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Extremity Radiotherapy Immobilization System

Standardized Extremity Immobilization for Challenging Anatomical Regions in Radiotherapy

Extremity Lock™ is a patient immobilization solution designed to support stable, reproducible positioning of arms, legs, hands, feet, knees, and shoulders during radiotherapy—anatomical regions that have historically posed challenges and were often underserved by standardized positioning solutions.

Extremity treatments frequently rely on improvised setups that introduce variability, inefficiency, and risk. Extremity Lock™ was developed to provide a consistent, standardized approach for these difficult-to-position regions, helping Radiation Therapists achieve reliable immobilization while supporting faster treatment delivery and improved patient safety.

Optimized for Cancer Radiotherapy and Low-Dose Radiotherapy for Benign Conditions

Extremity Lock™ is optimized to support patient setup for both traditional radiotherapy treatments for cancer and low-dose radiotherapy (LDRT) workflows for benign conditions, where consistent positioning and efficient daily delivery are important.

Clinical use scenarios may include setup support for:

By providing standardized immobilization for these anatomically challenging regions, Extremity Lock™ supports reproducible setup across fractions and efficient daily treatment delivery.

Product References

E-Type Extremity Lock™ Masks

E-P32X4P – Hand, Knee, and Leg
Extremity Immobilization for Low Dose Radiation Therapy - hand, Knee and leg
SKU: E-P32X4P
E-Type ExtremityLock™ Hexspand 4 Point Mask 3.2mm (5PK)
Extremity Immobilization for Low Dose Radiation Therapy - elbow and arm
SKU: E-P32X4PE
E-Type ExtremityLock™ Hexspand 4 Point Elbow Mask 3.2mm (5PK)
Extremity Immobilization for Low Dose Radiation Therapy - Foot and Ankle
SKU: E-P32X3P
E-Type ExtremityLock™ Hexspand 3 Point Mask 3.2mm (5PK)
Extremity-Lock-Left-Shoulder
SKU: E-P32X5PL
E-Type ExtremityLock™ Hexspand 5 Point Left Shoulder Mask 3.2mm (5PK)
Extremity Immobilization for Low Dose Radiation Therapy - right shoulder
SKU: E-P32X5PR
E-Type ExtremityLock™ Hexspand 5 Point Right Shoulder Mask 3.2mm (5PK)
Extremity Immobilization for Low Dose Radiation Therapy - dual hand or hips
SKU: BS32X
E-Type ExtremityLock™ Hexspand 4 Point Gen II Mask 3.2mm (5PK)

Extremity Lock™ Overlays

EXT24-STD – ExtremityLock™ Overlay
ExtremityLock™ Overlay for E-Type Thermoplastics
SKU: EXT24-STD
ExtremityLock™ Overlay for E-Type Thermoplastics
ExtremityLock™ Fiberglass, MR Safe, Overlay for E-Type Thermoplastics
SKU: EXT24-STD-K
ExtremityLock™ Fiberglass, MR Safe, Overlay for E-Type Thermoplastics

Extremity Lock™ Accessories

EXT-RISE – ExtremityLock™ Riser Leg Support
ExtremityLock™ Riser Leg Support
SKU: EXT-RISE
ExtremityLock™ Riser Leg Support
ExtremityLock™ Indexing Kit for TOTIM Posterior Cushions
SKU: E-PIK
ExtremityLock™ Indexing Kit for TOTIM Posterior Cushions
ExtremityLock™ EVA Foam Comfort Cushions
SKU: E-PFCC
ExtremityLock™ EVA Foam Comfort Cushions

Extremity Lock™ Packages

EXT-24STD-S – Starter Kit
SKU: EXT-24STD-S
SKU: EXT-24STD-E

Addressing an Underserved Clinical Need

Before Extremity Lock™, many extremity and peripheral anatomy treatments depended on ad hoc positioning methods that varied between therapists and across fractions—often increasing setup time and uncertainty.

Extremity Lock™ introduces a purpose-built approach that helps therapists position patients efficiently and consistently, supporting shorter setup times and smoother treatment delivery.

Therapist-focused design features

Standardized extremities immobilization

Standardized immobilization approach for arms, legs, hands, feet, knees, and shoulders

Predictable setup

Simple, intuitive setup requiring minimal adjustment

Easy handling

Easy handling during application and removal

Reproducible positioning

Reproducible extremity positioning across fractions

Repeatable results

Clear positioning logic that supports repeatable results

Reduced setup time

Reduced setup time compared to improvised extremity supports

Integrates with workflows

Designed to integrate with IGRT workflows where applicable and common extremity & peripheral anatomy treatment workflows

Imaging compatible

Imaging-compatible materials suitable for planning and verification

Extremity Immobilization for Low Dose Radiation Therapy - Foot

Patient Safety, Comfort & Stability

Patient safety is especially important when treating extremities and peripheral anatomy, where unintended movement or unstable positioning can compromise delivery.

Together, these features contribute to increased patient safety and more predictable treatment sessions.

Patient-Focused Benefits

Secure immobilization

Secure immobilization designed to minimize unintended movement

Stable positioning

Stable positioning that reduces the need for repositioning once the patient is set

Comfortable support

Comfortable support that accommodates a range of anatomies

Reduced adjustments during setup

Reduced handling and adjustment during setup, supporting safer patient positioning

Extremity Immobilization for Low Dose Radiation Therapy - elbows, arms and hand

Compatibility

CDR Systems positioning and immobilization solutions are designed to integrate into modern radiotherapy environments, including gantry-based and bore-based systems, and to support common clinical workflows such as CT (including 4D-CT where applicable), MRI (where applicable), PET-CT, and on-board imaging (kV/MV, CBCT), across techniques including IMRT, VMAT, SRS, SBRT, and related approaches.

Intended Users

Extremity Lock™ is intended for use by Radiation Therapists and Radiation Oncology teamsdelivering radiotherapy to extremity and peripheral anatomical regions, including arms, legs, hands, feet, knees, and shoulders.

Extremity Lock™ introduces a standardized, therapist-friendly approach to extremity immobilization—helping reduce setup variability, support faster treatment delivery, and enhance patient safety across cancer radiotherapy and low-dose radiotherapy workflows for benign conditions.