EXACTRAC VARIAN TRUEBEAM LINACS...Site Planning Manual Rev. 1.0 ExacTrac Ver. 6.x 11 1.4...

EXACTRACVARIANTRUEBEAM LINACSVersion 6.x

Site Planning ManualRevision 1.0Copyright 2016, Brainlab AG Germany. All rights reserved.

TABLE OF CONTENTSGENERAL INFORMATION ...................................................................................................7

Contact Data and Legal Information ......................................................................................................7Contact Data ................................................................................................................................................7Legal Information .........................................................................................................................................8

Symbols .......................................................................................................................................................9Symbols Used in This Guide ........................................................................................................................9Hardware Symbols.....................................................................................................................................10

Intended Use .............................................................................................................................................11

Documentation .........................................................................................................................................12

SYSTEM OVERVIEW ..............................................................................................................13

Introduction ...............................................................................................................................................13

Technical Key Features ..........................................................................................................................14

SITE SPECIFICATIONS ........................................................................................................15

Treatment Room .......................................................................................................................................15Overview....................................................................................................................................................15Treatment Room Overview ........................................................................................................................16

Cabling .......................................................................................................................................................18Overview....................................................................................................................................................18Cable Conduits ..........................................................................................................................................19Cabling System..........................................................................................................................................23Cable Specifications...................................................................................................................................24

Dual X-Ray Generator Cabinets HFE 601............................................................................................27

ExacTrac Computer Cabinet..................................................................................................................30

Heat Dissipation .......................................................................................................................................33

FLOOR BOXES ............................................................................................................................35

12” Floor Boxes (Standard) ...................................................................................................................35Overview....................................................................................................................................................35Recess Dimensions and Side Views for 12” Floor Boxes ...........................................................................37Installation of 12“ X-Ray Floor Boxes .........................................................................................................39Customized Cable Outlet ...........................................................................................................................42

TABLE OF CONTENTS

Site Planning Manual Rev. 1.0 ExacTrac Ver. 6.x 3

On Floor Boxes (Optional) .....................................................................................................................43Overview....................................................................................................................................................43External Dimensions of the On Floor Boxes...............................................................................................44Recommended Position of Above-Ground Floor Boxes .............................................................................45

CEILING AND WALL MOUNTS .....................................................................................47

Introduction ...............................................................................................................................................47

Ceiling Mount Installation ......................................................................................................................50How to Mount the Flat Panel Detector Systems .........................................................................................50How to Mount the Ceiling Interface Plate ...................................................................................................52

Ceiling-Mounted Touch Screen Monitor (Optional) ..........................................................................58Overview....................................................................................................................................................58Ceiling Frame Installation...........................................................................................................................63

Wall-Mounted Touch Screen Monitor (Standard) ..............................................................................65

Ceiling Mounted In-Room Distribution Box .......................................................................................67

CONTROL ROOM ......................................................................................................................69

Control Room Distribution Box ............................................................................................................69

Control Room Workspace ......................................................................................................................71

ELECTRICAL REQUIREMENTS...................................................................................73

X-Ray Generator .......................................................................................................................................73

Computer Cabinet Power Supply .........................................................................................................75

System Mains Power & Protective Earth Cabling .............................................................................77

SYSTEM INTERLOCKS AND STATUS SIGNALS ........................................81

Overview ....................................................................................................................................................81

Emergency STOP Interlock....................................................................................................................82General Information ...................................................................................................................................82Varian Emergency STOP Interlock .............................................................................................................83

System Power Emergency OFF - ETX .................................................................................................84Introduction ................................................................................................................................................84Collision Detect Interlock and Motion Enable .............................................................................................85

ExacTrac Warning Lights .......................................................................................................................86

NETWORK REQUIREMENTS .........................................................................................89

Introduction ...............................................................................................................................................89

TABLE OF CONTENTS

4 Site Planning Manual Rev. 1.0 ExacTrac Ver. 6.x

EXACTRAC ROBOTICS.......................................................................................................91

Robotics Installation Requirements ....................................................................................................91

External Bluetooth Module ....................................................................................................................92

COMPLIANCES............................................................................................................................95

Statement of Compliance from Hospital/Contractor ........................................................................95

Authorities .................................................................................................................................................96

APPENDIX.........................................................................................................................................97

Pre-Installation Kit ...................................................................................................................................97

Standard Shipping List .........................................................................................................................106

Cable Classifications ............................................................................................................................107

Facility Pre-Installation Summary ......................................................................................................109Overview of Mains Power Supply and Interlocks......................................................................................109Overview of Wire Diameters in Grounding and Functional Cables ...........................................................110Generator Power Supply (Distribution Box).............................................................................................. 111

Types of Networks for Electricity Supply .........................................................................................114

IT Policy, Screen Saver .........................................................................................................................115

17” Floor Boxes for X-Ray Tubes .......................................................................................................116

PREINSTALLATION CHECKLISTS..........................................................................121

Floor Boxes .............................................................................................................................................121

Ceiling Brackets .....................................................................................................................................122

Electrical Infrastructure ........................................................................................................................123

Conduits...................................................................................................................................................125

Logistics ..................................................................................................................................................126

INDEX ..................................................................................................................................................127

TABLE OF CONTENTS


TABLE OF CONTENTS


1 GENERAL INFORMATION1.1 Contact Data and Legal Information1.1.1 Contact Data

Support

If you cannot find information you need in this guide, or if you have questions or problems, contactBrainlab support:

Region Telephone and Fax Email

United States, Canada, Central andSouth America

Tel: +1 800 597 5911Fax: +1 708 409 1619

[email protected]

Brazil Tel: (0800) 892 1217 [email protected]

UK Tel: +44 1223 755 333

[email protected]

Spain Tel: +34 900 649 115

France and French-speaking regions Tel: +33 800 676 030

Africa, Asia, Australia, EuropeTel: +49 89 991568 44Fax: +49 89 991568 5811

JapanTel: +81 3 3769 6900Fax: +81 3 3769 6901

Project Site Coordination

The Project Site Coordinator team for pre-installation can be contacted at:• [email protected]

or• [email protected] (for US customers only)

Feedback

Despite careful review, this manual may contain errors.Please contact us at [email protected] if you have suggestions as to how we canimprove this manual.

Manufacturer

Brainlab AGOlof-Palme-Str. 981829 MunichGermany

GENERAL INFORMATION


mailto://[email protected]





mailto:/[email protected]


1.1.2 Legal Information

Copyright

This guide contains proprietary information protected by copyright. No part of this guide may bereproduced or translated without express written permission of Brainlab.

Brainlab Trademarks

• ExacTrac® is a registered trademark of Brainlab AG in Germany and/or the US.• Brainlab® is a registered trademark of Brainlab AG in Germany and/or the US.

Non-Brainlab Trademarks

• Microsoft® and Windows® are registered trademarks of Microsoft Corporation in the UnitedStates and other countries.

• Exact®, Truebeam®, TrueBeamSTx® and PerfectPitch® are registered trademarks of VarianMedical Systems, Inc.

CE Label

• The CE label indicates that the Brainlab product complies with the essential re-quirements of European Council Directive 93/42/EEC, the Medical Device Di-rective (MDD).

• According to the rules established by the MDD, ExacTrac is a Class IIb prod-uct.

NOTE: The validity of the CE label can only be confirmed for products manufactured by Brainlab.

Disposal Instructions

The collimators contain lead and should only be disposed of in accordance with statutoryregulations.

Only dispose of electrical and electronic equipment in accordance with statutory regu-lations. For information regarding the WEEE (Waste Electrical and Electronic Equip-ment) directive, visit:www.brainlab.com/en/sustainability

Sales in the US

US federal law restricts this device to sale by or on the order of a physician.

Electronic Product Radiation Control (EPRC) Program (US Only)

According to the product classification for medical devices of the FDA Center for Devices andRadiological Health, ExacTrac is defined as a medical charged-particle radiation therapy system(product code IYE).Based on 21 CFR (Code of Federal Regulations Title 21) of the CDRH, no performance standardis applicable and General Radiological Health requirements apply (21 CFR 1000 - 1005).

Contact Data and Legal Information


http://www.brainlab.com/en/sustainability/

1.2 Symbols1.2.1 Symbols Used in This Guide

Warnings

Warnings are indicated by triangular warning symbols. They contain safety-criticalinformation regarding possible injury, death or other serious consequences associatedwith equipment misuse.

Cautions

Cautions are indicated by circular caution symbols. They contain safety-critical informationregarding possible problems with the device. Such problems include device malfunctions,device failure, damage to device or damage to property.

Notes

NOTE: Notes are formatted in italic type and indicate additional useful hints.

GENERAL INFORMATION


1.2.2 Hardware Symbols

Symbols on Hardware Components

Symbol Explanation

Type B Applied Part according to IEC 60601-1

Caution

Serial number

Article number

Date of manufacture

Manufacturer

Follow the instructions for use

Prescription only

Symbols


1.3 Intended Use

Indications for Use

ExacTrac is intended for placing patients at an accurately defined point within the treatment beamof a medical accelerator for stereotactic radiosurgery or radiotherapy procedures. Treatmentincludes lesions, tumors and conditions anywhere in the body where radiation therapy isindicated. ExacTrac is also used for monitoring the patient position during treatment.

Intended User

The intended users of ExacTrac are medical staff having received dedicated training for thisapplication, such as:

Title Education Actions

Radiation Therapist Education, training Main workflow

Radiation Oncologist/Physician Physician with MD Fusion approval, patient initialization

Medical Physicist/Physicist PhD in medical phys-ics

System Quality Assurance, datahandling

(This classification depends on country-specific requirements/regulations and might vary from theclassifications above.)

Only trained medical staff may operate system components and accessoryinstrumentation.

Known Contra-Indications

To prevent injury to patients wearing pacemakers, contact the pacemaker manufacturerregarding possible hazards resulting from radiation exposure before commencing patienttreatment.

Place of Use

The application is to be used in the treatment room.

Careful Hardware Handling

System components and accessory instrumentation comprise precise mechanical parts.Handle them carefully.

Only trained medical personnel may operate system components and accessoryinstrumentation.

Plausibility Review

Before patient treatment, review the plausibility of all information input to and output fromthe system.

No modification of this equipment is allowed.

GENERAL INFORMATION


1.4 Documentation

Intended Audience

This Site Planning Manual is intended as a reference for the effective and correct implementationof ExacTrac in combination with a Varian TrueBeam Linear Accelerator. This guide is written forcustomers (in particular, customers who have purchased or intend to purchase an ExacTracsystem), as well as all members of the clinical architectural, structural and consulting teams whoare involved in the planning and implementation of an ExacTrac system or parts of it.This guide is to be provided to all relevant parties at the beginning of the planning process andexplained in appropriate detail. Read this user guide carefully and acquaint yourself sufficientlywith the system before planning its implemenation.This Site Planning Manual contains important information about the responsibilities and duties ofall relevant parties as well as a detailed installation description. Pay special attention to thewarnings and cautions provided in this manual.

Reading User Guides

The user guides describe complex medical devices and software that must be used with care.It is important that all users of system, instruments and software:• Read the user guides carefully before handling the equipment• Have access to the user guides at all times

Pre-Installation Information

It is highly recommended to read this document prior to the main system installation. Thecustomer is responsible for finishing all pre-working/pre-assembly steps to ensure a simple andtimely system installation. It is also very important that you inform Brainlab of all informationregarding the hospital’s electrical and spatial conditions.At the end of the document is a checklist you can use to ensure that all listed requirements arecompleted and finalized.If a subcontractor shall perform the required pre-working/pre-assembly steps, the customer isresponsible for providing the subcontractor with this complete pre-installation information includingall warnings.Please note that not all components and items described in this document belong to eachinstalled system. Please contact Brainlab support for details or if any constraints cannot be met.

Documentation


2 SYSTEM OVERVIEW2.1 Introduction

Customer Responsibility

All structural preparations, such as reinforcement and/or strengthening for roof mounted items,ceilings, superstructures, or any related objects are the responsibility of the customer.

SYSTEM OVERVIEW


2.2 Technical Key Features

Infrared Components

The infrared components consist of the following:• Ceiling-mounted infrared and video camera system.• Wall-mounted touch screen monitor (standard).• Control room workspace with monitor, keyboard and mouse.• Compact-sized computer rack for computer, power supplies, electrical safety devices, control

electronics and excess cables (ExacTrac Computer Cabinet).

X-Ray Components

The X-ray components consist of the following:• Two X-ray tubes recessed into the linac room floor.• Two ceiling-mounted amorphous silicon detectors (ExacTrac Flat Panels).• ExacTrac Console.• Dual 65kW X-ray generator with integrated transformer unit.

Optional Components

Some optional components are:• Ceiling-mounted Touch Screen Monitor for convenient handling (optional, standard is wall-

mount solution)• Two X-ray Tubes mounted on-floor in the linac room (optional, standard is in-floor solution).• Tilt alignments of targeting volume via ExacTrac Robotics.

Technical Key Features


3 SITE SPECIFICATIONS3.1 Treatment Room3.1.1 Overview

General Information

The ExacTrac system shall only be installed in a bunker for medical radiotherapy acceleratorsthat has a stable foundation. Keep vibrations to a minimum since they influence the accuracy ofthe tracking system.

Exposure to high neutron radiation can lead to recurring malfunction and permanentdamage to computer hardware and electronic components. For sites where patients will betreated with energies 10 MV or higher, do not place the computer cabinet in the treatmentroom as it is not designed for exposure to high neutron radiation.

The system must not be exposed to humid environment. Humidity can destroy the systemand can lead to short circuits.

The ExacTrac system is not designed for use in areas where there is a danger of explosion.Moreover, the system must not be placed close to flammable materials, such as volatileanesthetics, detergents or endogenous gases. Observe local regulations to avoid explosive gasmixtures forming during usage and cleaning.Ensure that the tracking volume of the ExacTrac infrared camera system is not reduced/modifiedby other devices after the ExacTrac system has been accepted.Do not install the ceiling mount and device mount in the direct airflow of an air conditioning orheating system.

Do not install any of the electronic components described in this site planning manual(e.g., monitors, cabinets, warning lights, distribution boxes) in the area of the linac’sprimary beam.

SITE SPECIFICATIONS


3.1.2 Treatment Room Overview

Sample Set-Up

All major ExacTrac components and positions within the bunker have a dedicated numbered labelfor further reference.The following image shows an overview of the main system components in a treatment room(diagram not meant to scale):

Floor Box withX-Ray Tube(left side)

2.1a

IR and VideoCamera System

1.1

Flat PanelDetector(right side)

X-RayWarning Light

Control-Room Workplace

X-RayWarning Light

Control RoomDistribution Box

Wall MountedTouch ScreenMonitor(standard)

Ceiling MountedTouch ScreenMonitor(optional)

Network Plug(provided byHospital)

1.2

2.3a

2.5b

Treatment Couch

0.1

Primary Beam

Lasers

1.2

1.5

2.5a

Isocenter

2.4

ExacTrac Console

1.0

Computer Cabinet

Stand & Gantry

0.0

In-RoomDistribution Box

1.3

X-RayDual Generator

2.0a 2.0b

4.0

2.2a

Floor Box withX-Ray Tube(right side)

2.1b 2.2b

Flat PanelDetector(left side)

2.3b

Control-RoomWorkspace

1.6

Emergency Off

Emergency Off

Emergency Off

max. radius 2900EXACT couchtopwith foot extension

3.2

ExternalBluetooth Module

Power Plug(for RoboticsCharger)

L

LL

15°

Figure 1

Treatment Room


Couch Clearance Specifications for Treatment Room (Measurements in mm)

Isocenter

radius 1855couch end

EXACT couchtop with foot extension

radius 2670EXACT couchtop w/o foot extension

radius 2460necessary distance for treating cranial cases(Couchmount+Headring+Localizer or Frameless)

15°

radius 2900

Figure 2

SITE SPECIFICATIONS


3.2 Cabling3.2.1 Overview

General Information

Position all components so that you can use the shortest cable whenever possible.Determine the correct length of X-ray tube power cable necessary to connect the X-ray generatorto the X-ray tubes. Calculate an extra 3 m for the cabling within the X-ray generator to avoid toomuch tension between the cables and the circuit points.In most hospitals, conduits are required for ExacTrac cables due to hospital and local electricalregulations and laws. Below is a table listing the requirements for these conduits.NOTE: Brainlab does not require you to store ExacTrac cables within conduits. However, some ofthe supplied cables are not plenum rated. Therefore, it may be necessary for some customers toinstall all cables within conduits.

You are responsible for obtaining installation permits with respect to applicable local orregional standards. This might affect cable routes, mains power and data cablesspecifications, connection to potential equalization and where you install systemcomponents.

Be aware that fire protection engineering aspects (plenum rating) may be affected wheninstalling cables and system components. Install cable conduits and cables so that theyare not a tripping hazard and the cables will not be damaged.

Cabling


3.2.2 Cable Conduits

Sample Treatment Room Set-Up

The following image shows an overview of cable conduits (diagram not meant to scale):

3.2

In-RoomDistribution Box

Control-Room Workplace

ExternalBluetooth Module

Stand & Gantry

0.0

PrimaryBeam

1.3

Control RoomDistribution Box

1.5

Isocenter

2.4

ExacTrac Console

Control-RoomWorkspace

1.6

Tube 1 Tube 2

2.2a 2.2b

1.0

Computer Cabinet

HospitalNetwork

4.0

X-RayDual Generator

2.0a 2.0b

2.3b

2.3a

1.21.2 1.1

2.5a

2.5b

Warning Light

Warning Light

Flatpanel

Flatpanel

IR Camera

L

LL

A Ø75mm

D1 Ø75mm

G2 Ø50mm

J

T Ø25mm

M Ø130mm

O Ø25mm

R Ø50mm

I Ø25mm(optional)

C Ø75mm

H2 Ø25mm

P Ø25mm

B1 Ø75mmG1 Ø50mm(optional)

S Ø75mm

= Ø25mm

= Ø50mm

= >Ø75mm_

H1 Ø50mm

D2 Ø75mm

B2 Ø75mm

E Ø50mm

K Ø25mm

M Ø130mm

U Ø25mm

GroundingSpot

Figure 3

SITE SPECIFICATIONS


Treatment Room Sample Side View

The following image shows a side view of cable conduits (diagram not meant to scale):

3.2

2.0b

2.2a

2.2b

Net

wor

k Pl

ug(p

rovi

ded

byH

ospi

tal)

1.2

2.3b

0.1

1.2

1.5

2.5a

2.4

1.0

0.0

1.3

Con

trol

-Roo

mW

orkp

lace

2.0a

2.5b

2.1b

2.1a

2.3a

4.0

1.6

1.1

Trea

tmen

tR

oom

VM

S C

amer

a

OR

B2

H1

CT

G1

JG

2

MA

ED

2

S

= Ø

25m

m

= Ø

50m

m

= >Ø

75m

m_

H2

optio

nal

D1

B1

U

Figure 4

Cabling


Description of Cable Conduits

# From To CableLength

Cable Di-ameter

Largest Plug Diame-ter

Minimum Conduit Di-ameter

A Computer cabi-net (1.0)

Generator cabinet 1(2.0a) 30 m 6 mm 35 mm 50 mm (low voltage

cable)

B1 Computer cabi-net (1.0)

In-room distributionbox (1.3) 30 m 9, 10 mm No plug 75 mm (low voltage

cable)

B21) Computer cabi-net (1.0)

In-room distributionbox (1.3) 30 m 5, 6 mm 35 mm 75, 100 mm (low volt-

age cable)

C1) Computer cabi-net (1.0)

Flat panel detectors(2.3a/2.3b) 30 m 2x 8 mm,

2x 9 mm 52 mm 75, 100 mm (low volt-age cables)

D1 Computer cabi-net (1.0)

Control room distri-bution box (1.5) 30 m 9, 10 mm No plug 75 mm (low voltage

cables)

D2 Computer cabi-net (1.0)

Control room distri-bution box (1.5) 30 m 5, 11 mm 53 mm 75 mm (low voltage

cable)

E2) Computer cabi-net (1.0)

Linac gantry stand(0.0) for Varian 30 m 6 mm 35 mm 50 mm (low voltage

cable)

G1In-room distri-bution box(1.3)

Optional: Ceiling-mounted touchscreen (1.2)

8 m 4, 5.9, 2x 7mm 35 mm 50 mm (low voltage

cable)

G2In-room distri-bution Box(1.3)

Standard: Wall-mounted touchscreen (1.2)

8 m5.9, 2x7 mm

35 mm 50 mm (low voltagecable)

H1 Computer cabi-net (1.0) Camera system (1.1) 30 m 7, 8 mm 35 mm 50 mm (low voltage

cables)

H2In-room distri-bution box(1.3)

Camera system (1.1) n/a 5 mm No plug 25 mm (see page77)

IIn-room distri-bution box(1.3)

Alternatively: PEgrounding spot n/a 9 mm No plug 25 mm (see page

77)

JIn-room distri-bution box(1.3)

External bluetoothmodule (3.2) 5 m 6 mm 10 mm n/a (low voltage ca-

bles)

K Computer cabi-net (1.0) PE grounding spot n/a 9 mm No plug 25 mm (see page

77)

M3) Generator cab-inet 1 (2.0a)

Left side: Floor box 1(2.1a)

11, 15,18 mm

9, 12, 17mm

Diameter: 70 mm Pluglength: 180 mm

130 mm [trench:100mm] (high voltagecables, no sharpturns)

M3) Generator cab-inet 2 (2.0b)

Right side: Floor box2 (2.1b)

11, 15,18 m

9, 12, 17mm

Diameter: 70 mm Pluglength: 180 mm

130 mm [trench:100mm] (high voltagecables, no sharpturns)

O Computer cabi-net (1.0)

X-ray warning light 1& 2 (2.5a/2.5b)

30 m +30 m 4 mm No plug 25 mm (low voltage

cables)

P Generator cab-inet 1 (2.0a) PE grounding spot n/a 9 mm No plug 25 mm (see page

77)

R Computer cabi-net (1.0)

External bluetoothmodule (3.2) 30 m 6 mm 35 mm 50 mm (low voltage

cable)

SITE SPECIFICATIONS


# From To CableLength

Cable Di-ameter

Largest Plug Diame-ter

Minimum Conduit Di-ameter

S Generator cab-inet 1 (2.0a)

Generator cabinet 2(2.0b)

5 m (op-tional 20m)

2x 6, 24mm 35 mm

75 mm (low and highvoltage cables togeth-er in the same conduit,no sharp turns)

TIn-room distri-bution box(1.3)

Flat panel detectors(2.3a/2.3b) n/a 9 mm No plug 25 mm (see page

77)

U Computer cabi-net (1.0)

Hospital network(4.0) 4 m 5 mm 14 mm 25 mm

1) The cabling from the computer cabinet to the in-room power box and the flat panels can beplaced together in a single 100 mm conduit.2) Depending on system configuration, one or two cables are required.3) A 130 mm conduit is required from generator 1 to floor box 1 (labeled “a”) and from generator 2to floor box 2 (labeled “b”). If generators 1 and 2 are positioned directly next to each other, it ispossible to place both X-ray tube cables into a single conduit. In this case, separate the highvoltage cables from the data cables.

Cabling


3.2.3 Cabling System

Functional Cabling for Varian TrueBeam Systems

The following image shows an overview of the functional cabling (excluding mains, PE andbuilding installation) for Varian TrueBeam systems:

Sin

gle

KV

MM

odul

e

Dua

lK

VM

Mod

ule

In-r

oom

data

/pow

erdi

strib

utio

n bo

xK

VM

rece

iver

Junc

tion

In-r

oom

mon

itor

RO

BO

TIC

SB

luet

ooth

Con

trol-r

oom

data

/pow

erdi

strib

utio

n bo

x

Cam

era

Sys

tem

Con

trol-r

oom

mon

itor

IRca

mer

aVi

deo

cam

era

Flat

Pan

el a

Flat

Pan

el b

Exa

cTra

cC

ompu

ter C

abin

et

X-Ray Generator

War

ning

Ligh

t a

KV

Mre

ceiv

er

X-R

ayTu

be b

X-R

ayTu

be a

2.2a

2.2b

2.0b

1.0

2.5a

1.2

3.2

1.4

2.3a

1.1

2.3b

1.5

1.3

0.0

198a

1615

Exa

cTra

cC

onso

le 2.4

War

ning

Ligh

t b

2.5b

US

BA

Flat

Pan

elfra

me

grab

ber

Exa

cTra

c W

orkS

tatio

n

LAN

1

Gra

phic

car

d

US

BB

US

BC

US

BD

CO

M 1C

OM 2

CO

M 3C

OM 4

CO

MP

WR

CO

MIN

KV

M

Vide

oFr

ame

Gra

bber

Hos

pita

l Net

wor

k

Key

boar

d, V

ideo

& M

ouse

cab

les

27

14

5,6

5,6

2

7

3

X-Ray Generator

2.0a

Junction

Pow

er-

supp

lyP

ower

-su

pply

22

17

20

1023

Cable Extension 5m

Flat

Pan

elfra

me

grab

ber

Flat

Pan

elP

ower

-su

pply

Flat

Pan

elP

ower

-su

pply

US

BP

ower

-su

pply

21

66

55

12A

,12B

,13

A

12C

,12D

,13

B

ET

DX

RE

TC

OU

1E

TR

TM2

ET

CO

ME

T IL

K

Inse

rt

ET

PO

WIn

sert

ITU

Inse

rtIn

sert

11

Figure 5

SITE SPECIFICATIONS


3.2.4 Cable Specifications

Cable Slack (Excess Length)

Cable slack is needed for each cable and varies from cable to cable. Contact the Brainlab sitecoordinator for more details, unless otherwise stated in this document.

ExacTrac Cables installed by Brainlab

The following table provides an overview of all ExacTrac cables that need to be pulled byBrainlab, their start and end point as well as their size and correct orientation. All other buildinginstallation cables for system interlocks are not listed here (for more information, see page 81).

Ref

eren

ce N

r.

Cab

le N

ame

Con

duit

Ref

eren

ce

STA

RT

STA

RT

(Com

pone

nt, P

lug,

Cab

le)

END

END

(Com

pone

nt, P

lug,

Cab

le)

Not

e C

able

Dire

ctio

n

Plug

@ S

TAR

T

Plug

@ E

ND

Max

. Cab

leLe

ngth

[m]

Cab

le D

iam

eter

[m]

Larg

est P

lug

Dim

ensi

ons

[mm

]

Ship

ped

with

Pre-

Insa

ll-K

it

Ship

ped

with

Mai

n Sh

ipm

ent

Mod

ule

Cab

le T

ype

12A XR High Volt-age Cable M 2.0a HVT/(+) 2.2a Tube/(+)

Anode11/15/18 17 180x70 x XR Power Tube

150kV

12B XR High Volt-age Cable M 2.0a HVT/(-) 2.2a Tube/(-)

Cathode11/15/18 17 180x70 x XR Power Tube

150 kV

12C XR High Volt-age Cable M 2.0b HVT/(+) 2.2b Tube/(+)

Anode11/15/18 17 180x70 x XR Power Tube

150 kV

12D XR High Volt-age Cable M 2.0b HVT/(-) 2.2b Tube/(-)

Cathode11/15/18 17 180x70 x XR Power Tube

150 kV

13A XR Stator Ca-ble M 2.0a Sub-D./X6 2.2a Tube/

Stator x Attached totube

11/15/18 12 x XR Power Stator

230 V

13B XR Stator Ca-ble M 2.0b Sub-D./X6 2.2b Tube/

Stator x Attached totube

11/15/18 12 x XR Power Stator

230V

25 ET EXGICDOS Cable 1.0 LC x 4-pin 9-pin

DSUB 6 x Gating Data, Gating

27 Cat 5E PatchCable U 1.0 WS/LAN

Conn. 4.0 NetworkPlug RJ45 RJ45 4 5 14x11 x Patch

38 PEQ, 16 mm2 M 2.0 2.2a 2) 9 N/A x XR PEQ

39 PEQ, 16 mm2 M 2.0 2.2b 2) 9 N/A x XR PEQ

ExacTrac Cables installed by the Contractor

The following table provides an overview of all ExacTrac cables that need to be pulled by thecontractor, their start and end point as well as their size and correct orientation. All other buildinginstallation cables for system interlocks are not listed here (for more information, see page 81).

Ref

eren

ce N

r.

Cab

le N

ame

Con

duit

Ref

eren

ce

STA

RT

STA

RT

(Com

pone

nt, P

lug,

Cab

le)

END

END

(Com

pone

nt, P

lug,

Cab

le)

Not

e C

able

Dire

ctio

n

Plug

@ S

TAR

T

Plug

@ E

ND

Max

. Cab

leLe

ngth

[m]

Cab

le D

iam

eter

[m]

Larg

est P

lug

Dim

ensi

ons

[mm

]

Ship

ped

with

Pre-

Insa

ll-K

it

Ship

ped

with

Mai

n Sh

ipm

ent

Mod

ule

Cab

le T

ype

1 ET Video Ca-ble H 1.0 Video Fr.

Grabber 1.1VideoAdapterC.

x 7-pinthin

7-pinthick 30 8 35 x IR Video

2 ET KVM Cable B1 1.0 Dual KVM 1.3 KVM (in-room) 30 5 14x11 x IR Patch

3 ET Serial Ex-tension B1 1.0 COM 3 1.3 Cable 16 x FE-

MALE MALE 30 9 31x15 x IR Touch Exten-sion

4 ET InfraredUSB Adapter H 1.0 USB B 1.1 Spectra

Camera x Adapter MALE 30 7 x IR Data/Power

5A ET FlatpanelData Cable C 1.0 FG with

lower ID 2.3aFP1(right)/Data

30 8 50x34 x XR FP Data

5B ET FlatpanelData Cable C 1.0 FG with

higher ID 2.3b FP2 (left)/Data 30 8 50x34 x XR FP Data

Cabling


Ref

eren

ce N

r.

Cab

le N

ame

Con

duit

Ref

eren

ce

STA

RT

STA

RT

(Com

pone

nt, P

lug,

Cab

le)

END

END

(Com

pone

nt, P

lug,

Cab

le)

Not

e C

able

Dire

ctio

n

Plug

@ S

TAR

T

Plug

@ E

ND

Max

. Cab

leLe

ngth

[m]

Cab

le D

iam

eter

[m]

Larg

est P

lug

Dim

ensi

ons

[mm

]

Ship

ped

with

Pre-

Insa

ll-K

it

Ship

ped

with

Mai

n Sh

ipm

ent

Mod

ule

Cab

le T

ype

6A ET FlatpanelDC Cable C 1.0 Power sup-

ply 2.3aFP1(right)/Power

x Thick,“ring”

Thinend 30 9 x XR FP Power

6B ET FlatpanelDC Cable C 1.0 Power sup-

ply 2.3b FP2 (left)/Power x Thick

“ring”Thinend 30 9 x XR FP Power

7 ET KVM Cable D1 1.0 SingleKVM 1.5

KVM(ControlR.)

30 5 14x11 x IR Patch

8A ET Serial Ex-tension E 1.0 ILK 0.0 VMS In-

terface x MALE FE-MALE 30 9 31x15 x ILK Serial

10X-ray ControlPanel Cable30 m (UL)

A 1.0 DXR/XRGenerator 2.0a Dual In-

terf./X1 x FE-MALE MALE 30 11 53 x XR Data, xr-sync

11ET Dual Gen-erator Connec-tion Cable

S 2.0a Pre-Distri-bution 2.0b Sub-Dis-

tributionAttached toGen 2 20 25 x XR Power

11AET Dual Gen-erator Connec-tion Cable

S 2.0a DualInterf./X23 2.0b NAG2/

X11 x FE-MALE MALE 20 6 35 x XR Data

11BET Dual Gen-erator Connec-tion Cable

S 2.0a DualInterf./X25 2.0b BUS2/

X28 RJ45 RJ45 20 5 14x11 x XR Patch

15 ET Touch VGACable G 1.3 KVM (in-

room) 1.2VGAConnec-tor

x FE-MALE MALE 8 7 x IR Touch VGA

16 ET Touch DataCable G 1.3 Cable 3 1.2

RS232Connec-tor

x FE-MALE MALE 8 7 x IR Touch Signal

17ET TouchPower Exten-sion

G 1.3 Touch Pow.Sup. 1.2

PowerConnec-tor

8 6 x IR Touch Power12V

19A ET WarningLight Cable O 1.0 DXR/XR

W. Light 2.5a LusterTerminal x MALE Cable 30 4 x XR Data

19B ET WarningLight Cable O 1.0/

2.5a

* DXR/XRWarningLight* LusterTerminal

2.5b LusterTerminal 30 4 x XR Data

20 ET ConsoleCable D1 1.0 ILK/

Console 1.5ControlRoomBox

x MALE FE-MALE 30 11 53 x AutP/

XR Data

23 RTM2 CrossOver Cable R 1.0 RTM2/

Robotics 3.2RS232Connec-tor

x FE-MALE MALE 30 7.3 35x15 x RTM Data

30Power, max.3x 16 mm2 / 1.0 DP c c c c c c c c IR Power

31Power, max.5x 25 mm2 / 2.0 DP c c c c c c c c XR Power

32Power, 3x 2.5mm2 B2 1.0 1.3 1) 10 N/A x IR Power

33Power, 3x 2.5mm2 D2 1.0 1.5 1) 10 N/A x IR Power

34 PEQ, 16 mm2 K 1.0 PE 2) 9 N/A x IR PEQ

35 PEQ, 16 mm2 B2 1.0 1.3 2) 9 N/A x IR PEQ

36 PEQ, 16 mm2 D2 1.0 1.5 2) 9 N/A x IR PEQ

37 PEQ, 16 mm2 P 2.0 PE 2) 9 N/A x XR PEQ

40 PEQ, 2.5 mm2 H 1.3 1.1 3) 4 N/A x IR PEQ

41 PEQ, 2.5 mm2 G 1.3 1.2 3) 4 N/A x IR PEQ

42 PEQ, 2.5 mm2 T 1.3 2.3a 3) 4 N/A x XR PEQ

43 PEQ, 2.5 mm2 T 1.3 2.3b 3) 4 N/A x XR PEQ

SITE SPECIFICATIONS


Further Table Information

Abbreviations:• W.: Warning• c: Mains cables not provided by Brainlab• 1) A total of 60 m of cable is included• 2) A total of 70 m of 16 mm2 cable is included• 3) A total of 50 m of 2.5 mm2 cable is included• DP: Electric Distribution Panel• PEG: Protective Earth Grounding spot

Additional Cable Information:• Cable 3: Label cable 3 with “Monitor” on the computer cabinet side.• Cable 4: The IR USB adapter cable is equipped with a device to combine power and data,

which needs to be stored carefully and kept protected from dust and shocks.• Cable 8a: Label cable 8a with “Linac” on the computer cabinet side.• Cables 15, 16 and 17: If you ordered a ceiling-mounted touch screen monitor, cables 15, 16

and 17 come pre-installed in the monitor arm.• Cable 22: Minimum bend radius is 20 mm.• Cable 23: Minimum bend radius is 55 mm.

NOTE: In some cases, cable direction is important. Refer to the column, “Note Cable Direction”.

Cabling


3.3 Dual X-Ray Generator Cabinets HFE 601

X-Ray Generator Cabinet Distances

The exact cable lengths need to be specified by the hospital.• Possible cable length between the generator and X-ray tubes: 11, 15 and 18 m.

NOTE: Use the same cable length for both tubes.

• Possible cable length between the two generator cabinets: 5 mNOTE: Brainlab can provide an extension to 20 m on request only if there is absolutely no wayto install the generators 5 m apart.

X-Ray Generator Cabinet Connections

Generator 1 (2.0a) G

enerator 2 (2.0b)

Figure 6 • External interfaces (mains power and control data input) are only allowed at generator cabinet

1.• X-ray tube 1 (left side of the gantry when facing the gantry) must be connected to generator

cabinet 1 (labeled “a” in the diagrams).• X-ray tube 2 (right side of the gantry when facing the gantry) must be connected to generator

cabinet 2 (labeled “b” in the diagrams).

SITE SPECIFICATIONS


X-Ray Generator Cabinet Specifications

Component Description

Dimensions

550 mm x 550 mm x 1510 mm (each cabinet)

1100mm

480mm 480mm

450mm

1510

mm

170m

m

80mm

Servicing area and cableaccess

For service purposes the cabinet is pulled to the front. Keep free aservicing area of 800 mm.

cable access from top orbottom side of cabinet(left / right optional)

450mm approx. 800mm

550m

m

Weight(including wheels)

• Dual generator without pre-transformer: 320 kg• Dual generator with pre-transformer 208 V - 400 V: 390 kg• Dual generator with pre-transformer 420/440/480 V - 400 V: 370

kg• Dual generator with pre-transformer Delta 200/210/220/208 V -

star 400 V: 460 kg• Single cabinet without pre-transformer: 160 kg

Dual X-Ray Generator Cabinets HFE 601



Wall fixation of rear panel

Fix the rear panel of each X-ray generator cabinet to the wall ac-cording to the drilling pattern. Each rear panel weighs a maximumof 25 kg, depending on the configuration.Use anchors according to wall conditions and local regulations (notprovided by Brainlab).

214mm

1000mm

1454mm

180mm 180mm

Location

When selecting the distance between the two cabinets, consider thelength of the cable connecting the two cabinets:• Standard: 5 m• Optional: 20 m

Do not place the cabinets in the primary beam of the linac.

SITE SPECIFICATIONS


3.4 ExacTrac Computer Cabinet

General Information

The ExacTrac computer cabinet is a two-way accessible cabinet for storing the workstation,power supplies, electrical safety devices, interface electronics and excess cables.The following image shows front and back views of the ExacTrac computer cabinet:

Figure 7

ExacTrac Computer Cabinet


ExacTrac Computer Cabinet Specifications

cable access from bottom side of cabinet

610mm 810mm

1780

mm

880mm

service access

service access

Figure 8


DimensionsCabinet only: 810 mm x 610 mm x 1780 mmCabinet plus door handles: 880 mm x 650 mmx 1780 mm

Weight 250 kg

LocationThe cabinet can be placed with any long sidefacing the wall. The door can be opened fromeither side, depending on how it is mounted.

Wall fixation

In earthquake endangered regions, the com-puter cabinet must be fixed to the wall. An an-gle bracket is supplied with the computer cabi-net.

Network connection Cat 5E (or higher) patch cable, 4 m; cable no.27 (see ).

Avoid placing the cabinet in the treatment room. If this is unavoidable, ensure a maximumdistance between the cabinet and the linac and ensure the cabinet is outside the primarybeam of the linac.

Exposure to high neutron radiation can lead to recurring malfunction and permanentdamage to computer hardware and electronic components. For sites where patients will betreated with energies 10 MV and above, do not place the computer cabinet in the treatmentroom as it is not designed for exposure to high neutron radiation.NOTE: Ensure sufficient spatial clearance before rigging the computer cabinet.

SITE SPECIFICATIONS


NOTE: If you have limited space, you may position the cabinet with the rear service door side nextto a wall (100 mm clearance) after all cabling is finished.

ExacTrac Computer Cabinet


3.5 Heat Dissipation

Calculation

The calculations used to determine the heat dissipation are based on the following:• 1000 BTU/h = 293 W• 1 W = 3.412 BTU/h

X-Ray Dual Generator and Tubes

In stand-by mode, the heat dissipation for the X-ray dual generator and tubes is approximately250 W (853 BTU/h).For air condition layout, use 400 W (1365 BTU/h): 100 W for each generator (2 in total) plus 100W for each tube (2 in total) = 400 W.

Computer Cabinet and All System Components

Measured: 406 W (1386 BTU/h)For air condition layout, use: 500 W (1706 BTU/h)

SITE SPECIFICATIONS


Heat Dissipation


4 FLOOR BOXES4.1 12” Floor Boxes (Standard)4.1.1 Overview

General Information

X-ray tubes are encased in specially designed floor boxes, which are delivered with leveling feetfor fine adjustment.For more information on 17” floor boxes, see page 116.

① ②No. Description

① 12” floor box with aluminum cover on top of the wooden cover.

② 12” floor box showing the wooden cover that supports the aluminum cover from under-neath.

FLOOR BOXES


Cable Outlet

Only use the cable outlet ① provided:

①

Figure 9

Top and Back Views

Ø130mm

138m

m 576m

m

668mm

407mm

380mm

Ø16mm

Ø16mm

Ø16mm 17

6mm

leveling screws (3x)

lifting ancors (3x)

fixation holes (3x)

"A"

314m

m

distance rim

Detail A

Top View Back View

Figure 10

12” Floor Boxes (Standard)


4.1.2 Recess Dimensions and Side Views for 12” Floor Boxes

Recess Positions and Dimensions

45°

834+/-7mm

1179

+/-10

mm

834+

/-7m

m

Cable conduit* Cable conduit*

Isocenter

1357+/-7mm

min

. 780

min. 780

Figure 11 • *Cable conduit should ideally be a non-flexible PVC pipe with a minimum inner diameter of 100

mm and a maximum outer diameter of 130 mm.• See page 39 for worst case positioning.• After placing the box, pour concrete into the hole so that the aluminum cover rests on a

minimum of 10 mm stable concrete on all sides.• The absolute minimum depth of the pit over the whole surface is 310 mm.• The recess surface must be even for fine adjustment of the floor boxes.

FLOOR BOXES


Recess Side View

finished floor

330+2

0-2

0m

m

133m

m

Figure 12

Safety Notes

It is mandatory to get approval and/or clearance from a stress analyst before cutting thefloor box recesses, as building statics will change.

In case the linac is already installed, ensure that the linac base frame is not damagedduring recess construction.

Until the floor box is installed, the empty pit must be marked with warning signs orcovered.

The aluminum cover must rest on stable (concrete) floor minimum with 10 mm.

All dimensions for positioning floor boxes are based on an isocenter height of 1295 mm +/-20 mm (finished floor line – isocenter).

The exact value depends on the linac type. Please refer to the respective documentation. Ifthe vertical isocenter position is not within the tolerance range, please contact Brainlab.



4.1.3 Installation of 12“ X-Ray Floor Boxes

Installation Top View

25mmmaximum

45°1240 +/-10mm

877+

/-7m

m

877+/-7mm

Ideal position for 12" Floor Box

Linac Baseframe

Worst Case position for 12" Floor Box

Figure 13 NOTE: Worst case position: Due to an incorrect recess set up, the floor box must be rotated withinthe recess to the correct position. Rotation within the recess is very limited. The maximal deviationof the line “floor box tip to midpoint rear wall of box” at the isocenter is 25 mm.

The determining measurement is the exact distance between isocenter and floor box tip at45°.

Installation Steps

Steps

1 Ensure that all the openings are sealed (taped) before pouring concrete. Concreteshould not seep into the boxes.

2 Place the floor boxes into the recesses.

finished floor

330m

m

305m

m

FLOOR BOXES


Steps

The 12” ET floor box is heavy (approximately 40 kg). Adhere to yourspecific health and safety procedures.

Use the hooks to lift the box. Never use the angle frame.

3

Use the adjustment screws ① to levelthe floor box into the correct horizontalposition and to set the height of the floorbox within the recess.Screw the floor box to the floor at the fix-ation hole ② and if necessary to thewalls.Leave the plastic bags with the screws(for Sapphire tube housing) and thesealing tape in the box. The screws willbe needed during installation.NOTE: Small metal sheets can beplaced below the box to avoid that theadjustment screws screw in the con-crete. The metal sheets can be found in-side the box.

②

①

4 After adjustment, the metal rim shouldbe flush with the finished floor.

finished floormetal rim concrete

5

Place the wooden cover plate ① and thewooden insert ② onto the box.NOTE: Leave the aluminum window in-sert ③ attached to the wooden cover asit will be needed during installation. Thealuminum window insert is delivered inbubble wrap.

③

①

②

You must fasten the wooden cover into place with screws.



Steps

6

Place first one half and then the secondhalf of the cardboard protection cover ontop of the wooden cover. Slide theedges under the metal rim ①.

①

7 Use duct tape to connect the two halvesof the protection cover.

8Pour quick drying concrete into the gaparound the floor box up to the finishedfloor.

finished floor

330m

m

> 10mmfilled up with concrete

At least 10 mm of the rim of the aluminum cover must rest on stable(concrete) floor.

The ET floor box must be fixed to the pit with anchors (not suppliedby Brainlab) and be set in concrete.

Use mineral material only. Do not use chemical filling.

FLOOR BOXES


4.1.4 Customized Cable Outlet

General Information

It may be necessary (e.g., for updates) to widen the cable outlet on the 12” Floor Boxes.The following image shows the allowed area for customizing the cable outlet in the rear wall of thefloor boxes.

480

185

480

185



4.2 On Floor Boxes (Optional)4.2.1 Overview

General Information

The on floor boxes are an optional system setup that can be used in case there are constructionalor structural limitations that prevent the installation of the standard 12” floor boxes.

①

②

Figure 14

① A typical treatment room setup for on floor boxes.②On floor box with a warning ramp and cable raceway.

FLOOR BOXES


4.2.2 External Dimensions of the On Floor Boxes

Side View

306m

m

Figure 15

Top View

902m

m

840mm

Figure 16

On Floor Boxes (Optional)


4.2.3 Recommended Position of Above-Ground Floor Boxes

Recommended Position Relative to the Isocenter

• Mark the 45° lines and the distance of the leading edge of the tube holder (1215 mm) on thefloor for both above ground floor boxes. These markings will be used during installation.

• Aluminum raceways (cable conduits) are available in multiple 1.5 m pieces. Please contactBrainlab if you require a total length of 9, 12 or 15m of raceway.

45°

Cable conduit*65x30mm(to X-Ray

Generator)

Cable conduit*65x30mm(to X-Ray

Generator)

1050±100

905

840

1250±100 1215

*Aluminium raceway delivered and installed by Brainlab

Figure 17 *The raceways will be delivered and installed by Brainlab.

All dimensions for positioning floor boxes are based on isocenter height of 1295 ± 20 mm(finished floor line – isocenter). The exact value depends on the linac Type. Please refer tothe respective documentation. If the vertical isocenter position is not within the tolerancerange, please contact Brainlab.

FLOOR BOXES


On Floor Boxes (Optional)


5 CEILING AND WALLMOUNTS

5.1 Introduction

General Information

Brainlab provides all hardware parts, except bolts for the concrete ceiling, as local conditions andbuilding construction varies. The hospital or contractor is responsible for:• Installing all ceiling and wall mounts according to local work safety regulations.• Providing appropriate fixation with bolts and anchors according to local regulations.• Assuring correct installation by signing a compliance statement during the acceptance

procedure. Ideally, the statement of compliance should be signed before starting installation.

Maximum Working Height

If you need to stand higher than 2 m above the floor, use a scaffold.

2000 30

00 3100

Max. working heightwithout scaffold

Max. height forETX interface plate andin-room distribution box

Figure 18

Types of Ceiling Mounts

List of ExacTrac ceiling mounts:• Ceiling frame for touch screen monitor (optional)• Two flat panel ceiling mounts• One in-room distribution box

If immobile objects are in the way of the mounting positions, you may provide interfacesfor the Brainlab equipment (see page 57).

CEILING AND WALL MOUNTS


Height Limitations

Recommended maximal ceiling heights (not meant to scale):

2.2a 2.2b

1.1

2.3b

0.1

0.0

2.1b2.1a

2.3a

1.2

suspended ceiling

concrete ceiling

BL CameraVMS Camera

~100

mm

min

. 150

mm

(low

er e

dge

inte

rface

pl

ate)

max

. 425

0mm

max

. 310

0mmm

ax. 5

270m

m

min

. 190

0mm

min

. 200

0mm

(if c

lear

ance

of c

eilin

g-m

ount

ed m

onito

r arm

is 2

100m

m)

Figure 19

ExacTrac requires the same minimum ceiling height as the linac gantry. If the height of theconcrete ceiling is lower than the minimum height required for the linac gantry, contactBrainlab support.

Special Height Requirements

For concrete ceilings higher than the allowed maximum height, additional construction is requiredto maintain the following maximum mounting heights (measured from the finished floor):

Component Maximum Height

Ceiling mount for monitor arm 4250 mm

Ceiling mount for flat panels 5270 mm

Component Minimum Height Maximum Height

Suspended ceiling 2700 mm 3100 mm

In case of closed mono block suspended ceilings, service openings to access ceilingmounts must be provided.

Suspended ceilings should be no higher than the recommended maximum height (3100mm), otherwise you must cover all visible parts of the ceiling mounts.

The minimum construction height (clearance between concrete ceiling and interface plate)of the ExacTrac ceiling mounts is 150 mm. If any parts of the ceiling mounts are visible dueto suspended ceiling setup, you are responsible for covering these.

Introduction


The minimum plenum height (clearance between concrete ceiling and suspended ceiling)of the in-room distribution box is 175 mm, although 240 mm are recommended for optimalservice access.



5.2 Ceiling Mount Installation5.2.1 How to Mount the Flat Panel Detector Systems

General Installation Information


Weight 50 kg

Factor of safety Four (construction must carry 200 kg)

Bolts required

Six (two for the ceiling bracket, four for support cables)Use the 17 mm hole to attach the angle to the ceiling.

60mm

150m

m

Ø18mm

100m

m

15m

m

Ø17mm50m

m

88mm

Ceiling Bracket Rope Ceiling Angle

Mounting accuracy for InfraredCamera System

The interface plate has the same orientation as the verticalprofile bar is. The slots are perpendicular to the center line.

Mounting accuracy for Flat PanelDetector System

If there are pipes, HVAC, med gas, or other fixed objects ob-structing the mounting position, the ExacTrac ceiling mountmay not be moved closer to isocenter, but can be adjusted ata maximum of 30 mm further away from isocenter.Furthermore the brackets (ceiling plate) may be rotated for90°. Otherwise, items that impede the installation of the flatpanel ceiling brackets must be re-routed or moved.The Interface Plate must be attached to the profile at a 45°angle. The slots of the plate are perpendicular to the line to-wards the isocenter.

Ceiling Mount Installation


Ceiling Bracket Positioning

The following image shows a top view of how ceiling brackets should be positioned for cameraand flat panel suspension:

Flat PanelCeilingBrackets

X-Ray TubeFloor Box

CameraCeilingBrackets

C

B

A

C

Isocenter

Figure 20 • A = n/a• B = 850 mm• C = 600 mm

NOTE:• All measurements are taken from the isocenter.• Define a mounting spot on the floor first.• Use a plumb bob or laser pointer to project the dimensions to the concrete ceiling.• Varian defines the distance between the isocenter and the Varian camera mount.



5.2.2 How to Mount the Ceiling Interface Plate

Standard Installation

The following image shows correct rope fixation of the upper interface plate to the ceiling mount:

Figure 21

Incorrect Rope Fixation to the Upper Interface Plate

The following image shows incorrect rope fixation of the upper interface plate to the ceiling mount:

Figure 22



Do not use asymmetric ring patterns.

Ceiling Mount Configurations

The following image shows a side view of the ceiling mount dimensions for flat panels:

concrete ceiling

suspended ceiling

l1l2

a

x=va

riabl

e

y=150 mm

<45°

①

Figure 23

The clearance of y = 150 mm between the lower edge of the interface plate of the ExacTracceiling mount ① and the upper edge of the suspended ceiling must be reserved for theinstallation and adjustment of Brainlab devices.

The maximum distance between the interface plate and isocenter must not exceed 1950mm. For an isocenter height of 1245 mm, the maximum height of the interface plate abovethe finished floor is 3245 mm.

Rope Tighteners

Use rope tighteners to apply proper tension to the ropes if vertical bars (l > 80 mm) are used forceiling mount installation.

Figure 24 Ceiling mount configurations depending on the distance between the concrete ceiling and thesuspended ceiling:

Config-uration

a I1 I2 I = I1 + I2 Bars Ropes Rope Ceil-ing Angles

XS < 220 mm 50 mm n/a 50 mm 1 2 2

S 220 - 250mm a - 170 mm n/a a - 170

mm 1 2 2



Config-uration

a I1 I2 I = I1 + I2 Bars Ropes Rope Ceil-ing Angles

M 250 - 450mm a - 170 mm n/a a - 170

mm 1 4 4

L 450 - 2170mm

(a - 170mm)/2

(a - 170mm)/2

a - 170mm 2 4 4

XL > 2170 mm 1000 mm 1000 mm 2000 mm 2 4 4

Installation Instructions for Different Configurations

Configura-tion

Instructions

XS and S

concrete ceiling

suspended ceiling

l1

150mm

20 Nm (4xM8)

a

• Only use the upper vertical bar.• Cut the bar as straight as possible.• Cut four M8 threads into the bar and mount the interface plate.• Tighten the screws with the specified torque.• It is possible to leave out the tension ropes. However, you must install ropes on

either side as additional mechanical protection.NOTE: Inform Brainlab if a is shorter than 150 mm because the constructioncould be visible.

Do not use rope tighteners or apply tension to the safety rope.

Fix the rope loop with at least three rope clamps.



Configura-tion

Instructions

M

concrete ceiling

suspended ceiling

l1

a

150m

m

<45°

z ≥ l + 140mm

20 Nm (4xM8)

• Only use the upper vertical bar.• Cut the bar as straight as possible.• Cut four M8 threads into the bar and mount the interface plate.• Tighten the screws with the specified torque of 20 Nm.• Mount the rope ceiling angles according to the drawing.

NOTE: The angle between the rope tightener and ceiling can be smaller than 45°if necessary (e.g., angle brackets further away from the ceiling bracket).


Fix the rope tighteners only after applying the proper tension.



Configura-tion

Instructions

L and XL

concrete ceiling

suspended ceiling

l1

a

150m

m

<45°

z = l + 140mm

20 Nm (4xM8)

l2

<195

0mm

Isocenter

• Use both vertical bars.• Mount the ceiling angles according to the drawing.• Assemble the bars’ four connection plates. Fix each connection plate with four

tight screws.• Tighten the screws with the specified torque of 20 Nm.• L only: Cut each vertical profile bar accordingly at the half-length distance be-

tween the interface plate and concrete ceiling.


Fix the rope tighteners only after applying proper tension.



Requirements for Custom-Made Ceiling Mount

If it is impossible to install the ceiling mount at the required position, you can provide an interfaceplate and a custom-made ceiling mount according to the following requirements:

50m

m

Ceiling

= space for mounting screws- must be easy reachable

120m

m

170mm

10,5

mm

8mm Custom made ceiling plate

~60m

m

~220mm

Custom made ceiling plate

Figure 25

You are responsible for adhering to safety factors, local regulations and mounting thecustom made interface plate and custom-made ceiling mount.



5.3 Ceiling-Mounted Touch Screen Monitor (Optional)5.3.1 Overview

General Installation Information

A 17” touch screen monitor is mounted to the ceiling to the left or right of the couch area (seeimage below). The area of movement is given by the maximum arm extension of 1910 mm. Therotation can be limited by a stopper.

Figure 26


Weight 99 kg

Safety factor Must be defined according to the local safety requirements byyour hospital’s stress analyst in written form.

Bolts You must supply four bolts for ceiling fixation, according to localregulations.

LocationNone of the in-room components men-tioned above may be located within thelinac’s primary beam.

Power supply/Data connection

Located in an in-room distribution box

Clearance height

The distance between the spring arm and finished floor must bebetween 2.0 m and 2.2 m.A clearance between 2.1 m and 2.2 m requires consultation andcustomer agreement.

NOTE: If you did not order the ceiling-mounted version, you will receive the wall mount for thetouch screen monitor by default.

Ceiling-Mounted Touch Screen Monitor (Optional)


Ceiling Mount Dimensions and Weight

The following image shows the dimensions and weight for the ceiling arm in a setup for aminimum clearance of 2.0 m:

4150

mm

3315

mm

2000

mm

285m

m1842mm

70mm

Ceiling Plate

Interface Plate

890mm

22 kg67 kg 10 kg

Vertical parts weight

Arm weight

Attachedweight

Figure 27 NOTE: The ceiling plate and upper tubes between the ceiling plate and interface plate are onlyapplicable for a concrete ceiling height > 3400 mm.



Dimensions of the Upper Ceiling Plate (Red)

460m

m

523mm

50mm22

mm

Ø230mm

Ø47

0mm

M16(6x)90°

6x60°

holes (4x) for fixationof plate to the ceiling

holes (6x) for threadedrods to interface plate

t=15mm

Figure 28

Dimensions of the Lower Ceiling Plate (Black)

Ø230mm

Ø270mm

6x60° 0.5

M16(6x)

Ø520

holes (6x) for threadedrods to ceiling plate

holes (6x) for threadedrods Brainlab(installation of lower part)

t=15mm

Figure 29



Mounting Height of the Interface Plate

The installed height of the interface plate (black) is the determining factor for ensuring a clearanceheight of 2000 mm for the spring arm.

Concrete CeilingHeight

Interface PlateHeight

Vertical TubeType

Comments

< 2.45 m Attach directly to theceiling. 300 mm

The clearance height is below 1.9m. Therefore, the vertical tubemust be cut to 300 mm.

2.45 m – 2.75 m Attach directly to theceiling. 300 - 500 mm The vertical tube must be cut ac-

cordingly.

2.75 m – 3.1 m Attach directly to theceiling. 500 mm n/a

3.1 m – 3.4 m Attach directly to theceiling. 800 mm n/a

3.4 m – 4.15 m 3.315 m ± 10 mm 800 mm

Cut the tubes and threaded boltsof the ceiling frame to match thismeasurement. Cut the threadedbolts 100 mm longer than thetubes.

4.15 m – 4.25 m > 3.32 m 800 mm Clearance height = 2.0 – 2.1 m

> 4.25 m 3.315 m ± 10 mm 800 mm

An additional custom made con-struction is necessary to fulfill therequired interface plate height orclearance height > 2.1 m. Consultwith Brainlab on possible solu-tions.

Recommended Position of the Ceiling Mounted Monitor

• Brainlab recommends positioning the ceiling-mounted monitor at a longitudinal distance of1800+500 mm and a lateral distance of 1250+500 mm from the isocenter. The position dependson other existing ceiling-mounted objects.

• Brainlab recommends positioning the ceiling-mounted monitor on the side of the couch that isopposite to the bunker entry.

• Risk of collision with gantry is still possible but not critical, as the spring arm will give way.Nevertheless, the longitudinal distance should not drop below 1.5 m.

• The monitor will reach the primary beam area. Therefore, instruct your staff to park the monitorin a safe position.

• Adjust the maximum distance between the black interface plate (at height of suspended ceiling)and the ceiling-mounted distribution box to the available cable length of 4 m between the twodevices.

• The horizontal arm must not collide with the camera. To avoid collision, do not simultaneouslyinstall the arm at the same height as the camera and closer than 1250 mm to the isocenter.



The following image shows the recommended position of the ceiling mounted monitor:

alternativePosition

1250mm

1800

mm

R max=1910mm

R min=

890mm

R= 1170mm

Figure 30



5.3.2 Ceiling Frame Installation

General Information

A ceiling frame is only necessary for concrete ceilings > 3.4 m.

The ceiling and intallation plates must be installed by experts in drilling and sawingconcrete. You are responsible for selecting fasteners in accordance with the “load factor”tables (Ondal installation manual) and the safe execution of the fastening work.

Contents of the Installation Package

①②

• 1 ceiling plate (①, 26 kg)• 3 threaded bolts: M16 x 900• 3 tubes: outer Ø = 48 mm, length = 800 mm• 6 fixing disks• 6 spring washers• 6 hexagon nuts: M16• Washers• 1 interface plate (②)

How to Install the Ceiling Frame

Steps

1.

Install the ceiling plate (or the interfaceplate for low ceiling heights) to the con-crete ceiling.• Drill four holes using the drill pattern of

the plate (e.g., made of package mate-rial).

• Use four heavy-load anchors.• Secure the plate using four fasteners

defined by your hospital’s stress ana-lyst.

• Tighten fasteners according to theirspecifications.

2.

Calculate the length of the tubes andthreaded bolts (+100 mm longer) and cutto size in accordance with plane-paralleland angular requirements.

3.

Screw the hexagon nut approximately 25mm onto the threaded bolt and install thespring washer, then screw on the upperfixing disk.

Screw the threaded bolts in completely, otherwise the ceiling armcan fall down.



Steps

5.Slide the tube onto the bolt and screw thelower fixing disk onto the tube all the wayto the stop.

Do not allow anyone to stand underneath the tubes during installa-tion before the interface plate is installed, as the lower fixing disk

does not fix the tube safely.

7.

Secure the interface plate to the ceilingplate using the washer, spring washerand hexagon nut. Tighten the hexagonnuts to a torque of 100 Nm. Use a size 24torque wrench.For more detailed installation descrip-tions, refer to the included installationmanual delivered with the package.



5.4 Wall-Mounted Touch Screen Monitor (Standard)

Dimensions

292

483

reco

mm

ende

d in

stal

latio

n he

ight

: 150

0

ground floor

Figure 31

How to Attach a Wall Mounted Touch Screen Monitor to a Drywall

Steps

1.Use anchors and screws (4x) appropriatefor your wall (e.g., drywall anchors andscrews for drywalls).

19"/48.5 cm



Steps

2. Attach the 100 mm VESA adapter plate tothe arm.

3. Close the cable channel with the suppliedcovers (cut to fit).

If you do not order the ceiling arm, the wall mount is delivered by default.

Mount the wall mount for monitor to solid walls.

Wall-Mounted Touch Screen Monitor (Standard)


5.5 Ceiling Mounted In-Room Distribution Box

General Information

572mm

Drilling pattern In Room Distribution BoxBoreholes 6mm27

2mm

Box

Top Cover

Service Area

70m

m

Figure 32 The following tables provides information on the drilling pattern and required space for service forthe in-room distribution box:


Dimensions 600 x 300 x 170 mm (length x width x depth)

Weight 8 kg (fully equipped)

Safety Factor Four (refer to local regulations)

Material Fire Resistance UL94 V-2

Fire Protection Measures According to local regulations

Bolts You must supply four bolts for ceiling fixation,according to local regulations.

Location

The in-room distribution box (1.3) should be in-stalled so that the cable outlet (edge of thebox) is:• Maximum 4 m away from the black interface

plate of the celling mounted monitor arm(1.2) or

• Maximum 7 m away from the wall mount ofthe wall mounted monitor arm (1.2).

• Maximum 4.5 m away from the external blue-tooth module (3.2).

If cables cannot be routed directly, plan the dis-tance between the two related devices respec-tively shorter.




Do not place the in-room distribution box in the linac’s primarybeam.

To prevent injury during installation and service, do not place the in-room distribution box directly above the linac stand.

Ceiling Mounted In-Room Distribution Box


6 CONTROL ROOM6.1 Control Room Distribution Box

General Information

422mm

272m

m Drilling patternControl RoomDistribution BoxBoreholes 6mm

Box

Top Cover

Service Area

70m

m

Figure 33 The following table provides information on the drilling pattern and required service space for thecontrol room distribution box:


Dimensions 450 x 300 x 170mm (length x width x height)

Weight 6 kg (fully equipped)

CONTROL ROOM



Safety Factor According to local regulations

Material Fire Resistance UL94 V-2

Fire Protection Measures According to local regulations

Bolts You must supply four bolts for wall fixation, ac-cording to local regulations.

Location

The control room distribution box should beclose to the console control unit (e.g., underthe desk). The cable length from power box tothe workspace is 5 m maximum.

Control Room Distribution Box


6.2 Control Room Workspace

General Information

Figure 34


EquipmentKeyboard, mouse, 19” flat-screen monitor, Ex-acTrac Console (for system power, X-ray expo-sure, and remote motion enable).

Location

It is highly recommended for the ExacTracworkspace and the linac workspace to be asclose as possible to the control room area. Thisallows smoother integration of workflows forthe operators.

Required Space Approximately 700 mm as pictured above.

Power Supply/Data Connections

Located in the control room distribution box.

CONTROL ROOM


Control Room Workspace


7 ELECTRICALREQUIREMENTS

7.1 X-Ray Generator

General Information

The dual generator contains two single generator high-power supplies, which remain in low powerconsumption during standby. During exposure, only one high power supply is active. Themaximum power consumption of a dual generator is the same as a single generator with theadvantage of a rapid and automatic tube switchover.Power consumption is high when ExacTrac kV imaging runs simultaneously with MV delivery.Therefore, ensure the 2 systems are on separate circuit breakers.

HFe 601 Generator: Dual Configuration


Maximum output rating(for user) 65 kW

Input Voltage

The HFe generator without pre-transformer can be directly connected to:• 400 V AC star (3 phases + neutral)

A TN star network provides all five required lines (L1, L2, L3, N, PE) that must be connected(400 V phase to phase and 230 V neutral to phase). Minimal requirement: Star network (3phases + neutral). PE has to be connected separately from the generator PE bar to a localgrounding point in this case.Brainlab provides two pre-transformers if a TN network is present, but the voltage differsfrom 400 V:• 208 V AC star TN• 420 V/440 V/480 V AC star TN

Brainlab provides one pre-transformer for a special delta power network:• 208 V AC delta (mainly for Japan)

You must specify the provided nominal voltage and grid type (star or delta).If none of the provided pre-transformers is appropriate, you are responsible for providing thestar 400 V network.

Connection 5 lines, three phases, neutral (N), ground PE max. 35 mm2. Fine wire and cable end sleevesrecommended.

Mains fuses in buildinginstallation

Mains supply: 400 V; 420 V/440 V/480 V; 208 VSlow blow fuse (A): 50 A; 50 A; 100A

Frequency 50 Hz/60 Hz ± 1 Hz

Maximum line regulation + 5%, - 10% @ 400 V

Maximum allowablemains resistance perphase

0.2 Ω

ELECTRICAL REQUIREMENTS



Power consumptionStandby: 0.15 kVANominal power consumption (for power provider): 35 kVAExposure (max): 75 kVA

Power factor cos φ (forpower provider) 0.9

Input current at full out-put rating per phase for0.2 sec

112 A @ 400 V

X-Ray Generator


7.2 Computer Cabinet Power Supply

Cable Connections

You must provide mains connection to the computer cabinet (L1, N, PE). Use a cable diameteraccording to the estimated maximum nominal input current, IN as defined in the table below.Connect the isolation transformer unit (inside the computer cabinet) via cable clamps. Inputclamps accept cable wiring cross section from 2.5 mm2/14AWG to 16 mm2/6AWG. No cable endsleeves are required. The cable should reach to the bottom of the computer cabinet plus 3 m forslack.Brainlab requires overvoltage category II according to IEC 60664-1.

Supported Input Voltage UN Max. input current IN Recommended WireCross-Section

100, 110, 115, 120 V(each ± 5%) 60 Hz 30 - 32 A ≥ 10mm² (7AWG)

200, 220, 230, 240 V(each ± 5%) 50 Hz 13 - 16 A ≥ 2.5mm2 (14AWG)

Constant power consumption: approximately 500 W.

The protective earth potential of the PE conductor derived from the mains power inputmust carry the same PE potential as the linac to avoid potential equalization currentsbetween the linac and ExacTrac® System.

Computer Cabinet Power Input Main Switch

For service and maintenance of the ExacTrac system (computer cabinet), a power input mainswitch with two switching contacts for the simultaneous interruption of both lines (L & N) ismandatory. The contact opening gap must be at least 3 mm. Major load on mains is the ExacTracisolation transformer unit. The main switch should be able to manage high inrush currents whenpower is on, as it is required for intended inductive loads (e.g., transformers and electro motors).This switch is not provided by Brainlab.Maximum inrush current is 8 x IN.

Fusing: You must protect the mains input of the ExacTrac System (computer cabinet) withadequate fusing according to mains power input ratings (IN/UN) and the above-mentionedspecs.Labeling switches:System power switches must be labeled correctly to distinguish between systems such as:• Brainlab ExacTrac computer cabinet,• Brainlab ExacTrac x-ray generators,• Linac, etc.



Computer Cabinet Power Input Lightning Arrester

For additional surge/rush current protection, a lightning arrester CB (e.g., IEC 61643-1 class II) asshown below must be installed within the mains input power line (usually within the main roomdistribution box), if not already provided by your hospital’s main power supply.

Figure 35

Computer Cabinet Power Supply


7.3 System Mains Power & Protective Earth Cabling

General Information

The mains power/protective earth (PE) cabling material within the ExacTrac system (supplied byBrainlab) complies with worldwide harmonized certification “HAR” and dedicated certifications forthe North American/Canadian market.In cases where the provided certifications are not sufficient for installation (e.g., regionalregulatory or local installation aspects), the customer is responsible for providing adequate cablingmaterial. In this case, refer to the table below for the necessary technical specifications ofBrainlab’s cable material:NOTE: Not all Brainlab provided cables material is plenum rated.

NOTE: Label the ExacTrac phase input uniquely to avoid misinterpretation among products.

Description Mandatory specs General Specs Approvals

Mains power cable(60 m)

• 3 x 2.5 mm2 (3 x 14AWG)• Cable Ø range min- max: 4 -

10 mm• UN > 250VAC

• Conductor colors: Black/white, overprint; green/yellow

• Cable sheath color: Gray• Cable Ø: 9.6 mm• Utest = 3000VAC

• H05VV5-F HAR, HD21.13• CSA-AWM I A/B II A/B

Protective Earth (PE)cable (70 m)

• 1 x 16 mm2 (1x 6AWG)• Cable Ø range min-max: 4

-10 mm• UN > 250VAC

• Conductor color:• Green/yellow• Cable Ø: 8.9 mm• Utest = 3000VAC

• UL Style 1063 MTW, UL rec.• AWM-Style 1015• CSA: TEW• (VDE 0281/HD 21)

Protective Earth (PE)cable (50 m)

• 1 x 2.5 mm2 (1x 14AWG)• Cable Ø range min-max: 3.5

-10 mm• UN > 250VAC

• Conductor color:• Green/yellow• Cable Ø: 3.7 mm• Utest = 3000VAC

• UL Style 1063 MTW, UL rec.• AWM-Style 1015• CSA: TEW• HAR: H07V-K, X07V-K• (VDE 0281/HD 21)

Cabling Plan

You must install mains power and PE cables between the computer cabinet and power distributionboxes, as well as PE cables between each system component to the PE bar (grounding spot)according to table 1 ExacTrac cables (beside cables for system interlocks).

Cable # Cable Type Destination Start Destination End Wire Cross-Section

Cable Øwith Copper

32 Mains power Computer cabinet (1.0) In-room distributionbox (1.3)

3 x 2.5 mm²(14AWG) 9.6 mm

33 Mains power Computer cabinet (1.0) Control room distri-bution box (1.5)

3 x 2.5 mm²(14AWG) 9.6 mm

35 PE Computer cabinet (1.0) In-room distributionbox (1.3)

16 mm2

(6AWG)8.9 mm

36 PE Computer cabinet (1.0) Control room distri-bution box (1.5)

16 mm2

(6AWG)8.9 mm

34 PE Computer cabinet (1.0) PE bar (treatmentroom)

16 mm2

(6AWG)8.9 mm

- PEIn-room distribution box (1.5)see comment 2 (Figure 36)

PE bar (treatmentroom)

16 mm2

(6AWG)8.9 mm



Cable # Cable Type Destination Start Destination End Wire Cross-Section

Cable Øwith Copper

37 PE X-ray generator 1 (2.0a) PE bar (treatmentroom)

16 mm2

(6AWG)8.9 mm

42/43 PE Flat panel ceiling fixations (2.3a/2.3b)

In-room distributionbox (1.3)

2.5 mm²(14AWG) 3.5 mm

41 PE Touch screen ceiling/wall fixation(1.2)


2.5 mm²(14AWG) 3.5 mm

40 PE Camera system ceiling fixation(1.1)


2.5 mm²(14AWG) 3.5 mm

Refer to Figure 1.

You are responsible for permissibility of the installation at site with respect to applicablelocal or regional standards. This might affect the choice of cable routes, specifications ofmains power and data cables, connection to protective earth and the choice of installationlocations of system components. Fire protection engineering aspects (plenum rating) maybe affected when installing cables and system components.

NOTE: Pull the cable length with sufficient slack to reach the final components. Provide 300 mmslack within both power distribution boxes.

NOTE: If the generator(s) are located in a room other than the treatment room, both rooms mustbe brought to the same potential.

NOTE: If the Computer Cabinet is not located in the treatment room and its housing shall begrounded locally, the potential difference between the local PE and treatment room PE must notexceed 24V AC or 60V DC (see comment 1 in Figure 36).

NOTE: Correct PE grounding of the linac and couch is presumed. PE grounding is usually definedwith the linac electrical cabling diagrams or was defined by a hospital electrician.

System Mains Power & Protective Earth Cabling


Mains Power and Protective Earth Grounding

In-r

oom

dat

a/po

wer

dist

ribut

ion

box

In-r

oom

mon

itor

Con

trol-r

oom

dat

a /

pow

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butio

n bo

x

Cam

era

Sys

tem

Con

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room

mon

itor

IRca

mer

aVi

deo

cam

era

Flat

Pan

el a

Flat

Pan

el b

Lina

cC

ouch

2.0b

1.2

1.4

2.3a

1.1

2.3b

1.5

1.3

0.1

0.0

PE

Bar

PO

WE

RD

istr.

PE

Bar

PO

WE

RD

istr.

Con

trol

Roo

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Bar

PE

Bar

Floo

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2.1b

2.1a

Floo

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Isol

atio

n B

arrie

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line

16m

m²

PE li

ne³

2.5m

m²

PE li

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nal

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:

optio

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PE-b

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to in

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1 2 3

Mai

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pha

se

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ET P

ower

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ET c

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nent

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and

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(LIN

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ot s

cope

of E

xacT

rac

X-R

ayG

ener

ator

2.0a PE

Bar

Pre-Transformer

Power

ET G

ener

ator

400

Vin

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Syst

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Figure 36



System Mains Power & Protective Earth Cabling


8 SYSTEM INTERLOCKSAND STATUS SIGNALS

8.1 Overview

General Information

The following table lists which interlocks are considered optional or mandatory for ExacTracVarian TrueBeam linacs, depending on the robotics configuration. Warning lights are considered astatus signal. Detailed descriptions can be found in subsequent chapters.NOTE: For installations in France, the French Nuclear Authority requires an additional indicatorlight to show that the generator is powered.

Linac 3rd PartyInterface Available (1)

RoboticsVersion

EmergencyStop

EmergencyOFF (2)

CollisionDetect

Motion Ena-ble by Linac

Door WarningLight

yes

Robotics 2

Linac EXT Linac Linac

EXT(provid-ed byyourhospital)

EXT(providedby Brainlabor yourhospital)

Robotics 1

No Robot-ics

Information for Japan Only: Man. Opt. Opt. Man. Opt. Opt.

Table Explanations

• EXT=EXTERNAL: You are responsible for building installation. For specifications seesubsequent chapters marked with “EXT”.

• Linac: Signals and interlocks are available directly from a linac interface. For specifications seesubsequent chapters marked with “Linac”.

• Man.: Mandatory.• Opt.: Optional.• (1) Linac 3rd Party Interface:

Some linacs (depending on the model and age) offer a 3rd party interface that ExacTrac can useto read, and sometimes to write status signals and interlocks.For Varian TrueBeam linacs:• For all TrueBeams v.≥ 1.5, the TrueBeam 3rd party motion interface is available.

NOTE: The Varian 3rd party motion interface is called “Interface Board”. The interface cable 8a toBrainlab ExacTrac (1.0) is connected to plug’J15’ and Varian cable ‘5W88’ inside the linac (0.0).

• (2) ExacTrac EMO definitions (Emergency-Off versus Emergency-Stop)The ExacTrac system can be installed in different Emergency-Off configurations, depending onlocal regulatory requirements and the purchased product features (system configuration).Usually, the signal is generally called “Emergency-Off” or “EMO”. When differing betweenemergency OFF and STOP, the ExacTrac computer cabinet only provides and requires theEmergency-STOP functionality, see page 82.

SYSTEM INTERLOCKS AND STATUS SIGNALS


8.2 Emergency STOP Interlock8.2.1 General Information

If a total system shut down (‘system power emergency OFF’) is desired or required by localregulations, an external circuit must be installed in addition to the mandatory emergency STOPcircuit at the mains of the ExacTrac computer cabinet (1.0) and generator cabinet (2.0). For moreinformation, see the following sections.

Emergency STOP either via the External interlock input (building installation) or from linacinterface is mandatory. The emergency OFF circuit via system power only is not sufficient.

Effects of Emergency STOP (EMO Outputs)

The ExacTrac emergency STOP prevents hazards that could occur from risks arising from theintended operational states. The following table shows the effect that hitting the EMO button hason ExacTrac:

Intended Operation Risk Hazard Effect of pressingthe EMO button

Patient movement byExacTrac controlled li-nac couch.

ExacTrac operatordoes not recognize amechanical collisionduring movement.

Patient gets trappedby moving parts.

ExacTrac stops couchmovement immediate-ly.

Patient movement byExacTrac controlledRobotics couch top.

ExacTrac operatordoes not recognize amechanical collisionduring movement.

Patient gets trappedby moving parts.

ExacTrac stops couchmovement immediate-ly.

X-ray exposure for pa-tient localization.

ExacTrac operatordoes not notice thereare people in treat-ment room.

Unwanted X-ray expo-sure to additional peo-ple in the treatmentroom.

ExacTrac immediatelyinhibits dual generatorexposure.

NOTE: The ExacTrac computer cabinet and workstations, as well as devices with extra lowvoltage remain powered in case of an emergency STOP. The X-ray generators enter stand-bymode.

Sources that Assert ExacTrac EMO (EMO Inputs)

All operational risks in one room installation should be cut-off by the same emergency Off buttonchain. Therefore, ExacTrac 6 does not provide a separate button or a direct user interface foremergency OFF. Instead, ExacTrac contains an interface to connect to different centralizedemergency OFF circuits.Check the table on page 81 whether your linac provides the 3rd party motion interface (“Linac”). Inthis case no building installation is required. Brainlab Service will connect the ExacTrac system tothe centralized emergency OFF circuits in the treatment room.Otherwise, provide the interface to the building installation as specified below.

Emergency STOP Interlock


8.2.2 Varian Emergency STOP Interlock

Specifications

Intended use is to connect the ExacTrac system directly to the linac emergency OFF circuit if aVarian linac with 3rd party motion interface is present.


CablingBrainlab supplies a shielded 9pole SUB-D extension cable with max. 30 m(cable 8a) to connect between the linac stand and the ExacTrac cabinet(1.0).

Emergency OFF re-quirements

You are responsible to fulfill local regulatory requirements with the emer-gency OFF installation.The timing requirements for motion stop are met with this installation.

Interface on the Ex-acTrac system cab-inet

Signalization logicIn case of emergency OFF, the Varian linac de-energiz-es the signal within the cable, which is detected by theExacTrac system.

Interface on Exac-Trac system cabi-net

Connector type 9pol SUBD standard components

Galvanic separa-tion

The Varian ILK interface on Brainlab’s side is separat-ed according to IEC 60601-1 for S.F.C: 250V AC (elec-trical safety of medical devices)

Example Circuit for ExacTrac Connection to TrueBeam Linac

Exactrac cabinet Truebeam LINAC

ET Electronics Rack

ET ILK Insert

InterfaceConnector

"J15"(SUBD9)Cable

8a

VAR

IAN

ILK

Con

nect

or

EMO+ MEL_HW

ETAdapter

Figure 37



8.3 System Power Emergency OFF - ETX8.3.1 Introduction

A system power emergency OFF can additionally be installed, if local authorities requestExacTrac to completely shut the system down during an "emergency OFF". In this case, theExacTrac system will immediately power down whenever an emergency button is pushed.

It is mandatory to install one of the two emergency STOP options listed above in additionto the system power emergency OFF circuit.The system power emergency OFF ensures that in the case of an emergency OFF not onlymotion and X-ray related risks are stopped, but also that the system is completely separated fromthe mains voltage.The entire power supply of the ExacTrac System (computer cabinet (1.0) and X-ray generatorcabinet (2.0a)) shall be connected to the emergency OFF circuit. In this way, the ExacTracsystem will be immediately powered down whenever an emergency button is pushed.You or your contractor will be responsible for designing and providing the system poweremergency OFF circuit and buttons.The following image shows an example circuit for system power emergency OFF interlock:

1-phase - mains power supply rails - 3-phase Building Installation

Emergency off circuit

ExacTrac Cabinet

X-Ray Generator X-Ray GeneratorCabinet 1 (master) Cabinet 2 (slave)

Figure 38

System Power Emergency OFF - ETX


8.3.2 Collision Detect Interlock and Motion Enable

General Information

For Varian Truebeam linacs, ExacTrac receives the motion enable signal from the TrueBeamthrough cable 8a (see Figure 37).NOTE: If a collision is detected by the linac, the motion enable signal will not be activated with theVarian logic. In this case, collision detect is indirectly recognized by ExacTrac and not read as aseparate signal.

NOTE: The same cable provides the emergency OFF signal from the linac and the emergencySTOP signal from ExacTrac (see page 83).



8.4 ExacTrac Warning Lights

The ExacTrac Warning Light Signal

The ExacTrac warning lights warn the user with flashing light that X-ray exposure is enabled bythe ExacTracsoftware in specific steps of the positioning workflow (e.g., when X-ray exposure ispossible). Flashing warning lights indicate that X-rays can be emitted when you press the triggeror exposure button on ExacTrac’s X-ray console.

Responsibilites

The customer is responsible for:• Verifying if the X-ray warning light is compliant to local safety regulations prior to installation.• Deciding if the warning lights shall be installed or not and where they shall be located.• Installing the X-ray warning light cables and boxes.

Brainlab is responsible for connecting the warning lights to the ExacTrac system.

Alternatives

You can choose from the following alternatives:• Alternative A: Use the ExacTrac warning lights (contained in the pre-installation shipment).• Alternative B: Provide your own warning light installation for ExacTrac.

It is possible to combine alternative A + alternative B.

Alternative A: ExacTrac Warning Light

Two units of ExacTrac warning lights are included in the pre-installation kit.

Figure 39


Dimensions 135 mm x 170 mm x 100 mm (width x height x depth).

Weight Approximately 0.7 kg (fully equipped).

Safety Factor According to local regulations.

BoltsNumber of screws and plastic wall anchors for rigid walls: 4 (each).Fixation parts delivered with the warning lights.

ExacTrac Warning Lights



Cabling

Cable length: 2 x 30 m.The warning lights are electrically installed in parallel.The in-room warning light can be used as a distribution point for the control room warninglight.

Interface on ExacTracsystem cabinet ExacTrac DXR insert, connector "XR warning light" (if the dual generator is present).

Location

Warning light 1 The in-room warning light must be installed in the X-ray bunker withclear visibility for all users of the system.

Warning light 2The control room warning light must be installed in the control room,above the entrance to the bunker or any other place that is clearlyvisible.

Alternative B: Hospital Provided Warning Light - EXT


Safety Factor According to local regulations.

Cabling Integrate the warning light cabling into the building installation. You must at least provide a controlcable to connect to the ExacTrac computer cabinet (1.0).

Warning light re-quirements

You are responsible for fulfilling local regulatory requirements concerning the appearance of thewarning light.If the warning light is expected to be flashing, you must provide an electric circuit to generate peri-odic phases. The ExacTrac X-ray warning light output is a permanent signal during active status.

Interface on Exac-Trac system cabi-net

Signalization log-ic

The interface provides an isolated switch with two contacts that are closedstatic in case of activated warning.

Electric maxi-mum values

Current: 500 mA.Voltage 24 V AC/DC.

Pin outTerminal 1: Switch contact 1 (first upper position).Terminal 2: Switch contact 2.

Connector typePlugged screw terminals with strain relief for single wires.Phoenix contact, article number: MC 1.5/8-STF-3.81, for single wires 0.14 -1.5 mm2 = 28AWG - 16AWG.

Galvanic separa-tion

The EXT ILK interface on Brainlab’s side is separated according to IEC60601-1 for S.F.C: 250V AC (electric safety of medical devices).

Location recom-mendation for warn-ing lights

Warning light 1 The in-room warning light must be installed in the X-ray bunker so that it isclearly visible for all users of the system.

Warning light 2 The control room warning light must be installed in the control room, abovethe entrance to the bunker or any other place that is clearly visible.



Example Circuit X-Ray Warning Output to Building Installation

Exactrac cabinet Building Installation

External warning light circuitET Electronics Rack

ET ILK Insert

K(-)A(+)K(-)A(+)

MINUSPLUS

EMO Input

XR Warning Output

12V DC Output

DOOR InputE

XT

ILK

Con

nect

or

45

8

3

12

67

(internal switch, closedin case of x-ray active)

CNO

Figure 40

ExacTrac Warning Lights


9 NETWORKREQUIREMENTS

9.1 Introduction

General Information

All ExacTrac workstations shall be connected to the hospital network with a standard 100 Mb/sLAN connection. Please supply a network wall jack close to the computer cabinet. Brainlabprovides a 4 m long network cable.The following image shows a typical network setup for ExacTrac:

Hospital Network LINAC Network

Internet

Varian /ADI

LINAC

Hospital R&V System

Planning System

PC with VNC

I-Help Brainlab Support

ExacTrac Treatment Workstation

ExacTrac Prep & Review Workstation

DICOM Data e.g., CBCT

Patient Data Localized

Fusion Approval

Remote Access

Figure 41

NETWORK REQUIREMENTS


Network Connection

The network connection is required for:• Patient data import and export, depending on the setup even in real-time.• ADI connection to the linac (positioning, patient loading, treatment authorization, etc.

A stable, reliable and safe network environment/connection needs to be provided in orderto guarantee safe and effective use of the ExacTrac system.

Network Performance

• The network speed shall be minimum 10 Mbit/s (Brainlab recommends 1 Gbit/s).• The answering time shall be less than 100 ms.• The network shall be fully switched.

Brainlab requests an external firewall. Network security is your responsibility or the responsibilityof a respective responsible organization.

Virus Scanner

Brainlab recommends the use of a state of the art virus scanner. You or a responsible organizationis responsible for installation and maintenance and must consider Brainlab’s recommendations.For detailed information, refer to the Clinical User Guide.

Introduction


10 EXACTRAC ROBOTICS10.1 Robotics Installation Requirements10.1.1 General Information

• ExacTrac Robotics requires the Brainlab imaging couch top.• ExacTrac Robotics and Brainlab imaging couch top are about 0.1 m higher than the original

Varian Exact couch top.• Re-calibrate your Varian Exact couch after installing ExacTrac Robotics and Brainlab imaging

couch top due to this height difference. This service is provided by Varian and is included in theBrainlab article number, 24440-60: Couch Modification for Imaging Couch Top/Robotics.

• The total installation time including Varian service is approximately 2 days.• The 3rd party video cameras that monitor the linac bunker must always show a good side view

of the patient at any table angle.• ExacTrac Robotics will be permanently attached to the treatment couch pedestal.• ExacTrac Robotics are powered by batteries that need to be re-charged every night. You must

provide a power plug for the battery charger (country specific; protection class II, ungrounded)at a maximum distance of 6 m from the treatment couch (cable length: 1.5 m mains + 8 m DC).

EXACTRAC ROBOTICS


10.2 External Bluetooth Module

General Information

ExacTrac uses a Bluetooth connection for the data communication with Robotics, which containsan internal Bluetooth module. Additionally, an external Bluetooth module needs to be installed inthe treatment room. The following is a list of the external Bluetooth module specifications:• Weight: 0.5 kg.• Installation: Approximately 2.60 m behind the isocenter on the false ceiling or wall at a height of

about 2.70 m.• Do not place metal parts between the external Bluetooth module and the Bluetooth antenna

(receiving data) on the foot end of the ExacTrac Robotics.• The maximum distance from the external Bluetooth module to the foot end of the ExacTrac

Robotics should be 5 m.• The power supply of the external Bluetooth module will be installed in the “in-room distribution

box”. The cable length is 5 m. Please provide cable conduits.• The external bluetooth module will be connected to the ExacTrac computer cabinet using a 30

m cross over cable.• The external Bluetooth module is supplied with the main ExacTrac shipment and can be

installed by Brainlab support. The status LED must remain visible.• Dimensions (mm):

105

96 32

Figure 42

External Bluetooth Module


Position of the External Bluetooth Module in the Treatment Room

The following image shows the position of the Bluetooth module ① from two different views:

2600

① ①

Figure 43

EXACTRAC ROBOTICS


External Bluetooth Module


11 COMPLIANCES11.1 Statement of Compliance from Hospital/

Contractor

Compliance Form

STATEMENT OF COMPLIANCE FROM HOSPITAL/CONTRACTOR

___________________________________ (Hospital/Contractor Name)

(please print)

hereby confirms that (please mark the corresponding items with a “” as applicable):

the electrical facility installation is operational and in compliance with applicable safety stand-ards,

an appropriate number of ropes, rope clips and rope tighteners for the ceiling mounts wereused.

and that all of the following ceiling mounted equipment is installed according to the respectivelocal regulations and Brainlab pre-installation parameters as described in the ExacTrac SitePlanning Manual:

ceiling mount of the IR camera (n/a for Varian TrueBeamTM systems)

ceiling mounts of the flat panel detectors

upper part of the ceiling mounted monitor arm

control room distribution box

in-room distribution box

If any non-compliance exists, the hospital takes full responsibility for any possible related futureincidents.

___________________________________ ___________________________________

Hospital Representative/Contractor Date

Name

___________________________________ ___________________________________

Hospital Representative/Contractor Hospital Representative/Contractor

Stamp Signature

COMPLIANCES


11.2 Authorities

Sweden

The requirement from the Swedish authorities is that Brainlab must verify that the customer has avalid license from the authority (Strålsäkerhetsmyndigheten) complying with S-137 Tillstandsvilkor16.

Authorities


12 APPENDIX12.1 Pre-Installation Kit

General Information

Check shipment for its completeness.Store surplus material carefully and hand out to Brainlab Support during ExacTrac systeminstallation.

IR/XR Pre-Installation Kit

The following table provides a list of components included in the pre-installation kit IR/XR:

P/N Description Amount Image

49302B ET power installationkit 1

49367 ET infrared USBadapter 30 m 1

APPENDIX



49202-6 ET video cable 1

49025A

ET serial extension ca-bleThird cable only if youordered ExacTrac Ro-botics)

1(3)

49360A/-B ET ceiling mount 2

49351

ET ceiling arm fixation(optional)Only if you order ceil-ing mounted touchscreen monitor.

1

Pre-Installation Kit



49352

ET ceiling arm inter-face plate (optional)Only if you order ceil-ing mounted touchscreen monitor.

1

10900-92A

ET wall mount formonitor (default)Not included if you or-der ceiling mountedtouch screen monitor.

1

49341

ET touch VGA cable(default)Not included if you or-der ceiling mountedtouch screen monitor.

1

APPENDIX



49342

ET touch data cable(default)Not included if you or-der ceiling mountedtouch screen monitor.

1

49301-09

ET touch power cable(default)Not included if you or-der ceiling mountedtouch screen monitor.

1

49545 ET warning light 1

49554-30 ET flat panel data ca-ble 2




49541 X-ray control panel ca-ble (UL) 1

46133-01 ET Console cable 1

49562A ET flat panel DC cable 2

49445-02 ET cable tie write on100 mm (1 pcs) 50

49776-10

RTM2 cross over ca-ble (optional)Only if you ordered ETRobotics/RTM.Mechanical specifica-tions:Diameter: 7.3mmLength: 30mBending: 55mm min.Plug diameter: 35mm

1

APPENDIX



49826-04ET Dual generatorconnection cable (20m)

1

ExacTrac X-Ray 12” Floor Casing

49373 ET Floor Box 12'' ba-sis 2

49374 ET Floor Box 12'' cov-er sheet 2

IR Pre-Installation Kit

49302B ET power installationkit 1

49367 ET infrared USBadapter 30 m 1



49202-6 ET video cable 1

49025A ET serial extension ca-ble 1

49351

ET ceiling arm fixation(optional)Only if you order ceil-ing mounted touchscreen monitor.

1

49352

ET ceiling arm inter-face plate (optional)Only if you order ceil-ing mounted touchscreen monitor.

1

APPENDIX


10900-92A

ET wall mount formonitor (default)Not included if you or-der ceiling mountedtouch screen monitor.

1

49341

ET touch VGA cable(default)Not included if you or-der ceiling mountedtouch screen monitor.

1

49342

ET touch data cable(default)Not included if you or-der ceiling mountedtouch screen monitor

1



49301-09

ET touch power cable(default)Not included if you or-dered ceiling mountedtouch screen monitor

1

49445-02 ET cable tie write on100 mm (1 pc) 50

APPENDIX


12.2 Standard Shipping List

Pre-Installation Shipment

Description Dimension (mm) Weight (kg) Crates

Floor box 12” 1200 x 800 x 450 60 1

Floor box 17” 1000 x 800 x 580 85 2

On-floor box 1200 x 800 x 650 50 1

Main Installation Shipment

Description Dimension (mm) Weight (kg) Crates

Basic computer system 950 x 880 x 1930 286 1

Medical hardware 1200 x 800 x 1200 150 1

Medical hardware 1200 x 800 x 1200 110 1

Dual X-ray generator 1750 x 680 x 1020 250 2

X-ray tubes, pre-transformer andcabling 1750 x 680 x 1020 245 1

Imaging couch top 2050 x 800 x 580 40 1

ET Robotics 1050 x 900 x 380 75 1

The X-ray tubes must be handled with care. Transport and store them always upwards(vertically) to protect the glass bulb from cracking through mechanical shock. Avoidmechanical shocks in general.

Standard Shipping List


12.3 Cable Classifications

General Information

The following table lists detailed information about cable types that may be required by yourregulatory bodies:

Art. No. Name VoltageApplied

VoltageRating

JacketType

UL List-ed

UL Recog-nized AWMstyles

ExacTracApplication

Classifica-tion

49541 X-ray controlpanel cable 24 VDC 250 V PUR CMX # Communica-

tion Class II

49302-03ET4 power ca-ble kit (mains 3x 2.5q mm)

230 VAC 600 V PVC # 21098/ 2587Fused powersupply, lowvoltage

Class I

49302-03ET4 power ca-ble kit (PE 2.5qmm)

n/a 600 V PVC # 1015 Protectiveearth #

49302-03ET4 power ca-ble kit (PE 16qmm)

n/a 600 V PVC # 1015 Protectiveearth #

49073 ET KVM Cable < 15 V 125 V PVC CMR # Communica-tion Class II

49025A ET serial ex-tension < 15 V 30 V PVC # 2502 Communica-

tion Class II

49554-30 ET flat paneldata cable < 15 V 30 V PVC # 20276/ 2990 Communica-

tion Class II

49562A ET flat panelDC cable 12 VDC 300 V PVC # 2464/1061

Power supplyextra low volt-age

Class II

49341-10 ET touch VGAcable < 15 V 30 V PVC # 20276/ 2990 Video Class II

49342 ET touch datacable < 15 V 300 V PVC # 2095 Communica-

tion Class II

49301-09 ET touch pow-er extension 12 VDC 300 V PVC # 2464

Power supply,extra low volt-age

Class II

49202-6 ET video cable < 15 V 300 V PVC # 2464 Video Class II

49367 ET IR USBadapter < 15 V 150 V PVC CL2 # Power limited

cicuit cable Class II

49525-11AX-ray high volt-age cable UL11m

70 kV 75 kV PVC # (E187096) High voltageX-ray #

49526-26A X-ray statorcable 11m 230 VAC 600 V PVC # 2839

Fused motordrive, lowvoltage

Class I

49545 ET warninglight cable 12 VDC 300 V PVC CL2P # Power limited

circuit cable Class II

46133-01 ET console ca-ble 24 VDC 250 V PUR CMX # Communica-

tion Class II

49776-10 RTM crossover cable < 15 V 250 V PUR CMX # Communica-

tion Class II

APPENDIX


Art. No. Name VoltageApplied

VoltageRating

JacketType

UL List-ed

UL Recog-nized AWMstyles

ExacTracApplication

Classifica-tion

18562-37 CAT 5e patchcable < 15 V 125 V PVC # 2835 Network com-

munication #

Cable Classifications


12.4 Facility Pre-Installation Summary12.4.1 Overview of Mains Power Supply and Interlocks

Installation Suggestion

This overview provides suggestions on how to fulfill the ExacTrac requirements from the previouschapters. Local regulatory requirements and your specific needs can lead to a different solution forimplementing power supply switching and interlock inputs and outputs.The following diagram shows an example of an electrical schematic for the pre-installed powersupply and interlock circuits:

EXA

MPL

E

Com

pute

r Cab

inet

[1.0

]

ExacTracX-Ray enable

Customer warning lights.X-Ray Generator energized.

from

emer

genc

y-of

fci

rcui

t

door

inte

rlock

F 50

A/5

0Hz

indo

lent Fi 0.

03A

F 16

A/5

0Hz

Fi 0.03

A

Ove

rvol

tage

prot

ectio

nTy

p 2

/ Cla

ss II

TN S

tar N

etw

ork

24V

DC

24V

DC

230V

AC

Customer warning lights .ExacTrac X-Ray in use.

wire cross section:max. 25 mm²

wire cross section:2,5 ... max. 16 mm²

On

Off

On

Off

230V

AC

L, N

& G

400V

AC

L1, L

2, L

3, N

& G

Flexiblecable

Flexiblecable

wire cross section:1 mm²


X-R

ay G

ener

ator

[1.0

]

Cus

tom

er s

uppl

ied

incl

udin

gca

blin

g to

con

nect

ion

poin

t at

Com

pute

r- a

nd G

ener

ator

cabi

net x

-ray

plu

s 3

m

230V

AC

230V

AC

ExacTracX-Ray enable

24V

DC

(**)

(*)


12V

DC

(*) T

he p

ower

shu

t dow

n is

not

an

Exa

cTra

c in

stal

latio

n re

quire

men

t.P

leas

e ch

eck

if yo

ur lo

cal r

egul

atio

ns re

quire

it.

(**)

Exa

cTra

c ca

n al

so p

rovi

de a

12

Volts

DC

sig

nal.

Opt

ion

to u

se th

e bu

nker

war

ning

ligh

ts in

stea

d of

the

ones

pro

vide

d w

ith E

xacT

rac.

Figure 44

APPENDIX


12.4.2 Overview of Wire Diameters in Grounding and Functional Cables

Installation Suggestion

This overview provides suggestions on how to fulfill the minimum ExacTrac requirements from theprevious chapters. Local regulatory requirements and your specific needs can lead to a differentsolution for implementing wire diameters for supply lines, PE cables and interlock cables. TheLAN cable must be provided for the appropriate Ethernet speed class.

EXAMPLEGeneratorCabinet[2.0a]Computer

Cabinet[1.0]

16 m

m²

Floor Box 1[2.1b]

Floor Box 2[2.1a]

2,5

mm

²

Grounding reference bar.Maximum at 3 meters fromComputer Cabinet.

LINAC

Bunker Groundingreference bar.

DoorInterlock

OnOff OnOff

L, N

, G /

min

. 2,5

mm

² / m

ax. 1

6mm

²

L1, L

2, L

3, N

, G /

max

. 25m

m²

Customer supplied incl. cabling toconnection point at Computer- andGenerator Cabinet X-ray plus 3 m

BunkerWarningLights

1mm

²

1mm

²

In-Room PowerDistribution Box

[1.3]

Control RoomPower Distribution Box

[1.5]

L, N

, G /

2,5m

m²

L, N

, G /

2,5m

m²

Flex

ible

Flex

ible

12volts

1mm

²

BunkerWarningLights

12volts

2,5

mm

²

16 m

m²

16 m

m²

16 m

m²

GeneratorCabinet[2.0b]

Figure 45

Facility Pre-Installation Summary


12.4.3 Generator Power Supply (Distribution Box)

Distribution Box Wiring Plan

You should provide a distribution box and must bring the power supply (5 lines: L1, L2, L3, N, PE)to the generator. The cable should reach to the bottom of the generator plus 3 m for slack and thecross section should not exceed 35 mm² (4AWG).NOTE: A distribution box is not mandatory to operate the generator and patient positioningsystem. However, for electrical safety reasons, applicable local regulations and work convenience,a distribution box is strongly recommended.

The following image shows a sample of the wiring plan of a distribution box according to Germanregulations. The design of this distribution box can be modified to accommodate local regulations:

L1L2L3NPE

N PE

L1 L2 L3 N PE X1

Generator

F1

K1

F2

F3

0,03A

S0

Figure 46

APPENDIX


F1: Generator Fusing

The F1 generator fusing is a part of building installation and is mounted in the distribution box.The fuses are small compared to the operating current and operating power. This can be contraryto the cross-sectional diameter of the power cables that are chosen for the required power supplyresistance.NOTE: The X-ray generator(s) can only take this high current for a short period of time.

Mains Supply Fuse Slow Blow A

380/400 V 50

420/440/480 V 50

208/220 V 100

F2: Control Fuse

The F2 control fuse is a part of the building installation and is mounted in the distribution box.The auxiliary circuit for controlling the main contactor must be protected by a 10 A fuse or circuitbreaker.

S0: Installation Switch/Emergency OFF Switch

The installation switch is part of the building installation and is connected to the distribution box.NOTE: The switch must be mounted in the vicinity of the generator control console.

K1: Main Contactor

The main contactor is a part of the building installation and is mounted in the distribution box.One 63 A contactor with an auxiliary contact and coil is recommended for the EDITOR HFe dualgenerator.

F3: Current Operated Earth-Leakage Circuit Breaker

The earth-leakage circuit breaker is a part of the building installation and is mounted in thedistribution box.One/DC ELCB (earth-leakage circuit breaker) with a leakage current of 30 mA is recommendedfor the EDITOR HFe dual generator.

Main Supply ELCB

380/400 V 63 A

420/440/480 V 63 A

208/220 V 100 A

N: Main Neutral Point Bar

The main neutral point bar is part of the building installation and is mounted in the distribution box.

PE: Main Safety Earth Bar

The main safety earth bar is part of the building installation and is mounted in the distribution box.

Facility Pre-Installation Summary


X1: Transfer Terminal Block

The cross-sectional area of the power cable that connects the distribution box to the X-raygenerator cannot exceed 35 mm² because of the size of the input terminals on the generatorconnection panel. It is recommended to use a fine wire cable with cable end sleeves.

APPENDIX


12.5 Types of Networks for Electricity Supply

General Information

THREE-PHASE STARFOUR-WIREEARTHED NEUTRAL

A

THREE-PHASE STARTHREE-WIRE

B

THREE-PHASE STARTHREE-WIREEARTHED NEUTRAL POINT

C

THREE-PHASE STARFOUR-WIRENON-EARTHED NEUTRAL

D

TWO-PHASE STARTHREE-WIREEARTHED NEUTRAL

E

THREE-PHASE DELTATHREE-WIRE

F

THREE-PHASE DELTAFOUR-WIREEARTHED MID POINT OF PHASE

G

THREE-PHASE OPEN DELTAFOUR-WIREEARTHED MID POINT OF PHASE

THREE-PHASE OPEN DELTAFOUR-WIREEARTHED JUNCTION OF PHASES

SINGLE-PHASETHREE-WIREEARTHED MID POINT

SINGLE-PHASETWO-WIREEARTHED END OF PHASE

SINGLE-PHASETWO-WIRENON-EARTHED NEUTRAL

SINGLE-WIREEARTHED RETURN (SWER)

V AV

d.c.THREE-WIRE

H

LK

N P

J

M

Figure 47

Types of Networks for Electricity Supply


12.6 IT Policy, Screen Saver

General Information

Care must be taken with the possible settings of the IT policies of hospitals. The screen saver,sleep and lock screen settings must all be disabled to avoid ADI interruption. These settings aresometimes set via a group policy from your hospital’s IT department and thus are not accessiblevia the ExacTrac workstation.

APPENDIX


12.7 17” Floor Boxes for X-Ray Tubes

17” Floor Box Dimensions

The following image provides an overview of a 17” floor box for X-ray tube, including cable outlets(arrows):

Figure 48 The following image shows a top and back view (without leveling feet) of the 17” floor box for X-ray tube:

125m

m12

4mm

424m

m

608m

m

638m

m

430m

m

456mm

Ø120mm

124mm

760mm

775mm

Figure 49

• Both floor boxes are identical and have four possible cable outlets.• One of the outlets is sufficient to induct all cables (lead conduit to any outlet).• The floor boxes are delivered with leveling feet for fine adjustment.• The tips of the cap nut define the external dimensions of the floor box.

17” Floor Boxes for X-Ray Tubes


Recess Dimensions for 17’’ Floor Box

The following image shows recommended dimension for recess to fit in the floor box:

483mm

813mm

467mm

660m

m

460m

m

finished floor

45°

TOP VIEW SIDE VIEW

Figure 50

Cutting of the floor box recesses severely influences building statics. A stress analystapproval/clearance is mandatory.

APPENDIX


Recess Position for 17” Floor Box

The following image shows the recess position for a 17” floor box:

45°

802+14mm

1134

+20m

m

802+

14m

m

Cable conduit

Isocenter

Ø130mm

Cable conduit

Ø130mm

Linac Baseframe

Figure 51 See page 119 for worst case positioning.

All dimensions for positioning floor boxes are based on the isocenter height of 1295 mm+/- 20 mm (finished floor line – isocenter). The exact value depends on the linac type.Please refer to the respective documentation. If the vertical isocenter position is not withinthe tolerance range, please contact Brainlab.



17” Floor Box Horizontal Position

The following image shows a top view of the 17” floor box position relative to the isocenter:

45°1170 +12mm

Isocenter

Ideal recess position 17" Floor Box

Linac Baseframe

max. 25mm

Worst case recess position 17" Floor Box

Figure 52 Worst case scenario:Due to an incorrect recess set up, the floor box has to be rotated within the recess into a correctposition, which can be very limited. The maximal deviation of the line “floor box tip – midpoint rearwall of box” at the isocenter is 25 mm. The only (and determining) measurement is the exactdistance between the isocenter and the floor box tip at 45°.

APPENDIX


17” Floor Box Vertical Position

The following image shows a side view of the 17” floor box position relative to the isocenter:

finished floor

box wall

vertically adjustableplate frame

0-10mm

Figure 53 The floor box can be fixed with bolts (not included). The vertical position of the floor box can beleveled in with three adjustment screws and leveling feet. The leveling feet with screws and nutsare added in a separate package.



13 PREINSTALLATIONCHECKLISTS

13.1 Floor Boxes

Checklist

Yes No n/a 1 Floor Boxes Comments Scheduled

1.1 Marking recess on the floor.

1.2 Digging the recess.

1.3 Bottom surface of recess must beleveled no deeper than 33 cm.

1.4 Align and level the floor boxes.

1.5Fix the floor boxes to the ground.Brainlab does not provide the an-chors.

1.6

Install conduits (minimum 100 mminner diameter, preferably rigidPVC tubes) from the floor boxesto the cable through the bunkerrear wall --> to the generator.

1.7 Concrete pouring.

1.8 Finished floor.

1.9

Storage of floor box aluminiumcovers and all included itemswithin the floor box until final in-stallation.

The final covers and all in-cluded items within the floorbox are placed during systeminstallation.They must be kept in a safeplace until installed by theBrainlab team.

PREINSTALLATION CHECKLISTS


13.2 Ceiling Brackets

Checklist

Yes No n/a 2 Ceiling Brackets Comments Scheduled

2.1 Mark position anchors on the ceil-ing.

2.2 Remove obstacles/providing alter-native anchoring platforms.

2.3 Provide anchors.

The contractor must providethe appropriate anchors tohold the weight of the ceilingbrackets.

2.4Assemble and fix ceiling brackets:IR camera mount; 200 kg

2.5Assemble and fix ceiling brackets:Flat panel mounts (x 2); 200 kg.

2.6 Fix steel rope angle plates (x 4); Lconfiguration.

2.7 Assemble and fix ceiling brackets.

2.8Assemble and fix the wall monitormount; 10 kg and ceiling mountedmonitor arm; 400 kg.

2.9 Fix the in-room distribution box; 6kg

2.10 Fix the control-room distributionbox; 6 kg.

2.11 Fix the Brainlab warning lights; 1kg.

2.12

You must provide a written “State-ment of Compliance” about fixa-tion of all ceiling mounts and floorboxes in accordance to respectivelocal regulations and Brainlab pre-installation parameters.

The contractor statement ofcompliance is mandatory tocomplete the acceptanceprotocols.

2.13Adapt the false ceiling to the newpenetrations (from ceiling brack-ets).

The final position of theBrainlab suspending equip-ment cannot be precise untilthe end of the installation.The false ceiling must beadapted after Brainlab hascompleted installation.

2.14 Storage of Brainlab’s cables untilfinal installation.

Brainlab’s data cables aredelivered together with theceiling brackets. They mustbe kept in a safe place untiltheir installation or until theyare pulled.

Ceiling Brackets


13.3 Electrical Infrastructure

Checklist

Yes No n/a 3 Electrical Infrastructure Comments Scheduled

3.1 Provide a power distribution box.

Your power distribution boxmust provide the power andif applicable the required sig-nals to the ExacTrac equip-ment. An on/off circuit shouldallow you to safely power onor down the equipment.

3.2 Provide the schemas of the powerdistribution box.

By providing the schemas ofthe power distribution box tobe built, Brainlab can guaran-tee if the requirements forExacTrac are met.

3.3

Provide flexible power cable with400 VAC, three phase + neutral N+ ground PE, 50/60 Hz; maximumwire cross section of 35 mm²(4AWG) to the bottom of the gen-erator with a minimum of 2 mslack. TN star network is required.

3.4

Provide flexible power cable with230 VAC, one phase + neutral N +ground PE, 50/60 Hz; maximumwire cross section: 2.5 mm² to thebottom of the computer cabinetwith a minimum of 2 m slack.

3.5

For safety reasons:It is required to install a powerswitch close to the computer cabi-net and X-ray generator.Alternative: Locker system in yourelectric distribution panel.

The power cut off must beprotected by a unique key.Standard keys are not ac-cepted by Brainlab.

3.6

Connection of the power lines tothe computer cabinet and X-raygenerator must be performed byyour electrician supported by aBrainlab technician.

3.7

PEQ reference bar: To be instal-led by customer near generator orcomputer cabinet, connect allBrainlab grounding cables.

3.8PEQ 16 mm² cable between PEQreference bar and computer cabi-net.

3.9PEQ 16 mm² cable between PEQreference bar and X-ray genera-tor.

3.10Install a network plug RJ 45 closeto the computer cabinet (maxi-mum 2 m from the cabinet).



Yes No n/a 3 Electrical Infrastructure Comments Scheduled

3.11Provide an internet connection atthe control room for service pur-poses.

3.12

Door interlock: Provide a potentialfree contact at the door. Cablingfrom door contact to computercabinet (optional).

3.13

Emergency Stop: Provide a nor-mal closed contact. If any of theemergency buttons is pressed,the contact must be open. Cablingto the computer cabinet.

3.14

ExacTrac in use: The ExacTraccomputer cabinet provides a 12 Vsignal when ExacTrac is in use.Cabling to computer cabinet.

3.15

Beam on signal: Normal closecontact connected to the redbunker light. The relay contactsare open when the red bunkerlight is switched on. Cabling to thecomputer cabinet.

3.16

Beam off signal: Normal opencontact connected to the greenbunker light. The relay contactsare closed when the green bunkerlight is switched on. Cabling to thecomputer cabinet.

3.17 Signal cables pulled to the com-puter cabinet.

3.18

Emergency OFF: If any of theemergency buttons are pressed,the power to ExacTrac must becut off.

3.19Provide a standard mains powerplug close to the computer cabi-net.

3.20 Pull Brainlab cables to the correctpositions.

Electrical Infrastructure


13.4 Conduits

Checklist

Yes No n/a 4 Conduits Comments Scheduled

4.1 From computer cabinet to flatpanels.

4.2 From computer cabinet to IR cam-era.

4.3 From computer cabinet to in-roomdistribution box.

4.4 From computer cabinet to control-room distribution box.

4.5 From computer cabinet to warninglights.

4.6 From computer cabinet to linac.

4.7 From computer cabinet to X-raygenerators.



13.5 Logistics

Checklist

Yes No n/a 5 Logistics Comments Scheduled

5.1 Delivery area arranged. See standard shipping list.

5.2 Delivery path free of obstacles.

5.3 Security informed.

5.4 Storage room arranged until in-stallation.

5.5 Storage space at bunker for Ex-acTrac accessories.

5.6 Collection of empty packaging ar-ranged.

Logistics


INDEXC

Ceiling mountsconfigurations......................................................................... 53recommended position of the ceiling mounted monitor.......... 61requirements for custom-made ceiling mount........................ 57

Contact data................................................................................. 7couch clearance......................................................................... 17customer responsibility...............................................................13

Ddisposal instructions..................................................................... 8documentation............................................................................12

EExacTrac warning light............................................................... 86

Hhospital provided warning light................................................... 87

IInfrared components.................................................................. 14

OOptional components................................................................. 14

Ssupport......................................................................................... 7

Vvirus scanner.............................................................................. 90

WWEEE...........................................................................................8

XX-ray components...................................................................... 14

INDEX


brainlab.com

Art-No. 60912-92EN

*60912-92EN*

Date post:	22-Jan-2021
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EXACTRAC VARIAN TRUEBEAM LINACS...Site Planning Manual Rev. 1.0 ExacTrac Ver. 6.x 11 1.4...

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