jasonk@orbitaltherapy.com+1 508 904 3819

www.orbitaltherapy.com

ORBITAL THERAPY, LLC

COMPANY BACKGROUND

In operation since 2006• Developing a dedicated linac based unit for

breast RT• ClearVue prone breast table – commercialized in

Q2, 09• Units sold in US, Italy, NL, and GER

Office located at 8 Alfred Circle, Bedford, MA 01730

Why treat breast in prone

Should be obvious… but it’s not…

Increase separation breast from critical organs (lung, heart)

Eliminate organ motion

Deliver more precise treatment

Is Prone Really Better

Optimal in Prone for sparing lung and heart98% of RT85% of LT

91% overall benefit

Reason for prior poor acceptance

Inadequate equipment & poor understanding

Misconception that it’s only suitable for large patients

Uncomfortable patient support devices

Hard to reproduce

Lack of clinical experience and data

Why is ClearVue different

We address the clinical challenges Extremely stable all carbon fiber platform

Ergonomic pad design to redistribute patient weight

Patient comfort – reduce tendency to move

Fully open design – easier patient set-up

Beam access - treat through any part of the table

One piece table – therapist friendly

Patient Comfort is Key

No compression on cushion = patient comfort(also note heart is way out of the field)

COMPANY CONFIDENTIAL

SSD or SAD set-up

Example using SSD set-up

Main Offering

Variable insert options

Transportable Stand

ClearVueTM Prone Breast Table

Angled Cushion

Options

Lasers for 3rd point

Can triangulate the actual breast!

OptionsVacFix Superior cushion

Better daily reproducibility

Competition

Horizon - Civco Bionix

CDR Systems

Customer Questions

Q: Why so expensive?A: Made from top materials to allow flexibility to treat any current prone breast technique as well as future techniques (S/C in prone, accelerated, etc). Buy quality once.

Q: Can I get a custom shape insert made?A: Yes, for an additional small engineering fee we can make custom inserts.

Q: Why is one piece construction better?A: Therapist prefer to have one piece as it is easier to locate and fix onto the treatment couch. Most competitors have a “jig-saw puzzle” where it takes time to put it all together and take it apart.

Q: We have no experience with prone. Where can I learn about prone breast RT?A: Dr. Formenti (NYU) runs a 2 day course on how to kick-off prone breast program.

Q: Prone is good only for large breasted women?A: No, see Dr. Formenti’s data on 400 patients. NYU treats most patients in prone regardless of breast size.

Q: Will it fit my CT scanner?A: Yes, we have 3 sizes to accommodate all scanners.

Q: Do you have any reference centers for the ClearVue?A: NYU (large university setting), Greenwich Hospital (small hospital setting)

Shadow Artifact on CT

Well known and documented effect resulting from CT algorithmwhen it comes to dealing with straight edges. Some scanners mayhave a correction (beam hardening) option to minimize the effect.

Does not make a significant difference in planning and treatment delivery.

ClearVue PhysicsMeasurement performed with Dr. Delli Carpini, Greenwich Hospital

Material Property (100mu/reading) Angular Backscatter (10x10, 100mu)

Angular Backscatter