TOTIM Patient Cushions Immobilization

ESSEBI Medical

TOTIM Patient Cushions Immobilization


CE Marked and FDA 510(k) Cleared Class II

TOTIM® Patient Cushions Immobilization System Radiotherapy

TOTIM is a fully sealed polyurethane foam cushion covered with microfiber polyester tissue for patient positioning and immobilization during simulation, planning and radiation treatment. The cushion shapes and molds around the patient after activation of the internal components. It maintains its formed shape during all sessions of radiotherapy treatment, enabling reproducibility of patient position.

Indications for Use: 

TOTIM Patient Cushions Immobilization System is indicated to position and/or immobilize and/or repositioning forms both adult and pediatric patients undergoing radiation therapy of the body, head, brain, neck, cervical, arm, limb, hand and leg including Stereotactic Radiosurgery (SRS), Stereotactic Radiotherapy (SRT), Surface Guided Radiation Therapy (SGRT), and electron, photon, and proton treatments. The device is also used during image acquisition, including Computed Tomography (CT) and Magnetic Resonance (MR) Imaging, to support treatment planning.

Technical Characteristics: Cushion with external cover in microfiber comfortable and absorbent water repellent non-woven material, markable, washable/easily sanitized, temperature controlled exothermic reaction, the short window of time required for solidification allows for the correct modeling of the external cover in microfiber polyester tissue fully sealed.   



  1. Fully sealed and expanding foam cushion

Totim is an expanding foam cushion, fully sealed with an outer microfiber polyester cover. 

  1. From extremity to whole body

Totim cushions are specifically designed for many different parts of the body, from individual limbs to whole body. 

  1. No air or moisture activation

Totim cushion form by activation of internal component to then shape and mold around the patient. Does not require vacuum or water activation process to form rigid cushion. 

  1. Just hold to mold

A simple process including activating the cushion contents, positioning the patient and then holding the cushion’s position. The expanding foam will then mold around the patient. 

  • Features & Clinical Benefits  
  • Sealed and ready for use
  • Limits movement and enables reproducibility of the patient position
  • Conforms to shape easily during stiffening phase
  • Disposable, easy to sanitize markable and  Radio transparent
  • Can be formed and indexed to positioning devices and other rigid supports
  • Pediatric options available

The TOTIM Patient Cushions is manufactured of non-magnetic materials, MR SAFE

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