CM041

Mobile Aquilion Prime 160 CT

Engineer’s Installation Manual

Toshiba Mobile 160 slice

Computer Tomography
IMPORTANT
After acceptance of the CT Trailer, the rental contract and the Trailer Check-in
report should be signed by a representative of the Hospital.
These documents can be found in the logbook inside the CT Trailer

1
 REVISION RECORD

DATE PAGE SER. DOC.

REV REASON /AUTHOR
(MM/YY) CHANGED NR. PRODUCT

REV1 08/15 New system installed WI

REV2 11/15 Adapted revision nr. 2

2
Contents
1. CT System specifications ................................................................................................. 6
1.2 CT specifications ...................................................................................................... 6
1.3 Software versions .................................................................................................... 6
2. Site planning ................................................................................................................... 7
2.2 Local requirements .................................................................................................. 7
2.3 Connection requirements ........................................................................................ 7
3. Radiation ...................................................................................................................... 10
4. Pre-arrival network information ................................................................................... 12
4.1 Decision flow for network connections: ................................................................. 13
4.2 Network / DICOM information .............................................................................. 14
4.3 Simplified network diagram ................................................................................... 15
5. Connecting and Power ON procedures ......................................................................... 16
5.1 Power .................................................................................................................... 16
5.2 Network ................................................................................................................ 16
5.3 Power ON procedures: .......................................................................................... 16
6. Checks / Configuration after Power ON for Toshiba Engineer. ...................................... 20
6.1 CT System: Scan and Display Console..................................................................... 21
6.2 Vitrea .................................................................................................................... 23
7. Connection to the Hospital network (NSA-2400). ......................................................... 23
7.1 Configuration of the NSA-2400 firewall: ................................................................ 23
7.2 Configuration of the DICOM setting: ...................................................................... 23
7.3 InnerVision: ........................................................................................................... 24
8. Checklist for Power ON and system configuration ........................................................ 25
9. Clean up before Power OFF for Toshiba Engineer ......................................................... 27
9.1 Copy the patient data to a USB hard disk and hand it over to the customer. ......... 27
9.2 Removal of existing patient data. .......................................................................... 27
9.3 Remove the DICOM configuration if the Mobile CT was connected to the Hospital network and
clean up the hosts file. .................................................................................................... 27
10. Checklist for Power OFF before the Mobile CT moves out. ........................................ 28
11. Appendix A: Simplified Network Diagram .................................................................. 30
12. Appendix B: CT system: Deleting All Patient Data. ..................................................... 30
13. Appendix C: Vitrea & Store Direct: Delete all patient data. ........................................ 33
14. TMSE Contact list ...................................................................................................... 33

3
Fairford Medical Mobile Solutions

Trailer License plate: ON-01-VN

Chassis number: XL9T02000F0150661
Length: 13.53 Mtr.
Width: 2.55 Mtr.
Mass: 29000 kg.

The trailer contains the following equipment:

Aquilion PRIME
Software version V6.0SP0605
TSX-303A/BK AquilionPRIME 300kg/2000mm couch snr. BKA1532145
MCS-7178D/4A Tube Megacool 0.35S snr. 21298-M5
CETF-006B/1A CT Transformer snr. 1AA1532538

Options included:
COT-30D/0Z Dicom3 Storage SCP snr. 0ZA1570010
COT-32D/2B Dicom MWM SCU snr. 2BA1535646
COT-33D/0Z Dicom3 MPPS SCU snr. 0ZA1570011
COT-34D/0Z Dicom QR/SCP snr. 0ZA1570012
COT-35D/2B Dicom QR/SCU snr. 2BA1534056
COT-41D/0Z Dicom Storage Comm. snr. 0ZA1570013
CGS-62A/1B Second Console snr. 1BA1482065
CXGS-011A/3B 72kW Generator Upgrade snr. 3BA1522306
CHEG-005B/1B Gated Scan System snr. 1BA1532714
CHVH-001A/2B Variable Helical Pitch snr. 2BA1523121
TIV-2013T1/EN Innervision snr. 0
CDP-07A/2B Dental Display System snr. 2BA1522746
CVV-001A/2B Vessel View snr. 2BA1522572

4
Vitrea Workstation
Z820 Vitrea Extend computer snr. CZC50834J8
CT Abdominal Analysis Demo License
CT Vascular Aorta Demo License
CT Cardiac Analysis Demo License
CT Circle of Willis Demo License
CT Carotid Demo License
CT Larynx Airway Demo License
CT Musculoskeletal Analysis Demo License
CT Renal Demo License
CT Runoff Demo License
Veralcolon CAD-VE iCAD VeraLook CT Colon CAD Demo License
MR Abdominal Analysis Demo License
MR Brain Tumor Demo License
MR Musculoskeletal Analysis Demo License
MR Vascular Demo License

Injector
Medrad® Stellant® Dual Syringe CT injection system SCT210 snr. 101061

Incubator
Heratherm IMC18 18 ltr (17-40°C) Incubator snr. IMC40476659

Pat-Slide
For easy patient transfer

Please contact Luis Cervino or David Doherty for further information about availability and pricing:

Luis Cervino +44 20 7317 3005

+44 7876 351467
luis@fairfordmedical.com

David Doherty +44 20 7317 3008

+44 7879 233594
david@fairfordmedical.com

5
1. CT System specifications

1.2 CT specifications
- Gantry bore opening: 780mm
- Max. Table load (max. weight of the patient): 300Kg.
- Length of the table: 2000mm
- Max. Scan range: 2000mm

1.3 Software versions

- CT Scanner: V6.0SP605
- Dicom version:
- Software packages:
- Software options

6
2. Site planning
2.1 Local requirements
Area for the trailer:
- 16m x 6.0m
- For walking patients the stair entrance will be at the backside of the trailer. This stairs are
mounted to the trailer and needs a clearance of approx. 3 m. (This is included in the 18m)
- Also a clearance is required for maneuvering the stretcher towards the lift.
- In front of the trailer a clearance is required for attaching the truck to the trailer.
Ground under the trailer:
- A solid and flat surface is required with a loading capacity of 29.000kg
- If the surface is unstable reinforcement is required by additional concrete or road pavement,
etc.
- The surface should be flat and level for installing the trailer in such a way to ensure no accidents
or problems will occur.
- In case of doubt please contact Toshiba Medical System B.V.

Accessing the location:

- The complete route towards the stand should be accessible for the truck by road, even during
ice or snow conditions.
- Please check for obstacles, low branches, etc. reserve in advance the location to avoid parked
vehicles on this
location.
Note: The hospital is responsible for all necessary and above preparations of the
installation location, the access route as well as the provision of the required
connections. The client is also responsible for possible approval procedures

2.2 Connection requirements

The hospital should provide the following electrical connection:
The trailer is equipped with a 400Volt 3 phases, Note: When the trailer is arriving at time the
50Hz electric system according to the TN-S system. contact person is not available, please
The Hospital should provide a 400V, 50Hz, service ensure the connection stands under tension
fused at a minimum of 160A. The electrical phase and the rotation field has been checked by
rotation should be L1, L2, L3. the hospital. The hospital is responsible for
an uninterrupted power supply if required.
A 15meter shoreline cable, wired directly to the
trailer, is provided for connecting the mobile unit to
the local power source.
7
 The mains lead is not intended to withstand the wear and tear of traffic passing over it. The hospital
must provide necessary protective ramps, catenary systems or other means to protect the cable
where it traverses roads or pathways.
The shoreline cable is provided with a 400V – 250A Marechal DS2 male connector with 2 parts.

1) Marechal part # 39 28 017: Inlet (male)

2) Marechal part 392 A 013: Handle

The customer facility must have the female

connector to match this connector. The electric
installation must provide a dedicated medical
earth terminal for connecting of earth
connection of the trailer.
This earth cable shall be connected to the trailer
and the main supply outlet before the mains
cable is plugged in

Also an adaptor cable is available from Marachal to CEE.

WARNING:
It’s the user’s responsibility to verify that the shore power is electrically compatible with the
connector of the mobile trailer. Connecting the power to the wrong type of receptacle could cause
serious injury or damage of the medical system.

The hospital should provide the following network connection:

- The system is equipped with one CAT 5 socket that can be used for the Hospital network.
- The system is equipped with one CAT 5 socket that can be used for the general network (for a laptop
on the control desk).
- The system is equipped with two fiber optics sockets that can be used for the Hospital network.
- The system has two data lines for additional phone. This phone is not delivered. The connection is
under the control desk.
- Above connections can be found near the power cable connection on the right side underbelly
compartment.

8
- Please check the total length of network cables, some cases demand an additional switch if the
distance becomes too long.
- An inlet (CAT 5 or higher) at the hospital side has been provided near the power point.
- All above arrangement according to the installation of network connection are to be done by the
client.
- In case a standard connection is not allowed the attached form will supply information concerning
other solutions.
The mobile CT can operate standalone, no connection to the Hospital network is necessary.
In this case:
- The image data is stored on the Vitrea

Optional it’s possible to connect the Mobile CT network to the Hospital network.
- The firewall in the Mobile CT is set to DHCP (will try to get an IP address).
- The CT can use the Hospital Work List Server (DICOM MWM).
- The CT can send images to the Hospital PACS (DICOM STORE).
- The CT can print on a Hospital Imager.
- A network cable or fiber optics connection is available on the outside of the trailer.

Optional it’s possible to connect a Hospital PC (patient appointment system),

installed in the Mobile CT, directly to the Hospital network.
- A network cable connection is available on the outside of the trailer.

The Mobile CT is equipped with an InnerVision (remote service) connection.

- VPN is used to guarantee a secure connection.

The hospital should provide the following water connection:

- One Fresh water connection (Twist plug in connection) at the trailer under part.
- Washed water outlet over a standard pie with adapter for a water hose with 26mm inside diameter
and hose clamp.
- The supply and disposal of water is for the hospital responsibility.

Hose connection for fresh water supply from the hospital.

9
3. Radiation
In The Netherlands the use of equipment emitting ionizing radiation is regulated by the Nuclear
Energy Act (Kernenergiewet). The law provides a framework. Actual measures to be taken are in the
form of decrees, general administrative measures and ministerial decisions.

The decree on Radiation Protection (BS Besluit Stralingsbescherming), regulates the protection of
workers and the general public from risks of exposure for all work involving radiation.

The decree requires a license for using ionizing radiation emitting equipment. The mobile CT-
scanner is part of the license issued by the Ministry and licensed to Toshiba Medical Systems
Europe.

Identification and evaluation of risks of actions during which exposure to ionizing radiation may
occur are identified an evaluated. A risk inventory and evaluation (RI&E) report for the mobile CT-
scanner can be made available for the license-holder of the hospital.

Toshiba Medical Systems Europe Radiation license number: 2008/2220-08 as published in the Dutch
th
Staatscourant on December 12 2008.

Radiation officer during renting period, within respect to the local requirements and authorities.

10
Lead shielding

Scan room wall : 2.5 mm

Rear scan room wall: 2.5 mm
Scan room door: 4 mm
Scan/control room window: 4 mm
Scan rooom floor: 2.5 mm
Scan room roof: 2mm

11
4. Pre-arrival network information

Network information:

The mobile CT can operate standalone, no connection to the Hospital network is necessary.
In this case:
- The image data can be transferred to the Vitrea
Optional it’s possible to connect the Mobile CT network to the Hospital network.

- The firewall in the Mobile CT needs an IP address on the Hospital network.

- The CT can use the Hospital Work List Server (DICOM MWM).
- The CT can send images to the Hospital PACS (DICOM STORE).
- The CT can print on a Hospital Imager.
- A network cable connection is available outside the trailer (Connection box: 1 & 2).
- Details on DICOM are mentioned on page 3 of this document.
Optional it’s possible to connect a Hospital PC (patient appointment system),
installed in the Mobile CT, directly to the Hospital network.
- Network cable connections are available on the outside of the trailer
(Connection box: 1 & 2).
- Fiberoptics connections are available on the outside of the trailer.
(Connection box:)

The Mobile CT is equipped with an InnerVision (remote service) connection.

- VPN is used to guarantee a secure connection.
- The InnerVision system will automatically try to create a SSL-VPN connection to Toshiba
Medicals Systems Europe.

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4.1 Decision flow for network connections:

Is the Mobile CT to be connected to the Hospital network?

NO The CT sends images to the Vitrea.

YES Hospital: Enter the PACS information in table 4.

Hospital: Enter the CT DICOM information in the PACS.
Toshiba Engineer: create the Display Console DICOM node.
Toshiba Application Specialist: adapt the exam plans.

Should the CT use the Hospital Work List Server?

NO No further information necessary.

YES Hospital: Enter the Work List Server information in table 5.

Hospital: Enter the CT DICOM information in the Work List Server.
Toshiba Engineer: configure the Scan Console DICOM node.

Should images be printed on the Hospital Imager?

NO No further information necessary.

YES Hospital: Enter the Imager information in table 6.

Hospital: Enter the CT DICOM information in the Imager.
Toshiba Engineer: create the Display Console DICOM node.

13
4.2 Network / DICOM information

Information from Toshiba for Hospital

1 Scan Console / Display Console information

IP address IP address of Firewall WAN port
DICOM AET DCM_CT_CMW_V3.00

2 Vitrea information
IP address IP address of Firewall WAN port
DICOM AET VIMS_AE

3 Optional: Hospital PACS

The Mobile CT firewall needs an IP address on the Hospital
network

Information from Hospital for Toshiba

4 Optional: Hospital PACS

IP address
DICOM AET
Dicom Port number

5 Optional: Hospital Worklist Server

IP address
DICOM AET
Dicom Port number

6 Optional: Hospital Imager

IP address
DICOM AET
Dicom Port number
14
Simplified Network Diagram

15
5. Connecting and Power ON procedures
Please complete the checklist “Mobile CT Checklist Connecting and
Power ON”. File the completed checklist in the Logbook binder.

5.1 Power
- Connect the outside power cable to the host power outlet of the hospital as described in 2.3

5.2 Network
- Connect the Hospital network cable(s) if required.
Port 1/2: To connect the Mobile CT network to the Hospital network. - When the Hospital PACS,
Work List Server or Imager should be used.
Port : To connect the mobile CT via fiber optics connection to the hospital network.

5.3 Power ON procedures:

A. CT Consoles
- Connect the Scan- and Display console keyboards, mice and microphone.
- Switch on the Scan- and Display console monitor.

16
B. CT Gantry Disengagement Tilt lock

- Remove the Tilt / Rotation lock by removing the four Hex screws.
- Mount the cover plate over the hatch where the transport lock was mounted, and mount the
other covers onto the CT system.

Transport lock

-Remove the tilt brackets on both, front and rear of the gantry.

17
 C. Power on the System Transformer
- Switch on the System transformer (behind the CT Gantry), in the sequence below

1. Input power 2. Console 1 3. Gantry (X200)

D. Power on CT Gantry
- Switch on the Gantry Power Switches (SW 110) at the rear of the gantry.

- You should hear running fans now.

Check after switch on SW110 if the Gantry gets power.

If the Gantry does not get any power it is prohibit by the phase detection circuit.
In this case it is necessary to change the input phase on the transformer!!

18
E. Power on the CT system
- Switch on the CT system (switch on the CPU box under the desk in the scan room)

G. Vitrea
- The PC is in the small right bottom cabinet under the desk in the control room.
- Connect the Vitrea keyboard, mouse and switch on the monitor.
- Press the Vitrea power button (system on the left side in the cabinet).

19
 NEW PICTURE

H. InnerVision (Remote Service) equipment

- The PC is in the left top part of the Console room cabinet.
- The Service Processor PC, the Firewall and Network Switch are automatically powered on.
-

20
6. Checks / Configuration after Power ON for Toshiba Engineer.

In this document you find the procedures for checks and configuration which must be performed
when the Mobile CT arrives at a new Hospital.

Perform the procedures in “Mobile CT Connecting and Power ON”.

Check / Removal of existing ‘old’ image and raw data.

- This data should have been removed before leaving the previous hospital.
- Applicable systems: Scan and Display Console and Vitrea

Check for ‘old’ DICOM configuration.

- This configuration should have been removed before leaving the previous hospital.
- Applicable systems: Scan and Display Console.

Configure the Scan and Display Console if the Hospital’s PACS, Work List or Imager is used.
- Scan Console: Work List Management (DICOM MWM).
- Display Console: PACS (DICOM STORE) and/or Print.

Please complete the checklist “Mobile CT Checklist Connecting and

Power ON”. File the completed checklist in the Logbook binder.

6.1 CT System: Scan and Display Console.

A. Image and Raw Data:

- Check the Image and Raw Data directories on both systems for existing data.
- If you find any, perform the procedure in Appendix B.

B. Old DICOM configuration:

- Check for ‘old’ DICOM configurations in the Transfer and Printing menus.
- If you find any, remove it with the “DICOM Connect Tool”.
21
C. New DICOM configuration:
- Optional: Only if the Hospital PACS / MWM server / Imager is used:
- Modify the hosts file on both consoles.
- Scan Console: Enter the IP address of the MWM server.
- Display Console: Enter the IP addresses of the PACS and / or Imager.
- Configure DICOM nodes according the “Mobile CT pre arrival” document.
- Scan Console: DICOM node for MWM.
- Display Console: DICOM node for PACS and / or Imager.
- Check if you can send / print images.
- Check if you can get the Patient list from the MWM server.
For your reference:

AE Title Port
Scan Console DCM_CTCMW_V3.00 2700
Display Console DCM_CTCMW_V3.00 2700
Vitrea VIMS_AE 3002

Do not touch the Scan- and Display Console DICOM

configuration
for the Vitrea

22
 E. Register software Slice Counter
- Engineering Utility > Slice Counter
- Register the slice counter values on
the Checklist for power ON.

D. Register hardware Slice Counter

- Read the slice counter on the read of the Gantry.
- Register the slice counter values on the Checklist for power ON.

6.2 Vitrea
Use procedure in Appendix D to check / remove patient data.

7. Connection to the Hospital network (NSA-2400).

7.1 Configuration of the NSA-2400 firewall:

- Use the Vitrea to log in to the NSA-2400 firewall.

- NSA-2400 IP address: 192.168.0.10
- Change the IP address of X1 (Hospital port).
- Change the IP Assignment to “Static”.
- Change IP Address, Subnet Mask and Default Gateway to the values received from the
Hospital IT department.

7.2 Configuration of the DICOM setting:

- CT consoles: The current (default) setting is:

- AET: DCM_CT_CMW_V3.00
- Port: 2700
- Vitrea: The current (default) setting is:
- AET: VIMS_AE
- Port: 3002
- Change it if necessary.

23
7.3 InnerVision:

- Check with TMSE TSG-IV if the VPN connection is up and running.

- Email: tsg.iv@tmse.nl
- Theo Verkleij: +31 79 3689029
- Bas Muilwijk: +31 79 3689293
- RDP log in credentials of the Service Processor PC (just in case).
- IP address: 192.168.0.103
- User Name: COM_SP
- Password: IV_TAC_SP

Please complete the checklist “Mobile CT Checklist Connecting and Power ON”.
File the complete checklist in the Logbook binder.

24
 Leave this checklist in
the Mobile CT logbook.

8. Checklist for Power ON and system configuration

Use this checklist when performing the procedures
“Mobile CT Connecting and Power ON” and
“Mobile CT Toshiba Configuration”
Name Engineer
Date
Hospital
Mobile CT General
Power cable connected.
Optional: Network cable(s) connected.
CT System
Tilt lock removed.
Keyboards, mice and microphone connected.
System transformer switched on.
Gantry Power switched on (SW110 on the rear of the Gantry)
CT system switched on (CPU box in control room)
Scan Console: Check for ‘old’ Image & Raw data
Did you find any Image data? YES NO
Did you find any Raw data? YES NO
Image and Raw data removed.
Display Console: Check for ‘old’ Image data
Did you find any Image data? YES NO
Image and Raw data removed.
Scan Console: hosts file modified.
IP address MWM Server:
Scan Console: DICOM MWM configuration done.
AE Title: Port:
Power on.
Scan Console:
Write down the software Exposure Counter
Write down the hardware Exposure Counter

25
 InnerVision equipment
Service Processor PC switched on.
VPN connection up and running

Engineers Name and Signature

Write down your remarks here (English please):

The Checklist to be filled in, can be found in the Logbook

Leave this checklist in

the Mobile CT logbook.

26
 Leave this checklist in
the Mobile CT logbook.

9. Clean up before Power OFF for Toshiba Engineer

In this document you find the procedures for cleaning up which must be performed before the
Mobile CT departs to a new Hospital.

After performing this procedure follow the Power OFF procedure.

9.1 Copy the patient data to a USB hard disk and hand it over to the customer.
- Only if the patient data was not send to a Hospital PACS.
- Toshiba engineer: buy a 2 TB USB HDD for this purpose.

9.2 Removal of existing patient data.

- Applicable systems:
- Scan- and Display Console : Appendix B
- Vitrea : Appendix C

9.3 Remove the DICOM configuration if the Mobile CT was connected to the
Hospital network and clean up the hosts file.
- Remove the Hospital IP addresses from the hosts file :
- Applicable systems: Scan- and Display Console.
- Also for Vitrea, if it was sending data to a Hospital PACS.

9.4 Initialize the Exam-plans

- 1. Go to Engineering menu.
- 2. Go to Original examplans.
- 3. Initialize the examplans. (This will also initialize the SureIQ paramaters etc.)
- 4. Click on English to install the default exaplans, Sure IQ, Sure Exposure & Pitch settings.
- 5. Re-boot.

Please complete the checklist “Mobile CT Checklist Connecting and Power OFF”.
File the complete checklist in the Logbook binder.

Continue with “Mobile CT Disconnect and Power OFF” for the physical power off
procedures.

27
10. Checklist for Power OFF before the Mobile CT moves out.
Use this checklist when performing the
“Mobile CT Toshiba Configuration” procedures

Name Engineer
Date
Hospital

CT System
Tilt lock engaged
Patient couch moved down
All accessories
Scan Console:
All Image & Raw data removed
Hospital DICOM settings removed
Hospital IP addresses cleared (etc/hosts file)
Write down software slice counts …………cnts
Write down hardware slice counts …………cnts
Display Console
All Image data removed
Hospital DICOM settings removed
Hospital IP addresses cleared (etc/hosts file)
CT System: Shutdown
CT System switched off (CPU box under the desk)
Keyboards, Mice and microphone disconnected and stored
Gantry Power switched off (SW110 on the rear of the Gantry)
System transformer switched off

28
Vitrea
All patient data removed.
Vitrea shutdown.
Keyboard and mouse disconnected and stored.
InnerVision equipment
Service Processor PC switched off (press power button).
Mobile CT General
Power cable disconnected from Hospital Power source.
Optional: Network cable(s) disconnected.

Engineers Signature

Leave this checklist in

the Mobile CT logbook.

Write your remarks here (English please)

The Checklist to be filled in, can be found in the Logbook

29
11. Appendix A: Simplified Network Diagram

30
12. Appendix B: CT system: Deleting All Patient Data.
Perform this action on both PC’s simultaneously.

Press the [Ctrl] and [ESC] keys simultaneously to display the start menu and then select [Run...].
Enter cmd to open the terminal. When the terminal window is displayed, enter as follows.

[C:/documents and Settings/kingbird] Chkconfig aquilion off

Shutdown and reboot the system.

The system will boot and comes up with the “System Setup” menu.

Select “Change System”.

Input the following password. “woodpecker”

31
Checkmark ONLY “Create Image Directories” and select “Init all data” and then press Apply
Press the [Ctrl] and [ESC] keys simultaneously to display the start menu and then select [Run...].
Enter cmd to open the terminal. When the terminal window is displayed, enter as follows.

[C:/documents and Settings/kingbird] Chkconfig aquilion on

- Select Quit from the System Setup menu.

- System Shutdown in progress.
- Power off, wait, power on.
- The system starts up, check if all patient data is removed.

32
13. Appendix C: Delete all patient data.
Vitrea:
- Log in as administrator.
- Check the contents of E:/VitreaData/Patients.
- This folder should be empty, if not… delete the folders in here.
- Perform “database rebuild” (Vi communicator).
- Start the Vitrea software (User Name: Vitrea). Check if all is normal.

14. Contact list

Defective parts / Trailer items

Application questions Luis Cervino

luis@fairfordmedical.com
+44 7876 351467

CT Technical Problems David Doherty

david@fairfordmedical.com
+44 7879 233594

Vitrea Technical Problems

Network problems

33