Solutions Guide 2012/2013 Radiation Oncology
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CIVCO’s 2012 Solutions Guide: Clearly Different CIVCO Medical Solutions is the clear choice for excellence in motion management, patient positioning & immobilization, tumor localization and IGRT delivery. Whether you need to visualize a tumor over multiple modalities, accurately target a tumor for SBRT or deliver therapy through an IGRT optimized couchtop; we offer a full line of radiation therapy products from basic immobilization to robotics.
Solutions Guide Features New & Coming Soon Products Look for this symbol to find new innovations from CIVCO.
Universal Couchtop Long Extension The Universal Couchtop Long Extension facilitates better delivery of dose and target coverage by eliminating the interface of rails and junctions with radiation delivery. See page 8 for more information.
Some highlights of CIVCO’s 2012 Solutions Guide are: • Our new and constantly improving patient positioning & immobilization solutions, including the MRSeries™ group which offers a full range of MRI compatible products.
Cranial Stop Headrest CIVCO’s new Cranial Stop Headrest offers improved superior-inferior repositioning of the patient for head and neck setups.
• The Clearly Invisible Universal Couchtop™ Long Extension (UCT LE) which facilitates better delivery of dose and target coverage by eliminating the interference of rails and junctions with radiation delivery. • Our Clearly Visible New Fiducial Markers: FusionCoil™ which images as well in MR as it does in CT, providing a superior reference for image fusion and works with all IGRT systems and, PolyMark™, the first biocompatible polymer-based marker which is visualized in MR, creates virtually no artifact in CT and is clearly visible in kV based IGRT solutions. • The Protura™ Robotic Patient Positioning System which provides highly precise and accurate patient positioning for IGRT, SBRT and other treatment types. Partnered with our Body Pro-Lok™ and Universal Couchtop Long Extension, the Protura system is a complete, integrated motion management solution.
See page 39 for more information.
MR Bellyboard CIVCO’s new MR Bellyboard is identical to the current Carbon Fiber Bellyboard but is now constructed of an MRI compatible material. See page 77 for more information.
MRI le
b Compati
Look for this symbol to find MRI compatible products throughout our Solutions Guide!
We look forward to working with you to solve your most challenging radiation therapy needs. We offer personalized solutions and the gold standard in customer service to show you CIVCO is clearly different. Real Solutions. Right Now.
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Solutions Guide Directory Couchtops & Overlays - - - - - - - - - - - - - - - - - - - - - - 4-15 Universal Couchtop • Standard Couchtops • CT Overlays • MRI Overlays • Accessories • Lok-Bars™
SBRT Immobilization - - - - - - - - - - - - - - - - - - - - - - 16-21 Body Pro-Lok™ System
Head & Neck Positioning & Fixation - - - - - - - - - - - - - - - 22-44 Type-S™ System • Posifix® System • Uni-frame® System • Headrests • Precise Bite™ Patient Re-Positioner • Shoulder Retractor
Breast & Thorax Positioning & Fixation- - - - - - - - - - - - - - 45-56 Breastboards • Thermoplastics • New Horizon Prone Breastboard • Posirest™-2 • Wing Boards™ • Thorawedge™ • Vac-Lok™ Cushions
Hip & Pelvic Positioning & Fixation- - - - - - - - - - - - - - - - 57-64 Bellyboards • Positioning Cushions • Combifix™ • HipFix® • Vac-Lok™ Cushions
Miscellaneous Positioning Aids - - - - - - - - - - - - - - - - - 65-74 Multifix™ • Vac-Lok™ Cushions • RediFoam™ • Foam Cushions • Pediatrics • Thermoplastic Accessories • Patient Marking
Special Modalities - - - - - - - - - - - - - - - - - - - - - - - 75-77 MRSeries™ • Proton Positioning
Robotics & IGRT - - - - - - - - - - - - - - - - - - - - - - - - 78-84 Protura™ Robotic Patient Positioning • Fiducial Markers • Accessories
Quality Assurance - - - - - - - - - - - - - - - - - - - - - - - - - 85 Mechanical Alignment
Miscellaneous- - - - - - - - - - - - - - - - - - - - - - - - - 86-88 Patient Shielding • Skin Care • Grip Rings™ & Straps • Patient Transfer Board • Digital Level • Mold Room Services • And More
Ordering Information & Index- - - - - - - - - - - - - - - - - - 89-93 Product Name Index • Part Number Index • US Ordering Information
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Couchtops & Overlays Couchtops & Overlays
4
The Importance As technology advances it becomes increasingly important to have radiation-friendly treatment devices. Indexable carbon fiber couchtops and overlays provide you with a radiation-friendly base creating fewer image artifacts and more treatment plan options. CIVCO’s couchtops & overlays also provide an indexing system for CIVCO’s wide variety of patient positioning & fixation accessories. This allows a patient positioning device to transfer accurately between couchtops and overlays and quickly lock into the same location daily on the treatment table.
Differences Between a Couchtop & Overlay An overlay lies on top of the cradle, existing support frame and/ or spine of a CT, simulator or LINAC. For LINACS, an overlay will still result in the need to rotate the table in order to avoid the beam passing through the underlying steel support. A couchtop replaces the steel support system of the LINAC with a carbon fiber support system, eliminating the need for table rotation. An indexed overlay is necessary for a CT to ensure that your positioning devices are in the correct location from room to room. These overlays are lightweight and can easily be removed between uses on a non-dedicated CT.
Carbon Fiber Couchtop
How Indexing Works Every Indexed Patient Positioning System™ begins with an indexed couchtop or overlay. These tops feature an array of indexing points running down the side of the couchtop, each spaced an identical 14cm apart or 7cm apart on the Universal Couchtop. A Lok-Bar™ is also provided with every couchtop or overlay. Every Lok-Bar features two pins that interface with the two holes on CIVCO’s line of patient positioning and fixation devices. Lok-Bars remain with the couchtop.
Carbon Fiber Overlay
To index a product, attach the Lok-Bar to any of the indexing points. Then set the patient positioning device on the two-pins on the Lok-Bar. Indexing patient positioning and fixation devices to the same indexing notches for every treatment ensures that your device is in the same location and is “square” with the couchtop for every treatment. This definitive repositioning of the device relative to the treatment table allows clinicians to confidently tighten the tolerance window in the record-and-verify system – an important enhancement. The result: increased target accuracy with increased patient throughput.
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Lok-Bar
Two-Pin System
Indexing Points
Indexing Holes
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Couchtop & Overlay Decision Guide Universal Couchtop 1 Piece
Universal Couchtop Long Extension
Standard Couchtop or Overlay
Indexing Style
Prodigy 2 - every 7cm
Prodigy 2 - every 7cm
Prodigy 2 - every 7cm
Various - every 14cm
Available Extensions
• Type-S Extension • Rectangular Extension • Posifix Extension • Palliative Extension grid & solid • Varian End Plate
None
• Type-S Extension • Rectangular Extension • Posifix Extension • Varian End Plate
MTIL3010 & MTIL3015 are compatible with the Type-S Extension. All other couchtops & overlays do not have available extensions
DoseMatch Technology
Yes
Yes
Yes
No
SBRT Enabled
Yes
Yes
Yes
No
Metal Free Extension Seam
Yes
No Extension seam
Yes - extension seam is outside of the treatment field
No
CIVCO’s Universal Couchtop offers a new standard of advanced table design into your department. These new-series couchtops feature our lowest-attenuating and most-homogeneous designs, with advanced features such as Prodigy 2 - 7cm indexing, and the ability to seamlessly integrate with our Body Pro-Lok bridges and accessories. The standard Universal Couchtop is a two-piece table that accepts an array of head extensions at its superior end, allowing for quick setup and treatment adaptability. The Universal Couchtop 1 Piece* is a singular unit designed for ideal homogeneity for today’s advanced RapidArc and VMAT treatment deliveries. The Universal Couchtop Long Extension offers the best of both worlds, featuring treatment extensions that dock into the inferior section of the couch, thereby eliminating all seams from the treatment field while additionally providing enhanced homogeneity for RapidArc and VMAT treatment deliveries. * Requires Head & Neck Overlays
Types of Indexing Prodigy™ 2
Prodigy
Interloc®
Exact®
PinnPoint™
Description
Small protruding hemisphere
Protruding hemisphere
Notched
Varian Exact notched style
Protruding cylinders
Spacing
7cm
14cm
14cm
14cm
14cm
Available on
Universal Couchtops
Various Couchtops
Various Couchtops
Various Couchtops
Mastercouch
Photo
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5 Couchtops & Overlays
Universal Couchtop™
Universal Couchtop™ Couchtops & Overlays
6
The new Universal Couchtop is a strong, lightweight couchtop with low attenuation, ideal for IGRT tracking. The Universal Couchtop is also available in a dosimetrically matching CT overlay to assist in dose accuracy between planning and treatment. Contact your account representative to confirm DoseMatch technology is available for your CT Simulator. The Universal Couchtop features a metal free extension seam with five extension choices: rectangular extension, Palliative Extension, Type-S™ extension, Posifix® extension and Varian end plate. The unique profile allows CIVCO’s SBRT Body Pro-Lok™ bridges to attach directly to the Universal Couchtop. The Universal Couchtop is capable of being installed on linac models from Elekta, Siemens and Varian. The CT overlay is compatible with nine different models from GE, Philips, Siemens and Toshiba.
Features • Wing profile that allows for attachment of Body Pro-Lok bridges assisting with anterior immobilization and breath restriction • Extension seam that self locks and contains no metal • Matching CT overlay for dosimetric consistency between, simulation, treatment planning and treatment • Low attenuation • Utilizes Prodigy™ 2 indexing at 7cm increments • Gray inferior surface for better visualization of SSD and field light • Optional accessory rail and patient handles
Testimonials
Universal Couchtop with Body Pro-Lok Bridge
Carbon fiber extension seam
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Description
Part #
UCT - Siemens TxT or Protura
MTIL6060
UCT - Siemens ZXT
MTIL6061
UCT - Varian Exact
MTIL6160
UCT - Protura on Varian
MTIL6161
UCT - Elekta
MTIL6260
UCT - Siemens Biograph
MTIL6062
UCT - Siemens Somatom
MTIL6063
UCT - GE HiSpeed
MTIL6360
UCT - GE Discovery ST
MTIL6361
UCT - GE Global 1700
MTIL6362
UCT - GE Global 2000
MTIL6363
UCT - Philips Brilliance
MTIL6460
UCT - Toshiba Aquilion
MTIL6560
UCT - Toshiba Aquilion One
MTIL6561
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“The implementation of UCT has allowed us to introduce kV and CBCT imaging on our treatment units. It is the preferred treatment unit for all complex patients including head and neck and lung treatments.” - Aniko Cooper, Director of Radiation Therapy Services, North Queensland Oncology Service, Douglas, Australia
“We really love our new UCT. It saves us a lot of work, and I feel more confident with the weight limit as opposed to our old table top. We used to have to turn our table to accommodate different types of setups, and now we don’t.” - Susal Chamberlin, R.T.T., Buckeye Radiation Oncology, Columbus, OH
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Available Accessories 7 Couchtops & Overlays
Type-S™ Extension
MTIL6607
Rectangular Extension
MTIL6604
Posifix® Extension
MTIL6608
Palliative Extension - Grid
MTIL6602
Palliative Extension - Solid
MTIL6603
Varian End Plate
MTIL6613
Prodigy™ 2 Lok-Bar Prodigy 2 Transverse Lok-Bar
MTIL6050 MTIL6051
Patient Handle, Right Patient Handle, Left
Accessory Rail
MTIL6630
MTIL662501 MTIL662502
See page 10 for Universal Couchtop SBRT Package and Respiratory Restriction Package options.
Type 2 & 3 Bridge Adapter (shown at left), Qty. 2 Type 1B & Shoulder Restraint Bridge 2 Adapter (shown at right), Qty. 2
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Respiratory Belt Adapter, Qty. 2
MTIL6620
MTIL6615 MTIL6616
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Universal Couchtop™ Long Extension Couchtops & Overlays
8
Designed for efficiency and performance CIVCO’s newest couchtop is ideal for IGRT and SBRT. The Universal Couchtop Long Extension (UCT LE) facilitates better delivery of dose and target coverage by eliminating the interference of rails and junctions with radiation delivery. It features a large junction-free and artifact-free treatment area. The unique profile of the UCT LE allows CIVCO’s Body Pro-Lok bridges to attach directly to the couchtop enabling SBRT immobilization.
Features • Wing profile that allows for attachment of Body Pro-Lok bridges assisting with anterior immobilization and breath restriction • Extension seam that self locks, contains no metal and is outside the treatment field • Low attenuation • Utilizes Prodigy™ 2 indexing at 7cm increments • Gray inferior surface for better visualization of SSD and field light • Optional accessory rail and patient handles
Rectangular Extension
MTIL6660
Type-S™ Extension
MTIL6665
Posifix® Extension
MTIL6666
Varian End Plate
MTIL6667
Description
Part #
UCT LE - Siemens TxT or Protura
MTIL6040
UCT LE - Siemens ZXT
MTIL6041
UCT LE - Varian Exact
MTIL6140
UCT LE - Protura on Varian
MTIL6141
UCT LE - Elekta
MTIL6240
Long Extension Storage Device
MTIL6000SU
Compatible with Prodigy 2 Lok-Bars, Patient Handles, Accessory Rail & Bridge & Belt Adapters, see page 7 for more information. Real Solutions. Right Now.
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Universal Couchtop™ 1 Piece Features
9
• Wing profile that allows for attachment of Body Pro-Lok bridges assisting with anterior immobilization and breath restriction • Matching CT overlay for dosimetric consistency between, simulation, treatment planning and treatment • Low attenuation • Utilizes Prodigy™ 2 indexing at 7cm increments • Gray inferior surface for better visualization of SSD and field light • Optional accessory rail and patient handles
Description
Part #
UCT 1 Piece - Siemens TxT or Protura
MTIL6020
UCT 1 Piece - Siemens ZXT
MTIL6021
UCT 1 Piece - Varian Exact
MTIL6120
UCT 1 Piece - Protura on Varian
MTIL6121
UCT 1 Piece - Elekta
MTIL6220
UCT 1 Piece - Siemens Biograph MTIL6022
Varian End Plate for Universal Couchtop 1 Piece The Varian End Plate for the Universal Couchtop One Piece is designed to slide onto the end of the couchtop, then can be tightened securely into place. This allows for the use of various QA and SRS devices.
MTIL6023
UCT 1 Piece - GE HiSpeed
MTIL6320
UCT 1 Piece - GE Discovery ST
MTIL6321
UCT 1 Piece - GE Global 1700
MTIL6322
UCT 1 Piece - GE Global 2000
MTIL6323
UCT 1 Piece - Philips Brilliance
MTIL6420
UCT 1 Piece - Toshiba Aquilion
MTIL6520
UCT 1 Piece - Toshiba Aquilion One
MTIL6521
Compatible with Prodigy 2 LokBars, Patient Handles, Accessory Rail & Bridge & Belt Adapters, see page 7 for more information. Varian End Plate, UCT One Piece
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UCT 1 Piece - Siemens Somatom
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MTIL6612
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Couchtops & Overlays
The Universal Couchtop 1 Piece is a strong rigid and lightweight couchtop with low attenuation, ideal for IGRT tracking. Like the standard UCT offering this couchtop is compatible with our Body Pro-Lok bridges for SBRT, patient handles and accessory rail. Dosimetrically matching CT overlays are available, allowing you to use the same couchtop in simulation and treatment. A Varian End Plate is available, designed to slide onto the end of the couchtop. The affordable UCT 1 Piece is equivalent in length to the original UCT plus the rectangular extension.
Body Pro-Lok™ Kits for Universal Couchtops™ Couchtops & Overlays
10
The wing profile of the Universal Couchtop allows for easy attachment of Body Pro-Lok bridges, via a small adapter, providing options which assist in anterior immobilization and breath restriction. Body Pro-Lok bridges provide numerous immobilization options for complex setups. CIVCO currently offers two kit options for your convenience.
Comprehensive SBRT Kit (Part # - MTSBRT310) Description
Part #
Qty.
Type 1B Bridge
MTSBRT039
2
Type 2 Bridge
MTSBRT007
2
Type 3 Bridge
MTSBRT031
1
Prodigy 2 Lok-Bar
MTIL6050
3
Respiratory Plate
MTSBRT003
1
Respiratory Belt
MTSBRT004
1
Type 2 & 3 Bridge Adapter Pair
MTIL6615
2
Type 1B & Shoulder Restraint Bridge 2 Adapter Pair
MTIL6616
3
Respiratory Belt Adapter Pair
MTIL6620
1
Forehead Restraint
MTSBRT018
1
Shoulder Restraint 2 Bridge
MTSBRT038
1
Universal Couchtop Patient Handle - Right
MTIL662501
1
Universal Couchtop Patient Handle - Left
MTIL662502
1
8” Clam-Lok Cushion
MTSBRT202
2
Patient on Universal Couchtop with Shoulder Restraint 2 Bridge and Patient Handles
Respiratory Restriction Kit (Part # - MTSBRT300) Description
Part #
Qty.
Type 1B Bridge
MTSBRT039
1
Type 2 Bridge
MTSBRT007
1
Respiratory Plate
MTSBRT003
1
Respiratory Belt
MTSBRT004
1
Type 2 & 3 Bridge Adapter Pair
MTIL6615
1
Type 1B & Shoulder Restraint Bridge 2 Adapter Pair
MTIL6616
1
Respiratory Belt Adapter Pair
MTIL6620
1
Patient on Universal Couchtop with Bridge and Respiratory Plate
See pages 17-19 for more information on the Body Pro-Lok System. Patient on Universal Couchtop with Respiratory Belt
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Standard LINAC & Sim Couchtops & Overlays Carbon fiber couchtops and overlays for linear accelerators and simulators provide both a radiation-friendly treatment surface and indexing capabilities. Some of these couchtops and overlays have exchangeable panels, allowing the user to choose between a solid (foam core with a carbon fiber layer), tangential or a grid surface for your treatment.
11 Couchtops & Overlays
Some couchtops and overlays come with additional treatment panels and accessories such as the Type-S™ head extension and Posifix® Extensions. Contact your account representative for complete information.
The following LINAC and Simulator options are available, part numbers include 1 standard Lok-Bar Description
Dimensions
Indexing Style
Siemens ZXT - Overlay
200 x 49.5 x 2.9cm
Interloc
MTIL3051
MTIL3000
Siemens ZXT - Couchtop with Grid Panel
200 x 53 x 2.2cm
Prodigy
MTIL3650 & MTIL6352
MTIL3010
Siemens ZXT - Couchtop with Solid Panel
200 x 53 x 2.2cm
Prodigy
MTIL3650 & MTIL6352
MTIL301004
Siemens TxT - Couchtop with Grid Panel
193 x 53 x 5.4cm
Prodigy
MTIL3650 & MTIL6352
MTIL3015
Nucletron Simulix MC Couchtop
252.6 x 53 x 7cm
Interloc
MTIL3151 & MTIL3152
MTIL3200
Nucletron Simulix HP Couch Insert
90 x 53 x 2.1cm
Interloc
MTIL3151 & MTIL3152
MTIL3202
Interloc
MTIL3151 & MTIL3152
MTIL4000
Kermath
This product has not been CE marked. Marked. 211 x 53 x 2.2cm
Compatible Lok-Bars*
Part Number
*Second part number listed is the compatible Transverse Lok-Bar.
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Standard Imaging Overlays Couchtops & Overlays
12
Carbon fiber overlays securely lock onto a cradle, providing a surface consistent with treatment couchtops. They are lightweight and durable, allowing them to be easily removed or reinserted for use on non-dedicated imaging machines. The attachment mechanics ensure that once the top is reinserted on the cradle, it will be level and stable throughout imaging. CT overlays are made of carbon fiber with a foam core. They have indexing options and come with a two-pin Lok-Bar™ providing a system for indexing positioning devices to the couchtop.
The following CT Overlay options are available, part numbers include 1 standard Lok-Bar CT Overlay for:
Dimensions
Indexing Style
Compatible Lok-Bars*
Part Number
Siemens SOMATOM Sensation (Prior to August 2004)
245 x 53 x 3.2cm
Prodigy
MTIL3653 & MTIL3652
MTIL3001
Siemens SOMATOM Emotion & Spirit
217 x 53 x 4.1cm
Prodigy
MTIL3653 & MTIL3652
MTIL3008
Siemens SOMATOM Sensation (After August 2004)
245 x 53 x 3.2cm
Prodigy
MTIL3653 & MTIL3652
MTIL3013
Siemens SOMATOM Sensation (After August 2004)
245 x 53 x 3.2cm
Interloc
MTIL3151 & MTIL3152
MTIL3018
Siemens SOMATOM Definition
220 x 53 x 3.8cm
Prodigy
MTIL3653 & MTIL3652
MTIL3019
GE HiSpeed Advantage, HiSpeed CT/i & LightSpeed QX/i
229 x 53 x 5.1cm
Interloc
MTIL3151 & MTIL3152
MTIL3300
GE HiSpeed LX/i, HiSpeed FX/i & HiSpeed DX/i
229 x 53 x 5.1cm
Interloc
MTIL3151 & MTIL3152
MTIL3301
GE 9800, HiSpeed Advantage (Metal)
229 x 53 x 5.1cm
Interloc
MTIL3151 & MTIL3152
MTIL3302
GE Discovery LS
266 x 48 x 4.8cm
Interloc
MTIL3350
MTIL3306
GE Discovery ST (H-Power Base)
266 x 53 x 4.8cm
Interloc
MTIL3151 & MTIL3152
MTIL3310
GE LightSpeed VCT & Discovery ST (Global Base)
217 x 53 x 5.1cm
Prodigy
MTIL3653 & MTIL3652
MTIL3311
Philips / Marconi MX8000
245 x 53 x 3.2cm
Prodigy
MTIL3653 & MTIL3652
MTIL3502
Philips Gemini PET/CT
253 x 48 x 3.7cm
Interloc
MTIL3453
MTIL3403
Philips Gemini PET/CT
253 x 53 x 3.7
Interloc
MTIL3151 & MTIL3152
MTIL3404
Toshiba Aquilion (Short)
201 x 53 x 4.2cm
Interloc
MTIL3151 & MTIL3152
MTIL3704
Toshiba Aquilion (Long)
231 x 53 x 4.2cm
Interloc
MTIL3151 & MTIL3152
MTIL3705
Toshiba Aquilion One
252 x 53 x 2.6cm
Prodigy
MTIL3653 & MTIL3652
MTIL3706
Siemens Biograph
239 x 53 x 2.7cm
Interloc
MTIL3151 & MTIL3152
MTIL4101
*Second part number listed is the compatible Transverse Lok-Bar.
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MRI Overlays
MRIble
Compati
MRI overlays are made of fiber glass with a foam core, have indexing options and are compatible with a three-pin Lok-Bar. Three-Pin Lok-Bars allow you to index MRI compatible devices to your MRI couchtop while preventing non-MRI compatible devices from being used on an MRI machine.
13 Couchtops & Overlays
See pages 76-77 for more information on CIVCO’s MRSeries positioning devices.
The following MRI Overlay options are available MRI Overlay for:
Dimensions
Indexing Style
Philips Panorama, 50cm Wide (available only from Philips)
214 x 50 x 2.2cm
Prodigy
MTIL3454 (2 included)
MTM3400
Philips Panorama, 40cm Wide (available only from Philips)
214 x 40 x 2.2cm
Prodigy
MTIL3455 (2 included)
MTM3401
GE Signa (available only from GE)
208 x 50 x 4.8cm
Interloc
MTIL3351 (not included)
MTM3300
GE Wide Bore (750W or 450W) no GEM
213.4 x 53 x 6.2cm
Interloc
MTIL3352 (1 included)
MTM3301
GE Wide Bore (750W or 450W) with GEM
204 x 53 x 2.1cm
Interloc
MTIL3352 (1 included)
MTM3302
Siemens Magnetom Avanto, Magnetom Expree, Magnetom Symphony A Tim System, Magnetom Trio A Tim System 187 x 50 x 2.2cm
Prodigy
MTIL3454 (1 included)
MTM3000
Siemens Magnetom Verio
187 x 50 x 2.2cm
Prodigy
MTIL3454 (1 included)
MTM3001
Siemens Aera & Skyra
187 x 50 x 2.2cm
Prodigy
MTIL3454 (1 included)
MTM3002
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Compatible Lok-Bar
Part Number
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14
Treatment Panels
Foot Extension
Two-Pin Adapter
Couchtops & Overlays
Accessories & Storage A solid treatment panel is available for the Varian Exact® couchtop, featuring Interloc® indexing.
A simple foot extension is available to maximize range for feet-first scans. The extension allows the patient’s feet to extend up to 36cm off the end of the table. The Foot Extension is designed for feet-first CT applications and is not suitable for use as a head extension.
This adapter piece can be screwed onto most Posifix® and Posirest™ baseplates that are not two-pin ready. This will make these products compatible with CIVCO’s two-pin indexing system. Not compatible with the Posifix-4.
Various treatment panels are available for Siemens couchtops.
Varian Exact Solid Panel
MTIL3103
Siemens ZXT Solid Panel
MTZXTZ44069CS
Siemens ZXT Grid Panel
MTZXTZ44069CF
Siemens Posterior Grid Panel
MTIL301001
Siemens Tangential Panel
MTIL301002
Foot Extension, Interloc (shown)
MTIL3006001
Siemens Solid Panel
MTIL301003
Foot Extension, Prodigy
MTIL3006002
Two-Pin Adapter
600251
Overlay Stand
Accessory Rail Locking Block
Slide Guide Lok-Bar
The Overlay Stand is ideal for shared CT rooms, where space is limited. The overlay stand creates a fast and effective way to store and protect your CT overlay between uses. The base and strap plate easily mount to the wall, allowing for quick access and out of the way storage. Upper straps secure the overlay between uses.
The Accessory Rail Locking Block locks various positioning aids to the rails along the side of the couchtop. A Lok-Bar can attach to the accessory Locking Block (shown below) to provide a two-pin system for couchtops without indexing.
The Slide Guide Lok-Bar does not lock down to the indexing points along the couchtop but slides longitudinally along the couchtop. It is especially useful for longer devices such as bellyboards and breastboards and devices like Vac-Lok™ cushions which contract during forming.
Slide Guide Lok-Bar Transverse Slide Guide Lok-Bar Accessory Rail Locking Block, Right
MTARB001
Accessory Rail Locking Block, Left
MTARB002
Accessory Rail Lok-Bar Overlay Stand
MTIL1104
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MTVL00853 MTIL1006
MTIL1000
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Lok-Bars™ Prodigy™ Lok-Bars
Interloc® Lok-Bars
PinnPoint™ Lok-Bars
Prodigy Lok-Bars are for use with Prodigy style indexed couchtops. LokBars are available in a variety of widths. The Slim Prodigy Lok-Bar features smaller side profiles. The Prodigy 2 Lok-Bar is for use with the Universal Couchtop.
Interloc Lok-Bars are for use with Interloc style indexed couchtops. LokBars are available in a variety of widths.
A PinnPoint Lok-Bar is available for the PinnPoint Indexing System. This allows two-pin indexable products to be used with the PinnPoint Indexing system. Two different widths are available.
Prodigy Lok-Bar for 53cm wide couchtop
Interloc Lok-Bar for 48cm wide couchtops
MTIL3350
MTIL3650
Two-Pin Lok-Bar for 50-52cm wide couchtops
MTIL5050
Prodigy Lok-Bar for 50cm wide couchtop
Interloc Lok-Bar for 49.5cm wide couchtops
MTIL3051
MTIL3651
Two-Pin Lok-Bar for 45.5-47.5cm wide couchtops
MTIL5051
Slim Prodigy Lok-Bar for 53cm wide couchtop
Interloc Lok-Bar for 50cm wide couchtops
MTIL3850
MTIL3653
Prodigy 2 Lok-Bar for Universal Couchtop
Interloc Lok-Bar for 53cm wide couchtops
MTIL3151
MTIL6050
Interloc- 53cm
MTIL3152
Transverse Lok-Bars
The Exact Lok-Bar is for use with Exact or Interloc style indexed couchtops.
The Transverse Lok-Bar gives you the ability to move the two-pin system laterally across the couchtop giving you more options for positioning devices on your couchtop. The Transverse LokBar is available in Prodigy, Prodigy 2, Interloc, PinnPoint, Exact® and Medical Intelligence indexing styles.
Exact Lok-Bar for 53cm wide couchtops
20VARSUB10
Exact - 53cm
MTVAR46
Prodigy - 53cm
MTIL3652
Prodigy 2 - 53cm
MTIL6051
PinnPoint - 50-52cm
MTIL5052
PinnPoint -45.5-47.5cm
MTIL5053
Medical Intelligence
MTIL3950
See page 76 for information on MRI compatible three-pin Lok-Bars. Real Solutions. Right Now.
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Couchtops & Overlays
Exact® Lok-Bar
15
SBRT/SRS Immobilization The Importance
SBRT Immobilization
16
The use of SBRT is quickly expanding due to significant advances in radiation therapy along with a history of success. According to Dr. Martin Fuss, “Outcomes of early clinical experience in medically inoperable patients are very encouraging and thus the use of SBRT is expanding.”1 With higher doses and fewer treatments patient positioning for SBRT has become even more important. “Accurate patient positioning and tumor relocation are essential for SBRT use in the liver and other abdominal and retroperitoneal sites, as at other tumor sites,”2 says Brian Kavanagh.
Why CIVCO SBRT Immobilization CIVCO’s Body Pro-Lok has become an essential immobilization tool at numerous clinics, both for SBRT and other treatment procedures. The Body Pro-Lok system offers a wide variety of accessories and provides the ability to utilize your existing CIVCO positioning devices. The decision to purchase an SBRT immobilization system is an important choice for any cancer center. When Ball Memorial Hospital was testing different SBRT immobilization devices, they chose to demo three different systems before making a decision. “We had one therapist act as a patient in all three demos, so we could get a detailed impression from the patient’s perspective,” Harmon explained. “She felt most comfortably and securely immobilized in Body Pro-Lok, and the respiratory belt felt like it constrained breathing better than others while being much more comfortable.” Facilities have also found the Body Pro-Lok to provide effective respiratory restriction. “Body Pro-Lok with compression plate is considered the most effective for SBRT respiration immobilization and allows for setup reproducibility while providing patient comfort within the short treatment period.”3
Body Pro-Lok with Clam-Loc Cushion and Respiratory Plate
Body Pro-Lok on Universal Couchtop with Shoulder Restriction 2 Bridge and Patient Handles
1 Fuss, Martin. “Lung SBRT Clinical White Paper.” RAD10069A, January 2009. Varian Medical Systems. March 2009.
LungSBRTWhitePaper_RAD10069A_January2009.pdf> 2 Kavanagh, Brian D., Tracey E. Schefter, Peter J Wersäll. “Liver, Renal, and Retroperitoneal Tumors: Stereotactic Radiotherapy.” Frontiers of Radiation Therapy and Oncology. Vol. 40 (2007): 415-426. 3 IO Olornnisomo, M. Sc., AN Gutiérrez, Ph.D., S Stathakis, Ph.D., N Papanikolaou, Ph.D. "Inter-comparison of Breathing Restriction Techniques Using Commercially Available Immobilization Devices for SBRT.” Cancer Therapy & Research Center, University of Texas Health Science Center San Antonio
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Body Pro-Lok™ Decision Guide Body Pro-Lok with Universal Couchtop Patient Transfer
Body Pro-Lok with Platform
Body Pro-Lok Rails-Only System Not compatible with the Rails-Only System
MRI Compatible
No
No
Yes
Attenuation Consideration
Body Pro-Lok Bridges and accessories attach directly to the couchtop without an additional platform to treat through.
The Body Pro-Lok platform is constructed of carbon fiber.
Reduced attenuation when compared with the use of the Body Pro-Lok Platform
Additional Considerations
• Bridges attach directly to the couchtop via a small adapter • Requires either a Universal Couchtop in both treatment and simulation rooms or the purchase of a Body Pro-Lok Platform or Rails-Only System
• Body Pro-Lok Platform is two-pin indexable so it is compatible with all two-pin indexable couchtops
• The Rails-Only System is specific to an indexing system. Multiple systems may need to be purchased for different couchtops depending on the indexing systems available.
Photos
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17 SBRT Immobilization
Not available when attaching bridges Yes, the Body Pro-Lok Platform directly to the couchtop combined with the patient transfer base allows for the transfer of a completely immobilized patient
Body Pro-Lok™ SBRT Immobilization
SBRT Immobilization
18
The modular Body Pro-Lok system aids in providing comfortable patient positioning and immobilization for numerous treatment technologies including SBRT, Rapid Arc™, Tomotherapy, VMAT and IMRT. Body Pro-Lok’s bridge system provides numerous immobilization options for complex setups. The platform allows you to use most two-pin indexable positioning and immobilization devices including Vac-Lok™ cushions, head & neck fixation devices and arm supports. The patient transfer device provides an efficient way to transfer immobilized patients between imaging suites and treatment rooms.
Features • Aids in providing comfortable, total body immobilization for lengthy hypo-fractionation treatments • Compatible with existing CIVCO positioning equipment via standard two-pin indexing • Customized setups to meet your patient’s needs including 2 options for reducing respiratory motion • Simple, cost-effective system for the transfer of fully immobilized patients
Body Pro-Lok System (includes 1-Pro-Lok Platform, 2-Patient Handles, 2-Type 1B Bridges, 2-Type 2 Bridges, 1-Type 3 Bridge, 4-T-Pin Lok-Bars, 1-Shoulder Restraint 2, 1- Transfer System (2-bases, 3-skis), 1-Forehead Restraint, 1-8” Clam-Lok Cushion, 1 Velcro Strap)
MTSBRT001
Testimonial “High precision radiotherapy with IMRT and SBRT are becoming standard of practice and require reliable and reproducible immobilization devices. The new Body Pro-Lok from CIVCO fulfills that need with a very ergonomically designed solution. We have been using it in our practice, especially with SBRT treatments, and found it to be easy to use while providing firm immobilization and ease of transfer of patients from the CT to the linac unit.” - Nikos Papanikolaou, Ph.D., The University of Texas Health Science Center, San Antonio, TX
Storage Options Two storage options, a cart and a wall mounted unit, are available. The Storage Cart is custom-designed to store and transport the Body Pro-Lok system. The shelves provide space to store accessories. The cart provides easy transportation from room to room and excellent storage space. For centers where a storage cart is not feasible, the Wall Storage Unit is an innovative solution. With specific locations for each bridge type and a shelf for the remaining accessories, this storage solution neatly organizes all components of the Body Pro-Lok System. Storage Cart
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MTSBRT203
Wall Storage Unit
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MTSBRT224
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The foundation of the Body Pro-Lok is a lightweight, carbon fiber platform with easy-to-read indexing.
The Patient Transfer Base allows for the transfer of a completely immobilized patient. MRI VERSION COMING SOON!
T-Pin Lok-Bars allow most two-pin compatible positioning aids to be indexed to the Body Pro-Lok.
19
MTSBRT002
Body Pro-Lok’s Bridges provide a solution for immobilizing the patient from above. MRI le
Transfer System
Patient Handles clamp to the platform providing a stable place for immobilized patients to place their hands. MRI le
Compatib
MTSBRT039
Patient Handle
Type 2 Bridge (middle)
MTSBRT007
Patient Handle (mirror)
Type 3 Bridge (back)
MTSBRT031
The Forehead Restraint attaches to the bridges, and provides a padded restraint mechanism for the head. MRI le
T-Pin Lok-Bar
MTSBRT009
The Shoulder Restraint Bridge 2 provides padded cups to aid in comfortably immobilizing the shoulders. MRI le
Compatib
Type 1B Bridge (front)
Compatib
MTSBRT005
Shoulder Restraint Bridge 2
MTSBRT038
MTSBRT0051
The Clam-Lok™ Cushion forms to comfortably enhance immobilization from above.
The Laser-Lok™ shines a cross hair on the patient, to assist in verifying patient position in relation to the system.
MRI le
Compatib
Forehead Restraint
MTSBRT011
Compatib
MTSBRT018
The Respiratory Plate places pressure at the level of the diaphragm to assist in controlling the patient’s breathing.
8” Clam-Lok Cushion
MTSBRT202
The Respiratory Belt is designed to apply pressure to assist in restricting tumor movement.
MRI le
Laser-Lok
MTSBRT037
T-Shape Vac-Lok Cushion provides positioning with the arms up when used with a Wing Board while cradling the torso region. MRI le
Compatib
Compatib
Respiratory Plate
MTSBRT003
Respiratory Belt
MTSBRT004
T-Shape Vac-Lok Cushion
MTVL0017
Body Pro-Lok Bridges and the Respiratory Belt can attach directly to the Universal Couchtop with the use of a small adaptor. See pages 6-9 for more information on the Universal Couchtop. Real Solutions. Right Now.
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SBRT Immobilization
Pro-Lok Platform
Body Pro-Lok™ Rails-Only System CIVCO’s Body Pro-Lok Rails-Only System provides a system for utilizing Body Pro-Lok Bridges and accessories without the full Body Pro-Lok Platform or the Universal Couchtop. The Interloc® and Prodigy™ versions are now MRI compatible. MRI le
Compatib
SBRT Immobilization
20
Features • Full compatibility with Body Pro-Lok Bridges and accessories (excluding the transfer system) • Integrated Lok-Bars provide additional stability (Prodigy™, Interloc®, Exact® and Medical Intelligence versions available) • Rails-Only T-Pin Lok-Bars provide compatibility with indexable products • Reduced attenuation when compared with the use of the Body Pro-Lok Platform
All part numbers listed below include 1 - rail assembly with attached Lok-Bars. Bridges and accessories are sold separately unless specified otherwise. Body Pro-Lok Rails-Only System - 53cm - Prodigy (shown)
MTSBRT051
Body Pro-Lok Rails-Only System - 53cm - Interloc
MTSBRT050
Body Pro-Lok Rails-Only System - 53cm - Exact (includes 4 - T-Pin Two-Pin Lok-Bars)
MTSBRT056
Body Pro-Lok Rails-Only System - 53cm - Medical Intelligence (includes 4 - T-Pin Two-Pin Lok-Bars) **53cm Medical Intelligence Body Pro-Lok Rails-Only System Not MRI Compatible
MTSBRT059
Body Pro-Lok Rails-Only System - 50cm - Prodigy
MTSBRT053
Body Pro-Lok Rails-Only System - 50cm - Interloc
MTSBRT052
Body Pro-Lok Rails-Only System - 50cm - Exact (includes 4 - T-Pin Two-Pin Lok-Bars)
MTSBRT057
• Prodigy and Interloc versions are MRI compatible
Bridge attachment to the Rails-Only System
Rails-Only T-Pin Two-Pin Lok-Bar
MTSBRT055
Rails-Only T-Pin Three-Pin Lok-Bar
MTSBRT054
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Package Options CIVCO currently offers two Bridge & Accessory package options for your convenience.
21
Comprehensive SBRT Package for Rails-Only System (MTSBRT360) Qty.
Part #
Type 1B Bridge
2
MTSBRT039
Type 2 Bridge
2
MTSBRT007
Type 3 Bridge
1
MTSBRT031
Respiratory Plate
1
MTSBRT003
Respiratory Belt
1
MTSBRT004
Forehead Restraint
1
MTSBRT018
Shoulder Restraint Bridge 2
1
MTSBRT038
Patient Handle
1
MTSBRT005
Patient Handle (mirror)
1
MTSBRT0051
8” Clam-Lok Cushion
2
MTSBRT202
SBRT Immobilization
Description
Respiratory Restriction Package for Rails-Only System (MTSBRT350) Description
Qty.
Part #
Type 1B Bridge
1
MTSBRT039
Type 2 Bridge
1
MTSBRT007
Respiratory Plate
1
MTSBRT003
Respiratory Belt
1
MTSBRT004
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Head & Neck Positioning The Importance
Head & Neck Positioning
22
Immobilization is crucial for head and neck radiotherapy because of the many critical anatomical structures in the area. Whether you are providing conventional radiotherapy, 3D Conformal, or IMRT treatments, accurate, reproducible patient positioning and fixation are important factors for precise dose delivery to the head and neck. Thermoplastic based systems offer a reliable method for accurate positioning and immobilization, they are comfortable, easy to use and cost effective. There are three essential components to a head and neck system. First, the baseplate provides the foundation for the head and neck system, various baseplates provide different options including different thermoplastic and headrest options and supine, tilting, prone or lateral setup choices. Next the headrest provides enhanced repositioning, accuracy and patient comfort, available in standard-formed or custom-molded supports. Finally the thermoplastic mask provides fixed positioning from imaging through treatment, available in various materials, sizes and shapes providing a custom solution for each patient.
Type-S Thermoplastic with Precise Bite
Why CIVCO Head & Neck Positioning CIVCO offers a wide variety of customized solutions for head & neck positioning and fixation, including three unique systems: Type-S, Posifix and Uni-frame. Each system offers a high degree of patient stability with ease of use for the clinician. CIVCO also features a variety of headrests, the Fixator Shoulder Suppression System and ZENTEC thermoplastic. CIVCO will be adding new thermoplastic masks and materials in the next year. Posicast Thermoplastic on Posifix Baseplate
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Head & Neck Positioning Decision Guide Type-S™ System
Posifix® System
Uni-frame® System
Head & Neck and Superclav IMRT/IGRT enabling
Head & Neck and Superclav IMRT/IGRT enabling
Conventional Head & Neck treatments only
Prone Positioning Yes, with the use of the Variable Axis Baseplate Option
Yes, with the use of the Prone Headrest
Yes, with the use of the Prone Positioner
MRI Compatible Option
Yes
Yes
Yes
Available as an extension
Yes
Yes
No - Baseplate Only
Immobilization Options
Head-Only and Head, Neck and Shoulders Options
Head-Only and Head, Neck and Shoulders Options
Head-Only
Thermoplastic Materials
• ZENTEC Thermoplastic • Standard Thermoplastic
• Posicast Thermoplastic
• ZENTEC Thermoplastic • Standard Thermoplastic
Compatible Headrests
• Silverman • Posifix Headrests (with adapter) • AccuForm Cushions • Type-S Vac-Lok Cushion • Individual Head Support
• Posifix Line of Headrests • AccuForm Cushions • Individual Head Support
• Timo • Silverman • Posifix Headrests (with adapter) • AccuForm Cushions • Vac-Lok Cushions
Additional Considerations
Extends off the couchtop for treatments in a 360° arc
Provides a 3- or 5-point masking system allowing the technician to better form the mask around the contours of the patient IMRT baseplates for treatments in a 360° arc
Basic system providing reliable and comfortable patient fixation.
ZENTEC Thermoplastics
Posicast Thermoplastics
Standard Thermoplastics
Compatible Systems
• Type-S System • Uni-frame System
• Posifix System
• Type-S System • Uni-frame System
Approximate Heating Times
2-3 Minutes
1 Minute
4-9 minutes (depending on style and size)
Heating Temperature
75°C (165°F)
70°C (158°F)
75°C (165°F)
Key Features
Smooth easy forming process, highcontouring mask
Excellent positioning and reproducibility, minimal stretch drape and mold system, does not stick to skin or hair
Wide variety of styles, rigid mask
Recommended Treatments
23
Thermoplastic Comparison
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Head & Neck Positioning
Photos
Type-S™ Patient Positioning System The Type-S System was developed to offer a high degree of stability for the head, neck and shoulders. The system is ideal for IMRT and conformal treatments in a 360˚ arc.
Features • Minimal attenuation • CT-Compatibility • MRI compatible option available • Accepts head-only or head, neck and shoulders thermoplastics
Head & Neck Positioning
24
• Indexable
Head Extension
Overlay Board
Narrow Overlay Board
The Type-S Head Extension hooks easily on the superior end of select LINAC couchtops. It comes with a reloadable head, neck & shoulder frame for Type-S thermoplastics.
The Overlay Board extends off the end of the treatment couch. It comes with a reloadable head, neck and shoulders frame for Type-S Thermoplastics.
The Narrow Overlay Board extends off the end of the treatment couch. It comes with a reloadable head-only frame for Type-S Thermoplastics.
Extension w/ Carbon Fiber Frame
MTCFHNCV
Extension w/ ABS Frame
MTCFHNPV
Estension Without Frame
20CFHNSUB2V
Overlay w/ Carbon Fiber Frame
MTCFHNC
Overlay w/ ABS Frame
MTCFHNP
Overlay Without Frame
20CFHNSUB2
iBEAM® Overlay Adapter
MRI Type-S Overlay
Created for the Medical Intelligence iBEAM and iBEAM EVO couchtops. The overlay is cantilevered, providing minimal attenuation in the area of treatment.
The MRI Type-S Overlay is made of fiberglass with a foam core making it MRI compatible. It is also three-pin indexable.
Narrow Overlay w/ ABS Frame
MTCFHNPN
MRI le
Compatib
MRI Type-S Overlay iBEAM Overlay Adapter
108071
MRI Type-S Overlay - Narrow
MTMRHNTYPES MTMRHNPN
See pages 38-40 for Type-S compatible headrests. Real Solutions. Right Now.
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Fixator™ Shoulder Suppression System
Type-S SRS Board
The Fixator Shoulder Suppression System is designed to enhance the benefits of the Type-S™ system. The Fixator extends off the couchtop and includes adjustable padded positioners to gently cup the patient’s shoulders, capturing and positioning them out of the treatment field. Indexed nomenclature allows for easily-recorded shoulder repositioning. Type-S head-only IMRT Reinforced Thermoplastic™ masks are recommended for use with this system.
The Type-S SRS Board provides a 7° incline for Stereotactic Radiosurgery. It comes with a 1” thick pad for added comfort.
25 Head & Neck Positioning
Type-S SRS Board w/ pad Fixator Shoulder Suppression System with 2-Shoulder Cups Shoulder Cup, Qty. 1
MTCFHN006 MTCFHN006SUB6
Pad Only
MTCFHNSRS 20CFHNSRS07
This product has not been CE Marked.
Variable Axis Baseplate The Variable Axis Baseplate integrates with any Type-S Baseplate to provide a tilting movement with patient fixation in the prone and supine positions. The unique variable axis design allows for natural head and neck movement during patient set-up. The carbon fiber baseplate accommodates Type-S head-only thermoplastics and comes with the Prone Face Cushion (shown below). The Variable Axis Baseplate can accommodate the Prone Headrest (see page 39) with the use of the 301016 adapter plate (see page 40).
Variable Axis Baseplate with adapter plate and Prone Headrest.
Variable Axis Baseplate w/ Prone Face Cushion Prone Face Cushion Only
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MTCFHNVAB01 MTPFC01
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Type-S™ Thermoplastics Type-S head-only or head, neck and shoulder thermoplastics provide clinicians with a wide variety of choices to meet the exacting needs of today’s advanced treatments. Type-S Thermoplastics feature the Safe-T Pin docking system which provides an easy to grasp pin for docking and undocking the mask to any Type-S Baseplate.
Disposable Type-S Head-only Thermoplastic (left) Reloadable Head-only Type-S Thermoplastic (right)
26
MTCFHN001
Head & Neck Positioning
ABS Head-Only Frame
IMRT Reinforced Style 27 Type-S thermoplastic mask
Thermoplastic Material Options ZENTEC™ Thermoplastics ZENTEC Thermoplastics combine rigidity with a smooth, easy-forming process. The soft-drape effect results in a high-contouring mask. These masks also require less heating and setup time when compared with standard thermoplastics.
Disposable Type-S Head, Neck & Shoulders Thermoplastic (top), Reloadable Head, Neck & Shoulders Type-S Thermoplastic (bottom) ABS Head, Neck & Shoulders Frame
20CFHNSUB1P
Carbon Fiber Head, Neck & Shoulders Frame
20CFHNSUB1C
Standard Thermoplastics Standard thermoplastics are available in a wide variety of patterns and sizes. They have been utilized in Radiation Therapy for years and provide a rigid patient cast.
Safe-T Pin Docking System
MRI le
Compatib
All Type-S Disposable Thermoplastics are MRI compatible. (Reloadable carbon fiber frames are not MRI compatible.)
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Perforation Styles
IMRT Reinforced, Style 18
IMRT Reinforced, Style 20
Thermoplastic Material Perforation Type
Frame Type
Length Thickness Part Number
Standard
Standard Perforated
Disposable
10”
2.4mm
MTAPUD2.4
Standard
Standard Perforated
Disposable
10”
3.2mm
MTAPUD
Standard
Standard Perforated
Reloadable
10”
2.4mm
MTAPUR2.4
Standard
Standard Perforated
Reloadable
10”
3.2mm
MTAPUR
Standard
Standard Perforated
Disposable
12”
2.4mm
MTAPUD1224
27
Standard
Standard Perforated
Reloadable
12”
2.4mm
MTAPUR122.4
Standard
Standard Perforated
Reloadable
12”
3.2mm
MTAPUR12
Standard
Standard Perforated
Disposable
14”
2.4mm
MTAPUD1424
Standard
Standard Perforated
Disposable
14”
3.2mm
MTAPUD1432
Standard
IMRT Reinforced Style 18 Disposable
10”
2.4mm
MTAPUID1824
Standard
IMRT Reinforced Style 18 Disposable
10”
3.2mm
MTAPUID1832
Head & Neck Positioning
Standard Perforated
Type-S Head-Only Thermoplastic Options
Standard
IMRT Reinforced Style 18 Reloadable
10”
3.2mm
MTAPUIR1832
Standard
IMRT Reinforced Style 18 Disposable
12”
3.2mm
MTAPUID181232
Standard
IMRT Reinforced Style 18 Disposable
14”
3.2mm
MTAPUID181432
Standard
IMRT Reinforced Style 20 Disposable
10”
2.4mm
MTAPUID2024
Standard
IMRT Reinforced Style 20 Disposable
10”
3.2mm
MTAPUID2032
Standard
IMRT Reinforced Style 20 Reloadable
10”
3.2mm
MTAPUIR2032
Standard
IMRT Reinforced Style 22 Disposable
10”
3.2mm
MTAPUID2232
Standard
ClearVision
Disposable
10”
3.2mm
MTVRT20
Standard
Solid w/Perf. Nose
Disposable
10”
2.4mm
MTAPUD002
ZENTEC
IMRT Reinforced Style 18 Disposable
10”
2.4mm
MTAPUID1824VT
All Type-S Thermoplastics are sold in packages of 5. See next page for head, neck and shoulder thermoplastic options. See page 71 for CIVCO’s waterbath options. IMRT Reinforced, Style 22
IMRT Reinforced Thermoplastics™ IMRT Reinforced Thermoplastics feature a combination of perforated and solid thermoplastics to provide rigidity and secure immobilization for IMRT Treatments.
ClearVision™ Thermoplastics ClearVision™ Thermoplastic
ClearVision Thermoplastics provide a rigid masking system which also increases patient comfort. The solid thermoplastic strips allow the open mask to maintain rigid immobilization. The open design enables the use of 3D surface tracking while immobilizing the patient
Solid with Perforated Nose A solid sheet of thermoplastic with perforated nose region for a rigid mask with breathability. Ideal for Proton Treatments. Solid w/Perf. Nose
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Perforation Styles
Head & Neck Positioning
28 Standard Perforated
IMRT Reinforced, Style 27
ZENTEC IMRT Reinforced, Style 27
Type-S Head, Neck & Shoulders Thermoplastic Options Thermoplastic Material Perforation Type
Frame Type
Thickness Part Number
Standard
Standard Perforated
Disposable
2.4mm
MTAPSD2.4
Standard
Standard Perforated
Disposable
3.2mm
MTAPSD3.2
Standard
Standard Perforated
Reloadable
2.4mm
MTAPS2.4
Standard
Standard Perforated
Reloadable
3.2mm
MTAPS3.2
Standard
IMRT Reinforced Style 27 Disposable
2.4mm
MTAPSID2724
Standard
IMRT Reinforced Style 27 Disposable
3.2mm
MTAPSID2732
Standard
IMRT Reinforced Style 27 Reloadable
2.4mm
MTAPSI2724
Standard
IMRT Reinforced Style 27 Reloadable
3.2mm
MTAPSI2732
ZENTEC
IMRT Reinforced Style 27 Disposable
2.4mm
MTAPSID2724VT
Standard
IMRT Reinforced Style 29 Disposable
2.4mm
MTAPSID2924
Standard
IMRT Reinforced Style 29 Disposable
3.2mm
MTAPSID2932
Standard
IMRT Reinforced Style 29 Reloadable
3.2mm
MTAPSI2932
Standard
IMRT Reinforced Style 27, Neck Relief
Disposable
2.4mm
MTAPSID27NR24
Standard
IMRT Reinforced Style 27, Neck Relief
Disposable
3.2mm
MTAPSID27NR32
Standard
IMRT Reinforced Style 29, Neck Relief
Disposable
2.4mm
MTAPSID29NR24
Standard
IMRT Reinforced Style 29, Neck Relief
Reloadable
3.2mm
MTAPSI29NR32
All Type-S Thermoplastics are sold in packages of 5. See page 71 for CIVCO’s waterbath options.
IMRT Reinforced, Style 29
IMRT Reinforced, Style 27, Neck Relief
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IMRT Reinforced, Style 29, Neck Relief
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PosiFix® Baseplates Posifix head and neck baseplates are designed for use with the Posicast thermoplastic masking system. Posifix baseplates are available in two sizes, head-only baseplates and larger T-shaped head, neck and shoulders baseplates. The head-only baseplates are compatible with head-only Posicast® Thermoplastics and the head, neck and shoulders baseplates are compatible with head-only and head, neck and shoulders Posicast Thermoplastics.
Features • Available in Carbon Fiber and Acrylic versions • CT compatible • Acrylic baseplates are MRI compatible
• T-Shaped baseplate is compatible with both head-only and head, neck and shoulders Posicast Thermoplastics
Posifix-4
Posifix-5
Carbon fiber Posifix baseplate for head-only fixation.
Acrylic Posifix baseplate for head-only fixation. MRI le
Compatib
Posifix-4 Baseplate - Carbon Fiber
104021
Posifix-5 Acrylic Baseplate
105021
Posifix-2
Posifix-1
Carbon fiber Posifix baseplate for head, neck and shoulder fixation.
Acrylic Posifix baseplate for head, neck and shoulder fixation.
See next page for specialty baseplates. See pages 32-33 for more information on Posicast thermoplastics.
MRI le
Compatib
Posifix-2 Baseplate - Carbon Fiber
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102021
Posifix-1 Baseplate - Acrylic
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101019
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29 Head & Neck Positioning
• Two-Pin indexable or can be fixed to the aluminum rail system
Posifix® Specialty Baseplates IMRT Baseplates for Head, Neck and Shoulder Fixation IMRT Baseplates are made of a low density foam core, covered with ultra-thin layers of carbon fiber and are easily hooked onto the cranial end of the treatment couch to allow 360˚ treatment without compensation.
Head & Neck Positioning
30
IMRT Baseplate compatible with Varian Exact
108010
iBEAM Overlay Adapter, Posifix
108070
iBEAM® Overlay Adapter Created for the Medical Intelligence iBEAM and iBEAM EVO couchtops. The overlay is cantilevered, providing minimal attenuation in the area of treatment.
Positilt™ The Positilt is a tilting baseplate made of low density foam covered with ultrathin layers of carbon fiber. The Positilt enables the head to be positioned at six angles towards the couchtop plane. The Positilt can be easily attached to all Posifix baseplates including the IMRT Baseplates and the Posifix Mastercouch Module.
Positilt
107020
See pages 38-40 for compatible headrests. Real Solutions. Right Now.
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Head & Neck Baseplate Storage Two-Pin Baseplate Storage
Posifix & Posirest Baseplate Storage
Compatible with all two-pin Posifix and Posirest baseplates and most other two-pin ready baseplates including the Type-S Overlay. Verify compatibility with your account representative. ®
™
Compatible with Posifix and Posirest Baseplates with attached aluminum rails.
31 Head & Neck Positioning
Two-Pin Baseplate Storage
013159
Posifix Baseplate Storage
013101
Posifix IMRT Baseplate Storage
Mastercouch® Module Storage
Compatible with 108010 Posifix IMRT Baseplate.
Compatible with the Standard, Head and Neck, Stereotactic Treatment and Type-S Mastercouch Modules.
See page 30 for more information on Posifix IMRT Baseplate.
Posifix IMRT Baseplate Storage
013106
Mastercouch Module Storage
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013104
WWW.CIVCO.COM
Posicast® Thermoplastics Posicast thermoplastic material has been specifically developed for radiotherapy applications and provides excellent positioning and reproducibility during treatment. It does not stick to the skin or hair. If needed, Posicast adheres to itself by applying local pressure. The patented composition of this product results in minimal shrinkage after cooling.
Head & Neck Positioning
32
Posicast thermoplastic materials are available in Multiperfo and Microperfo versions depending on the selected material. Microperfo masks are preferred when small sized treatment fields are to be marked onto the mask.
Posicast Posicast has a soft polyurethane coating on both sides guaranteeing ultimate comfort in handling. It is available in Multiperfo and Microperfo.
Posicast-Plus Posicast-Plus has two different coatings: a soft polyurethane coating on the side which is in direct contact with the patient’s skin and a smooth spray-coating on the outside where treatment fields are to be marked directly onto the mask. PosicastPlus material is comfortable to the skin and offers the possibility of precise field marking. Minimal shrinkage of the material ensures rigid and reproducible fixation. Posicast-Plus is only available in Microperfo.
Microperfo
Multiperfo
Posicast-Lite With a smooth spray coating on both sides, Posicast-Lite feels like a traditional thermoplastic. Its polycaprolactone core ensures rigid and reliable fixation. PosicastLite is only available in Microperfo.
Posicast-Lite
Precuts CIVCO offers a wide variety of thermoplastic precuts. Rectangular plates are available allowing technologists to cut the material in any desired shape. All types are sold in sets of 10 pieces. The materials have a thickness of 2.3mm. Precuts are available with reusable or disposable L-profile mask attachment handles.
L-profiles for Mask Attachment
Disposable L-Profile
By using radiotranslucent L-profiles fitted with durable quick fasteners, a rigid mask can be molded around the contours of the patient. With this method air gaps between the inside of the mask and the head of the patient are prevented, resulting in a very reliable, stable mask. Reusable Carbon Fiber L-profiles are attached to the desired precut before making a mask and remain on for the duration of treatment. Disposable L-profiles come attached to a mask and are a quick, cost effective alternative to reusable carbon fiber L-profiles. Reusable L-profiles, set of 10
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622510
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Precut Options
Precut PR3 - 3-point head mask
33 Head & Neck Positioning
Precut PR33 - 3-point head mask, pediatric
Posicast Precuts with Disposable L-profiles Posicast Multiperfo
Posicast Microperfo
Posicast-Plus Microperfo
Posicast-Lite Microperfo
PR3
940030
950030
930030
772030
PR33
940033
950033
930033
772033
PR44
940044
950044
930044
772044
PR5
940145
950145
930145
772145
PR55
Not Available
Not Available
930055
Not Available
Precut Precut PR44 - 3-point head mask with larynx extension
MRI le
Compatib
Posicast-Plus Microperfo thermoplastics are available globally. Check with your account representative for availability of other Posicast thermoplastics.
Precut PR5 - 5-point head, neck and shoulder mask
Posicast Precuts without L-profiles Posicast Multiperfo
Posicast Microperfo
Posicast-Plus Microperfo
Posicast-Lite Microperfo
PR3
900030
910030
920030
770030
PR33
900033
910033
920033
770033
PR44
Not Available
910044
920044
770044
PR5
900145
910145
920145
770145
PR4392
904392
914392
924392
774392
Precut
Precut PR55 - 5-point head, neck and shoulder mask, pediatric
Posicast-Plus Microperfo thermoplastics are available globally. Check with your account representative for availability of other Posicast thermoplastics.
Precuts shown with disposable L-profiles are also available alone for use with reusable L-profiles. Not all precuts are available with disposable L-Profiles. 43 x 92cm Plate PL4392
Real Solutions. Right Now.
Posicast Thermoplastics are sold in packages of 10. U.S. Office: 800.842.8688 | +1 712.737.8688
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Uni-frame® Baseplates The Uni-frame head and neck fixation system provides rigid immobilization for enhanced image quality, as well as consistent patient posture through imaging, simulation and treatment procedures. Every Uni-frame baseplate is indexable, acrylic versions are threepin indexable and MRI compatible. Available in carbon fiber or acrylic, the baseplates feature a cutout area under the headrest for visualization and treatment. They utilize easy-to-use swivel clamps for locking down a variety of thermoplastic mask options.
Tilting Baseplates
Head & Neck Positioning
Standard Supine Baseplate
34
Tilting baseplates adjust for angles from 0 to 45° and are ideal for pituitary treatments. The product line includes a carbon fiber baseplate with a square base cutout for posterior treatment fields and three acrylic baseplates: one with an “I” shaped base for posterior oblique treatment angles and two with a cutout base.
Carbon Fiber
MT20100CF
Acrylic
MT20100
MRI le
Compatib
I-shaped Base Acrylic Tilting Baseplate
MT20102
MRI le
Compatib
Cutout Base Acrylic Tilting Baseplate
MT20104
MRI le
Compatib
Carbon Fiber Tilting Baseplate
MT20103CF
Cutout Base Acrylic Tilting Baseplate with Larger Headrest Cutout
MT20105
Compatible with Silverman headrests only.
See pages 38-40 for compatible headrests. Real Solutions. Right Now.
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Prone Head Holder The Prone Head Holder features gel chin and forehead pads. This accessory unit integrates to the acrylic standard supine baseplate (MT20100 - see page 34) or to the carbon fiber standard supine baseplate (MT20100CF - see page 34) for patient fixation with a Uni-frame® thermoplastic mask. A Vac-Lok™ Cushion is also available for added comfort.
35
Prone Head Holder on the Carbon Fiber Supine Baseplate
MT202
Prone Vac-Lok Cushion with Shell
MT202VL
Prone Vac-Lok Cushion only
MTVL27A
Reloadable Lateral Frame
MTLTBP2
Lateral Baseplate The Lateral Baseplate is specially padded for comfortable, reproducible lateral head & neck positioning. It accepts a special-width reloadable frame and thermoplastics and comes with a Lateral Head Cushion. Thermoplastics are sold in packages of 5.
Lateral Baseplate (includes lateral head cushion & reloadable frame) Lateral Head Cushion
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Perforated 3.2mm Thermoplastic Qty. 5
MTAPUL
Perforated 2.4mm Thermoplastic Qty. 5
MTAPUL2.4
MTLTBP MTLTBPIAT
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Head & Neck Positioning
Prone Head Holder
Uni-frame® Thermoplastics Uni-frame thermoplastics are one of the industry’s most popular choices. They provide the rigid fixation necessary for today’s radiotherapy treatment techniques. They are available with a disposable or reloadable frame and in a variety of perforation styles and thicknesses. A standard Uni-frame mask measures 9 x 10”; extended lengths are available for additional neck fixation. Wide Uni-frame Masks feature a thinner frame providing an expanded area of thermoplastic material to use.
Head & Neck Positioning
36
IMRT Reinforced Thermoplastics™ feature a combination of perforated and solid thermoplastic designed to provide rigidity. ComfortPerf® thermoplastics feature a special perforation pattern around the eyes and mouth, adding to patient comfort.
All Uni-frame thermoplastics are sold in packages of 5.
Disposable Thermoplastic (Left) vs. Reloadable Thermoplastic (Right) Reloadable ABS Frame
MTAPUR1
Reloadable frame with thermoplastic snapped out
Uni-frame Mask Styles
Standard Perforated Uni-frame Mask
Wide Uni-frame Mask
ComfortPerf Uni-frame Mask
IMRT Reinforced Thermoplastic, Style 18, Uni-frame Mask
IMRT Reinforced Thermoplastic, Style 20, Uni-frame Mask
IMRT Reinforced Thermoplastic, Style 22, Uni-frame Mask
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Uni-frame Thermoplastic Options Perforation Type
Frame Type
Length
Thickness Part Number
Standard
Standard Perforated
Disposable
10”
1.6mm
MTAPU1.6
Standard
Standard Perforated
Disposable
10”
2.4mm
MTAPU2.4
Standard
Standard Perforated
Disposable
10”
3.2mm
MTAPU
Standard
Standard Perforated
Reloadable
10”
2.4mm
MTAPUR2.4
Standard
Standard Perforated
Reloadable
10”
3.2mm
MTAPUR
Standard
Standard Perforated
Disposable
12”
2.4mm
MTAPU122.4
Standard
Standard Perforated
Disposable
12”
3.2mm
MTAPU12
Standard
Standard Perforated
Reloadable
12”
2.4mm
MTAPUR122.4
Standard
Standard Perforated
Reloadable
12”
3.2mm
MTAPUR12
Standard
Standard Perforated
Disposable
14”
2.4mm
MTAPU142.4
Standard
Standard Perforated
Disposable
14”
3.2mm
MTAPU14
Standard
Standard Perforated
Disposable - Wide
10”
2.4mm
MTAPUW2.4
Standard
Standard Perforated
Disposable - Wide
10”
3.2mm
MTAPUW
Standard
Standard Perforated
Disposable - Wide
12”
2.4mm
MTAPUW122.4
Standard
Standard Perforated
Disposable - Wide
12”
3.2mm
MTAPUW12
Standard
ComfortPerf
Disposable
10”
2.4mm
MTAPUCP201
Standard
ComfortPerf
Disposable
10”
3.2mm
MTAPUCP301
ZENTEC*
IMRT Reinforced Style 18
Disposable
10”
2.4mm
MTAPUI1824VT
ZENTEC*
IMRT Reinforced Style 18
Disposable - Wide
10”
2.4mm
MTAPUIW1824VT
Standard
IMRT Reinforced Style 18
Disposable
10”
2.4mm
MTAPUI1824
Standard
IMRT Reinforced Style 18
Disposable
10”
3.2mm
MTAPUI1832
Standard
IMRT Reinforced Style 18
Reloadable
10”
3.2mm
MTAPUIR1832
Standard
IMRT Reinforced Style 20
Disposable
10”
2.4mm
MTAPUI2024
Standard
IMRT Reinforced Style 20
Disposable
10”
3.2mm
MTAPUI2032
Standard
IMRT Reinforced Style 20
Reloadable
10”
3.2mm
MTAPUIR2032
Standard
IMRT Reinforced Style 22
Disposable
10”
3.2mm
MTAPUI2232
All Uni-frame Thermoplastics are sold in packages of 5. See page 71 for CIVCO’s waterbath options. MRI le
Compatib
All disposable Uni-frame Thermoplastics are MRI Compatible
*See page 26 for more information on ZENTEC Thermoplastics.
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37 Head & Neck Positioning
Thermoplastic Material
Headrests Timo Headrests
MRI le
Compatib
Timo headrests are constructed of durable polyurethane foam with a washable coating. Six various heights and contours offer a comprehensive range of neck angulations. They are available plain or with Lexan plates for use with Uni-frame® baseplates. Timo headrest shape may vary. Compare with any existing Timo Headrest to ensure that the proper fit is reproduced for treatment cycle.
Head & Neck Positioning
38
Compatible with: Uni-frame baseplates, Variable Axis Baseplate, all Wing Boards™ and with MT-350 & MT-250 Breastboards with a special adaptor Plate. Contact your account representative for more Timo options.
Timo - Set of 6
MTTIMO
Timo w/Lexan Plates - Set of 6
MTTIMOL
Timo Size A (red)
MTTIMOA
Timo Size B (green)
MTTIMOB
Timo Size C (blue)
MTTIMOC
Timo Size D (brown)
MTTIMOD
Timo Size E (yellow)
MTTIMOE
Timo Size F (grey)
MTTIMOF
Silverman Headrests With a Silverman, no transmission correction is necessary for most high-energy beams. Silverman headrests can be purchased individually or in sets of six with six various sizes. Silverman headrest shape may vary. Compare with any existing Silverman Headrest to ensure that the proper fit is reproduced for treatment cycle.
MRI le
Compatib
A
D
E
B
F
C
Compatible with: Uni-frame baseplates, Type-S™ Baseplates and all Wing Boards.
Silverman - Set of 6
MTSILVER2
Contact your account representative for more Silverman options.
Silverman Headrest A
MTSILVER2A
Silverman Headrest B
MTSILVER2B
Silverman Headrest C
MTSILVER2C
Silverman Headrest D
MTSILVER2D
Silverman Headrest E
MTSILVER2E
Silverman Headrest F
MTSILVER2F
Posifix Supine Headrests ®
Posifix headrests are made of low density polyethylene foam, in five colors. The red cushion positions the head with the neck straight to prevent anterior curving of the spinal cord in the treatment field. The black cushion is used for neck tumors and has the same curvature but is extended in the caudal direction. The yellow and white cushions enable the chin to be more or less extended to move the oral cavity and mandible out of the radiation field, or to obtain a cranial field border which avoids the orbit (ear and parotid treatment). The blue cushion allows the chin to be fixed towards the breast. Compatible with: Posifix, Positilt & Posirest Baseplates and the C-Qual Breastboard. Compatible with Uni-frame Baseplates and the Variable Axis Baseplate via the Adapter Cushion 301016 (see page 40). Compatible with Type-S Baseplates and Wing Boards via that Posi-S Adapter (see page 40).
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MRI le
Compatib
Posifix Headrest - Set of 5
305000
Posifix Headrest - Black
301001
Posifix Headrest - Red
301002
Posifix Headrest - Yellow
301003
Posifix Headrest - White
301004
Posifix Headrest - Blue
301005
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Cranial Stop Headrest - Coming Soon! CIVCO’s new Cranial Stop Headrest offers improved superior-inferior repositioning of the patient for head and neck setups. The enhanced cranial form provides a morecontoured fit of the patient, resulting in a more efficient, longitudinally- accurate setup of the patient. The headrest attaches to the baseplate’s two positioning pins, in the same manner as a standard Silverman. Contact your account representative for availability.
MRI le
Compatib
Compatible with: Uni-frame baseplates, Type-S™ Baseplates and all Wing Boards.
39 Head & Neck Positioning
Posifix Contoured Headrests As an alternative to standard supine headrests, we offer three contoured headrests in the same curvature as the standard red, yellow and white headrests. The contoured headrests are wider and higher and completely surround the back of the head, reducing lateral, longitudinal and rotational movement during setup and treatment.
MRI le
Compatib
Compatible with: Posifix, Positilt & Posirest Baseplates and the C-Qual Breastboard. Compatible with Uni-frame Baseplates and the Variable Axis Baseplate via the Adapter Cushion 301016 (see page 40). Compatible with Type-S Baseplates and Wing Boards via that Posi-S Adapter (see page 40). Contoured Headrests - set of 3
301234
Contoured Headrests - orange
301022
Contoured Headrests - yellow
301023
Contoured Headrests - white
301024
Posifix Prone Headrest The Prone Headrest is specially designed for treatments of cranial lymphatic nodes or brain tumors with the patient in the prone position. The 3-D shaped contour supports chin and forehead and therefore assists in creating a reproducible and comfortable position.
MRI le
Compatib
Compatible with: Posifix, Positilt & Posirest Baseplates and the C-Qual Breastboard. Compatible with Uni-frame Baseplates and the Variable Axis Baseplate via the Adapter Cushion 301016 (see page 40). Compatible with Type-S Baseplates and Wing Boards via that Posi-S Adapter (see page 40). Prone Headrest
301025
Wide Headrest A Wide Headrest is available for use with breastboards.
MRI le
Compatib
Compatible with: C-Qual and Posiboard-2 Breastboards, Posirest & Thorawedge.
Wide Headrest
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301008
WWW.CIVCO.COM
Posifix Pediatric Headrests Pediatric headrests are designed for use with pediatric patients. A prone headrest and a supine headrest are each available in bright and glossy colors.
MRI le
Compatib
Supine Headrest - Compatible with all Posifix, Positilt and Posirest Baseplates and the C-Qual Breastboard. Compatible with Uni-frame Baseplates and the Variable Axis Baseplate via the Adapter Cushion (see below). Compatible with Type-S, baseplates and Wing Boards via the Posi-S Adapter (see below).
Head & Neck Positioning
40
Prone Headrest - Compatible with all Posifix Baseplates as well as Uni-frame baseplates and the Variable Axis Baseplate using an adapter cushion 301016 or Posi-S Adapter (see below). Compatible with Type-S baseplates via the Posi-S Adapter (see below).
Pediatric Supine Headrest
301026
Pediatric Prone Headrest
301027
7° Wedge
107107
Posifix Carbon Fiber Wedge The Carbon fiber wedge provides versatility with Posifix baseplates. The wedge has a 7° angle and can be used for hyperextension of the neck. Compatible with: Posifix and Posirest Baseplates.
Cushion Adapters The use of headrests and wedges from the Posifix line is not limited to use with the Posifix positioning system. Adapter cushions are available enabling these headrests to fit other baseplates. The 301016 Cushion Adapter is compatible with all Uni-frame® Baseplates and the Variable Axis Baseplate. Contact your account representative to verify compatibility.
Posi-S Adapter
MRI le
Compatib
Adapter shown at left
301015
Adapter shown at right
301016
Posi-S Adapter
301028
The Posi-S Adapter provides a solution for utilizing any Posifix headrest on Type-S™ Baseplates, the Variable Axis Baseplate, Uni-frame baseplates and Wing Boards. The adapter is constructed of carbon fiber providing durability and low attenuation.
Shims CIVCO offers a variety of shims for use with our different headrests and systems.
Shim, Silverman Shim, Timo Shim, Type-S Head-Only Shim, Type-S Head & Shoulders
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MTSHIMS MTSHIMT MTSHIM01 MTSHIM01S
WWW.CIVCO.COM
Headrest Storage Convenient wall rack for storing headrests. Compatible with Timo, Silverman and all headrests and wedges from the Posifix line.
41
This wedge shaped cushion supports the shoulders and upper body of the patient. When placed over the Posifix®-1 or -2 baseplate, the contours of the baseplate hold the cushion firmly in place assisting in ensuring a reproducible setup of the patient throughout the total course of treatment. Used in combination with a 7˚ wedge, it will provide a hyperextension position of the patient. It can also be used with the Prone Head Support to straighten the spinal axis.
MRI le
Compatib
Shoulder Support Cushion
Compatible with Posifix-1 or -2 Baseplates.
013107
301040
Couchtop Cover The Couchtop Cover is a comfortable elevation mat that fits directly to the slope of the Posifix or Posirest™ Baseplate. It has the same thickness as the Posifix and Posirest baseplates and the cranial side has a negative slope that adapts to the baseplate and avoids a gap between the baseplate and the couchtop cover. Covers are available in 120 and 46cm lengths.
MRI le
Compatib
Compatible with all Posifix and Posirest Baseplates.
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120 x 46cm Cover
301090
46 x 46cm Cover
301091
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Head & Neck Positioning
Headrest Storage
Shoulder Support Cushion
Custom Headrests AccuForm™ Cushions
Head & Neck Positioning
42
AccuForm Cushions are ideal for high-precision head and neck treatments when enhanced comfort, stability and repositioning accuracy are key. This soft, clothcovered pillow is filled with tiny beads coated in water-curable resin. When sprayed with water, the cushion becomes pliable, allowing it to be formed to the patient’s specific anatomical contours, including custom pitch and rise. After a few minutes the cushion forms a rigid, yet comfortable custom mold. The 15 x 20cm cushion is ideal for filling in gaps under a patient’s head and neck on a standard headrest such as a Silverman while the 20 x 25cm can be used as a stand alone cushion. Single patient use.
AccuForm Positioner
MTACL001
An AccuForm Positioner is also available for indexing an AccuForm cushion to Uni-frame® and Type-S™ baseplates. MRI le
MRI le
Compatib
Type-S AccuForm
MRI le
Compatib
MTACLTYPES1
Head & Neck Vac-Lok™ Cushions
Compatib
20 x 25cm AccuForm
MTACL14242
20 x 45cm AccuForm
MTACL2045
40 x 60cm AccuForm
MTACL4060
60 x 60cm AccuForm
MTACL6060
15 x 20cm AccuForm
MTACL1520
MRI le
Compatib
Vac-Lok custom-formed vacuum cushions provide comfortable support of the head and neck as well as the upper shoulders. Filled with tiny polystyrene beads, the cushion forms a rigid mold when a vacuum is pulled. The versatile system can be used to create a patient specific cradle, and is reusable after the patient treatment cycle is complete. Vac-Lok cushions are available in a variety of shapes and sizes in both polyurethane or nylon finishes. The nylon Type-S cushion is indexable.
See pages 66-67 for more information on Vac-Lok cushions.
50 x 70cm “T” Vac-Lok Cushion
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MTVL37
Type-S Vac-Lok Cushion
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MTVLTYS01CX
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Individual Head Support CIVCO’s Individual Head Support provides customized head and neck positioning during radiation therapy treatment and diagnostic procedures. Using specially shaped impression foam combined with fabric-coated thermoplastic, the Individual Head Support gives clinicians the power to customize position and support to each patient. The Individual Head Support has been used with traditional thermoplastic masks, as well as with more rigid head frames, to deliver stereotactic radiation therapy as well as stereotactic radiosurgery.
Features • Assists in maximizing fixation, stability and comfort while minimizing longitudinal, lateral and rotational movement of the patient
• Available for use with Type-S™ or Posifix® baseplates • Available in both normal or hyperextension shapes Impression Foam
Thermoplastic
Hyperextension
Formed Individual Head Support Normal
Individual Head Support, Type-S Normal
MTIHS03
Individual Head Support, Posifix Normal
MTIHS01
Individual Head Support, Type-S, Hyperextension
MTIHS04
Individual Head Support, Posifix, Hyperextension
MTIHS02
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43 Head & Neck Positioning
• Stable and compact due to thermoplastic top sheet and solid foundation in holder and ground plate
Specialty Systems Precise Bite™ Patient Re-Positioner The Precise Bite attaches easily to a thermoplastic cast and conforms to the teeth and/or maxilla, decreasing head and neck rotation, flexion and extension. The Precise Bite with tongue depressor assists in tongue displacement and provides an airway opening for easy breathing. Precise Bites are sold in packages of 5.
Head & Neck Positioning
44
The positioner softens in warm water, then comfortably conforms to the patient’s dental contours. After the dental positioner is set, a thermoplastic cast is pulled over the patient, and the Precise Bite docking plate simply snaps on top to secure the Precise Bite to the mask. The Precise Bite is compatible with Uni-frame®, Type-S™ and Posicast® thermoplastics. The Precise Bite warmer allows you to soften a Precise Bite without a microwave or a large water bath.
Precise Bite Standard, Qty. 5
MTCBPBITE
Precise Bite Small, Qty. 5
MTCBPBITES
Precise Bite with Tongue Depressor, Qty. 5
MTCBPBITETD
Precise Bite Small with Tongue Depressor, Qty. 5
MTCBPBITETDS
Warmer, 110 volt
MTCBPBITEWRM
This product has not been CE marked. Available in 110 volt only.
Shoulder Retractor The Shoulder Retractor is often used with thermoplastic-based fixation systems. Retraction is especially beneficial for shoulder clearance when opposing lateral fields are used to treat the neck. The Shoulder Retractor is constructed of PVC plastic with a large footboard and nylon tension ropes with ball-in-socket locking that allows for reproducible tension in 1/2” increments. It is available with Handle Grips, Sherpa Wrist Loops or washable Nylon Wrist Loops.
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Retractor with Handle Grip
MTSR01
Retractor with Sherpa Wrist Loops
MTSR02
Retractor with Sherpa & Nylon Wrist Loops
MTSR03
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Breast & Thorax Positioning The Importance Patient positioning and immobilization for treatment of the thorax, abdomen and breast range from simple positioning devices to mechanical, raised arm systems all designed to improve accuracy, reproducibility and improve patient comfort.
Why CIVCO Breast & Thorax Positioning
45 Breast & Thorax Positioning
CIVCO’s breast and thorax solutions include prone and supine breastboards and wing boards. All breast and thorax positioning products are designed to provide repeatable patient positioning and superior patient comfort. CIVCO’s New Horizon Prone Breastboard is CT and MRI compatible, making it easy to go from simulation to planning to treatment. All of our breast and thorax solutions are easy for clinicians to implement and provide patients with a comfortable treatment experience.
C-Qual Breastboard
New Horizon Prone Breastboard
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Breastboard Decision Guide
Breast & Thorax Positioning
46
C-Qual
MT-350
Posiboard-2
MT-250
Thorawedge
Recommended Breast Treatments
IMRT, IGRT, 3D-CRT
IMRT, IGRT, 3D-CRT
IMRT, 3D-CRT
Conformal, 3D-CRT
Conformal, 3D-CRT
Elevation Angle Options
5, 7.5, 10, 12.5, 15, 17.5, 20, 22.5 & 25°
2.5, 5, 7.5, 10, 12.5, 15, 17.5, 20 & 25°
5, 7.5, 10, 12.5, 15, 20, 22.5 & 25°
5, 10, 15 & 20°
5, 10, 15° additional 5 or 10° wedges available
Arm Support Options
C-Qual Advanced Arm Bi-Axial Arm & Wrist Supports Support System, Delrin Hand Grips, Wing Boards
Height Adjustable Arm Supports, Rigid Adjustable Arm Supports, Cranial Arm Support
Bi-Axial Arm & Wrist Support System, Delrin Hand Grips, Wing Boards
Comfortable Foam Arm Rest
Headrest Options Wide Headrest,
Round Head Cup, Posifix Supine Gel Head Cup, Timo Headrests, Contoured Headrests Headrests
Wide Headrest, Round Head Cup, Posifix Supine Gel Head Cup, Timo Headrests, Contoured Headrests Headrests
Wide Headrest, Posifix Supine Headrests, Contoured Headrests
Thermoplastic Options
Standard & Standard & IMRT Breast IMRT Breast Thermoplastics, Head Thermoplastics & Neck Posicast Thermoplastics (PR33, PR3 & PR44)
Head & Neck Posicast Standard & Thermoplastics IMRT Breast (PR33, PR3 & PR44) Thermoplastics
N/A
C-Qual Breastboard
MT-350 Breastboard
MT-250 Breastboard
Thorawedge
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Posiboard-2 Breastboard
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C-Qual™ Breastboard The C-Qual is a revolutionary breastboard, combining the latest in IGRT-enabling design with an enhanced emphasis on patient comfort. Designed with both the clinician and patient in mind, the C-Qual’s advanced features bring new efficiencies to breast setup and treatment. The Sure-Set angulation support provides quick, secure elevation, while the C-Qual’s ergonomic design delivers a new level of patient comfort. The low-attenuating properties of the C-Qual provide a homogeneous treatment zone - ideal for the imaging demands of IGRT. The C-Qual is light, making it the clinician’s choice for efficient setup and easy handling in today’s busy departments.
Features • “Sure-Set” elevation supports angles from 5 to 25˚ in nine steps • Low-attenuating IGRT treatment zone • Advanced arm supports, with no interference in the superclavicular region • Docking for head & neck Posicast® thermoplastics (for COPD patients)
• Comes with a special wide headrest (see page 39) • Compatible with breast support thermoplastic
C-Qual Breastboard
MT400
C-Qual Breastboard (European Customers Only)
109500
See page 52 for more information on compatible breast thermoplastics. The C-Qual is compatible with PR33, PR3 and PR44 head & neck Posicast thermoplastics, see pages 32-33 for more information. See pages 38-40 for information on compatible headrests. Sure-Set elevation supports angles from 5 to 25˚ in nine steps.
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C-Qual Storage
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013156
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47 Breast & Thorax Positioning
• Indexable for efficient, accurate setup
MT-350 and MT-250 Breastboards MT-350 Breastboard The MT-350 carbon fiber breastboard features carbon fiber grid treatment panels for rigid support for the bi-lateral treatment windows. The breastboard’s carbon fiber construction makes it lightweight and “treatment field friendly” with low attenuation coefficients. The breastboard features a positive locking angulation system offering angles in 2.5˚ increments from 0 to 20˚ and an angle of 25˚. The hip stop is indexable to ten locations and prevents patients from sliding down the board. The MT-350 Breastboard is CT compatible and accepts a wide variety of arm supports and headrests providing you versatile setup options.
See page 52 for compatible breast support thermoplastics.
Features • Light weight and ‘treatment field friendly’ • Angles in 2.5˚ increments from 0 to 20˚ and an angle of 25˚ • CT Compatible • Wide variety of arm supports and headrests
48 Breast & Thorax Positioning
• Compatible with Standard, Extended and Tapered Wing Boards
MT-350 Carbon Fiber Breastboard (includes round head cup and hip stop) Gel Head Cup and Arm and Wrist Supports sold separately.
MT350N
MT-350 Wall Storage Device
MT350WSD
MT-250 Breastboard The MT-250 Composite Breastboard has maintained popularity due to its ease of use, setup flexibility and patient comfort. The breastboard features “radiation friendly,” rigid, carbon fiber grid treatment panels for a full range of treatment angles with minimum attenuation. The vinyl-covered hip pad offers comfort and prevents patients from slipping down the angled board. Various arm support and headrest options are available. The wedge elevation system comes with three wedges offering elevation angles at 5, 10, 15 and 20˚. It comes with a round head cup. Real Solutions. Right Now.
MT-250 Composite Breastboard 16” wide (includes round head cup) arm supports sold separately
MT250WN
MT-250 Composite Breastboard 18” wide (includes round head cup) arm supports sold separately
MT250WC
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MT-350 and MT-250 Accessories Round Head Cup
Gel Head Cup
Timo Headrests
The vinyl covered foam round head cup comes standard on the MT-350 and MT250 Breastboards. It indexes to any of the numbered positions on the top of the breastboards.
The doughnut-shaped gel head cup provides enhanced patient comfort. It features a baseplate that indexes to any of the numbered positions on the top of the breastboards.
Compatible with: MT-350 & MT-250
Compatible with: MT-350 & MT-250
Timo Headrests are constructed of durable polyurethane foam with a washable coating. Three various heights and contours offer a range of neck angulations. They are available with an adapter for use with breastboards.
Compatible with: MT-350 & MT-250
49 MT250SUB4
Gel Head Cup
MT250SUB5 Timos w/breastboard adapter plate set of three - sizes, B, D & F
MTTIMOBB
Adapter Plate Only
MT350400
Bi-Axial Arm Support System™
Delrin Hand Grips
Wing Boards
The Bi-Axial Arm Support System includes both an arm and wrist support for comfortable and reproducible positioning for the upper and lower arm. The padded supports index to a variety of reproducible positions.
Delrin Hand Grips provide an affordable option for quick patient setups for overhead arm positioning.
The Extended, Standard and Tapered Wing Boards can be mounted to the MT-350 and MT-250 Breastboards for additional arm support. See page 54 for more information on Wing Boards.
Compatible with: MT-350 & MT-250
Compatible with: MT-350 & MT-250
Compatible with: MT-350 & MT-250
Right Arm Support
MTTASR
Left Arm Support
MTTASL
Wrist Support
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Delrin Hand Grips
MT2504
MTTWSS
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Breast & Thorax Positioning
Round Head Cup
Posiboard™-2 Breastboard & Thorawedge Posiboard-2 Breastboard The Posiboard-2 Breastboard is a complete solution for the positioning of breast patients. Made of a low density foam core covered in an ultra-thin layer of carbon fiber, it allows the beam to pass through the Posiboard-2 from any angle with minimal attenuation. The Posiboard-2 can be positioned at eight angles, and accommodates several comfortable and adjustable arm support options. When the Posiboard-2 is not in use it can hang on the wall with the supplied wall-mount plate.
Breast & Thorax Positioning
50
Posiboard-2 Breastboard (includes a wide headrest, cranial arm support, 2 - rigid adjustable arm supports (106015) and couchtop fixation)
109030
Thorawedge The Thorawedge is a unique positioning device allowing the patient to incline at multiple fixed angles. The system consists of two wedges (5 and 10˚) and a comfortable arm support. The wedges can be used separately or combined to reach a 15˚ angle. Additional 5˚ wedges can be added to form 20 and 25˚ angles. When combined, parts are integrated with positioning notches. The arms are positioned above the head for an easy fit through the CT aperture. The comfortable headrest and lumbar support can be indexed, assuring a reproducible patient position throughout the course of treatment. Large side cut-outs allow for a full range of treatment angles. The Thorawedge creates a comfortable position during diagnostic procedures. The Thorawedge was co-developed with the Department of Radiotherapy of the University Medical Center in Utrecht, The Netherlands.
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Thorawedge
301080
Additional 5˚ Wedge
301081
Additional 10˚ Wedge
301082
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Posiboard™-2 & Posirest™-2 Accessories Rigid Adjustable Arm Support
Height Adjustable Arm Support
Cranial Arm Support
The Rigid Adjustable Arm Support has a fixed height that is perfect for use with the cranial arm support. Because it is made of carbon fiber and has no hinges, it is extremely rigid and supports the arms of heavy patients. The comfortable padded arm cup is rotatable and it supports the upper arm regardless of which of the five different angle settings is used. For larger patients, this arm support is available with a large arm cup.
The Height Adjustable Arm Support features a rotatable arm cup and three indexable height options for added patient comfort.
A comfortable position of the forearms is achieved with a cranial arm support. It can be combined with the Rigid Adjustable Upper Arm Support to provide a complete arm support system.
51
Height Adjustable Arm Support (2)
106017
106016
Not included with part number 109030.
Rigid Adjustable Arm Support (2)
106015
Rigid Adjustable Arm Support Large (2) (not included with part number 109030)
106047
Wide Headrest Both the C-Qual and Posiboard-2 Breastboards come with a special, wide headrest.
Wide Headrest
Real Solutions. Right Now.
301008
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Breast & Thorax Positioning
Cranial Arm Support
Breast Support Thermoplastic Thermoplastic breast positioning is primarily intended to hold the breast up and away from the chest wall, reducing both skin folds and unwanted radiation dose into the patient’s lung and heart. Breast Support Thermoplastic assists in repositioning the breast for treatment.
Step-by-Step 1. Soften thermoplastic in the waterbath as instructed in the instructions for use.
Standard Thermoplastic
Breast & Thorax Positioning
52
These thermoplastics for breast positioning require two reusable handles that mount to the MT-350, MT-250 and C-Qual Breastboards. They are available in Standard Perforated and IMRT Reinforced perforation styles.
2 IMRT Reinforced Breast Thermoplastic
Perforation Type
Thickness
Part Number
Standard Perforated - White, Qty. 1
2.4mm
MTRFX9182.4
Standard Perforated - White, Qty. 1
3.2mm
MTRFX918
IMRT Reinforced Thermoplastic - White, Qty. 1
2.4mm
MTRFI9182.4
IMRT Reinforced Thermoplastic - White, Qty. 1
3.2mm
MTRFI918
Reusable Handles, Qty. 2
-
MTRFH2
3
2. Starting with the affected side, attach one handle of the softened thermoplastic to the breastboard as your assistant pulls the opposite handle to the other side. 3. Stretch the thermoplastic over the patient, using both hands to cup the breast, shaping it into the desired treatment position.
How do breast thermoplastic systems compare to a treatment brassiere? Breast thermoplastics help lift and custom-shape the affected breast up off the chest wall, reducing skin reaction and unwanted radiation dose to the patient’s lung. The treatment brassiere positions the breast similarly, but is not a custom fit and is not affixed in a reproducible point to the breastboard. 4
5
Method A
4. Attach the second thermoplastic handle to the breastboard. Continue to mold the thermoplastic around the affected breast, taking care to form the sheet to the sternum.
With the patient in treatment position on the breastboard, tape the breast into the original treatment position. Attach the thermoplastic handle to the breastboard on the affected side, then bring the sheet up and around the breast, taking time to carefully shape the breast back into position. Attach the opposite handle to the breastboard.
5. Use the thermoplastic to compress the contralateral breast out of the treatment field.
Tips for Daily Breast Repositioning with Thermoplastics
Method B Ask the patient to stand beside the table and lean forward. In this position, use the thermoplastic cast to “capture” the breasts. Lay the patient onto the breastboard, holding the cast in place around the chest. Attach the thermoplastic handles to the breastboard, repositioning breasts as needed.
6. Allow the thermoplastic to cool completely. For additional repositioning, outline the areola mammae of the affected breast onto the thermoplastic sheet. Note: Pink thermoplastic is no longer available.
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New Horizon™ Prone Breastboard CIVCO’s New Horizon Prone Breastboard assists in providing comfortable, reproducible patient positioning for prone breast treatments. The modular design and variety of accessories for the New Horizon allows you to customize your patient setups including overall height adjustments.
Features • Height adjustable, indexable prone face cushion • Indexable hand placement options, including asymmetrical options for patient comfort • Treatment opening is past midline for medial field edge visualization
New Horizon Prone Breastboard
MTHPBB01
• Bridge attachment option for inferior immobilization with the use of a Clam-Lok™ Cushion or for the Laser-Lok™ attachment to assist in verifying patient position relative to the device • Indexable • Laser locator can be placed inferior to show patient position relative to the device
Patient Handles (included with MTHPBB01)
Contralateral Wedge with Movable Tray (included with MTHPBB01)
Head Cushion Covers (Qty. 50)
Laser Locator
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MTHPBB103
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ELL002
New Horizon with SBRT Bridge and Clam-Lok Cushion
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53 Breast & Thorax Positioning
• A variety of wedges are available for the contralateral breast to assist in proper patient positioning, options include a wedge with a cavity for excess tissue and a wedge with a scoop feature to slide excess tissue laterally, away from the treatment field
Wing Boards™ & Posirest™-2 Standard Wing Board
Tapered Wing Board
Extended Wing Board
The Standard Wing Board is 22.5” (57cm) wide, constructed of durable, lightweight ABS and features Delrin post hand grips. It is CT compatible and indexable for enhanced reproducibility from imaging through treatment. It easily attaches to the MT-350 and MT-250 breastboards.
The Tapered Wing Board is 22” (55.9cm) wide and has angled wings providing patient comfort and support. Its narrow profile is ideal for CT and PET bores. It is available with a T- or U-Grip Handle. It easily attaches to the MT-350 and MT250 breastboards.
The Extended Wing Board is 22.5” (57cm) wide, constructed of durable, lightweight ABS and can be used with a T- or U-Grip handle. Its extended length allows for additional arm positioning flexibility. It is CT compatible and indexable for enhanced reproducibility from imaging through treatment. It easily attaches to the MT-350 and MT-250 breastboards.
Breast & Thorax Positioning
54
Standard Wing Board
MTWB09
Tapered Wing Board w/T-Grip
MTWB10T
Tapered Wing Board w/U-Grip (shown)
MTWB10U
Additional Grip Options Both the T-Grip and the U-Grip are available individually. Compatible with the Extended and Tapered Wing Boards.
T-Grip
MTGBSUB1
U-Grip
MTGBSUB3
Extended Wing Board w/T-Grip (shown)
MTWB08T
Extended Wing Board w/U-Grip
MTWB08U
Posirest-2 The Posirest-2 Arm Support is designed to create proper and comfortable upper extremity positioning. The Posirest-2 consists of a carbon fiber baseplate with a comfortable headrest. The arms may be positioned above the head with a high arm support – or cranially with the cranial arm holder combined with two upper arm supports. All arm supports can be adjusted in several positions and are fitted with comfortable padding.
See page 31 for storage options. See page 51 for Arm Support options.
Posirest-2 (includes: Posirest Carbon Fiber Baseplate, Wide Headrest, High Arm Support, Cranial Arm Support and 2 Rigid Adjustable Arm Supports)
106521
Posirest-2 Large Cups (includes: Posirest Carbon Fiber Baseplate, Wide Headrest, High Arm Support, Cranial Arm Support and 2 Rigid Adjustable Arm Supports with Large Arm Cups)
106522
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Breast & Thorax Vac-Lok™ Cushions
MRI le
b Compati
Vac-Lok cushions form a custom mold of a patient’s anatomical contours and can easily be reinflated and remolded. Cushions are available in two durable finishes: clear urethane and blue nylon. Blue nylon cushions are reinforced and can be ordered with indexing bars attached.
See pages 66-67 for more information on Vac-Lok cushions.
55 Breast & Thorax Positioning
Arms up, 105cm long - Urethane Arms up, 105cm long - Nylon Arms up, 105cm long - Nylon w/ indexing
MTVLARM02 MTVLARM02C MTVLARM02FC
Arms up, 75cm long - Urethane Arms up, 75cm long - Nylon Arms up, 75cm long - Nylon w/ indexing
MTVLARM01 MTVLARM01C
Wing Board Cushion - Urethane
MTVLWGB03
Wing Board Cushion - Nylon
MTVLWGB03C
Breastboard Cushion - Nylon
MTVLBRB01C
MTVLARM01FC
MTVLARM01FC is a special order product, contact your account representative for lead time.
One Arm Up - Urethane One Arm Up - Nylon
T-Shape Cushion - Nylon
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MTVL04 MTVL04C
This is a special order product, contact your account representative for lead time.
MTVL0017
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Breast Accessories Treatment Brassiere The Treatment Brassiere positions the ipsilateral breast into a reproducible shape while moving the contralateral breast away from the beam. A complete library of 40 brassiere cups is available, with or without a portable storage caddy. Also available individually or in sets of five.
Breast & Thorax Positioning
56
Treatment Brassieres are available for both the left and right breast in the following sizes, 200, 250, 300, 400, 500, 600, 750, 1000, 1250, 1500, 2000, 2500 and 3000 mL. Intermediate volumes can be accommodated because the anterior portions of cups are cut off and tissues near the apex protrude. See chart at left for sizing guide. Left and right cups are not interchangeable.
40-cup Brassiere Library
MTBR100
40-cup Brassiere Library with Caddy
MTBR100TBC
Small Group - Left Brassiere (includes 200, 300, 400, 500 & 600 mL cups)
MTBR100SL
Small Group - Right Brassiere (includes 200, 300, 400, 500 & 600 mL cups)
MTBR100SR
Medium Group - Left Brassiere (includes 250, 500, 750, 1000 & 1250 mL cups)
MTBR100ML
Medium Group - Right Brassiere (includes 250, 500, 750, 1000 & 1250 mL cups)
MTBR100MR
Large Group - Left Brassiere (includes 500, 750, 1000, 1250 & 1500 mL cups)
MTBR100LL
Clothing Cup Size Observed Volume
Large Group - Right Brassiere (includes 500, 750, 1000, 1250 & 1500 mL cups)
A
94-225 mL
Extra Large Group - Left Brassiere (includes 1000, 1500, 2000, 2500 & 3000 mL cups)
MTBR100XLL
MTBR100LR
B
146-458 mL
Extra Large Group - Right Brassiere (includes 1000, 1500, 2000, 2500 & 3000 mL cups)
MTBR100XLR
C
267-835 mL
D
499-1120 mL
DD
988-1427+ mL
DDD
2756-3176mL
These products have not been CE marked.
Individual cups can be ordered by using the group number plus the volume number. Ex: MTBR100LL500
Breast Caliper This compact, lightweight caliper is easy to handle. The digital readout with “hold” feature faces the therapist, making it simple to read the measurements. Narrow jaws make it easy to place the caliper at medial and lateral skin markings when measuring for breast setups.
Breast Caliper
MTBCD This product has not been CE marked.
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Hip & Pelvic Positioning The Importance Patient positioning for the hip and pelvic region can be difficult due to organ motion and patient shape. Before choosing a pelvic or abdominal system, it is important to first determine which emphasis - re-positioning or immobilization - is most paramount to your setup needs. For instance, if your prostate treatments are performed under a daily image-guidance system, you may determine that immobilization is your primary goal, since realtime image acquisition and subsequent isocenter adjustments will account for much of the re-positioning. However, if daily imaging is not being performed, a repositioning system will be more important.
Why CIVCO Hip & Pelvic Positioning
Carbon Fiber Bellyboard
CIVCO has a variety of solutions for hip and pelvic positioning and fixation. Our Carbon Fiber and Contoura Bellyboards provide maximum treatment versatility along with customized bowel displacement for patient safety. The HipFix Baseplate and Thermoplastic system delivers comfortable immobilization to enhanced fixed fiducial targeting. Other CIVCO products aid in positioning and immobilization of the lower half of the body during radiation therapy.
57 Hip & Pelvic Positioning
HipFix Thermoplastic Positioning System
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Carbon Fiber Bellyboard The Carbon Fiber Bellyboard has been developed in order to reduce the irradiated small bowel volume of patients undergoing treatment in the pelvic region. For treatment fields including the pubic bone towards the third lumbar vertebra, reduction of the irradiated small bowel volume up to 64% (four field box technique) can be obtained. The Bellyboard is radiotranslucent, lightweight, rigid and indexable. For patient comfort the lower part of the Bellyboard has been adapted to support the upper legs. A soft polyethylene padding on the cranial side ensures a comfortable position for the head. The Bellyboard has two apertures: The caudal aperture (1) is for the positioning of the pubic bone The central part (2) of the device is for the compression of the small bowel in order to push the small bowel cranially towards the major aperture (3).
Positioning guidelines for patient set-up on the Bellyboard:
Hip & Pelvic Positioning
58
As a patient positions themselves on the Bellyboard they should start cranially and slide in the caudal direction. The pubic bone must be positioned in the caudal aperture for an optimal reduction of the small bowel volume. Fiducial markers are integrated in the bottom part of the device for patient setup verification. Clear scales on both sides of the Bellyboard allow easy verification of the longitudinal position of the patient.
Prone Thorax Support The Prone Thorax Support is designed to relieve chest compression during treatments in the prone position. It can be used as a stand alone patient support or as an option on the Bellyboard to allow large patients to be treated in the prone position in order to decrease the volume of irradiated small bowel.
Carbon Fiber Bellyboard Storage (not compatible with the Contoura)
Carbon Fiber Bellyboard
125012
Prone Thorax Support (sold separately)
301075
MRI le
Compatib
013140
See page 77 for MRI compatible version.
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Contoura™ Bellyboard The Contoura Bellyboard is made entirely of carbon fiber to provide maximum treatment versatility. Customized bowel displacement can be achieved with the use of three interchangeable padded inserts. This bellyboard is shorter than other models to allow for additional setup flexibility for various patient lengths with the Prone-Lok™ indexable cushion or the Pron-Pillo™.
59
No Portal
Hip & Pelvic Positioning
Contoura Bellyboard
MTBBCF
Small Portal
Prone-Lok Cushion is not included with the Contoura Bellyboard
Large Portal
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Positioning Cushions Prone-Lok™ Cushion The Prone-Lok Positioning Cushion enhances patient comfort through its specially designed foam construction. Its contoured corners eliminate shoulder impingement. The center portal opens the patient’s field of view improving patient comfort. The Prone-Lok cushion is indexable and can be used with the Contoura Bellyboard. Can be easily cleaned and reused.
Prone-Lok Positioning Cushion
MTPLC01
Pron-Pillo™ Cushion
Hip & Pelvic Positioning
60
The Pron-Pillo provides comfort and stability for patients in the prone position. It can be easily cleaned and reused.
Pron-Pillo
MTCB36
Dual Leg Positioner The Dual Leg Positioner provides a quick capture of the lower legs for supine hip and pelvic treatments. The system offers comfortable support and an increased level of positioning, reducing rotation of the pelvis. An optional Velcro® strap secures the calves and ankles. It is indexable for enhanced reproducibility. Can be easily cleaned and reused.
Dual Leg Positioner Dual Leg Positioner, Low
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MTDLI MTDLIZ
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Kneefix™ 2 & Feetfix™ 2 Kneefix 2
Low Kneefix 2
Kneefix 2 Elevation Blocks
The Kneefix 2 cushion contributes to better stability and reproducibility in the supine position, regardless of the target area. It promotes patient comfort and is therefore ideal for use during lengthy procedures on rigid surfaces. The Kneefix 2 is 16cm tall and is made of lightweight, closed cell foam that is easy to clean and is both two- and three-pin indexable.
The Low Kneefix 2 cushion is available for added setup flexibility. The Low Kneefix 2 is 4cm lower than the standard Kneefix 2. The Low Kneefix 2 is both two- and three-pin indexable.
The Kneefix 2 Elevation Blocks can elevate either the Kneefix 2 or Low Kneefix 2 by 5cm. The Kneefix fits in the topside of the elevation block and will not slide off. Elevation Blocks may be stacked to raise the legs even higher. The Kneefix 2 Elevation Blocks are both two- and three-pin indexable.
MRI le
MRI le
MRI le
Compatib
Compatib
Compatib
61 301047
Low Kneefix 2
301048
Elevation Block
301051
Elevation Block - Set of 3
301054
Indexing Holes
Feetfix 2
Storage Hook
The Feetfix 2 is a universal patient support cushion for radiotherapy and diagnostic procedures and has been designed to provide comfortable positioning with enhanced immobilization. The Feetfix 2 is 18cm tall and is made of lightweight, closed cell foam that is easy to clean. It is both two- and three-pin indexable.
This hook provides convenient wall storage for the Kneefix 2, Low Kneefix 2, Feetfix 2 and Couchtop Cover (page 41).
MRI le
Compatib
Feetfix 2
301066
Kneefix 2/Feetfix 2 Storage Hook
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013135
WWW.CIVCO.COM
Hip & Pelvic Positioning
Kneefix 2
Combifix™ Combifix The Combifix is a baseplate that indexes to the couchtop and combines the Feetfix and Kneefix. It is recommended that both cushions are used in combination, as each cushion enhances the performance of the other, especially when treating the pelvic region.
Hip & Pelvic Positioning
62 Combifix (Includes 1-Combifix Baseplate, 1-Kneefix 2, 2-Kneefix 2 Elevation Blocks, 1-Feetfix 2 & 1-Feetfix Couch Support)
151002
Combifix Storage
013115
Shoulder Retractors (includes 2 short and 2 long shoulder retractors)
302070
Feetfix Couch Support Storage
013103
Shoulder Retractors This shoulder retractor system consists of straps in two different lengths with hand grips that can be attached in five positions on the Feetfix Couch Support. This allows the shoulder retractor to be adjusted at ten positions. With the shoulder retractor the shoulders can be pulled down during radiotherapy simulation and treatment sessions where opposed lateral fields are used in the neck area. The shoulder retractor can be used with the Feetfix Couch Support alone or the whole Combifix system.
Feetfix™ Couch Support The Feetfix Couch Support positions the Feetfix at indexed positions and allows the Feetfix to be tilted at four different angles. The Feetfix Couch Support can be purchased separately from the Combifix and is two-pin indexable.
Feetfix Couch Support
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302067
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HipFix® The HipFix hip and pelvis immobilization system utilizes a single sheet of thermoplastic over the entire abdomen and pelvis region. The versatile system accommodates both prone and supine patient setups. The HipFix system provides immobilization to enhance fixed fiducial targeting. The HipFix baseplate features a cutout treatment window. The baseplate can be indexed to the couchtop. A Vac-Lok or RediFoam cushion can be integrated to the HipFix for added comfort, support and repositioning accuracy. MRI le
Compatib
An MRI compatible HipFix baseplate is available, see page 77.
HipFix Baseplate
MTPLVC04
HipFix Baseplate - MRI Compatible
MTPLVCMR
HipFix Thermoplastics HipFix Thermoplastics are available with reloadable or disposable handles with solid, standard perforated or IMRT Reinforced™ perforation styles. The handles and groin piece secure to the HipFix board providing an indexable setup. They are sold in boxes of 5.
Groin Piece for use with disposable thermoplastics
Hip & Pelvic Positioning
Reloadable Handles (2) & Groin Piece
63
MTPLHA01 MTPLVCSUB8
Standard Perforated Thermoplastic
Perforation
Handle Type
Dimensions Thickness Part Number
Solid
Reloadable
18 x 22”
3.2mm
MTHFX1822S
Solid
Reloadable
18 x 22”
2.4mm
MTHFX18222.4S
Solid
Disposable (groin piece sold separately)
18 x 22”
3.2mm
MTPLHA0201
Perforated
Reloadable
18 x 22”
3.2mm
MTHFX1822
Perforated
Reloadable
18 x 22”
2.4mm
MTHFX18222.4
Perforated
Disposable (groin piece sold separately)
18 x 22”
3.2mm
MTPLHA0202
IMRT Reinforced Reloadable
18 x 22”
3.2mm
MTHFI1822
IMRT Reinforced Reloadable
18 x 22”
2.4mm
MTHFI18222.4
Disposable (groin IMRT Reinforced piece sold separately)
18 x 22”
3.2mm
MTPLHAI0203
All HipFix Thermoplastics are sold in packages of 5.
IMRT Reinforced Thermoplastic
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Hip & Pelvic Vac-Lok™ Cushions
MRI le
b Compati
Vac-Lok cushions form a custom mold of a patient’s anatomical contours and can easily be reinflated and remolded. Cushions are available in two durable finishes: clear urethane and blue nylon. Blue nylon cushions are reinforced and can be ordered with indexing bars attached.
See pages 66-67 for more information on Vac-Lok cushions.
Hip & Pelvic Positioning
64
75 x 100cm - Urethane 75 x 100cm - Nylon 75 x 100cm - Nylon w/indexing
MTVLPLV01 MTVLPLV01C MTVLPLV01FC
75 x 120cm - Urethane 75 x 120cm - Nylon 75 x 120cm - Nylon w/indexing
Split Leg Cushion - Nylon w/indexing (For use with the HipFix System)
MTVL71FC
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MTVLPLV02 MTVLPLV02C MTVLPLV02FC
80 x 100cm Hourglass - Nylon
MTVLPLV03C
Note: This is a special order product and is not kept in stock, contact your account representative for lead times.
European Office: +31(0)182 - 39 44 95
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Specialty Positioning Multifix™ The Multifix is a flexible system allowing arms and legs to be fixed in straight or bent positions, using small Posicast® precuts. These precuts are easily shaped to anatomical contours and are then fixed onto the baseplate on clearly indicated positions. The baseplate is indexable to ensure a reproducible setup. It features four sets of indexing holes to offer an isocentric position of the treated extremity wherever it is placed on the Multifix.
Small Multifix Posicast-Plus Microperfo Thermoplastic
930080
Large Multifix Posicast-Plus Microperfo Thermoplastic
930090
See pages 33-34 for more information on Posicast Thermoplastics. Multifix Baseplate - Carbon Fiber
107063
65 Miscellaneous Positioning
Diagnostic Vac-Lok Cushion
MRI le
Compatib
The Diagnostic Vac-Lok Cushion provides a quick and easy method for creating a custom patient positioning cradle. This comfortable cushion makes it easy for a patient to relax during lengthy imaging procedures. An optional head cushion provides additional stabilization of the head and neck. Reduced patient movement results in clearer images, maximizing the benefits of today’s advanced imaging technologies.
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Diagnostic Vac-Lok Cushion, Body Cushion
MTVLBIS001C
Diagnostic Vac-Lok Cushion, Head Cushion
MTVLBIS002C
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Vac-Lok™ Cushions
MRI le
b Compati
Easy-to-use, reusable Vac-Lok cushions are designed to meet the challenges of today’s radiotherapy and diagnostic imaging departments. Filled with tiny polystyrene beads, Vac-Lok cushions create a rigid, comfortable cradle around the patient when a vacuum is drawn through the quick-release valve. The quick-release valve is self-sealing. Vac-Lok cushions are available in two durable finishes, clear urethane and blue nylon - which is reinforced for resistance against punctures. Some styles of nylon cushions are also available with indexing for enhanced patient positioning. Both styles of Vac-Lok cushions are washable and reusable for ultimate cost-effectiveness. They are radiotranslucent, almost air equivalent, and available with treatment windows to avoid any possible buildup.
Rectangular Cushions
25 x 50cm cushion - useful for extremity positioning
Miscellaneous Positioning
66
100 x 200cm cushion - useful for full body positioning
Indexing battens provide an easy method for repositioning Vac-Lok cushions.
Dimensions
Fill
Finish
Part Number
25 x 50cm
2.25 Liters
Urethane
MTVLE2.25
25 x 50cm
2.25 Liters
Nylon
MTVLE2.25C
50 x 70cm
15 Liters
Urethane
MTVLF15
50 x 70cm
15 Liters
Nylon
MTVLF15C
50 x 70cm
15 Liters
Nylon w/indexing
MTVLF15FC
70 x 70cm
20 Liters
Urethane
MTVLJ20
70 x 70cm
20 Liters
Nylon
MTVLJ20C
70 x 70cm
20 Liters
Nylon w/indexing
MTVLJ20FC
70 x 100cm
35 Liters
Urethane
MTVLG35
70 x 100cm
35 Liters
Nylon
MTVLG35C
70 x 100cm
35 Liters
Nylon w/indexing
MTVLG35FC
70 x 100cm
40 Liters
Urethane
MTVLG40
70 x 100cm
40 Liters
Nylon
MTVLG40C
70 x 100cm
40 Liters
Nylon w/indexing
MTVLG40FC
75 x 100cm
28 Liters
Urethane
MTVLPLV01
75 x 100cm
28 Liters
Nylon
MTVLPLV01C
75 x 100cm
28 Liters
Nylon w/indexing
MTVLPLV01FC
75 x 120cm
34 Liters
Urethane
MTVLPLV02
75 x 120cm
34 Liters
Nylon
MTVLPLV02C
75 x 120cm
34 Liters
Nylon w/indexing
MTVLPLV02FC
75 x 150cm
50 Liters
Urethane
MTVLFBB01
75 x 150cm
50 Liters
Nylon
MTVLFBB01C
75 x 150cm
50 Liters
Nylon w/indexing
MTVLFBB01FC
75 x 180cm
62 Liters
Nylon w/indexing
MTVLFBB02FC
80 x 115cm
47 Liters
Nylon
MTVLPLV06
100 x 100cm
40 Liters
Urethane
MTVLB40
100 x 100cm
40 Liters
Nylon
MTVLB40C
100 x 100cm
40 Liters
Nylon w/indexing
MTVLB40FC
100 x 150cm
80 Liters
Nylon
MTVLA80C
100 x 200cm
120 Liters
Nylon
MTVLH120C
Parts highlighted in Purple are special order products not kept in stock, contact your account representative for lead times on these products. Real Solutions. Right Now.
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Non-Rectangular Cushions Dimensions
Fill
Finish
Part Number
Photo
Prone Cushion (Vac-Lok Cushion only)
15 x 26cm
0.355 Liters
Urethane
MTVL27A
See page 35
Prone Cushion (Vac-Lok Cushion only)
15 x 26cm
0.5 Liters
Urethane
MTVL27B
See page 35
Head & Shoulders “T” Cushion
50 x 70cm
6 Liters
Urethane
MTVL37
See page 42
“T” Cushion
87.5 x 140cm
25 Liters
Nylon w/indexing
MTVL14FC25
See Below
“T” Cushion
108 x 125cm
44 Liters
Nylon w/indexing
MTVL0017
See page 19
Type-S Cushion
61 x 65cm
8 Liters
Nylon
MTVLTYS01CX
See page 42
“L” Cushion
74 x 80cm
18 Liters
Urethane
MTVL0011
See Below
“L” Cushion
80 x 90cm
28 Liters
Urethane
MTVL0008
See Below
Arms Up Cushion
75 x 75cm
20 Liters
Urethane
MTVLARM01
See page 55
Arms Up Cushion
75 x 75cm
20 Liters
Nylon
MTVLARM01C
See page 55
Arms Up Cushion
75 x 75cm
20 Liters
Nylon w/indexing
MTVLARM01FC
See page 55
Arms Up Cushion
105 x 75cm
28 Liters
Urethane
MTVLARM02
See page 55
Arms Up Cushion
105 x 75cm
28 Liters
Nylon
MTVLARM02C
See page 55
Arms Up Cushion
105 x 75cm
28 Liters
Nylon w/indexing
MTVLARM02FC
See page 55
Breastboard Cushion
90 x 55cm
15 Liters
Nylon
MTVLBRB01C
See page 55
One Arm Up
100 x 80cm
34 Liters
Urethane
MTVL04
See page 55
One Arm Up
100 x 80cm
34 Liters
Nylon
MTVL04C
See page 55
Wing Board Cushion
88 x 55cm
15 Liters
Urethane
MTVLWGB03
See page 55
Wing Board Cushion
88 x 55cm
15 Liters
Nylon
MTVLWGB03C
See page 55
Hourglass Cushion
80 x 100cm
28 Liters
Nylon
MTVLPLV03C
See page 64
Split Leg Cushion 60 x 100cm 15 Liters Nylon w/indexing MTVL71FC See page 64 Parts highlighted in Purple are special order products not kept in stock, contact your account representative for lead times on these products.
“T” Cushion
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“L” Cushion
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67 Miscellaneous Positioning
Description
Vac-Lok™ Accessories Vacuum Compressors CIVCO’s Dual Function Vacuum Compressor provides both a vacuum and inflate cycle with a convenient hand control or foot control. It provides an audible alarm when your optimum vacuum level is reached. The pump is both Medical Grade and ETL tested and is available in a 115V and 230V version. This pump has been CE Marked. The Single Function Vacuum Compressor is a lower cost alternative. It provides a vacuum cycle only. To re-inflate a Vac-Lok cushion, simply detach the compressor and depress the end of the cushion valve. With the MTVL1BEX the hoses can be switched to provide an inflate cycle.
Dual Function, 115V
Single Function, 110V
Miscellaneous Positioning
Dual Function, 230V, Europe
MTVPEXA
Dual Function, 230V, Australia
MTVPEXC
Dual Function, 230V, UK
MTVPEXD
Dual Function, 230V, India
MTVPEXG
Dual Function, 230V, Israel
MTVPEXH
MTVL1A
This product has not been CE marked.
68
MTVP1
Single Function, 220V
MTVL1BEX
Vac-Lok Cleaner
Helping Hands™
Storage Racks
This disinfectant is available for use on Vac-Lok cushions.
The Helping Hands Cushion Manager is designed to help handle large-size VacLok cushions that tend to hang off the couch during the forming process.
These space saving racks hold molded & inflated cushions. Plastic “S” hooks are available for hanging cushions.
Vac-Lok Cleaner
Helping Hands - 100cm pair
MTCBPFC
This product is only available in the US.
MTVLHH100
This product has not been CE marked.
I.D. Tags Color-coded tags provide quick identification of patient cushions. Tags are available in assorted colors and include tie strings.
Storage Rack, Stacked Rail (shown)
MTVL3SR
Storage Rack, Double Wide
MTVL401
Storage Rack Shelf for MTVL401
MTVL403
Casters for MTVL401, Qty. 4 Tags - Pack of 25, Assorted Colors
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MTVLTAG
“S” Hooks, Qty. 10
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MTVL402 MTVLHOOK
WWW.CIVCO.COM
Positioning Cushions RediFoam™ Two-Part Positioning Foam
MRI le
Compatib
RediFoam two-part positioning foam is both CFC- and TDI-free. You can make setup marks directly onto RediFoam for verifiable repositioning throughout treatment. RediFoam is available in four sizes.
RediFoam - Small (for pediatrics or extremities) (includes 33 x 40” (83.8 x 101.6cm) RediFoam bag)
MTFA39B
RediFoam - Large (ideal for adults) (includes 39 x 46” (99.1 x 116.8cm) RediFoam bag)
MTFA40B
RediFoam - X-Large (30% more than large size) (includes 39 x 56” (99.1 x 142.2cm) RediFoam bag)
MTFA41B
This product is available in the US only and has not been CE marked.
69
Multi Purpose Support Cushions are exclusive closed cell PE foam which will not stain or absorb liquids. They are more firm than regular, coated support cushions. Six different shapes are sold separately or as a complete set. MRI le
Compatib
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Shape
Dimensions
Part Number
Rectangle
30 x 24 x 5cm
403024
15° Wedge
24 x 22 x 7cm
402422
45° Wedge
28 x 48 x 14cm
402848
45° Wedge
28 x 20 x 14cm
402820
Head Support
25 x 25 x 8cm
402525
Hand-Finger Positioner
13 x 13 x 8cm
401313
Set of all Six
-
400006
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Miscellaneous Positioning
Multi Purpose Support Cushions
Positioning Cushions MRI le
Foam Cushions & Wedges
Compatib
CIVCO offers a full line of foam positioning aids for comfortable patient support. Covered knee bolsters and wedges can be easily cleaned and reused.
Shape
Dimensions
Part Number
Rectangle
11 x 7 x 2” (27.9 x 17.8 x 5cm)
MTVIPFFF105C
Circle
6 x 1½” (15.2 x 3.8cm)
MTVIPFFF106C
Rectangle - Chest Positioner
14 x 24 x 2”(35.6 x 60.9 x 5cm)
MTVIPFFF402C
Rectangle - Chest Positioner 6.75” 17.1cm
Rectangle
55˚
9.75” 24.7cm
Rectangle Rectangle
6.75” 17.1cm
55˚
4” 4” 10.1cm 10.1cm
55˚
17.1cm6.75”
4” 4” cm 10.1cm
9.75” 9.75” 35˚ 24.7cm 24.7cm
11” 11” 20˚ 27.9cm 27.9cm
70
45˚
45˚
7” 17.7cm 35˚
7”
45˚
24”
7” 7” 17.7cm 17.7cm
24”60.9cm 9.75” 35˚ 17.7cm20˚ 60.9cm 6.75” 11” 24.7cm 55˚ 24” 20˚ 17.1cm 27.9cm 45˚ 60.9cm
7” 7” 7” 17.7cm 17.8cm 17.8cm
7” 17.8cm
9.75” 35˚ 35°/55°24.7cm Wedge
Miscellaneous Positioning
20˚
4”
55˚
17.1cm 10.1cm
45˚
MTVIPFFF101C 24” 60.9cm
10” 25.4cm 1.5”
55˚
45˚7” 7” 17.7cm 17.7cm
4”
27.9cm
11” 12.5” 27.9cm 31.7cm
25.4cm
45˚
24” 24” 3” 60.9cm 7.6cm 11” 60.9cm 24” 11”
27.9cm 60.9cm 27.9cm
45˚
15° Wedge
15˚
7” 7”
45˚
7” 6” 6” 15.2cm 12.5” 17.7cm 15.2cm 31.7cm 27˚
60.9cm
10”
27˚
45˚
10” 10” 45˚ 25.4cm 25.4cm
16.5cm 17.8cm 18” 24” 6” 6” 6” 6” 45.7cm 15.2cm 15.2cm MTVIPFFF107C 9” 27° Wedge 15.2cm 15.2cm 7.25”7.25” 60.9cm 22.8cm 18.4cm
45° Wedge 45˚
10” 10” 25.4cm 25.4cm
12.5”12.5” 31.7cm 31.7cm
18.4cm 18.4cm
12.5”12.5” 31.7cm 31.7cm
21” 21” 53.3cm 53.3cm
9” 22.8cm
24” 25.4cm 10” 25.4cm 60.9cm 25.4cm
25.4cm
1.5” 1.5” 3.8cm 3.8cm 11”
15” 38.1cm
22.8cm
20˚
7” 17.8cm
45° Wedge 5” 5”
15” 15” 38.1cm 38.1cm
MTVIPFFF205C
16” 40.6cm
30.5cm12.7cm 12.7cm
7” 7” 17.7cm 17.7cm
24” 60.9cm
15” 15” 38.1cm 38.1cm
9” 22.8cm
45˚
45˚
9” 9” 22.8cm
22.8cm 45˚
9” 7” 17.7cm 22.8cm 45˚
45˚
9” 22.8cm
MTVIPFFF104C
22
15” 38.1cm
7” 17.7cm
31.7cm
7” 45˚ 9” 17.7cm
15.2cm
6” 1.5” 15.2cm 3.8cm
5” 20° Wedge 12.7cm
12.5” 31.7cm
7” 17.8cm 7” 17.7c
10” 6” 25.4cm 7” 17.8cm 15.2cm
6” 9” 15.2cm 6”22.8cm
15.2cm
45˚
6” 15.2cm
6” 7.25” 18.4cm 7.25” 15.2cm 45˚
9” 18.4cm 12.5” 12.5” 21” 22.8cm 31.7cm 31.7cm 53.3cm 12.5” 21” 31.7cm 12.5”
53.3cm
21” 53.3cm Angled Bolster24” 53.3cm MTVIPFFF301C
31.7cm
6 15.2cm 7.25
18.4
7.25 18.416
15” 38. 38.1cm
60.9cm
6” 15.2cm 7.25” 7.25” 5” 7” 18.4cm 6” 6”45˚ 12.7cm 7.25” 18.4cm 7.25” 5” 15” 17.7cm 7” 7” 10” 45˚ 15” 15” 10” 15.2cm 6.5” 6” 6” 12.5”18.4cm 6” 15.2cm 12.5” 10” 18.4cm 7.25” 38.1cm 17.7cm 12.7cm 7.25” 21” 17.7cm 5” 15” 7” 38.1cm 25.4cm 38.1cm 25.4cm 16.5cm 31.7cm 5” 15” 6.5” 6.5” 15.2cm 15.2cm 15.2cm 31.7cm 6” 25.4cm 18” 6” 7.25” 10” 45˚ 18.4cm 7.25” 53.3cm 7.25” 18.4cm12.5” 38.1cm 17.7cm 12.7cm 5” 3” 16.5cm 12.7cm 38.1cm 16.5cm 45.7cm 25.4cm 18” 21” 15.2cm 15.2cm 18” 15” 7”15” 9” 18.4cm 18.4cm 15” 12” 7.25” 18.4cm 31.7cm 7.25” 12.7cm7.6cm 5” 45.7cm 12.5”12.5” 45˚ 45.7cm 53.3cm 38.1cm 7” 38.1cm 17.7cm 22.8cm 9” 16” 45˚ 1” 21” 38.1cm 7” 30.5cm 12” 15” 15” 18.4cm 7” 7” 15” 12” 7” 7” 12.7cm 24” 10” 18.4cm 7” 10” 9”22.8cm 15” 15” 31.7cm 12.5” 12.5” 31.7cm45˚ 12.5”16”16” 40.6cm 38.1cm 15”17.7cm 3cm 30.5cm 38.1cm 17.7cm 17.7cm 7” 17.7cm 38.1cm 15” 10” 38.1cm 53.3cm31.7cm 6.5”6.5” 30.5cm17.7cm 21” 6.5” 22.8cm 38.1cm 17.7cm 12.5” 15” 60.9cm6 25.4cm 17.7cm 12.5” 10” 31.7cm 40.6cm 6.5” 38.1cm 31.7cm 25.4cm 11” 21” 40.6cm 15” 7” 25.4cm38.1cm 16.5cm 17.7cm 16.5cm 15˚ 36” 31.7cm 53.3cm 18” 16.5cm 18”25.4cm 38.1cm 31.7cm 27.9cm 53.3cm 30”18” 38.1cm 17.7cm 16.5cm 91.4cm 45.7cm 45.7cm 45˚ 24” 18” 9” 9” 12” 12” 45.7cm 24” 24” 76.2cm 7”24” 9” 22.8cm 22.8cm 16” 30.5cm 60.9cm 30.5cm 60.9cm 12” Knee/Back 16” Bolster MTVIPFFF303C 60.9cm 60.9cm 45.7cm 17.7cm 40.6cm 9” 40.6cm 45˚
6” 15.2cm 15.2cm
Angled Bolster
7.25” 18.4cm 7”
MTVIPFFF302C
5” 18” 12.7cm 45.7cm
6.5” 16.5cm
17.7cm
3” 3” 7.6cm 7.6cm
6”
45˚
MTVIPFFF203C 12” 7.25” 7.25”
18.4cm
45˚
10” 10” 25.4cm 25.4cm
10” 25.4cm
25.4cm
27.9cm
45˚
45˚
1.5”
10” 1.5” 6” 25.4cm 10” 6” 3.8cm 25.4cm 10” 15.2cm 6” 6” 6” 3.8cm 6” 15.2cm 25.4cm 11” 15˚ 7” 6” 6” 6” 3” 11”15.2cm 25.4cm 45˚ 15˚ 15.2cm 24” 15.2cm 7” 45˚ 6” 9” 15.2cm 24” 27.9cm 17.8cm 27˚ 9” 6” 3” 15.2cm 27˚ 45˚ 45˚ 60.9cm 15.2cm 17.8cm 22.8cm 9” 15.2cm 7.6cm 27.9cm 10” 60.9cm 15.2cm 1.5” 9” 22.8cm 27˚ 45˚ 10” 1.5” 10” 45˚ 27˚ 7.6cm 10” 45˚ 10” 45˚ 6” 6” 22.8cm 6” 9” 9” 45˚ 25.4cm 10” 10” 15.2cm27˚ 3.8cm 22.8cm 1.5”10” 15.2cm 25.4cm 10”25.4cm 3.8cm 45˚ 25.4cm 25.4cm 15.2cm6” 6” 25.4cm 25.4cm 9” 10” 10” 11” 22.8cm 15˚ 10” 45˚ 10” 22.8cm 7.25” 7” 25.4cm 45˚ 25.4cm 10” 45˚ 3.8cm15.2cm 7.25” 6” 24” 7.25” 9” 45˚ 15.2cm6” 27.9cm 22.8cm 24” 25.4cm 27˚ 10” 25.4cm 45˚ 17.8cm 18.4cm 15.2cm 25.4cm 9” 3” 25.4cm 18.4cm 15.2cm 60.9cm 45˚ 45˚ 15˚ 22.8cm 11” 25.4cm 7.25” 7” 15.2cm 24” 24” 45˚ 45˚ 9” 18.4cm 9” 60.9cm 27˚ 45˚ 10” 22.8cm 25.4cm 7.6cm 10” 9” 7.25” 45˚ 12.5” 9” 18.4cm 10” 27.9cm 10” 45˚ 10” 12.5” 1.5” 60.9cm 45˚17.8cm 10”25.4cm 22.8cm 60.9cm 9” 22.8cm24” cm 31.7cm 21” 7” 10” 22.8cm 18.4cm 25.4cm 15” 25.4cm 25.4cm 25.4cm 10” 10” 10” 3.8cm 12.5” 31.7cm 12.5” 45˚ 60.9cm 10” 25.4cm 10” 22.8cm 17.7cm 53.3cm 21” 38.1cm 31.7cm 25.4cm 25.4cm 11” 15˚ 25.4cm 10” 7” 6.5”
9” 22.8cm
7” 7” 17.8cm 17.7cm
7”
20˚
3.8cm 6” 6” 15.2cm 15.2cm 6”
1.5” 7” 17.8cm3.8cm27.9cm
MTVIPFFF103C
17.7c
20˚
27.9cm 17.8cm
27˚
17.8cm
24” 11”17.8cm15˚ 60.9cm27.9cm 17.8cm 15˚ 7” 17.8cm 7.25” 18.4cm 24”
45˚ 11” 7” 6” 27.9cm 17.7cm 15.2cm
11” 6”
4” 7”10.1cm
15˚ 15˚
11” 27.9cm 20˚
27.9cm MTVIPFFF702C 15.2cm 11”
24” 60.9cm
45˚
11”3” 27.9cm 7.6cm
7” 17.7cm
10.1cm
4” 10.1cm
10” 20˚ 11” 25.4cm 27.9cm
9” 22.8cm
45˚
7” 17.7cm
7” 21” 17.8cm 53.3cm
45˚
9” 9” 22.8cm 22.8cm 45˚
24” 60.9cm
9” 24” 22.8cm 60.9cm
3” 3” 7.6cm 7.6cm
45˚
9.75” 35˚45˚ 45˚7” 24.7cm 7” 17.7cm
20˚
6”10” 6” 15.2cm 15.2cm
24.7cm 60.9cm
55˚
7” 24” 45˚ 17.7cm 7” 7” 24” 24” 20˚ 17.8cm 11”4” 17.8cm 60.9cm 60.9cm 17.7cm 60.9cm 27.9cm 7” 10.1cm 6” 17.8cm 15.2cm 7.25” 45° Wedge MTVIPFFF102C 18.4cm 20˚ 45˚
25.4cm
3” 3” 7.6cm 7.6cm
6.75” 17.1cm
4” MTVIPFFF805C
55˚
35˚
20˚
4” 10.1cm
7 17.1cm x 4” (50.8 x 17.8 x 10.1cm)
3” 7.6cm
20˚
45˚
6.75”
11” 27.9cm
4” 10.1cm MTVIPFFF804C
35˚
6” 15.2cm 9.75” 24.7cm
7” 17.8cm
45˚
MTVIPFFF803C
17.7cm 60.9cm
7” 17.8cm
24” 60.9cm Includes: 101C, 103C, 104C, 105C, 9.75” 35˚102C, 24”
1.5” 3.8cm
24” 7” 10.1cm 17.7cm 11” 60.9cm 11”27.9cm
7” 7” 45˚ 24” 7” 17.7cm 17.7cm 10” 45˚ 60.9cm 17.8cm
x 3” (25.4 x 17.8 x 7.6cm) 24”7”
106C
15˚
MTVIPFFF802C 24” 60.9cm
45˚
10 x 7 x 4” (25.4 x 17.8 x 10.1cm)
9.75” 6.75” 24.7cm 17.1cm
3” These products have not been CE marked. 7.6cm
7” 6.75” 17.7cm 6.75” 17.1cm
55˚
9.75” 35˚ 20 x 24.7cm
Standard Set
11” 27.9cm
4”
MTVIPFFF801C 10.1cm
45˚
7”
24.7cm 20˚ 6.75” 11” 55˚10 x7 17.1cm 27.9cm
24” 60.9cm
MTVIPFFF403C
55˚
10 x 7 x35˚ 2” (25.4 x 17.817.7cm x 5cm) 9.75”
Rectangle
45˚
x 25 x 4” (35.6 x 63.5 x 10.1cm)
10 x 7 x 1” (25.4 x 17.8 x 2.5cm)
4” 10.1cm
Rectangle
35˚
14 6.75” 17.1cm
9” 22.8cm
15” 15” 38.1cm 38.1cm
15” 15” 38.1cm 6.5”
16” 40.6cm
3” 7.6cm
15° Wedge 11” 27.9cm 3” 7” 17.7cm 7.6cm
7” 7” m 17.7cm 17.7cm
45˚
15”
MTVIPFFF405C 36” 91.4cm
45˚
Real Solutions. Right Now. 11”7” 45˚
27.9cm 17.7cm
15˚
6.5” 16.5cm 30”
30” 76.2cm 76.2cm 16”
40.6cm
45° Wedge
91.4cm
9” 22.8cm
MTVIPFFF407C 45˚
7” 17.7cm 7” 17.7cm
3” 7.6cm
45˚
11” 27.9cm
11” 27.9cm
15˚
18”
11” 27.9cm 16” 16”
30”
MTVIPFFF401C 12” 30.5cm
16” 40.6cm
16” 40.6cm
45˚
7” 17.7cm 6” 15.2cm
45˚
7” 36” 17.7cm91.4cm
15˚
24” 60.9cm
24” 60.9cm45.7cm
11” Wedge Chest/Leg 15˚ 27.9cm
3” 712.737.8688 40.6cm 40.6cm U.S. Office: 800.842.8688 |7.6cm +1
24” 60.9cm 11” 27.9cm
15˚
3” 7.6cm
30” 76.2cm
45˚
30” 76.2cm 36”
60.9cm 15” 38.1cm
24” 60.9cm
45˚
7” 17.7cm 15˚
3”7.6cm 24” 7.6cm
15” 16” 38.1cm 40.6cm
30.5cm
3” 7.6cm
3”
12” 30.5cm 7” 45˚ 17.7cm 7” 7”
Torso Block
22.8cm
15” 38.1cm
24” 17.7cm 16” 17.7cm17.7cm 18” 60.9cm 11” 15˚ 15˚ 36” 24” 24” 40.6cm 36” 45.7cm 24” 24” 27.9cm 27.9cm 91.4cm 9” 91.4cm 45˚12”45˚ 16” 16” 24” 7” 60.9cm 60.9cm 7” 60.9cm 22.8cm 24” 60.9cm 30.5cm 40.6cm 17.7cm 60.9cm 40.6cm 17.7cm 60.9cm
cm
45˚
15” 38.1cm
MTVIPFFF309C
22.8cm
7” 17.7cm
7”
12” 16.5cm 30.5cm 38.1cm 11”
Bolster
36” 91.4cm
12” 30.5cm
45˚
17.7cm
36” 91.4cm
MTVIPFFF502C 6” 6” 15˚15.2cm 15.2cm
7” 17.7cm7”
45˚
7” 17.7cm
45˚
14”
15”
45˚ 30” 7” 38.1cm 76.2cm 17.7cm 30”
16” 40.6cm
24” 60.9cm
7” 16” 17.7cm 40.6cm
36” Leg Immobilizer 91.4cm
36” 91.4cm
14” 14” 35.5cm 35.5cm
European Office: +31(0)182 - 39 44 95 45˚
7
76.2cm
7” 35.5cm 17.7cm 45˚
MTVIPFFF704C 7”
45˚
17.7cm
45˚
7” 17.7cm
76 45˚
7” 17.7cm
WWW.CIVCO.COM
Thermoplastic Accessories Water Bath
Commercial Water Bath
Water Bath Cart
The water bath accommodates all thermoplastic sizes including Type-S™ head, neck and shoulders and HipFix® thermoplastics.
The commercial water bath accommodates Uni-frame®, Type-S head-only masks and Posicast head-only masks.
Overall Dimensions: 30.25 x 24.5 x 7.25” (76.8 x 62.2 x 18.4cm) (W x D x H)
Overall Dimensions: 14.5 x 22.5 x 9” (36.8 x 57.2 x 22.9cm) (W x D x H)
The Water Bath Cart provides an easy, efficient way to transfer a water bath from room to room. The cart measures 25.5 x 43 x 38” (64.8 x 109.2 x 96.5cm) (W x D x H - height includes handle) and has a load capacity of 500 lbs.
Internal Dimensions: 26 x 22 x 5” (66 x 55.9 x 12.7cm) (W x D x H)
Internal Dimensions: 12 x 20 x 6.25” (30.3 x 50.6 x 15.9cm) (W x D x H)
Water Bath, Digital, 110 volt
MTCD1600
Commercial Water Bath, 120 volt
MTAPWW3V
Water Bath, Digital, 220 volt
MTCD1600EX
Commercial Water Bath, 230 volt
MTAPWW3VEX
Water Bath Cart
MTMC01003
71
Miscellaneous Thermoplastic
Pan Liner
The Cold Mitt contains a pliable gel that conforms easily to body contours, speeding the cooling of formed thermoplastic. The soft mitten should be stored in the freezer where the gel will remain flexible to -20˚F (-28˚C).
Miscellaneous thermoplastic configurations are available for your convenience.
The pan liner helps prevent thermoplastics from sticking to the bottom of the waterbath.
Thermoplastic Strip 1.375 x 24” (3.5 x 70cm)
Pan Liner, Large, Qty. 2
Thermoplastic Pellets - 3lbs (1.36kg)
Cold Mitt
Real Solutions. Right Now.
MTCBPLLG
MTAPS18391 MTAPS3A
MTCB60
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European Office: +31(0)182 - 39 44 95
WWW.CIVCO.COM
Miscellaneous Positioning
Cold Mitt
Patient Marking Disposable Rectal & Vaginal Markers MRI le
Compatib
Disposable Rectal Marker, 10cm long, Qty. 10
MTZM1710
Disposable Rectal Marker, 40cm long, Qty. 10
MTZM1740
Disposable Vaginal Marker, 20cm long, Qty. 10
MTZM1735
72
Spee-D-Mark™
Miscellaneous Positioning
Multi-Modality Markers are artificial fiducial markers that provide a clear and accurate reference point on any type of scan. It appears as a bright object on CT, MRI and Nuclear Medicine scans and can be seen on all MRI sequences.
Spee-D-Mark virtually eliminates confusion of shadows or lesions on film.
Type
Standard 1.5mm
100
MTSDM15C
Spee-D-Mark Wings feature the advantages of regular Spee-D-Mark with the added benefit of a special “winged” design for comfortable, conforming placement.
Standard 2.0mm
100
MTSDM20C
Wings
100
MTSDM20WC
BB Size Qty Part Number
2.0mm
These products have not been CE marked.
Portal Markers Set of marker tapes designed to outline the treatment field. The markers maintain accurate skin markings on the patient. This product is useful when planning multiple fields of treatment. • Long lasting
Type
Qty
Part Number
Standard - each sheet contains 8 field lines, 4 corners, 2 set-up points, 2 isocenters
50 sheets
MTPM100
Corners only
50 sheets
MTPM125
Isocenter - 18 isocenters and 6 field lines
50 sheets
MTPM150
• Comfortable • Minimizes tattooing • Water resistant
Real Solutions. Right Now.
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Suremark® Skin Markers
Suremark Tabs maintain the advantages of the Suremark markers with an added tabbed feature. Suremark Relief Tabs have a unique adhesive-free center that wont stick to sensitive areas of the skin. Suremark Wire is used for marking scar tissue, outlining palpable nodules, moles and entry points in CT scans. Powermark markers maintain the advantages of Suremark Marker and feature larger lead ball sizes for visibility in radiation therapy. ™
Clearline Scar Markers provide outlining of scars and other areas of concern. Visionmark Markers are specially formulated non-metallic markers that perform consistently and accurately in a variety of applications.
Real Solutions. Right Now.
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Suremark Type
Size
Part Qty/Box Number
Suremark
1.0mm
110
MTSL10
Suremark
1.5mm
110
MTSL15
Suremark
2.0mm
110
MTSL20
Suremark
2.5mm
110
MTSL25
Suremark Tab
1.5mm
110
MTSL15T
Suremark Tab
2.0mm
110
MTSL20T
Suremark Relief Tabs
2.5mm
110
MTSL25RT
Suremark Wire
0.3mm
366cm
MTSLW3
Suremark Wire
0.4mm
366cm
MTSLW4
Suremark Wire
0.8mm
366cm
MTSLW8
Suremark Wire
1.5mm
366cm
MTSLW15
Powermark
3.0mm
50
MTSL30
Powermark
4.0mm
50
MTSL40
Clearline
2.0mm
320cm
MTSLCL20
Clearline
2.5mm
203cm
MTSLCL25
73
Visionmark
2.5mm
110
MTSLV25
Visionmark
3.0mm
50
MTSLV30
Visionmark
4.0mm
50
MTSLV40
Visionmark
5.0mm
50
MTSLV50
Miscellaneous Positioning
Suremark markers are useful in distinguishing between a nipple, shadow and lesion.
European Office: +31(0)182 - 39 44 95
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Pediatric Positioning Pediatric Type-S™
Pediatric Posifix®
Posifix® Pediatric Headrests
CIVCO offers a narrower reloadable thermoplastic frame and thermoplastic sheets to accommodate pediatric patients. The frame is compatible with all Type-S overlays and extensions.
The Posifix Pediatric Baseplate is narrower than a standard Posifix Baseplate and accepts PR33 and PR55 precut thermoplastics, see pages 32-33 for more information.
Pediatric headrests are designed for use with pediatric patients. A prone headrest and a supine headrest are each available in bright and glossy colors.
See page 40 for more information. MRI le
Compatib
Pediatric Type-S Reloadable Thermoplastic Frame Pediatric Thermoplastic 2.4mm thick
Miscellaneous Positioning
74
20CFHNPSUB1P
Posifix Pediatric Baseplate - Acrylic
101023
Pediatric Supine Headrest
301026
Posifix Pediatric Baseplate - Carbon Fiber
101024
Pediatric Prone Headrest
301027
MTAPSP2.4
Colored Uni-frame® Masks Colored Uni-frame thermoplastic masks are available in blue with standard perforation
Disposable Uni-frame Mask, 3.2mm thick, Blue
MTAPUNB
Vac-Lok™ Cushions are an ideal positioning solution for pediatric patients, see pages 66-67 for more information.
Real Solutions. Right Now.
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Proton Devices As proton therapy emerges worldwide, CIVCO is proud to offer accessories that enable and enhance treatments by this modality.
Body Pro-Lok™
Wing Boards™
Kneefix™ 2 & Feetfix™ 2
The modular Body Pro-Lok system aids in providing comfortable patient positioning and immobilization for numerous treatment technologies. Body Pro-Lok’s bridge system provides numerous immobilization options for complex setups.
Wing Boards assist in providing comfortable arms up positioning for a variety of treatments.
CIVCO’s Kneefix 2 and Feetfix 2 are both MRI compatible and three-pin indexable.
See page 54.
See page 61.
AccuForm™ Cushions
Individual Head Support
Vac-Lok™ Cushions
AccuForm Cushions are ideal for highprecision head and neck treatments when enhanced comfort, stability and repositioning accuracy are key.
The Individual Head Support provides customized head & neck positioning during radiation therapy treatment.
Vac-Lok Cushions form a custom mold of a patient’s anatomical contours and can easily be reinflated and remolded.
See page 43.
See pages 66-67.
See pages 18-19.
See page 42.
75 Special Modalities
Fiducial Markers Fiducial markers provide an effective method of ensuring accurate target localization for tumors/organs that move in respect to external anatomy. See pages 80-84.
Real Solutions. Right Now.
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European Office: +31(0)182 - 39 44 95
WWW.CIVCO.COM
MRSeries™ Positioning Devices
MRIble
Compati
MRSeries products are MRI compatible in 1.5 and 3T environments. All indexable MRSeries products are three-pin compatible.
MRI Overlays MRI overlays are made of fiber glass with a foam core, have indexing options and are compatible with a three-pin Lok-Bar. Three-Pin Lok-Bars allow you to index MRI compatible devices to your MRI couchtop while preventing non-MRI compatible devices from being used on an MRI machine.
The following MRI Overlay options are available
Three-Pin Lok-Bars Three-Pin Lok-Bars allow you to index MRI compatible devices to your MRI couchtop. They also help prevent nonMRI compatible devices from being used on an MRI machine.
Special Modalities
76
Interloc 50cm Three-Pin Lok-Bar
MTIL3351
Interloc 53cm Three-Pin Lok-Bar
MTIL3352
Prodigy 50cm Three-Pin Lok-Bar
MTIL3454
Prodigy 40cm Three-Pin Lok-Bar
MTIL3455
Indexing Compatible Style Lok-Bar
Part Number
MRI Overlay for:
Dimensions
Philips Panorama, 50cm Wide
214 x 50 x 2.2cm Prodigy
MTIL3454 (2 included)
MTM3400
Philips Panorama, 40cm Wide
214 x 40 x 2.2cm Prodigy
MTIL3455 (2 included)
MTM3401
GE Signa
208 x 50 x 4.8cm Interloc
MTIL3351 (not included)
MTM3300
GE Wide Bore
213.4 x 53 x 6.2cm
Interloc
MTIL3352 (1 included)
MTM3301
GE Wide Bore 450
204 x 53 x 2.1cm Interloc
MTIL3352 (1 included)
MTM3302
Siemens Magnetom Avanto, Magnetom Expree, Magnetom Symphony A Tim System, Magnetom Trio A Tim System
187 x 50 x 2.2cm Prodigy
MTIL3454 (1 included)
MTM3000
Siemens Magnetom Verio
187 x 50 x 2.2cm Prodigy
MTIL3454 (1 included)
MTM3001
Siemens Aera & Skyra
187 x 50 x 2.2cm Prodigy
MTIL3454 (1 included)
MTM3002
MRI Type-S Overlay
Acrylic Posifix® Baseplates
Acrylic Uni-frame Baseplates
The MRI Type-S Overlay is made of fiberglass with a foam core making it MRI compatible. It is also three-pin indexable.
All acrylic Posifix baseplates are MRI compatible and three-pin indexable. See page 29 for options.
All acrylic Uni-frame baseplates are MRI compatible and three-pin indexable. See page 34 for options.
MRI Type-S Overlay MRI Type-S Overlay - Narrow
Real Solutions. Right Now.
MTMRHNTYPES MTMRHNPN
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Thermoplastics
Headrests
HipFix® Baseplate
All disposable thermoplastics are MRI compatible including Uni-frame, Type-S & Posifix Thermoplastics. Masks with carbon fiber reloadable L-Profiles or carbon fiber reloadable frames are not MRI compatible. See pages 26-28, 3233 and 36-37 for more information.
CIVCO provides a wide variety of MRI compatible headrests. Options include Timo, Silverman, Posifix Headrests and AccuForm Cushions. See pages 38-40 for options.
CIVCO’s MRI compatible HipFix baseplate is three-pin compatible. It is blue and is slightly thicker than CIVCO’s standard HipFix baseplate. All HipFix Thermoplastics are MRI compatible. See page 63 for thermoplastic options.
MRI HipFix Baseplate
MTPLVCMR
Kneefix™ 2 & Feetfix™ 2
MR Bellyboard
Body Pro-Lok™ Rails-Only
CIVCO’s Kneefix 2 and Feetfix 2 are both MRI compatible and three-pin indexable. See page 61 for more information.
The new MR Bellyboard is identical in shape to the current Carbon Fiber Bellyboard but is constructed with MRI safe materials.
The Body Pro-Lok Rails-Only System, Prodigy and Interloc versions, are threepin indexable. See page 20 for more information.
77 Special Modalities
MRI Bellyboard
126000
Vac-Lok™ Cushions All CIVCO Vac-Lok Cushions are MRI compatible. See pages 66-67 for options.
Real Solutions. Right Now.
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European Office: +31(0)182 - 39 44 95
WWW.CIVCO.COM
Protura™ Robotic Patient Positioning System CIVCO’s Protura Robotic Patient Positioning System is the ultimate in robotic patient motion management. Designed to integrate with most IGRT solutions and Linac pedestals, Protura provides an affordable all-in-one motion management solution. Positioning the patient with 6 degrees of freedom corrections from outside the treatment room, Protura is the ideal solution for streamlining throughput and enabling more accurate treatments. Protura for Siemens TxT Couches, with Touch Screen, US
MT6X200TE
Protura for Varian Exact Couches, with Touch Screen, US
MT6X300TU
Protura for Varian Exact Couches, with Touch Screen, Europe
MT6X300TE
Protura for Elekta Precise Couches, with Touch Screen, US
MT6X400TU
Protura for Elekta Precise Couches, with Touch Screen, Europe
MT6X400TE
Accurate
Eff icient
Protura integrates with most Linac pedestals and IGRT systems, offering what no other system does: choice.
Knowing the demands of the clinic and importance of patient safety, precision and accuracy were fundamental to the design for Protura. A built-in redundant sensor system is used for auto-calibration and assures the robot precisely aligns the patient without needing an external camera system.
Maximizing patient throughput is achieved by eliminating the need to re-enter the treatment room to align the patient. With its fast initialization, Protura is optimized to handle the rigors of a busy clinic while improving efficiency.
• Easily interfaces with IGRT systems • Supports multiple coordinate systems if needed
Robotics & IGRT
Protura for Siemens TxT Couches, with Touch Screen, Europe
Compatible
• Adapts to most Linac pedestals
78
MT6X200TU
• Compatible with Body Pro-Lok™ for SBRT and two-pin indexable immobilization devices
Real Solutions. Right Now.
• Remote positioning
• Dynamic pivot point assures all rotations about isocenter
• Stores historical data for easy setup
• Sub-millimeter precision from advanced robotic technology
• In-room touch screen
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• No camera system required
European Office: +31(0)182 - 39 44 95
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Features & Technical Specifications • Dynamic Isocenter - performs all rotations about isocenter, unique for each patient • Internal Auto-Calibration - built-in redundancy sensors, system automatically calibrates without need of external camera system • Streamline Workflow - remotely move couch from outside room and daily patient info stored for fast setup
Protura Alignment Fixture
MT6XCALS
• Universal Couchtop™ - Protura comes standard with a Universal Couchtop featuring DoseMatch™ Technology assuring consistency between planning and treatment • System Height - 15cm (5.9”) • System Weight - 84kg (185lbs.) • Resolution - 0.1mm; 0.1° • Speed - Slow, Medium, Fast (up to 16mm/second) • Maximum Patient Load - 200kg (440lbs)
A touch screen monitor allows you to make corrections within the treatment room
+/- 2.5cm +/- 5˚ +/- 5cm
+/- 5˚
+/- 5˚
+/- 5cm
79 Rotational Ranges
Protura control panel
Protura Workflow
Load patient onto Protura, set up for treatment and align patient to isocenter
Real Solutions. Right Now.
Image patient and perform preferred IGRT method
position patient with Remotely 6 degrees of freedom
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Perform treatment
lower pedesZerotaltheandProtura, unload the patient
European Office: +31(0)182 - 39 44 95
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Robotics & IGRT
Translational Ranges
Implantable Fiducial Markers Implantable fiducial markers provide a highly effective method of ensuring accurate target localization for tumors/ organs which move in respect to external anatomy, as well as for the precision localization needed for stereotactic radiotherapy. CIVCO stays on the leading edge of marker research and development and provides an extensive line of fiducials for a wide variety of clinical applications.
Features Gold Fiducial Features: • Specially knurled surface is designed to inhibit migration • 99.9% gold • Non-biological imaging characteristics make markers easier to identify Largest selection of specially designed fiducials includes: • Biocompatible non-artifacting polymer marker • Fiducials designed for MR imaging and fusion • SBRT fiducial kit • Fiducials linked at a specified distance for calculating precise localization • Coil markers with solid definable end points Unprecedented Customer Support • Dedicated customer support staff providing personalized service • Reimbursement support and guidance, helping you get paid
Lung Procedure Recommendations Implanted gold markers help guide SBRT treatment of the lung. There are several techniques by which these markers are placed at or near the treatment site. CIVCO offers specialized fiducial kits to help target these regions. The New PointCoil™ SBRT Kit includes 4 PointCoil markers and a special Trocar Needle designed specifically for SBRT marker placement. Recommended procedures to minimize the number of needle sticks are available upon request. Qty Part Number
Sterile Placement Needle (18GA ETW x 20cm) with (1 x 3mm) PolyMark™ Marker
1
MTCTXPM101820
Loose Sterile PointCoil Marker (0.8 x 5mm)
1
MTCTXPC08
80
Sterile Placement Needle (18GA ETW x 20cm) with (0.9 x 5mm) PointCoil Marker
1
MTCTXPC091820
Robotics & IGRT
Description
PointCoil SBRT Kit includes: 1 - (18GA ETW x 15cm) Trocar Needle and 4 - (0.8 x 5mm) PointCoil Markers
1
MTCTXPC0819154
PointCoil Marker and Trocar Needle
Breast Procedure Recommendations Suture-Type Markers are designed for high accuracy breast tumor localization. The pure gold spheres with small central holes are readily sutured in place to provide a permanent localization solution. They are available ready for placement - prethreaded on absorbable sutures. Description
Qty Part Number
Sterile Absorbable Suture with Suture-Type Marker (2mm diameter)
3
MTNW887866
Sterile Placement Needle (18GA ETW x 20cm) with (1 x 3mm) PolyMark Marker
1
MTCTXPM101820
Real Solutions. Right Now.
U.S. Office: 800.842.8688 | +1 712.737.8688
Suture-Type Marker on absorbable suture
European Office: +31(0)182 - 39 44 95
WWW.CIVCO.COM
Liver & Pancreas Procedure Recommendations Implanted gold markers help guide SBRT treatment of the liver and pancreas. There are several techniques by which these markers are placed at or near the treatment site. CIVCO offers specialized fiducial kits to help target these regions. Description
Qty Part Number
Loose Sterile Soft Tissue Gold Markers (0.8 x 3mm)
3
MTNW887808
Sterile Placement Needle (18GA ETW x 12cm) with (0.9 x 3mm) Gold Marker
1
MTNW887871
Sterile Placement Needle (18GA ETW x 12cm) with (0.9 x 3mm) Gold Marker
3
MTNW887870
Sterile Placement Needle (18GA ETW x 20cm) with (1 x 3mm) PolyMark Marker
1
MTCTXPM101820
Loose Sterile PointCoil Marker (0.8 x 5mm)
1
MTCTXPC08
Sterile Placement Needle (18GA ETW x 20cm) with (0.9 x 5mm) PointCoil Marker
1
MTCTXPC091820
PointCoil SBRT Kit includes: 1 - (18GA ETW x 15cm) Trocar Needle and 4 - (0.8 x 5mm) PointCoil Markers
1
MTCTXPC0819154
Prostate Procedure Recommendations In order to minimize complications many prostates are now being treated with IMRT and IGRT. To ensure you are hitting your target, you need to accurately visualize your target. By using our gold markers you can clearly see the prostate whether you are using portal imaging, kV image pairs or CBCT. Since the prostate can move within the pelvis, relying on bony anatomy can be risky. Implanting CIVCO markers minimizes this risk enabling you to perform advanced treatments with confidence. New SureLock™ Markers have a unique circular projection and design to ensure accurate daily localization and inhibit migration. Refer to pages 82-84 for CIVCO’s advanced and standard fiducials for prostate. Description
Qty Part Number 3
MTNW887825
Sterile Placement Needle (17GA ETW x 20cm) with (1.2 x 3mm) Gold Marker
4
MTNW887840
Sterile Placement Needle (17GA ETW x 20cm) with (1.2 x 3mm) SureLock Gold Marker
1
MTCTXSL1217201
Sterile Placement Needle (17GA ETW x 20cm) with (1.2 x 3mm) SureLock Gold Markers
3
MTCTXSL1217203
Sterile Placement Needle (18GA ETW x 20cm) with (0.9 x 3mm) Gold Marker
3
MTNW887873
Sterile Placement Needle (17GA ETW x 30cm) with (1.2 x 3mm) Gold Marker
3
MTNW887835
Real Solutions. Right Now.
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81 Robotics & IGRT
Sterile Placement Needle (17GA ETW x 20cm) with (1.2 x 3mm) Gold Marker
SureLock Markers
European Office: +31(0)182 - 39 44 95
WWW.CIVCO.COM
MRI/CT Fusion Procedure Recommendations
MRI le
Compatib
The FusionCoil™ Marker images equally as well in CT as it does in MR. It consists of an open spiral gold coil with a biocompatible segmented flexible metallic core that appears as a clear black dot in MR. This is the first of its kind providing superior reference for image fusion as well as precise IGRT.
FusionCoil Marker
The PolyMark Marker is the first biocompatible polymer-based marker. The PolyMark is visualized in MR, creates virtually no artifact in CT and is clearly visible in kV based IGRT solutions. ™
Description
Qty Part Number
Sterile Placement Needle (18GA ETW x 20cm) with (1 x 20mm) FusionCoil Marker
1
MTCTXFC10201820
Sterile Placement Needle (18GA ETW x 20cm) with (1 x 5mm) FusionCoil Marker
1
MTCTXFC1051820
Sterile Placement Needle (18GA ETW x 20cm) with (1 x 3mm) PolyMark Marker
1
MTCTXPM101820
Non-artifacting PolyMark Markers
CT Image: PolyMark (left) vs. Gold Markers (right) This patient has a typical gold coil on their left. It is clearly visible in CT but not at all in MR. The Fusion Coil Marker is on the patient’s right. It is clearly visible in both CT and MR.
Linear Fiducials The FlexiCoil™ Marker is a unique, non-migrating marker with solid end points. FlexiCoil provides a unique image with 2 nodes that clearly define the end points. Qty Part Number
82
Sterile Placement Needle (18GA ETW x 20cm) with (0.9 x 10mm) FlexiCoil Marker
1
MTCTXFC09101820
Robotics & IGRT
Description
Sterile Placement Needle (17GA ETW x 20cm) with (1.2 x 20mm) FlexiCoil Marker
1
MTCTXFC12201720
FlexiCoil Marker
Align™ Markers are 10mm long to accommodate localization software systems that utilize linear fiducials as opposed to multiple segment points. Description
Qty Part Number Align Marker
Sterile Placement Needle (17GA ETW x 20cm) with (1.2 x 10mm) Align Marker
2
MTNW887881
Sterile Placement Needle (17GA ETW x 20cm) with (1.2 x 10mm) Align Marker
3
MTNW887882
Sterile Placement Needle (18GA ETW x 20cm) with (0.8 x 10mm) Align Marker
2
MTNW887883
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Multiple Fiducial Solutions Coupled™ Markers are 3mm long with either 0.8 or 1.0mm diameters attached at a fixed distance - 20mm apart from center to center. They are secured with a sterile, tissue-absorbable material. This ensures that the markers are implanted at a known distance for calculating precise localization. Description
Qty
Part Number
Sterile Placement Needle (18GA ETW x 20cm) with (0.8 x 3mm) Coupled Marker
2
MTNW887709
Sterile Placement Needle (17GA ETW x 20cm) with (1 x 3mm) Coupled Marker
1
MTNW887710
Sterile Placement Needle (17GA ETW x 20cm) with (1 x 3mm) Coupled Marker
2
MTNW887712
1 of each
MTNW887711
Sterile Placement Needle (17GA ETW x 20cm) with (1 x 3mm) Coupled Marker & Sterile Placement Needle (17GA ETW x 20cm) with (1.2 x 3mm) Gold Marker
Coupled Marker
The FlexiMarc™ G/T Marker provides distinctive non-biological projection with easily definable nodes. The gold nodes are connected with a fine titanium line which creates the optimal in performance characteristics and visualization. Markers feature a pointed lead, reducing the pressure required for solid tumor insertion by 60%. Description
Qty
Part Number
Sterile Placement Needle (18GA ETW x 20cm) with (1 x 3mm) 10mm Spaced FlexiMarc G/T Marker
1
MTCTXGT10182010
Sterile Placement Needle (18GA ETW x 20cm) with (1 x 3mm) 20mm Spaced FlexiMarc G/T Marker
1
MTCTXGT10182020
Sterile Placement Needle (17GA ETW x 20cm) with (1.2 x 3mm) 10mm Spaced FlexiMarc G/T Marker
1
MTCTXGT12172010
Sterile Placement Needle (17GA ETW x 20cm) with (1.2 x 3mm) 20mm Spaced FlexiMarc G/T Marker
1
MTCTXGT12172020
FlexiMarc G/T Markers
83
Description
Qty
Part Number
Sterile Placement Needle (17GA ETW x 20cm) with 15mm spacer and 2 (1.2 x 3mm) Gold Markers
1
MTNW887815
Sterile Placement Needle (17GA ETW x 20cm) with 10mm spacer and 2 (1.2 x 3mm) Gold Markers
1
MTNW887810
Robotics & IGRT
Prespaced Markers provide a solution for implanting markers spaced 10 or 15mm apart. Prespaced Markers are not connected to each other. Prespaced Markers
The Merrifield Cartridge™ allows you to deploy two or more markers through the same needle with only one needle stick. After deploying the first marker, the stylet is simply removed and the Merrifield Cartridge is easily attached to the end of the needle. The tip of the needle is then repositioned and the next marker is deployed. Description
Qty Part Number
Merrifield Cartridge Kit, Sterile Pre-loaded (1.0 x 5mm) Soft Tissue Gold Marker with (24.5cm) stylet for use with (18GA ETW x 20cm) Placement Needle
Real Solutions. Right Now.
1
U.S. Office: 800.842.8688 | +1 712.737.8688
Merrifield Cartridge
MTNW887621
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WWW.CIVCO.COM
Fiducials for use with CyberKnife CyberMark™ Markers were developed specifically for use with Accuray’s CyberKnife robotic radiosurgery system. The gold marker measures 5mm long and 1mm in diameter, as specified in the CyberKnife software. Description
Qty Part Number
Sterile Loose (1 x 5mm) CyberMark Marker
1
MTNW887854
Sterile Loose (1 x 5mm) CyberMark Marker
3
MTNW887852
Sterile Loose (1 x 5mm) CyberMark Marker
4
MTNW887855
Sterile Placement Needle (18GA ETW x 20cm) with (1 x 5cm) CyberMark Marker
1
MTNW887851
Sterile Placement Needle (18GA ETW x 20cm) with (1 x 5cm) CyberMark Marker
3
MTNW887853
CyberMark Marker
Gold Soft Tissue Markers Gold Soft Tissue Markers are pure gold cylinders specially knurled to inhibit migration. They are 3mm long and 0.8, 0.9, 1.2 or 1.6mm in diameter. They are available loose or in sterilized preloaded needles. Description
Robotics & IGRT
84
Qty Part Number
Sterile Loose Soft Tissue Gold Markers (0.8 x 3mm)
3
MTNW887808
Sterile Loose Soft Tissue Gold Markers (0.9 x 3mm)
3
MTNW887809
Sterile Loose Soft Tissue Gold Markers (1.2 x 3mm)
3
MTNW887812
Sterile Loose Soft Tissue Gold Markers (1.2 x 3mm)
4
MTNW887814
Sterile Placement Needle (18GA ETW x 20cm) with (0.9 x 3mm) Gold Marker
1
MTNW887872
Sterile Placement Needle (18GA ETW x 20cm) with (0.9 x 3mm) Gold Marker
3
MTNW887873
Sterile Placement Needle (17GA ETW x 20cm) with (1.2 x 3mm) Gold Marker
1
MTNW887830
Sterile Placement Needle (17GA ETW x 20cm) with (1.2 x 3mm) Gold Marker
3
MTNW887825
Sterile Placement Needle (17GA ETW x 20cm) with (1.2 x 3mm) Gold Marker
4
MTNW887840
Sterile Placement Needle (17GA ETW x 30cm) with (1.2 x 3mm) Gold Marker
1
MTNW887836
Sterile Placement Needle (17GA ETW x 30cm) with (1.2 x 3mm) Gold Marker
3
MTNW887835
Sterile Placement Needle (17GA ETW x 30cm) with (1.2 x 3mm) Gold Marker
4
MTNW887837
Sterile Placement Needle (14GA ETW x 20cm) with (1.6 x 3mm) Gold Marker
3
MTNW887860
Sterile Placement Needle (17GA ETW x 20cm) no markers
1
MTNW887351
Gold Soft Tissue Markers
Cranial & Spinal Procedure Recommendation Bone Markers are pure gold 2mm spheres recommended for cranial and spinal applications. They are typically placed in a small hole in the bone and sealed with bone wax, with no marker migration. Description
Qty Part Number
Loose Sterile Bone Markers (2mm diameter)
3
MTNW887805
Bone Markers
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Quality Assurance IGRT QA Tool This miniphantom was specifically designed to provide quality assurance analysis for each step of the IGRT process. It is precisely machined, supporting built-in fiducials that serve as measurable points at known locations. At the center is a 1cm sphere that can be used as the setup target.
IGRT QA Tool
MTNW425200
Iso-Align™ The Iso-Align is a multi-purpose, precision alignment device which assists in the routine quality control of lasers, linear accelerators and simulators. The Iso-Align accommodates a convenient film pack for radiation and light field verification. The Iso-Point Rotational Runout Tool on the Iso-Align allows you to accurately and easily verify the mechanical isocenter of the gantry. The Iso-Point is attached to a side panel of the Iso-Align device, extends 26cm from the side panel and has a pointer tip with a 2mm diameter. The Iso-Align accurately and easily assists in multiple precision alignment procedures without repositioning the device including: • Alignment of all lasers • Collimator and table/couch rotational angle readout accuracy • Light field alignment and jaw readout accuracy • Mechanical isocenter of collimators and treatment tables/couches • Optical distance indicator (ODI) accuracy at various distances • Port film grid alignment • Radiation and light field coincidence at various gantry angles • Radiation isocenter of collimators, gantries and treatment tables/couches
Iso-Align
MTIAD1
85
TG66 CT Simulation Laser QA Device
QA & Workflow
This unique device is an accessory designed specifically to check the performance of electromechanical components, simple geometric and imaging properties of CT scanners in accordance with AAPM protocol TG66. Gantry and vertical side-wall lasers can also be checked. The device is two-pin indexable and requires a two-pin Lok-Bar™. TG66 CT Simulation Laser QA Device
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European Office: +31(0)182 - 39 44 95
MTTG66
WWW.CIVCO.COM
Patient Shielding Tungsten Eye Shields
Testicle Shields
Testicle Shield Stand
Tungsten eye shields have been clinically tested and proven to provide adequate protection of the ocular structure for electrons up to 9MeV. Each eye shield is coated with dental acrylic on the beam entrance side of the shield to reduce electron back scatter to an acceptable level.
Testicle shields are designed to reduce scatter radiation to the testicles. Each unit is cast to provide a lead wall with a thickness of ½” (1.25cm) and features an open sector to allow comfortable attachment to the patient. All surfaces are coated with a polyurethane paint to reduce lead exposure.
This adjustable stand offers increased patient comfort while raising or lowering the shield. A manual adjustment knob allows for easy vertical positioning from 1-10” (2.5425.4cm) The stand can be used for anterior and posterior treatments.
Eye shields are sold individually in three sizes: small (19.5mm), medium (23mm) and large (25mm).
The shield’s top and bottom sections are secured with either the two included rubber straps or nylon tape. When using the testicle shield stand, no straps are needed.
Testicle Shield Stand
MTTSST
This product has not been CE marked. Testicle Shield - Small
MTTSS
Eye Shield - Small - Qty. 1
MTT45S
Testicle Shield - Medium
MTTSM
Eye Shield - Medium - Qty. 1
MTT45M
Testicle Shield - Large
MTTSL
Eye Shield - Large - Qty. 1
MTT45L
These products have not been CE marked.
Bolus
Miscellaneous
86
Bolus is made from a solid, homogeneous, tissue-equivalent gel with a density of 1.03g/cc. It will not sag, deform or run. Bolus is available encased in a tough layer of thin plastic “skin”, or “skinless” or sticky for greater conformity to steep body contours. It is closely controlled for uniformity of thickness, electron density and homogeneity. Bolus sheets can be cut with a scissors to any desired shape and layered to obtain the desired bolus effect. Bolus is the ideal choice for applications above 1MV where additional tissueequivalent thickness is required. It can also be used as a phantom material due to its homogeneous composition and uniform thickness. Real Solutions. Right Now.
Skinless Bolus
Bolus With Skin - CE Marked
Dimensions
Thickness Part Number
Dimensions Thickness
Part Number
30 x 30cm
0.5cm
MTCB405
30 x 30cm
0.3cm
MTCB403S
30 x 30cm
1.0cm
MTCB410
30 x 30cm
0.5cm
MTCB405S
30 x 30cm
1.5cm
MTCB415
30 x 30cm
1.0cm
MTCB410S
30 x 30cm
2.0cm
MTCB420
30 x 30cm
1.5cm
MTCB415S
30 x 30cm
3.0cm
MTCB430
30 x 30cm
2.0cm
MTCB420S
30 x 30cm
3.0cm
MTCB430S
30 x 50cm
0.5cm
MTCB305005S
30 x 50cm
1.0cm
MTCB305010S
The above products have not been CE marked
Skinless Bolus - CE Marked Dimensions
Thickness Part Number
15 x 15cm
0.5cm
MTCB455S
30 x 30cm
0.3cm
MTCB403
15 x 15cm
1.0cm
MTCB450S
30 x 30cm
0.5cm
MTCB405CE
15 x 15cm
1.5cm
MTCB465S
30 x 30cm
1.0cm
MTCB410CE
15 x 15cm
2.0cm
MTCB470S
30 x 30cm
4.0cm
MTCB440
40 x 40cm
0.5cm
MTCB404005S
40 x 40cm
1.0cm
MTCB404010S
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European Office: +31(0)182 - 39 44 95
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Miscellaneous Accessories ALRA Skin Care
Grip Rings
Table Strap
This special line of skin care products is designed to provide gentle, effective care for patients undergoing radiation therapy. Highly concentrated levels of natural and active ingredients offer comfort and promote healing.
Grip rings offer patients an extra measure of security and comfort. The tough blue vinyl is smooth and easy to wipe clean with most antibacterial solutions. Grip Rings are sold individually and in sets.
The Table Strap ensures patient control, safety and comfort with a strong material that feels soft to the touch. The Table Strap features a two-way adjustable fastener made of doublefaced Velcro® brand loop. It can be washed and sterilized. Individually packaged.
The moisturizer contains aloe vera, lanolin, Vitamin E, collagen and allantoin. It is alcohol and fragrancefree. Unlike regular antiperspirants, the ALRA deodorant stick contains no metallic ingredients that can interfere with radiation. It contains the natural astringent cypress oil and the natural antibacterial lichen. Your patients can order ALRA products directly from CIVCO.
Table Strap Ring for Small Hands - 3” inside diameter
MTVIP181
Ring for Average Hands - 4.25” inside diameter
MTVIP182
Ring for Large Hands or Small Feet 6” inside diameter
MTVIP183
Set of 3 rings - 3, 4.25 and 6” inside diameter
MTVIP166
Set of 4 rings - 3, 4.25, 6 and 8” inside diameter
MTVIP173
This product has not been CE marked.
MTVIP1664
These products have not been CE marked.
Therapy Lotion - 4oz. Non-Metallic Deodorant
MTCBALRASL4 MTCBALRAD
These products have not been CE marked.
Incontinence Clamps
Patient Transfer Board
Digital Level
The Patient Transfer Board is designed to ease patient transfer from a bed or stretcher to a treatment table with minimum effort. The board is constructed of a durable polyethylene material.
The Digital Level provides a digital readout to 1°.
87
MTVIP40
This product has not been CE marked. Cunningham Clamp, Regular
MTVIPU414R
Cunningham Clamp, Large
MTVIPU414L
Zipser Clamp
Digital Level
MTDROL
MTVIPU413
These products have not been CE marked.
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Miscellaneous
Patient Transfer Board
Calipers
Air Sampling
Body Calipers can be used for tabletop distances to determine central-axis and off-axis measurements. The reversing caliper orientation assists in determining separations such as laterals, obliques and off-table measurements. The wide base ensures perpendicularity to tabletop. A color-coded scale on both sides eliminates confusion with scale orientation.
To comply with OSHA regulations, every facility that fabricates shielding blocks should conduct air sample analysis and post the results. CIVCO offers one-week rentals on OSHA-approved air sample pumps and filters. Simply conduct an eight-hour sample according to the instructions, then ship the pump and filter back to CIVCO. A written analysis will be sent back in three to four weeks.
It is made of precision-machined aluminum with a gold-tone finish. Components are hand-tapped, counterbored and assembled with steel screws for strength and stability. The easy-to-read screen printed scale is protected from wear by a recessed sliding scale indicator.
Air Sampling Body Caliper - 25cm
MTBC25
Body Caliper - 45cm
MTBC45
Body Caliper - 55cm
MTBC55 These products have not been CE marked.
Mobile Accessory Cart This accessory cart has been specially designed to hold a wide variety of patient positioning and fixation devices. The cart can hold up to 300lbs. (135kg) and measures 40 5/8 x 20 x 37 13/16” (103.2 x 50.8 x 96cm). An optional storage bin is available for storing smaller items.
AIRTEST Available only in the US.
Wipe Test The convenient mold room wipe test includes wipes, sample containers and a test area template. Simply conduct the test according to the instructions and return the sample to CIVCO. In three to four weeks a written analysis will be available of both lead and cadmium levels to determine the effectiveness of clean-up procedures.
Miscellaneous
88
Mobile Accessory Cart (does not include storage bin) Storage Bin
Real Solutions. Right Now.
MTMC020 20MC02005
U.S. Office: 800.842.8688 | +1 712.737.8688
Wipe Test
WIPETEST Available only in the US.
European Office: +31(0)182 - 39 44 95
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Index
Real Solutions. Right Now.
Digital Level.............................................87 Disposable Rectal Markers......................72 Disposable Vaginal Markers.....................72 Dual Leg Positioner..................................60 Exact Lok-Bars........................................15 Extended Wing Board...............................54 Feetfix 2..................................................61 Feetfix Couch Support..............................62 Fixator.....................................................25 FlexiCoil Markers.....................................82 FlexiMarc G/T Markers.............................83 Foam Cushions & Wedges........................70 Foot Extension.........................................14 FusionCoil Marker....................................82 Gel Head Cup...........................................49 Grip Rings................................................87 Head & Neck Vac-Loks............................42 Headrests.......................................... 38-43 AccuForm...........................................42 Contoured Headrests...........................39 Gel Head Cup......................................49 Pediatric Headrests.............................40 Posifix Supine Headrests.....................38 Prone Headrest...................................39 Round Head Cup.................................49 Silverman Headrests...........................38 Storage...............................................41 Timo Headrests...................................38 Wide Headrest.....................................39 Height Adjustable Arm Support.................51 Helping Hands.........................................68 Hip & Pelvic Vac-Loks..............................64 HipFix......................................................63 MRI Compatible...................................77 Thermoplastics...................................63 Vac-Lok Cushion.................................64 I.D. Tags...................................................68 IGRT QA Tool............................................85 Implantable Fiducial Markers Align Markers......................................82 Bone Markers.....................................84 Coupled Markers.................................83 CyberMark Markers.............................84 FlexiCoil Markers................................82 FlexiMarc Markers..............................83 Merrifield Cartridge.............................83 Needle Options....................................84 PolyMark Markers...............................82 Prespaced Markers.............................83 Soft Tissue Markers............................84 Suture-Type Markers...........................80 IMRT Reinforced Thermoplastics Breast Support....................................52
U.S. Office: 800.842.8688 | +1 712.737.8688
HipFix..................................................63 Type-S.......................................... 26-28 Uni-frame..................................... 36-37 Incontinence Clamps...............................87 Indexing.....................................................4 Individual Head Support...........................43 Interloc Lok-Bars.....................................15 Iso-Align..................................................85 Kneefix 2.................................................61 Kneefix 2 Elevation Block.........................61 Laser Locator..........................................53 Lateral Baseplate.....................................35 Lok-Bars............................................ 14-15 Long Extension Storage Device..................8 Low Kneefix 2..........................................61 L-Profiles.................................................32 Merrifield Cartridge..................................83 Miscellaneous Thermoplastics.................71 Mobile Accessory Cart.............................88 MR Bellyboard.........................................77 MRI Overlays...........................................13 MRI Type-S Overlays................................76 MRSeries Positioning......................... 76-77 MT-250 Breastboard................................48 MT-350 Breastboard................................48 Multifix....................................................65 Multi Purpose Support Cushions..............69 New Horizon Prone Breastboard...............53 Non-Metallic Deodorant...........................89 Overlays..................................................12 Overlay Stand..........................................14 Palliative Extension....................................7 Patient Marking Portal Markers....................................72 Rectal Markers....................................72 Spee-D-Mark......................................72 SureMark Skin Markers.......................73 Vaginal Markers..................................72 Patient Shielding......................................88 Patient Transfer Board..............................87 Pediatric Posifix.......................................74 Pediatric Type-S.......................................74 PinnPoint Lok-Bars..................................15 PointCoil Markers.....................................80 PolyMark Markers....................................82 Portal Markers.........................................72 Posiboard-2 Breastboard.........................50 Posicast Thermoplastics Head & Neck................................. 32-33 Multifix................................................65 Posifix Carbon Fiber Wedge......................40 Posifix Contoured Headrests....................39 Posifix Pediatric Headrests.......................40
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89 Index
Accessory Rail Locking Block...................14 Accessory Rail Lok-Bar............................14 Accessory Rail Universal Couchtop...............................7 AccuForm Cushions.................................42 AccuForm Positioner................................42 Air Sampling............................................88 Align Markers..........................................82 ALRA Skin Care........................................87 Arm Supports Bi-Axial Arm Support...........................49 Cranial Arm Support............................51 Delrin Hand Grips................................49 Height Adjustable................................51 Rigid Adjustable .................................51 Bi-Axial Arm Support System...................49 Body Calipers..........................................90 Body Pro-Lok..................................... 18-19 Body Pro-Lok Rails-Only System..............20 Bolus.......................................................86 Bone Markers..........................................81 Breast & Thorax Vac-Loks........................55 Breastboards C-Qual................................................47 MT-250...............................................48 MT-350...............................................48 New Horizon Prone..............................53 Posiboard-2........................................50 Breastboard Timo Headrest......................49 Breast Caliper..........................................56 Breast Support Thermoplastic..................52 Calipers...................................................88 Breast Caliper.....................................56 Carbon Fiber Bellyboard...........................58 Carbon Fiber Couchtops...........................11 ClearVision Thermoplastic........................27 Cold Mitt..................................................71 Combifix..................................................62 Shoulder Retractors............................62 Commercial Water Bath...........................71 Contoura Bellyboard................................59 Couchtop Cover.......................................41 Couchtops...............................................11 Coupled Markers.....................................83 Cranial Arm Support.................................51 Cranial Stop Headrest..............................39 CT Overlays.............................................12 C-Qual Breastboard.................................47 Cunningham Clamps................................89 Cushion Adapters.....................................40 CyberMark Markers.................................84 Delrin Hand Grips.....................................49 Diagnostic Vac-Lok..................................65
Index
90
Posifix Prone Headrest.............................39 Posifix Supine Headrests..........................38 Posifix System................................... 29-33 Baseplates..........................................29 IMRT Baseplate...................................30 Pediatric Baseplate.............................74 Posicast Thermoplastics................ 32-33 Positilt.................................................30 Storage...............................................31 Universal Couchtop Ext..........................7 Universal Couchtop Long Ext.................8 Posirest-2................................................54 Posi-S Adapter.........................................40 Positilt.....................................................30 Precise Bite Patient Repositioner..............44 Prespaced Markers..................................83 Prodigy Lok-Bars.....................................15 Prone Head Holder...................................35 Prone Thorax Support..............................58 Prone-Lok Cushion..................................60 Pron-Pillo.................................................60 Proton Positioning....................................75 Protura Robotic Patient Positioning System.......................................... 78-79 Rails-Only System...................................20 RediFoam................................................69 Rigid Adjustable Arm Support...................51 Round Head Cup......................................49 SBRT Body Pro-Lok........................... 18-19 Shims......................................................40 Shoulder Retractor...................................44 Shoulder Support Cushion.......................41 Silverman Headrests................................38 Skinless Bolus.........................................88 Slide Guide Lok-Bar.................................14 Soft Tissue Gold Markers.........................84 Spee-D-Mark...........................................72 Standard Perforated Thermoplastics Breast.................................................52 HipFix..................................................63 Type-S.......................................... 26-28 Uni-frame..................................... 36-37 Standard Wing Board...............................54 SureLock Markers...................................81 Suremark Skin Marking Labels................73 Suture-type Markers................................80 Table Strap..............................................87 Tapered Wing Board.................................54 Testicle Shields........................................86 Stand..................................................86 TG66 CT QA Device..................................85 Therapy Lotion.........................................89 Thorawedge............................................50 Real Solutions. Right Now.
Three-Pin Lok-Bars.................................76 Timo Headrests........................................38 Transverse Lok-Bars................................15 Treatment Brassiere.................................56 Treatment Panels.....................................14 Tungsten Eye Shields...............................86 Two-Pin Adapter......................................14 Two-Pin Baseplate Storage......................31 Type-S System.................................. 24-28 Fixator.................................................25 Head Extension...................................24 iBEAM Overlay Adapter........................24 MRI Compatible Baseplate..................24 Overlay Board.....................................24 Pediatric Thermoplastics.....................74 Thermoplastics............................. 26-28 Type-S SRS Board...............................25 Universal Couchtop Ext..........................7 Universal Couchtop Long Ext.................8 Variable Axis Baseplate.......................25 Uni-frame System.............................. 34-37 Baseplates..........................................34 Colored Thermoplastics.......................74 Lateral Baseplate................................35 Prone Head Holder..............................35 Thermoplastics............................. 36-37 Tilting Baseplates................................34 Universal Couchtop................................ 6-7 UCT SBRT Packages............................10 Universal Couchtop Long Extension............8 Universal Couchtop One Piece...................9 Vac-Lok Cushions.............................. 66-67 Breast & Thorax..................................55 Cleaner...............................................68 Diagnostic...........................................65 Head & Neck.......................................42 Helping Hands.....................................68 Hip & Pelvic.........................................64 I.D. Tags..............................................68 Storage Racks.....................................68 Vacuum Compressors.........................68 Vaginal Markers.......................................72 Variable Axis Baseplate............................25 Water Bath..............................................71 Water Bath Cart.......................................71 Wide Headrest.........................................39 Wing Boards............................................55 Wipe Test.................................................88 ZENTEC Thermoplastics...........................26 Zipser Clamp...........................................89
U.S. Office: 800.842.8688 | +1 712.737.8688
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Part Number Index 301081................... 50 301082................... 50 301090................... 41 301091................... 41 301234................... 39 302067................... 62 302070................... 62 305000................... 38 400006................... 69 401313................... 69 402422................... 69 402525................... 69 402820................... 69 402848................... 69 403024................... 69 600251................... 14 622510................... 32 770030................... 33 770033................... 33 770044................... 33 770145................... 33 772030................... 33 772033................... 33 772044................... 33 772145................... 33 774392................... 33 900030................... 33 900033................... 33 900145................... 33 904392................... 33 910030................... 33 910033................... 33 910044................... 33 910145................... 33 914392................... 33 920030................... 33 920033................... 33 920044................... 33 920145................... 33 924392................... 33 930030................... 33 930033................... 33 930044................... 33 930055................... 33 930080................... 65 930090................... 65 930145................... 33 940030................... 33 940033................... 33 940044................... 33 940145................... 33 950030................... 33 950033................... 33 950044................... 33 950145................... 33 970031................... 21 980030................... 33 AIRTEST................... 88 ELL002.................... 53 MT20100................. 34 MT20100CF............. 34 MT20102................. 34 MT20104................. 34
Real Solutions. Right Now.
MT20105................. 34 MT202..................... 35 MT202VL................. 35 MT2504................... 49 MT250SUB4............ 49 MT250SUB5............ 49 MT250WC............... 48 MT250WN............... 48 MT350400............... 49 MT350N.................. 48 MT350WSD............. 48 MT400..................... 47 MT6X200TE............. 78 MT6X200TU............. 78 MT6X300TE............. 78 MT6X300TU............. 78 MT6X400TE............. 78 MT6X400TU............. 78 MTACL001............... 42 MTACL14242........... 42 MTACL1520............. 42 MTACL2045............. 42 MTACL4060............. 42 MTACL6060............. 42 MTACLTYPES1......... 42 MTAPS18391........... 71 MTAPS2.4................ 28 MTAPS3.2................ 28 MTAPS3A................. 71 MTAPSD2.4............. 28 MTAPSD3.2............. 28 MTAPSI2724............ 28 MTAPSI2732............ 28 MTAPSI2932............ 28 MTAPSI29NR32....... 28 MTAPSID2724.......... 28 MTAPSID2724VT...... 28 MTAPSID2732.......... 28 MTAPSID27NR24..... 28 MTAPSID27NR32..... 28 MTAPSID2924.......... 28 MTAPSID2932.......... 28 MTAPSID29NR24..... 28 MTAPSP2.4.............. 74 MTAPU..................... 37 MTAPU1.6................ 37 MTAPU12................. 37 MTAPU122.4............ 37 MTAPU14................. 37 MTAPU142.4............ 37 MTAPU2.4................ 37 MTAPUCP201.......... 37 MTAPUCP301.......... 37 MTAPUD.................. 27 MTAPUD002............ 27 MTAPUD1224.......... 27 MTAPUD1424.......... 27 MTAPUD1432.......... 27 MTAPUD2.4............. 27 MTAPUI1824............ 37 MTAPUI1824VT........ 37 MTAPUI1832............ 37 MTAPUI2024............ 37
MTAPUI2032............ 37 MTAPUI2232............ 37 MTAPUID181232..... 27 MTAPUID181432..... 27 MTAPUID1824......... 27 MTAPUID1824VT...... 27 MTAPUID1832......... 27 MTAPUID2024......... 27 MTAPUID2032......... 27 MTAPUID2232......... 27 MTAPUIR1832.... 27, 37 MTAPUIR2032.... 27, 37 MTAPUIW1824VT..... 37 MTAPUL................... 35 MTAPUL2.4.............. 35 MTAPUNB................ 74 MTAPUR............ 27, 37 MTAPUR1................ 36 MTAPUR12........ 27, 37 MTAPUR122.4... 27, 37 MTAPUR2.4....... 27, 37 MTAPUW.................. 37 MTAPUW12.............. 37 MTAPUW122.4......... 37 MTAPUW2.4............. 37 MTAPWW3V............. 71 MTAPWW3VEX......... 71 MTARB001.............. 14 MTARB002.............. 14 MTBBCF.................. 59 MTBC25.................. 88 MTBC45.................. 88 MTBC55.................. 88 MTBCD.................... 56 MTBR100................ 56 MTBR100LL............. 56 MTBR100LR............ 56 MTBR100ML............ 56 MTBR100MR........... 56 MTBR100SL............ 56 MTBR100SR............ 56 MTBR100TBC.......... 56 MTBR100XLL........... 56 MTBR100XLR.......... 56 MTCB305005S........ 86 MTCB305010S........ 86 MTCB36.................. 60 MTCB403................ 86 MTCB403S.............. 86 MTCB404005S........ 86 MTCB404010S........ 86 MTCB405................ 86 MTCB405CE............ 86 MTCB405S.............. 86 MTCB410................ 86 MTCB410CE............ 86 MTCB410S.............. 86 MTCB415................ 86 MTCB415S.............. 86 MTCB420................ 86 MTCB420S.............. 86 MTCB430................ 86 MTCB430S.............. 86
U.S. Office: 800.842.8688 | +1 712.737.8688
MTCB440................ 86 MTCB450S.............. 86 MTCB455S.............. 86 MTCB465S.............. 86 MTCB470S.............. 86 MTCB60.................. 71 MTCBALRAD............ 87 MTCBALRASL4........ 87 MTCBPBITE............. 44 MTCBPBITES........... 44 MTCBPBITETD......... 44 MTCBPBITETDS....... 44 MTCBPBITEWRM..... 44 MTCBPFC................ 68 MTCBPLLG.............. 71 MTCD1600.............. 71 MTCD1600EX.......... 71 MTCFHN001............ 26 MTCFHN006............ 25 MTCFHN006SUB6.... 25 MTCFHNC................ 24 MTCFHNCV.............. 24 MTCFHNP................ 24 MTCFHNPN.............. 24 MTCFHNPV.............. 24 MTCFHNSRS............ 25 MTCFHNVAB01........ 25 MTCTXFC09101820.. 82 MTCTXFC10201820.. 82 MTCTXFC12201820.. 82 MTCTXGT10182010.. 83 MTCTXGT10182020.. 83 MTCTXGT12172010.. 83 MTCTXGT12172020.. 83 MTCTXPC08..... 80, 81 MTCTXPC0819154.. 80, 81 MTCTXPC091820.. 80, 81 MTCTXPM101820.80, 81 MTCTXSL1217201... 81 MTCTXSL1217203... 81 MTDLI...................... 60 MTDLIZ.................... 60 MTDROL.................. 87 MTFA39B................. 69 MTFA40B................. 69 MTFA41B................. 69 MTGBSUB1.............. 54 MTGBSUB3.............. 54 MTHFI1822.............. 63 MTHFI18222.4......... 63 MTHFX1822............. 63 MTHFX18222.4........ 63 MTHFX18222.4S..... 63 MTHFX1822S.......... 63 MTHPBB01.............. 53 MTHPBB103............ 53 MTIAD1................... 85 MTIHS01................. 43 MTIHS02................. 43 MTIHS03................. 43 MTIHS04................. 43 MTIL1000................ 14 MTIL1006................ 14
European Office: +31(0)182 - 39 44 95
MTIL1104................ 14 MTIL3000................ 11 MTIL3001................ 12 MTIL3006001.......... 14 MTIL3006002.......... 14 MTIL3008................ 12 MTIL3010................ 11 MTIL301001............ 14 MTIL301002............ 14 MTIL301003............ 14 MTIL301004............ 11 MTIL3013................ 12 MTIL3015................ 11 MTIL3018................ 12 MTIL3019................ 12 MTIL3051................ 15 MTIL3103................ 14 MTIL3151................ 15 MTIL3152................ 15 MTIL3200................ 11 MTIL3202................ 11 MTIL3300................ 12 MTIL3301................ 12 MTIL3302................ 12 MTIL3306................ 12 MTIL3310................ 12 MTIL3311................ 12 MTIL3350................ 15 MTIL3403................ 12 MTIL3404................ 12 MTIL3502................ 12 MTIL3650................ 15 MTIL3651................ 15 MTIL3652................ 15 MTIL3653................ 15 MTIL3704................ 12 MTIL3705................ 12 MTIL3706................ 12 MTIL3850................ 15 MTIL3950................ 15 MTIL4000................ 11 MTIL4101................ 12 MTIL5050................ 15 MTIL5051................ 15 MTIL5052................ 15 MTIL6000SU.............. 8 MTIL6020.................. 9 MTIL6021.................. 9 MTIL6022.................. 9 MTIL6023.................. 9 MTIL6040.................. 8 MTIL6041.................. 8 MTIL6050............ 7, 15 MTIL6051............ 7, 15 MTIL6060.................. 6 MTIL6061.................. 6 MTIL6062.................. 6 MTIL6063.................. 6 MTIL6120.................. 9 MTIL6121.................. 9 MTIL6140.................. 8 MTIL6141.................. 8 MTIL6160.................. 6
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91 Index
013101................... 31 013103................... 62 013104................... 31 013106................... 31 013107................... 41 013115................... 62 013135................... 61 013140................... 58 013156................... 47 013159................... 31 101019................... 29 101023................... 74 101024................... 74 102021................... 29 104021................... 29 105021................... 29 106015................... 51 106016................... 51 106017................... 51 106047................... 51 106521................... 54 106522................... 54 107020................... 30 107107................... 40 108010................... 30 108070................... 30 108071................... 24 109030................... 50 109500................... 47 125012................... 58 126000................... 77 151002................... 62 20CFHNSRS07......... 25 20CFHNSUB1C........ 26 20CFHNSUB1P......... 26 20CFHNSUB2........... 24 20CFHNSUB2V......... 24 20CHHNPSUB1P...... 74 20MC02005............ 88 20VARSUB10........... 15 301001................... 38 301002................... 38 301002................... 39 301003................... 38 301004................... 38 301005................... 38 301008............. 39, 51 301015................... 40 301016................... 40 301023................... 39 301024................... 39 301025................... 39 301026............. 40, 74 301027............. 40, 74 301028................... 40 301040................... 41 301047................... 61 301048................... 61 301051................... 61 301054................... 61 301066................... 61 301075................... 58 301080................... 50
Part Number Index
Index
92
MTIL6161.................. 6 MTIL6220.................. 9 MTIL6240.................. 8 MTIL6260.................. 6 MTIL6320.................. 9 MTIL6321.................. 9 MTIL6322.................. 9 MTIL6323.................. 9 MTIL6360.................. 6 MTIL6361.................. 6 MTIL6362.................. 6 MTIL6363.................. 6 MTIL6420.................. 9 MTIL6460.................. 6 MTIL6520.................. 9 MTIL6521.................. 9 MTIL6560.................. 6 MTIL6561.................. 6 MTIL6602.................. 7 MTIL6603.................. 7 MTIL6604.................. 7 MTIL6607.................. 7 MTIL6608.................. 7 MTIL6612.................. 9 MTIL6613.................. 7 MTIL6615.................. 7 MTIL6616.................. 7 MTIL6620.................. 7 MTIL662501.............. 7 MTIL662502.............. 7 MTIL6630.................. 7 MTIL6660.................. 8 MTIL6665.................. 8 MTIL6666.................. 8 MTIL6667.................. 8 MTLTBP................... 35 MTLTBP2................. 35 MTLTBPIAT.............. 35 MTM3000.......... 13, 76 MTM3001.......... 13, 76 MTM3002.......... 13, 76 MTM3300.......... 13, 76 MTM3301.......... 13, 76 MTM3302.......... 13, 76 MTM3400.......... 13, 76 MTM3401.......... 13, 76 MTMC01003............ 71 MTMC020................ 88 MTMRHNPN............. 24 MTMRHNTYPES... 24, 76 MTMRHPN............... 76 MTNW425200......... 85 MTNW887351......... 84 MTNW887621......... 83 MTNW887709......... 83 MTNW887710......... 83 MTNW887711......... 83 MTNW887712......... 83 MTNW887805......... 84 MTNW887808......... 81 MTNW887808......... 84 MTNW887809......... 84 MTNW887810......... 83
MTNW887812......... 84 MTNW887814......... 84 MTNW887815......... 83 MTNW887825... 81, 84 MTNW887830......... 84 MTNW887835... 81, 84 MTNW887836......... 84 MTNW887837......... 84 MTNW887840... 81, 84 MTNW887851......... 84 MTNW887852......... 84 MTNW887853......... 84 MTNW887854......... 84 MTNW887855......... 84 MTNW887860......... 84 MTNW887866......... 80 MTNW887870......... 81 MTNW887871......... 81 MTNW887872......... 84 MTNW887873... 81, 84 MTNW887881......... 82 MTNW887882......... 82 MTNW887883......... 82 MTPFC01................. 25 MTPLC01................. 60 MTPLHA01.............. 63 MTPLHA0201.......... 63 MTPLHA0202.......... 63 MTPLHAI0203.......... 63 MTPLVC04............... 63 MTPLVCMR........ 63, 77 MTPLVCSUB8........... 63 MTPM100................ 72 MTPM125................ 72 MTPM150................ 72 MTRFH2.................. 52 MTRFI918................ 52 MTRFI9182.4........... 52 MTRFX918............... 52 MTRFX9182.4.......... 52 MTSBRT001............ 18 MTSBRT002............ 19 MTSBRT003............ 19 MTSBRT004............ 19 MTSBRT005............ 19 MTSBRT0051.......... 19 MTSBRT007............ 19 MTSBRT009............ 19 MTSBRT012............ 19 MTSBRT018............ 19 MTSBRT031............ 19 MTSBRT037............ 19 MTSBRT038............ 19 MTSBRT039............ 19 MTSBRT050............ 20 MTSBRT051............ 20 MTSBRT052............ 20 MTSBRT053............ 20 MTSBRT054............ 20 MTSBRT055............ 20 MTSBRT056............ 20 MTSBRT057............ 20 MTSBRT059............ 20
Real Solutions. Right Now.
MTSBRT202............ 19 MTSBRT203............ 18 MTSBRT224............ 18 MTSBRT300............ 10 MTSBRT310............ 10 MTSBRT350............ 20 MTSBRT360............ 20 MTSDM15C............. 72 MTSDM20C............. 72 MTSDM20WC.......... 72 MTSHIM01............... 40 MTSHIM01S............ 40 MTSHIMS................ 40 MTSHIMT................. 40 MTSILVER2.............. 38 MTSILVER2A............ 38 MTSILVER2B............ 38 MTSILVER2C............ 38 MTSILVER2D............ 38 MTSILVER2E............ 38 MTSILVER2F............ 38 MTSL10................... 73 MTSL15................... 73 MTSL15T................. 73 MTSL20................... 73 MTSL20T................. 73 MTSL25................... 73 MTSL25RT............... 73 MTSL30................... 73 MTSL40................... 73 MTSLCL20............... 73 MTSLCL25............... 73 MTSLV25................. 73 MTSLV30................. 73 MTSLV40................. 73 MTSLV50................. 73 MTSLW15................ 73 MTSLW3.................. 73 MTSLW4.................. 73 MTSLW8.................. 73 MTSR01.................. 44 MTSR02.................. 44 MTSR03.................. 44 MTT45L................... 86 MTT45M.................. 86 MTT45S................... 86 MTTASL................... 49 MTTASR................... 49 MTTG66.................. 85 MTTIMO................... 38 MTTIMOA................ 38 MTTIMOB................ 38 MTTIMOBB.............. 49 MTTIMOC................ 38 MTTIMOD................ 38 MTTIMOE................. 38 MTTIMOF................. 38 MTTIMOL................. 38 MTTSL..................... 86 MTTSM.................... 86 MTTSS..................... 86 MTTSST................... 86 MTTWSS.................. 49
MTVAR46................. 15 MTVIP166................ 87 MTVIP1664.............. 87 MTVIP173................ 87 MTVIP181................ 87 MTVIP182................ 87 MTVIP183................ 87 MTVIP40.................. 87 MTVIPFFF101C........ 70 MTVIPFFF102C........ 70 MTVIPFFF103C........ 70 MTVIPFFF104C........ 70 MTVIPFFF105C........ 70 MTVIPFFF106C........ 70 MTVIPFFF107C........ 70 MTVIPFFF203C........ 70 MTVIPFFF205C........ 70 MTVIPFFF301C........ 70 MTVIPFFF302C........ 70 MTVIPFFF303C........ 70 MTVIPFFF309C........ 70 MTVIPFFF401C........ 70 MTVIPFFF402C........ 70 MTVIPFFF403C........ 70 MTVIPFFF405C........ 70 MTVIPFFF407C........ 70 MTVIPFFF502C........ 70 MTVIPFFF702C........ 70 MTVIPFFF704C........ 70 MTVIPFFF801C........ 70 MTVIPFFF802C........ 70 MTVIPFFF803C........ 70 MTVIPFFF804C........ 70 MTVIPFFF805C........ 70 MTVIPU413.............. 87 MTVIPU414L............ 87 MTVIPU414R............ 87 MTVL0008............... 67 MTVL0011............... 67 MTVL0017....19, 55, 67 MTVL00853............. 14 MTVL04............. 55, 67 MTVL04C........... 55, 67 MTVL14FC25........... 67 MTVL1A................... 68 MTVL1BEX............... 68 MTVL27A........... 35, 67 MTVL27B................. 67 MTVL37............. 42, 67 MTVL3SR................. 68 MTVL401................. 68 MTVL402................. 68 MTVL403................. 68 MTVL71FC......... 64, 67 MTVLA80C............... 66 MTVLARM01...... 55, 67 MTVLARM01C.... 55, 67 MTVLARM01FC.. 55, 67 MTVLARM02...... 55, 67 MTVLARM02C.... 55, 67 MTVLARM02FC.. 55, 67 MTVLB40................. 66 MTVLB40C............... 66
U.S. Office: 800.842.8688 | +1 712.737.8688
MTVLB40FC............. 66 MTVLBIS001C.......... 65 MTVLBIS002C.......... 65 MTVLBRB01C.... 55, 67 MTVLE2.25.............. 66 MTVLE2.25C............ 66 MTVLF15................. 66 MTVLF15C............... 66 MTVLF15FC............. 66 MTVLFBB01............. 66 MTVLFBB01C........... 66 MTVLFBB01FC......... 66 MTVLFBB02FC......... 66 MTVLG35................. 66 MTVLG35C.............. 66 MTVLG35FC............. 66 MTVLG40................. 66 MTVLG40C.............. 66 MTVLG40FC............. 66 MTVLH120C............ 66 MTVLHH100............ 68 MTVLHOOK.............. 68 MTVLJ20................. 66 MTVLJ20C............... 66 MTVLJ20FC............. 66 MTVLPLV01....... 64, 66 MTVLPLV01C..... 64, 66 MTVLPLV01FC... 64, 66 MTVLPLV02....... 64, 66 MTVLPLV02C..... 64, 66 MTVLPLV02FC... 64, 66 MTVLPLV03C..... 64, 67 MTVLPLV06............. 66 MTVLTAG................. 68 MTVLTYS01CX... 42, 67 MTVLWGB03...... 55, 67 MTVLWGB03C.... 55, 67 MTVP1..................... 68 MTVPEXA................. 68 MTVPEXC................. 68 MTVPEXD................ 68 MTVPEXG................. 68 MTVPEXH................. 68 MTVRT20................. 27 MTWB08T................ 54 MTWB08U............... 54 MTWB09................. 54 MTWB10T................ 54 MTWB10U............... 54 MTZM1710.............. 72 MTZM1735.............. 72 MTZM1740.............. 72 MTZXTZ44069CF..... 14 MTZXTZ44069CS..... 14 WIPETEST................ 88
European Office: +31(0)182 - 39 44 95
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Ordering Information for U.S. Markets Placing an Order Toll-free within the U.S. and Canada: 800-842-8688 Direct Dial: 712-737-8688 Facsimile: 877-613-6300 E-mail:
[email protected] Office Hours Monday-Thursday, 7:30 a.m. - 5:00 p.m., Central Standard Time. Friday, 7:30 a.m. – 4 p.m., Central Standard Time. To place an order after business hours, leave a voice mail telephone message, and a customer representative will notify you on the next working day for order verification. Payment Terms Net 30 days for customers with approved credit inside the United States and Canada. All orders must be paid in U.S. dollars. Orders from outside the U.S. require advance remittance by wire transfer. Visa, Mastercard, Discover and American Express are accepted. Alternate International payment terms are considered upon request. Delinquent accounts are subject to suspension until payment arrangements are made. Shipping Terms F.O.B. point of origin. Freight is prepaid and added to the invoice. CIVCO will select the most efficient method of shipment, unless a specific carrier is requested. Overnight and rush shipments are provided for an additional fee. Pricing and Discounts Prices are subject to change without notice. Quantity discounts and blanket order pricing are available. Contact a customer service specialist for details. A $50 minimum purchase is required with each order. Sample Requests Free non-sterile samples are available on selected products. Samples are provided for sizing and fit purposes only and should not be used in clinical procedures. Return Policy If you are dissatisfied with a product, contact a CIVCO customer service specialist for advance return authorization and instructions. Returns should be arranged within 30 days of the invoice date and are subject to a 25 percent restocking fee. Returned goods must be in original packaging and in new condition. CIVCO reserves the right to refuse unauthorized returns. Claims, Shortages or Damages Please open all shipments immediately and inspect for concealed damages, shortages or errors. If goods were damaged in shipping, please hold the package and request a carrier inspection and claim form. Please report any shortages or errors to your CIVCO customer service specialist within 30 days of receipt of shipment to arrange an authorized exchange.
Product Warranty Reusable products. CIVCO warrants products manufactured by CIVCO and intended to be reusable shall be free from defects in materials and workmanship for 12 months from the date of invoice by CIVCO unless otherwise stated on the product labeling and/or instructions. Disposable products. CIVCO warrants products manufactured by CIVCO and intended to be disposable (single-use) shall be free from defects in materials and workmanship for 12 months from the date of invoice by CIVCO unless otherwise stated on the product labeling and/or instructions. Sterile disposable products shall be sterile for not less than 12 months from the date of invoice by CIVCO unless otherwise stated on the product labeling and/or instructions. All products not manufactured by CIVCO are warranted if applicable as defined under the original manufacturer’s warranty as stated on the labeling and/or instructions. Buyer’s sole remedy for breach of this warranty will be replacement or repair of the product or part, at CIVCO’s option. To the full extent allowed by law, the foregoing warranties and remedies are exclusive and in lieu of all other warranties, terms, or conditions, express or implied, either in fact or by operation of law, statutory or otherwise, including warranties, terms, or conditions of merchantability, fitness for a particular purpose, satisfactory quality, correspondence with description, and noninfringement, all of which are hereby expressly disclaimed. Notwithstanding the foregoing, CIVCO makes no warranty, nor shall it have any obligation to the customer with respect to any product sold hereunder, if such product has expired according to product labels or has not been used, handled or stored in accordance with written CIVCO guidelines. Disclaimer. Some countries, states, or provinces do not allow the exclusion or limitation of implied warranties or the limitation of incidental or consequential damages for certain products supplied to consumers, or the limitations of liability for personal injury, so the above limitations and exclusions may be limited in their application to buyer. When the implied warranties are not allowed to be excluded in their entirety, they will be limited to the duration of the applicable written warranty. This warranty gives buyer specific legal rights which may vary depending on local law. All products may not be licensed in accordance with Canadian law. Quality Standards CIVCO is registered to ISO 13485:2003 Quality Standards.
For ordering information in other markets, please contact your nearest CIVCO office. Real Solutions. Right Now.
U.S. Office: 800.842.8688 | +1 712.737.8688
European Office: +31(0)182 - 39 44 95
WWW.CIVCO.COM
93 Index
Note: Not all products listed are available in every market. Please contact your account representative or local distributor for availability.
Contact CIVCO US Office
1401 8th St SE Orange City, IA 51041 800.842.8688 | +1 712.737.8688
European Office
Pasteurstraat 6 2811 DX Reeuwijk, The Netherlands + 31 (0)182 - 39 44 95 Fax: +31 (0)182 - 39 50 14
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COPYRIGHT © 2012. CIVCO, COMFORTPERF, EXACT, HIPFIX, INTERLOC, POSICAST, POSIFIX, AND UNI-FRAME ARE REGISTERED TRADEMARKS OF CIVCO MEDICAL SOLUTIONS. ACCUFORM, ALIGN, BI-AXIAL ARM SUPPORT SYSTEM, BODY PRO-LOK, CLAM-LOK, CLEARVISION, COMBIFIX, CONTOURA, COUPLED, C-QUAL, CYBERMARK, FIEETFIX, FIXATOR, FLEXICOIL, FLEXIMARC, HELPING HANDS, HORIZON, IMRT REINFORCED THERMOPLASTIC, INDEXED PATIENT POSITIONING, ISO-ALIGN, KNEEFIX, LASER-LOK, LOK-BAR, MERRIFIELD CARTRIDGE, MRSERIES, MULTIFIX, PEDIBOARD, POSIREST, POSI-S, POSITILT, PRECISE BITE, PRODIGY, PRONELOK, PRON-PILLO, PROTURA, REDIFOAM, RFSERIES, THORAWEDGE, TYPE-S UNIVERSAL COUCHTOP,VAC-LOK, WING BOARD, AND ZENTEC ARE TRADEMARKS OF CIVCO. ALL OTHER TRADEMARKS ARE PROPERTY OF THEIR RESPECTIVE OWNERS. ALL PRODUCTS MAY NOT BE LICENSED IN ACCORDANCE WITH CANADIAN LAW. 2012P0756