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AVO – Fertigung

Developer of the compact linear proton therapy system LIGHT for radiation oncology.

AVO Logo

Advanced Oncotherapy plc (in Administration)

London (Headquarters) · Meyrin/Geneva (R&D, ADAM SA) · Warrington (Testing & Assembly, STFC Daresbury Laboratory) · Rotterdam (EU Office) · Syracuse, NY (US Office)New on Amplifa

2013Renaming of CareCapital Group plc to Advanced
plc (Public Limited Company,Legal form
30 May 2024Entry into Administration
5Sites (UK, CH, NL, USA)

About Advanced Oncotherapy

Advanced Oncotherapy plc (AVO) is a British medical technology manufacturer developing the LIGHT system, a compact linear proton accelerator system for tumor therapy. The technology is based on around 25 years of research at CERN and at ADAM; the company was spun out of CareCapital Group plc in 2013 and is listed on the London Stock Exchange (AIM). The LIGHT system dispenses with a cyclotron or synchrotron and integrates the proton source, RFQ (CERN), SCDTL (ENEA), CCL (TERA), dose delivery (nozzle), patient positioning and imaging into a turnkey treatment solution. The manufacturing and testing of the accelerator structures is carried out jointly with partners, while the assembly and testing of complete systems takes place at the STFC Daresbury Laboratory site near Warrington. Reference partners include The London Clinic, Cleveland Clinic, the Mediterranean Hospital of Limassol and the University Hospitals Birmingham NHS Foundation Trust. Since 30 May 2024, the company has been in Administration (a restructuring procedure) under the Joint Administrators David Hudson and Ian Corfield.

Site
W1G 6BH London
Processes
Proton therapy system development (LIGHT system), Assembly and testing of LIGHT systems (Assembly, Verification & Validation), Manufacturing of accelerating structures, Development and delivery of proton therapy systems (LIGHT), Assembly and testing of the systems, Financing partnerships for customers (leasing with Kineo Finance)
Materials
Hydrogen, Radiofrequency Quadrupole (RFQ), Side Coupled Drift Tube Linac (SCDTL), Coupled Cavity Linac (CCL), Patient Positioning System
Certificates
ISO 13485:2016
Industries
Medical technology, Radiation therapy/oncology
  1. 01

    Development of the accelerator structures (proton source, RFQ, SCDTL, CCL)

  2. 02

    Manufacturing of critical hardware components with partners (including CERN,

  3. 03

    Assembly and integration of the subsystems at the Daresbury site

  4. 04

    Verification & validation (vacuum tests, high-voltage conditioning, beam tests)

  5. 05

    Installation and commissioning at clinical partners

  6. 06

    Service and financing partnerships (e.g. Kineo Finance)

Technology & Components

H2

Hydrogen

Feedstock of the proton source, which generates up to 200 proton pulses per second.

RFQ

Radiofrequency Quadrupole (RFQ)

Compact accelerator module developed by CERN that accelerates protons to 5 MeV over 2 m.

SCDTL

Side Coupled Drift Tube Linac (SCDTL)

Accelerating section designed by ENEA for the low-velocity range of the LIGHT system.

CCL

Coupled Cavity Linac (CCL)

High-velocity accelerating structures designed by TERA, tested up to 74 MeV in the LIBO experiment.

PPS

Patient Positioning System

Robotic arm, CT scanner and optical cameras for precise patient positioning in the treatment room.

Sites

Standort London (Harley Street)

London (Harley Street)

GB

Headquarters; site of the first proton center (15,000 sq ft, 50-year lease, operator: The London Clinic)

Meyrin

CH

R&D Facility (ADAM SA)

  • Proton source
  • RFQ
  • SCDTL
  • CCL (test section)

Warrington

GB

Testing & Assembly (STFC Daresbury Laboratory)

  • Power transformer (8 t)
  • Patient Positioning System
  • Vacuum and high-voltage test infrastructure

Rotterdam

NL

EU Office (Advanced Oncotherapy B.V.)

Syracuse, NY

US

US Office (Advanced Oncotherapy Americas Inc)

System Components

LIGHT system (linear proton accelerator system)
LIGHT system (linear proton accelerator system)Accelerator technology · Radiation therapy/oncology
Accelerator module (RFQ/SCDTL)
Accelerator module (RFQ/SCDTL)Linear accelerator · Medical technology
Treatment room with Patient Positioning System
Treatment room with Patient Positioning SystemSystem integration · Radiation therapy
LIGHT system hardware (HDWE)
LIGHT system hardware (HDWE)System component · Medical technology

Inside the production

SAFETY
SAFETY
LIFE
LIFE
QUALITY
QUALITY
INNOVATION
INNOVATION

Industries

Medical technologyRadiation therapy/oncology

Processes & technical limits

ProcessesToleranceMax. partWeightLot sizeMaterials
Proton therapy system development (LIGHT system)Engineering––––Hydrogen (proton source)
Assembly and testing of LIGHT systems (Assembly, Verification & Validation)Assembly–––––
Manufacturing of accelerating structuresEngineering–––––

6 Anlagen & Maschinen

MachineManufacturer / modelQuantityWorking areaYear builtSite
Linear accelerator module (RFQ, radio-frequency quadrupole)CERN RFQ–5 MeV over 2 m–Geneva / Daresbury
Side Coupled Drift Tube Linac (SCDTL)ENEA SCDTL––––
Coupled Cavity Linac (CCL)TERA CCL / LIBO–tested up to 74 MeV––
Proton source––up to 200 proton pulses/second––
Patient Positioning System (robotic arm, CT scanner, optical cameras)––––Daresbury
Power transformer–1––Daresbury

Additional services

Development and delivery of proton therapy systems (LIGHT)Assembly and testing of the systemsFinancing partnerships for customers (leasing with Kineo Finance)

Reference customers

The London ClinicCleveland ClinicMediterranean Hospital of Limassol (Cyprus)University Hospitals Birmingham NHS Foundation TrustSaba Partners (Letter of Intent)Yantai CIPU Medical Technology (Distribution)

Quality & Certification

Advanced Oncotherapy and ADAM S.A. have been certified to ISO 13485:2016 for medical devices since January 2019; recertification took place in 2021. The systems are assembled, verified and validated at the Daresbury site, including ultra-high vacuum tests and high-voltage conditioning of the accelerator structures.

EvidenceLondon (Harley Street)MeyrinWarringtonRotterdamSyracuse, NY
ISO 13485:2016

Company History

  1. 2013

    Renaming of CareCapital Group plc to Advanced Oncotherapy plc

  2. 2015

    50-year lease agreement for a 15,000 sq ft facility in Harley Street, London

  3. 2016

    Planning permission for Harley Street; integration of proton source and RFQ; capital raise of £13.4 million

  4. 2017

    Agreement with STFC for a UK testing and assembly site; exclusive distribution agreement with Yantai CIPU/Liquid Harmony for China (£16.5 million); first integration of proton source, RFQ and SCDTL

  5. 2018

    Proton beam of 52 MeV achieved; £37 million in equity investments

  6. 2019

    ISO 13485:2016 certification; £16 million in equity and £14 million in debt financing

  7. 2020

    The London Clinic as operator of the Harley Street proton center; sale of a LIGHT system to the Mediterranean Hospital of Limassol (€50 million); completion of the critical hardware for the first system at full energy

  8. 2021

    £46 million in equity; completion of the treatment room and installation of the Patient Positioning System in Daresbury; financing partnership with Kineo Finance; ISO 13485 recertification

  9. 2022

    £19 million in equity; proton beam of 230 MeV generated; beam optimization to submillimeter size; start of the FDA 510(k) process

  10. 2024

    Entry into Administration on 30 May 2024; David Hudson and Ian Corfield appointed as Joint Administrators

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