36A79720Q0003-020.pdf

Item Description Qty

Section 1 Scalable EDGE

1.1 Edge™ Radiosurgery System 1

The Edge™ Radiosurgery System provides capabilities for delivering radiosurgery treatments where radiation is indicated.

Features:

• Treatment console with integrated audio and video systems

• HD120™ High Definition Multileaf Collimator

• 6MV X-ray treatment energy

• 43cm x 43cm MV imager

• Basic X-Ray treatment delivery technique package, including Static Photon, Photon Arc, and Dynamic

Conformal Arc treatment delivery techniques

• Intensity Modulated RadioTherapy (IMRT) treatment technique, including large field IMRT

• Total Body Treatment technique package

• 2D MV Radiographic and Cine Image Acquisition, 2D/2D Radiographic Image Review and match, Cine image review

• Relative Portal Dosimetry Image and Integrated Image Acquisition

• Matching of 2D radiographs to 3D reference images

• Online addition of kV and MV imaging protocols to treatment fields, with automated generation of reference images

• Online Physician Approval of Images at Treatment Console (compatible with ARIA® only)

• Automated Machine Performance Check Testing, Online Machine Performance Check Review

• Offline Machine Performance Check Review Prerequisites:

• ARIA® oncology information system for radiation oncology v11.0 MR4.1 or higher, or compatible third-party oncology information system

• Eclipse™ treatment planning system v11.0 MR3 or higher, or compatible third-party treatment planning system Customer Responsibilities:

• Verify compatibility with third-party oncology information systems if applicable

• Verify compatibility with third-party treatment planning systems if applicable

• If using a scale other than IEC 60601 or IEC 61217 in the rest of the department, it may be necessary to change scales on all other machines. This may require additional purchases.

Notes:

• None.

1.2 Edge Version 2.7 1

1.3 New Universal Baseframe 52" Fixed Floor 1

1.4 15/16 MV (BJR 11/17) 1

40 cm x 40 cm maximum field size, dose rate range 0-600 MU/Min.

1.5 10/10 MV (BJR 11/17) 1

40 cm x 40 cm maximum field size, dose rate range 0-600 MU/Min.

1.6 6/6 MV (BJR 11/17) 1

40 cm x 40 cm maximum field size, dose rate range 0-600 MU/Min.

1.7 18 MeV, 0-1000 MU/Min 1

REQUISITION: 523-B91016 SHIP TO: GENERAL WAREHOUSE

V.A. Medical Center

150 S HUNTINGTON AVE

BOSTON, MA 02130

25 cm x 25 cm maximum field size, dose rate range 0-1000 MU/Min.

1.8 15 MeV, 0-1000 MU/Min 1

1.9 12 MeV, 0-1000 MU/Min 1

1.10 9 MeV, 0-1000 MU/Min 1

1.11 6 MeV, 0-1000 MU/Min 1

1.12 IGRT Couch Top 1

Image Guided RadioTherapy (IGRT) carbon fiber treatment couch top, free of metal or other radiation-opaque materials.

Features:

• Indexed Immobilization® for compatible accessories

• Couch top interface for mounting patient immobilization and quality assurance devices at the head of the couch

• Lock bar for indexed positioning of equipment or immobilization devices on the couch top

• Handrail for couch positioning, with hooks for temporary pendant placement during patient set up

1.13 PerfectPitch 6DoF Couch 1

Fully integrated 6-Degrees of Freedom (6DoF) couch system.

Features:

• Manual and automated positioning of the patient

• Image-based 6DoF patient positioning with remote couch motion Prerequisites:

• ARIA® Oncology Information System for Radiation Oncology v.11 or later

1.14 10X High Intensity Mode 1

40 cm x 40 cm maximum field size, dose rate range 400-2400 MU/min in 400 MU/min steps.

1.15 6X High Intensity Mode 1

40 cm x 40 cm maximum field size, dose rate range 400-1400 MU/Min in 200 MU/min steps.

1.16 Low-X Imaging Energy 1

Low-X imaging energy configuration, providing high soft tissue contrast when imaging in-line with the treatment beam.

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1.17 HyperArc Treatment Delivery Capability 1

Frameless, MLC-based technique for multiple intracranial SRS targets. Automated non-coplanar treatment delivery with integral intrafraction imaging at specified couch angles.

Features:

• HyperArc™ Delivery License Prerequisites:

• TrueBeam™ or Edge® system v2.7 or higher

• RapidArc® delivery license

• PerfectPitch™ 6-Degrees of Freedom (6DoF) couch

• Varian IGRT couch top or QFix KVue™ or KVue Calypso® couch top

• Encompass™ SRS Immobilization System by Qfix®

• Eclipse™ treatment planning system v15.5 or higher

• HyperArc treatment planning license

• Eclipse RapidArc® planning license

• ARIA® oncology information system for radiation oncology v15.1 or higher Notes:

• Use of external devices connected to Motion Management or ADI interfaces with HyperArc are not validated or supported by Varian.

• It is recommended that the patient CT scan used for treatment planning be acquired at a slice thickness of 1.25 mm or better

1.18 RapidArc Treatment Delivery 1

RapidArc® Treatment Delivery is a volumetric modulated arc treatment delivery technique.

• Simultaneous modulation of MLC aperture shape, beam dose rate, and gantry angle and rotation speed during beam delivery

• Supports dynamic jaw tracking and collimator rotation with supporting treatment planning system Prerequisites:

• 120 Multi Leaf Collimator or HD120™ Multi Leaf Collimator

• Eclipse™ treatment planning system v11.0 or higher

• RapidArc treatment planning license

• Compatible server hardware and operating system. For detailed specifications, visit: www.varian.com/ hardwarespecs

1.19 kV Imaging System 1 kV Imaging system, providing 2D radiographic and fluoroscopic and 3D CBCT imaging capability.

• kV CBCT image acquisition, review, and match to 3D reference image

• Radiographic image acquisition, with 2D/2D and 2D/3D image matching to reference image

• Fluoroscopic image acquisition, with structure overlay on fluoroscopic images.

• kV CBCT image acquisition with a long field of view, provided by merging multiple indexed CBCT images. Online data acquisition and viewing only.

1.20 Triggered Imaging 1

Automated intrafraction 2D kV radiographic imaging, with images triggered by respiration phase or amplitude, gantry angle, time period, or MU. Automated image-based beam hold on fiducial markers, based on user-defined marker motion thresholds.

Features:

• Respiration Triggered Imaging

• MU Triggered Imaging

• Gantry Triggered Imaging

• Time Triggered Imaging

• Autobeam Hold

• Respiratory Motion Management System

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1.21 Advanced Resp Motion Management System 1

Stereoscopic optical system for managing patient respiration motion during treatment delivery and imaging.

• Stereoscopic optical imager, including marker block for tracking patient respiration motion

• Respiratory gated treatment delivery

• Respiratory gated MV image acquisition and online review, respiration synchronized cine image acquisition and online review

• Respiratory gated kV image acquisition and online review, respiration synchronized fluoroscopic image acquisition and online review

1.22 VCD Option, couch mounted 1

Couch-mounted display system provides visual feedback to the patient for respiration stabilization or breath hold position during respiratory gated image acquisition or treatment delivery.

Features:

• 2 rechargeable batteries and charging system

• Video interface for optional use of customer-provided video goggles

• Wireless display system with adjustable count mount

Prerequisites:

• TrueBeam® v2.7 or higher

• One of the following:

o Advanced Respiratory Motion Management System o Basic Respiratory Motion Management System o Respiratory Motion Management System o Optical Imager

1.23 VCD w/Couch Mount - IGRT 1

1.24 Gated CBCT 1

Provides the ability to acquire CBCT images synchronized with patient respiration (free-breathing or breath hold).

• Gated CBCT Imaging License: CBCT image acquisition, image review, and image match to respiratory gated reference image.

• Short Arc CBCT Imaging License: CBCT image acquisition using a 120-150 degree arc, image review, and image match to respiratory gated reference image. Short arc CBCT is an option for single breath hold CBCT data acquisition.

Prerequisites:

• One of the following: , o Advanced Respiratory Motion Management System o Basic Respiratory Motion Management System o Respiratory Motion Management System o Optical Imager

• kV Imaging System

1.25 4D CBCT Imaging Package 1

4D Cone-Beam Computed Tomography (CBCT) Package. Provides the ability to acquire an 4D CBCT images for patient positioning and review target motion analysis at the time of treatment delivery or review target motion analysis post treatment delivery.

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• 4D kV CBCT Image Match Review License: 4D CBCT image acquisition, image review, and image match to structure or Maximum Intensity Projection (MIP) at the time of treatment delivery

• 4D CBCT Image Acquisition License:Â 4D kV CBCT image acquisition in Advanced Reconstructor Mode for post-treatment image reconstruction, viewing, and offline analysis Prerequisites:

• TrueBeam®Â v2.7

• One of the following:

o Advanced Respiratory Motion Management System o Basic Respiratory Motion Management System o Respiratory Motion Management System o Optical Imager

• kV Imaging System

• ARIA® oncology information system v11.1 MR1 (11.0.55) or higher or compatible third-party oncology information system

• ARIA oncology information system for radiation oncology or Eclipse™ treatment planning system

• v11 MR3 (11.0.47) or higher

• ARIA oncology information system v15.1 or higher is required for review of 4D kV CBCT images in ARIA Offline

Review

• Compatible server hardware and operating system. For detailed specifications, visit: www.varian.com/ hardwarespecs Customer Responsibilities:

• Verify compatibly third-party oncology information system

• Initiate Smart Connect application to allow remote monitoring

1.26 LAP Apollo Blue Room Laser Kit 1

• One Apollo Blue Remote Controlled Ceiling Crosshair Laser

• Two Apollo Blue Remote controlled Lateral Crosshair Lasers

• One Apollo Blue Remote Vertical or Horizontal Controlled Sagittal Line Laser (selected prior to system production)

1.27 Filtrine Water Chiller 1

A closed loop water cooling system, providing clean water at a constant flow, pressure, and temperature for cooling a high energy medical linear accelerator. Ideal for sites where a dependable source of clean water for cooling is not available.

1.28 Additional MotionView CCTV Camera System 1

Additional set of two Motion View CCTV cameras and displays. Camera placement is at customer discretion.

• Two pan, tilt, zoom CCTV cameras

• Two desktopLCD displays with built in camera controls

• Adjustable viewing angle for patient privacy

• Push button pan, tilt, zoom, and home position control

• Motion View camera system, provided with linac system.

1.29 Main Circuit Breaker Panel 1

Main circuit breaker panel, interfacing to a single power input feed from the facility Mains. Circuit breakers provide independent over-current protection for equipment at the console and in the treatment room. UL and IEC/CE certified.

1.30 RPC Lung Phantom Voucher Option 1

A service provided through the MD Anderson Dosimetry Lab (MDADL) to supply a Radiological Physics Center (RPC) lung phantom for QA and commissioning of advanced technologies.

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• Roundtrip shipment of anthropomorphic lung phantom with imageable targets, avoidance structures, and heterogeneities that contain thermoluminescent dosimeter (TLD) and radiochromic film dosimeters

• Remote analysis by MDADL of the planning and dose delivery of the treatment on the phantom Report of analysis from MDADL Prerequisites:

Acceptance of TrueBeam® or Edge™ system with which the lung phantom will be used Customer Responsibilities:

• Login to www.myvarian.com to access the Customer Technical Bulletin CTB-GE-930 for instructions on redeeming the lung phantom service Non-printing

1.31 CatPhan Phantom 1

Phantom for measuring CBCT image contrast, spatial resolution, and uniformity.

• Modules for measuring CBCT image contrast, spatial resolution, and uniformity

• kV Imaging system with CBCT

1.32 Supp. Phantom Kit 1

Supplemental imaging phantom kit for measuring resolution and contrast of kV and MV imaging systems.

• Leeds TOR 18FG phantom for measuring spatial resolution and contrast of kV imaging system

• MV contrast phantom for measuring contrast performance of MV imaging system

• Geometric phantom, mounted on IGRT couch top-compatible lock bar. Can be used for quality assurance of image guidance workflow.

• MV imaging system

1.33 SRS Encompas IMB IGRT Couchtop 1

The SRS Encompass™ Immobilization package from Qfix™ is a dedicated SRS immobilization package specifically tailored for use with the IGRT couch top.

Features:

• Encompass Intracranial Standalone Device (quantity: 2)

• Encompass mask system (quantity: 10)

• Direct Indexing™ Adapter for Varian IGRT couch top (quantity: 1)

• Locating bar (quantity: 1) Prerequisites:

• IGRT couch top

• TrueBeam® v2.0 and higher

• VitalBeam® v2.5 (China only) and higher Notes:

• Training will be provided by Qfix

1.34 NLS: English 1

1.35 Varian Advanced Clinical School 4

The Varian Advanced Clinical School provides clinical knowledge relevant to the modern radiation oncology practice. 6 disease sites covered over a 3-day period, a broad range of experience and expertise is shared with the course attendees. The faculty is comprised of leading radiation oncologists and medical physicists from a variety of prominent institutions nationwide. The case-based course focuses on advanced practical applications taught through physician and physicist didactics and hands-on demonstrations. Disease sites covered are: CNS, H&N, Breast, Lung, GI and GU.

The clinical school also covers advanced techniques such as SRS, SBRT, motion management, adaptive therapy and knowledge-based treatment planning, as well as clinical workflow development and advanced imaging implementation.

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Multiple quantities of this course may need to be purchased as each attendee requires a tuition. Attending as a multidisciplinary group is ideal for this course, as implementing new technology is most successful when all specialties are involved in the process. The intended audience is radiation oncologists and medical physicists. However, medical dosimetrists will also gain value from attending the course, but treatment planning is not explicitly covered. For comprehensive training in treatment planning please refer to EC103.

Features:

• Academic experts covering 6 disease sites over 3 days

• Didactic lectures

• Patient management

• Contouring, planning considerations

• TrueBeam® Lab demonstrations

• Duration & Location: 3 days at nearest Varian Education Center offering this course.

Customer Responsibilities:

• Customer is responsible for all travel expenses (airfare, hotel, rental car, meals and travel incidentals) Notes:

• Offer is valid for up to 18 months after installation of product

• Includes tuition and materials for one person

• Non-transferable to other products and services and non-refundable

1.36 UAB Clinical Observation 1

This one-day clinical observation provides the learner an opportunity to observe modern radiation oncology practice at

University of Alabama at Birmingham (UAB). This day will focus on how UAB uses Varian technology to provide care to patients. Intended attendees are radiation oncologists, physicists, dosimetrists, therapists, and surgeons.

Features:

• Clinical workflows

• Clinical implementation and imaging

• Positioning and immobilization

• Treatment planning and protocols

• Duration: 1 day Prerequisites:

• Attend the VC201 Varian Clinical School Customer Responsibilities:

• Customer is responsible for all travel expenses (airfare, hotel, rental car, meals and travel incidentals)

• All attendees from the customer site must participate on the same day Notes:

• This course is offered and exclusively controlled by UAB; Varian is not responsible for and has not reviewed the course topic, content or materials. The student will be required to sign an agreement that disclaims all liability for Varian with respect to the content and training

• Offer is valid for 18 months after installation of HDMLC or EDGE®

• This training is non-transferable to other products and services

1.37 STD TRNG: TB Platform On-Site 1

The on-site review of the TrueBeam/Edge/VitalBeam components includes imaging and use cases for support of patient treatment for therapists. This support is to ensure that personnel who attended the classroom training are able to operate the TrueBeam Platform machine in a safe and effective manner in the clinical environment.

Features:

• Includes support for TrueBeam/Edge/VitalBeam

• Offer is valid for 18 months after installation of product Prerequisites:

• TrueBeam Platform classroom trainings

• Training is non-refundable and non-transferable

1.38 INCL ED: TB201 TB Platform Physicists 1

TrueBeam Physics and Administration: TrueBeam Physics and Administration course is designed for personnel

(primarily Medical Physicists) responsible for the acceptance, commissioning, and QA program development of the TrueBeam in the clinical environment. It is recommended that the student attend the TrueBeam Physics and

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Administration course shortly before the installation of the TrueBeam. The course provides instruction of the basic delivery components, basic imaging components, and a general overview of the motion management system components. Machine commissioning, calibration, and QA of the machine are included. The course subject matter is presented from a clinical use perspective. Primary emphasis is on the overall commissioning, calibration, and QA of the TrueBeam and its components. Extensive hands-on laboratory exercises are included.

Features:

• Includes support for TrueBeam/Edge/VitalBeam

• Includes Tuition and Materials for ONE person

• Length: 4.5 days

• Offer is valid for 18 months after installation of product Customer Responsibilities:

• Customer is responsible for all travel expenses (airfare, hotel, rental car, meals and travel incidentals)

1.39 INCL ED: TB101 TB Platform Operations 1

TrueBeam Operations is a course designed for personnel (primarily Radiation Therapists) responsible for the routine operation and clinical use of the TrueBeam. It is recommended that students attend the TrueBeam Operations course shortly before clinical use and the commencement of patient treatments. The course provides instruction of the basic delivery components, basic imaging components, and a general overview of the motion management system components. The course subject matter is presented from a clinical use perspective. Primary emphasis is on the overall understanding of the TrueBeam function and operation to include imaging and respiratory gating. Extensive hands-on laboratory exercises are included. The attendees of this class will be provided tools to allow them to instruct other clinical staff upon their return.

Features:

• Includes support for TrueBeam/Edge/VitalBeam

• Includes Tuition and Materials for ONE person

• Length: 4 days

• Offer is valid for 18 months after installation of product Customer Responsibilities:

• Customer is responsible for all travel expenses (airfare, hotel, rental car, meals and travel incidentals)

1.40 INCL ED: CL222 Respiratory Gating 1

The Respiratory Gating course provides training for physicists and therapists, to obtain knowledge of principles and practices of respiratory gating in radiation oncology for clinical implementation.

Features:

• Includes support for TrueBeam Platform

• Includes Tuition and Materials for ONE person

• Length: 2 days

• Offer is valid for 18 months after installation of product Customer Responsibilities:

• Customer is responsible for all travel expenses (airfare, hotel, rental car, meals and travel incidentals)

Section 2 Eclipse HyperArc Licene

2.1 HyperArc Planning 1

Eclipse external beam planning for frameless, MLC-based delivery technique for single or multiple intracranial SRS targets in support of HyperArc™ delivery.

Features:

• HyperArc™ Planning License for one user

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• HyperArc delivery license

• TrueBeam® or EDGE™ system software v2.7 or higher

• Eclipse RapidArc Planning License

2.2 STD TRNG: HyperArc Consultant Suprt 1

Standard Training HyperArc™ Consultant Support

• Consultant will provide clinical support to establish a Stereotactic Radiosurgery (SRS) Program at customer site.

The consultant will cover the necessary workflow for the following:

o patient selection o positioning and imaging o treatment planning o dose prescriptions and organ at risk sparing o quality assurance o treatment imaging and delivery o patient follow up

• Duration and Location: 2 days at customer site plus 4 hours of remote support Prerequisites:

• HyperArc v15.5 or higher installed

• Truebeam v2.7 or higher installed Notes:

• Offer is valid for up to 18 months after installation of product

• Non-transferable to other products and services and non-refundable

• This entitled training is for up to 3 users. The intended audience includes physicists, physicians, dosimetrists, treatment planners and other staff as appropriate

2.3 STD TRNG: HyperArc- Onsite 1

Standard Training for HyperArc™ Planning. Intended audience includes physicists, dosimetrist/treatment planners and other staff as appropriate.

Features:

• Training Plan details will be provided by the training management team as part of your product implementation process. Topics covered can include:

• Workflow treatment planning from CT protocol

• Plan generation

• Fixation device

• Optimization

• Plan preparation for imaging and treatment

• Duration and Location: 1 day at customer site Prerequisites:

• HyperArc installed Notes:

• This entitled training is for up to 3 users

• Offer is valid for up to 18 months after installation of product

2.4 STD TRNG: HyperArc Follow Up Trng 1

Standard Training HyperArc™ Follow Up Training Onsite

• Applications trainer will provide on-site follow up visit to answer questions related to use of the system

• Duration and Location: 1 day at customer site Prerequisites:

• Customer must have already treated patients using the HyperArc system

• Customer must have completed the HyperArc Consultant Support standard training Notes:

• Offer is valid for up to 18 months after installation of product

• Non-transferable to other products and services and non-refundable

• This entitled training is for up to 3 users. The intended audience includes physicists, physicians, dosimetrists, treatment planners and other staff as appropriate

• This training will optimally occur approximately 4 weeks after HyperArc go live.

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2.5 Non-Clinical HyperArc 1

Eclipse™ external beam planning for frameless, MLC-based delivery technique for single or multiple intracranial SRS targets in support of HyperArc™ delivery.

Features:

• Non-Clinical HyperArc Planning License for one (1) user Prerequisites:

• Eclipse T-Box Software Package or Eclipse Educational/Research SFW Package

• Non-Clinical RapidArc Planning

Section 3 Eclipse TPS Expansion

3.1 Eclipse Advanced Planner Desktop 1

• Contouring and Image Registration Tools

• 2D & 3D Photon Dose Calculation

• 4D Planning & Image Support

• 2D and 3D Brachytherapy Dose Calculation

• Conformal Arc Planning

• IMRT Planning

• Eclipse Scripting API

• DICOM RT/ DICOM Print

• Eclipse Calculation workstation

3.2 Interactive IMRT Plannning 1

Interactive Intensity-modulated radiation therapy (IMRT) planning generates beam intensity profiles that optimize the dose distribution based on user-defined dose constraints.

Features:

• IMRT Planning for one (1) user

• Eclipse™ Planner Desktop

3.3 RapidArc Planning Additional 2

An additional RapidArc® planning for one (1) user

• RapidArc Planning for one (1) user

• Eclipse RapidArc Planning

3.4 RapidPlan Core 1

RapidPlan™ Knowledge-Based Planning Software leverages a machine learning approach and provides Dose Volume

Histogram (DVH) estimation models for various disease sites.

Features:

• RapidPlan interface for one (1) user

• DVH estimation models from Varian

• Model Configuration interface for user defined DVH estimation models

• Interactive IMRT Planning

3.5 RapidPlan Additional 2

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RapidPlan™ interface for one (1) user Features:

• RapidPlan interface for one (1) user

• RapidPlan Core

3.6 Multi-Criteria Optimization (MCO) 1

Eclipse™ MCO is a decision support tool incorporated within the existing IMRT or VMAT optimization workflow. MCO allows the end user to explore the impact that changing dose to a specific structure has on plan quality, target coverage, or organ at risk sparing.

Features:

• MCO license for one user Prerequisites:

• IMRT or VMAT planning license

• One of the following hardware configurations o A GPU (Graphics Processing Unit) enabled Eclipse calculation workstation or o An Eclipse Framework agent server (FAS)

3.7 Multi-Criteria Optimization (MCO), Addit 1

Eclipse™ MCO is a decision support tool incorporated within the existing IMRT or VMAT optimization workflow. MCO allows the end user to explore the impact that changing dose to a specific structure has on plan quality, target coverage, or organ at risk sparing.

Features:

• MCO license for one user Prerequisites:

• MCO license

• IMRT or VMAT planning license

• One of the following hardware configurations o An Eclipse Framework agent server (FAS)

3.8 Multi-Criteria Optimization, (MCO) tier 1

Eclipse™ MCO is a decision support tool incorporated within the existing IMRT or VMAT optimization workflow. MCO allows the end user to explore the impact that changing dose to a specific structure has on plan quality, target coverage, or organ at risk sparing.

Features:

• MCO license for one user Prerequisites:

• MCO licenses quantity ten (10)

• IMRT or VMAT planning license

• One of the following hardware configurations o A GPU (Graphics Processing Unit) enabled Eclipse Framework agent server (FAS)

3.9 Plan Converter 1

Plan Converter enables the clinician to quickly create a new plan for treatment delivery when an unexpected machine event occurs.

Features:

• Converts Volumetric Modulated Arc Therapy VMAT Plans to Varian step and shoot Intensity Modulated

Radiation Therapy (IMRT) Plans

• Converts IMRT Plans to Varian step and shoot IMRT Plans

• Converts 3DCRT Plans to Varian 3DCRT Plans

• Converts Varian Non-HD MLC Plans to Varian HD MLC Plans

• Eclipse™ Planner Desktop or Eclipse Advanced Planner Desktop

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• Interactive IMRT Planning and/or Eclipse VMAT Planning for IMRT and VMAT conversion

3.10 Portal Dosimetry Review Additional 1

Portal Dosimetry review for one (1) user.

• Portal dosimetry review for one (1) user

• Portal Dosimetry Package

3.11 Portal Dosimetry Dose Calculation Additi 1

Portal Dosimetry Dose Calculation for one (1) user.

• Portal Dosimetry Dose Calculation for one

• Portal Dosimetry Package

3.12 Eclipse Physicians' Desktop 3

• Contouring and Image Registration Tools

• 4D Planning & Image Support

• Deformable Image Registration

• Eclipse Scripting API

• DICOM RT/ DICOM Pint

• Eclipse Non-Calculation

3.13 GPU Framework Agent Server (FAS) 2

A Framework Agent Server (FAS) that includes the necessary GPU (Graphics Processing Unit) cards required to support the Framework Agent Server GPU Algorithm license. The FAS is a high-performance server dedicated exclusively to running Varian's Eclipse Distributed Calculation Framework (DCF). FAS with DCF leverages specialized Grid Clustering power (network-based parallel processing) to optimize throughput for Eclipse planning and dose calculation in both native client/server topologies and Citrix environments. Multiple Framework Agent Servers may be configured to create a FAS Array.

Features:

• 2 GPU cards Prerequisites:

• Eclipse v15.5 or higher Customer Responsibilities:

• A properly networked environment connected at 1Gbps

• Server rack equipped with power supply input voltage 208V/240V AC @50/60Hz 10A

• Power Distribution Unit (PDU) or supply rail which outputs 208V/240V (1600W)

• Computer Uninterruptible Power Supply (UPS)Â 220V

• Installation of the server into the rack

• Installation of server into existing customer domain Notes:

• Server will not run on low-line 110V/120V AC

• Does not support Windows Server 2008R2

3.14 Eclipse GPU Workstation 1

An Eclipse Calculation Workstation that includes a GPU (Graphics Processing Unit) card

• Eclipse v15.5 or higher

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3.15 Eclipse GPU Workstation Kit 2

An Eclipse GPU (Graphics Processing Unit) kit enables the upgrade of an Eclipse Calculation Workstation to an Eclipse GPU Calculation Workstation.

Features:

• 1 GPU card Prerequisites:

• An existing Eclipse GPU upgradable Calculation Workstation must be on site with the minimum hardware requirements. For detailed information on hardware requirements, refer to the Hardware Specifications at:

www.varian.com/oncology/products/software/treatment-planning/eclipse-treatment-planning-system?

cat=resources

3.16 Eclipse Non-Calculation Workstation 3

Dell OptiPlex Workstation with single processor, and flat panel monitor

Varian reserves the right to upgrade the hardware to the current model available at time of shipment.

3.17 INCL ED: EC201 Eclipse Comm I Admin 1

INCL ED: EC201 Eclipse Comm I Admin

The Eclipse Administration and Physics course provides training primarily for Physicists. Depending on the facility, the course may be applicable to Dosimetrists and others responsible for initial system configuration and routine administration of Eclipse.

The administration component of the course will focus on networking, system structure, management of user accounts and routine data backup. The physics component of the course will cover beam data requirements for the Eclipse treatment planning system. It will include sections on photon and electron beam algorithms. At the end of the course the learner will have received the instruction necessary to be able to commission basic Eclipse planning 3D system.

Prerequisites:

Medical Physicist Education

Customer Responsibilities:

Customer is responsible for all travel expenses: airfare, hotel, rental car, meals and travel incidentals.

Notes:

Includes Tuition and Materials for ONE person.

Training is non-refundable and non-transferable.

Offer is valid for 18 months after installation of product.

Training must be taken at nearest Varian education center Length - 5 days

For detailed course information and on-line registration, visit the Varian website at www.varian.com/index.html.

3.18 INCL ED: EC101 Eclipse Basic Operations 1

INCL ED: EC101 Eclipse Basic Operations

The Eclipse Operations course provides initial training for Dosimetrist, Physicists and others responsible for daily use of the treatment planning system in the clinical environment. The course will provide an overview of Eclipse structure, graphical user interface, different workspaces and tasks.

The focus will be on the import of CT data, image registration, structure segmentation, creation and edits of plans, fields and beam modifiers and evaluation of plans. Other topics include 2D planning using the digitizer and irregular field planning, simply brachytherapy and export to the record and verify system. 3rd party software is also covered.

https://www.varian.com/oncology/products/software/treatment-planning/eclipse-treatment-planning-system?cat=resources https://www.varian.com/oncology/products/software/treatment-planning/eclipse-treatment-planning-system?cat=resources http://www.varian.com/index.html

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Experience with and knowledge of treatment planning Basic knowledge of computers and the Windows Operating system

Customer Responsibilities:

Customer is responsible for all travel expenses: airfare, hotel, rental car, meals and travel incidentals.

Notes:

Includes Tuition and Materials for ONE person.

Training is non-refundable and non-transferable.

Offer is valid for 18 months after installation of product.

Training must be taken at nearest Varian education center Length - 5 days

For detailed course information and on-line registration, visit the Varian website at www.varian.com/index.html.

3.19 INCL ED: EC202 Eclipse Comm II IMRT 1

INCL ED: EC202 Eclipse Comm II IMRT

The course will cover IMRT planning with the Eclipse System and the delivery of IMRT using Varian dMLC. The Varian IMRT solution will be presented during the course, including the integration into the ARIA System. The course is designed for the Physicist.

Part ONE will cover the use of the Eclipse IMRT software including the full treatment planning process with typical clinical case demonstration. Topics include IMRT planning algorithms, interfacing with other devices, definition of optimization parameters, QA parameters, and system commissioning. Part of the training course is reserved for hands-on training to covers typical clinical cases. A guest speaker will present on the use of IMRT planning in the clinical environment, clinical outcomes of IMRT, and radiobiological considerations (DVH, partial DVH, dose volume constraints).

Part TWO covers delivery methods. Topics covered include a detailed description of the MLC hardware, the MLC and Clinac control systems for dynamic dose delivery, dMLC QA issues, and patient related QA procedures.

Prerequisites:

Medical Physicist Education Attendance of Eclipse Administration and Physics Course and/or Eclipse Operations Course;

2-3 month routine clinical use of Eclipse recommended

Customer Responsibilities:

Customer is responsible for all travel expenses: airfare, hotel, rental car, meals and travel incidentals.

Notes:

Includes Tuition and Materials for ONE person.

Training is non-refundable and non-transferable.

Offer is valid for 18 months after installation of product.

Training must be taken at nearest Varian education center Length - 5 days

For detailed course information and on-line registration, visit the Varian website at www.varian.com/index.html.

Course is approved for Category "A" ASRT and MDCB continuing education credits.

3.20 INCL ED: EC102 Eclipse Inv Plng IMRT RA 1

INCL ED: EC102 Eclipse Inverse Planning IMRT & RapidArc

The Eclipse IMRT Operations course provides instruction on inverse treatment planning with the Eclipse System.

Course is designed for the Physicist and Dosimetrist.

Course will cover the entire IMRT treatment planning process demonstrated on clinical cases such as prostate, breast and head and neck. Other topics covered are theory behind IMRT, contouring for IMRT, objectives and constraints, verification plan, data export and image registration. Majority of the course is reserved for hands-on application.

http://www.varian.com/index.html

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Attendance in the Eclipse Operations course Recommend 2-3 month routine clinical use of Eclipse prior to course attendance.

Customer Responsibilities:

Customer is responsible for all travel expenses: airfare, hotel, rental car, meals and travel incidentals.

Notes:

Includes Tuition and Materials for ONE person.

Training is non-refundable and non-transferable.

Offer is valid for 18 months after installation of product.

Training must be taken at nearest Varian education center Length - 4 days

For detailed course information and on-line registration, visit the Varian website at www.varian.com/index.html.

Course is approved for Category "A" ASRT and MDCB continuing education credits.

3.21 STD TRNG: Eclipse 1

Training is included with the purchase of Eclipse. Training plan details will be provided by the training management team as part of your product implementation process.

• Offer is valid for 18 months after installation. Training is not transferable with other products and services

3.22 STD TRNG: MCO-Remote 1

Standard Training for Multi-Criteria Optimization (also known as Trade-off Analysis). Intended audience includes physicists, dosimetrist/treatment planners and other staff as appropriate.

Features:

• Training Plan details will be provided by the training management team as part of your product implementation process. Topics covered can include:

o Workflow o Plan Generation o Trade off exploration

• Duration and Location:2 hour remote session Prerequisites:

• Multi-Criteria Optimizatin installed Notes:

3.23 INCL ED: RP201 RapidPlan Implementation 1

The RapidPlan™ Implementation course is designed to equip RapidPlan customers with the knowledge necessary to successfully implement RapidPlan in their clinic. The training is designed to ensure that users become competent and confident in using RapidPlan functionality within the Eclipse™ treatment planning system. Users will be provided the knowledge to help them gain mastery of knowledge-based planning concepts as well as experience using and creating DVH estimation models, including the ability to verify and validate models.

Features:

• Introduction to RapidPlan

• Applying RapidPlan Models

• Model Configuration Workspace

• Varian Models and Validation Process

• Creating a Prostate Model

• Creating a Head-Neck Model

• Guest Speaker Presentation

• Webinar Videos

• Duration: 3 day instructor led course at nearest Varian Education Center Prerequisites:

• Eclipse™ Treatment Planning System installed and accepted

• Eclipse v13.6 or higher

• Completion of EC101 and EC102 (or equivalent) courses

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• Access to Model Analytics Customer Responsibilities:

• All travel expenses (airfare, hotel, rental car, meals and travel incidentals) Notes:

• Includes tuition and materials for one person per core license

3.24 STD Trng: RapidPlan 1

Training is included with the purchase of RapidPlan. Training plan details will be provided by the training management

• Offer is valid for 18 months after installation. Training is not transferable with other products and services

3.25 Non-Clinical RapidPlan 1

Non-Clinical RapidPlan™ Knowledge-Based Planning Software leverages a machine learning approach and provides

Dose Volume Histogram (DVH) estimation models for various disease sites.

Features:

• Non-Clinical RapidPlan interface for one (1) user

• Non-Clinical DVH estimation models from Varian

• Non-Clinical Model Configuration interface for user defined DVH estimation models

3.26 Non-Clinical Multi-Criteria Optimization 1

Eclipse™ MCO is a decision support tool incorporated within the existing IMRT or VMAT optimization workflow. Trade-off exploration with MCO allows the end user to explore the impact that changing dose to a specific structure has on plan quality, target coverage, or organ at risk sparing.

Features:

• MCO license for one (1) user Prerequisites:

• Eclipse T-Box Software Package or Eclipse Educational/Research SFW Package

• Non-Clinical RapidArc Planning

• Workstation graphics processing unit (GPU) algorithm license or a framework agent server graphics processing unit (GPU) algorithm license

3.27 Non-Clinical RapidArc Planning 1

Non-Clinical Eclipse™ RapidArc® Planning supports dynamic arc treatments produced through volumetric dose optimization to generate intensity modulated dose distributions in optimized arcs.

Features:

• Non-Clinical RapidArc Planning for one (1) user

Section 4 Velocity

4.1 VELOCITY GRID CLIENT WRKSTN HARDWARE 2

Velocity GRID client workstation hardware.

• 64-bit Intel® Multi-Core Processor

• 64-bit Microsoft® Windows operating system pre-installed

• Discrete graphics hardware (GPU)

• External monitor

• Gigabit speed (1Gbps) Ethernet

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• Velocity GRID server Customer Responsibilities:

• Network connectivity from client workstation to Velocity GRID server installation

4.2 VELOCITY LARGE SERVER HARDWARE (2U) 1

Velocity GRID rack-mounted 2U server hardware.

• 2U Rackmount Server with Rails

• 64-bit Intel® Multi-Core Processor

• 64-bit Microsoft® Windows Server operating system preinstalled

• Local drive storage in RAID for Velocity GRID database

• Gigabit (1 Gbps) Ethernet

• 10Gbit ( 10 Gbps) Ethernet Prerequisites:

• Velocity GRID Server software license Customer Responsibilities:

• Network connectivity Notes:

• Data backup is the responsibility of the customer. No internal or external backup unit is included with this server.

• Velocity GRID server hardware is not intended for clinical use of Velocity Client application. Separate client hardware is necessary for clinical use of Velocity software. Refer to Varian Medical Systems website for Velocity client hardware requirements.

4.3 VELOCITY GRID-2 CONCURRENT USER LICENSES 1

Velocity GRID is a vendor-neutral client/server solution for medical imaging and oncology data. The Velocity GRID

Platform includes the GRID Software Server License and two (2) Concurrent User Velocity Licenses. This package allows for two users in a department to simultaneously perform Velocity functions with all data being stored centrally on the Velocity GRID server.

Features:

• Velocity GRID Server includes features for data storage and archiving data (including DICOM and non-DICOM).

The server features include:

• Store both DICOM and non-DICOM data in Velocity GRID

• DICOM Auto-Importer automatically parses and associates data

• Query-Retrieve Engine can pull data from other DICOM locations (C-FIND, C-MOVE, C-STORE)

• Auto-Import CDs or other file data from workstations

• Velocity GRID uses centralized encrypted data store

• Velocity Concurrent User License(s) include the following client features:

• Multi-modality deformable image registration

• Advanced contouring tools

• RT plan review

• Dose tracking and accumulation

• 4D tools

• Response assessment workflows Licenses:

• One (1) GRID Software Server License that runs on a Windows server hardware and software. GRID server has a central database for storing data and a licensing manager for regulating the number of concurrent users logged into the GRID. GRID Software also provides Oncology PACS features for storing, sharing and moving data around the oncology department.

• Two (2) Concurrent User Licenses to be actively logged into the GRID server using Velocity functionality on any workstation in the department that has access to the GRID server and meets minimum specifications for Velocity hardware requirements.

Prerequisites:

• Dedicated Server that meets minimum hardware requirements as per http://www.varian.com.

• No hardware included.

Customer Responsibilities:

• A properly networked environment (for detailed information on network requirements, refer to the Oncology

Systems Network Configuration Guidelines at http://www.varian.com) http://www.varian.com http://www.varian.com

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4.4 ADD'L CONCURRENT USER LIC-VELOCITY GRID 1

Add'l Concurrent User Lic-Velocity Grid Additional Concurrent User License for Velocity GRID is an add-on software package that contains only the client software license for an existing Velocity GRID system.

Features:

• Velocity Concurrent User License includes the following client features:

• Multi-modality deformable image registration

• Advanced contouring tools

• RT plan review

• Dose tracking and accumulation

• 4D tools

• Response assessment workflows Licenses:

• One (1) Additional Concurrent User License to be actively logged into an existing GRID server using Velocity functionality on any workstation in the department that has access to the GRID server and meets minimum specifications for Velocity hardware requirements.

Training/Implementation:

This package does NOT contain any customer training.

Prerequisites:

• Existing Velocity GRID server platform

• No hardware included.

Customer Responsibilities:

• A properly networked environment (for detailed information on network requirements, refer to the Oncology

Systems Network Configuration Guidelines at www.varian.com/us/oncology/services_and_support/ hardware_specifications/)

4.5 Velocity Pinnacle TAR file conversion 1

VelocityGRID and VelocityAI – Pinnacle TAR file import license

Features This is a software license for VelocityGRID and VelocityAI which provides:

• Ability to import data from Pinnacle TAR files, once extracted

• Ability to convert planning data extracted from Pinnacle TAR data to DICOM CT, RT-Structure, RT-Dose, and

RT-plan formatPrerequisites Requires purchase of VelocityGRID or VelocityAI .

Notes No Hardware Included.

4.6 STD TRNG: VELOCITY 1

Training is included with the purchase of Velocity. Training plan details will be provided by the training management

• Offer is valid for 18 months after installation. Training is not transferable with other products and services

4.7 Large Storage Appliance (2U) 1

Rackmount (2U) storage appliance. Provides network accessible block level storage and file level storage for clinical applications.

Features:

• Windows Storage Server

• Internal storage in RAID

• Supports iSCSI for block level storage

• Provides NAS functionality

• Gigabit (1 Gbps) Ethernet

• 10Gbit (10 Gbps) Ethernet Customer Responsibilities:

• Network connectivity

• Configuration of this flexible storage appliance is customer responsibility.

http://www.varian.com/us/oncology/services_and_support/hardware_specifications/ http://www.varian.com/us/oncology/services_and_support/hardware_specifications/

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4.8 VELOCITY RAPIDSPHERE LICENSE (Y90) 1

Velocity™ RapidSphere™ is a software license for site-wide Y90 microsphere activity-to-dose conversion. Velocity

RapidSphere converts Single Photon Emission Computed Tomography (SPECT) imaging to volumetric DICOM RT- DOSE over imaged regions of a patient, allowing dose volume histograms to be generated for those regions.The Velocity RapidSphere license applies to a single VelocityGRID server or single Velocity AI Standalone Workstation database.

Features:

• Converts SPECT imaging of appropriate acquisition to RT-DOSE in Gray (Gy)

• Supports Y90 Radionuclide

• Supports Local Deposition Model (LDM) Prerequisites:

• VelocityGRID or Velocity AI Standalone Workstation

• Velocity v4.0 or higher Customer Responsibilities:

• Provide SPECT images appropriate for LDM conversion. Refer to MyVarian for complete documentation of requirements.

• Knowledge of injected activity, tissue density, lung-shunt fraction, and other parameters are required to perform activity-to-dose conversion.

• Contouring is required for organ-specific tissue density calculation.

Section 5 ARIA Radiation Oncology

5.1 ARIA RO Base Integrated w/ Eclipse 1

The Varian System database is the core component of the Oncology Information System. The relational database serves as the repository for patient information and images imported to or captured by the database.

Features:

• Varian System Database license for one (1) site with system administration

• Data Segmentation license for one (1) Varian System database which provides features and tools for managing the configuration of ARIA® for sites that have more than one physical hospital, department or…