ARTISTE _ Planning Guide _ 2009_Sep.pdf

J M s n m ie S

ARTISTE Linear Accelerator TH

Planning Guide System ARTISTE

08139789

© Siemens

2009

The reproduction, transmission or use of this document or its contents is not permitted without express written authority. Offenders will be liable for damages. All rights, including rights created by patent grant or registration of a utility model or design, are reserved.

Print No.: Replaces:

TH02-ART.891.01.02.02 TH02-ART.891.01.01.02

English Doc. Gen. Date: 09.09

2

Revision / Disclaimer

1Revision / Disclaimer

Document revision level The document corresponds to the version/revision level effective at the time of system delivery. Revisions to hardcopy documentation are not automatically distributed. Please contact your local Siemens office to order current revision levels. Disclaimer The installation and service of equipment described herein is to be performed by qualified personnel who are employed by Siemens or one of its affiliates or who are otherwise authorized by Siemens or one of its affiliates to provide such services. Assemblers and other persons who are not employed by or otherwise directly affiliated with or authorized by Siemens or one of its affiliates are directed to contact one of the local offices of Siemens or one of its affiliates before attempting installation or service procedures.

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0Table of Contents

1 _______ General Information______________________________________________ 6 About this document. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Comments and suggestions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Reference documents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Installation-relevant manuals published on CB-Doc . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Additional manuals (not on CB-Doc). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Abbreviations, terms, and conversions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Conversions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Safety information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Environmental protection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Items included in the shipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 System components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

2 _______ Project Manager Information _____________________________________ 27 Site readiness. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 CSML/CS tool orders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 Installation scheduling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

3 _______ Room Planning ________________________________________________ 33 Treatment room configuration. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 Control room configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34 Equipment layout and clearances. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35 Treatment room dimensions and clearances . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35 Room technical equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Power conditioner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Emergency power off switches (EPO) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Safety door interlock switches. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . In-room extension (monitor, keyboard) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Warning lights / illuminated signs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Patient video observation system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Audible alarm for ready state (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Control console cabinet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . POLYDOROS SX 65/80 kV generator cabinet (optional) . . . . . . . . . . . . . . . . . . . . .

38 38 39 40 41 41 42 43 43 44

Structural / static requirements. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46 Vibration specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47 Electrical requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Power requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Line impedance requirements. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Vacuum ion pump . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ground electrode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Grounding requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Electrical outlets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

48 49 51 51 51 52 52

On-Site water requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53 Customer Responsibilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56 Water supply . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57

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Table of Contents Sink . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57 Environmental Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Air Conditioning and treatment room ventilation . . . . . . . . . . . . . . . . . . . . . . . . . . . . Radiation shielding specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Acoustic noise specifications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Magnetic field specification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

58 58 59 60 60

Access for measurement equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62 Physics pipe. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62 Underfloor conduit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63 Flooring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65 Antistatic requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65 Base floor finishing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65 Room lighting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67 Emergency lighting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67 Fire protection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68 False wall . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69

4 _______ Installation Preparation __________________________________________ 70 On-Site Electrical Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Emergency power off switches . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Load disconnector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Interconnection of Linac S31 and room equipment . . . . . . . . . . . . . . . . . . . . . . . . . .

70 70 70 71

Cable raceway. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72 Conduits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Structural shielding design . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Machine pit conduit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . kV generator cable duct. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

73 73 73 73

Universal base frame . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75 Overhead suspension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77 Laser system. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Recessed Mounting and Steel Plate Shielding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Wall Outlet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

81 81 82 83

Siemens Remote Service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84 Connectivity concept . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84

5 _______ System connections ____________________________________________ 85 Cable and Conduit Details . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85 Control console cabinet cabling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89

6 _______ Technical Data _________________________________________________ 91 Electrical Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Linear accelerator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Power conditioner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . kV generator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Component electrical data. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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Operator Console Electrical and Network Connections . . . . . . . . . . . . . . . . . . . . . . 95 Ancillary box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96 Component weights and dimensions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97 Weights . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97 Dimensions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97 Linear accelerator. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99 550 TXT treatment table. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100 Control console. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102 Transfer station . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103 Wedge filter boxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104

7 _______ Transport Conditions __________________________________________ 105 General Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105 Split machine data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106 Dimensions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106 Weight . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107 Container data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 108 Transport floor loading specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 110 Door and hallway clearances . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111

8 _______ Appendix ____________________________________________________ 115 Electromagnetic compatibility of the bunker . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115 IEC 60601 specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115 Treatment table compatibility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119 Compressive strength class C according to EN 206 - 1 . . . . . . . . . . . . . . . . . . . . . . . . 120 Pre-test of on-site cooling water characteristics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121 Normal operating mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121 Pressure drop simulation mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 122 Water quality. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127 Transfer station power from ancillary wiring box. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 128 Working clearances . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Customer locations in the US . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Customer locations in Canada . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Customer locations in Germany . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

130 130 131 131

Standard wire size conversions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 132

9 _______ Changes to Previous Version ____________________________________ 133 10 ______ Index ________________________________________________________ 134

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General Information 1-

About this document

1General Information

0

This Product Planning Guide provides customers, architects, engineers, and contractors with a better understanding of Siemens equipment requirements and important facility design issues. In addition to these requirements, all installations must also comply with any further requirements of local codes and regulations.

NOTE

None of the drawings in this document are to scale.

Comments and suggestions

0

This documentation was created with the greatest of care. If you find anything which is not described correctly or you have suggestions on how to improve our documentation, please send us your comments and suggestions via the Contact button (OCS-Systems) on the CB-DOC.

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Reference documents

1.1

Installation-relevant manuals published on CB-Doc

0

Document

Scope

Print Number

Pre-Installation

Preliminary steps - installation of universal base frame and overhead suspension - required before the actual machine installation can begin.

TH02-ART.811.01

Installation Instructions

Mechanical and electrical installation of the system.

TH02-ART.812.01

Cover Installation

Installation procedures for the system TH02-ART.812.02 covers.

550 TXT Treatment Table Installation

Mechanical/electrical installation of the treatment table.

TH05-100.812.01

Start-up

Completing final wiring in the control room.

TH02-ART.815.01

Switching on the system. Tune-up

Initial beam-on and system calibration. TH02-ART.817.01

Syngo Suite for Oncology Product Planning Guide

Site preparation/installation specifica- TH11-REF.891.01 tions for syngo suite.

LANTIS Product Planning Guide

Site preparation/installation specifica- TH06-021.891.01 tions for LANTIS.

MMLC Planning Guide

Site preparation/installation specifica- TH02-600.891.01 tions for Micro Multi Leaf Collimator.

Polydoros SX 65/80 Planning Guide

Site preparation/installation specifica- RX63-065.021.01 tions for the Polydoros SX 65/80 X-ray generator.

Polydoros SX 65/80 Installation Instructions

Mechanical and electrical installation of the system for the Polydoros SX 65/80 X-ray generator.

SRS Planning Guide

Site preparation/installation specifica- TDIT-000.891.01 tions for Siemens Remote Service.

PTW SLA 48 Installation Technical information for scanning and User manual equipment.

Siemens

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RX63-055.031.01

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General Information Document

Scope

Print Number

Treatment Room Extension Installation Instructions

Installation instructions for the in-room TH06-021.812.10 extension, remote monitors.

Disposal Instructions

Relevant e.g. for linear accelerator replacement

Additional manuals (not on CB-Doc) • • • • •

TH02-PNO.861.01

0

Teal Technical Manual Lytron Technical Manual KKT Transfer Station Manual Lytron Technical Manual Line Resistance Meter Manual

• APC Smart UPS Manual • MGE UPS Manual

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Abbreviations, terms, and conversions

1.2

The following definitions apply to abbreviations and terms used in the Planning Guide. Name

Definition

160 MLC

160 Leaf Multileaf Collimator

AC

Alternating Current

ARTISTE

ARTISTE™ Medical Linear Accelerator

ARTD

German; Allgemeine Richtlinie für den Technischen Dienst General Directive for Customer Services in the regional units

Siemens

ASHRAE

American Society of Heating, Refrigerating, and Air-Conditioning Engineers

AWG

American Wire Gauge

dB

decibel

CC Node

Control Console Node

CS

Customer Service

CSE

Customer Service Engineer

DC

Direct Current

EMC

Electromagnetic compatibility

EMI

Electro Magnetic Interference

EN

European norm (standard)

EPO

Emergency Power Off

FDA

Food and Drug Administration

HIIB

Heimann Image Interface Bus

IAB

Imaging Acquisition Bus

ICRP

International Commission on Radiological Protection

IEC

International Electrotechnical Commission

ISDN

Integrated Services Digital Network

kV

kilovoltage

Linac

Linear accelerator

MLC

Multileaf Collimator

MMLC

Micro Multileaf Collimator

MV

megavoltage

MVPP

MV Panel Positioner

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General Information Name

Definition

MWI

Mevatron Waveform Interface

NCRP

National Council on Radiation Protection and Measurements

NRC

Nuclear Regulatory Commissions

ppm

Parts per million

psi

Pound-force/square inch

RAD OFF

Radiation beam off

PTW

German; Physikalisch Technische Werkstätten, company

RAD ON

Radiation beam on

RMS

Root Mean Square

RTT

Radiation Therapy Therapist

SCC

Siemens Collimator Controller

SRS

Siemens Remote Service

STC

Safety Technical Checks

TH

Therapy

UL

Underwriters Laboratory

UNC

Unified Coarse, US thread type

UPS

Uninterruptible power supply

Conversions

0

1 in. = 25.4 mm (exact)

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Safety information WARNING

1.3

Improper installation of the overhead suspension can result in serious injury to the patient, clinician, or technical staff. PHYSICAL INJURY, FALLING OBJECTS ¹ Carefully follow all of the product planning requirements to specify the proper installation of the overhead suspension assembly. (HZRA387)

WARNING

Inadvertent contact with energized parts while installing the accelerator and/or ancillary components can lead to serious injury or death. PHYSICAL INJURY, ELECTROCUTION ¹ Carefully follow all of the product planning requirements in this document to ensure adequate protection from energized parts, including electrical conduits that are hidden in the walls or floor. (HZRA1002)

The safety notes are supplemented by specific descriptions in the documents supplied by us, e.g. product documents, ARTD (general guidelines) as well as by written instructions in specific cases. All safety instructions must be observed when performing work activities and tests; in addition, compliance with prescribed country-specific requirements has to be ensured (e.g. occupational safety and accident prevention regulations).

Siemens

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12

General Information

Environmental protection

1.4

¹ If an old linear accelerator system has to be replaced with a new system, follow the latest version of the Disposal Instructions (TH02-PNO.861.01.xx).

CAUTION

Improper handling, transportation and disposal of activated materials in addition to disregarding of regional and international radiation protection standards. UNNECESSARY EXPOSURE TO RADIATION ¹ Linear accelerators can cause activation of components in the accelerator itself and in all other parts or devices present in the treatment room. The generated nuclides and the degree of activation depend on the operating parameters of the linear accelerator. When transporting and/or disposing of the linear accelerator system and/or other equipment (e.g. lasers, CT, accessories, etc.) located in the treatment room, the regional and international standards of radiation protection law must be strictly followed. The Radiation Safety Officer must be consulted. (HZRA1313)

CAUTION

Inappropriate disposal. ENVIRONMENTAL DAMAGE ¹ Dispose of replaced parts in accordance with the applicable international, federal, state, and local regulations and corporate requirements. (HZRA1375)

NOTE

The transport packing materials, e.g. all-port pallet, have to be taken back by the service provider. All other packing materials, e.g. cardboard containers , can be disposed of as required by local codes.

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General Information

13 The WEEE (Waste Electrical and Electronic Equipment) symbol indicates that neither the Siemens medical linear accelerator, its options and component parts, nor any of the computer components used with it, are permitted in municipal trash. Within the EU, products identified with this symbol are subject to guidelines 2002/96/EG for old electrical or electronics system, modified by guidelines 2003/108/EG. Please contact Siemens in case of questions about returning and disposing of the linear accelerator system and/or its components and accessories.

Fig. 1:

Siemens

Marking according to EN 50419: 2006

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General Information

Items included in the shipment

1.5

System components

0

The standard system components of the ARTISTE™ Medical Linear Accelerator are comprised of components which have to be ordered at least four weeks prior to the installation date (preliminary orders) and components which will be shipped at the installation date. Additional standard treatment / control room equipment, e.g., laser systems, intercom, cameras, in-room monitors, can be ordered from Siemens but are not part of the standard system components.

Fig. 2:

Artiste linear accelerator system with TXT table

Preliminary orders Universal base frame The linear accelerator and the treatment table are installed on a so-called universal base frame (part no. 45 06 437). The universal base frame - which is also used for Oncor / Primus systems - consists of two elements:

• Table pan • Stationary structure frame

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General Information

Fig. 3:

15

Universal base frame - table pan

Fig. 4:

Universal base frame - structure section

The universal base frame is poured in concrete in a defined pit in the bunker floor. For installation details see the pre-installation instructions TH02-BSF.812.01.xx.xx. For details on the pit specification see (Universal base frame / p. 75) in this manual.

NOTE

Due to the required cure time of 30 days, the universal base frame has to be installed a minimum of four weeks prior to linear accelerator delivery.

Adapter brace (option) If the system has to be installed on an old universal base frame (to avoid concrete work) the adapter brace (part no. 04503491) has to be installed after installing the linear accelerator onto the universal base frame. The adapter brace is installed on the bottom of the stationary structure bottom plate and is not connected to the universal base frame. The adapter brace preloads the stationary structure bottom plate in the cross-plane so that a higher stability is achieved.

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General Information

Fig. 5:

Adapter brace (part no. 4503491)

Fig. 6:

Installed adapter brace (side view)

Overhead suspension mounting plate The overhead suspension mounting plate for the hand control arm is shipped with the universal base frame. If there is an existing overhead suspension mounting plate at a site, it has to be replaced with a new mounting plate. Be sure to order it with the other preliminary orders. The installation of the overhead suspension mounting plate is part of the pre-installation and is described in the pre-installation instructions TH02-BSF.812.01.xx.xx. Detailed specifications are given in (Overhead suspension / p. 77) in this manual. Fig. 7:

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Overhead suspension mounting plate - part no. 98 22 727

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General Information

17

Transfer station The transfer station serves as the interface between the hospital cooling water supply, or chiller, and the linear accelerator. One purpose of the transfer station is to monitor the temperature and pressure of the facility water entering and exiting the linear accelerator. The transfer station is also used as a test device. With the transfer station the facility water requirements (pressure, temperature, flow rate) can be checked before the linear accelerator is delivered. For details on the transfer station see (On-Site water requirements / p. 53) and (Transfer station / p. 103), for the pre-test procedure see (Pre-test of on-site cooling water characteristics / p. 121).

Fig. 8:

Transfer station - part no. 58 62 680

Ancillary wiring box (US only - option) The ancillary wiring box supports physical connections to a number of input and output facility and machine interfaces.The ancillary wiring box contains its own power supply, and is driven by contact closures. This component is a complete power supply box, not just a switching box. Each controlled circuit is provided with a circuit breaker. In other countries the customer usually designs his own box. The main system interfaces are described in (Fig. 56 / p. 71). The internal cabling of the ancillary wiring box is described in (Fig. 69 / p. 96).

Fig. 9:

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Ancilliary wiring box - part no. 19 26 398

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18

General Information Power conditioner The power conditioner with the included isolation transformer converts the clinical facility main voltage to 3-phase 208 VAC as well as single-phase 120 VAC, and supplies that power to Siemens Medical Solutions/OCS radiotherapy equipment and related peripheral equipment. It is dedicated, service-free, and independent of all other building wiring and equipment, e.g., elevators, generators, pumps, high voltage AC systems, chiller, etc. In Europe, the installation of the power conditioner is part of the system installation, in other countries it is installed before the linac is shipped (preliminary order).

Fig. 10: Power conditioner (part no. 7336741)

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General Information

19

System components shipped at installation date Stationary structure with gantry and 160 MLC

Fig. 11: Stationary structure with gantry and 160 MLC

NOTE

If the system is not installed immediately after shipping, a 12 V battery has to be installed at the high voltage power supply of the klystron vacuum ion pump. The battery is lo longer delivered with the system. The high voltage power supply is part of the shipment. The storage period without battery may not exceed 2 months.

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General Information Stationary structure components

Fig. 12: Stationary Structure Components I

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General Information

21

Fig. 13: Stationary Structure Components II

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General Information Gantry components

Fig. 14: Gantry Components

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General Information

23

Control console components (hardware and software)

Fig. 15: Control Console Cabinet Components

Short hand control arm (option) If there is a risk of collision with third party equipment because of smaller room layout, Siemens offers a short arm option (part no. 19 48 871) for the overhead suspension.

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General Information Pulsar UPS for RTT The UPS (uninterruptible power supply) for the RTT is installed at the control console area. It includes a battery to maintain power in the event of a power outage and keeps the RTT running for several minutes after a power outage, enabling the user to save data and shut down the computer properly.

Fig. 16: MGE UPS for RTT (part no. 10143515)

UPS for 550 TXT table The UPS (uninterruptible power supply) for the 550 TXT table is installed at the control console area. It includes a battery to maintain power in the event of a power outage and keeps the 550 TXT table functioning for several minutes after a power outage, enabling the user to move the table and remove the patient.

Fig. 17: APC Smart UPS for 550 TXT treatment table (part no. 10144869)

MMLC For planning details see MMLC planning guide TH02-600.891.xx.xx.

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General Information

25

Fig. 18: MMLC on 160 MLC

Fig. 19: MMLC cabinet

kV generator (option) The installation of the kV generator is only necessary for the ARTISTE kV + MV configuration. Follow the instructions provided in the Polydoros SX 65/80 Planning Guide, print number RX63-065.021.01

Fig. 20: Polydoros SX 65/80 X-ray generator

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General Information Accessories Cordless drill In order to park and retract the MV flat panel positioner manually, a cordless drill is delivered with the system. It is recommended to place the cordless drill with charger near the the control console. The cordless drill should be available to personnel in case of an emergency. Note that the charger must not be stored in the treatment room.

Fig. 21: Cordless drill and charger, part no. 70 68 182

Main cables

• • • • • • • • • • • •

CC node linac cable harness (33 m/108 ft version), part no. 7353696 (CC node linac cable harness (24 m/79 ft version), part no. 7349090) Ethernet cable set subnet control room to S31 (33.5 m/110 ft), part no. 7357796 HIIB data cable; Perkin Elmer (40 m/131 ft), part no. 5858787 IAB image acquisition bus cable (30.5 m/100 ft), part no. 7358877 160 MLC Cabling SCU - S31 Part 1 (34 m/112 ft), part no. 10144925 160 MLC Cabling SCU - S31 Part 2 with CAN cables (34 m/112 ft), part no. 10304027 VGA cable, CCC - control console (1.85 m/6 ft), part no. 9839853 Control console keyboard cable, CCC - control console (3 m/10 ft), part no. 5748020 VGA cable - in-room extension (41 m, 135 ft), part no. 9839846 Europe; SY-JB 5G 50 mm2, 500 V (e.g. Helukabel), bulk stock Power extension cord, CCC to UPS, bulk stock

Hose Kutting PN16 DN 25, bulk stock, with fittings

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Project Manager Information

27

2-

Site readiness

2Project Manager Information

0

Site readiness requirements must be completed prior to scheduling installation resources or shipping the product from the factory. Complete the following tasks to avoid a possible delay in the installation schedule or cause additional costs to be incurred by the customer if the equipment delivery dates have to be rescheduled. The project manager is responsible for supervising pre-installation requirements. Site readiness tasks may be performed by the customer, the contractor, or the project manager, but the project manager has the final responsibility for site readiness management. Site readiness delays will incur a daily out-of-scope charge. Site Readiness Requirements

Responsibilities

Air conditioning and humidification

Install air conditioning and ventila- Verify compliance. tion in accordance with local health requirements for ventilation.

Customer/Contractor

Project Manager

Ancillary wiring box (if Install and test the ancillary wiring -used) box. Pull wires to base of machine. Audible alarm for ready state

Install and test.

Verify functionality. If local and regional regulatory requirements apply, verify compliance.

Cable raceways, ducts, and conduits

Install according to specifications. Verify that all cable raceways, ducts, and conduits are the correct size and terminate in the correct locations according to the Siemens drawings.

Cameras and proces- Install wall backing. sors supplied by cus- Install in-room monitor(s) and tomer camera(s).

Verify functionality and compliance with local and regional regulatory requirements.

Chiller

Verify chiller functionality and availability at machine.

Install cooling water system. Flush piping prior to installation and connection to Siemens equipment.

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Project Manager Information Site Readiness Requirements

Responsibilities

Concrete foundation

Schedule work.

Base frame

Customer/Contractor

Project Manager

Work with installation proMust use a Siemens authorized vider. Verify that the concrete installation provider to pour floor is level within isoconcrete. Refer to Universal Base Frame center radius. Installation for the base frame and table floor pan installation and leveling procedures.

Control room power outlets and Emergency Power Off (EPO) switches

Install control room power outlets -and EPO switches.

Facility shielding

Install radiation shielding.

Test functionality and verify installation in accordance with electrical codes. Provide shielding requireEnsure that the facility shielding is ments for the specific room within tolerance and appropriate layout and linear accelerafor the LINAC system and equip- tor characteristics. ment being installed. Abide by all local, national, and international regulations and standards.

Gauges, valves, filProvide all gauges, valves, filters, Verify. ters, fittings, pipe, and fittings, pipe, and tubing outside tubing the linear accelerator, excluding the transfer station. Laser system

Install laser mounting plates and power.

Verify mounting plates and power.

Lighting

Install lighting and verify proper operation.

Verify.

Magnetic field verification

Verify that magnetic fields in equipment areas do not exceed maximums specified.

--

Network drop, voice and data telephone lines

Install and test communication lines at the operator console, including working telephone line.

If LANTIS is used, verify communication to LANTIS server.

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Project Manager Information Site Readiness Requirements

29

Responsibilities Customer/Contractor

Project Manager

Overhead suspension Install overhead suspension mounting plate for mounting plate. ceiling-mounted control arm

Work with mechanical installer.

Power cabling and coaxial cabling

Verify installation in accordance with electrical codes.

Pull main power wires to power conduit.

Verify orientation and radial clearance.

Check line and loop impedance. Use line resistance meter (part no. 84 28 104) Power cable for syngo -workspace/monitor

Power conditioner

Ensure that there is a suitable (country-specific electrical plug) power cable for the syngo workspace/monitor on site before the installation.

Install power conditioner with EMI Test functionality and verify installation in accordance filter. with electrical codes. Provide required grounding. Note: In Europe, the installation Note: In Europe all of the power conditioner is part start-up procedures (functionality tests etc.) of the system installation. are performed by a trained CSE after the system installation.

Siemens

Radiation warning light

Install radiation warning light.

Provide wiring information.

Adapter brace (for pre-universal base frame only)

--

Check that the adapter brace (part no. 4503491) is delivered before installation.

SF6 cylinders

--

Procure SF6 cylinders and store on-site for installation (part no. 1965388).

Surface trench (if used)

Provide an enclosed metal race- Verify. way system (wire duct) where indicated on the planning drawings, with dividers to separate the power cables from the signal cables.

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30

Project Manager Information Site Readiness Requirements

Responsibilities Customer/Contractor

Project Manager

Transfer station

Install transfer station.

Verify.

Verify functionality. Treatment room door(s)

Prepare door(s) for installation upon completion of mechanical installation. Provide safety door interlock switches.

Water supply and pipes

Prior to completing the base frame installation, install/verify on-site water supply according to national and local guidelines.

Verify functionality and compliance with local and regional regulatory requirements.

Flush piping prior to installation and connection to Siemens equipment. Verify correct pressure and temperature. Verify chiller functionality and availability at machine.

Responsibilities Final Preparations: Customer/Contractor

Project Manager

General

Finish all treatment room and con- Verify. sole area walls completely, with the exception of the floor.

Rigging route

--

Plan and verify.

Dust-free installation area

Provide a dust-free environment in the treatment room, operator console, and immediate vicinity for equipment installation.

Verify.

Secure storage area

Provide a secure area large enough to accommodate tools, machine covers, equipment, and components during installation.

Verify.

CSML/CS tool orders

0

The project manager (PM) is responsible for ordering scanning equipment and installation tools from the CSML/CS tool rental program.

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Project Manager Information

31

Scanning equipment and installation tool kits The project manager has to order the installation tool kits with enough lead time to arrive on site and be available the first day of the electrical installation. The scanning equipment must be ordered with enough lead time to arrive within the first two days of the electrical install process. Allow enough time for the installation tools and scanning equipment to clear customs. Tool kit

Part number

Linac installation hand tool kit

10399637

Kit of calibrated tools for linac installation

10399640

Isocenter verification tool kit for Linac installation

10399641

Line resistance meter

8428104

Scanning equipment

Part number

PTW SLA48 dosimetry equipment

10399507

Once the electrical installation has been completed, the project manager is responsible for the return of the equipment to CSML/CS, including the proper documentation. Any delay in returning can result in additional charges.

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Project Manager Information

Installation scheduling NOTE

2.1

The installation of an ARTISTE™ Solution, Siemens medical linear accelerator, is planned as requiring four men over six days, depending strongly on the individual conditions of the installation site.

The following circumstances can prolong the installation time:

• • • • • • •

Type/date of pre-installation (“four mounting pad configuration”) Long / complicated transport routes Ramps in the transport route (chain hoist with anchor required) Pre-installed false wall components Mechanical rework of overhead suspension (mounting plate) Air cavities in concrete under table pit Site readiness requirements not met

• Water in conduits Additional optional features at the installation site can simplify some procedures:

• Ceiling-mounted crane

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Room Planning

33

3-

Treatment room configuration

3Room Planning

0

The illustration below presents a basic room configuration. Note that not all the components in the illustration below, e.g. the false wall and the crane rail with chain hoist, will be present in every installation. Alternate configurations are possible.

X-ray Generator

Ancilliary Wiring Box / Sub Distribution Panel

Transfer Station

Power Conditioner

Chain Hoist

Crane Rail False Wall

Inroom Monitor

Inroom Monitor Lateral Cross Laser Unit

Lateral Cross Laser Unit

Treatment Table

Emergency Power Off (EPO)

Overhead Suspension/ Handcontrol

Intercom Control Console Area

CCTV Camera

Warning Light

Physics Pipe / Conduit Key Switch

Audible Alarm

EPO

CCTV Camera

Sagittal Laser Unit Door Switches Door

Warning Light

Fig. 22: Example of treatment room layout (simplified)

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Room Planning

Control room configuration

3.1

9 cm [3.5 in]

6 7

8

28 cm [11.0 in]

5

34.3 cm [13.5 in]

14

9

9

35.4 cm [14.0 in]

35.6 - 49.1 cm [14 -19.3 in]

41.2 cm [16.2 in]

20.3 cm [8.00 in]

5 28.9 cm [11.4 in]

7

41.5 cm [16.3 in]

8

6

56.5 cm [22.2 in]

62.2 cm [24.5 in]

14

10 12

11

min.105 cm [min. 41.3 in]

13.7 cm [5.4 in]

4

26.4 cm [10.4 in]

APC

37.5 cm [14.8 in]

15.5 cm [6.1 in]

53 cm [20.9 in]

16

15.7 cm [6.2 in]

23.7 cm [9.3 in]

Front view

38.5 cm [15.2 in]

15

2

min.70 cm [min. 28 in]

3 1

13

Top view

Fig. 23: Control console area (example) Pos. 1

syngo RT Therapist workstation

Pos. 2

Lantis / Mosaiq Sequencer (option)

Pos. 3

MMLC cabinet (option)

Pos. 4

Control console cabinet

Pos. 5

Lantis / Mosaiq Sequencer monitor (option)

Pos. 6

Intercom (option)

Pos. 7

syngo RT Therapist monitor

Pos. 8

Control console monitor

Pos. 9

Closed circuit TV monitor (option)

Pos. 10

Closed circuit TV control unit

Pos. 11

Lantis / Mosaiq Sequencer keyboard (option)

Pos. 12

syngo RT Therapist keyboard

Pos. 13

Control console keyboard

Pos. 14

Cordless drill and charger

Pos. 15

UPS for syngo RT Therapist workstation

Pos. 16

UPS for 550 TXT treatment table

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Room Planning

35

Equipment layout and clearances NOTE

3.2

The minimum dimensions provide the necessary clearances to allow safe operation and access to the equipment by service personnel. Installations using smaller dimensions require additional installation and service time due to the limited access by service personnel to stationary structure components. Customer Service must approve any proposed deviations to this requirement. If the equipment is placed in areas that do not meet the minimum dimensions, it is the responsibility of the project manager to determine the impact on serviceability, all applicable safety codes (both regional and national), and the safe operation of the equipment.

Treatment room dimensions and clearances

0

Ceiling height

Ceiling

320 cm maximum

[126 in]

295 cm recommended

90°

270°

275 cm minimum

Any typical room structure

[108 in]

R 130 cm 51.2 in

[116 in]

0°

180°

Floor 181 cm

225 cm

[71.3 in]

[88.6 in]

Left side clearance Access for component installation

Right side clearance Access for component installation

Fig. 24: Room Clearances - front

• A ceiling height of more than 290 cm (114 in.) allows removal of the klystron and solenoid from the pulse tank using the structure-mounted lifting crane (part no. 5505552) without removing the pulse tank from the stationary structure.1

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Room Planning • A clearance on the right side of 225 cm (89 in.) is required to accommodate component removal and replacement in the stationary structure. Note that a larger clearance is required than on the left side. Clearance between stationary structure and wall A clearance of 76 cm (30 in.) or more between the back of the stationary structure and the wall is recommended. The minimum distance between the stationary structure and the rear wall may be as little as 50 cm (20 in.). However, installations using this dimension may require additional service time due to limited access by service personnel to stationary structure components. Service personnel are to use their local/regional electrical safety and lockout/tagout guidelines when working behind the stationary structure.

WARNING

Insufficient clearance between table and treatment room walls. PHYSICAL INJURY ¹ Carefully follow the instructions regarding minimum clearances in this document when installing the table. (HZRA1366)

1. The structure-mounted lifting crane minimum working height is 274 cm (108 in.), however 282 cm (111 in.) is needed to assemble the crane. A removable ceiling tile above the crane that allows sufficient height for removal and assembly is recommended.

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Room Planning

37

76 cm [30 in]

Bunker wall

90 cm [35 in]

337 cm [133 in] recommended

550 TxT swivel range R 254 cm [100 in]

Swivel range + safety clearance 304 cm [120 in] minimum

Safety clearance (min. + 50 cm / 20 in)

328 cm [129 in] recommended

Fig. 25: Room clearances - top view

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Room Planning

Room technical equipment

3.3

Power conditioner

0

Position the power conditioner in the treatment room in accordance with the following placement restrictions:

• Minimum distance between the power conditioner and the linear accelerator needed for safe and efficient component removal and replacement.

• Minimum distance to the walls to sustain proper ventilation and service access. • Outside of the useful radiation beam. For definition of the angle see (Area of useful radiation beam / p. 59).

• Maximum distance to linear accelerator is 5.2 m (17 ft.) (Cabling from the power conditioner to the linear accelerator / p. 50).

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Room Planning

39

61.0 cm

52.0 cm

[24.0 in]

[20.5 in]

[42.3 in]

107.5 cm

FRONT VIEW

RIGHT SIDE VIEW

30.4 cm [12.0 in]

25.7 cm [10.1 in]

76.2 cm [30.0 in] 6.3 cm [2.5 in]

7.4 cm [2.9 in]

15 cm [5.9 in]

8.0 cm

LEFT SIDE

TOP VIEW

RIGHT SIDE

REAR SIDE

2.2 cm [0.9 in]

10.2 cm [4.0 in]

15 cm [5.9 in]

[3.2 in]

10.2 cm [4.0 in]

FRONT SIDE

BOTTOM VIEW

[35 in]

90 cm

30 cm [12 in]

SERVICE CLEARANCES

Fig. 26: Power conditioner - dimensions and clearances

Emergency power off switches (EPO)

0

Emergency power off switches are connected to the electrical main circuit panel for the bunker. These mushroom-shaped red buttons are located in the control area and in the treatment room. Pressing an emergency power off switch will terminate power to all equipment related to the linear accelerator and its accessories, except for lighting.

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Room Planning The emergency power off switches in the treatment room are normally closed, latching, manual reset type switches. They must turn off power to both the linear accelerator and the kV generator from any single EPO switch. A proposal for a emergency power off circuit is presented in (Emergency power off switches / p. 70).

• Position switches in order to avoid accidental shutdowns.

• Ensure that the installation is compliant with local and national regulatory requirements.

Fig. 27: Emergency power off switch (example)

• It is recommended that all emergency power off switches be equipped with a reset key.

Safety door interlock switches

0

The safety door interlock switches are recommended for all installations and required by most regulatory agencies. The linear accelerator provides a 24 V DC signal for the safety circuit. For connection to the linear accelerator security circuit see (Fig. 56 / p. 71). Provide durable 24 V DC, 10 A, normally-open type switches that are designed for long term operation. They are used to ensure the room door(s) are closed during accelerator operation. Safety door interlock switches are required Fig. 28: Door Switch (example) - safety switch with separate acutator, on all doors accessing the treatment room in Schmersal™ accordance with local codes.

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Room Planning

41

In-room extension (monitor, keyboard)

0

The in-room monitor (part no. 5842286) should be located where the operator can observe it without turning away from either the linear accelerator or the patient on the treatment table. Position the monitor to avoid glare or reflection from windows or lights (per DIN 68 68-57). The in-room monitor may be mounted on:

• Wall, with additional wall backing for support

• Ceiling • Shelf

Fig. 29: In-room monitors (example)

A detailed description of the installation is provided in the treatment room extension installation instructions (TH06-021.10.xx.xx).

Warning lights / illuminated signs

0

It is recommended that an illuminated warning sign/light be displayed at the entrance to the maze or treatment bunker as well as several inside the treatment bunker. It should be possible to see a warning sign/light from any position within the treatment bunker. These signs should be mounted at eye level (1.65 m (65 in.) above finished floor level) and are linked to the system. The illuminated signs should have three stages:

• Ready: is illuminated when there is power to the treatment unit • Preparatory state: lights when the treatment unit is programmed to deliver a radiation beam

• Rad on: illuminates when the beam is turned on The signal for every stage is provided at the S31 terminal of the linear accelerator (Fig. 56 / p. 71).

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Fig. 30: Warning light (example)

Fig. 31: Warning sign, SIMATIC interface (example)

Verify requirements with local and regional regulatory agencies including:

• Color • Labeling

Patient video observation system

0

A patient video observation system allows the user to watch the patient in the examination room from of the control room. Visual patient supervision in the treatment room utilizes a closed circuit television (CCTV) system. A typical configuration is one stationary and one rotating camera, positioned one on each side of the treatment room (total of two cameras). Verify requirements with local and regional regulatory agencies. One or more additional cameras may be required.

Fig. 32: Example - patient video observation system; Sony

NOTE

ARTISTE Linear Accelerator

When possible without sacrificing the necessary view, place cameras outside the area of the useful radiation beam to prolong the life of the cameras.

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Audible alarm for ready state (optional)

0

The audible alarm is provided by the contractor at the customer’s request. Verify requirements with local and regional regulatory agencies. Refer to (Fig. 56 / p. 71).

Control console cabinet

0

For EMC reasons the following components are located in a special cabinet - the control console cabinet:

• • • •

Control console node (CC node) 16-port Ethernet router Siemens collimator controller (SCC) for 160 MLC BNC connectors (old MWI box functionality)

The control console cabinet is located at the control console area (see (Fig. 23 / p. 34)). For internal and external cabling of the control console cabinet see (Fig. 67 / p. 89) and (Fig. 68 / p. 90). LOUVER

25.5 cm [10.0 in]

56.5 cm [22.3 in]

62.2 cm [24.5 in]

FRONT VIEW

25.5 cm [10.0 in]

20 cm [7.9 in]

RIGHT SIDE VIEW

TOP VIEW

RIGHT SIDE

85.1 cm [33.5 in]

FAN

SERVICE CLEARANCES

FRONT

20 cm [7.9 in]

Fig. 33: Control Console Cabinet - dimensions and clearances

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NOTE

Due to the delivered cables, the maximum distance between control console cabinet and RTT is 1.5 m (60 in.). Do not try to extend these cables. It could lead to signal transmission problems.

POLYDOROS SX 65/80 kV generator cabinet (optional)

0

The X-ray generator should be installed outside the treatment or control room. Bolt the kV generator cabinet to the wall in accordance with placement restrictions.

NOTE

The following restrictions are summarized from the POLYDOROS SX 65/80 Planning Guide. Consult the latest edition of that planning guide for the most current specifications. The POLYDOROS Control Console is not part of this installation. The kV imaging system will be controlled using the syngo RT Therapist interface.

• The minimum distance between the kV generator and the linear accelerator 90 cm (36 in.). This distance prevents EMI interference with the machine interlocks.

• The maximum placement distance as defined by cable length is 10 m (33 ft.). • For service clearances (such as for the cabinet door on the front side) see the following graphics (Fig. 34 / p. 45).

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45 43.4 cm [17.1 in]

FRONT VIEW

13.5 cm [5.31 in]

213.7 cm [84.13 in]

LEFT SIDE VIEW

80.0 cm 18 cm [7.1 in]

[31.5 in]

15 cm [5.9 in]

REAR

15 cm [5.9 in]

BOTTOM VIEW

min. 100 cm [39.4 in]

FRONT

SERVICE CLEARANCES

Fig. 34: Polydoros SX 65/80 X-ray generator

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Structural / static requirements

3.4

The floor weight specifications are detailed below. The specifications are calculated with the patient treatment table mounted, the tabletop fully extended, and maximum patient load (250 kg, 550 lbs.) on the table. The floor loading requirements during transport are specified in the chapter (Transport Conditions / p. 105).

1380 mm [54.33 in] 860 mm

[33.9 in] 520 mm [20.5 in]

24.0 kN (pressure)

50°

[39.78 in]

1010 mm

[15.7 in]

2410 mm [94.90 in]

9.3 kN (tension)

400 mm

[122.1 in]

3100 mm

33°

[20.5 in]

19.0 kN each (tension)

[15.7 in]

400 mm

520 mm

82.7 kN each (pressure)

51.2 kN (tension)

568 mm [22.4 in] 910 mm [35.8 in] 990 mm [39.0 in] 1008 mm [39.68 in]

Fig. 35: Universal base frame - structural loads

Note that the load distribution in the table pit depends on table position, patient weight, and position. This is indicated by the two red arrows.

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Vibration specifications

0

The universal base frame anchors for the linear accelerator have been calculated for zone 4 seismic safety - equivalent to 0.5 g lateral load and 0.17 g vertical load.

Fig. 36: Base frame anchor - Hilti M16 / 230 (PN 7068307)

Fig. 37: Installed base frame anchor

A vibration test was performed for shipping evaluation. The entire machine was vibrated in the vertical direction. The excitation level was approximately 0.2 g rms over a frequency band of approximately 2-100 Hz.

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Electrical requirements

3.5

The following figure provides an overview of the interconnections between the linear accelerator, power conditioner and the hospital power supply. Hospital Facility Power 3 Phases, N, PE 480 V AC 440 V AC 415 V AC 400 V AC 380 V AC 240 V AC 208 V AC 200 V AC

L1 L2 L3 N PE

RCD

CUSTOMER SIEMENS Teal Power Conditioner

L1*

2.5 mm²

N PE

L1 L2 L3

N PE

Ground Busbar 50 mm² AWG 0(1/0) max. 7.6 m / 300 in

AWG 12

S 31 120 V AC 1 Phase, N, PE

Terminal Block I 208 V AC 3 Phase, N, PE

LINAC S 31 120 V AC 1 Phase, N, PE

L1*

Baseframe Building Structure

N PE

UPS

Fig. 38: Hospital power / power conditioner / linear accelerator

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Power requirements

0

Linear Accelerator The line power circuits for the linear accelerator and the kV generator must be separate. Voltage Requirements Output / V AC - Hospital line power

Output / V AC - power conditioner

Input / V AC - power conditioner

Input / V AC - linear accelerator

200, 208, 240, 380, 400, 415, 440, 480

Output #1: 208 / Output #2: 120

Fig. 39: Hospital line power distribution panel - customer side (example)

Fig. 40: Power conditioner (part no. 7336741)

Power conditioner The Power conditioner comes from the factory pre-configured for 480 V AC input. If an input voltage other than 480 V AC is used, the customer/contractor will be required to change the taps inside the power conditioner. Refer to the TEAL technical manual that is delivered together with the power conditioner for configuration details.

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Room Planning NOTE

The recommended power conditioner does not incorporate voltage regulation to stabilize minor facility voltage variations. Ensure that the facility architect and engineer are aware of “no voltage regulation” and act appropriately if the on-site power is marginally high or low. USA only: The input circuit breaker must be UL listed.

Cabling from the power conditioner to the linear accelerator NOTE

Ensure that the main circuit breaker selected has adequate lug ratings to accommodate oversized conductors. Note that the maximum input lug rating for the power conditioner is 95 mm2 (AWG 0000(4/0)). On the secondary side the maximum lug rate is 50 mm2 (AWG 0(1/0)).

The recommended cable size for joining the linear accelerator to the power conditioner is 1/0 AWG (SY-JB 5G 50 mm2, 500 V (e.g. Helukabel™)). Neutral and Ground conductors should be sized equivalent to the phase conductors. For voltage drop considerations, the maximum recommended cable length from the supplied power conditioner to the ARTISTE linear accelerator is 7.6 m (25 ft.). The linear accelerator and the power conditioner each use a cable length of 1.2 m (4 ft.). The remaining cable length between the power conditioner and the linear accelerator is 5.2 m (17 ft). The power mains must be separated from the signal conductors by at least 51 cm (20 in) or separately shielded in conduit. Auxiliary Equipment Auxiliary equipment (computers and consoles) that interface with the linear accelerator must derive power from output #2 (digital) of the power conditioner (16 A maximum).

NOTE

Do not power the auxiliary equipment from unprotected convenience outlets.

Polydoros kV generator Permitted nominal power line voltages are 400 V AC, 440 V AC, and 480 V AC. A line matching transformer (part no. 48 19 756 X1269) is required for the 440 V AC and 480 V AC inputs.

NOTE

ARTISTE Linear Accelerator

Do not install a transformer to step up the on-site voltage from 208 V AC to 480 V AC. The end result will be excessive line impedance.

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Line impedance requirements

0

The line impedance is a measure of the source capacity. It is specified as a percentage voltage drop (at full load) or as an impedance value (Ω). Line impedance is cumulative of the total impedance of the utility source, the facility distribution system, transformers, feeder and branch conductors, and electrical devices such as circuit breakers and fuses.

• A low impedance source can provide high peak or pulsing currents with a minimum of voltage drops, transients, or distortion.

• Excessive line impedance will cause voltage drops during operating periods, resulting in power limitations, failure to operate, or safety shutdown such as a dose rate error. In order to ensure that line impedance requirements are met:

• Feed the linear accelerator from the highest possible nominal voltage (480 V AC in the US, 400 V AC international). Do not use additional step-up transformers, as there is a requisite power conditioner to perform impedance matching requirements. For detailed data see (Line impedance / p. 93).

Vacuum ion pump

0

If the klystron has to be stored for more than two months after delivery, a 12 V battery / power supply has to be connected to the high voltage power supply. Note that for safety reasons the battery shown in the photo (3) is not connected during shipment. As currently planned, in the future the battery will be not shipped.

Fig. 41: HV supply for ion pump Pos. 1

HV supply connection

Pos. 2

Ion pump connection

Pos. 3

Lithium battery 12 V

Ground electrode

0

The power conditioner, supplied by Siemens, must be grounded in accordance with U.S. NEC, section 250.30 / IEC 60364-4-44, clause 442, or the local and regional regulations applicable to your area, to satisfy the requirements of a TN-S “Separately Derived Source”. The facility architect, engineer, or electrician must identify a nearby grounding electrode that meets the requirements of U.S. NEC section 250.30(A)(4) / IEC 60364-5-54, clause 542, specifically:

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Room Planning • An effectively grounded metal part of the building structure, or other electrodes as specified in U.S. NEC section 250.52 / IEC 60364-5-54, clause 542, where this is not accessible or available.

Grounding requirements

0

Non current-carrying surfaces shall be grounded by a 10 mm2 (6 AWG) insulated yellow green copper conductor installed in the metal raceway that contains the branch-circuit conductors supplying the equipment.

Electrical outlets

0

Plan ample outlets in the control console area. Power strips are not recommended.

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On-Site water requirements

3.6

The linear accelerator requires cooling water to operate properly. The following graphics provide an overview of the heat exchange process of directly and indirectly cooled components in the stationary structure and the gantry.

DI WATER SYSTEM PUMPSTAND RIGHT BENDING MAGNET

KLYSTRON RF POWER SYSTEM CIRCULATOR KLYSTRON SOLENOID

LEFT BENDING MAGNET

KLYSTRON COLLECTOR

OIL COOLING SYSTEM

WAVEGUIDE

FACILITY WATER SUPPLY / TRANSFER STATION

DRIFT TUBE VACUUM PUMP MODULATOR TANK HIGH POWER LOAD

CHARGE DRAWER

TARGET

AIR COOLING SYSTEM RF WINDOW

GANTRY ASSEMBLY

STATIONARY STRUCTURE ASSEMBLY

FACILITY WATER OIL DEIONIZED WATER

Fig. 42: Cooling system(s) - overview

The approximate heat dissipation from linear accelerator to on-site water is

• 30.0 kW (102 kBtu/h) in Rad On state • 7.0 kW (24 kBtu/h) in Rad Off state To achieve sufficient heat dissipation, the following specification for the on-site cooling water must be maintained: Water flow rate requirement at accelerator

28 l/min (7.5 gpm) minimum

Pressure drop between inlet and outlet of the lin- Minimum 2.4 bar (35 psi) ear accelerator Inlet water pressure (measured at W1, see (Fig. 43 / p. 55))

Maximum 5.5 bar (80 psi)

Inlet water temperature (measured at W1 at the accelerator)

Minimum 16 °C (60 °F) Optimum 18 °C (65 °F) Maximum 25 °C (77 °F)

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Water pressure greater than 5.5 bar (80 psi) may cause damage to equipment and loss of water during use. Circulating water colder than 16 °C (60 °F) through the linear accelerator can cause condensation resulting in equipment damage. Do not close the “ON DEMAND option valve” on the pump stand of the linear accelerator. Closing this valve will shut off facility water supply through the accelerator.

The following graphics provide a proposal for the plumbing / component layout of the cooling system. The customer has to provide a main shutoff with bypass valve that stops (and diverts) the cooling water flow to the accelerator. For the emergency cooling with city water a pressure regulator and a filter housing rated for 38 l/min (10 gpm) for the linear accelerator with a 50 micron element with minimum of 95 % removal rating are required. The housing must be provided with an indicator of the filter condition, such as a differential pressure gauge or a color change indicator. Shutoff and bypass valves that stop (and divert) the cooling water flow to the filter housing so the element can be changed. The customer must supply spare elements for service.

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55 DP

Differential pressure gauge

Pressure regulator P

Customer

Emergency cooling with city water supply (only on demand)

Water chiller or Hospital cooling system

Filter (50 µm, 95%) with housing

Copper (1")

return Non-return valve Copper (1 1/4") supply Open for emergency cooling (only on demand)

Transfer Station

Siemens Flexible high pressure hoses (1") City water drainage (only on demand) supply (W1) return (W2) ARTISTE Linear Accelerator

Fig. 43: Closed loop / continuous flow plumbing

The transfer station delivered by Siemens is a monitoring device for temperatures and pressures of the on-site water entering and exiting the linear accelerator. It encompasses shut-off valves, pressure gauges, temperature gauges, flow meter, strainer, emergency water routing, and automatic bypass when power is off. The transfer station provides no automatic control (regulating) mechanisms for pressure, temperature, or flow rate. The only active “regulation“ of the transfer station is switching from “flow off“ to “flow on“ state and vice versa. The “signal link” between the transfer station and the linear accelerator is described in figure (Fig. 56 / p. 71). A detailed description of the transfer station and a pre-test of the facility water specifications is provided in (Pre-test of on-site cooling water characteristics / p. 121).

NOTE

If the hospital cooling system does not have enough capacity to meet the requirements, a Siemens representative can recommend commercially available chiller systems.

The plumbing is expected to be designed and installed to maintain above the minimum values, accounting for system fluctuations and flow degradation over time.

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Install on-site water supply according to national and local guidelines.

All plumbing, except where indicated, is 1.0 in, drawn copper tube. The transfer station and the linear accelerator are connected via 1in. flexible hoses. Establishing this connection is part of the system installation. The transfer station has to be fully accessible in or near the treatment room, and within 305 cm (120 in.) of the linear accelerator. It is suitable for installation inside the treatment room and may be attached to the wall or structure using the supplied “T” bracket. CUSTOMER

SIEMENS

Maximum plumbing distance between Chiller / Transfer Station 45 m (148 ft)

Maximum elevation difference of Chiller (if Siemens supplied) 6 m (20 ft)

Recommended height Transfer Station, valves, filters, regulators and gages 1.22 m (48 in)

Maximum plumbing distance between Transfer Station / Linear Accelerator 3 m (10 ft)

Fig. 44: Distances and elevations

Customer Responsibilities

0

Materials The customer is responsible for providing all material to install the cooling water system on the facility side of connection points W1 and W2 (see (Fig. 43 / p. 55)) This material includes, but is not limited to:

• Plumbing between the chiller and transfer station is 1 1/4 in. diameter drawn copper tubing (for Siemens-supplied chiller)

• • • •

Plumbing for emergency water supply: 1 in. diameter drawn copper tubing Fittings and solder Manual valves Filter

• Pressure gages • Pressure regulator

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Labor The customer is also responsible for:

• All labor to install the cooling water system including the transfer station and chiller • Flushing and leak detection on all lines prior to installation and connection of Siemens equipment

• Maintaining the specified water quality • Electrically connecting the solenoid valves to the water solenoid circuit

Water supply

0

Recommendations The water supply recommendations include:

• Consult the chiller manufacturer’s recommendations for installation and operation of the chiller and connection of the chiller hoses to the plumbing system.

• Copper pipe length and fittings depend on the distance between the water source (chiller) and the linear accelerator.

• Install copper piping to withstand and accommodate 5.5 bar (80 psi) pressure at a 38 l/min (10 gpm) flow rate.

• Keep the head loss on each line (supply and return) between the chiller and the linear accelerator below 0.35 bar (5 psi).

Sink

0

A sink with hose connection is recommended close to the linear accelerator for filling / draining the water phantom.

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Environmental Requirements

3.7

Air Conditioning and treatment room ventilation

0

Maintain room temperature between 20 °C (68 °F) and 26 °C (78 °F) and relative humidity between 40 % and 65 %.

80

40

30 26 20

10

0

0

10

20 30 40 50 60 70 Relative Humidity in % (without condensation)

80

90

100

60 50 40 35 30 25 20 18 14 12 10 8 6 5

Absolute Humidity in g/m³

Air Temperature T in °C

50

Fig. 45: Climatogram

If it is not possible to maintain these ranges, install an air conditioning system with or without humidifier/dehumidifier. If your air supply comes from outdoors (fresh air), we recommend using dust filters - min. Filter Class EU4 or according to the hygiene regulations of the respective country. At accelerators with energies above 10 MeV, an air change of 8 times per hour is required in accordance with DIN 6847-2. We recommend this for all accelerator energies generally. Malfunction indication for A/C unit depending on the approval of the federal/state authority. Check whether the air supply is sufficient to dissipate the warm air produced in the treatment room. The room air should properly circulate and drafts must be avoided. Ventilation channels should be routed through the maze. Observe radiation protection. Ozone production The system produces a very small amount of ozone during operation, < 10 parts per billion per hour during continuous operation, with room volume of 130 m3. There are no special ventilation requirements caused by ozone generation.

NOTE

ARTISTE Linear Accelerator

It is important to adhere to the local authorities’s health requirements for standard ventilation of treatment rooms in hospitals.

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Radiation shielding specifications

0

Siemens is not responsible for the specification of shielding requirements. All shielding is subject to specification and approval by a consulting hospital physicist or by an authorized radiation expert. Use an average X-ray transmission of 1.5 % of the primary field through the MLC in performing calculations. Area of useful radiation beam The useful radiation beam angle is an important measure for treatment room (bunker) radiation protection estimations. A square field of 40 cm x 40 cm is supported by the projection of the primary collimator (circle of 50 cm diameter). The virtual source is located slightly above the target plane. The z-distance can be estimated via the target spot size. The target spot size is dependent on the energy configuration of the linear accelerator and is approximately 2-3 mm (measurement). For the following estimation, a worst case value of 2 mm target spot size is selected. Where d = 500 mm (green circle in the graphics below), z = 1000 mm and t = 2 mm, the useful radiation beam angle is 28°.

(

α = 2 arctan d²/2 z(t+d)

)

( )

d ≈ 2 arctan 2z

Observe local and international regulations.

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Room Planning Target spot size 2 -3 mm (0.079 - 0.12 in)

Target plane 0 mm (0 in)

Virtual source

2 mm (0.079 in) 28° 31.5°

Isocentric plane 1000 mm (39.37 in)

40 0 m m (1 5. 75 in ) 500 mm (19.69 in) 565.7 mm (22.27 in)

Fig. 46: Estimation of useful radiation beam (angle)

Acoustic noise specifications

0

The noise in the treatment room during radiation delivery measured at isocenter is 63 ± 1 dBA. Decrease: There is a 2.0 dBA decrease in the noise from the radiation delivery state to the radiation off (ready or treatment complete) state. Maximum decrease: If the treatment room floor is carpeted and the walls and ceiling are properly lined with sound absorbing tiles, the noise can decrease by 3 dBA.

Magnetic field specification

0

The presence of magnetic fields at the locations of the equipment may have an adverse effect on the performance of the system. Prior to Installation Prior to delivery of the accelerator system, magnetic fields must be measured in the areas where the equipment will be installed. It is the customer’s responsibility to assure that the magnetic field values listed below are not exceeded at locations where the indicated types of equipment are to be installed.

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Device/Area

Maximum Magnetic Field

Computers, magnetic disk drives, oscilloscopes, processors. 1.0 mT Control console area, where computers and magnetic disk drives will be installed X-ray tubes, Black & White Monitors, Magnetic data carriers, data storage devices

0.5 mT

Siemens CT scanners

0.2 mT

Color monitors, linear accelerator

0.15 mT

Radiation cell, in the area where the linear accelerator will be installed X-ray image intensifiers, gamma cameras, PET/cyclotron, other linear accelerators

0.05 mT

After Installation It remains the customer’s responsibility to ensure that these low levels of externally-applied magnetic fields are not be exceeded after the linear accelerator is installed. Equipment that can produce a high external magnetic field, such as magnetic resonance imaging systems, should not be installed near the linear accelerator facility to ensure that the listed levels of externally-applied magnetic fields are not exceeded.

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Access for measurement equipment

3.8

Physics pipe

0

The physics pipe is a conduit through the wall between the treatment room and the control console area. Cables for measurement equipment are routed through this pipe, so that the physicist and the service technician can test and calibrate the linear accelerator during radiation. The physics pipe is provided by the customer.

• A physicist appointed by the customer determines the location and orientation of the pipe.

• Each end of the pipe should terminate into a 15 x 15 cm (5.9 x 5.9 in.) junction box that has a latch or spring-loaded door and is flush with the finished wall. Refer to the figure below for physics pipe installation specifications.

CONTROL ROOM

TREATMENT ROOM

42 - 48 in

6 - 12 in

15 - 31 cm

107 - 122 cm

32° minimum

Fig. 47: Physics pipe through treatment room wall: side view

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63 TREATMENT ROOM

45° minimum

CONTROL ROOM

Fig. 48: Physics pipe through treatment room wall: top view

Underfloor conduit

0

As an alternative to physics pipes, the measurement cables can be run in underfloor conduits. Provide a pull cord in the conduit.

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TREATMENT ROOM

CONTROL ROOM

Finished Floor 50 cm [19.7 in]

30 cm [11.8 in]

30 cm [11.8 in]

30 cm [11.8 in]

30 cm [11.8 in]

45°

20 cm [7.9 in]

50 cm [19.7 in]

Finished Floor

Fig. 49: Underfloor conduit layouts - examples

Fig. 50: Underfloor conduits, example

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Flooring

3.9

Antistatic requirements

0

Static dissipative or antistatic floor covering is recommended for the treatment room and control area. The materials used may be tile or carpeting with a resistance range of 105 to 1011 Ω, measured per ANSI/ESD S7.1 and IEC 61340-4-1.

Base floor finishing

0

It is important for the architect and the floor layer to know where the junction between pit covering and floor covering is supposed to be, because the pit covering can be rotated. The graphics below present two examples of the floor covering in the pit covering region.

9.5 mm 0.38 in

In the first example the floor covering extends up to the final segment ring. The pit covering is visible in this case. Final segment ring

Upper edge finished floor

Pit covering

Floor covering ca. 3 mm (0.12 in) Cement floor Upper edge concrete filling

Base frame

Concrete filling compressed

Fig. 51: Base floor finishing - example 1

In the second example the floor covering extends over the pit covering. Note the circular cut that has to be provided in the finished floor.

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9.5 mm 0.38 in

66

Final segment ring

Upper edge finished floor

Pit covering

Floor covering ca. 3 mm (0.12 in) Cement floor Upper edge concrete filling

Base frame

Concrete filling compressed

Fig. 52: Base floor finishing - example 2

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Room lighting

3.10

When setting up a patient for radiotherapy treatment, it should be possible to dim the room lights so that the field light of the treatment unit and the alignment lasers can be seen easily. Contacts are available on the S31 terminal of the linear accelerator so that room lights and lasers can be controlled via hand control (see (Fig. 56 / p. 71)). When the field light is switched on the room lights should dim to a pre-set (but variable) level, and the alignment lasers should also be switched on. Since fluorescent lights do not dim very satisfactorily, it is recommended to use incandescent lights for dimming. The main room lighting can be fluorescent lights that go off when the field light is turned on and the incandescent room lights are used for the dimming. When the field light is switched off, the main room lighting is switched on and the lasers switch off. The dimmable lights may remain on at all times. It is not recommended to install any lighting in the area of the useful radiation beam as well as in the vicinity of the crane rails.

Emergency lighting

0

In case of an emergency power off, automatically activated emergency lighting is required for safety reasons. If the customer has no emergency line power a local UPS should be used.

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Fire protection

3.11

NOTE

Observe the local safety codes of the fire department and the building inspection department.

• Place a CO2 fire extinguisher in treatment room. • Smoke detectors in the treatment room must be of the type not sensitive to radiation (i.e. photoelectric) and require special consideration. Do not install smoke detectors in the region of useful radiation beam.

ARTISTE Linear Accelerator

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Page 68 of 138 CS SD OCS

Siemens

Room Planning

69

False wall

3.12

If a false wall separates the stationary structure and the rotating structure, some means must be provided to gain access to the rear of the rotating structure. The access can be provided through a sliding door as shown in the example below.

Suspended Ceiling

92.8 cm [36.5 in]

130.8 cm [51.50 in]

R 38 cm 15 in

150 cm [59.1 in] 400 cm [157 in]

Fig. 53: False wall with sliding doors - example

The thickness of the sliding door should not exceed 2 cm (0.8 in.).

Fig. 54: Example of the sliding door solution for a false wall

Siemens

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Page 69 of 138 CS SD OCS

ARTISTE Linear Accelerator

70

Installation Preparation 4-

On-Site Electrical Information

0

Emergency power off switches

0

4Installation Preparation

Emergency power off switches are required in the console control area, treatment room, and the equipment area, and elsewhere as deemed necessary by safety and regulatory considerations.

WARNING

Improper operation of Emergency Power Off. GENERAL MISTREATMENT AND/OR PHYSICAL INJURY ¹ Carefully follow the instructions regarding the installation of Emergency Power Off buttons. (HZRA1372)

Any single emergency power off switch must shut off power to the linear accelerator, the kV generator (optional), and chiller (optional). In case of an emergency power off, the room lights/emergency lighting should come on. L1 L2 L3 N PE 6A OFF

EPO 1

Phase K3 m