Varian Brachytherapy Applicators and Accessories Brachytherapy Applicators and Accessories

Varian BrachyTherapy Applicators and Accessories Brachytherapy Applicators and Accessories

VARIAN = Innovation

For more than 50 years Varian Medical Systems has pioneered a broad range of dynamic products. Working in partnership with clinicians in more than 600 healthcare facilities throughout the world, Varian BrachyTherapy offers a comprehensive line of afterloaders, applicators and accessories, and treatment planning systems. Varian can create a system perfectly matched to your brachytherapy needs.

The products in this catalog are part of Varian´s integrated approach to treatment planning and delivery aiming at improving the health and quality of life of people everywhere. The applicators and accessories in this catalog are designed for use with Varian BrachyTherapy afterloaders only. Items that may only be used only with the either GammaMedplus or VariSource afterloaders are so noted.

For assistance in selecting the appropriate applicators and accessories for your clinical situation, please inquire via e-mail at [email protected], or call Varian BrachyTherapy Technical Support at 800-360-7909.

Specifications are subject to change without notice. For the most current updates and information on Varian BrachyTherapy products, visit: www.varian.com/brachytherapy

BrachyTherapy Applicators and Accessories ©2011 Varian Medical Systems, Inc. How To Order Return Policy All applicator sets, components, accessories • Any supplied sterile applicators or accessories are and quality assurance accessories are available unable to be returned. • Any non-sterile supplied applicators and directly from Varian BrachyTherapy except where accessories may be returned subject to agreement otherwise noted in this catalog. and under the express condition that the • To order from the United States, Latin America or applicators or accessories are unused. Canada, call 888-666-7847. You may use a major • Unopened and sealed non-sterile applicators credit card or purchase order. and accessories may be returned within 90 days, • From the European Union or Asia, order from our subject to a 15% restocking fee. office in Haan Germany at +49-2129-551-0. A purchase order is required. • To obtain the most current information on prices and availability, e-mail [email protected] or call number above.

VARIAN = Reliability

BrachyTherapy Applicators and Accessories © 2011 Varian Medical Systems, Inc. VARIAN = Performance Technical Support Fax Your Support Questions Varian BrachyTherapy is committed to providing You may fax your questions to BrachyTherapy the latest brachytherapy technology in applicators Technical Support at: and accessories. For assistance in selecting the components, please contact our Technical Support UK: +44-1293-542-626 Help Desk at 800-360-7909 in North America, or USA: +1-866-385-1322 use the direct dial toll free contact information +1-949-221-7631 below. Toll Free Technical Support

Toll free access using the AT&T International direct E-Mail Your Questions dialing network is available in over 150 countries. To access the number, dial first the AT&T access To submit a question, please send an email with number in your area. For the access code in your a blank subject line, to: [email protected]. area, see internet address: Please indicate the name of your institution, http://www.business.att.com/bt/dial_guide.jsp your name and phone number, the product you are commenting on, and your system number, if At the prompt, “Please enter the number you are known, as well as the description of the problem calling,” dial: 800-360-7909. or question. For countries not listed below or not in the AT&T International dialing network, telephone support may be obtained via the following numbers. Our applications specialists can immediately return any calls received on these numbers. UK: +44-1293-601-327 USA: +1-434-979-1540

Direct Dial Toll Free Technical Support Australia 1-800-144-130 Holland 0800-022-5072 Japan 00531-78-22-21 Spain 900-957-680 Belgium 0800-74-248 Hong Kong 0800-96-21-42 Luxembourg 0800-25-67 South Africa 0800-992-872 Canada 1-888-226-8633 Hungary 06-80013-318 Malaysia 1-800-808-605 Sweden 0200-21-45-08 Denmark 80-88-07-45 Indonesia 001-803-0441-1109 New Zealand 0800-445-938 Switzerland 0800-83-75-77 Finland 0800-11-68-92 Ireland 1-800-551-716 Norway 800-16-327 Taiwan 0080-04-40-99 France 0800-905-397 Israel 1-800-944-11-80 Portugal 800-880-183 UK 0800-068-06-88 Germany 0800-182-6937 Italy 800-790-535 Singapore 800-44-11-100 USA 1-800-360-7909

Intracavitary Applicators ...... 1.1 – 1.20

Intraluminal Applicators ...... 2.1 – 2.6

Interstitial Applicators ...... 3.1 – 3.15

Intraoperative and Surface Applicators ...... 4.1 – 4.3

Accessories ...... 5.1 – 5.23

Quality Assurance ...... 6.1 – 6.2

Spare Parts for Discontinued Applicators ...... 7.1 – 7.14

Index ...... 8.1 – 8.2

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

BrachyTherapy Applicators and Accessories © 2011 Varian Medical Systems, Inc. BrachyTherapy Applicators and Accessories © 2011 Varian Medical Systems, Inc. GM11008210 / GM11008310 Accessory Kits for GammaMed Intracavitary / GYN Applicators 1.1 Afterloader: GammaMedplus iX™ / GammaMedplus™ Many Varian intracavitary applicators use the same set of accessories. The following accessory kits make ordering easier and help prevent ordering duplicate spare parts. You will find the kit number listed in the required accessories section for each applicator set in this chapter.

Qty.* GM11008210 Basic Accessory Kit for Intracavitary / GYN Applicators, GammaMedplus 3 GM11000340 Source guide tube with locking mechanism for 320mm Applicators, GammaMedplus 3 GM11009600 X-ray marker for 320mm applicators, 0.9mm diameter, uncoded, GammaMedplus 2 GM11003340 Mandrin for 113mm length 1 GM11000330 Length gauge 2 GM11002800 Tool for vaginal cylinders 5 GM11003220 Cleaning caps, black, pack of 20 5 GM11003330 Cleaning caps, grey, pack of 20 Completer Kit for Heyman Packing Applicator & Catheter Flap Sets, GammaMedplus Qty.* GM11008310 (in addition to Kit GM11008210) 9 GM11000340 Source guide tube with lock mechanism for 320mm Applicators, GammaMedplus 1 GM11009620 X-ray marker BV set I, up to 320mm applicators, 0.9mm diameter, coded 1-6 1 GM11009630 X-ray marker BV set II, up to 320mm applicators, 0.9mm diameter, coded 7-12 2 GM11003270 Mandrin for 200mm length 2 GM11003810 Leak stop buttons, non-sterile, pack of 50 2 GM11003220 Cleaning caps, black, pack of 20 2 GM11003330 Cleaning caps, grey, pack of 20

*Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description.

Afterloader: VariSource iX™ / VariSource 200™

Many Varian intracavitary applicators use the same set of accessories. The following accessory kits make ordering easier and help prevent ordering duplicate spare parts. You will find the kit number listed in the required accessories section for each applicator set in this chapter.

Qty.* GM11008740 Basic Accessory Kit for Intracavitary Applicators (GYN & ENT), VariSource 1 GM19001000 ClickFit™ Transfer Guide Tube Set, Channels 1-4 (200 Series) 3 GM11009600 X-ray marker BV for 320mm applicators, 0.9mm diameter, uncoded 2 GM11002800 Tool for vaginal cylinders 5 GM11003330 Cleaning caps, grey, pack of 20 2 GM11003340 Mandrin for 113mm length

*Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description.

www.varian.com/brachytherapy TO ORDER: [email protected] GM11004140 1.3 Vaginal Applicator Set CT Compatible / MR Compatibility: Conditional Intended for: HDR or PDR intracavitary brachytherapy of the vagina and rectum Afterloader: VariSource iX™ / VariSource 200™ / GammaMedplus iX™ / GammaMedplus™ Modality: HDR, PDR

The Vaginal Applicator Set is used to treat cancer • S uitable for vagina or rectum of the vagina or rectum. The set offers a variety of • C T Compatible cylinder diameters that maintain an optimal distance • M R Compatibility: Conditional for 1.5 and 3 Tesla between the source and the layers of tissue to be • M inimal assembly required treated. For any given cylinder, the distance between • M ultiple cylinder diameters its tip and the source remains constant ensuring a • P rovides a centered first-source position to ensure a targeted, homogenous treatment dose. homogenous dose parallel to cylinder walls • S team sterilizable

1.3 Vaginal Applicator Set with CT Cylinders – CT Compatible / MR Compatibility: Conditional

Qty.* Product # Components of the Applicator Set 1 GM11004760 Closed CT vaginal cylinder, 20mm, with plastic clamping screw 1 GM11004700 Closed CT vaginal cylinder, 23mm, with plastic clamping screw 1 GM11004780 Closed CT vaginal cylinder, 26mm, with plastic clamping screw 1 GM11004790 Closed CT vaginal cylinder, 30mm, with plastic clamping screw 1 GM11004800 Closed CT vaginal cylinder, 35mm, with plastic clamping screw 1 GM11002560 Flexible applicator probe, 3.2mm, braced PVDF 4 GM11009960 Sterilization plugs, cream (pack of 25) Required Accessories (choose one afterloader-speciﬁ c kit) 1 GM11008740 Basic accessory kit for Intracavitary/GYN applicators, VariSource 200 and iX 1 GM11008210 Basic accessory kit for Intracavitary/GYN applicators, GammaMedplus series Optional Components and Accessories 1 GM11001960 Flexible ﬁ xation device for gynecological applicators 1 GM11008700 Universal applicator clamping device 1 GM11001390 Source guide tube support, GammaMed units only 1 GM11005220 Plastic clamping bolt 1 GM11003810 Leak stop buttons, non-sterile, pack of 50

*Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description.

C 0086 www.varian.com/brachytherapy TO ORDER: [email protected] GM11004150 1.4 Segmented Cylinder Applicator Set CT Compatible / MR Compatibility: Conditional Intended for: HDR or PDR intracavitary brachytherapy of the vagina, vaginal stump, and rectum Afterloader: VariSource iX™ / VariSource 200™/ GammaMedplus iX™ / GammaMedplus™ Modality: HDR, PDR

The Segmented Cylinder Applicator Set is used to treat • S uitable for vagina, vaginal stump and rectum cancer of the vagina, including the vaginal stump, as • C T Compatible well as rectal cancer. Depending on a chosen front • M R Compatibility: Conditional for 1.5 and 3 Tesla segment, the first source dwell position can be either • F ront segments with centered first source position for in the center of the front segment to provide a vaginal shaping of dose to cylinder wall wall treatment, or be in the distal position for a vaginal • F ront segments with distal first source position for stump treatment. This segmented construction of the shaping of dose to cylinder tip applicator allows it to adapt easily to each patient’s • F our segment diameters allow for easy adaption to anatomy. patient anatomy • P rovides a homogenous dose parallel to cylinder wall • S team sterilizable

1.4 Segmented Cylinder Applicator Set – CT Compatible / MR Compatibility: Conditional

Qty.* Product # Components of the Applicator Set 1 GM11005260 Front segment, 20mm diameter, distal source position 1 GM11005080 Front segment, 25mm diameter, distal source position 1 GM11005030 Front segment, 30mm diameter, distal source position 1 GM11005140 Front segment, 35mm diameter, distal source position 1 GM11005060 Front segment, 20mm diameter, centered source position 1 GM11005190 Front segment, 25mm diameter, centered source position 1 GM11005120 Front segment, 30mm diameter, centered source position 1 GM11005150 Front segment, 35mm diameter, centered source position 4 GM11005070 Cylinder segment, 20mm diameter, 30mm length 4 GM11005100 Cylinder segment, 25mm diameter, 30mm length 4 GM11005130 Cylinder segment, 30mm diameter, 30mm length 4 GM11005160 Cylinder segment, 35mm diameter, 30mm length 1 GM11010280 Guide tube for segmented cylinders 1 GM11002280 Flexible probe, 2.8mm diameter x 320mm length 1 GM11005180 Clamping segment 4 GM11009960 Sterilization plugs, cream (pack of 25) Required Accessories (choose one afterloader-speciﬁ c kit) 1 GM11008740 Basic accessory kit for intracavitary/GYN applicators, VariSource 200 and iX 1 GM11008210 Basic accessory kit for intracavitary/GYN applicators, GammaMedplus series Optional Components and Accessories 1 GM11008700 Universal applicator clamping device 1 GM11001960 Flexible ﬁ xation device for gynecological applicators 1 GM11001390 Source guide tube support, GammaMed units only 1 GM11008560 Clamping nut for guide tube 1 GM11003810 Leak stop buttons, non-sterile, pack of 50 1 GM11010300 Sterilization box for segmented cylinder set GM11004150

*Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description.

C 0086 www.varian.com/brachytherapy TO ORDER: [email protected] GM11004160 1.5 Stump Applicator Set with CT Cylinders CT Compatible / MR Compatibility: Conditional Intended for: HDR or PDR intracavitary brachytherapy of the vaginal stump Afterloader: VariSource iX™ / VariSource 200™/ GammaMedplus iX™ / GammaMedplus™ Modality: HDR, PDR

The Stump Applicator Set is used for post-operative • S uitable for vaginal stump treatment of the vaginal stump. The cylinders are • C T Compatible designed so that the distal source dwell position is • M R Compatibility: Conditional for 1.5 and 3 Tesla located in each cylinder’s most forward position. This • M inimal assembly required enables a higher dose delivery to the vaginal stump. A • M ultiple cylinder diameters variety of cylinder diameters are available to provide • D istal first source position which focuses dose the optimal distance between the source and the distribution to the vaginal stump layers of tissue to be treated. • S team sterilizable

1.5 Stump Applicator Set with CT Cylinders – CT Compatible / MR Compatibility: Conditional

Qty.* Product # Components of the Applicator Set 1 GM11004820 CT vaginal stump applicator, 20mm diameter, with plastic clamping screw 1 GM11004830 CT vaginal stump applicator, 23mm diameter, with plastic clamping screw 1 GM11005050 CT vaginal stump applicator, 26mm diameter, with plastic clamping screw 1 GM11004710 CT vaginal stump applicator, 30mm diameter, with plastic clamping screw 1 GM11004940 CT vaginal stump applicator, 35mm diameter, with plastic clamping screw 1 GM11002560 Flexible applicator probe, 3.2mm diameter, braced PVDF 4 GM11009960 Sterilization plugs, cream (pack of 25) Required Accessories (choose one afterloader-speciﬁ c kit) 1 GM11008740 Basic accessory kit for intracavitary/GYN applicators, VariSource 200 and iX 1 GM11008210 Basic accessory kit for intracavitary/GYN applicators, GammaMedplus series Optional Components and Accessories 1 GM11008700 Universal applicator clamping device 1 GM11001960 Flexible ﬁ xation device for gynecological applicators 1 GM11001390 Source guide tube support, GammMed units only 1 GM11005220 Plastic clamping bolt 1 GM11003810 Leak stop button, non-sterile, pack of 50

*Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description.

C 0086 www.varian.com/brachytherapy TO ORDER: [email protected] GM11004380 Shielded Applicator Set 1.6 Intended for: HDR intracavitary brachytherapy of the vagina, vaginal stump or rectum Afterloader: VariSource iX™ / VariSource 200™/ GammaMedplus iX™ / GammaMedplus™ Modality: HDR

The Shielded Applicator Set is used to treat cancer • S uitable for vagina, vaginal stump or rectum of the vagina or rectum where partial shielding is • E asy-to-read key allows for outside identification of required. The 90˚ and 180˚ tungsten alloy shielding the inside shielded area segments provide a variety of different shielding • M ultiple cylinder diameters allows for various positions. After insertion, the marking screw allows shielding positions for external identification of the area being shielded • P rovides optimal dose adaptation to patient anatomy inside. • E tO sterilizable

1.6 Shielded Applicator Set

Qty.* Product # Components of the Applicator Set 1 GM11003380 Shielded cylinder, 20mm diameter 1 GM11003390 Shielded cylinder, 23mm diameter 1 GM11003400 Shielded cylinder, 26mm diameter 1 GM11003510 Shielded cylinder, 30mm diameter 1 GM11003420 Shielded cylinder, 35mm diameter 1 GM11003440 Marking screw, 0˚ , shielded 1 GM11003450 Marking screw, 90°, shielded 1 GM11003460 Marking screw, 2 x 90°, shielded 1 GM11003470 Marking screw, 180°, shielded 1 GM11003480 Marking screw, 270°, shielded 4 GM11003490 Clamping nut for marking screw 4 GM11003710 Clamping screw for probe, 3mm diameter 2 GM11003600 Tungsten alloy shielding, 90° 1 GM11003880 Tungsten alloy shielding, 180° 4 GM11003890 Plexiglas fi ller piece, 90° 1 GM11002070 Applicator probe, 3mm diameter x 320mm length, straight 4 GM11009960 Sterilization plugs, cream (pack of 25) Required Accessories (choose one afterloader-specifi c kit) 1 GM11008740 Basic accessory kit for intracavitary/GYN applicators, VariSource 200 and iX 1 GM11008210 Basic accessory kit for intracavitary/GYN applicators, GammaMedplus series Optional Components and Accessories 1 GM11001960 Flexible fi xation device for gynecological applicators 1 GM11008700 Universal applicator clamping device 1 GM11001390 Source guide tube support, GammMed units only 1 GM11003810 Leak stop buttons, non-sterile, pack of 50

*Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description.

C 0086 www.varian.com/brachytherapy TO ORDER: [email protected] GM11004040 1.7 Cervix Applicator Set CT Compatible Intended for: HDR or PDR intracavitary brachytherapy of the vagina, endometrium, cervix, uterus, or vaginal stump Afterloader: VariSource iX™ / VariSource 200™/ GammaMedplus iX™ / GammaMedplus™ Modality: HDR, PDR

The Cervix Applicator Set is suitable for the combined • S uitable for cervix, uterus, endometrium, vagina or treatment of the vagina and the endometrium. It can vaginal stump also be used for irradiation of the cervix, uterus or • C T Compatible vaginal stump. For easy insertion, the 6mm tubes have • M inimal assembly required a tapered 3mm intrauterine part. • I ncludes a variety of cylinder diameters • P robes with 3mm diameter intrauterine tandem allow for easy insertion into cervical channel and maximum patient comfort • O ptional cervical sleeves available which allow for easy application of multiple fractions • S team sterilizable

1.7 Cervix Applicator Set – CT Compatible

Qty.* Product # Components of the Applicator Set 1 GM11005250 Open CT vaginal cylinder, 20mm diameter x 140mm length 1 GM11005270 Open CT vaginal cylinder, 23mm diameter x 140mm length 1 GM11005290 Open CT vaginal cylinder, 26mm diameter x 140mm length 1 GM11005310 Open CT vaginal cylinder, 30mm diameter x 140mm length 1 GM11005330 Open CT vaginal cylinder, 35mm diameter x 140mm length 1 GM11001990 Applicator probe, 6/3mm diameter x 320mm length, straight 1 GM11002520 Applicator probe, 6/3mm diameter x 320mm length, curved 20° 1 GM11002540 Applicator probe, 6/3mm diameter x 320mm length, curved 40° 4 GM11009960 Sterilization plugs, cream (pack of 25) Required Accessories (choose one afterloader-speciﬁ c kit) 1 GM11008740 Basic accessory kit for intracavitary/GYN applicators, VariSource 200 and iX 1 GM11008210 Basic accessory kit for intracavitary/GYN applicators, GammaMedplus series Optional Components and Accessories 1 GM11001960 Flexible ﬁ xation device for gynecological applicators 1 GM11008700 Universal applicator clamping device 1 GM11001390 Source guide tube support, GammaMed units only 1 GM11000670 Cervical stop 1 GM11003810 Leak stop buttons, non-sterile, pack of 50 1 GM11005230 Fixation screw with nut 1 GM11002230 Applicator probe, 6/3mm diameter, curved 15°, length 320mm 1 GM11002530 Applicator probe, 6/3mm diameter, curved 30°, length 320mm 1 GM11002550 Applicator probe, 6/3mm diameter, curved 45°, length 320mm 1 GM11001160 Cervical sleeve, 30mm 1 GM11000960 Cervical sleeve, 40mm 1 GM11001170 Cervical sleeve, 50mm 1 GM11001260 Cervical sleeve, 60mm 1 GM11001150 Cervical sleeve, 70mm 1 GM11001140 Cervical sleeve, 80mm 1 AL13142000 Cervical sleeve, 20mm length, single use 1 AL13142001 Cervical sleeve, 40mm length, single use 1 AL13142002 Cervical sleeve, 60mm length, single use 1 AL13142003 Cervical sleeve, 80mm length, single use

*Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description.

C 0086 www.varian.com/brachytherapy TO ORDER: [email protected] GM11004540 1.8 Segmented Cervix Applicator Set CT Compatible / MR Compatibility: Conditional Intended for: HDR or PDR intracavitary brachytherapy of the vagina, endometrium, uterus, cervix, or vaginal stump Afterloader: VariSource iX™ / VariSource 200™/ GammaMedplus iX™ / GammaMedplus™ Modality: HDR, PDR

The Segmented Cervix Applicator Set is used for the • S uitable for cervix, uterus, endometrium, vagina, combined treatment of the vagina, the endometrium, vaginal stump the cervix, the uterus and the vaginal stump. A variety • C T Compatible of segment diameters are available to provide the • M R Compatibility: Conditional for 1.5 and 3 Tesla optimal distance between the source and the layers of • E xtremely flexible offering multiple cylinder tissue to be treated. The segmented construction of the diameters and various possible tandem applicator allows for easy adaptation to each patient’s configurations anatomy. The cylinder segments can be used with • P robes with 2.8mm diameter intrauterine tandem Smit cervical sleeves as well as with or without flexible allow for easy insertion into cervical channel to intrauterine probes. provide maximum patient comfort • S mit cervical sleeves allow for easy multiple fraction application and provide maximum patient comfort • C an be used with or without flexible intrauterine probes to accommodate individual patient anatomy • S team sterilizable

1.8 Segmented Cervix Applicator Set – CT Compatible / MR Compatibility: Conditional

Qty.* Product # Components of the Applicator Set 1 GM11004310 Guide tube for segments and cervical sleeves, straight 1 GM11004330 Guide tube for segments and cervical sleeves, curved 15° 1 GM11004100 Guide tube for segments and cervical sleeves, curved 30° 1 GM11004320 Guide tube for segments and fl exible probes, straight 1 GM11004340 Guide tube for segments and fl exible probes, curved 15° 1 GM11004080 Guide tube for segments and fl exible probes, curved 30° 1 GM11004420 Front segment, open, 20mm diameter x 60mm length, straight 1 GM11004220 Front segment, open, 25mm diameter x 60mm length, straight 1 GM11004350 Front segment, open, 30mm diameter x 60mm length, straight 1 GM11004280 Front segment, open, 35mm diameter x 60mm length, straight 1 GM11004200 Front segment, open, 20mm diameter x 60mm length, curved 15° 1 GM11004230 Front segment, open, 25mm diameter x 60mm length, curved 15° 1 GM11004260 Front segment, open, 30mm diameter x 60mm length, curved 15° 1 GM11004290 Front segment, open, 35mm diameter x 60mm length, curved 15° 1 GM11004840 Front segment, open, 20mm diameter x 60mm length, curved 30° 1 GM11004240 Front segment, open, 25mm diameter x 60mm length, curved 30° 1 GM11004190 Front segment, open, 30mm diameter x 60mm length, curved 30° 1 GM11004300 Front segment, open, 35mm diameter x 60mm length, curved 30° 2 GM11005070 Cylinder segment, 20mm diameter x 30mm length 2 GM11005100 Cylinder segment, 25mm diameter x 30mm length 2 GM11005130 Cylinder segment, 30mm diameter x 30mm length 2 GM11005160 Cylinder segment, 35mm diameter x 30mm length 1 GM11000960 Cervical sleeves, 40mm, with clamp for guide tube 1 GM11001260 Cervical sleeves, 60mm, with clamp for guide tube 1 GM11001140 Cervical sleeves, 80mm, with clamp for guide tube 1 GM11005180 Clamping segment 1 GM11002280 Flexible probe, 2.8mm diameter x 320mm length 4 GM11009960 Sterilization plugs, cream (pack of 25) Required Accessories (choose one afterloader-specifi c kit) 1 GM11008740 Basic accessory kit for intracavitary/GYN applicators, VariSource 200 and iX 1 GM11008210 Basic accessory kit for intracavitary/GYN applicators, GammaMedplus series Optional Components and Accessories 1 GM11008700 Universal applicator clamping device 1 GM11001960 Flexible fi xation device for gynecological applicators 1 GM11001390 Source guide tube support, GammaMed units only 1 GM11001160 Cervical sleeves, 30mm, with clamp for guide tube 1 GM11001170 Cervical sleeves, 50mm, with clamp for guide tube 1 GM11001150 Cervical sleeves, 70mm, with clamp for guide tube 1 GM11010310 Sterilization box for segmented cervix applicator set GM11004540

*Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description.

C 0086 www.varian.com/brachytherapy TO ORDER: [email protected] GM11009840 1.9 Universal Endometrial Applicator Set CT Compatible / MR Compatibility: Conditional Intended for: HDR or PDR intracavitary brachytherapy of the vagina, cervix, paracervical area, endometrium, uterus and ovaries Afterloader: VariSource iX™ / VariSource 200™/ GammaMedplus iX™ / GammaMedplus™ Modality: HDR, PDR

The Universal Endometrial Applicator Set is used • S uitable for endometrial cancer and often cervical to treat the vagina, cervix, paracervical area, cancer particularly when there is vaginal involvement endometrium, uterus and ovaries. The set contains or risk seven 320mm long intracavitary tandems and a • C T Compatible vaginal cylinder of 30mm diameter and 50mm long • M R Compatibility: Conditional for 1.5 and 3 Tesla to fix the tandems and pack the vagina. In addition to • F lexible design stabilizing the applicator, the vaginal cylinder makes • T andems can be rotated and shifted longitudinally. it safe to treat the proximal portion of the vagina • O ptional intrauterine tandems length of 5 and 9cm contiguously with the uterus and cervix. This design available can be extremely useful for certain patients being • M ade from titanium and Peek – very stable, very light treated for cervical or vaginal cancer. weight The standard kit contains tandems of 6cm, 7cm and • T itanium parts clearly marked with a “Ti” for easy 8cm intrauterine length. The ability to rotate the identification tandems provides better flexibility with respect to • S team sterilizable (aluminum sterilization tray is the width of the uterus at the fundus. In addition, included) longitudinal shifts of the tandem allow further adaptation to the patient’s anatomy. Regulatory approval pending Not authorized for use in Canada

1.9 Universal Endometrial Applicator Set – CT Compatible / MR Compatibility: Conditional

Qty.* Product # Components of the Applicator Set 1 GM11009860 Intrauterine tandems, right and left, 320mm, angle 20° x 60mm length 1 GM11009870 Intrauterine tandems, right and left, 320mm, angle 20° x 70mm length 1 GM11009880 Intrauterine tandems, right and left, 320mm, angle 20° x 80mm length 1 GM11009900 Intrauterine tandem, center, 320mm, straight 1 GM11009910 Clamping unit for the endometrial applicator 1 GM11009920 Vaginal cylinder with lever, 30mm diameter x 50mm length 1 GM11009940 Sterilization tray 1 GM11009950 Grub screws for clamping unit (pack of 10) 4 GM11009960 Sterilization plugs (pack of 25) 1 GM11000700 Allen key, 2.0mm wrench size Required Accessories (choose one afterloader-speciﬁ c kit) 1 GM11008740 Basic accessory kit for intracavitary applicators, VariSource 200 and iX 1 GM11008210 Basic accessory kit for intracavitary applicators, GammaMedplus series Optional Components and Accessories 1 GM11009850 Intrauterine tandems, right and left, 320mm, angle 20° x 50mm length 1 GM11009890 Intrauterine tandems, right and left, 320mm, angle 20° x 90mm length 1 GM11009620 X-ray marker BV set I, up to 320mm applicators, coded 1-6 1 GM11008700 Universal applicator clamping device 1 GM11001390 Source guide tube support (GammaMed units only) 1 GM11009930 Handle for lever 1 GM11003810 Leak stop button (pack of 50), non-sterile

*Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description.

C 0086 www.varian.com/brachytherapy TO ORDER: [email protected] GM11004580 1.10 Heyman Packing Applicator Set CT Compatible / MR Compatibility: Conditional Intended for: HDR or PDR intracavitary brachytherapy of the endometrium Afterloader: GammaMedplus iX™ / GammaMedplus™ Modality: HDR, PDR

The Heyman Packing Applicator Set is used to • S uitable for endometrium, corpus- and cavum-uteri simulate the classical Heyman packing technique • S imulates classic Heyman packing technique for endometrial cancer treatment. The standard set • C T Compatible contains capsules which are 4, 6, and 8mm in diameter. • M R Compatibility: Conditional for 1.5 and 3 Tesla if The applicator is reusable and can be steam sterilized. used without channel markers and mandrins For visual coding of individual capsules, there is a set • 4 , 6, and 8mm diameter capsules ensure optimal of channel marker clips. Obturators prevent kinks and packing of the cavum-uteri ease the insertion of the capsules. • S tabilizing obturators allow for easy insertion • C hannel marker clips provide visual coding and easy identification of multiple channels • S team sterilizable

1.10 Heyman Packing Applicator Set – CT Compatible / MR Compatibility: Conditional

Qty.* Product # Components of the Applicator Set 6 GM11005280 Heyman capsule, 4mm diameter x 17.5mm length, with mandrin 6 GM11005110 Heyman capsule, 6mm diameter x 17.5mm length, with mandrin 6 GM11005040 Heyman capsule, 8mm diameter x 17.5mm length, with mandrin 1 GM11003940 Channel marker clips, coded 1-12 1 GM11003810 Leak stop buttons, non-sterile, pack of 50 4 GM11009960 Sterilization plugs, cream (pack of 25) Required Accessories 1 GM11008210 Basic accessory kit for intracavitary/GYN applicators, GammaMedplus 1 GM11008310 Completer kit for Heyman Packing Applicator Set, GammaMedplus Optional Components and Accessories 1 GM11003770 Channel marker clips, coded 13-24 1 GM11001390 Source guide tube support, GammaMed units only 1 GM11003100 Mandrin for 320mm length

*Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description.

C 0086 www.varian.com/brachytherapy TO ORDER: [email protected] GM11000810 Fletcher-style Applicator Set – Deﬁ ned Geometry 1.11 Intended for: HDR intracavitary brachytherapy of the uterus, cervix, endometrium & vagina Afterloader: GammaMedplus iX™ / GammaMedplus™ Modality: HDR

The Fletcher-style Applicator Set with defined • S uitable for uterus, cervix, endometrium and vagina geometry reproduces applicator geometry of the • R eproduces the applicator geometry of conventional conventional Fletcher-style applicator. The use of Fletcher-style applicators three independent probes also allows a non-cylindrical • T hree independent probes allow for non-cylindrical isodose shaping in the cervix area. The design of dose shaping the colpostat segments prevents tissue protrusion • F lat-edged Colpostat segments prevent tissue between the segments even with widespread setups. protrusion between segments Relative to the vaginal axis, the colpostat probes are • 3 mm diameter intrauterine tandem probes allow curved 60° and the intrauterine probes are curved 30°. for easy insertion into cervical channel providing The intrauterine probes are 3mm in outer diameter to maximum patient comfort allow for easy insertion. The cervical stopper reduces • V aginal axis colpostat probes are 60° and intrauterine the risk of perforation. The set contains three sizes of 30° probes allow for a 90° angle between colpostat intrauterine probes with additional sizes available. segments and intrauterine probe to provide optimal The set works with Smit cervical sleeves to allow for positioning repeated insertion and prevent perforation. A rectal • I ntrauterine probes equipped with cervical stoppers retractor can be attached to allow for rectal dose reduce the risk of perforation reduction as well as the use of forceps. • O ptional Smit cervical sleeves allow easy multiple fraction application and provide maximum patient comfort • O ptional rectal retractor uses a central clamping mechanism that allows for easy use of forceps • S team sterilizable

1.11 Fletcher-style Applicator Set – Deﬁ ned Geometry

Qty.* Product # Components of the Applicator Set 1 GM11000820 Colpostat probe, left 1 GM11000830 Colpostat probe, right 1 GM11000850 Intrauterine probe with stopper, length 40mm, 30° angle 1 GM11000870 Intrauterine probe with stopper, length 60mm, 30° angle 1 GM11000890 Intrauterine probe with stopper, length 80mm, 30° angle 1 GM11000900 Mini colpostats, pair 1 GM11000910 Colpostats for 20mm spread, pair 1 GM11000920 Colpostats for 25mm spread, pair 1 GM11000930 Colpostats for 30mm spread, pair 1 GM11000860 Central clamping mechanism 1 GM11000700 Allen key, 2.0mm wrench size, for colpostat fi xation screws 4 GM11009960 Sterilization plugs, cream (pack of 25) Required Accessories (choose one afterloader-specifi c kit) 1 GM11008210 Basic accessory kit for intracavitary/GYN applicators, GammaMedplus series Optional Components and Accessories 1 GM11000800 Hook forceps, 250mm length 1 GM11000640 Forceps clamping mechanism 1 GM11000840 Rectal retractor for 3-channel applicators 1 GM11001160 Cervical sleeves, 30mm length 1 GM11000960 Cervical sleeves, 40mm length 1 GM11001170 Cervical sleeves, 50mm length 1 GM11001260 Cervical sleeves, 60mm length 1 GM11001150 Cervical sleeves, 70mm length 1 GM11001140 Cervical sleeves, 80mm length 1 AL13142000 Cervical sleeve, 20mm length, single use 1 AL13142001 Cervical sleeve, 40mm length, single use 1 AL13142002 Cervical sleeve, 60mm length, single use 1 AL13142003 Cervical sleeve, 80mm length, single use 1 GM11000940 Intrauterine tube with stopper, 30mm length, 30° angle 1 GM11000790 Intrauterine tube with stopper, 50mm length, 30° angle 1 GM11000880 Intrauterine tube with stopper, 70mm length, 30° angle 1 GM11000660 Flexible fi xation device for 3 channel applicators 1 GM11001930 Fixation strap, 500mm/150mm 1 GM11001940 Fixation strap, 1050mm/350mm 1 GM11001950 Fixation strap, 1700mm/500mm 1 GM11008700 Universal applicator clamping device 1 GM11001390 Source guide tube support, GammaMed units only 1 GM11003810 Leak stop button (pack of 50), non-sterile 1 GM11010320 Sterilization box for Fletcher-style applicators, defi ned geometry, GM11000810 & GM11006200

*Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description.

C 0086 www.varian.com/brachytherapy TO ORDER: [email protected] GM11006200 1.12 Titanium Fletcher-style Applicator Set – Deﬁ ned Geometry CT Compatible Intended for: HDR or PDR intracavitary brachytherapy of the uterus, cervix, endometrium & vagina Afterloader: GammaMedplus iX™ / GammaMedplus™ Modality: HDR, PDR

The Titanium Fletcher-style Applicator Set with • S uitable for uterus, cervix, endometrium and vagina defined geometry reproduces applicator geometry of • C T Compatible the conventional Fletcher-style applicator. The use of • M ade from lightweight titanium three independent probes also allows a non-cylindrical • T itanium parts clearly marked with a “Ti” for easy isodose shaping in the cervix area. The design of identification the colpostat segments prevents tissue protrusion • R eproduces the applicator geometry of conventional between the segments even with widespread setups. Fletcher-style applicators Relative to the vaginal axis, the colpostat probes are • T hree independent probes which allow for non- curved 60° and the intrauterine probes are curved 30°. cylindrical dose shaping The intrauterine probes are 3mm in outer diameter to • F lat-edged Colpostat segments prevent tissue allow for easy insertion. The cervical stopper reduces protrusion between segments the risk of perforation. The set contains three sizes of • 3 mm diameter intrauterine tandem probes allow intrauterine probes with additional sizes available. for easy insertion into cervical channel providing The set works with Smit cervical sleeves to allow for maximum patient comfort repeated insertion and prevent perforation. A rectal • V aginal axis colpostat probes are 60° and intrauterine retractor can be attached to allow for rectal dose 30° probes allow for a 90° angle between colpostat reduction as well as the use of forceps. segments and intrauterine probe to provide optimal positioning • I ntrauterine probes equipped with cervical stoppers reduce the risk of perforation • O ptional Smit cervical sleeves allow easy multiple fraction application and provide maximum patient comfort • O ptional rectal retractor uses a central clamping mechanism that allows for easy use of forceps • S team sterilizable

1.12 Titanium Fletcher-style Applicator Set – Deﬁ ned Geometry – CT Compatible

Qty.* Product # Components of the Applicator Set 1 GM11006110 Titanium colpostat probe, left 1 GM11006120 Titanium colpostat probe, right 1 GM11006140 Titanium intrauterine probe with stopper, length 40mm, 30° angle 1 GM11006160 Titanium intrauterine probe with stopper, length 60mm, 30° angle 1 GM11006180 Titanium intrauterine probe with stopper, length 80mm, 30° angle 1 GM11000900 Mini colpostats 1 GM11000910 Colpostats for 20mm spread 1 GM11000920 Colpostats for 25mm spread 1 GM11000930 Colpostats for 30mm spread 1 GM11006190 Titanium central clamping mechanism 1 GM11000700 Allen key, 2.0mm wrench size, for colpostat ﬁ xation screws 4 GM11009960 Sterilization plugs, cream (pack of 25) Required Accessories 1 GM11008210 Basic accessory kit for intracavitary/GYN applicators, GammaMedplus series Optional Components and Accessories 1 GM11006770 Titanium hook forceps, 250mm length 1 GM11006760 Titanium forceps clamping mechanism 1 GM11006750 Titanium rectal retractor 1 GM11001160 Cervical sleeves, 30mm length 1 GM11000960 Cervical sleeves, 40mm length 1 GM11001170 Cervical sleeves, 50mm length 1 GM11001260 Cervical sleeves, 60mm length 1 GM11001150 Cervical sleeves, 70mm length 1 GM11001140 Cervical sleeves, 80mm length 1 AL13142000 Cervical sleeve, 20mm length, single use 1 AL13142001 Cervical sleeve, 40mm length, single use 1 AL13142002 Cervical sleeve, 60mm length, single use 1 AL13142003 Cervical sleeve, 80mm length, single use 1 GM11006130 Titanium intrauterine tube with stopper, 30mm length, 30° angle 1 GM11006150 Titanium intrauterine tube with stopper, 50mm length, 30° angle 1 GM11006170 Titanium intrauterine tube with stopper, 70mm length, 30° angle 1 GM11008700 Universal applicator clamping device 1 GM11001390 Source guide tube support, GammaMed units only 1 GM11003810 Leak stop button (pack of 50), non-sterile 1 GM11010320 Sterilization box for Fletcher-style applicators, deﬁ ned geometry, GM11000810 & GM11006200

*Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description.

C 0086 www.varian.com/brachytherapy TO ORDER: [email protected] AL13030001 Titanium Fletcher-Suit-Delclos-style Applicator Set, Flexible Geometry 1.13 CT Compatible / MR Compatibility: Conditional Intended for: HDR or PDR intracavitary brachytherapy of the uterus, cervix, endometrium & vagina Afterloader: VariSource iX™ / VariSource 200™/ GammaMedplus iX™ / GammaMedplus™ Modality: HDR, PDR

The Titanium Fletcher-Suit Delclos-style Applicator Set • S uitable for uterus, cervix, endometrium and vagina is used for high dose and pulse dose rate treatment based on the traditional Fletcher-Suit-Delclos design of the uterus, cervix, endometrium and vagina. Based • C T Compatible upon the traditional FSD design, the Titanium Fletcher- • M R Compatibility: Conditional for 1.5 and 3 Tesla Suit-Delclos-style Applicator is manufactured from • M ade from lightweight titanium titanium. The applicator features two colpostats which • T itanium parts clearly marked with a “T” for easy can be used with interlocking tandems of angles 15°, identification 30° and 45°. The tandem’s intrauterine section is only • I nterlocking tandems can be used at 15°, 30° and 45° 3mm diameter which often permits insertion without • 3 mm diameter intrauterine section fits to flexible total anesthesia even when used without a cervical cervical sleeves sleeve. • C ervical stoppers reduce the risk of perforation • O ptional Smit cervical sleeves for easy multiple fraction application • S team sterilizable (aluminum sterilization tray is included)

1.13 Titanium Fletcher-Suit-Delclos-style Applicator Set – CT Compatible / MR Compatibility: Conditional

Qty.* Product # Components of the Applicator Set 1 AL07523000 Pair of Titanium colpostat tandem (left & right) 1 AL07522000 Titanium Intrauterine tandem, angle 15° 1 AL07522001 Titanium Intrauterine tandem, angle 30° 1 AL07522002 Titanium Intrauterine tandem, angle 45° 1 AL07340000 Titanium tandem pivot assembly with locking nut 1 AL07334003 Ovoid pair, mini, 16mm diameter 1 AL07334002 Ovoid pair, 20mm diameter 1 AL07334001 Ovoid pair, 25mm diameter 1 AL07334000 Ovoid pair, 30mm diameter 2 AL07339000 Titanium cervical stop set screw 1 AL07338000 Acetal, cervical stop with titanium CT marker 1 AL07344000 Titanium cervical stop 1 AL07342000 Titanium Allen wrench, autoclavable 1 AL07341000 Titanium locking nut 4 GM11009960 Sterilization plugs, cream (pack of 25) Required Accessories (choose one afterloader-speciﬁ c kit) 1 GM11008740 Basic Accessory Kit for Intracavitary Applicators (GYN & ENT), VariSource 1 GM11008210 Basic Accessory Kit for Intracavitary / GYN Applicators, GammaMedplus Optional Components and Accessories 1 GM11008700 Universal applicator clamping device 1 GM11001390 Source guide tube support (GammaMed units only) 1 GM11003810 Leak stop button (pack of 50), non-sterile 1 AL13142000 Cervical sleeve, 20mm length, single use 1 AL13142001 Cervical sleeve, 40mm length, single use 1 AL13142002 Cervical sleeve, 60mm length, single use 1 AL13142003 Cervical sleeve, 80mm length, single use

*Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description.

C 0086 www.varian.com/brachytherapy TO ORDER: [email protected] GM11006940 Manchester-style Applicator Set – Flexible Geometry 1.14 Intended for: HDR intracavitary brachytherapy of the uterus, cervix, endometrium and vagina Afterloader: GammaMedplus iX™ / GammaMedplus™ Modality: HDR

The Manchester-style Applicator Set reproduces the • S uitable for uterus, cervix, endometrium and vagina dosimetry of the conventional Manchester-style • R eproduces applicator geometry of Manchester-style applicator. The ovoid design allows for tungsten applicators shielding of the top and bottom for dose reduction • T hree independent probes which allow for non- to the rectum and/or bladder. The three intrauterine cylindrical dose shaping probes are curved 15°, 30° or 45° relative to the vaginal • M ultiple diameters of ovoid pairs allow for easy axis. The intrauterine probes have a 3mm outer adaptation to patient anatomy and more flexible diameter to allow for easy insertion and a cervical dose shaping stopper to help prevent perforation. An optional rectal • O void pairs accept tungsten shielding pieces to retractor allows for rectal dose reduction and the use enable specific shielding above and below ovoids of forceps which can be easily attached to the central • P robes with 3mm diameter intrauterine tandem clamping mechanism. allow for easy insertion into cervical channel, providing maximum patient comfort • S traight vaginal axis colpostat probe • O ptional rectal retractor available • O ptional clamping mechanism available • S team sterilizable

1.14 Manchester-style Applicator Set – Flexible Geometry

Qty.* Product # Components of the Set 1 GM11006870 Manchester-style colpostat probe, left 1 GM11006880 Manchester-style colpostat probe, right 1 GM11004450 Intrauterine probe, 15° curved, for three channel applicator 1 GM11000740 Intrauterine probe, 30° curved, for three channel applicator 1 GM11000750 Intrauterine probe, 45° curved, for three channel applicator 1 GM11000670 Cervical stopper 2 GM11008110 Manchester-style ovoid, 20mm, without shielding 2 GM11008060 Manchester-style ovoid, 20mm, double shielded 1 GM11008070 Manchester-style ovoid, 20mm, unilateral shielded top 1 GM11008080 Manchester-style ovoid, 20mm, unilateral shielded bottom 2 GM11008090 Manchester-style ovoid cap, 25mm outer diameter 2 GM11008100 Manchester-style ovoid cap, 30mm outer diameter 1 GM11000860 Central clamping mechanism 1 GM11007640 Disassembly pin for removal of ovoid caps 1 GM11002370 Allen wrench, 2.5mm, autoclavable 4 GM11009960 Sterilization plugs, cream (pack of 25) 1 GM11003810 Leak stop buttons, non-sterile, pack of 50 Required Accessories 1 GM11008210 Basic accessory kit for intracavitary/GYN applicators, GammaMedplus series Optional Components and Accessories 1 GM11000800 Hook forceps, 250mm long 1 GM11000640 Clamping mechanism for forceps 1 GM11000840 Rectal retractor for three channel applicators 1 GM11008700 Universal applicator clamping device 1 GM11001390 Source guide tube support, GammaMedplus only 1 GM11007800 Intrauterine probe, straight, for 3 channel applicator 1 GM11007810 3cm intrauterine probe angled 20°, for 3 chan. app. 1 GM11007820 4cm intrauterine probe angled 20°, for 3 chan. app. 1 GM11007830 5cm intrauterine probe angled 20°, for 3 chan. app. 1 GM11007840 6cm intrauterine probe angled 20°, for 3 chan. app. 1 GM11007850 7cm intrauterine probe angled 20°, for 3 chan. app. 1 GM11007860 8cm intrauterine probe angled 20°, for 3 chan. app. 1 GM11007870 3cm intrauterine probe angled 40°, for 3 chan. app. 1 GM11007880 4cm intrauterine probe angled 40°, for 3 chan.app. 1 GM11007890 5cm intrauterine probe angled 40°, for 3 chan. app. 1 GM11007900 6cm intrauterine probe angled 40°, for 3 chan. app. 1 GM11007910 7cm intrauterine probe angled 40°, for 3 chan. app. 1 GM11007920 8cm intrauterine probe angled 40°, for 3 chan. app. 1 GM11000660 Flexible ﬁ xation for 3 channel applicators 1 GM11001930 Fixation strap, 500mm/150mm 1 GM11001940 Fixation strap, 1050mm/350mm 1 GM11001950 Fixation strap, 1700mm/500mm 1 AL13142000 Cervical sleeve, 20mm length, single use 1 AL13142001 Cervical sleeve, 40mm length, single use 1 AL13142002 Cervical sleeve, 60mm length, single use 1 AL13142003 Cervical sleeve, 80mm length, single use *Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description. C 0086 www.varian.com/brachytherapy TO ORDER: [email protected] AL13017000 1.15 Ring & Tandem Combination Applicator Set CT Compatible / MR Compatibility: Conditional Intended for: HDR intracavitary brachytherapy of the uterus, cervix, and cervix channel Afterloader: VariSource iX™ / VariSource 200™/ GammaMedplus iX™ / GammaMedplus™ Modality: HDR, PDR

The Ring and Tandem Combination Applicator Set is • S uitable for cervix, cervix channel and uterus indicated treatment of the cervix, cervix channel and • C T Compatible uterus. The applicator comes with 32mm diameter • M R Compatibility: Conditional for 1.5 and 3 Tesla rings that can be used in conjunction with interlocking • M anufactured from lightweight titanium tandems of lengths 20, 40 and 60mm. A optional • T itanium parts are clearly marked with a “T” for easy set of tandems with 80mm length is available. This identification combination set supplies a complete range of tandem • L ightweight yet robust and ring angles 30°, 45° and 60°. The set also includes • U ses reproduction of applicator geometry based on two ring build-up caps 5mm and 7.5mm, a rectal conventional ring and plate style retractor, and a aluminum sterilization tray. The • I nterlocking tandems in lengths of 20, 40 and 60mm applicator set is fabricated from space-age titanium • W ide range of tandems and ring angles tubing for a light yet rigid appliance with very thin • I ncludes a rectal retractor to avoid the need of tandem tubing for ease of placement. The fixed packing geometry further speeds applicator placement and • F ixed geometry for consistent dosimetry greatly simplifies the treatment planning process. For • T hin 3mm tandem can often be inserted without additional needle implantation, optional ring caps for anesthesia 1.65mm diameter titanium needles and 2mm plastic • I ncludes two build-up caps – 5mm and 7.5mm needles are available. • R ing caps for needle implants optional available • 8 0mm tandem length optional • S team sterilizable (aluminum sterilization tray is included)

1.15 Ring & Tandem Combination Applicator Set – CT Compatible / MR Compatibility: Conditional

Qty.* Product # Components of the Applicator Set 1 AL07362000 Ring applicator, 32mm, 30°, titanium 1 AL07363000 Ring applicator, 32mm, 45°, titanium 1 AL07364000 Ring applicator, 32mm, 60°, titanium 1 AL07365000 Intrauterine tandems, set of 3, 20, 40 and 60mm, 30°, titanium 1 AL07366000 Intrauterine tandems, set of 3, 20, 40 and 60mm, 45°, titanium 1 AL07367000 Intrauterine tandems, set of 3, 20, 40 and 60mm, 60°, titanium 1 AL07368000 Rectal retractor, titanium, white acetal 1 AL07325000 5mm build-up cap for ring, black acetal 1 AL07326000 7.5mm build-up cap for ring, white acetal 4 GM11009960 Sterilization plugs, (pack of 25) Required Accessories (choose one afterloader-specifi c kit) 1 GM11008740 Basic accessory kit for intracavitary applicators, VariSource 200 and iX 1 GM11008210 Basic accessory kit for intracavitary applicators, GammaMedplus series Optional Components and Accessories 1 GM11008700 Universal applicator clamping device 1 GM11001160 Cervical sleeve, 30mm length, reusable 1 GM11000960 Cervical sleeve, 40mm length, reusable 1 GM11001170 Cervical sleeve, 50mm length, reusable 1 GM11001260 Cervical sleeve, 60mm length, reusable 1 GM11001150 Cervical sleeve, 70mm length, reusable 1 GM11001140 Cervical sleeve, 80mm length, reusable 1 AL13142000 Cervical sleeve, 20mm length, single use 1 AL13142001 Cervical sleeve, 40mm length, single use 1 AL13142002 Cervical sleeve, 60mm length, single use 1 AL13142003 Cervical sleeve, 80mm length, single use 1 GM11003810 Leak stop buttons, non-sterile, pack of 50 1 GM11001390 Source guide tube support, GammaMed units only 1 GM11001960 Flexible fi xation device for gynecological applicators 1 GM11006100 Bracket for ring applicator for fl exible fi xation device 1 AL07372000 Spare Tandem Set, 30°-45°-60°, 80mm long, titanium

*Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description.

C 0086 www.varian.com/brachytherapy TO ORDER: [email protected] 1.16 Components for Vienna-style Ring Applicator CT Compatible / MR Compatibility: Conditional Intended for: HDR intracavitary & interstitial brachytherapy of the uterus, cervix, and cervix channel Afterloader: VariSource iX™ / VariSource 200™/ GammaMedplus iX™ / GammaMedplus™ Modality: HDR, PDR

The accessories for the Vienna-style solution support • S uitable for cervix, cervix channel and uterus and Varian’s existing titanium Ring & Tandem applicator para-cervical AL13017000 for needle implantation around the • C T Compatible ring parallel to the intrauterine tandem. All of these • M R Compatibility: Conditional for 1.5 and 3 Tesla components and accessories are sold individually. (except for the needle bender) The Vienna-style ring cap with 1.65mm diameter • C ompatible with existing titanium Ring & Tandem holes allows for the insertion of pre-bent 16 gauge applicators (1.65mm) titanium needles. The titanium needles • S caled needle bender allows easy definition of the must be pre-bent to correspond with the selected required angle and length behind the bend. ring angle. A dedicated needle bender with graduated • R ing caps available in 5mm and 7.5mm thickness scale is available for pre-bending the needles at the • S team sterilizable anatomical required insertion length. A Vienna-style ring cap with 2mm diameter holes is available for use Not authorized for use in USA Not authorized for use in Canada with the GammaMedplus plastic needles and the 60° angled ring.

1.16 Components for Vienna-style Ring Applicator – CT Compatible / MR Compatibility: Conditional

Qty.* Product # Components for 16Gauge (1.65mm) titanium needles 1 AL07528000 Vienna-style ring cap, 5mm (black) for 1.65mm (16Gauge) needles 1 AL07529000 Vienna-style ring cap, 7.5mm (white) for 1.65mm (16Gauge) needles 1 GM13004130 Needle collector for 1.65mm needle ring cap, 30° 1 GM13004140 Needle collector for 1.65mm needle ring cap, 45° 1 GM13004150 Needle collector for 1.65mm needle ring cap, 60° 1 GM13003910 Mick Needle Bender Jig for 1.65 (16G) titanium needles ** GM11010420 Titanium needle 200mm, 1.65mm (16 gauge), blunt trocar point ** GM11010430 Titanium needle 250mm, 1.65mm (16 gauge), blunt trocar point ** GM11010440 Titanium needle 320mm, 1.65mm (16 gauge), blunt trocar point Qty.* Product # Components for 2mm plastic needles 1 AL07530000 Vienna-style ring cap, 5mm (black) for 2.0mm plastic needles 1 AL07531000 Vienna-style ring cap, 7.5mm (white) for 2.0mm plastic needles 1 GM13004160 Needle collector for 2m needle ring cap, 60° ** GM11007570 Plastic needle, 2.0mm diameter, length 200mm ** GM11007580 Plastic needle, 2.0mm diameter, length 320mm

*Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description.

** Select adequate quantity

C 0086 www.varian.com/brachytherapy TO ORDER: [email protected] GM11001220 1.17 Ring Applicator, 45° Set CT Compatible / MR Compatibility: Conditional Intended for: HDR or PDR intracavitary brachytherapy of the uterus, cervix, and cervix channel Afterloader: GammaMedplus iX™ / GammaMedplus™ Modality: HDR, PDR

The Ring Applicator, 45° Set is used to treat cancer • S uitable for cervix, cervix channel and uterus of the cervix, the cervix channel and the uterus. The • C T Compatible applicator can be used with Smit cervical sleeves as • M R Compatibility: Conditional for 1.5 and 3 Tesla well as with or without flexible intrauterine tubes. Its • R eproduces applicator geometry of the conventional plastic construction ensures easy steam sterilization. ring and plate style applicator Multiple ring diameters are available to create the • M ultiple Smit cervical sleeves allow for easy multiple optimal distance between the source and the layers of fraction application and provide maximum patient tissue to be treated. comfort • I ntra-uterine and ring probe designed for a 45° vaginal-cervical axis • D istance cap on ring increases flexibility in dose delivery • I ntra-uterine probe and ring probe intersect at a 90° angle to ensure optimal positioning • 2 6mm (for GammaMedplus) and 35mm ring diameter with distance caps easy adapt to patient anatomy and facilitate more flexible dose shaping • S team sterilizable

1.17 Ring Applicator, 45° Set – CT Compatible / MR Compatibility: Conditional

Qty.* Product # Components of the Applicator Set 1 GM11001240 Ring probe 45°, 30 x 36mm 1 GM11001180 Guiding tube 45° ring for cervical sleeves, with clamping nut 1 GM11001020 Guiding tube 45° ring with cervical stop, with clamping nut 1 GM11001060 Centered joint for ring-applicator with clamping screw 1 GM11000360 Distance cap 40mm for ring 30 x 36mm 1 GM11002280 Flexible probe 2.8 x 320mm 1 GM11000960 Smit Cervical sleeves, 40mm with clamping for guiding tube 1 GM11001260 Smit Cervical sleeves, 60mm with clamping for guiding tube 1 GM11001140 Smit Cervical sleeves, 80mm with clamping for guiding tube 1 GM11003810 Leak stop buttons (pack of 50), non-sterile 4 GM11009960 Sterilization plugs, cream (pack of 25) 1 GM11007390 Disassembly pin for removal of ring cap Required Accessories 1 GM11008210 Basic accessory kit for intracavitary applicators , GammaMedplus series Optional Components and Accessories 1 GM11001230 Ring probe, 45°, 26 x 32mm 1 GM11001250 Ring probe, 45°, 35 x 41mm 1 GM11001080 Distance cap, 36mm for ring 26 x 32mm 1 GM11000140 Distance cap, 45mm for ring 35 x 41mm 1 GM11001160 Smit Cervical sleeves, 30mm with clamping for guiding tube 1 GM11001170 Smit Cervical sleeves, 50mm with clamping for guiding tube 1 GM11001150 Smit Cervical sleeves, 70mm with clamping for guiding tube 1 GM11008700 Applicator clamping device 1 GM11001390 Source guide tube support 1 GM11006100 Bracket for ring applicator for fl exible fi xation GYN 1 GM11001960 Flexible fi xation device for GYN

*Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description.

C 0086 www.varian.com/brachytherapy TO ORDER: [email protected] GM11000760 1.18 Ring Applicator, 60° Set CT Compatible / MR Compatibility: Conditional Intended for: HDR or PDR intracavitary brachytherapy of the uterus, cervix Afterloader: GammaMedplus iX™ / GammaMedplus™ Modality: HDR, PDR

The Ring Applicator, 60° Set is used to treat cancer • S uitable for cervix, cervix channel and uterus of the cervix, the cervix channel and the uterus. The • C T Compatible applicator can be used with Smit cervical sleeves as • M R Compatibility: Conditional for 1.5 and 3 Tesla well as with or without flexible intrauterine tubes. Its • R eproduces applicator geometry of the conventional plastic construction ensures easy steam sterilization. ring and plate style applicator Multiple ring diameters are available to create the • M ultiple Smit cervical sleeves allow for easy multiple optimal distance between the source and the layers of fraction application and provide maximum patient tissue to be treated. comfort • I ntra-uterine and ring probe designed for a 60° vaginal-cervical axis • D istance cap on ring increases flexibility in dose delivery • I ntra-uterine probe and ring probe intersect at a 90° angle to ensure optimal positioning • 2 6mm (for GammaMedplus) and 35mm ring diameter with distance caps easy adapt to patient anatomy and facilitate more flexible dose shaping • S team sterilizable

1.18 Ring Applicator, 60° Set – CT Compatible / MR Compatibility: Conditional

Qty.* Product # Components of the Applicator Set 1 GM11000280 Ring probe 60°, 30 x 36mm 1 GM11000260 Guiding tube 60° ring for cervical sleeves, with clamping nut 1 GM11000250 Guiding tube 60° ring with cervical stop, with clamping nut 1 GM11001060 Centered joint for ring-applicator with clamping screw 1 GM11000360 Distance cap 40mm for ring 30 x 36mm 1 GM 11002280 Flexible probe 2.8 x 320mm 1 GM11000960 Smit Cervical sleeves, 40mm with clamping for guiding tube 1 GM11001260 Smit Cervical sleeves, 60mm with clamping for guiding tube 1 GM11001140 Smit Cervical sleeves, 80mm with clamping for guiding tube 1 GM11003810 Leak stop buttons (pack of 50), non-sterile 4 GM11009960 Sterilization plugs, cream (pack of 25) 1 GM11007390 Disassembly pin for removal of ring cap Required Accessories 1 GM11008210 Basic accessory kit for intracavitary applicators, GammaMedplus series Optional Components and Accessories 1 GM11000290 Ring probe, 60°, 26 x 32mm 1 GM11000270 Ring probe, 60°, 35 x 41mm 1 GM11001080 Distance cap, 36mm for ring 26 x 32mm 1 GM11000140 Distance cap, 45mm for ring 35 x 41mm 1 GM11001160 Smit Cervical sleeves, 30mm with clamping for guiding tube 1 GM11001170 Smit Cervical sleeves, 50mm with clamping for guiding tube 1 GM11001150 Smit Cervical sleeves, 70mm with clamping for guiding tube 1 GM11008700 Applicator clamping device 1 GM11001390 Source guide tube support 1 GM11006100 Bracket for ring applicator for fl exible fi xation GYN 1 GM11001960 Flexible fi xation device for GYN

*Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description.

C 0086 www.varian.com/brachytherapy TO ORDER: [email protected] GM11000240 1.19 Ring Applicator, 90° Set CT Compatible / MR Compatibility: Conditional Intended for: HDR or PDR intracavitary brachytherapy of the uterus, cervix Afterloader: GammaMedplus iX™ / GammaMedplus™ Modality: HDR, PDR

The Ring Applicator, 90° Set is used to treat cancer • S uitable for cervix, cervix channel and uterus of the cervix, the cervix channel and the uterus. The • C T Compatible applicator can be used with Smit cervical sleeves as • M R Compatibility: Conditional for 1.5 and 3 Tesla well as with or without flexible intrauterine tubes. Its • R eproduces applicator geometry of the conventional plastic construction ensures easy steam sterilization. ring and plate style applicator Multiple ring diameters are available to create the • M ultiple Smit cervical sleeves allow for easy multiple optimal distance between the source and the layers of fraction application and provide maximum patient tissue to be treated. comfort • I ntra-uterine and ring probe designed for a 90° vaginal-cervical axis • D istance cap on ring increases flexibility in dose delivery • I ntra-uterine probe and ring probe intersect at a 90° angle to ensure optimal positioning • 2 6mm (for GammaMedplus) and 35mm ring diameter with distance caps easy adapt to patient anatomy and facilitate more flexible dose shaping • S team sterilizable

1.19 Ring Applicator, 90° Set – CT Compatible / MR Compatibility: Conditional

Qty.* Product # Components of the Applicator Set 1 GM11000220 Ring probe 90°, 30 x 36mm 1 GM11000200 Guiding tube 90° ring for cervical sleeves, with clamping nut 1 GM11000190 Guiding tube 90° ring with cervical stop, with clamping nut 1 GM11001060 Centered joint for ring-applicator with clamping screw 1 GM11000360 Distance cap 40mm for ring 30 x 36mm 1 GM 11002280 Flexible probe 2.8 x 320mm 1 GM11000960 Smit Cervical sleeves, 40mm with clamping for guiding tube 1 GM11001260 Smit Cervical sleeves, 60mm with clamping for guiding tube 1 GM11001140 Smit Cervical sleeves, 80mm with clamping for guiding tube 1 GM 11003810 Leak stop buttons (pack of 50), non-sterile 4 GM11009960 Sterilization plugs, cream (pack of 25) 1 GM11007390 Disassembly pin for removal of ring cap Required Accessories 1 GM11008210 Basic accessory kit for intracavitary applicators, GammaMedplus series Optional Components and Accessories 1 GM11000220 Ring probe, 90°, 26 x 32mm 1 GM11000210 Ring probe, 90°, 35 x 41mm 1 GM11001080 Distance cap, 36mm for ring 26 x 32mm 1 GM11000140 Distance cap, 45mm for ring 35 x 41mm 1 GM11001160 Smit Cervical sleeves, 30mm with clamping for guiding tube 1 GM11001170 Smit Cervical sleeves, 50mm with clamping for guiding tube 1 GM11001150 Smit Cervical sleeves, 70mm with clamping for guiding tube 1 GM11008700 Applicator clamping device 1 GM11001390 Source guide tube support 1 GM11006100 Bracket for ring applicator for fl exible fi xation GYN 1 GM11001960 Flexible fi xation device for GYN

*Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description.

C 0086 www.varian.com/brachytherapy TO ORDER: [email protected] AL13025000 1.20 Miami-style Applicator Set CT Compatible Intended for: HDR intracavitary brachytherapy of the vagina and vaginal cuff Afterloader: VariSource iX™ / VariSource 200™/ GammaMedplus iX™ / GammaMedplus™ Modality: HDR

The Miami-style* applicator set is used to treat vaginal • S uitable for vaginal and vaginal cuff and cervix or vaginal cuff disease with a dose distribution • C T Compatible optimized to individual patient anatomy and • E asy transfer guide tube connection using the pathology. The set consists of a 22mm cylindrical ClickFit™ connection obturator with six channels positioned around the • A llows asymmetrical dose distribution along circumference obturator, one straight and one 30˚ applicator long axis central uterine tandem. Includes obturator sleeves in • M ultiple obturator sizes diameters of 30, 35 and 40mm. The applicator may • S traight and angled tandems be used with or without a tandem. The Miami-style • S uitable for treating intrauterine and/or vaginal applicator improves on a conventional vaginal cylinder treatments or cervical applicator in that the source configuration • S team sterilizable (aluminum sterilization tray is facilitates the generation of dose distributions that are included) asymmetrical about the long axis of the cylinder. In this way, a dose distribution can be generated which *The name is derived from the use of a similar style applicator developed at the conforms more accurately to the target. Sylvester Cancer Center in Miami, Florida.

1.20 Miami-style Applicator – CT Compatible

Qty.* Product # Components of the Applicator Set 1 AL07370000 30˚ tandem, stainless steel 1 AL07370001 Straight tandem, stainless steel 1 AL07370002 Miami-style applicator body, acetal 1 AL07370003 Miami-style 30mm build-up cap/obturator, acetal 1 AL07370004 Miami-style 35mm build-up cap/obturator, acetal 1 AL07370005 Miami-style 40mm build-up cap/obturator, acetal 1 AL07370006 Miami-style docking unit, stainless steel 1 AL07370007 Miami-style tandem lock nut, stainless steel 1 AL07370008 Cervical stop, stainless steel 1 AL07370009 Cervix stop Allen wrench 1 GM11009960 Sterilization plugs, cream (pack of 25) Required Accessories, VariSource 200 and iX 1 GM11008740 Basic accessory kit for intracavitary/GYN applicators, VariSource 1 GM19002000 Needle ClickFit™ Transfer Guide Tube Set, Channels 1-10 (200 Series) 1 GM11009640 X-ray marker BV set I, needles up to 200mm, coded 1-6 Required Accessories, GammaMedplus series 1 GM11008210 Basic accessory kit for intracavitary/GYN applicators, GammaMed 1 GM11009640 X-ray marker BV set I, needles up to 200mm, coded 1-6 6 GM11000320 Source guide tubes for 200mm needles Optional Components and Accessories 1 GM11001960 Flexible ﬁ xation mechanism for gynecological applicators 1 GM11008700 Universal applicator clamping device 1 GM11001390 Source guide tube support, GammaMed units only 1 GM11003810 Leak stop button (pack of 50), non-sterile 1 AL13142000 Cervical sleeve, 20mm length, single use 1 AL13142001 Cervical sleeve, 40mm length, single use 1 AL13142002 Cervical sleeve, 60mm length, single use 1 AL13142003 Cervical sleeve, 80mm length, single use 1 GM11001160 Cervical sleeve, 30mm length, reusable 1 GM11000960 Cervical sleeve, 40mm length, reusable 1 GM11001170 Cervical sleeve, 50mm length, reusable 1 GM11001260 Cervical sleeve, 60mm length, reusable 1 GM11001150 Cervical sleeve, 70mm length, reusable 1 GM11001140 Cervical sleeve, 80mm length, reusable

*Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description.

C 0086 www.varian.com/brachytherapy TO ORDER: [email protected] Intraluminal Applicators

Series Accessory Kits for Intraluminal Applicators 2.1 GM11008880 Esophagus Bougie Set – CT Compatible 2.2 GM1108890, Centering Intraluminal Applicator Sets – CT Compatible 2.3

GM1009010 2.1 – 2.6 GM11000620 Intraluminal Applicator Set – CT Compatible / MR Compatibility: Conditional 2.4 Series Standard Catheter Set – CT Compatible / MR Compatibility: Conditional 2.5 GM11004690 Nasopharynx Applicator Set – CT Compatible / MR Compatibility: Conditional 2.6

Many Varian intraluminal applicators use the same set of accessories. The following accessory kits make ordering easier and help prevent ordering duplicate spare parts. You will find the kit number listed in the required accessories section for each applicator set in this chapter. 2.1

Qty.* GM11008340 Basic Accessory Kit for Intraluminal Applicators, GammaMedplus 1 GM11000330 Length gauge 1 GM11000160 Length cutting gauge for 5Fr. bronchial catheter 1 GM11009610 X-ray marker BV, 1300mm applicators, uncoded 5 GM11006270 Monoﬁ l, 0.8mm diameter, sterile, for bronchial catheters 2 GM11003220 Cleaning caps, black, pack of 20 Accessories for Intraluminal Applicators, VariSource 200 and iX 1 AL12500000 Quick connect 1 AL13111600 X-ray marker wire, CH-1, 160cm 1 GM11003170 Strap for bite protector bougie 1 GM11004210 Seldinger guide wire, 0.032” x 2600mm, sterile 1 GM11002370 Allen key, 2.5mm wrench size, suitable for autoclave sterilization GM11008220 Complete Accessory Kit for Intraluminal Applicators, GammaMedplus 1 GM11000330 Length gauge 1 GM11000160 Length cutting gauge for 5Fr. bronchial catheter 1 GM11009660 X-ray marker BV set Intraluminal, up to 1300mm length, coded 1-3 5 GM11006270 Monoﬁ l, 0.8mm diameter, sterile, for bronchial catheters 5 GM11003170 Strap for bite protector bougie 2 GM11003070 Guiding tube, 4.5mm diameter x 700mm length, front open 2 GM11004210 Seldinger guide wire, 0.032” x 2600mm, sterile 1 GM11002370 Allen key, 2.5mm wrench size, suitable for autoclave sterilization 2 GM11003220 Cleaning caps, black, pack of 20

*Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description.

www.varian.com/brachytherapy TO ORDER: [email protected] GM11008880

Esophagus Bougie Set CT Compatible Intended for: HDR Intraluminal brachytherapy of the esophagus Afterloader: VariSource iX™ / VariSource 200™ / GammaMedplus iX™ / GammaMedplus™ Modality: HDR 2.2

The Esophagus Bougie Set is used to treat cancer of • S uitable for esophagus the esophagus. The special design ensures an optimal • C T Compatible distance from the source to the tissue being treated. • E quipped with a variety of bougie diameters which The set requires a 3.2 mm diameter catheter to ensure provide optimal distance from the source to the tissue the centered source position in the bougie. The set also being treated includes a bite-protector and fixation, a fixation plate • 3 .2mm diameter inner catheter enables centered with band for each bougie diameter, and a guiding source positioning in the bougie wire to easily insert the bougie into position. • U ses the Seldinger guide wire technique to allow for easy esophageal insertion • I ncludes radiopaque X-ray markers for easy identification either during fluoroscopy or on X-rays • I ncludes bite protector and fixation • H igh level disinfection only

Qty.* Product # Components of the Applicator Sets 1 GM11007410 Esophagus bougie, 8mm diameter, with bite protector and fi xation 1 GM11007420 Esophagus bougie, 10mm diameter, with bite protector and fi xation 1 GM11007430 Esophagus bougie, 12mm diameter, with bite protector and fi xation 1 GM11007440 Esophagus bougie, 14mm diameter, with bite protector and fi xation 4 GM11003170 Strap for fi xation mask and bite protector bougie

2.2 1 GM11004720 Cleaning set for esophagus bougie 1 GM11004210 Seldinger guide wire, 0.032” x 2600mm, sterile Required Accessories – VariSource 200 and iX 1 GM11008480 Tube catheter, 3.2mm diameter, VariSource 200 and iX 1 AL13116000 X-ray marker wire, CH-1, 160cm 1 AL13169000 Measurement ruler 1 AL13154000 Measurement marker wire 1 AL13119000 Measurement marker clip 1 GM11009420 Cleaning caps, blue, pack of 20 Required Accessories – GammaMedplus series 1 GM11008340 Basic accessory kit for intraluminal applicators 1 GM11000400 Tube catheter, 3.2mm diameter, GammaMedplus Optional Components and Accessories 1 GM11007450 Bite protector, fi xation and bond, 8mm diameter 1 GM11007460 Bite protector, fi xation and bond, 10mm diameter 1 GM11007470 Bite protector, fi xation and bond, 12mm diameter 1 GM11007480 Bite protector, fi xation and bond, 14mm diameter 1 GM11007490 Clamping screw for bougies 1 GM11001390 Source guide tube support (GammaMed units only)

*Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description.

C 0086 www.varian.com/brachytherapy TO ORDER: [email protected] GM11008890, GM11009010

Centering Intraluminal Applicator Set CT Compatible Intended for: HDR Intraluminal brachytherapy Afterloader: VariSource iX™ / VariSource 200™ / GammaMedplus iX™ / GammaMedplus™ Modality: HDR 2.3

The Centering Intraluminal Applicator Set is used • S uitable for trachea, main bronchus and esophagus to treat cancer of the trachea, main bronchus and • C T Compatible esophagus. The special design of the 3-centering • E quipped with 3 centering baskets which provide catheter enables a centered position of the source optimal distance from the source to the tissue being in the lumen of the trachea or bronchus while still treated permitting the patient to breath normally. The three • U ses the Seldinger guide wire technique to allow for centering baskets can be partly or totally extended easy insertion enabling an individual adaptation to the patient’s • I ncludes radiopaque x-ray markers for easy anatomy. The set contains a guide wire for inserting identification either during fluoroscopy or on x-rays the applicator using the Seldinger technique. For the • C atheter parts sterile supplied and for single use source transfer, standard or bronchial catheters are • M etal parts steam sterilizable used. The centering tube, bronchial catheter and the Seldinger guide wire in the set are supplied sterile and for single use only.

Qty.* Product # Components of the Applicator Set for GammaMedplus series 5 GM11008050 Basket tube with three centering baskets, sterile, single use 5 GM11008160 Inner tuber for centering catheter, sterile, single use 1 GM11008030 Guide tube for centering catheter 1 GM11008040 Scaled pull rod, GammaMed only 1 GM11008170 Lock screw for centering catheter, pack of 3

2.3 5 GM11002260 Bronchial catheter, 1.84mm, sterile 5 GM11004210 Guide wire, 0.032” x 2600mm, sterile 1 GM11002370 Allen Key, 2.5mm, autoclave sterilizable 1 GM11008190 Cleaning brush Qty.* Product # Components of the Applicator Set for VariSource series 5 GM11008050 Basket tube with three centering baskets, sterile, single use 5 GM11008160 Inner tuber for centering catheter, sterile, single use 1 GM11008030 Guide tube for centering catheter 1 GM11008180 Scaled pull rod, VariSource only 1 GM11008170 Lock screw for centering catheter, pack of 3 5 AL1315000 4.7Fr. plastic-tipped catheter, 150cm 5 GM11004210 Guide wire, 0.032” x 2600mm, sterile 1 GM11002370 Allen Key, 2.5mm, autoclave sterilizable 1 GM11008190 Cleaning brush Required Accessories – VariSource series 1 AL12500000 Quick Connect, VariSource 200 1 AL13116000 X-ray marker wire, CH-1, 160cm 1 AL13169000 Measurement ruler 1 AL13154000 Measurement marker wire 1 AL13119000 Measurement marker clip Required Accessories – GammaMedplus series 1 GM11000550 Clamping adapter for bronchial catheter 1.84mm, GammaMedplus 1 GM11009610 X-ray marker BV, up to 1300mm catheters, uncoded, GammaMedplus 1 GM11000330 Length gauge, GammaMedplus 1 GM11001640 Length cutting gauge for bronchial catheters, ø 1.84mm Optional Components and Accessories 1 GM11006270 Monoﬁ l 0.8mm for bronchial catheter, sterile (GammaMedplus series only)

*Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description.

C 0086 www.varian.com/brachytherapy TO ORDER: [email protected] GM11000620

Intraluminal Applicator Set CT Compatible / MR Compatibility: Conditional Intended for: HDR Intraluminal brachytherapy Afterloader: GammaMedplus iX™ / GammaMedplus™ Modality: HDR 2.4

Each Intraluminal Applicator Set is used for the • S uitable for treating body sites allowing insertion of a treatment of body sites allowing the insertion of catheter this 5 French catheter. Although often used for • C T Compatible endobronchial treatments and introduced through • M R Compatibility: Conditional for 1.5 and 3 Tesla a 2mm channel bronchoscope. The catheter is also • F its 2mm diameter bronchoscope biopsy channel suitable for treatments of the esophagus (using a guide allowing for easy insertion tube), and the bile duct. The catheter is manufactured • E lastomer construction provides increased flexibility using material offering ample flexibility, yet is for easy placement and luminal rigidity to avoid kinks sufficiently stiff to avoid kinks. The set includes 2.8mm • O ptional nylon monofil construction adds luminal diameter spacing tubes as well as a bite protector. stability during catheter insertion and manipulation • C omes with 2.8mm spacing tubes which minimize surface dose • S pacing tubes ensure secure placement during treatment • C atheter and guide wire sterile supplied and for single use

Qty.* Product # Components of the Applicator Set 10 GM11000530 Bronchial catheter, 5Fr., sterile, GammaMedplus 2 GM11000470 Quick connector for 5Fr. bronchial catheter (clamping adapter), GammaMedplus 2 GM11004210 Seldinger guide wire, 0.032” x 2600mm, sterile 2 GM11003180 Guide tube, 2.8mm diameter, length 900mm, front open 1 GM11008900 Bite protector for intraluminal applicators

2.4 Required Accessories – GammaMedplus series 1 GM11008340 Basic accessory kit for intraluminal applicators Optional Components and Accessories 1 GM11006270 Monoﬁ l, 0.8mm diameter, for bronchial catheter, sterile 1 GM11000390 Tube catheter, 2.8mm diameter, GammaMedplus 1 GM11003070 Guiding tube, 5mm diameter x 700mm length, front open 1 GM11003940 Channel marker clips, coded 1-12 1 GM11003810 Leak stop buttons, pack of 50, non-sterile 1 GM11001390 Source guide Tube Support

*Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description.

C 0086 www.varian.com/brachytherapy TO ORDER: [email protected] Series

Standard Catheters CT Compatible / MR Compatibility: Conditional Intended for: HDR intraluminal brachytherapy Afterloader: VariSource iX™ / VariSource 200™ Modality: HDR 2.5

The Standard Catheters are used for treating tumor • S uitable for treating tumor sites where catheter sites where catheter access is required such as access is required intraluminal diseases like endobronchial carcinoma. • C T Compatible The 1.6mm diameter catheter can be readily inserted • M R Compatibility: Conditional for 1.5 and 3 Tesla, into a small lumen. Two versions of the standard plastic tipped version only catheter exist, one with a metal tip and one with a • A vailable in 100cm or 150cm lengths plastic tip. The metal tip version has at its distal end • R elatively thick catheter walls make it more robust a small tungsten marker for easy visualization under and kink resistant fluoroscopy. • C an be readily inserted into a small lumen • B oth versions of the catheter are intended for single use only • M ay be inserted into body cavities or through tissue by means of a trocar • E tO or plasma sterilizable

Qty.* Product # Components of the Applicator Set 1 AL13112000 4.7Fr. metal-tipped catheter, 100cm, PTFE &Tungsten marker embedded 1 AL13112001 4.7Fr. metal-tipped catheter, 100cm, PTFE &Tungsten marker embedded, pack of 10 1 AL13112002 4.7Fr. metal-tipped catheter, 100cm, PTFE & Tungsten marker embedded, pack of 20 1 AL13113000 4.7Fr. plastic-tipped catheter, 100cm, PTFE 1 AL13113001 4.7Fr. plastic-tipped catheter, 100cm, PTFE, pack of 10

2.5 1 AL13113002 4.7Fr. plastic-tipped catheter, 100cm, PTFE, pack of 20 1 AL13114000 4.7Fr. metal-tipped catheter, 150cm, PTFE & Tungsten marker embedded 1 AL13114001 4.7Fr. metal-tipped catheter, 150cm, PTFE & Tungsten marker embedded, pack of 10 1 AL13114002 4.7Fr. metal-tipped catheter, 150cm, PTFE & Tungsten marker embedded, pack of 20 1 AL13115000 4.7Fr. plastic-tipped catheter, 150cm, PTFE 1 AL13115001 4.7Fr. plastic-tipped catheter, 150cm, PTFE, pack of 10 1 AL13115002 4.7Fr. plastic-tipped catheter, 150cm, PTFE, pack of 20 Required Accessories 1 AL12500000 Quick connect, VariSource 200 Optional Components and Accessories 1 AL13116000 X-ray marker wire, CH-1, 160cm

*Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description.

C 0086 www.varian.com/brachytherapy TO ORDER: [email protected] GM11004690

Nasopharynx Applicator Set CT Compatible / MR Compatibility: Conditional Intended for: HDR or PDR intracavitary brachytherapy of the ENT Afterloader: VariSource iX™ / VariSource 200™ / GammaMedplus iX™ / GammaMedplus™ Modality: HDR, PDR 2.6

The Nasopharynx Applicator Set is used for treatment • S uitable for nasopharynx and oropharynx in the upper throat space. The design of the ear, • C T Compatible nose & throat mould probe allows for application • M R Compatibility: Conditional for 1.5 and 3 Tesla in the nasopharyngeal to oropharyngeal area. The • O ptimal distance from source to tissue reduces the set contains two different ear, nose & throat mould amount of surface dose probes one with and one without a balloon. The mould • E xpandable balloons are included for optimal source probe consists of soft, transparent plastic with two placement soft guidance tubes integrated. These can be shifted • M oulds are single use through the nasal cavity without damaging mucous • F lexible probes steam sterilizable membranes. The balloon on top of the mould adjusts to conform to patient’s anatomy.

Qty.* Product # Components of the Applicator Set 2 GM11003310 Ear, nose & throat balloon mould with two guide tubes, sterile 2 GM11003320 Ear, nose & throat mould without balloons, with two guide tubes, sterile 2 GM11002280 Flexible probe, 2.8mm diameter x 320mm, soft FEP 4 GM11009960 Sterilization plugs, cream (pack of 25) Required Accessories

2.6 1 GM11008740 Basic accessory kit for intracavitary applicators, VariSource 200 and iX 1 GM11008210 Basic accessory kit for intracavitary/GYN applicators, GammaMedplus Optional Components and Accessories 1 GM11009620 X-ray marker BV, Set I, up to 320mm applicators, coded 1-6 1 GM11003940 Channel marker clips, coded 1-12 1 GM11003810 Leak stop buttons, non-sterile, pack of 50 1 GM11001390 Source guide tube support, GammaMed units only

*Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description.

C 0086 www.varian.com/brachytherapy TO ORDER: [email protected] Interstitial Applicators

Series Accessory Kits for interstitial Applicators 3.1 AL1320XXXX MRNI Prostate Contour Template – CT Compatible 3.2 Series DK-Technologies Templates 3.3 GM11004650 Prostate and Perineal Implant Template Set 3.4 GM11004680 Flexible Interstitial Implant Tube Set – CT Compatible / MR Compatibility: Conditional 3.5 GM11008570 / Flexible Interstitial Implant Tube, 530mm – CT Compatible / MR Compatibility: Conditional 3.6 GM11008580 AL130550XX Interstitial/Breast Catheter Kits 3.7 GM11004660 Breast Implant Template Set 3.8

AL13011000 Breast Bridge and Template System 3.9 3.1 – 3.15 AL13012000 Advanced Breast Template System – CT Compatible 3.10 Series Interstitial Stainless Steel Needles 3.11 Series Interstitial Titanium Needles 17 Gauge (1.47mm) – CT Compatible 3.12 Series Interstitial Titanium Needles 16 Gauge (1.65mm) – CT Compatible 3.13 GM11004670 Interstitial Applicator Set 3.14 Series Interstitial Plastic Needles – CT Compatible / MR Compatibility: Conditional 3.15

Many Varian interstitial applicators use the same set of accessories. The following accessory kits make ordering easier and help prevent ordering duplicate spare parts. You will find the kit number listed in the required accessories section for each applicator set in this chapter.

Qty.* GM11008670 Basic Accessory Kit for Interstitial Applicators – GammaMedplus 1 GM11000330 Length gauge, GammaMedplus 3 GM11000520 Source guide tube with locking mechanism for 113mm needle, GammaMedplus 6 GM11000320 Source guide tube with locking mechanism for 200mm needle, GammaMedplus 1 GM11009640 X-ray marker BV set I, up to 200mm needles, 0.9mm dia., coded 1-6 1 GM11003940 Channel marker clips, coded 1-12 1 GM11003810 Leak stop buttons, non-sterile, pack of 50

1 GM11002370 Allen key, 2.5mm wrench size, suitable for autoclave sterilization 3.1 1 GM13001310 Philips screwdriver, size 1 5 GM11003220 Cleaning caps, black, pack of 20 5 GM11003330 Cleaning caps, grey, pack of 20 10 GM11003270 Mandrin, 200mm 10 GM11003340 Mandrin, 113mm GM11008650 Complete Accessory Kit for Interstitial Applicators – GammaMedplus 1 GM11000330 Length gauge, GammaMedplus 6 GM11000520 Source guide tube with locking mechanism for 113mm needle, GammaMedplus 12 GM11000320 Source guide tube with locking mechanism for 200mm needle, GammaMedplus 1 GM11009640 X-ray marker BV set I, up to 200mm needles, 0.9mm dia., coded 1-6 1 GM11009650 X-ray marker BV set II, up to 200mm needles, 0.9mm dia., coded 7-12 1 GM11003940 Channel marker clips, coded 1-12 1 GM11003770 Channel marker clips, coded 13-24 2 GM11003810 Leak stop buttons, non-sterile, pack of 50 2 GM11003820 Clamping button set, radiopaque 12 GM11003830 Stainless steel buttons for needle 1.6-2.0mm diameter, includes M4 nut 1 GM11002370 Allen key, 2.5mm wrench size., suitable for autoclave sterilization 1 GM13001310 Philips screwdriver, size 1 5 GM11003220 Cleaning caps, black, pack of 20 5 GM11003330 Cleaning caps, grey, pack of 20 1 GM11001390 Source guide tube support, GammaMed units only 20 GM11003270 Mandrin, 200mm 10 GM11003340 Mandrin, 113mm

*Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description.

Accessory Kits for Interstitial Applicators

Qty.* Product # Accessories for Interstitial Applicators – VariSource200 and iX 1 GM19002000 Needle ClickFit™ Transfer Guide Tube Set, Channels 1-10 (200 Series) 1 GM11002001 Needle ClickFit™ Transfer Guide Tube Set, Channel 11-20 (200 Series) 1 GM11009640 X-ray marker BV set I, needles up to 200mm, 0.9mm diameter, coded 1-6 1 GM11009650 X-ray marker BV set II, needles up to 200mm, 0.9mm diameter, coded 7-12 1 GM11009620 X-ray marker BV set I, up to 320mm applicators, 0.9mm diameter, coded 1-6 1 GM11009630 X-ray marker BV set II, up to 320mm applicators, 0.9mm diameter, coded 7-12 GM11008660 Accessory Kit - “Light” Version for Interstitial Applicators – GammaMedplus 1 GM11000330 Length gauge, GammaMedplus 6 GM11007280 Source guide tube “light” with locking mechanism for 113mm needle, GammaMedplus 12 GM11007270 Source guide tube “light” with locking mechanism for 200mm needle, GammaMedplus 1 GM11009640 X-ray marker BV set I, up to 200mm needles, 0.9mm diameter, coded 1-6 1 GM11009650 X-ray marker BV set II, up to 200mm needles, 0.9mm diameter, coded 7-12 3.1 1 GM11003940 Channel marker clips, coded 1-12 1 GM11003770 Channel marker clips, coded 13-24 2 GM11003810 Leak stop buttons, non-sterile, pack of 50 5 GM11003820 Clamping button set, radiopaque 12 GM11003830 Stainless steel button for needle 1.6-2.0mm diameter, includes M4 nut 1 GM11002370 Allen key, 2.5mm wrench size., suitable for autoclave sterilization 1 GM13001310 Philips screwdriver, size 1 5 GM11003220 Cleaning caps, black, pack of 20 5 GM11003330 Cleaning caps, grey, pack of 20 1 GM11001390 Source guide tube support 20 GM11003270 Mandrin, 200mm 10 GM11003340 Mandrin, 113mm GM11008320 Accessory Kit for Flexible Interstitial Implant Set – GammaMed 1 GM11000330 Length gauge, GammaMedplus 3 GM11000460 Source guide tube with locking mechanism, 113mm interstitial tube, GammaMedplus 6 GM11000370 Source guide tube with locking mechanism, 200mm interstitial tube, GammaMedplus 3 GM11000310 Source guide tube with locking mechanism, 320mm interstitial tube, GammaMedplus 3 GM11003200 Implant needle, 100mm, 1.7mm diameter, straight 3 GM11003210 Implant needle, 100mm, 1.7mm diameter, curved 3 GM11003040 Pushing device for implant needle, 1.7mm diameter 1 GM11010000 Length cutting gauge, 113mm for implant tubes and breast applicators up to 6Fr. 1 GM11010010 Length cutting gauge, 200mm for implant tubes and breast applicators up to 6Fr. 1 GM11010040 Length cutting gauge, 320mm for implant tubes and breast applicators up to 6Fr. 1 GM11009640 X-ray marker BV set I, up to 200mm needles, 0.9mm diameter, coded 1-6 1 GM11009620 X-ray marker BV set I, up to 320mm applicators, 0.9mm diameter, coded 1-6 5 GM11003220 Cleaning caps, black, pack of 20

*Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description.

www.varian.com/brachytherapy TO ORDER: [email protected] AL1320XXXX

MRNI Prostate Contour Template for Flexiguides CT Compatible Intended for: HDR or PDR interstitial brachytherapy of the prostate Afterloader: VariSource iX™ / VariSource 200™ / GammaMedplus iX™ / GammaMedplus™ Modality: HDR , PDR 3.2

The Mick Radio-Nuclear Instruments Template is used • S uitable for interstitial treatment of the prostate to facilitate HDR prostate implants and supports a • C T Compatible wide range of needle sizes. The device mounts to • C ontoured to fit the slope of the perineum an ultrasound stepper. It is compatible with a range • A ll needles lock simultaneously of ultrasound and stepper systems. Unique to this • I deal suturing provision prevents template and needle template, its contoured rear surface allows it to fit displacement closely to the perineum. Because of this, it eliminates • A vailable for various needle sizes any void meaning no packing is required between the • L ightweight construction perineum and the template. Also, once the template • C ompatible with a wide range of ultrasound units is in place, no adjusting is necessary as the template and steppers remains fixed relative to the ultrasound probe. By • T emplates are available in two sizes suturing through holes on each corner, the template • S team sterilizable is fixed to the patient. Needles are fixated to the template via an easily accessible thumbscrew which locks all needles in place simultaneously. The template includes a protective cone that can be attached to the template at the end of the procedure to protect needles between fractions. Templates are available in two sizes, large and small, dependent on user preference.

MRNI contour templates for fl exiguides compatible with CIVCO (Barzell-Whitmore) classic and BrachyStepper EXI/EXII steppers, Siemens labeling scheme: AL13205008 2mm, small AL13205009 2mm, large AL13205001 17gauge, small AL13205005 17gauge, large MRNI contour templates for fl exiguides compatible with B-K Medical UA-1084 stepper CIVCO (Barzell-Whitmore) classic and BrachyStepper EXI/EXII, B-K Medical labeling scheme: AL13206008 2mm, small AL13206009 2mm, large AL13206001 17gauge, small AL13206005 17gauge, large For Steppers not covered in the list above, select the required template for the CIVCO stepper along with the necessary adapter, as listed below. Template Accessories AL13208000 MRNI contour template adapter for North America Scientifi c (RTP) stepper AL13208001 MRNI contour template adapter for Bard (Amertek) stepper AL13208002 MRNI contour template adapter for CMS (Tayman/Burdette) stepper Optional Components and Accessories 3.2 For suitable needles and accessories please refer to page 3.15 of this catalog

www.varian.com/brachytherapy TO ORDER: [email protected] Series DK-Technologies Fixation Template Intended for: HDR or PDR interstitial brachytherapy of the prostate Afterloader: VariSource iX™ / VariSource 200™/ GammaMedplus iX™ / GammaMedplus™ Modality: HDR, PDR 3.3

The DK-Technologies Fixation Template is used for • S uitable for needle guide grid system for interstitial the manual positioning of needles for brachytherapy brachytherapy of the prostate prostate treatment. The template is compatible with • M atrix of 13 x 13 individual channels (all channels various ultrasound probes. The template includes a depending on the template used for G14, G16, G17 or template frame and template counter plate. G18 (G=Gauge needles)) • M ounts to a specially developed template holder • T he annotation of the needle channel rows and columns depends on the template selected • R ow spacing: 5mm in all cases • C olumn spacing: 5mm in all cases • M ade of PEEK and stainless steel • T emplate size: approx. 85 x 85 x 20mm (H x W x D) • S team sterilizable at least 200 times

Not authorized for use in Canada

Product # Components of the Applicator Set GM13004030 Fixation Template, size G14V (15.5gauge (2mm) needles) B-K labeling scheme, for prostate brachytherapy, compatible with CIVCO Classic & EXI/EXII and B-K UA stepper GM13004040 Fixation Template, size G16 (16gauge (1.65mm) needles), B-K labeling scheme, for prostate brachytherapy, compatible with CIVCO Classic & EXI/EXII and B-K UA stepper GM13004050 Fixation template, size G17 (17gauge (1.47mm) needles), B-K labeling scheme, for prostate brachytherapy, compatible with CIVCO Classic & EXI/EXII and B-K UA stepper GM13004060 Fixation template, size G18 (18gauge (1.27mm) needles), B-K labeling scheme, for prostate brachytherapy, compatible with CIVCO Classic & EXI/EXII and B-K UA stepper GM13004070 Fixation Template, size G14V (15.5gauge (2mm) needles) Siemens labeling scheme, for prostate brachytherapy, compatible with CIVCO Classic & EXI/EXII and B-K UA stepper GM13004080 Fixation Template, size G16 (16gauge (1.65mm) needles), Siemens labeling scheme, for prostate brachytherapy, compatible with CIVCO Classic & EXI/EXII and B-K UA stepper GM13004090 Fixation template, size G17 (17gauge (1.47mm) needles), Siemens labeling scheme, for prostate brachytherapy, compatible with CIVCO Classic & EXI/EXII and B-K UA stepper

3.3 GM13004100 Fixation template, size G18 (18gauge (1.27mm) needles), Siemens labeling scheme, for prostate brachytherapy, compatible with CIVCO Classic & EXI/EXII and B-K UA stepper Optional Components and Accessories For suitable needles and accessories please refer to page 3.11 - 3.12, 3.15 of this catalog

www.varian.com/brachytherapy TO ORDER: [email protected] GM11004650 Prostate and Perineal Implant Template Set Intended for: HDR interstitial brachytherapy of the pelvic region Afterloader: GammaMedplus iX™ / GammaMedplus™ Modality: HDR 3.4

The Prostate and Perineal Implant Template Set is used • S uitable for vaginal, female urethral, cervical, prostate for treating various pelvic cancers such as vaginal, and rectal cancer female urethral, cervical, prostatic and rectal. The • M atrix is 10 x 10mm needle hole matrix has additional hole rows and the • E very second row is offset by 5mm for increased 5° angled hole allows for optimal needle positioning needle placement flexibility and dose distribution. A cylinder for rectal and vaginal • F our row holes are angled 5° to provide a means of use provides proper fixation and can also be used as a alternative needle insertion and allow for adaptation guide for an ultrasound probe. to patient anatomy • C ylinder for rectal and vaginal use provides stability for applicator and guidance for ultrasound probe • H ole matrix around the cylinder allows for continuous needle placement • 8 mm thick base plate ensures proper needle guidance even through dense tissue • R igid 200mm stainless steel needles with trocar points aid in accurate needle placement • E quipped with stabilizing obturators to facilitate easy insertion • S team sterilizable

Qty.* Product # Components of the Applicator Set 1 GM11002900 Base plate for 1.65mm steel needles 1 GM11007020 Cover plate II without cylinder hole, with fi xation screws 1 GM11007010 Cover plate III with centered cylinder hole, with fi xation screws 1 GM11007000 Cover plate IV with de-centered cylinder hole, with fi xation screws 1 GM11002960 Cylinder, length 130mm, 24.9mm diameter 2 GM11003010 Base plate fi lling piece for needles 1 GM11002850 Cover plate fi lling piece for cylinder with fi xation screws 20 GM11002970 Needle stopper for 1.65mm needles 1 GM11002980 Pipe screw driver 20 GM11003240 Stainless steel needle, 200mm, 1.65mm diameter 1 GM11003940 Channel marker clips, coded 1-12 1 GM11003770 Channel marker clips, coded 13-24 3.4 1 GM11003810 Leak stop buttons, non-sterile, pack of 50 4 GM11009960 Sterilization plugs, pack of 25 5 GM11003190 Protection Caps, white, pack of 20 Required Accessories (choose one kit) 1 GM11008670 Basic interstitial accessory kit 1 GM11008650 Complete interstitial accessory kit 1 GM11008660 Accessory Kit - “Light” Version for interstitial Applicators – GammaMedplus Optional Components and Accessories 1 GM11002990 Screws for the cover plate 1 GM11001390 Source guide tube support, GammaMedplus 1 GM11003350 Stainless steel needle, 113mm, 1.65mm diameter, trocar point 1 GM11006070 Stainless steel needle, 180mm, 1.65mm diameter, trocar point, for GammaMedplus 1 GM11006060 Source guide tube with locking mechanism for 180mm needles, for GammaMedplus

*Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description.

C 0086 www.varian.com/brachytherapy TO ORDER: [email protected] GM11004680

Flexible Interstitial Implant Tube Set CT Compatible / MR Compatibility: Conditional Intended for: HDR or PDR interstitial brachytherapy Afterloader: GammaMedplus iX™ / GammaMedplus™ Modality: HDR, PDR 3.5

The Flexible Interstitial Implant Tubes with 350mm • S uitable for tongue, head and neck, GYN implants, length are used for treatments requiring a flexible prostate or bladder source guiding needle. These might include treatments • C T Compatible of the tongue, neck, prostate or bladder. There are • M R Compatibility: Conditional for 1.5 and 3 Tesla tubes available for blind-end and loop techniques. The • I mplant tubes for blind-end techniques allow an polyamide tubes are 1.84mm in outer diameter and increased variety of applications have an inner construction of nylon monofil to help • C omes with double leader tubes for loop techniques prevent kinks during implantation. For purposes of • S ingle leader tube has a stop button color coding, six clamping buttons of varying colors • C omes with fixation buttons, leak stop buttons and are supplied. The radiopaque fixation button provides cleaning caps, allowing for flexible use and secure optimal X-ray verification of the flexible tubes. fixation to patient • T ubes are constructed of polyamide and have a 1.84mm outer diameter minimize tissue trauma • N ylon monofil construction inside adds luminal stability during applicator insertion and manipulation to help prevent kinking • 3 50mm tube lengths (without leader) ensure suitability for all interstitial implant needs • R adiopaque fixation button provides optimal X-ray verification • C atheters are manufactured from kink- and stretch- resistant nylon • O ptional colored clamping buttons allow for easy identification of implant tubes • O ptional 200mm application needle that fits into the implant tubes when shortened accordingly for easy and safe treatment • S upplied sterile and for single use

Qty.* Product # Components of the Applicator Set 10 GM11003720 Flexible implant tubes, single leader 350mm, sterile, set of 3 10 GM11003920 Flexible implant tubes, double leader, 350mm, sterile, set of 3 10 GM11003730 Flexible implant tubes, blind-end 350mm, sterile, set of 3 5 GM11003820 Button set, radiopaque 1 GM11003940 Channel marker clips, coded 1-12 3 GM11003810 Leak stop buttons, non-sterile, pack of 50 Required Accessories 1 GM11008320 Accessory kit for ﬂ exible interstitial implant set Optional Components and Accessories 1 GM11007930 Application needle, 200mm, 1.25mm diameter, blind point, GammaMedplus 1 GM11007940 Mandrin for 200mm needles, 1.25mm diameter 1 GM11000320 Source guide tube with locking mechanism for 200mm needle, GammaMedplus 3.5 1 GM11003740 Red clamping button, 9.5mm diameter, non-sterile, pack of 50 1 GM11003850 Green clamping button, 9.5mm diameter, non-sterile, pack of 50 1 GM11003760 Blue clamping button, 9.5mm diameter, non-sterile, pack of 50 1 GM11003690 Yellow clamping button, 9.5mm diameter, non-sterile, pack of 50 1 GM11003780 Violet clamping button, 9.5mm diameter, non-sterile, pack of 50 1 GM11003790 White clamping button, 9.5mm diameter, non-sterile, pack of 50 1 GM11003800 Universal ﬁ xation button, radiopaque, non-sterile, pack of 100 1 GM11003770 Channel marker clips, coded 13-24 1 GM11003040 Pushing device for hollow needle, 1.7mm diameter 1 GM11001390 Source guide tube support, GammaMed units only 1 GM11002700 Implant needle, 120mm, 1.7mm diameter, straight 1 GM11002930 Implant needle, 120mm, 1.7mm diameter, curved 1 GM11006710 Implant needle, 150mm, 1.7mm diameter, straight 1 GM11006720 Implant needle, 150mm, 1.7mm diameter, curved 1 GM11006730 Implant needle, 150mm, 2.2mm diameter, straight 1 GM11006740 Implant needle, 150mm, 2.2mm diameter, curved 1 GM11002820 Pushing device for hollow needle, 2.2mm diameter

*Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description.

C 0086 www.varian.com/brachytherapy TO ORDER: [email protected] GM11008570, GM11008580

Flexible Interstitial Implant Tubes 530mm CT Compatible / MR Compatibility: Conditional Intended for: HDR or PDR interstitial brachytherapy Afterloader: GammaMedplus iX™ / GammaMedplus™ Modality: HDR, PDR 3.6

The Flexible Interstitial Implant Tubes with 530mm • S uitable for tongue, head and neck, GYN implants, length are used for treatments requiring a flexible prostate or bladder source guiding needle. These might include treatments • C T Compatible of the tongue, neck, prostate or bladder. There are • M R Compatibility: Conditional for 1.5 and 3 Tesla tubes available for blind-end and loop techniques. The • C omes with double leader tubes for loop techniques polyamide tubes are 1.84mm in outer diameter and • S ingle leader tube has a stop button have an inner construction of nylon monofil to help • C omes with fixation buttons, leak stop buttons and prevent kinks during implantation. For purposes of cleaning caps, allowing for flexible use and secure color coding, six clamping buttons of varying colors fixation to patient are supplied. The radiopaque fixation button provides • T ubes are constructed of polyamide and have a optimal X-ray verification of the flexible tubes. 1.84mm outer diameter minimize tissue trauma • N ylon monofil construction inside adds luminal stability during applicator insertion and manipulation to help prevent kinking • 5 30mm tube lengths (without leader) ensure suitability for all interstitial implant needs • R adiopaque fixation button provides optimal X-ray verification • C atheters are manufactured from kink- and stretch- resistant nylon • O ptional colored clamping buttons allow for easy identification of implant tubes • O ptional 200mm application needle that fits into the implant tubes when shortened accordingly for easy and safe treatment

Qty.* Product # Description of the product 1 GM11008570 Flexible implant tubes, double leader 530mm, sterile, set of 3 1 GM11008580 Flexible implant tubes, blind end 530mm, sterile, set of 3 Required Accessories 1 GM11009670 X-ray marker BV set I, up to 500mm tubes, coded 1-6, GammaMedplus 1 GM11006650 Source guide tube with locking mechanism, 500mm interstitial tube, GammaMedplus 1 GM11006670 Length cutting gauge for 500mm implant tubes 1 GM11003940 Channel marker clips, coded 1-12 Optional Components and Accessories 1 GM11007930 Application needle, 200mm, 1.25mm diameter, blind point, GammaMedplus 1 GM11007940 Mandrin for 200mm needles, 1.25mm diameter 1 GM11000320 Source guide tube with locking mechanism for 200mm needle, GammaMedplus 1 GM11003740 Red clamping button, 9.5mm diameter, non-sterile, pack of 50 3.6 1 GM11003850 Green clamping button, 9.5mm diameter, non-sterile, pack of 50 1 GM11003760 Blue clamping button, 9.5mm diameter, non-sterile, pack of 50 1 GM11003690 Yellow clamping button, 9.5mm diameter, non-sterile, pack of 50 1 GM11003780 Violet clamping button, 9.5mm diameter, non-sterile, pack of 50 1 GM11003790 White clamping button, 9.5mm diameter, non-sterile, pack of 50 1 GM11003800 Universal ﬁ xation button, radiopaque, non-sterile, pack of 100 1 GM11003770 Channel marker clips, coded 13-24 1 GM11003040 Pushing device for hollow needle, 1.7mm diameter 1 GM11001390 Source guide tube support, GammaMed units only 1 GM11009680 X-ray marker BV set II, up to 500mm tubes, coded 7-12, GammaMedplus 1 GM11002700 Implant needle, 120mm, 1.7mm diameter, straight 1 GM11002930 Implant needle, 120mm, 1.7mm diameter, curved 1 GM11006710 Implant needle, 150mm, 1.7mm diameter, straight 1 GM11006720 Implant needle, 150mm, 1.7mm diameter, curved 1 GM11006730 Implant needle, 150mm, 2.2mm diameter, straight 1 GM11006740 Implant needle, 150mm, 2.2mm diameter, curved 1 GM11002820 Pushing device for hollow needle, 2.2mm diameter

*Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description.

C 0086 www.varian.com/brachytherapy TO ORDER: [email protected] AL130550XX

Interstitial/Breast Catheter Kits CT Compatible Intended for: HDR or PDR interstitial brachytherapy Afterloader: VariSource iX™ / VariSource 200™ / GammaMedplus iX™ / GammaMedplus™ Modality: HDR, PDR 3.7

The Interstitial/Breast Catheter Kit is used for • S uitable for breast, tongue and head and neck interstitial high dose rate treatment of the breast or • C T Compatible head and neck. The kit conveniently contains a set of • C ontains all required items: catheters, needles, five catheters and all associated components such as buttons and caps buttons and implant needles. The 6 French catheters • 5 needles to allow all needles to be placed prior to have a drawn down section at the end which is used catheter insertion with the supplied implant needle to facilitate insertion • “ Half moon” buttons for improved patient comfort of the catheter into the tissue. In order to prevent • 6 French catheter/17gauge, 20cm implant needles kinking or damage, the catheters contain a nylon inner • A vailable with radiopaque or nylon buttons filament. The kit is supplied either with nylon buttons • S upplied sterile and for single use or radiopaque buttons. The radiopaque buttons provide optimal X-ray verification of the flexible tubes. Both buttons feature a “half moon” profile for improved patient comfort. The kit is supplied sterile and double wrapped for OR use.

*Choose the button type and catheter color to include with your kit (this determines the kit number): AL13055000 Radiopaque Nylon Half Moon Buttons, clear catheter AL13055001 Radiopaque Nylon Half Moon Buttons, green catheter AL13055002 Radiopaque Nylon Half Moon Buttons, blue catheter AL13055003 Radiopaque Nylon Half Moon Buttons, purple catheter AL13055010 Nylon Half Moon Buttons, clear catheter AL13055011 Nylon Half Moon Buttons, green catheter AL13055012 Nylon Half Moon Buttons, blue catheter AL13055013 Nylon Half Moon Buttons, purple catheter Qty.* Kit # Components of the Kit 5 see above* 6.0Fr., 30cm afterloading single leader catheters with ﬁ laments and buttons 5 17gauge, 20cm implant needles 5 Obturators 3.7 5 Friction cups 5 Cleaning caps, red Required Accessories – VariSource 200 and iX GM19003000 Catheter transfer guide tube set, numbered for channels 1-10 GM19003001 Catheter transfer guide tube set, numbered for channels 11-20 GM11009620 X-ray marker BV set I, up 320mm applicators, 0.9mm diameter, coded 1-6 GM11009630 X-ray marker BV set II, up 320mm applicators, 0.9mm diameter, coded 7-12 Required Accessories – GammaMedplus series GM11000370 Source guide tube with locking mechanism, 200mm interstitial tube, GammaMedplus GM11000460 Source guide tube with locking mechanism, 113mm interstitial tube, GammaMedplus GM11009440 Length cutting gauge for 6.0Fr. implant tubes, 113mm GM11009450 Length cutting gauge for 6.0Fr. implant tubes, 200mm GM11009640 X-ray marker set I, up to 200mm needles, 0.9mm diameter, coded 1-6 GM11009650 X-ray marker set II, up to 200mm needles, 0.9mm diameter, coded 7-12 Optional Components and Accessories AL00751500 17gauge, 20cm Implant Needles with Obturators AL07516000 Radiopaque Nylon Half Moon Buttons AL07517000 Nylon Half Moon Buttons AL07519000 Friction Caps AL07520000 Red Caps AL07521000 6Fr. 30cm Single Leader Catheter clear with Nylon Buttons AL07521001 6Fr. 30cm Single Leader Catheter green with Nylon Buttons AL07521002 6Fr. 30cm Single Leader Catheter blue with Nylon Buttons AL07521003 6Fr. 30cm Single Leader Catheter purple with Nylon Buttons AL07518000 6Fr. 30cm Single Leader Catheter clear with Radiopaque Buttons AL07518001 6Fr. 30cm Single Leader Catheter green with Radiopaque Buttons AL07518002 6Fr. 30cm Single Leader Catheter blue with Radiopaque Buttons AL07518003 6Fr. 30cm Single Leader Catheter purple with Radiopaque Buttons

*Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description.

C 0086 www.varian.com/brachytherapy TO ORDER: [email protected] GM11004660

Breast Implant Template Set CT Compatible Intended for: HDR or PDR interstitial brachytherapy of the breast Afterloader: GammaMedplus iX™ / GammaMedplus™ Modality: HDR, PDR 3.8

The Breast Implant Template Set contains a template • S uitable for breast implants with a template holder and a variety of templates. The needle holes on • C T Compatible the templates are positioned in equilateral triangles • H ole matrix in both equilateral triangles and single and single lines with a space distance of 15mm. The line configuration with a space distance of 15mm, holder is made of lightweight material and remains allowing accurate needle placement securely in position throughout the treatment. The • V ariety of template sizes allows for adaptation to design of the template holder ensures level positioning patient anatomy of the needles facilitating an even dose distribution. • R igid 200mm stainless steel needles with trocar The needles have a length of 200mm and sharp trocar points facilitate implantation points for easy implantation. • E quipped with stabilizing obturators to aid insertion • S team sterilizible

Qty.* Product # Components of the Applicator Set 1 GM11003000 Template holder 1 GM11002760 Template pair, with 5 holes in equilateral triangles of 15mm 1 GM11002740 Template pair, with 7 holes in equilateral triangles of 15mm 1 GM11002910 Template pair, with 9 holes in equilateral triangles of 15mm 1 GM11002730 Template pair, with 7 holes in single line, spacing 15mm 10 GM11003240 Stainless steel needles, 200mm, 1.65mm diameter, trocar point 2 GM11003270 Mandrin, for 200mm needles 1 GM11003940 Channel marker set, coded 1-12 10 GM11002970 Needle stoppers, for 1.65mm needles 4 GM11009960 Sterilization plugs, pack of 20 5 GM11003260 Cleaning caps, yellow, pack of 20 5 GM11003190 Protection caps for 1.65mm needles, white, pack of 20 3.8 1 GM11002980 Pipe screwdriver Required Accessories (choose one kit) 1 GM11008670 Basic accessory kit for interstitial applicators 1 GM11008650 Complete accessory kit for interstitial applicators 1 GM11008660 Accessory kit “light” for interstitial applicators Optional Components and Accessories 1 GM11002840 Template pair, with 5 holes in equilateral triangles of 18mm 1 GM11002750 Template pair, with 7 holes in equilateral triangles of 18mm 1 GM11002690 Template pair, with 9 holes in equilateral triangles of 18mm 1 GM11002790 Template pair, with 7 holes in single line, spacing 18mm 1 GM11003350 Stainless steel needle, 113mm, 1.65mm diameter, trocar point 1 GM11003340 Mandrin, for 113mm needles 1 GM11003770 Channel marker clips, coded 13-24 1 GM11006080 Mandrin for 180mm needles 1 GM11001390 Source guide tube support 1 GM11006070 Stainless steel needle, 180mm, 1.65mm diameter, trocar point, GammaMedplus 1 GM11006060 Source guide tube with locking mechanism for needle 180mm, GammaMedplus

*Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description.

C 0086 www.varian.com/brachytherapy TO ORDER: [email protected] AL13011000 Breast Bridge and Template System Intended for: HDR interstitial brachytherapy of the breast Afterloader: VariSource iX™ / VariSource 200™ Modality: HDR 3.9

The Breast Bridge and Template System is used • S uitable for breast and chest wall implants for treating the breast or chest wall. The system is • D esigned for use with VariSource 18gauge interstitial supplied with a series of templates ranging in sizes needles with a variety of hole spacings to offer a means of • S upplied with needle spacings of 10 and 16mm in performing interstitial implants with a fixed geometry. single, double and triple plane configurations The required template pair can be fixed in place • I ncludes a needle introducer tool to aid with needle relative to one another with the breast bridge. The placement separation of the templates may be adjusted via a • I ncludes a set of collets and a tool to allow fixation of ratchet mechanism to achieve a spacing between the needles to the template 30-120mm. • O ptional blank templates for custom hole configurations and templates with separations of 10-20mm, in 2mm increments • S team sterilizable

Qty.* Product # Components of the Applicator Set 1 AL07345000 Breast bridge, stainless steel 1 AL07346000 Needle securing allen tool, stainless steel 1 AL07347000 Needle pusher, stainless steel 1 AL07348000 Needle securing collets for ﬁ xation of needles to templates, stainless steel, set of 10 10 AL07349000 Single plane templates, 10mm hole separation, 8 holes across width, lexan 10 AL07349003 Single plane templates, 16mm hole separation, 5 holes across width, lexan 10 AL07349006 Double plane templates, 10mm hole separation, 8 holes across bottom width, lexan 10 AL07349009 Double plane templates, 16mm hole separation, 5 holes across bottom width, lexan 10 AL07349012 Triple plane templates, 10mm hole separation, 8 holes across bottom width, lexan 10 AL07349015 Triple plane templates, 16mm hole separation, 5 holes across bottom width, lexan Required Accessories ** GM11009550 Stainless steel needle 113mm, 18gauge, trocar point, VariSource only 3.9 ** GM11009560 Stainless steel needle 200mm, 18gauge, trocar point, VariSource only ** GM11009570 Stainless steel needle 250mm, 18gauge, trocar point, VariSource only ** GM11009580 Stainless steel needle 320mm, 18gauge, trocar point, VariSource only 1 GM19002000 Needle ClickFit™ Transfer Guide Tube Set, Channels 1-10 (200 Series) Optional Components and Accessories 1 AL13116000 X-ray marker wire, 160cm, channel 1 1 AL13117000 X-ray marker wire, 160cm, channel 2 1 AL13118000 X-ray marker wire, 160cm, channel 3 1 AL13134000 X-ray marker wire, 160cm, channel 4 2 AL07349018 Blank templates, size A-16mm x 70mm 2 AL07349019 Blank templates, size B-24mm x 70mm 2 AL07349020 Blank templates, size C-32mm x 70mm 2 AL07349021 Blank templates, size D-48mm x 90mm 2 AL07349001 Single plane templates, 12mm hole separation, 7 holes across width 2 AL07349002 Single plane templates, 14mm hole separation, 6 holes across width 2 AL07349004 Single plane templates, 18mm hole separation, 5 holes across width 2 AL07349005 Single plane templates, 20mm hole separation, 4 holes across width 2 AL07349007 Double plane templates, 12mm in triangular array, 7 holes 2 AL07349008 Double plane templates, 14mm in triangular array, 6 holes 2 AL07349010 Double plane templates, 18mm in triangular array, 5 holes 2 AL07349011 Double plane templates, 20mm in triangular array, 4 holes 2 AL07349013 Triple plane templates, 12mm in triangular array, 7 holes 2 AL07349014 Triple plane templates, 14mm in triangular array, 6 holes 4 GM11009590 Sterilization plugs black, pack of 25 1 GM11003810 Leak stop buttons, non-sterile, pack of 50

*Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description.

**Select an appropriate quantity

C 0086 www.varian.com/brachytherapy TO ORDER: [email protected] AL13012000

Advanced Breast Template System CT Compatible Intended for: HDR or PDR interstitial brachytherapy of the breast Afterloader: VariSource iX™ / VariSource 200™ / GammaMedplus iX™ / GammaMedplus™ Modality: HDR, PDR 3.10

The Advanced Breast Template System is used to facilitate • S uitable for a range of implantation techniques for interstitial breast brachytherapy using multiple implanta- treatment of the breast tion techniques. The device facilitates the implantation of • C T Compatible needles or catheters post-lumpectomy for boost treat- • M anufactured almost exclusively from titanium and ments or monotherapy brachytherapy of the tumor bed. Lexan® The device consists of three main components in three • F acilitates the implantation of 17gauge needles for sizes: the breast bridge, the stabilization rails, and the catheter implantation breast templates. Assembled with the breast bridge and • I ncludes three template sizes: 100, 150 and 200mm templates only, the device can be used for implantation • B ridge adjusts from 40-200mm in 2.5mm increments following the technique described by R. Kuske.1 With the • I ncludes three stabilization bar sizes: 100, 150 & use of the stabilization bars, the device can be used to 200mm adopt the technique described by the William Beaumont • E xtremely lightweight and durable Group2 while the positioning of needle holes at the very • I ncludes additional guide template to facilitate easy, edge of the template facilitates the needle placement very accurate needle placement close to the chest wall. The breast templates come in three • S liding template contains a series of titanium balls set sizes for easy adaptation to patient anatomy and the in a cross pattern to assist with localization desired isodose coverage. The templates are designed for • N eedle holes identified by number/letter grid pattern use with 17gauge needles and accept 18gauge. Needle • S team sterilizable holes are spaced across the template in two grids each on a 10mm spacing and placed 5mm from one another in each direction. Additional template holes allow for the injection of local anesthetic. The insertion side plate is pat- terned with titanium marker beads for referencing the 1. Vicini, F.A., Baglan, K.L., Kestin, L.L. et al. (April 2001). Accelerated treatment of breast lumpectomy on a simulator or stereotactic mammography cancer. Journal of Oncology, Vol. 19, Issue 7. table. The bridge can be adjusted between 40-200mm in 2. King, T.A., Bolton, J.S., Kuske, R.R., et al. (October 2000). Long-term results of wide-field 2.5mm increments. An optional guide template guides brachytherapy as the sole method of radiation therapy after segmental mastectomy for T breast cancer. The American Journal of Surgery, Vol. 180, Issue 4, 299-304. the needle as it passes through the breast and into the is, 1,2 correct hole on the opposing fixed template. Lexan® is a registered trademark of General Electric Company

Qty.* Product # Components of the Applicator Set 1 AL07375000 Breast bridge assembly, titanium 1 AL07376000 Small fi xed template, 100mm 1 AL07377000 Medium fi xed template, 150mm 1 AL07378000 Large fi xed template, 200mm 1 AL07379000 Small sliding template, 100mm 1 AL07380000 Medium sliding template, 150mm 1 AL07381000 Large sliding template, 200mm 1 AL07382000 Small guide template, 100mm 1 AL07383000 Medium guide template, 150mm 1 AL07384000 Large guide template, 200mm 2 AL07385000 Small stabilization rail, titanium 100mm 2 AL07386000 Medium stabilization rail, titanium, 150mm 3.10 2 AL07387000 Large stabilization rail, titanium, 200mm 2 AL07388000 Rail lock assembly, titanium Optional Accessories –VariSource 200 and iX series ** AL130550XX Interstitial/breast catheter kit ** GM11009500 Stainless steel needle 113mm, 17gauge, trocar point ** GM11009510 Stainless steel needle 200mm, 17gauge, trocar point ** GM11009520 Stainless steel needle 250mm, 17gauge, trocar point ** GM11009530 Stainless steel needle 320mm, 17gauge, trocar point ** GM11009550 Stainless steel needle 113mm, 18gauge, trocar point, VariSource only ** GM11009560 Stainless steel needle 200mm, 18gauge, trocar point, VariSource only ** GM11009570 Stainless steel needle 250mm, 18gauge, trocar point, VariSource only ** GM11009580 Stainless steel needle 320mm, 18gauge, trocar point, VariSource only ** GM11009700 Titanium Needles 113mm, 17gauge, trocar point ** GM11009710 Titanium Needles 200mm, 17gauge, trocar point ** GM11009720 Titanium Needles 250mm, 17gauge, trocar point ** GM11009730 Titanium Needles 320mm, 17gauge, trocar point Optional Accessories – GammaMedplus series ** AL130550XX Interstitial/breast catheter kit ** GM11003730 Flexible implant tube, blind-end, 350mm, sterile, set of 3 ** GM11009500 Stainless steel needle 113mm, 17gauge, trocar point ** GM11009510 Stainless steel needle 200mm, 17gauge, trocar point ** GM11009520 Stainless steel needle 250mm, 17gauge, trocar point ** GM11009530 Stainless steel needle 320mm, 17gauge, trocar point ** GM11009700 Titanium Needles 113mm, 17gauge, trocar point ** GM11009710 Titanium Needles 200mm, 17gauge, trocar point ** GM11009720 Titanium Needles 250mm, 17gauge, trocar point ** GM11009730 Titanium Needles 320mm, 17gauge, trocar point ** GM11009800 Obturator, 113mm for 17 and 18gauge needle ** GM11009810 Obturator, 200mm for 17 and 18gauge needle

*For required accessories for the various needles or implant tubes please refer to page 3.7, 3.11- 3.14 of this catalog.

**Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description. C 0086 www.varian.com/brachytherapy TO ORDER: [email protected] Series

Interstitial Stainless Steel Needles CT Compatible Intended for: HDR or PDR interstitial brachytherapy Afterloader: VariSource iX™ / VariSource 200™ / GammaMedplus iX™ / GammaMedplus™ Modality: HDR, PDR 3.11

The Interstitial Stainless Steel Needles are used • S uitable for head and neck, GYN implants, breast or for interstitial treatments of head and neck, GYN prostate treatments implants, breast or prostate. The needles can be used • C T Compatible in combination with the appropriate templates or • N eedles can be used in combination with appropriate fixation buttons. The needles come in four lengths templates allowing for greater variety of applications (113, 200, 250 and 320mm) and two different gauges • R igid stainless steel needles in various lengths with (17 and 18*). The needles have a short distal dead trocar points facilitate accurate needle placement space of 4mm and a sharp trocar tip for easy insertion. • O ptional stabilizing obturators available for easy insertion • N eedles and obturator reusable up to 25 times • S team sterilizable

*17gauge is 1.47mm, 18gauge is 1.27mm

Qty.* Product # Description of the product 1 GM11009500 Stainless steel needle 113mm, 17gauge, trocar point 1 GM11009510 Stainless steel needle 200mm, 17gauge, trocar point 1 GM11009520 Stainless steel needle 250mm, 17gauge, trocar point 1 GM11009530 Stainless steel needle 320mm, 17gauge, trocar point 1 GM11009550 Stainless steel needle 113mm, 18gauge, trocar point, VariSource only 1 GM11009560 Stainless steel needle 200mm, 18gauge, trocar point, VariSource only 1 GM11009570 Stainless steel needle 250mm, 18gauge, trocar point, VariSource only 1 GM11009580 Stainless steel needle 320mm, 18gauge, trocar point, VariSource only Required Accessories – VariSource 200 and iX 1 GM19002000 Needle ClickFit™Transfer Guide Tube Set, Channels 1-10

1 GM11009640 X-ray marker BV set I, up to 200mm needles, coded 01-06 (not usable with the 18G needles)

1 GM11009620 X-ray marker BV set I, up to 320mm applicators, coded 01-06 (not usable with the 18G needles)

3.11 ** AL13116000 X-ray marker wire, 160cm x 0.6mm diameter, nickel titanium tubing, aluminum spacers, tungsten markers, reusable, channel 1 ** AL13117000 X-ray marker wire, 160cm x 0.6mm diameter, nickel titanium tubing, aluminum spacers, tungsten markers, reusable, channel 2 ** AL13118000 X-ray marker wire, 160cm x 0.6mm diameter, nickel titanium tubing, aluminum spacers, tungsten markers, reusable, channel 3 ** AL13134000 X-ray marker wire, 160cm x 0.6mm diameter, nickel titanium tubing, aluminum spacers, tungsten markers, reusable, channel 4 Required Accessories – GammaMedplus series 1 GM11008670 Basic Accessory kit for interstitial applicators ** GM11008960 Source guide tube with locking mechanism for 250mm needles, GammaMedplus ** GM11000340 Source guide tube with locking mechanism for 320mm applicators, GammaMedplus

1 GM11009620 X-ray marker BV set I, up to 320mm applicators, coded 01-06 (not usable with the 18G needles) Optional Components and Accessories ** GM11009800 Obturator, 113mm for 17 and 18gauge needles ** GM11009810 Obturator, 200mm for 17 and 18gauge needles ** GM11009820 Obturator, 250mm for 17 and 18gauge needles ** GM11009830 Obturator, 320mm for 17 and 18gauge needles 1 GM19002001 Needle ClickFit™ Transfer Guide Tube Set, Channels 11-20, VariSource ** GM11007270 Source guide tube light with locking mechanism, 200mm needles, GammaMedplus ** GM11007280 Source guide tube light with locking mechanism, 113mm needles, GammaMedplus

1 GM11009650 X-ray marker BV set II, up to 200mm needles, coded 07-12 (not usable with the 18G needles)

1 GM11009630 X-ray marker BV set II, up to 320mm applicators, coded 07-12 (not usable with the 18G needles) 1 GM11003940 Channel marker clips coded 01-12 1 GM11003770 Channel marker clips coded 13-24 1 GM11009480 Protection cap, clear, for 17gauge needle, pack of 20 1 GM11009490 Protection cap, clear, for 18gauge needle, pack of 20 1 GM11009590 Sterilization plug, black (pack of 20) 1 GM11001390 Source guide tube support, GammaMed units only

*Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description.

** Select adequate quantity

C 0086 www.varian.com/brachytherapy TO ORDER: [email protected] Series

Interstitial Titanium Needles 17 Gauge (1.47mm) CT Compatible Intended for: HDR or PDR interstitial brachytherapy Afterloader: VariSource iX™ / VariSource 200™ / GammaMedplus iX™ / GammaMedplus™ Modality: HDR, PDR 3.12

The Interstitial Titanium Needles are used for • S uitable for head and neck, GYN implants, breast or interstitial treatments of head and neck, GYN prostate treatments implants, breast or prostate. The needles can be used • C T Compatible in combination with the appropriate templates or • N eedles can be used in combination with appropriate fixation buttons. To meet your specific needs, the templates, allowing for greater variety of applications 17gauge needle comes in four lengths (113, 200, • R igid titanium needles in various lengths with trocar 250 and 320mm). Their sharp trocar tip offers easy points facilitate accurate needle placement insertion. Minimal distal dead space (4mm) allows for • R eusable up to 25 times source positioning close to the needle tip. The titanium • S team sterilizable composition of the needles ensures CT images show no artifacts. Not authorized for use in Canada

Qty.* Product # Description of the product 1 GM11009700 Titanium steel needle 113mm, 17gauge, trocar point 1 GM11009710 Titanium steel needle 200mm, 17gauge, trocar point 1 GM11009720 Titanium steel needle 250mm, 17gauge, trocar point 1 GM11009730 Titanium steel needle 320mm, 17gauge, trocar point Required Accessories – VariSource 200 and iX series 1 GM19002000 Needle ClickFit™ Transfer Guide Tube Set, Channels 1-10

1 GM11009640 X-ray marker BV set I, up to 200mm needles, coded 01-06 (not usable with the 18G needles)

1 GM11009620 X-ray marker BV set I, up to 320mm applicators, coded 01-06 (not usable with the 18G needles) ** AL13116000 X-ray marker wire, 160cm x 0.6mm diameter, nickel titanium tubing, aluminum spacers, tungsten markers, reusable, channel 1 ** AL13117000 X-ray marker wire, 160cm x 0.6mm diameter, nickel titanium tubing, aluminum spacers, tungsten markers, reusable, channel 2 ** AL13118000 X-ray marker wire, 160cm x 0.6mm diameter, nickel titanium tubing, aluminum spacers, tungsten markers, 3.12 reusable, channel 3 ** AL13134000 X-ray marker wire, 160cm x 0.6mm diameter, nickel titanium tubing, aluminum spacers, tungsten markers, reusable, channel 4 Required Accessories – GammaMedplus series 1 GM11008670 Basic Accessory kit for interstitial applicators ** GM11008960 Source guide tube with locking mechanism for 250mm needles, GammaMedplus ** GM11000340 Source guide tube with locking mechanism for 320mm applicators, GammaMedplus

1 GM11009650 X-ray marker BV set II, up to 200mm needles, coded 07-12 (not usable with the 18G needles)

1 GM11009630 X-ray marker BV set II, up to 320mm applicators, coded 07-12 (not usable with the 18G needles) 1 GM11003940 Channel marker clips coded 01-12 1 GM11003770 Channel marker clips coded 13-24 1 GM11009480 Protection cap, clear, for 17gauge needle, pack of 20 1 GM11009590 Sterilization plug, black (pack of 20) 1 GM11001390 Source guide tube support, GammaMed units only

*Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description.

** Select adequate quantity

C 0086 www.varian.com/brachytherapy TO ORDER: [email protected] Series

Interstitial Titanium Needles 16 Gauge (1.65mm) CT Compatible / MR Compatibility: Conditional Intended for: HDR or PDR interstitial brachytherapy Afterloader: VariSource iX™ / VariSource 200™ / GammaMedplus iX™ / GammaMedplus™ Modality: HDR, PDR

1 2

1 3.13

The Interstitial Titanium Needles with 1.65mm • S uitable for head and neck, GYN implants, breast or (16gauge) diameter are used for interstitial treatments prostate treatments of head and neck, GYN implants, breast or prostate. • C T compatible The needles can be used in combination with the • M R Compatibility: Conditional for 1.5 and 3 Tesla in appropriate templates or fixation buttons. They can combination with the Vienna-style Ring & Tandem be pre-bent by using a bending jig. The 1.65mm • N eedles can be used in combination with appropriate needle are available in four lengths (113, 200, 250 templates allowing for greater variety of applications and 320mm). The sharp trocar tip version offers easy • S uitable for pre-bending using a bending jig insertion. The blunt trocar tip version offers good • R igid titanium needles in various lengths with trocar needle guidance while limiting injuries to surrounding points facilitate accurate needle placement vessels. Minimal distal dead space (4mm) allows for • R eusable up to 25 times source positioning close to the needle tip. The titanium • S team sterilizable composition of the needles ensures CT images show no artifacts. Not authorized for use in Canada

Qty.* Product # Description of the product 1 GM11010210 Titanium needle 113mm, 1.65mm (16gauge), sharp trocar point 1 GM11010220 Titanium needle 200mm, 1.65mm (16gauge), sharp trocar point 1 GM11010230 Titanium needle 250mm, 1.65mm (16gauge), sharp trocar point 1 GM11010240 Titanium needle 320mm, 1.65mm (16gauge), sharp trocar point 1 GM11010410 Titanium needle 113mm, 1.65mm (16gauge), blunt trocar point 1 GM11010420 Titanium needle 200mm, 1.65mm (16gauge), blunt trocar point 1 GM11010430 Titanium needle 250mm, 1.65mm (16gauge), blunt trocar point 1 GM11010440 Titanium needle 320mm, 1.65mm (16gauge), blunt trocar point Required Accessories – VariSource 200 and iX series 1 GM19002000 Needle ClickFit™ Transfer Guide Tube Set, Channels 1-10

1 GM11009640 X-ray marker BV set I, up to 200mm needles, coded 01-06 (not usable with the 18G needles)

1 GM11009620 X-ray marker BV set I, up to 320mm applicators, coded 01-06 (not usable with the 18G needles) 3.13 Required Accessories – GammaMedplus series 1 GM11008670 Basic Accessory kit for interstitial applicators ** GM11008960 Source guide tube with locking mechanism for 250mm needles, GammaMedplus ** GM11000340 Source guide tube with locking mechanism for 320mm applicators, GammaMedplus

1 GM11009620 X-ray marker BV set I, up to 320mm applicators, coded 01-06 (not usable with the 18G needles) Optional Components and Accessories ** GM11003340 Mandrin, 113mm ** GM11003270 Mandrin, 200mm ** GM11010180 Mandrin, 250mm ** GM11003100 Mandrin, 320mm 1 GM11008660 Accessory kit light for interstitial applicators, GammaMedplus 1 GM19002001 Needle ClickFit™ Transfer Guide Tube Set, Channels 11-20, VariSource ** GM11007270 Source guide tube light with locking mechanism, 200mm needles, GammaMedplus ** GM11007280 Source guide tube light with locking mechanism, 113mm needles, GammaMedplus 1 GM11009650 X-ray marker BV set II, up to 200mm needles, coded 07-12 (not usable with the 18G needles) 1 GM11009630 X-ray marker BV set II, up to 320mm applicators, coded 07-12 (not usable with the 18G needles) 1 GM11003940 Channel marker clips coded 01-12 1 GM11003770 Channel marker clips coded 13-24 1 GM11003810 Leak stop button (pack of 50), non-sterile 1 GM11009960 Sterilization plugs, cream (pack of 25)

*Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description.

** Select adequate quantity

C 0086 www.varian.com/brachytherapy TO ORDER: [email protected] GM11004670

Interstitial Applicator Set CT Compatible Intended for: HDR or PDR interstitial brachytherapy Afterloader: GammaMedplus iX™ / GammaMedplus™ Modality: HDR, PDR 3.14

The Interstitial Applicator Set is used for interstitial • S uitable for head and neck, GYN implants, breast or treatments of head and neck, GYN implants, breast prostate treatments or prostate. The needles can be used in combination • C T Compatible with the appropriate templates. Using color-coded • N eedles can be used in combination with appropriate buttons, fixation buttons and leak stop buttons, this templates, allowing for greater variety of applications set provides a means of flexible implantation. • E quipped with fixation buttons, leak stop buttons and cleaning caps to provide flexibility and secure fixation to patient • R igid 200mm stainless steel needles with trocar points facilitate accurate needle placement • E quipped with stabilizing obturators for easy insertion • S team sterilizable

Qty.* Product # Components of the Applicator Set 6 GM11003350 Stainless steel needles, 113mm, 1.65mm diameter, trocar point 12 GM11003240 Stainless steel needles, 200mm, 1.65mm diameter, trocar point 6 GM11003340 Mandrins, 113mm 12 GM11003270 Mandrins, 200mm 1 GM11003940 Channel marker clips, coded 1-12 1 GM11003810 Leak stop buttons, non-sterile, pack of 50 5 GM11003190 Protection caps, white, pack of 20 4 GM11009960 Sterilization plugs, cream (pack of 25) Required Accessories (choose one kit) 1 GM11008670 Basic accessory kit for interstitial applicators 1 GM11008650 Complete accessory kit for interstitial applicators 1 GM11008660 Accessory kit “light” for interstitial applicators 3.14 Optional Components and Accessories 1 GM11003820 Clamping button, radiopaque 1 GM11003830 Button for needle, 1.6-2.0mm diameter, includes M4 nut, stainless steel 1 GM11009650 X-ray marker BV set II, up to 200mm needles, coded 7-12, 0.9mm diameter, for GammaMedplus 1 GM11003770 Channel marker clips, coded 13-24 1 GM11007270 Source guide tube light with locking mechanism, 200mm needles, GammaMedplus 1 GM11007280 Source guide tube light with locking mechanism, 113mm needles, GammaMedplus 1 GM11001390 Source guide tube support, GammaMed units only 1 GM11006070 Stainless steel needle, 180mm, 1.65mm diameter, trocar point, GammaMedplus 1 GM11006080 Mandrin for 180mm needles 1 GM11006060 Source guide tube with locking mechanism for needle 180mm, GammaMedplus

*Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description.

C 0086 www.varian.com/brachytherapy TO ORDER: [email protected] Series

Interstitial Plastic Needles CT Compatible / MR Compatibility: Conditional Intended for: HDR or PDR interstitial brachytherapy Afterloader: GammaMedplus iX™ / GammaMedplus™ Modality: HDR, PDR 3.15

The Interstitial Plastic Needles with 2mm diameter • S uitable for head and neck, GYN implants, breast or are used for interstitial treatments in areas such as prostate treatments head and neck, GYN implants, breast or prostate. • C T Compatible The needles can be used in combination with the • M R Compatibility: Conditional for 1.5 and 3 Tesla if appropriate buttons or templates. Using color-coded used without channel markers and mandrins buttons, fixation buttons and leak-stop buttons, • N eedles can be used in combination with appropriate this set provides a means of flexible implantation. templates allowing for greater variety of applications All needles are equipped with a titanium standard • E quipped with fixation buttons, leak stop buttons connector for easy and safe connection to the and cleaning caps which provide flexibility and secure afterloader device. fixation to patient • F lexible 113, 200 and 320mm plastic needles with sharp pencil points facilitate accurate needle placement • E quipped with stabilizing obturators for easy insertion • U p to 25 times repeated use • S team sterilizable

Qty.* Product # 1 GM11007560 Plastic needle with mandrin, 2.0mm diameter, length 113mm 1 GM11007570 Plastic needle with mandrin, 2.0mm diameter, length 200mm 1 GM11007580 Plastic needle with mandrin, 2.0mm diameter, length 320mm Required Accessories (choose one kit) 1 GM11008670 Basic accessory kit for interstitial applicators 1 GM11008650 Complete accessory kit for interstitial applicators 1 GM11008660 Accessory kit “light” for interstitial applicators ** GM11000340 Source guide tube with locking mechanism for 320mm applicators, GammaMedplus Optional Components and Accessories 1 GM11003810 Leak stop buttons, non-sterile, pack of 50 1 GM11003940 Channel marker clips, coded 1-12 1 GM11003770 Channel marker clips, coded 13-24 3.15 1 GM11003830 Stainless steel button, for needle 1.6-2.0mm diameter, including M4 nut 1 GM11009620 X-ray marker BV set I, up to 320mm applicators, 0.9mm diameter, coded 1-6, GammaMedplus 1 GM11009640 X-ray marker BV set I, up to 200mm needles, 0.9mm diameter, coded 1-6, GammaMedplus 1 GM11009630 X-ray marker BV set II, up to 320mm applicators, 0.9mm diameter, coded 7-12, GammaMedplus 1 GM11009650 X-ray marker BV set II, up to 200mm needles, 0.9mm diameter, coded 7-12, GammaMedplus 1 GM11001390 Source guide tube support, GammaMed units only

*Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description.

**Select adequate quantity

C 0086 www.varian.com/brachytherapy TO ORDER: [email protected] Intraoperative and Surface Applicators

GM11004440 Mould Applicator Set – CT Compatible / MR Compatibility: Conditional 4.1 GM11004370 Catheter Flap Set – CT Compatible / MR Compatibility: Conditional 4.2 GM11010080 Surface Applicator Set with Leipzig-style Cone 4.3 4.1 – 4.3

Mould Applicator Set CT Compatible / MR Compatibility: Conditional Intended for: HDR or PDR intraoperative and superficial brachytherapy Afterloader: GammaMedplus iX™ / GammaMedplus™ Modality: HDR, PDR 4.1

The Mould Applicator Set is used for the treatment • S uitable for intraoperative and superficial of individual extremities, for bone tumors, and for brachytherapy surgical implanting (max. 24 hours) as part of the IORT • C T Compatible treatment. The 320mm length and ample flexibility • M R Compatibility: Conditional for 1.5 and 3 Tesla, if combine to provide optimal adaptation to a patient’s used without channel markers and mandrins anatomy. • M ould probes of 2.8mm diameter (reusable) and 1.84mm diameter (disposable) • E quipped with stabilizing obturators for easy insertion • E lastomer material construction provides increased flexibility for easy placement as well as luminal rigidity which prevents kinks • S team sterilizable

Qty.* Product # Components of the Applicator Set 5 GM11002290 Mould probe, 1.84 diameter x 320mm with mandrin 5 GM11002280 Mould probe, 2.8mm diameter x 320mm 1 GM11003810 Leak stop buttons, non-sterile, pack of 50 4 GM11009960 Sterilization plugs, cream (pack of 25) Required Accessories (choose per afterloader) 1 GM11008210 Basic Accessory Kit, GammaMedplus Optional Components and Accessories 1 GM11003100 Mandrin, 320mm 1 GM11003740 Red buttons, 9.5mm diameter, non-sterile, pack of 50 1 GM11003850 Green buttons, 9.5mm diameter, non-sterile, pack of 50 1 GM11003760 Blue buttons, 9.5mm diameter, non-sterile, pack of 50 1 GM11003690 Yellow buttons, 9.5mm diameter, non-sterile, pack of 50 1 GM11003780 Violet buttons, 9.5mm diameter, non-sterile, pack of 50 1 GM11003790 White buttons, 9.5mm diameter, non-sterile, pack of 50 1 GM11003800 Universal ﬁ xation buttons, radiopaque, non-sterile, pack of 100 1 GM11003770 Channel marker clips coded 13-24 1 GM11009620 X-ray marker BV set I, up to 320mm applicators, coded 1-6 1 GM11009630 X-ray marker BV set II, up to 320mm applicators, coded 7-12 1 GM11001390 Source guide tube support, GammaMed units only 4.1

*Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description.

C 0086 www.varian.com/brachytherapy TO ORDER: [email protected] GM11004370

Catheter Flap Set CT Compatible / MR Compatibility: Conditional Intended for: HDR or PDR superficial brachytherapy Afterloader: GammaMedplus iX™ / GammaMedplus™ Modality: HDR, PDR 4.2

The Catheter Flap Set is used for treating of superficial • S uitable for skin/surface applications cancers. It is designed to create a defined space • C T Compatible between the source and the tissue, and between the • M R Compatibility: Conditional 1.5 and 3 Tesla, when source channels. The highly flexible material easily all metal parts are removed adapts to complex anatomical regions. The delivery • F lap is engineered to provide a consistent and defined size of the flap is 200 x 290 x 10mm and can be space between the source and the tissue reduced as needed. The catheter channels are 2mm in • F lexible material easily adapts to uneven surfaces diameter and are positioned on the middle axis of the • L arge size of 200 x 290 x 10mm can be cut to the flap. required size • S team sterilizable

Qty.* Product # Components of the Applicator Set 1 GM11003910 Catheter fl ap, 200 x 290 x 10mm, 40 channels 10 GM11002290 Mould probe, 1.84mm diameter, 320mm length with mandrin 1 GM11003940 Channel marker clips, coded 1-12 1 GM11003800 White fi xation buttons, radiopaque, non-sterile, pack of 100 1 GM11003810 Leak stop buttons, non-sterile, pack of 50 4 GM11009960 Sterilization plugs, cream (pack of 25) Required Accessories (choose per afterloader) 1 GM11008210 Basic accessory kit, GammaMedplus 1 GM10008310 Complement accessory kit for Catheter Flap Set & Heyman Packing Applicator Optional Components and Accessories 1 GM11000530 Bronchial catheters, 5Fr., sterile, GammaMedplus 1 GM11000470 Clamping adapters for 5Fr. bronchial catheter, GammaMedplus 1 GM11002260 Bronchial catheters, 1.84mm diameter, sterile 1 GM11006270 Monofi l, 0.8mm diameter, sterile, for bronchial catheters 1 GM11001640 Length cutting gauge for bronchial catheters, 1.84mm 1 GM11001390 Source guide tube support, GammaMed units only 1 GM11000550 Clamping adapter for bronchial catheter 1.84mm, GammaMedplus 1 GM11000160 Length cutting gauge for 5Fr. bronchial catheter 1 GM11009660 X-ray marker BV set Intraluminal, up to 1300mm length, coded 1-3 4.2

*Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description.

Flaps are available for intraoperative techniques: Flaps are available for intraoperative techniques: In the USA, please refer to http://www.micknuclear.com/page_iort/iort.asp In Europe, please refer to http://www.kabe-labortechnik.de/index.php?sprache=en&akt_seite=startseite_produkte.php

C 0086 www.varian.com/brachytherapy TO ORDER: [email protected] GM11010080 Surface Applicator Set with Leipzig-style Cone Intended for: HDR superficial brachytherapy Afterloader: VariSource iX™ / VariSource 200™ / GammaMedplus iX™ / GammaMedplus™ Modality: HDR 4.3

The Surface Applicator Set with Leipzig-style Cone is • S uitable for skin/surface and tissue applications used as a cost effective replacement for superficial • O ptimal scattering of tungsten shield creates X-ray therapy. The optimal scattering of the tungsten a homogenous dose at the skin’s surface to the alloy shielding creates a homogenous dose pattern in correct depth the area of treatment to the correct depth. A typical • E quipped with multiple insets which allow for application for this surface applicator is the treatment optimal dose adaptation to the target area of small skin cancer. • R equires disinfection only

Not authorized for use in USA Not authorized for use in Canada

Qty.* Product # Components of the Applicator Set 1 GM11010170 Leipzig-style Cone for inset 30-45mm diameter, with holder and guide 1 GM11003410 Vertical Cone for inset 10-25mm diameter, with holder and guide 1 GM11003580 Vertical Cone for inset 30-45mm diameter, with holder and guide 1 GM11003560 Surface Tubus inset 10mm diameter, round 1 GM11003570 Surface Tubus inset 15mm diameter, round 1 GM11003580 Surface Tubus inset 20mm diameter, round 1 GM11003590 Surface Tubus inset 25mm diameter, round 1 GM11003520 Surface Tubus inset 30mm diameter, round 1 GM11003610 Surface Tubus inset 35mm diameter, round 1 GM11003620 Surface Tubus inset 40mm diameter, round 1 GM11003630 Surface Tubus inset 45mm diameter, round 4 GM11009960 Sterilization plugs, cream (pack of 25) Required Accessories VariSource iX and 200 1 GM19001010 ClickFit™ applicator transfer guide tube, channel 1 VariSource 200 1 AL13169000 Measurement ruler 1 AL13154000 Measurement marker wire 1 AL13119000 Measurement marker clip Required Accessories GammaMedplus Series 1 GM11000520 Source guide tube with locking mechanism for 113mm needles, GammaMedplus

4.3 1 GM11000330 Length gauge, GammaMedplus Optional Components and Accessories 1 GM11008700 Universal applicator clamping device 1 GM11001390 Source guide tube support (GammaMed units only) 1 GM11003810 Leak stop button (pack of 50), non-sterile

*Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description.

C 0086 www.varian.com/brachytherapy TO ORDER: [email protected] Accessories

GM11008920 MammoSite® Balloon Catheter Accessory Kit 5.1 GM11008680 GammaMed Adjustable Luer Source Guide Tube 5.2 GM19004000 VariSource Luer Transfer Guide Tube Set 5.3 Series Smit Cervical Sleeves – CT Compatible / MR Compatibility: Conditional 5.4 Series Cervical Sleeves – CT Compatible / MR Compatibility: Conditional 5.4 Series Optional Accessories for Three Channel Applicators 5.5 Series Marker Wire Products – GammaMedplus 5.6 Series Measurement Ruler, Marker Wire & Clip 5.7 Series Source Guide Tubes for GammaMedplus 5.8 GM19003000, VariSource Catheter Transfer Guide Tube Set – 200 Series 5.9 GM19003001 GM19001000 VariSource ClickFit™ Transfer Guide Tube Set – 200 Series 5.10 GM19002000, VariSource Needle ClickFit™ Transfer Guide Tube Set —200 Series 5.11 GM19002001 Series VariSource Quick Connects 5.12 Series GammaMed Clamping Adapters – Quick Connectors 5.13 Series PDR Quick Connectors – 5-fold Quick Connectors with Source Guide Tubes 5.14 GM11001430 Wall Holder for GammaMed Source Guide Tubes 5.15 GM11008700 Universal Applicator Clamping Device 5.16 GM11001960 Flexible Fixation Device for Gynecological Applicators – 5.17 CT Compatible / MR Compatibility: Conditional AL13191000, Reconstruction Jigs 5.18

AL13192000 5.1 – 5.23 GM13001960 Radiation Room Monitor and Alarm – ALMO 1 Stationary Dose Rate Measurement System 5.19 AL13010000, Radiation Room Monitor and Alarm – Primalert™ 10 Teleterapy Radiation Monitor 5.20 AL13010001 Series Sterilization Boxes 5.21 GM11001310 GammaMed Two Channel Source Exchange Container 5.22 GM11001320 Emergency Container 5.23

Afterloader: GammaMedplus iX™ / GammaMedplus™ Modality: HDR

The MammoSite balloon catheter is not included

The MammoSite® Balloon Catheter Accessory Kit • L ength adjustment of the Source Guide Tube contains all accessories required for use of the intended to correct for any slight deviation in the MammoSite balloon catheter with the GammaMedplus total length of the source path

5.1 series afterloaders. The MammoSite device is not • A djustable without the need for tools included. • S tandard Luer fitting R •eusable R

MammoSite is a registered trademark of Hologic, Inc. .

Qty.* Components 1 GM11008680 GammaMed adjustable Luer source guide tube 1 GM11000330 Length gauge 1 GM11009610 X-ray marker BV, 1300mm catheters, uncoded 2 GM11003220 Cleaning caps, black, pack of 20

*Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description.

www.varian.com/brachytherapy TO ORDER: [email protected] GM11008680 GammaMed Adjustable Luer Source Guide Tube Intended for: HDR breast brachytherapy using the MammoSite balloon catheter Afterloader: GammaMedplus™ iX / GammaMedplus™ Modality: HDR

GammaMedplus connector with length adjusting mechanism

The MammoSite balloon catheter is not included

The GammaMed Adjustable Luer Source Guide • L ength adjustment is intended to correct for any Tube enables the quick and easy connection of the slight deviation in the total length of the source path MammoSite balloon catheter to the GammaMedplus • A djustable without the need for tools series afterloaders. The special design of the device • S tandard Luer fitting 5.2 connector allows an adjustment of the total internal •eusable R length of the source guide tube when connected to the MammoSite balloon catheter to equal 1300mm. MammoSite is a registered trademark of Hologic, Inc. The length adjustment is intended to correct for any slight deviation in the total length of the source path. The standard Luer lock connector allows an easy and safe connection to the Luer fitting on the MammoSite balloon catheter. The GammaMed adjustable Luer source guide tube has been designed for repeated use.

Qty. Product # Components of the Set 1 GM11008680 GammaMed adjustable Luer source guide tube, GammaMedplus series Required Accessories 1 GM11000330 Length gauge, GammaMedplus Optional Components & Accessories 1 GM11001430 Wall holder for source and transfer guide tubes 1 GM11001390 Source guide tube support (GammaMed units only)

Afterloader: VariSource iX™ / VariSource 200™ Modality: HDR

The MammoSite balloon catheter is not included

The VariSource Luer Transfer Guide Tube Set provides • S tandard Luer fitting easy connection of third party applicators that include • T ubes are individually numbered, making connection a Luer-style connection to the VariSource afterloaders. to the specific channels of the afterloader simple, safe

5.3 Examples of such products are the MammoSite® and reliable balloon catheter manufactured by Hologic, Inc., and • E ach set contains twenty transfer guide tubes implant needles manufactured by Alpha-Omega • L ightweight and designed for multiple use and long Services, Inc. With their integrated connector to the life afterloader, and numbered connectors, connection to the afterloader is simple, safe and reliable. MammoSite is a registered trademark of Hologic, Inc. Varian accepts no responsibility for third party devices connected to this product.

Qty.* Product # Description 1 GM19004000 VariSource Luer transfer guide tube set, individually numbered 1-20, for VariSource 200 and iX Components 1 GM19004xx0 VariSource Luer transfer guide tubes, numbered channel X**, for VariSource 200 and iX

*Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description.

**The characters “XX” used in the above text and part numbers should be replaced with the channel number required; i.e., the part number for a 200 series transfer guide tube numbered for use on channel 1 is GM19004010.

www.varian.com/brachytherapy TO ORDER: [email protected] Smit Cervical Sleeves CT Compatible / MR Compatibility: Conditional

Afterloader: VariSource iX™ / VariSource 200™ / GammaMedplus iX™ / GammaMedplus™ Modality: HDR, PDR

• U se with applicators to aid insertion of the uterine tandem • C T Compatible • M R Compatibility: Conditional for 1.5 and 3 Tesla • S implifies insertion of the tandem and prevents tandem perforation of the uterine wall • M ay be sutured in place and left in situ for easy repeat treatments • S leeve position is easily identified and verified with the integral titanium marking • A vailable in 30, 40, 50, 60, 70 and 80mm lengths • A ccommodates a 3mm diameter tandem R •eusable R • S team sterilizable

Product # Description GM11001160 Smit cervical sleeve with clamping for guide tube, 30mm GM11000960 Smit cervical sleeve with clamping for guide tube, 40mm GM11001170 Smit cervical sleeve with clamping for guide tube, 50mm GM11001260 Smit cervical sleeve with clamping for guide tube, 60mm GM11001150 Smit cervical sleeve with clamping for guide tube, 70mm GM11001140 Smit cervical sleeve with clamping for guide tube, 80mm

Cervical Sleeves CT Compatible / MR Compatibility: Conditional 5.4 Afterloader: VariSource iX™ / VariSource 200™ / GammaMedplus iX™ / GammaMedplus™ Modality: HDR

• M ore flexible than the Smit cervical sleeves • C T Compatible • M R Compatibility: Conditional for 1.5 and 3 Tesla • U se with applicators to aid insertion of the uterine tandem • S implifies insertion of the tandem and prevents tandem perforation of the uterine wall • M ay be sutured in place and left in situ for easy repeat treatments • A vailable in 20, 40, 60 and 80mm lengths • A ccommodates a 3mm diameter tandem • S ingle use • E tO or Plasma sterilizable

Product # Description AL13142000 Cervical sleeve, 3mm aperture, 20mm length, polyethylene AL13142001 Cervical sleeve, 3mm aperture, 40mm length, polyethylene AL13142002 Cervical sleeve, 3mm aperture, 60mm length, polyethylene AL13142003 Cervical sleeve, 3mm aperture, 80mm length, polyethylene C 0086 BrachyTherapy Applicators and Accessories © 2011 Varian Medical Systems, Inc. Optional Accessories for Three Channel Applicators Afterloader: GammaMedplus iX™ / GammaMedplus™ Modality: HDR

Product # Description GM11000800 Hook forceps, 250mm long, for three channel applicators GM11000640 Clamping mechanism for forceps 5.5 GM11000840 Rectal retractor for three channel applicators

These items are not suitable for AL13030001 Titanium Fletcher-Suit-Delclos-Style Applicator Set

CT Compatible

Product # Description GM11006770 Titanium hook forceps, 250mm long, for three channel applicators GM11006760 Titanium clamping mechanism for forceps GM11006750 Titanium rectal retractor for three channel applicator

C 0086 www.varian.com/brachytherapy TO ORDER: [email protected] Series Marker Wire Products

Afterloader: VariSource iX™ / VariSource 200™ / GammaMedplus iX™ / GammaMedplus™ Modality: HDR, PDR

Channelnnnen l End FirstFirst SourceSouurrce Position

Product # Description GM11009600 X-ray marker BV, up to 320mm applicators, uncoded GM11009610 X-ray marker BV, up to 1300mm catheters, uncoded 5.6 GM11009620 X-ray marker BV set I, up to 320mm applicators, coded 1-6 GM11009630 X-ray marker BV set II, up to 320mm applicators, coded 7-12 GM11009640 X-ray marker BV set I, up to 200mm needles, coded 1-6 GM11009650 X-ray marker BV set II, up to 200mm needles, coded 7-12 GM11009660 X-ray marker BV set Intraluminal, up to 1300mm length, coded 1-3 GM11009670 X-ray marker BV set I, up to 500mm tubes, coded 1-6 GM11009680 X-ray marker BV set II, up to 500mm tubes, coded 7-12

Product # Description AL13116000 X-ray marker wire, 160cm x 0.6mm diameter, nickel titanium tubing, aluminum spacers, tungsten markers, reusable, channel 1 AL13117000 X-ray marker wire, 160cm x 0.6mm diameter, nickel titanium tubing, aluminum spacers, tungsten markers, reusable, channel 2 AL13118000 X-ray marker wire, 160cm x 0.6mm diameter, nickel titanium tubing, aluminum spacers, tungsten markers, reusable, channel 3 AL13134000 X-ray marker wire, 160cm x 0.6mm diameter, nickel titanium tubing, aluminum spacers, tungsten markers, reusable, channel 4

Afterloader: VariSource iX™ / VariSource 200™ Modality: HDR

• U sed together to determine the length of a treatment marked with the clip, then measured using the catheter and/or applicator assembly precision ruler

5.7 • T he wire is placed inside the catheter/applicator

Qty.* Product # Description 1 AL13119000 Measurement marker clip, reusable, stainless steel 1 AL13154000 Measurement marker wire, 160cm, reusable, nickle titanium 1 AL13169000 Measurement ruler, 150cm, reusable, glass ﬁ ber/epoxy composite

*Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description.

C 0086 www.varian.com/brachytherapy TO ORDER: [email protected] Series GammaMedplus Source Guide Tubes Series

Afterloader: GammaMedplus iX™ / GammaMedplus™ Modality: HDR, PDR

Source Guide Tubes enable the connection of • E nables easy, safe connection of applicator probes, applicator probes, needles and implant tubes to the needles and implant tubes to the afterloader GammaMedplus afterloader. The special design of • S ource is blocked in case of improper connection the connector ensures that the source is blocked if • A n error message is generated in case of improper the applicator probe, needle or implant tube has connection not been connected properly. If this occurs, the afterloader generates a clear error message to draw * Not applicable to GM11006060, GM11000460, GM11000370, GM11010020, attention to the user. *If the source is in the needle or GM11000310, and GM11006650 applicator during treatment, the accidental release of the connection between the source guide tube and 5.8 applicator probe or needle is prevented.

Qty.* Product # Description 1 GM11000340 Source guide tube with locking mechanism for 320mm applicators 1 GM11000520 Source guide tube with locking mechanism for 113mm needles 1 GM11006060 Source guide tube with locking mechanism for 180mm needles without connector 1 GM11000320 Source guide tube with locking mechanism for 200mm needles 1 GM11008960 Source guide tube with locking mechanism for 250mm needles 1 GM11007280 Source guide tube light with locking mechanism for 113mm needles 1 GM11007270 Source guide tube light with locking mechanism, 200mm needles 1 GM11000460 Source guide tube with locking mechanism, 113mm interstitial tube 1 GM11000370 Source guide tube with locking mechanism, 200mm interstitial tube 1 GM11010020 Source guide tube with locking mechanism, 250mm Interstitial tube 1 GM11000310 Source guide tube with locking mechanism, 320mm interstitial tube 1 GM11006650 Source guide tube with locking mechanism, 500mm interstitial tube 1 GM11007610 Source guide tube with locking mechanism for third party applicator, channel 1 1 GM11007620 Source guide tube with locking mechanism for third party applicator, channel 2 1 GM11007630 Source guide tube with locking mechanism for third party applicator, channel 3

*Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description. C

Afterloader: VariSource iX™ / VariSource 200™ Modality: HDR

VariSource Catheter Transfer Guide Tubes provide • E asy catheter connection rapid and secure connection of interstitial implant • F or use with the Best Interstitial / Breast Catheter catheters having an outside diameter of 2mm • T ubes are individually numbered, making connection

5.9 (6 French). The tubes are lightweight and engineered to the specific channels of the afterloader simple, safe for long life and multiple use. Sets containing ten and reliable individually numbered transfer guide tubes either • E ach set contains ten transfer guide tubes 1-10 (P/N GM19003000) or 11-20 (P/N GM19003001). ClickFit™ is a trademark of Varian Medical Systems, Inc.

Qty.* Product # Description 1 GM19003000 Catheter Transfer Guide Tube Set, Channels Numbered 1-10, for VariSource iX and 200 1 GM19003001 Catheter Transfer Guide Tube Set, Channels Numbered 11-20, for VariSource iX and 200 Components 1 GM19003xx0 Catheter Transfer Guide Tube Set, numbered channel X** for VariSource iX and 200

*Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description.

**The characters “XX” used in the above text and part numbers should be replaced with the channel number required; i.e., the part number for a 200 series catheter transfer guide tube numbered for use on channel 1 is GM19003010.

www.varian.com/brachytherapy TO ORDER: [email protected] GM19001000 VariSource ClickFit™ Transfer Guide Tube Set

Afterloader: VariSource iX™ / VariSource 200™ Modality: HDR

VariSource ClickFit™ Transfer Guide Tubes provide rapid, • T itanium connectors easily push on and pull off secure connection between applicators fitted with • L ightweight and designed for multiple use and long ClickFit-style connection points and the VariSource life afterloader. Lightweight and engineered for long life • T ubes are indexed and numbered making connection and multiple use, the ClickFit™ connectors are precision to the specific channels of the afterloader simple, safe engineered from titanium providing minimal weight and reliable with maximum strength. They are easy to use. Push • I nternal gate mechanism ensures source wire will them on to connect. Grasp and pull the leading edge not pass through the end of the transfer guide tube and pull to release. They meet IEC safety standards unless an applicator is correctly attached with an internal locking mechanism to prevent the • C ontains four transfer guide tubes

wire from exiting from the connector if not properly 5.10 connected to an applicator. The transfer guide tubes ClickFit™ is a trademark of Varian Medical Systems, Inc. are individually numbered making connection to the afterloader simple, safe and reliable.

Qty.* Product # Description 1 GM19001000 ClickFit™ Transfer Guide Tube with integrated Channel 1-4 Quick Connect for VariSource iX and 200 Components 1 GM190010x0 ClickFit™ Transfer Guide Tube with integrated Channel X** Quick Connect for VariSource iX and 200

*Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description.

**Each ClickFit transfer guide tube in the set is individually numbered for channel and part number. The character “XX” used in the above text and part numbers should be replaced with the channel number required; e.g., the part number for a 200 series ClickFit™ transfer guide tube numbered for use on channel 1 is GM19001010.

Afterloader: VariSource iX™ / VariSource 200™ Modality: HDR

VariSource Needle ClickFit™ Transfer Guide Tubes • E asy connection – push on, pull off provides rapid, secure connection of needles having • L ightweight titanium ClickFit™ connectors the ClickFit™ style connection to the VariSource • M olded plastic connector for connection to the afterloader. Lightweight and engineered for long life VariSource afterloader and multiple use, these transfer guide tubes are also • T ubes are individually numbered making connection used for the peripheral channels of the Miami-style to the specific channels of the afterloader simple, applicator. The ClickFit™ connectors are precision safe and reliable engineered from titanium, providing minimal weight • I nternal gate mechanism ensures source wire will with maximum strength. They are easy to use. Push not pass through the end of the transfer guide tube them on to connect. Grasp and pull the leading edge unless a needle is correctly attached

5.11 to release. They meet the IEC safety standards with • F or use only with needles having the ClickFit™ an internal gate mechanism to prevent the wire from connection and the Miami-style applicator exiting the connector if not properly connected to an • T wo numbered sets are available: 1-10 and 11-20 applicator. The transfer guide tubes are individually numbered making connection to the specific channels ClickFit is a trademark of Varian Medical Systems, Inc. of the VariSource afterloader simple, safe and reliable.

Qty.* Product # Description 1 GM19002000 Needle ClickFit™ Transfer Guide Tube Set, Channels numbered 1-10 for VariSource iX and 200 1 GM19002001 Needle ClickFit™ Transfer Guide Tube Set, Channels numbered 11-20 for VariSource iX and 200 Components 1 GM19002xx0 Needle ClickFit™ Transfer Guide Tube Set, Channels numbered X** for VariSource iX and 200

*Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description.

**Each Needle ClickFit transfer guide tube in the set is individually numbered for channel and part number. The character “XX” used in the above text and part numbers should be replaced with the channel number required; e.g., the part number for a 200 series Needle ClickFit™ transfer guide tube numbered for use on channel 1 is GM19002010.

www.varian.com/brachytherapy TO ORDER: [email protected] Series VariSource Quick Connects

Afterloader: VariSource iX™ / VariSource 200™ Modality: HDR

VariSource Quick Connects connect VariSource • U niversal and indexed variants are available for standard catheters to the afterloader. The quick VariSource iX and 200 Series connects are available in two variants: universal • D esigned for connecting VariSource standard

and indexed. While the universal quick connects will catheters to the afterloader 5.12 connect to any channel on the afterloader, the indexed • U niversal quick connects connect to any channel on quick connects will only connect to the channel for the afterloader which they are intended. Indexed quick connects are • I ndexed quick connects only connect to the channel available for channels 1-4 and help reduce the chance for which they are intended of connecting a catheter to the incorrect channel on • I ndexed quick connects are available for channels the afterloader. 1-4 and help to reduce the chance of connecting a catheter to the incorrect channel on the afterloader

Qty.* Product # For VariSource iX and 200 Series 1 AL12500001 Indexed quick connect, channel 1, reusable, stainless steel 1 AL12500002 Indexed quick connect, channel 2, reusable, stainless steel 1 AL12500003 Indexed quick connect, channel 3, reusable, stainless steel 1 AL12500004 Indexed quick connect, channel 4, reusable, stainless steel 1 AL12500000 Universal quick connect, reusable, stainless steel 1 AL12550000 Universal quick connects, reusable, stainless steel, pack of 10

*Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description.

Afterloader: GammaMedplus iX™ / GammaMedplus™ Modality: HDR

GM11000550

GM11000470

GammaMed Clamping Adapters connect GammaMed • D esigned for connecting GammaMed bronchial bronchial catheters to the GammaMedplus afterloader. catheters to the afterloader Adapters are available for 1.84mm (5.52Fr.) diameter

5.13 catheters, and for 1.67mm (5Fr.) catheters used with the GammaMedplus afterloader.

Qty.* Product # Components 1 GM11000470 Clamping adapter for 5Fr. catheter, GammaMedplus 1 GM11000550 Clamping adapter for 1.84mm diameter catheter, GammaMedplus

*Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description.

www.varian.com/brachytherapy TO ORDER: [email protected] Series PDR Quick Connectors* — 5-fold Quick Connectors with Source Guide Tubes *PDR is not approved for use in the United States Afterloader: GammaMedplus iX™ / GammaMedplus™ Modality: PDR

PDR Quick Connectors make it possible to • A llows applicator connections to up to five channels connect applicators to the GammaMedplus series at once afterloaders in up to five channels at once. Each • P revents source from moving outside the afterloader individual channel is controlled mechanically. The if no applicator, interstitial tube or connecting tube is connector part on the side of the patient can be attached used with one to five connection tubes depending • P atient can be separated from the device at the PDR 5.14 on application. The special design of the PDR Quick quick connector interface, leaving the connecting Connector prevents the source from moving outside tubes and applicator with the patient the afterloader if no applicator, interstitial tube or connecting tube is attached. Between treatment intervals, the patient can be separated from the device at the PDR quick connector interface leaving the connecting tubes and applicator with the patient. A mechanical codification prevents changing the channels upon reconnection.

Qty.* Product # For GammaMedplus Qty.* Product # Connecting Tubes 1 GM11007090 PDR quick connector, 01-05, unit side 1 GM11007170 Connecting tube, 113mm needle 1 GM11007100 PDR quick connector, 06-10, unit side 1 GM11007180 Connecting tube, 200mm needle 1 GM11007110 PDR quick connector, 11-15, unit side 1 GM11007190 Connecting tube, 320mm needle 1 GM11007120 PDR quick connector, 16-20, unit side 1 GM11007200 Connecting tube, 113mm interstitial tube 1 GM11007130 PDR quick connector socket, 01-05, patient side 1 GM11007210 Connecting tube, 200mm interstitial tube 1 GM11007140 PDR quick connector socket, 06-10, patient side 1 GM11007220 Connecting tube, 320mm interstitial tube 1 GM11007150 PDR quick connector socket, 11-15, patient side 1 GM11000330 Length gauge for GammaMedplus 1 GM11007160 PDR quick connector socket, 16-20, patient side

*Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description. C

Afterloader: VariSource iX™ / VariSource 200™ / GammaMedplus iX™ / GammaMedplus™ 5.15

The Wall Holder ensures convenient and well- The Wall Holder enables respective tubes are readily organized storage of all Varian source and transfer at hand. (Source and transfer guide tubes are not guide tubes and catheters. This device prevents included.) damage caused by accidental bending during storage.

Product # Description GM11001430 Wall holder for source and transfer guide tubes

www.varian.com/brachytherapy TO ORDER: [email protected] GM11008700 Universal Applicator Clamping Device

Afterloader: VariSource iX™ / VariSource 200™ / GammaMedplus iX™ / GammaMedplus™

The Universal Applicator Clamping Device provides a clamping ring for cylinders and the adjustable holder convenient mechanism for fixing the position of an hold our complete range of gynecological and rectal applicator relative to a table side rail using the rail applicators. The simple, single clamp mechanism

mount attachment, or anchored under the patient’s provides a rapid, flexible adjustment which is quick 5.16 legs/buttocks using the base plate adapter. The and easy to release.

Qty.* Product # Components 1 GM13002530 Universial Clamping system ASSISTO®**, including base plate 1 GM11001810 Clamping ring for cylinders for adjustable holder 1 GM11001280 Fixation for three channel applicators for adjustable holder 1 GM13001350 Clamp socket for adjustable holder

1 GM13002660 Base plate arm system 1 GM13003470 Universal adjustable holder 1 GM13003480 Extension rod for adjustable holder

*Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description.

**ASSISTO® is registered trademark of GEOMED Medizin-Technik GmbH & Co.

C 0125 BrachyTherapy Applicators and Accessories © 2011 Varian Medical Systems, Inc. GM11001960 Flexible Fixation Device for Gynecological Applicators CT Compatible / MR Compatibility: Conditional Afterloader: VariSource iX™ / VariSource 200™ / GammaMedplus iX™ / GammaMedplus™ Modality: HDR, PDR

The Flexible Fixation Device for Gynecological moved. The device is not connected to any external Applicators is an alternative to the rigid universal surface providing an additional safety margin. In clamping device system. The fixation rings, in addition to the fixation rings, suitable brackets for the

5.17 combination with the soft fixation plate, provide a three channel and ring applicators are also available. mount for the respective cylinder and secure in the CT Compatible / MR Compatibility: Conditional if used patient with the fixation strap. This prevents the without flexible fixation for three channel applicators. applicator from slipping even while the patient is

Qty.* Product # Components of the Set 5 GM11001970 Flexible fi xation plate for gynecological applicators 1 GM11001870 Fixation ring for cylinder 20mm diameter 1 GM11001800 Fixation ring for cylinder 23mm diameter 1 GM11001890 Fixation ring for cylinder 26mm diameter 1 GM11001900 Fixation ring for cylinder 30mm diameter 1 GM11001910 Fixation ring for cylinder 35mm diameter 5 GM11001930 Fixation strap, 500mm / 150mm 5 GM11001940 Fixation strap, 1050mm / 350mm 5 GM11001950 Fixation strap, 1700mm / 500mm Options Available 1 GM11006100 Bracket for ring applicator for fl exible fi xation GYN 1 GM11000660 Flexible fi xation, stainless steel, for three channel applicators (not compatible with FSD AL13030001)

*Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description. C

www.varian.com/brachytherapy TO ORDER: [email protected] AL13191000, AL13192000 Reconstruction Jigs

Afterloader: VariSource iX™ / VariSource 200™ / GammaMedplus iX™ / GammaMedplus™

Together with features embedded in our BrachyVision™ • C an be used when isocentric films at a known angle treatment planning software, the Reconstruction may be difficult to obtain Jigs may be used to create brachytherapy treatment • P articularly well-suited for use with a C-arm

plans from semi-orthogonal films such as those radiography unit to obtain films in an operating room 5.18 obtained with the use of a C-Arm. The jigs are made environment of acrylic and aluminum. They incorporate horizontal • C ross-beam height of 50cm easily accommodates and vertical film holders, and embedded fiducial most patients markers used by the planning software to create a • V ertical and horizontal cross-wire boxes are freely common coordinate system. Two sizes are provided to adjustable to fit reconstruction parameters accommodate a range of patients. • A ppears in a list of standard dimensions for efficient treatment planning

BrachyVision is a trademark of Varian Medical Systems, Inc.

Product # Description AL13191000 50cm ﬁ lm localization reconstruction jig, approx. 39 x 50cm (H x W), reusable, acrylic AL13192000 65cm ﬁ lm localizaiton reconstruction jig, approx. 39 x 65cm (H x W), reusable, acrylic

BrachyTherapy Applicators and Accessories © 2011 Varian Medical Systems, Inc. GM13001960 Radiation Room Monitor and Alarm ALMO 1 Stationary Dose Rate Measurement System Afterloader: VariSource iX™ / VariSource 200™ / GammaMedplus iX™ / GammaMedplus™

ALMO 1 Triple Indicator

With the measuring system ALMO 1, one Geiger- • C lear and logical structure Mueller detector can be used to determine the local • 1 28 x 64 graphic LCD display. The characters are easily dose rate. Measuring electronics and display unit are readable and illuminated integrated in a plastic housing. On the front side of the • T riple indicator 5.19 housing, the measuring value display is integrated as • C an be connected to external warning radiation light a large-area LCD display. On this LCD display (128 x 64 • P rovides acoustic alarm when entering the room pixels), the current measuring value of the connected during radiation exposure detector is displayed. Two freely definable alarm • M eets requirements for PDR installations thresholds can be set. The parameter setting takes • C orresponds to European requirements place in the menu level. In case of exceeding an alarm threshold, an optical/acoustic warning follows.

Product # Description GM13003000 ALMO 1 In-room radiation detector, German version GM13003010 ALMO 1 In-room radiation detector, English version

C 0086 www.varian.com/brachytherapy TO ORDER: [email protected] AL13010000, AL13010001 Radiation Room Monitor and Alarm Primalert™ 10 Teleterapy Radiation Monitor Afterloader: VariSource iX™ / VariSource 200™ / GammaMedplus iX™ / GammaMedplus™

The Primalert™ 10 Teletherapy Radiation Monitor • R echargeable back-up battery provides power to the measures and indicates in-room radiation levels. The Primalert 10 monitor in case of a line power failure monitor system is available as a 110V (AL13010000) • M eets U.S. Nuclear Regulatory Commission and

or 220V (AL13010001) model. The Primalert system various state requirements 5.20 contains a Geiger-Mueller detector. The remote alarm can be placed outside the treatment room at Note: for technical reasons, this system is not offered in the European Union. Primalert is a trademark of Elimpex-Medizintechnik, Moedling, Austria the control console and duplicates the room monitor signal. In addition, both units feature flashing red lights to indicate radiation exposure.

Product # Description AL13010000 Primalert 10, USA/Japan AL13010001 Primalert 10, Europe AL13010002 Primalert 10, UK AL13010003 Primalert 10, Australia

These sterilization boxes provide a convenient, of parts of the set to extend overall product life. reusable containment of various autoclavable Manufactured of sturdy, high grade aluminum, these applicators during sterilization. With the addition of cases can be used repeatedly.

5.21 the optional inserts for specific applicator sets, they may also be used for storing these sets. Although some Regulatory approval pending of our applicator sets include storage/sterilization boxes, these containers may be useful for sterilization

Qty.* Product # Description 1 GM11010340 Universal sterilization box 1 GM11010300 Sterilization box for segmented cylinder applicator set, GM11004150 1 GM11010310 Sterilization box for segmented cervix applicator set, GM11004540 1 GM11010320 Sterilization box for Fletcher-style applicators, deﬁ ned geometry, GM11000810 & GM11006200

*Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description.

www.varian.com/brachytherapy TO ORDER: [email protected] GM11001310 GammaMed Two Channel Source Exchange Container

Afterloader: GammaMedplus iX™ / GammaMedplus™

• T ype A container used for the safe transport of Ir-192 sources • T wo channels allow one source to be received while another is withdrawn making the Ir-192 source change safe, simple and efficient

• M aximum load capacity of 814 GBq (22 Ci) 5.22 • M eets IAEA regulations for the transport of radioactive goods

Qty.* Product # Description 1 GM11001310 Two channel source exchange container Required Accessories for GammaMedplus 1 GM11006020 Accessory set for source exhange

*Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description.

Afterloader: VariSource iX™ / VariSource 200™ / GammaMedplus iX™ / GammaMedplus™ Modality: HDR 5.23 The Emergency Container is an additional safety device exchange can´t be performed unless an emergency for use in cases where a source must be retrieved source container is available. One device is provided manually. It meets IEC 601-2-17 standards. Easy to with every afterloader unit sold. Extra units for use, the container allows for radiological safe handling additional treatment rooms or for extra locations in and ensures rapid disposal of the source if necessary. a treatment room reduce source handling time in an The emergency container is mounted on casters emergency. for maneuverability. Varian policy states a source

Qty.* Product # Description 1 GM11001320 Emergency container Included Accessories 1 GM13001850 Diagonal cutting pliers 1 GM13001860 Grabbing tongs

*Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description.

www.varian.com/brachytherapy TO ORDER: [email protected] Accessories for Quality Assurance

GM13002550 Well Chamber and Electrometer for Source Calibration 6.1 GM11008720 Source Step Viewer, GammaMedplus 6.2 6.1 – 6.2

BrachyTherapy Applicators and Accessories © 2011 Varian Medical Systems, Inc. BrachyTherapy Applicators and Accessories © 2011 Varian Medical Systems, Inc. GM13002550 Well Chamber and Electrometer For Source Calibration Afterloader: VariSource iX™ / VariSource 200™ / GammaMedplus iX™ / GammaMedplus™

For: HDR Ir -192 Calibration and HDR Ir-192 Source Quality Assurance Protocols. 1. Unique, user controlled timing capabilities. Features of the HDR 1000 Plus Ion Chamber: 2. An extensive coulomb range. Easy to use: No complicated set-up or lengthy procedure. 3. Five decade Amp range. Stable: Short term stability, within +/-0.02% for ten insertions. Unique Timing Capabilities One to two year re-calibrations average within 0.2% Unique timing capability ideally suited to brachytherapy calibration. of-original-calibration. The CDX 2000B can capture charge during specific times of an Confidence: Corrections are built in, requiring only the application of exposure. Using this timing feature, the signal can be captured for a the ADCL calibration factor. selected amount of time, i.e. 30, 60, 120 seconds, thereby eliminating Aion: Ion collection efficiency is 1.000 with sources ranging end effects or other variable portions of an exposure. This application from 0.1 mCi to greater than 20 Ci. If you have a dif- is very useful during the measurement of high and low dose rate ferent chamber with a lower collecting efficiency, the brachytherapy sources allowing you to measure charge only during the

response is not linear at activities other than the calibra- time the source is in place and the rate is constant. The two-line display 6.1 tion point, and-your accuracy may suffer. shows the time counting down on one line while the charge being Response: 0.1% over 1cm (+/-5mm about center). collected is simultaneously displayed on the other line. Isotropic: No problems with inhomogeneities in sources. Versatile Validated: Operation of the HDR 1000 Plus is described in nineteen The CDX 2000B is an extremely versatile primary electrometer used for publications clearly demonstrating the superior therapy, diagnostic and mammographic measurements. It can be used performance of the HDR 1000 Plus Well Chamber. with all standard farmer chambers, parallel plate chambers, and well Versatile: Can be used with any standard electrometer. chambers. EXCALIBUR CDX 2000B Charge Digitizing Electrometer The CDX 2000B The EXCALIBUR CDX 2000B electrometer takes the charge signal from • Two row, 16 column LCD display. the Ion Chamber and converts it to a digital signal right at the input • Displays voltage and battery charge level. connector. Every 10pC becomes one digital count. The conventional • Displays charge and time accumulated. method of analog capture and analog to digital conversion is • HDR Plus 1000 Well Ion Chamber can be purchased completely eliminated. Digital operation provides excellent stability, separately. 0.02% reproducibility, and low leakage, <10 -15 Amps. • MAX 4000 Electrometer is also available. Digital operation also contributes to these important benefits:

Qty.* Components of the Set 1 EXCALIBUR CDX 2000B electrometer 1 ADCL electrometer calibration in amps and coulombs for HDR Iridium (Standard Imaging P/N 80010) 1 HDR 1000 Plus ion chamber 1 ADCL well chamber calibration for HDR Ir-192 1 Source holder for HDR Ir-192 seed, P/N 70010 1 Quality assurance tool insert 1 Wall mount for HDR 1000 1 Triaxial extension cable, 10 meter 1 Carrying case for BRS-1A 2 Mould probe, 1.84 diameter x 320mm, P/N GM11002290 Required Accessories (choose per afterloader) 1 GM11000340 Source guide tube with locking mechanism for 320mm special, GammaMedplus 1 GM19001010 ClickFit™ transfer guide tube, numbered channel 1 for VariSource iX and 200 EXCALIBUR CDX 2000B Features &Speciﬁ cations Signal Capture Direct digital signal capture Timing Signal can be collected during a speciﬁ c time period, 0-600 seconds, 1 second resolution Mode Charge, Rate Sensitivity 0.01nC per count Charge Range - 0.01 to 999.999 nC Rate Range - 0.01 to 195.00 nA Deviation from Linearity 0 to 100 nA none; 101 to 150 nA < 0.5% Precision 0.02% reproducibility Leakage <1 x 10-15 A Voltage Nominal +/- 300V bias, dual polarity and half voltage Display Alpha numeric 2 row by 16 column LCD Input BNC triaxial connector Power Rechargeable battery with UL listed adapter or line voltage, selectable Height / Length / Width 7cm (2.75 inches) / 22.9cm (9 inches) / 22.2cm (8.25 inches) Weight 2.5 kg (5.5lbs) Qty.* Components 1 ADCL well chamber calibration for HDR Ir-192 1 Source holder 1 QA tool insert

6.1 1 Wall mount 1 Triaxial cable 1 Carrying case 2 Mould probes Qty.* Options SS00893000 MAX 4000 Electrometer 1 ADCL calibration in amps and coulombs for HDR iridium, iodine, and palladium (Standard Imaging P/N 80015-4)

*Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description.

Specifications subject to change without notice

www.varian.com/brachytherapy TO ORDER: [email protected] GM11008720 Source Step Viewer — GammaMedplus Series

Afterloader: GammaMedplus™ / GammaMedplus iX™ Modality: HDR, PDR

Features • D aily quality assurance tests are performed quickly and easily with the source step viewer • S ource step viewer clear plastic view chamber permits visualization of the source stepping distances and stopping times for quality assurance testing

Qty.* GM11008720 Components of the set

1 GM11001340 Source step viewer, GammaMedplus series 6.2 1 GM11000380 Source guide tube for source step viewer and PermaDoc, GammaMedplus series

*Quantity indicated is the quantity included with the kit. Quantity associated with each part number is one (1) unless otherwise indicated in the product description.

Varian BrachyTherapy continually strives to improve reference to their new replacements, if applicable, our product line. As new applicator designs are as well as spare parts still available for purchase. implemented, some are discontinued. In most cases, If you need to replace spare parts, please contact spare parts for previously distributed applicators Varian BrachyTherapy Technical Support, or email remain in stock available for purchase. This section [email protected]. contains applicators that have been discontinued within the past two years. It also includes a 7.1 – 7.14

Part Description Notes / Replacement

AL13129005 Shielded Rectal Applicator Set Replacement GM11004380 AL07275000 Cylinder, 2.5cm diameter x 6cm long, acetal AL07276000 Cylinder, 2.5cm diameter x 10cm long, acetal AL07277000 Cylinder, 3.0cm diameter x 6cm long, acetal AL07278000 Cylinder, 3.0cm diameter x 10cm long, acetal Shielded cylinder, 6cm length insert set with 90°, 180° & 270° AL07279000 sections, tungsten Shielded cylinder, 10cm length insert set with 90°, 180° & 270° AL07281000 Spare parts available until stock depleted. sections, tungsten Contact local representative for more details. Shielded cylinder, 6cm length insert set with 90°, 180° & 270° AL07280000 sections, acetal Shielded cylinder, 10cm length insert set with 90°, 180° & 270° AL07282000 sections, acetal AL07030000 Straight tandem, 0.3cm diameter x 25.7cm long, stainless steel AL07321000 Sterilization cap, stainless steel AL13131000 Universal cylinder X-ray marker wire, PTFE/tungsten AL13148005 Wright Vaginal Cuff Applicator Set Replacement AL13025000 AL13178000 Applicator, 3.4cm diameter x 12cm long, polysulfone/stainless steel Spare parts available until stock depleted. AL07321000 Sterilization caps, stainless steel Contact local representative for more details. AL13150000 Wright Vaginal Cuff X-ray marker wire, set of 4, PTFE/tungsten GM11004550 Endometrium Applicator Set Replacement GM11009840 GM11002340 Endometrial probe, 320mm, angle 40° x 70mm length Spare parts available until stock depleted. GM11002360 Clamping mechanism for the endometrium applicator Contact local representative for more details. GM11002870 Plastic clamp for endometrium applicator GM11002370 Allen key, 2.5mm wrench size, autoclave sterilizable Spare part continuously available AL13145005 Endometrial Applicator Set Replacement GM11009840 AL07322000 Intrauterine tandem, straight, channel 3, stainless steel Intrauterine tandems, angled 15°, channels 1 & 2/right and left, AL07323000 stainless steel AL07324000 Vaginal obturator with insert, polysulfone & stainless steel AL07022000 Tandem pivot assembly, stainless steel Spare parts available until stock depleted. Contact local representative for more details. AL07327000 Tandem lock nut, stainless steel AL07330000 Pivot stud, stainless steel AL13147000 Endometrial X-ray marker wire, set of 3, PTFE & tungsten AL07321000 Sterilization caps, stainless steel 7.1

Part Description Notes / Replacement

AL13122005 Fletcher-Suit-Delclos-style Applicator Set Replacement AL13030001 or GM13003880 AL07031000 Intrauterine tandems, 15°, stainless steel AL07031001 Intrauterine tandems, 30°, stainless steel AL07031002 Intrauterine tandems, 45°, stainless steel AL07274000 Colpostats, pair, right and left, stainless steel AL07021000 Ovoid set screws, set of 8 AL07021001 Cervix marker set screws, set of 8 AL07018000 Unshielded ovoids, pair, 3.0cm (large), acetal, reusable AL07018001 Unshielded ovoids, pair, 2.5cm (medium), acetal, reusable AL07018002 Unshielded ovoids, pair, 2.0cm (small), acetal, reusable

AL07018003 Unshielded ovoids, pair, mini, acetal, reusable Spare parts available until stock depleted. AL07017000 Shielded ovoids, pair, 2.0cm (small), acetal & stainless steel Contact local representative for more details. AL07017001 Shielded ovoids, pair, 2.5cm (medium), acetal & stainless steel AL07017002 Shielded ovoids, pair, 3.0cm (large), acetal & stainless steel AL07019001 Cervical stop, reusable, acetal & stainless steel AL07032000 Allen wrench, stainless steel AL07022000 Tandem pivot assembly with locking nut, stainless steel AL07327000 Tandem lock nut, stainless steel AL07329000 Colpostat lock nut, stainless steel AL13124000 FSD X-ray marker wires, set of 3, PTFE & tungsten AL07321000 Sterilization caps, stainless steel AL13030000 Fletcher-Suit-Delclos-style Applicator Set – CT & MR Replacement AL13030001 AL07337000 Intrauterine tandems, 15°, titanium AL07337001 Intrauterine tandems, 30°, titanium Spare parts available until stock depleted. AL07337002 Intrauterine tandems, 45°, titanium Contact local representative for more details. AL07336000 Colpostats, pair, right and left, titanium AL07343000 Sterilization caps, titanium AL10727000 Titanium Cervical Stop assembly AL07338000 Cervical stop, acetal & titanium AL07335000 Ovoid set set screws, titanium, pack of 8 AL07334000 Ovoids, pair, 3.0cm (large), acetal

AL07334001 Ovoids, pair, 2.5cm (medium), acetal Available with the new titanium FSD AL07334002 Ovoids, pair, 2.0cm (small), acetal AL13030001 AL07334003 Ovoids, pair, mini, acetal AL07342000 Allen wrench, titanium AL07340000 Tandem pivot assembly with locking nut, titanium AL07341000 Colpostat lock nut, titanium 7.2

Part Description Notes / Replacement

AL13125005 Henschke-type Applicator Set Replacement GM13003870 AL07299000 Intrauterine tandems, straight, stainless steel AL07301000 Intrauterine tandems, medium curve, stainless steel AL07302000 Intrauterine tandems, maximum curve, stainless steel AL07298000 Colpostats, pair, right and left, stainless steel AL07023000 Ovoids, pair, 2.0cm diameter, polysulfone AL07026000 Ovoid caps, pair, 2.5cm diameter, polysulfone AL07026001 Ovoid caps, pair, 3.0cm diameter, polysulfone Spare parts available until stock depleted. Contact local AL07024000 Shielded inserts, set of 4, tungsten representative for more details. AL07025000 Plastic inserts, set of 4, polysulfone AL07027000 Cervical stop, stainless steel AL07032000 Allen wrench, stainless steel AL13143000 X-ray maker wire set for Henschke-type applicator, PTFE/tungsten AL07321000 Sterilization caps for tandem and colpostats, stainless steel AL13015000 Ring & Tandem Combination Applicator Set Replacement AL13017000 AL07283000 Ring applicator, 32mm diameter, 30°, stainless steel AL07284000 Ring applicator, 32mm diameter, 45°, stainless steel AL07285000 Ring applicator, 32mm diameter, 60°, stainless steel Intrauterine tandems, set of 3–20, 40 and 60mm, AL07286000 30°, stainless steel Intrauterine tandems, set of 3–20, 40 and 60mm, AL07287000 Spare parts available until stock depleted. Contact local 45°, stainless steel representative for more details. Intrauterine tandems, set of 3–20, 40 and 60mm, AL07288000 60°, stainless steel AL07289000 Rectal retractor, stainless steel/white acetal Ring and tandem X-ray marker wire set, PTFE/ AL13151000 tungsten AL07321000 Sterilization caps for ring and tandem, stainless steel AL07325000 5mm build-up cap for ring, black acetal Also included in the Titanium R&T set AL13017000 AL07326000 7.5mm build-up cap for ring, white acetal AL13016000 Ring & Tandem 30° Applicator Set Replacement AL13017000 AL07283000 Ring applicator, 32mm diameter, 30°, stainless steel Intrauterine tandems, set of 3–20, 40 and 60mm, AL07286000 30°, stainless steel Spare parts available until stock depleted. Contact local AL07289000 Rectal retractor, stainless steel/white acetal representative for more details. Ring and tandem X-ray marker wire set, PTFE/ AL13151000 tungsten AL07321000 Sterilization caps for ring and tandem, stainless steel AL07325000 5mm build-up cap for ring, black acetal Also included in the Titanium R&T set AL13017000 AL07326000 7.5mm build-up cap for ring, white acetal

7.3

Part Description Notes / Replacement

AL13016001 Ring & Tandem 45° Applicator Set Replacement AL13017000 AL07284000 Ring applicator, 32mm diameter, 45°, stainless steel Intrauterine tandems, set of 3–20, 40 and 60mm, AL07287000 45°, stainless steel Spare parts available until stock depleted. Contact local AL07289000 Rectal retractor, stainless steel/white acetal representative for more details. Ring and tandem X-ray marker wire set, PTFE/ AL13151000 tungsten AL07321000 Sterilization caps for ring and tandem, stainless steel AL07325000 5mm build-up cap for ring, black acetal Also included in the Titanium R&T set AL13017000 AL07326000 7.5mm build-up cap for ring, white acetal AL13016002 Ring & Tandem 60° Applicator Set Replacement AL13017000 AL07285000 Ring applicator, 32mm diameter, 60°, stainless steel AL07288000 Intrauterine tandems, set of 3–20, 40 and 60mm, 60°, stainless steel Spare parts available until stock depleted. Contact local AL07289000 Rectal retractor, stainless steel/white acetal representative for more details. AL13151000 Ring and tandem X-ray marker wire set, PTFE/ tungsten AL07321000 Sterilization caps for ring and tandem, stainless steel AL07325000 5mm build-up cap for ring, black acetal Also included in the Titanium R&T set AL13017000 AL07326000 7.5mm build-up cap for ring, white acetal AL13100001 Quick Connect VS ID Spare parts continuously available.

Syed Prostate Template Implant Set – Stainless Steel AL13193000 No available replacement Needles – CT AL13199000 Template, Syed/Neblett/Hedger disposable blue prostate template, 18 holes, 17 gauge, silicon AL13199014 HDR template needles, threaded female hub and stylet, 17 gauge, 20cm, stainless steel, set of 15 AL13199027 Extension adapters, 16cm, male thread, female Luer connector and stylet, nylon, set of 15 AL13199030 Universal connecting guide tubes, 100cm, tefl on, set of 20 Syed Prostate Template Implant Set - Flexiguided AL13223000 Needles - CT AL13199000 Template, Syed/Neblett/Hedger disposable blue prostate template, 18 holes, 17 gauge, silicon AL13199017 Flexiguide needles, closed-end Luer funnel hub and cap, 17 gauge, 20cm, celcon, set of 15 Spare parts available until stock depleted. Contact local AL13199030 Universal connecting guide tubes, 100cm, tefl on, set representative for more details. of 20 AL13194000 GYN-3 Template Kit - Stainless Steel Needles AL13199002 Template, Syed/Neblett/Hedger disposable blue GYN-3 template, 54 holes, 17 gauge, silicon AL13199015 HDR template needles, threaded female hub and stylet, 17 gauge, 20cm, stainless steel, set of 20 7.4 AL13199028 Extension adapters, 16cm, male thread, female Luer connector and stylet, nylon, set of 20 AL13199030 Universal connecting guide tubes, 100cm, tefl on, set of 20 AL13199003 Vaginal obturator, 12cm, silicon AL13199004 Vaginal obturator, 15cm, silicon AL13199005 Collar and “O” ring, silicon

Part Description Notes / Replacement

AL13222000 GYN-3 Template Kit - Flexiguided Needles No available replacement AL13199002 Template, Syed/Neblett/Hedger disposable blue GYN-3 template, 54 holes, 17 gauge, silicon AL13199018 Flexiguide needles, closed-end Luer funnel hub and cap, 17 gauge, 20cm, celcon, set of 20 Spare parts available until stock depleted. AL13199003 Vaginal obturator, 12cm, silicon Contact local representative for more details. AL13199004 Vaginal obturator, 15cm, silicon AL13199005 Collar and “O” ring, silicon AL13199030 Universal connecting guide tubes, 100cm, tefl on, set of 20 AL13195000 Rectal Template Kit - Stainless Steel Needles No available replacement AL13199001 Template, Syed/Neblett/Hedger disposable blue rectal template, 36 holes, 17 gauge, silicon AL13199015 HDR template needles, threaded female hub and stylet, 17 gauge, 20cm, stainless steel, set of 20 Spare parts available until stock depleted. Contact local representative for more details. AL13199028 Extension adapters, 16cm, male thread, female Luer connector and stylet, nylon, set of 20 AL13199030 Universal connecting guide tubes, 100cm, tefl on, set of 20 AL13224000 Rectal Template Kit - Flexiguided Needles No available replacement AL13199001 Template, Syed/Neblett/Hedger disposable blue rectal template, 36 holes, 17 gauge, silicon Spare parts available until stock depleted. AL13199018 Flexiguide needles, closed-end Luer funnel hub and cap, 17 gauge, Contact local representative for more details. 20cm, celcon, set of 20 AL13199030 Universal connecting guide tubes, 100cm, tefl on, set of 20 Replacement AL13055xxxx Best catheters or AL13196000 Breast, Head & Neck Catheter Kit - CT GM11004680 for GMplus AL13199025 Puthawala/Syed/Streeter breast, head & neck catheters, 28cm leader, 25cm body, funnel hub, cable insert, with stainless steel and nylon retaining buttons, set of 20 Spare parts available until stock depleted. Contact local representative for more details. AL13199008 Implant needles, 20cm, 17 gauge, 14˚ bevel, stainless steel, set of 20 AL13199030 Universal connecting guide tubes, 100cm, tefl on, set of 20 AL13197000 Tongue and Soft Tissue Kit - CT Replacement AL13055xxxx Best catheters or GM11004680 for GMplus AL13199023 Puthawala/Syed/Streeter tongue and soft tissue catheters, 28cm leader, 90cm body, 10cm draw- down, cable insert, and nylon Spare parts available until stock depleted. retaining buttons, set of 20 Contact local representative for more details. AL13199008 Implant needles, 20cm, 17 gauge, 14˚ bevel, stainless steel, set of 20 GM11006950 Peripheral Intravascular Catheter for superfi cial femoral arteries No available replacements GM11006950 Intravascular catheter for superfi cial femoral arteries with extender and closed inner catheter Required Accessories (choose per afterloader) No longer available GM11007320 Intravascular catheter accessory kit, GammaMedplus GM11006970 Adapter Intravascular Catheter, GMplus GM11006980 X-ray Marker for the intravascular catheter GM11007310 Intravascular catheter accessory kit, GammaMed 12i(t) No longer available

7.5 GM11006960 Adapter Intravascular Catheter, GM12i No longer available GM11006980 X-ray Marker for the intravascular cathe

Part Description Notes / Replacement GM11008930 MammoSite Balloon Catheter Accessory Kit, GM12i No available replacement, but Luer SGT will continue for the end life period of the 12i GM11003930 X-ray marker for catheter, uncoded Replacement GM11009610 X-ray marker BV, 1300 catheters, uncoded GM11009600 - GM11009680 x-ray marker div X-Ray Marker Wires GM12i BV series GM11003930 X-ray marker for catheters, uncoded GM11004020 X-ray marker probe for 320mm applicators, uncoded GM11003950 Set of marker probes, coded 1-6 GM11003960 Set of marker probes, coded 7-12 GM11003970 Set of X-ray marker needles, coded 1-6

GM11003980 Set of X-ray marker needles, coded 7-12 No longer available, see page 5.6 for replacement GM11003990 Set of X-ray markers for Heyman-Pack, coded 1-6 details GM11004000 Set of X-ray markers for Heyman-Pack, coded 7-12 GM11004010 Set of X-ray markers, bronchial, coded 1-3 GM11006820 X-ray marker set I, 500mm, coded 1-6 GM11006830 X-ray marker set II, 500mm, coded 7-12 GM11006980 X-ray marker for intravascular catheters

AL13304000 No available replacements AL13304001 VariSource ID Catheter Transfer Guide Tube Set AL07359001 VariSource ID catheter transfer guide tube set, numbered channel 1 AL07359002 VariSource ID catheter transfer guide tube set, numbered channel 2 AL07359003 VariSource ID catheter transfer guide tube set, numbered channel 3 AL07359004 VariSource ID catheter transfer guide tube set, numbered channel 4 AL07359005 VariSource ID catheter transfer guide tube set, numbered channel 5 AL07359006 VariSource ID catheter transfer guide tube set, numbered channel 6 AL07359007 VariSource ID catheter transfer guide tube set, numbered channel 7 AL07359008 VariSource ID catheter transfer guide tube set, numbered channel 8 AL07359009 VariSource ID catheter transfer guide tube set, numbered channel 9

AL07359010 VariSource ID catheter transfer guide tube set, numbered channel 10 Spare parts still available, please contact your AL07359011 VariSource ID catheter transfer guide tube set, numbered channel 11 local rep for more details. AL07359012 VariSource ID catheter transfer guide tube set, numbered channel 12 AL07359013 VariSource ID catheter transfer guide tube set, numbered channel 13 AL07359014 VariSource ID catheter transfer guide tube set, numbered channel 14 AL07359015 VariSource ID catheter transfer guide tube set, numbered channel 15 AL07359016 VariSource ID catheter transfer guide tube set, numbered channel 16 AL07359017 VariSource ID catheter transfer guide tube set, numbered channel 17 AL07359018 VariSource ID catheter transfer guide tube set, numbered channel 18 AL07359019 VariSource ID catheter transfer guide tube set, numbered channel 19 AL07359020 VariSource ID catheter transfer guide tube set, numbered channel 20

7.6

Part Description Notes / Replacement

AL13303000 VariSource ID ClickFit™ Transfer Guide Tube Set No available replacements AL07358001 VariSource ID ClickFit™ transfer guide tube, numbered channel 1 AL07358002 VariSource ID ClickFit™ transfer guide tube, numbered channel 2 Spare parts continuously available. AL07358003 VariSource ID ClickFit™ transfer guide tube, numbered channel 3 AL07358004 VariSource ID ClickFit™ transfer guide tube, numbered channel 4 AL13305000 AL13305001 VariSource ID Needle ClickFit™ Transfer Guide Tube Sets No available replacements AL07360001 VariSource ID Needle ClickFit™ transfer guide tube, numbered channel 01 AL07360002 VariSource ID Needle ClickFit™ transfer guide tube, numbered channel 02 AL07360003 VariSource ID Needle ClickFit™ transfer guide tube, numbered channel 03 AL07360004 VariSource ID Needle ClickFit™ transfer guide tube, numbered channel 04 AL07360005 VariSource ID Needle ClickFit™ transfer guide tube, numbered channel 05 AL07360006 VariSource ID Needle ClickFit™ transfer guide tube, numbered channel 06 AL07360007 VariSource ID Needle ClickFit™ transfer guide tube, numbered channel 07 AL07360008 VariSource ID Needle ClickFit™ transfer guide tube, numbered channel 08 AL07360009 VariSource ID Needle ClickFit™ transfer guide tube, numbered channel 09 AL07360010 VariSource ID Needle ClickFit™ transfer guide tube, numbered channel 10 Spare parts continuously available. AL07360011 VariSource ID Needle ClickFit™ transfer guide tube, numbered channel 11 AL07360012 VariSource ID Needle ClickFit™ transfer guide tube, numbered channel 12 AL07360013 VariSource ID Needle ClickFit™ transfer guide tube, numbered channel 13 AL07360014 VariSource ID Needle ClickFit™ transfer guide tube, numbered channel 14 AL07360015 VariSource ID Needle ClickFit™ transfer guide tube, numbered channel 15 AL07360016 VariSource ID Needle ClickFit™ transfer guide tube, numbered channel 16 AL07360017 VariSource ID Needle ClickFit™ transfer guide tube, numbered channel 17 AL07360018 VariSource ID Needle ClickFit™ transfer guide tube, numbered channel 18 AL07360019 VariSource ID Needle ClickFit™ transfer guide tube, numbered channel 19 AL07360020 VariSource ID Needle ClickFit™ transfer guide tube, numbered channel 20 AL13307000 VariSource ID Luer transfer guide tube set No available replacements AL07391001 VariSource ID Luer transfer guide tube, numbered channel 01 AL07391002 VariSource ID Luer transfer guide tube, numbered channel 02 AL07391003 VariSource ID Luer transfer guide tube, numbered channel 03 AL07391004 VariSource ID Luer transfer guide tube, numbered channel 04 AL07391005 VariSource ID Luer transfer guide tube, numbered channel 05 AL07391006 VariSource ID Luer transfer guide tube, numbered channel 06 AL07391007 VariSource ID Luer transfer guide tube, numbered channel 07 AL07391008 VariSource ID Luer transfer guide tube, numbered channel 08 AL07391009 VariSource ID Luer transfer guide tube, numbered channel 09 AL07391010 VariSource ID Luer transfer guide tube, numbered channel 10 Spare parts continuously available. AL07391011 VariSource ID Luer transfer guide tube, numbered channel 11 AL07391012 VariSource ID Luer transfer guide tube, numbered channel 12

7.7 AL07391013 VariSource ID Luer transfer guide tube, numbered channel 13 AL07391014 VariSource ID Luer transfer guide tube, numbered channel 14 AL07391015 VariSource ID Luer transfer guide tube, numbered channel 15 AL07391016 VariSource ID Luer transfer guide tube, numbered channel 16 AL07391017 VariSource ID Luer transfer guide tube, numbered channel 17 AL07391018 VariSource ID Luer transfer guide tube, numbered channel 18 AL07391019 VariSource ID Luer transfer guide tube, numbered channel 19 AL07391020 VariSource ID Luer transfer guide tube, numbered channel 20

Part Description Notes / Replacement

AL13001000 VariSource 200 Transfer Guide Tube Sets AL07292001 Channel 1, 120cm silver transfer guide tube assembly, reusable AL07292002 Channel 2, 120cm gold transfer guide tube assembly, reusable

AL07292003 Channel 3, 120cm black transfer guide tube assembly, reusable Spare parts available until stock depleted. AL07292004 Channel 4, 120cm blue transfer guide tube assembly, reusable Contact local representative for more details. AL10682002 Replacement silicone stops, reusable, pack of 10 AL07045000 Replacement silicone “O” rings, reusable AL13003000 VariSource ID Transfer Guide Tube Sets No available replacements AL07294001 Channel 1, 120cm silver transfer guide tube assembly, reusable AL07294002 Channel 2, 120cm gold transfer guide tube assembly, reusable AL07294003 Channel 3, 120cm black transfer guide tube assembly, reusable Spare parts continuously available. AL07294004 Channel 4, 120cm blue transfer guide tube assembly, reusable AL10682002 Replacement silicone stops, reusable, pack of 10 AL07045000 Replacement silicone “O” rings, reusable 7.8

Part Description Notes / Replacement

AL13002000 VariSource 200 Needle Tranfer Guide Tube Sets No available replacement AL07293001 Channel 01 transfer guide tube, reusable needle, with integrated quick connect numbered for channel 01 AL07293002 Channel 02 transfer guide tube, reusable needle, with integrated quick connect numbered for channel 02 AL07293003 Channel 03 transfer guide tube, reusable needle, with integrated quick connect numbered for channel 03 AL07293004 Channel 04 transfer guide tube, reusable needle, with integrated quick connect numbered for channel 04 AL07293005 Channel 05 transfer guide tube, reusable needle, with integrated quick connect numbered for channel 05 AL07293006 Channel 06 transfer guide tube, reusable needle, with integrated quick connect numbered for channel 06 AL07293007 Channel 07 transfer guide tube, reusable needle, with integrated quick connect numbered for channel 07 AL07293008 Channel 08 transfer guide tube, reusable needle, with integrated quick connect numbered for channel 08 AL07293009 Channel 09 transfer guide tube, reusable needle, with integrated quick connect numbered for channel 09 AL07293010 Channel 10 transfer guide tube, reusable needle, with integrated quick connect numbered for channel 10 No available replacement AL07293011 Channel 11 transfer guide tube, reusable needle, with integrated quick connect numbered for channel 11 AL07293012 Channel 12 transfer guide tube, reusable needle, with integrated quick connect numbered for channel 12 AL07293013 Channel 13 transfer guide tube, reusable needle, with integrated quick connect numbered for channel 13 AL07293014 Channel 14 transfer guide tube, reusable needle, with integrated quick connect numbered for channel 14 AL07293015 Channel 15 transfer guide tube, reusable needle, with integrated quick connect numbered for channel 15 AL07293016 Channel 16 transfer guide tube, reusable needle, with integrated quick connect numbered for channel 16 AL07293017 Channel 17 transfer guide tube, reusable needle, with integrated quick connect numbered for channel 17 AL07293018 Channel 18 transfer guide tube, reusable needle, with integrated quick connect numbered for channel 18 AL07293019 Channel 19 transfer guide tube, reusable needle, with integrated quick connect numbered for channel 19 AL07293020 Channel 20 transfer guide tube, reusable needle, with integrated quick connect numbered for channel 20 7.9

Part Description Notes / Replacement

AL13304000 VariSource ID Needle Tranfer Guide Tube Sets No available replacement AL07295001 Channel 01 transfer guide tube, reusable needle, with integrated quick connect numbered for channel 01 AL07295002 Channel 02 transfer guide tube, reusable needle, with integrated quick connect numbered for channel 02 AL07295003 Channel 03 transfer guide tube, reusable needle, with integrated quick connect numbered for channel 03 AL07295004 Channel 04 transfer guide tube, reusable needle, with integrated quick connect numbered for channel 04 AL07295005 Channel 05 transfer guide tube, reusable needle, with integrated quick connect numbered for channel 05 AL07295006 Channel 06 transfer guide tube, reusable needle, with integrated quick connect numbered for channel 06 AL07295007 Channel 07 transfer guide tube, reusable needle, with integrated quick connect numbered for channel 07 AL07295008 Channel 08 transfer guide tube, reusable needle, with integrated quick connect numbered for channel 08 AL07295009 Channel 09 transfer guide tube, reusable needle, with integrated quick connect numbered for channel 09 AL07295010 Channel 10 transfer guide tube, reusable needle, with integrated quick connect numbered for channel 10 No available replacement AL07295011 Channel 11 transfer guide tube, reusable needle, with integrated quick connect numbered for channel 11 AL07295012 Channel 12 transfer guide tube, reusable needle, with integrated quick connect numbered for channel 12 AL07295013 Channel 13 transfer guide tube, reusable needle, with integrated quick connect numbered for channel 13 AL07295014 Channel 14 transfer guide tube, reusable needle, with integrated quick connect numbered for channel 14 AL07295015 Channel 15 transfer guide tube, reusable needle, with integrated quick connect numbered for channel 15 AL07295016 Channel 16 transfer guide tube, reusable needle, with integrated quick connect numbered for channel 16 AL07295017 Channel 17 transfer guide tube, reusable needle, with integrated quick connect numbered for channel 17 AL07295018 Channel 18 transfer guide tube, reusable needle, with integrated quick connect numbered for channel 18 AL07295019 Channel 19 transfer guide tube, reusable needle, with integrated quick connect numbered for channel 19 AL07295020 Channel 20 transfer guide tube, reusable needle, with integrated quick connect numbered for channel 20

AL13006000 Ring & Tandem Transfer Guide Tubes, VS 200/iX Spare parts continuously available

AL13006001 Ring & Tandem Transfer Guide Tubes, VS ID Spare parts continuously available

AL13008000 VariSource Extension Adapters No available replacement

AL13008001 7.10 AL13008002

Part Description Replacement

AL07355001 Click-fi t Transfer Guide Tube with integrated Channel 1 Quick Connect for 200 series afterloader GM19001010 AL07355002 Click-fi t Transfer Guide Tube with integrated Channel 2 Quick Connect for 200 series afterloader GM19001020 AL07355003 Click-fi t Transfer Guide Tube with integrated Channel 3 Quick Connect for 200 series afterloader GM19001030 AL07355004 Click-fi t Transfer Guide Tube with integrated Channel 4 Quick Connect for 200 series afterloader GM19001040 AL13302000 VS 200 Needle ClickFit™ TGT Set numbered (Ch.1-10) GM19002000 AL07357001 VS 200 Needle Click-fi t Transfer Guide Tube with integrated Channel 1 Quick Connect GM19002010 AL07357002 VS 200 Needle Click-fi t Transfer Guide Tube with integrated Channel 2 Quick Connect GM19002020 AL07357003 VS 200 Needle Click-fi t Transfer Guide Tube with integrated Channel 3 Quick Connect GM19002030 AL07357004 VS 200 Needle Click-fi t Transfer Guide Tube with integrated Channel 4 Quick Connect GM19002040 AL07357005 VS 200 Needle Click-fi t Transfer Guide Tube with integrated Channel 5 Quick Connect GM19002050 AL07357006 VS 200 Needle Click-fi t Transfer Guide Tube with integrated Channel 6 Quick Connect GM19002060 AL07357007 VS 200 Needle Click-fi t Transfer Guide Tube with integrated Channel 7 Quick Connect GM19002070 AL07357008 VS 200 Needle Click-fi t Transfer Guide Tube with integrated Channel 8 Quick Connect GM19002080 AL07357009 VS 200 Needle Click-fi t Transfer Guide Tube with integrated Channel 9 Quick Connect GM19002090 AL07357010 VS 200 Needle Click-fi t Transfer Guide Tube with integrated Channel 10 Quick Connect GM19002100 AL13302001 VS 200 Needle ClickFit™ TGT Set numbered (Ch.11-20) GM19002001 AL07357011 VS 200 Needle Click-fi t Transfer Guide Tube with integrated Channel 11 Quick Connect GM19002110 AL07357012 VS 200 Needle Click-fi t Transfer Guide Tube with integrated Channel 12 Quick Connect GM19002120 AL07357013 VS 200 Needle Click-fi t Transfer Guide Tube with integrated Channel 13 Quick Connect GM19002130 AL07357014 VS 200 Needle Click-fi t Transfer Guide Tube with integrated Channel 14 Quick Connect GM19002140 AL07357015 VS 200 Needle Click-fi t Transfer Guide Tube with integrated Channel 15 Quick Connect GM19002150 AL07357016 VS 200 Needle Click-fi t Transfer Guide Tube with integrated Channel 16 Quick Connect GM19002160 AL07357017 VS 200 Needle Click-fi t Transfer Guide Tube with integrated Channel 17 Quick Connect GM19002170 AL07357018 VS 200 Needle Click-fi t Transfer Guide Tube with integrated Channel 18 Quick Connect GM19002180 AL07357019 VS 200 Needle Click-fi t Transfer Guide Tube with integrated Channel 19 Quick Connect GM19002190 AL07357020 VS 200 Needle Click-fi t Transfer Guide Tube with integrated Channel 20 Quick Connect GM19002200 AL13301000 VariSource 200 Catheter transfer guide tube set, channels numbered 1-10 GM19003000 AL07356001 Catheter transfer guide tube with integrated Channel 1 GM19003010 AL07356002 Catheter transfer guide tube with integrated Channel 2 GM19003020 AL07356003 Catheter transfer guide tube with integrated Channel 3 GM19003030 AL07356004 Catheter transfer guide tube with integrated Channel 4 GM19003040 AL07356005 Catheter transfer guide tube with integrated Channel 5 GM19003050 AL07356006 Catheter transfer guide tube with integrated Channel 6 GM19003060 AL07356007 Catheter transfer guide tube with integrated Channel 7 GM19003070 AL07356008 Catheter transfer guide tube with integrated Channel 8 GM19003080 AL07356009 Catheter transfer guide tube with integrated Channel 9 GM19003090 AL07356010 Catheter transfer guide tube with integrated Channel 10 GM19003100 7.11

Part Description Replacement

AL13301001 VariSource 200 Catheter transfer guide tube set, channels numbered 11-20 GM19003001 AL07356011 Catheter transfer guide tube with integrated Channel 11 GM19003110 AL07356012 Catheter transfer guide tube with integrated Channel 12 GM19003120 AL07356013 Catheter transfer guide tube with integrated Channel 13 GM19003130 AL07356014 Catheter transfer guide tube with integrated Channel 14 GM19003140 AL07356015 Catheter transfer guide tube with integrated Channel 15 GM19003150 AL07356016 Catheter transfer guide tube with integrated Channel 16 GM19003160 AL07356017 Catheter transfer guide tube with integrated Channel 17 GM19003170 AL07356018 Catheter transfer guide tube with integrated Channel 18 GM19003180 AL07356019 Catheter transfer guide tube with integrated Channel 19 GM19003190 AL07356020 Catheter transfer guide tube with integrated Channel 20 GM19003200 AL13306000 VariSource 200 Luer transfer guide tube set, channels numbered 1-20 GM19004000 AL07390001 Luer transfer guide tube with integrated Channel 1 GM19004010 AL07390002 Luer transfer guide tube with integrated Channel 2 GM19004020 AL07390003 Luer transfer guide tube with integrated Channel 3 GM19004030 AL07390004 Luer transfer guide tube with integrated Channel 4 GM19004040 AL07390005 Luer transfer guide tube with integrated Channel 5 GM19004050 AL07390006 Luer transfer guide tube with integrated Channel 6 GM19004060 AL07390007 Luer transfer guide tube with integrated Channel 7 GM19004070 AL07390008 Luer transfer guide tube with integrated Channel 8 GM19004080 AL07390009 Luer transfer guide tube with integrated Channel 9 GM19004090 AL07390010 Luer transfer guide tube with integrated Channel 10 GM19004100 AL07390011 Luer transfer guide tube with integrated Channel 11 GM19004110 AL07390012 Luer transfer guide tube with integrated Channel 12 GM19004120 AL07390013 Luer transfer guide tube with integrated Channel 13 GM19004130 AL07390014 Luer transfer guide tube with integrated Channel 14 GM19004140 AL07390015 Luer transfer guide tube with integrated Channel 15 GM19004150 AL07390016 Luer transfer guide tube with integrated Channel 16 GM19004160 AL07390017 Luer transfer guide tube with integrated Channel 17 GM19004170 AL07390018 Luer transfer guide tube with integrated Channel 18 GM19004180 AL07390019 Luer transfer guide tube with integrated Channel 19 GM19004190 AL07390020 Luer transfer guide tube with integrated Channel 20 GM19004200 7.12

Part Description Replacement

GM11000730 Fletcher-style Applicator Set – Flexible Geometry AL13030001 GM11000820 Colpostat probe, left GM11000830 Colpostat probe, right GM11004450 Intrauterine probe, 15° angle GM11000740 Intrauterine probe, 30° angle GM11000750 Intrauterine probe, 45° angle GM11000970 Fixation tube for colpostat segments GM11000900 Colpostat segment pair mini (half) GM11000680 Colpostat segment, 20mm diameter Spare parts continuously available GM11001000 Colpostat segment, 25mm diameter GM11001120 Colpostat segment, 30mm diameter GM11000860 Central clamping mechanism GM11000670 Cervical stopper GM11000770 Center probe mounting for three channel applicators, ﬂ exible GM11003260 Cleaning caps, yellow, pack of 20 GM11003810 Leak stop buttons, non-sterile, pack of 50 GM13001340 L-wrench, 2.5mm GM11006860 Titanium Fletcher-style Applicator Set – Flexible Geometry AL13030001 GM11006110 Titanium colpostat probe, left GM11006120 Titanium colpostat probe, right GM11006680 Titanium intrauterine probe, 15° angle GM11006690 Titanium intrauterine probe, 30° angle GM11006700 Titanium intrauterine probe, 45° angle GM11000970 Fixation tube for colpostat segments GM11000900 Colpostat segment pair mini (half) GM11000680 Colpostat segment, 20mm diameter GM11001000 Colpostat segment, 25mm diameter Spare parts continuously available GM11001120 Colpostat segment, 30mm diameter GM11006190 Titanium central clamping mechanism GM11000670 Cervical stopper GM11006800 Titanium center probe mounting for three channel applicators, ﬂ exible GM11003260 Cleaning caps, yellow, pack of 20 GM11003810 Leak stop buttons, non-sterile, pack of 50 GM13001340 L-wrench, 2.5mm 7.13

Part Description Notes / Replacement

GM11004590 Surface Applicator Set GM11010080 GM11003430 Surface tubus inset set, 30-45mm diameter, oval Spare parts available until stock is depleted. Contact local representative for more details GM11003660 Surface tubus inset set, 10-25mm diameter, round GM11003670 Surface tubus inset set, 30-45mm diameter, round Spare parts continuously available GM11003410 Shielding for tubus, 10-25mm diameter, with fi xation GM11003580 Shielding for tubus, 30-45mm diameter, with fi xation Sterilization Boxes GM11001880 Small sterilization box GM11010340 Universal sterilization box GM11001700 Large sterilization box GM11010340 Universal sterilization box GM11009380 Sterilization box for segmented cylinder applicator set, GM11010300 GM11004150, includes inset GM11009390 Sterilization box for segmented cervix applicator set, GM11010310 GM11004540, includes inset GM11009400 Sterilization box for Fletcher-style applicators, defi ned geometry, GM11010320 GM11000810 & GM11006200, includes inset GM11009410 Sterilization box for Fletcher-style applicators, fl exible geometry, Spare parts available until stock is depleted. GM11000730 & GM11006860, includes inset Contact local representative for more details GM13000110 Textile fi lter for large sterilization box, 380 x 260mm GM13000120 Paper fi lter for large sterilization box, 380 x 260mm Spare parts continuously available GM13000130 Textile fi lter for small sterilization box, 370 x 190mm GM13000140 Paper fi lter for small sterilization box, 370 x 190mm 7.14

A I Accessories Chapter 5.1 – 5.23 Interstitial Applicators Chapter 3.1 – 3.15 Accessories for Quality Assurance Chapter 6.1 – 6.2 Interstitial Applicator Set Chapter 3.14 Accessory Kits for GammaMed Intracavitary / Interstitial/Breast Catheter Kits Chapter 3.7 GYN Applicators Chapter 1.1 – 1.2 Interstitial Plastic Needles Chapter 3.15 Accessory Kits for Interstitial Applicators Chapter 3.1 Interstitial Stainless Steel Needles Chapter 3.11 Accessory Kits for Intraluminal Applicators Chapter 2.1 Interstitial Titanium Needles Advanced Breast Template System Chapter 3.10 16 Gauge (1.65mm) Chapter 3.13 Interstitial Titanium Needles B 17 Gauge (1.47mm) Chapter 3.12 Breast Bridge and Template System Chapter 3.9 Intracavitary Applicators Chapter 1.1 – 1.20 Breast Implant Template Set Chapter 3.8 Intraluminal Applicators Chapter 2.1 - 2.6 Intraluminal Applicator Set Chapter 2.4 C Intraoperative and Surface Applicators Chapter 4.1 – 4.3 Catheter Flap Set Chapter 4.2 Centering Intraluminal Applicator Set Chapter 2.3 M Cervix Applicator Set Chapter 1.7 Components for Vienna-style Ring Applicator MammoSite Balloon Catheter – Chapter 1.16 Accessory Kit Chapter 5.1 Manchester-style Applicator Set – D Flexible Geometry Chapter 1.14 Marker Wire Products Chapter 5.6 DK-Tech Fixation Chapter 3.3 Measurement Ruler, Marker Wire & Clip Chapter 5.7 E Miami-style Applicator Set Chapter 1.20 Mould Applicator Set Chapter 3.1 Emergency Container Chapter 5.23 MRNI Prostate Contour Template for Flexiguides Esophagus Bougie Set Chapter 2.2 Chapter 3.2 F N Fletcher-style Applicator Set – Deﬁ ned Geometry Nasopharynx Applicator Set Chapter 2.6 Chapter 1.11 Flexible Fixation Device for Gynecological Applicators O Chapter 5.17 Optional Accessories for Three Channel Applicators Flexible Interstitial Implant Tubes 530mm Chapter 3.6 Chapter 5.5 Flexible Interstitial Implant Tube Set Chapter 3.5 P G PDR Quick Connectors* – 5-fold Quick Connectors with GammaMed Adjustable Luer Source Guide Tube Source Guide Tubes Chapter 5.14 Chapter 5.2 Prostate and Perineal Implant Template Set Chapter 3.4 GammaMed Clamping Adapters — Quick Connectors Chapter 5.13 R GammaMed Two Channel Source Exchange Container Chapter 5.22 Radiation Room Monitor and Alarm ALMO 1 Stationary Dose Rate Measurement System H Chapter 5.19 Primalert™ 10 Teleterapy Radiation Monitor Heyman Packing Applicator Set Chapter 1.10 Chapter 5.20 Reconstruction Jigs Chapter 5.18 Ring Applicator, 45° Set Chapter 1.17 8.1

BrachyTherapy Applicators and Accessories © 2011 Varian Medical Systems, Inc. Ring Applicator, 60° Set Chapter 1.18 Ring Applicator, 90° Set Chapter 1.19 Ring & Tandem Combination Applicator Set Chapter 1.15 S Segmented Cervix Applicator Set Chapter 1.8 Segmented Cylinder Applicator Set Chapter 1.4 Shielded Applicator Set Chapter 1.6 Smit Cervical Sleeves Chapter 5.4 Source Guide Tubes for GammaMedplus Chapter 5.8 Source Step Viewer – GammaMedplus Chapter 6.2 Source Step Viewer — GammaMedplus Chapter 6.2 Spare Parts for Discontinued Applicators Chapter 7.1 – 7.14 Standard Catheters Chapter 2.5 Sterilization Boxes Chapter 5.21 Stump Applicator Set with CT Cylinders Chapter 1.5 Surface Applicator Set with Leipzig-style Cone Chapter 4.3 T Titanium Fletcher-style Applicator Set – Deﬁ ned Geometry Chapter 1.12 Titanium Fletcher-Suit-Delclos-style Applicator Set, Flexible Geometry Chapter 1.13 U Universal Applicator Clamping Device Chapter 5.16 Universal Endometrial Applicator Set Chapter 1.9 V Vaginal Applicator Set Chapter 1.3 VariSource Catheter Transfer Guide Tube Sets Chapter 5.9 VariSource ClickFit™ Transfer Guide Tube Set Chapter 5.10 VariSource Luer Transfer Guide Tube Set Chapter 5.3 VariSource Needle ClickFit™ Transfer Guide Tube Sets Chapter 5.11 VariSource Quick Connects Chapter 5.12 W Wall Holder for Source and Transfer Guide Tubes Chapter 5.15 Well Chamber and Electrometer Chapter 6.1 8.2

VariSource™ and GammaMed® remote brachytherapy afterloader are registered trademarks of Varian Medical Systems, Inc. The company and product names mentioned in the document may be registered trademarks or service brands pertaining to third parties. All other product and brand names are the property of the specific owner. © Copyright 2011 Varian Medical Systems, Inc. All rights reserved. (RAD 4143 3/11)