Orfit - Radiation Oncology - Catalog -51000E

HEAD, NECK AND SHOULDERS | UON® AND DUON® HEAD, NECK,
SHOULDERS

DUON® ANTIBACTERIAL MASKS

OPEN FACE HYBRID

Art. N° 60125
U-plast 2.4 mm maxi perforation +
Nanor 1.2 mm micro plus perforation

49

HEAD, NECK AND SHOULDERS | UON® AND DUON®

UON® AND DUON®
BASE PLATES

UON BASE PLATE DUON-HP BASE PLATE DUON-HP EXTENSION

Art. N° 32097 Art. N° INT-3 Art. N° INT-1D
Base plate for head and neck - Acrylic Integra head, neck and shoulders board in CFL Integra Table Top Extension for a Varian Exact™ couch in CFL
UON masks HP and DUON masks HP and DUON masks

50

HEAD, NECK AND SHOULDERS | UON® AND DUON® HEAD, NECK,
SHOULDERS

UON® AND DUON®
HEAD SUPPORT ADAPTER PLATES

Head supports with cranial stop Art. N° 32046 Art. N° 32047 Art. N° 32047-CFL
For use with U-shaped base plates For use with S-shaped base plates For use with S-shaped base plates
An extremely important part of the UON and DUON Acrylic Acrylic CFL
Mask System is the innovative 3D shaped Head
Support with cranial stop. 

The shape helps to comfortably cradle the
patient’s head while the cranial stop allows correct
and reproducible positioning within the head
support. You can now be sure that the patient is in
the exact same position within the head support
each and every time.

The base of the head support indexes precisely into
the UON and DUON Base Plate.

UON and DUON head supports for use with your
base plate

Now you can quickly and easily use High Precision
Head Supports with your existing U-Shaped or
S-Shaped base plate.

Orfit Head Support Adapter Plates 32046 for
U-Shaped base plates and 32047 and 32047-CFL
for S-Shaped base plates enable you to quickly
convert your base plate so it’s compatible for use
with all Orfit Head Supports.

51

PRODUCT SELECTOR

SELECT THE RIGHT BODY PART FOR THE RIGHT PRODUCTS

HP PRO® SOLUTION
A PROTON FRIENDLY
IMMOBILIZATION DEVICE

Orfit’s HP PRO Solution achieves a new Designed to meet
level in patient immobilization. the specific standards
proton therapy
This immobilization device is designed for demands.
brain, head and neck treatments for both
photon and proton therapy. It is the first
immobilization device in the market that
makes use of ultra-thin Nanor masks.

The Orfit HP PRO Solution has been
designed to meet the specific standards
proton therapy demands. It includes a
homogeneous low density immobilization
device with a narrow carbon fibre base
plate in the head and neck area, allowing
for closer range positions of the treatment
device. The base plate is a lightweight
structure with good dosimetric properties.

52

HP PRO® SOLUTION

HP PRO® ANTIBACTERIAL HP PRO®
NANOR® MASKS

Orfit provides thermoplastic head masks The masks are unique thanks to their
and head, neck and shoulder masks that patented locking mechanism.
are moulded over the patient and securely
and easily fastened to the base plate. The mask profile slides over a locking pin
and then swivels towards the base plate
The thermoplastic masks contribute to until it clicks securely into the base plate.
maximal immobilization. Comfort and It is easily unlocked so that the mask can
stability are guaranteed by the use of Orfit’s be removed quickly.
Nanor thermoplastic material. Nanor is
a thin thermoplastic material that makes
use of nanotechnology to improve the
mechanical properties of the thermoplastic
material.

53

HP PRO® SOLUTION

HP PRO® ANTIBACTERIAL
NANOR® MASKS

Art. N° 25100/16MI+N/NH Art. N° 25100/16MI+N Art. N° 25105/2MI+N/NH Art. N° 25105/2MI+N
3-points head mask 3-points head mask 5-points head, neck and shoulders mask 5-points head, neck and shoulders mask
Nanor 1.6 mm micro+ Nanor 1.6 mm micro+ Nanor 2 mm micro+ Nanor 2 mm micro+
with nose hole with nose hole

54

HP PRO® SOLUTION

HP PRO® HP PRO®
BASE PLATES

Art. N° 25000/1 Art. N° 25000/18 Art. N° 25000/20
Extension and overlay Overlay Extension
Pin interface Clamp interface

Art. N° 25000/22 55
Extension base plate and overlay
Pin interface - for Mevion

HP PRO® SOLUTION HEAD REST INDEXING PLATE FLEXIBLE SHIM

HP PRO®
HEAD SUPPORTS

MOLDCARE*

Art. N° 18090 Art. N° 25000/7/20 Art. N° 25070
Moldcare cushion Head rest indexing plate Flexible shim - 1 mm
150 x 200 mm (Package of 20 pieces)

* Moldcare is a trademark from ALCARE

56

HP PRO® SOLUTION

HP PRO® HP PRO®
ACCESSOIRES
A set of hand
To ensure that the head holds are available
of the patient is correctly to comfortably
positioned, and prior position the
to the moulding of the hands, arms and
mask, a cranial back- shoulders of the
stop is attached to the patient.
cup-like head rest part of
the base plate. Art. N° 25000/17/A
Art. N° 25000/17/B
Art. N° 25000/6 Hand holds
Cranial back-stop

57

PRODUCT SELECTOR

SELECT THE RIGHT BODY PART FOR THE RIGHT PRODUCTS

MRI-SOLUTIONS

ORFIT MRI-P AND ORFIT MRI-G SOLUTION
FOR BRAIN, HEAD AND NECK

The Orfit MRI-P Solution is designed for Philips
MRI Scanners and the Orfit MRI-G Solution for
GE MRI Scanners.

Both solutions can be combined with the flexible
coils of the respective MRI scanners. The base
plates allow the use of a thermoplastic mask,
head supports and blocks and wedges in order to
scan the patient in the exact treatment position.

The solution includes a High Precision (HP)

58 Base Plate, a set of six HP Low Density Head Art. N° 29111-P MRI-P Solution

Supports and a set of Couch Top Fixations. Art. N° 29111-G MRI-G Solution

MRI-SOLUTIONS MRI
59

MRI-SOLUTIONS

ORFIT MRI-S SOLUTION
FOR BRAIN, HEAD AND NECK

The Orfit MRI-S Solution for brain, head ORFIT MRI-S SOLUTION
and neck provides patient immobilization FOR BRAIN, HEAD AND NECK
on the Siemens MAGNETOM family of
MRI scanners. It allows for fusion of 1.5 Tesla 3 Tesla
images with the patient in exactly the
same position as during simulation and Tim System > Avanto > Verio
treatment.
> Espree > Trio
The solution includes a High Precision
(HP) Base Plate, a Bi-lateral Antenna > Symphony a Tim System
Holder, a set of six HP Head Supports, and
a set of Couch Top Fixations. Patients are a Tim System
immobilized with an Efficast thermoplastic
3-points or 5-points mask. Tim 4G System > Aera > Skyra

All components and thermoplastic > Spectra
masks are MRI-compatible and meet the
standards of Siemens AG Healthcare with HP base plate Art. N° 29102
respect to functioning on the following The HP base plate comes with different
Magnetic Resonance Systems. sets of dedicated indexing fixations so that MRI-S Solution
it can be mounted on top of the different
60 couch tops of the Siemens MAGNETOM Bi-lateral antenna holder
family of MRI scanners. The antenna holder slides over the cranial
end of the base plate. It can be opened
Slots are provided in the base plate to for easy mounting of the antennas and for
attach Orfit high precision thermoplastic patient set-up with a mask. In a closed
head and neck masks. All Orfit HP Head position the antennas are very close to
Supports, Blocks and Wedges can also be the head of the patient for optimal image
positioned on the base plate. This allows quality. The levers of the holder accept
the patient to be immobilized in exactly the large flex coils of the Siemens MRI
the same position as for simulation and system.
treatment.

MRI-SOLUTIONS MRI
61

THE AIO SOLUTION®
ALL-IN-ONE PATIENT
POSITIONING SYSTEM

CREATED BY DR. KATI HIDEGHÉTY

The AIO Solution facilitates and refines Exact reproducibility of the patient’s position
treatments by limiting potential changes in imaging and therapy.
in the patient position to a minimum.
Highest degree of patient comfort for IMRT
With one base plate and different sets and IGRT procedures.
of cushions and thermoplastic masks,
all parts of the body are positioned and Precise immobilization of all body regions.
immobilized in a comfortable, exact and
reproducible way. Increased certainty of location of external
and internal anatomical structures.
These refined immobilization techniques
allow IMRT and IGRT procedures in almost Reduced inter- and intra-fraction variations.
any anatomical location, including breast
and lung. Reduced daily positioning uncertainties.

Reduced patient set-up time.

Increased ease of use.

62

THE AIO SOLUTION®

AIO CUSHION SETS

The AIO Solution contains a cushion set The extra-cranial cushions can be adapted AIO breast- and lung board THE AIO
for each anatomical region. in width to accommodate all patient sizes. AIO prone breast board SOLUTION®
The prone breast cushions can be adapted AIO belly- and pelvic board
> Brain, head and neck in height.
> Thorax and abdomen in supine position
> Prone breast position Each patient position is reproduced and
> Belly and pelvis in supine and in prone immobilized by means of an Efficast
thermoplastic mask that limits movement
position of the anatomical area of concern.

All cushions are easily positioned on The AIO Solution is truly an All-In-
the base plate in an indexed way. The One system with a head and neck
cushions have a colour code for easy immobilization system, lung board, breast
recognition and fast set-up of the system: board, abdominal system and belly- and
pelvic board in one single product.
> Head supports and knee & leg cushions
are in grey

> Thorax/abdomen cushions for supine
are in blue

> Breast in prone position cushions are in
yellow

> Belly/pelvis cushions are in green

The cushions are made of a low density
foam with excellent dosimetric properties.
They are coated to assure patient comfort
and hygiene.

AIO knee and leg positioning set

63

THE AIO SOLUTION®

AIO CUSHION SETS

BREAST- AND LUNG BOARD SOLUTION

The blue cushion set is designed to
achieve a comfortable and reproducible
supine position of the patient. This
position is primarily used for the
treatment of malignancies in the thorax
and the abdomen. The set consists of
wedges, with different angles to increase
patient comfort, and arm rests to allow
for a comfortable, but reproducible
positioning of the arms above the head
and out of the treatment fields. Hand grips
and head supports will further help in
increasing the precision and in finding the
correct patient position.

FEATURES AND BENEFITS Lateral inserts in the cushions allow the The indexed head supports position the
positioning of large patients. head in a reproducible way and function as
5°, 10° and 15° angled wedges lift the an outstanding reference point for the
upper body of the patients and thereby Specially developed Efficast masks are exact position of the rest of the body.
facilitate breathing. used in combination with this set to
increase the precision of the treatment.
The coating of the cushions prevents the They effectively immobilize the patient in
patient from sliding down. the treated areas by reducing translational
and rotational movements.
The armrests (20° and 30° angle) have a
flat top to support the total upper arm.
This increases the patient’s comfort.

64

THE AIO SOLUTION®

AIO BREAST- AND LUNG BOARD SOLUTION cushions

Art. N°

29008 Wedge 5°

29012 Lateral support - 5° (left)

29013 Lateral support - 5° (right) THE AIO
SOLUTION®
Art. N° 29013 29009 Wedge 10°

Art. N° 29008 29014 Lateral support - 10° (left)
Art. N° 29015
Art. N° 29012 29015 Lateral support - 10° (right)
Art. N° 29009
Art. N° 29112 Art. N° 29017 29010 Wedge 15°
Art. N° 29019 Art. N° 29014
Art. N° 29018 Art. N° 29010 29016 Lateral support - 15° (left)
Art. N° 29016
Art. N° 29007 29017 Lateral support - 15° (right)
Art. N° 29011 Art. N° 29011
29019 Arm rest - low

29018 Arm rest - high

29007 Wedge 0°

29011 Lateral support - 0°

29112 Arm support cushion - compatible with low arm rest

AIO BREAST- AND LUNG BOARD SOLUTION accessories

Art. N°

32140 Secondary base plate in CFL

32015/9 Grip pole system

32706-MD Set of head supports (3) regular density -
without lateral neck flaps

65

THE AIO SOLUTION®

AIO CUSHION SETS

PRONE BREAST BOARD SOLUTION

The yellow cushion set is designed to
obtain a comfortable and reproducible
patient position for the ”prone breast”
treatment technique. This technique
keeps the ipsi-lateral breast away from
the chest wall and the underlying tissues
and reduces the lung, heart and contra-
lateral breast tissue volume that is
trapped in the treatment fields.

FEATURES AND BENEFITS

The support wedge on the tunnel plate Lateral inserts in the cushions are used The head can be positioned by means of
helps in limiting the volume of the for large patients. two types of head supports:
sternum and contra-lateral breast tissue - A soft head support in the form of a ring
that will be caught in the radiation fields. Specially developed Efficast masks
increase the precision of the treatment. that allows for a comfortable positioning
The use of the elevation cushion increases They effectively immobilize the patient in of the head in prone position or
the total height of the set to 23 cm which the treated areas by reducing translational sideways.
allows the treatment of very large and rotational movements. - A support that fixes the head rigidly
pendulous breasts. in prone position. This support can
be adjusted to fit the anatomy of the
The slope in the head cushion allows patient’s face.
the arms to drop and thereby reduce the
tension in the shoulders during longer
imaging and treatment sessions to
increase the patient’s comfort.

66

THE AIO SOLUTION®

AIO PRONE BREAST BOARD SOLUTION cushions

Art. N°

29006 Comfort wedge for contralateral side

32054 Support cushion for contralateral breast

29003 Cranial cushion - standard 15 cm clearance THE AIO
SOLUTION®
Art. N° 29006 29000 Caudal cushion - standard 15 cm clearance
Art. N° 29003
29001 Lateral support (left)
Art. N° 29005
Art. N° 29001 Art. N° 32054 29002 Lateral support (right)

Art. N° 29004 Art. N° 29002 29005 Cranial cushion - elevation to 23 cm clearance
Art. N° 29000
29004 Caudal cushion - elevation to 23 cm clearance

AIO PRONE BREAST BOARD SOLUTION accessories

Art. N°

29050 Prone head support

29051 Comfort prone head support

35754/1 PE block 20 mm

35754/2 PE block 40 mm

67

THE AIO SOLUTION®

AIO CUSHION SETS

BELLY- AND PELVIC BOARD SOLUTION

The purpose of the belly board is to keep
the intestines of the patient out of the
radiation fields for treating malignancies
in the pelvis area. The opening in the
cushion is meant to accommodate the
belly of the patient and thereby effectively
separate the small bowels from the area
to be treated.

FEATURES AND BENEFITS

The opening in the belly board can be The head can be positioned by means of This type of mask will further increase
fitted with three sizes of belly inserts for two types of head supports: the reproducibility and precision of the
different sized patients. These inserts are - A soft head support in the form of treatment.
made of a soft foam to increase comfort in
the rib cage area. a ring that allows for a comfortable CLINICAL STUDIES
positioning of the head in prone position
Lateral inserts in the cushions allow the or sideways. Lec, J.A. (2014), Interfractional variability in
positioning of large patients. - A support that fixes the head rigidly intensity-modulated radiotherapy of prostate
in prone position. This support can cancer with or without thermoplastic pelvic
The head part of the cushion is designed be adjusted to fit the anatomy of the immobilization, Strahlenther. Onkol, 190, 94-99
to drop the shoulders of the patient and patient’s face.
reduce stress. The hands of the patient   Tekkendra Singh, T. (2015), Treatment setup
can be placed under the base plate with Pelvicast thermoplastic masks are used errors in pelvic patient comparing Orfit-AIO
the use of 2 hand grips. to reduce the translational and rotational Solution and Vaclocks immobilization devices,
movements of the patients. A specially Radiotherapy and Oncology, 115 (S1), S584
68 designed Leg Separator can be inserted
after the patient has mounted the
cushion, to fix a 6-points Pelvicast mask.

THE AIO SOLUTION®

AIO BELLY- AND PELVIC BOARD SOLUTION cushions

Art. N°

29025 Insert - small

29024 Insert - large

29023 Insert - full THE AIO
SOLUTION®
29020 Belly & pelvic cushion

Art. N° 29025 29021 Belly & pelvic lateral support (left)

Art. N° 29024 29022 Belly & pelvic lateral support (right)
Art. N° 29023
Art. N° 29022 AIO BELLY- AND PELVIC BOARD SOLUTION accessories

Art. N° 29020 Art. N°

32015/8 Hand grips

32037 Leg separator

29051 Comfort prone head support

Art. N° 29021 35754/1 PE block 20 mm

35754/2 PE block 40 mm

32706-MD Set of head supports (3) regular density
without lateral neck flaps

69

THE AIO SOLUTION®

AIO CUSHION SETS

KNEE AND LEG POSITIONING SET

An exact and comfortable position of the
patient’s legs is obtained by using the
indexable knee and leg positioning set.

FEATURES AND BENEFITS

An elevated position of the legs reduces
stress in the patient’s back during the
daily treatment fractions.
Can be used as a knee support in
supine and as an ankle support in prone
treatment position.
These cushions are also used as a
reference point for setting up the other
AIO Solution cushion sets.
The position of the cushion is easily
reproduced by means of the centimetre
scale and letter combinations.

70

THE AIO SOLUTION®

AIO KNEE AND LEG POSITIONING SET cushions

Art. N°

29026 Basic low

29027 Wedge

29028 Elevation THE AIO
SOLUTION®
29029 Base plate extension

Art. N° 29026

Art. N° 29027
Art. N° 29028
Art. N° 29029

71

THE AIO SOLUTION®

AIO ANTIBACTERIAL MASKS

LUNG, BREAST, THORAX AND ABDOMEN

Art. N° 33715/2MA Art. N° 33716/2MA Art. N° 33717/2MA Art. N° 33775/2MI/12MI+N
4-points thorax supine mask 4-points thorax supine mask 4-points thorax supine mask 4-points hybrid lung mask
small size medium size large size

Art. N° 33723/32MA/L Art. N° 33723/32MA/R Art. N° 33724/32MA
5-points assymetric breast supine mask 5-points assymetric breast supine mask 6-points thorax and abdomen supine mask
left side right side

72

THE AIO SOLUTION®

AIO ANTIBACTERIAL MASKS

PELVIS

THE AIO
SOLUTION®

Art. N° 35788/32MA Art. N° 35787/32MA Art. N° 35784/32MA
4-points pelvic mask - small 4-points pelvic mask - medium 4-points pelvic mask - large
prone and supine prone and supine prone and supine

Art. N° 35710/32MA Art. N° 35711/32MA Art. N° 35712/32MA Art. N° 35780/32MA
6-points pelvic mask - small 6-points pelvic mask - medium 6-points pelvic mask - large 6-points pelvic mask - large
for use with leg separator for use with leg separator for use with leg separator for use with leg separator
prone and supine prone and supine prone and supine supine

73

THE AIO SOLUTION®

AIO BASE PLATES
IN CFL OR HPL

The AIO “long board” base plates ensure Art. N° 32301 Art. N° 32204
a reproducible positioning of all body AIO base plate AIO base plate
regions. The base plates remain on the Carbon fibre laminate High pressure laminate
treatment couch - irrespective of the type
of radiation treatment - or simulation AIO BASE PLATES IN CFL OR HPL
couch throughout the day.
Art. N°
The AIO carbon fibre laminate base
plate is made of a low density carbon 32301 AIO base plate in carbon fibre laminate
fibre laminate sandwich structure with
excellent dosimetric properties. It can be 32204 AIO base plate in high pressure laminate
extended over the edge of the couch when
using IMRT techniques for a 360° free 32301/NOLS AIO base plate in carbon fibre laminate - no leg separator
gantry rotation space around the head and
neck area. 32301-PED AIO paediatric base plate in carbon fibre laminate

FEATURES AND BENEFITS 32204-PED AIO paediatric base plate in high pressure laminate

The plate is colour marked for easy and 32301-PED/NOLS AIO paediatric base plate in carbon fibre laminate - no leg separator
fast set-up for the different cushion sets.
32301-PED/SS AIO paediatric base plate in carbon fibre laminate - narrow shoulder slots
Indexing bars can be fitted for indexing
vacuum cushions and alpha cradles. 32301-PED/SS/NOLS AIO paediatric base plate in carbon fibre laminate - narrow shoulder slots and no leg separator

The mask fixation slotst (for Efficast
masks) are identical as in all other High
Precision Base Plates, assuring complete
compatibility between all Orfit products.

74

THE AIO SOLUTION®

AIO BASE PLATES
IN CFL OR HPL

THE AIO
SOLUTION®

Art. N° 32301/NOLS Art. N° 32301-PED Art. N° 32204-PED
AIO base plate AIO paediatric base plate AIO paediatric base plate
Carbon fibre laminate Carbon fibre laminate High pressure laminate
No leg separator

Art. N° 32301-PED/NOLS Art. N° 32301-PED/SS Art. N° 32301-PED/SS/NOLS
AIO paediatric base plate AIO paediatric base plate AIO paediatric base plate
Carbon fibre laminate Carbon fibre laminate Carbon fibre laminate
No leg separator Narrow shoulder slots Narrow shoulder slots and no leg separator

75

THE AIO SOLUTION®

AIO HEAD SUPPORTS, BLOCKS AND WEDGES

The main goal in the positioning of
patients with head and neck tumours is a
very precise and reproducible positioning
and immobilization of the head and upper
torso of the patient. To achieve this, a
combination of the AIO hardware and
Efficast thermoplastic masks provides
an ideal solution.
The AIO base plate allows for a
reproducible and comfortable positioning
of the patient, reducing stress and anxiety.
Efficast 3-points masks assure a precise
immobilization of the head and 5-points
masks of the head, neck and shoulders.

76

AIO HEAD SUPPORTS, BLOCKS AND WEDGES THE AIO SOLUTION®

HEAD SUPPORTS PRONE

LOW DENSITY

Art. N° 32704 (set)
Set of 6 low density head supports (all sizes)

THE AIO
SOLUTION®

Art. N° 35755 Art. N° 35765 Art. N° 35753 Art. N° 35753ZF Art. N° 35752 Art. N° 35752ZF Art. N° 32393
Prone head support
adjustable in size
Movable forehead cushion

REGULAR DENSITY

Art. N° 32702-MD (set)

Set of regular density head supports (all sizes)

Art. No. 35758-MD Art. No. 35758ZF-MD Art. No. 35713-MD Art. N° 35713ZF-MD Art. N° 35714-MD Art. N° 35714ZF-MD

77

THE AIO SOLUTION®

AIO HEAD SUPPORTS, BLOCKS AND WEDGES

POSITIONING BLOCKS AND WEDGES

LOW DENSITY

Art. N° 32700 (set)
Set of low density blocks and wedges - CFL

Art. No. 35703 Art. N° 35706 Art. N° 35704 Art. N° 35707
20 mm 40 mm 9° 18°

HIGH DENSITY

Art. N° 35754/8 (set)

Set of high density blocks and wedges - rigid PE

Art. N° 35754/1 Art. N° 35754/2 Art. N° 35754/3 Art. N° 35754/4
20 mm 40 mm 9° 18°

78

AIO ACCESSORIES THE AIO SOLUTION® THE AIO
79 SOLUTION®
AIO STORAGE CABINET

The AIO Storage Cabinet has 5 vertical
sliding panels, and can store a complete
AIO cushion set, as well as all fixation
devices and an AIO board. The panels
slide out completely, allowing easy
access to the cushions. The cabinet
is designed to efficiently store the AIO
Solution components in the simulation or
treatment room while taking up limited
space (width x depth x height = 1600 x 690
x 1980 mm).

Every AIO part has its own dedicated place
so that it can easily be found. This reduces
patient set-up time and makes inventory
control easy in the event of misplaced
parts.

The cabinet is made of laminated pressed
wood boards, which are easy to clean.
It is easy to assemble, but at the same
time sturdy to make it long-lasting. The
cushions are stored in such a way that
they remain well protected from possible
damage.

Art. N° 29100
AIO storage cabinet

THE AIO SOLUTION®

AIO ACCESSORIES

INDEXABLE KNEE AND FOOT SOLUTIONS

Art. N° 29053 Art. N° 29054 Art. N° 29055
AIO indexable knee frame - short AIO indexable knee and foot frame AIO indexable knee frame – long

POSITIONING PLATE

Art. N° 32291
Positioning plate for prone head support

80

THE AIO SOLUTION® THE AIO
81 SOLUTION®

PELVICAST
HIGH PRECISION PELVIS
AND ABDOMEN FRAMELESS
IMMOBILIZATION SYSTEM

The Pelvicast High Precision Frameless When integrated they result in the most
Mask System for pelvis and abdomen accurate, reproducible and comfortable
immobilization consists of a unique patient immobilization and positioning
combination of three carefully designed system.
and engineered components.
Orfit has developed a pelvis and abdomen
1. Raycast carbon fibre low density frameless, multi-point masking system
hardware. that offers the precision in patient
immobilization needed with today’s
2. Pelvicast frameless thermoplastic technology to perform IMRT, IGRT, SRS,
masks. and SRT.
3. Easy to insert and remove L-shaped
profiles as interface between mask and CLINICAL STUDY
base plate.

Lec, J.A. (2014), Interfractional variability in
intensity-modulated radiotherapy of prostate
cancer with or without thermoplastic pelvic
immobilization, Strahlenther. Onkol. 190, 94-99
82

PELVICAST

PELVICAST

FEATURES AND BENEFITS

Thermoplastic with engineered limited shrinkage that results in a high but comfortable
degree of patient immobilization.

Very stable mask limits patient movement and rotation.

Memory effect allows the user to re-mould a finished mask as needed.
This provides significant flexibility for modification during a patient treatment or simply to
save on waste.

Quick release system allows fast and safe removal with high risk patients.

Innovative integrated L-Profiles enable you to quickly and easily secure the mask to the
Pelvicast Base Plate for a precise immobilization.

83

PELVICAST

PELVICAST
BASE PLATES

Orfit’s lightweight, professionally This results in very low density with the Positioning indicators on the base plate
designed and precisely engineered highest possible radiation transmission help to reduce patient set-up time
hardware ensures outstanding patient during treatment. and ensure precise positioning and
immobilization results. immobilization during each fraction.
The use of your existing 2-pin lock bar,
The Orfit Base Plate design consists of a Orfit Loxon clamps or a similar device Orfit High Precision Base Plates are
sandwich construction, with a foam core ensures that the Orfit High Precision Base available and compatible for use with all
and ultra thin carbon fibre layer. Plate is securely mounted to the table top. treatment machines, CT and Simulator
table tops.

84

PELVICAST

PELVICAST
BASE PLATES

PELVICAST

Art. N° 32122 Art. N° 32124 Art. N° 32123
High precision CFL base plate High precision CFL base plate High precision HPL base plate
For non-indexed couches For Exact* or iBEAM* couches For non-indexed couches
With central panel

*Exact is a trademark of VARIAN Medical Systems Inc. / *iBEAM is a trademark of Medical Intelligence

85

PELVICAST

ANTIBACTERIAL
PELVIC MASKS

Pelvicast thermoplastic masks reduce the Art. N° 35788/32MA Art. N° 35787/32MA Art. N° 35784/32MA
translational and rotational movements 4-points pelvic mask - small 4-points pelvic mask - medium 4-points pelvic mask - large
of the patients. A specially designed prone and supine prone and supine prone and supine
Leg Separator can be inserted into the
base plate after the patient has mounted
the cushion, to fix a 6-points Pelvicast
mask. This type of mask will increase
the reproducibility and precision of the
immobilization. An extensive range of
Pelvicast masks are available to meet
specific patient requirements and your
immobilization preferences.

Art. N° 35710/32MA Art. N° 35711/32MA Art. N° 35712/32MA Art. N° 35780/32MA

6-points pelvic mask - small 6-points pelvic mask - medium 6-points pelvic mask - large 6-points pelvic mask - large

for use with leg separator for use with leg separator for use with leg separator for use with leg separator

prone and supine prone and supine prone and supine supine

86

ACCESSORIES PELVICAST
87
LEG SEPARATORS

PELVICAST

Art. N° 32037 Art. N° 32008
Leg separator Low leg separator for less voluminous patients
Contains slots for 6-points Pelvicast masks Contains slots for 6-points Pelvicast masks

HIGH PRECISION
LUNG BOARD

The Orfit Lung Board has a unique and The arms can be easily extended above the
innovative feature with its T-shaped hand head for treatments in the thorax and lung
grip that is adjustable in height. This area. The hand grip can also be moved in
feature increases patient comfort and inferior and superior direction and locks
positioning reproducibility. once in place.

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HIGH PRECISION HIGH PRECISION LUNG BOARD LUNG BOARD
LUNG BOARD 89

The lung board can be combined with
the standard Orfit High Precision Head
Supports with cranial stop, Silverman Head
Supports and Timo Head Supports (with the
use of an adapter).

Art. N° 29115

MAMMORX®
BREAST BOARD

For patients receiving multiple radiation Accurately establish
therapy treatments, position reproducibility and reproduce patient
is critical. MammoRx patient positioning positions in breast
products help you to quickly set up patients radiation therapy.
during simulation and to easily reproduce
settings during subsequent treatments.

90

MAMMORX® MAMMORX® MAMMORX®
BREAST BOARD 91

The MammoRx Carbon Fibre Breast board
provides a solution that meets and exceeds
the changing needs of radiation therapists.

The system delivers precise immobilization
for IMRT, enhanced set-up reproducibility
and is compatible with Orfit thermoplastic
masks.

FEATURES AND BENEFITS

Provide easy and effective reproduction of patient set-up.

Enhance patient comfort through next-generation
design improvements.

Thin, strong and light system.

Feature low attenuation levels.

MAMMORX®

MAMMORX®
BREAST BOARD

MAMMORX CARBON FIBRE BREAST BOARD

The MammoRx Carbon Fibre Breast board FEATURES AND BENEFITS
is specifically designed for narrow-bore
CT SIM environments. As one of the most Fits through most small-bore CT units.
lightweight boards on the market, the
MammoRx Breast Board is easy to lift No metal components in CT scan areas.
and replace on the treatment table - a
key benefit when you consider how often Enables single-side and bilateral patient
therapists remove patient positioning immobilization.
boards each day.
Single-handed trigger action enables quick
Built-in supports allow you to quickly and easy movement of the upper-arm
achieve standard treatment angles of support between four standard settings,
0, 5, 7.5, 10, 12.5, 15, 20 and 22.5 degrees. providing faster set-up times for patients.

The hand support can be indexed in
ten indexing holes. It allows a more
comfortable and stable positioning.

A plunger locks the angle support ladder in
place. This prevents dislocking of the angle
support and eliminates the risk of tilt-board
collapse.

Can be combined with Orfit thermoplastic
masks for increased precision.

Art. N° CFB-001
MammoRx carbon fibre breast board

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MAMMORX® MAMMORX®
ANTIBACTERIAL MASKS 93

BREAST HIGH PRECISION PRE-CUTS

Art. N° 35790/2MA Art. N° 35727/32MA Art. N° 35728/32MA MAMMORX®
2-points breast mask 2-points breast mask 2-points breast mask
rectangular design medium size large size

MAMMORX®

MAMMORX®
ACCESSORIES

Art. N° CAS-1 Art. N° CAS-2 Art. N° CAS-3 Art. N° CAS-4
Upper arm support option - swivel Upper arm support option - swivel Upper arm support option - stationary Upper arm support option - stationary
35° 17.5° 17.5° 35°

Unique design provides easy trigger action for adjusting upper arm positions. Unique design provides easy trigger action for adjusting upper arm positions.
The support is constructed from carbon fibre and black glass-filled nylon to The support is constructed from carbon fibre and black glass-filled nylon to
eliminate large amounts of metal components while providing a rigid support for eliminate large amounts of metal components while providing a rigid support for
the patient. Both 17.5 (Art. N° CAS-2) and 35-degree (Art. N° CAS-1) upper arm the patient. Both 17.5 (Art. N° CAS-3) and 35-degree (Art. N° CAS-4) upper arm
supports are available with a wrist support pad that can swivel. supports are available with a stationary wrist support pad.

94

MAMMORX®

MAMMORX®
ACCESSORIES

The Adjustable Arm Support allows The fixed grip pole is designed to be combined with
positioning of the arms of the patient the Adjustable Arm Support. When adjusting the
extended above the head. For maximal height of the arm support, the hands of the patient
patient comfort the arm support can be can easily slide over the grip pole to find the most
adjusted in height. The cup swivels to comfortable position for the patient.
obtain a comfortable position for each
patient. The support is constructed from
MRI compatible materials.

MR Art. N° 33176
Fixed grip pole for MammoRx
Art. N° 33170
Adjustable arm support

Used with the MammoRx Breast MAMMORX®
Board, the bottom stop eliminates
patient slippage during treatment.
The bottom stop is attached to a
2-pin indexing bar on the treatment
couch. There are eight different
positions for the 2-pin bar.

Art. N° CWS-1 Art. N° CHP-1 Art. N° CWP-1 Art. N° CBS-2
Dual Y-handle wrist support Single wrist support Dual wrist pad support MammoRx bottom stop

To maximize patient comfort, multiple wrist supports are available. Our unique 95
Y-handle enables patients to either grip the device or rest their wrist in the
saddle portion of the device. A single post and wrist pad are also available.

MAMMORX® The knobs allow the attachment of
a head base plate to the MammoRx
MAMMORX® Breast Board. The knobs have to
ACCESSORIES be combined with an adapter plate
32063 that is attached to a small
Constructed from resilient ABS head base plate 32130.
material, the BASS Board provides
strength and integrity in a lightweight Art. N° 39320
package. Ideal for supporting the High precision brain, head and neck interface for
patient’s arms during treatment and MammoRx breast board
diagnostic procedures of the breast,
thorax and upper abdomen. The
BASS Board also provides indexing
capabilities for our standard head
support options.

Art. N° CBA-1
Bilateral arm support system (BASS Board)

96

MAMMORX®

MAMMORX®
ACCESSORIES

A blue gel ring head support
or a round head cup can
be attached directly to the
MammoRx.

Art. N° CHB-1 Art. N° CHD-1
Blue gel ring head holder Round head cup

Interfaces are available for the MAMMORX®
Orfit High Precision Head
Supports, Silverman and Timo
Head Supports.

Art. N° CHO-1 Art. N° CHS-1 Art. N° CHT-1
Orfit head support interface Silverman head support interface Timo head support interface

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MAMMORX®

MAMMORX®
SOLUTION BUNDELS

MAMMORX CARBON FIBRE BREAST BOARD

Standard Configuration Art. N° Description

Breast board CFB-001 MammoRx carbon fibre breast board 1 pc.

CFB-003 - BILATERAL ARM CONFIGURATION 1 pc.
1 pc.
Breast board CFB-001 MammoRx carbon fibre breast board 2 pcs.
2 pcs.
Head support CHB-1 Blue gel ring head holder 1 pc.

Arm support 33170 Adjustable arm support 1 pc.
1 pc.
Grip pole 33176 Fixed grip pole 1 pc.
2 pcs.
Bottom stop CBS-2 MammoRx bottom stop 1 pc.

CFB-004 - BILATERAL ARM SUPPORT CONFIGURATION 1 pc.
1 pc.
Breast board CFB-001 MammoRx carbon fibre breast board 2 pcs.
1 pc.
Head support CHB-1 Blue gel ring head holder 2 pcs.
1 pc.
Arm support CBA-1 Bilateral arm support board

Wrist support CWS-1 Wrist support: Y handle

Bottom stop CBS-2 MammoRx bottom stop

CFB-005 - COMBINATION

Breast board CFB-001 MammoRx carbon fibre breast board
Blue gel ring head holder
Head support CHB-1 Adjustable arm support
Bilateral arm support board
Arm support 33170 Fixed grip pole
MammoRx bottom stop
Arm support CBA-1

Grip pole 33176

Bottom stop CBS-2

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