Brachytherapy Applicator

HDR (High Dose Rate) surface brachytherapy is a technique used to treat various types of skin lesions including basal and squamous cell carcinoma. Due to the set up and cost, it's also one of the most expensive therapy treatments on the market. Adaptiiv's HDR Surface Brachytherapy Applicator enables centers to produce custom applicators with customizable catheter positions that follow the patient's anatomy.

All in One Solution



Our software can convert DICOM data taken from patient CT scans and turn them into a digital model which can be printed, no matter how large, small, or complex. There is no intensive training required to use our software enabled solution which fully integrates with existing treatment planning systems.



We provide the 3D printers and materials or centers can use their own. Centers don't need to outsource patient data in order to create devices—when the hardware is combined with our software, centers are able to care for patients immediately in-house and adapt to treatment changes quickly. Plus, our printers go through a rigorous QC process adapted for printing medical devices.


Printed Materials

Our 3D boluses are created to conform perfectly to individual body shapes. Our recommended filaments go through a QC process unique to printing accessory medical devices. In addition, we take pride in printing our devices from recycled plastic. We also track inventory and restock materials so centers and patients worry about what's most important.

Breaking With Tradition

Traditionally, brachytherapy applicators were constructed using two types of techniques—a layered wax bolus whose creation and set-up exhausted the time and availability of senior staff, or a moldable sheet bolus that exhausted center budgets. We wanted to find a solution that was accessible to all levels of staff and funding.

What We Improved

Quicker Creation

Quicker Creation

Because creating a surface brachytherapy applicator and placing the catheters is a long, precise process, this procedure was often passed to only the most experienced staff which created longer wait times and reduced patient capacity. Finding the time to train new staff in these techniques is frustrating for many centers.

Once you train a staff member on other Adaptiiv modules, they are ready to be trained in the minor adjustments it makes to create a surface brachytherapy applicator. The software, hardware, and printing processes all remain the same.

Set Up Times

Whether centers offered layered wax applicators or the Freiburg Flap, each applicator required extra time for the complicated grid of catheters to be placed.

Our system works with patient scan data to give precise catheter placements thus pre-treatment preparation and treatment room set-up time is dramatically reduced for patients and professionals.

Set up times
Applicator Durability

Applicator Durability

The traditional wax applicators used to secure catheters are difficult to produce, often rigid, fragile, and easily damaged.

Our applicators are printed using durable, tissue-equivalent materials that can be used for the duration of a patient's treatment.

Improved Dose Uniformity

The opaque waxes often used by centers to secure the catheters makes it difficult to tell if they are evenly spacedacross the surface and at the correct surface distance.

Our software takes the patient's CT scan and creates a contoured applicator that also includes channels for precise and customized catheter placement. Remove, add or move the trajectories as necessary to achieve an ideal treatment plan.

Improved Durability
Full Treatment Planning System (TPS) Integration

Full Treatment Planning System (TPS) Integration

Centers use multiple software applications to plan brachytherapy treatments and our software is designed to be fully integrated with all leading TPS applications the first time it is installed.