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GE Healthcare

PETtrace 800 series


TYLER
Installation and Test Verification Certificates
DOC2470460
Class A
GE HEALTHCARE PETtrace 800 series TYLER Installation and Test Verification Certificates
REVISION 2 DOC2470460

REVISION HISTORY

Rev. Date Reason for change


2 25 Jan. 2022 Sec. 3 and 4: Empty pages removed. [PCR 21-229]
Sec. 3-1 to 3-4: N/A checkbox added. [PCR 21-229]
Sec. 4-1 to 4-19: Note and layout of exceptions approval table and option bullets changed.
Ground continuity test added [PCR 21-290].
1 18 Mar. 2021 Initial document release

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GE HEALTHCARE PETtrace 800 series TYLER Installation and Test Verification Certificates
REVISION 2 DOC2470460

CUSTOMER DOCUMENTATION PORTAL

Manuals can be downloaded from the Customer Documentation Portal (CDP).


Enter the Customer Documentation Portal through https://www.gehealthcare.com/documentationlibrary.
1. In the Modality drop-down menu, select Radiopharmacy Cyclotrons.
2. Select product.
3. Select document type and language, if desired.
4. Click Search.
Please check CDP regularly for updates.

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GE HEALTHCARE PETtrace 800 series TYLER Installation and Test Verification Certificates
REVISION 2 DOC2470460

TABLE OF CONTENTS

1 INTRODUCTION ..................................................................................................................................................................................5
1-1 Customer information ....................................................................................................................................................................................................5
1-2 Ordered TYLER products ...............................................................................................................................................................................................6
2 DOSE RATE MEASUREMENTS............................................................................................................................................................7
3 SYSTEM PERFORMANCE DEMONSTRATION ...................................................................................................................................8
3-1 Single beam capability – protons ............................................................................................................................................................................8
3-2 Dual beam capability – protons ...............................................................................................................................................................................8
3-3 Single beam capability – deuterons .......................................................................................................................................................................9
3-4 Dual beam capability – deuterons ..........................................................................................................................................................................9
4 VERIFICATION CERTIFICATES ........................................................................................................................................................ 10
4-1 P5280WF 10 year baseline refurbishment ...................................................................................................................................................... 10
4-2 P5280WG 10 year Dee replacement .................................................................................................................................................................. 11
4-3 P5280WK 10 year helium cooling replacement ........................................................................................................................................... 12
4-4 P5280WH 10 year Dee and chamber refurbishment ................................................................................................................................ 13
4-5 P5280WI 10 year vacuum diffusion pump refurbishment ...................................................................................................................... 14
4-6 P5280WR EOSSS CCU upgrade .............................................................................................................................................................................. 15
4-7 P5280WX EOSSS Air compressor replacement 50 Hz ............................................................................................................................... 16
4-8 P5280WY EOSSS Air compressor replacement 60 Hz ................................................................................................................................ 17
4-9 P5280WZ EOSSS Radiation shield air panel upgrade ................................................................................................................................ 18
4-10 P5280WT EOSSS PSMC rebuild ............................................................................................................................................................................... 19
4-11 P5280WU EOSSS PSMC replacement ................................................................................................................................................................. 20
4-12 P5280WS EOSSS ACU Gen I to PT800 upgrade ............................................................................................................................................. 21
4-13 P5280WQ EOSSS SCU upgrade .............................................................................................................................................................................. 22
4-14 P5280WV EOSSS SwedeWater replacement 50 Hz .................................................................................................................................... 23
4-15 P5280WW EOSSS SwedeWater replacement 60 Hz................................................................................................................................... 24
4-16 P5280WP EOSSS LTF replacement ....................................................................................................................................................................... 25
4-17 P5280AB Extraction Gen II upgrade .................................................................................................................................................................... 26
4-18 P5280AN Tiering 160 µA upgrade ........................................................................................................................................................................ 27
4-19 PETtrace 800 series Customized TYLER Product........................................................................................................................................... 28

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GE HEALTHCARE PETtrace 800 series TYLER Installation and Test Verification Certificates
REVISION 2 DOC2470460

1 INTRODUCTION
This document verifies to both parties that the installation of the TYLER products specified in this document is
completed. The installation instructions for each TYLER product are stated in separate documents.
A copy of the completed document should be sent by the GE installation personnel to gepsrpservice@ge.com. The
original stays with the customer.

1-1 Customer information


Fill in the site identification details below.

Customer information
Site name

System ID

Country

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GE HEALTHCARE PETtrace 800 series TYLER Installation and Test Verification Certificates
REVISION 2 DOC2470460

1-2 Ordered TYLER products


The following TYLER products have been ordered and is part of the Installation and Test Verification Certificates scope:

Check ✓ P-cat Product


P5280WF 10 year baseline refurbishment

P5280WG 10 year Dee replacement

P5280WK 10 year helium cooling replacement

P5280WH 10 year Dee and chamber refurbishment

P5280WI 10 year vacuum diffusion pump refurbishment

P5280WR EOSSS CCU upgrade

P5280WX EOSSS Air compressor replacement 50 Hz

P5280WY EOSSS Air compressor replacement 60 Hz

P5280WZ EOSSS Radiation shield air panel upgrade

P5280WT EOSSS PSMC rebuild

P5280WU EOSSS PSMC replacement

P5280WS EOSSS ACU Gen I to PT800 upgrade

P5280WQ EOSSS SCU upgrade

P5280WV EOSSS SwedeWater replacement 50 Hz

P5280WW EOSSS SwedeWater replacement 60 Hz

P5280WP EOSSS LTF replacement

P5280AB Extraction Gen II upgrade

P5280AN Tiering 160 µA upgrade

PETtrace 800 series Customized TYLER Product

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GE HEALTHCARE PETtrace 800 series TYLER Installation and Test Verification Certificates
REVISION 2 DOC2470460

2 DOSE RATE MEASUREMENTS


Before measuring, remove targets and extraction foil carousels.

Action Yes No
Targets removed
Extraction foil carousels removed
If not removed, comment on why:

Fill in the results from the dose rate measurements.

Measuring point Measuring distance Reading (µSv/h) Time after EOB


1. Central region 100 cm
2. Extraction (carrier 2) 30 cm
3. Collimators 30 cm

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GE HEALTHCARE PETtrace 800 series TYLER Installation and Test Verification Certificates
REVISION 2 DOC2470460

3 SYSTEM PERFORMANCE DEMONSTRATION


Before leaving the site, the GE installation personnel does system performance tests to verify the PETtrace 800 series
system capability to produce beam, with protons and deuterons and in single and dual beam operation, if the options
are installed.

3-1 Single beam capability – protons

 Test is not applicable.

The test demonstrates the PETtrace 800 series system capability to produce a proton beam measured on a dummy
target or a target. Any target can be used for the test, but a dummy target is preferred, if available, as it has a higher
beam current rating.
The beam current mean value is generally lower than the set value during normal operation of the system. The beam
current mean value is calculated in the Master control and available in a production report created after end of
production.
Criteria: the demonstrated beam current mean value is not less than 5% below the set value.

Production time [minutes]

120

Beam current set value [µA] (according to installed


Demonstrated beam current mean value [µA]
tiering: 60, 100 (130 and 160 intended for dual beam))

3-2 Dual beam capability – protons

 Test is not applicable.

The test demonstrates the PETtrace 800 series system capability to produce dual beams of protons in two target
locations simultaneously. This test is only valid if the system has a dual beam option installed. Dual beam capability is
performed at max tiering if installed targets can handle the required target currents.
The beam current mean value is generally lower than the set value during normal operation of the system. The beam
current mean value is calculated in the Master control and available in a production report created after end of
production.
Criteria: the demonstrated beam current mean value is not less than 5% below the set value.

Production time [minutes]

120

Beam current set value [µA] Beam current set value [µA] Demonstrated total beam current
Target X Target Y mean value [µA]

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GE HEALTHCARE PETtrace 800 series TYLER Installation and Test Verification Certificates
REVISION 2 DOC2470460

3-3 Single beam capability – deuterons

 Test is not applicable.

The test demonstrates the PETtrace 800 series system capability to produce a deuteron beam measured on a dummy
target or a target. Any target can be used for the test, but a dummy target is preferred, if available, as it has a higher
beam current rating.
The beam current mean value is generally lower than the set value during normal operation of the system. The beam
current mean value is calculated in the Master control and available in a production report created after end of
production.
Criteria: the demonstrated beam current mean value is not less than 5% below the set value.

Production time [minutes]

60

Beam current set value [µA] (60 for a dummy target) Demonstrated beam current mean value [µA]

3-4 Dual beam capability – deuterons

 Test is not applicable.

The test demonstrates the PETtrace 800 series system capability to produce dual beams of deuterons in two
target locations simultaneously. This test is only valid if the system has both dual beam and deuterons options installed.
Selection of targets can be the 15O-O2 and the 18F-F2 in combination if both target types are installed. If one of the
two proposed targets are missing, a dummy target can be used instead. Under the restriction of maximum ratings for
the attached targets and maximum beam current for the cyclotron, the beam current can for example be set to 80% on
target X and 20% on target Y.
The beam current mean value is generally lower than the set value during normal operation of the system. The beam
current mean value is calculated in the Master control and available in a production report created after end of
production.
Criteria: the demonstrated beam current mean value is not less than 5% below the set value.

Beam current set value [µA] Demonstrated beam current mean value [µA]
Target X (suggested value: 45 µA/10 min) Target X

Beam current set value [µA] Demonstrated beam current mean value [µA]
Target Y (suggested value: 15 µA/10 min) Target Y

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GE HEALTHCARE PETtrace 800 series TYLER Installation and Test Verification Certificates
REVISION 2 DOC2470460

4 VERIFICATION CERTIFICATES
4-1 P5280WF 10 year baseline refurbishment
Tests
PETtrace 800 series Ground continuity test (DOC1653524).
System performance demonstration (results presented in chapter 3 System performance demonstration).

Select one of the options below.


 The product has been installed and passed tests without exceptions.
 The product has been installed and passed tests with the exceptions specified below.
 The product has NOT been installed with the reason specified below.
 Not applicable/not ordered.

GE and the customer agree on the exceptions specified below.


Note!
The exceptions must be approved by the GE regional service representative (identified during the TYLER assessment).

Exceptions Reason

Approved by
Name

GE and the customer agree that the result achieved with tests performed above verifies system functionality after
completed work.

GE representative Customer representative


Place / Date Place / Date

Title Title

Signature Signature

Print name Print name

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GE HEALTHCARE PETtrace 800 series TYLER Installation and Test Verification Certificates
REVISION 2 DOC2470460

4-2 P5280WG 10 year Dee replacement


Tests
PETtrace 800 series Ground continuity test (DOC1653524).
System performance demonstration (results presented in chapter 3 System performance demonstration).

Select one of the options below.


 The product has been installed and passed tests without exceptions.
 The product has been installed and passed tests with the exceptions specified below.
 The product has NOT been installed with the reason specified below.
 Not applicable/not ordered.

GE and the customer agree on the exceptions specified below.


Note!
The exceptions must be approved by the GE regional service representative (identified during the TYLER assessment).

Exceptions Reason

Approved by
Name

GE and the customer agree that the result achieved with tests performed above verifies system functionality after
completed work.

GE representative Customer representative


Place / Date Place / Date

Title Title

Signature Signature

Print name Print name

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GE HEALTHCARE PETtrace 800 series TYLER Installation and Test Verification Certificates
REVISION 2 DOC2470460

4-3 P5280WK 10 year helium cooling replacement


Tests
PETtrace 800 series Ground continuity test (DOC1653524).
The function of all target options tested in accordance with PETtrace 800 series Service Manual – Accelerator
(dir. 2169047-100), section Target system | Adding removing target options | Installing a new target system | Testing
the target system.
The function of the helium cooling system tested in accordance with PETtrace 800 series Installation Manual
(dir. 2131771-100), section Start-up and calibration sequence | Helium cooling system, LTF system and target
checks | Inspect and test the helium delivery and cooling system.
System performance demonstration (results presented in chapter 3 System performance demonstration).

Select one of the options below.


 The product has been installed and passed tests without exceptions.
 The product has been installed and passed tests with the exceptions specified below.
 The product has NOT been installed with the reason specified below.
 Not applicable/not ordered.

GE and the customer agree on the exceptions specified below.


Note!
The exceptions must be approved by the GE regional service representative (identified during the TYLER assessment).

Exceptions Reason

Approved by
Name

GE and the customer agree that the result achieved with tests performed above verifies system functionality after
completed work.

GE representative Customer representative


Place / Date Place / Date

Title Title

Signature Signature

Print name Print name

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GE HEALTHCARE PETtrace 800 series TYLER Installation and Test Verification Certificates
REVISION 2 DOC2470460

4-4 P5280WH 10 year Dee and chamber refurbishment


Tests
PETtrace 800 series Ground continuity test (DOC1653524).
System performance demonstration (results presented in chapter 3 System performance demonstration).

Select one of the options below.


 The product has been installed and passed tests without exceptions.
 The product has been installed and passed tests with the exceptions specified below.
 The product has NOT been installed with the reason specified below.
 Not applicable/not ordered.

GE and the customer agree on the exceptions specified below.


Note!
The exceptions must be approved by the GE regional service representative (identified during the TYLER assessment).

Exceptions Reason

Approved by
Name

GE and the customer agree that the result achieved with tests performed above verifies system functionality after
completed work.

GE representative Customer representative


Place / Date Place / Date

Title Title

Signature Signature

Print name Print name

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GE HEALTHCARE PETtrace 800 series TYLER Installation and Test Verification Certificates
REVISION 2 DOC2470460

4-5 P5280WI 10 year vacuum diffusion pump refurbishment


Tests
PETtrace 800 series Ground continuity test (DOC1653524).
The function of the vacuum system verified in accordance with PETtrace 800 series Service Manual – Maintenance
(dir. 2169049-100), section Periodic Maintenance | Instructions for Planned Maintenance | Sequence # 50 Press
STANDBY on the VCU and note the time and # 51 Check that the high vacuum valve opens and note the time.

Select one of the options below.


 The product has been installed and passed tests without exceptions.
 The product has been installed and passed tests with the exceptions specified below.
 The product has NOT been installed with the reason specified below.
 Not applicable/not ordered.

GE and the customer agree on the exceptions specified below.


Note!
The exceptions must be approved by the GE regional service representative (identified during the TYLER assessment).

Exceptions Reason

Approved by
Name

GE and the customer agree that the result achieved with tests performed above verifies system functionality after
completed work.

GE representative Customer representative


Place / Date Place / Date

Title Title

Signature Signature

Print name Print name

Page 14 of 29
GE HEALTHCARE PETtrace 800 series TYLER Installation and Test Verification Certificates
REVISION 2 DOC2470460

4-6 P5280WR EOSSS CCU upgrade


Tests
PETtrace 800 series Ground continuity test (DOC1653524).
Cold tests of targets and valves in accordance with applicable instructions in PETtrace 800 series Service Manual –
Maintenance (dir. 2169049-100), section Periodic maintenance | Instructions for Planned Maintenance | Sequence
# 118 Measure the voltages in the CCU Gen II to # 126 Do a test of the 15O ovens.

Select one of the options below.


 The product has been installed and passed tests without exceptions.
 The product has been installed and passed tests with the exceptions specified below.
 The product has NOT been installed with the reason specified below.
 Not applicable/not ordered.

GE and the customer agree on the exceptions specified below.


Note!
The exceptions must be approved by the GE regional service representative (identified during the TYLER assessment).

Exceptions Reason

Approved by
Name

GE and the customer agree that the result achieved with tests performed above verifies system functionality after
completed work.

GE representative Customer representative


Place / Date Place / Date

Title Title

Signature Signature

Print name Print name

Page 15 of 29
GE HEALTHCARE PETtrace 800 series TYLER Installation and Test Verification Certificates
REVISION 2 DOC2470460

4-7 P5280WX EOSSS Air compressor replacement 50 Hz


Tests
PETtrace 800 series Ground continuity test (DOC1653524).
The operation of the shield doors tested for a minimum of 10 cycles.

Select one of the options below.


 The product has been installed and passed tests without exceptions.
 The product has been installed and passed tests with the exceptions specified below.
 The product has NOT been installed with the reason specified below.
 Not applicable/not ordered.

GE and the customer agree on the exceptions specified below.


Note!
The exceptions must be approved by the GE regional service representative (identified during the TYLER assessment).

Exceptions Reason

Approved by
Name

GE and the customer agree that the result achieved with tests performed above verifies system functionality after
completed work.

GE representative Customer representative


Place / Date Place / Date

Title Title

Signature Signature

Print name Print name

Page 16 of 29
GE HEALTHCARE PETtrace 800 series TYLER Installation and Test Verification Certificates
REVISION 2 DOC2470460

4-8 P5280WY EOSSS Air compressor replacement 60 Hz


Tests
PETtrace 800 series Ground continuity test (DOC1653524).
The operation of the shield doors tested for a minimum of 10 cycles.

Select one of the options below.


 The product has been installed and passed tests without exceptions.
 The product has been installed and passed tests with the exceptions specified below.
 The product has NOT been installed with the reason specified below.
 Not applicable/not ordered.

GE and the customer agree on the exceptions specified below.


Note!
The exceptions must be approved by the GE regional service representative (identified during the TYLER assessment).

Exceptions Reason

Approved by
Name

GE and the customer agree that the result achieved with tests performed above verifies system functionality after
completed work.

GE representative Customer representative


Place / Date Place / Date

Title Title

Signature Signature

Print name Print name

Page 17 of 29
GE HEALTHCARE PETtrace 800 series TYLER Installation and Test Verification Certificates
REVISION 2 DOC2470460

4-9 P5280WZ EOSSS Radiation shield air panel upgrade


Tests
PETtrace 800 series Ground continuity test (DOC1653524).
The PLC air panel tested in accordance with PETtrace 800 series Service Manual – Accelerator (dir. 2169047-100),
section Radiation shield | Disassembly/reassembly | Air panels | Testing and adjusting.
System performance demonstration (results presented in chapter 3 System performance demonstration).

Select one of the options below.


 The product has been installed and passed tests without exceptions.
 The product has been installed and passed tests with the exceptions specified below.
 The product has NOT been installed with the reason specified below.
 Not applicable/not ordered.

GE and the customer agree on the exceptions specified below.


Note!
The exceptions must be approved by the GE regional service representative (identified during the TYLER assessment).

Exceptions Reason

Approved by
Name

GE and the customer agree that the result achieved with tests performed above verifies system functionality after
completed work.

GE representative Customer representative


Place / Date Place / Date

Title Title

Signature Signature

Print name Print name

Page 18 of 29
GE HEALTHCARE PETtrace 800 series TYLER Installation and Test Verification Certificates
REVISION 2 DOC2470460

4-10 P5280WT EOSSS PSMC rebuild


Tests
PETtrace 800 series Ground continuity test (DOC1653524).
PSMC tested in accordance with PETtrace 800 series Service Manual – Maintenance (dir. 2169049-100), section
Periodic Maintenance | Instructions for Planned Maintenance | Sequence # 63 Visually inspect the PSMC to # 67
Check the PSMC output current and voltages.

Select one of the options below.


 The product has been installed and passed tests without exceptions.
 The product has been installed and passed tests with the exceptions specified below.
 The product has NOT been installed with the reason specified below.
 Not applicable/not ordered.

GE and the customer agree on the exceptions specified below.


Note!
The exceptions must be approved by the GE regional service representative (identified during the TYLER assessment).

Exceptions Reason

Approved by
Name

GE and the customer agree that the result achieved with tests performed above verifies system functionality after
completed work.

GE representative Customer representative


Place / Date Place / Date

Title Title

Signature Signature

Print name Print name

Page 19 of 29
GE HEALTHCARE PETtrace 800 series TYLER Installation and Test Verification Certificates
REVISION 2 DOC2470460

4-11 P5280WU EOSSS PSMC replacement


Tests
PETtrace 800 series Ground continuity test (DOC1653524).
PSMC tested in accordance with PETtrace 800 series Service Manual – Maintenance (dir. 2169049-100), section
Periodic Maintenance | Instructions for Planned Maintenance | Sequence # 63 Visually inspect the PSMC to # 67
Check the PSMC output current and voltages.

Select one of the options below.


 The product has been installed and passed tests without exceptions.
 The product has been installed and passed tests with the exceptions specified below.
 The product has NOT been installed with the reason specified below.
 Not applicable/not ordered.

GE and the customer agree on the exceptions specified below.


Note!
The exceptions must be approved by the GE regional service representative (identified during the TYLER assessment).

Exceptions Reason

Approved by
Name

GE and the customer agree that the result achieved with tests performed above verifies system functionality after
completed work.

GE representative Customer representative


Place / Date Place / Date

Title Title

Signature Signature

Print name Print name

Page 20 of 29
GE HEALTHCARE PETtrace 800 series TYLER Installation and Test Verification Certificates
REVISION 2 DOC2470460

4-12 P5280WS EOSSS ACU Gen I to PT800 upgrade


Tests
PETtrace 800 series Ground continuity test (DOC1653524).
System performance demonstration (results presented in chapter 3 System performance demonstration).

Select one of the options below.


 The product has been installed and passed tests without exceptions.
 The product has been installed and passed tests with the exceptions specified below.
 The product has NOT been installed with the reason specified below.
 Not applicable/not ordered.

GE and the customer agree on the exceptions specified below.


Note!
The exceptions must be approved by the GE regional service representative (identified during the TYLER assessment).

Exceptions Reason

Approved by
Name

GE and the customer agree that the result achieved with tests performed above verifies system functionality after
completed work.

GE representative Customer representative


Place / Date Place / Date

Title Title

Signature Signature

Print name Print name

Page 21 of 29
GE HEALTHCARE PETtrace 800 series TYLER Installation and Test Verification Certificates
REVISION 2 DOC2470460

4-13 P5280WQ EOSSS SCU upgrade


Tests
PETtrace 800 series Ground continuity test (DOC1653524).
System performance demonstration (results presented in chapter 3 System performance demonstration).

Select one of the options below.


 The product has been installed and passed tests without exceptions.
 The product has been installed and passed tests with the exceptions specified below.
 The product has NOT been installed with the reason specified below.
 Not applicable/not ordered.

GE and the customer agree on the exceptions specified below.


Note!
The exceptions must be approved by the GE regional service representative (identified during the TYLER assessment).

Exceptions Reason

Approved by
Name

GE and the customer agree that the result achieved with tests performed above verifies system functionality after
completed work.

GE representative Customer representative


Place / Date Place / Date

Title Title

Signature Signature

Print name Print name

Page 22 of 29
GE HEALTHCARE PETtrace 800 series TYLER Installation and Test Verification Certificates
REVISION 2 DOC2470460

4-14 P5280WV EOSSS SwedeWater replacement 50 Hz


Tests
PETtrace 800 series Ground continuity test (DOC1653524).
Comparison of applicable parameters of the old and new Water Cooling Unit in accordance with PETtrace 800
series Service Manual – Accelerator (dir. 2169047-100), section Water cooling system | Planned maintenance |
Water Cooling Unit maintenance.

Select one of the options below.


 The product has been installed and passed tests without exceptions.
 The product has been installed and passed tests with the exceptions specified below.
 The product has NOT been installed with the reason specified below.
 Not applicable/not ordered.

GE and the customer agree on the exceptions specified below.


Note!
The exceptions must be approved by the GE regional service representative (identified during the TYLER assessment).

Exceptions Reason

Approved by
Name

GE and the customer agree that the result achieved with tests performed above verifies system functionality after
completed work.

GE representative Customer representative


Place / Date Place / Date

Title Title

Signature Signature

Print name Print name

Page 23 of 29
GE HEALTHCARE PETtrace 800 series TYLER Installation and Test Verification Certificates
REVISION 2 DOC2470460

4-15 P5280WW EOSSS SwedeWater replacement 60 Hz


Tests
PETtrace 800 series Ground continuity test (DOC1653524).
Comparison of applicable parameters of the old and new Water Cooling Unit in accordance with PETtrace 800
series Service Manual – Accelerator (dir. 2169047-100), section Water cooling system | Planned maintenance |
Water Cooling Unit maintenance.

Select one of the options below.


 The product has been installed and passed tests without exceptions.
 The product has been installed and passed tests with the exceptions specified below.
 The product has NOT been installed with the reason specified below.
 Not applicable/not ordered.

GE and the customer agree on the exceptions specified below.


Note!
The exceptions must be approved by the GE regional service representative (identified during the TYLER assessment).

Exceptions Reason

Approved by
Name

GE and the customer agree that the result achieved with tests performed above verifies system functionality after
completed work.

GE representative Customer representative


Place / Date Place / Date

Title Title

Signature Signature

Print name Print name

Page 24 of 29
GE HEALTHCARE PETtrace 800 series TYLER Installation and Test Verification Certificates
REVISION 2 DOC2470460

4-16 P5280WP EOSSS LTF replacement


Tests
PETtrace 800 series Ground continuity test (DOC1653524).
The LTF calibrated and tested in accordance with PETtrace 800 series Service Manual – Accelerator (dir.
2169047-100), section Target system | Disassembly/reassembly | Liquid Target Fillers (LTFs) | LTF Calibration | LTF
Gen II.

Select one of the options below.


 The product has been installed and passed tests without exceptions.
 The product has been installed and passed tests with the exceptions specified below.
 The product has NOT been installed with the reason specified below.
 Not applicable/not ordered.

GE and the customer agree on the exceptions specified below.


Note!
The exceptions must be approved by the GE regional service representative (identified during the TYLER assessment).

Exceptions Reason

Approved by
Name

GE and the customer agree that the result achieved with tests performed above verifies system functionality after
completed work.

GE representative Customer representative


Place / Date Place / Date

Title Title

Signature Signature

Print name Print name

Page 25 of 29
GE HEALTHCARE PETtrace 800 series TYLER Installation and Test Verification Certificates
REVISION 2 DOC2470460

4-17 P5280AB Extraction Gen II upgrade


Tests
PETtrace 800 series Ground continuity test (DOC1653524).
System performance demonstration (results presented in chapter 3 System performance demonstration).

Select one of the options below.


 The product has been installed and passed tests without exceptions.
 The product has been installed and passed tests with the exceptions specified below.
 The product has NOT been installed with the reason specified below.
 Not applicable/not ordered.

GE and the customer agree on the exceptions specified below.


Note!
The exceptions must be approved by the GE regional service representative (identified during the TYLER assessment).

Exceptions Reason

Approved by
Name

GE and the customer agree that the result achieved with tests performed above verifies system functionality after
completed work.

GE representative Customer representative


Place / Date Place / Date

Title Title

Signature Signature

Print name Print name

Page 26 of 29
GE HEALTHCARE PETtrace 800 series TYLER Installation and Test Verification Certificates
REVISION 2 DOC2470460

4-18 P5280AN Tiering 160 µA upgrade


Tests
PETtrace 800 series Ground continuity test (DOC1653524).
System performance demonstration (results presented in chapter 3 System performance demonstration).

Select one of the options below.


 The product has been installed and passed tests without exceptions.
 The product has been installed and passed tests with the exceptions specified below.
 The product has NOT been installed with the reason specified below.
 Not applicable/not ordered.

GE and the customer agree on the exceptions specified below.


Note!
The exceptions must be approved by the GE regional service representative (identified during the TYLER assessment).

Exceptions Reason

Approved by
Name

GE and the customer agree that the result achieved with tests performed above verifies system functionality after
completed work.

GE representative Customer representative


Place / Date Place / Date

Title Title

Signature Signature

Print name Print name

Page 27 of 29
GE HEALTHCARE PETtrace 800 series TYLER Installation and Test Verification Certificates
REVISION 2 DOC2470460

4-19 PETtrace 800 series Customized TYLER Product


P-cat #

For content and special instructions, refer to the Customized TYLER Product Risk Assessment document supplied by OLC
Uppsala during the installation preparation.

Tests
PETtrace 800 series Ground continuity test (DOC1653524).
System performance demonstration (results presented in chapter 3 System performance demonstration).

Select one of the options below.


 The product has been installed and passed tests without exceptions.
 The product has been installed and passed tests with the exceptions specified below.
 The product has NOT been installed with the reason specified below.
 Not applicable/not ordered.

GE and the customer agree on the exceptions specified below.


Note!
The exceptions must be approved by the GE regional service representative (identified during the TYLER assessment).

Exceptions Reason

Approved by
Name

GE and the customer agree that the result achieved with tests performed above verifies system functionality after
completed work.

GE representative Customer representative


Place / Date Place / Date

Title Title

Signature Signature

Print name Print name

Page 28 of 29
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www.gehealthcare.com/en/about/contact-us All third party trademarks are the property of their respective owners.
Copyright © GE, 2022
GEMS PET Systems AB All goods and services are sold subject to the terms and conditions of sale of the
Box 15024, Husbyborg company within GE Healthcare which supplies them. A copy of these terms and
SE-750 15 Uppsala conditions is available on request. Contact your local GE Healthcare representative
for the most current information.
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