Electronic submission instructions

This document explains the process and requirements to complete and submit a
Quality Assurance and Mechanical Report for Symbia E / S / T, Symbia Intevo
and e.cam.

Additionally, the mechanical contractor of record will have access to the

electronic Mechanical Report for completion of work and signature. The
mechanical contractor is responsible for submitting an electronic report to
Siemens, and to follow country specific processes. A paper copy is included with
each System Operating Manual and must be completed, signed and left on site.

The Siemens installer is required to fill out the electronic Quality Assurance
Report and his portion, if any, of the Mechanical Report. The installer is required
to submit both electronic documents, and follow their country specific process.

All Reports must be completed fully. There are drop down and check boxes for
various tasks. If a task or option is not part of system startup, “N/A” option must
be selected. Some task boxes require manual entry of “N/A”.

The Reports can be downloaded from the CB-DOC’s link located on the Siemens
Service Intranet, under Installation.

Completed documents must be e-mailed to: Healthcare MI Installation Reports

or healthcare@internal.siemens.com

10908999, Rev.01

Symbia Print No. 10908999-VFT-000-01 English

Part No NM02-001.813.06.01.02 Doc.Gen.Date: 08.13
Replace: N/A
 Mechanical Installation Electronic
Report Instructions

1.) Complete the Site Information section.

2.) Scope of Installation Report section: A drop down menu is indicated by

the ◄ symbol; select the system type. Enter the serial and part number of
the system in the appropriate sections.

3.) Measurement Tools section: Enter all calibrated tools used during
installation; “N/A” any unused section.

4.) Mechanical Installation Checklist section: The installation is divided into

16 Steps. Select “N/A” if it does not apply.

5.) Installation Corrective Action section: Following Steps 1 through 16, for
Mechanical Phase, if any corrections are performed, “Yes” must be
selected, and you must indicate which step it corresponds to, and describe
the corrective action that was taken.

6.) Parts Replaced section: Following Steps 1 through 16, for Mechanical
Phase, if any parts are replaced, “Yes” must be selected, and you must
indicate which step it corresponds to, and describe what part number was
replaced.

7.) Mechanical Installation Instruction section: All procedures are available

in drop down menus. Select all Mechanical procedures that apply. Use
“N/A” for any procedure that did not apply. Below is an example of a
procedure pull down list.

Symbia S Installation Procedure 10150702 ◄

Symbia S/T ICC Installation Procedure 10150728 ◄

8.) Alignment Measurements section: For Symbia S / T and Symbia Intevo

only. Use the pull down boxes to enter data. See example below.

Expected
Alignment operation Orientation Value Level value Range
Baseframe in
Gantry level left/right ▲
center (backside) 0.01▼ 0 0.02
(roll) of gantry ▼

Symbia 2 © Siemens, 2000

MI SD
 9.) Deviation from Alignment Measurements section: Report any
deviations from Installation procedure.

10.) Calibration Offsets section: Enter or “N/A” offset values from

Diagnostics.

11.) Protective Ground Measurements section: Enter results when

applicable or “N/A” if not applicable.

12.) Signature section: Print, sign, or add digital signature to document.

E-mail Mechanical Report per Siemens regional Installation process.

Instructions for completing the Electronic System

Startup Quality Assurance Report

1.) Complete the Site Information section.

2.) System type section: A drop down menu is indicated by the ◄ symbol;
select the system type. Enter serial number and network information. See
example below.

System Type: Symbia T ◄

System Serial
Number: 1234
Hostname: Symbia_t
IP Address: 111.111.111.111
Subnet mask: 111.111.111.111
Gateway: 111.111.111.1
AET: Symbia_T

3.) Additional Workstations section: This section is provided for standalone

workstations shipped with the system.

4.) SPECT Camera Verifications section: Check “Pass” box when test for
Pedestal and Tuning is successful.

5.) Intrinsic Calibration section: Enter values after successful completion.

Symbia 3 © Siemens, 2000

MI SD
6.) Intrinsic Verification section: After successful verification, check the
“Pass” box.

7.) Center the Source section: For Symbia E and e.cam only. Enter system
values manually.

8.) COR Calibration section: For Symbia E and e.cam only. Enter results for
single head system only. If you have a dual head system, check the “N/A”
box.

9.) MHR Calibration sections: There are 3 MHR TOMO angles: 180, 90 and
76. Four collimator sets can be entered for each angle. The ◄ symbol
indicates a pull down menu. Select the collimator type that applies to the
TOMO angle, and enter corresponding data. In the example below, only
LEHR and MEDLP collimators are part of the customer’s system. Note
that the other 2 collimator selections are “N/A”.

Parameter & Collimator Collimator Collimator Collimator

Specification Set 1: Set 2: Set 3: Set 4:
Select
LEHR MEDLP N/A N/A
Collimator: ◄
Det 1 Det 2 Det 1 Det 2 Det 1 Det 2 Det 1 Det 2

Center of Rotation
-0.73 4.72 -2.07 3.11
(mm) < ± 10.0

10.) Sensitivity Calibration section: For Symbia Intevo only. Complete if

applicable or check the “N/A” box.

11.) NCO Calibration section: For Symbia E and e.cam only. Complete if
applicable or check the “N/A” box.

12.) Fanbeam Calibration section: Complete if applicable or check the “N/A”

box.

13.) Additional Verifications section: Check all that applies.

14.) AQC Verification section: For Symbia S, Symbia T and Symbia Intevo
only. Complete if option is present.

15.) CT verifications section: For Symbia T and Symbia Intevo only.

Complete as required.

Symbia 4 © Siemens, 2000

MI SD
16.) NM CTFOV Calibration section: For Symbia T & Symbia Intevo only.
There are three NM CTFOV sections: 180, 90 and 76. Four collimator
sets can be entered for each angle. The ◄ symbol indicates a pull down
menu. Select the collimator type that applies to the CTFOV angle, and
enter corresponding data. In the below example, only LEHR collimator is
part of the customer’s system. Note that the other 3 collimator selections
are “N/A”.

NM CT FOV Collimator Collimator Collimator Collimator

Parameter Set 1: Set 2: Set 3: Set 4:
Select
LEHR N/A N/A N/A
Collimator: ◄
Calibration Calibration Calibration Calibration
Specification
Value Value Value Value
Rotation Z
-0.0133
< ± 1˚
Rotation X
-0.0734
< ± 1˚

17.) System Backup section: Check box to indicate a backup was performed.

18.) Installation Corrective Action section: For Commissioning Phase, if any

corrections are performed, “Yes” must be selected, and you must describe
the corrective action that was taken.

19.) Parts Replaced section: For Commissioning Phase, if any parts are
replaced, “Yes” must be selected and you must enter part number and
description of part replaced.

20.) Installation Instructions section: In this section, select the drop down
menu to “N/A” or choose the Quality procedures used for the
commissioning phase. Below example indicates the procedure for Symbia
S / T with IQ.SPECT.

PROCEDURES
Startup and QC Procedure for Symbia S And T Series 10052638 ◄
IQ SPECT Option for Symbia S and T Series 10182753 ◄
N/A ◄

21.) Signature section: Print, sign, or add digital signature to document.

E-mail Quality Report per Siemens regional Installation process.

Symbia 5 © Siemens, 2000

MI SD