Download Product Information

Brachytherapy applicators and accessories

3

TreatmentDelivery

TreatmentPlanning

Imaging

At Nucletron, we believe that our solutions, services and extensive knowledge of precisely targeted

radiotherapy can play a vital role in the successful treatment of cancer. Our key technological advances

have resulted in an integrated package of treatment planning and delivery systems. This Nucletron

Applicator Guide provides a comprehensive overview of our applicator portfolio for brachytherapy.

Nucletron Brachytherapy Solutions With 35 years of experience, Nucletron is currently the preferred partner for about 60% of brachytherapy

institutions worldwide! Continuous research and development in close collaboration with our customers allow

us to find comprehensive and smart solutions to clinical needs, and to remain at the forefront of brachytherapy.

We continue to build on this with our global presence and an ongoing investment in brachytherapy innovation.

Nucletron Applicators Applicators are a pivotal part of Nucletron’s fully integrated solutions. With a broad portfolio of specialized

applicators, Nucletron offers a complete and customer-focused applicator range for more than 15 types of

cancer in a variety of anatomies.

Flexitron® and microSelectron® Remote Afterloading platforms Nucletron has established an unparalleled reputation for reliability, safety and performance in treatment

delivery. The groundbreaking software architecture of our remote afterloading platforms combines these

qualities with all-in-one versatility and unmatched flexibility.

Flexitron® is the newest afterloading platform in the market, offering unrivalled innovation potential.

Due to its extra source drive, it offers future possibilities for advanced brachytherapy techniques. The design

of Flexitron® was strongly driven by customer input, paying close attention to safety and quality of patient

treatment. MicroSelectron® Digital provides a platform for HDR brachytherapy that synergizes all the benefits

of a safe and reliable treatment solution, proving its worth on a daily basis in hundreds of brachytherapy

institutes around the world.

Oncentra® Brachy The Oncentra Brachy treatment planning platform enhances workflows by reducing planning time by up

to 50%, while delivering the highest levels of accuracy and confidence in treatment. Nucletron’s advanced

brachytherapy software also addresses the call for reproducibility. It leverages Applicator Modeling, allowing

automatic reconstruction of the exact applicator geometry and source path, and library plans to ensure

efficiency and consistency.

Introduction

4 5

Nucletron’s Brachytherapy Solutions 3

How to use this Applicator Guide 4

Applicator sections

Index 114

Tables for Flexitron markers and Transfer Tubes 118

Tables for microSelectron markers and Transfer Tubes 120

ContentHow to use this Applicator Guide

In this Applicator Guide, applicators are presented by body site. All body sites are easily identified by color coding.

Where a particular applicator can also be used for other body sites, a cross reference is given on the index-page at the

start of the relevant applicator section.

The applicators and accessories in this guide are designed for use with the Nucletron Flexitron® and microSelectron®

afterloaders only. Applicators and accessories that are specific to one or other afterloader are so indicated.

Corresponding transfer tubes, x-ray catheters and CT-markers per applicator (type) and afterloader can be found on

page 118 and 120.

Sterilization adviceSterilization advice provided in this document is indicative and applies to newly purchased applicators. For more

information regarding sterilization of a particular applicator, please consult the User Manual or Sterilization Advice

Chart. The latest version of this document is leading and can be downloaded from www.nucletron.com/applicators*

Safety in the Magnetic Resonance EnvironmentThe symbols shown below are used to indicate safety safety of medical devices in the Magnetic Resonance

environment.

MR Safe - an item that poses no known hazards in all MR environments.

MR Conditional - an item that has been demonstrated to pose no known hazards in a specified

MR environment with specified conditions of use (specified in the user manual).

* Register for a ‘My Nucletron’ account. The documentation can be found in the Resource Library.• Forinformationaboutapplicatorsthatarenotmentionedinthisbrochure,pleasecontactyourlocalsalesoffice.• Availabilityofproductspresentedinthisguideissubjecttolocalregulatoryapproval.

Gynecology - 6

Bronchus & Esophagus - 50

Breast - 60

Prostate, Rectum & Bladder - 68

Skin & Surface - 78

Head & Neck - 86

Pancreas & Bile Duct - 94

Needles & Flexible Implant Tubes - 98

Quality Assurance & Accessories - 108Visitwww.nucletron.com/applicatorsforthemostup-to-dateApplicatoroverview.

6 7

Cervix: Utrecht Interstitial CT/MR Applicator Set 8

Fletcher CT/MR Applicator Set 10

Cervix Rotterdam Applicator Set 12

Fletcher Williamson Applicator Sets 14

Standard CT/MR Applicator Set 16

Henschke Titanium Applicator Set 18

Interstitial Ring CT/MR Applicator Set 20

Vienna Ring CT/MR Applicator Set 22

Ring CT/MR Applicator Set 24

Ring Applicator Set 26

Adjustable Cervix Applicator Set 42

Vagina: Vaginal Mold Applicator Set 28

Vaginal CT/MR Multi Channel Applicator Set 30

Vaginal CT/MR Applicator Set 32

Ti Vaginal Cylinder Applicator Set 34

Shielded Cylindrical Applicator Set 36

Miami Vaginal Applicator Set 38

Vaginal Applicator Set 40

Endometrium: Norman Simon Applicator Set 44

Rotte Endometrial Applicator Set 46

Accessories Intrauterine Tube (4 mm) 47

MR Line Marker Set 48

Smit Sleeve 49

Alternatives for vaginal brachytherapy Section Prostate Stepper Template Set Prostate, Rectum & Bladder 72

MUPIT Applicator Set Prostate, Rectum & Bladder 74

Intracavitary Mold Applicator Set Prostate, Rectum & Bladder 76

Perineum Section MUPIT Applicator Set Prostate, Rectum & Bladder 74

GuidetoGynecologyapplicatordimensions

Ringapplicators:

Ring Tube

Intrauterine Tube

* Thedimensionsareapplicabletoallapplicators,withtheexceptionoftheCervixRotterdamApplicator. Refertorelevantpageforovoiddimensionsofthisapplicator.

Tandem&Ovoidapplicators:

Ovoid Tube

Intrauterine Tube

Ovoid Tube

Intrauterine Tube

Ovoid dimension*

xxmm

Ring dimension

xxmm

Ovoid angle

Intrauterine angle

Ring angle

Gynecology

8 9

• Canalsobeusedasastandardintracavitaryapplicator.• Asymmetricalovoidplacementispossible.• Useofneedleswithroundedtipcanreducetheriskofperforationofcriticalstructures, andisrecommendedforusewithinterstitialcervixapplicators.• Theapplicatorcanbesterilizedusingsteamsterilization.• Usermanual777.00077.

Order Information

Utrecht Interstitial CT/MR Applicator Set (6 mm)

part # 110.270A01Part Number Description

189.735 Ovoid Tube 1


189.739 IntrauterineTube15º

189.745 IntrauterineTube30º

110.240 InterstitialovoidPair15mm,15º




189.714 Insertion Tool

110.268 ObturatorsSet(Setof5)

189.751 RectalRetractor40

189.742 RectalRetractor30

189.741 FixationNutforRectalRetractor

189.722 Fixationmechanism

189.750 Fixationclip

189.930 FixationnutsSet(spare)(Setof5)

101.012 SterilizationCaps(packof50)

110.267 CervicalStopper

110.283 ScrewdriverforOvoidsandStopper

008.033 PlasticScrewM5PPSU(10pcs)

189.040 CleaningbrushSet


Utrecht Interstitial CT/MR Applicator Set (4 mm)

Part # 110.270A02

ThesameUtrechtInterstitialApplicatorSet,butfeaturingø4mmIntrauterineTubes

AccessoriesPart Number Description

110.230*ProGuideRoundNeedleSet,6Fx294mm(Setof5,singlepacked,deliveredsterile)

110.232*Guiding Tube for Ovoids (Setof5,singlepacked,deliveredsterile)

189.769 IntrauterineTube,diameter6mm,45º

110.296/298/300 IntrauterineTube,d=4mm,15°/30°/45°

110.272InterstitialOvoidSet25º(15mm,20mm,25mm,30mm)

101.031 FixationMechanismforOvoidTubes

189.566**SmitSleevesCT/MR(boxof10,l=40mm,d=9mm)

110.700 5pinsforAdjustableMechanism

189.894 SparepartsetPlasticScrewM5PPSU(10pcs)

189.724 Fixationpart1* Required for interstitial treatment. **Formoreoptions,refertolastpageoftheGynecologysection.

Utrecht Interstitial CT/MR Applicator Set

• Makingcomplextreatmentsfastandeasy• Targeteddoseoptimization• SeamlessintegrationwithOncentraBrachytreatmentplanning

Applicable body sites:

• Cervix• Endometrium

xxmm

Indication of ovoid dimensions of UtrechtInterstitialCT/MRApplicator

MR safe

Image shows the applicator with the Intrauterine Tube with 4 mm diameter.

“Combinedintracavitary/interstitialbrachytherapyforcervicalcancernotonlyprovidesthe possibilitytoincreasethetargetvolumedosebutalsotoreducethedosetoorgansatrisk”

InaJürgenliemk-Schulz UniversityMedicalCenter,Utrecht,theNetherlands

TheUtrechtInterstitialCT/MRApplicatorSethasbeenspecificallydevelopedforcombinedintracavitary/interstitialtreatmentofgynecologiccancers,withacombinationofintracavitaryandinterstitialbrachytherapy.ItsdesignisbasedontheFletcherCT/MRApplicatorSet,andusestheovoidsasatemplateforinterstitialneedleplacement.High-qualityProGuideneedlesareeasilyinsertedthroughguidingtubeswhentheapplicatorisinplace.Theinsertiondepthoftheneedlescanbecontrolledusingtheinsertiontool.Theyareindividuallylockedinplacefortreatment.Throughthecombinationofintracavitaryandinterstitialfunctionality,optimallyconformalcervicalandparametrialdosecoveragecan be achieved.

10 11

• TheseparateUtrechtInterstitialApplicatorComplementarySet(110.271)containsallcomponentstoadd interstitialfunctionalitytoaFletcherCT/MRapplicatorandtherebyupgradeittothestate-of-the-artUtrecht InterstitialCT/MRapplicator.• Asymmetricalovoidplacementispossible.• Theapplicatorcanbesterilizedusingsteamsterilization.• Usermanual090.713.

Fletcher CT/MR Applicator Set

• Optimizedfitwithpatientanatomy• CompatiblewithCTandMRimaging



Order Information

Fletcher CT/MR Applicator Set, part # 189.730Part Number Description



189.739 IntrauterineTube15°


189.783 OvoidPair15mm(half-ovoids)

189.754 OvoidPair20mm





189.742 RectalRetractor30mm

189.751 RectalRetractor40mm

189.741 FixationNutforrectalretractor


189.722 AdjustableFixingMechanism

189.750 FixationClip

198.930 Setof5fixationnuts(spare)


110.283 Screwdriverforovoidsandstopper

101.012 SterilizationCaps(packof50)


110.296/.298/.300 IntrauterineTube,d=4mm,15°/30°/45°

189.566 SmitSleevesCT/MR(boxof10)


101.031 OvoidTubeFixingMechanism

101.015 SterilizationBox

189.900 OvoidSetwithradius12.5mm(25,30,35,40mm)

189.901 OvoidSetwithradius15mm(30,35,40mm)

110.7005PinsforAdjustableMechanismofFletcherCT/MRApplicator

110.271UtrechtInterstitialApplicatorComplimentarySet,toexpandtheuseoftheFletcherCT/MRapplicatortointerstitialtreatments.

189.894 SparepartsetPlasticScrewM5PPSU(10pcs)

MR safe

xxmm

Indication of ovoid dimensions ofFletcherCT/MRApplicator

TheFletcherCT/MRApplicatorisanunshieldeddesign,usingFletcher-typedosepatterns,forthetreatmentofcervicalcancer.ItcanbeusedincombinationwithCTorMRimagingfortreatmentplanningpurposes.TheadjustablegeometryoftheFletcherCT/MRApplicatorensuresanoptimalfitwiththepatient’sanatomy.TheIntrauterineTubefeaturesacentimeterscaletocontroltheinsertiondepth.Theadjustablestoppercanbesetbetween10and80mm.

12 13

Cervix Rotterdam Applicator Set

• Fasttreatmentplanningthroughfixedgeometry• Strongandlightweightapplicator• Modulardesign


• Cervix• Endometrium• Vagina

Order Information

Cervix Rotterdam Appl. Set IU-15° titanium, part # 137.218Part Number Description

137.235 RightovoidTubeI,IU-15°(ti)

137.236 LeftovoidTubeIII,IU-15°(ti)

137.191 OvoidPair,Ø20mm,small

137.192 OvoidPair,25mm,medium

137.193 OvoidPair,30mm,large

137.230 IntrauterineTubeIIIII,IU-15°,L=30mm,(ti)



137.246 OvoidTubecouplingfor15°,forovoidsonly(ti)

137.570 Closingcaps(25/pack)

137.574 Screwdriver for ovoid screws

Accessories for 15° SetPart Number Description

137.245 Vaginalcylinderlockingpin(ti)

137.237 Vaginalcylinder&cap15°,Ø30mm,L=60mm



Cervix Rotterdam Appl. Set IU-30° titanium, part # 137.206 Part Number Description

















Cervix Rotterdam Appl. Set IU-45° titanium, part # 137.217 Part Number Description

















Accessories for all Cervix Rotterdam ApplicatorsPart Number Description

137.244 Rectalspacerlockingpin(ti)

137.243 Rectalspacer,30mmwide,5mmspacingunderovoid

137.242 Rectalspacer,30mmwide,behindovoid

137.190 MiniovoidPair,15mm

137.577 Spareovoidscrews(Setof5pcs)

189.676and following *

SmitSleevesCT/MRforTiIntrauterineTube,L=20mmandlonger,D=6mm(boxof10pcs)

*Formoreoptions,refertothelastpageofgynecologysection.

• Theapplicatorcanbesterilizedusingsteamsterilization.• Usermanual777.00114.

* Optional vaginal cylinder parts can be added to extend dosimetry reach.

xxmm

Indication of ovoid dimensions ofCervixRotterdamapplicator

ThetitaniumCervixRotterdamApplicatorhasbeendesignedtosupportfastandsafetreatmentdelivery.Theeasyandstableinsertionsystem,combinedwithitsfixedgeometry,ensurespreciseandreproduciblepositioningofthelightweightapplicator,andseamlessintegrationwithOncentraBrachy.Itcanbeeasilyre-insertedintothecervixusingtheSmitSleeve.Withtheoptionalvaginalcylinderyoucaneasilyextentthetreatmenttoincludethevaginalwallinthesame treatment fraction.

14 15

Fletcher Williamson Applicator Set

• Embeddedshieldingreducesdosetocriticalorgans



Order Information

• TheapplicatorscanbesterilizedusingsteamsterilizationandEtO.• Usermanual090.604.

ThisapplicatorisbasedonthedosimetryoftheconventionalShieldedFletcherStyleApplicator.AlightweighttungstenalloyshieldingisincorporatedintheovoidTubestoreducethedosetothebladderandrectum.Ovoidsarepositionedata60°angletothevaginalaxis.Thesetincludesminiovoidsfornarrowvaginasandthin3.2mmIntrauterineTubes.AspecificFletcherWilliamson`AsiaPacific’ApplicatorSetisavailablewhichisunshieldedandhassmallgeometryovoids.

“TheFletcherWilliamsonapplicatorisawellcrafted,precisioninstrumentwithbladderandrectalshielding. Thisinstrumentallowsustocontinueaqualitytechnicalapproachtogynecologicalbrachytherapywithhigh doseratebrachytherapy.”

J.Stitt,M.D. UniversityofWisconsin,Madison,WIUSA

Fletcher Williamson Asia Pacific Set, part # 085.260Part Number Description



084.203 OvoidPair,Mini

084.041 OvoidPair,half,unshielded

084.042 OvoidPair,20mm,Small,Unshielded

084.028 FixingMechanism,OvoidTube




084.030 CervicalStopper,Small


084.158 SterilizingCaps,3.2mm

006.182 Screwdriver


Fletcher Williamson Appl. Set, part # 085.230Part Number Description



085.231 Shielded Ovoid Tube 1

085.232 Shielded Ovoid Tube 2

084.203 OvoidPair,Mini

085.235 OvoidCapPair,20mm,Small

085.236 OvoidCapPair,25mm,Medium

085.237 OvoidCapPair,30mm,Large

084.028 FixingMechanism,OvoidTube




084.030 CervicalStopper,Small


084.158 SterilizingCaps,3.2mm(50pcs)

006.182 Screwdriver


16 17

Standard CT/MR Applicator Set

• NodistortionsonCTorMRimages• Applicatorwithfixedgeometrythatensuresreproduciblegeometry• Reproducesstandardlowdoserateisodosedistributions



Order Information

• ApplicatorcanbesterilizedusingsteamsterilizationorEtO.• Usermanual090.613.

MR safe

TheStandardCT/MRApplicatorSetisdesignedusingacompositefibertubingtoeliminatedistortiononCTorMRimages.Thisenablesconformaltreatmentplanningwiththeuseoftransverseslices.Toensureapplicatorandtreatmentintegrity,theStandardCT/MRApplicatorhasafixedgeometry.

Standard CT/MR Applicator Set, part # 101.020Quantity Part Number Description

1 101.021 Ovoid Tube 1

1 101.022 Ovoid Tube 2

1 101.023 IntrauterineTube40mm



1 101.026 OvoidPair20mm



1 101.029 RectalRetractor30mm

1 101.030 RectalRetractor40mm

1 101.031 OvoidTubeFixingMechanism

1 008.034 ScrewdriverforOvoidandStopper

1 101.012 SterilizingCaps,CT/MR

16 008.033 Ovoid Screws

1 090.613 UserManual

10 008.033 Ovoid Screws


101.015 CT-MRSterilizationBox

110.302 IntrauterineTube(4mm),l=50mm,40º

189.566 SmitSleevesCT/MR(l=40mm,d=9mm)(boxof10)

18 19

Henschke Titanium Applicator Set

• Lightweightshieldingtoreducedosetocriticalorgans• Adjustableovoidseparationandshielding



• CEmarked,notavailableforsalesintheUS.• TheapplicatorcanbesterilizedusingsteamsterilizationorEtO.• Plasticcapstoincreasethediameteroftheovoids.• Thecolpostatcapsareavailableindifferentdiameterstoreducethemucosaldose.• Theovoidassemblyisadjustableandassistsineasyinsertion.• Usermanual777.00144.

TheHenschkeTitaniumApplicatorSetisbasedontheoriginallowdosedesignbyDr.Henschke,withadditionalinputfromMemorialSloaneKetteringHospital,NewYork.TheHenschkeTitaniumApplicatorSetreproducesstandardlowdoserateGYNisodosedistributions.

Order Information

Henschke Titanium Applicator Set, part # 110.018Part Number Description

110.019 DualColpostattube

110.435 Intrauterine Tube straight

110.436 IntrauterineTube,15°



065.085 ColpostatCapØ25(pair)

065.086 ColpostatCapØ30(pair)

110.283 Screwdriverforovoidsandstopper

110.430 Cervicalstopper


20 21

Set d=34 mm, 60º (max. 9 needles), part # 110.332 A01 Part Number Description

110.352 InterstitialRingTube,diameter34mm,60º

101.051 IntrauterineTube,length20mm,60º(6mm)



101.057 RectalRetractor,60º

189.930 FixationNutsSet(spare),Setof5

101.012 SterilizationCapsCT/MR,packof50

110.268 Obturators,Setof5




• Makingcomplextreatmentsfastandeasy• Targeteddoseoptimization• DesignedtoworkwithOncentratreatmentplanningsolutions



Interstitial Ring CT/MR Applicator Set

Order Information

Interstitial Ring CT/MR Applicator Sets (6 mm)








101.012 SterilizationCapsCT/MR,packof50,50pieces





• Canalsobeusedasregularintracavitaryringapplicator.• Useofneedleswithroundedtipcanreducetheriskofperforationofcriticalstructures,andis recommendedforusewithinterstitialcervixapplicators.• Theapplicatorcanbesterilizedusingsteamsterilization.• Usermanual777.00083.

Accessories for all sets Part Number Description

110.230*ProGuideRoundNeedleSet,6Fx294mm(Setof5,singlepacked,deliveredsterile)

110.273*Guiding Tube for Ring Set for Interstitial Ring (Setof5,singlepacked,deliveredsterile)




189.566SmitSleevesCT/MRfor6mmIntrauterineTube,l=40mm,d=9mm,openended(boxof10)

189.676and following**

SmitSleevesCT/MRfor4mmIntrauterineTube,l=20mmandlonger,d=6mm(boxof10)

101.054 PerinealBar

110.305/306/307 IntrauterineTube,d=4mm,60°,L=20/40/60mm

110.290 MRLineMarkerSet* Required for interstitial treatment.**Formoreoptions,refertotheendoftheGynecologysection.

Interstitial Ring CT/MR Applicator Sets (4 mm)

ThesameInterstitialRingCT/MRApplicatorSets,featuringø4mmIntrauterineTubes

Part Number Description

110.330A02 InterstitialRingApplicatorSetd=26mm,60˚(4mm)










101.012 SterilizationCapsCT/MR,packof50





MR safe

TheInterstitialRingCT/MRApplicatorSet,basedontheRingCT/MRApplicatorSet,allowsforcombinedintracavitaryandinterstitialbrachytherapyprocedures.TheringservesasatemplatetoinsertProGuideinterstitialneedleswhentheapplicatorisinplace.Theinsertiondepthoftheneedlescanbeeasilycontrolledusingtheinsertiontool.Theneedlesareindividuallylockedinplacefortreatment.TheapplicatorisCTandMR-compatible,andenablesconformaltreatmentplanningwiththeuseoftransversalslices.TheInterstitialRingCT/MRApplicatorSetoffersaflexiblesolutiontoachieveoptimallyconformalcervicalandparametrialdosecoverage.

22 23

• Canalsobeusedasastandardintracavitaryringapplicator.• Useofneedleswithroundedtipcanreducetheriskofperforationofcriticalstructures,andisrecommended forusewithinterstitialcervixapplicators.• Non-clinicaltestinghasdemonstratedthatthetitaniumneedlesandtheneedlefixationtoolareMRConditional. Theseproductscanbescannedsafelyunderthefollowingconditions:Staticmagneticfieldupto0.23Tesla.• Theapplicatorcanbesterilizedusingsteamsterilization.• Usermanual090.720.

• Optimaldosesculptingforextendedtumorstages• Rigidneedlesandfixedapplicatorgeometry



Vienna Ring CT/MR Applicator Set

Order Information

Vienna Ring CT/MR Appl. Set 26 mm, 60°, part # 189.699Part Number Description

189.713 ViennaRingCT/MRTube,60°(for7needles)

101.051 IntrauterineTube,l=20mm,60°



101.057 RectalRetractor,60°

189.930 Setof5FixingNuts(spare)

101.012 SterilizationCaps,CT/MR,50pieces

110.720 NeedleFixationTool,d=26mm



Vienna Ring CT/MR Appl. Set 30 mm, 60°, part # 189.792 Part Number Description







101.012 SterilizationCaps,CT/MR




Vienna Ring CT/MR Appl. Set 34 mm, 60°, part # 189.569 Part Number Description







101.012 SterilizationCaps,CT/MR




Accessories Part Number Description




110.025RoundPointTi.NeedleSet,1.9mmx240mm,60°,30mm(Setof5needles)



083.252 Obturatorforneedle(l=100mm)*

089.636 HandleforObturator

189.566*SmitSleevesCT/MR(boxof10,l=40mm,d=9mm)

101.054 PerinealBar

110.305/.306/.307 IntrauterineTube,d=4mm,60°,L=20/40/60mm*Formoreoptions,refertolastpageofthegynecologysection.

TheViennaRingCT/MRApplicatorisbasedontheCT/MRRingApplicator,enhancedwiththeadditionofnineguideholesintheringTube.TheseguideholesallowplacementofinterstitialtitaniumneedlesusingtheringTubeasaneedletemplate,whilemaintainingthetreatmentchanneloftheringTube.Theadditionofinterstitialneedlesmakesitpossibletoachieveasymmetricalterationofthedosedistribution.Theneedlesareinsertedperpendiculartotheringandinparalleltothetandem.Theapplicator’splasticandcompositefibermaterialsminimizedistortiononCTorMRimaging.TheRoundPointneedleisdesignedtominimizetissuedamageandforeaseinimplantation.Thisapplicator,developedbyrenownedclinicalexperts,offersthesolutionfortreatmentofextendedtumorstageswithanoptimiseddosewithoutthelimitationcausedbyvicinityoforgansatrisk.

24 25

• Thisapplicatorcanbesterilizedusingsteamsterilization.• Usermanual090.617.

• Fixedgeometry



Ring CT/MR Applicator Set

Order Information

Ring CT/MR Applicator Set, part # 101.035Part Number Description

101.060 RingApplicatorSet,30°,CT/MR



101.038 RingTube,d=34mm,30°



101.054 PerinealBar


189.566SmitSleeveCT/MR(length=40mm,diameter=9mm)

101.054PerinealBar(forpart#101.060/.061/.062)

101.038RingTube,d=34mm,30° (forpart#101.060)

101.044RingTube,d=34mm,45°(forpart#101.061)

101.050RingTube,d=34mm,60°(forpart#101.062)

110.303/.304/.305/.306/.307

IntrauterineTube,d=4mm,l=4030°/45°/60°


110.290 MRLineMarkerSet

Ring CT/MR Applicator Set 30°, part # 101.060Part Number Description







101.012 SterilizingCapsCT/MR(packof50)

Ring CT/MR Applicator Set 45º, part # 101.061Part Number Description








Ring CT/MR Applicator Set 60º, part # 101.062Part Number Description








MR safe

Thisnon-metallicapplicatorhasbeendesignedusingcompositefibertubingtoeliminatedistortiononCTorMRimages.Thisenablesconformaltreatmentplanningwiththeuseoftransverseslices.Thisapplicatorhasbeendesignedwithafixedgeometrytoensureapplicatorandtreatmentintegrity.

“Weusetheringapplicatortomatch thedosimetryoftheStockholmbox.”

T.H.Knocke,M.D. UniversitätsklinikfürStrahlentherapie,Wien,Austria

26 27

Ring Applicator Set



TheRingApplicatorsimulatestheStockholmBoxtechniqueusingaringandarigidintrauterinetube.TheabilityoftheafterloadertoaltersourcepositionanddwelltimesenablestheapplicatortobeusedtoshapesimilardosimetrytotheFletcherorManchestertechniques.Arectalretractorcanbeusedtopushtherectal/vaginalwalltoafixeddistancefromthe source.

• ApplicatorcanbesterilizedusingsteamsterilizationandEtO.• Usermanual090.610.

Order Information

Complete Ring Applicator Set, part # 084.050Part Number Description

085.095 RingApplicatorSet,30°



084.072 Perineal bar




084.051 RingCap,d=34mm


084.056 RingTube,d=34mm,30°(forpart#085.095)



084.072 PerinealBar(alreadyincludedinpart#084.050)

189.676andfollowing*

SmitSleevesCT/MRfor4mmIntrauterineTube,length20mmandlonger,d=6mm(boxof10)

*Formoreoptions,refertolastpageofthegynecologysection.

Ring Applicator Set 30°, part # 085.095Part Number Description



084.065 IntrauterineTube,length20mm,30°



























28 29

• TheVaginalMoldChannelassembliesarereusable,andcanbesterilizedusingsteamsterilizationandEtO.• TheVaginalMoldTubesareforsingleuseonly,andcanbesterilizedusingEtO.• Usermanual090.708.

• Tailoredirradiation• Precisedosedistribution


• Vagina• Cervix

Vaginal Mold Applicator Set

Vaginal Mold Applicator Set, part # 189.018 Part Number Description

189.020 VaginalMoldChannel1Assembly



189.019 VaginalMoldTubesSet(30pieces)

084.158 SterilizingCaps(50pieces)

Order Information

TheVaginalMoldApplicatorSetwasdevelopedinclosecooperationwithCenterOscarLambretinLille,France.ItenablestheusertoapplytheFrench“moulage”,orInstitutGustaveRoussy,techniqueforafterloading.Theaimofthismethodispersonalizedirradiationwithprecisedosedistributionandgoodpatienttolerance.Thesetconsistsofthree,mechanicallycoded,stainlesssteelchannelassemblieswhichcanbeeasilyconnectedtotheflexibleVaginalMoldTubes.Theseareembeddedinthecustomizedmold.

30 31

Vaginal CT/MR Multi Channel Appl. Set, part # 110.750Part Number Description

101.002 Intravaginal Tube

110.752 Setofcylindercomponents,Ø25mm(features6surfacechannels)




Order Information


110.800*CatheterSetwithCollar6Fx293mm(deliveredsterileandforsingleuseonly)


101.003 CT/MRIntrauterineTube15°,L=40mm,Ø6mm



110.787**CTexpansionSet,featuringthintitaniumIntrauterineTubesL=40,60and80mm

110.773 PerinealBarSet

110.771 Setoffixationsscrews(5pcs)

110.778 ApplicatorClampAdapterSet

101.015 SterilizationBox* Required for use.**WhenusingTitaniumIntrauterineTubestheapplicatorisMRunsafe.

• Thecenterofthesurfacechannelsislocated5mmunderneaththecylindersurface.• Theapplicatorcanbesterilizedusingsteamsterilization.• Usermanualforapplicator777.00171.• Usermanualforcatheters777.00172.

Vaginal CT/MR Multi Channel Applicator Set

Precise Dose Delivery Solution

• Reachwhereitmattersmost• Uniquetreatmentprecision• Practicaldesign


• Vagina• Cervix• Endometrium

MR safe

ThenewVaginalCT/MRMultiChannel(VCMC)Applicatoristhefirstapplicatorforvaginalbrachytherapyinthetreatmentofendometrialandothergynecologiccancersthatfeaturescurvedtreatmentchannelsintheapplicator’stip.Bybringingdosimetrymeasurablyclosertothevaginalvault,conformityandtreatmentprecisioncanbedramaticallyimproved.Thetreatmentchannelscanalsobeloadedseparately,andaddtotheabilitytotreatmorecomplexoradvanced tumors.

Fortreatment,acatheterisinsertedintherequiredtreatmentchannelsandconnectedtotheafterloader.Thesechannelsarelocatedimmediatelyunderneaththesurfaceoftheapplicator,toprovideoptimalcontroloverthedosimetryatthetargetandaroundorgansatrisk.

TheVCMCapplicatorcanbeseamlesslyintegratedwithOncentraBrachy’sApplicatorModelingmoduleandLibraryPlans.ThecombinationoftheVCMCapplicatorwithOncentraBrachyoffersanaccurateandreproducible3Dplanningsolutionforvaginalbrachytherapy.

32 33

Vaginal CT/MR Applicator Set

• Reproducibledosimetry• Easilyadaptabletopatientanatomy


• Vagina• Cervix• Endometrium• Rectum

Complete Set, part # 101.001 Part Number Description

101.002 Vaginal Tube

101.003 ApplicatorTube15°,40mm



101.007 Setof4cylinders,20mm




101.006 Cylinderfixation

101.013 PerinealBar


Order Information



189.566 SmitSleeveCT/MR(length=40mm,diameter=9mm)


101.149 KnobPPSU**Minimumorderquantityis5pieces.

• Thisapplicatorcanbesterilizedusingsteamsterilization.• Usermanual090.612.

MR safe

TheVaginalCT/MRApplicatorSetisdesignedfortreatmentofthevaginalcuff.Thiseasytouseapplicatorisavailableindifferentcylinderdiameters,toreducethesurfacedose.Byvaryingthenumberofsegmentsofthecylinder,thelengthofthecylindercanbeadaptedtoclinicalneeds.Thenon-metallicmaterialsoftheapplicatorsetsupportitsuseincombinationwithCTandMRimagingmodalities.

34 35

Ti Vaginal Cylinder Applicator Set

• Embeddedmarkers• Strongandlightweight



Ti Vaginal Cylinder Applicator Set, part # 137.400Part Number Description

137.194 CylinderSet,d=20mm



137.416 Intra-vaginalapplicatorTube(Ti)

137.402 Intra-vaginal/intra-uterineTube,40mm(Ti)



137.401 Perineal bar 1

137.415 SpringlockTube(Ti)

137.570 Closingcaps(25pcs)

Order Information





137.573 Sterilizationtray

189.677/679/682 Smit Sleeve

• Theapplicatorcanbesterilizedusingsteamsterilization.• Usermanual777.00118.

TheTitanium(Ti)VaginalCylinderApplicatorisaneasysolutionforintracavitaryvaginaltreatments.WhenusedwithanIntrauterineTube,theVaginalApplicatoralsooffersasimplesolutionfortreatmentofthecervix,rectumorendometrium.Theembeddedtitaniummarkersinthecylindersegmentssupportvisualizationoftheinsertedapplicatorwhileminimizingcontaminationrisk.ThesetisavailableinarangeofdifferentdiametersandcurvaturesoftheIntrauterineTube,toprovideindividuallyoptimizedtreatmentoptionsanddosedistribution.

36 37

Shielded Cylindrical Applicator Set


• Vagina• Rectum Shielded Cylindrical Applicator Set, part # 084.320

Quantity Part Number Description

1 084.321 CentralTube

1 084.329 TungstenShielding,180°

2 084.328 TungstenShielding,90°

1 084.322 Cylinder,d=25mm




1 084.327 FixingNut

1 084.158 SterilizingCaps,3.2mm(50pcs)

1 084.330 SterilizationBox

• Usermanual090.609.


084.348 Plasticfiller,90°geometry

084.349 Plasticfiller,180°geometry

Order Information

TheShieldedCylindricalApplicatorisdesignedforintracavitarytreatmentsinwhichpartialshieldingisrequiredtoreducethedosetocriticalorgans.Theshieldingpositionscanbedefinedbytheuserthroughtheuseoftungstenalloysegmentswithdifferentshieldingangles.Markersindicatethepositionoftheshielding.

38 39

• ApplicatorcanbesterilizedusingEtO.• Usermanual090.601.

Miami Vaginal Applicator Set



Order Information

Miami Applicator Set, part # 085.210Part Number Description

085.211 CentralTube

084.455 Intrauterinetube,straight

084.456 Intrauterinetube,15°

084.457 Intrauterinetube,30°

085.212 Cylinder,d=30mm,withmarker

085.213 CylinderSleeve,d=35mm

085.214 CylinderSleeve,d=40mm

085.218 Coneinsert

006.182 Screwdriver

598.027 AllenKeyScrewdriver3mm





*Formoreoptions,refertotheendoftheGynecologysection.

TheMiamiVaginalApplicatorSetwasdevelopedincooperationwiththeUniversityofMiami.Theapplicatorcontains6lateraltubes,whichareequallyspacedaroundthesurfaceofthecylinderforoptimizedtreatment.

Acentraltubeanddifferentintrauterinetubesexpandthepossibletreatmentoptions.Threedifferentcurvaturesofintrauterinetubesareincludedandadjusttotheuterinelength.Thevaginalcylinderis30mmindiameterwithcylindersleevesof35and40mm.Thisenablesversatilityinthetreatmentofvaginal,cervical,uterineandrectalcarcinomas.

40 41

• ApplicatorcanbesterilizedusingsteamsterilizationandEtO.• Usermanual090.606

Vaginal Applicator Set

• Reproducibledosimetry• Easilyadaptabletopatientgeometry



Order Information

Vaginal Applicator Set, part # 084.350Part Number Description

084.002 Vaginal Tube




084.010 CylinderLockingPipe

084.351 4Cylinderparts,d=0mm,withmarker





084.089 SterilizationBox,for084.350


084.008 PerinealBar




101.149 KnobPSU



*Formoreoptions,refertotheendoftheGynecologysection.

TheVaginalApplicatorSetforintracavitarytreatmentisveryuser-friendly.Thesetisavailablewiththreedifferentlengthsandcurvaturesoftheintrauterinetubetoprovideadditionaltreatmentoptions.Thecylindersareavailableindifferentdiameterstooptimizethedosedistributionandreducethemucosaldose.

TheVaginalApplicatorcanbeusedtotreatvaginalcuff,cervix,rectumorendometriumwhenusedwithanintrauterine tube.

42 43


Adjustable Cervix Applicator Set

Other applicable body sites:

• Cervix• Endometrium• Vagina• Rectum

Order Information

Adjustable Cervix Applicator Set, part # 084.450Part Number Description

084.455 IntrauterineTube,straight

084.456 IntrauterineTube,angle15°

084.457 IntrauterineTube,angle30°





084.158 SterilisingCaps,3.2mm(packof50)

TheAdjustableCervixApplicatorforintracavitarytreatmentisveryuser-friendly.Thecylindersareavailableindifferentdiameterstooptimizethedosedistributionandreducethemucosaldose.Theintrauterinetubeisavailableinthreecurvatureswithdifferentlengths.Conjointly,thisgivesaversatileapplicatorforcervical,uterine,vaginalandrectalcancer treatment.

44 45

Norman Simon Applicator Set


• Endometrium

• Regulatoryapprovalforthisapplicatorispending.• ForusewithmicroSelectronafterloaderonly.• TheapplicatorscanbesterilizedusingEtOsterilization.Theincludedobturatorscanalsobesterilized usingsteamsterilization.

• X-Raycatheterset#089.097facilitateuseof10-18applicators.• Usermanual090.616.

TheNormanSimonApplicatorSetisintendedtoduplicatethelowdoserateHeymanPackingtechniquefortreatmentofendometrial cancer.

Order Information

Basic Norman Simon Applicator Set, part # 089.079Quantity Part Number Description

5 089.191 NormanSimonApplicator1,d=6mm









1 089.096 X-RayCatheterSet(1-9),NormanSimonApplicators


083.272 InsertionObturatorfor1.9mmNeedlex294mm

46 47

Rotte Endometrial Applicator Set

• Excellentreproducibilityofdosedistribution• Straightforwardworkflow


• Endometrium

Basic Rotte Applicator Set, 32 mm, part # 084.230Part Number Description

084.231 ApplicatorTube1,RightUterus

084.232 ApplicatorTube2,LeftUterus

084.158 SterilisingCaps,3.2mm(50pcs)

Complete Set, part # 084.434Part Number Description

084.435 BasicRotteApplicatorSet,20mm




084.158 SterilisingCaps,3.2mm(50pcs)

Accessories for Gynecology Applicators

Intrauterine Tube (4 mm)

Theø4mmIntrauterineTubesarespecificallydevelopedforusewithgynecologicCT/MRapplicators.Theirthindiameterfacilitateseasyinsertion,whiletheinnerlumenallowsuseofMRLineMarkerstovisualizeandreconstructthesourcepathonMRI.

• ø6mmSmitSleevescanbeusedwiththe4mmIntrauterineTubes.• TheIntrauterineTubescanbesterilizedusingsteamsterilizationandEtO.• Usermanual777.00088.

Intrauterine Tube for use with:

189.

730

Flet

cher

CT/

MR

Appl

icat

or

110.

270

Utr

echt

Int

erst

itia

l

CT/M

R A

pplic

ator

101.

020

Stan

dard

CT/

MR

Ap-

plic

ator

101.

035

CT/M

R R

ing

Appl

icat

or

189.

569/

699/

792

Vien

na R

ing

CT/M

R

Appl

icat

or

110.

330/

331/

332

Inte

rsti

tial

Rin

g

CT/M

R A

pplic

ator


110.296 IntrauterineTube(4mm),15ºIncl.SpecialStopper(part#110.326) x x



110.302 IntrauterineTube(4mm),l=50mm,40ºIncl.SpecialStopper(part#189.768) x

110.303 IntrauterineTube(4mm),l=40mm,30º x

110.304 IntrauterineTube(4mm),l=40mm,45º x

110.305 IntrauterineTube(4mm),l=20mm,60º x x x



OptionalRectalRetractors,foruseincombinationwithIntrauterineTube4mmandspecificapplicator

110.315 RectalRetractor30mmwithslot x x

110.335 RectalRetractor40mmwithslot x x

101.057 Rectalretractor60° x x

Nospecialrectalretractorrequired x x

TheRotteEndometrialApplicator(orRotte“Y”applicator)hasbeendevelopedwithProfessorK.RotteoftheUniversitäts-Frauenklinik,Würzburg,Germany,andisspecificallydesignedforhighdoseratetreatmentoftheendometrium.Theapplicatoriseasytoinsert,usingtwoopposedIntrauterineTubes.TheIntrauterineTubescanbelockedinpositionwithasingleaction.Oncelocked,theapplicatorhasafixedgeometrywhichprovidesenexcellentreproducibilityofthedosedistribution.TheRotteEndometrialApplicatoroffersatreatmentalternativeforthe`Heyman’packingtechnique.


48 49

MR Line Marker Set

TheMRLineMarkerisusedtomakethesourcepathofgynecologicCT/MRapplicatorsvisiblewithMR-imaging.TheLineMarker,consistingofaplastictubetobefilledwithfluid,isplacedinsidethesourcechanneloftheapplicators.ThesetcontainsfourLineMarkers.

• Deliverednon-sterileandnotfilledwithfluid.• Usermanual777.00081.

Smit Sleeve, ø 6 mm

Smit Sleeve, ø 9 mm

Smit Sleeve

TheSmitSleeveisdesignedforfractionatedendometrialtreatment.TheSmitSleeveisaplastictubewithdrainageholesthatisinsertedintothecervicalosandsuturedinplacepriortothefirsttreatment.

WiththeSmitSleevethecervixremainsdilatedforsubsequentapplicatorinsertionsthroughoutthecourseoftreatment.TheSmitSleeveprovidestissuespacingtoreducemucosaldose.Italsoactsasacervicalstopper.

• Canremaininplaceupto28days.• AllSmitSleevesareCTandMRcompatible.• Comesterilized,aresingle-packed,andforsingleuseonly.• Usermanual090.712.

Smit Sleeve, ø 6 mm (Boxes of 10)

ForIntrauterineTubesuptoø4mm


189.676 SmitSleeve,l=20mm







110.290 MRLineMarkerSet

Smit Sleeve, ø 9 mm (Box of 10)

ForIntrauterineTubesofø6mm


189.566 SmitSleeveCT/MR,l=40mm

MR safe

50 51

Bronchus Lumencath Applicator Set 52

Fritz Adjustable Intralumenal Applicator Set 54

Esophagus Bonvoisin-Gérard Esophageal Applicator Set 56

Esophageal Applicator Set 58

Alternative for Esophageal brachytherapy Fritz Adjustable Intralumenal Applicator Set 54

Bronchus & Esophagus

52 53

•Lumencathcatheterscomesterilized,aresingle-packed,andareforsingleuseonly.•Theminimumcurvatureradiusofthecathetersis20mm.•Centimeterscaleavailableoncatheterover85cmfromdistalend.•Thefixingmaskincludedcanbeusedforapplicatorimmobilization.•FormicroSelectronnotransfertubeisrequired:theapplicatorsetcontainsanadapterthatconnectsthe Lumencath catheter directly to the afterloader. • ForFlexitron,adapter#137.064isrequiredforuse.• Usermanual090.717.

Lumencath Applicator Set

• Accuratecatheterplacementthroughvisualguidance• Optimalcontroloverinsertiondepth• Cathetersdeliveredsterilizedforimmediateclinicaluse


• Bronchus• BileDuct• Bladder

Order Information for microSelectron

5F, 100 cm Set, part # 189.797Quantity Part Number Description

2 189.773 Lumencath5F,I=100cm(packof5)

10 083.029 GuideWire,l=260cm

1 089.400 X-RayCatheterSet,l=100cm

3 080.024 ApplicatorAdapter5F

1 084.099 FixingMask*Whenorderedseparatelytheminimumorderquantityis2packs.







Order Information for Flexitron


2 110.601 Lumencath5F,I=1400mm(packof5)


1 137.673 X-raycatheter1400mm-channel1




189.773 Lumencath5F,100cm(packof5)

189.774* Lumencath5F,150cm(packof5)


189.772* Lumencath6F,150cm(packof5)


137.064** Adaptorfor5Fcatheters

137.674 X-raymarker1400mm-channel2*CanonlybeusedwithmicroSelectron.**CanonlybeusedwithFlexitron.













MR safe*

TheLumencathApplicatorSetisspeciallydesignedtofitintothechannelofabronchoscopeforendobronchialbrachytherapy.TheLumencathtreatmentcathetercanthereforebepositionedintothetreatmentareaunderdirectvisualcontrol.Thelowfrictionmaterialofthecatheterallowsoptimalflexibilityduringinsertionaswellasasmoothtransferofthesourceduringtreatment.TheLumencathtreatmentcathetersareequippedwithcentimeterscalesforoptimalcontrolovertheinsertiondepth.TheLumencathApplicatorSetcanalsobeusedtotreatvariousotherbodysitesthatallowinsertionofsuchflexiblecatheters.*PleasenotethattheconnectorandfixingmaskarenotMRsafe.

54 55

• Theminimumbendingradiusis25mm.• Theflexibletreatmenttubecomessterilizedforimmediateclinicaluse.• Notransfertubeisrequired.Theapplicatorsetconnectsdirectlytotheafterloader.• ThisapplicatorsetcanonlybeusedonmicroSelectronafterloaders.• TheapplicatorsetcanbesterilizedusingEtO.• Usermanual090.636.

Order Information

100 cm Set, part # 085.009Part Number Description

089.401 X-RayCatheterno.1,100cm

084.410 FixingMaskSet

039.015 GuideWire,l=1.5m


085.028 FlexibleTube,2incisions


085.015 AdjustableIntralumenal,100cm

094.361 SterilizationAdviceChart


189.004 EsophagealFixingMaskSet

Fritz Adjustable Intralumenal Applicator Set

• ExpandableouterTubeforimmobilizationandcenteringwithinthelumen• Allowssufficientairflowaroundtheapplicatorforpatientcomfort


• Esophagus• Trachea• Bronchus(MainStem)

150 cm Set, part # 085.070Part Number Description

089.511 X-RayCatheterno.1,150cm

084.410 FixingMaskSet

039.015 GuideWire,l=1.5m




085.073 AdjustableIntralumenal,150cm


TheFritzAdjustableIntralumenalApplicatorisdesignedfortreatmentoftheesophagus,tracheaorbronchus(mainstem).Afterinsertion,theoutertubingexpandstocentertheapplicator,assistinginimmobilizationandcenteringoftheapplicatorwithinthelumen.Thepatientcanthereforebetreatedcomfortablywithsufficientairflowaroundtheapplicator.

“TheFritzAdjustableIntralumenalApplicatorwasdevelopedbecauseitwasnecessary tocentertheapplicatorwithinthemainstembronchustoavoidahighmucosaldose.”

Prof.Dr.Fritz Marienkrankenhaus,Siegen,Germany

56 57

• Notransfertubeisrequired.Theapplicatorsetconnectsdirectlytotheafterloader.• SeparateapplicatorsetsareavailableforFlexitronandmicroSelectronafterloaders.• Refertotheapplicablemanualforsterilizationadvice.• Usermanual:090.628for#085.035;777.00116for#137.258.




085.036 Treatment Tube

085.037 BougieTube,d=13mm


592.973 GuideWire,l=2m

089.401 X-RayCatheter#1,100cm

084.170 SterilizingCaps,6mm,50pieces



137.259 1400mmflexibletreatmentcatheter

137.261 BonvoisinGerardesophagealappl.,18F(Ø6mm)



137.276 ApplicatorfixationMask

137.277 Applicatorcleaningaccessories

137.279 ApplicatorMaskstrap(packof5)

Bonvoisin-Gérard Esophageal Applicator Set

• Easyapplicatorinsertionusingendoscopy• Excellentsourcecentering• Radio-opaqueapplicatormarkingassistsplacementandlocalization Accessories for microSelectron Set




Accessories for Flexitron SetPart Number Description

137.267 Applicator36F(Ø12mm)

137.270 Applicator45F(Ø15mm)

137.278 GuideWirePackof5pcs(sterile)

137.064** Adaptorfor5Fcatheters**RequiredforusewithFlexitron.

TheBonvoisin-GérardEsophagealApplicatorisdesignedtoassistinthetreatmentofanendoscopicallyobstructedesophagus.Byusingthisspecialdilationapplicatorwithtaperedflexibletipthetreatmentareacanbereachedbybouginage.Thebougietubewillalsoassistincenteringthetreatmentcatheterinternallytominimizethemucosaldose,whileensuringoptimaldepthdosepenetrationoftheesophagealwall.Radiographicmarkersonthebougietubeaidinfluoroscopicplacementandlocalizationoftheapplicator.

58 59

• Theminimumcurvatureis25mm.• Notransfertubeisrequired.Theapplicatorconnectsdirectlytotheindexer.• ThisapplicatorsetcanonlybeusedonmicroSelectronafterloaders.• TheapplicatorcanbesterilizedusingEtO.• Usermanual090.607.

Esophageal Applicator Set

• Specificouterapplicatorsurfacereducesdosetomucosa• Easyapplicatorinsertionusingfluoroscopy

Order Information

8 mm, 100 cm Set, part # 085.005Quantity Part Number Description

2 085.006 EsophagealApplicator,d=8mm,100cm

1 189.004 EsophagealFixingMaskSet

1 039.015 GuideWire,l=1.5m

1 089.401 X-RayCatheter#1,100cm

1 084.170 SterilizingCaps,6mm,50pieces

1 094.356 SterilizationAdviceChart
















085.007 Esophagealapplicator,d=8mm,150cm(forpart#085.055)




TheEsophagealApplicatorisdesignedfordirectinsertionintotheesophagus.Theapplicatorcanbepositionedorallyunderfluoroscopyorendoscopicexamination.Itisprovidedwithanadditionalouterlayertoreducethedosetotheesophagealmucosaandsupportapplicatorintegrity.

60 61

Breast Templates Breast CT/MR Template Set 62

Kuske Breast Applicator Set 64

OncoSmart Catheters OncoSmart Catheter System 66

Breast

62 63

Breast CT/MR Template Set

• Supportsoptimizedimplant:fastandeasy• Moreconvenientforthepatient• CTandMRcompatible

Order Information

Breast CT/MR Template Set, part # 110.518Part Number Set components

110.517 Adjustabletemplatebridge

110.536 Setoftemplatelevers

110.516 DoublePlane,10mmTemplatePairs,5Pairs:3-4,4-5,5-6,6-7and7-8holes.


110.520 TriplePlane,10mmTemplatePairs,4Pairs:3-4-5,4-5-6,5-6-7and6-7-8holes.


AccessoriesPart Number Set components







various* Proguideneedles5Fand6F

various* Metalneedlesø1.5andø1.9mm

various* OncoSmart catheter system* See relevant section

• ThebreastCT/MRTemplateSetcanbesterilizedusingsteamsterilization.• Usermanual777.00141.

MR safe

TheBreastCT/MRTemplateSetisdesignedtofacilitatemulti-catheterimplants,usingCTandMRimagingmodalities.Thelightweightdesignofthetemplateprovidespatientcomfortandmakeshandlingthetemplateduringtheneedleinsertionsimpleandquick.Arangeoftemplateconfigurationsareincludedintheset,offeringachoiceintemplatesthatbestfittheimplant.Eachtemplateconfigurationprovidesadosedistributionaccordingtothe‘ParisDosimetrySystem’.

64 65

Kuske Breast Applicator Set

• Designedforoptimalfitwithpatientanatomy• Optimaltargetcoverage,includingwidevolumes• Excellentdoseconformity

Order Information

Kuske Breast Applicator Set, part # 189.006Quantity Part Number Description

1 189.012 KuskeBreastTemplateSet

4 189.307 LeaderInsertionNeedle,1.5x200mm(boxof36)

1 189.231 Insertion Tool

6 189.445CT/MRFlexibleImplantTube,6F, SingleLeader,30cm(boxof36)

1 189.458 RadioLucentButtonwhite,6F(boxof72)

1 189.460 RadioLucentButtonblack,6F(boxof72)

1 189.462 RadioLucentButtonred,6F(boxof72)

1 189.464 RadioLucentButtonblue,6F(boxof72)

1 189.466 RadioLucentButtongreen,6F(boxof72)

1 189.041 CleaningBrushø3x100(Setof3)

1 189.043 CleaningBrushø6.5x100(Setof3)

1 189.367 CutterFlexibleImplants


594.456 EmergencyButtonCutter

189.468 Radio-LucentButtonyellow,6F,(boxof72)

189.470 Radio-LucentButtonbrown,6F,(boxof72)

089.420 X-RayCatheterSet,30cm(1-18)

030.100 Push-FitDisconnectionTool

089.348 KinkProtectionTubefor6FFlexible*

089.345 KinkProtectionTubeforTransferTube**Minimumorderquantityis50pieces.

Kuske Breast Template Set, part # 189.012Quantity Part Number Description

1 189.015 KuskeBreastTemplateHolder

1 189.026 LeftTemplateClamp

1 189.027 RightTemplateClamp

1 189.046 ImplantTemplate

1 189.047 TargetTemplate

1 189.048 GuidingTemplate

2* 189.222 ImplantTemplateFixationNut

2 189.223 BridgeFixationNut

2 189.224 TargetTemplateFixationNut

2 189.225 SlideFixation

2* 189.226 GuidingTemplateFixationNut

1 094.446 SterilizationAdviceChart*Whenorderedseparately,theminimumorderquantityis5pieces.

• TheKuskeBreastTemplateSetcanbesterilizedusingEtO.• Usermanual090.706.

MR safe*

TheKuskeBreastApplicatorSetwasdevelopedinclosecooperationwithDr.RobertKuske.TheadjustabletemplatewithintegratedguidingplateensuresexactplacementofneedlesandOncoSmartCathetersorFlexibleImplantTubes.Thesinglelargetemplatepairwithspecialholegeometryensuresoptimalcoverageofthecompletetargetvolume.Markersareintegratedinthetemplatetoaidtheimagingproceduresandprovidetheopportunitytooptimizepositioningofthetemplate.*PleasenotethattheconnectorandfixingmaskarenotMRsafe.

“Theapplicatorenablestheusertocreatelargevolumebreastimplants.Theadjustabletemplatehasan integratedguidingtemplatewhichensuresanexactplacementofneedlesandflexibleimplantsorOncoSmart Catheters.Alsothesinglelargetemplatehasaspecialhole-geometry.Theresultisanexcellentcoverageof thetargetvolumeandanoptimizedconformitywiththepatient‘sanatomy.”

R.KuskeM.D. ArizonaOncologyServices-Scottsdale,AZ,USA

66 67

• TheCatheterSetcontentsareforsingleuseonly,andcomesterilized,withtheexceptionofthe4FProGuide NeedlesandtheStoptags.• Setcontentsarepackedper6items,exceptfor#189.802.• Usermanual090.709.

Order Information

OncoSmart Catheter System

• Supportingoutpatienttreatments• Minimumpatientdiscomfortbetweenfractions• Quickandaccuratereconnectionforfollow-upfractions


• Breast•Head&Neck• Sarcomas• Tongue

OncoSmart Flange Molding Set, part # 189.016Quantity Part Number Description

1 189.320 FlangeMoldingTool

2 417.018 Li-ionBatteryPack

1 417.006 BatteryChargeStation

1 189.316 FlangeMoldingCutter


1 189.369 SparepartsetFlangeMoldingTool

CT/MR OncoSmart Catheter Set, part # 189.410Quantity Part Number Description

5 189.418CT/MROncoSmartCatheterSet,L=240mm(contains18Flexibleimplanttubes,4FProguideneedles(240mm),stoptags,buttons,andinsertionneedles(200mm))

1 189.016 OncoSmartFlangeMoldingSet

OncoSmart Introduction Set for microSelectron, part # 103.111Part Number Description

189.410 CT/MROncoSmartCatheterSystem

189.012 KuskeBreastTemplateSet


189.036 CT-MarkerSet,240mm,Black

030.100 PushFitDisconnectionTool

111.071 TransferTubeSetfor4FFlexible(1-9)

111.081 TransferTubeSetfor4FFlexible(10-18)

OncoSmart Upgrade Set for microSelectron, part #103.110Part Number Description




111.071 TransferTubeSetfor4F,Flexibles(1-9)

111.081 TransferTubeSetfor4F,Flexibles(10-18)

CT/MR OncoSmart Catheter SetsPart Number Description

189.416CT/MROncoSmartCatheterSet,L=240mm(contains30Flexibleimplanttubes,4FProguideneedles(240mm),stoptags,buttons,andinsertionneedles(200mm))


189.802CT/MROncoSmartCatheterSet,L=240mm,singlepackage(contains6Flexibleimplanttubes,4FProguideneedles(240mm),stoptags,buttons,andinsertionneedles(200mm))

189.801CT/MROncoSmartCatheterSet,L=200mm,forHead&Neck(contains6Flexibleimplanttubes,4FProguideneedles(200mm),stoptags,buttons,andinsertionneedles(160mm))



TheOncoSmartCatheterSystemisatreatmentsolutiondesignedforbreastirradiationinAPBISettings.Itcreatestheopportunityfortreatingpatientsonanoutpatientbasiswithminimumdiscomfortforthepatient.Treatmentcathetersareinsertedduringtheactualtreatmentonly.Betweenfractions,thetreatmentcathetersareremovedandonlyasetofflexibleguidingcathetersremainsinplacewithsmallbuttonstolocktheminthetreatmentarea.Thesebuttonsarepre-numberedforquick,accurateandeasySetupateverytreatmentfraction.Thetwo-partcatheterdesignreducestheriskofcatheterskinkingduringinsertionorbetweenfractions.

OncoSmartCatheterSetscanbeusedforothertreatmentsaswell,forexampleheadandnecktumorsandsarcoma’s.OncoSmartCatheterSetsareavailableforusewithCTandMRimagingmodalities.Thesetscontainradio-lucentbuttonsforoptimalvisualization.* Please note that the insertion needles are not MR safe.

MR safe*

68 69

Prostate Martinez Prostate Template Set 70

Prostate Stepper Template Set 72

Rectum MUPIT Applicator Set 74

Intracavitary Mold Applicator Set 76

Alternatives for rectal brachytherapy Section Prostate Stepper Template Set Prostate, Rectum & Bladder 72

Vaginal CT/MR Applicator Set Gynecology 32

Shielded Cylindrical Applicator Set Gynecology 36

Alternatives for bladder brachytherapy Lumencath Applicator Set Bronchus & Esophagus 52

Prostate, Rectum & Bladder

70 71

Martinez Prostate Template Set

• Smallultralighttemplate• Individualneedlelocksforvariousneedlesizes• Noreadjustmentsafterinsertion• Quickimplantremoval• Canbeusedwithastepperorfreehandtechnique• Notoolsneededfordisassembly

Order Information


137.286 LockInsertsSetfor5FPlasticNeedles

137.287* LockInsertsSetfor6FPlasticNeedles

137.288 LockInsertsSetfor7FPlasticNeedles

137.289 LockInsertsSetfor1.5mmMetalNeedles

137.282 TemplateHolderforRTPstepper

137.283 TemplateHolderforAccuseedstepper

137.284 TemplateHolderforD&K&CivcoclassicAccucarestepper

various** ProGuideNeedles5F

various** ProGuideNeedles6F

various** Ø1,5mmneedles

various** Ø1.9mmneedles*6FinsertscanalsobeusedforØ1.9mmmetalneedles.**SeesectionNeedles&FlexibleImplantTubes.


137.281

ProstateTemplateconsistingof:TemplateholderforRTPstepperTemplatefixationpins(2pcs)Lockinsertsfor5Fplasticneedles(pouchof20pcs)(black)

137.290 NeedleLockTool

137.285 TemplateFixationPinsSet

• TheTemplateSetcanbesterilizedusingsteamsterilization.• Usermanual777.00117.

TheMartinezBrachytherapyProstateTemplateforPDR&HDRBrachytherapyhasbeendesignedtoassistinenhancingprecision.Theultralighttemplatelockstothestepperorstabilizerduringinsertionandguidesneedlesunderultrasoundimaging.Theneedlescanbeindividuallyre-positionedandlockedfortreatment.Theindividuallockinginsertensuresthatthepositionofeachneedlewillremainunchangedwhenadjustinganotherneedle.

72 73

• Holderandgridfaceplatesneedtobeorderedseparately.• ThetemplatepartscanbesterilizedusingsteamsterilizationandEtO.• Usermanual090.699.

Prostate Stepper Template Set

• Universalgridarrayforguidanceofneedles• Allneedleslockedinasinglemovement• Lightweighttemplate• Compatiblewithawiderangeofstepperdevices


• Prostate• Vagina• Perineum•Rectum

Order Information

Complete Clinical Set 5F, part # 189.069Quantity Part Number Description

1 189.066 ProstateStepperTemplate,5F

2 189.604 OncoSmartProGuideSharpNeedleSet,5Fx240mm

Fixation PlatesPart Number Description

189.164 Setof10disposableFixationPlates,5F(5x2)

Complete clinical Set 6F, part # 189.070Quantity Part Number Description

1 189.067 ProstateStepperTemplate,6F

2 189.602 OncoSmartProGuideSharpNeedleSet,6Fx200mm

Fixation PlatesPart Number Description

189.164 Setof10disposableFixationPlates,6F(5x2)

Prostate Stepper Template Set, 5F part # 189.066Quantity Part Number Description

1 189.157 BasePlateStepper5F

1 189.160 FrontPlateStepper5F

1 189.166 FixationPlateSupportAssy

1 189.164 DisposableFixationPlates5F,10pieces

1 189.167 EccentricAxle

2 189.170 AssemblyBoltTemplate

1 189.205 AssemblyScrewdriver

1 189.173 FixationScrewdriver

1 189.041 CleaningBrushSetø3x100mm

1 189.043 CleaningBrushSetø6.5x100mm

Stepper HoldersPart Number Description

189.071 StepperHolderSet,Tayman

189.083 StepperHolderAssembly,Tayman44.5mm

189.075 StepperHolderAssembly,Tayman73.4mm

189.072 StepperHolderSet,OncoSelect

189.076 StepperHolderAssembly,OncoSelect

189.092 StepperHolderSet,B-K

189.095 StepperHolderAssembly,B&K

189.093 StepperHolderSet,Barzell-Whitmore

189.096 StepperHolderAssembly,BW-MB

Prostate Stepper Template Set, 6F part # 189.067Quantity Part Number Description

1 189.158 BasePlateStepper6F

1 189.161 FrontPlateStepper6F

1 189.166 FixationPlateSupportAssy

1 189.165 DisposableFixationPlates6F(10pcs)

1 189.167 EccentricAxle

2 189.170 AssemblyBoltTemplate

1 189.205 AssemblyScrewdriver

1 189.173 FixationScrewdriver

1 189.041 CleaningBrushSetø3x100mm

1 189.043 CleaningBrushSetø6.5x100mm

Grid Face PlatesPart Number Description

189.073 GridFacePlateSet,GE/Siemens

189.174 GridFacePlate,GE/Siemens

189.206 GridL-frameforGE/Siemens

189.074 GridFacePlateSet,B&K

189.175 GridFacePlate,B&K

189.207 GridL-frame,B&KTheProstateStepperTemplateSetprovidesahelpfulsolutionforapplyinginterstitialtechniquesinhighdoserateprostatetreatments.Thesquarelightweightsteppertemplatehasauniversalgridarrayandcanbesuturedtothepatient.Itisplacedinastepperholderandthemountedontoastepperdevice.Thestepperholderisavailableforvariousultrasoundstepperdevices.Toplacetheneedlesinthedesiredposition,gridfaceplatesmatchingtheultrasoundimagegridaremountedonthestepperholder.Theadvancedneedlefixationdesignusesaplatethatlocksallneedlesinasingleaction.TheProstateStepperTemplatecanbeusedwitheithermetalneedlesorthehigh-performanceProGuideplasticneedles.

74 75

• Onlymetalneedles(Ø1.5or1.9mm)canbeusedwiththesesets.ProGuideneedlescannotbeused.• TheapplicatorcanbesterilizedusingsteamsterilizationorEtO.• Usermanual090.629.

MUPIT Applicator Set

• Easytousetemplateforavarietyofbodysitetreatments• Needleplacementprovidesdoseoptimizationtotheareaofinterest


• Perineum• Rectum• Vagina

Order Information

Complete Set Ø 1.5 mm, part # 089.055

Complete Set Ø 1.9 mm, part # 083.570

Complete Sets consist of:

QuantityØ 1.5 mm Set

Part Number

Ø 1.9 mm Set

Part NumberDescription

1* 089.056 083.571 MUPITTemplateSubSet

35* 083.918 083.054 TrocarNeedle120mm

35* 083.922 083.058 TrocarNeedle160mm

35* 083.926 083.062 TrocarNeedle200mm

3* 089.005 083.254 Obturator120mm

3* 089.009 083.258 Obturator160mm

3* 089.013 083.262 Obturator200mm*Whenorderedseparately,theminimumorderquantityis10pieces.

Template Set Ø 1.5 mm, part # 089.056

Template Set Ø 1.9 mm, part # 083.571

Template SubSets consist of:

QuantityØ 1.5 mm Set

Part Number

Ø 1.9 mm Set

Part NumberDescription

1 045.459 083.590 BasePlate,small

1 045.457 083.588 BasePlatefiller,12mmhole

2 045.450 CoverPlatefiller,needles

1 045.449 CoverPlatefiller,8mmhole

1 045.460 083.586 RectalCylinder

2* 505.157 Screwforbaseplate

1 045.458 083.589 BasePlate,large

3 045.456 083.587 BasePlatefiller,Needles

1 045.443 CoverPlate

1 045.448 CoverPlatefiller,12mmhole

1 045.461 083.581 VaginalCylinder

3 045.171 083.289 CylinderAdapter,Needle

14 045.172 FixingScrew,CoverPlate

2* 505.154 ScrewforCylinder

2* 518.307 Screwfor045.449

1 598.026 AllenKeyScrewdriver,2.5mm

1 045.004 TorqueScrewdriver,1.27mm

35* 089.025 045.303 NeedleStopper

2 045.455 FixingScrew,for045.449*Whenorderedseparatelytheminimumorderquantityis10pieces.

TheMartinezUniversalPerinealInterstitialTemplate(MUPIT)isdesignedforinterstitialplacementofneedles(1.5mmor1.9mm)totreatcancerintheperineum,rectumorvagina.Theperipheryofthetemplatehasangledholesfortheneedlestoreachthewidesttumorspread.Rectalandvaginalcylindersareincludedtoprovidebettertemplatestabilityandadditionaltreatmentoptions.

76 77

• TheIntracavitaryMoldsaresingle-packedandforsingleuseonly.• Kinkprotectionsetsarepackedseparately,including5setsperbox.• Thereusablepartsofthisapplicatorcanbesterilizedusingsteamsterilization(at134°C/273°F).• Usermanual090.705.* Regulatoryapprovalpending.

Intracavitary Mold Applicator Set

• Fordown-sizinganddown-stagingoftumor


• Rectum



Intracavitary Mold Applicator Set, part # 189.011Part Number Description

189.094 IntracavitaryMoldSet,ø20mm(boxof5)

189.099 SupportBlock

189.256 Number Tag Ring

189.264 InsertionTool,d=4mm



089.786 Screwdriver

189.040 CleaningBrushø2.5mmx250(Setof3)

189.043 CleaningBrushø6.5mmx100(Setof3)

Intracavitary Mold Applicator Set Ft, part # 110.224*


189.094 IntracavitaryMoldSet,Ø20mm(boxof5)

189.538 KinkProtectionSet(boxof5)

189.100 CentralCatheterSet(boxof5)

189.932 ApplicatorClampandBasePlate

189.931 ApplicatorClampwithAxle

TheIntracavitaryMoldapplicatorisaninnovativesolutioninthemanagementofrectalcancers.TheIntracavitaryMoldisusedpre-operativelyintreatmentregimensaimedatreducingthetumorsize,eitherasthesolemodalityindeliveringthedesireddose,orasaboostalongsideEBRT.TheflexibilityoftheIntracavitaryMoldapplicatorassistsinadjustingtotherectalcurvature,andensurespatientcomfort.Theeightradiallydistributedtreatmentcathetersjustbelowthesurfaceofthecylinderensureperfectcoverageofthetargetvolumewhilesparingadjacenthealthytissue.TheIntracavitaryMoldapplicatorhasbeendevelopedincollaborationwithDr.T.VuongoftheMcGillUniversityHealthCenterinMontreal,Canada,insupportoftheirneoadjuvanttreatmentforpatientswithresectablerectalcancer[1],[2].[1]VuongT,etal,HighDoseRateEndorectalBrachytherapyasaNeoadjuvantTreatmentforPatientswithResectableRectalCancer.ClinOncol2007;19:701-705.

[2]Poonetal.Dosimetriccharacterizationofanovelintracavitarymoldapplicatorfor192Irhighdoserateendorectalbrachytherapytreatment.Med.Phys.2006;33:4515-4526.

78 79

Skin & Surface

Rigid Applicators Valencia Skin Applicator 80

Leipzig Applicator 82

Flexible Applicator Freiburg Flap Applicator Set 84

80 81

• Applicatorprovidedwithtwotypesoftreatmentcaps,forsimulationandfortreatment.• Applicatormustbeusedwithtreatmentcapinplace.• TheapplicatorsetcanbesterilizedusingsteamsterilizationandEtO.• Usermanual777.00237.


Valencia Skin Applicator Set, part # 189.701Quantity Part Number Description

1 189.788 ValenciaSkinApplicator,d=20mm

1 189.760 ValenciaSkinApplicator,d=30mm

2 085.115 Capwithmarkerring,d=20mm

2 085.116 Capwithmarkerring,d=30mm

2 085.118 Cap,d=20mm

2 085.119 Cap,d=30mm

1 084.158 SterilizationCaps(packof50)


189.786*WellChamberAdapterforHDR1000PLUS(StandardImaging,Middleton,Wisconsin)

189.787*WellChamberAdapterforTM33004(PTW,FreiburgGermany)

189.932 CT/MRApplicatorClampwithBaseplate

189.931 CT/MRApplicatorClampwithAxle* Required for use

Valencia Skin Applicator

• Non-invasivetreatmentmodality• Homogeneousandreproducibledosecoveragesuitableforbiggerskinlesions• Reliabletreatmentthroughsecureddistalreferencepointforthesourceintheapplicator


• Surfacetreatments

Advanced Skin Applicator Set, part # 103.118Part Number Description

085.041 LeipzigApplicatord=10mm



085.114 Cap,d=10mmwithmarkingring



085.117 Cap,d=10mm

085.118 Cap,d=20mm

085.119 Cap,d=30mm

089.095 FreiburgFlapApplicatorSet

189.701 ValenciaAplpicatorSet

ThisuniqueapplicatorisaresultofcooperationbetweentheLaFéUniversityHospital,Valencia,SpainandNucletron.ThistungstenshieldedHDRapplicatorisdesignedforsurfacelesions,utilizingacontacttreatmenttechnique.Itisequippedwithauniquefixedflatteningfilterthatwillprovideaflathomogeneousisodosepattern.Itcanbeusedforsuperficialandintra-orallesions.

82 83

• Applicatorprovidedwithdosimetryandtreatmentcaps.• Applicatormustbeusedwithtreatmentcapinplace.• ThisapplicatorisalsoavailableaspartoftheAdvancedSkinpackage#103.118.• TheapplicatorsetcanbesterilizedusingsteamsterilizationandEtO.• Usermanual777.00237.

Order Information

Leipzig Applicator Set, part # 085.040Part Number Description

085.041 LeipzigApplicator,d=10mm

085.044 LeipzigApplicatord=10mm,straight

085.114 Cap,d=10mmwithmarkerring

085.117 Cap,d=10mm




085.118 Cap,d=20mm




085.119 Cap,d=30mm


Leipzig Applicator

• Easytouse• Perfectforsuperficiallesions


• Skin&Surface• Intra-oraltreatment• VaginalCuff








085.117 Cap,d=10mm

085.118 Cap,d=20mm

085.119 Cap,d=30mm



Thisapplicatoristungstenshieldedanddesignedfortreatmentofsurfacelesions,utilizingacontacttreatmenttechnique.Itcanbeusedforsuperficialskin,intra-oralandvaginalcufflesions.Itprovidesanexcellentalternativefor orthovoltage or electron treatments.

“TheLeipzigApplicatorsweredesignedtogive theoptimumisodoseandtreattothecorrectdepth withoutcausingexcessiveskinreaction.”

Prof. Dr. Prager UniversitätLeipzig,Leipzig,Germany

84 85

• Applicableforupto28days’implantation.• Treatmentchannelsareset10mmapartfromeachother,andhavealengthof240mm.• TheFlexibleImplantTubesandbuttonscomesterilizedandareforsingle-useonly.• Usermanual090.677.

Order Information

Freiburg Flap Applicator Set, part # 089.095Part Number Description

592.976 FreiburgFlap

189.445CT/MRFlexibleImplantTube6F,singleleader,30cm(6pouchesof6pcs)

189.367 Cutter,FlexibleImplantTubes

189.458 RadiolucentButton,white(72pieces)

Freiburg Flap Applicator Set

• Adaptabletoanybodysiteororgansurface• Reproducibledosimetry


• Skin&Surface• Intra-operative








085.117 Cap,d=10mm

085.118 Cap,d=20mm

085.119 Cap,d=30mm



MR safe*

TheFreiburgFlapisaflexiblemeshstylesurfacemoldforskinorintra-operativesurfacetreatments.Itcontains36channelsforFlexibleImplantTubes.Themoldcanbeeasilyadaptedtoanyshape.Itensuresaconstantdistanceofthetreatmentcathetertotheskinof5mm,forreproducibledosimetry.Themoldprovidesanexcellentalternativefororthovoltage or electron treatments.* Please note that the obturators are not MR safe.

“Theequidistanceoftheholesguaranteesapreciseseparationofthecatheters.TheFreiburgFlap materialallowsaprecisepositioninginrespectofthetargetandverificationofthetreatmentarea.”

Dr. S. Stange AlbertLudwigsUniversität,Freiburg,Germany

86 87

Head & Neck

Nasopharynx Standard Nasopharyngeal Applicator Set 88

Rotterdam Nasopharyngeal Mold 90

Tongue Pipard Tongue Template Set 92

Alternative for Tongue brachytherapy Section OncoSmart Catheter System Breast 66

88 89

• Theballoondoesnotcomesterilizedandisforsingleuseonly.• TheapplicatorcanbesterilizedusingsteamsterilizationorEtO(085.067onlywithEtO).• Usermanual090.630.

Order Information

Complete Set, part # 085.065Quantity Part Number Description

2 085.066 StandardNasopharyngealApplicator

5 085.067 NasopharyngealBalloon

1 084.158 SterilizingCaps,3.2mm

Standard Nasopharyngeal Applicator Set

• Designedforeasyplacementwithoutgeneralanesthetic• Balloonensuresimmobilizationandreducessurfacedose

TheStandardNasopharyngealApplicatorisdesignedfortreatmentofthenasopharyngealcavity.Itcontainsanexpandableballoonthatisinflatedafterinsertionintothenasopharyngealcavity.Thisprovidesimmobilizationoftheapplicatorandensuresoptimaldosepenetration,whilereducingthesurfacedose.Theballooniseasilyinsertedintothenasopharyngealcavitywithoutgeneralanesthetic.Itisdesignedforsingleuseandcanbeexpandedtoamaximumof30mm.

90 91

Order Information


5 089.062 NasopharyngealMoldApplicator

5 089.061 NasopharyngealCatheterSet

1 089.421 X-RayCatheterno.1;30cm

1 089.422 X-RayCatheterno.2;30cm

1 594.588* K-YLubricatingGel;Tube82gr*Whenorderedseparatelytheminimumorderquantityis10pieces.

Rotterdam Nasopharyngeal Mold

• Easilyconformstoarangeofnasopharyngealcavitysizes• Dualchanneldesignforoptimizeddosedistribution• Catheterscanbeeasilyreplacedformultiplefractions

• Themoldapplicatorandcathetersetdonotcomesterilizedandareforsingleuseonly.• Theapplicatorpartscanbeprocessedusingsteamsterilization;thenasopharyngealcathetersusingEtO.• Usermanual090.678.

MR safe

TheRotterdamNasopharyngealMoldismadeofaflexiblesiliconethateasilyconformstothenasopharyngealcavity.Itconsistsoftwochannelsontheuppersurfacetooptimizethedosedistributionandreducethesurfacedose.Themoldcanremaininplaceforfractionatedtreatment,andthetreatmentcatheterscanberemovedinbetweenfractions.

“Iwantedanapplicatorthatwaseasytouse,didnotrequireageneral anestheticandthatwouldcloselyconformtothemucosaofthenasopharynx. IfounditintheRotterdamNasopharyngealApplicator.”

Prof. Dr. P. Levendag DanieldenHoedClinic,Rotterdam,theNetherlands

92 93

• TheapplicatorcanbesterilizedusingsteamsterilizationorEtO.• Usermanual090.641.

Order Information


1 045.435 AdjustableTongueTemplateholder

1 045.432 TongueTemplate,8holes,1.5mm

1 045.433 TongueTemplate,10holes,1.5mm

10 089.700 LeaderInsertionNeedle,1.5x120mm

Pipard Tongue Template Set

• Reproducibledosimetry• Guidanceduringneedle/implantTubeplacement• Immobilizationduringtreatment Accessories


089.701 LeaderInsertionNeedle,1.5x160mm

089.702 LeaderInsertionNeedle,1.5x200mm

various* FlexibleImplantTubes

various* OncoSmartCatheterSystem*Seerelevantpagesinthisguide.

ThePipardTongueTemplateSetisdesignedforaccurateplacementofneedlesandFlexibleImplantTubesinthebaseofthetongue.Avarietyoftemplateconfigurationsprovidestheoptionofdoseoptimizationtotheareaofinterest,whileareproducibledosimetrycanbeachieved.ThetemplatesetcanbeusedfortheloopingimplantationtechniquebyusingdoubleleaderFlexibleImplantTubes.

94 95

Bile Duct Arnhem Bile Duct Applicator 96

Alternative for Pancreas brachytherapy Section Arnhem Bile Duct Applicator Pancreas & Bile Duct 96

Alternative for Bile Duct brachytherapy Lumencath Applicator Set Bronchus & Esophagus 52

Pancreas & Bile Duct

96 97

• Theapplicatorsetconnectsdirectlytotheafterloader.Noseparatetransfertubeisrequired.• ThisapplicatorsetcanonlybeusedwithmicroSelectronafterloaders.• TheapplicatorcanbesterilizedusingEtOsterilization.• Usermanual090.638.

Order Information

Arnhem Bile Duct Applicator

• Availableindifferentlengthsandcanbeplacedwithinadrainagetube• Providedwithanextraouterlayertoreducethesurfacedose


• Pancreas• Intralumenal


085.001 ArnhemBileDuctApplicator,d=3,2mm,100cm

TheArnhemBileDuctApplicatorisintendedforthetreatmentofcarcinomaofthebileduct.Itisplaceddirectlywithin the drainage tube. It features an additional outer layer to reduce the surface dose. It is also suitable for other intra lumenal treatments.

98 99

Metal Interstitial Needles Metal Interstitial Needles 102

Plastic Interstitial Needles ProGuide Needles & Markers 100

Flexible Implant Tubes Flexible Implant Tubes 106

CT/MR Flexible Implant Tubes 106

Accessories for Flexible implants Emergency Button Cutter 107

Kink Protection Tubes 107

Push Fit Disconnection Tool 107

Needles & Flexible Implant Tubes

100 101

ProGuide Needles & Markers

• Flexibilityinuse• Compatiblewithstate-of-the-artimagingmodalities

ProGuide Needle Sets, 5F, SharpPart Number Description

189.604 ProGuideNeedleSet,5F,sharp,L=240mm,18needles(setcontains3pouchesof6needleseach,and6Obturators)

189.619 ProGuideNeedleBulkSet,5F,sharp,L=240mm,55needles(setcontains8pouchesof6needleseach,and7poucheswithsingle-packedneedles)

Obturators for ProGuide NeedlesPart Number Description

189.631 ObturatorBulkSet,forneedles5FandL=240mm,12Obturators



Order Information

ProGuide Needle Sets, 6F, SharpPart Number Description



110.231 ProGuideNeedleSet,6F,sharp,L=294mm,5needles(setcontains5poucheswithsingle-packedneedles)



• ProGuideneedlescomesterilized,andareforsingleuseonly.• ObturatorsmustbeplacedintheProGuideneedlepriortoinsertionforstabilityandtoavoidneedledamage. ObtuatorsdonotcomesterilizedandcanbeprocessedusingsteamsterilizationorEtO.• KinkprotectiontubesareavailableforusewithProGuideneedles.• Usermanual090.695.

ProGuide Needle Sets, 6F, RoundPart Number Description

189.608 ProGuideNeedleSet,6F,round,L=200mm,18needles(setcontains3pouchesof6needleseach,and6Obturators)

189.607 ProGuideNeedleSet,6F,round,L=240mm,18needles(setcontains3pouchesof6needleseach,and6Obturators)

110.230 ProGuideNeedleSet,6F,round,L=294mm,5needles(setcontains5poucheswithsingle-packedneedles)

189.623 ProGuideNeedleBulkSet,6F,round,L=200mm,55needles(setcontains8pouchesof6needleseach,and7poucheswithsingle-packedneedles)

189.622 ProGuideNeedleBulkSet,6F,round,L=240mm,55needles(setcontains8pouchesof6needleseach,and7poucheswithsingle-packedneedles)

OncoSmart ProGuide CT-Marker Sets (channel 1-18)Part Number Description

189.034 CT-MarkerSet200mm,Metal

189.036 CT-MarkerSet240mm,Black

189.039 CT-MarkerSet294mm,Yellow


189.691 CT-MarkerSet200mm,Metal

189.692 CT-MarkerSet240mm,Black

189.693 CT-MarkerSet294mm,Yellow


110.285 CT-MarkerSet200,Metal

110.286 CT-MarkerSet240,Black

110.287 CT-MarkerSet294,Yellow

MR safe*

TherangeofOncoSmartProGuideneedleshasbeendesignedforinterstitialapplicationsincombinationwithimage-basedplanningprotocolsusingforinstanceCTandMRimaging.Theyaremadefromahigh-qualityplasticandarespecificallydevelopedforusewithNucletronafterloaders.ProGuideneedlesareavailablewitheitherasharptiptoenableeasypenetrationoftheskinsurface,orwitharoundtipformaximumpatientsafetyduringtreatment.RigidityoftheplasticProGuideneedleiscreatedbyplacinganobturatorinsidetheneedleduringinsertion.ProGuideneedlescomesterilized,tosimplifytheworkflowintheclinic.

TheOncoSmartProGuideCT-MarkersaredesignedtoindicatethefirstsourcepositionsonCT-imagesofProGuideinterstitialneedleimplants.Themarkersfitneedlediametersfrom4Fto6Fandarekeptinplaceduringimagingbymeansofabuilt-inlockingmechanism.Themarkersarereusableandcanbeautoclaved.Eachmarkerlengthhasauniquecolor-codedknob.* Please note that the obturators are not MR safe.

102 103

Metal Interstitial Needles

• Designedforoptimalneedlerigidityandsharpnessduringinterstitialtreatments• Needletipavailableinvariousgeometriestoadapttoclinicalneeds

• Needlesaredescribedbytheiroutsidediameterandlength.• Needlesshouldbeinspectedpriortouse.Anyneedlethatisblunt,corrodedorbentshouldnotbeused.• MetalneedlescanbesterilizedusingsteamsterilizationandEtO.• Usermanual090.719.

Order Information Titanium Needle Sets

Trocar Point Needles Part Number Description

110.020TrocarPointTitaniumNeedleSet,1.9mmx200mm(Setof5needles)

110.021TrocarPointTitaniumNeedleSet,1.9mmx240mm(Setof5needles)


083.252 Obturator,l=100mm*

089.636 HandleforObturator

189.996 TitaniumNeedleStopperSet

045.004 TorqueScrewdriverforNeedleStopper

083.147 SterilizingCaps,1.9mm(50pieces)*Minimumorderquantityis10pieces.

Round Point Needles Part Number Description

110.022RoundPointTitaniumNeedleSet,1.9mmx200mm(Setof5needles)

110.023RoundPointTitaniumNeedleSet,1.9mmx240mm(Setof5needles)

Bevel point Trocar point

Interstitialneedlesareusedfortreatmentofcarcinomawherenolumenorcavityisavailable,orwhereadditionalandveryprecisetargetareacoverageisrequired.Thesemetalneedlesaredesignedtomaintaintheirrigidityandsharpnessthroughoutmultipletreatments,incombinationwiththeappropriateNucletrontemplates.Interstitialneedlesareavailableinstainlesssteelortitanium,withaneedletipthatiseitherround,bevelortrocarshaped.Theroundtipisdesignedtominimizetissuedamageandoptimizeeaseinimplantation.Thetrocarandbeveltipfacilitateinsertioninthetissue.Obturatorscanbeplacedinsidetheneedleduringinsertiontocreateadditionalrigidity.InterstitialneedlesaredirectlyconnectedtothetransfertubeoftheNucletronafterloader.TheirmaterialmakestheInterstitial needles ideal for use in combination with image guidance of the treatment. The titanium interstitial needles arespecificallydesignedforusewithCTandMR-basedimagingforvolumeandtargetdelineation,designedtominimizeartifactsontheacquiredimagesets.

104 105

• Needlesaredescribedbytheiroutsidediameterandlength.• ø1.3mmneedlescanonlybeusedwithmicroSelectron.• Needlesshouldbeinspectedpriortouse.Anyneedlethatisblunt,corrodedorbentshouldbediscarded.• MetalneedlescanbesterilizedusingsteamsterilizationandEtO.• Usermanual090.619.

Order Information Stainless Steel Needle Sets


083.147 SterilizingCaps,1.9mm(50pcs)*Whenorderedseparatelytheminimumorderquantityis100pieces.

Interstitial Needle Basic Set 1.5 mm, part # 083.900Quantity Part Number Description

20* 083.914 TrocarNeedle1.5mmx80mm



20* 083.920 TrocarNeedle,1.5mmx140mm




20* 089.001 Obturatorfor1.5mmNeedlex80mm








40* 089.025 Needlestopper1.5mm

1 083.905 SterilizationBox*Whenorderedseparatelytheminimumorderquantityis10pieces.

Interstitial Needle Basic Set 1.9 mm, part # 083.040Quantity Part Number Description















40* 083.001 StainlessSteelStopper,1.9mmNeedle


1 594.127 LidforSterilizationBox

1 083.447 SterilizationBox*Whenorderedseparatelytheminimumorderquantityis10pieces.

Order Information Stainless Steel Needle Sets, Trocar or Bevel Point

Trocar Point Needle Set, 1.3 mm øQuantity Part Number Description



10* 110.117 TrocarNeedle,1.3mmx200mm*Whenorderedseparatelytheminimumorderquantityis10pieces.


083.147 SterilizingCaps,1.9mm(50pieces)



















• Needlesaredescribedbytheiroutsidediameterandlength.• Needlesshouldbeinspectedpriortouse.Anyneedlethatisblunted,corroded,orbentshouldbediscarded.• MetalneedlescanbesterilizedusingsteamsterilizationandEtO.• Usermanual090.619.

Bevel Point Needles, 1.9 mm øPart Number Description

083.045* BevelNeedle,1.9mmx200mm*Whenorderedseparatelytheminimumorderquantityis20pieces.

106 107

Flexible Implant Tubes

TheOncoSmartFlexibleImplantTubesaredevelopedfortreatmentsthatrequireamoldablesourcepath.TheFlexibleImplantTubesareequippedwith`leaders’toruntheimplanttubethroughachannelinthetissuethatispreformedbyaleaderinsertionneedle.TheFlexibleImplantTubesareavailableinvariousconfigurations:singleleaderwithbuttonend;singleleaderwithblindend,ordoubleleader.Theycomesterilizedandreadyforimmediateclinicaluse.ToimprovevisibilityoftheFlexibleImplantTubesincombinationwithstateoftheartCTandMRimagingmodalities,dedicatedCT/MRFlexibleImplantSetsand buttons are available.


189.445 CT/MRFlexibleImplantTube,6F,Singleleader,30cm(boxof36)

189.504** FlexibleImplantTube,6F,Singleleader,50cm(boxof36)

189.502 FlexibleImplantTube,6F,Doubleleader,50cm(boxof36)

189.500 FlexibleImplantTube,6F,Blindend,50cm(boxof36)

189.510** FlexibleImplantTube,5F,Singleleader,30cm(boxof36)

189.508 FlexibleImplantTube,5F,Doubleleader,30cm(boxof36)

189.506 FlexibleImplantTube,5F,Blindend,30cm(boxof36)

189.292** Radio-opaqueButtonyellow,6F(boxof72)

189.294** Radio-opaqueButtonbrown,6F(boxof72)

189.472** Radio-opaqueButtonwhite,5F(boxof72)

189.474** Radio-opaqueButtonblack,5F(boxof72)

189.476** Radio-opaqueButtonred,5F(boxof72)

189.478** Radio-opaqueButtonblue,5F(boxof72)

189.480** Radio-opaqueButtongreen,5F(boxof72)

189.482** Radio-opaqueButtonyellow,5F(boxof72)

189.484** Radio-opaqueButtonbrown,5F(boxof72)

045.103 S.s.Button,Henschke

045.046 BevelNeedle,OpenEnd,1.5x200mm

089.021 CatheterInsertionSet,6FTrocar

089.023 CatheterInsertionSet,6FBevel


089.420 X-RayCatheterSet,30cm(1-18)


089.348 KinkProtectionTube,for6FFlexible*

089.345 KinkProtectionTube,forTransferTube**Minimumorderquantityis50pieces.**ButtonisnotCT/MRcompatible.

Flexible Implant Tube Set, 6F, 30 cm, part # 189.400*Quantity Part Number Description

2 189.300FlexibleImplantTube,6F,Singleleader,30cm(boxof36)

2 189.298FlexibleImplantTube,6F,Doubleleader,30cm(boxof36)

2 189.296FlexibleImplantTube,6F,Blindend,30cm(boxof36)

1 189.282 Radio-opaqueButtonwhite,6F(boxof72)

1 189.284 Radio-opaqueButtonblack,6F(boxof72)

1 189.286 Radio-opaqueButtonred,6F(boxof72)

1 189.288 Radio-opaqueButtonblue,6F(boxof72)

1 189.290 Radio-opaqueButtongreen,6F(boxof72)


1 189.437LeaderInsertionneedles,1.5x200mm,72needles(boxof72)

*Setcontainsnon-CT/MRcompatibleparts.

• FlexibleImplantTubescomesterilized,andareforsingleuseonly.• FlexibleImplantTubesarepackedinpouchesof6,andwith6pouchesperbox.• Buttonsarepackedinpouchesof6,andwith12pouchesperbox.• ForFlexitronafterloaders,onlyFlexibleImplantTubeswithlength≤400mmcanbeused.• Usermanual090.710.* Please note that the insertion needles are not MR safe.

CT/MR Flexible Implant Tube Set, 6F, 30 cm, part # 189.401Quantity Part Number Description

2 189.445CT/MRFlexibleImplantTube,6F,Singleleader,30cm(boxof36)

2 189.298FlexibleImplantTube,6F,Doubleleader,30cm(boxof36)

2 189.296FlexibleImplantTube,6F,Blindend,30cm(boxof36)

1 189.458 Radiolucentbuttonwhite,6F(boxof72)

1 189.460 Radiolucentbuttonblack,6F(boxof72)

1 189.462 Radiolucentbuttonred,6F(boxof72)

1 189.464 Radiolucentbuttonblue,6F(boxof72)

1 189.466 Radiolucentbuttongreen,6F(boxof72)


1 189.437 Leaderinsertionneedle,1.5x200mm

Emergency Button Cutter

EmergencyButtonCutterisdesignedtoeasilycutthroughthebuttonofaFlexibleImplantTubeinordertoremovethecatheterintactfromtheimplantsite.

Accessories for Flexible Implants

Emergency Button CutterPart Number Description


Kink Protection Tubes

TheKinkProtectionTubesaredesignedtofitovertheTransferTube,ProGuideneedle,orFlexibleImplantTubeand button during and in between treatment fractions to reducetheriskofkinking.

Kink Protection TubesPart Number Description

089.345* KinkprotectionTube,fortransferTube

089.347* KinkprotectionTube,5F

089.348* KinkprotectionTube,6F*Minimumorderquantityis50pieces.

Push Fit Disconnection ToolPart Number Description

030.100* PushFitDisconnectionToolformicroSelectron

137.099 TransferTubeUnlockToolforFlexitron*Showninpicture.

Push Fit Disconnection Tool

ThePushFitDisconnectionToolcanbeusedforquickandeasydisconnectionofImplantTubesorneedlesfromthe Transfer Tubes.

MR safe*

108 109

Source Position Check Ruler 110

Source Position Simulator 110

CT/MR Applicator Clamp 111

Patient Belt Coupling (PBC) 112

Quality Assurance & Accessories

110 111

• ItisrecommendedtostoreGAFCHROMIC®filminthedarkuntiluse.

Order Information

For microSelectron Part Number Description

096.035SourcePositionCheckRuler(including2GAFCHROMIC®filmstrips)

For Flexitron Part Number Description

136.196 3-ChannelSourcePositionCheckRuler


111.094* Source Position Simulator **ForusewithmicroSelectrononly


096.271A10 GAFCHROMIC®filmstrip(boxof10)

Source Position Check Ruler

TheSourcePositionCheckRulerisdesignedforverificationofthecorrecttreatmentpositionofthesourcesandcheckcable,andofthelengthofeachofthetransfertubes.ItcanbeusedwitheitherthemechanicalindicatororGAFCHROMIC®filmstrip,amethodthatenablesinstantloggingoftheresultofthemeasurement.

TheSourcePositionCheckRulerhasembeddedmarkersthatallowmultiplemeasurementsandserveasreferencetovalidatecorrectpositioningoftheGAFCHROMIC®filmstrip.Thefilmsaretransparentforeasydigitizingorscanning,andareself-developing.

Quality Assurance for Source Positioning CT/MR Applicator Clamp

Source Position Simulator

The Source Position Simulator is designed to determine thedistalreferencelengthofanapplicator,andtodeterminethetreatmentareaunderfluoroscopy.

• ThebaseplateisX-Raytranslucent.• Allclampcomponentscanbesterilizedusingsteamsterilization.

CT/MR Applicator Clamp with base plate, # 189.932Quantity Part Number Description

1 189.933 FixationPart

1 189.934 Baseplate

4 189.968 InsertsØ3mm(titaniumcoloured)

4 189.950 InsertsØ6mm(whitecoloured)

4 189.969 InsertsØ12mm(blackcoloured)


189.981 Setof4insertsØ3mm(titaniumcolored)

189.980 Setof4insertsØ6mm(whitecolored)

189.982 Setof4insertsØ12mm(blackcolored)

189.952 SpareApplicatorFixationKnob(small)

189.959 SpareClampFixationKnob(large)

CT/MR Applicator Clamp with Axle, # 189.931Quantity Part Number Description

1 189.933 FixationPart

1 189.935 Axle

4 189.968 InsertsØ3mm(titaniumcoloured)

4 189.950 InsertsØ6mm(whitecoloured)

4 189.969 InsertsØ12mm(blackcoloured)

• Canbeusedwithvariousimagingmodalities• Accurateapplicatorfixation• Easytouse

TheCT/MRApplicatorClampisdesignedforfixationofapplicatorstoapatienttreatmenttableorpatientbed.ItiscompatiblewithuseofCTandMRimaging.Withoneknoballvariablessuchaslength,rotation,slopingandangleoftheinsertedapplicatorcanbefixed.Forfixationoftheapplicatoritself,variousinsertsareprovidedthatallowfittingallavailableNucletronapplicatorswithintheclamp.Theentireassemblyrequiresnooil,andcaneasilybetakenapartforcleaningpurposes.TheCT/MRApplicatorClampcanbeattachedtoabaseplateforimmobilizationinanyhospitalbedortheclampcanbemountedonanaxleinordertoattachtheclamptoforexampleahospitalbedIBUtableetc.

MR conditional

112 113

Coupling Transfer Tube Sets Part Number Description

111.420 CouplingTransferTubeSet(channel1-18)

111.520 CouplingTransferTubeSet(channel19-30)

111.440 CouplingTransferTubeSetforNeedles(channel1-18)

111.535 CouplingTransferTubeSetforNeedles(channel19-30)

111.500CouplingTransferTubeSetfor4FFlexibleImplantTubes(channel1-18)





Accessories for PBC SetsPart Number Description

030.100 PushFitDisconnectiontool*

111.381 GYNPBCtransferTubekeyedforchannel1




079.087 QuickreleasecouplingSet*forusewithFlexibleImplantTubesonly.

PBC Set for Needles and Flexibles, part # 111.379 Part Number Description

030.299 PatientWaistBeltSet

111.440 CouplingTransferTubeSetforNeedles(1-18)

111.480 CouplingTransferTubeSet6FFlexibles(1-18)

079.087 QuickReleaseCouplingSet

111.420 CouplingTransferTubeSet

PBC Set for Gynecologic Applicators, part # 111.380 Part Number Description

032.345 PatientLegBeltSet

111.421 CouplingTransferTubeno.1




111.381 Gyn.TransferTube,ch1



PBC Set for Flexible Implant Tubes, part # 111.385 Quantity Part Number Description

1 030.299 PatientWaistBeltSet

1 111.480 CouplingTransferTubeSet6FFlexibles(1-18)

1 079.087 QuickReleaseCouplingSet

1 111.420 CouplingTransferTubeSet

PBC Set for Interstitial Needles, part # 111.386 Part Number Description

030.299 PatientWaistBeltSet

111.440 CouplingTransferTubeSetforNeedles(1-18)


111.420 CouplingTransferTubeSet

PatientBeltCouplingSets,featuringtheQuickReleaseCouplingdevice,aredesignedtosupportauser-friendlyfixationoftransfertubesandapplicatorcomponents.TheQuickReleaseCouplingenablesapatienttobeconnectedanddisconnectedfromtheafterloaderinaquickandeasyway.DedicatedtransfertubesareconnectedtoseparatepartsoftheQuickReleaseCouplingandsimilarlytothepatientandtheafterloader.ThepatientconnectorpartoftheQuickReleaseCouplingisfixedinpositionusingapatientbelt.Withalltransfertubesinplaceonthepatientandontheafterloaderside,theseparatepartsoftheQuickReleaseCouplingareconnectedordisconnectedbyaonesimpletwist.CompletePatientBeltCouplingSetsforvarioustypesofapplicatorsareavailable.

Patient Belt Coupling (PBC)*

* AvailableonlyforusewithmicroSelectronafterloader.

114 115

A Accessories 108

Adjustable Cervix Applicator 42

Arnhem Bile Duct Applicator 96

B Bevel Point Needles 105

Bile Duct 94

Bladder 68

Bonvoisin-Gérard Esophageal Applicator Set 56

Breast 60

Breast CT/MR Template Set 62

Bronchus 50

C Cervix Rotterdam Applicator Set 12

CT/MR Applicator Clamp 111

E Emergency Button Cutter 107

Esophagus 50

Esophageal Applicator Set 58

F Fletcher Williamson Applicator Sets 14

Fletcher CT/MR Applicator Set 10

Flexible Implant Tubes 106

Freiburg Flap Applicator Set 84

Fritz Adjustable Intralumenal Applicator Set 54

G Gynecology 6

H Head & Neck 86

Henschke Titanium Applicator Set 18

Index

116 117

I Interstitial Ring CT/MR Applicator Set 20

Intracavitary Mold Applicator Set 76

Intrauterine Tube (d=4 mm) 47

K Kink Protection Tubes 107

Kuske Breast Applicator Set 64

L Leipzig Applicator 82

Lumencath Applicator Set 52

M Martinez Prostate Template Set 70

Metal Interstitial Needles 102

MR Line Marker Set 48

Miami Vaginal Applicator Set 38

MUPIT Applicator Set 74

N Needles & Flexible Implant Tubes 98

Norman Simon Applicator Set 44

O OncoSmart Catheter System 66

OncoSmart ProGuide CT-Marker Sets 101

P Pancreas 94

Patient Belt Coupling 112

Pipard Tongue Template Set 92

ProGuide Needles & Markers 104

Prostate 68

Prostate Stepper Template Set 72

Push Fit Disconnection Tool 107

Q Quality Assurance & Accessories 108

Quality assurance for source positioning 110

R Rectum 68

Ring Applicator Set 26

Ring CT/MR Applicator Set 24

Rotte Endometrial Applicator Set 46

Rotterdam Nasopharyngeal Mold 90

S Shielded Cylindrical Applicator Set 36

Skin & Surface 78

Smit Sleeve 49

Source Position Check Ruler 110

Source Position Simulator 110

Standard CT/MR Applicator Set 16

Standard Nasopharyngeal Applicator Set 88

T Ti Vaginal Cylinder Applicator Set 34

U Utrecht Interstitial CT/MR Applicator Set 8

V Vaginal Applicator Set 40

Vaginal CT/MR Applicator Set 32

Vaginal CT/MR Multi Channel Applicator Set 30

Vaginal Mold Applicator Set 28

Valencia Skin Applicator 80

Vienna Ring CT/MR Applicator Set 22

118 119

X-ray, CT and MRI Markers for Flexitron

The appropriate X-ray and CT-markers for use of a specific applicator with your afterloader can be selected with this table. If no crossmatch is indicated in this table, it is not possible to connect that applicator and afterloader.

X-Ray Catheter Set CT/MR GYN (for Flexitron)

X-Ray Catheter Set GYN SS (for Flexitron)

GYN X-ray Marker Set

X-Ray Catheter Set 30 cm X-Ray Catheter Set 50 cm

CT Marker Set 200 mm CT Marker Set 240 mm CT Marker Set 294 mmMR Line Marker Setmetal, 6

markersmetal, 12 markers

metal, 18 markers

black, 6 markers

black, 12 markers

black, 18 markers

yellow, 6 markers

yellow, 12 markers

yellow, 18 markers

Forchannel: 1-3-5 1-9 10-18 1-18 19-30 1-9 10-18 19-30

Partnumber: 110.400 110.570 137.070 089.082 089.083 089.420 189.850 089.089 089.090 189.851 110.285 189.691 189.034 110.286 189.692 189.036 110.287 189.693 189.039 110.290

Bodysite Part number Description

Gynecology 084.450 AdjustableCervixApplicatorSet x

Gynecology 137.206/217/218 CervixRotterdamApplicatorSets x

Gynecology 189.730 FletcherCT/MRApplicatorSet x x

Gynecology 085.230/260 FletcherWilliamsonApplicatorSets x

Gynecology 110.018 HenschkeTitaniumApplicatorSet x

Gynecology 110.330/331/332A01/02 InterstitialRingCT/MRApplicatorSets x x x x x x x

Gynecology 085.210 MiamiVaginalApplicatorSet x x

Gynecology 084.050 RingApplicatorSet x

Gynecology 101.035/060/061/062 RingCT/MRApplicatorSets x x

Gynecology 084.434 RotteEndometrialApplicatorSet x

Gynecology 084.320 ShieldedCylindricalApplicatorSet x

Gynecology 101.020 StandardCT/MRApplicatorSet x x

Gynecology 137.400 TIVaginalCylinderApplicatorSet x

Gynecology 110.270A01/02 UtrechtInterstitialCT/MRApplicatorSets x x x x x x x

Gynecology 084.350 VaginalApplicatorSet x

Gynecology 101.001 VaginalCT/MRApplicatorSet x x

Gynecology 110.750 VaginalCT/MRMultiChannelApplicatorSet x x x x x x x

Gynecology 189.018 VaginalmoldApplicatorSet x

Gynecology 189.569/699/792 ViennaRingCT/MRApplicatorSets x x x x x

Breast 110.518 BreastCT/MRApplicatorSet DependingonuseofOncoSmartcathetersortypeofneedles

Breast 189.006 KuskeBreastApplicatorSet x x x x

Breast 103.111 Oncosmart Introduction Set x x x

Prostate,rectum 189.011 IntracavitaryMoldApplicatorSet

Prostate,rectum 083.570/571,089.055/056 MUPITApplicatorSets x x x x

Prostate,rectum 189.069 ProstateStepperTemplateSet5F x x x x x x x


Skin 089.095 FreiburgFlapApplicatorSet x x x x

Skin 085.040 LeipzigApplicatorSet

Skin 189.701 ValenciaSkinApplicatorSet

Head&Neck 045.410 PipardTongueTemplateSet x

Head&Neck 089.068 RotterdamNasopharyngealMold x

Head&Neck 085.065 StandardNasopharyngealApplicatorSet x

Needles various TitaniumNeedleSets(TrocarPoint) x x x x x x x x x x

Needles various Stainlesssteelneedles(Interstitial/Trocarpoint/Bevelpoint) x x x x

Needles various ProGuideRound/SharpNeedleSet5Fx240mm x x x x x x x

Needles various ProGuideRound/SharpNeedleSet6Fx200mm x x x

Needles various ProGuideRound/SharpNeedleSet6Fx240mm x x x

Needles various ProGuideRound/SharpNeedleSet6Fx294mm x x x x x x

FlexibleImplantTubes various FlexibleImplantTubes,5F/6F,30cm x x x x

Note: *MarkersforBronchusandEsophagusapplicatorsareincludedintheapplicatorSet

Transfer Tubes for Flexitron

The appropriate Transfer Tube Set to connect a specific applicator to your afterloader can be selected with this table. If no crossmatch is indicated in this table, it is not possible to connect that applicator and afterloader.

Transfer Tube Set for GYNTransfer Tube Set for Skin

Transfer Tube Set for Metal needles Transfer Tube Set 4F Transfer Tube Set 5F Transfer Tube Set 6FCT/MR ap-plicators

Stainless steel ap-plicators

Titanium applicators

Forchannel: 1-3-5 1-3-5 1-3-5 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

Partnumber: 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




Gynecology 189.730 FletcherCT/MRApplicatorSet x



Gynecology 110.330/331/332A01/02 InterstitialRingCT/MRApplicatorSets x x x



Gynecology 101.035/060/061/062 RingCT/MRApplicatorSets x



Gynecology 101.020 StandardCT/MRApplicatorSet x

Gynecology 137.400 TiVaginalCylinderApplicatorSet x

Gynecology 110.270A01/02 UtrechtInterstitialCT/MRApplicatorSets x x x


Gynecology 101.001 VaginalCT/MRApplicatorSet x

Gynecology 110.750 VaginalCT/MRMultiChannelApplicatorSet x x x


Gynecology 189.569/699/792 ViennaRingCT/MRApplicatorSets x x x



Breast various OncoSmartCatheterSets x x x x

Prostate,rectum 189.011 IntracavitaryMoldApplicatorSet

Prostate,rectum 083.570/571,089.055/056 MUPITApplicatorSets x x

Prostate,rectum 189.069 ProstateStepperTemplateSet5F x x



Skin 085.040 LeipzigApplicatorSet x x


Head&Neck 045.410 PipardTongueTemplateSet DependingonuseofFlexibleImplants


Head&Neck 085.065 StandardNasphharyngealApplicatorSet x

Needles various TitaniumNeedleSets(TrocarPoint) x x x x


Needles various ProGuideNeedles5F x x x x

Needles various ProGuideNeedles,6F x x x x

FlexibleImplantTubes various FlexibleImplantTubes5F x x x x

FlexibleImplantTubes various FlexibleImplantTubes6F x x x x

Note *Bileduct,BronchusandEsophagusapplicatorSetsincludeadapterstoinserttheapplicatordirectlyintheindexer

120 121

Transfer Tubes for microSelectron

With this table, the appropriate Transfer Tube Set can be selected to connect a specific applicator to your afterloader. If no crossmatch is indicated in this table, it is not possible to connect that applicator and afterloader.

Transfer Tube Set for GYNTransfer Tube Set for Skin

Transfer Tube Set for Needles Transfer Tube Set 4F Transfer Tube Set 5F Transfer Tube Set 6FStainless steel ap-plicators

CT/MR ap-plicators

Titanium applicators

Forchannel: 1-3 1-3 1-3-5 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

Partnumber: 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



Gynecology 089.079 BasicNormanSimonApplicatorSet x


Gynecology 189.730 FletcherCT/MRApplicatorSet x



Gynecology 110.330/331/332A01/02 InterstitialRingCT/MRApplicatorSets x x x



Gynecology 101.035/060/061/062 RingCT/MRApplicatorSets x



Gynecology 101.020 StandardCT/MRApplicatorSet x

Gynecology 137.400 TiVaginalCylinderApplicatorSet x

Gynecology 110.270A01/02 UtrechtInterstitialCT/MRApplicatorSets x x x


Gynecology 101.001 VaginalCT/MRApplicatorSet x

Gynecology 110.750 VaginalCT/MRMultiChannelApplicatorSet x x x


Gynecology 189.569/699/792 ViennaRingCT/MRApplicatorSets x x x

Breast 110.518 BreastCT/MRApplicatorSet DependingonuseofOncoSmartortypeofneedles

Breast 189.006 KuskeBreastApplicatorSet x x x

Breast various OncoSmartCatheterSets x x x

Prostate,rectum 189.011 IntracavitaryMoldApplicatorSet x x

Prostate,rectum 083.570/571,089.055/056 MUPITApplicatorSets x x



Skin 089.095 FreiburgFlapApplicatorSet x x x

Skin 085.040 LeipzigApplicatorSet x x

Skin 189.701 ValenciaSkinApplicatorSet x x

Head&Neck 045.410 PipardTongueTemplateSet DependingonuseofFlexibleImplants


Head&Neck 085.065 StandardNasphharyngealApplicatorSet x

Needles various TitaniumNeedleSets(TrocarPoint) x x x

Needles various Stainlesssteelneedles(Interstitial/Trocarpoint/Bevelpoint) x x x

Needles various ProGuideNeedles5F x x x

Needles various ProGuideNeedles,6F x x x

FlexibleImplantTubes various FlexibleImplantTubes,5F x x x

FlexibleImplantTubes various FlexibleImplantTubeSet,6F x x x

Note *Bileduct,BronchusandEsophagusapplicatorSetsincludeadapterstoinserttheapplicatordirectlyintheindexer

X-ray, CT and MRI Markers for MicroSelectron

The appropriate X-ray and CT-markers for use of a specific applicator with your afterloader can be selected with this table. If no crossmatch is indicated in this table, it is not possible to connect that applicator and afterloader.

X-Ray Catheter Set, Standard GYN

X-ray Catheter Set, USA GYN

X-Ray Catheter Set CT/MR GYN

GYN X-ray Marker Set, 300 mm

X-ray Catheter Set, Norman Simon

X-Ray Catheter Set 30 cm X-Ray Catheter Set 50 cmX-Ray Catheter 100 cm

CT Marker Set 200 mm CT Marker Set 240 mm CT Marker Set 294 mmMR Line Marker Setmetal, 6

markersmetal, 12 markers

metal, 18 markers

black, 6 markers

black, 12 markers

black, 18 markers

yellow, 6 markers

yellow, 12 markers

yellow, 18 markers

Forchannel: 1-3-5 1-9 1-9 10-18 1-18 19-30 1-9 10-18 19-30 1

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


Gynecology 084.450 AdjustableCervixApplicatorSet x x

Gynecology 089.079 BasicNormanSimonApplicatorSet x


Gynecology 189.730 FletcherCT/MRApplicatorSet x x

Gynecology 085.230/260 FletcherWilliamsonApplicatorSets x x

Gynecology 110.018 HenschkeTitaniumApplicatorSet x x

Gynecology 110.330/331/332A01/02 InterstitialRingCT/MRApplicatorSets x x x x x x x

Gynecology 085.210 MiamiVaginalApplicatorSet x x x x


Gynecology 101.035/060/061/062 RingCT/MRApplicatorSets x x

Gynecology 084.434 RotteEndometrialApplicatorSet x x

Gynecology 084.320 ShieldedCylindricalApplicatorSet x x

Gynecology 101.020 StandardCT/MRApplicatorSet x x

Gynecology 137.400 TIVaginalCylinderApplicatorSet x

Gynecology 110.270A01/02 UtrechtInterstitialCT/MRApplicatorSets x x x x x x x

Gynecology 084.350 VaginalApplicatorSet x x

Gynecology 101.001 VaginalCT/MRApplicatorSet x x

Gynecology 110.750 VaginalCT/MRMultiChannelApplicatorSet x x x x x x x

Gynecology 189.018 VaginalmoldApplicatorSet x x

Gynecology 189.569/699/792 ViennaRingCT/MRApplicatorSets x x x x x



Breast various OncosmartCatheterSets x x x

Prostate,rectum 189.011 IntracavitaryMoldApplicatorSet x

Prostate,rectum 083.570/571,089.055/056 MUPITApplicatorSets x x x x




Skin 085.040 LeipzigApplicatorSet


Head&Neck 045.410 PipardTongueTemplateSet x


Head&Neck 085.065 StandardNasopharyngealApplicatorSet x x

Pancreas&BileDuct 085.001 ArnhemBileDuctApplicator x

Needles various TitaniumNeedleSets(TrocarPoint) x x x x x x x x x x





Needles various ProGuideRound/SharpNeedleSet6Fx294mm x x x x x x

FlexibleImplantTubes various FlexibleImplantTubes,5F/6F,30cm x x x x

FlexibleImplantTubes various FlexibleImplantTubes,6F,50cm x x x

Note: *MarkersforBronchusandEsophagusapplicatorsareincludedintheapplicatorSet

Doc

umen

t No.

308

.880

MKT

-[08

] ©20

12 E

lekt

a. A

ll m

enti

oned

trad

emar

ks a

nd r

egis

tere

d tr

adem

arks

are

the

prop

erty

of

the

Elek

ta G

roup

. All

righ

ts r

eser

ved.

N

o pa

rt o

f th

is d

ocum

ent m

ay b

e re

prod

uced

in a

ny fo

rm w

itho

ut w

ritt

en p

erm

issi

on fr

om th

e co

pyri

ght h

olde

r. Sp

ecifi

cati

ons

subj

ect t

o ch

ange

wit

hout

not

ice.

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

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

[email protected]

Nucletron BV PO Box 930, 3900 AX Veenendaal, The Netherlands

Tel +31 (0)318 557 133 Fax +31 (0)318 550485

[email protected]

Corporate Head Office: Manufacturer:

Asia Pacific

Tel +852 2891 2208 Fax +852 2575 7133

[email protected]

www.nucletron.com | www.elekta.com Human Care Makes the Future Possible

North America

Tel +1 770 300 9725 Fax +1 770 448 6338

[email protected]

Regional Sales, Marketing and Service:

Europe, Middle East, Africa, Eastern Europe, Latin America

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

[email protected]

Committed to Brachytherapy

Nucletron,anElektacompany,istheworld-leaderin state-of-the-artbrachytherapysolutionsforcancertreatment.With35yearsofexperience,wearethepreferredpartnerforbrachytherapyinmorethan 1,500institutionsworldwide.Wecontinueourcommitmentwithmorethan500employeesdedicatedtobrachytherapy,aglobalpresenceinmorethan100countries and an ongoing investment in innovation.

Ahumancarecompany,Elektapioneerssignificantinnovations and clinical solutions for treating cancer andbraindisorders.Elektaprovidesintelligentandresource-efficienttechnologiesthatimprove,prolong andsavepatientlives.Wegobeyondcollaboration seekinglong-termrelationshipsbuiltontrustwith asharedvision,offeringconfidencetohealthcareprovidersandtheirpatients.

Documents

Download Product Information