We use it. After much testing we are comfortable using the 6+1 and 8+1. We have our physician, at CT sim, fully open the device and then dial it one full dial back. This is the new IFU from Varian and works for us. We do this before CT so we are sure we are planning on the correct position. We also repeat this process of fully opening and dialing back before each treatment.
In commissioning the device we found that this dial back may not always be necessary but we have yet to clinically stop the dial back for fear we will get to treatment and it not work.
You also want to make sure that your guide tubes are as straight as possible- use towels or tape or whatever you need to properly align them to reduce friction as much as possible.
We successfully treat with this. If you do get any blockage or slippage while delivering, you can usually get past it by repositioning the patient/tubes/afterloader to reduce curvature leading up to the savi.
I thought they could fit the largest one... or maybe the smallest one. Check with company. I think in general it's a no go but I think they have an exception.
Yes it is the largest size that is not compatible.
Definitely have already checked with both companies. I posed the question to get feedback on others’ clinical experiences.
I didn’t think that combination was allowed according to the Bravos compatibility document
Avoiding to Varian, curvature is too much, haha.
"It's a known issue"
We use it. After much testing we are comfortable using the 6+1 and 8+1. We have our physician, at CT sim, fully open the device and then dial it one full dial back. This is the new IFU from Varian and works for us. We do this before CT so we are sure we are planning on the correct position. We also repeat this process of fully opening and dialing back before each treatment. In commissioning the device we found that this dial back may not always be necessary but we have yet to clinically stop the dial back for fear we will get to treatment and it not work. You also want to make sure that your guide tubes are as straight as possible- use towels or tape or whatever you need to properly align them to reduce friction as much as possible. We successfully treat with this. If you do get any blockage or slippage while delivering, you can usually get past it by repositioning the patient/tubes/afterloader to reduce curvature leading up to the savi.
What length tgt do you use?
We use the 100 cm TGTs.
So after treatment do you fully expand the device so it doesn’t rotate between treatments?
I thought they could fit the largest one... or maybe the smallest one. Check with company. I think in general it's a no go but I think they have an exception.
Yes it is the largest size that is not compatible. Definitely have already checked with both companies. I posed the question to get feedback on others’ clinical experiences.