Manual de Diseño Bunker Para Acelerador Lineal

High Energy Clinac Edition

D O C . # : D D R - H E - VP / N : 1 0 0 0 4 7 2 5 1 - 2 3

Designers’ Desk Reference

VOL. 15, No. 3

Introduction to the Varian Designers’ Desk Reference (DDR)

Printed Designers’ Desk Reference or Digital Designers’ Desk Reference (Adobe© Acrobat .PDF format)

For optimal printing results, this Designers’ Desk Reference is formatted to require double-sided capabilities in both 8-1/2" x 11" and 11" x 17" sizes or their metric equivalents. If your printer does not have these capabilities, a printed version will gladly be supplied. To obtain a printed copy of any of the Varian DDRs, contact your Regional Planner or the Varian Planning Department at the address below.

Intended Audience

The intended audiences of this DDR are the customer’s Design Professionals, that is Architect(s)/Engineer(s) of Record and the Physicist of Record. This DDR is not intended for direct use by Tradespeople or other field personnel.

This DDR issue is effective April 6, 2015. Users should contact their Site Solutions – Services Regional Planner for the most current release.

Language of Origin

This publication is of English-language origin.

Digital Drawing Files

AutoCAD DWG files for all sections within this DDR are available from your Varian Regional Planner. These files contain details that can be useful for incorporating into the Architect’s contract documents. The DWG file names are referenced in the lower right area of each diagram in this Designers’ Desk Reference.

Contact Varian’s Global Planning Department at:

Varian Medical SystemsPlanning Group, Site Solutions – Services660 N. McCarthy Blvd., Milpitas, CA 95035Phone: (800) 278-2747 or (408) 232-4231Email: [email protected]/us/oncology/services_and_support/architectural_planning/contact.html

Limitation of Liability

Every effort has been made to keep the digital drawing files consistent with the documents in the DDR. These files are provided “as-is” without warranty of any kind, either express or implied. The Architects and Engineers of Record shall modify these files to reflect any and all site-specific conditions and regional regulatory agency requirements. Varian Medical Systems, Inc., its agents, or any subsidiaries shall not be liable for the accuracy or completeness of the files, any documents that include portions of them or any damages, direct, indirect, incidental or consequential, including damages for any list profits or project delays that result from the use of the files included herein.

Trademarks

TrueBeam, Clinac, Trilogy, iX, UNIQUE, Acuity, and ARIA are trademarks or registered trademarks of Varian Medical Systems, Inc. These and/or other Varian Medical Systems Inc.’s products referenced herein are either registered trademarks or trademarks of Varian Medical Systems in the U.S. and/or other countries. The names of other companies and products mentioned herein may be the trademarks of their respective owners. Any rights not expressly granted herein are reserved.

© 1999-2014 Varian Medical Systems, Inc. All rights reserved. Reproduction of any of the material contained herein in any format or media without the express written permission of Varian Medical Systems is prohibited.

www.varian.com/us/oncology/services_and_support/architectural_planning/contact.html

Designers’ Desk Reference, High Energy Clinac Edition

Document History List

Varian Document #: DDR-HE-V

Varian P/N: 100047251-23

Version: Vol. 15, No. 3

Issue Date: April 6, 2015

Version Issue Date eSign Workflow #

Vol. 10, No. 1 N/A (Internal Only) Manual

Vol. 10, No. 2 February 8, 2010 Manual

Vol. 10, No. 3 June 29, 2010 Manual

Vol. 10, No. 4 July 9, 2010 Manual

Vol. 11, No. 1 October 2, 2010 Manual

Vol. 11, No. 2 January 1, 2011 Manual

Vol. 11, No. 3 April 2, 2011 Manual

Vol. 11, No. 4 June 1, 2011 Manual


Vol. 12, No. 2 January 3, 2012 Manual

Vol. 12, No. 3 April 2, 2012 Manual

Vol. 12, No. 4 July 2, 2012 Manual


Vol. 13, No. 2 January 2, 2013 #23479017

Vol. 13, No. 3 April 1, 2013 #26800028

Vol. 13, No. 4 July 1, 2013 #29752508

Vol. 14, No. 1 October 1, 2013 #32839627

Vol. 14, No. 2 January 2, 2014 #36408977

Vol. 14, No. 3 April 1, 2014 #40490745

Vol. 14, No. 4 July 1, 2014 #45238135

Vol. 15, No. 1 October 1, 2014 #50230562

Vol. 15, No. 2 January 5, 2015 #52334027

iii

List of Revisions

List of Revisions

For revisions prior to those listed below, please contact your Varian Planner.Item # Version Section Page # Revision Remarks

290 Vol. 14, No. 4 3.1.2.6 3-4 Revised the Relay Junction Box (RJB) note to include an alternate mounting location

Added that the RJB can be wall mounted so it is accessible at standing level from the finished floor

291 Vol. 14, No. 4 3.1.2.6 3-4 Added a new warning note Added “DO NOT locate the Relay Junction Box in the primary beam path.”

292 Vol. 14, No. 4 3.2 3-5 Figure 3-2: Removed RJB mounting location note

293 Vol. 14, No. 4 3.2 3-5 Figure 3-2: Revised future conduit note

Changed from “Provide two 4" (100) conduits” to “Provide one 3" (75) and two 2" (50) conduits”

294 Vol. 14, No. 4 3.2 3-7 Figure 3-3: Added alternate RJB mounting location

295 Vol. 14, No. 4 3.3 3-9 Added a new warning note Added “DO NOT locate the Modulator Cabinet in the primary beam path.”

296 Vol. 14, No. 4 3.5.8.1 3-32 Figure 3-38: Revised the conduit size from the accessory pull box to each treatment room camera

Changed from “1 1/4" (32)" to "1 1/2" (38)”

297 Vol. 14, No. 4 3.5.9.1 3-34 Figure 3-39: Revised the ± tolerance dimension for cameras #1 and #3

Changed from “± 2" [± 50]" to "± 1" [± 25]”

298 Vol. 14, No. 4 3.5.9.1 3-34 Figure 3-39: Revised camera #2 position from isocenter

Changed from “1'-4 1/2" [419] and 6'-6" [1981]” to “1'-5 3/4" [450] and 6'-4 3/4" [1950]”

299 Vol. 14, No. 4 3.5.9.1 3-35 Figure 3-40: Revised the ± tolerance dimension for cameras #1 and #3

Changed from “± 2" [± 50]" to "± 1" [± 25]”

300 Vol. 14, No. 4 3.5.9.1 3-35 Figure 3-40: Revised camera #2 position from isocenter

Changed from “6'-7 1/2" ± 2" [2020 ± 50] at 12°” to “6'-6 3/4" ± 1" [2000 ± 25] at 13°”

301 Vol. 14, No. 4 3.5.9.1 3-36 Figure 3-41: Removed the camera lens height dimensions

Replaced with “TBD by Varian Project Manager after isocenter is identified”

302 Vol. 14, No. 4 3.5.9.1 3-36 Figure 3-41: Added new note that the camera lens height and mounting post length will be determined by the Varian Project Manager using a site survey after isocenter is identified.

iv Designers’ Desk Reference, High Energy Clinac Edition

List of Revisions

303 Vol. 14, No. 4 3.7.2.2 3-53 Updated the Coolant Specifications and added new table for “One-Pass,” “closed-Loop,” and “Machine Water Loop”

304 Vol. 15, No. 1 Back of Cover

Added new heading: Language of Origin: This publication is of English-language origin

305 Vol. 15, No. 1 2.3 2-7 Figure 2-2: Revised the maximum couch arc clearance dimension

Changed from “8'-9" (2667)” to “9'-0" (2743)”

306 Vol. 15, No. 1 2.3 2-7 Figure 2-2: Revised the minimum required couch arc clearance dimension

Changed from “7'-11" (2667)” to “8'-4 1/2" (2553)”

307 Vol. 15, No. 1 2.3 2-7 Figure 2-2: Added new note for Optional RPM Gating Camera


Changed from “one 3" (75) and two 2" (50) conduits” to “two 3" (75) and one 2" (50) conduits”

309 Vol. 15, No. 1 2.4 2-11 Figure 2-4: Revised the maximum couch arc clearance dimension

Changed from “8'-9" (2667)” to “9'-0" (2743)”

310 Vol. 15, No. 1 2.4 2-11 Figure 2-4: Revised the minimum required couch arc clearance dimension

Changed from “7'-11" (2667)” to “8'-4 1/2" (2553)”

311 Vol. 15, No. 1 2.4 2-11 Figure 2-4: Added new note for “Longitudinal Axis Line”

312 Vol. 15, No. 1 2.4 2-11 Figure 2-4: Added new note “The Exact Couch can rotate ± 100° about isocenter from the longitudinal axis line”

313 Vol. 15, No. 1 2.4 2-11 Figure 2-4: Added new note for “The couch top has a lateral range of 9.8" [250] to either side of the centerline of the Exact Couch”

314 Vol. 15, No. 1 2.4 2-11 Figure 2-4: Removed the Modulator and Modulator note

315 Vol. 15, No. 1 Chapter 3 3-1 Figure 3-1: Updated the couch arcs on the Treatment Room Overview, Sample Set-up

Item # Version Section Page # Revision Remarks

Designers’ Desk Reference, High Energy Clinac Edition v

List of Revisions





318 Vol. 15, No. 1 3.5 3-26 Revised the Section Title Name

Changed from “Calypso System (Optional)” to “Calypso - Extracranial Radiosurgery Subsystem (Optional)”

319 Vol. 15, No. 1 3.5.9 Multiple Changed “Camera Mount” to “Ceiling Mount Load Plate”

320 Vol. 15, No. 1 3.5.9.1 3-34 Figure 3-39: Updated Camera #1 and Camera #3 Cartesian dimensions

Changed from “4'-4" ± 1" [1320 ± 25] and 6'-2" ± 1" [1880 ± 25]” to “4'-4 3/16" ± 1" [1325 ± 25] and 6'-3 5/16" ± 1" [1928 ± 25]”

321 Vol. 15, No. 1 3.5.9.1 3-34 Figure 3-39: Updated Camera #2 Cartesian dimensions

Changed from “6'-4 3/4" [1950] and 1'-5 3/4" [450]” to “6'-4 5/16" ± 1" [1939 ± 25] and 1'-5 5/8" ± 1" [448 ± 25]”

322 Vol. 15, No. 1 3.5.9.1 3-34 Figure 3-39: Added new note: “Dimensions are to the center of the Ceiling Mount Load Plate”

323 Vol. 15, No. 1 3.5.9.1 3-34 Figure 3-39: Added new note: “The ceiling mount load plates should only be installed after the BaseFrame is grouted in and isocenter is verified”

324 Vol. 15, No. 1 3.5.9.1 3-35 Figure 3-40: Updated Camera #1 and Camera #3 Polar dimensions

Changed from “7'-6 9/16" ± 1" [2300 ± 25] at 55°” to “7'-8 1/8" ± 2" [2340 ± 50] at 55.5° ± 1°”

325 Vol. 15, No. 1 3.5.9.1 3-35 Figure 3-40: Updated Camera #2 Polar dimensions

Changed from “6'-6 3/4" ± 1" [2000 ± 25] at 13°” to “6'-6 3/8" ± 2" [1990 ± 50] at 13° ± 0.5°”

326 Vol. 15, No. 1 3.5.9.1 3-35 Figure 3-40: Added new note: “Dimensions are to the center of the Ceiling Mount Load Plate”



vi Designers’ Desk Reference, High Energy Clinac Edition

List of Revisions

328 Vol. 15, No. 1 3.5.9.2 3-37 Revised the description of the Acceptable Ceiling Mount Load Plate Areas

Changed to “The following mounting location diagram applies to accelerator installations that are not able to obtain an unobstructed path to overhead concrete mounting surface as shown in Figure 3-39 and Figure 3-40 by using a Varian provided post and cantilever extension bar. The cantilever extension bar allows placement of the ceiling mount load plate anywhere within the green shaded area, which is centered directly over the preferred camera position.”

329 Vol. 15, No. 1 3.5.9.2 3-38 Figure 3-42: Updated the Acceptable Ceiling Mount Load Plate Locations – Layout

Centered the Allowable Area using the Cantilever Bar over the preferred ceiling mount location

330 Vol. 15, No. 1 3.5.9.2 3-38 Figure 3-42: Added new note: “The cantilever extension bar allows placement of the ceiling mount load plate anywhere within the green shaded area, which is centered directly over the preferred camera position”

331 Vol. 15, No. 1 3.5.9.2 3-38 Figure 3-42: Added new note: “The center of the Ceiling Mount Load Plate must fit inside the Allowed Area”


333 Vol. 15, No. 1 3.5.10 3-39 Figure 3-43: Updated the Calypso Infrared Camera – Layout

Changed the to the “Osprey” Camera

334 Vol. 15, No. 1 3.5.11 3-40 Figure 3-45: Added new note: “The ceiling mount load plates should only be installed after the BaseFrame is grouted in and isocenter is verified”

335 Vol. 15, No. 1 3.5.11.2 3-41 Removed Figure 3-47 Ceiling Mount Load Plate Location w/Cantilever Extension Bar

336 Vol. 15, No. 1 3.9 3-59 Figure 3-57: Revised the BaseFrame Pit to extend to the rear concrete wall


Designers’ Desk Reference, High Energy Clinac Edition vii

List of Revisions

337 Vol. 15, No. 1 3.9 3-59 Figure 3-57: Move the customer compressed air and cooling line connection point location

Relocated the connection point from the back right corner of the BaseFrame pit to the rear wall behind the Clinac Stand 30" (760) to the right side of isocenter and a maximum of 30" (760) above the finished floor

338 Vol. 15, No. 1 3.9 3-60 Figure 3-58: Updated Clinac BaseFrame Installed layout

Moved the utility connection point from the BaseFrame pit to the rear wall

339 Vol. 15, No. 1 3.9 3-61 Figure 3-59: Updated Grout After BaseFrame Installation layout

Moved the utility connection point from the BaseFrame pit to the rear wall

340 Vol. 15, No. 1 3.9 3-62 Figure 3-60: Updated Clinac Installed on Baseframe layout

Removed the utility connection point note 1

341 Vol. 15, No. 1 3.10 3-63 Figure 3-61: Updated Standard Side Cable Access Plan and Section at Pull Box layout

Removed the utility connection location from the BaseFrame pit and added two 2" (50) and one 1" (25) conduit sleeves from the rear of the BaseFrame to the rear concrete wall for the Varian provided hose kit

342 Vol. 15, No. 1 3.10 3-64 Figure 3-62: Updated Alternate Bottom Cable Access Plan and Section at Pull Box layout


343 Vol. 15, No. 1 3.10 3-65 Figure 3-63: Updated Alternate Recessed Floor Duct Cable Access Plan and Section at Pull Box layout


344 Vol. 15, No. 1 3.11 3-66 Added new Section: BaseFrame Cooling Line Access Details

345 Vol. 15, No. 2 3.4.2.1 3-19 Figure 3-17: Updated the Gating Installation – Typical CT Room Plan.

Revised the room configuration and added (1) - 1/2" (13) conduit to facility network

346 Vol. 15, No. 2 3.4.2.1 3-20 Figure 3-18: Updated the Gating Installation – Typical CT Room Section.

Revised the room configuration and added (1) - 1/2" (13) conduit to facility network

347 Vol. 15, No. 2 3.9 3-59 Figure 3-57: Added minimum and maximum isocenter to rear concrete wall dimension for the Baseframe pit

Added “11'-6" to 15'-0" (3505 to 4572)”


Added “11'-6" to 15'-0" (3505 to 4572)”


viii Designers’ Desk Reference, High Energy Clinac Edition

List of Revisions

349 Vol. 15, No. 2 3.10 3-63 Figure 3-61: Revised the cooling conduit sleeve maximum length limitation

Changed from “94" (2388)" to "86" (2185)”


Added “11'-6" to 15'-0" (3505 to 4572)”


Changed from “94" (2388)" to "86" (2185)”


Added “11'-6" to 15'-0" (3505 to 4572)”


Changed from “94" (2388)" to "86" (2185)”


Changed from “94" (2388)" to "86" (2185)”

355 Vol. 15, No. 2 4.2.2.5 4-11 Updated the GEXPRO order and contact information

Added “Email: [email protected]” and “Contact your Varian Regional Planner for order information in the following markets: Latin America; Europe, Middle East, and Africa; and Asia/Pacific Rim.”

356 Vol. 15, No. 2 4.3.2.5 4-14 Updated the GEXPRO order and contact information

Added “Email: [email protected]” and “Contact your Varian Regional Planner for order information in the following markets: Latin America; Europe, Middle East, and Africa; and Asia/Pacific Rim.”

357 Vol. 15, No. 3 2.3 2-7 Figure 2-2: Updated the Typical Room Plan View

Added In-Room Optional VVS and Keyboard and mouse

358 Vol. 15, No. 3 2.3 2-9 Figure 2-3: Revised Typical Room Section suspended ceiling height

Changed from “9'-6" [2896]” to “9'-0" [2743]”

359 Vol. 15, No. 3 Chapter 3 3-1 Figure 3-1: Updated the Treatment Room Overview, Sample Set-up

Added In-Room Optional VVS and CCTV System Components

360 Vol. 15, No. 3 3.1.2.4 3-3 Revised the In-Room Monitor Pull Box

Changed from “In-Room Monitor Pull Box” to “Signal Pull Box” and added subsystem components: In-Room Monitor, RPM Gating, VVS, and CCTV

361 Vol. 15, No. 3 3.1.2.5 3-4 Added new Accessory Pull Box section


Designers’ Desk Reference, High Energy Clinac Edition ix

List of Revisions

362 Vol. 15, No. 3 3.2 3-5 Figure 3-2: Added new Accessory Pull Box and conduit requirements for standard and optional subsystem components

Added new 2" [50] conduit from the Control Equipment pull box and extended the existing two 3" [75] and one 2" [50] conduits to the new 18" x 24" x 12" [450 x 600 x 300] Accessory pull box

363 Vol. 15, No. 3 3.2 3-5 Figure 3-2: Added new conduits from the Accessory pull box to the new subsystem components

Added one 2" [50] conduit to In-Room Monitor and one 1" [25] conduit to each of the following devices: In-Room wireless Keyboard and Mouse with Optional VVS System (1), Optional RPM Gating System (1), and Optional CCTV cameras (2)

364 Vol. 15, No. 3 3.2 3-7 Figure 3-3: Added new Accessory Pull Box and conduit requirements for standard and optional subsystem components

Added new 2" [50] conduit from the Control Equipment pull box and extended the existing two 3" [75] and one 2" [50] conduits to the new 18" x 24" x 12" [450 x 600 x 300] Accessory pull box

365 Vol. 15, No. 3 3.2 3-7 Figure 3-3: Added new conduits from the Accessory pull box to the new subsystem components

Added one 2" [50] conduit to In-Room Monitor and one 1" [25] conduit to each of the following devices: In-Room wireless Keyboard and Mouse with Optional VVS System (1), Optional RPM Gating System (1), and Optional CCTV cameras (2)

366 Vol. 15, No. 3 3.4.1.1 3-12 Figure 3-9: Updated Respiratory Gating Installation - Typical Clinac Room Plan View

Added (1)-1/2" [13] conduit to Facility Network

367 Vol. 15, No. 3 3.4.1.1 3-13 Figure 3-10: Updated Respiratory Gating Installation - Typical Clinac Room Section


368 Vol. 15, No. 3 3.4.1.2 3-14 Figure 3-11: Updated the Wall-Mount Detail

369 Vol. 15, No. 3 3.4.1.2 3-15 Figure 3-13: Updated the RPM Ceiling Bracket (Option A) Detail

370 Vol. 15, No. 3 3.4.1.2 3-16 Figure 3-15: Updated the RPM Ceiling Bracket (Option B) Detail

Added Flange size attachment detail

371 Vol. 15, No. 3 3.4.3.1 3-23 Figure 3-24 Updated Respiratory Gating Installation - Typical Acuity Room Plan


372 Vol. 15, No. 3 3.4.3.1 3-24 Figure 3-25: Updated Respiratory Gating Installation - Typical Acuity Room Section


373 Vol. 15, No. 3 3.5.2 3-27 Figure 3-32: Updated the Infrared Camera photo

Replaced the original Hawk camera with the new Osprey camera


x Designers’ Desk Reference, High Energy Clinac Edition

List of Revisions

374 Vol. 15, No. 3 3.5.2 3-27 Figure 3-33: Revised the figure name

Changed from “Power Supply/Hub and Related System Components” to “Camera Power Supply and Hub Unit”

375 Vol. 15, No. 3 3.5.8.1 3-32 Figure 3-38: Updated the Accessory pull box note

Changed from “Provide a 12" x 12" x 12" (305 x 305 x 305) Accessory Pull Box mounted in the ceiling space” to “For information on the Accessory pull box, see Section 3.1.2.5.”

376 Vol. 15, No. 3 3.5.8.1 3-32 Figure 3-38: Updated the conduit size from the Control Equipment pull box to the Accessory pull box

Changed from “(1)-1 1/2" (38) C. 125'-0" (38m) max.” to “Provide one 3" (75) conduit, see Figure 3-2 Typical Clinac Conduit Diagram (Plan View)”

377 Vol. 15, No. 3 3.6 3-42 Added new section for the Optional OSMS Intracranial Radiosurgery Subsystem

378 Vol. 15, No. 3 3.7.2 3-51 Figure 3-56: Updated the Coolant Diagram

Changed to show that the customer supply and return cooling line connection points will be located in the rear wall behind the Clinac Stand

379 Vol. 15, No. 3 3.12.3 3-67 Revised the ground stud location for the In-Room Monitor

Changed from “affixed to the Control Equipment Pull Box ground stud” to “affixed to the Accessory Pull Box ground stud”

380 Vol. 15, No. 3 4.1.4 4-2 Added new grounding requirement for the new Accessory pull box

381 Vol. 15, No. 3 4.1.4 4-3 Figure 4-1: Added new Accessory pull box

382 Vol. 15, No. 3 5.1 5-1 Figure 5-1: Updated the Typical Clinac Control Equipment Layout (Elevation)

Changed to reflect new Monitors, MLC Controller, Printer, CCTV System, Opt. RPM Gating, and Optional ARIA Workstation

383 Vol. 15, No. 3 5.1 5-3 Figure 5-2: Updated the Clinac Control Equipment Details

Changed to reflect new Monitors, MLC Controller, and Printer. Added Dedicated Keyboard, PV Keyboard, and Optional RPM Gating Switch Box

384 Vol. 15, No. 3 5.1 Removed Figure 5-3 Typical Section at Clinac Electronics Cabinet

385 Vol. 15, No. 3 5.1 Removed Figure 5-4 Deluxe/Roll-In Console Cabinet Elevation

386 Vol. 15, No. 3 5.1 Removed Figure 5-5 Deluxe/Roll-In Console Cabinet Section


Designers’ Desk Reference, High Energy Clinac Edition xi

List of Revisions

387 Vol. 15, No. 3 5.1 5-5 Figure 5-3: Updated the ARIA Treatment Workstation

Changed to reflect new Monitor

388 Vol. 15, No. 3 5.6 5-11 Figure 5-8: Updated the Typical CCTV System Diagram

Changed to show the typical layout if CCTV system is purchased from Varian. Typical components include: (2) - Dome Cameras, (2) - Pendant Wall Mounting Brackets, (2) - Monitors, (1) - Quad Video Processor, and (1) - Controller Keyboard.


xii Designers’ Desk Reference, High Energy Clinac Edition

Table of Contents

CHAPTER 1 INTRODUCTION ...................................................................................................1-11.1 Technical Key Features ................................................................................................. 1-11.2 Supported Accelerator Models....................................................................................... 1-21.3 High Energy Clinac Installation Timeline Description..................................................... 1-3

CHAPTER 2 GENERAL SYSTEM INFORMATION ...................................................................2-12.1 Typical Room Shielding Tables...................................................................................... 2-12.2 Typical Room Isometric View......................................................................................... 2-52.3 Typical Room Configuration........................................................................................... 2-72.4 Detail – Plan View ........................................................................................................ 2-112.5 Detail – Elevations ....................................................................................................... 2-132.6 Shipping/Rigging Dimension Clearances..................................................................... 2-16

CHAPTER 3 FACILITIES REQUIREMENTS .............................................................................3-13.1 Cable Conduit/Ducts ...................................................................................................... 3-2

3.1.1 Circuit Breakers.................................................................................................. 3-2

3.1.1.1 Clinac Main Circuit Breaker Panel ............................................................. 3-2

3.1.1.2 On-Board Imager (OBI) Circuit Breaker Panel .......................................... 3-23.1.2 Pull/Junction Boxes ............................................................................................ 3-3

3.1.2.1 Control Equipment Pull Box....................................................................... 3-3

3.1.2.2 Modulator Pull Box .................................................................................... 3-3

3.1.2.3 Baseframe Pull Box ................................................................................... 3-3

3.1.2.4 Signal Pull Box .......................................................................................... 3-3

3.1.2.5 Accessory Pull Box.................................................................................... 3-4

3.1.2.6 Relay Junction Box.................................................................................... 3-43.2 Cable Access Diagrams................................................................................................. 3-53.3 Major System Components – Modulator Cabinet .......................................................... 3-93.4 Optional System Components – RPM Respiratory Gating .......................................... 3-11

3.4.1 RPM – Clinac Subsystem................................................................................. 3-12

3.4.1.1 Mounting Locations ................................................................................. 3-12

3.4.1.2 Mounting Methods ................................................................................... 3-143.4.2 RPM – CT/ and PET/CT Simulator Subsystem................................................ 3-17

3.4.2.1 Standard Mounting Location – Moving/Couch Mount.............................. 3-193.4.3 Acuity/Conventional Simulator Subsystem....................................................... 3-23

3.4.3.1 Mounting Locations ................................................................................. 3-23

3.4.3.2 Mounting Methods ................................................................................... 3-253.5 Calypso – Extracranial Radiosurgery Subsystem (Optional) ....................................... 3-26

3.5.1 Treatment Room Console ................................................................................ 3-26

3.5.1.1 Array Panel.............................................................................................. 3-27

3.5.1.2 Touch Screen Computer ......................................................................... 3-27

xiii

3.5.2 Optical System ................................................................................................. 3-27

3.5.2.1 Infrared Cameras..................................................................................... 3-28

3.5.2.2 Camera Power Supply/Hub Unit.............................................................. 3-283.5.3 Tracking Station ............................................................................................... 3-283.5.4 Beacon Transponders ...................................................................................... 3-293.5.5 Software ........................................................................................................... 3-293.5.6 Fixtures............................................................................................................. 3-29

3.5.6.1 QA Fixture ............................................................................................... 3-29

3.5.6.2 Calibration Fixtures.................................................................................. 3-303.5.7 System Options ................................................................................................ 3-30

3.5.7.1 Radiation Detector................................................................................... 3-30

3.5.7.2 Dynamic Edge Gating.............................................................................. 3-30

3.5.7.3 Adaptive Couch Repositioning ................................................................ 3-31

3.5.7.4 Treatment Planning Data Import ............................................................. 3-313.5.8 Calypso System Assembly............................................................................... 3-32

3.5.8.1 Typical Room Configuration .................................................................... 3-323.5.9 Camera Mounting Locations ............................................................................ 3-33

3.5.9.1 Preferred Ceiling Mount Load Plate Locations ........................................ 3-33

3.5.9.2 Acceptable Ceiling Mount Load Plate Areas ........................................... 3-373.5.10 Camera Elevation Heights and Clearances ..................................................... 3-393.5.11 Camera Support Mounting Methods ................................................................ 3-40

3.5.11.1 Ceiling Mount Load Plate ........................................................................ 3-40

3.5.11.2 Ceiling Mount Cantilever Extension Bar .................................................. 3-413.5.12 Shipping/Rigging Dimension Clearances ......................................................... 3-41

3.6 OSMS Intracranial Radiosurgery Subsystem (Optional).............................................. 3-423.6.1 OSMS Workstation........................................................................................... 3-423.6.2 OSMS Optical System...................................................................................... 3-423.6.3 Treatment Room Remote Terminal.................................................................. 3-433.6.4 OSMS System Assembly ................................................................................. 3-44

3.6.4.1 Typical Room Configuration .................................................................... 3-443.6.5 OSMS Camera Mounting Locations................................................................. 3-453.6.6 Camera Elevation Heights and Clearances ..................................................... 3-473.6.7 Camera Support Mounting Methods ................................................................ 3-48

3.6.7.1 Ceiling Mount Load Plate ........................................................................ 3-483.7 HVAC and Plumbing Requirements............................................................................. 3-49

3.7.1 Clinac Operational States................................................................................. 3-493.7.2 Clinac Coolant System..................................................................................... 3-50

3.7.2.1 Dual Energy Clinac Coolant Requirements ............................................. 3-52

3.7.2.2 Coolant Specifications ............................................................................. 3-533.7.3 Compressed Air System................................................................................... 3-543.7.4 Environmental Specifications ........................................................................... 3-54

3.7.4.1 Ventilation................................................................................................ 3-54

xiv Table of Contents

3.7.5 Plumbing .......................................................................................................... 3-553.7.6 Fire Protection .................................................................................................. 3-55

3.8 Shielding ...................................................................................................................... 3-563.8.1 Radiation Shielding Details .............................................................................. 3-563.8.2 Radiation Shielding Calculation Assumptions .................................................. 3-573.8.3 Other Shielding Information.............................................................................. 3-58

3.9 Baseframe Pit and Installation ..................................................................................... 3-593.10 Baseframe Cable Access Details ................................................................................. 3-633.11 BaseFrame Cooling Line Access Details ..................................................................... 3-663.12 Clinac In-Room Monitor ............................................................................................... 3-67

3.12.1 Equipment Layout/Clearances ......................................................................... 3-673.12.2 Component Anchorage Brackets ..................................................................... 3-673.12.3 Dedicated Ground Wires – In-Room Monitor ................................................... 3-67

3.13 Patient Positioning Lasers............................................................................................ 3-70

CHAPTER 4 ELECTRICAL REQUIREMENTS ..........................................................................4-14.1 General Electrical Specifications.................................................................................... 4-1

4.1.1 Wiring and Components..................................................................................... 4-14.1.2 Lighting and Accessories Circuits ...................................................................... 4-14.1.3 Electrical Connections........................................................................................ 4-24.1.4 Dedicated Grounding Requirements .................................................................. 4-24.1.5 Power Conditioning Requirements ..................................................................... 4-54.1.6 Network Cabling and Termination ...................................................................... 4-5

4.1.6.1 Cabling ...................................................................................................... 4-5

4.1.6.2 Termination................................................................................................ 4-5

4.1.6.3 TCP/IP Protocol......................................................................................... 4-64.2 Clinac Linear Accelerator Subsystem ............................................................................ 4-7

4.2.1 Circuit Breakers/UVRs ....................................................................................... 4-8

4.2.1.1 High Energy Clinac Main Circuit Breaker Panel ........................................ 4-8

4.2.1.2 Under-Voltage Release (UVR) .................................................................. 4-84.2.2 Clinac Main Circuit Breaker Panel (with Battery Backup) 2100CBB Series ....... 4-9

4.2.2.1 Application ................................................................................................. 4-9

4.2.2.2 Features .................................................................................................. 4-10

4.2.2.3 Benefits.................................................................................................... 4-10

4.2.2.4 Options .................................................................................................... 4-10

4.2.2.5 Order Information .................................................................................... 4-114.3 On-Board Imager (OBI) Option Subsystem ................................................................. 4-12

4.3.1 OBI Circuit Breaker Panel ................................................................................ 4-124.3.2 OBI Circuit Breaker Panel #OBI60A480V Series ............................................. 4-13

4.3.2.1 Application ............................................................................................... 4-13

4.3.2.2 Features .................................................................................................. 4-14

4.3.2.3 Benefits.................................................................................................... 4-14

Table of Contents xv

4.3.2.4 Options .................................................................................................... 4-14

4.3.2.5 Order Information .................................................................................... 4-144.4 Interconnection Wiring Diagram................................................................................... 4-15

4.4.1 General Notes .................................................................................................. 4-174.4.2 Laser Positioning Lights and Optional Bypass/Override Switch....................... 4-174.4.3 Room Lighting .................................................................................................. 4-17

4.4.3.1 Room Lights, Setup Lights, Laser Positioning Lights, and CCTV ........... 4-17

4.4.3.2 Setup Lights............................................................................................. 4-18

4.4.3.3 Main Room Lights.................................................................................... 4-184.4.4 Safety Device Systems .................................................................................... 4-18

4.4.4.1 Beam-On Warning Lights ........................................................................ 4-18

4.4.4.2 Beam Ready Warning Light..................................................................... 4-19

4.4.4.3 Beam-Off Light ........................................................................................ 4-19

4.4.4.4 X-RAY ON (OBI) Warning Light .............................................................. 4-19

4.4.4.5 Generator ON (OBI) Warning Light ......................................................... 4-19

4.4.4.6 Emergency-Off Switches ......................................................................... 4-19

4.4.4.7 Safety Door Interlock Switches................................................................ 4-194.4.5 Power Receptacles/Switches ........................................................................... 4-20

4.4.5.1 Setup Lights............................................................................................. 4-20

4.4.5.2 In-Room Monitor...................................................................................... 4-20

4.4.5.3 CCTV Camera......................................................................................... 4-20

4.4.5.4 Clinac Computer Components ................................................................ 4-20

4.4.5.5 ARIA Workstation Components (Optional) .............................................. 4-204.4.6 Relay Junction Box Varian VRJB-C3 ............................................................... 4-21

4.4.6.1 Application ............................................................................................... 4-21

4.4.6.2 Features .................................................................................................. 4-21

4.4.6.3 Benefits.................................................................................................... 4-21

4.4.6.4 Order Information .................................................................................... 4-22

CHAPTER 5 FINISHES ..............................................................................................................5-15.1 Typical Control Equipment Casework ............................................................................ 5-15.2 General Room Storage Requirements........................................................................... 5-65.3 Typical Accessory Storage Dimensions......................................................................... 5-75.4 Carpeting, Vinyl, Wood, and Other Flooring Requirements ......................................... 5-105.5 Acoustical Requirements ............................................................................................. 5-105.6 Typical Closed Circuit Television (CCTV) System ....................................................... 5-105.7 Ceiling Finishes............................................................................................................ 5-12

APPENDIX A HIGH ENERGY CLINAC PRE-INSTALLATION CHECKLIST..............................A-1

APPENDIX B RESPIRATORY GATING PRE-INSTALLATION CHECKLIST ............................B-1

APPENDIX C CALYPSO PRE-INSTALLATION CHECKLIST....................................................C-1

xvi Table of Contents

APPENDIX D SHIPPING LISTS.................................................................................................. D-1D.1 Varian High Energy Clinac Shipping List (Typical)........................................................ D-1

GLOSSARY...................................................................................................................GLOSSARY-1

Table of Contents xvii

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xviii Table of Contents

List of Figures

CHAPTER 2

Figure 2-1 Typical Room Isometric View .......................................................................... 2-5

Figure 2-2 Typical Room Plan View.................................................................................. 2-7

Figure 2-3 Typical Room Section...................................................................................... 2-9

Figure 2-4 Plan View....................................................................................................... 2-11

Figure 2-5 Side Elevation................................................................................................ 2-13

Figure 2-6 Front Elevation .............................................................................................. 2-15

Figure 2-7 Shipping Configuration — Dimensions.......................................................... 2-16

Figure 2-8 Shipping Configuration — Weights................................................................ 2-17

Figure 2-9 Minimum Rigging Clearances, Standard Shipping Configuration.................. 2-18

Figure 2-10 Minimum Rigging Clearances, Factory Breakdown....................................... 2-19

CHAPTER 3

Figure 3-1 Treatment Room Overview, Sample Set-up.................................................... 3-1

Figure 3-2 Typical Clinac Conduit Diagram (Plan View)................................................... 3-5

Figure 3-3 Typical Clinac Conduit Diagram (Section View) .............................................. 3-7

Figure 3-4 Modulator Cabinet, Plan View ......................................................................... 3-9

Figure 3-5 Modulator Cabinet, Elevation View................................................................ 3-10

Figure 3-6 RPM Gating Camera with LCD Monitor......................................................... 3-11

Figure 3-7 RPM Gating Power Module ........................................................................... 3-11

Figure 3-8 RPM Gating Switch Box ................................................................................ 3-11

Figure 3-9 Respiratory Gating Installation – Typical Clinac Room Plan View ................ 3-12

Figure 3-10 Respiratory Gating Installation – Typical Clinac Room Section .................... 3-13

Figure 3-11 Wall-Mount Detail .......................................................................................... 3-14

Figure 3-12 Wall-Mount Camera Bracket, Varian-Furnished/Contractor-Installed ........... 3-14

Figure 3-13 RPM Ceiling Bracket (Option A) .................................................................... 3-15

Figure 3-14 Ceiling-Mount Camera Bracket, Varian-Furnished/Contractor-Installed ....... 3-15

Figure 3-15 RPM Ceiling Bracket (Option B) .................................................................... 3-16

Figure 3-16 Ceiling-Mount (Option B) Camera Bracket – Installed................................... 3-16

Figure 3-17 Gating Installation – Typical CT Room Plan.................................................. 3-19

Figure 3-18 Gating Installation – Typical CT Room Section ............................................. 3-20

Figure 3-19 CT Couch Mount Kit – Side View .................................................................. 3-21

Figure 3-20 CT Couch Mount Kit – Front View................................................................. 3-21

Figure 3-21 Gating Storage Bracket Detail ....................................................................... 3-22

Figure 3-22 Gating Storage Bracket and Cable Management – Sample View (Cabinet not Included) ................................................................................... 3-22

xix

Figure 3-23 Cable Management – Sample View .............................................................. 3-22

Figure 3-24 Respiratory Gating Installation – Typical Acuity Room Plan ......................... 3-23

Figure 3-25 Respiratory Gating Installation – Typical Acuity Room Section .................... 3-24

Figure 3-26 Typical Wall-Mount Installation...................................................................... 3-25

Figure 3-27 Typical Ceiling-Mount Installation.................................................................. 3-25

Figure 3-28 Treatment Room Console ............................................................................. 3-26

Figure 3-29 Array Panel.................................................................................................... 3-26

Figure 3-30 Touch Screen Computer ............................................................................... 3-26

Figure 3-31 Treatment Room Console Components........................................................ 3-26

Figure 3-32 Infrared Camera ............................................................................................ 3-27

Figure 3-33 Camera Power Supply and Hub Unit ............................................................ 3-27

Figure 3-34 Optical System Components......................................................................... 3-27

Figure 3-35 Tracking Station, Keyboard, Monitor, and Mouse ......................................... 3-28

Figure 3-36 Beacon Transponder..................................................................................... 3-29

Figure 3-37 Radiation Detector......................................................................................... 3-30

Figure 3-38 Calypso System Conduit Diagram – Typical Plan View ................................ 3-32

Figure 3-39 Preferred Ceiling Mount Load Plate Locations – Plan View (Cartesian Dimensions)................................................................................. 3-34

Figure 3-40 Preferred Ceiling Mount Load Plate Locations – Plan View (Polar Dimensions)........................................................................................ 3-35

Figure 3-41 Preferred Ceiling Mount Load Plate – Typical Section.................................. 3-36

Figure 3-42 Acceptable Ceiling Mount Load Plate Locations – Plan View (w/Cantilever Extension Bar)......................................................................... 3-38

Figure 3-43 Calypso Infrared Camera – Typical Elevation ............................................... 3-39

Figure 3-44 Ceiling Mount Load Plate – Infrared Camera ................................................ 3-40

Figure 3-45 Ceiling Mount Load Plate – Isometric............................................................ 3-40

Figure 3-46 Cantilever Extension Bar............................................................................... 3-41

Figure 3-47 Camera with Cantilever Extension Bar.......................................................... 3-41

Figure 3-48 OSMS Camera .............................................................................................. 3-42

Figure 3-49 OSMS Power Supply Unit (PSU) .................................................................. 3-42

Figure 3-50 OSMS System Conduit Diagram – Typical Plan View .................................. 3-44

Figure 3-51 OSMS Camera Mount Locations – Plan View............................................... 3-45

Figure 3-52 OSMS Camera Mount Locations – Section View.......................................... 3-46

Figure 3-53 OSMS Camera – Typical Elevation............................................................... 3-47

Figure 3-54 Ceiling Mount Load Plate – OSMS Camera.................................................. 3-48

Figure 3-55 Minimum Coolant Flow Requirements .......................................................... 3-50

Figure 3-56 Coolant Diagram ........................................................................................... 3-51

Figure 3-57 Clinac Baseframe Pit Dimensions ................................................................. 3-59

Figure 3-58 Clinac Baseframe Installed............................................................................ 3-60

xx List of Figures

Figure 3-59 Grout After Baseframe Installation ................................................................ 3-61

Figure 3-60 Clinac Installed on Baseframe....................................................................... 3-62

Figure 3-61 Standard Side Cable Access Plan and Section at Pull Box .......................... 3-63

Figure 3-62 Alternate Bottom Cable Access Plan and Section at Pull Box ...................... 3-64

Figure 3-63 Alternate Recessed Floor Duct Cable Access Plan and Section at Pull Box 3-65

Figure 3-64 Typical Cooling Line Access Plan ................................................................. 3-66

Figure 3-65 Clinac In-Room Monitor Wall Mount.............................................................. 3-68

Figure 3-66 Typical Plan ................................................................................................... 3-69

Figure 3-67 Laser Positioning Light .................................................................................. 3-70

Figure 3-68 Standard Laser Mounting Details (Recessed in Wall) – Plan View............... 3-71

Figure 3-69 Standard Laser Mounting Details (Recessed in Wall) – Elevation View ....... 3-72

Figure 3-70 Standard Laser Mounting Details (Recessed in Wall) – Section View .......... 3-73

Figure 3-71 Ceiling Mount Detail ...................................................................................... 3-74

CHAPTER 4

Figure 4-1 Ground/Earthing Conductor Diagram.............................................................. 4-3

Figure 4-2 Interconnection Wiring Diagram .................................................................... 4-15

CHAPTER 5

Figure 5-1 Typical Clinac Control Equipment Layout (Elevation) ..................................... 5-1

Figure 5-2 Clinac Control Equipment Details.................................................................... 5-3

Figure 5-3 ARIA Treatment Workstation (Optional) .......................................................... 5-5

Figure 5-4 Typical Room Storage Elevation ..................................................................... 5-6

Figure 5-5 Wedge Storage................................................................................................ 5-7

Figure 5-6 Block Storage .................................................................................................. 5-8

Figure 5-7 Applicator Storage........................................................................................... 5-9

Figure 5-8 Typical CCTV System Diagram..................................................................... 5-11

Figure 5-9 Typical Reflected Ceiling Plan....................................................................... 5-13

List of Figures xxi


xxii List of Figures

List of Tables

CHAPTER 2

Table 2-1 Typical Shielding for Standard Procedures......................................................2-1

Table 2-2 Typical Shielding for Standard Procedures with 50% IMRT of a Factor F=3...2-1

Table 2-3 Typical Shielding for SRS Procedures with 20% IMRT of a Factor F=3..........2-2

Table 2-4 Concrete to Lead and Steel Ratios..................................................................2-2

Table 2-5 Tenth Value Layer (TVL) for Concrete vs. X-Ray Energy ................................2-2

Table 2-6 Typical Minimum Clinac Room Door Shielding................................................2-3

Table 2-7 Quality of X-Ray Beams (BJR 11 vs. BJR 17 Values) .....................................2-3

CHAPTER 3

Table 3-1 Gating/CT Compatibility Matrix......................................................................3-17

Table 3-2 Ideal Mechanical Specifications.....................................................................3-49

Table 3-3 Dual Energy Clinac Coolant Requirements ...................................................3-52

Table 3-4 Coolant Specifications for External and Internal Water Sources ...................3-53

CHAPTER 4

Table 4-1 Recommended Power Specification Summary ...............................................4-1

Table 4-2 Clinac Linear Accelerator Power Requirements..............................................4-7

Table 4-3 OBI Option Power Requirements ..................................................................4-12

xxiii


xxiv List of Tables

Chapter 1 Introduction

Varian Medical Systems manufactures a high energy line of Clinac® linear accelerators with Trilogy at the top of this line. The Clinac accelerator is fully configurable and extremely versatile. Varian's accelerators, enable clinicians to pick the best treatment option with a wide range of practical therapy choices. All Clinac accelerators can be configured with a 120 MLC, real-time position verification and motion management with the use of the On-Board Imager® kV imaging system and the Real-time Position Management™ system. The Clinac series accelerator delivers extremely reliable dose at high dose rates with very high accuracy. These vital tools help clinicians achieve personalized cancer care and help to make cancer a manageable disease.

1.1 Technical Key Features

Clinac Accelerator

Two (2) Full Field (40 x 40) 600 MU/Min. Photon Energies.

Special 6MV Radiosurgery Beam @ 1000 MU/Min. (Trilogy only).

Six (6) Electron Energies.

Optional Millennium 52-Leaf, 80-Leaf, or 120-Leaf Multileaf Collimator.

Integrated MV Portal Imaging system with 512 x 384 resolution on the standard aS500-II Imager or with 1024 x 768 resolution on the optional aS1000 MV Imager.

Standard 1.0mm radius Isocenter (Gantry/Collimator), 2.0mm radius Isocenter (Gantry/Collimator/Couch). .5mm and .75mm radii, respectively, for FBIA option or Trilogy.

Klystron Driven system.

Triode Electron gun enabling advanced capabilities such as Respiratory Gating of radiation beam during delivery.

Note: Additional items may be required to perform this capability.

On-Board Imaging (OBI) (optional)

Gantry mounted Oil cooled kV X-ray tube and Amorphous Silicon Imaging panel.

Robotic arms allowing both in room and console area control for retracting imaging system and moving into position.

Radiographic Mode: Allowing Stereoscopic Imaging including Marker matching mode.

Cone Beam CT: 3D Imaging with full 3D Volumetric Matching Capabilities.

Allowing sub-cGy volumetric Cone Beam CT acquisition in both full (360 degrees) and half rotation (200 degrees) modes.

Fluoroscopic Mode: Allowing Pre-treatment Fluoro verification of treatment field.

1-1

Supported Accelerator Models High Energy Clinac Edition

Respiratory Gating (RPM) (optional)

Real time Tumor Position Management.

Infra-Red Video Camera and bracket.

LCD for displaying patient marker motion.

Integrated workstation with Clinac Control.

This document provides essential information and detailed descriptions about the High Energy Clinac’s installation requirements.

Note: Varian highly recommends you read this document prior to the baseframe and pre-installation kit delivery. To ensure a simple and timely system installation, several pre-working/pre-assembly steps must be accomplished. It is also very important to inform Varian of all information regarding the hospital’s electrical and spatial conditions.

Appendix A “High Energy Clinac Pre-Installation Checklist” includes a checklist that you can use to ensure that all listed requirements are completed and finalized.

1.2 Supported Accelerator Models

This Designer’s Desk Reference (DDR) – High Energy Clinac Edition describes equipment facility requirements for the following Varian High Energy medical linear accelerators:

Clinac 2100C/D

Clinac 2300C/D

Clinac 21EX

Clinac 23EX

Clinac iX

Trilogy

Note: This DDR does not apply to TrueBeam™, TrueBeam STx, HE Clinac Silhouette Edition, Novalis Tx, or Novalis Tx Silhouette Edition.

For unsupported accelerators, as described above, and planning assistance, contact your Regional Planner or Varian’s Global Planning Department at:

Varian Medical SystemsPlanning Group, Site Solutions – Services660 N. McCarthy Blvd., Milpitas, CA 95035Phone: (800) 278-2747 or (408) 232-4231Email: [email protected]/us/oncology/services_and_support/architectural_planning/contact.html

1-2 Chapter 1 Introduction

www.varian.com/us/oncology/services_and_support/architectural_planning/contact.html

High Energy Clinac Edition High Energy Clinac Installation Timeline Description

1.3 High Energy Clinac Installation Timeline Description New installations of Varian’s High Energy (HE) linear accelerators typically consist of the Clinac iX with the On Board Imager (OBI) option or the Trilogy w/ Stereotactic Radiosurgery (SRS) and OBI. The HE Clinac or Trilogy installation currently takes between 4 and 5 weeks from Delivery and Rig-In through completion of the Linear Accelerator and, if included, the RPM Respiratory Gating and/or Varian Optical Guidance (VOG) Installation Product Acceptance (IPA). The installation process cannot be split based on its subsystems.

The IPA for the Clinac or Trilogy will begin no later than the 4th week, barring unforeseen conditions, and will require full-time services of the site physicist.

Optional subsystems, such as RPM Respiratory Gating or Varian Optical Guidance, will be installed in parallel with the Clinac/Trilogy. The RPM IPA and/or VOG IPA will take place immediately following completion of the Clinac/Trilogy IPA.

The Sample timeline is based on the following assumptions and is in a perfect world scenario.

The Design & Planning, Contract Bid & Mobilization, and Construction processes shall take 5 weeks, 3 weeks, and 9 weeks, respectively, after the placement of the HE accelerator order. Activities prior to order placement are not considered in this timeline.

The accelerator rig date shall be no earlier than 120 days after the order initiation date. This is Varian's standard manufacturing lead time.

The Baseframe shall be installed ~30 days prior to the accelerator rig date.

All pre-installation dates and considerations are individually scheduled by the Varian Project Manager, based on mutual agreement between the customer and project manager and communications with Varian Planning and Sales. The District Sales Manager will coordinate with the customer and the Varian Project Manager for a Configuration Confirmation Meeting or conference call. The Project Manager will engage the customer with regular communications throughout all phases of the project. In addition, the Project Manager typically performs site visits to help answer questions and observe construction progress. Site visits are commonly held for the Initial Site Meeting/Project Kickoff, the Baseframe Pre-Installation Inspection or the Baseframe installation, and the Construction Completion/Pre-Installation Final Inspection. This final visit typically occurs 10-14 days prior to the rig date to verify 100% completion as defined by the HE Clinac Final Checklist.

Chapter 1 Introduction 1-3

High Energy Clinac Installation Timeline Description High Energy Clinac Edition


1-4 Chapter 1 Introduction

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High Energy Clinac Installation Timeline Description

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eek 10 Week 11 Week 12 Week 13 Week 14 Week 15 Week 16 Week 17 Week 18 Week 19 Week 20 Week 21 Week 22 Week 23 Week 24 Week 25 Week 26 Week 27 Week 28Month 3 Month 4 Month 5 Month 6 Month 7

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eplep e



ID Task Name Duration Start

0 High Energy Clinac Timeline - Sample w/ RPM Respiratory Gating 193 days Mon 01/06/201 Project Launch 35 days Mon 01/06/202 Receive Installation Request (GPOT) 1 day Mon 01/06/203 Create project, include all equipment / upgrades 1 day Tue 01/07/204 Send Letter of Introduction to Client 1 day Tue 01/07/205 Prepare ALL Sales Orders & Project Folders 1 day Tue 01/07/206 Ensure Customer has DDR Iinformation 1 day Wed 01/08/207 Review Sales Order w/ Sales and Contract Admin 1 day Tue 01/14/208 Schedule customer kick-off meeting / site visit 1 day Wed 01/15/209 Obtain Drawing Review from Varian Planning 3 wks Wed 01/15/20

10 Confirm Drawing Review Comment Responses 2.6 wks Wed 02/05/2011 First Site Visit 5 days Wed 01/29/2012 Joint Initial Site Meeting 0 days Wed 01/29/2013 Review Sales Order & Customer's P.O. 1 day Thu 01/30/2014 Review Pre-Installation Check List 1 day Thu 01/30/2015 Verify Pulse Cables Less than 50Ft 1 day Thu 01/30/2016 Coordinate Room Readiness and Delivery Dates 1 day Thu 01/30/2017 Deliver State's Radiation License Letter 1 day Thu 01/30/2018 Prepare & Distribute Site Visit Report 1 day Fri 01/31/2019 Remedy Sales Order Problems 3 days Mon 02/03/2020 Initial Site Meeting Follow-up Complete 0 days Wed 02/05/2021 Customer Site Preparation 85 days Mon 01/06/2022 Existing Equipment Removal (If Applicable) 1.5 days Sat 02/29/2026 Desing and Planning 5 wks Mon 01/06/2027 Bid Process and Mobilization 3 wks Mon 02/10/2028 Construction/ Site Preperation 9 wks Mon 03/02/2029 High Energy Clinac Project 148 days Mon 03/09/2030 HE Clinac Pre-Installation Coordination 44 days Mon 03/09/2031 MICAP Recived by Customer 0 days Mon 04/13/2032 MICAP Submitted by Customer & Posted to FTP Website 0 days Fri 04/17/2033 Issue Argus / Argus IMRT Pre-Install Survey 0 days Mon 04/20/2034 Request HE Clinac S/W Support 0 days Mon 04/13/2035 Schedule Outside Vendor Shipping & Delivery 1 day Mon 03/09/2036 Baseframe Coordination 1 day Mon 03/09/2037 Confirm Baseframe Configuration, Availability & Shipping D 1 day Mon 03/09/2038 Schedule Baseframe installation with Site Contractor 1 day Mon 03/09/2039 Issue Baseframe Ship Request 1 day Mon 03/09/2040 Schedule Baseframe Rigger (3 week lead-time) 1 day Mon 03/09/2041 Pre-Baseframe Installation Visit 2 days Tue 03/17/2042 Complete Pre-Baseframe Installation Inspection 1 day Tue 03/17/2043 Obtain conduit lengths from Contractor 1 day Tue 03/17/2044 Release Baseframe for Delivery 1 day Wed 03/18/2045 Baseframe Installation - HE Clinac 1 day Tue 03/31/2046 Request Interconnect Cables (3 week lead time) 1 day Fri 04/24/2047 Final Site Coordination 12 days Wed 04/22/2048 Issue HE Clinac Ship Request 1 day Mon 04/27/2049 Confirm Extended Rigging Contractor 1 day Wed 04/22/2050 Inform Applications Department of Rig Dates 1 day Wed 05/06/2051 Final Site Inspection 3 days Tue 05/05/2052 Complete Pre-Installation Checklist 1 day Tue 05/05/2053 Confirm Radiation License Requirements Complete 1 day Tue 05/05/2054 Distribute Site Status and Pre-Installation Checklist 1 day Tue 05/05/2055 Confirm All Site Readiness Items Complete 1 day Thu 05/07/2056 Release Equipment for Delivery 1 day Tue 05/05/2057 HE Clinac System Installation 39 days Tue 05/05/2058 Clinac Installation 26 days Fri 05/15/2059 HE Clinac Start 1 day Fri 05/15/2060 Equipment Rig-In 2 days Fri 05/15/2061 Clinac Extended Rig-In 3 days Sun 05/17/2062 Electrical and Mechanical Setup/Test 23 days Mon 05/18/2063 Winston-Lutz Testing & Fine Isocenter Adjustment 1 day Tue 06/02/2064 4D ITC Installation & Integration 0 days Mon 06/01/2065 RPM Respiratory Gating Installation 25 days Tue 05/05/2066 Verify Customer Prep Complete - Clinac 1 day Tue 05/05/2067 Verify Customer Prep Complete - CT/Sim 1 day Tue 05/05/2068 Clinac RPM 1 day Wed 06/03/2069 RPM Clinac Start 0 days Wed 06/03/2070 Installation of Hardware 1 day Wed 06/03/2071 RPM Clinac Complete 0 days Wed 06/03/2072 CT/Sim RPM 3 days Wed 06/03/2073 RPM CT/Sim Start 0 days Wed 06/03/2074 Installation of Hardware 3 days Thu 06/04/2075 RPM CT/Sim Complete 0 days Mon 06/08/2076 Argus / Argus IMRT Installation 0 days Mon 06/01/2080 Customer Acceptance Testing 3 days Wed 06/10/2082 HE Clinac Complete 0 days Sat 06/13/2083 Physics Commissioning (Time Varies ) 2 wks Mon 06/15/2084 HE Clinac Education & Training 98 days Mon 05/18/2085 Varian Education - Las Vegas 98 days Mon 05/18/2086 Varian Education Cntr - OBI Clinical Implementation for Ph 5 days Mon 05/18/2087 Varian Education Cntr - OBI Clinical Implementation for RT 3 days Mon 05/18/2088 Varian Education Cntr - Cone Beam CT eLearning 0 days Fri 05/22/2089 Varian Education Cntr - Clinac Operations 4 days Fri 09/25/2090 Varian Education Cntr - Clinac Support 3 days Fri 09/25/2091 Varian Applications Training 5 days Wed 07/01/2092 HE Clinac Applications Training 2 days Wed 07/01/2093 OBI Applications Training 2 days Fri 07/03/2094 CBCT v1.3 Applications Training 1 day Tue 07/07/20

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Chapter 2 General System Information

2.1 Typical Room Shielding Tables

The shielding values found in these tables were based on the assumptions shown in “Radiation Shielding Details” on page 3-56. For more information on shielding, also see “Other Shielding Information” on page 3-58.

WARNING: Varian Medical Systems shall have no approval or other responsibility for any matter affecting or related to the adequacy of the radiation protection walls and barriers or related safety devices. All radiation shielding designs must meet codes and regulations of all Authorities Having Jurisdiction (AHJ) and must be approved by the Customer’s or Facility’s Physicist of Record and shall be the sole responsibility of the Customer/Facility. The hours of operation, patient workload, accelerator energy, and the shielding materials should all be taken in to consideration when calculating shielding requirements. Serious injury or Death can result from improper radiation shielding

Table 2-1 Typical Shielding for Standard Procedures

Primary Barrier 4MV 6MV 8MV 10 MV 15 MV 18 MV 20 MV

At 100% occupancy 66 (1676) 75 (1905) 84 (2134) 86 (2184) 91 (2311) 93 (2362) 96 (2438)

At 10% occupancy 53 (1346) 62 (1575) 70 (1778) 72 (1829) 75 (1905) 78 (1981) 80 (2032)

Secondary Barrier

At 100% occupancy 30 (762) 33 (838) 39 (991) 40 (1016) 43 (1092) 43 (1092) 44 (1118)

At 10% occupancy 21 (533) 22 (559) 27 (686) 28 (711) 30 (762) 31 (787) 32 (813)

Note: Inches (mm) of 147 lbs./cu. ft. (2355 kg/cu. M) Concrete.

Table 2-2 Typical Shielding for Standard Procedures with 50% IMRT of a Factor F=3

Secondary Barrier 4MV 6MV 8MV 10 MV 15 MV 18 MV 20 MV

At 100% occupancy 34 (864) 37 (940) 42 (1067) 43 (1092) 47 (1194) 47 (1194) 48 (1219)

At 10% occupancy 24 (610) 26 (660) 31 (787) 32 (813) 34 (864) 35 (889) 36 (914)


2-1

Typical Room Shielding Tables High Energy Clinac Edition

Table 2-3 Typical Shielding for SRS Procedures with 20% IMRT of a Factor F=3

Primary Barrier 6MV 10 MV

At 100% occupancy 81 (2057) 92 (2337)

At 10% occupancy 68 (1727) 77 (1956)

Secondary Barrier

At 100% occupancy 40 (1016) 46 (1168)

At 10% occupancy 29 (737) 35 (889)


Table 2-4 Concrete to Lead and Steel Ratios

4 MV 6 MV 8MV 10 MV 15 MV 18 MV 20 MV

Steel Primary Barrier 3.5 3.7 3.8 4.0 4.0 4.1 4.2

Secondary Barrier 3.2 3.5 3.6 3.6 3.8 3.8 3.9

Lead Primary Barrier 6.1 6.5 7.0 7.2 7.7 7.9 8.1

Secondary Barrier 5.4 6.2 6.3 6.6 7.0 7.0 7.0

Note: Inches (mm) of 147 lbs./cu. ft. (2355 kg/cu. M) Concrete Equal to Inches (mm) of Lead/Steel.

Table 2-5 Tenth Value Layer (TVL) for Concrete vs. X-Ray Energy

4 MV 6 MV 8 MV 10 MV 15 MV 18 MV 20 MV

Primary Beam X-Rays 11.4 (290) 13.5 (343) 14.3 (363) 15.3 (389) 17.0 (432) 17.5 (445) 18.0 (457)

Leakage X-Rays (90°) 10.0 (254) 11.0 (279) 11.5 (292) 12.0 (305) 13.0 (330) 13.0 (330) 13.5 (343)


2-2 Chapter 2 General System Information

High Energy Clinac Edition Typical Room Shielding Tables

Table 2-6 Typical Minimum Clinac Room Door Shielding

4 MV 6 MV 8 MV 10 MV 15 MV 18 MV 20 MV

Lead 1/8 (3) 1/8 (3) 1/4 (6) 1/4 (6) n/a n/a n/a

Wood 2 (51) 2 (51) 3 (76) 3 (76) n/a n/a n/a

Lead n/a n/a n/a n/a 1/4 (6) 3/4 (19) 3/4 (19)

5% Borated Polyethylene n/a n/a n/a n/a 3 (76) 4 (102) 5 (127)

Steel-Both Sides n/a n/a n/a n/a 1/4 (6) 1/4 (6) 1/4 (6)

Note: Thickness in Inches (mm).

Table 2-7 Quality of X-Ray Beams (BJR 11 vs. BJR 17 Values)

X-Ray Energy (MV)

BJR 11 Value 4 6 8 10 15 18 20

BJR 17 Value 4 6 8 10 16 23 25

Note: % of Primary X-Ray Dose at Isocenter.

Chapter 2 General System Information 2-3

Typical Room Shielding Tables High Energy Clinac Edition



2-5

Typical Room Isometric View

m Isometric View

HE002-0

t-up lights. e lights so ear visibility for safe

ncy-off switches.

Beam-on and x-ray on lights.

atment

Line of Base Frame pit.

Clinac Dual EnergyStand/Gantry Assembly

The patient's position on the Couch is fixed by body markings that are aligned with "cross hairs" cast by the laser lights. Two wall laser positioning lights at isocenter height, a ceiling laser and the sagittal laser are powered by a common circuit controlled via the user interface in the Control Room or Couch Pendant or Couch Side Panels, through a relay. Lasers are usually distributed and installed, at the Customer's option, by Varian. The Customer is responsible for verification of laser types and mounting configurations.

A sink with running hot and cold water is highly recommended in Clinac rooms. A hose spigot is necessary to fill the water phantom and a drain is necessary to service the Clinac's internal cooling system and drain the water phantom. Floor drains and floor sinks should not be located in the room to avoid possible backup into the equipment floor recesses. Do not run water lines directly above the Clinac components or control console.

ModulatorCabinet

Provide beam-on and x-ray on warning lights in the treatment room, and over the door, or at eye level adjacent to the door outside the treatment room. They are usually located adjacent to the emergency-off switches. They indicate beam-on condition and may be required to blink when the beam is on. Verify local requirements with regional regulatory agencies.

Provide emergency-off switches in room (normally closed type, manual reset). In addition to the switches required as part of the room, emergency-off devices are built into the Clinac Stand and Couch, Console and at the Clinac Modulator. Adequate switches must be provided in Clinac rooms so that one need not pass through the primary beam to disable the Clinac. Do not locate emergency-off switches in primary beam. Locate switches to avoid inadvertent contact, such as by gurneys or carts. Verify all requirements with regional regulatory agencies.

This is the secondary shielding.



2.2 Typical Room Isometric View

Figure 2-1 Typical Roo

Isocenter - This is the primary reference point for Varian equipment. Show the isocenter location clearly on all relevant drawings. Maintain the isocenter location on site by extending perpendicular axis lines along slab and up walls in all four directions. The standard isocenterheight for HE Linac is 4'-3" (1295)

This is the primary beam shielding.

Exposed grid ceilings allow for access to the overhead laser and relay junction box without the use of access doors. Major service at the equipment Stand is simplified where there are removable ceiling tiles. Coordinate the layout of ceiling tile to ensure that ceiling support system shall not interfere with overhead laser positioning light beam port.

In-Room Monitor

Bulk and shelf storage are required for Varian accessories and various materials used for therapy. The Varian-supplied Accessories include Electron Applicators (cones), Wedges, and other field-defining devices.

Provide one or two CCTV cameras in the room. The CCTV cameras are usually located approximately 15 degrees off each side of the equipment's longitudinal axis. Consult with the Customer for desired location. Provide a power receptacle and signal conduit from the control equipment area at each camera. Do not locate cameras in the primary beam path. Refer to the CCTV System manufacturer's literature for conduit, mounting and installation requirements.

Provide a two-way patient monitoring intercom system. The in-room intercom may be wall and/or ceiling mounted and should be voice-activated or continuous-on. The intercom at the control equipment area should be push-to-talk. Provide a signal conduit from the control equipment area and power to the intercom. Refer to the intercom manufacturer's literature for conduit, mounting and installation requirements.

Provide a dimmer switch for seThis switch is used to adjust thillumination level of the set-up that they are dim enough for clof the lasers, but bright enoughmovement through the room.

Emerge

Exact TreCouch

The layouts shown on DDR drawings represent typical plans only. Clearances and wall thickness may vary.



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2-6

Typical Room Isometric View


2-7

Typical Room Configuration

oom Plan View

purposes lding

This is the recommended dimension to concrete. Recommended face of concrete dimensions assume up to 6" (152) of wall furring.

equipment rk

IGRT h Top

rd.

whense.

Clinac Dual Energy Stand & Gantry

Modulator Cabinet

ended in Clinac tom and a drain tem and drain the be located in the recesses. Do not r control console.

Primary beam shielding

Extent of primary beam. The total beam angle is 28 degrees (14 degrees either side of isocenter). Primary barrier shielding should extend a minimum 1'-0” (305) beyond edge of the primary beam. Do not locate sensitive electronic equipment (for example, In Room Monitor) in the primary beam path.

There are no recognized acoustical standards for therapy rooms. The primary sound source on dual energy Clinac systems is the Modulator Cabinet. Varian has met no acoustical problems when the Modulator is located in the treatment room. The patients are in the room for a very short time and some seem reassured by the changing sound levels as the machine goes through its cycles. Noise is a concern, however, when the Modulator Cabinet is located next to therapists or others who are exposed to it often. Placing the Modulator in a nearby closet is acceptable. Consult with the Customer regarding preferred location. The use of acoustically absorbent materials is recommended.

This is the recommended dimension to concrete for typical procedures. Recommended face of concrete dimensions assume up to 4" (102) of wall furring. Approximately 16'-6" (5029) isocenter to wall distance may be required at one side of Couch. Consult with Customer.

Line of Base Frame pit

This dimension is provided for illustrative purposes only. Actual dimensions will vary with shielding requirements and construction practices.



The two side laser positioning lights are located on the side walls at isocenter height.



2.3 Typical Room Configuration

Figure 2-2 Typical R

Provide a minimum 4'-0" x 7'-0" (1219 x 2134) clear opening for equipment clearance at radiation shielded entrance doors to treatment rooms. This clearance allows proper access for rigging Varian equipment.

The amount and type of shielding on treatment room entrance doors have varying requirements based on the presence and length of the maze, and the energy of the Clinac. Generally, low energy Clinacs will require wood doors with a lead core and manual operation. Dual Energy Clinacs usually require steel doors with a lead and borated polyethylene core and motorized operation. Exact Clinac door shielding requirements are dependent on maze and shielding configuration. See typical minimum suggested door shielding.

The In-Room Monitor should be located where the operator can observe it without turning away from either the machine or patient on the couch. The monitor provides information during patient setup and it is unsafe to turn away from the patient while the machine is moving and the patient is on the couch. The In-Room Monitor may be mounted on a wall, ceiling, or shelf. Do not locate the In-Room Monitor in the primary beam path.

The Exact Couch with IGRT couch top is standard with HE ClinacThe maximum Couch Arc clearance is 9'-0" (2743) - recommended.The minimum REQUIRED Full Couch Arc clearance is 8'-4 1/2" (2553).

The recommended couch arc clearance allows complete rotation of the Couch at its maximum radius (retracted). Obstructions inside the minimum required couch arc are unacceptable. However, obstructions between the minimum required couch arc and the maximum couch arc may be acceptable provided they are reviewed and approved by Varian and the Customer. In specific situations, such as dynamic stereotactic treatment, a larger area may be required.

The sagittal laser positioning light is located on the wall at the end of the longitudinal couch axis. Unlike the side lasers, which are at isocenter height, the sagittal laser is typically mounted at a laser output height of 7'-6" (2286) above the floor.

Verify adequate equipment access into room and around maze.

Isocenter - This is the primary reference point for Varian equipment. Show the isocenter location clearly on all relevant drawings. Maintain the isocenter location on site by extending perpendicular axis lines along slab and up walls in all four directions. The standard isocenter height for HE Clinac is 4'-3" (1295).

The layouts shown on DDR drawings represent typical plans only. Clearances and wall thickness may vary.

Secondary shielding

This dimension is provided for illustrative only. Actual dimensions will vary with shierequirements and construction practices.

Control casewo

ExactCouc

In RoomKeyboaStore insecurelocationnot in u

A sink with running hot and cold water is highly recommrooms. A hose spigot is necessary to fill the water phanis necessary to service the Clinac's internal cooling syswater phantom. Floor drains and floor sinks should not room to avoid possible backup into the equipment floorrun water lines directly above the Clinac components o

OptionalVVS System

Optional RPM Gating Camera

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2-8



2-9


Room Section

A steel frame is used to anchor the Clinac Stand, Gantry, and Couch to the facility. The frame is set in a recessed equipment pit, leveled (by Varian), and held in place with grout. Base Frames are positively anchored to the slab to avoid floating during grout placement. Verify anchorage details with your Installation Project Manager office. Varian information regarding pit design assumes a ground floor installation. Upper floor installations require a thorough review by a qualified structural engineer. In typical installations, Base Frames for Clinacs are not positively anchored sufficiently to accommodate seismic loads. All seismic anchoring is by the Customer. Sample seismic calculations and details of the preferred anchoring methods for Clinacs are available from the Planning Department.

e

t n ht

The dimension is provided for planning purposes only. Actual dimensions will vary with shielding requirements and construction practices.

ad laser positioning light irectly over the isocenter.

This is the recommended minimum clear dimension to the ceiling over the equipment Stand and Gantry.

For information on the ceiling requirements, see Section 5.7.

posed grid ceilings allow for access to the overhead laser and relay ction box without the use of access doors. Major service at the uipment Stand is simplified where there are removable ceiling tiles. ordinate the layout of ceiling title to ensure that ceiling support system all not interfere with overhead laser positioning light beam port.

This is the recommended minimum dimension to concrete above. This dimension allows minimum clearance for laser and utilities above ceiling.



Figure 2-3 Typical

The layouts shown on DDR drawings represnet typical plans only. Clearances and wall thickness may vary.

Isocenter - This is the primary referencpoint for Varian equipment. Show the isocenter location clearly on all relevandrawings. Maintain the isocenter locatioon site by extending perpendicular axislines along slab and up walls in all fourdirections. The standard isocenter heigfor HE Clinac is 4’-3” (1295).

The sagittal laser positioning light is located on the wall at the end of the longitudinal couch axis. Unlike the side lasers, which are at isocenter height, the sagittal laser is typically mounted at a laser output height of 7’-6” (2286) above the floor.

Optional RPM Gating Camera

The overheis located d

This is the recommended height above the fiinished floor

ExjuneqCosh

The ceiling height recommendation shown at the equipment applies to the area over the Clinac Stand and Gantry. The ceiling height may be lowered as desired in the remainder of the room and maze.

To reduce radiation exposure outside room, air handling ducts should enter/exit the room through penetration(s) above the maze door. The ducts should be placed as high as possible in order to minimize radiation exposure to occupied space. The ducts should be designed to minimize the area of penetration through the wall. in most cases, duct shielding will not be required, provided the duct design conforms to this criteria. Clear space should be left around the duct (outside the treatment room) for shielding retrofit, in case the post installation radiation survey indicates a requirement. Penetration, including ducts, directly into the treatment room should be avoided. For no-maze treatment rooms, duct design and shielding must be addressed by the Physicist of Record.

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2-10



2-11

Detail – Plan View

lan View

This is the recommended minimum clear distance to the side wall for full couch rotation. Provide adequate additional clearance for side lasers.

Isocenter - This is the primary reference point for Varian equipment. Show the isocenter location clearly on all relevant drawings. Maintain the isocenter location on site by extending perpendicular axis lines along slab and up walls in all four directions. The standard isocenter height for HE Clinac is 4'-3" (1295).

Provide adequate clearance that is free of obstructions in the equipment service access area.

This is the recommended dimension to face of concrete. This dimension assumes up to 4" (102) of wall furring.

The Exact Couch can rotate ± 100° about isocenter from the longitudinal axis line.

The couch top has a lateral range of 9.8" [250] to either side of the centerline of the Exact Couch.



2.4 Detail – Plan View

Figure 2-4 P

This is the dimension from the isocenter to the target, which is the source of x-ray production and is used to locate the primary beam spread.

Extent of primary beam. The total beam angle is 28 degrees (14 degrees either side of isocenter). Primary barrier shielding should extend a minimum 1'-0" (305) beyond edge of the primary beam. Do not locate sensitive electronic equipment, for example, In Room Monitor) in the primary beam path.

This is the recommended dimension to face of concrete. This dimension assumes up to 6" (152) of wall furring.

High Energy Stand & Gantry

This is the minimum clear dimension from Isocenter to the back finished wall. This minimum clearance allows for proper service, installation and air circulation.

Face of finished wall

Face of concrete

The Exact Couch with IGRT Couch top is standard with the HE Clinac. The maximum Couch Arc clearance is 9'-0" (2743) - recommended.The minimum REQUIRED Full Couch Arc clearance is 8'-4 1/2" (2553).

The recommended couch arc clearance allows complete rotation of the Couch at its maximum radius (retracted). Obstructions inside the minimum required couch arc are unacceptable. However obstructions between the minimum required couch arc and the maximum couch arc may be acceptable provided they are reviewed and approved by Varian and the Customer. In specific situations, such as dynamic stereotactic treatment, a larger area may be required.

The couch top must be able to extend out to the maximum distance of 8'-9" [2667] at a minimum of at least one angle along the couch rotation arc for calibration testing.

Minimum require couch arc

Longitudinal axis line



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2-12

Detail – Plan View


2-13

Detail – Elevations

Elevation


This is the recommended minimum clear dimension to the ceiling over the equipment Stand and Gantry.

For information on the ceiling requirements, see Section 5.7.

This is the recommended minimum dimension to concrete above. This dimension allows minimum clearance for laser and utilities above ceiling.



2.5 Detail – Elevations

Figure 2-5 Side

Exact IGRT Couch Top

Treatment Couch


Isocenter - This is the primary reference point for Varian equipment. Show the isocenter location clearly on all relevant drawings. Maintain the isocenter location on site by extending perpendicular axis lines along slab and up walls in all four directions. The standard isocenter height for HE Clinac is 4’-3” (1295).

Extent of primary beam. The total beam angle is 28 degrees (14 degrees either side of isocenter). Primary barrier shielding should extend a minimum 1’-0” (305) beyond edge of the primary beam. Do not location sensitive electronic equipment (i.e., In Room Monitor) in the primary beam path.



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2-14

Detail – Elevations


High Energy Clinac Edition Detail – Elevations

Figure 2-6 Front Elevation


Isocenter - This is the primary reference point for Varian equipment. Show the isocenter location clearly on all relevant drawings. Maintain the isocenter location on site by extending perpendicular axis lines along slab and up walls in all four directions. The standard isocenter height for the HE Clinac is 4'-3" (1295).



Shipping/Rigging Dimension Clearances High Energy Clinac Edition

2.6 Shipping/Rigging Dimension Clearances

Figure 2-7 Shipping Configuration — Dimensions

During installation, Clinac components must be stored in a secure area of about 250 square feet (23 square meters).

This is the maximum dimensionof the Clinac in its standard,shipping configuration.

This is the maximum dimension of theClinac in its optional, factory breakdown.In this configuration, the Clinac Stand andGantry are separated, at additional cost tothe Customer, to reduce the riggingclearances required.

Appropriate rolling equipment shallbe provided by the rigger.

A steel shipping pallet is provided by Varian.

HE005-1



Figure 2-8 Shipping Configuration — Weights

During installation, Clinac components must be stored in a secure area ofabout 250 square feet (23 square meters).



Figure 2-9 Minimum Rigging Clearances, Standard Shipping Configuration

This is a sample 90 degree rigging turn, Gantry firstorientation.

This is a sample 90 degree rigging turn, Stand firstorientation.

Provide a minimum 4'-0” x 7'-0" (1219 x 2134) clear opening for equipment clearance at radiation shielded entrance doors to treatment rooms. This clearance allows proper access for rigging Varian equipment.

Create an overlay sheet to simulate the Gantry rig clearances during the project planning stage. Use the DWG file to print the Gantry and Stand (plan-view) onto a clear sheet of acetate to ensure scale accuracy.

Verify adequate equipment access the entire rig path into treatment room. Rigging is defined as the positioning of the Base Frame and Clinac

or Acuity components into the treatment room. The Base Frame is rigged prior to the rest of the equipment and delivery must be scheduled by the construction Contractor with the Installation Project Manager. As designated in the final Varian/Customer Terms and Conditions of Sale, a rigging company is hired by the Customer or Varian to off-load these items from the truck and to move them through the facility and into the treatment room. The Customer’s architect and structural engineers shall review the entire rig route for adequate clearance and structural support. The work can include temporary demolition and shoring. Final equipment positioning is part of the rigging contract.

The dimensions shown on the rig route details are to face of finish and represent minimum configurations only. Verify adequate rigging clearances for specific site using the Shipping Configuration drawing to create an overlay. If the templates cannot be easily rotated through the maze without wall obstruction, review by a qualified Rigger will be required. Varian will review the installation route upon request. Coordinate all rigging with the Installation Project Manager. Final confirmation of rig route clearances and review of adequate structural support along the route is the responsibility of the Customer and the Structural Engineer of Record.



Figure 2-10 Minimum Rigging Clearances, Factory Breakdown

Create an overlay sheet to simulate the Gantry rig clearances during the project planning stage. Use the DWG file to print the Gantry (plan-view) onto a clear sheet of acetate to ensure scale accuracy.

Verify adequate equipment access into room and around maze.

Provide a minimum 4’-0” x 7’-0” (1219 x 2134) clear opening forequipment clearance at radiationshielded entrance doors totreatment rooms. This clearanceallows proper access for riggingVarian equipment.

This is a sample 90 degree rigging turn, stand first orientation.

The dimensions shown on the rig route details are to face of finish and represent minimum configurations only. Verify adequate rigging clearances for specific site using the Shipping Configuration overlay. If the templates cannot be easily rotated through the maze without wall obstruction, review by a qualified Rigger will be required. Varian will review the installation route upon request. Coordinate all rigging with the Installation Project Manager. Final confirmation of rig route clearances and review of adequate structural support along the route is the responsibility of the Customer and the Structural Engineer of Record.

Rigging is defined as the positioning of the Base Frame and Clinac or Acuity components into the treatment room. The Base Frame is rigged prior to the rest of the equipment and delivery must be scheduled by the construction Contractor with the Installation Project Manager. As designated in the final Varian/Customer Terms and Conditions of Sale, a rigging company is hired by the Customer or Varian to off-load these items from the truck and to move them through the facility and into the treatment room. The Customer’s architect and structural engineers shall review the entire rig route for adequate clearance and structural support. The work can include temporary demolition and shoring. Final equipment positioning is part of the rigging contract.





Chapter 3 Facilities Requirements

Figure 3-1 Treatment Room Overview, Sample Set-up

Optional CCTV System, see Section 5.6

3-1

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Cable Conduit/Ducts High Energy Clinac Edition

3.1 Cable Conduit/Ducts

CAUTION: The customer is responsible for permissibility of the installation at site with respect to applicable local or regional standards.

This might affect the choice of cable routes, number of conduits, specifications of mains power and data cables, and the choice of installation locations of system components.

The customer must be aware that fire protection engineering aspects (plenum rating) may be affected when installing cables and system components.

Ensure all components are placed so that the shortest cable length is sufficient.

Clinac conduit runs must not exceed 75 feet (22,860), box to box.

All conduits run underground shall be dry and watertight. Therefore, all PVC pipes must be glued together, and metal conduits must be properly sealed.

All conduits must be terminated with insulating bushings or similar means to protect cables from abrasion.

3.1.1 Circuit Breakers

3.1.1.1 Clinac Main Circuit Breaker Panel

The Clinac Main Circuit Breaker Panel is contractor provided. Locate the panel in sight and within 10 feet (3048) of the Clinac control console casework. The panel may be surface or semi-recessed mounted. For semi-recessed installations, 4" (100) of the enclosure may be recessed in the wall. For more information see Section 4.2.1.1 on page 4-8.

3.1.1.2 On-Board Imager (OBI) Circuit Breaker Panel

The OBI Circuit Breaker Panel is contractor provided. Locate the panel in sight and within 10 feet (3048) of the Clinac control console casework. The panel may be surface or semi-recessed mounted. For semi-recessed installations, 4" (100) of the enclosure may be recessed in the wall. For more information see Section 4.3.1 on page 4-12.

3-2 Chapter 3 Facilities Requirements

High Energy Clinac Edition Cable Conduit/Ducts

3.1.2 Pull/Junction Boxes

3.1.2.1 Control Equipment Pull Box

The Control Equipment pull box shall have a minimum size of 18" x 12" x 6" (450 x 300 x 150). This pull box may be wall mounted or accessed similar to details in “Baseframe Cable Access Details” on page 3-63. Locate this pull box so that the free ends of cables are protected from physical damage and located within 5'-0" (1524) of the Clinac Electronics Cabinet. As no connections are made at this location, many regulatory agencies do not require a pull box.

The Control Equipment Pull Box shall incorporate a #6-32 x 1" (M3.5 -0.7 x 25mm) screw stud, with lock washer and nut, to accommodate dedicated Ground or Earthing wires from multiple High Energy Subsystems. See “Dedicated Grounding Requirements” on page 4-2 for additional details.

3.1.2.2 Modulator Pull Box

The Modulator pull box is recessed into the floor slab and shall be 18" x 24" x 10" deep (450 x 600 x 250). As no connections are made at this location, many regulatory agencies allow a pull box to be formed within the concrete floor in lieu of requiring a metallic pull box. The size and location of the Modulator Pull Box is very specific, in order to ensure proper placement of the Modulator and Interconnect Cable access. See “Major System Components – Modulator Cabinet” on page 3-9 for further details

3.1.2.3 Baseframe Pull Box

Conduit termination/cable access to the Baseframe (BF) is accomplished one of 3 methods:

1. Standard, recessed pull box below the BF pit, see Figure 3-61.

2. Alternative, surface-mounted pull box, see Figure 3-62.

3. Alternative, trough-accessible, grout-free junction area at the rear of the BF pit, see Figure 3-63.

In methods 1 and 2 above, the BF pull box shall have a size of 12" x 24" x 10" deep (300 x 600 x 250). As no connections are made at this location, many regulatory agencies allow a pull box to be formed within the concrete BF pit floor in lieu of requiring a metallic pull box.

3.1.2.4 Signal Pull Box

Provide signal pull boxes for the following subsystems: In-Room Monitor, Optional RPM Gating, Optional VVS, and Optional CCTV Systems. This is a standard computer signal cable outlet. Provide a signal outlet and conduit from each item to the Accessory Pull Box (see Figure 3-2).

Chapter 3 Facilities Requirements 3-3

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Cable Conduit/Ducts High Energy Clinac Edition

3.1.2.5 Accessory Pull Box

Provide a 18" x 24" x 12" (450 x 600 x 300) Junction Box. Locate above the finished ceiling space near the foot of the couch. Vertical-mounting, on a wall or suspended from the concrete ceiling with side access, is recommended. This pull box serves as a collection/distribution point for the cable conduits between the Control Equipment Pull Box and all ancillary accelerator subsystems, such as the In-Room Monitor, Optional RPM Gating, Optional VVS, and CCTV Systems. Consequently, excess cable will be coiled and stored at this location.

The Accessory Pull Box shall incorporate a #6-32 x 1" (M3.5 -0.7 x 25mm) screw stud, with lock washer and nut, to accommodate dedicated Ground or Earthing wires from multiple Clinac Subsystems. See Section 4.1.4, Dedicated Grounding Requirements on page 4-2 for additional details.

3.1.2.6 Relay Junction Box

The Relay Junction Box (RJB) is contractor provided and is 21" x 17" x 7" (533 x 432 x 178). For more information, see Section 4.4.6 on page 4-21. The panel may be surface or semi-recessed mounted. For semi-recessed installations, 4" (100) of the enclosure may be recessed in the wall. Locate this junction box within 45'-0" (13,716) of the Modulator Pull Box.

Typically, the RJB is wall mounted above the acoustical tile ceiling. Service access to the RJB must be maintained; therefore, DO NOT locate the RJB directly above the Clinac Stand or any treatment room casework. Alternately, the RJB can be wall mounted so access can be obtained at standing level from the finished floor. We recommend that the RJB be located out of direct view and, in some instances, may be enclosed with shallow casework. Verify that the location and clearances comply with local codes. For further details, see Figure 3-2, Typical Clinac Conduit Diagram (Plan View) and Figure 3-3, Typical Clinac Conduit Diagram (Section View).

WARNING: To prevent injury during installation and service, DO NOT locate the RJB directly above the Clinac Stand, Modulator Cabinet, or casework.

DO NOT locate the RJB in the primary beam path.


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3-5

Cable Access Diagrams

duit Diagram (Plan View)


The OBI Circuit Breaker Panel is contractor provided, see Sections 3.1.1.2 and 4.3.1.

The Clinac Main Circuit Breaker Panel is contractor provided, see Sections 3.1.1.1 and 4.2.1.1.

Provide one 2” (50) conduit between OBI Circuit Breaker panel and the Base Frame pull box.

Provide one 2” (50) conduit between Main Circuit Breaker Panel and Modulator pull box.

Provide two 4" (100) conduits between the Control Console pull box and the Modulator pull box. The length of this cable run shall not exceed 75 feet (22,860).

The Modulator pull box is recessed into the floor slab and shall be 18” x 24" x 10" deep (450 x 600 x 250). See "Modulator Cabinet" drawing for pull box location. The cable access to this box shall be similar to Base Frame Cable Access Details.

Provide three 4” (100) conduits between the Base Frame pull box and the Modulator pull box. The length of this cable run shall not exceed 75 feet (22,860).

Provide two 2" (50) conduits between the Modulator pull box and the Relay junction box. The length of this cable run shall not exceed 45 feet (13,716).

As no connections are made at this location, many regulatory agencies do not require a Base Frame pull box. If a pull box is not used, keep this area free of grout. If required, provide a 12” x 24" x 10" deep (300 x 600 x 250) Base Frame pull box. Top access is required and the box shall extend 1/2” (13) above concrete.

The RJB is contractor provided and is 21" x 17" x 7" (533 x 432 x 178), see Sections 3.1.2.6 and 4.4.6.

x 12” (450 x 600 x 300) mounted in the ceiling ted near the Sagittal wall

tion 3.1.2.5.

WARNING: Conduit run lengths for Varian supplied cables

shall not exceed 75 feet (22,860).



3.2 Cable Access Diagrams

Figure 3-2 Typical Clinac Con

A 3” (75) experimental access (physics) conduit may be required by the Customer. The experimental access conduit is used to periodically monitor radiation in the equipment room. The conduit Should be oriented as perpendicular to the isocenter as possible. Provide a locking 6" x 6" (150 x 150) access door at the conduit termination location. Review all vault penetrations with the Physicist of Record.

Connections for two or more warning lights, usually red colored, incandescent (no fluorescent lighting) are provided. Locate over the door, on the outside of the treatment room. They may be required to blink when the x-ray is on. Verify local requirements with regional regulatory agencies. For more information, see Sections 4.4.4.1 through 4.4.4.5 “Warning Lights.”

Provide two 3" (75) conduits from the Control Pull Box to the Accessory Pull Box for future use. These conduits can also be used for the optional Calypso and OSMS systems, see Sections 3.5 and 3.6.

Provide 1/2” (13) conduit between warning light(s) and the Relay Junction Box.

Provide four 4" (100) conduits between the Control Console pull box and the Base Frame pull box. The length of this cable run shall not exceed 75 feet (22,860).

Provide 1/2” (13) conduit(s) between the door Interlock Switches and the Relay Junction Box.

Provide two 2” (50) conduits from the Control Equipment pull box to the Accessory pull box.

In-RoomMonitor

Verification of appropriate utility and cable access is the responsibility of the Customer. Selection of the appropriate cable access method is determined by site-specific conditions and Customer preference. The standard bottom cable access details are appropriate for the majority of installations. Side access conduit details are included for installations with sub-floor clearances of at least 24" (610). Duct access details are included for installations with minimal subfloor clearance. All conduits or cable ducts must be suitably sealed and protected to keep them clean and dry.

Provide adequate clearance for typical conduit radius of six times the diameter. Conduit bends shall not exceed 270 degrees per cable run. Route all room penetrations as perpendicular to the isocenter as possible to avoid radiation scatter. Verify all room penetrations with the Physicist of Record.

For information on the control equipment pull box, see Section 3.1.2.1.

Safety door interlock switches are required for all installations. Provide both AC and DC Door Interlock Switches recessed within the door frame. For more information, see Section 4.4.4.7 “Safety Door Interlock Switches Lights.”

Provide one 2” (50) conduit from the Accessory pull box to the In-Room Monitor. Depending on the configuration, up to four cables may need to be pulled through this conduit.

Provide one 1" (25) conduit from the Accessory pull box to each of the following devices: In-Room wireless Keyboard and Mouse with Optional VVS System (1), Optional RPM Gating System (1), and Optional CCTV cameras (2).

The length of these conduit runs shall not exceed 75 feet (22,860) from each subsystem Signal pull box to the Control Equipment pull box.

Provide a 18” x 24”Accessory Pull Boxspace, typically locaas shown, see Sec

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3-6



3-7


uit Diagram (Section View)

Provide one 2” (50) conduit from the Accessory pull box to the In-Room Monitor. Depending on the configuration, up to four cables may need to be pulled through this conduit.

Provide one 1" (25) conduit from the Accessory pull box to each of the following devices: In-Room wireless Keyboard and Mouse with Optional VVS System (1), Optional RPM Gating System (1), and Optional CCTV cameras (2).

The length of these conduit runs shall not exceed 75 feet (22,860) from each subsystem Signal pull box to the Control Equipment pull box.

Provide 1/2" (13) conduit(s) for AC andDC Door Interlock Switches recessedwithin door frame. For more information,see Section 4.4.4.7.

r information on the ccessory pull box, e Section 3.1.2.3.

The RJB is contractor provided and is21" x 17" x 7" (533 x 432 x 178). Formore information, see Sections 3.1.2.6and 4.4.6. Mount the RJB box to the wallabove the acoustical tile ceiling andmaintain clear service access. DO NOTlocate directly above the UNIQUEStand or treatment room casework.

In-Room MonitorOptional CCTV Cameras

Provide two 2" (50) conduits between theBaseFrame Pull Box and the Relay Junction box. The length of this cable run shall not exceed 45 feet (13,716).

In-Room wireless Keyboard and Mouse

Alternate installation location for RJB.For more information, see Section 3.1.2.6

The Modulator pull box is recessed into the floor slab and shall be 18" x 24" x 10" deep (450 x 600 x 250). Refer to the "Modulator Cabinet" drawing for pull box location. The cable access to this box shall be similar to Base Frame Cable Access Details.

Optional VVS System

Provide three 4” (100) conduits between the Base Frame pull box and the Modulator pull box. The length of this conduit run shall not exceed 75 feet (22,860).

Provide two 4” (100) conduits between the Control Console pull box and the Modulator pull box. The length of this conduit run shall not exceed 75 feet (22,860).

As no connections are made at this location,many regulatory agencies do not require aBaseFrame pull box. If a pull box is not used,keep this area free of grout. If required, providea 12” x 24" x 10" deep (300 x 600 x 250)BaseFrame pull box. Top access is required.See Section 3.1.2.2 “BaseFrame Pull Box.”

Provide four 4” (100) conduits between the Control Console pull box and the BaseFrame pull box. The length of this cable run shall not exceed 75 feet (22,860).

wer Supply 208VAC, G (N. America) or 50Hz, 3 Ph. + N + G. c Linear Accelerator



Figure 3-3 Typical Clinac Cond

Provide two 3" (75) conduits from the Control Pull Box to the Accessory Pull Box for future use. These conduits can also be used for the optional Calypso and OSMS systems, see Sections 3.5 and 3.6.

Provide two 2" (50) conduits from the Control Equipment pull box to the Accessory pull box.

Provide 1/2" (13) conduit between the Beam status warning light(s) and the Relay Junction box.

FoAse

Connections for two or more warning lights,usually red colored, incandescent (nofluorescent lighting) are provided. Locateover the door, on the outside of thetreatment room. They may be required toblink when the x-ray is on. Verify localrequirements with regional regulatoryagencies. For more information, seesections 4.4.4.1 through 4.4.4.5 “Safety Device Systems.”

The Clinac Main Circuit Breaker Panel is contractor provided, see Sections 3.1.1.1 and 4.2.1.1. Optional RPM

Gating Camera

The OBI Circuit Breaker Panel is contractor provided, see Sections 3.1.1.2 and 4.3.1.

Provide network cabling outlets at all server orworkstation equipment locations. All networkcabling must be in place and tested prior toequipment installation. Network patch panels,hubs, and routers are typically located in aserver room or closet.

For information on the control equipmentpull box, see Section 3.1.2.1.

A 3" (75) experimental access (physics) conduit maybe required by the Customer. The experimentalaccess conduit is used to periodically monitorradiation in the equipment room. The conduit shouldbe oriented as perpendicular to the isocenter aspossible. Provide a locking 6” x 6” (152 x 152)accessdoor at the conduit termination location. Review allvault penetrations with the Physicist of Record.

Provide one 2” (50) conduit between the Main Circuit Breaker Panel and the Modulator pull box.

Provide one 2" (50) conduit between OBI Circuit Breaker panel and the Base Frame pull box.

On-Board Imager (Optional) Power Supply (typical) 480VAC, 60kVA, 60Hz, 3 Ph. + G (N. America) or 400-480VAC, 60kVA, 50Hz, 3 Ph. + G. See Section 4.3, On-Board Imager (OBI) Option Subsystem for complete details.

Clinac Accelerator Po45kVA, 60Hz, 3 Ph. +360-440VAC, 45kVA,See Section 4.2, ClinaSubsystem

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High Energy Clinac Edition Major System Components – Modulator Cabinet

3.3 Major System Components – Modulator Cabinet

Figure 3-4 Modulator Cabinet, Plan View

WARNING: DO NOT locate the Modulator Cabinet in the primary beam path.

Finished Wall.

Provide a minimum 3" (76) clearance behind the Modulator Cabinet for ventilation.

The Modulator pull box is recessed into the floor slab and shall be 18" x 24" x 10" deep (450 x 600 x 250). Refer to the "Modulator Cabinet" drawing for pull box location. The cable access to this box shall be similar to Base Frame Cable Access Details. See section 3.8

Modulator Cabinet

The Modulator Cabinet rests on four equipment feet. If seismic anchorage is required, contact the Varian Planning Department for sample structural calculations. A seismic mounting kit is available (contact the Regional Installation Project Manager to order a kit). This cabinet weighs approximately 1800 lbs. (816 kg).

Required service clearance area

The Modulator Cabinet may be located either in the Clinac room or remotely. Ventilation, acoustics, service provisions and cable length must be considered. The Modulator Cabinet has service panels at both sides and front. Provide 11'-0" (3353) clear space, side to side. For non-U.S. sites, verify electrical equipment service clearance requirements with applicable local code. Do not locate this cabinet in the primary beam path.


Major System Components – Modulator Cabinet High Energy Clinac Edition

Figure 3-5 Modulator Cabinet, Elevation View

The Modulator Cabinet may be located either in the Clinac room or remotely. Ventilation, acoustics, service provisions, and cable length must be considered. The Modulator Cabinet has service panels at both sides and front. Provide 11'-0" (3353) clear space, side to side. For non-U.S. sites, verify electrical equipment service clearance requirements with applicable local code. Do not locate this cabinet in the primary beam path.

Minimum

Modulator Cabinet

The Modulator pull box is recessed into the floor slab and shall be 18” x 24” x 10” deep (450 x 600 x 250). Refer to the “Modulator Cabinet” drawing for pull box location. The cable access to this box shall be similar to Base Frame Cable Access Details. See section 3.8.

The conduits may terminate anywhere within the pull box. See the Cable Access Diagram for quantity and size of conduits.


High Energy Clinac Edition Optional System Components – RPM Respiratory Gating

3.4 Optional System Components – RPM Respiratory Gating

The RPM Respiratory Gating system includes four basic components used in all subsystem configurations: gating camera with LCD screen, Gating Power Module, gating workstation, and Gating Switch Box.

Figure 3-6 RPM Gating Camera with LCD Monitor

Figure 3-7 RPM Gating Power Module Figure 3-8 RPM Gating Switch Box

(For use with HE Clinacs and Unique.)


Optional System Components – RPM Respiratory Gating High Energy Clinac Edition

3.4.1 RPM – Clinac Subsystem

3.4.1.1 Mounting Locations

Figure 3-9 Respiratory Gating Installation – Typical Clinac Room Plan View

Provide one 1" [25] conduit from the RPM Gating Workstation to the Gating Power Supply Module. The length of this conduit run shall not exceed 75 feet [22,860].

Gating Power Supply Module, mount on the wall above the false ceiling.

Provide one 1" [25] conduit from the RPM Gating Camera to the Gating Power Supply Module. The length of this conduit run shall not exceed 25 feet [7620].

Provide a switched dedicated receptacle (100-240V @ 50/60 Hz) for the Gating Power Supply Module. Locate within 12” (300) from the Gating Power Supply Module.

Switch for the RPM Gating Power Module receptacle.

Note: All pull boxes are sized and provided by owner.

Allowed Camera Position

Audio prompts are available on the output jack of the RPM Gating Workstation (1/8" [3.5mm] audio connector, 1 vrms full scale output voltage). The customer shall provide all wiring, amplification, and speakers.

Provide one 1/2" [13] conduit to the Facility Network

RPM Gating Workstation

RPM Gating Camera


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Figure 3-10 Respiratory Gating Installation – Typical Clinac Room Section




RPM Gating Camera






Wall switch for the Gating Power Supply Module receptacle.



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3.4.1.2 Mounting Methods

RPM Cameras used with the Clinac can be either wall- or ceiling-mounted. Varian provides both a wall- and a ceiling-mounting bracket with all RPM subsystems. It is the responsibility of the Customer and design team to determine which mounting method is used.

Wall-Mount Option

Figure 3-11 Wall-Mount Detail

Figure 3-12 Wall-Mount Camera Bracket, Varian-Furnished/Contractor-Installed

Furred Wall

Single-Gang Box, Owner-provided

RPM Gating Camera

Wall Mount Camera Bracket, Varian-provided


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Ceiling-Mount Option

Figure 3-13 RPM Ceiling Bracket (Option A)

Figure 3-14 Ceiling-Mount Camera Bracket, Varian-Furnished/Contractor-Installed

Epoxy Grout or Equivalent Method

Threaded Rods, Owner-provided

Single-Gang Box, Owner-provided

(1)-1" [25] C.

Ceiling Mount Camera Bracket, Varian-provided

RPM Gating Camera


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Figure 3-15 RPM Ceiling Bracket (Option B)

For best results, a “U” shaped opening should be cut in the ceiling tiles adjacent to the ceiling grid as shown in Figure 3-15. Otherwise, provide a rectangular grommet around the opening to protect the ceiling tile and provide a finished look.

Figure 3-16 Ceiling-Mount (Option B) Camera Bracket – Installed

Threaded Pipe Owner-provided

Pipe Flange, see Detail "A”

Varian-provided Camera Bracket Plate is 3" x 5”[76 x 127]

Min. 5" [127] Pipe Flange, Owner-provided

Ceiling Mount Camera Bracket, Varian-provided

RPM Gating Camera


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3.4.2 RPM – CT/ and PET/CT Simulator Subsystem

Varian RPM CT and PET/CT subsystems are compatible with the CT or PET/CT products shown in Table 3-1. Contact the Owner/Customer to confirm final system products/configuration and desired mounting option. See Section 3.4.2.1 for more information.

Note: The list of CT models in Table 3-1 are valid as of this printing date, but it is the customer’s responsibility to contact the manufacturer for confirmation of (or changes in) compatibility.

CAUTION: Toshiba (and the customer) must properly configure the Toshiba System to achieve all functionality. The customer should carefully discuss the functionality in relation to the RPM system and clinical goals with Toshiba.

Table 3-1 Gating/CT Compatibility Matrix

Manufacturer ModelCamera Mount (Wall or Couch)

GE CTs LightSpeed CTs: Couch

LS Plus

LS 16

LS RT

LS 16 PRO

VCT

XTRA

HighSpeed CTs: Couch

LX/I; FX/I; GX/I single slice systems

NX/I 2-slice system

BrightSpeed Couch

GE PET/CTs Discovery PET CTs: Couch

LS

ST

600

All GE PET/CTs are valid including the OPTIMA line

Phillips CTs Picker PQ Series Couch

Marconi AcQsim

Brilliance CT Big Board Couch

Brilliance 16

Brilliance 40

Brilliance 64

Ingenuity CT Couch



Phillips PET/CTs Gemini GXL 16 Couch

Gemini TF (all configurations) Couch

Gemini LXL Couch

Ingenuity TF Couch

TruFlight Select Couch

Siemens CTs SOMATOM Emotion 6 Couch (requires optional CT overlay)SOMATOM Emotion 16

SOMATOM Sensation 16 Couch (requires optional CT overlay)SOMATOM Sensation 64

SOMATOM Sensation 40

SOMATOM Sensation Open

SOMATOM Perspective Couch

SOMATOM Definition DS Couch

SOMATOM Definition AS20 (Open) Couch with standard PHS1B table

(requires optional RTP pallet)

SOMATOM Definition AS40

SOMATOM Definition AS64 (Open)

SOMATOM Definition AS+

SOMATOM Definition Edge

SOMATOM Definition Flash

Siemens PET/CTs Biograph mCT-X (128) Couch (requires optional RTP pallet)Biograph mCT-S (64)

Biograph mCT-S (40)

Biograph mCT 20 Excel

Biograph 16 TruePoint Couch (requires optional RTP pallet)

Biograph 64 TruePoint Couch



Biograph 6 Hi-Rez Couch

Biograph 16 Hi-Rez Couch

Toshiba Prospective Aquilion 64 TSX-101A Couch

Aquilion 32TSX-101A Couch

Aquilion LB TSX-201A Couch

Toshiba Retrospective

Aquilion 64 TSX-101A Couch

Aquilion 32TSX-101A Couch

Aquilion LB TSX-201A Couch

Table 3-1 Gating/CT Compatibility Matrix (continued)

Manufacturer ModelCamera Mount (Wall or Couch)



3.4.2.1 Standard Mounting Location – Moving/Couch Mount

Gating configured for CT installations come complete with the couch mounting bracket shown in Figure 3-17 and Figure 3-21. When CT scans are performed without Gating, the camera is stored on a Varian-furnished, Owner-installed bracket, as shown in Figure 3-17 and Figure 3-21. The customer must provide a cable management system that keeps the Gating camera cable off the floor. A curtain rail or other appropriate cable take-up mechanism with rolling/support carriers that allows the cable to be attached to or draped through the carriers is recommended.

Figure 3-17 Gating Installation – Typical CT Room Plan

Provide a switched dedicated receptacle (100-240V @ 50/60 Hz) for the Gating Power Supply Module. Locate within 12” (300) from the RPM Power Module.

Switch for the Gating Power Supply Module receptacle

(1)- 1" (25) conduit


(1)- 1/2" (13) conduit to facility network

Audio promts are available on the output jack of the RPM Gating Workstation (3.5mm audio connector, 1 vrms full scale output voltage). The customer shall provide all wiring, amplification, and speakers.

Gating Power Supply Module

RPM Gating wall bracket (storage)

RPM Gating Camera

Curtail Rail Cable Management System (Customer-Provided)

Isocenter



Figure 3-18 Gating Installation – Typical CT Room Section

Provide a switched dedicated receptacle (100-240V @ 50/60 Hz) for the Gating Power Supply Module. Locate within 12” (300) from the RPM Power Module.

(1)- 1/2" (13) conduit to facility network

(1)- 1" (25) conduit


RPM Gating wall bracket (storage)

Gating Power Supply Module

RPM Gating Camera

Curtail Rail Cable Management System (Customer-Provided)

Audio promts are available on the output jack of the RPM Gating Workstation (3.5mm audio connector, 1 vrms full scale output voltage). The customer shall provide all wiring, amplification, and speakers.

Isocenter



Figure 3-19 CT Couch Mount Kit – Side View

The assembly shown in Figure 3-19 and Figure 3-20 allow for quick attachment of the Infra-Red Gating camera to the foot of the CT couch. The LCD monitor shown in Figure 3-20, below the IR camera, displays a sinusoidal pattern describing the motion of a marker, placed on the patient’s chest, during the respiration cycle. This helps to confirm proper camera placement.

Figure 3-20 CT Couch Mount Kit – Front View



Figure 3-21 Gating Storage Bracket Detail

The camera bracket shown in Figure 3-22 is in its stored position. Unless managed, the camera cable can present a trip hazard in which patients or the Gating camera can be harmed. For example see Figure 3-22 and Figure 3-23.

Figure 3-22 Gating Storage Bracket and Cable Management – Sample View (Cabinet not Included)

Figure 3-23 Cable Management – Sample View



3.4.3 Acuity/Conventional Simulator Subsystem

3.4.3.1 Mounting Locations

Figure 3-24 Respiratory Gating Installation – Typical Acuity Room Plan

The gating camera in the simulator room should be in the same relative location as the gating camera in the accelerator room.







RPM Gating CameraProvide one 1" [25] conduit from the RPM Gating Camera to the Gating Power Supply Module. The length of this conduit run shall not exceed 25 feet [7620].

Switch for the RPM Gating Power Module receptacle.




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Figure 3-25 Respiratory Gating Installation – Typical Acuity Room Section


RPM Gating Camera Audio prompts are available on the output jack of the RPM Gating Workstation (1/8" [3.5mm] audio connector, 1 vrms full scale output voltage). The customer shall provide all wiring, amplification, and speakers.







Wall switch for the Gating Power Supply Module receptacle.



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3.4.3.2 Mounting Methods

Like the RPM – Clinac Subsystem, RPM cameras used with the Acuity/Conventional Subsystem are fixed and can be either wall- or ceiling-mounted, as described in Section 3.4.1.2 and as shown in Figure 3-26 and Figure 3-27.

Wall-Mount Option

Figure 3-26 Typical Wall-Mount Installation

Ceiling-Mount Option

Figure 3-27 Typical Ceiling-Mount Installation

For best results, a “U” shaped opening should be cut in the ceiling tiles adjacent to the ceiling grid as shown in Figure 3-27. Otherwise, provide a rectangular grommet around the opening to protect the ceiling tile and provide a finished look.


Calypso – Extracranial Radiosurgery Subsystem (Optional) High Energy Clinac Edition

3.5 Calypso – Extracranial Radiosurgery Subsystem (Optional)

The Calypso System has four major hardware components:

Treatment Room Console

Optical System

Tracking Station

Beacon® Transponders

In addition, the system has proprietary software that runs on the Treatment Room Console and Tracking Station. These components are shown in Figure 3-31 and Figure 3-35.

3.5.1 Treatment Room Console

The Console contains the system components that generate and detect electromagnetic signals. It is a portable unit with locking wheels that is used in the treatment room and positioned next to the treatment table during localization and tracking. Components of the Console include the Array Panel and a Touch Screen Computer.

Treatment Room Console – 78.5"H x 23.4"W x 51"D (1995 x 595 x 1295), 650 lbs (295.5 kgs)

Figure 3-31 Treatment Room Console Components

Figure 3-28 Treatment Room Console

Figure 3-29 Array Panel

Figure 3-30 Touch Screen Computer

3-26
Ch apter 3 Facilities Requirements

High Energy Clinac Edition Calypso – Extracranial Radiosurgery Subsystem (Optional)

3.5.1.1 Array Panel

The Array is a flat panel that extends from the Console via an articulating mechanical arm. It contains source coils and sensor coils that enable it to briefly excite the Beacon transponders and then measure the transponders’ response signals. The Array has handles to facilitate positioning and nine embedded optical targets that permit the system to determine the Array’s location.

The Array is positioned over the patient during patient setup and, for most patients, remains in place during radiation therapy to monitor treatment target motion relative to the linear accelerator isocenter.

3.5.1.2 Touch Screen Computer

When in the treatment room, users interact with the system software using a touch screen computer that is part of the Console.

3.5.2 Optical System

The optical system includes a set of three infrared cameras and a power supply/hub unit that are permanently mounted in the treatment room. The optical system is used to locate and continuously monitor the position of the Array relative to the linear accelerator isocenter. It is connected by Ethernet to the Tracking Station.

Figure 3-34 Optical System Components

Figure 3-32 Infrared Camera

Figure 3-33 Camera Power Supply and Hub Unit

Chapter 3
Facilities Requirements 3-27

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3.5.2.1 Infrared Cameras

The cameras detect infrared light emitted by the optical targets embedded in the Array. Each camera is permanently attached to a ceiling mounting system. Ceiling mounting systems include concrete anchors, I-beam mounts, and wall mount systems. The mount type is selected based on the treatment vault survey. There are also cantilever offset options for the camera mounts that allow flexible positioning of the ceiling mounts. The cameras receive their power and data connection through the camera power supply/hub unit.

3.5.2.2 Camera Power Supply/Hub Unit

The power supply/hub unit is located in the treatment room, outside the beam, but within a 50-foot cable run from each camera. It accepts all point-to-point Ethernet connections for the Calypso System network (cables from the Console, the Tracking Station computer, and each camera) and requires 120 VAC power.

3.5.3 Tracking Station

The Tracking Station includes a dedicated computer, monitor, keyboard, and mouse. It is located in the control room outside the treatment room. The Tracking Station is used to log in to the system, to track the position of the treatment target during the delivery of radiation therapy, and to perform system administration tasks, among other functions.

PC – 19"w x 3.5"h x 13.75"d (482 x 89 x 350), 25 lbs (11.4 kg)

Monitor Display – 15.25"w x 19"h x 9"d (387 x 474 x 230), 10.8 lbs (4.9 kg)

Figure 3-35 Tracking Station, Keyboard, Monitor, and Mouse



3.5.4 Beacon Transponders

Each transponder includes a sealed glass capsule containing a miniature passive electrical circuit. A set of three transponders are permanently implanted in the patient’s prostate or prostatic bed to enable localization and tracking of the treatment target before and during delivery of radiation therapy.

Figure 3-36 Beacon Transponder

3.5.5 Software

The Calypso System software is a set of proprietary applications that run concurrently on the Tracking Station and Console. The software enables all system control and signal-processing functions. Users interact with the software both at the Console (by touching elements on the touch screen) and at the Tracking Station (by clicking elements on the screen and typing and by using the mouse and keyboard).

3.5.6 Fixtures

A set of fixtures are used to calibrate and ensure correct operation of the Calypso System.

3.5.6.1 QA Fixture

The Quality Assurance (QA) fixture is used to verify correct operation of the Calypso System. The QA procedure is performed daily. The QA fixture is provided in a protective carrying case and is stored between uses.

QA Phantom – 6.35" x 4" x 4" (159 x 102 x 102), 3 lb (1.4 kg)

Pelican Case – 11" x 10" x 7" (280 x 254 x 178), 6.5 lb (3 kg) with QA Phantom



3.5.6.2 Calibration Fixtures

The calibration fixtures are used to calibrate the cameras and to establish the coordinate reference frame for the Calypso System relative to the linear accelerator isocenter. The calibration procedure is performed monthly. There are three calibration fixtures: the L-Frame fixture, the T-Frame fixture, and the isocenter calibration fixture. These fixtures are also provided in a protective carrying case and are stored between uses.

T-Frame Fixture - 13.5" x 10.5" x .75" (343 x 267 x 20), 0.3 lbs (0.14 kg)

L-Frame Fixture - 19" x 11.25" x .75" (483 x 286 x 20), 1.5 lbs (0.68 kg)

Isocenter Calibration Fixture - 9" x 8" x 8" (229 x 203 x 203), 13 lbs (5.9 kg)

Pelican Case - 24" x 20" x 12" (610 x 508 x 305), 36.5 lbs (16.5 kg) with all 3 fixtures

3.5.7 System Options

3.5.7.1 Radiation Detector

The Calypso System’s Beam On Detection and Reporting feature provides an indicator to correlate tumor position and motion with therapy beam on/off status documented in the daily patient session report with tracking graphs timestamps. This option requires additional on-site support from the customer’s physics group to setup the software and calibrate.

Figure 3-37 Radiation Detector

3.5.7.2 Dynamic Edge Gating

The Dynamic Edge Gating option provides automatic signaling to hold and re-enable the beam in response to organ motion for Varian or Siemens linear accelerators capable of gating.



3.5.7.3 Adaptive Couch Repositioning

Adaptive Couch Repositioning allows you to remotely reposition the treatment couch from the control area utilizing target offset data from the Calypso System. This option requires network connectivity support from the customer’s IT group and Varian.

3.5.7.4 Treatment Planning Data Import

The Calypso System’s software will allow data import from the Varian Eclipse™ and Philips Pinnacle3 (V9.0) treatment planning systems. This option requires network connectivity support from the customer’s IT group.



3.5.8 Calypso System Assembly

3.5.8.1 Typical Room Configuration

Figure 3-38 Calypso System Conduit Diagram – Typical Plan View

Note: Conduit runs from the Power Supply and Hub Unit to each treatment room location shall not exceed 40'-0" [12m].

Provide a dedicated receptacle (100-240V @ 50/60Hz), locate within 3'-0" (914) from the Calypso Tracking Station.

Provide (2) dedicatedreceptacles (100-240V @ 50/60Hz) for the Treatment Room Console. Locate (1) on the sagittal wall and (1) on the side wall opposite the longitudinal axis line from Camera #2 each within 13'-0" (3962) from the couch midpoint.

Provide (2) standardelectrical boxes, located adjacent to the Treatment Room Console receptacles. Varian will provide cabling and cover plate.

For information on theAccessory pull box,see Section 3.1.2.5.

Provide a 6"w x 3"h x 3.5"d (150 x 75 x 90) Pull Box (min.) mounted in the wall, located within 12" (305) from Power Supply and Hub Unit as shown.

Provide a dedicated receptacle (100-240V @ 50/60Hz), locate within 3'-0" (914) from Power Supply & Hub Unit.

Control Area Pull Box

Provide one 3" (75) conduit from the Control Pull Box to the Accessory Pull Box, see Figure 3-2 "Typical Clinac Conduit Diagram (Plan View)"


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3.5.9 Camera Mounting Locations

The Calypso System includes three ceiling-mounted infrared cameras, each attached to a Varian-furnished, contractor-installed ceiling mount load plate and support post. For additional details, see Section 3.5.11.

The ceiling mount load plate location details can be found in Figure 3-39, Figure 3-40, and Figure 3-42.

3.5.9.1 Preferred Ceiling Mount Load Plate Locations

The following mounting location diagram applies to all HE Clinac accelerators with clear unobstructed path to overhead concrete mounting surface.

Note: For retro-fit installations, where the preferred ceiling mount load plate locations are obstructed by overhead objects, refer to Section 3.5.9.2 for acceptable ceiling mount load plate areas.

CAUTION: Place Camera #2 on the same side of the longitudinal axis line as the maze opening and position the Treatment Room Console on the opposite side.

If the Treatment Room Console is located on the same side of the longitudinal axis line as Camera #2, there will be a high likelihood for creating gray bars, making the system inaccurate.



Figure 3-39 Preferred Ceiling Mount Load Plate Locations – Plan View (Cartesian Dimensions)

Note: Dimensions are to the center of the Ceiling Mount Load Plate. See Section 3.5.11 for more information.

The ceiling mount load plates should only be installed after the BaseFrame is grouted in and isocenter is verified.



Figure 3-40 Preferred Ceiling Mount Load Plate Locations – Plan View (Polar Dimensions)

Note: Dimensions are to the center of the Ceiling Mount Load Plate. See Section 3.5.11 for more information.




Figure 3-41 Preferred Ceiling Mount Load Plate – Typical Section

Note: The Calypso camera lens height and mounting post length will be determined by the Varian Project Manager using a site survey after Isocenter is identified.



3.5.9.2 Acceptable Ceiling Mount Load Plate Areas

The following mounting location diagram applies to accelerator installations that are not able to obtain an unobstructed path to overhead concrete mounting surface as shown in Figure 3-38 and Figure 3-39 by using a Varian provided post and cantilever extension bar.

The cantilever extension bar allows placement of the ceiling mount load plate anywhere within the green shaded area, which is centered directly over the preferred camera position, see Figure 3-42.

CAUTION: Place Camera #2 on the same side of the longitudinal axis line as the maze opening and position the Treatment Room Console on the opposite side.

If the Treatment Room Console is located on the same side of the longitudinal axis line as Camera #2, there will be a high likelihood for creating gray bars, making the system inaccurate.



Figure 3-42 Acceptable Ceiling Mount Load Plate Locations – Plan View (w/Cantilever Extension Bar)

Note: The cantilever extension bar allows placement of the ceiling mount load plate anywhere within the green shaded area, which is centered directly over the preferred camera position.

The center of the Ceiling Mount Load Plate must fit inside the Allowed Area, see Section 3.5.11 for more information.


Allowed area forCamera #3 CeilingMount Load Plate

AlternateCamera #2 Area

Allowed area for Camera #2 Ceiling Mount Load Plate

Allowed area for Camera #1 Ceiling Mount Load Plate



3.5.10 Camera Elevation Heights and Clearances

A minimum clearance of at least 3/4" (20) between any surface of the ceiling mount and any other object is recommended. A minimum clearance of 1 1/2" (40) between the camera and drop ceiling is recommended (see Figure 3-43).

Figure 3-43 Calypso Infrared Camera – Typical Elevation

Note: The ceiling mount must be free of contact with any object other than the concrete ceiling, the camera cable, and the camera mount in order to prevent coupling of vibrations into the mount or conduction of heat between the mount and other objects.



3.5.11 Camera Support Mounting Methods

The Ceiling Mount Camera Post, Ceiling Mount Load Plate, and expansion anchors are furnished by Varian. The Ceiling Mount Load Plate is Contractor-installed. Install the Ceiling Mount Load Plate in accordance with local code/regulations.

3.5.11.1 Ceiling Mount Load Plate

Figure 3-44 Ceiling Mount Load Plate – Infrared Camera

Figure 3-45 Ceiling Mount Load Plate – Isometric

Note: The ceiling mount load plates should only be installed after the BaseFrame is grouted in and isocenter is verified.

Do not install ceiling mount load plate closer than 3 1/4" (83) to a vertical surface. For additional seismic mounting requirements, contact your Varian Regional Planner for additional information.

Ceiling Mount Load Plate6" x 6" x 3/4" (152 x 152 x 19)

Expansion Anchors

(1/2" x 5 1/2" L)

Torque to 40 ft. lbs. (54.23 Nm)



3.5.11.2 Ceiling Mount Cantilever Extension Bar

When a suitable surface for the ceiling mount load plate cannot be obtained directly above the camera location, a Cantilever Extension Bar can be used to achieve proper positioning.

Note: Cantilever Extension Bars are available in 6" (152), 12" (305), and 18" (457) offset options.

3.5.12 Shipping/Rigging Dimension Clearances

Console Crate: 42" x 30" x 86"(L x W x H)(1067 x 762 x 2185)

kVue Table Crate: 80" x 30" x 12"(2032 x 762 x 305)

System Crate: 48" x 48" x 48"(1219 x 1219 x 1219)

Note: Prior to installation, the Calypso components require approximately 50 square feet (4.5 square meters) of secure storage area.

Figure 3-46 Cantilever Extension Bar Figure 3-47 Camera with Cantilever Extension Bar

Ch
apter 3 Facilities Requirements 3-41

OSMS Intracranial Radiosurgery Subsystem (Optional) High Energy Clinac Edition

3.6 OSMS Intracranial Radiosurgery Subsystem (Optional)

The Optical Surface Monitoring Solution (OSMS) System has three basic components:

OSMS Workstation

OSMS Optical System

Treatment Room Remote Terminal

3.6.1 OSMS Workstation

The OSMS Workstation includes a dedicated computer, KVM switch, monitor, keyboard, mouse, and isolation transformer. These components are located at the control room console outside the treatment room and require one 100-240V @ 50/60 Hz power receptacle.

Workstation PC – 7"w x 20"h x 14"D (178 x 508 x 357), 25 lbs (11.4 kg)

Monitor Display – 16"w x 16.5"h x 7.5"d (404 x 419 x 188), 8.5 lbs (3.83 kg)

KVM Switch – 6.6"w x 1"h x 5"d (170 x 25 x 130), 1.3 lbs (0.6 kg)

600VA Isolation Transformer – 7"w x 4"h x 10.5"d (170 x 95 x 270), 16.5 lbs (7.5 kg)

3.6.2 OSMS Optical System

The OSMS optical system includes a set of three cameras and a Power Supply Unit (PSU) that are permanently mounted in the treatment room. The optical system is used to locate and continuously monitor the position of the patient. Each camera is connected to the OSMS Workstation using a Data BNC cable. The PSU requires one 100-240V @ 50/60 Hz switched power receptacle (see Figure 3-50).

Power Supply Unit – 9.5"w x 4.75"h x 7.75"D (241 x 121 x 197), 20 lbs (9.1 kg)

Figure 3-48 OSMS Camera Figure 3-49 OSMS Power Supply Unit (PSU)

3-42

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High Energy Clinac Edition OSMS Intracranial Radiosurgery Subsystem (Optional)

3.6.3 Treatment Room Remote Terminal

The Remote Terminal includes a KVM switch, monitor, keyboard, mouse, and isolation transformer. These components are located in the treatment room (outside the primary beam path) and require one 100-240V @ 50/60 Hz power receptacle.

KVM Switch – 6.6"w x 1"h x 5"d (170 x 25 x 130), 1.3 lbs (0.6 kg)

300VA Isolation Transformer – 6"w x 3.5"h x 9.5"d (150 x 85 x 240), 9.9 lbs (4.5 kg)

Monitor Display – 16"w x 16.5"h x 7.5"d (404 x 419 x 188), 8.5 lbs (3.83 kg)


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3.6.4 OSMS System Assembly

3.6.4.1 Typical Room Configuration

Figure 3-50 OSMS System Conduit Diagram – Typical Plan View

Provide a switched receptacle (100-240V @ 50/60 Hz) for the OSMS PSU. Locate within 3’-0” (914) from the PSU.

Mount the PSU above the false ceiling, typically near the Accessory pull box. The total cable run to each camera pod should not exceed 30'-0” (10m) max.

Provide one receptacle (100-240V @ 50/60Hz) for the OSMS Workstation.

Locate the switch for the OSMS PSU receptacle so that it will not be accidentally turned off. A switch guard should be considered if installed in a “gang” of switches.

Provide one 3" (75) conduit from the Control Pull Box to the Accessory Pull Box. See Figure 3-2 “Typical Clinac Conduit Diagram (Plan View)”

For information on the Accessorypull box, see Section 3.1.2.5.

Provide one receptacle (100-240V @ 50/60 Hz) for the Remote Terminal.


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3.6.5 OSMS Camera Mounting Locations

The OSMS System includes three ceiling-mounted cameras, each attached to a Varian-furnished, contractor-installed mounting plate and support post. For additional details, see Section 3.6.7.

Figure 3-51 OSMS Camera Mount Locations – Plan View

Note: OSMS Cameras #1 and #2 should be mounted symmetrically for best results.

See Sections 3.6.6 and 3.6.7 for more details on mounting heights and clearances


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Figure 3-52 OSMS Camera Mount Locations – Section View


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3.6.6 Camera Elevation Heights and Clearances

A minimum clearance of at least 3/4" (20) between any surface of the ceiling mount and any other object is recommended, see Figure 3-53.

Figure 3-53 OSMS Camera – Typical Elevation

For Mounting Post lengths shorter than 14 5/8” (371) or longer than 58 9/16” (1488), contact your Varian Installation Project Manager to order custom mounting lengths at least 60 days prior to installation.


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3.6.7 Camera Support Mounting Methods

The Ceiling Mount Camera Post and Ceiling Mount Load Plate are furnished by Varian. The Ceiling Mount Load Plate is Contractor-installed. Install the Ceiling Mount Load Plate in accordance with local code/regulations using appropriately-sized anchors engineered to support a combined maximum load of 30 lb. (13.6 kg.).

3.6.7.1 Ceiling Mount Load Plate

Figure 3-54 Ceiling Mount Load Plate – OSMS Camera

Note: Do not install ceiling mount load plate closer than 3 1/4" (83) to a vertical surface. For additional seismic mounting requirements, contact your Varian Regional Planner for additional information. The Ceiling Mount Load Plate should be mounted parallel or perpendicular to the longitudinal axis line.


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High Energy Clinac Edition HVAC and Plumbing Requirements

3.7 HVAC and Plumbing Requirements

Table 3-2 includes the ideal mechanical specifications. Individual site conditions may vary. For complete specifications, see the specific subsections within HVAC and Plumbing Requirements.

3.7.1 Clinac Operational States

Use the following description of the Clinac operational states to determine the estimated utility load based on normal treatment cycles:

Standby – A condition usually in effect on weekends and overnight with only minimal electrical supplies operative, but with the water cooling system on.

No Mode – A condition with no energy selected, all magnet and steering power supplies off, but with the klystron solenoid power supplies operative. Approximately 42 minutes per hour.

Ready – A condition with the Clinac ready to Beam-On. Approximately 6 minutes per hour.

Beam-On – The full-duty condition in which all primary heat sources operate at their maximum levels. Approximately 12 minutes per hour. The Beam-On State is maintained continuously for one hour or more during physics and calibration use.

The estimated number of minutes per hour of each state is based on an average of six patients treated per hour.

Table 3-2 Ideal Mechanical Specifications

Coolant flow 65°F. at 4 GPM (18°C. at 15 LPM)

Glycol content of coolant Not to exceed 50%

Compressed air 50 psi at 1 CFM (3.6 kg/cm2 at 1.7 m3/hr)

Room humidity 50% Relative Humidity, Non-condensing

Room temperature 70°F (21°C)

Maximum coolant heat load 25 kW (85,379 Btu/hr)

Nominal coolant load during normal treatment cycles (Clinac Operational States)

13.3 kW (45,422 Btu/hr)


HVAC and Plumbing Requirements High Energy Clinac Edition

3.7.2 Clinac Coolant System

Figure 3-55 Minimum Coolant Flow Requirements

The typical incoming coolant temperature range is 50 deg. F. to 75 deg. F. (10 Deg. C. to 25 deg. C.). The coolant system must be designed to eliminate the possible formation of condensation. If lower temperature coolant is used, a psychrometric chart must be consulted to determine the dew point in the facility. If the inlet coolant temperature is at or below this dew point,



Figure 3-56 Coolant Diagram

Terminate cooling water supply and return lines in the rear wall behind the stand with 1" (25) FNPT valves and plugs. Refer to Section 3.11 for location details. The customer/ contractor will make the final connection to the Clinac Stand using a Varian provided hose kit during installation.Provide shut-off valves on the supply and

return coolant lines in an accessible location outside the treatment room.

Pressure reducing valve located within the Clinac Stand regulates the incoming external coolant pressure.

Outline of the Clinac Stand.

For cooling requirements and specs, see Section 3.7.2.

Internal Clinac coolant loop.

Provide a flow meter on the supply or return line in an accessible location near the treatment room.

Heat exchanger located in the Clinac Stand.

Provide shut-off valves on the supply and return coolant lines in an accessible location outside the treatment room. The bypass shut-off valve is located

in the Clinac Stand. During installation, this valve is closed for one-pass coolant systems or opened to provide constant flow for closed-loop coolant systems. If a closed-loop system design with domestic water backup is selected, provide a means to notify the user that the Clinac bypass valve should be closed in the event that the domestic water backup system is used.

The modulating temperature control valve is located in the Clinac Stand. This valve monitors the temperature of the returning coolant in the Clinac's internal coolant loop. It opens or closes to control the flow of external coolant through the Clinac's internal heat exchanger in order to maintain an internal coolant loop temperature of 104 deg. F. (40 deg. C). This valve may close completely during minimum demand periods. If the bypass loop shut-off valve is open, the coolant is directed through the bypass loop.

For information on determining the estimated utility load, see Section 3.7 "HVAC and Plumbing Requirements."


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3.7.2.1 Dual Energy Clinac Coolant Requirements

The Dual Energy Clinac coolant heat load varies with the Operational State as outlined in Table 3-3.

Table 3-3 Dual Energy Clinac Coolant Requirements

Standby State coolant heat load 2 kW (6,830 Btu/hr)

No Mode State coolant heat load 10 kW (34,152 Btu/hr)

Ready State coolant heat load 12.5 kW (42,690 Btu/hr)

Beam-On State coolant heat load 25 kW (85,379 Btu/hr)

Normal treatment cycles (see “Clinac Operational States” on page 3-49)

Requires heat dissipation into cooling water of 13.3 kW (45,422 Btu/hr)

Minimum operational heat load 2 kW (6,830 Btu/hr) – 24 hour cooling required.

Maximum heat load (during Beam-On) 25 kW (85,379 Btu/hr)

Maximum overall input pressure, including normal back pressure

100 PSIG (7 kg/cm2)

The pressure differential between the inlet and outlet fittings at the Clinac Stand will be adjusted to between 10 PSI (0.7 kg/cm2) and 20 PSI (1.4 kg/cm2) while the Clinac is in the Ready State.

The actual pressure drop through the Clinac under maximum heat load conditions is 20 PSI (1.4 kg/cm2).

Periodic cooling water flow through the Clinac 0 GPM (with the internal bypass valve closed only).

Average water temperature rise during Beam-On, Standby, and Ready States (w/closed bypass valve)

27 deg. F. (15 deg. C.)



3.7.2.2 Coolant Specifications

The cooling water requirement can be satisfied with a Closed-Loop system or a One-Pass system. Although most water and sanitary districts restrict the use of one-pass cooling, it can generally be used for backup. If a closed-loop system is used, provide a one-pass system for backup.

Table 3-4 Coolant Specifications for External and Internal Water Sources

External Coolant One-Pass: City Water

External CoolantClosed-Loop: Facility Water

Water Sourcesa b

a. City Water is intended solely as a backup supply and is not recommended for permanent use as the external coolant source.

b. Facility Water is preferred for permanent use as the external coolant source.

Direct water from the domestic city water supply. Water is disposed in a waste drain after it exits the machine.

Direct chilled/cold water from Hospital closed loop system or chiller system dedicated to machine

Base Water Qualityc

c. Experience has shown that some local potable water supplies have caused excessive corrosion and frequent replacement of the internal heat exchanger.

Clean, Clear (non-turbid) water. Disinfected, Potable grade surface water, Aquifer, or Well water.

Clean, Clear (non-turbid) industrial water, Appropriately treated with nitrite, Mo, silicate, borate, or other suitable corrosion inhibitor.

Pathogens (cfu/ml) Nil Nil

Heterotrophic plate count (HPC) (cfu/ml)

<100 <100

pH 7.0-9.0 7.5-10.0

Electrical conductivity (µS/cm)

>250 >2000d

d. Facility Water has higher conductivity and total dissolved solids limits because added corrosion inhibitors would raise these control measures. In a small percentage of systems, the conductivity could be lower based on the type of corrosion inhibitor used.

Total dissolved solids (Mg/L)

>160 >1300d

Total chlorides (mg/L as Cl)

>50 >150

Total hardness (mg/L as CaCO3)

>75e

e. For systems where soft water or purified water is used for makeup, lower total hardness is acceptable if there is sufficient corrosion inhibitor in the system.

>150e



When glycol is added to external facility water, propylene glycol is preferred (due to its better environmental safety record compared to other glycols) at a strength not to exceed 50% by volume (v/v).

External water (from city or facility) will require secondary disinfection (i.e. in addition to any bleach/chlorine/chloramine reserve present) to avoid biofilm formation in the machines heat exchanger. Seek advice from a water treatment professional.

Note: The water coolant specification in this section does not apply to the Accelerator’s internal coolant water loop. Only qualified operators or service personnel should refer to the appropriate Varian maintenance/service manual or contact the Varian Help Desk at 1-(888)-Varian5 (827-4265) for the internal coolant water quality specifications.

3.7.3 Compressed Air System

Compressed air is required for the High Energy Clinac. Provide instrument quality, dry compressed air per ISA-7.0.01-1996, with a maximum particle size of 5 μm. If an existing system is not available, provide a dedicated system. Provide a minimum of 1 cubic foot per minute (CFM) at 50 PSIG (1.7 m3/hr. at 3.6 kg/cm2). A 10 gallon (38 liter) tank capacity is adequate.

Terminate 1/2" compressed air line at the Baseframe pit with 1/2" female NPT ball valve. (See Figure 3-57 and Figure 3-58 for termination location.) Final connection from valve in Baseframe pit to valve in Clinac Stand will be installed by Customer/contractor using Varian provided hose kit during Clinac installation.

3.7.4 Environmental Specifications

Humidity range – 15% to 80% Relative Humidity, Non-condensing

Room temperature range – 60° to 80°F (16° to 27°C)

3.7.4.1 Ventilation

Clinacs will produce detectable levels of ozone under certain conditions. Four to six air changes per hour are normally required to maintain undetectable levels, depending on the size of the vault and air circulation efficiency. Ventilation required to remove the heat dissipated to the vault air normally accomplishes this. The ventilation system should use fresh-air as part of its design. Treatments should not be performed if the ventilation system is not in operation. Long irradiation's at high dose rates, such as those performed for physics measurements, should be followed by airing out the vault. It is important to provide positive air pressure in the Clinac vault to hold swing-type doors closed.



Provide ventilation sufficient for removal of equipment air heat load as follows:

Clinac Vault

5.0 kW (17,060 Btu/hr) at Clinac Stand/Gantry during Ready and Beam-On States

1.5 kW (5,119 Btu/hr) at Clinac Stand/Gantry during No Mode State

1.0 kW (3,413 Btu/hr) at Clinac Stand/Gantry during Standby State

3.0 kW (10,239 Btu/hr) at Modulator Cabinet during Beam-On States

0.5 kW (1,707 Btu/hr) at Modulator Cabinet during other States

Clinac Control Console Area

1.0 kW (3,415 Btu/hr) at Clinac Electronics Cabinet

0.72 kW (2,459 Btu/hr) at Control Console Cabinet

0.5 kW (1,707 Btu/hr) at Optional ARIA Workstation

3.7.5 Plumbing

A sink with running hot and cold water is highly recommended in Clinac vaults. Appropriate codes should be followed regarding paddle or foot controls and type of faucet. A hose spigot is necessary to fill the water phantom and a drain is necessary to service the Clinac’s internal cooling system and drain the water phantom. Floor drains and floor sinks should not be located in the vault to avoid possible backup into the equipment floor recesses. Do not run water lines directly above the Clinac components or control console.

3.7.6 Fire Protection

Sprinklers inside the treatment room are discouraged. Their discharge or inadvertent leakage into the Couch pit or into the Stand generate expensive repairs with extended shut-downs. Some jurisdictions allow substitution of Type I construction for fire protection. Detectors are strongly recommended and normally adequate if a type “C” fire extinguisher is available in the treatment room. Heat detectors or photo-electric smoke detectors are preferred because ionization-type detectors can, under certain circumstances, give false alarms. If fire sprinklers are required by local authorities, sprinkler heads should not be located above the equipment. A system valved and controlled by the smoke detector (dry pre-action) can be incorporated so that sprinklers are wet only upon specific need. Semi- or fully recessed, high temperature heads are recommended in wet systems. The safety of non-ambulatory patients should be reviewed if a chemical system is considered. Verify all regional regulatory code requirements.


Shielding High Energy Clinac Edition

3.8 Shielding

For detailed information on shielding data, see “Typical Room Shielding Tables” on page 2-1.

WARNING: Varian Medical Systems shall have no approval or other responsibility for any matter affecting or related to the adequacy of the radiation protection walls and barriers or related safety devices. All radiation shielding designs must meet codes and regulations of all Authorities Having Jurisdiction (AHJ) and must be approved by the Customer's or Facility's Physicist of Record and shall be the sole responsibility of the Customer/Facility. The hours of operation, patient workload, accelerator energy, and the shielding materials should all be taken in to consideration when calculating shielding requirements. Serious injury or Death can result from improper radiation shielding

3.8.1 Radiation Shielding Details

Treatment room shielding is required for the protection of therapists and others while the Linear Accelerator has the beam on. Linear Accelerator shielding is provided by either poured-in-place concrete alone (low or dual x-ray energy), lead/steel plates alone (low x-ray energy only), or a prescribed combination of both (low or dual x-ray energy).

The amount and type of shielding on treatment room entrance doors have varying requirements based on the presence and length of the maze, and the energy of the Linear Accelerator. Generally, low energy accelerators will require wood doors with a lead core and manual operation. High Energy accelerators usually require steel doors with a lead and borated polyethylene core and motorized operation. Exact accelerator door shielding requirements are dependent on maze and shielding configuration. See typical minimum suggested door shielding. Accelerator neutron leakage calculations down the maze follow the general guidelines of NCRP Report 79. A Varian monograph titled: “Neutron Doors for High Energy Accelerators,” is available on request. As these doors do not have latching mechanisms, room air pressure must be positive relative to the department. Typically, shielded doors must be “exempted” where fire code labeling is required.

To reduce radiation exposure outside room, air handling ducts should enter/exit the room through penetration(s) above the maze door. The ducts should be placed as high as possible in order to minimize radiation exposure to occupied space. The ducts should be designed to minimize the area of penetration through the wall. In most cases, duct shielding will not be required, provided the duct design conforms to this criteria. Clear space should be left around the duct (outside the treatment room) for shielding retrofit, in case the post installation radiation survey indicates a requirement. Penetration, including ducts, directly into the treatment room should be avoided. For no-maze treatment rooms, duct design and shielding must be addressed by the Physicist of Record.

Provide adequate radiation shielding (usually lead or steel with a 1" (25) margin) behind all junction and pull boxes recessed in concrete walls. Verify thickness and location with the Physicist of Record.


High Energy Clinac Edition Shielding

Steel or lead shielding at Linear Accelerator rooms may be embedded in or mounted on the inside surface of concrete walls and ceiling. Additional structural reinforcement may be required. Neutron shielding must be carefully analyzed by the Physicist of Record when lead or steel is to be located on primary or secondary barriers on installations with photon energies higher than 10 MV.

Linear Accelerator shielding calculations follow the general guidelines of NCRP Reports 49 and 51. The TVL of leakage x-rays have been modified based on the report of W.R. Nelson and P.D. LaRiviere: “Primary and leakage Radiation Calculations at 6, 10 and 25 MeV,” Health Physics, 38811 (1984). Copies are available on request.

The shielding table suggestions are based on calculations using NCRP report 151 methodology and measured data. Distances of point of interest from isocenter are taken from Varian’s Typical Room Configuration (see Figure 2-2 on page 2-7). The room dimensions are based on machine clearance. This would translate into a distance of 10 feet from the isocenter to the nearest inner wall surface of the primary barrier.

3.8.2 Radiation Shielding Calculation Assumptions

The primary beam use factor is defined as 25%.

The occupancy is defined as either 100% or 10%.

The weekly dose limit is defined as 20 μSv/week (2 mrem/week).

The workload for standard procedures is defined as 75000 rads/week with 0% IMRT procedures when using the system for 10 hours per day, five days per week, six patients treated per hour at 250 rads per session.

W = 75,000 rads per week for primary walls.

W = 75,000 rads per week for secondary walls.

The workload for standard procedures with 50% IMRT procedures and a modulation factor of F=3.

W = 75,000 rads per week for primary walls.

W = 150,000 rads per week for secondary walls.

The workload for SRS procedures in utilizing the High Intensity Mode (HIM) (dose rates > 1000 MU/min) is defined as 200,000 rads/week with 20% IMRT procedures and a modulation factor of F=3. The assumed system usage is 10 hours per day, five days per week, two treatments per hour at 2000 rads per treatment, typical expected, average six sessions per day.

W = 200,000 rads per week for the primary walls.

W = 280,000 rads per week for the secondary walls.


Shielding High Energy Clinac Edition

The dose output in the HIM is assumed to be 1400 rads/min for the 6MV and 2400 rads/min for 10MV.

Except where specifically noted, radiation leakage in non-controlled areas shall not exceed 20 μSv/week (2 mrem/week), assuming 100% occupancy beyond the shielding barriers (per NCRP Report 91 “Recommendations of Limits for Exposure to Ionizing Radiation”).

Most treatment rooms are entered through a maze. This hallway is designed to reduce radiation levels at the entrance door. The length of the maze and the occupancy outside the entrance door affects the amount of shielding required in the door. “No-maze” doors are available from several shielding manufacturers. The use of these doors must be reviewed by the Physicist of Record early in the design process.

Supplement No. 11 (1972) and Supplement No. 17 (1983) of the “British Journal of Radiology” describes two different conventions for referencing the quality of an x-ray radiotherapy beam. The convention presented in Supplement No. 11 has been adopted for this sheet.

The typical room shielding tables information is provided to assist early treatment room design. The Physicist of Record for the project should become involved with the treatment room design as early as possible. With regard to facility shielding, the Physicist of Record is responsible for designing the treatment room radiation shield barriers and confirming they meet applicable regulatory requirements. The facility design is based on regulatory requirements of the regulatory body tasked with oversight of Radiation Producing Devices in the Region, and recommendations of the national Council of Radiation Protection and Measurement (NCRP).

3.8.3 Other Shielding Information

During Schematic Development for a High Energy Clinac and associated video monitors, consideration should be taken of the proximity to Magnetic Resonance Imaging (MRI) units or other magnetic field generating equipment. According to MRI manufacturers, linear accelerators and simulators should be located outside of the 100 µT (1 Gauss) magnetic field created by the MRI. A map of the magnetic field emanating from the particular MRI unit can be obtained from the manufacturer of the MRI unit.


High Energy Clinac Edition Baseframe Pit and Installation

3.9 Baseframe Pit and Installation

Figure 3-57 Clinac Baseframe Pit Dimensions

Note: The installed weight of the High Energy Accelerator is approx. 26,530 lbs. (12,034 kg)

Baseframe ≈ 2,260 lb. (1,025 kg.) Treatment Couch ≈ 1,600 lb. (726 kg.) Combined Stand/Gantry ≈ 22,670 lb. (10,283 kg.)The design of the Baseframe Pit for this load should be reviewed by a Structural Engineer.

Line of Baseframe pit

Terminate cooling water supply and return lines on the rear wall behind the Stand with 1" (25) female NPT valves and plugs.

Terminate the compressed air line on the rear wall behind the Stand with 1/2" (13) female NPT valves and plugs.

Refer to Section 3.10 the BaseFrame Cooling Line Access Details for termination location. The customer/ contractor will make the final connection to the valves in HE Clinac Stand using the Varian provided hose kit during installation.

Verify slab, subgrade and moisture protection requirements. All exposed concrete shall be suitably sealed before the Base Frame arrives on site. Pit depth shall not vary more than 1/4" (6).


Verification of appropriate utility and cable access is the responsibility of the Customer. Selection of the appropriate cable access method is determined by site-specific conditions and Customer preference. The standard side access conduit details are appropriate for the majority of installations, those with sub-floor clearances of at least 24” (610). Alternate bottom access conduit details are included for installations with sub-floor clearances of at least 39” (991). Alternate duct access details are included for installations with minimal sub-floor clearance. All conduits or cable ducts must be fully sealed and protected to keep them clean and dry.


Baseframe Pit and Installation High Energy Clinac Edition

WARNING: In all seismically active locations, the design of the Baseframe Pit for this load, and its anchorage, should be approved by a licensed Structural Engineer. During a seismic event, serious injury or loss of life may result from a substandard design.

Figure 3-58 Clinac Baseframe Installed

Line of the shielding barrier

For side conduit access situations, provide a Baseframe pull box measuring 12” x 24” x 10” total depth (300 x 600 x 250). Top access is required. As no connections are made at this location, many regulatory agencies do not require a top box. If a top pull box is not used, keep this area free of grout.

The floor shall be level with the top of the Treatment Couch bearing mount to within ±1/8" (3) for 6'-0" (1829) radius about isocenter.


High Energy ClinacVEO Base Frame

A steel frame is used to anchor the Clinac Stand, Gantry and Couch to the facility. The frame is set in a recessed equipment pit, leveled (by Varian), and held in place with grout. Base Frames are positively anchored to the slab to avoid floating during grout placement. Verify anchorage details with your Installation Project Manager office. Varian information regarding pit design assumes a ground floor installation. Upper floor installations require a thorough review by a qualified structural engineer. In typical installations, Base Frames for Clinacs are not positively anchored sufficiently to accommodate seismic loads. All seismic anchoring is by the Customer. Sample seismic calculations and details of the preferred anchoring methods for Clinacs are available from the Planning Department.

The Base Frame shall be ordered at least three weeks prior to the required delivery date. Contact the Varian Installation Project Manager to schedule delivery.



Refer to Section 3.10 the BaseFrame Cooling Line Access Details for termination location. The customer/ contractor will make the final connection to the valves in HE Clinac Stand using the Varian provided hose kit during installation.


High Energy Clinac Edition Baseframe Pit and Installation

Figure 3-59 Grout After Baseframe Installation



Refer to Section 3.10 the BaseFrame Cooling Line Access Details for termination location. Thecustomer/ contractor will make the final connection to the valves in HE Clinac Stand using the Varian provided hose kit during installation.

After Base Frame is in place and leveled, fill recess with grout (by Customer). For standard grout, provide a minimum seven days cure time prior to Equipment installation. Use normal weight grout - 28 day strength of 2000 lb./sq. in (141 kg/sq. cm), 6" (152) to 7" (178) slump, 3/8" (10) maximum pea gravel aggregate size.


The floor shall be level with the top of the Treatment Couchbearing mount to within ±1/8" (3) for 6'-0" (1829) radius about isocenter.

The Couch Turntable Assembly and Stand mounting pads shall be free of grout.

Line of the shielding barrier


Baseframe Pit and Installation High Energy Clinac Edition

Figure 3-60 Clinac Installed on Baseframe


Isocenter - This is the primary referencepoint for Varian equipment. Show theisocenter location clearly on all relevantdrawings. Maintain the isocenter locationon site by extending perpendicular axislines along slab and up walls in all fourdirections. The standard isocenter heightfor the HE Clinac is 4’-3” (1295).

For information on flooring requirements, see Section 5.4 “Carpeting and FlooringRequirements.”

Line of shielding barrier

Exact Treatment Couch


High Energy Clinac Edition Baseframe Cable Access Details

3.10 Baseframe Cable Access Details

Figure 3-61 Standard Side Cable Access Plan and Section at Pull Box

Isocenter to centerline of pull box dimension



For side conduit access situations, provide a Baseframe pull box measuring 12” x 24” x 10” total depth (300 x 600 x 250). Top access is required. As no connections are made at this location, many regulatory agencies do not require a top box. If a pull box is not used, keep this area free of grout.

A steel frame is used to anchor the Clinac Stand, Gantry and Couch to the facility. The frame is set in a recessed equipment pit, leveled (by Varian), and held in place with grout. Baseframes are positively anchored to the slab to avoid floating during grout placement. Verify anchorage details with your Installation Project Manager office. Varian information regarding pit design assumes a ground floorinstallation. Upper floor installations require a thorough review by a qualified structural engineer. In typical installations, Baseframes for Clinacs are not positively anchored sufficiently to accommodate seismic loads. All seismic anchoring is by the Customer. Sample seismic calculations and details of the preferred anchoring methods for Clinacs are available from the Planning Department.

Verification of appropriate utility and cable access is theresponsibility of the Customer. Selection of the appropriatecable access method is determined by site-specific conditionsand Customer preference. The standard side access conduitdetails are appropriate for the majority of installations, thosewith sub-floor clearances of at least 24” (610). Alternatebottom access conduit details are included for installationswith subfloor clearances of at least 39” (991). Alternate ductaccess details are included for installations with minimalsub-floor clearance. All conduits or cable ducts must be fullysealed and protected to keep them clean and dry.

The Couch Turntable Assembly and Stand mounting pads shall be free of grout

Hold down anchor bolts are installed by Varian during the BaseFrame installation. These bolts are used exclusively to avoid movement of the frame during grouting. They are not seismic attachment anchors.


Provide adequate reinforcing steel in slab

Outline at the HE Clinac Stand

Provide adequate clearance for typical conduit radius of six times the diameter. Conduit bends shall not exceed 270 degrees per cable run.

Rear concrete

Provide two 2" (50) and one 1" (25) conduits for the Varian provided hose kit, the maximum length for each conduit is 86" (2185) with a minimum bend radius of 12" (305), see Section 3.10 for detailed information.


Baseframe Cable Access Details High Energy Clinac Edition

Figure 3-62 Alternate Bottom Cable Access Plan and Section at Pull Box



Rear concreteProvide adequate clearance for typical conduit radius of six times the diameter. Conduit bends shall not exceed 270 degrees per cable run.



For bottom conduit access situations, provide a BaseFrame pull box measuring 12” x 24 x 10” total depth (300 x 600 x 250). Top access is required. As no connections are made at this location, many regulatory agencies do not require a pull box, keep this area free of grout.


The Couch Turntable Assembly and Stand mounting pads shall be free of grout.


Line of Base Frame pitIsocenter to centerline of pull box dimension

A steel frame is used to anchor the Clinac Stand, Gantry and Couch to the facility. The frame is set in a recessed equipment pit, leveled (by Varian), and held in place with grout. Baseframes are positively anchored to the slab to avoid floating during grout placement. Verify anchorage details with your Installation Project Manager office. Varian information regarding pit design assumes a ground floor installation. Upper floor installations require a thorough review by a qualified structural engineer. In typical installations, Baseframes for Clinacs are not positively anchored sufficiently to accommodate seismic loads. All seismic anchoring is by the Customer. Sample seismic calculations and details of the preferred anchoring methods for Clinacs are available from the Planning Department.



High Energy Clinac Edition Baseframe Cable Access Details

Figure 3-63 Alternate Recessed Floor Duct Cable Access Plan and Section at Pull Box



For recessed floor duct access situations, provide a minimum 18" x 3" deep (450 x 75) floor duct with two partitions at the rear of the BaseFrame.

Cable duct shall be installed and grounded per applicable electrical codes. Use standard, load bearing cable duct with removable cover.

A steel frame is used to anchor the Clinac Stand, Gantry and Couch to the facility. The frame is set in a recessed equipment pit, leveled (by Varian), and held in place with grout. Baseframes are positively anchored to the slab to avoid floating during grout placement. Verify anchorage details with your Installation Project Manager office. Varian information regarding pit design assumes a ground floorinstallation. Upper floor installations require a thorough review by a qualified structural engineer. In typical installations, Baseframes for Clinacs are not positively anchored sufficiently to accommodate seismic loads. All seismic anchoring is by the Customer. Sample seismic calculations and details of the preferred anchoring methods for Clinacs are available from the Planning Department.


The Couch Turntable Assembly and Stand mounting pads shall be free of grout




Rear concrete


This area shall be free of grout


BaseFrame Cooling Line Access Details High Energy Clinac Edition


3.11 BaseFrame Cooling Line Access Details

Figure 3-64 Typical Cooling Line Access Plan

Note: Install the three conduit sleeves for the Varian provided hose kit after the BaseFrame is installed (before grout). The conduits must rest against the rear of the BaseFrame at the specified location.

Customer provided compressed air line and cooling water lines (Supply and Return)

Isocenter

The maximum distance from the end of conduit to the NPT valves is 30" (762)

Customer providedaccess panel

Line of BaseFrame pit

Provide two 2" (50) and one 1" (25) conduits for the Varian provided hose kit, the maximum length for each conduit is 86" (2185)

Line of Baseframe pit

Provide adequate clearance for typical conduit radius of six times the diameter. Conduit bends shall not exceed 270 degrees per conduit run.

52” VEO BaseFrame




The customer/contractor will make the final connection to the valves in HE Clinac Stand using the Varian provided hose kit during installation.


High Energy Clinac Edition Clinac In-Room Monitor

3.12 Clinac In-Room Monitor

3.12.1 Equipment Layout/Clearances

The In-Room Monitor should be located where the operator can observe it without turning away from either the machine or patient on the couch. The monitor provides information during patient setup and it is unsafe to turn away from the patient while the machine is moving and the patient is on the couch. The In-Room Monitor may be mounted on a wall, ceiling, or shelf.

CAUTION: Do not locate the In-Room Monitor in the primary beam path.

The wall-mounted In-Room Monitor is standard with the Clinac. The wall mount and monitor bracket are provided by Varian and shipped with the system. The wall mount support backing is installed by the Contractor. The wall mount is installed by the Contractor. Contact Varian's Planning Department for additional information on monitor bracket information.

3.12.2 Component Anchorage Brackets

If equipment is to be anchored to a wall or ceiling, provide structural backing and support (by Customer/Contractor). Install per bracket manufacturer's instructions. Verify mounting height with local codes. A wall mounting bracket is provided by Varian. Ceiling mounting or cabinet mounting is provided by Customer/Contractor. Contact your local audio/video supplier for information on ceiling-mounted monitor brackets.

3.12.3 Dedicated Ground Wires – In-Room Monitor

The Contractor shall install one (1) 18 AWG (1.0 mm2) Ground or Earthing wires from the In-Room Monitor signal box to the Control Equipment Pull Box using the existing 2" (50) conduit. The wire color shall be green with yellow stripe. Each wire shall be terminated with #6 (M3.5) ring terminals, one end of which shall be affixed to the Accessory Pull Box ground stud. The contractor shall leave excess wire at the In Room Monitor signal box to reach a point 7'-0" (2134) above finished floor.


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Clinac In-Room Monitor High Energy Clinac Edition

Figure 3-65 Clinac In-Room Monitor Wall Mount

A wall track anchored to backing plate or wall studs.

Cable channel with supplied covers (cut to fit).

Attach the 100mm VESA adapter plate to the arm.


High Energy Clinac Edition Clinac In-Room Monitor

Figure 3-66 Typical Plan

18" WIDE X 24" LONG(457 X 610)BACKING PLATE

WALL STUDS

(406)16"

HE038-0DO NOT SCALE

For information on component anchorage brackets, see section 3.9.2.

For information on equipment layout/ clearances, see section 3.9.1.

This is the line of the shielding barrier.


Provide an electrical power receptacle at the In-Room Monitor.

Provide a signal pull box for the In-Room Monitor. This is a standard computer signal cable outlet. If the signal cables are to be recessed, provide a signal outlet and conduits from the in-room monitor to the Control Equipment console.

Provide one 2" (50) conduit between the pull box at In-Room Monitor and the pull box at Control Console. Depending on the configuration, up to four cables may need to be pulled through this conduit. The length of this cable run shall not exceed 75 feet (22,860).

In-Room Monitor

Elevation Optional Ceiling Mount Standard Wall Mount

Elevation

Provide a signal pull box for the In-Room Monitor. This is a standard computer signal cable outlet. If the signal cables are to be recessed, provide a signal outlet and conduits from the in-room monitor to the Control Equipment console.Provide one 2" (50) conduit between the pull box at In-Room Monitor and the pull box at Control Console.Depending on the configuration, up to four cables mayneed to be pulled through this conduit. The length of this cable run shall not exceed 75 feet (22,860).

Provide an electrical power receptacle at the In-Room Monitor.

This is the line of the shielding barrier.


This is the line of the suspended ceiling.

In-Room Monitor

For information on equipment layout/ clearances, see section 3.9.1.In-Room

Monitor


This is the recommended height above the finish floor.

This is the recommended height above the finish floor.


At locations where access to the In-Room Monitor is difficult, a switch may be installed in the room to control the power receptacle.

This is the line of the finish floor.


This is the recommendedheight above the finish floor.


Patient Positioning Lasers High Energy Clinac Edition

3.13 Patient Positioning Lasers

Figure 3-67 Laser Positioning Light

Varies per manufacturer.

Varies per manufacturer.

The beam port center line is the primary reference point for laser location.



High Energy Clinac Edition Patient Positioning Lasers

Figure 3-68 Standard Laser Mounting Details (Recessed in Wall) – Plan View

Expansion anchors are typically used to anchor the steel laser mounting plate to the concrete structure. Provide minimum 1/4" (6) clearance between the mounting plate and the concrete using washers. The steel laser mounting plate must be installed level and plumb in both planes.

A 1/4" x 16" x 25" (6 x 406 x 635) mild steel plate is required for mounting the laser.

Additional radiation shielding may be required, typically lead or steel, if the laser is recessed into the concrete wall. The thickness may vary depending on depth of the recess, verify with the Physicist of Record.

The power to lasers is typically supplied by a grounded power receptacle at each laser location. A 3'-0" (914) power cord is provided with each laser. The receptacles are controlled through the Relay Junction Box as defined by the Interconnection Wiring Diagram (see Figure 4-2).


Decorative/protective laser recess cover (by Customer) must allow full access to recess. Do not allow the cover to contact the laser when closed. Locate and drill laser beam hole in cover after laser has been installed.



Figure 3-69 Standard Laser Mounting Details (Recessed in Wall) – Elevation View

Wall furring shall not overlap steel plate. Steel plate minimum dimensions exceed laser dimensions to allow for adjustment during installation.


Wall furring shall not overlap steel plate. Steel plate minimum dimensions exceed laser dimensions to allow for adjustment during installation.



Do not mount lasers on sheet rock, drywall or suspended ceilings. Secure directly to rigid structure. Varian strongly recommends that a steel plate be provided for installation onto concrete walls. Without rigidly mounted steel plate backing for lasers, stable isocenter positioning cannot be guaranteed. The differential movement between the laser location and the isocenter shall not exceed 1mm. Do not mount lasers until isocenter has been established. Lasers may be installed "upside down" (with the beam port nearest the bottom of laser) or “sideways” at locations with obstructions below laser. If the lasers are provided by Varian, the laser mounting will be done by Varian. Otherwise the laser mounting is to be done by the Customer.

Isocenter - This is the primary reference point for Varian equipment. Show the isocenter location clearly on all relevant drawings. Maintain the isocenter location on site by extending perpendicular axis lines along slab and up walls in all four directions. The standard isocenter height for High Energy Clinac is 4'-3" (1295).

The sagittal laser positioning light is located on the wall at the end of the longitudinal couch axis. Unlike the side lasers, which are at isocenter height, the sagittal laser is typically mounted at a height of 7'-6" (2286) above the floor.

The two side laser positioning lights are located on the side walls at isocenter height


High Energy Clinac Edition Patient Positioning Lasers

Figure 3-70 Standard Laser Mounting Details (Recessed in Wall) – Section View

Expansion shields are typically used to anchor the steel laser mounting plate to the concrete structure. Provide minimum 1/4" (6) clearance between the mounting plate and the concrete using washers. The steel laser mounting plate must be installed level and plumb in both planes.



Additional radiation shielding may be required, typically lead or steel, if the laser is recessed into the concrete wall. The thickness may vary depending on depth of the recess, verify with the Physicist of Record.

Decorative/protective laser recess cover (by Customer) must allow full access to recess. Do not allow the cover to contact the laser when closed. Locate and drill laser beam hole in cover after laser has been installed.




Figure 3-71 Ceiling Mount Detail

Elevation

HE135-0DO NOT SCALE


Verify appropriate code for enclosure requirements.

Provide 3" (76) clearance from the bottom of the overhead laser to the ceiling to permit access.


The overhead laser positioning light is located directly over the isocenter.

Provide Unistrut or similar rigid box frame where dimensions exceed 2'-0" (610). Surface mount laser on steel plate where ceiling to concrete distance is less than 2'-0" (610).

Exposed grid ceilings allow for access to the overhead laser and relay junction box without the use of access doors. Major service at the equipment Stand is simplified where there are removable ceiling tiles. Coordinate the layout of ceiling tile to insure that ceiling support system shall not interfere with overhead laser positioning light beam port.


Mount the 120v power receptacle on the vertical surface of the enclosure.

Securely anchor the ceiling laser support structure to the rigid structure above.


Chapter 4 Electrical Requirements

4.1 General Electrical Specifications

4.1.1 Wiring and Components

The Customer shall provide all wiring and components shown on the left side of the reference lines in Figure 4-2, Interconnection Wiring Diagram. This includes the GEXPRO relay junction box # Varian24VRJB (see “Relay Junction Box Varian VRJB-C3” on page 4-21). The terminal blocks TB4-customer interlocks and TB5-customer power connections accept 14 AWG or smaller wire. The terminal blocks TB1 in the modulator and Fuse Block FB1 in the Clinac stand accept 2/0 AWG or smaller wire. Emergency OFF control wiring for the Clinac circuit breaker (see “Clinac Main Circuit Breaker Panel (with Battery Backup) 2100CBB Series” on page 4-9) and OBI circuit breaker (see “OBI Circuit Breaker Panel” on page 4-12) shall be 14 AWG. Label the customer-supplied wiring per terminal block connection.

The Varian-provided control interconnect cables are not shown in Figure 4-2, Interconnection Wiring Diagram.

4.1.2 Lighting and Accessories Circuits

Provide 120 VAC (typical 60Hz) or 240 VAC (typical 50Hz) 20 amps maximum power for lighting, laser positioning lights, and warning lights to the Relay Junction Box, as discussed in Section 4.1.1, Wiring and Components. 277 VAC lighting is acceptable but will require that the remaining items be on a separate circuit. Lighting, lasers, warning lights, and in-room monitors may each be on separate circuits.

Table 4-1 Recommended Power Specification Summary

Component Voltage Amperage Phase

aClinac

a. These feeds can be supplied simultaneously by a Transtector brand Dual Output power conditioning unit or equivalent.

60 Hz 208V 150A 3-phase + 4 AWG (Min.) Ground

50 Hz 400V 80A 3-phase + 4 AWG Neutral + Ground

aOn-Board Imager (OBI) 480V 60A 3-phase + 6 AWG (Min.) Ground

aConsole 60 Hz 120V 20A 1-phase + Ground (Parity)

50 Hz 240V 15A

4-1

General Electrical Specifications High Energy Clinac Edition

4.1.3 Electrical Connections

The Customer shall (under Varian supervision):

Route all system power from an isolated power source through the Main Circuit Breaker Panel.

Ensure that rough-in for conductors for listed items includes 12'-0" (3658) left coiled in pull box.

Supply and connect phase, ground, and neutral power supply wires.

Supply and connect wiring at the Relay Junction Box for Under Voltage Relay, Beam-On Lights, Door Interlocks, Emergency-Off Switches, Positioning Laser Relay and Room Lights Relay.

Make all power and UVR connections to the Modulator per Figure 4-2, Interconnection Wiring Diagram.

Review connections and equipment function with the Varian Installer.

Bundle all wiring in conduits shared by Varian cables.

Pull Varian-supplied Clinac control cables as specified by the Varian Project Manager.

4.1.4 Dedicated Grounding Requirements

The High Energy accelerator requires three Ground or Earthing circuits, as shown in Figure 4-1, Ground/Earthing Conductor Diagram.

The first circuit is part of the main power supply and provides grounding for the High Energy Accelerator’s Modulator. The minimum size of the copper wire ground conductor shall be a minimum of #4 AWG (22mm2). Ground conductors shall be installed from the Modulator to the Clinac Main Circuit Breaker Panel (MCBP) and from the MCBP to the facility's main ground through the Hospital Grid System.

The second circuit is part of the main power supply and provides grounding for the High Energy Accelerator’s Stand and Gantry. The minimum size of the copper wire ground conductor shall be a minimum of #6 AWG (16mm2). Ground conductors shall be installed from Stand to the On-Board Imager Circuit Breaker Panel (OBI CBP) and from the OBI CBP to the facility's main ground through the Hospital Grid System.

CAUTION: The equipment is sensitive to electrolysis from water pipe grounding. Do not use water supply piping for ground.

The third grounding circuit is for wall and ceiling mounted High Energy Accelerator’s subsystems located at or below 8'-2 1/2" (2500) above finished floor (AFF). The Contractor shall install a Ground or Earthing wire from each of the subsystems listed below to the Grounding Stud in the Control Equipment Pull Box and from there to the facility’s main ground, as noted above. See Figure 4-1, Ground/Earthing Conductor Diagram.

See the following information for additional details.

Control Equipment Pull Box – See also Section 3.1.2.1, Control Equipment Pull Box.

Accessory Pull Box – See also Section 3.1.2.5, Accessory Pull Box.

Clinac In-Room Monitor – See also Section 3.12.3, Dedicated Ground Wires – In-Room Monitor.

This grounding system provides compliance with IEC 60101 and -01.

4-2 Chapter 4 Electrical Requirements

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4-3

General Electrical Specifications

g Conductor Diagram

Clinac Main Circuit Breaker Panel. See Section 4.2.2 for details.

Provide Ground/Earthing conductor that is a minimum of #6 AWG (16mm ) from the Stand to the OBI Circuit Breaker Panel. See Table 4-3 and Section 4.3.1 for details.

2

Provide Ground/Earthing conductor that is a minimum of #6 AWG (16mm ) from the Main Distribution Panel. See Section 4.3 and Table 4-3 for details.

2

Provide Ground/Earthing conductor that is a minimum of #4 AWG (22mm ) to the Main Distribution Panel. See Section 4.2 and Table 4-2 for details.

2

High Energy Accelerator Modulator with recessed Modulator Pull Box.

Provide Ground/Earthing conductor that is a minimum of #4 AWG (22mm ) from the Modulator to the Main Circuit Breaker Panel. See Table 4-2 and Section 4.2.1 for details.

2

High Energy Accelerator Stand and Gantry with recessed Baseframe Pull Box.



Figure 4-1 Ground/Earthin

OBI Circuit Breaker Panel. See Section 4.3.2 for details.

Control Equipment Pull Box.See Section 3.1.2.1 for details.

Provide one 14 AWG (2 mm ) Ground/Earthing conductor from the Control Equipment Pull Box to the facility’s main ground. See Section 4.1.4 for details.

2

Provide one 18 AWG (1.0 mm ) Ground/Earthing conductor from the In-Room Monitor signal box to the Accessory pull box. See Section 3.12.3 for details.

2

In-Room Monitor

Accessory Pull Box, mounted in the ceiling space, with #6 (M3.5) grounding stud. See Section 3.1.2.5 for details.

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ly left blank.

4-4

General Electrical Specifications


High Energy Clinac Edition General Electrical Specifications

4.1.5 Power Conditioning Requirements

The equipment is sensitive to line voltage variations and source impedance. A complete survey of the electrical supply should be conducted prior to the equipment installation and a copy of this survey should be sent to the regional Installation Project Manager for the equipment file. Isolation transformers and/or power conditioners are required where the electrical power requirements specified herein cannot be met.

Caution should be taken when powering the x-ray equipment from the same distribution source such as elevators, HVAC equipment and other phase controlled loads, because of potential adverse affects on the operation of the x-ray equipment. The supply voltage wave form should be practically sinusoidal with less than 5% total harmonic distortion. Signals from devices that use the power line as a means of distribution can be the source of problems, and efforts should be taken to minimize such effects.

Transients lasting no more than a few cycles will not cause harm if limited to the specified steady state line voltage regulation. Transient suppression is required where larger, longer lasting or frequent transients occur as these can cause interruption of operation and/or equipment damage.

4.1.6 Network Cabling and Termination

4.1.6.1 Cabling

Network cabling must be minimum Category 5e with a minimum bandwidth of 100 Mbps full duplex (100BaseT). The cable run must be a single segment of less than 100 meters (328 feet) from the wall plate to the network switch or router, located within the telecommunications closet. The RJ-45 connector will be labeled as a DATA connection with a unique identifier that delineates the termination point at the Patch Panel, Switch, or Router.

Note: The network data drops must be active at the time of installation with a live connection to the network switch or router.

4.1.6.2 Termination

The Control Console requires a minimum of one (1) network cable outlet (RJ-45) located within three (3) feet of the Control Console. Although the Control Console requires a single network drop, Varian Medical Systems recommends three (3) additional drops for customer-supplied computers and/or a network printer. Varian Medical Systems recommends the use of a modular wall plate that meets TIA/EIA and NEC standards and codes for data communications. The RJ-45 jack must meet TIA/EIA-568-A wiring pattern. Orientation of the RJ-45 wall jack should be at a 45-degree down angle.

Note: The customer may require additional workstations and printers in the vicinity of the Control Console to run customer required applications. Therefore, Varian Medial Systems recommends that the customer pulls three (3) additional Cat 5e cables and terminates each connection into a four-plex modular wall plate. Thus bringing the total number of network drops to the Control Console to four (4).

Chapter 4 Electrical Requirements 4-5

General Electrical Specifications High Energy Clinac Edition

4.1.6.3 TCP/IP Protocol

The Control Console makes use of the TCP/IP protocol suite. Varian Medical Systems recommends that the customer eliminates all unnecessary protocols. Varian Medical Systems requires subnets for the TCP/IP protocol in order to reduce the number of broadcast messages that must be processed by the Control Console to the Radiation Oncology network. The subnet of the Radiation Oncology Department should be kept as small as possible. Large, flat TCP/IP networks running broadcast intensive software will adversely impact the performance of the radiation delivery system. Varian Medical System recommends isolating the Radiation Oncology broadcast domain from the Enterprise Network.

Note: The Control Console requires a static Internet Protocol (IP) address at the time of installation. Varian Medical Systems requires that the network drop provided for the Control Console is “hot” with a live connection to the network switch or router.


High Energy Clinac Edition Clinac Linear Accelerator Subsystem

4.2 Clinac Linear Accelerator Subsystem

Table 4-2 Clinac Linear Accelerator Power Requirements

Input voltage Typical 60Hz - 200 to 240 VAC, line-to-line, 4-wire (3-phase and ground).

Typical 50Hz - 200 to 240 VAC, line-to-line, 4-wire (3-phase and ground).

Typical 50Hz - 360 to 440 VAC, line-to-line, 5-wire (3-phase, neutral and ground).

Line voltage regulation

±5%. This is the maximum allowable steady-state deviation from nominal value selected.

Maximum phase voltage imbalance

3% of the nominal value. This is the maximum difference between any two phase voltages when operating at full load (Beam-On).

Input frequency 50 or 60 Hz ±1 Hz.

Electrical loads 3kVA in Stand-By state, 20kVA in Ready state and 45kVA in Beam-On state.

Long-Time Load 45kVA. This is the maximum load that the source is expected to sustain during normal (Beam-On) operation; that is, during treatment. It must also be capable of sustaining this load occasionally for much longer periods of test and calibration.

Power factor Estimated to be 90% or more. Most of the load is inductive. The line-current waveform is non-sinusoidal.

Source impedance 2.5% maximum. This maximum recommendation is based on the minimum required source capacity; namely, 45kVA.

At 208 V/120 Volts AC, system, this corresponds to 125A full load line current. The recommended maximum phase to neutral impedance is therefore 24mΩ.

At 400 V/230 Volts AC system, the full load line current is 65A, and the recommended maximum phase to neutral impedance is 89mΩ.

At 480 V/277 Volts AC System, the full load current is 54.1A, and the recommended maximum phase to Neutral impedance is 128mΩ. No minimum is specified; however, the fault current available shall not exceed 10,000A.

Mandatory grounding conductor

The minimum size of the copper wire ground conductor shall be 4 AWG(22 mm2). Ground equipment through the “Hospital Grid System.” The equipment is sensitive to electrolysis from water pipe grounding. Do not use water supply piping for ground.


Clinac Linear Accelerator Subsystem High Energy Clinac Edition

4.2.1 Circuit Breakers/UVRs

4.2.1.1 High Energy Clinac Main Circuit Breaker Panel

The Clinac Main Circuit Breaker Panel is contractor provided. Locate the panel in sight and within 10 feet (3048) of the Clinac control console casework. The panel may be surface or semi-recessed mounted. The panel must be conspicuously identified as “Main Disconnect for Clinac.”

The Clinac Main Circuit Breaker Panel, GEXPRO 2100CBB Series (includes 150 Amp UVR Breaker, 24VDC Power Supply, and Push-button). The GEXPRO Catalog #2100CBB150A information is available from your Regional Planner.

or

Line voltage – 208 VAC (typical 60 Hz): 150 Amp UVR (24VDC) Breaker.



Fault Condition – 1000A for 0.1 second at 208 VAC or 520A for 0.1 second at 400 VAC. This is the load resulting from a fault that is interrupted by the Clinac’s internal, resetable protective circuits. The Clinac produces a 1000A surge at 208 VAC or a 520A surge at 400 VAC. This surge lasts 30 to 40 milliseconds. The circuit breaker specified will accommodate this surge. The disconnect and overcurrent protection capability of the breaker is provided by its interrupt rating of 42kA at 200 to 240 VAC or 25kA at 360 to 440 VAC. Clinacs are covered under Article 517 (Health Care Facilities) of the 1993 Edition of the N.E.C. Part E deals specifically with X-Ray Installations; 517-73, which covers “Rating of Supply Conductors and Overcurrent Protection,” is divided into two sub-sections: a) Diagnostic Equipment and b) Therapeutic Equipment. Clinacs are primarily therapeutic, and therefore fall under the provisions of b), which specifies simply: “The ampacity of conductors and rating of overcurrent protective devices shall not be less than 100% of the current rating of medical X-ray therapy equipment.” A note associated with b), but applicable to all X-ray equipment states that the rating of the disconnecting means as well as that of the overcurrent protection and the branch-circuit conductor ampacity “are usually designated by the manufacturer for the specific installation.” The provisions are consistent with recommendations made in this package.

4.2.1.2 Under-Voltage Release (UVR)

An Under-Voltage Release (UVR) is required to provide the capability of disconnecting all power (except control transformer circuit) when the emergency-off circuit is broken. Otherwise, power is interrupted only by contactors in Clinac power distribution compartment.

If not using the GE Main Circuit Breaker Panel described in Section 4.2.1.1, High Energy Clinac Main Circuit Breaker Panel, the following are required:

GE Circuit Breaker, part #TEDUV8RS 24 VDC (or equivalent).

Uninterrupted 24 VDC power supply.

Momentary push-button.



4.2.2 Clinac Main Circuit Breaker Panel (with Battery Backup) 2100CBB Series

4.2.2.1 Application

The Clinac Main Breaker Panel is a custom panel that serves as the main power disconnect between the Clinac system and the facility power source. The panel provides emergency disconnection and overcurrent protection, and will maintain the main breaker undervoltage (UVR) holding circuit during any loss of power. The (battery backup) holding circuit is disabled whenever any emergency off push-button is pressed. The standardized design provides a platform for future upgrades of the system. The panel offers the customer, specifier, and the installer a number of advantages by combining a variety of individual components into a single pre-engineered and factory tested panel. Each panel is UL and cUL listed, for compliance with the approvals required by NEC Article 100 and Article 110-3. The main circuit breaker is wired to the Clinac system and provides immediate shut down of the entire system to comply with NEC required disconnecting means. The panel may be surface or semi-recessed mounted, and can be utilized for a variety of applications where low-voltage control of the main power source is desired.

Catalog #2100CBB150A


Clinac Linear Accelerator Subsystem High Energy Clinac Edition

4.2.2.2 Features

65,000 amps Short Circuit Current Rating to meet rigorous hospital power system requirements.

Maintains breaker during momentary outages.

Battery backup maintains UVR circuit capability for at least three days.

Single panel completely assembled and tested.

Custom wiring diagram speeds installation.

UL and cUL listed to conform to NEC.

Complies with NEC Article 100 Definition of Approved and Article 110-3 Approved.

Provides low voltage, 24V dc operation via integral batteries and charging circuit. Convertible…adapts from 208V AC to 240V AC by changing one jumper.

High interrupting solid-state 65kAIC-240V rated molded case breaker with adjustable instantaneous trip. 2100CBB utilizes GE Cat # SEHA, 150A Frame and rating plug, TCC K215-172A.

Padlocking provisions for OSHA lockout/tagout included on the panel cover and on the individual main breaker handle.

Time delay current limiting fuses provides protection for the primary of the control power transformer.

Oversized ground lugs for parity sizing of ground wire.

Provisions for additional control features for integration with building automation system, security system, or remote system shut down alarm.

Finger safe fuse blocks for control circuit fuses.

Includes two mushroom Emergency OFF push-buttons, stainless steel wall plate and nameplate, to be wired per Varian requirements.

Surface or semi-recessed mounting.

Custom tailored for Varian Systems.

4.2.2.3 Benefits

Approved by Varian Engineering.

Minimizes down time by maintaining power to the main breaker (UVR) holding circuit during continuous power interruptions of up to three days.

Main breaker will not trip during power interruption due to generator testing.

Developed specifically for use with Varian Systems.

Reduces installation time and cost by providing a single-point power connection, thus eliminating the need to mount and wire several individual components.

Uniform factory design eliminates individual project engineering costs, and delays of on site fabrication.

Eliminates the sourcing and delivery delays associated with obtaining multiple components from a variety of suppliers.

UL and cUL listed to conform to local codes, minimizing potential inspection and acceptance issues.

Standardized design and testing assures high product quality and system reliability.

Single panel provides for a more attractive, color-coordinated installation.

4.2.2.4 Options

50 Hz, CE units available by special order.

Additional Emergency OFF switches available as catalog # VEOSW.

Upgrade kits are available to add battery backup circuit to existing 2100C150A240V main circuit breaker panels. 2100C150A240V upgrade kit is catalog # 2100C2BB.



4.2.2.5 Order Information

Catalog #: 2100CBB150A, 208-240V, 60 Hz, 65,000 amps Short Circuit Current Rating, Surface or Semi-Recessed Mounted 150A Main Breaker Panel, UL and cUL labeled, includes two remote Emergency OFF mushroom push-buttons.


Available from GEXPRO – Milwaukee, WIToll free (800) 279-7925, local (414) 527-66007:30 a.m. to 5:00 p.m. U.S. Central Standard Time (Monday-Friday).Email: [email protected]

Contact your Varian Regional Planner for order information in the following markets:Latin America; Europe, Middle East, and Africa; and Asia/Pacific Rim.


On-Board Imager (OBI) Option Subsystem High Energy Clinac Edition

4.3 On-Board Imager (OBI) Option Subsystem

4.3.1 OBI Circuit Breaker Panel

The OBI circuit breaker panel is contractor provided. Locate the panel in sight and within 10 feet (3048) of the Clinac control console casework. The panel may be surface or semi-recessed mounted. The panel must be conspicuously identified as “Disconnect for OBI.”

OBI Circuit Breaker - GEXPRO #OBI60A480V (includes 60 amp, 3-phase 400-480V circuit breaker, 60 amp., 480V contactor/120V coil installed in a Lockout/Tagout sub-panel) or equivalent. For more information see Section 4.3.2.1 on page 4-13.

Table 4-3 OBI Option Power Requirements

Input voltage 400 to 480 VAC (±10%) 4-wire (3-phase and ground).

Input frequency 50 or 60 Hz ±1%.

Maximum phase voltage imbalance

≤ 2% of the nominal value. This is the maximum difference between any two-phase voltages when operating at full load.

Maximum line voltage variation

≤ ±2.5%. This is the maximum allowable momentary line voltage variation due to causes other than the x-ray equipment load.

Maximum input impedance 0.17 Ohms at 400 VAC.0.24 Ohms at 480 VAC.

Power On/Quiescence state 1.0 kVA.

Supply capacity 47 kVA.

Mandatory grounding conductor

The size of the copper wire ground conductor shall be in parity with the power conductors but no less than 6 AWG (16 mm2), originating at the hospital main ground. The equipment shall be grounded through the “Hospital Grid System.” The equipment is sensitive to electrolysis from water pipe grounding. Do not use water supply piping for ground.


High Energy Clinac Edition On-Board Imager (OBI) Option Subsystem

4.3.2 OBI Circuit Breaker Panel #OBI60A480V Series

Catalog # OBI60A480V

6

4.3.2.1 Application

The OBI Circuit breaker panel is a custom panel, which serves as the main power disconnect between the x-ray system and the facility 480V power source. The panel provides emergency shut down and overcurrent protection for the x-ray system.

The standardized design provides a platform for future upgrades of the system. The panel offers the customer and the installer a number of advantages by combining a variety of individual components into a single pre-engineered and factory tested panel. Each panel is UL and cUL listed for compliance with NEC Article 100 and Article 110-3. The main breaker panel includes a power contactor for connection and control of the Varian Clinac High Energy Accelerator system, providing immediate shut down of the OBI system to comply with NEC required disconnecting means. The panel may be surface or semi-recessed mounted.

(27.2 kg)


On-Board Imager (OBI) Option Subsystem High Energy Clinac Edition


Catalog #: OBI60A480V-25K, 400-480V, 50 or 60 Hz, 25,000 amps Short Circuit Current Rating, Surface or Semi-Recessed Mounted 60A Main Breaker Panel, UL and cUL labeled.

Catalog #: OBI60A480V-42K, 400-480V, 50 or 60 Hz, 42,000 amps Short Circuit Current Rating, Surface or Semi-Recessed Mounted 60A Main Breaker Panel, UL and cUL labeled.

Available from GEXPRO – Milwaukee, WIToll free (800) 279-7925, local (414) 527-66007:30 a.m. to 5:00 p.m. U.S. Central Standard Time (Monday-Friday).Email: [email protected]


4.3.2.2 Features

Single panel completely assembled and tested.

Custom wiring diagram speeds installation.

UL and cUL listed to conform to NEC.

Complies with NEC Article 100 Definition of Approved and Article 110-3 Approved.

Provides low voltage, 120V controlled contactor operation.

High interrupting solid-state 25,000 or 42,000 AIC-480V rated, molded case breakers with adjustable instantaneous trip.

Padlocking provisions for OSHA lockout/tag out included on individual main breaker handle.

Cover may be locked closed with door and hasp or customer provided padlock.

¼ turn slotted door latch provides additional security.

Oversized ground lugs for parity sizing of ground wire.

Ground bus bar for control circuit ground wires.

All devices selected for high reliability and long life.

Finger safe terminal blocks for control circuit connections.

Surface or semi-recessed mounting.

Custom tailored for Varian X-ray Systems with Clinac High Energy Accelerator.

4.3.2.3 Benefits

Developed specifically for use with Varian Oncology Systems.

Reduces installation time and cost by providing a single-point power connection eliminating the need to mount and wire a number of individual components.

Standardized design provides for pre-engineered system modifications such as uninterruptible power supply.

Uniform factory design eliminates individual project engineering costs, and delays of on site fabrication.

Main power contactor is coordinated to interface with system emergency off.

UL and cUL listed to conform to local codes minimizing inspection and acceptance issues.

Standardized design and testing assures high product quality and system reliability.

Single panel provides for a more attractive, color coordinated installation.

4.3.2.4 Options



4-15

Interconnection Wiring Diagram

ion Wiring Diagram

Safety and Warning Devices

de 120 VAC, 60Hz0 VAC, 50Hz power,

ps maximum. Seen 4.4.5.1.

vide 120 VAC, 60Hz40 VAC, 50Hz power,mps maximum. See

tion 4.1.2.

See section 4.4.3.2

120 VAC or 277 VAC,r 240 VAC, 50Hz 20 Amps maximum. ction 4.1.2.

sections 4.1.2 & 4.4.3

See section

4.4.3.3

Provide 120 VAC, 60Hzor 240 VAC, 50Hz power,20 Amps maximum. Seesection 4.1.2.

See section 4.4.4.6

See section 4.4.4.7

See section 4.4.4.1 to 4.4.4.5

See sections 4.1.2 and 4.4.3

See section 4.4.5.2

IRM CCTV

See section 4.4.2

See section 4.4.3.1

See section 4.4.6

See section 4.4.5.3

See sections 4.1.1 & 4.1.3



4.4 Interconnection Wiring Diagram

Figure 4-2 Interconnect

Power Connections

See sections 4.1.1 & 4.1.3

See sections 4.2.1.1 & 4.2.1.2

See section 4.4.1

See section 4.2

See section 4.1.4

See section 4.3.1

See section 4.3

See section 4.1.4

Provide 120 VAC (typical 60Hz) or 240 VAC (typical 50Hz) power.

Provide 20 amp at 120 VAC or 15 amp at 240 VAC dedicated circuit breakers for Varian control console equipment power outlets.

See section 4.4.5.2

The electrical loads for the Variancontrol console equipment are:> Clinac Electronics Cabinet - 120VAC - 3A> Control Console Cabinet - 120VAC - 6A> Control Console Monitors (each) - 120VAC - 1A

Provior 2420 Amsectio

Proor 220 Asec

Provide60Hz opower,See se

See



ly left blank.

4-16

Interconnection Wiring Diagram


High Energy Clinac Edition Interconnection Wiring Diagram

4.4.1 General Notes

Use the following description of the Clinac operational states to determine the estimated utility load based on normal treatment cycles:

Standby – A condition usually in effect on weekends and overnight with only minimal electrical supplies operative, but with the water cooling system on.

Mode Release – A condition with no energy selected, all magnet and steering power supplies off, but with the klystron solenoid power supplies operative. Approximately 42 minutes per hour.

Ready/Energy Select – A condition with the Clinac ready to Beam-On. Approximately 6 minutes per hour.

Beam-On – The full-duty condition in which all primary heat sources operate at their maximum levels. Approximately 12 minutes per hour. The Beam-On State is maintained continuously for one hour or more during physics and calibration use.

The estimated number of minutes per hour of each state is based on an average of six patients treated per hour.

4.4.2 Laser Positioning Lights and Optional Bypass/Override Switch

The power to the lasers is typically supplied by a grounded power receptacle at each laser location. A 3'-0" (914) power cord is provided with each laser. The receptacles are controlled through the Relay Junction Box (RJB) as defined by the Interconnection Wiring Diagram (see Figure 4-2). Each laser can consume up to 25W, which varies per manufacturer.

For Q/A or maintenance purposes, a bypass/override switch can be installed to independently illuminate the laser positioning lights. These laser positioning lights are normally controlled through the hand pendant on the couch simultaneously dimming the room lights. This switch will allow the positioning lights to come on without dimming the room lights. If desired, a Single-Pole, Triple-Throw (SPTT) or a Single-Pole, Center Off (SPCO) wall switch should be installed, as shown in Figure 4-2. As an alternative, a Single-Pole, Double-Throw (SPDT) wall switch can be installed; however, the SPDT switch does not incorporate the center off functionality, which terminates power before reaching the RJB.

4.4.3 Room Lighting

4.4.3.1 Room Lights, Setup Lights, Laser Positioning Lights, and CCTV

The room lights, setup lights, laser positioning lights, In-Room Monitor, and Closed Circuit Television System (CCTV) can be controlled by a single room master switch, often outside the room and including a pilot light. The room lights can be on a separate circuit. Laser positioning lights control is automatically subordinated to room lights control on Clinacs and Acuity. A warning that lasers are on is implied when the room lights are off (lasers are turned off when room lights are on).


Interconnection Wiring Diagram High Energy Clinac Edition

The room lights and laser positioning lights may have wall switches inside the room, but this is not necessary when they are connected to the Relay Junction Box. Three-way switching is not recommended.

4.4.3.2 Setup Lights

Setup lights are normally dimmable incandescent fixtures, that allow the intensity to be adjusted by the therapists, while aligning the patient to the laser lights. The setup lights are usually located above and to either side of the longitudinal axis. The range of illumination for the setup lights is usually 25 to 40 foot-candles (269 to 431 meter-candles). Their operation is independent of the Pendant and Couch controls.

4.4.3.3 Main Room Lights

Main room lights are used for general illumination, while the patient is moving into and out of the room and for machine and room maintenance. This system normally uses fluorescent fixtures. The range of illumination for this activity is 75 to 100 foot-candles (807 to 1076 meter-candles) at the working level, approximately 3'-0" (914) above the floor. The fixtures are operated from the Clinac Couch and the Couch Pendant through a relay. If skylights and atria are used for general illumination, their contribution to the light level must be coordinated with the requirements during patient setup.

4.4.4 Safety Device Systems

System warning lights are customer-provided fixtures that are required in the treatment room, and/or over the door, and/or at eye level adjacent to the door outside the treatment room to indicate beam-on/beam-off conditions. They may be required to blink when the beam is on. Colored (usually red) lights usually must be placed such that one is visible from any point in a Clinac room. They are usually located adjacent to the emergency-off switches. Verify local requirements with regional regulatory agencies.

Each of the five Warning Light circuits has a maximum incandescent lamp load of 60 watts. If a greater load is required, these circuits can be used to control separate, customer-provided relays. Alternately, LED fixtures can be substituted. Fluorescent fixtures are not approved.

4.4.4.1 Beam-On Warning Lights

The BEAM ON warning light illuminates when treatment radiation (MV) is being produced by the accelerator and is mandatory. Provide no less than one Beam On warning light located over the door, on the outside of the treatment room. Verify additional requirements with regional regulatory agencies.



4.4.4.2 Beam Ready Warning Light

The BEAM READY warning light illuminates when all interlock conditions have been cleared and the accelerator is in a ready state to generate treatment radiation (MV). A Beam Ready warning light in the room and/or over the door may be required. Verify local requirements with regional regulatory agencies.

4.4.4.3 Beam-Off Light

The BEAM OFF warning light illuminates when the accelerator is not in a radiation-generating state. Most sites do not use this feature. Verify local requirements with regional regulatory agencies.

4.4.4.4 X-RAY ON (OBI) Warning Light

The X-RAY ON warning light illuminates when imaging radiation (KV) is being produced by the On-Board Imager and is mandatory. Provide no less than one X-RAY ON warning light, located over the door, on the outside of the treatment room. This light is commonly red-colored and may be required to blink when the OBI X-Ray is on. Verify additional requirements with regional regulatory agencies.

4.4.4.5 Generator ON (OBI) Warning Light

The GENERATOR ON warning light illuminates when the On-Board Imager is in a ready state to generate imaging radiation (KV). A Generator On warning light warning light in the room and/or over the door may be required. This light is commonly white-colored and may be required to blink when the OBI X-Ray is on. Verify local requirements with regional regulatory agencies.

4.4.4.6 Emergency-Off Switches

Provide emergency-off switches in room (normally closed type, manual reset). In addition to the switches required as part of the room, emergency-off devices are built into the Clinac Stand and Couch, Console and at the Clinac Modulator. Adequate switches must be provided in Clinac rooms so that one need not pass through the primary beam to disable the Clinac. Do not locate emergency-off switches in primary beam. Locate switches to avoid inadvertent contact, such as by gurneys or carts. Verify all requirements with regional regulatory agencies.

4.4.4.7 Safety Door Interlock Switches

Safety door interlock switches are required for all installations. Provide for both 12 VDC and 120/220 VAC door interlocks. They are normally open type switches and are used to ensure the room doors are closed during Clinac operation. Verify with the door manufacturer the type of switches supplied with the door or provide compatible type.

Note: Second door interlock switches are shown for paired entry doors. Both interlock switches must be provided at each entry door.



A separate, 12VDC Optional Door Interlock can be accommodated in the door interlock circuit. In addition to being used in conjunction with a Neutron Door, the Optional Interlock can be used in conjunction with mechanical/storage rooms within the vault or other ancillary spaces. Contact your Varian Regional Planner for more detail.

4.4.5 Power Receptacles/Switches

4.4.5.1 Setup Lights

Provide a dimmer switch for setup lights. This switch is used to adjust the illumination level of the set-up lights so that they are dim enough for clear visibility of the lasers, but bright enough for safe movement through the room.

4.4.5.2 In-Room Monitor

Provide an electrical power receptacle at each In-Room Monitor location.

4.4.5.3 CCTV Camera

If installed, provide a power receptacle at each CCTV Camera.

4.4.5.4 Clinac Computer Components

Provide three grounded 4 plex electrical power receptacles for the Clinac Electronics Cabinet and the Clinac Control Console Cabinet. Locate adjacent to the underside of the counter to provide maximum power cable extension room.

The electrical loads for the Varian control console equipment are:

Clinac Electronics Cabinet – 120VAC – 3A

Control Console Cabinet – 120VAC – 6A

Control Console Monitors (each) – 120VAC – 1A

4.4.5.5 ARIA Workstation Components (Optional)

If selected, provide a grounded 4 plex electrical power receptacle for ARIA workstation components. Locate adjacent to the underside of the counter to provide maximum power cable extension room.



4.4.6 Relay Junction Box Varian VRJB-C34.4.6.1 Application

The VRJB-C3 Relay Junction Box provides an interface with the Varian Clinac via a factory assembled and tested control panel designed to provide a convenient, organized, labor saving central connection point for the Laser positioning system status warning lights, room lighting, and door interlocks and remote emergency off push buttons. The panel includes wiring diagrams to enable it to be used as a radial junction and control point simplifying the connection of the various systems. Multiple terminals are dedicated for connecting these devices. The Relay Junction box has a Short Circuit Current Rating of 5,000 amperes @ 120 volts AC. The panel is UL and cUL listed and is in compliance with the NEC articles 100 and 100.3. The Relay Junction Box is designed for wall mounting.

Designed for use with the following Varian Medical Systems: 2100C/D 21EX High Energy Clinac 2300C/D 23EX Trilogy iX Silhouette Edition Clinac

4.4.6.2 Features

Dedicated terminals and multiple ground terminal bars are clearly marked with Varian drawing reference numbers.

Approved by Varian Medical Systems Engineering.

Connectorized Interface Cables.

Surge suppression installed for each relay coil.

All input and output signals are protected with fuses and transient voltage suppressors.

Isolated contacts accommodate different lighting circuit voltages.

Easy mounting wall mounted enclosure utilizing (4) holes for ¼ mounting screws.

Hinged door provides easy access.

Two combination ½" or ¾" combination knockouts, located on the left side.

Off white exterior paint finish.

All components selected for high reliability and long life.

Provides a standardized platform for future applications or upgrading.

UL and cUL listed.

Factory assembled and tested.

Available from Stock.

4.4.6.3 Benefits

All circuits may be connected directly to dedicated terminals, eliminating the need for additional junction boxes or multiple splices, saving installation time and labor.

A single pre-engineered panel with a permanent wiring diagram.

Allows for verifying all of the lighting and interlock circuits prior to connection to the Varian equipment.

Provides protection for the sensitive electronic equipment.

Spare relay contacts are available for specialized applications.

Saves installation time and labor.




Catalog #: VRJB-C3, Short Circuit Current Rating @ 120V, Surface or Semi-Recessed Mounted, UL and cUL labeled.

Available from GEXPRO – Milwaukee, WI

Toll free (800) 279-7925, local (414) 527-66007:30 a.m. to 5:00 p.m. U.S. Central Standard Time (Monday-Friday).Email: [email protected]



5-1

Typical Control Equipment Casework

Equipment Layout (Elevation)

This control equipment casework design is provided as a suggestion for possible component arrangement only. The shelf and counter design shown is recommended because it allows for final component placement adjustments on site to suit personal preference and can accommodate future equipment upgrades and additional options. Optional equipment is often added after the Clinac or Acuity has been installed and should be planned for even if they are not part of the initial order. The control equipment location should be as close to the treatment room door as possible to provide control over the entrance and reduce the travel distance. CCTV, cabinetry, intercom and phones are Customer-supplied items, shown on Varian drawings for illustrative purposes only. It is often desirable to locate the control equipment facing in a direction that allows the therapists to visually control the adjacent area. This layout can also reduce the visibility of CCTV monitors for patient privacy.

The OBI Circuit Breaker Panel is contractor provided. Locate the panel in sight and within 10 feet (3050) of the Clinac control console casework. The panel may be surface or semi-recessed mounted. For semi-recessed installations, 4" (100) of the enclosure may be recessed in the wall. For more information, see Section 4.3.1.

See Section 5.6.1 for CCTV System Details.

The Clinac Main Circuit Breaker Panel is contractor provided. Locate the panel in sight and within 10 feet (3050) of the Clinac control console casework. The panel may be surface or semi-recessed mounted. For semi-recessed installations, 4" (100) of the enclosure may be recessed in the wall. For more information, see Section 4.2.1.1

Opt. ARIA Workstation

MLC Controller

Provide additional control area storage and workspace as needed. Typical storage requirements include space for films, charts and personal belongings.

Provide a minimum 3" (76) air and cable space at sides, top and rear of all computers and monitors.

For information on carpeting and flooring requirements, see section 5.4.

The information shown is for ALL High Energy Clinac linear accelerator models.

Locate Control Console Cabinet within 15 feet (4572) of the Electronics Cabinet and within 8 feet (2438) of the control console OBI/4DITC/Gating monitors.

Provide ventilation sufficient for removal of control console air heat load as follows:> Clinac Electronics Cabinet > 1.0 kW (3,415 Btu/hr)> Control Console Cabinet > .72 kW (2.459 Btu/hr)> ARIA Option Workstation > 0.5 kW (1,707 Btu/hr)

Chapter 5 Finishes


Chapter 5 Finishes

5.1 Typical Control Equipment Casework

Figure 5-1 Typical Clinac Control

Provide a two-way patient monitoring intercom system. The in-room intercom may be wall and/or ceiling mounted and should be voice-activated or continuous-on. The intercom at the control equipment area should be push-to-talk. Provide a signal conduit from the control equipment area and power to the intercom. Refer to the intercom manufacturer's literature for conduit, mounting and installation requirements. A non-interruptible power source may be required by regulatory code.

Provide 3" (75) diameter grommeted holes as required at counter and shelf for cables (typical). If possible, in order to accommodate on-site Customer preferences and possible changes in equipment configuration, locate and drill holes after the control equipment has been arranged on location. A gap or slots at the back of the counter and shelf for cable access is also acceptable.

Provide convenience phone jacks as required. A phone jack should be provided at any Varian equipment cabinet not located in the equipment room, near the equipment and within the control equipment casework. The phone system shall be operational prior to the equipment installation.

Provide convenience electrical power receptacles as required.

PrinterProvide grounded quad power receptacles for Varian control console equipment, see Figure 4-2. Locate adjacent to the underside of the counter to provide maximum power cable extension. Control

Console Cabinet

Clinac Electronics Cabinet

Locate the Clinac Electronics Cabinet to the left of and within sight of Clinac Console if possible. This location simplifies equipment service, but placement at other locations does not affect the operation of the system. The Clinac Electronics Cabinet as shipped rests on casters. Where positive seismic anchoring of Clinac ElectronicsCabinet is required, provide removable counter over cabinet for service access.

Flouro Switch

Varian requires one (1) network cable outlet (RJ-45), and recommends an additional three (3) outlets within 3'-0” (914) of the Control Console. The network cable must be a minimum of Category 5e with a minimum bandwidth of 100 Mbps, full duplex (100BaseT). See Section 4.1.6 for more information.

The Control Equipment pull box shall have a minimum size of 18" x 12" x 6" deep (450 x 300 x 150). This pull box may be wall mounted or accessed similar to details in Base Frame Cable Access Details. Locate this pull box so that the free ends of cables are protected from physical damage and located within 5'-0" (1524) of the Clinac Electronics Cabinet. As no connections are made at this location, many regulatory agencies do not require a pull box.

dkuntz

Rectangle

Chapter 5 Finishes


ly left blank.

5-2



5-3


l Equipment Details

op clearance dimension for the binets. Do not install counter support

x 34”H x 38”D (610 x 864 x 965)33”H x 36”D (584 x 838 x 914)

Provide 3" (75) diameter grommeted holes as required at counter and shelf for cables (typical). If possible, in order to accommodate on-site Customer preferences and possible changes in equipment configuration, locate and drill holes after the control equipment has been arranged on location. A gap or slots at the back of the counter and shelf for cable access is also acceptable.

Provide grounded quad power receptacles for Varian control console equipment, see Figure 4-2. Locate adjacent to the underside of the counter to provide maximum power cable extension.

This is a minimum clear dimension.

Opt. RPM Gating Switchard

MLC Controller 11" W x 11.5"D x 2.5"H (279 x 292 x 64). Locate MLC Controller above the Control Console Cabinet, Clinac Electronics Cabinet, or on the counter-top beside the control console monitors.

Dedicated Keyboard

MLC Controller

Control Console Cabinet

Control Console Cabinet

witch

nd (914)

100 ore me of re

Locate Control Console Cabinet within 15 feet (4572) of the Electronics Cabinet and within 8 feet (2438) of the control console OBI/4DITC/Gating monitors.


Figure 5-2 Clinac Contro

This is the minimum under counter tElectronics and Control Console Cabrackets in these areas. > Clinac Electronics Cabinet - 24”W > Control Console Cabinet - 23”W x

Printer

Locate the Clinac Electronics Cabinet to the left of and within sight of Clinac Console if possible. This location simplifies equipment service, but placement at other locations does not affect the operation of the system. The Clinac Electronics Cabinet as shipped rests on casters. Where positive seismic anchoring of Clinac Electronics Cabinet is required, provide removable counter over cabinet for service access. PV KeyboDedicated Keyboard


Printer

Clinac Electronics Cabinet

Clinac Electronics Cabinet Flouro S

Varian requires one (1) network cable outlet (RJ-45), arecommends an additional three (3) outlets within 3'-0”of the Control Console. The network cable must be a minimum of Category 5e with a minimum bandwidth ofMbps, full duplex (100BaseT). See Section 4.1.6 for minformation. TCP/IP data drops must be active at the tiinstallation. Network patch panels, hubs, and routers atypically located in a server room or closet.

The recommended counter height range shown assumes that the therapists are standing or using stools during typical treatment cycles. Some facilities provide areas at the control area designed for chair height. Adjust dimensions at these areas as required.

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5-4



High Energy Clinac Edition Typical Control Equipment Casework

Figure 5-3 ARIA Treatment Workstation (Optional)

The ARIA product is a complete oncology department information management system that can range from (4) workstations and (1) server to (100) workstations and (3-4) servers. It's made up of a suite of software application modules that reside on PC workstations throughout the department and possibly at other remote facilities via wide area networks. Workstations are connected over a network to centrally located computer servers. Customers have the option to provide the PC computers providing they meet Varian's recommendations. Network infrastructure is generally provided and setup for ARIA either by the hospital IT department or through hospital networking contractors. A typical department will have (8-16) PC workstations around the department for staff to use. The servers should be located in an out of the way area, preferably in air conditioned and locked closets with the other network components (hubs, switches, patch panels).

ARIA Monitor

ARIA Computer

Provide network cabling outlets at all server or workstations equipment locations. All network cabling and jacks must be minimum CAT5e. All network connections must operate at a minimum of 100 Mbit full duplex. TCP/IP data drops must be active at the time of installation. Network patch panels, hubs and outers are typically located in a server room or closet.

Provide convenience electrical power receptacles as required.

ARIA Computer

Provide minimum 4" (100) high platform at computers under the counter to prevent damage. The flooring may be coved up the platform edge for ease of cleaning. Verify under counter clearance height. Where space permits, these components may be located on the counter.

Provide grounded quad receptacles for Varian control console equipment. Locate adjacent to the underside of the counter to provide maximum power cable extension.

The ARIA/Eclipse Servers (not shown) should be located in an air conditioned server room or well ventilated central location. Routine access to the Server is usually not required, except by authorized service personnel. Depending on purchased options there could be (1-4) servers.

Chapter 5 Finishes 5-5

Typical Control Equipment Casework High Energy Clinac Edition

5.2 General Room Storage Requirements

Note: The type and quantity of storage is at the customer’s discretion.

Figure 5-4 Typical Room Storage Elevation

(305)

(1448±)

1'-0"

4'-9"

(2235)7'-4"

(483)1'-7"

HE033-0

Provide cabinets with adjustable shelves for linen storage.

A sink with running hot and cold water is highly recommended in Clinac rooms. A hose spigot is necessary to fill the water phantom and a drain is necessary to service the Clinac's internal cooling system and drain the water phantom. Floor drains and floor sinks should not be located in the room to avoid possible backup into the equipment floor recesses. Do not run water lines directly above the Clinac components or control console.

Provide cabinets with adjustable shelves for general storage.

Provide cabinets with adjustable shelves for general storage.

Provide FFDA Storage (Dual Energy Clinacs and Acuity only). FFDAs are accessories mounted into the electron applicator to shape the electron treatment field. They are usually stored in drawers that are approximately 2" (51) deep by 2'-0" (610) wide. Due to their heavy weight, store them as near as possible to the Collimator and at accessible heights. Typical Clinac rooms require storage for 40 FFDAs. Typical Acuity rooms may require storage for 10 FFDAs. FFDA sizes vary from 4"x4" (102 x 102) to 11"x11" (280 x 280). The required number of drawers will vary with drawer size. Several 4" (102) deep drawers should also be provided.

Bulk and shelf storage are required for Varian accessories and various materials used for therapy. The Varian-supplied Accessories include Electron Applicators (cones), Wedges, and other field-defining devices. Storage space in the treatment room should be planned to reduce travel required for patient set-up. Patient block tray storage should be located on the entrance side of the Treatment Couch. Linen storage in the treatment room and storage space for many patient positioning pads and devices is desirable.

Many spare parts are shipped with the equipment and an optional spare parts kit can be ordered. These will require secure storage in or near the treatment room.

General Clinac room storage requirements are outlined below. This is only a partial list of storage items required for a typical Clinac room:> Treatment room furniture - chair, mirror, coat rack, foot stool, waste can, I.V. poles, oxygen bottle cart, film holder cart, soiled linen cart and total body irradiation "stage."> Miscellaneous storage items - spare parts, demineralized water, physics dosimetry equipment, film markers (letters), solder wire, restraints, "easy mover" stretchers, immobilization devices, patient shielding accessories, patient set-up accessories, patient marking accessories, arm/shoulder extenders, hand grips, breast boards and "alpha cradles (formed foam cradle).”

The storage drawing shows a suggestion only of possible storage provisions and is intended as a guide to aid in the design of site specific casework. Due to differences in treatment practices, the exact quantity and types of accessories varies with each institution. Verify requirements and storage preferences with the Customer. This is not a construction document. All casework/storage shall be provided by the Customer.

Provide drawers for general storage.

Provide cabinets with adjustable shelvesfor general storage.

For information on Wedge Tray and Compensator Tray storage, see note in Figure 5-9.

For information on Block Tray Storage, see note in Figure 5-10.

For information on Electron Applicator Storage, see note in Figure 5-11.

Provide drawers for general storage.

5-6 Chapter 5 Finishes


5.3 Typical Accessory Storage Dimensions

Figure 5-5 Wedge Storage

Elevation View

Plan View

1'-1 1/2" (343)

3

Detail 3

4"(102)

(381)

1'-3"

HE035-1

Provide Wedge Tray and Compensator Tray storage. Trays are accessories mounted to the Collimator that are used to shape the treatment field. They are usually stored on shelves as shown on the storage dimensions drawing. Due to their heavy weight, store them as near as possible to the Collimator and at accessible heights. Typical Clinac rooms require storage for 8 Wedge and Compensator Trays depending on the specific treatment objectives. Their maximum weight is 15 lbs. (7 kg) per tray.



Provide continuous wood support rails.


Provision should be considered for labeling Accessory Storage Compartments.


Typical Control Equipment Casework High Energy Clinac Edition

Figure 5-6 Block Storage

Elevation View

Plan View

1'-1 1/2" (343)

10 1/2" (267)

3

(127)5"

(381)

1-1/2" (38)

Detail 3

(64)

2-1/2"

1" (25)

3/4" (19)

1'-3"

HE036-1

Due to the heavy weight of some block trays, a rear support rail is recommended.

Provide Block Tray storage. Block trays are accessories mounted to the Collimator that are used to shape the treatment field. They are custom made for each patient. They are usually stored in slots as shown on the storage dimensions drawing. Due to their heavy weight, store them as near as possible to the Collimator and at accessible heights. Typical Clinac rooms require storage for 10 to 20 Block Trays. This may vary with the use of the Multileaf Collimator.Typical Their maximum weight is 50 lbs. (23 kg) per tray.


Provide a continuous wood stop.

Provide continuous wood support rails.




Figure 5-7 Applicator Storage

2

Elevation View

Plan View

11" (279)

1'-0" (305)

1'-1 1/2" (343)

(457)1'-6"

(381)

3/4" (19)

1 1/4" (32)

3/4" (19)

3/4" (19)

1

Detail 1

Detail 2

3/4" (19)

2" (51)

1'-3"

1

3/8" (10)

HE034-1

This is the C-Series style Electron Applicator (sizes vary).


The Electron Applicator is typically suspended by its metal support rail for storage.

This is the C-Series style Electron Applicator (sizes vary).


Provide a continuous metal support angle.

Provide a wood stop at support rails (required for non-computerized equipment only).




Provide a continuous metal support angle.

Provide Electron Applicator Storage. Electron Applicators, otherwise known as "cones” are accessories mounted to the Collimator that are used in combination with FFDAs to shape the electron treatment field. They are usually stored in compartments with slots as shown on the storage dimensions drawing. Due to their heavy weight, store them as near as possible to the Collimator and at accessible heights. Typical Clinac rooms require storage for 6 Electron Applicators. Their maximum weight is 20 lbs. (9 kg) per applicator.



Carpeting, Vinyl, Wood, and Other Flooring Requirements High Energy Clinac Edition

5.4 Carpeting, Vinyl, Wood, and Other Flooring Requirements

As with most computer components, the electronic components for this equipment are sensitive to localized static electricity. Vinyl composite tile (VCT) or vinyl sheet goods (VSG) adjacent to the equipment in the room or at the control console area should be considered as static dissipative as outlined in EOS/ESD S7.1 and ANSI/ESD S20.20. Retrofit static dissipative coatings are also available from various manufacturers.

Carpet, while having advantages, can make gurney movement difficult. In addition, liquids and stains on carpeting can be difficult to clean/remove, thereby posing an infection control risk. Those facilities that do choose carpeting often use carpet squares that can be replaced or cleaned and allow access to floor conduit/duct if used. Similar to vinyl flooring above, the electrostatic propensity of carpeting must be limited. Carpeting should not exceed a 2.0 kV rating at 20% relative humidity when measured as outlined by the methods in AATCC-134 or equivalent.

To avoid potential damage to the accelerator and its subsystems, it is recommended that the final floor covering be installed before the equipment has been rigged onto the Baseframe. Coordinate equipment rigging and required floor protection with the Varian Installation Project Manager prior to machine delivery.

5.5 Acoustical Requirements

There are no recognized acoustical standards for therapy rooms. The primary sound source on High Energy Clinac systems is the Modulator Cabinet. Varian has encountered no acoustical problems when the Modulator is located in the treatment room. The patients are in the room for a very short time and observations indicate that some seem reassured by the changing sound levels as the machine goes through its cycles. Noise is a concern, however, when the Modulator Cabinet is located next to therapists or others who are exposed to it often. When located outside the vault, placing the Modulator in a nearby closet is acceptable and the use of acoustically absorbent materials is recommended. Consult with the Customer regarding preferred location.

5.6 Typical Closed Circuit Television (CCTV) System

There are no windows in an accelerator treatment room; however, it is critical to patient safety that the therapists maintain visual contact with the patient at all times. The CCTV System is offered by Varian as an optional purchase. If not purchased from Varian, the Customer must provide a CCTV System.

While not connected to the equipment a Closed-Circuit Television (CCTV) system is required for CLINAC Accelerator operation. The CCTV System Diagram (see Figure 5-8) represents a typical installation only. All power receptacles, conduit, and pull boxes shall be supplied and installed by the Customer.

The CCTV Cameras are located in the treatment room with the accelerator at approximately 15 degrees each side of the equipment longitudinal axis line. Consult with the Customer for desired placement. Provide a standard power outlet directly adjacent to each camera. Do not locate cameras in the primary beam path.


dkuntz

Rectangle

High Energy Clinac Edition Typical Closed Circuit Television (CCTV) System

The CCTV System camera control units are located at the control equipment casework and require a power receptacle.

CCTV monitors must be located as close as possible to the CLINAC display monitors at the control counter, and must be visible during treatment. The CCTV monitors must be located with patient privacy in mind. The monitors may be recessed in the control console casework and viewed through cut-outs covered with glass. Provide a power receptacle for each monitor. Refer to the CCTV System manufacturer's literature for mounting and installation requirements. A non-interruptible power source may be required by regulatory code.

Figure 5-8 Typical CCTV System Diagram

Refer to Figure 3-2 for conduit requirements.

Accessory Pull Box, See Section 3.1.2.5

Control Equipment Pull Box, See Section 3.1.2.1

The optional Varian CCTV System typically includes the following:

1. (2) - Dome Cameras with a P/T Mechanism and Zoom Lens (additional option for 4-Camera system)2. (2) - Pendant Wall Mounting Brackets3. (2) - Monitors4. (1) - Quad Video Processor5. (1) - Controller Keyboard 6. Associated Cables and Power Transformer


dkuntz

Rectangle

Ceiling Finishes High Energy Clinac Edition

5.7 Ceiling Finishes

Varian Medical Systems does not specify a type of ceiling finishing. However, experience has shown the benefit of a 2 x 4 (600 x 1200) or 2 x 2 (600 x 600) Lay-in Acoustical Tile. Among its benefits are easy access to above ceiling structures/systems, low repair and modification cost, acoustical attenuation, and the aesthetic benefits of modern ceiling grids and tiles.

The recommended minimum finish floor to finish ceiling clearance is 9'-0" (2743). For sites with ceiling clearance issues, a portion of the ceiling not located directly above the accelerator may be installed below the recommended height. However, to allow for rigging, assembly, and operational clearances, certain area central to the accelerator must remain 9'-0" (2743) or greater. See Figure 5-9, Typical Reflected Ceiling Plan for additional information.

To avoid interference with the overhead laser, start the ceiling support grid pattern so that Isocenter is at the center of a tile. If a solid ceiling is used, provide an access panel with adequate space for servicing the laser. See Figure 5-9, Typical Reflected Ceiling Plan.

When laying out the air conditioning and fire suppression systems, do not route the duct or water pipes directly over the accelerator. Inadvertent leaks may occur and can seriously damage the accelerator and mechanical systems within the Baseframe.

Verify ceiling height requirements with local and regional regulatory agencies. For ceiling conflicts located directly above the accelerator, contact your Regional Planner.


High Energy Clinac Edition Ceiling Finishes

Figure 5-9 Typical Reflected Ceiling Plan

The ceiling support grid pattern places isocenter at the center of the tile to avoid interference with the projection of the laser output.See section 3.10, Figure 3-45.

Main Room Lights - Incandescentor fluorescent fixtures. Typicallyused for housekeeping, servicingof the machine, and transportingthe patient in and out of thetreatment room.

The recommended minimum finish floor to finish ceiling clearance is 9’-0” (2743). For sites with ceiling clearance issues, the ceiling may be installed below the recommended height.

To allow for rigging, assembly, and operational clearances, the finish ceiling in this area must be 9’-0” (2743) or greater.

Setup Lights - Locate on bothsides of the couch. The setuplights should be controlled bydimmer switch to allow thetherapist to adjust the light levels to their preference.


Ceiling Finishes High Energy Clinac Edition



Appendix A High Energy Clinac Pre-Installation Checklist

High Energy Clinac Pre-Installation Checklist

July 03, 2013 1 of 2 HEOCLISO.1.6

In accordance with current Varian “Standard Terms and Conditions of Sale” RAD 1652, the following are the minimum facility requirements to be accomplished before the machine can be released for shipment. Requests for any exceptions should be referred to your Varian RegionalInstallation Project Manager. The Customer is responsible for having the building, utilities, lighting, ventilation, air conditioning, mounting facilities, all necessary radiation shielding, and access to the room completed by the day of final inspection. (If delays in completion delay installation, the Customer shall reimburse Varian, at Varian’s standard service rates, for any extra time and /or travel by Varian made necessary by the delay). I have explained these requirements to the Customer on this date along with the specific requirements listed below.

Varian Representative Date Customer Representative Date

<enter> Site Equipment Type Serial Number

Y N N/A ARCHITECTURAL REQUIREMENTS: 1. Drawings reviewed by the Planning Department and a

copy of drawing review on file. 2. Copy of Accelerator/ Radiation License, kV X-Ray

Imaging License. All other required Licenses and Permits obtained.

CLINAC TREATMENT ROOM: 3. Treatment room door and related hardware on hand.

Door should be hung only if it does not interfere with machine rigging.

4. Verify a clear 4’-0” x 7’-0” (1225mm x 2125mm) opening at vault entry.

5. Rig path – verify clearances from unloading area to vault.

6. Varian base-frame correct levelness height confirmed. 7. Conduits - correct number and size. Conduits must be

clean and dry. 8. Varian installation cables on site. If not on-site, provide due

date: Note: Not applicable for most sites outside of North America.

9. Relay Junction Box tested & operational. Wiring run to: Modulator cabinet Baseframe (Silhouette only)

Note: If GE RJB Model VRJB-C3 Please Check10. Main room lights and set-up lights operational. 11. Door interlock wiring pulled and switches operational. 12. Emergency-off buttons installed and wiring pulled. 13. Clinac warning light(s) installed and wiring pulled. 14. Laser light wiring, receptacles, and mounting plates

installed. Verify location, heights and recess size. 15. In-room monitor (if ordered) – verify location, mounting,

power, and data cable conduits. 16. CCTV power, data outlets, and conduit ready for

installation.17. Intercom power, data outlets, and conduit ready for

installation.18. Water coolant - in pit and valved below floor level with

supply tested and available. 19. HVAC operational (meets Varian minimum

requirements)20. Compressed air in pit (Instrument quality) 21. Electrician available to assist in pulling all Varian

interconnect cables before or at rig-in. Plumber and Electrician available to connect utilities to Clinac no later than three days after rigging is complete. Contact:

22. Walls finished, primer coat minimum. 23. Ceiling completed - verify height (Check for soffit

clearances and laser obstructions). Y N N/A

24. Cabinetwork, shelving, and storage completed and installed in treatment room. (If not in Rig Path).

25. Final floor covering installed. If using sheet goods, post-rig install discussed with project manager.

26. Riggers contracted to move the Clinac into the room, set in place and assist in assembling of major components.

CONTROL EQUIPMENT AREA: 27. Permanent power available - all wiring pulled to main

breaker and into vault. 208V/150A, 3-phase + 4 AWG (min) Ground 480V/60A, 3-phase + 6 AWG (min) Ground

28. Clinac GE breaker panel – wiring pulled and tested (3 phase & ground; High Energy Model - 2100CBB150A.

29. Non-GE breaker panel on Clinac – Equivalent with 150A UVR, 24VDC P/S and push button (GE# TEDUV8RS24VDC).

30. OBI GE breaker panel – wiring pulled and tested (3 phase & ground; OBI model – OBI60A480V).

31. Non-GE breaker panel on OBI – Equivalent to item 30. 32. Verify grounded electrical power receptacles available as

specified in the DDR. 33. OBI warning lights installed and wiring pulled 34. Walls finished (primer coat minimum). 35. Final floor covering installed. If sheet goods or carpeting,

post-rig install discussed with project manager. 36. Ceiling completed - lighting operational. 37. Cabinetwork shelving completed for console. (Cable routing

access provided with 3” (72.6mm) grommets) 38. Verify sufficient ventilation for heat removal for

workstations and controllers. 39. Verify electronics cabinet opening (for adequate cooling). 40. ARIA Network I-Start minus 14 Checklist completed

(If ARIA network option components are being installed). 41. High speed internet access installed/operational and login

information provided for installation personnel. Please provide login credentials or IT contact name/number:

42. Telephone operational at console. Number:

Record the Install address for the product above: SAME AS SHIP REQUEST SEE NOTES BELOW

Name: Add 1: Add 2: City, State, Zip:

Y N N/A OTHER:

A-1


High Energy Clinac Pre-Installation Checklist

July 03, 2013 2 of 2 HEOCLISO.1.6

43. MICAP Survey complete. Submission date:44. Seismic Kit required. 45. PCU input voltage: Delivery date: .46. Chiller delivery date: 47. Gating rough-ins for accelerator and simulator or CT/Sim.

(Electrician must mount power supply). 48. Film and processor or dry film available. 49. Secure, environmentally controlled, storage area

(located near Varian work area) available for approximately 300 sq. ft. of material. Varian installation personnel will require continuous access.

Please indicate location/room number:

50. Provisions made for removal and disposal of shipping crates, boxes, and packing material.

Y N N/A

51. Area sealed to ensure that construction dust particles from adjoining areas do not enter treatment room or console area.

52. Qualified physicist scheduled for preliminary radiation survey within 10 days after start of installation.

53. Qualified physicist and dosimeter calibration equipment available for acceptance testing approximately 3 weeks after start of installation.

54. No trades allowed during installation. 55. Restroom facilities and sink with running water available for

installation personnel throughout the duration of the installation.

56. Respritatory Gating Pre-Installation Checklist Completed 57. If Silhouette configuration, ensure that the customer has

selected their panel design preference by visiting the Varian public website.

58. Are any Vendor Credentialing or special requirements needed for Varian’s representative to access the building?

In the area below, please precede all notes or comments with the respective checklist item number.

Please use the area below for general notes/comments that DO NOT relate to any of the checklist items.

STOP DELIVERY RIG AND HOLD RIG AND CONTINUE – high risk for completion date. RIG AND CONTINUE – at risk for completion date. SITE READY

Varian Representative Customer Representative Date

A-2 Appendix A High Energy Clinac Pre-Installation Checklist

Appendix B Respiratory Gating Pre-Installation Checklist

RPM Systems Pre-Installation Checklist

Varian Medical Systems Page 1 of 2 RPMCLISO.1.3

In accordance with current Varian “Standard Terms and Conditions of Sale” RAD 1652, para. 15 & 16, the following are the minimum facility requirements to be accomplished before the machine can be released for shipment. Requests for any exceptions should be referred to your VarianRegional Installation Project Manager. The Customer is responsible for having the building, utilities, lighting, ventilation, air conditioning, mounting facilities, all necessary radiation shielding, and access to the room completed by the day of final inspection. (If delays in completion delay installation, the Customer shall reimburse Varian, at Varian’s standard service rates, for any extra time and /or travel by Varian made necessary by the delay). I have explained these requirements to the Customer on this date along with the specific requirements listed below.


Site name Equipment Serial number

Y N ARCHITECTURAL REQUIREMENTS1. Installation drawings reviewed by Varian. 2. All required permits complete.

Y N GENERAL REQUIREMENTS FOR ALL SYSTEMS3. Does customer have RPM currently?4. If yes, what version? 5. Also list machines where RPM is currently installed in

NOTES below. 6. Adequate Console space provided for RPM W/S

(monitor, mouse, and keyboard) .7. Console area finished and ready for installation.8. RPM installation area sealed from construction dust

particles.9. Active network port provided for each RPM W/S.10. Duplex AC outlet provided within 4’-0” (1200) of RPM

power module mounting location and convenience switch provided.

11. Qualified physicist available for acceptance testing, approximately 4 hours per RPM location.

12. Storage space available for system (50 sq.ft.)13. Provisions made for removal of shipping crates and

packaging materials.14. Stereo Speakers wired and installed at each RPM

location (customer option).15. Telephone available for use in immediate area of each

W/S. List numbers in NOTES below.16. Conduit – 1” (25) with standard signal cable outlet boxes

provided from Console W/S location to RPM power module, not to exceed 75’-0” (22,860).

17. Conduit – 1.5” (37) with standard signal cable outlet boxes provided from RPM power module to RPM Camera location, not to exceed 20’-0” (6096).

Y N CLINAC REQUIREMENTS IF N/A18. RPM Camera bracket firmly mounted at correct location.19. Distance from Camera mounting bracket to Clinac

Isocenter is 14’-0” (4200) and within +/- 15 degrees of the longitudinal isocenter plane.

20. RPM power module installed properly.21. RPM cables have been pulled from the W/S to the

camera mounting location.

Record the Install address for the product above:SAME AS SHIP REQUEST SEE NOTES BELOW

Name:Add 1:Add 2:City, State, Zip:

Y N STANDARD SIMULATOR REQUIREMENTS IF N/A 22. RPM Camera bracket firmly mounted at correct location.23. Distance from Camera mounting bracket to Simulator

Isocenter is 14’-0” (4200) and within +/- 15 degrees of the longitudinal isocenter plane.

24. List customer’s Simulator Fluoro Video Standard:

25. RPM power module installed properly.26. 3rd Party Simulators: all required RPM interface cables and

modules are properly installed or customer has arranged installation by their vendor.

Record the Install address for the product above:SAME AS SHIP REQUEST SEE NOTES BELOW

Name:Add 1:Add 2:City, State, Zip:

Y N CT SIMULATOR REQUIREMENTS IF N/A27. List manufacturer and model of CT Simulator in NOTES.28. Couch-top Camera Bracket ready for installation.

Note: If the CT RPM has 3D software, the camera can be wall-mounted, but will need to adhere to criteria specified in item number 23 (above).

29. Camera storage bracket installed securely on wall. Verify location below power supply module.

30. RPM power module installed properly.31. Curtain rail or other appropriate cable take-up mechanism

provided and installed properly.32. RPM cables have been pulled from the W/S to the camera

mounting location.Record the Install address for the product above:

SAME AS SHIP REQUEST SEE NOTES BELOWName:Add 1:Add 2:City, State, Zip:

B-1


RPM Systems Pre-Installation Checklist

Varian Medical Systems Page 2 of 2 RPMCLISO.1.3

Special IT-Related Information:

In an effort to ensure that all Gating workstations are networked, the hospital IT Department needs to provide a fixed IP address for each workstation and create a Gating folder on a server that is backed up on a daily basis (usually, the Gating folder is setup on the Aria server). To create a Gating folder on the server with read/write access, copy the “Gating.mdb” file from C:\Program Files\Varian\RPM Respiratory Gating System and paste it in the Gating folder previously created. Then, navigate from the Gating application to the New Database Folder, under the File menu. If there are other existing Gating workstations, they must be upgraded to match the same software on the new Gating workstation(s).

In the area below, please precede all notes or comments with the respective item number from the previous page.


____________________________________ ________________________________________ ______________Varian Representative Customer Representative Date

B-2 Appendix B Respiratory Gating Pre-Installation Checklist

Appendix C Calypso Pre-Installation Checklist

Calypso Pre-Installation Checklist

In accordance with current Varian “Standard Terms and Conditions of Sale” RAD 1652 the following are the minimum facility requirements to be accomplished before the upgrade device can be released for shipment. Requests for any exceptions should be referred to your Varian Regional Installation Project Manager. The Customer is responsible for having the building, utilities, lighting, ventilation, air conditioning, mounting facilities, all necessary radiation shielding, and access to the room completed by the day of final inspection. (If delays in completion delay installation, the Customer shall reimburse Varian, at Varian’s standard service rates, for any extra time and /or travel by Varian made necessary by the delay). I have explained these requirements to the Customer on this date along with the specific requirements listed below.


<enter>Site Equipment Type Serial Number

Y N ARCHITECTURAL REQUIREMENTS:1. Installation drawings reviewed by Varian.2. All required permits completed.

Y N GENERAL REQUIREMENTS FOR ALL SYSTEMS:

Vault3. Varian supplied ceiling mounts installed per DDR. Ensure

space available for a 3” camera mount protrusion below drop ceiling. Bolts are torqued to 40 ft/lbs for 6 inch and 25 ft/lbs for 5 inch ceiling mounts.

4. Send PM vault elevations for each camera position as soon as possible. Note: 12 week lead time on custom camera mount fabrication.

a. Height of drop ceiling from finished floor:Cam 1 cm Cam 2 cm Cam 3 cm

b. Height of concrete overhead from finished floor Cam 1 cm Cam 2 cm Cam 3 cm

c. Distance from Isocenter.Cam 1 cm Cam 2 cm Cam 3 cm

5. Camera Hub/Power Supply unit location outside beam but within a 50’ cable run from each camera. (18”l x 12”w x12”h).

6. Single 120VAC 15A un-switched power receptacle no more than 3’ away from Camera Hub/PS unit.

7. Electrical pull box 6”w x 3”h x 3.5”d (min.) in wall near Camera Hub/PS unit. No more than 3’ away.

8. Cover plate with 3” cable access hole and grommet for item #7

9. (2) - 120VAC 15A un-switched power outlets for Calypso Console - (1) on sagittal line, (1) on the side wall opposite the longitudinal axis line from Cam #2, all within 13’ of couch midpoint.

10. (2) - Data drops no more than 6” away from Calypso Console power outlets (item #9). Varian will provide plenum rated CAT5 cable.

11. (2) – 3/4” Conduits. (1) Conduit from each data drop to the Accessory pull box. Pull string in place.

12. (3) – 1 1/4” Conduits. (1) Conduit from each Camera mount to the Accessory pull box. Pull string in place.

13. (1) – 1 1/2” Conduit installed from the Control Pull box to the Accessory pull box. Customer to provide conduit length (38 meters max). Pull string in place.

14. (3) – 2” Conduits installed from the Accessory pull box tothe Camera Hub/PS electrical box. Pull string in place.

15. Identify Console storage location. Location MUST beoutside the beam path. ConsoleSystem does NOT needto be plugged in while in storage.

Customer Contact information: IT Weekend Support

Name: Number: Physics Support

Name: Number: Electrician

Name: Number: Other (specify)

Name: Number:

Control Room16. Single 120VAC 15A un-switched power receptacle no

more than 3’ away from Tracking Station.17. Customer approved console layout or drawing,

incorporating the new upgrade components insuring adequate space and depth for cable service loop, provided to Varian.

18. 3” cable access hole from Control Pull box to Tracking Station for fiber optic cable. No more than 3’ away.

19. Hospital LAN Connection.Note: Not required for TrueBeam 2.0+

20. IT Data Template completed by customer and sent to installer.

Y N N/A CLINAC REQUIREMENTS21. Dynamic Edge Gating on order? If so pre-requisites

include: C-Series – 4D 10.0+, MMI, Type II MLC 120, Console Software 7.6 +TrueBeam – 1.6 and below not available.TrueBeam – 2.0+, MMI.Note: TrueBeams undergoing upgrade to 2.0+ , STB-IC-543 and MMI STB-IC-544 must be completed before Calypso can be scheduled.Siemens – Gating option

22. Automated Couch Repositioning on order? If so pre-requisites include: C-Series – Console Software 7.6 +, Juniper Router, 4D, MMI, Remote Couch Motion if NO OBINote: May require linac serial number so that new console configuration files can be created to have Dose Export enabled for MMI if not already enabled.TrueBeam – 1.6 and below not available.TrueBeam – 2.0+ noneNote: TrueBeams undergoing upgrade to 2.0+ , STB-IC-543 must be completed and if MMI is being installed STB-IC-544 must be completed before Calypso can be scheduled.

Varian Medical Systems 1 of 2 Calypso 1.3

C-1


Calypso Pre-Installation Checklist

23. Data Import on order? If so pre-requisites include: Varian – EclipsePhilips – Pinnacle 9.0+, may require customer to acquireadditional licensing form Philips.

24. Radiation Detector on order?25. Establish Network folder on Hospital network for Patient Reports.

26. Confirm pedestal base for tabletop replacement per linac manufacturer. (Reference compatibility list in DDR).

27. kVue Qfiix Kevlar couchtop on order? If so prerequisites include:TrueBeam – LaserGuard installed28. Confirm Tabletop replacement with customer. Ensure all current accessories and test phantoms are compatible.If this is a relocation and a Qfix is on order ensure the Universal Tips panel is on the order.

Y N CUSTOMER OTHER:29. Inform Applications of Installation Dates.30. Provide 100 sq. ft. of temporary storage for Calypso

materials and tooling in close proximity to Treatment Room for tooling.

31. Provisions made for removal of shipping crates, boxes and packing material. Note: Arrangements can be made to remove crates and packing material if delivery and installation coincide. If delivery and installation do not coincide, then arrangements will have to be made for the customer to remove/dispose of crates and packing material.

32. Ensure a qualified physicist is available for Acceptance Testing.

Y N VARIAN OTHER:33. Is project created for labor and expense?34. License files posted to PSE website and features match

Sales Order?35. Provide Calypso SN, Sales Order, FRM0080 and MDA0078

to installers 36. Ship request completed and date of delivery provided to

installers?37.Has Belair tools been scheduled for delivery?

Provide completed copy of checklist to installer.

In the area below, please precede all notes or comments with the respective item number from the previous page.


Varian Representative Customer Representative Date

Varian Medical Systems 2 of 2 Calypso 1.3

C-2 Appendix C Calypso Pre-Installation Checklist

Appendix D Shipping Lists

D.1 Varian High Energy Clinac Shipping List (Typical)

Item Description PackagingLength Width Height Weight

inch cm inch cm inch cm lb. kg

A. Clinac Baseframe (Shipped to site individually before the Clinac.)

01. VEO Universal Baseframe Crate 146 371 62 157 25 64 2,910 1,320

B. Standard Shipping Configuration – Clinac (Note: Data for international shipments vary.)

01. Gantry/Drive Stand Skid 149 379 45 114 78 198 13,605 6,171

02A. Counterweight Assembly Skid 39 99 36 91 49 124 5,894 2,673

C. Optional Factory Breakdown – Clinac (Note: Data for international shipments vary.)

01. Gantry Skid 117 297 62 157 89 226 8,705 3,949

02. Drive Stand Skid 65 165 59 150 89 226 4,810 2,182

03A. Counterweight Assembly Skid 39 99 36 91 49 124 5,894 2,674

D. Associated Items – Clinac (Note: Data valid for domestic and international shipments.)

01. Modulator Skid 59 150 43 109 87 221 1,992 904

02. Console Electronics Cabinet Skid 47 119 37 94 44 112 444 201

03. Couch Crate 59 150 29 74 34 86 1,306 592

04. Couch Top (Stretcher) Skid 80 203 31 79 17 43 256 116

05. Customer Box AA – Mold Frame Kit

Crate 28 71 28 71 22 56 149 68

06. Customer Box B Crate 55 140 34 86 77 196 658 298

07. Customer Box BB Crate 48 122 48 122 36 91 494 224

08. Customer Box C Crate 55 140 34 86 77 196 658 298

09. Customer Box CC Crate 48 122 48 122 36 91 510 231

10. Customer Box D – Electron Cones

Carton 57 145 40 102 26 66 250 113

11. Customer Box DD Crate 48 122 48 122 36 91 362 164

12. Customer Box EE Crate 53 135 37 94 32 81 266 121

13. Customer Box FF – CBCT System

Skid 32 81 24 61 30 76 70 32

14. Customer Box GG – OBI KV Generator

Skid 46 117 46 117 31 79 340 154

15. Customer Box HH – OBI Unitized Frame

Crate 88 224 33 84 48 122 1,631 740

D-1

Varian High Energy Clinac Shipping List (Typical) High Energy Clinac Edition

16. Customer Box J – Installation Hardware

Carton 25 64 21 53 20 51 118 54

17. Customer Box – Console Cabinet (1 of 3)

Crate 47 119 32 81 46 117 438 199


Crate 47 119 55 140 46 117 778 353


Carton 47 119 44 112 44 112 447 203

20. Customer Box Fiberglass (1 of 4)

Crate 83 211 45 114 27 69 165 75


Crate 72 183 54 137 33 84 377 171


Crate 40 102 40 102 28 71 150 68


Crate 52 132 38 97 32 81 166 75

24. Customer Box – Trilogy Cover Panel

Crate 104 264 51 130 21 53 470 213

25. Customer Box – Trilogy Door Panel

Crate 91 231 51 130 15 38 277 126

26. Non-Flammable Gas (SF6) (1 of 2)

Loose 25 64 6 15 6 15 25 11

27. Non-Flammable Gas (SF6) (2 of 2)

Carton 27 69 7 18 7 18 25 11

28. Distilled Water Crate 33 84 23 58 26 66 356 161

29. Oil, 5-Gallon Pail N/A N/A N/A N/A N/A N/A 36.5 16.6

30. Ladder, Fiberglass, 6-Foot Loose N/A N/A N/A N/A N/A N/A N/A N/A

Item Description PackagingLength Width Height Weight

inch cm inch cm inch cm lb. kg

D-2 Appendix D Shipping Lists

Glossary

Term Definition

Acuity™ Varian tradename for its simulator. The simulator is used to assist with treatment planning for determining the method and position to use during actual treatment.

Arc Therapy A form of radiation therapy in which the radiation beam is continuously directed toward the isocenter as the Linear Accelerator Gantry is rotated in an arc.

ARIA® An advanced information platform designed to unify the clinical and administrative aspects of radiation oncology. This Varian product consists primarily of software that will run on Customer or Varian-supplied computer hardware. The effect of ARIA system on the architectural requirements is limited to an increase in the control console size requirement. The Clinac and Acuity Workstations can be linked by the Network Fileserver to form a local area Network. Editing Workstations are optional stations located away from the Clinacs and/or Acuity consoles. See also Network.

Attenuation The reduction of intensity upon passage of radiation through a medium caused by absorption and scattering.

Backpointer Laser A Linear Accelerator accessory, usually mounted to the Gantry, used to identify the central axis of the radiation beam.

Baseframe/Plate Varian-supplied assembly that anchors the Stand/Gantry and the Couch to the building structure.

Blocks and Block Trays Accessories used to shape the treatment field. Blocks are custom made for each patient and are supported by the Block Tray at the Clinac Collimator. 10 to 20 Block Trays may be in use daily.

Breakdown The manner in which a Clinac is disassembled for shipment. The two-piece breakdown, or standard configuration, leaves the Stand and Gantry connected. A three-piece breakdown, or factory breakdown, separates the Stand and Gantry and is used to shorten the space required for passage into the treatment room. The factory breakdown might involve extra cost.

CCTV A closed-circuit television is used for observing patients from the control console. The system is typically color but can be black-and-white and consists of two or more cameras and two or more monitors. Verify quantity of cameras required with regional regulatory agencies. The primary camera will normally include an auto-focus and low-light level lens with power zoom. It will be mounted on a bracket incorporating pan-tilt features. The control console must include remote controls for the zoom and pan-tilt.

Glossary-1

Circuit Breaker An automatically-operated electrical switch designed to protect an electrical circuit from damage caused by overload or short circuit. Unlike a fuse, which operates once then has to be replaced, a circuit breaker can be reset, either manually or automatically, to resume normal operation.

Clinac® Varian trade name for a range of Linear Accelerator models used in cancer treatment and stereotactic radiosurgery. Low Energy (600C, 4EX, 6EX, and 600SR) models have different facility requirements from Dual Energy (2100C/D, 2300C/D, 21EX, 23EX, iX, and Trilogy) models. Rebuilt Clinacs (4R, 6XR, and 18R) have similar characteristics to the in-production models.

Collimator A movable, radiation-limiting device, located in the head of the Gantry, used to define the radiation field.

Computerized Tomography (CT)

Technique for making computer-generated images of a predetermined plane section of a patient’s body by rotating an x-ray tube around a patient.

Cone See Electron Applicator.

Console Cabinet An electronics enclosure provided by Varian that houses computing workstations and other electronics that operate the Clinac or TrueBeam machine.

Control Equipment Casework

Casework designed to accommodate Varian control equipment and workstations. The Control Equipment Casework is located outside the Clinac, TrueBeam, VariSource, or GammaMed room and usually located behind a wall within the Acuity room. The control equipment is used for setting mechanical and treatment parameters.

Couch The assembly used to support the patient during treatment or simulation. It can move vertically, longitudinally, and transversely to position the patient treatment field at isocenter. The minimum travel radius must be free of obstructions. Its maximum travel radius defines the maximum distance from isocenter throughout its travel range that the couch can operate. As the couch is seldom used in all orientations, the maximum travel radius can have obstructions without detriment, but it is recommended that the Customer and Varian’s Planning Department be consulted.

Door Interlock A switch that enables a fail-safe safety circuit linked to the Clinac, VariSource, GammaMed, or Acuity when the door to the room is closed. The door must be closed before radiation treatment or simulator can proceed. If the door is opened during treatment or simulation, the beam is turned off.

Dynamic Wedge An accessory used to generate a wedge-shaped isodose contour, analogous to physical wedges, by moving one of the Collimators during the course of an x-ray treatment.

Term Definition

Glossary-2

Dynamic Compensation A superset of the Dynamic Wedge where one or more mechanical axes move during the course of an x-ray treatment to conform the dose distribution to the treatment volume.

Eclipse™ A comprehensive treatment planning system that simplifies modern radiation therapy planning for all kinds of treatment, allowing clinicians to quickly customize treatment plans for any disease site with precision and accuracy.

Electron Applicator An accessory, often called a cone that is mounted to the accelerator or Acuity Collimator that defines the treatment field for electron therapy. These are required for accelerators with energies above 10MV and are optional with the Acuity. There are five, and one additional optional, units per set. They measure approximately 1'-0" x 1'-0" x 1'-4" (305x305x406) and weigh up to 20 lbs. (9kg) each. Their storage requires special design attention when it is incorporated into the treatment and Simulator room cabinetry.

Electron Radiation A Primary Beam of radiation generated by the Clinac for treatment. Low energy accelerators have no electron mode, while Dual Energy accelerators have several selectable electron energies. Electron Radiation is less penetrating than Photon Radiation, and is used less often than Photon Radiation.

Electronic Cart Assembly The VariSource Transportable 200t system comprises the VariSource Remote Afterloader (VRA) and Electronic Cart Assembly (ECA). The ECA houses the VariSource, GammaMed Control Console and Treatment Planning System plus peripherals and storage for accessories. The ECA and VRA form a single articulated vehicle facilitating transport and installation once at the designated site. This ECA is connected via Varian supplied cables to the Wall Box and the grounded duplex electrical power receptacle located in the control console area.

Emergency-Off Switch (also known as Emergency Power Off Switch or [EPO] or as Emergency Stop Switch)

A “mushroom” button used to disable the Clinac, TrueBeam, VariSource, GammaMed or Acuity. The switch must have a manual reset feature. Emergency-Off switches are provided at equipment Stand, Couch, and Modulator Cabinet. Additional switches must be provided to disable the TrueBeam without entering the Primary Beam and in accordance with local regulations.

Emergency Stop Switch A “mushroom” button used to disable the TrueBeam. The switch must have a manual reset feature. Emergency-Stop switches are provided at the equipment Stand, Couch, and Modulator Cabinet. Additional switches must be provided to disable the TrueBeam without entering the Primary Beam and in accordance with local regulations.

Term Definition

Glossary-3

ExacTrac (ETX) A high resolution stereo x-ray imaging system that targets tumors and corrects patient positioning with sub-millimeter precision. The room-based design enables continuous tracking of patient and tumor movement, including IGRT verification, throughout the treatment. This system is combined with the Varian Clinac Linear Accelerator to form the Novalis TX.

Experimental Access Conduit (also known as Physics Port)

The installation of an experimental access (physics) conduit between the interior of a Clinac or VariSource, GammaMed treatment room and an accessible point outside the treatment room, may be requested by the Customer. It is used periodically with a Water Phantom/Beam Scanner System in Clinac treatment rooms. The conduit should be oriented as perpendicular to the isocenter as possible.

Final Field Defining Aperture (FFDA)

An accessory that is fabricated to shape a patient’s electron beam treatment field. It installs into the Electron Applicator during patient set-up.

Fluoroscopy Real-time imaging by means of a fluoroscope, which is a device used for viewing patients during simulations. Fluoroscopic capability is a standard feature of the Acuity.

Freight Refers typically to the shipment of Varian equipment, beginning with the pick-up at the factory and ending freight-on-board (FOB) at the facility. See also Rigging.

GammaMedplus™ See VariSource™.

Gantry Rotating part of the Stand/Gantry assembly. The Clinac or TrueBeam Gantry contains the accelerator guide, bending magnet (Dual Energy Accelerators) and Collimator.

In-Room Monitor Display that describes the status of the equipment setup and patient parameters. The staff uses this monitor in the treatment room as they set up the patient. It is important to locate the monitor such that viewing the monitor during the Setup process shall not distract the therapist from the patient. Consult with the Customer regarding monitor location preference. The In-Room monitor should not be located in any x-ray primary beam.

Installation Product Acceptance (IPA)

The IPA procedure provides testing procedures and data recording tables to enable Varian to demonstrate that Varian Products have been successfully installed and meet required manufacturer specifications.

Term Definition

Glossary-4

Intercom Two-way electronic communication device used to monitor the patient audibly in the treatment room from the control console during treatment. The intercom is important for dialog between the therapist setting the patient up and the radiation equipment operator, and to monitor the patient when the therapist is out of the treatment room. The intercom should have duplexing and be voice-activated or continuous-on in the room and push-to-talk at the control console. When the Acuity and its console are in two adjacent areas with no door between, an intercom may not be needed.

Isocenter The point in three-dimensional space about which the Gantry, Collimator and Couch turntable rotate in common. This point is the central reference for all calibrations and critical shielding dimensions. It is the reference for positioning the Baseframe pit, Lasers, Couch, Clinac/TrueBeam/Acuity and the patient during treatment procedures.

Junction Box A conduit body that is used to access and terminate conductors or house an electrical device. For purposes of Clinac and Acuity requirements, the Varian-supplied cables are pulled and housed in conduits terminated at Pull Boxes, while the lighting control relays are housed in a junction box.

Laser Positioning Lights Laser devices used to position the patient on the couch for treatment or simulation. Four lasers are used in the treatment room. Their light beams intersect at the isocenter. The side and overhead lasers throw both vertical and horizontal beam planes that create a crosshair. The sagittal laser is located ahead of the Couch and at least seven feet above the floor and throws only a vertical beam plane. Rigid installation of the lasers is critical. A back pointer laser, which is mounted on the Gantry counterweight or beamstopper, may be ordered with the equipment. The back pointer laser, along with the wall-mounted lasers, creates an intersection of light defining the radiation exit axis.

Last Man Out See Search/Evict.

Longitudinal Axis also known as Sagittal Plane

An imaginary vertical plane that coincides with the rotational axis of the Gantry and bisects the patient couch.

Maze A treatment room entrance hallway designed to reduce radiation levels, particularly neutrons, at the entrance door. The length of and occupancy beyond the maze affects the amount of shielding required in and around the door.

Modulator Cabinet Power control unit for all Dual Energy Accelerators. The Modulator is located in the cabinet behind the machine. Cable length should be considered relative to the console.

Term Definition

Glossary-5

Multileaf Collimator (MLC)

Collimator system designed to define the silhouette of a beam of radiation. This optional system, available on all Varian Accelerators, reduces the need for blocks and block trays. The effect of the MLC system on the architectural requirements is limited to an increase in the control console requirements.

MV Imager Real-time MegaVoltage imaging system for monitoring and verifying treatment field in relation to anatomical landmarks.

Network A system of interconnected computers. A computer network usually links two or more personal computers (Workstations) to a centralized storage device (File Server). Networks provide users at different locations with the capability to share software, information and peripheral devices, such as printers. See ARIA®.

Neutron Radiation A particle form of Secondary Radiation produced by high (>= 10 MV) energy photons incident on high atomic number materials such as steel and lead.

Occupancy The purpose or activity for which a space is used with regard to an occupant's length of stay while radioactivity is present. The values used for determining requirements in Varian documents are: 0% for no occupancy within a 60 foot (18,300) radius from the radiation source; 10% for exterior areas; 25% for service or circulation areas; 50% for treatment, exam and waiting areas; 100% for control, office or areas of unknown occupancies.

Pendant Hand-held remote control unit attached to the Couch that is used to position and adjust the Couch, Gantry and Collimator for patient treatment. The Pendant also houses controls for room lights and Laser Positioning Lights.

Photon Radiation A Primary Beam of low (< 10 MV) or high (>= 10 MV) energy penetrating x-ray radiation generated by the accelerator for treatment. Low energy accelerators have a single x-ray energy of less than 10 MV, while Dual Energy accelerators have one similar low energy, and one high energy x-ray energy of 10 MV or greater. The term “Photon Radiation” also refers to the x-ray leakage radiation and scatter radiation that is either emitted from the accelerator or scattered from the shielding barriers, respectively.

Term Definition

Glossary-6

Physicist of Record The physicist with the responsibility for assessing parameters and limits associated with the Clinac, TrueBeam, VariSource, or GammaMed. With regard to facility shielding, the Physicist of Record is responsible for designing the treatment room radiation shield barriers and confirming they meet applicable regulatory requirements. The facility design is based on regulatory requirements of the regulatory body tasked with oversight of Radiation Producing Devices in the Region, and recommendations of the National Council of Radiation Protection and Measurement (NCRP). Confirmation of the shielding adequacy is assessed with a radiation survey performed by a qualified physicist, which may or may not be the Physicist of Record. The Physicist of Record will correspond with the Region's Department of Health Services (or equivalent) regarding the design and results of the radiation survey.

Physics Port See Experimental Access Conduit (also known as Physics Port).

PortalVision™ (PV) Real-time imaging system for monitoring and verification of treatment field and shielding blocks in relation to anatomical landmarks. The effect of PortalVision on the architectural requirements is limited to an increase in the control console requirement.

Power Panel An assembly of circuit protection and control devices.

Primary Beam Radiation The emission or propagation of photons or electrons along the main axis or direction of the generating equipment (see Photon Radiation and Electron Radiation). Varian accelerators generate a 28-degree primary radiation beam cone from a source in the Gantry (measured one meter back from isocenter). Acuity generates a 39-degree primary radiation beam cone from a source in the Gantry (measured one meter back from isocenter). Shielding for the primary beam must consider the 360-degree rotation of the Gantry and should extend at least one-foot (305) beyond the beam cone.

Pull Box A conduit body that is used only to access conductors. The distinction is made to simplify the NEC or other regulatory agency requirements for placement and construction of these structures. The Control Console, Baseframe, and Modulator boxes are Pull Boxes.

Radiation monitor/detector

Device that senses radiation and issues a warning when the radiation level exceeds the preset standards. Some jurisdictions require them in accelerator rooms as a precautionary measure.

Radiosurgery A method of treatment that uses a single, high dose of radiation to alter the tissue to cause necrosis or fibrosis. This procedure uses Gantry, and sometimes Couch, movement during the treatment to minimize exposure to surrounding tissue.

Radiotherapy A method of treatment using multiple, small radiation doses to gradually shrink and kill malignant tumor cells.

Term Definition

Glossary-7

Relay Automatic electromagnetic or electromechanical device that responds to a small current by activating switches in an electric circuit. Lasers and room lights are connected through relays to the switches in the Pendant and on the Couch.

Rigging Positioning of the Baseframe and the accelerator, VariSource, GammaMed or Acuity components into the treatment room. The Baseframe is rigged prior to the rest of the equipment. A rigging company is usually hired by the Customer to off-load these items from the truck and to move them through the facility into the treatment room. The Customer's architect and structural engineers must review the entire rig route for adequate clearances and structural support. The work can include temporary demolition and shoring. Final equipment positioning is part of the rigging contract. See also Freight and Breakdown.

Safety and Monitoring Devices

Special equipment required to assure that the technical and service personnel are not exposed to radiation. These items are Emergency-Off Switch (also known as Emergency Power Off Switch or [EPO] or as Emergency Stop Switch), Radiation monitor/detector, and Warning Light. (See definitions.) Other monitoring equipment is used to observe and position the patient during treatment. These items are CCTV, Intercom, Laser Positioning Lights, and View Window. (See definitions.)

Sagittal Plane also known as Longitudinal Axis

An imaginary vertical plane that coincides with the rotational axis of the Gantry and bisects the patient couch.

Search/Evict A procedure, usually involving some form of electro-mechanical interlock to the equipment, which provides added assurance that only the patient is in the room during treatment. (Also called “Last man out” procedure.)

Secondary Radiation The emission or propagation of neutrons and/or photons as a result of bouncing or reflecting in various directions. Its sources are leakage from the equipment head and scatter from the room surfaces (see Electron Radiation, Neutron Radiation, and Photon Radiation).

Simulator Radiotherapy equipment, such as the Varian Acuity, that uses radiographic and fluoroscopic imaging to duplicate the beam geometry of medical Linear Accelerators as a means to localize the treatment field.

Stand Fixed part of the Stand/Gantry assembly containing the Klystron, power converters, cooling water heat exchanger, microwave generator and other elements of the Linear Accelerator and similar components of the Acuity.

Start Button An override connected to the Emergency-Off circuit and to a separate, interim power source, which allows interim power to close the UVR circuit until Clinac power is available.

Term Definition

Glossary-8

Stereotaxis (n), Stereotactic (adj)

The principle of locating a point in three dimensional space, within the brain, with a high degree of accuracy, by using an external reference coordinate system or plane.

Total Body Irradiation (TBI)

A technique during which a large-field x-ray or electron beam is used to treat the entire patient's body. Due to the increased field size, a distance of 10 to 20 feet (3 to 6 meters) is required from the isocenter to the wall on one side of treatment rooms designed to accommodate the procedure.

Under Voltage Release (UVR)

Safety feature that trips the breaker when an under-voltage condition occurs. Used in conjunction with the accelerator and Acuity emergency off circuits to trip the main circuit breaker power to the equipment.

VariSource™ Varian's high dose rate remote afterloader delivers high radiation doses to patients by way of a radioactive source wire that is extended through catheters into body cavities.

View Window Patient monitoring opening in the wall between the Control Equipment Casework and the Acuity room spanned with leaded glass. Low energy accelerators occasionally have view windows but this is not recommended.

Warning Light A light (usually red) that indicates “beam-on” condition. A light for “ready” mode may be required also.

Water Phantom/Beam Scanner System

A clear tank, part of a set of components, used to simulate a human body on the treatment couch to determine an accurate radiation output and dose distributions of a Linear Accelerator. The water phantom, which measures up to 2'-0" x 2'-0" x 2'-0" (610 x 610 x 610), is used by the therapists and physicists. It needs to be filled with water before use and the water needs to be siphoned off after use. Water supply, drain, and water-resistant storage space for the tank should be provided within the treatment room.

Term Definition

Glossary-9


Glossary-10

Index

Aacceptable ceiling mount load plate areas, Calypso

System 3-37accessory pull box 3-4accessory storage dimensions, typical 5-7acoustical requirements 5-10Acuity/Conventional Simulator subsystem 3-23

ceiling-mount option 3-25mounting locations 3-23mounting methods 3-25wall-mount option 3-25

adaptive couch repositioning, Calypso System 3-31air system, compressed 3-54ARIA workstation components 4-20array panel, Calypso System 3-27assembly, Calypso System 3-32

Bbaseframe

cable access details 3-63cooling line access details 3-66pit and installation 3-59pull box 3-3

Beacon transponders, Calypso System 3-29Beam Ready warning lights 4-19Beam-Off warning lights 4-19Beam-On warning lights 4-18

Ccable access details for baseframe 3-63cable access diagram 3-5cable conduit/ducts 3-2cabling 4-5calibration fixtures for Calypso System 3-30Calypso System

acceptable ceiling mount load plate areas 3-37adaptive couch repositioning 3-31array panel 3-27assembly 3-32Beacon transponders 3-29calibration fixtures 3-30camera elevation heights and clearances 3-39camera support mounting methods 3-40cameras

mounting locations 3-33

power supply/hub unit 3-28ceiling mount

cantilever extension bar 3-41load plate 3-40

dynamic edge gating 3-30Extracranial Radiosurgery Subsystem 3-26fixtures 3-29infrared cameras 3-28optical system 3-27preferred ceiling mount load plate locations,

non-TrueBeam 3-33QA fixture 3-29radiation detector 3-30software 3-29system options 3-30touch screen computer 3-27tracking station 3-28treatment planning data import 3-31treatment room console 3-26typical room configuration 3-32

cameraselevation heights and clearances, Calypso

System 3-39elevation heights and clearances, OSMS 3-47infrared 3-28mounting locations, Calypso System 3-33mounting locations, OSMS 3-45power supply/hub unit, Calypso System 3-28support mounting methods, Calypso System 3-40support mounting methods, OSMS 3-48

carpeting requirements 5-10CCTV

camera, power receptacles 4-20system 5-10

ceiling finishes 5-12ceiling mount

load plate for OSMS 3-48ceiling mount cantilever extension bar, Calypso

System 3-41ceiling mount load plate areas, acceptable, Calypso

System 3-37ceiling mount load plate, Calypso System 3-40ceiling-mount option

Acuity/Conventional Simulator subsystem 3-25RPM Clinac subsystem 3-15

Index-1

checklists for pre-installation A-1, B-1, C-1circuit breaker panel

Clinac 4-9benefits 4-10described 4-9features 4-10options 4-10order information 4-11specifications 4-9

main OBI 4-12circuit breakers/UVRs for Clinac 4-8clearances for Clinac in-room monitor 3-67Clinac

circuit breaker panel(with battery backup circuit) 4-9benefits 4-10described 4-9features 4-10options 4-10order information 4-11specifications 4-9

circuit breakers 4-8computer components 4-20coolant system 3-50dual energy coolant requirements 3-52in-room monitor 3-67

component anchorage brackets 3-67typical plan 3-69wall mount 3-68

Linear Accelerator Subsystem, power requirements 4-7

main circuit breaker panel 4-8operational states 3-49, 4-17plan view 2-11power requirements 4-7UVRs 4-8

compatibility matrix for RPM CT & PET CT simulator subsystem 3-17

component anchorage brackets for Clinac in-room monitor 3-67

compressed air system 3-54configurations

typical room 2-7typical room, Calypso System 3-32

connections, electrical 4-2control equipment

casework, typical 5-1pull box 3-3

coolantdiagram 3-51

Index-2

flow requirements 3-50requirements for dual energy Clinac 3-52specifications 3-53system, Clinac 3-50

cooling line access details, baseFrame 3-66

Ddedicated ground wires, in-room monitor 3-67dedicated grounding requirements 4-2detail, elevations 2-13diagram

cable access 3-5coolant 3-51interconnection wiring 4-15

dimension clearances for shipping/rigging 2-16dimensions, typical accessory storage 5-7dual energy Clinac coolant requirements 3-52ducts/cable conduit 3-2dynamic edge gating, Calypso System 3-30

Eelectrical

connections 4-2requirements 4-1specifications 4-1

elevations 2-13emergency-off switches 4-19environment specifications 3-54equipment layout for Clinac in-room monitor 3-67Extracranial Radiosurgery Subsystem, Calypso 3-26

Ffacilities requirements 3-1features 4-14, 4-21

list of Clinac 1-1relay junction box 4-21

finishes 5-1ceiling 5-12

fire protection 3-55fixtures for Calypso System 3-29flooring requirements 5-10

Ggeneral electrical specifications 4-1general room storage requirements 5-6general system information 2-1Generator ON (OBI) warning lights 4-19ground wires, dedicated, in-room monitor 3-67grounding, dedicated 4-2

HHVAC and plumbing requirements 3-49

Iinfrared cameras, Calypso System 3-28in-room monitor 3-67

dedicated ground wires 3-67equipment layout/clearances 3-67power receptacle 4-20

installation time schedule 1-3interconnection wiring diagram 4-15Intracranial Radiosurgery Subsystem, OSMS 3-42introduction to Novalis TX DDR 1-1isometric view for typical room 2-5

Jjunction box, relay 4-21

Kkey features of Clinac 1-1

Llaser mounting details, standard 3-71laser positioning lights 4-17lasers for patient positioning 3-70lighting and accessories circuits specifications 4-1lights

laser positioning 4-17room 4-17setup 4-17, 4-18, 4-20

Mmain circuit breaker panel

Clinac Linear Accelerator 4-8OBI 4-12

benefits 4-14described 4-13features 4-14options 4-14order information 4-14

main room lights 4-18major system components for modulator cabinet 3-9minimum coolant flow requirements 3-50modulator cabinet 3-9modulator pull box 3-3mounting locations


mounting methodsAcuity/Conventional Simulator subsystem 3-25camera support, Calypso System 3-40RPM Clinac subsystem 3-14

Nnetwork cabling and termination 4-5non-TrueBeam, preferred ceiling mount load plate

locations, Calypso System 3-33Novalis TX shipping list D-1

OOBI

main circuit breaker panel 4-12, 4-14benefits 4-14described 4-13

power requirements 4-12subsystem 4-12

operational states, Clinac 3-49, 4-17optical system, Calypso System 3-27optical system, OSMS 3-42options for OBI main circuit breaker panel 4-14order information 4-22

OBI main circuit breaker panel 4-14relay junction box 4-22

OSMScamera elevation heights and clearances 3-47camera mounting locations 3-45camera support mounting methods 3-48ceiling mount load plate 3-48Intracranial Radiosurgery Subsystem 3-42optical system 3-42system assembly 3-44treatment room remote terminal 3-43typical room configuration 3-44workstation 3-42

other flooring requirements 5-10

Ppatient positioning lasers 3-70plan view detail for Clinac 2-11plumbing

described 3-55requirements 3-49

positioning lights, laser 4-17power conditioning requirements 4-5power receptacles

ARIA workstation 4-20ARIA workstation components 4-20CCTV camera 4-20

Index-3

Clinac computer components 4-20in-room monitor 4-20PV option components 4-20

power requirementsClinac 4-7Clinac Linear Accelerator Subsystem 4-7OBI 4-12

power switches for setup lights 4-20preferred ceiling mount load plate locations,

non-TrueBeam, Calypso System 3-33pre-installation checklists A-1, B-1, C-1pull/junction boxes 3-3

accessory pull box 3-4baseframe pull box 3-3control equipment pull box 3-3modulator pull box 3-3signal pull box 3-3

QQA fixture for Calypso System 3-29

Rradiation detector, Calypso System 3-30radiation shielding details 3-56relay junction box 3-4, 4-21, 4-22

benefits 4-21described 4-21

requirementsacoustical 5-10carpeting 5-10Clinac 4-7Clinac Linear Accelerator Subsystem 4-7dedicated grounding 4-2dual energy Clinac coolant 3-52electrical 4-1facilities 3-1flooring 5-10general room storage 5-6HVAC and plumbing 3-49minimum coolant flow 3-50OBI 4-12other flooring 5-10power conditioning 4-5vinyl 5-10wood 5-10

Respiratory Gating, see RPM Respiratory Gating 3-11rigging/shipping dimension clearances 2-16, 3-41room lighting 4-17

CCTV 4-17laser positioning lights 4-17

Index-4

main room lights 4-18room lights 4-17setup lights 4-17, 4-18

room shielding tables 2-1room storage requirements, general 5-6RPM Clinac subsystem

ceiling mount option 3-15mounting locations 3-12mounting methods 3-14wall-mount option 3-14

RPM CT & PET CT simulator subsystemcompatibility matrix 3-17standard mounting location 3-19

RPM Respiratory Gating, described 3-11

Ssafety device systems 4-18

Beam Ready warning lights 4-19Beam-Off warning lights 4-19Beam-On warning lights 4-18emergency-off switches 4-19Generator ON (OBI) warning lights 4-19safety door interlock switches 4-19X-RAY ON (OBI) warning lights 4-19

safety door interlock switches 4-19schedule, installation 1-3setup lights 4-17, 4-18, 4-20shielding 3-56

other 3-58radiation details 3-56

shipping lists D-1shipping/rigging dimension clearances 2-16, 3-41signal

pull box 3-3software for Calypso System 3-29specifications

circuit breaker panel (with battery backup) 4-9coolant 3-53electrical connections 4-2environmental 3-54general electrical 4-1lighting and accessories circuits 4-1power conditioning requirements 4-5wiring and components 4-1

standard laser mounting details 3-71standard mounting location for RPM CT & PET CT

simulator subsystem 3-19switches

emergency-off 4-19setup lights 4-20

systemCCTV 5-10Clinac Linear Accelerator 4-7OBI 4-12safety device 4-18

system assembly for OSMS 3-44system components for modulator cabinet 3-9system information, general 2-1system options, Calypso System 3-30

Ttables for typical room shielding 2-1TCP/IP Protocol 4-6technical key features for Clinac 1-1termination 4-5touch screen computer, Calypso System 3-27tracking station, Calypso System 3-28treatment planning data import, Calypso System 3-31treatment room console, Calypso System 3-26treatment room overview, sample set-up 3-1treatment room remote terminal for OSMS 3-43typical accessory storage dimensions 5-7typical control equipment casework 5-1typical plan for Clinac in-room monitor 3-69typical room

configuration 2-7configuration, Calypso System 3-32configuration, OSMS 3-44isometric view 2-5shielding tables 2-1

UUVRs/circuit breakers 4-8

VVarian relay junction box, described 4-21ventilation 3-54vinyl requirements 5-10

Wwall mounts for Clinac in-room monitor 3-68wall-mount option


wires, dedicated, ground, in-room monitor 3-67wiring and components, specifications 4-1wiring diagram, interconnection 4-15wood requirements 5-10workstation for OSMS 3-42

XX-RAY ON (OBI) warning lights 4-19

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Manual de Diseño Bunker Para Acelerador Lineal

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