eXaSkin Plus™

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Hand pinching purple eXaSkin moldable bolus

eXaSkin Plus™Patient-specific polymer bolus
High-density personalized bolus

eXaSkin Plus™

Personalized to the patient.

Moldable bolus for selected superficial photon treatments, including VMAT. Adapt it to complex anatomy before the planning CT, without a 3D printer.

Complex contours. A personalized approach.

Shape the bolus.
Plan the actual fit.

A two-component material that sets in minutes, eXaSkin conforms to irregular anatomy. Create close skin contact, then incorporate the customized shape into the treatment plan.

Clinical examples

Personalization in practice.

External ear

External ear clinical example with eXaSkin
Clinical setup
Planning image for the external ear eXaSkin example
Planning view

Direct molding around complex facial and ear contours.

Nose & face

Nose & face clinical example with eXaSkin
Clinical setup
Planning image for the nose & face eXaSkin example
Planning view

Patient setup with the shaped bolus shown beside the patient, and its planning view.

Breast

Breast clinical example with eXaSkin
Clinical setup
Planning image for the breast eXaSkin example
Planning view

Customized bolus combined with thermoplastic immobilization.

Illustrative clinical examples. Patient anatomy, bolus geometry, and treatment plans vary.

From simulation to treatment

One bolus. A connected workflow.

01 / POSITION

Start with the setup.

Establish the patient’s final treatment position using your department’s immobilization devices.

02 / PERSONALIZE

Mix and mold.

Mix the two components, then adapt the material to the treatment region with close skin contact. Allow it to cure in position.

03 / PLAN

CT with the bolus.

Scan with the customized bolus in its final position. Include its actual geometry in the photon treatment plan.

04 / REPRODUCE

Return to the same fit.

Use the same patient-specific bolus during treatment, reproducing its placement from the planning CT at each fraction.

Workflow overview only. Follow the product instructions for use and your department’s validated clinical procedures for preparation, application, and treatment.

01 / CONFORMITY

Follow complex contours.

Direct molding adapts the material to irregular surfaces, helping minimize air gaps over the treatment area.

02 / PERSONALIZATION

Custom fit. No printer.

Create patient-specific bolus directly from a two-component material that sets in minutes.

03 / OPTICAL GUIDANCE

Designed for SGRT workflows.

A non-reflective surface supports optical guidance, with placement reproduced from the planning CT.

For physicists & dosimetrists

Plan with the shape
you actually create.

Include the actual bolus geometry within the planning CT and dose-calculation volume. Variable thickness can be incorporated into the photon plan rather than requiring a uniform manufactured sheet.

Use a locally validated approach to CT calibration, material assignment, and dose calculation for this high-density material.

Request clinical and planning resources ↗

eXaSkin stepped bolus with 2, 7, and 12 mm sections on a phantomIllustrative calculated VMAT dose distribution beneath stepped eXaSkin bolus

Stepped bolus and illustrative calculated 6 MV VMAT dose distribution, illustrating planning flexibility across 2, 7, and 12 mm steps. Clinical thickness and dose calculation are patient- and plan-specific.

Product selection

Choose the amount
for your treatment area.

Three kit sizes for different anatomical areas and coverage needs.

Need help choosing? Talk with IOS ↗

eXaSkin kit options
Product codeKit sizeIllustrative applicationsPack contents
AG1001003-150150 gSmall, localized areas: nose, ear, fingers, hand, or foot6 sachets and 6 catalyst tubes
AG1001003-225225 gFace, neck, shoulder, forearm, or chest wall scar5 sachets and 5 catalyst tubes
AG1001003-650650 gLarger areas: whole breast, chest wall, scalp, or large extremities2 sachets and 2 catalyst tubes

Select the kits you’d like included, then choose Add to quote.

Examples guide product selection; the amount required depends on individual anatomy, coverage, and the clinical plan.

This product is 510(k) pending.

We’re here for your team

Let’s talk about your setup.

Tell us about your positioning or immobilization challenge. We’ll help you explore the options and find the product information your team needs.

Talk with IOS

eXaSkin Plus™ Options