MOVING LASER SYSTEMS IN RT

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MOVING LASER SYSTEMS IN RT ESSENTIAL FOR PRECISE PATIENT ALIGNMENT NEXT GENERATION

LAP IS YOUR IDEAL PARTNER FOR YOUR EXTERNAL LASER SYSTEMS OUR MOVING LASER SYSTEMS ARE RECOMMENDED BY LEADING CT SCANNER VENDORS. CT / PET-CT IMAGING IN RADIATION THERAPY The characteristic features of LAP laser systems are sophisticated technology, quality and design for more than 30 years. This level of excellence has made us the global market leader for patient alignment in radiation therapy. Precise patient marking, accurate planning and exact positioning are key factors for a successful treatment. Patient marking takes place during CT based virtual simulation and is required for reproducible treatment positioning on the LINAC. Our DORADO & DORADOnova laser systems together with the LAP laser control support this crucial and important marking process and conform to your department s workflow. e.g.: Marking on appropriate anatomical location Reference point marking Final isocenter marking Field marking Offering various configurations and mounting options the DORADO & DORADOnova laser systems are perfectly suited to meet any and all room requirements. THE SUCCESS OF RADIATION THERAPY IS CLOSELY RELATED TO THE ABILITY TO ACCURATELY DEFINE, PLAN AND DELIVER RADIATION TREATMENT TO THE TUMOR, WHILE LIMITING THE DOSE TO NORMAL TISSUE. Increased accuracy results in improved tumor control rates and a reduction in treatment-related toxicities The treatment isocenter location is identified based on target volumes and treatment area. Once the OUR SYSTEMS AT A GLANCE THREE PROJECTION COLORS: RED, GREEN, BLUE REMOTE CONTROLLED LASER ADJUSTMENT SMART LASER CONTROL CARINAnav with improved quality of life for cancer patients. isocenter is determined or marked, this coordinate Advances in imaging technologies support improved is part of the treatment plan and can be used as a treatment and the development of new techniques. reference location in subsequent dose calculations. Computed tomography (CT) scans acquired in the For the patient marking, external laser systems are treatment position before the start of radiation essential: A set of localization marks on the skin of therapy remain the basic imaging modality for the patient is necessary so that the patient can be contouring tumor target volumes and defining doselimiting normal body structures known as organs at accurately repositioned on the LINAC. Placement of localization marks can be carried out using BASIC SOLUTION GOLD STANDARD ADVANCED SYSTEM risk. For precise dose calculation with a treatment planning system a CT scan is necessary. In the case of lung, esophageal cancer and head and neck cancer, it could be shown that the target volume can be better delineated by means of a PET image fusion with the planning CT. different scenarios, taking into account the individual workflow of the clinics and the time requirements for different machines (CT versus LINAC). A welldesigned treatment preparation results in all these steps being seamlessly interrelated and the duration of the entire process being relatively short. DORADOnova 1 * 1 movable laser line for sagittal plane Transverse and horizontal plane adaption require CT couch movement. DORADOnova 3 * 3 movable laser lines for sagittal and horizontal plane Transverse plane adaption requires CT couch movement. 5 movable laser lines for sagittal, horizontal and transverse plane 5 ** No CT couch movement necessary. For further technical details please refer to the corresponding data sheets. * Also available as DORADO 1 or DORADO 3: manually adjustable and red laser color only. ** Commercial availability planned in 2018.

CHOOSING LAP S MOVING LASER SYSTEMS IN RT INCLUDE SAFETY FIRST HIGH RELIABILITY & PERFECT PERFORMANCE ROOM PLANNING OUR PRE-INSTALLATION SERVICE ACCURACY AND PRECISION IN PATIENT MARKING AND ALIGMENT All our moving laser systems together with the laser control are certified medical devices, which are developed and manufactured according to EN ISO13485 and are of course RoHS and REACH compliant. All components used are standard-compliant and conform to the specifications for a medical device. Regular training on the latest regulatory requirements and state-of-the-art technologies ensure that our developers and engineers are up to date. This in turn guarantees that you can safely use our products within their life cycle. To ensure successful operation all laser systems will be submitted to a strict quality control before shipping. Installation, final acceptance testing and commissioning will be done by LAP authorized service engineers only. No radiation therapy facility set up is alike. LAP always integrates room planning into each CT / PET-CT project. With the same care with which we develop innovative products, we support you with a professional room planning service. We take your individual room situation into account and thus ensures the accuracy and safety of our moving laser systems at a much wider level. Modern treatment techniques require precision in every stage of the entire treatment chain, beginning with precise and reproducible patient positioning with the help of a dedicated external laser system. Integrated in a superior housing our laser systems combine advanced optics, high precision mechanics and state-of-the-art electronics to ensure the highest level of stability and reliability. With the support of LAPs moving laser systems accurate and precise anatomical patient position is guaranteed. Laser system and CT scanner form a reliable unit. BY THE WAY The unique haptic and visual character convince in the welldesigned rooms and has been honored with the German Design Award in the category Medical, Rehabilitation and Health Care. 1600 3200 1600 500 THE CLEANLY AND PRECISELY DESIGNED LASER SYSTEM HAS A FASCINATING DESIGN ORIENTATED TO FUNCTIONALITY AND GOOD OPERABILITY THAT SIMULTANEOUSLY EMBODIES PROGRESSIVE MEDICINE STATEMENT OF THE GERMAN DESIGN AWARD JURY

LAP S FIRST CLASS LA SER TECHNOLOGY IS ESSENTIAL TO SUPPORT PATIENT MARKING AND ALIGMENT IN YOUR TREATMENT CHAIN ULTRA FINE LINES GOLD STANDARD SMART LASER CONTROL FAIL SAFE SYSTEM DORADOnova 3* CARINAnav COMPREHENSIVE TRAVEL RANGE NEXT GENERATION CARINAnav SUPPORTS YOUR INDIVIDUAL WORKFLOW Sustainable product improvements like latest electronic and mechanical components secure lifetime function & service. LASER ADJUSTMENT Start without patient data: just move the lasers with your fingertip or type in coordinates. Or open a planning data set and select the positions from a table. You may anytime override the data set and move the lasers manually or by entering coordinates. MOVE LASERS WITH PATIENT DATA START MOVE LASERS WITHOUT PATIENT DATA Full 6 degrees of freedom for adjustment via remote control MODE SELECTION shift, tilt, rotation focus é clinical mode you handle patient data and laser position é service mode you can align the laser axes to the machine s virtual isocenter for validation open data set Move lasers manually Move lasers by coordinates you may override by manual movement you may override by entering coordinates CT SCAN Patient positioning and marking with external laser system in treatment position SUPPORTED DATA INTERFACES LAP file format DICOM isocenter import syngo.via RT Image Suite OPTIONAL: MR SCAN & IMAGE FUSION For contouring the target volume and identifying organs at risk TREATMENT PLANNING For precise and successful patient irradiation * For more configurations, mounting versions and further technical details please refer to the corresponding data sheets. TREATMENT Patient positioning with external lasers

TECHNICAL DATA DORADOnova Laser color red (638 nm), green (520 nm), blue (450 nm) Laser class 2 Laser adjustment Line width up to 4 m distance Line length at 3 m distance Positioning accuracy Projection accuracy Travel range Travel speed Power supply Bridge mounting Dimensions Scope of delivery Remote controlled < 0.5 mm (blue), < 1 mm (red, green) 3 m ± 0.1 mm ± 0.5 mm at a projection distance of 4 m 700 mm up to 200 mm/s 100 240 V AC Width (customized) 2594 5000 mm (102.1 196.9 ) Height (customized) 2300 2800 mm (96.6 110.2 ) Depending of mounting version, please refer our data sheets Laser system, remote control, Wilke phantom, cable set WILKE PHANTOM THE PHANTOM SERVES TO CHECK é whether the laser lines run parallel to each axis é whether the laser lines are precisely aligned with the isocenter of the CT é whether the laser plane is coplanar with the image field of the CT Quick and simple set up Easy to use, transport and store For further technical details and more information regarding our DORADO and DORADOnova systems please refer to the corresponding data sheets. ISO 9001 ISO 13485 LAP DORADOnova, LAP DORADO and CARINAnav are trademarks of LAP GmbH Laser Applikationen. Further designations of products or services may be trademarks of LAP GmbH or other organizations; their use by third parties may infringe the rights of the respective owners. LAP GmbH Laser Applikationen Zeppelinstrasse 23 21337 Lueneburg Germany Phone +49 4131 9511-95 Fax +49 4131 9511-96 Email info@lap-laser.com www.lap-laser.com LAP of America, LLC 161 Commerce Rd., Suite 3 Boynton Beach, FL 33426 USA Phone +1 561 416-9250 Fax +1 561 416-9263 Email america@lap-laser.com LAP GmbH Laser Applikationen Представительство в Москве 1, Казачий переулок 7 119017 Москва Российская Федерация Тел. +7 495 7304043 Факс +7 495 7304044 Email info-russia.hc@lap-laser.com LAP Laser Applications Asia Pacific Pte. Ltd. 750A Chai Chee Road #07 07 Viva Business Park Singapore 469001 Phone +65 6536 9990 Fax +65 6533 6697 Email info-asia.hc@lap-laser.com LASER RADIATION DO NOT STARE INTO BEAM CLASS 2 LASER PRODUCT ACC TO EN/IEC 60825-1:2014; Pmax/C6 1mW; λ=630-690 nm Complies with 21 CFR 1040.10 and 1040.11 except for deviations pursuant to Laser Notice No. 50, dated June 24, 2007. LAP Laser Applications China Co. Ltd. East Unit, 4F Building # 10 LuJiaZui Software Park No. 61 Lane 91 EShan Road Shanghai 200127 China Phone +86 21 5047-8881 Fax +86 21 5047-8887 Email info-cn.hc@lap-laser.com LAP GmbH, MKT-140078 1.1 en, 2017-10-25