Abstract: A heat formable patient positioning cushion is provided including an impermeable or permeable outer shell; a filler material contained within an interior region defined by the outer shell; and a thermoplastic material applied to the outer shell, to the filler material, or to the outer shell and the filler material. The cushion has a first condition configured to be conformed to the anatomy of a patient in which the filler material moves relatively freely within the interior region defined by the outer shell, and a second condition conformed to the anatomy of the patient in which the filler material is relatively fixed against movement within the interior region defined by the outer shell. Heating and cooling changes the cushion from the first condition to the second condition and reheating permits increased movement of the filler material as compared to the second condition to further conform the cushion to the anatomy of the patient.

Abstract: A system for transporting a patient between modalities. The system includes a treatment couch having a couch top, a trolley having a stationary surface, and a patient transfer device having a surface configured to support a patient. The system also include at least one roller positioned to facilitate movement of the patient transfer device with respect to the stationary surface of the trolley, providing a low friction interface between the patient transfer device and the stationary surface of the trolley as the patient transfer device is moved, relative to the stationary surface of the trolley, between the stationary surface of the trolley and the couch top of the treatment couch.

Abstract: Systems for immobilizing a patient are disclosed. The system includes at least one preform formed from a low melting temperature thermoplastic, the preform being configured to be formed to the anatomy of the patient, at least one frame coupled to the at least one preform, and at least one support configured to support the anatomy of the patient. The system also includes at least one lock mechanism coupled to at least one of the frame and the support and configured to couple the at least one frame to the at least one support, and at least one adjuster mechanism coupled to at least one of the at least one frame and the at least one support and configured to selectively adjust a distance between the at least one frame and the at least one support while the at least one frame is coupled to the at least one support.

Abstract: Methods of immobilizing the head of a patient include heating a thermoplastic mask preform to a formable temperature, forming the thermoplastic mask over at least a mouth of the patient, and pushing a mouth receiving end of a bite piece into a portion of the thermoplastic mask preform that is positioned over the mouth of the patient, which moves the portion of the thermoplastic mask preform into the mouth of the patient. The methods also include allowing the thermoplastic mask preform to cool from the formable temperature, causing the portion of the thermoplastic mask moved into the mouth of the patient to harden.

Abstract: Advantageous patient transport systems, and related methods of use, are provided. More particularly, the present disclosure provides advantageous modular patient transport systems that are configured to transport patients from one surface to another for various applications (e.g., diagnostic imaging and/or radiation therapy applications). The patient transport systems/assemblies of the present disclosure are configured and dimensioned to be utilized with a wide variety of imaging and/or treatment modalities/environments. The target modality assemblies/surfaces that the patient may be transported to and/or from via the improved patient transport systems/assemblies of the present disclosure include many different types of equipment/surfaces.

Abstract: A radiation therapy patient couch top which provides optimal fields of treatment in a high-energy radiation therapy environment. In addition, the patient couch top provides superior imaging qualities when used in a diagnostic imaging x-ray environment. All metal is eliminated from the treatment/imaging area. This ensures that no metal will be in the way of the radiation treatment beam and that no artifacting will occur when used with diagnostic imaging techniques such as Computed Tomography. By employing moveable fiber reinforced support beams, the main patient support structure can be positioned so that a minimum of electron generation will occur through Compton scattering. By allowing for a removable insert, the top patient surface can be optimized for treatment, diagnostic imaging or the addition of other useful features.

Abstract: The present invention provides a patient positioning device, which enables the latest advances in Stereotactic Radiation Therapy. The geometry, which incorporates at least one window or lateral cut-out, is designed to allow clear treatment access to the patient during non-coplanar treatment regimes through the use of windows or lateral cut-outs. A laterally positionable diaphragm compression device allows the full use of the geometry. The development of a stand-alone device and a couch top insert device allows for a maximum number of protocol methods while minimizing the skin surface radiation dose to the patient.

Abstract: Aspects of the invention include preforms used to be formed into an immobilizer for use with a patient. The preform includes a preform member that is formed from a thermoplastic material and a filler material. The preform member is relatively rigid at a first temperature and formable at an elevated second temperature. The preform member is opaque at the first and second temperatures. The preform also includes at least one indicator associated with the preform member. The at least one indicator is formed from a thermoplastic material and is opaque at the first temperature and translucent at the second temperature. The at least one indicator can provide a visual indication of readiness to form the preform into the immobilizer upon heating the preform member to the second temperature at which the indicator is translucent.

Abstract: The present disclosure provides a structure constructed of carbon fiber that is compatible with Magnetic Resonance imaging and other radiofrequency technologies. The structure includes carbon fiber elements as well as insulating elements that are substantially x-ray translucent (radiolucent). These elements are arranged in such a way that the structure can be used in modalities such as Magnetic Resonance imaging where carbon fibers typically cannot be used due to image distortion and localized heating. At the same time, the structures are designed to maintain radiolucency that is significantly homogeneous.

Abstract: A patient positioning device for use in simulation and treatment via radiation therapy of the ipsilateral breast of a patient while in the prone position.

Abstract: The present invention provides a novel MRI coil configuration for breast cancer imaging in preparation for radiation therapy planning and treatment. Both an adjustable anterior and posterior coil sets are described. The coil sets are supported and configured so as not to affect the accurate and repeatable positioning of the patient and breasts. The coil sets are removable so that they can be extracted before radiation therapy treatment commences.

Abstract: The present invention provides a low friction device for transferring patients from one surface to another. This system allows a patient to be immobilized on one supporting surface. The immobilized patient can then be transferred laterally onto the target modality using an air bearing that is thin, homogeneously radiolucent and compatible with a variety of diagnostic imaging and treatment modalities.

Abstract: The present invention provides a structure constructed of carbon fiber that is compatible with Magnetic Resonance imaging and other radiofrequency technologies. The structure is comprised of carbon fiber elements as well as insulating elements that are substantially x-ray translucent (radiolucent). These elements are arranged in such a way that the structure can be used in modalities such as Magnetic Resonance imaging where carbon fibers typically cannot be used due to image distortion and localized heating. At the same time, the structures are designed to maintain radiolucency that is significantly homogeneous.

Abstract: The present invention provides a patient positioning device, which enables the latest advances in Stereotactic Radiation Therapy. The geometry, which incorporates at least one window or lateral cut-out, is designed to allow clear treatment access to the patient during non-coplanar treatment regimes through the use of windows or lateral cut-outs. A laterally positionable diaphragm compression device allows the full use of the geometry. The development of a stand-alone device and a couch top insert device allows for a maximum number of protocol methods while minimizing the skin surface radiation dose to the patient.

Abstract: A multi-layer patient support element comprising at least one structural member, wherein the structural member has a top surface and a bottom surface and wherein the top surface comprises a low radiation absorbing separation member. The support element of the present invention can be integrated into a patient support surface, used as an insert or easily removable from the patient support surface. The support element can reduce or eliminate radiation skin burn caused during radiation therapy.

Abstract: The present invention provides direct contact moldable low temperature thermoplastic prosthetic devices and method of making same. A direct contact moldable low temperature thermoplastic prosthetic socket preform that is formable between 50° Celsius and 80° Celsius wherein the socket preform can be direct contact molded on at least one appendage of a patient thereby forming a prosthetic socket and wherein the prosthetic socket is reformable after initial forming. The present invention also provides method of creating a direct contact moldable and reformable prosthetic socket.

Abstract: A patient support device for accurately and repeatably positioning a patient for treatment. The device comprises a top surface, a bottom surface, two sides and at least two sidewalls. The device can include an integral indexing means and an accessory device adaptor for receiving various accessories. The device can incorporate chamfered edge technology and can include indexing grooves on at least one surface of the device. In another embodiment, the present invention includes asymmetric indexing that can be achieved by using different indexing features from one side of the receiving device to the other. This asymmetric indexing is accomplished by using indexing features on either side of the receiving device that do not have the same geometry. As an alternative, the features can be of different geometries and the opposing features can be offset. When offset, the portion of the couchtop directly opposing a feature will be free of an indexing feature.

Abstract: The present invention provides a patient couch top or device for quickly and accurately positioning a patient during simulation and treatment by placing a series of small fiducial markers in discrete locations on the couch top or device. With use of the fiducial markers, the present invention allows for the correction for misalignment and deformation of patient positioning equipment which occurs due in part to a patient's size and weight. The present invention also provides a method for positioning a patient and correcting for deformation of the couch top or device.

Abstract: The present invention provides a radiolucent patient treatment table top with a removable tip extension base that can be accurately and repeatably mounted at the end of a table top that is completely metal free in the area of interest for imaging and treatment. The table top is composed primarily of polymer composites reinforced with carbon fibers or other non-metallic fibers such as Kevlar®. The table top allows for accurately and repeatably mounting removable tip extension members, radiographic phantoms, immobilization devices, brachytherapy steppers, and other devices to the end and sides of the patient table top. The present invention further provides a method of adding a variety of useful accessories without introducing any permanent metal components in the imaging/treatment area of the table top.

Abstract: A radiation therapy patient couch top which provides optimal fields of treatment in a high-energy radiation therapy environment. In addition, the patient couch top provides superior imaging qualities when used in a diagnostic imaging x-ray environment. All metal is eliminated from the treatment/imaging area. This ensures that no metal will be in the way of the radiation treatment beam and that no artifacting will occur when used with diagnostic imaging techniques such as Computed Tomography. By employing moveable fiber reinforced support beams, the main patient support structure can be positioned so that a minimum of electron generation will occur through Compton scattering. By allowing for a removable insert, the top patient surface can be optimized for treatment, diagnostic imaging or the addition of other useful features.