Product & Services Catalog Elekta Neuroscience GAMMA KNIFE SURGERY STEREOTACTIC NEUROSURGERY

Transcription

1 Product & Services Catalog Elekta Neuroscience ELEKTA SERVICES ELEKTA SOFTWARE GAMMA KNIFE SURGERY STEREOTACTIC NEUROSURGERY ELEKTA NEUROMAG INTRA-OPERATIVE IMAGING

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3 Welcome to the Product & Services Catalog! Elekta continues its strong commitment to neurosurgery. With systems in use at over 1400 sites worldwide, Leksell Stereotactic System is the benchmark solution in stereotactic neurosurgery. In this catalog we present our full neurosurgery product range with equipment for diagnostic and therapeutic procedures, such as biopsies of deep-seated targets and implantation of DBS electrodes to treat functional disorders with neuromodulation. You will also find information about our products within Gamma Knife surgery, Functional Mapping and Intra-operative imaging. Finally, Elekta Services, our program to secure your satisfaction during the lifecycle of the equipment. Furthermore, we proudly present Elekta s comprehensive and renowned Education & Training program. Remember however, for the latest information and development always log on at: The products in this catalog may not be cleared for sales 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 Contents Stereotactic Neurosurgery 7 Stereotactic Instrument 8 Leksell Coordinate Frame 8 Stereotactic Arc 12 OR Fixation and Draping 14 Planning Software 16 Optional software 17 Hardware 18 Frame Fixation 19 Fixation Screws 19 Fixation Posts 22 Quality Assurance Tools 25 Stereotactic Neurosurgery and Gamma Knife surgery scanning accessories overview 26 Scanning Accessories 28 MR 28 CT 34 X-Ray 38 Interventional Accessories 41 Drill Kits 41 Insertion Needles 42 Biopsy Needles 43 Injection/Aspiration Needles 45 Microsurgical and Endoscopic Accessories 46 Disposable Instruments 47 Functional Neurosurgery Accessories 48 Elekta MicroDrive 50 Electrodes for Elekta MicroDrive 52 Micromoves Electrodes for Elekta MicroDrive 53 Universal Guide Tubes for MER and DBS electrodes 54 Electrode Guide Tubes for MER and DBS electrodes 55 Leksell Neuro Generator 57 Brain Lesion Kits 58 Brain Lesion Electrodes 60 Pain Electrode Kits 62 Pain Electrodes, Cannulas & Cables 63 Stereotactic Radiation Therapy 66 Esarte components for Leksell Coordinate Frame G 66 4

5 Contents Gamma Knife surgery 69 Leksell Gamma Knife Perfexion 70 Extend System 70 Accessories 71 General Accessories 74 Frame Accessories 74 System Accessories and Quality Assurance Tools 75 Treatment Planning 76 Leksell Gamma Knife 4C, C and 4 78 General Accessories 78 Frame Accessories 78 System Accessories 80 Quality Assurance Tools 81 Treatment Planning 82 Treatment Planning for LGK 4 84 Leksell Gamma Knife 85 General Accessories 85 Frame Fixation Posts and Fixation Screws 85 Leksell GammaPlan 90 Software Add-ons 91 Functional Mapping 93 Elekta Neuromag TRIUX 94 Magnetic shielding 95 Patient support 96 Data analysis 97 Data storage 98 Stimulation and patient response 99 Consumables channel EEG caps channel EEG caps channel EEG caps 103 5

6 Contents Intra-operative imaging 105 SonoWand Invite 106 Modules and additional features 107 Ultrasound Probes and Localizers 108 General Purpose Localizers 109 Consumables 110 Spare Parts 112 Surgical Navigation Accessories 115 Elekta Services 119 Educational Programs 120 Stereotactic Neurosurgery, Functional Mapping and Intra-operative Imaging 120 Gamma Knife surgery 121 Service & Support 123 Stereotactic Neurosurgery 123 Stereotactic Neurosurgery and Intra-operative Imaging 126 Gamma Knife surgery 127

7 Stereotactic Neurosurgery

8 Stereotactic Neurosurgery Stereotactic Instrument Leksell 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 Leksell Coordinate Frame G Insulated Fixation Posts, Anterior - One pair Insulated Fixation Posts, Short Posterior - One pair Insulated Fixation Posts, Long Posterior - One pair Reusable Fixation Screws, 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 Disposable Inserts Instructions for Use, Leksell Stereotactic System Quick Reference Guide, Leksell Coordinate Frame G Leksell Coordinate Frame G Kit with Insulated Posts and 40 TFS The Frame is an unsurpassed 3D ref 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 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

9 Stereotactic Neurosurgery Stereotactic Instrument Leksell 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 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 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 Leksell Coordinate Frame G Fixation Posts, Anterior - One pair Fixation Posts, Short Posterior - One pair Fixation Posts, Long Posterior - One pair Reusable Fixation Screw, 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

10 Stereotactic Neurosurgery Stereotactic Instrument Leksell 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 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 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

11 Stereotactic Neurosurgery Stereotactic Instrument Leksell Coordinate Frame 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. 1 pcs of tray insert, base and lid 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. 1 pcs of tray base Instructions for Use, Leksell Stereotactic System The Instructions for Use describe main parts, hazard information, assembly and disassembly, care & maintenance and product specification. This is a new system manual that includes users instructions for the entire Leksell Stereotactic System and it replaces all previous product manuals 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

12 Stereotactic Neurosurgery Stereotactic Instrument 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 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 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 MPS Arc with Counter Scale 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 pcs ( ), Locking Piece for Ring - 2 pcs ( ), Guide and Stop holder Lock - 2 pcs ( ), Carrier Lock - 1 pcs ( ) Knob Spare Part Kit Spare part kit for Leksell Multi Purpose Stereotactic Arc consisting of two knobs ( ) Clamp Screw, 4 pcs 4 pcs of screws for Instrument Stop and Guide holder clamp

13 Stereotactic Neurosurgery Stereotactic Instrument Stereotactic Arc 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 (Part no ) Nylon Screw Kit M3x4 Package consisting of Nylon Screws 3 x 4 mm for Leksell Multi Purpose Arc - 12 pcs (Part no ) Quick Reference Guide, Leksell Multi Purpose Stereotactic Arc A four-page plasted Quick Instruction for the use of Leksell Multi Purpose Stereotactic Arc 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

14 Stereotactic Neurosurgery Stereotactic Instrument OR Fixation and Draping 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 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 Frame Support, complete for LSS Headrest Support Knob, Leksell Stereotactic System Clamp Screw, 8 x 40 mm

15 Stereotactic Neurosurgery Stereotactic Instrument OR Fixation and Draping 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

16 Stereotactic Neurosurgery Planning Software 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 Leksell SurgiPlan Installation and Training Two days installation and on-site training including working hours, travelling, accommodation, allowances and expenses. Acceptance Test is also performed /

17 Stereotactic Neurosurgery Planning Software Optional software 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 Functional planning This software includes advanced tools for Functional Stereotactic Neurosurgery i.e. definition of the anterior and posterior commissures and functional 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 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 Leksell SurgiPlan AtlasSpace AtlasSpace is intended for use when performing functional procedures. 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 Leksell SurgiPlan ImageMerge 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 SPS like any other study. Supports MR, CT and PET images (with the optional ColorPET module)

18 Stereotactic Neurosurgery Planning Software Hardware Linux Platform Workstation Kit This kit includes a Stationary High End Desktop PC workstation from Hewlett Packard, one 24 LCD monitor and 2 USB external disks for backup / Linux Platform Laptop Kit / Color Laser Printer, 110V Color Laser Printer 110V / Color Laser Printer, 220V Color Laser Printer 220V /

19 Stereotactic Neurosurgery Frame Fixation 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 mean that it is 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 200 uses or 1 year 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 mean that it is the optimum choice in scanning procedures such as MR and CT. Reusable Fixation Screws have female hexagon sockets. This set consists of 5 pairs of screws. Expected life length is 200 uses or 1 year 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

20 Stereotactic Neurosurgery Frame Fixation Fixation Screws Fixation Screws, Titanium, kit of 20 pairs Long lasting and durable fixation screws with a female hex 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 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 hexagon socket. This enables flush mount with the frame posts combined with maximum frame stability. The finest medical grade titanium enables extended lifetime with minimum imaging artifacts 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

21 Stereotactic Neurosurgery Frame Fixation 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 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 Sterilization case with dedicated slots for all available Elekta fixation screw lengths Instrument Screw Driver, Double New 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

22 Stereotactic Neurosurgery Frame Fixation 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 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 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 Insulated Curved Posts - 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

23 Stereotactic Neurosurgery Frame Fixation Fixation Posts Insulated Angled Fixation Posts Kit, 5 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 Insulated Angled Fixation Posts Kit, 10 Insulated Angled Posts with screw hole angulation of 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, 15 Insulated Angled Posts with screw hole angulation of 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 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 Fixation Posts, Anterior - One pair Fixation Posts, Short Posterior - One pair Fixation Posts, Long Posterior - One pair

24 Stereotactic Neurosurgery Frame Fixation 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 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 attachement screws 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 ( )

25 Stereotactic Neurosurgery 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 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 Clamp Screw, 4 pcs Spare part Clamp Screws for Needle Tester ( ). 4 Clamp Screws Sterilizing Tray for Needle Tester Tray to be used during storage and sterilization of the Needle Tester (art no )

26 Stereotactic Neurosurgery Stereotactic Neurosurgery and Gamma Knife surgery scanning accessories overview Conditions for MR usage Always use Insulated Fixation Posts for frame-based imaging in 1.5 and 3T MRI systems or use Frameless MRI and co-register with stereotactic frame-based Computerized Tomography (CT) in Leksell SurgiPlan or Leksell GammaPlan. MR Head Coil Type Manufacturer Head Coil/Scanner model Adapter for Leksell Stereotactic Frame A A A Philips 3T TR Quadrature Head Coil length 28 cm. Inner diameter of 275 mm. 1.5 T Quadrature Head Coil length 30.5 cm. Inner diameter of 275 mm. General Electric Quadrature head coil. Inner diameter of 275 mm. Split Head Coil. Inner diameter of 281mm. Siemens TxRx CP Head Array Coil. Inner diameter of 270 mm. TxRx Head Coil, mainly used with Trio. Diameter 270 mm. CP Head Array Head Coil. Inner diameter of 268 mm. Magnetom with circular polarized conical head coil, shell type opening. Inner diameter of 268 mm. Toshiba QD Headcoil. The products listed above are products manufactured and/or supplied by other suppliers and may be trademarked or otherwise protected by such suppliers. Elekta does not distribute and can therefore not assume any liability whatsoever for any such third party products. Adapters for other scanners than the ones listed can normally be arranged, for further information please contact Elekta.. Note: to accomodate Leksell Coordinate Frame G the requirement on the head coil inner diameter is 268 mm or more. 26

27 Stereotactic Neurosurgery Stereotactic Neurosurgery and Gamma Knife surgery scanning accessories overview CT Scanner Type Manufacturer Model Table Fixation for Leksell Stereotactic Frame A A ** A A General Electric All with metalfree cradle and plastic latch for headrest attachment, eg. ProSpeed SX, HiSpeed, LightSpeed and Lemage SX. Pace, Sytec 3000, Sytec Philips All Tomoscan models exept those listed below. PQ-series (former Picker). Brilliance second generation using a smooth top without slots for headrest. Brilliance first generation with a 8 x 50 mm slot for headrest. Brilliance third generations table using a smooth top slotted for headrest fixation. Siemens Shimadzu Hitachi Picker Toshiba All models having an ~8x50mm slot for headrest, eg. Somatom AR.HP, DR, CR, Hi-Q, Plus, Sensation, AR.T. SCT-10, 2000T, CTS 10, CTS 20/SP, 3000TX, 5000TX, 7000TX. W4-40, W-500, W2000, XR6000. IQ, PQ series (now Philips). TCT300 S, 500S, 600HQ, 700S, Sorrel, 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 , must be combined with proper table fixation to obtain the proper interface between the CT-table top and Leksell Stereotactic Frame. ** CT-Table Fixation Short Siemens Somatom ( ) will replace CT Table Fixaton for Siemens Somatom (A ) during 2010/2011. Fixation for other scanners than the ones listed can normally be arranged, for further information please contact Elekta. 27

28 Stereotactic Neurosurgery Scanning Accessories MR Open MR Indicator Open MR Indicator is used with Leksell Coordinate Frame G for accurate coordinate referencing in 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 0.25 L, 1 Flexible Filling Tube 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 Open MR Indicator Spare Part Kit Indicator Spare Part Kit for 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), Open CT-Indicator (916282) and MR Adapter Picker Edge (A )

29 Stereotactic Neurosurgery Scanning Accessories MR Attachment Clip, 4 pcs 4 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) 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 Leksell MR Indicator is used during MR scanning for target localization in stereotactic neurosurgery and radiosurgery. Leksell MR Indicator is part of Leksell Stereotactic System. A 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 / 0.25 l MR Indicator Spare Part Kit Spare part kit for MR Indicator (Article No A ). The kit consists of: Sealing screw - 20 pcs (903255), O-ring - 20 pcs (903201), Attachment clip - 4 pcs ( ), Locking Screw - 4 pcs ( ), Fixing Screw - 10 pcs ( ), Filling Tube - 2 pcs ( ), Screwdriver - 1 pcs (917343)

30 Stereotactic Neurosurgery Scanning Accessories MR MR Ind. Fixing & Locking Screw Kit Spare part kit for MR Indicator (Article no A ) consisting of Locking Screws - 4 pcs ( ) and Fixing Screws - 10 pcs ( ) MR Indicator Screw & Oring Spare Part Kit Spare part kit for MR Indicator (Article No A ) consisting of Sealing Screws - 50 pcs (903255), O-Rings - 50 pcs (903201) and MR Indicator Screwdriver - 1 pcs (917343) MR Phantom MR Phantom is used to check for the presence of distortions when Leksell Coordinate Frame G is used in a MR scanner Axial Grid Coronal Grid O-ring 17.3 x 2.4 mm Locking Screw Ventilation / Filling Screw Nut Foot, Aluminium, Short 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 (article no ) and O-ring 171,1 x 2,62 mm EPDM - 3 pcs (article no )

31 Stereotactic Neurosurgery Scanning 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 inner diameter of 275 mm. A MR-Adapter for GE Quadrature Head Coil This MR Adapter is designed for GE Quadrature Head Coil with an inner diameter of 275 mm. A MR-Adapter GE-Split Head Coil This MR adapter is designed for GE Split Head Coil with an inner diameter of 281 mm MR-Adapter for Siemens TxRx CP MR Adapter for Tx/Rx CP Head Array coil. Inner diameter 270 mm

32 Stereotactic Neurosurgery Scanning 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 270 mm MR-Adapter for Siemens CP Head Array Designed for Siemens CP Head Array coils. Inner diameter 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 Head Coil Designed for Toshiba QD Head Coil MR-Adapter for Toshiba This MR Adapter is designed for Toshibas previous scanner models. A

33 Stereotactic Neurosurgery Scanning Accessories MR 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. 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 a short design. A MR-Adapter Upgrade Kit Spare part kit for alla types of MR Adapters. Includes all general parts for the feet holders except the locking ring. MR Adapter upgrade kit includes an exchange of head cap screws to hexagon head screws providing more space for patient shoulders compare to older MR Adapters manufactured before Includes 3 Footholders, 2 Screws for sleeve, long, 1 Screw for sleeve, short, 1 Spanner, 2 Brass pins, 2 Aluiminum Pins and 1 IFU Spare Part Plastic Screw Kit for MR Adapter Spare part kit for MR-Adapter for Siemens TxRx CP with art no Screws M6s M10x15 Nylon and 2 Screws M6s M8x30 Nylon

34 Stereotactic Neurosurgery Scanning Accessories CT 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. Includes Right Indicator Plate Set (917118), Left Indicator Plate Set (917119) and Anterior Indicator Plate Set (917120) Spare Part Set Open CT Indicator Spare parts for Open CT Indicator (916282). 4 Fixing Screws, 10 Side Plate Screws and 4 Attachment Clips 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), Esarte CT-Indicator (916282) and MR Adapter Picker Edge (A ) Attachment Clip, 4 pcs 4 Attachment clips for Open MR Indicator ( ), MR-Indicator (A ), CT Indicator (A ), Esarte CT-Indicator (916282), X-Ray Indicator with Markers (A ), X-Ray Indicator with Rulers (A ) and Target Positioner (MRT 9731) CT Indicator A Spare parts Spare part plates and screws avaiable for previous model of CT Indicator with article number A Available parts CT-Indicator plate, Right Side CT-Indicator plate, Left Side CT-Indicator plate, Cover CT-Indicator plate, Anterior Fixing Screw L=19 mm Allen Screw 5 x 10 mm

35 Stereotactic Neurosurgery Scanning Accessories CT 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 Arms positions and secures the patient in the correct position in the CT-Scanner and enables adjustments in 3 dimentions. Used in combination with one CT table fixations 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, Instruction - 1 pcs 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, eg. Pro-Speed, SX, HiSpeed, LightSpeed and Lemage SX

36 Stereotactic Neurosurgery Scanning Accessories CT CT-Table Fixation for GE Pace / Yokagawa etc. This CT table fixation is designed for GE-Pace, Sytec 3000, 4000, Yokogawa Quantex, Yokogawa Prospeed and Accell. A 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 CT-Table Fixation for Siemens Somatom This table fixation is designed for all Siemens Somatom with a 8 x 50 mm slot for headrest fixation. Together with this MR Adapter it is recommended to also order Spare Part Screw Kit Siemens Somatom art. no Art. no will replace this product during 2010/2011. A CT-Table Fixation Short Siemens Somatom This table fixation is designed for all Siemens Somatom with a 8 x 50 mm slot for headrest fixation. Also for Philips Brillance with a 8 x 50 mm slot for headrest fixation. Also to be used in combination with LGK Extend. This product will replace A during 2010/

37 Stereotactic Neurosurgery Scanning Accessories CT CT-Table Fixation for Shimadzu etc. This table fixation is designed for Shimadzu SCT-10, SCT-2000T, SCT-3000 TX, CTS-10, SCT-5000 TX, CTS 20/SP and SCT-7000TX. Intellect series; all with metal bracket for head-rest fixation. A 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 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 Spare Part Kit O-Ring, 6.0x1.78 Nitril Spare part kit for CT Table Fixation for GE metalfree table (912965). 10 O-Rings CT-Table Fixation Spare Part Kit Spare part kit for CT-Table fixation Short Siemens Somatom ( ) and CT-Table fixation for Siemens Somatom (A ). 1 Lock Screw, 4 Screws Mc6s M6x14 and 4 Washers

38 Stereotactic Neurosurgery Scanning Accessories X-Ray X-Ray Indicator with Markers The X-ray indicator with markers is used to impose fiducials on X-ray films of the patient to be used for target localization during treatment planning. It is part of Leksell Stereotactic System. A 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 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 X-Ray Table Fixation, Table width 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

39 Stereotactic Neurosurgery Scanning Accessories X-Ray 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

40 Stereotactic Neurosurgery Scanning Accessories X-Ray Table Fixation for X-Ray, Siemens Curved Designed for curved table head end (Siemens), width 226 mm. A MR-Adapter Universal (Long) This MR Adapter can be used as a fixation option on certain X-Ray tables when no other suitable Table Fixation is available. A MR-Adapter Universal (Short) This MR Adapter can be used as a fixation option on certain X-Ray tables when no other suitable Table Fixation is available. A

41 Stereotactic Neurosurgery Interventional Accessories Drill Kits Salcman Twist Drill Kit I Salcman Twist Drills are used to twist drill burr holes guided through Leksell Multi Purpose Arc or Standard Stereotactic Arc. Kit I includes two drills of diameters 2.10/3.20 mm with a reducing tube for the smaller drill. A Twist Drill 3.2 mm Twist Drill 2.1 mm Sleeve L = 70 mm, 4 mm Sleeve L = 95 mm, 4 mm Reducing tube Adjustable stop 2.1 mm Adjustable stop 3.2 mm Stop with 4.0 mm hole Guide with 4.0 mm hole Drill Driver Sterilizing Tray / Small Salcman Twist Drill Kit II Salcman Twist Drills are used to twist drill burr holes guided through Leksell Multi Purpose Arc or Standard Stereotactic Arc. Kit II contains the same components as Kit I but only one drill and with a larger diameter of 4.9 mm. A Twist Drill 4.9 mm Sleeve L = 70 mm, 6 mm Adjustable stop 4.9 mm Stop with 6.0 mm hole Guide with 6.0 mm hole Drill Driver Sterilizing Tray / Small

42 Stereotactic Neurosurgery Interventional Accessories Insertion Needles Backlund Catheter Insertion Needle Kit I Used with Leksell Stereotactic System and enables safe puncturing of intracranial cavities. The insertion needle diameter in Kit I is 2.1 mm accomodating catheter diameters of 1.5 mm. A 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 Catheter Insertion Needle Kit II The insertion needle diameter in Kit II is 3.2 mm accomodating catheter diameters of 2.3 mm. A Catheter Insertion Needle for Catheter 2.3 mm Stop with 3.2 mm hole Guide with 3.2 mm hole Ruler Sterilizing Tray / Small Backlund Catheter Insertion Needle Kit III The insertion needle diameter in Kit III is 3.5 mm accomodating catheter diameters of 2.6 mm. A 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 L=190 mm / D=1.6 mm The 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 Insertion Cannula 190 mm Guide with 2.1 mm hole Stop with 2.1 mm hole Sterilizing Tray / Small

43 Stereotactic Neurosurgery 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 Side-Cutting Needle, Diam. 2.5 mm Stop with 2.5 mm hole Guide with 2.5 mm hole Sterilizing Tray / Small Sedan Side-Cutting Biopsy Needle Kit II The vacuum and side-cutting principle of Sedan has been adapted to Leksell Stereotactic System in this biopsy needle with a 3 mm needle window. Stop and Guide with a diameter of 2.1 mm are included in the kit. A Side-Cutting Needle, Window Size: 3 x 1 mm Stop with 2.1 mm hole Guide with 2.1 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 (903239) 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 (Part no ) Disposable Biopsy Needle Kits, set of 6 These needles are an alternative to reusable biopsy needles addressing concerns regarding cross-contamination. The kit includes a disposable side-cutting 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

44 Stereotactic Neurosurgery Interventional Accessories Biopsy Needles Backlund Spiral Biopsy Kit Backlund Spiral Biopsy Kit is a set of neurosurgical instruments designed to provide conclusive histological diagnosis of intracranial lesion for which biopses are required. A Consists Of Sterilizing Tray / Small Guide with 2.1 mm hole Stop with 2.1 mm hole Cannula and Stylet, 2.1 mm Spiral Needle, 1.5 mm Backlund Fine Needle Biopsy Kit The Backlund Fine Needle Biopsy Kit is a set of neurosurgical instruments designed to provide conclusive histological diagnosis of intracranial lesions for which biopses are required. A Consists f Cannula, with 2-Way Stopcock and Stylet, 1.5 mm Cannula, with Bevelled Tip and Stylet, 0.9 mm Cannula, with Straight Tip and Stylet, 0.9 mm Reducing Tube, 2.1 mm Stop with 2.1 mm hole Guide with 2.1 mm hole Sterilizing Tray / Small Backlund Biopsy Kit, Complete Backlund Biopsy Kit, complete, inlcuding accessories for Fine Needle Biopsy, Spiral Biopsy and Injection/Aspiration Kit I. A Spiral Needle, 1.5 mm Cannula, with 2-Way Stopcock and Stylet, 1.5 mm Cannula, with 3-Way Stopcock and Stylet, 1.5 mm Cannula, with Bevelled Tip and Stylet, 0.9 mm Cannula, with Straight Tip and Stylet, 0.9 mm Reducing Tube, 2.1 mm Cannula and Stylet, 2.1 mm Stop with 2.1 mm hole Guide with 2.1 mm hole Sterilizing Tray / Large

45 Stereotactic Neurosurgery Interventional Accessories Injection/Aspiration Needles Backlund Injection/Aspiration Needle Kit I A set of neurosurgical instruments designed for the injection of cytostatic agents, as well as for diagnostic and therapeutic punctures, aspirations and evacuations. (Cannula diameter 1.5 mm). A Cannula, with 3-Way Stopcock and Stylet, 1.5 mm Reducing Tube, 2.1 mm Stop with 2.1 mm hole Guide with 2.1 mm hole Sterilizing Tray / Small Backlund Injection/Aspiration Needle Kit II A set of neurosurgical instruments designed for the injection of cytostatic agents, as well as for diagnostic and therapeutic punctures, aspirations and evacuations. (Cannula diameter 2.5 mm). A Cannula, with 3-Way Stopcock and Stylet, 2.5 mm Stop with 2.5 mm hole Guide with 2.5 mm hole Sterilizing Tray / Small Backlund Haematoma Evacuator Kit Allows evacuation of haematomas through a single burr hole using stereotactic techniques. A Haematoma Evacuator. Diam. 4.0 mm O-Ring 5.3 x 2.4 mm Viton Teflon Washer (Spare) Drill Driver Stop with 4.0 mm hole Guide with 4.0 mm hole Sterilizing Tray / Small O-Ring 5.3 x 2.4 mm Viton

46 Stereotactic Neurosurgery 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 any diameter & minimum length 170 mm. For other diameters than 6 mm please contact Elekta for further information. 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

47 Stereotactic Neurosurgery Interventional Accessories Disposable Instruments 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 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 Disposable Biopsy Needle kits, set of 6 These needles are an alternative to reusable biopsy needles addressing concerns regarding cross-contamination. The kit includes a disposable side-cutting 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 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 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

48 Stereotactic Neurosurgery Functional Neurosurgery Accessories A-P Cross-Hairs Holder 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 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, 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 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 )

49 Stereotactic Neurosurgery Functional Neurosurgery Accessories Insertion Cannula kit L=190 mm / D=1.6 mm The 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 Insertion Cannula 190 mm Guide with 2.1 mm hole Stop with 2.1 mm hole Sterilizing Tray / Small Adjustable Micrometric Stop The Adjustable Micrometric Stop can be used in place of the standard instrument stop insert during functional stereotactic procedures. It provides a means of moving electrodes in controlled steps of 0.1 mm with a maximum range of +/- 5mm. A

50 Stereotactic Neurosurgery 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 */ ** MicroGun for MicroDrive with ID = 1.7 mm, L = 90 mm Electr. Holder f. MicroDrive f. electrodes with depth marks Electr. holder f. MicroDrive f. electrodes with depth stop DBS Electrode Holder for MicroDrive Adaptation ring for Guide holder on Leksell Instr. Carrier Hex Wrench for MicroDrive Screws M2 and M3 Sterilisation Box for MicroGun, MicroDrive and accessories Indexer for setting the depth stop position on DBS electrode Brush OD = 3 mm for cleaning of MicroGun Special clamp for Stop holder on Leksell Instrument Carrier Fixing screw for Stop holder on Leksell Instrument Carrier Screw Set for MicroDrive MER MER MER MER MER MER MER MER MER MER MER MER Elekta MicroDrive Instructions for Use */ ** Quick Reference Guide, 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. 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 larget diameter and can not be used with the traditional MicroGun with art no MER MER Depending on market the article numbers marked with * or ** should be used for the products with two article numbers displayed on these pages. All products may not be cleared for sales in all markets. Please contact your Elekta sales representative for more information. 50

51 Stereotactic Neurosurgery Elekta MicroDrive 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 fix. 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 (insulated) short. MER Quick Reference Guide, Elekta MicroDrive A four-page plasted Quick Instruction for the use of the Elekta MicroDrive */ ** Depending on market the article numbers marked with * or ** should be used for the products with two article numbers displayed on these pages. All products may not be cleared for sales in all markets. Please contact your Elekta sales representative for more information. 51

52 Stereotactic Neurosurgery Elekta MicroDrive 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 of cell potentials of single cells or of cell clusters 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. Outer diameter of 0.6 mm. Packed sterile, single-use. Set of 5 electrodes, individually packed. MER MicroMacroElectrode 0.8 mm with depth stop As above but with a diameter of 0.8 mm MER MacroElectrode 0.8 mm with depth stop For monopolar stimulation. Length = 300 mm. Outer diameter of 0.8 mm. Packed sterile, 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 channel connecting cable, for Inomed ISIS MER system For MicroMacro Electrodes, with coax plug shielded. MER Depending on market the article numbers marked with * or ** should be used for the products with two article numbers displayed on these pages. All products may not be cleared for sales in all markets. Please contact your Elekta sales representative for more information. 52

53 Stereotactic Neurosurgery Elekta MicroDrive Micromoves Electrodes 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, 0.7 mm male connector. Impedance = 1 Mohm. Packed sterile, single use. Set of 5, individually packed. MER 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 Micromove Electrode Microelectrode with 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, 0.7 mm male connector. Impedance = 1 Mohm. Packed sterile, single use. Set of 5 electrodes, individually packed. MER Guide tube for Micromove electrode Guide tube fixated in the electrode holder (to be used with Micromove electrode MER ). The Guide tube moves with the electrode when advanced towards the target. OD = 1.0 mm, ID = 0.65 mm. Packed sterile, single use. Set of 5, individually packed. Note: The above configuration requires a separate DBS Guide Tube to implant the DBS lead electrode. MER Depending on market the article numbers marked with * or ** should be used for the products with two article numbers displayed on these pages. All products may not be cleared for sales in all markets. Please contact your Elekta sales representative for more information. 53

54 Stereotactic Neurosurgery Elekta MicroDrive Universal Guide Tubes for MER and DBS electrodes 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 Electrode 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 = 1.4 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 10/30 mm before target point As above but inner guide tube for ends 10 mm before target (Length = 206 mm) and outer guide tube ends 30 mm before target (Length = 186 mm). MER Universal Guide tube 20/30 mm before target point As above but inner guide tube ends 20 mm before target (Length = 196 mm) and outer guide tube ends 30 mm before target (Length = 186 mm). MER Universal Guide tube, 10 mm before target, St. Jude Electrode Universal guide tube that can guide both the Microelectrode and the St. Jude DBS Electrode. MicroMacro or Micro electrode guide tube ending 10 mm before target and DBS guide tube ends 30 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 = 186 mm. Set of 5, individually packed. Packed sterile, single use MER Universal Guide tube, 10/30 mm before target, Micromove / St. Jude Electrode As above but to be used for MicroMove electrode and St. Jude DBS electrode. Only difference to universal guide tube with art no MER is the inner diameter of the inner guide tube that is 0.65 mm. MER Depending on market the article numbers marked with * or ** should be used for the products with two article numbers displayed on these pages. All products may not be cleared for sales in all markets. Please contact your Elekta sales representative for more information. 54

55 Stereotactic Neurosurgery Elekta MicroDrive 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. Single use, packed sterile. Set of 5, individually packed. Outer diameter = 1.65 mm, Inner diameter = 1.45 mm, Length = 186 mm. MER DBS guide tube 40 mm before target point Guide tube used for implantation of the Medtronic DBS lead electrode utilizing the Elekta MircoDrive. 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 MircoDrive. 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 DBS electrode. Outer diameter 1.7 mm. Inner diameter 1.5 mm. Length 186 mm. Single use, packed sterile. Needs to be used with MicroGun St. Jude for MicroDrive with art 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 DBS electrode. Outer diameter 1.7 mm. Inner diameter 1.5 mm. Length 176 mm. Single use, packed sterile. Needs to be used with MicroGun St. Jude for MicroDrive with art no MER MER

56 Stereotactic Neurosurgery Elekta MicroDrive 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 DBS electrode. Outer diameter 1.7 mm. Inner diameter 1.5 mm. Length 166 mm. Single use, packed sterile. Needs to be used with MicroGun St. Jude for MicroDrive with art no MER MER Electrode Guide tube for MicroDrive, 10 mm before target point The guide tube for MicroMacro Electrode that is fixated in the MicroGun and is not moving with the electrode when advanced towards the target. The guide tube ends 10 mm before target. Outer diameter of upper part of guide tube is 1.65 mm, while outer diameter of lower part of guide tube is 1.3 mm. Inner diameter is 1.0 mm. Length is 206 mm. Packed sterile, single use. Set of 5 individually packed. MER Electrode Guide tube for MicroDrive, 20 mm before target point The guide tube for MicroMacro Electrode that is fixated in the MicroGun and is not moving with the electrode when advanced towards the target. The guide tube ends 20 mm before target. Outer diameter of upper part of guide tube is 1.65 mm, while outer diameter of lower part of guide tube is 1.3 mm. Inner diameter is 1.0 mm, Length is 196 mm. Packed sterile, single use. Set of 5 individually packed. MER

57 Stereotactic Neurosurgery Leksell Neuro Generator Leksell Neuro Generator Pulsed RF (for / V) Complete system for macro-stimulation, brain lesioning and pain treatment for / V. Including Pulsed Radiofrequency mode. Complete with cables and remote control (for stimulation mode). Electrodes need to be specified separately 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 Upgrade to Pulsed RF (for / V) Upgrade of Leksell Neuro Generator to include Pulsed Radiofrequency mode. The upgrade includes software and front panel exchange 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

58 Stereotactic Neurosurgery Leksell Neuro Generator Brain Lesion Kits Brain Lesion Electrodes, Monopolar, Kit The Monopolar Brain Lesion Electrodes Kit consist of monopolar electrodes in three different tip diameters and tip lengths. Impedance monitoring, stimulation and RF-lesioning are performed with the same electrode ** 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 Instructions for Use, Brain Lesion Electrodes ** Instruction for Use, Stop and Guide Insert, with triple hole ** Brain Lesion Electrodes, Monopolar, Kit, Dual use The kit with Monopolar Electrodes for Dual use, consist 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 ** 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 Instructions for Use, Brain Lesion Electrodes ** Instruction for Use, Stop and Guide Insert, with triple hole ** Depending on market the article numbers marked with * or ** should be used for the products with two article numbers displayed on these pages. All products may not be cleared for sales in all markets. Please contact your Elekta sales representative for more information. 58

59 Stereotactic Neurosurgery Leksell Neuro Generator Brain Lesion Kits Brain Lesion Electrodes, Bipolar, Kit The Bipolar Brain Lesion Electrodes Kit consist of bipolar electrodes in two different tip diameters and tip lengths. Impedance monitoring, stimulation and RF-lesioning are performed with the same electrode ** 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 Instructions for Use, Brain Lesion Electrodes ** Instruction 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 ** Lesion Electrode, Monopolar /Tip 2 x 2 mm ** Stop with Triple Hole, for 2.2 mm electrode Guide with Triple Hole, for 2.2 mm electrode Cable for Monopolar Electrode Sterilizing Tray Instructions for Use, Brain Lesion Electrodes ** Instructions for Use, Stop and Guide Insert, with triple hole ** Depending on market the article numbers marked with * or ** should be used for the products with two article numbers displayed on these pages. All products may not be cleared for sales in all markets. Please contact your Elekta sales representative for more information. 59

60 Stereotactic Neurosurgery Leksell Neuro Generator Brain Lesion Electrodes Lesion Electrode, Monopolar / Tip 1 x 2 mm One Monopolar Brain Lesion Electrode for stimulation, impedance measurement and lesioning. Tip diameter = 1 mm and tip length = 2 mm. Outer diameter 2.2 mm */ ** Lesion Electrode, Monopolar /Tip 1 x 3 mm One Monopolar Brain Lesion Electrode for stimulation, impedance measurement and lesioning. Tip diameter = 1 mm and tip length = 3 mm. Outer diameter 2.2 mm */ ** Lesion Electrode, Monopolar / Tip 1 x 4 mm One Monopolar Brain Lesion Electrode for stimulation, impedance measurement and lesioning. Tip diameter = 1 mm and tip length = 4 mm. Outer diameter 2.2 mm */ ** Lesion Electrode, Monopolar / Tip 2 x 4 mm One Monopolar Brain Lesion Electrode for stimulation, impedance measurement and lesioning. Tip diameter = 2 mm and tip length = 4 mm. Outer diameter 2.2 mm */ ** Lesion Electrode Hariz, Monopolar / Tip 1.5 x 2 mm One Monopolar Brain Lesion Electrode for stimulation, impedance measurement and lesioning. Tip diameter = 1.5 mm, tip length 2 mm and outer diameter 2.2 mm */ ** Lesion Electrode, Monopolar / Tip 2 x 2 mm One Monopolar Brain Lesion Electrode for stimulation, impedance measurement and lesioning. Tip diameter = 2.2 mm and tip length = 2 mm. The entire electrode has a diameter of 2.2 mm ** Depending on market the article numbers marked with * or ** should be used for the products with two article numbers displayed on these pages. All products may not be cleared for sales in all markets. Please contact your Elekta sales representative for more information. 60

61 Stereotactic Neurosurgery Leksell Neuro Generator Brain Lesion Electrodes 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 electrode A guide and stop with three holes (2.2 mm diameter/3 mm hole distance) are included in the kit. 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 Guide Insert with Triple Hole for 2.2 mm electrodes A guide and stop with three holes (2.2 mm diameter/3 mm hole distance) are included in the kit. 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 Depending on market the article numbers marked with * or ** should be used for the products with two article numbers displayed on these pages. All products may not be cleared for sales in all markets. Please contact your Elekta sales representative for more information. 61

62 Stereotactic Neurosurgery Leksell Neuro Generator Pain Electrode Kits Pain electrodes, Short Kit Kit with short pain electrodes and cannulas for Facet Interventions and Partial Rhizotomy. Length of electrode is 69.0 mm and diameter is 0.4 mm. Cannulas are not included in the kit, they need to be ordered separately ** Pain Electrode, Short ** Cable for Monopolar Electrode Sterilizing Tray / Pain ** Instruction for Use, TC Pain Electrodes and RF Cannulas ** Pain electrodes, Medium long kit Kit with medium length pain electrodes and cannulas for Rhizotomy. Length of electrode is mm and diameter is 0.4 mm. Cannulas are not included in the kit, they need to be ordered separately ** Pain Electrode, Medium ** Cable for Monopolar Electrode Sterilizing Tray / Pain ** Instruction for Use, TC Pain Electrodes and RF Cannulas ** Pain electrodes, Long kit Kit with long pain electrodes and cannulas for Facet Denervation and Partial Rhizotomy. Length of electrode is mm and diameter is 0.55 mm. Cannulas are not included in the kit, they need to be ordered separately ** Pain Electrode, Long ** Cable for Monopolar Electrode Sterilizing Tray / Pain ** Instruction for Use, TC Pain Electrodes and RF Cannulas ** Drez Electrode Kit Includes one electrode customized for treating pain due to injury of the dorsal roots by lesion (used with Leksell Neuro Generator). Electrode tip L= 2.0mm, D= 0.25mm, Electrode insulation L= 114mm, D=0.6mm, Guide cannula L=100mm ** Drez Electrode ** Sterilizing Tray / Pain ** Cable for Monopolar Electrode Instruction for Use, TC Pain Electrodes and RF Cannulas ** Depending on market the article numbers marked with * or ** should be used for the products with two article numbers displayed on these pages. All products may not be cleared for sales in all markets. Please contact your Elekta sales representative for more information. 62

63 Stereotactic Neurosurgery Leksell Neuro Generator Pain Electrodes, Cannulas & Cables Pain Electrode, Long Pain Treatment Electrode (stainless steel) for Facet Denervation and Partial Rhizotomy. Length mm and diameter 0.55 mm. To be used with Leksell Neuro Generator */ ** Pain Electrode, Medium Pain Treatment Electrode (stainless steel) for Rhizotomy. Length mm and diameter 0.4 mm. To be used with Leksell Neuro Generator */ ** Pain Electrodes, Short Pain Treatment Electrode (stainless steel) for Facet Interventions and Partial Rhizotomy. Length 69.0 mm and diameter 0.4 mm. To be used with Leksell Neuro Generator */ ** Straight Cannula, Long, 5 mm sharp tip (20G) Disposable Cannula, long with a 5 mm sharp tip, constructed of plastic and insulated. Set of of 10 pcs individually packed. To be used with Pain Electrode, Long */ ** Straight Cannula, Medium, 5 mm sharp tip (22G) Disposable Cannula, medium length with a 5 mm sharp tip, constructed of plastic and insulated. Set of of 10 pcs individually packed. To be used with Pain Electrode, Medium */ * Depending on market the article numbers marked with * or ** should be used for the products with two article numbers displayed on these pages. All products may not be cleared for sales in all markets. Please contact your Elekta sales representative for more information. 63

64 Stereotactic Neurosurgery Leksell Neuro Generator Pain Electrodes, Cannulas & Cables Straight Cannula, Short, 4 mm sharp tip (22G) Disposable Cannula, short with a 4 mm sharp tip, constructed of plastic and insulated. Set of of 10 pcs individually packed. To be used with Pain Electrode, Short */ ** Straight Cannula, Long, 2 mm sharp tip (20G) Disposable Cannula, long with a 2 mm sharp tip, constructed of plastic and insulated. Set of of 10 pcs individually packed. To be used with Pain Electrode, Long */ ** Straight Cannula, Medium, 2 mm sharp tip (22G) Disposable Cannula, medium length with a 2 mm sharp tip, constructed of plastic and insulated. Set of of 10 pcs individually packed. To be used with Pain Electrode, Medium */ ** Curved Cannula, Medium, 10 mm tip (22G), 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 structures 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 Depending on market the article numbers marked with * or ** should be used for the products with two article numbers displayed on these pages. All products may not be cleared for sales in all markets. Please contact your Elekta sales representative for more information. 64

65 Stereotactic Neurosurgery Leksell Neuro Generator Pain Electrodes, Cannulas & Cables Curved Cannula, Long, 10 mm tip (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 is 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 blunt tip. The curved cannulas provide easy access and guidance through the tissue. The blunt tip minimizes potential injury to critical structures 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 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 Depending on market the article numbers marked with * or ** should be used for the products with two article numbers displayed on these pages. All products may not be cleared for sales in all markets. Please contact your Elekta sales representative for more information. 65

66 Stereotactic Neurosurgery Stereotactic Radiation Therapy Esarte components for Leksell Coordinate Frame G 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. MRT 9651/ Target Positioner Aligns head frame to linac treatment beam using room lasers. 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 Esarte Frame and Leksell Coordinate Frame G. MRT 9731/ Frame adapter with extension Frame adapter with extension is part of Elekta Accelerator Table Top Fixation (MRT 9721). If the extension part is dismantled it can be used with ibeam Esarte Adapter (MRT 12531) or ibeam Evo Esarte adapter (MRT 12871). The frame adapter provides an interface between the Couchtop adapter and the Leksell Coordinate Frame G system or Elekta Esarte Frame Elekta Accelerator Table Top Fixation Elekta Accelerator Table Top Fixation to be used with Esarte Frame or Leksell Frame Holder and Leksell Coordinate Frame G. MRT 9721/ 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. Includes Right Indicator Plate Set (917118), Left Indicator Plate Set (917119) and Anterior Indicator Plate Set (917120)

67 Stereotactic Neurosurgery Stereotactic Radiation Therapy Esarte components for Leksell Coordinate Frame G 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 ibeam ESARTE Adapter The ibeam ESARTE Adapter provides an interface between the ibeam Couchtop and the Elekta Esarte Frame or the Leksell Coordinate Frame G System. The ibeam ESARTE Adapter is specially designed for localization and diagnostics of intracranial disorders and surgical treatment including radiosurgery and stereotactic radiation therapy. MRT ibeam Evo Esarte adapter Allows mounting of the Elekta Esarte Frame and Leksell Coordinate Frame G to the ibeam Evo couchtop. MRT Head Frame Board The Head Frame Board is a specialized board for use with the Indexed Carbon Fiber Table Top only. MRT 9421 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 Inlay Adapter Adapter for indexed CT inlay with Lok-Bar. To be used for Esarte frame or for Leksell G frame in combination with Leksell Frame Holder

68 68

69 Gamma Knife surgery

70 Gamma Knife surgery 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 Extend Frame Extend Front Piece Patient Control Unit Extend License for Leksell GammaPlan Extend PPS Hardware kit - Reposition Check Tool - RCT QA Tool - 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 CT Indicator - Extend CT Adapter Interface - Extend Instruction For Use - Extend Emergency Procedures - Installation - Training - 70

71 Gamma Knife surgery Leksell Gamma Knife Perfexion Extend System Accessories Patient Control Unit Patient Control Unit for use with Extend System, including vacuum pump with vacuum surveillance, probe for repositioning verification and patient alert 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 and Securing screws 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 Extend Mouth Piece Small (5 pcs) Extend Mouth Piece Medium (5 pcs) Extend Mouth Piece Large (5 pcs) Extend Mouth Piece X-Large-P2 (3 pcs) Extend Mouth Piece Small-P2 (3 pcs)

72 Gamma Knife surgery Leksell Gamma Knife Perfexion Extend System Accessories Extend Patient Preparation kit The kit includes 1 Mixer and Dispenser ( ), 5 Storage boxes ( ), 1 Extend torque wrench ( ) and 3 Saliva stop holders ( ) Extend torque wrench Salvia stop holder Storage box (5 pcs] Mixer and Dispenser Extend Dental kit The kit contains dental impression material (20 psc) ( ), Adhesive ( ) and saliva stop (20pcs) ( ) Dental impression material (20 pcs) - Adhesive - Salvia stop (20 pcs) Extend Vacuum Cushion 1L (5pcs) Vacuum cushion for Extend Frame Extend Vacuum Cushion 1.5L (3 pcs) Vacuum cushion for Extend Frame Extend Mouth Piece Small (5 pcs) Five mouthpieces for use with Extend System Extend Mouth Piece Medium (5 pcs) Five mouthpieces for use with Extend System

73 Gamma Knife surgery Leksell Gamma Knife Perfexion Extend System Accessories Extend Mouth Piece Large (5 pcs) Five mouthpieces for use with Extend System Extend Mouth Piece X-Large-P2 (3 pcs) Three mouthpieces for use with Extend System Extend Mouth Piece Small-P2 (3 pcs) Three mouthpieces for use with Extend System Mixer and Dispenser Extruder gun to mix and apply dental impression material to the mouthpiece. To be used with Extend System Storage box (5 pcs) For storage of the patient specific items when using Extend System Extend torque wrench Torque wrench with pre-set torque for locking the Extend Front Piece assembly Salvia stop (20 pcs) The saliva stop includes patient specific tubing connecting the mouthpiece to the Patient Control Unit. For use with Extend System

74 Gamma Knife surgery Leksell Gamma Knife Perfexion General Accessories Frame Accessories Leksell Coordinate Frame G Kit with Insulated Posts and 40 TFS The Frame is an unsurpassed 3D ref 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 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 Leksell Coordinate Frame G Insulated Fixation Posts, Anterior - One pair Insulated Fixation Posts, Short Posterior - One pair Insulated Fixation Posts, Long Posterior - One pair Reusable Fixation Screws, 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 Disposable Inserts Instructions for Use, Leksell Stereotactic System Quick Reference Guide, Leksell Coordinate Frame G

75 Gamma Knife surgery Leksell Gamma Knife Perfexion General Accessories System Accessories and Quality Assurance Tools 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 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 SSI_02 Frame Adapter Frame adapter for Leksell Gamma Knife Perfexion 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

76 Gamma Knife surgery Leksell Gamma Knife Perfexion Treatment Planning Leksell GammaPlan for Perfexion Leksell GammaPlan WarpSpeed Real-time dose planningwarpspeed provides interactive dose planning for unparalleled dose control with unmatched speed through instant updates Leksell GammaPlan Re-Treatment Re-Treatment add-on offers significant benefits before and after an initial treatment. In addition, more efficient scheduling and optimal workflow are obtained on the day of treatment, while also enhancing the safety and confidence of additional treatments Leksell GammaPlan Functional Planning Functional Stereotactic Neurosurgery i.e. definition of the anterior and posterior commissures and functional target planning Leksell GammaPlan Color PET Support for co-registration of PET images and display of PET images using color tables

77 Gamma Knife surgery Leksell Gamma Knife Perfexion Treatment Planning Leksell GammaPlan Image Merge ImageMerge facilitates better interpretation by enabling the co-registration of image studies with one other Leksell GammaPlan DICOM-RT DICOM-RT provides an exclusive possibility to share treatment information with any software supporting DICOM-RT (MOSAIQ, RT Treatment Planning Systems) Leksell GammaPlan Inverse Planning WIP -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 AtlasSpace WIP- AtlasSpace is intended for use when performing functional procedures. 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

78 Gamma Knife surgery Leksell Gamma Knife 4C, C and 4 General Accessories 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 Leksell Coordinate Frame, for Leksell Gamma Knife with APS Insulated Fixation Post, Anterior Insulated Fixation Post, Short Posterior Insulated Fixation Post, Long Posterior Fixation Screw, Titanium, Kit of 20 pairs Ear Plug Holders - One Pair Ear Plugs Instrument Screw Driver, Double Disposable Inserts Sterilizing Tray for G Frame Kit Quick Reference Guide, Leksell Coordinate Frame G Instructions for Use, Leksell Stereotactic System Leksell Coordinate Frame G for LGK 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 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

79 Gamma Knife surgery Leksell Gamma Knife 4C, C and 4 General Accessories Frame Accessories Y/Z Slides, Standard, set of two 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 consists 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 superior 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

80 Gamma Knife surgery Leksell Gamma Knife 4C, C and 4 General Accessories 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 16 Spare screws for Z-slide, 8 Locking pieces for Z-slide, 4 Spare screws for Y-slide, 2 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 SSI_02 Helmet Cap The new helmet cap is designed to allow treatment of more inferior lesions than the previous one

81 Gamma Knife surgery Leksell Gamma Knife 4C, C and 4 General Accessories 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

82 Gamma Knife surgery Leksell Gamma Knife 4C, C and 4 Treatment Planning Leksell GammaPlan for LGK 4C and LGK 4 Leksell GammaPlan is a sophisticated treatment planning software providing enhanced, user-friendly management of the advanced technology incorporated into Leksell Gamma Knife 4C Leksell GammaPlan Image Merge ImageMerge facilitates better interpretation by enabling the co-registration of image studies with one other / Leksell GammaPlan Functional Planning Functional Stereotactic Neurosurgery i.e. definition of the anterior and posterior commissures and functional target planning / Leksell GammaPlan Color PET Support for co-registration of PET images and display of PET images using color tables /

83 Gamma Knife surgery Leksell Gamma Knife 4C, C and 4 Treatment Planning Leksell GammaPlan WarpSpeed Real-time dose planningwarpspeed provides interactive dose planning for unparalleled dose control with unmatched speed through instant updates / Leksell GammaPlan Re-Treatment Re-Treatment add-on offers significant benefits before and after an initial treatment. In addition, more efficient scheduling and optimal workflow are obtained on the day of treatment, while also enhancing the safety and confidence of additional treatments /

84 Gamma Knife surgery Leksell Gamma Knife 4C, C and 4 Treatment Planning for LGK 4 Leksell GammaPlan LGK4 Leksell GammaPlan is a sophisticated treatment planning software providing enhanced, user-friendly management of the advanced technology incorporated into Leksell Gamma Knife Leksell GammaPlan Image Merge ImageMerge facilitates better interpretation by enabling the co-registration of image studies with one other / Leksell GammaPlan Functional Planning Functional Stereotactic Neurosurgery i.e. definition of the anterior and posterior commissures and functional target planning / Leksell GammaPlan Color PET Support for co-registration of PET images and display of PET images using color tables / Leksell GammaPlan Re-Treatment Re-Treatment add-on offers significant benefits before and after an initial treatment. In addition, more efficient scheduling and optimal workflow are obtained on the day of treatment, while also enhancing the safety and confidence of additional treatments /

85 Gamma Knife surgery Leksell Gamma Knife 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 Insulated Fixation Posts, Anterior - One pair Insulated Fixation Posts, Short Posterior - One pair Insulated Fixation Posts, Long Posterior - One pair Disposable Inserts Insulated Fixation Posts 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 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 Insulated Curved Posts - 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

86 Gamma Knife surgery Leksell Gamma Knife General Accessories Frame Fixation Posts and Fixation Screws 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 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 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

87 Gamma Knife surgery Leksell Gamma Knife General Accessories Frame Fixation Posts and Fixation Screws 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 attachement screws Fixation Screws, Titanium, kit of 20 pairs Long lasting and durable fixation screws with a female hex 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 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

88 Gamma Knife surgery Leksell Gamma Knife General Accessories Frame Fixation Posts and Fixation Screws Fixation screws, Titanium, kit of 5 pairs The screw has a hexagon socket. This enables flush mount with the frame posts combined with maximum frame stability. The finest medical grade titanium enables extended lifetime with minimum imaging artifacts 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 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 mean that it is 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 200 uses or 1 year 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

89 Gamma Knife surgery Leksell Gamma Knife General Accessories Frame Fixation Posts and 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 mean that it is the optimum choice in scanning procedures such as MR and CT. Reusable Fixation Screws have female hexagon sockets. This set consists of 5 pairs of screws. Expected life length is 200 uses or 1 year 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 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. To be used with Socket wrench with article number A 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 New 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

90 Gamma Knife surgery Leksell Gamma Knife Leksell GammaPlan Leksell GammaPlan for Perfexion Leksell GammaPlan PFX is a sophisticated treatment planning software providing enhanced, user-friendly management of the advanced technology incorporated into Leksell Gamma Knife Perfexion Leksell GammaPlan for LGK 4C Leksell GammaPlan is a sophisticated treatment planning software providing enhanced, user-friendly management of the advanced technology incorporated into Leksell Gamma Knife 4C Leksell GammaPlan for LGK4 Leksell GammaPlan is a sophisticated treatment planning software providing enhanced, user-friendly management of the advanced technology incorporated into Leksell Gamma Knife

91 Gamma Knife surgery Leksell Gamma Knife Leksell GammaPlan Software Add-ons Leksell GammaPlan Inverse Planning WIP -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 WarpSpeed Real-time dose planningwarpspeed provides interactive dose planning for unparalleled dose control with unmatched speed through instant updates / Leksell GammaPlan Re-Treatment Re-Treatment add-on offers significant benefits before and after an initial treatment. In addition, more efficient scheduling and optimal workflow are obtained on the day of treatment, while also enhancing the safety and confidence of additional treatments / Leksell GammaPlan DICOM-RT DICOM-RT provides an exclusive possibility to share treatment information with any software supporting DICOM-RT (MOSAIQ, RT Treatment Planning Systems) /

92 Gamma Knife surgery Leksell Gamma Knife Leksell GammaPlan Software Add-ons Leksell GammaPlan Image Merge ImageMerge facilitates better interpretation by enabling the co-registration of image studies with one other / Leksell GammaPlan Color PET Support for co-registration of PET images and display of PET images using color tables / Leksell GammaPlan Functional Planning Functional Stereotactic Neurosurgery i.e. definition of the anterior and posterior commissures and functional target planning / Leksell GammaPlan AtlasSpace WIP- AtlasSpace is intended for use when performing functional procedures. 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

93 Functional Mapping

94 Functional Mapping 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. NM23893N 94

95 Functional Mapping 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 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 Two-layer magnetic shield A passive, magnetically shielded room with alternating layers of Permalloy (two layers) and aluminum (one layer). Notice: this item includes site planning service. NM23122N 95

96 Functional Mapping 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 96

97 Functional Mapping 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 MaxInsight MaxInsight is a data analysis software for bioelectromagnetic measurements made with Elekta Neuromag. Efficient workflow and predefined workspaces for analyzing spontaneous magnetoencephalographic recordings. Automatic spike-detection and epoch analysis for quickly identifying and analyzing spike waveforms. Simultaneous analysis of magnetoencephalographic and electroencephalographic data. Integrated reporting functionality for automatically produced case reports containing all the findings of the analysis. Available licenses Single-node license for one workstation Two-node license for two workstations Network license for any number workstations in a Microsoft Windows network NM23360N NM23129N NM23130N Color printer A network-enabled color printer for the analysis system. NM23131N Data analysis workstation A high-end graphical workstation for data analysis. NM20998N 97

98 Functional Mapping 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 98

99 Functional Mapping Stimulation and patient response Stim2 audiovisual stimulus system A stimulus presentation system for bioelectromagnetic measurements of evoked responses. NM21711N High-fidelity visual stimulator A high-fidelity visual stimulation system for eliciting visual evoked fields. NM24034N Autitory stimulator A binaural auditory stimulator for eliciting auditory evoked fields. NM24035N Somatosensory stimulator An electrical stimulator for eliciting somatosensory evoked fields. NM21709N 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. Notice: Not for clinical use. NM23399N Bilateral finger response system A bilateral finger response system for detecting patient responses. NM20999N 99

100 Functional Mapping Consumables Site kit A site kit with consumables and wear & tear parts. NM21705N Head position coil kit A head position coil kit for tracking the position of the patient s head. NM23880N 100

101 Functional Mapping Consumables 32-channel EEG caps Small 32-channel EEG cap A non-magnetic 32-channel EEG cap (size cm) with sintered Ag/AgCl electrodes. NM23905N Medium 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 101

102 Functional Mapping Consumables 64-channel EEG caps 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 102

103 Functional Mapping Consumables 128-channel EEG caps Small 128-channel EEG cap A non-magnetic 128-channel EEG cap (size cm) with sintered Ag/AgCl electrodes. NM23894N 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 103

104 104

105 Intra-operative imaging

106 Intra-operative imaging SonoWand Invite SonoWand Invite SonoWand Invite is an integrated, high-precision, single-rack system for intra-operative ultrasound imaging in 3D. It is a unique all-in-one solution. SonoWand Invite can work as a neuronavigation system providing rapid access to intra-operative 3D images; a conventional MR or CT based neuronavigation system, or a stand-alone ultrasound scanner ST High performance ultrasound scanner - Navigation System with built-in computer - Operative System Software - Ultrasound Probe 8 FPA Complete - Patient Localizer Fixation Arm 11009ST Patient Reference Localizer - Intraoperative Patient Reference Localizer - Planning Navigator - intraoperative Navigator - planning Consumables start pack - SonoWand User Manual (Paper version - English)

107 Intra-operative imaging SonoWand Invite Modules and additional features Integration with PACS Interface to the PACS - Picture Archiving and Communication System. This system is able to query and receive DICOM images to its local disc Cranial module This module is mandatory for the SonoWand Invite system. The Cranial module is the basic module used for intraoperative imaging and navigation during brain surgery Microscope Integration Works In Progress to be released during

108 Intra-operative imaging SonoWand Invite Ultrasound Probes and Localizers Ultrasound Probe 12 FLA Complete FLA (Flat Linear Array) Ultrasound Probe is used for superficial scanning with an image depth range of 0-5 cm. Multi-frequency range 5-12 Mhz. With a footprint of 31.5 x 10.5 mm. Includes a rigid body localizer for spatial tracking of the FLA Probe s location relative to the patient. Factory calibration eliminates the need for a calibration algorithm in the operating room ST Ultrasound Probe Localizer FLA Ultrasound Probe 12 FLA Ultrasound Probe 12 FLA-L Complete Flat Linear Array (FLA) Ultrasound Probe complete set with Probe Localizer. FLA Ultrasound Probe is used for superficial scanning with an image depth range of 0-5 cm. Multi-frequency 6-12 MHz. 192 channels. With a footprint of 48 x 8 mm. Rigid body localizer for spatial tracking of the 12 MHz FLA Probe s location relative to the patient. The localizer is biocompatible coated and sterilizable. Factory calibration eliminates the need for a calibration algorithm in the operating room ST Ultrasound Probe Localizer FLA Ultrasound Probe 12 FLA-L Ultrasound Probe 10 FPA MC FPA (Flat Phased Array) Ultrasound Probe is used for deep seated scanning with an image depth range of 0-9 cm. Multi-frequency Mhz. Small foot print of 15 x 13 mm. Cable length of 3.0 m. Does not include a Probe Localizer for spatial tracking of the FPA Probe s location relative to the patient. Use with the Ultrasound Probe Localizer FPA (item 10056) delivered as standard with the Basic Configuration

109 Intra-operative imaging SonoWand Invite General Purpose Localizers General Purpose Localizer small Rigid body localizer for spatial tracking and image guidance. This localizer can be adaptable to nearly any rigid instrument by the user, and after a simple and quick calibration procedure is given the instrument the same functionality as the intraoperative navigator (pointer) General Purpose Localizer large Rigid body localizer for spatial tracking and image guidance. This localizer can be adaptable to nearly any rigid instrument by the user, and after a simple and quick calibration procedure is given the instrument the same functionality as the intraoperative navigator (pointer)

110 Intra-operative imaging SonoWand Invite Consumables Multi Modality Radiographic Markers MR and CT compatible self-adhesive fiducials provide an alternative to anatomical landmarks in cases where higher navigation accuracy is desired. Packages à 100 fiducials SONOWAND Spherz Disposable single-use, passive reflective marker spheres for all SonoWand localizers and rigid body additional equipment. Delivered sterile packed in pouches containing 4 spheres. One box holds 20 pouches. The reflecting spheres are placed on all localizers and navigators, four on each. They are passive markers that reflect the infrared light from the Optical Tracking Unit. Minimum order of 2 boxes, 160 spheres in total Touch-Screen Monitor Drape The ultrasound probe cover is designed to protect and ensure sterility of the touch screen monitor during surgery. Packages of 25 covers

111 Intra-operative imaging SonoWand Invite Consumables Ultrasound Probe Drape FLA-L This ultrasound probe cover is designed to protect and ensure sterility of the FLA and FLA-L ultrasound probes during surgery. Sold in packages of 20 covers. (Not for use in the US) Ultrasound Probe Drape FPA This ultrasound probe cover is designed to protect and ensure sterility of the 8 FPA ultrasound probe during surgery. Sold in packages of 20 covers. (Not for use in the US) Ultrasound Probe Drape FPA This ultrasound probe cover is designed to protect and ensure sterility of the 8 FPA ultrasound probe during surgery. Sold in packages of 12 covers also including gel, rubber band and clips.to be used in the US Ultrasound Sterile Gel Aquasonic 100 Sterile Gel is a non-staining, hypoallergenic gel intended to improve acoustical contact between the ultrasound probe and the sterile drape/cover. The gel is certified under the Medical Device Directives as a Class IIa. Packages à 48 gels

112 Intra-operative imaging SonoWand Invite Spare Parts Ultrasound Probe Localizer FPA Rigid body localizer for spatial tracking of the 8 FPA and 10 FPA MC Probe s location relative to the patient. The localizer is biocompatible coated and sterilizable. Factory calibration eliminates the need for a calibration algorithm in the operating room Ultrasound Probe Localizer FLA Rigid body localizer for spatial tracking of the 12 FLA-L and 12 FLA Probe s location relative to the patient. The localizer is biocompatible coated and sterilizable. Factory calibration eliminates the need for a calibration algorithm in the operating room Ultrasound Probe 8 FPA Flat Phased Array (FLA) Ultrasound Probe is used for deep-seated targets with an image depth range of 1-12 cm. 128 channels. Multi-frequency range 3-8 MHz. Flat Phased Array with a footprint of 24 x 17 mm Ultrasound Probe 12 FLA-L FLA (Flat Linear Array) Ultrasound Probe is used for superficial scanning with an image depth range of 0-5 cm. Multi-frequency range 6-12 MHz. 192 channels. Footprint of 48 x 8 mm Ultrasound Probe 12 FLA FLA (Flat Linear Array) Ultrasound Probe is used for superficial scanning with an image depth range of 0-5 cm. Multi-frequency range 5-12 Mhz. With a footprint of 31.5 x 10.5 mm. Cable length of 3.0 m

113 Intra-operative imaging SonoWand Invite Spare Parts Training Model Phantom Phantom for training purpose. Complete with transportation bag SonoWand User Manual (Paper version - English) SonoWand User Manual (CD version - English) Patient Reference Localizer Planning Rigid body localizer for spatial tracking of patient fixed in patient head clamp. The localizer is biocompatible coated and sterilizable. This nonsterile version may be used during preoperative planning. Note: This should be replaced with the sterile version after draping Patient Reference Localizer Intraoperative Rigid body localizer for spatial tracking of patient fixed in patient head clamp. The localizer is biocompatible coated and sterilizable. The sterilized version is utilized during surgery, after patient draping Patient Localizer Fixation Arm Stainless steel (316L) fixation arm for attaching the Patient Reference Localizer to the patient head clamp (fits Mayfield adapter). Included in this kit is the Fixation Arm, Multi-joint Holder and Patient Reference Localizer Base ST 113

114 Intra-operative imaging SonoWand Invite Spare Parts Navigator planning Rigid body localizer (pointer) for spatial tracking and imaged guidance relative to preoperative and intraoperative images under sterile conditions. The localizer is biocompatible coated and sterilizable. This black pointer may be used during the registration process before draping Navigator intraoperative Rigid body localizer (pointer) for spatial tracking and imaged guidance relative to preoperative and intraoperative images under sterile conditions. The localizer is biocompatible coated and sterilizable Footswitch 3 pedals, IP68 Footswitch, 3 pedals, IP

115 Intra-operative imaging Surgical Navigation Accessories Hennig Instrument Guide Kit This elegant skull mounted device offers access to targets within the brain through a minimal burr hole Base Ring Locking Ring Target Sphere with Instrument Channel Fastening Key Instrument Channel Reducer 1.5 mm Instrument Channel Reducer 2.1 mm Instrument Channel Reducer 2.5 mm Instrument Channel Reducer 3.2 mm Instrument Channel Reducer 3.5 mm Instrument Channel Reducer 4.0 mm Single Instrument Stop 1.5 mm Single Instrument Stop 2.1 mm Single Instrument Stop 2.5 mm Single Instrument Stop 3.2 mm Single Instrument Stop 3.5 mm Single Instrument Stop 4.0 mm Multiple stop 2.5 mm Indexer Sterilization case Instructions for Use, Hennig Instrument Guide D-Arm Kit Elekta s 3D-Arm is a rigid, mechanical tool that provides a stable platform for tools and devices wherever they are required around the surgical target. It acts as a useful third arm when performing open or minimally-invasive surgery. Two 3D-Arms are included in the kit D-Arm P Three Pack (Male-Female) Connector 0, Symmetric P Three pack (Male-Female) Connector 0, Asymmetric P Starburst Side Rail Adapter 90 P Double Spoon M10 Elongator, Short P C-Clamp Tool Holder P Aiming Device (8x25mm) P Multifunctional Clamp Guidance System Standard P Ruler and Stopper for Multifunctional Clamp P Ruler and Stopper for SGS P Handle 47 (perforator) P

116 Intra-operative imaging Surgical Navigation Accessories 3D-Arm The 5-section arm allows maximum positioning possibilities around the target area. A progressive locking mechanism allows maximum position control during locking with rigidity and ease-of-use. 2 arms are included in the 3-D Arm kit. The individual 3-D Arm is a single-lever arm of 500 mm lenght. P Starburst Side Rail Adapter 90 The adapter allows for the adaptation of the device to almost every interventional surrounding. The starburt Siderail Adapter can be mounted to all tables which are equipped with a standard siderail, like most of the OR tables used in IR suites. The adapter enables you to fasten the 3-D Arm to almost any siderail. P Three Pack (Male-Female) Connector 0, Symmetric Three Pack Connectors are used for connection to the Mayfield system. They provide versatile extension with great stability. Using the Starburst Connectors, the different modules/components can be combined in almost any configuration. P Three pack (Male-Female) Connector 0, Asymmetric Three Pack Connectors are used for connection to the Mayfield system. They provide versatile extension with great stability. P Double Spoon M10 Elongator, Short Double Spoon Elongations allow the attachement of different kinds of tools, like a Multifunctional Guidance System, for any kind of surgical or radiotherapy intervention. The Double Spoon Elongations can be used to enlarge the setup and to be able to reach further positions. P

117 Intra-operative imaging Surgical Navigation Accessories C-Clamp Tool Holder Each C-Clamp has two fixation points that are offset from one another by 90. This enables two different setups for connection with a Spoon Adapter. The C-Clamp allows the stable positioning of almost any surgery, neurosurgery or orthopaedic tool during interventions. P Multifunctional Clamp Guidance System Standard Due to the continous adjustability of the clamp, no reducing tubes are needed for instrument guidance using this system. All types of guidance systems have two separate adjustable joints, which enable easy and precise positioning of the needle or other instruments along the desired trajectory. P Ruler and Stopper for Multifunctional Clamp The Multifunctional Guidance System can be equipped with a Ruler and Stopper. The Ruler and Stopper gives you an idea of how far an instrument is inserted along the desired trajectory. P Handle 47 (perforator) The Handle 47 can be screwed into any of the Starburst Connectors as a replacement for the handle (blunt) that already is screwed into the respective Starburst Connector. As the Handle 47 has a pointed tip, it can be used to perforate a sterile foil, enabling to separate a sterile area from a non-sterile area. P Aiming Device (8x25mm) The Aiming Device is available with a range of reducing tubes for standard single-use biopsy needles, or any other kind of instrument with a diameter less than 3 mm. P

118 Intra-operative imaging Surgical Navigation Accessories Ruler and Stopper for SGS The Aiming Device can be equipped with a Ruler and Stopper. The Ruler and Stopper gives you an idea of how far an instrument is inserted along the desired trajectory. P

119 Elekta Services

120 Elekta Services Educational Programs Stereotactic Neurosurgery, Functional Mapping and Intraoperative Imaging Leksell Stereotactic Neurosurgery Program The objective make neurosurgeons proficient in the use of Leksell Stereotactic System and to further develop their skills in the use of the system. The clinical part of the training focuses on functional disorders Amsterdam Amsterdam incl. 4 nights Elekta Neuromag Introductory Program The objective is to introduce users to Elekta Neuromag magnetoencephalography (MEG) for clinical and/or research purposes Incl. 6 nights Elekta Neuromag Advanced Program The objective is to provide existing users guidance to further enhance their knowledge on MEG usage and applications Incl. 4 nights SonoWand Invite - Intra-operative Imaging Training Course The objective is to make neurosurgeons proficient in the use of the Sono- Wand System. To strengthen the neurosurgeon s confidence in 3D Ultrasound Navigation

121 Elekta Services Educational Programs Gamma Knife surgery Leksell Gamma Knife Perfexion Introductory Program The objective identify the basic principles and biophysics of Gamma Knife surgery and how they apply to day-to-day patient treatment Cleveland Leksell Gamma Knife Perfexion Clinical Introductory Program The objective introduce clinicians to Gamma Knife surgery with Leksell Gamma Knife Perfexion. The course focuses on clinical information, combined with hands-on sessions using Leksell GammaPlan Marseille Marseille incl. 5 nights Leksell Gamma Knife Perfexion / 4C Introductory Program The objective obtain knowledge about the practical aspects of stereotactic radiosurgery using Leksell Gamma Knife Pittsburgh Leksell Gamma Knife Perfexion Advanced Program for Stereotactic Radiosurgery The objective further enhance the participant s knowledge of Leksell Gamma Knife Perfexion and its advanced applications in the field of stereotactic radiosurgery Charlottesville Leksell Gamma Knife Perfexion Upgrade Program The objective is to receive aspects of clinical and technical training for handling new features of Leksell Gamma Knife Perfexion, when upgrading from previous models Cleveland Washington Pittsburgh

122 Elekta Services Educational Programs Gamma Knife surgery Leksell Gamma Knife Perfexion Nurse Introductory Program The objective provide radiosurgery nurses with a patient care-oriented overview of Leksell Gamma Knife Perfexion radiosurgery, including patient selection, treatment mechanics, patient care and follow-up Fremont Leksell Gamma Knife Perfexion Applications Introductory Program The objective make users confident in the operation, care and maintenance of Leksell Gamma Knife Perfexion Stockholm Stockholm incl. 5 nights Leksell Gamma Knife Perfexion /Leksell GammaPlan Physics Introductory Program The objective provide Medical Physicists with a technical and clinical overview of what this method of treatment entails Fremont Leksell Gamma Knife Perfexion / 4C Nurse Course The objective provide radiosurgery nurses with principles of device management, patient preparation, patient education, neuroimaging, and postradiosurgery care Pittsburgh Leksell GammaPlan Advanced Program The objective enhance the knowledge of users in 3D volumetric dose planning, by providing comprehensive didactic and supervised practical training Stockholm Stockholm incl. 4 nights USA

123 Elekta Services Service & Support Stereotactic Neurosurgery Leksell Neuro Generator Full Service & Support Program The purpose of the LNG Full Service & Support program is to uphold Leksell Neuro Generator (LNG) functionality and performance, to limit the cost and exposure to system malfunction for the user Leksell Neuro Generator Basic Service & Support Program The purpose of the LNG Basic Service & Support program is to uphold Leksell Neuro Generator (LNG) functionality and performance, to limit the cost and exposure Leksell Neuro Generator Remote Support on Demand Provision of remote support concerning a Leksell Neuro Generator (LNG) related question or required technical and/or application assistance Leksell Neuro Generator Verification on Demand Verification of a Leksell Neuro Generator (LNG) Leksell Neuro Generator Planned Maintenance on Demand Repair and refurbishment of Leksell Neuro Generator (LNG) where functionality and performance are verified and certified Leksell Neuro Generator Loaner on Demand LNG Loaner on Demand includes a certified Leksell Neuro Generator (LNG) Leksell Neuro Generator Pulsed RF Loaner on Demand The loaner on demand includes a certified Leksell Neuro Generator (LNG) Pulsed RF

124 Elekta Services Service & Support Stereotactic Neurosurgery Leksell Stereotactic System Full Service & Support Program The purpose of the LSS Full Service & Support Program is to uphold Leksell Stereotactic System (LSS) functionality and performance, to limit the repair cost and ensure the customer use Leksell Stereotactic System Basic Service & Support Program LSS Basic Service & Support Program is a service program aimed to uphold Leksell Stereotactic System(LSS) performance over time Leksell Stereotactic System Remote Support on Demand Provision of remote support concerning a Leksell Stereotactic System related question, required technical and/or applications assistance Leksell Stereotactic System Verification on Demand Verification of Leksell Stereotactic System (LSS) Leksell Stereotactic System Planned Maintenance on Demand LSS Planned Maintenenace includes repair and refurbishment of Leksell Stereotactic System (LSS) where functionality and performance are verified and certified Leksell Stereotactic System Loaner on Demand The loaner on demand service provides a certified Leksell Stereotactic System (LSS) for a predefined period G-Frame, Repair Repair service for Leksell Stereotactic System (LSS) G Frame Multipurpose Arc, Repair Repair service of Leksell Stereotactic System (LSS) Multipurpose Stereotactic Arc

125 Elekta Services Service & Support Stereotactic Neurosurgery Leksell SurgiPlan Full Service & Support Program The purpose of the SPS Full Service & Support program is to uphold Leksell SurgiPlan (SPS) functionality and performance, to limit the cost and exposure to system interruption for the user Leksell SurgiPlan Basic Service & Support Program The purpose of the SPS Basic Service & Support program is to uphold Leksell SurgiPlan (SPS) basic performance, to limit the cost and exposure to system malfunction for the user Leksell SurgiPlan Remote Support on Demand The purpose is to provide the customer with SPS Remote Support Leksell SurgiPlan Software Update on Demand SPS Software Update provide the latest maintenance release of Leksell SurgiPlan (SPS) software Leksell SurgiPlan Software Upgrade on Demand SPS Software Upgrade provide the latest release of Leksell SurgiPlan software Leksell SurgiPlan Planned Maintenance on Demand Planned Maintenance of Leksell SurgiPlan (SPS) system

126 Elekta Services Service & Support Stereotactic Neurosurgery and Intra operative imaging. Leksell SurgiPlan Scan Interface Support on Demand Provision of Leksell SurgiPlan (SPS) scanner interface support is to optimise the customer s DICOM system in terms of reconfiguring and tuning existing SPS set-ups and/or setting up for additional DICOM image sources Leksell SurgiPlan Emergency Service Visit on Demand Leksell SurgiPlan Emergency Service Visit includes an on site visit Leksell SurgiPlan Training Support on Demand Training Support on Demand provides an on site training of installed Leksell SurgiPlan (SPS) modules SonoWand Installation and initial training package Included in the package is 1 day on site clearing and installation, 1 day system training, 1 to 3 days of clinical support and 1 day on site follow-up visit 3-12 weeks after installation

127 Elekta Services Service & Support Gamma Knife surgery Leksell Gamma Knife Perfexion Advanced Service & Support Program The advanced 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 Leksell Gamma Knife Perfexion Lifecycle Program Leksell Gamma Knife Perfexion Lifecycle Program is specifically designed for the most demanding stereotactic centers of excellence. With the unparalleled support of this premium program, nothing has been overlooked in the quest to streamline cranial radiosurgery and perfect delivery with the revolutionary Leksell Gamma Knife Perfexion unit Leksell Gamma Knife Perfexion Basic Service & Support Program Elekta s Basic 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 Leksell Gamma Knife Perfexion Full Service & Support Program Elekta s Full Service & Support program helps to maintain the precision and reliability of the Leksell Gamma Knife Perfexion

128 Elekta Services Service & Support Gamma Knife surgery Leksell Gamma Knife 4C, C and 4 with APS Advanced Service & Support Program The advanced 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 Leksell Gamma Knife 4C, C and 4 with APS Full Service & Support Program The Full 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 Leksell Gamma Knife 4C, C and 4 with APS Basic Service & Support Program Elekta s Basic 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 Software maintenance agreement The software maintenance agreement offers support, installation and maintenance upgrades for the licensed software

129 Elekta Services Service & Support Gamma Knife surgery Leksell Gamma Knife 4C, C and 4 without APS Advanced Service & Support Program The advanced 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 without APS Leksell Gamma Knife 4C, C and 4 without APS Full Service & Support Program The Full Service & Support program helps to maintain the precision and reliability of Leksell Gamma Knife 4C, C and 4 without APS, with on-site maintenance and upgrades plus guaranteed fast response and technical support should a problem arise Leksell Gamma Knife 4C, C and 4 without APS Basic Service & Support Program Elekta s Basic 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 4C, C and 4 without APS Software maintenance agreement The software maintenance agreement offers support, installation and maintenance upgrades for the licensed software

130 Art. No OCT Elekta Instrument AB. All mentioned trademarks and registered trademarks are the property of the Elekta group. All rights reserved. No part of this document may be reproduced in any form without written permission from the copyright holder. Specifications subject to change without notice. Human Care Makes the Future Possible Corporate Head Office: Regional Sales, Marketing and Service: Elekta AB (publ) Box 7593, SE Stockholm, Sweden Tel Fax info@elekta.com North America, Atlanta, USA Tel Fax info.america@elekta.com Europe, Latin America, Africa, Middle East & India Tel Fax info.europe@elekta.com Asia Pacific Hong Kong, SAR China Tel Fax info.asia@elekta.com