Brachytherapy Applicator

and Accessory Guide

 At Elekta we believe that our solutions, services
and extensive knowledge of precisely targeted
radiation therapy play a vital role in the successful
treatment of cancer. Our key technological
advances have resulted in an integrated package
of brachytherapy treatment planning and delivery
systems. This applicator guide provides a
comprehensive overview of the Elekta applicator
portfolio for brachytherapy.
Elekta Brachytherapy

Elekta Brachytherapy solutions are part of Elekta’s leading radiation therapy

portfolio and encompass more than 40 years of Nucletron® innovations. The
latest advancements include Flexitron® treatment delivery, new Oncentra® Brachy
treatment planning modules, and a variety of new and innovative applicators.

Industry-leading brachytherapy applicator portfolio

Applicators are a pivotal part of Elekta’s fully integrated solutions. With a

broad portfolio of dedicated applicators, we offer a complete applicator range
for more than 15 types of cancer in a variety of anatomies, developed in close
collaboration with clinical experts. With applicators that are leading in 3D imaging
compatibility as well as a legacy of 2D products, you can select from the largest
applicator portfolio to match your choice of treatment and clinical set-up.

Flexitron® treatment delivery

Elekta’s afterloading platforms have established an unparalleled reputation for

reliability, safety and performance in treatment delivery. Their all-in-one versatility
and unmatched flexibility, prove their value on a daily basis in the majority of
brachytherapy institutes around the world.

The new ‘Safety through simplicity’ Flexitron family is designed for safety and better
team efficiency. With more logic and fewer variables the Flexitron afterloading
platform optimizes the treatment delivery process and offers you a safe investment
for today and in the future.

Oncentra® Brachy treatment planning

With the Oncentra Brachy treatment planning system, the creation of highly
conformal plans in an efficient workflow is within reach. The latest version of Oncentra
Brachy offers a series of useful tools that facilitate many repetitive tasks for you, such
as contouring and reconstruction. Oncentra Brachy buys you time to focus on what
counts: designing the optimal dose distribution.

When Oncentra Brachy treatment planning is used in combination with the new
Flexitron afterloading platform, you will optimally benefit from a number of smart and
standardized features, that allow an easy, standardized way of treatment planning –
while feeling confident about accurate and safe treatment delivery.

2 3
 How to use this applicator guide Safety in the magnetic resonance environment

In this applicator guide, brachytherapy applicators are The symbols shown below are used to indicate safety of
presented by body site. When a particular applicator medical devices in the Magnetic Resonance environment.
can also be used for other body sites, a cross reference
is given on the index-page at the start of the relevant MR safe - an item that poses no known hazards
applicator section. in all MR environments (1.5T, 3T, 6T and others).

The applicators and accessories in this guide are

designed for use with the Flexitron and microSelectron MR conditional - an item that has been
demonstrated to pose no known hazards in
afterloaders only. Applicators and accessories that are
specific to only the Flexitron or only the microSelectron a specified MR environment with specified Content
afterloader(s) are so indicated. Corresponding transfer conditions of use (specified in the user
tubes, x-ray catheters and CT and MRI markers per manual, typically compatible for 1.5T and 3T APPLICATORS
applicator and afterloader type can be found in the MR environment). Gynecology 6
appendixes. Prostate, rectum & bladder 50
MR unsafe - an item that is known to pose
Consumables information: hazards in all MRI environments. Breast 62
Bronchus & esophagus 72
single use, delivered sterile Note: Head & neck 80

single use, delivered non-sterile •  ot all products in this guide are available in
N Skin & surface 86
all markets. Please contact your local Elekta
multiple use, delivered non-sterile representative for further information. NEEDLES & FLEXIBLE IMPLANT TUBES
• Applicators as mentioned in this guide can 94
Sterilization advice be used with both Iridium-192 and Cobalt-60
Sterilization advice provided in this document is afterloaders, except for the Valencia and Leipzig QUALITY ASSURANCE TOOLS
applicators.
indicative and applies to newly purchased applicators. 104
For more information regarding sterilization of a • I f no information is provided under ‘part number’,
particular applicator, please consult the User Manual this item cannot be ordered separately. ACCESSORIES

or Sterilization Advice Chart. • The latest version of the applicator guide 110
is leading and can be downloaded from
www.elekta.com/brachytherapy/applicators INDEX
Find your information under the relevant bodysite.
116
• References to literature are not included
in this guide. APPENDIXES
Table for Flexitron X-ray, CT and MRI markers 118
Table for Flexitron transfer tubes 120
Table for microSelectron X-ray,
CT and MRI markers 122
Table for microSelectron transfer tubes 124

The contents of this document are subject to change without

VISIT ELEKTA.COM/BRACHYTHERAPY
notice. All rights reserved. Comments or questions may be
for the most up-to-date applicator overview
directed to brachytherapy@elekta.com.

4 5
 Gynecology
CERVIX ENDOMETRIUM
Advanced gynecological applicator – VeneziaTM 8 Rotte endometrial applicator set 48
Utrecht interstitial CT/MR applicator set 10                     
ALTERNATIVES FOR VAGINAL BRACHYTHERAPY
Fletcher CT/MR shielded applicator set 12                    
Fletcher CT/MR applicator set 14               Prostate stepper template set
Prostate, rectum & bladder 56
Standard CT/MR applicator set 16         
MUPIT applicator set
Fletcher Williamson applicator set 18                             Prostate, rectum & bladder 58
Cervix Rotterdam applicator set 20          Intracavitary mold applicator set
Henschke titanium applicator set 22                               Prostate, rectum & bladder 60

Interstitial ring CT/MR applicator set 24                  

PERINEUM
Vienna ring CT/MR applicator set 26               
Ring CT/MR applicator set 28                                   MUPIT applicator set
Prostate, rectum & bladder 58
Ring applicator set 30                             
Adjustable cervix applicator set 32           

VAGINA
Vaginal CT/MR multi channel applicator set 34
Vaginal CT/MR applicator set 36
Vaginal cylinder applicator set titanium 38
Shielded cylindrical applicator set 40

Gynecology Applicator Dimensions Miami vaginal applicator set 42

Vaginal applicator set 44
RING APPLICATORS
Vaginal mould applicator set 46
Ring dimension
IU angle
Ring tube

90° The intrauterine tubes are available as sets in 4 mm and 6 mm.

Intrauterine tube Ring angle

Intrauterine tube (4 mm)
xx mm
Easier to insert and less uncomfortable for the patient, these
tubes have a straight distal end and dilation is not necessary.
OVOID APPLICATORS For this set, the special rector retractors are also available.

Ovoid dimension* Intrauterine tube (6 mm)

IU angle
Ovoid tube
Dilatation of the cervix is often needed and this tube
90° has a curved distal.

Intrauterine tube Ovoid angle

Note:
xx mm
• The intrauterine tubes can be sterilized using steam
sterilization and ethylene oxide
* Not applicable for Cervix Rotterdam applicator. • User manual 777.00088
* The ovoid and ring sizes as provided in the descriptions in the guide, are the measurements of the inner diameter
(source path). The outer diameters vary for both ring and ovoids. For the correct outer diameter size, refer to the
appropriate applicator user manual.

6 7
 GYNECOLOGY

Order information Why the Advanced

Advanced Gynecological Applicator — Venezia™
Gynecological Applicator -
Part number Description

126.001 Interstitial lunar ovoid tube 22 mm 60° right

Venezia?
126.002 Interstitial lunar ovoid tube 22 mm 60° left • Reach cervix, parametrium
126.003 Interstitial lunar ovoid tube 26 mm 60° right and vagina, expanding clinical
126.004 Interstitial lunar ovoid tube 26 mm 60° left capabilities
126.005 Interstitial lunar ovoid tube 30 mm 60° right

126.006 Interstitial lunar ovoid tube 30 mm 60° left • Ensure reproducible dosimetric
126.007 Vaginal cap 22 mm right results
126.008 Vaginal cap 22 mm left

126.009 Vaginal cap 26 mm right • Simplify (interstitial)

126.010 Vaginal cap 26 mm left gynecological brachytherapy
MR safe 126.011 Vaginal cap 30 mm right
• Easily integrate into workflow
126.012 Vaginal cap 30 mm left

Advanced Gynecological Applicator — Venezia™

126.013 Intrauterine tube 0 mm

126.014 Intrauterine tube 30 mm 30°

126.015 Intrauterine tube 40 mm 30°

Reach cervix, parametrium and vagina – expanding Simplify (interstitial) gynecological brachytherapy
126.016 Intrauterine tube 50 mm 30°
clinical capabilities
Interstitial brachytherapy for advanced stage cervical cancer 126.017 Intrauterine tube 60 mm 30°
Venezia allows you to reach beyond: access tumors in the can be performed by free-hand needle placement. Although 126.018 Intrauterine tube 70 mm 30°
parametrium and the vagina with ease. The Advanced Venezia still allows free-hand needle placement, it is not
126.019 Intrauterine tube 30 mm 15°
Gynecological Applicator allows treatment of patients necessary, because the parallel and oblique needle holes in the
126.020 Intrauterine tube 40 mm 15°
with IIIB cervical cancer, but also IB, IIA/B, IIIA and stage ovoids and perineal template guide the needles to the desired
IVA tumors. One applicator can treat multiple tumor 126.021 Intrauterine tube 50 mm 15°
location. In addition, the needle insertion tool enables the
stages, so you can use the same applicator type for physician to advance the ovoid needles to the prescribed depth.
126.022 Intrauterine tube 60 mm 15°

various patient groups. The two lunar-shaped ovoids This guided needle placement ensures reproducible dosimetric 126.023 Intrauterine tube 70 mm 15°
form a ring when clicked together, allowing you to benefit results, making needle placement easier and more accurate. 126.024 Fixation element
from the advantages of a tandem and ovoid applicator in 126.025 Fixation clip “With Venezia, I expect
combination with the dose distribution of a ring - high dose Venezia is much easier to insert and assemble than
to treat advanced cervical
126.026 Perineal template dorsal 0°
to the target volume while sparing organs at risk. conventional gynecological applicators. Simply insert the 126.027 Perineal template dorsal 12°
first half of the applicator and attach the second half by
sliding and clicking the two parts together. The applicator
126.028 Perineal template ventral 0° cancer patients with more
Reproducible dosimetric results 126.029 Bracelet for guiding tubes (5 x 1)
The numbered hole positions on the Venezia ovoids and
contains no screws and requires no tools, making applicator
126.030 Number tag for guiding tubes (5 x 1)
ease. Venezia will allow me
assembly and insertion an easy, do-it-yourself task.
template facilitate consistent needle placement for every
fraction – every time. Additionally, the insertion tool helps
126.031 Guiding tubes for interstitial lunar ovoid (5 x 1) to reach tumors extended
Easily integrate into the workflow 126.032 Guiding tubes for vaginal cap (5 x 1)
to insert the needles at the exact prescribed depth.
Venezia is easy to insert and assemble and comes in various 126.033 Perineal bar to the parametrium
Venezia is included in the Oncentra® Brachy Applicator sizes to accommodate every patient’s pelvic anatomy and 101.012 Sterilizing caps CT/MR
because I can position
Modeling module, making reconstruction easy and fast. as such increases the patient’s comfort. And, depending on 110.268 ProGuide obturator bulk set, 6F x 294 mm (1 x 5)

Simply select Venezia, then import and modify to meet the patient’s indication, the physician can select vaginal and/ 189.714 Insertion tool needles at multiple angles,
clinical needs. Manual reconstruction becomes obsolete, or perineal needle insertion. The multi-purpose applicator
saving time and streamlining workflow. eliminates the need for a separate device for every indication.
189.040

189.043
Cleaning brush ø 2.5 mm x 250 mm (set of 3)

Cleaning brush ø 6.5 mm x 100 mm (set of 3)

in the vagina and through
Venezia suits all imaging modalities, including ultrasound, 137.287 Lock inserts set for 6F plastic needles the perineum.”
CT, x-ray and MRI. For virtually any imaging workflow, 137.290 Needle lock tool

Venezia will always be clearly visible in the image dataset. 101.015 CT/MR sterilization box
Petch Alisanant, MD

Intended use: Division of Radiation Oncology

Chulalongkorn University
• Cervix Bangkok, Thailand
• Endometrium The Advanced Gynecological Applicator Venezia™ is not yet commercially
available in all countries, is 510(k) pending and not for sale in the USA.
Note:
User manual 777.00493
8 9
 GYNECOLOGY

110.240 Interstitial ovoid pair 15 mm, 15º

Why the Utrecht interstitial
110.241 Interstitial ovoid pair 20 mm, 15º CT/MR applicator?
110.242 Interstitial ovoid pair 25 mm, 15º
• Targeted dose optimization
110.243 Interstitial ovoid pair 30 mm, 15º

189.714 Insertion tool

• Complex interstitial
110.268 Obturator set (set of 5)
brachytherapy made easy
189.751 Rectal retractor 40 mm

189.742 Rectal retractor 30 mm • Artefact-free 3D images

189.741 Fixation nut for rectal retractor

189.722 Fixation mechanism

189.750 Fixation clip

189.930 Spare fixation nuts set (5 pcs)

101.012 Sterilization caps (50 pcs)

Image shows the applicator with the 4 mm intrauterine tube
110.267 Cervical stopper

MR safe 110.283 Screwdriver for ovoids and stopper

008.033 Plastic screw M5 PPSU (10 x 008.033)

189.040 Cleaning brush set (2.5 mm)

Utrecht Interstitial CT/MR Applicator Set 189.043 Cleaning brush set (6.5 mm)

Accessories
A compelling workflow for image-guided adaptive Intended for:
Part number Description
brachytherapy (IGABT)
• Cervix 110.230* ProGuide round needle set, 6F x 294 mm
The Utrecht interstitial applicator is a state-of-the-art • Endometrium 110.231 ProGuide sharp needle set, 6F x 294 mm
treatment solution for combined intracavitary and 110.232* Guiding tube for ovoids
interstitial gynecological brachytherapy. Note: 189.769 Intrauterine tube, d =6 mm, 45º

• Can also be used as a standard 110.296/298/300 Intrauterine tube, d =4 mm, 15°/30°/45°

Targeted dose optimization
intracavitary applicator Interstitial ovoid set 25º
110.272
(15 mm, 20 mm, 25 mm, 30 mm)
Besides the regular intracavitary treatment channels
• Asymmetrical ovoid placement is possible 101.031 Fixation mechanism for ovoid tubes
of the applicator, the ovoids act as a template for placing
• Use of needles with rounded tip can reduce the risk Smit Sleeves CT/MR
additional needles in the cervical area. The interstitial 189.566**
of perforation of critical structures, and is required (10 pcs, l = 40 mm, d =9 mm)
needles provide additional control of dose coverage to the
for use with interstitial cervix applicators 110.700 Pins for adjustable mechanism (5 pcs)
“Combined intracavitary/
tumor, while sparing the surrounding tissue. The insertion
depth of the needles can be easily controlled using the • The applicator can be sterilized using
189.894 Spare part set plastic screw M5 PPSU (10 pcs)
interstitial brachytherapy
189.724 Internal fixation mechanism
insertion tool. The needles are individually locked in place steam sterilization
189.727 Clip bolt for cervical cancer
for treatment. • User manual 777.00077
189.731 Pin
not only provides the
Order information Rectal retractor 30 mm with slot (for
110.315
Optimized for 3D imaging and planning
Utrecht interstitial CT/MR applicator set (4 mm)
intrauterine tubes 4 mm)
possibility to increase
The applicator uses strong composite fiber tubing and Rectal retractor 40 mm with slot (for

plastics to eliminate distortion on CT and MR imaging.

part # 110.270A02 110.335
intrauterine tubes 4 mm)
the target volume dose
110.395 Cervical stopper for 4 mm
The same set as the below 6 mm set, but with 4 mm
With the use of transversal slices, and the modules
intrauterine tubes
110.396 Cervical stopper tool for 4 mm but also to reduce the
Applicator Modeling and Library Plans in Oncentra Brachy,
the applicator is quickly reconstructed during treatment
101.015 CT/MR sterilization box
dose to organs at risk.”
Utrecht interstitial CT/MR applicator set (6 mm) 189.729 Fixation axle
planning.
part # 110.270A01
Part number Description Ina Jürgenliemk-Schulz
189.735 Ovoid tube 1 University Medical Center, Utrecht,
the Netherlands
189.740 Ovoid tube 2

189.739 Intrauterine tube 15º

*Required for interstitial treatment
189.745 Intrauterine tube 30º
**For more options, refer to the “Accessories” section

10 11
 GYNECOLOGY

Why the Fletcher CT/MR

110.967 Cervical stopper (4 mm) shielded applicator?
101.012 Sterilization caps (IU tube) (50 pcs)

110.960 Ovoid cap 25 mm (2 pcs) • High dose to target combined

110.961 Ovoid cap 30 mm (2 pcs) with significant protection of
110.963 Transfer tube cap (2 pcs) organs at risk
110.283 Screwdriver titanium
• Minimize image artifacts with
189.930 Fixation nuts (spare; 5 pcs)
moveable shields
189.894 Plastic screw M5 PPSU (10 pcs)

• Maximum workflow efficiency with

Fletcher CT/MR shielded applicator set (6 mm) Oncentra Brachy planning tools
Part # 110.950
Part number Description

110.930 Shielded ovoid tube 1

Image shows the applicator with the 110.940 Shielded ovoid tube 2
MR conditional 4 mm intrauterine tube
189.739 Intrauterine tube (6 mm), 15º

189.745 Intrauterine tube (6 mm), 30º

Fletcher CT/MR Shielded Applicator Set 189.722

110.957
Adjustable fixation mechanism

Fixation clip

110.954 Cervical stopper (6 mm)

Combining the benefits of 3D imaging with Intended for:
ovoid shielding 101.012 Sterilization caps (IU tube) (50 pcs)
• Cervix
110.960 Ovoid cap 25 mm (2 pcs)
During recent years 3D image-guided brachytherapy • Endometrium 110.961 Ovoid cap 30 mm (2 pcs)
using CT and MR imaging has steadily replaced X-ray
Note: 110.963 Transfer tube cap (2 pcs)
based dose planning. Visualization of the targeted area
110.283 Screwdriver titanium
and untargeted anatomies enables conformation of • Includes unique moveable shielding mechanism
189.930 Fixation nuts (spare 5 pcs)
the dose distribution to the target volume and the dose • MR conditional (up to 3 Tesla)
189.894 Plastic screw M5 PPSU (10 pcs)
reduction to organs at risk. Sparing of the organs at risk
• This applicator can be sterilized using plasma
was traditionally accomplished by the use of shielded
sterilization (STERRAD®) Accessories
ovoids. However, the metal components of such ovoids
• User manual 777.00157 Part number Description
interfere with modern 3D imaging modalities and distort
acquired images. • The most accurate dose effect of the shields in 110.972 Intrauterine tube (4 mm), 45º

your plans can be calculated with ACE (TG-186) 189.769 Intrauterine tube (6 mm), 45º

The Fletcher CT/MR shielded applicator is the first of in Oncentra Brachy, for both Iridium-192 and 189.566* Smit Sleeve CT/MR 40 mm (10 pcs)

its kind to overcome these issues. Moveable shielding Cobalt-60 sources. Oncentra also provides a shield 189.676*
189.676 and following Smit Sleeves, l = 20 mm
and longer, d = 6 mm (10 pcs)
incorporated in the ovoids allows you to lower the dose approximation that can be used for TG-43 calculations
101.031 Fixation mechanism for ovoid tubes
to organs at risk during gynecological brachytherapy for Iridium-192.
101.015 CT/MR sterilization box
treatments. High-quality CT and MR images for 3D dose
189.931 CT/MR applicator clamp with axle
planning can now be combined with protection of the Order information
189.932 CT/MR applicator clamp with base plate
organs at risk. Fletcher CT/MR shielded applicator set (4 mm)
Part # 110.980 110.700 Pins for adjustable fixation mechanism (5 pcs)

189.724 Internal fixation mechanism

Part number Description
189.930 Fixations nuts (spare 5 pcs)
110.930 Shielded ovoid tube 1
189.894 Plastic screws M5 PPSU (10 pcs)
110.940 Shielded ovoid tube 2
189.729 Fixation axle
110.970 Intrauterine tube (4 mm), 15º

110.971 Intrauterine tube (4 mm), 30º

189.722 Adjustable fixation mechanism

110.957 Fixation clip

*For more options, refer to the “Accessories” section

12 13
 GYNECOLOGY

Order information
Why the Fletcher CT/MR
Fletcher CT/MR applicator set, part # 189.730
applicator set?
Part number Description

189.735 Ovoid tube 1 • Ideal for volume-based

189.740 Ovoid tube 2 intracavitary cervical
189.739 Intrauterine tube 15° brachytherapy
189.745 Intrauterine tube 30°

189.783 Ovoid pair 15 mm (half-ovoids) • Adjustable to the patient’s

189.754 Ovoid pair 20 mm anatomy
189.755 Ovoid pair 25 mm
• Compatible with CT
189.756 Ovoid pair 30 mm

189.757 Ovoid pair 35 mm

• MR safe
189.758 Ovoid pair 40 mm

189.742 Rectal retractor 30 mm

189.751 Rectal retractor 40 mm

MR safe
189.741 Fixation nut for rectal retractor

110.267 Cervical stopper

Fletcher CT/MR Applicator Set 189.722

189.750
Adjustable fixing mechanism

Fixation clip

008.033 Plastic screw M5 PPSU (10 x 008.033)

The optimal solution for volume-based intracavitary Intended for:
110.283 Screwdriver for ovoids and stopper
cervical brachytherapy • Cervix
101.012 Sterilization caps (pack of 50)
The Fletcher CT/MR applicator uses two ovoids to shape
• Endometrium
a ‘Fletcher-type’ dose for intracavitary gynecological Fletcher CT/MR applicator set XS, part # 110.216 Accessories
brachytherapy. This proven pear-shaped dose matches Note: Part number Description Part number Description

the anatomy of the cervix and surrounding areas. • The separate Utrecht Interstitial applicator 189.735 Ovoid tube 1 110.296/.298/.300 Intrauterine tube (4 mm) 15°/30°/45°

complementary set (110.271) contains all components 189.740 Ovoid tube 2 189.566** Smit Sleeves CT/MR ø 9 mm (box of 10)
The applicator uses strong composite fiber tubing and to add interstitial functionality to a Fletcher CT/MR 110.296* Intrauterine tube (4 mm), 15º 189.676 and following Smit Sleeves, l = 20
189.676**
plastics to eliminate distortion on CT and MR imaging. applicator and thereby upgrade it to the state-of-the- mm and longer, d = 6 mm (10 pcs)
110.298* Intrauterine tube (4 mm), 30º
With the use of the Applicator Modeling module in art Utrecht Interstitial CT/MR applicator 189.769 Intrauterine tube 45° (6 mm)
110.300* Intrauterine tube (4 mm), 45º
Oncentra Brachy, the applicator is reconstructed with 101.031 Ovoid tube fixing mechanism
• Asymmetrical ovoid placement is possible 110.540 Ovoid pair 15 mm, R7.5 (micro ovoids)
just a few mouse clicks.
189.783 Ovoid pair 15 mm, R10 (half ovoids) 101.015 CT/MR sterilization box
• The applicator can be sterilized using steam
The flexible geometry of the applicator provides the 189.754 Ovoid pair 20 mm, R10
sterilization 189.900
Ovoid set with radius 12.5 mm
189.755 Ovoid pair 25 mm, R10 (25, 30, 35, 40 mm)
options to optimize the position of the ovoids to the cervix,
• User manual 777.00287 Ovoid set with radius 15 mm
and to adjust the intrauterine tube to ensure an optimal fit 189.722 Adjustable fixation mechanism 189.901
(30, 35, 40 mm)
with the patient’s anatomy. 189.750 Fixation clip
110.700 Pins for adjustable mechanism (5 pcs)
101.012 Sterilization caps (50 pcs.)
189.930 Spare fixation nuts (5 pcs)
Unique solution for narrow anatomy of vagina 110.283 Screwdriver titanium for ovoids and stopper
Utrecht interstitial applicator complimentary
008.033 Plastic screw M5 PPSU (10 x 008.033) 110.271 set. To expand the use of the Fletcher CT/MR
An extra small version of this applicator is available, the applicator to interstitial treatments
Fletcher CT/MR applicator set XS. This version has small Spare part set plastic screw M5 PPSU
189.894
ovoids that optimally fit women with a narrow vagina, e.g (10 pcs)

patients from the Asian region. The thin intrauterine tubes 110.315
Rectal retractor 30 mm with slot
(for intrauterine tubes 4 mm)
in this set facilitate easy insertion. 4 mm IU tube with new stopper
Rectal retractor 40 mm with slot
110.335
(for intrauterine tubes 4 mm)
189.741 Fixation nut for rectal retractor

110.395 Cervical stopper for 4 mm

110.396 Cervical stopper tool for 4 mm

189.729 Fixation axle

*The 4 mm IU tubes include a cervical stopper
**For more options, refer to the “Accessories” section

14 15
 GYNECOLOGY

Order information Why the Standard

Standard CT/MR applicator set, part # 101.020
CT/MR applicator?
Part number Description

101.021 Ovoid tube 1 • Compatible with CT and MR safe

101.022 Ovoid tube 2

101.023 Intrauterine tube 40 mm • Applicator with fixed geometry

101.024 Intrauterine tube 50 mm that ensures reproducible
101.025 Intrauterine tube 60 mm geometry
101.026 Ovoid pair 20 mm

101.027 Ovoid pair 25 mm

101.028 Ovoid pair 30 mm

101.029 Rectal retractor 30 mm

101.030 Rectal retractor 40 mm

101.031 Ovoid tube fixing mechanism

008.034 Screwdriver for ovoid and stopper

MR safe
101.012 Sterilizing caps, CT/MR

008.033 Plastic screw M5 PPSU (16 x 008.033)

Standard CT/MR Applicator Set Accessories

Part number Description
The Standard CT/MR applicator set is designed using Intended for:
101.015 CT/MR sterilization box
a composite fiber tubing to eliminate distortion on CT or • Cervix
110.302 Intrauterine tube (4 mm), l =50 mm, 40º
MR images. This enables conformal treatment planning
• Endometrium 189.566*
Smit Sleeves CT/MR, l = 40 mm, d =9 mm
with the use of transverse slices. To ensure applicator and (box of 10)
treatment integrity, the standard CT/MR applicator has a Note: 110.395 Cervical stopper for 4 mm
fixed geometry. 110.396 Cervical stopper tool for 4 mm
• The applicator can be sterilized using steam
sterilization or ethylene oxide

• User manual 090.613

*For more options, refer to the “Accessories” section

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 GYNECOLOGY

Fletcher Williamson Asia Pacific set, part # 085.260 Why the Fletcher
Part number Description
Williamson applicator?
085.233 Ovoid tube 1

085.234 Ovoid tube 2 • Embedded shielding reduces dose

084.203 Ovoid pair, mini, 16 mm unshielded to critical organs
084.041 Ovoid pair, half, unshielded

084.042 Ovoid pair, 20 mm, small, unshielded

084.028 Fixing mechanism, ovoid tube

084.024 Intrauterine tube 15°

084.025 Intrauterine tube 30°

084.026 Intrauterine tube 45°

084.030 Cervical stopper, small

084.027 Adjustable fixing mechanism

084.158 Sterilizing caps, 3.2 mm

006.182 Screwdriver
MR Unsafe
Accessories
Part number Description

Fletcher Williamson Applicator Set 084.043 Ovoid pair, 25 mm, medium, unshielded

084.044 Ovoid pair, 30 mm, large, unshielded

This applicator is based on the dosimetry of the Order information
084.421 Rectal retractor, 4 x 30 mm (thickness x width)
conventional shielded fletcher style applicator. Fletcher Williamson applicator set, part # 085.230
084.422 Rectal retractor, 4 x 40 mm (thickness x width)
A lightweight tungsten alloy shielding is incorporated Part number Description
086.010 Rectal retractor, 10 x 40 mm (thickness x width)
in the ovoid tubes to reduce the dose to the bladder 085.233 Ovoid tube 1
086.009 Rectal retractor, 10 x 30 mm (thickness x width)
and rectum. Ovoids are positioned at a 60° angle to 085.234 Ovoid tube 2
086.011 Fixing mechanism, retractor
the vaginal axis. The set includes mini ovoids for 085.231 Shielded ovoid tube 1
006.025 Spare fixing screw
narrow vaginas and thin 3.2 mm intrauterine tubes. 085.232 Shielded ovoid tube 2
006.030 Torque screwdriver, 2.5 mm “The Fletcher Williamson
084.203 Ovoid pair, mini, 16 mm unshielded
A specific Fletcher Williamson ‘Asia Pacific’ applicator 101.015 CT/MR sterilization box

set is available which is unshielded and has small

085.235 Ovoid cap pair, 20 mm, small
189.676 Smit Sleeves CT/MR for Ti intrauterine tube,
applicator is a well crafted,
and following * l =20 mm and longer, d =6 mm (box of 10 pcs)
geometry ovoids.
085.236

085.237
Ovoid cap pair, 25 mm, medium

Ovoid cap pair, 30 mm, large

precision instrument
Intended for: 084.028 Fixing mechanism, ovoid tube with bladder and rectal
084.024 Intrauterine tube 15°
• Cervix
084.025 Intrauterine tube 30°
shielding. This instrument
• Endometrium
084.026 Intrauterine tube 45° allows us to continue
Note: 084.030 Cervical stopper, small

084.027 Adjustable fixing mechanism

a quality technical
• The applicator can be sterilized using steam
sterilization 084.158 Sterilizing caps, 3.2 mm (50 pcs)
approach to gynecological
006.182 Screwdriver
• User manual 090.604 brachytherapy with high
dose rate brachytherapy.”

J. Stitt, MD
University of Wisconsin, Madison
United States

*For more options, refer to the “Accessories” section

18 19
 GYNECOLOGY

Cervix Rotterdam applicator set IU-30°, part # 137.206 Why the Cervix Rotterdam
Part number Description applicator?
137.248 Right ovoid tube I, IU-30° (ti)

137.249 Left ovoid tube III, IU-30° (ti) • Dependable insertion through
137.191 Ovoid pair, Ø 20 mm, small fixed geometry
137.192 Ovoid pair, 25 mm, medium

137.193 Ovoid pair, 30 mm, large

• Strong and lightweight applicator
137.251 Intrauterine tube IIIII, IU-30°, l =30 mm, (ti)
• Compatible with CT and MR
137.253 Intrauterine tube IIIII, IU-30°, l =50 mm, (ti)
(1.5T and 3T)
137.255 Intrauterine tube IIIII, IU-30°, l = 70 mm, (ti)

137.256 Ovoid tube coupling for 30°, for ovoids only (ti) • Easy extension for radiation of
137.570 Closing caps (25/pack) vaginal wall with the optional
137.574 Screwdriver for ovoid screws vaginal cylinder
Accessories for 30° set
With the optional vaginal cylinder, the treatment
MR conditional can be easily extended to include the vaginal wall Part number Description
in the same treatment fraction.
137.245 Vaginal cylinder locking pin (ti)

Cervix Rotterdam Applicator Set

137.299 Vaginal cylinder & cap 30°, Ø 30 mm, l = 60 mm

137.257 Vaginal cylinder & cap 30°, Ø 37 mm, l = 60 mm

137.239 Vaginal cylinder & cap 30°, Ø 40 mm, l = 60 mm

The lightweight applicator for cervical brachytherapy Note:
137.250 Intrauterine tube IIIII, IU-30°, l = 20 mm, (Ti)
The Cervix Rotterdam applicator supports fast and • The applicator can be sterilized using steam 137.252 Intrauterine tube IIIII, IU-30°, l = 40 mm, (Ti)
reproducible cervical brachytherapy. The use of titanium sterilization 137.254 Intrauterine tube IIIII, IU-30°, l = 60 mm, (Ti)
makes the applicator thin and lightweight, with a • User manual 777.00281
design that aids correct implantation. The applicator is Cervix Rotterdam applicator set IU-45°, part # 137.217
compatible with CT and MR images. Order information
Part number Description
Cervix Rotterdam applicator set IU-15°, part # 137.218
137.219 Right ovoid tube I, IU-45° (ti)
Fixed geometry
Part number Description 137.220 Left ovoid tube III, IU-45° (ti)
The lightweight applicator can easily be assembled during 137.235 Right ovoid tube I, IU-15° (ti) 137.191 Ovoid pair, Ø 20 mm, small
insertion. The applicator’s geometry is fixed once inserted, 137.236 Left ovoid tube III, IU-15° (ti) 137.192 Ovoid pair, 25 mm, medium
which provides reproducible delivery set-up during all 137.191 Ovoid pair, 20 mm, small 137.193 Ovoid pair, 30 mm, large
treatment fractions. 137.192 Ovoid pair, 25 mm, medium 137.222 Intrauterine tube IIIII, IU-45°, l = 30 mm, (ti)
137.193 Ovoid pair, 30 mm, large 137.224 Intrauterine tube IIIII, IU-45°, l = 50 mm, (ti)
Easy treatment extension 137.230 Intrauterine tube IIIII, IU-15°, l =30 mm, (ti) 137.226 Intrauterine tube IIIII, IU-45°, l = 70 mm, (ti)
With the optional vaginal cylinder, the treatment can be 137.232 Intrauterine tube IIIII, IU-15°, l =50 mm, (ti) 137.247 Ovoid tube coupling for 45°, for ovoids only (ti)
easily extended to include the vaginal wall in the same 137.234 Intrauterine tube IIIII, IU-15°, l = 70 mm, (ti) 137.570 Closing caps (25/pack)
treatment fraction. 137.246 Ovoid tube coupling for 15°, for ovoids only (ti) 137.574 Screwdriver for ovoid screws
137.570 Closing caps (25/pack)
Accessories for 45° set Accessories for all Cervix Rotterdam applicators
Enhancing your workflow 137.574 Screwdriver for ovoid screws
Part number Description Part number Description
With the use of the Applicator Modeling module of
Accessories for 15° set 137.245 Vaginal cylinder locking pin (ti) 137.244 Rectal spacer locking pin (ti)
Oncentra Brachy, the Cervix Rotterdam applicator is
137.240 Vaginal cylinder & cap 45°, Ø 30 mm, l = 60 mm Rectal spacer, 30 mm wide, 5 mm spacing
quickly reconstructed during treatment planning. Part number Description 137.243
under ovoid
137.228 Vaginal cylinder & cap 45°, Ø 37 mm, l = 60 mm
137.245 Vaginal cylinder locking pin (ti) 137.242 Rectal spacer, 30 mm wide, behind ovoid
Intended for: 137.241 Vaginal cylinder & cap 45°, Ø 40 mm, l = 60 mm
137.237 Vaginal cylinder & cap 15°, Ø 30 mm, l = 60 mm 137.190 Mini ovoid pair, 15 mm
137.221 Intrauterine tube IIIII, IU-45°, l = 20 mm, (Ti)
• Cervix 137.207 Vaginal cylinder & cap 15°, Ø 37 mm, l = 60 mm 137.577 Spare ovoid screws (set of 5 pcs)
137.223 Intrauterine tube IIIII, IU-45°, l = 40 mm, (Ti)
137.238 Vaginal cylinder & cap 15°, Ø 40 mm, l = 60 mm 189.676 Smit Sleeves CT/MR for Ti intrauterine tube,
• Endometrium 137.225 Intrauterine tube IIIII, IU-45°, l = 60 mm, (Ti) and following * l =20 mm and longer, d =6 mm (box of 10 pcs)
137.229 Intrauterine tube IIIII, IU-15°, l = 20 mm, (Ti)
• Vagina 101.015 CT/MR sterilization box
xx mm 137.231 Intrauterine tube IIIII, IU-15°, l = 40 mm, (Ti)
Indication of ovoid dimensions 137.233 Intrauterine tube IIIII, IU-15°, l = 60 mm, (Ti)
of Cervix Rotterdam applicator *For more options, refer to the “Accessories” section

20 21
 GYNECOLOGY

Order information
Why the Henschke
Henschke titanium applicator set, part # 110.018
titanium applicator?
Part number Description

110.019 Dual colpostat tube • Adjustable ovoid separation

110.435 Intrauterine tube straight and shielding
110.436 Intrauterine tube, 15°

110.437 Intrauterine tube, 30° • Compatible with CT

110.438 Intrauterine tube, 45°

065.085 Colpostat cap Ø 25 (pair)

065.086 Colpostat cap Ø 30 (pair)

110.283 Screwdriver for ovoids and stopper (2 pcs)

110.430 Cervical stopper (2 pcs)

008.033 Plastic screw M5 PPSU (5 x 008.033)

Accessories
MR Unsafe Part number Description

189.676 Smit Sleeves CT/MR for Ti intrauterine tube, l =20

and following * mm and longer, d =6 mm (box of 10 pcs)

Henschke Titanium Applicator Set 101.015 CT/MR sterilization box

The Henschke titanium applicator set is based on the Intended for:

original low dose design by Dr. Henschke, with additional • Cervix
input from Memorial Sloane Kettering Hospital, New York.
• Endometrium
The Henschke titanium applicator set reproduces standard
pear-shape gynecological isodose distributions. Note:
• Compatible with CT and MR
(1.5T and 3T)

• The applicator can be sterilized using steam

sterilization

• Plastic caps to increase the diameter of the ovoids

• The ovoid assembly is adjustable and assists in

easy insertion.

• User manual 777.00144

*For more options, refer to the “Accessories” section

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 GYNECOLOGY

Interstitial Ring CT/MR applicator set, complete (6 mm),

part # 110.673 Why the Interstitial ring
Part number Description CT/MR applicator?
110.350 Interstitial ring tube, d =26 mm, 60° (6 mm)

110.351 Interstitial ring tube, d =30 mm, 60° (6 mm)

• Targeted dose optimization
110.352 Interstitial ring tube, d =34 mm, 60° (6 mm)
• Complex interstitial
101.051 Intrauterine tube, l = 20 mm, 60° (6 mm)
brachytherapy
101.052 Intrauterine tube, l = 20 mm, 60° (6 mm)
made easy
101.053 Intrauterine tube, l = 60 mm, 60° (6 mm)

101.057 Rectal retractor, 60°

• MR-safe applicator;
189.930 Fixation nuts set (spare, 5 pcs)
no image distortions
101.012 Sterilization caps CT/MR (50 pcs)

110.268 Obturators (5 pcs)

189.714 Insertion tool

189.040 Cleaning brush set

MR safe Set, d = 34 mm, 6 mm, 60º (max. 9 needles),
189.043 Cleaning brush set
part # 110.332 A01
Part number Description
Interstitial Ring CT/MR applicator sets
110.352 Interstitial ring tube, d = 34 mm, 60º

Interstitial Ring CT/MR Applicator Set Set, d = 26 mm, 6 mm, 60º (max. 7 needles),
part # 110.330 A01
101.051 Intrauterine tube, l = 20 mm, 60º (6 mm)

101.052 Intrauterine tube, l = 40 mm, 60º (6 mm)

A compelling workflow for image-guided adaptive Intended for: Part number Description
101.053 Intrauterine tube, l = 60 mm, 60º (6 mm)
brachytherapy (IGABT) • Cervix 110.350 Interstitial ring tube, d = 26 mm, 60º 101.057 Rectal retractor, 60º
101.051 Intrauterine tube, l = 20 mm, 60º (6 mm)
The Interstitial Ring applicator is a state-of-the-art 189.930 Fixation nuts set (spare), set of 5
• Endometrium
101.052 Intrauterine tube, l = 40 mm, 60º (6 mm)
treatment solution for combined intracavitary and 101.012 Sterilization caps CT/MR, pack of 50

interstitial gynecological brachytherapy. Note: 101.053 Intrauterine tube, l = 60 mm, 60º (6 mm) 110.268 Obturators, set of 5
101.057 Rectal retractor, 60º 189.714 Insertion tool
• Can also be used as regular intracavitary
Targeted dose optimization ring applicator 189.930 Fixation nuts set (spare, 5 pcs) 189.040 Cleaning brush set (2.5 mm)
101.012 Sterilization caps CT/MR, (50 pcs) 189.043 Cleaning brush set (6.5 mm)
Besides the regular intracavitary treatment channels • Use of needles with rounded tip can reduce the risk
110.268 Obturators, (5 pcs)
of the applicator, the ring acts as a template for placing of perforation of critical structures, and is required for
189.714 Insertion tool Accessories for all sets
additional needles in the cervical area. The interstitial use with interstitial cervix applicators
189.040 Cleaning brush set
needles provide additional control of dose coverage to the Part number Description
• The applicator can be sterilized using 189.043 Cleaning brush set
tumor, while sparing the surrounding tissue. The insertion ProGuide round needle set, 6F x 294 mm
steam sterilization 110.230*
(set of 5, single packed, delivered sterile)
depth of the needles can be easily controlled using the Set, d = 30 mm, 6 mm, 60º (max. 9 needles),
• User manual 777.00083 part # 110.331 A01 110.231*
ProGuide sharp needle set, 6F x 294 mm
insertion tool. The needles are individually locked in place (set of 5, single packed, delivered sterile)
for treatment. Order information Part number Description
Guiding tube for ring set for interstitial ring
110.273*
(set of 5, single packed, delivered sterile)
Interstitial Ring CT/MR applicator sets (4 mm)* 110.351 Interstitial ring tube, d = 30 mm, 60º
Optimized for 3D imaging and planning 101.051 Intrauterine tube, l = 20 mm, 60º (6 mm)
Part number Description 110.350 Interstitial ring tube, d = 26 mm, 60º
The applicator uses strong composite fiber tubing 101.052 Intrauterine tube, l = 40 mm, 60º (6 mm) 110.351 Interstitial ring tube, d = 30 mm, 60º
110.674 Interstitial Ring applicator set, complete (4 mm)
and plastics to eliminate distortion on CT and MR 101.053 Intrauterine tube, l = 60 mm, 60º (6 mm) 110.352 Interstitial ring tube, d = 34 mm, 60º
Interstitial Ring applicator set d = 26 mm,
110.330A02
imaging. With the use of transversal slices, and the 60˚(4 mm) 101.057 Rectal retractor, 60º Smit Sleeves CT/MR for 6 mm intrauterine
modules Applicator Modeling and Library Plans in Interstitial Ring applicator set d = 30 mm, 189.930 Fixation nuts set (spare), set of 5 189.566** tube, l = 40 mm, d =9 mm, open ended
110.331A02 (box of 10)
60˚ (4 mm)
Oncentra Brachy, the applicator is quickly reconstructed 101.012 Sterilization caps CT/MR, pack of 50
Interstitial Ring applicator set d = 34 mm, Smit Sleeves CT/MR for 4 mm intrauterine
189.676
during treatment planning. 110.332A02
60˚ (4 mm) 110.268 Obturators, set of 5 tube, l = 20 mm and longer, d = 6 mm
and following** (box of 10)
189.714 Insertion tool
101.054 Perineal bar
189.040 Cleaning brush set
Intrauterine tube, d = 4 mm, 60°,
189.043 Cleaning brush set 110.305/306/307
l =20/40/60 mm

110.290 MR line marker set

*The 4 mm set contains the same part numbers as the 6 mm sets. *Required for interstitial treatment
101.015 CT/MR sterilization box
**For more options, refer to the “Accessories” section

24 25
 GYNECOLOGY

Order information Why the Vienna ring

Vienna Ring CT/MR applicator set 26 mm, 60°,
part # 189.699
CT/MR applicator?
Part number Description • Interstitial needle to achieve
189.713 Vienna Ring CT/MR tube, 60° (for 7 needles) assymetric alternation of dose
101.051 Intrauterine tube, l = 20 mm, 60° distribution
101.052 Intrauterine tube, l = 40 mm, 60°

101.053 Intrauterine tube, l = 60 mm, 60°

• Compatible with CT and MR
101.057 Rectal retractor, 60°

189.930 Set of 5 fixing nuts (spare)

101.012 Sterilization caps, CT/MR, 50 pcs

110.720 Needle fixation tool, d = 26 mm

189.040 Cleaning brush set (2.5 mm)

189.043 Cleaning brush set (6.5 mm)

MR conditional Vienna Ring CT/MR applicator set 30 mm, 60°,

part # 189.792

Vienna Ring CT/MR Applicator Set Part number

189.799
Description

Vienna Ring CT/MR tube, 60° (for 9 needles)

The Vienna Ring CT/MR applicator is based on the CT/MR Intended for: 101.051 Intrauterine tube, l = 20 mm, 60°

Ring applicator, enhanced with the addition of nine guide • Cervix 101.052 Intrauterine tube, l = 40 mm, 60°

holes in the ring tube. These guide holes allow placement 101.053 Intrauterine tube, l = 60 mm, 60°
• Endometrium
of interstitial titanium needles using the ring tube as a 101.057 Rectal retractor, 60°

needle template, while maintaining the treatment channel Note: 189.930 Set of 5 fixing nuts (spare)
of the ring tube. The addition of interstitial needles makes 101.012 Sterilization caps, CT/MR
• Can also be used as a standard intracavitary
it possible to achieve asymmetric alteration of the dose ring applicator 110.721 Needle fixation tool, d = 30 mm
distribution. The needles are inserted perpendicular to the 189.040 Cleaning brush set (2.5 mm)
• Use of needles with rounded tip can reduce the risk of
ring and in parallel to the tandem. The applicator’s plastic 189.043 Cleaning brush set (6.5 mm)
perforation of critical structures, and is recommended
and composite fiber materials minimize distortion on CT
for use with interstitial cervix applicators
or MR imaging. The Round Point needle is designed to Vienna Ring CT/MR applicator set 34 mm, 60°,
minimize tissue damage and for ease in implantation. This • Non-clinical testing has demonstrated that the part # 189.569 Accessories
applicator, developed by renowned clinical experts, offers titanium needles and the needle fixation tool are
Part number Description Part number Description
MR Conditional. These products can be scanned
the solution for treatment of advanced tumor stages with 189.567 Vienna Ring CT/MR tube, 60° (for 9 needles) 110.720 Needle fixation tool, d = 26 mm
safely under the following conditions: static magnetic
an optimised dose, minimizing dose to organs at risk. 101.051 Intrauterine tube, l =20 mm, 60° 110.721 Needle fixation tool, d = 30 mm
field up to 0.23 Tesla
101.052 Intrauterine tube, l = 40 mm, 60° 189.995 Needle fixation tool, d = 34 mm
• The applicator can be sterilized using
101.053 Intrauterine tube, l = 60 mm, 60° Round point titanium needle set, 1.9 mm x
steam sterilization 110.025
240 mm, 60°, 30 mm (set of 5 needles)
101.057 Rectal retractor, 60°
• User manual 090.720 Round point titanium needle set, 1.9 mm x
189.930 Set of 5 fixing nuts (spare) 110.027
240 mm, 60°, 40 mm (set of 5 needles)
101.012 Sterilization caps, CT/MR
Round point titanium needle set, 1.9 mm x
110.029
189.995 Needle fixation tool, d =34 mm 240 mm, 60°, 50 mm (set of 5 needles)

189.040 Cleaning brush set (2.5 mm) 083.252 Obiturator for needle, l = 100 mm

189.043 Cleaning brush set (6.5 mm) 089.636 Handle for obturator

Smit Sleeves CT/MR, l = 40 mm, d = 9 mm

189.566*
(box of 10)

101.054 Perineal bar

Intrauterine tube, d = 4 mm, 60o,

110.305/.306/.307
l = 20/40/60 mm

101.015 CT/MR sterilization box

*For more options, refer to the “Accessories” section

26 27
 GYNECOLOGY

Ring CT/MR applicator set, 6 mm, 45º, part # 101.061 Why the Ring CT/MR
Part number Description
applicator?
101.042 Ring tube, d = 26 mm, 45°

101.043 Ring tube, d = 30 mm, 45° • Ideal for volume-based

101.045 Intrauterine tube, l = 20 mm, 45° intracavitary cervical
101.046 Intrauterine tube, l = 40 mm, 45° brachytherapy
101.047 Intrauterine tube, l = 60 mm, 45°

101.055 Rectal retractor, 45°

• Reproducible geometry
101.012 Sterilizing caps CT/MR (pack of 50)
• Compatible with CT and MR safe
Ring CT/MR applicator set, 6 mm, 60º, part # 101.062
Part number Description

101.048 Ring tube, d = 26 mm, 60°

101.049 Ring tube, d = 30 mm, 60°

101.051 Intrauterine tube, l = 20 mm, 60°

MR safe 101.052 Intrauterine tube, l = 40 mm, 60°

101.053 Intrauterine tube, l = 60 mm, 60°

101.057 Rectal retractor, 60°

Ring CT/MR Applicator Set 101.012 Sterilizing caps CT/MR (pack of 50)

The optimal solution for volume-based intracavitary Order information Accessories

cervical brachytherapy Ring CT/MR applicator set (4 mm) Part number Description

The Ring CT/MR applicator uses the ring to create a Part number Description 189.566* Smit Sleeve CT/MR (l = 40 mm, d = 9 mm)
pear-shaped dose to match the anatomy of the cervix 110.669 Ring CT/MR applicator set complete, 4 mm 101.054 Perineal bar (for part # 101.060/.061/.062)
and endometrium. 110.670 Ring CT/MR applicator set, 30°, 4 mm 101.038 Ring tube, d = 34 mm, 30° (for part # 101.060)
110.671 Ring CT/MR applicator set, 45°, 4 mm 101.044 Ring tube, d = 34 mm, 45° (for part # 101.061)
The applicator uses strong fiber composite tubing and
110.672 Ring CT/MR applicator set, 60°, 4 mm 101.050 Ring tube, d = 34 mm, 60° (for part # 101.062)
can be used in combination with CT and MR imaging for
110.303/.304 / Intrauterine tube, d =4 mm,
volume-based treatment planning. The fixed geometry of .305 /.306 /.307 l = 40 30°/45°/60°
the ring and the intrauterine tube provide a reproducible Ring CT/MR applicator set, 6 mm, part # 101.035
101.015 CT/MR sterilization box
applicator geometry. With the use of the Applicator Part number Description
110.290 MR line marker set
Modeling module in Oncentra Brachy, reconstruction of 101.060 Ring applicator set, 30°, CT/MR

the applicator takes only a few mouse clicks. 101.061 Ring applicator set, 45°, CT/MR

101.062 Ring applicator set, 60°, CT/MR

Intended for: 101.038 Ring tube, d = 34 mm, 30°

• Cervix 101.044 Ring tube, d = 34 mm, 45°

101.050 Ring tube, d = 34 mm, 60°

• Endometrium
101.054 Perineal bar “We use the ring
Note:
Ring CT/MR applicator set, 6 mm, 30°, part # 101.060 applicator to match
• This applicator can be sterilized using steam
sterilization and ethylene oxide
Part number Description
the dosimetry of
101.036 Ring tube, d = 26 mm, 30°
• User manual 090.617 101.037 Ring tube, d = 30 mm, 30° the Stockholm box.”
101.039 Intrauterine tube, l = 20 mm, 30°

101.040 Intrauterine tube, l = 40 mm, 30°

T.H. Knocke, MD
101.041 Intrauterine tube, l = 60 mm, 30°
Universitätsklinik für Strahlentherapie,
101.056 Rectal retractor, 30° Wien Austria
101.012 Sterilizing caps CT/MR (pack of 50)

*For more options, refer to the “Accessories” section

28 29
 GYNECOLOGY

Ring applicator set 45°, part # 085.096 Why the Ring applicator?
Part number Description

084.061 Ring tube, d = 26 mm, 45°

• Reproducible applicator geometry
084.058 Ring tube, d = 30 mm, 45°
• Straight-forward insertion
084.068 Intrauterine tube, l = 20 mm, 45°
and planning
084.067 Intrauterine tube, l = 40 mm, 45°

084.066 Intrauterine tube, l = 60 mm, 45°

084.335 Rectal retractor, 45°

084.053 Ring cap, d = 26 mm

084.052 Ring cap, d = 30 mm

084.158 Sterilizing caps, 3.2 mm (50 pcs)

Ring applicator set 60°, part # 085.097

Part number Description

084.060 Ring tube, d = 26 mm, 60°

MR Unsafe 084.057 Ring tube, d = 30 mm, 60°

084.071 Intrauterine tube, l = 20 mm, 60°

084.070 Intrauterine tube, l = 40 mm, 60°

Ring Applicator Set 084.069 Intrauterine tube, l = 60 mm, 60°

084.319 Rectal retractor, 60°

The Ring applicator uses the ring to create a pear-shaped Order information
084.053 Ring cap, d = 26 mm
dose. This proven dosimetry shape matches the anatomy Complete Ring applicator set, part # 084.050
084.052 Ring cap, d = 30 mm
of the cervix and endometrium. A rectal retractor can be Part number Description
084.158 Sterilizing caps, 3.2 mm (50 pcs)
used to push the rectal/vaginal wall to a fixed distance 085.095 Ring tube, 30° (for set # 085.095)
from the source. 085.096 Ring tube, 45° (for set # 085.096)
Accessories

085.097 Ring tube, 60° (for set # 085.097) Part number Description
Intended for: 084.051 Ring cap, d = 34 mm
084.072 Perineal bar
• Cervix 084.056 Ring tube, d = 34 mm, 30° 084.056 Ring tube, d = 34 mm, 30° (requires part # 085.095)

084.055 Ring tube, d = 34 mm, 45° 084.055 Ring tube, d = 34 mm, 45° (requires part # 085.096)
• Endometrium
084.054 Ring tube, d = 34 mm, 60° 084.054 Ring tube, d = 34 mm, 60° (requires part # 085.097)
Note: 084.051 Ring cap, d = 34 mm 084.072 Perineal bar (already included in part # 084.050)

• The applicator can be sterilized using steam 084.078 Intrauterine tube, l = 20 mm, 90°
Ring applicator set 30°, part # 085.095
sterilization and ethylene oxide 084.077 Intrauterine tube, l = 40 mm, 90°
Part number Description
084.076 Intrauterine tube, l = 60 mm, 90°
• User manual 090.610
084.062 Ring tube, d = 26 mm, 30°
084.338 Rectal retractor, 90°
084.059 Ring tube, d = 30 mm, 30°
101.015 CT/MR sterilization box
084.065 Intrauterine tube, l = 20 mm, 30°
189.676 Smit Sleeves CT/MR for 4 mm intrauterine tube,
084.064 Intrauterine tube, l = 40 mm, 30° and following* l = 20 mm and longer, d =6 mm (box of 10)

084.063 Intrauterine tube, l = 60 mm, 30°

084.316 Rectal retractor, 30°

084.053 Ring cap, d = 26 mm

084.052 Ring cap, d = 30 mm

084.158 Sterilizing caps, 3.2 mm (50 pcs)

* For more options, refer to the “Accessories” section

30 31
 GYNECOLOGY

Order information
Adjustable cervix applicator set, part # 084.450
Why the Adjustable cervix
applicator set?
Part number Description

084.455 Intrauterine tube, straight • User-friendly applicator

084.456 Intrauterine tube, angle 15°

084.457 Intrauterine tube, angle 30° • Designed for treatment of the

084.451 Cylinder, d = 20 mm, with marker cervix, endometrium, vagina
084.452 Cylinder, d = 25 mm, with marker and rectum
084.453 Cylinder, d = 30 mm, with marker

084.454 Cylinder, d = 35 mm, with marker

084.158 Sterilizing caps, 3.2 mm (pack of 50)

101.015 CT/MR sterilization box

MR Unsafe

Adjustable Cervix Applicator Set

The Adjustable cervix applicator for intracavitary Intended for:
treatment is very user-friendly. The cylinders are available • Cervix
in different diameters to adapt to patient anatomy,
• Endometrium
optimize dose distribution and reduce the mucosal dose.
The intrauterine tube is available in three curvatures • Vagina
with different lengths. Conjointly, this gives a versatile • Rectum
applicator for cervical, uterine, vaginal and rectal cancer
treatment. Note:
• User manual 090.611

• Sterilization Advice Chart: 094.331

32 33
 GYNECOLOGY

Order information Why the Vaginal CT/MR

Vaginal CT/MR multi channel applicator set,
part # 110.750
multi channel applicator?
Part number Description • Reach where it matters most

101.002 Intravaginal tube • Unique treatment precision

Set of cylinder components, Ø 25 mm
110.752
(features 6 surface channels) • Practical design
Set of cylinder components, Ø 30 mm
110.756
(features 8 surface channels) • MR safe; artifact-free images
Set of cylinder components, Ø 35 mm
110.761
(features 8 surface channels)

101.012 Sterilizing caps CT/MR (pack of 50)

Accessories
Applicator catheters following the
MR safe Part number Description
curve of the tip to reach close to
the vaginal vault
Catheter set with collar 6F x 293 mm
110.800*
(delivered sterile and for single use only)

Vaginal CT/MR Multi Channel Applicator Set 110.766

Set of cylinder components, Ø 40 mm
(features 10 surface channels)

101.003 CT/MR intrauterine tube 15°, l = 40 mm, Ø 6 mm

The precise dose delivery solution for Practical design
101.004 CT/MR intrauterine tube 30°, l = 60 mm, Ø 6 mm
vaginal brachytherapy
The applicator is easy to assemble, clean and sterilize.
101.005 CT/MR intrauterine tube 45°, l = 80 mm, Ø 6 mm
Bringing the right dose to the right place is critical in It seamlessly integrates with Oncentra Brachy, which
CT expansion set, featuring thin titanium intrauterine
110.787**
successful vaginal brachytherapy. The Vaginal CT/MR significantly improves the speed of planning and ensures tubes l = 40, 60 and 80 mm
multi channel applicator has been specifically designed precise and reproducible placement of the applicator. 110.773 Perineal bar set
for gynecologic brachytherapy to provide accurate target For quick and accurate treatment planning based on 110.774 Perineal bar ventral
coverage and maximum conformity for gynecologic MRI, the applicator’s geometry is incorporated in the 110.776 Perineal bar dorsal
malignancies. Applicator Modelling functionality of Oncentra Brachy. 110.779 Perineal bar lever
The compatibility with Oncentra Brachy offers a unique 110.771 Set of fixations screws (5 pcs)
“The vaginal CT/MR
Reach where it matters most solution for vaginal brachytherapy, combining precision 110.778 Applicator clamp adapter set
multi channel applicator
The Vaginal CT/MR multi channel applicator features a with speed. 101.015 CT/MR sterilization box

unique design incorporating channels which follow the 101.069 IU3 x-ray marker for central tandem allows me to get the
Intended for:
curve of the applicator tip. This brings the dosimetry
exact target coverage
measurably closer to the vaginal vault, allowing you to • Vagina
reliably and more effectively cover the planning target
• Cervix
I planned and gives me
volume.
• Endometrium confidence in conformity
Unique treatment precision
Note: in the treatment of my
The channels, located immediately underneath the • The center of the surface channels is located 5 mm gynecologic cancer
surface of the applicator, provide high accuracy and underneath the cylinder surface
optimized treatment precision, while tailoring the patients.” 
• The applicator can be sterilized using steam
dose to the target and saving the organs at risk around
sterilization
e.g. bowel and bladder.
• User manual for applicator 777.00171 B.R. Pieters, MD, PHD
Head of Brachytherapy Department
• User manual for catheters 777.00172 Academic Medical Centre (AMC), Amsterdam
The Netherlands

*Required for use.

**When using titanium intrauterine tubes the applicator is MR unsafe.

34 35
 GYNECOLOGY

Order information Why the Vaginal CT/MR

Complete set, part # 101.001
applicator?
Part number Description

101.002 Vaginal tube • Reproducible dosimetry

101.003 CT/MR intrauterine tube 15°, l = 40 mm, Ø 6 mm

101.004 CT/MR intrauterine tube 30°, l = 60 mm, Ø 6 mm • Easily adaptable to

101.005 CT/MR intrauterine tube 45°, l = 80 mm, Ø 6 mm patient anatomy
101.007 Set of 4 cylinders, 20 mm
• CT and MR compatible
101.008 Set of 4 cylinders, 25 mm

101.009 Set of 4 cylinders, 30 mm

101.010 Set of 4 cylinders, 35 mm

101.006 Cylinder fixation

101.013 Perineal bar

101.012 Sterilizing caps CT/MR (pack of 50)

MR safe Accessories
Part number Description

101.011 Set of 4 cylinders, 40 mm

Vaginal CT/MR Applicator Set 189.566* Smit Sleeve CT/MR (l = 40 mm, d = 9 mm)

101.015 CT/MR sterilization box

The Vaginal CT/MR applicator set is designed for Intended for:
101.149 Knob PPSU (minimum order quantity is 5 pcs)
treatment of the vaginal cuff. This easy to use applicator • Vagina
is available in different cylinder diameters, to reduce the
• Cervix
surface dose. By varying the number of segments of the
cylinder, the length of the cylinder can be adapted to • Endometrium
clinical needs. The non-metallic materials of the • Rectum
applicator set support its use in combination with
CT and MR imaging modalities. Note:
• The most accurate dose effect of the shields in your
plans can be calculated with Oncentra Brachy ACE
(TG-186) for both Iridium-192 and Cobalt-60 sources.
Oncentra Brachy also provides a shield approximation
that can be used for TG-43 calculations for
Iridium-192.

• This applicator can be sterilized using

steam sterilization

• User manual 090.612

*For more options, refer to the “Accessories” section

36 37
 GYNECOLOGY

Order information Why the Titanium vaginal

Vaginal cylinder applicator set Ti, part # 137.400
cylinder applicator?
Part number Description

137.194 Cylinder set, d = 20 mm • Embedded markers for easy

137.195 Cylinder set, d = 25 mm identification on images
137.196 Cylinder set, d = 30 mm

137.416 Intra-vaginal applicator tube (Ti) • Strong and lightweight

137.402 Intra-vaginal/intrauterine tube, 40 mm (Ti)
• Compatible with CT and MR
137.403 Intra-vaginal/intrauterine tube, 60 mm (Ti)

137.404 Intra-vaginal/intrauterine tube, 80 mm (Ti)

137.401 Perineal bar 1

137.415 Spring lock tube (Ti)

137.570 Closing caps (25 pcs)

Accessories

MR conditional Part number Description

101.149 Knob PPSU

Vaginal Cylinder Applicator Set Titanium

137.197 Cylinder set, d = 15 mm

137.198 Cylinder set, d = 35 mm

137.199 Cylinder set, d = 40 mm

The Vaginal cylinder applicator set titanium (Ti) is an Intended for:
101.015 CT/MR sterilization box
easy solution for intracavitary vaginal treatments. When • Vagina
189.677/679/ 682* Smit Sleeve
used with an intrauterine tube, the applicator also offers
• Cervix
a simple solution for treatment of the cervix, rectum or
endometrium. The embedded titanium markers in the • Endometrium
cylinder segments support visualization of the inserted • Rectum
applicator while minimizing contamination risk. The set is
available in a range of different diameters and curvatures Note:
of the intrauterine tube, to provide individually optimized • Compatible with CT and MR (1.5T and 3T)
treatment options and dose distribution. • The applicator can be sterilized using
steam sterilization

• User manual 777.00282

*For more options, refer to the “Accessories” section

38 39
 GYNECOLOGY

Order information Why the Shielded

Shielded cylindrical applicator set, part # 084.320
cylindrical applicator?
Quantity Part number Description

1 084.321 Central tube • Shielded segments for partial

1 084.329 Tungsten shielding, 180° dose reduction to organs at risk
2 084.328 Tungsten shielding, 90°

1 084.322 Cylinder, d = 25 mm • Integrated markers for

1 084.323 Cylinder, d = 30 mm reconstruction of shielding
1 084.324 Cylinder, d = 35 mm
on images
1 084.325 Cylinder, d = 40 mm

1 084.327 Fixing nut

1 084.158 Sterilizing caps, 3.2 mm (50 pcs)

Accessories
Part number Description

MR Unsafe 084.348 Plastic filler, 90° geometry

084.349 Plastic filler, 180° geometry

Shielded Cylindrical Applicator Set

101.015 CT/MR sterilization box

The Shielded cylindrical applicator is designed for Intended for:

intracavitary treatments in which partial shielding is • Vagina
required to reduce the dose to critical organs. The
• Rectum
shielding positions can be defined by the user through
the use of tungsten alloy segments with different shielding Note:
angles. Markers indicate the position of the shielding.
• This applicator can be sterilized using
The effect of the shielding components can be modeled steam sterilization.
in Oncentra Brachy treatment planning software.
• The most accurate dose effect of the shields in your
plans can be calculated with Oncentra Brachy ACE
(TG-186) for both Iridium-192 and Cobalt-60 sources.
Oncentra Brachy also provides a shield approximation
that can be used for TG-43 calculations for
Iridium-192.

• User manual 090.609

40 41
 GYNECOLOGY

Order information Why the Miami

Miami vaginal applicator set, part # 085.210
vaginal applicator?
Part number Description

085.211 Central tube • Multiple surface channels for

084.455 Intrauterine tube, straight dose optimization
084.456 Intrauterine tube, 15°

084.457 Intrauterine tube, 30°

085.212 Cylinder, d = 30 mm, with marker

085.213 Cylinder sleeve, d = 35 mm

085.214 Cylinder sleeve, d = 40 mm

085.218 Cone insert

006.182 Screwdriver

598.027 Allen key screwdriver 3 mm

083.147 Sterilizing caps, 1.9 mm (50 pcs)

084.158 Sterilizing caps, 3.2 mm (50 pcs)

MR Unsafe
Accessories

Miami Vaginal Applicator Set

Part number Description

101.015 CT/MR sterilization box

189.676 and Smit Sleeves CT/MR for 4 mm intrauterine tube,

The Miami vaginal applicator set was developed in Intended for: following* l = 20 mm and longer, d =6 mm (box of 10)
cooperation with the University of Miami. The applicator • Vagina
contains 6 lateral tubes, which are equally spaced around
• Cervix
the surface of the cylinder for optimized treatment.
• Endometrium
A central tube and different intrauterine tubes expand
• Rectum
the possible treatment options. Three different curvatures
of intrauterine tubes are included and adjust to the uterine Note:
length. The vaginal cylinder is 30 mm in diameter with • The applicator can be sterilized using ethylene
cylinder sleeves of 35 and 40 mm. This enables versatility oxide or using steam sterilization (except for
in the treatment of vaginal, cervical, uterine and allen key screwdriver).
rectal carcinomas.
• User manual 090.601

*For more options, refer to the “Accessories” section

42 43
 GYNECOLOGY

Order information Why the Vaginal

Vaginal applicator set, part # 084.350
applicator?
Part number Description

084.002 Vaginal tube • Reproducible dosimetry

084.003 Intrauterine tube, l = 40 mm, 15°

084.004 Intrauterine tube, l = 60 mm, 30° • E

 asily adaptable to patient
084.005 Intrauterine tube, l = 80 mm, 45° geometry
084.010 Cylinder locking pipe

084.351 4 cylinder parts, d = 20 mm, with marker

084.352 4 cylinder parts, d = 25 mm, with marker

084.353 4 cylinder parts, d = 30 mm, with marker

084.354 4 cylinder parts, d = 35 mm, with marker

084.158 Sterilizing caps, 3.2 mm (50 pcs)

Accessories
MR Unsafe Part number Description

084.008 Perineal bar

Vaginal Applicator Set 084.919

084.009
Fixing nut

Cervical stopper

The Vaginal applicator set for intracavitary treatment is Intended for: 084.355 4 cylinder parts, d = 40 mm with marker

very user-friendly. The set is available with three different • Vagina 084.875 4 cylinder parts, d = 15 mm with marker

lengths and curvatures of the intrauterine tube to provide 101.149 Knob PSU
• Cervix
additional treatment options. The cylinders are available in 189.676 and Smit Sleeves CT/MR for 4 mm intrauterine tube,
• Endometrium following* l = 20 mm and longer, d = 6 mm (box of 10)
different diameters to optimize the dose distribution and
101.015 CT/MR sterilization box
reduce the mucosal dose. • Rectum

The vaginal applicator can be used to treat vaginal cuff, Note:

cervix, rectum or endometrium when used with an • The applicator can be sterilized using steam
intrauterine tube. sterilization and ethylene oxide

• User manual 090.606

*For more options, refer to the “Accessories” section

44 45
 GYNECOLOGY

Order information Why the Vaginal

Vaginal mould applicator set, part # 189.018
mould applicator?
Part number Description

189.020 Vaginal mould channel 1 assembly

• Tailored irradiation
189.021 Vaginal mould channel 2 assembly
• Precise dose distribution
189.022 Vaginal mould channel 3 assembly

189.019 Vaginal mould tubes set (30 pcs)

084.158 Sterilizing caps (50 pcs)

MR Unsafe

Vaginal Mould Applicator Set

The Vaginal mould applicator set was developed in close Intended for:
cooperation with Center Oscar Lambret in Lille, France. • Vagina
It enables the user to apply the French “moulage”, or
• Cervix
Institut Gustave Roussy, technique for afterloading.
The aim of this method is a personalized mold for Note:
irradiation with precise dose distribution and good patient
• The vaginal mould channel assemblies are reusable,
tolerance. The set consists of three, mechanically coded, and can be sterilized using steam sterilization and
stainless steel channel assemblies which can be easily ethylene oxide
connected to the flexible vaginal mould tubes. These are
• The vaginal mould tubes are for single use only, and
embedded in the customized mold.
can be sterilized using ethylene oxide before use

• User manual 090.708

46 47
 GYNECOLOGY

Order information Why the Rotte

Basic Rotte applicator set, 32 mm, part # 084.230
endometrial applicator?
Part number Description

084.231 Applicator tube 1, right uterus • Dedicated for use in the

084.232 Applicator tube 2, left uterus endometrium
084.158 Sterilizing caps, 3.2 mm (50 pcs)
• Easy to insert
Complete set, part # 084.434
Part number Description • Excellent reproducibility
084.435 Basic Rotte applicator set, 20 mm

084.230 Basic Rotte applicator set, 32 mm

084.436 Basic Rotte applicator set, 40 mm

084.437 Basic Rotte applicator set, 50 mm

084.158 Sterilizing caps, 3.2 mm (50 pcs)

MR Unsafe

Rotte Endometrial Applicator Set

The Rotte endometrial applicator (or Rotte “Y” applicator) Intended for:
has been developed with Professor K. Rotte of the
Endometrium
Universitäts-Frauenklinik, Würzburg, Germany, and is
specifically designed for high dose rate treatment of the Note:
endometrium. The applicator is easy to insert, using two • Excellent reproducibility of dose distribution
opposed intrauterine tubes. The intrauterine tubes can be
• Straightforward workflow
locked in position with a single action. Once locked, the
applicator has a fixed geometry which provides excellent • Designed for reuse
reproducibility of the dose distribution. • User manual 090.620

• Sterilization advice chart: 094.238

48 49
 Prostate, Rectum
& Bladder

Content
BLADDER
Luneray 52

PROSTATE
Martinez prostate template set 54
Prostate stepper template set 56

RECTUM
MUPIT applicator set 58
Intracavitary mold applicator set 60

ALTERNATIVES FOR
RECTAL BRACHYTHERAPY
Prostate stepper template set
Prostate, Rectum & Bladder 56

Vaginal CT/MR applicator set

Gynecology 36

Shielded cylindrical applicator set

Gynecology 40

50 51
 PROSTATE, RECTUM & BLADDER

Technical specifications Why the Luneray catheter?

Luneray catheter/needle system
• Unique catheter/needle system
Catheter Needle
enables minimally invasive
Polyamide Stainless Steel
Main material
PA6427 AISI316 catheter placement
Magnetic Resonance
MR safe MR unsafe
Imaging (MR) • State-of-the-art needle design
Usage Single use Single use for optimal maneuverability
Sterility Delivered sterile Delivered sterile and precise placement
Diameter 6F 6F
• Enables organ-sparing,
37, 47, 57 or
Length 50 cm
67 mm1 laparoscopic procedures –
Curvature (radius) --
30, 45, 60, supporting a patient friendly
75 mm1
treatment and quick recovery
1
the needles have a fixed length/radius combination, e.g. length 37 mm,
radius 30 mm
MR safe*
Order information

Available Luneray configurations

Luneray Catheter ® Part number Description

Luneray™ catheter, 6F, 50 cm, needle l = 37 mm,

110.564
Brachytherapy is a well-known treatment for certain Intended for: radius 30 mm (5 pcs)

types of bladder cancer, with good clinical outcome. A key Luneray™ catheter, 6F, 50 cm, needle l = 47 mm,
Interstitial brachytherapy of soft tissue that allows the 110.565
radius 45 mm (5 pcs)
advantage of brachytherapy is the potential to spare the
insertion of this flexible applicator, e.g.:
bladder, which improves the quality of life for the patient. A 110.566
Luneray™ catheter, 6F, 50 cm, needle l = 57 mm,
radius 60 mm (5 pcs)
hurdle for the adoption of bladder brachytherapy, however,
• Abdominal structures / organs (e.g. urinary bladder) Luneray™ catheter, 6F, 50 cm, needle l = 67 mm,
was the invasiveness and complexity of the procedure. 110.567
radius 75 mm (5 pcs)
• Head and neck (e.g. ear, lip, nose, tongue, oral mucosa)
Luneray overcomes this barrier by offering a unique
• Skin (e.g. keloids) Accessories
system of an integrated catheter and needle, designed
Part number Description
to enable laparoscopic, minimally invasive bladder • Soft tissue sarcoma
189.367 Cutter for flexibles (1 pcs)
brachytherapy procedures.
Note: 189.282 Radio-opaque button white, 6F (72 pcs)

Unique catheter/needle system • Each package holds five, identical, pre-assembled 189.284 Radio-opaque button black, 6F (72 pcs) “The Luneray catheter
needle/catheter products, single packed in a double
creates new opportunities
189.286 Radio-opaque button red, 6F (72 pcs)
Luneray combines a flexible catheter with a curved needle
pouch 189.288 Radio-opaque button blue, 6F (72 pcs)
which enables a minimally invasive catheter placement.
• Radio-opaque buttons to fixate the catheter after 189.290 Radio-opaque button green, 6F (72 pcs) to treat select bladder
insertion. Available in 7 different colors 189.292 Radio-opaque button yellow, 6F (72 pcs)
Precise catheter placement
189.294 Radio-opaque button brown, 6F (72 pcs)
cancers in a minimally
Luneray’s state-of-the-art curved needle design allows for • Imaging for treatment planning and verification
optimal maneuverability and precise catheter placement by way of X-ray, CT and MR invasive way.” 
for accurately targeted bladder brachytherapy procedures.
• Centimeter marks: every 5 cm (line and number)
The catheter is made of exclusive material and compiled
with fill-wire, offering unsurpassed kink-resistance. • Detailed marking in the center of the catheter to G. Smits, MD, PhD
assist accurate catheter placement: 1 cm increments Urologist
Enables organ-sparing, laparoscopic procedures between 20-22 cm and 28-30 cm Rijnstate hospital, Arnhem, The Netherlands
Luneray is designed to enable minimally invasive access to • Manual number 777.00293
the bladder. Minimally invasive procedures are associated E. van der Steen – Banasik, MD
with quick recovery and fewer complications, supporting
Radiation oncologist
a patient friendly treatment.
Arnhem radiotherapy institute, The Netherlands
* The Luneray catheter is MR safe when the needle is removed
as described in the user manual.
• Luneray: MR unsafe
• Luneray-needle: MR unsafe
• Luneray-catheter: MR safe

52 53
 PROSTATE, RECTUM & BLADDER

Order information Why the Martinez prostate

Martinez prostate template set, part # 137.280
template set?
Part number Description

137.281 Martinez prostate template • Small ultra light template

137.290 Needle Lock tool

137.285 Template fixation pin set • Individual needle locks for various
needle sizes
Accessories
Part number Description • Quick implant removal
137.286 Lock inserts set for 5F plastic needles

137.287 Lock inserts set for 6F plastic needles

• Can be used with a stepper or
137.289 Lock inserts set for 1.5 mm metal needles
freehand technique
137.290 Needle lock tool

137.282 Template holder for RTP stepper

137.283 Template holder for Accuseed stepper

MR conditional* Template holder for D&K & Civco classic

137.284
Accucare stepper
Martinez with
RTP & Accuseed template holder Template holder for OncoSelect stepper.
137.949

Martinez Prostate Template Set

Material aluminum / stainless steel

various** ProGuide needles 5F

Intented for: various** ProGuide needles 6F

The Martinez brachytherapy prostate template has
various** Ø1,5 mm needles
been designed to assist in enhancing precision. The ultra
Assisting interstitial brachytherapy of the prostate gland
light template locks to the stepper or stabilizer during **See section needles & flexible implant tubes.
insertion and guides needles under ultrasound imaging.
Note:
The needles can be individually re-positioned and locked
for treatment. The individual locking insert ensures that • The template set can be sterilized using
the position of each needle will remain unchanged when steam sterilization

adjusting another needle. • User manual 777.00117

Part of the real-time prostate brachytherapy solution

Elekta’s real-time prostate brachytherapy solutions

were developed with one goal in mind: offer a real-time
workflow for HDR and LDR prostate brachytherapy, in
which the treatment is, or can be, provided in a single
session. The integration of all components in one prostate
brachytherapy solution ensures that products interact
seamlessly. With a design leading to highly conformal and
uniform prostate brachytherapy treatment plans, users
can be sure that clinical objectives are met in the most
efficient and dedicated way.

*Non-clinical testing demonstrated that the Martinez prostate template is MR Conditional. A patient can be scanned safely,
immediately after placement under the following conditions:
• Static magnetic field of 1.5 Tesla or 3 Tesla
• Maximum spatial gradient magnetic field of 720 gauss/cm
• M
 aximum MR system reported, whole body averaged specific absorption rate (SAR) of 2 W/kg for 15 minutes of scanning (i.e. per pulse sequence)

54 55
 PROSTATE, RECTUM & BLADDER

Prostate stepper template set, 5F part # 189.066 Why the Prostate

Quantity Part number Description stepper template?
1 189.157 Base plate stepper 5F

1 189.160 Front plate stepper 5F

• Single-action needle locking
1 189.166 Fixation plate support assembly
supports fast and secure implants
1 189.164 Disposable fixation plates 5F, 10 pcs
• Universal grid array for easy
1 189.167 Eccentric axle
guidance of needles
2 189.170 Assembly bolt template

1 189.205 Assembly screwdriver • Compatible with a wide range of

1 189.173 Fixation screwdriver stepper devices
1 189.041 Cleaning brush set ø3 x 100 mm

1 189.043 Cleaning brush set ø6.5 x 100 mm

Fixation plates
Part number Description

189.164 Set of 10 disposable fixation plates, 5F (5x2)

MR Unsafe
Complete prostate stepper template set 6F,
part # 189.070 “When performing prostate
Prostate Stepper Template Set Quantity Part number Description
HDR brachytherapy you need
flexible tools to adapt to all
The Prostate stepper template set is an excellent solution seamlessly. With a design leading to highly conformal and 1 189.067 Prostate stepper template, 6F

for applying interstitial techniques in HDR prostate uniform prostate brachytherapy treatment plans, users OncoSmart ProGuide sharp needle set,
treatments. It is placed in a stepper holder, which is can be sure that clinical objectives are met in the most
2 189.602
6F x 200 mm clinical situations, Prostate
available for various ultrasound stepper devices. efficient and dedicated way. Prostate stepper template
is best used in combination with ProGuide needles and
Prostate stepper template set, 6F part # 189.067
stepper template gives you
Quantity Part number Description
Convenient design supporting a variety of needles OncoSelect stepper.
1 189.158 Base plate stepper 6F
exactly what you need.” 
The prostate stepper template is designed for guidance 1 189.161 Front plate stepper 6F
and fixation of OncoSmart ProGuide plastic needles in Intended for:
1 189.166 Fixation plate support assembly Alberto Bossi, MD
sizes 5F and 6F. This square light-weight template has • Prostate
1 189.165 Disposable fixation plates 6F (10 pcs)
Gustave Roussy
a universal 5 mm grid array and a single-action locking • Vagina 1 189.167 Eccentric axle
Genito Urinary Oncology
system that locks all implanted needles in a single
2 189.170 Assembly bolt template
• Perineum Head of Prostate Brachytherapy Unit
movement. The single-action locking system accelerates
1 189.205 Assembly screwdriver
the procedure and is designed to eliminate inadvertent • Rectum Villejuif Cedex - France
1 189.173 Fixation screwdriver
movement of individual needles. Optional grid face plates
1 189.041 Cleaning brush set ø3 x 100 mm
Note:
for the template correspond with the grid of the ultrasound
1 189.043 Cleaning brush set ø6.5 x 100 mm
system used, such as GE/ Siemens and B&K ultrasound • Holder and grid face plates need to be
systems. Grid face plates help determine the correct ordered separately Fixation plates Grid Face plates
needle position with use of the ultrasound image, and • User manual 090.699 Part number Description Part number Description

can be mounted on the template itself or on the 189.165 Set of 10 disposable fixation plates, 6F (5x2) 189.073 Grid face plate set, GE/Siemens

stepper holder. 189.174 Grid face plate, GE/Siemens

Stepper holders
189.206 Grid L-frame for GE/Siemens
Part of the real-time prostate brachytherapy solution Order information Part number Description
189.074 Grid face plate set, B&K
Complete prostate stepper template set 5F, 189.071 Stepper holder set, Tayman
Elekta’s Real-time prostate brachytherapy solutions 189.175 Grid face plate, B&K
part # 189.069 189.083 Stepper holder assembly, Tayman 44.5 mm
189.207 Grid L-frame, B&K
were developed with one goal in mind: offer a real-time
Quantity Part number Description 189.075 Stepper holder assembly, Tayman 73.4 mm
workflow for HDR and LDR prostate brachytherapy, in Accessories
1 189.066 Prostate stepper template, 5F 189.072 Stepper holder set, OncoSelect
which the treatment is, or can be, provided in a single
OncoSmart ProGuide sharp needle set, 189.076 Stepper holder assembly, OncoSelect Part number Description
session. The integration of all components in one prostate 2 189.604
5F x 240 mm 189.092 Stepper holder set, B-K
brachytherapy solution ensures that products interact 504.910R LBB screw 2.5 x 4R
189.095 Stepper holder assembly, B&K

189.093 Stepper holder set, Barzell-Whitmore

189.096 Stepper holder assembly, BW-MB

56 57
 PROSTATE, RECTUM & BLADDER

Order information Why the MUPIT

Complete set Ø 1.5 mm, part # 089.055
Complete set Ø 1.9 mm, part # 083.570
applicator template?
Complete sets consist of: • Easy to use template for a variety
of bodysite treatments
Ø 1.5 mm set Ø 1.9 mm set
Quantity Description
Part number Part number

1* 089.056 083.571 MUPIT template subset

• Needle placement provides dose
35* 083.918 083.054 Trocar needle 120 mm
optimization to the area of interest
35* 083.922 083.058 Trocar needle 160 mm

35* 083.926 083.062 Trocar needle 200 mm

3* 089.005 083.254 Obturator 120 mm

3* 089.009 083.258 Obturator 160 mm

3* 089.013 083.262 Obturator 200 mm

Template subset Ø 1.5 mm, part # 089.056

MR Unsafe
Template subset Ø 1.9 mm, part # 083.571

Template subsets consist of:

Martinez Universal Perineal Interstitial Template Ø 1.5 mm Ø 1.9 mm

(MUPIT) Applicator Set Quantity set part

number
set part
number
Description

1 045.459 083.590 Base plate, small

The Martinez Universal Perineal Interstitial template Intended for:
1 045.457 083.588 Base plate filler, 12 mm hole
(MUPIT) is designed for interstitial placement of needles • Perineum 2 045.450 Cover plate filler, needles
(1.5 mm or 1.9 mm) to treat cancer in the perineum,
• Rectum 1 045.449 Cover plate filler, 8 mm hole
rectum or vagina. The periphery of the template has
1 045.460 083.586 Rectal cylinder
angled holes for the needles to reach the widest tumor • Vagina
2 –– Screw for base plate
spread. Rectal and vaginal cylinders are included to
Note: 1 045.458 083.589 Base plate, large
provide better template stability and additional
• Only metal needles (Ø 1.5 or 1.9 mm) can be used 3 045.456 083.587 Base plate filler, needles
treatment options.
with these sets. ProGuide needles cannot be used 1 045.443 Cover plate

1 045.448 Cover plate filler, 12 mm hole

• The applicator can be sterilized using steam
1 045.461 083.581 Vaginal cylinder
sterilization or ethylene oxide
3 045.171 083.289 Cylinder adapter, needle
• User manual 090.629 14 045.172 Fixing screw, cover plate

2 –– Screw for cylinder

2 –– Screw for 045.449

1 598.026 Allen key screwdriver, 2.5 mm

1 045.004 Torque screwdriver, 1.27 mm

35* 089.025 045.303 Needle stopper

2 045.455 Fixing screw, for 045.449

*When ordered separately the minimum order quantity is 10 pcs.

58 59
 PROSTATE, RECTUM & BLADDER

Order information for Flexitron Why the Intracavitary

Intracavitary mold applicator set Ft, mold applicator?
part # 110.224
Part number Description • Tailor the dose to asymmetrically
110.544 Intracavitary mold set Ft (box 5) located intracavitary tumors
189.099 Support block

189.256 Number tag ring

• Minimize patient discomfort
189.264 Insertion tool ø 4 mm

189.257 Insertion tool ø 8 mm

189.277 Insertion tool ø 10 mm

089.786 Screwdriver

189.040 Cleaning brush set ø 2.5 mm x 250 mm (set of 3)

189.043 Cleaning brush set ø 6.5 mm x 100 mm (set of 3)

Accessories
MR Unsafe
Part number Description

110.544 Intracavitary mold set (Ft) ø 20 mm (box of 5)

Intracavitary Mold Applicator Set 110.390

189.538
Central catheter set (box of 5)

Kink protection set (box of 5)

189.932 Applicator clamp and base plate

Enhanced conformal dose delivery in Eight radially spaced treatment catheters, placed just
intracavitary brachytherapy 189.931 Applicator clamp with axle
under the cylinder surface, can be differentially loaded on
Brachytherapy offers an exciting opportunity for a slice-by-slice basis along the entire tumor length to ensure
Order information for microSelectron
tailored coverage of the treatment target in intracavitary tailored target coverage that spares uninvolved tissue.
Intracavitary mold applicator set,
treatments, such as endorectal brachytherapy. The
The central opening in the applicator can accommodate part # 189.011
intracavitary mold enables a highly conformal intracavitary
an optional central treatment catheter. Alternatively, the Part number Description
solution that facilitates short treatment times.
central opening can be used to insert shielding solutions 189.094 Intracavitary mold set, ø 20 mm (box of 5)
provided by the user. 189.099 Support block
Co-developed with leading specialists
189.256 Number tag ring
The intracavitary mold has been developed in the Intended for: 189.264 Insertion tool ø 4 mm
context of the high dose rate endorectal brachytherapy
• Rectum 189.257 Insertion tool ø 8 mm
(HDREBT) protocol of the McGill University Health Center
189.277 Insertion tool ø 10 mm
in Montreal, Canada aimed at tumor downgrading and Note:
089.786 Screwdriver
down-staging before (neo-adjuvent) surgery. • The intracavitary molds are single-packed and for 189.040 Cleaning brush ø 2.5 mm x 250 mm (set of 3)
single use only
189.043 Cleaning brush ø 6.5 mm x 100 mm (set of 3)
Effective, comfortable and efficient
•  ink protection sets are packed separately
K
The intracavitary mold has been designed to tailor the (5 sets per box). Accessories
dose to asymmetrically located tumors in anatomical Part number Description
• The reusable parts of this applicator can be sterilized
cavities. Its flexible cylinder material can be bent gently 189.094 Intracavitary mold set, ø 20 mm (box of 5)
using steam sterilization (at 134°C / 273°F)
during insertion to minimize patient discomfort while 189.538 Kink protection set (box of 5)
it optimizes conformal target coverage. • User manual 090.705 189.932 Applicator clamp and base plate

189.931 Applicator clamp with axle

60 61
 Breast

Content
BREAST TEMPLATES
Breast CT/MR template set 64
Kuske breast applicator set 66
Rowland adjustable breast template (RABIT) 68

ONCOSMART CATHETERS
CT/MR OncoSmart Catheter system 70

62 63
 BREAST

Order information Why the Breast CT/MR

Breast CT/MR template set, part # 110.518
template set?
Part number Set components

110.517 Adjustable template bridge

• Smooth needle guidance for
multi-catheter implants
110.536 Set of template levers
• Easy assembly of templates
Double plane, 10 mm template pairs, 5 pairs:
110.516
3-4, 4-5, 5-6, 6-7 and 7-8 holes.

Double plane, 16 mm template pairs, 5 pairs:

• Lightweight design reduces
110.519
3-4, 4-5, 5-6, 6-7 and 7-8 holes. patient discomfort
Triple plane, 10 mm template pairs, 4 pairs:
110.520
3-4-5, 4-5-6, 5-6-7 and 6-7-8 holes.
• CT and MR compatible
Triple plane, 16 mm template pairs, 4 pairs:
110.523
3-4-5, 4-5-6, 5-6-7 and 6-7-8 holes.

Accessories
MR safe
Part number Set components

Double plane, 12 mm template pairs, 5 pairs:

110.528
3-4, 4-5, 5-6, 6-7 and 7-8 holes.

Breast CT/MR template Set 110.529

Double plane, 14 mm template pairs, 5 pairs:
3-4, 4-5, 5-6, 6-7 and 7-8 holes.

Double plane, 18 mm template pairs, 5 pairs:

110.530
Always the right breast template for your patient Intented for: 3-4, 4-5, 5-6, 6-7 and 7-8 holes.

Triple plane, 12 mm template pairs, 4 pairs:

The advanced breast CT/MR template set smoothly Interstitial breast brachytherapy 110.532
3-4-5, 4-5-6, 5-6-7 and 6-7-8 holes.
guides needles for multi-catheter implants. The template’s Triple plane, 14 mm template pairs, 4 pairs:
110.533
Note: 3-4-5, 4-5-6, 5-6-7 and 6-7-8 holes.
lightweight design provides patient comfort. Levers allow
for easy assembly and placement of the templates for Triple plane, 18 mm template pairs, 4 pairs:
• CT and MR compatible (all field strengths) 110.534
3-4-5, 4-5-6, 5-6-7 and 6-7-8 holes.
treatment. The non-metallic materials enable template
• The breast CT/MR template set can be sterilized various* ProGuide needles 5F and 6F
use in combination with CT and MR imaging.
using steam sterilization
various* Metal needles ø1.5 and ø1.9 mm
Convenience through preconfigured templates • User manual 777.00141
various* OncoSmart catheter system
A range of preconfigured templates is included in the set,
offering the best choice for a particular implant. Each of
these template configurations provides a dose distribution
according to the Paris Dosimetry system.

*See “Needles and flexible implant tubes” section

64 65
 BREAST

Order information Why the Kuske breast

Kuske breast applicator set, part # 189.006
applicator?
Quantity Part number Description

1 189.012 Kuske breast template set • Designed for optimal fit with
6 189.307
Leader insertion needle, 1.5 x 200 mm patient anatomy
(box of 36)

1 189.231 Insertion tool • Optimal target coverage, including

6 189.445
CT/MR flexible implant tube, 6F, wide volumes
single Leader, 30 cm (box of 36)
1 189.458 Radio-lucent button white, 6F (box of 72)
• Excellent dose conformity
1 189.460 Radio-lucent button black, 6F (box of 72)

1 189.462 Radio-lucent button red, 6F (box of 72)

1 189.464 Radio-lucent button blue, 6F (box of 72)

1 189.466 Radio-lucent button green, 6F (box of 72)

1 189.041 Cleaning brush ø 3 x 100 (set of 3)

1 189.043 Cleaning brush ø 6.5 x 100 (set of 3)

MR Unsafe
1 189.367 Cutter flexible implants
“The applicator enables
Kuske Breast Applicator Set
Kuske breast template set, part # 189.012
the user to create large
Quantity Part number Description

The Kuske breast applicator set was developed in close Note: 1 189.015 Kuske breast template holder volume breast implants.
cooperation with Dr. Robert Kuske. The adjustable • The Kuske breast template set can be sterilized using
1 189.026 Left template clamp
The adjustable template
1 189.027 Right template clamp
template with integrated guiding plate ensures exact ethylene oxide
placement of needles and OncoSmart catheters or flexible 1 189.046 Implant template has an integrated guiding
• User manual 090.706
implant tubes. The single large template pair with special
• Sterilization Advice Chart 094.446
1

1
189.047

189.048
Target template

Guiding template
template which ensures
hole geometry ensures optimal coverage of the complete
target volume. Markers are integrated in the template to 2* 189.222 Implant template fixation nut an exact placement of
needles and flexible
aid the imaging procedures and provide the opportunity to 2 189.223 Bridge fixation nut

optimize positioning of the template. 2 189.224 Target template fixation nut

2 189.225 Slide fixation implants or OncoSmart

2* 189.226 Guiding template fixation nut
catheters. Also the single
*When ordered separately, the minimum order quantity is 5 pcs.

Accessories large template has a

Part number Description special hole-geometry.
594.456 Emergency button cutter

189.468 Radio-lucent button yellow, 6F, (box of 72)

This applicator allows
189.470 Radio-lucent button brown, 6F, (box of 72) for excellent coverage of
089.420 X-ray catheter set, 30 cm (1-18)

030.100 Push-fit disconnection tool the target volume and an

089.348 Kink protection tube for 6F flexible*
optimized conformity with
089.345 Kink protection tube for transfer tube*

*Minimum order quantity is 50 pcs.

the patient‘s anatomy.” 

R. Kuske MD
Arizona Oncology Services - Scottsdale, AZ,
United states

66 67
 BREAST

Order information Why the Rowland

Complete set, part # 045.006
adjustable breast
Quantity Part number Description

1 045.033 RABIT template holder

template?
1 045.021 Double plane, 10 mm template pairs (5)
• The adjustable template holder
1 045.024 Double plane, 16 mm template pairs (5)
will assist in immobilization and
1 045.026 Triple plane, 10 mm template pairs (3) needle/implant tube placement
1 –– Single plane, 10 mm template pairs (5)

1 –– Single plane, 16 mm template pairs (5) • Different template configurations

1 045.029 Triple plane, 16 mm template pairs (3) provide dose optimization to the
volume of interest
Required accessories

Quantity Part number Description

083.040 or
Interstitial needle set
083.900
MR Unsafe 1 189.400 or
Flexible implant tube set
(Either) 189.401

189.007 or

Rowland Adjustable Breast Template (RABIT)

OncoSmart catheter set
189.410

Optional accessories
The Rowland adjustable breast template (RABIT) holder
Quantity Part number Description
was developed to ensure parallel positioning of the
1 045.022 Double plane, 12 mm template pairs (5)
template pairs. The breast template set provides a dose
1 045.023 Double plane, 14 mm template pairs (5)
distribution according to the Paris dosimetry system.
1 045.025 Double plane, 18 mm template pairs (5)
It includes subset of single, double and triple plane
1 045.037 Double plane, 20 mm template pairs (5)
template pairs with different basal distances. Hence all
1 045.027 Triple plane, 12 mm template pairs (3)
target areas can be covered with this template.
1 045.028 Triple plane, 14 mm template pairs (3)

1 045.030 Triple plane, 18 mm template pairs (3)

Intended for:
1 045.036 Triple plane, 20 mm template pairs (3)
Interstitial breast brachytherapy

Note:
• The template set can be sterilized using
steam sterilization

• User manual 090.637

• Sterilization Advice Chart 094.210

68 69
 BREAST

CT/MR OncoSmart catheter system, part # 189.410 Why the CT/MR

Quantity Part number Description
OncoSmart catheter?
CT/MR OncoSmart catheter system,
l =240 mm (contains 3 x 6 flexible
5 189.418 implant tubes, 4F ProGuide needles • A single multi-catheter implant
(240 mm), stop tags, buttons, and
insertion needles (200 mm))
serves multiple treatment
1 189.016 OncoSmart flange molding system
fractions

OncoSmart introduction system, part # 103.111 • Allows patients to resume daily

Part number Description life between fractions
CT/MR OncoSmart catheter set
189.410 (contains 189.418 (= sterile, single use) and • Enables quick and accurate
189.016 (non-sterile, re-usable)
catheter reconnection for follow-
189.012 Kuske breast template system
up fractions
189.231 Insertion tool

189.036 CT-marker system, 240 mm, black

MR safe 030.100 Push fit disconnection tool

Transfer tube set for microSelectron for 4F flexibles

(see transfer tube appendixes for Flexitron and
microSelectron)

CT/MR OncoSmart Catheter System OncoSmart flange molding system, part # 189.016
Quantity Part number Description
For outpatient breast brachytherapy Note:
1 189.320 Flange molding tool
The CT/MR OncoSmart catheter system is an elegant • The catheter set contents are for single use only, 2 417.018 Li-ion battery Pack
treatment solution for breast brachytherapy. The system and delivered sterile, with the exception of the
1 417.006 Battery charge station
permits breast brachytherapy treatments on an outpatient 4F ProGuide
1 189.316 Flange molding cutter
basis, enabling the patient to resume daily life between • Insertion needles and the stop tags are delivered 1 189.367 Cutter flexible implants
fractions. It is ideally suited for treatment regimens such unsterile 1 189.369 Spare part set flange molding tool
as Accelerated Partial Breast Irradiation (APBI ) or the
• Set contents are packed per 6 items, OncoSmart Upgrade set, part #103.110 |
delivery of a brachytherapy boost dose as part of Whole except for # 189.802 for microSelectron
Breast Irradiation (WBI).
• User manual 090.709 Part number Description

In addition to breast brachytherapy, the CT/MR OncoSmart CT/MR OncoSmart catheter set
Order information 189.410 (contains 189.418 (= sterile, single use)
catheter system also can be used for brachytherapy in head
and 189.016 (non-sterile, re-usable)
& neck, tongue and soft tissue cases. CT/MR OncoSmart catheter system
189.036 CT-marker set 240 mm black
Part number Description
030.100 Push fit disconnection tool
Optimizing clinical workflow CT/MR OncoSmart catheter system, l =240 mm
(contains 30 flexible implant tubes (5 x 6 tubes), 4F Transfer tube set for microSelectron for 4F flexibles
The CT/MR OncoSmart catheters are delivered sterile and 189.416 (see transfer tube appendixes for Flexitron and
ProGuide needles (240 mm), stop tags, buttons, and
insertion needles (200 mm)) microSelectron)
are ready for immediate use. The treatment catheters are
inserted only once, at the start of the actual treatment, CT/MR OncoSmart catheter system, l =240 mm OncoSmart Upgrade set for Flexitron, aggregate
(contains 18 flexible implant tubes (3 x 6 tubes), 4F
189.418
and remain in place in between fractions. Small buttons ProGuide needles (240 mm), stop tags, buttons, and Part number Description
insertion needles (200 mm))
with corresponding channel numbers fix the catheters in
CT/MR OncoSmart catheter set
CT/MR OncoSmart catheter system, l =240 mm,
place and are used for accurate and quick reconnection single package (contains 6 flexible implant tubes, 4F
189.410 (contains 189.418 (= sterile, single use)
189.802 and 189.016 (non-sterile, re-usable)
for sequential fractions. Tailored material characteristics ProGuide needles (240 mm), stop tags, buttons, and
insertion needles (200 mm))
189.036 CT-marker set 240 mm black
make OncoSmart catheter sets optimally visible on either
CT/MR OncoSmart catheter system, l =200 mm, 030.100 Push fit disconnection tool
CT or MR images. for Head & Neck (contains 6 flexible implant tubes,
189.801
4F ProGuide needles (200 mm), stop tags, buttons, 111.850 Transfer tube set for 4F, flexibles (1-10)
and insertion needles (160 mm))
Intended for: 111.861 Transfer tube set for 4F, flexibles (11-20)
CT/MR OncoSmart catheter system, l =294 mm
(contains 30 flexible implant tubes (5 x 6 tubes), 4F
• Breast 189.840
ProGuide needles (294 mm), stop tags, buttons, and
insertion needles (280 mm))
• Head & Neck
CT/MR OncoSmart catheter system, l =294 mm
• Sarcomas 189.846
(contains 30 fexible implant tubes (5 x 6 tubes), 4F
ProGuide needles (294 mm), stop tags, buttons, and
insertion needles (200 mm))
• Tongue
70 71
 Bronchus & Esophagus

Content
BRONCHUS
Lumencare Azure 74

ESOPHAGUS
Bonvoisin-Gérard esophageal applicator set 76
Esophageal applicator set 78

72 73
 BRONCHUS & ESOPHAGUS

Order information for Flexitron Why the LumenCare

Lumencare Azure 5F x 140 cm, Azure applicator?
part # 110.691
Quantity Part number Description • Highly flexible and kink-resistant
2 110.690 LumenCare Azure 5F x 140 cm box (5 pcs) material to reach challenging
1 137.673 X-ray marker channel 1- 140 cm tumor locations
2 137.064 Applicator adapter 5F
• Smoothness of catheter
Accessories for Flexitron facilitates fast and simple lung
Part number Description brachytherapy procedures
110.690 LumenCare Azure 5F x 140 cm box (5 pcs)

084.099 Fixation mask

• Superior visibility allows for
089.512 X-ray marker channel 2 – 150 cm
easy insertion into bronchus
089.513 X-ray marker channel 3 – 150 cm

137.674 X-ray catheter 2, 140 cm

MR safe* 137.801 X-ray catheter 3, 140 cm

137.064 Applicator adapter 5F

LumenCare® Azure Applicator Set Order information for microSelectron

The LumenCare Azure offers clinicians an excellent Advanced solution for the most complex procedures Lumencare Azure 6F x 150 cm,
part# 110.683
solution for lung brachytherapy applications. It is State-of-the-art material characteristics make hard-to-
specifically designed to improve the delivery of lung reach places more easily accessible. In the event that the
Quantity Part number Description

cancer brachytherapy treatments, expanding the catheter gets obstructed e.g. through coughing, guide
2 110.682 LumenCare Azure 6F x 150 cm (5 pcs)

treatable area. wires are supplied with the LumenCare Azure, allowing
1 089.511 X-ray marker channel 1 - 150 cm

2 080.026 Applicator adapter 6F

easy completion of the procedure.
The innovative, contrasting blue-tinted material of the
Lumencare Azure, 5F x 150cm,
applicator combines kink-resistance with flexibility.
Intended for: part# 110.687
This novel design permits easy passage through tumor
• Intraluminal brachytherapy Quantity Part number Description
obstructions and improves access to the upper lobe,
2 110.686 LumenCare Azure 5F x 150 cm (5 pcs)
where many tumor obstructions are found. • Treatment of the lung or other lumen, e.g. bronchus
and bile duct. 1 089.511 X-ray marker channel 1 - 150 cm “The more flexible and
Optimal flexibility and kink-resistance 2 080.024 Applicator adapter 5F
Note: kink resistant material
With an impressively small bending radius, LumenCare Accessories for microSelectron
Azure catheters provide unmatched flexibility and
• User manual: 777.00266
Part number Description
of the LumenCare Azure
strength to treat even the most demanding lung 110.682 LumenCare Azure 6F x 150 cm (5 pcs) makes it much easier
brachytherapy cases. 110.686 LumenCare Azure 5F x 150 cm (5 pcs)

084.099 Fixation mask

to reach tumors in the
High visibility
089.512 X-ray marker channel 2 – 150 cm upper lobe, an area
The contrasting blue tint of the catheter provides excellent 089.513 X-ray marker channel 3 – 150 cm
visualization within the bronchoscope, facilitating easy 080.024 Applicator adapter 5F where many of the lung
insertion of the catheter.
Images courtesy of the UZL Gasthuisberg - Leuven, Belgium.
080.026 Applicator adapter 6F
tumors tend to occur.”
Easy insertion into the bronchus

The smoothness of the catheter enables easy insertion Janusz Skowronek, MD, PhD. Ass. Prof.
and smooth source travel into the bronchus or any other Head of Brachytherapy Department
lumen, facilitating fast and simple lung brachytherapy Greater Poland Cancer Centre, Poland
procedures.

* The adapter and fixing mask are not MR safe.

74 75
 BRONCHUS & ESOPHAGUS

Order information for Flexitron Why the Bonvoisin-Gérard

Bonvoisin-Gérard esophageal applicator set, esophageal applicator?
part # 137.258
Part number Description • Easy applicator insertion using
137.259 1400 mm flexible treatment catheter endoscopy
137.261 Bonvoisin Gerard esophageal appl., 18F (Ø 6 mm)
• Excellent source centering
137.263 Bonvoisin Gerard esophageal appl., 24F (Ø 8 mm)

137.265 Bonvoisin Gerard esophageal appl., 30F (Ø 10 mm)

• Radio-opaque applicator marking
137.276 Applicator fixation mask
assists placement and localization
137.277 Applicator cleaning accessories

137.279 Applicator mask strap (pack of 5)

Accessories for Flexitron set

Part number Description

137.267 Applicator 36F (Ø 12 mm)

MR Unsafe 137.270 Applicator 45F (Ø 15 mm)

137.278 Guide wire pack of 5 pcs (sterile) 2.6 m

Bonvoisin-Gérard Esophageal Applicator Set

137.064** Adaptor for 5F catheters

137.673 X-ray marker # 1, 140cm

The Bonvoisin-Gérard Esophageal applicator is designed Intended for: Order information for microSelectron
to assist in the treatment of an endoscopically obstructed Esophagus
Bonvoisin-Gérard esophageal applicator set,
esophagus. By using this special dilation applicator with
part # 137.xxx (will be available soon)
tapered flexible tip the treatment area can be reached by Note:
Part number Description
bouginage. The bougie tube will also assist in centering
• No transfer tube is required
137.xxx (will be
the treatment catheter internally to minimize the mucosal The applicator set connects directly to the afterloader available soon)
Treatment tube

dose, while ensuring optimal depth dose penetration of the 137.261 Bonvoisin Gerard esophageal appl., 18F (Ø 6 mm)
•  eparate applicator sets are available for Flexitron and
S
esophageal wall. Radiographic markers on the bougie tube 137.263 Bonvoisin Gerard esophageal appl., 24F (Ø 8 mm)
microSelectron afterloaders
aid in fluoroscopic placement and localization of 137.265 Bonvoisin Gerard esophageal appl., 30F (Ø 10 mm)
the applicator. • Flexitron needs an applicator adapter, see accessories
137.276 Applicator fixation mask
• User manual 090.628 for #085.035 137.277 Applicator cleaning accessories

• 094.353 Sterilization Advice Chart for #085.035 137.279 Applicator mask strap (pack of 5)

• User manual 777.00116 for #137.258 Accessories for microSelectron set

Part number Description

137.xxx (will be
Bougie tube, d = 10 mm
available soon)

137.xxx (will be
Bougie tube, d = 15 mm
available soon)

**Required for use with Flexitron.

76 77
 BRONCHUS & ESOPHAGUS

Order information Why the Esophageal

Esophageal applicator 8 mm, 100 cm set,
part # 085.005
applicator?
Quantity Part number Description • S
 pecific outer applicator surface
2 085.006 Esophageal applicator, d =8 mm, 100 cm reduces dose to mucosa
1 189.004 Esophageal fixing mask set

1 089.401 X-Ray catheter # 1, 100 cm • Easy applicator insertion

1 084.170 Sterilizing caps, 6 mm, 50 pcs using fluoroscopy
Esophageal applicator 6 mm, 100 cm set,
part # 084.011
Quantity Part number Description

2 084.012 Esophageal applicator, d =6 mm, 100 cm

1 189.004 Esophageal fixing mask set

1 089.401 X-ray catheter # 1, 100 cm

1 084.170 Sterilizing caps, 6 mm, 50 pcs

MR Unsafe

Esophageal applicator 6 mm, 150 cm set,

part # 085.055
Esophageal Applicator Set Quantity Part number Description

2 085.056 Esophageal applicator, d =6 mm, 150 cm

The Esophageal applicator is designed for direct insertion
1 189.004 Esophageal fixing mask set
into the esophagus. The applicator can be positioned
1 089.511 X-ray catheter # 1, 150 cm
orally under fluoroscopy or endoscopic examination. It
1 084.170 Sterilizing caps, 6 mm, 50 pcs
is provided with an additional outer layer to reduce the
dose to the esophageal mucosa and support applicator Accessories
integrity.
Part number Description

Esophageal applicator, d =8 mm, 150 cm

Note: 085.007
(for part # 085.055)

• The minimum curvature is 25 mm 085.006

Esophageal applicator, d =8 mm, 100 cm
(for part # 084.011)
• No transfer tube is required. The applicator connects Esophageal applicator, d =6 mm, 100 cm
084.012
directly to the indexer (for part # 085.005)

• This applicator set can only be used on 189.004 Esophageal fixing mask set

microSelectron afterloaders

• The applicator can be sterilized using ethylene oxide

• User manual 090.607

• Sterilization advice chart 094.356

78 79
 Head & Neck

Content
NASOPHARYNX
Rotterdam nasopharyngeal mold 82

TONGUE
Pipard tongue template set 84

ALTERNATIVE FOR
TONGUE BRACHYTHERAPY
CT/MR OncoSmart catheter system 70
Breast

80 81
 HEAD & NECK

Order information Why the Rotterdam

Rotterdam nasopharyngeal mold complete set,
part # 089.068
nasopharyngeal
Quantity Part number Description
mold applicator?
5 089.062 Nasopharyngeal mold applicator
• Easily conforms to a range of
5 089.061 Nasopharyngeal catheter set
nasopharyngeal cavity sizes
1 089.421 X-ray catheter no. 1; 30 cm

1 089.422 X-ray catheter no. 2; 30 cm • Dual channel design for optimized

1 594.588* K-Y lubricating gel; tube 82 gr dose distribution

• Quick catheter reinsertion for

follow-up fractions

MR safe

Rotterdam Nasopharyngeal Mold Applicator

Optimal dose shaping in nasopharyngeal cavities Note:

The Rotterdam nasopharyngeal mold is manufactured • The mold applicator and catheter set
from a flexible silicone material to easily shape the are deliverd unsterile and are for single use only.
radiation dose in the nasopharyngeal cavity. It consists of
two channels on the upper surface to optimize the dose • User manual 090.678

distribution and reduce the surface dose. The mold can

remain in place for a series of treatment fractions, while
the treatment catheters will be replaced per fraction. “I wanted an applicator
Patient discomfort between fractions is thus minimized.
that was easy to use,
did not require a general
anesthetic and that
would closely conform
to the mucosa of the
nasopharynx. I found
it in the Rotterdam
nasopharyngeal
applicator.”

Prof. Dr. P. Levendag

Daniel den Hoed Clinic,
Rotterdam the Netherlands

*When ordered separately the minimum order quantity is 10 pcs.

82 83
 HEAD & NECK

Order information Why the Pipard

Pipard tongue template complete set, part # 045.410
tongue template?
Quantity Part number Description

1 045.435 Adjustable tongue template holder • Reproducible dosimetry

1 045.432 Tongue template, 8 holes, 1.5 mm

1 045.433 Tongue template, 10 holes, 1.5 mm • Guidance during needle/implant

Leader insertion needle, 1.5 x 120 mm tube placement
10 089.700
(1 piece)
• Immobilization during treatment
Accessories
Part number Description

089.701 Leader insertion needle, 1.5 x 160 mm (1 piece)

089.702 Leader insertion needle, 1.5 x 200 mm (6 pcs)

various* Flexible implant tubes

various* OncoSmart catheter system

MR Unsafe

Pipard Tongue Template Set

The Pipard tongue template set is designed for accurate Note:
placement of needles and flexible implant tubes in the • The applicator can be sterilized using steam
base of the tongue. A variety of template configurations sterilization or ethylene oxide
provides the option of dose optimization to the area of
• User manual 090.641
interest, while a reproducible dosimetry can be achieved.
The template set can be used for the looping implantation
technique by using double leader flexible implant tubes.

*See relevant pages in this guide.

84 85
 Skin & Surface

Content
RIGID APPLICATORS
Valencia skin applicator set 88
Leipzig applicator set 90

FLEXIBLE APPLICATOR
Freiburg Flap applicator set 92

86 87
 SKIN & SURFACE

Order information for Flexitron Why the Valencia

Valencia Ft skin applicator set, part # 110.820
skin applicator?
Quantity Part number Description

1 110.821 Valencia Ft skin applicator, d = 20 mm • Non-invasive contact

1 110.822 Valencia Ft skin applicator, d = 30mm treatment option
2 085.115 Cap with marker ring, d = 20 mm

2 085.116 Cap with marker ring, d = 30 mm • Unique flattening filter for

2 085.118 Cap, d = 20 mm homogeneous and controlled
MicroSelectron - Valencia skin applicator
2 085.119 Cap, d = 30 mm
dose coverage
1 084.158 Sterilization caps (pack of 50)

Advanced skin applicator set for Flexitron,

part # 103.118FT
The advanced skin applicator set for Flexitron is identical
to the microSelectron version, with one difference: the
Flexitron - Valencia skin applicator Flexitron set includes part number 110.820 “Valencia
MR Unsafe Flexitron skin applicator set” instead of part number
189.701 “Valencia applicator set”

Valencia Skin Applicator Set Order information for microSelectron

Valencia skin applicator set, part # 189.701

Optimal dose coverage to the skin Intended for:
Quantity Part number Description

Brachytherapy offers an excellent non-invasive solution • Skin and surface treatments 1 189.788 Valencia skin applicator, d = 20 mm
to complement or replace surgery for skin cancer. With our 1 189.760 Valencia skin applicator, d = 30 mm
Note:
specialized solutions, in a few fractions, a high radiation 2 085.115 Cap with marker ring, d = 20 mm
dose can be delivered to the tumor with a low dose to • Applicator provided with two types of treatment caps:
2 085.116 Cap with marker ring, d = 30 mm
the surrounding area, providing a short and effective 1) cap with marker and 2) cap for treatment. The cap
2 085.118 Cap, d = 20 mm
with the marker ring is used to determine the correct
treatment. 2 085.119 Cap, d = 30 mm
position of the applicator on the surface
1 084.158 Sterilization caps (pack of 50)
Controlled dosimetry for skin and • Applicator must be used with treatment cap in place
surface treatments Advanced Skin applicator set, part # 103.118
• The applicator set can be sterilized using
Part number Description
The Valencia skin applicator is a tungsten-shielded steam sterilization
applicator for contact treatments. The applicator’s unique 085.041 Leipzig applicator d = 10 mm
• Dose distribution charts are available for Iridium-192,
fixed flattening filter provides a flat and homogeneous 085.042 Leipzig applicator d = 20 mm
not for Cobalt-60. The charts are not included in
isodose pattern. The flat dose can be applied very 085.043 Leipzig applicator d = 30 mm
Oncentra Brachy treatment planning system.
precisely to skin and surface targets. This unique 085.114 Cap, d = 10 mm with marking ring
• Manual 777.00237 085.115 Cap, d = 20 mm with marking ring
applicator was designed in cooperation with the
La Fe University Hospital in Valencia, Spain. 085.116 Cap, d = 30 mm with marking ring

085.117 Cap, d = 10 mm

Reliable treatment 085.118 Cap, d = 20 mm

085.119 Cap, d = 30 mm
The Valencia skin applicator also contains a source
089.095 Freiburg Flap applicator set
stopper to secure a distal reference point for the source
189.701 Valencia applicator set
in the applicator, resulting in a reliable and reproducible
treatment. Plastic caps on the applicator help to avoid Accessories
over-dosage and assist with correct applicator positioning.
Part number Description
Reinforced shielding at the back of the applicator adds to
Well chamber adapter for HDR 1000 PLUS
189.786*
patient safety during treatment. (Standard Imaging, Middleton, Wisconsin)

Well chamber adapter for TM33005

189.787*
(PTW, Freiburg Germany)

189.932 CT/MR applicator clamp with base plate

189.931 CT/MR applicator clamp with axle

88 *Required for use 89

 SKIN & SURFACE

Order information Why the Leipzig applicator?

Leipzig applicator set, part # 085.040
Part number Description
• Easy to use
085.041 Leipzig applicator, d = 10 mm
• Excellent solution for
085.044 Leipzig applicator d = 10 mm, straight
superficial lesions
085.114 Cap, d = 10 mm with marker ring

085.117 Cap, d = 10 mm

085.042 Leipzig applicator, d = 20 mm

085.045 Leipzig applicator d = 20 mm, straight

085.115 Cap, d = 20 mm with marker ring

085.118 Cap, d = 20 mm

085.043 Leipzig applicator, d = 30 mm

085.046 Leipzig applicator d = 30 mm, straight

085.116 Cap, d = 30 mm with marker ring

085.119 Cap, d = 30 mm
MR Unsafe
084.158 Sterilizing caps, 3.2 mm

Advanced skin applicator set for Flexitron, part #

Leipzig Applicator Set 103.118FT
The advanced skin applicator set for Flexitron is identical
This applicator is tungsten shielded and designed for Note: to the microSelectron version, with one difference: the
treatment of surface lesions, utilizing a contact treatment • Applicator provided with caps for imaging and Flexitron set includes part number 110.820 “Valencia
technique. It can be used for superficial skin, intra-oral and for treatment Flexitron skin applicator set” instead of part number
vaginal cuff lesions. It provides an excellent alternative for 189.701 “Valencia applicator set”
• Applicator must be used with treatment cap in place
orthovoltage or electron treatments.
• This applicator is also available as part of the Advanced skin applicator set for microSelectron,
Advanced Skin package # 103.118 part # 103.118
Intended for:
Part number Description
• The applicator set can be sterilized using
Skin & Surface 085.041 Leipzig applicator d = 10 mm
steam sterilization
085.042 Leipzig applicator d = 20 mm
• User manual 777.00237
085.043 Leipzig applicator d = 30 mm
• Dose distribution charts are available for Iridium-192, 085.114 Cap, d = 10 mm with marking ring
not for Cobalt-60. The charts are not included in 085.115 Cap, d = 20 mm with marking ring
Oncentra Brachy treatment planning system. 085.116 Cap, d = 30 mm with marking ring

085.117 Cap, d = 10 mm “The Leipzig applicators

were designed to give the
085.118 Cap, d = 20 mm

085.119 Cap, d = 30 mm

089.095 Freiburg Flap applicator set optimum isodose and

189.701 Valencia applicator set
treat to the correct depth
without causing excessive
skin reaction.”

Prof. Dr. Prager

Universität Leipzig,
LeipzigGermany

90 91
 SKIN & SURFACE

Order information Why the Freiburg

Freiburg Flap applicator set, part # 089.095
Flap applicator?
Part number Description

592.976 Freiburg Flap • Adaptable for large and curved

189.445
CT/MR flexible implant tube 6F, anatomies
single leader, 30 cm (6 pouches of 6 pcs)

189.367 Cutter, flexible implant tubes • Easy to resize to match

189.458 Radio-lucent button, white (72 pcs) treatment area
Advanced skin applicator set for Flexitron,
part # 103.118FT
• Consistent thickness for
reproducible dosimetry
The advanced skin applicator set for Flexitron is identical
to the microSelectron version, with one difference: the
Flexitron set includes part number 110.820 “Valencia
Flexitron skin applicator set” instead of part number
MR safe*
189.701 “Valencia applicator set”

Advanced skin applicator set for microSelectron,

part # 103.118
Freiburg Flap Applicator Set Part number Description

085.041 Leipzig applicator d = 10 mm

Shaping surface brachytherapy Intended for:
085.042 Leipzig applicator d = 20 mm
The Freiburg Flap is a flexible mesh style surface mold for • Skin & Surface
085.043 Leipzig applicator d = 30 mm
skin or intra-operative surface treatments. The flexible • Intra-operative 085.114 Cap, d = 10 mm with marking ring
applicator can easily be shaped to fit curved surfaces. It is 085.115 Cap, d = 20 mm with marking ring
ideally suited for large lesions or surface lesions that are Note:
085.116 Cap, d = 30 mm with marking ring
difficult to cover, such as on the skull or face. • Applicable for up to 28 days’ implantation 085.117 Cap, d = 10 mm

• Treatment channels are set 10 mm apart from each 085.118 Cap, d = 20 mm

Easily shaped to the target area
other, and have a length of 240 mm
“The equidistance of
085.119 Cap, d = 30 mm
The Freiburg Flap consists of multiple spheres attached 089.095 Freiburg Flap applicator set
• The flexible implant tubes and buttons are delivered
to each other that hold and guide up to 36 treatment
sterile and are for single-use only 189.701 Valencia applicator set the holes guarantees a
catheters. The applicator can be curved to match the
target surface and shaped to match the right size. The • User manual 090.677 precise separation of the
Freiburg Flap also ensures a constant distance of 5mm
catheters. The Freiburg
from the treatment catheter to the surface.
Flap material allows a
precise positioning in
respect of the target
and verification of the
treatment area.”

Dr. S. Stange
Albert Ludwigs Universität,
Freiburg, Germany

* Please note that the obturators are not MR safe

92 93
 Needles & Flexible
Implant Tubes

Content
PROGUIDE NEEDLES,
OBTURATORS AND MARKERS
96

TITANIUM INTERSTITIAL NEEDLES

98

STAINLESS STEEL INTERSTITIAL NEEDLES

100

FLEXIBLE IMPLANT TUBES

102

94 95
 NEEDLES & FLEXIBLE IMPLANT TUBES

ProGuide needle sets, 6F, sharp Why ProGuide needles

Part number Description
& markers?
ProGuide needle set, 6F, sharp, l =200 mm,
189.602 18 needles (set contains 3 pouches of 6 needles
each, and 6 obturators) • Flexibility in use
ProGuide needle set, 6F, sharp, l =240 mm,
189.601 18 needles (set contains 3 pouches of 6 needles
• Compatible with state-of-the-art
each, and 6 obturators) imaging modalities
ProGuide needle set, 6F, sharp, l =294 mm, 5 needles
(set contains 5 pouches with single-packed needles.
110.231
To be used with obturators with part number 110.268,
not included)

ProGuide needle bulk set, 6F, sharp, l =200 mm,

189.617 55 needles (set contains 8 pouches of 6 needles
each, and 7 pouches with single-packed needles)

ProGuide needle bulk set, 6F, sharp, l =240 mm,

189.616 55 needles (set contains 8 pouches of 6 needles
each, and 7 pouches with single-packed needles)
MR safe*
ProGuide needle sets, 6F, round
Part number Description

ProGuide Needles, Obturators and Markers 189.608

ProGuide needle set, 6F, round, l =200 mm,
18 needles (set contains 3 pouches of 6 needles
each, and 6 obturators)
Obturators
Part number Description
The range of OncoSmart ProGuide needles has been Note:
ProGuide needle set, 6F, round, l =240 mm, 189.628 ProGuide obturator bulk set, 6F x 240 mm (12 pcs)
designed for interstitial applications and are compatible • ProGuide needles are delivered sterile, and are for 189.607 18 needles (set contains 3 pouches of 6 needles
each, and 6 obturators) 189.629 ProGuide obturator bulk set, 6F x 200 mm (12 pcs)
with state-of-the-art imaging modalities, for instance single use only
ProGuide needle set, 6F, round, l =294 mm, 5 needles
CT and MR imaging. They are made from a high quality (set contains 5 pouches with single-packed needles.
189.631 ProGuide obturator bulk set, 5F x 240 mm (12 pcs)
•  bturators must be placed in the ProGuide needle
O 110.230
plastic and are specifically developed for use with Elekta To be used with obturators with part number 110.268,
prior to insertion for stability and to avoid needle 110.268 Obturators 6F x 294 mm (5 pcs)
not included)
afterloaders. ProGuide needles are available with either a damage 089.636 Handle for insertion obturator
ProGuide needle bulk set, 6F, round, l =200 mm,
sharp tip to enable easy penetration of the skin surface, 189.623 55 needles (set contains 8 pouches of 6 needles
• Obturators are not delivered sterile and can be each, and 7 pouches with single-packed needles) 110.163 Obturator for 1.3 mm needle x 120 mm
or with a round tip for maximum patient safety during
processed using steam sterilization or ethylene oxide 110.167 Obturator for 1.3 mm needle x 160 mm
treatment. Rigidity of the plastic ProGuide needle is ProGuide needle bulk set, 6F, round, l =240 mm,
189.622 55 needles (set contains 8 pouches of 6 needles
created by placing an obturator inside the needle during •  ink protection tubes are available for use with
K each, and 7 pouches with single-packed needles) 110.171 Obturator for 1.3 mm needle x 200 mm

insertion. ProGuide needles

089.001 Obturator for 1.5 mm needle x 80 mm
• User manual 090.695 ProGuide needle sets without obturators
089.003 Obturator for 1.5 mm needle x 100 mm
The obturator is a rigid tungsten alloy tool to maintain the
Part number Description
needle stability during insertion. The obturator prevents 089.005 Obturator for 1.5 mm needle x 120 mm
110.580 ProGuide sharp needle set, 6F x 240 mm (3x6)
kinking or breaking of the needles during insertion. The 089.007 Obturator for 1.5 mm needle x 140 mm
110.581 ProGuide sharp needle set, 6F x 240 mm (6x6)
curve in the obturator is intentional and prevents the
Order information 110.582 ProGuide sharp needle set, 6F x 240 mm (12x6) 089.009 Obturator for 1.5 mm needle x 160 mm
obturator from shifting within the needle during insertion.
ProGuide needle sets, 5F, sharp 110.583 ProGuide sharp needle set, 6F x 240 mm (10x1) 089.011 Obturator for 1.5 mm needle x 180 mm

The OncoSmart ProGuide CT Markers (see appendixes) Part number Description 110.584 ProGuide sharp needle set, 6F x 200 mm (3x6) 089.013 Obturator for 1.5 mm needle x 200 mm
are designed to indicate the first source positions on ProGuide needle set, 5F, sharp, l =240 mm,
110.585 ProGuide sharp needle set, 6F x 200 mm (6x6)
083.250 Obturator for 1.9 mm needle x 80 mm
189.604 18 needles (set contains 3 pouches of 6 needles each,
CT images of ProGuide interstitial needle implants. The and 6 obturators)
110.586 ProGuide sharp needle set, 6F x 200 mm (12x6)
083.252 Obturator for 1.9 mm needle x 100 mm
markers fit needle diameters from 5F to 6F and are kept 110.587 ProGuide sharp needle set, 6F x 200 mm (10x1)
ProGuide needle bulk set, 5F, sharp, l =240 mm, 083.254 Obturator for 1.9 mm needle x 120 mm
in place during imaging by means of a built-in locking 189.619 55 needles (set contains 8 pouches of 6 needles each,
and 7 pouches with single-packed needles)
mechanism. The markers are reusable and can be 110.588 ProGuide sharp needle set, 5F x 240 mm (3x6) 083.256 Obturator for 1.9 mm needle x 140 mm

autoclaved. Each marker length has a unique color- 110.589 ProGuide sharp needle set, 5F x 240 mm (6x6) 083.258 Obturator for 1.9 mm needle x 160 mm
coded knob. 110.590 ProGuide sharp needle set, 5F x 240 mm (12x6)
083.260 Obturator for 1.9 mm needle x 180 mm
110.591 ProGuide sharp needle set, 5F x 240 mm (10x1)
083.262 Obturator for 1.9 mm needle x 200 mm

083.266 Obturator For 1.9 mm needle x 240 mm

083.272 Insertion obturator for 1.9 mm needle x 294 mm

*The obturators are not MR safe.

96 97
 NEEDLES & FLEXIBLE IMPLANT TUBES

Order information titanium needle sets Why Titanium interstitial

Trocar point titanium needles needles?
Trocar point Part number Description

Trocar point titanium needle set, 1.9 mm x 200 mm

• Designed for optimal needle
110.020
(set of 5 needles, no obturators included) rigidity and sharpness during
110.021
Trocar point titanium needle set, 1.9 mm x 240 mm interstitial treatments
(set of 5 needles, no obturators included)

Round point titanium needles • Needle tip available in various

Part number Description
geometries to adapt to clinical
need
Round point titanium needle set, 1.9 mm x 200 mm
110.022
(set of 5 needles, no obturators included)

Round point titanium needle set, 1.9 mm x 240 mm

110.023
(set of 5 needles, no obturators included)

Accessories
Part number Description
MR conditional
083.252 Obturator, l =100 mm (for all titanium needle lenghts)

089.636 Handle for obturator

Titanium Interstitial Needles 189.996

045.004
Titanium needle stopper set (set of 10)

Torque screwdriver for needle stopper

Interstitial needles are used for treatment of carcinoma Note: 083.147 Sterilizing caps, 1.9 mm (50 pcs)

where no lumen or cavity is available, or where additional • Needles are described by their outside diameter
and very precise target area coverage is required. The and length
needles are designed for optimal needle rigidity and
• Needles should be inspected prior to use. Any needle
sharpness throughout multiple interstitial treatments, in
that is blunt, corroded or bent should not be used
combination with the appropriate templates. Titanium
needles have a needle tip that is either round or trocar • Metal needles can be sterilized using steam
sterilization and ethylene oxide
shaped. The round tip is designed to minimize tissue
damage and optimize ease in implantation. The trocar tip • The use of titanium needles and related titanium
facilitates insertion in the tissue. needle stoppers is MR Conditional up to 0.23 Tesla

• User manual 090.719

The titanium interstitial needles are specifically designed
for use with CT and MR-based imaging for volume and • Needle tip available in various geometries to adapt
target delineation, designed to minimize artifacts on the to clinical needs
acquired image sets. Obturators can be placed inside the
needle during insertion to create additional rigidity. The
needles are directly connected to the transfer tube of
the afterloader.

*Minimum order quantity is 10 pcs.

98 99
 NEEDLES & FLEXIBLE IMPLANT TUBES

Interstitial needle basic set 1.9 mm, part # 083.040

Why Stainless steel
Quantity Part number Description

20* 083.050 Trocar needle,1.9 mm x 80 mm

interstitial needles?
20* 083.052 Trocar needle,1.9 mm x 100 mm
• Designed to maintain their rigidity
20* 083.054 Trocar needle,1.9 mm x 120 mm
and sharpness throughout
20* 083.056 Trocar needle,1.9 mm x 140 mm
multiple treatment
20* 083.058 Trocar needle,1.9 mm x 160 mm

20* 083.060 Trocar needle,1.9 mm x 180 mm • Needle tip available in

20* 083.062 Trocar needle,1.9 mm x 200 mm various geometries to adapt
20* 083.250 Obturator for 1.9 mm needle x 80 mm to clinical needs
20* 083.252 Obturator for 1.9 mm needle x 100 mm

20* 083.254 Obturator for 1.9 mm needle x 120 mm

20* 083.256 Obturator for 1.9 mm needle x 140 mm

20* 083.258 Obturator for 1.9 mm needle x 160 mm

20* 083.260 Obturator for 1.9 mm needle x 180 mm

20* 083.262 Obturator for 1.9 mm needle x 200 mm

Trocar point Bevel point MR Unsafe
40* 083.001 Stainless steel stopper, 1.9 mm needle

Stainless Steel Interstitial Needles 1 045.004 Torque screwdriver, 1.27 mm

*When ordered separately the minimum order quantity is 10 pcs.

Interstitial needles are used for treatment of carcinoma Order information
Accessories Trocar Point needles, ø1.9 mm
where no lumen or cavity is available, or where additional Interstitial needle basic set 1.5 mm, part # 083.900
Part number Description Quantity Part number Description
and very precise target area coverage is required. The Quantity Part number Description
083.147 Sterilizing caps, 1.9 mm (50 pcs) 10* 083.050 Trocar needle,1.9 mm x 80 mm
needles are designed to maintain their rigidity and 20* 083.914 Trocar needle 1.5 mm x 80 mm
10* 083.052 Trocar needle,1.9 mm x 100 mm
sharpness throughout multiple treatments, in combination *When ordered separately the minimum order quantity is 100 pcs.
20* 083.916 Trocar needle 1.5 mm x 100 mm
10* 083.054 Trocar needle,1.9 mm x 120 mm
with the appropriate templates. Stainless steel needles 20* 083.918 Trocar needle 1.5 mm x 120 mm Order information
10* 083.056 Trocar needle,1.9 mm x 140 mm
have a needle tip that is either round, bevel or trocar 20* 083.920 Trocar needle, 1.5 mm x 140 mm Trocar Point needles, ø1.3 mm
10* 083.058 Trocar needle,1.9 mm x 160 mm
shaped. The round tip is designed to minimize tissue 20* 083.922 Trocar needle 1.5 mm x 160 mm Quantity Part number Description
10* 083.060 Trocar needle,1.9 mm x 180 mm
damage and optimize ease in implantation. The trocar 20* 083.924 Trocar needle 1.5 mm x 180 mm 10* 110.109 Trocar needle, 1.3 mm x 120 mm
10* 083.062 Trocar needle,1.9 mm x 200 mm
and bevel tip facilitates insertion in the tissue. 20* 083.926 Trocar needle, 1.5 mm x 200 mm 10* 110.113 Trocar needle, 1.3 mm x 160 mm
10* 083.066 Trocar needle,1.9 mm x 240 mm
20* 089.001 Obturator for 1.5 mm needle x 80 mm 10* 110.117 Trocar needle, 1.3 mm x 200 mm
Obturators can be placed inside the needle during 10* 083.072 Trocar needle,1.9 mm x 294 mm
20* 089.003 Obturator for 1.5 mm needle x 100 mm
insertion to create additional rigidity. The needles are * When ordered separately the minimum order quantity is 10 pcs.
20* 089.005 Obturator for 1.5 mm needle x 120 mm * When ordered separately the minimum order quantity is 10 pcs.
directly connected to the transfer tube of the Elekta Trocar Point needles, ø1.5 mm
20* 089.007 Obturator for 1.5 mm needle x 140 mm Bevel Point needles, 1.9 mm ø
afterloader. Quantity Part number Description
20* 089.009 Obturator for 1.5 mm needle x 160 mm Part number Description
10* 083.914 Trocar needle, 1.5 mm x 80 mm
20* 089.011 Obturator for 1.5 mm needle x 180 mm
Note: 083.045* Bevel needle,1.9 mm x 200 mm
10* 083.916 Trocar needle, 1.5 mm x 100 mm
20* 089.013 Obturator for 1.5 mm needle x 200 mm
• Needles are described by their outside diameter 10* 083.918 Trocar needle, 1.5 mm x 120 mm *When ordered separately the minimum order quantity is 20 pcs.
1 045.004 Torque screwdriver, 1.27 mm
and length 10* 083.920 Trocar needle, 1.5 mm x 140 mm Accessories
40* 089.025 Needle stopper 1.5 mm
• ø1.3 mm needles can only be used with 10* 083.922 Trocar needle, 1.5 mm x 160 mm Part number Description

microSelectron *When ordered separately the minimum order quantity is 10 pcs. 10* 083.924 Trocar needle, 1.5 mm x 180 mm 083.147 Sterilizing caps, 1.9 mm (50 pcs)
10* 083.926 Trocar needle, 1.5 mm x 200 mm
• Needles should be inspected prior to use. Any needle
that is blunted, corroded, or bent should be discarded

• Metal needles can be sterilized using steam

sterilization and ethylene oxide

• User manual 090.619

*When ordered separately the minimum order quantity is 10 pcs.

100 101
 NEEDLES & FLEXIBLE IMPLANT TUBES

Order information
Flexible implant tube set, 6F, 30 cm, part # 189.400* Why Flexible implant tubes?
Quantity Part number Description
• Easy to use for interstitial
2 189.300
Flexible implant tube, 6F, single leader, treatments, i.e. tongue, breast
30 cm (box of 36)
and soft tissue
Flexible implant tube, 6F, double leader, 30
2 189.298
cm (box of 36)

Flexible implant tube, 6F, blind end,

2 189.296
30 cm (box of 36)

1 189.282 Radio-opaque button white, 6F (box of 72)

1 189.284 Radio-opaque button black, 6F (box of 72)

1 189.286 Radio-opaque button red, 6F (box of 72)

1 189.288 Radio-opaque button blue, 6F (box of 72)

1 189.290 Radio-opaque button green, 6F (box of 72)

1 189.367 Cutter flexible implants

Image doesn’t show full leaders Leader Insertion needles, 1.5 x 200 mm,
at end of catheters. MR safe* 1 189.437
(box of 72)

* Set contains non-CT/MR compatible parts.

Flexible Implant Tubes CT/MR flexible implant tube set, 6F, 30 cm,
Accessories
Part number Description
part # 189.401
The flexible implant tubes are developed for treatments Note: 189.445
CT/MR flexible implant tube, 6F, single leader,
Quantity Part number Description 30 cm (box of 36)
that require a moldable source path. The flexible implant • Flexible implant tubes are delivered sterile, and are
CT/MR flexible implant tube, 6F, Flexible implant tube, 6F, single leader, 50 cm
tubes are equipped with ‘leaders’ to run the implant tube for single use only 2 189.445
single leader, 30 cm (box of 36)
189.504**
(box of 36)
through a channel in the tissue that is preformed by a Flexible implant tube, 6F, double leader, Flexible implant tube, 6F, double leader, 50 cm
• Flexible implant tubes are packed in pouches of 2 189.298 189.502
leader insertion needle. The flexible implant tubes are 30 cm (box of 36) (box of 36)
6, and with 6 pouches per box
available in various configurations: single leader with Flexible implant tube, 6F, blind end, Flexible implant tube, 6F, blind end, 50 cm
2 189.296 189.500
30 cm (box of 36) (box of 36)
button end; single leader with blind end, or double leader. • Buttons are packed in pouches of 6, and with
12 pouches per box 1 189.458 Radio-lucent button white, 6F (box of 72) Flexible implant tube, 5F, single leader, 30 cm
189.510**
They arrive sterilized and ready for immediate clinical (box of 36)
1 189.460 Radio-lucent button black, 6F (box of 72)
use. To improve visibility of the flexible implant tubes in • For Flexitron afterloaders, only Flexible Implant Flexible implant tube, 5F, double leader, 30 cm
1 189.462 Radio-lucent button red, 6F (box of 72) 189.508
(box of 36)
combination with state of the art CT and MR imaging tubes with length ≤ 400 mm can be used
1 189.464 Radio-lucent button blue, 6F (box of 72) Flexible implant tube, 5F, blind end, 30 cm
modalities, dedicated CT/MR flexible implant sets and • User manual 090.710 189.506
(box of 36)
1 189.466 Radio-lucent button green, 6F (box of 72)
buttons are available. 189.292** Radio-opaque button yellow, 6F (box of 72)
• The insertion needles are not MR safe 1 189.367 Cutter flexible implants
189.294** Radio-opaque button brown, 6F (box of 72)
Leader Insertion needles, 1.5 x 200 mm,
1 189.437
(box of 72) 189.472** Radio-opaque button white, 5F (box of 72)

189.474** Radio-opaque button black, 5F (box of 72)

189.476** Radio-opaque button red, 5F (box of 72)

189.478** Radio-opaque button blue, 5F (box of 72)

189.480** Radio-opaque button green, 5F (box of 72)

189.482** Radio-opaque button yellow, 5F (box of 72)

189.484** Radio-opaque button brown, 5F (box of 72)

045.103 S.S. button, Henschke

045.046 Bevel needle, Open End, 1.5 x 200 mm

089.021 Catheter insertion set, 6F trocar

089.023 Catheter insertion set, 6F bevel

594.456 Emergency button cutter

089.420 X-ray catheter set, 30 cm (1-18)

030.100 Push Fit disconnection tool

089.348* Kink protection tube, for 6F flexible

089.345* Kink protection tube, for transfer tube

*Minimum order quantity is 50 pcs.

**Button is not CT/MR compatible.
102 103
 Quality Assurance Tools

Content
SOURCE POSITION CHECK RULER /
SOURCE POSITION SIMULATOR
106 / 107

CT/MR APPLICATOR CLAMP

108

PATIENT BELT COUPLING (PBC)

109

104 105
 QUALITY ASSURANCE TOOLS

Source position simulator for Flexitron

Source positiom check ruler for Flexitron

Source position simulator for microSelectron

Source position check ruler for microSelectron

Source Position Check Ruler Flexitron adaptor overview Source Position simulator Note:
The Source Position Check Ruler is designed for
Part number
Source position check ruler Transfer tube The Source Position simulator is designed to determine • User Manual for Flexitron: 777.00264
adapter set to connect part number
verification of the correct treatment position of the
the distal length of an applicator. • User Manual for microSelectron: 090.682ENG
sources and check cable, and of the length of each of the Gynecological titanium trans-
137.040 137.063
fer tubes
transfer tubes. It can be used with either the mechanical Order information
5F catheter transfer tubes
indicator or GAFCHROMIC* filmstrip, a method that (old versions - compatible to 137.090 / 137.091
Source position simulator for Flexitron:
enables instant logging of the result of the measurement. transfer tube sets delivered 137.092 /137.093
before May 2014)
Part number Description
137.041
The Source Position Check Ruler has embedded markers 6F catheter transfer tubes
137.094 /137.095 138.200 Source position simulator set for Flexitron
(old versions - compatible to
that allow multiple measurements and serve as reference transfer tube sets delivered 137.096 /137.097 Source position simulator set for Flexitron with
before May 2014) 138.202
x-ray markers
to validate correct positioning of the GAFCHROMIC®
filmstrip. The films are transparent for easy digitizing or 137.090 / 137.091
Accessories for Flexitron
137.042 5F catheter transfer tubes
scanning, and are self-developing. 137.092 /137.093
Part number Description

137.094 /137.095 138.225 Standard slider with dummy cable

Note: 137.043 6F catheter transfer tubes
137.096 /137.097 138.227 Optional slider with simulator wire with x-ray markers
• User manual for Flexitron: 777.00110
Gynecological stainless
• User manual for microSelectron: 090.689
137.182 steel transfer tubes (default 111.680 Source position simulator for microSelectron
included with SPCR)
Part number Description
Gynecological CT/MR
137.180 111.650 111.094 Source position simulator set
Order information transfer tubes
111.096 Source position simulator set with x-ray markers
Source Position Check Ruler for Flexitron 111.805 / 111.816
137.818 Metal needles transfer tubes
111.827 / 111.838 Accessories for microSelectron
Part number Description
Part number Description
136.196 3-channel source position check ruler
Source Position Check Ruler for microSelectron 111.268 Standard slider with dummy cable

111.275 Optional slider with simulator wire with x-ray markers

Part number Description

Source position check ruler

096.035
(including 2 GAFCHROMIC filmstrips)

Accessories for microSelectron

Part number Description

096.271A10 GAFCHROMIC filmstrip (box of 10)

073.250 Audio radiographic check device

*It is recommended to store GAFCHROMIC film in the dark until use. 080.034 Positioning ROD check ruler
GAFCHROMIC film is only for use with the microSelectron afterloader.

106 107
 QUALITY ASSURANCE TOOLS

PBC set for flexible implant tubes, part # 111.385

Quantity Part number Description

Patient Belt Coupling 1 030.299 Patient waist belt set

(PBC)*
Coupling transfer tube set 6F
1 111.480
flexibles (1-18)

1 079.087 Quick release coupling set

Patient Belt Coupling sets, featuring the quick release 1 111.420 Coupling transfer tube set
coupling device, are designed to support a user-friendly
fixation of transfer tubes and applicator components. The PBC set for Interstitial needles, part # 111.386
quick release coupling enables a patient to be connected
Part number Description
MR conditional and disconnected from the afterloader in a quick and easy
030.299 Patient waist belt set
way. Dedicated transfer tubes are connected to separate
111.440 Coupling transfer tube set for needles (1-18)
parts of the quick release coupling and similarly to the
CT/MR Applicator Clamp patient and the afterloader. The patient connector part
079.087

111.420
Quick release coupling set

Coupling transfer tube set

of the quick release coupling is fixed in position using a
The CT/MR applicator clamp is designed for fixation of
patient belt. With all transfer tubes in place on the patient Accessories for PBC sets
applicators to a patient treatment table or patient bed. It Order information
and on the afterloader side, the separate parts of the quick Part number Description
is compatible with use of CT and MR imaging. With one CT/MR applicator clamp with base plate, # 189.932
release coupling are connected or disconnected by a 030.100 Push fit disconnection tool*
knob all variables such as length, rotation, sloping and Quantity Description
one simple twist. Complete Patient Belt Coupling sets for GYN PBC transfer tube keyed for channel 1
angle of the inserted applicator can be fixed. For fixation 1 Fixation part various types of applicators are available. GYN PBC transfer tube keyed for channel 2
of the applicator itself, various inserts are provided that 1 Base plate
GYN PBC transfer tube keyed for channel 3
allow fitting all available Elekta Brachytherapy applicators 4 Inserts ø 3 mm (titanium coloured) * Available only for use with microSelectron PDR afterloader.
111.384 GYN PBC transfer tube keyed for channel 4
within the clamp. The entire assembly requires no oil, and 4 Inserts ø 6 mm (white coloured) Note:
079.087 Quick release coupling set
can easily be taken apart for cleaning purposes. The CT/ 4 Inserts ø 12 mm (black coloured) • Manual number: 090.653
MR applicator clamp can be attached to a base plate for * for use with flexible implant tubes only.
CT/MR applicator clamp with axle, # 189.931
immobilization in any hospital bed or the clamp can be Order information Coupling transfer tube sets
mounted on an axle in order to attach the clamp to for Quantity Description
PBC set for needles and flexibles, part # 111.379 Part number Description
example a hospital bed IBU table etc. 1 Fixation part
Part number Description 111.420 Coupling transfer tube set (channel 1-18)
1 Axle
030.299 Patient waist belt set 111.520 Coupling transfer tube set (channel 19-30)
Benefits: 4 Inserts ø 3 mm (titanium coloured)
111.440 Coupling transfer tube set for needles (1-18) 111.440 Coupling transfer tube set for needles (channel 1-18)
• Can be used with various imaging modalities 4 Inserts ø 6 mm (white coloured)
111.480 Coupling transfer tube set 6F flexibles (1-18) 111.535 Coupling transfer tube set for needles (channel 19-30)
4 Inserts ø 12 mm (black coloured)
• Accurate applicator fixation 079.087 Quick release coupling set Coupling transfer tube set for 4F flexible implant tubes
111.500
(channel 1-18)
111.420 Coupling transfer tube set
• Easy to use Accessories Coupling transfer tube set for 4F flexible implant tubes
111.580
(channel 19-30)
PBC set for Gynecologic applicators, part # 111.380
• The baseplate is X-ray translucent Part number Description
Coupling transfer tube set for 5F flexible implant tubes
189.981 Set of 4 inserts ø 3 mm (titanium colored) 111.460
Part number Description (channel 1-18)
• All clamp components can be sterilized using
189.980 Set of 4 inserts ø 6 mm (white colored) 032.345 Patient leg belt set Coupling transfer tube set for 5F flexible implant tubes
steam sterilization 111.550
(channel 19-30)
189.982 Set of 4 inserts ø 12 mm (black colored) Coupling transfer tube no. 1
Note: 189.952 Spare applicator fixation knob (small) 111.480
Coupling transfer tube set for 6F flexible implant tubes
Coupling transfer tube no. 2 (channel 1-18)
• User manual: 090.716 189.959 Spare clamp fixation knob (large) Coupling transfer tube no. 3 Coupling transfer tube set for 6F flexible implant tubes
111.565
(channels 19-30)
079.087 Quick release coupling set

111.381 Gynecologic transfer tube, ch 1 Accessories

111.382 Gynecologic transfer tube, ch 2
Part number Description
111.383 Gynecologic transfer tube, ch 3
079.087 Quick release coupling

108 109
 Accessories
Torque screwdriver Push fit disconnection tool Torque screwdriver, 2.5 mm
Part number Description Part number Description Part number Description

Push fit disconnection tool for

006.030 Torque screwdriver 2.5 mm 030.100 045.004 Torque screwdriver, 2.5 mm
Flexitron and microSelectron

Perineal bar Cervical stopper Ovoid pair 20 mm

Part number Description Part number Description Part number Description

Perineal bar for vaginal Cervical stopper for vaginal Ovoid pair, 20 mm, small
084.008 084.009 084.042
applicator applicator unshielded

Perineal bar Sterilizing caps Fixing mechanism retractor

Part number Description Part number Description Part number Description

Perineal bar for the ring 084.158 Sterilizing caps 3.2 mm 086.011 Fixing mechanism_retractor
084.072
applicator

Kink protection tubes Handle for obturator Leader insertion needles

Part number Description Part number Description Part number Description

Kink protection tube, 089.636 Handle for obturator Leader insertion needle,
089.345 089.700
for transfer tube 1.5 x 120 mm (1 pcs)

089.347 Kink protection tube, 5F Leader insertion needle,

089.701
1.5 x 160 mm (1 pcs)
089.348 Kink protection tube, 6F
Leader insertion needle,
089.702
1.5 x 200 mm (6 pcs)

Sterilization caps CT/MR Perineal bar Interstitial ovoid pair, 20 mm

Part number Description Part number Description Part number Description

101.012 Sterilization caps CT/MR Perineal bar for CT/MR ring

101.054 110.270 Interstitial ovoid pair, 20 mm
applicators
• Accessories are categorized on part number (low to high)
• Not all accessories are included in the overview. If you cannot find a specific item or if you have any questions
on accessories, please contact your Elekta representative.

110 111
 ACCESSORIES

Titanium screwdriver for ovoids Intrauterine tube, ovoids, 4 mm,

and stopper MR line marker set various degrees Cervical stopper Fixation clip Ovoid cap
Part number Description Part number Description Part number Description Part number Description Part number Description Part number Description

Titanium screwdriver for 110.296 / Cervical stopper for Fletcher

110.283 110.290 MR line marker set Intrauterine tube, 4 mm, 110.954 110.957 Fixation clip 110.960 Ovoid cap
ovoids and stopper 110.298 / CT/MR shielded
various degrees
110.300

Note:
• Delivered non-sterile and not filled with fluid
• User manual 777.00081
Intrauterine tube, ovoids, 4 mm,
Intrauterine tube, ring, 4 mm Rectal retractor, 4 mm, 30 mm Rectal retractor, 4 mm, 40 mm various degrees Interstitial lunar ovoid tubes Vaginal caps
Part number Description Part number Description Part number Description Part number Description Part number Description Part number Description

Intrauterine tube 4 mm Rectal retractor, 30 mm with Rectal retractor, 40 mm with Interstitial lunar ovoid tube 126.007 Vaginal cap 22 mm right
110.303 until Intrauterine tube, 4 mm, 126.001
(available in various lengths 110.315 slot for 4 mm intrauterine 110.335 slot for 4 mm intrauterine 110.971 22 mm 60° right
110.307 various degrees 126.008 Vaginal cap 22 mm left
and degrees) tubes tubes
Interstitial lunar ovoid tube
126.002 126.009 Vaginal cap 26 mm right
22 mm 60° left
126.010 Vaginal cap 26 mm left
Interstitial lunar ovoid tube
126.003
26 mm 60° right 126.011 Vaginal cap 30 mm right

Interstitial lunar ovoid tube 126.012 Vaginal cap 30 mm left

126.004
26 mm 60° left

Interstitial lunar ovoid tube

126.005
Cervical stopper Cervical stopper tool Ovoid pair 15 mm micro ovoids 30 mm 60° right

Part number Description Part number Description Part number Description Interstitial lunar ovoid tube
126.006
30 mm 60° left
Cervical stopper for 4 mm
110.395 110.396 Cervical stopper tool 110.540 Ovoid pair,15 mm,micro ovoids
intrauterine tubes

Pins for adjustable fixation

mechanism Needle fixation tool Fixation screws Intrauterine tubes Fixation element Fixation clip
Part number Description Part number Description Part number Description Part number Description Part number Description Part number Description

Pins for adjustable fixation 126.013 Intrauterine tube 0 mm

110.700 110.720 Needle fixation tool 110.771 Fixation screws 126.024 Fixation element 126.025 Fixation clip
mechanism
126.014 Intrauterine tube 30 mm 30°

126.015 Intrauterine tube 40 mm 30°

126.016 Intrauterine tube 50 mm 30°

126.017 Intrauterine tube 60 mm 30°

126.018 Intrauterine tube 70 mm 30°

126.019 Intrauterine tube 30 mm 15°

Perineal bar set Applicator clamp adapter set Catheter with collar 126.020 Intrauterine tube 40 mm 15°

Part number Description Part number Description Part number Description 126.021 Intrauterine tube 50 mm 15°

126.022 Intrauterine tube 60 mm 15°

Perineal bar set for vaginal 110.800 Catheter with collar
110.773 110.778 Applicator clamp adapter set
CT/MR multi channel 126.023 Intrauterine tube 70 mm 15°

112 113
 ACCESSORIES
Intrauterine tube, 6 mm,
Perineal template dorsal Perineal template ventral Bracelet for guiding tubes Insertion tool Internal fixation mechanism various degrees
Part number Description Part number Description Part number Description Part number Description Part number Description Part number Description

189.714 Insertion tool 189.724 Internal fixation mechanism 189.739 /

126.026 Perineal template dorsal 0° 126.028 Perineal template ventral 0° 126.029 Bracelet for guiding tubes Intrauterine tube, 6 mm,
189.745 /
various degrees
189.796
126.027 Perineal template dorsal 12°

Number tag for guiding tubes Guiding tubes Perineal bar Fixation nut for rectal retractor Rectal retractor, 6 mm, 30 mm Rectal retractor, 6 mm, 40 mm
Part number Description Part number Description Part number Description Part number Description Part number Description Part number Description

Guiding tubes for interstitial Rectal retractor, 30 mm with Rectal retractor, 40 mm with
126.030 Number tag for guiding tubes 126.031 126.033 Perineal bar Fixation nut for rectal
lunar ovoid 189.741 189.742 slot for 6 mm intrauterine 189.751 slot for 6 mm intrauterine
retractor tubes
tubes
126.032 Guiding tubes for vaginal cap

Ovoid pair with radius 15, 30, 35

Lock insert set for plastic needles Flange molding cutter Flange molding tool Ovoid pair, 25 mm Plastic screw set M5 PPSU or 40 mm
Part number Description Part number Description Part number Description Part number Description Part number Description
Part number Description

137.286 / Ovoid pair with radius 15,

Lock insert set for plastic 189.320 Flange molding tool 189.901
137.287 / 189.316 Flange molding cutter 189.755 Ovoid pair, 25 mm 189.894 Plastic screw set M5 PPSU 30, 35 or 40 mm
needles
137.289

Smit Sleeve, ø 9 mm – for use Smit Sleeve, ø 6 mm – for use

Cutter flexible implants with 6 mm intrauterine tubes with 4 mm intrauterine tubes Fixation nut Titanium needle stopper set Battery charge station
Part number Description Part number Part number Description Part number Part number Description Part number Description Part number Description Part number Description
(box of 10) (box of 3) (box of 10) (box of 3)
189.367 Cutter flexible implants 417.006 Battery charge station
189.566 110.599 Smit sleeve, 189.676 110.593 Smit sleeve, 189.930 Fixation nut 189.996 Titanium needle stopper set
40 mm l = 20 mm
189.677 110.594 Smit sleeve,
l = 40 mm
189.679 110.595 Smit sleeve,
l = 60 mm
189.681 110.596 Smit sleeve,
l = 70 mm
189.682 110.597 Smit sleeve,
l = 80 mm Li-ion battery pack Emergency button cutter
189.683 110.598 Smit sleeve, Part number Description Part number Description
l = 100 mm
417.018 Li-ion battery pack 594.456 Emergency button cutter

The use of Smit Sleeves slightly dilates

the cervix, facilitating reinsertion of the
intrauterine tube for follow-up fractions. It
acts as a cervical stopper and provides tissue
spacing to reduce mucosal dose.The soft
material of the Smit Sleeve enables insertions
up to 28 days.
Note:
• Delivered sterile, single-packed and for
single use

114 • User manual 090.712 115

• Can remain in place up to 28 days
 Index
A I Q
Accessories 110 Interstitial ring CT/MR Quality Assurance tools 104
applicator set 24
Adjustable Cervix
applicator set 32 Intracavitary mold applicator set 60 R

Advanced gynecological Intrauterine tubes 112,113,115 Rectum 50

applicator - Venezia™ 8 Ring applicator set 30
K
Ring CT/MR applicator set 28
B
Kink protection tubes 111
Rotte endometrial applicator set 48
Bevel point needles 101
Kuske breast applicator set 66
Rotterdam nasopharyngeal mold 82
Bladder 50
L Rowland adjustable breast
Bonvoisin-Gérard esophageal
template (RABIT) 68
applicator set 76 Leader insertion needles 111
Breast 62 Leipzig applicator set 90 S
Breast CT/MR template set 64 LumenCare® Azure applicator set 74 Shielded cylindrical applicator set 40
Bronchus 72 Luneray® catheter 52 Skin & surface 86
Smit sleeve 114
C M
Source position check ruler 106
Cervix Rotterdam applicator set 20 Martinez prostate template set 54
Source position simulator 107
CT/MR applicator clamp 108 Martinez universal perineal
interstitial template (MUPIT) Stainless steel interstitial needles 100
CT/MR OncoSmart
catheter system 70 applicator set 58 Standard CT/MR applicator set 16
Metal interstitial needles 101
E T
MR line marker set 112
Emergency button cutter 115 Titanium interstitial needles 98
Miami vaginal applicator set 42
Esophagus 72 Trocar point needles 102
Esophageal applicator set 78 N
U
Needles & flexible implant tubes 94
F Utrecht interstitial CT/MR
applicator set 10
Fletcher Williamson applicator set 18 O
Fletcher CT/MR applicator set 14 OncoSmart ProGuide V
Fletcher CT/MR CT-marker sets 70
Vaginal applicator set 44
shielded applicator set 12
Vaginal CT/MR applicator set 36
Flexible implant tubes 102 P
Vaginal CT/MR multi channel
Freiburg Flap applicator set 92 Patient belt coupling (PBC) 109 applicator set 34
Pipard tongue template set 84 Vaginal cylinder applicator
G
ProGuide needles, obturators set titanium 38
Gynecology 6 & markers 96 Vaginal mould applicator set 46
Prostate 50 Valencia skin applicator set 88
H
Prostate stepper template set 56 Vienna ring CT/MR
Head & neck 80
Push fit disconnection tool 111 applicator set 26
Henschke titanium applicator set 22
Venezia - advanced
™

gynecological applicator 8

116 117
 X-ray, CT and MRI Markers for Flexitron

X-ray marker set CT Marker set 200 mm CT Marker set 240 mm CT Marker set 294 mm CT marker set 5F and 6F catheters (3 pcs)
The appropriate X-ray and CT-markers for use of a specific applicator with X-ray
MR Line
catheter
your afterloader can be selected with this table. If no crossmatch is indicated in X-ray catheter set 30 cm X-ray catheter set 50 cm Marker
set
this table, it is not possible to connect that applicator and afterloader. set
40 cm metal, metal, yellow, yellow,
CT/MR SS Ti metal, 6 black, 6 black, 12 black, 18 yellow, 6
12 mark- 18 mark- 12 mark- 18 mark- 100 mm 200 mm 300 mm 400 mm
GYN GYN GYN markers markers markers markers markers
ers ers ers ers

For channel: 1-3-5 1-9 10-18 1-18 19-30 3-11 1-9 10-18 19-30

Part number: 110.400 110.570 137.070 089.082 089.083 089.420 189.850 137.089 089.089 089.090 189.851 110.285 189.691 189.034 110.286 189.692 189.036 110.287 189.693 189.039 110.610 110.611 110.612 110.613 110.290

Bodysite Part number Description

Gynecology 084.450 Adjustable Cervix applicator set x

Gynecology 137.206/217/218 Cervix Rotterdam applicator sets x

Gynecology 189.730 Fletcher CT/MR applicator set x x

Gynecology 110.980 / 110.950 Fletcher CT/MR Shielded applicator set x x

Gynecology 085.230/260 Fletcher Williamson applicator sets x

Gynecology 110.018 Henschke titanium applicator set x

Gynecology 110.330/331/332 A01/02 Interstitial Ring CT/MR applicator sets x x x x x x x

Gynecology 085.210 Miami Vaginal applicator set x x

Gynecology 084.050 Ring applicator set x

Gynecology 101.035/060/061/062 Ring CT/MR applicator sets x x

Gynecology 084.434 Rotte Endometrial applicator set x

Gynecology 084.320 Shielded Cylindrical applicator set x

Gynecology 101.020 Standard CT/MR applicator set x x

Gynecology 137.400 TI Vaginal Cylinder applicator set x

Gynecology 110.270 A01/02 Utrecht Interstitial CT/MR applicator sets x x x x x x x

Gynecology 084.350 Vaginal applicator set x

Gynecology 101.001 Vaginal CT/MR applicator set x x

Gynecology 110.750 Vaginal CT/MR Multi Channel applicator set x x x x x x x

Gynecology 189.018 Vaginal mold applicator set x

Gynecology not applicable Advanced Gynecological Applicator - Venezia x x x x x x

Gynecology 189.569/699/792 Vienna Ring CT/MR applicator sets x x x x x

Breast 110.518 Breast CT/MR applicator set Depending on use of OncoSmart catheters or type of needles

Breast 189.006 Kuske breast applicator set x x x x

Breast 103.111 Oncosmart Introduction set x x x x x x x

Prostate, rectum & bladder 110.564/565/566/567 Luneray applicator set x x x x x x

Prostate, rectum & bladder 110.224 Intracavitary mold applicator set x x x

Prostate, rectum & bladder 083.570/571, 089.055/056 MUPIT applicator sets x x x x

Prostate, rectum & bladder 189.069 Prostate stepper Template set 5F x x x x x x x

Prostate, rectum & bladder 189.070 Prostate stepper template set 6F x x x x x x x

Skin 089.095 Freiburg Flap applicator set x x x x

Skin 085.040 Leipzig applicator set

Skin 110.820 Valencia Skin applicator set

Head & Neck 045.410 Pipard tongue template set x

Head & Neck 089.068 Rotterdam nasopharyngeal mold x

Needles various Titanium needle sets (Trocar point & round point) x x x x x x x x x x

Stainless steel needles

Needles various x x x x
(Interstitial/Trocar point/Bevel point )

Needles various ProGuide Round/Sharp needle set 5Fx240 mm x x x x x x x

Needles various ProGuide Round/Sharp needle set 6Fx200 mm x x x

Needles various ProGuide Round/Sharp needle set 6Fx240 mm x x x

Needles various ProGuide Round/Sharp needle set 6Fx294 mm x x x x x x

Flexible implant tubes various Flexible implant tubes, 5F/6F, 30 cm x x x x x x x x

Note: markers for bronchus & esophagus applicators are not included on this page as they are included in the applicator set
118 119
 Transfer tubes for Flexitron

Transfer tube set for GYN

The appropriate transfer tube set to connect a specific applicator to your Transfer
afterloader can be selected with this table. If no crossmatch is indicated in tube set Transfer tube set for metal needles Transfer tube set 4F Transfer tube set 5F Transfer tube set 6F
CT/MR Stainless Titanium for Skin
this table, it is not possible to connect that applicator and afterloader. applica- steel ap- applica-
tors plicators tors

For channel: 1-3-5 1-3-5 1-2-3 5 1-10 11-20 21-30 31-40 1-10 11-20 21-30 31-40 1-10 11-20 21-30 31-40 1-10 11-20 21-30 31-40

Part number: 111.650 111.680 137.063 111.683 111.805 111.816 111.827 111.838 111.850 111.861 111.872 111.883 137.090 137.091 137.092 137.093 137.094 137.095 137.096 137.097

Bodysite Part number Description

Gynecology 084.450 Adjustable Cervix applicator set x

Gynecology 137.206/217/218 Cervix Rotterdam applicator sets x

Gynecology 189.730 Fletcher CT/MR applicator set x

Gynecology 110.980/110.950 Fletcher CT/MR Shielded applicator set

Gynecology 085.230/260 Fletcher Williamson applicator sets x

Gynecology 110.018 Henschke titanium applicator set x

Gynecology 110.330/331/332 A01/02 Interstitial Ring CT/MR applicator sets x x x

Gynecology 085.210 Miami Vaginal applicator set x x

Gynecology 084.050 Ring applicator set x

Gynecology 101.035/060/061/062 Ring CT/MR applicator sets x

Gynecology 084.434 Rotte Endometrial applicator set x

Gynecology 084.320 Shielded Cylindrical applicator set x

Gynecology 101.020 Standard CT/MR applicator set x

Gynecology 137.400 Ti Vaginal Cylinder applicator set x

Gynecology 110.270 A01/02 Utrecht Interstitial CT/MR applicator sets x x x

Gynecology 084.350 Vaginal applicator set x

Gynecology 101.001 Vaginal CT/MR applicator set x

Gynecology 110.750 Vaginal CT/MR Multi Channel applicator set x x x

Gynecology 189.018 Vaginal mold applicator set x

Gynecology not applicable Advanced Gynecological Applicator - Venezia x x x

Gynecology 189.569/699/792 Vienna Ring CT/MR applicator sets x x x

Breast 110.518 Breast CT/MR applicator set Depending on use of OncoSmart catheters or type of needles

Breast 189.006 Kuske breast applicator set x x x x

Breast various OncoSmart catheter sets x x x x

Prostate, rectum & bladder 110.564/565/566/567 Luneray applicator set x x x x

Prostate, rectum & bladder 110.224 Intracavitary Mold applicator set

Prostate, rectum & bladder 083.570/571, 089.055/056 MUPIT applicator sets x x

Prostate, rectum & bladder 137.280 Martinez prostate template
Prostate, rectum & bladder 189.069 Prostate stepper template set 5F Depending on use of type of needles
Prostate, rectum & bladder 189.070 Prostate stepper template set 6F

Skin 089.095 Freiburg Flap applicator set x x x x

Skin 085.040 Leipzig applicator set x x

Skin 110.820 Valencia Skin applicator set x x

Head & Neck 045.410 Pipard tongue template set Depending on use of flexible implants

Head & Neck 089.068 Rotterdam nasopharyngeal Mold x

Needles various Titanium needle sets (Trocar Point) x x x x

Stainless steel needles (Interstitial/Trocar point/

Needles various x x x x
Bevel point )

Needles various ProGuide needles 5F x x x x

Needles various ProGuide needles, 6F x x x x

Flexible implant tubes various Flexible implant tubes 5F x x x x

Flexible implant tubes various Flexible implant tubes 6F x x x x

Note: bronchus & esophagus applicator sets include adapters to insert the applicator directly in the indexer

120 121
X-ray, CT and MRI Markers for microSelectron

X-ray catheter set CT marker set 200 mm CT marker set 240 mm CT marker set 294 mm
GYN X-ray
The appropriate X-ray and CT-markers for use of a specific applicator with X-ray
X-ray catheter X-ray MR line
catheter
your afterloader can be selected with this table. If no crossmatch is indicated in marker set, X-ray catheter set 30 cm X-ray catheter set 50 cm catheter marker
set 40
this table, it is not possible to connect that applicator and afterloader. set, 300 Norman 100 cm set
cm metal, 6 metal, 12 metal, 18 black, 6 black, 12 black, 18 yellow, 6 yellow, 12 yellow, 18
standard CT/MR mm Simon
USA GYN
GYN GYN markers markers markers markers markers markers markers markers markers

For channel: 1-3-5 1-9 1-9 10-18 1-18 19-30 3-11 1-9 10-18 19-30 1

Part number: 085.075 084.880 101.065 137.070 089.096 089.082 089.083 089.420 189.850 137.089 089.089 089.090 189.851 089.401 110.285 189.691 189.034 110.286 189.692 189.036 110.287 189.693 189.039 110.290

Bodysite Part number Description

Gynecology 084.450 Adjustable Cervix applicator set x x

Gynecology 089.079 Basic Norman Simon applicator set x

Gynecology 137.206/217/218 Cervix Rotterdam applicator sets x

Gynecology 189.730 Fletcher CT/MR applicator set x x

Gynecology 110.980 / 110.950 Fletcher CT/MR Shielded applicator set x x

Gynecology 085.230/260 Fletcher Williamson applicator sets x x

Gynecology 110.018 Henschke titanium applicator set x x

Gynecology 110.330/331/332 A01/02 Interstitial Ring CT/MR applicator sets x x x x x x x

Gynecology 085.210 Miami Vaginal applicator set x x x x

Gynecology 084.050 Ring applicator set x

Gynecology 101.035/060/061/062 Ring CT/MR applicator sets x x

Gynecology 084.434 Rotte Endometrial applicator set x x

Gynecology 084.320 Shielded Cylindrical applicator set x x

Gynecology 101.020 Standard CT/MR applicator set x x

Gynecology 137.400 TI Vaginal Cylinder applicator set x

Gynecology 110.270 A01/02 Utrecht Interstitial CT/MR applicator sets x x x x x x x

Gynecology 084.350 Vaginal applicator set x x

Gynecology 101.001 Vaginal CT/MR applicator set x x

Gynecology 110.750 Vaginal CT/MR Multi Channel applicator set x x x x x x x

Gynecology 189.018 Vaginal mold applicator set x x

Gynecology not applicable Advanced Gynecological Applicator - Venezia x x x x x x x

Gynecology 189.569/699/792 Vienna Ring CT/MR applicator sets x x x x x

Breast 110.518 Breast CT/MR applicator set Depending on use of OncoSmart catheters or type of needles

Breast 189.006 Kuske breast applicator set x x x x

Breast various Oncosmart catheter sets x x x

Prostate, rectum & bladder 110.564/565/566/567 Luneray applicator set x x x x x x x x x x x

Prostate, rectum & bladder 189.011 Intracavitary mold applicator set x x x

Prostate, rectum & bladder 083.570/571, 089.055/056 MUPIT applicator sets x x x x

Prostate, rectum & bladder 189.069 Prostate stepper template set 5F x x x x x x x

Prostate, rectum & bladder 189.070 Prostate stepper template set 6F x x x x x x x

Skin 089.095 Freiburg Flap applicator set x x x x

Skin 085.040 Leipzig applicator set

Skin 189.701 Valencia Skin applicator set

Head & Neck 045.410 Pipard tongue template set x

Head & Neck 089.068 Rotterdam nasopharyngeal Mold x

Needles various Titanium needle sets (Trocar Point) x x x x x x x x x x

Stainless steel needles

Needles various x x x x
(Interstitial/Trocar point/Bevel point )

Needles various ProGuide Round/Sharp needle set 5Fx240 mm x x x x x x x

Needles various ProGuide Round/Sharp needle set 6Fx200 mm x x x x x x x

Needles various ProGuide Round/Sharp needle set 6Fx240 mm x x x x x x x

Needles various ProGuide Round/Sharp needle set 6Fx294 mm x x x x x x

Flexible implant tubes various Flexible implant tubes, 5F/6F, 30 cm x x x x

Flexible implant tubes various Flexible implant tubes, 6F, 50 cm x x x

Note: markers for bronchus & esophagus applicators are not included on this page as they are included in the applicator set

122 123
 Transfer tubes for microSelectron

Transfer tube set for GYN

With this table, the appropriate transfer tube set can be selected to connect a Transfer
specific applicator to your afterloader. If no crossmatch is indicated in this table, tube set Transfer tube set for needles Transfer tube set 4F Transfer tube set 5F Transfer tube set 6F
Stainless Titanium
it is not possible to connect that applicator and afterloader. CT/MR ap- for Skin
steel ap- applica-
plicators
plicators tors

For channel: 1-3 1-3 1-2-3 3 1-9 10-18 19-30 1-9 10-18 19-30 1-9 10-18 19-30 1-9 10-18 19-30

Part number: 111.001 111.006 111.100 111.004 111.011 111.021 111.140 111.071 111.081 111.600 111.051 111.061 111.614 111.031 111.041 111.628

Bodysite Part number Description

Gynecology 084.450 Adjustable Cervix applicator set x

Gynecology 089.079 Basic Norman Simon applicator set x

Gynecology 137.206/217/218 Cervix Rotterdam applicator sets x

Gynecology 189.730 Fletcher CT/MR applicator set x

Gynecology 110.980 / 110.950 Fletcher CT/MR Shielded applicator set x

Gynecology 085.230/260 Fletcher Williamson applicator sets x

Gynecology 110.018 Henschke titanium applicator set x

Gynecology 110.330/331/332 A01/02 Interstitial Ring CT/MR applicator sets x x x

Gynecology 085.210 Miami Vaginal applicator set x

Gynecology 084.050 Ring applicator set x

Gynecology 101.035/060/061/062 Ring CT/MR applicator sets x

Gynecology 084.434 Rotte Endometrial applicator set x

Gynecology 084.320 Shielded Cylindrical applicator set x

Gynecology 101.020 Standard CT/MR applicator set x

Gynecology 137.400 Ti Vaginal Cylinder applicator set x

Gynecology 110.270 A01/02 Utrecht Interstitial CT/MR applicator sets x x x

Gynecology 084.350 Vaginal applicator set x

Gynecology 101.001 Vaginal CT/MR applicator set x

Gynecology 110.750 Vaginal CT/MR Multi Channel applicator set x x x

Gynecology 189.018 Vaginal mold applicator set x

Gynecology not applicable Advanced Gynecological Applicator - Venezia x x x

Gynecology 189.569/699/792 Vienna Ring CT/MR applicator sets x x x

Breast 110.518 Breast CT/MR applicator set Depending on use of OncoSmart or type of needles

Breast 189.006 Kuske breast applicator set x x x

Breast various OncoSmart catheter sets x x x

Prostate, rectum & bladder 110.564/565/566/567 Luneray applicator set x x x

Prostate, rectum & bladder 189.011 Intracavitary Mold applicator set x x

Prostate, rectum & bladder 083.570/571, 089.055/056 MUPIT applicator sets x x

Prostate, rectum & bladder 137.280 Martinez prostate template

Prostate, rectum & bladder 189.069 Prostate stepper template set 5F Depending on use of type of needles

Prostate, rectum & bladder 189.070 Prostate stepper template set 6F

Skin 089.095 Freiburg Flap applicator set x x x

Skin 085.040 Leipzig applicator set x x

Skin 189.701 Valencia Skin applicator set x x

Head & Neck 045.410 Pipard tongue template set Depending on use of flexible implants

Head & Neck 089.068 Rotterdam nasopharyngeal Mold x

Needles various Titanium needle sets (Trocar Point) x x x

Needles various Stainless steel needles (Interstitial/Trocar point/Bevel point) x x x

Needles various ProGuide needles 5F x x x

Needles various ProGuide needles, 6F x x x

Flexible implant tubes various Flexible implant tubes, 5F x x x

Flexible implant tubes various Flexible implant tube set, 6F x x x

Note: bronchus & esophagus applicator sets include adapters to insert the applicator directly in the indexer
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 BRACHYTHERAPY APPLICATOR AND ACCESSORY GUIDE
ABOUT ELEKTA
Elekta’s purpose is to invent and develop effective solutions for the treatment of cancer and brain disorders. Our goal
is to help our customers deliver the best care for every patient. Our oncology and neurosurgery tools and treatment
planning systems are used in more than 6,000 hospitals worldwide. They help treat over 100,000 patients every day.
The company was founded in 1974 by Professor Lars Leksell, a physician. Today, with its headquarters in Stockholm,
Sweden, Elekta employs around 4,000 people in more than 30 offices across 24 countries. The company is listed on
NASDAQ OMX Stockholm..

Art. nr. 308880 MKT [13] ©2016 Elekta AB (publ). All mentioned trademarks and registered trademarks are the property of the Elekta Group. All
rights reserved. No part of this document may be reproduced in any form without written permission from the copyright holder.