Kalyani Radiotherapy Specialty India (P) Ltd

Thillai Nagar, Tiruchirappalli, Tamil Nadu

The MacroMedics MammoBoard is a high-end breastboard, designed to meet the latest requirements in breast treatment and manufactured with use of state of the art 3-D carbon fiber production techniques fits in the normal small bore CT simulation. The ergonomic design is a result of close cooperation with - and competent input from - the clinical staff with maximum focus on treatment set-up, dose delivery, efficiency and patient comfort.
The MammoBoard provides a coreless single layer carbon fiber treatment zone without grid to obtain lowattenuation, maximal homogeneity, rigidity and stability. The MammoBoard is a modern, very light and ergonomic breast treatment device securing reproducible day to day patient set-up.

The MacroMedics Pelvic Prone Board is a new design prone positioning device for the patients undergoing treatment in the pelvic region. This high-end Pelvic Prone Board has been manufactured through 3-D molding- and production techniques resulting in a patient friendly, comfortable and ergonomic design. The region of interest (R.O.I.) consists of a specifically designed low attenuation carbon fiber sandwich construction with optimized dosimetric properties to allow 'arc' techniques. For optimal comfort, patient support and position reproducibility MacroMedics offers an optional indexed Pron Pillo that will guarantee reproducible patient positioning.

The Pelvic Prone Board is radio translucent, light weight, rigid and indexable.With the Pelvic Prone Board, it is possible to obtain a significant reduction of the irradiated small bowel volume.

• The Pelvic Prone Board is made of carbon fiber and the R.O.I. is designed with a special carbon fiber sandwich construction to meet optimal dosimetry requirements for arc techniques
• The aperture at pubic level is designed for male and female patients
• Indexed positioning of a special Pron Pillo adaptation (optional) makes the device suitable for a wide range of patients
• Integrated arm rests for optimal patient comfort
• Optimized dimensions for use in PET-CT and MRI
• A MRI version of the Pelvic Prone Board is available

The MacroMedics MaxSupport head supports provide stable and comfortable support during treatment in the head- and neck region. The 3-D shaped MaxSupports are made of a low density foam and are covered with an easy to clean coating. The MaxSupports are colour coded and come in a set of 3. Each head support will provide a specific, preferred position to create the most optimal approach for treatment.
A comfortable wide head support is available for all MacroMedics head- and neck, breast, lung and thorax treatment devices. Also available is a special pediatric head support and prone head support.
For situations where extra stability and reproducibility is desired MacroMedics developed a special low attenuation set of 3-D shaped carbon fiber MaxSupports. These head supports consists of a very thin layer of carbon fiber combined with a low density foam part with precise fit in all MacroMedics head- and neck baseplates. For special treatment requirements low attenuation carbon fiber elevation blocks and wedges in various heights and angles are available.

he MacroMedics BreastBoard LX is a high-end breastboard, designed to meet the latest requirements in breast treatment and manufactured with use of state of the art 3-D carbon fiber production techniques. The ergonomic design is a result of close cooperation with - and competent input from - the clinical staff with maximum focus on treatment set-up, dose delivery, efficiency and patient comfort.
The BreastBoard LX provides a coreless single layer carbon fiber treatment zone without grid to obtain lowattenuation, maximal homogeneity, rigidity and stability. The BreastBoard LX is a modern, very light and ergonomic breast treatment device securing reproducible day to day patient set-up.

The Breastboard LX features:

• Rigid, homogeneous and low-attenuation IGRT treatment zone
• Stable and easy to operate arm supports providing 85 - 150 angles to the midplane and indexed widthadjustment for the upper arm + fully adjustable supports for the lower arm
• No inserts or obstructing arm supports in the treatment area
• Rigid and easy to handle elevation brackets providing breast board angles from 5 - 20 in 2.5 steps, the brackets fold in the bottom plate for easy handling
• Ergonomic and stable lower body support with precision movement, adjustable in length in 10 mm steps
• Compatible with MacroCast head-, neck- and breast support thermoplastics
• Comes with a comfortable wide head support, the position of the head support can be adjusted
• The BreastBoard LX is indexable and compatible with all actual couchtops for radiotherapy and X-ray settings

The MacroMedics ThoraxSupport is an innovative and high-end solution for treatment of the breast, lung and thorax. The ThoraxSupport is designed to meet the latest requirements in radiotherapy treatment of the thorax region. For the manufacturing the latest state of the art 3-D carbon fiber production techniquesare applied.

The ThoraxSupport is a unique thorax positioning system with maximum focus on treatment set-up, dose delivery, efficiency and patient comfort. The ThoraxSupport offers versatile and flexible solutions to restrain the patients arms from the treatment area. The extended baseplate with ergonomic geometric design with double curved surfaces supports the full upper body offers a smooth transition in the lower back and guarantees a comfortable and unstressed patient set-up. The ThoraxSupport provides a coreless single layer carbon fiber treatment zone without grid to obtain low-attenuation, maximal homogeneity, rigidity and stability. The ThoraxSupport is a modern, unique, very light and ergonomic treatment device securing reproducibleday to day patient set-up.

The ThoraxSupport features:

• Rigid, homogeneous and low-attenuation IGRT treatment zone
• Stable and easy to operate arm supports providing 85 - 150 angles to the midplane and indexed width-adjustment for the upper arm + fully adjustable supports for the lower arm
• No inserts or obstructing arm supports in the treatment area
• Compatible with MacroCast breast support thermoplastics
• Comes with a comfortable wide head support, the position of the head support can be adjusted
• The ThoraxSupport is indexable and compatible with all brands of couchtops for radiotherapy and X-ray settings

The MacroMedics Lower Extremity Positioning System LEPS is a modular solution designed to provide higher accuracy and comfort in positioning and immobilizing the pelvic region and the lower extremities.
The system consists of a light weight baseplate with coated KneeSupport, foam LiftBlock and a FeetSupport which is available in one fixed position or adjustable in various angles. The system can be upgraded with an optional shoulder retractor.
The LEPS positioning system for lower abdomen and extremities is designed with respect to accuracy, reproducibility and flexibility in patient set-up.

The LEPS features:

• Stable and user friendly system with flexible options
• Comfortable KneeSupport to be combined with stackable LiftBlocks
• KneeSupport longitudinally adjustable in 4 steps
• FeetSupport can be adjusted in 11 indexed longitudinal- and 4 indexed angle positions
• The LEPS can be upgraded with an optional shoulder retractor
• An optional storage system for the LEPS is available
• The LEPS is indexable and compatible with all couchtop types for radiotherapy and X-ray settings
• The LEPS contains no metal parts and is fully MRI compatible

The MultiBoard is a versatile and accurate Modular Treatment Board and part of MacroMedics new Modular Patient Positioning Platform.

This compact "All in One" patient positioning solution offers flexibility and allows quick, efficient and precise patient set-up for radiotherapy treatment.The MultiBoard Base is anatomically shaped for patient comfort and can be indexed on the couchtop where it can remain during daily treatment. Its light weight carbon fiber structures are designed to offer optimized dosimetry.Combined with the modular MacroMedics positioning products, the MultiBoard becomes a dedicated and accurate device for head and neck, lung and thorax, liver and lower abdomen as well as SBRT treatments.

Special thermoplastic masks for the different treatment areas can be attached to the MultiBoard. Additional fixation points in the shoulder area make it a dedicated solution for pediatric head and neck treatments. Other options are breast & thorax and pelvic masks.

By adding the SBRT Secure Arches, the MultiBoard can be transformed to a precise and comfortable highend stereotactic device for accurate SBRT treatments. The Secure Arches are available in 4 different sizes and can be customized with a respiratory suppression plate or abdominal vacuum cushions.

The ExaFix positioning systems provide accurate positioning and fixation of the patient during radiotherapy treatment in the head- and neck region. The ExaFix patient positioning platform is based on an accepted template.Both carbon fiber and acrylic designs are produced with high accuracy and with respect to dosimetry, freedom of treatment and comfort.
The head- and neck systems are developed and produced with state of the art special 3-D molding- and production techniques which allow user-friendly shapes with focus on the significant and important regions with respect for low tolerances in attenuation and dosimetry.
All head- and neck systems are 2-pin-ready and compatible with various styles of indexing systems and couchtops. The ExaFix baseplates are prepared for 3- and 5 fixation point mask-types. The aperture in the baseplate offers the option to use different styles of head supports.
Complementary options like the ExaTilt carbon fiber inclination plate are available.

The OmniBoard is the most versatile and advanced Modular Treatment Board of the new MacroMedics Modular Patient Positioning Platform.
The OmniBoard offers unprecedented flexibility and accuracy in patient set-up. The OmniBoard Base can remain on the treatment couch during daily treatment and ensures precise patient positioning for all treatment areas. Combined with the modular MacroMedics positioning products, the OmniBoard becomes a dedicated device for head- and neck, lung, breast and thorax, liver and lower abdomen as well as SBRT treatments.
The unique detachable Breast Treatment Module offers maximum versatility. It can be easily attached to the OmniBoard Base within seconds and can be set in 3 treatment angles. The module is extremely light weight and has a comfortable 3D anatomical contoured design with optimized dosimetric properties. A detachable indexed bottom stop provides a rigid and secure patient support. The arm supports for breast, thorax and lung treatment are quickly transferable between the OmniBoard Base and Breast Treatment Module.
By adding the SBRT Secure Arches, the OmniBoard can be transformed to a state of the art SBRT Patient Positioning Platform for precise and accurate stereotactic treatment. The SBRT Secure Arches are available in 4 different sizes and can be customized with a respiratory suppression plate or vacuum cushions.

The OmniBoard is the first genuine "All in One" patient positioning solution available for radiotherapytreatment!

MacroMedics introduces the LEX-Ultra, a user friendly solution that provides support in positioning and immobilization of the lower extremities. The LEX-Ultra is designed to create unobstructed radiation beam access in the region of interest (R.O.I.) and gives the option for reproducible positioning of the unaffected extremity during treatment to avoid damage to the healthy tissue.
The system consists of a light weight baseplate with integrated individual leg supports and an optional middle block. The low density baseplate in combination with carbon fiber elements in the lower leg region provides an adjustable, flexible and easy to use support and creates optimal positioning to target the tumor area.
The LEX-Ultra leg supports can be adjusted in 7 indexed positions and have multiple integrated fixation points to attach individual thermoplastic masks for both leg and abdominal area.
The optional detachable middle block assists in positioning and fixation of the upper leg region and lower abdominal area. The LEX-Ultra positioning system is designed with respect to accuracy, reproducibility and flexibility in patient set-up.

The LEX-Ultra features:

• A light weight baseplate designed to accomodate various positions of the lower legs
• Stable and user friendly system with flexible options
• Optional middle block to position and fixate upper legs and lower abdominal area
• Individual leg supports can be height adjusted in 7 indexed positions
• Integrated fixation points for thermoplastics over a wide range of locations
• The LEX-Ultra is indexable and compatible with all brands of couchtops for radiotherapy, X-ray and MRI settings
• A MRI version of the LEX-Ultra is available

The new MacroMedics EagleBoardTM offers quick and easy patient set-up for treatment of breast, lung and thorax. A variety of indexed supports and grips for head and arms ensure comfortable as well as reproducible patient positioning for lung and thorax treatments. The tapered design for maximum CT bore clearance and the use of MR safe materials make the EagleBoard an ideal choice for all imaging modalities. The New EagleBoard is a compact and cost-effective solution for quick and comfortable patient positioning.

The EagleBoard features:

• Tapered design for maximum CT bore clearance
• Easy adjustable positioning of the T- or U-Grip
• Grips can be fixed in two directions for a wide range of positions
• Full support of the upper arms reduces the need for additional devices such as vacuum cushions
• Adjustable and indexed position of MaxSupport 1 head support
• Compatible with the full range of MaxSupport head supports and blocks
• Short design allows a combination with additional thorax/abdominal immobilization products such as respiratory suppression devices (EAMIS Lite)
• Indexable on all common couchtops for radiotherapy treatment and imaging Fully MR safe
• Comfortable and quick patient positioning