Manual de Diseño Bunker para Acelerador Lineal

Designers Desk Reference
High Energy Clinac Edition
DOC. #: DDR-HE-V
P/N: 100047251-23
VOL. 15, No. 3
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
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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 customers 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 April 6, 2015. Users should contact their Site Solutions 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 Architects contract documents. The
DWG file names are referenced in the lower right area of each diagram in this Designers Desk Reference.
Contact Varians Global Planning Department at:
Varian Medical Systems
Planning Group, Site Solutions Services
660 N. McCarthy Blvd., Milpitas, CA 95035
Phone: (800) 278-2747 or (408) 232-4231
Email: planning@varian.com
www.varian.com/us/oncology/services_and_support/architectural_planning/contact.html
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are either registered trademarks or trademarks of Varian Medical Systems in the U.S. and/or other
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1999-2014 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.
Designers Desk Reference, High Energy Clinac Edition
Varian Document #:
DDR-HE-V
Varian P/N:
100047251-23
Version:
Vol. 15, No. 3
Issue Date:
April 6, 2015
Document History List

Version
Issue Date
eSign Workflow #
Vol. 10, No. 1
N/A (Internal Only)
Manual
Vol. 10, No. 2
February 8, 2010
Manual
Vol. 10, No. 3
June 29, 2010
Manual
Vol. 10, No. 4
July 9, 2010
Manual
Vol. 11, No. 1
October 2, 2010
Manual
Vol. 11, No. 2
January 1, 2011
Manual
Vol. 11, No. 3
April 2, 2011
Manual
Vol. 11, No. 4
June 1, 2011
Manual
Vol. 12, No. 1
October 17, 2011
Manual
Vol. 12, No. 2
January 3, 2012
Manual
Vol. 12, No. 3
April 2, 2012
Manual
Vol. 12, No. 4
July 2, 2012
Manual
Vol. 13, No. 1
October 1, 2012
Manual
Vol. 13, No. 2
January 2, 2013
#23479017
Vol. 13, No. 3
April 1, 2013
#26800028
Vol. 13, No. 4
July 1, 2013
#29752508
Vol. 14, No. 1
October 1, 2013
#32839627
Vol. 14, No. 2
January 2, 2014
#36408977
Vol. 14, No. 3
April 1, 2014
#40490745
Vol. 14, No. 4
July 1, 2014
#45238135
Vol. 15, No. 1
October 1, 2014
#50230562
Vol. 15, No. 2
January 5, 2015
#52334027
iii
List of Revisions
List of Revisions
For revisions prior to those listed below, please contact your Varian Planner.
Item #
Version
Section
Page #
Revision
Remarks
290
Vol. 14, No. 4
3.1.2.6
3-4
Revised the Relay Junction

Box (RJB) note to include
an alternate mounting
location
Added that the RJB can be wall mounted so it

is accessible at standing level from the
finished floor
291
Vol. 14, No. 4
3.1.2.6
3-4
Added a new warning note
Added DO NOT locate the Relay Junction

Box in the primary beam path.
292
Vol. 14, No. 4
3.2
3-5
Figure 3-2: Removed RJB

mounting location note
293
Vol. 14, No. 4
3.2
3-5
Figure 3-2: Revised future

conduit note
294
Vol. 14, No. 4
3.2
3-7
Figure 3-3: Added

alternate RJB mounting
location
295
Vol. 14, No. 4
3.3
3-9
Added a new warning note
Added DO NOT locate the Modulator

Cabinet in the primary beam path.
296
Vol. 14, No. 4
3.5.8.1
3-32
Figure 3-38: Revised the

conduit size from the
accessory pull box to each
treatment room camera
Changed from 1 1/4" (32)" to "1 1/2" (38)
297
Vol. 14, No. 4
3.5.9.1
3-34

tolerance dimension for
cameras #1 and #3
Changed from 2" [ 50]" to " 1" [ 25]
298
Vol. 14, No. 4
3.5.9.1
3-34
Figure 3-39: Revised

camera #2 position from
isocenter
Changed from 1'-4 1/2" [419] and 6'-6"

[1981] to 1'-5 3/4" [450] and 6'-4 3/4"
[1950]
299
Vol. 14, No. 4
3.5.9.1
3-35

tolerance dimension for
cameras #1 and #3
Changed from 2" [ 50]" to " 1" [ 25]
300
Vol. 14, No. 4
3.5.9.1
3-35
Figure 3-40: Revised

camera #2 position from
isocenter
Changed from 6'-7 1/2" 2" [2020 50] at

12 to 6'-6 3/4" 1" [2000 25] at 13
301
Vol. 14, No. 4
3.5.9.1
3-36
Figure 3-41: Removed the

camera lens height
dimensions
Replaced with TBD by Varian Project

Manager after isocenter is identified
302
Vol. 14, No. 4
3.5.9.1
3-36
Figure 3-41: Added new

note that the camera lens
height and mounting post
length will be determined
by the Varian Project
Manager using a site
survey after isocenter is
identified.
iv
Changed from Provide two 4" (100)

conduits to Provide one 3" (75) and two 2"
(50) conduits
List of Revisions
Item #
Version
Section
Page #
3-53
Revision
Remarks
303
Vol. 14, No. 4
3.7.2.2
Updated the Coolant

Specifications and added
new table for One-Pass,
closed-Loop, and
Machine Water Loop
304
Vol. 15, No. 1
Back of
Cover
305
Vol. 15, No. 1
2.3
2-7

maximum couch arc
clearance dimension
Changed from 8'-9" (2667) to 9'-0"

(2743)
306
Vol. 15, No. 1
2.3
2-7

minimum required couch
arc clearance dimension
Changed from 7'-11" (2667) to 8'-4 1/2"

(2553)
307
Vol. 15, No. 1
2.3
2-7

note for Optional RPM
Gating Camera
308
Vol. 15, No. 1
2.3
2-9

conduit note
Changed from one 3" (75) and two 2" (50)

conduits to two 3" (75) and one 2" (50)
conduits
309
Vol. 15, No. 1
2.4
2-11

maximum couch arc
clearance dimension
Changed from 8'-9" (2667) to 9'-0"

(2743)
310
Vol. 15, No. 1
2.4
2-11

minimum required couch
arc clearance dimension
Changed from 7'-11" (2667) to 8'-4 1/2"

(2553)
311
Vol. 15, No. 1
2.4
2-11

note for Longitudinal
Axis Line
312
Vol. 15, No. 1
2.4
2-11

note The Exact Couch can
rotate 100 about
isocenter from the
longitudinal axis line
313
Vol. 15, No. 1
2.4
2-11

note for The couch top has
a lateral range of 9.8" [250]
to either side of the
centerline of the Exact
Couch
314
Vol. 15, No. 1
2.4
2-11
Figure 2-4: Removed the

Modulator and Modulator
note
315
Vol. 15, No. 1
Chapter 3
3-1
Figure 3-1: Updated the

couch arcs on the
Treatment Room
Overview, Sample Set-up
Added new heading:

Language of Origin: This
publication is of
English-language origin
List of Revisions
Item #
Version
Section
Page #
Revision
Remarks
316
Vol. 15, No. 1
3.2
3-5

conduit note

conduits
317
Vol. 15, No. 1
3.2
3-7

conduit note

conduits
318
Vol. 15, No. 1
3.5
3-26
Revised the Section Title

Name
Changed from Calypso System (Optional)

to Calypso - Extracranial Radiosurgery
Subsystem (Optional)
319
Vol. 15, No. 1
3.5.9
Multiple
Changed Camera Mount

to Ceiling Mount Load
Plate
320
Vol. 15, No. 1
3.5.9.1
3-34
Figure 3-39: Updated

Camera #1 and Camera #3
Cartesian dimensions
Changed from 4'-4" 1" [1320 25] and

6'-2" 1" [1880 25] to 4'-4 3/16" 1"
[1325 25] and 6'-3 5/16" 1" [1928 25]
321
Vol. 15, No. 1
3.5.9.1
3-34

Camera #2 Cartesian
dimensions
Changed from 6'-4 3/4" [1950] and 1'-5 3/4"

[450] to 6'-4 5/16" 1" [1939 25] and 1'-5
5/8" 1" [448 25]
322
Vol. 15, No. 1
3.5.9.1
3-34

note: Dimensions are to
the center of the Ceiling
Mount Load Plate
323
Vol. 15, No. 1
3.5.9.1
3-34

note: The ceiling mount
load plates should only be
installed after the
BaseFrame is grouted in
and isocenter is verified
324
Vol. 15, No. 1
3.5.9.1
3-35

Camera #1 and Camera #3
Polar dimensions
Changed from 7'-6 9/16" 1" [2300 25] at

55 to 7'-8 1/8" 2" [2340 50] at 55.5
1
325
Vol. 15, No. 1
3.5.9.1
3-35

Camera #2 Polar
dimensions
Changed from 6'-6 3/4" 1" [2000 25] at

13 to 6'-6 3/8" 2" [1990 50] at 13
0.5
326
Vol. 15, No. 1
3.5.9.1
3-35

note: Dimensions are to
the center of the Ceiling
Mount Load Plate
327
Vol. 15, No. 1
3.5.9.1
3-35

installed after the
vi
List of Revisions
Item #
Version
Section
Page #
Revision
Remarks
328
Vol. 15, No. 1
3.5.9.2
3-37
Revised the description of

the Acceptable Ceiling
Mount Load Plate Areas
Changed to The following mounting

location diagram applies to accelerator
installations that are not able to obtain an
unobstructed path to overhead concrete
mounting surface as shown in Figure 3-39 and
Figure 3-40 by using a Varian provided post
and cantilever extension bar. The cantilever
extension bar allows placement of the ceiling
mount load plate anywhere within the green
shaded area, which is centered directly over
the preferred camera position.
329
Vol. 15, No. 1
3.5.9.2
3-38

Acceptable Ceiling Mount
Load Plate Locations
Layout
Centered the Allowable Area using the

Cantilever Bar over the preferred ceiling
mount location
330
Vol. 15, No. 1
3.5.9.2
3-38

note: The cantilever
extension bar allows
placement of the ceiling
mount load plate anywhere
within the green shaded
area, which is centered
directly over the preferred
camera position
331
Vol. 15, No. 1
3.5.9.2
3-38

note: The center of the
Ceiling Mount Load Plate
must fit inside the Allowed
Area
332
Vol. 15, No. 1
3.5.9.2
3-38

installed after the
333
Vol. 15, No. 1
3.5.10
3-39

Calypso Infrared Camera
Layout
334
Vol. 15, No. 1
3.5.11
3-40

installed after the
335
Vol. 15, No. 1
3.5.11.2
3-41
Removed Figure 3-47

Location w/Cantilever
Extension Bar
336
Vol. 15, No. 1
3.9
3-59

BaseFrame Pit to extend to
the rear concrete wall
Changed the to the Osprey Camera
vii
List of Revisions
Item #
Version
Section
Page #
Revision
Remarks
337
Vol. 15, No. 1
3.9
3-59
Figure 3-57: Move the

customer compressed air
and cooling line
connection point location
Relocated the connection point from the back

right corner of the BaseFrame pit to the rear
wall behind the Clinac Stand 30" (760) to the
right side of isocenter and a maximum of 30"
(760) above the finished floor
338
Vol. 15, No. 1
3.9
3-60

Clinac BaseFrame
Installed layout
Moved the utility connection point from the

BaseFrame pit to the rear wall
339
Vol. 15, No. 1
3.9
3-61

Grout After BaseFrame
Installation layout
Moved the utility connection point from the

BaseFrame pit to the rear wall
340
Vol. 15, No. 1
3.9
3-62

Clinac Installed on
Baseframe layout
Removed the utility connection point note 1
341
Vol. 15, No. 1
3.10
3-63

Standard Side Cable
Access Plan and Section at
Pull Box layout
Removed the utility connection location from

the BaseFrame pit and added two 2" (50) and
one 1" (25) conduit sleeves from the rear of
the BaseFrame to the rear concrete wall for
the Varian provided hose kit
342
Vol. 15, No. 1
3.10
3-64

Alternate Bottom Cable
Access Plan and Section at
Pull Box layout

343
Vol. 15, No. 1
3.10
3-65

Alternate Recessed Floor
Duct Cable Access Plan
and Section at Pull Box
layout

344
Vol. 15, No. 1
3.11
3-66
Added new Section:

BaseFrame Cooling Line
Access Details
345
Vol. 15, No. 2
3.4.2.1
3-19

Gating Installation
Typical CT Room Plan.
Revised the room configuration and added

(1) - 1/2" (13) conduit to facility network
346
Vol. 15, No. 2
3.4.2.1
3-20

Gating Installation
Typical CT Room Section.
Revised the room configuration and added

(1) - 1/2" (13) conduit to facility network
347
Vol. 15, No. 2
3.9
3-59
Figure 3-57: Added

minimum and maximum
isocenter to rear concrete
wall dimension for the
Baseframe pit
Added 11'-6" to 15'-0" (3505 to 4572)
348
Vol. 15, No. 2
3.10
3-63
Figure 3-61: Added

minimum and maximum
Baseframe pit
Added 11'-6" to 15'-0" (3505 to 4572)
viii
List of Revisions
Item #
Version
Section
Page #
Revision
Remarks
349
Vol. 15, No. 2
3.10
3-63

cooling conduit sleeve
maximum length limitation
Changed from 94" (2388)" to "86" (2185)
350
Vol. 15, No. 2
3.10
3-64
Figure 3-62: Added

minimum and maximum
Baseframe pit
Added 11'-6" to 15'-0" (3505 to 4572)
351
Vol. 15, No. 2
3.10
3-64

Changed from 94" (2388)" to "86" (2185)
352
Vol. 15, No. 2
3.10
3-65
Figure 3-63: Added

minimum and maximum
Baseframe pit
Added 11'-6" to 15'-0" (3505 to 4572)
353
Vol. 15, No. 2
3.10
3-65

Changed from 94" (2388)" to "86" (2185)
354
Vol. 15, No. 2
3.11
3-66

Changed from 94" (2388)" to "86" (2185)
355
Vol. 15, No. 2
4.2.2.5
4-11
Updated the GEXPRO

order and contact
information
Added Email:
Healthcareservices@gexpro.com and
Contact your Varian Regional Planner for
order information in the following markets:
Latin America; Europe, Middle East, and
Africa; and Asia/Pacific Rim.
356
Vol. 15, No. 2
4.3.2.5
4-14
Updated the GEXPRO

order and contact
information
Added Email:
Healthcareservices@gexpro.com and
Contact your Varian Regional Planner for
order information in the following markets:
Latin America; Europe, Middle East, and
Africa; and Asia/Pacific Rim.
357
Vol. 15, No. 3
2.3
2-7

Typical Room Plan View
Added In-Room Optional VVS and Keyboard

and mouse
358
Vol. 15, No. 3
2.3
2-9
Figure 2-3: Revised

Typical Room Section
suspended ceiling height
Changed from 9'-6" [2896] to 9'-0"

[2743]
359
Vol. 15, No. 3
Chapter 3
3-1

Treatment Room
Overview, Sample Set-up
Added In-Room Optional VVS and CCTV

System Components
360
Vol. 15, No. 3
3.1.2.4
3-3
Revised the In-Room

Monitor Pull Box
Changed from In-Room Monitor Pull Box

to Signal Pull Box and added subsystem
components: In-Room Monitor, RPM Gating,
VVS, and CCTV
361
Vol. 15, No. 3
3.1.2.5
3-4
Added new Accessory Pull

Box section
ix
List of Revisions
Item #
Version
Section
Page #
Revision
Remarks
362
Vol. 15, No. 3
3.2
3-5

Accessory Pull Box and
conduit requirements for
standard and optional
subsystem components
Added new 2" [50] conduit from the Control

Equipment pull box and extended the existing
two 3" [75] and one 2" [50] conduits to the
new 18" x 24" x 12" [450 x 600 x 300]
Accessory pull box
363
Vol. 15, No. 3
3.2
3-5

conduits from the
Accessory pull box to the
new subsystem
components
Added one 2" [50] conduit to In-Room

Monitor and one 1" [25] conduit to each of the
following devices: In-Room wireless
Keyboard and Mouse with Optional VVS
System (1), Optional RPM Gating System
(1), and Optional CCTV cameras (2)
364
Vol. 15, No. 3
3.2
3-7

Accessory Pull Box and
conduit requirements for
standard and optional
subsystem components
Added new 2" [50] conduit from the Control

Equipment pull box and extended the existing
two 3" [75] and one 2" [50] conduits to the
new 18" x 24" x 12" [450 x 600 x 300]
Accessory pull box
365
Vol. 15, No. 3
3.2
3-7

conduits from the
Accessory pull box to the
new subsystem
components
Added one 2" [50] conduit to In-Room

Monitor and one 1" [25] conduit to each of the
following devices: In-Room wireless
Keyboard and Mouse with Optional VVS
System (1), Optional RPM Gating System
(1), and Optional CCTV cameras (2)
366
Vol. 15, No. 3
3.4.1.1
3-12
Figure 3-9: Updated

Respiratory Gating
Installation - Typical
Clinac Room Plan View
Added (1)-1/2" [13] conduit to Facility

Network
367
Vol. 15, No. 3
3.4.1.1
3-13

Respiratory Gating
Clinac Room Section

Network
368
Vol. 15, No. 3
3.4.1.2
3-14

Wall-Mount Detail
369
Vol. 15, No. 3
3.4.1.2
3-15

RPM Ceiling Bracket
(Option A) Detail
370
Vol. 15, No. 3
3.4.1.2
3-16

RPM Ceiling Bracket
(Option B) Detail
Added Flange size attachment detail
371
Vol. 15, No. 3
3.4.3.1
3-23
Figure 3-24 Updated

Respiratory Gating
Acuity Room Plan

Network
372
Vol. 15, No. 3
3.4.3.1
3-24

Respiratory Gating
Acuity Room Section

Network
373
Vol. 15, No. 3
3.5.2
3-27

Infrared Camera photo
Replaced the original Hawk camera with the

new Osprey camera
List of Revisions
Item #
Version
Section
Page #
Revision
Remarks
374
Vol. 15, No. 3
3.5.2
3-27

figure name
Changed from Power Supply/Hub and

Related System Components to Camera
Power Supply and Hub Unit
375
Vol. 15, No. 3
3.5.8.1
3-32

Accessory pull box note
Changed from Provide a 12" x 12" x 12"

(305 x 305 x 305) Accessory Pull Box
mounted in the ceiling space to For
information on the Accessory pull box, see
Section 3.1.2.5.
376
Vol. 15, No. 3
3.5.8.1
3-32

conduit size from the
Control Equipment pull
box to the Accessory pull
box
Changed from (1)-1 1/2" (38) C. 125'-0"

(38m) max. to Provide one 3" (75) conduit,
see Figure 3-2 Typical Clinac Conduit
Diagram (Plan View)
377
Vol. 15, No. 3
3.6
3-42
Added new section for the

Optional OSMS
Intracranial Radiosurgery
Subsystem
378
Vol. 15, No. 3
3.7.2
3-51

Coolant Diagram
Changed to show that the customer supply

and return cooling line connection points will
be located in the rear wall behind the Clinac
Stand
379
Vol. 15, No. 3
3.12.3
3-67
Revised the ground stud

location for the In-Room
Monitor
Changed from affixed to the Control

Equipment Pull Box ground stud to affixed
to the Accessory Pull Box ground stud
380
Vol. 15, No. 3
4.1.4
4-2
Added new grounding

requirement for the new
Accessory pull box
381
Vol. 15, No. 3
4.1.4
4-3

Accessory pull box
382
Vol. 15, No. 3
5.1
5-1

Typical Clinac Control
Equipment Layout
(Elevation)
Changed to reflect new Monitors, MLC

Controller, Printer, CCTV System, Opt. RPM
Gating, and Optional ARIA Workstation
383
Vol. 15, No. 3
5.1
5-3

Clinac Control Equipment
Details
Changed to reflect new Monitors, MLC

Controller, and Printer. Added Dedicated
Keyboard, PV Keyboard, and Optional RPM
Gating Switch Box
384
Vol. 15, No. 3
5.1
Removed Figure 5-3

Typical Section at Clinac
Electronics Cabinet
385
Vol. 15, No. 3
5.1
Removed Figure 5-4

Deluxe/Roll-In Console
Cabinet Elevation
386
Vol. 15, No. 3
5.1
Removed Figure 5-5

Deluxe/Roll-In Console
Cabinet Section
xi
List of Revisions
Item #
Version
Section
Page #
Revision
Remarks
387
Vol. 15, No. 3
5.1
5-5

ARIA Treatment
Workstation
Changed to reflect new Monitor
388
Vol. 15, No. 3
5.6
5-11

Typical CCTV System
Diagram
Changed to show the typical layout if CCTV

system is purchased from Varian. Typical
components include: (2) - Dome Cameras,
(2) - Pendant Wall Mounting Brackets,
(2) - Monitors, (1) - Quad Video Processor,
and (1) - Controller Keyboard.
xii
Table of Contents
CHAPTER 1
INTRODUCTION ...................................................................................................1-1
1.1 Technical Key Features ................................................................................................. 1-1
1.2 Supported Accelerator Models ....................................................................................... 1-2
1.3 High Energy Clinac 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 Detail Plan View ........................................................................................................ 2-11
2.5 Detail Elevations ....................................................................................................... 2-13
2.6 Shipping/Rigging Dimension Clearances ..................................................................... 2-16
CHAPTER 3
FACILITIES REQUIREMENTS .............................................................................3-1
3.1 Cable Conduit/Ducts ...................................................................................................... 3-2
3.1.1 Circuit Breakers .................................................................................................. 3-2
3.1.1.1 Clinac Main Circuit Breaker Panel ............................................................. 3-2
3.1.1.2 On-Board Imager (OBI) Circuit Breaker Panel .......................................... 3-2
3.1.2 Pull/Junction Boxes ............................................................................................ 3-3
3.1.2.1 Control Equipment Pull Box....................................................................... 3-3
3.1.2.2 Modulator Pull Box .................................................................................... 3-3
3.1.2.3 Baseframe Pull Box ................................................................................... 3-3
3.1.2.4 Signal Pull Box .......................................................................................... 3-3
3.1.2.5 Accessory Pull Box.................................................................................... 3-4
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
3.4 Optional System Components RPM Respiratory Gating .......................................... 3-11
3.4.1 RPM Clinac Subsystem................................................................................. 3-12
3.4.1.1 Mounting Locations ................................................................................. 3-12
3.4.1.2 Mounting Methods ................................................................................... 3-14
3.4.2 RPM CT/ and PET/CT Simulator Subsystem ................................................ 3-17
3.4.2.1 Standard Mounting Location Moving/Couch Mount.............................. 3-19
3.4.3 Acuity/Conventional Simulator Subsystem....................................................... 3-23
3.4.3.1 Mounting Locations ................................................................................. 3-23
3.4.3.2 Mounting Methods ................................................................................... 3-25
3.5 Calypso Extracranial Radiosurgery Subsystem (Optional) ....................................... 3-26
3.5.1 Treatment Room Console ................................................................................ 3-26
3.5.1.1 Array Panel.............................................................................................. 3-27
3.5.1.2 Touch Screen Computer ......................................................................... 3-27
xiii
3.6
3.7
xiv
3.5.2 Optical System ................................................................................................. 3-27

3.5.2.1 Infrared Cameras..................................................................................... 3-28
3.5.2.2 Camera Power Supply/Hub Unit.............................................................. 3-28
3.5.3 Tracking Station ............................................................................................... 3-28
3.5.4 Beacon Transponders ...................................................................................... 3-29
3.5.5 Software ........................................................................................................... 3-29
3.5.6 Fixtures............................................................................................................. 3-29
3.5.6.1 QA Fixture ............................................................................................... 3-29
3.5.6.2 Calibration Fixtures.................................................................................. 3-30
3.5.7 System Options ................................................................................................ 3-30
3.5.7.1 Radiation Detector................................................................................... 3-30
3.5.7.2 Dynamic Edge Gating.............................................................................. 3-30
3.5.7.3 Adaptive Couch Repositioning ................................................................ 3-31
3.5.7.4 Treatment Planning Data Import ............................................................. 3-31
3.5.8 Calypso System Assembly............................................................................... 3-32
3.5.8.1 Typical Room Configuration .................................................................... 3-32
3.5.9 Camera Mounting Locations ............................................................................ 3-33
3.5.9.1 Preferred Ceiling Mount Load Plate Locations ........................................ 3-33
3.5.9.2 Acceptable Ceiling Mount Load Plate Areas ........................................... 3-37
3.5.10 Camera Elevation Heights and Clearances ..................................................... 3-39
3.5.11 Camera Support Mounting Methods ................................................................ 3-40
3.5.11.1 Ceiling Mount Load Plate ........................................................................ 3-40
3.5.11.2 Ceiling Mount Cantilever Extension Bar .................................................. 3-41
3.5.12 Shipping/Rigging Dimension Clearances ......................................................... 3-41
OSMS Intracranial Radiosurgery Subsystem (Optional).............................................. 3-42
3.6.1 OSMS Workstation........................................................................................... 3-42
3.6.2 OSMS Optical System...................................................................................... 3-42
3.6.3 Treatment Room Remote Terminal.................................................................. 3-43
3.6.4 OSMS System Assembly ................................................................................. 3-44
3.6.4.1 Typical Room Configuration .................................................................... 3-44
3.6.5 OSMS Camera Mounting Locations................................................................. 3-45
3.6.6 Camera Elevation Heights and Clearances ..................................................... 3-47
3.6.7 Camera Support Mounting Methods ................................................................ 3-48
3.6.7.1 Ceiling Mount Load Plate ........................................................................ 3-48
HVAC and Plumbing Requirements............................................................................. 3-49
3.7.1 Clinac Operational States................................................................................. 3-49
3.7.2 Clinac Coolant System ..................................................................................... 3-50
3.7.2.1 Dual Energy Clinac Coolant Requirements ............................................. 3-52
3.7.2.2 Coolant Specifications ............................................................................. 3-53
3.7.3 Compressed Air System................................................................................... 3-54
3.7.4 Environmental Specifications ........................................................................... 3-54
3.7.4.1 Ventilation................................................................................................ 3-54
Table of Contents
3.8
3.9
3.10
3.11
3.12
3.13
3.7.5 Plumbing .......................................................................................................... 3-55

3.7.6 Fire Protection .................................................................................................. 3-55
Shielding ...................................................................................................................... 3-56
3.8.1 Radiation Shielding Details .............................................................................. 3-56
3.8.2 Radiation Shielding Calculation Assumptions .................................................. 3-57
3.8.3 Other Shielding Information.............................................................................. 3-58
Baseframe Pit and Installation ..................................................................................... 3-59
Baseframe Cable Access Details ................................................................................. 3-63
BaseFrame Cooling Line Access Details ..................................................................... 3-66
Clinac In-Room Monitor ............................................................................................... 3-67
3.12.1 Equipment Layout/Clearances ......................................................................... 3-67
3.12.2 Component Anchorage Brackets ..................................................................... 3-67
3.12.3 Dedicated Ground Wires In-Room Monitor ................................................... 3-67
Patient Positioning Lasers............................................................................................ 3-70
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 ..................................................................... 4-5
4.1.6 Network Cabling and Termination ...................................................................... 4-5
4.1.6.1 Cabling ...................................................................................................... 4-5
4.1.6.2 Termination................................................................................................ 4-5
4.1.6.3 TCP/IP Protocol......................................................................................... 4-6
4.2 Clinac Linear Accelerator Subsystem ............................................................................ 4-7
4.2.1 Circuit Breakers/UVRs ....................................................................................... 4-8
4.2.1.1 High Energy Clinac Main Circuit Breaker Panel ........................................ 4-8
4.2.1.2 Under-Voltage Release (UVR) .................................................................. 4-8
4.2.2 Clinac Main Circuit Breaker Panel (with Battery Backup) 2100CBB Series ....... 4-9
4.2.2.1 Application ................................................................................................. 4-9
4.2.2.2 Features .................................................................................................. 4-10
4.2.2.3 Benefits.................................................................................................... 4-10
4.2.2.4 Options .................................................................................................... 4-10
4.2.2.5 Order Information .................................................................................... 4-11
4.3 On-Board Imager (OBI) Option Subsystem ................................................................. 4-12
4.3.1 OBI Circuit Breaker Panel ................................................................................ 4-12
4.3.2 OBI Circuit Breaker Panel #OBI60A480V Series ............................................. 4-13
4.3.2.1 Application ............................................................................................... 4-13
4.3.2.2 Features .................................................................................................. 4-14
4.3.2.3 Benefits.................................................................................................... 4-14
Table of Contents
xv
4.4
4.3.2.4 Options .................................................................................................... 4-14

Interconnection Wiring Diagram................................................................................... 4-15
4.4.1 General Notes .................................................................................................. 4-17
4.4.2 Laser Positioning Lights and Optional Bypass/Override Switch....................... 4-17
4.4.3 Room Lighting .................................................................................................. 4-17
4.4.3.1 Room Lights, Setup Lights, Laser Positioning Lights, and CCTV ........... 4-17
4.4.3.2 Setup Lights............................................................................................. 4-18
4.4.3.3 Main Room Lights.................................................................................... 4-18
4.4.4 Safety Device Systems .................................................................................... 4-18
4.4.4.1 Beam-On Warning Lights ........................................................................ 4-18
4.4.4.2 Beam Ready Warning Light..................................................................... 4-19
4.4.4.3 Beam-Off Light ........................................................................................ 4-19
4.4.4.4 X-RAY ON (OBI) Warning Light .............................................................. 4-19
4.4.4.5 Generator ON (OBI) Warning Light ......................................................... 4-19
4.4.4.6 Emergency-Off Switches ......................................................................... 4-19
4.4.4.7 Safety Door Interlock Switches................................................................ 4-19
4.4.5 Power Receptacles/Switches ........................................................................... 4-20
4.4.5.1 Setup Lights............................................................................................. 4-20
4.4.5.2 In-Room Monitor...................................................................................... 4-20
4.4.5.3 CCTV Camera ......................................................................................... 4-20
4.4.5.4 Clinac Computer Components ................................................................ 4-20
4.4.5.5 ARIA Workstation Components (Optional) .............................................. 4-20
4.4.6 Relay Junction Box Varian VRJB-C3 ............................................................... 4-21
4.4.6.1 Application ............................................................................................... 4-21
4.4.6.2 Features .................................................................................................. 4-21
4.4.6.3 Benefits.................................................................................................... 4-21
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 Typical Closed Circuit Television (CCTV) System ....................................................... 5-10
5.7 Ceiling Finishes............................................................................................................ 5-12
APPENDIX A
HIGH ENERGY CLINAC PRE-INSTALLATION CHECKLIST..............................A-1
APPENDIX B
RESPIRATORY GATING PRE-INSTALLATION CHECKLIST ............................B-1
APPENDIX C
CALYPSO PRE-INSTALLATION CHECKLIST ....................................................C-1
xvi
Table of Contents
APPENDIX D SHIPPING LISTS.................................................................................................. D-1

D.1 Varian High Energy Clinac Shipping List (Typical)........................................................ D-1
GLOSSARY...................................................................................................................GLOSSARY-1
Table of Contents
xvii
This page intentionally left blank.
xviii
Table of Contents
List of Figures
CHAPTER 2
Figure 2-1
Typical Room Isometric View .......................................................................... 2-5
Figure 2-2
Typical Room Plan View.................................................................................. 2-7
Figure 2-3
Typical Room Section...................................................................................... 2-9
Figure 2-4
Plan View....................................................................................................... 2-11
Figure 2-5
Side Elevation................................................................................................ 2-13
Figure 2-6
Front Elevation .............................................................................................. 2-15
Figure 2-7
Shipping Configuration Dimensions.......................................................... 2-16
Figure 2-8
Shipping Configuration Weights................................................................ 2-17
Figure 2-9
Minimum Rigging Clearances, Standard Shipping Configuration.................. 2-18
Figure 2-10
Minimum Rigging Clearances, Factory Breakdown....................................... 2-19
CHAPTER 3
Figure 3-1
Treatment Room Overview, Sample Set-up.................................................... 3-1
Figure 3-2
Typical Clinac Conduit Diagram (Plan View)................................................... 3-5
Figure 3-3
Typical Clinac 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
RPM Gating Camera with LCD Monitor......................................................... 3-11
Figure 3-7
RPM Gating Power Module ........................................................................... 3-11
Figure 3-8
RPM Gating Switch Box ................................................................................ 3-11
Figure 3-9
Respiratory Gating Installation Typical Clinac Room Plan View ................ 3-12
Figure 3-10
Respiratory Gating Installation Typical Clinac Room Section .................... 3-13
Figure 3-11
Wall-Mount Detail .......................................................................................... 3-14
Figure 3-12
Wall-Mount Camera Bracket, Varian-Furnished/Contractor-Installed ........... 3-14
Figure 3-13
RPM Ceiling Bracket (Option A) .................................................................... 3-15
Figure 3-14
Ceiling-Mount Camera Bracket, Varian-Furnished/Contractor-Installed ....... 3-15
Figure 3-15
RPM Ceiling Bracket (Option B) .................................................................... 3-16
Figure 3-16
Ceiling-Mount (Option B) Camera Bracket Installed................................... 3-16
Figure 3-17
Gating Installation Typical CT Room Plan.................................................. 3-19
Figure 3-18
Gating Installation Typical CT Room Section ............................................. 3-20
Figure 3-19
CT Couch Mount Kit Side View .................................................................. 3-21
Figure 3-20
CT Couch Mount Kit Front View ................................................................. 3-21
Figure 3-21
Gating Storage Bracket Detail ....................................................................... 3-22
Figure 3-22
Gating Storage Bracket and Cable Management Sample View

(Cabinet not Included) ................................................................................... 3-22
xix
xx
Figure 3-23
Cable Management Sample View .............................................................. 3-22
Figure 3-24
Respiratory Gating Installation Typical Acuity Room Plan ......................... 3-23
Figure 3-25
Respiratory Gating Installation Typical Acuity Room Section .................... 3-24
Figure 3-26
Typical Wall-Mount Installation...................................................................... 3-25
Figure 3-27
Typical Ceiling-Mount Installation.................................................................. 3-25
Figure 3-28
Treatment Room Console ............................................................................. 3-26
Figure 3-29
Array Panel.................................................................................................... 3-26
Figure 3-30
Touch Screen Computer ............................................................................... 3-26
Figure 3-31
Treatment Room Console Components........................................................ 3-26
Figure 3-32
Infrared Camera ............................................................................................ 3-27
Figure 3-33
Camera Power Supply and Hub Unit ............................................................ 3-27
Figure 3-34
Optical System Components......................................................................... 3-27
Figure 3-35
Tracking Station, Keyboard, Monitor, and Mouse ......................................... 3-28
Figure 3-36
Beacon Transponder..................................................................................... 3-29
Figure 3-37
Radiation Detector......................................................................................... 3-30
Figure 3-38
Calypso System Conduit Diagram Typical Plan View ................................ 3-32
Figure 3-39
Preferred Ceiling Mount Load Plate Locations Plan View

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

(Polar Dimensions)........................................................................................ 3-35
Figure 3-41
Preferred Ceiling Mount Load Plate Typical Section.................................. 3-36
Figure 3-42
Acceptable Ceiling Mount Load Plate Locations Plan View

(w/Cantilever Extension Bar)......................................................................... 3-38
Figure 3-43
Calypso Infrared Camera Typical Elevation ............................................... 3-39
Figure 3-44
Ceiling Mount Load Plate Infrared Camera ................................................ 3-40
Figure 3-45
Ceiling Mount Load Plate Isometric............................................................ 3-40
Figure 3-46
Cantilever Extension Bar............................................................................... 3-41
Figure 3-47
Camera with Cantilever Extension Bar.......................................................... 3-41
Figure 3-48
OSMS Camera .............................................................................................. 3-42
Figure 3-49
OSMS Power Supply Unit (PSU) .................................................................. 3-42
Figure 3-50
OSMS System Conduit Diagram Typical Plan View .................................. 3-44
Figure 3-51
OSMS Camera Mount Locations Plan View............................................... 3-45
Figure 3-52
OSMS Camera Mount Locations Section View.......................................... 3-46
Figure 3-53
OSMS Camera Typical Elevation............................................................... 3-47
Figure 3-54
Ceiling Mount Load Plate OSMS Camera.................................................. 3-48
Figure 3-55
Minimum Coolant Flow Requirements .......................................................... 3-50
Figure 3-56
Coolant Diagram ........................................................................................... 3-51
Figure 3-57
Clinac Baseframe Pit Dimensions ................................................................. 3-59
Figure 3-58
Clinac Baseframe Installed............................................................................ 3-60
List of Figures
Figure 3-59
Grout After Baseframe Installation ................................................................ 3-61
Figure 3-60
Clinac Installed on Baseframe....................................................................... 3-62
Figure 3-61
Standard Side Cable Access Plan and Section at Pull Box .......................... 3-63
Figure 3-62
Alternate Bottom Cable Access Plan and Section at Pull Box ...................... 3-64
Figure 3-63
Alternate Recessed Floor Duct Cable Access Plan and Section at Pull Box 3-65
Figure 3-64
Typical Cooling Line Access Plan ................................................................. 3-66
Figure 3-65
Clinac In-Room Monitor Wall Mount.............................................................. 3-68
Figure 3-66
Typical Plan ................................................................................................... 3-69
Figure 3-67
Laser Positioning Light .................................................................................. 3-70
Figure 3-68
Standard Laser Mounting Details (Recessed in Wall) Plan View ............... 3-71
Figure 3-69
Standard Laser Mounting Details (Recessed in Wall) Elevation View ....... 3-72
Figure 3-70
Standard Laser Mounting Details (Recessed in Wall) Section View .......... 3-73
Figure 3-71
Ceiling Mount Detail ...................................................................................... 3-74
CHAPTER 4
Figure 4-1
Ground/Earthing Conductor Diagram .............................................................. 4-3
Figure 4-2
Interconnection Wiring Diagram .................................................................... 4-15
CHAPTER 5
Figure 5-1
Typical Clinac Control Equipment Layout (Elevation) ..................................... 5-1
Figure 5-2
Clinac Control Equipment Details.................................................................... 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 CCTV System Diagram..................................................................... 5-11
Figure 5-9
Typical Reflected Ceiling Plan....................................................................... 5-13
List of Figures
xxi
xxii
List of Figures
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 Clinac 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
Gating/CT Compatibility Matrix......................................................................3-17
Table 3-2
Ideal Mechanical Specifications.....................................................................3-49
Table 3-3
Dual Energy Clinac Coolant Requirements ...................................................3-52
Table 3-4
Coolant Specifications for External and Internal Water Sources ...................3-53
CHAPTER 4
Table 4-1
Recommended Power Specification Summary ...............................................4-1
Table 4-2
Clinac Linear Accelerator Power Requirements..............................................4-7
Table 4-3
OBI Option Power Requirements ..................................................................4-12
xxiii
xxiv
List of Tables
Chapter 1
Introduction
Varian Medical Systems manufactures a high energy line of Clinac linear accelerators with Trilogy
at the top of this line. The Clinac accelerator is fully configurable and extremely versatile. Varian's
accelerators, enable clinicians to pick the best treatment option with a wide range of practical therapy
choices. All Clinac accelerators can be configured with a 120 MLC, real-time position verification
and motion management with the use of the On-Board Imager kV imaging system and the Real-time
Position Management system. The Clinac series accelerator delivers extremely reliable dose at high
dose rates with very high accuracy. These vital tools help clinicians achieve personalized cancer care
and help to make cancer a manageable disease.
1.1
Technical Key Features

Clinac Accelerator
Two (2) Full Field (40 x 40) 600 MU/Min. Photon Energies.
Special 6MV Radiosurgery Beam @ 1000 MU/Min. (Trilogy only).
Six (6) Electron Energies.
Optional Millennium 52-Leaf, 80-Leaf, or 120-Leaf Multileaf Collimator.
Integrated MV Portal Imaging system with 512 x 384 resolution on the standard aS500-II Imager
or with 1024 x 768 resolution on the optional aS1000 MV Imager.
Standard 1.0mm radius Isocenter (Gantry/Collimator), 2.0mm radius Isocenter

(Gantry/Collimator/Couch). .5mm and .75mm radii, respectively, for FBIA option or Trilogy.
Klystron Driven system.
Triode Electron gun enabling advanced capabilities such as Respiratory Gating of radiation beam
during delivery.
Note:
Additional items may be required to perform this capability.
On-Board Imaging (OBI) (optional)
Gantry mounted Oil cooled kV X-ray tube and Amorphous Silicon Imaging panel.
Robotic arms allowing both in room and console area control for retracting imaging system and
moving into position.
Radiographic Mode: Allowing Stereoscopic Imaging including Marker matching mode.
Cone Beam CT: 3D Imaging with full 3D Volumetric Matching Capabilities.
Allowing sub-cGy volumetric Cone Beam CT acquisition in both full (360 degrees) and half
rotation (200 degrees) modes.
Fluoroscopic Mode: Allowing Pre-treatment Fluoro verification of treatment field.
1-1
Supported Accelerator Models
Respiratory Gating (RPM) (optional)
Real time Tumor Position Management.
Infra-Red Video Camera and bracket.
LCD for displaying patient marker motion.
Integrated workstation with Clinac Control.
This document provides essential information and detailed descriptions about the High Energy
Clinacs installation requirements.
Note:
Varian highly recommends you read this document prior to the baseframe and
pre-installation kit delivery. To ensure a simple and timely system installation, several
pre-working/pre-assembly steps must be accomplished. It is also very important to
inform Varian of all information regarding the hospitals electrical and spatial
conditions.
Appendix A High Energy Clinac Pre-Installation Checklist includes a checklist that you can use to
ensure that all listed requirements are completed and finalized.
1.2
Supported Accelerator Models

This Designers Desk Reference (DDR) High Energy Clinac Edition describes equipment facility
requirements for the following Varian High Energy medical linear accelerators:
Clinac 2100C/D
Clinac 2300C/D
Clinac 21EX
Clinac 23EX
Clinac iX
Trilogy
Note:
This DDR does not apply to TrueBeam, TrueBeam STx, HE Clinac Silhouette
Edition, Novalis Tx, or Novalis Tx Silhouette Edition.
For unsupported accelerators, as described above, and planning assistance, contact your Regional
Planner or Varians Global Planning Department at:
Planning Group, Site Solutions Services
660 N. McCarthy Blvd., Milpitas, CA 95035
Phone: (800) 278-2747 or (408) 232-4231
Email: planning@varian.com
www.varian.com/us/oncology/services_and_support/architectural_planning/contact.html
1-2
Chapter 1 Introduction
1.3
High Energy Clinac Installation Timeline Description

New installations of Varians High Energy (HE) linear accelerators typically consist of the Clinac iX
with the On Board Imager (OBI) option or the Trilogy w/ Stereotactic Radiosurgery (SRS) and OBI.
The HE Clinac or Trilogy installation currently takes between 4 and 5 weeks from Delivery and
Rig-In through completion of the Linear Accelerator and, if included, the RPM Respiratory Gating
and/or Varian Optical Guidance (VOG) Installation Product Acceptance (IPA). The installation
process cannot be split based on its subsystems.
The IPA for the Clinac or Trilogy will begin no later than the 4th week, barring unforeseen conditions,
and will require full-time services of the site physicist.
Optional subsystems, such as RPM Respiratory Gating or Varian Optical Guidance, will be installed
in parallel with the Clinac/Trilogy. The RPM IPA and/or VOG IPA will take place immediately
following completion of the Clinac/Trilogy IPA.
The Sample timeline is based on the following assumptions and is in a perfect world scenario.
The Design & Planning, Contract Bid & Mobilization, and Construction processes shall take 5
weeks, 3 weeks, and 9 weeks, respectively, after the placement of the HE accelerator order.
Activities prior to order placement are not considered in this timeline.
The accelerator rig date shall be no earlier than 120 days after the order initiation date. This is
Varian's standard manufacturing lead time.
The Baseframe shall be installed ~30 days prior to the accelerator rig date.
All pre-installation dates and considerations are individually scheduled by the Varian Project
Manager, based on mutual agreement between the customer and project manager and
communications with Varian Planning and Sales. The District Sales Manager will coordinate with the
customer and the Varian Project Manager for a Configuration Confirmation Meeting or conference
call. The Project Manager will engage the customer with regular communications throughout all
phases of the project. In addition, the Project Manager typically performs site visits to help answer
questions and observe construction progress. Site visits are commonly held for the Initial Site
Meeting/Project Kickoff, the Baseframe Pre-Installation Inspection or the Baseframe installation, and
the Construction Completion/Pre-Installation Final Inspection. This final visit typically occurs 10-14
days prior to the rig date to verify 100% completion as defined by the HE Clinac Final Checklist.
Chapter 1
Introduction
1-3
1-4
ID
Task Name
High Energy Clinac Timeline - Sample w/ RPM Respiratory Gating

193 days
Project Launch
35 days
Receive Installation Request (GPOT)
1 day
Create project, include all equipment / upgrades
1 day
Send Letter of Introduction to Client
1 day
Prepare ALL Sales Orders & Project Folders
1 day
Ensure Customer has DDR Iinformation
1 day
Review Sales Order w/ Sales and Contract Admin
1 day
Schedule customer kick-off meeting / site visit
1 day
Obtain Drawing Review from Varian Planning
3 wks
Confirm Drawing Review Comment Responses
2.6 wks
First Site Visit
5 days
Joint Initial Site Meeting
0 days
Review Sales Order & Customer's P.O.
1 day
Review Pre-Installation Check List
1 day
Verify Pulse Cables Less than 50Ft
1 day
Coordinate Room Readiness and Delivery Dates
1 day
Deliver State's Radiation License Letter
1 day
Prepare & Distribute Site Visit Report
1 day
Remedy Sales Order Problems
3 days
Initial Site Meeting Follow-up Complete
0 days
Customer Site Preparation
85 days
Existing Equipment Removal (If Applicable)
1.5 days
Desing and Planning
5 wks
Bid Process and Mobilization
3 wks
Construction/ Site Preperation
9 wks
High Energy Clinac Project
148 days
HE Clinac Pre-Installation Coordination
44 days
MICAP Recived by Customer
0 days
MICAP Submitted by Customer & Posted to FTP Website
0 days
Issue Argus / Argus IMRT Pre-Install Survey
0 days
Request HE Clinac S/W Support
0 days
Schedule Outside Vendor Shipping & Delivery
1 day
Baseframe Coordination
1 day
Confirm Baseframe Configuration, Availability & Shipping D
1 day
Schedule Baseframe installation with Site Contractor
1 day
Issue Baseframe Ship Request
1 day
Schedule Baseframe Rigger (3 week lead-time)
1 day
Pre-Baseframe Installation Visit
2 days
Complete Pre-Baseframe Installation Inspection
1 day
Obtain conduit lengths from Contractor
1 day
Release Baseframe for Delivery
1 day
Baseframe Installation - HE Clinac
1 day
Request Interconnect Cables (3 week lead time)
1 day
Final Site Coordination
12 days
Issue HE Clinac Ship Request
1 day
Confirm Extended Rigging Contractor
1 day
Inform Applications Department of Rig Dates
1 day
Final Site Inspection
3 days
Complete Pre-Installation Checklist
1 day
Confirm Radiation License Requirements Complete
1 day
Distribute Site Status and Pre-Installation Checklist
1 day
Confirm All Site Readiness Items Complete
1 day
Release Equipment for Delivery
1 day
HE Clinac System Installation
39 days
Clinac Installation
26 days
HE Clinac Start
1 day
Equipment Rig-In
2 days
Clinac Extended Rig-In
3 days
Electrical and Mechanical Setup/Test
23 days
Winston-Lutz Testing & Fine Isocenter Adjustment
1 day
4D ITC Installation & Integration
0 days
RPM Respiratory Gating Installation
25 days
Verify Customer Prep Complete - Clinac
1 day
Verify Customer Prep Complete - CT/Sim
1 day
Clinac RPM
1 day
RPM Clinac Start
0 days
Installation of Hardware
1 day
RPM Clinac Complete
0 days
CT/Sim RPM
3 days
RPM CT/Sim Start
0 days
Installation of Hardware
3 days
RPM CT/Sim Complete
0 days
Argus / Argus IMRT Installation
0 days
Customer Acceptance Testing
3 days
HE Clinac Complete
0 days
Physics Commissioning (Time Varies )
2 wks
HE Clinac Education & Training
98 days
Varian Education - Las Vegas
98 days
Varian Education Cntr - OBI Clinical Implementation for Ph
5 days
Varian Education Cntr - OBI Clinical Implementation for RT
3 days
Varian Education Cntr - Cone Beam CT eLearning
0 days
Varian Education Cntr - Clinac Operations
4 days
Varian Education Cntr - Clinac Support
3 days
Varian Applications Training
5 days
HE Clinac Applications Training
2 days
OBI Applications Training
2 days
CBCT v1.3 Applications Training
1 day
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Project: High Energy Clinac Timeline Date: Mon 02/08/10
Duration
Start
Mon 01/06/20
Mon 01/06/20
Mon 01/06/20
Tue 01/07/20
Tue 01/07/20
Tue 01/07/20
Wed 01/08/20
Tue 01/14/20
Wed 01/15/20
Wed 01/15/20
Wed 02/05/20
Wed 01/29/20
Wed 01/29/20
Thu 01/30/20
Thu 01/30/20
Thu 01/30/20
Thu 01/30/20
Thu 01/30/20
Fri 01/31/20
Mon 02/03/20
Wed 02/05/20
Mon 01/06/20
Sat 02/29/20
Mon 01/06/20
Mon 02/10/20
Mon 03/02/20
Mon 03/09/20
Mon 03/09/20
Mon 04/13/20
Fri 04/17/20
Mon 04/20/20
Mon 04/13/20
Mon 03/09/20
Mon 03/09/20
Mon 03/09/20
Mon 03/09/20
Mon 03/09/20
Mon 03/09/20
Tue 03/17/20
Tue 03/17/20
Tue 03/17/20
Wed 03/18/20
Tue 03/31/20
Fri 04/24/20
Wed 04/22/20
Mon 04/27/20
Wed 04/22/20
Wed 05/06/20
Tue 05/05/20
Tue 05/05/20
Tue 05/05/20
Tue 05/05/20
Thu 05/07/20
Tue 05/05/20
Tue 05/05/20
Fri 05/15/20
Fri 05/15/20
Fri 05/15/20
Sun 05/17/20
Mon 05/18/20
Tue 06/02/20
Mon 06/01/20
Tue 05/05/20
Tue 05/05/20
Tue 05/05/20
Wed 06/03/20
Wed 06/03/20
Wed 06/03/20
Wed 06/03/20
Wed 06/03/20
Wed 06/03/20
Thu 06/04/20
Mon 06/08/20
Mon 06/01/20
Wed 06/10/20
Sat 06/13/20
Mon 06/15/20
Mon 05/18/20
Mon 05/18/20
Mon 05/18/20
Mon 05/18/20
Fri 05/22/20
Fri 09/25/20
Fri 09/25/20
Wed 07/01/20
Wed 07/01/20
Fri 07/03/20
Tue 07/07/20
Week -1
01/06
Month 1
Week 2
Week 1
Week 3
Week 4
Month 2
Week 6
Week 7
Week 5
01/06
01/06
Week 9
Week 10
Month 3
Week 11
Week 12
Week 13
Week 14
Month 4
Week 15
Week 16
Week 17
Month 5
Week 19
Week 20
Week 18
Week 21
Week 22
Week 23
Month 6
Week 24
Week 25
Week 26
Week 27
Month 7
Week 28
02/21
01/06
01/07
01/07
01/07
01/07
01/07
01/07
01/08
Week 8
01/08
01/14
01/15
01/14
01/15
01/15
02/04
02/05
01/29
02/21
02/05
01/29
01/30
01/30
01/30
01/30
01/30
01/30
01/30
01/30
01/30
01/30
01/31
01/31
02/03
02/05
02/05
01/06
01/06
Sa
05/01
02/29
03/01
02/07
02/10
02/28
03/02
05/01
03/09
03/09
05/07
04/13
04/17
04/20
04/13
03/09
03/09
mp
le
03/09
03/09
03/09
03/09
03/09
03/09
03/09
03/09
03/18
03/17
03/17
03/18
03/31
04/24
04/24
04/22
04/22
05/07
04/27
04/27
04/22
05/06
05/05
05/06
05/07
05/05
05/05
05/05
05/05
05/05
05/07
05/05
05/07
05/05
05/05
06/26
05/15
06/09
05/15
05/15
05/16
05/17
05/19
05/18
06/09
06/02
06/01
05/05
06/08
05/05
05/05
05/05
05/05
06/03
06/03
06/03
06/03
06/03
06/03
06/03
06/08
06/03
06/04
06/08
06/08
06/01
06/10
06/13
06/13
06/15
06/26
05/18
05/18
05/18
05/18
05/22
05/20
05/22
07/01
07/07
07/01
07/03
07/07
Task
Critical Task
Slack
Completed Milestone
Summary
Task Progress
Critical Task Progress
Milestone
Critical Milestone
Rolled Up Task
Rolled Up Critical Task
Rolled Up Progress
External Tasks
Group By Summary
Rolled Up Milestone
Split
Project Summary
Deadline
Page 1
Chapter 1
Introduction
1-5
1-6
Chapter 2
2.1
General System Information
Typical Room Shielding Tables

The shielding values found in these tables were based on the assumptions shown in Radiation
Shielding Details on page 3-56. For more information on shielding, also see Other Shielding
Information on page 3-58.
WARNING:
Varian Medical Systems shall have no approval or other responsibility for any
matter affecting or related to the adequacy of the radiation protection walls and
barriers or related safety devices. All radiation shielding designs must meet codes
and regulations of all Authorities Having Jurisdiction (AHJ) and must be
approved by the Customers or Facilitys Physicist of Record and shall be the sole
responsibility of the Customer/Facility. The hours of operation, patient workload,
accelerator energy, and the shielding materials should all be taken in to
consideration when calculating shielding requirements. Serious injury or Death
can result from improper radiation shielding
Table 2-1 Typical Shielding for Standard Procedures
Primary Barrier
4MV
6MV
8MV
10 MV
15 MV
18 MV
20 MV
At 100% occupancy
66 (1676)
75 (1905)
84 (2134)
86 (2184)
91 (2311)
93 (2362)
96 (2438)
At 10% occupancy
53 (1346)
62 (1575)
70 (1778)
72 (1829)
75 (1905)
78 (1981)
80 (2032)
At 100% occupancy
30 (762)
33 (838)
39 (991)
40 (1016)
43 (1092)
43 (1092)
44 (1118)
At 10% occupancy
21 (533)
22 (559)
27 (686)
28 (711)
30 (762)
31 (787)
32 (813)
Secondary Barrier
Note: Inches (mm) of 147 lbs./cu. ft. (2355 kg/cu. M) Concrete.
Table 2-2 Typical Shielding for Standard Procedures with 50% IMRT of a Factor F=3
Secondary Barrier
4MV
6MV
At 100% occupancy
34 (864)
37 (940)
At 10% occupancy
24 (610)
26 (660)
8MV
10 MV
15 MV
18 MV
20 MV
42 (1067)
43 (1092)
47 (1194)
47 (1194)
48 (1219)
31 (787)
32 (813)
34 (864)
35 (889)
36 (914)
2-1
Table 2-3 Typical Shielding for SRS Procedures with 20% IMRT of a Factor F=3
Primary Barrier
6MV
10 MV
At 100% occupancy
81 (2057)
92 (2337)
At 10% occupancy
68 (1727)
77 (1956)
At 100% occupancy
40 (1016)
46 (1168)
At 10% occupancy
29 (737)
35 (889)
Secondary Barrier
Table 2-4 Concrete to Lead and Steel Ratios
Steel Primary Barrier

Secondary Barrier
Lead Primary Barrier
Secondary Barrier
4 MV
6 MV
8MV
10 MV
15 MV
18 MV
20 MV
3.5
3.7
3.8
4.0
4.0
4.1
4.2
3.2
3.5
3.6
3.6
3.8
3.8
3.9
6.1
6.5
7.0
7.2
7.7
7.9
8.1
5.4
6.2
6.3
6.6
7.0
7.0
7.0
Note: Inches (mm) of 147 lbs./cu. ft. (2355 kg/cu. M) Concrete Equal to Inches (mm) of Lead/Steel.
Table 2-5 Tenth Value Layer (TVL) for Concrete vs. X-Ray Energy
4 MV
6 MV
8 MV
10 MV
15 MV
18 MV
20 MV
Primary Beam X-Rays 11.4 (290) 13.5 (343) 14.3 (363) 15.3 (389) 17.0 (432) 17.5 (445) 18.0 (457)
Leakage X-Rays (90)
10.0 (254) 11.0 (279) 11.5 (292) 12.0 (305) 13.0 (330) 13.0 (330) 13.5 (343)
2-2
Chapter 2 General System Information
Table 2-6 Typical Minimum Clinac Room Door Shielding
4 MV
6 MV
8 MV
10 MV
15 MV
18 MV
20 MV
Lead
1/8 (3)
1/8 (3)
1/4 (6)
1/4 (6)
n/a
n/a
n/a
Wood
2 (51)
2 (51)
3 (76)
3 (76)
n/a
n/a
n/a
Lead
n/a
n/a
n/a
n/a
1/4 (6)
3/4 (19)
3/4 (19)
5% Borated Polyethylene
n/a
n/a
n/a
n/a
3 (76)
4 (102)
5 (127)
Steel-Both Sides
n/a
n/a
n/a
n/a
1/4 (6)
1/4 (6)
1/4 (6)
Note: Thickness in Inches (mm).
Table 2-7 Quality of X-Ray Beams (BJR 11 vs. BJR 17 Values)
X-Ray Energy (MV)

BJR 11 Value
10
15
18
20
BJR 17 Value
10
16
23
25
Note: % of Primary X-Ray Dose at Isocenter.
Chapter 2
2-3
2-4
2.2
Typical Room Isometric View

Provide beam-on and x-ray on warning lights in the treatment room, and over the
door, or at eye level adjacent to the door outside the treatment room. They are
usually located adjacent to the emergency-off switches. They indicate beam-on
condition and may be required to blink when the beam is on. Verify local
requirements with regional regulatory agencies.
Isocenter - This is the primary reference point for Varian equipment.

Show the isocenter location clearly on all relevant drawings. Maintain
the isocenter location on site by extending perpendicular axis lines
along slab and up walls in all four directions. The standard isocenter
height for HE Linac is 4'-3" (1295)
Provide emergency-off switches in room (normally

closed type, manual reset). In addition to the
switches required as part of the room, emergency-off
devices are built into the Clinac Stand and Couch,
Console and at the Clinac Modulator. Adequate
switches must be provided in Clinac rooms so that
one need not pass through the primary beam to
disable the Clinac. Do not locate emergency-off
switches in primary beam. Locate switches to
avoid inadvertent contact, such as by gurneys or
carts. Verify all requirements with regional
regulatory agencies.
This is the primary beam shielding.
Modulator
Cabinet
Exposed grid ceilings allow for access to

the overhead laser and relay junction box
without the use of access doors. Major
service at the equipment Stand is simplified
where there are removable ceiling tiles.
Coordinate the layout of ceiling tile to ensure
that ceiling support system shall not interfere
with overhead laser positioning light beam port.
Clinac Dual Energy

Stand/Gantry Assembly
This is the secondary shielding.

In-Room Monitor
Line of Base
Frame pit.
Exact Treatment
Couch
Bulk and shelf storage are required for

Varian accessories and various materials
used for therapy. The Varian-supplied
Accessories include Electron Applicators
(cones), Wedges, and other
field-defining devices.
Provide one or two CCTV cameras in the room. The
CCTV cameras are usually located approximately
15 degrees off each side of the equipment's longitudinal
axis. Consult with the Customer for desired location.
Provide a power receptacle and signal conduit from
the control equipment area at each camera. Do not
locate cameras in the primary beam path. Refer to
the CCTV System manufacturer's literature for
conduit, mounting and installation requirements.
Provide a two-way patient monitoring intercom
system. The in-room intercom may be wall and/or
ceiling mounted and should be voice-activated or
continuous-on. The intercom at the control
equipment area should be push-to-talk.
Provide a signal conduit from the control
equipment area and power to the intercom.
Refer to the intercom manufacturer's literature
for conduit, mounting and installation requirements.
A sink with running hot and

cold water is highly recommended
in Clinac rooms. A hose spigot is
necessary to fill the water
phantom and a drain is
necessary to service the
Clinac's internal cooling
system and drain the water
phantom. Floor drains and
floor sinks should not be
located in the room to avoid
possible backup into the
equipment floor recesses.
Do not run water lines directly
above the Clinac components
or control console.
Beam-on and x-ray on lights.
Emergency-off switches.
Provide a dimmer switch for set-up lights.

This switch is used to adjust the
illumination level of the set-up lights so
that they are dim enough for clear visibility
of the lasers, but bright enough for safe
movement through the room.
The layouts shown on DDR drawings represent typical plans only. Clearances and wall thickness may vary.
HE002-0
The patient's position on the Couch is

fixed by body markings that are
aligned with "cross hairs" cast by the
laser lights. Two wall laser positioning
lights at isocenter height, a ceiling
laser and the sagittal laser are
powered by a common circuit
controlled via the user interface in the
Control Room or Couch Pendant or
Couch Side Panels, through a relay.
Lasers are usually distributed and
installed, at the Customer's option, by
Varian. The Customer is responsible
for verification of laser types and
mounting configurations.
Figure 2-1 Typical Room Isometric View
Chapter 2
2-5
2-6
2.3
Typical Room Configuration

Provide a minimum 4'-0" x 7'-0" (1219 x 2134) clear opening for
equipment clearance at radiation shielded entrance doors to treatment
rooms. This clearance allows proper access for rigging Varian equipment.
A sink with running hot and cold water is highly recommended in Clinac
rooms. A hose spigot is necessary to fill the water phantom and a drain
is necessary to service the Clinac's internal cooling system and drain the
water phantom. Floor drains and floor sinks should not be located in the
room to avoid possible backup into the equipment floor recesses. Do not
run water lines directly above the Clinac components or control console.
Control equipment
casework
The amount and type of shielding on treatment room entrance doors

have varying requirements based on the presence and length of the
maze, and the energy of the Clinac. Generally, low energy Clinacs
will require wood doors with a lead core and manual operation. Dual
Energy Clinacs usually require steel doors with a lead and borated
polyethylene core and motorized operation. Exact Clinac door
shielding requirements are dependent on maze and shielding
configuration. See typical minimum suggested door shielding.
The In-Room Monitor should be located where the operator can observe it
without turning away from either the machine or patient on the couch. The
monitor provides information during patient setup and it is unsafe to turn
away from the patient while the machine is moving and the patient is on
the couch. The In-Room Monitor may be mounted on a wall, ceiling, or
shelf. Do not locate the In-Room Monitor in the primary beam path.
Extent of primary beam. The total beam angle

is 28 degrees (14 degrees either side of
isocenter). Primary barrier shielding should
extend a minimum 1'-0 (305) beyond edge of
the primary beam. Do not locate sensitive
electronic equipment (for example, In Room
Monitor) in the primary beam path.
Primary beam
shielding
Modulator
Cabinet
Optional
VVS System
The Exact Couch with IGRT couch top is standard with HE Clinac
The maximum Couch Arc clearance is 9'-0" (2743) - recommended.
The minimum REQUIRED Full Couch Arc clearance is 8'-4 1/2" (2553).
In Room
Keyboard.
Store in
secure
location when
not in use.
This is the recommended dimension to

concrete for typical procedures.
Recommended face of concrete dimensions
assume up to 4" (102) of wall furring.
Approximately 16'-6" (5029) isocenter to wall
distance may be required at one side of
Couch. Consult with Customer.
Exact IGRT
Couch Top
The recommended couch arc clearance allows complete rotation of the

Couch at its maximum radius (retracted). Obstructions inside the
minimum required couch arc are unacceptable. However, obstructions
between the minimum required couch arc and the maximum couch arc
may be acceptable provided they are reviewed and approved by Varian
and the Customer. In specific situations, such as dynamic stereotactic
treatment, a larger area may be required.
There are no recognized acoustical

standards for therapy rooms. The primary
sound source on dual energy Clinac systems
is the Modulator Cabinet. Varian has met no
acoustical problems when the Modulator is
located in the treatment room. The patients
are in the room for a very short time and
some seem reassured by the changing
sound levels as the machine goes through its
cycles. Noise is a concern, however, when
the Modulator Cabinet is located next to
therapists or others who are exposed to it
often. Placing the Modulator in a nearby
closet is acceptable. Consult with the
Customer regarding preferred location. The
use of acoustically absorbent materials is
recommended.
This dimension is provided for illustrative

purposes only. Actual dimensions will vary
with shielding requirements and construction
practices.
The sagittal laser positioning light is located on the wall at the

end of the longitudinal couch axis. Unlike the side lasers, which
are at isocenter height, the sagittal laser is typically mounted at
a laser output height of 7'-6" (2286) above the floor.

concrete. Recommended face of concrete
dimensions assume up to 4" (102) of wall
furring.
Optional
RPM Gating
Camera
Clinac Dual Energy

Stand & Gantry
Line of Base Frame pit
Verify adequate equipment access into room and around maze.

The patient's position on the Couch is fixed by
body markings that are aligned with "cross
hairs" cast by the laser lights. Two wall laser
positioning lights at isocenter height, a ceiling
laser and the sagittal laser are powered by a
common circuit controlled via the user
interface in the Control Room or Couch
Pendant or Couch Side Panels, through a
relay. Lasers are usually distributed and
installed, at the Customer's option, by Varian.
The Customer is responsible for verification
of laser types and mounting configurations.
Isocenter - This is the primary reference point for Varian equipment.

Show the isocenter location clearly on all relevant drawings. Maintain the
isocenter location on site by extending perpendicular axis lines along
slab and up walls in all four directions. The standard isocenter height for
HE Clinac is 4'-3" (1295).
Secondary
shielding
The two side laser positioning lights are

located on the side walls at isocenter height.
The layouts shown on DDR drawings represent typical plans only.
Clearances and wall thickness may vary.
This dimension is provided for illustrative purposes

only. Actual dimensions will vary with shielding
requirements and construction practices.
This is the recommended dimension to concrete.

Recommended face of concrete dimensions assume
up to 6" (152) of wall furring.
Figure 2-2 Typical Room Plan View
Chapter 2
2-7
2-8
To reduce radiation exposure outside room, air handling ducts should enter/exit the room through
penetration(s) above the maze door. The ducts should be placed as high as possible in order to
minimize radiation exposure to occupied space. The ducts should be designed to minimize the area
of penetration through the wall. in most cases, duct shielding will not be required, provided the duct
design conforms to this criteria. Clear space should be left around the duct (outside the treatment
room) for shielding retrofit, in case the post installation radiation survey indicates a requirement.
Penetration, including ducts, directly into the treatment room should be avoided. For no-maze
treatment rooms, duct design and shielding must be addressed by the Physicist of Record.
Exposed grid ceilings allow for access to the overhead laser and relay
junction box without the use of access doors. Major service at the
equipment Stand is simplified where there are removable ceiling tiles.
Coordinate the layout of ceiling title to ensure that ceiling support system
shall not interfere with overhead laser positioning light beam port.
The overhead laser positioning light

is located directly over the isocenter.
The dimension is provided for planning purposes

only. Actual dimensions will vary with shielding
requirements and construction practices.
This is the recommended minimum clear

dimension to the ceiling over the equipment
Stand and Gantry.
For information on the ceiling requirements,
see Section 5.7.
Optional RPM Gating Camera
The ceiling height recommendation

shown at the equipment applies to
the area over the Clinac Stand and
Gantry. The ceiling height may be
lowered as desired in the
remainder of the room and maze.
The sagittal laser positioning light is located on the

wall at the end of the longitudinal couch axis.
Unlike the side lasers, which are at isocenter
height, the sagittal laser is typically mounted at a
laser output height of 7-6 (2286) above the floor.
The layouts shown on DDR drawings represnet typical

plans only. Clearances and wall thickness may vary.
This is the recommended

height above the fiinished floor
Isocenter - This is the primary reference

point for Varian equipment. Show the
isocenter location clearly on all relevant
drawings. Maintain the isocenter location
on site by extending perpendicular axis
lines along slab and up walls in all four
directions. The standard isocenter height
for HE Clinac is 4-3 (1295).
A steel frame is used to anchor the Clinac Stand, Gantry, and Couch to the facility.
The frame is set in a recessed equipment pit, leveled (by Varian), and held in place
with grout. Base Frames are positively anchored to the slab to avoid floating during
grout placement. Verify anchorage details with your Installation Project Manager
office. Varian information regarding pit design assumes a ground floor installation.
Upper floor installations require a thorough review by a qualified structural
engineer. In typical installations, Base Frames for Clinacs are not positively
anchored sufficiently to accommodate seismic loads. All seismic anchoring is
by the Customer. Sample seismic calculations and details of the preferred
anchoring methods for Clinacs are available from the Planning Department.

minimum dimension to concrete
above. This dimension allows
minimum clearance for laser
and utilities above ceiling.
Figure 2-3 Typical Room Section
Chapter 2
2-9
2-10
2.4
Detail Plan View
Detail Plan View
The Exact Couch with IGRT Couch top is standard with the HE Clinac.
The maximum Couch Arc clearance is 9'-0" (2743) - recommended.
The minimum REQUIRED Full Couch Arc clearance is 8'-4 1/2" (2553).
This is the dimension from the isocenter to the

target, which is the source of x-ray production
and is used to locate the primary beam spread.
This is the recommended dimension to face of concrete.

This dimension assumes up to 4" (102) of wall furring.
This is the recommended minimum clear distance to the
side wall for full couch rotation. Provide adequate
additional clearance for side lasers.
The recommended couch arc clearance allows complete rotation of the

Couch at its maximum radius (retracted). Obstructions inside the
minimum required couch arc are unacceptable. However obstructions
between the minimum required couch arc and the maximum couch arc
may be acceptable provided they are reviewed and approved by Varian
and the Customer. In specific situations, such as dynamic stereotactic
treatment, a larger area may be required.
Longitudinal axis line
The couch top must be able to extend out to the maximum distance of
8'-9" [2667] at a minimum of at least one angle along the couch rotation
arc for calibration testing.
Isocenter - This is the primary reference point for Varian

equipment. Show the isocenter location clearly on all
relevant drawings. Maintain the isocenter location on site
by extending perpendicular axis lines along slab and up
walls in all four directions. The standard isocenter height
for HE Clinac is 4'-3" (1295).
Minimum require couch arc
Extent of primary beam. The total beam

angle is 28 degrees (14 degrees either side
of isocenter). Primary barrier shielding should
extend a minimum 1'-0" (305) beyond edge of
the primary beam. Do not locate sensitive
electronic equipment, for example, In Room
Monitor) in the primary beam path.
The Exact Couch can rotate 100 about isocenter from

the longitudinal axis line.
The couch top has a lateral range of 9.8" [250] to either

side of the centerline of the Exact Couch.
This is the minimum clear dimension from

Isocenter to the back finished wall. This
minimum clearance allows for proper
service, installation and air circulation.
High Energy
Stand & Gantry
This is the recommended dimension to face

of concrete. This dimension assumes up to
6" (152) of wall furring.
Provide adequate clearance that is free of obstructions in the

equipment service access area.
Face of finished wall
Face of concrete
Figure 2-4 Plan View
Chapter 2
2-11
Detail Plan View
2-12
2.5
Detail Elevations
Detail Elevations
Extent of primary beam. The total beam angle is 28 degrees

(14 degrees either side of isocenter). Primary barrier shielding
should extend a minimum 1-0 (305) beyond edge of the
primary beam. Do not location sensitive electronic equipment
(i.e., In Room Monitor) in the primary beam path.
This is the recommended minimum clear

dimension to the ceiling over the equipment
Stand and Gantry.
For information on the ceiling requirements,
see Section 5.7.
This is the recommended minimum

dimension to concrete above. This
dimension allows minimum clearance
for laser and utilities above ceiling.

drawings. Maintain the isocenter
location on site by extending
perpendicular axis lines along slab and
up walls in all four directions. The
standard isocenter height for HE Clinac
is 4-3 (1295).
Exact IGRT
Couch Top
High Energy
Stand & Gantry
Treatment
Couch
Figure 2-5 Side Elevation
Chapter 2
2-13
Detail Elevations
2-14
Detail Elevations
Exposed grid ceilings allow for access to the

overhead laser and relay junction box without
the use of access doors. Major service at the
equipment Stand is simplified where there are
removable ceiling tiles. Coordinate the layout of
ceiling tile to ensure that ceiling support system
shall not interfere with overhead laser
positioning light beam port.
Isocenter - This is the primary reference point for

Varian equipment. Show the isocenter location
clearly on all relevant drawings. Maintain the
isocenter location on site by extending
perpendicular axis lines along slab and up walls
in all four directions. The standard isocenter
height for the HE Clinac is 4'-3" (1295).
Figure 2-6 Front Elevation
Chapter 2
2-15
Shipping/Rigging Dimension Clearances
2.6
During installation, Clinac components must be stored in a

secure area of about 250 square feet (23 square meters).
This is the maximum dimension
of the Clinac in its standard,
shipping configuration.
This is the maximum dimension of the

Clinac in its optional, factory breakdown.
In this configuration, the Clinac Stand and
Gantry are separated, at additional cost to
the Customer, to reduce the rigging
clearances required.
Appropriate rolling equipment shall

be provided by the rigger.
A steel shipping pallet is provided by Varian.
HE005-1
Figure 2-7 Shipping Configuration Dimensions
2-16
Detail Elevations
During installation, Clinac components

must be stored in a secure area of
about 250 square feet (23 square meters).
Figure 2-8 Shipping Configuration Weights
Chapter 2
2-17
This is a sample 90 degree

rigging turn, Gantry first
orientation.
Provide a minimum 4'-0 x 7'-0"

(1219 x 2134) clear opening
for equipment clearance at
radiation shielded entrance
doors to treatment rooms.
This clearance allows proper
access for rigging Varian
equipment.

rigging turn, Stand first
orientation.
Create an overlay sheet to simulate the Gantry rig clearances

during the project planning stage. Use the DWG file to print the
Gantry and Stand (plan-view) onto a clear sheet of acetate to
ensure scale accuracy.
Verify adequate equipment access the entire rig path into
treatment room.
The dimensions shown on the rig route details are to face of
finish and represent minimum configurations only. Verify
adequate rigging clearances for specific site using the Shipping
Configuration drawing to create an overlay. If the templates
cannot be easily rotated through the maze without wall
obstruction, review by a qualified Rigger will be required. Varian
will review the installation route upon request. Coordinate all
rigging with the Installation Project Manager. Final confirmation
of rig route clearances and review of adequate structural
support along the route is the responsibility of the Customer and
the Structural Engineer of Record.
Rigging is defined as the positioning of the Base Frame and Clinac

or Acuity components into the treatment room. The Base Frame is
rigged prior to the rest of the equipment and delivery must be
scheduled by the construction Contractor with the Installation
Project Manager. As designated in the final Varian/Customer Terms
and Conditions of Sale, a rigging company is hired by the Customer
or Varian to off-load these items from the truck and to move them
through the facility and into the treatment room. The Customers
architect and structural engineers shall review the entire rig route
for adequate clearance and structural support. The work can
include temporary demolition and shoring. Final equipment
positioning is part of the rigging contract.
Figure 2-9 Minimum Rigging Clearances, Standard Shipping Configuration
2-18
Detail Elevations

rigging turn, stand first
orientation.
Provide a minimum 4-0 x 7-0

(1219 x 2134) clear opening for
equipment clearance at radiation
shielded entrance doors to
treatment rooms. This clearance
allows proper access for rigging
Varian equipment.
Create an overlay sheet to simulate the Gantry rig clearances

during the project planning stage. Use the DWG file to print the
Gantry (plan-view) onto a clear sheet of acetate to ensure scale
accuracy.
Verify adequate equipment access into room and around maze.
The dimensions shown on the rig route details are to face of

finish and represent minimum configurations only. Verify
adequate rigging clearances for specific site using the Shipping
Configuration overlay. If the templates cannot be easily rotated
through the maze without wall obstruction, review by a qualified
Rigger will be required. Varian will review the installation route
upon request. Coordinate all rigging with the Installation Project
Manager. Final confirmation of rig route clearances and review
of adequate structural support along the route is the
responsibility of the Customer and the Structural Engineer of
Record.
Rigging is defined as the positioning of the Base Frame and

Clinac or Acuity components into the treatment room. The Base
Frame is rigged prior to the rest of the equipment and delivery
must be scheduled by the construction Contractor with the
Installation Project Manager. As designated in the final
Varian/Customer Terms and Conditions of Sale, a rigging
company is hired by the Customer or Varian to off-load these
items from the truck and to move them through the facility
and into the treatment room. The Customers architect and
structural engineers shall review the entire rig route for adequate
clearance and structural support. The work can include temporary
demolition and shoring. Final equipment positioning is part of the
rigging contract.
Figure 2-10 Minimum Rigging Clearances, Factory Breakdown
Chapter 2
2-19
2-20
Chapter 3
Facilities Requirements
Optional CCTV
System, see
Section 5.6
Figure 3-1 Treatment Room Overview, Sample Set-up
3-1
Cable Conduit/Ducts
3.1
Cable Conduit/Ducts
CAUTION:
The customer is responsible for permissibility of the installation at site with respect to
applicable local or regional standards.
This might affect the choice of cable routes, number of conduits, specifications of
mains power and data cables, and the choice of installation locations of system
components.
The customer must be aware that fire protection engineering aspects (plenum rating)
may be affected when installing cables and system components.
3.1.1
Ensure all components are placed so that the shortest cable length is sufficient.
Clinac conduit runs must not exceed 75 feet (22,860), box to box.
All conduits run underground shall be dry and watertight. Therefore, all PVC pipes must be glued
together, and metal conduits must be properly sealed.
All conduits must be terminated with insulating bushings or similar means to protect cables from
abrasion.
Circuit Breakers
3.1.1.1
Clinac Main Circuit Breaker Panel
The Clinac Main Circuit Breaker Panel is contractor provided. Locate the panel in sight and within
10 feet (3048) of the Clinac control console casework. The panel may be surface or semi-recessed
mounted. For semi-recessed installations, 4" (100) of the enclosure may be recessed in the wall. For
more information see Section 4.2.1.1 on page 4-8.
3.1.1.2
On-Board Imager (OBI) Circuit Breaker Panel
The OBI Circuit Breaker Panel is contractor provided. Locate the panel in sight and within 10 feet
(3048) of the Clinac control console casework. The panel may be surface or semi-recessed mounted.
For semi-recessed installations, 4" (100) of the enclosure may be recessed in the wall. For more
information see Section 4.3.1 on page 4-12.
3-2
Chapter 3 Facilities Requirements
3.1.2
Cable Conduit/Ducts
Pull/Junction Boxes
3.1.2.1
Control Equipment Pull Box
The Control Equipment pull box shall have a minimum size of 18" x 12" x 6" (450 x 300 x 150). This
pull box may be wall mounted or accessed similar to details in Baseframe Cable Access Details on
page 3-63. Locate this pull box so that the free ends of cables are protected from physical damage and
located within 5'-0" (1524) of the Clinac Electronics Cabinet. As no connections are made at this
location, many regulatory agencies do not require a pull box.
The Control Equipment Pull Box shall incorporate a #6-32 x 1" (M3.5 -0.7 x 25mm) screw stud, with
lock washer and nut, to accommodate dedicated Ground or Earthing wires from multiple High Energy
Subsystems. See Dedicated Grounding Requirements on page 4-2 for additional details.
3.1.2.2
Modulator Pull Box
The Modulator pull box is recessed into the floor slab and shall be 18" x 24" x 10" deep (450 x 600 x
250). As no connections are made at this location, many regulatory agencies allow a pull box to be
formed within the concrete floor in lieu of requiring a metallic pull box. The size and location of the
Modulator Pull Box is very specific, in order to ensure proper placement of the Modulator and
Interconnect Cable access. See Major System Components Modulator Cabinet on page 3-9 for
further details
3.1.2.3
Baseframe Pull Box
Conduit termination/cable access to the Baseframe (BF) is accomplished one of 3 methods:

1. Standard, recessed pull box below the BF pit, see Figure 3-61.
2. Alternative, surface-mounted pull box, see Figure 3-62.
3. Alternative, trough-accessible, grout-free junction area at the rear of the BF pit, see Figure 3-63.
In methods 1 and 2 above, the BF pull box shall have a size of 12" x 24" x 10" deep (300 x 600 x 250).
As no connections are made at this location, many regulatory agencies allow a pull box to be formed
within the concrete BF pit floor in lieu of requiring a metallic pull box.
3.1.2.4
Signal Pull Box
Provide signal pull boxes for the following subsystems: In-Room Monitor, Optional RPM Gating,
Optional VVS, and Optional CCTV Systems. This is a standard computer signal cable outlet.
Provide a signal outlet and conduit from each item to the Accessory Pull Box (see Figure 3-2).
Chapter 3
3-3
Cable Conduit/Ducts
3.1.2.5

Accessory Pull Box
Provide a 18" x 24" x 12" (450 x 600 x 300) Junction Box. Locate above the finished ceiling space
near the foot of the couch. Vertical-mounting, on a wall or suspended from the concrete ceiling with
side access, is recommended. This pull box serves as a collection/distribution point for the cable
conduits between the Control Equipment Pull Box and all ancillary accelerator subsystems, such as
the In-Room Monitor, Optional RPM Gating, Optional VVS, and CCTV Systems. Consequently,
excess cable will be coiled and stored at this location.
The Accessory Pull Box shall incorporate a #6-32 x 1" (M3.5 -0.7 x 25mm) screw stud, with lock
washer and nut, to accommodate dedicated Ground or Earthing wires from multiple Clinac
Subsystems. See Section 4.1.4, Dedicated Grounding Requirements on page 4-2 for additional
details.
3.1.2.6
Relay Junction Box
The Relay Junction Box (RJB) is contractor provided and is 21" x 17" x 7" (533 x 432 x 178).
For more information, see Section 4.4.6 on page 4-21. The panel may be surface or semi-recessed
mounted. For semi-recessed installations, 4" (100) of the enclosure may be recessed in the wall.
Locate this junction box within 45'-0" (13,716) of the Modulator Pull Box.
Typically, the RJB is wall mounted above the acoustical tile ceiling. Service access to the RJB must
be maintained; therefore, DO NOT locate the RJB directly above the Clinac Stand or any treatment
room casework. Alternately, the RJB can be wall mounted so access can be obtained at standing level
from the finished floor. We recommend that the RJB be located out of direct view and, in some
instances, may be enclosed with shallow casework. Verify that the location and clearances comply
with local codes. For further details, see Figure 3-2, Typical Clinac Conduit Diagram (Plan View) and
Figure 3-3, Typical Clinac Conduit Diagram (Section View).
WARNING:
To prevent injury during installation and service, DO NOT locate the RJB
directly above the Clinac Stand, Modulator Cabinet, or casework.
DO NOT locate the RJB in the primary beam path.
3-4
3.2
Cable Access Diagrams

A 3 (75) experimental access (physics) conduit may be required by
the Customer. The experimental access conduit is used to periodically
monitor radiation in the equipment room. The conduit Should be
oriented as perpendicular to the isocenter as possible. Provide a
locking 6" x 6" (150 x 150) access door at the conduit termination
location. Review all vault penetrations with the Physicist of Record.
For information on the control

equipment pull box, see Section 3.1.2.1.
The OBI Circuit Breaker Panel is contractor

provided, see Sections 3.1.1.2 and 4.3.1.
The Clinac Main Circuit Breaker Panel is contractor

provided, see Sections 3.1.1.1 and 4.2.1.1.
Provide two 3" (75) conduits from the Control Pull Box to the
Accessory Pull Box for future use. These conduits can also be
used for the optional Calypso and OSMS systems, see
Sections 3.5 and 3.6.
Provide one 2 (50) conduit between OBI Circuit Breaker panel

and the Base Frame pull box.
Provide one 2 (50) conduit between Main Circuit Breaker Panel

and Modulator pull box.
Safety door interlock switches are required for all installations.

Provide both AC and DC Door Interlock Switches recessed within
the door frame. For more information, see Section 4.4.4.7 Safety
Door Interlock Switches Lights.
Provide two 4" (100) conduits between the Control Console pull
box and the Modulator pull box. The length of this cable run shall
not exceed 75 feet (22,860).
Connections for two or more warning lights, usually red colored,

incandescent (no fluorescent lighting) are provided. Locate over
the door, on the outside of the treatment room. They may be
required to blink when the x-ray is on. Verify local requirements
with regional regulatory agencies. For more information, see
Sections 4.4.4.1 through 4.4.4.5 Warning Lights.
The Modulator pull box is recessed into the floor slab and shall
be 18 x 24" x 10" deep (450 x 600 x 250). See "Modulator
Cabinet" drawing for pull box location. The cable access to this
box shall be similar to Base Frame Cable Access Details.
Provide 1/2 (13) conduit between warning light(s) and the

Relay Junction Box.
Provide three 4 (100) conduits between the Base Frame pull box
and the Modulator pull box. The length of this cable run shall not
exceed 75 feet (22,860).
Provide four 4" (100) conduits between the Control Console

pull box and the Base Frame pull box. The length of this cable
run shall not exceed 75 feet (22,860).
Provide two 2" (50) conduits between the Modulator pull box and
the Relay junction box. The length of this cable run shall not
Provide two 2 (50) conduits from the Control Equipment pull

box to the Accessory pull box.
Provide one 2 (50) conduit from the Accessory pull box to the
In-Room Monitor. Depending on the configuration, up to four
cables may need to be pulled through this conduit.
Provide one 1" (25) conduit from the Accessory pull box to each
of the following devices: In-Room wireless Keyboard and
Mouse with Optional VVS System (1), Optional RPM Gating
System (1), and Optional CCTV cameras (2).
In-Room
Monitor
Provide a 18 x 24 x 12 (450 x 600 x 300)

Accessory Pull Box mounted in the ceiling
space, typically located near the Sagittal wall
as shown, see Section 3.1.2.5.
The length of these conduit runs shall not exceed 75 feet

(22,860) from each subsystem Signal pull box to the Control
Equipment pull box.
As no connections are made at this location, many regulatory

agencies do not require a Base Frame pull box. If a pull box is not
used, keep this area free of grout. If required, provide a 12 x 24"
x 10" deep (300 x 600 x 250) Base Frame pull box. Top access is
required and the box shall extend 1/2 (13) above concrete.
The RJB is contractor provided and is 21" x 17" x 7"

(533 x 432 x 178), see Sections 3.1.2.6 and 4.4.6.
Provide 1/2 (13) conduit(s) between the door Interlock Switches
and the Relay Junction Box.
Verification of appropriate utility and cable access is the responsibility of the Customer.
Selection of the appropriate cable access method is determined by site-specific
conditions and Customer preference. The standard bottom cable access details are
appropriate for the majority of installations. Side access conduit details are included
for installations with sub-floor clearances of at least 24" (610). Duct access details are
included for installations with minimal subfloor clearance. All conduits or cable ducts
must be suitably sealed and protected to keep them clean and dry.
Provide adequate clearance for typical conduit radius of six times the
diameter. Conduit bends shall not exceed 270 degrees per cable run.
Route all room penetrations as perpendicular to the isocenter as possible
to avoid radiation scatter. Verify all room penetrations with the Physicist
of Record.
Exposed grid ceilings allow for access to the overhead laser and
relay junction box without the use of access doors. Major service
at the equipment Stand is simplified where there are removable
ceiling tiles. Coordinate the layout of ceiling tile to ensure that
ceiling support system shall not interfere with overhead laser
positioning light beam port.
WARNING: Conduit run lengths for Varian supplied cables

shall not exceed 75 feet (22,860).
Figure 3-2 Typical Clinac Conduit Diagram (Plan View)
Chapter 3
3-5
3-6
Provide two 3" (75) conduits from the Control

Pull Box to the Accessory Pull Box for future
use. These conduits can also be used for the
optional Calypso and OSMS systems, see
Sections 3.5 and 3.6.
On-Board Imager (Optional) Power Supply

(typical) 480VAC, 60kVA, 60Hz, 3 Ph. + G
(N. America) or 400-480VAC, 60kVA, 50Hz,
3 Ph. + G. See Section 4.3, On-Board Imager
(OBI) Option Subsystem for complete details.
Provide one 2 (50) conduit from the Accessory pull box to the In-Room Monitor.
Depending on the configuration, up to four cables may need to be pulled through
this conduit.
Clinac Accelerator Power Supply 208VAC,

45kVA, 60Hz, 3 Ph. + G (N. America) or
360-440VAC, 45kVA, 50Hz, 3 Ph. + N + G.
See Section 4.2, Clinac Linear Accelerator
Subsystem
Provide one 1" (25) conduit from the Accessory pull box to each of the following
devices: In-Room wireless Keyboard and Mouse with Optional VVS System (1),
Optional RPM Gating System (1), and Optional CCTV cameras (2).
The length of these conduit runs shall not exceed 75 feet (22,860) from each
subsystem Signal pull box to the Control Equipment pull box.
Provide 1/2" (13) conduit between

the Beam status warning light(s)
and the Relay Junction box.
Provide two 2" (50) conduits from the Control

Equipment pull box to the Accessory pull box.
For information on the

Accessory pull box,
see Section 3.1.2.3.
Connections for two or more warning lights,

usually red colored, incandescent (no
fluorescent lighting) are provided. Locate
over the door, on the outside of the
treatment room. They may be required to
blink when the x-ray is on. Verify local
requirements with regional regulatory
agencies. For more information, see
sections 4.4.4.1 through 4.4.4.5 Safety
Device Systems.
Provide 1/2" (13) conduit(s) for AC and

DC Door Interlock Switches recessed
within door frame. For more information,
In-Room Monitor
Optional CCTV Cameras
In-Room wireless
Keyboard and Mouse
The Clinac Main Circuit Breaker Panel is

contractor provided, see Sections 3.1.1.1
and 4.2.1.1.
Provide two 2" (50) conduits between the

BaseFrame Pull Box and the Relay
Junction box. The length of this cable run
shall not exceed 45 feet (13,716).
Optional RPM
Gating Camera
Alternate installation location for RJB.
For more information, see Section 3.1.2.6

provided, see Sections 3.1.1.2 and 4.3.1.
Optional VVS
System
Provide network cabling outlets at all server or

workstation equipment locations. All network
cabling must be in place and tested prior to
equipment installation. Network patch panels,
hubs, and routers are typically located in a
server room or closet.
The Modulator pull box is recessed into

the floor slab and shall be 18" x 24" x 10"
deep (450 x 600 x 250). Refer to the
"Modulator Cabinet" drawing for pull box
location. The cable access to this box
shall be similar to Base Frame Cable
Access Details.
Provide three 4 (100) conduits between
the Base Frame pull box and the
Modulator pull box. The length of this
conduit run shall not exceed 75 feet
(22,860).
For information on the control equipment

pull box, see Section 3.1.2.1.
Provide one 2 (50) conduit

between the Main Circuit Breaker
Panel and the Modulator pull box.
The RJB is contractor provided and is

21" x 17" x 7" (533 x 432 x 178). For
more information, see Sections 3.1.2.6
and 4.4.6. Mount the RJB box to the wall
above the acoustical tile ceiling and
maintain clear service access. DO NOT
locate directly above the UNIQUE
Stand or treatment room casework.
Provide one 2" (50)

conduit between OBI
Circuit Breaker panel and
the Base Frame pull box.
A 3" (75) experimental access (physics) conduit may

be required by the Customer. The experimental
access conduit is used to periodically monitor
radiation in the equipment room. The conduit should
be oriented as perpendicular to the isocenter as
possible. Provide a locking 6 x 6 (152 x 152)access
door at the conduit termination location. Review all
vault penetrations with the Physicist of Record.
Provide four 4 (100)

conduits between the Control
Console pull box and the
BaseFrame pull box. The
length of this cable run shall
not exceed 75 feet (22,860).
As no connections are made at this location,

many regulatory agencies do not require a
BaseFrame pull box. If a pull box is not used,
keep this area free of grout. If required, provide
a 12 x 24" x 10" deep (300 x 600 x 250)
BaseFrame pull box. Top access is required.
See Section 3.1.2.2 BaseFrame Pull Box.
Provide two 4 (100) conduits between

the Control Console pull box and the
Modulator pull box. The length of this
conduit run shall not exceed 75 feet
(22,860).
Figure 3-3 Typical Clinac Conduit Diagram (Section View)
Chapter 3
3-7
3-8
3.3
Major System Components Modulator Cabinet
Provide a
minimum 3" (76)
clearance behind
the Modulator
Cabinet for
ventilation.
Finished Wall.
Modulator Cabinet
The Modulator pull box is
recessed into the floor slab and
shall be 18" x 24" x 10" deep
(450 x 600 x 250). Refer to the
"Modulator Cabinet" drawing
for pull box location. The cable
access to this box shall be
similar to Base Frame Cable
Access Details. See section 3.8
Required service
clearance area
The Modulator Cabinet rests on

four equipment feet. If seismic
anchorage is required, contact
the Varian Planning Department
for sample structural calculations.
A seismic mounting kit is
available (contact the Regional
Installation Project Manager to
order a kit). This cabinet weighs
approximately 1800 lbs. (816 kg).
The Modulator Cabinet may be located either in the Clinac room or

remotely. Ventilation, acoustics, service provisions and cable length
must be considered. The Modulator Cabinet has service panels at
both sides and front. Provide 11'-0" (3353) clear space, side to side.
For non-U.S. sites, verify electrical equipment service clearance
requirements with applicable local code. Do not locate this cabinet
in the primary beam path.
Figure 3-4 Modulator Cabinet, Plan View
WARNING:
Chapter 3
DO NOT locate the Modulator Cabinet in the primary beam path.
3-9
The Modulator Cabinet may be located either in the Clinac room or

remotely. Ventilation, acoustics, service provisions, and cable length
must be considered. The Modulator Cabinet has service panels at both
sides and front. Provide 11'-0" (3353) clear space, side to side. For nonU.S. sites, verify electrical equipment service clearance requirements
with applicable local code. Do not locate this cabinet in the primary
beam path.
Minimum
Modulator Cabinet
The Modulator pull box is

recessed into the floor slab
and shall be 18 x 24 x 10
deep (450 x 600 x 250).
Refer to the Modulator
Cabinet drawing for pull box
location. The cable access
to this box shall be similar to
Base Frame Cable Access
Details. See section 3.8.
The conduits may terminate
anywhere within the pull box.
See the Cable Access Diagram
for quantity and size of conduits.
Figure 3-5 Modulator Cabinet, Elevation View
3-10
3.4
Optional System Components RPM Respiratory Gating

The RPM Respiratory Gating system includes four basic components used in all subsystem
configurations: gating camera with LCD screen, Gating Power Module, gating workstation, and
Gating Switch Box.
Figure 3-6 RPM Gating Camera with LCD Monitor
(For use with HE Clinacs and Unique.)
Figure 3-7 RPM Gating Power Module
Chapter 3
Figure 3-8 RPM Gating Switch Box
3-11
3.4.1
RPM Clinac Subsystem

3.4.1.1
Mounting Locations
Provide one 1/2" [13] conduit
to the Facility Network
Provide one 1" [25] conduit from

the RPM Gating Workstation to
the Gating Power Supply Module.
The length of this conduit run
shall not exceed 75 feet [22,860].
Audio prompts are available on the

output jack of the RPM Gating
Workstation (1/8" [3.5mm] audio
connector, 1 vrms full scale output
voltage). The customer shall
provide all wiring, amplification,
and speakers.
RPM Gating
Workstation
Gating Power Supply Module,

mount on the wall above the
false ceiling.
Provide one 1" [25] conduit
from the RPM Gating Camera
to the Gating Power Supply
Module. The length of this
conduit run shall not exceed
25 feet [7620].
RPM Gating
Camera
Provide a switched dedicated

receptacle (100-240V @
50/60 Hz) for the Gating
Power Supply Module.
Locate within 12 (300) from
the Gating Power Supply
Module.
Switch for the RPM Gating

Power Module receptacle.
Note: All pull boxes are sized

and provided by owner.
Allowed Camera Position
Figure 3-9 Respiratory Gating Installation Typical Clinac Room Plan View
3-12

receptacle (100-240V @ 50/60 Hz)
for the Gating Power Supply
Module. Locate within 12 (300)
from the Gating Power Supply
Module.
Gating Power Supply

Module, mount on
the wall above the
false ceiling.
RPM Gating
Camera

voltage). The customer shall provide
all wiring, amplification, and speakers.
Provide one 1" [25]

conduit from the RPM
Gating Camera to the
Gating Power Supply
Module. The length of
this conduit run shall not
exceed 25 feet [7620].
RPM Gating
Workstation
Provide one 1/2" [13] conduit

to the Facility Network
Provide one 1" [25] conduit
from the RPM Gating
Workstation to the Gating
Power Supply Module. The
length of this conduit run shall
not exceed 75 feet [22,860].
Allowed Camera
Position
Wall switch for the Gating

Power Supply Module
receptacle.

Figure 3-10 Respiratory Gating Installation Typical Clinac Room Section
Chapter 3
3-13

3.4.1.2
Mounting Methods
RPM Cameras used with the Clinac can be either wall- or ceiling-mounted. Varian provides both a
wall- and a ceiling-mounting bracket with all RPM subsystems. It is the responsibility of the
Customer and design team to determine which mounting method is used.
Wall-Mount Option
Furred Wall
Single-Gang Box,
Owner-provided
RPM Gating Camera
Wall Mount
Camera Bracket,
Varian-provided
Figure 3-11 Wall-Mount Detail
Figure 3-12 Wall-Mount Camera Bracket, Varian-Furnished/Contractor-Installed
3-14
Ceiling-Mount Option
Threaded Rods,
Owner-provided
Epoxy Grout or
Equivalent Method
Single-Gang Box,
Owner-provided
(1)-1" [25] C.
Ceiling Mount
Camera Bracket,
Varian-provided
RPM Gating Camera
Figure 3-13 RPM Ceiling Bracket (Option A)
Figure 3-14 Ceiling-Mount Camera Bracket, Varian-Furnished/Contractor-Installed
Chapter 3
3-15
Threaded Pipe
Owner-provided
Pipe Flange,
see Detail "A
Min. 5" [127]

Pipe Flange,
Owner-provided
Varian-provided
Camera Bracket
Plate is 3" x 5
[76 x 127]
Ceiling Mount
Camera Bracket,
Varian-provided
RPM Gating Camera
Figure 3-15 RPM Ceiling Bracket (Option B)
For best results, a U shaped opening should be cut in the ceiling tiles adjacent to the ceiling grid as
shown in Figure 3-15. Otherwise, provide a rectangular grommet around the opening to protect the
ceiling tile and provide a finished look.
Figure 3-16 Ceiling-Mount (Option B) Camera Bracket Installed
3-16
3.4.2
RPM CT/ and PET/CT Simulator Subsystem

Varian RPM CT and PET/CT subsystems are compatible with the CT or PET/CT products shown in
Table 3-1. Contact the Owner/Customer to confirm final system products/configuration and desired
mounting option. See Section 3.4.2.1 for more information.
Note:
CAUTION:
The list of CT models in Table 3-1 are valid as of this printing date, but it is the
customers responsibility to contact the manufacturer for confirmation of
(or changes in) compatibility.
Toshiba (and the customer) must properly configure the Toshiba System to achieve all
functionality. The customer should carefully discuss the functionality in relation to the
RPM system and clinical goals with Toshiba.
Table 3-1 Gating/CT Compatibility Matrix

Manufacturer
GE CTs
GE PET/CTs
Phillips CTs
Chapter 3
Model
LightSpeed CTs:
LS Plus
LS 16
LS RT
LS 16 PRO
VCT
XTRA
HighSpeed CTs:
LX/I; FX/I; GX/I single slice systems
NX/I 2-slice system
BrightSpeed
Discovery PET CTs:
LS
ST
600
All GE PET/CTs are valid including
the OPTIMA line
Picker PQ Series
Marconi AcQsim
Brilliance CT Big Board
Brilliance 16
Brilliance 40
Brilliance 64
Ingenuity CT
Camera Mount
(Wall or Couch)
Couch
Couch
Couch
Couch
Couch
Couch
Couch
3-17
Table 3-1 Gating/CT Compatibility Matrix (continued)

Manufacturer
Phillips PET/CTs
Siemens CTs
Siemens PET/CTs
Toshiba Prospective
Toshiba
Retrospective
3-18
Camera Mount
(Wall or Couch)
Model
Gemini GXL 16
Gemini TF (all configurations)
Gemini LXL
Ingenuity TF
TruFlight Select
SOMATOM Emotion 6
SOMATOM Emotion 16
SOMATOM Sensation 16
SOMATOM Sensation Open
SOMATOM Perspective
SOMATOM Definition DS
SOMATOM Definition AS20 (Open)
SOMATOM Definition AS40
SOMATOM Definition AS64 (Open)
SOMATOM Definition AS+
SOMATOM Definition Edge
SOMATOM Definition Flash
Biograph mCT-X (128)
Biograph mCT-S (64)
Biograph mCT-S (40)
Biograph mCT 20 Excel
Biograph 16 TruePoint
Biograph 6 Hi-Rez
Biograph 16 Hi-Rez
Aquilion 64 TSX-101A
Aquilion 32TSX-101A
Aquilion LB TSX-201A
Aquilion 64 TSX-101A
Aquilion 32TSX-101A
Aquilion LB TSX-201A
Couch
Couch
Couch
Couch
Couch
Couch (requires optional
CT overlay)
CT overlay)
Couch
Couch
Couch with standard
PHS1B table
(requires optional
RTP pallet)

RTP pallet)

RTP pallet)
Couch
Couch
Couch
Couch
Couch
Couch
Couch
Couch
Couch
Couch
Couch

3.4.2.1
Standard Mounting Location Moving/Couch Mount
Gating configured for CT installations come complete with the couch mounting bracket shown in
Figure 3-17 and Figure 3-21. When CT scans are performed without Gating, the camera is stored on
a Varian-furnished, Owner-installed bracket, as shown in Figure 3-17 and Figure 3-21. The customer
must provide a cable management system that keeps the Gating camera cable off the floor. A curtain
rail or other appropriate cable take-up mechanism with rolling/support carriers that allows the cable
to be attached to or draped through the carriers is recommended.
for the Gating Power Supply Module.
Locate within 12 (300) from the RPM
Power Module.
Gating Power
Supply Module
RPM Gating wall
bracket (storage)
Switch for the Gating Power

Supply Module receptacle
Curtail Rail Cable Management

System (Customer-Provided)
(1)- 1" (25)
conduit
RPM Gating
Workstation
RPM Gating
Camera
(1)- 1/2" (13) conduit

to facility network
Isocenter
Audio promts are available on the output jack of the

RPM Gating Workstation (3.5mm audio connector,
1 vrms full scale output voltage). The customer
shall provide all wiring, amplification, and speakers.
Figure 3-17 Gating Installation Typical CT Room Plan
Chapter 3
3-19
Gating Power
Supply Module
Curtail Rail Cable Management
System (Customer-Provided)
for the Gating Power Supply Module.
Locate within 12 (300) from the
RPM Power Module.
(1)- 1/2" (13) conduit

to facility network
Audio promts are available on the output jack of the

RPM Gating Workstation (3.5mm audio connector,
1 vrms full scale output voltage). The customer
shall provide all wiring, amplification, and speakers.
RPM Gating
Camera
Isocenter
(1)- 1" (25) conduit
RPM Gating
Workstation
RPM Gating wall

bracket (storage)
Figure 3-18 Gating Installation Typical CT Room Section
3-20
Figure 3-19 CT Couch Mount Kit Side View
The assembly shown in Figure 3-19 and Figure 3-20 allow for quick attachment of the Infra-Red
Gating camera to the foot of the CT couch. The LCD monitor shown in Figure 3-20, below the IR
camera, displays a sinusoidal pattern describing the motion of a marker, placed on the patients chest,
during the respiration cycle. This helps to confirm proper camera placement.
Figure 3-20 CT Couch Mount Kit Front View
Chapter 3
3-21
Figure 3-21 Gating Storage Bracket Detail
Figure 3-22 Gating Storage Bracket and Cable

Management Sample View (Cabinet not Included)
Figure 3-23 Cable Management

Sample View
The camera bracket shown in Figure 3-22 is in its stored position. Unless managed, the camera cable
can present a trip hazard in which patients or the Gating camera can be harmed. For example
see Figure 3-22 and Figure 3-23.
3-22
3.4.3
Acuity/Conventional Simulator Subsystem

3.4.3.1
Mounting Locations
Gating Power Supply

Module, mount on the wall
above the false ceiling.
Provide a switched dedicated receptacle

(100-240V @ 50/60 Hz) for the Gating Power
Supply Module. Locate within 12 (300) from
the Gating Power Supply Module.
Audio prompts are available on the output jack
of the RPM Gating Workstation (1/8" [3.5mm]
audio connector, 1 vrms full scale output
voltage). The customer shall provide all wiring,
amplification, and speakers.
Provide one 1" [25]

Gating Workstation to
the Gating Power
Supply Module. The
length of this conduit
run shall not exceed
75 feet [22,860].
Allowed Camera
Position
RPM Gating
Workstation
RPM Gating Camera

Provide one 1" [25]
conduit from the
RPM Gating Camera
to the Gating Power
Supply Module. The
length of this conduit
run shall not exceed
25 feet [7620].
Provide one 1/2" [13]

conduit to the Facility
Network
Switch for the RPM

Gating Power Module
receptacle.
Figure 3-24 Respiratory Gating Installation Typical Acuity Room Plan
The gating camera in the simulator room should be in the same relative location as the gating camera
in the accelerator room.
Chapter 3
3-23
Gating Power Supply

Module, mount on the wall
above the false ceiling.
RPM Gating Camera

voltage). The customer shall provide
all wiring, amplification, and speakers.
Provide one 1" [25]

Gating Camera to the
Gating Power Supply
exceed 25 feet [7620].
Provide a switched
dedicated receptacle
(100-240V @ 50/60 Hz)
for the Gating Power
Supply Module. Locate
within 12 (300) from the
Gating Power Supply
Module.
RPM Gating
Workstation
Provide one 1" [25]

Gating Workstation to
the Gating Power Supply
exceed 75 feet [22,860].

Provide one 1/2" [13]

conduit to the Facility
Network
Allowed Camera
Position
Wall switch for the Gating

Power Supply Module
receptacle.
Figure 3-25 Respiratory Gating Installation Typical Acuity Room Section
3-24

3.4.3.2
Mounting Methods
Like the RPM Clinac Subsystem, RPM cameras used with the Acuity/Conventional Subsystem are
fixed and can be either wall- or ceiling-mounted, as described in Section 3.4.1.2 and as shown in
Figure 3-26 and Figure 3-27.
Wall-Mount Option
Figure 3-26 Typical Wall-Mount Installation
Ceiling-Mount Option
Figure 3-27 Typical Ceiling-Mount Installation
For best results, a U shaped opening should be cut in the ceiling tiles adjacent to the ceiling grid as
shown in Figure 3-27. Otherwise, provide a rectangular grommet around the opening to protect the
ceiling tile and provide a finished look.
Chapter 3
3-25
Calypso Extracranial Radiosurgery Subsystem (Optional)
3.5

The Calypso System has four major hardware components:
Treatment Room Console
Optical System
Tracking Station
Beacon Transponders
In addition, the system has proprietary software that runs on the Treatment Room Console and
Tracking Station. These components are shown in Figure 3-31 and Figure 3-35.
3.5.1
Treatment Room Console

The Console contains the system components that generate and detect electromagnetic signals. It is a
portable unit with locking wheels that is used in the treatment room and positioned next to the
treatment table during localization and tracking. Components of the Console include the Array Panel
and a Touch Screen Computer.
Treatment Room Console 78.5"H x 23.4"W x 51"D (1995 x 595 x 1295), 650 lbs (295.5 kgs)
Figure 3-29 Array Panel
Figure 3-28 Treatment Room Console

Figure 3-30 Touch Screen Computer
Figure 3-31 Treatment Room Console Components
3-26

3.5.1.1
Array Panel
The Array is a flat panel that extends from the Console via an articulating mechanical arm. It contains
source coils and sensor coils that enable it to briefly excite the Beacon transponders and then measure
the transponders response signals. The Array has handles to facilitate positioning and nine embedded
optical targets that permit the system to determine the Arrays location.
The Array is positioned over the patient during patient setup and, for most patients, remains in place
during radiation therapy to monitor treatment target motion relative to the linear accelerator isocenter.
3.5.1.2
Touch Screen Computer
When in the treatment room, users interact with the system software using a touch screen computer
that is part of the Console.
3.5.2
Optical System
The optical system includes a set of three infrared cameras and a power supply/hub unit that are
permanently mounted in the treatment room. The optical system is used to locate and continuously
monitor the position of the Array relative to the linear accelerator isocenter. It is connected by
Ethernet to the Tracking Station.
Figure 3-33 Camera Power Supply and Hub Unit
Figure 3-32 Infrared Camera
Figure 3-34 Optical System Components
Chapter 3
3-27

3.5.2.1
Infrared Cameras
The cameras detect infrared light emitted by the optical targets embedded in the Array. Each camera
is permanently attached to a ceiling mounting system. Ceiling mounting systems include concrete
anchors, I-beam mounts, and wall mount systems. The mount type is selected based on the treatment
vault survey. There are also cantilever offset options for the camera mounts that allow flexible
positioning of the ceiling mounts. The cameras receive their power and data connection through the
camera power supply/hub unit.
3.5.2.2
Camera Power Supply/Hub Unit
The power supply/hub unit is located in the treatment room, outside the beam, but within a 50-foot
cable run from each camera. It accepts all point-to-point Ethernet connections for the Calypso System
network (cables from the Console, the Tracking Station computer, and each camera) and requires
120 VAC power.
3.5.3
Tracking Station
The Tracking Station includes a dedicated computer, monitor, keyboard, and mouse. It is located in
the control room outside the treatment room. The Tracking Station is used to log in to the system, to
track the position of the treatment target during the delivery of radiation therapy, and to perform
system administration tasks, among other functions.
PC 19"w x 3.5"h x 13.75"d (482 x 89 x 350), 25 lbs (11.4 kg)
Monitor Display 15.25"w x 19"h x 9"d (387 x 474 x 230), 10.8 lbs (4.9 kg)
Figure 3-35 Tracking Station, Keyboard, Monitor, and Mouse
3-28
3.5.4
Beacon Transponders
Each transponder includes a sealed glass capsule containing a miniature passive electrical circuit.
A set of three transponders are permanently implanted in the patients prostate or prostatic bed to
enable localization and tracking of the treatment target before and during delivery of radiation
therapy.
Figure 3-36 Beacon Transponder
3.5.5
Software
The Calypso System software is a set of proprietary applications that run concurrently on the Tracking
Station and Console. The software enables all system control and signal-processing functions. Users
interact with the software both at the Console (by touching elements on the touch screen) and at the
Tracking Station (by clicking elements on the screen and typing and by using the mouse and
keyboard).
3.5.6
Fixtures
A set of fixtures are used to calibrate and ensure correct operation of the Calypso System.
3.5.6.1
QA Fixture
The Quality Assurance (QA) fixture is used to verify correct operation of the Calypso System. The
QA procedure is performed daily. The QA fixture is provided in a protective carrying case and is
stored between uses.
Chapter 3
QA Phantom 6.35" x 4" x 4" (159 x 102 x 102), 3 lb (1.4 kg)
Pelican Case 11" x 10" x 7" (280 x 254 x 178), 6.5 lb (3 kg) with QA Phantom
3-29

3.5.6.2
Calibration Fixtures
The calibration fixtures are used to calibrate the cameras and to establish the coordinate reference
frame for the Calypso System relative to the linear accelerator isocenter. The calibration procedure is
performed monthly. There are three calibration fixtures: the L-Frame fixture, the T-Frame fixture, and
the isocenter calibration fixture. These fixtures are also provided in a protective carrying case and are
stored between uses.
3.5.7
T-Frame Fixture - 13.5" x 10.5" x .75" (343 x 267 x 20), 0.3 lbs (0.14 kg)
L-Frame Fixture - 19" x 11.25" x .75" (483 x 286 x 20), 1.5 lbs (0.68 kg)
Isocenter Calibration Fixture - 9" x 8" x 8" (229 x 203 x 203), 13 lbs (5.9 kg)
Pelican Case - 24" x 20" x 12" (610 x 508 x 305), 36.5 lbs (16.5 kg) with all 3 fixtures
System Options
3.5.7.1
Radiation Detector
The Calypso Systems Beam On Detection and Reporting feature provides an indicator to correlate
tumor position and motion with therapy beam on/off status documented in the daily patient session
report with tracking graphs timestamps. This option requires additional on-site support from the
customers physics group to setup the software and calibrate.
Figure 3-37 Radiation Detector
3.5.7.2
Dynamic Edge Gating
The Dynamic Edge Gating option provides automatic signaling to hold and re-enable the beam in
response to organ motion for Varian or Siemens linear accelerators capable of gating.
3-30

3.5.7.3
Adaptive Couch Repositioning
Adaptive Couch Repositioning allows you to remotely reposition the treatment couch from the
control area utilizing target offset data from the Calypso System. This option requires network
connectivity support from the customers IT group and Varian.
3.5.7.4
Treatment Planning Data Import
The Calypso Systems software will allow data import from the Varian Eclipse and Philips
Pinnacle3 (V9.0) treatment planning systems. This option requires network connectivity support from
the customers IT group.
Chapter 3
3-31
3.5.8
Calypso System Assembly

3.5.8.1

Provide a dedicated receptacle (100-240V
@ 50/60Hz), locate within 3'-0" (914) from
the Calypso Tracking Station.
Control Area Pull Box
Provide one 3" (75)

conduit from the
Control Pull Box to the
Accessory Pull Box,
see Figure 3-2 "Typical
Clinac Conduit
Diagram (Plan View)"
Provide (2) dedicated

receptacles (100240V @ 50/60Hz) for
the Treatment Room
Console. Locate (1)
on the sagittal wall
and (1) on the side
wall opposite the
longitudinal axis line
from Camera #2 each
within 13'-0" (3962)
from the couch
midpoint.
Provide (2) standard
electrical boxes,
located adjacent to
the Treatment Room
Console receptacles.
Varian will provide
cabling and cover
plate.
For information on the
Accessory pull box,
Provide a dedicated receptacle

(100-240V @ 50/60Hz), locate
within 3'-0" (914) from Power
Supply & Hub Unit.
Provide a 6"w x 3"h x 3.5"d

(150 x 75 x 90) Pull Box (min.)
mounted in the wall, located
within 12" (305) from Power
Supply and Hub Unit as shown.
Figure 3-38 Calypso System Conduit Diagram Typical Plan View

Note:
3-32
Conduit runs from the Power Supply and Hub Unit to each treatment room location
shall not exceed 40'-0" [12m].
3.5.9
Camera Mounting Locations

The Calypso System includes three ceiling-mounted infrared cameras, each attached to a
Varian-furnished, contractor-installed ceiling mount load plate and support post. For additional
details, see Section 3.5.11.
The ceiling mount load plate location details can be found in Figure 3-39, Figure 3-40, and
Figure 3-42.
3.5.9.1
Preferred Ceiling Mount Load Plate Locations
The following mounting location diagram applies to all HE Clinac accelerators with clear
unobstructed path to overhead concrete mounting surface.
Note:
CAUTION:
For retro-fit installations, where the preferred ceiling mount load plate locations are
obstructed by overhead objects, refer to Section 3.5.9.2 for acceptable ceiling mount
load plate areas.
Place Camera #2 on the same side of the longitudinal axis line as the maze opening and
position the Treatment Room Console on the opposite side.
If the Treatment Room Console is located on the same side of the longitudinal axis line
as Camera #2, there will be a high likelihood for creating gray bars, making the system
inaccurate.
Chapter 3
3-33
Figure 3-39 Preferred Ceiling Mount Load Plate Locations Plan View (Cartesian Dimensions)
Note:
Dimensions are to the center of the Ceiling Mount Load Plate. See Section 3.5.11 for
more information.
The ceiling mount load plates should only be installed after the BaseFrame is grouted
in and isocenter is verified.
3-34
Figure 3-40 Preferred Ceiling Mount Load Plate Locations Plan View (Polar Dimensions)
Note:
Dimensions are to the center of the Ceiling Mount Load Plate. See Section 3.5.11 for
more information.
Chapter 3
3-35
Figure 3-41 Preferred Ceiling Mount Load Plate Typical Section

Note:
3-36
The Calypso camera lens height and mounting post length will be determined by the
Varian Project Manager using a site survey after Isocenter is identified.

3.5.9.2
Acceptable Ceiling Mount Load Plate Areas
The following mounting location diagram applies to accelerator installations that are not able to
obtain an unobstructed path to overhead concrete mounting surface as shown in Figure 3-38 and
Figure 3-39 by using a Varian provided post and cantilever extension bar.
The cantilever extension bar allows placement of the ceiling mount load plate anywhere within the
green shaded area, which is centered directly over the preferred camera position, see Figure 3-42.
CAUTION:
Place Camera #2 on the same side of the longitudinal axis line as the maze opening and
position the Treatment Room Console on the opposite side.
If the Treatment Room Console is located on the same side of the longitudinal axis line
as Camera #2, there will be a high likelihood for creating gray bars, making the system
inaccurate.
Chapter 3
3-37
Allowed area for

Camera #3 Ceiling
Mount Load Plate
Alternate
Camera #2 Area
Allowed area for

Camera #2 Ceiling
Mount Load Plate
Allowed area for

Camera #1 Ceiling
Mount Load Plate
Figure 3-42 Acceptable Ceiling Mount Load Plate Locations Plan View (w/Cantilever Extension Bar)
Note:
The cantilever extension bar allows placement of the ceiling mount load plate
anywhere within the green shaded area, which is centered directly over the preferred
camera position.
The center of the Ceiling Mount Load Plate must fit inside the Allowed Area,
see Section 3.5.11 for more information.
3-38
3.5.10
Camera Elevation Heights and Clearances

A minimum clearance of at least 3/4" (20) between any surface of the ceiling mount and any other
object is recommended. A minimum clearance of 1 1/2" (40) between the camera and drop ceiling is
recommended (see Figure 3-43).
Figure 3-43 Calypso Infrared Camera Typical Elevation

Note:
Chapter 3
The ceiling mount must be free of contact with any object other than the concrete
ceiling, the camera cable, and the camera mount in order to prevent coupling of
vibrations into the mount or conduction of heat between the mount and other objects.
3-39
3.5.11
Camera Support Mounting Methods

The Ceiling Mount Camera Post, Ceiling Mount Load Plate, and expansion anchors are furnished by
Varian. The Ceiling Mount Load Plate is Contractor-installed. Install the Ceiling Mount Load Plate
in accordance with local code/regulations.
3.5.11.1
Figure 3-44 Ceiling Mount Load Plate Infrared Camera

6" x 6" x 3/4" (152 x 152 x 19)
Expansion Anchors
(1/2" x 5 1/2" L)
Torque to 40 ft. lbs. (54.23 Nm)
Figure 3-45 Ceiling Mount Load Plate Isometric

Note:
Do not install ceiling mount load plate closer than 3 1/4" (83) to a vertical surface. For
additional seismic mounting requirements, contact your Varian Regional Planner for
additional information.
3-40

3.5.11.2
Ceiling Mount Cantilever Extension Bar
When a suitable surface for the ceiling mount load plate cannot be obtained directly above the camera
location, a Cantilever Extension Bar can be used to achieve proper positioning.
Figure 3-46 Cantilever Extension Bar
Note:
3.5.12
Cantilever Extension Bars are available in 6" (152), 12" (305), and 18" (457) offset
options.
Console Crate:
42" x 30" x 86"(L x W x H)

(1067 x 762 x 2185)
kVue Table Crate:
80" x 30" x 12"

(2032 x 762 x 305)
System Crate:
48" x 48" x 48"

(1219 x 1219 x 1219)
Note:
Chapter 3
Figure 3-47 Camera with Cantilever

Extension Bar
Prior to installation, the Calypso components require approximately 50 square feet (4.5
square meters) of secure storage area.
3-41
OSMS Intracranial Radiosurgery Subsystem (Optional)
3.6

The Optical Surface Monitoring Solution (OSMS) System has three basic components:
3.6.1
OSMS Workstation
OSMS Optical System
Treatment Room Remote Terminal
OSMS Workstation
The OSMS Workstation includes a dedicated computer, KVM switch, monitor, keyboard, mouse, and
isolation transformer. These components are located at the control room console outside the treatment
room and require one 100-240V @ 50/60 Hz power receptacle.
3.6.2
Workstation PC 7"w x 20"h x 14"D (178 x 508 x 357), 25 lbs (11.4 kg)
Monitor Display 16"w x 16.5"h x 7.5"d (404 x 419 x 188), 8.5 lbs (3.83 kg)
KVM Switch 6.6"w x 1"h x 5"d (170 x 25 x 130), 1.3 lbs (0.6 kg)
600VA Isolation Transformer 7"w x 4"h x 10.5"d (170 x 95 x 270), 16.5 lbs (7.5 kg)
OSMS Optical System

The OSMS optical system includes a set of three cameras and a Power Supply Unit (PSU) that are
permanently mounted in the treatment room. The optical system is used to locate and continuously
monitor the position of the patient. Each camera is connected to the OSMS Workstation using a
Data BNC cable. The PSU requires one 100-240V @ 50/60 Hz switched power receptacle
(see Figure 3-50).
Power Supply Unit 9.5"w x 4.75"h x 7.75"D (241 x 121 x 197), 20 lbs (9.1 kg)
Figure 3-48 OSMS Camera
3-42
Figure 3-49 OSMS Power Supply Unit (PSU)
3.6.3
Treatment Room Remote Terminal

The Remote Terminal includes a KVM switch, monitor, keyboard, mouse, and isolation transformer.
These components are located in the treatment room (outside the primary beam path) and require one
100-240V @ 50/60 Hz power receptacle.
Chapter 3
KVM Switch 6.6"w x 1"h x 5"d (170 x 25 x 130), 1.3 lbs (0.6 kg)
300VA Isolation Transformer 6"w x 3.5"h x 9.5"d (150 x 85 x 240), 9.9 lbs (4.5 kg)
Monitor Display 16"w x 16.5"h x 7.5"d (404 x 419 x 188), 8.5 lbs (3.83 kg)
3-43
3.6.4
OSMS System Assembly

3.6.4.1

Provide one receptacle (100-240V @ 50/60Hz)
for the OSMS Workstation.
Provide one 3" (75)

conduit from the Control
Pull Box to the
Accessory Pull Box.
See Figure 3-2 Typical
Clinac Conduit Diagram
(Plan View)
Provide one receptacle

(100-240V @ 50/60 Hz)
for the Remote Terminal.
Provide a switched
receptacle (100-240V
@ 50/60 Hz) for the
OSMS PSU. Locate
within 3-0 (914) from
the PSU.
Locate the switch for the

OSMS PSU receptacle
so that it will not be
accidentally turned off.
A switch guard should
be considered if
installed in a gang of
switches.
Mount the PSU above
the false ceiling,
typically near the
Accessory pull box.
The total cable run to
each camera pod
should not exceed
30'-0 (10m) max.
For information on
the Accessory
pull box, see
Section 3.1.2.5.
Figure 3-50 OSMS System Conduit Diagram Typical Plan View
3-44
3.6.5
OSMS Camera Mounting Locations

The OSMS System includes three ceiling-mounted cameras, each attached to a Varian-furnished,
contractor-installed mounting plate and support post. For additional details, see Section 3.6.7.
See Sections 3.6.6 and 3.6.7

for more details on mounting
heights and clearances
Figure 3-51 OSMS Camera Mount Locations Plan View

Note:
Chapter 3
OSMS Cameras #1 and #2 should be mounted symmetrically for best results.
3-45
Figure 3-52 OSMS Camera Mount Locations Section View
3-46
3.6.6
Camera Elevation Heights and Clearances

A minimum clearance of at least 3/4" (20) between any surface of the ceiling mount and any other
object is recommended, see Figure 3-53.
For Mounting Post lengths

shorter than 14 5/8 (371)
or longer than 58 9/16
(1488), contact your
Varian Installation Project
Manager to order custom
mounting lengths at least
60 days prior to
installation.
Figure 3-53 OSMS Camera Typical Elevation
Chapter 3
3-47
3.6.7
Camera Support Mounting Methods

The Ceiling Mount Camera Post and Ceiling Mount Load Plate are furnished by Varian. The Ceiling
Mount Load Plate is Contractor-installed. Install the Ceiling Mount Load Plate in accordance with
local code/regulations using appropriately-sized anchors engineered to support a combined maximum
load of 30 lb. (13.6 kg.).
3.6.7.1
Figure 3-54 Ceiling Mount Load Plate OSMS Camera

Note:
3-48
Do not install ceiling mount load plate closer than 3 1/4" (83) to a vertical surface. For
additional seismic mounting requirements, contact your Varian Regional Planner for
additional information. The Ceiling Mount Load Plate should be mounted parallel or
perpendicular to the longitudinal axis line.
3.7
HVAC and Plumbing Requirements

Table 3-2 includes the ideal mechanical specifications. Individual site conditions may vary. For
complete specifications, see the specific subsections within HVAC and Plumbing Requirements.
Table 3-2 Ideal Mechanical Specifications
Coolant flow
65F. at 4 GPM (18C. at 15 LPM)
Glycol content of coolant
Not to exceed 50%
Compressed air
50 psi at 1 CFM (3.6 kg/cm2 at 1.7 m3/hr)
Room humidity
50% Relative Humidity, Non-condensing
Room temperature
70F (21C)
Maximum coolant heat load
25 kW (85,379 Btu/hr)
Nominal coolant load during

normal treatment cycles
(Clinac Operational States)
13.3 kW (45,422 Btu/hr)
3.7.1
Clinac Operational States

Use the following description of the Clinac operational states to determine the estimated utility load
based on normal treatment cycles:
Chapter 3
Standby A condition usually in effect on weekends and overnight with only minimal electrical
supplies operative, but with the water cooling system on.
No Mode A condition with no energy selected, all magnet and steering power supplies off, but
with the klystron solenoid power supplies operative. Approximately 42 minutes per hour.
Ready A condition with the Clinac ready to Beam-On. Approximately 6 minutes per hour.
Beam-On The full-duty condition in which all primary heat sources operate at their maximum
levels. Approximately 12 minutes per hour. The Beam-On State is maintained continuously for
one hour or more during physics and calibration use.
The estimated number of minutes per hour of each state is based on an average of six patients
treated per hour.
3-49
3.7.2
Clinac Coolant System

The typical incoming coolant temperature range is 50 deg. F. to 75 deg. F. (10 Deg. C. to 25 deg. C.).
The coolant system must be designed to eliminate the possible formation of condensation.
If lower temperature coolant is used, a psychrometric chart must be consulted to determine
the dew point in the facility. If the inlet coolant temperature is at or below this dew point,
Figure 3-55 Minimum Coolant Flow Requirements
3-50
Terminate cooling water supply and return lines in the rear wall
behind the stand with 1" (25) FNPT valves and plugs. Refer to
Section 3.11 for location details. The customer/ contractor will
make the final connection to the Clinac Stand using a Varian
provided hose kit during installation.
Provide shut-off valves on the supply and

return coolant lines in an accessible
location outside the treatment room.
Outline of the
Clinac Stand.
For cooling requirements and
specs, see Section 3.7.2.
Pressure reducing valve

located within the Clinac Stand
regulates the incoming external
coolant pressure.
Internal Clinac
coolant loop.
Provide a flow meter on the

supply or return line in an
accessible location near the
treatment room.
Heat exchanger
located in the
Clinac Stand.
Provide shut-off valves on the

supply and return coolant lines
in an accessible location
outside the treatment room.
The bypass shut-off valve is located

in the Clinac Stand. During
installation, this valve is closed for
one-pass coolant systems or opened
to provide constant flow for closedloop coolant systems. If a closed-loop
system design with domestic water
backup is selected, provide a means
to notify the user that the Clinac
bypass valve should be closed in the
event that the domestic water backup
system is used.
For information on determining the

estimated utility load, see Section 3.7
"HVAC and Plumbing Requirements."
The modulating temperature control

valve is located in the Clinac Stand.
This valve monitors the temperature
of the returning coolant in the Clinac's
internal coolant loop. It opens or
closes to control the flow of external
coolant through the Clinac's internal
heat exchanger in order to maintain
an internal coolant loop temperature
of 104 deg. F. (40 deg. C). This valve
may close completely during
minimum demand periods. If the
bypass loop shut-off valve is open,
the coolant is directed through the
bypass loop.
Figure 3-56 Coolant Diagram
Chapter 3
3-51

3.7.2.1
Dual Energy Clinac Coolant Requirements
The Dual Energy Clinac coolant heat load varies with the Operational State as outlined in Table 3-3.
Table 3-3 Dual Energy Clinac Coolant Requirements
Standby State coolant heat load
2 kW (6,830 Btu/hr)
No Mode State coolant heat load
10 kW (34,152 Btu/hr)
Ready State coolant heat load
12.5 kW (42,690 Btu/hr)
Beam-On State coolant heat load
25 kW (85,379 Btu/hr)
Normal treatment cycles (see Clinac Operational States on

page 3-49)
Requires heat dissipation into cooling water of

13.3 kW (45,422 Btu/hr)
Minimum operational heat load
2 kW (6,830 Btu/hr) 24 hour cooling required.
Maximum heat load (during Beam-On)
25 kW (85,379 Btu/hr)
Maximum overall input pressure, including normal back

pressure
100 PSIG (7 kg/cm2)
The pressure differential between the inlet and outlet fittings

at the Clinac Stand will be adjusted to between 10 PSI (0.7
kg/cm2) and 20 PSI (1.4 kg/cm2) while the Clinac is in the
Ready State.
The actual pressure drop through the Clinac under maximum
heat load conditions is 20 PSI (1.4 kg/cm2).
Periodic cooling water flow through the Clinac
0 GPM (with the internal bypass valve closed

only).
Average water temperature rise during Beam-On, Standby,

and Ready States (w/closed bypass valve)
27 deg. F. (15 deg. C.)
3-52

3.7.2.2
Coolant Specifications
The cooling water requirement can be satisfied with a Closed-Loop system or a One-Pass system.
Although most water and sanitary districts restrict the use of one-pass cooling, it can generally be used
for backup. If a closed-loop system is used, provide a one-pass system for backup.
Table 3-4 Coolant Specifications for External and Internal Water Sources
External Coolant
One-Pass: City Water
External Coolant
Closed-Loop: Facility Water
Water Sourcesa b
Direct water from the domestic city

water supply. Water is disposed in a
waste drain after it exits the machine.
Direct chilled/cold water from Hospital

closed loop system or chiller system
dedicated to machine
Base Water Qualityc
Clean, Clear (non-turbid) water.

Disinfected, Potable grade surface
water, Aquifer, or Well water.
Clean, Clear (non-turbid) industrial

water, Appropriately treated with nitrite,
Mo, silicate, borate, or other suitable
corrosion inhibitor.
Pathogens (cfu/ml)
Nil
Nil
Heterotrophic plate
count (HPC) (cfu/ml)
<100
<100
pH
7.0-9.0
7.5-10.0
Electrical conductivity
(S/cm)
>250
>2000d
Total dissolved solids

(Mg/L)
>160
>1300d
Total chlorides
(mg/L as Cl)
>50
>150
Total hardness
(mg/L as CaCO3)
>75e
>150e
a.
b.
c.
d.
e.
City Water is intended solely as a backup supply and is not recommended for permanent use as the external
coolant source.
Facility Water is preferred for permanent use as the external coolant source.
Experience has shown that some local potable water supplies have caused excessive corrosion and frequent replacement
of the internal heat exchanger.
Facility Water has higher conductivity and total dissolved solids limits because added corrosion inhibitors would raise
these control measures. In a small percentage of systems, the conductivity could be lower based on the type of corrosion
inhibitor used.
For systems where soft water or purified water is used for makeup, lower total hardness is acceptable if there is
sufficient corrosion inhibitor in the system.
Chapter 3
3-53
When glycol is added to external facility water, propylene glycol is preferred (due to its better
environmental safety record compared to other glycols) at a strength not to exceed 50% by
volume (v/v).
External water (from city or facility) will require secondary disinfection (i.e. in addition to any
bleach/chlorine/chloramine reserve present) to avoid biofilm formation in the machines heat
exchanger. Seek advice from a water treatment professional.
Note:
3.7.3
The water coolant specification in this section does not apply to the Accelerators
internal coolant water loop. Only qualified operators or service personnel should refer
to the appropriate Varian maintenance/service manual or contact the Varian Help Desk
at 1-(888)-Varian5 (827-4265) for the internal coolant water quality specifications.
Compressed Air System

Compressed air is required for the High Energy Clinac. Provide instrument quality, dry compressed
air per ISA-7.0.01-1996, with a maximum particle size of 5 m. If an existing system is not available,
provide a dedicated system. Provide a minimum of 1 cubic foot per minute (CFM) at 50 PSIG
(1.7 m3/hr. at 3.6 kg/cm2). A 10 gallon (38 liter) tank capacity is adequate.
Terminate 1/2" compressed air line at the Baseframe pit with 1/2" female NPT ball valve.
(See Figure 3-57 and Figure 3-58 for termination location.) Final connection from valve in Baseframe
pit to valve in Clinac Stand will be installed by Customer/contractor using Varian provided hose kit
during Clinac installation.
3.7.4
Environmental Specifications
Humidity range 15% to 80% Relative Humidity, Non-condensing
Room temperature range 60 to 80F (16 to 27C)
3.7.4.1
Ventilation
Clinacs will produce detectable levels of ozone under certain conditions. Four to six air changes per
hour are normally required to maintain undetectable levels, depending on the size of the vault and air
circulation efficiency. Ventilation required to remove the heat dissipated to the vault air normally
accomplishes this. The ventilation system should use fresh-air as part of its design. Treatments should
not be performed if the ventilation system is not in operation. Long irradiation's at high dose rates,
such as those performed for physics measurements, should be followed by airing out the vault. It is
important to provide positive air pressure in the Clinac vault to hold swing-type doors closed.
3-54
Provide ventilation sufficient for removal of equipment air heat load as follows:
3.7.5
Clinac Vault
5.0 kW (17,060 Btu/hr) at Clinac Stand/Gantry during Ready and Beam-On States
1.5 kW (5,119 Btu/hr) at Clinac Stand/Gantry during No Mode State
1.0 kW (3,413 Btu/hr) at Clinac Stand/Gantry during Standby State
3.0 kW (10,239 Btu/hr) at Modulator Cabinet during Beam-On States
0.5 kW (1,707 Btu/hr) at Modulator Cabinet during other States
Clinac Control Console Area
1.0 kW (3,415 Btu/hr) at Clinac Electronics Cabinet
0.72 kW (2,459 Btu/hr) at Control Console Cabinet
0.5 kW (1,707 Btu/hr) at Optional ARIA Workstation
Plumbing
A sink with running hot and cold water is highly recommended in Clinac vaults. Appropriate codes
should be followed regarding paddle or foot controls and type of faucet. A hose spigot is necessary to
fill the water phantom and a drain is necessary to service the Clinacs internal cooling system and
drain the water phantom. Floor drains and floor sinks should not be located in the vault to avoid
possible backup into the equipment floor recesses. Do not run water lines directly above the Clinac
components or control console.
3.7.6
Fire Protection
Sprinklers inside the treatment room are discouraged. Their discharge or inadvertent leakage into the
Couch pit or into the Stand generate expensive repairs with extended shut-downs. Some jurisdictions
allow substitution of Type I construction for fire protection. Detectors are strongly recommended and
normally adequate if a type C fire extinguisher is available in the treatment room. Heat detectors or
photo-electric smoke detectors are preferred because ionization-type detectors can, under certain
circumstances, give false alarms. If fire sprinklers are required by local authorities, sprinkler heads
should not be located above the equipment. A system valved and controlled by the smoke detector
(dry pre-action) can be incorporated so that sprinklers are wet only upon specific need. Semi- or fully
recessed, high temperature heads are recommended in wet systems. The safety of non-ambulatory
patients should be reviewed if a chemical system is considered. Verify all regional regulatory code
requirements.
Chapter 3
3-55
Shielding
3.8
Shielding
For detailed information on shielding data, see Typical Room Shielding Tables on page 2-1.
WARNING:
3.8.1
3-56
Varian Medical Systems shall have no approval or other responsibility for any
matter affecting or related to the adequacy of the radiation protection walls and
barriers or related safety devices. All radiation shielding designs must meet codes
and regulations of all Authorities Having Jurisdiction (AHJ) and must be
approved by the Customer's or Facility's Physicist of Record and shall be the sole
responsibility of the Customer/Facility. The hours of operation, patient workload,
accelerator energy, and the shielding materials should all be taken in to
consideration when calculating shielding requirements. Serious injury or Death
can result from improper radiation shielding
Radiation Shielding Details
Treatment room shielding is required for the protection of therapists and others while the Linear
Accelerator has the beam on. Linear Accelerator shielding is provided by either poured-in-place
concrete alone (low or dual x-ray energy), lead/steel plates alone (low x-ray energy only), or a
prescribed combination of both (low or dual x-ray energy).
The amount and type of shielding on treatment room entrance doors have varying requirements
based on the presence and length of the maze, and the energy of the Linear Accelerator.
Generally, low energy accelerators will require wood doors with a lead core and manual
operation. High Energy accelerators usually require steel doors with a lead and borated
polyethylene core and motorized operation. Exact accelerator door shielding requirements are
dependent on maze and shielding configuration. See typical minimum suggested door shielding.
Accelerator neutron leakage calculations down the maze follow the general guidelines of NCRP
Report 79. A Varian monograph titled: Neutron Doors for High Energy Accelerators, is
available on request. As these doors do not have latching mechanisms, room air pressure must be
positive relative to the department. Typically, shielded doors must be exempted where fire code
labeling is required.
To reduce radiation exposure outside room, air handling ducts should enter/exit the room through
penetration(s) above the maze door. The ducts should be placed as high as possible in order to
minimize radiation exposure to occupied space. The ducts should be designed to minimize the
area of penetration through the wall. In most cases, duct shielding will not be required, provided
the duct design conforms to this criteria. Clear space should be left around the duct (outside the
treatment room) for shielding retrofit, in case the post installation radiation survey indicates a
requirement. Penetration, including ducts, directly into the treatment room should be avoided. For
no-maze treatment rooms, duct design and shielding must be addressed by the Physicist of
Record.
Provide adequate radiation shielding (usually lead or steel with a 1" (25) margin) behind all
junction and pull boxes recessed in concrete walls. Verify thickness and location with the
Physicist of Record.
3.8.2
Shielding
Steel or lead shielding at Linear Accelerator rooms may be embedded in or mounted on the inside
surface of concrete walls and ceiling. Additional structural reinforcement may be required.
Neutron shielding must be carefully analyzed by the Physicist of Record when lead or steel is to
be located on primary or secondary barriers on installations with photon energies higher than 10
MV.
Linear Accelerator shielding calculations follow the general guidelines of NCRP Reports 49 and
51. The TVL of leakage x-rays have been modified based on the report of W.R. Nelson and P.D.
LaRiviere: Primary and leakage Radiation Calculations at 6, 10 and 25 MeV, Health Physics,
38811 (1984). Copies are available on request.
The shielding table suggestions are based on calculations using NCRP report 151 methodology
and measured data. Distances of point of interest from isocenter are taken from Varians Typical
Room Configuration (see Figure 2-2 on page 2-7). The room dimensions are based on machine
clearance. This would translate into a distance of 10 feet from the isocenter to the nearest inner
wall surface of the primary barrier.
Radiation Shielding Calculation Assumptions
The primary beam use factor is defined as 25%.
The occupancy is defined as either 100% or 10%.
The weekly dose limit is defined as 20 Sv/week (2 mrem/week).
The workload for standard procedures is defined as 75000 rads/week with 0% IMRT procedures when
using the system for 10 hours per day, five days per week, six patients treated per hour at 250 rads per
session.
W = 75,000 rads per week for primary walls.
W = 75,000 rads per week for secondary walls.
The workload for standard procedures with 50% IMRT procedures and a modulation factor of F=3.
W = 75,000 rads per week for primary walls.
W = 150,000 rads per week for secondary walls.
The workload for SRS procedures in utilizing the High Intensity Mode (HIM) (dose rates > 1000
MU/min) is defined as 200,000 rads/week with 20% IMRT procedures and a modulation factor of
F=3. The assumed system usage is 10 hours per day, five days per week, two treatments per hour at
2000 rads per treatment, typical expected, average six sessions per day.
Chapter 3
W = 200,000 rads per week for the primary walls.
W = 280,000 rads per week for the secondary walls.
3-57
Shielding

The dose output in the HIM is assumed to be 1400 rads/min for the 6MV and 2400 rads/min
for 10MV.
3.8.3
Except where specifically noted, radiation leakage in non-controlled areas shall not exceed
20 Sv/week (2 mrem/week), assuming 100% occupancy beyond the shielding barriers (per
NCRP Report 91 Recommendations of Limits for Exposure to Ionizing Radiation).
Most treatment rooms are entered through a maze. This hallway is designed to reduce radiation
levels at the entrance door. The length of the maze and the occupancy outside the entrance door
affects the amount of shielding required in the door. No-maze doors are available from several
shielding manufacturers. The use of these doors must be reviewed by the Physicist of Record
early in the design process.
Supplement No. 11 (1972) and Supplement No. 17 (1983) of the British Journal of Radiology
describes two different conventions for referencing the quality of an x-ray radiotherapy beam.
The convention presented in Supplement No. 11 has been adopted for this sheet.
The typical room shielding tables information is provided to assist early treatment room design.
The Physicist of Record for the project should become involved with the treatment room design
as early as possible. With regard to facility shielding, the Physicist of Record is responsible for
designing the treatment room radiation shield barriers and confirming they meet applicable
regulatory requirements. The facility design is based on regulatory requirements of the regulatory
body tasked with oversight of Radiation Producing Devices in the Region, and recommendations
of the national Council of Radiation Protection and Measurement (NCRP).
Other Shielding Information

During Schematic Development for a High Energy Clinac and associated video monitors,
consideration should be taken of the proximity to Magnetic Resonance Imaging (MRI) units or other
magnetic field generating equipment. According to MRI manufacturers, linear accelerators and
simulators should be located outside of the 100 T (1 Gauss) magnetic field created by the MRI.
A map of the magnetic field emanating from the particular MRI unit can be obtained from the
manufacturer of the MRI unit.
3-58
3.9
Baseframe Pit and Installation

Terminate cooling water supply and return lines on the rear wall
behind the Stand with 1" (25) female NPT valves and plugs.
Terminate the compressed air line on the rear wall behind the Stand
with 1/2" (13) female NPT valves and plugs.
Verification of appropriate utility and cable

access is the responsibility of the Customer.
Selection of the appropriate cable access
method is determined by site-specific
conditions and Customer preference. The
standard side access conduit details are
appropriate for the majority of installations,
those with sub-floor clearances of at least 24
(610). Alternate bottom access conduit details
are included for installations with sub-floor
clearances of at least 39 (991). Alternate duct
access details are included for installations with
minimal sub-floor clearance. All conduits or
cable ducts must be fully sealed and protected
to keep them clean and dry.
Refer to Section 3.10 the BaseFrame Cooling Line Access Details

for termination location. The customer/ contractor will make the final
connection to the valves in HE Clinac Stand using the Varian
Line of Baseframe pit
Verify slab, subgrade and moisture protection

requirements. All exposed concrete shall be suitably
sealed before the Base Frame arrives on site. Pit
depth shall not vary more than 1/4" (6).
Isocenter - This is the primary reference point for Varian equipment. Show the
isocenter location clearly on all relevant drawings. Maintain the isocenter location
on site by extending perpendicular axis lines along slab and up walls in all four
directions. The standard isocenter height for the HE Clinac is 4'-3" (1295).
Figure 3-57 Clinac Baseframe Pit Dimensions

Note:
The installed weight of the High Energy Accelerator is approx. 26,530 lbs. (12,034 kg)
Baseframe 2,260 lb. (1,025 kg.)
Treatment Couch 1,600 lb. (726 kg.)
Combined Stand/Gantry 22,670 lb. (10,283 kg.)
The design of the Baseframe Pit for this load should be reviewed by a Structural
Engineer.
Chapter 3
3-59

WARNING:
In all seismically active locations, the design of the Baseframe Pit for this load, and its
anchorage, should be approved by a licensed Structural Engineer. During a seismic
event, serious injury or loss of life may result from a substandard design.
Terminate cooling water supply and

return lines on the rear wall behind
the Stand with 1" (25) female NPT
valves and plugs.
Line of the shielding barrier
Terminate the compressed air line

on the rear wall behind the Stand
with 1/2" (13) female NPT valves
and plugs.
For side conduit access situations, provide a

Baseframe pull box measuring 12 x 24 x 10
total depth (300 x 600 x 250). Top access is
required. As no connections are made at this
location, many regulatory agencies do not
require a top box. If a top pull box is not used,
keep this area free of grout.
Refer to Section 3.10 the

BaseFrame Cooling Line Access
Details for termination location. The
customer/ contractor will make the
final connection to the valves in
HE Clinac Stand using the Varian
High Energy Clinac

VEO Base Frame
The floor shall be level with

the top of the Treatment
Couch bearing mount to
within 1/8" (3) for 6'-0"
(1829) radius about
isocenter.

walls in all four directions. The standard isocenter height
for the HE Clinac is 4'-3" (1295).
A steel frame is used to anchor the Clinac Stand,

Gantry and Couch to the facility. The frame is set
in a recessed equipment pit, leveled (by Varian),
and held in place with grout. Base Frames are
positively anchored to the slab to avoid floating
during grout placement. Verify anchorage details
with your Installation Project Manager office.
Varian information regarding pit design assumes a
ground floor installation. Upper floor installations
require a thorough review by a qualified structural
engineer. In typical installations, Base Frames for
Clinacs are not positively anchored sufficiently to
accommodate seismic loads. All seismic anchoring
is by the Customer. Sample seismic calculations
and details of the preferred anchoring methods for
Clinacs are available from the Planning
Department.
The Base Frame shall be ordered at least three
weeks prior to the required delivery date. Contact
the Varian Installation Project Manager to
schedule delivery.
Figure 3-58 Clinac Baseframe Installed
3-60
Line of the shielding barrier
Terminate cooling water supply and

return lines on the rear wall behind the
Stand with 1" (25) female NPT valves
and plugs.
Terminate the compressed air line on
the rear wall behind the Stand with
1/2" (13) female NPT valves and plugs.
The Couch Turntable Assembly

and Stand mounting pads shall
be free of grout.
Refer to Section 3.10 the BaseFrame

Cooling Line Access Details for
termination location. Thecustomer/
contractor will make the final
connection to the valves in HE Clinac
Stand using the Varian provided hose
kit during installation.
After Base Frame is in place and

leveled, fill recess with grout
(by Customer). For standard grout,
provide a minimum seven days cure
time prior to Equipment installation.
Use normal weight grout 28 day strength of 2000 lb./sq. in
(141 kg/sq. cm), 6" (152) to
7" (178) slump, 3/8" (10) maximum
pea gravel aggregate size.
The floor shall be level with

the top of the Treatment
Couchbearing mount to
within 1/8" (3) for 6'-0"
(1829) radius about
isocenter.

walls in all four directions. The standard isocenter height for
the HE Clinac is 4'-3" (1295).
Figure 3-59 Grout After Baseframe Installation
Chapter 3
3-61
Line of shielding barrier
High Energy
Stand & Gantry
Exact Treatment Couch
For information on flooring

requirements, see Section 5.4
Carpeting and Flooring
Requirements.

for the HE Clinac is 4-3 (1295).
Figure 3-60 Clinac Installed on Baseframe
3-62
3.10
Baseframe Cable Access Details

Hold down anchor bolts are installed by
Varian during the BaseFrame installation.
These bolts are used exclusively to avoid
movement of the frame during grouting.
They are not seismic attachment anchors.
Outline at the HE Clinac

Stand
Provide adequate clearance for

typical conduit radius of six times the
diameter. Conduit bends shall not
exceed 270 degrees per cable run.
Rear concrete
Provide adequate
reinforcing steel in slab
The Couch Turntable

Assembly and Stand
mounting pads shall
be free of grout
For side conduit access situations,

provide a Baseframe pull box
measuring 12 x 24 x 10 total
depth (300 x 600 x 250). Top
access is required. As no
connections are made at this
location, many regulatory agencies
do not require a top box. If a pull
box is not used, keep this area
free of grout.

Provide two 2" (50) and

one 1" (25) conduits for
the Varian provided hose
kit, the maximum length
for each conduit is 86"
(2185) with a minimum
bend radius of 12" (305),
see Section 3.10 for
detailed information.
High Energy Clinac

VEO Base Frame
Isocenter to
centerline
of pull box
dimension
A steel frame is used to anchor the Clinac Stand, Gantry and Couch
to the facility. The frame is set in a recessed equipment pit, leveled
(by Varian), and held in place with grout. Baseframes are positively
anchored to the slab to avoid floating during grout placement. Verify
anchorage details with your Installation Project Manager office.
Varian information regarding pit design assumes a ground floor
installation. Upper floor installations require a thorough review by a
qualified structural engineer. In typical installations, Baseframes for
Clinacs are not positively anchored sufficiently to accommodate
seismic loads. All seismic anchoring is by the Customer. Sample
seismic calculations and details of the preferred anchoring methods
for Clinacs are available from the Planning Department.
Verification of appropriate utility and cable access is the

responsibility of the Customer. Selection of the appropriate
cable access method is determined by site-specific conditions
and Customer preference. The standard side access conduit
details are appropriate for the majority of installations, those
with sub-floor clearances of at least 24 (610). Alternate
bottom access conduit details are included for installations
with subfloor clearances of at least 39 (991). Alternate duct
access details are included for installations with minimal
sub-floor clearance. All conduits or cable ducts must be fully
sealed and protected to keep them clean and dry.
Figure 3-61 Standard Side Cable Access Plan and Section at Pull Box
Chapter 3
3-63


Stand
Provide adequate clearance for

typical conduit radius of six times the
diameter. Conduit bends shall not
exceed 270 degrees per cable run.
Rear concrete
Provide adequate
For bottom conduit access situations,
provide a BaseFrame pull box
measuring 12 x 24 x 10 total depth
(300 x 600 x 250). Top access is
required. As no connections are made
at this location, many regulatory
agencies do not require a pull box,
keep this area free of grout.


The Couch Turntable Assembly and Stand

mounting pads shall be free of grout.
High Energy Clinac

VEO Base Frame
Isocenter to
centerline
of pull box
dimension

Figure 3-62 Alternate Bottom Cable Access Plan and Section at Pull Box
3-64


Stand
Rear concrete
Provide adequate
The Couch Turntable

Assembly and Stand
mounting pads shall
be free of grout
For recessed floor duct access situations, provide

a minimum 18" x 3" deep (450 x 75) floor duct with
two partitions at the rear of the BaseFrame.
Cable duct shall be installed and grounded per
applicable electrical codes. Use standard, load
bearing cable duct with removable cover.

This area shall be free of grout
High Energy Clinac

VEO Base Frame

Figure 3-63 Alternate Recessed Floor Duct Cable Access Plan and Section at Pull Box
Chapter 3
3-65
BaseFrame Cooling Line Access Details
3.11
BaseFrame Cooling Line Access Details
Customer provided
compressed air line and
cooling water lines (Supply
and Return)
Isocenter
The maximum distance from
the end of conduit to the NPT
valves is 30" (762)
Customer provided
access panel
Line of BaseFrame pit

Provide two 2" (50) and one 1" (25)
conduits for the Varian provided
hose kit, the maximum length for
each conduit is 86" (2185)
Line of
Baseframe pit

Provide adequate clearance
for typical conduit radius of
six times the diameter.
Conduit bends shall not
exceed 270 degrees per
conduit run.
52 VEO
BaseFrame
Terminate cooling water

supply and return lines on the
rear wall behind the Stand
with 1" (25) female NPT
valves and plugs.
Outline at the
HE Clinac Stand
Terminate the compressed air

line on the rear wall behind
the Stand with 1/2" (13)
female NPT valves and plugs.
The customer/contractor will
make the final connection to
the valves in HE Clinac Stand
using the Varian provided
hose kit during installation.
Figure 3-64 Typical Cooling Line Access Plan

Note:
3-66
Install the three conduit sleeves for the Varian provided hose kit after the BaseFrame
is installed (before grout). The conduits must rest against the rear of the BaseFrame at
the specified location.
3.12
Clinac In-Room Monitor
3.12.1
Equipment Layout/Clearances
The In-Room Monitor should be located where the operator can observe it without turning away from
either the machine or patient on the couch. The monitor provides information during patient setup and
it is unsafe to turn away from the patient while the machine is moving and the patient is on the couch.
The In-Room Monitor may be mounted on a wall, ceiling, or shelf.
CAUTION:
Do not locate the In-Room Monitor in the primary beam path.
The wall-mounted In-Room Monitor is standard with the Clinac. The wall mount and monitor bracket
are provided by Varian and shipped with the system. The wall mount support backing is installed by
the Contractor. The wall mount is installed by the Contractor. Contact Varian's Planning Department
for additional information on monitor bracket information.
3.12.2
Component Anchorage Brackets

If equipment is to be anchored to a wall or ceiling, provide structural backing and support (by
Customer/Contractor). Install per bracket manufacturer's instructions. Verify mounting height with
local codes. A wall mounting bracket is provided by Varian. Ceiling mounting or cabinet mounting
is provided by Customer/Contractor. Contact your local audio/video supplier for information on
ceiling-mounted monitor brackets.
3.12.3
Dedicated Ground Wires In-Room Monitor

The Contractor shall install one (1) 18 AWG (1.0 mm2) Ground or Earthing wires from the In-Room
Monitor signal box to the Control Equipment Pull Box using the existing 2" (50) conduit. The wire
color shall be green with yellow stripe. Each wire shall be terminated with #6 (M3.5) ring terminals,
one end of which shall be affixed to the Accessory Pull Box ground stud. The contractor shall leave
excess wire at the In Room Monitor signal box to reach a point 7'-0" (2134) above finished floor.
Chapter 3
3-67
Attach the 100mm VESA adapter plate to the arm.
A wall track anchored to backing plate

or wall studs.
Cable channel with supplied covers (cut to fit).
Figure 3-65 Clinac In-Room Monitor Wall Mount
3-68
Provide a signal pull box for the In-Room Monitor.

This is a standard computer signal cable outlet. If
the signal cables are to be recessed, provide a signal
outlet and conduits from the in-room monitor to the
Control Equipment console.
Provide one 2" (50) conduit between the pull box at
In-Room Monitor and the pull box at Control Console.
Depending on the configuration, up to four cables may
need to be pulled through this conduit. The length of
this cable run shall not exceed 75 feet (22,860).
Provide an electrical power receptacle at the
In-Room Monitor.
This is the line of the shielding barrier.
For information on component anchorage

brackets, see section 3.9.2.
This is the line of the

suspended ceiling.
In-Room Monitor
For information on equipment layout/

clearances, see section 3.9.1.
In-Room
Monitor
For information on component

anchorage brackets, see
section 3.9.2.

height above the finish
floor.

floor.
For information on
component anchorage
brackets, see
section 3.9.2.

floor.
At locations where access to the In-Room Monitor
is difficult, a switch may be installed in the room to
control the power receptacle.
For information on
component anchorage
brackets, see
section 3.9.2.
This is the line of the
finish floor.
Elevation
Optional Ceiling Mount
Elevation
Standard Wall Mount
Provide a signal pull box for the In-Room Monitor.

This is a standard computer signal cable outlet. If
the signal cables are to be recessed, provide a signal
outlet and conduits from the in-room monitor to the
Control Equipment console.
18" WIDE X 24" LONG

(457 X 610)
BACKING PLATE
Provide one 2" (50) conduit between the pull box at In-Room
Monitor and the pull box at Control Console. Depending on
the configuration, up to four cables may need to be pulled
through this conduit. The length of this cable run shall not
16"
(406)
WALL STUDS
This is the line of the shielding barrier.

concrete. Recommended face of concrete
dimensions assume up to 6" (152) of wall furring.
For information on component anchorage

brackets, see section 3.9.2.
In-Room Monitor
Provide an electrical power receptacle

at the In-Room Monitor.
For information on equipment layout/

clearances, see section 3.9.1.
DO NOT SCALE
HE038-0
Figure 3-66 Typical Plan
Chapter 3
3-69
Patient Positioning Lasers
3.13

Varies per manufacturer.
The beam port center line is

the primary reference point
for laser location.
Varies per manufacturer.
The patient's position on the Couch is fixed by body markings

that are aligned with "cross hairs" cast by the laser lights. Two
wall laser positioning lights at isocenter height, a ceiling laser
and the sagittal laser are powered by a common circuit
controlled via the user interface in the Control Room or Couch
Pendant or Couch Side Panels, through a relay. Lasers are
usually distributed and installed, at the Customer's option, by
Varian. The Customer is responsible for verification of laser
types and mounting configurations.
Figure 3-67 Laser Positioning Light
3-70
A 1/4" x 16" x 25" (6 x 406 x 635)

mild steel plate is required for
mounting the laser.
Expansion anchors are typically used to
anchor the steel laser mounting plate to
the concrete structure. Provide
minimum 1/4" (6) clearance between
the mounting plate and the concrete
using washers. The steel laser
mounting plate must be installed level
and plumb in both planes.
Additional radiation shielding may

be required, typically lead or
steel, if the laser is recessed into
the concrete wall. The thickness
may vary depending on depth of
the recess, verify with the
Physicist of Record.
The power to lasers is typically

supplied by a grounded power
receptacle at each laser
location. A 3'-0" (914) power
cord is provided with each
laser. The receptacles are
controlled through the Relay
Junction Box as defined by the
Interconnection Wiring
Diagram (see Figure 4-2).
The beam port center line
is the primary reference
point for laser location.
Decorative/protective laser recess cover

(by Customer) must allow full access to
recess. Do not allow the cover to contact
the laser when closed. Locate and drill
laser beam hole in cover after laser has
been installed.
Figure 3-68 Standard Laser Mounting Details (Recessed in Wall) Plan View
Chapter 3
3-71
Wall furring shall not overlap steel

plate. Steel plate minimum dimensions
exceed laser dimensions to allow for
adjustment during installation.
The beam port center line is the primary
reference point for laser location.
Do not mount lasers on sheet rock,

drywall or suspended ceilings. Secure
directly to rigid structure. Varian
strongly recommends that a steel plate
be provided for installation onto
concrete walls. Without rigidly mounted
steel plate backing for lasers, stable
isocenter positioning cannot be
guaranteed. The differential movement
between the laser location and the
isocenter shall not exceed 1mm. Do not
mount lasers until isocenter has been
established. Lasers may be installed
"upside down" (with the beam port
nearest the bottom of laser) or
sideways at locations with
obstructions below laser. If the lasers
are provided by Varian, the laser
mounting will be done by Varian.
Otherwise the laser mounting is to be
done by the Customer.

for High Energy Clinac is 4'-3" (1295).
The sagittal laser positioning light is located
on the wall at the end of the longitudinal
couch
axis. Unlike the side lasers, which are at
isocenter height, the sagittal laser is typically
mounted at a height of 7'-6" (2286) above
the floor.
The two side laser positioning lights are
located on the side walls at isocenter height
Wall furring shall not

overlap steel plate. Steel
plate minimum dimensions
exceed laser dimensions to
allow for adjustment during
installation.
A 1/4" x 16" x 25" (6 x 406 x 635) mild

steel plate is required for mounting the
laser.
The power to lasers is typically supplied by

a grounded power receptacle at each laser
location. A 3'-0" (914) power cord is
provided with each laser. The receptacles
are controlled through the Relay Junction
Box as defined by the Interconnection
Wiring Diagram (see Figure 4-2).
Figure 3-69 Standard Laser Mounting Details (Recessed in Wall) Elevation View
3-72
Expansion shields are typically

used to anchor the steel laser
mounting plate to the concrete
structure. Provide minimum 1/4"
(6) clearance between the
mounting plate and the concrete
using washers. The steel laser
mounting plate must be installed
level and plumb in both planes.
Additional radiation shielding may

be required, typically lead or steel,
if the laser is recessed into the
concrete wall. The thickness may
vary depending on depth of the
recess, verify with the Physicist of
Record.
The beam port center line is the

primary reference point for laser
location.
A 1/4" x 16" x 25" (6 x 406 x 635)

mounting the laser.
Decorative/protective laser
recess cover (by Customer)
must allow full access to recess.
Do not allow the cover to
contact the laser when closed.
Locate and drill laser beam hole
in cover after laser has been
installed.

receptacle at each laser location.
A 3'-0" (914) power cord is
provided with each laser. The
receptacles are controlled
through the Relay Junction Box
as defined by the Interconnection
Figure 3-70 Standard Laser Mounting Details (Recessed in Wall) Section View
Chapter 3
3-73
Securely anchor the ceiling laser

support structure to the rigid
structure above.
Verify appropriate code for

enclosure requirements.
Provide 3" (76)

clearance from the
bottom of the overhead
laser to the ceiling to
permit access.
Provide Unistrut or similar rigid

box frame where dimensions
exceed 2'-0" (610). Surface
mount laser on steel plate where
ceiling to concrete distance is
less than 2'-0" (610).
Exposed grid ceilings allow for
access to the overhead laser and
relay junction box without
the use of access doors. Major
service at the equipment Stand is
simplified where there are
removable ceiling tiles.
Coordinate the layout of ceiling
tile to insure that ceiling support
system shall not interfere with
overhead laser positioning
light beam port.
The beam port center line is

the primary reference point for
laser location.
The overhead laser positioning
light is located directly over the
isocenter.
A 1/4" x 16" x 25" (6 x 406 x 635)
mounting the laser.
DO NOT SCALE
HE135-0

receptacle at each laser
location. A 3'-0" (914) power cord
is provided with each laser. The
receptacles are controlled
through the Relay Junction Box
as defined by the Interconnection
Mount the 120v power receptacle
on the vertical surface of the
enclosure.
Elevation
Figure 3-71 Ceiling Mount Detail
3-74
Chapter 4
Electrical Requirements
Table 4-1 Recommended Power Specification Summary
Component
aClinac
On-Board Imager (OBI)
Console
Voltage
Amperage
Phase
60 Hz
208V
150A
3-phase + 4 AWG (Min.) Ground
50 Hz
400V
80A
3-phase + 4 AWG Neutral + Ground
480V
60A
3-phase + 6 AWG (Min.) Ground
60 Hz
120V
20A
1-phase + Ground (Parity)
50 Hz
240V
15A
a. These feeds can be supplied simultaneously by a Transtector brand Dual Output power conditioning unit
or equivalent.
4.1
General Electrical Specifications
4.1.1
Wiring and Components

The Customer shall provide all wiring and components shown on the left side of the reference lines
in Figure 4-2, Interconnection Wiring Diagram. This includes the GEXPRO relay junction box #
Varian24VRJB (see Relay Junction Box Varian VRJB-C3 on page 4-21). The terminal blocks
TB4-customer interlocks and TB5-customer power connections accept 14 AWG or smaller wire.
The terminal blocks TB1 in the modulator and Fuse Block FB1 in the Clinac stand accept 2/0 AWG
or smaller wire. Emergency OFF control wiring for the Clinac circuit breaker (see Clinac Main
Circuit Breaker Panel (with Battery Backup) 2100CBB Series on page 4-9) and OBI circuit breaker
(see OBI Circuit Breaker Panel on page 4-12) shall be 14 AWG. Label the customer-supplied
wiring per terminal block connection.
The Varian-provided control interconnect cables are not shown in Figure 4-2, Interconnection Wiring
Diagram.
4.1.2
Lighting and Accessories Circuits

Provide 120 VAC (typical 60Hz) or 240 VAC (typical 50Hz) 20 amps maximum power for lighting,
laser positioning lights, and warning lights to the Relay Junction Box, as discussed in Section 4.1.1,
Wiring and Components. 277 VAC lighting is acceptable but will require that the remaining items be
on a separate circuit. Lighting, lasers, warning lights, and in-room monitors may each be on separate
circuits.
4-1
4.1.3
Electrical Connections
The Customer shall (under Varian supervision):
4.1.4
Route all system power from an isolated power source through the Main Circuit Breaker Panel.
Ensure that rough-in for conductors for listed items includes 12'-0" (3658) left coiled in pull box.
Supply and connect phase, ground, and neutral power supply wires.
Supply and connect wiring at the Relay Junction Box for Under Voltage Relay, Beam-On Lights,
Door Interlocks, Emergency-Off Switches, Positioning Laser Relay and Room Lights Relay.
Make all power and UVR connections to the Modulator per Figure 4-2, Interconnection Wiring
Diagram.
Review connections and equipment function with the Varian Installer.
Bundle all wiring in conduits shared by Varian cables.
Pull Varian-supplied Clinac control cables as specified by the Varian Project Manager.
Dedicated Grounding Requirements

The High Energy accelerator requires three Ground or Earthing circuits, as shown in Figure 4-1,
Ground/Earthing Conductor Diagram.
The first circuit is part of the main power supply and provides grounding for the High Energy
Accelerators Modulator. The minimum size of the copper wire ground conductor shall be a minimum of
#4 AWG (22mm2). Ground conductors shall be installed from the Modulator to the Clinac Main Circuit
Breaker Panel (MCBP) and from the MCBP to the facility's main ground through the Hospital Grid
System.
The second circuit is part of the main power supply and provides grounding for the High Energy
Accelerators Stand and Gantry. The minimum size of the copper wire ground conductor shall be a
minimum of #6 AWG (16mm2). Ground conductors shall be installed from Stand to the On-Board
Imager Circuit Breaker Panel (OBI CBP) and from the OBI CBP to the facility's main ground through
the Hospital Grid System.
CAUTION:
The equipment is sensitive to electrolysis from water pipe grounding. Do not use water
supply piping for ground.
The third grounding circuit is for wall and ceiling mounted High Energy Accelerators subsystems
located at or below 8'-2 1/2" (2500) above finished floor (AFF). The Contractor shall install a Ground
or Earthing wire from each of the subsystems listed below to the Grounding Stud in the Control
Equipment Pull Box and from there to the facilitys main ground, as noted above. See Figure 4-1,
Ground/Earthing Conductor Diagram.
See the following information for additional details.
Control Equipment Pull Box See also Section 3.1.2.1, Control Equipment Pull Box.
Accessory Pull Box See also Section 3.1.2.5, Accessory Pull Box.
Clinac In-Room Monitor See also Section 3.12.3, Dedicated Ground Wires In-Room Monitor.
This grounding system provides compliance with IEC 60101 and -01.
4-2
Chapter 4 Electrical Requirements
Provide one 14 AWG (2 mm2)

Ground/Earthing conductor
from the Control Equipment
Pull Box to the facilitys main
ground. See Section 4.1.4 for
details.
Provide Ground/Earthing conductor that is a

2
minimum of #4 AWG (22mm ) to the Main
Distribution Panel. See Section 4.2 and
Table 4-2 for details.
minimum of #6 AWG (16mm2) from the Main
Distribution Panel. See Section 4.3 and
Table 4-3 for details.
Control Equipment Pull Box.

See Section 3.1.2.1 for details.
Clinac Main Circuit Breaker Panel. See

Section 4.2.2 for details.
OBI Circuit Breaker Panel.

See Section 4.3.2 for details.
High Energy Accelerator Modulator with

recessed Modulator Pull Box.
In-Room Monitor

2
minimum of #4 AWG (22mm ) from the
Modulator to the Main Circuit Breaker Panel.
See Table 4-2 and Section 4.2.1 for details.
Provide Ground/Earthing conductor that is
2
a minimum of #6 AWG (16mm ) from the
Stand to the OBI Circuit Breaker Panel.
See Table 4-3 and Section 4.3.1 for details.
Provide one 18 AWG (1.0 mm2)

Ground/Earthing conductor
from the In-Room Monitor
signal box to the Accessory
pull box. See Section 3.12.3
for details.
High Energy Accelerator Stand and Gantry

with recessed Baseframe Pull Box.
Accessory Pull Box, mounted

in the ceiling space, with #6
(M3.5) grounding stud.
See Section 3.1.2.5 for details.
Figure 4-1 Ground/Earthing Conductor Diagram
Chapter 4
4-3
4-4
4.1.5
Power Conditioning Requirements

The equipment is sensitive to line voltage variations and source impedance. A complete survey of the
electrical supply should be conducted prior to the equipment installation and a copy of this survey
should be sent to the regional Installation Project Manager for the equipment file. Isolation
transformers and/or power conditioners are required where the electrical power requirements
specified herein cannot be met.
Caution should be taken when powering the x-ray equipment from the same distribution source such
as elevators, HVAC equipment and other phase controlled loads, because of potential adverse affects
on the operation of the x-ray equipment. The supply voltage wave form should be practically
sinusoidal with less than 5% total harmonic distortion. Signals from devices that use the power line
as a means of distribution can be the source of problems, and efforts should be taken to minimize such
effects.
Transients lasting no more than a few cycles will not cause harm if limited to the specified steady state
line voltage regulation. Transient suppression is required where larger, longer lasting or frequent
transients occur as these can cause interruption of operation and/or equipment damage.
4.1.6
Network Cabling and Termination

4.1.6.1
Cabling
Network cabling must be minimum Category 5e with a minimum bandwidth of 100 Mbps full duplex
(100BaseT). The cable run must be a single segment of less than 100 meters (328 feet) from the wall
plate to the network switch or router, located within the telecommunications closet. The RJ-45
connector will be labeled as a DATA connection with a unique identifier that delineates the
termination point at the Patch Panel, Switch, or Router.
Note:
4.1.6.2
The network data drops must be active at the time of installation with a live connection
to the network switch or router.
Termination
The Control Console requires a minimum of one (1) network cable outlet (RJ-45) located within
three (3) feet of the Control Console. Although the Control Console requires a single network drop,
Varian Medical Systems recommends three (3) additional drops for customer-supplied computers
and/or a network printer. Varian Medical Systems recommends the use of a modular wall plate that
meets TIA/EIA and NEC standards and codes for data communications. The RJ-45 jack must meet
TIA/EIA-568-A wiring pattern. Orientation of the RJ-45 wall jack should be at a 45-degree down
angle.
Note:
Chapter 4
The customer may require additional workstations and printers in the vicinity of the
Control Console to run customer required applications. Therefore, Varian Medial
Systems recommends that the customer pulls three (3) additional Cat 5e cables and
terminates each connection into a four-plex modular wall plate. Thus bringing the total
number of network drops to the Control Console to four (4).
4-5

4.1.6.3
TCP/IP Protocol
The Control Console makes use of the TCP/IP protocol suite. Varian Medical Systems recommends
that the customer eliminates all unnecessary protocols. Varian Medical Systems requires subnets for
the TCP/IP protocol in order to reduce the number of broadcast messages that must be processed by
the Control Console to the Radiation Oncology network. The subnet of the Radiation Oncology
Department should be kept as small as possible. Large, flat TCP/IP networks running broadcast
intensive software will adversely impact the performance of the radiation delivery system. Varian
Medical System recommends isolating the Radiation Oncology broadcast domain from the Enterprise
Network.
Note:
4-6
The Control Console requires a static Internet Protocol (IP) address at the time of
installation. Varian Medical Systems requires that the network drop provided for the
Control Console is hot with a live connection to the network switch or router.
4.2
Clinac Linear Accelerator Subsystem

Table 4-2 Clinac Linear Accelerator Power Requirements
Input voltage
Typical 60Hz - 200 to 240 VAC, line-to-line, 4-wire (3-phase and ground).
Typical 50Hz - 200 to 240 VAC, line-to-line, 4-wire (3-phase and ground).
Typical 50Hz - 360 to 440 VAC, line-to-line, 5-wire (3-phase, neutral and ground).
Line voltage
regulation
5%. This is the maximum allowable steady-state deviation from nominal value selected.
Maximum phase
voltage imbalance
3% of the nominal value. This is the maximum difference between any two phase voltages
when operating at full load (Beam-On).
Input frequency
50 or 60 Hz 1 Hz.
Electrical loads
3kVA in Stand-By state, 20kVA in Ready state and 45kVA in Beam-On state.
Long-Time Load
45kVA. This is the maximum load that the source is expected to sustain during normal
(Beam-On) operation; that is, during treatment. It must also be capable of sustaining this
load occasionally for much longer periods of test and calibration.
Power factor
Estimated to be 90% or more. Most of the load is inductive. The line-current waveform is
non-sinusoidal.
Source impedance
2.5% maximum. This maximum recommendation is based on the minimum required

source capacity; namely, 45kVA.
Mandatory
grounding
conductor
Chapter 4
At 208 V/120 Volts AC, system, this corresponds to 125A full load line current. The
recommended maximum phase to neutral impedance is therefore 24m.
At 400 V/230 Volts AC system, the full load line current is 65A, and the
recommended maximum phase to neutral impedance is 89m.
At 480 V/277 Volts AC System, the full load current is 54.1A, and the recommended
maximum phase to Neutral impedance is 128m. No minimum is specified; however,
the fault current available shall not exceed 10,000A.
The minimum size of the copper wire ground conductor shall be 4 AWG
(22 mm2). Ground equipment through the Hospital Grid System. The equipment is
sensitive to electrolysis from water pipe grounding. Do not use water supply piping for
ground.
4-7
4.2.1
Circuit Breakers/UVRs
4.2.1.1
High Energy Clinac Main Circuit Breaker Panel
The Clinac Main Circuit Breaker Panel is contractor provided. Locate the panel in sight and within
10 feet (3048) of the Clinac control console casework. The panel may be surface or semi-recessed
mounted. The panel must be conspicuously identified as Main Disconnect for Clinac.
The Clinac Main Circuit Breaker Panel, GEXPRO 2100CBB Series (includes 150 Amp UVR
Breaker, 24VDC Power Supply, and Push-button). The GEXPRO Catalog #2100CBB150A
information is available from your Regional Planner.
or
Line voltage 208 VAC (typical 60 Hz): 150 Amp UVR (24VDC) Breaker.
Fault Condition 1000A for 0.1 second at 208 VAC or 520A for 0.1 second at 400 VAC. This is
the load resulting from a fault that is interrupted by the Clinacs internal, resetable protective
circuits. The Clinac produces a 1000A surge at 208 VAC or a 520A surge at 400 VAC. This surge
lasts 30 to 40 milliseconds. The circuit breaker specified will accommodate this surge. The
disconnect and overcurrent protection capability of the breaker is provided by its interrupt rating
of 42kA at 200 to 240 VAC or 25kA at 360 to 440 VAC. Clinacs are covered under Article 517
(Health Care Facilities) of the 1993 Edition of the N.E.C. Part E deals specifically with X-Ray
Installations; 517-73, which covers Rating of Supply Conductors and Overcurrent Protection,
is divided into two sub-sections: a) Diagnostic Equipment and b) Therapeutic Equipment. Clinacs
are primarily therapeutic, and therefore fall under the provisions of b), which specifies simply:
The ampacity of conductors and rating of overcurrent protective devices shall not be less than
100% of the current rating of medical X-ray therapy equipment. A note associated with b), but
applicable to all X-ray equipment states that the rating of the disconnecting means as well as that
of the overcurrent protection and the branch-circuit conductor ampacity are usually designated
by the manufacturer for the specific installation. The provisions are consistent with
recommendations made in this package.
4.2.1.2
Under-Voltage Release (UVR)
An Under-Voltage Release (UVR) is required to provide the capability of disconnecting all power
(except control transformer circuit) when the emergency-off circuit is broken. Otherwise, power is
interrupted only by contactors in Clinac power distribution compartment.
If not using the GE Main Circuit Breaker Panel described in Section 4.2.1.1, High Energy Clinac
Main Circuit Breaker Panel, the following are required:
4-8
GE Circuit Breaker, part #TEDUV8RS 24 VDC (or equivalent).
Uninterrupted 24 VDC power supply.
Momentary push-button.
4.2.2
4.2.2.1
Clinac Main Circuit Breaker Panel (with Battery Backup) 2100CBB Series
Application
The Clinac Main Breaker Panel is a custom panel that serves as the
main power disconnect between the Clinac system and the facility
power source. The panel provides emergency disconnection and
overcurrent protection, and will maintain the main breaker
undervoltage (UVR) holding circuit during any loss of power. The
(battery backup) holding circuit is disabled whenever any
emergency off push-button is pressed. The standardized design
provides a platform for future upgrades of the system. The panel
offers the customer, specifier, and the installer a number of
advantages by combining a variety of individual components into
a single pre-engineered and factory tested panel. Each panel is UL
and cUL listed, for compliance with the approvals required by
NEC Article 100 and Article 110-3. The main circuit breaker is
wired to the Clinac system and provides immediate shut down of
the entire system to comply with NEC required disconnecting
means. The panel may be surface or semi-recessed mounted, and
can be utilized for a variety of applications where low-voltage
control of the main power source is desired.
Catalog #2100CBB150A
Chapter 4
4-9
4.2.2.2
Features
65,000 amps Short Circuit Current Rating to meet

rigorous hospital power system requirements.
Maintains breaker during momentary outages.
Battery backup maintains UVR circuit capability

for at least three days.
Single panel completely assembled and tested.
Custom wiring diagram speeds installation.
UL and cUL listed to conform to NEC.
Complies with NEC Article 100 Definition of

Approved and Article 110-3 Approved.
Provides low voltage, 24V dc operation via

integral batteries and charging circuit.
Convertibleadapts from 208V AC to 240V AC
by changing one jumper.
High interrupting solid-state 65kAIC-240V

rated molded case breaker with adjustable
instantaneous trip. 2100CBB utilizes GE Cat #
SEHA, 150A Frame and rating plug, TCC
K215-172A.
Padlocking provisions for OSHA lockout/tagout

included on the panel cover and on the individual
main breaker handle.
Time delay current limiting fuses provides

protection for the primary of the control power
transformer.
Oversized ground lugs for parity sizing of ground

wire.
4.2.2.3
Benefits
Approved by Varian Engineering.
Minimizes down time by maintaining power to the

main breaker (UVR) holding circuit during
continuous power interruptions of up to three
days.
Main breaker will not trip during power

interruption due to generator testing.
Developed specifically for use with Varian

Systems.
Reduces installation time and cost by providing a

single-point power connection, thus eliminating
the need to mount and wire several individual
components.
Uniform factory design eliminates individual

project engineering costs, and delays of on site
fabrication.
Eliminates the sourcing and delivery delays

associated with obtaining multiple components
from a variety of suppliers.
UL and cUL listed to conform to local codes,

minimizing potential inspection and acceptance
issues.
Standardized design and testing assures high

product quality and system reliability.
Single panel provides for a more attractive,

color-coordinated installation.
4.2.2.4
Options
Provisions for additional control features for

integration with building automation system,
security system, or remote system shut down
alarm.
50 Hz, CE units available by special order.
Additional Emergency OFF switches available as

catalog # VEOSW.
Finger safe fuse blocks for control circuit fuses.
Includes two mushroom Emergency OFF

push-buttons, stainless steel wall plate and
nameplate, to be wired per Varian requirements.
Upgrade kits are available to add battery backup

circuit to existing 2100C150A240V main circuit
breaker panels. 2100C150A240V upgrade kit is
catalog # 2100C2BB.
Surface or semi-recessed mounting.
Custom tailored for Varian Systems.
4-10

4.2.2.5
Order Information
Catalog #: 2100CBB150A, 208-240V, 60 Hz, 65,000 amps Short Circuit Current Rating, Surface or
Semi-Recessed Mounted 150A Main Breaker Panel, UL and cUL labeled, includes two remote
Emergency OFF mushroom push-buttons.
Available from GEXPRO Milwaukee, WI
Toll free (800) 279-7925, local (414) 527-6600
7:30 a.m. to 5:00 p.m. U.S. Central Standard Time (Monday-Friday).
Email: Healthcareservices@gexpro.com
Contact your Varian Regional Planner for order information in the following markets:
Latin America; Europe, Middle East, and Africa; and Asia/Pacific Rim.
Chapter 4
4-11
On-Board Imager (OBI) Option Subsystem
4.3

Table 4-3 OBI Option Power Requirements
Input voltage
400 to 480 VAC (10%) 4-wire (3-phase and ground).
Input frequency
50 or 60 Hz 1%.
Maximum phase voltage

imbalance
2% of the nominal value. This is the maximum difference between any

two-phase voltages when operating at full load.
Maximum line voltage

variation
2.5%. This is the maximum allowable momentary line voltage variation due
to causes other than the x-ray equipment load.
Maximum input impedance
0.17 Ohms at 400 VAC.

0.24 Ohms at 480 VAC.
Power On/Quiescence state
1.0 kVA.
Supply capacity
47 kVA.
Mandatory grounding
conductor
The size of the copper wire ground conductor shall be in parity with the power
conductors but no less than 6 AWG (16 mm2), originating at the hospital main
ground. The equipment shall be grounded through the Hospital Grid System.
The equipment is sensitive to electrolysis from water pipe grounding. Do not
use water supply piping for ground.
4.3.1
OBI Circuit Breaker Panel

The OBI circuit breaker panel is contractor provided. Locate the panel in sight and within 10 feet
(3048) of the Clinac control console casework. The panel may be surface or semi-recessed mounted.
The panel must be conspicuously identified as Disconnect for OBI.
OBI Circuit Breaker - GEXPRO #OBI60A480V (includes 60 amp, 3-phase 400-480V circuit breaker,
60 amp., 480V contactor/120V coil installed in a Lockout/Tagout sub-panel) or equivalent. For more
information see Section 4.3.2.1 on page 4-13.
4-12
4.3.2
4.3.2.1
OBI Circuit Breaker Panel #OBI60A480V Series

Application
The OBI Circuit breaker panel is a custom panel, which

serves as the main power disconnect between the x-ray
system and the facility 480V power source. The panel
provides emergency shut down and overcurrent protection
for the x-ray system.
The standardized design provides a platform for future
upgrades of the system. The panel offers the customer and
the installer a number of advantages by combining a
variety of individual components into a single
pre-engineered and factory tested panel. Each panel is UL
and cUL listed for compliance with NEC Article 100 and
Article 110-3. The main breaker panel includes a power
contactor for connection and control of the Varian Clinac
High Energy Accelerator system, providing immediate
shut down of the OBI system to comply with NEC
required disconnecting means. The panel may be surface
or semi-recessed mounted.
(27.2 kg)
Catalog # OBI60A480V
Chapter 4
4-13
4.3.2.2
Features
4.3.2.3
Single panel completely assembled and tested.
Custom wiring diagram speeds installation.
UL and cUL listed to conform to NEC.
Complies with NEC Article 100 Definition of

Approved and Article 110-3 Approved.
Provides low voltage, 120V controlled contactor

operation.
High interrupting solid-state 25,000 or 42,000

AIC-480V rated, molded case breakers with
adjustable instantaneous trip.
Benefits
Developed specifically for use with Varian

Oncology Systems.
Reduces installation time and cost by providing a

single-point power connection eliminating the
need to mount and wire a number of individual
components.
Standardized design provides for pre-engineered

system modifications such as uninterruptible
power supply.
Padlocking provisions for OSHA lockout/tag out

included on individual main breaker handle.
Uniform factory design eliminates individual

project engineering costs, and delays of on site
fabrication.
Cover may be locked closed with door and hasp or

customer provided padlock.
Main power contactor is coordinated to interface

with system emergency off.
turn slotted door latch provides additional

security.
UL and cUL listed to conform to local codes

minimizing inspection and acceptance issues.
Oversized ground lugs for parity sizing of ground

wire.
Standardized design and testing assures high

product quality and system reliability.
Single panel provides for a more attractive, color

coordinated installation.
Ground bus bar for control circuit ground wires.
All devices selected for high reliability and long

life.
Finger safe terminal blocks for control circuit

connections.
Surface or semi-recessed mounting.
Custom tailored for Varian X-ray Systems with

Clinac High Energy Accelerator.
4.3.2.5
4.3.2.4
Options
Order Information
Catalog #: OBI60A480V-25K, 400-480V, 50 or 60 Hz, 25,000 amps Short Circuit Current Rating,
Surface or Semi-Recessed Mounted 60A Main Breaker Panel, UL and cUL labeled.
Catalog #: OBI60A480V-42K, 400-480V, 50 or 60 Hz, 42,000 amps Short Circuit Current Rating,
Surface or Semi-Recessed Mounted 60A Main Breaker Panel, UL and cUL labeled.
Toll free (800) 279-7925, local (414) 527-6600
4-14
4.4
Interconnection Wiring Diagram

Power Connections
Safety and Warning Devices
See sections 4.1.1 & 4.1.3

See sections 4.1.2 and 4.4.3
See section 4.4.3.1

See sections 4.2.1.1 & 4.2.1.2
Provide 120 VAC, 60Hz
or 240 VAC, 50Hz power,
20 Amps maximum. See
section 4.4.5.1.
See section 4.4.5.3
See section 4.4.6

IRM CCTV
See section 4.4.3.2
See section 4.4.1
See section 4.4.5.2

section 4.1.2.
See section 4.2

See section 4.1.4
See section 4.3.1
Provide 120 VAC or 277 VAC,

60Hz or 240 VAC, 50Hz
power, 20 Amps maximum.
See section 4.1.2.
See section 4.3

See section 4.1.4
See section 4.4.2
See section
4.4.3.3
See section 4.4.4.6
See section 4.4.4.7
Provide 20 amp at 120 VAC

or 15 amp at 240 VAC
dedicated circuit breakers
for Varian control console
equipment power outlets.

section 4.1.2.
See section 4.4.5.2
Provide 120 VAC (typical 60Hz) or

240 VAC (typical 50Hz) power.
See section 4.4.4.1 to 4.4.4.5
The electrical loads for the Varian
control console equipment are:
> Clinac Electronics Cabinet - 120VAC - 3A
> Control Console Cabinet - 120VAC - 6A
> Control Console Monitors (each) - 120VAC - 1A
Figure 4-2 Interconnection Wiring Diagram
Chapter 4
4-15
4-16
4.4.1
General Notes
Use the following description of the Clinac operational states to determine the estimated utility load
based on normal treatment cycles:
4.4.2
Standby A condition usually in effect on weekends and overnight with only minimal
electrical supplies operative, but with the water cooling system on.
Mode Release A condition with no energy selected, all magnet and steering power supplies
off, but with the klystron solenoid power supplies operative. Approximately 42 minutes per
hour.
Ready/Energy Select A condition with the Clinac ready to Beam-On. Approximately 6

minutes per hour.
Beam-On The full-duty condition in which all primary heat sources operate at their
maximum levels. Approximately 12 minutes per hour. The Beam-On State is maintained
continuously for one hour or more during physics and calibration use.
The estimated number of minutes per hour of each state is based on an average of six patients
treated per hour.
Laser Positioning Lights and Optional Bypass/Override Switch

The power to the lasers is typically supplied by a grounded power receptacle at each laser location. A
3'-0" (914) power cord is provided with each laser. The receptacles are controlled through the Relay
Junction Box (RJB) as defined by the Interconnection Wiring Diagram (see Figure 4-2). Each laser
can consume up to 25W, which varies per manufacturer.
For Q/A or maintenance purposes, a bypass/override switch can be installed to independently
illuminate the laser positioning lights. These laser positioning lights are normally controlled through
the hand pendant on the couch simultaneously dimming the room lights. This switch will allow the
positioning lights to come on without dimming the room lights. If desired, a Single-Pole,
Triple-Throw (SPTT) or a Single-Pole, Center Off (SPCO) wall switch should be installed, as shown
in Figure 4-2. As an alternative, a Single-Pole, Double-Throw (SPDT) wall switch can be installed;
however, the SPDT switch does not incorporate the center off functionality, which terminates power
before reaching the RJB.
4.4.3
Room Lighting
4.4.3.1
Room Lights, Setup Lights, Laser Positioning Lights, and CCTV
The room lights, setup lights, laser positioning lights, In-Room Monitor, and Closed Circuit
Television System (CCTV) can be controlled by a single room master switch, often outside the room
and including a pilot light. The room lights can be on a separate circuit. Laser positioning lights
control is automatically subordinated to room lights control on Clinacs and Acuity. A warning that
lasers are on is implied when the room lights are off (lasers are turned off when room lights are on).
Chapter 4
4-17
The room lights and laser positioning lights may have wall switches inside the room, but this is not
necessary when they are connected to the Relay Junction Box. Three-way switching is not
recommended.
4.4.3.2
Setup Lights
Setup lights are normally dimmable incandescent fixtures, that allow the intensity to be adjusted by
the therapists, while aligning the patient to the laser lights. The setup lights are usually located above
and to either side of the longitudinal axis. The range of illumination for the setup lights is usually 25
to 40 foot-candles (269 to 431 meter-candles). Their operation is independent of the Pendant and
Couch controls.
4.4.3.3
Main Room Lights
Main room lights are used for general illumination, while the patient is moving into and out of the
room and for machine and room maintenance. This system normally uses fluorescent fixtures. The
range of illumination for this activity is 75 to 100 foot-candles (807 to 1076 meter-candles) at the
working level, approximately 3'-0" (914) above the floor. The fixtures are operated from the Clinac
Couch and the Couch Pendant through a relay. If skylights and atria are used for general illumination,
their contribution to the light level must be coordinated with the requirements during patient setup.
4.4.4
Safety Device Systems

System warning lights are customer-provided fixtures that are required in the treatment room, and/or
over the door, and/or at eye level adjacent to the door outside the treatment room to indicate
beam-on/beam-off conditions. They may be required to blink when the beam is on. Colored (usually
red) lights usually must be placed such that one is visible from any point in a Clinac room. They are
usually located adjacent to the emergency-off switches. Verify local requirements with regional
regulatory agencies.
Each of the five Warning Light circuits has a maximum incandescent lamp load of 60 watts. If a
greater load is required, these circuits can be used to control separate, customer-provided relays.
Alternately, LED fixtures can be substituted. Fluorescent fixtures are not approved.
4.4.4.1
Beam-On Warning Lights
The BEAM ON warning light illuminates when treatment radiation (MV) is being produced by the
accelerator and is mandatory. Provide no less than one Beam On warning light located over the door,
on the outside of the treatment room. Verify additional requirements with regional regulatory
agencies.
4-18

4.4.4.2
Beam Ready Warning Light
The BEAM READY warning light illuminates when all interlock conditions have been cleared and the
accelerator is in a ready state to generate treatment radiation (MV). A Beam Ready warning light in
the room and/or over the door may be required. Verify local requirements with regional regulatory
agencies.
4.4.4.3
Beam-Off Light
The BEAM OFF warning light illuminates when the accelerator is not in a radiation-generating state.
Most sites do not use this feature. Verify local requirements with regional regulatory agencies.
4.4.4.4
X-RAY ON (OBI) Warning Light
The X-RAY ON warning light illuminates when imaging radiation (KV) is being produced by the
On-Board Imager and is mandatory. Provide no less than one X-RAY ON warning light, located over
the door, on the outside of the treatment room. This light is commonly red-colored and may be
required to blink when the OBI X-Ray is on. Verify additional requirements with regional regulatory
agencies.
4.4.4.5
Generator ON (OBI) Warning Light
The GENERATOR ON warning light illuminates when the On-Board Imager is in a ready state to
generate imaging radiation (KV). A Generator On warning light warning light in the room and/or over
the door may be required. This light is commonly white-colored and may be required to blink when
the OBI X-Ray is on. Verify local requirements with regional regulatory agencies.
4.4.4.6
Emergency-Off Switches
Provide emergency-off switches in room (normally closed type, manual reset). In addition to the
switches required as part of the room, emergency-off devices are built into the Clinac Stand and
Couch, Console and at the Clinac Modulator. Adequate switches must be provided in Clinac rooms
so that one need not pass through the primary beam to disable the Clinac. Do not locate emergency-off
switches in primary beam. Locate switches to avoid inadvertent contact, such as by gurneys or carts.
Verify all requirements with regional regulatory agencies.
4.4.4.7
Safety Door Interlock Switches
Safety door interlock switches are required for all installations. Provide for both 12 VDC and 120/220
VAC door interlocks. They are normally open type switches and are used to ensure the room doors
are closed during Clinac operation. Verify with the door manufacturer the type of switches supplied
with the door or provide compatible type.
Note:
Chapter 4
Second door interlock switches are shown for paired entry doors. Both interlock
switches must be provided at each entry door.
4-19
A separate, 12VDC Optional Door Interlock can be accommodated in the door interlock circuit. In
addition to being used in conjunction with a Neutron Door, the Optional Interlock can be used in
conjunction with mechanical/storage rooms within the vault or other ancillary spaces. Contact your
Varian Regional Planner for more detail.
4.4.5
Power Receptacles/Switches
4.4.5.1
Setup Lights
Provide a dimmer switch for setup lights. This switch is used to adjust the illumination level of the
set-up lights so that they are dim enough for clear visibility of the lasers, but bright enough for safe
movement through the room.
4.4.5.2
In-Room Monitor
Provide an electrical power receptacle at each In-Room Monitor location.
4.4.5.3
CCTV Camera
If installed, provide a power receptacle at each CCTV Camera.
4.4.5.4
Clinac Computer Components
Provide three grounded 4 plex electrical power receptacles for the Clinac Electronics Cabinet and the
Clinac Control Console Cabinet. Locate adjacent to the underside of the counter to provide maximum
power cable extension room.
The electrical loads for the Varian control console equipment are:
Clinac Electronics Cabinet 120VAC 3A
Control Console Cabinet 120VAC 6A
Control Console Monitors (each) 120VAC 1A
4.4.5.5
ARIA Workstation Components (Optional)
If selected, provide a grounded 4 plex electrical power receptacle for ARIA workstation components.
Locate adjacent to the underside of the counter to provide maximum power cable extension room.
4-20
4.4.6
4.4.6.1
Relay Junction Box Varian VRJB-C3

Application
The VRJB-C3 Relay Junction Box provides an interface

with the Varian Clinac via a factory assembled and tested
control panel designed to provide a convenient, organized,
labor saving central connection point for the Laser
positioning system status warning lights, room lighting,
and door interlocks and remote emergency off push
buttons. The panel includes wiring diagrams to enable it to
be used as a radial junction and control point simplifying
the connection of the various systems. Multiple terminals
are dedicated for connecting these devices. The Relay
Junction box has a Short Circuit Current Rating of 5,000
amperes @ 120 volts AC. The panel is UL and cUL listed
and is in compliance with the NEC articles 100 and 100.3.
The Relay Junction Box is designed for wall mounting.
Designed for use with the following Varian Medical
Systems:
2100C/D
21EX
High Energy Clinac
2300C/D
23EX
Trilogy
iX
Silhouette Edition Clinac
Dedicated terminals and multiple ground terminal

bars are clearly marked with Varian drawing
reference numbers.
Provides a standardized platform for future

applications or upgrading.
UL and cUL listed.
Factory assembled and tested.
Approved by Varian Medical Systems

Engineering.
Available from Stock.
Connectorized Interface Cables.
4.4.6.3
Surge suppression installed for each relay coil.
All input and output signals are protected with

fuses and transient voltage suppressors.
All circuits may be connected directly to

dedicated terminals, eliminating the need for
additional junction boxes or multiple splices,
saving installation time and labor.
Isolated contacts accommodate different lighting

circuit voltages.
A single pre-engineered panel with a permanent

wiring diagram.
Easy mounting wall mounted enclosure utilizing

(4) holes for mounting screws.
Hinged door provides easy access.
Allows for verifying all of the lighting and

interlock circuits prior to connection to the Varian
equipment.
Two combination " or " combination

knockouts, located on the left side.
Provides protection for the sensitive electronic

equipment.
Off white exterior paint finish.
All components selected for high reliability and

long life.
Spare relay contacts are available for specialized

applications.
Saves installation time and labor.
4.4.6.2
Chapter 4
Features
Benefits
4-21
4.4.6.4
Order Information
Catalog #: VRJB-C3, Short Circuit Current Rating @ 120V, Surface or Semi-Recessed Mounted,
UL and cUL labeled.
Toll free (800) 279-7925, local (414) 527-6600
4-22
Chapter 5
5.1
Typical Control Equipment Casework
Finishes

Provide a two-way patient monitoring intercom system. The in-room
intercom may be wall and/or ceiling mounted and should be voice-activated
or continuous-on. The intercom at the control equipment area should be
push-to-talk. Provide a signal conduit from the control equipment area and
power to the intercom. Refer to the intercom manufacturer's literature for
conduit, mounting and installation requirements. A non-interruptible power
source may be required by regulatory code.
This control equipment casework design is provided as a suggestion for possible component
arrangement only. The shelf and counter design shown is recommended because it allows for final
component placement adjustments on site to suit personal preference and can accommodate future
equipment upgrades and additional options. Optional equipment is often added after the Clinac or
Acuity has been installed and should be planned for even if they are not part of the initial order. The
control equipment location should be as close to the treatment room door as possible to provide
control over the entrance and reduce the travel distance. CCTV, cabinetry, intercom and phones are
Customer-supplied items, shown on Varian drawings for illustrative purposes only. It is often desirable
to locate the control equipment facing in a direction that allows the therapists to visually control the
adjacent area. This layout can also reduce the visibility of CCTV monitors for patient privacy.
Provide 3" (75) diameter grommeted holes as

required at counter and shelf for cables (typical).
If possible, in order to accommodate on-site
Customer preferences and possible changes in
equipment configuration, locate and drill holes
after the control equipment has been arranged on
location. A gap or slots at the back of the counter
and shelf for cable access is also acceptable.

provided. Locate the panel in sight and
within 10 feet (3050) of the Clinac control
console casework. The panel may be
surface or semi-recessed mounted. For
semi-recessed installations, 4" (100) of the
enclosure may be recessed in the wall. For
more information, see Section 4.3.1.
Provide convenience electrical
power receptacles as required.
Provide convenience phone jacks as

required. A phone jack should be provided at
any Varian equipment cabinet not located in
the equipment room, near the equipment and
within the control equipment casework. The
phone system shall be operational prior to
the equipment installation.
See Section 5.6.1 for

CCTV System Details.
The Clinac Main Circuit Breaker Panel is
contractor provided. Locate the panel in
sight and within 10 feet (3050) of the Clinac
control console casework. The panel may
be surface or semi-recessed mounted. For
semi-recessed installations, 4" (100) of the
enclosure may be recessed in the wall. For
more information, see Section 4.2.1.1
Printer
Provide grounded quad power
receptacles for Varian control console
equipment, see Figure 4-2. Locate
adjacent to the underside of the
counter to provide maximum power
cable extension.
MLC Controller
Clinac
Electronics
Cabinet
Locate the Clinac Electronics
Cabinet to the left of and within
sight of Clinac Console if possible.
This location simplifies equipment
service, but placement at other
locations does not affect the
operation of the system. The
Clinac Electronics Cabinet as
shipped rests on casters. Where
positive seismic anchoring of
Clinac Electronics
Cabinet is required, provide
removable counter over cabinet
for service access.
Opt. ARIA
Workstation
Control
Console
Cabinet
Provide additional control area storage and workspace

as needed. Typical storage requirements include space
for films, charts and personal belongings.
Provide a minimum 3" (76) air and cable space at sides,
top and rear of all computers and monitors.
For information on carpeting and flooring requirements,
see section 5.4.
Flouro Switch
The information shown is for ALL High Energy Clinac
linear accelerator models.
Varian requires one (1) network cable

outlet (RJ-45), and recommends an
additional three (3) outlets within 3'-0
(914) of the Control Console. The
network cable must be a minimum of
Category 5e with a minimum bandwidth
of 100 Mbps, full duplex (100BaseT).
See Section 4.1.6 for more information.
The Control Equipment pull box shall have a minimum

size of 18" x 12" x 6" deep (450 x 300 x 150). This pull
box may be wall mounted or accessed similar to details
in Base Frame Cable Access Details. Locate this pull
box so that the free ends of cables are protected from
physical damage and located within 5'-0" (1524) of the
Clinac Electronics Cabinet. As no connections are
made at this location, many regulatory agencies do not
require a pull box.
Locate Control Console Cabinet

within 15 feet (4572) of the
Electronics Cabinet and within 8
feet (2438) of the control console
OBI/4DITC/Gating monitors.
Provide ventilation sufficient for removal of control

console air heat load as follows:
> Clinac Electronics Cabinet > 1.0 kW (3,415 Btu/hr)
> Control Console Cabinet > .72 kW (2.459 Btu/hr)
> ARIA Option Workstation > 0.5 kW (1,707 Btu/hr)
Figure 5-1 Typical Clinac Control Equipment Layout (Elevation)
Chapter 5
Finishes
5-1
5-2
Chapter 5 Finishes
This is the minimum under counter top clearance dimension for the
Electronics and Control Console Cabinets. Do not install counter support
brackets in these areas.
> Clinac Electronics Cabinet - 24W x 34H x 38D (610 x 864 x 965)
> Control Console Cabinet - 23W x 33H x 36D (584 x 838 x 914)
Provide 3" (75) diameter grommeted holes as required at

counter and shelf for cables (typical). If possible, in order
to accommodate on-site Customer preferences and
possible changes in equipment configuration, locate and
drill holes after the control equipment has been arranged
on location. A gap or slots at the back of the counter and
shelf for cable access is also acceptable.
Provide grounded quad power receptacles for Varian

control console equipment, see Figure 4-2. Locate
adjacent to the underside of the counter to provide
maximum power cable extension.
Printer
Locate the Clinac Electronics Cabinet to the left of and
within sight of Clinac Console if possible. This location
simplifies equipment service, but placement at other
locations does not affect the operation of the system.
The Clinac Electronics Cabinet as shipped rests on
casters. Where positive seismic anchoring of Clinac
Electronics Cabinet is required, provide removable
counter over cabinet for service access.
This is a minimum clear dimension.
Dedicated Keyboard
PV Keyboard
Opt. RPM Gating Switch
MLC Controller 11" W x 11.5"D x 2.5"H (279 x 292 x 64).

Locate MLC Controller above the Control Console
Cabinet, Clinac Electronics Cabinet, or on the countertop beside the control console monitors.
This is a minimum
clear dimension.
Printer
Dedicated
Keyboard
MLC Controller
Clinac
Electronics
Cabinet
The recommended counter height range shown assumes

that the therapists are standing or using stools during
typical treatment cycles. Some facilities provide areas at the
control area designed for chair height. Adjust dimensions at
these areas as required.
Clinac
Electronics
Cabinet
Control
Console
Cabinet
Control
Console
Cabinet
Flouro Switch
Varian requires one (1) network cable outlet (RJ-45), and

recommends an additional three (3) outlets within 3'-0 (914)
of the Control Console. The network cable must be a
minimum of Category 5e with a minimum bandwidth of 100
Mbps, full duplex (100BaseT). See Section 4.1.6 for more
information. TCP/IP data drops must be active at the time of
installation. Network patch panels, hubs, and routers are
typically located in a server room or closet.
Locate Control Console Cabinet within 15 feet (4572)

of the Electronics Cabinet and within 8 feet (2438) of
the control console OBI/4DITC/Gating monitors.
Figure 5-2 Clinac Control Equipment Details
5-3
5-4
The ARIA product is a complete oncology

department information management system
that can range from (4) workstations and (1)
server to (100) workstations and (3-4)
servers. It's made up of a suite of software
application modules that reside on PC
workstations throughout the department and
possibly at other remote facilities via wide
area networks. Workstations are connected
over a network to centrally located computer
servers. Customers have the option to
provide the PC computers providing they
meet Varian's recommendations. Network
infrastructure is generally provided and setup
for ARIA either by the hospital IT department
or through hospital networking contractors. A
typical department will have (8-16) PC
workstations around the department for staff
to use. The servers should be located in an
out of the way area, preferably in air
conditioned and locked closets with the other
network components (hubs, switches, patch
panels).
ARIA Monitor
ARIA Computer
Provide convenience
electrical power
receptacles as required.
Provide network cabling outlets at all server

or workstations equipment locations. All
network cabling and jacks must be
minimum CAT5e. All network connections
must operate at a minimum of 100 Mbit full
duplex. TCP/IP data drops must be active
at the time of installation. Network patch
panels, hubs and outers are typically
located in a server room or closet.
ARIA Computer
Provide minimum 4" (100) high platform at

computers under the counter to prevent
damage. The flooring may be coved up
the platform edge for ease of cleaning.
Verify under counter clearance height.
Where space permits, these components
may be located on the counter.
The ARIA/Eclipse Servers (not shown) should be

located in an air conditioned server room or well
ventilated central location. Routine access to the
Server is usually not required, except by authorized
service personnel. Depending on purchased options
there could be (1-4) servers.
Provide grounded quad receptacles

for Varian control console
equipment. Locate adjacent to the
underside of the counter to provide
maximum power cable extension.
Figure 5-3 ARIA Treatment Workstation (Optional)
Chapter 5
Finishes
5-5
5.2
General Room Storage Requirements

Note:
The type and quantity of storage is at the customers discretion.
Provide cabinets with adjustable shelves

for general storage.
Provide cabinets with adjustable
shelves for linen storage.
Provide drawers for general storage.
A sink with running hot and cold water is highly

recommended in Clinac rooms. A hose spigot
is necessary to fill the water phantom and a
drain is necessary to service the Clinac's
internal cooling system and drain the water
phantom. Floor drains and floor sinks should
not be located in the room to avoid possible
backup into the equipment floor recesses.
Do not run water lines directly above the
Clinac components or control console.
For information on Wedge Tray and

Compensator Tray storage, see note
in Figure 5-9.


1'-7"
(483)
For information on Block Tray

Storage, see note in Figure 5-10.
Provide FFDA Storage (Dual Energy Clinacs

and Acuity only). FFDAs are accessories
mounted into the electron applicator to shape
the electron treatment field. They are usually
stored in drawers that are approximately
2" (51) deep by 2'-0" (610) wide. Due to their
heavy weight, store them as near as possible
to the Collimator and at accessible heights.
Typical Clinac rooms require storage for
40 FFDAs. Typical Acuity rooms may require
storage for 10 FFDAs. FFDA sizes vary from
4"x4" (102 x 102) to 11"x11" (280 x 280). The
required number of drawers will vary with
drawer size. Several 4" (102) deep drawers
should also be provided.
7'-4"
(2235)
4'-9"
(1448)
For information on Electron

Applicator Storage, see note
in Figure 5-11.
1'-0"
(305)
Bulk and shelf storage are required for Varian accessories

and various materials used for therapy. The Varian-supplied
Accessories include Electron Applicators (cones), Wedges,
and other field-defining devices. Storage space in the treatment
room should be planned to reduce travel required for patient set-up.
Patient block tray storage should be located on the entrance side of
the Treatment Couch. Linen storage in the treatment room and
storage space for many patient positioning pads and devices is
desirable.
Many spare parts are shipped with the equipment and an optional
spare parts kit can be ordered. These will require secure storage in
or near the treatment room.
General Clinac room storage requirements are outlined below.

This is only a partial list of storage items required for a typical
Clinac room:
> Treatment room furniture - chair, mirror, coat rack, foot stool,
waste can, I.V. poles, oxygen bottle cart, film holder cart, soiled
linen cart and total body irradiation "stage."
> Miscellaneous storage items - spare parts, demineralized
water, physics dosimetry equipment, film markers (letters), solder
wire, restraints, "easy mover" stretchers, immobilization devices,
patient shielding accessories, patient set-up accessories, patient
marking accessories, arm/shoulder extenders, hand grips, breast
boards and "alpha cradles (formed foam cradle).
Provide drawers for general

storage.
The storage drawing shows a suggestion only

of possible storage provisions and is intended
as a guide to aid in the design of site specific
casework. Due to differences in treatment
practices, the exact quantity and types of
accessories varies with each institution. Verify
requirements and storage preferences with the
Customer. This is not a construction document.
All casework/storage shall be provided by
the Customer.
HE033-0
Figure 5-4 Typical Room Storage Elevation
5-6
Chapter 5 Finishes
5.3
Typical Accessory Storage Dimensions
1'-3"
(381)
Provide Wedge Tray and Compensator Tray storage.

Trays are accessories mounted to the Collimator that
are used to shape the treatment field. They are usually
stored on shelves as shown on the storage dimensions
drawing. Due to their heavy weight, store them as near
as possible to the Collimator and at accessible heights.
Typical Clinac rooms require storage for 8 Wedge and
Compensator Trays depending on the specific treatment
objectives. Their maximum weight is 15 lbs. (7 kg) per tray.
Plan View

1'-1 1/2" (343)
4"
(102)
Elevation View
Provide continuous wood support rails.
Detail 3
Provision should be considered for labeling Accessory Storage Compartments.
HE035-1
Figure 5-5 Wedge Storage
Chapter 5
Finishes
5-7
Due to the heavy weight of some block trays, a rear support rail is recommended.
1'-3"
(381)
Provide Block Tray storage. Block trays are accessories mounted to the Collimator that are
used to shape the treatment field. They are custom made for each patient. They are usually
stored in slots as shown on the storage dimensions drawing. Due to their heavy weight, store
them as near as possible to the Collimator and at accessible heights. Typical Clinac rooms
require storage for 10 to 20 Block Trays. This may vary with the use of the Multileaf Collimator.
Typical Their maximum weight is 50 lbs. (23 kg) per tray.
Plan View
1'-1 1/2" (343)

10 1/2" (267)
5"
(127)
Elevation View
1-1/2" (38)
3/4" (19)
2-1/2"
Provide a continuous wood stop.
(64)
Provide continuous wood support rails.
1" (25)
Detail 3
HE036-1
Figure 5-6 Block Storage
5-8
Chapter 5 Finishes
This is the C-Series style Electron Applicator (sizes vary).
1
1'-3"
(381)
Plan View
1'-1 1/2" (343)

1'-0" (305)
11" (279)
The Electron Applicator is typically suspended by its metal support rail for storage.
1'-6"
(457)
This is the C-Series style Electron Applicator (sizes vary).
Elevation View
3/4" (19)
3/4" (19)

Provide a continuous metal support angle.
3/4" (19)
Provide a wood stop at support rails (required for non-computerized equipment only).
Detail 1
1 1/4" (32)
3/4" (19)
2" (51)
Provide a continuous metal support angle.
3/8" (10)
Detail 2
Provide Electron Applicator Storage. Electron Applicators, otherwise known as "cones are accessories mounted to the
Collimator that are used in combination with FFDAs to shape the electron treatment field. They are usually stored in
compartments with slots as shown on the storage dimensions drawing. Due to their heavy weight, store them as near as
possible to the Collimator and at accessible heights. Typical Clinac rooms require storage for 6 Electron Applicators.
Their maximum weight is 20 lbs. (9 kg) per applicator.
HE034-1
Figure 5-7 Applicator Storage
Chapter 5
Finishes
5-9
Carpeting, Vinyl, Wood, and Other Flooring Requirements
5.4
Carpeting, Vinyl, Wood, and Other Flooring Requirements

As with most computer components, the electronic components for this equipment are sensitive to
localized static electricity. Vinyl composite tile (VCT) or vinyl sheet goods (VSG) adjacent to the
equipment in the room or at the control console area should be considered as static dissipative as
outlined in EOS/ESD S7.1 and ANSI/ESD S20.20. Retrofit static dissipative coatings are also
available from various manufacturers.
Carpet, while having advantages, can make gurney movement difficult. In addition, liquids and stains
on carpeting can be difficult to clean/remove, thereby posing an infection control risk. Those facilities
that do choose carpeting often use carpet squares that can be replaced or cleaned and allow access to
floor conduit/duct if used. Similar to vinyl flooring above, the electrostatic propensity of carpeting
must be limited. Carpeting should not exceed a 2.0 kV rating at 20% relative humidity when measured
as outlined by the methods in AATCC-134 or equivalent.
To avoid potential damage to the accelerator and its subsystems, it is recommended that the final floor
covering be installed before the equipment has been rigged onto the Baseframe. Coordinate
equipment rigging and required floor protection with the Varian Installation Project Manager prior to
machine delivery.
5.5
Acoustical Requirements
There are no recognized acoustical standards for therapy rooms. The primary sound source on High
Energy Clinac systems is the Modulator Cabinet. Varian has encountered no acoustical problems
when the Modulator is located in the treatment room. The patients are in the room for a very short
time and observations indicate that some seem reassured by the changing sound levels as the machine
goes through its cycles. Noise is a concern, however, when the Modulator Cabinet is located next to
therapists or others who are exposed to it often. When located outside the vault, placing the Modulator
in a nearby closet is acceptable and the use of acoustically absorbent materials is recommended.
Consult with the Customer regarding preferred location.
5.6
Typical Closed Circuit Television (CCTV) System

There are no windows in an accelerator treatment room; however, it is critical to patient safety that
the therapists maintain visual contact with the patient at all times. The CCTV System is offered by
Varian as an optional purchase. If not purchased from Varian, the Customer must provide a CCTV
System.
5-10
While not connected to the equipment a Closed-Circuit Television (CCTV) system is required for
CLINAC Accelerator operation. The CCTV System Diagram (see Figure 5-8) represents a typical
installation only. All power receptacles, conduit, and pull boxes shall be supplied and installed by
the Customer.
The CCTV Cameras are located in the treatment room with the accelerator at approximately
15 degrees each side of the equipment longitudinal axis line. Consult with the Customer for
desired placement. Provide a standard power outlet directly adjacent to each camera. Do not
locate cameras in the primary beam path.
Chapter 5 Finishes
Typical Closed Circuit Television (CCTV) System
The CCTV System camera control units are located at the control equipment casework and
require a power receptacle.
CCTV monitors must be located as close as possible to the CLINAC display monitors at the
control counter, and must be visible during treatment. The CCTV monitors must be located with
patient privacy in mind. The monitors may be recessed in the control console casework and
viewed through cut-outs covered with glass. Provide a power receptacle for each monitor. Refer
to the CCTV System manufacturer's literature for mounting and installation requirements. A
non-interruptible power source may be required by regulatory code.
Refer to Figure 3-2

for conduit
requirements.
Accessory Pull Box,

See Section 3.1.2.5
Control Equipment Pull Box,

See Section 3.1.2.1
The optional Varian CCTV System typically includes the following:

1. (2) - Dome Cameras with a P/T Mechanism and Zoom Lens (additional option for 4-Camera system)
2. (2) - Pendant Wall Mounting Brackets
3. (2) - Monitors
4. (1) - Quad Video Processor
5. (1) - Controller Keyboard
6. Associated Cables and Power Transformer
Figure 5-8 Typical CCTV System Diagram
Chapter 5
Finishes
5-11
Ceiling Finishes
5.7
Ceiling Finishes
Varian Medical Systems does not specify a type of ceiling finishing. However, experience has shown
the benefit of a 2 x 4 (600 x 1200) or 2 x 2 (600 x 600) Lay-in Acoustical Tile. Among its benefits are
easy access to above ceiling structures/systems, low repair and modification cost, acoustical
attenuation, and the aesthetic benefits of modern ceiling grids and tiles.
The recommended minimum finish floor to finish ceiling clearance is 9'-0" (2743). For sites with
ceiling clearance issues, a portion of the ceiling not located directly above the accelerator may be
installed below the recommended height. However, to allow for rigging, assembly, and operational
clearances, certain area central to the accelerator must remain 9'-0" (2743) or greater. See Figure 5-9,
Typical Reflected Ceiling Plan for additional information.
To avoid interference with the overhead laser, start the ceiling support grid pattern so that Isocenter
is at the center of a tile. If a solid ceiling is used, provide an access panel with adequate space for
servicing the laser. See Figure 5-9, Typical Reflected Ceiling Plan.
When laying out the air conditioning and fire suppression systems, do not route the duct or water pipes
directly over the accelerator. Inadvertent leaks may occur and can seriously damage the accelerator
and mechanical systems within the Baseframe.
Verify ceiling height requirements with local and regional regulatory agencies. For ceiling conflicts
located directly above the accelerator, contact your Regional Planner.
5-12
Chapter 5 Finishes
Ceiling Finishes
The recommended minimum finish

floor to finish ceiling clearance is
9-0 (2743). For sites with ceiling
clearance issues, the ceiling may
be installed below the recommended
height.
To allow for rigging, assembly,

and operational clearances, the
finish ceiling in this area must be
9-0 (2743) or greater.
Setup Lights - Locate on both

sides of the couch. The setup
lights should be controlled by
dimmer switch to allow the
therapist to adjust the light
levels to their preference.
Main Room Lights - Incandescent

or fluorescent fixtures. Typically
used for housekeeping, servicing
of the machine, and transporting
the patient in and out of the
treatment room.
The ceiling support grid pattern

places isocenter at the center of
the tile to avoid interference with
the projection of the laser output.
See section 3.10, Figure 3-45.
Figure 5-9 Typical Reflected Ceiling Plan
Chapter 5
Finishes
5-13
Ceiling Finishes
5-14
Chapter 5 Finishes
Appendix A
High Energy Clinac Pre-Installation Checklist

In accordance with current Varian Standard Terms and Conditions of Sale RAD 1652, the following are the minimum facility requirements to be
accomplished before the machine can be released for shipment. Requests for any exceptions should be referred to your Varian Regional
Installation Project Manager. The Customer is responsible for having the building, utilities, lighting, ventilation, air conditioning, mounting facilities,
all necessary radiation shielding, and access to the room completed by the day of final inspection. (If delays in completion delay installation, the
Customer shall reimburse Varian, at Varians standard service rates, for any extra time and /or travel by Varian made necessary by the delay). I
have explained these requirements to the Customer on this date along with the specific requirements listed below.
Varian Representative
Date
Customer Representative
Date
<enter>
Site
Equipment Type
Y N N/A ARCHITECTURAL REQUIREMENTS:

1. Drawings reviewed by the Planning Department and a
copy of drawing review on file.
24. Cabinetwork, shelving, and storage completed and

installed in treatment room. (If not in Rig Path).
25. Final floor covering installed. If using sheet goods, post-rig
install discussed with project manager.
26. Riggers contracted to move the Clinac into the room, set in
place and assist in assembling of major components.
2. Copy of Accelerator/ Radiation License, kV X-Ray

Imaging License. All other required Licenses and
Permits obtained.
CLINAC TREATMENT ROOM:
3. Treatment room door and related hardware on hand.
Door should be hung only if it does not interfere with
machine rigging.
4. Verify a clear 4-0 x 7-0 (1225mm x 2125mm)
opening at vault entry.
CONTROL EQUIPMENT AREA:

27. Permanent power available - all wiring pulled to main
breaker and into vault.
x 208V/150A, 3-phase + 4 AWG (min) Ground
x 480V/60A, 3-phase + 6 AWG (min) Ground
28. Clinac GE breaker panel wiring pulled and tested (3 phase
& ground; High Energy Model - 2100CBB150A.
29. Non-GE breaker panel on Clinac Equivalent with 150A
UVR, 24VDC P/S and push button (GE#
TEDUV8RS24VDC).
30. OBI GE breaker panel wiring pulled and tested (3 phase &
ground; OBI model OBI60A480V).
31. Non-GE breaker panel on OBI Equivalent to item 30.
32. Verify grounded electrical power receptacles available as
specified in the DDR.
33. OBI warning lights installed and wiring pulled
34. Walls finished (primer coat minimum).
35. Final floor covering installed. If sheet goods or carpeting,
post-rig install discussed with project manager.
36. Ceiling completed - lighting operational.
37. Cabinetwork shelving completed for console. (Cable routing
access provided with 3 (72.6mm) grommets)
38. Verify sufficient ventilation for heat removal for
workstations and controllers.
39. Verify electronics cabinet opening (for adequate cooling).
40. ARIA Network I-Start minus 14 Checklist completed
(If ARIA network option components are being installed).
41. High speed internet access installed/operational and login
information provided for installation personnel.
Please provide login credentials or IT contact name/number:
5. Rig path verify clearances from unloading area to

vault.
6. Varian base-frame correct levelness height confirmed.
7. Conduits - correct number and size. Conduits must be
clean and dry.
8. Varian installation cables on site. If not on-site, provide due
Note: Not applicable for most sites outside of
date:
North America.
9. Relay Junction Box tested & operational. Wiring run to:
Modulator cabinet
Baseframe (Silhouette only)
Note: If GE RJB Model VRJB-C3 Please Check
10. Main room lights and set-up lights operational.
11. Door interlock wiring pulled and switches operational.
12. Emergency-off buttons installed and wiring pulled.
13. Clinac warning light(s) installed and wiring pulled.
14. Laser light wiring, receptacles, and mounting plates
installed. Verify location, heights and recess size.
15. In-room monitor (if ordered) verify location, mounting,
power, and data cable conduits.
16. CCTV power, data outlets, and conduit ready for
installation.
17. Intercom power, data outlets, and conduit ready for
installation.
18. Water coolant - in pit and valved below floor level with
supply tested and available.
19. HVAC operational (meets Varian minimum
requirements)
20. Compressed air in pit (Instrument quality)
21. Electrician available to assist in pulling all Varian
interconnect cables before or at rig-in. Plumber and
Electrician available to connect utilities to Clinac no
later than three days after rigging is complete.
Contact:
22. Walls finished, primer coat minimum.
23. Ceiling completed - verify height (Check for soffit
clearances and laser obstructions).
Y N N/A
July 03, 2013
Serial Number
42. Telephone operational at console.

Number:
Record the Install address for the product above:

SAME AS SHIP REQUEST
SEE NOTES BELOW
Name:
Add 1:
Add 2:
City, State, Zip:
Y N N/A OTHER:
1 of 2
HEOCLISO.1.6
A-1

43. MICAP Survey complete. Submission date:
44. Seismic Kit required.
45. PCU input voltage:
Delivery date:
.
46. Chiller delivery date:
47. Gating rough-ins for accelerator and simulator or CT/Sim.
(Electrician must mount power supply).
48. Film and processor or dry film available.
49. Secure, environmentally controlled, storage area
(located near Varian work area) available for
approximately 300 sq. ft. of material. Varian installation
personnel will require continuous access.
51. Area sealed to ensure that construction dust particles from

adjoining areas do not enter treatment room or console area.
52. Qualified physicist scheduled for preliminary radiation survey
within 10 days after start of installation.
53. Qualified physicist and dosimeter calibration equipment
available for acceptance testing approximately 3 weeks after
start of installation.
54. No trades allowed during installation.
55. Restroom facilities and sink with running water available for
installation personnel throughout the duration of the
installation.
56. Respritatory Gating Pre-Installation Checklist Completed
57. If Silhouette configuration, ensure that the customer has
selected their panel design preference by visiting the Varian
public website.
Please indicate location/room number:

50. Provisions made for removal and disposal of shipping
crates, boxes, and packing material.
58. Are any Vendor Credentialing or special requirements

needed for Varians representative to access the building?
Y N N/A
In the area below, please precede all notes or comments with the respective checklist item number.
Please use the area below for general notes/comments that DO NOT relate to any of the checklist items.
STOP DELIVERY
RIG AND HOLD
RIG AND CONTINUE high risk for completion date.
RIG AND CONTINUE at risk for completion date.
SITE READY
July 03, 2013
A-2
2 of 2
Appendix A
Date
HEOCLISO.1.6
Appendix B
Respiratory Gating Pre-Installation Checklist

RPM Systems Pre-Installation Checklist
In accordance with current Varian Standard Terms and Conditions of Sale RAD 1652, para. 15 & 16, the following are the minimum facility
requirements to be accomplished before the machine can be released for shipment. Requests for any exceptions should be referred to your Varian
Regional Installation Project Manager. The Customer is responsible for having the building, utilities, lighting, ventilation, air conditioning, mounting
facilities, all necessary radiation shielding, and access to the room completed by the day of final inspection. (If delays in completion delay
installation, the Customer shall reimburse Varian, at Varians standard service rates, for any extra time and /or travel by Varian made necessary by
the delay). I have explained these requirements to the Customer on this date along with the specific requirements listed below.
Date
Site name
Equipment
Y N ARCHITECTURAL REQUIREMENTS
1. Installation drawings reviewed by Varian.
2. All required permits complete.
Y N GENERAL REQUIREMENTS FOR ALL SYSTEMS
3. Does customer have RPM currently?
4. If yes, what version?
5. Also list machines where RPM is currently installed in
NOTES below.
6. Adequate Console space provided for RPM W/S
(monitor, mouse, and keyboard) .
7. Console area finished and ready for installation.
8. RPM installation area sealed from construction dust
particles.
9. Active network port provided for each RPM W/S.
10. Duplex AC outlet provided within 4-0 (1200) of RPM
power module mounting location and convenience
switch provided.
11. Qualified physicist available for acceptance testing,
approximately 4 hours per RPM location.
12. Storage space available for system (50 sq.ft.)
13. Provisions made for removal of shipping crates and
packaging materials.
14. Stereo Speakers wired and installed at each RPM
location (customer option).
15. Telephone available for use in immediate area of each
W/S. List numbers in NOTES below.
16. Conduit 1 (25) with standard signal cable outlet boxes
provided from Console W/S location to RPM power
module, not to exceed 75-0 (22,860).
17. Conduit 1.5 (37) with standard signal cable outlet
boxes provided from RPM power module to RPM
Camera location, not to exceed 20-0 (6096).
IF N/A
Y N CLINAC REQUIREMENTS
18. RPM Camera bracket firmly mounted at correct location.
19. Distance from Camera mounting bracket to Clinac
Isocenter is 14-0 (4200) and within +/- 15 degrees of
the longitudinal isocenter plane.
20. RPM power module installed properly.
21. RPM cables have been pulled from the W/S to the
camera mounting location.
Date
Serial number

SEE NOTES BELOW
Name:
Add 1:
Add 2:
City, State, Zip:
Y N STANDARD SIMULATOR REQUIREMENTS
IF N/A
22. RPM Camera bracket firmly mounted at correct location.
23. Distance from Camera mounting bracket to Simulator
Isocenter is 14-0 (4200) and within +/- 15 degrees of the
longitudinal isocenter plane.
24. List customers Simulator Fluoro Video Standard:
26. 3rd Party Simulators: all required RPM interface cables and
modules are properly installed or customer has arranged
installation by their vendor.
SEE NOTES BELOW
Name:
Add 1:
Add 2:
City, State, Zip:
Y N CT SIMULATOR REQUIREMENTS
IF N/A
27. List manufacturer and model of CT Simulator in NOTES.
28. Couch-top Camera Bracket ready for installation.
Note: If the CT RPM has 3D software, the camera can be
wall-mounted, but will need to adhere to criteria specified in
item number 23 (above).
29. Camera storage bracket installed securely on wall. Verify
location below power supply module.
31. Curtain rail or other appropriate cable take-up mechanism
provided and installed properly.
32. RPM cables have been pulled from the W/S to the camera
mounting location.
SEE NOTES BELOW
Name:
Add 1:
Add 2:
City, State, Zip:
Page 1 of 2
RPMCLISO.1.3
B-1
RPM Systems Pre-Installation Checklist

Special IT-Related Information:
In an effort to ensure that all Gating workstations are networked, the hospital IT Department needs to provide a fixed IP address
for each workstation and create a Gating folder on a server that is backed up on a daily basis (usually, the Gating folder is setup
on the Aria server). To create a Gating folder on the server with read/write access, copy the Gating.mdb file from C:\Program
Files\Varian\RPM Respiratory Gating System and paste it in the Gating folder previously created. Then, navigate from the Gating
application to the New Database Folder, under the File menu. If there are other existing Gating workstations, they must be
upgraded to match the same software on the new Gating workstation(s).
In the area below, please precede all notes or comments with the respective item number from the previous page.
____________________________________
________________________________________
______________
Date
B-2
Page 2 of 2
RPMCLISO.1.3
Appendix B Respiratory Gating Pre-Installation Checklist
Appendix C
Calypso Pre-Installation Checklist

In accordance with current Varian Standard Terms and Conditions of Sale RAD 1652 the following are the minimum facility requirements to be
accomplished before the upgrade device can be released for shipment. Requests for any exceptions should be referred to your Varian Regional
Installation Project Manager. The Customer is responsible for having the building, utilities, lighting, ventilation, air conditioning, mounting facilities,
all necessary radiation shielding, and access to the room completed by the day of final inspection. (If delays in completion delay installation, the
Customer shall reimburse Varian, at Varians standard service rates, for any extra time and /or travel by Varian made necessary by the delay). I
have explained these requirements to the Customer on this date along with the specific requirements listed below.
Date
Date
<enter>
Site
Y N
Y N
Equipment Type
ARCHITECTURAL REQUIREMENTS:
1. Installation drawings reviewed by Varian.
2. All required permits completed.
Customer Contact information:
GENERAL REQUIREMENTS FOR ALL SYSTEMS:
Vault
3. Varian supplied ceiling mounts installed per DDR. Ensure
space available for a 3 camera mount protrusion below
drop ceiling. Bolts are torqued to 40 ft/lbs for 6 inch and
25 ft/lbs for 5 inch ceiling mounts.
4. Send PM vault elevations for each camera position as
soon as possible. Note: 12 week lead time on custom
camera mount fabrication.
a. Height of drop ceiling from finished floor:
Cam 1
cm Cam 2
cm Cam 3
cm
b. Height of concrete overhead from finished floor
Cam 1
cm Cam 2
cm Cam 3
cm
c. Distance from Isocenter.
Cam 1
cm Cam 2
cm Cam 3
cm
5. Camera Hub/Power Supply unit location outside beam but

within a 50 cable run from each camera. (18l x 12w x
12h).
6. Single 120VAC 15A un-switched power receptacle no
more than 3 away from Camera Hub/PS unit.
7. Electrical pull box 6w x 3h x 3.5d (min.) in wall near
Camera Hub/PS unit. No more than 3 away.
8. Cover plate with 3 cable access hole and grommet for
item #7
9. (2) - 120VAC 15A un-switched power outlets for Calypso
Console - (1) on sagittal line, (1) on the side wall opposite
the longitudinal axis line from Cam #2, all within 13 of
couch midpoint.
10. (2) - Data drops no more than 6 away from Calypso
Console power outlets (item #9). Varian will provide
plenum rated CAT5 cable.
11. (2) 3/4 Conduits. (1) Conduit from each data drop to the
Accessory pull box. Pull string in place.
12. (3) 1 1/4 Conduits. (1) Conduit from each Camera
mount to the Accessory pull box. Pull string in place.
13. (1) 1 1/2 Conduit installed from the Control Pull box to
the Accessory pull box. Customer to provide conduit
length (38 meters max). Pull string in place.
14. (3) 2 Conduits installed from the Accessory pull box to
the Camera Hub/PS electrical box. Pull string in place.
15. Identify Console storage location. Location MUST be
outside the beam path. ConsoleSystem does NOT need
to be plugged in while in storage.
Serial Number
1 of 2
IT Weekend Support
Name:
Physics Support
Name:
Electrician
Name:
Other
(specify)
Name:
Number:
Number:
Number:
Number:
Control Room
16. Single 120VAC 15A un-switched power receptacle no
more than 3 away from Tracking Station.
17. Customer approved console layout or drawing,
incorporating the new upgrade components insuring
adequate space and depth for cable service loop,
provided to Varian.
18. 3 cable access hole from Control Pull box to Tracking
Station for fiber optic cable. No more than 3 away.
19. Hospital LAN Connection.
Note: Not required for TrueBeam 2.0+
20. IT Data Template completed by customer and sent to
installer.
Y N N/A CLINAC REQUIREMENTS
21. Dynamic Edge Gating on order? If so pre-requisites
include:
C-Series 4D 10.0+, MMI, Type II MLC 120, Console
Software 7.6 +
TrueBeam 1.6 and below not available.
TrueBeam 2.0+, MMI.
Note: TrueBeams undergoing upgrade to 2.0+ , STB-IC543 and MMI STB-IC-544 must be completed before
Calypso can be scheduled.
Siemens Gating option
22. Automated Couch Repositioning on order? If so prerequisites include:
C-Series Console Software 7.6 +, Juniper Router, 4D,
MMI, Remote Couch Motion if NO OBI
Note: May require linac serial number so that new console
configuration files can be created to have Dose Export
enabled for MMI if not already enabled.
TrueBeam 1.6 and below not available.
TrueBeam 2.0+ none
Note: TrueBeams undergoing upgrade to 2.0+ , STB-IC543 must be completed and if MMI is being installed STBIC-544 must be completed before Calypso can be
scheduled.
Calypso 1.3
C-1

23. Data Import on order? If so pre-requisites include:
Varian Eclipse
Philips Pinnacle 9.0+, may require customer to acquire
additional licensing form Philips.
24. Radiation Detector on order?
25. Establish Network folder on Hospital network for
Patient Reports.
26. Confirm pedestal base for tabletop replacement per
linac manufacturer. (Reference compatibility list in DDR).
27. kVue Qfiix Kevlar couchtop on order? If so
prerequisites include:
TrueBeam LaserGuard installed
28. Confirm Tabletop replacement with customer. Ensure
all current accessories and test phantoms are compatible.
If this is a relocation and a Qfix is on order ensure the
Universal Tips panel is on the order.
31. Provisions made for removal of shipping crates, boxes

and packing material. Note: Arrangements can be
made to remove crates and packing material if delivery
and installation coincide. If delivery and installation do
not coincide, then arrangements will have to be made for
the customer to remove/dispose of crates and packing
material.
32. Ensure a qualified physicist is available for Acceptance
Testing.
Y N VARIAN OTHER:
33. Is project created for labor and expense?
34. License files posted to PSE website and features match
Sales Order?
35. Provide Calypso SN, Sales Order, FRM0080 and MDA0078
to installers
36. Ship request completed and date of delivery provided to
installers?
37.Has Belair tools been scheduled for delivery?
Y N CUSTOMER OTHER:
29. Inform Applications of Installation Dates.
30. Provide 100 sq. ft. of temporary storage for Calypso
materials and tooling in close proximity to Treatment
Room for tooling.
Provide completed copy of checklist to installer.
In the area below, please precede all notes or comments with the respective item number from the previous page.
C-2
2 of 2
Date
Calypso 1.3
Appendix C Calypso Pre-Installation Checklist
Appendix D
D.1
Shipping Lists
Varian High Energy Clinac Shipping List (Typical)
Item
Description
Packaging
Length
inch
cm
Width
inch
cm
Height
inch
Weight
cm
lb.
kg
A. Clinac Baseframe (Shipped to site individually before the Clinac.)

01.
VEO Universal Baseframe
Crate
146
371
62
157
25
64
2,910
1,320
B. Standard Shipping Configuration Clinac (Note: Data for international shipments vary.)
01.
Gantry/Drive Stand
Skid
149
379
45
114
78
198
13,605
6,171
02A. Counterweight Assembly
Skid
39
99
36
91
49
124
5,894
2,673
C. Optional Factory Breakdown Clinac (Note: Data for international shipments vary.)
01.
Gantry
Skid
117
297
62
157
89
226
8,705
3,949
02.
Drive Stand
Skid
65
165
59
150
89
226
4,810
2,182
Skid
39
99
36
91
49
124
5,894
2,674
03A. Counterweight Assembly
D. Associated Items Clinac (Note: Data valid for domestic and international shipments.)
01.
Modulator
Skid
59
150
43
109
87
221
1,992
904
02.
Console Electronics Cabinet
Skid
47
119
37
94
44
112
444
201
03.
Couch
Crate
59
150
29
74
34
86
1,306
592
04.
Couch Top (Stretcher)
Skid
80
203
31
79
17
43
256
116
05.
Customer Box AA Mold

Frame Kit
Crate
28
71
28
71
22
56
149
68
06.
Customer Box B
Crate
55
140
34
86
77
196
658
298
07.
Customer Box BB
Crate
48
122
48
122
36
91
494
224
08.
Customer Box C
Crate
55
140
34
86
77
196
658
298
09.
Customer Box CC
Crate
48
122
48
122
36
91
510
231
10.
Customer Box D Electron

Cones
Carton
57
145
40
102
26
66
250
113
11.
Customer Box DD
Crate
48
122
48
122
36
91
362
164
12.
Customer Box EE
Crate
53
135
37
94
32
81
266
121
13.
Customer Box FF CBCT

System
Skid
32
81
24
61
30
76
70
32
14.
Customer Box GG OBI KV

Generator
Skid
46
117
46
117
31
79
340
154
15.
Customer Box HH OBI

Unitized Frame
Crate
88
224
33
84
48
122
1,631
740
D-1
Varian High Energy Clinac Shipping List (Typical)
Item
Description
Packaging
Length
inch
cm
Width
inch
cm
Height
inch
Weight
cm
lb.
kg
16.
Customer Box J Installation

Hardware
Carton
25
64
21
53
20
51
118
54
17.
Customer Box Console

Cabinet (1 of 3)
Crate
47
119
32
81
46
117
438
199
18.

Cabinet (2 of 3)
Crate
47
119
55
140
46
117
778
353
19.

Cabinet (3 of 3)
Carton
47
119
44
112
44
112
447
203
20.
Customer Box Fiberglass

(1 of 4)
Crate
83
211
45
114
27
69
165
75
21.

(2 of 4)
Crate
72
183
54
137
33
84
377
171
22.

(3 of 4)
Crate
40
102
40
102
28
71
150
68
23.

(4 of 4)
Crate
52
132
38
97
32
81
166
75
24.
Customer Box Trilogy

Cover Panel
Crate
104
264
51
130
21
53
470
213
25.
Customer Box Trilogy Door

Panel
Crate
91
231
51
130
15
38
277
126
26.
Non-Flammable Gas (SF6)

(1 of 2)
Loose
25
64
15
15
25
11
27.
Non-Flammable Gas (SF6)

(2 of 2)
Carton
27
69
18
18
25
11
28.
Distilled Water
Crate
33
84
23
58
26
66
356
161
29.
Oil, 5-Gallon
Pail
N/A
N/A
N/A
N/A
N/A
N/A
36.5
16.6
30.
Ladder, Fiberglass, 6-Foot
Loose
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
D-2
Appendix D Shipping Lists
Glossary
Term
Definition
Acuity
Varian tradename for its simulator. The simulator is used to assist with
treatment planning for determining the method and position to use during
actual treatment.
Arc Therapy
A form of radiation therapy in which the radiation beam is continuously

directed toward the isocenter as the Linear Accelerator Gantry is rotated in
an arc.
ARIA
An advanced information platform designed to unify the clinical and

administrative aspects of radiation oncology. This Varian product consists
primarily of software that will run on Customer or Varian-supplied
computer hardware. The effect of ARIA system on the architectural
requirements is limited to an increase in the control console size
requirement. The Clinac and Acuity Workstations can be linked by the
Network Fileserver to form a local area Network. Editing Workstations are
optional stations located away from the Clinacs and/or Acuity consoles.
See also Network.
Attenuation
The reduction of intensity upon passage of radiation through a medium

caused by absorption and scattering.
Backpointer Laser
A Linear Accelerator accessory, usually mounted to the Gantry, used to

identify the central axis of the radiation beam.
Baseframe/Plate
Varian-supplied assembly that anchors the Stand/Gantry and the Couch to

the building structure.
Blocks and Block Trays
Accessories used to shape the treatment field. Blocks are custom made for
each patient and are supported by the Block Tray at the Clinac Collimator.
10 to 20 Block Trays may be in use daily.
Breakdown
The manner in which a Clinac is disassembled for shipment. The two-piece

breakdown, or standard configuration, leaves the Stand and Gantry
connected. A three-piece breakdown, or factory breakdown, separates the
Stand and Gantry and is used to shorten the space required for passage into
the treatment room. The factory breakdown might involve extra cost.
CCTV
A closed-circuit television is used for observing patients from the control

console. The system is typically color but can be black-and-white and
consists of two or more cameras and two or more monitors. Verify quantity
of cameras required with regional regulatory agencies. The primary camera
will normally include an auto-focus and low-light level lens with power
zoom. It will be mounted on a bracket incorporating pan-tilt features. The
control console must include remote controls for the zoom and pan-tilt.
Glossary-1
Term
Definition
Circuit Breaker
An automatically-operated electrical switch designed to protect an

electrical circuit from damage caused by overload or short circuit. Unlike a
fuse, which operates once then has to be replaced, a circuit breaker can be
reset, either manually or automatically, to resume normal operation.
Clinac
Varian trade name for a range of Linear Accelerator models used in cancer
treatment and stereotactic radiosurgery. Low Energy (600C, 4EX, 6EX,
and 600SR) models have different facility requirements from Dual Energy
(2100C/D, 2300C/D, 21EX, 23EX, iX, and Trilogy) models. Rebuilt
Clinacs (4R, 6XR, and 18R) have similar characteristics to the
in-production models.
Collimator
A movable, radiation-limiting device, located in the head of the Gantry,

used to define the radiation field.
Computerized
Tomography (CT)
Technique for making computer-generated images of a predetermined

plane section of a patients body by rotating an x-ray tube around a patient.
Cone
See Electron Applicator.
Console Cabinet
An electronics enclosure provided by Varian that houses computing

workstations and other electronics that operate the Clinac or TrueBeam
machine.
Control Equipment
Casework
Casework designed to accommodate Varian control equipment and

workstations. The Control Equipment Casework is located outside the
Clinac, TrueBeam, VariSource, or GammaMed room and usually located
behind a wall within the Acuity room. The control equipment is used for
setting mechanical and treatment parameters.
Couch
The assembly used to support the patient during treatment or simulation. It

can move vertically, longitudinally, and transversely to position the patient
treatment field at isocenter. The minimum travel radius must be free of
obstructions. Its maximum travel radius defines the maximum distance
from isocenter throughout its travel range that the couch can operate. As the
couch is seldom used in all orientations, the maximum travel radius can
have obstructions without detriment, but it is recommended that the
Customer and Varians Planning Department be consulted.
Door Interlock
A switch that enables a fail-safe safety circuit linked to the Clinac,

VariSource, GammaMed, or Acuity when the door to the room is closed.
The door must be closed before radiation treatment or simulator can
proceed. If the door is opened during treatment or simulation, the beam is
turned off.
Dynamic Wedge
An accessory used to generate a wedge-shaped isodose contour, analogous

to physical wedges, by moving one of the Collimators during the course of
an x-ray treatment.
Glossary-2
Term
Definition
Dynamic Compensation
A superset of the Dynamic Wedge where one or more mechanical axes

move during the course of an x-ray treatment to conform the dose
distribution to the treatment volume.
Eclipse
A comprehensive treatment planning system that simplifies modern

radiation therapy planning for all kinds of treatment, allowing clinicians to
quickly customize treatment plans for any disease site with precision and
accuracy.
Electron Applicator
An accessory, often called a cone that is mounted to the accelerator or

Acuity Collimator that defines the treatment field for electron therapy.
These are required for accelerators with energies above 10MV and are
optional with the Acuity. There are five, and one additional optional, units
per set. They measure approximately 1'-0" x 1'-0" x 1'-4" (305x305x406)
and weigh up to 20 lbs. (9kg) each. Their storage requires special design
attention when it is incorporated into the treatment and Simulator room
cabinetry.
Electron Radiation
A Primary Beam of radiation generated by the Clinac for treatment. Low

energy accelerators have no electron mode, while Dual Energy accelerators
have several selectable electron energies. Electron Radiation is less
penetrating than Photon Radiation, and is used less often than Photon
Radiation.
Electronic Cart Assembly
The VariSource Transportable 200t system comprises the VariSource

Remote Afterloader (VRA) and Electronic Cart Assembly (ECA). The
ECA houses the VariSource, GammaMed Control Console and Treatment
Planning System plus peripherals and storage for accessories. The ECA and
VRA form a single articulated vehicle facilitating transport and installation
once at the designated site. This ECA is connected via Varian supplied
cables to the Wall Box and the grounded duplex electrical power receptacle
located in the control console area.
Emergency-Off Switch
(also known as Emergency
Power Off Switch or [EPO]
or as Emergency Stop
Switch)
A mushroom button used to disable the Clinac, TrueBeam, VariSource,

GammaMed or Acuity. The switch must have a manual reset feature.
Emergency-Off switches are provided at equipment Stand, Couch, and
Modulator Cabinet. Additional switches must be provided to disable the
TrueBeam without entering the Primary Beam and in accordance with local
regulations.
Emergency Stop Switch
A mushroom button used to disable the TrueBeam. The switch must have
a manual reset feature. Emergency-Stop switches are provided at the
equipment Stand, Couch, and Modulator Cabinet. Additional switches
must be provided to disable the TrueBeam without entering the Primary
Beam and in accordance with local regulations.
Glossary-3
Term
Definition
ExacTrac (ETX)
A high resolution stereo x-ray imaging system that targets tumors and
corrects patient positioning with sub-millimeter precision. The room-based
design enables continuous tracking of patient and tumor movement,
including IGRT verification, throughout the treatment. This system is
combined with the Varian Clinac Linear Accelerator to form the Novalis
TX.
Experimental Access
Conduit (also known as
Physics Port)
The installation of an experimental access (physics) conduit between the

interior of a Clinac or VariSource, GammaMed treatment room and an
accessible point outside the treatment room, may be requested by the
Customer. It is used periodically with a Water Phantom/Beam Scanner
System in Clinac treatment rooms. The conduit should be oriented as
perpendicular to the isocenter as possible.
Final Field Defining

Aperture (FFDA)
An accessory that is fabricated to shape a patients electron beam treatment

field. It installs into the Electron Applicator during patient set-up.
Fluoroscopy
Real-time imaging by means of a fluoroscope, which is a device used for

viewing patients during simulations. Fluoroscopic capability is a standard
feature of the Acuity.
Freight
Refers typically to the shipment of Varian equipment, beginning with the

pick-up at the factory and ending freight-on-board (FOB) at the facility.
See also Rigging.
GammaMedplus
See VariSource.
Gantry
Rotating part of the Stand/Gantry assembly. The Clinac or TrueBeam

Gantry contains the accelerator guide, bending magnet (Dual Energy
Accelerators) and Collimator.
In-Room Monitor
Display that describes the status of the equipment setup and patient
parameters. The staff uses this monitor in the treatment room as they set up
the patient. It is important to locate the monitor such that viewing the
monitor during the Setup process shall not distract the therapist from the
patient. Consult with the Customer regarding monitor location preference.
The In-Room monitor should not be located in any x-ray primary beam.
Installation Product
Acceptance (IPA)
The IPA procedure provides testing procedures and data recording tables to
enable Varian to demonstrate that Varian Products have been successfully
installed and meet required manufacturer specifications.
Glossary-4
Term
Definition
Intercom
Two-way electronic communication device used to monitor the patient

audibly in the treatment room from the control console during treatment.
The intercom is important for dialog between the therapist setting the
patient up and the radiation equipment operator, and to monitor the patient
when the therapist is out of the treatment room. The intercom should have
duplexing and be voice-activated or continuous-on in the room and
push-to-talk at the control console. When the Acuity and its console are in
two adjacent areas with no door between, an intercom may not be needed.
Isocenter
The point in three-dimensional space about which the Gantry, Collimator

and Couch turntable rotate in common. This point is the central reference
for all calibrations and critical shielding dimensions. It is the reference for
positioning the Baseframe pit, Lasers, Couch, Clinac/TrueBeam/Acuity
and the patient during treatment procedures.
Junction Box
A conduit body that is used to access and terminate conductors or house an

electrical device. For purposes of Clinac and Acuity requirements, the
Varian-supplied cables are pulled and housed in conduits terminated at Pull
Boxes, while the lighting control relays are housed in a junction box.
Laser Positioning Lights
Laser devices used to position the patient on the couch for treatment or
simulation. Four lasers are used in the treatment room. Their light beams
intersect at the isocenter. The side and overhead lasers throw both vertical
and horizontal beam planes that create a crosshair. The sagittal laser is
located ahead of the Couch and at least seven feet above the floor and
throws only a vertical beam plane. Rigid installation of the lasers is critical.
A back pointer laser, which is mounted on the Gantry counterweight or
beamstopper, may be ordered with the equipment. The back pointer laser,
along with the wall-mounted lasers, creates an intersection of light defining
the radiation exit axis.
Last Man Out
See Search/Evict.
Longitudinal Axis also

known as Sagittal Plane
An imaginary vertical plane that coincides with the rotational axis of the
Gantry and bisects the patient couch.
Maze
A treatment room entrance hallway designed to reduce radiation levels,

particularly neutrons, at the entrance door. The length of and occupancy
beyond the maze affects the amount of shielding required in and around the
door.
Modulator Cabinet
Power control unit for all Dual Energy Accelerators. The Modulator is
located in the cabinet behind the machine. Cable length should be
considered relative to the console.
Glossary-5
Term
Definition
Multileaf Collimator
(MLC)
Collimator system designed to define the silhouette of a beam of radiation.

This optional system, available on all Varian Accelerators, reduces the
need for blocks and block trays. The effect of the MLC system on the
architectural requirements is limited to an increase in the control console
requirements.
MV Imager
Real-time MegaVoltage imaging system for monitoring and verifying

treatment field in relation to anatomical landmarks.
Network
A system of interconnected computers. A computer network usually links

two or more personal computers (Workstations) to a centralized storage
device (File Server). Networks provide users at different locations with the
capability to share software, information and peripheral devices, such as
printers. See ARIA.
Neutron Radiation
A particle form of Secondary Radiation produced by high (>= 10 MV)

energy photons incident on high atomic number materials such as steel and
lead.
Occupancy
The purpose or activity for which a space is used with regard to an

occupant's length of stay while radioactivity is present. The values used for
determining requirements in Varian documents are: 0% for no occupancy
within a 60 foot (18,300) radius from the radiation source; 10% for exterior
areas; 25% for service or circulation areas; 50% for treatment, exam and
waiting areas; 100% for control, office or areas of unknown occupancies.
Pendant
Hand-held remote control unit attached to the Couch that is used to position
and adjust the Couch, Gantry and Collimator for patient treatment. The
Pendant also houses controls for room lights and Laser Positioning Lights.
Photon Radiation
A Primary Beam of low (< 10 MV) or high (>= 10 MV) energy penetrating
x-ray radiation generated by the accelerator for treatment. Low energy
accelerators have a single x-ray energy of less than 10 MV, while Dual
Energy accelerators have one similar low energy, and one high energy
x-ray energy of 10 MV or greater. The term Photon Radiation also refers
to the x-ray leakage radiation and scatter radiation that is either emitted
from the accelerator or scattered from the shielding barriers, respectively.
Glossary-6
Term
Definition
Physicist of Record
The physicist with the responsibility for assessing parameters and limits
associated with the Clinac, TrueBeam, VariSource, or GammaMed. With
regard to facility shielding, the Physicist of Record is responsible for
designing the treatment room radiation shield barriers and confirming they
meet applicable regulatory requirements. The facility design is based on
regulatory requirements of the regulatory body tasked with oversight of
Radiation Producing Devices in the Region, and recommendations of the
National Council of Radiation Protection and Measurement (NCRP).
Confirmation of the shielding adequacy is assessed with a radiation survey
performed by a qualified physicist, which may or may not be the Physicist
of Record. The Physicist of Record will correspond with the Region's
Department of Health Services (or equivalent) regarding the design and
results of the radiation survey.
Physics Port
See Experimental Access Conduit (also known as Physics Port).
PortalVision (PV)
Real-time imaging system for monitoring and verification of treatment

field and shielding blocks in relation to anatomical landmarks. The effect
of PortalVision on the architectural requirements is limited to an increase
in the control console requirement.
Power Panel
An assembly of circuit protection and control devices.
Primary Beam Radiation
The emission or propagation of photons or electrons along the main axis or

direction of the generating equipment (see Photon Radiation and Electron
Radiation). Varian accelerators generate a 28-degree primary radiation
beam cone from a source in the Gantry (measured one meter back from
isocenter). Acuity generates a 39-degree primary radiation beam cone from
a source in the Gantry (measured one meter back from isocenter). Shielding
for the primary beam must consider the 360-degree rotation of the Gantry
and should extend at least one-foot (305) beyond the beam cone.
Pull Box
A conduit body that is used only to access conductors. The distinction is

made to simplify the NEC or other regulatory agency requirements for
placement and construction of these structures. The Control Console,
Baseframe, and Modulator boxes are Pull Boxes.
Radiation
monitor/detector
Device that senses radiation and issues a warning when the radiation level
exceeds the preset standards. Some jurisdictions require them in accelerator
rooms as a precautionary measure.
Radiosurgery
A method of treatment that uses a single, high dose of radiation to alter the
tissue to cause necrosis or fibrosis. This procedure uses Gantry, and
sometimes Couch, movement during the treatment to minimize exposure to
surrounding tissue.
Radiotherapy
A method of treatment using multiple, small radiation doses to gradually

shrink and kill malignant tumor cells.
Glossary-7
Term
Definition
Relay
Automatic electromagnetic or electromechanical device that responds to a

small current by activating switches in an electric circuit. Lasers and room
lights are connected through relays to the switches in the Pendant and on
the Couch.
Rigging
Positioning of the Baseframe and the accelerator, VariSource, GammaMed

or Acuity components into the treatment room. The Baseframe is rigged
prior to the rest of the equipment. A rigging company is usually hired by
the Customer to off-load these items from the truck and to move them
through the facility into the treatment room. The Customer's architect and
structural engineers must review the entire rig route for adequate clearances
and structural support. The work can include temporary demolition and
shoring. Final equipment positioning is part of the rigging contract. See
also Freight and Breakdown.
Safety and Monitoring

Devices
Special equipment required to assure that the technical and service

personnel are not exposed to radiation. These items are Emergency-Off
Switch (also known as Emergency Power Off Switch or [EPO] or as
Emergency Stop Switch), Radiation monitor/detector, and Warning Light.
(See definitions.) Other monitoring equipment is used to observe and
position the patient during treatment. These items are CCTV, Intercom,
Laser Positioning Lights, and View Window. (See definitions.)
Sagittal Plane also known

as Longitudinal Axis
An imaginary vertical plane that coincides with the rotational axis of the
Gantry and bisects the patient couch.
Search/Evict
A procedure, usually involving some form of electro-mechanical interlock

to the equipment, which provides added assurance that only the patient is
in the room during treatment. (Also called Last man out procedure.)
Secondary Radiation
The emission or propagation of neutrons and/or photons as a result of

bouncing or reflecting in various directions. Its sources are leakage from
the equipment head and scatter from the room surfaces (see Electron
Radiation, Neutron Radiation, and Photon Radiation).
Simulator
Radiotherapy equipment, such as the Varian Acuity, that uses radiographic

and fluoroscopic imaging to duplicate the beam geometry of medical
Linear Accelerators as a means to localize the treatment field.
Stand
Fixed part of the Stand/Gantry assembly containing the Klystron, power

converters, cooling water heat exchanger, microwave generator and other
elements of the Linear Accelerator and similar components of the Acuity.
Start Button
An override connected to the Emergency-Off circuit and to a separate,

interim power source, which allows interim power to close the UVR circuit
until Clinac power is available.
Glossary-8
Term
Definition
Stereotaxis (n),
Stereotactic (adj)
The principle of locating a point in three dimensional space, within the

brain, with a high degree of accuracy, by using an external reference
coordinate system or plane.
Total Body Irradiation

(TBI)
A technique during which a large-field x-ray or electron beam is used to

treat the entire patient's body. Due to the increased field size, a distance of
10 to 20 feet (3 to 6 meters) is required from the isocenter to the wall on one
side of treatment rooms designed to accommodate the procedure.
Under Voltage Release

(UVR)
Safety feature that trips the breaker when an under-voltage condition

occurs. Used in conjunction with the accelerator and Acuity emergency off
circuits to trip the main circuit breaker power to the equipment.
VariSource
Varian's high dose rate remote afterloader delivers high radiation doses to
patients by way of a radioactive source wire that is extended through
catheters into body cavities.
View Window
Patient monitoring opening in the wall between the Control Equipment

Casework and the Acuity room spanned with leaded glass. Low energy
accelerators occasionally have view windows but this is not recommended.
Warning Light
A light (usually red) that indicates beam-on condition. A light for

ready mode may be required also.
Water Phantom/Beam
Scanner System
A clear tank, part of a set of components, used to simulate a human body

on the treatment couch to determine an accurate radiation output and dose
distributions of a Linear Accelerator. The water phantom, which measures
up to 2'-0" x 2'-0" x 2'-0" (610 x 610 x 610), is used by the therapists and
physicists. It needs to be filled with water before use and the water needs to
be siphoned off after use. Water supply, drain, and water-resistant storage
space for the tank should be provided within the treatment room.
Glossary-9
Glossary-10
Index
A
acceptable ceiling mount load plate areas, Calypso
System 3-37
accessory pull box 3-4
accessory storage dimensions, typical 5-7
acoustical requirements 5-10
Acuity/Conventional Simulator subsystem 3-23
ceiling-mount option 3-25
mounting locations 3-23
mounting methods 3-25
wall-mount option 3-25
adaptive couch repositioning, Calypso System 3-31
air system, compressed 3-54
ARIA workstation components 4-20
array panel, Calypso System 3-27
assembly, Calypso System 3-32
B
baseframe
cable access details 3-63
cooling line access details 3-66
pit and installation 3-59
pull box 3-3
Beacon transponders, Calypso System 3-29
Beam Ready warning lights 4-19
Beam-Off warning lights 4-19
Beam-On warning lights 4-18
C
cable access details for baseframe 3-63
cable access diagram 3-5
cable conduit/ducts 3-2
cabling 4-5
calibration fixtures for Calypso System 3-30
Calypso System
acceptable ceiling mount load plate areas 3-37
adaptive couch repositioning 3-31
array panel 3-27
assembly 3-32
Beacon transponders 3-29
calibration fixtures 3-30
camera elevation heights and clearances 3-39
camera support mounting methods 3-40
cameras
power supply/hub unit 3-28

ceiling mount
cantilever extension bar 3-41
load plate 3-40
dynamic edge gating 3-30
Extracranial Radiosurgery Subsystem 3-26
fixtures 3-29
infrared cameras 3-28
optical system 3-27
preferred ceiling mount load plate locations,
non-TrueBeam 3-33
QA fixture 3-29
radiation detector 3-30
software 3-29
system options 3-30
touch screen computer 3-27
tracking station 3-28
treatment planning data import 3-31
treatment room console 3-26
typical room configuration 3-32
cameras
elevation heights and clearances, Calypso
System 3-39
elevation heights and clearances, OSMS 3-47
infrared 3-28
mounting locations, Calypso System 3-33
mounting locations, OSMS 3-45
power supply/hub unit, Calypso System 3-28
support mounting methods, Calypso System 3-40
support mounting methods, OSMS 3-48
carpeting requirements 5-10
CCTV
camera, power receptacles 4-20
system 5-10
ceiling finishes 5-12
ceiling mount
load plate for OSMS 3-48
ceiling mount cantilever extension bar, Calypso
System 3-41
ceiling mount load plate areas, acceptable, Calypso
System 3-37
ceiling mount load plate, Calypso System 3-40
ceiling-mount option
RPM Clinac subsystem 3-15
Index-1
checklists for pre-installation A-1, B-1, C-1

circuit breaker panel
Clinac 4-9
benefits 4-10
described 4-9
features 4-10
options 4-10
order information 4-11
specifications 4-9
main OBI 4-12
circuit breakers/UVRs for Clinac 4-8
clearances for Clinac in-room monitor 3-67
Clinac
circuit breaker panel
(with battery backup circuit) 4-9
benefits 4-10
described 4-9
features 4-10
options 4-10
specifications 4-9
circuit breakers 4-8
computer components 4-20
coolant system 3-50
dual energy coolant requirements 3-52
in-room monitor 3-67
component anchorage brackets 3-67
typical plan 3-69
wall mount 3-68
Linear Accelerator Subsystem, power
requirements 4-7
main circuit breaker panel 4-8
operational states 3-49, 4-17
plan view 2-11
power requirements 4-7
UVRs 4-8
compatibility matrix for RPM CT & PET CT simulator
subsystem 3-17
component anchorage brackets for Clinac in-room
monitor 3-67
compressed air system 3-54
configurations
typical room 2-7
typical room, Calypso System 3-32
connections, electrical 4-2
control equipment
casework, typical 5-1
pull box 3-3
coolant
diagram 3-51
Index-2
flow requirements 3-50

requirements for dual energy Clinac 3-52
specifications 3-53
system, Clinac 3-50
cooling line access details, baseFrame 3-66
D
dedicated ground wires, in-room monitor 3-67
dedicated grounding requirements 4-2
detail, elevations 2-13
diagram
cable access 3-5
coolant 3-51
interconnection wiring 4-15
dimension clearances for shipping/rigging 2-16
dimensions, typical accessory storage 5-7
dual energy Clinac coolant requirements 3-52
ducts/cable conduit 3-2
dynamic edge gating, Calypso System 3-30
E
electrical
connections 4-2
requirements 4-1
specifications 4-1
elevations 2-13
emergency-off switches 4-19
environment specifications 3-54
equipment layout for Clinac in-room monitor 3-67
Extracranial Radiosurgery Subsystem, Calypso 3-26
F
facilities requirements 3-1
features 4-14, 4-21
list of Clinac 1-1
relay junction box 4-21
finishes 5-1
ceiling 5-12
fire protection 3-55
fixtures for Calypso System 3-29
flooring requirements 5-10
G
general electrical specifications 4-1
general room storage requirements 5-6
general system information 2-1
Generator ON (OBI) warning lights 4-19
ground wires, dedicated, in-room monitor 3-67
grounding, dedicated 4-2
H
HVAC and plumbing requirements 3-49
I
infrared cameras, Calypso System 3-28
dedicated ground wires 3-67
equipment layout/clearances 3-67
power receptacle 4-20
installation time schedule 1-3
interconnection wiring diagram 4-15
Intracranial Radiosurgery Subsystem, OSMS 3-42
introduction to Novalis TX DDR 1-1
isometric view for typical room 2-5
J
junction box, relay 4-21
K
key features of Clinac 1-1
L
laser mounting details, standard 3-71
laser positioning lights 4-17
lasers for patient positioning 3-70
lighting and accessories circuits specifications 4-1
lights
laser positioning 4-17
room 4-17
setup 4-17, 4-18, 4-20
M
main circuit breaker panel
Clinac Linear Accelerator 4-8
OBI 4-12
benefits 4-14
described 4-13
features 4-14
options 4-14
main room lights 4-18
major system components for modulator cabinet 3-9
minimum coolant flow requirements 3-50
modulator cabinet 3-9
modulator pull box 3-3
mounting locations
mounting methods
camera support, Calypso System 3-40
N
network cabling and termination 4-5
non-TrueBeam, preferred ceiling mount load plate
locations, Calypso System 3-33
Novalis TX shipping list D-1
O
OBI
main circuit breaker panel 4-12, 4-14
benefits 4-14
described 4-13
power requirements 4-12
subsystem 4-12
operational states, Clinac 3-49, 4-17
optical system, Calypso System 3-27
optical system, OSMS 3-42
options for OBI main circuit breaker panel 4-14
OBI main circuit breaker panel 4-14
relay junction box 4-22
OSMS
camera elevation heights and clearances 3-47
camera mounting locations 3-45
camera support mounting methods 3-48
ceiling mount load plate 3-48
Intracranial Radiosurgery Subsystem 3-42
optical system 3-42
system assembly 3-44
treatment room remote terminal 3-43
typical room configuration 3-44
workstation 3-42
other flooring requirements 5-10
P
patient positioning lasers 3-70
plan view detail for Clinac 2-11
plumbing
described 3-55
requirements 3-49
positioning lights, laser 4-17
power conditioning requirements 4-5
power receptacles
ARIA workstation 4-20
ARIA workstation components 4-20
CCTV camera 4-20
Index-3
Clinac computer components 4-20

PV option components 4-20
power requirements
Clinac 4-7
Clinac Linear Accelerator Subsystem 4-7
OBI 4-12
power switches for setup lights 4-20
preferred ceiling mount load plate locations,
non-TrueBeam, Calypso System 3-33
pre-installation checklists A-1, B-1, C-1
pull/junction boxes 3-3
accessory pull box 3-4
baseframe pull box 3-3
control equipment pull box 3-3
modulator pull box 3-3
signal pull box 3-3
Q
QA fixture for Calypso System 3-29
R
radiation detector, Calypso System 3-30
radiation shielding details 3-56
relay junction box 3-4, 4-21, 4-22
benefits 4-21
described 4-21
requirements
acoustical 5-10
carpeting 5-10
Clinac 4-7
Clinac Linear Accelerator Subsystem 4-7
dedicated grounding 4-2
dual energy Clinac coolant 3-52
electrical 4-1
facilities 3-1
flooring 5-10
general room storage 5-6
HVAC and plumbing 3-49
minimum coolant flow 3-50
OBI 4-12
other flooring 5-10
power conditioning 4-5
vinyl 5-10
wood 5-10
Respiratory Gating, see RPM Respiratory Gating 3-11
rigging/shipping dimension clearances 2-16, 3-41
room lighting 4-17
CCTV 4-17
laser positioning lights 4-17
Index-4
main room lights 4-18

room lights 4-17
setup lights 4-17, 4-18
room shielding tables 2-1
room storage requirements, general 5-6
RPM Clinac subsystem
ceiling mount option 3-15
mounting methods 3-14
wall-mount option 3-14
RPM CT & PET CT simulator subsystem
compatibility matrix 3-17
standard mounting location 3-19
RPM Respiratory Gating, described 3-11
S
safety device systems 4-18
Beam Ready warning lights 4-19
Beam-Off warning lights 4-19
Beam-On warning lights 4-18
emergency-off switches 4-19
Generator ON (OBI) warning lights 4-19
safety door interlock switches 4-19
X-RAY ON (OBI) warning lights 4-19
safety door interlock switches 4-19
schedule, installation 1-3
setup lights 4-17, 4-18, 4-20
shielding 3-56
other 3-58
radiation details 3-56
shipping lists D-1
shipping/rigging dimension clearances 2-16, 3-41
signal
pull box 3-3
software for Calypso System 3-29
specifications
circuit breaker panel (with battery backup) 4-9
coolant 3-53
electrical connections 4-2
environmental 3-54
general electrical 4-1
lighting and accessories circuits 4-1
power conditioning requirements 4-5
wiring and components 4-1
standard laser mounting details 3-71
standard mounting location for RPM CT & PET CT
simulator subsystem 3-19
switches
emergency-off 4-19
setup lights 4-20
system
CCTV 5-10
Clinac Linear Accelerator 4-7
OBI 4-12
safety device 4-18
system assembly for OSMS 3-44
system components for modulator cabinet 3-9
system information, general 2-1
system options, Calypso System 3-30
X
X-RAY ON (OBI) warning lights 4-19
T
tables for typical room shielding 2-1
TCP/IP Protocol 4-6
technical key features for Clinac 1-1
termination 4-5
touch screen computer, Calypso System 3-27
tracking station, Calypso System 3-28
treatment planning data import, Calypso System 3-31
treatment room console, Calypso System 3-26
treatment room overview, sample set-up 3-1
treatment room remote terminal for OSMS 3-43
typical accessory storage dimensions 5-7
typical control equipment casework 5-1
typical plan for Clinac in-room monitor 3-69
typical room
configuration 2-7
configuration, Calypso System 3-32
configuration, OSMS 3-44
isometric view 2-5
shielding tables 2-1
U
UVRs/circuit breakers 4-8
V
Varian relay junction box, described 4-21
ventilation 3-54
vinyl requirements 5-10
W
wall mounts for Clinac in-room monitor 3-68
wall-mount option
wires, dedicated, ground, in-room monitor 3-67
wiring and components, specifications 4-1
wiring diagram, interconnection 4-15
wood requirements 5-10
workstation for OSMS 3-42
Index-5
Index-6

Manual de Diseño Bunker para Acelerador Lineal

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Designers Desk Reference

High Energy Clinac Edition

Introduction to the Varian Designers Desk Reference (DDR)

Designers Desk Reference, High Energy Clinac Edition

Vol. 15, No. 3

Document History List

Vol. 10, No. 1

N/A (Internal Only)

Vol. 10, No. 2

Vol. 10, No. 3

June 29, 2010

Vol. 10, No. 4

Vol. 11, No. 1

Vol. 11, No. 2

Vol. 11, No. 3

Vol. 11, No. 4

Vol. 12, No. 1

October 17, 2011

Vol. 12, No. 2

Vol. 12, No. 3

Vol. 12, No. 4

Vol. 13, No. 1

Vol. 13, No. 2

Vol. 13, No. 3

Vol. 13, No. 4

Vol. 14, No. 1

Vol. 14, No. 2

Vol. 14, No. 3

Vol. 14, No. 4

Vol. 15, No. 1

Vol. 15, No. 2

Vol. 14, No. 4

Revised the Relay Junction

Added that the RJB can be wall mounted so it

Vol. 14, No. 4

Added a new warning note

Added DO NOT locate the Relay Junction

Vol. 14, No. 4

Figure 3-2: Removed RJB

Vol. 14, No. 4

Figure 3-2: Revised future

Vol. 14, No. 4

Figure 3-3: Added

Vol. 14, No. 4

Added a new warning note

Added DO NOT locate the Modulator

Vol. 14, No. 4

Figure 3-38: Revised the

Changed from 1 1/4" (32)" to "1 1/2" (38)

Vol. 14, No. 4

Figure 3-39: Revised the

Changed from 2" [ 50]" to " 1" [ 25]

Vol. 14, No. 4

Figure 3-39: Revised

Changed from 1'-4 1/2" [419] and 6'-6"

Vol. 14, No. 4

Figure 3-40: Revised the

Changed from 2" [ 50]" to " 1" [ 25]

Vol. 14, No. 4

Figure 3-40: Revised

Changed from 6'-7 1/2" 2" [2020 50] at

Vol. 14, No. 4

Figure 3-41: Removed the