Professional Documents
Culture Documents
Digital Accelerator
Referenced documents
Elekta does not supply all documents that we refer to in this document with the
equipment. Elekta reserves the right to make the decision on which of the documents it
supplies with the equipment.
Contact information
TEL +44 (0)1293 654 400 – FAX +44 (0)1293 654 401 – mailto: support@elekta.com
ONCOLOGY NEUROSURGERY
0 1 20
Each page of this document has a date at the bottom of the page, for example (08/2007).
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new date.
Elekta can release the changed pages as a Field Change Order (FCO). You can identify
the FCO by the unique reference number and the new date on the pages.
It is your responsibility to put the changed pages of the FCO into this document, and to
record the change in the table below.
Change record
When you put a change into this document, record the FCO number and the date that
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Table of contents
1 Introduction
1.1 Intention of this manual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
1.1.1 Use of the equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
1.1.2 Warnings, cautions and notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
1.1.3 Intended audience . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
1.1.4 Disclaimer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3
1.1.5 Contra-indications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3
1.2 Compatibility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3
1.3 Compliance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3
1.3.1 IEC safety standards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4
1.3.2 IEC classification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4
1.4 Training . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4
1.5 References to accompanying documentation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-5
1.6 Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-6
1.6.1 Important safety directions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-6
1.6.2 Manual handling procedures. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-6
1.6.3 Warning labels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-7
1.6.4 Maintenance and faults. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-8
1.6.5 Safety devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-8
1.6.6 Emergency procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-8
1.6.7 Electrical and mechanical safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-9
1.6.8 Electrostatic discharge sensitive devices. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-9
1.6.9 Fire and explosion safety. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-10
1.6.10 Electromagnetic compatibility (EMC) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-10
1.6.11 Cardiac pacemakers and other portable electronic medical devices . . . . . . . . . . . . . . 1-10
1.6.12 Induced radioactivity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-12
1.6.13 Laser product . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-13
1.7 Cleaning and disinfecting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-13
1.8 Final disposal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-14
1.9 Text formats . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-15
1.10 Conventions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-15
1.11 Directional conventions of the digital accelerator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-17
1.12 Abbreviations and acronyms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-18
1.13 Important Notices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-21
1.14 User Notices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-23
2 System description
2.1 Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3
2.1.1 Environmental data for transport, storage and operation . . . . . . . . . . . . . . . . . . . . . . 2-5
2.1.2 Mains distribution . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-6
2.1.3 Processor communication . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-7
2.2 Control system components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-8
2.2.1 Control cabinet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-9
2.2.1.1 Power supply unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-10
2.2.1.2 Hard drives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-10
2.2.1.3 CD-RW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-10
2.2.1.4 Tape drive. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-10
2.2.1.5 Floppy drive . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-10
3 Fault diagnosis
3.1 LCD module LEDs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3
3.1.1 Power LED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3
3.1.2 Fans LED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4
3.1.3 Linac interlocks LED. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4
3.1.4 MLC camera LED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4
3.1.5 RMX LED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5
3.1.6 Link enable LED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5
3.2 LIB LEDs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6
3.2.1 LIB firmware LED. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6
3.2.2 RMX loaded LED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7
3.2.3 MLC video sync LED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7
3.2.4 MLC video present LED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7
3.2.5 Blanking Linac 2 LED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7
3.2.6 Blanking Linac 1 LED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7
3.2.7 Fan speed and over temperature LED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7
3.2.8 Watchdog reset LED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-8
3.3 Display processor card - No video output from the LCS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-9
3.4 Audio alarms - siren noise in the LCS Mk2 cabinet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-12
3.4.1 Alternating high/low pitch noise . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-12
3.4.2 Continuous alarm - long beep short pause . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-12
3.5 Serial link isolation board LEDs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-14
3.5.1 +5 V Isol . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-14
3.5.2 22 V Enable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-14
3.5.3 PRF Enable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-14
3.6 LIB diagnostics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-15
3.6.1 MLC video . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-15
3.6.2 Serial link signals. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-20
3.6.3 Blanking signal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-22
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1 Introduction
Section Title Page
Note: In the United States, Federal law restricts this device to sale, distribution and use by, or
on order of, a licensed physician.
WARNING x.x
Warnings are directions which, if not strictly observed, could constitute a health hazard,
cause injury, including fatal or serious injury, or lead to clinical mistreatment.
CAUTION x.x
Cautions are directions which, if not strictly observed, could cause damage to the
equipment described in this document, and/or to any other equipment or goods, and/or
could cause environmental damage.
Note: Notes provide advice and highlight unusual points. A note is not intended as an
instruction.
1.1.4 Disclaimer
Elekta assumes no liability for use of this document if any unauthorized changes to the
content or format have been made.
Every care has been taken to make sure that the information in this document is accurate.
However, Elekta assumes no responsibility or liability for errors, inaccuracies or
omissions that may appear in this document.
Elekta reserves the right to change the product without further notice to improve
reliability, function or design.
This document is provided without warranty of any kind, either implied or expressed,
including, but not limited to, the implied warranties of merchantability and fitness for a
particular purpose.
1.1.5 Contra-indications
The equipment should not be used if any contra-indications exist or are thought to exist.
No contra-indications have been identified for this product.
1.2 Compatibility
WARNING 1.1
Changes, additions or maintenance to the equipment carried out by persons
without appropriate qualifications and training and/or using unapproved
spare parts may lead to fatal or serious personal injury and/or damage to the
equipment as well as making the warranty void.
The equipment must only be used in combination with other equipment or components if
these are expressly recognized by Elekta as compatible. Consult Elekta for advice on
compatibility with this product before using any equipment or components not supplied
by Elekta.
The use of accessories, transducers and cables other than those specified by Elekta may
affect electromagnetic compatibility (EMC) performance and result in increased
emissions or decreased immunity of the equipment.
Changes and/or additions to the equipment shall only be performed by persons expressly
authorized to do so by Elekta. Such changes must comply with best engineering practice,
all applicable laws, and all regulations that have the force of law within the jurisdiction.
1.3 Compliance
Note: The equipment has been designed and tested for compliance when used in the Clinical
Mode only.
The equipment is designed to comply with internationally recognized standards for safety
and performance.
1.4 Training
Users of the equipment must have received adequate training on its safe and effective use
before attempting to work with the equipment.
Training requirements may vary from country to country. The user shall make sure that
training is received in accordance with local laws or regulations that have the force of
law. Information on training is available from your local Elekta® representative.
1.6 Safety
Every reasonable precaution has been taken during manufacture to safeguard the health
and safety of persons who will operate the equipment. The following precautions must
be observed at all times.
WARNING 1.2
When lifting heavy components, it is important that the correct procedures
are adhered to. Local regulations and procedures regarding manual handling
must be observed at all times. Failure to do so may lead to fatal or serious
personal injury.
WARNING 1.3
When using visual display units (VDUs), it is important that the correct
procedures for use are adhered to. Local regulations and procedures for the
use of VDU equipment must be observed at all times. Failure to do so can
constitute a health hazard.
WARNING 1.4
If any part of the equipment is known or suspected to be defective or
incorrectly adjusted, DO NOT USE the equipment until a repair has been made.
Use with defective or incorrectly adjusted components or systems could
expose users and/or patients to radiation and other safety hazards. This could
lead to fatal or serious injury, or to clinical mistreatment.
Do not use the equipment for any application unless the user routine checks have been
satisfactorily completed and the planned maintenance program is up to date.
Information about the user routine checks and planned maintenance programs can be
found in the maintenance section of the User Manual.
WARNING 1.5
Never attempt to remove, modify or override any switches, interlocks or other
safety devices on this equipment. Interfering with such devices could lead to
fatal or serious injury, or to clinical mistreatment.
Service Mode
WARNING 1.6
Only remove, modify or override safety switches, interlocks or other safety
devices on the equipment if directed to do so by specific instructions in this
document. Always reset and test any safety switches, interlocks or other safety
devices if they have been adjusted in any way. Failure to reset and test all
safety devices could lead to fatal or serious injury, or to clinical mistreatment.
WARNING 1.7
Do not remove covers or cables from this equipment unless expressly
instructed to do so in this document, and always refit covers before using the
equipment. High electrical voltages and moving parts are present within this
equipment. Any contact with these components could lead to fatal or serious
personal injury.
WARNING 1.8
Beware of live electrical terminals, even when the main three-phase isolator
is switched off. Voltages associated with the client’s interface may still be
present and can cause fatal or serious personal injury.
Only use equipment in rooms that comply with all applicable laws, or regulations having
the force of law, concerning electrical safety for this type of equipment.
Always electrically isolate and immobilize the equipment appropriately before any
maintenance, repair, or cleaning tasks.
Any person working on this equipment must be legally permitted to do so, and
specifically authorized by local management.
CAUTION 1.1
Always wear an anti-static wrist strap when handling printed circuit boards
(PCBs) and other electronic subassemblies. The wrist strap/lead/engineer
combination shall be tested prior to use. Failure to observe this precaution
can lead to component failure.
WARNING 1.9
Do not use the equipment in the presence of flammable or explosive gases or
vapors, such as certain anaesthetic gases, or potentially flammable or
explosive disinfecting sprays. The resultant vapors could ignite. Use of
electrical equipment in an environment for which it was not designed can
cause fatal or serious personal injury and lead to fire or explosion.
WARNING 1.10
Do not allow any radio-transmitting devices (such as diathermy units, mobile
telephones, etc.) in the vicinity of this product. Such devices could exceed EMC
standards, and in unusual circumstances, could interfere with the correct
functioning of this product. In extreme circumstances this could lead to fatal
or serious personal injury, clinical mistreatment, or damage to the
equipment.
WARNING 1.11
The use of cables and other components not specified or supplied by Elekta
Limited may adversely affect EMC performance. In extreme circumstances this
could lead to fatal or serious personal injury, clinical mistreatment, or
damage to the equipment.
The equipment complies with the requirements of applicable EMC standards. Other
electronic equipment exceeding the limits defined in such EMC standards, such as mobile
telephones, could affect the operation of the equipment.
The equipment requires special precautions regarding EMC, and must be installed and
put into service in accordance with the information provided in the relevant product
documentation.
WARNING 1.12
Magnetic and/or electric fields which may be generated by this equipment,
can have an adverse effect on certain cardiac pacemakers and other portable
electronic medical devices. The function of such devices must be checked
throughout the treatment. Failure to observe this precaution could lead to
fatal or serious personal injury.
WARNING 1.13
Ionizing radiation which may be generated by this equipment, can have an
adverse effect on certain cardiac pacemakers and other portable electronic
medical devices. The function of such devices must be checked throughout the
treatment. Failure to observe this precaution could lead to fatal or serious
personal injury.
WARNING 1.14
Do not place cardiac pacemakers and other portable electronic medical
devices in a direct (un-shielded) radiation beam. The function of such devices
must be checked throughout the treatment. Failure to observe this precaution
can lead to fatal or serious personal injury.
Note: Cardiac pacemakers can fail or incur functional changes from damage caused by
exposure to very small doses of radiation.
WARNING 1.15
Before working on, or operating the machine, check that all radiation safety
interlocks are working and that the correct operating procedures and
radiation safety instructions are followed. Excessive exposure to radioactivity
constitutes a health hazard.
WARNING 1.16
Before handling the flight tube, bending magnet, or any components in their
vicinity, check for induced radioactivity. Excessive exposure to radiation
constitutes a health hazard.
WARNING 1.17
National and international laws and regulations for working with ionizing
radiation must be observed when any such material is to be handled,
transported (by air, sea, or land), and when disposal is considered. Failure to
take proper precautions constitutes a health hazard and may cause damage to
the environment.
The values listed in Table 1.1 are those applicable in the UK and may not be valid in
other areas. Always obtain information on, and adhere to, national guidelines. If no
national guidelines are available, contact Elekta for advice on the safe removal of
activated components.
WARNING 1.18
Do not stare into a laser beam. Exposure of the eyes to a laser beam can cause
serious personal injury.
WARNING 1.19
Always isolate the equipment from the main electrical supply before
commencing cleaning or disinfecting work. Failure to observe this precaution
can result in electric shock, which can cause fatal or serious personal injury.
WARNING 1.20
Do not use flammable or potentially explosive disinfecting sprays. Such sprays
create vapors which can ignite, causing fatal or serious personal injury.
CAUTION 1.2
Do not allow water or other liquids to enter the equipment as these may cause
electrical short-circuits, metal corrosion or other damage to the equipment.
CAUTION 1.3
Disinfecting a medical equipment room by means of sprays is not
recommended as the vapor may penetrate the equipment, causing electrical
short circuits, metal corrosion or other damage to the equipment.
Cleaning - general
Surfaces should be wiped with a mild detergent solution and then dried with a clean, dry
lint-free cloth. Never use corrosive cleaning agents, solvents, abrasive detergents or
polishes. If not sure of the properties of a cleaning agent, do not use it.
WARNING 1.21
Incorrect handling or disposal of hazardous material may cause fatal or
serious injury and environmental damage.
‘Final disposal’ means disposal of the equipment, or any part of the equipment, in such a
way that it can no longer be used for its intended purpose(s).
Never dispose of Elekta® products into the domestic waste cycle.
Disposal must always be executed in an environmentally sensitive manner that complies
with all local and international regulations and laws. Materials hazardous to health and
the environment must be separately removed and disposed of through competent,
licensed facilities. The remaining material should be recycled where facilities and local
regulations permit.
Prior to disposal, always contact Elekta Limited for advice.
1.10 Conventions
The following are terms that may be found in this document. The convention for each
term is explained below. Where descriptions depict the use of a mouse, it is assumed that
the mouse has the standard setup for right hand use.
Term Convention
File > Save Denotes a sequential selection from a menu and submenus.
active or open Both of these terms refer to an active and operating window,
program, file or on-screen object.
authorized person Persons specifically authorized by the authority controlling
the use of the equipment
click Place the mouse pointer on an on-screen item, then press
and release the left button of the mouse once.
current See active or open.
dialog An on-screen, rectangular object containing information to
which the user may be required to respond. Dialogs open
and close as necessary in response to user actions.
dongle A device that prevents the unauthorized use of hardware or
software.
double—click Place the mouse pointer on an on-screen item, then press
and release the left button of the mouse twice in rapid
succession.
drag Place the mouse pointer on an on-screen item, hold down
the left button and, using the mouse, move the item to a new
location/position. Then release the mouse button.
drop—down menu A list of multiple choices appearing from a text box.
< > (<Enter>) Denotes a physical button (that is a keypad key).
icon An image which, when selected, opens an application.
Term Convention
M:\Name\Name\Name Denotes a path to a specific file location.
M:\Name\Name\Name Denotes a path or text to be typed by the user.
press An instruction to press a physical key.
press <Home><Enter> Denotes keys to be pressed in sequence.
press <Home>+<Enter> Denotes keys to be pressed simultaneously.
qualified person Persons legally permitted to work on, and operate, the
equipment in the jurisdiction in which the equipment is
being used.
right—click Place the mouse pointer on an on-screen item, then press
and release the right button of the mouse.
screen The display area of a monitor, or the display of a system that
is switched ON but has no application active.
select Choose an on-screen item and activate it by clicking.
shortcut Direct access to an application by selecting an icon or
pressing a key sequence.
submenu A box with multiple choices that appears after a selection.
text box An on-screen object that displays information entered by a
user, or sets of data.
user The body who has authority over the equipment and the
person(s) who handle and work with the equipment.
window The display on the screen of a system with an active
application.
4
2 5
6
3
000022_001
Note: The A and B positions as illustrated are applicable with the gantry at 0° only. The A and
B positions rotate with the gantry, therefore, with the gantry rotated 180°, A and B are
reversed.
Abbreviation Definition
ACB arm control board
AFC automatic frequency control
AFD axis film distance
AI angiographic image
ALARP as low as reasonably practicable
BEV beam eye view
BF Bending Fine
BLD beam limiting device
BLS beam limiting system
BMP Bitmap (image format)
CAN controller area network
CB circuit breaker
CCP CAN calibration protocol
CD compact disc
CDS Central Dataserver
CMM corrective maintenance manual
CMUM Clinical Mode User’s Manual
CRP common reference point
CT Computerized Tomography
DAT digital audio tape
DCB detector control board
DRR digitally reconstructed radiograph
DDS digital data storage (mass storage tape)
EMC electromagnetic compatibility
EMI electromagnetic interface
EPID electronic portal imaging device
ERT earth reference terminal
ESD electrostatic sensitive device
ESPI Elekta stored procedure interface
FAD focus axis distance
FDA Food and Drug Administration of the United States
FKP function keypad
FMEA failure mode and effects analysis
FRU field replaceable unit (now ‘Service Parts’)
Abbreviation Definition
FS fuse
FSD focus to skin distance (same as SSD)
GUI graphical user interface
HHC handheld controller
HT high tension (high voltage)
I/O input/output
ICOM IDEF abbreviation for Inputs, Controls, Outputs & Mechanisms
ISO The International Organization for Standardization
ISO9001 international standard for quality systems
LAN local area network
LCC Linac (digital accelerator) Control Cabinet
LCS Linac (digital accelerator) Control System
LED light emitting diode
Linac (digital) linear accelerator
LV low voltage
MCU main control unit
MeV mega electron volts
MR magnetic resonance
MTBF mean time between failures
PC personal computer
PCB printed circuit board
PM Preventive (or Planned) Maintenance
PNP positive/negative/positive (transistor)
PP peak to peak
PPG programmable pulse generator
PRF pulse repetition frequency
PRT procurement radio therapy (locally procured equipment and
components for radiotherapy applications)
PSB pressure sensor board
PSU power supply unit
QA quality assurance
RF radio-frequency
RT radiation therapy
RTU remote terminal unit
R&V record and verify
RVS remote viewing station
SAD source axis distance
Abbreviation Definition
SDI simulator data interface
SID source image distance
SLN single linac network
SMUM Service Mode User’s Manual
SPR software problem report
SQL structured query language (microsoft server database)
SSD source surface distance
SSN service support node
TCP treatment control panel
TCP/IP transmission control protocol / internet protocol
TPS treatment planning system
TRM treatment room monitor
UCP unit center point
UPS uninterruptable power supply
VDU visual display unit
WINS Windows® Internet Name Service
WKS Desktop Pro™ workstation
– Blank page –
– Blank page –
2 System description
Section Title Page
– Blank page –
2.1 Overview
The LCS Mk2 control cabinet is introduced with Desktop R5.0 software and replaces the
LCS Mk1 cabinet. The video signals to the treatment room monitors are now supplied
via CAT5 cable using SVGA-CAT5 signal converters at both ends. Power to the control
system peripherals is now delivered via a separate mains distribution unit. Other than
these changes, the remainder of the control system components are unchanged.
These changes have led to increased performance by utilizing Microsoft® Windows®
2000 operating system, Intel® Pentium® III processors, and increasing the amount of
RAM memory on the display processor. They have also led to improved serviceability
and maintenance due to:
• new diagnostic features
• more modular design making fault finding easier
• less complex wiring
• easier access
• internal voltage and temperature measurement
• access to Windows® 2000 operating via Terminal Services
† When packed
Secondary
INTERFACE Prim ary Treat m ent
SWITCHED MAINS Treat m ent Room
CABINET Room Monit or
Monit or
LINAC MAINS
COM PORT
MAINS
Networ k Hub
(Optionally this m ay be
connected to the UPS if
local wir ing allows)
Pr inter LPT2
Pr inter LPT1
(Locally pr ocur ed to be
(Locally pr ocur ed to be Secondary Cont rol
230 VAC 50 Hz Modem
230 VAC 50 Hz
compatible)
Room Monit or
com patible)
Note: Power to the primary control room monitor is supplied direct from the Uninterruptible
Power Supply (UPS).
Display
Processor
MLC Display
Disk User Job Linac Server PXE Server
Server
Ethernet
Control
Processor
1553
MLC Linac
At the rear of the control cabinet, slot 1 is the lowest slot and slot 20 is the uppermost
slot. The PSU module is to the left of the card slots (when viewed from the rear).
The power supply module is located at the rear of the LCS Mk2 cabinet. It is a single
removable ATX specification power supply capable of supplying up to 400W output.
This allows for sufficient future expansion without the need to extend the power supply
capability. The power supply produces the ±12 V and ±5 V supplies required by the LCS
Mk2 cabinet.
The LCS Mk2 cabinet houses two hard disk drives, each providing 18 GB of storage. The
primary hard disk provides the C and D logical drives.
The secondary hard disk provides the F logical drive used for backups and temporary
storage.
2.2.1.3 CD-RW
The CD-RW (Compact Disc Re-Writeable) drive is a standard 5¼" unit, providing 40×
read speed and 10× read-write speed. In future, it is intended that the CD-RW drive may
replace the DAT tape as the backup media. However, for Desktop software Release 5.00,
the write function is not implemented.
This module provides the LCD dose display for the LCS Mk2 cabinet. In addition, it also
contains:
• Six status LEDs
Used to indicate fault conditions (see Service Mode User Manual).
• Reset key switch
Used to reset the system from certain fault conditions
• CPU Reset
Used to reboot the control system
• LCD Check
Used to check the seven segment LCD display
The assembly consists of four identical fan units each comprising a 12 V, 3 W fan and a
metal housing assembly. The fan units can be replaced individually.
Note: The Display and Control processors are identical except for the BIOS settings and the
amount of RAM memory. Therefore, for diagnostic purposes, these PCBs can be
swapped with some re-configuring.
An industry standard PCB utilizing a Pentium® III processor. The processor runs the
iRMX operating system, providing all control interfaces required for operating the linac
and MLC. The processor is supplied with 64 MB of RAM.
The external interface connections to the control processor are located in slot 14 of the
rear connector panel on the LCS Mk2 cabinet. These interfaces are:
• Ethernet port
Used to communicate directly with the display processor.
• Monitor and keyboard connections
A monitor can be connected to display information regarding the boot process and
status of the RMX operating system. The keyboard is only required to configure the
BIOS if the processor is replaced.
• RS232 serial port
Can be used to connect a debug terminal for service and diagnostic purposes.
• Serial/Parallel ports
These addition interfaces provided via ribbon cables to slot 16 of the rear connector
panel.
2
Red Black
1
4
Figure 2.5
} Control Processor PCB
7
5
6
This is an industry standard PCB utilizing a Pentium® III processor. The processor runs
the Windows® 2000 Server operating system providing a control interface between the
user and the system (via the control processor). The processor is supplied with 512 MB
of RAM.
An ethernet port is used to communicate directly with the control processor.
The external interface connections to the display processor are located in slot 1 of the
rear connector panel on the LCS Mk2 cabinet. These interfaces are as follows
Ethernet port
Used to communicate directly with the display processor.
SVGA
This connector is not used as video is supplied via separate Quad VGA card
USB port
This additional interface is provided via ribbon cable to slot 2 of the rear connector
panel. This port is not currently used.
2
8
Red Black
1
6 7
}
10
The LIB is a PCB designed by Elekta providing several interfaces both internally to the
LCS Mk2 cabinet and externally to the digital accelerator. The following is a list of the
functions and interfaces provided by the LIB:
LCD control
Ribbon cable from PL2 connects to LCD module providing control signals for LCD
display and status LEDs. Also receives signals from reset key and CPU reset button.
q1 w2 e3 r4 t5 y6
u7
i8
o9
This card provides isolation between the two 1553 linac serial links (including interlock
and blanking signals) and the control system. The two linac serial link external interfaces
are provided in slot 13 of the rear connector panel in the LCS Mk2 cabinet. There is also
an internal connection feeding the serial link signals to the LIB.
The graphics card provides four SVGA outputs. The external interface is a single
connector located on slot 5 of the rear connector panel in the LCS Mk2 cabinet. A
four-way splitter cable is then used to provide signals to up to four SVGA devices.
The CCIR standard video signal from the MLC camera is routed via the LIB card to the
MLC framegrabber. The framegrabber digitizes the video signal for processing by the
control processor.
This is a standard 10Base-T, 100Base-TX ethernet card provided to enable the LCS Mk2
cabinet to be connected to an external network.
A standard PCI specification SCSI disk controller controlling the primary and secondary
hard disk drives. There is also an external SCSI interface provided on slot 4 of the rear
connector panel in the LCS cabinet.
This is a standard PCI card providing two serial and two parallel ports. One serial and
one parallel port are provided on slot 9 of the rear connector panel in the LCS Mk2
cabinet (COM3 and LPT2). The other serial and parallel ports are provided via ribbon
cable on slot 8 (COM4 and LPT3).
SVGA
Power
TRM 1
SVGA CAT5
SVGA CAT5
SVGA SVGA
TRM 2
CAT5
SVGA
Optional TRM3
UPS
SVGA
Keyboard CAT5
Tx Rx
Mouse
This kit allows a second control monitor, keyboard and mouse to be placed inside the
treatment room. It consists of:
• CAT5 SVGA convertors (one for transmit, one for receive)
• CAT5 cable for connecting the two convertors
• SVGA and PS/2 cables for connecting LCS Mk2 cabinet to CAT5 convertor
• Power isolation unit
• Second monitor, keyboard, and mouse
Only the receive convertor in the treatment room requires external power. Both the
convertor and the monitor must be powered from the isolation unit supplied with the kit
to isolate the power from the rest of the treatment room equipment.
SVGA
Keyboard CAT5
Tx Rx
Mouse
Note: Only one of these kits can be fitted to an LCS Mk2 cabinet
This kit is required if a third monitor is required in the treatment room, or if a second
monitor is required in the control room and it is located more than 3 m away from the
LCS Mk2 cabinet. The kit consists of:
• A CAT5 SVGA convertor
• CAT5 cable
• Monitor and power lead
The convertor does not require any external power. The monitor will be powered from
the mains distribution unit supplied with the control system if located in the control
room. If located in the treatment room, it will be supplied from the interface cabinet.
The CAT5 cable will connect to the remaining output from the CAT5 SVGA convertor
supplied with the control system providing signals to the two primary treatment room
monitors.
CAT5 SVGA
Rx
– Blank page –
3 Fault diagnosis
Section Title Page
3.3 Display processor card - No video output from the LCS ........................................ 3-9
3.4 Audio alarms - siren noise in the LCS Mk2 cabinet.............................................. 3-12
– Blank page –
In addition to these limits, Table 3.2 shows the recommended tolerances for the supplies
in order to ensure long term reliability and stability:
Solutions
• If Diagnostic Utility is accessible, run the System Voltages diagnostic test to
determine faulty supply. Replace the PSU assembly if any supplies are indicating
a fault.
• Measure voltages with a DVM. If any voltages are indicating a fault, replace the
PSU assembly. If all supplies are reading OK, suspect either the LIB card as this
is where the voltages are monitored to control the Power LED, or the PCB
backplane.
Solutions
• Visually inspect fan unit to determine if any fan(s) are visibly not working.
• Run Fan Fail Test in Console Diagnostics to determine faulty fan(s) and replace.
• Replace any faulty fans.
Solutions
• This LED will be off if the RMX LED is OFF, as it is the RMX software that
requests that the interlocks are engaged. In this case investigate the problem
with the RMX LED.
• If the RMX LED is on, check the control system for inhibits and control system
state.
Solutions
The MLC Camera LCD is controlled by the outputs of the MLC Video Present and MLC
Video Sync LEDs on the LIB. If either of these LED’s is off, the MLC Camera LED will
turn off. Therefore for more information on fault finding if the MLC Camera LED is not
lit, refer to Section 3.2.6.
Solutions
• Check the configuration of the network cards.
• Connect a VGA monitor to the VGA port on the control processor and reboot
the system to determine how far the boot process is getting.
• Make sure that the ethernet link between display and control processors is
connected correctly.
Solutions
• Connect a VGA monitor to the VGA port on the control processor and reboot
the system to confirm that the RMX software is booting correctly.
1 2 3 4 5 6 7 8
Note: If this LED goes on immediately after you switch on the LCS cabinet, this shows a fault
condition as it will prevent the RMX operating system from being loaded.
If the monitor is connected to the correct output socket and there is no video output
3 Make sure that the graphics card operates correctly.
4 Connect the monitor to the VGA output of the display processor.
5 Examine the PCI device listing on boot up (see Figure 3.2 on page 10).
The Display Cntrlr is shown as Bus No. 0, Device No. 2: not as Bus No. 4, Device No. 0,
which it the Matrox graphics card.
Note: The display processor connector only has output if the display processor cannot
communicate with the graphics card. Figure 3.3 shows the usual PCI device listing.
No communication between the display processor and the graphics card can be caused
by
• a defective graphics card or
• a defective motherboard
(Slots 7 to 11 of the motherboard in the LCS are connected to the display
processor by a PCI to PCI Bridge microchip. If that microchip is defective, the
display processor will not communicate with the graphics card - see Figure 3.4.)
6 Do a test for a defective motherboard as follows:
a Temporarily move the display processor to the SCSI adapter slot (slot5).
If the graphics card is the only device not shown in the PCI device listing
d Order a replacement graphics card.
Figure 3.4 shows how the PCI bus for each processor is divided into two parts. The top
part of the bus is buffered by the PCI-to-PCI bus chip. If the PCI chip is defective, the top
half of the bus will not operate.
If the siren starts after the cabinet has been switched on for a while
2 Examine the processor fan for each processor card.
The fan could be defective or fallen off. It is likely that the siren sound is
temperature related.
3 Examine the temperature in the processor BIOS.
You can manually set the alarm threshold to test the alarm under Advanced Chipset
Features.
Figure 3.5 Second power supply not present link (viewed with the lower PSU removed)
3.5.1 +5 V Isol
This is a green LED that is normally ON indicating that the isolated +5 V supply for this
PCB is present.
3.5.2 22 V Enable
This is a green LED that is normally ON indicating that the 22 V enable relay is engaged.
Video and sync information is passed from the LIB to the MLC framegrabber card. The
pinout for the cable running from SK4 on the LIB to the framegrabber card is shown in
Table 3.5.
The video signal from the MLC enters the LIB on socket SK4 and can be observed by
connecting an oscilloscope to TP6 (ground is TP15). These test-points are difficult to
reach when the board is installed, therefore the waveform in Figure 3.7 was taken by
taking a tee off the MLC video cable.
Note: Fault-finding on the MLC video chain requires an oscilloscope with a minimum 20 MHz
bandwidth and with a TV triggering function.
MLC OK
Machine Ready
Cj2692: dt3155NextFrame() failed. MLC NOT OK 07804
Cj2692: dt3155NextFrame() failed.
Cj2692: dt3155NextFrame() failed.
Cj2692: dt3155NextFrame() failed. 07212, 02080, Get_Leaf_Positions() failed, 20D1,
RECOV
Cj2692: dt3155NextFrame() failed.
Cj2692: dt3155NextFrame() failed.
Cj2692: dt3155NextFrame() failed.
Cj2692: dt3155NextFrame() failed.
07222, 02120, Get_Leaf_Positions() failed, 20D2, RECOVCj2692: dt3155NextFrame()
failed.
Cj2692: dt3155NextFrame() failed.
Cj2692: dt3155NextFrame() failed.
MLC NOT OK 07999
Cj2692: dt3155NextFrame() failed.
00032, IAS: SnapAndGrab failed, 8201, RECOV92: dt3155NextFrame() failed.
Cj2692: dt3155NextFrame() failed.
Cj2692: dt3155NextFrame() failed.
Cj2692: dt3155NextFrame() failed.
Cj2692: dt3155NextFrame() failed.
00004, IAS: Shutdown Cause, 8201, RECOV
The MLC Video signal passes through some signal processing on the LIB to clean up the
waveform and set a consistent black level.
The processed video signal is output on SK5 pins 7 and 2 (view on TP4 with respect to
TP14). The cable from SK5 runs to the input of the framegrabber card and is routed on
the back of the LCS Mk2 chassis.
The processed video waveform at TP4 should consist of a sync level of 0.3V and a peak
white video component of 0.7V.
Figure 3.9 shows an example of the processed video waveform taken from TP4. If this
signal is missing, the observed symptom is that the MLC video appears black with only
the grid and reference reflector squares displayed. In addition, a 7102 inhibit will be
displayed. However, a normal black level will be reported on the debug terminal as
follows:
MLC Powering Up
00016, IAS: Black level monitored, 8206, RECOV
MLC NOT OK 07102
MLC Powered Up
MLC Loading Cal Data
MLC NOT OK 07330
MLC NOT OK 07102
MLC Loaded Cal Data
Figure 3.10 shows the waveforms at BD03_BUF and BD03_BUF (TP1, TP2).
Figure 3.11 shows the waveforms at ISODATA- and ISODATA+ (TP100, TP101).
Figure 3.12 shows the UDI signal (TP7).
– Blank page –
4
3
WARNING 4.1
The LCS Mk2 cabinet is heavy (in excess of 22 kg in weight). If it is to be moved,
the cabinet must be lifted by two persons. One person alone must not try to
lift the LCS Mk2 cabinet, otherwise serious injury may result.
WARNING 4.2
Do not try to lift the LCS Mk2 cabinet with the PSU handles.
The handles may break and serious injury may result.
WARNING 4.3
Make sure that the electrical power is removed from the LCS Mk2 cabinet
before opening the side panel. There is a risk of electric shock if the cabinet
remains powered.
CAUTION 4.1
Do not attempt to lift the LCS Mk2 cabinet by means of the PSU handles,
otherwise damage to the PSU may result.
CAUTION 4.2
Always use anti-static wrist straps and mats and observe ESD precautions when
handling any PCB within the LCS Mk2 cabinet. Failure to observe ESD
precautions may result in damage to the PCB - refer to Section 1.6.3 for further
information.
4.2 CD-RW
1 Get access to the inner side of the cabinet (see Section 4.1) and remove the power
and signal cables from the rear of the CDRW.
2 Open the door on the front of the cabinet and remove the two screws securing the
CDRW in place.
3 Move the unit out from the front of the cabinet.
4 Insert the new unit and reverse the process.
4.6 Fans
1 Get access to the inner side of the cabinet (see Section 4.1).
2 Release the retaining screw of the fan to be replaced and pull out the fan using the
handle provided.
3 Fit the new fan ensuring that the tabs at the front and rear of the fan assembly locate
and that the power connector locates correctly.
CAUTION 4.3
Always use anti-static wrist straps and mats and observe ESD precautions when
handling any PCB within the LCS Mk2 cabinet. Failure to observe ESD
precautions may result in damage to the PCB - refer to Section 1.6.3 for further
information.
1 Get access to the inner side of the cabinet (see Section 4.1) and remove the support
bar.
2 Remove all connections to the PCB from the rear connector panel, noting the placement
of all connectors for refitting.
3 Remove all cables connected to the PCB noting their position for refitting.
Note: Some of the cables cannot be removed until the PCB is partially or fully removed.
4 Remove the screw securing the PCB to the back panel and carefully remove the PCB.
5 Check the jumper settings on the replacement PCB are as shown in Figure 4.2.
6 Slide the replacement PCB into the slot ensuring the backplane connector is properly
seated. Replace the retaining screw and reconnect all the cables.
7 Check the BIOS settings of the processor using the following procedure:
• Switch on the cabinet. During the boot up process press the Delete key when the
following message is displayed: Press DEL to Enter SETUP
• This involves the CMOS Setup Utility. Check all the BIOS settings are correct
according to Section 4.7.2, then press F10 to save and exit the CMOS Setup Utility.
Hard Disks
Primary Master None
Primary Slave None
Secondary Master None
Secondary Slave None
Drive A 1.44, 3.5"
Drive B None
Floppy 3 Mode Support Disabled
LCD/CRT CRT
Halt On All but Disk/Key
CAUTION 4.4
Always use anti-static wrist straps and mats and observe ESD precautions when
handling any PCB within the LCS Mk2 cabinet. Failure to observe ESD
precautions may result in damage to the PCB - refer to Section 1.6.3 for further
information.
1 Get access to the inner side of the cabinet (see Section 4.1) and remove the support
bar.
2 Remove all connections to the PCB from the rear connector panel, noting the
placement of all connectors for refitting.
3 Remove all cables connected to the PCB noting their position for refitting.
Note: Some of the cables cannot be removed until the PCB is partially or fully removed.
4 Remove the screw securing the PCB to the back panel and carefully remove the PCB.
5 Check the jumper settings on the replacement PCB are as shown in Figure 4.2.
6 Slide the replacement PCB into the slot ensuring the backplane connector is properly
seated. Replace the retaining screw and reconnect all the cables.
7 Check the BIOS settings of the processor using the following procedure:
• Switch on the cabinet. During the boot up process press the Delete key when the
following message is displayed: Press DEL to Enter SETUP
This involves the CMOS Setup Utility. Check all the BIOS settings are correct according to
Section 4.8.2, then press F10 to save and exit the CMOS Setup Utility.
After replacing the RMX processor, the RMX board may fail its Self Confidence Tests at
console start. A possible cause could be too many MAC addresses (used to identify
network cards) learnt by the Windows® DHCP server that provides IP addresses. The
maximum is three MAC addresses before some must be deleted. To remove stored MAC
addresses, follow this procedure:
1 Start the Configuration Utility.
2 From the Utilities tab, select Launch Terminal Services.
3 Log onto the machine using an account that has administration rights.
Note: Make sure the local machine is selected in the drop-down box on the login dialog.
4 Once the Windows® desktop has loaded, select Start > Settings > Control Panel.
5 Double-click DHCP/BOOTP Server.
6 Select Window > Dynamic Addresses.
7 Right-click each Hardware address/Id object and select Remove.
8 Log out of Terminal Services and reboot the machine.
Hard Disks
Primary Master None
Primary Slave None
Secondary Master None
Secondary Slave None
Drive A 1.44, 3.5"
Drive B None
Floppy 3 Mode Support Disabled
LCD/CRT CRT
Halt On All but Disk/Key
– Blank page –
A.1 General
The Elekta® LCS Mk2 needs special precautions regarding EMC, and needs to be
installed and put into service according to the EMC information contained in this
appendix.
Table A.1 IEC ‘Table 201’—Electromagnetic emissions guidance & declaration for the LCS Mk2
Table A.2 Frequencies tested as designated by ITU for use as fundamental ISM frequencies
Table A.3 Frequencies designated in the UK for use as fundamental ISM frequencies
Table A.4 IEC ‘Table 202’—Electromagnetic immunity guidance & declaration for the LCS Mk2
Table A.5 IEC ‘Table 204’—Electromagnetic immunity guidance & declaration for the LCS Mk2
800 MHz to
IEC 61000-4-3 80 MHz to 2.5 GHz d = 2.3 P 2.5 GHz
where P is the maximum output power
rating of the transmitter in watts (W)
according to the transmitter manufacturer
and d is recommended separation distance
in metres (m).
Field strengths from fixed RF transmitters
as determined by an electromagnetic
survey1, should be less than the compliance
level in each frequency range2.
Interference may occur in the vicinity of
equipment marked with the following
symbol:
1 Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile
radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy.
To assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be
considered. If the measured field strength in the location in which the LCS Mk2 is used exceeds the applicable RF
compliance level above, the LCS Mk2 should be observed to verify normal operation. If abnormal performance is
observed, additional measures may be necessary, such as reorienting or relocating the LCS Mk2.
2 Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 Vm1.
Table A.6 IEC ‘Table 206’—Recommended separation distances between portable & mobile RF communications equipment
and the LCS Mk2
Recommended separation distances between portable and mobile RF communications equipment and
the LCS Mk2
The LCS Mk2 is intended for use in an electromagnetic environment in which radiated RF disturbances
are controlled. The customer or user of the LCS Mk2 can help prevent electromagnetic interference by
maintaining a minimum distance between portable and mobile RF communications equipment
(transmitters) and the LCS Mk2 as recorded below, according to the maximum output power of the
communications equipment.
Rated Separation distances according to frequency of transmitter / m
maximum
150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2.5 GHz
output power
of transmitter 3.5 3.5 7
d = ------- P d = ------- P d = ------ P
/W V1 E1 E 1
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