RUBY T40072 Man en 96813100 05

RUBY (T40072)
User Manual
D968.131.00/05 en
RUBY (T40072)
Revision 2021-12
PTW Freiburg GmbH

Lörracher Str. 7
79115 Freiburg
Germany
Tel.: +49 761 49055-0
Fax: +49 761 49055-70
info@ptwdosimetry.com
ptwdosimetry.com
© PTW Freiburg, 2021
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RUBY (T40072)
Table of Contents
Table of Contents
Table of Contents........................................................................................................... 3
List of Figures.................................................................................................................5
List of Abbreviations......................................................................................................6
Important Information......................................................7
1 General Information.................................................................................................... 7
2 Safety Information.......................................................................................................9
Operating Manual...........................................................13
3 Intended Use..............................................................................................................13
3.1 RUBY Sets........................................................................................................................................... 15
4 Product Description.................................................................................................. 16
4.1 Phantom Body...................................................................................................................................... 17
4.2 Inserts................................................................................................................................................... 22
4.3 Dummy Plug.........................................................................................................................................29
4.4 Detector Holder.................................................................................................................................... 29
4.5 RUBY Tilted Base................................................................................................................................ 30
4.6 RUBY Carrying Case........................................................................................................................... 31
5 Application................................................................................................................. 32
5.1 Introducing an Insert............................................................................................................................ 32
5.2 Inserting a Detector..............................................................................................................................33
5.3 Positioning the RUBY Phantom on the RUBY Tilted Base.................................................................. 34
5.4 Loading a Film..................................................................................................................................... 35
5.5 Using the RUBY Set............................................................................................................................ 36
Technical Manual........................................................... 39
6 Technical Specifications...........................................................................................39
7 Ordering Information................................................................................................ 41
7.1 Suitable Detectors................................................................................................................................ 45
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Table of Contents
Service Manual...............................................................47
8 Cleaning......................................................................................................................47
9 Preventive Maintenance........................................................................................... 48
10 Disposal of the Product......................................................................................... 48
Literature........................................................................................................................49
Index...............................................................................................................................50
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List of Figures
List of Figures
Figure 1: Definition of the patient environment (example according to EN 60601-1 (IEC 60601-1))............. 11
Figure 2: Modules of RUBY product T40072................................................................................................. 16
Figure 3: RUBY phantom shown in the reference coordinate system according to IEC 61217..................... 17
Figure 4: Detail of the RUBY phantom - engraved lines............................................................................... 18
Figure 5: RUBY head phantom shown in the reference coordinate system according to IEC 61217............ 19
Figure 6: Detail of the RUBY head phantom - engraved lines...................................................................... 20
Figure 7: Stand................................................................................................................................................20
Figure 8: RUBY head phantom with stand.................................................................................................... 20
Figure 9: RUBY carrying case for head phantom.......................................................................................... 21
Figure 10: RUBY insert Patient QA - detector T40072.1.100.......................................................................... 23
Figure 11: RUBY insert Patient QA - detector T40072.1.100 (rear view)........................................................ 23
Figure 12: RUBY insert Patient QA - film T40072.1.400................................................................................. 24
Figure 13: RUBY insert Patient QA - film T40072.1.400 (rear view)............................................................... 24
Figure 14: RUBY insert Linac QA T40072.1.200............................................................................................. 25
Figure 15: RUBY insert Linac QA T40072.1.200 (rear view)...........................................................................25
Figure 16: RUBY insert System QA T40072.1.300..........................................................................................26
Figure 17: RUBY insert System QA T40072.1.300 (rear view)....................................................................... 26
Figure 18: MR cavities...................................................................................................................................... 26
Figure 19: CT cavities "Lung", "Brain", "Bone"................................................................................................ 27
Figure 20: RUBY insert System QA - MultiMet T40072.1.500.........................................................................28
Figure 21: RUBY insert System QA - MultiMet T40072.1.500 (rear view).......................................................28
Figure 22: Inhomogeneities...............................................................................................................................28
Figure 23: RUBY tilted base.............................................................................................................................30
Figure 24: RUBY carrying case........................................................................................................................31
Figure 25: RUBY insert Patient QA - detector with detector holder (without detector).................................... 33
Figure 26: Aligning the RUBY phantom on the RUBY tilted base................................................................... 34
Figure 27: Components of the RUBY insert Patient QA - film.........................................................................35
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List of Abbreviations
List of Abbreviations
DICOM Open standard for storage and exchange of image data

(Digital Imaging and Communications in Medicine)
DRR Digitally reconstructed radiograph
LINAC Linear accelerator
MV megavolt
TPS Treatment Planning System
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Important Information - General Information
Important Information
1 General Information
– The product bears the CE-mark "CE" in accor- – PTW-Freiburg only considers itself responsi-
dance with the Council Directive 93/42/EEC ble for the safety, reliability, and performance
about Medical Devices and fulfills the essential of the product if the assembly, extension, read-
requirements of Annex I of this directive. The justment, modification, or repair is carried out
product is a class I device without a measuring by PTW-Freiburg or by persons authorized by
function (MDD). PTW-Freiburg, and if the product is used in
compliance with the technical documentation.
– The user manual is an integral part of the prod-
uct. It should always be kept near the product. – In case of any questions concerning the ser-
Observance of the manual is a prerequisite for vice, support, or warranty, please contact your
proper product performance and correct oper- supplier.
ation.
– This manual is in conformity with the product
– Operator safety, specified measuring accu- specifications and all applicable safety stan-
racy, and interference-free operation can dards that are valid as at the printing date. All
only be guaranteed if original products and rights are reserved for devices, circuits, tech-
parts are used. Furthermore, only the acces- niques, software, and names as referred to in
sories listed in this manual are approved by the manual.
PTW-Freiburg and only they or other acces-
sories whose use has been expressly permit- – PTW-Freiburg reserves the right to make mod-
ted by PTW-Freiburg may be used in con- ifications.
junction with the product. Safe operation and Please contact PTW or your local representa-
proper product performance are not guaran- tive for the most current information concern-
teed if accessories or consumables from other ing the products of interest.
manufacturers are used.
– No part of the technical documentation may
– PTW-Freiburg cannot be held liable for dam- be reproduced without written permission from
age resulting from the use of accessories PTW-Freiburg.
or consumables from other manufacturers or
when the user ignores the instructions and
information given in this manual.
– The warranty period is 1 (one) year and begins

on the day of delivery. It is unaffected by
repairs covered by the warranty regulations.
D968.131.00/05 en 7
RUBY (T40072)
Important Information - General Information
– PTW-Freiburg is a registered manufacturer

according to the ElektroG (Elektro- und Elek-
tronikgeräte-Gesetz).
Elektro-Altgeräte-Register (EAR). Registration
number DE15599992
– PTW-Freiburg works in strict accordance with

a quality management system that is contin-
uously updated according to the national and
international standards.
8 D968.131.00/05 en
RUBY (T40072)
Important Information - Safety Information
2 Safety Information
This is the safety alert symbol. It is used Signal Words

to alert the user to potential hazards.
Obey all safety messages that follow this DANGER
symbol to avoid any possible bodily injury
Indicates an imminent hazard. If not avoided,
or equipment damage.
the hazard will result in death or serious injury.
All safety messages consist of the following com-

ponents: WARNING
– Safety alert symbol and signal word Indicates a hazard. If not avoided, the hazard
– Type of danger can result in death or serious injury.
– Source of danger
– Consequence
CAUTION
– Measures to prevent hazards
– Number of the safety message Indicates a potential hazard. If not avoided, the
hazard can result in minor or moderate injury.
NOTICE
Indicates a potential hazard. If not avoided, the
hazard can result in product damage.
HINT
Provides application tips or other useful infor-
mation to ensure that you get the most from
your equipment.
D968.131.00/05 en 9
RUBY (T40072)
Safety Information WARNING

Strictly observe the following safety information Use of the product when it is not in perfect oper-
concerning the signal word WARNING. Failure to ating condition.
do so may endanger the lives of the patient, the Bodily Injury! Equipment Damage!
user, and other persons involved.
Improper handling or wrong storage may dam-
age the product.
WARNING
Before using the product, verify that it is in cor-
Improper handling.
rect working order and operating condition.
Erroneous Measurement! Hazards to Per-
Do not use damaged products.
sons!
0001
The product is used within a radiotherapeutic
environment. The product must only be han-
dled by personnel skilled in radiotherapeutic
applications.
0002
WARNING
Application for uses other than those stated in
the user manual.
Bodily Injury! Equipment Damage!

Always apply the product in compliance with
its intended use. Failure to do so may lead to
severe or even fatal injuries and/or equipment
damage.
Exclusion of operation in the patient envi-

ronment:
Do not operate the product in the patient envi-
ronment (refer to Figure 1).
0003
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RUBY (T40072)
CAUTION
Improper handling.
Handle the product with care.

Failure to comply may cause injuries and/or
damage to system components.
0004
CAUTION
Hazards originating from other system compo-
nents.

Observe the safety information provided in the
user manuals of the system components.
0007
Figure 1: Definition of the patient envi-

ronment (example according to
EN 60601-1 (IEC 60601-1))
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RUBY (T40072)
Important Information
Symbols on the Nameplate MRI Safety Information
Symbol Description
WARNING
Refer to the user manual! Improper handling.

Caution! sons!
Observe the warnings in the user
manual! Watch the product when moving it into the MR
bore. The product must remain in its correct
The product bears the CE-mark. position.
0028
Under certain conditions, the
product can be used in an
MR environment (magnetic reso- WARNING
nance, MR Conditional). Application for uses other than those stated in
the user manual.
Manufacturer and date of manu-
facture Erroneous Measurement! Hazards to Per-
sons!
Reference number
Serial number
For a description of additional symbols, if Non-clinical testing has demonstrated that the
applicable, please refer to section 4 "Product product is "MR Conditional". The product may
Description". be safely used in an MR system under the fol-
lowing conditions.
Failure to observe may result in injuries and/
or loss of product functionality.
Static magnetic Do not exceed
field 3 T (30,000 Gs).
Spatial field gra- Do not exceed
dient 25 T/m (2,500 Gs/cm).
0027
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Operating Manual - Intended Use
Operating Manual
3 Intended Use
Intended Purpose Indications
The product is intended for patient QA measure- The phantom is used for the following tests:
ment and for periodic quality assurance according
– Quality assurance tests of the radiotherapy
to the QA plan of the responsible medical physi-
system
cist.
– Verification of imaging systems at radiother-
apy systems
Product Description
– End-to-End tests
The phantom has a modular design. The phantom – Plan verification
consists of two different phantom bodies, several
inserts and optional components for the inserts.
Each insert can be combined with each phantom Contraindications
body.
The phantom is intended for QA purposes and
must not be used while a patient is present.
Operating Principle
It must not be used in diagnostic radiology.
Interchangeable inserts are placed in a geometric
or an anthropomorphic phantom body. The inserts The resulting measurement data is intended for
serve for housing a radiation detector or a film verification of a patient plan and must not be used
or serve for housing of different materials which to control the radiotherapy system by importing
could be analyzed with imaging systems. the data into the therapy patient plan.
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RUBY (T40072)
Intended User
The product must be used only by qualified per-

sonnel, usually the medical physicist responsible
for the radiotherapy system or an authorized per-
son.
Note: In the United States, federal law restricts

this device to sale by or on the order of
a physician.
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RUBY (T40072)
3.1 RUBY Sets RUBY head sets MultiMet Premium L981655

(connecting system M), L981656 (connecting
RUBY set System QA L981636 consists of the system W) and L981657 (connecting system
following main components (and further acces- N) each consist of the following main components
sories): (and further accessories):
– RUBY phantom T40072.1.001 – RUBY head phantom T40072.1.800
– RUBY insert Patient QA - detector – RUBY insert System QA – MultiMet

T40072.1.100 T40072.1.500
– RUBY insert System QA T40072.1.300 – UNIDOS Tango (3x) Tx10052
– RUBY insert System QA – MultiMet – PinPoint 3D chamber 0.016 cm³ (3x)

T40072.1.500 TxX31022
x = connecting system M, N (BNT) or W (TNC)

RUBY set Patient QA L981638 consists of the
following main components (and further acces-
sories): RUBY set All-inclusive L981660 consists of the
– RUBY phantom T40072.1.001
sories):
– RUBY insert Patient QA - detector
– RUBY phantom T40072.1.001
T40072.1.100
– RUBY head phantom T40072.1.800
– RUBY insert Patient QA - film T40072.1.400
– RUBY tilted base T40072.1.030
– RUBY insert Patient QA - detector

RUBY set Linac QA L981637 consists of the
T40072.1.100
sories): – RUBY insert Linac QA T40072.1.200
– RUBY phantom T40072.1.001 – RUBY insert System QA T40072.1.300
– RUBY insert Linac QA T40072.1.200 – RUBY insert Patient QA - film T40072.1.400
– RUBY tilted base T40072.1.030 – RUBY insert System QA - MultiMet

T40072.1.500
RUBY head set MultiMet L981654 consists For further information on application of the dif-
of the following main components (and further ferent RUBY Sets, refer to section 5.5 "Using the
accessories): RUBY Set".
– RUBY head phantom T40072.1.800
– RUBY insert System QA – MultiMet

T40072.1.500
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RUBY (T40072)
Operating Manual - Product Description
4 Product Description
The RUBY product has a modular design. It is The product is composed of the following mod-
used to perform various tests for quality assur- ules:
ance in radiation therapy.
1 2
3 4
3 5 6
Figure 2: Modules of RUBY product T40072
1 Phantom body "RUBY phantom" 4 Dummy plug (3 pieces)

2 Phantom body "RUBY head phantom" (example T40072.1.150)
3 Insert (5 pieces) 5 Detector holder (15 pieces)
(example T40072.1.100) (example T40072.1.110)
6 RUBY tilted base
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4.1 Phantom Body The different inserts can be introduced into the
RUBY phantom through an aperture. Its under-
side has been designed in such a way that
4.1.1 RUBY Phantom the RUBY phantom stands firmly on conven-
tional carbon fiber treatment couches of linear
The RUBY phantom T40072.1.001 is one of the accelerators. This means that the inserts can be
main modules of the RUBY product. Its main exchanged without any significant change in the
sections (coronal, sagittal, transversal) represent position of the RUBY phantom.
an octagon. The shape enables irradiation from
almost all directions and rotational shifting of the
RUBY phantom to position different planes at the
isocenter.
Figure 3: RUBY phantom shown in the reference coordinate system according to IEC 61217
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RUBY (T40072)
Three engraved lines can be seen on the RUBY 1 Gray line

phantom. They differ in color and style. indicates a defined translational shift in all
three spatial directions
– coronal: 18 mm
1 2 – transversal: 14 mm
– sagittal: -25 mm
2 Black line
indicates the phantom center
4 3 Red line
indicates a defined translational and rota-
3
tional shift in all three spatial directions
– coronal: -12 mm
– rotation (Z-axis) = -1°
– transversal: -10 mm
– rotation (Y-axis) = 2.5°
Figure 4: Detail of the RUBY phantom - – sagittal: 15 mm
engraved lines – rotation (X-axis) = -1.5°
4 CT marker (3 pieces)
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RUBY (T40072)
4.1.2 RUBY Head Phantom
The RUBY head phantom T40072.1.800 is one

of the main modules of the RUBY product and
represents a human head. An insert can be intro-
duced into the RUBY head phantom through an
aperture.
Figure 5: RUBY head phantom shown in the reference coordinate system according to IEC 61217
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RUBY (T40072)
4.1.2.1 Stand
The RUBY head phantom can be mounted to

the stand T40072.1.810 by means of clamping
1 screws and aligned on the treatment couch in par-
allel so that inserts can only be inserted in a spe-
cific direction and position.
Figure 6: Detail of the RUBY head phantom -

engraved lines
Two engraved lines can be seen on the RUBY

head phantom. They differ in color and style.
Figure 7: Stand
1 Gray line
indicates a defined translational shift in all
three spatial directions
– coronal: 18 mm
– transversal: 14 mm
– sagittal: -25 mm
2 Black line
indicates the phantom center
3 CT marker (3 pieces)
Figure 8: RUBY head phantom with stand
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RUBY (T40072)
4.1.2.2 RUBY Carrying Case for Head

Phantom
The RUBY carrying case for head phantom

T40072.1.820 accommodates the RUBY head
phantom, one insert, one stand, and nine detector
holders.
2 4
Figure 9: RUBY carrying case for head phantom
1 Cut-out for stand 3 Cut-out for detector holder

2 Cut-out for RUBY head phantom 4 Cut-out for insert
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RUBY (T40072)
4.2 Inserts
Five block-shaped inserts are available that are
introduced into the phantom body from the front.
The inserts are of identical size but their con-
struction differs depending on their function. The
inserts have three engraved CT markers for deter-
mination of the phantom center (see Figure 25).
An integrated latch secures the inserts inside the

phantom body. The latch must be unlocked man-
ually for removal of the inserts.
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RUBY (T40072)
4.2.1 RUBY Insert

Patient QA - Detector
The RUBY insert Patient QA - detector

T40072.1.100 is a homogeneous insert.
It has a bore hole in the center for insertion of

a single detector. Different detector holders are
available that can be screwed into the insert from
the back. A detector lock at the front prevents the
detector from slipping out.
Figure 10: RUBY insert Patient QA - detector
T40072.1.100
Figure 11: RUBY insert Patient QA - detector

T40072.1.100 (rear view)
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RUBY (T40072)
4.2.2 RUBY Insert

Patient QA - Film
The RUBY insert Patient QA - film T40072.1.400

is used to accommodate a radiochromic film.
The film is positioned on the middle level of the

base body of the insert. A plate with a specific
hole matrix is placed on top of it. A plastic needle
on the back of the insert is used to mark the film
through the holes. A homogeneous filler module
covers the film. The filler module is placed onto Figure 12: RUBY insert Patient QA - film
the base body from above. T40072.1.400
Figure 13: RUBY insert Patient QA - film

T40072.1.400 (rear view)
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RUBY (T40072)
4.2.3 RUBY Insert Linac QA
The RUBY insert Linac QA T40072.1.200 is a

non-homogeneous insert.
There is an 8 mm ceramic sphere in the center

of the three CT markers. The size of the sphere
enables it to be identified on an MV image by
IsoCheck epid and to be analyzed.
Around the sphere, there are four cylindrical vol-

umes (Ø 12 mm) made of bone-equivalent mate- Figure 14: RUBY insert Linac QA
rial, positioned at different solid angles. These T40072.1.200
structures are visible in images made with planar
MV-based imaging systems and planar kV-based
imaging systems, and in cone-beam CT images.
They enable an image registration with a refer-
ence data set in the form of DRRs or CT data sets.
Figure 15: RUBY insert Linac QA

T40072.1.200 (rear view)
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RUBY (T40072)
4.2.4 RUBY Insert System QA The RUBY insert System QA has the following
cavities:
The RUBY insert System QA T40072.1.300 is a
– 3 cavities filled with MR-visible liquid ("MRI")
non-homogeneous insert.
HINT
The non-homogeneities (cavities) are cylinders
of different sizes positioned around the detector. The MR cavities contain air bubbles to com-
All cavities are interrupted at different points to pensate for volume expansion.
enable an image registration of the insert. – 3 cavities with CT-visible, tissue-equivalent
material according to ICRU Report No. 44 /
Report No. 46
("Lung", "Brain", "Bone")
Figure 16: RUBY insert System QA

T40072.1.300
Figure 18: MR cavities
Figure 17: RUBY insert System QA

T40072.1.300 (rear view)
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RUBY (T40072)
1 2
3 4 5 6
Figure 19: CT cavities "Lung", "Brain", "Bone"
1 Lung - cavity 1
2 Lung - cavity 2
3 Bone - cavity 1
4 Bone - cavity 2
5 Brain - cavity 2
6 Brain - cavity 1
Similar to the RUBY insert Patient QA - detector,

the RUBY insert System QA has a bore hole in
the center for insertion of a single detector and a
detector lock at the front for securing the detector.
Different detector holders are available that can
be screwed into the insert.
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RUBY (T40072)
4.2.5 RUBY Insert

System QA - MultiMet
The RUBY insert System QA – MultiMet

T40072.1.500 is a non-homogeneous insert. The
three detector positions correspond to the centers
of three assumed metastases.
On the back of the insert, there are three diago-

nally arranged bore holes for insertion of one sin-
gle detector each. One detector position is at the
center of the insert, the other two positions are Figure 21: RUBY insert System QA - MultiMet
located in opposite directions from the center. The T40072.1.500 (rear view)
detector position towards the front is referred to as
"caudal", the detector position towards the back Three cylindrical volumes (Ø 8.5 mm) made of
of the insert as "cranial". bone-equivalent material are positioned inside the
insert at different spatial angles. These structures
are visible in images made with planar MV-based
1 2 imaging systems and planar kV-based imaging
systems, and in cone-beam CT images. They
enable an image registration with a reference data
set in the form of DRRs or CT data sets.
Figure 20: RUBY insert System QA - MultiMet

T40072.1.500
Figure 22: Inhomogeneities
1 Detector holder in caudal position
2 Detector holder in central position
3 Detector holder in cranial position
Different detector holders are available that can

be screwed into the insert from the back. A detec-
tor lock at the front prevents the detectors from
slipping out.
28 D968.131.00/05 en
RUBY (T40072)
4.3 Dummy Plug The following five detector holders are available
(central position):
For the creation of a treatment planning CT, a
dummy plug is introduced in the appropriate insert – Detector holder T40072.1.110
in place of a detector. Its purpose is to provide a for microDiamond, Tx60019
homogeneous filling in the bore hole of the insert.
– Detector holder T40072.1.120
For the RUBY insert Patient QA - detector for PinPoint 3D chamber 0.016 cm³, Tx31022
and the RUBY insert System QA, dummy plug
T40072.1.150 is used. – Detector holder T40072.1.130
for Semiflex 3D chamber 0.07 cm³, Tx31021
For the RUBY insert System QA - Mul-
tiMet, dummy plugs T40072.1.150 (central), – Detector holder T40072.1.140
T40072.1.550 (caudal), and T40072.1.555 (cra- for microSilicon, Tx60023
nial) are used.
for Semiflex chamber 0.125 cm³, Tx31010
4.4 Detector Holder In addition, the following ten detector holders are
available for the RUBY insert System QA - Multi-
The RUBY product includes 15 different detec-
Met (caudal and cranial position):
tor holders labeled at the front with the respec-
tive part numbers of the detectors. One detector
holder is required for the RUBY insert Patient QA
caudal for microDiamond, Tx60019
- detector and the RUBY insert System QA, three
detector holders are required for the RUBY insert – Detector holder T40072.1.515
System QA - MultiMet. cranial for microDiamond, Tx60019
The detector holder is screwed into the bore hole – Detector holder T40072.1.520
of the insert from the back. The corresponding caudal for PinPoint 3D chamber 0.016 cm³,
detector is introduced into the insert from the front Tx31022
and enters the detector holder in the middle of the
insert. – Detector holder T40072.1.525
cranial for PinPoint 3D chamber 0.016 cm³,
The holder design ensures that the detector refer- Tx31022
ence point is positioned at the center. Besides this
central reference point, there are two additional – Detector holder T40072.1.530
reference points for the RUBY insert System QA - caudal for Semiflex 3D chamber 0.07 cm³,
MultiMet. They are located in opposite directions Tx31021
from the center (caudal and cranial position).
A detector lock at the front of the insert prevents cranial for Semiflex 3D chamber 0.07 cm³,
the detector from slipping out. Tx31021

caudal for microSilicon, Tx60023
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RUBY (T40072)
– Detector holder T40072.1.545 4.5 RUBY Tilted Base

cranial for microSilicon, Tx60023
The RUBY tilted base T40072.1.030 is a square
– Detector holder T40072.1.560 board with two locating shims forming a 45° angle.
caudal for Semiflex chamber 0.125 cm³,
Tx31010 The RUBY tilted base allows the RUBY phantom
to be positioned in all three spatial directions at
– Detector holder T40072.1.565 defined angles:
cranial for Semiflex chamber 0.125 cm³,
– rotation (Z-axis) = 1°
Tx31010
– rotation (Y-axis) = -2.5°
– rotation (X-axis) = 1.5°
HINT
The detectors microDiamond, Tx60019, and Four recesses are provided to accommodate the
microSilicon, Tx60023, are typically used in rubber feet of the RUBY phantom.
water phantoms where the reference direction
of incidence is axial. When used with RUBY, The RUBY tilted base is used to set the RUBY
however, these detectors are also suitable for phantom to a defined, incorrect position for verifi-
radial irradiation. cation of the treatment couch.
Figure 23: RUBY tilted base
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RUBY (T40072)
4.6 RUBY Carrying Case HINT

Remove the foam inlay (Figure 24, pos. 2) if
The RUBY carrying case offers ample space for
you want to insert the RUBY phantom.
the RUBY phantom or the RUBY head phantom
(including the stand) as well as inserts, detector
holders, dummy plug, and the RUBY tilted base.
Figure 24: RUBY carrying case
1 Cut-out for RUBY phantom 4 Cut-out for stand (RUBY head phantom)
2 Cut-out for RUBY head phantom 5 Cut-out for inserts
3 Cut-out for RUBY tilted base 6 Cut-out for detector holders and dummy plug
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RUBY (T40072)
Operating Manual - Application
5 Application
5.1 Introducing an Insert
WARNING
Improper handling.

sons!
Make sure that the insert is introduced in the
phantom body to the end stop. Only when the
front of the insert is flush with the front of the
phantom body is each CT marker in its correct
plane.
0024
• Slide the insert into the aperture of the phan-

tom body from the front until you hear the latch
click into place.
The audible click does not mean that the insert
has reached its correct position.
• Push the insert a little further until the front of

the insert is flush with the front of the phantom
body.
➔ The insert is correctly positioned inside the

phantom body.
➔ Each CT marker of the insert is in its correct

plane.
32 D968.131.00/05 en
RUBY (T40072)
5.2 Inserting a Detector

Both, the RUBY insert Patient QA - detector and
the RUBY insert System QA have a bore hole for
insertion of a single detector in the central posi-
tion, and the corresponding detector holder.
The RUBY insert System QA - MultiMet has three

bore holes for insertion of one single detector
each in the central, caudal, and cranial posi-
tions, and the corresponding detector holders
(refer to Figure 20).
1 2
Figure 25: RUBY insert Patient QA - detector with detector holder (without detector)
1 Detector holder 4 Bore hole for insertion of the detector

2 CT marker (3 pieces) 5 Detector lock
3 Latch
D968.131.00/05 en 33
RUBY (T40072)
WARNING 5.3 Positioning the

Improper handling. RUBY Phantom on the
RUBY Tilted Base
sons!
HINT
Make sure that the detector holder is screwed
The RUBY tilted base is only intended for tilting
into the insert as far as it will go.
of RUBY phantom T40072.1.001.
0025
• Place the RUBY phantom on the RUBY tilted

HINT
base. Observe the following points when posi-
At the front of the detector holder, there is a tioning the RUBY phantom:
label with the part number of the appropriate
detector. – The face of the RUBY phantom points for-
ward.
• Introduce the respective insert into the phan- – The RUBY phantom is in an upright posi-
tom body from the front and as far as it will go tion, i. e., the rubber feet point downward.
(refer to section 5.1 "Introducing an Insert"). – The rubber feet of the RUBY phantom rest
in the recesses of the RUBY tilted base.
• Select the appropriate detector for the detector
holder. – The vertical, red lines on the RUBY phan-
tom continue on the RUBY tilted base.
• Introduce the detector holder into the insert
from the back as far as it will go and screw it • Slide the RUBY phantom in towards the back
tight. until it reaches the locating shims.
• Push the detector lock at the front of the insert ➔ The horizontal, red lines on the RUBY tilted
downward and slide the detector through the base will become visible.
bore hole in the insert into the phantom from
the front and as far as it will go.
• Release the detector lock.
➔ The detector is secured.
➔ The detector reference point is at the phantom

center.
Figure 26: Aligning the RUBY phantom on the

RUBY tilted base
34 D968.131.00/05 en
RUBY (T40072)
5.4 Loading a Film
NOTICE
Observe the following points to avoid equip-
ment damage:
The filler module is lying only loosely on the

base body of the RUBY insert Patient QA - film
and may fall down. When handling the compo-
nents, be sure to take a firm hold of the filler
module together with the base body. This is of
particular importance when removing the insert
from the RUBY carrying case or putting it into
the RUBY carrying case.
5
1
Figure 27: Components of the RUBY insert Patient QA - film
1 Filler module 5 CT marker (3 pieces)

2 Plate 6 Marker hole (5 pieces)
3 Base body 7 Latch
4 Marker needle
D968.131.00/05 en 35
RUBY (T40072)
WARNING 5.5 Using the RUBY Set

Improper handling.
Erroneous Measurement! Hazards to Per- 5.5.1 RUBY Patient QA

sons!
The RUBY set Patient QA L981638 is used for
To avoid hazards, observe the sequence when
measurement-based verification of coplanar and
placing the film into the insert.
non-coplanar treatment plans by means of a
0026
detector (point measurement) or a film (measure-
ment in the plane).
• Lift the filler module off the insert.
The shape of the RUBY phantom enables irradia-
• Remove the plate.
tion from any direction at different table angle set-
tings. By tilting the RUBY phantom, the film can
• Take a film cut to size and place it in the base
be placed in different planes.
body of the insert.
For verification, a measured dose (or dose distri-
• Place the plate on the film.
bution) is compared with a previously calculated
Remove the marker needle from the back of dose (or dose distribution).
•
the insert.
5.5.2 RUBY Linac QA
• Mark the film through the 5 holes in the plate
using the needle.
The RUBY set Linac QA L981637 is used for ver-
ification of the isocenter accuracy by means of
• Put the filler module back onto the base body
the Winston-Lutz test and for daily checks of the
of the insert.
treatment couch in systems with automatic table
adjustment for patient positioning.
5.5.3 RUBY System QA
The RUBY set System QA L981636 is used to

perform end-to-end tests, i. e., for verification of
the entire treatment chain.
The MR visible cavities enable verification of the

MR/CT image fusion in the treatment planning
system (refer to section 4.2.4 "RUBY Insert Sys-
tem QA").
36 D968.131.00/05 en
RUBY (T40072)
5.5.4 RUBY Head Set MultiMet 5.5.5 RUBY Head Set MultiMet
Premium
The RUBY head set MultiMet L981654 is intended
for the systematic quality assurance of treatment The RUBY head sets MultiMet Premium
planning techniques used for irradiation of multi- (L981655 / L981656 / L981657) are equivalent to
ple target volumes with one isocenter. the RUBY head set MultiMet and include the fol-
lowing additional products:
The three detector positions of the RUBY insert
System QA - MultiMet represent three possible – 3 UNIDOS Tango electrometers
positions of the target volumes and the CT mark-
– 3 extension cables
ers enable the isocenter to be defined at the cen-
ter of the RUBY head phantom. – 3 PinPoint 3D ionization chambers
With the RUBY head phantom, the insert can be

placed in patient positioning systems equipped
with a head support.
D968.131.00/05 en 37
RUBY (T40072)
38 D968.131.00/05 en
RUBY (T40072)
Technical Manual - Technical Specifications
Technical Manual
6 Technical Specifications
Only values with specified tolerances or limits are guaranteed. Values without tolerances are for informa-
tional purposes only.
Designation RUBY T40072

Manufacturer PTW Freiburg
Application Used to perform the following tests:
– QA testing of the entire linear accelerator system
– Verification of imaging systems used with clinical linear accelera-
tors
– End-to-end tests
– Plan verification
Material and density
Phantom body / inserts / Polystyrene 1.05 g/cm³
detector holders / dummy
plug / tilted base
Dimensions
RUBY phantom 241.42 mm x 241.42 mm x 231.42 mm (HxWxD)
Length of all edges = 100 mm
RUBY head phantom

- with insert 229.35 mm x 181.0 mm x 241.42 mm (HxWxD)
- without insert 229.35 mm x 181.0 mm x 229.35 mm (HxWxD)
Tilted base 20 mm x 130 mm x 130 mm (HxWxD)
D968.131.00/05 en 39
RUBY (T40072)
Technical Manual - Technical Specifications
Designation RUBY T40072

Weight
RUBY phantom approx. 6.7 kg (T40072.1.001)
RUBY head phantom approx. 3.0 kg (T40072.1.800)
Inserts approx. 2.5 kg (T40072.1.100)

approx. 2.5 kg (T40072.1.200)
approx. 2.4 kg (T40072.1.300)
approx. 2.5 kg (T40072.1.400)
approx. 2.5 kg (T40072.1.500)
Tilted base approx. 0.25 kg

Tissue-equivalent material
(insert T40072.1.300) "Lung" "Brain" "Bone"
Density 0.24 g/cm³ 1.04 g/cm³ 1.68 g/cm³
Electron density 0.235 1.038 1.567
relative to water
Diameter 30 mm 22 mm 18 mm
Volume cavity 1 83.1 ± 0.8 cm³ 25.9 ± 0.4 cm³ 17.2 ± 0.3 cm³
Volume cavity 2 67.2 ± 0.7 cm³ 55.1 ± 0.6 cm³ 36.2 ± 0.5 cm³
CT marker
Material Cortical bone
Dimensions Diameter: 2 mm; length: 2 mm
Density 1.68 g/cm³
Rated range of use
Temperature (+10 ... +40) °C / (+50 ... +104) °F
Relative humidity (10 ... 80) %, no condensation (max. 20 g/m³ absolute humidity)
Atmospheric pressure (600 ... 1,060) hPa
Maximum operating altitude 4,000 m above sea level
Ambient conditions
for transport and storage
Temperature (-29 … +60) °C / (-20.2 … +140) °F
Relative humidity (15 ... 85) %, no condensation (max. 20 g/m³ absolute humidity)
Atmospheric pressure (600 ... 1,060) hPa
40 D968.131.00/05 en
RUBY (T40072)
Technical Manual - Ordering Information
7 Ordering Information
Scope of Supply
RUBY Set System QA L981636

The set includes:
RUBY phantom T40072.1.001
RUBY carrying case T40072.1.040
RUBY insert System QA T40072.1.300
RUBY detector holder T31019 T40072.1.110
RUBY insert System QA - MultiMet T40072.1.500
RUBY detector holder T60019 MultiMet caudal T40072.1.510
RUBY detector holder T60019 MultiMet cranial T40072.1.515
RUBY Set Patient QA L981638

The set includes:
RUBY insert Patient QA - detector T40072.1.100
RUBY insert Patient QA - film T40072.1.400
D968.131.00/05 en 41
RUBY (T40072)
RUBY Set Linac QA L981637

The set includes:
RUBY phantom T40072
RUBY insert Linac QA T40072.1.200
RUBY tilted base T40072.1.030
RUBY Head Set MultiMet L981654

The set includes:
RUBY head phantom T40072.1.800
42 D968.131.00/05 en
RUBY (T40072)
RUBY Head Set MultiMet Premium Type number Set Set Set
L981655 L981656 L981657
con- con- con-
necting necting necting
system system system
M W N
The set includes:
UNIDOS Tango (connecting syst. M, 3x) TM10052 x
UNIDOS Tango (connecting system W, 3x) TW10052 x
UNIDOS Tango (connecting system N, 3x) TN10052 x
Extension cable 'M20m HD'
(connecting system M, 3x) T2954/K3-20 x
Extension cable 'W20w HD'
(connecting system W, 3x) T26002.1.002-20 x
Extension cable 'W20n HD'
(connecting system N, 3x) T26005.1.001-20 x
PinPoint 3D chamber 0.016 cm³
(connecting system M, 3x) TM31022 x
(connecting system W, 3x) TW31022 x
(connecting system N, 3x) TN31022 x
Inclined stand (3x) T10052.1.025 x x x
USB stick UNIDOS (3x) L991330 x x x
Patch cable RJ45 S/UTP Cat5e - 3 m gray (3x) L178072 x x x
RUBY head phantom T40072.1.800 x x x
RUBY insert for system QA – MultiMet T40072.1.500 x x x
RUBY detector holder T60019 T40072.1.110 x x x
RUBY detector holder T60019 MultiMet caudal T40072.1.510 x x x
RUBY detector holder T60019 MultiMet cranial T40072.1.515 x x x
D968.131.00/05 en 43
RUBY (T40072)
RUBY Set All-inclusive L981660

The set includes:
RUBY head phantom T40072.1.800
RUBY tilted base T40072.1.030
RUBY insert Patient QA - detector T40072.1.100
RUBY insert Linac QA T40072.1.200
RUBY insert System QA T40072.1.300
RUBY insert Patient QA - film T40072.1.400
44 D968.131.00/05 en
RUBY (T40072)
7.1 Suitable Detectors
Designation Reference number

microDiamond Tx60019
PinPoint 3D chamber 0.016 cm³ Tx31022
Semiflex 3D chamber 0.07 cm³ Tx31021
microSilicon Tx60023
Semiflex chamber 0.125 cm³ Tx31010
x = connecting system M, N (BNT) or W (TNC)
D968.131.00/05 en 45
RUBY (T40072)
46 D968.131.00/05 en
RUBY (T40072)
Service Manual - Cleaning
Service Manual
WARNING 8 Cleaning
Improper execution of service tasks.

NOTICE
Ensure that the service tasks described below Cleaning the product with improper substances
are only performed by skilled personnel. may cause damage.
In addition, ensure that all other service tasks Do not use solvents, detergents, or scouring
are only performed by PTW-Freiburg or by a agents for cleaning.
person authorized by PTW-Freiburg. 0013
0008
• Rub the product clean using a dry cloth or a

cloth moistened with water.
D968.131.00/05 en 47
RUBY (T40072)
Service Manual - Disposal of the Product
9 Preventive Maintenance 10 Disposal of the Product
Below, you will find a list of the maintenance mea- The typical lifetime of the product is approx.
sures and inspections necessary for the product. 10 years.
At the end of the product lifetime, the components

Check before each Use of the product must be disposed of in compliance
with the applicable waste control regulations. The
• Before each use, visually inspect the product different materials must be separated and recy-
for signs of mechanical damage. cled as appropriate.
• If damage or malfunctions are identified, the The product does not contain hazardous materi-
product must be repaired before it is used als.
again.
Repair
Repairs may only be carried out by PTW Freiburg

or by persons/companies authorized by PTW
Freiburg.
48 D968.131.00/05 en
RUBY (T40072)
Literature
Literature
[1] Council Directive 93/42/EEC concerning medical devices

(Medical Device Directive - MDD)
[2] Journal of the International Commission on Radiation

Units and Measurements, Volume 23, Issue 1, ICRU
Report 44: Tissue Substitutes in Radiation Dosimetry and
Measurement, January 1989, pp. iii-189
[3] Journal of the International Commission on Radiation

Units and Measurements, Volume 24, Issue 1, ICRU
Report 46: Photon, Electron, Proton and Neutron Interac-
tion Data for Body Tissues , February 1992, pp. iii-207
D968.131.00/05 en 49
RUBY (T40072)
Index
Index
A RUBY insert Patient QA - detector.......................... 23

RUBY insert Patient QA - film................................. 24
Application............................................................... 32 RUBY insert System QA......................................... 26
RUBY insert System QA - MultiMet......................... 28
C RUBY Linac QA...................................................... 36
RUBY Patient QA.................................................... 36
Cleaning................................................................... 47 RUBY phantom........................................................ 17
RUBY Sets........................................................ 15, 36
D RUBY System QA................................................... 36
RUBY tilted base............................................... 30, 34
Detector, insert........................................................ 33
Detector holder........................................................ 29
Disposal................................................................... 48
S
Dummy plug............................................................ 29 Safety information...................................................... 9
Stand....................................................................... 20
F Symbols................................................................... 12
Film, load................................................................. 35
T
G Technical specifications........................................... 39
General information................................................... 7
I
Insert, introduce....................................................... 32
Inserts...................................................................... 22
Intended use............................................................ 13
L
List of figures............................................................. 5
Literature.................................................................. 49
M
Maintenance............................................................ 48
MRI safety information............................................ 12
O
Ordering information................................................ 41
P
Phantom body......................................................... 17
Product description.................................................. 16
R
Repair...................................................................... 48
RUBY Carrying Case.............................................. 31
RUBY carrying case for head phantom................... 21
RUBY head phantom.............................................. 19
RUBY head set MultiMet......................................... 37
RUBY head set MultiMet Premium.......................... 37
RUBY insert Linac QA............................................. 25
50 D968.131.00/05 en

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RUBY (T40072)

PTW Freiburg GmbH

© PTW Freiburg, 2021

10 Disposal of the Product......................................................................................... 48

DICOM Open standard for storage and exchange of image data

DRR Digitally reconstructed radiograph

LINAC Linear accelerator

TPS Treatment Planning System

– The warranty period is 1 (one) year and begins

– PTW-Freiburg is a registered manufacturer

– PTW-Freiburg works in strict accordance with

This is the safety alert symbol. It is used Signal Words

All safety messages consist of the following com-

Safety Information WARNING

Bodily Injury! Equipment Damage!

Exclusion of operation in the patient envi-

Bodily Injury! Equipment Damage!

Handle the product with care.

Bodily Injury! Equipment Damage!

Figure 1: Definition of the patient envi-

Symbols on the Nameplate MRI Safety Information

Erroneous Measurement! Hazards to Per-

Intended Purpose Indications

The product must be used only by qualified per-

Note: In the United States, federal law restricts

3.1 RUBY Sets RUBY head sets MultiMet Premium L981655

– RUBY phantom T40072.1.001 – RUBY head phantom T40072.1.800

– RUBY insert Patient QA - detector – RUBY insert System QA – MultiMet

– RUBY insert System QA T40072.1.300 – UNIDOS Tango (3x) Tx10052

– RUBY insert System QA – MultiMet – PinPoint 3D chamber 0.016 cm³ (3x)

x = connecting system M, N (BNT) or W (TNC)

– RUBY insert Patient QA - detector

– RUBY phantom T40072.1.001 – RUBY insert System QA T40072.1.300

– RUBY insert Linac QA T40072.1.200 – RUBY insert Patient QA - film T40072.1.400

– RUBY tilted base T40072.1.030 – RUBY insert System QA - MultiMet

– RUBY insert System QA – MultiMet

Figure 2: Modules of RUBY product T40072

1 Phantom body "RUBY phantom" 4 Dummy plug (3 pieces)

Three engraved lines can be seen on the RUBY 1 Gray line

4.1.2 RUBY Head Phantom

The RUBY head phantom T40072.1.800 is one

The RUBY head phantom can be mounted to

Figure 6: Detail of the RUBY head phantom -

Two engraved lines can be seen on the RUBY

Figure 8: RUBY head phantom with stand

4.1.2.2 RUBY Carrying Case for Head

The RUBY carrying case for head phantom

Figure 9: RUBY carrying case for head phantom

1 Cut-out for stand 3 Cut-out for detector holder

An integrated latch secures the inserts inside the

4.2.1 RUBY Insert

The RUBY insert Patient QA - detector

It has a bore hole in the center for insertion of

Figure 11: RUBY insert Patient QA - detector

4.2.2 RUBY Insert

The RUBY insert Patient QA - film T40072.1.400

The film is positioned on the middle level of the

Figure 13: RUBY insert Patient QA - film