Varian Brachytherapy Applicators and Accessories



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Transcription:

Varian Brachytherapy Applicators and Accessories

BrachyTherapy Applicators and Accessories 2011 Varian Medical Systems, Inc.

VARIAN = Innovation For more than 50 years, Varian Medical Systems has pioneered a broad range of dynamic products. Working in partnership with clinicians in more than 600 healthcare facilities throughout the world, Varian BrachyTherapy offers a comprehensive line of afterloaders, applicators and accessories, and treatment planning systems. Varian can create a system perfectly matched to your brachytherapy needs. The products in this catalogue are part of Varian s integrated approach to treatment planning and delivery aiming at improving the health and quality of life of people everywhere. The applicators and accessories in this catalogue are designed for use with Varian BrachyTherapy afterloaders only. Items that may only be used with the GammaMedplus or VariSource afterloaders are so noted. For assistance in selecting the appropriate applicators and accessories for your clinical situation, please inquire at e-mail applicators@varian.com, or call Varian BrachyTherapy Technical Support at 800-360-7909. Specifications are subject to change without notice. For the most current updates and information on Varian BrachyTherapy products, visit: www.varian.com/brachytherapy BrachyTherapy Applicators and Accessories 2011 Varian Medical Systems, Inc.

How To Order All applicator sets, components, accessories and quality assurance accessories are available directly from Varian BrachyTherapy except where otherwise noted in this catalogue. To order from the United States, Latin America or Canada, call 888-666-7847. You may use a major credit card or purchase order. From the European Union or Asia, order from our office in Haan Germany at +49-2129-551-0. A purchase order is required. To obtain the most current information on prices and availability, e-mail applicators@varian.com. Return Policy Any supplied sterile applicators or accessories are unable to be returned. Any non-sterile supplied applicators and accessories may be returned subject to agreement and under the express condition that the applicators or accessories are unused. Unopened and sealed non-sterile applicators and accessories may be returned within 90 days, subject to a 15% restocking fee. VARIAN = Reliability

VARIAN = Performance Technical Support Varian BrachyTherapy is committed to providing the latest brachytherapy technology in applicators and accessories. For assistance in selecting the components, please contact our Technical Support Help Desk at 800-360-7909 in North America, or use the direct dial toll free contact information below. E-Mail Your Questions To submit a question, please send an email with a blank subject line, to: brachyhelp@varian.com or applicators@varian.com. Please indicate the name of your institution, your name and phone number, the product you are commenting on, and your system number, if known, as well as the description of the problem or question. Fax Your Support Questions You may fax your questions to BrachyTherapy Technical Support at: UK: +44-1293-542-626 USA: +1-866-385-1322 +1-949-221-7631 Toll Free Technical Support Toll free access using the AT&T International direct dialing network is available in over 150 countries. To access the number, dial first the AT&T access number in your area. For the access code in your area, see internet address: http://www.business.att.com/bt/dial_guide.jsp At the prompt, Please enter the number you are calling, dial: 800-360-7909. For countries not listed below or not in the AT&T International dialing network, telephone support may be obtained via the following numbers. Our applications specialists can immediately return any calls received on these numbers. UK: +44-1293-601-327 USA: +1-434-979-1540 Direct Dial Toll Free Technical Support Australia 1-800-144-130 Holland 0800-022-5072 Japan 00531-78-22-21 Spain 900-957-680 Belgium 0800-74-248 Hong Kong 0800-96-21-42 Luxembourg 0800-25-67 South Africa 0800-992-872 Canada 1-888-226-8633 Hungary 06-80013-318 Malaysia 1-800-808-605 Sweden 0200-21-45-08 Denmark 80-88-07-45 Indonesia 001-803-0441-1109 New Zealand 0800-445-938 Switzerland 0800-83-75-77 Finland 0800-11-68-92 Ireland 1-800-551-716 Norway 800-16-327 Taiwan 0080-04-40-99 France 0800-905-397 Israel 1-800-944-11-80 Portugal 800-880-183 UK 0800-068-06-88 Germany 0800-182-6937 Italy 800-790-535 Singapore 800-44-11-100 USA 1-800-360-7909

Catalogue Sections Intracavitary Applicators... 1.1 1.20 Intraluminal Applicators... 2.1 2.6 Interstitial Applicators... 3.1 3.15 Intraoperative and Surface Applicators... 4.1 4.3 Accessories... 5.1 5.23 Quality Assurance... 6.1 6.2 Spare Parts for Discontinued Applicators... 7.1 7.14 Index... 8.1 8.2

Intracavitary Applicators 1.1 1.21 1.20 GM11008210 / GM 11008740 Accessory Kits for Intracavitary/GYN Applicators 1.1 1.2 GM11004140 Vaginal Applicator Set with CT Cylinders CT Compatible / MR Compatibility: Conditional 1.3 GM11004150 Segmented Cylinder Applicator Set CT Compatible / MR Compatibility: Conditional 1.4 GM11004160 Stump Applicator Set with CT Cylinders CT Compatible / MR Compatibility: Conditional 1.5 GM11004380 Shielded Applicator Set 1.6 GM11004040 Cervix Applicator Set CT Compatible 1.7 GM11004540 Segmented Cervix Applicator Set CT Compatible / MR Compatibility: Conditional 1.8 GM11009840 Endometrial Applicator Set CT Compatible / MR Compatibility: Conditional 1.9 GM11004580 Heyman Packing Applicator Set CT Compatible / MR Compatibility: Conditional 1.10 GM11000810 Fletcher-style Applicator Set Defined Geometry 1.11 GM11006200 Titanium Fletcher-style Applicator Set Defined Geometry CT Compatible 1.12 AL13030001 Fletcher-Suit-Delcos-style Applicator Set Flexible Geometry CT Compatible / MR Compatibility: Conditional 1.13 GM11006940 Manchester-style Applicator Set Flexible Geometry 1.14 AL13017000 Ring & Tandem Combination Applicator Set CT Compatible / MR Compatibility: Conditional 1.15 Optional Components for Vienna-Style Ring Applicator 1.16 GM11001220 Ring Applicator, 45 Set CT Compatible / MR Compatibility: Conditional 1.17 GM11000760 Ring Applicator, 60 Set CT Compatible / MR Compatibility: Conditional 1.18 GM11001240 Ring Applicator, 90 Set CT Compatible / MR Compatibility: Conditional 1.19 AL13025000 Miami-style Applicator Set CT Compatible 1.20

GM11008210 / GM11008310 Accessory Kits for GammaMed Intracavitary / GYN Applicators Afterloader: GammaMedplus ix / GammaMedplus Many Varian intracavitary applicators use the same set of accessories. The following accessory kits make ordering easier and help prevent ordering duplicate spare parts. You will find the kit number listed in the required accessories section for each applicator set in this chapter. 1.1 Qty.* GM11008210 Basic Accessory Kit for Intracavitary / GYN Applicators, GammaMedplus 3 GM11000340 Source guide tube with locking mechanism for 320mm Applicators, GammaMedplus 3 GM11009600 X-ray marker for 320mm applicators, 0.9mm diameter, uncoded, GammaMedplus 2 GM11003340 Mandrin for 113mm length 1 GM11000330 Length gauge 2 GM11002800 Tool for vaginal cylinders 5 GM11003220 Cleaning caps, black, pack of 20 5 GM11003330 Cleaning caps, grey, pack of 20 Qty.* GM11008310 Completer Kit for Heyman Packing Applicator & Catheter Flap Sets, GammaMedplus (in addition to Kit GM11008210) 9 GM11000340 Source guide tube with lock mechanism for 320mm Applicators, GammaMedplus 1 GM11009620 X-ray marker BV set I, up to 320mm applicators, 0.9mm diameter, coded 1-6 1 GM11009630 X-ray marker BV set II, up to 320mm applicators, 0.9mm diameter, coded 7-12 2 GM11003270 Mandrin for 200mm length 2 GM11003810 Leak stop buttons, non-sterile, pack of 50 2 GM11003220 Cleaning caps, black, pack of 20 2 GM11003330 Cleaning caps, grey, pack of 20 *Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description.

1.2 GM11008740 Accessory Kit for VariSource Intracavitary/GYN Applicator Afterloader: VariSource ix / VariSource 200 Many Varian intracavitary applicators use the same set of accessories. The following accessory kits make ordering easier and help prevent ordering duplicate spare parts. You will find the kit number listed in the required accessories section for each applicator set in this chapter. Qty.* GM11008740 Basic Accessory Kit for Intracavitary Applicators (GYN & ENT), VariSource 1 GM19001000 ClickFit Transfer Guide Tube Set, Channels 1-4 (200 Series) 3 GM11009600 X-ray marker BV for 320mm applicators, 0.9mm diameter, uncoded 2 GM11002800 Tool for vaginal cylinders 5 GM11003330 Cleaning caps, grey, pack of 20 2 GM11003340 Mandrin for 113mm length *Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description. www.varian.com/brachytherapy TO ORDER: applicators@varian.com

GM11004140 Vaginal Applicator Set CT Compatible / MR Compatibility: Conditional Intended for: HDR or PDR intracavitary brachytherapy of the vagina and rectum Afterloader: VariSource ix / VariSource 200 / GammaMedplus ix / GammaMedplus Modality: HDR, PDR 1.3 The Vaginal Applicator Set is used to treat cancer of the vagina or rectum. The set offers a variety of cylinder diameters that maintain an optimal distance between the source and the layers of tissue to be treated. For any given cylinder, the distance between its tip and the source remains constant ensuring a targeted, homogenous treatment dose. Suitable for vagina or rectum CT Compatible MR Compatibility: Conditional for 1.5 and 3 Tesla Minimal assembly required Multiple cylinder diameters Provides a centered first-source position to ensure a homogenous dose parallel to cylinder walls Steam sterilizable

1.3 GM11004140 Vaginal Applicator Set with CT Cylinders CT Compatible / MR Compatibility: Conditional Qty.* Product # Components of the Applicator Set 1 GM11004760 Closed CT vaginal cylinder, 20mm, with plastic clamping screw 1 GM11004700 Closed CT vaginal cylinder, 23mm, with plastic clamping screw 1 GM11004780 Closed CT vaginal cylinder, 26mm, with plastic clamping screw 1 GM11004790 Closed CT vaginal cylinder, 30mm, with plastic clamping screw 1 GM11004800 Closed CT vaginal cylinder, 35mm, with plastic clamping screw 1 GM11002560 Flexible applicator probe, 3.2mm, braced PVDF 4 GM11009960 Sterilization plugs, cream (pack of 25) Required Accessories (choose one afterloader-specific kit) 1 GM11008740 Basic accessory kit for Intracavitary/GYN applicators, VariSource 200 and ix 1 GM11008210 Basic accessory kit for Intracavitary/GYN applicators, GammaMedplus series Optional Components and Accessories 1 GM11001960 Flexible fixation device for gynecological applicators 1 GM11008700 Universal applicator clamping device 1 GM11001390 Source guide tube support, GammaMed units only 1 GM11005220 Plastic clamping bolt 1 GM11003810 Leak stop buttons, non-sterile, pack of 50 *Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description. C0086 www.varian.com/brachytherapy TO ORDER: applicators@varian.com

GM11004150 Segmented Cylinder Applicator Set CT Compatible / MR Compatibility: Conditional Intended for: HDR intracavitary brachytherapy of the vagina, vaginal stump, and rectum Afterloader: VariSource ix / VariSource 200 / GammaMedplus ix / GammaMedplus Modality: HDR 1.4 The Segmented Cylinder Applicator Set is used to treat cancer of the vagina, including the vaginal stump, as well as rectal cancer. Depending on a chosen front segment, the first source dwell position can be either in the center of the front segment to provide a vaginal wall treatment, or be in the distal position for a vaginal stump treatment. This segmented construction of the applicator allows it to adapt easily to each patient s anatomy. Suitable for vagina, vaginal stump and rectum CT Compatible MR Compatibility: Conditional for 1.5 and 3 Tesla Front segments with centered first source position for shaping of dose to cylinder wall Front segments with distal first source position for shaping of dose to cylinder tip Four segment diameters allow for easy adaption to patient anatomy Provides a homogenous dose parallel to cylinder wall Steam sterilizable

1.4 GM11004150 Segmented Cylinder Applicator Set CT Compatible / MR Compatibility: Conditional Qty.* Product # Components of the Applicator Set 1 GM11005260 Front segment, 20mm diameter, distal source position 1 GM11005080 Front segment, 25mm diameter, distal source position 1 GM11005030 Front segment, 30mm diameter, distal source position 1 GM11005140 Front segment, 35mm diameter, distal source position 1 GM11005060 Front segment, 20mm diameter, centered source position 1 GM11005190 Front segment, 25mm diameter, centered source position 1 GM11005120 Front segment, 30mm diameter, centered source position 1 GM11005150 Front segment, 35mm diameter, centered source position 4 GM11005070 Cylinder segment, 20mm diameter, 30mm length 4 GM11005100 Cylinder segment, 25mm diameter, 30mm length 4 GM11005130 Cylinder segment, 30mm diameter, 30mm length 4 GM11005160 Cylinder segment, 35mm diameter, 30mm length 1 GM11010280 Guide tube for segmented cylinders 1 GM11002280 Flexible probe, 2.8mm diameter x 320mm length 1 GM11005180 Clamping segment 4 GM11009960 Sterilization plugs, cream (pack of 25) Required Accessories (choose one afterloader-specific kit) 1 GM11008740 Basic accessory kit for intracavitary/gyn applicators, VariSource 200 and ix 1 GM11008210 Basic accessory kit for intracavitary/gyn applicators, GammaMedplus series Optional Components and Accessories 1 GM11008700 Universal applicator clamping device 1 GM11001960 Flexible fixation device for gynecological applicators 1 GM11001390 Source guide tube support, GammaMed units only 1 GM11008560 Clamping nut for guide tube 1 GM11003810 Leak stop buttons, non-sterile, pack of 50 1 GM11010300 Sterilization box for segmented cylinder set GM11004150 *Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description. C0086 www.varian.com/brachytherapy TO ORDER: applicators@varian.com

GM11004160 Stump Applicator Set with CT Cylinders CT Compatible / MR Compatibility: Conditional Intended for: HDR or PDR intracavitary brachytherapy of the vaginal stump Afterloader: VariSource ix / VariSource 200 / GammaMedplus ix / GammaMedplus Modality: HDR, PDR 1.5 The Stump Applicator Set is used for post-operative treatment of the vaginal stump. The cylinders are designed so that the distal source dwell position is located in each cylinder s most forward position. This enables a higher dose delivery to the vaginal stump. A variety of cylinder diameters are available to provide the optimal distance between the source and the layers of tissue to be treated. Suitable for vaginal stump CT Compatible MR Compatibility: Conditional for 1.5 and 3 Tesla Minimal assembly required Multiple cylinder diameters Distal first source position which focuses dose distribution to the vaginal stump Steam sterilizable

1.5 GM11004160 Stump Applicator Set with CT Cylinders CT Compatible / MR Compatibility: Conditional Qty.* Product # Components of the Applicator Set 1 GM11004820 CT vaginal stump applicator, 20mm diameter, with plastic clamping screw 1 GM11004830 CT vaginal stump applicator, 23mm diameter, with plastic clamping screw 1 GM11005050 CT vaginal stump applicator, 26mm diameter, with plastic clamping screw 1 GM11004710 CT vaginal stump applicator, 30mm diameter, with plastic clamping screw 1 GM11004940 CT vaginal stump applicator, 35mm diameter, with plastic clamping screw 1 GM11002560 Flexible applicator probe, 3.2mm diameter, braced PVDF 4 GM11009960 Sterilization plugs, cream (pack of 25) Required Accessories (choose one afterloader-specific kit) 1 GM11008740 Basic accessory kit for intracavitary/gyn applicators, VariSource 200 and ix 1 GM11008210 Basic accessory kit for intracavitary/gyn applicators, GammaMedplus series Optional Components and Accessories 1 GM11008700 Universal applicator clamping device 1 GM11001960 Flexible fixation device for gynecological applicators 1 GM11001390 Source guide tube support, GammMed units only 1 GM11005220 Plastic clamping bolt 1 GM11003810 Leak stop button, non-sterile, pack of 50 *Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description. C0086 www.varian.com/brachytherapy TO ORDER: applicators@varian.com

GM11004380 Shielded Applicator Set Intended for: HDR or PDR intracavitary brachytherapy of the vagina, vaginal stump or rectum Afterloader: VariSource ix / VariSource 200 / GammaMedplus ix / GammaMedplus Modality: HDR, PDR 1.6 The Shielded Applicator Set is used to treat cancer of the vagina or rectum where partial shielding is required. The 90 and 180 tungsten alloy shielding segments provide a variety of different shielding positions. After insertion, the marking screw allows for external identification of the area being shielded inside. Suitable for vagina, vaginal stump or rectum Easy-to-read key allows for outside identification of the inside shielded area Multiple cylinder diameters allows for various shielding positions Provides optimal dose adaptation to patient anatomy EtO sterilizable Shielding segments not recommended for PDR treatments

1.6 GM11004380 Shielded Applicator Set Qty.* Product # Components of the Applicator Set 1 GM11003380 Shielded cylinder, 20mm diameter 1 GM11003390 Shielded cylinder, 23mm diameter 1 GM11003400 Shielded cylinder, 26mm diameter 1 GM11003510 Shielded cylinder, 30mm diameter 1 GM11003420 Shielded cylinder, 35mm diameter 1 GM11003440 Marking screw, 0, shielded 1 GM11003450 Marking screw, 90, shielded 1 GM11003460 Marking screw, 2 x 90, shielded 1 GM11003470 Marking screw, 180, shielded 1 GM11003480 Marking screw, 270, shielded 4 GM11003490 Clamping nut for marking screw 4 GM11003710 Clamping screw for probe, 3mm diameter 2 GM11003600 Tungsten alloy shielding, 90 1 GM11003880 Tungsten alloy shielding, 180 4 GM11003890 Plexiglas filler piece, 90 1 GM11002070 Applicator probe, 3mm diameter x 320mm length, straight 4 GM11009960 Sterilization plugs, cream (pack of 25) Required Accessories for HDR (choose one afterloader-specific kit) 1 GM11008740 Basic accessory kit for intracavitary/gyn applicators, VariSource 200 and ix 1 GM11008210 Basic accessory kit for intracavitary/gyn applicators, GammaMedplus series Required for GammaMedplus Series PDR Treatments 1 GM11008210 Basic accessory kit for intracavitary/gyn applicators, GammaMedplus series 1 GM11000670 Cervical stop 1 GM11000700 Allen wrench ø 2.0 mm Optional Components and Accessories 1 GM11001960 Flexible fixation device for gynecological applicators 1 GM11008700 Universal applicator clamping device 1 GM11001390 Source guide tube support, GammMed units only 1 GM11003810 Leak stop buttons, non-sterile, pack of 50 *Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description. C0086 www.varian.com/brachytherapy TO ORDER: applicators@varian.com

GM11004040 Cervix Applicator Set CT Compatible Intended for: HDR or PDR intracavitary brachytherapy of the vagina, endometrium, cervix, uterus, or vaginal stump Afterloader: VariSource ix / VariSource 200 / GammaMedplus ix / GammaMedplus Modality: HDR, PDR 1.7 The Cervix Applicator Set is suitable for the combined treatment of the vagina and the endometrium. It can also be used for irradiation of the cervix, uterus or vaginal stump. For easy insertion, the 6mm tubes have a tapered 3mm intrauterine part. Suitable for cervix, uterus, endometrium, vagina or vaginal stump CT Compatible Minimal assembly required Includes a variety of cylinder diameters Probes with 3mm diameter intrauterine tandem allow for easy insertion into cervical channel and maximum patient comfort Optional cervical sleeves available which allow for easy application of multiple fractions Steam sterilizable

1.7 GM11004040 Cervix Applicator Set CT Compatible Qty.* Product # Components of the Applicator Set 1 GM11005250 Open CT vaginal cylinder, 20mm diameter x 140mm length 1 GM11005270 Open CT vaginal cylinder, 23mm diameter x 140mm length 1 GM11005290 Open CT vaginal cylinder, 26mm diameter x 140mm length 1 GM11005310 Open CT vaginal cylinder, 30mm diameter x 140mm length 1 GM11005330 Open CT vaginal cylinder, 35mm diameter x 140mm length 1 GM11001990 Applicator probe, 6/3mm diameter x 320mm length, straight 1 GM11002520 Applicator probe, 6/3mm diameter x 320mm length, curved 20 1 GM11002540 Applicator probe, 6/3mm diameter x 320mm length, curved 40 4 GM11009960 Sterilization plugs, cream (pack of 25) Required Accessories (choose one afterloader-specific kit) 1 GM11008740 Basic accessory kit for intracavitary/gyn applicators, VariSource 200 and ix 1 GM11008210 Basic accessory kit for intracavitary/gyn applicators, GammaMedplus series Optional Components and Accessories 1 GM11001960 Flexible fixation device for gynecological applicators 1 GM11008700 Universal applicator clamping device 1 GM11001390 Source guide tube support, GammaMed units only 1 GM11000670 Cervical stop 1 GM11003810 Leak stop buttons, non-sterile, pack of 50 1 GM11005230 Fixation screw with nut 1 GM11002230 Applicator probe, 6/3mm diameter, curved 15, length 320mm 1 GM11002530 Applicator probe, 6/3mm diameter, curved 30, length 320mm 1 GM11002550 Applicator probe, 6/3mm diameter, curved 45, length 320mm 1 GM11001160 Cervical sleeve, 30mm 1 GM11000960 Cervical sleeve, 40mm 1 GM11001170 Cervical sleeve, 50mm 1 GM11001260 Cervical sleeve, 60mm 1 GM11001150 Cervical sleeve, 70mm 1 GM11001140 Cervical sleeve, 80mm 1 AL13142000 Cervical sleeve, 20mm length, single use 1 AL13142001 Cervical sleeve, 40mm length, single use 1 AL13142002 Cervical sleeve, 60mm length, single use 1 AL13142003 Cervical sleeve, 80mm length, single use *Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description. C0086 www.varian.com/brachytherapy TO ORDER: applicators@varian.com

GM11004540 Segmented Cervix Applicator Set CT Compatible / MR Compatibility: Conditional Intended for: HDR intracavitary brachytherapy of the vagina, endometrium, uterus, cervix, or vaginal stump Afterloader: VariSource ix / VariSource 200 / GammaMedplus ix / GammaMedplus Modality: HDR 1.8 The Segmented Cervix Applicator Set is used for the combined treatment of the vagina, the endometrium, the cervix, the uterus and the vaginal stump. A variety of segment diameters are available to provide the optimal distance between the source and the layers of tissue to be treated. The segmented construction of the applicator allows for easy adaptation to each patient s anatomy. The cylinder segments can be used with Smit cervical sleeves as well as with or without flexible intrauterine probes. Suitable for cervix, uterus, endometrium, vagina, vaginal stump CT Compatible MR Compatibility: Conditional for 1.5 and 3 Tesla Extremely flexible offering multiple cylinder diameters and various possible tandem configurations Probes with 2.8mm diameter intrauterine tandem allow for easy insertion into cervical channel to provide maximum patient comfort Smit cervical sleeves allow for easy multiple fraction application and provide maximum patient comfort Can be used with or without flexible intrauterine probes to accommodate individual patient anatomy Steam sterilizable

1.8 GM11004540 Segmented Cervix Applicator Set CT Compatible / MR Compatibility: Conditional Qty.* Product # Components of the Applicator Set 1 GM11004310 Guide tube for segments and cervical sleeves, straight 1 GM11004330 Guide tube for segments and cervical sleeves, curved 15 1 GM11004100 Guide tube for segments and cervical sleeves, curved 30 1 GM11004320 Guide tube for segments and flexible probes, straight 1 GM11004340 Guide tube for segments and flexible probes, curved 15 1 GM11004080 Guide tube for segments and flexible probes, curved 30 1 GM11004420 Front segment, open, 20mm diameter x 60mm length, straight 1 GM11004220 Front segment, open, 25mm diameter x 60mm length, straight 1 GM11004350 Front segment, open, 30mm diameter x 60mm length, straight 1 GM11004280 Front segment, open, 35mm diameter x 60mm length, straight 1 GM11004200 Front segment, open, 20mm diameter x 60mm length, curved 15 1 GM11004230 Front segment, open, 25mm diameter x 60mm length, curved 15 1 GM11004260 Front segment, open, 30mm diameter x 60mm length, curved 15 1 GM11004290 Front segment, open, 35mm diameter x 60mm length, curved 15 1 GM11004840 Front segment, open, 20mm diameter x 60mm length, curved 30 1 GM11004240 Front segment, open, 25mm diameter x 60mm length, curved 30 1 GM11004190 Front segment, open, 30mm diameter x 60mm length, curved 30 1 GM11004300 Front segment, open, 35mm diameter x 60mm length, curved 30 2 GM11005070 Cylinder segment, 20mm diameter x 30mm length 2 GM11005100 Cylinder segment, 25mm diameter x 30mm length 2 GM11005130 Cylinder segment, 30mm diameter x 30mm length 2 GM11005160 Cylinder segment, 35mm diameter x 30mm length 1 GM11000960 Cervical sleeves, 40mm, with clamp for guide tube 1 GM11001260 Cervical sleeves, 60mm, with clamp for guide tube 1 GM11001140 Cervical sleeves, 80mm, with clamp for guide tube 1 GM11005180 Clamping segment 1 GM11002280 Flexible probe, 2.8mm diameter x 320mm length 4 GM11009960 Sterilization plugs, cream (pack of 25) Required Accessories (choose one afterloader-specific kit) 1 GM11008740 Basic accessory kit for intracavitary/gyn applicators, VariSource 200 and ix 1 GM11008210 Basic accessory kit for intracavitary/gyn applicators, GammaMedplus series Optional Components and Accessories 1 GM11008700 Universal applicator clamping device 1 GM11001960 Flexible fixation device for gynecological applicators 1 GM11001390 Source guide tube support, GammaMed units only 1 GM11001160 Cervical sleeves, 30mm, with clamp for guide tube 1 GM11001170 Cervical sleeves, 50mm, with clamp for guide tube 1 GM11001150 Cervical sleeves, 70mm, with clamp for guide tube 1 GM11010310 Sterilization box for segmented cervix applicator set GM11004540 *Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description. C0086 www.varian.com/brachytherapy TO ORDER: applicators@varian.com

GM11009840 Universal Endometrial Applicator Set CT Compatible / MR Compatibility: Conditional Intended for: HDR or PDR intracavitary brachytherapy of the vagina, cervix, paracervical area, endometrium, uterus and ovaries Afterloader: VariSource ix / VariSource 200 / GammaMedplus ix / GammaMedplus Modality: HDR, PDR 1.9 The Universal Endometrial Applicator Set is used to treat the vagina, cervix, paracervical area, endometrium, uterus and ovaries. The set contains seven 320mm long intracavitary tandems and a vaginal cylinder of 30mm diameter and 50mm long to fix the tandems and pack the vagina. In addition to stabilizing the applicator, the vaginal cylinder makes it safe to treat the proximal portion of the vagina contiguously with the uterus and cervix. This design can be extremely useful for certain patients being treated for cervical or vaginal cancer. The standard kit contains tandems of 6cm, 7cm and 8cm intrauterine length. The ability to rotate the tandems provides better flexibility with respect to the width of the uterus at the fundus. In addition, longitudinal shifts of the tandem allow further adaptation to the patient s anatomy. Suitable for endometrial cancer and often cervical cancer particularly when there is vaginal involvement or risk CT Compatible MR Compatibility: Conditional for 1.5 and 3 Tesla Flexible design Tandems can be rotated and shifted longitudinally. Optional intrauterine tandems length of 5 and 9cm available Made from titanium and Peek very stable, very light weighted Titanium parts clearly marked with a Ti for easy identification Steam sterilizable (Aluminium sterilization tray is included) Regulatory approval pending Not authorized for use in Canada

1.9 GM11009840 Universal Endometrial Applicator Set CT Compatible / MR Compatibility: Conditional Qty.* Product # Components of the Applicator Set 1 GM11009860 Intrauterine tandems, right and left, 320mm, angle 20 x 60mm length 1 GM11009870 Intrauterine tandems, right and left, 320mm, angle 20 x 70mm length 1 GM11009880 Intrauterine tandems, right and left, 320mm, angle 20 x 80mm length 1 GM11009900 Intrauterine tandem, center, 320mm, straight 1 GM11009910 Clamping unit for the endometrial applicator 1 GM11009920 Vaginal cylinder with lever, 30mm diameter x 50mm length 1 GM11009940 Sterilization tray 1 GM11009950 Grub screws for clamping unit (pack of 10) 4 GM11009960 Sterilization plugs (pack of 25) 1 GM11000700 Allen key, 2.0mm wrench size Required Accessories (choose one afterloader-specific kit) 1 GM11008740 Basic accessory kit for intracavitary applicators, VariSource 200 and ix 1 GM11008210 Basic accessory kit for intracavitary applicators, GammaMedplus series Optional Components and Accessories 1 GM11009850 Intrauterine tandems, right and left, 320mm, angle 20 x 50mm length 1 GM11009890 Intrauterine tandems, right and left, 320mm, angle 20 x 90mm length 1 GM11009620 X-ray marker BV set I, up to 320mm applicators, coded 1-6 1 GM11008700 Universal applicator clamping device 1 GM11001390 Source guide tube support (GammaMed units only) 1 GM11009930 Handle for lever 1 GM11003810 Leak stop button (pack of 50), non-sterile *Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description. C0086 www.varian.com/brachytherapy TO ORDER: applicators@varian.com

GM11004580 Heyman Packing Applicator Set CT Compatible / MR Compatibility: Conditional Intended for: HDR or PDR intracavitary brachytherapy of the endometrium Afterloader: GammaMedplus ix / GammaMedplus Modality: HDR, PDR 1.10 The Heyman Packing Applicator Set is used to simulate the classical Heyman packing technique for endometrial cancer treatment. The standard set contains capsules which are 4, 6, and 8mm in diameter. The applicator is reusable and can be steam sterilized. For visual coding of individual capsules, there is a set of channel marker clips. Obturators prevent kinks and ease the insertion of the capsules. Suitable for endometrium, corpus- and cavum-uteri Simulates classic Heyman packing technique CT Compatible MR Compatibility: Conditional for 1.5 and 3 Tesla if used without channel markers and mandrins 4, 6, and 8mm diameter capsules ensure optimal packing of the cavum-uteri Stabilizing obturators allow for easy insertion Channel marker clips provide visual coding and easy identification of multiple channels Steam sterilizable

1.10 GM11004580 Heyman Packing Applicator Set CT Compatible / MR Compatibility: Conditional Qty.* Product # Components of the Applicator Set 6 GM11005280 Heyman capsule, 4mm diameter x 17.5mm length, with mandrin 6 GM11005110 Heyman capsule, 6mm diameter x 17.5mm length, with mandrin 6 GM11005040 Heyman capsule, 8mm diameter x 17.5mm length, with mandrin 1 GM11003940 Channel marker clips, coded 1-12 1 GM11003810 Leak stop buttons, non-sterile, pack of 50 4 GM11009960 Sterilization plugs, cream (pack of 25) Required Accessories 1 GM11008210 Basic accessory kit for intracavitary/gyn applicators, GammaMedplus 1 GM11008310 Completer kit for Heyman Packing Applicator Set, GammaMedplus Optional Components and Accessories 1 GM11003770 Channel marker clips, coded 13-24 1 GM11001390 Source guide tube support, GammaMed units only 1 GM11003100 Mandrin for 320mm length *Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description. C0086 www.varian.com/brachytherapy TO ORDER: applicators@varian.com

GM11000810 Fletcher-style Applicator Set Defined Geometry Intended for: HDR intracavitary brachytherapy of the uterus, cervix, endometrium & vagina Afterloader: GammaMedplus ix / GammaMedplus Modality: HDR 1.11 The Fletcher-style Applicator Set with defined geometry reproduces applicator geometry of the conventional Fletcher-style applicator. The use of three independent probes also allows a non-cylindrical isodose shaping in the cervix area. The design of the colpostat segments prevents tissue protrusion between the segments even with widespread setups. Relative to the vaginal axis, the colpostat probes are curved 60 and the intrauterine probes are curved 30. The intrauterine probes are 3mm in outer diameter to allow for easy insertion. The cervical stopper reduces the risk of perforation. The set contains three sizes of intrauterine probes with additional sizes available. The set works with Smit cervical sleeves to allow for repeated insertion and prevent perforation. A rectal retractor can be attached to allow for rectal dose reduction as well as the use of forceps. Suitable for uterus, cervix, endometrium and vagina Reproduces the applicator geometry of conventional Fletcher-style applicators Three independent probes allow for non-cylindrical dose shaping Flat-edged Colpostat segments prevent tissue protrusion between segments 3mm diameter intrauterine tandem probes allow for easy insertion into cervical channel providing maximum patient comfort Vaginal axis colpostat probes are 60 and intrauterine 30 probes allow for a 90 angle between colpostat segments and intrauterine probe to provide optimal positioning Intrauterine probes equipped with cervical stoppers reduce the risk of perforation Optional Smit cervical sleeves allow easy multible fraction application and provide maximum patient comfort Optional rectal retractor uses a central clamping mechanism that allows for easy use of forceps Steam sterilizable

1.11 GM11000810 Fletcher-style Applicator Set Defined Geometry Qty.* Product # Components of the Applicator Set 1 GM11000820 Colpostat probe, left 1 GM11000830 Colpostat probe, right 1 GM11000850 Intrauterine probe with stopper, length 40mm, 30 angle 1 GM11000870 Intrauterine probe with stopper, length 60mm, 30 angle 1 GM11000890 Intrauterine probe with stopper, length 80mm, 30 angle 1 GM11000900 Mini colpostats, pair 1 GM11000910 Colpostats for 20mm spread, pair 1 GM11000920 Colpostats for 25mm spread, pair 1 GM11000930 Colpostats for 30mm spread, pair 1 GM11000860 Central clamping mechanism 1 GM11000700 Allen key, 2.0mm wrench size, for colpostat fixation screws 4 GM11009960 Sterilization plugs, cream (pack of 25) Required Accessories (choose one afterloader-specific kit) 1 GM11008210 Basic accessory kit for intracavitary/gyn applicators, GammaMedplus series Optional Components and Accessories 1 GM11000800 Hook forceps, 250mm length 1 GM11000640 Forceps clamping mechanism 1 GM11000840 Rectal retractor for 3-channel applicators 1 GM11001160 Cervical sleeves, 30mm length 1 GM11000960 Cervical sleeves, 40mm length 1 GM11001170 Cervical sleeves, 50mm length 1 GM11001260 Cervical sleeves, 60mm length 1 GM11001150 Cervical sleeves, 70mm length 1 GM11001140 Cervical sleeves, 80mm length 1 AL13142000 Cervical sleeve, 20mm length, single use 1 AL13142001 Cervical sleeve, 40mm length, single use 1 AL13142002 Cervical sleeve, 60mm length, single use 1 AL13142003 Cervical sleeve, 80mm length, single use 1 GM11000940 Intrauterine tube with stopper, 30mm length, 30 angle 1 GM11000790 Intrauterine tube with stopper, 50mm length, 30 angle 1 GM11000880 Intrauterine tube with stopper, 70mm length, 30 angle 1 GM11000660 Flexible fixation device for 3 channel applicators 1 GM11001930 Fixation strap, 500mm/150mm 1 GM11001940 Fixation strap, 1050mm/350mm 1 GM11001950 Fixation strap, 1700mm/500mm 1 GM11008700 Universal applicator clamping device 1 GM11001390 Source guide tube support, GammaMed units only 1 GM11003810 Leak stop button (pack of 50), non-sterile 1 GM11010320 Sterilization box for Fletcher-style applicators, defined geometry, GM11000810 & GM11006200 *Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description. C0086 www.varian.com/brachytherapy TO ORDER: applicators@varian.com

GM11006200 Titanium Fletcher-style Applicator Set Defined Geometry CT Compatible Intended for: HDR or PDR intracavitary brachytherapy of the uterus, cervix, endometrium & vagina Afterloader: GammaMedplus ix / GammaMedplus Modality: HDR, PDR 1.12 The Titanium Fletcher-style Applicator Set with defined geometry reproduces applicator geometry of the conventional Fletcher-style applicator. The use of three independent probes also allows a non-cylindrical isodose shaping in the cervix area. The design of the colpostat segments prevents tissue protrusion between the segments even with widespread setups. Relative to the vaginal axis, the colpostat probes are curved 60 and the intrauterine probes are curved 30. The intrauterine probes are 3mm in outer diameter to allow for easy insertion. The cervical stopper reduces the risk of perforation. The set contains three sizes of intrauterine probes with additional sizes available. The set works with Smit cervical sleeves to allow for repeated insertion and prevent perforation. A rectal retractor can be attached to allow for rectal dose reduction as well as the use of forceps. Suitable for uterus, cervix, endometrium and vagina CT Compatible Made from lightweight titanium Titanium parts clearly marked with a Ti for easy identification Reproduces the applicator geometry of conventional Fletcher-style applicators Three independent probes which allow for noncylindrical dose shaping Flat-edged Colpostat segments prevent tissue protrusion between segments 3mm diameter intrauterine tandem probes allow for easy insertion into cervical channel providing maximum patient comfort Vaginal axis colpostat probes are 60 and intrauterine 30 probes allow for a 90 angle between colpostat segments and intrauterine probe to provide optimal positioning Intrauterine probes equipped with cervical stoppers reduce the risk of perforation Optional Smit cervical sleeves allow easy multible fraction application and provide maximum patient comfort Optional rectal retractor uses a central clamping mechanism that allows for easy use of forceps Steam sterilizable

1.12 GM11006200 Titanium Fletcher-style Applicator Set Defined Geometry CT Compatible Qty.* Product # Components of the Applicator Set 1 GM11006110 Titanium colpostat probe, left 1 GM11006120 Titanium colpostat probe, right 1 GM11006140 Titanium intrauterine probe with stopper, length 40mm, 30 angle 1 GM11006160 Titanium intrauterine probe with stopper, length 60mm, 30 angle 1 GM11006180 Titanium intrauterine probe with stopper, length 80mm, 30 angle 1 GM11000900 Mini colpostats 1 GM11000910 Colpostats for 20mm spread 1 GM11000920 Colpostats for 25mm spread 1 GM11000930 Colpostats for 30mm spread 1 GM11006190 Titanium central clamping mechanism 1 GM11000700 Allen key, 2.0mm wrench size, for colpostat fixation screws 4 GM11009960 Sterilization plugs, cream (pack of 25) Required Accessories 1 GM11008210 Basic accessory kit for intracavitary/gyn applicators, GammaMedplus series Optional Components and Accessories 1 GM11006770 Titanium hook forceps, 250mm length 1 GM11006760 Titanium forceps clamping mechanism 1 GM11006750 Titanium rectal retractor 1 GM11001160 Cervical sleeves, 30mm length 1 GM11000960 Cervical sleeves, 40mm length 1 GM11001170 Cervical sleeves, 50mm length 1 GM11001260 Cervical sleeves, 60mm length 1 GM11001150 Cervical sleeves, 70mm length 1 GM11001140 Cervical sleeves, 80mm length 1 AL13142000 Cervical sleeve, 20mm length, single use 1 AL13142001 Cervical sleeve, 40mm length, single use 1 AL13142002 Cervical sleeve, 60mm length, single use 1 AL13142003 Cervical sleeve, 80mm length, single use 1 GM11006130 Titanium intrauterine tube with stopper, 30mm length, 30 angle 1 GM11006150 Titanium intrauterine tube with stopper, 50mm length, 30 angle 1 GM11006170 Titanium intrauterine tube with stopper, 70mm length, 30 angle 1 GM11008700 Universal applicator clamping device 1 GM11001390 Source guide tube support, GammaMed units only 1 GM11003810 Leak stop button (pack of 50), non-sterile 1 GM11010320 Sterilization box for Fletcher-style applicators, defined geometry, GM11000810 & GM11006200 *Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description. C0086 www.varian.com/brachytherapy TO ORDER: applicators@varian.com

AL13030001 Titanium Fletcher-Suit-Delclos-style Applicator Set, Flexible Geometry CT Compatible / MR Compatibility: Conditional Intended for: HDR or PDR intracavitary brachytherapy of the uterus, cervix, endometrium & vagina Afterloader: VariSource ix / VariSource 200 / GammaMedplus ix / GammaMedplus Modality: HDR, PDR 1.13 The Titanium Fletcher-Suit Delclos-style Applicator Set is used for high dose and pulse dose rate treatment of the uterus, cervix, endometrium and vagina. Based upon the traditional FSD design, the Titanium Fletcher- Suit-Delclos-style Applicator is manufactured from titanium. The applicator features two colpostats which can be used with interlocking tandems of angles 15, 30 and 45. The tandem s intrauterine section is only 3mm diameter which often permits insertion without total anesthesia even when used without a cervical sleeve. Suitable for uterus, cervix, endometrium and vagina based on the traditional Fletcher-Suit-Delclos design CT Compatible MR Compatibility: Conditional for 1.5 and 3 Tesla Made from lightweight titanium Titanium parts clearly marked with a T for easy identification Interlocking tandems can be used at 15, 30 and 45 3mm diameter intrauterine section fits to flexible cervical sleeves Cervical stoppers reduce the risk of perforation Optional Smit cervical sleeves for easy multible fraction application Steam sterilizable (Aluminium sterilization tray is included)

1.13 AL13030001 Titanium Fletcher-Suit-Delclos-style Applicator Set CT Compatible / MR Compatibility: Conditional Qty.* Product # Components of the Applicator Set 1 AL07523000 Pair of Titanium colpostat tandem (left & right) 1 AL07522000 Titanium Intrauterine tandems, angle 15 1 AL07522001 Titanium Intrauterine tandems, angle 30 1 AL07522002 Titanium Intrauterine tandems, angle 45 1 AL07340000 Titanium tandem pivot assembly with locking nut 1 AL07334003 Ovoid pair, mini, 16mm diameter 1 AL07334002 Ovoid pair, 20mm diameter 1 AL07334001 Ovoid pair, 25mm diameter 1 AL07334000 Ovoid pair, 30mm diameter 2 AL07339000 Titanium cervical stop set screw 1 AL07338000 Acetal, cervical stop with titanium CT marker 1 AL07344000 Titanium cervical stop 1 AL07342000 Titanium Allen wrench, autoclavable 1 AL07341000 Titanium locking nut 4 GM11009960 Sterilization plugs, cream (pack of 25) Required Accessories (choose one afterloader-specific kit) 1 GM11008740 Basic Accessory Kit for Intracavitary Applicators (GYN & ENT), VariSource 1 GM11008210 Basic Accessory Kit for Intracavitary / GYN Applicators, GammaMedplus Optional Components and Accessories 1 GM11008700 Universal applicator clamping device 1 GM11001390 Source guide tube support (GammaMed units only) 1 GM11003810 Leak stop button (pack of 50), non-sterile 1 AL13142000 Cervical sleeve, 20mm length, single use 1 AL13142001 Cervical sleeve, 40mm length, single use 1 AL13142002 Cervical sleeve, 60mm length, single use 1 AL13142003 Cervical sleeve, 80mm length, single use *Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description. C0086 www.varian.com/brachytherapy TO ORDER: applicators@varian.com

GM11006940 Manchester-style Applicator Set Flexible Geometry Intended for: HDR intracavitary brachytherapy of the uterus, cervix, endometrium and vagina Afterloader: GammaMedplus ix / GammaMedplus Modality: HDR 1.14 The Manchester-style Applicator Set reproduces the dosimetry of the conventional Manchester-style applicator. The ovoid design allows for tungsten shielding of the top and bottom for dose reduction to the rectum and/or bladder. The three intrauterine probes are curved 15, 30 or 45 relative to the vaginal axis. The intrauterine probes have a 3mm outer diameter to allow for easy insertion and a cervical stopper to help prevent perforation. An optional rectal retractor allows for rectal dose reduction and the use of forceps which can be easily attached to the central clamping mechanism. Suitable for uterus, cervix, endometrium and vagina Reproduces applicator geometry of Manchester-style applicators Three independent probes which allow for noncylindrical dose shaping Multiple diameters of ovoid pairs allow for easy adaptation to patient anatomy and more flexible dose shaping Ovoid pairs accept tungsten shielding pieces to enable specific shielding above and below ovoids Probes with 3mm diameter intrauterine tandem allow for easy insertion into cervical channel, providing maximum patient comfort Straight vaginal axis colpostat probes Optional rectal retractor available Optional clamping mechanism available Steam sterilizable

1.14 GM11006940 Manchester-style Applicator Set Flexible Geometry Qty.* Product # Components of the Set 1 GM11006870 Manchester-style colpostat probe, left 1 GM11006880 Manchester-style colpostat probe, right 1 GM11004450 Intrauterine probe, 15 curved, for three channel applicator 1 GM11000740 Intrauterine probe, 30 curved, for three channel applicator 1 GM11000750 Intrauterine probe, 45 curved, for three channel applicator 1 GM11000670 Cervical stopper 2 GM11008110 Manchester-style ovoid, 20mm, without shielding 2 GM11008060 Manchester-style ovoid, 20mm, double shielded 1 GM11008070 Manchester-style ovoid, 20mm, unilateral shielded top 1 GM11008080 Manchester-style ovoid, 20mm, unilateral shielded bottom 2 GM11008090 Manchester-style ovoid cap, 25mm outer diameter 2 GM11008100 Manchester-style ovoid cap, 30mm outer diameter 1 GM11000860 Central clamping mechanism 1 GM11007640 Disassembly pin for removal of ovoid caps 1 GM11002370 Allen wrench, 2.5mm, autoclavable 4 GM11009960 Sterilization plugs, cream (pack of 25) 1 GM11003810 Leak stop buttons, non-sterile, pack of 50 Required Accessories 1 GM11008210 Basic accessory kit for intracavitary/gyn applicators, GammaMedplus series Optional Components and Accessories 1 GM11000800 Hook forceps, 250mm long 1 GM11000640 Clamping mechanism for forceps 1 GM11000840 Rectal retractor for three channel applicators 1 GM11008700 Universal applicator clamping device 1 GM11001390 Source guide tube support, GammaMedplus only 1 GM11007800 Intrauterine probe, straight, for 3 channel applicator 1 GM11007810 3cm intrauterine probe angled 20, for 3 chan. app. 1 GM11007820 4cm intrauterine probe angled 20, for 3 chan. app. 1 GM11007830 5cm intrauterine probe angled 20, for 3 chan. app. 1 GM11007840 6cm intrauterine probe angled 20, for 3 chan. app. 1 GM11007850 7cm intrauterine probe angled 20, for 3 chan. app. 1 GM11007860 8cm intrauterine probe angled 20, for 3 chan. app. 1 GM11007870 3cm intrauterine probe angled 40, for 3 chan. app. 1 GM11007880 4cm intrauterine probe angled 40, for 3 chan.app. 1 GM11007890 5cm intrauterine probe angled 40, for 3 chan. app. 1 GM11007900 6cm intrauterine probe angled 40, for 3 chan. app. 1 GM11007910 7cm intrauterine probe angled 40, for 3 chan. app. 1 GM11007920 8cm intrauterine probe angled 40, for 3 chan. app. 1 GM11000660 Flexible fixation for 3 channel applicators 1 GM11001930 Fixation strap, 500mm/150mm 1 GM11001940 Fixation strap, 1050mm/350mm 1 GM11001950 Fixation strap, 1700mm/500mm 1 AL13142000 Cervical sleeve, 20mm length, single use 1 AL13142001 Cervical sleeve, 40mm length, single use 1 AL13142002 Cervical sleeve, 60mm length, single use 1 AL13142003 Cervical sleeve, 80mm length, single use *Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description. C0086 www.varian.com/brachytherapy TO ORDER: applicators@varian.com

AL13017000 Ring & Tandem Combination Applicator Set CT Compatible / MR Compatibility: Conditional Intended for: HDR intracavitary brachytherapy of the uterus, cervix, and cervix channel Afterloader: VariSource ix / VariSource 200 / GammaMedplus ix / GammaMedplus Modality: HDR, PDR 1.15 The Ring and Tandem Combination Applicator Set is indicated treatment of the cervix, cervix channel and uterus. The applicator comes with 32mm diameter rings that can be used in conjunction with interlocking tandems of lengths 20, 40 and 60mm. A optional set of tandems with 80mm length is available. This combination set supplies a complete range of tandem and ring angles 30, 45 and 60. The set also includes two ring build-up caps 5mm and 7.5mm, a rectal retractor, and a aluminium sterilization tray. The applicator set is fabricated from space-age titanium tubing for a light yet rigid appliance with very thin tandem tubing for ease of placement. The fixed geometry further speeds applicator placement and greatly simplifies the treatment planning process. For additional needle implantation, optional ring caps for 1.65mm diameter titanium needles and 2mm plastic needles are available. Suitable for cervix, cervix channel and uterus CT Compatible MR Compatibility: Conditional for 1.5 and 3 Tesla Manufactured from titanium Titanium parts are clearly marked with a T for easy identification Lightweight yet robust Uses reproduction of applicator geometry based on conventional ring and plate style Interlocking tandems in lengths of 20, 40 and 60mm Wide range of tandems and ring angles Includes a rectal retractor to avoid the need of packing Fixed geometry for consistent dosimetry Thin 3mm tandem can often be inserted without anesthesia Includes two build-up caps 5mm and 7.5mm Ring caps for needle implants optional available 80mm tandem length optional Steam sterilizable (Aluminium sterilization tray is included)