 230V

P10104-023 BlueBAG Vacuum Pump 100V

98 104


Miscellaneous Positioning ProductsBlueBAG™ • Reusable Components

Art No P10104-111 BlueBAG Rectangular 250x350 mm/2 L

P10104-113 BlueBAG Rectangular 180x280 mm/0.9 L



P10104-119 BlueBAG Rectangular 300x500 mm/3 L













BlueBAG Rectangular Shape

Art No P10104-500 BlueBAG Pentagon Shape 1000x1300 mm/45 L

P10104-501 BlueBAG T-Shape 650x650 mm/7 L


P10104-506 BlueBAG H-Shape 800x1100 mm/31 L


BlueBAG Special Shapes

105

All BlueBAGs on this page are without Indexing Lath and not designed for use with cover sheets

1

ABC Full System ..................................................................................................... 8ABC Intermediate System ...................................................................................... 8ABC Minimum System ........................................................................................... 8ABC R2.0 Basic Upgrade Kit................................................................................... 9ABC R2.0 Full Upgrade Kit ..................................................................................... 9Arm Support - Ball Joint - Small (2 pcs) ............................................................... 85Arm Support - BallJoint - Large (2 pcs) ................................................................ 85Arm Support - Pin Joint - Large (2 pcs) ................................................................ 85Arm Support - Pin Joint - Small (2 pcs) ................................................................ 85BellySTEP Base Plate ........................................................................................... 97BellySTEP Insert A - Medium ............................................................................... 97BellySTEP Insert B - Large ................................................................................... 97BellySTEP Insert C - Small .................................................................................... 97BellySTEP Prone Position Pillow.......................................................................... 97BlueBAG BodyFIX 14 Pentagon Shape 1050x1325 mm/45L ............................75, 77BlueBAG BodyFIX 14 Pentagon Shape 1200x1325 mm/52L ............................75, 77BlueBAG BodyFIX 14 Rectangular / Knee Roll 700x1825mm/58L ........................ 75BlueBAG BodyFIX 14 Rectangular / Knee Roll 850x1825mm/62L ........................ 75BlueBAG BodyFIX 14 Rectangular 700x1025 mm/30L ......................................... 75BlueBAG BodyFIX 14 Rectangular 700x1625 mm/45L ....................................75, 76BlueBAG BodyFIX 14 Rectangular 700x1825 mm/50L ....................................75, 77BlueBAG BodyFIX 14 Rectangular 700x2325 mm/65L ....................................75, 78BlueBAG BodyFIX 14 Rectangular 750x1025 mm/35L ......................................... 75BlueBAG BodyFIX 14 Rectangular 850x1540 mm/53L ......................................... 75BlueBAG BodyFIX 14 Rectangular 850x1625 mm/58L ....................................75, 76BlueBAG BodyFIX 14 Rectangular 850x1825 mm/75L ....................................75, 77BlueBAG BodyFIX 14 Rectangular 900x2325 mm/117L ..................................75, 78BlueBAG BodyFIX 14 Rectangular 950x1225 mm/45L ......................................... 75BlueBAG BodyFIX 14 T-Shape 1130x1375 mm/51L .........................................75, 78BlueBAG BodyFIX 14 T-Shape 1280x1325 mm/60L .........................................75, 78BlueBAG HeadFIX Rectangular 250x350mm/1,5L ................................................ 51BlueBAG HeadFIX Rectangular 250x350mm/1,7L ................................................ 51BlueBAG HeadFIX Rectangular 250x350mm/2L................................................... 51BlueBAG HeadFIX T-Shape 310x400mm/2L ......................................................... 51BlueBAG HeadFIX T-Shape 650x650mm/7L ......................................................... 51BlueBAG HeadFIX T-Shape 850x800mm/16,5L .................................................... 51BlueBAG H-Shape 800x1100 mm/31 L ................................................................105BlueBAG Pentagon Shape 1000x1300 mm/45 L .................................................105BlueBAG Rectangular 1000x1000 mm/45 L ........................................................105BlueBAG Rectangular 1000x1500 mm/30 L ........................................................105BlueBAG Rectangular 1000x1500 mm/80 L ........................................................105BlueBAG Rectangular 1000x2000 mm/120 L ......................................................105BlueBAG Rectangular 1000x2300 mm/80 L ........................................................105BlueBAG Rectangular 180x280 mm/0.9 L ...........................................................105BlueBAG Rectangular 250x350 mm/2 L ..............................................................105BlueBAG Rectangular 250x500 mm/2.25 L .........................................................105BlueBAG Rectangular 300x350 mm/4.5 L ...........................................................105BlueBAG Rectangular 300x500 mm/3 L ..............................................................105BlueBAG Rectangular 400x800 mm/15 L ............................................................105BlueBAG Rectangular 500x700 mm/15 L ............................................................105BlueBAG Rectangular 650x1000 mm/30 L ..........................................................105BlueBAG Rectangular 650x1500 mm/75 L ..........................................................105BlueBAG Rectangular 650x700 mm/20 L ............................................................105BlueBAG Rectangular 700x1000 mm/35 L ..........................................................105BlueBAG Rectangular 850x1000 mm/30 L ..........................................................105BlueBAG T-Shape 1000x1300 mm/40 L ..............................................................105BlueBAG T-Shape 1000x1300 mm/50 L ..............................................................105BlueBAG T-Shape 650x650 mm/7 L ....................................................................105BlueBAG Tube P3 ................................................................................................ 70BlueBAG Vacuum Pump 100V ............................................................................104BlueBAG Vacuum Pump 115V ............................................................................104BlueBAG Vacuum Pump 230V ............................................................................104BlueBAG Vacuum Pump Set ...............................................................................104BodyFIX 14 Base Plate Stereotactic STANDARD (2000 x 530 x 22 mm) ............71, 79BodyFIX 14 Hip Fixation Set STANDARD .............................................................. 76BodyFIX 14 Hip Fixation Set WIDE ....................................................................... 76BodyFIX 14 Hip PLUS Fixation Set STANDARD ..................................................... 77BodyFIX 14 Hip PLUS Fixation Set WIDE .............................................................. 77BodyFIX 14 Localizer STANDARD ....................................................................71, 76BodyFIX 14 Marking Set STANDARD ................................................... 73, 76, 79, 80BodyFIX 14 Stereotactic Localization Set ..................................................76, 79, 80BodyFIX 14 Target Positioner STANDARD .......................................................71, 76BodyFIX 14 THORAX Pentagon Shape Fixation Set STANDARD ............................ 77BodyFIX 14 THORAX Pentagon Shape Fixation Set WIDE ..................................... 77BodyFIX 14 THORAX T-Shape Fixation Set STANDARD ......................................... 78BodyFIX 14 THORAX T-Shape Fixation Set WIDE .................................................. 78BodyFIX 14 TOTAL BODY Fixation Set STANDARD .....................................78, 79, 80BodyFIX 14 TOTAL BODY Fixation Set WIDE ..............................................78, 79, 80BodyFIX Adhesive Tape (Set of 3) .............................................................74, 79, 80BodyFIX Adhesive Tape Single unit ..................................................................... 74BodyFIX Basic Accessories Set ............................................................................. 76

BodyFIX Comfort Module 500x200 mm..........................................................72, 76BodyFIX Comfort Module 500x400 mm..........................................................72, 76BodyFIX Cover Sheet HIP 2000x1400 mm (Set of 5) ............................................. 74BodyFIX Cover Sheet HIP PLUS 2200x1400 mm (Set of 5) .................................... 74BodyFIX Cover Sheet THORAX 1800x1600 mm (Set of 5) ..................................... 74BodyFIX Cover Sheet THORAX 2700x1600 mm (Set of 5) ..................................... 74BodyFIX Cover Sheet TOTAL BODY 2700x1400 mm (Set of 5) ....................74, 79, 80BodyFIX Diaphragm Control................................................................................ 71BodyFIX Hygienic Drape Manifold Tube (2x15000mm) ............................74, 79, 80BodyFIX Independent Indexing CT Couch Adapter (Set of 2) ..........................72, 79BodyFIX Independent Indexing LINAC Couch Adapter (Set of 2) .....................72, 79BodyFIX Indexing Adapter P2 (set of 3) ..........................................................72, 79BodyFIX Localizer Fiducial Set Aluminium .......................................................... 73BodyFIX Localizer Syringe Set ...................................................................54, 72, 76BodyFIX Manifold Connector STANDARD ............................................ 73, 76, 77, 78BodyFIX Manifold Cushion 600 mm ................................................... 71, 76, 77, 78BodyFIX Manifold Cushion 700 mm .................................................................... 71BodyFIX Manifold Cushion 800 mm ................................................... 71, 76, 77, 78BodyFIX Manifold Cushion 900 mm .................................................................... 71BodyFIX Manifold Tube 1000 mm ............................................................71, 77, 78BodyFIX Manifold Tube 1500 mm ............................................................71, 76, 77BodyFIX Manifold Tube 2000 mm ..................................................................71, 78BodyFIX Sleeve Tube (5 pieces) ........................................................................... 74BodyFIX Stabilizing Cushion 800x600 mm .....................................................72, 76BodyFIX Stabilizing Cushion OP-PORTAL ........................................................72, 76BodyFIX Tube P3 (length 5 m) ............................................................................. 70BodyFIX Vacuum Pump Filter ............................................................................. 70BodyFIX Vacuum Pump P3.......................................................................70, 79, 80BodyFIX® 14 System Stereotactic Frame-based for Indexed Tabletops ................ 80BodyFIX® 14 System Stereotactic Frame-based for Non-indexed Tabletops ........ 79BodyFIX® 14 System Stereotactic Frameless for Indexed Tabletops ..................... 80BodyFIX® 14 System Stereotactic Frameless for Non-indexed Tabletops ............. 79BrachySTEP ........................................................................................................100Connexion Base Board .............................................................................22, 25, 26Connexion Central Opening Module with Solid Inlay ...............................22, 25, 26Connexion Head and Neck Module ..........................................................22, 25, 26Connexion Imaging Module .....................................................................22, 25, 26Connexion Indexing Bridges Set (Set of 2) ........................................................... 23Connexion Lateral Opening Module with Short Indexing Bars .................22, 25, 26Connexion Module Case (4x) ....................................................................23, 25, 26Connexion Removable Side Rail Set (Set of 2) ..........................................23, 25, 26Connexion Short Indexing Bar ............................................................................ 23Connexion Side Rail Arc Replacement ................................................................. 23Connexion Solid Inlay ......................................................................................... 22Connexion System with all 4 Modules ................................................................. 25Connexion System with all 4 Modules Incl. Extensions ....................................... 26Connexion System with Central Opening Module ............................................... 25Connexion System with Central Opening Module Incl. Extensions ...................... 26Connexion System with Imaging Module ............................................................ 25Connexion System with Imaging Module Incl. Extensions ................................... 26Couchtop Calibration Bar VE ............................................................................... 31Distance Plate .................................................................................... 24, 60, 61, 64FeetSTEP ABS......................................................................................................101FeetSTEP Carbon ................................................................................................101FoamSTEP Rectangle 270 x 180 x 70 mm ............................................................ 87FoamSTEP Roll 300 x Ø 100 mm ......................................................................... 87FoamSTEP Roll 300 x Ø 70 mm ........................................................................... 87FoamSTEP Roll 500 x Ø 135 mm ......................................................................... 87FoamSTEP Set ...................................................................................................... 87FoamSTEP Wedge 130 x 250 x 60 to 5 mm .......................................................... 87FoamSTEP Wedge 270 x 250 x 120 to 10 mm ...................................................... 87FoamSTEP Wedge 270 x 250 x 30 to 10 mm ........................................................ 87FoamSTEP Wedge 270 x 250 x 60 to 10 mm ........................................................ 87Fraxion CT Adapter .........................................................................................40, 44Fraxion Dental Impression Material (DIM) .....................................................41, 45Fraxion Dental Kit ..........................................................................................44, 45Fraxion DIM Adhesive (29 ml) ........................................................................42, 45Fraxion Frame ................................................................................................40, 44Fraxion Frontpiece .........................................................................................40, 44Fraxion Headrest EC ............................................................................................ 43Fraxion Isocenter Alignment Tool (IAT) ..........................................................43, 44Fraxion Linac Tabletop Adapter iB (2DoF) for iBEAM .......................................... 41Fraxion Linac Tabletop Adapter iB for iBEAM ..................................................... 41Fraxion Linac Tabletop Adapter iBe (2DoF) for iBEAM evo .................................. 41Fraxion Linac Tabletop Adapter iBe for iBEAM evo ........................................41, 44Fraxion Linac Tabletop Adapter VE (2DoF) for VARIAN Exact ............................... 41Fraxion Linac Tabletop Adapter VE for VARIAN Exact .......................................... 41Fraxion Marking Sheets (5 units) ......................................................................... 40Fraxion Mixer and Dispenser .........................................................................42, 45Fraxion Mouth Piece Kit .................................................................................44, 45Fraxion Mouthpiece Large (10 pcs) .................................................................42, 45

Index - Product Name

106

107

Fraxion Mouthpiece Medium (10 pcs) ............................................................42, 45Fraxion Mouthpiece Small (10 pcs) .................................................................42, 45Fraxion Mouthpiece Small P2 (10 pcs) ............................................................42, 45Fraxion Mouthpiece X-Large P2 (10 pcs) .........................................................42, 45Fraxion Patient Control Unit (PCU) .................................................................40, 44Fraxion Patient Preparation Kit .....................................................................44, 45Fraxion Repositioning Check Tool (RCT) .............................................................. 43Fraxion Saliva Stop Patient (20 pcs) ................................................................41, 45Fraxion Stereotactic Frame ................................................................................. 40Fraxion Storage Box (5 pcs) ............................................................................42, 45Fraxion System .................................................................................................... 44Fraxion System Axesse ......................................................................................... 44Fraxion Thermoplastic Mask Head (10 pcs) ....................................................41, 45Fraxion Thermoplastic Mask Kit .....................................................................44, 45Fraxion Thermoplastic Mask Nose (10 pcs) .....................................................41, 45Fraxion Torque Wrench ..................................................................................42, 45Fraxion Vacuum Cushion Kit ..........................................................................44, 45Fraxion Vacuum Cushion M / 1.2 L .................................................................41, 45Fraxion Vacuum Cushion S / 0.7L ...................................................................41, 45GE Lightspeed Plus, GE Lightspeed Ultra, GE Lightspeed RT4 .............................. 36GreyBAG .............................................................................................................. 64GreyBAG Adapter ................................................................................................. 64Grip Ring (set of 3) .............................................................................................. 64HeadFIX Adhesive (29 ml) ........................................................................52, 54, 55HeadFIX Angulating Fixation Set ......................................................................... 48HeadFIX Angulating Fixation Set long ................................................................. 48HeadFIX Base Plate P2 ...................................................................................48, 54HeadFIX Base Set P2 115V ........................................................................54, 55, 56HeadFIX Base Set P2 230V ..............................................................................54, 56HeadFIX Cranial P2 Fiducial Set Aluminum......................................................... 49HeadFIX Dental Impression Material .......................................................52, 54, 55HeadFIX Friction Plates (Set of 20) ...................................................................... 52HeadFIX Independent Indexing Couchtop Adapter P2 .............................49, 55, 56HeadFIX Independent Indexing Couchtop Adapter P2 long ................................ 49HeadFIX Localization Set Cranial P2 .........................................................54, 55, 56HeadFIX Localization Set Head & Neck ....................................................54, 55, 56HeadFIX Localizer CRANIAL P2 .......................................................................48, 54HeadFIX Localizer H&N Fiducial Set Aluminum .................................................. 49HeadFIX Localizer Head & Neck .....................................................................48, 54HeadFIX Marking Set Cranial P2 .......................................................................... 49HeadFIX Marking Set Head & Neck ..................................................................... 49HeadFIX Mixer and Dispenser ........................................................................49, 54HeadFIX Mouthpiece Kit Large Regular Tray with Sidebars ................................. 55HeadFIX Mouthpiece Kit Medium Regular Tray No Sidebars............................... 54HeadFIX Mouthpiece Kit Mixed Size Regular Tray ....................................54, 55, 56HeadFIX Mouthpiece Kit mixed sizes P2 Wide Tray ............................................. 55HeadFIX Mouthpiece Kit Small P2 Wide Tray ...................................................... 55HeadFIX Mouthpiece Kit Small Regular Tray with Sidebars................................. 54HeadFIX Mouthpiece Kit X-large P2 Wide Tray .................................................... 55HeadFIX Mouthpiece Large (10 pcs.) ..............................................................53, 55HeadFIX Mouthpiece Medium (10 pcs.) ..........................................................53, 54HeadFIX Mouthpiece Mixed Size P2 (10 pcs.) .................................................53, 55HeadFIX Mouthpiece Mixed Sizes (10 pcs.) .....................................................53, 54HeadFIX Mouthpiece Small (10 pcs.) ..............................................................53, 54HeadFIX Mouthpiece Small P2 (10 pcs.) .........................................................53, 55HeadFIX Mouthpiece X-large P2 (10 pcs.) .......................................................53, 55HeadFIX Nosepiece (5 pcs.) ............................................................................52, 55HeadFIX Nosepiece Hygienic Cover ................................................................52, 55HeadFIX Nosepiece Set ........................................................................................ 55HeadFIX Patient Set Cranial P2 ................................................................51, 55, 56HeadFIX Patient Set Head & Neck P2 .......................................................51, 55, 56HeadFIX Post Set 231 P2 ..................................................................................... 48HeadFIX Post Set 271 P2 ................................................................................48, 54HeadFIX Quick Release...................................................................................48, 54HeadFIX Saliva Stop (10 pcs.) ....................................................................52, 54, 55HeadFIX Screw Set P2 .....................................................................................55, 56HeadFIX Spare Parts Set P2 ............................................................................55, 56HeadFIX Storage Box A3 ...................................................................................... 50HeadFIX Storage Box A4 ...................................................................................... 50HeadFIX System 120 V Cranial / Head & Neck ..................................................... 56HeadFIX System 230 V Cranial / Head & Neck ..................................................... 56HeadFIX System Cranial 120 V ............................................................................. 55HeadFIX System Cranial 230 V ............................................................................. 56HeadFIX System Head & Neck 120 V ................................................................... 55HeadFIX System Head & Neck 230 V ................................................................... 56HeadFIX Torque Wrench .................................................................................50, 54HeadFIX Vacuum Pump 115V ........................................................................49, 54HeadFIX Vacuum Pump 230V ........................................................................49, 54HeadFIX Vacuum Pump Set ...........................................................................49, 54HeadSTEP BiteSTEP Angulation Fixation Set Cranial............................................ 62HeadSTEP BiteSTEP Angulation Fixation Set H&N ............................................... 62

HeadSTEP BiteSTEP Post Set ................................................................................ 62HeadSTEP BiteSTEP Quick release ....................................................................... 62HeadSTEP Carbon Basic Module .....................................................................60, 62HeadSTEP Flat Basic Module ..........................................................................61, 62HeadSTEP iBEAM evo Extension Basic Module .........................................24, 61, 62HeadSTEP IMRT ................................................................................................... 60HeadSTEP IMRT Basic Module ........................................................................60, 62HeadSTEP MR Basic Module ...........................................................................61, 62HeadSTEP Shoulder ............................................................................................. 60HeadSTEP Shoulder Adapter ............................................................................... 63HeadSTEP Shoulder Adapter extension .............................................. 24, 60, 61, 63HeadSTEP Shoulder Basic Module ..................................................................60, 62HeadSTEP Shoulder comfort module .................................................................. 60HeadSTEP Silicon covers (set of 50) ..................................................................... 62HexaPOD evo RT Couchtop with iGUIDE 1.1........................................................ 14HexaPOD evo RT Couchtop with iGUIDE 2.0........................................................ 14HipSTEP ..............................................................................................................100HipSTEP Mask (5pcs) ...........................................................................................101HS Independent Indexing Clamp 500 .................................................................. 64HS Independent Indexing Clamp 530 .................................................................. 64HS Indexing Adapter ................................................................................60, 61, 63iBEAM Couchbase Adapter SIEMENS ZXT ............................................................. 32iBEAM Couchbase Adapter Varian ETR ................................................................ 32iBEAM evo Couch Adapter ..............................................................................18, 31iBEAM evo Couchtop CA .................................................................................30, 32iBEAM evo Couchtop CA ETR (for Varian ETR couch) ........................................... 32iBEAM evo Couchtop CA ZXT (for Siemens ZXT couch) ......................................... 32iBEAM evo Couchtop EP .................................................................................30, 32iBEAM evo Couchtop EP (for Elekta Precise PSS) .................................................. 32iBEAM evo Couchtop for Elekta Precise ............................................................... 32iBEAM evo Couchtop VE .................................................................................30, 32iBEAM evo Couchtop VE (for Varian Exact couch) ................................................ 32iBEAM evo CT Overlay GE Lightspeed RT16 .......................................................... 36iBEAM evo CT Overlay Philips BCT ....................................................................... 36iBEAM evo CT Overlay Siemens P20..................................................................... 36iBEAM evo Extension 415 ....................................................... 17, 24, 26, 30, 32, 36iBEAM evo Extension 650 ............................................................. 17, 24, 26, 30, 36iBEAM evo Extension H&N ........................................................... 17, 24, 30, 32, 36iBEAM evo Removable Rails EP (Set of 2) .................................................18, 31, 32iBEAM evo Removable Rails VE (Set of 2) ............................................................ 31iBEAM Indexing Bar (Set of 3) ......................................24, 25, 26, 31, 32, 36, 79, 80iBEAM Indexing Bar Carbon (set of 2) .................................................................. 65iCAST Precut Double H&N Micro Perforation (5 pcs) ........................................... 65iCAST Precut Double Head Maxi Perforation (5 pcs) ............................................ 65iCAST Precut H&N Maxi Perforation (5 pcs) ......................................................... 65iCAST Precut H&N Maxi Perforation with mouth port (5 pcs) .............................. 65iCAST Precut H&N Micro Perforation (5 pcs) ........................................................ 65iCAST Precut H&N Micro Perforation with mouth port (5 pcs) ............................. 65iCAST Precut H&S Maxi Perforation (5 pcs) .......................................................... 65iCAST Precut H&S Maxi Perforation with mouth port (5 pcs) ............................... 65iCAST Precut H&S Micro Perforation (5 pcs) ......................................................... 65iCAST Precut H&S Micro Perforation with mouth port (5 pcs).............................. 65iCAST Precut Head Maxi Perforation (5 pcs)......................................................... 65iCAST Precut Head Maxi Perforation with mouth port (5 pcs) ............................. 65iCAST Precut Head Micro Perforation (5 pcs) ....................................................... 65iCAST Precut Head Micro Perforation with mouth port (5 pcs) ............................ 65Indexing Adapter ................................................................................................ 97KneeSTEP ABS ....................................................................................................101KneeSTEP Carbon ...............................................................................................101KneeSTEP Elevation Block ABS ...........................................................................101MCT Wedge ......................................................................................................... 85Pillow A Standard Black ..................................................................... 24, 60, 61, 62Pillow A Standard blue ...................................................................................85, 91Pillow A Standard Yellow - low density ............................................................... 64Pillow Adapter for cranio - caudal ...................................................................... 91Pillow Adapter for left - right .............................................................................. 91Pillow B High Black ............................................................................ 24, 60, 61, 62Pillow B High blue .........................................................................................85, 91Pillow B High Yellow - low density ...................................................................... 64Pillow C Wedge ................................................................................... 24, 60, 61, 62Pillow D Tilt Blue ............................................................................... 24, 60, 61, 63Pillow D Tilt Yellow - low density ........................................................................ 64Pillow E Short Neck Blue ..................................................................................... 62Pillow E Short Neck Yellow - low density ............................................................. 64Pillow F Small pillow for children ....................................................................... 62Pillow F Small Yellow - low density ..................................................................... 64Pillow G Tilt Low ................................................................................................. 63Pillow G Yellow - Tilt small - low density ............................................................. 64Pillow Y Prone Large .......................................................................... 24, 60, 61, 63Pillow Z Prone Small .......................................................................... 24, 60, 61, 63ProneSTEP ........................................................................................................... 62


1

ProSTEP ABS .......................................................................................................100ProSTEP ABS MRI ................................................................................................100ProSTEP Carbon..................................................................................................100PU Cover for Arm Support (2 pcs) ........................................................................ 86PU Cover for Arm Support (2pcs) ......................................................................... 91PU Cover for Wrist Support (2 pcs) ....................................................................... 86PU Cover for Wrist Support (2pcs) ........................................................................ 91Pump Filters (10 pcs.) .......................................................................................... 53Round Pillow ...................................................................................................... 91Shoulder Retractor .............................................................................................101Slide Stop ............................................................................................................ 91System BellySTEP ................................................................................................ 96System BreastSTEP Conventional Indexed Long .................................................. 90System BreastSTEP Indexed Short ....................................................................... 90System HeadSTEP Carbon .................................................................................... 60System HeadSTEP Carbon - Flat ........................................................................... 61System HeadSTEP iBEAM evo Extension .........................................................24, 61System HeadSTEP MR .......................................................................................... 61System WingSTEP High - Ball Joint ...................................................................... 84System WingSTEP High - Pin Joint ....................................................................... 84System WingSTEP Low - Ball Joint ....................................................................... 84System WingSTEP Low - Pin Joint ........................................................................ 84Toshiba Aquilion LB ............................................................................................ 36Upgrade to HexaPOD evo RT Couchtop ............................................................... 14Upgrade to iGUIDE 2.0 ........................................................................................ 14Wall Holder ..................................................................................................86, 101Wrist Support ...................................................................................................... 85


108

109

03-999-1064 ........................................................................................................ 70P10102-101 ....................................................................................................72, 76P10102-102 ....................................................................................................72, 76P10102-105 ..............................................................................................54, 72, 76P10102-112 ....................................................................................................71, 79P10102-114 ....................................................................................................71, 76P10102-115 ....................................................................................................71, 76P10102-119 ......................................................................................................... 71P10102-122 ......................................................................................................... 70P10102-150 ..............................................................................................70, 79, 80P10102-200 ........................................................................................ 71, 76, 77, 78P10102-201 ......................................................................................................... 71P10102-202 ........................................................................................ 71, 76, 77, 78P10102-203 ......................................................................................................... 71P10102-210 ..............................................................................................71, 77, 78P10102-212 ..............................................................................................71, 76, 77P10102-213 ....................................................................................................71, 78P10102-214 ........................................................................................ 73, 76, 77, 78P10102-216 ....................................................................................................72, 76P10102-217 ....................................................................................................72, 76P10102-223 ........................................................................................ 73, 76, 79, 80P10102-227 ......................................................................................................... 73P10102-300 ......................................................................................................... 74P10102-301 ......................................................................................................... 74P10102-302 ......................................................................................................... 74P10102-303 ......................................................................................................... 74P10102-304 ..............................................................................................74, 79, 80P10102-305 ..............................................................................................74, 79, 80P10102-306 ......................................................................................................... 74P10102-307 ..............................................................................................74, 79, 80P10102-308 ......................................................................................................... 74P10102-408 ....................................................................................................72, 79P10102-409 ....................................................................................................72, 79P10102-413 ....................................................................................................72, 79P10102-753 ..............................................................................................76, 79, 80P10102-754 ......................................................................................................... 76P10102-757 ......................................................................................................... 76P10102-758 ......................................................................................................... 76P10102-761 ......................................................................................................... 77P10102-762 ......................................................................................................... 77P10102-765 ......................................................................................................... 77P10102-766 ......................................................................................................... 77P10102-769 ......................................................................................................... 78P10102-770 ......................................................................................................... 78P10102-773 ..............................................................................................78, 79, 80P10102-774 ..............................................................................................78, 79, 80P10102-780 ......................................................................................................... 79P10102-781 ......................................................................................................... 79P10102-782 ......................................................................................................... 80P10102-783 ......................................................................................................... 80P10103-104 ....................................................................................................48, 54P10103-105 ....................................................................................................49, 54P10103-106 ....................................................................................................49, 54P10103-107 ....................................................................................................49, 54P10103-109 ....................................................................................................49, 54P10103-113 ....................................................................................................48, 54P10103-114 ....................................................................................................48, 54P10103-115 ....................................................................................................48, 54P10103-117 ......................................................................................................... 48P10103-118 ....................................................................................................50, 54P10103-203 ......................................................................................................... 50P10103-208 ......................................................................................................... 48P10103-209 ......................................................................................................... 48P10103-210 ......................................................................................................... 49P10103-211 ..............................................................................................51, 55, 56P10103-215 ......................................................................................................... 49P10103-216 ......................................................................................................... 49P10103-308 ..............................................................................................52, 54, 55P10103-309 ..............................................................................................52, 54, 55P10103-310 ..............................................................................................52, 54, 55P10103-311 ....................................................................................................53, 55P10103-312 ....................................................................................................53, 55P10103-313 ....................................................................................................53, 55P10103-403 ....................................................................................................52, 55P10103-404 ....................................................................................................52, 55P10103-406 ....................................................................................................48, 54P10103-407 ......................................................................................................... 49P10103-408 ......................................................................................................... 50P10103-410 ..............................................................................................51, 55, 56P10103-414 ..............................................................................................49, 55, 56P10103-415 ......................................................................................................... 49

P10103-506 ......................................................................................................... 52P10103-507 ....................................................................................................55, 56P10103-508 ....................................................................................................55, 56P10103-512 ......................................................................................................... 53P10103-601 ....................................................................................................53, 54P10103-602 ....................................................................................................53, 54P10103-603 ....................................................................................................53, 54P10103-604 ....................................................................................................53, 55P10103-700 ......................................................................................................... 55P10103-701 ......................................................................................................... 56P10103-702 ......................................................................................................... 55P10103-703 ......................................................................................................... 56P10103-704 ......................................................................................................... 56P10103-705 ......................................................................................................... 56P10103-750 ..............................................................................................54, 55, 56P10103-751 ....................................................................................................54, 56P10103-752 ..............................................................................................54, 55, 56P10103-753 ..............................................................................................54, 55, 56P10103-754 ..............................................................................................54, 55, 56P10103-755 ......................................................................................................... 54P10103-756 ......................................................................................................... 54P10103-757 ......................................................................................................... 55P10103-760 ......................................................................................................... 55P10103-761 ......................................................................................................... 55P10103-762 ......................................................................................................... 55P10103-763 ......................................................................................................... 55P10104-001 ........................................................................................................104P10104-002 ........................................................................................................104P10104-003 ........................................................................................................104P10104-023 ........................................................................................................104P10104-024 ......................................................................................................... 70P10104-111 ........................................................................................................105P10104-113 ........................................................................................................105P10104-114 ........................................................................................................105P10104-118 ........................................................................................................105P10104-119 ........................................................................................................105P10104-122 ........................................................................................................105P10104-125 ........................................................................................................105P10104-129 ........................................................................................................105P10104-130 ........................................................................................................105P10104-132 ........................................................................................................105P10104-135 ........................................................................................................105P10104-137 ........................................................................................................105P10104-139 ........................................................................................................105P10104-143 ........................................................................................................105P10104-147 ........................................................................................................105P10104-156 ........................................................................................................105P10104-159 ........................................................................................................105P10104-300 ......................................................................................................... 51P10104-301 ......................................................................................................... 51P10104-302 ......................................................................................................... 51P10104-500 ........................................................................................................105P10104-501 ........................................................................................................105P10104-505 ........................................................................................................105P10104-506 ........................................................................................................105P10104-511 ........................................................................................................105P10104-601 ......................................................................................................... 51P10104-604 ......................................................................................................... 51P10104-605 ......................................................................................................... 51P10104-806 ......................................................................................................... 75P10104-819 ....................................................................................................75, 76P10104-820 ....................................................................................................75, 77P10104-821 ....................................................................................................75, 78P10104-822 ......................................................................................................... 75P10104-823 ....................................................................................................75, 77P10104-824 ....................................................................................................75, 76P10104-829 ......................................................................................................... 75P10104-831 ......................................................................................................... 75P10104-836 ....................................................................................................75, 78P10104-837 ....................................................................................................75, 77P10104-838 ....................................................................................................75, 77P10104-839 ....................................................................................................75, 78P10104-840 ....................................................................................................75, 78P10104-842 ......................................................................................................... 75P10104-843 ......................................................................................................... 75P10105-110 .................................................................24, 25, 26, 31, 32, 36, 79, 80P10105-115 ......................................................................................................... 32P10105-145 ......................................................................................................... 32P10105-148 ....................................................................................................30, 32P10105-149 ....................................................................................................18, 31P10105-155 ......................................................................................................... 31

Index - Part Number

1

P10105-160 ......................................................................................................... 36P10105-163 ....................................................................................................30, 32P10105-165 ......................................................................................................... 36P10105-169 ......................................................................................................... 36P10105-171 ......................................................................................................... 36P10105-175 ....................................................................................................30, 32P10105-176 ......................................................................................................... 31P10105-177 ......................................................................................................... 36P10105-200 ..............................................................................................22, 25, 26P10105-210 ..............................................................................................22, 25, 26P10105-213 ..............................................................................................22, 25, 26P10105-240 ..............................................................................................22, 25, 26P10105-241 ..............................................................................................22, 25, 26P10105-250 ..............................................................................................23, 25, 26P10105-251 ......................................................................................................... 23P10105-253 ......................................................................................................... 23P10105-254 ......................................................................................................... 22P10105-256 ......................................................................................................... 23P10105-257 ..............................................................................................23, 25, 26P10105-412 ............................................................................ 17, 24, 26, 30, 32, 36P10105-413 .................................................................................. 17, 24, 30, 32, 36P10105-423 .................................................................................. 17, 24, 26, 30, 36P10105-551 ..............................................................................................18, 31, 32P10105-711 ......................................................................................................... 32P10105-713 ......................................................................................................... 32P10105-714 ......................................................................................................... 32P10105-715 ......................................................................................................... 32P10105-716 ......................................................................................................... 32P10105-750 ......................................................................................................... 25P10105-751 ......................................................................................................... 25P10105-752 ......................................................................................................... 25P10105-753 ......................................................................................................... 26P10105-754 ......................................................................................................... 26P10105-755 ......................................................................................................... 26P10106-100 ....................................................................................................40, 44P10106-101 ....................................................................................................40, 44P10106-102 ....................................................................................................40, 44P10106-103 ......................................................................................................... 40P10106-104 ....................................................................................................40, 44P10106-105 ....................................................................................................42, 45P10106-120 ......................................................................................................... 41P10106-122 ......................................................................................................... 41P10106-123 ......................................................................................................... 41P10106-130 ......................................................................................................... 41P10106-131 ......................................................................................................... 41P10106-132 ....................................................................................................41, 44P10106-200 ......................................................................................................... 40P10106-210 ....................................................................................................41, 45P10106-211 ....................................................................................................41, 45P10106-300 ....................................................................................................41, 45P10106-301 ....................................................................................................41, 45P10106-310 ....................................................................................................41, 45P10106-311 ....................................................................................................41, 45P10106-312 ....................................................................................................42, 45P10106-313 ....................................................................................................42, 45P10106-320 ....................................................................................................42, 45P10106-321 ....................................................................................................42, 45P10106-322 ....................................................................................................42, 45P10106-323 ....................................................................................................42, 45P10106-324 ....................................................................................................42, 45P10106-400 ....................................................................................................42, 45P10106-401 ....................................................................................................43, 44P10106-402 ......................................................................................................... 43P10106-403 ......................................................................................................... 43P10106-600 ....................................................................................................44, 45P10106-601 ....................................................................................................44, 45P10106-602 ....................................................................................................44, 45P10106-603 ....................................................................................................44, 45P10106-604 ....................................................................................................44, 45P10106-700 ......................................................................................................... 44P10106-701 ......................................................................................................... 44P10107-100 ....................................................................................................60, 62P10107-101 ....................................................................................................61, 62P10107-160 ......................................................................................................... 97P10107-161 ......................................................................................................... 97P10107-162 ......................................................................................................... 97P10107-163 ......................................................................................................... 97P10107-164 ......................................................................................................... 97P10107-165 ......................................................................................................... 97P10107-180 ........................................................................................................101P10107-181 ........................................................................................................101

P10107-182 ........................................................................................................101P10107-183 ........................................................................................................101P10107-184 ........................................................................................................101P10107-185 ........................................................................................................101P10107-186 ........................................................................................................100P10107-200 ........................................................................................ 24, 60, 61, 62P10107-201 ........................................................................................ 24, 60, 61, 62P10107-202 ........................................................................................ 24, 60, 61, 62P10107-203 ........................................................................................ 24, 60, 61, 63P10107-204 ........................................................................................ 24, 60, 61, 63P10107-205 ........................................................................................ 24, 60, 61, 64P10107-206 ........................................................................................ 24, 60, 61, 63P10107-207 ......................................................................................................... 64P10107-208 ......................................................................................................... 64P10107-209 ......................................................................................................... 62P10107-210 ......................................................................................................... 62P10107-211 ......................................................................................................... 64P10107-212 ......................................................................................................... 64P10107-213 ......................................................................................................... 64P10107-214 ......................................................................................................... 64P10107-215 ......................................................................................................... 64P10107-216 ......................................................................................................... 63P10107-217 ......................................................................................................... 64P10107-220 ......................................................................................................... 91P10107-221 ......................................................................................................... 91P10107-240 ....................................................................................................85, 91P10107-241 ....................................................................................................85, 91P10107-242 ......................................................................................................... 86P10107-243 ......................................................................................................... 86P10107-300 ......................................................................................................... 65P10107-301 ......................................................................................................... 65P10107-302 ......................................................................................................... 65P10107-303 ......................................................................................................... 65P10107-304 ......................................................................................................... 65P10107-305 ......................................................................................................... 65P10107-306 ......................................................................................................... 65P10107-307 ......................................................................................................... 65P10107-312 ......................................................................................................... 65P10107-313 ......................................................................................................... 65P10107-314 ......................................................................................................... 65P10107-315 ......................................................................................................... 65P10107-316 ......................................................................................................... 65P10107-317 ......................................................................................................... 65P10107-380 ........................................................................................................101P10107-400 ....................................................................................................61, 62P10107-402 ..............................................................................................24, 61, 62P10107-403 ......................................................................................................... 62P10107-404 ......................................................................................................... 63P10107-405 ......................................................................................................... 64P10107-406 ..............................................................................................60, 61, 63P10107-407 ........................................................................................ 24, 60, 61, 63P10107-408 ......................................................................................................... 64P10107-409 ......................................................................................................... 65P10107-410 ......................................................................................................... 64P10107-411 ......................................................................................................... 60P10107-412 ....................................................................................................60, 62P10107-413 ....................................................................................................60, 62P10107-420 ......................................................................................................... 91P10107-421 ......................................................................................................... 91P10107-422 ......................................................................................................... 91P10107-440 ......................................................................................................... 85P10107-441 ......................................................................................................... 85P10107-442 ......................................................................................................... 85P10107-443 ......................................................................................................... 85P10107-444 ......................................................................................................... 85P10107-445 ......................................................................................................... 85P10107-446 ..................................................................................................86, 101P10107-447 ......................................................................................................... 62P10107-448 ......................................................................................................... 62P10107-449 ......................................................................................................... 62P10107-450 ......................................................................................................... 62P10107-451 ......................................................................................................... 62P10107-453 ......................................................................................................... 91P10107-454 ......................................................................................................... 87P10107-455 ......................................................................................................... 87P10107-456 ......................................................................................................... 87P10107-457 ......................................................................................................... 87P10107-458 ......................................................................................................... 87P10107-459 ......................................................................................................... 87P10107-460 ......................................................................................................... 87P10107-461 ......................................................................................................... 87

Index - Part Number

110

111

P10107-700 ......................................................................................................... 60P10107-702 ....................................................................................................24, 61P10107-703 ......................................................................................................... 61P10107-704 ......................................................................................................... 61P10107-705 ......................................................................................................... 60P10107-706 ......................................................................................................... 60P10107-720 ......................................................................................................... 90P10107-721 ......................................................................................................... 90P10107-740 ......................................................................................................... 84P10107-741 ......................................................................................................... 84P10107-742 ......................................................................................................... 84P10107-743 ......................................................................................................... 84P10107-760 ......................................................................................................... 96P10107-780 ........................................................................................................100P10107-781 ........................................................................................................100P10107-783 ........................................................................................................100P10107-784 ......................................................................................................... 87P10107-785 ........................................................................................................100P10603-600 ......................................................................................................... 14P10603-750 ......................................................................................................... 14P10603-900 ......................................................................................................... 14P10603-911 ......................................................................................................... 14TRT 0361 ............................................................................................................... 8TRT 0371 ............................................................................................................... 8TRT 0381 ............................................................................................................... 8TRT 3701 ............................................................................................................... 9TRT 3711 ............................................................................................................... 9

Index - Part Number

The following Products or Brands are not produced by Elekta; manufacturers are shown in the table below and are marked with (*) or named throughout the catalog.

Item ManufactureriGUIDE Tracking System ............................................................................................ NDI, Canada

HeadFIX Vacuum Pump .......................................................Medela Medizintechnik, Switzerland

HeadFIX Mixer and Dispenser .................................................................. Henry Schein INC., USA

HeadFIX Dental Impression Material ..................................... Pentron Clinical Technologies, USA

HeadFIX Adhesive (29 ml) ...................................................... Pentron Clinical Technologies, USA

HeadSTEP ................................................................................................................... IT-V, Austria

Fraxion Dental Impression Material (DIM) ............................ Pentron Clinical Technologies, USA

Item ManufacturerFraxion DIM Adhesive (29 ml) ................................................ Pentron Clinical Technologies, USA

Fraxion Mixer and Dispenser ................................................................... Henry Schein INC., USA

WingSTEP ................................................................................................................... IT-V, Austria

BreastSTEP ................................................................................................................. IT-V, Austria

BellySTEP ................................................................................................................... IT-V, Austria

ProSTEP ...................................................................................................................... IT-V, Austria

BlueBAG Vacuum Pump ......................................................................................... KNF, Germany

Elekta AB (publ) Box 7593, SE-103 93 Stockholm, Sweden

Tel +46 8 587 254 00 Fax +46 8 587 255 00

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Elekta is a medical technology company pioneering clinical solutions for the treatment of cancer and brain disorders. Our advanced technologies

for radiotherapy, radiosurgery and brachytherapy, including dose planning and software systems, are used in 6,000 hospitals worldwide to improve,

prolong and save lives of close to one million patients every year.

FPO

2013 radiation oncology accessories catalog

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