Twinst

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Elscint
Radiology Systems Division
CT Twin/HeliCAT Series
Installation Manual
(For all CT Twin and HeliCAT Modalities)
September 1998 490-7155-0419

Copyright 1998, ELSCINT LTD.
This manual and the information contained herein are confidential and
proprietary to ELSCINT Ltd. Only ELSCINT or its Licensees have the right to
use the information. Any unauthorized use, disclosure or reproduction is a
violation of the licenses and/or ELSCINT's proprietary rights and will be
prosecuted to the full extent of the Law.
DISCLAIMER
Neither ELSCINT Ltd. nor any of its worldwide subsidiaries shall be obliged in
any manner in respect of bodily injury and/or property damage arising from
this product or the use thereof if the unit is not operated and maintained in
strict compliance with instructions and safety precautions contained herein, in
all supplements hereto and according to all terms of warranty and sale
relevant to this product.
Elscint
Installation Manual
LIST OF REVISIONS
E.C.O # REV DATE DESCRIPTION PAGES PREPARED BY APPROVED BY
0 March 93 New Release All Shimon M.
D9311101 A Jan. 94 Doc changed CDRH Armin. Armin M.
P9811904 1 May 1998 Revision All T. Yair S. Catran
CT Twin/HeliCAT Series 490-7155-0419

Installation Manual September 1998
Elscint
CT Twin/HeliCAT Series 490-7155-0419

Installation Manual September 1998
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Preface
Our goal is to give complete satisfaction to the customer, and every department in
Elscint contributes to this goal. Successful installation depends on the active
cooperation of all company departments.
Customers select our products because they are convinced that these products will
satisfy their needs. Their continued satisfaction depends on how well we, as
service providers, do our jobs.
During site planning and equipment delivery, the enthusiasm of the customer is at
its peak. Successful installation keeps customer enthusiasm high and demonstrates
to customers (present and future) a well-managed and professional
high-technology organization. To ensure smooth installation, Chapter 1 of this
manual summarizes the contents of this manual, and describes an estimated time
schedule and the material requirements.
Product installation is only one part of a well organized process designed to keep
our customers happy to work with Elscint.
, PS
PSRRU W D Q W
Chapter 2 provides important safety information. Read all of this

information very carefully. This knowledge could save lives.
Installation Manual
(OVFLQW CT Twin/HeliCAT Series490-7155-0419
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Installation Manual
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Contents
CHAPTER 1
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1
How this Manual is Organized ....................................................................... 1-1
Safety ............................................................................................................... 1-2

General Safety Precautions.......................................................................... 1-2
Service Precautions...................................................................................... 1-2
Precautions Against Mechanical Hazards............................................... 1-3
Precautions Against Electrical Hazards .................................................. 1-4
General Service Safety Procedures and Information .............................. 1-5
Implementation Order and Timetable ............................................................ 1-5
Tools Required for Installation ...................................................................... 1-6
CHAPTER 2
Site Inspection Check List & Layout Information . . . . . . . . . . . . . . 2-1
Site Inspection Check List ............................................................................. 2-2

Delivery Route .............................................................................................. 2-2
Scanner (Examination) Room....................................................................... 2-3
Utility Room ................................................................................................. 2-4
Control Room................................................................................................ 2-5
Site Layout Information .................................................................................. 2-6

General ......................................................................................................... 2-6
Scan Room ................................................................................................... 2-7
Utility Room ................................................................................................ 2-10
Control Room.............................................................................................. 2-11
Office/ Viewing Room ................................................................................. 2-11
Patient Preparation Area ............................................................................ 2-12
CHAPTER 3
Using Mylars to Drill Anchoring Holes . . . . . . . . . . . . . . . . . . . . . . 3-1
Introduction ..................................................................................................... 3-1
Installation Manual i
(OVFLQW CT Twin/HeliCAT Series 490-7155-0419
Instructions ...................................................................................................... 3-1
CHAPTER 4
Unpacking and Dismantling Units . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1
Packing Information ........................................................................................ 4-2
Unpacking the Gantry ..................................................................................... 4-5
Unpacking the Table ....................................................................................... 4-6
Unpacking the Electronic Rack ..................................................................... 4-6
Unpacking the Console .................................................................................. 4-7
Unpacking the Power Cabinet ....................................................................... 4-7
Unpacking the Cooling Unit ........................................................................... 4-8
CHAPTER 5
Positioning and Anchoring Units . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1
The Gantry ....................................................................................................... 5-2

Positioning and Securing the Gantry to the Floor ......................................... 5-2
Gantry Loads and Specifications.................................................................. 5-2
Anchoring the Patient Table .......................................................................... 5-4
Installing the Console ..................................................................................... 5-6
CHAPTER 6
Power and Ground Connection . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-1
Electricity Requirements ................................................................................ 6-2

Line Requirements........................................................................................ 6-3
Line Impedance ............................................................................................ 6-3
Line Frequency............................................................................................. 6-4
Line Regulation............................................................................................. 6-4
Spikes ........................................................................................................... 6-4
ii Installation Manual
Contents
Variations in the Main Power Supply ............................................................ 6-5
System Grounding .......................................................................................... 6-6
Power Source Tests ........................................................................................ 6-6
Additional Electrical Notes ............................................................................. 6-7
Cable Connections Between System Components ..................................... 6-8
CHAPTER 7
Unit Interconnection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-1
Cables .............................................................................................................. 7-2

System Cables.............................................................................................. 7-2
Permanently Connected Cables ................................................................... 7-3
Auxiliary Cables ............................................................................................ 7-4
Connecting Permanent Cables - Gantry: Power Cabling ............................ 7-5

I.P.C. Connection.......................................................................................... 7-5
Motor Controller - BRU 200 .......................................................................... 7-5
Anode Starter Connection ............................................................................ 7-5
APE (Additional Power Earth) Cable Connections ....................................... 7-6
Chiller (Cooling Unit) Connections (According to NESLAB Unit).................. 7-8
Cooling Unit Filling Requirements ........................................................... 7-8
For Drop Shipment NESLAB Unit Only ................................................. 7-10
General Wiring Layout ................................................................................ 7-12
CHAPTER 8
System First-Time Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-1
Precautions Before Turning the System On ................................................. 8-2
System Turn-on Sequence ............................................................................. 8-3
X-Ray System Power ...................................................................................... 8-5
Table Installation - Phase Two ....................................................................... 8-6

Mechanical Alignment of Table..................................................................... 8-6
Swivel Adjustments....................................................................................... 8-6
Installation Manual iii

X-Ray Counter ................................................................................................. 8-9
Fans .................................................................................................................. 8-9
CHAPTER 9
Physics Tests at Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-1
Rotational Motion Check (Delta-T) ................................................................ 9-2
Initial Zero Adjustment ................................................................................... 9-2
Axis Stability Check ........................................................................................ 9-3
Marker Adjustment .......................................................................................... 9-3

Slice Markers Alignment ............................................................................... 9-3
Symmetry Markers Alignment....................................................................... 9-4
Impulse Response .......................................................................................... 9-5
Effective Slice Width Measurement - HeliCAT Series .................................. 9-6
Effective Slice Width Measurement - CT Twin Series .................................. 9-7
Standard Deviation (Noise) Measurement After Calibration ..................... 9-10
Image Quality Check after Phantom Calibration ........................................ 9-11

Regular Scans ............................................................................................ 9-11
Surview Scan.............................................................................................. 9-15
CHAPTER 10
Acceptance Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-1
APPENDIX A
HV Cables and Grounding of Slip Ring Scanners . . . . . . . . . . . . A-1
HV Cables ........................................................................................................A-1
Required Spare Parts ...................................................................................A-2
Installation Procedure ...................................................................................A-2
Grounding Slip Ring CT Scanners ................................................................A-4
iv Installation Manual
Contents
Grounding Cable Requirements ................................................................... A-4

Requirements for Scanner AC Power Cables .............................................. A-5
Checking Ground Screws ............................................................................. A-6
Connecting Additional Ground Cables.......................................................... A-6
APPENDIX B
Leg Alignment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .B-1
APPENDIX C
CDRH Tests and Labels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .C-1
Leakage Test ...................................................................................................C-1
Beam Quality Test ...........................................................................................C-2
Peak Tube Potential Test ................................................................................C-3
Current-Exposure Time Product Test (mAs) ................................................C-3
CTDI/DOSE Profile Test ..................................................................................C-4
Imaging Performance Test .............................................................................C-4

Noise.............................................................................................................C-4
Impulse Response ........................................................................................C-5
Nominal Tomographic Section Thicknesses (Slice Thickness) ....................C-5
Equipment Failure Exposure Termination ....................................................C-6
Tomographic Plane Location / Illumination Levels of the Light Source ....C-6
Scan Increment Test (for Scanners in the USA) ..........................................C-7
Scan Increment Accuracy (for all countries except the USA) ....................C-8
Scan and High Voltage Indicators .................................................................C-8
Activating X-Ray Radiation with a Stationary Gantry ..................................C-8
Reading the Actual HV Parameters from the Previous Scan ......................C-9
Device Certification Labels ..........................................................................C-10
Installation Manual v
APPENDIX D
Delivery and Installation Report . . . . . . . . . . . . . . . . . . . . . . . . . . . D-1
APPENDIX E
Oversize Drawings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-1
vi Installation Manual
List of Figures
Figure 2-1: Typical Layout of a CT Twin System .................................................... 2-7
Figure 2-2: Scanner Dimensions and Clearances for Service ................................ 2-9
Figure 2-3: Duct and Channel Plan ....................................................................... 2-12
Figure 3-1: Patient Table with Swivel ...................................................................... 3-2
Figure 3-2: Patient Table without Swivel ................................................................. 3-3
Figure 3-3: Gantry Position (with Swivel) ............................................................... 3-4
Figure 3-4: Foundation Holes and Cable Ducts Layout ......................................... 3-5
Figure 3-5: Foundation Holes, Cable Ducts, and Water Ducts .............................. 3-6
Figure 3-6: Scanner System Foundation ................................................................ 3-7
Figure 3-7: Alternative Scanner Foundation Dimensions ...................................... 3-8
Figure 4-1: CT Twin Packing Units ......................................................................... 4-4
Figure 4-2: Hook Attachment .................................................................................. 4-5
Figure 7-1: CT Twin Grounding Wires ................................................................... 7-7
Figure 7-2: NESLAB View, Front and Back ............................................................ 7-9
Figure 7-3: Cooling Unit Reset .............................................................................. 7-11
Figure 8-1: Swivel Table Measurements ................................................................ 8-8
Figure A-1: High Voltage Cable Installation ........................................................... A-3
Figure A-2: Grounding Connections Layout ........................................................... A-4
Figure B-1: Shims Location .................................................................................... B-2
Figure B-2: Tilt Clutch Assembly ............................................................................ B-4
Figure C-1: Labels ............................................................................................... C-11
Figure C-2: Typical Layout with Label Locations ................................................. C-12
Figure C-3: Beam Limiting Device Label Location ............................................... C-13
Figure C-4: Operator Console Label Location ..................................................... C-14
Figure C-5: Bed Label Location ........................................................................... C-15
Figure C-6: Gantry Label Location ....................................................................... C-16
Figure E-1: Gantry Wheels .................................................................................... E-2
Figure E-2: Table Assembly ................................................................................... E-3
Figure E-3: Table Screw Location .......................................................................... E-4
Figure E-4: Swivel Positioning ............................................................................... E-5
Figure E-5: Grounding System Layout ................................................................... E-6
Figure E-6: CT Twin/HeliCAT Rotor Cables .......................................................... E-7
Figure E-7: System Layout .................................................................................... E-8
Installation Manual vii

List of Tables
Table 1-1. Implementation Order and Estimated Time Required ........................... 1-5
Table 2-1. Site Specifications - Scan Room ........................................................... 2-8
Table 2-2. Site Specifications - Utility Room ......................................................... 2-10
Table 2-3. Transit - Straight Angle Passage Specifications .................................. 2-13
Table 2-4. CT Twin Dimensions and Weight ........................................................ 2-13
Table 4-1. CT Twin/HeliCAT Basic Units ................................................................ 4-2
Table 4-2. System Packing Dimensions (in cm) and Weight .................................. 4-3
Table 6-1. Electric Hookup Specifications .............................................................. 6-3
Table 6-2. Spikes (Peak Line to Neutral) ................................................................ 6-4
Table 7-1. System Cables ....................................................................................... 7-2
Table 7-2. Permanently Connected Cables ............................................................ 7-3
Table 7-3. Auxiliary Cables ..................................................................................... 7-4
Table 7-4. TB7 Wiring ............................................................................................. 7-6
Table 7-5. Impedance Wiring .................................................................................. 7-6
Table 7-6. Chiller Hose Connection ........................................................................ 7-8
Table 8-1. Power Supply Voltages .......................................................................... 8-2
Table 8-2. Fans ....................................................................................................... 8-9
Table 9-1. Tolerances ............................................................................................. 9-2
Table 9-2. Axis Stability Check ............................................................................... 9-3
Table 9-3. Impulse Response ................................................................................. 9-6
Table 9-4. Slice Width Measurement ...................................................................... 9-7
Table 9-5. Single Slice ............................................................................................ 9-9
Table 9-6. Dual Slice, Slice-A ................................................................................. 9-9
Table 9-7. Dual Slice, Slice-B ................................................................................. 9-9
Table 9-8. Standard Deviation Measurements (Type-B/Type-A Wedge) ............. 9-11
Table 9-9. Maximum Allowed Ring Level (in CT) .................................................. 9-13
Table 9-10. Head Scans, Standard Resolution ..................................................... 9-13
Table 9-11. Head Scans, High and Ultra-High Resolution .................................... 9-14
Table 9-12. Body Scans, Standard Resolution ..................................................... 9-14
Table 9-13. Body Scans, High and Ultra-High Resolution .................................... 9-15
Table 9-14. Image Quality and Artifacts ................................................................ 9-15
Table 10-1. Physical Performance Tests ............................................................. 10-1
Table A-1. New Cable EPNs .................................................................................. A-1
Table A-2. Spare Parts to Stock ............................................................................ A-2
Installation Manual viii

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Chapter 1
Introduction
How this Manual is Organized

This Installation Manual provides all the information required for installing a CT
Twin or HeliCAT system. It is organized as follows:
• The current chapter includes important safety information and guidelines, an

estimated timetable for installation, and a list of the tools you will need.
• Chapter 2 provides a Site Inspection Checklist, which must be completed
one week before the planned delivery date. It also provides site layout
information.
• Chapter 3 describes how to drill holes for anchoring the Gantry and Patient
Table using a mylar.
• Chapter 4 explains the correct way to unpack and dismantle system
components.
• Chapter 5 tells you how to position and anchor the components.
• Read Chapter 6 to learn about the power and ground connections.
• Chapter 7 describes how cables connect the system units.
• After everything is in place and connected, before beginning operation,
follow the start-up sequence and first-time system operation guidelines
provided in Chapter 8.
• Chapter 9 describes the Physics Tests to perform.
• Finally, perform the Acceptance Tests listed in Chapter 10 and complete the
Delivery and Installation Report. (See Appendix D for an example.)
The following additional information is in the Appendices:
• Appendix A - Cable and Grounding information.

• Appendix B - Gantry leg alignment instructions.
• Appendix C - CDRH tests.
• Appendix D - Sample Delivery and Installation Report.
• Appendix E - Oversize drawings.
Installation Manual 1-1

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Safety
This section describes safety precautions and procedures that will ensure the safety
of everyone during servicing and operation of the CT Twin. It includes a section
on general precautions that should be observed at all times, and service precautions
that apply primarily when the equipment is serviced.
General Safety Precautions

This product was designed and manufactured to ensure maximum safety of
operation and service. It should be installed, maintained, and serviced in strict
compliance with the safety instructions contained herein.
• No changes, additions, or removal of any system accessories are permitted

without the prior written approval of a local Elscint service manager.
• The product should be connected to the mains according to the wiring
scheme in this manual.
• Before beginning any clinical use, check the product and fill in the safety
check list reported in this manual.
• Do not leave problems unattended that may affect the safety of the product.
In case of doubts concerning the system's safe operation, call the service
manager for further instruction.
• Inform the customer of Elscint maintenance procedure and schedule the next
afternoon.
+ Note:
This paragraph was written in accordance to Elscint regulation
391.09.013.
Service Precautions
Because the CT Twin is a continuous rotating scanner, it differs from other
scanners from the service point of view. There are two different kinds of potential
hazard when servicing an instrument like the CT Twin:
• Mechanical hazards
• Electrical hazards
These hazards may occur during either an uncontrolled electrical motion or an
uncontrolled mechanical motion.
1-2 Installation Manual

Introduction
Safety
The CT Twin was designed to avoid both of these.
Safety precautions must be taken before servicing the machine. It is the

responsibility of the service engineer to ensure that these precautions are taken to
avoid any hazard.
Precautions Against Mechanical Hazards
The following precautions prevent mechanical hazards:
1. Its Rotor contains heavy parts, such as the High Voltage Power Supply, and
is perfectly balanced. When you disturb this balance by removing a part from
it, it will start an uncontrolled mechanical motion to reach a new equilibrium
point. This motion cannot be stopped and may injure the service engineer.
Therefore, if you intend to remove a unit, proceed as follows:
a. Bring the Rotor to the position in which the unit can be removed.
b. When the Rotor is not rotating, engage the manual brake (located on the
rear side of the Gantry).
c. Do not release the manual brake until the unit (or its replacement) is
returned and fixed securely to the Rotor.
&DX
&DXWWL R Q
Never engage the manual brake while the rotor is rotating. You may
cause serious damage to the machine.
2. In its idle state, the TWIN rotates most of the time; consider all units
mounted on the rotor as flying units. If you fail to fasten units to the Rotor
securely or leave loose screws, units may detach from the Rotor and cause
serious injury.
After servicing any unit, verify carefully that all units and screws are
returned and attached securely in their correct places, as defined in the
appropriate document.
3. The Rotor has no fixed idle position, and even when it is not generating
X-Rays it may start rotating. An uncontrolled, electricity-driven rotation may
cause serious injuries. For this reason, a microswitch in the front cover
disconnects the power to the Rotational Amplifier each time the front cover
is opened.

A red lamp on the left side of the Gantry indicates when the Rotational
Amplifier is energized.
&DX
&DXWWL R Q
Never approach the Gantry if the Rotational Amplifier is energized.
Test the safety lamp by pressing the front door microswitch every time you
open the front cover.
+ Note:
The front cover microswitch has a bypass position. Test this position
every time you put your hand inside the Gantry.
Precautions Against Electrical Hazards
The following precautions prevent electrical hazards:
1. Being a continuous rotating scanner means that the power is transmitted to

the rotating part by mechanical slip rings. Over the slip rings there are line
voltages. Once you remove the slip ring covers, you may be in contact with
line voltages.
, PSR
PSRUU W D QW
Front end electronics is energized through the slip rings even when
you switch off the console.
Therefore, before you remove a slip ring cover, to avoid any electrical
danger, switch off all circuit breakers on the Power Cabinet.
2. A set of brushes, included in the brush block, runs over the static ways. To
avoid serious injury or damage to the equipment, never rotate the machine
when the slip ring cover is removed.
3. The Electric Rack and the Console receive power from an Uninterruptible
Power Supply (UPS) located in the Power Cabinet. This means parts inside
these units continue to receive line voltages, even after the Console or the
various circuit breakers are switched off.

Introduction
Implementation Order and Timetable
Disconnect the power cables to the Rack and the Console before accessing
these units.
General Service Safety Procedures and Information
Please keep the following in mind at all times:
1. The Gantry has a TILT mechanism. Before servicing any unit related to the
tilt motion, remove the machine legs covers and insert the TILT BLOCK
PINS to avoid mechanical danger.
2. Whenever you service the machine, remove everyone from the Gantry room
who does not have to be there.
If you are not alone (you are working with another person):
• Define who is in charge, and coordinate your work with the other person.
• Say what you are going to do out loud, and make the other person
confirm your declaration by repeating your words.
Implementation Order and Timetable

This manual includes all the necessary information for installation of a CT Twin
series scanner.
It is most important to perform the installation procedure in the order shown in

Table 1-1. Estimated time for each operation is included. The total estimated time
is three days.
Table 1-1. Implementation Order and Estimated Time Required
Chapter Action Required Time
2 Site preparation check list and site layout information. Pre-installation
3 Drilling holes to anchor Gantry and Patient Table using a mylar. One day
4 Unpacking and dismantling units.
5 Position and anchor units.
6 Power and ground connection. Half a day

7 Unit interconnection.
8 System first time operation. Half a day
9 Preparing system for clinical operation Half a day
10 Acceptance Test Half a day

+ Note:
Fill in the Installation Report as soon as installation is completed. A
sample Installation Report is in Appendix D.
Tools Required for Installation

You will need the following tools to perform the installation:
• Mylar 705-7158-01 02
• Marking tool
• Electric drill
• Drill bit - Ø24 mm
• Drill bit - Ø18 mm
• Drill bit - Ø14 mm (for system with swivel option only)
• Set of standard tools

Chapter 2
Site Inspection Check List & Layout Information
This chapter includes a check list that you should complete one week before the planned
delivery date.
In addition, it provides site layout information that you should review to make sure that the
site environment is ready for the new equipment. This section also includes diagrams and
the dimensions of the equipment.

Site Inspection Check List

This Check List is to be completed in conjunction with Elscint Site
Preparation Guidelines and site specific drawings.
In case information is inconsistent, please consult Elscint Customer
Support in Haifa.
This Check List is to be completed one week prior to the planned delivery
date and sent by fax to the local service office.
Site Name: _________________________________________________________________
Site Address: _______________________________________________________________
Phone Number: ______________________________________________________________
Customer Representative:______________________________________________________
Person performing Inspection: __________________________________________________
Subsidiary: ________________________________________________________________
Date: _____________________________________________________________________
Delivery Route
Ground Delivery _________ Loading Dock ________________
Special equipment that may be required for delivery ________________________________
Floor type throughout the delivery route _________________________________________
Is floor protection required? No Yes
Is the use of elevator required? No Yes If yes, what is elevator capacity? _______ Kg
+ Note:
The Gantry of the CT Twin/HeliCAT requires an elevator capacity of 2600 Kg (6000
lbs). If this capacity is not available, special rigging must be arranged.

Structural engineering certificate for delivery route and exam room granted?
No Yes
Elevator inside dimensions _______________W ______________D
Elevator door opening ___________________W ______________H
Will elevator technician be present during delivery? No Yes
Are the following available:

CT Twin delivery kit? No Yes
Mylar for installation? No Yes
Floor plan? No Yes
Scanner (Examination) Room

Walls finished with minimum one coat of paint? No Yes
Lead glass installed? No Yes
Lead doors installed, main door width 122 cm (48") from 244 cm (8")
wide corridor and 152 cm (60") from 183 cm (6") wide corridor? No Yes
Convenience outlet - 3 minimum? No Yes
Floor levelness and wave between any 2 points do not exceed 1.6 mm (1/16")?
No Yes
Water pipes to chiller installed? No Yes
X-Ray warning lights installed? No Yes
Structural engineering certificate for final location granted? No Yes
AC system with dedicated room thermostat installed? No Yes
Is BEXT-4 Option required? No Yes

(If yes, consult Service Manager.)
Is a magnet installed in the vicinity? No Yes

If yes, what is the field strength at Gantry location? _____________ Gauss

Utility Room
X Ray Europe220-230/380-400VAC, Ø3, 70A, receptacle and matching plug No Yes
USA277/480VAC, Ø3, 70A, receptacle and matching plug No Yes
Drive Europe220-230/380-400VAC, Ø3, 35A, receptacle and matching plug No Yes
Main Europe220-230/380-400VAC, Ø3, 30A, receptacle and matching plug No Yes
Driven ground rod w/copper bar installed? No Yes
AC sufficient to support water chiller load of 30,000 BTU/hr? No Yes
If "water cooler" chiller was ordered, is the secondary water system installed?
No Yes
If "remote condenser" chiller was ordered, is system installed according

to Neslab instructions?
(Remote condenser chiller must be installed prior to system delivery.) No Yes
Light fixtures installed? No Yes
Convenience outlets installed - 2 minimum? No Yes
Door width 92 cm (36") minimum? No Yes
X-Ray warning lights installed? No Yes
Phone outlet (with outside line) installed? No Yes
Electronic Rack installed in Utility Room? No Yes

Control Room
Lead glass installed? No Yes
Phone with outside line installed? No Yes
Light fixtures with dimmer control installed? No Yes
Convenience outlets installed - 2 minimum? No Yes
Door width 92 cm (36") minimum? No Yes
Is a magnet installed in the vicinity? No Yes

If yes, what is the field strength at Console location?
______________ Gauss
Electricity emergency cut off switch installed? No Yes
Is CEXT option required (between Console and Electronic Rack)? No Yes

(If yes, consult Service Manager.)

Site Layout Information
General
The CT Twin site preparation guidelines will assist you in the planning and
construction phases of your Elscint CT scanner. The guidelines are intended to
provide the site planner with electrical and mechanical information and to assist in
determining construction requirements and cost data. This information should be
used in conjunction with the Elscint drawings prepared for your particular site.
Additional site planning assistance and information may be obtained by contacting
Elscint's Installation Department or service centers.
The CT Twin system requires three separate but contiguous rooms:
• The Scan Room
• The Control/Computer Room
• The Utility Room
A separate Office/Viewing Room is recommended for the physician's independent

Diagnostic Station. This room provides the physician with a private area that is
located outside the normal flow of traffic and dedicated to diagnostic evaluation.
Approximately 74 square meters (800 square feet) are recommended for a CT

TWIN system. This requirement is an approximation and should be used for
planning purposes, but due consideration must be given to space required for
service access. At your request, Elscint Installation Department will provide you
with feasibility studies for available locations.
+ Note:
The dimensions in inches are rounded.
Space, power, and air-conditioning requirements are outlined in tables and

drawings. Additional planning considerations related to the installation and proper
functioning of the CT Twin systems are outlined below. System support rooms to
suit individual operational procedures are recommended and should be considered
by the system purchaser and the site planner.
Basic site requirements for the Scan, Control, and Utility Rooms, as well as the
office and patient preparation areas, are described in this manual.

Figure 2-1: Typical Layout of a CT Twin System
Scan Room
Mechanical components located in the Scan Room include the Gantry and the
Patient Table. Space requirements for these units are determined by their size and
service contingencies.
Table 2-1 indicates the sizes of these units.

The Scan Room requires an entrance door with a minimum clearance of 132 cm
width by 200 cm height in order to facilitate the moving of scanner components. A
second smaller door located between the Console and Scan Rooms is needed to
allow convenient access to the patient by the operator. For a detailed description of
all CT Twin component specifications, see Table 2-4.
Radiation shielding is required for the walls, and may be required for the floors
and ceilings as well, to meet local ordinances. Final decision on specific shielding,
however, will rest with your radiation specialist. (For more details refer to the
Radiation Shielding section in the Site Preparation Manual.) The shield should be
minimum 1.5 to 2 mm lead equivalent.
The equipment layout (Figure 2-1 and Figure 2-2) was planned to maximize the
viewing angle of the patient.
Table 2-1. Site Specifications - Scan Room
Specifications Dimensions1 & Weight Unit
Depth 106 cm Gantry only

120 cm with cables at back side
Height 192 cm
Height with service cover open: 262 cm
Width 222 cm
Depth 316 cm Gantry and Table (one unit)
Weight 3,000 kg
1 These dimensions do not include service clearance.

Figure 2-2: Scanner Dimensions and Clearances for Service

Utility Room
The Utility Room should contain the Power Supply Cabinet, the Cooling Unit and
possibly the External Rack. (For dimensions, weight, and other information see
Table 2-2.)
Table 2-2. Site Specifications - Utility Room
Unit Dimensions and Weight Site Specifications
Power Supply Cabinet Height: 190 cm Minimum distance between back

Width: 80 cm of cabinet and wall should be 80
Depth: 60 cm cm.1
Weight: 500 kg
Cooling Unit for model HX-3002 Height: 117 cm To be installed maximum 15

Width: 86 cm meters from the Gantry with a
Depth: 64 cm maximum height difference of 3
Weight without water: 241 kg meters.3
Weight with water: 300 kg
Approx. Air intake: 2.300 cfm
1 A channel of 20 cm by 30 cm is necessary between the back of the Cabinet and the wall.
2 A minimum clearance of 1.5 meters on all four sides of the unit is necessary for adequate
ventilation.
3 If the Cooling Unit is to be located in another room, then the customer must provide all the pipes
between this unit and the Gantry.
Space should also be provided in the Scan Room for emergency life support to
allow personnel to move about unimpeded on both sides of the Gantry should a
medical emergency arise.
It is recommended that the floor should be covered with PVC without carpets.

Control Room
The Control Room will accommodate the Operating Console, a Multiformat
Camera, and the Electronic Rack
To provide protection from radiation, the patient observation window between the
Control and Scan Rooms, should be Lead glass, equivalent to minimum 1.5 to 2
mm lead. The suggested observation window size, 152 cm wide by 91 cm high,
provides optimal patient visibility. The patient observation window should be
directly in front of the Operating Console, with the window base approximately 95
cm above floor level. The best view of the patient is obtained when the operator is
close to the window (as shown in Figure 2-1).
It is recommended that an open space of at least 2.3 square meters be allocated

behind the Operating Console to allow visitors to observe the CT in operation
without interfering with the operator's duties. Experience has shown this space to
be desirable to allow consulting physicians and support personnel into the Control
Room without crowding.
A telephone is essential in the Control Room to expedite patient scheduling and for
use by service personnel.
A cable length of 4.5 meters (15 feet) for the Operating Console will allow the
placement of Electronic Rack close to the Console. When using CEXT-3 option,
the cable length is 12 meters (40 feet) and the Electronic Rack can be located in the
Utility Room.
Special consideration should be given when dealing with the different Multiformat
Cameras (e.g. customized stands, and ample handling space for the cameras).
Office/ Viewing Room

The CT Twin dual console scanner enables to position the physician's Independent
Diagnostic Console (OMNIVIEW) in an area remote from the Control Room. The
use of a separate Viewing Room provides the physician with a quiet and private
area for diagnostic evaluation as well as consultation. A work area and viewing
boxes should be provided in this office.
The maximum cable length from the Control Room to the Office/Viewing Room is
60 meters (197 ft.). The distance can be extended to 250 meters with the ECL-3
option, or to 480 meters with ECL-E option.

Patient Preparation Area

The Patient Preparation Area may be located neat the Gantry or in a separate room
which could accommodate one or more patients, depending on space availability.
A separate preparation area is recommended to facilitate maximum patient

throughput. Dressing facilities should be provided, as well as a waiting area for
gowned patients.
Figure 2-3: Duct and Channel Plan

Table 2-3. Transit - Straight Angle Passage Specifications
Passage to: Load (kgs) Height (cm) Width (cm) Depth (cm)
Scan Room1 2,000 200 276 120
Control Room 350 200 90 120
Utility Room 500 200 85 95
1 Including transportation wheels.
Table 2-4. CT Twin Dimensions and Weight
Ref. No Equipment Load (kg)s Height (cm) Width (cm) Depth (cm)
A Gantry 2,5001 192 222 120
B Patient Table (Bed) 600 68 70 170
C Operation Console 120 123 110 83
Operation Console without 80 93 110 79

Image Monitor
19" image Monitor 37 47 50 53
D Electronic Rack 150 104 66 78
E Power Supply Cabinet 500 190 80 60
Cooling System 300 117 86 64
1 Gantry Weight including packing may exceed 2,500 kg.


Chapter 3
Using Mylars to Drill Anchoring Holes
Introduction
To shorten the time required for installation, we strongly recommend to use the
Mylars. The Mylars are used to mark the positions of the points at which the
Gantry and Patient Table connect to the floor and enable the preparation of drilling
holes without moving the system.
We recommend that you drill the holes before the system arrives at the site in order
to reduce the time required for installation.
This chapter explains how to use the Mylars during installation of a CT

Twin/HeliCAT Series system.
The following three Mylars (EPN 705-7158-0102) are needed:
• One for the Gantry

• One for the Patient Table with Swivel
• One for the Patient Table without Swivel
Instructions
The following instructions describe the correct way to use the Mylars:
1. Position the Gantry Mylar as described in the Site plan.

2. Position the Patient Table (Bed) Mylar so that it is perpendicular to the
Gantry Mylar.
The reference marks of the Gantry Mylar should overlap the reference marks
of the Patient Table Mylar.
+ Note:
There are two Patient Table Mylars: one for the Patient Table with
Swivel, and the other for the Patient Table without Swivel.
Be careful to use the appropriate Patient Table Mylar.

(OVFLQW TWIN 7180 490-7180-1903
3. Attach the Gantry Mylar to the Patient Table Mylar using adhesive tape.
4. Mark the positions of the drilling holes by first knocking a marking tool with
a hammer, then using a marker.
5. Remove the Mylars.
6. Verify that the distance between the Gantry and Patient Table is as required:
For Patient Table with Swivel, refer to Figure 3-1.
For Patient Table without Swivel, refer to Figure 3-2.
a. Draw a line between the centers of the Gantry holes. See relevant Figure.
b. Draw a line between the centers of the Patient Table holes. See relevant
Figure.
c. Measure the distance between the centers of the lines you drew in steps a
and b.
It should be as specified in the Site Planning manual:
for Patient Table with Swivel: 333 mm.
for Patient Table Without Swivel: 732 mm.
7. Drill the holes according to Figure 3-1 and Figure 3-2.
Gantry
Mylar
Drilling holes
333 mm
Distance between
Gantry & Patient Table
Patient
Table
Mylar
Figure 3-1: Patient Table with Swivel

Instructions
Gantry
Mylar
Drilling holes
732 mm
Distance between
Gantry & Patient Table
Table
Mylar
Figure 3-2: Patient Table without Swivel

(OVFLQW TWIN 7180 490-7180-1903
Figure 3-3: Gantry Position (with Swivel)
+ Note:
Use the alignment jug to check the Mylar adjustment for beds with
swivels.

Instructions
Figure 3-4: Foundation Holes and Cable Ducts Layout
+ Note:
Requires a static load of 500 kg/10 cm 2 at any point of the Gantry and
bed area.

(OVFLQW TWIN 7180 490-7180-1903
Figure 3-5: Foundation Holes, Cable Ducts, and Water Ducts
+ Note:
The Ø14 mm hole in Section J-J is used only in the bed with swivel. In a
bed without swivel drill in section J-J the same hole diameter as in
Section K-K.

Instructions
Figure 3-6: Scanner System Foundation

(OVFLQW TWIN 7180 490-7180-1903
Figure 3-7: Alternative Scanner Foundation Dimensions
+ Note:
All measurements are in centimeters.

Chapter 4
Unpacking and Dismantling Units
Careful unpacking and positioning of the system units will help to prevent damage
to the equipment and make installation easier.
This chapter provides packing information, and instructions to unpack the

following units, in the order listed:
• The Gantry
• The Patient Table
• The Electronic Rack
• The Console
• The Power Cabinet
• The Cooling Unit (Optional)
If a unit shows external or internal damage, contact the transportation company
and file a damage claim under ICC regulations. This is your responsibility.
,P
,PSSR U W D Q W
• Retain all cartons and packing materials until all units are installed
and operating.
• On units with a remote control box, the control box is packed in a

separate carton. Do not dispose of it by mistake.

Packing Information
Table 4-1 lists the units that are included in a basic configuration of CT
Twin/HeliCAT.
Table 4-1. CT Twin/HeliCAT Basic Units
In Figure 4-1 and Table 4-2 CT Twin Series HeliCAT Series

A Gantry Gantry
B Accessories Accessories
C Power Cabinet Power Cabinet
E Table Table
F Rack Rack
G Monitor Monitor
H Console Console
+ Notes:
• The Cooling Unit (I in Figure 4-1and Table 4-1) is optional for both
systems.
• There are a total of seven packing cases, without the cooling unit.
In most cases you will receive the units on a trailer arriving from an airport or in a
container if the goods have arrived by sea. After unloading, the CT units should be
transported to the site and placed in the assigned location according to the specific
site planning.
Heavy and large units should be unpacked in the parking area and then moved to
the appropriate location. A special heavy-duty hook on a crane of 2.5 tons is
provided in order to unload the Gantry from the truck.

Packing Information
Table 4-2. System Packing Dimensions (in cm) and Weight
In Figure 4-1 System Unit Length x Width x Height Gross Weight
A Gantry 239 x 151 x 225 2,816 kg (6,195 lbs.)
B Accessories 122 x 122 x 90 236 kg (519 lbs.)
C Power Cabinet 143 x 112 x 225 568 kg (1,250 lbs.)
E Table 220 x 89 x 93 700 kg (1,540 lbs.)
F Rack 96 x 83 x 125 185 kg (407 lbs.)
G Monitor 75 x 71 x 70 48 kg (106 lbs.)
H Console 125 x 110 x 125 110 kg (242 lbs.)
I Cooling Unit 102 x 80 x 138 241 kg (531 lbs.)

Figure 4-1: CT Twin Packing Units

Unpacking the Gantry
Unpacking the Gantry

Unpack the Gantry carefully, as follows:
1. Dismantle the top and walls of the Gantry’s packing case. Leave the unit on
the pallet.
2. Remove the humidity protection wrapped around the Gantry.
3. Open the Gantry’s rear upper cover. Disassemble both pistons by forcing the
piston attachment out from its location with a screwdriver.
4. Connect the hooks as illustrated in Figure 4-2.
5. Attach the Gantry’s wheels as illustrated in Appendix E (Figure E-1).
6. Using a crane or a fork lift (capacity - 3 tons), carry the Gantry to the nearest
point at the site from which it can be transported on wheels.
7. Disassemble the pallet from the Gantry’s base.
Figure 4-2: Hook Attachment

Unpacking the Table

Refer to Appendix E (Figure E-2) to see how to unpack the Table.
Remove the Table from the pallet and move it to the installation site, as follows:
1. Secure the jack adapter to right (or left) of the swivel assembly.
2. Place the jack under the jack adapter and raise the Table.
3. Insert the right and left front wheels and secure them in place by tightening
the screws. Tighten the screws also from the opposite side.
+ Note:
If the Table cannot be raised sufficiently to allow the insertion of the
second wheel on the other side, use the jack on the other side to
secure that wheel.
4. Lower the jack and remove the jack adapter.

5. Secure the jack adapters to the front portion of the Table.
6. Place the jack under the jack adapters and raise the Table. Secure the rear
holder wheel.
7. Lower the jack.
8. Attach the three inclined planks using adhesive tape.
9. Move the Table on its wheels to the installation site in the clinic.
10. Remove the carriage locker from its place.
Unpacking the Electronic Rack

The unit's wheels are designed for rolling the unit only over a short distance at the
site. Therefore:
1. Lower the unit from the platform by lifting it off the platform. Have at least
three persons support it.
2. Move the unit to its final destination by rolling it over an flat surface that has
no obstructions on it.

Unpacking the Console
Unpacking the Console

Unpack the console as follows:
1. Cut the metallic bands.

2. Remove the cover.
3. Dismantle the packing beams.
4. Release the securing bolts that connect the console to the wooden frame.
5. Lift the console off the wooden frame.
6. Dismantle the casing from the adjustable monitor.
7. Place the monitor on the console area.
Unpacking the Power Cabinet

To unpack the Power Cabinet, do the following:
1. Dismantle the packing cover.

2. Dismantle the side supports above the wooden beams.
3. Dismantle the wooden side beams.
4. Dismantle the rails from the side beams and attach them to the metallic
plank.
5. Cut the metallic bands between the unit and the plank.
6. Remove the wooden buffers that are between the unit and the plank. Leave
the cabinet on the wheels, that are inside the rails on the wooden plank.
7. Push the cabinet in the direction of the rails until it reaches the floor. If a
crane is available, lower the cabinet to the floor using the eye screws that are
on the roof of the cabinet.
8. Dismantle the wooden buffers that hold the BRU-200 inside the cabinet.

Unpacking the Cooling Unit

All NESLAB units are shipped with a warranty card. Leave the top portion of the
card with the unit. Fill out the bottom portion, and return it to NESLAB.
Units are warranteed against defective parts and workmanship for one full year
from date of shipment. Refer to the back page of the Cooling Unit manual for
complete warranty details.
NESLAB is committed to customer service both during and after the sale. If you
have questions concerning the operation of your unit or the information in the
Cooling Unit manual, contact the NESLAB Sales Department. If your unit fails to
operate properly or if you have questions concerning spare parts or Service
Contracts, contact NESLAB Service Department.
Before calling, please refer to the label on the rear of the case top to obtain the
following information:
• Unit part number

• Unit serial number

Chapter 5
Positioning and Anchoring Units
This chapter provides instructions for positioning and anchoring the following
system units:
• The Gantry
• The Patient Table
• The Console

The Gantry
The following sections describe how to position and anchor the Gantry, and list the
loads and other specifications associated with the Gantry.
Positioning and Securing the Gantry to the Floor

Use the following procedure to position the Gantry and secure it to the floor:
1. Position the Gantry over the six holes in the concrete floor. Insert the four
rubber support pads between the legs and floor.
2. Lower the Gantry to the floor, and insert the six bolts into the holes. Remove
the dollies and tighten the bolts.
& D XWL
XWLRRQ
Do not disassemble the yellow bar that connects the legs.

The yellow bar prevents misalignment of the legs of the Gantry.
Misalignment of these legs can cause problems during tilt movements.
See Appendix B for more information about Gantry leg alignment.
3. Use six adjustable anchor studs (EPN HD010000009) to secure the Gantry.
4. Dismantle the yellow painted transportation bar from the Gantry.
Gantry Loads and Specifications

The loads imposed by the Gantry are:
• B - Area of Gantry in contact with the floor.

P1 = 450 + 50 kg (over each of six anchor points).
• C - Area of Bed in contact with the floor.
P2 = 400 kg (over each of two anchor points).
P3 = 1,300 kg (over each of two Anchor Points.
• There is a static load of 500 kg/10 square centimeters at any point of the
Gantry and Bed area.
The following are requirements that must be met:
• The concrete base must be able to support the applied loads.

For layout and dimensions see Figure 3-6 and Table 4-2.

The Gantry
• The surface of the Gantry and bed zones must be uniform and leveled within
1.5 mm (1/16").
• The Scanner base must be pure concrete, with a minimum tensile / shear
strength of 300 kg/cm, or concrete covered with heavy-duty PVC tiles.
Carpets between units and floor are not allowed.
For safety reasons, this requirement for concrete strength takes into
consideration the dynamic pull-out force of 1,000 kg on each Gantry anchor.
• All holes required must be drilled by Elscint personnel only.
In addition, the following are recommended:
• Due to the close proximity between holes and bed cable duct, a metal
reinforcement of this duct is recommended.
The bed cables duct is illustrated between the F elements in Figure 3-4.
• If an upper duct is chosen for E (Figure 3-4), then the bed cable duct should
be extended by extra 12 cm towards the wall.
+ Note:
All dimensions are in millimeters.

Anchoring the Patient Table

This section describes how to anchor a Table, either with swivel or without. See
also “Table Installation - Phase Two” on page 8-6 for Table installation activities
during system startup. All part numbers refer to Appendix E (Figure E-3).
1. For a Table without swivel, skip to step 2.

For a Table with swivel, do the following:
a. Fix part #12 at its allotted place, using screws and anchor sleeves #1 and
#19.
b. Place part #13 at the required distance from part #12. With screws #1 and
anchor sleeves #19, fix part #13 central and parallel to part #12.
2. With screws #11 and anchor sleeves, fix part #10 at a distance of 50 mm
from the end of the cable duct.
3. Bring the Table to its exact location.
4. Remove the side covers of the table (upper and lower).
5. Lay the cables (rolled-up in the table) into the cable duct.
6. Raise the front portion of the table with a jack and remove the front wheel
holder. Lower the jack and remove the jack adapter from the Table.
7. Fix the jack adapter to one side of the Swivel Assembly or to the table front
in a bed without the swivel. Raise the rear portion of the table with the jack
until both wheels from the two sides of the table are above the floor and
remove them.
Lower the jack and remove the jack adapter from the Table.
+ Note:
If the table cannot be raised sufficiently to allow the removal of the
second wheel on the other side, use the jack on the other side to
secure that wheel.
8. After laying the cable harness inside the cable duct, fix and align the table in
place with screws, nuts, washers, anchor sleeves numbers: 2, 3, 5, 6, 7, 18.
(Tighten anchor number 2 until the three pins on the red cap break.) Final
tightening of the screws is done after Table alignment.
9. Make a loop in the cable harness to a length of 35 cm as shown in Appendix
E (Figure E-3) with anchor sleeve #9.

Anchoring the Patient Table
10. For a Table without swivel, skip to step 11.

For a Table with swivel, do the following:
a. Remove the parking bracket of the drive screw of the Swivel Assembly
from the Table frame (see parts #20 and #21 illustrated in Appendix E
(Figure E-2)).
b. Align the Roller housing by tightening hexagonal nut #16 until there is
no slack between Beam #14 and Rollers #15. Then, tighten the
hexagonal nut by an additional 2/3 turn to produce the required pressure.
+ Note:
Do not activate the swivel motion at this stage.
11. Insert the connectors of the Table cables into the Terminal Board behind the
Gantry.
12. Operate the Table and check the smoothness of movements in IN/OUT and
UP/DOWN directions only.
13. For a Table with swivel, after the table final alignment, tighten the four bed
screws.
For Table installation activities during system startup, see “Table Installation -
Phase Two” on page 8-6.

Installing the Console

To install the console, do the following:
1. Unpack the color monitor from its package and mount it on the console.
2. Adjust the height of the alphanumeric display.
3. Connect the RGB (Red, Green Blue) video signal cables to the color
monitor.
4. Connect the power cord to the color monitor.
5. Connect all the cables from the Rack to the Console.

Chapter 6
Power and Ground Connection
This chapter describes how to connect the CT Twin to power and ground.
It includes the following sections, in the order listed:
• Electricity requirements, including line requirements, impedance, frequency

regulation and spikes.
• Variations in the main power supply.
• System grounding.
• Power source tests.
• Additional electrical notes.
• Cable connections between system components.

Electricity Requirements
The CT Twin system is designed to meet worldwide main power supplies, either
230 VAC/110 VAC or 50 Hz/60 Hz, the local commercially available power.
+ Note:
Elscint electric line requirements are in addition to the local electrical
line regulations.
The power source must be independent of all other loads; it must not provide
power for any additional equipment, such as air conditioning, elevator
compressors, and others. All transformers must have sufficient capacity to handle
future expansion.
Primary power for the scanner must be furnished and installed by the user. The
user is responsible for the installation of distribution panels, switches,
transformers, and voltage regulator as required. Under special circumstances,
Elscint may insist on the installation of a line conditioner.
All primary power wiring must be distributed via an internal wall ducts or surface
mounted ducts. Primary power cannot run through the scanner system’s
interconnected troughs. Electrical services should be protected with shunt-trip
main circuit breakers. Emergency OFF switches should be close to the Operating
Console so that all power may be turned off easily in the event of an emergency.
All receptacles should be grounded in accordance with the requirements of local

electrical codes.
Each receptacle must be connected to its own circuit breaker in the power
distribution panel.
If operation of the scanner is required during a power failure, contact Elscint’s

Field Representative.

Electricity Requirements
Line Requirements
Three separate lines are fed to the Power Cabinet (unit M in Figure 2-1 on page
2-7):
• Line 1: X-Ray system

• Line 2: Main
• Line 3: Drive
+ Note:
Power for all other system unit loads (console, rack, cooling united) are
supplied internally from the power cabinet.
Line Impedance
Line impedance as seen from the system looking back from the wiring shall not
exceed 400 VAC, 60 kVA.
Table 6-1. Electric Hookup Specifications
Voltage
Network Type Line 1 (X-Ray) Line 2 (Main) Line 3 (Drive) Amps/Phase
3 Phases
380 VAC
1 63 A 25 A 32 A 120
50 Hz
480 VAC
70 A 70
60 Hz
2
208 VAC
30 A 35 A 65
60 Hz
220 VAC
200 A before the transformer
3 50/60 Hz
63 A 30 A 35 A 195
+ Note:
All input lines are three phases (± 10%).
Detailed illustrations of the electric hook-up, showing connections with either

fuses or circuit breakers are in the appropriate Site Planning Guide.

Line Frequency
50 or 60 Hz ± 1 Hz
Line Regulation
Max 5% for delta load of 60A (230V) 120A (120V).
Spikes
Peak line to neutral. See Table 6-2.
Table 6-2. Spikes (Peak Line to Neutral)
Network Type Phase Voltage 230 Volts 120 Volts
Spike < 1,200 V < 900 V

1 Rise Time > 1 microsecond > 1 microsecond
Pulse Width < 10 microsecond < 10 microsecond
Spike < 800 V < 400 V

2
Spike < 400 V < 200 V

3

Variations in the Main Power Supply
Variations in the Main Power Supply

The CT Twin system incorporates the latest innovations in technology. Being an
extremely sensitive imaging device, it is dependent on stable main power.
Voltage reductions, fluctuating power, and transient impulses or noise can affect
the main power supply and system operation, and should be considered when
planning the power requirements.
Voltage reductions or sags can be a result of many factors. Line reductions happen
normally in times of heavy demand for power, during which utility companies may
reduce their load by lowering line voltages. Legal regulations determine the exact
percentages of line voltage that a power company may reduce. Typically a
“brownout” is a voltage reduction of from 3% to 5%, and the utility company is
not required to notify its customers about such a reduction.
Other causes of voltage reduction are distance from generating source, distance
from electric service hookup to distribution panels, and loose or corroded
connections.
Fluctuating power (sags or surges) is AC voltage that drifts from the required
specifications due to changes in external loads. This is typical if an elevator or
other high load device is connected to the CT Twin system power source.
There are two ways to prevent the above potential problems:
• Isolating and disconnecting the load from the CT Twin system power source.
• Installing voltage regulating devices and/or isolating transformers.
Fluctuating voltage may cause the system to operate close to or below its lower
voltage limit. The installation of a back-boost or voltage regulator transformer will
minimize this problem.
Transient impulses are defined as deviations from the ideal sine wave with a
duration less than one cycle of line frequency. Normally these impulses have a
duration of a few hundred nsec to several msec.
Several external devices are currently available to remove transient impulses. Such
devices are strongly recommended.
For further information, contact the Elscint CT Technical Department.
It must be noted that there are no shortcuts to meet the power requirements. Every
site has to be checked, using a line monitor, during 48 hours before starting
installation.

System Grounding
The term “good grounding system” can be easily misunderstood, because the word
“ground” may mean one arrangement to electricians and quite another to
computer/scanner personnel. In computer/scanner circuits, the grounds are the
Logic, Frame, and Earth grounds.
The Logic ground is designed into the circuit wiring and interconnecting cables. It
is the DC voltage return.
The Frame ground is connected to all associated cabinets and is the electrical AC
voltage fault return.
All equipment must be grounded to an Earth ground at a common point. The user
must provide the common point and a suitable Earth ground for the CT scanner,
using a copper plate with four 1/4” screws.
The resistance between the common point and the true earth point must be less
than 1W.
See Appendix A for detailed grounding instructions.
Power Source Tests

Test the main supply lines at the site before the Elscint CT installation. You can do
these tests with a unit Power-line Disturbance analyzer such as “DRANETZ -
series 606.” Surveillance requires seven working days on site on all three phases.
Do the following tests:
1. Measure the following voltages:

• Slow average of mains voltage beyond.
• Surge or sag of RMS voltage beyond.
• Frequency variations beyond.
• Impulses higher than 400V (230V line), 200V (120V line), their ampli-
tude and duration.
2. Perform line regulation tests after loading each phase (at the point where the
CT switchboard will be connected).
3. Test ground conductivity. The resistance between the True Earth point and
the Electrical switchboard must be less than 2W.

Additional Electrical Notes
Additional Electrical Notes

Above each entrance door to the Scan Room, there must be a 230V/115V (max
25W) light bulb for an X-Ray ON. To do this, a pair of wires should be run
through a user-provided duct from the rear of the Gantry to the connection bracket.
Lamps should be connected in parallel, via an adequate circuit breaker supplied by
the customer, and switched ON and OFF by an internal relay in the HV controller.
If door switches are installed, they must have contacts that close whenever the
door is shut. The door switches must be wired in series and run through a
user-provided conduit to the rear of the Gantry. A twenty meter cable from the
Gantry room doors to the Gantry is supplied by Elscint. A Rotation ON warning
lamp, supplied by Elscint, is to be installed in the Gantry room. The lamp’s switch
is located on the Power Cabinet. Elscint supplies a twenty meter cable with
terminal lugs for its connection.

Cable Connections Between System Components

Many cables interconnect the various system components. Either a floor-mounted
cable wireway or a flush-with-floor cable trench duct is required to house the
cables. The exact requirements depend upon equipment placement and site
conditions, as well as on the customer’s preferences. The Elscint Installation
Department is always available to offer in-depth assistance.
Since most systems are installed in existing facilities Elscint site drawings specify
surface mounted or overhead troughs for interconnective system cabling.
The use of in-floor, 6" x 10", flush-mounted troughs provides the most esthetic
installation. However, this system is best for newly constructed sites due to the
large amount of concrete cutting required to install this type of troughs in existing
floors. If this style of troughs is desired, it should be indicated early in the project
planning stage.
The system troughs or ducts should be used exclusively for system cables. No
power, phone, or other cables should be placed in the same duct.
Since signal cables and voltage lines will be housed in the same troughs, the trough
must be divided into two compartments in order to satisfy the electrical code
requirement for separation of high voltage or high current from low voltage
(signal) cabling. It is recommended to install the cable and water pipe troughs
flush with floor or wall surfaces.
Occasional maintenance is required on connective system cables. All troughs

above or below floor levels must be reasonably accessible for maintenance. Plastic
or metal conduit piping is not permitted because it does not provide access to the
cables.
It will be the customer’s responsibility to provide the labor for cutting cabling exit
paths in the troughs in order to allow interconnection of system components.
Component placement should be finalized before the exit paths are cut.

Chapter 7
Unit Interconnection
This chapter describes the cables that connect the components of the CT Twin to
each other, and how to install them.
It includes the following sections, in the order listed:
• Lists of system cables, including cables that connect units, cables that are
permanently connected to one unit, and auxiliary cables.
• Cable connection instructions, including I.P.C., motor controller BRU 200,
anode starter, revision of Power cabinet APE, chiller and general wiring
layout.

Cables
This section lists what the system cables connect, their ECNs and their type.
System Cables
Table 7-1 lists the system cables and their ECNs, and shows what each connects.
Table 7-1. System Cables
Connection ECN Description Type1
475-7155-0301 MDR Signal System Cable Signal
475-7155-0509 High Voltage Supply Safety Signal
475-7155-0608 Anode Starter System Power
475-7155-1101 MCU Power System Power
Gantry to Power Cabinet 475-7155-1309 Table/Tilt Power System Cable Power
475-7155-1408 Blower Valve Power Cable Power
475-7155-1507 Motor Power System Cable Signal
475-7155-3206 Motor Feedback Signal
475-7155-3503 Gantry APE Power
475-7155-4105 Cooling Unit Power Cable Power

Cooling Unit to Power Cabinet
475-7155-3602 Cooling Unit APE Power
Power Cabinet to Hospital Supply 475-7155-3404 Power Cabinet APE Power
475-7155-1705 Rack Power System Cable Power
475-7155-1804 Rack Power UPS System Power

Power Cabinet to Rack
475-7155-2208 UPS Control Signal
475-7155-3305 Rack APE Power
475-7155-0400 Main CN RS 422 Signal
Rack to Gantry 475-7155-0707 ACQ2 System Cable Signal
475-7155-0806 ACQ1 System Cable Signal
475-7155-1002 Table (Bed) P.S. Cable Signal
Gantry to Console 475-7155-2109 Console Key Cable Signal
475-7155-0103 Console SAF Cable Signal
1 Signal cables must be in separate ducts from power cables.

Cables
Permanently Connected Cables

The cables listed in Table 7-2 are fixed to one unit and cannot be detached from it.
For each cable, it lists the ECN, and shows what it connects.
Table 7-2. Permanently Connected Cables
475-7154-1300 Anode Power Cable Power
Gantry to Power Cabinet 475-7154-3801 3HV Power Cabinet Positive Power

(packed with Gantry) 475-7154-4502 HV Negative Power Power
475-7154-5202 Rotor Motor Drive Cable Power
475-7155-0202 Table SAF. System Cable Signal
475-7155-0905 Table Signal Cable Signal
Table to Gantry and Power Cabinet 475-7155-1200 Table Power Cable Power
(packed with Table) 475-7155-3701 Table Unit APE System Power
475-7155-3800 Table CONT APE System Power
475-7155-4410 Table to Gantry Signal
475-7155-1903 Console Power System Cable Power
475-7155-2000 Console Power UPS-System Cable Power
475-7155-2604 Floppy 3.5" Cable Signal

Rack to Console
475-7155-2802 A/N Display Cable Signal
(packed with Console)
475-7155-2901 K.B. System Cable Signal
475-7155-3107 Audio Cable Signal
475-7155-3008 Video Cable (x4) Signal
475-7156-1803 Drive Line Power

Power Lines
(packed with Power Cabinet) 475-7156-1902 Main Line Power
Gantry to Console
475-7156-2009 X-Ray Line Power

Auxiliary Cables
Table 7-3 lists the auxiliary cables, their ECNs and type, and shows what each
connects.
Table 7-3. Auxiliary Cables
Local Ground Screw (hospital) to

475-7155-3404 APE Cable Power
Power Cabinet
Laser M.I. and Console 475-7155-4006 Multi-Imager APE Cable Power
Gantry to Customer Lamps 475-7155-2307 Warning Light Cable Power
Gantry to Doors 475-7155-1601 Door M.S. Cable Power

Connecting Permanent Cables - Gantry: Power Cabling
I.P.C. Connection
Set up the I.P.C. connection, as follows:
1. Remove the cover of the I.P.C. unit in the top left corner of the Power
Cabinet.
2. Identify the power (HV) cables coming from the Gantry:
475-7154-3801 (+) red
475-7154-4502 (-) black
Guide them from the rear side of the cabinet to the front left side of the unit,
so that they reach the I.P.C. unit.
3. Connect both cables to the I.P.C. special terminals, with the (+) red cable to
the right of the (-) black cable.
4. Fasten the cables to the I.P.C. box and use cable ties (PANDUIT) to secure
the cables to the Power Cabinet chassis.
Motor Controller - BRU 200

Perform the following steps to connect the BRU 200 Motor Controller:
1. Identify the cable - power cable with four wires (475-7154-5202).

2. Guide cable from left rear side to top right side of the Power Cabinet
3. Connect the wires according to their labels:
R - brown
S - black
T - blue
GND - yellow/green
4. Fasten the cable path with cable ties to secure it to the chassis.
Anode Starter Connection

Connect the anode starter, as follows:
1. Identify the cable 475-7154-130 (three wires).

2. Guide the cable from the rear side of the power cabinet through a special
hole located at the bottom left corner of the anode starter.

3. Connect the three wires to TB7 as indicated in Table 7-4.

Table 7-4. TB7 Wiring
In Slip Ring Terminal

Wire Color Signal A.S. Terminal
Ring
Red Common TB7/H9 6
Blue Main TB7/H7 4
Brown Phase TB7/H8 5
4. Verify that the impedance between the signals is as specified in Table 7-5.
Table 7-5. Impedance Wiring
5 MHU Tube 2,3.5 MHU Tube
Between Main to Common 8W 14W
Between Phase to Common 8W 46W
5. Fasten the cable path with cable ties to the anode starter box.
APE (Additional Power Earth) Cable Connections

The Power Cabinet is equipped with a Ground Bar on the rear bottom of the Power
Cabinet unit. Verify that the connections to the Ground Bar are as follows:
From Cooling Unit 475-7155-3602

From Table Control 475-7155-3800
From Gantry 475-7155-3503
From Rack 475-7155-3305
To Local GND 475-7155-3404
Make sure that the bolts securing the cable terminals are tightened (use a wrench).
See Figure 7-1.

Figure 7-1: CT Twin Grounding Wires
+ Note:
For a more detailed drawing (including rotor/stator ground) see
Grounding System Layout (Figure E-5).

Chiller (Cooling Unit) Connections (According to NESLAB Unit)

Connect the Chiller according to the NESLAB unit, as follow:
1. Connect the hoses supplied with the system (3/4") to the inlet and outlet
pipes of the Ganty. The pipe nearest the center is the inlet pipe. The pipe
nearer the Gantry signal panel is the outlet pipe.
+ Note:
The maximum distance between the Chiller and the Gantry is 15
meters, with a difference in level of no more than three meters.
2. Connect the hoses to the Chiller, as shown in Table 7-6.

Table 7-6. Chiller Hose Connection
Gantry Chiller
Inlet Supply (S)
Outlet Return (R)
3. Connect the Power Cable of the Chiller to the Power Cabinet.

4. Fill the water container with distilled water up to the coil inserted in the
water tank.
Cooling Unit Filling Requirements
The reservoir access panel is at the left rear corner of the top of the case (see
Figure 7-2). To open the access panel, slide the latch back (towards the rear of the
unit) and lift. The cover of the reservoir is below the access panel. Loosen the
thumbscrews and remove the reservoir cover.
Fill the fluid reservoir with distilled water to within 25 mm (1 inch) of the top.
The fluid capacity of the instrument being cooled and the recirculation lines may
be significant. To prevent the lowering of the fluid level in the reservoir below the
operating level, keep extra cooling fluid on hand, and keep the reservoir filled to
within 25 mm (1 inch) of the top.
When the recirculating system is full, replace the reservoir cover and the access
panel.

Figure 7-2: NESLAB View, Front and Back

For Drop Shipment NESLAB Unit Only
To connect a NESLAB unit that is a drop shipment, do the following:
1. Lift and open the top of the case by using a flat blade screw driver to release
the clips. See Figure 7-3.
As shown in Figure 7-3, the top of the case is secured to the base of the unit
by a hinge along the rear of the unit, and by two spring clips at the front
corners. To access the temperature limit device, lift the front of the case top
and tilt it back. The support brace on the right side of the inner case will stop
and support the case top.
2. Disconnect the connector.
3. Unscrew the five screws.
4. Move the cover to the left.
5. Connect an extension cable at points: GND screw L1, L2 (S) at the narrow
end.
6. Place the cover back in its place with the five screws.
7. Reconnect the connector and close the cover.

Figure 7-3: Cooling Unit Reset

General Wiring Layout

See Appendix E for Grounding System Layout (Figure E-5), CT Twin/HeliCAT
Rotor Cables (Figure E-6), and System Layout (Figure E-7).

Chapter 8
System First-Time Operation
This chapter describes how to turn on the system, and the things to check when
you do.
It describes the following:
• Safety precautions to take before turning on the system.

• How to turn on the system.
• How to turn on the X-Ray.
• The second phase of Table installation, including: mechanical alignment and
swivel adjustments.
• Recording the X-Ray counter.
• Checking fan operation.

Precautions Before Turning the System On

Before turning on the power for the first time, make sure that the following are all
true or are done:
1. The hook is disassembled and is not connected to the Gantry.

2. The yellow painted bar across the Gantry’s legs is not attached.
3. The two security tilt pins on both of the Gantry’s legs are present. Remove
them after the first Gantry tilt operation
4. The Mains, Drive, and X-Ray circuit breakers in the Power Cabinet are in
OFF positions.
5. The three power lines are connected as required by your site planning setup.
6. All Power cables and grounds (APE) are connected properly and well
secured.
7. Measure the voltages for all three supply lines on TS1, TS2, TS7.
Table 8-1. Power Supply Voltages
PHASE 1 PHASE 2 PHASE 3 Neutral GND
Mains TS2/1 TS2/2 TS2/3 TS2/4 TS2/5
Drive TS7/1 TS7/2 TS7/3 TS7/4 TS7/5
X-Ray TS1/1 TS1/2 TS1/3 - TS1/4
+ Note:
Measure each supply line between every two phases, and measure
every phase with respect to ground and neutral.

System Turn-on Sequence
System Turn-on Sequence

Use the following procedure to turn on the system:
1. In the Mains section of the Power Cabinet, raise the circuit breakers (CB)
Line / Load / Rack and Console and press the UPS bypass push button. The
amber light should turn on.
Lift the Rack and Console CB. Make sure the corresponding lamp is on.
2. Make sure that both front and rear Power Cabinet doors are locked. Then
switch on the console by turning the key to start position.
Wait three minutes for the computer to load the software until the Q prompt
appears on the screen. Verify that all the Console and Rack functions
perform properly (Reconstruction, Display, etc.).
3. Raise the Gantry circuit breaker.
a. Open the Gantry’s front cover. Press the bypass switch located on the
upper left side of the Gantry.
b. Connect the Service Box to the signal panel located on the back side of
the Gantry, in the J304 service location.
Then, check the following:
– All lamp indicators should be lit in MCU crate, BCU crate, ODL FEE
connection boards, and in the Eurotherm temperature control unit.
– Fans of the high voltage inverters (anode and cathode), 1 x GFC, 1 x
Card Cage, 4 x Heat Exchangers, 4 x Cooling Systems, BCU Crate,
MCU Crate and FEE are turning.
– When activating ROT movement, the sound of the Brake motors
solenoid is heard during pressing and releasing of the ROT
movement via service box.
4. Open the Table covers and remove the locking attachments for In/Out
motion (they are yellow in color).
a. Raise Tilt and Table circuit breaker.
b. Activate the Tilt via the Service Box to take out the transportation
locking pins located on both sides of the Gantry’s legs.
c. Activate Table movements: In, Out, Up, Down and Swivel.
5. Raise Drive Main Switch and then ROT D. M. circuit breakers.

The ROT Motor Amplifier, located inside the power cabinet, is initialized at
the end of its power-up sequence. Observe the green LED lamp through the
transparent window. It should remain lit.
a. Rotate the Gantry slowly in a clockwise direction using the Service Box.
b. Verify that there is no friction, noise, or falling parts during motion.
c. Complete two rotations.
6. Raise the Anode Starter circuit breaker.
+ Note:
No indication lamp is available on the panel to show that power has
been turned on.
7. Make sure that the Recirculating Flow Control lever is in the 0 (horizontal)
position.
Raise cooling unit circuit breaker.
a. Place the power ON/OFF switch in the ON position. The pump and
refrigeration system will switch on and the temperature will be displayed
in Centigrade.
b. To display the temperature setpoint, press and hold the Setpoint/Actual
temperature button. 16° should be displayed. If necessary, adjust it by
pressing the Setpoint/Actual temperature button and turning the adjust
dial until the desired temperature is reached.
c. Shift the Recirculating Flow Control lever slowly to + (vertical position).
Verify that the pressure gauge indicates pressure build-up. Check that
there are no leaks!
8. Turn on X-Ray main circuit breaker. An amber lamp will indicate that
power is on.

X-Ray System Power
X-Ray System Power

Turn on power to the X-Ray system, as follows:
1. Open both inverter covers.

2. Verify input cables, screws and X-Ray transformer connections for tightness.
3. Tighten screws if necessary.
4. Using an ohmmeter, check open circuit between:
heat sink - chassis
input voltage - chassis.
5. Leave the HV feedback BNC connected to the BNC connector on the HV
Transformer end. Disconnect one BNC (C + A) at a time from the HVC (card
cage) end. Check with an ohmmeter that there is 332 kW between the center
and the shield (on the card cage end).
6. Check that there is 7 W ± 0.5 W from the screen to the system chassis
ground.
7. Make sure to reconnect the BNC back to the correct connector.
8. Close inverter covers.
9. Check that the X-Ray cables are well secured.
10. Check the GND connection in all the HV units.
11. Perform three scans using: 80 kV, 100 ma, 2 sec from HCU terminal.
12. Perform Long Tube Conditioning (T. C.) from HCU terminal.

Table Installation - Phase Two

The following sections describe phase two of Table installation. For phase one,
see "Anchoring the Patient Table" on page 2-4.
Mechanical Alignment of Table

To align the Table mechanically, do the following:
1. To bring the Table to its correct position, center it in the scan circle and
relative to the Gantry front cover.
a. Raise the Table to the estimated middle of the scan circle in height.
b. Insert the stretcher of the Table into the Gantry scan circle.
c. Measure the distance from the left edge of the stretcher to the Gantry
front cover. Make sure the measurement is in a direct straight line.
d. Measure the distance between the right edge of the stretcher to the
Gantry front cover. Make sure the measurement is in a direct straight
line.
e. Compare the measurements from step c and d, and if necessary move the
Table to center it.
f. Repeat steps c through e until the measurements on both sides are equal.
2. Put the system phantom on the Table and perform a surview scan.
a. Put the Grid on the image and check that the phantom is in the center of
the scan circle.
b. If necessary, move the bed to the correct position.
c. Repeat steps a and b until the phantom surview image is in the middle of
the scan circle.
3. Tighten the anchoring screws.
Swivel Adjustments
Make the swivel adjustments as follows:
1. Remove both 1/2" screws (** box and marked C, in Figure E-4) connecting
the swivel track assembly and the anchor plate.
2. Check the movement of the swivel display.
3. Adjust swivel limit switches.

Table Installation - Phase Two
4. Check that the swivel Table conforms to all measurements shown in

Appendix E (Figure E-4).
Make final Table centering and swivel adjustments when the scanner is ready
to perform imaging.
5. Center the phantom as follows:
a. Bring the Gantry tilt and Table swivel to zero.
b. Connect the phantom, align the assembly to the Table and secure it with
the retaining bolts.
c. Place the Body phantom on the holder and align the phantom by moving
the Table In/Down in the center of the Gantry. Adjust the Slice Marker
light so it falls in the middle of the largest phantom portion (Phantom 3)
and reset the Table Display.
d. Press Test and select menus: Calibrations, Phantom Calibrations, and
Phantom Centering. Follow the instructions which appear on the A/N
screens.
e. In the first iteration, if the phantom is off center more than ± 2 mm,
readjust and press R (Repeat) so that the system will recheck.
+ Note:
The smallest division on the phantom holder from each Up/Down
(Y-direction) and Right/Left (X-direction) increment is 0.05 mm.
The smallest Tilt/Swivel division is 1 mrad.
The phantom is centered when all disks are within ± 0.1 mm of the center. If
the phantom alignment assembly is out of adjustment range, the Table must
be readjusted and rechecked.
6. After performing all the above checks and adjustments, check the tightness
of the four anchoring screws (marked A and B, in Figure E-4) to the floor.
7. Drill two 14 mm holes in the floor via the anchoring plate, at points H. Insert
the two anchoring bolts (see section B-B) and secure.
8. Reinstall the Table covers.

Figure 8-1: Swivel Table Measurements

X-Ray Counter
X-Ray Counter
Write down the counter reading of sec in the RACD.
Fans
Check the operation of the fans as follows:
1. Initiate power to the Gantry unit.

2. Check that the fans listed Table 8-2 are working.
Table 8-2. Fans
Unit Containing Fan(s) Number of Fans How to Check
Inverters (x 2) 1 in each inverter Visual Inspection
G. F. C. 1 Visual Inspection
MCU Crate 2 Use a piece of paper
FEE Connection 6 (depending on Eurotherm setup) Visual Inspection
Heat Exchanger 2 (4 for 5 MHU) Visual Inspection
Cooling Fans 2 on each side Use a piece of paper
BCU Crate 2 Use a piece of paper


Chapter 9
Physics Tests at Installation
After installation and functional tests, installation physics tests should be
performed to assure that the scanner performs according to its specifications.
The installation physics tests are a subset of the full physics file.
In case a test fails, perform the relevant preliminary operations and adjustments
from the full physics file (even from prior sections, if necessary). For example, if
rings exist on images during the Image Quality Test, go back to any one of the
sections until the problem is solved.
Perform the following tests (described in order in this chapter) from the physics
file:
• Rotational Motion Check

• Initial Zero Adjustment
• Axes Stability Check
• Marker Adjustment
• Impulse Response
• Effective Slice Width Measurement
• Standard Deviation (Noise) Measurement After Calibration
• Image Quality Check after Phantom Calibration
• Surview Scan
• System Phantom Calibration
• Linearity Check
In America, also perform CDRH tests.

Rotational Motion Check (Delta-T)

Delta-T indicates the velocity of the rotor. Check the average Delta-T of the scan
using Tests, Analysis, Delta-T. Set the menu to Analysis and record the Total
Time in Table 9-1.
Check also the maximum and minimum deviation in % of Delta-T during the scan.
The maximum and minimum values should fall within the allowed values
indicated in Table 9-1.
Table 9-1. Tolerances
Allowed Total Time (Sec) Measured Delta-T (sec)

Scan Time (sec)
Total
Minimum Maximum Max % Min %
Time
1 0.985 1.015
2 1.970 2.030
Helix 32.1 31.626 32.582
Initial Zero Adjustment

Initialize the system, as follows:
1. Carry out air calibration and a scan on a phantom half filled with water with
the following parameters:
Standard Head Protocol:
Scan diameter 250 mm High sampling density
Slice thickness 2.5 mm Filter D
Scan time 2 sec Matrix 512 x 512
Voltage 120 kV Zoom 1
Technic factor 300 mAs
Standard resolution
Single slice

Axis Stability Check
2. Use the Angle function to measure if the water level is horizontal to within
± 0.5°. If it is not, correct the image rotation angle using the program in
Tests/Calibration/Initial Zero Calibration. Then, check again by repeating
the scan pressing the asterisk * on the protocol panel.
If the correction required is more than ± 5°, enter 5° for the first iteration, and
repeat the procedure.
Axis Stability Check

Use DFS Diagnostics to measure the axes and spacing stability with the final grid
voltages in Fused SW 5 mode. Enter the results in Table 9-2. Move Z-shifter to
Single position mode between the measurements.
The allowed instability within each group (five scans) is ± 0.02 det for both Axis
and Spacing.
Table 9-2. Axis Stability Check
# Scan Speed Resolution First Axis Spacing Comments
1
1 120 kV STD
2
1
2 120 kV STD
2
1
1.1 140 kV High
2
1
2.3 140 kV High
2
Marker Adjustment
Slice Markers Alignment

Align the slice markers as follows:
1. Open the gantry cover and position the head phantom approximately in the
center of the scan circle.

2. Place three solder wires on the head phantom at 3, 12 and 9 o’clock

positions, parallel to the slice plane. Perform a surview scan at 90° and plan
study to correct the gantry tilt. Repeat the surview at 180° and correct the bed
swivel.
3. When you perform the following scan, all three wires should be visible on
the image:
Head Protocol:
Scan diameter 250 mm Normal sampling density
Slice thickness 1 mm Filter EB
Standard resolution
Single slice
4. Without moving the phantom, adjust the slice markers (on the rotor) until
they fall on the wires by using the three adjustment screws on each marker.
The allowed misalignment for slice markers is ± 1 mm.
a. Move the bed 10 cm up and 10 cm down. The lights should not shift
more than 2 mm.
b. Rotate the rotor by the service box. The lights should form a continuous
line and shift less than ± 1 mm during the full turn.
+ Note:
To turn the markers ON when the cover is open, use META MISC,
MCU UTIL, MARKER ON.
Symmetry Markers Alignment

Align the symmetry markers as follows:
1. Place three solder wires on the head phantom at 3, 12 and 9 o’clock

positions, perpendicular to the slice plane. Perform a scan as before and use
the grid to check that the phantom is approximately centered and the wires
are at 3, 12 and 9 o’clock positions on the image. Move the phantom up or
down and adjust the wires if necessary.
2. Adjust each symmetry marker (on the stator) until it falls on the
corresponding wire.

Impulse Response
The allowed misalignment for symmetry markers is ± 2 mm.
Impulse Response
To test the impulse response, first measure it on a system phantom that is aligned
so that its axis is perpendicular to the slice plane, and then run the Impulse
Response program as described here.
1. For Head scans, use the head phantom, physics portion, and the following
scan parameters:
Head Protocol:
Slice thickness 2.5 mm Filter: See Table 9-3.
Technic factor 400 mAs No MP
Resolution: See Table 9-3. No image balance
Single slice
For body scans, use the head phantom, physics portion, and the following
scan parameters:
Body Protocol:
Slice thickness 2.5 mm Filter: See Table 9-3.
Scan time 2.3 sec Matrix 512 x 512
Technic factor 345 mAs No MP
Resolution: See Table 9-3. No image balance
Dual slice

2. Run the Impulse Response measurement program in Tests, (or in MISC),

QC-Tests, Test Impulse Response on Existing Raw Data and enter the
results in Table 9-3.
Table 9-3. Impulse Response
Measured Impulse Response (mm)

Head or Desired Impulse
# Filter Resolution
Body Response (mm)
Slice-A Slice-B
1 H B STD 1.37 ± 0.06
2 H E High 0.73 ± 0.04
3 H E U-High 0.48 ± 0.04
4 B B STD 0.37 ± 0.06
5 B E High 0.73 ± 0.04
6 B E U-High 0.48 ± 0.04
Effective Slice Width Measurement - HeliCAT Series

On HeliCAT series equipment, measure the effective slice width as follows:
1. Carry out detailed air calibration at 120 kV, STD, all SWs and U-High for
slice width of 1 mm. This procedure also warms up the tube.
2. Install the system phantom for slice width measurement. Use the four
rectangles located in the phantom at 12, 3, 6 and 9 o’clock positions to adjust
tilt and swivel so that the phantom axis is perpendicular to the rotation plane.
The CT number of the rectangles should be 140 ± 20 CT at 2.3 mm slice
thickness.
3. Carry out scans with the following parameters:
Slice thickness: See Table 9-4. Filter: D
Technic factor 300 mAs Image dump: Disk
High resolution Raw dump: Disk

Effective Slice Width Measurement - CT Twin Series
+ Note:
Use Ultra-high resolution for slice width of 1 mm, and Standard
resolution for slice width of 10 mm.
4. Verify that the plexiglass rectangles are parallel to the grid lines. If they are
not, reconstruct the images with rotation.
5. Use the QC-tests to measure the slice width. Position the Region of Interest
(ROI) in a symmetrical way on the aluminum strip. Measure both vertical
aluminum strips, average the results and enter them to the tables.
+ Note:
The nominal smallest slice thickness is 1 mm. However, because of
limited scanner resolution, the measured slice width is about 1.1 mm.
Table 9-4. Slice Width Measurement
Width at Half Maximum Width at Tenth of Maximum

Slice Thickness (mm)
Vertical Vertical Vertical Vertical
Average Average
1 2 1 2
1.10 ± 0.15
2.50 ± 0.20
5.00 ± 0.30
8.00 ± 0.40
9.75 ± 0.25

On CT Twin series equipment, measure the effective slice width as follows:
1. Carry out detailed air calibration at 120 kV STD, with all slice widths and
UH Single/Dual 1 mm. This procedure also warms up the tube.

2. Install the system phantom for slice width measurement. Use the four
rectangles located in the phantom at 12, 3, 6 and 9 o’clock positions to adjust
tilt and swivel so that the phantom axis is perpendicular to the rotation plane.
The CT number of the rectangles should be 140 ± 20 CT at 2.5 mm slice
thickness.
3. Carry out scans with the following parameters:
Slice thickness: See Table 9-5,
Filter: D
Table 9-6 and Table 9-7.
Image dump: Disk
(or maximum allowed)
Resolution: See Note. Raw dump: Disk
+ Note:
Use Ultra-high resolution for slice width land 0.5 mm.
Use High resolution for slice widths 2.5 and 5 mm.
Use Standard resolution for slice widths 8 and 10 mm.
For fused slice measurements, reconstruct the dual slice data off line.
4. Verify that the plexiglass rectangles are parallel to the grid lines. If they are
not, reconstruct the images with rotation.
5. Use the QC-tests option to measure the slice widths. Position the ROI in a
symmetrical way on the aluminum strip. Measure both vertical aluminum
strips, average the results and enter them in Table 9-5, Table 9-6 and Table
9-7.
+ Note:
The slice thickness fields in Table 9-5, Table 9-6 and Table 9-7 infer
the actual (nominal) values because of the measurement method used.
For example, 0.85 is a value to be measured, which infers the actual
nominal value 0.5 mm, and the 1.1 infers nominal 1.0 mm.

Table 9-5. Single Slice

Slice Thickness
(mm)
Vertical 1 Vertical 2 Average Vertical 1 Vertical 2 Average
1.10 ± 0.15
2.50 ± 0.20
Table 9-6. Dual Slice, Slice-A

Slice Thickness
(mm)
0.85 ± 0.15
1.10 ± 0.15
2.50 ± 0.20
5.00 ± 0.30
8.00 ± 0.40
9.75 ± 0.25
Table 9-7. Dual Slice, Slice-B

Slice Thickness
(mm)
0.85 ± 0.15
1.10 ± 0.15
2.50 ± 0.20
5.00 ± 0.30
8.00 ± 0.40
9.75 ± 0.25

Standard Deviation (Noise) Measurement After Calibration

Measure the standard noise deviation after calibration and enter it in a table as
follows:
1. Do the following to measure the standard noise deviation after calibration:

• Perform Air Calibration for all modes. Make sure the tube is kept warm
during the measurements.
• Use the small screen for these measurements.
• Scan twice for each mode in Table 9-8 with Multipoint calibration and
Image Balance. Use the system phantom. Use the water layer for the
head, and the aculon layer for the body.
• On the result images, place an ROI at the center, with an area of
5000 ± 10002 for the head and an area of 22000± 50002 for the body.
• Use the protocols and the scan parameters shown below and in Table
9-8:
Head Standard Protocol:
Slice thickness: See Table 9-8. Filter: EB/B
Technic factor 300 mAs MP: Yes
Resolution: See Table 9-8. Image balance: Yes
Body Standard Protocol:

Slice thickness 10 mm Filter: B
Standard resolution

Image Quality Check after Phantom Calibration
2. Enter the standard deviation values in Table 9-8.
+ Note:
The difference between the standard deviation measurement of Slice-A
and Slice-B must be less than 8% for dual 1 mm at 40% X-Ray tube
used heat units.
Table 9-8. Standard Deviation Measurements (Type-B/Type-A Wedge)
Scan Parameters Measured STD x 103 Allowed STD x 103
H/B Resolution Slice Width Slice-A Slice-B Single Min. Max.
-
H Standard 10 2.5 2.9
-
U-High
H 5 11.2 12.9
Filter B
Standard
B 10 6.1 6.8
SD 430

This section describes image quality checks after phantom calibration for regular
scans and for a surview scan in the next two sections.
Regular Scans
To check image quality for regular scans after phantom calibration, do the
following:
1. For each scan mode in Table 9-10, Table 9-11, Table 9-12 and Table 9-13:
a. Run Detailed Air Calibration.
b. Switch to MULTIPOINT = YES, IMAGE BALANCE = NO.
c. Perform at least two scans for each mode.

2. For the first row in each table (Table 9-10, Table 9-11, Table 9-12 and Table
9-13), do the following:
a. Check the image flatness. The phantom should be off-center: 25 mm up
for head, and 60 mm up for body.
b. Write down the ROI difference in the Artifacts field in the appropriate
table. Maximum allowed CT Difference between ROIs is 4 CT.
Use the parameters in the following protocols with the parameters specified in
Table 9-9, Table 9-10, Table 9-11, Table 9-12 and Table 9-13.
Head Standard Protocol:

Slice thickness: See SW field in
Filter: EB
appropriate table.
Multipoint: Yes
Image balance: No
Body Standard Protocol:

Slice thickness: See SW field in
Filter: B
appropriate table.
Multipoint: Yes
Image balance: No

Table 9-9 shows the maximum allowed ring level.

Table 9-9. Maximum Allowed Ring Level (in CT)
Maximum Allowed Ring Level (in CT)

Scan
Center Elsewhere Comments
Head, Standard Resolution 8 4
Body, Standard Resolution 15 8
Head, Body Ultra-High Resolution 15 8
Dual slice 0.5 mm, Standard Resolution 15 8 Filter B with Image Balance
Dual slice 0.5 mm, Standard Resolution 30 10 Filter D with Image Balance
Table 9-10. Head Scans, Standard Resolution
Scan Single Ring

Phantom SW mAs Other CT A/B Artifacts
Time or Dual Level
D-A
Water 1 2 x 10 300
D-B
D-A
Pins1 2 2 x 10 500 Filter B
D-B
D-A
Water 1 2x1 300
D-B
1 Reconstruct also with image balance

For the scans specified in Table 9-11, the allowed CT difference between Slice-A
and Slice-B at Dual 1 mm should be less than 8 CT. (At Dual 0.5 mm, the
difference should be less than 15 CT).
The order of the scans specified in Table 9-11 is important.

Table 9-11. Head Scans, High and Ultra-High Resolution
Scan Single Ring

Phantom SW mAs Resolution CT A/B Artifacts
Time or Dual Level
D-A
Water 1 2x5 220 Ultra-High
D-B
D-A
Pins 2 2 x 2.5 400 High
D-B
D-A
Pins 4x1 2x1 max Ultra-High
D-B
Table 9-12. Body Scans, Standard Resolution
Scan Scan Single Ring

SW mAs Other CT A/B Artifacts
Diameter Time or Dual Level
D-A
430 1.1 2 x 10 max
D-B
D-A
250 2.3 2x5 375
D-B
D-A
180 1.1 2x5 max
D-B

The order of the scans specified in Table 9-13 is important

Table 9-13. Body Scans, High and Ultra-High Resolution
Scan Scan Single Ring Artifact

SW mAs Resolution CT A/B
Diameter Time or Dual Level s
D-A
430 1.1 2x5 345 High
D-B
D-A
250 2.3 2x5 345 Ultra-High
D-B
Surview Scan
Use the system phantom and perform the following scan with Multipoint
calibration:
Head Protocol:
Scan length 250 mm Weight factor D
Slice thickness 1mm Zoom 1
Voltage 120 kV Multipoint: Yes
Scan angle 90°
Current 50 mA
Check the image quality for vertical and horizontal lines, and other artifacts. Mark
with a check (4) in Table 9-14 if the image is OK.
Table 9-14. Image Quality and Artifacts
Scan Test OK Comment
Head


Chapter 10
Acceptance Tests
A physics file that specifies the physical performance required by the system is
supplied with each system. The data specified in this file is subject to change,
according to changes in the software version, hardware improvements, etc.
Use the tests in Table 10-1 to verify that your system performs as specified by the
physics file. Perform the tests in the order listed. As you test the system, record the
results and compare them with the specifications in the physics file. After each
check is complete, put a check in the space provided.
Table 10-1. Physical Performance Tests
Test Actions Checked OK
Axes Check:
Perform nine scans at 90, 120, 140 kV with standard, high and ultra-high
resolution.
Compare the axes with a nominal value in each scan, and record the results.
Perform six 140 kV, ultra-high resolution scans and check axes stability. Record
results.
Impulse Response Check:
Using the system phantom, check that the impulse response for head and body
scans matches what is specified in the physics file. Record the results.
Perform scans in DUAL mode.
Slice Width Check:
Using the system head phantom set, measure and check that the effective slice
width matches the description in the physics file.
Rotational Motion Check:
Perform DELTA-T analysis from the TEST button for a 2 and i 1 second scan (slice
width (SW) 10 mm). Generate a graph of DELTA-T and verify that the results are
in accordance with the physics file.
Beam Check:
Set for DELTA-T Mode, no multipoint calibration. Change to 100 kV for body scan.
Perform scan of air 430 mm, SW 10, 382° and check that Prep is free from artifacts.
Set system to default values.

Table 10-1. Physical Performance Tests (Continued)
Reference Detector Check:
Perform the test as described in the physics file (Reference Detector Check).
Check that the difference between the CT numbers in DELTA-R and DELTA-T is
less than 2 CT.
Partial Volume Check:
Check partial volume on a special phantom for partial volume check as described
in its accompanying document. Verify that the ring level for combined images of the
partial volume and full volume scans meets the physics file specifications.
Statistics and CT Stability Test:
Before performing this test, perform all detailed air calibrations, and do not perform
any other air calibrations until the end of this test, unless changes occur in the
machine or in the environment, or stated otherwise.
Perform scans at settings of 360°, 240 mm, 1 sec, 300 mA, normal sampling, fiber
EB, 340 x 340 matrix and default system parameters.
Use the following slice widths, in this order: SW10, SW5, SW2.5, SW1. Reverse
this order for the next set of scans.
Perform scans on the body phantom at 140 kV and 403°, with high SD, filter B and
512 x 512 matrix.
Use a region of interest (ROI) of about 7000 mm 2 for these measurements.
Record all test results. Check that the standard deviation (STD) values measured
conform to those specified in the physics file.
Flatness Check:
For SINGLE, DUAL and FUSED modes in the standard head scan, check image
flatness on the water layer by putting one ROI at the center and another small ROI
near the bone of the phantom. The deviation from flatness of the image should be
4-5 CT.
Focal Spot Motion Check:
After performing an air calibration, perform five standard head scans, Dual slice
mode with a SW of 1 mm. Check CT number stability and write down the results.
Verify that the difference between the first and fifth scans is not more than 5 CT.

Acceptance Tests
Table 10-1. Physical Performance Tests (Continued)
Ring Level Check:
To measure the ring level on the image, place the default ROI on the ring, set the
window width to zero and change the window center until the ring shows an even
number of black and white dots. The difference between the average value of the
ROI and this window center is the ring level.
Using the system head (water layer) and body phantoms, perform scans in
SINGLE and DUAL modes.
For tilt measurements, use the special tilted phantom mounting with head
calibration of phantom number 2.
Use the following parameters for the scans:
340x340 matrix for Head scan

512x512 for Body and U-H scans
Filter EB for Head, B for Body, D for U-H resolution
No Image Balance
Multipoint Calibration
DELTA-R mode
Record all results and compare with the following maximum permissible ring levels:
For STD resolution scans:

• 8 CT in the center (10% of the scan diameter) and 4 CT elsewhere.
• No bands or streaks are permissible.
For Ultra-high resolution scans:

• 15 CT in the center (10% of the scan diameter) and 10 CT elsewhere.
• No bands or streaks are permissible.
Perform batch reconstruction of all images using the system default parameters
(adjust image balance (IB) limits for calibration phantoms).
Reconstruct two scans with tilt in the DELTA-T mode. The difference between
DELTA-T and DELTA-R images should be less than 2 CT.
Record all results in the appropriate blocks on the test data sheet. Check that no
artifacts appear in the reconstructed images.
After a surview scan, check for vertical and horizontal line artifacts, and for other
undesirable results.


Appendix A
HV Cables and Grounding of Slip Ring Scanners
The sections in this appendix describe the high voltage cables and how to ground
slip ring scanners, in that order.
HV Cables
The old high voltage cables in Twin/HeliCAT/flash systems were replaced with
new ones. The new high voltage cables are maintenance-free and improve system
reliability. All spare cables will be of the new type.
Table A-1 shows the EPNs of the new cables.

Table A-1. New Cable EPNs
Part EPN
Four pin cable SP000118113
Three pin cable SP000118111
Three pin cable SP000118131
The ring nut has a locking mechanism to prevent disconnection of the cable during
work.
Do not open the connectors on the tube side unless the tube is replaced. Open the
connectors on the other side only when replacing the old cable with a new one.
The connector on the tube side has a special silicon washer. When opening the
connector during tube replacement, replace the silicon washer as well.
+ Note:
Do not use the same washer.
Spare cables are shipped with attached installation instructions. Please read these
instructions carefully.
Installation Manual A-1

To replace one or more contact pins of the high voltage cable, use the special
extension tool.
+ Note:
Information in this section is based on TN 113.
Required Spare Parts

Although some of the following items are supplied with the new cables, we require
that you stock the spare parts listed below:
Table A-2. Spare Parts to Stock
Part to Stock EPN

Extension tool + 8 pins SP000118121
Silicon Washer 4 pin SP000118122
Silicon Washer 3 pin SP000118123
Silicon Oil (10 gram) SP000118124
Installation Procedure
Install the high voltage cables as follows:
1. Make sure that the receptacle socket assembly is clean and is correctly
mounted on the X-Ray tube and generator according to the IEC 526/1976 or
NEMA XR 7-1979 (R 1984, 1990).
2. Make sure that the termination plug and the mounting accessories are clean.
3. Unscrew the grub screw, and slip the ring nut over the sleeve.
4. Place the divided flange onto the ring flange.
5. Wet the silicon washer (both sides) and the rubber gasket with silicon oil.
6. Fit the rubber gasket onto the plug, against the ring flange.
7. Push the silicon washer over the contact pins.
8. Insert the termination plug into the receptacle socket. Watch the nipple on
the plug to ensure correct positioning of the contact pins.
9. Hand-tighten the ring nut.
A-2 Installation Manual

HV Cables
10. Tighten the grub screw.
, PS
PSRRU W D Q W
Always replace the silicon washer with a new one when the ring nut is
loosened.
Figure A-1 shows how to install the high voltage cables.
Figure A-1: High Voltage Cable Installation

Grounding Slip Ring CT Scanners

Many problems, such as ACQ 38 error and other errors, occur due to bad
grounding. Most of these problems can be solved by checking grounding
connections, and connecting additional ground cables to the scanner.
This section describes requirements for system grounding and provides

instructions for connecting additional grounding cables.
+ Note:
Information in this section is based on TN 116.
For more information refer to the following documents:
• CT Twin Site preparation Manual 490-7155-013

• TA #95: ACQ 38 Analysis
Grounding Cable Requirements

Figure A-2 shows the Grounding Connections Layout:
Power Cabinet
Hospital responsibility
for proper connections Ø3 AC Line
Neutral
Protective Ground
Ground Bar
Building Structural Ground

Local Ground Bed Rack
A Gantry
Gantry
B Rear View
Ground Rod
C Gantry Ground screw
Dedicated cable for CT Cable Size at least AWG4 ( 24mm)
Connected to building structural ground Supplied by Elscint
* Cable Resistance < 0.5W
* Cable Size at least AWG2 ( 35mm)
* Cable must be isolated
Figure A-2: Grounding Connections Layout

Grounding Slip Ring CT Scanners
Grounding requirements are as follows:
• The resistance from A to B should be less than 0.5Ω.

• The resistance from B (building structural ground) to C (real earth) should be
less than 2Ω.
• Disconnect the cable that connects point A and the ground bar in the Power
Cabinet, Figure A-2 (this cable is supplied by Elscint). Measure the
resistance between the Power Cabinet ground bar and point A. The resistance
should not exceed 1Ω.
• The resistance from each ground point on the rotor to the Power Cabinet
ground bar should not exceed 0.5Ω. This verifies that the ground contacts in
the brush block are OK.
+ Note:
Only a qualified electrician should take resistance measurements.
• Only the CT scanner should be connected to the ground or power cables.

• The cables must be of one piece.
• Visually verify proper connections.
• The building ground cable must go directly from the local ground (Figure
A-2, Point A) to the Building Structural Ground (Figure A-2, point B).
• All ground cables must be connected to the Ground Bar inside the Power
Cabinet.
&DX
&DXWWL R Q
Do not connect the ground cables to the outside ground screw on the
power cabinet.
Requirements for Scanner AC Power Cables

You may shorten the AC Power cables to meet the specific needs of your site.
If you shorten the cables, use the correct tools and clamps.

Checking Ground Screws

Check tightness of the screws located in the Modules listed below:
• Rotor
• Stator
• Bed
• Console and Rack
• Power Cabinet (Ground Bar)
Connecting Additional Ground Cables

If problems occur that cannot be solved by conventional means, connect additional
ground cables from:
• The ground screw of the Gantry to the ground bar of the Power Cabinet.
• The ground bar of the Power Cabinet Ground Bar to local ground point A.
Use cables with the same thickness AWG4 ( 24 mm).
In addition, do the following:
• Disconnect the local ground cable between the Power Cabinet Ground Bar
and point A.
• Locate the water pipeline of the building (cold water) and check that it is
made of copper or any other good conductive metal.
• Make sure that the resistance between the water pipeline and the Power
Cabinet Ground Bar does not exceed 1W.
• Connect a ground cable between the water pipeline of the building (cold
water) and the Power Cabinet ground bar.

Leg Alignment
Appendix B
Leg Alignment
To smooth the tilt motion, the system legs must be mounted properly. This
appendix includes leg alignment instructions. These instructions must be
performed during installation, and also whenever it is necessary to correct the
alignment of the legs.
&D
&DXXWLR
WLRQQ
The surface of the Gantry and Bed zones must be uniform and leveled
within 1.5 mm (1/16").
Disassemble the yellow bar which connects both legs only after
performing the alignment procedure.
+ Note:
When the scan speed is 1 sec, the tilt motion is slower and not
continuous due to the gyroscope effect.
Use the following procedure to align the legs:
1. Remove leg covers by unscrewing two NC-1/4" screws at the bottom of each
leg and lifting the covers.
2. Activate tilt using the service box (-30° forward and +20° backward).
3. Check if the inner friction washer touches the inner part of the leg during the
entire motion (see Figure B-2). Check both legs.
4. There must be a gap of 0.1 - 0.7 mm between the inner friction washer and
the leg during the entire stroke.
If the gap is less, strong friction forces may be generated between the friction
washer and the leg. These forces resist tilt motion. Therefore, when the gap
between the washer and the leg is less than 0.1 mm, do the following:
a. Loosen the three screws that secure the leg to the floor.
b. Loosen the three Phillips screws that secure the lower back metal sheet
cover to the leg.
Installation Manual B-1

c. Loosen two Allen screws that secure the rear bottom beam to the leg (at
both legs).
d. Using a lifting device, move the leg further towards the outer direction,
especially the pressured side, until the gap is between 0.1 - 0.7 mm.
If the gap exceeds 0.7 mm, use a lifting device to bring the leg closer to the
system, especially the further part of the leg, until the gap is between 0.1 - 0.7
mm.
5. In some cases, when the leg is not perpendicular to the floor, or when the
floor is not leveled, the gap between one leg and the inner friction washer
may exceed 0.7 mm, and the other leg could be pressured by the friction
washer.
Check the gap between the leg and the inner friction washer visually, or by
inserting a filler gage into the gaps. Then, if there is a problem, do one of the
following:
• If the gap exceeds 0.7 mm on A side, and B side is pressured (see Fig-
ure B-1) and if moving the leg does not solve the problem, place shims
under locations 1.
• If the gap exceeds 0.7 mm on B side, and A side is pressured, place
shims under locations 2, see Figure B-1.
Figure B-1: Shims Location
B-2 Installation Manual

Leg Alignment
6. In some cases, when the leg is not perpendicular to the floor, the inner
friction washer is not in full contact with the leg (only the upper or lower part
of the friction washer is in contact with the leg). To solve this problem, do
the following:
a. Check the gap visually.
b. If the inner friction washer is not in full contact with the leg, perform the
alignment as described in step 6.2.
7. Fasten the three screws that secure the leg to the floor, and reverify that the
gap is between 0.1 - 0.7 mm. If not, repeat steps 4 through 6.
+ Note:
Check the gap during the entire stroke.
8. Check if the outer friction washer of the tilt clutch is loose during the entire
motion. Check each leg separately. (See Figure B-2.)
9. If the outer friction washer is not loose during the motion, loosen it a little by
straightening the tooth of the locking washer that secures the SKF nut. Rotate
the nut counterclockwise by one or two teeth of the teeth locking washer.
+ Note:
The outer/friction washer should be loose during the entire stroke. The
maximum gap should be 1.5 mm during the entire stroke. When tilt
movement is stopped, the friction washer should close the gap.
10. If the gap between the outer friction washer and the leg exceeds 1.5 mm,
tighten the nut while activating the tilt in the backward direction (+). Turn
the nut clockwise until the end, and then turn it back 1/4 of a turn
counterclockwise.
11. Secure the nut by bending a tooth (similar to the tooth you straightened
before) onto the groove of the nut.
12. Tighten all the screws you loosened in steps a, b and c of step 4.
13. Close the leg covers.
Installation Manual B-3

Figure B-2: Tilt Clutch Assembly
B-4 Installation Manual

Appendix C
CDRH Tests and Labels
This Appendix describes how to perform the following CDRH tests:
• Leakage Test
• Beam Quality Test
• Peak Tube Potential Test
• Current-exposure Time Product Test (mAs)
• CTDI/DOSE Profile Test
• Imaging Performance Test
• Equipment Failure Exposure Termination
• Tomographic Plane Location/Illumination Levels of the Light Source
• Scan Increment Test (for scanners in the USA)
• Scan Increment Accuracy Test (for all countries except the USA)
• Scan and High Voltage Indicators
In addition, it explains how to complete device certification labels and where they
should be affixed on the appropriate component.
Leakage Test
Test for leakage as follows:
1. Turn the RANGE switch from OFF to BAT, and make sure that the meter
reads in the BAT OK green region.
2. Reverse the end cap, and take a reading with the radioactive check source.
The reading should be ImR/h (± 15%). Turn to the 100 mR range.
3. Put on a protective apron (lead equivalent: 0.5 mm).
4. Block the useful beam at the end of the beam precollimator by a 5 mm thick,
20 mm wide and 270 mm long lead strip.
Installation Manual C-1

5. On the HCU service computer, set ten sequences of 12,000 msec, 140 kV,
20-30 mA (minimum possible). See "Activating X-Ray Radiation with a
Stationary Gantry" on page C-8 for detailed instructions.
6. During the X-Ray ON periods, slowly scan the vicinity of the tube housing.
Pay special attention to the junctions of the precollimator region. Determine
the directions of maximum intensity, and record them.
7. Around the direction of maximum intensity as determined in step 6, take 25
measurements at 100 cm from the focal spot, on an area of 100 x 100 cm, 20
cm apart, and record the measurements. Each measurement should last 5
seconds to allow the reading to stabilize.
Beam Quality Test

Test the beam quality as follows:
1. Check that the beam limiting shields are in place.

2. Open the A Plane collimator to maximum.
3. Place the ionization chamber in the center of the scan circle.
4. Turn ON the X-Ray system on the HCU service computer, and set an
exposure of 140 kV, 50 mA, 4000 msec. See "Activating X-Ray Radiation
with a Stationary Gantry" on page C-8 for detailed instructions.
Write down the dosimeter reading D(5).
5. Repeat step 4 with the collimator opening covered by 5 mm aluminum.
Write down the dosimeter reading D(5).
6. Use the following equation to calculate the beam fraction K passed by 5 mm:
D(5)
K = ------------
D(0)
The unit passes the test if K is greater than 0.5.
C-2 Installation Manual

Peak Tube Potential Test
Peak Tube Potential Test

Use the following procedure to test the peak tube potential:
1. Perform a scan with 90 kV and 200 mA.

2. Read the actual X-ray voltage on the HCU service computer. For detailed
instructions, refer to "Reading the Actual HV Parameters from the Previous
Scan" on page C-9.
3. Repeat steps 1 and 2 with 120 kV and 140 kV.
4. The unit passes if each of the differences between the set and measured
voltages is less than 3 kV.
Current-Exposure Time Product Test (mAs)

Use this procedure to test the current-exposure time of the product:
1. Place the ionization chamber in the center of the scan circle in the “TOTAL”
position.
2. Perform a head scan at 120 kV and 300 mA for 4 seconds, with Slices/scan =
DUAL. Measure the time interval R between X-ray ON and X-ray OFF
using the X-Ray ON indicator light on console.
Write down the dosimeter reading D, the X-Ray current on HCU service
computer reading I and the time interval T.
Refer to "Reading the Actual HV Parameters from the Previous Scan" on
page C-9 for detailed instructions on reading current on the HCU service
computer.
3. Repeat the measurements described in step 2 twice more, and write down the
results each time.
T+I
4. Calculate the proportionality factor P(mAs/R) = ------------
D
5. Using the mAs/R proportionality factor, calculate the mAs factor for each
scan (D*P).
6. Check that each of the differences between the displayed and measured mAs
factors is within the allowed tolerance.

CTDI/DOSE Profile Test

Perform the CTDI/DOSE Profile Test as follows:
1. Place the ionization chamber in the center of the scan circle

2. Perform all scans with the HEAD STD and BODY STD protocols
(Operation Manual, Appendix B).
3. Calculate the minimum and maximum CTDIs. Check that they are within
the stated limits.
4. Check that K from the "Beam Quality Test" on page C-2 is within ± 3.5%.
5. If conditions in steps 3 and 4 are satisfied, the unit passes.
Imaging Performance Test

Testing imaging performance includes testing noise, impulse response and slice
thickness.
For CT Twin and CT Twin II systems, tests for noise and impulse response should
each be performed separately on each of the following:
• DUAL Slices/scan - odd numbered slices.

• DUAL Slices/scan - even numbered slices.
• SINGLE Slices/scan.
Noise
Test noise on the head slice and on the body slice separately.
Test the head slice as follows:
1. Perform four scans of the water (middle) layer of the head slice of the system
phantom with the HEAD STD protocol (Operation Manual, Appendix B).
2. Place a region of interest (ROI) with an area of 7000 + 2000 mm2 around the
center of the phantom image.
3. Write down the AV (averages) and SD (Standard Deviations). If the SD data
is not displayed, change the setting in MISC, Display Utilities.
4. Check that all results are within the allowed limits.

Imaging Performance Test
Test noise on the body slice as follows:
1. Position the body slice of the phantom in the center of the scan circle and
perform four BODY STD scans (Operator Manual, Appendix B).
2. Place an ROI with an area of 22000 ± 5000 mm2 around the center of the
phantom. The ROI should not touch the Teflon pin or the water hole.
3. Write down the AV (averages) and SD (Standard Deviations).
4. Check that all AVs and SDs are within the allowed limits.
Impulse Response
Do the following to test the impulse response:
1. Position the aluminum layer of the head phantom at the center of the scan
circle.
2. Correct for tilt.
3. Perform a HEAD STD scan and activate the MISC, QC Tests, Impulse
Response program.
4. Perform a BODY STD scan and activate the same Impulse Response
program again.
5. Check that the deviation of the widths at Half Max of the impulse responses
is within the stated limits.
Nominal Tomographic Section Thicknesses (Slice Thickness)

1. Repeat steps 1 through 3 in the previous section (Impulse Response) with the
Slice Width program instead of Impulse Response.
2. Repeat step 1 with different slice widths.
3. If the deviation from the measured slice widths is within the stated limits, the
unit passes.

Equipment Failure Exposure Termination

Test equipment failure exposure termination as follows:
1. Switch OFF the Front End Electronics (FEE).

2. Perform a scan. Terminate the X-ray exposure before the end of the scan.
An error message followed by a request to initialize the scanner should be
displayed on the screen.
3. Switch ON the FEE.
4. Remove the acquisitor card from the giant crate.
5. Perform a scan. The X-Ray exposure should be terminated not later than the
end of the scan and an error message followed by a request to initialize
scanner should be displayed on the screen.
6. Turn OFF the console; reinstall the Acquisitor card; and turn ON the console
again.
Tomographic Plane Location /

Illumination Levels of the Light Source
To test the tomographic plane location and the illumination levels of the light
source, do the following:
1. Place the photometer detector with the photometric filter and diffuser on the
stretcher, beside the Gantry, pointed upwards.
2. Push the 4 range button.
The reading should be more than 550 lux. If it is less than 550 lux, increase
the illumination of the room as necessary.
3. Check to see if the marker is visible.
4. Place the image quality phantom in the scan circle, and turn ON the
tomographic plane indicator (marker) light.
5. Place a thin (0.5 mm) tin wire on the marker light line.
6. Perform a 1 mm slice width head scan.
If the wire appears on the image as a metal artifact, the precision of the
indicator is better than 2 mm, the visibility is sufficient to position the wire
within the required accuracy, and the unit passes the test.

Scan Increment Test (for Scanners in the USA)
Scan Increment Test (for Scanners in the USA)

Test scan increments on scanners that will be operated in the USA as follows:
1. Load 100 kg on the bed.

2. Move the stretcher to its innermost limit; then, move it out 50 mm, and reset
the display.
3. Cut a 1.5 meter long film strip and mark it at one edge by punching one hole.
Place the film strip on the bed with the hole towards the innermost edge of
the bed. Tape the film strip to the bed with masking tape; the film should be
flat and not curled. Cut four additional 25 cm long film strips; mark them
with two, three, four and five holes, respectively.
4. Perform ten head scans with 99.5 mm Out bed increment (Slice thickness =
1.2 mm, Scan time = 2 sec, 300 mAs).
5. Develop the film and write the scanner serial number on it with a felt tip pen.
6. Measure and record the distances between the shadows as follows:
• From the left edge of one to the left edge of the other. (L/L)
• From the left edge of one to the right edge of the other. (L/R)
• From the right edge of one to the right edge of the other. (R/R)
• From the right edge of one to the left edge of the other. (R/L)
The order is important to ensure independent measurements.
7. Average the measurements, and subtract 99.5 from the average to find the
deviation. Make a note of the bed positions of the largest and second largest
deviations.
8. At the point of maximum deviation, perform two scans using the two-hole 25
cm film strip, with 99.5 mm Out.
9. Replace the two-hole film strip with the with three-hole film strip, and
perform two scans with -99.5 mm In.
10. Repeat steps 7 and 8 at the point of the second largest deviation; use the
four-hole and five-hole film strips.
11. Repeat steps 3 and 6 with the film strips exposed in steps 7 through 9.
12. Check that all the absolute values for average - 99.5 mm are less than the
allowed deviation.

Scan Increment Accuracy (for all countries except the USA)

Test scan increments on scanners that will not be operated in the USA as follows:
1. Attach a 1 meter ruler to the bed that is precise to 1 mm. Set a weight of 50
kg on the bed.
2. Switch ON the marker and align the zero division on the ruler under the
marker line. Zero the bed panel In/Out display. Move the bed approximately
90 cm and record the distance measured by the ruler and the bed panel
display.
3. Move the bed to position A (inner limit) and 10 mm Out. Distribute 100 kg
weights uniformly on the bed.
4. Zero the In/Out bed position indicator and perform a scan using an increment
of 99.5 mm Out.
5. Repeat step 4 with an increment of 99.5 mm In.
6. Repeat steps 4 and 5 after moving the stretcher to position B (outer limit) and
moving it back 120 mm.
7. Unload weights and repeat steps 4 through 6.
8. Write down the maximum Out/In error. Calculate the bed panel display error
over 99.5 mm by the provided formula. Calculate the maximum scan
increment error by adding the above errors. It should be less than or equal to
0.8 mm.
Scan and High Voltage Indicators

Perform the checks . . .
Activating X-Ray Radiation with a Stationary Gantry

To activate X-Ray radiation when the Gantry is stationary, do the following:
1. On the MCU monitor, type C43.

2. Connect the PC to the diagnostic channel of the HV power supply.
3. Activate the PROCOMM program on the PC.
4. Type AM20,1 and press <Enter> to activate the anode starter. Wait until the
AM4000,1 message is displayed.

Reading the Actual HV Parameters from the Previous Scan
5. Type SM, 1 and press <Enter> to transfer control to the PC.

6. Type PT= and press <Enter>.
Type the desired parameters. If a parameter should not be changed, press
<Enter> to proceed to the next parameter.
7. Type RS,1 and press <Enter> to check the power supply status. The Ready
flags should be equal to 0x0000. If they are not, check and fix the fault or
interlock, and try typing RS,1 again.
8. Type GO,2 and press <Enter> to begin X-Ray generation.
9. Repeat step 8 as many times as necessary to complete the measurements.
Reading the Actual HV Parameters from the Previous Scan

To read the actual high voltage parameters from the previous scan, do the
following:
1. Connect the PC to the diagnostic channel of the HV power supply.

2. Activate the PROCOMM program on the PC.
3. Perform a scan from the operator console with the required scan parameters.
4. On the PC connected to the HCU type SM,1 and press <Enter> to transfer
control to the PC.
5. Type SR,4 and press <Enter> for HVL data acquisition display.
6. Type 2 and press <Enter> three times to display the cathode voltage as
measured every 1 msec. Each additional <Enter> displays the data for the
next 100 msec. Write down the readings and calculate the average.
Type O and <Enter> to exit.
7. Repeat steps 5 and 6, but type 1 instead of 2 to display the anode voltage.
8. Type SR,5 and press <Enter> for GFC data acquisition display.
9. Type 1 and press <Enter> three times to display the cathode current. Each
additional <Enter> displays the data for the next 100 msec. Write down the
readings and calculate the average.

Device Certification Labels

After successful completion of the CDRH tests, fill in the missing data (Name,
Model, Date and Serial No) on the certification labels for the beam limiter, the
operator console, the Patient Table (bed) and the Gantry, as follows:
• Write the name of each component. Add the scanner model to the name of
the Gantry on the Gantry label, e.g., HeliCAT Gantry.
• Write the Model name/number.
• Write the date in full, e.g., 24th September, 1992.
• Write the serial number of the scanner.
Figure C-1 shows come correctly filled certification labels.
Then, attach the device certification labels, as follows:
• Put the Beam Limiter label on the RDC cover (on the beam limiter cover,
under the X-Ray tube, when the scanner cover is lifted). See Figure C-1,
Figure C-2 and Figure C-3.
• Put the Operator Console labels on the back of the console (on the rear
cover). See Figure C-1, Figure C-2 and Figure C-4.
• Put the Patient Table labels on the cover of the bed that faces the Gantry
(under the bed). See Figure C-1, Figure C-2 and Figure C-5.
• Put the Gantry labels on the right-underside of the rear Gantry cover (on the
right rear cover of the Gantry and visible from behind the Gantry). See
Figure C-1, Figure C-2 and Figure C-6.

Figure C-1: Labels

Figure C-2: Typical Layout with Label Locations

Figure C-3: Beam Limiting Device Label Location
The Beam Limiting device certification label is on the beam limiter cover, under
the X-Ray tube, when the scanner cover is lifted.

Figure C-4: Operator Console Label Location
The Operator Console certification label is on the rear cover of the Operator
Console.

Figure C-5: Bed Label Location
The Patient Table certification label is on the bed cover under the stretcher, facing
the Gantry.

Figure C-6: Gantry Label Location
The Gantry certification label is on the rear right cover of the Gantry and is visible
from behind the Gantry.

Appendix D
Delivery and Installation Report
Product Line: _______________ Date: ____________
To: _______________________ C.S. Manager, Haifa
Cc:________________________ Service Manager
From:______________________
Please fill in this two-page form for the system you just received. Attach a detailed report when
needed (and mark the correct box). Fax this report or mail it in the enclosed envelope to the
Product Line Customer Support Department at Elscint Haifa. This report does not replace any
other reports (complaints or insurance claims).
1. Product: _______________ S/N: ____________
Customer (or ICPO #): ____________________________
Country: _________________________
Check Box Additional Report Attached
OK Failure
2. Arrival and Package Condition
Container: __________________________________________________
__________________________________________________________
Anchoring: _________________________________________________
__________________________________________________________
Wrapping: _________________________________________________
__________________________________________________________
Labeling: __________________________________________________
__________________________________________________________
Impact Indicator (If needed): ___________________________________

__________________________________________________________
Installation Manual D-1

Missing Packages: ___________________________________________

__________________________________________________________
Unexpected missing items: ____________________________________

__________________________________________________________
3. Product Condition
Check Box Additional Report Attached
OK Failure
Damaged Parts: _____________________________________________

__________________________________________________________
Loosened Components/Parts: __________________________________

__________________________________________________________
Operation Faults _____________________________________________

__________________________________________________________
Special Difficulties: __________________________________________

__________________________________________________________
4. Milestones (when available)
Starting Installation Date: ______________________________________

First Clinical Use: ____________________________________________
Acceptance Date: ____________________________________________
5. Application and Acceptance Information (when available)
__________________________________________________________
__________________________________________________________
__________________________________________________________
D-2 Installation Manual

Main Menu Table of Contents P revio us C ha pter
Appendix E
Oversize Drawings
This appendix contains the following oversize drawings that do not fit into the
standard manual pages:
• Figure E-1 - Gantry Wheels. . . . . . . . . . . . . . page E-2
• Figure E-2 - Table Assembly . . . . . . . . . . . . . page E-3
• Figure E-3 - Table Screw Location . . . . . . . . page E-4
• Figure E-4 - Swivel Positioning. . . . . . . . . . . page E-5
• Figure E-5 - Grounding System Layout. . . . . page E-6
• Figure E-6 - CT Twin/HeliCAT Rotor Cables page E-7
• Figure E-7 - System Layout . . . . . . . . . . . . . . page E-8
Installation Manual E-1

Figure E-1: Gantry Wheels

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Main Menu Table of Contents

(For all CT Twin and HeliCAT Modalities)

September 1998 490-7155-0419

Copyright 1998, ELSCINT LTD.

E.C.O # REV DATE DESCRIPTION PAGES PREPARED BY APPROVED BY

0 March 93 New Release All Shimon M.

D9311101 A Jan. 94 Doc changed CDRH Armin. Armin M.

P9811904 1 May 1998 Revision All T. Yair S. Catran

CT Twin/HeliCAT Series 490-7155-0419

CT Twin/HeliCAT Series 490-7155-0419

Chapter 2 provides important safety information. Read all of this

Main Menu Table of Contents Next Chapter

How this Manual is Organized ....................................................................... 1-1

Safety ............................................................................................................... 1-2

Implementation Order and Timetable ............................................................ 1-5

Tools Required for Installation ...................................................................... 1-6

Site Inspection Check List ............................................................................. 2-2

Site Layout Information .................................................................................. 2-6

Introduction ..................................................................................................... 3-1

Main Menu Next Chapter

Instructions ...................................................................................................... 3-1

Packing Information ........................................................................................ 4-2

Unpacking the Gantry ..................................................................................... 4-5

Unpacking the Table ....................................................................................... 4-6

Unpacking the Electronic Rack ..................................................................... 4-6

Unpacking the Console .................................................................................. 4-7

Unpacking the Power Cabinet ....................................................................... 4-7

Unpacking the Cooling Unit ........................................................................... 4-8

The Gantry ....................................................................................................... 5-2

Anchoring the Patient Table .......................................................................... 5-4

Installing the Console ..................................................................................... 5-6

Electricity Requirements ................................................................................ 6-2

Main Menu Next Chapter

Variations in the Main Power Supply ............................................................ 6-5

System Grounding .......................................................................................... 6-6

Power Source Tests ........................................................................................ 6-6

Additional Electrical Notes ............................................................................. 6-7

Cable Connections Between System Components ..................................... 6-8

Cables .............................................................................................................. 7-2

Connecting Permanent Cables - Gantry: Power Cabling ............................ 7-5

Precautions Before Turning the System On ................................................. 8-2

System Turn-on Sequence ............................................................................. 8-3

X-Ray System Power ...................................................................................... 8-5

Table Installation - Phase Two ....................................................................... 8-6

Installation Manual iii

Main Menu Next Chapter

X-Ray Counter ................................................................................................. 8-9

Fans .................................................................................................................. 8-9

Rotational Motion Check (Delta-T) ................................................................ 9-2

Initial Zero Adjustment ................................................................................... 9-2

Axis Stability Check ........................................................................................ 9-3

Marker Adjustment .......................................................................................... 9-3

Impulse Response .......................................................................................... 9-5

Effective Slice Width Measurement - HeliCAT Series .................................. 9-6

Effective Slice Width Measurement - CT Twin Series .................................. 9-7

Standard Deviation (Noise) Measurement After Calibration ..................... 9-10

Image Quality Check after Phantom Calibration ........................................ 9-11

Grounding Slip Ring CT Scanners ................................................................A-4

Main Menu Next Chapter

Grounding Cable Requirements ................................................................... A-4

Leakage Test ...................................................................................................C-1

Beam Quality Test ...........................................................................................C-2

Peak Tube Potential Test ................................................................................C-3

Elevator inside dimensions _W D

Elevator door opening _____W H