Orfit Blog

Sagittilt: Orfit’s highly reproducible, patient friendly and heart-sparing prone breast solution

13 September, 2016 | Tags: | Categorised in:

Breast cancer radiotherapy might involve some radiation exposure of the normal tissues within the thorax, including the heart and lungs. This is associated with secondary lung cancer and mortality and morbidity rates for women with left-sided breast cancer due to ischemic heart disease [1]. Darby et al demonstrated that for every 1 Gy increase in mean heart dose, the relative risk of a major coronary event increased by 7.4% [2]. Also the dose on the left anterior descending artery (LAD) may be impactful in the genesis of cardiac toxicity. Given the rising incidence of breast cancer, the implementation of heart-sparing breast cancer techniques is substantial. There are several cardiac sparing techniques available, including the coordination of treatment delivery with respiration (breath-hold or respiratory gating), treatment in a prone position, IMRT, PBRT and partial breast irradiation [3]. A very promising solution that has already been shown to be superior for heart-sparing, mainly in patients with large breast volumes, is the prone position. Moreover, when prone positioning is combined with deep inspiration breath hold, the heart dose, even with smaller cup sizes, is reduced while maintaining the dose reduction to the lungs [4].

Several prone systems are used in clinical practice. However, data on the reproducibility, comfort and ease of use is lacking. Therefore, the available data are rather addressed to the prone position itself than to the immobilization system used.

Recently, Lakosi et al investigated the patient and staff satisfaction, treatment time and treatment reproducibility of the Orfit Sagittilt® prone breast solution. Prone breast treatments are often considered as less comfortable and also less reproducible compared to the supine position. However, they found that Sagittilt® is feasible and well-tolerated by patients, acceptable to radiographers and reasonable in terms of patient treatment times. Set-up errors were comparable with other prone systems. The full article can be found here.


With Sagittilt, Orfit tried to translate the aspects that make the supine position comfortable into a prone immobilization device. To increase the comfort and reproducibility, the position of the arms, legs and head is adjustable to suit the patient’s anatomy and every possible position is indexed. Sagittilt is unique in that the patient can be tilted to let the ipsi-lateral breast fall deeper into the cut-out and further away from the organs at risk such as the heart and lung. For increased precision and safety when tilting the system, Sagittilt should be used in combination with a thermoplastic hip mask.

More information about the Sagittilt prone breast solution can be found on the Orfit website.


[1] Taylor CW, Kirby AM. Cardiac side-effects from breast cancer radiotherapy. J Clin Oncol 2015; 27:621-629.

[2] Darby SC, Ewertz M, McGale P, et al. Risk of ischemic heart disease in women after radiotherapy for breast cancer. N Engl J Med. 2013; 368(11):987-998.

[3] Shah C, Badiyan S, Berry S, et al. Cardiac dose sparing and avoidance techniques in breast cancer radiotherapy. Radiother Oncol. 2014; 112(1):9-16.

[4] Mulliez T, Veldeman L, Speleers B, Mahjoubi K, Remouchamps V, Van Greveling A, et al. Heart dose reduction by prone deep inspiration breath-hold in left-sided breast irradiation. Radiother Oncol 2015; 114:79-87.

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Creating well-designed orthoses that are also visually attractive

11 August, 2016 | Tags: | Categorised in:



Some patients need to wear an orthosis long term to help them perform their daily routine of activities. Other patients require orthoses for a short period while healing. But an orthosis will almost always become a very visual part of the individual!

We feel strongly that each individual orthosis should fulfill all of the functional requirements related to the specific pathology and also be aesthetically pleasing.

During your evaluation, be sure to ask your client about their interest and hobbies: What is their favorite colour? What is unique about their personality? How can you custom design an orthosis to personalize it?


Here are some ideas that can help to create an orthosis that is patient pleasing:

1) Offer an appealing colour from our Orfit Colors NS range.
There are 9 different colours. Not shown here: Dominant Black, Bright Pink and Violet.

2) Add coloured straps to the orthosis. We have a wide selection of colours in our product range.

3) Use scrap material and small leftovers from Orfit material to add some nice designs onto their orthosis

Raquel Cantero - Making Splinting Fun

© Terapiaweb – Raquel Cantero

4) Add accessories like buttons, stickers, fake jewels or beads that you find at your local art & craft shop.
You can also use duct tape.

Making Orthoses Fun

Remember, a patient pleasing orthosis is an orthosis that will get worn; an ugly one just ends up in the drawer.


How did you make an orthosis more attractive? Share your favourite idea in the comments on our Facebook Group!


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Moulding a radiotherapy mask: 11 things that often go wrong but can easily be avoided

1 August, 2016 | Tags: | Categorised in:

Moulding a radiotherapy mask has become a routine task for most technicians. However, problems may pop up either during the moulding process or while refitting the mask for the first treatment session. Orfit has listed several tips to avoid these issues and to assure a high precision, reproducibility and patient comfort.

1. Make sure the temperature of the water bath is between 65 °C and 70 °C (149°F – 158°F).

2. Stick closely to the heating times in the water bath, which is 3 minutes for an Orfit Single Layer High Precision Mask and 4 minutes for an Orfit Hybrid High Precision Mask.


3. Leave the mask on the patient for at least 10 minutes to allow it to harden completely.

4. Don’t spend too much time on towel drying the mask because this reduces the moulding time. Dry the mask sufficiently to avoid hot water from dripping on the patient. Continue reading

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New design for UON and DUON masks

13 July, 2016 | Tags: , | Categorised in:

After a thorough update, our existing range of UON and DUON U-Shaped Head and Neck masks and DUON S-Shaped Head, Neck and Shoulder masks is now even more reliable and user friendly.


NEW: U/S-shaped frame

UON and DUON masks combine the unique features of U-Plast thermoplastic material with a newly designed U- and S-shaped frame that is stronger with an improved bending stiffness. This leads to a more sturdy mask.

NEW: T-shaped pins

New T-shaped pins in DUON increase user friendliness in that they are more easy to attach to and release from a base plate. The pins are available as a separate item so they can easily be replaced when necessary.

Antibacterial, non-stick coating

Each mask is treated with a unique water-based non-stick coating with antibacterial properties. The coating avoids sticking of the mask to skin, hair and hardware and its antibacterial properties (*) prevent cross-contamination in a hospital environment.

Thermoplastic properties

UON and DUON masks offer a high and reliable quality with controlled low shrinkage. This results in high accuracy, high ease of use and increased patient throughput.

They become mouldable at 65°C – 70°C (149°F – 158°F) and can immediately be placed on the patient’s face after they are towel dried. The low molding temperature of these masks significantly increases patient comfort.


The new UON and DUON masks are compatible for use with virtually all base plate hardware. Orfit also offers a full range of carbon fibre laminate and high density plates and couch extensions or use with UON and DUON.

*The antibacterial effect of the coating was determined using the ISO 22196:2011 test method. The results show a reduction of > 99,99% of Methicillin-Resistant Staphylococcus aureus (MRSA), Staphylococcus aureus, Escherichia colli (EC) and Vancomycin-Enterococci (VRE).

All UON masks >

All DUON masks >

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New from Orfit: Orfit Flex NS, Orfit Colors NS Bright Pink and antibacterial properties for all our NS splinting materials

14 June, 2016 | Tags: , , | Categorised in:

Orfit Industries is the only manufacturer of innovative orthotic materials. Our R&D efforts lead to a wider choice of products to satisfy the needs of every medical professional and his or her patients.

NEW – Splinting materials now have antibacterial properties

At Orfit Industries we are always looking for ways to make things better. We have now added an antibacterial property to the majority of our splinting materials, resulting in cleaner and safer orthoses that cannot spread an odour. This makes wearing an orthosis much more pleasant for a patient.

All our NS coated splinting materials, and also Orfit Classic, now have antibacterial properties. Certain bacteria are unable to grow on the surface of our materials. As a result, splints remain odour-free for a long period and they do not pick up dirt from sweating as easily. Additionally, in a clinical environment, bacteria are unable to spread via our materials, which results in a cleaner and more safe environment.

Download our Antibacterial Property leaflet (PDF) for more information on this unique property >

Orfit Flex becomes Orfit Flex NS

Flex NS (002)

Orfit Flex NS is improved with our new non-stick antibacterial coating. This significantly decreases the imprinting of fingerprints and markings on the product. The Non Stick (NS) coating makes the material easier to handle and gives it a nicer smooth shiny surface with easy maintenance.  It moulds and conforms very well and is much less likely to stretch out of control. The drapiness has become manageable, yet the high degree of conformability remains. Just like all our NS coated materials, Orfit Flex NS will stick temporarily to itself and can be easily separated.

More information on Orfit Flex NS>

NEW – Orfit Colors NS Bright Pink

Bright Pink

A 9th colour has been added to the Orfit Colors NS range. Bright Pink will appeal to many and increase the compliance of wearing an orthosis, leading to improved clinical outcomes.

More information on Orfit Colors NS >

If you have a question or comment about these novelties please post it in the Orfit Splinting & Rehabilitation Group on Facebook, or send an email to welcome@orfit.com.




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Hand Therapy Week 2016 – Favorite Orthoses

10 June, 2016 | Tags: | Categorised in:


It’s Hand Therapy Week and to celebrate, we asked therapists to share pictures of their favorite hand orthoses!
Here are all the pictures that have been shared with us.

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The increasing need and interest in Magnetic Resonance Imaging (MRI) in radiation therapy

9 June, 2016 | Tags: | Categorised in:

Magnetic Resonance Imaging (MRI) is gaining interest in radiation therapy (RT) with the emerging development of advanced high precision treatment techniques such as intensity-modulated RT (IMRT) and volumetric intensity modulated arc therapy (VMAT). These techniques require accurate anatomical imaging to avoid irradiation of surrounding healthy tissue. MRI has a superior soft tissue contrast compared to the golden standard of computed tomography (CT), which makes it possible to define tumors and surrounding healthy tissue with greater accuracy. MRI may also provide functional information such as perfusion and diffusion of the tumor. Finally, because of the absence of ionizing radiation, the patient may be scanned a number of times before, during and after treatment without detrimental consequences. However, CT imaging remains an important aspect because of the required CT-based electron density. The use of CT-MR fusion requires geometrically accurate MRI datasets. Therefore patient positioning on the MRI scanner has to be identical to patient positioning on the CT scanner.

MRI Solutions

Orfit offers dedicated MRI compatible head & neck immobilization systems for Siemens, Philips and GE MRI scanners which allow you to use Orfit thermoplastic masks to assure that imaging is performed in exactly the same position as for simulation and treatment. The Orfit MRI-S solutions consists of a High Precision (HP) base plate, a bi-lateral coil holder, a set of six HP headrests and a set of couch top fixations for the Siemens MAGNETOM® family of MRI scanners. The MRI-P (Philips) and MRI-G (GE) solution comprise a base plate, a set of six HP headrests and fixation devices. The flex coil mounting systems are part of the Philips and GE MRI scanners.

More information about the use of MRI in radiation therapy can be found in the Siemens Magazine: MReading: MR in RT – Contributes from our Magnetom Users.  

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Using Orfitrans for 5 different O&P applications – examples by ‘Titan O&P Fabrications’

30 May, 2016 | Tags: , , , , | Categorised in:

All 5

Titan O&P Fabrications, based in Pflugerville (Texas, USA), is a longtime user of Orfitrans materials, our product range of high melting temperature thermoplastic materials. These materials are mainly used for the production of external orthoses and prosthetic sockets.

In this post, we highlight 5 different cases where Titan O&P uses Orfitrans for an O&P application.

1) Test Socket

COLLAGE Orfit - Test socket Orfit stiff 12 mm blister formed

This is a test socket, made from Orfitrans Stiff 12 mm. Orfitrans Stiff is a very rigid, transparent material that will not break, crack or shatter when dropped, making it an excellent choice for the fabrication of a test socket.

2) Definitive Socket (Drape Formed)

COLLAGE Orfit - AK and BK definitive carbon socket with Orfitrans Excel 4mm flexable liners that were drap formed

These sockets are definitive carbon sockets that have flexible Orfitrans liners. These liners are made from Orfitrans Excel 4 mm and are drape-formed. The socket on the left is an AK (above knee) socket, while the socket on the right is a BK (below knee) socket.

Titan O&P Fabrications also does a large variety of graphics on our prosthetic sockets.

3) Definitive Socket (Blister Formed) Continue reading

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Orfit HP 5-points mask and the Orfit SBRT compression belt investigated in 2 posters at ESTRO 2016

27 May, 2016 | Tags: , , | Categorised in:

Two posters in which Orfit products have been investigated were presented at ESTRO 2016. The first poster (EP-1785) by Damodara Kumaran compared setup errors and comfort levels of an Orfit HP 5 points thermoplastic mask and a BrainLAB immobilization system. Overall, the Orfit HP 5 points mask and BrainLAB system were comparable in terms of setup errors, margins and comfort levels.

Poster EP-1785 ESTRO 2016

The second poster (EP-2097) describes the reproducibility of the Orfit SBRT compression belt. Research performed by Bouwhuis S. indicated that the patient friendly setting of the compression belt is reproducible and safe to correctly deliver the dose in stereotactic radiotherapy of the liver.

Poster EP-2097 ESTRO 2016

For more information about Orfit innovative immobilization products and a complete overview of our thermoplastic masks you can consult the Orfit website.

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UNRWA thanks Orfit for donation of orthotic equipment

23 May, 2016 | | Categorised in:


At Orfit Industries, our goal is to help as many patients as possible anywhere in the world. In 2015, we decided to help the UNRWA, the United Nations Relief and Works Agency for Palestine Refugees in the Near East, in providing immediate assistance to patients who required orthotics and prosthetics support in the West Bank and the Gaza Strip. For this purpose we donated thermoplastic splinting materials and accessories (around 1,600 items, including heat guns, thermoplastic sheets, Orficast, precuts, water baths, …) and we provided training to two physiotherapists.

UNRWA has now sent us a thank you message to let us know what they have been able to do with the donated materials:

“Both the West Bank and Gaza found the materials very useful, easy to fabricate, simple in remodeling and leading to an expansion of the current range of possibilities for splint fabrication. They were particularly useful for patients with post traumatic deformities, such as fracture and nerve injuries.”

In addition, UNRWA informed us that the physiotherapists who attended a three-day training on the application of thermoplastic splints in our head office in Wijnegem have already been able to train four other therapists in the field.

We are very glad that we could extend a helping hand and that our products and training made a difference.

Read UNRWA’s entire message to Orfit Industries here (PDF) >

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