36C24619B0021-0004005.pdf

TrueBeam/VitalBeam Edition

D O C . # : D D R - H T- W P / N : 1 0 0 0 6 0 8 1 7 - 1 3

Designers’ Desk Reference

VOL. 16, No. 4

Introduction to the Varian Designers’ Desk Reference (DDR)

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

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

Intended Audience

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

This DDR issue is effective July 5, 2016. Users should contact their Site Services Regional Planner for the most current release.

Language of Origin

This publication is of English-language origin.

Digital Drawing Files

AutoCAD DWG files for all sections within this DDR are available from your Varian Regional Planner.

These files contain details that can be useful for incorporating into the Architect’s contract documents. The DWG file names are referenced in the lower right area of each diagram in this Designers’ Desk Reference.

Contact Varian’s Global Planning Department at:

Varian Medical Systems Planning Group, Site Services 660 N. McCarthy Blvd., Milpitas, CA 95035 Phone: (800) 278-2747 or (408) 232-4231 Email: planning@varian.com http://www.varian.com/us/oncology/services_and_support/architectural_planning/contact.html

Limitation of Liability

Every effort has been made to keep the digital drawing files consistent with the documents in the DDR.

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

Trademarks

TrueBeam, VitalBeam, EDGE, Clinac, Calypso, Acuity, and ARIA are trademarks or registered trademarks of Varian Medical Systems, Inc. These and/or other Varian Medical Systems Inc.’s products referenced herein are either registered trademarks or trademarks of Varian Medical Systems in the U.S.

and/or other countries. The names of other companies and products mentioned herein may be the trademarks of their respective owners. Any rights not expressly granted herein are reserved.

© 1999-2016 Varian Medical Systems, Inc.

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

http://www.varian.com/us/oncology/services_and_support/architectural_planning/

Designers’ Desk Reference, TrueBeam/VitalBeam Edition

Document History List

Varian Document #: DDR-HT-W

Varian P/N: 100060817-13

Version: Vol. 16, No. 4

Issue Date: July 5, 2016

Version Issue Date eSign Workflow #

Vol. 12, No. 3 April 2, 2012 N/A

Vol. 12, No. 3 r2 December 7, 2012 N/A

Vol. 12, No. 4 N/A N/A

Vol. 13, No. 1 N/A N/A

Vol. 13, No. 2 January 18, 2013 N/A

Vol. 13, No. 3 April 1, 2013 #26983753

Vol. 13, No. 4 July 1, 2013 #29749484

Vol. 14, No. 1 October 1, 2013 #33085546

Vol. 14, No. 2 January 2, 2014 #36890436

Vol. 14, No. 3 April 1, 2014 #40492623

Vol. 14, No. 4 July 1, 2014 #45234921

Vol. 15, No. 1 October 1, 2014 #50035039

Vol. 15, No. 2 January 5, 2015 #52382301

Vol. 15, No. 3 April 6, 2015 #57207674

Vol. 15, No. 4 July 1, 2015 #72222880

Vol. 16, No. 1 N/A N/A

Vol. 16, No. 2 N/A N/A

Vol. 16, No. 3 N/A N/A iii

List of Revisions

For revisions prior to those listed below, please contact your Varian Regional Planner.

Item # Version Section Page # Revision Remarks

318 Vol. 16, No. 4 1.2 1-3 Removed Novalis Tx and Novalis Tx Silhouette Accelerator types from the “not supported” list and added UNIQUE.

319 Vol. 16, No. 4 2.3 2-9 Figure 2-3: Revised the conduit note above the maze door.

Changed from “If possible, provide two 4”

(100) conduits” to “Refer to Figure 3-2 for overhead conduit requirements.”

320 Vol. 16, No. 4 2.5 2-15 Figure 2-8: Changed “X-Ray” to “radiation.”

321 Vol. 16, No. 4 3.1.2.1 3-2 Added that the Control Equipment Pull Box is contractor-provided and revised the grounding screw stud size.

Changed from “M3.5” to “M4.”

322 Vol. 16, No. 4 3.1.2.2 3-3 Added that the Modulator Pull Box is contractor-provided.

323 Vol. 16, No. 4 3.1.2.3 3-3 Revised the BaseFrame Pull Box Pull Box note and depth.

Added that the BaseFrame Pull Box Pull Box is contractor-provided.

Changed from “10" (250)” to “12" (300).”

324 Vol. 16, No. 4 3.1.2.4 3-3 Added that the In-Room Monitor signal Pull Box is contractor-provided.

325 Vol. 16, No. 4 3.1.2.5 3-3 Added that the Accessory Pull Box is contractor-provided and revised the grounding screw stud size.

Changed from “M3.5” to “M4.”

326 Vol. 16, No. 4 3.1.2.6 3-4 Revised the installation details for the Relay Junction Box (RJB).

Added that the RJB can be surfaced or semi-recessed.

Added that the RJB can alternately be wall mounted so access can be obtained at standing level from the finished floor.

327 Vol. 16, No. 4 3.2 3-5 Figure 3-2: Revised the BaseFrame Pull Box depth.

Changed from 5 “10" (250)” to “12" (300).”

328 Vol. 16, No. 4 3.2 3-7 Figure 3-3: Revised the BaseFrame Pull Box depth and added RJB alternate mounting location.

Changed BaseFrame depth from “10" (250)” to “12" (300).”

Added that the RJB can alternately be wall mounted so access can be obtained at standing level from the finished floor.

329 Vol. 16, No. 4 3.3.1 3-9 Figure 3-4: Added ventilation clearance is to finished wall.

iv Designers’ Desk Reference, TrueBeam/VitalBeam Edition

330 Vol. 16, No. 4 3.4 3-17 Figure 3-11: Updated Optical Imaging and In-Room Monitors (Typical) – Front Elevation.

Added maximum length for Varian-provided GCX post is 4'-6" (1372).

Added 11'-6" (3505) is the recommended maximum to mount directly to concrete ceiling.

331 Vol. 16, No. 4 3.4.1.1 3-18 Figure 3-12: Updated the TrueBeam Optical Imaging Camera Mount – Plan View.

Changed from “(1)-3" (75) conduit” to “This 3" (75) conduit from the CPB to the APB is shown in Figure 3-2.”

Added new note about the conduit run from the Control Pull Box to the Optical Imaging Camera.

332 Vol. 16, No. 4 3.4.1.1 3-19 Figure 3-13: Updated the TrueBeam Optical Imaging Camera Mount – Elevation View.

Added new note about the minimum and maximum “direct to concrete” mounting height requirements.

Added new note about the minimum and maximum distance the GCX post bottom can be above the finished floor.

Added new note that the GCX post length configuration lengths.

333 Vol. 16, No. 4 3.4.1.2 3-20 Figure 3-14: Updated the Ceiling Mounting Plate – Optical Imaging Camera.

Restructured the text descriptions - no new information.

334 Vol. 16, No. 4 3.4.1.3 3-20 Added a link to the Dedicated Grounding Requirements and revised the grounding screw stud size.

Changed from “M3.5” to “M4.”

335 Vol. 16, No. 4 3.4.2 3-21 Revised the note about the optional second set of Dual IRMs.

Removed text “not available on VitalBeam.”

336 Vol. 16, No. 4 3.4.2.1 3-21 Moved the alternate wall-mount option text down to the Note section.

337 Vol. 16, No. 4 3.4.2.2 3-22 Figure 3-15: Updated the Dual In-Room Monitors – Plan View.

Changed from “(1)-2" (50) conduit” to “This 2" (50) conduit from the CPB to the APB is shown in Figure 3-2.”

Added a note about the required ceiling receptacle.

Added new note about the conduit run from the Control Pull Box to the IRM Displays.

338 Vol. 16, No. 4 3.4.2.2 3-23 Figure 3-16: Updated the Dual In-Room Monitors – Elevation View.

Added new note about the minimum and maximum “direct to concrete” mounting height requirements.

Added new note about the minimum and maximum distance the GCX post bottom can be above the finished floor.

Added new note that the GCX post length configuration lengths.

339 Vol. 16, No. 4 3.4.2.3 3-24 Figure 3-17: Updated the Ceiling Mounting Plate – In-Room Monitor.

Restructured the text descriptions - no new information.

Item # Version Section Page # Revision Remarks Designers’ Desk Reference, TrueBeam/VitalBeam Edition v

340 Vol. 16, No. 4 3.4.2.4 3-24 Added a link to the Dedicated Grounding Requirements and revised the grounding screw stud size.

Changed from “M3.5” to “M4.”

341 Vol. 16, No. 4 3.4.2.5 3-25 Figure 3-18: Updated the Alternate Wall-Mount Dual In-Room Monitor Installation layout.

All new layout showing the correct size of the IRM displays.

342 Vol. 16, No. 4 3.5 3-26 Figure 3-19: Updated the Treatment Room Sagittal Wall Elevation – Component Location layout.

Added a note that the Live View Camera can be place on either side of isocenter.

343 Vol. 16, No. 4 3.5.1.2 3-27 Added a link to the Dedicated Grounding Requirements and revised the grounding screw stud size.

Changed from “M3.5” to “M4.”

344 Vol. 16, No. 4 3.5.2.1 3-29 Figure 3-22: Updated the Multiple CCTV Camera Locations – Elevation layout.

Added a warning note that the mandatory location for the primary set of CCTV cameras is for patient safety.

345 Vol. 16, No. 4 3.5.3.1 3-30 Added a link to the Dedicated Grounding Requirements and revised the grounding screw stud size.

Changed from “M3.5” to “M4.”

346 Vol. 16, No. 4 3.6.10.1 3-37 Figure 3-32: Updated the Calypso System Conduit Diagram – Typical Plan View

Changed from “Provide one 3" [75] conduit from CPB to APB” to “This 3" (75) conduit from the CPB to the APB is shown in Figure 3-2.”

Changed from “Hub Unit to each treatment room location” to “Hub Unit through the Accessory Pull Box to each camera location.”

347 Vol. 16, No. 4 3.6.12 3-45 Added a caution note that if the concrete ceiling height is above 14'-6” [4420] to contact the Varian Regional Planner for a custom solution.

348 Vol. 16, No. 4 3.7.2 3-48 Revised the OSMS Optical System camera power and connection description.

Changed from “Each camera is connected to the OSMS Workstation” to “Each camera is power by the PSU and connected to the OSMS Workstation.”

Added OSMS Camera dimensions and weight.

Changed the size and weight of the OSMS PSU from “9.5"w x 4.75"h x 7.75"D (241 x 121 x 197), 20 lbs (9.1 kg)” to “8"l x 3.5"w x 1.75"h (200 x 90 x 45), 4 lbs (1.8 kg).”

vi Designers’ Desk Reference, TrueBeam/VitalBeam Edition

349 Vol. 16, No. 4 3.7.2 3-48 Figure 3-43: OSMS Camera - replaced with a current picture.

350 Vol. 16, No. 4 3.7.2 3-48 Figure 3-44: OSMS PSU -replaced with a current picture.

351 Vol. 16, No. 4 3.7.3 3-49 Added a new picture for the Treatment Room Remote Terminal.

352 Vol. 16, No. 4 3.7.4.1 3-50 Figure 3-46: Updated the OSMS System Conduit Diagram – Typical Plan View.

Added a note to see Section 3.1.2.1.

Changed from “Provide one 3" [75] conduit from CPB to APB” to “This 3" (75) conduit from the CPB to the APB is shown in Figure 3-2.”

Changed from “Hub Unit to each treatment room location” to “Hub Unit through the Accessory Pull Box to each camera location.”

Changed the conduit run length for the PSU to each camera location from “30'-0" (10m)” to “26'-0" (8m).”

Added note that the conduit run from the CPB through the APB to the Remote Terminal shall not exceed 100'-0" [30m].

353 Vol. 16, No. 4 3.7.5 3-51 Figure 3-47: Updated the OSMS Camera Mount Locations – Plan View.

Added a note to Maintain a clear, unobstructed path to the overhead concrete mounting surface, see Sections 3.7.6 and 3.7.7.1 for more details on mounting heights and clearances.

354 Vol. 16, No. 4 3.7.5 3-52 Figure 3-48: Updated the OSMS Camera Mount Locations – Section View.

Added the OSMS PSU, switched receptacle, and APB.

355 Vol. 16, No. 4 3.7.6 3-53 Figure 3-49: Updated the OSMS Camera – Typical Elevation.

Added a dimension for the minimum and maximum post length ranges from the bottom of the mounting post to the concrete ceiling.

Added a + or - tolerance of 2" [50] from isocenter to the bottom of the mounting post.

Added a note to contact the Varian PM for custom solutions shorter than 11 1/4" [285] or longer than 58 1/2" [1488].

Added a note that all mounting post lengths 23" [585] and longer require two stabilizer brackets.

356 Vol. 16, No. 4 3.7.7 3-54 Revised the Camera Support Mounting description.

Added a note that the ceiling mount load plate expansion anchors are Varian-provided.

Changed weight from “30 lb. (13.6 kg.)” to “45

lb. (20.5 kg.).”

Designers’ Desk Reference, TrueBeam/VitalBeam Edition vii

357 Vol. 16, No. 4 3.7.7.1 3-54 Figure 3-50: Updated the Ceiling Mount Load Plate

– OSMS Camera diagram.

Added a note to provide a clear path from above the false ceiling to the overhead concrete mounting surface.

Added a note to provide a clear 12" [300] radius path below the false ceiling to allow for camera rotation and service.

358 Vol. 16, No. 4 3.7.7.2 3-55 Added a new Section for the OSMS Stabilizer Brackets.

359 Vol. 16, No. 4 3.8.2 3-59 Figure 3-55: Updated the TrueBeam Coolant System Diagram.

Removed the Chiller Unit, Domestic Water Supply, and Waste Drains.

Added a note that the cooling water requirement can be satisfied with a Closed-Loop or One-Pass System.

Added a note “Copper piping is recommended.”

Added links to Sections 3.8.1 and 3.8.2.2.

360 Vol. 16, No. 4 3.8.2.1 3-60 Table 3-2: Revised TrueBeam Coolant Requirements.

Added that 50 PSIG (3.5 kg/cm2) is the recommended maximum.

361 Vol. 16, No. 4 3.8.2.2 3-61 Moved the text description to Section 3.8.2.

362 Vol. 16, No. 4 3.8.2.3 3-62 Added that 50 PSIG (3.5 kg/cm2) or less is recommended.

363 Vol. 16, No. 4 3.10 3-68 Figure 3-57: Revised the BaseFrame Pull Box depth.

Changed from “10" (250)” to “12" (300).”

364 Vol. 16, No. 4 3.11 3-71 Figure 3-60: Revised the BaseFrame Pull Box depth and added conduit clearance requirement below the BaseFrame Pit.

Changed the BaseFrame Pull Box depth from “10" (250)” to “12" (300).”

Added a dimension that 6" (152) is the minimum clearance from the bottom of the BaseFrame Pit to the top of conduit to avoid the BF anchor bolts.

365 Vol. 16, No. 4 3.11 3-72 Figure 3-61: Revised the BaseFrame Pull Box depth.

Changed the BaseFrame Pull Box depth from “10" (250)” to “12" (300).”

366 Vol. 16, No. 4 4.1.4 4-2 Revised the Dedicated Grounding Requirements description.

Changed the reference and link from “Figure 4-2, Interconnection Wiring Diagram” to “Figure 4-1, Grounding/Earthing Conductor Diagram.”

Added bullet and link to the Control Equipment Pull Box.

367 Vol. 16, No. 4 4.1.4 4-5 Figure 4-1: Revised the grounding screw stud size on the APB.

Changed from “M3.5” to “M4.”

368 Vol. 16, No. 4 4.1.6.1 4-7 Added a note that the network cabling is recommended to use 1Gbit/s (or higher).

viii Designers’ Desk Reference, TrueBeam/VitalBeam Edition

369 Vol. 16, No. 4 4.2.2.1 4-11 Updated the VWB Panel configuration table.

Added the lug range to each of the panel customer contact points.

370 Vol. 16, No. 4 4.2.2.4 4-12 Updated the VWB Panel on-line diagram.

Added the built-in transformers to the VWB Panel.

Added what wiring is provided by Customer and Varian.

Added a note that the IEC 60309 Receptacle is included with the VWB Panel if purchased from GEXPRO or provided as part of the equipment order.

371 Vol. 16, No. 4 4.3.5.3 4-20 Updated the IEC 60309 Receptacle note.

Added a note that the IEC 60309 Receptacle is included with the VWB Panel, if purchased from GEXPRO or provided as part of the equipment order.

Removed bullet about the TrueBeam/VitalBeam Imaging Cabinet.

372 Vol. 16, No. 4 5.1 5-1 Figure 5-1: Updated the Typical Control Equipment Layout, 2-1 Cabinet Configuration.

Added a reference to see Section 3.1.2.1 for more information on the Control Equipment Pull Box.

Changed minimum side to side clearance for the 2-1 Cabinet from “2'-6" (762)” to “2'-7" (787).”

373 Vol. 16, No. 4 5.1 5-3 Figure 5-2: Updated the TrueBeam/VitalBeam 2-1 Cabinet Floor Positioning Bracket Installation – Plan View.

Changed minimum side clearance for the 2-1 Cabinet Floor Positioning Plate from “3" (76)” to “3 1/2" (89)” on each side of the bracket.

374 Vol. 16, No. 4 5.1 5-5 Figure 5-3: Removed the Control Equipment Layout, Stacked Configuration option.

375 Vol. 16, No. 4 5.6 5-12 Figure 5-8: Revised the rigging and operational clearances from isocenter.

Changed the side to side dimension from “6'-0" (1829)” to “7'-0" (2133).”

Changed the Isocenter to front from “5'-6" (1676)” to “9'-0" (2743).”

Changed the Isocenter to rear from “To Rear Wall” to “9'-7" (2921).”

376 Vol. 16, No. 4 Appendix A A-1 Replaced the TrueBeam Accelerator pre-installation checklist version 1.3 with a new Varian Accelerator pre-installation checklist version 1.7.

377 Vol. 16, No. 4 Appendix B B-1 Revised the Calypso Pre-Installation Checklist.

Added “8 to 12 week lead time to manufacture camera mounts to item #35.

Designers’ Desk Reference, TrueBeam/VitalBeam Edition ix

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x Designers’ Desk Reference, TrueBeam/VitalBeam Edition

Table of Contents CHAPTER 1 INTRODUCTION ...................................................................................................1-1

1.1 Technical Key Features ................................................................................................. 1-1

1.2 Supported Accelerator Models....................................................................................... 1-3

1.3 TrueBeam Installation Timeline Description................................................................... 1-3

CHAPTER 2 GENERAL SYSTEM INFORMATION ...................................................................2-1

2.1 Typical Room Shielding Tables...................................................................................... 2-1

2.2 Typical Room Isometric View......................................................................................... 2-5

2.3 Typical Room Configuration........................................................................................... 2-7

2.4 Optional Room Configurations ..................................................................................... 2-11

2.5 Detail – Plan View ........................................................................................................ 2-15

2.6 Detail – Elevations ....................................................................................................... 2-17

2.7 Shipping/Rigging Dimension Clearances..................................................................... 2-20

CHAPTER 3 FACILITIES REQUIREMENTS .............................................................................3-1

3.1 Cable Conduit/Ducts ...................................................................................................... 3-2

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

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

3.1.2 Pull/Junction Boxes ............................................................................................ 3-2

3.1.2.1 Control Equipment Pull Box....................................................................... 3-2

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

3.1.2.3 BaseFrame Pull Box.................................................................................. 3-3

3.1.2.4 In-Room Monitor Pull Box.......................................................................... 3-3

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

3.1.2.6 Relay Junction Box.................................................................................... 3-4

3.2 Cable Access Diagrams................................................................................................. 3-5

3.3 Major System Components – Modulator Cabinet .......................................................... 3-9

3.3.1 Standard Modulator ............................................................................................ 3-9

3.3.2 Moving Modulator ............................................................................................. 3-11

3.4 Major System Components – Optical Imaging with IRM.............................................. 3-17

3.4.1 TrueBeam Optical Imaging Subsystems (Optional on VitalBeam)................... 3-18

3.4.1.1 Mounting Location ................................................................................... 3-18

3.4.1.2 Ceiling Mounting Plate............................................................................. 3-20

3.4.1.3 Dedicated Ground Wire – TrueBeam Optical Imaging ............................ 3-20

3.4.2 TrueBeam Dual In-Room Monitors (IRM)......................................................... 3-21

3.4.2.1 Standard Mounting Location – TrueBeam IRM ....................................... 3-21

3.4.2.2 Standard Ceiling Mounting Method ......................................................... 3-22

3.4.2.3 Ceiling Mounting Plate............................................................................. 3-24

3.4.2.4 Dedicated Ground Wires – TrueBeam IRM............................................. 3-24

3.4.2.5 Alternate Wall Mounting Method ............................................................. 3-25 xi

3.5 Minor System Components – Live View Camera, CCTV, VVS, and Intercom Subsystems................................................................................................... 3-26

3.5.1 Live View Camera Subsystem ......................................................................... 3-27

3.5.1.1 Live View Mounting Locations and Method............................................. 3-27

3.5.1.2 Dedicated Ground Wire – Live View Camera.......................................... 3-27

3.5.2 Closed Circuit TV (Motion View) Subsystem.................................................... 3-28

3.5.2.1 Mounting Locations ................................................................................. 3-28

3.5.3 Intercom and Audio Subsystem – Microphones and Speakers........................ 3-30

3.5.3.1 Dedicated Ground Wire – Microphone(s) ................................................ 3-30

3.6 Calypso Extracranial Radiosurgery Subsystem (Optional) .......................................... 3-31

3.6.1 Treatment Room Console ................................................................................ 3-31

3.6.2 Array Panel....................................................................................................... 3-32

3.6.3 Touch Screen Computer .................................................................................. 3-32

3.6.4 Optical System ................................................................................................. 3-32

3.6.4.1 Infrared Cameras..................................................................................... 3-33

3.6.4.2 Camera Power Supply/Hub Unit.............................................................. 3-33

3.6.5 Tracking Station ............................................................................................... 3-33

3.6.6 Beacon Transponders ...................................................................................... 3-34

3.6.7 Software ........................................................................................................... 3-34

3.6.8 Fixtures............................................................................................................. 3-34

3.6.8.1 QA Fixture ............................................................................................... 3-34

3.6.8.2 Calibration Fixtures.................................................................................. 3-35

3.6.9 System Options ................................................................................................ 3-35

3.6.9.1 Radiation Detector................................................................................... 3-35

3.6.9.2 Dynamic Edge Gating.............................................................................. 3-35

3.6.9.3 Adaptive Couch Repositioning ................................................................ 3-36

3.6.9.4 Treatment Planning Data Import ............................................................. 3-36

3.6.10 Calypso System Assembly............................................................................... 3-37

3.6.10.1 Typical Room Configuration .................................................................... 3-37

3.6.11 Camera Mounting Locations ............................................................................ 3-38

3.6.11.1 Preferred Ceiling Mount Load Plate Locations ........................................ 3-38

3.6.11.2 Acceptable Ceiling Mount Load Plate Areas ........................................... 3-43

3.6.12 Camera Elevation Heights and Clearances ..................................................... 3-45

3.6.13 Camera Support Mounting Methods ................................................................ 3-46

3.6.13.1 Ceiling Mount Load Plate ........................................................................ 3-46

3.6.13.2 Ceiling Mount Cantilever Extension Bar .................................................. 3-47

3.6.14 Shipping/Rigging Dimension Clearances ......................................................... 3-47

3.7 OSMS Intracranial Radiosurgery Subsystem (Optional).............................................. 3-48

3.7.1 OSMS Workstation........................................................................................... 3-48

3.7.2 OSMS Optical System...................................................................................... 3-48

3.7.3 Treatment Room Remote Terminal.................................................................. 3-49 xii Table of Contents

3.7.4 OSMS System Assembly ................................................................................. 3-50

3.7.4.1 Typical Room Configuration .................................................................... 3-50

3.7.5 OSMS Camera Mounting Locations................................................................. 3-51

3.7.6 Camera Elevation Heights and Clearances ..................................................... 3-53

3.7.7 Camera Support Mounting Methods ................................................................ 3-54

3.7.7.1 Ceiling Mount Load Plate ........................................................................ 3-54

3.7.7.2 Camera Mounting Post Stabilizer Bracket............................................... 3-55

3.8 HVAC and Plumbing Requirements............................................................................. 3-57

3.8.1 Operational States............................................................................................ 3-57

3.8.2 TrueBeam Coolant System .............................................................................. 3-58

3.8.2.1 TrueBeam Coolant Requirements ........................................................... 3-60

3.8.2.2 Coolant Specifications ............................................................................. 3-61

3.8.2.3 Pressure Regulator Specifications .......................................................... 3-62

3.8.3 Compressed Air System................................................................................... 3-62

3.8.4 Environmental Specifications ........................................................................... 3-62

3.8.4.1 Ventilation................................................................................................ 3-62

3.8.5 Plumbing .......................................................................................................... 3-63

3.8.6 Fire Protection .................................................................................................. 3-63

3.9 Shielding ...................................................................................................................... 3-64

3.9.1 Radiation Shielding Details .............................................................................. 3-64

3.9.2 Radiation Shielding Calculation Assumptions .................................................. 3-65

3.9.3 Other Shielding Information.............................................................................. 3-66

3.10 BaseFrame Pit and Installation .................................................................................... 3-67

3.11 BaseFrame Cable Access Details................................................................................ 3-71

3.12 BaseFrame Cooling Line Access Details ..................................................................... 3-73

3.13 Patient Positioning Lasers............................................................................................ 3-76

3.13.1 Side Laser Mounting Detail .............................................................................. 3-77

3.13.2 Ceiling Laser Mounting Detail .......................................................................... 3-80

3.13.3 Sagittal Laser Mounting Detail – Recessed ..................................................... 3-81

CHAPTER 4 ELECTRICAL REQUIREMENTS ..........................................................................4-1

4.1 General Electrical Specifications.................................................................................... 4-1

4.1.1 Wiring and Components..................................................................................... 4-1

4.1.2 Lighting and Accessories Circuits ...................................................................... 4-1

4.1.3 Electrical Connections........................................................................................ 4-2

4.1.4 Dedicated Grounding Requirements .................................................................. 4-2

4.1.5 Power Conditioning Requirements ..................................................................... 4-7

4.1.6 Network Cabling and Termination ..................................................................... 4-7

4.1.6.1 Cabling ...................................................................................................... 4-7

4.1.6.2 Termination................................................................................................ 4-7

4.1.6.3 TCP/IP Protocol......................................................................................... 4-8 Table of Contents xiii

4.2 TrueBeam Linear Accelerator Subsystem ..................................................................... 4-9

4.2.1 Circuit Breaker.................................................................................................. 4-10

4.2.1.1 TrueBeam Main Circuit Breaker Panel .................................................... 4-10

4.2.2 TrueBeam Main Circuit Breaker Panel – VWB Series ..................................... 4-11

4.2.2.1 Application ............................................................................................... 4-11

4.2.2.2 Features .................................................................................................. 4-12

4.2.2.3 General Features..................................................................................... 4-12

4.2.2.4 Benefits.................................................................................................... 4-12

4.2.2.5 Ordering Information................................................................................ 4-13

4.3 Interconnection Wiring Diagram................................................................................... 4-15

4.3.1 General Notes .................................................................................................. 4-17

4.3.2 Laser Positioning Lights and Optional Bypass/Override Switch....................... 4-17

4.3.3 Room Lighting .................................................................................................. 4-17

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

4.3.3.2 Setup Lights............................................................................................. 4-18

4.3.3.3 Main Room Lights.................................................................................... 4-18

4.3.4 Safety Device Systems .................................................................................... 4-18

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

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

4.3.4.3 Beam-Off Light ........................................................................................ 4-19

4.3.4.4 X-RAY ON (Integrated Imaging) Warning Light....................................... 4-19

4.3.4.5 Generator ON (Integrated Imaging) Warning Light ................................. 4-19

4.3.4.6 Emergency-Off Switches ......................................................................... 4-19

4.3.4.7 Safety Door Interlock Switches................................................................ 4-20

4.3.5 Power Receptacles/Switches ........................................................................... 4-20

4.3.5.1 Setup Lights............................................................................................. 4-20

4.3.5.2 CCTV Camera......................................................................................... 4-20

4.3.5.3 TrueBeam/VitalBeam Control and Imaging Cabinets.............................. 4-20

4.3.5.4 ARIA Workstation Components (Optional) .............................................. 4-21

4.3.6 Varian Relay Junction Box ............................................................................... 4-22

4.3.6.1 Application ............................................................................................... 4-22

4.3.6.2 Features .................................................................................................. 4-22

CHAPTER 5 FINISHES ..............................................................................................................5-1

5.1 Typical Control Equipment Casework ............................................................................ 5-1

5.2 General Room Storage Requirements........................................................................... 5-6

5.3 Typical Accessory Storage Dimensions......................................................................... 5-7

5.4 Carpeting, Vinyl, Wood, and other Flooring Requirements.......................................... 5-10

5.5 Acoustical Requirements ............................................................................................. 5-10

5.6 Ceiling Finishes............................................................................................................ 5-11 xiv Table of Contents

APPENDIX A TRUEBEAM/VITALBEAM PRE-INSTALLATION CHECKLIST .......................... A-1

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

APPENDIX C SHIPPING LISTS.................................................................................................. C-1 C.1 Varian TrueBeam Shipping List (Typical)...................................................................... C-1

APPENDIX D H.E. ACCELERATOR VS. TRUEBEAM SITE REQUIREMENT

COMPARISON SUMMARY.................................................................................. D-1

GLOSSARY...................................................................................................................GLOSSARY-1 Table of Contents xv xvi Table of Contents

List of Figures

CHAPTER 2

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

Figure 2-2 Typical (Intermediate) Room Plan View .......................................................... 2-7

Figure 2-3 Typical (Intermediate) Room Section .............................................................. 2-9

Figure 2-4 Typical (Intermediate) Vault Configuration - Exterior Primary Barriers.......... 2-11

Figure 2-5 Traditional (Large) Vault Configuration.......................................................... 2-11

Figure 2-6 Minimum Vault Configuration - Direct Entry (Silhouette Retrofit) .................. 2-13

Figure 2-7 Minimum Vault Configuration - Maze Entry (Silhouette Retrofit) ................... 2-13

Figure 2-8 Plan View....................................................................................................... 2-15

Figure 2-9 Side Elevation................................................................................................ 2-17

Figure 2-10 Front Elevation .............................................................................................. 2-19

Figure 2-11 Standard Shipping Configuration — Dimensions .......................................... 2-20

Figure 2-12 Optional “Factory Break” Shipping Configuration — Dimensions.................. 2-21

Figure 2-13 Shipping Configuration — Weights................................................................ 2-22

Figure 2-14 Minimum Rigging Clearances for the Standard Configuration ...................... 2-23

Figure 2-15 Minimum Rigging Clearances for the Optional Factory Break Configuration....................................................................................... 2-24

CHAPTER 3

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

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

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

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

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

Figure 3-6 Left Moving Modulator Pull Box Location ...................................................... 3-12

Figure 3-7 Right Moving Modulator Pull Box Location.................................................... 3-13

Figure 3-8 Moving Modulator Cabinet – Plan View......................................................... 3-14

Figure 3-9 Moving Modulator Cabinet – Elevation View................................................. 3-15

Figure 3-10 Moving Modulator Floor Positioning – Plan View .......................................... 3-16

Figure 3-11 Optical Imaging and In-Room Monitors (Typical) – Front Elevation .............. 3-17

Figure 3-12 TrueBeam Optical Imaging Camera Mount – Plan View............................... 3-18

Figure 3-13 TrueBeam Optical Imaging Camera Mount – Elevation Views...................... 3-19

Figure 3-14 Ceiling Mounting Plate – Optical Imaging Camera........................................ 3-20

Figure 3-15 Dual In-Room Monitors – Plan View.............................................................. 3-22

Figure 3-16 Dual In-Room Monitors – Elevation View...................................................... 3-23

Figure 3-17 Ceiling Mounting Plate – In-Room Monitor.................................................... 3-24 xvii

Figure 3-18 Alternate Wall-Mount Dual In-Room Monitor Installation .............................. 3-25

Figure 3-19 Treatment Room Sagittal Wall Elevation – Component Location ................. 3-26

Figure 3-20 Live View Camera – Wall Mount (Section View) ........................................... 3-27

Figure 3-21 Typical CCTV System Diagram – Plan View................................................. 3-28

Figure 3-22 Multiple CCTV Camera Locations – Elevation .............................................. 3-29

Figure 3-23 Treatment Room Speaker, Microphone, and Live View Camera Layout:

Plan View ...................................................................................................... 3-30

Figure 3-24 Treatment Room Console ............................................................................. 3-31

Figure 3-25 Array Panel.................................................................................................... 3-31

Figure 3-26 Touch Screen Computer ............................................................................... 3-31

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

Figure 3-28 Camera Power Supply and Hub Unit ............................................................ 3-32

Figure 3-29 Tracking Station, Keyboard, Monitor, and Mouse ......................................... 3-33

Figure 3-30 Beacon Transponder..................................................................................... 3-34

Figure 3-31 Radiation Detector......................................................................................... 3-35

Figure 3-32 Calypso System Conduit Diagram – Typical Plan View ................................ 3-37

Figure 3-33 Preferred Ceiling Mount Load Plate Locations – Plan View (Cartesian Dimensions)................................................................................. 3-39

Figure 3-34 Preferred Ceiling Mount Load Plate Locations – Plan View (Polar Dimensions)........................................................................................ 3-40

Figure 3-35 Preferred Ceiling Mount Load Plate Locations – Typical Section ................. 3-41

Figure 3-36 Calypso Camera #2 Mount Location – Section View .................................... 3-42

Figure 3-37 Acceptable Camera Mount Areas – Plan View ............................................. 3-44

Figure 3-38 Calypso Infrared Camera – Typical Elevation ............................................... 3-45

Figure 3-39 Ceiling Mount Load Plate – Infrared Camera ................................................ 3-46

Figure 3-40 Ceiling Mount Load Plate – Isometric............................................................ 3-46

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

Figure 3-42 Camera with Cantilever Extension Bar.......................................................... 3-47

Figure 3-43 OSMS Camera .............................................................................................. 3-48

Figure 3-44 OSMS Power Supply Unit (PSU) .................................................................. 3-48

Figure 3-45 OSMS Remote Workstation – Vault .............................................................. 3-49

Figure 3-46 OSMS System Conduit Diagram – Typical Plan View .................................. 3-50

Figure 3-47 OSMS Camera Mount Locations – Plan View............................................... 3-51

Figure 3-48 OSMS Camera Mount Locations – Section View.......................................... 3-52

Figure 3-49 OSMS Camera – Typical Elevation............................................................... 3-53

Figure 3-50 Ceiling Mount Load Plate .............................................................................. 3-54

Figure 3-51 Stabilizer Bracket .......................................................................................... 3-55

Figure 3-52 Stabilizer Bracket - Post Attachment (Isometric) .......................................... 3-55

Figure 3-53 Camera Mounting Post Stabilizer Brackets – Plan and Elevations ............... 3-56 xviii Table of Contents

Figure 3-54 Minimum Coolant Flow Requirements........................................................... 3-58

Figure 3-55 TrueBeam Coolant System Diagram............................................................. 3-59

Figure 3-56 TrueBeam BaseFrame Pit Dimensions ......................................................... 3-67

Figure 3-57 TrueBeam BaseFrame Installed.................................................................... 3-68

Figure 3-58 Grout After BaseFrame Installation ............................................................... 3-69

Figure 3-59 TrueBeam Installed on BaseFrame............................................................... 3-70

Figure 3-60 Standard Side Cable Access Plan and Section at Pull Box .......................... 3-71

Figure 3-61 Alternate Bottom Cable Access Plan and Section at Pull Box ...................... 3-72

Figure 3-62 Typical (Intermediate Vault) Cooling Line Access Plan................................. 3-73

Figure 3-63 Traditional (Large Vault) Cooling Line Access Plan ...................................... 3-74

Figure 3-64 Minimum (Small Vault) Cooling Line Access Plan......................................... 3-75

Figure 3-65 Laser Positioning Light – Isometric and Plan Views...................................... 3-76

Figure 3-66 Laser and Mounting Plate (Typical) – Exploded View................................... 3-76

Figure 3-67 Side Laser Mounting Details (Recessed in Wall) – Elevation View............... 3-77

Figure 3-68 Side Laser Mounting Details (Recessed in Wall) – Plan View ...................... 3-78

Figure 3-69 Side Laser Mounting Details (Recessed in Wall) – Section View.................. 3-79

Figure 3-70 Ceiling Laser Mounting Detail – Side View.................................................... 3-80

Figure 3-71 Sagittal Laser Mounting Details (Recessed in Wall) – Elevation View.......... 3-81

CHAPTER 4

Figure 4-1 Ground/Earthing Conductor Diagram.............................................................. 4-5

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

Figure 4-3 Varian Relay Junction Box ............................................................................ 4-23

CHAPTER 5

Figure 5-1 Typical Control Equipment Layout, 2-1 Cabinet Configuration........................ 5-1

Figure 5-2 TrueBeam/VitalBeam 2-1 Cabinet Floor Positioning Bracket Installation – Plan View......................................................................................................... 5-3

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

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

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

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

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

Figure 5-8 Typical Reflected Ceiling Plan....................................................................... 5-12 Table of Contents xix xx Table of Contents

List of Tables

CHAPTER 2

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

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

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

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

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

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

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

CHAPTER 3

Table 3-1 Ideal Mechanical Specifications ....................................................................3-57

Table 3-2 TrueBeam Coolant Requirements .................................................................3-60

Table 3-3 Coolant Specifications for External Water Sources.......................................3-61

CHAPTER 4

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

Table 4-2 TrueBeam/VitalBeam Linear Accelerator Power Requirements ......................4-9 xxi xxii Table of Contents

Chapter 1 Introduction

The Varian Medical Systems, Inc. TrueBeam is the only system specifically designed to deliver both radiotherapy and radiosurgery. A sophisticated and highly intelligent technology, this breakthrough system unlocks the ability to do tailored ground-breaking treatments with unprecedented ease, versatility, and speed. The TrueBeam system brings together state-of-the-art, real time imaging with the ability to deliver higher doses with high precision. Because of this intelligent design, physicians are able to treat more complex cases and more patients. As sophisticated as it is, the TrueBeam system has been developed for ease of use. Single-button operation and fast treatments are the cornerstone of a system that optimizes clinical workflow. Designed with an emphasis on efficiency, the TrueBeam system is easy for a technician or a clinician to learn and operate.

VitalBeam™ is a new cost-effective technology package for offering high-quality, high-throughput radiation therapy, and for expanding clinical capabilities over time. VitalBeam leverages the best of Varian’s technology; incorporating many of the innovations we developed for our popular TrueBeam® radiosurgery system to enhance precision, safety, and speed of treatment. It is a flexible and upgradeable system that affordably meets the clinical needs clinic today as they grow in the future. Each of the five VitalBeam configurations offers up to three photon and four electron energy levels for flexibility in treatment. Customers can choose to start with one configuration and add capabilities over time, at a pace that suits them.