CTB GE-725-O HE PMI Procedure

Customer
Technical Bulletin
CTB Information
Title High Energy Clinac Periodic Maintenance Inspection (PMI) - Customer Version
DWG Number 100048393 CTB GE-725
Complaint No. N/A Est. Labor 6
Hrs
Purpose Provide instructions and procedures for performing PMI.
This CTB supersedes all previous versions of the High Energy Clinac PMI – Customer
Version document.
Product Code(s) Product Code: All High Energy Clinacs Product Name: High Energy Clinac
Affected This PMI procedure does not apply to TrueBeam Systems.
Prerequisites None
AN UPDATE TO THIS CTB MAY BE AVAILABLE ON MY.VARIAN.COM
Tools Information
Tools & Equip See Required Tools & Equipment Section

Reference Customer High Energy Databook
Documents
Modification Perform specified PMI tasks per instructions and frequency stated in procedure.
Overview Indicate each task completion on the PMI Checklist (provided in Appendix E).
Order Kit Information
Order Number Description

100048393-01 N/A
Order from CSS Logistics
Revision Information
REV CREATION DATE STB INT DESCRIPTION OF CHANGE FILE NAME
A-L 2001-2010 N/A JT HE PMI- Customer version was not customer facing and was posted on internal CTB-GE-725.doc
website only.
M May 17, 2010 N/A JT Revised text in Sections ST 11, ST 12, ST14 for consistency; CTB-GE-725-M.doc
Section ST 14: added sprocket slippage inspection step and revised Figure 9;
Removed Section ST 15: Gantry Chain Replacement for RapidArc. This is no

longer required with installation of Console SW V7.11 or above (which is
mandatory for all RapidArc/VMAT machines);
Moved Section GA 4 to ST Section (now Section ST 5) – logical location;
Referenced CTB-ST-604 for chain tension adjustment and sprocket replacement;
Corrected various style errors & typos;
Transferred content to CTB format and was issued a drawing number.
ATTENTION: This information is provided for use by qualified service technicians. Varian Medical Systems, Inc. makes no representation to the qualifications of any service technicians other than its own employees. Improper or
uninformed maintenance or repair of the Product may expose a maintenance technician, operator and/ or patient to safety hazards including but not limited to one or more of the following: mechanical collision, electrical shock, and radiation.
Any of these hazards could cause serious injury and even death. Copyright © 2012, Varian Medical Systems, Inc. All rights reserved.
SHEET
1 OF 70
100048393 O
DWG NO. REVISION
Format TMP-GE-CTB-R
Customer Technical Bulletin
Revision Information Continued
N Mar 29, 2011 N/A RC Remove text “RapidArc Clinacs Only” and changed text from Blue 242 Loctite to CTB-GE-725-N.doc
Blue 243 loctite and P/N 88-299282-00 to 88-299626-70 in section ST-15.
O Mar 11, 2012 N/A JT / OK Reference Document box on page 1: deleted CTB-GE-726 (this CTB is now CTB-GE_725-O.doc
obsolete because the PMI Checklist is now incorporated into Appendix E in this
CTB);
Section 1.3: Corrected Emergency Off abbreviation; added MCMS abbreviation;

deleted TT abbreviation;
Section 2.2: revised bullet list; other minor edits in Sections 2.2.1, 2.2.3, 2.2.5,
Section 3 thru 12: changed all headings to comply with new template style;
Section 3.3, 3.4, 3.5, 3.6: minor edits;
Section 3.7: updated section;
Section 3.11: new section added titled Console MU Backup Counter Battery
Replacement;
Section 3: Removed Inhibited Water System - Chemical Replacement section due

to discontinued use of NALCO chemicals; updated Section 3.16 with new
chemical filter;
Section 4: Removed SF6 PMI requirements due to SF6 gas bleeding hazard;
Moved Counterweight Mounting Bolt Inspection task to Gantry Module Section
5.1;
Section 4.14: new section added for Gantry chain master link inspection;
Section 5.11: minor edits;
Section 7.3: new section added for MOD IL test;
Section 8.3: new section added to inspect Accy Guide Blocks;
Section 11.2: new section added to verify +15V Console Power Supply output;
Section 12.1: added Compact Flash card to Software backup step;
Added Appendix E: High Energy C-Series Clinac PMI Checklist;
Corrected minor typos and grammar errors throughout doc;
Moved to new CTB template
ATTENTION: This information is provided for use by qualified service technicians. Varian Medical Systems, Inc. makes no SHEET
representation to the qualifications of any service technicians other than its own employees. Improper or uninformed 100048393
maintenance or repair of the Product may expose a maintenance technician, operator and/ or patient to safety hazards including
but not limited to one or more of the following: mechanical collision, electrical shock, and radiation. Any of these hazards could DWG NO.
GE-725 Rev O 2 OF 70
cause serious injury and even death. Copyright © 2012, Varian Medical Systems, Inc. All rights reserved.
GENERAL INFORMATION
Read this entire document, carefully reviewing all instructions.
PERFORMANCE CHECK
Complete a thorough performance verification before disassembling and modifying any system. Make
a note of any operational discrepancies.
SAFETY PROCEDURES
Become familiar with Customer Support Service’s safety policies before working on Oncology
Systems Products. Ensure compliance with CSS’s safety practices and procedures while performing
this modification. Refer to the Product Users’ Manual for safety instructions.
CONTACT INFORMATION
If there are any questions, issues, or concerns contact Varian at 1.888.VARIAN.5 (1.888.827.4265) or
go to http://my.varian.com and click on Contact Us.
Intentionally Blank Page
High Energy Clinac

Periodic Maintenance Inspection Manual
C-Series Customer Version
cause serious injury and even death. Copyright  2012, Varian Medical Systems, Inc. All rights reserved.
Abstract This manual provides information about the Periodic Maintenance Inspection
procedures for the High Energy C-Series Clinac.
Manufacturer and Manufacturer: European Representative:
European
Varian Medical Systems, Inc. Ltd. Varian Medical Systems UK Ltd.
Representative
3100 Hansen Way, Bldg. 4A Gatwick Road, Crawley
Palo Alto, CA 94304-1030, U.S.A. West Sussex RH10 9RG
United Kingdom
Notice Information in this document is subject to change without notice and does not
represent a commitment on the part of Varian. Varian is not liable for errors
contained in this document or for incidental or consequential damages in
connection with the furnishing or use of this material.
This document contains proprietary information protected by copyright. No part
of this document may be reproduced, translated, or transmitted without the
express written permission of Varian Medical Systems, Inc.
Trademarks Clinac® and VMS® are registered trademarks
Enhanced Dynamic Wedge™, Exact™, Millennium™, PortalVision™ and
Silhouette™ are trademarks of Varian Medical Systems, Inc.
All other trademarks or registered trademark are the property of their

respective owners.
Contacting Support Contact your local Varian Customer Support Service Representative or Varian
Service office for support.
Updates For updates to this document, please contact PSE Las Vegas in the USA
Copyright 2012 Varian Medical Systems Inc., Oncology Systems
All rights reserved. Edited in USA.
Table of Contents
1. Introduction ....................................................................................................................................11
1.1. Scope .....................................................................................................................................11
1.2. Conventions ...........................................................................................................................11
1.3. Abbreviations & Terminology .................................................................................................12
1.4. Safety Hazards .......................................................................................................................13
1.5. Required Tools & Equipment .................................................................................................14
2. General PMI Information ...............................................................................................................15
2.1. Usage Formats – PMI vs. MCMS ...........................................................................................15
2.2. Supporting Documents & Labels ............................................................................................15
2.2.1. PMI Checklist ..................................................................................................................16
2.2.2. PMI Data Labels..............................................................................................................16
2.2.3. PMI Label Placement Locations......................................................................................17
2.2.4. Console Cardrack Parameters Sheet .............................................................................18
2.2.5. Replacement Log Summary............................................................................................18
2.2.6. BEAM QA Guidelines ......................................................................................................18
3. Power Off & Inspections Module ...................................................................................................19
3.1. Customer Interview Regarding PROs & Optics (Quarterly) ...................................................19
3.2. Event Log Review & Initial Output Check (Quarterly) ............................................................19
3.3. Test Console Backup MU Counter (Quarterly) .......................................................................19
3.4. Machine PMI Preparation (N/A for MCMS) ............................................................................19
3.5. Test Emergency Off Switches (Quarterly) ..............................................................................20
3.6. Test Emergency Pendant (Quarterly).....................................................................................21
3.7. Test Flow Switch Operation (Quarterly) .................................................................................21
3.8. Inspect Water System & Clean Small Filter Screen(s) (Quarterly) .........................................23
3.9. Clean Air Filters (Quarterly)....................................................................................................23
3.10. Clean & Inspect Console Electronics Cabinet (Quarterly) ..................................................23
3.11. Console Backup MU Counter Battery Replacement (Annual or Once every 3 years,
depending on unit) ............................................................................................................................24
3.12. Clean & Inspect Stand (Quarterly) ......................................................................................25
3.13. Clean & Inspect Modulator (Quarterly) ...............................................................................25
3.14. Clean & Inspect Gantry (Quarterly) ....................................................................................26
3.15. Water Hose Inspection (Semiannual) .................................................................................26
3.16. Inhibited Water System - Water & Filter Replacement (Annual) .........................................26
4. Stand Module ................................................................................................................................27
4.1. Verify Cooling Fans Operation (Quarterly) .............................................................................27
4.2. Air System Inspection (Quarterly) ..........................................................................................27
4.3. Compare Water System Parameters (Quarterly) ...................................................................27
4.4. Compare BMAG Shunt Values (Quarterly) ............................................................................27
4.5. Compare VacIon Pump Current & Voltage Values (Quarterly) ..............................................28
4.6. Compare KSOL Shunt Value (Semiannual) ...........................................................................28
4.7. Compare RF Driver & Klystron Parameters (Semiannual) .....................................................28
4.8. Water Overtemp Trip Setting (Annual) ...................................................................................31
4.9. Klystron Saturation (Annual) ..................................................................................................31
4.10. Pulse Tank Oil Level Check (Annual) .................................................................................31
4.11. Gantry Chain Tension Verification (Semiannual)................................................................31
4.12. Gantry Clutch / Harmonic Drive Torque Verification (Semiannual) ....................................32

4.13. Gantry Motor Drive Sprocket Inspection (Annual) ..............................................................33
4.14. Gantry Chain Master Link Inspection (Semiannual) ...........................................................35
5. Gantry Module ...............................................................................................................................36
5.1. Counterweight Mounting Bolts Inspection (Annual) ...............................................................36
5.2. Inspect Cables, Rotating Water Joints & Hoses During Rotation (Quarterly) ........................36
5.3. Inspect Air Solenoid Valves (Quarterly) .................................................................................36
5.4. Compare BMAG Coil Voltage Values (Quarterly) ..................................................................37
5.5. Compare Accelerator Solenoid Coil Voltage Values (Semiannual) ........................................37
5.6. Inspect Energy Switch Assembly & Operation (Semiannual) .................................................37
5.7. Verify BMAG Lead Shielding Pieces are Secure (Semiannual) .............................................38
5.8. Inspect Target Drive Assembly & Operation (Annual)............................................................38
5.9. Inspect Carrousel Area (Annual) ............................................................................................38
5.10. Carrousel Bearing Lubrication (Once every two years) ......................................................39
5.11. Gantry Bearing Lubrication (Once every two years) ...........................................................39
6. Gun Driver Module ........................................................................................................................40
6.1. HV Warning Lights & Crow-Bar Operation (Quarterly) ...........................................................40
6.2. Clean & Inspect Gun Driver (Quarterly) .................................................................................40
6.3. Compare Gun Driver Operating Parameters (Annual) ...........................................................40
7. Modulator Module ..........................................................................................................................42
7.1. Verify Cooling Fans Operation (Quarterly) .............................................................................42
7.2. Verify HV Crow-Bar Operation (Semiannual) .........................................................................42
7.3. Verify MOD Interlock Operation (Annual) ...............................................................................42
7.4. Compare Modulator Operating Parameters (Semiannual) .....................................................43
8. Accessories Module ......................................................................................................................45
8.1. Test Electron Applicator Operation (Quarterly) ......................................................................45
8.2. Inspect Wedges (Quarterly) ...................................................................................................45
8.3. Inspect Guide Blocks (Quarterly) ...........................................................................................45
9. Collimator & Beamstopper Module ................................................................................................46
9.1. Upper / Lower Collimator Inspection & Lubrication (Semiannual) ..........................................46
9.2. Collimator Rotation Bearing Lubrication (Annual) ..................................................................47
9.3. Collimator Chain Drive & Tension Verification (Semiannual) .................................................47
9.4. Field Light Lamp Replacement (Annual) ................................................................................49
9.5. Clean, Inspect & Lubricate Retractable Beamstopper (Semiannual - if used) .......................49
10. Patient Support Couch Module ..................................................................................................50
10.1. Clean, Inspect & Lubricate Lift Drive (Quarterly) ................................................................50
10.2. Clean, Inspect, Lubricate Longitudinal & Lateral Carriage Ways (Quarterly) .....................50
10.3. Verify Longitudinal, Lateral & Vertical Limit Switch Operation (Quarterly) ..........................51
10.4. Verify Functions of Pendants, Side Panels & Lamps (Quarterly) .......................................51
10.5. Inspect Couch Top Mylar Finger Guard – Exact Couch Top Only (Annual) .......................51
10.6. Clean, Inspect & Lubricate VEO Turntable (Annual) ..........................................................52
11. Console Module .........................................................................................................................53
11.1. Verify Cooling Fans Operation (Quarterly) .........................................................................53
11.2. Verify Console +15V Power Supply Output (Quarterly) ......................................................53
11.3. Basic Beam Tuning / Print Service Mode Screens (Quarterly) ...........................................53
11.4. Compare Console Parameters (Semiannual) .....................................................................54
11.5. Output vs. Gantry Rotation Performance (Annual) .............................................................54
12. Wrap Up Module ........................................................................................................................55

12.1. Backup Console Software (Quarterly) ................................................................................55
12.2. Perform Morning Checkout (Quarterly)...............................................................................55
12.3. Review Follow Up Recommendations (Quarterly) ..............................................................55
12.4. Review Replacement Log Summary Label (Quarterly) ......................................................55
Appendix A Output versus Gantry Rotation ....................................................................................57
Appendix B Basic Beam Tuning .....................................................................................................59
Appendix C Radiation Safe Beam-On Configuration ......................................................................60
Appendix D Lubricants & Applications for Clinacs ..........................................................................62
Appendix E High Energy C-Series Clinac PMI Checklist ................................................................63
List of Figures
Figure 1: Emergency OFF Continuity Test Method (C3) ................................................................................. 20
Figure 2: KONA Stand Flow Pressure Switch Manifold ................................................................................... 22
Figure 3: Shorting Stick on Main Thyratron Side ............................................................................................. 25
Figure 4: Shorting Stick on PFN CAP .............................................................................................................. 25
Figure 5: Klystron Filament Measurement on Stand Motherboard (C3) .......................................................... 29
Figure 6: KLY I & V BNC Cable Patch in Stand ............................................................................................... 30
Figure 7: KLY I & V Cable Patch in Console .................................................................................................... 30
Figure 8: Gantry Chain Tension Test ............................................................................................................... 32
Figure 9: Gantry Motor Drive Sprocket ............................................................................................................ 33
Figure 10: Sprocket Inspection Guidelines (1 = Good / 2 = Worn) .................................................................. 34
Figure 11: Chain Master Link & Spring Clip ..................................................................................................... 35
Figure 12: Counterweight Bolt/Washer Inspection ........................................................................................... 36
Figure 13: MOD Interlock BNC Cable .............................................................................................................. 42
Figure 14: Modulator 3-Phase Power Measurement at HVCB Breaker .......................................................... 43
Figure 15: Modulator Thyratron Measurements (C3 Universal Modulator) ..................................................... 44
Figure 16: Interface Mount Guide Blocks and Pressure Bar............................................................................ 45
Figure 17: Tension Block Hex Nut Adjustment ................................................................................................ 48
Figure 18: Tension Block Sensor Switch Test ................................................................................................ 48
Figure 19: Exact Couch Top Mylar Finger Guard ............................................................................................ 52
Figure 20: Couch Top Pinch Hazard Labels (4 labels required) ...................................................................... 52
List of Tables
Table 1: PMI Target Months ............................................................................................................................. 16
Table 2: Flow Switch Measurement Locations................................................................................................. 22
Table 3: Console MU Backup Counters ........................................................................................................... 24
Table 4: Sprocket Inspection Guidelines.......................................................................................................... 34
Table 5: Modulator Measurements (see Figure 14 and Figure 15).................................................................. 43
Table 6: Output vs. Rotation Sample Table ..................................................................................................... 57
Table 7: Recommended Lubricants and Applications ...................................................................................... 62
GE-725 Rev O 10 OF 70
1. INTRODUCTION
1.1. Scope
This manual is intended to provide the necessary procedures to perform the Periodic Maintenance
Inspection (PMI) tasks on the High Energy Clinac family. It is designed to be a universal document
for use by all VMS customers. The tasks listed are the minimum OEM recommended requirements
to satisfy PMI obligations. Some customers may desire to compliment the PMI with additional tasks
based on their unique requirements.
CAUTION: PMI’s should be performed by trained service personnel only.

The intended audience for use of the manual is any person who has completed the appropriate
Varian Education Department training course.
There should be no adjustments or repairs that affect dosimetric calibration or positional
alignment of any system. Any changes or adjustments that could affect this calibration or
alignment must be reported to the persons who have been designated by the facility to have
responsibility for patient and equipment safety. In most cases or facilities this will be the physicist
with responsibility for that machine but you should ask.
VARIAN is not liable for errors made by others using these instructions and guidance’s.
This document is subject to change without notice.
1.2. Conventions
This section presents the types of notes and precautionary notices used in the guide, along with
their icons. The following notational conventions are used:
NOTE: A Note provides non-critical information, such as user requirements,

computer messages, suggestions, and shortcuts, which can help the user to
obtain optimum performance from the equipment and software.
STOP: Indicates any condition that must be verified and/or satisfied before
continuing.
CAUTION: Describes actions or conditions that could result in minor or

moderate injury or damage to equipment or loss of data. All CAUTION notices
must be obeyed.
WARNING: Describes actions or conditions that could result in serious

injury or death. All Warning notices must be obeyed.
GE-725 Rev O 11 OF 70
cause serious injury and even death. Copyright  2012, Varian Medical Systems, Inc. All rights reserved.
Bold text All command button names and keys are printed in bold text.
Courier new Screen messages are printed in Courier new.
Italics File and directory names appear in italic type.
[References] References to other documents are shown in square brackets, e.g. [1].
1.3. Abbreviations & Terminology

C1 C-Series production built Clinac, serial numbers 1 to 144. These
were the first 2100C’s, which were adapted from the CL1800
generation. C-series Clinacs in serial number range 900 to 999
are converted CL18/1800’s that have been upgraded to C1’s at
the Chicago Rebuild Center or on site.
C2 2100C-C/D SN 200 to 599 and 2300C/D’s SN 1-99. Changes
from C1 included: Stand Aux chassis, EMI power supplies,
Vacion chassis and Control Console layout.
C3 2100C-C/D SN 600 to present and 2300C/D’s SN 100 to present.
This also includes all EX, iX & Trilogy Clinacs. There were
multiple design enhancements from the C2 generation.
CTB Customer Technical Bulletin
EMO Emergency Off
EMC Electro Magnetic Compatibility. Cut into full C3 production for
2100C-C/D at SN 1050 to present and 2300C/D’s SN 159 to
present. Design changes were implemented primarily in the
Control Console and Modulator to reduce or shield all types of
noise emissions. Record: there were stages of pre-production
EMC components prior to the above serial numbers.
ENSW Energy Switch
ETR Extended Travel Range (Couch type)
HV High Voltage
HVPS High Voltage Power Supply
I/L Interlock
KLM Klystron Linear Mode cut into C3 production to replace the
Shunt-Tee RF system. In Klystron Linear Mode (KLM), the
Klystron is operated below saturation. RF peaking is
accomplished by adjusting the RF driver input power to the
Klystron. KLM was cut into production for 2100C-C/D’s at SN
1040 to present and 2300C/D SN 158 to present. Note: there
were a few KLM Clinacs prior to full production cut-in.
GE-725 Rev O 12 OF 70
KONA Stand repackaging configuration that removed the upper E-Rack

from the Stand. All components previously mounted in the E-
Rack were lowered down into the Stand below the ‘break’ line.
This allowed easier rig-in/assembly during installation and also
improved service access to components. KONA stands also
utilize a Lytron Water system. KONA Stand cut-in on PCSN
290500+ and 272801+.
LVPS Low Voltage Power Supply
MCMS Managed Continuing Maintenance System
MU Monitor Units
New Air Cut-in to full production for 2100C-C/D at SN 1027 to present
System and 2300C/D’s SN159 to present. This eliminated the Humphrey
air solenoids.
PN Part Number
P/S Power Supply
PFN Pulse Forming Network
QA Quality Assurance
RR Rep Rate
Silhouette This type of C-Series Clinacs was introduced in the year 2000.
These machines have a different Stand mechanical layout from
the original C-Series Clinacs. A decorative false wall is also
used to conceal the Stand area. These were primarily designed
to provide a smaller Clinac footprint to allow installation into
existing treatment rooms that were built on a smaller scale. C3
technology is used throughout the Silhouette Clinac. These
machines are identified by the letter S after the machine type and
begin at SN 001; i.e. 23EX-S, 2100C-S.
STB Service Technical Bulletin
QTY Quantity
Ver Version
1.4. Safety Hazards

The very nature of maintenance work exposes service personnel to hazards which are not normally
encountered during routine clinical operation of the machine. Protective door and cover interlocks
may have to be temporarily by-passed, high voltages measured, potentially hot surfaces touched,
UV light and heavy components lifted. The potential hazards inherent in performing these tasks as
well as the ever-present danger of accidental radiation exposure can be minimized by observance
of all noted safety warnings and precautions.
WARNING: Radiation exposure may cause serious injury or death. Never turn the beam on
when anyone is in the Clinac room, except to perform maintenance or repair work that
cannot be completed from the Control area. During such exposures, keep kV X-Ray output
as low as possible and persons in the room must wear lead aprons.
GE-725 Rev O 13 OF 70
WARNING: Misuse or malfunction of the High Energy Clinac system can expose the
operator, service technician, and/or the patient to one or more of the following hazards:
mechanical collision, electrical shock, and radiation. Any of these hazards could cause
serious injury or death. Improper maintenance procedures, as well as presenting a danger
or possible accidents leading to injury or death, could also result in poor machine
performance and/or damage to the system and other property. All persons who service or
maintain the system must read, understand and be familiar with the material in this manual
and the Safety chapter in the Users Manual.
1.5. Required Tools & Equipment

 Basic Tool Kit
 Calibrated DVM and Oscilloscope
 1000:1 HV Probe
 Calibrated inch-lbs torque wrench
 3/8” and ¼” brass Flare Cap fittings (for water hose checks)
 Vacuum Cleaner/Blower
 Ladder
 Cleaning towels and mild spray detergent (such as Fantastic or 409)
 Lubricants with grease guns (as required): Refer to Appendix D for lubricant applications and
part numbers.
 Tri-Flow with plastic tube applicator (straw)
 Permanent Ink Marker (small tip)
GE-725 Rev O 14 OF 70
2. GENERAL PMI INFORMATION

The Periodic Maintenance Inspection (PMI) is a service tool that is designed to thoroughly inspect a
Clinac at frequent intervals throughout its operational lifetime. A variety of tasks are performed over
a 1-year period, which are then repeated over subsequent years per contract agreements.
These inspections are designed to maintain operational reliability & to determine if there are any
existing or potential problems with the Clinac. All findings or follow-up recommendations should be
listed on a Service Report.
The PMI should not be interrupted for routine maintenance or follow-up issues. However,
serious problems may have to be resolved immediately, which could then post-pone the PMI. In
these cases, the completion of the PMI would have to be rescheduled.
2.1. Usage Formats – PMI vs. MCMS

There are 2 versions of the High Energy PMI manual; one for customer use and one for VMS
internal use. Varian employees should use the secure internal version that is on SIR, which
provides additional appendices to provide further assistance for various alignments and
troubleshooting.
These inspections can be performed in either of two formats:

PMI: Traditional format that normally involves 4 scheduled maintenance inspections per year.
MCMS [Managed Continuing Maintenance System]: Ongoing format where various tasks can be
performed during routine service calls. However, the guidelines listed below must be observed.
2.2. Supporting Documents & Labels

The PMI (or MCMS) utilizes various documents to ensure that the Clinac is thoroughly inspected
and properly maintained. These include:
 PMI Checklist (Appendix E in this CTB)
 PMI Data Labels (stickers) (included in PMI Kit)
 Console Cardrack Parameters Sheet (included in PMI Kit)
 PMI Procedure (this CTB)
 Replacement Log Summary (included in PMI Kit)
 Beam QA Guidelines (included in PMI Kit)
The PMI Kit is shipped with all High Energy Clinacs and the labels and parameter sheet are filled
out and installed on the Clinac during installation. Replacement kits are available (PN 100013425-
XX). The kit includes the labels and documents listed above as well as permanent ink pens (to be
used on the data labels) and a folder that should be installed in the Console Cabinet for maintaining
the PMI documents.
GE-725 Rev O 15 OF 70
2.2.1. PMI Checklist
This is a checklist that indicates all of the required tasks of a PMI and the frequency of inspection
for each. Boxes are provided for each task that requires initials and the date of completion. During
the first PMI, target months are then listed as the intended month(s) for completion of each
quarterly task (see example below). One copy of this document is to remain on site and should be
kept in the PMI folder that should be located in the Console cabinet. Each year, a new Checklist is
started. This Checklist document is contained in Appendix E.
Example: If the first PMI was completed in May, the subsequent target months would be listed as
follows:
Table 1: PMI Target Months
Q1 Q2 Q3 Q4
Target Target Target Target

Month Month Month Month
May Aug-Sep Nov-Dec Feb-Mar
NOTE: All Annual tasks should not be scheduled for the same PMI period. This would result in
one long PMI each year. Instead, Annual and Semiannual tasks should be randomly performed
throughout the 4 scheduled PMI periods.
Task Time Period Guidelines:

• Quarterly tasks should not be repeated within an 8 week period and should not exceed 4
months
• Semiannual tasks should not be repeated within a 5 month period and should not exceed 7
months
• Annual tasks should not be repeated within a 10 month period and should not exceed 13
months
2.2.2. PMI Data Labels
These are adhesive labels that are attached to the Clinac at various locations. They are used to
record measured values of all the sub-systems that are checked during PMI’s. All entries should be
done in permanent ink and should be clearly legible.
NOTE: First remove the clear plastic cover sheet on each label before recording values.
GE-725 Rev O 16 OF 70
During the first PMI or during installation, these labels should be installed on the Clinac within
viewing distance of the measurement point (per the recommended locations listed below). Then
the first column is filled out with a permanent ink pen. Fresh DVM batteries are required for these
first measurements. During subsequent PMI’s, the new measurement is compared. If the new
measured value is within the tolerance listed on the label, the check is complete and no data entry
is required.
However, if the new measurement exceeds the tolerances, this new value and the date is recorded
in the next column and investigated if necessary. Simple investigations can be completed during
the PMI but others may require follow-up. Some investigations may be resolved by installing fresh
batteries in the DVM. If the problem is remedied during the PMI and the original value is restored,
do not enter the “out of tolerance” value on the label, but instead, note the work in a Service Report.
When all entry boxes are full, a new label must be ordered and installed. The last entry on the
original label should be transferred to the new label. For historical purposes, the replacement label
should be placed next to the original label, if space permits.
These labels should also be updated when any repair work or upgrades are completed. In these
cases, only the measurements that change would require an update. All label value changes
should be dated.
2.2.3. PMI Label Placement Locations
Recommended locations for PMI Labels:

• Stand related labels should be installed on the inside panels of the appropriate Stand Door or
on the rear wall on Silhouette Clinacs (within viewing distance of the measurement locations)
• Gun Driver labels should be installed under the applicable gun deck access holes (Hot & Cold
deck)
• Accelerator Solenoid and Energy Switch label should be installed on the Sled Patch Panel clear
cover
• BMAG Coil Voltage label should be installed near the F1/F2 fuses (visible with Long Jaw Cover
installed)
• Modulator labels should be installed within easy view of the measurement points
• Replacement Log sheet should be installed on the inside front panel of the Modulator within
view of the Beam On and Filament timers, or on the inside surface of the Stand door (for easy
customer viewing)
• Console clear folder should be installed on the metal cover plate under the top cover of the
Console Cabinet
GE-725 Rev O 17 OF 70
2.2.4. Console Cardrack Parameters Sheet
This form is used to record all Console parameters and waveforms. It is filled out during the first
PMI and then used for comparison during subsequent PMI’s on a semiannual frequency. All entries
should be done in pen and be clearly legible. Fresh DVM batteries should also be used for these
first measurements.
This form also includes Output vs. Gantry Rotation measurements that are compared Annual. It is
only necessary to make entries if the new value exceeds the original value tolerance. One copy of
this document is to remain on site and should be kept in the folder that is attached to the inner side
of the Console front panel. Unlike the PMI Checklist, this form is not started over each year.
Instead, it is used for comparison during subsequent years. If all entries for any item are full, a new
form should be filled out. The original document should indicate “Superseded/date” and kept in the
Console folder along with the new form. This document can be ordered or printed from SIR.
Like the labels, this form should also be updated when any repair work or upgrades are completed
that would affect the original values. The date of change should also be indicated on the form and
the reason for change should be noted in a Service Report.
2.2.5. Replacement Log Summary
This label lists all the necessary parts or items that require replacement on a routine basis, such as
water hoses, batteries, etc. Although hoses do not require replacement on an annual basis or
during PMI’s, it is the responsibility of the OEM (Varian) to inform customers when hoses or other
items should be replaced. Depending on the Service Contract, these items should be purchased
and replaced either by the customer or Varian. Columns are provided to indicate the date of
change for these items. This label should be installed on near the inside front panel of the
Modulator (within easy view of the Filament & Beam timers), or on the inside surface of the Stand
door.
2.2.6. BEAM QA Guidelines
This document is very important for ensuring beam quality and patient safety. As we know, many
adjustments, repairs or alignments to various subsystems may affect the beam quality. Therefore,
this guideline document is a quality assurance tool that should be used to remind us of the required
beam checks that must be verified prior to returning a Clinac to operation. This document is
available in Customer Technical Bulletin CTB-GE-681 and should be placed in the Console PMI
folder for quick referral anytime a repair or adjustment is performed that may affect beam quality.
WARNING: It is the responsibility of all customers to become familiar with and strictly
adhere to the Beam QA Guidelines to ensure adequate beam quality after maintenance.
These guidelines are available in CTB-GE-681 on MyVarian.com.
GE-725 Rev O 18 OF 70
3. POWER OFF & INSPECTIONS MODULE

Print out Appendix E: High Energy C-Series Clinac PMI Checklist to document each PMI task.
3.1. Customer Interview Regarding PROs & Optics (Quarterly)

In conjunction with the introduction of this PMI procedure, the “Customer Support Terms and
Conditions” (RAD document #MGM 1580X) has been modified to reflect added customer
responsibilities. The customer, as part of their routine QA checks, is responsible for verifying PRO
calibration, light field / radiation field coincidence, rangefinder & laser alignments and to notify
Varian of any discrepancies that require attention.
1. Ask the responsible person / department if there are any calibration or alignment problems with
the above-mentioned features. If problems are reported, use ‘best judgment’ to determine if
these QA issues require priority over the PMI and if so, reschedule the PMI if time does not
permit completion.
3.2. Event Log Review & Initial Output Check (Quarterly)
1. Review event logs for any machine performance issues or frequent interlock problems.
2. Run each energy in Service mode for 100 MU in RR4 with Dose Servo OFF. This exercise is to
establish the Clinac operating condition prior to starting the PMI procedure. Dose rate should be
approximately 15-18% over the specified servo rate.
3.3. Test Console Backup MU Counter (Quarterly)

In addition to this test, the MU Backup Counter may require battery or assembly replacement. More
information is provided in Section 3.11.
1. Mode up a 50MU SERVICE mode treatment. Verify the backup counter resets to 0 MU.
2. Complete the treatment and verify the backup counter displays 50MU. If not, the battery or
assembly may require replacement per Section 3.11.
3.4. Machine PMI Preparation (N/A for MCMS)
1. Remove the following Gantry covers:
• Gantry Top cover (boat)
• Center Display cover (Gantry display)
• Upper rear Gantry covers (gun deck access)
• Gun Driver Safety covers (hot & cold deck)
GE-725 Rev O 19 OF 70
 Collimator cover
 Stand front lower center cover
 Position the Gantry to 270°
2. Modulator Prep:
 Remove screens & panels to access both sides of the PFN Deck, Plate Transformer,
Auxiliary Power Distribution PCB Backplane and Primary Power Distribution areas.
3.5. Test Emergency Off Switches (Quarterly)
1. C3 Clinacs: Connect DVM test leads to the Auxiliary Power Distribution PCB at J6-5 and J2-3
as shown in Figure 1. Set DVM to measure resistance in the audible mode.
 Sequentially cycle one Emergency Off (EMO) button at a time while listening to the DVM.
The beeping sound should stop (indicating an open) when each button is activated.
Figure 1: Emergency OFF Continuity Test Method (C3)
2. C1 & C2 Clinacs: Test each additional EMO switch while the machine is OFF.
 Depress one switch at a time and verify the machine will not energize when pressing and
releasing the Start button in the Modulator. Remember to reset each switch before testing
the next one.
3. Verify both Stand EM OFF switches are activated by depressing the Stand door EMO. Adjust
switches if necessary.
GE-725 Rev O 20 OF 70
3.6. Test Emergency Pendant (Quarterly)
1. With the machine OFF, depress / toggle the red Emergency Pendant switch to provide battery
power to the Emergency Pendant.
• Depending on the Clinac Software version, Emergency Pendant power will be provided by
toggling the red switch on the Aux Electronics chassis (Ver 6 and below) or by depressing
the right Stand EMO switch (Ver 7 and higher).
2. Using the Pendant, select longitudinal and press enable. Longitudinal brake should release
and allow free floating motion of the tabletop.
3. Select vertical and press enable. Couch vertical axis should slowly descend. If the couch does
not descend OR if the HVCB circuit breaker trips while driving the couch down, schedule
replacement of the 2 emergency back-up batteries. C1 & C2 PN 74-103705 (QTY 2) or C3 PN
74-103707 (QTY 2).
4. For Clinac Console SW Version 7 or higher: verify the Emergency Pendant label (PN
100019135-xx) is installed on the EMO switch bracket below the Stand Motherboard and on the
outside of the Stand door next to the corresponding EMO actuator button.
3.7. Test Flow Switch Operation (Quarterly)

CAUTION: Do not attempt to test flow switches by crimping the water hoses. Internal hose
damage could occur, which could cause blockage in other assemblies. Flow path problems
should be corrected immediately to prevent damage to Clinac assemblies. Do not jumper flow
switches to allow continued operation.
NOTE: Flow Switch operation is verified by measuring the continuity through the switch circuit.
When there is no flow, the switch circuit is open and should measure infinite resistance.
If any flow switch is closed (minimal resistance) when the machine is off, remove the switch and
clean the switch post. For Gantry switches, position the Gantry at 270° to remove switch post.
Some KONA Stands may have the pressure switches shown in Figure 2. These switches cannot
be cleaned but can be tested per TT-ST-00985. These switches sense low or high water pressure
conditions to monitor flow rates. Defective switches must be replaced. If any of these 4 pressure
switches requires replacement, it is recommended to upgrade the switches using STB-ST-127.
NOTE: If any cooling paths are suspect, flow rates can be tested as follows:
• With the pump OFF and the Gantry rotated to 270°, disconnect the hose attached
to the Gantry flow switch and cap off the manifold with a flare cap fitting.
• Aim the return hose into a bucket or receptacle and turn on the pump for one
minute.
• Measure the amount of water collected to determine the flow rate. For higher flow
rates (such as 3 GPM) collect the water for 30 seconds and multiply the
measurement by 2 to determine the GPM rate.
GE-725 Rev O 21 OF 70
Table 2: Flow Switch Measurement Locations
Flow Switch GPM Cooling Assemblies Measurement Location
Stand S2 (Figure 2) 3 GPM Klystron Solenoid, Circulator A18-TB3 terminals 2 to 3

Stand S4 (Figure 2) 5 GPM Klystron, Pulse Tank A18-TB3 terminals 4 to 5
Stand S1 (pre-KONA) 5 GPM Klystron, Pulse Tank A18-TB3 terminals 1 to 2
Stand S3 (pre-KONA) 3 GPM Klystron Solenoid, Circulator A18-TB3 terminals 5 to 6
Gantry S1 5 GPM Guide, BMAG Coils A24-TB1 terminals 1 to 2
Gantry S2 1 GPM Accelerator Solenoid, ENSW A24-TB1 terminals 3 to 4
Gantry S3 2 GPM BMAG Slits A24-TB1 terminals 5 to 6
Gantry S4 1 GPM Target A24-TB1 terminals 7 to 8
1. With the Clinac de-energized, independently measure all four Gantry flow switch circuits to
verify infinite resistance.
2. With the Clinac de-energized, independently measure both Stand flow switches and verify
infinite resistance. Only measure the LO pressure switches (S2 & S4) on KONA systems.
Figure 2: KONA Stand Flow Pressure Switch Manifold
GE-725 Rev O 22 OF 70
3.8. Inspect Water System & Clean Small Filter Screen(s) (Quarterly)
Pre-KONA Stand
1. Visibly inspect the water tank reservoir for signs of contamination/bad smell. Schedule
replacement or water system cleaning if necessary (approximately 18 gallons).
2. Turn OFF the PUMP breaker at the Modulator and remove/clean the water filter screen at the
top of the pump manifold and inside the regulator. Newer regulators have no filter.
KONA Stand
1. Visibly inspect the water tank level sight tube for signs of contamination. Schedule water
replacement or system cleaning if necessary.
NOTE: Early versions of the sight tube discolor very quickly and make it difficult to determine the
water cleanliness. If tube discoloration is a problem, order and replace sight tube (PN 28-150101-
00, Tubing, FEP-Lined, Tygon, 3/8” I.D. X 9/16” O.D.).
3.9. Clean Air Filters (Quarterly)
NOTE: Console, Stand top and Modulator air filters have an air-flow directional arrow for correct
orientation. Install the filters correctly after cleaning.
1. Console air filters: C1 has one air filter at the rear of the console. C2 and pre EMC C3 have two
filters, one at the rear and a second on the side of the LVPS chassis. EMC electronics cabinets
have additional filters in the cabinet side panels.
2. Stand: clean both air filters on the top of Stand (N/A for KONA Stand). Clean the rear Stand
filter on KONA Stands.
3. Modulator: clean both side air filters
3.10. Clean & Inspect Console Electronics Cabinet (Quarterly)
1. Carefully pull out the top chassis, lubricate the rails with Tri-Flow if necessary.
2. With a clean dry air source, blow out the electronics cabinet area.
3. Inspect for loose connectors / connections throughout electronics cabinet.
4. Verify all PCB’s are fully seated.
GE-725 Rev O 23 OF 70
3.11. Console Backup MU Counter Battery Replacement (Annual or Once every 3

years, depending on unit)
1. Refer to Table 3 to determine the type of Backup Counter that is installed and the battery or
assembly replacement information.
2. Replace the batteries or Counter assembly per the frequency listed in the table.
Table 3: Console MU Backup Counters
1st Backup Counter Replace both batteries

once a year
Type: CUB-10-000/D
PN 23-800068-00
PN 7412285300 (2 batteries required)

BATTERY,ALKALINE, N Type,1.5V
2nd Backup Counter Replace battery once

every 3 years
Type: CUB70000
PN 23-800070-00
CUT-IN Oct 2006
PN 7412292000 (1 battery required)

BATTERY,LITHIUM,3.0V,CR1/2AA
3rd Backup Counter Replace MU Counter once

every 3 years
Type: CUB7CCS0
PN 23-800072-70
CUT-IN Aug 2010 Non-replaceable battery
GE-725 Rev O 24 OF 70
3.12. Clean & Inspect Stand (Quarterly)
1. With a flashlight visually inspect the entire Stand area. Note any signs of water leaks.
2. Inspect the Stand Motherboard for any signs of loose connectors.
3. Verify RF connectors are secure on Klystron & RF driver.
4. Verify T-Drive studs and plunger foot is secure (non-KLM systems).
5. With a clean dry air source, blow out the Stand area or wipe down accessible areas.
3.13. Clean & Inspect Modulator (Quarterly)

WARNING: To avoid possibility of death or serious injury, all incoming power and stored
energy must be removed from the Modulator before working inside the assembly.
• Lockout/ Tagout the main supply wall breaker to remove incoming line voltage and
verify power is removed by touching the 3 phase wires with a shorting stick.
• Hang shorting sticks on the top of the Main Thyratron (or specified discharge point) and
the PFN capacitor as shown in Figure 3 and Figure 4 to discharge any stored energy.
1. With a flashlight visually inspect all areas of the modulator. Look for loose connectors, poor
connections, any cable discoloration, any signs of arcing on cables or HV relay contacts.
2. Inspect all HV cable lugs for signs of cracking or discoloration.
3. Inspect PFN Cap braided cables to ensure they are firmly attached to the PFN coils and verify
none of them are sagging down against any coils.
4. With a clean dry air source, blow out modulator area or wipe down accessible areas.
Figure 3: Shorting Stick on Main Thyratron Side Figure 4: Shorting Stick on PFN CAP
GE-725 Rev O 25 OF 70
3.14. Clean & Inspect Gantry (Quarterly)
1. Visually inspect the Gantry area (including Gun Driver) for signs of water leaks, loose
connectors, poor connections.
2. Verify AFC connections are tight at Hybrid/Phase Shifter/Bi-Directional Coupler area.
3.15. Water Hose Inspection (Semiannual)

Stand and Gantry water hoses should be replaced on a periodic basis as indicated on the
Replacement Log Summary label. New hoses were introduced in 1996 that have proven to last
longer than earlier hoses. Therefore, it is no longer necessary to internally inspect water hoses as
long as the periodic replacement cycles are being performed.
1. Inspect Stand and Gantry water hoses for signs of cracking or wear. Pay particular attention to
the Target hoses, Accelerator Solenoid hoses, BMAG Primary Collimator/Drift Tube hoses.
CAUTION: If replacing Energy Switch water hoses, do not remove the water hoses from the
barbed pipes on the Energy Switch. This could result in damage to the Energy Switch. Instead cut
the hoses near the switch and install in-line water fittings to add new hoses to the existing hoses.
If full removal is required, extreme care must be taken to immobilize the Energy Switch, carefully
cut off the old hoses and install the new hoses. It is extremely important to prevent any ‘twisting’
stress on the energy switch when replacing hoses. This task requires the use of an Energy Switch
post clamp and very careful hose handling during removal and installation onto the water pipes.
3.16. Inhibited Water System - Water & Filter Replacement (Annual)

NOTE: As of January 2012, the NALCO liquid chemicals have been discontinued and should not
be used in the close loop water system anymore. Instead a new chemically loaded water filter (PN
100054923-01) should be used. If an existing system is presently using NALCO liquid chemicals,
convert the system to the new chemical filter using TT-WA-01409.
Things to know about the new chemical filter:
• Annual filter replacement is required
• Filter is not hazardous or corrosive, but gloves should be used to handle it
• Filter has a shelf life of 5 years
Disregard this step for older water systems that utilize the Culligan filtration system. It is
recommended to upgrade the Culligan system to the new water filter system. Contact Varian for
upgrade information.
1. Once a year, replace the closed system water with distilled water and replace the high-flow filter
cartridge (PN 100054923-01). Dispose of the used non-hazardous filter in the trash.
2. Install the provided labels (indicating the date of change) at the following locations:
• Affix one label to the water filter canister
• Affix one label on the Stand frame near the water fill funnel
3. Indicate the date of change on the Replacement Log Summary label.
GE-725 Rev O 26 OF 70
4. STAND MODULE
Restore Power to the Clinac for all of the following Sections
4.1. Verify Cooling Fans Operation (Quarterly)
1. Verify operation of the following Stand cooling fans
• Top Stand Cover
• Aux Electronics chassis
4.2. Air System Inspection (Quarterly)

There are two different types of Air systems in use today. The older style air system includes a
Desiccant canister & Oiler glass reservoirs and utilizes Humphrey Air Solenoid valves in the Stand
and Gantry. Perform the steps listed below for this older air system. The new air system which cut
in on PCSN 271027+ and 290159+ does not require any maintenance.
1. Replace air desiccant if beads are not blue (TURN OFF the air supply to open canister!).
2. Verify that the air oiler glass reservoir is filled up to the fill line (use pneumatic tool oil or
equivalent).
4.3. Compare Water System Parameters (Quarterly)
1. Compare Water system parameters to the previously recorded label values for pressure,
temperature, RF driver flow and Gantry Supply Manifold pressure.
• The RF Driver flow meter was discontinued on PCSN 271217+ and 290206+ and all
Silhouettes.
4.4. Compare BMAG Shunt Values (Quarterly)
1. Verify water temp is stable at 40°C.
2. Set DVM meter resolution to display 1/100 mV (00.00 mV).
3. Connect to the following BMAG shunt test points:
• C1 & C2 Clinacs: Use black and red test points on Stand frame near the BMAG P/S
• C3 Clinacs: Use test points on Carrousel/BMAG/Mode PCB in the Aux Electronics

chassis. Make sure the red test lead is connected to BMAG + (TP4) and black test lead is
connected to BMAG – (TP6 )
4. Compare shunt values to the previously recorded label values for all energies.
GE-725 Rev O 27 OF 70
CAUTION: If any shunts are out of tolerance, the problem must be investigated. An unintended
energy change could result in minor or moderate injury to patients. Do not attempt to adjust any
BMAG shunt values without consulting the responsible physicist.
4.5. Compare VacIon Pump Current & Voltage Values (Quarterly)
1. At VacIon Power Supply chassis, measure the base current and KV values for the Accelerator
pump (20L), Gun pump (8L) and Klystron pump (2L). Compare values to recorded values on
PMI label.
2. On first PMI’s or during installation, use a 1000:1 HV problem and measure KV value at the HV
connectors of all VacIon pumps. This voltage measurement is only required when the PMI
labels are initially filled out. Subsequent PMI checks are made by comparing only the KV
values on the VacIon P/S.
4.6. Compare KSOL Shunt Value (Semiannual)
1. Verify water temp is stable at 40°C.
2. Determine KSOL current value on Klystron nameplate label (typically 35.0 A) and verify KSOL
P/S output matches the specified value.
• C1 Clinacs: Verify meter indication on Shunt Meter Relay assembly (located below RF
Driver) matches the nameplate KSOL value. If not adjust current pot on P/S to exact
nameplate value. As an alternative you can use your DVM (mV scale) across meter relay
terminal strip TB-1, pins (-) 2 to (+) 5, to measure the shunt value (1mV = 1A).
• C2 and C3 Clinacs: Verify KSOL P/S current output on the front panel current meter
matches the nameplate KSOL value. Adjust current pot on P/S if required.
4.7. Compare RF Driver & Klystron Parameters (Semiannual)
WARNING: Before entering the treatment room for RF measurements, configure the Clinac
for ‘Radiation Safe Beam-On’ operation. This is required to prevent exposure to radiation
that could result in serious injury or death. Refer to Appendix C for procedure.
1. Verify Klystron and RF driver recorded serial numbers on label are correct.
2. Compare RF Driver output power levels to previously recorded label values.
• Shunt Tee Clinacs: record this value from the RF Driver output power meter while beamed
on. This must be done in both A & B RFDR modes.
• KLM Clinacs: mode up each energy and compare the RF Driver output meter to the label
values for each energy. Beam-On is not required.
GE-725 Rev O 28 OF 70
3. Measure and compare Klystron filament voltage to the recorded label values. KFIL voltage
should be approximately 236 VACrms.
 C3 Clinacs: Measure Klystron filament voltage at the Stand Motherboard at J3 pins 1 & 2
as shown in Figure 5. Be very careful when attaching DVM leads to connector pins to
prevent any short circuits!
 C1 & C2 Clinacs: Measure the KFIL voltage through the back of the Pulse Tank connector
J7 between pins A & B – be careful not to short to pins C or D!
Figure 5: Klystron Filament Measurement on Stand Motherboard (C3)
4. Use the following procedure to measure the actual KLYI & KLYV waveform amplitude values.
Compare values to the recorded values on PMI label.
1) C3 Clinacs: Relocate the KLYI (W83) & KLYV (W84) BNC cables at the
Stand BNC Patch Panel to the STD MON A & STD MON B BNC jacks as
shown in Figure 6. Connect scope BNC cables to the corresponding J10
& J11 BNC jacks on the Console VCR backplane as shown in Figure 7.
This technique of using the built-in spare BNC monitor cables does not
require long cables or measurements in the Treatment room. Continue
at step 3 below.
2) C1 & C2 Clinacs: Connect two external RG-58 coax cables (WITHOUT

a 50 ohm terminator) to J1 and J2 on the Pulse Tank. If measurements
will be performed in the Treatment room, configure the machine for
Radiation Safe operation per the instructions in Appendix C. Then
continue at step 3 below.
GE-725 Rev O 29 OF 70
Note for C1 & C2 Clinacs: If measuring at the Pulse Tank, the J1 (KLYI) and J2 (KLYV) BNC
connectors are located on the front wall of the tank by the Klystron on Stepped tanks or near the
pulse cable connections on the Flattop tanks.
3) Turn OFF the PFN Servo. PFN Servo must be turned OFF for accurate
measurements!
4) KLM systems: Sequentially beam-on in Lo-X and Hi-e energies and

measure the peak amplitude of both waveforms. Compare the values to
the PMI label values.
5) Shunt Tee systems: Sequentially beam-on in the two energies that

were used for saturation and measure the peak signal amplitude for both
waveforms. Compare the values to the PMI label values.
Note: Although the peak signal amplitude is entered on the parameter sheet, the value at J1 also
indicates the actual Klystron current using a 10A:1V calibration factor. For example: If KLY I peak
amplitude measures 8.2 volts, the actual KLY I is 82 amps. Likewise, the value measured at J2
also indicates the actual Klystron voltage after conversion using the KLY Voltage Calibration factor
stamped on the Pulse Tank nameplate label. However, variances between pulse tank grounding
circuits, has proven this voltage conversion to be unreliable for perveance calculations.
Figure 6: KLY I & V BNC Cable Patch in Stand Figure 7: KLY I & V Cable Patch in Console
GE-725 Rev O 30 OF 70
4.8. Water Overtemp Trip Setting (Annual)
1. Shut off the incoming city water supply to the Clinac. Allow the water temp to climb up and
verify a PUMP fault occurs at 48°C +/- 2°C. Do not allow machine to exceed 52°C. If not set
correctly, adjust the Overtemp switch on top of the water tank for pre-KONA systems or
program the Watflow Controller on KONA systems.
4.9. Klystron Saturation (Annual)
1. For Shunt Tee systems only, saturate the Klystron. For KLM systems, skip this step and enter
N/A on the Checklist.
4.10. Pulse Tank Oil Level Check (Annual)

Flattop Tank (1100345-XX)
1. Transformer Side of Tank: Verify oil level is visible approximately halfway up on the sight glass.
If you are unable to clearly determine the oil level, remove fill plug and read level by inserting a
plastic stick into the fill hole. The level should be approx 3.75" from the top of the fill hole. Add
Transformer oil if required (PN 88-299437-01).
2. Klystron Side of Tank: There is a float switch in the Klystron tank compartment that will trip a
FLOW I/L if the oil level is too low.
Stepped Tank (829003-XX)
1. Transformer Side of Tank: Remove fill plug and read level by inserting a plastic stick into the fill
hole. The level should be approx 5" from the top of the fill tube. Add Transformer oil if required
(PN 88-299437-01).
2. Klystron Side of Tank: There is a float switch in the Klystron tank compartment that will cause a
FLOW interlock if the oil is too low.
4.11. Gantry Chain Tension Verification (Semiannual)
1. For OBI systems, position both KV E-Arms to the PARK (OUT) position.
2. Rotate Gantry to 270° and remove lower front Stand cover.
3. Rotate Gantry to gain maximum access to the Gantry chain between the Gantry main sprocket
and the Gantry motor drive sprocket.
GE-725 Rev O 31 OF 70
4. Using your thumb and forefinger, check the chain tension as shown in Figure 8. Rotate the
Gantry a few degrees in each direction and check the tension after each move.
• Proper chain tension = 0.25” to 0.5” (6-12 mm) of movement.
• If the chain adjustment is required, refer to the adjustment procedures in CTB-ST-604.
Figure 8: Gantry Chain Tension Test
4.12. Gantry Clutch / Harmonic Drive Torque Verification (Semiannual)
NOTE: This verification test only applies to older Gantry Rotation Drive assemblies that have a
torque limiter/clutch assembly installed. This does not apply to the new direct-drive (clutchless)
Gantry Rotation Drive assemblies that were cut-in with the introduction of OBI.
2. Rotate Gantry to 270° and remove lower front Stand cover.
3. Visually inspect the Torque Limiter / Harmonic Drive assembly for any signs of oil leakage,
loose parts and hardware.
4. Visually verify that the key stock (rectangular metal key) is properly positioned in the groove on
the motor shaft between the shaft and the clutch/sprocket assembly.
5. Using a calibrated torque wrench, verify all 3 outer setscrews on the Torque Limiter
(clutch/sprocket assembly) are tightened to 160 inch-lbs (18 Nm).
GE-725 Rev O 32 OF 70
4.13. Gantry Motor Drive Sprocket Inspection (Annual)
2. Rotate Gantry to either 90° or 270° and remove lower front Stand cover.
3. Rotate Gantry to both limits and check for roughness, binding or unexpected noise when the
chain engages and disengages from the sprocket teeth.
NOTE: The next test will verify that the drive sprocket is properly tightened on the motor drive
shaft. Even though there is a key block between the sprocket and shaft, the sprocket could still
slip a little on the shaft if the setscrews are not tight. This could cause wear to the key block.
4. Verify the drive sprocket is properly tightened and not slipping on the drive shaft.
• Verify the shaft key block is firmly seated between the drive shaft and drive
sprocket (shown circled in Figure 9).
• Draw a straight reference line on the front of the sprocket and drive shaft (shown
with a red line in Figure 9).
• Momentarily apply a short full-speed command from the pendant.
• Re-inspect the reference line to verify both halves of the line are still aligned
together and did not shift apart slightly.
• Repeat this test in the other Gantry direction.
• If there is any sprocket slippage, the two setscrews on the sprocket must be
removed (one at a time) and reinstalled with Blue 243 Loctite and tightened to 50
ft-lbs (68 Nm).
Figure 9: Gantry Motor Drive Sprocket
GE-725 Rev O 33 OF 70
5. Inspect the Gantry motor drive sprocket for excessive tooth wear or damage per the guidelines
shown in Figure 10 & Table 4. Rotate the Gantry as required to inspect all teeth.
Figure 10: Sprocket Inspection Guidelines (1 = Good / 2 = Worn)
Table 4: Sprocket Inspection Guidelines
Figure 10
Condition Description
Reference
Chain pitch distance increases as chain pins and bushings wear.
A Pointed Tips With increased chain pitch, the roller contact edge will move towards
the tip of the sprocket tooth, instead of riding in the center of the root.
B Working Surface Wear Decrease tooth cross-section from repeated chain busing contact.
C Root Wear Enlarged radius from sliding chain bushings

Develop as a result of high chain loads and cause chain to be loaded
D Teeth Burrs unevenly. If burrs > 1 mm length are visible, the affected sprocket
should be replaced.
CAUTION: Do not operate new chain on worn sprockets or worn chain on new sprockets. These
conditions will result in rapid chain or sprocket wear which could cause the chain to break and
possibly cause minor or moderate injury to patients. If motor drive sprocket requires replacement,
order parts listed below and replace the sprocket using the instructions in CTB-ST-604.
• Gantry Motor Drive Sprocket PN 100027963-01
• Blue 243 Loctite PN 88-299626-70
GE-725 Rev O 34 OF 70
4.14. Gantry Chain Master Link Inspection (Semiannual)
1. Reinstall the lower front Stand cover.
2. Rotate the Gantry until the chain master link is visible near the Motor Drive sprocket. This
should occur with the Gantry near 270°.
3. Verify the master link is installed through the back of the chain with the spring clip facing
forward towards the Couch as shown in Figure 11.
4. Make sure the spring clip is securely fastened on both link posts.
5. Rotate the Gantry in both directions and verify the master link does not come into contact with
the Stand cover.
CAUTION: Any chain contact with the cover could result in the spring clip popping off, which could
cause the master link to disengage, which could result in a hazard. If the chain is hitting the cover,
trim the affected area of the cover with a razor knife or Dremel cutting tool, or replace the cover if
necessary.
Figure 11: Chain Master Link & Spring Clip
GE-725 Rev O 35 OF 70
5. GANTRY MODULE
5.1. Counterweight Mounting Bolts Inspection (Annual)

1. Remove the 2 rear Counterweight covers.
2. Inspect each of the four mounting bolts for looseness. Inspect all 4 washer pairs for any cracks.
[ref: Figure 12]
3. Rotate Gantry to both limits while listening for any noise created from the Counterweight area.
4. If any problems are observed, it may be necessary to replace washers or torque bolts. Contact
Varian Medical Systems for part numbers and instructions.
Figure 12: Counterweight Bolt/Washer Inspection
5.2. Inspect Cables, Rotating Water Joints & Hoses During Rotation (Quarterly)
1. Carefully observe Gantry Wind-Up hoses, cables, water joints and cable guards during rotation.
Monitor for poor dressing, water leaks and insulation / cable damage.
NOTE: If OBI option is installed, carefully inspect the PVC cable tube in the front of the Gantry
wind-up area. This tube must be securely clamped to its mount and should not move.
5.3. Inspect Air Solenoid Valves (Quarterly)

This task applies to the Humphrey air solenoid valves on the old air system. This task is N/A on
machines with the new air system
1. Audibly verify that each of the Humphrey air solenoid valves (used by the Energy Switch,
Target and Carrousel pin) do not leak air when they are in their constant (non-cycling) state. If
any valve constantly leaks air, schedule replacement of the valve.
GE-725 Rev O 36 OF 70
5.4. Compare BMAG Coil Voltage Values (Quarterly)
1. With Hi-X selected and the machine at 40°C, measure the sum of the voltage drop for both
BMAG coils by connecting a DVM to both BMAG fuses (F1 & F2), located on the side of the
Gantry frame next to the BMAG terminal strips. Compare this reading to the value listed on the
PMI label.
2. Also measure & compare the voltage drop across each coil (E1 to E2 & E3 to E4). Carefully
push the DVM leads through the insulation near the BMAG cable/coil connections to measure
the voltage across each coil. (E1/E2 are on the left side / E3/E4 are on the right side of the
BMAG)
5.5. Compare Accelerator Solenoid Coil Voltage Values (Semiannual)
1. With Hi-X selected and the machine at 40°C, measure the coil voltage drop across the short
and long Accelerator Solenoid coils. Compare values to recorded values on PMI label. Refer
to PMI label for measurement locations.
5.6. Inspect Energy Switch Assembly & Operation (Semiannual)
1. Verify the Energy Switch adjustment knob is tight – tighten setscrews if necessary.
2. Compare Energy Switch dial setting to PMI label.
3. Verify the Energy Switch cycles in & out smoothly and each stroke does not exceed
approximately 2 seconds. The switch can be cycled locally as follows:
Old Style Air System (using Humphrey valves):
1) Verify energy switch air pressure is set to 25 psi.
2) Select any electron energy at the console.
3) Clip one end of a jumper wire onto Sled Patch Panel TB5 terminal 1.
4) While observing the Energy Switch, momentarily ground the other end of
the jumper to chassis ground. This will cycle the switch into the guide
side cavity. Removing the ground will cycle the switch back out. If either
stroke is too slow or jerky, adjust the HI (out) or LO (in) regulator valves
on the Sled Patch Panel. Large adjustments make small changes.
New Style Air System:
1) Verify system air pressure is set to 45-50 psig.
2) Select any electron energy at the console.
GE-725 Rev O 37 OF 70
3) Depress the small button on the Energy Switch air valve (located on the
Gantry inner wall) to cycle the switch in. Release the button to cycle out.
4) If motion is too slow, adjust the small gold regulator knobs on the Energy
Switch air cylinder assembly.
NOTE: If regulator adjustment does not improve the cycle speed, remove the air cylinder from the
back of the energy switch shaft and manually cycle the energy switch outward. If the shaft
movement feels smooth, schedule replacement of the two in-line air filters located after the
regulator valves on the Sled Patch Panel.
4. While cycling the Energy Switch in & out, verify the two water hoses do not cause any ‘twisting’
stress to the switch body. Both hoses should be tie-wrapped to the rear Accelerator Solenoid
on the big black retaining bolt.
5.7. Verify BMAG Lead Shielding Pieces are Secure (Semiannual)
1. Inspect Lead Shielding pieces around the BMAG assembly for secure mounting.
5.8. Inspect Target Drive Assembly & Operation (Annual)
1. With the Gantry pinned @ 270°, remove lead shield side plates to access Target assembly.
2. Carefully grasp Target Drive Assembly looking for free play movement side-to-side, up down, in
& out without exerting too much force. If free play movement is detected, verify that the Target
drive shaft set screws (on both sides of BMAG) are secure and the ¼-20 locking nuts are
secure (if equipped).
CAUTION: Too much torque on these setscrews or locknuts will cause the setscrew to break
which could cause excessive rework to remove the broken screw. It will be necessary to remove
the lead shielding from the other side of the BMAG to access the second setscrew.
3. Inspect Target I/L switch block assembly and actuators for secure mounting.
4. Using Pendant Redirection, cycle through energies looking for smooth operation.
5.9. Inspect Carrousel Area (Annual)
1. With the Carrousel area still exposed from previous step, inspect the cam index switches for
secure positioning.
2. Verify the pin is fully seating in the Carrousel ring recess / hole.
3. Visually inspect the BMAG Primary Collimator hoses for signs of cracking.
GE-725 Rev O 38 OF 70
4. Visually inspect the Angle T Steering Coil wires for any signs of insulation damage from
possible contact with removable pieces of side lead.
5.10. Carrousel Bearing Lubrication (Once every two years)
1. Remove the small lead shielding block that covers the bottom of the carrousel filters/foil ports.
This block is bolted down with two 7/16” bolts and is located directly under the tungsten
research port shielding in the front of the BMAG.
2. With the Gantry down and the shielding removed, lightly lubricate the carrousel outer bearing
ring with Tri-Flow or light machine oil (sewing machine oil) while cycling the carrousel.
5.11. Gantry Bearing Lubrication (Once every two years)
1. Grease the Gantry bearing with the lubricant listed in Appendix D. To apply the grease, attach
a grease gun (through the Stand area) to each of the Gantry bearing zerk fittings and pump in 2
strokes of grease.
GE-725 Rev O 39 OF 70
6. GUN DRIVER MODULE

WARNING: The Gun Driver assembly provides very high voltages when energized. To
prevent the risk of serious injury or death, DO NOT not extend any part of the body in the
Gun Driver cavity when the High Voltage is ON, which is normally indicated by illuminated
lamps (if functioning correctly). When the HV is OFF, ALWAYS hang the provided shorting
stick on the Gun Driver hot deck chassis to discharge all voltages before working in the
Gun Driver.
6.1. HV Warning Lights & Crow-Bar Operation (Quarterly)
1. With the two Gun Driver protective side covers removed, pull one screen interlock switch and
then toggle the screen switch on the other side. Verify both light bulbs turn on and the HV
crowbar energizes. Remember, HV is present on the hot deck side.
6.2. Clean & Inspect Gun Driver (Quarterly)
1. De-energize the Gun Driver by turning OFF the main power switches on the cold deck. Hang
shorting stick on hot deck
2. With a clean dry air source, blow out the Gun Driver assembly or wipe down accessible areas.
3. Visually inspect for loose hardware, loose connections and signs of arcing. Verify boards and
fiber optic cables (if applicable) are fully seated and the Crowbar & ground connections are
secure. Verify the Gun lead is tie-wrapped to the Sled to limit motion during rotation.
6.3. Compare Gun Driver Operating Parameters (Annual)

Analog Gun Driver
1. Measure and compare Gun HV in each mode (Hi & Lo) at the hot deck chassis using a 1000:1
HV probe.
2. Measure and compare Gun Filament across the yellow & black Gun leads with high voltage
OFF!
3. Measure and compare Grid Bias between the red Gun lead and hot deck chassis with high
voltage OFF!
NOTE: Grid bias should measure between -95 to -109 VDC. A lower value may indicate a
resistive path developing between the grid and cathode.
GE-725 Rev O 40 OF 70
Digital Gun Driver

Measuring High Voltage Settings:
For the first PMI, Gun HV is measured at the hot deck chassis using a 1000:1 probe. The
measured value is recorded and written on the PMI label. Next to this value, the relative Gun V
reading from the Console Analog Meters Display is also recorded. For all subsequent PMI’s, it is
only necessary to compare the Analog Meters Display reading with the values on the PMI label.
1. Measure the Gun V value shown on the Analog Meters Display screen for each energy.
Compare values to recorded values on PMI label.
NOTE: During the following steps, if at any time while displaying values on the Digital Gun Driver
Controller PCB, the display indicates Save =>, do not press the Enter switch. Instead, rotate the
rotary switch position to any other setting to clear this display and prevent saving erroneous
values. Return to the original switch position to continue. If unintended values are saved, the
correct values must be re-entered and saved.
Measuring Grid Default Settings:
1. Turn OFF the Gun Driver high voltage by releasing the screen interlock switch above the cold
deck access port. This will allow the Grid setting to be displayed without having to pull the
Controller PCB and switching S2-4 to LOCAL. However, S2-4 must be set to the LOCAL
position if Grid programming is required.
2. At the Controller PCB, set the rotary switch to Position 3 (Grid Setting).
3. Select each energy and depress the Enter switch once on the Controller PCB to display the grid
default setting value. Compare displayed values to recorded values on PMI label.
Measuring A/D Monitor Values:
1. At the Controller PCB, set the rotary switch to Position E (Monitor values).
2. Sequentially toggle the INC/DEC switch on the Controller to scroll through all the Gun Driver
monitor values. Compare values to recorded values on PMI label.
Measuring Gun Filament Voltage
1. Turn OFF Gun Driver high voltage and hang the grounding stick to the hot deck chassis.
2. Using a DVM, measure between the Heater and Cathode test points on the face of the hot
deck chassis. Compare value to recorded value on PMI label. Ideally, the gun filament should
be operating between 5.3 to 5.5V, unless the filament was intentionally increased due to gun
current instability.
NOTE: Measure the true gun filament between the Heater test point (TP3) and the Cathode test
point (TP2). The Heater Ref test point measures approximately 0.15V higher than the actual
voltage directly across the yellow and black gun leads. The Controller will display this higher
voltage, so a nominal setting of 5.3V across the gun filament leads will actually indicate
approximately 5.5 on the Controller LED display. A 5.3 display on the Controller correlates to
5.15V on the gun filaments and this lower voltage has been known to cause emission instability.
GE-725 Rev O 41 OF 70
7. MODULATOR MODULE
1. Verify the two large cooling fans next to HVPS rectifying diodes are operating. Machine must
be in the ON mode.
2. C1 & C2 Clinacs: Verify the blue 6-pack of cooling fans just above the Aux Power Distribution
is operating properly.
3. C3: Verify the fans next to the DeQing resistors are operating properly.
7.2. Verify HV Crow-Bar Operation (Semiannual)
1. Verify the Crowbar drops out when each Modulator door is opened.
7.3. Verify MOD Interlock Operation (Annual)

2. Disconnect the BNC cable from the End Clipper circuit (connector shown in Figure 13) and
verify the MOD interlock is active on the Clinac Console monitor.
Figure 13: MOD Interlock BNC Cable
GE-725 Rev O 42 OF 70
7.4. Compare Modulator Operating Parameters (Semiannual)
1. Compare all Modulator-operating parameters to the Modulator PMI label.
Table 5: Modulator Measurements (see Figure 14 and Figure 15)
Point of Measurement
Measurement
C1 & C2 Modulator C3 Modulator Universal Modulator
Main Thyratron 2 blue leads on T6 2 yellow test points 2 black test points (TP1 & 2)
Filament transformer in (TP3 to TP5) on on Thyratron chassis (see
Thyratron chassis Thyratron chassis TP’s A & B in Figure 15)
(AC voltage)
DeQing Thyratron 2 yellow leads on T3 2 yellow leads on Yellow and white leads on
Filament transformer (DeQing T3 transformer T5 transformer (see location
Deck) (DeQing deck) D in Figure 15)
(AC Voltage)
Keep Alive voltage TP3 to chassis TP1 to TP4 TP3 to TP2 (see TP’s B & C
in Figure 15)
(DC Voltage)
Figure 14: Modulator 3-Phase Power Measurement at HVCB Breaker
GE-725 Rev O 43 OF 70
Figure 15: Modulator Thyratron Measurements (C3 Universal Modulator)
GE-725 Rev O 44 OF 70
8. ACCESSORIES MODULE
8.1. Test Electron Applicator Operation (Quarterly)
1. Test each Applicator for proper operation (including the ACC interlock).
2. Verify that pressing “each side” of the Applicator Touchguard trips the collision circuit. Repeat
this test for ALL applicators.
8.2. Inspect Wedges (Quarterly)
1. Visually inspect all wedges for loose or missing hardware.
8.3. Inspect Guide Blocks (Quarterly)

Interface Mount Guide blocks should be replaced on a periodic basis as indicated on the
Replacement Log Summary label.
1. Visually inspect the Interface Mount, Accessory Mount and Compensator Mount guide blocks
for any damage or cracks. Pay special attention to any cracks present on the spring loaded
pressure bar.
Pressure Bar Guide Blocks
Figure 16: Interface Mount Guide Blocks and Pressure Bar
GE-725 Rev O 45 OF 70
9. COLLIMATOR & BEAMSTOPPER MODULE
9.1. Upper / Lower Collimator Inspection & Lubrication (Semiannual)

NOTE: When using Tri-Flow spray lubricant in the Collimator area, be careful not to accidentally
spray the mirror or crosshair assemblies. It is recommended to cover the mirror area with a soft
towel or cloth and use a straw or tube applicator to accurately apply the lubricant. Also wipe off
excess lubricant to prevent drips from contaminating other areas.
1. With the Gantry head down and the Collimator fiberglass cover removed, inspect all wiring, tie-
wraps and limit switches in the Collimator area.
2. Clean and lubricate the Lower Jaw drive assemblies as follows:
1) Clean and lubricate the lower jaw ball screws with Tri-Flow.
2) Dual Independent Jaws: clean the 5 lower jaw drive sprockets, two at
each end of the push rods and one on the drive motor. Lubricate by
applying a thin coat of G/N Metal Paste and wipe away any excess.
3) Dual Independent Jaws: locate the lower jaw drive sprockets (PN
885485-01). There are a total of two sprockets per jaw interconnected by
one push rod. Each gear has an inner and outer thrust bearing (thrust
bearings are shaped like a flat washer with inserted needle bearings).
Flush and lubricate all lower jaw thrust bearings with Tri-Flow. See lower
Collimator assembly drawing #882855 detail “F” for additional location
information.
4) For chain driven symmetrical lower jaws, flush and lubricate the chain
with Tri-Flow.
3. Clean and lubricate the Upper Jaw drive assemblies as follows:
1) Using only G/N Metal Paste, lubricate the upper jaw gears located inside
the upper jaw motor housings (gear boxes) - directly behind the primary
readout pots. Each of the motor housings has a visible opening for
lubrication. Newer assemblies have a dust cover that is held on with two
very small flat head screws. Remove one screw and swing the cover
open to access the gear. Use an applicator (tie wrap tip) to apply grease
on to the gear sprockets while driving the jaw.
2) The upper jaw racks do not require lubrication.
GE-725 Rev O 46 OF 70
9.2. Collimator Rotation Bearing Lubrication (Annual)
1. Rotate the Gantry down and pin it. Remove the Collimator cover and long jaw cover.
2. Remove the large front lead ring and the smaller rear lead ring to access the Collimator Bearing
retaining ring. Locate the retaining ring seams where the two half rings come together - there
should be one at the front and one at the rear of the Collimator. Rotate the Collimator to 90°,
using Tri-Flow (with the plastic tube nozzle on) inject lubricant in both seams. Repeat this step
for Collimator angles of 180° & 270°. Rotate the Collimator several times until the Tri-Flow is
distributed throughout the bearing.
9.3. Collimator Chain Drive & Tension Verification (Semiannual)
1. With the Gantry head down, remove the right & left side pieces of lead shielding surrounding
the Collimator.
2. Visually verify that all Collimator chain drive assemblies are not loose or damaged, which
includes:
• Chain
• Chain Tension Block
• Idler Sprockets
• Wiring Harness
3. Complete the applicable step below depending on the type of Collimator Chain Tension Block
installed.
1) Collimator Chain Tension Block without Sensor Switches: Remove

the locking hex nut on the chain tension block. Verify the adjustment hex
nut is torqued to 4 inch-lbs using a Torque Screwdriver (PN 2920001800)
as shown in Figure 17. After adjustment, re-install the locking nut –
prevent adjustment nut from turning while tightening.
2) Collimator Chain Tension Block with Sensor Switches: Verify a

HWFA interlock occurs when applying slight pressure to each sensor
switch as shown in Figure 18. It is not necessary to test the torque
setting on this block since the sensor switches are installed.
GE-725 Rev O 47 OF 70
Figure 17: Tension Block Hex Nut Adjustment
Figure 18: Tension Block Sensor Switch Test
GE-725 Rev O 48 OF 70
9.4. Field Light Lamp Replacement (Annual)
1. Once a year, replace the lamp in the Field Light Projector assembly. This only applies to the
non-FiberOptic Field Light assemblies (PN 1106642) that were cut-in on Collimators to
accommodate the Millennium MLC system. It is recommended to replace the lamp when
performing the previous step (Collimator bearing lubrication) since this step provides easy
access to the Field Light assembly.
NOTE: Varian recommends replacement of the bulb AND bulb holder as an assembly (PN
100010122-01) for two reasons:
1. Bulb position is preset in the socket (designed to prevent any light field shifts)
2. Bulb does not require any “handling” which should maximize lamp life
CAUTION: If only the bulb is replaced (instead of the bulb & bulb holder assembly), light field
walkout will have to be checked BEFORE and AFTER replacement to ensure accurate light field
alignment. Incorrect field alignment could result in minor patient mispositioning which could result
in minor or moderate injury.
9.5. Clean, Inspect & Lubricate Retractable Beamstopper (Semiannual - if used)
1. Remove the fiberglass RBS housing to gain access to the rails. Remove the top and bottom
fiberglass Beamstopper covers to gain access to the 4 oil tube lubrication points - these four
lubrication fittings will be clearly visible. With a small oil can gun, inject 30-weight oil until full. If
you don’t have an oil can gun use a 5/8” socket to remove the oil tubes. Rotate the Gantry to
gain access to all four. Remove the zerk fittings with a 7/16” wrench and reattach the oil tubes
into Beamstopper blocks. You can now fill the oil tubes and reassemble.
CAUTION: Do not over torque as the tubes can easily break off at the threads.
GE-725 Rev O 49 OF 70
10. PATIENT SUPPORT COUCH MODULE

WARNING: Possible bio-hazards exist on the Couch which could result in serious injury or
death. Wear protective gloves, eyeglasses and any other appropriate Personal Protective
Equipment (PPE) when cleaning the Couch.
10.1. Clean, Inspect & Lubricate Lift Drive (Quarterly)
1. Lower the Couch skirt / bellows. Raise the Couch high enough and insert the two safety braces
in the lower tracks. Clean any excess grease off the lift drive screw. If dry, spread a thin layer
of Shell Alvania EP-2 over threads.
2. Lubricate zerk fittings on the lift drive block and lift motor gear box with Shell Alvania EP-2,
Annual only.
3. Visually inspect the lift drive assemblies for any signs of wear or damage.
4. Remove safety braces and drive table to lower and upper limits. If all looks and sounds OK,
lower and re-attach the skirt.
10.2. Clean, Inspect, Lubricate Longitudinal & Lateral Carriage Ways (Quarterly)
1. ETR Couch Longitudinal & Lateral Carriage Ways (rails): If the ways (rails) are extremely
dirty, use mineral spirits to flush the bearings, then lubricate with Tri-Flow. If the ways are fairly
clean, just flush and lubricate with Tri-Flow as follows: apply a liberal amount of Tri-Flow to all
way (rail) surfaces, free float table laterally & longitudinally through all limits to distribute
lubricant. Wipe off any excess Tri-Flow.
2. ETR Couch Backlash: Measure longitudinal carriage backlash (spec is 2 mm). If backlash
exceeds spec, note as follow up. Adjust backlash as follows; Loosen the two shoulder bolts on
the telescoping drive assembly using a 5/32 Allen. The shoulder bolts are accessed through
two holes located on center of the outer longitudinal carriage next to the inner carriage
(reference drawing 876830). The shoulder bolts attach the telescoping drive to the carriage.
With the bolts loose, push assembly towards the center of the carriage and re-tighten. If
backlash cannot be minimized replace drive assembly.
3. Exact Couch Longitudinal & Lateral Carriage Ways: This Couch uses bearing blocks. Each
bearing block has a small zerk fitting. There are lubrication access holes located on the top of
the inner longitudinal carriage (4 places) and the lateral carriage (4 places) above the bearing
blocks. The uni-panel and fixed panel must be removed to access these lubrication points. Use
a needle nozzle (PN 865055-01) and apply Tri-Flow.
4. Exact Couch Backlash: Measure longitudinal backlash (spec is 2 mm). If backlash exceeds
spec, adjustment is required. There are two cam adjustments at the center/top of the inner
longitudinal carriage. Loosen the hold down screws at the center of the tightening cams and
rotate the cams to minimize the backlash. Tighten the hold down screws. The fixed panel must
be removed to access the cam tighteners (reference drawing TM53391).
GE-725 Rev O 50 OF 70
10.3. Verify Longitudinal, Lateral & Vertical Limit Switch Operation (Quarterly)
1. Using the pendant, drive each motion to both limits and verify the limit switch stops drive motor
operation. Version 5 and above has software limits which hinder this test so use Raw scale
readouts.
NOTE: If lateral or longitude motions continue to drive after engaging a mechanical limit it may not
be a limit switch problem. The bearing ways may no longer be in the center of travel and therefore
are acting as a mechanical stop before the limit switch can be engaged. In this case the bearing
needs to be re-centered.
Re-Centering the Linear Bearings (ETR Couch)

In the lateral and longitudinal motions, the carriages glide on linear roller bearings sandwiched
between two sets of ways (flat rails). Bearing cages (not externally visible) retain the bearings and
must travel with respect to the carriages in a precise fashion. Small position misalignments to the
longitudinal bearing cages can accumulate with normal use, causing some loss of forward and
rearward range of travel. If this occurs, release the longitudinal motion brake and manually push the
Couch to its full forward and rearward position (i.e., the mechanical stop). In this position the
bearing cages reseat themselves. If a hard push is insufficient, carefully use the inertia of the Couch
top, moved manually, to bump the carriage back.
10.4. Verify Functions of Pendants, Side Panels & Lamps (Quarterly)
1. Verify motor and switch functions for both Pendants and Side Panels.
2. Verify all lamps are operating on both side panels.
10.5. Inspect Couch Top Mylar Finger Guard – Exact Couch Top Only (Annual)
WARNING: Possible bio-hazards exist on the mylar sheet which could result in serious
injury or death. Wear protective gloves, eyeglasses and any other appropriate Personal
Protective Equipment (PPE) if cleaning is needed.
1. Remove the Couch top center panel.
2. Float Couch top fully forward (towards Gantry) and inspect the mylar finger guard as follows:
• Outer edges of the mylar sheet are adhered to the Couch top and the adhesive corner
pieces are attached. [ref: Figure 19]
• Mylar sheet is relatively flat and not significantly sagging down.
3. Float Couch top fully to the opposite end (away from Gantry) and repeat the above process (no
corner pieces).
4. If the mylar sheet is damaged or separating from any area of the Couch top, order PN
TM75182000 and install new mylar sheet. A permanent aluminum solution is also available
instead of using mylar sheets. This upgrade can be purchased through Varian.
GE-725 Rev O 51 OF 70
Figure 19: Exact Couch Top Mylar Finger Guard
5. Verify 4 pinch hazard labels (PN TM53556000) are installed at locations shown in Figure 20.
The two labels on the front edge of the Couch top should not cover the outer magnets.
Figure 20: Couch Top Pinch Hazard Labels (4 labels required)
10.6. Clean, Inspect & Lubricate VEO Turntable (Annual)

1. Remove turntable cover. Wipe the turntable ring clean and apply Lamora or Mobilplex oil
provided in VEO spares. Wipe away the excess. Locate the zerk fitting on the pie shaped
turntable casting located opposite the rotational drive motor. Apply Molyslip O.G.L. which is also
provided in VEO spares.
2. Visually inspect overall turntable condition for any problems.
3. 36-inch Standard Turntable: Verify proper operation of electromagnetic rotation brake at various
Turntable angles.
GE-725 Rev O 52 OF 70
11. CONSOLE MODULE
1. Verify the Console chassis fans are operational
1) C1 Clinacs: one fan at the back of electronics cabinet.
2) C2 & pre EMC C3 Clinacs: two fans, one at the back and one on the
side of the LVPS chassis.
3) C3 EMC Clinacs: one or two fans at the back of electronics cabinet.
11.2. Verify Console +15V Power Supply Output (Quarterly)

NOTE: The +15V power supply in the Console Power Supply chassis, provides source voltage
for various programming pots on each of the Program PCBs. The output fuse for the power supply
can develop resistance over time, which causes a drop in the power supply output voltage, which
can affect various tuning and steering parameters.
1. In SERVICE Mode, select Display > Analog > Machine to display the power supply voltages.
2. Verify the +15V value is ≥15.0V. If lower than 15V, replace the 1.5A SLO-BLO fuse on top of
the Console Power Supply chassis.
CAUTION: If the +15V power supply fuse was replaced, inform the customer to verify Dose Cal
before resuming patient treatments. 1 to 2% changes have been observed after fuse replacement.
11.3. Basic Beam Tuning / Print Service Mode Screens (Quarterly)

NOTE: For C/D Clinacs, verify the dose rate percentage in Rep Rate 7 for all electron energies
(rate should be approximately 1150 MU/Min). Due to a non-linear gun PRF rate in electrons on
C/D machines, Rep Rate 3 will be approximately 28% higher than the servoed rate while all other
rep rates will be approximately 15% higher. This anomaly applies to electron modes only. Photon
gun PRF rates are linear.
NOTE: Clinacs with Portal Vision systems installed may be affected by gun timing adjustments.
Do not adjust these pots unless absolutely necessary. If gun-timing pots are adjusted, the PLS
may require re-alignment.
GE-725 Rev O 53 OF 70
1. Turn OFF the PFN Servo & Dose Servo and verify each energy is running between 15-20%
above the required servoed dose rate. Small PFN-V pot (or RFDR pot for KLM systems)
adjustments may be necessary to peak the dose rate. Likewise, small GUN I pot adjustments
may be necessary to set the correct unservoed dose rate margins. If dose rate problems exist
after these basic adjustments, such as warm-up, AFC problems, etc., refer to the Beam Tuning
procedures in Appendix B.
2. For machines equipped with Portal Vision, verify that the dose rate in both X-Ray energies
reaches the required servoed dose rate value within 2-3 seconds after first beaming on. If the
dose rate remains too low or too high after this period of time, it will be necessary to adjust the
PV PLS Servo.
3. After each energy is tuned, print out the Service mode screen (Display/Analog/Machine) while
beamed on in RR3. Compare the low voltage power supply values on one of the printouts to a
previous printout sheet. Verify no significant changes. Then date and place the printouts in the
Console folder.
11.4. Compare Console Parameters (Semiannual)
1. Measure and compare the Cardrack voltages and waveforms to the recorded values on the
Console Cardrack Parameters sheet. Indicate any “out of tolerance” changes in value from the
original recorded values. Record any findings for diagnosis or list follow up recommendations
on a Service Report.
2. Draw the Low-X Target and LPWR2 waveforms on the Console Cardrack Parameters sheet (if
not already drawn). These waveforms are very useful for future troubleshooting. Record any
findings for diagnosis or list follow up recommendations.
11.5. Output vs. Gantry Rotation Performance (Annual)
1. Perform the Output versus Gantry Rotation values for the energies listed on the Console
Cardrack Parameters sheet. [ref: Appendix A]
2. Record the results on the Cardrack Parameter sheet.
3. If any output problems occur, schedule a follow-up service call for further investigation.
GE-725 Rev O 54 OF 70
12. WRAP UP MODULE
12.1. Backup Console Software (Quarterly)
1. Locate original Console Software floppy disks or Compact Flash card (whichever applies). If not
available, any clean, unused, formatted diskette may also be used.
NOTE: Each Clinac has 4 personality files (manuf.cnf, physics.cnf, service.cnf & accy.cnf) which
determine the machine specific configuration. It is important to backup the configuration in Physics
Mode after any service involving PRO calibration, Physics mode configuration changes or any
upgrade.
2. Insert Console S/W disk 2 of 2 (or the Compact Flash card) into the Clinac PC.
3. From the Major Mode screen select Physics mode (password should be 8888). Select Utilities
> Backup Configuration and press enter. If the disk is not accessible or an ‘attribute’ error
appears, verify the disk write protection tab is set correctly.
12.2. Perform Morning Checkout (Quarterly)
1. Run Morning Checkout for each energy including arcs. If arcs are not a part of the morning
checkout, run from Clinical mode.
12.3. Review Follow Up Recommendations (Quarterly)
1. Review follow up section at the end of the PMI Checklist to schedule any required follow up
service. Also, enter any new follow-up recommendations in this section.
12.4. Review Replacement Log Summary Label (Quarterly)
1. Determine if any items require replacement and schedule as necessary.
GE-725 Rev O 55 OF 70
GE-725 Rev O 56 OF 70
Appendix A Output versus Gantry Rotation

This test is designed to verify that the beam output does not fluctuate by more than 15% during
Gantry rotation. Beam fluctuations can occur from many sources, such as from poor beam aperture
steering, AFC reflections, mechanical flexure or movement, external magnetic fields, etc.
NOTE: All energies should be final tuned and steering servos should be balanced and closed for
these tests.
Set-Up
1. Verify Gantry can be fully rotated without any possibility of collision.
2. At the console...
4) Turn Dose Servo OFF.
5) Verify all steering servo loops are closed.
6) Override MOTN, KEY, TIME, DOS1, AND DOS2.
7) Verify dosimetry faults such, as EXQ1, EXQ2, etc. are active.
3. Draw a table (as shown below) for recording the data.
Table 6: Output vs. Rotation Sample Table
Hi-X Lo-X Lo e- Hi e-
001° (179 IEC)
090°
180° (000 IEC)
270°
359° (181 IEC)
Min
Max
%∆
GE-725 Rev O 57 OF 70
Test Procedure
1. Rotate the Gantry down to 001° (179° IEC) and beam on in RR3. Allow the beam output to
stabilize and record the dose rate for this Gantry angle.
2. Using the Automatic motion control feature in the Motors pull-down window, select Gantry
Automatic and enter 359 (181 IEC) for the target position value.
3. Hold down the DKB motion enable bar and start rotating the Gantry. Record the dose rate
every 90° as the Gantry rotates.
NOTE: It is common for the output to change in small gradual amounts as the Gantry rotates.
However, if you notice a sudden large change during Gantry rotation at ANY GANTRY ANGLE,
return to that angle and resolve the problem. See Trouble shooting section at the end of this
procedure.
4. Record the minimum and maximum values in the table and determine the % of output loss,
using the formula below. Spec is ≤ 15%. If the value is greater than 15%, refer to the
Troubleshooting section below.
(max output - min output) / max output X 100 = %∆
5. Repeat these steps for both X-Ray energies and the low & high electron energies. For CW
rotations, start at 359 (181 IEC) and select 001 (179 IEC) for target positions.
GE-725 Rev O 58 OF 70
Appendix B Basic Beam Tuning

The following procedures generally apply to both Shunt Tee and KLM RF Systems. However, the
steps below refer specifically to tuning a KLM system. Therefore, on Shunt Tee systems, adjust
the PFN pot instead of the RFDR pot whenever the procedures indicate an RDFR pot adjustment.
For KLM, the PFN pots should be set to their original installation values, which are typically 3 amps
below Klystron Current nameplate, except for 20X and 22e that may require higher values.
NOTE: For Clinacs equipped with Portal Vision systems, it is necessary to disable the PLS servo
operation before making dose rate adjustments.
Dose Rate Tuning
1. Rotate the Gantry to the head-up position.
2. Turn OFF PFN Servo and Dose Servo.
3. Enable Gun Motor Pot power and override GFIL interlock.
4. Connect a scope to view Beam I (TGT I) and LPWR2.
5. Beam on in Rep Rate 3 (X-Rays) or max Rep Rate (electrons) and peak the RFDR pot (PFN
pot for non-KLM) in each energy for maximum dose rate.
6. Verify dose rate peak is approximately 15 - 20% higher than the servoed dose rate. See
following Note for electron tuning.
NOTE: For C/D Clinacs, verify the dose rate margin percentage in Rep Rate 7 for all electron
energies (rate should be approximately 1150 MU/Min). Due to a non-linear gun PRF rate in
electrons on C/D machines, Rep Rate 3 will be approximately 28% higher than the servoed rate
while all other rep rates will be approximately 15% higher. This anomaly applies to electron
modes only. Photon gun PRF rates are linear.
7. If peak dose rate is too high or too low, adjust the GUN I pot and repeak the RFDR pot (PFN
pot for non-KLM) until the correct rate is achieved.
8. View Beam I waveform and verify that the leading edge is relatively straight. If not, it may be
necessary to adjust the gun delay timing.
9. View LPWR2 waveform in each energy and verify that the center section of the pulse is
relatively flat. If not, it may be necessary to peak the AFC pot.
GE-725 Rev O 59 OF 70
Appendix C Radiation Safe Beam-On Configuration

WARNING: A Radiation Badge or Personal Dosimeter device is always required when
working in a radiation environment. While in the treatment room, remain at least 2 meters
from the gun area and 1 meter from the Klystron. These areas may produce small levels of
gamma exposure within these ranges.
Occasionally, it is necessary to enter the treatment room while the modulator PFN pulse is being
applied to the Klystron, such as during Klystron Saturation. To prevent harmful radiation exposure,
the Clinac must be configured for Radiation Safe operation, whereas no beam output is present.
Follow the procedure to configure the Clinac for this type operation.
Configuring the Clinac for Radiation Safe Beam-On operation

1. At the console, in the Interlocks pull-down menu, toggle...
1) Gun Delay to ON
2) Console Gun Triggers to OFF.
3) Dose Servo to OFF
2. At the Gun Driver...
1) Open any screen interlock switch to disable high voltage and hang the
grounding stick on the hot deck
2) Turn OFF Gun Driver power switches.
3. Close upper and lower jaws to limits.
4. In the treatment room, rotate the Gantry so the gun is away from the area of work. For
example, if saturating the Klystron, rotate the Gantry to 315° IEC (225° Varian) since the area of
work is at the RFDR.
5. At the Console,
1) Program any energy
2) Set TIME to 9.99 and set MU1 to 1.
3) Override UDR1, UDR2, GFIL and XSDR
4) Ensure the DOS1 & 2 interlocks are Active
5) Turn OFF PFN Servo (required for accurate measurements of KLY I & V)
GE-725 Rev O 60 OF 70
6) Set AFC switch to manual and adjust frequency knob to either limit (full
off-resonance) – This is essential to prevent acceleration of stray copper
electrons.
6. Beam on in RR1 to verify that no beam is produced. If no rate or MU is observed, it is safe to

enter the room.
GE-725 Rev O 61 OF 70
Appendix D Lubricants & Applications for Clinacs

Table 7: Recommended Lubricants and Applications
LUBRICANT PART # APPLICATION
Chevron EP- 14.5 oz. 88-299522-00 PSA/ETR Turntable Bearing, L.E RBS
(Kaydon and Rotex bearings)
Shell Alvania EP-2 14.5oz 88-299421-00 ETR and EXACT lift drive actuators, including bevel gears
or ETR and EXACT lift thrust bearing
G952000100 PSA ball screws
VEO Turntable, center bearing and gearbox (Zerk fittings)
Darina SD 88-299542-00 Gantry Bearings (Kaydon) all Clinacs
G/N Metal Paste 88-299461-00 Lower Independent Jaws (gears), Upper Independent Jaws (worm
gears)
Molykote 44 88-299445-00 Collimator windup cables
Tri-Flow 870104-01 PSA Elevator Assembly (ball screws), ETR/EXACT Couch longitudinal
and lateral bearings and ways (for EXACT longitudinal bearing block
Zerk fittings use PN 86055-01 Needle Nozzle), Energy Switch
(external post), Carrousel (Kaydon Bearing), PSA longitudinal and
lateral bearings and ways, All Collimator ball screws
Air Tool Oil Self Purchase HE Air System (New modular air systems require no oil)
Super Lube 88-299524-00 MLC S/N’s 1-26 carriage, leaf guide plates and lead screws. S/N’s
100-255 round way rails, and lead screws. S/N’s 100+ (guide plates
require no lube) S/N’s 300+ lead screws, use lube gun PN 29-899487-
00 for grease fittings on each of the primary bearing blocks.
Automatic Transmission Self Purchase HE/LE Gantry (harmonic drive), HE/LE RBS (Harmonic Drive)
Fluid, Dextron II (auto)
30 Weight Motor Oil Self Purchase HE RBS (lubrication ports)
(automotive)
Roughing Pump Oil 1 ltr 88-299480-00 HE (Mechanical roughing pump)
Fel-Pro Anti-Seize Lube 88-299465-00 HE/LE (Gantry bearing bolts), PSA/ETR (toe bolts)
C5A
West Lube 88-299471 Drill and Tap Lubricant
Lamora D68 H930000500 VEO Baseframe turntable track
Mineral Spirits Self Purchase Used as a cleaning agent for heavy duty cleaning on various bearings,
such as ETR EXACT longitudinal and lateral bearings, Collimator,
Carrousel and Gantry bearings.
Shell Diala Ax, (55 gal) 88-299437-00 Pulse Transformer
Shell Diala Ax, (5 gal) 88-299437-01
GE-725 Rev O 62 OF 70
Appendix E High Energy C-Series Clinac PMI Checklist

Site PCSN
Name
Q1 Q2 Q3 Q4 PMI Target Months
Filament Hours Q1 Target Q2 Target Q3 Target Q4 Target
Beam Hours
PMI Q1 Q2 Q3 Q4
Ref # Task Frequency Init/Date Init/Date Init/Date Init/Date
Power Off & Inspections Module
Customer Interview Regarding PROs and

3.1 Q
Optics
3.2 Event Log Review & Initial Output Check Q
3.3 Test Console Backup MU Counter Q
3.5 Test Emergency Off Switches Q
3.6 Test Emergency Pendant Q
3.7 Test Flow Switch Operation Q
Inspect Water System & Clean Small

3.8 Q
Filter Screen(s)
3.9 Clean Air Filters Q
Clean & Inspect Console Electronic

3.10 Q
Cabinet
Console Backup MU Counter
3.11 A
Replacement
3.12 Clean & Inspect Stand Q
3.13 Clean & Inspect Modulator Q
3.14 Clean & Inspect Gantry Q
3.15 Water Hose Inspection SA
GE-725 Rev O 63 OF 70
PMI Q1 Q2 Q3 Q4
Power Off & Inspections Module (Continued)
Inhibited Water System – Water & Filter

3.16 A
Replacement
Stand Module
4.1 Verify Cooling Fans Operation Q
4.2 Air System Inspection Q
4.3 Compare Water System Parameters Q
4.4 Compare BMAG Shunts Q
Compare VacIon Pump Current & Voltage

4.5 Q
Values
4.6 Compare KSOL Shunt Value SA
Compare RF Driver & Klystron

4.7 SA
Parameters
4.8 Water Overtemp Trip Setting A
4.9 Klystron Saturation (Shunt T only) A
4.10 Pulse Tank Oil Level Check A
4.11 Gantry Chain Tension Verification SA
Gantry Clutch / Harmonic Drive Torque

4.12 SA
Verification
4.13 Gantry Motor Drive Sprocket Inspection A
4.14 Gantry Chain Master Link Inspection SA
Gantry Module
5.1 Counterweight Mounting Bolts Inspection A
Inspect Cables, Rotating Water Joints &

5.2 Q
Hoses During Rotation
GE-725 Rev O 64 OF 70
PMI Q1 Q2 Q3 Q4
Gantry Module (Continued)
5.3 Inspect Air Solenoid Valves Q
5.4 Compare BMAG Coil Voltage Values Q
Compare Accelerator Solenoid Coil

5.5 Q
Voltage Values
Inspect Energy Switch Assembly &
5.6 SA
Operation
Verify BMAG Lead Shielding Pieces are
5.7 SA
Secure
Inspect Target Drive Assembly &
5.8 A
Operation
5.9 Inspect Carrousel Area A
5.10 Carrousel Bearing Lubrication BA
5.11 Gantry Bearing Lubrication BA
Gun Driver Module
6.1 HV Warning Lights & Crow-Bar Operation Q
6.2 Clean & Inspect Gun Driver Q
Compare Gun Driver Operating

6.3 A
Parameters
Modulator Module
7.2 Verify HD Crow-Bar Operation SA
7.3 Verify MOD Interlock Operation A
Compare Modulator Operating

7.4 SA
Parameters
GE-725 Rev O 65 OF 70
PMI Q1 Q2 Q3 Q4
Accessories Module
8.1 Test Electron Applicator Operation Q
8.2 Inspect Wedges Q
8.3 Inspect Guide Blocks Q
Collimator & Beamstopper Module
Upper / Lower Collimator Inspection &

9.1 SA
Lubrication
9.2 Collimator Rotation Bearing Lubrication A
Collimator Chain Drive & Tension

9.3 SA
Verification
9.4 Field Lamp Replacement A
Clean, Inspect & Lubricate Retractable

9.5 SA
Beamstopper
Patient Support Couch Module
10.1 Clean, Inspect & Lubricate Lift Drive Q
Clean, Inspect & Lubricate Longitudinal &

10.2 Q
Lateral Carriage Ways
Verify Longitudinal, Lateral & Vertical
10.3 Q
Limit Switch Operation
Verify Function of Pendants, Side Panels
10.4 Q
& Lamps
10.5 Inspect Couch Top Mylar Finger Guard A
10.6 Clean, Inspect & Lubricate VEO Turntable A
GE-725 Rev O 66 OF 70
PMI Q1 Q2 Q3 Q4
Console Module
Verify Console +15V Power Supply

11.2 Q
Output
Basic Beam Tuning / Print Service Mode
11.3 Q
Screens
11.4 Compare Console Parameters SA
11.5 Output vs. Gantry Rotation Performance A
Wrap Up Module
12.1 Backup Console Software Q
12.2 Perform Morning Checkout Q
12.3 Review Follow-Up Recommendations Q
12.4 Review Replacement Log Summary Q
[Frequency Legend: Q = Quarterly / SA = Semi-Annual / A = Annual / BA = Bi-Annual]
Comments (List any comments or follow-up items below. Use additional sheet if necessary)
GE-725 Rev O 67 OF 70
GE-725 Rev O 68 OF 70
Bill Of Materials
-01 Part Number Description

None
Drawing Number Other Documents Included

None
GE-725 Rev O 69 OF 70
Varian Oncology Systems
United States Centers International Centers

Headquarters Australasia Pty. Ltd. Germany Middle East
660 North McCarthy Blvd. Suite 3, 13a Narabang Way Alsfelder Strasse 6 10 Janabiyah Gardens Arcade
Milpitas, CA 95035 Belrose, NSW 2085 D-64289 Darmstadt Entrance 330, Avenue 35
Tel: 408.321.9400 Tel: 61.2.9485.0121 Tel: 49.6151.731.30 Janabiyah 561,
Kingdom of Bahrain
Las Vegas Facility Belgium Germany (BrachyTherapy) Tel: 973.176.99.470
6873 Spencer St Park Hill Bergische Strasse 16
Las Vegas, NV 89119 Mommaaertslaan, 16B 42781 Haan Netherlands
Tel: 702.938.4700 1831 Diegem Tel: 49.2129.551.0 Nederland B.V,
Tel: 32.2.720.1008 Kokermolen 2
Northeast Hong Kong 3994 DH Houten
100 Walnut Ave. STE 201 Brazil Ltd A Room 1016-20, Tower A, Tel: 31.30.6340506
Clark, NJ 07066 Rua São Carlos do Pinhal, New Mandarin Plaza
Tel: 732.381.5300 no 696 - 9o andar - Bela Vista 14 Science Museum Road Russia
Sao Paulo, SP - CEP 01333-000 Tsimshatsui East, Kowloon 19A, Khlebny per.,
Southeast Tel: 55.11.3457.2655 Tel: 852.2724.2836 4th Floor, 121069 Moscow
2250 Newmarket Pkwy #120 Tel: 7.495.204.44.23
Marietta, GA 30067 China P.R. India Pvt. Ltd.
Tel: 678.255.3888 Room 1206, Air China Plaza 602, Pressman House, Spain
No. 36 Xiaoyun Road Plot No. 70A Avda. de la Industria, 9
Midwest Chaoyang District, Beijing 100027 Nehru Road, Vile Parle (E) Edificio Isósceles, 1o - 2a
200 E. Howard St. STE 202 Tel: 86.10.8447.5925 Mumbai 400 099 Pol. Industrial de Alcobendas
Des Plaines, IL 60018 Tel: 91.22.2613755 28108 Alcobendas - Madrid
Tel: 847.296.0660 Denmark Tel: 34.91.33.44.800
Lyskaer 9 Italy
Southwest DK-2730, Herlev Via Brescia 28D1 Switzerland
403 International Pkwy STE 503 Tel: 45.44.500.100 20063 Cernusco Sul Naviglio Chollerstrasse 38
Richardson, TX 75081 Milano CH-6303 Zug
Tel: 972.238.7017 France Tel: 39.02.921.351 Tel: 41.41.749.8844
283 Rue de la Miniere
West 78535 Buc Cedex Japan United Kingdom
650 E. Parkridge Ave. STE 109 Tel: 33.1.30.83.83.83 Keio Chofu Kojimacho Bldg. Gatwick Road
Corona, CA 92879.1092 32-2, Kojimacho 1-Chome, Crawley
Tel: 909.280.4406 Chofu-shi, Tokyo 182-0026 West Sussex RH10 9RG
Tel: 81.424.41.5802 Tel: 44.1293.53.12.44
March-2009
GE-725 Rev O 70 OF 70

CTB GE-725-O HE PMI Procedure

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Tools & Equip See Required Tools & Equipment Section

Order Kit Information

Order Number Description

REV CREATION DATE STB INT DESCRIPTION OF CHANGE FILE NAME

Removed Section ST 15: Gantry Chain Replacement for RapidArc. This is no

Moved Section GA 4 to ST Section (now Section ST 5) – logical location;

Referenced CTB-ST-604 for chain tension adjustment and sprocket replacement;

Corrected various style errors & typos;

Transferred content to CTB format and was issued a drawing number.

DWG NO. REVISION

Revision Information Continued

Section 1.3: Corrected Emergency Off abbreviation; added MCMS abbreviation;

Section 3.3, 3.4, 3.5, 3.6: minor edits;

Section 3.7: updated section;

Section 3: Removed Inhibited Water System - Chemical Replacement section due

Section 5.11: minor edits;

Section 7.3: new section added for MOD IL test;

Section 8.3: new section added to inspect Accy Guide Blocks;

Section 12.1: added Compact Flash card to Software backup step;

Added Appendix E: High Energy C-Series Clinac PMI Checklist;

Corrected minor typos and grammar errors throughout doc;

Moved to new CTB template

Read this entire document, carefully reviewing all instructions.

Intentionally Blank Page

High Energy Clinac

All other trademarks or registered trademark are the property of their

4.12. Gantry Clutch / Harmonic Drive Torque Verification (Semiannual) ....................................32

12. Wrap Up Module ........................................................................................................................55

CAUTION: PMI’s should be performed by trained service personnel only.

NOTE: A Note provides non-critical information, such as user requirements,

CAUTION: Describes actions or conditions that could result in minor or

WARNING: Describes actions or conditions that could result in serious

1.3. Abbreviations & Terminology

KONA Stand repackaging configuration that removed the upper E-Rack

1.4. Safety Hazards

1.5. Required Tools & Equipment

2. GENERAL PMI INFORMATION

2.1. Usage Formats – PMI vs. MCMS

These inspections can be performed in either of two formats:

2.2. Supporting Documents & Labels

2.2.1. PMI Checklist

Table 1: PMI Target Months

Target Target Target Target

May Aug-Sep Nov-Dec Feb-Mar

Task Time Period Guidelines:

2.2.2. PMI Data Labels

2.2.3. PMI Label Placement Locations

Recommended locations for PMI Labels:

2.2.4. Console Cardrack Parameters Sheet

2.2.5. Replacement Log Summary

2.2.6. BEAM QA Guidelines

3. POWER OFF & INSPECTIONS MODULE

3.1. Customer Interview Regarding PROs & Optics (Quarterly)

3.2. Event Log Review & Initial Output Check (Quarterly)

3.3. Test Console Backup MU Counter (Quarterly)

3.4. Machine PMI Preparation (N/A for MCMS)

1. Remove the following Gantry covers:

• Gantry Top cover (boat)

• Center Display cover (Gantry display)

• Upper rear Gantry covers (gun deck access)

• Gun Driver Safety covers (hot & cold deck)

 Stand front lower center cover

 Position the Gantry to 270°