Neuroscience. Products and Services Catalog. Gamma Knife Radiosurgery Magnetoencephalography Stereotactic Neurosurgery Elekta Services

Transcription

1 Neuroscience Products and Services Catalog Gamma Knife Radiosurgery Magnetoencephalography Stereotactic Neurosurgery Elekta Services

2 2 2

3 Welcome to the Neuroscience Product & Services Catalog Elekta is a human care company pioneering significant innovations and clinical solutions for treating cancer and brain disorders. The company develops sophisticated, state-of-the-art tools and treatment planning systems for radiation therapy, radiosurgery and brachytherapy, as well as workflow enhancing software systems across the spectrum of cancer care. Seen over the last years, Elekta continues its strong commitment to neurosurgery. The Leksell Stereotactic System is the benchmark solution in stereotactic neurosurgery, and is in daily use at over 1,400 sites worldwide. Today, Elekta solutions in oncology and neurosurgery are used in over 6,000 hospitals worldwide. Elekta employs around 3,800 employees globally. The Neuroscience Product & Services Catalog provides a complete product overview of equipment used for diagnostic and therapeutic procedures, as well as product information on Gamma Knife radiosurgery and Magnetoencephalography (MEG). With Elekta Services, Elekta offers service programs that support customer satisfaction during the lifecycle of the equipment, as well as comprehensive customized support and service agreements with online support. For training purposes, Education & Training presents Elekta s comprehensive and informative programs. For the latest information and developments, always log on at: The products in this catalog may not be cleared for sale in all markets. Please contact your Elekta sales representative for more information. Elekta is not held responsible for any clinical advice given during training sessions. 3

4 7 The Stereotactic System - Overview 8 Frame and Arc Accessories 13 Coordinate Frame 13 Stereotactic Arc 18 OR Fixation 21 Quality Assurance Tools 22 Fixation Screws 23 Fixation Posts 27 Leksell SurgiPlan 29 Stereotactic Imaging Accessories 33 MR 33 CT 41 X-Ray 46 Interventional Accessories 49 Drill Kits 49 Insertion Needles 50 Injection/Aspiration Needles 51 Biopsy Needles 52 Guide and Stop Inserts 53 Microsurgical and Endoscopic Accessories 54 Disposable Instruments 55 Target Verification 57 Elekta MicroDrive 58 Leksell Neuro Generator 69 Leksell Neuro Generator 69 Brain Lesion Electrode Kits 72 Brain Lesion Electrodes 74 Pain Electrode Kits 77 Pain Electrodes, Cannulas & Cables 79 Stereotactic Radiosurgery with Linac - Frame accessories 83 Gamma Knife Radiosurgery 87 Leksell Gamma Knife Perfexion 88 Extend System 88 Accessories for Extend System 89 Frame Accessories 95 System Accessories 97 Quality Assurance Tools 98 4

5 Leksell Gamma Knife 4C/C/4 99 Frame Accessories 99 System Accessories 101 Quality Assurance Tools 102 General Accessories 103 Frame Fixation Posts and Fixation Screws 103 Leksell GammaPlan 109 Magnetoencephalography (MEG) 115 Elekta Neuromag TRIUX 116 Magnetic Shielding 117 Cryogenic Accessories 118 Patient Support 119 Data Analysis 120 Data Storage 121 Stimulation and Patient Response 122 Consumables channel EEG Caps channel EEG Caps channel EEG Caps 123 Head position coil kit 124 Contents Elekta Services 127 Service & Support 128 Leksell Stereotactic System 128 Leksell SurgiPlan 130 Leksell Neuro Generator 132 Leksell Gamma Knife Perfexion 133 Leksell Gamma Knife with APS 134 Elekta Neuromag Magnetoencephalography 135 Education & Training 136 Leksell Stereotactic Neurosurgery 136 Gamma Knife Radiosurgery 137 Elekta Neuromag Magnetoencephalography 139 5

6 6

7 7

8 The Stereotactic System - Overview Leksell Coordinate Frame G Kit with Insulated Posts and 40 RFS Simplicity, versatility and accuracy have made Leksell Stereotactic System one of the most widely used stereotactic systems in the world. This kit has Aluminum Reusable Pins and Insulated Fixation Posts, for use in MRI and CT scanners Leksell Multi Purpose Stereotactic Arc Kit - with Counter Scale All-around surgical approach with ensured accuracy.the x-coordinate is set on both axes before mounting, which assures fast and correct positioning when fitting the arc to the frame

9 The Stereotactic System - Overview Frame Fixation Frame Fixation offers a rigid and accurate fixation of Leksell Coordinate Frame G to the operation table headrest. The three point fixation allows for high stability even if the patient is shaking Elekta Stereotactic Drape, Set Of 10 Clear see-through drape for fast, safe & sterile draping of Leksell Stereotactic System. Equipped with an adhesive for fixation to the top of the patient s skull, two additional slits for the arc supports as well as a drain pouch and instrument pouches. For more information contact Elekta Leksell SurgiPlan Leksell SurgiPlan is an advanced image-based neuro-surgical planning software, specifically designed for use with Leksell Stereotactic System. The modular design of Leksell SurgiPlan is designed to meet specific needs. All combinations start with the Stereotactic Planning module that provides a wide variety of features to plan the surgical approach Linux Platform Laptop Kit This kit includes a high-end mobile workstation from DELL with professional grade graphic card from Nvidia, one LCD monitor, one docking station, keyboard, mouse and 2 USB external disks for backup. Contact Elekta for article number 9

10 The Stereotactic System - Overview Target Simulator With the unique Target Simulator you will always have confidence in the accuracy of your Leksell Stereotactic System. It is designed for mechanical accuracy check using visual inspection Needle Tester Facilitating check of Leksell Stereotactic System clinical needle straightness before surgery, to be used in the OR under sterile conditions Open MR Indicator Open MR Indicator is used with Leksell Coordinate Frame G for creating accurate coordinate referencing when performing MR scanning. The two side plates enable lower frame fixations & improved patient comfort Open CT Indicator The Open CT-Indicator is used with Leksell Coordinate Frame G during CT scanning for target localization in stereotactic neurosurgery, radiosurgery or stereotactic radiotherapy. It has an open top enabling lower frame mount

11 The Stereotactic System - Overview X-Ray Indicator with Markers The X-ray indicator with markers is used to impose fiducials on X-ray image of the patient to be used for target localization during treatment planning.to be used with Leksell SurgiPlan and Leksell GammaPlan. A Leksell Stereotactic System Service program Gold The purpose of the Service Program is to uphold Leksell Stereotactic System functionality and performance, to limit the repair cost and ensure safe and accurate use. SN-LSS-Y/ Leksell SurgiPlan Service Program Gold The purpose of the Service Program is to uphold Leksell SurgiPlan functionality and performance, to limit the cost and exposure to system interruption for the user. SN-SPS-Y/

12 The Stereotactic System - Overview Leksell Stereotactic System Installation and Training One day installation and on-site training of Leksell Stereotactic System Installation Neuro Treatment Planning Software On-site visit covering installation, configuration and acceptance / On site training (treatment planning) On site training performed by Product Supply Center or the Business Unit /

13 Frame and Arc Accessories Coordinate Frame Leksell Coordinate Frame G Kit with Insulated Posts and 40 RFS Simplicity, versatility and accuracy have made Leksell Stereotactic System one of the most widely used stereotactic systems in the world. This kit has Aluminum Reusable Pins and Insulated Fixation Posts, for use in MRI and CT scanners Consists of Leksell Coordinate Frame G Insulated Fixation Posts, Anterior - One pair Insulated Fixation Posts, Short Posterior - One pair Insulated Fixation Posts, Long Posterior - One pair Ear Plug Holders - One Pair Ear Plug Instrument Screw Driver, Double Front Piece Screws M4x10 Titanium, Kit of 4 pcs Sterilizing Tray for G Frame Kit Disposable Inserts Instructions for Use, Leksell Stereotactic System Quick Reference Guide, Leksell Coordinate Frame G Reusable Fixation Screws, Al, kit of 20 pairs Leksell Coordinate Frame G Kit with Insulated Posts and 40 TFS The Frame is an unsurpassed 3D reference and positioning system for imaging, stereotactic neurosurgery and Gamma Knife surgery. This kit includes a full set of Titanium Pins and Insulated Fixation Posts, for use in MRI and CT scanners Consists of Leksell Coordinate Frame G Insulated Fixation Posts, Anterior - One pair Insulated Fixation Posts, Short Posterior - One pair Insulated Fixation Posts, Long Posterior - One pair Disposable Inserts Fixation Screws, Titanium, kit of 20 pairs Ear Plug Holders - One Pair Ear Plug Instrument Screw Driver, Double Front Piece Screws M4x10 Titanium, Kit of 4 pcs Sterilizing Tray for G Frame Kit Quick Reference Guide, Leksell Coordinate Frame G Instructions for Use, Leksell Stereotactic System

14 Frame and Arc Accessories Coordinate Frame Leksell Coordinate Frame G Kit with Insulated Posts and 10 TFS A coordinate frame kit for stereotactic procedures. This kit has five pairs of Titanium Pins and three pairs of Insulated Fixation Posts, for use in MRI and CT scanners Consists of Leksell Coordinate Frame G Insulated Fixation Posts, Anterior - One pair Insulated Fixation Posts, Short Posterior - One pair Insulated Fixation Posts, Long Posterior - One pair Disposable Inserts Fixation Screws, Titanium, kit of 5 pairs Ear Plug Holders - One Pair Ear Plug Instrument Screw Driver, Double Front Piece Screws M4x10 Titanium, Kit of 4 pcs Sterilizing Tray for G Frame Kit Quick Reference Guide, Leksell Coordinate Frame G Instructions for Use, Leksell Stereotactic System Leksell Coordinate Frame G Kit with 10 RFS The modular design of the system, unique components and a range of optional accessories offer the surgeon an optimal operative system. This kit includes Aluminum Reusable Pins and Fixation Posts and is used for framebased CT or X-Ray Consists of Leksell Coordinate Frame G Fixation Posts, Anterior - One pair Fixation Posts, Short Posterior - One pair Fixation Posts, Long Posterior - One pair Reusable Fixation Screws, Al, kit of 5 pairs Ear Plug Holders - One Pair Ear Plug Instrument Screw Driver, Double Front Piece Screws M4x10 Titanium, Kit of 4 pcs Sterilizing Tray for G Frame Kit Instructions for Use, Leksell Stereotactic System Quick Reference Guide, Leksell Coordinate Frame G

15 Frame and Arc Accessories Coordinate Frame Leksell Coordinate Frame G Leksell Coordinate Frame G with Straight and Curved Front Piece. The frame is engineered and manufactured in a way which enables ease of use in conjunction with most presently available imaging techniques. Includes Instructions for Use, Leksell Stereotactic System ( ) and Quick Reference Guide, Leksell Coordinate Frame G (014611) Slotted Front Piece Slotted Front Piece can be used for 3-point fixation of Leksell Coordinate Frame G enabling the surgeon to extend the access to the surgical area. Included in the kit are 1 slotted front piece, 1 support, 1 locking piece for fixation post and 1 Screw 5x19 mm, Titanium Support Spare part support piece that holds the fixation post when used together with the Slotted Front Piece Front Piece Curved The curved front piece provides access to the patient s airways. It can be fitted with the curve in the inferior or superior orientation Front Piece Straight The Straight Front Piece for Leksell Coordinate Frame G

16 Frame and Arc Accessories Coordinate Frame Frame Feet Spare Part Kit One kit of 4 pcs of feet for Leksell Coordinate Frame G Front Piece Screws M4x10 Titanium, Kit of 4 pcs Champagne colored for easy identification. Four spare part titanium screws for Leksell Coordinate Frame G front piece fixation Sterilizing Tray for G Frame Kit Complete tray with tray insert, base and lid. The new tray base is higher enabling sterilization of the frame with the curved front piece mounted

17 Sterilizing Tray for G Frame, Upgrade Kit The new tray base is higher enabling sterilization of the frame with the curved front piece mounted. The new tray base is compatible with current tray insert and lid. Consists of 1 pcs of tray base Frame and Arc Accessories Coordinate Frame Instructions for Use, Leksell Stereotactic System The Instructions for Use describe main parts, hazard information, assembly and disassembly, care & maintenance and product specification. This manual includes user instructions for the entire Leksell Stereotactic System Quick Reference Guide, Leksell Coordinate Frame G A four-page plasted Quick Instruction for the use of Leksell Coordinate Frame G with Fixation Posts and Screws

18 Frame and Arc Accessories Stereotactic Arc Leksell Multi Purpose Stereotactic Arc Kit - with Counter Scale All-around surgical approach with ensured accuracy. The x-coordinate is set on both axes before mounting, which assures fast and correct positioning when fitting the arc to the frame Consists of Leksell Multi Purpose Stereotactic Arc with counter scale Slide carrier to Leksell Multi Purpose Stereotactic Arc Arc Support with Slide, Right Arc Support with Slide, Left Instrument Screw Driver, Double Knob Spare Part Kit MPS Arc Spare Part Kit Sterilizing Tray for Multi Purpose Arc Quick Reference Guide, Leksell Multi Purpose Stereotactic Arc with Counter Scale Stainless Steel Screw Kit M4x Nylon Screw Kit M3x Counter Scale Upgrade Kit Counter Scale Upgrade Kit for Leksell Multi Purpose Stereotactic Arc. Thanks to the counter scale the accuracy is further ensured when mounting the arc. The kit consists of 1 Axis Ring for Counter Scale, 1 Arc Attachment for Counter Scale, 1 Counter Scale Window and 1 Quick Reference Guide for Leksell Multi Purpose Stereotactic Arc with Counter Scale Spare Part Counter Scale Window One piece of window for counter scale as spare part

19 Frame and Arc Accessories Stereotactic Arc MPS Arc Spare Part Kit Spare part kit for Leksell Multi Purpose Stereotactic Arc. The kit consists of: Screw Insert Clamp - 2 pcs, Locking Piece for Y-Slide - 2 pcs, Axis Lock - 3 pcs, Screw for Arc Attachment - 1 piece, Locking Piece for Ring - 2 pcs, Guide and Stop holder Lock - 2 pcs and Carrier Lock - 1 piece Arc Attachment with Index Spare part Arc Attachment with Index to Leksell Multipurpose Stereotactic Arc including Axis lock and Screw M4x Knob Spare Part Kit Spare part kit for Leksell Multi Purpose Stereotactic Arc, and Frame Adapter for Leksell Gamma Knife Perfexion, consisting of two knobs Stainless Steel Screw Kit M4x8 Screw package consisting of Allen Screws 4 x 8 mm in Stainless Steel for Leksell Multi Purpose Arc - 10 pcs Nylon Screw Kit M3x4 Package consisting of Nylon Screws 3 x 4 mm for Leksell Multi Purpose Arc - 12 pcs

20 Frame and Arc Accessories Stereotactic Arc Arc Stop and Guide Clamp kit Spare part kit for Leksell Multi Purpose Stereotactic Arc constisting of Stop and Guide Clamps with attachment screws Quick Reference Guide, Leksell Multi Purpose Stereotactic Arc with Counter Scale A four-page plasted Quick Instruction for the use of Leksell Multi Purpose Stereotactic Arc - with Counter Scale Quick Reference Guide, Leksell Multi Purpose Stereotactic Arc A four-page plasted Quick Instruction for the use of Leksell Multi Purpose Stereotactic Arc

21 Frame and Arc Accessories OR Fixation Frame Fixation Frame Fixation offers a rigid and accurate fixation of Leksell Coordinate Frame G to the operation table headrest. The three point fixation allows for high stability even if the patient is shaking Frame Fixation Sterilizing Tray Sterilizing tray designed for Frame Fixation to be stored inside the sterilizing tray for Leksell Multi Purpose Stereotactic Arc Frame Fixation Spare Part Kit Frame Fixation Spare Part kit consists of 1 Screw MC6S M8 x 25 A4 and 1 Knob Assembly. Spare parts for Frame Fixation with art no Leksell Stereotactic System Clamp Leksell Stereotactic System Clamp is used to attach the frame to the operation table headrest. The clamp provides an adjustable and rigid fixation to the operating table, facilitating the operative procedure and ensuring patient comfort. A Consists of Frame Support, complete for LSS Headrest Support Knob, Leksell Stereotactic System Clamp

22 Frame and Arc Accessories Quality Assurance Tools Target Simulator With the unique Target Simulator you will always have confidence in the accuracy of your Leksell Stereotactic System. It is designed for mechanical accuracy check using visual inspection Consists of Probe pointed Fixation Screw M Transportation case assembly Instructions for use Test Probe for Target simulator Test Probe for Elekta MicroDrive and Target simulator. OD = 1.65 mm, L = 216 mm. Delivered non-sterile, autoclavable. MER Needle Tester Facilitating check of Leksell Stereotactic System clinical needle straightness before surgery, to be used in the OR under sterile conditions Sterilizing Tray for Needle Tester Tray to be used during storage and sterilization of the Needle Tester (art no )

23 Frame and Arc Accessories Fixation Screws Reusable Fixation Screws, Al, Kit of 20 pairs Reusable Fixation Screw ensures quick and rigid skull fixation without compromising imaging quality. Reusable Fixation Screws are made of coated hard aluminum. The low density and non magnetic properties of the Reusable Fixation Screw makes it the optimum choice in scanning procedures such as MR and CT. Reusable Fixation Screws have female hexagon sockets. This set consists of 20 pairs of reusable screws in various lengths. Expected life length is one year Consists of Reusable Fixation Screw, L= 20 mm Reusable Fixation Screw, L= 22,5 mm Reusable Fixation Screw, L= 25 mm Reusable Fixation Screw, L= 27,5 mm Reusable Fixation Screw, L= 30 mm Reusable Fixation Screw, L= 32,5 mm Reusable Fixation Screw, L= 35 mm Reusable Fixation Screw, L= 37,5 mm Reusable Fixation Screw, L= 40 mm Reusable Fixation Screw, L= 42,5 mm Reusable Fixation Screw, L= 45 mm Reusable Fixation Screw, L= 50 mm Reusable Fixation Screw, L= 55 mm Reusable Fixation Screw, L= 60 mm Reusable Fixation Screw, L= 65 mm Reusable Fixation Screw, L= 70 mm Reusable Fixation Screw, L= 75 mm Reusable Fixation Screw, L= 80 mm Reusable Fixation Screw, L= 90 mm Reusable Fixation Screw, L= 110 mm Sterilization Case Fixation Screws Reusable Fixation Screws, Al, Kit of 5 pairs Reusable Fixation Screws are made of coated hard aluminum. The low density and non magnetic properties of the Reusable Fixation Screw makes it the optimum choice in scanning procedures such as MR and CT. Reusable Fixation Screws have female hexagonal sockets. This set consists of 5 pairs of screws. Expected life length is one year Consists of Reusable Fixation Screw, L= 40 mm Reusable Fixation Screw, L= 45 mm Reusable Fixation Screw, L= 50 mm Reusable Fixation Screw, L= 55 mm Reusable Fixation Screw, L= 60 mm

24 Frame and Arc Accessories Fixation Screws Fixation Screws, Titanium, Kit of 20 pairs Long lasting and durable fixation screws with a female hexagonal design enables an expanded treatment volume in Leksell Gamma Knife and increased ease-of-use in tight MR head coils. Always use Insulated Fixation Posts during MRI scanning Consists of Titanium Fixation Screw, 20 mm Titanium Fixation Screw, 22,5 mm Titanium Fixation Screw, 25 mm Titanium Fixation Screw, 27,5 mm Titanium Fixation Screw, 30 mm Titanium Fixation Screw, 32,5 mm Titanium Fixation Screw, 35 mm Titanium Fixation Screw, 37,5 mm Titanium Fixation Screw, 40 mm Titanium Fixation Screw, 42,5 mm Titanium Fixation Screw, 45 mm Titanium Fixation Screw, 50 mm Titanium Fixation Screw, 55 mm Titanium Fixation Screw, 60 mm Titanium Fixation Screw, 65 mm Titanium Fixation Screw, 70 mm Titanium Fixation Screw, 75 mm Titanium Fixation Screw, 80 mm Titanium Fixation Screw, 90 mm Titanium Fixation Screw, 110 mm Sterilization Case Fixation Screws Fixation Screws, Titanium, Kit of 5 pairs The screw has a hexagonal socket. This enables flush mount with the frame posts combined with maximum frame stability. The finest medical grade titanium enables extended lifetime Consists of Titanium Fixation Screw, 40 mm Titanium Fixation Screw, 45 mm Titanium Fixation Screw, 50 mm Titanium Fixation Screw, 55 mm Titanium Fixation Screw, 65 mm

25 Frame and Arc Accessories Fixation Screws Disposable Fixation Screws, Al, Kit of 13 pairs Disposable Fixation Screws are used to affix Leksell Coordinate Frame G firmly to the patient s skull e.g. when cross-contamination is a concern. These single-use fixation screws are made of aluminum. This kit consists of 13 pairs of disposable screws in various lengths. A Consists of Disposable Fixation Screw, L= 25 mm Disposable Fixation Screw, L= 30 mm Disposable Fixation Screw, L= 35 mm Disposable Fixation Screw, L= 40 mm Disposable Fixation Screw, L = 45 mm Disposable Fixation Screw, L= 50 mm Disposable Fixation Screw, L= 55 mm Disposable Fixation Screw, L= 60 mm Disposable Fixation Screw, L = 65 mm Disposable Fixation Screw, L= 70 mm Disposable Fixation Screw, L= 75 mm Disposable Fixation Screw, L= 80 mm Disposable Fixation Screw, L = 90 mm Sterilization Case Fixation Screws Sterilizing case with dedicated slots for all available Elekta fixation screw lengths Instrument Screw Driver, Double Improved design limiting the screw driver from rolling off the sterile table. Universal instrument screw driver for fixation of posts, coordinate settings and for fixation of Titanium and Reusable Fixation Screws

26 Frame and Arc Accessories Fixation Screws Socket Wrench Socket wrench to be used together with Quick Fixation Screws and Disposable Fixation Screws to secure the frame to the patient s head. Two socket wrenches are needed for safe fixation of the frame

27 Frame and Arc Accessories Fixation Posts Insulated Fixation Posts Kit Insulated Fixation Posts effectively insulate the fixation screw from the post and provide a sterile, single-use interface between patient and frame. For MRI as well as CT scanning. Locking screws and locking pieces are included in the kit Consists of Insulated Fixation Posts, Anterior - One pair Insulated Fixation Posts, Short Posterior - One pair Insulated Fixation Posts, Long Posterior - One pair Disposable Inserts Insulated Fixation Post Kit, Medium Posterior Posterior Insulated Fixation Posts in medium length for cases when the long posterior posts are too long. For MRI as well as CT scanning. Includes 2 locking pieces and 2 locking screws Consists of Insulated Fixation Posts Medium Posterior - One pair Disposable Inserts Disposable Inserts 1 box with 25 x 4 pieces of sterile inserts to be used with insulated fixation posts. The inserts are delivered sterile and pre-packed four and four in small pouches Fixation Posts Kit A set of 2 Anterior, 2 Short Posterior and 2 Long Posterior Fixation Posts for Leksell Stereotactic System, including locking screws and locking pieces. These posts are for framebased CT or X-Ray only Consists of Fixation Posts, Anterior - One pair Fixation Posts, Short Posterior - One pair Fixation Posts, Long Posterior - One pair

28 Frame and Arc Accessories Fixation Posts Fixation Posts Medium Posterior - One pair Two posterior fixation posts in medium length for cases when the long posterior posts are too long. Includes two locking screws and two locking pieces. These posts are for framebased CT or X-Ray only Fixation Posts Spare Part Kit Spare part kit for fixation posts, consisting of locking piece for fixation posts - 2 pcs and screw 5x19 mm titan - 2 pcs

29 Leksell SurgiPlan Leksell SurgiPlan Leksell SurgiPlan is an advanced image-based neuro-surgical planning software, specifically designed for use with Leksell Stereotactic System. The modular design of Leksell SurgiPlan is designed to meet specific needs. All combinations start with the Stereotactic Planning module that provides a wide variety of features to plan the surgical approach Linux Platform Laptop Kit HIGHLY RECOMMENDED. This kit includes a high-end mobile workstation from DELL with professional grade graphic card from Nvidia, one LCD monitor, one docking station, keyboard, mouse and 2 USB external disks for backup. Contact Elekta for article number Linux Platform Workstation Kit This kit includes a premium, industry-leading stationary workstation from Hewlett Packard with professional grade graphic card from Nvidia, one LCD monitor, keyboard, mouse and 2 USB external disks for backup. Contact Elekta Color Laser Printer, 110V /

30 Leksell SurgiPlan Color Laser Printer, 220V / Installation Neuro Treatment Planning Software On-site visit covering installation, configuration and acceptance / On site training (treatment planning) On site training performed by Product Supply Center or the Business Unit /

31 Leksell SurgiPlan Leksell SurgiPlan Pre-Planning The Pre-Planning module increases flexibility and saves time and resources by allowing the neurosurgeon to plan procedures days ahead of the surgery, and to base decisions on frameless images. The day of the surgery, the created pre-plan can be imported and used directly to elaborate a final treatment plan. Note: Requires an ImageMerge co-registration license Leksell SurgiPlan Image Merge ImageMerge facilitates better interpretation by enabling the co-registration of image studies with one other. It allows automatic and manual co-registration of any frameless image studies with a frame based reference study. Once co-registered, the frameless image can be used in Leksell SurgiPlan like any other study. Supports MR, CT and PET images (with the optional ColorPET module) Leksell SurgiPlan Functional Planning This software includes advanced tools for Stereotactic Neurosurgery i.e. definition of the anterior and posterior commissures and target planning. The AC-PC line can easily be defined whether or not it lies within a single image plane. The patient s images can then be realigned with the AC-PC line so they are truly axial, coronal and sagittal, making them easier to reference with different brain atlases Leksell SurgiPlan AtlasSpace AtlasSpace is based on the three original series of the Schaltenbrand & Wahren atlas*. It offers a combination of sophisticated 3-D matching, overlay of atlas contours on patient images, and interactive selection of displayed atlas contours. It increases confidence and ease of use by facilitating interpretation of patient images and identification of correct targets. * George Thieme Verlag, Stuttgart/New York

32 Leksell SurgiPlan Leksell SurgiPlan ColorPET This software add-on allows users to combine the physiological data of PET images with the anatomical data of CT and MR images using predefined color lookup tables. Note: Requires an ImageMerge co-registration license

33 Stereotactic Imaging Accessories MR Open MR Indicator Open MR Indicator is used with Leksell Coordinate Frame G for creating accurate coordinate referencing when performing MR scanning. The two side plates enable lower frame fixations & improved patient comfort. The kit contains; 1 Plate Holder, 1 Right Side Plate, 1 Left Side Plate, 8 Side Plate Screws, 6 Sealing Screws, 2 Attachment Clips for Indicator, 1 Side Plate Screwdriver, 1 Sealing Screwdriver, 1 Copper Sulfate Solution 0.25L and 1 Filling Needle Left Side Plate Kit for Open MR Indicator Left Side Plate Kit for Open MR Indicator (Art no ). The kit contains; 1 Left Side Plate, 2 Side Plate Screws, 1 Side Plate Screwdriver and 2 Attachment Clips for Indicator Right Side Plate Kit for Open MR Indicator Right Side Plate Kit for Open MR Indicator (Art no ). The kit contains; 1 Right Side Plate, 2 Side Plate Screws, 1 Side Plate Screwdriver and 2 Attachment Clips for Indicator Plate Holder Spare Part Open MR Indicator Plate Holder as spare part for Open MR Indicator with part no Spare part kit contains:1 Plate Holder for Open MR Indicator, 4 Side Plate Screws and 1 Side Plate Screwdriver

34 Stereotactic Imaging Accessories MR Open MR Indicator Spare Part Kit Sealing screws for side plate channels on Open MR Indicator (Art no ) includes 4 Sealing Screws and 1 Sealing Screwdriver Nylon Screw M6X10 Spare Part Kit Spare part kit includes 10 Side Plates Screws and 1 Side Plate Screwdriver. The screws can be used for Open MR Indicator ( ), Target Positioner (MRT 9731/916348), Open CT-Indicator (916282) and MR Adapter Universal Long (A ) Open MR Indicator Filling Needle Spare part Filling Needle for Open MR Indicator with art no Attachment Clip, 4 pcs Four attachment clips for Open MR Indicator ( ), MR-Indicator (A ), CT Indicator (A ), Open CT-Indicator (916282), X-Ray Indicator with Markers (A ), X-Ray Indicator with Rulers (A ) and Target Positioner (MRT 9731/916348)

35 Stereotactic Imaging Accessories MR Copper Sulphate Solution / 0.25 l One bottle of Copper Sulphate Solution (CuSO4) 0.25 liter. To be used in Open MR Indicator ( ), MR-Indicator (A ) and MR Phantom (104522) MR Indicator MR Indicator with five side plates is used during MR scanning for target localization in stereotactic neurosurgery and radiosurgery. A Consists of MR Indicator, Cover MR Indicator, Anterior MR Indicator, Posterior MR Indicator, Left Side MR Indicator, Right Side Fixing Screw, for MR Indicator Flexible Filling Tube to MR Indicator Copper Sulphate Solution /0.25L MR Indicator Spare Part Kit Spare part kit for MR Indicator (Article No A ). The kit consists of: Sealing screws - 20 pcs, O-Rings - 20 pcs, Attachment clips - 4 pcs, Locking Screws - 4 pcs, Fixing Screws - 10 pcs, Filling Tubes - 2 pcs and Screwdriver - 1 piece MR Indicator Fixing & Locking Screw Kit Spare part kit for MR Indicator (Article no A ) consisting of Locking Screws - 4 pcs and Fixing Screws - 10 pcs

36 Stereotactic Imaging Accessories MR MR Indicator Screw & O-Ring Spare Part Kit Spare part kit for MR Indicator (Article No A ) consisting of Sealing Screws - 50 pcs, O-Rings - 50 pcs and MR Indicator Screwdriver - 1 piece MR Phantom MR Phantom is used to check for the presence of distortions when Leksell Coordinate Frame G is used in an MR scanner Consists of Axial Grid Coronal Grid O-Ring 17,3 x 2,4 mm Locking Screw Ventilation / Filling Screw MR Phantom Nut Frame Feet Spare Part Kit MR Phantom Spare Part Kit O-Ring spare part kit to MR Phantom (Article No ). Including O-ring 17,3 x 2,4 mm - 9 pcs and O-Ring 171,1 x 2,62 mm EPDM - 3 pcs MRI Manufacturer Head coil type Leksell Coordinate Frame G Adapter Inner diameter (mm) A A * A General Electric Quadrature Head Coil /750 and HD Split Head Coil 281 Philips 3T Quadrature Head Coil (L 28 cm) T Quadrature Head Coil (L 30.5 cm) 275 Siemens TxRx CP Head Array Coil 270 Toshiba TxRx Head Coil (mainly used with Trio) 270 CP Head Array Coil 268 Magnetom with circular polarized conical head coil, shell type opening QD Headcoil 268 Products listed under MR head coil type are manufactured and/or supplied by other suppliers and may be trademarked and otherwise protected by these suppliers. Elekta does not distribute and can therefore assume any liability whatsoever for any such third party products. Note: To accommodate Leksell Coordinate Frame G the requirement of the head coil inner diameter is a minimum of 268 mm. * has replaced

37 Stereotactic Imaging Accessories MR MR-Adapter for Philips 3T QHC T/R This MR adapter is designed for Philips 3T Quadrature Head Coil with length 28 cm. Coil inner diameter of 275 mm MR-Adapter for Philips Quadrature Head Coil This MR adapter is designed for Philips 1.5 T Quadrature Head Coil length 30.5 cm. Head coil is similar to corresponding for adapter with art no , but is approximately 20 mm longer. Coil diameter is 275 mm. A MR-Adapter for GE Quadrature Headcoil This MR adapter is designed for GE Quadrature Head Coil with an inner diameter of 275 mm. A MR-Adapter for GE Split Headcoil The adapter is designed for GE 450/750 Split Head coil and GE HD Split head coil with inner diameter of 281 mm and a length of 424 and 414 mm respectively.this part replaces MR Adapter GE HD Split Head Coil with art no MR-Adapter for Siemens TxRx CP MR Adapter for Tx/Rx CP Head Array coil. Inner diameter of 270 mm

38 Stereotactic Imaging Accessories MR MR-Adapter for Siemens TxRx Head Coil This MR adapter is designed for Siemens TxRx Head Coil both 1.5 T and 3 T, mainly used with Trio. Inner diameter of 270 mm MR-Adapter for Siemens CP Head Array Designed for Siemens CP Head Array coils. Inner Diameter of 268 mm MR-Adapter for Siemens Conical Head-Coil This MR adapter is designed for Siemens Magnetom with circular polarized conical head-coil, shell type opening. Inner diameter of 268 mm. A MR-Adapter for Toshiba QD Headcoil Designed for Toshiba QD Headcoil

39 Stereotactic Imaging Accessories MR MR-Adapter for Toshiba This MR adapter is designed for Toshiba previous scanner models. A MR-Adapter Universal (Long) This MR adapter can be an option for certain MR scanners when no other dedicated MR adapter is suitable. This is a universal MR adapter of a long design. It can also be used as an option on certain X-Ray tables when no other suitable table fixation is available. A MR-Adapter Universal (Short) This MR adapter can be an option for certain MR scanners when no other dedicated MR adapter is suitable. This is a universal MR adapter of ashort design. It can also be used as an option on certain X-Ray tables when no other suitable table fixation is available. A MR-Adapter Spare Part Kit Spare part kit for all types of MR Adapters. Includes all general parts for the feet holders except the locking ring. Kit also includes an exchange of head cap screws to hexagon head screws providing more space for patient shoulders compared to older MR Adapters (before 1998). Kit includes: 3 Footholders, 2 Screws for sleeve (long), 1 Screw for sleeve (short), 1 Spanner, 2 Brass pins, 2 Aluiminum Pins and 1 Instruction For Use. The kit is relevant for MR adapters with part numbers , A , A , , , , , A , , A , A and A

40 Stereotactic Imaging Accessories MR Spare Part Plastic Screw Kit for MR Adapter Spare part kit for MR-Adapter for Siemens TxRx CP with art no Consists of 2 Screws M6s M10x15 Nylon and 2 Screws M6s M8x30 Nylon Spare part screw M5x30H Nylon Spare part screw for MR Adapter Siemens CP Head Array Coil art no and MR Adapter for Philips Quadrature Head Coil art no A Spare part screw M6x40 Nylon Spare part screw for the following MR adapaters: A , A and Spare part plastic screw kit M10x30 Spare part plastic screw kit containing 2 pieces of M10x30 screws for MR Adapter GE Split head coil with part no

41 Stereotactic Imaging Accessories CT CT Manufacturer Table Type Leksell Coordinate Frame G - Table Fixation A A A A General Electric All with metalfree cradle and plastic latch for headset attachment, eg. ProSpeed SX, HiSpeed, Lightspeed, Lemage SX and BrightSpeed Pace, Sytec 3000, Sytex 4000 Philips All Tomoscan models except those listed below PQ Series (former Picker) Brilliance second generation using a smooth top without slots for the headrest Brilliance and MX-8000 first generation with a 8x50 mm slot for headrest Brilliance third generation table using a smooth top slotted for headrest fixation Siemens All models having an 8x50mm slot for headrest, eg Somatom AR.HP, DR, CR, HI-Q, Plus, Sensation, AR.T Shimadzu SCT-10, 2000T, CTS10, CTS 20/SP, 3000TX, 5000TX, 7000TX Hitachi W4-40, W-500, W2000, XR6000 Picker IQ, PQ series (now Philips) Toshiba TCT300 S, 500S, 600HQ, 700S, Sorell, X-Peed, X-Force, X-Press, X-Vision X-Vigar, Asteion, Aquilion, Above used with Toshiba Adapter YET *B Yokogawa Quantex, ProSpeed, Accell *CT-adapter adjustable, art no A or CT-adapter 3D, art no , must be combined with a proper interface between the CT table top and Leksell Stereotactic Frame. Open CT Indicator The Open CT Indicator is used with Leksell Coordinate Frame G during CT scanning for target localization in stereotactic neurosurgery, radiosurgery or stereotactic radiotherapy. It has an open top enabling lower frame mount Consists of Open CT Indicator plate, Right Side Open CT Indicator plate, Left Side Open CT Indicator plate, Anterior Spare Part Set Open CT Indicator Spare parts for Open CT Indicator (916282). Consists of 4 Fixing Screws, 10 Side Plate Screws and 4 Attachment Clips

42 Stereotactic Imaging Accessories CT Nylon Screw M6X10 Spare Part Kit Spare part kit includes 10 Side Plates Screws and 1 Side Plate Screwdriver. The screws can be used for Open MR Indicator ( ), Target Positioner (MRT 9731/916348), Open CT-Indicator (916282) and MR Adapter Universal Long (A ) Attachment Clip, 4 pcs Four attachment clips for Open MR Indicator ( ), MR-Indicator (A ), CT Indicator (A ), Open CT-Indicator (916282), X-Ray Indicator with Markers (A ), X-Ray Indicator with Rulers (A ) and Target Positioner (MRT 9731/916348) CT-Adapter, Adjustable The purpose of the CT-Adapter is to position and secure the patient in the correct position in the CT scanner, and to ensure that the position is accurately reproducible in subsequent scans. CT Table Fixation needs to be ordered separately. A CT-Adapter 3D with Attachment Arms CT-Adapter 3D with Attachment Armspositions and secures the patient in the correct position in the CT-Scanner and enables adjustments in three dimensions. Used in combination with one CT table fixation

43 Stereotactic Imaging Accessories CT CT-Adapter Spare Part Kit Spare part kit consisting of: Washer - 3 pcs, Adjusting screw - 2 pcs, Adjusting nut - 2 pcs, Adjusting screw - 2 pcs, Washer - 2 pcs, Locking washer - 6 pcs, Screw - 4 pcs and Instruction - 1 piece CT-Table fixation for GE metalfree table This CT table fixation is designed for GE scanners with metal-free cradle and plastic latch for headrest attachment, e.g. Pro-Speed, SX, HiSpeed, LightSpeed and Lemage SX CT-Table fixation for Philips Tomoscan & Hitachi etc. This table fixation is designed for Philips Tomoscan and Hitachi W4-40, W-500, W2000, XR6000. A CT-Table fixation for Philips non-metal This table fixation is designed for Brilliance CT using a smooth top slotted for headrest fixation

44 Stereotactic Imaging Accessories CT CT-Table Fixation Short Siemens Somatom This table fixation is designed for all Siemens Somatom and Philips Brilliance with a 8 x 50 mm slot for headrest fixation. Also to be used in combination with Extend system. This product has replaced the product with article number A CT-Table fixation for Toshiba This table fixation is designed for Toshiba models; TCT300 S, 500S, 600HQ, 700S, Sorrel, X-Peed, X-Force, X-Press, X-Vision. X-Vigar, Asterion, Aquilion. Above used with Toshiba Adapter YET *B CT-Table fixation. Universal This CT table fixation has a Universal Design. Designed for Philips PQ-series (former Picker) and Picker IQ-series. Also for Philips Brilliance with a smooth top without slots for the headrest. A Spare Part Kit O-Ring, 6.0x1.78 Nitril Spare part kit for CT Table Fixation for GE metalfree table (912965). Consists of 10 O-Rings

45 Stereotactic Imaging Accessories CT CT Table Fixation Spare Part Kit Spare part kit for CT-Table fixation Short Siemens Somatom ( ) and CT-Table fixation for Siemens Somatom (A ). Consists of 1 Lock Screw, 4 Screws Mc6s M6x14 and 4 Washers

46 Stereotactic Imaging Accessories X-Ray X-Ray Indicator with Markers The X-ray indicator with markers is used to impose fiducials on X-ray image of the patient to be used for target localization during treatment planning.to be used with Leksell SurgiPlan and Leksell GammaPlan. A Consists of Allen Screw, 5 x 10 mm Angle Bracket Fixing Screw L=19 mm X-Ray Indicator, Anterior X-Ray Indicator, Cover X-Ray Indicator, Left Side X-Ray Indicator, Posterior X-Ray Indicator, Right Side X-Ray Indicator with Rulers The purpose of the X-Ray Indicator with Rulers is to impose coordinate scales on X-ray films of the patient. These scales are then used for manual determination of the target coordinates when using Leksell Coordinate Frame G. A Consists of X-Ray Indicator, Cover X-Ray Indicator, Left Side X-Ray Indicator, Right Side Locking Screw Table Fixation for X-Ray, Flat 180 mm Designed for flat table head end, width 180 mm (GE Angix). A Table Fixation for X-Ray, Flat 210 mm Designed for flat table head end (GE DF 5000, Hitachi DH 158HM), width 210 mm. A

47 Stereotactic Imaging Accessories X-Ray Table Fixation for X-Ray, Flat 228 mm Designed for flat table head end, width 228 mm. For tables with a thickness of minimum 30 mm and 45 degree angle on the table sides Table Fixation for X-Ray, Flat 240/260 mm Designed for flat table head end (Shimadzu MH 50B, Toshiba CAS-30 B-TB, Angiorex), width 240/260 mm. A Table Fixation for X-Ray, Flat 500 mm Designed for flat table head end, width 500 mm. A Table Fixation for X-Ray, Flat 550 mm Designed for flat table head end, width 550 mm. A Table Fixation X-Ray 570 mm Designed for tables 570 mm wide Table Fixation for X-Ray, Siemens Coordinate Combi Designed for Siemens Coordinate Combi. A

48 Stereotactic Imaging Accessories X-Ray Table Fixation for X-Ray, Siemens Curved Designed for curved table head end (Siemens), width 226 mm. A

49 Interventional Accessories Drill Kits Salcman Twist Drill Kit Salcman Twist Drills are used to twist drill burr holes using Leksell Multi Purpose Arc. Kit I includes two drills of diameters 2.10/3.20 mm with a reducing tube for the smaller drill. A Consists of Twist Drill 2.1 mm Twist Drill 3.2 mm Sleeve L = 70 mm, 4 mm Sleeve L = 95 mm, 4 mm Reducing tube Stop with 4,0 mm hole Guide with 4,0 mm hole Drill Driver Adjustable stop 2.1 mm Adjustable stop 3.2 mm Sterilizing Tray / Small

50 Interventional Accessories Insertion Needles Backlund 1.5 mm Catheter Insertion Needle Kit Used with Leksell Stereotactic System and enables safe puncturing of intracranial cavities. The insertion needle diameter is 2.1 mm accomodating catheter diameters of 1.5 mm. A Consists of Catheter Insertion Needle for Catheter 1,5 mm Stop with 2,1 mm hole Guide with 2,1 mm hole Ruler Sterilizing Tray / Small Backlund 2.6 mm Catheter Insertion Needle Kit Used with Leksell Stereotactic System and enables safe puncturing of intracranial cavities. The insertion needle diameter is 3.5 mm accomodating catheter diameters of 2.6 mm. A Consists of Catheter Insertion Needle / 2.6 mm Stop with 3,5 mm hole Guide with 3,5 mm hole Ruler Sterilizing Tray / Small Insertion Cannula Kit Insertion Cannula Kit is designed to obtain safe guidance of implants, electrodes or catheters using stereotactic technique with Leksell Coordinate Frame G and Leksell Multi Purpose Stereotactic Arc. The length is 190 mm and the inner diameter is 1.6 mm Consists of Insertion Cannula 190 mm Guide with 2,1 mm hole Stop with 2,1 mm hole Sterilizing Tray / Small

51 Interventional Accessories Injection/Aspiration Needles Backlund Haematoma Evacuator Kit Allows evacuation of haematomas through a single burr hole using stereotactic techniques. A Consists of Stop with 4,0 mm hole Guide with 4,0 mm hole Drill Driver Sterilizing Tray / Small Haematoma Evacuator. Diam. 4.0 mm O-Ring 5.3 x 2.4 mm Viton O-Ring 5.3 x 2.4 mm Viton Spare part O-Rings for Backlund Haematoma Evacuator ( ). Five pieces of O-Rings are included in the kit Backlund Injection/Aspiration Needle Kit A set of neurosurgical instruments designed for injection, as well as for diagnostic and therapeutic punctures, aspirations and evacuations. Cannula diameter 1.5 mm. Contact Elekta for more information 51

52 Interventional Accessories Biopsy Needles Sedan Side-Cutting Biopsy Needle Kit I The vacuum and side-cutting principle of Sedan has been adapted to Leksell Stereotactic System in this biopsy needle with a 10 mm needle window. Stop and Guide with a diameter of 2.5 mm are included in the kit. A Consists of Side-Cutting Needle, Diam. 2.5 mm Guide with 2,5 mm hole Stop with 2,5 mm hole Sterilizing Tray / Small O-Ring 3.1x1.6, 10 pcs Spare part O-Rings (for Sedan Side Cutting Needles). The rubber O-Ring on the inner cannula provides an airtight seal with the outer cannula. The kit consists of: O-Ring 3.1 x 1.6 mm / Viton - 10 pcs Disposable Biopsy Needle Kit, set of 6 These needles are an alternative to reusable biopsy needles addressing concerns regarding cross-contamination. The kit includes a disposable sidecutting biopsy needle with an 8.0 mm needle window and an aspiration tube. The kit also includes a disposable Stop and Guide to further reduce the risk of cross-contamination

53 Interventional Accessories Guide and Stop Inserts Guide and Stop Inserts The Guide and Stop Inserts are used to guide the instrument into position on the stereotactic arc. The Guide and Stop Inserts are mounted on to the Guide and Stop Holder of the Instrument carrier. Guide and Stop Inserts Stop with 2,1 mm hole Stop with 2,5 mm hole Stop with 3,2 mm hole Stop with 3,5 mm hole Stop with 4,0 mm hole Stop with 6,0 mm hole Guide with 2,1 mm hole Guide with 2,5 mm hole Guide with 3,2 mm hole Guide with 3,5 mm hole Guide with 4,0 mm hole Guide with 6,0 mm hole

54 Interventional Accessories Microsurgical and Endoscopic Accessories Leksell Endoscope Adapter to Multipurpose Arc Leksell Endoscope Adapter is designed for Leksell Stereotactic System to guide endoscopes stereotactically to the target. Compatible with rigid as well as flexible endoscopes of 6 mm diameter & minimum length 170 mm. A Adapter for Microsurgical Accessories, Fork-Type Adapter to hold and secure any fork-type microsurgical accessory to Leksell Coordinate Frame G. A Adapter for Microsurgical Accessories, Clamp-Type Adapter to hold and secure any clamp-type microsurgical accessory to Leksell Coordinate Frame G. A

55 Interventional Accessories Disposable Instruments Disposable Inserts One box with 25 x 4 pieces of sterile inserts to be used with insulated fixation posts. The inserts are delivered sterile and pre-packed four and four in small pouches Elekta Stereotactic Drape, set of 10 Clear see-through drape for fast, safe & sterile draping of Leksell Stereotactic System. Equipped with an adhesive for fixation to the top of the patient s skull, two additional slits for the arc supports as well as a drain pouch and instrument pouches. For more information contact Elekta Disposable Fixation Screws, Al, Kit of 13 pairs Disposable Fixation Screws are used to affix Leksell Coordinate Frame G firmly to the patient s skull e.g. when cross-contamination is a concern. These single-use fixation screws are made of aluminum. This kit consists of 13 pairs of disposable screws in various lengths. A Consists of Disposable Fixation Screw, L= 25 mm Disposable Fixation Screw, L= 30 mm Disposable Fixation Screw, L= 35 mm Disposable Fixation Screw, L= 40 mm Disposable Fixation Screw, L = 45 mm Disposable Fixation Screw, L= 50 mm Disposable Fixation Screw, L= 55 mm Disposable Fixation Screw, L= 60 mm Disposable Fixation Screw, L = 65 mm Disposable Fixation Screw, L= 70 mm Disposable Fixation Screw, L= 75 mm Disposable Fixation Screw, L= 80 mm Disposable Fixation Screw, L = 90 mm

56 Interventional Accessories Disposable Instruments Disposable Biopsy Needle Kit, set of 6 These needles are an alternative to reusable biopsy needles addressing concerns regarding cross-contamination. The kit includes a disposable sidecutting biopsy needle with an 8.0 mm needle window and an aspiration tube. The kit also includes a disposable Stop and Guide to further reduce the risk of cross-contamination

57 Interventional Accessories Target Verification A-P Cross-Hairs Holder A-P Cross-Hairs Holder is a mounting device for the cross-hairs to the arc. It enables a check of the instrument s placement in relation to the target point in the anterior-posterior orientation A-P Cross-Hairs Holder, Spare Part Kit A-P Cross-Hairs Holder Spare Part Kit consisting of 1 Carrier lock, 1 Screw M4x16, 4 Screws M6x12 and 1 Screw M6x Cross Hairs Kit Cross-Hairs Kit in Stainless Steel is used with Leksell Stereotactic System to intraoperatively check the placement of inserted electrodes, catheters or other instruments in relation to the set target point Consists of Ring Plate Cross Plate Cross Hair Target O-Ring kit Cross Hair Target O-Ring Kit The ring plate and the cross plate are equipped with rubber O-Rings that ensures safe attachment to the rings of the arc axes. Spare part O-Rings can be purchased in this set of 10 pcs. (4 pcs of O-Rings are included in the Cross Hairs Kit )

58 Interventional Accessories Elekta MicroDrive Elekta MicroDrive Elekta MicroDrive is fully integrated with Leksell Multipurpose Stereotactic Arc and provides exact positioning of electrodes in the brain when performing Micro Electrode Recording (MER), macro stimulation and lead electrode implantation Consists of MicroGun for Microdrive with ID = 1,7 mm, L = 90 mm MER Electr. Holder f. MicroDrive f. electrodes with depth marks MER Electr. holder f. MicroDrive f. electrodes with depth stop MER DBS Electrode Holder for MicroDrive MER Adaptation ring for Guide holder on Leksell Instr. Carrier MER Hex Wrench for MicroDrive Screws M2 and M3 MER Sterilisation Box for MicroGun, MicroDrive and accessories MER Indexer for setting the depth stop position on DBS electrode MER Brush OD = 3 mm for cleaning of MicroGun MER Special clamp for Stop holder on Leksell Instrument Carrier MER Fixing screw for Stop holder on Leksell Instrument Carrier MER Screw set for Elekta MicroDrive MER Elekta MicroDrive - Instructions for Use Quick Reference Guide, Elekta MicroDrive Elekta MicroDrive (Inomed Art no /590580) Base Plate for Elekta MicroDrive (Inomed Art no ) Elekta MicroDrive St. Jude This MicroDrive contains the same articles as the Elekta MicroDrive with article number , except for the MicroGun that has got a larger inner diameter to enable implantation of the DBS electrodes from St. Jude Medical. MicroGun with inner diameter of 1.73 mm (article number MER590301) is included in this kit Consists of MicroGun for MicroDrive with ID = 1.73 mm, L = 90 mm MER Electr. Holder f. MicroDrive f. electrodes with depth marks MER Electr. holder f. MicroDrive f. electrodes with depth stop MER DBS Electrode Holder for MicroDrive MER Adaptation ring for Guide holder on Leksell Instr. Carrier MER Hex Wrench for MicroDrive Screws M2 and M3 MER Sterilisation Box for MicroGun, MicroDrive and accessories MER Indexer for setting the depth stop position on DBS electrode MER Brush OD = 3 mm for cleaning of MicroGun MER Special clamp for Stop holder on Leksell Instrument Carrier MER Fixing screw for Stop holder on Leksell Instrument Carrier MER Screw set for Elekta MicroDrive MER Elekta MicroDrive - Instructions for Use Quick Reference Guide, Elekta MicroDrive Elekta MicroDrive (Inomed Art no /590580) Base Plate for Elekta MicroDrive (Inomed Art no ) 58

59 Interventional Accessories Elekta MicroDrive MicroGun for MicroDrive with ID = 1.73 mm, L = 90 mm MicroGun to be used with Elekta MicroDrive when implanting DBS electrodes from St. Jude Medical. The bore holes of this MicroGun are 1.73 mm and it has a lenght of 90 mm. The guide tubes used together with the St. Jude DBS electrodes need to be of a larger diameter and can not be used with the traditional MicroGun with article number MER MER Screw set for Elekta MicroDrive Screw set for Elekta MicroDrive consists of 2 Mounting screw MicroGun, 1 Fixation screw (short), 1 Fixation screw (long) and 1 Mounting screw Electrode holder. MER Screw set for Electrode holder and fixation of guide tubes Screw set for Electrode holder and fixation of guide tubes consists of 3 Fixation screws long and 2 Fixation screws, short. MER Screw set for Electrode holder insulated Screw set for Electrode holder insulated consists of 3 Fixation screws (insulated) long and 2 Fixation screws screws, short. MER

60 Interventional Accessories Elekta MicroDrive Quick Reference Guide, Elekta MicroDrive A four-page plasted Quick Instruction for the use of the Elekta MicroDrive

61 Interventional Accessories Electrodes for Elekta MicroDrive MicroDrive Bipolar Lesion Electrode Kit, Tip 1.3x1.5x1.5 mm Bipolar macro electrode for macro-stimulation & bipolar lesioning using Leksell Neuro Generator & Elekta MicroDrive. Tip D 1.3 mm, active tip L=1.5 mm, neutral pole L =1.5 mm, tip section length 25 mm, OD=1.65 mm, L=255 mm MicroMacroElectrode 0.6 mm with depth stop Combined electrode with a micro tip and macro electrode. The micro tip is used for recording and for micro stimulation. A metal band 1.5 mm above the tip is used for macro stimulation. Recording bipolar, stimulation monopolar, tungsten electrode in M Ohm range. Length = 300 mm. ETO-sterilized, singleuse. Set of 5 electrodes, individually packed. MER MicroMacroElectrode 0.8 mm with depth stop Combined electrode with a micro tip and macro electrode. The micro tip is used for recording and for micro stimulation. A metal band 1.5 mm above the tip is used for macro stimulation. Recording bipolar, stimulation monopolar, Length = 300 mm, tungsten electrode in M Ohm range. ETO-sterilized, singleuse. Set of 5 electrodes, individually packed. MER MacroElectrode 0.8 mm with depth stop For monopolar stimulation. Length = 300 mm. ETO sterilized, single-use. Set of 5 electrodes, individually packed. MER channel connecting cable, for Medtronic Leadpoint For MicroMacro Electrodes, with 1.5 mm safety plugs. MER

62 Interventional Accessories MicroMove Electrodes and Guide Tubes for Elekta MicroDrive MicroMove electrode with depth stop Microelectrode with depth stop tailor-made to the Elekta MicroDrive. Moveable tip that can be advanced 10 mm in front of stimulation contact. Tip diameter = 0.28 mm. L = 277 mm, OD = 0.6 mm. Impedance = 1 MOhm. Packed sterile, single use. Set of 5, individually packed. MER

63 Interventional Accessories MicroMove Electrodes and Guide Tubes for Elekta MicroDrive Universal Guide tube 10/13 mm before target point - MicroMove electrode w. depth stop Universal Guide tube for the MicroMove electrode with depth stop and DBS lead electrode.the guide tube is fixated in the MicroGun and is not moving with the electrode when advanced towards the target. The inner guide tube for the microelectrode, ID = 0.65 mm, ends 10 mm before target and the outer guide tube for the DBS lead electrode implantation ends 13 mm before target. Packed sterile, single use. Set of 5, individually packed. MER Universal Guide tube, 10/50 mm before target, MicroMove / St. Jude Electrode Universal guide tube that can guide both the MicroMove electrode and the DBS Electrode from St. Jude Medical. MicroMove electrode guide tube ending 10 mm before target and DBS guide tube ends 50 mm before target. Guide tube Outer Diameter = 1.40 mm, Inner Diameter = 0.65 mm, Length 206 mm. DBS guide tube Outer Diameter = 1.70 mm, Inner Diameter = 1.50 mm, Length = 166 mm. Set of 5, individually packed. Packed sterile, single use. To be used with MicroGun with part no MER MER Universal Guide tube, 10/50 mm before target, MicroMove electrode with depth stop Universal Guide tube for the Micromove electrode with depth stop and DBS lead electrode.the guide tube is fixated in the MicroGun and is not moving with the electrode when advanced towards the target. The inner guide tube for the microelectrode, ID = 0.65 mm, ends 10 mm before target and the outer guide tube for the DBS lead electrode implantation ends 50 mm before target. Packed sterile, single use. Set of 5, individually packed. MER

64 Interventional Accessories Universal Guide Tubes for MER and DBS electrodes Guide tube for MicroMove electrode with depth stop Guide tube for MicroMove electrode with depth stop. Ends 10 mm before target. Outer diameter 1.3 mm, inner diameter 0.6 mm, length 206 mm. Packed sterile, single use. Set of 5, individually packed. MER

65 Interventional Accessories Universal Guide Tubes for MER and DBS electrodes Universal Guide tube 10/30 mm before target point Universal Guide tube for MicroMacro or Micro Electrode and Medtronic DBS lead. The guide tube is fixated in the MicroGun and is not moving with the electrode when advanced towards the target. The inner guide tube for the MicroMacro or Micro Electrodes ends 10 mm before target and the outer guide tube for the Medtronic DBS lead ends 30 mm before target. Inner guide tube Outer Diameter = 1.40 mm, Inner Diameter = 1.0 mm, Length = 206 mm. DBS guide tube Outer Diameter = 1.65 mm, Inner Diameter = 1.45 mm, Length = 186 mm. Packed sterile, single use. Set of 5, individually packed. MER Universal Guide tube 10/13 mm before target point Universal Guide tube for MicroMacro or Micro Electrode and Medtronic DBS lead. The guide tube is fixated in the MicroGun and is not moving with the electrode when advanced towards the target. The inner guide tube for the MicroMacro or Micro Electrodes ends 10 mm before target and the outer guide tube for the Medtronic DBS lead ends 13 mm before target. Inner guide tube Outer Diameter = 1.40 mm, Inner Diameter = 1.0 mm, Length = 206 mm. DBS guide tube Outer Diameter = 1.65 mm, Inner Diameter = 1.45 mm, Length = 203 mm. Packed sterile, single use. Set of 5, individually packed. MER Universal Guide tube 20/30 mm before target point Universal Guide tube for MicroMacro or Micro Electrode and Medtronic DBS lead. The guide tube is fixated in the MicroGun and is not moving with the electrode when advanced towards the target. The inner guide tube for the MicroMacro or Micro Electrodes ends 10 mm before target and the outer guide tube for the Medtronic DBS lead ends 30 mm before target. Inner guide tube Outer Diameter = 1.40 mm, Inner Diameter = 1.0 mm, Length = 196 mm. DBS guide tube Outer Diameter = 1.65 mm, Inner Diameter = 1.45 mm, Length = 186 mm. Packed sterile, single use. Set of 5, individually packed. MER

66 Interventional Accessories Universal Guide Tubes for MER and DBS electrodes Universal Guide tube, 10/50 mm before target, St. Jude Electrode Universal guide tube that can guide both the Microelectrode and the DBS Electrode from St. Jude Medical. MicroMacro or Micro electrode guide tube ending 10 mm before target and DBS guide tube ends 50 mm before target. Inner guide tube Outer Diameter = 1.40 mm, Inner Diameter = 1.00 mm, Length 206 mm. DBS guide tube Outer Diameter = 1.70 mm, Inner Diameter = 1.50 mm, Length = 166 mm. Set of 5, individually packed. Packed sterile, single use. To be used with MicroGun, part no MER MER Universal Guide tube 10/50 mm before target point Universal Guide tube for MicroMacro or Micro Electrode and Medtronic DBS lead. The guide tube is fixated in the MicroGun and is not moving with the electrode when advanced towards the target. The inner guide tube for the MicroMacro or Micro Electrodes ends 10 mm before target and the outer guide tube for the Medtronic DBS lead ends 50 mm before target. Inner guide tube Outer Diameter = 1.40 mm, Inner Diameter = 1.0 mm, Length = 206 mm. DBS guide tube Outer Diameter = 1.65 mm, Inner Diameter = 1.45 mm, Length = 166 mm. Packed sterile, single use. Set of 5, individually packed. MER

67 Interventional Accessories Electrode Guide tubes for MER and DBS Guide tubes DBS Guide tube 30 mm before target point Guide Tube used to implant the Medtronic DBS lead electrode utilizing the Elekta MicroDrive. Outer Diameter= 1.65 mm, Inner diameter 1.45 mm, Length= 186 mm. Single use, packed sterile. Set of 5, individually packed. MER DBS Guide tube 40 mm before target point Guide Tube used for implantation of the Medtronic DBS lead electrode utilizing the Elekta MicroDrive. Outer Diameter= 1.65 mm, Inner diameter 1.45 mm, Length= 176 mm. Single use, packed sterile. Set of 5, individually packed. MER DBS Guide tube 50 mm before target point Guide Tube used for implantation of the Medtronic DBS lead electrode utilizing the Elekta MicroDrive. Outer Diameter= 1.65 mm, Inner diameter 1.45 mm, Length= 166 mm. Single use, packed sterile. Set of 5, individually packed. MER DBS Guide tube, 30 mm before target, St. Jude Electrode DBS guide tube 30 mm above target point for implantation of the St. Jude Medical DBS lead electrode utilizing the Elekta MicroDrive. Outer Diameter= 1.7 mm, Inner diameter 1.5 mm, Length= 186 mm. Single use, packed sterile. Set of 5, individually packed. To be used with MicroGun, part no MER MER DBS Guide tube, 40 mm before target, St. Jude Electrode DBS guide tube 40 mm above target point for implantation of the St. Jude Medical DBS lead electrode utilizing the Elekta MicroDrive. Outer Diameter= 1.7 mm, Inner diameter 1.5 mm, Length= 176 mm. Single use, packed sterile. Set of 5, individually packed. To be used with MicroGun, part no MER MER

68 Interventional Accessories Electrode Guide tubes for MER and DBS Guide tubes DBS Guide tube, 50 mm before target, St. Jude Electrode DBS Guide tube 50 mm above target point for implantation of the St. Jude Medical DBS lead electrode utilizing the Elekta MicroDrive. Outer Diameter= 1.7 mm, Inner diameter 1.5 mm, Length= 166 mm. Single use, packed sterile. Set of 5, individually packed. To be used with MicroGun, part no MER MER Electrode Guide tube for MicroDrive, 10 mm before target point The guide tube for MicroMacro Electrode that is fixed in the MicroGun and is not moving with the electrode when advanced towards the target. The guide tube ends 10 mm before target point. Outer Diameter of upper part of the guide tube is 1.65 mm, while the outer diameter of the lower part of the guide tube is 1.3 mm. Inner Diameter is 1.0 mm, Length is 206 mm. Packed sterile, single use. Set of 5 guide tubes, individually packed. MER Electrode Guide tube for MicroDrive, 20 mm before target point The guide tube for MicroMacro Electrode that is fixed in the MicroGun and is not moving with the electrode when advanced towards the target. The guide tube ends 20 mm before target point. Outer Diameter of upper part of the guide tube is 1.65 mm, while the outer diameter of the lower part of the guide tube is 1.3 mm. Inner Diameter is 1.0 mm, Length is 196 mm. Packed sterile, single use. Set of 5 guide tubes, individually packed MER

69 Leksell Neuro Generator Leksell Neuro Generator Pulsed RF (for / V) Complete system for neurosurgical macro-stimulation and lesioning, including Pulsed Radiofrequency mode. Complete with cables and remote control (for stimulation mode). Electrodes need to be specified separately. For / V Consists of Remote Control Stimulation Cable Neutral Plate for Leksell Neuro Generator Neutral Plate Cable for Leksell Neuro Generator Instructions for Use, Leksell Neuro Generator Quick Reference Guide, Leksell Neuro Generator with Pulsed RF Main Cable, China (Aus) type Main Cable, British type Main Cable, US type Main Cable, Swedish type Leksell Neuro Generator (for 100V) Leksell Neuro Generator is a complete system for neurosurgical macro stimulation and lesioning. Complete with cables and remote control (for stimulation mode). Electrodes need to be specified separately. This generator is available in Japan Upgrade to Pulsed RF (for / V) Upgrade of Leksell Neuro Generator to include Pulsed Radiofrequency mode. The upgrade includes software and front panel exchange

70 Leksell Neuro Generator Quick Reference Guide, Leksell Neuro Generator with Pulsed RF An eight-page plasted Quick Instruction for the use of Leksell Neuro Generator with Pulsed Mode Quick Reference Guide, Leksell Neuro Generator A six-page plasted Quick Instruction for the use of Leksell Neuro Generator Neutral Plate for Leksell Neuro Generator Neutral Plate for Leksell Neuro Generator. Article number is for one Neutral Plate. Minimum order quantity is in multiples of 5 pcs

71 Leksell Neuro Generator Adjustable Micrometric Stop Adjustable Micrometric Stop can be used as a replacement of the standard instrument stop insert during stereotactic procedures. It provides a means of moving electrodes in controlled steps of 0.1 mm with a maximum range of +/- 5mm. It contains three holes suitable for electrodes with a diameter of 2.2 mm. The center to center distance between the holes is 3 mm. A Foot Switch for Bipolar Forceps Foot switch for use with bipolar forceps and Leksell Neuro Generator

72 Leksell Neuro Generator Brain Lesion Electrode Kits Brain Lesion Electrodes, Monopolar, Kit The Monopolar Brain Lesion Electrodes Kit consists of monopolar electrodes in three different tip diameters and tip lengths. Impedance monitoring, stimulation and RF-lesioning are performed with the same electrode Consists of Lesion Electrode, Monopolar / Tip 1 x 2 mm Lesion Electrode, Monopolar / Tip 1 x 4 mm Lesion Electrode, Monopolar / Tip 2 x 4 mm Stop Insert with Triple Hole for 2.2 mm electrodes Guide Insert with Triple Hole for 2.2 mm electrodes Cable for Monopolar Electrode Sterilizing Tray Instruction for Use, Brain Lesion Electrodes Instructions for Use, Stop and Guide Insert, with triple hole Brain Lesion Electrodes, Monopolar, Kit, Dual use The kit with Monopolar Electrodes for Dual use, consists of three pairs of monopolar electrodes with different tip diameters and tip lengths. The electrodes are to be used in pairs creating lesions in the region between the electrode tips Consists of Lesion Electrode, Monopolar / Tip 1 x 2 mm Lesion Electrode, Monopolar / Tip 1 x 4 mm Lesion Electrode, Monopolar / Tip 2 x 4 mm Stop Insert with Triple Hole for 2.2 mm electrodes Guide Insert with Triple Hole for 2.2 mm electrodes Cable for Dual Monopolar Electrodes Cable for Monopolar Electrode Sterilizing Tray Instruction for Use, Brain Lesion Electrodes Instructions for Use, Stop and Guide Insert, with triple hole

73 Leksell Neuro Generator Brain Lesion Electrode Kits Brain Lesion Electrodes, Bipolar, Kit The Bipolar Brain Lesion Electrodes Kit consists of bipolar electrodes in two different tip diameters and tip lengths. Impedance monitoring, stimulation and RF-lesioning are performed with the same electrode Consists of Lesion Electrode, Bipolar / Tip 1 x 2 x 2 mm Lesion Electrode, Bipolar / Tip 2 x 2 x 2 mm Stop Insert with Triple Hole for 2.2 mm electrodes Guide Insert with Triple Hole for 2.2 mm electrodes Cable for Bipolar Electrode Sterilizing Tray Instruction for Use, Brain Lesion Electrodes Instructions for Use, Stop and Guide Insert, with triple hole Brain Lesion Electrode, 2 x 2, Monopolar, Kit The Monopolar Brain Lesion Electrode Kit (2.2 x 2.0 ) includes one monopolar electrode. The entire electrode has a diameter of 2.2 mm. The impedance monitoring, stimulation and RF-lesioning are performed with the same electrode Consists of Lesion, Electrode, Monopolar / Tip 2 x 2 mm Stop Insert with Triple Hole for 2.2 mm electrodes Guide Insert with Triple Hole for 2.2 mm electrodes Cable for Monopolar Electrode Sterilizing Tray Instruction for Use, Brain Lesion Electrodes Instructions for Use, Stop and Guide Insert, with triple hole

74 Leksell Neuro Generator Brain Lesion Electrodes Monopolar Brain Lesion Electrodes Monopolar Brain Lesion Electrodes for stimulation, impedance measurement and lesioning. Outer diameter of electrode is 2.2 mm. Tip diameter and tip length varies between the products as specified in product name. Monopolar Lesion Electrodes Lesion Electrode, Monopolar, Tip 1x2 mm Lesion Electrode, Monopolar, Tip 1x3 mm Lesion Electrode, Monopolar, Tip 1x4 mm Lesion Electrode, Monopolar, Tip 2x4 mm Lesion Electrode Hariz, Monopolar, Tip 1.5x2 mm Lesion Electrode, Monopolar, Tip 2x2 mm

75 Leksell Neuro Generator Brain Lesion Electrodes MicroDrive Bipolar Lesion Electrode Kit, Tip 1.3x1.5x1.5 mm Bipolar macro electrode for macro-stimulation & bipolar lesioning using Leksell Neuro Generator & Elekta MicroDrive. Tip D 1.3 mm, active tip L=1.5 mm, neutral pole L =1.5 mm, tip section length 25 mm, OD=1.65 mm, L=255 mm Lesion Electrode, Bipolar / Tip 1 x 2 x 2 mm One Bipolar Brain Lesion Electrode for stimulation, impedance measurement and lesioning. Tip diameter = 1 mm and tip length = mm. Outer diameter 2.2 mm Lesion Electrode, Bipolar / Tip 2 x 2 x 2 mm One Bipolar Brain Lesion Electrode for stimulation, impedance measurement and lesioning. Tip diameter = 2 mm and tip length = mm. Outer diameter 2.2 mm Stop Insert with Triple Hole for 2.2 mm electrodes A stop insert with three holes with 2.2 mm diameter and 3 mm hole distance.the stop ensures that the electrode tip is at the target. The inserts are graduated to allow an angle to be set when the electrodes are used in parallel pairs

76 Leksell Neuro Generator Brain Lesion Electrodes Guide Insert with Triple Hole for 2.2 mm electrodes A guide insert with three holes with 2.2 mm diameter and 3 mm hole distance. The guide insert ensures that the electrode follows a straight trajectory to the target Stop Insert with Triple Hole for 1.5 mm electrodes A stop with three holes for 1.5 mm Electrode Guide Insert with Triple Hole for 1.5 mm electrodes A guide with three holes for 1.5 mm Electrode

77 Leksell Neuro Generator Pain Electrode Kits Pain electrodes, Short Kit Fine electrodes with a length of 69.0 mm and a diameter of 0.4 mm. Including cable and sterile tray. Cannulas are not included in the kit, and need to be ordered separately Consists of Pain Electrode, Short Cable for Monopolar Electrode Sterilizing Tray/Pain Instructions for Use, TC Pain Electrodes and RF Cannulas Pain electrodes, Medium long Kit Fine medium length electrodes with a length of mm and a diameter 0.4 mm. Cable and sterile tray is included. Cannulas are not included in the kit, and need to be ordered separately Consists of Pain Electrode, Medium Cable for Monopolar Electrode Sterilizing Tray/Pain Instructions for Use, TC Pain Electrodes and RF Cannulas Pain electrodes, Long Kit Fine long electrodes with a length of mm and a diameter of 0.55 mm. Cable and sterile tray is included. Cannulas are not included in the kit, and need to be ordered separately Consists of Pain Electrode, Long Cable for Monopolar Electrode Sterilizing Tray/Pain Instructions for Use, TC Pain Electrodes and RF Cannulas

78 Leksell Neuro Generator Pain Electrode Kits Drez Electrode Kit Electrode is used with Leksell Neuro Generator for lesioning. Electrode tip L= 2.0mm, D= 0.25mm, electrode insulation L= 114mm, D=0.6mm, guide cannula L=100mm. Stainless steel guide cannula enables rigid hand-holding of electrode. The maximum depth of penetration (2 mm) is assured by the shoulder of the electrode insulation Consists of Drez Electrode Sterilizing Tray/Pain Cable for Monopolar Electrode Instructions for Use, TC Pain Electrodes and RF Cannulas

79 Leksell Neuro Generator Pain Electrodes, Cannulas & Cables Pain Electrode, Long Electrode (stainless steel) length mm and diameter 0.55 mm. To be used with Leksell Neuro Generator, monopolar cable and long cannulas Pain Electrode, Medium Electrode (stainless steel) length mm and diameter 0.4 mm. To be used with Leksell Neuro Generator, monopolar cable and Medium Cannulas Pain Electrode, Short Electrode (stainless steel) length 69.0 mm and diameter 0.4 mm. To be used with Leksell Neuro Generator, monopolar cable and Short cannulas Drez Electrode The DREZ electrode is used for lesioning with Leksell Neuro Generator. Electrode tip L = 2.0 mm, D = 0.25 mm, Electrode insulation L = 114 mm, D = 0.6 mm, Guide cannula L = 100 mm. Maximum depth of penetration (2 mm) is assured by the shoulder of the electrode insulation, and the stainless steel guide cannula may be adjusted 0-10 mm from the electrode tip Cannula, Long, 5 mm tip (20G) Disposable Cannula, long with a 5 mm tip, constructed of plastic and insulated. Article number is a set of 10 pcs individually packed. To be used with Pain Electrode, Long

80 Leksell Neuro Generator Pain Electrodes, Cannulas & Cables Cannula, Long, 2 mm tip (20G) Disposable Cannula, long length with a 2 mm tip, constructed of plastic and insulated. Article number is a set of 10 pcs individually packed. To be used with Pain Electrode, Long Cannula, Medium, 5 mm tip (22G) Disposable Cannula, medium length with a 5 mm tip, constructed of plastic and insulated. Article number is a set of 10 pcs individually packed. To be used with Pain Electrode, Medium Cannula, Medium, 2 mm tip (22G) Disposable Cannula, medium length with a 2 mm tip, constructed of plastic and insulated. Article number is a set of 10 pcs individually packed. To be used with Pain Electrode, Medium Cannula, Short, 4 mm tip (22G) Disposable Cannula, short length with a 4 mm tip, constructed of plastic and insulated. Article number is a set of 10 pcs individually packed. To be used with Pain Electrode, Short

81 Leksell Neuro Generator Pain Electrodes, Cannulas & Cables Curved Cannula, Medium, 10 mm tip (22 G), Sharp Disposable curved cannula, medium length with a 10 mm sharp tip. The curved cannulas provide easy access and guidance through the tissue. The curve direction and bevel opening are easily identified by markings on the hub. To be used with Pain Electrode, Medium. Set of 10 pcs individually packed Curved Cannula, Medium, 10 mm tip (22G), Blunt Disposable curved cannula, medium length with a 10 mm blunt tip. The curved cannulas provide easy access and guidance through the tissue. The blunt tip minimizes potential injury to critical structure and enables anesthesia injection to target tissue through a port on the side of the tip. To be used with Pain Electrode, Medium. Set of 10 pcs individually packed Curved Cannula, Long, 10 mm (20G), Sharp Disposable curved cannula, long with a 10 mm sharp tip. The curved cannulas provide easy access and guidance through the tissue. The curve direction and bevel opening are easily identified by markings on the hub. To be used with Pain Electrode, Long. Set of 10 pcs individually packed Curved Cannula, Long, 10 mm tip (20G), Blunt Disposable curved cannula, long with a 10 mm sharp tip. The curved cannulas provide easy access and guidance through the tissue. The blunt tip minimizes potential injury to critical structure and enables anesthesia injection to target tissue through a port on the side of the tip. To be used with Pain Electrode, Long. Set of 10 pcs individually packed

82 Leksell Neuro Generator Pain Electrodes, Cannulas & Cables Cable for Monopolar Electrode Electrode cable with a two pin connector used to connect a single electrode to Leksell Neuro Generator Cable for Dual Monopolar Electrodes Electrode cable used to connect two monopolar electrodes simultaneously to Leksell Neuro Generator Cable for Bipolar Electrode Electrode cable with a three pin connector used to connect a single bipolar electrode to Leksell Neuro Generator

83 Stereotactic Radiosurgery with Linac - Frame accessories Leksell Frame Holder The Leksell Frame Holder secures the Leksell Coordinate Frame G to the patient supporting system at the planning and delivery stage to ensure accurate target localization and positioning. Also known as part no MRT 9651 Target Positioner The Target Positioner provides a coordinate grid for alignment of the head frame to linac treatment beam using room lasers thereby assisting accurate positioning. Scales on side plates indicate X, Y and Z values. Individual marker sheets can be used for checking field shape. To be used both with Elekta Esarte Frame and Leksell Coordinate Frame G. Also known as part number MRT 9731 Consists of Front Plate set, Target Positioner Left Side Plate set, Target Positioner Right Side Plate set, Target Positioner Attachment Clip, 4 pcs Marker Sheet Kit Open CT Indicator The Open CT Indicator is used with Leksell Coordinate Frame G during CT scanning for target localization in stereotactic neurosurgery, radiosurgery or stereotactic radiotherapy. It has an open top enabling lower frame mount Consists of Open CT Indicator plate, Right Side Open CT Indicator plate, Left Side Open CT Indicator plate, Anterior CT Adapter 3D Base The CT Adapter 3D base enables an interface between the Elekta Esarte Frame and the Leksell Coordinate Frame G via the Frame Holder, to the CT tabletop. The base has unique rotation, tilt and twist movement (3D) capability so that movements available at the digital accelerator during treatment are simulated during CT scanning. Also known as part no MRT

84 Stereotactic Radiosurgery with Linac - Frame accessories CT Scanner Table Fixation CT Scanner Table Fixation supporting use of the Elekta Esarte Frame and the Leksell Coordinate Frame G in a CT Scanner. Please specify your CT Scanner model when ordering a table fixation. MRT 9621 CT Overlay Adapter Kit CT adapter for indexed CT overlay with Lok-bar. To be used with Elekta Esarte frame or with Leksell G frame in combination with Leksell Frame Holder. The CT Overlay Adapter Kit includes a CT Overlay adapter and a height compensation plate.the function of the adapter and the height compensation plate is to put the frame and CT indicator in the correct position and orientation in the CT scanner when you use CT overlay. They also make sure that the position and orientation can be accurately reproduced for subsequent imaging CT Overlay Adapter CT adapter for indexed CT overlay with Lok-bar. To be used with Elekta Esarte frame or with Leksell G frame in combination with Leksell Frame Holder Tabletop Adapter Leksell Coordinate Frame G is secured to the treatment tabletop by various tabletop adapters depending on your treatment table. The tabletop adapters are available with 0 degree of freedom (0DoF) and 2 degree of freedom (2DoF) in order to align the patient to the lasers. The interface between Leksell Coordinate Frame G and the tabletop adapter is Leksell Frame Holder. Adapter Linac Tabletop Adapter ibeam (2DoF) MRT Linac Tabletop Adapter ibeam (0DoF) MRT Linac Tabletop Adapter ibeam evo (2DoF) MRT Linac Tabletop Adapter ibeam evo (0 DoF) MRT Linac Tabletop Adapter Varian Exact (2DoF) MRT Linac Tabletop Adapter Varian Exact (0DoF) MRT Elekta Accelerator Table Top Fixation (Precise) MRT

85 85

86 86

87 Gamma Knife Radiosurgery 87

88 Gamma Knife Radiosurgery Leksell Gamma Knife Perfexion Extend System Extend System for Leksell Gamma Knife Perfexion Extend System enables fractionated treatments with Leksell Gamma Knife Perfexion. The non-invasive repeat fixation device is based on a vacuum assisted mouthpiece. Extend System is a fully integrated solution for Leksell Gamma Knife Perfexion Consists of Extend Frame Extend Front Piece Patient Control Unit Extend License for Leksell Gamma Plan Extend Vacuum Cushion 1L (5 pcs) Extend Vacuum Cushion 1.5L (3 pcs) Extend Mouth Piece kit Extend Patient Preparation kit Extend Dental kit Extend On-site Application Training

89 Gamma Knife Radiosurgery Leksell Gamma Knife Perfexion Accessories for Extend System Extend Frame Carbon fiber frame with headsupport for use with Extend System Extend Front Piece Front Piece for use with Extend Frame, including: Bottom plate X-Z sliding plate Top plate Clamp Securing screws Patient Control Unit Patient Control Unit (PCU) for use with Extend System, including vacuum pump with vacuum surveillance, probes for repositioning verification and patient alert Extend CT Overlay Adapter CT adapter for indexed CT overlays with Lok-Bar. To be used with Extend Frame

90 Gamma Knife Radiosurgery Leksell Gamma Knife Perfexion Accessories for Extend System Extend CT Overlay Adapter Kit CT adapter (art nr ) and Height Compensation Plate (art nr ) for indexed CT overlays with Lok-Bar. To be used with Extend frame Extend Dental Kit The kit contains dental impression material (20 pcs), adhesive and saliva stop (20 pcs) for use with PCU article Extend Dental Kit The kit contains dental impression material (20 pcs), adhesive and saliva stop (20 pcs) for use with PCU article Extend Mouth Piece Kit A variety of 5 different mouth piece sizes are provided for the most optimum patient comfort and safety. The kit includes: 10 pcs medium 5 pcs each of small and large 3 pcs each of small-p2 and X-large-P

91 Gamma Knife Radiosurgery Leksell Gamma Knife Perfexion Accessories for Extend System Extend Mouth Piece Small-P2 (3 pcs) Three mouthpieces for use with Extend System. Extend Mouth Pieces Extend Mouth Piece Small-P2 (3 pieces) Extend Mouth Piece Small (5 pieces) Extend Mouth Piece Medium (5 pieces) Extend Mouth Piece Large (3 pieces) Extend Mouth Piece X-Large-P2 (3 pieces)

92 Gamma Knife Radiosurgery Leksell Gamma Knife Perfexion Accessories for Extend System Saliva Stop (20 pcs) The saliva stop includes patient specific tubing connecting the mouthpiece to the Patient Control Unit article Salvia Stop (20 pcs) The saliva stop includes patient specific tubing connecting the mouthpiece to the Patient Control Unit article Extend Vacuum Cushion 1L (5 pcs) Vacuum cushion for Extend Frame Extend Vacuum Cushion 1.5L (3 pcs) Vacuum cushion for Extend Frame

93 Leksell Gamma Knife Perfexion Accessories for Extend System Storage Box (5 pcs) For storage of the patient specific items when using Extend System Gamma Knife Radiosurgery Extend Patient Preparation Kit The kit includes one(1) Mixer and Dispenser ( ), five(5) Storage boxes ( ) and one(1) Extend torque wrench ( ) Mixer and Dispenser Extruder gun to mix and apply dental impression material to the mouthpiece. To be used with Extend System Extend Torque Wrench Torque wrench with pre-set torque for locking the Extend Front Piece assembly

94 Gamma Knife Radiosurgery Leksell Gamma Knife Perfexion Accessories for Extend System Saliva Stop Holder (3 pcs) For use with Saliva Stop article Saliva Stop Holder (3 pcs) For use with Saliva Stop article Saliva Stop for PCU (5 pcs) For use with Patient Control Unit article Filter for Patient Control Unit (10 pcs) For use with Patient Control Unit article

95 Leksell Gamma Knife Perfexion Frame Accessories Leksell Coordinate Frame G Kit with Insulated Posts and 40 TFS The Frame is an unsurpassed 3D reference and positioning system for imaging, stereotactic neurosurgery and Gamma Knife surgery. This kit includes a full set of Titanium Pins and Insulated Fixation Posts, for use in MRI and CT scanners Gamma Knife Radiosurgery Consists of Leksell Coordinate Frame G Insulated Fixation Posts, Anterior - One pair Insulated Fixation Posts, Short Posterior - One pair Insulated Fixation Posts, Long Posterior - One pair Disposable Inserts Fixation Screws, Titanium, kit of 20 pairs Ear Plug Holders - One Pair Ear Plug Instrument Screw Driver, Double Front Piece Screws M4x10 Titanium, Kit of 4 pcs Sterilizing Tray for G Frame Kit Quick Reference Guide, Leksell Coordinate Frame G Instructions for Use, Leksell Stereotactic System Leksell Coordinate Frame G Kit with Insulated Posts and 40 RFS Simplicity, versatility and accuracy have made Leksell Stereotactic System one of the most widely used stereotactic systems in the world. This kit has Aluminum Reusable Pins and Insulated Fixation Posts, for use in MRI and CT scanners Consists of Leksell Coordinate Frame G Insulated Fixation Posts, Anterior - One pair Insulated Fixation Posts, Short Posterior - One pair Insulated Fixation Posts, Long Posterior - One pair Disposable Inserts Reusable Fixation Screws, Al, kit of 20 pairs Ear Plug Holders - One Pair Ear Plug Instrument Screw Driver, Double Front Piece Screws M4x10 Titanium, Kit of 4 pcs Sterilizing Tray for G Frame Kit Quick Reference Guide, Leksell Coordinate Frame G Instructions for Use, Leksell Stereotactic System

96 Gamma Knife Radiosurgery Leksell Gamma Knife Perfexion Frame Accessories Leksell Coordinate Frame G Leksell Coordinate Frame G with Straight and Curved Front Piece. The frame is engineered and manufactured in a way which enables ease of use in conjunction with most presently available imaging techniques. Includes Instructions for Use, Leksell Stereotactic System ( ) and Quick Reference Guide, Leksell Coordinate Frame G (014611)

97 Leksell Gamma Knife Perfexion System Accessories Frame Cap The frame cap is used during patient preparation for a treatment with Leksell Gamma Knife Perfexion. It is intended as a quick measurement tool to facilitate a smooth workflow Gamma Knife Radiosurgery Skull Scaling Instrument Skull Scaling instrument is used to calculate the distance between the center of the Leksell stereotactic space and the surface of the patient s skull for Leksell Gamma Knife treatment planning. A Frame Adapter Frame adapter for Leksell Gamma Knife Perfexion

98 Gamma Knife Radiosurgery Leksell Gamma Knife Perfexion Quality Assurance Tools Leksell Gamma Knife Dosimetry Phantom The Dosimetry Phantom is used for accurately measure absorbed dose and dose rate in Leksell Gamma Knife Film Holder Tool The Film Holder Tool is used for measuring the dose delivery accuracy in Leksell Gamma Knife by comparing the location of the patient positioning system calibration center point and the radiological focus point within the treatment unit

99 Leksell Gamma Knife 4C/C/4 Frame Accessories Leksell Coordinate Frame G-APS Kit with Insulated Posts Frame kit for Leksell Gamma Knife C with Insulated Fixation Posts, Titanium Pins and 4 boxes of disposable inserts (25x4) for use in MRI and CT scanners. Leksell frame is an unsurpassed 3D reference and positioning system for imaging, stereotactic neurosurgery and Gamma Knife surgery Gamma Knife Radiosurgery Leksell Coordinate Frame G-APS Kit with Insulated Posts and 40 RFS Frame kit for Leksell Gamma Knife C with Insulated Fixation Posts, Reusable Aluminum Pins and 4 boxes of disposable inserts (25x4) for use in MRI and CT scanners. Leksell frame is an unsurpassed 3D reference and positioning system for imaging, stereotactic neurosurgery and Gamma Knife surgery Leksell Coordinate Frame G for Leksell Gamma Knife C Leksell Coordinate Frame G is engineered and manufactured in a way which enables ease of use in conjunction with most presently available imaging techniques. This is the base frame that docks into the Automatic Positioning System and it includes both the straight and curved front pieces. Instructions for Use, Leksell Stereotactic System ( ) and Quick Reference Guide, Leksell Coordinate Frame G (014611) are also included in the kit Z Slides, Long, set of two Allows more superior Z-coordinates than Z=40 to be set on the Z-slider. The long Z-slide allows the setting of Z-coordinates as superior as Z=25. Set consisting of two slides

100 Gamma Knife Radiosurgery Leksell Gamma Knife 4C/C/4 Frame Accessories Y/Z Slides, Standard, set of two, incl. IFU 1 set of Y/Z slides for coordinate setting in trunnion treatment Screw 4x10, 4 pcs Screw package consisting of Allen Screws 4 x 10 mm in Stainless Steel - 10 pcs (Part no ) for YZ slides YZ Slides spare part kit Spare part kit for Y/Z Slide consisting of: 2 Locking Pieces for Y-Slide, 2 Locking Pieces for Slide, 2 Screws MC6S M4x8 and 2 Screws to Z-Slide Extender for Frame G-APS The Extender is an accessory for the Frame G-APS that enables a second position of the frame in the collimator helmet providing additional treatment volume in the parts of the brain Extender for Frame G-APS, Screw Spare part kit Spare part kit for Extender for Frame G-APS consists of 4 Screws for Extender

101 Gamma Knife Radiosurgery Leksell Gamma Knife 4C/C/4 System Accessories XtndX With XtndX the X-coordinates can be set as low as 38 mm and as high as 162 mm, further enhancing the functionality of Leksell Gamma Knife by increasing treatable volume Spare part kit for XtndX Kit consists of 16 Spare screws for Z-slide, 8 Locking pieces for Z-slide, 4 Spare screws for Y-slide and2 Locking pieces for Y-slide Skull Scaling Instrument Skull Scaling instrument is used to calculate the distance between the center of the Leksell stereotactic space and the surface of the patient s skull for Leksell Gamma Knife treatment planning. A Helmet Cap The new helmet cap is designed to allow treatment of more inferior lesions than the previous one

102 Gamma Knife Radiosurgery Leksell Gamma Knife 4C/C/4 Quality Assurance Tools Leksell Gamma Knife Dosimetry Phantom The Dosimetry Phantom is used for accurately measure absorbed dose and dose rate in Leksell Gamma Knife Film Holder Tool The Film Holder Tool is used for measuring the dose delivery accuracy in Leksell Gamma Knife by comparing the location of the patient positioning system calibration center point and the radiological focus point within the treatment unit Radiation Phantom with Cassettes The Radiation Phantom with Cassettes is used for calibrating the absorbed dose rate of Leksell Gamma Knife. A QA Film Holder Filmholder for Leksell Gamma Knife center point measurement. A

103 General Accessories Frame Fixation Posts and Fixation Screws Insulated Fixation Posts Kit Insulated Fixation Posts effectively insulate the fixation screw from the post and provide a sterile, single-use interface between patient and frame. For MRI as well as CT scanning. Locking screws and locking pieces are included in the kit Gamma Knife Radiosurgery Consists of Insulated Fixation Posts, Anterior - One pair Insulated Fixation Posts, Short Posterior - One pair Insulated Fixation Posts, Long Posterior - One pair Disposable Inserts Insulated Fixation Post Kit, Medium Posterior Posterior Insulated Fixation Posts in medium length for cases when the long posterior posts are too long. For MRI as well as CT scanning. Includes 2 locking pieces and 2 locking screws Consists of Insulated Fixation Posts Medium Posterior - One pair Disposable Inserts Insulated Curved Posts kit Treatable volume is further increased when using Insulated Curved Posts in Leksell Gamma Knife, which may provide an increased value of up to a few centimeters in certain directions. For MRI as well as CT scanning. Two posts and locking screws are included in the kit Consists of Disposable Inserts Insulated Curved Posts - One pair Insulated Angled Fixation Posts Kit, 5º Insulated Angled Posts with screw hole angulation of 5 degrees. Insulated Fixation Posts effectively insulates the fixation screw from the post and provide a sterile, single-use interface between patient and frame, using a disposable plastic insert. For MRI as well as CT scanning. Kit consists of 1 Insulated Post Anterior + 5 degrees, 1 Insulated Post Anterior -5 degrees, 2 Locking Screws and 2 Locking Pieces

104 Gamma Knife Radiosurgery General Accessories Frame Fixation Posts and Fixation Screws Insulated Angled Fixation Posts Kit, 10º Insulated Angled Posts with screw hole angulation of 10 degrees. Insulated Fixation Posts effectively insulates the fixation screw from the post and provide a sterile, single-use interface between patient and frame, using a disposable plastic insert. For MRI as well as CT scanning. Kit consists of 1 Insulated Post Anterior + 10 degrees, 1 Insulated Post Anterior -10 degrees, 2 Locking Screws and 2 Locking Pieces Insulated Angled Fixation Posts Kit, 15º Insulated Angled Posts with screw hole angulation of 15 degrees. Insulated Fixation Posts effectively insulates the fixation screw from the post and provide a sterile, single-use interface between patient and frame, using a disposable plastic insert. For MRI as well as CT scanning. Kit consists of 1 Insulated Post Anterior + 15 degrees, 1 Insulated Post Anterior -15 degrees, 2 Locking Screws and 2 Locking Pieces Disposable Inserts 1 box with 25 x 4 pieces of sterile inserts to be used with insulated fixation posts. The inserts are delivered sterile and pre-packed four and four in small pouches Fixation Posts Kit A set of 2 Anterior, 2 Short Posterior and 2 Long Posterior Fixation Posts for Leksell Stereotactic System, including locking screws and locking pieces. These posts are for framebased CT or X-Ray only Consists of Fixation Posts, Anterior - One pair Fixation Posts, Short Posterior - One pair Fixation Posts, Long Posterior - One pair

105 General Accessories Frame Fixation Posts and Fixation Screws Fixation Posts Medium Posterior - One pair Two posterior fixation posts in medium length for cases when the long posterior posts are too long. Includes two locking screws and two locking pieces. These posts are for framebased CT or X-Ray only Gamma Knife Radiosurgery Curved Fixation Posts Kit The Curved Posts for Leksell Stereotactic System are primarily intended for use with Leksell Gamma Knife. The posts are designed to increase the treatable volume by using a closer mount to the patient s skull. These posts are for framebased CT or X-Ray only. The kit includes two posts with attachment screws

106 Gamma Knife Radiosurgery General Accessories Frame Fixation Posts and Fixation Screws Fixation Screws, Titanium, kit of 20 pairs Long lasting and durable fixation screws with a female hexagonal design enables an expanded treatment volume in Leksell Gamma Knife and increased ease-of-use in tight MR head coils. Always use Insulated Fixation Posts during MRI scanning Consists of Titanium Fixation Screw, 20 mm Titanium Fixation Screw, 22,5 mm Titanium Fixation Screw, 25 mm Titanium Fixation Screw, 27,5 mm Titanium Fixation Screw, 30 mm Titanium Fixation Screw, 32,5 mm Titanium Fixation Screw, 35 mm Titanium Fixation Screw, 37,5 mm Titanium Fixation Screw, 40 mm Titanium Fixation Screw, 42,5 mm Titanium Fixation Screw, 45 mm Titanium Fixation Screw, 50 mm Titanium Fixation Screw, 55 mm Titanium Fixation Screw, 60 mm Titanium Fixation Screw, 65 mm Titanium Fixation Screw, 70 mm Titanium Fixation Screw, 75 mm Titanium Fixation Screw, 80 mm Titanium Fixation Screw, 90 mm Titanium Fixation Screw, 110 mm Sterilization Case Fixation Screws Fixation Screws, Titanium, kit of 5 pairs The screw has a hexagonal socket. This enables flush mount with the frame posts combined with maximum frame stability. The finest medical grade titanium enables extended lifetime Consists of Titanium Fixation Screw, 40 mm Titanium Fixation Screw, 45 mm Titanium Fixation Screw, 50 mm Titanium Fixation Screw, 55 mm Titanium Fixation Screw, 65 mm

107 General Accessories Frame Fixation Posts and Fixation Screws Reusable Fixation Screws, Al, kit of 20 pairs Reusable Fixation Screw ensures quick and rigid skull fixation without compromising imaging quality. Reusable Fixation Screws are made of coated hard aluminum. The low density and non magnetic properties of the Reusable Fixation Screw makes it the optimum choice in scanning procedures such as MR and CT. Reusable Fixation Screws have female hexagonal sockets. This set consists of 20 pairs of reusable screws in various lengths. Expected life length is one year Gamma Knife Radiosurgery Consists of Reusable Fixation Screw, L= 20 mm Reusable Fixation Screw, L= 22,5 mm Reusable Fixation Screw, L= 25 mm Reusable Fixation Screw, L= 27,5 mm Reusable Fixation Screw, L= 30 mm Reusable Fixation Screw, L= 32,5 mm Reusable Fixation Screw, L= 35 mm Reusable Fixation Screw, L= 37,5 mm Reusable Fixation Screw, L= 40 mm Reusable Fixation Screw, L= 42,5 mm Reusable Fixation Screw, L= 45 mm Reusable Fixation Screw, L= 50 mm Reusable Fixation Screw, L= 55 mm Reusable Fixation Screw, L= 60 mm Reusable Fixation Screw, L= 65 mm Reusable Fixation Screw, L= 70 mm Reusable Fixation Screw, L= 75 mm Reusable Fixation Screw, L= 80 mm Reusable Fixation Screw, L= 90 mm Reusable Fixation Screw, L= 110 mm Sterilization Case Fixation Screws Reusable Fixation Screws, Al, kit of 5 pairs Reusable Fixation Screws are made of coated hard aluminum. The low density and non magnetic properties of the Reusable Fixation Screw makes it the optimum choice in scanning procedures such as MR and CT. Reusable Fixation Screws have female hexagonal sockets. This set consists of 5 pairs of screws. Expected life length is one year Consists of Reusable Fixation Screw, L= 40 mm Reusable Fixation Screw, L= 45 mm Reusable Fixation Screw, L= 50 mm Reusable Fixation Screw, L= 55 mm Reusable Fixation Screw, L= 60 mm

108 Gamma Knife Radiosurgery General Accessories Frame Fixation Posts and Fixation Screws Disposable Fixation Screws, Al, kit of 13 pairs Disposable Fixation Screws are used to affix Leksell Coordinate Frame G firmly to the patient s skull e.g. when cross-contamination is a concern. These single-use fixation screws are made of aluminum. This kit consists of 13 pairs of disposable screws in various lengths. A Consists of Disposable Fixation Screw, L= 25 mm Disposable Fixation Screw, L= 30 mm Disposable Fixation Screw, L= 35 mm Disposable Fixation Screw, L= 40 mm Disposable Fixation Screw, L = 45 mm Disposable Fixation Screw, L= 50 mm Disposable Fixation Screw, L= 55 mm Disposable Fixation Screw, L= 60 mm Disposable Fixation Screw, L = 65 mm Disposable Fixation Screw, L= 70 mm Disposable Fixation Screw, L= 75 mm Disposable Fixation Screw, L= 80 mm Disposable Fixation Screw, L = 90 mm Instrument Screw Driver, Double Improved design limiting the screw driver from rolling off the sterile table. Universal instrument screw driver for fixation of posts, coordinate settings and for fixation of Titanium and Reusable Fixation Screws Socket Wrench Socket wrench to be used together with Quick Fixation Screws and Disposable Fixation Screws to secure the frame to the patient s head. Two socket wrenches are needed for safe fixation of the frame

109 Gamma Knife Radiosurgery Leksell GammaPlan Leksell GammaPlan for Perfexion Leksell GammaPlan is a sophisticated treatment planning software providing enhanced, user-friendly management of the advanced technology incorporated into Leksell Gamma Knife Perfexion

110 Gamma Knife Radiosurgery Leksell GammaPlan Connectivity with MOSAIQ Leksell Gamma Knife Perfexion now communicates seamlessly with MOSAIQ, Elekta s comprehensive Oncology Information System IQRO Leksell GammaPlan Inverse Planning This software add-on enables fast automatic planning. It consists of two key independent functions -filling and optimization - which affect the critical activities of dose distribution and plan optimization Leksell GammaPlan Convolution Convolution is an accelerated multi-beam convolution algorithm that models build-up effects and takes inhomogeneity of material into account. Convolution dose engine is specifically designed to rapidly generate dose plans with heterogeneity correction (for inhomogeneous tissue, such as tissue-air and tissue-bone interfaces). It is highly adapted to Leksell Gamma Knife Leksell GammaPlan DICOM-RT DICOM-RT provides an exclusive possibility to share treatment information with any software supporting DICOM-RT (Treatment Planning Systems, PACS) Leksell GammaPlan WarpSpeed Real-time dose planning WarpSpeed provides interactive dose planning for unparalleled dose control with unmatched speed through instant updates

111 Gamma Knife Radiosurgery Leksell GammaPlan Leksell GammaPlan Re-Treatment Re-Treatment add-on offers significant benefits before and after an initial treatment. In addition, you gain more efficient scheduling and optimal workflow on the day of treatment, while also enhancing the safety and confidence of additional treatments Leksell GammaPlan ImageMerge ImageMerge facilitates better interpretation by enabling the co-registration of image studies with one other Leksell GammaPlan ColorPET Support for co-registration of PET images and display of PET images using color tables. Note. Requires an ImageMerge license Leksell GammaPlan AtlasSpace AtlasSpace is based on the three original series of the Schaltenbrand & Wahren atlas* it offers a combination of sophisticated 3-D matching, overlay of atlas contours on patient images, and interactive selection of displayed atlas contours. It increases confidence and ease of use by facilitating interpretation of patient images and identification of correct targets. * George Thieme Verlag, Stuttgart/New York

112 Gamma Knife Radiosurgery Leksell GammaPlan Leksell GammaPlan Functional Planning Leksell GammaPlan offers dedicated capabilities for formula based planning. The AC-PC line can easily be defined whether or not it lies within a single image plane

113 113

114 114

115 Magnetoencephalography (MEG) 115

116 Elekta Neuromag Magnetoencephalography Elekta Neuromag TRIUX Elekta Neuromag TRIUX Elekta Neuromag TRIUX is a state-of-the-art magnetoencephalography platform that raises functional mapping to the next level. Elekta Neuromag TRIUX addresses key MEG requirements that are critical for robust functional mapping studies. NM23900N 32-channel EEG system An integrated 32-channel EEG system and accessories. NM23904N 64-channel EEG system An integrated 64-channel EEG system and accessories. NM23889N 128-channel EEG system An integrated 128-channel EEG system and accessories. NM23121N 116

117 Elekta Neuromag Magnetoencephalography Magnetic shielding MaxShield MaxShield is high-performance magnetic shielding system for Elekta Neuromag TRIUX. MaxShield provides structurally optimal passive shielding and readiness for internal active shielding for highly effective yet lightweight magnetic shielding. NM23009N Two-layer magnetic shield A passive, magnetically shielded room with alternating layers of Permalloy (two layers) and aluminum (one layer). Please notice that this item includes site planning service. NM23122N External active shielding system The External active shielding system is a noise cancellation technology designed for protecting magnetometer systems from environmental interferences. Combined with a magnetically shielded room, external active shielding provides additional protection against magnetic field distortions arising from distant sources without additional weight or size. NM23040N 117

118 Elekta Neuromag Magnetoencephalography Cryogenic accessories Standalone helium liquefier interface Standalone helium liquefier interface is an optional solution for connecting standalone third-party helium liquefiers to compatible Elekta Neuromag MEG systems. NM24826N 118

119 Elekta Neuromag Magnetoencephalography Patient support Patient chair Adjustable patient chair with accessories for comfortable seated measurement position. NM23124N Patient couch Patient couch for the supine measurement position NM23125N Pediatric child insert A booster seat and neck collar for pediatric patients. BC20899N 119

120 Elekta Neuromag Magnetoencephalography Data analysis Data analysis software A comprehensive analysis suite for magnetoencephalographic and electroencephalographic data acquired with Elekta Neuromag. Available as site license with up to 100 workstations (NM23126N) and single-node license (NM23321N). NM23408N Data analysis workstation A high-end graphical workstation for data analysis. NM20998N Color printer A network-enabled color printer for the analysis system. NM23131N 120

121 Elekta Neuromag Magnetoencephalography Data storage Scalable storage server A scalable storage server for storage and archival of bioelectromagnetic measurements and analyses. NM23132N High-capacity tape library A high-capacity tape library for backing up the scalable storage server. NM23133N Storage module A 4.2 TB (native capacity) RAID storage module for the storage server. NM23134N 121

122 Elekta Neuromag Magnetoencephalography Stimulation and patient response Eye tracking system A real-time eye tracking system for eye movement control and analysis during non-diagnostic magnetoencephalographic recordings made with Elekta Neuromag TRIUX or Elekta Neuromag. Not for clinical use. NM23399N High-fidelity visual stimulator A high-fidelity visual stimulation system for eliciting visual evoked fields. NM24034N Auditory stimulator A binaural auditory stimulator for eliciting auditory evoked fields. NM24035N Somatosensory stimulator An electrical stimulator for eliciting somatosensory evoked fields. NM21709N Bilateral Finger Response System A bilateral finger response system for detecting patient responses. NM20999N 122

123 Elekta Neuromag Magnetoencephalography Consumables 32-, 64-and 128- channel EEG caps Small 32-channel EEG cap A non-magnetic 32-channel EEG cap (size cm) with sintered Ag/AgCl electrodes. NM23905N Medium-size 32-channel EEG cap A non-magnetic 32-channel EEG cap (size cm) with sintered Ag/AgCl electrodes. NM23906N Large 32-channel EEG cap A non-magnetic 32-channel EEG cap (size cm) with sintered Ag/AgCl electrodes. NM23907N Small 64-channel EEG cap A non-magnetic 64-channel EEG cap (size cm) with sintered Ag/AgCl electrodes. NM23890N Medium 64-channel EEG cap A non-magnetic 64-channel EEG cap (size cm) with sintered Ag/AgCl electrodes. NM23891N Large 64-channel EEG cap A non-magnetic 64-channel EEG cap (size cm) with sintered Ag/AgCl electrodes. NM23892N Medium 128-channel EEG cap A non-magnetic 128-channel EEG cap (size cm) with sintered Ag/AgCl electrodes. NM23895N Large 128-channel EEG cap A non-magnetic 128-channel EEG cap (size cm) with sintered Ag/AgCl electrodes. NM23896N 123

124 Elekta Neuromag Magnetoencephalography Consumables Head position coil kit Head position coil kit A head position coil kit for tracking the position of the patient s head. NM23880N 124

125 125

126 126

127 Elekta Services 127

128 Elekta Services Service & Support Leksell Stereotactic System Services Leksell Stereotactic System Service program Gold The purpose of the Service Program is to uphold Leksell Stereotactic System functionality and performance, to limit the repair cost and ensure safe and accurate use. SN-LSS-Y/ Consists of and Telephone support Site Kit Management Leksell Stereotactic System Planned Maintenance (Local) Leksell Stereotactic System Planned Maintenance (Sweden) Leksell Stereotactic System Loaner Leksell Stereotactic System Telephone and Support on demand access and direct telephone contact to support representatives to assist with questions and help ensure maximum system use Leksell Stereotactic System Planned Maintenance on demand (Sweden) Maintain the functionality and ensure the accuracy and overhauling of Leksell Stereotactic System to a good working condition. Functionality and performance are verified and certified. The parts are sent to Elekta in Sweden for service

129 Leksell Stereotactic System Planned Maintenance (locally) on demand Maintain the functionality and ensure the accuracy and overhauling of Leksell Stereotactic System to a good working condition. Functionality and performance are verified and certified Elekta Services Service & Support Leksell Stereotactic System Services Leksell Stereotactic System Loaner on demand The loaner on demand service provides a certified Leksell Stereotactic System on loan for a predefined period Leksell Stereotactic System Installation and Training One day installation and on-site training of Leksell Stereotactic System, including working hours, travelling, accommodation, allowances and expenses

130 Elekta Services Service & Support Leksell SurgiPlan Services Leksell SurgiPlan Service Program Gold The purpose of the Service Program is to uphold Leksell SurgiPlan functionality and performance, to limit the cost and exposure to system interruption for the user. SN-SPS-Y/ Consists of Telephone & Support Leksell SurgiPlan Software Upgrade Leksell SurgiPlan Planned Maintenance Leksell SurgiPlan Emergency Service Visit Leksell SurgiPlan Training Support Leksell SurgiPlan Obsolescence Management Leksell SurgiPlan Telephone and Support on demand access and direct telephone contact to support representatives to assist with questions and help ensure maximum system use Leksell SurgiPlan Emergency Service Visit on demand Leksell SurgiPlan Emergency Service Visit includes an on site visit

131 Elekta Services Service & Support Leksell SurgiPlan Services Installation Neuro Treatment Planning Software On-site visit covering installation, configuration and acceptance / On site training (treatment planning) On site training performed by Product Supply Center or the Business Unit /

132 Elekta Services Service & Support Leksell Neuro Generator Services Leksell Neuro Generator Service program Gold The purpose of the Service program is to uphold Leksell Neuro Generator functionality and performance, to limit the cost and exposure to system malfunction for the user. SN-LNG-Y/ Consists of Telephone & Support Leksell Neuro Generator Site Kit Management Leksell Neuro Generator Planned Maintenance Leksell Neuro Generator Loaner Leksell Neuro Generator Pulsed RF Loaner Leksell Neuro Generator Telephone and Support on demand access or direct telephone contact to support representatives to assist with questions and help ensure maximum system use Leksell Neuro Generator Planned Maintenance on demand Overhaul of the Leksell Neuro Generator where functionality and performance are verified and certified. Update to latest software version will be performed if applicable (no feature updates) Leksell Neuro Generator Loaner on demand Includes a certified Leksell Neuro Generator on loan during a predefined period Leksell Neuro Generator Pulsed RF Loaner on demand Includes a certified Leksell Neuro Generator Pulsed RF on loan during a predefined period

133 Elekta Services Service & Support Leksell Gamma Knife Perfexion Service programs Leksell Gamma Knife Perfexion Service Program Platinum The Platinum program is designed to offer the most comprehensive level of support, thereby increasing convenience and assuring maximum availability and safety for Leksell Gamma Knife Perfexion. SN-PFX-Z Leksell Gamma Knife Perfexion Service Program Gold Elekta s Gold Service & Support program helps to maintain the precision and reliability of the Leksell Gamma Knife Perfexion. SN-PFX-Y Leksell Gamma Knife Perfexion Service Program Silver Elekta s Silver Service & Support combines a maintenance program with customer support to minimize costs while ensuring a high level of availability and safety for your Leksell Gamma Knife Perfexion. SN-PFX-X 133

134 Elekta Services Service & Support Leksell Gamma Knife with APS Service programs Leksell Gamma Knife C Service Program Platinum The Platinum program is designed to offer the most comprehensive level of support, thereby increasing convenience and assuring maximum availability and safety for Leksell Gamma Knife 4C, C and 4 with APS. SN-C12-Z Leksell Gamma Knife C Service Program Gold The Gold Service & Support program helps to maintain the precision and reliability of Leksell Gamma Knife 4C, C and 4 with APS, with on-site maintenance and upgrades plus guaranteed fast response and technical support should a problem arise. SN-C12-Y Leksell Gamma Knife C Service Program Silver Elekta s Silver Service & Support combines a maintenance program with customer support to minimize costs while ensuring a high level of availability and safety for your Leksell Gamma Knife with APS. SN-C12-X 134

135 Elekta Services Service & Support Elekta Neuromag Magnetoencephalography Elekta Neuromag MEG Service Program Platinum The Platinum Service Program is designed to provide your system a full coverage maintenance including emergency visits,regular preventive maintenance visit in order to maintain the high system uptime, easiness of the usage and optimum system qualitative performance. The program includes technical assistance in hardware and software questions as well as a specialist visit, annual planned maintenance and software fix updates and upgrades as well as the full range of spare parts. SN-TRIUX-Z, SN-NMAG-Z Elekta Neuromag MEG Service Program Silver The Silver Service Program is designed to provide your system regular proactive care and to maintain the system uptime. The program includes technical assistance for hardware and software questions, annual planned maintenance and software fix updates. Additionally,users benefit from the discounts to the support and material pricing. SN-TRIUX-X, SN-NMAG-X 135

136 Elekta Services Education & Training Leksell Stereotactic Neurosurgery Stereotactic Neurosurgery Program To make neurosurgeons proficient in the use of the Leksell Stereotactic System, Leksell SurgiPlan and Leksell Neuro Generator. The course focuses on clinical information, combined with hands-on sessions using the equipment Amsterdam, The Netherlands Amsterdam, The Netherlands (Incl hotel, 4 nights) 136

137 Elekta Services Education & Training Gamma Knife Radiosurgery Leksell Gamma Knife Perfexion - Clinical Introductory Program To introduce clinicians to Gamma Knife radiosurgery with Leksell Gamma Knife Perfexion and Extend System. The course focuses on clinical information, combined with hands-on sessions using Leksell GammaPlan Marseille, France Marseille, France (Incl hotel, 5 nights) Leksell Gamma Knife Perfexion - Applications Introductory Program To make users confident in the operation, care and maintenance of Leksell Gamma Knife Perfexion. The course focuses on radiation physics, dosimetry, stereotaxy for Gamma Knife radiosurgery, quality assurance (QA), technical information and treatment planning using Leksell GammaPlan Stockholm, Sweden Stockholm, Sweden (Incl hotel, 5 nights) Leksell Gamma Knife /Leksell GammaPlan On-site training - on demand The Leksell Gamma Knife /Leksell Gamma Plan On-site training is arranged on demand at the customer site. The training will be tailor-made according to customers requirements. The objective is to give users the opportunity to be proficient and to enhance their competence in the use of Leksell Gamma Knife and Leksell GammaPlan day with physicist day with physicist & neurosurgeon days with physicist days with neurosurgeon days with physicist & neurosurgeon days with physicist days with physicist & neurosurgeon days with physicist days with neurosurgeon days with physicist & neurosurgeon Leksell Gamma Knife Radiosurgery - Practical Medical Physics and Technology Participants will learn details about technical and dosimetry aspects of the Leksell Gamma Knife. At the end of the course attendees should be able to perform acceptance, commissioning and regular quality assurance of the Leksell Gamma Knife unit and treatment planning including configuration and administration of Leksell GammaPlan. Further, participants should be able to address all requirements of clinical use of Leksell Gamma Knife such as stereotactic imaging, radiosurgery treatment planning, Gamma Knife unit operation and radiation safety and emergency procedures Prague, Czech Republic 137

138 Elekta Services Education & Training Gamma Knife Radiosurgery Leksell Gamma Knife Perfexion Observation Training To obtain knowledge about the practical aspects of stereotactic radiosurgery using Leksell Gamma Knife PERFEXION. To identify the basic principles and biophysics of Gamma Knife radiosurgery and how they apply to day-today patient treatment. Review the clinical indications, parameters of treatment and outcomes of Gamma Knife radiosurgery. Recognize radiation safety issues and principles, as well as become familiar with emergency procedures Milan, Italy Advanced Leksell GammaPlan Program To enhance the knowledge of users in 3D volumetric dose planning, by providing comprehensive didactic and supervised practical training. This is achieved by covering various planning evaluation techniques applicable to all versions of Leksell GammaPlan Stockholm, Sweden Stockholm, Sweden (Incl hotel 4 nights) Atlanta, USA Extend On-site Application Training The training follows the clinical event flow and covers the following steps: Dental imprint Patient setup at Perfexion Reposition Check measurements Procedure at CT Dose planning Loading treatment at Perfexion Patient docking and Reposition Check at Perfexion TreatmentScope

139 Elekta Services Education & Training Elekta Neuromag Magnetoencephalography Elekta Neuromag - Introductory Program This course provides an introduction to Elekta Neuromag magnetoencephalography (MEG) for clinical and/or research purposes. NM23142N-A Elekta Neuromag - System Start This training is conducted on-site at new installations and upgrades of Elekta Neuromag magnetoencephalography (MEG) devices and provides a practical system start program with both lectures and hands-on sessions. NM23141N-A Elekta Neuromag - On-site Consultancy (3 days) This module provides to the existing users further optimization of usage and applications of their Elekta Neuromag magnetoencephalography (MEG) systems. This is a tailored three-day course with lectures and supervised hands-on sessions to match the interests of the varying specialties of attendees. NM23149N-A Elekta Neuromag - On-site Consultancy (5 days) This module provides to the existing users further optimization of usage and applications of their Elekta Neuromag magnetoencephalography (MEG) systems. This is a tailored five-day course with lectures and supervised handson sessions to match the interests of the varying specialties of attendees. NM23614N-A 139