01clinical

P R E C I S I O N R A D I A T I O N T H E R A P Y
Elekta Compact™ R1.0x
Linear Accelerator
Clinical Mode User Manual
Document number 1005520 01

Language: English
Copyright statement
©2008 Elekta AB (publ.). All rights reserved. No part of this document may be
reproduced in any form without written permission from the copyright holder.
Use of the information contained herein is strictly reserved for Elekta and its
Licensees. Other use in any form and / or by any means whatsoever is prohibited.
Trademarks and trade names statement

Elekta® trademarks, service marks, logos and trade names used in this document are
registered and unregistered trademarks and trade names of Elekta AB (publ), one of
its affiliates, or third parties who have licensed their trademarks and trade names to
Elekta AB (publ) or one of its affiliates. Do not reproduce, display or otherwise use
any trademark or trade name without first obtaining written permission from Elekta.
Acknowledgement of other trademarks

Registered trademarks and trade names of other manufacturer, which appear in this
document are hereby acknowledged.
Referenced documents
Not all documents referred to in this document are part of the scope of delivery for
the equipment. Elekta reserves the right to determine which documents are delivered
with a product.
Contact information
TECHNICAL SUPPORT HELPDESK
TEL +86 10 8012 5400 – FAX +86 10 8012 5401 – e-mail: [email protected]
WORLDWIDE PRODUCT MANUFACTURING and SUPPORT CENTER
Elekta BMEI (Beijing) Medical Equipment Co. Ltd.

No. 21, ChuangXin Road
Science and Technology Park
Chang Ping District
Beijing 102200
China
European Authorized Representative
Elekta Limited
Linac House
Fleming Way, Crawley
West Sussex RH10 9RR
United Kingdom
Tel: +44 1293 544 422
Fax: +44 1293 654 118
1005520 01 Elekta Compact™ R1.0x

06/2008 Clinical Mode User Manual
Page ii ©2008 Elekta AB (publ.). All rights reserved.
Amendments
Each page of this document contains a date at the bottom of the page, for example
(08/2004). This is the page issue date. Whenever a page is amended by Elekta, its issue
status is updated by the Documentation Department.
Elekta may issue amended pages for this document in the form of a Field Change
Order (FCO). These are identified by a unique reference number and a new page issue
date.
It is the responsibility of the user to make sure that any amended pages are
incorporated into this document’s ring binder, and to record the amendment in the
table below.
Amendment record
When an amendment is incorporated in this publication, enter its number and the
date of incorporation, then sign your name alongside.
Amendment number Date Signature
Elekta Compact™ R1.0x 1005520 01

Clinical Mode User Manual 06/2008
©2008 Elekta AB (publ.). All rights reserved. Page iii
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Page iv ©2008 Elekta AB (publ.). All rights reserved.
List of pages
List of pages
ii 06/2008 2-18 06/2008 6-7 06/2008 LOW-4 06/2008
iii 06/2008 2-19 06/2008 6-8 06/2008 LOW-5 06/2008
iv 06/2008 2-20 06/2008 6-9 06/2008 LOW-6 06/2008
2-21 06/2008 6-10 06/2008
v 06/2008 2-22 06/2008 6-11 06/2008 IX-1 06/2008
vi 06/2008 2-23 06/2008 6-12 06/2008 IX-2 06/2008
2-24 06/2008 6-13 06/2008
vii 06/2008 2-25 06/2008 6-14 06/2008
viii 06/2008 2-26 06/2008 6-15 06/2008
ix 06/2008 2-27 06/2008 6-16 06/2008
x 06/2008 2-28 06/2008 6-17 06/2008
6-18 06/2008
xi 06/2008 3-1 06/2008 6-19 06/2008
xii 06/2008 3-2 06/2008 6-20 06/2008
3-3 06/2008 6-21 06/2008
1-1 06/2008 3-4 06/2008 6-22 06/2008
1-2 06/2008 3-5 06/2008
1-3 06/2008 3-6 06/2008 7-1 06/2008
1-4 06/2008 3-7 06/2008 7-2 06/2008
1-5 06/2008 3-8 06/2008 7-3 06/2008
1-6 06/2008 7-4 06/2008
1-7 06/2008 4-1 06/2008 7-5 06/2008
1-8 06/2008 4-2 06/2008 7-6 06/2008
1-9 06/2008 4-3 06/2008 7-7 06/2008
1-10 06/2008 4-4 06/2008 7-8 06/2008
1-11 06/2008 4-5 06/2008 7-9 06/2008
1-12 06/2008 4-6 06/2008 7-10 06/2008
1-13 06/2008 4-7 06/2008 7-11 06/2008
1-14 06/2008 4-8 06/2008 7-12 06/2008
1-15 06/2008 4-9 06/2008 7-13 06/2008
1-16 06/2008 4-10 06/2008 7-14 06/2008
1-17 06/2008 4-11 06/2008 7-15 06/2008
1-18 06/2008 4-12 06/2008 7-16 06/2008
1-19 06/2008 7-17 06/2008
1-20 06/2008 5-1 06/2008 7-18 06/2008
1-21 06/2008 5-2 06/2008 7-19 06/2008
1-22 06/2008 5-3 06/2008 7-20 06/2008
5-4 06/2008
2-1 06/2008 5-5 06/2008 A-1 06/2008
2-2 06/2008 5-6 06/2008 A-2 06/2008
2-3 06/2008 5-7 06/2008 A-3 06/2008
2-4 06/2008 5-8 06/2008 A-4 06/2008
2-5 06/2008 5-9 06/2008
2-6 06/2008 5-10 06/2008 B-1 06/2008
2-7 06/2008 5-11 06/2008 B-2 06/2008
2-8 06/2008 5-12 06/2008 B-3 06/2008
2-9 06/2008 5-13 06/2008 B-4 06/2008
2-10 06/2008 5-14 06/2008 B-5 06/2008
2-11 06/2008 B-6 06/2008
2-12 06/2008 6-1 06/2008 B-7 06/2008
2-13 06/2008 6-2 06/2008 B-8 06/2008
2-14 06/2008 6-3 06/2008
2-15 06/2008 6-4 06/2008 LOW-1 06/2008
2-16 06/2008 6-5 06/2008 LOW-2 06/2008
2-17 06/2008 6-6 06/2008 LOW-3 06/2008

©2008 Elekta AB (publ.). All rights reserved. Page v
List of pages

Page vi ©2008 Elekta AB (publ.). All rights reserved.
Table of contents
Table of contents
1 Introduction
1.1 Intention of this manual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3
1.1.1 Warnings, cautions and notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3
1.1.2 Intended audience . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4
1.1.3 Disclaimer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4
1.2 Function and intended application . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4
1.2.1 Use of the equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4
1.2.2 Contra-indications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-5
1.3 Compatibility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-5
1.4 Compliance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-5
1.4.1 IEC safety standards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-5
1.4.2 IEC classification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-6
1.5 Training . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-6
1.6 Accompanying documentation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-6
1.7 Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-7
1.7.1 Important safety directions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-7
1.7.2 Manual handling procedures. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-7
1.7.3 Warning labels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-8
1.7.4 Maintenance and faults. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-9
1.7.5 Safety devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-9
1.7.6 Emergency procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-9
1.7.7 Electrical and mechanical safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-10
1.7.8 Electrostatic discharge sensitive devices. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-10
1.7.9 Fire and explosion safety. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-10
1.7.10 Electromagnetic compatibility (EMC) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-11
1.7.11 Cardiac pacemakers and other portable electronic medical devices . . . . . . . . . . . . . . 1-11
1.7.12 Radioactivity safety. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-12
1.7.13 Laser product . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-12
1.8 Cleaning and disinfecting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-12
1.9 Final disposal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-13
1.10 Text formats . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-14
1.11 Conventions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-14
1.12 Directional conventions of the linear accelerator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-16
1.13 Abbreviations and acronyms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-17
1.14 Important Notices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-19
1.15 User Notices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-21
2 Getting started
2.1 Overview of this chapter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-4
2.2 System overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-5
2.2.1 2.2.1 Treatment room . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-5
2.2.2 2.2.2 Control room. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-5
2.3 Treatment room equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-6
2.3.1 Treatment room monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-6
2.3.2 Handheld controller (HHC) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-7
2.3.3 The linear accelerator functions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-9
2.3.4 Treatment table. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-10

©2008 Elekta AB (publ.). All rights reserved. Page vii
Table of contents
2.3.5 Touch guard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-10

2.3.6 Front pointer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-11
2.3.6.1 Attaching the front pointer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-11
2.3.6.2 Removing the front pointer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-11
2.3.7 Shadow trays. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-13
2.3.7.1 Attaching a shadow tray . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-14
2.3.7.2 Removing a shadow tray. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-15
2.3.8 Coded Perspex trays . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-16
2.3.8.1 Inserting a Perspex tray . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-16
2.3.8.2 Removing the Perspex tray . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-16
2.4 Control area equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-17
2.4.1 Main Front-end computer (FEC) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-17
2.4.1.1 USB usage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-17
2.4.2 Keyboard, monitor and mouse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-19
2.4.3 Console . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-19
2.4.4 Emergency off switch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-20
2.5 Power up sequence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-21
2.5.1 Power up the Front-end computer (FEC). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-21
2.5.1.1 Initialization fails . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-22
2.6 Logging onto Clinical Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-22
2.7 Logging off from Clinical Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-23
2.8 Switching off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-24
2.8.1 Shutdown . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-24
2.8.2 Power down the Linac Control System / FEC / Console . . . . . . . . . . . . . . . . . . . . . . 2-25
2.9 Leaving the machine unattended . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-26
3 Clinical Mode
3.2 Using Clinical Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3
3.2.1 Screen layout. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3
3.2.2 Screen elements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4
3.2.2.1 Machine state . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4
3.2.2.2 Top level inhibit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5
3.2.2.3 Interlock group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6
3.2.3 Controls and indicators. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6
3.2.4 Information messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7
3.3 Clinical Mode icon overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-8
4 Deliver Beam
4.2 Entering treatment details . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3
4.2.1 Static Treatment Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-4
4.2.2 Wedged Treatment Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-4
4.2.3 Arc Treatment Mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-4
4.3 Relative Zero. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5
4.4 Treating the field . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-6
4.4.1 Interrupting treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-8
4.4.2 Normal field termination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-9
4.4.3 Abnormal field termination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-10
4.4.4 Continuing with treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-11
4.4.5 Abnormal loss of power to FEC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-11

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Table of contents
4.4.5.1 If power to the FEC is lost during beam delivery. . . . . . . . . . . . . . . . . . . . . . . . . 4-11

4.4.5.2 If power to the FEC is lost following beam delivery . . . . . . . . . . . . . . . . . . . . . . 4-12
4.4.5.3 If power to the FEC is lost in Standby mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-12
4.4.5.4 If power to the FEC is lost in other modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-12
5 System administration
5.1 Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
5.2 User Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
5.2.1 View user details . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-4
5.2.2 User Permission. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5
5.2.3 Restore password . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-6
5.2.4 Create a new user . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-7
5.2.5 Edit user access . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-8
5.2.6 Delete a user . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-8
5.3 Change personal password . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-9
5.4 Change user. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-10
5.5 Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-11
5.5.1 Date configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-11
5.5.2 Accelerator options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-12
5.5.3 Scale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-12
5.5.4 Language . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-12
6 Technical data
6.1 Beam limiting device (BLD) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-3
6.1.1 Modes of operation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-4
6.1.2 Light field . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-5
6.1.3 Treatment BLD dimensions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-6
6.2 Motorized wedge. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-7
6.2.1 Wedge material and dimensions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-7
6.2.2 Derivation of the synthesized wedge angle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-8
6.3 Shadow tray . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-11
6.3.1 Standard shadow tray assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-11
6.3.2 Short shadow tray assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-12
6.3.3 Shadow tray assembly. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-13
6.3.3.1 Coded Perspex Tray Identification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-13
6.4 Scales and ranges. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-15
6.5 Geometry data. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-16
6.5.1 Gantry angle and gantry movement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-16
6.5.2 Collimator rotation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-17
6.5.3 Diaphragm Y1 and Y2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-18
6.5.4 Diaphragm X1 and X2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-19
6.5.5 Fieldsize Y. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-19
6.5.6 Fieldsize X . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-20
6.6 Radiation data. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-20
6.6.1 Energy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-20
6.6.2 Physical motorized wedge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-20
6.6.3 Prescribed MU . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-20
6.6.4 Backup MU. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-21
6.6.5 Dose rate. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-21
6.6.6 Timer calculated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-21

©2008 Elekta AB (publ.). All rights reserved. Page ix
Table of contents
7 Maintenance
7.1 Maintenance activities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-3
7.2 Detectable system faults. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-3
7.3 Warm-up procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-3
7.4 Planned maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-3
7.5 User routine checks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-6
7.5.1 User routine check program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-6
7.5.2 Preparation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-8
7.5.3 Definitions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-9
7.6 Four-monthly safety checks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-10
7.6.1 Movements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-10
7.6.1.1 Handheld controller . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-10
7.6.1.2 Touchguard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-10
7.6.2 Interlocks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-11
7.6.2.1 Interrupt . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-11
7.6.2.2 Terminate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-11
7.6.2.3 Room door . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-11
7.6.2.4 Wedge position . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-12
7.6.3 Gantry isocenter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-12
7.7 Four-monthly performance checks. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-13
7.7.1 Beam limiting device . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-13
7.7.2 Isocenter geometry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-13
7.7.2.1 Crosswire alignment at 2 m. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-13
7.7.2.2 Crosswire alignment at 1 m. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-13
7.7.2.3 Range finder assembly, front pointer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-14
7.7.3 Beam limiting device movements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-14
7.7.4 Laser back pointer alignment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-15
7.8 Eight-monthly safety checks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-16
7.8.1 Interlocks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-16
7.8.1.1 Dose Rate Error . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-16
7.9 Twelve-monthly performance checks. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-17
7.9.1 Gantry and treatment table isocenter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-17
7.9.2 Arm, collimator. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-17
7.9.2.1 Range finder assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-17
7.9.3 Cleaning the cabinet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-18
7.10 Product disposal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-19
7.10.1 Passing on the product to another user . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-19
Appendix A X-Radiation leakage

A.1 X-Radiation leakage outside the patient plane. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-3
A.1.1 Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-3
A.1.2 Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-3
Appendix B Interlock list

B.1 Interlock list . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-3

Page x ©2008 Elekta AB (publ.). All rights reserved.
List of figures and tables

Figure 1.1 Directional conventions - linear accelerator. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-16
Figure 2.1 Layout of rooms and main components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3
Figure 2.2 Typical display on treatment room monitors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-6
Figure 2.3 Handheld Controller (HHC) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-7
Table 2.1 Handheld controller–button functions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-8
Table 2.2 Functions on handheld controller for scale IEC60601. . . . . . . . . . . . . . . . . . . . . . . . . . . 2-9
Table 2.3 Functions on handheld controller for scale IEC61217. . . . . . . . . . . . . . . . . . . . . . . . . . . 2-9
Figure 2.4 Front pointer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-11
Figure 2.5 A scale on the front pointer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-12
Figure 2.6 Typical shadow tray assemble . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-13
Figure 2.7 Standard shadow tray identification label . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-13
Figure 2.8 Short shadow tray identification label . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-14
Figure 2.9 Attaching and removing the shadow tray . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-14
Figure 2.10 Front-end computer–front view. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-17
Figure 2.11 Message dialog box. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-18
Figure 2.13 Console . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-19
Table 2.4 Description of the Console . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-19
Figure 2.14 System Start window. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-21
Figure 2.15 Elekta Compact™ log on dialog box. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-22
Figure 2.16 Clinical window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-23
Figure 2.17 Log off icon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-23
Figure 2.18 Log off dialog box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-23
Figure 2.19 Message dialog box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-24
Figure 2.20 Shutdown dialog box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-24
Figure 2.21 Confirm User dialog box. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-25
Figure 2.22 Standby dialog box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-26
Figure 2.23 Restart dialog box. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-26
Figure 3.1 Clinical Mode screen layout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3
Figure 3.2 Machine status indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4
Table 3.1 List of possible machine states. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4
Figure 3.3 An example of a control button . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6
Figure 3.4 An example of a mandatory field with a valid value entered . . . . . . . . . . . . . . . . . . . . . . 3-6
Figure 3.5 An example of a panel selection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6
Figure 3.6 Message dialog box. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7
Table 3.2 Clinical Mode Icons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-8
Figure 4.1 Parameter Settings window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3
Table 4.1 Selection of Dose Rate while in Arc treatment mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5
Figure 4.2 Monitor Field Delivery window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-6
Figure 4.3 Radiation on window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-7
Figure 4.4 Interrupt message . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-8
Figure 4.5 View Restrictions dialog box. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-8
Figure 4.6 Treatment Complete dialog box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-9
Figure 4.7 Machine state-terminate window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-10
Figure 4.8 Field Termination dialog box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-10
Figure 4.9 Warning dialog box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-11
Figure 5.1 User Management window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-4
Figure 5.2 User permissions window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5
Table 5.1 List of user permissions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5
Figure 5.3 User details dialog box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-7
Figure 5.4 Delete user dialog box. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-8
Figure 5.5 Change Personal Password dialog box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-9

©2008 Elekta AB (publ.). All rights reserved. Page xi
Figure 5.6 Change User dialog box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-10

Figure 5.7 Dialog box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-10
Figure 5.8 Date configuration dialog box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-11
Figure 5.9 Options configuration dialog box. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-12
Figure 5.10 Language configuration dialog box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-12
Table 6.1 Physical parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-3
Figure 6.1 Elekta Compact™ beam limiting device . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-3
Table 6.2 X-ray modes of operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-4
Figure 6.2 Mylar crosswire sheet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-5
Figure 6.3 Wedge field size in wedged direction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-5
Figure 6.4 Standard BLD dimensions (mm) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-6
Figure 6.5 Wedge dimensions (mm) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-7
Table 6.3 Wedge information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-8
Figure 6.6 Synthesized wedge angle example . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-8
Figure 6.7 Standard shadow tray dimension. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-11
Table 6.4 Standard shadow tray weights and dimensions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-11
Figure 6.8 Standard shadow tray dimensions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-12
Table 6.5 Short shadow tray weights and dimensions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-13
Table 6.6 Perspex tray coding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-14
Figure 6.9 Gantry angle and movement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-16
Figure 6.10 Collimator rotation based on IEC 61217 axis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-17
Figure 6.11 Collimator rotation based on IEC 60601 axis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-17
Figure 6.12 Collimator rotation based on Bipolar axis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-18
Table 7.1 4-monthly safety checks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-4
Table 7.2 4 monthly reliability checks. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-4
Table 7.3 12-monthly safety checks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-4
Table 7.4 12-monthly performance checks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-5
Table 7.5 12-monthly reliability checks. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-5
Table 7.6 5-Yearly reliability checks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-5
Table 7.7 7-Yearly safety checks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-5
Table 7.8 User daily checks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-6
Table 7.9 Physics weekly checks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-7
Table 7.10 User monthly checks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-8
Table 7.11 Physics 6-monthly checks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-8
Figure 7.1 Planned maintenance description table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-9
Table A.1 X-radiation leakage measurements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-3
Figure A.1 Photograph showing position of X-radiation leakage . . . . . . . . . . . . . . . . . . . . . . . . . . . A-4
Table B.1 The list of interlocks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-3

Page xii ©2008 Elekta AB (publ.). All rights reserved.
Introduction
1 Introduction
Section Title Page
1.1 Intention of this manual ...........................................................................1-3
1.2 Function and intended application.............................................................1-4
1.3 Compatibility ...........................................................................................1-5
1.4 Compliance..............................................................................................1-5
1.5 Training...................................................................................................1-6
1.6 Accompanying documentation...................................................................1-6
1.7 Safety ......................................................................................................1-7
1.8 Cleaning and disinfecting ........................................................................ 1-12
1.9 Final disposal ......................................................................................... 1-13
1.10 Text formats........................................................................................... 1-14
1.11 Conventions ........................................................................................... 1-14
1.12 Directional conventions of the linear accelerator....................................... 1-16
1.13 Abbreviations and acronyms .................................................................... 1-17
1.14 Important Notices .................................................................................. 1-19
1.15 User Notices........................................................................................... 1-21

©2008 Elekta AB (publ.). All rights reserved. Page 1-1
Introduction

Page 1-2 ©2008 Elekta AB (publ.). All rights reserved.
Introduction
Intention of this manual
1.1 Intention of this manual

This manual is used with the Elekta Compact™ R1.0x linear accelerator from Elekta.
The manual is intended to assist the user in the safe and effective operation and
maintenance of the equipment described. The user includes the body with authority
over the equipment, and those persons who handle and work with the equipment.
(a) Clinical user is a qualified person who uses any part of the accelerator and
its accessories for the purpose of treating patients, and who has been
specifically trained in the safe clinical use of Elekta Compact™ R1.0x. Such
treatment is restricted to being therapeutic in nature.
(b) Service user is a qualified service engineer who has been trained in servicing
Elekta Compact™ R1.0x, and who operates any part of the accelerator for
the purpose of performing tests, adjustments and/or repairs to the
equipment without, in any manner, involving the presence or treatment of
a patient.
Before attempting to work with this equipment, the user must read, understand, note
and strictly observe all:
• warnings • safety labels and markings

• cautions • important notices
• notes • user notices
• release notes (delivered with the software media pack)
Pay special attention to all the information and procedures described in the Safety
section of this chapter.
This documentation must be kept with the Elekta Compact™ R1.0x for easy
reference.
The most extensive configuration of the equipment is described within this manual,
including the maximum number of options and accessories. Not every function,
option or accessory described herein may have been purchased or licensed on a
particular piece of equipment.
Examples
To aid the understanding of the contents in this manual, examples of patient,
physician and hospital names may be used. These names are fictitious and any
resemblance to person(s) and/or organization(s) is entirely coincidental.
1.1.1 Warnings, cautions and notes

The following are samples of how warnings, cautions and notes appear throughout
this document. The text within the samples explains their intended use.
Warnings are directions which, if not strictly observed, could constitute a health
hazard, cause injury, including fatal or serious injury, or lead to clinical mistreatment.
WARNING x.x

Introduction
Function and intended application
Cautions are directions which, if not strictly observed, could cause damage to the
equipment described in this manual, and/or to any other equipment or goods, and/or
could cause environmental damage.
CAUTION x.x
Note: Notes provide advice and highlight unusual points. A note is not intended as an
instruction.
1.1.2 Intended audience

This manual is written for clinical and service users of Elekta Compact™ R1.0x as
defined in Section 1.1 (a) and (b).
1.1.3 Disclaimer
Elekta assumes no liability for use of this document if any unauthorized changes to
the content or format have been made.
Every care has been taken to make sure that the information in this document is
accurate. However, Elekta assumes no responsibility or liability for errors,
inaccuracies or omissions that may appear in this document.
In order to improve reliability, function or design, Elekta reserves the right to change
the product without notice.
This manual is provided without warranty of any kind, either implied or expressed,
including, but not limited to, the implied warranties of merchantability and fitness for
a particular purpose.
1.2 Function and intended application

Elekta Compact™ R1.0x is intended to be used for the radiation therapy of defined
target volumes anywhere in the body, as determined by a licensed medical
practitioner.
1.2.1 Use of the equipment

Elekta Compact™ R1.0x is intended to be installed, used and operated only in
accordance with the safety procedures and any other instructions given in the
accompanying documents for the purpose for which it was designed. Nothing stated
in this manual reduces the user’s professional responsibilities for sound judgement
and best practice.
Installation, use and operation of this equipment are subject to the law in the
jurisdictions in which the equipment is being used. Users must only install, use and
operate the equipment in such ways that do not conflict with applicable laws, or with
regulations which have the force of law.
Use of the equipment for purposes other than those intended and expressly stated by
Elekta, as well as incorrect use or operation of the equipment, may relieve Elekta or
their agent of all or some of the responsibility for any resultant non-compliance,
damage or injury.

Introduction
Compatibility
1.2.2 Contra-indications
Elekta Compact™ R1.0x should not be used if any of the following
contra-indications exist or are thought to exist:
No contra-indications have been identified for this product.
1.3 Compatibility
Elekta Compact™ R1.0x must only be used in combination with other equipment or
components if these are expressly recognized by Elekta as compatible. Consult Elekta
for advice on compatibility with Elekta Compact™ R1.0x before using any
equipment or components not supplied by Elekta.
The use of accessories, transducers and cables other than those specified by Elekta
may affect electromagnetic compatibility (EMC) performance and result in increased
emissions or decreased immunity of the equipment.
Changes and/or additions to the equipment shall only be performed by persons
expressly authorized to do so by Elekta. Such changes must comply with best
engineering practice, all applicable laws, and all regulations that have the force of law
within the jurisdiction.
Changes, additions or maintenance to the equipment carried out by

persons without appropriate qualifications and training and/or using
unapproved spare parts may lead to fatal or serious personal injury and/or
WARNING 1.1 damage to the equipment as well as making the warranty void.
1.4 Compliance
Note: Elekta Compact™ R1.0x has been designed and tested for compliance when used in
the Clinical Mode only.
Elekta Compact™ R1.0x is designed to comply with internationally recognized

standards for safety and performance.
1.4.1 IEC safety standards

Elekta Compact™ R1.0x complies with the following IEC safety standards:
• IEC 60601-1: 1988 +A1: 1991,A2: 1995. Medical electrical equipment, Part 1:
General requirements for safety.
• IEC60601-1-2: 2001: Collateral standards. Electromagnetic compatibility
-Requirements and tests.
• IEC60601-1-4: 1996 +A1: 1999 Collateral standards. Programmable electrical
medical systems.
• IEC 60601-2-1: 1998 +A1: 2002. Safety of medical electrical equipment, Part 2:
Particular requirements for medical electron accelerators in the range 1 MeV to
50 MeV.
• IEC 60950-1: 2001 Information technology equipment - Safety- Part 1: General
requirements.

Introduction
Training
1.4.2 IEC classification

According to IEC 60601-2-1, Elekta Compact™ is classified as set out in the table
below:
Type of protection against electric shock CLASS 1 EQUIPMENT

Degree of protection against electric TYPE B APPLIED PARTS
shock
Degree of protection against ingress of IPX0 as defined in IEC 60529. Ordinary

liquids equipment (enclosed equipment without
protection against ingress of liquids)
Methods of disinfection recommended by For guidelines on cleaning and
the manufacturer disinfecting the equipment: See
Section 1.8
Degree of safety of application in the Equipment NOT suitable for use in the
presence of flammable anesthetic presence of a flammable anesthetic
mixture with air or with oxygen or with mixture with air or with oxygen, or
nitrous oxide nitrous oxide
Mode of operation Continuous operation with intermittent
loading
1.5 Training
Users of Elekta Compact™ R1.0x must have received adequate training on its safe
and effective use before attempting to work with the equipment.
Training requirements may vary from country to country. The user shall make sure
that training is received in accordance with local laws or regulations that have the
force of law. Information on training is available from your local Elekta®
representative.
Users not meeting the qualified and authorized profile must not operate or
work on or with Elekta equipment. Failure to observe this precaution can
lead to fatal or serious personal injury.
WARNING 1.2
1.6 Accompanying documentation

This manual forms part of the accompanying documentation for this product. The
remaining documents in the set are:
Customer Acceptance Tests
Corrective Maintenance Manual
Linear Accelerator Installation Manual

Introduction
Safety
Service Mode User Manual

Linear Accelerator Service Parts Manual
Linear Accelerator System Diagrams
System Installation Log Book
Linear Accelerator Planned Maintenance Records
Site and Type Test Manual
Precise Table User Manual
Precise Table Installation Manual
Precise Table Corrective Maintenance Manual
Precise Table Customer Acceptance Tests
Precise Table Upgrade Planning Guide
1.7 Safety
Every reasonable precaution has been taken during manufacture to safeguard the
health and safety of persons who will operate Elekta Compact™ R1.0x. The
following precautions must be observed at all times.
For information regarding leakage X-radiation, see the Clinical Mode User Manual
Appendix A.
1.7.1 Important safety directions

Elekta® products are designed to meet stringent safety standards. All medical
electrical equipment requires proper installation, operation and maintenance
(particularly with regard to safety).
To help ensure the safety of users and patients, it is important that all users read,
understand, note and strictly observe:
• all warnings, cautions and notes within this document (and all associated
documents);
• all warnings, cautions and safety markings on the equipment (and its
accessories);
• all directions under the heading Safety (in this or any other associated
document).
In particular, it is important that the user read, understand and know the Emergency
Procedures described in Section 1.7.6 before attempting to work with the equipment.
1.7.2 Manual handling procedures
When lifting heavy components, it is important that the correct procedures

are adhered to. Local regulations and procedures regarding manual
handling must be observed at all times. Failure to do so may lead to fatal
WARNING 1.3 or serious personal injury.

Introduction
Safety
1.7.3 Warning labels

The following are examples of some of the warning labels that may be found on
Elekta® products:
Warning label Indicates a specific warning if displayed in

conjunction with warning text.
Instructs user to refer to product documentation
if displayed without warning text.
Radiation Indicates the possibility of a radiation hazard.

warning label
High voltage Indicates the presence of high voltage.

warning label
Laser warning Indicates the presence of a laser device.

label
Do not sit Sitting on the labelled component can cause

damage to the component.
ESD warning Indicates the presence of electrostatic discharge

label sensitive devices.
RF interference Indicates that RF interference may occur in the

vicinity of equipment marked with this symbol.
Disposal Indicates never to dispose of product/component

instruction parts into the domestic waste stream.

Introduction
Safety
1.7.4 Maintenance and faults

Do not use Elekta Compact™ R1.0x for any application unless the user routine
checks have been satisfactorily completed and the planned maintenance program is up
to date.
If any part of the equipment is known or suspected to be defective or

incorrectly adjusted, DO NOT USE the equipment until a repair has been
made. Use with defective or incorrectly adjusted components or systems
could expose users and/or patients to radiation and other safety hazards.
WARNING 1.4 This could lead to fatal or serious injury, or to clinical mistreatment.
Information about the user routine checks and planned maintenance programs can be
found in the maintenance section of the Clinical Mode User Manual (see Chapter 7)
and Planned Maintenance Instructions.
1.7.5 Safety devices

Clinical Mode
Never attempt to remove, modify or override any switches, interlocks or

other safety devices on this equipment. Interfering with such devices could
lead to fatal or serious injury, or to clinical mistreatment.
WARNING 1.5
Service Mode
Only remove, modify or override safety switches, interlocks or other safety

devices on the equipment if directed to do so by specific instructions in this
manual. Always reset and test any safety switches, interlocks or other safety
devices if they have been adjusted in any way. Failure to reset and test all
WARNING 1.6 safety devices could lead to fatal or serious injury, or to clinical
mistreatment.
Note: All adjustments to the linac should be carried out in Service Mode.
1.7.6 Emergency procedures

Users must be thoroughly familiar with all local emergency procedures and the
locations of all Emergency off switches, that is:
• Stop motor switches on the handheld controller and table interface units in the
treatment room.
• Any locally installed emergency OFF switches mounted in the treatment room, the
control area, and/or anywhere else in the vicinity of the Elekta Compact™
R1.0x.

Introduction
Safety
1.7.7 Electrical and mechanical safety

Only use Elekta Compact™ R1.0x in rooms that comply with all applicable laws, or
regulations having the force of law, concerning electrical safety for this type of
equipment.
Always electrically isolate Elekta Compact™ R1.0x and immobilize the equipment
appropriately before any maintenance, repair, or cleaning tasks.
Any person working on this equipment must be legally permitted to do so, and
specifically authorized by local management.
Do not remove covers or cables from this equipment unless expressly

instructed to do so in this manual, and always refit covers before using the
equipment. High electrical voltages and moving parts are present within
this equipment. Any contact with these components could lead to fatal or
WARNING 1.7 serious personal injury.
Beware of live electrical terminals, even when the main three-phase

isolator is switched OFF. Voltages associated with the client’s interface may
still be present and can cause fatal or serious personal injury.
WARNING 1.8
1.7.8 Electrostatic discharge sensitive devices
Always wear an anti-static wrist strap when handling printed circuit boards
(PCBs) and other electronic subassemblies. The wrist strap/lead/engineer
combination shall be tested prior to use. Failure to observe this precaution
CAUTION 1.1 can lead to component failure.
Semiconductor devices and integrated circuits are susceptible to damage from

electrostatic discharges (ESD).
These components and any assembly containing them are known as electrostatic
discharge sensitive devices.
If they are not handled correctly, these devices can be destroyed immediately or suffer
damage that will cause them to fail at a later date. Whenever a PCB or other
electronic subassembly is to be handled, full electrostatic precautions should be taken.
1.7.9 Fire and explosion safety
Elekta Compact™ R1.0x must not be used in the presence of flammable or

explosive gases or vapors, such as certain anaesthetic gases, or potentially
flammable or explosive disinfecting sprays. The resultant vapors could
ignite. Use of electrical equipment in an environment for which it was not
WARNING 1.9 designed can cause fatal or serious personal injury and lead to fire or
explosion.

Introduction
Safety
1.7.10 Electromagnetic compatibility (EMC)

Elekta Compact™ R1.0x complies with the requirements of applicable EMC
standards. Other electronic equipment exceeding the limits defined in such EMC
standards, such as mobile telephones, could affect the operation of Elekta Compact™
R1.0x.
Elekta Compact™ R1.0x requires special precautions regarding EMC, and must be
installed and put into service in accordance with the information provided in the
relevant product documentation.
Refer to the Corrective Maintenance Manual (CMM) of the related product for more
information on EMC.
Do not allow any radio-transmitting devices (such as diathermy units,

mobile telephones, etc.) in the vicinity of this product. Such devices could
exceed EMC standards, and in unusual circumstances, could interfere with
the correct functioning of this product. In extreme circumstances this could
WARNING 1.10 lead to fatal or serious personal injury, clinical mistreatment, or damage to
the equipment.
The use of cables and other components not specified or supplied by Elekta
Limited may adversely affect EMC performance. In extreme circumstances
this could lead to fatal or serious personal injury, clinical mistreatment, or
WARNING 1.11 damage to the equipment.
1.7.11 Cardiac pacemakers and other portable electronic medical

devices
Ionizing radiation which may be generated by this equipment, can have an

adverse effect on certain cardiac pacemakers and other portable electronic
medical devices. The function of such devices must be checked throughout
the treatment. Failure to observe this precaution can lead to fatal or
Do not place cardiac pacemakers and other portable electronic medical

devices in a direct (un-shielded) radiation beam. The function of such
devices must be checked throughout the treatment. Failure to observe this
WARNING 1.13 can result in fatal or serious personal injury.
Note: Cardiac pacemakers can fail or incur functional changes from damage caused by
exposure to very small doses of radiation.

Introduction
Cleaning and disinfecting
1.7.12 Radioactivity safety

Any person working on this equipment must be legally permitted to do so and
specifically authorized by local management.
Full use must be made of all radiation protection features, devices, systems,
procedures and accessories.
Before working on, or operating the machine, check that all radiation
safety interlocks are working and that the correct operating procedures
and radiation safety instructions are followed. Excessive exposure to
WARNING 1.14 radioactivity constitutes a health hazard.
Maintenance and de-commissioning
National and international laws and regulations for working with ionizing
radiation must be observed when any such material is to be handled,
transported (by air, sea, or land), and when disposal is considered. Failure
to take proper precautions constitutes a health hazard and may cause
WARNING 1.15 damage to the environment.
1.7.13 Laser product
Do not stare into a laser beam. Exposure of the eyes to a laser beam can
cause serious personal injury.
WARNING 1.16
1.8 Cleaning and disinfecting

Cleaning and disinfection of the equipment is required from time to time.
This section provides information on general cleaning procedures. Where special
procedures or precautions are required, these are described in detail where relevant.
Always isolate Elekta Compact™ R1.0x from the main electrical supply
before commencing cleaning or disinfecting work. Failure to observe this
precaution can result in electric shock, which can cause fatal or serious
WARNING 1.17 personal injury.
Do not use flammable or potentially explosive disinfecting sprays. Such

sprays create vapors which can ignite, causing fatal or serious personal
injury.
WARNING 1.18
Do not allow water or other liquids to enter Elekta Compact™ R1.0x as

these may cause electrical short-circuits, metal corrosion or other damage
to the equipment.
CAUTION 1.2

Introduction
Final disposal
Disinfecting a medical equipment area by means of sprays is not

recommended as the vapor may penetrate the equipment, causing
electrical short circuits, metal corrosion or other damage to the
CAUTION 1.3 equipment.
Cleaning and disinfection techniques for the equipment and the rooms shall comply
with all applicable local laws, and regulations which have the force of law within the
jurisdiction.
Cleaning - general
Surfaces should be wiped with a mild detergent solution and then dried with a clean,
dry lint-free cloth. Never use corrosive cleaning agents, solvents, abrasive detergents
or polishes. If not sure of the properties of a cleaning agent, do not use it.
Cleaning and disinfection - patient contact surfaces

For all surfaces which come into contact with patients, Elekta recommends the
following cleaning techniques:
1 Hand applied water based detergent with addition of a non-corrosive biocide,
(NOT chlorine bleach based), if required, using a clean, lint-free cloth.
2 Denatured alcohol (ethanol) lint-free wipes.
1.9 Final disposal

‘Final disposal’ means disposal of the equipment, or any part of the equipment, in
such a way that it can no longer be used for its intended purpose(s).
Never dispose of Elekta® products into the domestic waste stream.
Disposal must always be executed in an environmentally sensitive manner that
complies with all local and international regulations and laws. Materials hazardous to
health and the environment must be separately removed and disposed of through
competent, licensed facilities. The remaining material should be recycled where
facilities and local regulations permit.
Prior to disposal, always contact Elekta Limited for advice.
Incorrect handling or disposal of hazardous material may cause fatal or

serious injury and environmental damage.
WARNING 1.19

Introduction
Text formats
1.10 Text formats

The following text formats may be found in this document. Their definitions are
explained below.
Text Format: Definition:

bold text displayed on screens
button labels
screen (window) labels
keyboard key legends
file names
sequential selection
important information
SMALL CAPS signal names
ON, OFF, IN, OUT (i.e. as an action)
courier denotes text to be entered by the user or paths
1.11 Conventions
The following are terms that may be found in this document. The convention for each
term is explained below. Where descriptions depict the use of a mouse, it is assumed
that the mouse has the standard setup for right hand use.
Term Convention
< > (<Enter>) Denotes a physical button or key.
active or open Both of these terms refer to an active and operating window,
program, file or on-screen object.
authorized person Persons specifically authorized by the authority controlling the
use of the equipment
click Place the mouse pointer on an on-screen item, then press and
release the left button of the mouse once.
current See active or open.
dialog An on-screen, rectangular object containing information to
which the user may be required to respond. Dialogs open and
close as necessary in response to user actions.
dongle A device that prevents the unauthorized use of hardware or
software.
double—click Place the mouse pointer on an on-screen item, then press and
release the left button of the mouse twice in rapid succession.
drag Place the mouse pointer on an on-screen item, hold down the left
button and, using the mouse, move the item to a new
location/position. Then release the mouse button.
drop—down menu A list of multiple choices appearing from a text box.
File > Save Denotes a sequential selection from a menu and submenus.

Introduction
Conventions
Term Convention
icon An image which, when selected, opens an application.
M:\Name\Name\Name Denotes a path to a specific file location.
M:\Name\Name\Name Denotes a path or text to be typed by the user.
press An instruction to press a physical button or key.
press Denotes keys to be pressed simultaneously.
<Home>+<Enter>
press <Home><Enter> Denotes keys to be pressed in sequence.
qualified person Persons legally permitted to work on, and operate, the
equipment in the jurisdiction in which the equipment is being
used.
radio button Round button used to select one of a group of mutually
exclusive options.
right—click Place the mouse pointer on an on-screen item, then press and
release the right button of the mouse.
screen The display area of a monitor, or the display of a system that is
switched ON but has no application active.
select Choose an on-screen item and activate it by clicking.
submenu A box with multiple choices that appears after a selection.
text box An on-screen object that displays information entered by a user,
or sets of data.
user The body who has authority over the equipment and the
person(s) who handle and work with the equipment.
window The display on the screen of a system with an active application.

Introduction
Directional conventions of the linear accelerator
1.12 Directional conventions of the linear accelerator

Throughout Elekta® documentation, references are made to directions in the
accelerator treatment room. For clarity, these directions are shown in Figure 1.1 with
respect to the accelerator and the standard anatomical position of a patient reclining
in the supine position on the treatment table.
w
t
e y
Figure 1.1 Directional conventions - linear accelerator
q Treatment room ceiling (top) t Accelerator B-side (anatomical left)

(anatomical anterior)
w Accelerator G-end (anatomical y Accelerator T-end (anatomical
superior) inferior)
e Accelerator A-side (anatomical u Treatment room floor (bottom)
right) (anatomical posterior)
r Machine isocenter
Note: The A and B positions as illustrated are applicable with the gantry at 0° only. The A
and B positions rotate with the gantry, therefore, with the gantry rotated 180°, A and
B are reversed.

Introduction
Abbreviations and acronyms
1.13 Abbreviations and acronyms

The following are abbreviations and acronyms that may be found in this document.
Their definition is explained below.
Abbreviation Definition
AFC automatic frequency control
BLD beam limiting device (Previously known as radiation head)
BLS beam limiting system (Previously known as radiation system)
CAT customer acceptance tests
CB circuit breaker
CD compact disc
CMM corrective maintenance manual
CMUM Clinical Mode User Manual
DOM Disk On Module
DVD Digital Video Disc
EIM electrical interface module
EMC electromagnetic compatibility
ERT earth reference terminal
ESD electrostatic sensitive device
FCO Field Change Order
FEC Front-end computer
FS fuse
G-T Axis indicating an axis at a right angle to the gantry in the general
direction from the fixed stand to the head
HHC handheld controller
HRC hospital room connection
HT high tension (high voltage)
IEC International Electrotechnical Commission
ISO The International Organization for Standardization
ISO9001 International Standard for Quality Systems
LED light emitting diode
LV low voltage
MeV mega electron volts
MU monitor unit
MV megavolts
N/A not applicable
ODI optical distance indicator
PC personal computer
PCB printed circuit board

Introduction
Abbreviations and acronyms
Abbreviation Definition
PM Planned Maintenance
PRF Pulse Repetition Frequency
PSS Patient Support System
PSU power supply unit
QA Quality Assurance
RF radio frequency
RT Radiation Therapy
RTC Real-time computer
SMUM Service Mode User Manual
SSD source surface distance
TRC treatment room cabinet
TRM treatment room monitor
UPS uninterruptable power supply
USB Universal Serial Bus
VDU visual display unit

Introduction
Important Notices
1.14 Important Notices

When an Important Notice is issued to the user, insert the notice into this section.
Then update the Amendment Record in the preliminary section of this manual.

Introduction
Important Notices

Introduction
User Notices
1.15 User Notices

When a User Notice is issued to the user, insert the notice into this section. Then
update the Amendment Record in the preliminary section of this manual.

Introduction
User Notices

Getting started
2 Getting started
Paragraph Title Page
2.1 Overview of this chapter ...........................................................................2-4
2.2 System overview.......................................................................................2-5
2.3 Treatment room equipment ......................................................................2-6
2.4 Control area equipment .......................................................................... 2-17
2.5 Power up sequence................................................................................. 2-21
2.6 Logging onto Clinical Mode...................................................................... 2-22
2.7 Logging off from Clinical Mode ................................................................ 2-23
2.8 Switching off.......................................................................................... 2-24
2.9 Leaving the machine unattended ............................................................. 2-26

Getting started

Getting started
d
u
g
r
w
a
o
k
i
g
j
s
Equipment area
Control area
l
g
j
Treatment room
Layout of rooms and main components

t
g
j h
g
h u
f
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Figure 2.1
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g
Getting started
Overview of this chapter
2.1 Overview of this chapter

The linear accelerator is arranged in three areas:
• Treatment room
• Control area
• Equipment area
Figure 2.1 shows a typical distribution of the main components of these areas.
q Treatment table a Main control cabinet

w Water chiller (option) s Treatment room monitor (TRM)
e Beam limiting device (BLD) d Handheld controller
r Three-Phase voltage stabilizer f Treatment room cameras (option)
(option)
t CCTV Monitor (option) g Emergency off switches
y Treatment room contingency lamp h Irradiation lamp
(option)
u Lasers (option) j Door interlock switch
i Console k Microphone and speaker (option)
o Front-end computer (FEC) l Gantry
Note: Some components are optional and selected by the customer. The main components
are supplied by Elekta and are subject to contract.
Note: For information about components in the Equipment area, please see the Service
Mode User Manual.

Getting started
System overview
2.2 System overview
2.2.1 2.2.1 Treatment room

The treatment room contains the following:
• Elekta Compact™ gantry and stand
• Treatment room monitor (TRM)
• Handheld controller (HHC)
• Treatment table
• Shadow trays
• Emergency off switch
2.2.2 2.2.2 Control room

The control room contains the following:
• Main control cabinet
• Console
• Front-end Computer (FEC)
• Emergency off switch

Getting started
Treatment room equipment
2.3 Treatment room equipment
2.3.1 Treatment room monitor

The treatment room monitor (TRM) is connected to the Front-end computer (FEC)
with a VGA video cable. There are two tabs in the Clinical Mode display: Geometry,
and Inhibits. Use the Page button on the handheld controller to toggle between the
two. A typical display is shown in Figure 2.2.
Figure 2.2 Typical display on treatment room monitors
The lower left corner displays the linac status box with the current accelerator state,
highest level inhibit and interlock status.

Getting started
2.3.2 Handheld controller (HHC)

Use the HHC to control the following:
• mechanical functions of the system (for example, gantry rotation, field settings)
• TRM page displays
• treatment room light settings
The handheld controller is shown in Figure 2.3. The functions of the HHC controls
are explained in Table 2.1.
r
t
i
o o
a
Figure 2.3 Handheld Controller (HHC)
It is the responsibility of user to make sure that all parameters set up using
the HHC match those prescribed on the treatment plan. Failure to observe
this could result in clinical mistreatment.
WARNING 2.1

Getting started
Table 2.1 Handheld controller—button functions
q STOP motors
w LIGHTS • FIELD ON/OFF control for the field

definition light and backpointer laser
• DIST ON/OFF control for the optical
distance indicator
• ROOM ON/OFF control for the room lamps
e MISCELLANEOUS • ISO CNTR ON/OFF control for the room
laser
• TOUCH GUARD override the touch guard
interlock. If pressed, TOUCH GUARD will
be displayed on the status bar on the TRM
• NULL No function
r PAGE • << Previous page on Monitor.
• Middle button-no function
• >> Next page on Monitor.
t FUNCTION • RESET returns to function 0.
• < button selects the previous function.
• > button selects the next function.
y FUNCTION thumbwheel (T1) • Controls direction and speed of the selected
movement.
u GANTRY thumbwheel (T2) • Controls the direction and speed of
movement of the gantry.
i RESET MOTORS button • Resets the motor circuits. If pressed,
RESET MOTORS will be displayed on the
status bar on the TRM.
o MOVEMENT ENABLE bars • One switch is provided at each side of the
controller. Operation of one or both
activates all motor circuits. If pressed,
MOVEMENT ENABLE will be displayed
on the status bar on the TRM
a RELATIVE ZERO • Enables/disables the display of the relative
coordinates of the Treatment Table.
Note: The enable bars must be depressed to activate and complete all movements.
The user is responsible for achieving the required accuracy in all

mechanical positioning and confirming settings. Failure to observe this
could result in fatal or serious personal injury.
WARNING 2.2

Getting started
2.3.3 The linear accelerator functions

There are eleven functions that can be selected when using the handheld controller.
The functions are selected using the function key and the direction and speed of the
movement is selected using the function wheel.
T1 and T2 display No Selection in the Figure 2.2.
Table 2.2 shows the behavior for scale IEC60601 when the > button is pressed on the
HHC.
Table 2.2 Functions on handheld controller for scale IEC60601
Function No. Function Gantry

Thumbwheel (T1) Thumbwheel (T2)
0 No Selection No Selection
1 Iso Rot. Gantry angle
2 Table Vertical Gantry angle
3 Table Long Gantry angle
4 Table Lateral Gantry angle
5 Field size X Gantry angle
6 Field size Y Gantry angle
7 Diaphragm X2 Gantry angle
9 Diaphragm Y2 Gantry angle
11 Collimator angle Gantry angle
Table 2.3 shows the behavior for scale IEC61217 when the > button is pressed on the
HHC.
Table 2.3 Functions on handheld controller for scale IEC61217
Function No. Function Gantry

Thumbwheel (T1) Thumbwheel (T2)
0 No Selection No Selection
1 Iso Rot. Gantry angle
2 Table Vertical Gantry angle
3 Table Long Gantry angle
4 Table Lateral Gantry angle
5 Field size Y Gantry angle
6 Field size X Gantry angle
11 Collimator angle Gantry angle

Getting started
Note: If the < button is pressed, then the functions are displayed in reverse order. If the
<Reset> button is pressed, T1 and T2 display No Selection.
2.3.4 Treatment table

The user can position the treatment table using either of the user interfaces that are
located on each side of the table.
In the event of a power failure after the patient is positioned on the treatment table,
an emergency down drive mechanism is provided. This is to enable removal of the
patient. Refer to the Precise Table User Manual.
2.3.5 Touch guard

The linear accelerator is fitted with a positive action touch guard in order to guard
against a collision between the beam limiting device (BLD) and the treatment table or
any other object.
Elekta recommend that the touch guard must not be removed. It is the responsibility
of the user to ensure that the touch guard is correctly fitted and operational at all
times.
If the touch guard is activated, check for the cause of the activation and remove the
obstacle.
When the touch guard is activated, gantry movements and radiation delivery are
inhibited. You can override this inhibit by keeping the Touch Guard override button
on the handheld controller depressed (see Figure 2.3). You can also use the Touch
Guard override button on the table user interfaces. Refer to the Precise Table User
Manual.
When the touch guard is activated, an inhibit will be displayed on the TRM and the
FEC monitor. An audible alert will also be emitted unless the shadow tray is attached.
In this case, there will be no audible alert, but an inhibit will still be displayed.
When using the touch guard override button care must be taken to ensure
that subsequent movements are away from the collision situation. Failure
to observe this could result in clinical mistreatment and may lead to fatal
WARNING 2.3 or serious personal injury.
The touch guard system does not provide full collision protection. When a
shadow tray assembly is fitted, the gantry touch guard is momentarily
disabled. Extreme care is required to ensure a collision does not occur.
Failure to observe this could result in clinical mistreatment and can lead to
WARNING 2.4 fatal or serious personal injury.
The touch guard system does not provide protection when there is no
power to the linear accelerator. Care must be taken when using the table
emergency down drive in order to prevent damage to the equipment.
CAUTION 2.1

Getting started
2.3.6 Front pointer

The mechanical front pointer is provided as an aid for accurate beam alignment. The
front pointer arm clamps on to the accessory ring of the BLD.
2.3.6.1 Attaching the front pointer
1 Position the front pointer arm at the appropriate point on the accessory ring.
2 Secure by turning the handle to the right.
2.3.6.2 Removing the front pointer
1 Hold on to the front pointer arm.

2 Turn the handle to the left.
Care should be taken if attaching and removing the front pointer over a patient. The
pointer is attached to the arm by a magnet. See Figure 2.4.
w
e
q
Figure 2.4 Front pointer
q Front pointer e Touchguard ring

w Handle r Front pointer arm

Getting started
The pointer is engraved with a scale showing the distance from the X-ray target to the
pointer tip(see Figure 2.5). The reading is always taken from the scale by using the
end of the magnet nearer to the isocenter as a cursor.
SSD Setting
Figure 2.5 A scale on the front pointer

Getting started
2.3.7 Shadow trays

The shadow tray assembly is used to provide a means of positioning blocks in the
treatment field to enable safe delivery of irregular shaped X-ray fields. The shadow
tray assembly consists of two removable parallel Perspex trays (See Figure 2.6).
• Coded Perspex tray - outermost, removed by sliding action.
• Removable Perspex tray - removed by undoing four knurl-headed screws
Shadow blocks can be spring-loaded between the two Perspex trays or secured
permanently to a tray.
q
e
Figure 2.6 Typical shadow tray assemble
q Coded Perspex tray e Knurled release screws

w Removable Perspex tray r Locking lever
Make sure that the two Perspex trays match the planned treatment. The
Perspex trays attenuate the beam. The tray factor will change when you
remove either of the Perspex trays. Failure to observe this warning can
WARNING 2.5 cause clinical mistreatment.
The shadow tray is identified by a graphic label attached to the main body indicating
either a standard shadow tray (see Figure 2.7) or short shadow tray (see Figure 2.8).
Figure 2.7 Standard shadow tray identification label

Getting started
Figure 2.8 Short shadow tray identification label
For further information on the Shadow trays see Section 6.3.
2.3.7.1 Attaching a shadow tray
1 Position the gantry at a safe angle.

2 Engage the hook and push the shadow tray assembly into position, engaging the
latch.
3 Make sure that the shadow tray assembly is secure. An audible warning is
sounded until the shadow tray assembly is correctly latched.
Figure 2.9 Attaching and removing the shadow tray
Due to their weight, the shadow tray assembly or Perspex tray should not
be fitted or removed whilst a patient is positioned below the BLD. Failure
to observe this can result in clinical mistreatment and may lead to fatal or

Getting started
Patients must not be allowed to use the shadow tray assembly handles to
bear their weight.This assembly is not suitable to be used as lifting
equipment. Failure to observe this can result in clinical mistreatment and
WARNING 2.7 may lead to fatal or serious personal injury.
The correct shadow tray assembly (standard or short) must be used with the
appropriate Perspex tray and accelerator. Failure to observe this could
result in clinical mistreatment and may lead to fatal or serious personal
WARNING 2.8 injury.
Check the functionality of the latch assembly before each use. Make sure
that it adequately prevents the shadow tray from moving. Failure to
observe this could result in clinical mistreatment and may lead to fatal or
Do not rotate the gantry unless the shielding blocks are secured. If the
blocks are not secured they will slide off due to their weight. This can
result in fatal or serious personal injury.
WARNING 2.10
The shadow tray extends beyond the protection of the touchguard

therefore in some table and gantry positions it is possible for collisions to
occur. The user must take extra care when moving the collimator, table or
gantry when a shadow tray is fitted, failure to observe this could result in
WARNING 2.11 fatal or serious personal injury.
If a collision occurs between the shadow tray assembly and any fixed
object, any further use of that shadow tray must be discontinued
immediately. The tray must be returned to Elekta for inspection and/or
replacement. Failure to observe this could result in clinical mistreatment
WARNING 2.12 and may lead to fatal or serious personal injury.
If the removable Perspex tray is removed, care should be taken not to drop
shielding blocks onto the BLD. Remove the blocks before removing the
Perspex tray. Failure to observe this caution may result in damage to the
CAUTION 2.2 equipment.
2.3.7.2 Removing a shadow tray
1 Remove all free standing objects from the Perspex tray.

2 Prepare to take the weight of the shadow tray assembly.
3 Release the safety lock and release the latch by operating the T-handle.

Getting started
2.3.8 Coded Perspex trays
2.3.8.1 Inserting a Perspex tray
1 Select the correct Perspex tray.

3 Press the tray locking lever and slide in the tray until latched.
4 Make sure the Perspex tray is secure.
2.3.8.2 Removing the Perspex tray

2 Remove all freestanding objects from the Perspex tray.
3 Press the tray locking lever and slide out the tray.
It is responsibility of the user to make sure that the correct Perspex tray is
used for the current patient and field. If the incorrect Perspex tray is used,
this could result in clinical mistreatment. Failure to observe this may lead
WARNING 2.13 to fatal or serious injury.
It is important that the Perspex tray is securely in position. Failure to

observe this could result in fatal or serious personal injury.
WARNING 2.14
Perspex inserts must be inspected before each use: if Perspex inserts are
found to be distorted, cracked, or no longer transparent, then they are
faulty and must be discarded. Failure to inspect and discard faulty Perspex
WARNING 2.15 inserts can cause serious injury to the patient and other persons.

Getting started
Control area equipment
2.4 Control area equipment

The user must have an unobstructed view of the patient from the control area prior to
and during irradiation.
2.4.1 Main Front-end computer (FEC)

The main Front-end computer (FEC) (Figure 2.10) contains the following enclosed
facilities:
Figure 2.10 Front-end computer—front view
q DVD drive–used to install the system software.

w USB port–Used for connection to peripherals, like mouse, keyboard, and USB
storage devices.
e Power on/off switch and activity LED–illuminates when the FEC is on.
Note: Do not remove power from the FEC while it is in normal use. Failure to observe this
could result in the state of the system or treatment being unclear to the user.
2.4.1.1 USB usage
A USB flash drive can be used to store information, in order to help a service engineer
investigate machine faults.
Note: USB is only for service backup.

Getting started
When a USB flash drive is inserted into the USB port, it will be formatted
automatically by the system. It is the responsibility of user to make sure
that any data on the USB is saved before using, to prevent loss of data.
CAUTION 2.3
When a USB flash drive is inserted into the USB port. The user interface displays the
following:
To remove USB flash drive:

1 Click on the tick in front of USB used.
2 The following dialog box will appear.
Figure 2.11 Message dialog box
3 Remove USB flash drive.

4 Click OK on the dialog box.
When a USB flash drive is not inserted into the USB port, the user interface displays
the following:
Always follow the correct procedure to remove the USB flash drive,
otherwise the data stored on the USB will be lost.
CAUTION 2.4
If the USB flash drive is removed incorrectly, the following dialog box will appear.
1 Click OK.
2 Insert the USB flash drive into the USB port again to save data.

Getting started
2.4.2 Keyboard, monitor and mouse

The accelerator is supplied with local keyboard, monitor and mouse devices in the
control area.
Do not press the keys <ALT>+<CTRL>+<DEL> simultaneously during

treatment. Failure to observe this could result in clinical mistreatment and
can lead to fatal or serious personal injury.
WARNING 2.16
2.4.3 Console
The Console contains the following controls, see Table 2.4 and Figure 2.13.
r
q
t
e y
u
Figure 2.13 Console
Table 2.4 Description of the Console
Console Description
q Backup MU Monitor - Shows the number of
monitor units (MUs) delivered in previous beam.
w Power On (I) Button - Powers On machine.
e Power Off (O) Button - Powers Off machine.

Getting started
Table 2.4 Description of the Console
Console Description
r Terminate Button - The Terminate button terminates
the delivery of radiation and stops movements in the
treatment room. After this button has been pressed,
the user needs to reset the system.
t HT enable/reset key - The HT enable/reset key has 3

positions:
HT disable-
HT enable-
Reset-
Beam delivery is not possible if the key is not in the
HT enable position.
The reset position allows the user to reset the system
when a fault is detected.
y Start Button - The Start button will start radiation
when all inhibits have cleared.
u Interrupt Button - The Interrupt button interrupts

the delivery of radiation and stops movements in the
treatment room. After the button has been pressed it
is locked in the down position. To release the button
it must be pressed again.
i Buzzer Audio indicator for radiation status. It beeps at a

higher speed when the dose rate increases and gives
two long beeps when the accelerator is ready for
radiation.
2.4.4 Emergency off switch

The emergency off switches are usually mounted on the wall in the treatment room
and/or the control area. When the switch is activated the accelerator is shut down
though the mains supply may still be on.

Getting started
Power up sequence
2.5 Power up sequence
2.5.1 Power up the Front-end computer (FEC)
Note: Follow the local rules and power up the system. It is recommended that the linear
accelerator is sufficiently warmed up prior to use.
To power up the system:

1 Switch on the main isolator for the accelerator.
2 Press the Power On button on the Console after opening the cover.
3 Press the Power On button on the Front-end computer.
4 Switch on the water chiller if installed.
The Start window (Figure 2.14) is displayed, and self tests are performed on the
FEC. This takes approximately 1 minute.
Figure 2.14 System Start window
Note: The system will perform a number of tests during initialization. When the tests are
successfully completed, the Warming Up procedure will start. The modulator, gun
and magnetron are warming up. This takes approximately 15 minutes.
When each Checkbox has a check symbol in it, like , the self-tests have completed
successfully.

Getting started
Logging onto Clinical Mode
The Log on dialog box is displayed (Figure 2.15).
Figure 2.15 Elekta Compact™ log on dialog box
Note: If you click the About button, you will find information about the version of the
software, the build and information about patents.
2.5.1.1 Initialization fails
If the system self-tests fail, a dialog box describing the fault will appear on the System
Start window.
To rectify:
1 Press the Power Off button on the Console.
2 Press the Power On button on the Console.
3 Press the Power On button on the FEC.
4 If any of the self-tests continue to fail, contact a service engineer.
2.6 Logging onto Clinical Mode

Logging on to the system with a clinical user name, opens the Clinical Mode
application.
Before logging on, the following information is required:
• A user name, issued by the System Administrator
• A user password, issued by the System Administrator
To log on
1 At the Log on dialog box, type in the user name.
2 Move the cursor to the Password field by pressing the keyboard <TAB> key or by
clicking in the password field.
3 Type in your password.
4 Click OK.
If the log on check fails, the user is asked to try again.
A successful log on displays a Clinical window (Figure 2.16).

Getting started
Logging off from Clinical Mode
Note: Passwords are case sensitive.
Figure 2.16 Clinical window
2.7 Logging off from Clinical Mode

To log off
1 Click the Log Off icon.
Figure 2.17 Log off icon
The Log Off dialog box is displayed (Figure 2.18).
Figure 2.18 Log off dialog box
2 Click the No button to return to the Clinical window, or click the Yes button and
the Figure 2.22 dialog box is displayed.
3 Either log on again, or click Shutdown.

Getting started
Switching off
After logging off, the system remains powered up and available to other authorized
users.
2.8 Switching off
2.8.1 Shutdown
Always follow the correct procedure to switch off this equipment otherwise
the equipment may be damaged.
CAUTION 2.5
In the event that the computer system is shutdown using any method
other than that recommended (see Section 2.8.1), the user (service or
clinical) should be aware that the operation in progress may not have been
completed. In the case of patient treatment , the backup MU meter should
be consulted and extra MU may need to be delivered. In the case of any
WARNING 2.17 service calibration or configuration , the entire calibration will need to be
repeated to ensure that the data saved is correct. Failure to observe this
could leave the machine mis-calibrated.
Shutting down the system:

1 Click the Shutdown button at the Log on dialog box.
The message dialog box appears (Figure 2.19).
2 Click the Cancel button to return to the Log on dialog box, or click OK to
shutdown.
The Shutdown dialog box is displayed (Figure 2.20).
Figure 2.20 Shutdown dialog box
3 Select Power Off to continue shutting down, or select Configuration to enter

Configuration mode.

Getting started
Switching off
4 If Configuration is selected, the Confirm User dialog box is displayed

(Figure 2.21). With the correct user name and password entered, the user can
perform configuration tasks.(see Section 5.5)
Figure 2.21 Confirm User dialog box
2.8.2 Power down the Linac Control System / FEC / Console

To power down the system:
1 Follow the procedures listed in Section 2.8.1.
2 When the FEC monitor display goes blank, press the <Power Off> button on the
Console.
3 Switch off the Water Chiller if installed.
Note: Follow the local procedures for removing mains power.
Note: When power is removed from the system, either normally or abnormally, the Backup
MU monitor will clock up 1 MU. This will clear when new beam parameters are
entered.

Getting started
Leaving the machine unattended
2.9 Leaving the machine unattended

If the machine is left unattended, click the Log off icon to log off. For details, see
Section 2.7.
To enter Standby mode:
• Click the Standby button on the Standby dialog box, see Figure 2.22.
or:
• The system will automatically enter the Standby mode if there is no activity
within 60 minutes, see Figure 2.22.
Figure 2.22 Standby dialog box
When the system enters Standby mode, the Restart dialog box is displayed
(Figure 2.23).
Figure 2.23 Restart dialog box
To exit Standby mode:

1 Enter a user name and password.
2 Click OK.
The system will check whether the user has permission to exit Standby mode. If
the user name or password is incorrect, a Warning message dialog box is
displayed (Figure 2.24).

Getting started
Click the OK button. The system will remain in Standby mode.

If the user name or password is correct and the user has sufficient permissions,
the Log on dialog box is displayed (Figure 2.15). If the user has insufficient
permissions, a Warning message dialog box is displayed (Figure 2.25).
Note: On leaving Standby mode, the modulator and gun will begin the warm up process.
This takes approximately 15 minutes.

Getting started

Clinical Mode
3 Clinical Mode
3.2 Using Clinical Mode ..................................................................................3-3
3.3 Clinical Mode icon overview ......................................................................3-8

Clinical Mode

Clinical Mode

The user can access Clinical Mode by entering an appropriate user name and
password at the log on dialog box. This chapter explains all the functions available in
Clinical Mode.
3.2 Using Clinical Mode
3.2.1 Screen layout

All Clinical Mode screens have a pink background. This is to distinguish the Clinical
Mode from the Service Mode, where all screen backgrounds are green.(see Figure 3.1)
q
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e u r t y
Figure 3.1 Clinical Mode screen layout
q Information bar t Logged on user

w Main body y Information on USB port use
e Machine status indicators u Configured scaling convention
r Function icon bar

Clinical Mode
Using Clinical Mode
3.2.2 Screen elements

The following is a brief description of the identified areas of the screen layout and the
information that can be found in each area.
• Information bar
The information bar displays the current machine number, the date and time,
and the mode eg. clinical or service.
• Main body
Displays different information depending on the clinical function selected.
• Function icon bar
Displays all available Function Icons for the current mode.
• Machine Status Indicators
This displays the Machine State, Top Level Inhibit and Interlock Group.
(Figure 3.2) .
q
w
e
Figure 3.2 Machine status indicators
q Machine state e Machine interlock group

w Top level inhibit
3.2.2.1 Machine state
Displays the current machine state, see Table 3.1. The background color changes
depending on the machine state:
• Green background - when the system is in the Treatment complete or Ready to
Start state.
• Yellow background - when the system is in the Radiation On state.
• Red background - when the beam has terminated with a fault or the terminate
key is pressed.
• Orange background - for all other states.
Table 3.1 List of possible machine states
Machine State
Description
indicators
Preparatory Allows the user to set radiation parameters, position the
patient and machine, and confirm settings.
Ready to start All preparatory work is done and radiation delivery will start
once the <Start> button is pressed.
Radiation On The accelerator is delivering radiation. Once radiation
delivery is completed without problems, the system will enter
the dose channel detection state.

Clinical Mode
Using Clinical Mode
Table 3.1 List of possible machine states
Machine State
Description
indicators
Interrupted Radiation delivery is interrupted due to a minor fault or
because the <Interrupt> button on the Console was pressed.
In this state, if you choose:
• to abort radiation, the system will return to the
Preparatory state;
• to continue radiation, the system will enter Ready to
start state;
• if you press the <Terminate> button, or some serious
fault occurs, the system will enter Terminated state;
• if you make no choice, the system will stay in this state.
Terminated Radiation is terminated abnormally. There are two possible
causes:
• The <Terminate> button on the Console was pressed;
• Some serious fault occurred.
Alerts will be given in this state and the system will return to
the Preparatory state once it detects that the system is reset.
Treatment complete Informs the FEC that radiation delivery is complete. The
system will send signals to the FEC informing it of the
completion, and return to Preparatory state after it confirms
that sending is completed.
3.2.2.2 Top level inhibit
The top level inhibit displays the item that is currently the highest level machine
inhibit. Clicking on this area displays the View Restrictions dialog box.
Yellow background When the system is in the Treatment complete, Preparatory

or Ready to start state.
Green background During beam delivery.
Red background When the beam has terminated with a fault or the
<Terminate> button is pressed.
Orange background When the <Interrupt> button is pressed or there is an
inhibit preventing radiation.

Clinical Mode
Using Clinical Mode
3.2.2.3 Interlock group
In Clinical Mode, the Interlock Group is always All Interlocks On and cannot be
changed. It is displayed on a green background.
A wide range of hardware and software interlocks are provided to protect the user
and the patient in the case of system failure or misuse. A summary of regular checks
recommended for the correct function of these interlocks is explained in Appendix B.
Note: Elekta recommends that users of the system familiarize themselves with the interlocks
associated with the accelerator treatment system.
3.2.3 Controls and indicators

There are three types of controls and indicators that will be found on screens in
Clinical Mode:
• Control buttons
• Mandatory-field indicators
• Panel selection tabs
Control buttons
The control buttons (Figure 3.3) are used to display pop-ups and to control
operations. When a control button is inoperative it is grayed out.
Figure 3.3 An example of a control button
Mandatory-field indicators
It is not possible to deliver radiation unless all the mandatory fields (Figure 3.4) of a
panel are filled with valid values.
Figure 3.4 An example of a mandatory field with a valid value entered
There are four colors indicated on the background of mandatory-field indicators.

• White indicating data entry is mandatory.
• Orange when the operator inputs the data.
• Green for valid values after the operator presses the keyboard <Enter> key.
• Red for invalid values after the operator presses the keyboard <Enter> key.
Panel selection tabs

At the top of each panel is a tab. This tab is used to select (or activate) the panel.
When a tab is selected, there is a red line along the top of the tab. (Figure 3.5).
Figure 3.5 An example of a panel selection

Clinical Mode
Using Clinical Mode
3.2.4 Information messages

Error and warning messages are displayed as a dialog in the center of the panel. The
user should read all messages carefully and act appropriately. An error message will
appear when there is mistaken operation or there is a system fault. (Figure 3.6).
It is not possible to proceed until the message has been acknowledged. This does not
mean that the error has been rectified. Log the error message and, if appropriate,
contact an Elekta service engineer or representative.

Clinical Mode
Clinical Mode icon overview
3.3 Clinical Mode icon overview

The following is a brief description of the function icons used in Clinical Mode.
Table 3.2 Clinical Mode Icons
Deliver Beam Allows the user to enter radiation

parameters for delivering beams
User Management Allows the user to manage users
Change User Allows the user to change to Service

Mode or change to another user, without
logging off the system.
Log off Allows the user to log out of Clinical

Mode.
Help Has no function in this software release.
Change Personal Password Allows the user to modify personal

password

Deliver Beam
4 Deliver Beam
4.2 Entering treatment details.........................................................................4-3
4.3 Relative Zero............................................................................................4-5
4.4 Treating the field......................................................................................4-6

Deliver Beam

Deliver Beam

This chapter describes how to deliver radiation.
Note: Make sure that the patient remains in view before and during treatment.
It is assumed that the user has logged on to the system. If not, see Chapter 2.
4.2 Entering treatment details

1 Click the Deliver Beam icon to enter the radiation delivery Parameter Settings
window (Figure 4.1).
Figure 4.1 Parameter Settings window
To select Static,Wedged and Arc treatment in the Parameter Settings window, click on
the desired radio button.
The right part of the screen displays the Actual position of the accelerator using the
configured coordinate system.
Note: For each of the techniques, Static, Wedged and Arc, some parameter fields may be
grayed out. It is not possible to select or enter data in grayed out fields.

Deliver Beam
Entering treatment details
4.2.1 Static Treatment Mode

1 Click Static.
2 In the Open field, enter Prescribed and Backup MU. Press <Enter> on the
keyboard. (See Section 3.2.3 )
3 In the Dose rate drop-down list, select from four levels of dose rates
50, 100, 200 and 350.
Note: The Backup MU must be between 2 and 10 greater than the Prescribed MU.
4.2.2 Wedged Treatment Mode

1 Click Wedged.
2 In Wedged field, enter Prescribed and Backup MU for the wedged portion of the
beam. Press <Enter> on the keyboard. (See Section 3.2.3 )
3 In the Open field, enter Prescribed and Backup MU for the open portion of the
beam. Press <Enter> on the keyboard.
4 Select a dose rate from the Dose rate drop-down list.
Note: The open field dose area can be left blank or 0 if there is no open field dose.
4.2.3 Arc Treatment Mode

1 Click Arc.
2 Type in the Start gantry angle. The value should be 0° to 360°. Press <Enter> on
the keyboard.
3 Type in the Stop gantry angle. The value should be 0° to 360°. Press <Enter> on
the keyboard.
4 Select the gantry rotation direction. The computer will determine whether the
direction is correct or not.
5 In the Open field, enter Prescribed and Backup MU. Press <Enter> on the
keyboard. (See Section 3.2.3 )
6 Select a dose rate from the Dose rate drop-down list.

Deliver Beam
Relative Zero
The user should select the dose rate as advised in the following Table 4.1 while in Arc
treatment mode.
Table 4.1 Selection of Dose Rate while in Arc treatment mode
MU/° (Total MU / Gantry Angle) Dose Rate (MU/MIN)

MU/° ≤ 1MU 50
1 MU < MU/° ≤ 3 MU 100
3 MU < MU/° ≤ 6 MU 200
MU/° >6 MU 350
Before treating a patient with arc therapy if is recommended that the

patient is setup in position and the operator moves the gantry between the
proposed start and stop angles using the manual controls in the room.
During this movement the operator should check for possible collisions
WARNING 4.1 between the gantry and the patient or table. Failure to perform this check
increases the risk of collision during arc therapy.
Prior to delivery of an Arc treatment the user should check the gantry path
is free of obstructions. Failure to observe this could result in fatal or serious
personal injury.
WARNING 4.2
Note: It is not possible to deliver wedged arc fields.
Note: The valid range for mu/degree is 0.5 -12.0 MU/degree.
Note: Timer values are entered automatically for all delivery techniques.
Note: Prescribed MU should be in the range 1-999 for all delivery techniques except for the
Open field in the Wedged mode where it is possible to enter 0 MU.
4.3 Relative Zero

The Relative Zero function can aid patient set up, by showing table parameters as
values relative to a table position selected by the operator, as well as showing the
Actual values.
If Relative Zero is not selected, the Relative Zero column is grayed out and displays no
values.
When the <Relative Zero> button on the HHC is depressed, the current table position
becomes the ‘zero’ position. Zero values appear in the Relative Zero column. When
the table is moved, the amount moved from the zero position is displayed in the
Relative Zero column.
This function remains active until Next Beam is selected.

Deliver Beam
Treating the field
4.4 Treating the field

Before the start of each treatment, the user who will confirm the settings,
should carry out a visual check of the accelerator geometric positions.
Make sure that the accelerator geometric positions and radiation
parameters are the same as described in the prescription. Failure to
WARNING 4.3 observe this may lead to fatal or serious injury.
To treat a field:
1 The user needs to go into the treatment room to set up the patient and the
geometric parameters of the machine.
2 Click the Confirm Settings button.
3 The FEC sends the configured parameters to the real-time computer in the Main
Control Cabinet, and the display switches to the Monitor Field Delivery window.
4 The Monitor Field Delivery window (Figure 4.2) is displayed with the settings that
have been entered. If these are correct, treatment delivery can begin.
Figure 4.2 Monitor Field Delivery window
5 If it is necessary to return to the Parameter Settings window, press the

<Terminate> button on the Console. The system will return to the Parameter
Settings window, where the settings can be amended and confirmed.
If any inhibits are present, click on the Top Level Inhibit area to display the View
Restrictions dialog box, see Figure 4.5.
Before the start of each treatment, the user should perform a

non-irradiating check for collision. This is to ensure no equipment collides
with the patient during treatment. Failure to observe this may lead to fatal
WARNING 4.4 or serious injury.

Deliver Beam
Treating the field
Ready to start state

When the accelerator is Ready to start, press the <Start> button on the Console to
deliver the radiation.
Radiation display
When the accelerator is irradiating, the left side of the window displays the delivered
MUs as an extending orange bar, and the Linac state will be Radiation On, see
Figure 4.3.
Figure 4.3 Radiation on window

Deliver Beam
Treating the field
4.4.1 Interrupting treatment

A treatment can be interrupted by:
1 Pressing the <Interrupt> button on the Console. The message Radiation On is
replaced by the message Interrupt in the Machine State indicator.
Figure 4.4 Interrupt message
2 It is recommended, that you enter the treatment room, and if necessary, attend to
the patient, and deal with the reason that caused the treatment to be interrupted.
Note: If the user moves the table, this may cause the linac to go into a Terminate state.
3 Proceed with one of the following actions:

• Press the <Interrupt> button on the Console to release it, restart the beam by
pressing the <Start> button, or
• Press the <Terminate> button on the Console, to manually terminate the
beam. This results in an abnormal field termination.
4 If the machine does not achieve the Ready to start state, check the Top Level
inhibit status indicator.
The Top Level inhibit indicator displays the item that is currently the highest
level machine inhibit.
5 Click on the Top Level inhibit area to display the View Restrictions dialog box,
see Figure 4.5.
Figure 4.5 View Restrictions dialog box

Deliver Beam
Treating the field
Note: The Description and Action in the View Restrictions dialog box are to assist the user in
diagnosing the cause of the inhibit and provide a possible solution. The user is
responsible for ensuring that it is safe to proceed.
4.4.2 Normal field termination
Note: Following normal field termination, the Linac State indicator displays Channel
Checking. This checks that the system would terminate on the Backup MU and
Timer-calculated if necessary.
The field terminates normally when the total prescribed MU is reached.

The message Treatment complete is displayed in the Machine State bar (Figure 4.6).
Figure 4.6 Treatment Complete dialog box
1 Click the Next Beam button to exit the Monitor Field Delivery window and return
to the Parameter Settings window.
Note: The accuracy of the delivered MU is within 1% or 1MU (whichever is greater) of the
prescribed MU. The Backup MU monitor and the total delivered MU displayed on
the user interface, are always displayed as whole numbers. The actual MU delivered
will be rounded up. Therefore, this may result in the Backup MU monitor and the
total MU delivered displaying 1MU more than the prescribed MU.

Deliver Beam
Treating the field
4.4.3 Abnormal field termination

A field can be abnormally terminated by:
• Pressing the <Terminate> button on the Console.
• For any reason other than the prescribed MU being reached. eg. a fault is
detected.
1 If the field is abnormally terminated, the message Terminate is displayed in the
Machine State indicator (Figure 4.7).
Figure 4.7 Machine state-terminate window
2 Click the message Terminate in the Machine State bar. The Field Termination
dialog box is displayed (Figure 4.8).
Figure 4.8 Field Termination dialog box
3 In the Field Termination dialog box, the Fault, a Description, the delivered MU and
the preset MU are displayed.
4 Click the Close button to return to the previous window.
In the case of an abnormal termination, the cause should be investigated

before recommencing treatment. If in doubt contact Elekta for assistance
to establish the cause of the abnormal termination. Failure to observe this
WARNING 4.5 may lead to fatal or serious injury.
Note: The user must action the abnormal termination in accordance with local rules and
procedures. The reason for abnormal termination should be recorded for future
reference.

Deliver Beam
Treating the field
Note: If the FEC monitor has a blank display or communication failure, the user must
record the delivered MU from the backup MU monitor on the Console. The angles of
the gantry and the collimator must also be recorded.
4.4.4 Continuing with treatment

If the field was terminated by pressing the <Terminate> button on the Console, then
to continue with the treatment, proceed as follows:
1 At the Console, record the value displayed on the LCD Backup MU display.
2 At the Console, turn the HT enable/Reset key 1/4 turn clockwise to reset the
system and then release it to let the key spring back.
3 Enter the treatment room, attend to the patient and rectify the cause that
required the treatment to be terminated.
4 Press the < Reset Motors> button on the HHC to reset motors.
5 Press Next Beam to enter new treatment parameters.
4.4.5 Abnormal loss of power to FEC
4.4.5.1 If power to the FEC is lost during beam delivery
1 Press the <Terminate> button on the Console.

2 If the system does not restart automatically, press the Power On button on the
FEC.
3 After the system initializes, the following warning dialog box appears. (See
Figure 4.9)
Figure 4.9 Warning dialog box
4 Click OK.
5 The logon dialog box appears. Log on. See Section 2.6 for details.
6 Turn the Reset key on the Console. The machine will go into the Preparatory
state.

Deliver Beam
Treating the field
4.4.5.2 If power to the FEC is lost following beam delivery

FEC.
3 After the system initializes, the following message dialog box appears. (See
Figure 4.10)
4 Click OK.
5 The logon dialog box appears. Log on. See Section 2.6 for details.
6 Turn the Reset key on the Console. The machine will go into the Preparatory
state.
4.4.5.3 If power to the FEC is lost in Standby mode

FEC.
3 After the system initializes, the machine will automatically go into Standby mode.
See Section 2.9 for details on how to continue.
4.4.5.4 If power to the FEC is lost in other modes

FEC.
3 After the system initializes, the logon dialog box appears. See Section 2.6 for
details on how to continue.

System administration
5 System administration
5.1 Overview .................................................................................................5-3
5.2 User Management.....................................................................................5-3
5.3 Changing personal password......................................................................5-9
5.4 Change user ........................................................................................... 5-10
5.5 Configuration ......................................................................................... 5-11


Overview
5.1 Overview
The procedures described in this chapter are normally carried out by a system
administrator. It is recommended that each department nominates at least one system
administrator, who has been trained in the customization of the software.
Note: It is important that at least one system administrator password is recorded and kept
in a secure place. The system can be accessed with this password in the event that all
other passwords have inadvertently been deleted, lost or changed.
5.2 User Management

The User Management function allows the user to create and delete users and edit the
user access authorization. It is recommended that only the system administrator be
authorized to access this function.
The system administrator sets up the user access accounts, according to local rules.
It is recommended that individuals, rather than groups of individuals, are allocated
unique user names and passwords.
Users should keep their user names and passwords secret. This prevents
unauthorized personnel accessing the system. Failure to observe this can
result in clinical mistreatment and lead to fatal or serious injury.
WARNING 5.1
Note: The accelerator has four preset user names: Super, Admin, Service and Clinical. Super
is for the system administrator. Admin is for Elekta-BMEI use only, and does not
appear in the user list in User Management.
Note: With the exception of the Admin user, the password for the preset users are the same
as the user name. The user should use the Change Personal Password function (see
Section 5.3) to change the password for the preset users before using the system
clinically.

User Management
5.2.1 View user details

To view user access details:
1 Click the User Management icon. (See Table 3.2)
The User Management window is displayed (Figure 5.1).
Figure 5.1 User Management window
2 Select the required user in the register. The details for the selected user are
displayed on the tabs.

User Management
5.2.2 User Permission

1 Click the User Management icon. (See Table 3.2)
2 Select the required user in the register. To display the user permissions, click the
User Permission tab (see Figure 5.2).
Note: Changes to user permissions will only take effect the next time that user logs out and
then logs back in.
Figure 5.2 User permissions window
When a Checkbox has a check symbol in it, like , it indicates that the current user
has the authorization to perform that task.
Table 5.1 List of user permissions
List of user permission Preset users Definition

Clinical Delivery Therapy Super and Clinical Allows the user to enter
radiation parameters and deliver
beams in Clinical Mode. See
Chapter 4.
Standby Super, Clinical and Allows the user to exit Standby
Service mode. See Section 2.9.
User Management Super Allows the user to manage users.
See Section 5.2.
User Password Super and Clinical Allows the user to restore a users
Management password. See Section 5.2.3.
Service Beam On Service See Service Mode User Manual.

User Management
Table 5.1 List of user permissions
List of user permission Preset users Definition

Service Dose Calibration Service See Service Mode User Manual.
Service Dose Channel Service See Service Mode User Manual.
Check
Service Beam Parameter Service See Service Mode User Manual.
Configuration
Service Interlock Service See Service Mode User Manual.
Configuration
Service Movement Part Service See Service Mode User Manual.
Calibration
System configuration Super, Clinical and Allows the user to change the
Service. language in configuration. See
Section 5.5.
Note: These are the default permissions for the preset users. These permissions can be
edited.
5.2.3 Restore password

Only users with User Password Management permissions can restore a user password.
1 Click the User Management icon. The User Management window is displayed.
2 Select the required user in the register.
3 Click the Restore Password button on the User details window (see Figure 5.1).
The system will set the user name as the password.

User Management
5.2.4 Create a new user

To create a new user:
1 Click the New button to display the User Details dialog box.
2 Type the User Name in the User Details dialog box. (See Figure 5.3).
Figure 5.3 User details dialog box
Note: The user name must be unique, duplicate users cannot exist on the system. The user
should be informed that their password should be kept secret in order to prevent
misuse of the system.
Note: The user name can be a minimum of 3 and a maximum of 16 characters. The full
name of the user can be a maximum of 16 characters. The user name is not case
sensitive.
3 Type in the User Full Name.

4 Click the Mode drop-down menu, and select the required mode. There are two
user modes, Clinical Mode and Service Mode.
Selecting the required mode defines which tasks can be selected in the User
Permission list (see Figure 5.2).
5 Type the new user password in the Password and Confirm Password data fields.
The Password and Confirm Password entries must be identical.
Note: The password has to be four characters or more. The password is case sensitive.
6 Click the Cancel button to exit without creating a new user or Save to save the
newly created user.
7 Select the User Permission tab. Click Edit to add user permissions.
8 Click the checkboxes to select or de-select the required permissions.
9 Click Cancel to exit without saving, or click the Save button to continue.

User Management
5.2.5 Edit user access

To edit a user:
1 Select the required user and click the Edit button.
2 Edit the User Details and User Permission tabs as required.
3 Click the Save button to save the changes, or Cancel to undo changes.
Note: It is not possible to edit the user name for the Super user.
5.2.6 Delete a user

To delete a user:
1 Select the required user from the register.
2 Click the Delete button. The delete user dialog box will be displayed (see
Figure 5.4).
Figure 5.4 Delete user dialog box
3 Click the OK button to delete the user.

4 Click the Cancel button to exit without deleting the user.
Note: It is not possible to delete the Super user.

Change personal password
5.3 Change personal password

Select the Change Personal Password icon (see Table 3.2) allows the currently logged
on user to change his/her personal password.
To change your personal password:
1 Click the Change Personal Password icon. The Change Personal Password dialog
box appears (see Figure 5.5).
Figure 5.5 Change Personal Password dialog box
2 In the Password data field, type the current password.

3 In the New Password data field, type the new password.
4 In the Confirm Password data field, type the new password again.
5 Click the Cancel button to exit without saving the new password (keep the old
password).
6 Click the Save button to save the new password (discard the old password).

Change user
5.4 Change user

Change user is used to change the operating user of the accelerator.
1 Click the Change User icon. (See Table 3.2)
The Change User dialog box is displayed (see Figure 5.6).
Figure 5.6 Change User dialog box
2 In the User Name data field, type the user name.

3 In the Password data field, type the password.
4 Click the OK button.
The system verifies that the user name and password are correct.
If the Clinical Mode user passes verification, the Clinical Mode screen will be
displayed with the available function icons.
If the Service Mode user passes verification, the Service Mode screen will be
displayed with the available function icons.
5 If the user name or the password is incorrect, a dialog box is displayed (see
Figure 5.7).
Figure 5.7 Dialog box
6 Click the OK button, then go back to step 2.

7 Click the Cancel button to return to the previous screen.

Configuration
5.5 Configuration
Perform the shutdown procedure as described in Section 2.8.1, until the Confirm User
dialog appears (see Figure 2.21)
1 Type in the username and password.
1 Click the OK button.
2 The Configuration dialog appears. All users can view the configuration for the
system. For details, see the following sections.
5.5.1 Date configuration

1 Click the Date tab.
Figure 5.8 Date configuration dialog box
2 Allows the user to view the configured date for the system.
3 Click the Exit button to return to shutdown dialog box (see Figure 2.20).
Note: The date can only be changed by the Elekta Admin and Service user.

Configuration
5.5.2 Accelerator options

1 Click the Options tab.
Figure 5.9 Options configuration dialog box
Note: Only the Elekta Admin user can modify the CE-No and Linac ID.
2 Allows the user to view the CE-No and the Linac ID.
5.5.3 Scale
Click the Scale tab, to see the configured scaling. It is not possible for any user to
change the configured scaling convention.
5.5.4 Language
Note: Only users with System Configuration permissions can change the language.
1 Click the Language tab.
Figure 5.10 Language configuration dialog box

Configuration
2 Click the Edit button.

3 From the Language drop-down list, select the desired language.
Note: Users can change the displayed language for the Front-end Computer(FEC) Clinical
Mode and the TRM Clinical Mode. The Service Mode on both the FEC and the TRM
are not affected. In Service Mode, the only available language is English.
4 Click the Save button to save the settings.

5 In the dialog, select No to revert to the previously selected language or OK to save.

Configuration

Technical data
6 Technical data
6.1 Beam limiting device (BLD) ........................................................................6-3
6.2 Motorized wedge ......................................................................................6-7
6.3 Shadow tray ........................................................................................... 6-11
6.4 Scales and ranges ................................................................................... 6-15
6.5 Geometry data ....................................................................................... 6-16
6.6 Radiation data ....................................................................................... 6-20

Technical data

Technical data
Beam limiting device (BLD)
6.1 Beam limiting device (BLD)

Table 6.1 details the physical parameters of the Elekta Compact™ beam limiting
device (BLD).
Table 6.1 Physical parameters
Distance from target to isocenter 100 cm

Distance from accessory ring to isocenter 45 cm (nominal)
Isocenter accuracy The intersection of the rotational axes
of the gantry and the BLD lies within a
sphere of 1 mm diameter
Height of isocenter above floor 130.6 cm (nominal)
Direction of the useful beam Radially through 360° in the plane
perpendicular to the axis of the gantry
and towards the isocenter
Figure 6.1 below shows the BLD in X-ray treatment mode (with the diaphragms
labelled according to IEC61217).
q o
w
i
a
s
e
d
f
r y
Figure 6.1 Elekta Compact™ beam limiting device
q Target i RF power input

w Flattening filter o Accelerator guide

Technical data
e Shutter a Primary collimator

r X diaphragms s Ion chambers
t Y diaphragms d Wedge
y Mylar® Crosswire sheet f Mylar ® mirror
u Shadow tray
6.1.1 Modes of operation

The photon beam is modified through the treatment BLD in the following way:
Table 6.2 X-ray modes of operation
X-ray mode
1 The beam strikes the target and produces a symmetrical X-ray output
2 The X-ray beam is collimated by the primary collimator.
3 The X-ray beam is flattened by the filter in the collimator.
4 The X-ray beam profile may be modified by the motorized wedge (if selected).
5 The X-ray beam is collimated into a rectangular field by the Y and X
diaphragms.
6 The X-ray beam pass through the mylar crosswire sheet and the light field
indicates the position of the Isocenter and wedge direction (when in position).
7 Optional shadow tray: The shadow tray carries the shielding blocks to shape the
beam within the rectangular field defined by the Y and X diaphragms.

Technical data
6.1.2 Light field

Field defining light system
This system provides a beam of light arranged so that it appears to come from the
target.
Mylar crosswire sheet

The mylar sheet has lines printed on it to indicate the isocenter and wedge direction.
These lines are then projected and can assist in checking the field. Refer to
Section 6.5.3 and Section 6.5.4 for the appropriate labelling of the diaphragms in the
various scaling conventions.
Figure 6.2 Mylar crosswire sheet
Note: Maximum field size 40 cm × 40 cm. Maximum wedge field size 30 cm × 40 cm in the
wedged direction.
30 cm
40 cm
Figure 6.3 Wedge field size in wedged direction

Technical data
6.1.3 Treatment BLD dimensions

BLD dimensions
Figure 6.4 shows the Standard BLD dimensions (with the diaphragms labelled
according to IEC 61217).
Target plane
Isocenter plane
Figure 6.4 Standard BLD dimensions (mm)

Technical data
Motorized wedge
6.2 Motorized wedge

Introduction
The motorized wedge enables fields to have an angled isodose distribution of between
0° and 60° (nominal). This is produced by the combination of a fully wedged field
and an open field.
The motorized wedge is functionally and physically part of the accelerator system.
6.2.1 Wedge material and dimensions

The wedge is made from a cast lead/antimony alloy (96% lead and 4% antimony).
Distance 'x' from edge along toe end of wedge,

V
T
S
R
P
N
for each section of profile (see table)

M
L
100
K
110
J
H
G
F
E
D
C
B
A
84
Rotation
Axis
40
58
θ
43.5
73.5
Figure 6.5 Wedge dimensions (mm)

Technical data
Motorized wedge
Table 6.3 Wedge information
Letter Ref. Angle Ø Distance X Letter Ref. Angle Ø Distance X

from Edge from Edge
A 35° 42' 2.5 L 38° 54' 73.3
B 36° 06' 4.4 M 38° 30' 78.5
C 36° 30' 7.4 N 38° 06' 83.3
D 36° 54' 10.0 P 37° 42' 87.0
E 37° 18' 13.0 R 37° 18' 90.0
F 37° 42' 16.7 S 36° 30' 92.6
G 38° 06' 21.5 T 36° 30' 95.6
H 38° 30' 26.7 V 36° 06' 97.5
J 38° 54' 35.0 W 35° 42' 100.00
K 39° 18' 65.0
6.2.2 Derivation of the synthesized wedge angle

Wedge angle
The Wedge Angle is the angle between the wedged field isodose and the normal to the
central axis of the beam at a depth of 10 cm in a water phantom.
Under the Measurement conditions described, the fully wedged angle is 60°.
Derivation method
The synthesized wedge angle can be derived using the example in Figure 6.6.
q w e
Figure 6.6 Synthesized wedge angle example
q Fully wedged field e Synthesized wedged field

w Open field

Technical data
Motorized wedge
Measurement conditions
Figure 6.6 Shows the Isodoses for the following set up:
• 6 MV beam
• 100 cm SSD
• 10 cm × 10 cm field
• Normalized to depth of maximum
• Weighted to dose at same point
Example calculation
The following formulae show one way of calculating the ratio between the doses (in
MU) for a fully wedged beam versus an open beam, to produce the required
synthesized wedge angle.
tan ϑ
F = -------------
tan Ψ
Dw = Dt × F
Do = Dt – Dw
1–F
D o = D w × ------------
F
Dt = Do + Dw
Where:
ψ = maximum wedge angle (defined for a specific field size and depth)
This should be measured and confirmed by the user.
(For a field size of 10 cm × 10 cm, at 10 cm depth, it is typically 60°)
ϑ = synthesized wedge angle (defined at the same field size and
depth as for ψ)
Dt = total dose received on the central axis at depth d
Dw = dose received by wedged segment on the central axis at depth d
Do = dose received by open segment on the central axis at depth d
An example:
Prescribed dose = 2.0 Gy
Field size = 10 cm × 10 cm
SSD = 100 cm
Maximum wedge angle at 10 cm depth = 60°
Required synthesized wedge angle = 20°
From the above relations:
1. Dt = 2.00 Gy
2. F = tan20° ÷ tan60° = 0.210
3. Dw = 2.00 Gy × 0.210 = 0.420 Gy
4. Do = 2.00 Gy − 0.420 Gy = 1.580 Gy
This means that in order to obtain a synthesized wedge angle, ϑ, of 20°, the dose
from the open segment to the specified depth (Do) should be 1.580 Gy, and the
dose from the wedge segment (Dw) should be 0.420 Gy.

Technical data
Motorized wedge
Note: The formulae above are only true for the depth and field size at which the maximum
wedge angle (ψ) is defined. The same formulae may be used to calculate the
synthesized wedge angle from a known ratio of open and wedged dose segments (Do
and Dw).
Calculation error
In general the error in estimating the synthesized wedge using the formula at field
sizes other than 10 cm × 10 cm is approximately:
3% at largest field sizes, less than 3% at smaller field sizes.
Note: Other formulae have been published to enable the calculation of synthesized wedge
angles. Care should be taken when comparing values obtained by different formulae,
as results may be based on very different criteria and definitions.

Technical data
Shadow tray
6.3 Shadow tray

Introduction
The shadow tray assembly is used to provide a means of positioning blocks in the
treatment field to enable irregular shaped X-ray fields to be delivered safely. A hook
and latch system attaches the assembly to the BLD.
There are two tray assemblies available:
• Standard shadow tray assembly
• Short shadow tray assembly
6.3.1 Standard shadow tray assembly
a q w
10 mm
e
e
110 mm
o
r
10 mm
i u y t
Figure 6.7 Standard shadow tray dimension
q Distance A to target (see y Coding switches

Table 6.4)
w D-type connector u Distance B to isocenter (see
Table 6.4)
e Latch assembly i Removable Perspex tray
r Handles o Knurled release screws
t Coded Perspex tray a Hook
Table 6.4 Standard shadow tray weights and dimensions
Standard shadow tray weights and dimensions

Overall length (max) 450 mm
Overall width (max) 382 mm
Overall height (max) 185 mm
Weight of shadow tray 6.7 kg approx.
assembly (without blocks)
Maximum height of blocks 100 mm with both plates in position

Technical data
Shadow tray
Standard shadow tray weights and dimensions

Maximum height of blocks 119 mm without inner tray in position.
Distributed load (max) at 30 kg
0° and 180°
Distributed load (max) at 15 kg
any other gantry angle
A=Distance of target to 672 mm
inner surface of coded tray
B=Distance of isocenter to 328 mm
inner surface of coded tray
6.3.2 Short shadow tray assembly
a q w
10 mm
e
e
o
85 mm
r
10 mm
i u y t
Figure 6.8 Standard shadow tray dimensions
q Distance A to target (see y Coding switches

Table 6.5)
w D-type connector u Distance B to isocenter (see
Table 6.5)
e Latch assembly i Removable Perspex tray
r Handles o Knurled release screws
t Coded Perspex tray a Hook
Note: If the removable Perspex tray is not required for the treatment, remove it from the
shadow tray, because the Perspex tray attenuates the beam. If the removable Perspex
tray is used, consider this when the treatment is planned.

Technical data
Shadow tray
Table 6.5 Short shadow tray weights and dimensions
Parameter Weight or dimension

Overall length 450 mm
Overall width 382 mm
Overall height 160 mm
Weight of shadow tray assembly 6.7 kg approx.
(without blocks)
Maximum height of blocks 75 mm with both plates in position
Maximum height of blocks 94 mm without inner tray in position
Distributed load (max) at 0° and 30 kg
180°
Distributed load (max) at any other 15 kg
gantry angle
A= Distance of target from coded 647 mm
tray (to inner surface of tray)
B= Distance of isocenter from coded 353 mm
tray (to inner surface of tray)
6.3.3 Shadow tray assembly

The shadow tray assembly consists of two removable parallel Perspex trays:
• Coded Perspex Tray - outermost, removed by sliding action
• Removable Perspex Tray - removed by undoing four knurl-headed screws
Shadow blocks can be spring-loaded between the two Perspex trays or secured
permanently to a tray.
6.3.3.1 Coded Perspex Tray Identification
The outermost Perspex tray can be uniquely coded by drilling up to seven holes in a
specific sequence on the edge of the face of the coded Perspex tray. This allows for a
code range from 0 to 127.
Additional trays are available from Elekta.
See Table 6.6 for information on coding of the Perspex trays:

Technical data
Shadow tray
+Denotes undrilled (switch depressed)

0 Denotes drilled (switch not depressed)
Table 6.6 Perspex tray coding

Code Drilling ref: Code Drilling ref: Code Drilling ref:
No. A B C D E F G No. A B C D E F G No. A B C D E F G
0 + + + + + + + 43 0 0 + 0 + 0 + 86 + 0 0 + 0 + 0
1 0 + + + + + + 44 + + 0 0 + 0 + 87 0 0 0 + 0 + 0
2 + 0 + + + + + 45 0 + 0 0 + 0 + 88 + + + 0 0 + 0
3 0 0 + + + + + 46 + 0 0 0 + 0 + 89 0 + + 0 0 + 0
4 + + 0 + + + + 47 0 0 0 0 + 0 + 90 + 0 + 0 0 + 0
5 0 + 0 + + + + 48 + + + + 0 0 + 91 0 0 + 0 0 + 0
6 + 0 0 + + + + 49 0 + + + 0 0 + 92 + + 0 0 0 + 0
7 0 0 0 + + + + 50 + 0 + + 0 0 + 93 0 + 0 0 0 + 0
8 + + + 0 + + + 51 0 0 + + 0 0 + 94 + 0 0 0 0 + 0
9 0 + + 0 + + + 52 + + 0 + 0 0 + 95 0 0 0 0 0 + 0
10 + 0 + 0 + + + 53 0 + 0 + 0 0 + 96 + + + + + 0 0
11 0 0 + 0 + + + 54 + 0 0 + 0 0 + 97 0 + + + + 0 0
12 + + 0 0 + + + 55 0 0 0 + 0 0 + 98 + 0 + + + 0 0
13 0 + 0 0 + + + 56 + + + 0 0 0 + 99 0 0 + + + 0 0
14 + 0 0 0 + + + 57 0 + + 0 0 0 + 100 + + 0 + + 0 0
15 0 0 0 0 + + + 58 + 0 + 0 0 0 + 101 0 + 0 + + 0 0
16 + + + + 0 + + 59 0 0 + 0 0 0 + 102 + 0 0 + + 0 0
17 0 + + + 0 + + 60 + + 0 0 0 0 + 103 0 0 0 + + 0 0
18 + 0 + + 0 + + 61 0 + 0 0 0 0 + 104 + + + 0 + 0 0
19 0 0 + + 0 + + 62 + 0 0 0 0 0 + 105 0 + + 0 + 0 0
20 + + 0 + 0 + + 63 + + + + + + 0 106 + 0 + 0 + 0 0
21 0 + 0 + 0 + + 64 0 0 0 0 0 0 + 107 0 0 + 0 + 0 0
22 + 0 0 + 0 + + 65 0 + + + + + 0 108 + + 0 0 + 0 0
23 0 0 0 + 0 + + 66 0 0 + + + + 0 109 0 + 0 0 + 0 0
24 + + + 0 0 + + 67 0 0 + + + + 0 110 + 0 0 0 + 0 0
25 0 + + 0 0 + + 68 + + 0 + + + 0 111 0 0 0 0 + 0 0
26 + 0 + 0 0 + + 69 0 + 0 + + + 0 112 + + + + 0 0 0
27 0 0 + 0 0 + + 70 + 0 0 + + + 0 113 0 + + + 0 0 0
28 + + 0 0 0 + + 71 0 0 0 + + + 0 114 + 0 + + 0 0 0
29 0 + 0 0 0 + + 72 + + + 0 + + 0 115 0 0 + + 0 0 0
30 + 0 0 0 0 + + 73 0 + + 0 + + 0 116 + + 0 + 0 0 0
31 0 0 0 0 0 + + 74 + 0 + 0 + + 0 117 0 + 0 + 0 0 0
32 + + + + + 0 + 75 0 0 + 0 + + 0 118 + 0 0 + 0 0 0
33 0 + + + + 0 + 76 + + 0 0 + + 0 119 0 0 0 + 0 0 0
34 + 0 + + + 0 + 77 0 + 0 0 + + 0 120 + + + 0 0 0 0
35 0 0 + + + 0 + 78 + 0 0 0 + + 0 121 0 + + 0 0 0 0
36 + + 0 + + 0 + 79 0 0 0 0 + + 0 122 + 0 + 0 0 0 0
37 0 + 0 + + 0 + 80 + + + + 0 + 0 123 0 0 + 0 0 0 0
38 + 0 0 + + 0 + 81 0 + + + 0 + 0 124 + + 0 0 0 0 0
39 0 0 0 + + 0 + 82 + 0 + + 0 + 0 125 0 + 0 0 0 0 0
40 + + + 0 + 0 + 83 0 0 + + 0 + 0 126 + 0 0 0 0 0 0
41 0 + + 0 + 0 + 84 + + 0 + 0 + 0 127 0 0 0 0 0 0 0
42 + 0 + 0 + 0 + 85 0 + 0 + 0 + 0
It is the responsibility of the user to ensure that Perspex trays produced

in-house are correctly manufactured and are a good fit to the shadow tray
assembly, and to ensure that the Perspex tray latch operates correctly.
Failure to observe this could result in clinical mistreatment and may lead
WARNING 6.1 to fatal or serious injury.

Technical data
Scales and ranges
Valid range
• 1 to 127 = Coded Perspex tray numbers
Note: 0 and 128 are invalid codes. If the Perspex tray code is 0 or 128, radiation will be
inhibited and the error Perspex tray fault will be displayed on the View Restrictions
dialog box. Make sure that the Perspex tray and shadow tray are correctly fitted. It is
not possible to use a Perspex tray with code 0.
Note: Code 127 will be displayed if the shadow tray is attached with no Perspex tray fitted
or, if a tray is fitted that has all the holes drilled. It is recommended that code 127 is
not used for any coded Perspex trays.
6.4 Scales and ranges

A scale is a convention used to represent the position of a machine parameter.
There are three scales available for the accelerator:
• IEC 61217
• Bipolar
• IEC 60601-2-1
Note: Bipolar is only available in Service Mode.
Accelerator and table movements ranges

Each parameter of the accelerator and Precise Table has a set range through which it
can move.
Reference Position
The reference position of all readouts is 0.

Technical data
Geometry data
6.5 Geometry data
6.5.1 Gantry angle and gantry movement

Description
Gantry angle - the angular position of the gantry from vertical.
Gantry movement - the direction of rotation of the gantry for arc treatments- either:
CW = Clockwise
CCW = Counter Clockwise
NONE = No Rotation
Figure 6.9 shows the view looking towards the gantry.
IEC 61217
IEC 60601-2-1
Bipolar
Figure 6.9 Gantry angle and movement
Links
Gantry Angles (start and stop angles) are linked to Gantry Movement.
Gantry Movement is linked to Prescribed MU via the total number of degrees in the arc.
The prescribed MU must be at least 1 MU per 5°.
Example 1: Using an Arc Template. (IEC 61217)
If Gantry Movement = CW
Gantry Angle CP1 = 0.0°
Maximum Gantry Stop Angle = 181°

Technical data
Geometry data
6.5.2 Collimator rotation

Description
Figure 6.10 to Figure 6.12 show the collimator rotation with the view looking from
the target (beam’s eye view).
Links
The collimator rotation is linked to the wedge orientation as the wedge position is
fixed with respect to the collimator position.
IEC 61217
Figure 6.10 Collimator rotation based on IEC 61217 axis
IEC 60601
Figure 6.11 Collimator rotation based on IEC 60601 axis

Technical data
Geometry data
Bipolar
Gun
Target
Figure 6.12 Collimator rotation based on Bipolar axis
6.5.3 Diaphragm Y1 and Y2

Description
The parameter defining the distance (cm) of the field edge from the isocenter defined
by the Y1 and Y2 diaphragms.
Note: Shaded areas show the maximum range of movement for each diaphragm.
Y1 - IEC 61217 Y1 - Bipolar Y1 - IEC 60601-2-1
Y2 - IEC 61217 Y2 - Bipolar Y2 - IEC 60601-2-1

Technical data
Geometry data
6.5.4 Diaphragm X1 and X2

Description
The parameter defining the distance (cm) of the field edge from the isocenter defined
by the X1 and X2 diaphragm.
The diagram shows the view looking from the target.
.
X1 - IEC 61217 X1 - Bipolar X1 - IEC 60601-2-1
X2 - IEC 61217 X2 - Bipolar X2 - IEC 60601-2-1
6.5.5 Fieldsize Y
Note: The user interface does not display Fieldsize Y.
Description
Fieldsize Y - The field size (cm) at the isocenter defined by the Y1 and Y2 diaphragms.

Technical data
Radiation data
6.5.6 Fieldsize X
Note: The user interface does not display Fieldsize X.
Description
Fieldsize X - The field size (cm) at the isocenter defined by the X1 and X2 diaphragms.
6.6 Radiation data
6.6.1 Energy
Description
Parameter defining the energy of radiation beam generated and emitted by the Linac.
Valid range
X-ray nominal values: 6 MV
6.6.2 Physical motorized wedge

Description
Parameter defining the position of the wedge, either in the path or not in the path of
the beam radiation emitted by the Linac.
Valid range
• In (wedge is in the path of the beam of radiation)
• Out (wedge is not in the path of the beam of radiation)
Links
Wedge In is linked to fieldsize in the wedged direction.
Example: (IEC 61217)
If wedge = In
Maximum Diaphragm Y1 and Y2 = 15.0 cm
Maximum Fieldsize Y = 30.0 cm
Note: The maximum field size in the unwedged direction is 40 cm (20 cm for each
diaphragm).
6.6.3 Prescribed MU
Description
Parameter defining the number of monitor units of radiation to deliver
Valid Range
• 1 to 999 MU

Technical data
Radiation data
Links
Prescribed MU is linked to Gantry Movement via the total number of degrees in the arc.
The Prescribed MU must be at least 0.5 MU per degree.
Example 2: Using an Arc Template. (IEC 61217)
If Total Arc = 30.0°
Minimum Prescribed MU = 15 MU
6.6.4 Backup MU
Description
Parameter defining a number of MU greater than Prescribed MU which will
abnormally terminate irradiation if it fails to terminate when the prescribed MU is
reached.
Valid Range
• 3 to 1009 MU
Links
Backup MU is linked to Prescribed MU and must be between 2 MU and 10 MU greater
than the prescribed MU.
6.6.5 Dose rate

Description
A parameter that defines the number of MUs delivered per minute during radiation at
the isocenter under normal conditions.
There are four discrete dose rates available, namely 50 MU/MIN, 100MU/MIN,
200MU/MIN and 350MU/MIN. The accelerator will treat at a dose rate closest to the
number selected by the user.
Actual dose rate

The actual dose rate delivery will be close to the expected dose rate, but the actual
dose depends on other factors such as humidity, gantry angle, etc. The actual dose
rate will be within a defined range of the expected dose rate - if the actual value drifts
above preset maximum dose rate or below preset minimum dose rate of the expected
value, then the dosimetry system will abnormally terminate the delivery.
6.6.6 Timer calculated

Description
The parameter defining a timer which protects against failure of the dose monitoring
system by terminating irradiation when the calculated time has elapsed.
Valid Range
The backup timer is set at a value 20% greater than the expected beam duration, as
calculated from the Prescribed MU and expected dose rate.
eg. expected beam duration = Prescribed MU/expected doserate
The minimum value is 0.1min.

Technical data
Radiation data

Maintenance
7 Maintenance
7.1 Maintenance activities ..............................................................................7-3
7.2 Detectable system faults............................................................................7-3
7.3 Warm-up procedure..................................................................................7-3
7.4 Planned maintenance ...............................................................................7-3
7.5 User routine checks ..................................................................................7-6
7.6 Four-monthly safety checks ..................................................................... 7-10
7.7 Four-monthly performance checks ........................................................... 7-13
7.8 Eight-monthly safety checks..................................................................... 7-16
7.9 Twelve-monthly performance checks........................................................ 7-17
7.10 Product disposal..................................................................................... 7-19

Maintenance

Maintenance
Maintenance activities
7.1 Maintenance activities

The accelerator and affiliated accessories require proper operation, planned
maintenance and user routine checks for the equipment to operate safely, effectively
and reliably.
These checks shall only be carried out by qualified and authorized personnel.
The equipment should also be maintained by using the correct procedures for
cleaning and disinfection and final product disposal.
7.2 Detectable system faults

Detectable system faults and operational mistakes are notified by messages.When a
dosimetry fault occurs, treatment will be terminated and a message will appear on the
display screen to advise users of the problem.
Calibration procedures should be completed after any repair to make sure

dosimetry is correct. Failure to perform calibration procedures after a
service/repair can cause clinical mistreatment which can result in fatal or
7.3 Warm-up procedure

Elekta recommends that the accelerator should be warmed up prior to daily use.
During the normal daily checks (see Section 7.5), run each beam energy at 200 dose
rate for 200MU.
Local output and safety checks should be performed, according to hospital policy.
7.4 Planned maintenance

Planned maintenance must be carried out by qualified and authorized service
engineers. The activity is comprehensively described in the service documentation. See
Elekta Compact™ R1.0x Planned Maintenance Manual.
Elekta provide a full planned maintenance and repair service on both a contract and a
call-out basis. Full details are available from the local Elekta® representative.
Planned maintenance program

A summary of the planned maintenance program for the linear accelerator and
affiliated accessories appears in Table 7.1 to Table 7.7.
The recommended planned maintenance program is split into safety, performance and
reliability checks.
These are detailed in the following tables in periods of:
• 4-monthly
• 8-monthly
• 12-monthly
• 5-yearly
• 7-yearly
Refer to Appendix B for details of other interlock checks.

Maintenance
Planned maintenance
Table 7.1 4-monthly safety checks
4-monthly safety checks

Gantry Counterbalance weights
Chain tension wheel assembly
Accessories Shadow trays
Precise Table Refer to the Precise Table User Manual or the Planned
Maintenance Manual for further information.
Treatment table Table HT interlock test
Table 7.2 4 monthly reliability checks
4-monthly reliability checks

Beam limiting device Wiring
Exchange the projector bulb
Gantry Cables, hoses, gantry check and rotation limits
Main control cabinet Wiring, power, socket
HT systems Modulator cabinet
Internal water system Water contamination, water leaking
Water cooler (Water chiller) General inspection
(Optional) Water contamination
Table 7.3 12-monthly safety checks
12-monthly safety checks

Gantry Counterbalance weights
Check earth connections
Check modulator pulse earth and other earth connection
Check magnetron cable connections
Screws between the arm and main axis
Standard inspection
Water cooler (water chiller) Refrigeration unit service visit
Optional Check earth connections
Beam limiting device Diaphragm position check
Chain tension wheel Check springs to be fastened
assembly
Brake and VFD Check stop function

Maintenance
Planned maintenance
Table 7.4 12-monthly performance checks
12-monthly performance checks

Diaphragm rotation readout
Table 7.5 12-monthly reliability checks
12-monthly reliability checks

Gantry Chain tension wheel assembly
Gantry drive
Gantry angle readout
Beam limiting device Motorized wedge
Diaphragm drives
Potentiometer idler gear shafts, oil lubricate
Universal joint drive coupling
Universal joint couplings
Water system
Dielectric gas system Dielectric gas system plastic pipes
Dielectric gas fill up
HT cabinet/HT checks Inverse current
Arm Rotation bearing
BLD backlash
Table 7.6 5-Yearly reliability checks
5-yearly reliability checks

Beam limiting device Ion chamber cable
Table 7.7 7-Yearly safety checks
7-yearly safety checks

Gantry Gantry gearbox change

Maintenance
User routine checks
7.5 User routine checks

The user of the equipment shall:
• institute a user routine checks program.
• perform the checks and any subsequent actions using methods according to local
recommended protocols.
• make sure that all checks have been completed before use.
Do not use the accelerator or any application until the user routine checks
have been satisfactorily completed and that the planned maintenance
program is up to date. The use of equipment where the planned
maintenance program is not up to date can result in clinical mistreatment
WARNING 7.2 and lead to fatal or serious personal injury.
Check functionality of the locking latch on the shadow tray before each
use. This is to make sure that it adequately prevents the shadow tray from
moving. Failure to observe this can cause serious injury to the patient and
WARNING 7.3 other persons.
Perspex inserts must be inspected before each use: if Perspex inserts are
found to be distorted, cracked, or no longer transparent, then they are
faulty and must be discarded. Failure to inspect and discard faulty Perspex
WARNING 7.4 inserts can cause serious injury to the patient and other persons.
Check the field lamp is operating before treatment during daily use. No
operation should be performed if the field lamp is not turned on normally,
otherwise fatal injury or serious damage can be caused.
WARNING 7.5
7.5.1 User routine check program

The recommended user routine checks (and physics checks) are shown in Table 7.8 to
Table 7.11 into periods of:
• Daily
• Weekly
• Monthly
• 6-Monthly
Table 7.8 User daily checks
User daily checks Expected result

Crosswire alignment The displacement of the crosswires with respect to a
reference point when the diaphragm system is rotated
through 180° is less than 1mm at a distance of 1m
from the target.
Dose calibration Dose channel 1 = dose channel 2 after a normal
termination of a typical X-ray treatment.
Interlocks Interrupt

Maintenance
User routine checks
Table 7.8 User daily checks
User daily checks Expected result

Table tops Show no sign of deterioration or damage, particularly
the mylar film or tennis racket.
For C-arm table top the movements are easy with
positive locking.
Walk round visual check No sign of obvious defects or hazards.
No oil or water leaking from the water cooler and
transformer.
Emergency off buttons. After pressing an emergency off button -
(Select a different button in • The linac will be shut down and cannot reboot
rotation each week). For until the emergency off button is reset.
non-standard wiring see the
caution below.
Optical distance meter The optical distance meter indicates 100 cm, with an
accuracy of 1 mm.
Front pointer tip alignment When the tip is positioned at the isocenter, the pointer
pin indicates 100 cm and lies within a 1.0 mm radius.
Gantry angle readout When the gantry is rotated to 0°, 90°, 180° and 270°
(optional) the gantry scale reading is coincident with the screen
reading of gantry position to within 1°.
Diaphragm rotation When the diaphragm is rotated to 0°, 90°, 180° and
readout 270° the diaphragm scale reading is coincident with the
screen reading of diaphragm rotation to within 1°
Laser back pointer With the gantry at 180° and treatment tabletop at the
isocentric height.
The laser back pointer is visible along the length of the
front pointer.
Table 7.9 Physics weekly checks
Physics weekly checks Expected result

X-ray depth-dose Use a ‘quick check’ technique:
characteristics. With the gantry at 0°, use an ion chamber and solid
phantom to check that the depth dose measurements
at two depths on the central axis are within the locally
accepted tolerance limits.
X-ray flatness Use a ‘quick check’ technique:
With the gantry at 0°, use polyblock scanner or film to
check that the field flatness is within the locally
accepted tolerance limits.
Dose calibration Use the acceptance test method. Check that the dose
calibration is within the locally accepted tolerance
limits.

Maintenance
User routine checks
Table 7.10 User monthly checks
User monthly checks Expected result

Light field size calibration For a 30.0 × 30.0 cm cm and 3.0 × 3.0 a field, the edges
of the light field are within 2 mm of the required
distance from the central reference point at the
isocenter.
X-ray to light field The X-ray field is coincident with the light field within
the locally accepted tolerance limits.
Table 7.11 Physics 6-monthly checks
Physics 6-monthly check Expected result

Penumbra The penumbra width at standard measurement depth is
within locally accepted tolerance limits.
For sites with non-standard wiring, pressing an emergency off button may
also turn off the control cabinet which could cause potential damage to the
hard disks. Therefore on sites with non-standard wiring, the control system
must be shut down prior to testing the emergency off buttons. Failure to
CAUTION 7.1 observe this can cause damage to the equipment.
7.5.2 Preparation
Before starting a planned maintenance inspection, the responsible engineer must make
a photocopy of the appropriate checklist from the Planned Maintenance Manual.
This chapter details the procedures required to carry out all planned maintenance
activities. Each planned maintenance check is prioritized for frequency and level.
• Safety - These checks are essential to the well-being of the patient, user and/or
equipment. They are mandatory checks and must be carried out by qualified and
authorized engineers who have successfully completed training courses approved
by Elekta.
• Performance - These checks have a direct effect on the performance of the
system. They are mandatory checks and must be carried out by qualified and
authorized engineers who have successfully completed training courses approved
by Elekta.
• Reliability - These checks contribute to the ongoing reliability of the system. They
are recommended checks and may be carried out by qualified and authorized
engineers who have successfully completed training courses approved by Elekta.

Maintenance
User routine checks
q w
e
Figure 7.1 Planned maintenance description table
q Interval for check e Duration of check

w Classification of check
7.5.3 Definitions
• Qualified - in this context means those who ‘have completed successfully a
training course or passed the examinations necessary to be entitled to work in a
particular profession’ or on the type of medical electrical equipment within the
jurisdiction(s) in which the equipment is used.
• Authorized - in this context means those who ‘have been given the authority or
the official permission to’ work on the equipment by the user of the equipment.
For further information contact the local Elekta® representative.
Each activity displays a table showing the interval, classification and duration values.
The example in Figure 7.1 shows an activity that should be performed every
12 months, is classified as a safety check, and should take 15 minutes to perform.

Maintenance
Four-monthly safety checks
7.6 Four-monthly safety checks
7.6.1 Movements
7.6.1.1 Handheld controller
4 SAFETY 5
1 On the handheld controller (HHC), press each push button in turn and make
sure that the named action of the push button occurs.
2 On the HHC, move the GANTRY and the FUNCTION thumbwheel slowly
throughout their speed range.
3 Make sure that there is a smooth control of the resultant movement.
4 When the gantry rotates at full speed, press the STOP button on the HHC.
5 Make sure that the gantry rotation stops, and the arm angle offset does not
exceed 2°.
7.6.1.2 Touchguard
4 SAFETY 5
1 Rotate the gantry at full speed, and activate the touchguard.

2 Make sure that gantry rotation stops.
3 Make sure that the touchguard indicator lamps are extinguished on the table.
4 Remove the demand to allow the Gantry inhibit to disappear.
5 Press and hold the TOUCHGUARD button on the HHC.
6 Restore the demand and make sure that the gantry rotation resumes.
7 Stop the gantry.
8 Rotate the gantry at full speed and activate the touchguard to stop the gantry
rotation.
9 Press the TOUCHGUARD button on the HHC and rotate the gantry. Make sure that
the gantry is at half speed.
10 Stop the gantry.
11 Rotate the gantry at full speed and activate the touchguard to stop the gantry
rotation.
12 Press the TOUCHGUARD button on the table.
13 Make sure that the gantry rotation resumes again.
14 Stop the gantry.
Note: If a collision occurs, make sure that the gantry moves in the same direction.

Maintenance
7.6.2 Interlocks
7.6.2.1 Interrupt
4 SAFETY 5
1 Log into Service Mode.

2 Select a beam and bring the machine to a READY TO START state.
3 Hold down the Interrupt key to its latched down position.
4 Make sure that the inhibit Item Interrupt is displayed.
5 Release the Interrupt key.
6 While the machine irradiates, press the Interrupt key to its latched down
position.
7 Make sure that radiation is interrupted, and stops all movements, with the
exception of the table, in the treatment room.
8 After the key has been pressed, it is locked in the down position. Press the
Interrupt key to release.
7.6.2.2 Terminate
4 SAFETY 5
1 Put the machine in a READY TO START state.

2 Press the Terminate key.
3 Make sure that the Stop motor inhibit appears.
4 While the machine irradiates, press the Terminate key.
5 Make sure that the radiation is interrupted, and shuts down the power supply of
movements while the key is pressed.
6 After the key has been pressed, press RESET MOTORS on the HHC to reset.
7.6.2.3 Room door
4 SAFETY 5
1 Open the treatment room door.

2 Close the equipment area door.
3 Select static beam and confirm.
4 Try to bring the machine to a READY TO START state.
5 Make sure that the machine cannot go to READY TO START while the treatment
room doors are open.
6 Make sure that item Room door inhibit appears.
7 Close the treatment room doors.
8 Put the machine in a READY TO START state.
9 After a few seconds, while the machine is irradiating, open the treatment room
door.
10 Make sure that radiation is interrupted, and that item Room door inhibit appears.

Maintenance
7.6.2.4 Wedge position
4 SAFETY 5
1 Use the Deliver Beam option to select a prescription which requires the wedge to
be out the field.
2 Make sure that the item Wedge set is display 'out'.
3 Start the machine and deliver an X-ray beam.
4 After drive the wedge into the field, make sure that item Wedge set is display 'in'.
5 Set item Wedge Driving Limit to 5s.
6 Repeat steps 1 to 3.
7 Make sure that inhibit Wedge movement time out appears while the wedge is
stationary in the wrong position.
8 Reset item Wedge Driving Limit.
7.6.3 Gantry isocenter

4 SAFETY 20
1 Rotate the gantry to 180°.

2 Position a fixed pointer at the isocenter.
3 Rotate the gantry through 360°.
4 Note the deviation of the intersection of the cross-wires from the pointer at the
four cardinal points.
5 Make sure that the deviations are <2 mm from each other, or from isocenter.

Maintenance
Four-monthly performance checks
7.7 Four-monthly performance checks
7.7.1 Beam limiting device

The system is fitted with an Asymmetric diaphragm beam limiting device (BLD). The
covers on the BLD must be removed in order to do some of the procedures in this
section. For instructions on how to remove and replace the covers, refer to the Elekta
Compact™ Corrective Maintenance Manual.
7.7.2 Isocenter geometry
7.7.2.1 Crosswire alignment at 2 m
4 PERFORMANCE 20
1 Rotate the gantry to 0°, diaphragm offset to 0°.

2 Select a field size of 30 cm × 30 cm.
3 Dim the room lights.
4 Rotate the table column to 90° to move it out of the way of the BLD.
5 Put a piece of graph paper onto the floor.
6 Mark a point on the graph paper at the center of the image of the cross-wires.
7 Rotate the BLD to each of the cardinal points.
8 Mark the center of the cross-wires at each of the cardinal points.
9 Join the opposing marks to determine the mechanical center of rotation.
10 Rotate the BLD slowly through 360°.
11 Make sure that the position of the image of the cross-wires on the graph paper
does not deviate by more than 1 mm from the mechanical center of rotation (that
is, a maximum deviation of 2 mm diameter).
7.7.2.2 Crosswire alignment at 1 m
4 PERFORMANCE 5

4 Put a piece of graph paper on the treatment table at isocenter.
5 Mark a point on the graph paper at the center of the image of the cross-wires.
6 Rotate the BLD to each of the cardinal points.
7 Mark the center of the cross-wires at each of the cardinal points.
8 Join the opposing marks to determine the mechanical center of rotation.
9 Rotate the BLD slowly through 360°.
10 Make sure that the position of the image of the cross-wires on the graph paper
does not deviate by more than 0.5 mm from the mechanical center of rotation
(that is, a maximum deviation of 1 mm diameter).

Maintenance
11 Set up a 30 cm × 30 cm field, and check that the cross-wires is parallel to the X

diaphragm.
7.7.2.3 Range finder assembly, front pointer
4 PERFORMANCE 15

4 Put a piece of graph paper on the treatment table at isocenter. Make sure that the
intersection on the graph paper (this acts as a reference point) coincides with the
image of the cross-wires on the graph paper.
6 Where the image of the cross-wires has moved away from the reference point,
adjust the height of the treatment table to return the image of the cross-wires to
the reference point.
Note: This is the mechanical center of the gantry rotation.
7 There may be a discrepancy of approximately 2 mm between the front pointer

and the achieved height. This is due to allowances for gantry sag.
8 Reset the gantry to 0°.
9 Make sure that the distance meter indicates 100 cm (±1 mm).
10 Attach the mechanical front pointer.
11 Make sure that the pointer indicates 100 cm (±1 mm) and that the tip is within
1 mm of the mechanical center of rotation as determined by the cross-wires
check.
12 Make sure that the treatment table height indicator reads 0.0 cm (±1 mm).
13 Raise and lower to treatment table, and make sure that the optical range finder
accuracy shall be:
±1 mm @ 100 cm
±2 mm @ 75 cm to 125 cm
±3 mm @ 125 cm to 150 cm
7.7.3 Beam limiting device movements

4 PERFORMANCE 10

2 Make sure that the offset field mode functions correctly.
3 Move the field in all four directions and check that the field size stays constant.
4 Check the hardware limits of the BLD (microswitches).

Maintenance
7.7.4 Laser back pointer alignment

4 PERFORMANCE 10
Check the vertical alignment as follows:

2 Rotate the diaphragm to 0°.
3 Set the treatment table to the isocenter.
4 Switch on the field defining lamp and dim the room lights.
5 Remove a solid panel from the treatment table so that the image of the
cross-wires falls onto a clear expanse of mylar.
6 Tape a piece of millimeter graph paper on to the mylar so that the image of the
cross-wires coincide with a suitable pair of major axes on the graph paper.
7 Switch on the laser.
8 Make sure that the laser line is sharply focused.
9 Make sure that the laser line is parallel with the longitudinal (G-T) crosswire,
and that it passes through the intersection of the cross-wires to within 0.5 mm.
10 Raise the height of the treatment table to 10 cm above the isocenter.
11 Repeat step 9.
12 Lower the height of the treatment table to 10 cm below the isocenter.
13 Repeat step 9.
14 Switch off the laser.
15 Refit the solid panel to the treatment table.

Maintenance
Eight-monthly safety checks
7.8 Eight-monthly safety checks
7.8.1 Interlocks
7.8.1.1 Dose Rate Error
8 SAFETY 10
Upper limit
1 On the Beam Parameter Config window, set PRF1 to be more 20 than before.
2 Select a X-ray beam at Dose Rate 50.
3 Set interlocks (as required) to enable the linear accelerator to irradiate.
4 Start the beam.
5 Manually adjust the automatic frequency controller (AFC). Slowly increase the
dose rate until it reaches the set value of the upper limit.
6 Make sure that the beam terminates no more than 2 ms after the dose rate
exceeds continuously the upper limit set value.
Lower limit
1 Repeat step 2 to step 4.
2 Manually adjust the AFC. Slowly decrease the dose rate until it reaches the set
value of the lower limit.
3 Make sure that the beam terminates no more than 2 ms after the dose rate falls
continuously below lower limit set value.
4 Reset PRF1 to the original value.

Maintenance
Twelve-monthly performance checks
7.9 Twelve-monthly performance checks
7.9.1 Gantry and treatment table isocenter

12 PERFORMANCE 15
1 Rotate the gantry and the BLD to 0°. Use an accurate spirit level on the accessory
ring to make sure that the gantry is positioned accurately ( ≤ 0.3 mm per metre).
2 Make sure that the mechanical scales and the electronic scales indicate 0° (±0.5°).
3 Raise the treatment table until the table top is at the isocenter.
4 Attach a piece of graph paper to the table top.
5 Mark the position of the cross-wires on the graph paper.
6 Rotate the table (isocentric rotation) and mark the position of the cross-wires at
approximately 45° intervals over the full range of movement.
7 Make sure that all the marked points lie within a 2 mm diameter circle.
8 Return the table to 0° and realign the original mark with the cross-wires.
9 Lower the table by 500 mm and make sure that the error between the mark and
the cross-wires does not exceed 2 mm.
10 Rotate the gantry to 90°, 180°, and 270°. Use a spirit level on the accessory ring
to ensure accuracy.
11 Make sure the mechanical scales and the electronic scales are within ±0.5° for
each of the gantry positions in step 10.
7.9.2 Arm, collimator
7.9.2.1 Range finder assembly
12 PERFORMANCE 10
Do not use bare fingers to handle the bulb by its glass envelope. Grease and
oils from the fingers will cause the glass envelope to fail quickly. Failure to
observe this precaution can lead to component failure.
CAUTION 7.2
1 Remove the cover for the distance meter lamp.

2 Use an alcohol-based cleaner to clean off finger marks on the glass envelope of
the distance meter lamp.
3 Examine the bulb connector.
4 Where there are signs of arcing or corrosion, renew the connector.

Maintenance
Twelve-monthly performance checks
7.9.3 Cleaning the cabinet

12 RELIABILITY 10
Use a soft cloth and a proprietary polish to clean and polish the outside of the main
control cabinet.

Maintenance
Product disposal
7.10 Product disposal
Appropriate national and international regulations for working with

ionizing radiation shall be observed when handling or transporting (by air,
sea or land) the equipment.
WARNING 7.6
7.10.1 Passing on the product to another user

If the product is to be passed on to another user who intends to use it for its intended
purpose, then it shall be passed on in its complete state. In particular, the existing user
shall ensure all accompanying documentation is transferred with the device.
Liability
Users who pass on medical electrical equipment to another medical user may be
personally liable for any regulatory infringements. Existing users are strongly advised
to seek advice from Elekta before committing themselves to any contract.
Information transfer
The new user shall be made aware of:
• The support services available from Elekta in installation, maintenance and
training.
• Important safety-related information and Field Change Orders that may be
received by the existing user.
In many jurisdictions there is a clear duty to pass on such information to the current
user and to inform Elekta of the status and location of the equipment if known.
Original users who are not prepared to perform this function shall inform Elekta so
that appropriate steps can be taken.
Elekta® support
Elekta supports users in:
• recovery of usable parts
• recycling of useful materials by competent disposal companies
• safe and effective disposal of the equipment
For advice contact the local Elekta® representative

Maintenance
Product disposal

X-Radiation leakage
Appendix A X-Radiation leakage

A.1 X-Radiation leakage outside the patient plane ............................................A-3

©2008 Elekta AB (publ.). All rights reserved. Page A-1
X-Radiation leakage

Page A-2 ©2008 Elekta AB (publ.). All rights reserved.
X-Radiation leakage
X-Radiation leakage outside the patient plane
A.1 X-Radiation leakage outside the patient plane
A.1.1 Test
For compliance with IEC standards, X-radiation leakage measurements were taken in
accordance with standard 60601-2-1 (1998) Clause 29.4.1. The purpose of this test is
to identify any areas of the machine where X-radiation leakage outside the patient
plane exceeds 0.5% of the open field as measured at isocenter.
The tests were performed with the gantry at 90°, or 270°, with diaphragms closed,
using beams of 6 MV energy. The tests were carried out with the Beam Limiting
Device (BLD) at 0°. Readings were taken at various positions specified in the clause.
As a result, certain points were found (measured at a distance of approximately 5 cm
from the surface of the covers) at which the leakage exceeded 0.5%. The results are
given in Table A.1, and the position of these points are shown in Figure A.1.
A.1.2 Results
Table A.1 X-radiation leakage measurements
Energy Collimator Leakage Position of measured

rotation leakage
6 MV 0° 8.3% P1 in Figure A.1
6 MV 0° 0.69% P2 in Figure A.1
No leakage exceeding 0.5% was found at the surface of the BLD.
Note: At a point measured one metre from the beam line, no leakage greater than 0.5% was
found for any combination of BLD type, angle and X-ray energy.

©2008 Elekta AB (publ.). All rights reserved. Page A-3
X-Radiation leakage
X-Radiation leakage outside the patient plane
P1
P2
Figure A.1 Photograph showing position of X-radiation leakage

Page A-4 ©2008 Elekta AB (publ.). All rights reserved.
Interlock list
Appendix B Interlock list

B.1 Interlock list ........................................................................................... B-3

©2008 Elekta AB (publ.). All rights reserved. Page B-1
Interlock list

Page B-2 ©2008 Elekta AB (publ.). All rights reserved.
B.1 Interlock list
©2008 Elekta AB (publ.). All rights reserved.
A summary of the function of all interlocks is shown in the Table B.1. Some interlocks require regular checks to ensure they are
functioning correctly.
Table B.1 The list of interlocks
No. Interlock item Function Check action Frequency Resetable with

<Reset> key
5 10V reference If voltage of 10V reference 1 and/or 2 is None N/A Yes
out of tolerance, radiation will be
inhibited or interrupted.
6 15V PSU If voltage of 15V PSU in Main Control None N/A Yes
Cabinet and/or 15V PSU in Treatment
Room Cabinet is out of tolerance,
radiation will be inhibited or interrupted.
7 Charging current of If charging current of modulator exceeds None N/A Yes
modulator limit, radiation will be inhibited or
interrupted.
8 Collimator movement If unexpected collimator movement None N/A Yes
occurs after the treatment parameters are
confirmed, radiation will be inhibited or
interrupted.
9 Collimator sampling check If the coarse, fine and check pots of None N/A Yes
collimator are mismatched, radiation will
be inhibited or interrupted.
10 Diaphragm movement If unexpected diaphragm movement None N/A Yes
occurs after the treatment parameters are
interrupted.
Interlock list
Interlock list
1005520 01
Page B-3
06/2008
Page B-4
06/2008
1005520 01
Interlock list
Interlock list
<Reset> key
11 Diaphragm X1 sampling If the coarse and check pots of diaphragm None N/A Yes
check X1 are mismatched, radiation will be
12 Diaphragm X2 sampling If the coarse and check pots of diaphragm None N/A Yes
check X2 are mismatched, radiation will be
13 Diaphragm Y1 sampling If the coarse and check pots of diaphragm None N/A Yes
check Y1 are mismatched, radiation will be
14 Diaphragm Y2 sampling If the coarse and check pots of diaphragm None N/A Yes
check Y2 are mismatched, radiation will be
15 Dielectric gas pressure If dielectric gas pressure is out of range, None N/A Yes
16 Discharge device of If discharging device of modulator fails to None N/A Yes
modulator function, radiation will be inhibited or
interrupted.
17 Dose board write control If dose board A and/or B is written None N/A Yes
illegally, radiation will be inhibited or

terminated.
18 Dose board rails If PSU of dose board A and/or B fails, None N/A Yes
radiation will be inhibited or terminated.
19 Dose channel B terminate If dose channel A fails to terminate None N/A Yes
radiation, dose channel B will terminate

it.
20 Dose channel DC offset If leakage current of dose channel A None N/A Yes
and/or B exceeds the limit level, radiation
will be inhibited or terminated.

<Reset> key
21 Dose channel link If communication between the dose None N/A Yes
channel A and/or B and RTC fails,
22 Dose per degree If dose per degree is out of tolerance in None N/A Yes
ARC therapy mode, radiation will be
terminated.
23 Dose rate If dose rate of channel A and/or B is out of None N/A Yes
the tolerance of the preset dose
rate,radiation will be interrupted.
If dose rate of channel A and /or B
exceeds the maximum limit, radiation will
be terminated.
24 Dose timer If both dose channel A and B fail to None N/A Yes
terminate radiation, timer will terminate
it.
25 Gantry movement If unexpected gantry movement occurs None N/A Yes
after the treatment parameters are
confirmed in static therapy mode,
If gantry rotates in wrong direction in
ARC therapy mode, radiation will be
terminated.
26 Gantry sampling check If the coarse,fine and check pots of gantry None N/A Yes
are mismatched, radiation will be
27 Gun filament current If gun filament current exceeds limit, None N/A Yes
Interlock list
Interlock list
1005520 01
Page B-5
06/2008
28 HHC enable If a HHC enable bar is pushed, radiation Push an enable bar on HHC, Four monthly If terminated, Yes
will be inhibited or terminated. radiation shall be inhibited.
Page B-6
06/2008
1005520 01
Interlock list
Interlock list
<Reset> key
29 HT contactor If the HT contactor fails to switch on/off None N/A Yes
as expected, radiation will be inhibited or
terminated.
30 HT disable If the key on the Console is not in HT Turn the key on the Console to Four monthly If terminated,Yes
enable position, radiation will be disable position, radiation shall
inhibited or terminated. be inhibited or terminated.
31 Interrupt switch If interrupt button is pressed, all movable See Section 7.6.2.1 See Section 7.6.2.1 No
parts, with the exception of the table,will
be stopped or inhibited and radiation will
be inhibited or interrupted.
32 Magnetron current If magnetron current exceeds limit, None N/A Yes
radiation will be interrupted.
33 Magnetron filament If magnetron filament current is out of None N/A Yes
current tolerance, radiation will be inhibited or
interrupted.
34 Match of two dose channels If the difference between two dose None N/A Yes
channels is out of tolerance, radiation will
be interrupted.
35 Oil pressure If oil pressure in pulse transformer tank None N/A Yes
exceeds limit, radiation will be inhibited
or interrupted.
36 Perspex tray If Perspex tray fitted incorrectly, radiation None N/A Yes
will be inhibited or interrupted.
37 PRF If PRF fails to be enabled/disabled as None N/A Yes

expected, radiation will be inhibited or
terminated.

<Reset> key
38 PSS HT inhibit If Patient Support System fault occurs Unlock any brake by means of Weekly Yes
and/or any brake is unlocked, radiation the lock/unlock button on Table
will be inhibited or interrupted. User Interface, radiation shall
be inhibited.
39 Pulse dose of dose channel If peak value and/or pulse dose of dose None N/A Yes
chanel A and/or B exceeds the limit
values, radiation will be terminated.
40 Reset function If the key on Console is in Reset position, Turn the key on Console to Four monthly If terminated,Yes
radiation will be inhibited or terminated. Reset position, radiation shall
be inhibited or terminated.
41 Reverse current of If reverse current of modulator exceeds None N/A Yes
modulator limit, radiation will be interrupted.
42 Room door If the room door is open, radiation will be See Section 7.6.2.3 See Section 7.6.2.3 If terminated,Yes
inhibited or terminated.
43 RS232 serial link If communication between RTC and FEC None N/A Yes
fails, radiation will be inhibited or
terminated.
44 State of gun If the gun is not ready, radiation will be None N/A If terminated,Yes
inhibited or terminated.
45 State of modulator If the modulator is not ready, radiation None N/A If terminated,Yes
will be inhibited or terminated.
46 Stop motors If the stop motor button on HHC and/or Press the stop motor button on Weekly Yes
stop motor switch on the Table User HHC and/or press the stop
Interface is pressed, motor driving power motor switch on the Table User
will be switched off and radiation will be Interface, motor driving power
inhibited or terminated. It can only be shall be switched off and
Interlock list
Interlock list
reset by the dedicated reset motors button radiation shall be inhibited.
1005520 01
on HHC.
Page B-7
06/2008
Page B-8
06/2008
1005520 01
Interlock list
Interlock list
<Reset> key
47 Table movement If unexpected table movement occurs None N/A Yes
after the treatment parameters are
interrupted.
48 Terminate key If terminate button is pressed, motor See Section 7.6.2.2 See Section 7.6.2.2 Yes
driving power will be switched off and
49 Touchguard If the touchguard is activated, all See Section 7.6.1.2 See Section 7.6.1.2 Yes
movable parts will be stopped or
inhibited, and radiation will be inhibited
or interrupted.
50 Vacuum If vacuum exceeds limit,radiation will be None N/A Yes
inhibited or interrupted, and gun PSU will
be switched off.
51 Vacuum PSU If voltage output of vacuum PSU is out of None N/A Yes
range, radiation will be inhibited or
interrupted.
52 Water chilling If water flow/ temperature is out of range, None N/A Yes

53 Wedge position If wedge does not reach the expected See Section 7.6.2.4 See Section 7.6.2.4 Yes
position within time limit, radiation will
be inhibited.
If unexpected movement occors,or
incorrect position status appear, radiation

will be inhibited or interrupted.

54 Wedged field size If the field size is larger than the field None N/A Yes
allowed in wedge therapy mode (30cm x
40cm), radiation will be inhibited.
List of warnings and cautions

WARNING 1.1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-5
Changes, additions or maintenance to the equipment carried out by persons without
appropriate qualifications and training and/or using unapproved spare parts may lead
to fatal or serious personal injury and/or damage to the equipment as well as making
the warranty void.
WARNING 1.2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-6

Users not meeting the qualified and authorized profile must not operate or work on or
with Elekta equipment. Failure to observe this precaution can lead to fatal or serious
personal injury.
WARNING 1.3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-7

When lifting heavy components, it is important that the correct procedures are adhered
to. Local regulations and procedures regarding manual handling must be observed at
all times. Failure to do so may lead to fatal or serious personal injury.
WARNING 1.4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-9

If any part of the equipment is known or suspected to be defective or incorrectly
adjusted, DO NOT USE the equipment until a repair has been made. Use with defective
or incorrectly adjusted components or systems could expose users and/or patients to
radiation and other safety hazards. This could lead to fatal or serious injury, or to
clinical mistreatment.
WARNING 1.5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-9

Never attempt to remove, modify or override any switches, interlocks or other safety
devices on this equipment. Interfering with such devices could lead to fatal or serious
injury, or to clinical mistreatment.
WARNING 1.6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-9

Only remove, modify or override safety switches, interlocks or other safety devices on
the equipment if directed to do so by specific instructions in this manual. Always reset
and test any safety switches, interlocks or other safety devices if they have been
adjusted in any way. Failure to reset and test all safety devices could lead to fatal or
serious injury, or to clinical mistreatment.
WARNING 1.7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-10

Do not remove covers or cables from this equipment unless expressly instructed to do
so in this manual, and always refit covers before using the equipment. High electrical
voltages and moving parts are present within this equipment. Any contact with these
components could lead to fatal or serious personal injury.
WARNING 1.8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-10

Beware of live electrical terminals, even when the main three-phase isolator is switched
OFF. Voltages associated with the client’s interface may still be present and can cause
fatal or serious personal injury.
CAUTION 1.1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-10

Always wear an anti-static wrist strap when handling printed circuit boards (PCBs)
and other electronic subassemblies. The wrist strap/lead/engineer combination shall be
tested prior to use. Failure to observe this precaution can lead to component failure.

©2008 Elekta AB (publ.). All rights reserved. Page LOW-1
WARNING 1.9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-10

Elekta Compact™ R1.0x must not be used in the presence of flammable or explosive
gases or vapors, such as certain anaesthetic gases, or potentially flammable or
explosive disinfecting sprays. The resultant vapors could ignite. Use of electrical
equipment in an environment for which it was not designed can cause fatal or serious
personal injury and lead to fire or explosion.
WARNING 1.10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-11

Do not allow any radio-transmitting devices (such as diathermy units, mobile
telephones, etc.) in the vicinity of this product. Such devices could exceed EMC
standards, and in unusual circumstances, could interfere with the correct functioning
of this product. In extreme circumstances this could lead to fatal or serious personal
injury, clinical mistreatment, or damage to the equipment.
WARNING 1.11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-11

The use of cables and other components not specified or supplied by Elekta Limited
may adversely affect EMC performance. In extreme circumstances this could lead to
fatal or serious personal injury, clinical mistreatment, or damage to the equipment.
WARNING 1.12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-11

Ionizing radiation which may be generated by this equipment, can have an adverse
effect on certain cardiac pacemakers and other portable electronic medical devices. The
function of such devices must be checked throughout the treatment. Failure to observe
this precaution can lead to fatal or serious personal injury.
WARNING 1.13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-11

Do not place cardiac pacemakers and other portable electronic medical devices in a
direct (un-shielded) radiation beam. The function of such devices must be checked
throughout the treatment. Failure to observe this can result in fatal or serious personal
injury.
WARNING 1.14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-12

Before working on, or operating the machine, check that all radiation safety interlocks
are working and that the correct operating procedures and radiation safety instructions
are followed. Excessive exposure to radioactivity constitutes a health hazard.
WARNING 1.15 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-12

National and international laws and regulations for working with ionizing radiation
must be observed when any such material is to be handled, transported (by air, sea, or
land), and when disposal is considered. Failure to take proper precautions constitutes
a health hazard and may cause damage to the environment.
WARNING 1.16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-12

Do not stare into a laser beam. Exposure of the eyes to a laser beam can cause serious
personal injury.
WARNING 1.17 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-12

Always isolate Elekta Compact™ R1.0x from the main electrical supply before
commencing cleaning or disinfecting work. Failure to observe this precaution can
result in electric shock, which can cause fatal or serious personal injury.
WARNING 1.18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-12

Do not use flammable or potentially explosive disinfecting sprays. Such sprays create
vapors which can ignite, causing fatal or serious personal injury.
CAUTION 1.2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-12

Do not allow water or other liquids to enter Elekta Compact™ R1.0x as these may
cause electrical short-circuits, metal corrosion or other damage to the equipment.

Page LOW-2 ©2008 Elekta AB (publ.). All rights reserved.
CAUTION 1.3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-13

Disinfecting a medical equipment area by means of sprays is not recommended as the
vapor may penetrate the equipment, causing electrical short circuits, metal corrosion
or other damage to the equipment.
WARNING 1.19 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-13

Incorrect handling or disposal of hazardous material may cause fatal or serious injury
and environmental damage.
WARNING 2.1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-7

It is the responsibility of user to make sure that all parameters set up using the HHC
match those prescribed on the treatment plan. Failure to observe this could result in
clinical mistreatment.
WARNING 2.2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-8

The user is responsible for achieving the required accuracy in all mechanical
positioning and confirming settings. Failure to observe this could result in fatal or
serious personal injury.
WARNING 2.3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-10

When using the touch guard override button care must be taken to ensure that
subsequent movements are away from the collision situation. Failure to observe this
could result in clinical mistreatment and may lead to fatal or serious personal injury.
WARNING 2.4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-10

The touch guard system does not provide full collision protection. When a shadow tray
assembly is fitted, the gantry touch guard is momentarily disabled. Extreme care is
required to ensure a collision does not occur. Failure to observe this could result in
clinical mistreatment and can lead to fatal or serious personal injury.
CAUTION 2.1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-10

The touch guard system does not provide protection when there is no power to the
linear accelerator. Care must be taken when using the table emergency down drive in
order to prevent damage to the equipment.
WARNING 2.5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-13

Make sure that the two Perspex trays match the planned treatment. The Perspex trays
attenuate the beam. The tray factor will change when you remove either of the Perspex
trays. Failure to observe this warning can cause clinical mistreatment.
WARNING 2.6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-14

Due to their weight, the shadow tray assembly or Perspex tray should not be fitted or
removed whilst a patient is positioned below the BLD. Failure to observe this can result
in clinical mistreatment and may lead to fatal or serious personal injury.
WARNING 2.7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-15

Patients must not be allowed to use the shadow tray assembly handles to bear their
weight.This assembly is not suitable to be used as lifting equipment. Failure to observe
this can result in clinical mistreatment and may lead to fatal or serious personal injury.
WARNING 2.8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-15

The correct shadow tray assembly (standard or short) must be used with the
appropriate Perspex tray and accelerator. Failure to observe this could result in clinical
mistreatment and may lead to fatal or serious personal injury.

WARNING 2.9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-15

Check the functionality of the latch assembly before each use. Make sure that it
adequately prevents the shadow tray from moving. Failure to observe this could result
in clinical mistreatment and may lead to fatal or serious personal injury.
WARNING 2.10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-15

Do not rotate the gantry unless the shielding blocks are secured. If the blocks are not
secured they will slide off due to their weight. This can result in fatal or serious
personal injury.
WARNING 2.11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-15

The shadow tray extends beyond the protection of the touchguard therefore in some
table and gantry positions it is possible for collisions to occur. The user must take extra
care when moving the collimator, table or gantry when a shadow tray is fitted, failure
to observe this could result in fatal or serious personal injury.
WARNING 2.12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-15

If a collision occurs between the shadow tray assembly and any fixed object, any
further use of that shadow tray must be discontinued immediately. The tray must be
returned to Elekta for inspection and/or replacement. Failure to observe this could
result in clinical mistreatment and may lead to fatal or serious personal injury.
CAUTION 2.2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-15

If the removable Perspex tray is removed, care should be taken not to drop shielding
blocks onto the BLD. Remove the blocks before removing the Perspex tray. Failure to
observe this caution may result in damage to the equipment.
WARNING 2.13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-16

It is responsibility of the user to make sure that the correct Perspex tray is used for the
current patient and field. If the incorrect Perspex tray is used, this could result in
clinical mistreatment. Failure to observe this may lead to fatal or serious injury.
WARNING 2.14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-16

It is important that the Perspex tray is securely in position. Failure to observe this could
result in fatal or serious personal injury.
WARNING 2.15 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-16

Perspex inserts must be inspected before each use: if Perspex inserts are found to be
distorted, cracked, or no longer transparent, then they are faulty and must be
discarded. Failure to inspect and discard faulty Perspex inserts can cause serious injury
to the patient and other persons.
CAUTION 2.3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-18

When a USB flash drive is inserted into the USB port, it will be formatted automatically
by the system. It is the responsibility of user to make sure that any data on the USB is
saved before using, to prevent loss of data.
CAUTION 2.4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-18

Always follow the correct procedure to remove the USB flash drive, otherwise the data
stored on the USB will be lost.
WARNING 2.16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-19

Do not press the keys <ALT>+<CTRL>+<DEL> simultaneously during treatment. Failure
to observe this could result in clinical mistreatment and can lead to fatal or serious
personal injury.
CAUTION 2.5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-24

Always follow the correct procedure to switch off this equipment otherwise the

equipment may be damaged.
WARNING 2.17 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-24

In the event that the computer system is shutdown using any method other than that
recommended (see Section 2.8.1), the user (service or clinical) should be aware that
the operation in progress may not have been completed. In the case of patient
treatment , the backup MU meter should be consulted and extra MU may need to be
delivered. In the case of any service calibration or configuration , the entire calibration
will need to be repeated to ensure that the data saved is correct. Failure to observe this
could leave the machine mis-calibrated.
WARNING 4.1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5

Before treating a patient with arc therapy if is recommended that the patient is setup
in position and the operator moves the gantry between the proposed start and stop
angles using the manual controls in the room. During this movement the operator
should check for possible collisions between the gantry and the patient or table. Failure
to perform this check increases the risk of collision during arc therapy.
WARNING 4.2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5

Prior to delivery of an Arc treatment the user should check the gantry path is free of
obstructions. Failure to observe this could result in fatal or serious personal injury.
WARNING 4.3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-6

Before the start of each treatment, the user who will confirm the settings, should carry
out a visual check of the accelerator geometric positions. Make sure that the
accelerator geometric positions and radiation parameters are the same as described in
the prescription. Failure to observe this may lead to fatal or serious injury.
WARNING 4.4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-6

Before the start of each treatment, the user should perform a non-irradiating check for
collision. This is to ensure no equipment collides with the patient during treatment.
Failure to observe this may lead to fatal or serious injury.
WARNING 4.5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-10

In the case of an abnormal termination, the cause should be investigated before
recommencing treatment. If in doubt contact Elekta for assistance to establish the
cause of the abnormal termination. Failure to observe this may lead to fatal or serious
injury.
WARNING 5.1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3

Users should keep their user names and passwords secret. This prevents unauthorized
personnel accessing the system. Failure to observe this can result in clinical
mistreatment and lead to fatal or serious injury.
WARNING 6.1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-14

It is the responsibility of the user to ensure that Perspex trays produced in-house are
correctly manufactured and are a good fit to the shadow tray assembly, and to ensure
that the Perspex tray latch operates correctly. Failure to observe this could result in
clinical mistreatment and may lead to fatal or serious injury.
WARNING 7.1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-3

Calibration procedures should be completed after any repair to make sure dosimetry
is correct. Failure to perform calibration procedures after a service/repair can cause
clinical mistreatment which can result in fatal or serious personal injury.

WARNING 7.2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-6

Do not use the accelerator or any application until the user routine checks have been
satisfactorily completed and that the planned maintenance program is up to date. The
use of equipment where the planned maintenance program is not up to date can result
in clinical mistreatment and lead to fatal or serious personal injury.
WARNING 7.3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-6

Check functionality of the locking latch on the shadow tray before each use. This is to
make sure that it adequately prevents the shadow tray from moving. Failure to observe
this can cause serious injury to the patient and other persons.
WARNING 7.4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-6

Perspex inserts must be inspected before each use: if Perspex inserts are found to be
distorted, cracked, or no longer transparent, then they are faulty and must be
discarded. Failure to inspect and discard faulty Perspex inserts can cause serious injury
to the patient and other persons.
WARNING 7.5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-6

Check the field lamp is operating before treatment during daily use. No operation
should be performed if the field lamp is not turned on normally, otherwise fatal injury
or serious damage can be caused.
CAUTION 7.1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-8

For sites with non-standard wiring, pressing an emergency off button may also turn off
the control cabinet which could cause potential damage to the hard disks. Therefore
on sites with non-standard wiring, the control system must be shut down prior to
testing the emergency off buttons. Failure to observe this can cause damage to the
equipment.
CAUTION 7.2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-17

Do not use bare fingers to handle the bulb by its glass envelope. Grease and oils from
the fingers will cause the glass envelope to fail quickly. Failure to observe this
precaution can lead to component failure.
WARNING 7.6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-19

Appropriate national and international regulations for working with ionizing
radiation shall be observed when handling or transporting (by air, sea or land) the
equipment.

Index
Index
A M
Arc 4-4 Maintenance 7-3
Manage User Access 5-3
C Messages
Clinical Mode 3-3 error 3-7
logging off 2-17 Mouse 2-13
logging on 2-16 Multi-leaf Collimator (MLC) 6-11
control area 2-3, 2-12
N
D Normal field termination 4-4
Diaphragm Rotation 6-17
Disposal 7-10 O
Overview 3-3
E
Electron Applicators 2-9 P
Emergency Off Switch 2-14 Password
Entering Treatment Details changing 5-7, 5-8
Standard Therapy 4-3 Planned Maintenance 7-3
Powering up 2-15
F Precise Treatment Table 2-7
Faults 7-3 Primary Function Icon Bar 3-4
Field Termination
abnormal 4-8 R
normal 4-7 Radiation Head 6-3
Front Pointer 2-8 Reset Motors 4-9
Console 2-13
S
G Scales and Ranges 6-16
Gantry Angle 6-16 Shadow Tray 2-9, 6-11
Gantry Movement 6-16 Standard Therapy
Getting started 2-1 entering treatment details 4-3
interrupting treatment 4-6
H treatment 4-5
Hand Held Controller (HHC) 2-5 Stop Motors 2-5
System Administration
icons 3-8
I
Information Bar 3-4
Interlock Group 3-6 T
Interrupt 4-6 Technical 6-1
Introduction 1-1 Terminate Key 2-13, 2-14
Top Level Inhibit 3-5
Treatment
K interrupting 4-6
Keyboard 2-13 Standard Therapy 4-5
Treatment Room 2-3
L monitors 2-4
Light Field 6-5
Linac Control System (LCS) 2-12
powering down 2-19
shutdown 2-18

©2008 Elekta AB (publ.). All rights reserved. Page IX-1
Index
U
Users
copying 5-7
creating 5-4, 5-5
deleting 5-7
editing 5-6
W
Warm-up Procedure 7-3
Wedge 4-4, 6-7
angle 6-8
material and dimensions 6-7
Workstation
powering up 2-16

Page IX-2 ©2008 Elekta AB (publ.). All rights reserved.
This page is intentionally without information.
Fighting serious disease www.elekta.com
Corporate Head Office, Stockholm, Sweden Tel: + 46 8 587 254 00 Fax: + 46 8 587 255 00 [email protected]
Regional Head Offices for Sales, Marketing & Services
North America Europe, South & Central America, Japan China Asia Pacific
Atlanta, GA Africa, Middle East & India Kobe Beijing Hong Kong, SAR China
Tel +1 770 300 9725 Tel +44 1293 654068 Tel +81 78 241 7100 Tel: +86 10 8012 5012 Tel +852 2891 2208
Fax +1 770 448 6338 Fax +44 1293 654655 Fax +81 78 271 7823 Fax: +86 10 8012 5000 Fax +852 2575 7133
[email protected] [email protected] [email protected] [email protected] [email protected]

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P R E C I S I O N R A D I A T I O N T H E R A P Y

Elekta Compact™ R1.0x

Document number 1005520 01

Trademarks and trade names statement

Acknowledgement of other trademarks

TECHNICAL SUPPORT HELPDESK

WORLDWIDE PRODUCT MANUFACTURING and SUPPORT CENTER

Elekta BMEI (Beijing) Medical Equipment Co. Ltd.

European Authorized Representative

1005520 01 Elekta Compact™ R1.0x

Amendment number Date Signature

Elekta Compact™ R1.0x 1005520 01

1005520 01 Elekta Compact™ R1.0x

Elekta Compact™ R1.0x 1005520 01

This page is intentionally blank.

1005520 01 Elekta Compact™ R1.0x

Elekta Compact™ R1.0x 1005520 01

2.3.5 Touch guard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-10

1005520 01 Elekta Compact™ R1.0x

4.4.5.1 If power to the FEC is lost during beam delivery. . . . . . . . . . . . . . . . . . . . . . . . . 4-11

Elekta Compact™ R1.0x 1005520 01

Appendix A X-Radiation leakage

Appendix B Interlock list

1005520 01 Elekta Compact™ R1.0x

List of figures and tables

Elekta Compact™ R1.0x 1005520 01

Figure 5.6 Change User dialog box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-10

1005520 01 Elekta Compact™ R1.0x

1.1 Intention of this manual ...........................................................................1-3

1.2 Function and intended application.............................................................1-4

1.3 Compatibility ...........................................................................................1-5

1.6 Accompanying documentation...................................................................1-6

1.7 Safety ......................................................................................................1-7

1.8 Cleaning and disinfecting ........................................................................ 1-12

1.9 Final disposal ......................................................................................... 1-13

1.10 Text formats........................................................................................... 1-14

1.11 Conventions ........................................................................................... 1-14

1.12 Directional conventions of the linear accelerator....................................... 1-16

1.13 Abbreviations and acronyms .................................................................... 1-17

1.14 Important Notices .................................................................................. 1-19

1.15 User Notices........................................................................................... 1-21

Elekta Compact™ R1.0x 1005520 01

This page is intentionally blank.

1005520 01 Elekta Compact™ R1.0x

1.1 Intention of this manual

• warnings • safety labels and markings

1.1.1 Warnings, cautions and notes

Elekta Compact™ R1.0x 1005520 01

1.1.2 Intended audience

1.2 Function and intended application

1.2.1 Use of the equipment

1005520 01 Elekta Compact™ R1.0x

Changes, additions or maintenance to the equipment carried out by

Elekta Compact™ R1.0x is designed to comply with internationally recognized

1.4.1 IEC safety standards

Elekta Compact™ R1.0x 1005520 01

1.4.2 IEC classification

Type of protection against electric shock CLASS 1 EQUIPMENT

Degree of protection against ingress of IPX0 as defined in IEC 60529. Ordinary