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1. aluminum enclosures the actuator contains bipolar stepper motors that enable linear motion accuracy of 0 01 mm and rotational motion accuracy of 0 2 Linear motion of the target in the IS direction can be isolated from rotational motion in the axial plane in both frequency and amplitude Motions can be synchronized to one another with accuracy better than 20 msec Motion cycle time accuracy is better than 5 msec Optical sensors ensure pre cise mechanical positioning The actuator is designed for continuous operation If not manually stopped and reset by the user it will perform 1000000 in continuous mode cycles then stop automatically CONTROLLER Motions are generated through a three axis motion controller A USB port enables interfacing with most computers The controller box powers the actuator and sends motion instructions through a 25 pin serial cable The motion controller can be fully operated through CIRS Motion Control Software see page 3 from a distance of up to 70 feet with the Ethernet USB cable provided Additional Options DYNAMIC THORAX PHANTOM BODY amp SURROGATE PLATFORM Model 008A 20 includes the Dynamic Thorax Phantom Body and Sur rogate Platform The Dynamic Thorax Phantom Body is interchanged with the Dynamic Pelvis Body while the Surrogate Platform is attached to the Motion Actuator Box The Dynamic Thorax Phantom Body represents an average human thorax in shape proportion and com posit
2. 57 855 2765 Fax 757 857 0523 E mail admin cirsinc com www cirsinc com Technical Assistance 1 800 617 1177 Computerized Imaging Reference Systems Inc has 2013 Computerized Imaging Reference Systems Inc All rights been Certified by UL DQS Inc to ISO 9001 2008 reserved All brand names pcubeuct names or trademarks belong Certificate Registration No 10000905 QM08 to their respective holders Specifications subject to change without notice Publication 008P PB 092215
3. Dynamic Pelvis Phantom Model 008P IMAGE ACQUISITION e TREATMENT PLANNING DOSE DELIVERY SCAN PLAN LOCALIZE TREAT IGRT 2428 Almeda Avenue Suite 316 e Norfolk Virginia 23513 e USA Tel 800 617 1177 757 855 2765 Fax 757 857 0523 WWW CIRSINC COM CIRS Tissue Simulation amp Phantom Technology CAPABILITIES e Commission 4D imaging and 4D radiotherapy systems e Evaluate static and dynamic target localization accuracy of onboard imaging systems e est accuracy and consistency of tumor tracking e Assess dosimetric accuracy of intensity modulated radiation therapy e rain and evaluate personnel during implementation of new equipment and techniques Overview The CIRS Dynamic Pelvis Phantom is a precision instrument for investigating and minimizing the impact of prostate motion inside the pelvis It provides known accurate and repeatable two dimensional target motion inside a water equivalent phantom It is designed for end to end analysis of image acquisition planning and dose delivery in image guided radiation therapy The phantom body represents an average human pelvis in shape proportion and composi tion A water equivalent cube containing a prostate gland and or various detectors is inserted into the pelvic cavity of the phantom The cube is connected to a motion actua tor box that induces two dimensional target motion through rotation of the water equivalent cube Motion of t
4. Tissue equivalent phantom body with anthropo morphic pelvis external alignment marks and CT fiducials for phantom image registration Linear Attenuation Coefficients To Reference Tissues 9 Plastic Trabecular Cortical Posat Water DT Bone Bone En MeV Ratio Ratio jd Ratio 96 0 06 100 5 100 1 100 00 100 19 0 08 100 3 100 3 99 99 100 42 0 10 100 2 100 3 99 99 100 45 0 20 100 1 100 5 99 99 100 56 0 40 100 1 100 5 100 0 100 64 0 60 100 1 100 5 100 0 100 54 0 80 100 1 100 4 100 0 100 62 1 00 100 1 100 5 100 0 100 55 2 00 100 1 100 5 99 99 100 59 4 00 100 0 100 5 99 92 100 28 6 00 99 8 100 3 99 85 100 35 8 00 99 7 100 0 99 79 100 00 10 0 99 6 100 0 99 73 100 00 20 0 99 1 99 58 99 55 98 93 1 ICRP 23 Report of the Task Group on Reference Man 1975 2 Woodard H Q White D R The Composition of Body Tis sues The British Journal of Radiology 1986 59 1209 1219 Interchangeable Cubes for QA amp Dosimetry There are eight water equivalent interchangeable 6 35 cm cubes available for use with the phantom The cubes accommodate either micro chamber film or gel dosimeters All cubes can be quickly inter changed For the purpose of evaluating the 3D dose the pelvis body accomo dates model 002GC which receives a standard B9 dose gel container The container is made from oxygen resistant plastic Clear walls enable visual inspection of the irradia
5. he O ueeeraeme _ ussewmetmr s feanptastacranses O O OOOO OO Li sr 10 INTERCHANGEABLE CUBE OPTIONS Note Customers must complete their order with the purchase of at least one 1 interchangeable cube option Refer to separate CIRS cavity and plug code list for available chamber cavities 008P 02 Imaging Cube with 25 cc Prostate Gland 008P 03 Imaging Cube with 50 cc Prostate Gland 008P Microchamber configured cube with 25 cc Prostate Gland 04 CVXX xx 05 CVXX xx ADDITIONAL OPTIONS 008P 008P 17 Adjustable legs for 008P only 008A 20 Dynamic Thorax Body eas E B g a B All standard CIRS products and accessories are warranted by CIRS against defects in material and workmanship for a period as specified below During the warranty period the manufacturer will repair or at its option replace at no charge a product containing such defect provided it is returned transportation prepaid to the manufacturer Products repaired in warranty will be returned transportation prepaid There are no warranties expressed or implied including without limitation any implied warranty of merchantability or fitness which extend beyond the description on the face hereof This expressed warranty excludes coverage M ODEL 008P of and does not provide relief for incidental or consequential damages of any kind or
6. he cube itself is radiographically invisible due to its matching density with the surrounding material The prostate and its motion given its density difference can be resolved Prostate motion is independently controlled with CIRS Motion Control Software The graphi cal user interface provides an unlimited variety of optimized motion profiles while simplifying the operation of the Dynamic Pelvis Phantom to an intuitive level Patient specific profiles are easily imported and there is no need to make hardware adjustments or have special programming skills The Dynamic Pelvis Phantom offers ease of use and portability as well as a flexible selec tion of motion profiles and dosimeter options All components are packaged in a protective case The system requires minimal set up and can be ready to use in minutes The CIRS Model 008P Dynamic Pelvis Phantom presents a sophisticated solution for the complex challenges and emerging technologies in Image Guided Radiation Therapy Computerized Imaging Reference Systems Inc is recognized world wide for tissue simulation technology and is the leader in the manufacture of phantoms and simulators for medical imaging and radiotherapy WWW Cirsinc com Easy Use Software Dynamic Phantom Graphical user interface Motion Control Selection simplifies operation Thorax or Pelvis of the Model 008P Adjust motion amplitude cycle time and phase shift with pull down menus and slider bars Instantl
7. ion Various lung equivalent rods containing a spherical target or various detectors are available and are inserted into the lung equivalent lobe of the phantom The body is connected to a motion actuator box that induces three dimensional target motion through linear transla tion and rotation of the lung equivalent rod The CIRS Motion Control Software has been pre programmed to allow the user to select the phantom that is to be controlled by the software ADJUSTABLE LEGS Adjustable legs are available Legs can be useful in leveling the phantom on curved imaging couches Model 008P Specifications Overall 67 cm x 32 cm x 28 cm 26 x 13 x 11 is d Pelvis 18 cm x 30 cm x 20 cm x 12 x 8 WEIGHT Overall 81 1 kg 40 Ib Pelvis 8 8 kg 19 5 Ib AMPLITUDE IS 5mm AMPLITUDE AP ESCORT MOTION ACCURACY 0 1 mm CYCLE TIME 1 adjusted based on amplitude te NA CIRS MOTION CONTROL SOFTWARE SYSTEM REQUIREMENTS Windows Vista Windows 7 Windows 8 32 and 64 Bit Pentium 39 or equivalent 512 MB RAM 2 MB of available disk space Ordering Information INCLUDED WITH MODEL 008P 008P Ph Dynamic Pelvis Phantom Body with 3D pelvis Prostate Cubes not included or it th vare nette 10 280 50 608 i voton actuators OOOO O O OO OOOO 1 ors voton conte sonvare orom CT __ eene _ O v _ 1 ossm eomeec
8. nature including but not limited to loss of use loss of sales or inconve Fi EA TURES nience The exclusive remedy of the purchaser is limited to repair recalibration or replacement of the product at manufacturer s option Complex prostate tumor This warranty does not apply if the product as determined by the manufacturer motion within the pelvis is defective because of normal wear accident misuse or modification Non Warranty Service er If repairs or replacement not covered by this warranty are required a repair oub millimeter accuracy and estimate will be submitted for approval before proceeding with said repair or repcubeucibility replacement Product Warranty Period Non Standard or customized products Training Phantoms and Disposable Products Motion software enables different cycles amplitudes and wave forms Electrical Products and Dynamic Phantoms 12 months All other standard products 48 months Plastic Water 60 months Tissue equivalent from 50 keV to 15 MeV Compatible with TLD MOSFET Dose Gel micro chamber PET REFERENCES CT targets and film Xie Y Djajaputra D King CR et al Intrafractional Motion of the Prostate During Hypofractionated Radiotherapy Int J Radiat Oncol Biol Phys 2008 72 1 236 246 doi 10 1016 ijrobbp 2008 04 051 11 CIRS COMPUTERIZED IMAGING REFERENCE SYSTEMS INC 2428 Almeda Avenue Suite 316 Norfolk Virginia 23513 USA Toll Free 800 617 1177 Tel 7
9. or posterior directions There are five 5 prostate motion specific built in waveforms each with its own default cycle time TEAM SG MT _ PERSISTENT EXCURSION b i J 26 lu M s J T L FL i a j _ I T p pem SN r Tima P Continuous Drift Transient Excursion Persistent Excursion BPA EECUORAAOH Heec caged ae acr ua ut TE P an ia 1680 E s de deere Tice Te isis High Frequency Excursion Irregular Movement Proven Tissue Equivalent Phantom Technology The phantom body approximates the average human pelvis in both size and structure using simplified geometries It is constructed of pro prietary tissue equivalent epoxy materials Linear attenuations of the simulated tissues are within 196 of actual attenuation for water and bone As internal landmarks the phantom contains a 3D anthropomorphic pelvis with cortical and trabecular bone External alignment marks with embedded fiducials facilitate rapid orientation with positioning lasers and phantom image registration Front View Material Density Electron Density Ratio g cc x 10 23 per cc to H O Plastic 1 04 3 35 1 003 Water DT Cortical 1 91 5 95 1 782 Bone Trabecular 1 20 3 86 1 156 Bone Prostate 1 08 3 48 1 041
10. static test as well as dynamic testing Users can also select the number of cycles to be looped by entering the desired value or choose continuous looping 1 million cycles Imper Tria Data Column Selection ie I m WM Mirror by amplitude O Smoothing Sampling rate of Name of imported waveform Un smoothed recorded data by User or software assigned Data 0 Maximum motion control Smoothing Degree 2100 software Used to reconstruct waveform Range 1 to 100 True 2D Target Motion In A Solid Epoxy Phantom A water equivalent homogeneous cube containing a prostate and or dosimeter is moved within the pelvic region of the solid phantom body Motion of the cube is radiographically invisible due to its matching density with the surrounding material however the prostate can be resolved given its density difference The cube is inserted in a cylinder so that the prostate s isocenter is offset from the center of the encapsulating cylinder which has on its cylindrical face a circular gear pinion which engages with teeth on a linear gear rod rack Complex 2D motions can be achieved thru the rack and pinion system The actuator box induces linear motion on the linear gear rod The linear motion of the rack is thereby converted to rotational motion of the cube Complex 2D motion profiles can be achieved thru simultaneous independently controlled translation in inferior superior and anteri
11. ted gel The container can be scanned in CT MRI and optical laser scanners The film stack cubic insert accommodates 13 radiochromic films with 4 mm spacing for quasi 3D dosimetry The cube features groves that NOTE The evaluation of 3D dose should be done for a static position since the pelvis body cannot be mounted to the phantoms actuator which is not MHI safe enable easy orientation of film scans in the TPS The imaging cubes are designed to include solid known volume targets for imaging applications and include either a 25 cc or 50 cc prostate gland The micro chamber cubes are designed for target acquisition and quantitative dose measurements Each cube includes a prostate gland and is machined to receive the dosimeter at the center of the prostate volume The Gafchromic film cubes which contain a 25 cc or 50 cc prostate gland are designed for film dosimetry in sagittal plan The design of film prostate cubes is such that the orientation of the radiated film is easily recognized Gel Dosimetry Cassette Model 002GC Film Stack Model 002FC 25 cc Imaging Cube Model 008P 02 50 cc Imaging Cube Model 008P 03 25 cc Microchamber Cube Model 008P 04 OCV 50 cc Microchamber Cube Model 008P 05 CV 25 cc Film Configued Cube Model 008P 07 50 cc Film Configured Cube Model 08 08 Cutaway to show internal structure 7 Advanced Electromechanical Components ACTUATOR ALSO USED FOR MODEL 008A Housed within anodized
12. y Start Stop Real time display of target Pause or Loop motion motion parameters USER FRIENDLY MOTION CONTROL The Dynamic Pelvis Phantom is operated using CIRS Motion Control ooftware a user friendly graphical user interface that can be used to operate both the Dynamic Prostate Phantom and the Dynamic Thorax Phantom Upon installation the user selects the phantom that is to be controlled through a drop down menu on the main screen Amplitude cycle time and phase shift can be applied using slider bars or by entering desired values within the limits of the system Five differ ent built in waveforms are available from a standard pull down menu and represent typical prostate motion profiles An unlimited number of clinically relevant and user generated wave forms or correlation models can be imported from tab delimited or comma separated file formats There are also waveform editing smoothing and analyzing tools to ease the optimization of custom waveforms The software provides a convenient real time graphic display with relevant information about the waveform selected for each direction of simulated tumor In addition the ROI analyzing function provides the time spent by the target between two chosen amplitudes and the average time weighted position for that particular ROI Users can instantly start stop or pause the motion at any time New start positions can be graphically selected and applied making the device very useful for

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