Freedom Total Body Precision Patient Immobilization System, for SRS, SBRT and more www.cdrsys.ca Reference Guide Freedom Total Body Precision Patient Immobilization System, for SRS, SBRT and more ARMS UP CONFIGURATION ARMS DOWN CONFIGURATION A I F G E D C D B E H H A Handles H G B Indexable Module for Arms Up/Back Position C Module attachment area D Indexable Compression Bridge E Filler Modules | Integrated table pads, removable for Indexing a Vacuum Lock Cushion F Carbon Fiber Base H A B C E F E J Indexable Module for Leg & Knee positioning H Indexing Bars I Indexable Module for Foot Positioning J CFJ02 Clamp A Carbon Fiber Base B Filler Modules | Integrated table pads, removable for Indexing of Vacuum Lock Cushion C Indexable Module for Leg & Knee positioning D Indexable Module for Foot Positioning E Indexing Bars F Indexable Handles Freedom Total Body Precision Patient Immobilization System, for SRS, SBRT and more Arms Up Module (AU-3) 1 INSTRUCTIONS FOR USE 2 GENERAL PRODUCT INFORMATION The product referred to in this reference guide is used for patient positioning in radiation therapy. PRECAUTIONS FOR USE The LB-SBRT system is designed to index directly onto various treatment couches using standard indexing positions and standard indexing bars for locations outside of the treatment beam and CDR Carbon Fiber indexing bars for locations inside the treatment beam. Patient position is optimized by adjusting Foot and knee modules on treatment couch then indexed in this position using the indexing location of each module. #3 positioning showing 3 Setup position and modules used can be noted on Sim setup sheet for the LB-SBRT system. Secure with CFJ02 Clamp After the device is setup and indexed in the desired position place a clean sheet over the device and the modules, this ensures a clean device from patient to patient. DO NOT use with only the indexing pins locked into the #3 position of the Module attachment area, Apply the CFJ02 Clamp to secure the AU-# in place. Place a clean sheet over the device and the modules, this ensures a clean device from patient to patient. MECHANICAL PROPERTIES The LB-SBRT system is manufactured form Carbon Fiber and epoxy resin with a low density foam core. The modules are manufactured from PU foam with Vinyl coating. This combination results in a rigid radio translucent patient setup system with multiple patient setup options. STORAGE Always store the product in a safe place to prevent it from getting damaged. Store flat with top or patient side facing up or on wall using CDR Systems wall mount for the LB-SBRT system. This will ensure damage does not occur to the clamping system or the positioning dowels. Do not put heavy objects on the base or modules and prevent hard objects from falling onto it, because these can cause permanent deformations. For MR safe versions of these devices contact your sales representative GENERAL PRODUCT INFORMATION The product referred to in this reference guide is used for patient positioning in radiation therapy. PRECAUTIONS FOR USE The AU-3 Arms up Module is designed to interface and locate onto the carbon fiber base. Once the base is indexed in desired location on the treatment couch, locate the indexing pins onto the Module attachment area. The correct position is the number three position this is the only position that the AU-3 will fit and lock into the base correctly. Once the pins are initially set apply firm pressure in the superior direction (toward the handles) a small click may be felt. Insure both sides are engaged. The AU-3 is now initially locked, MECHANICAL PROPERTIES The LB-SBRT system is manufactured form Carbon Fiber and epoxy resin with a low density foam core. The modules are manufactured from PU foam with Vinyl coating. This combination results in a rigid radio translucent patient setup system with multiple patient setup options. STORAGE Always store the product in a safe place to prevent it from getting damaged. Do not put heavy objects on the AU-3 and prevent hard objects from falling onto it, because these can cause permanent deformations. CLEANING Low alcohol disinfectant towelettes,cleaning solution such as CaviWipes (CaviCide). Follow manufactures directions for handling and use of cleaning agent, avoid scented cleaners, ensure device is dry before use. Indexable Knee/Leg Positioning INSTRUCTIONS FOR USE is not designed to withstand this type of use . Do not expose this cushion to a hot air blower and make sure that no sharp objects can come into contact with it. It is good practice to rotate the Simulator KN1-WDG-I with that on treatment as the treatment system will tend to see more use. GENERAL PRODUCT INFORMATION The product referred to in these instructions is used for patient positioning in radiation therapy. PRECAUTIONS FOR USE The KN1-WDG-I indexable knee/leg positioning module is engineered to be used stand alone or in combination with the Freedom LB-SBRT immobilization system. The KN1-WDG-I is positioned onto the couch with a standard indexing bar. Always verify that the base is indexed correctly onto the couch. PLEASE NOTE: Avoid using the KN1-WDG-I unindexed on the treatment couch as the tendency is to push and pull on it to adjust the patient position, in doing so your fingernails or other sharp objects can tear the vinyl coating and it Indexable Foot/Leg Positioning STORAGE Always store the product in a safe place to prevent it from getting damaged. Do not place heavy objects on the KN1-WDG-I and prevent hard objects from falling onto it, because these can cause permanent deformations. Store the base and modules between +10C (50F) and 30C (122F). PRECAUTIONS FOR USE The KN1-WDG-I indexable knee/leg positioning module is engineered to be used stand alone or in combination with the Freedom LB-SBRT immobilization system. The KN1-WDG-I is positioned onto the couch with a standard indexing bar. Always verify that the base is indexed correctly onto the couch. PLEASE NOTE: Avoid using the KN1-WDG-I un-indexed on the treatment couch as the tendency is to push and pull on it to adjust the patient position, in doing so your fingernails or other sharp objects can tear the vinyl coating and Small Bridge A C A Compression Post Cap Screw B CLEANING Low alcohol disinfectant towelettes, cleaning solution such as CaviWipes (CaviCide). Follow manufactures directions for handling and use of cleaning agent, avoid scented cleaners, ensure device is dry before use. B Compression Post D C Lock Screw D Pressure plate (small or large) E MECHANICAL PROPERTIES The KN1-WDG-I is manufactured form PU foam with a Vinyl coating, the indexing inserts are manufactured from ABS plastic. This combination results in a stable comfortable cushion that maintains it dimensions over time and under frequent use. E Carbon Fiber Bridge F 1/4 Turn Lock Knob (Vertical to insert, turn clockwise to lock) F INSTRUCTIONS FOR USE it is not designed to withstand this type of use . Do not expose this cushion to a hot air blower and make sure that no sharp objects can come into contact with it. It is good practice to rotate the Simulator KN1-WDG-I with that on treatment as the treatment system will tend to see more use. GENERAL PRODUCT INFORMATION The product referred to in this reference guide is used for patient positioning in radiation therapy. Compression Bridges STORAGE Always store the product in a safe place to prevent it from getting damaged. Do not place heavy objects on the KN1-WDG-I and prevent hard objects from falling onto it, because these can cause permanent deformations. Store the base and modules between +10C (50F) and 30C (122F). CLEANING Low alcohol disinfectant towelettes, cleaning solution such as CaviWipes (CaviCide). Follow manufactures directions for handling and use of cleaning agent, avoid scented cleaners, ensure device is dry before use. MECHANICAL PROPERTIES The KN1-WDG-I is manufactured form PU foam with a Vinyl coating, the indexing inserts are manufactured from ABS plastic. This combination results in a stable comfortable cushion that maintains it dimensions over time and under frequent use. Large Bridge A C B A Compression Post Cap Screw B Compression Post D C Lock Screw D Pressure plate (small or large) E E Carbon Fiber Bridge F 1/4 Turn Lock Knob (Vertical to insert, turn clockwise to lock) F GENERAL PRODUCT INFORMATION The Compression Bridge is designed to index onto the Carbon Fiber base, its position can be recorded and accurately reproduces its location and the amount of abdominal compression that was applied at time of initial setup. The compression bridge can be setup with multiple configurations including side paddles and arm support saddles. Bridge Configured with side paddles A A Carbon Fiber Bridge B Side Paddle B C Compression manual adjust B D 1/4 Turn Lock Knob (Vertical to insert, turn clockwise to lock) C PRECAUTIONS FOR USE The treating physician should oversea the application of abdominal compression to ensure patients repository function is not compromised. Always ensure proper clearance margins around the device from moving objects to ensure safe operation. To install onto carbon fiber base ensure 1/4 turn lock knobs are in the vertical position, then press into base, turn clockwise to lock if required. D MECHANICAL PROPERTIES D Compression Bridges are manufactured from carbon fiber and epoxy laminate, and plastic components. This combination results in a rigid radio translucent device. Bridge configures with side paddles and arms support for Arms Down Patient Positioning MR safe version of the Compression Bridges are manufactured from non conductive keular and epoxy laminate. A A Carbon Fiber Bridge STORAGE Always store the product in a safe place to prevent it from getting damaged. B Side Compression B C Compression manual adjust B D Hand Support for Arms down configuration C D E 1/4 Turn Lock Knob (Vertical to insert, turn clockwise to lock) E D E For MR safe versions of these devices contact your sales representative THS03 RECOMMENDED PRODUCTS TO USE WITH THE FREEDOM SBRT/SRS SYSTEM Set of Standard Silverman Head Supports Sizes A-F (3 each). (also available individually in qty of your choice) MM14 Intuition Frame COMP-BLT Compression belt kit. Includes Standard Size (COMP-BLT-1) and Small Size (COMP-BLT-2) Pneumatic Abdominal Compression Belt (also available individually) Couch Indexing Bar IB06-CF Index bar for Varian Exact type indexing. Carbon fiber radio translucent indexing bar contains NO metal. Fits most CT couches, All Varian Linacs and some other types IB06 Index bar for Varian Exact type indexing standard aluminum indexing bar LB-SBRT-WM LB-SBRT couch overlay storage/ wall mount IB06-EVO Index bar for Evo type couch indexing fits most robotic couch tops, standard alum (also available in radiotranslucent (no metal) version ID# IB06EVO-CF) More indexing bar options are available. Contact your rep for more information STA12 ShoulderTechTM module compatible with: LB-SBRT, SB02 and LB02 Vacuum Lock Cushions Many sizes available. See product guide for details. Advena Ltd. Pure Offices, Plato Close Warwick CV34 6WE UK Ph: +44 (0) 1926 800153 www.cdrsys.ca Precision Patient Positioning Products Corporate Headquarters: #33, 235150 Wangler Drive SW | Calgary AB, Canada T1X 0K3 | www.cdrsys.ca [email protected] | +1.855.856.7035 | local: +403.850.7035 CDR SYSTEMS © 2013 ALL RIGHTS RESERVED. CDR SYSTEMS IS A REGISTERED TRADEMARK OR CDR SYSTEMS PRECISION PATIENT POSITIONING PRODUCTS. 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