System, Installation and Startup System CSTD CT02-023.805.02 CT02-023.814.66 PDF

Sensation
Installation and Startup

System
Installation and Startup System
This document is valid for:

SOMATOM Sensation 10/16/Cardiac
SOMATOM Sensation 40/ 64/ Cardiac 64/Open
Answers for life.

2 Document Version / Disclaimer / Copyright
Document Version
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In addition, manuals are subject to change without notice. The hardcopy documents cor‐
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copy documentation are not automatically distributed.
Please contact your local Siemens office to order a current version or refer to our website
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Disclaimer
Siemens provides this documentation “as is” without the assumption of any liability under
any theory of law.
The content described herein requires superior understanding of our equipment and may
only be performed by qualified personnel who are specially trained for such installation
and/or service.
Copyright
“© Siemens, 2005” refers to the copyright of a Siemens entity such as:
Siemens Healthcare GmbH - Germany
Siemens Aktiengesellschaft - Germany
Siemens Shenzhen Magnetic Resonance Ltd. - China
Siemens Shanghai Medical Equipment Ltd. - China
Siemens Medical Solutions USA Inc. - USA
Siemens Healthcare Diagnostics Inc. - USA and/or
Siemens Healthcare Diagnostics Products GmbH - Germany
Sensation CT02-023.814.66.27.02 Page 2 of 261 © Siemens, 2005

08.14 H IM CR SCM EN SI
Table of Contents 3
1 General Information 9
1.1 Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
1.2 Preliminary Steps for System Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
1.2.1 Preliminary Steps for Customers . . . . . . . . . . . . . . . . . . . . . . . . . . 10
1.2.2 General Preliminary Steps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
1.2.3 Transport Device . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
1.2.4 Service Key . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
1.3 Documents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
1.4 Contact Address for Document Updates . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
1.5 Abbreviations, Acronyms, and Definitions . . . . . . . . . . . . . . . . . . . . . . . . . . 14
1.6 System Components Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
1.7 Safety Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
1.7.1 Working with Heavy Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . 18
1.7.2 Electrostatic Discharge (ESD) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
1.7.3 Protection Against Electrical Shocks or Hazards . . . . . . . . . . . . . . 18
1.7.4 Information Regarding Radiation Protection. . . . . . . . . . . . . . . . . 19
1.8 List of Required Installation Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
1.9 Special Installation Equipment for the Acceptance Test . . . . . . . . . . . . . . . 22
2 Unpacking the Components 23
2.1 General Remarks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

2.3 Gantry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
2.3.1 Attaching the Gantry Transport Device . . . . . . . . . . . . . . . . . . . . 25
2.4 Patient Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
2.5 PDC Cabinet (Power Distribution Cabinet) . . . . . . . . . . . . . . . . . . . . . . . . . . 29
2.6 WCS Cabinet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
2.7 Tables/ Containers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
2.8 IRS2 (Unpacking) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
2.9 IRS3 (Unpacking) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
2.10 IRSmx (Unpacking) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
2.10.1 Checking for transport damage. . . . . . . . . . . . . . . . . . . . . . . . . . . 36
2.10.2 Removing the IRS from the pallet . . . . . . . . . . . . . . . . . . . . . . . . . 36
2.10.3 Transporting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
2.11 ICS Computer and Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
2.12 IES Computer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
2.13 Set of Cables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
2.14 Accessories and Phantoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
3 Installing the Components 42
3.1 General Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42

3.1.1 Gantry front cover and RTP patient table (option) . . . . . . . . . . . . 42
© Siemens, 2005 CT02-023.814.66.27.02 Page 3 of 261 Sensation

4 Table of Contents
3.3 Gantry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
3.3.1 General Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
3.3.2 Positioning the Gantry. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
3.3.3 Bolting the Gantry to the Floor . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
3.3.4 Removing the Transport Device . . . . . . . . . . . . . . . . . . . . . . . . . . 49
3.3.5 Removing the transport safety devices: . . . . . . . . . . . . . . . . . . . . 49
3.4 Patient Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
3.4.1 RTP Installation Sensation Open . . . . . . . . . . . . . . . . . . . . . . . . . . 52
3.4.2 Existing flooring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
3.4.3 Bolting the Table to the Floor . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
3.4.4 Remove the transport safety brackets of the PHS . . . . . . . . . . . . . 61
3.4.5 Patient Table Positioning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64
3.4.6 Removing the Transport Rollers . . . . . . . . . . . . . . . . . . . . . . . . . . 71
3.4.7 Variant A: Installing the Fuse Panel and Service Switch Panel. . . . 73
3.4.8 Installing the Foot Switch (in the base of the patient table). . . . . 74
3.5 PDC Cabinet (Power Distribution Cabinet) . . . . . . . . . . . . . . . . . . . . . . . . . . 76
3.5.2 Positioning the PDC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76
3.5.3 Removing the Cover . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77
3.5.4 Removing the Transport Bracket . . . . . . . . . . . . . . . . . . . . . . . . . . 77
3.5.5 Installing the UPS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78
3.6 Installing the WCS (Water Cooling System). . . . . . . . . . . . . . . . . . . . . . . . . . 79
3.6.2 Positioning the WCS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80
3.6.3 Water Cooler Types . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80
3.6.4 Connecting the Water Hoses to the Gantry / WCS. . . . . . . . . . . . . 82
3.7 Pipe Kit (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
3.8 Attaching the Hose Connection Pieces . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87
3.8.1 Connecting to the hospital's cold water supply (water-water 87
type only) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3.8.2 Connecting the cool air system (water-air type only) . . . . . . . . . . 88
3.8.3 Connecting the external air fan (water-air split type only) . . . . . . 90
3.9 Containers (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
3.10 Monitor, Keyboard, Mouse, Control Box . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92
3.11 ICS Computer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93
3.11.1 Base Foot of Tower 8. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93
3.12 IRS2 / IRS3 Computer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 94
3.12.1 IRS Mounting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 94
3.13 IRSmx. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96
3.13.1 IRS mounting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96
3.14 IES tower . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97
3.15 Switch Box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98
3.16 UPS (provided locally, optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99
3.17 Ethernet Switch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100
3.18 Multiple Socket Strip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101

Table of Contents 5
4 Special Component Mounting 102
4.1 General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102

4.2 Bolting the Gantry to the Floor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103
4.3 Patient Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105
4.4 PDC and WCS Housing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106
4.5 IRS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107
4.5.1 IRS2 / IRS3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107
4.5.2 IRSmx. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107
5 Electrical Connections / System Cabling 108
5.1 Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 108

5.1.1 Cable routing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 108
5.1.2 Cable Legend. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 110
5.2 Power and Protective Conductor Connections . . . . . . . . . . . . . . . . . . . . . . . 111
5.2.1 Cable Schematics - Tower 7 and above. . . . . . . . . . . . . . . . . . . . . 111
5.2.2 Cable Schematics - up to Tower 7 . . . . . . . . . . . . . . . . . . . . . . . . . 113
5.2.3 Table Regarding the Cable Schematics . . . . . . . . . . . . . . . . . . . . . 114
5.3 Control and Data Lines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 116
5.3.3 Cable schematic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 118
5.5 System Cabling and Cable Connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121
5.5.1 WCS (Water / Air Type) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121
5.5.2 WCS Cabinet (Water / Water Type) . . . . . . . . . . . . . . . . . . . . . . . . 122
5.5.3 WCS cabinet (water/air split type) . . . . . . . . . . . . . . . . . . . . . . . . . 123
5.5.4 PDC (Power Distribution Cabinet) . . . . . . . . . . . . . . . . . . . . . . . . . 125
5.5.5 Left Gantry Stand . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127
5.5.6 Right Gantry stand. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 129
5.5.7 PHS (Patient Handling System) . . . . . . . . . . . . . . . . . . . . . . . . . . . 130
5.5.8 ICS Computer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 131
5.5.9 ICS Computer Cabling Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133
5.5.10 IRS part no. 7394617 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135
5.5.11 IRS part no. 7394641 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 137
5.5.12 IRS part no. 8378353 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 138
5.5.13 IRS part no. 7542603 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 140
5.5.14 IRS3 part no. 8377785 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141
5.5.15 IRSmx2s part no. 8871910 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 142
5.5.16 Switch Box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 144
5.5.17 ICS monitor (18” and 19” flat screen) . . . . . . . . . . . . . . . . . . . . . . 145
5.5.18 IES Computer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 148
5.5.19 IES Computer Cabling Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 151
5.5.20 UPS for IES Tower (Optional). . . . . . . . . . . . . . . . . . . . . . . . . . . . . 152
5.5.21 IES Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 152
5.5.22 Ethernet switch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 152
5.5.23 Voltage Distribution (Multiple Socket Strip) . . . . . . . . . . . . . . . . . 153
5.5.24 PET Systems / Maquet Systems . . . . . . . . . . . . . . . . . . . . . . . . . . . 154

6 Table of Contents
5.6 Measuring the protective conductor resistance . . . . . . . . . . . . . . . . . . . . . . 155

6 Filling the Water System (Gantry - WCS) 157

6.1.1 Preliminary Steps. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 157
6.1.2 Filling the Water System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 158
7 System Start-Up 161

7.1.1 Service License Key . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 161
7.2 Safety Regulations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 162
7.3 Radiation Protection Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 163
7.4 Preliminary Steps. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 164
7.4.1 Fill the Water Phantom . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 164
7.4.2 Quick Checks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 164
7.5 Adapting the Voltage and Frequency . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 170
7.5.1 General notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 170
7.5.2 Safety Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 170
7.5.3 Adapting the Line Voltage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 170
7.5.4 Adapting to the Frequency . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 172
7.6 Leakage current (DIN EN 62353:2008) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 174
7.7 Activating the Main Power at the PDC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 175
7.8 Switching on the System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 177
7.8.1 Switch to SERVICE Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 178
7.9 Configuration of ICS and IES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 179
7.9.1 Configuration of the Bariatric Patient Table . . . . . . . . . . . . . . . . . 179
7.9.2 VSim application . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 180
7.9.3 Uses as a PET-CT and uses in a clinical radiotheraphy environ‐ 180
ment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7.10 PET / Maquet Systems only: Firmware installation . . . . . . . . . . . . . . . . . . . . 181
7.10.1 Installation of firmware . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 181
7.10.2 Loading of Firmware . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 181
7.11 PET / Maquet Systems only: Modify Tables . . . . . . . . . . . . . . . . . . . . . . . . . . 182
7.12 Checking the Gantry Rotation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 183
7.13 Checking the STOP Function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 184
7.14 Safety Switches at the Front of the Gantry . . . . . . . . . . . . . . . . . . . . . . . . . . 185
7.15 Balancing the System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 186
7.16 Gettering the Tube (if necessary) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 187
7.17 Checking the visual radiation indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . 188
7.18 Checking and adjusting the acoustical radiation indicator . . . . . . . . . . . . . . 189
7.19 Checking the door switch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 190
7.20 Checking the water pressure. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 191
7.21 Checking Radiation Shutdown (110%) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 192
7.22 RTP preadjustment (Sensation Open only) . . . . . . . . . . . . . . . . . . . . . . . . . . 193

Table of Contents 7
7.22.1 Adjustment of the RTP phantom on the tabletop . . . . . . . . . . . . . 193

7.22.2 Verification of the tube AP position . . . . . . . . . . . . . . . . . . . . . . . 193
7.22.3 Verification of the tilt zero level position / scan plane tilt . . . . . . . 195
7.23 Zero Angle Correction (beginning with SW VB19) . . . . . . . . . . . . . . . . . . . . 199
7.23.1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 199
7.23.2 Preliminary Steps. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 199
7.23.3 Measure the horizontal image deviation . . . . . . . . . . . . . . . . . . . 199
7.23.4 Entering the Correction Value . . . . . . . . . . . . . . . . . . . . . . . . . . . . 200
7.24 Patient Table Aligment for RTP (Sensation Open only) . . . . . . . . . . . . . . . . . 201
7.24.1 Deviation in the X-direction (lateral). . . . . . . . . . . . . . . . . . . . . . . 201
7.24.2 Deviation in the Z-direction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 202
7.24.3 Completing steps. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 202
7.25 Verification of gantry, patient table and laser alignment . . . . . . . . . . . . . . . 204
7.25.1 General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 204
7.25.2 Tools . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 204
7.25.3 Aligment of the static light markers . . . . . . . . . . . . . . . . . . . . . . . 205
7.25.4 Verification of light marker adjustment, gantry tilt, and patient 216
table adjustment with radiation . . . . . . . . . . . . . . . . . . . . . . . . . .
7.26 Installing the Covers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 225
7.26.1 Gantry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 225
7.26.2 Patient table (Covers) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 226
7.26.3 RTP base cover installation of the Gantry/Patient table. . . . . . . . . 227
7.26.4 PDC Cabinet. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 229
7.26.5 WCS Cabinet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 230
7.26.6 Container (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 230
7.27 Quality Assurance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 231
8 Quality Assurance 232

8.1.1 Information Regarding the Quality Assurance Tests . . . . . . . . . . . 232
8.1.2 Documentation of Test Results . . . . . . . . . . . . . . . . . . . . . . . . . . . 232
8.2 Overview: CONSTANCY and ACCEPTANCE Test Functions . . . . . . . . . . . . . . 234
8.3 Preliminary Steps. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 235
8.4 System Warm-up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 237
8.5 Constancy Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 238
8.5.1 CTDI- Measurement in Accordance with EN 61223-2-6 . . . . . . . . 244
8.6 Acceptance/IEC Acceptance Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 246
9 Documentation 247
9.1 Protocols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 247

9.1.1 Installation Protocols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 247
9.2 Acceptance Test: Measurement Value Protocol (for installations in Germa‐ 249
ny and some EU countries only) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9.3 Constancy Test: Measurement Value Protocol . . . . . . . . . . . . . . . . . . . . . . . 250
9.4 Monitor Test "Image Display Devices" (for Installations in Germany and 251
some EU countries only) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

8 Table of Contents
10 Concluding Steps 252
10.1 Mounting the Plexiglas strip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 252

10.1.1 Attaching the tape. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 252
10.1.2 Installing the Plexiglas strip. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 252
10.1.3 Checking the Gantry Rotation . . . . . . . . . . . . . . . . . . . . . . . . . . . . 254
10.2 Attaching Warning Labels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 255
10.2.1 Attach the safety label (For Maquet Systems only). . . . . . . . . . . . 255
10.3 Installation of Siemens Remote Service (SRS) . . . . . . . . . . . . . . . . . . . . . . . . 256
10.4 Cleaning the System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 257
11 Changes to previous version 259
12 List of Hazard IDs 260

General Information 1 9
1.1 Introduction
This document describes all steps necessary to install and start the following CT systems:
SOMATOM SENSATION 10, SENSATION 16, SOMATOM SENSATION CARDIAC, SOMA‐
TOM SENSATION 40, SOMATOM SENSATION 64, SOMATOM SENSATION CARDIAC 64,
SOMATOM SENSATION OPEN.
Every system is subject to extensive testing and adjustment processes at the factory in ac‐
cordance with specifications and is delivered in the customer-specific configuration. All
required adjustments are described in this document.
The figures in this document are used for illustration and orientation purposes. For this
 reason, there may be some differences with the actual SW and HW. Always refer to the
text.

10 1 General Information
1.2 Preliminary Steps for System Installation
1.2.1 Preliminary Steps for Customers

To ensure correct and expedient system installation, it is mandatory to complete the pre‐
liminary steps for installations as specified in the planning guide.
Detailed information regarding room preparation, system transport, and other installation
requirements is presented in the following documents:
Name of document Print number of document

Planning Guide (PG) CT02-023.891.03.xx.
English version
The most recent version of the documents listed above is distributed via the Siemens In‐
tranet only. These documents are not part of the system documentation.
The documents may be requested under the CS home page:
http://cs.med.siemens.de
The local planning manager is responsible for all room and system preparations. The fol‐
lowing prerequisites must be met:
n Room construction is complete and the installation site has been cleaned.
n Voltage supply and chilled water supply are available.
n Internal line impedance has been checked in accordance with the planning guide .
n Radiation protection provided (walls, doors, lead-lined windows).
n System transport route approved and checked (dimensions, access,load).
1.2.2 General Preliminary Steps

n Only the preliminary steps listed in the Planning Guide are required.
1.2.3 Transport Device

n The gantry transport device must be available.
For countries outside Europe:

The gantry transport device is not included in the delivery volume for all countries. De‐
 pending on country-specific regulations, the purchase must be organized separately be‐

fore the system will be delivered. The gantry transport device is identical to that used for
SOMATOM Volume Zoom/Volume Access or Sensation 4
=> Order number: 27 92 146 K1081
n Tools for transporting heavy devices must be available.

1.2.4 Service Key
Every new Sensation CT-System is delivered with a service key (white customer binder /
valid for 1 year). A new service key has to be generated by the local Service group prior
 to start-up (chapter ( System Start-Up / Page 161)). If you run into difficulties generat‐
ing the service key, contact the
CT-Hotline +49-9191-18-8080
n The following system data is required for the service key to be generated:
- System serial number
- Dongle number
The dongle is a black component mounted at the parallel port of the ICS and IES.
The dongle number is imprinted on the dongle.

1.3 Documents
The binder "Technical documentation (blue binder)" contains a complete overview of the
delivered documents and their print numbers.
The following documents are delivered with the system:
n Technical documentation (blue binder)
Contains: Installation instructions, Acceptance test instructions, Test instructions,
Safety information
n System Owner Manual
Contains: Customer and system-specific information.
n Operator Manual
Contains: Operating Instructions, Patient planning and CT logbook
n Operator Manual Wizard/syngo CTWP
Contains: Operating Instructions
n Release Notes

1.4 Contact Address for Document Updates

This document was developed on the basis of our current knowledge and experience to
ensure correct and expedient installation.
To ensure the highest possible quality, the enclosed installation instructions were re‐
viewed and approved by qualified personnel working in the field.
Should you find typographical errors or unclear descriptions, or if you have specific ideas
on how to improve the documentation, please contact us with your suggestions at the
following address:
Siemens AG, Medical Solutions
CT Division
Dept. CTL OM
FAX: +49-9191-18-9795

1.5 Abbreviations, Acronyms, and Definitions

Designation Description
AWP Aquisition Workplace (name before SW VB30 was known as Navi‐
gator)
Bariatric table A heavy-weight table
BHC Beam Hardening Correction
CB-Doc Computer-based documentation
CCR Channel Correction
CCW Counterclockwise
CET Central European Time
CT Computer Tomography
CTWP CT Workplace (name before SW VB30 was known as Wizard)
CW Clockwise
ECG Elektrocardiogram
ESD Electrostatic Sensitive Device
GND Ground
GPC Gantry Panel Control
HV High voltage
HW Hardware
ICS Image Control System (Navigator/syngo Aquisition Workplace)
IES Image Evaluation System (Wizard/syngo CT Workplace)
IMS Image Measurement System
IRS Image Reconstruction System
LAN Local Area Network
LED Light emitting diode
MCU Master Control Unit
MEP Development phase of an unreleased product
MOD Medium Optical Device
MV Magnetic Valve
OCS Business Unit “Oncology Care Systems”
PC Personal Computer

Designation Description
PDC Power Distribution Cabinet
PET Positrons Emissions Tomograph
PG Planning Guide
PHS Patient Handling System
PMMA Polymethylmethacrylat (Plexiglas, Acrylglas, Piacryl)
Primary cooling cir‐ Cooling circuit between the outdoor unit/on-site cooling system
cuit and the indoor unit (WCS).
RTC Rotation Tilt Controller
RTP Radiation Therapy Planning
Secondary cooling Cooling circuit between the gantry and the indoor cooling unit
circuit (WCS).
SRS Siemens Remote Service
SW Software
UPS Uninterruptable Power Supply
WCS Water Cooling System

1.6 System Components Overview

Sensation 16/10/Cardiac, Sensation 40/64/Cardiac 64/Open comprises the following com‐
ponents:
n Gantry
n Patient table
n WCS (Water Cooling System); Water-Water, Water-Air, Water/Air Split
n PDC (Power Distribution Cabinet), optional UPS
n IMS (Image Measurement System ICS+IRS)
n ICS (Image Control System = "Navigator/syngo Aquisition Workplace"):
Contains: 18" or 19” flat screen / keyboard / mouse / switch box
n IES (Image Evaluation System = "Wizard/syngo CT Workplace"):
Contains: 18" or 19” flat screen / keyboard / mouse / Ethernet switch
n IRS (Image Reconstruction System)
n Control box
(contains the radiation controls, windowing, communication to/from the gantry)
n Tables and container (optional)

Fig. 1: System Components Overview

1.7 Safety Information
1.7.1 Working with Heavy Equipment

Protective clothing must be worn for your personal safety (safety shoes, gloves, etc.).
 Dress in protective clothing prior to working on the system
1.7.2 Electrostatic Discharge (ESD)

The components are delivered in pink plastic film. The film protects against dust and pre‐
vents electrostatic discharge. Some system components contain electrostatically-sensitive
parts.

Keep the components wrapped in the pink plastic film until they are required.
Always use ESD wristbands when touching electrical components or devices.
1.7.3 Protection Against Electrical Shocks or Hazards

Switch off the main voltage and remove the main fuse in the PDC:
n through chapter ( System Start-Up / Page 161) in these instructions.
n prior to replacing parts or components.
Beginning with ( System Start-Up / Page 161), power is required in order to continue
with the installation process.
 WARNING
Dangerous voltages (up to 560V_DC) are present when system is switched on.
Dangerous voltages (about 560V) may be present even when the system is
switched off due to capacity power.
Consequences: Risk of electric shock!
 Observe poweroff instructions and discharge wait times (allow at least five
minutes discharge time after thelast scan for all involved HV and UDC parts).
Secure the system against unintended switch-on (e.g. block braker against
switching on and/or mark breaker against switch on) Ensure via measure‐
ments that all voltages are switched off. Connect the stationary and rotating
parts of the gantry to a protective conductor prior to working in the gantry.

1.7.4 Information Regarding Radiation Protection

Radiation may be released during steps beginning in chapter ( System Start-
Up / Page 161).
All necessary radiation protection measures must be performed prior to releasing radia‐

tion.
All personnel working on the installation must wear a dosimeter to monitor their radia‐
tion exposure.

1.8 List of Required Installation Equipment

Equipment name Delivered Order number Explanation of use
with unit or reference
Standard tool kit & case no 97 02 457 Standard tools for installation
contains: or local supply
Metric set of fork wrenches;
Metric set of Allen wrenches
Metric tape measure (2 m) Set of
pliers, knife; Set of screw drivers
(hex, regular), etc.
Set of torx sockets or screw driv‐ no local supply Covers in WCS cabinet
ers (TX8-TX30)
Laptop no local supply Service, Documentation
Protective clothing (shoes, no local supply Handling of heavy equipment
gloves)
Digital multimeter (e.g. FLUKE no 97 02 101 or lo‐ Line voltage check
8060A) cal supply
Phase sequence indicator no 97 02 713 Phase sequence check in PDC
Protective ground meter no 44 15 899 Protective ground check
Protractor water level no 70 63 290 or lo‐ Gantry leveling on the floor
cal supply
Vacuum cleaner no local supply Cleaning after drilling holes, e.g. Bolt‐
ing patient table to the floor
Standard garden water hose no local supply Filling the water cooling system
with 1/2" adapter for water tap
(site-specific length)
Gantry transport device no/yes* 27 92 146 Gantry transportation
(* country-specific regulations)
Crowbar no local supply Unpacking the crates
Fork wrench (size 36) no 87 80 348 Water hose connections
Fork wrench (size 41) no 87 80 330 Water hose connections
Cable ties no local supply System cabling
Power drill no local supply Bolting components to the floor
Rock drill (14 mm) no local supply Bolting components to the floor
Torque wrench 3-20 Nm for 1/4" no 34 24 553 Installation of PHS
sockets

Equipment name Delivered Order number Explanation of use

with unit or reference
Torque wrench 25-130 Nm for no 34 24 561 Installation of gantry transport de‐
1/2" sockets vice, mounting of components
Metric set of Allen sockets for no local supply Mounting screws for components,
torque wrench (required sizes: transport device, etc.
3,8,10,12,13,14)
Metric set of hex sockets for tor‐ no local supply Component mounting screws of com‐
que wrench (required sizes: ponent
10,12,13,17)
Manometer with hose yes (part of WCS) Water pressure adjustment and moni‐
toring
Ground service cable yes 46 65 329 Ground link gantry stat.=>rot.
Phantom holder yes 81 55 012 Quality checks
Water phantom (20 cm) yes 48 06 977 Quality checks
Wire phantom or yes 48 06 951 Quality checks
Wire phantom 100 88 72 215
30 cm water phantom No 88 72 355 IEC Acceptance Quality Checks (avail‐
able with VB20 and up)
Slice thickness phantom yes 73 96 604 Quality checks
Systemphantom Alignment yes 73 96 901 Tuneup
CCR-Combi-Phantom yes 73 96 653 Tuneup
Only for Sensation 64/ Open yes 88 72 074 Tuneup
CCR-Combi-Phantom F/L
Only for Sensation Open, RTP ad‐ yes 88 73 403 Installation of the system for RTP
justment package
Only for Sensation Open RTP in‐ no 70 63 290 Installation of the system for RTP
stallation, Digital water level
Ruler/water level (min 1.2m) No local supply To level the adjustment screws for
RTP installation
Ruler (0.5 mm spacing) No local supply To determine the X and Z-deviation
(for RTP installation only)
A detailed list of service tools is located in Intranet product documentation > spare parts
catalogue > Test Tools catalogue

1.9 Special Installation Equipment for the Acceptance Test

(Required in Germany and some EU countries)
The following equipment is required for the acceptance test:
Delivered Order number

Equipment name Explanation of use
with system or reference
Adapter for low-contrast no 72 06 006 Acceptance Test
phantom
Low-contrast phantom no 96 60 663 Acceptance Test
Dosimeter no Acceptance Test
Contains: Dose measure‐
ment chamber Cable and
holder
X-ray film (13 x 18 cm) no 32 60 684 or 77 Acceptance Test
34 416
Water level no 70 63 290 Acceptance Test
30 cm water phantom No 88 72 355 for the IEC Acceptance
Test only (available with
SW version VB20 and up)
n The acceptance test is included in a separate document, print number

CT02-023.820.02.xx or CT02-023.820.03.xx (German only) and need only be per‐
formed in Germany.

Unpacking the Components 2 23
2.1 General Remarks

Various types of packaging are selected depending on the destination, method of deliv‐
 ery, or country-specific requirements.

The table below presents an overview of the various packaging types.
Delivery method Packaging types

Direct delivery from factory by truck No wooden crates. Gantry on transport device,
(all European countries). all other components on pallets, wrapped in
plastic foil.
Air freight delivery in special contain‐ No wooden crates.All components on pallets,
ers (North America). wrapped in pink plastic film.
Standard air freight or sea freight (all All components in wood crates.
other countries) Upon special request: Components packed in
sealed plastic film within the wooden crate K
(e.g., tropical areas)
Sea or air freight delivery to countries Special wooden crates for all components.
with special quarantine regulations
(Australia, New Zealand)
n The following instructions refer to standard sea/air freight with all components in
wooden crates.

24 2 Unpacking the Components
 Dress in protective clothing prior to working on the system.
n Protective clothing must be be worn for your personal safety (safety shoes, gloves,
etc.).

2.3 Gantry
n Place the gantry container on the floor.
n Remove the nails from the wooden crate.
n Remove the top and sides of the crate.
n Remove the mounting screws (4 screws at each corner) from the two yellow mount‐
ing brackets holding the gantry on the pallet( Fig. 2 Page 25).
n Remove the two mounting brackets.
Fig. 2: Gantry transport pallet, mounting device/screws
(1) Yellow mounting device

(2) 4 x Screws
2.3.1 Attaching the Gantry Transport Device
Special screws (M12 x 70, part no. 48 23 261) must be used to attach the gantry trans‐
 port device.
Adhere to the warning labels on the transport device. ( 3/Fig. 3 Page 26).

Fig. 3: Mounting brackets
n Position the transport device on both sides of the gantry( Fig. 3 Page 26) .
- Avoid damaging the gantry when attaching the transport device.
n Turn the centering screw ( 2/Fig. 3 Page 26)through the transport device and into
the recess in the gantry stand .
n Use the centering screw to adjust the distance between the gantry and transport de‐
vice. The distance should be equal on both sides.
n Attach the mounting screws( 1/Fig. 3 Page 26) through the centering screws and
tighten at a torque of 77 Nm ±10%. Adhere to the instructions on the transport de‐
vice.
n Lower the four transport wheels by turning the spindles in clockwise direction. Insert
a metal rod through the upper spindle holes in order to make the spindle easier to
turn.
n Turn the spindle until the distance between the gantry and pallet is approx. 5-10 mm.
n Move the gantry to the right and remove the pallet.
n Lower the gantry by turning the spindles in counterclockwise direction until the dis‐
tance between the gantry and floor is approx. 15 mm.
 Maintain the minimum distance from the floor to prevent the gantry from hitting the
ground.
n Gantry installation is continued in chapter ( Installing the Components / Page 42) "
register.

2.4 Patient Table

n Place the transport container outside the examination room.
n Remove the nails and attachment materials from the wooden crate with a crowbar.
n Remove the wooden lid from the crate.
Fig. 4: Patient table on transport pallet
1
3
2
(1) Table cover

(2) Wooden block
(3) Wooden board (=Ramp and drilling template)
(4) Connecting frame
n Remove the fastening straps and then remove the package (from the table).
n Remove the connecting frame from the pallet:
- Remove the connecting frame cover by removing the 4 screws.
- Remove the two screws securing the connecting frame to the pallet.
n Remove the four mounting screws at the table base.
n Remove the wooden board attached to the patient table( Fig. 4 Page 27)
- This board has two important functions:
 1. As a ramp to safely move the patient table off the pallet.
 2. As a drilling template for bolting the patient table to the floor. Æ
n Remove the wooden block nailed to the wooden panel( Fig. 4 Page 27).
n Place the wooden board at the front edge of the pallet (head end of the patient table)
and attach the board with two screws at the positions shown in .
( 2/Fig. 5 Page 28)

Fig. 5: Pallet with board being used as ramp
n Place the wooden block under the wooden board to prevent the board from bending
( 1/Fig. 5 Page 28) . Lift the patient table by turning the two screws at the right and
left transport rollers, and the 1 screw at the rear transport roller, until the table can be
moved ( Fig. 7 Page 28) ( Fig. 6 Page 28).
Fig. 6: Left/right transport rollers Fig. 7: Rear transport roller
n Carefully move the patient table down the ramp to the floor.
n Remove the wooden board (ramp) from the pallet and place it on the table. The board
will be used later as the drilling template for mounting the patient table.
n Patient table installation continues in the chapter ( Installing the Compo‐
nents / Page 42)

2.5 PDC Cabinet (Power Distribution Cabinet)

n Remove the nails and attachment materials with a crowbar.
Fig. 8: PDC cabinet on pallet Fig. 9: PDC attachment points to pallet
5 1
3
1
2 4
Removing the PDC Cabinet from the Pallet:

n Remove the 2 nuts ( 1/Fig. 9 Page 29) from the wooden block attached to the front
and back of the cabinet ( 2/Fig. 9 Page 29)
n Push the wooden planks/board under the wooden block downward toward the floor
( 4/Fig. 9 Page 29)
n Remove the wooden blocks and the wooden planks / board.
n Remove both gray metal covers ( 3/Fig. 9 Page 29)(front and back;4 plastic caps and
4 screws per cover).
n Remove the 4 mounting bolts at the cabinet base that attach the cabinet to the pal‐
let( 5/Fig. 9 Page 29) ,( at each corner).
n Lift the cabinet and remove the pallet.
n Lower the cabinet to the floor.
n PDC installation continues in the chapter ( Installing the Components / Page 42)

2.6 WCS Cabinet

(Water Cooling System, Water-Water, Water-Air or Water/Air Split type).
n Place the wooden crate in the hallway.
Fig. 10: WCS cabinet with pallet Fig. 11: WCS cabinet attachment points to pallet
5 1
3
1
5
2 4
Removing the WCS Cabinet from the Pallet:

n Remove the 2 nuts ( 1/Fig. 11 Page 30) from the wooden block attached to the front
and back of the cabinet ( 2/Fig. 11 Page 30)
n Push the wooden planks/board under the wooden block downward toward the floor
( 4/Fig. 11 Page 30).
n Remove the wooden blocks and the wooden planks / board.
n Remove both gray metal covers ( 3/Fig. 11 Page 30) 10, front and back; 4 plastic
caps and 4 screws per cover).
n Remove the 4 mounting bolts at the cabinet base that attach the cabinet to the pal‐
let( 5/Fig. 11 Page 30), at each corner).
n Lift the cabinet and remove the pallet.
n Lower the cabinet to the floor.
n WCS installation continues in the chapter ( Installing the Components / Page 42)

2.7 Tables/ Containers

Tables (120 or 140 cm), containers (for ICS and/or IES) and other pieces of furniture are
 not included in the standard delivery volume. They are delivered only upon special re‐
quest.
n Unpack the furniture.

n Assemble the furniture.
- The furniture is delivered unassembled.
- Assemble the furniture in accordance with the instructions provided.
Fig. 12: Console (120 or 140 cm) Fig. 13: Container for ICS and IES computer
n Installation and placement of these components is described in ( Installing the Com‐

ponents / Page 42)

2.8 IRS2 (Unpacking)

Unpack the IRS next to its final installation location because the wheels are not suitable
 for moving a long distance.

The wheels are suitable for positioning the IRS only!
Fig. 14: IRS Transport packing
Fig. 15: Transport brackets and unpacking tools Fig. 16: Transport brackets and unpacking tool
Left Ramp for IRS

wedge
n Remove the wooden slats and cover from the transport bracket ( 1/Fig. 14 Page 32)
n Remove both wooden beams (lower left/right) ( 2/Fig. 15 Page 32)
n Remove the wedges (left/ right ) ( Fig. 15 Page 32)
Be careful when removing the wedges; the pallet tilts forward.
n Use both wedges as a ramp to roll the IRS off the pallet ( Fig. 16 Page 32)

n The IRS is mounted on the wall using 2 L-brackets and washers. It is bolted to the floor
at 4 places inside the IRS. Refer to ( Installing the Components / Page 42) for a de‐
tailed description
To prevent it from falling over, the IRS has to be mounted on the wall or bolted to the
 floor with the materials provided. In earthquake zones, both floor and wall mounting are
required.

2.9 IRS3 (Unpacking)


Fig. 17: IRS transport wheels Fig. 18: IRS transport equipment
(1) Wheelbrake (1) Transportclaw

Fig. 19: IRS transport equipment Fig. 20: IRS transport equipment
(1) Transport foot
n Remove the cover

n Lock the two wheelbrakes ( Fig. 17 Page 34)
n Remove the four transportclaws ( Fig. 18 Page 34)
n Screw the transport foot ( Fig. 19 Page 34) to the upside ( Fig. 20 Page 34)
n Remove the wedges (left/ right )
Be careful when removing the wedges; the pallet tilts forward.
n Position the both wedges to the front of the pallet
n Unlock the whellbrakes

n Use both wedges as a ramp to roll the IRS off the pallet ( Fig. 16 Page 32)
n The IRS is mounted on the wall using 2 L-brackets and washers. It is bolted to the floor
at 4 places inside the IRS. Refer to ( Installing the Components / Page 42) for a de‐
tailed description
To prevent it from falling over, the IRS has to be mounted on the wall or bolted to the
 floor with the materials provided. In earthquake zones, both floor and wall mounting are
required.

2.10 IRSmx (Unpacking)


1. Remove all nails and fasteners with the pry bar if necessary.
2. Remove the top and sides of the wooden crate if necessary.
2.10.1 Checking for transport damage

After removing the transport crate, examine the IRS for transport damage, e.g., due to
moisture or external forces.
 In case of transport damage, inform the local project manager immediately.
2.10.2 Removing the IRS from the pallet

n Adhere to the instructions hanging from the side of the IRS.
Fig. 21: IRSmx2 delivery state
2.10.3 Transporting
Move the IRS on its rollers near its final installation location.

 Do not move the IRS over uneven sections of the floor. Vibrations can damage the IRS.
Large obstructions can break the wheel mountings.

2.11 ICS Computer and Accessories

(ICS Computer / Monitor, Keyboard, Mouse / Control Box /Switch Box)
n Remove the packages from the crate and unpack all components.
Fig. 22: ICS monitor and accessories Fig. 23: ICS computer
Fig. 24: Switch box
n Component installation is described is ( Installing the Components / Page 42)

2.12 IES Computer

IES Computer / Monitor, Keyboard, Mouse
n Remove the packages from the create and unpack the components.
Fig. 25: IES monitor/keyboard/mouse Fig. 26: IES tower
n Component installation is described in chapter ( Installing the Compo‐

nents / Page 42) ".

2.13 Set of Cables

The complete set of cables is packed together (except for the UDC voltage cable, which is
packed separately).
n Unpack all cables.
n Cable routing and connections are described in ( Electrical Connections / System Ca‐
bling / Page 108).

2.14 Accessories and Phantoms

n The accessories and phantoms are packed separately.
n Phantoms:
- Unpack all phantoms and store properly. The phantom packaging has to be used as
a protection for the phantoms if they are not used.(CCR-Combi-Phantom).
n Patient accessories:
- Unpack all accessories and keep in a clean, safe location.

42 3 Installing the Components
3.1 General Information

n This chapter describes the transport and installation of the required components in
the respective examination rooms.
n Refer to the Planning Guide CT02-023.891.01.xx for general information regarding
room requirements and transport prerequisites for the system.
The gantry must not be bolted to the floor.

The patient table must be bolted to the floor.
Some countries (earthquake-prone areas) require special floor mounting for the gantry.
Refer to ( Special Component Mounting / Page 102).
3.1.1 Gantry front cover and RTP patient table (option)
The tabletop of the “RTP patient table” is a flat tabletop. This flat tabletop is higher than a
standard curved tabletop. For this reason, it is not possible to open or close the gantry
 front cover in a normal way.

The following instructions describe the steps of how to handle the gantry front cover in
this case.
3.1.1.1 Instruction steps

n The system has to be switched on and in standby mode.
n Press and hold the “table retracting” button at the gantry panels until movement stops
( Fig. 29 Page 43).
n Lower the patient table to the lowest position by using the service keys of the patient
table.
n Push the service RTC switch ( 1/Fig. 28 Page 43) to the upper position.
n Press the yellow service stop button( 4/Fig. 28 Page 43).
 Wait until the LED H2 and H3 (upper area) of E302 ( Fig. 27 Page 43) flash‐
es (approx. 10 sec.).
n Tilt the gantry in the negative direction by using the S4 ( 2/Fig. 28 Page 43) but‐
ton. Tilt the gantry until you can open or close the gantry front cover.
n Push the service RTC ( 1/Fig. 28 Page 43) switch to the lower position.
n Press the red service stop button.
n At the ICS workstation, click continue in the new popup window.
 The gantry is ready again.

Installing the Components 3 43
Fig. 27: Tilt converter Fig. 28: MCU (gantry left stand)
(1) Service RTC (On/Off)

(2) S3, S4
(3) LED Tilt 0˚
(4) Service Stop (On/Off)
Fig. 29: “Table retracting” button at the gantry panel


It is not permitted to crane the CT gantry by its transport frame.
For further craning information, please refer to the Planning Guide.
Adhere to all personal safety information prior to beginning work (e.g., safety shoes,
gloves, etc.).
Maintain the recommended safety distances from the wall for all moveable components
 (gantry, patient table, etc.).
Please note that access is required to enable service activities for certain components
(e.g., left/right gantry stand) Adhere to the requirements described in the Planning
Guide.
n Wear protective gear when working with heavy equipment (Safety shoes, gloves,
etc.).
n To prevent components from tipping over, the distance between components and the
floor should not exceed 15 mm (approx. 1/2 inch).
n Transporting components: Components may only be transported to the examination
rooms along the approved transport route.

3.3 Gantry
3.3.1 General Information
For RTP (Radiation Therapy Planning) the Sensation Open gantry installation has to be
highly accurate. Pay attention to the hints “ RTP installation (Sensation Open only)”
respectively “Normal installation” this chapter.
The gantry has to stand on 4 adjustable feet.
The adjustable feet, respectively the distance plates at RTP (Sensation Open) must have
direct contact with the concrete floor (do not place the adjustable feet / distance plates
on a soft floor covering).

Remove the existing flooring in the area of the installation support surface area.
For normal installations, replace the removed flooring with a shim of appropriate thick‐
ness (not necessary for RTP installation).
Do not push or pull the plastic cover on the gantry; this could result in misalignment of
or damage to the cover.
The gantry should not be transported over uneven flooring. Hard bumps against the
gantry may damage its more sensitive parts (such as the ball bearings).
When transporting the gantry over doorways and in corridors, always check the height
to prevent collisions.
3.3.2 Positioning the Gantry

n Use the transport device to move the gantry to the installation location.
n To simplify gantry transport, set the transport rollers in the correct direction prior to
beginning transport.
n Push on the metal frame or transport device to move the gantry.
n Position the gantry at the site specified.
n Remove the side covers (right side of the gantry).
- Remove the upper side cover by loosening the two screws (clockwise direction) at
the lower edge of the cover.
- Lift and set aside the top cover.
- Remove the side, lower cover by loosening the two set screws (counterclockwise) at
the back of the cover.
- Lift and set aside the lower cover.
n Repeat the entire procedure at the left side of the gantry.

Fig. 30: Position of the adjustment screws Fig. 31: Gantry with installed transport device
(1) Adjustment screws (1) Transport device
n Prior to lowering the gantry, ensure that the 4 adjustment screws are not visible from
the gantry base( 1/Fig. 30 Page 46).
3.3.2.1 Normal installation

n Lower the gantry using the 4 transport device spindles ( 1/Fig. 31 Page 46) until
there is an even gap of 1.5 mm under the gantry (at its lowest point; a 1.5 mm thick
metal rod may be used to establish the gap).
n Level the gantry using the transport device and a water level positioned on the metal
frame (not the covers) at the top, left, and right (horizontal, vertical;
( Fig. 32 Page 46) ( Fig. 33 Page 46)
Fig. 32: Levelling the gantry (left) Fig. 33: Levelling the gantry (top)
n After leveling is complete, check whether the gap under the gantry is not less than 1.5
mm (at the lowest point).
n Unscrew the adjustment screws until they contact the floor. Slightly retract the adjust‐
ment screws.

n Lower the gantry until all weight is off the transport wheels.
n Check the leveling again.
The following is required:

- The gantry should not wobble.
- The gantry has be standing on its own.
- The gap under the gantry should be not less than 1.5 mm (but as small as possible).
3.3.2.2 RTP installation (Sensation Open only):

n Turn the gantry adjustment feet into the gantry (counterclockwise), so that they do
not extend from the gantry.
n Lower the gantry using the 4 transport device spindles ( 1/Fig. 31 Page 46) until
there is an even gap of 21 mm to 24mm under the gantry (the 20 mm thick distance
plates may be used to establish the gap).
n Level the gantry with the front cover closed using the transport device and a digital
water level positioned on the metal frame (not the covers) at the top, left, and right
(tolerance, horizontal 0.0˚ ± 0.02°, vertical 90.0° ± 0°) ( Fig. 34 Page 47)
( Fig. 35 Page 47).
Fig. 34: Leveling the gantry Fig. 35: Leveling gantry top
n After leveling is completed, check whether the gap between the underside of the gan‐
try and the floor is not less than 21 mm and not more than 24 mm.

n Place a distance plate with the relief on top under each adjustment screw
( Fig. 36 Page 48).
Fig. 36: Gantry stand, distance plate Fig. 37: Gantry stand, center pin
(1) Distance plate

(2) Adjustment feet (1) Center pin
n Put a center pin through each adjustment screw to center the distance plate under the
adjustment screw ( 1/Fig. 37 Page 48).
n Loosen the adjustment screws (clockwise) until they contact the distance plate. Slight‐
ly retract the adjustment screws.
The gap between floor and underside of the gantry must be between 21 mm and 24

mm.
Otherwise, the “RTP Base Cover” cannot be installed. Refer to( RTP base cover installa‐
tion of the Gantry/Patient table / Page 227).

- The gantry should not wobble.
- The gantry has to be standing on its own.
- The gantry frame should not contact the distance plates.
3.3.3 Bolting the Gantry to the Floor
Normally, the gantry is not bolted to the floor.
 In countries (earthquake-prone areas) with special regulations, refer to ( Special Com‐

ponent Mounting / Page 102).

3.3.4 Removing the Transport Device

n Remove the 4 screws from the transport device ( 1/Fig. 38 Page 49).
n Loosen the 4 centering screws from the transport device ( 2/Fig. 38 Page 49) until
the transport device can be removed from the gantry.
n Remove the transport device from the gantry.
Fig. 38: Transport device (right)
(1) screws
(2) centering screws
n Opening the gantry front panel.

- Remove the two lock screws at the gantry front panel (lower left / right).
- Open the gantry front panel.
- Remove the Plexiglas rings.
n Remove the gantry back panel.
- Remove the two lock screws (middle left/right).
- Lift off the back panel.
 The back panel is connected to the gantry via cables.
- Loosen and remove the signal and grounding cable (middle right).
- Lift and remove the gantry back panel (2 persons are required).
3.3.5 Removing the transport safety devices:
 After the transport safety devices are removed, all parts must be collected and stored
with the customer's system equipment.
The gantry is equipped with the following transport safety devices ( Fig. 39 Page 50)
and ( Fig. 40 Page 50):

Fig. 39: Overview of transport brackets Fig. 40: Parts of tilt transport safety device
(1) Metal plate with 4 x Allen screws (back of gantry)

(2) 4 x rubber spacers (back of gantry)
(3) 4 x Allen screws (front of gantry)
Fig. 41: Rubber spacers (back of gantry) Fig. 42: Metal plate (back of gantry)
n Back of gantry:
- 4 rubber spacers installed between the rotating and stationary unit, at 1, 5, 7, and
11 o’clock positions. The rubber spacers are installed as shock absorbers.
- 1 metal plate with 4 Allen screws. The metal plate is mounted behind the slip ring
unit at the 3 o’clock position.
n Front of gantry:
- 4 Allen screws on the rotating unit. The screws are to the left and right of the X-ray
tube assembly and to the left and right of the DMS.
- Remove the four rubber spacers at the back of the gantry ( Fig. 41 Page 50).
- Remove the four Allen screws from the metal plate at the back of the gantry
( Fig. 42 Page 50).
- Remove the four Allen screws from the front of the gantry (rotating section).
- Store the transport brackets with the other service tools in a secure location in case
they are needed at a later date.
- Unlock the rotary protection (1 o'clock position on the rotating part) and carefully
rotate the gantry by hand. Make sure all the transport brackets have been removed.

- Close the front panel of the gantry and tighten the two screws (lower left and
right).
- Before attaching the back panel of the gantry, connect the signal and grounding ca‐
ble. Attach the gantry back panel.
- Tighten the two attachment screws on the back panel.
n Right gantry stand:
- In the right gantry stand, a tilt safety device is installed on the rocker arm. This tilt
transport safety device is available for newer systems only.
- Remove the screw and the L-shaped shim plates ( Pos. 1 and 2/Fig. 43 Page 51).
Fig. 43: Tilt transport safety device
(1) Screw
(2) L-shaped shim plate

3.4 Patient Table
3.4.1 RTP Installation Sensation Open
For RTP (Radiation Therapy Planning) the installation of the Sensation Open patient
 table has to be highly accurate. Pay attention to the hints “ RTP installation (Sensa‐
tion Open only)” respectively “Normal and Bariatric installation” in this chapter.
3.4.2 Existing flooring
Remove the existing flooring in the area of the installation support surface area
 For normal installations replace the removed flooring with a shim of appropriate thick‐
ness (not necessary for RTP installation).
3.4.3 Bolting the Table to the Floor
Bolting the table to the floor is mandatory. Use all 6 drill holes.
 The materials provided are intended for attaching the table to the floor using anchors
and screws. For any other type of attachment, the project manager must decide how to
proceed. In this case, the project manager must obtain the required materials.
Fig. 44: Wooden board = transport ramp
3.4.3.1 Normal and bariatric installation

n Position the wooden board at the bottom center of the gantry stand.
n Determine the exact center position of the wooden board (drilling template) by meas‐
uring the distance from the lower right/left corner of the gantry to the right/left corner
of the wooden board.
n Use a pencil and the drilling template and mark the drilling positions on the floor.

n Remove the drilling template.
3.4.3.2 RTP installation with gantry Z-laser (Sensation Open only)
 During the RTP table installation of the Sensation Open, a gantry Z-laser will be used to
adjust the drilling template orthogonally to the scan plane.
Checking the gantry Z-laser (RTP installation only)
For an RTP patient table with a flat tabletop, you have to tilt the gantry in the negative
 direction to open the gantry front cover.

For instructions refer to ( Gantry front cover and RTP patient table (option) / Page 42).
n Open the gantry front cover.

n Position the gantry Z-laser in the 12 o‘clock position.
Fig. 45: Position gantry Z-laser 12 o’clock
(1) Connector power supply
n Connect the power supply at the laser and the local power ( 1/Fig. 45 Page 53).
n Attach a plumb line at approximately 200 cm height to the wall opposite the gantry.

Fig. 46: Plumb line, Gantry Z-laser
(1) Gantry Z-laser

(2) Plumb line
n Rotate the gantry until the gantry Z-laser (12 o‘clock position) ( 1/Fig. 46 Page 54)
and the plumb line ( 2/Fig. 46 Page 54) are congruent. Mark the laser (at three
points) at the wall.
n Rotate the gantry until the gantry Z-laser (6 o‘clock position) ( 1/Fig. 46 Page 54) and
the plumb line ( 2/Fig. 46 Page 54) are congruent.
n Check the tolerance between the Z-laser (at 6 o‘clock) and the 12 o‘clock marking. De‐
pendent on the distance, the following tolerance is acceptable:
Tolerance at the wall

Distance (gantry Z-laser to wall)
(laser line at the 6 o’clock and 12 o’clock mark)
3.2 m (table end) 2.0mm
3.2m - 3.5m 2.2mm
3.5m - 4.0m 2.5mm
4.0m - 4.5m 2.8mm
4.5m - 5.0m 3.1mm
5.0m - 5.5m 3.4mm
 If the Z-laser is not in tolerance, align the drilling template as for a “normal and
bariatric installation” ( Normal and / Page 64). Please note that table alignment
with the Z-laser is preferred.
 If the gantry Z-laser adjustment is in tolerance, continue with ( Drilling and adjusting
the drilling template (RTP installation only) / Page 55).

Drilling and adjusting the drilling template (RTP installation only)

n Rotate the gantry to the 12 o‘clock position until the gantry Z-laser
( 1/Fig. 46 Page 54) and the plumb line ( 2/Fig. 46 Page 54) are congruent. The
position of the Z-laser cannot be changed any longer for the following mounting
steps.
n Position the drilling template (transport ramp) at the bottom center of the gantry
stand . The drilling template has to contact the gantry stand ( 3/Fig. 47 Page 55).
n Align the middle line of the transport ramp congruent with the gantry Z-laser
( 1/Fig. 48 Page 55).
Fig. 47: Position drilling template Fig. 48: Adjust drilling template
(1) Gantry Z-laser

(1) Gantry
(2) Drilling template
(3) Position drilling template
(4) Gantry Z-laser
n Place the drill sleeve ( 1/Fig. 49 Page 55) into the holes of the transport ramp
( 2/Fig. 49 Page 55).
Fig. 49: Drilling template Fig. 50: Pre drill the anchorage points
(1) Drill sleeve (1) Drill 8mm

(2) Hole in the drilling template

n Predrill the patient table anchorage points with a 8 mm drill through these drill sleeve
( Fig. 50 Page 55). The position of the transport ramp cannot be moved during the
drilling.
n Remove the drilling template.
3.4.3.3 Installing the connecting frame - part 1/2 (at gantry)
 If you have an RTP kit, you have to install the connecting frame later. Refer to ( RTP
table prepositioning / Page 69).
n The connecting frame is positioned between the patient table and gantry.
n The connecting frame must be centered to the gantry. Use a tape measure to measure
the connecting frame position referenced to the outer edges of the gantry. Pay atten‐
tion to the cable exiting from the connecting frame.
 Deviations from the center may not exceed 1 mm.
Fig. 51: Connecting Frame Gantry
(1) screws (M10x30)

(2) screws
n When positioning is complete, attach the connecting frame to the gantry with the
screws (M10x30) ( 1/Fig. 51 Page 56) and washers provided.
n Push the connecting frame to the floor with the screws (clockwise)
( 2/Fig. 51 Page 56).
If you have a Sensation Open System with RTP Kit, do not tighten the screws
( 2/Fig. 51 Page 56) yet. The screws must be tightened after the final table adjust‐
ments. Refer to ( Completing steps / Page 202).
 For previous connecting frames, refer to document CT02-023.814.01.xx.xx
3.4.3.4 Installation instruction for anchors (Normal, Bariatric and RTP installation)
n The drilling procedure is described on pages ( Fig. 52 Page 58)
( Fig. 53 Page 60) step D-I (anchor installation, type IL S 14/80).

Use "Liebig anchors" to attach the patient table to the floor. The following tools are re‐
quired for proper installation:
n Pencil
n Drill
n Vacuum cleaner (to clean the drill holes)
n Hammer
n Allen socket size 6 for torque wrench
n Allen socket size 8 for torque wrench
n Torque wrench (9 - 25 Nm)
The following materials are included in the delivery volume and are used for Variation 1
or 2:
- 1 drill bit BB 14/260, (1)(diameter 14 mm, length 260 mm)
- 6 Liebig anchors, (2) and (3)
- 6 hexagon screws 8x30 (4)
- 6 Allen screws 8x110 (5)
- 1 Loctite No. 221 (6)
- For RTP installation only: Special wrench for the patient table adjustment feet
The figures show how to correctly install the anchors. The drawings describe the process
steps. Please note the drawings are not to scale.

Variation 1
Bolting to a concrete floor

Fig. 52: Installation instruction for anchors in a concrete floor

Variation 2
Bolting into concrete with a floor covering (max. 95 mm).

Fig. 53: Installation instructions for anchors in a concrete flloor (with a floor covering)

3.4.4 Remove the transport safety brackets of the PHS
 After the transport safety devices are removed, all parts must be collected and stored
with the customer's system equipment.
n The patient table has 3 transport brackets. ( Fig. 54 Page 61),

( Fig. 59 Page 63), ( Fig. 60 Page 63) show the locations of the brackets.
n All transport brackets are marked red.
Fig. 54: transport bracket #1 Fig. 55: transport bracket #2
(1) Transport brackets (1) Transport bracket

(2) Plastic cover
n Remove the transport bracket at the back of the tabletop ( Fig. 54 Page 61).
- Remove the plastic cover at the back of the tabletop ( Fig. 54 Page 61).
- Remove the 4 Allen screws at the transport bracket ( Fig. 54 Page 61).
n Remove the transport bracket under the tabletop ( Fig. 55 Page 61).
- Move the tabletop toward the gantry until you can see the transport bracket.
- Remove the 3 hexagonal screws and then the transport bracket ( Fig. 55 Page 61)
n Remove the vertical transport bracket near the base of the gantry
( Fig. 56 Page 62), ( Fig. 57 Page 62), ( Fig. 59 Page 63),
( Fig. 60 Page 63), ( Fig. 58 Page 62).

The load is taken off the table spindle during transport. Follow the directions printed on
the vertical transport base ( Fig. 59 Page 63).
For basic units Sensation Cardiac serialnumber 52000 until 52003 and Sensation16 seri‐
alnumber 50000 until 50039 the motorcontroller has to be removed, to become the mo‐
 tor axle visible.

On all other systems, the motor controller is already in a suitable position.
( Fig. 58 Page 62).

If necessary:
n Disassemble the motor controller by removing the screws marked "A" in
( Fig. 56 Page 62).
n Carefully move the motor controller to the left ( Fig. 57 Page 62).
n The motor axle becomes visible.
Fig. 56: Mounted motor controller Fig. 57: Disassembled motor controller
(A) screws (1) Motor axle
Fig. 58: Motor controller
(1) Motor axle
Manual / mechanical lifting of the patient table with a ratchet is slow, but it is the only
 way to move the table up or down without power. When moving the table, do not ex‐
ceed the mechanical end stops.
n Using a ratchet and a 13 mm hexagonal socket at the motor axle, back turn the motor
manually by 2 counterclockwise rotations until the table moves upward.
 To prevent damage, do not raise the table by more than specified.

- Remove the 3 screws (2 below, 1 above) from the red metal plate
( 1/Fig. 59 Page 63)
- Use the ratchet to raise the table a few rotations until the transport bracket is freely
moveable.
- Remove the transport bracket (large red metal plate ( 1/Fig. 59 Page 63)
- Remove the transport bracket (small red metal plate under the tabletop;
( 1/Fig. 60 Page 63). The tabletop has to be pushed forward. Manually raise the
table.
Fig. 59: Vertical transport bracket #3 Fig. 60: Upper transport bracket #3
(1) red metal plate (1) small red metal plate
n Using the ratchet, extender, and a 13 mm hexagonal socket, raise the patient table to
a height of 1000 mm to provide better access to the inside of the table. The 1000 mm
are measured from the upper edge of the patient table to the floor. Installing the Ta‐
ble Covers
n Install the white metal covers provided under the tabletop ( 2/Fig. 61 Page 64).
- Push the cover from the foot-end of the patient table until it abuts the front cover.
- Attach the covers with the Allen screws provided (screws with flat plastic heads).
n Install the white covers provided at the foot-end of the patient table.
- Adjust and attach the cover with 2 Allen screws (flat plastic head;
( 1/Fig. 61 Page 64)).
n Install the covers previously removed ( 2/Fig. 54 Page 61) from the ends of the table
( 3/Fig. 61 Page 64)).

Fig. 61: Patient table covers
(1) 2 Allen screws (flat plastic head)

(2) Cover
(3) End of the table
3.4.5 Patient Table Positioning
For RTP (Radiation Therapy Planning) the installation of the Sensation Open patient
 table has to be highly accurate. Pay attention to the hints “ RTP installation” respec‐
tively “Normal installation” and “Bariatric installation” in this chapter.
3.4.5.1 Normal and Bariatric installation:

n The patient table is delivered with 3 transport rollers to simplify its transport to the
installation location.
- There is one transport roller each at the left and right side (base) of the patient ta‐
ble ( Fig. 76 Page 72) ( Fig. 77 Page 72)
- One transport roller is located at the end of the table (at the base)
( Fig. 80 Page 72).
n Move the patient table to the (previously installed) connecting frame. Pay attention to
the cable coming out of the connecting frame.

Fig. 62: Patient table positioning
n Center the patient table at the spacer. Measure the distance from the front edges of
the patient table to both sides of the spacer.
- Deviations from the center may not exceed 1 mm.
n Lower the table to the floor.
- To lower the table, turn the hexagonal screws on the transport rollers in counter‐
clockwise direction until the table is resting on the floor and the transport rollers
can move freely.
n Check the table position with respect to the gantry using a tape measure.
- Measure distances a/a’, b/b’ and c/c’ as shown in ( Fig. 62 Page 65).
- Compare the measured values with the tolerance permitted for distances a/b/c as
shown in( Fig. 62 Page 65) , upper right.
- Correct the distances if necessary until they are within tolerance.
n Level a normal table:
- Place a water level on the patient table ( 1/Fig. 62 Page 65)
- Align the patient table with the small metal plates (provided) to 0.0˚ (± 0.5˚).
- If the table is not level, the small metal plates (provided) must be placed under the
table. They should be placed near the floor mounting bolts.
n Level a Bariatric table (Part no. 7729697):
- Place a digital water level on the patient table ( Fig. 63 Page 66)
- Align the patient table with the small metal plates (provided) to 0.0˚ (± 0.2˚).
- The small metal plates must be placed under the table. They should be placed near
the floor mounting bolts.

Fig. 63: Patient table P30 Bariatric
(1) Water level position
n Attach the connecting frame to the patient table using the 2 screws and washers pro‐
vided. Refer to ( Installing the connecting frame - part 2/2 (table) / Page 71).
n Check the distances again ( Fig. 62 Page 65) and correct, if necessary.
n Bolt down the table using the 6 screws and washers provided (as shown in Figure J on
( Fig. 52 Page 58)( Fig. 53 Page 60)
- Secure the mounting bolts with Loctite 221.
- The two screws at the center of the table are attached using special washers. To
prevent collisions, the flat side of the washer has be parallel to the travel rails of the
patient table. Refer to ( Fig. 81 Page 72).
n Tighten the 6 mounting bolts at a torque of 20 Nm (± 10%).
3.4.5.2 RTP installation (Sensation Open only)

n Put the table adjustment feet over the drill holes in the ground.
Fig. 64: RTP adjustment screws, table
(1) Adjustment screws

(2) Water level
n Level the adjustment screws to the lowest position ( 1/Fig. 64 Page 66).

n Take a water level (min. 1.2 m) with a digital spirit level on the top and place it diag‐
onally and vertically over the adjustment screws and align the screws
( 2/Fig. 64 Page 66) to 0.0˚ ±0.1˚.
 Ensure that the adjustment screw does not protrude by more than 5 mm (5 ro‐
tations) ( 3/Fig. 74 Page 70). If necessary, put shims under the adjustment
feet ( 2/Fig. 74 Page 70) so that the adjustment feet are adjustable in up‐
ward direction for approx. 4 rotations.
n Move the adjustment feet to the side ( 1/Fig. 65 Page 67).
n Move and position the patient table over the six anchors.
n Lift the patient table with a crowbar ( 2/Fig. 66 Page 67)and move the adjustment
feet over the anchors ( 1/Fig. 66 Page 67).
n Remove the transport rollers of the patient table. Refer to ( Removing the Transport
Rollers / Page 71).
Fig. 65: RTP table - final position Fig. 66: RTP lift table
(1) Adjustment feed (1) Adjustment feed

(2) Crowbar
n Slightly bolt down the table (do not tighten the screws yet) using the 6 screws and
washers provided as shown in Figure J on ( Fig. 52 Page 58) ( Fig. 53 Page 60).
Loctite is not needed.
Installing the RTP Connecting Frame
 During RTP installation (Sensation Open only), the distance between the gantry/patient
table bottom line and flooring is too large. Compensate for the gap with a spacer plate .
Peparing the spacer plate (RTP installation only)

n Insert four clamping sleeves into the 15 mm spacer plate as shown in
( 2/Fig. 67 Page 68), ( 2/Fig. 68 Page 68) and ( 2/Fig. 69 Page 68) to subse‐
quently position the connecting frame accurately on the spacer plate
n To compensate for the gap between gantry/patient table bottom line and floor, a 5
mm and/or a 15 mm spacer plate can be used. If the 5 mm and the 15 mm spacer

plates are required, the plates have to be connected using two clamping sleeves; see
( 1/Fig. 67 Page 68), ( 1/Fig. 68 Page 68), ( 1/Fig. 69 Page 68).
n Position the spacer plate and the connecting frame between the gantry and patient
table as shown in ( Fig. 70 Page 68).
Fig. 67: Spacer plate Fig. 68: Distance plate
(1) Clamping sleeves to couple the two plates

(1) Clamping sleeves to connect the two plates (2) Clamping sleeves to fix the connecting frame
(2) Clamping sleeves to secure the connecting frame (3) 15 mm plate
(4) 5 mm plate
Fig. 69: Spacer plate detail figure Fig. 70: Spacer plate with connecting frame
(1) Clamping sleeve to connect the plates

(2) Clamping sleeve to secure the connecting frame (1) Spacer plate
(3) 15 mm plate (2) Connecting frame
(4) 5 mm plate

RTP table prepositioning

n Install the connecting frame. See ( Installing the connecting frame - part 1/2 (at gan‐
try) / Page 56) and ( Installing the connecting frame - part 2/2 (table) / Page 71).
Pay attention to the cable exiting from the connecting frame.
n Open the gantry front cover .
n During the RTP table installation, the Sensation Open gantry Z-laser will be used to
align the patient table orthogonally to the scan plane. Position the gantry Z-laser in
the 12 o'clock position.
n Rotate the gantry until the gantry Z-laser ( 1/Fig. 46 Page 54)and the plumb line
( 2/Fig. 46 Page 54)are congruent. The position of the Z- laser cannot be changed for
the following mounting steps.
n Lift the patient table up to 920 mm from the top edge to the patient table base (not
to the floor).
n Position the patient table so that the center line of the patient table
( 2/Fig. 71 Page 69) and the gantry Z-laser ( 1/Fig. 71 Page 69) are congruent.
To move the table in the X-direction, use the adjustment screws on the adjustment
feet ( 1/Fig. 72 Page 69).
 Put a shim plate between table and screw to protect the surface.
Fig. 71: RTP table adjustment Fig. 72: RTP table adjustment X-direction
(1) Gantry Z-laser (1) Adjustment screw

(2) Tabel center line
n Do not move the tabletop out of the top support. Place the RTP phantom
( 1/Fig. 73 Page 70) on the table with the adjustment feet ( 5/Fig. 73 Page 70)

positioned upward and place a load of approx. 20 kg at the table front

( 4/Fig. 73 Page 70).
The weight of 20 kg is required to press down the tabletop until the two plastic rollers
(table front under the tabletop) contact the tabletop.
Fig. 73: RTP table adjustment in X and Z directions Fig. 74: RTP table adjustment feed
(1) Adjustment screw

(1) RTP phantom (2) Shim plate
(2) Digital water level Z direction (3) Maximum way 5 mm
(3) Digital water level X direction
(4) Weight 20 Kg
(5) Adjustment feet
n Put the digital water level on the RTP phantom as shown in ( 2/Fig. 73 Page 70)
( 3/Fig. 73 Page 70), but with the tabletop retracted.
n Perform angle measurements at the tabletop front, tabletop center and tabletop end.
n Align the patient table with the adjustment feet in the X-direction to 0.0 ±0.1 and
align it in the Z-direction to 0.0˚ ± 0.2˚ ( 1/Fig. 74 Page 70).
This table pre-aligment for the table incline in X- and Z-direction can be also executed
 with the instructions in chapter ( Patient Table Aligment for / Page 201).
You then have to check the angle tolerances in X- and Z-direction in a later chapter.
- For aligment in X-direction, adjust the same feet height for all three feet at one
side.
- For aligment in Z-direction, adjust the same feet height for the two middle feet.
Unscrew the corresponding table screws beforehand. Ensure that the adjustment
screw does not protrude by more than 5 mm (5 rotations) ( 3/Fig. 74 Page 70). If
necessary, put shims under the adjustment feet ( 2/Fig. 74 Page 70) so that the ad‐
justment feet are adjustable in upward direction for approx. 4 rotations.
 The two screws at the center (see ( Fig. 81 Page 72)) of the table are at‐
tached using special washers. To prevent collisions, the flat side of the wash‐
er has be parallel to the travel rails of the patient table.
n Check if the center line of the patient table is congruent with the gantry Z-laser
( Fig. 71 Page 69).
n Bolt down the table slightly using the 6 screws and washers provided (without Loc‐
tite).

n Verify the center line of the patient table is congruent with the gantry Z-laser
( Fig. 71 Page 69).
n Verify whether the X and Z-table positions are within tolerance ( Fig. 73 Page 70).
3.4.5.3 Installing the connecting frame - part 2/2 (table)
 If you have an RTP kit, you have to install the connecting frame later. Refer to ( RTP
table prepositioning / Page 69).
n The connecting frame is positioned between the patient table and the gantry.
Fig. 75: Connecting Frame patient table
(1) screws (M10x30)

(2) screws
n Attach the connecting frame to the patient table with screws (M10x30)
( 1/Fig. 75 Page 71) and washers provided.
n Push the connecting frame to the floor with the screws (clockwise)
( 2/Fig. 75 Page 71).
If you have a Sensation Open System with RTP Kit, do not tighten the screws
( 2/Fig. 51 Page 56) yet. The screws must be tightened after the final table adjust‐
ments. Refer to ( Completing steps / Page 202).
 For previous connecting frames, refer to document CT02-023.814.01.xx.xx
3.4.6 Removing the Transport Rollers

The transport rollers in front of the patient table are available in two variants.
n Variant A (older systems): The fuse panel and the service switch panel are attached
behind the left and right transport rollers with cable ties ( Fig. 76 Page 72)
( Fig. 77 Page 72).

n Variant B (newer systems): The attachment point of the transport rollers is at another
position. The fuse panel and the service switch panel are already mounted
( Fig. 78 Page 72) ( Fig. 79 Page 72).
Fig. 76: Transport roller (front/left) Fig. 77: Transport roller (front/right)
(1) bolts
(2) screws at the top of the transport roller
Fig. 78: Variant B: Transport roller (front/left) Fig. 79: Variant B: Transport roller (front/right)
Fig. 80: Transport roller (rear/center) Fig. 81: Screw attachment (center)
(1) screws at the top or the transport roller
n The transport rollers are removed once the patient table has been bolted to the floor.

n Left and right transport rollers:

- Remove the hexagonal screws at the top of the transport rollers
( 2/Fig. 76 Page 72)
- Remove the transport rollers.
- Remove both bolts ( 1/Fig. 76 Page 72).
- Only in case of variant A, remove the transport roller support bracket (remove the 2
screws). The screws will be used later.
n Rear transport roller:
- Remove the hexagonal screws at the top of the transport roller.
( 1/Fig. 80 Page 72)
- Remove the transport roller.
n Keep the transport rollers together with the service tools for later use.
3.4.7 Variant A: Installing the Fuse Panel and Service Switch Panel.
During transport, the fuse panel and service switch panel are attached behind the left and
right transport rollers with cable ties.
n Fuse panel (left side of the patient table) ( Fig. 82 Page 74)
- Cut the cable ties and position the fuse panel in the recess provided.
- Attach the support plate to the base of the patient table (using the screws previous‐
ly removed from the transport roller support bracket).
- Tighten both screws to secure the fuse panel.
- Be careful when working inside the patient table to prevent cables from being dam‐
aged.
- Ensure that the cables are not damaged by moveable parts of the patient table. Se‐
cure loose cables with cable ties.
n Service switch panel (right side of the patient table) ( Fig. 83 Page 74)
- Cut the cable ties and position the service switch panel in the recess provided.
- Attach the support plate to the base of the patient table (using the screws previous‐
ly removed from the transport roller support bracket).
- Tighten both screws to secure the service switch panel.
- Be careful when working inside the patient table to prevent cables from being dam‐
aged.
- Ensure that the cables are not damaged by moveable parts of the patient table. Se‐
cure loose cables with cable ties.

Fig. 82: fuse panel (left) Fig. 83: servide switch panel (right)
3.4.8 Installing the Foot Switch (in the base of the patient table)
Fig. 84: Foot switch kit (overview)
(A) M4 x 10 xcrew with contact disk

(B) M4 x 20 screw with contact disk
(C) Offset bushing

Fig. 85: Foot switch (rear right) Fig. 86: Foot switch (back left)
(A) M4 x 10 xcrew with contact disk (A) M4 x 10 xcrew with contact disk
(B) M4 x 20 screw with contact disk (B) M4 x 20 screw with contact disk
(C) Offset bushing (C) Offset bushing
Fig. 87: Foot switch (front left) Fig. 88: foot switch (rear left)
(A) M4 x 10 xcrew with contact disk (A) M4 x 10 xcrew with contact disk
(B) M4 x 20 screw with contact disk (B) M4 x 20 screw with contact disk
(C) Offset bushing (C) Offset bushing
n Insert the foot switch in the recesses in the base of the patient table, and attach it us‐
ing the screws, contact disks, and offset bushings provided. Refer to
( Fig. 84 Page 74) ( Fig. 85 Page 75) ( Fig. 86 Page 75) ( Fig. 87 Page 75)
( Fig. 88 Page 75) for foot switch alignment and attachment. ( Fig. 84 Page 74)
presents an overview of the parts required for installation.
n Connect the foot switch to the connectors provided in each recess and the check the
mechanical function. Affix the connection cable to the base of the patient table.

3.5 PDC Cabinet (Power Distribution Cabinet)
The PDC is normally not bolted to the floor.
 In countries with special regulations (earthquake-prone areas), refer to ( PDC and WCS
Housing / Page 106).
n One of 2 different PDC systems is delivered in accordance with country-specific regu‐

lations:
1. 380/420/440/480 V - Systems: With an installed automatic transformer (mounted on

top of the PDC).
2. 400 V - Systems: Without an automatic transformer.
n The PDC also contains the stationary part of the voltage generator.
An optional UPS also may be built into the PDC to supply power to the ICS, IES, and IRS
during a power failure. Refer to the document "Installation of Hardware and Software Op‐
tions" CT00-000.814.23.xx.xx for the UPS installation instructions.
 CAUTION
Installation of the UPS in the PDC during transport.
Consequence:Tipping hazard !
 Countermeasure:The UPS shall not be installed in the PDC during transport.
Remove the UPS whenever transporting or changing the position of the PDC.
3.5.2 Positioning the PDC

n The PDC should be positioned by the customer in accordance with the project plan.

Fig. 89: PDC Cabinet
n Cables should be routed in an organized, structured manner at the bottom of the PDC
(no rolled-up cables).
3.5.3 Removing the Cover

n Open the PDC door.
n Remove the Plexiglas cover (remove the 4 hexagonal screws).
n Open the metal plate at the base (cable guide) using the two screws and push it to‐
ward the back.
3.5.4 Removing the Transport Bracket

n Remove the foam cover attached to the capacitors and secured with plastic straps.
( Fig. 90 Page 78)
- Cut the plastic straps.
n Remove the foam cover.

Fig. 90: Internal PDC transport bracket
(1) Foam cover secured with plastic straps
3.5.5 Installing the UPS

n The UPS is installed in the upper PDC housing. Refer to the document "Installation of
Hardware and Software Options" CT00-000.814.23.xx.xx for a detailed description.

3.6 Installing the WCS (Water Cooling System)
The WCS is not normally bolted to the floor.
 In countries with special regulations (earthquake-prone areas), refer to ( PDC and WCS
Housing / Page 106).
Water Cooling System

n The water cooler may be ordered in one of three versions
- 1. Water-water cooler
- 2. Water-air cooler (with 4 m air hoses)
- 3. Water-air split cooler
n The maximum difference in height between the gantry and WCS is 4 meters (10 me‐
ters for water-air split cooling system).
n Gantry water supply:
- A pair of water hoses is included in the system delivery volume. The hoses have pre-
installed connectors on one side. The connectors must be mounted on the right
gantry stand (for space reasons). A set of connecting pieces is included in the pack‐
age of hoses. These connecting pieces are intended for connecting the WCS to the
water hoses (after being shortened to the required length).
n In-house water supply (Water-Water type)
- The WCS (water cooling system) is delivered with a flexible hose to connect to the
in-house water supply. The hoses are already connected to the WCS. The free ends
may be cut to the length required. Use the connecting pieces (1 1/4" external
threading) to connect to the in-house water system. A plumber should be available
to connect to the in-house water supply.
- Accessories: The following accessories are included in the WCS delivery volume:
Manometer and connection hose to monitor the water pressure.
Two connectors for the filling and draining hose connections for the WCS.
n In-house air supply (Water-Air Type)
- A set of 2 air hoses (4 m) and connection materials (cable ties) are included in the
WCS delivery volume. In addition, a set of 2 hose adapters is provided for air intake
and outlet (the package is on the WCS).
 The wall connections for air intake/outlet in the building must be ordered separately
or organized locally (refer to the "planning guide" for details).
- Accessories: The following accessories are included in the WCS delivery volume:
Manometer and connection hose to monitor the water pressure.
Two connectors for the filling and draining hose connections for the WCS.

n Air/fan supply (Water-air split type)

- During preparation (pre-installation), the entire hose installation of the primary
cooling circuit (WCS to outdoor unit) is finished and filled. The primary cooling cir‐
cuit is checked for leaks.
- The electrical cabling of W98 between WCS and outdoor unit is finished during pre-
installation.
- The separate power connection to the WCS and to the optional flow heater has to
be completed during preparation as well.
It is prohibited to switch on the water pump in the WCS prior to filling the water circula‐
 tion system between the WCS and gantry.

Running the system without water will destroy the water pump.
3.6.2 Positioning the WCS

n Positioning the WCS at the customer site.
- Prior to positioning the WCS, ensure that the site selected can be reached by the
water hoses and connect to the gantry and on-site water supply.
n If it is necessary to bolt the WCS to the floor (in earthquake-prone areas), refer to
( Special Component Mounting / Page 102)
3.6.3 Water Cooler Types

n ( Fig. 91 Page 81), ( Fig. 92 Page 81), ( Fig. 93 Page 81) show the available
water cooler types.
n After opening the door, remove the cover plate. The fuses are located behind it (3
screws).

Fig. 91: Water-air cooler Fig. 92: Water-water cooler
Fig. 93: Water-air split cooler

Fig. 94: Water-air cooler Fig. 95: Water-air cooler
(1) Recesses (1) Connection adapter
3.6.4 Connecting the Water Hoses to the Gantry / WCS
 Connection of the gantry water supply is the same for the water-water, water-air and
water/air split WCS.
 The water hoses have imprinted directional arrows. When routing the hoses, ensure that
the arrows on the water hoses show the water flow.

Fig. 96: water hose connection gantry Fig. 97: water hose connection gantry
(1) Type A (1) Type B
n Connect the water hose with the red mark to the "water outlet" in the right gantry
stand (connection in back; ( Fig. 96 Page 83) ( Fig. 97 Page 83)
n Connect the water hose with the blue mark to the "water inlet" in the right gantry
stand (connection in the front; ( Fig. 96 Page 83) ( Fig. 97 Page 83))
n Tighten the connections.
Type A : Use size 36 and 40 hexagonal wrenches to tighten the connections
( Fig. 96 Page 83).
Type B : Use size 40 hexagonal wrench to tighten the connections ( Fig. 97 Page 83).
Fig. 98: Water hose connection WCS (right)
n Routing of cooling hoses:

- Route both water hoses to the WCS.
- In case the optional pipe kit is used, route the two cooling hoses to the on-site
pipes. For pipe kit installation refer to the next steps on ( Pipe Kit (option‐
al) / Page 85).
n Remove the caps from the end of the water hoses and route the hoses to the connec‐
tions in the WCS ( Fig. 98 Page 83).

n Shorten the water hoses to the length required (using a sharp knife or hand saw) and
attach the connecting pieces. Refer to the installation instructions for the connecting
pieces on ( Attaching the Hose Connection Pieces / Page 87).
n Attach the hose with the red mark from the gantry to the "gantry water inlet" at the
WCS (left connection) ( Fig. 98 Page 83)
n Attach the hose with the blue mark from the gantry to the "gantry water outlet" at
the WCS (right connection) ( Fig. 98 Page 83)
n Use size 36 and 40 hexagonal wrenches to tighten the connections.

3.7 Pipe Kit (optional)

The pipe kit is a option for the Water-Air Split cooling system. The pipe kit adapters can be
used for a on-site cooling circuit installation. They are needed at the connection between
the hoses and the on-site pipes. The pipes are not included in the kit.
Fig. 99: Pipe kit installation
n Route the hoses from the gantry to the on-site pipes. Shorten the water hoses to the
length required (using a sharp knife or hand saw) and attach the connecting pieces.
Refer to the installation instructions for the connecting pieces on ( Attaching the
Hose Connection Pieces / Page 87).
 Please note that the excess length must be long enough to connect the other
side of the on-site pipes with the WCS.
n Attach and tighten the pipe kit adapter ( Fig. 100 Page 85) to the on-site pipes.
 You cannot connect the adapter directly to the on-site pipes. The on-site part
of the adapter must be sealed!
n Attach the hose to the on-site pipes.
Fig. 100: Adapter - hose to pipe
n At the other side of the on-site pipes, route the hoses from the on-site pipes to the
WCS. Shorten the water hoses to the length required (using a sharp knife or hand
saw) and attach the connecting pieces. Refer to the installation instructions for the
connecting pieces on ( Attaching the Hose Connection Pieces / Page 87).

n Attach and tighten the pipe kit adapter ( Fig. 100 Page 85) to the on-site pipes.
 You cannot connect the adapter directly to the on-site pipes. The on-site part
of the adapter must be sealed!
n Attach the hose to the on-site pipes.
- Mark the previously connected hose with the same color as the connected hose of
the on-site pipe’s other side.
n Remove the caps from the end of the water hoses and route the hoses to the connec‐
tions in the WCS ( Fig. 98 Page 83).
n Attach the hose with the red mark from the gantry to the "gantry water inlet" at the
WCS (left connection) ( Fig. 98 Page 83).
n Attach the hose with the blue mark from the gantry to the "gantry water outlet" at
the WCS (right connection) ( Fig. 98 Page 83).
n Use size 36 and 40 hexagonal wrenches to tighten the connections.

3.8 Attaching the Hose Connection Pieces

Fig. 101: Overview of the required parts Fig. 102: Metal hose adapter and half shell
Fig. 103: Installed connecting piece Fig. 104: Completed connecting piece
(1) Spacer disks (1) Spacer disk

(2) Half-shells
n Turn the metal hose adapters on to the water hose.

n Install both aluminum half-shells on the hose. ( Fig. 102 Page 87)
n Bolt the half-shells together with 4 Allen screws.
- The 4 spacer disks must be positioned between the two aluminum half-shells.
( Fig. 103 Page 87)
n Tighten the screws (5mm size) until all 4 spacer disks abut the half-shells.
( Fig. 104 Page 87)
n Mark the water hose that extends from the front of the right gantry stand (water in‐
take) and connects to the right WCS (Gantry water outlet) with a blue band; mark the
other hose with a red band.
3.8.1 Connecting to the hospital's cold water supply (water-water type only)
n Route the preinstalled flexible water hoses from the WCS to the prepared on-site wa‐
ter connection (shorten the hoses if necessary).

n Connect the on-site water supply to the hose ends using the connecting pieces provi‐
ded.
 If may be necessary for this step to be performed by a plumber (e.g. if the hoses are too
short).
n The water hose / water pipe from the hospital cold water supply must be connected to
the "central water supply intake" at the WCS.
n The water hose / water pipe from the hospital cold water supply (main water supply
from the WCS >> return line) must be connected to the "central water supply outlet "
at the WCS.
Insulate the metal hose adapters. The insulation material is included in the box of the
metal hose adapters.
n Connect the manometer to the WCS:
- The manometer and connecting hose to monitor water pressure is in a container at
the base of the WCS.
- Attach the connecting hose to the manometer. The straight side is connected to the
manometer, the curved side is connected to the WCS.
- Attach the manometer to the "gantry water outlet" at the WCS.
- To improve monitoring, the manometer can be attached inside the WCS with a ca‐
ble tie (e.g., at the pipe from the " gantry water outlet ").
3.8.2 Connecting the cool air system (water-air type only)
The length of the air hose is 4 m. The minimum distance between the wall vents for the

"air intake" and "air outlet" is 1 m.
A minimum distance under tolerance may result in air turbulence (direct flow of the
warm air into the air intake ).
3.8.2.1 General Information

Accessories:
n The following accessories are included in the delivery volume.
1. 2 air hoses
2. 2 air hose adapters for the air intake and outlet at the WCS.
3. Installation material for the air hoses (long cable ties)
 The wall adapter for the air intake / outlet has to be ordered separately or organized lo‐
cally, (refer to the “Planning Guide”).

3.8.2.2 Preliminary steps at the WCS

n The WCS has cut-outs for the air intake / outlet (left and right).
- The air outlet cut-outs (left and right) are in front of the door (WCS warm air ex‐
haust).
- The air intake cut-outs (left and right) are positioned toward the back of the WCS
(cool air intake to the WCS).
n Remove the cut-outs for air intake and outlet to the left or right, according to your re‐
quirements.
- Select the cut-out that will provide the shortest distance to the wall connection.
n Remove the black insulating mat behind the cut-outs with a knife.
3.8.2.3 Connecting the cool air supply

n Attach the two air pipe adapters to the side cover of the WCS.
- The two air pipe adapters are included in the delivery volume of the WCS (package
is on the WCS).
- Remove the appropriate side cover of the WCS.
- Install the air pipe adapter in back of the WCS side cover and push it outward. This
completes the air pipe adapter installation.
- Reinstall the WCS side cover.
n Attach an air hose at the "air intake" WCS connection adapter (provides cold air to the
WCS). Use two cable ties next to one another.
n Route the air hose to the wall connection for "air intake". Attach the hose with cable
ties.
n Attach an air hose at the "air outlet" WCS connection adapter (removes warm air from
the WCS). Use two cable ties next to one another.
n Route the air hose to the wall connection for "air outlet". Attach the hose with cable
ties.
n Connect the manometer to the WCS:
- The manometer and connecting hose to monitor water pressure are in a container
at the base of the WCS.
- Attach the connecting hose to the manometer. The straight side is connected to the
manometer, the curved side is connected to the WCS.
- Attach the manometer to the "gantry water outlet" at the WCS.
- To improve monitoring, the manometer can be attached inside the WCS with a ca‐
ble tie (e.g., at the pipe from the "gantry water outlet ").

3.8.3 Connecting the external air fan (water-air split type only)
The mechanical and electrical installation from the external air fan (outdoor unit), the op‐
tional flow heater and WCS (indoor unit) have to be finished during preparation (prein‐
stallation).The hoses to the air fan are filled as well. Refer to the document “Preinstalla‐
tion - Installation of the external air split cooling system” (CT00-000.811.02.xx.xx).

3.9 Containers (optional)

n Tables (120 or 140 cm), containers, and other pieces of furniture are delivered if or‐
dered.
n Position the table in accordance with the project plan or customer request.
n Position the containers to the left and right sides of the console or according to the
project plan.
n Remove the front panel of the container:
- Slide the container doors to the center.
- Remove the screws at the upper left and right corners of the container doors.
- Remove the front panel of the container.
n Slide out the bottom panel in order to install the ICS and IES .
 The back of each container must maintain at least a 10 cm distance from the wall (rea‐
son: to keep the computer cool).
Fig. 105: Console (120 or 140 cm) Fig. 106: Container for ICS and IES computer

3.10 Monitor, Keyboard, Mouse, Control Box

n Position the monitor mouse / keyboard / control box on the console provided, or on
another piece of furniture.
n The labeling of the different workstation monitors depends on the SW version.
- Up to SW VB30: the ICS monitor is labelled as "Navigator". the IES monitor is labelled
as "Wizard."
- With SW VB30 and above: the ICS monitor is labelled as "syngo Aquisition Work‐
place." The IES monitor is labelled as "syngo CT Workplace."
n All monitors have 18" flat screens or 19” flat screen.
n The site location for these components is according to the project plan or customer
request. Ensure that the distance between the monitor and computer does not exceed
the length of the graphics card cable. The standard is 2.5 m (an optional extension kit
may be ordered).
n The control box should be close to the ICS-keyboard.
Fig. 107: ICS monitor and accessories Fig. 108: IES monitor/keyboard/mouse

3.11 ICS Computer

n The ICS may be positioned in the container provided in accordance with the project
plan, or at the direction of the project manager.
n Ensure there is a sufficient heat exchange area around the ICS (10 cm distance from
the wall).
 The ICS computer should be below the corresponding monitor.
3.11.1 Base Foot of Tower 8

The base foot of tower 8 has to be installed when the workstation is not installed in the
container furniture ( Containers (optional) / Page 91).
Fig. 109: Attaching the base foot with screws
To ensure a secure position, the base foot must be screwed on prior to start-up.
n Lift the device slightly in back.
n Push the base foot under the device in the direction of the arrow
( (1)/Fig. 109 Page 93).
 Make sure that the screw holes for the screws are aligned.
n Screw on the base foot with the knurled screws ( (2)/Fig. 109 Page 93).

3.12 IRS2 / IRS3 Computer

The IRS must be mounted to the wall or bolted to the floor to prevent it from tipping

over.
In earthquake-prone areas, use both floor and wall mounting according to the special
regulations for these countries, refer to ( IRS / Page 107)
n The IRS should be positioned in accordance with the project plan or at the direction of
the project manager. The IRS may also be positioned in an adjacent room.
n Do not remove the spacer from the IRS.
n To prevent it from tipping over, the IRS must be mounted to the wall refer to ( IRS
Mounting / Page 94)
3.12.1 IRS Mounting

n Attach the bracket to the IRS as shown in ( Fig. 110 Page 94)
( Fig. 111 Page 94)( Fig. 112 Page 94).
n Attach the bracket to the wall.
Fig. 110: Overview IRS mounting
(1) Rubber washer

(2) Washer
(3) Screw
Fig. 111: IRS Mounting Fig. 112: IRS Mounting
(1) Variant 1 (1) Variant 2

n Bolt the IRS to the floor as shown in ( Fig. 113 Page 95)
Fig. 113: IRS mounting to prevent tipping
(A) Front view

(B) Top view
(C) Side view
(1) Holding bracket (L-bracket) for securing to the wall. Mount it down or up alterna tively.
(2) Spacer for mounting front side
(3) Spacer for holding bracket(Z-bracket) rear side
(4) Drilling for pos.2)
(5) Z-bracket
(6) Wall spacer (mounted on the cabinet)
(7) Wall

3.13 IRSmx
3.13.1 IRS mounting
The IRS is air-cooled by internal ventilators. Unimpaired circulation from the intake and

outlet has to be ensured. For correct cooling, a minimum distance of 100 mm at the
back and 150 mm at the front between the IRS and other objects is required!
Never put the IRS into a closed cabinet; otherwise, it will overheat!
 For the exact installation location, refer to the project plan or ask the on-site project
manager. The IRS can also be installed in a room adjacent to the examination room.
n For the installation, fold down the spacers at the back of the IRS. This is necessary to
maintain the minimum distance to the wall.
Fig. 114: IRSmx2 tower - spacers and rollers
1 2
(1) Spacers with rollers "up"; transporting position
(2) Spacers with rollers "down"; installation position

3.14 IES tower

n The IES computer must be positioned below the corresponding monitor. If you have
not purchased a container, the IES can be positioned under or within existing furni‐
ture. However, ensure there is sufficient air exchange for the computer.
n The base foot of tower 8 has to be installed when the workstation is not installed in
the container furniture ( Containers (optional) / Page 91). Refer to ( Base Foot of
Tower 8 / Page 93).
Up to Tower 7:
 If The IES is connected to the multiple socket strip, ensure that the distance between the
IES and ICS does not exceed 5 m due to the cables provided in the delivery volume.
The IES must be positioned at least 10 cm away from the wall.
 Failure to maintain this distance may result in interruptions due to temperature-related

system shutdowns.

3.15 Switch Box

Fig. 115: Switch box
n Position / attach the switch box at a suitable position close to the ICS (e.g., within the
container, on the wall behind the ICS container, or on the ICS).

3.16 UPS (provided locally, optional)

n The UPS is an option for the IES.
n If using the UPS, it should be positioned on the IES or at the base of the IES container.
n Refer to Chapter ( Electrical Connections / System Cabling / Page 108) and the docu‐
ment "Installation of Hardware and Software Options" CT00-000.814.23.xx.xx for ad‐
ditional information

3.17 Ethernet Switch

n Position the Ethernet switch near the multiple socket strip (power supply from the
PDC).
The connections are intended for the following devices:
1X to 7X ICS, IES, evaluation console, camera, other devices.
8X Hospital LAN.
Fig. 116: Ethernet switch or Fig. 117: Ethernet switch

3.18 Multiple Socket Strip

(Power supply for IES monitor, ICS+ICS monitor, Ethernet switch, external MOD)
Fig. 118: Multiple socket strip
(A) Part A
(B) Part B
(1) Power supply W9 (from PDC)
(2) 4 mounting holes
(3) attach with contact disk washers, self-looking nuts
(4) Ground connection W12 (from IES)
(5) Ground connection W14 (from PDC)
The metal cover may be assembled once part A is attached at the respective installation
location.
Fig. 119: Assembling the metal cover
(1) Attach with washers, contact disks, self-locking nuts
The ICS and ICS monitor are always connected to the multiple socket strip. If the IES is
 purchased, IES monitor, Ethernet switch, and external MOD (if purchased) are connected
to the multiple socket switch as well. Take into account the computer and monitor cable
lengths when positioning the multiple socket strip.

102 4 Special Component Mounting
4.1 General
The special component mounting described in this chapter is mandatory only in coun‐
tries with specific requirements (e.g., earthquake-prone countries or areas).
 Adhere to all country-specific requirements and regulations.
The patient table has to always be bolted to the floor.
n For all other countries, the procedure in this chapter is not required and may be ignor‐
ed.
n The required installation materials (screws, anchors, washers) have to be obtained lo‐
cally (exception couch).

Special Component Mounting 4 103
4.2 Bolting the Gantry to the Floor

Fig. 120: Position of the adjustment screws Fig. 121: Gantry with installed transport device
(1) Adjustment screws (1) Transport device
n The gantry has to be bolted to the floor using 4 screws through the adjustment
screws.
n Mark the positions for the drill holes using the gantry adjustment screws
( Fig. 120 Page 103).
n Raise the gantry with the transport device ( Fig. 121 Page 103) and move it away to
obtain access to drill the holes.
n Drill the four holes for the anchors and remove the dust with a vacuum cleaner.
- Drilling depth: Ensure that the anchor sits securely in the concrete and is not just
anchored in the subflooring.
n Insert the anchors in the four holes in the floor.
n Return the gantry to the installation location and align the holes in the adjustment
screws to the holes in the floor.
n Prior to lowering the gantry, ensure that the 4 adjustment screws do not extend out
beyond the base of the gantry ( 1/Fig. 120 Page 103).
n Lower the gantry using the 4 transport device spindles ( Fig. 121 Page 103) until
there is a uniform gap of 1.5 mm under the gantry (at its lowest point; use a 1.5 mm
thick metal rod to gauge the distance).

n Level the gantry using the transport device and a water level on the metal housing
(not the covers) to the left, right, and top (horizontal, vertical).
Fig. 122: Levelling the gantry (left) Fig. 123: Levelling the gantry (top)
n After leveling is complete, check whether the gap under the gantry is less than 1.5
mm (at the lowest point).
n Unscrew the adjustment screws until they contact the floor. Slightly retract the adjust‐
ment screws.

n The gantry should not wobble.
 n
n
The gantry has to be standing on its feet.
The gap under the gantry should be no less than 1.5 mm (but as small as possible).
n The holes in the adjustment screws must align exactly with the holes in the floor
n Insert screws with washers through adjustment screws and into the anchors.
n Tighten all 4 screws with a torque wrench to anchor the gantry. The maximum torque
depends on the type of screw used.
n Continue with( Removing the Transport Device / Page 49)

4.3 Patient Table

Bolting the patient table to the floor is mandatory for every installation.
 Continue with, ( Installing the Components / Page 42), and follow the installation pro‐
cedure beginning on ( Patient Table / Page 52)
n No additional anchoring is required.

4.4 PDC and WCS Housing

Bolting the Housing to the Floor
n The respective housing has to be bolted to the floor using 4 screws (size M10)
through the housing frame.
n Draw the drill holes using the holes in the housing frame as a template.
n Remove the housing so that the holes may be drilled.
n Drill the four holes for the anchors (M 10 DIN 912) and remove the dust with a vac‐
uum cleaner.
- Drilling depth: Ensure that the anchor sits securely in the concrete and is not just
anchored in the floor covering or subflooring.
- Continue with the rest of the procedure shown on ( Fig. 52 Page 58)
( Fig. 53 Page 60) (if using "Liebig" anchors).
n Insert the anchors (M 10) into the 4 holes in the floor.
n Return the housing to the installation location and align the holes in the housing with
the holes in the floor.
n Lower the housing to the floor.
n Insert the 4 screws through the housing frame into the anchors.
n Tighten all 4 screws using a torque wrench to anchor the housing to the floor. The
maximum torque depends on the type of screw used.

4.5 IRS
4.5.1 IRS2 / IRS3

n Refer to ( IRS Mounting / Page 94)
To prevent it from tipping over, the IRS has to be bolted to the wall and/or floor.
 In earthquake-prone areas, both are recommended.

Adhere to all country-specific regulations.
4.5.2 IRSmx
Siemens does not provide special equipment for mounting in earthquake-prone areas. If it
is required, the PM must provide a solution.

108 5 Electrical Connections / System Cabling
5.1 Introduction
n This chapter describes the CT system cabling and presents all electrical connections
and power and signal cables to be established during installation.
n Route the cables as described in the following pages. Each cable is identified by a W-
number, and each plug is imprinted with the X-number of the corresponding connec‐
tor.
n The set of cables comes in either standard length (16 m) or extended length (25 m),
depending on the purchase order.
n Cable W3 is specific to customer requirements.
5.1.1 Cable routing
5.1.1.1 Handling Fiber Optic Cables
Fiber optic cables are very senitive and can be damaged easily. They must be handled

carefully and routed at the end of the cabling procedure. Fiber optic cables should not
be bundled with other cables.
The mimimum bending radius for a fiber optic cable is 50 mm ( approx. 2 inches ).

Correct cable routing is a basic prerequisite for a reliable system.
Follow these instructions carefully.
5.1.1.2 Handling system cable

n Avoid routing system cables close to other cables. The minimum distance to other de‐
vice cables should be at least 1 m (approx. 3 feet).
n Where possible, route the voltage cable and signal cable in separate shielded cable
ducts. Otherwise, maintain the following minimum distance between the voltage and
signal cables:
- Signal cable → main voltage cable: 5 cm
- Signal cable → 400 V cable (UDC): 15 cm
Do not roll up excessive cable length. The remaining cable has to be extended in cable

ducts as as long as possible. If no cable duct is available, the remaining cable length has
to be rolled up as wide as possible so as to meander.
In any case, do not tie wrap this cable.

Electrical Connections / System Cabling 5 109
Fig. 124: Cable routing

5.1.2 Cable Legend

Fig. 125: Cable legend
(1) PDC
(2) Gantry
(3) cable inlet
(4) cable number
(5) length of cable in the unit from the socket to the cable outlet under (or on) the floor

5.2 Power and Protective Conductor Connections
5.2.1 Cable Schematics - Tower 7 and above

Fig. 126: Cable Schematics (Tower 7 and above)

(*1 through (*5 Explanation in the table ( Tab. 1 Page 114)

5.2.2 Cable Schematics - up to Tower 7

Fig. 127: Cable Schematics

*1) through *3) Explanation in the table ( Tab. 1 Page 114)
5.2.3 Table Regarding the Cable Schematics

Tab. 1 Table Regarding
No. Cable type / Delivered length Remarks

Function
W1 Power cable 16 m / 25 m
W2 Protective con‐ Depends on the order W2 and W3 route into the same ca‐
ductor ble duct
W3 UDC Power ca‐ Depends on the order
ble
W4 (or Power cable W4 - 25 m / 50 m W4 (or W4_10) and W5 route into
W4_10) 1
W4_10 - 10 m / the same cable duct
W5 Protective con‐ 25 m / 50 m
ductor
W8 Power cable 16 m / 25 m With plug for non-heating device
W9 Power cable 16 m / 25 m
W10 Power cable 3m
ductor
W12 Protective con‐ 3m
ductor
W13 Power cable 3m With plug for non-heating device
ductor
W15 Power cable 16m / 25 m With plug for non-heating device
W95 Protective con‐
ductor
W802 Power cord USA: 3 m FRG: 2 m

No. Cable type / Delivered length Remarks

Function
*1) Control cable Length depends on On-site cable for connecting to an
the on-site circum‐ isolated relay switch contact (250V /
stances. 5A ~ AC); not included in the delivery
volume
*2) Power cable Length depends on On-site cable for door switch; not in‐
the on-site circum‐ cluded in the delivery volume
stances.
*3) Power cord Length see W-number The IES can be supplied power from
the PDC or the on-site power supply
(with / without local UPS).
If the IES uses power from the PDC,
use variant A, otherwise use variant
B ( Fig. 127 Page 113)/
( Fig. 126 Page 111)
*4) Power cord The cable is included and hard-wired
at the monitor
*5) Power cord, The cables are included and hard-
protective con‐ wired at the container fan
ductor
1. Use only one of the two cables W4 and W4_10. The other cable may be disposed of.
For details regarding the container fan and cabling for additional and second monitors
(Tower 7 and above), refer to "Installation of Hardware and Software Options",
CT00-000.814.23.xx.xx.

5.3 Control and Data Lines

Explanation in the table ( Tab. 2 Page 118)



Explanation in the table ( Tab. 2 Page 118)
5.3.3 Cable schematic

Tab. 2 Table Regarding
No. Cable type / Delivered Remarks

Function length
W50 Control cable 16 m / 25 m

W53 Control cable 10 m/ 20m/ 30m
W55 Data cable 30 m Fiber optic cable (in the left gantry stand)
W62 Data cable 30m (Twisted Pair Ethernet cable; Crossover)
W63 1 Keyboard cable 2 m (4 m) Either 2 m (delivered with keyboard) or 4m
(PS/2) (part of the system)
ICS/IES
W64 2 Mouse cable 2 m (3 m) 2 m (delivered with mouse), 3 m as exten‐
(PS/2) ICS/IES sion (part of the system).
W65 ICS video cable 3m 18” flat screen: BNC cable, 70Ω
19” flat screen: DVI cable (cable ID ist not
W65)
W66 Control cable 2.5 m Control box cable
W71 Microphone / 1m
loudspeaker ca‐
ble
W73 Control cable 1m
W74 Control cable 1m
W75 Data cable 25 m
W77 Data cable 1m
W98 Signal and pow‐ 40m Only for water-air split cooling systems
er supply cable (outdoor unit to indoor unit)
W865 IES video cable 3m 18” flat screen: IES => IES monitor, BNC
cable, 70 Ω.
19” flat screen: DVI cable (cable ID is not
W865)
W851 Ethernet cable 5m Ethernet switch => IES

No. Cable type / Delivered Remarks

Function length
W852 Ethernet cable 5m Ethernet switch => ICS.

W853 Ethernet cable 5m/ Ethernet switch => local power supply
30 m optional
1. With Tower 8 are USB keyboards are available with Tower 8. The PS/2 cable W63 is not needed The cable
range of the cables provided is up to 4m.
2. The USB mouse is available with Tower 8; the PS/2 cable W64 is not needed. The cable range of the provi‐
ded cables is up to 4m.
Cabling details for additional and second monitors (Tower 7 and above), refer to "Installa‐
tion of Hardware and Software Options" CT00-000.814.23.xx.xx.

 WARNING
Connection of non-Siemens devices to the PDC, e.g. camera, patient monitoring
device etc. can cause system malfunctions. This can cause injury and/or damage
to the equipment.
Consequence: Risk of accident and injury or damage.
 Only connect Siemens devices and components described and approved in
the service doumentation.

5.5 System Cabling and Cable Connections

n The graphics and tables on the following pages represent all system cable connections
and overall cable routing.
n There are a few footnotes in the tables (e.g., *1, *2, .. etc.). They are explained at the
end of each table and contain additional important information on routing, connect‐
ing, and handling cables. Please read this information carefully.
n Route the cables to the connection locations according to the directions.
n Check whether all connections are tightened appropriately.
n Secure the cable at the respective connection location with cable ties.
5.5.1 WCS (Water / Air Type)

Fig. 130: WCS Connections (water-air type)
(1) X1 (W4)
(2) X2 (W5)
(3) X3 (W53)
Cable connections at Cable-ID Cable routes to

X1 *1) W4 (or W4_10) PDC: X260
X2 (GND) W5 PDC: X100(GND)
X3 (MCU) W53 Gantry left: D301.X15
*1) Work in progress: Connector X1 from cable W4 (or W4_10) can be mounted at the
cut-out in the WCS connection area( Fig. 132 Page 122). The WCS internal counterpart
to X1 can be connected to W4 (or W4_10).

5.5.2 WCS Cabinet (Water / Water Type)

Fig. 131: WCS conncetions (water-water type)
(1) X1 (W4)
(2) X2 (W5)
(3) X3 (W53)
Cable connections Cable - ID Cable routes to

X1 *1) W4 (or W4_10) PDC: X260
X2 (GND) W5 PDC: X100(GND)
X3 W53 Gantry left: D301.X15
cut-out in the WCS connection area( Fig. 132 Page 122) . The internal WCS counterpart
Fig. 132: Installing X1 at the WCS conncetion area
(1) WCS internal counterpart to X1

(2) Cutout for installing W4 cable

5.5.3 WCS cabinet (water/air split type)

A optional flow heater is available for the water/air split cooling system. This system is
connected to the primary cooling circuit (indoor unit to outdoor unit (air-fan)). For more
information refer to the document “Preinstallation - Installation of the external air split
cooling system” (CT00-000.811.02.xx.xx).
Fig. 133: WCS connections (water/air split type)
(1) X1 (W4) - power connection

(2) X2 (W5) - PE connection
(3) X3 (W53)
Fig. 134: WCS connections (water/air split type)
(1) W98 (to outdoor unit)

(2) Power connection

X1 *1) W4 (or W4_10) PDC: X260
X2 (GND) W5 PDC: X100 (GND)
X3 W53 Gantry left: D301.X15


X20 W98 External air fan
X4 (L1, L2, L3, N) n.a. On-site power supply
cut-out in the WCS connection area ( Fig. 132 Page 122). The internal WCS counterpart

5.5.4 PDC (Power Distribution Cabinet)

Fig. 135: PDC Cabling (part 1)
(1) D450 X7/8/9/10 (W3)

(2) D451.X3 (W51)
(3) X250 (W54)
X253 (W9)
X254 (W8)
X260 (W4)
X257 (W1)
X100 PE. (W2,W5,W11,W14)
(4) F99
(A) Detail A
X263
door contact (X9/X10) radiation warning light (X1/X2)
(B) Detail B
Power connection (on-site)
L1 / L2 / L3, N, PE
(C) Detail C
to connect the cables follow the instructions on the label


X257 W1 Left gantry stand: Z301
X100 *2a) W2 Right gantry stand: PE301 (PE)
D450: X7,X8,X9,X10 W3 Right gantry stand: X303.1,
*2a,b,c) X303.2 X303.3, X303.4
Max. torque 4.8 Nm
X260 W4 (or W4_10) WCS: X1 (power)
X100 W5 WCS: X2 (PE)
X254 W8 IRS: power connection
X100 W11 IRS: X101 (PE)
X253 W9 power connection -> multiple
socket strip
X255 W15 IES: Power connection (up to
VB20)
Multiple socket strip IES
(above VB20)
X100 W14 Ground (PE) -> multiple socket
strip ICS
X100 W14 Ground (PE) -> multiple socket
strip IES (only above VB20)
D451: X3 (Generator stat.) W51 Gantry left: D301.X14
X250 W54 Switch box: X2
X1/X2 (X263 - --- (obtain locally) radiation warning light (on-
>( Fig. 135 Page 125) site)
X3/X4 (X263 - --- (obtain locally) Cool on (Cooling system, on-

>( Fig. 135 Page 125) site)
X6/X7 (X263 - --- (obtain locally) Preparation (for additional sig‐

>( Fig. 135 Page 125) nal, on-site)
X9/X10 (X263 - --- (obtain locally) door switch (on-site)

>( Fig. 135 Page 125)
X11/X12 (X263 - --- (obtain locally) Emergency Stop (normally
>( Fig. 135 Page 125) closed)
L1,L2,L3, N,PE (main pow‐ --- (obtain locally) Main power supply (on-site)
er supply) X111 => *3)

*2a) Cables W2 and W3 must be routed in parallel and at a distance from other voltage
and signal cables. Cable W3 is delivered at a customer-specific length (as ordered) be‐
cause it is very stiff and cannot be rolled. The cable length delivered may be adapted to
the actual length required. In addition, crimping pliers are required to attach the cable
ends to the terminals. The crimping pliers are not delivered with the system. We recom‐
mend using the following tools:
Brand: Weidmüller Crimp pliers part no. 90 18 02

Terminals part no. 90 18 50,
part no. 90 18 60
In Europe: Weidmüller Interface

Postfach 3030
32720 Detmold
Germany
In USA: Weidmüller Inc.

821 Salt Lake Blvd.
Richmond, VA 23236
Tel (804) 794-2871
*2b) Secure cable W3 with the existing metal fastener (strain relief) at the base of the
PDC cabinet and in front of the stationary generator.
*2c) Note: The maximum torque permitted for connecting cable W3 to D450
X7/X8/X9/X10 is 4.8 Nm. Proceed with care.
*3) Secure the main power cable with the existing metal fastener (strain relief) at the
base of the PDC cabinet.
5.5.5 Left Gantry Stand

n Route the cable to the corresponding connection points.
n Ensure that all connectors are tightened accordingly.
n Secure the cables and wires with cable ties.

Fig. 136: Left Gantry stand
(1) D301.X27 (W75)

(2) D301.X13 (W50)
D301.X14 (W51)
D301.X15 (W53)
(3) X321 (W55)
(4) X301, X305, X314 (W1)
(5) Z301.L1/2/3/N (W1)

D301.X13 W50 Switch box: X1
D301.X14 W51 PDC: D451.X3
D301.X15 W53 WCS: X3
D301.X27 W75 IRS: IRSAQP D32/X1
X301 W1=>refer to footnote*4) PDC:X257
X305
X314
Z301: L1,L2,L3,N
X321 (fiber optic cable) W55 IRS, IRS2, IRS2C: IRSAQP
D23 / X1
X321 (fiber optic cable) W55-L IRS, IRS2, IRS2F: IRSAQP
D24 /lower connection

*4) W1 contains 4 cables bundled into a single cable.
5.5.6 Right Gantry stand

Fig. 137: Right Gantry stand
(1) PE 301 (W2)

(2) X303. 1/2/3/4 (W3)

PE301 (GND) *5) W2 PDC: X100
X303: 1 W3 PDC: D450.X7
X303: 2 PDC: D450.X8
X303: 3 PDC: D450.X9
X303: 4 PDC: D450.X10
X303: GND/Shield PDC: GND/Shield
*5) Connect cable W2 prior to W3; otherwise, it will be difficult to access.

5.5.7 PHS (Patient Handling System)
Fig. 138: Connections (view A) Fig. 139: Connections (view B)
(1) E703 X1 from connecting frame (1) X701 from Gantry left
(2) ECG X704 (2) PE 700
(3) Gantry X702
(4) X703

X701 W6 Gantry left: X301 (internal
wiring)
PE700 (PE) W7 Gantry left: PE303 (GND)
(internal wiring)
X702 *6) --- X702 (cable from gantry)
E703.X1 *6) --- Connecting frame
(Switch)
*6) These cables (W52/W67/W68 coming from the gantry)have to be connected in the
patient table. The connectors and plate have to be secured with cable ties
( Fig. 138 Page 130).

5.5.8 ICS Computer
Fig. 140: ICS 7711844 Fig. 141: ICS 7130300
Fig. 142: ICS 7711703 Fig. 143: ICS 8879616 / 8879665

Fig. 144: ICS 8879566 / 8879574 Fig. 145: ICS 10143562
Fig. 146: ICS Tower 9B2 (10497984)
Refer to ( Tab. 3 Page 133).


Required connections can change quickly. The current connection layout is attached to
the right or left side of the computer( Fig. 147 Page 133)
Fig. 147: ICS Connection label
5.5.9 ICS Computer Cabling Table

Tab. 3 ICS Computer Cabling Table

ICS: power supply W13 socket strip
18” flat screen W65 - BNC/D-SUB cable ICS monitor: R/G/B = Red/
ICS: Monitor connection Green/Blue H-Sync=Grey V-
(graphic card) Sync=Black
19” flat screen n.a. (DVI cable) ICS monitor - DVI interface
ICS: Monitor connection
(graphic card)
ICS: twisted pair Ethernet ca‐ W62 IRS switch connector: 8MDI
ble
ICS: D31.X1 W73 Switch box: X4
ICS: D31.X2 W71 Switch box: X6
ICS: X11/12/13/14 W74 Switch box: X5
Part no.: 7711703, 7130300 W77 Switch box: X8
ICS: COM 2
Part no.: 7711844, 8879418,
8879616, 8879566,
10143562, 10497984 ICS:
COM 1
ICS: keyboard (PS/2) W63 ICS keyboard
ICS: keyboard (USB) hard wired ICS keyboard


ICS: mouse (PS/2) W64 (part of mouse) ICS mouse
ICS: mouse (USB) hard wired ICS mouse
ICS: "Dongle" --- (Plug only) ---
ICS: LAN connection --- (Ethernet cable) Ethernet switch

5.5.10 IRS part no. 7394617

Fig. 148: IRS part no. 7394617
(A) IRS Complete front view

(B) Back of IRS (lower door)
(1) W8 (Power supply from PDC X254)
(2) Cable inlet
(3) W11 (PE form PDC X100, diameter 8 mm)
(C) Connection data cable (front door)
(4) W55 (fiber optic cable form left gantry stand)
(5) W75 (Data calbe form D301 X27)
(6) W62 (Twisted Pair Crossover Ethernet cable at connector 8 MDI)

IRS Power supply (A) W8 PDC: X254
IRS: X101 (PE) (A) W11 PDC: X100 (PE)


F Rec D23 to CT Gantry W55(fiber optic cable) Gantry left (direct connec‐
D23 / X1 (B) tion)
IRS: IRSAQP D32 / X1 (B) W75 D301 X27
IRS Switch (/B) (Ethernet W62 ICS
cable at 8 MDI) (Twisted pair Crossover)

5.5.11 IRS part no. 7394641


(1) W75 (Data calbe form D301 X27 )
(2) W55(fiber optic cable form left gantry stand)
(5) Cable inlet

IRS: X101 (PE) (A) W11 PDC: X100 (PE)
F Rec D23 to CT Gantry W55 (fiber optic cable) Gantry left (direct connec‐
D23 / X1 (B) tion)


IRS Switch (B) (Ethernet W62 ICS

5.5.12 IRS part no. 8378353


(1) W75 (Data calbe form D301 X27 )
(2) W55-L (Fiber optic cable form left gantry stand)
(5) Cable inlet
(C) GREC D24


IRS: X101 (PE) (A) W11 PDC: X100 (PE)
G Rec D24 W55-L (fiber optic cable) Gantry left (direct connec‐
(Lower plug) tion)
IRS Switch (B) (Ethernet W62 ICS


5.5.13 IRS part no. 7542603


(1) W55 (fiber optic cable form left gantry stand)
(2) W75 (Data cable form D301 X27)
(5) Cable inlet

IRS: X101 (PE) (A) W11 PDC: X100 (PE)
G Rec D24 (A) W55 (fiber optic cable) Gantry left (direct connec‐
tion), CT Gantry D23 / X1


IRS Switch (/B) (Ethernet W62 ICS

5.5.14 IRS3 part no. 8377785
Fig. 152: IRS3 frontview Fig. 153: IRS3 backside-bottom
(1) W11 PE connection

(2) W8 Power connection
(1) W62 Ethernet port to ICS (3) Strain relief for power connection
(2) W75 Data cable connection
(3) W55 Optical cable connection

IRS Power supply W8 PDC: X254
IRS: X101 (PE) W11 PDC: X100 (PE)
G Rec D24 W55 (fiber optic cable) Gantry left (direct connec‐
tion), CT Gantry D23 / X1
IRS: IRSTCR D32 / X1 W75 D301 X27
IRS Switch (Ethernet cable W62 ICS (Twisted pair Crossover)
at Port 1)

5.5.15 IRSmx2s part no. 8871910

Fig. 154: IRSmx2s (8871910)
(1) D24
(2) D32.X1
(3) LAN to ICS
(4) Power
(5) PE

Fig. 155: Hook-and-loop tape
 Do not use cable ties to secure the cables! Use the hook-and-loop tape provided.
Cable connection at IRS Cable-ID Cable routes to

AC Power In (power supply) W8 PDC: X254
X100 (PE) W11 PDC: X100 (PE)
D24 - FO from Gantry W55 (fiber-optic cable) Gantry left (direct connec‐
(GREC, fiber-optic port) tion), CT Gantry D23 / X1
D32.X1 (CAN bus) W75 D301 X27
LAN#1 - LAN to ICS (Ether‐ W62 ICS (Twisted pair crossover)
net port)

Fig. 156: IRSmx2/3 electric shock protection and power switch
1 2
(1) Electric shock protection

(2) Main power switch
After connecting the IRS power cable, attach the electric shock protection
 ( 1/Fig. 156 Page 144).

Switch on the IRS main power switch at the back ( 2/Fig. 156 Page 144).
5.5.16 Switch Box

Fig. 157: Switch box connections

X1 W50 Gantry left: D301.X13 (MCU)


X2 W54 PDC: X250
X3 --- (part of the control box) Control box
X4 W73 ICS: D31.X1 (CIB)
X5 W74 ICS: X11/12/13/14
X6 W71 ICS: D31.X2 (CIB)
X8 W77 ICS part no.: 7711844, 8879418,
8879616, 8879566, 10143562
COM 1
ICS part no.: 7711703, 7130300
COM 2
X9 W76 IES_UPS Signal
(Optional; when voltage supply
from the PDC with a UPS, connect
to IES COM1)
5.5.17 ICS monitor (18” and 19” flat screen)
5.5.17.1 18” flat screen
Fig. 158: Monitor (Flat screen) Fig. 159: Monitor connections at rear
(1) W10 Power cable

(2) W65 (Monitor signal cable)

Cable connections at Cable ID Cable routes to

Power cable ICS W10 multiple socket strip, UPS or
IES W810 on-site connector
Monitor signals: R = Red, G W65 (ICS) ICS: Graphics card

= Green, B = Blue H-Sync = W865 (IES) IES: Graphics card
Grey or White V-Sync =
Black
5.5.17.2 19” flat screen
Fig. 160: 19” flat screen/preparation Fig. 161: 19” flat screen/remove cover

Fig. 162: 19” flat screen/remove display stand Fig. 163: 19” flat screen/cable connections
(1) M4 screws (1) DVI interface

(2) Power supply
Fig. 164: 19” flat screen/display stand attached Fig. 165: 19” flat screen/cover attached
n Extend the display stand to the fully elongated position. Refer to

( Fig. 160 Page 146).
n Grasp the cover at the specified positions and remove it from the display. Refer to
( Fig. 161 Page 146).
n Remove the four screws with an M4 Torx or slot screwdriver (one turn suffices). Pull
the stand downward and remove it. Refer to ( Fig. 162 Page 147).
n Lead the monitor end of the cables through the stand’s cable duct. Connect the cables
to the display. Refer to ( Fig. 163 Page 147).
n Align the stand with the provided openings (screw holes) and tighten the screws. Re‐
fer to ( Fig. 164 Page 147).
n Attach the cover. Refer to ( Fig. 165 Page 147).
Cable connections at Cable ID Cable routes to

Monitor: Power Supply n.a. Multiple socket strip, UPS or
on-site connector
Monitor: DVI interface n.a. ICS: Graphics card or
IES: Graphics card


If the monitor (ICS, IES, or dual) is delivered with an additional PE cable,
then connect the PE cable of the monitor to the IMS power distribution PE sockets (PIT).
 The monitor voltage supply is provided via the multiple socket strip, UPS (only option for
IES) or on-site connector.
5.5.18 IES Computer
Fig. 166: IES 7130060 Fig. 167: IES 7711760

Fig. 168: IES 7711802 Fig. 169: IES 8879400

Fig. 170: IES 8879608 Fig. 171: IES 10143560
Fig. 172: IES Tower 8D (10143561) Fig. 173: IES Tower 8E (10392906)
Refer to ( Tab. 4 Page 151).


Required connections can change quickly. The current connection layout is attached to
the right or left side of the computer ( Fig. 174 Page 151).
Fig. 174: IES connection label
5.5.19 IES Computer Cabling Table

Tab. 4 IES Computer Cabling Table

IES power supply W15 PDC: X255
IES power supply W812 UPS or local socket
IES: X101 (PE) W12 multiple socket strip
IES: mouse connection (PS/2) W64 IES mouse
IES: mouse connection (USB) hard wired IES mouse
IES: keyboard connection (PS/2) W63 IES keyboard
IES: keyboard connection (USB) hard wired IES keyboard
IES: line voltage connection W851 To Ethernet switch: PC 3x
or LAN
IES: "Dongle" --- (plug only) ---
18” flat screen W865 - BNC/D-SUB ca‐ IES monitor: R/G/B/H/V
IES: monitor connection ble
19” flat screen n.a. (DVI cable) IES monitor: DVI interface
IES: Monitor connection
Switch box X9 W76 IES COM 1 (Option)
Local UPS W80 IES COM 1 (Option)
Voltage supply from on-site socket W802 IES Power supply

When connecting the IES via the PDC (USP option), note that both the IES and ICS are
 supplied with power from the multiple socket strip. For this reason, the distance be‐
tween them is limited to approx. 5 m.
5.5.20 UPS for IES Tower (Optional)

n Depending on the local voltage, there are two different UPS versions, 120 Volt and
230 Volt. Notice: The UPS Version 230 Volt has to be connected with W820 to the on-
site PE-connector.
n Refer to the document "Installation of Hardware and Software Options"
CT00-000.814.23.xx.xx in the blue binder or the CB-DOC Service-CD.
5.5.21 IES Monitor

Identical to the ICS monitor. See ( ICS monitor (18” and 19” flat screen) / Page 145).
5.5.22 Ethernet switch

Fig. 175: Ethernet switch connections
(1) Power supply (rear)

(2) 1X IES
(3) 2X ICS
(4) 3X to 7X other network partners
(5) LAN
or

Fig. 176: Ethernet switch connections
(1) 1X IES
(2) 2X ICS
(3) 3X to 7X other network partners
(4) LAN

Ethernet switch: power Part of the delivery volume Power connection
supply
Ethernet switch: Port "To W851 IES connection
PC: 1X"
Ethernet switch: Port "To W852 ICS connection
PC: 2X"
Ethernet switch: Port 8 W853 LAN
(MDI-X or MDI)
Ethernet switch: Port "To Other modalities Modalities
PC: 3X to 7X"
5.5.23 Voltage Distribution (Multiple Socket Strip)

n A multiple socket strip provides the power supply from the ICS and/or IES. The power
supply is established in accordance with ( Power and Protective Conductor Connec‐
tions / Page 111).
The multiple socket strip or the on-site connector provide the monitor voltage supply.
 The Multiple Socket Strip is not watertight and must be mounted therefore at a suitable
place. It is recommended to attach the multiple socket strip at the wall (on-site) or the
rear wall of the table.

Fig. 177: Mounting the multiple socket strip Fig. 178: Multiple socket strip
1
2
3
(1) Nut
(2) Contact washer
(3) Multiple socket strip
(1) W12
(2) W9
(3) W14

Multiple socket strip ICS W9 PDC: X253
Multiple socket strip ICS W14 PDC: X100 (PE)
Multiple socket strip IES W14 (VB20 and above) PDC: X100 (PE)
Multiple socket strip IES W15 (VB20 and above) PDC: X255
Multiple socket strip ICS W12 (up to VB20) IES (PE)
5.5.24 PET Systems / Maquet Systems

n Pull out the cable W702 (remove plug housing) and connect it to the GMI-board.
Connect cables

D702.X3 W960 Corresponding cable from
PET system or Maquet sys‐
D702.X4 W961 tem
D702.X22 W962
D301.X16 W702 D702.X2
The connectors shall be placed below the MCU assembly.

An additional firmware for PET and Maquet Systems has to be installed. The installation
is described ( Installation of firmware / Page 181).

5.6 Measuring the protective conductor resistance
5.6.1.1 Checking the protective system conductor
 Measure the protective conductor meter as described in the following product-specific

contents.
 All measuring points are listed in the "Mechanical Installation Certificate"

CT00-000.813.02.xx.xx.
n Make sure that the measuring instrument is calibrated according to manufacturer's

regulations.
n Use a protective conductor meter to perform the test.
n Unroll the test cable completely from the test device prior to performing the test to
ensure correct results. Check the correct zero setting.
n Measure the protective conductor and resistance and enter all results in the “Mechan‐
ical Installation Certificate”.
5.6.1.2 General notes when measuring at the monitors

Always follow the note shown below when measuring at any monitor.
 Disconnect the monitor signal cable to the computer. Otherwise, the graphics board will
be destroyed.
Measuring point 18” monitor

Fig. 179: 18 Inch Flachbildschirm
(1) Messpunkt für Schutzerdung

Measuring point, 19” monitor (Siemens/Eizo)

Fig. 180: 19 inch flat screen
(1) Measurement point
Measuring point, 19” monitor (Bigtide)

Fig. 181: 19" flat screen
(1) Measurement point

Filling the Water System (Gantry - WCS) 6 157

The WCS must be switched off whenever you fill or drain the gantry water system.

Do not turn on the water pump before you fill the gantry water system.
=>the water pump will be destroyed when you switch on the WCS without water.
Do not mix anti-freeze into the chilled gantry water.

If the water flow into the gantry is too strong (noise can be heard),
close the valve by 15 to 30 degrees ( Fig. 184 Page 158) position C.
The primary cooling circuit (indoor unit to outdoor unit) of the water/air split cooling sys‐

tem had to be connected and filled prior to the CT system installation.
Refer to document “Preinstallation - Installation of the external air split cooling system”
(CT00-000.811.02.xx.xx).
6.1.1 Preliminary Steps

n The water hoses to the main and gantry water supply must be attached and tightened
according to the instructions in ( Installing the WCS (Water Cooling Sys‐
tem) / Page 79)
n Flush the bypass near the gantry connector
- Magnetic valve A: ( Fig. 182 Page 158)Close magnetic valve " MV1 " at the right
gantry stand to the end stop by turning it in counter-clockwise direction, then turn
the valve one rotation in clockwise direction (use a 5 mm Allen wrench at the valve
stem).
- Or Magnetic valve B: ( Fig. 183 Page 158)Turn the magnetic valve " MV1 " to
scale position "5". Use a 15mm flat wrench to turn the knob. For rotating direction
look at the scale and mark on the knob.
n The WCS " gantry water inlet " valve with the red handle has to be closed (the lever
has to be in the horizontal position, ( Fig. 184 Page 158).
n The gantry water filling valve at the WCS has to be closed ( Fig. 184 Page 158)
- Turn the water filling valve (clockwise direction) to the mechanical end stop.

158 6 Filling the Water System (Gantry - WCS)
Fig. 182: Magnet valve A Fig. 183: Magnet valve B
(1) “MV1” right gantry
Fig. 184: Valve with red handle at the WCS
(1) red handle

(2) water filling valve
(B) horizontal position = closed
(A) vertical position = open
n The manometer for water pressure monitoring (delivered with the WCS) must be con‐
nected to the WCS " gantry water outlet ".
n Two 1/2" garden hoses of the necessary length and hose connectors must be availa‐
ble. The hose connectors are included with the WCS delivery volume (the package is
within the WCS).
6.1.2 Filling the Water System
The nominal static water pressure for the Gantry-WCS water system: 2 bar (± 0.2 bar;
 when the WCS is switched off).

Refill is mandatory at 1.8 bar.

Filling the Water System (Gantry - WCS) 6 159
Fig. 185: Water-water-type: filling and draining Fig. 186: Water-air-type: filling and draining
(1) Gantry water drainage connector and valve (1) Gantry water drainage connector and valve
(2) Gantry water filling connector and valve (2) Gantry water filling connector and valve
Fig. 187: Water/air split type: filling and draining
(1) Gantry water drainage connector and valve

(2) Gantry water filling connector and valve
n Install the brass connector to one end of the garden hose and tighten accordingly. The
brass connector is included in the WCS delivery volume (to connect the filling / drain‐
ing hoses to the WCS).
n Remove the brass cap from the gantry water filling valve at the WCS "gantry water in‐
let". The cap will be used later to open/close the valve.
n Connect the hose to the gantry water filling valve ( Fig. 185 Page 159),
( Fig. 186 Page 159), ( Fig. 187 Page 159) and tighten it.
n Attach the water connection adapter to the other end of the garden hose (obtain lo‐
cally based on the water tap of the on-site water supply).
n Connect the water connection adapter to a nearby water tap (on-site water supply)
and tighten accordingly.
n Install the 2nd brass connector on the second garden hose and tighten it accordingly.
n Remove the brass cap from the gantry water drainage valve at the WCS (next to the
water pump; ( Fig. 185 Page 159), ( Fig. 186 Page 159), ( Fig. 187 Page 159). The
cap will be used later to open/close the valve.

160 6 Filling the Water System (Gantry - WCS)
n Connect the second garden hose to the "gantry water drainage valve" and tighten.
n The other end of the garden hose must be routed and secured to a drain.
n Open the gantry water drainage valve with one of the brass caps (to open, turn in
counter-clockwise direction).
n Close the red lever for the "Gantry Water Inlet".
- The red lever is in the horizontal position ( Fig. 184 Page 158).
n The manometer must be connected to the "Gantry Water Outlet".
n Open the water tap.
n Slowly open the gantry water filling valve with the brass cap (to open, turn in counter-
clockwise direction).
- Water flows through the gantry water system bypass.
n Check the seals of all hose connections at the gantry and WCS.
n Flush the system for several minutes.
n After 5-10 minutes, use the 5 mm Allen wrench to open the magnet valve
( Fig. 182 Page 158) to the end stop (turn in clockwise direction). If
( Fig. 183 Page 158) is installed, turn it to position 10. Water now flows from the
WCS to the gantry. The system must be flushed like this for 30 minutes.
- Some air will escape from the internal air vent installed in the WCS (audible hiss).
n Close the gantry water drainage valve, then close the gantry water filling valve.
n Set the lever to vertical position (open; ( Fig. 184 Page 158).
n Open the gantry water filling valve.
- The water pressure should increase. Check the manometer.
- Close the gantry water filling valve when the pressure reaches 2.2 bar -2.5.
n Close the water tap.
n Check the hose connection seals again.
n Keep the hoses connected in case refilling is necessary during start-up.
n To refill, open the water tap, then open the fill valve, until reaching 2.2 bar on the
manometer.
n Refill is mandatory at 1.8 bar.
n Remove the filling and drainage hoses if pressure remains constant during the start-up
process.
- Disconnect the filling water hose from the on-site water supply, then disconnect it
from the WCS. Pour the remaining water in the hose down the drain.
- Disconnect the draining water hose from the WCS and pour the remaining water in
the hose down the drain.
n Reinstall the brass caps on the filling and drainage valves to prevent leakage.

System Start-Up 7 161

n The entire systems was tested and adjusted at the factory.
n There is no need for additional adjustments during system start-up. Exception: Gantry
balancing (if necessary and will be explained during start-up)
n An adjustment may be necessary after replacing parts that affect system performance
or image quality.
7.1.1 Service License Key
Every new CT system is delivered with a service license key valid for one year.
 A new service license key must be obtained from your local Siemens representative (e.g.,
service technician) prior to system start.
If this is not posible, contact the CT Hotline at +49-9191-18- 8080.

162 7 System Start-Up
7.2 Safety Regulations

n Always deactivate gantry rotation prior to performing any work on the rotating sec‐
tion of the gantry.
- Set Service Switch S301 to 0 position.
n Prior to performing service activities on the rotating part of the gantry, use the protec‐
tive ground cable (yellow-green). It conducts protective ground from the stationary
gantry to the rotating part.
Remember to remove the protective ground cable once work is complete.
n The back of the gantry must remain closed (unless required due to service activities).
Beginning in this chapter of the instructions, the system is connected to power.
 Remember that some components contain hazardous voltage levels even though the
system is switched off.
 WARNING
Dangerous voltages (up to 560V_DC) are present when system is switched on.
Dangerous voltages (about 560V) may be present even when the system is
switched off due to capacity power.
 Observe poweroff instructions and discharge wait times (allow at least five
minutes discharge time after the last scan for all involved HV and UDC parts).
Secure the system against unintended switch-on (e.g. block braker against
switching on and/or mark breaker against switch on) Ensure via measure‐
ments that all voltages are switched off. Connect the stationary and rotating
parts of the gantry to a protective conductor prior to working in the gantry.

7.3 Radiation Protection Information

In this chapter, radiation is released at the system for the first time during installation.
Ensure that all radiation protection measures have been performed.
 Once the system is switched on, every person working on it must wear an x-ray film
badge for dose monitoring.

7.4 Preliminary Steps
7.4.1 Fill the Water Phantom

n Remove both nylon screws.
n Fill the phantom according to the instructions delivered with it.
If a bottle of DESALGIN is delivered with the phantom, add the DESALGIN to the water
phantom.
 If no bottle of DESALGIN is included with delivery, then the water phantom will already
have been sterilized by the manufacturer. Follow the instructions included with the
phantom.
Important: use only distilled water to fill the water phantom.
 Never use de‐ionized water. De-ionized water introduces the risk of microbe contamina‐
tion.
 There should be no air bubbles in the phantom.
n Insert the nylon screws and tighten them to seal the phantom.
7.4.2 Quick Checks

n Transport brackets:
- All transport brackets must have been removed from the gantry, patient table, and
PDC.
n Voltage settings:
- The line voltage and frequency must have been set to the country-specific values.
n System cabling:
- All voltage and system data cable connections must be completed according to in‐
structions.
n Dongle (service connector):
- The dongle is connected to a parallel port of the ICS computer and IES computer.
n Main power supply
- The on-site power supply must be connected to the PDC.
n Cooling system (water/water, water/air):
- All water hose connections must be established and tightened.
- The gantry water system must be filled.
- The main water supply must be operational (for water/water WCS).

- The air hoses must be connected (for water/air WCS).

n Water/air split cooling system:
- The cooling circuit to the external air fan must be filled (for water/air split WCS).
- The on-site power supply of the water/air split cooling system indoor unit must be
switched on.
- The on-site power supply of the optional flow heater cabinet unit (part of the
water/air split cooling system) must be switched on.
- The external air fan must be operational (for water/air split WCS). For this purpose,
the indoor unit must be switched on. The optional repair switch (mounted near the
external air fan) must be switched on.
 When the temperature is too low, the outdoor unit (external air fan) automati‐
cally switches off (safety function).
n Patient table mounting:
- The patient table must be bolted to the floor.
- All six floor mounting bolts must be installed and tightened.
n Mechanical gantry check:
- The safety bolts for locking the rotating part have been released
( Fig. 188 Page 165).
- Manually rotate the gantry 2 rotations and listen for any unusual noises.
- Set service switch S301 to position "1" ( Fig. 189 Page 165) (left side)
Fig. 188: Safety bolt Fig. 189: Service switch
n Backcover:
- The backcover of the gantry is closed and locked (safety switch).
n Frontcover:
- The frontcover of the gantry must remain closed to prevent vibrations caused by
the open door, and to obtain good image quality (stable temperature / humidity in
the gantry).

7.4.2.1 Checking the Fuses in the PDC Cabinet
Fig. 190: Checking the fuses in the PDC
Tab. 5 Checking the Fuses in the PDC Cabinet
Fuse Current Voltage Component / Function

F200 3 x 40A site-specific Main fuses of PDC
F100 3 x 80A site-specific Main fuses of Generator
F1 40A, 400A site-specific Mains switch (thermal sensor)
F3 4A 230V Control voltage
F4 16A 230V IMS computers
F5 10A 230V IRS computer
F8 3 x 13A 230V Gantry
F9 10A 230V Mains 2
F10 3A 230V Generator, stationary
F11 10A 230V Reserved
F12 3A 24V Generator, stationary
F14 3 x 20A 230V WCS
F15 6A 230V Patient table 1
F16 2A 230V Patient table 2
F17 10A 230V ICS computer
F18 3A 24V Control box
F19 3A 230V Control 1
F20 3A 230V Control 2
F21 3A 230V Second monitor
F22 3A 230V PDC fan
F23 3A 230V Gantry
F24 10A 230V IES computer

n Check to ensure that the fuses in the PDC correspond to the table above.
( Tab. 5 Page 166)
- Set the fuses to position "1".
n Check to ensure that main fuses F 200 and F 100 are inserted.
n Service switches S1 and S2 in the PDC cabinet have to be deactivated (yellow LED is
off).
7.4.2.2 Checking the fuses in the left gantry stand
Fig. 191: Check the fuses in the left gantry stand
Fuse Current Voltage Component / Function

F301 3 x 10A 230V LUST Controller (Gantry rotation)
F302 6A 230V Micro Master (Gantry tilt)
F303 6A 230V Gantry, stationary part (MCU,
GPC)
F304 2A 230V Fan M304: Gantry, upper left
F305 2A 230V Fan M305: Gantry, lower left
F306 10A 230V Gantry, rotating part
F307 8A 230V Dehumidifier
F308 2A 230V Fan M306: Gantry, lower right
n Check the fuses in the left gantry stand using the table above.
n Set all fuses to position "1".
7.4.2.3 Checking the fuses in the WCS
For safety reasons, all fuses in the WCS cabinet are switched off when delivered (pro‐
 tects the water pump against working without water >> the water system must be fil‐
led).

Fig. 192: Check the fuses in the WCS
Fuse Current Voltage Component / Sub-assembly

F3 3 x 4A 230V WCS main power
F8 3A 15V
F9 1A 230V
n Activate fuses F3, F8, and F9 in the WCS cabinet.

- Set all switches to position "1".
7.4.2.4 Checking the fuses in the WCS (water/air split type)
For safety reasons, all fuses and switches from contactors in the WCS cabinet are switch‐
 ed off when delivered (protects the water pump against working without water >> the
water system must be filled).
n Activate all fuses and the main switch in the WCS cabinet. Refer to
( Fig. 133 Page 123)
7.4.2.5 Checking the fuses in the flow heater (option of water/air split type)
For safety reasons, all fuses and switches from contactors in the flow heater cabinet are
 switched off when delivered (protects the water pump against working without water
>> the water system must be filled).
n Activate all fuses and the main switch in the cabinet of the flow heater.
7.4.2.6 Checking the Service Switch

n All service switches must be switched off.
n PDC cabinet:
- Service switches S1 and S2 have to be switched off (lower end of switch pushed
down).

n Patient table:
- The green switch at the service switch panel (at the right side of the table support
frame) must be switched off (= in Position "0").
n Gantry:
- The two service switches (RTC and Brake) at MCU board D301 (left gantry stand)
must be switched off (= switch in "down" position).
- Service switch S 301 must be in position "1".

7.5 Adapting the Voltage and Frequency
7.5.1 General notes

n All systems are delivered with a factory default setting of 400V line voltage at the T1
main transformer, and at the automatic transformer (if installed).
Systems for 380/420/440/460 or 480 V line voltage are equipped with an additional T1

auto-transformer (toward the right in the PDC near the stationary generator).
Systems for countries with 400 V line voltage do not have this additional T1 auto-trans‐
former installed.
n All systems are delivered with a country-specific line voltage setting (50 or 60 Hz).
n The connectors for voltage and frequency adjustment use a cage clamp to establish
connection. Pushing a screwdriver into the hole releases the connection and enables
the wire to be inserted or removed. If you remove the screwdriver, you interrupt con‐
tact.
7.5.2 Safety Information
 Ensure there is no voltage present in the PDC cabinet prior to adjusting the frequency
(on-site power supply is switched off and main fuses have been removed).
7.5.3 Adapting the Line Voltage
7.5.3.1 T1 Main Transformer in the PDC Cabinet:

n Connection to the line voltage (380-480 V) is established using three jumpers (black
wires) at connector X251 (at the front of the T1 main transformer, bottom left in the
PDC cabinet).

Fig. 193: Main transformer T1 in the PDC
(1) Jumpers
(2) Connection terminal X251
Line voltage: Jumper connection on X251 (T1 main transformer):

380 V 1U1 --- 1W3 1V1 --- 1U3 1W1 --- 1V3
400 V 1U1 --- 1W4 1V1 --- 1U4 1W1 --- 1V4
420 V 1U1 --- 1W5 1V1 --- 1U5 1W1 --- 1V5
440 V 1U1 --- 1W6 1V1 --- 1U6 1W1 --- 1V6
460 V 1U1 --- 1W7 1V1 --- 1U7 1W1 --- 1V7
480 V 1U1 --- 1W2 1V1 --- 1U2 1W1 --- 1V2
n Check the jumper positions using the table above.

n Connect the jumpers according to the country-specific line voltage.
7.5.3.2 T1 Automatic Transformer in the PDC Cabinet

For systems with 380/420/440/460/480 V line voltage only.
Systems with 400 V line voltage do not include the additional T1 auto-transformer.
n The auto-transformer is positioned to the right, next to the stationary generator.

n Three wires (L1, L2, L3) at the connection terminal connect the T1 auto-transformer
to the line voltage.

Fig. 194: Automatic transformer T1
(1) Connection Terminal at T1 (wires L1,L2,L3)

(2) Bonding jumper
n Check the line voltage set at the connection terminal of the T1 auto-transformer using
the table below. If the line voltage is not 400V, connect the T1 auto-transformer
L1/L2/L3 as described in the table below. Install the enclosed bonding jumper be‐
tween connectors 1U6 - 2U1, 1V6 - 2V1, and 1W6 - 2W.
n Set the appropriate country-specific line voltage.
Line voltage: L1 / L2 / L3 Wire position at connection terminal (T1

auto-transformer in the PDC):
380 V L1 --- 1U7 L2 --- 1V7 L3 --- 1W7
400 V L1 --- 1U6 L2 --- 1V6 L3 --- 1W6
420 V L1 --- 1U5 L2 --- 1V5 L3 --- 1W5
440 V L1 --- 1U4 L2 --- 1V4 L3 --- 1W4
460 V L1 --- 1U3 L2 --- 1V3 L3 --- 1W3
480 V L1 --- 1U1 L2 --- 1V1 L3 --- 1W1
7.5.4 Adapting to the Frequency

n IES-ICS computer / ICS-IES monitors / Ethernet switch adjusts automatically to the ex‐
isting voltage.
PDC Cabinet
n Frequency adaptation (50/60 Hz) is performed using 3 jumpers at connector X262 in
the PDC cabinet ( Fig. 194 Page 172).

Fig. 195: X262 in the PDC
(1) Jumper
(2) Connector X262
Line frequency: Jumper position on connector X262 in PDC:

50 Hz 1 -- 2 4 -- 5 7 -- 8
60 Hz 2 -- 3 5 -- 6 8 -- 9
n Check the jumper position at connection X262; if necessary, correct to the country-
specific line frequency as described below.
n Position the jumpers according to the country-specific settings.
- Remove the three jumpers with pliers.
- Insert the jumpers into the correct positions (based on the table above).
n The jumper settings for 50 or 60 Hz frequency will be checked again during the start-
up procedure in ( Quick Checks / Page 164)

7.6 Leakage current (DIN EN 62353:2008)
 Since direct measurements for this system are no longer required, in compliance with
DIN EN 62353:2008, a justification has to exist for the sake of completeness .
n Device leakage current: not required

Reason: Hard-wired connection and on-site protective measures in case of indirect
contact.
n Patient leakage current at the application section of the patient table (type B):
not required
Reason: Insulation between parts under voltage and application section, though met‐
al parts with protective conductor connections, IEC 60601-1 ( 2nd. Edition and 3rd.
Edition) .
n Patient leakage current in the ECG module integrated into the table (type BF):
not required.
Reason: Design measures and fixed installation.

7.7 Activating the Main Power at the PDC
 WARNING
In case of measurements with switched on system dangerious voltage levels are
present.
 Do not touch electronic connections. Use only appropiate measurement tools.

Do not confuse fuse F100 (80A) with fuse F200 (40A) (refer the labels)
( Fig. 196 Page 175)
Fig. 196: Main power connection F200
n Deactivate the Emergency Shutdown button in the CT room

n Take out the fuse F100
n Switch on Fuse F99 (for location ( PDC (Power Distribution Cabinet) / Page 125)
n Switch on the main power supply to provide power to the PDC. (Voltage is provided
up to fuse F100).
Rotating Field Measurement
n Measure at PDC voltage input, terminal F100, between phases L1 - L2 and L2 - L3:The
measurement device must indicate a rotational field in clockwise direction.

n If the rotational field is inverted, phases L1 and L2 of the main power supply cable
have to be exchanged.
 WARNING
Dangerous voltages (up to 480V_AC) are present when the on-site power supply is
switched on.
 For safe work conditions, the on-site power supply must be switched off. Se‐
cure the on-site power supply against unintended switch-on (e.g. block braker
against switching on and/or mark breaker against switch on). Ensure via
measurements that all voltages are switched off.
Checking the Actual Line Voltage

n Check the actual line voltage with a digital multimeter at F100 in the PDC.
- Measure between phases L1-L2-L3.
n Compare the actual line voltage with the voltage adaptation settings at the PDC trans‐
former presented in ( Adapting the Line Voltage / Page 170).
Actual line voltage = nominal line voltage ±20V (Nominal line voltages:
380/400/420/440/460/480 V)
- If the actual line voltage is out of tolerance, change the settings to the next closest
adaptation level in accordance with the instructions in ( Adapting the Voltage and
Frequency / Page 170).
 WARNING
Dangerous voltages (up to 480V_AC) are present when the on-site power sup‐
ply is switched on.
 For safe work conditions, the on-site power supply must be switched off.
Secure the on-site power supply against unintended switch-on (e.g. block
braker against switching on and/or mark breaker against switch on). Ensure
via measurements that all voltages are switched off.

7.8 Switching on the System

The system cannot be switched on if the back of the gantry has been removed or is
 open.
=> Safety switch
n Power is supplied to the ICS and IRS from the PDC.

n Depending on the customer’s decision, the IES may be supplied power from the PDC
(with optional UPS), from the on-site power supply, or from the on-site power supply
with optional UPS.
- The IES tower and monitor are switched on.
- The software platforms (syngo and Somaris/5) are displayed automatically at the IES
monitor.
If an on-site UPS (optional) is responsible for the IES power supply, connect the UPS in
 accordance with the cabling plan prior to this step. Then switch on the UPS and manual‐
ly switch on the IES.
n Press the "SYSTEM ON" switch (3 seconds) at the control box( Fig. 197 Page 177)
- The green LED at the control box goes on.
- All system components are now switched on
Fig. 197: Control box
n The software platforms (syngo and Somaris/5) are displayed automatically at the ICS
monitor.
- Monitor the software start-up at the monitor.
- No error messages should display while the computer is booting.
n The system goes into standby mode.
n Wait until the Checkup is displayed.
n Select: Cancel
- The Checkup window closes.
UPS Settings (Optional in the PDC) in Windows

n If the UPS is installed in the PDC, it has to be configured in Windows Refer to the docu‐
ment "Installation of Hardware and Software Options" CT00-000.814.23.xx.xx for the
installation instructions and configuration procedure.
7.8.1 Switch to SERVICE Mode

n Prerequisites:
- Two 20 digit Software service keys (for IES/ICS; contained in the white owner’s man‐
ual, Test Protocol).
n Select Local Service
- With SW <= VA70: OPTION --> Local Service.
- With SW >= VB10: OPTION --> Service --> Local Service
n Enter the password (the 20 digit service key in upper case).
- To access the service platform for the first time, enter all 20 digits and click the "Set
as default" check box.
- Subsequently, only the last 6 digits of the service key need to be entered.
n Select: GO
n The system switches to service mode and displays the service platform.

7.9 Configuration of ICS and IES

If the time setting has to be changed, ensure that the X-ray tube has been inactive lon‐
 ger than the change in time setting. For example, changing the time to "CET minus 6
hours" (CET = Central European Time) requires that the X-ray tube has not been used for
more than 6 hours.
n Some system-specific configuration data (serial numbers, options) is preset at the fac‐
tory.
n During the configuration process, all customer and location-specific configuration da‐
ta must be entered and set.
n Go to the configuration menu in the service platform:
- Select: Configuration
n VA70 and lower: Follow the instructions in the document "Configuration Software",
document number CT02-023.816.02.xx. for the system configuration.
VB10 and higher: Follow the instructions in the document "Configuration Software",
VB30 and higher: Follow the instructions in the document "Configuration Software",
These documents are part of the CB-Doc.
n When configuration is complete, the system must be restarted to activate the new set‐
tings.
7.9.1 Configuration of the Bariatric Patient Table

Activation of the Bariatric Table:
n Open "Windows Explorer" on the ICS.
n Go to the directory C:\Somaris\bin.
n Double-click to start Configure_Bariatric.exe.
n Select "Bariatric Table" and click the "Start" button for bariatric PHS with vertical limi‐
tation.
n Click the "Close" button.
Test of the limited vertical table range:

n Lower the patient table using the buttons on the control panels. The vertical move‐
ment of the patient table has to stop at ~670 mm above the floor.

7.9.2 VSim application
For SW VB39 and VB40, the VSim application is available.
 The VSim application has to be configured by trained OCS staff!

For the VSim SW configuration, refer to the document “Software Configuration”
(CT00-000.843.07.xx.xx) .
7.9.3 Uses as a PET-CT and uses in a clinical radiotheraphy environment

There are special settings (scan protocols) available for using the CT system as a hybrid
PET-CT scanner or using it in a clinical radiotheraphy environment (Oncology, RTP).
7.9.3.1 SW VB40
n Local Service - Configuration - Application
n Activate checkbox Enable Average CT mode
n Click Save - Finish - Home (system restarts automatically.)

7.10 PET / Maquet Systems only: Firmware installation

The firmware for Maquet Systems is delivered on a FW-CDROM with the Maquet parts
from Siemens. The firmware for PET Systems is delivered on a FW-CDROM with the Gan‐
try.
7.10.1 Installation of firmware

n Insert the Firmware CD
n Press <CTRL> and <ALT> and <DEL>button --> Click the Task-manager button in the
task bar
n Press <New Task> button on Applications card
n Enter explorer
n Press <OK>
n In the Windows NT Explorer, select the CD drive [-R-]
n Change to directory PET or Maquet
n Open Readme.txt
n Follow the "Hints for installation"
n After the installation remove the CD
7.10.2 Loading of Firmware

n choose Local Service (enter password)
n choose CONTROL - FLASHLOAD
n select PTV VA00A or higher
n load with GO

7.11 PET / Maquet Systems only: Modify Tables

n choose Control - Table load/modify
n modify following tables: T17, T27, T37, T47
n Take the values from the corresponding manuals for PET or Maquet AWIGS
n Enter the same values in all tables and save them.
n save with write to control system and save with write to permanent file system
Entries:
 The entries in the tables are negative for H3, T1, and positive for T3 (see Explan‐
ation). Only the values for H3, T1, T3, ICT should be changed.
Fig. 198: Extract of a table (e.g. T17)

7.12 Checking the Gantry Rotation

n Prerequisites:
- Backcover closed and locked.
- Frontcover is closed and locked. (a warning message is displayed if the front is
open).
- Switch to service mode.
n Select TestTools => Rot-Modes (in the service platform).
n Select: Time: Select the slowest possible rotation time (in the Rot-Mode window).
n Select: GO.
n Rot-Mode is loaded and gantry rotation begins automatically.
n Go to the gantry and listen for any unusual noises.
- If you hear any unusual noises, press the STOP button and look for the cause.

7.13 Checking the STOP Function

n Prerequisites:
- Frontcover is closed and locked.
-Rot-Mode is loaded and the gantry is rotating.
STOP switch
n Press the red STOP button on the control box.
n Gantry rotation ends and the gantry comes to a complete stop.
n The displays at the gantry control panel must be off.
n A message window is displayed on screen.
- Select: Continue (in the message window)
n Follow the instructions in the Rot-Mode window.
n The system must return to standby mode automatically.
- Wait until the message "RotStatic is idle" is displayed.
n Select: GO (in the Rot-Mode window).
- Rot-Mode is reloaded and the gantry begins to rotate again.
n Repeat the procedure for the red STOP buttons at the right and left sides at the front
of the gantry, and the right and left sides at the back of the gantry.

7.14 Safety Switches at the Front of the Gantry

n Prerequisites:
- Frontcover is closed and locked.
- Rot-Mode is loaded and the gantry is rotating.
n Remove the screw on the right side at the frontcover.
n Gantry rotation must slow and the gantry must come to a complete stop.
n The displays (kV, mA, s) at the gantry panel must be off.
n The system must return to standby mode automatically.
- Wait until the message "RotStatic is idle" is displayed.
n Tighten the screw once the test has been successfully completed.
n Repeat the process on the left side.
n Tighten both screws once the test has been successfully completed.
If one of the screws at the front of the gantry is loose, or if the Frontcover is opened, the
following message displays when Rot-Mode is started:
 "The gantry covers are open. Are you sure nobody is inside?".
The system asks explicitly about the start of rotation.

7.15 Balancing the System

The gantry needs to be balanced each time it changes location.
 Test weights may be necessary for balancing the gantry. Test weights and balancing
weights are included in the delivery volume.
 When you add or remove a weight use LOCTITE 243 to secure the screws. There must
always be a steel plate (washer or pressure plate) between lead packet and screw.

n Prerequisites:
- Front cover closed, plexiglas strip attached.
- Gantry should rotate 15 minutes
- The 3 fans have to be switched off. (To switch off the fans, use the 3 fuses F304/
F305/F308 in the left gantry stand)
n Select Local Service
n Click "Tune-up".
n Select "Adjustments" > "Balance Gantry".
n Do not select "include calibration".
n Select: Go.
n When the balance is correct, the test concludes with "OK" status. If there is an imbal‐
ance, the "Compensation Instructions" indicate the weight to add or remove. Follow
the instructions in the software.

7.16 Gettering the Tube (if necessary)

The gettering procedure is an automatic process used to condition the X-ray tube.
 It is recommended if the system is idle for an extended period of time, or in case of inter‐
mittent tube arcing.
n The gettering process is selected from the service platform.

n Select: Tuneup => Getter.
n Select the starting voltage: 80 kV (in the gettering screen).
n Select: GO (in the screen).
n Follow the instructions from the software.
n Press the START-button at the control box to start the procedure.
n Monitor the on-screen messages.
n The procedure is complete when the following messages are displayed on screen:
"Gettering has finished" and "Gettering successfully done"
n Repeat the procedure if the following message is displayed during gettering: "Tube
arcing detected".
n Close the gettering window.

7.17 Checking the visual radiation indicators
 This test checks all visual radiation indicators.
n Select: TestTools => Rot-Mode

n Select a standard Rot-Mode.
n Select: GO
n Press the START button at the control box.
n Check whether all radiation indicators function while radiation is being released.
n Check whether the radiation indicator LED at the START button on the control box
lights up during radiation release.
n Check whether the radiation indicator at the gantry panel functions correctly when ra‐
diation is released.

7.18 Checking and adjusting the acoustical radiation indicator

n Adjust the loudspeaker volume by turning the potentiometer at the back of the con‐
trol box. The control box is delivered with the potentiometer set to maximum volume
(adjustment screw set to the end stop in clockwise direction). Check the volume the
next time radiation is released.
 It is prohibited to switch off the acoustical radiation indicator in EU countries.
Fig. 199: Control box Fig. 200: Control box (back)
(1) adjustment screw

7.19 Checking the door switch

This test checks the on-site door contact switch (if installed). If the door contact switch is
 not present, a jumper must be installed in the PDC (connector X263, contact X9/X10,
( PDC (Power Distribution Cabinet) / Page 125) to enable radiation release.
n Select: TestTools => Rot-Modes (in the service platform).

n Select a standard Rot-Mode.
n Select: GO.
n Open the door to the gantry room.
n Press the START button at the control box.
n The scan terminates and the following message must display on screen: "The gantry
room door is open."
n Close the door and restart the Rot-Mode by selecting GO.
n The scan must run correctly.

7.20 Checking the water pressure

The preset water pressure in the gantry-WCS water system must be checked ap‐
prox. 1 hour prior to switching on the pump.
 The nominal water pressure is 2 bar (± 0.2 bar) when the pump is switched off.
If the pressure has dropped below 1.8 bar, refill the system accordingly.
n After initially switching on the pump, pressure in the water system may drop due to
escaping air.
n Switch off the water pump at the WCS to check the water pressure.
- Switch off fuse F3 (main power) at the WCS (electronics unit).
n Connect the manometer to the "Gantry Water Outlet".
n Check the water pressure at the manometer
- Nominal water pressure: 2 bar (± 0.2 bar)
n Refill if the water pressure is less than 1.8 bar.
n Follow the instructions under ( Filling the Water System / Page 158) for the refill pro‐
cedure.

7.21 Checking Radiation Shutdown (110%)

The X-ray timeout test checks whether the radiation shutdown monitor functions prop‐
 erly for all scan types (Topo, Sequence, and Spiral). A scan mode is loaded containing a
higher number of readings than necessary for the respective scan time. After a radiation
exposure period of 110% (scan time plus 10%), the generator has to switch off radiation.
n Note: The test must be performed for each mode (Topo, Sequence and Spiral).
- Tolerance for each Test: >100% ... 110%.
- Set Timout-Supervision to 110%
n The test is performed in Service mode.
n Select: TestTools => Controller => Xray Timeout
n Select: Topo
n Select: Topogram length: 153
n Select: GO
- Follow the instructions in the software.
- The test results are displayed on-screen in %.
n Select: Sequence
n Select: Scantime: 0.5 s
n Select GO
n Select: Spiral
n Select: Rot-Time: 0.5 s
n Select: Spiral length: max.
n Select: GO

7.22 RTP preadjustment (Sensation Open only)
7.22.1 Adjustment of the RTP phantom on the tabletop

n Close and secure the gantry front cover. Insert the plexi strip.
n Switch on the gantry light markers. Position the RTP phantom on the tabletop so that
it is aligned in the Z and X direction according to the static light markers
( 1/Fig. 213 Page 205) ( 2/Fig. 213 Page 205).
n Move the beginning of the RTP phantom into the scan plane and move the patient ta‐
ble up or down until the lateral marks on the RTP phantom almost match the lateral
light markers ( 3/Fig. 213 Page 205).
n Move the RTP phantom into the scan plane and verify again the correct position via
the rotating light markers.
n Measure the horizontal level of the RTP phantom in the X and Z-direction with the dig‐
ital spirit level ( Fig. 201 Page 193)( Fig. 202 Page 193).
Fig. 201: Leveling in the X-direction Fig. 202: Leveling in the Z-direction
n Correct the RTP phantom position until it is perfectly aligned (0˚ ± 0.02˚).
n Verify once more the correct position via the static sagittal light markers (nearly
match) and the rotating lightmarkers.
7.22.2 Verification of the tube AP position

n A leveled RTP phantom is needed. Refer to( Adjustment of the RTP phantom on the
tabletop (without radiation) / Page 216).
n Register a test patient and perform a TOPOGRAM (standard abdomen mode - e.g.
AbdomenRoutine) tube position AP (newer SW version Top).
n Check the correct tube AP position. If the RTP phantom is positioned exactly and the
slots ( 1/Fig. 203 Page 194) are not congruent, the tube AP position has to be cor‐
rected.

Fig. 203: Tube AP position not ok Fig. 204: Tube AP position ok
(1) Slices are congruent

(1) Slices are not congruent
7.22.2.1 Correction of the tube AP position

Open the table T2A, note the value “rot brake distance (AP)” ( 1/Fig. 205 Page 195)
and modify the value “rot brake distance (AP)”.
n Select Option - Service- Local Service
n Select Control
n Select Table load / modify
n Select table T2A and press Go

Fig. 205: Table T2A
(1) rot brake distance [AP]
n Modify the value “rot brake distance (AP)” ( 1/Fig. 205 Page 195) for example from
719 to 722.
n Select Control System ( Fig. 205 Page 195)
n Select Write ( Fig. 205 Page 195)
n Select Perm Filesystem ( Fig. 205 Page 195)
n Select Write ( Fig. 205 Page 195)
n Close the service window.
n Load a spiral mode for gantry rotation (gantry rotation is needed for tube reposition‐
ing). Cancel the scan.
n Repeat the topogram of the phantom and verify the tube AP position again.
7.22.3 Verification of the tilt zero level position / scan plane tilt
n A leveled RTP phantom is needed. Refer to ( RTP phantom pre-positioning (with light
marker and digital spirit level) / Page 207).
n Register a test patient and perform a TOPOGRAM (standard abdomen mode - eg.
AbdomenRoutine) tube position AP.

Fig. 206: Scan plane tilt not OK Fig. 207: Scan plane tilt OK
n Verify the correct scan plane tilt position:

 If the RTP phantom is positioned exactly and the slots are not congruent
( 1/Fig. 206 Page 196), the scan plane tilt and the tilt zero level position have
to be corrected. Refer to ( Correction of the scan plane tilt / Page 197) and
( Verification and correction of the tilt zero level position / Page 198).
 If the RTP phantom is positioned exactly and the slots are congruent
( 1/Fig. 207 Page 196), the tilt zero level position has to be verified and possi‐
bly corrected. Refer to ( Verification and correction of the tilt zero level posi‐
tion / Page 198).

7.22.3.1 Correction of the scan plane tilt
Fig. 208: Tilt converter Fig. 209: MCU (gantry left stand)
(1) Service RTC (On/Off)

(2) S3, S4
(3) LED Tilt 0˚
(4) Service Stop (On/Off)
n The system must be in stand-by mode.

n Push the service RTC switch ( 1/Fig. 209 Page 197) to the upper position.
n Press the yellow service stop button( 4/Fig. 209 Page 197).
n Wait until the LED H2 and H3 (upper area) of E302 ( Fig. 208 Page 197) flash (ap‐
prox. 10 sec.).
n It is now easier to change the scan plane tilt in smaller steps with buttons S3 and S4
( 2/Fig. 209 Page 197).
n Push the service RTC ( 1/Fig. 209 Page 197) switch to the lower position.
n Press the red service stop button.
n At the ICS workstation, click continue in the new popup window.
 The gantry is ready again.
n Verify the scan plane tilt with a topogram of the phantom again. Refer to ( Verifica‐
tion of the tilt zero level position / scan plane tilt / Page 195).

7.22.3.2 Verification and correction of the tilt zero level position
Fig. 210: Tilt sensor
n If the RTP phantom is positioned exactly and the slots are congruent LINK VON BILD
OK, the tilt zero level position has to be verified.
n Check the Tilt 0 LED ( 3/Fig. 209 Page 197) at the MCU board.
 If the LED is on, the tilt zero level position is OK.
 If the LED if off, the tilt zero level position has to be corrected. See “Correcting
the tilt zero level postion” stated below.
Correcting the tilt zero level position:

n Open slightly the two screws of the tilt sensor ( Fig. 210 Page 198), so it is possible
to move the sensor smoothly into its bottom slot.
n Move the tilt sensor slowly until you find the new 0 tilt position. The new 0 tilt posi‐
tion is reached when the Tilt 0 LED ( 3/Fig. 209 Page 197) at the MCU board flashes.
n Tighten the two screws of the tilt sensor ( Fig. 210 Page 198).
n Check the Tilt 0 LED ( 3/Fig. 209 Page 197) again.
The gantry may lose stand-by mode when the tilt sensor is moved.
 In this case, click "Continue" in the new popup window at the ICS. The gantry will change
to stand-by mode again. Then you can try to find the 0 tilt position again.

7.23 Zero Angle Correction (beginning with SW VB19)
7.23.1 Overview
With Zero Angle Correction, a possible horizontal deviation should be balanced in the pa‐
tient image x-axis.
7.23.2 Preliminary Steps

Position the smaller part of the CCR Body Phantom in the scan field.
Adjust the phantom in the horizontal with a spirit level to 0 degrees).
7.23.3 Measure the horizontal image deviation

Perform a scan with service Rot Mode and measure the horizontal deviation with the An‐
gle tool.
Option --> Service --> Local Service
Test Tools --> Rot-Modes
Predefined mode: rot11.dat
Slice: 5 mm
Voltage: 120 KV
Current: 300 mA
Time: 1 sec
Focus: Large
Click GO
Press Start
Select the Viewing task card.
Select Patient --> Browser
Select the rotimage from patient Service Patient
Load the rotimage in Viewing task card.
Set Window: Width 500, Center -200
Select Tools --> Angle from main menu
Draw an Angle to detect the horizontal deviation

Measurment tip: The “angle tool” cannot display an angle smaller than 1 degree.

While you are raising the angle tool measurement line, the value of the angle changes
from 0 degree to 1 degree. At this moment the real value of the angle is 0.5 degrees.
This enables you to evaluate the value of the zero angle misaligment with higher preci‐
sion.
7.23.4 Entering the Correction Value

If a deviation exists, enter the detected deviation value in the configuration.

To rotate the image in CCW direction, enter minus degree values.
To rotate the image in CW direction, enter plus degree values.
Select Configuration in Local service

Select Local Host --> Technical
Fig. 211: Technical ICS (example Sensation)
(1) Only VB19 or higher
Enter the detected deviation value in the Edit field Zero Angle Correction
Press Save
Press Home
Reboot the System
Repeat the measurement and check the result.
The image has to be exactly horizontal.

7.24 Patient Table Aligment for RTP (Sensation Open only)

It is important for Radiation Therapy Planning (RTP) that the deviation in the X- (sideway)
 and Z-direction (in/out gantry) is nearly 0 mm when the patient table is being moved in
the Y-direction (table height 290-95).
Use a table load of approx. 20kg at the front of the tabletop and proceed as follows: The
 weight is required to press down the tabletop until the two plastic rolls (table front un‐
der the tabletop) contact with the tabletop.
 Use a ruler with a 0,5 mm spacing for the deviation measurement.

7.24.1 Deviation in the X-direction (lateral)
7.24.1.1 Preliminary step:

n Open the gantry front cover.
n Rotate the gantry to the 12 o‘clock position until the gantry Z-laser
( 1/Fig. 46 Page 54) and the plumb line ( 2/Fig. 46 Page 54) are congruent.
The position of the Z-laser cannot be changed any longer for the following steps.
n Move the tabletop approx. 10 cm out the table support
7.24.1.2 Checking the X-deviation:

n Move the table to height 290 (max. bottom)
n Mark the gantry Z-laser at the tabletop (use an adhesive tape for the marking)
n Move the table to height 95 (max. top)
n Check the deviation of the gantry Z-laser and the marking
 If the deviation > 0 mm (±1 mm), you have to correct the deviation (see
( Correcting the X-deviation: / Page 201))
7.24.1.3 Correcting the X-deviation:

n Correct the deviation with the adjustment screws from the RTP adjustment feet

n Open the relevant screws and change all three feet by the same height(only atone
table side)
n Bolt the table down slightly without using Loctite
n Repeat the previous step (( Checking the X-deviation: / Page 201)) until the X-devia‐
tion is within tolerance
7.24.2 Deviation in the Z-direction
7.24.2.1 Checking the Z-deviation:

n Switch-on the lightmarker
n Move the tabletop into the scan field
n Move the table to height 290 (max. bottom)
n Mark the rotating laser at the tabletop (use an adhesive tape for the marking)
n Move the table to height 95 (max. top)
n Check the deviation of the rotating laser and the marking
 If the deviation > 0 mm (±1 mm), you have to correct the deviation (see
( Correcting the Z-deviation: / Page 202))
7.24.2.2 Correcting the Z-deviation:
 To turn the screw upward, rotate the adjustment screw counterclockwise.
n If the tabletop moves out the gantry

 The screws of the two center adjustment feet (left/right) must be adjusted up
n If the tabletop movement is in the gantry
 The screws of the two center adjustment feet (left/right) must be adjusted
down
n Open the relevant screws and change the same feet height of the two center screws
n Bolt the table down slightly without using Loctite
n Repeat the previous step (( Checking the Z-deviation: / Page 202)) until the Z-devia‐
tion is within tolerance
7.24.3 Completing steps

n Check the deviation again ( RTP table prepositioning / Page 69) and correct if neces‐
sary.
n Bolt the table using the 6 screws and washers provided (as shown in figure J on
( Fig. 52 Page 58), ( Fig. 53 Page 60).
- Do not secure the mounting bolts with Loctite 221.

- The two screws at the center of the table are attached using special washers. To
prevent collisions, the flat side of the washer has be parallel to the travel rails of the
patient table. Refer to ( Fig. 81 Page 72).
- Tighten the screws with 20 Nm
n Tighten the connecting frame at the table and gantry completely. Tighten the scews
( 2/Fig. 75 Page 71) and ( 2/Fig. 51 Page 56).

7.25 Verification of gantry, patient table and laser alignment
7.25.1 General
The verification and aligment steps in this chapter have to be performed only for Soma‐
tom Sensation Open RTP systems. The correct gantry tilt, patient table, and laser align‐
ment should be checked via radiation using the RTP phantom.
7.25.1.1 System orientation axis
Fig. 212: Orientation axis
7.25.2 Tools
n RTP phantom
n Digital spirit level with an accuracy of 0.01˚

7.25.2.1 RTP phantom
Fig. 213: RTP phantom
(1) Marks for sagittal positioning (Laser line showing the Y-Z plane)
(2) Marks for transaxial positioning (Laser line showing the X-Y plane)
(3) Marks for lateral positioning (Laserline showing the X-Z plane)
7.25.3 Aligment of the static light markers
7.25.3.1 General reflection

The prerequisite for static light marker (gantry front cover) adjustment to the isocenter is
an exactly aligned, leveled, and positioned RTP phantom. An RTP phantom aligment with
help of radiation and a digital water level is required.
The following reflection conditions must be met:
n The RTP phantom must be aligned orthogonal to the scan plane (rotation laser).
n The RTP phantom must be leveled in water for X-direction and Z-direction (digital spi‐
rit level).
n The RTP phantom must be positioned in the isocenter. For this positioning procedure,
spiral scans of the RTP phantom are needed. Use the scale grid tool to check the phan‐
tom postioning in the Y-direction (table height), X-direction (left/right), and the ortog‐
honal positioning to the scan plane.
n The Zero Angle Correction must be completed. Refer to ( Zero Angle Correc‐
tion / Page 199).
n The scan plane (gantry) must be tilted to 0 degrees. Refer to ( Verification of the tilt
zero level position / scan plane tilt / Page 195).

7.25.3.2 Increasing the light marker timeout

After the light marker button at the gantry is pressed, the light marker will switch off au‐
tomatically after 1 minute. It is easier to align the static light marker when the timeout is
configured with a higher value.
Fig. 214: Light marker timeout
n Go to Service - Local Service - Control - Table load/modify.

n Select Control System.
n Select the table T06.
n Press Go.
n Change the value in the input field named lightmarker timeout [min] from 1 to 8
(max 255).
n Press Write.
n Press Cancel and Home.
n Now the light marker timeout is configured to 8 minutes, which is higher than before.

After finishing the laser adjustment, the standard value of the light marker timeout has
to reconfigured in the control system.
 The standard value is 1 minute.
Do not change the “lightmarker timeout” value in the “Permanent Filesystem”.
7.25.3.3 RTP phantom positioning on tabletop (with radiation)

n Close and secure the gantry front cover. Insert the plexi strip.
n Place the phantom nearly at the maximum scan length mark ( 1/Fig. 215 Page 207)
of the tabletop (approx. 15 cm away in gantry direction).
This enables you to open the front cover for light marker adjustments without remov‐
ing the RTP phantom from the patient table.
Fig. 215: RTP phantom forward of scan end mark
(1) Mark of maximum scan length
RTP phantom pre-positioning (with light marker and digital spirit level)
n Align the RTP phantom orthogonally to the scan plane (rotating laser)
( 2/Fig. 213 Page 205).
n Align the RTP phantom almost to the sagittal laser ( 1/Fig. 213 Page 205).
n Align the RTP phantom almost to the lateral laser ( 3/Fig. 213 Page 205).

n Level the RTP phantom in water while using the phantom feet and a digital spirit level
on the top of the phantom. Correct the RTP phantom adjustment until its perfectly
aligned the in X- and Z-direction (0˚ ± 0.02˚).
n Verify once more the correct position via the rotating lasers.
RTP phantom final positioning (with spiral scan)

n Register a test patient and perform a TOPOGRAM (standard lung mode) tube posi‐
tion AP.
Fig. 218: RTP phantom scan range
(1) Scan range
n Select the range of a spiral scan which includes the complete RTP phantom
( 1/Fig. 218 Page 208). It is important to increase the recon-range to the maximum
left and right border.
Perform a spiral scan (standard lung mode - eg. LungLowDose) with:
slice thickness 2 mm

feed/rotation 1 (scan card) 1

FOV (Recon card) 500
Recon increment (Recon card) 1,0
n Delete any other recon-mode. Perform the spiral scan

n Reconstruct the images of the spiral. Press the Recon button.
n Open the reconstructed images in the Viewing Card.
n Create a scale grid in all slice images. Click the right mouse button. Click “select un‐
marked”. Use the function View - Scalegrid (menu bar) to display a grid on the im‐
ages.
You can change the value of the grid distance. Click the right mouse button. Click
“select unmarked”. Click the right mouse button again. Click “select all graphics”.
Click the right mouse button. Click “properties”. In the new window, change the value
of the grid distance to grid=25.
n View the reconstructed image at the beginning and end of the RTP phantom which
includes the notches ( 1/Fig. 219 Page 210) and ( 2/Fig. 219 Page 210).

 The scale grid must be congruent to the notches (table height

( 1/Fig. 219 Page 210) and the X-direction ( 2/Fig. 219 Page 210)) of the RTP
phantom at the beginning and end of the phantom.
Otherwise, the phantom positioning must be matched and the alignment verified
with a spiral scan (see next point).
 Normally, the phantom initially is not congruent to the scale grid:
In case of ( Fig. 220 Page 211), you must must correct the phantom height (ad‐
just the table height).
In case of ( Fig. 221 Page 211) you must correct the X-direction of the phantom.
Move the phantom until the beginning and the end of the phantom are congruent
to the scale grid.
In case of ( Fig. 222 Page 212) the zero angle correction is not OK. Repeat and
verify the zero angle correction, refer to ( Zero Angle Correction / Page 199).

Fig. 220: RTP phantom with incorrect table height
Fig. 221: RTP phantom with incorrect X-direction

Fig. 222: RTP phantom with incorrect zero angle correction
7.25.3.4 Light marker adjustment
The light markers are properly adjusted if the laser beam overlaps with the marks on the
RTP phantom.
The light marker must overlap the marks on the nearest side and opposite side of the

phantom.
The light marker is properly adjusted if the laser overlaps the marks at both sides of the
RTP phantom.
The two lateral light markers must be aligned with the marks at the correctly positioned/
anligned RTP phantom and congruent.
n Switch on the static light markes.

n Verify the correct adjustment of the static light markers. See note above.
n If necessary, adjust the static light markers (with a 3 mm Allen key) according to the
instructions below. Refer to ( Example of lateral light marker adjust‐
ment / Page 212), ( Adjustment of the sagittal light marker (Z-direction, patient ta‐
ble length) / Page 214), ( Adjustment of the transaxial light marker / Page 214) and
( Adjustment of the lateral light markers (Y-direction, height) / Page 215).
Example of lateral light marker adjustment
Fig. 223: LM adjustment ok Adjustment OK

Fig. 224: LM adjustment not ok in the Z-direction Not correct in the Z-direction (not in the slice plane)?
Use the adjustment screw for the laser position.
Fig. 225: LM adjustment not ok in the X-direction Not correct in the X-direction (not parallel to the slice
plane)?
Use the adjustment screws for laser rotation.
Fig. 226: LM adjustment not ok in the Z and X-direc‐ Neither Z-direction nor X-direction is o.k.
tion
Use the adjustment screws for laser position and laser
rotation.
Refer to ( Fig. 227 Page 213). The laser can not overlap the marks at the two sides of
the phantom. The laser positioning screw cannot cor‐
rect this misalignment.
Light marker chassis is not correctly positioned in its
mounting slot. This error is possible with the lateral
and the sagittal light markers.
Open the mounting of the light marker chassis at the
front cover and move the light marker chassis to the
correct position.
Fig. 227: Light marker chassis - height problem
(1) Laser beam

(2) Isocenter of phantom (congruent to the marks) and radiation

Adjustment of the sagittal light marker (Z-direction, patient table length)
Fig. 228: Adjustment screws for the sagittal light Fig. 229: Correct position of the sagittal light marker
marker according to the RTP phantom on bottom and top.
The light marker chassis may not be in the correct position. The problem is illustrated in
( Fig. 227 Page 213).
 For the solution instructions refer to ( Adjustment of the lateral light markers (Y-
direction, height) / Page 215).
Adjustment of the transaxial light marker
Fig. 230: Adjustment screws for the transaxial light Fig. 231: Correct position of the transaxial light
marker marker according to the RTP phantom on bottom
and top.

Adjustment of the lateral light markers (Y-direction, height)
Fig. 232: Adjustment screws for the lateral light Fig. 233: Correct position of the lateral light mark‐
marker er according to the left and right side of the RTP
phantom.
 The two lateral light markers must be aligned with the marks at the correctly positioned/
anligned RTP phantom and congruent.

If the light marker chassis is not in the correct position, refer to failing
( Fig. 227 Page 213). Afterward perform the following steps:
n Open the front cover.
n Open one nut of the mounting and remember the positon of the screw in the slot
( 1/Fig. 234 Page 216), for this purpose you can use a ruler (measure the distance
between slot end and the thread).
n Open the second nut slightly ( 2/Fig. 234 Page 216)and move the light marker chas‐
sis in its mounting slot to the correct position ( 3/Fig. 234 Page 216).
n Tighten the mounting screws of the light marker chassis, close the front cover, insert
the plexi strip and verify the aligment of the light marker again.
n Repeat the LightM tuneup tool. Refer to ( LightM for transaxial light mark‐
er / Page 216).

Fig. 234: Lateral light marker chassis mounting
LightM for transaxial light marker

When opening the gantry front cover or changing the transaxial light marker adjustment,
the LightM tuneup step (distance between inner and outer light marker) has to be per‐
formed.
n Go to Service - Local Service - Tune Up - Expert Mode
n Place a mark on the tabletop. Position the mark at the outer transaxial light marker.
n Press the “zeroing of table position” button at the gantry.
n Move the tabletop with the mark from the outer transaxial light marker to the rotating
light markers.
n Enter the value of the table movement (look at the gantry cover monitor) in the
LightM tuneup tool and press Go.
n Verify the new value. Use the ”offset of the inner light marker level“ button at the
gantry (hold the button down until the positon is reached).
7.25.4 Verification of light marker adjustment, gantry tilt, and patient table
adjustment with radiation
After the light marker adjustment, the adjustment work has to verified.
For the following tests it is important that the RTP phantom is aligned with help of the
gantry light markers and a digital spirit level (not aligned with radiation) only.
7.25.4.1 Adjustment of the RTP phantom on the tabletop (without radiation)

n Place the RTP phantom on the tabletop at a new position.

n Switch on the gantry light markers. Position the RTP phantom on the tabletop so that
it is aligned in the Z and X directions ( 1/Fig. 213 Page 205) ( 2/Fig. 213 Page 205).
For this purpose use the sagittal and the transaxial light marker at the front cover. Do
not use the lasers of the rotating lighmarkers in this verification step.
n Move the beginning of the RTP phantom into the scan plane and move the patient ta‐
ble up or down until the lateral marks on the RTP phantom match the lateral light
markers ( 3/Fig. 213 Page 205).
n Move the RTP phantom into the scan plane.
ital spirit level ( Fig. 235 Page 217), ( Fig. 236 Page 217).
n Verify once more the correct position via the sagittal, lateral, and transaxial light
markers at the front cover.
7.25.4.2 Perform the phantom scan

tion AP.

Fig. 237: RTP phantom scan range
(1) Scan range
slice thickness 2 mm
Recon increment (Recon card) 1,0
n Delete any other recon-mode. Perform the spiral scan

n Reconstruct the images of the spiral. Press the Recon button.
n Open the reconstructed images in the Viewing Card
7.25.4.3 Verify the static light markers and gantry tilt

marked”. Use the function View/Scalegrid (grid=25) to display a grid on the images.
Click the right mouse button. Click “properties”. In the new window, change the value
of the grid distance to grid=25.
n View the reconstructed image at the beginning and end of the RTP phantom which
includes the notches ( 1/Fig. 238 Page 219)( 2/Fig. 238 Page 219) and the holes
( 3/Fig. 238 Page 219).

n Verify that all 4 measurement holes are clearly visible at the same image position
( 3/Fig. 238 Page 219).
 In case only 2 holes are visible at the top or bottom ( Fig. 239 Page 219)
Verify and correct the gantry tilt in the service mode. Refer to ( Verification of
the tilt zero level position / scan plane tilt / Page 195). After this verify this test
again.
 In case only 2 holes are visible to the left or right --> the phantom is mis‐
aligned in relationship to the scan plane and is out of the scan plane
( Fig. 240 Page 219).
Fig. 239: Gantry tilt misaligned Fig. 240: Phantom out of scan plane

n Verify the correct vertical position (Y) of the RTP phantom in the isocenter. At the be‐
ginning and end of the RTP phantom, the grid in the images has to exactly hit the ver‐
tical notches ( 2/Fig. 238 Page 219).
n If the notches and the vertical grid are not congruent, move the table to the start posi‐
tion of the spiral scan. Verify the correct position of the phantom again via the sagittal
(Z-laser front cover) light markers and the marks on the patient table.
Image example when light marker/phantom is misaligned
Fig. 241: Position at the phantom beginning is ok Fig. 242: Position of the phantom holes in the X-
direction is ok
Fig. 243: Position at the phantom end is not ok Fig. 244: Position at the phantom end as detailed
in the figure
n Verify the correct horizontal position (X) of the RTP phantom in the isocenter. The grid
in the images at the beginning of the RTP Phantom has to exactly align with the hori‐
zontal notches ( 1/Fig. 238 Page 219).
The position of the horizontal notches at the phantom end varies as a function of the
patient table incline. If the incline is higher than the notches verify the table align‐
ment, refer to ( RTP table prepositioning / Page 69).

n If the notches and the horizontal grid are not congruent at the beginning of the RTP
phantom, the sagittal and/or the transaxial light marker is not correct aligned. Verify
the ( Light marker adjustment / Page 212).
Otherwise, the phantom is not correctly aligned or the image is turned. Verify the
phantom leveling in the X-direction again. If it is correct, the image is turned (see
chapter: Zero angle correction ( Zero Angle Correction / Page 199).
7.25.4.4 Verification of the rotation light markers (scan plane)

For the following tests it is important that the RTP phantom is aligned with help of the
rotating light markers and a digital spirit level only.
n Verify that the rotation light marker (scan plane) is correctly aligned to the transaxial
mark ( 2/Fig. 213 Page 205) of the RTP phantom.
ital spirit level ( Fig. 235 Page 217), ( Fig. 236 Page 217).
n Verify once more the correct position via the rotating light markers.
tion AP.
slice thickness 2mm
Recon increment (Recon card) 2,0mm
n Reconstruct the images of the spiral scan. Press the Recon button.
n View the reconstructed image at the beginning which includes the holes.
 If the holes appear as in ( Fig. 239 Page 219), the rotating lasers are not mis‐
aligned.
 If the holes appear as in ( 2/Fig. 245 Page 222) or ( Fig. 240 Page 219), the
rotating light markers are misaligned.
 You can only identify the misaligment of the rotating light marker, but you
should not adjust the laser individually. It is difficult to align the four rotating
light markers.
Otherwise, refer to the document “Replacements of Parts-Gantry”
(CT02-023.841.01.xx.xx), chapter “Rotating light markers” to help with this ad‐
justment work. Or contact the “Headquarter Service Center” for a specific solu‐
tion for this problem.

Fig. 245: Rotating laser - misaligned
7.25.4.5 Verification of the patient table twist

n Move the tabletop into the scan field at a table height beginning with 95
n Register a test patient and perform a TOPOGRAM (standard abdominal mode) with a
topo length beginning at 768
n Select the full scan length (approx. 768 mm) and perform the spiral scan
Measurement explanation
Fig. 246: Measurement example
(1) Correct (table board top border)

(2) False (plastic strip top border)
n You have to check the distance between the left and the right top border of the tab‐
letop. The point of reference is the top border of the tabletop ( 1/Fig. 246 Page 222)!
n Do not use the top border of the plastic strip for the measurement
( 2/Fig. 246 Page 222)!
Determining a patient table twist
 x is the distance between the left and the right top border of the tabletop

n Open the reconstructed images in the Viewing Card

marked”. Use the function View/Scalegrid (grid=0.5) to get a grid into the images.
Click the right mouse button. Click “properties”. Change the grid distance value to
grid=0.5 in the new window.
n Use the scale grid to estimate the difference of levels between the left and the right
top border of the tabletop at the beginning, middle, and end of a scan.
 If x is greater than 5 mm the patient table is misaligned in the X-direction.
Check the the table aligment ( RTP table prepositioning / Page 69)/( Check‐
ing the X-deviation: / Page 201) and the zero angle correction ( Zero Angle
Correction / Page 199).
 If at the beginning of the scan the (for example) right table side is the highest
( Fig. 247 Page 223). and at the end of the scan ( Fig. 249 Page 224) the
opposite side is the highest, and the sum of x (start) and x (end) is greater
than 5 mm, the tabletop is twisted.
 You can only identify the table twist but you can not correct the table twist!
Or contact the “Headquarter Service Center” for a specific solution for this prob‐
lem.
Fig. 247: Scan start
Fig. 248: Middle of scan

Fig. 249: Scan end

7.26 Installing the Covers
7.26.1 Gantry

n Back cover, gantry

- Check whether the back cover of the gantry is closed and locked on both sides.
(safety switch at lower left).
n Front cover, gantry
- Check whether the rotation safety switch S301 is set to position “1”.
- Close the front cover of the gantry and secure it with the screws at the lower left
and right.
n Plexiglas strips:
- Install the Plexiglas strip between the front and back of the gantry.
- The end of the Plexiglas strip must be in the 1 o’clock position. There is a threaded
hole at the 1 o’clock position.
- Insert the locking screw to secure the Plexiglas strip ( Fig. 250 Page 225).
Fig. 250: Securing the Plexiglas strips
(1) 1 o’clock position

(2) Locking screw (backover of gantry
n Gantry side covers

- Attach the upper cover: Hang the cover on top and secure it with two screws at the
lower left and right. Tighten the screws in counterclockwise direction.
- Attach the bottom cover: Hang the cover toward the front and secure at the back
with two set screws. Tighten the screws in clockwise direction.
- Install the covers on the other side in the same manner.

7.26.2 Patient table (Covers)
The table cover comprises 4 sections. Each section is split. The 4 sections must be instal‐
led in the proper order and connected to one another using connecting lugs.
 Threaded screws with plastic heads are used to secure the cover. Each section requires
four screws.
The upper and lower sections of the table are mounted directly on a steel table support
plate.
Fig. 251: Table cover Fig. 252: Table cover (detail)
(1) Connecting lugs (on both sides, at each half of the (A) screws M5x10
section) (B) Flat bar
(2) Table switch cover (1) Section 1
(2) Section 2
(3) Section 3
n Attach section 1 directly to the two lower steel plates. From the inside, the lower sec‐
tion is secured with 4 additional M5x10 screws.
n Attach section 2 over section 1 using the flat bar.
n Attach section 3 over section 2 using the flat bar.
n Attach section 4 to the two top steel plates.
 Ensure that the positioning is correct.
n Raise section 3 and hang it in section 4
 All 6 connecting lugs must be connected.

Fig. 253: Table cover (front) Fig. 254: Table cover (back)
(1) screw M6x12
7.26.3 RTP base cover installation of the Gantry/Patient table

To close the gap between the bottom of the gantry/patient table and the floor, install the
RTP base cover around the gantry/patient table ( Fig. 257 Page 229),
( Fig. 258 Page 229).
The gap between floor and underside of the gantry must be between 21 mm and 24

mm.
Otherwise, the “RTP Base Cover” cannot be installed. Refer to( RTP installation (Sensa‐
tion Open only): / Page 47).

7.26.3.1 Normal base cover part
Fig. 255: RTP cover
(1) Shutter open

(2) Shutter closed
n Open all shutters ( 1/Fig. 255 Page 228) from the RTP base cover (horizontal posi‐
tion).
n Attach the differential cover parts justified to the gantry/patient table
( Fig. 259 Page 229).
n Close all shutters ( 2/Fig. 255 Page 228) from the RTP base cover (vertical position)
( Fig. 260 Page 229).
If the shutters cannot remain behind the bottom gantry border, change the correspond‐
 ing shutter with the alternative longer shutter (part no. 8873767 included in the deliv‐
ery).
7.26.3.2 Preparation of a lateral gantry base cover (bottom/side)
Fig. 256: RTP cover - bottom/sidewise (bottom view)
(1) Screwing
(2) RTP cover
(3) Gantry cover (bottom/sidewise)
n Adjust the RTP base cover ( 2/Fig. 256 Page 228) to the bottom/side gantry cover
( 3/Fig. 256 Page 228).
n Attach the RTP base cover to the gantry cover using the screws provided. The screws
are secured through ( 1/Fig. 256 Page 228) the gantry cover.

Fig. 257: Gantry RTP cover (in back) Fig. 258: Gantry RTP cover (side)
Fig. 259: Patient table - RTP cover Fig. 260: Patient table - RTP cover (locked)
7.26.4 PDC Cabinet

n Attach the Plexiglas cover in the PDC in front of the stationary generator according to
the configuration.
- Secure the Plexiglas cover with 4 "torx" screws. ( 1/Fig. 261 Page 229)
Fig. 261: Plexiglas covoer Fig. 262: PDC: Cable inlet
(1) 4 “torx” screws (1) 2 screws

n Close the cable inlet at the base of the PDC (cable access)( Fig. 262 Page 229)
- Move the cover forward to minimize the gap at the cable inlet.
- Tighten the two screws ( 1/Fig. 262 Page 229) to secure the cover.
n Close the front door of the PDC cabinet.
n Install the gray metal cover at the base of the PDC cabinet.
- Use 4 screws to secure the metal cover.
- Install the gray plastic caps on the screw heads.
7.26.5 WCS Cabinet

n Install the metal cover ( Fig. 263 Page 230).
- Hang the cover on the 2 screws( 1/Fig. 263 Page 230)
- Insert the three mounting screws and tighten( 2/Fig. 263 Page 230)
Fig. 263: WCS: Metal cover
(1) 2 screws
(2) 3 screws
n Close the front door of the WCS cabinet.

n Install the gray metal cover at the base of the WCS cabinet.
- Use 4 screws to secure the metal cover.
- Install the gray plastic caps on the screw heads.
7.26.6 Container (optional)

n Slide the base plate into the container.
n Install the front doors of the container.
- Hang the doors at the bottom of the container, and then secure with screws at the
upper left and right.

7.27 Quality Assurance

System Quality Assurance testing comprises the Constancy and Acceptance process as
described in( Quality Assurance / Page 232)
- Continue with ( Quality Assurance / Page 232)

232 8 Quality Assurance
8.1.1 Information Regarding the Quality Assurance Tests
 The Acceptance, IEC Acceptance and Constancy routine with their separate tests should
be selected and performed regarding to local regulations and customer requirements.
n The system was optimally adjusted in the factory prior to delivery. All quality assur‐
ance tests were within tolerance. For this reasson, the results of the Constancy, Ac‐
ceptance and IEC Acceptance tests during installation should be within tolerance as
well.
n As a prerequisite, no system components have been replaced since delivery from the
factory.
n The quality assurance tests comprise the Constancy, Acceptance or IEC Acceptance
routines to check the system settings (adjustments).
n The Constancy, Acceptance and IEC Acceptance routines are automatic processes
requiring minimum user input.
n After each individual test, the measurement results and tolerance are displayed in the
results window. Some values must be entered manually.
n After the test sequence is complete, the Report function in the Constancy or Accept‐
ance menu may be used to display a shortened measurement protocol as an image.
The measurement protocol contains no tolerance values; however, it displays values
that are either below (<) or above (>) the tolerance margin.
n For Installations worldwide:
- In accordance with local regulations, it may be necessary to perform the Constancy
Test (IEC standard EN 61223-2-6) as a reference for subsequent constancy tests.
This test contains a CT Dose Measurement Index, requiring two special CTDI phan‐
toms (16 cm and 32 cm in diameter) and a special dosimeter. For details, refer to
the Constancy test in this chapter.
- In accordance with local regulations, it may be necessary to perform the IEC Ac‐
ceptance test (IEC 61223-3-5). For this purpose refer to document “Quality Assur‐
ance System - Acceptance testing according to IEC 61223-3-5” (document no.
CT00-000.820.03.xx.xx).
8.1.2 Documentation of Test Results
With SW version VB20 and higher, the quality assurance routines automatically creates

PDF-reports of the tests performed.
You can configure the language of this PDF-report in “Local Service - Configuration -
Technical.” Prior to performing a Quality Assurance test, configure this setting.
n The results protocol of the Constancy or Acceptance test procedures and all phantom
images must be documented on film.

Quality Assurance 8 233
n Prints of the test results may be obtained using the Filming card. Load the images to
document with the patient browser. Select the filming camera and press Expose Film
Task.
n Germany, Switzerland, and Austria only (up to SW version VB19):
The measurement results of the acceptance test must be entered in the “measure‐
ment protocol” (up to SW version VB20 only) of the "Acceptance Test" document
(document number CT02-023.820.01.xx).
- The measurement protocol is part of the document specified above.
- The document is included in the "Acceptance Test" register in the blue "Technical
Documents" binder (up to SW version VB19 only).
n With SW version VB20, you cannot fill out a protocol, however, you can print the auto‐
matically created “PDF quality report files.” The reports are stored in path C:\somaris
\service\pdf\report\pdfreport\
With SW version VB30 and higher, the path to the automatically created “pdf quality
reports” is H:\SiteData\QualityReports\
n The “measurement protocols” / “pdf quality reports” and films must be filed in the "Ac‐
ceptance Test" register in the blue "Technical Documents" binder.

8.2 Overview: CONSTANCY and ACCEPTANCE Test Functions

Test function Subject of test
Lightmarker Positioning the lightmarker
External lightmarker.1 Positioning the external lightmarker
Sagittal/Coronal light‐ Positioning sagittal/coronal lightmarker
marker 1
Previous image posi‐ Correct positioning of the patient table
tion 1
Slice Slice thickness
Homogeneity Water homogeneity
Noise Pixel noise (SIGMA), water value and high voltage testing
Contrast Contrast scale
MTF High contrast resolution
Patient table position Correct positioning of the patient table
Low contrast2 Low contrast resolution
Dose (also known as Dose at the system axis for all tube voltages and slice thickness‐
CTDI-Air) 2 es
Topo Dose 2 Topogram dose for a X-ray voltage
Dose profile 2 Dose profile for each detector collimation
Gantry tilt 2 Gantry tilt angle
DHHS-CTDI (FDA) Body CT Dose Index measured using the 32 cm PMMA phantom
3
DHHS-CTDI (FDA) Head CT Dose Index measured using the 16 cm PMMA phantom
3
CTDI100 Body 4 CT Dose Index measured using the 32 cm PMMA phantom

CTDI100 Head 4 CT Dose Index measured using the 16 cm PMMA phantom
1. Test functions available in Acceptance routine for SW VB20 and higher. Test functions available in Con‐
stancy routine with VB30 and higher.
2. Additional tests in the ACCEPTANCE routine (in accordance to DIN 6868-53) only. Required for installa‐
tions in Germany and some EU countries.
3. Additional tests in the ACCEPTANCE routine only (beginning with SW VA70 and higher). Required for pro‐
duction lines in Germany only. With SW VB20 and higher, the DHHS-CTDI tests are under the DHHS Func‐
tions routine.
4. Additional tests in the CONSTANCY routine in accordance with standard EN 61223-2-6 required for instal‐
lations in Germany and some EU countries.

8.3 Preliminary Steps

n Assembling the phantom:
- Attach the slice thickness phantom to the water phantom (ensure that the slice
thickness phantom is installed level).
- Secure the phantom with plastic screws.
 The screws should be tightened normally, since they break easily.
- Attach the wire phantom to the slice thickness phantom.

- Secure the phantom with the plastic screws.
 The screws should be tightened normally, since they break easily.
n Possible Quality phantoms:

- Variant 1 ( Fig. 264 Page 235) (with wire in air phantom)
- Variant 2 ( Fig. 265 Page 236) (with wire in plastic phantom)
Fig. 264: Phantom set
(1) Holder
(2) Water phantom
(3) Slice phantom
(4) Wire phantom
(5) Low-contast-phantom or Allignment-phantom

Fig. 265: Phantom set
(1) Water phantom cpl.

(2) Slice thickness phantom
(3) Wire phantom 100
(4) Adapter for additional phantoms
n Attach the (metal) phantom holder to the water phantom.

n Attach the phantom to the support bracket on the patient table.
 To obtain the most optimal results, the water temperature in the water phantom should
range between 19 ˚C and 25 ˚C.

8.4 System Warm-up
 Prior to performing the quality assurance measurements, the system must be at operat‐
ing temperature and calibrated.
n Set gantry tilt to 0 degrees (vertical).

n Ensure there are no objects in the scan field.
n Select: Setup => Checkup.
n Select: GO.
- Follow the software instructions.
n Press the START button on the control box.
- Once the check is successfully completed, the system can be put in operation.

8.5 Constancy Test
 The coverage of the separate tests should be selected and performed with respect to lo‐
cal regulations and customer requirements.
 Beginning with SW version VB30, the constancy routine is in accordance with IEC
61223-2-6 (Edition 1 and 2).
Equipment required:
n Standard phantom set:
- Water phantom, slice thickness phantom, wire phantom.
n 30 cm water phantom (needed with SW version VB30 and higher). This phantom is
not provided in the delivery volume.
n Local regulations may require additional equipment and CTDI measurements in ac‐
cordance with standard EN 61223-2-6:
- 16cm CTDI-phantom (PMMA)
- 32cm CTDI-phantom (PMMA)
Test procedure:
n Dose meter "PTW DIADOS" with "ionization chamber."
n Move the patient table to a height of 175 mm (panel display). The phantom has to be
positioned in the center of the scan field.
n Switch on the lightmarker.
n Position the slice thickness phantom in the center of the measurement field.
- The lightmarker must be positioned exactly over the intersection of the lines in the
slice thickness phantom.
n Set the horizontal table position at the panel to "0".
n The Constancy routine with SW version VB20 and lower contains the following test
functions:
- Lightmarker
- Slice thickness
- Homogeneity
- Noise
- Contrast
- MTF
- Table position
- Dose/CDTI Air (available since SW VB20)
- For standard EN 61223-2-6: CTDI 16 cm, CTDI 32 cm
n The Constancy routine with SW version VB30 and newer contains the following test
functions:
- Lightmarker
- External lightmarker

- Sag./Cor. Lightmarker
- Prev. Image Position
- Slice thickness
- Homogeneity (* see indications stated below for the IEC Acceptance Test at Sliding
Gantry systems)
- Noise (* see indications stated below for the IEC Acceptance Test at Sliding Gantry
systems)
- MTF
- Table position
- For standard EN 61223-2-6: CTDI 16 cm, CTDI 32 cm
n Select: QualityAssurance => Constancy (in service mode).
n The "Quality Constancy" screen is displayed ( Fig. 266 Page 239).
Fig. 266: Constancy screen (example)
n Mark the test functions desired in the Constancy Platform.

n Click the white marker (no functions are selected). Next, mark all functions except ’Ca‐
libration’ and ’CTDI’.

n Next, select "REFERENCE" to the right of the word " Constancy ", meaning that all now
generated values will be used as reference values for each subsequent constancy test
until the next REFERENCE QA is performed.
n " Ref " is displayed to the left of the mark for each function selected
( Fig. 266 Page 239)
n Select: GO.
n Press the Start button at the control box to begin the process.
n Follow all additional software instructions in the service window.
n Select: DONE (when the software queries at the end of the measurement) to store the
just generated values.
n Select Local Service - Reports (to check/view the measurement results of the previ‐
ous measurements).
- The report shows the nominal value, maximum tolerance, and actual value for each
test.

Indications regarding the IEC Acceptance test at Sliding Gantry systems:

Fig. 267: "Quality IEC Acceptance" window
n Within the IEC Acceptance test, the Homogeneity/Water and Noise measure‐
ments have to be performed with a 20 cm water phantom at vertical position “175”
and with a 30 cm water phantom at vertical position “180”.
n Since the control software cannot modify the patient table height at Sliding Gantry
systems, the automated IEC Acceptance test fails
 Perform the 20 cm and 30 cm water phantom scans within the Homogenei-
ty/Water and Noise measurements one at a time and temporary modify
V4 in T37.

How to proceed:
Fig. 268: IEC Acceptance - Phantom selection
n Position the 20 cm water phantom centrically.

n Open the “Quality IEC Acc.” test window, mark “Homogeneity/Water”(item 1) only.
n Select the available system phantom set (item 2).
n Click “Go” (item 3) to start the IEC Acceptance test “Homogeneity/Water” and per‐
form the procedure with the 20 cm phantom.
 Once the measurement with the 20 cm water phantom is finished, the phantom
selection page is prompted.
n Click “Add. Window” (item 4) to open another service window.

n Click Control > Table load/modify.
Fig. 269: Loading control table T37 Fig. 270: Modified control table T37
5 6
3
n Activate “CONTROL SYSTEM” (item 1), select T37 (item 2), click “Go” (item 3).
n In control table T37, set value V4_position to 180 [mm] (item 4).
n Make sure "Control System" (item 5) is selected, click “Write”(item 6).
n Leave the additional service window open.
n Position the 30 cm water phantom centrically.

n In the main service window, continue the IEC Acceptance Homogeneity/Water
check with the 30 cm phantom.
When the measurement with the 30 cm water phantom is finished:

n Save and document the results of the “Homogeneity/Water” check.
n Activate the additional service window by pressing the Alt-Tab keys.
n In control table T37, set value V4 to 175.
n Select "Control System", click “Write”.
n Repeat above procedure for the IEC Acceptance “Noise” measurement.

Save and document the results of the “Noise” check.
n Make sure that value V4 in control table T37 is set to 175.

n Continue with the remaining quality tests.

8.5.1 CTDI- Measurement in Accordance with EN 61223-2-6
Fig. 271: 32 cm CTDI phantom(Body) Fig. 272: 16 cm CTDI phantom (Head)
Fig. 273: DIADOS dosimeter
(1) Adapter
(2) extension line
(3) ionization chamber
The following steps refer to DIADOS ( Fig. 273 Page 244), the only valid dosimeter for
the test.
n Position the dosimeter in the control room, switch it on and wait until it reaches oper‐
ating temperature. Ensure that the room temperature is within the specified tolerance
for the CT system. Connect the extension to the ionization chamber and to the CT
adapter. Connect the CT adapter to the dosimeter.
n Position the 32 cm phantom ( Fig. 271 Page 244) on the patient table (body mode)
and center it in the scan field. Later, use the head support for the 16 cm phantom
( Fig. 272 Page 244).
n Insert Plexiglas rods (PMMA rods) in all phantom holes not being used. Insert the ioni‐
zation chamber in the center phantom hole (position A).
n Set the dosimeter as follows:
- "Mode" button to DOSE
- "Range" button to Auto Range,

- "Filter" button to 23.5 mm Al,

- Press the "Zero" button and wait approx. 5 seconds until you reach the zero posi‐
tion.
- The dosimeter is ready for measurement.
n The test functions desired must be marked in the " Constancy" platform.
n Click the white marker in the Constancy platform to deselect all functions on the
"Quality Constancy" screen. Then select "CTDI Body" only.
n Next, select "REFERENCE" to the right of the word " Constancy "; this means that all
values will be used as reference values for subsequent constancy tests.
n " Ref " is displayed to the left of the mark for each function selected
( Fig. 266 Page 239)
n Select: GO.
- The constancy process runs.
- Follow the software instructions. Do not refer to the scan parameters listed in the
brochure "Constancy Test in Accordance with EN 61223-2-6", CAo-000.663.01.
These parameters may be obsolete.
n Select: DONE (when the software queries at the end of the measurement).
n Select: Local Service - Reports checks the measurement results from the previous
tests ).
- The report shows the nominal value, maximum tolerance, and actual value for each
test.
n Perform the same procedure for the 16 cm phantom (select "CTDI Head").

8.6 Acceptance/IEC Acceptance Test

With SW version VB20, two Acceptance routines are available (Acceptance and IEC Ac‐
ceptance).
 The Acceptance routine has to be performed for DIN 6868-53.
The IEC Acceptance routine has to be performed for IEC 61223-3-5.
In accordance with local regulations, it may be necessary to perform the Acceptance test

(DIN 6868-53).
The entire Acceptance test routine is described in the document “Qualitätssicherung Sys‐
tem - Abnahmeprüfung nach DIN6868-53” (CT02-023.820.01.xx.xx).
In accordance with local regulations, it may be necessary to perform the IEC Acceptance
test (IEC 61223-3-5).
 For this purpose, the entire IEC Acceptance test routine is decribed in the document
“Quality Assurance System - Acceptance testing according to IEC 61223-3-5”
(CT00-000.820.03.xx.xx).
 The separate tests should be selected and performed according to local regulations and
customer requirements.
 The Dose Profile test is only needed with Acceptance test according to DIN6868-53.

Documentation 9 247
9.1 Protocols
9.1.1 Installation Protocols

n Mechanical Installation Transfer Protocol
 This document has to be filled out if the mechanical installation was performed by a SIE‐
MENS authorized vendor.
- Location: Blue installation folder, register no. 2.

- After completion, the protocol has to be signed and returned to CT headquarters via
fax or mail. The address and fax number can be found in the protocol or at:( Con‐
tact Address for Document Updates / Page 13).
- Keep a copy of the complete protocol in the installation folder, register no. 2.
n Installation Protocol
- The installation protocol has to be filled out after each completed system installa‐
tion.
- The installation protocol is part of the the system delivery volume. It is included in
the “Protocol register of Chapter 6 in the white "Owner Manual" binder.
- The first three entries in the protocol (device type, serial number, and order num‐
ber) have to be completed at the factory prior to delivery.
- The remaining data (customer name, location, and start/end of installation) have be
completed by the installer.
- All deviations (e.g., missing parts, remaining problems) that occured during installa‐
tion or start-up should be entered in the "Remarks" field.
- When completed, sign the protocol and return it by fax or mail to CT headquarters.
The mail address and fax number are included in the protocol.
- A copy of the installation protocol should be stored in the white "Owner Manual"
binder.
- An example of a completed protocol is shown below( Fig. 274 Page 248)

248 9 Documentation
Fig. 274: Installation protocol
(1) for example Sensation 16

(2) for example 50xxx
(3) Order number

Documentation 9 249
9.2 Acceptance Test: Measurement Value Protocol (for instal‐

lations in Germany and some EU countries only)
n An additional acceptance test is required for installations in Germany.
n The results of the acceptance test can be entered in the measurement value protocol
or printed out.
- The acceptance test protocol, document, is included in the system delivery volume.
It is contained in the "Acceptance Test" register in the blue "Technical Documents"
binder.
- The completed measurement value protocol should be filed in the "Acceptance
Test" register in the blue "Technical Documents" binder.
n Since SW version VB20, you can not fill out a protocol (it's not available), however,
you can print the automatically created “PDF quality report files.” The reports are stor‐
ed in path C:\somaris\service\pdf\report\pdfreport\
With SW version VB30 and up, the path for automatically creating “PDF quality reports”
is H:\SiteData\QualityReports\
n The “measurement protocols” / “PDF quality reports” has to be filed in the "Acceptance
Test" register in the blue "Technical Documents" binder.

250 9 Documentation
9.3 Constancy Test: Measurement Value Protocol

(in some EU Countries)
n A constancy reference test must be performed for installations in some EU countries.
n The results of the constancy reference test can be entered in the measurement value
protocol or printed out.
- The protocol for the constancy test routine is contained in the Owner Manual in the
national language.
- The completed measurement value protocol has to be filed in the Owner Manual.
n Since SW version VB20, you can not fill out a protocol (it's not available), however,
you can print the automatically created “PDF quality report files.” The reports are stor‐
ed in path C:\somaris\service\pdf\report\pdfreport\
With SW version VB30 and up, the path for automatically creating “PDF quality reports”
is H:\SiteData\QualityReports\
n The “measurement protocols” / “PDF quality reports” have to be filed in the "Owner
manual."

Documentation 9 251
9.4 Monitor Test "Image Display Devices" (for Installations in

Germany and some EU countries only)
n An additional monitor test has to be performed for image display devices for all instal‐
lations in Germany and some EU countries.
n The documents for monitor test "Acceptance Test for Image Display Devices" are deliv‐
ered with the system. The documentation includes the test description and protocol.
It is located in the blue binder "Technical Documents" in the "Acceptance Test" regis‐
ter.
n The measurement results of this monitor test have to be entered in the measurement
protocol which is part of the "Image Display Devices" document .
n The completed measurement protocol has to be filed in the binder "Technical Docu‐
ments" under the "Acceptance Test" register.

252 10 Concluding Steps
10.1 Mounting the Plexiglas strip
10.1.1 Attaching the tape

To prevent injury to the customer, a piece of adhesive tape will need to be attached to
the Plexiglas strip.
n Attach the tape to the Plexiglas strip as shown. Center the tape on the Plexiglas and
apply pressure to prevent air bubbles.
Fig. 275: Attaching tape to Plexiglas strip Fig. 276: Pressing the tape to prevent air bubbles
2
1 1
(1) Tape (1) Tape

(2) Plexiglas strip (2) Plexiglas strip
Fig. 277: Tape attached to Plexiglas strip Fig. 278: Tape - both sides of Plexiglas strip
1
2
(1) Tape
(2) Plexiglas strip
(1) Beginning of the Plexiglas strip
10.1.2 Installing the Plexiglas strip

n Install the Plexiglas strip between the front and back of the gantry.
n Start the installation with the beginning of the Plexiglas strip. Rotate the Plexiglas strip
clockwise, as seen from the patient table side.

Concluding Steps 10 253
n The end of the Plexiglas strip must be in the 1 o’clock position. There is a threaded
hole at the 1 o’clock position.
Fig. 279: Securing the Plexiglas strips
(1) 1 o’clock position

(2) Locking screw (backover of gantry
n Remove the protective sheet ( 1/Fig. 280 Page 253) from the tape and attach the
tape ( Fig. 282 Page 254) to the Plexiglas strip in such a way that there are no air
bubbles under the tape ( 2/Fig. 280 Page 253). Pull the tape tight when attaching it,
to prevent the tape from bunching up inside the gantry.
 If it is necessary to open the gantry cover again, a new piece of tape will need to be at‐
tached to the Plexiglas strip.
Fig. 280: End of tape left a bit long for attaching second Fig. 281: Tape - attaching the second part
part
1
1
2
(1) Tape without protective film

(1) Tape with protective film
(2) Plexiglas strip

Fig. 282: Bubble-free tape
10.1.3 Checking the Gantry Rotation

n Prerequisites:
- Backcover closed and locked.
- Frontcover is closed and locked. (a warning message is displayed if the front is
open).
- Switch to service mode.
n Select TestTools => Rot-Modes (in the service platform).
n Select: Time: Select the slowest possible rotation time (in the Rot-Mode window).
n Select: GO.
n Rot-Mode is loaded and gantry rotation begins automatically.
n Go to the gantry and listen for any unusual noises.
- If you hear any unusual noises, press the STOP button and look for the cause.

10.2 Attaching Warning Labels
10.2.1 Attach the safety label (For Maquet Systems only)
Fig. 283: Safety label position Fig. 284: Example of safety label (various languag‐
es)
The two safety labels in the corrsponding language have to be attached to the left and
right front side of the Sensation gantry.
Attach the "Patient Position" label
Fig. 285: Gantry front left side Fig. 286: Gantry front right side
For a better orientation, one of the labels ( Fig. 285 Page 255)( Fig. 286 Page 255) can
be attached in the controlroom in corresponding to the orientation of the gantry front.

10.3 Installation of Siemens Remote Service (SRS)

Refer to the "Installation of Siemens Remote Service (SRS)" CB DOC or to the Intranet.
The router has to be ordered by the project manager from CSML. For additional informa‐
tion, refer to the Intranet http://cs.med.siemens.de

10.4 Cleaning the System

Clean the system prior to transferring it to the customer.
Use only manufacturer-recommended cleaners on the system surfaces.
 CAUTION
Flammable sprays.
Consequence: Risk of inflammations!
 Only use approved and recommanded cleaning agents as described.
n Do not use sprays. They may seep into components, damage electrical parts, cause
structural changes in various thermoplastics, or form flammable mixtures of air and
solution vapor.
n Do not use cleaning agents with the following properties or containing the following
substances:
- Abrasive cleaning fluids or organic solvents such as aldehyde, acetone, spot remov‐
er, gasoline or alcohol. They may degrade component surfaces or lead to hairline
cracks which may cause the material to be damaged under minimal loads (excep‐
tions: alcohol may be used to clean the monitor screens, and aldehyde-based solu‐
tions may be used as disinfectants for gantry and hard PHS surfaces).
- Agents releasing ammonia by dissociation or decomposition. Ammonia causes
stress corrosion.
- Agents containing silicone. Old silicone may cause subsequent electrical contact
problems.
-
Substituted phenol-based or chlorine-releasing disinfectants which can degrade ma‐
terials.
Approved and Recommended Cleaning Agents
The following agents may be used to clean the table sides, tabletop pad, cushions, arm
and knee supports and head holder:
- Tego, 10% vol.
- Gigasept, 6% vol.
- Somplex Perfekt AC, 2% vol.
- Melsitt, 10% vol.(causes minor discoloration).
-
Peform, 2% vol. (causes minor discoloration).
Gantry / PHS
n Clean the component surfaces with a damp cloth.
ICS / IRS / IES Computer / UPS
n Clean the component surfaces with a damp cloth.
Monitor Screen
n The monitor screen has a sensitive anti-reflective layer.
n Clean the screen with a soft cloth.

n Pure alcohol or alcohol with 1/3 or 2/3 distilled water may be used.
n Do not use cleaning solutions.

Changes to previous version 11 259
Chapter Change Reason

( Fill the Water Phan‐ The procedure for filling the water phantom was Change no.: 596351
tom / Page 164) changed.

260 12 List of Hazard IDs
There are no Hazard IDs in this document.

All documents may only be used for
rendering services on Siemens
Healthcare Products. Any document
in electronic form may be printed
once. Copy and distribution of elec‐
tronic documents and hardcopies is
prohibited. Offenders will be liable
for damages. All other rights are re‐
served.
healthcare.siemens.com/services
Siemens Healthcare Headquarters

Siemens Healthcare GmbH
Henkestr. 127
91052 Erlangen
Germany
Telephone: +49 9131 84-0
siemens.com/healthcare
Print No.: CT02-023.814.66.27.02 | Replaces: CT02-023.814.66.26.02

Doc. Gen. Date: 08.14 | Language: English
Part No.: 7393114
© Siemens Healthcare GmbH, 2005
siemens.com/healthcare

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Sensation CT02-023.814.66.27.02 Page 2 of 261 © Siemens, 2005

2 Unpacking the Components 23

2.1 General Remarks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

3 Installing the Components 42

3.1 General Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42

© Siemens, 2005 CT02-023.814.66.27.02 Page 3 of 261 Sensation

Sensation CT02-023.814.66.27.02 Page 4 of 261 © Siemens, 2005

4 Special Component Mounting 102

4.1 General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102

5 Electrical Connections / System Cabling 108

5.1 Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 108

© Siemens, 2005 CT02-023.814.66.27.02 Page 5 of 261 Sensation

5.6 Measuring the protective conductor resistance . . . . . . . . . . . . . . . . . . . . . . 155

6 Filling the Water System (Gantry - WCS) 157

6.1 General Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 157

7 System Start-Up 161

7.1 General Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 161

Sensation CT02-023.814.66.27.02 Page 6 of 261 © Siemens, 2005

7.22.1 Adjustment of the RTP phantom on the tabletop . . . . . . . . . . . . . 193

8 Quality Assurance 232

8.1 General Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 232

9.1 Protocols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 247

© Siemens, 2005 CT02-023.814.66.27.02 Page 7 of 261 Sensation

10 Concluding Steps 252

10.1 Mounting the Plexiglas strip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 252

11 Changes to previous version 259

12 List of Hazard IDs 260

Sensation CT02-023.814.66.27.02 Page 8 of 261 © Siemens, 2005

© Siemens, 2005 CT02-023.814.66.27.02 Page 9 of 261 Sensation

1.2 Preliminary Steps for System Installation

1.2.1 Preliminary Steps for Customers

Name of document Print number of document

1.2.2 General Preliminary Steps

1.2.3 Transport Device

For countries outside Europe:

 pending on country-specific regulations, the purchase must be organized separately be‐

n Tools for transporting heavy devices must be available.

Sensation CT02-023.814.66.27.02 Page 10 of 261 © Siemens, 2005

1.2.4 Service Key

© Siemens, 2005 CT02-023.814.66.27.02 Page 11 of 261 Sensation

Sensation CT02-023.814.66.27.02 Page 12 of 261 © Siemens, 2005

1.4 Contact Address for Document Updates

© Siemens, 2005 CT02-023.814.66.27.02 Page 13 of 261 Sensation

1.5 Abbreviations, Acronyms, and Definitions

Sensation CT02-023.814.66.27.02 Page 14 of 261 © Siemens, 2005

© Siemens, 2005 CT02-023.814.66.27.02 Page 15 of 261 Sensation

1.6 System Components Overview

Sensation CT02-023.814.66.27.02 Page 16 of 261 © Siemens, 2005

Fig. 1: System Components Overview

© Siemens, 2005 CT02-023.814.66.27.02 Page 17 of 261 Sensation

1.7 Safety Information

1.7.1 Working with Heavy Equipment

 Dress in protective clothing prior to working on the system

1.7.2 Electrostatic Discharge (ESD)

1.7.3 Protection Against Electrical Shocks or Hazards

Sensation CT02-023.814.66.27.02 Page 18 of 261 © Siemens, 2005

1.7.4 Information Regarding Radiation Protection

© Siemens, 2005 CT02-023.814.66.27.02 Page 19 of 261 Sensation

1.8 List of Required Installation Equipment