Designers' Desk Reference: Truebeam/Vitalbeam Edition

Designers’ Desk Reference
TrueBeam/VitalBeam Edition
D O C . # : D D R - H T- V
P/N: 100060817-12
VOL. 15, No. 4

Introduction to the Varian Designers’ Desk Reference (DDR)
Printed Designers’ Desk Reference or Digital Designers’ Desk Reference
(Adobe© Acrobat .PDF format)
For optimal printing results, this Designers’ Desk Reference is formatted to require double-sided
capabilities in both 8-1/2" x 11" and 11" x 17" sizes or their metric equivalents. If your printer does not
have these capabilities, a printed version will gladly be supplied. To obtain a printed copy of any of the
Varian DDRs, contact your Regional Planner or the Varian Planning Department at the address below.
Intended Audience
The intended audiences of this DDR are the customer’s Design Professionals, that is
Architect(s)/Engineer(s) of Record and the Physicist of Record. This DDR is not intended for direct use by
Tradespeople or other field personnel.
This DDR issue is effective July 1, 2015. Users should contact their Site Services Regional Planner for the
most current release.
Language of Origin
This publication is of English-language origin.
Digital Drawing Files
AutoCAD DWG files for all sections within this DDR are available from your Regional Varian Planner.
These files contain details that can be useful for incorporating into the Architect’s contract documents. The
DWG file names are referenced in the lower right area of each diagram in this Designers’ Desk Reference.
Contact Varian’s Global Planning Department at:
Varian Medical Systems
Planning Group, Site Services
660 N. McCarthy Blvd., Milpitas, CA 95035
Phone: (800) 278-2747 or (408) 232-4231
Email: planning@varian.com
http://www.varian.com/us/oncology/services_and_support/architectural_planning/contact.html
Limitation of Liability
Every effort has been made to keep the digital drawing files consistent with the documents in the DDR.
These files are provided “as-is” without warranty of any kind, either express or implied. The Architects
and Engineers of Record shall modify these files to reflect any and all site-specific conditions and regional
regulatory agency requirements. Varian Medical Systems, Inc., its agents, or any subsidiaries shall not be
liable for the accuracy or completeness of the files, any documents that include portions of them or any
damages, direct, indirect, incidental or consequential, including damages for any list profits or project
delays that result from the use of the files included herein.
Trademarks
TrueBeam, VitalBeam, EDGE, Clinac, Calypso, Acuity, and ARIA are trademarks or registered
trademarks of Varian Medical Systems, Inc. These and/or other Varian Medical Systems Inc.’s products
referenced herein are either registered trademarks or trademarks of Varian Medical Systems in the U.S.
and/or other countries. The names of other companies and products mentioned herein may be the
trademarks of their respective owners. Any rights not expressly granted herein are reserved.
© 1999-2015 Varian Medical Systems, Inc.
All rights reserved. Reproduction of any of the material contained herein in any format or media without
the express written permission of Varian Medical Systems is prohibited.
Designers’ Desk Reference, TrueBeam/VitalBeam Edition
Varian Document #: DDR-HT-V

Varian P/N: 100060817-12
Version: Vol. 15, No. 4
Issue Date: July 1, 2015
Document History List
Version Issue Date eSign Workflow #

Vol. 12, No. 3 April 2, 2012 N/A
Vol. 12, No. 3 r2 December 7, 2012 N/A
Vol. 12, No. 4 N/A N/A
Vol. 13, No. 1 N/A N/A
Vol. 13, No. 2 January 18, 2013 N/A
Vol. 13, No. 3 April 1, 2013 #26983753
Vol. 13, No. 4 July 1, 2013 #29749484
Vol. 14, No. 1 October 1, 2013 #33085546
Vol. 14, No. 2 January 2, 2014 #36890436
Vol. 14, No. 3 April 1, 2014 #40492623
Vol. 14, No. 4 July 1, 2014 #45234921
Vol. 15, No. 1 October 1, 2014 #50035039
Vol. 15, No. 2 January 5, 2015 #52382301
Vol. 15, No. 3 April 6, 2015 #57207674
List of Revisions
For revisions prior to those listed below, please contact your Varian Regional Planner.
Item # Version Section Page # Revision Remarks
197 Vol. 15, No. 1 Back of Added new heading:
Cover Language of Origin: This
publication is of
English-language origin
198 Vol. 15, No. 1 2.3 2-7 Figure 2-2: Revised the Changed from “8'-9" (2667)” to “9'-0" (2743)”
maximum couch arc
clearance dimension
iii
List of Revisions

199 Vol. 15, No. 1 2.3 2-7 Figure 2-2: Revised the Changed from “7'-11" (2667)” to “8'-4 1/2”
minimum required couch (2553)"
arc clearance dimension
200 Vol. 15, No. 1 2.4 2-11 Figure 2-4: Updated the
couch arcs on the Typical
(Intermediate) Vault
Configuration layout
couch arcs on the
Traditional (Large) Vault
couch arcs on the
Minimum Vault
Configuration - Direct
Entry layout
203 Vol. 15, No. 1 2.4 2-13 Figure 2-6: Added new
note “This is the minimum
dimension to finished
wall”
dimension to face of
concrete”
couch arcs on the
Minimum Vault
Configuration - Maze
Entry layout
dimension to finished
wall”
dimension to face of
concrete”
208 Vol. 15, No. 1 2.5 2-15 Figure 2-8: Revised the Changed from “8'-9" (2667)” to “9'-0" (2743)”
maximum couch arc
clearance dimension
209 Vol. 15, No. 1 2.5 2-15 Figure 2-8: Revised the Changed from “7'-11" (2667)” to “8'-4 1/2"
minimum required couch (2553)”
arc clearance dimension
note for “Longitudinal
Axis Line”
iv Designers’ Desk Reference, TrueBeam/VitalBeam Edition

List of Revisions

note “The TrueBeam
Couch can rotate ± 95°
about isocenter from the
longitudinal axis line”
note for “The couch top has
a lateral range of 9.8" [250]
to either side of the
centerline of the TrueBeam
Couch”
note for “The Small Vault
Configuration Layout may
require the use of the
Moving Modulator, see
Section 3.3.2 for more
information”
214 Vol. 15, No. 1 2.7 2-20 Figure 2-11: Added new The Standard Shipping Configuration consists
Standard Shipping of a combined Stand and Gantry
Configuration Layout
215 Vol. 15, No. 1 2.7 2-21 Figure 2-12: Added new The Optional “Factory Break” Shipping
Optional “Factory Break” Configuration consists of a separated Stand and
Shipping Configuration Gantry
Layout
Shipping Configuration -
Weights layout
Minimum Rigging
Clearances for the
Standard Configuration
layout
Minimum Rigging
Clearances for the Optional
Factory Break
219 Vol. 15, No. 1 Chapter 3 3-1 Figure 3-1: Updated the
couch arcs on the
Treatment Room
Overview, Sample Set-up
220 Vol. 15, No. 1 3.6 3-31 Revised Title Changed from “Calypso System (Optional)” to
“Calypso - Extracranial Radiosurgery
Subsystem (Optional)”
Designers’ Desk Reference, TrueBeam/VitalBeam Edition v

List of Revisions

221 Vol. 15, No. 1 3.6.10.1 3-37 Figure 3-32: Added new
note “Conduit runs from
the Power Supply and Hub
Unit to each treatment
room location shall not
exceed 40'-0" [12m]”
222 Vol. 15, No. 1 3.6.11 Multiple Changed “Camera Mount”
to “Ceiling Mount Load
Plate”
223 Vol. 15, No. 1 3.6.11.1 3-38 Revised the description of Changed to “The following mounting location
the Preferred Ceiling diagram applies to the TrueBeam accelerators
Mount Load Plate with clear unobstructed path to overhead
Locations concrete mounting surface for Cameras #1 and
#3. A Varian provided bracket and cantilever
bar will be used to attach Calypso Camera #2 to
the TrueBeam's Optical Imaging post.”
224 Vol. 15, No. 1 3.6.11.1 3-38 Added new note: “When
installing Camera #2 on the
GCX Optical Imaging post
the concrete ceiling height
must at or below 11'-6"
[3505] from finished floor.
If the concrete ceiling
mounting height is above
11'-6" [3505] from finished
floor use Section 3.6.11.2
to locate the Camera #2
ceiling mount load plate.”
225 Vol. 15, No. 1 3.6.11.1 3-39 Figure 3-33: Updated Changed from “4'-4" ± 1" [1320 ± 25] and 6'-2"
Camera #1 and Camera #3 ± 1" [1880 ± 25]” to “4'-4 3/16" ± 1" [1325 ±
Cartesian dimensions 25] and 6'-3 5/16" ± 1" [1928 ± 25]”
226 Vol. 15, No. 1 3.6.11.1 3-39 Figure 3-33: Updated Camera #2 now uses a GCX bracket and 18"
Camera #2 location [457] cantilever bar to attached to the GCX post
note: “Dimensions are to
the center of the Ceiling
Mount Load Plate”
note: “The ceiling mount
load plates should only be
installed after the
BaseFrame is grouted in
and isocenter is verified”
229 Vol. 15, No. 1 3.6.11.1 3-40 Figure 3-34: Updated Changed from “7'-6 9/16" ± 1" [2300 ± 25] at
Camera #1 and Camera #3 55°” to “7'-8 1/8" ± 2" [2340 ± 50] at 55.5° ±
Polar dimensions 1°”
230 Vol. 15, No. 1 3.6.11.1 3-40 Figure 3-34: Updated Camera #2 now uses a GCX bracket and 18"
Camera #2 location [457] cantilever bar to attach to the GCX post
vi Designers’ Desk Reference, TrueBeam/VitalBeam Edition

List of Revisions

note: “Dimensions are to
the center of the Ceiling
Mount Load Plate”
note: “The ceiling mount
load plates should only be
installed after the
BaseFrame is grouted in
and isocenter is verified”
233 Vol. 15, No. 1 3.6.11.1 3-42 New Figure 3-36 Calypso
Camera #2 Mount
Location - Section View
234 Vol. 15, No. 1 3.6.11.2 3-43 Revised the description of Changed to “The following mounting location
the Acceptable Ceiling diagram applies to installations that are not able
Mount Load Plate Areas to obtain an unobstructed path to overhead
concrete mounting surface by using a Varian
provided post and cantilever extension bar.”
235 Vol. 15, No. 1 3.6.11.2 3-44 New Figure 3-37
Acceptable Camera Mount
Areas - Plan View
236 Vol. 15, No. 1 3.6.12 3-45 Figure 3-38: Updated the Changed the to the “Osprey” Camera
Calypso Infrared Camera -
Layout
237 Vol. 15, No. 1 3.6.13.1 3-46 Added new note: “The
ceiling mount load plates
should only be installed
after the BaseFrame is
grouted in and isocenter is
verified”
238 Vol. 15, No. 1 3.6.13.2 3-47 Removed Figure 3-42
Ceiling Mount Load Plate
Location w/Cantilever
Extension Bar
239 Vol. 15, No. 1 3.7 3-48 Revised Section Title Changed from “OSMS System (Optional)” to
“OSMS - - Intracranial Radiosurgery
Subsystem (Optional)”
240 Vol. 15, No. 1 3.8.4.1 3-60 Revised the Stand and Changed from “5.0 kW (17,065 Btu/hr)” to
Gantry Air Heat Load “5.25 kW (17,930 Btu/hr)”
during Ready and
Beam-On states.
241 Vol. 15, No. 1 3.8.4.1 3-60 Revised the Modulator Air Changed from “7.0 kW (23,891 Btu/hr)” to
Heat Load during “7.25 kW (24,760 Btu/hr)”
Beam-On state
242 Vol. 15, No. 1 3.8.4.1 3-60 Removed the Side by Side
and Split Configurations
from the TrueBeam
Control Console
Designers’ Desk Reference, TrueBeam/VitalBeam Edition vii

List of Revisions

243 Vol. 15, No. 1 3.10 3-65 Figure 3-52: Revised the
BaseFrame Pit to extend to
the rear concrete wall
244 Vol. 15, No. 1 3.10 3-65 Figure 3-52: Revised the Changed the Typical (Intermediate) from
lateral offset dimension “4'-0" [1219]” to “2'-6" [760]” and changed the
from isocenter to the center Traditional (Large) from “2'-4" [711]" to
of the customer supplied 2'-6" [760]”
cooling lines on the rear
concrete wall
245 Vol. 15, No. 1 3.10 3-67 Figure 3-54: Removed 147
lb/cu ft [2355 kg/cu m]
from grout specification
246 Vol. 15, No. 1 3.11 3-69 Figure 3-56: Revised the Changed from “9'-7" [2921] and 11'-0" [3353]”
isocenter to rear to “To Rear Concrete Wall (15'-0" max.)”
BaseFrame Pit dimension
247 Vol. 15, No. 1 3.11 3-69 Figure 3-56: Revised the Changed from “11" [279]” to “10" [254]”
lateral offset dimension
from isocenter to the center
of the cooling line conduit
sleeves at back of the
BaseFrame
248 Vol. 15, No. 1 3.11 3-70 Figure 3-57: Revised the Changed from “9'-7" [2921] and 11'-0" [3353]”
isocenter to rear to “To Rear Concrete Wall (15'-0" max.)”
BaseFrame Pit dimension
BaseFrame
BaseFrame
251 Vol. 15, No. 1 3.12 3-71 Figure 3-58: Revised the Changed “4'-0" [1219]” to “2'-6" [760]”
of the customer supplied
concrete wall
viii Designers’ Desk Reference, TrueBeam/VitalBeam Edition

List of Revisions

252 Vol. 15, No. 1 3.12 3-71 Figure 3-58 Added new
note “Install the two
conduit sleeves for the
Varian provided cooling
hoses after the BaseFrame
is installed (before grout).
The conduits must rest
against the rear of the
BaseFrame at the specified
location, to ensure the
stand will completely
cover the exposed end.”
BaseFrame.
254 Vol. 15, No. 1 3.12 3-72 Figure 3-59: Revised the Changed from “2'-4" [711]” to “2'-6" [760]”
of the customer supplied
concrete wall.
note “Install the two
conduit sleeves for the
Varian provided cooling
hoses after the BaseFrame
is installed (before grout).
The conduits must rest
against the rear of the
BaseFrame at the specified
location, to ensure the
stand will completely
cover the exposed end.”
BaseFrame
note “Install the centerline
of the 2" [50] conduit
sleeves a maximum of
1 1/2" [38] off the rear
concrete wall”
Designers’ Desk Reference, TrueBeam/VitalBeam Edition ix

List of Revisions

note “Install the final leg of
the two conduit sleeves for
the Varian provided
cooling hoses after the
BaseFrame is installed
(before grout). The
conduits must rest against
the rear of the BaseFrame
at the specified location, to
ensure the stand will
completely cover the
exposed end.”
259 Vol. 15, No. 1 4.1.4 4-5 Figure 4-1: Added new
note for optional set of
Dual In-Room Monitors
260 Vol. 15, No. 1 5.1 5-1 Moved Figure 5-1 to
Figure 5-3
261 Vol. 15, No. 1 5.1 5-1 Removed Figure 5-2

Control Equipment
Layout, Side by Side
Configuration
262 Vol. 15, No. 1 5.1 5-1 Removed Figure 5-3
Control Equipment
Layout, Split
Configuration
Figure 5-1
Figure 5-2
265 Vol. 15, No. 1 5.1 5-5 Figure 5-3: Revised the Changed from “January 2015” to “March
Valid for Equipment 2015”
delivery date
266 Vol. 15, No. 2 3.3.2 3-16 Figure 3-10: Added the
Modulator pull box cover
plate to the “Left” moving
modulator configuration
layout
267 Vol. 15, No. 2 3.3.2 3-16 Figure 3-10: Revised the Changed from “The contractor-provided
note for the Modulator pull drop-in anchor is not required for the Left
box cover plate drop-in Moving Modulator configuration.” to “Drill
anchor and install (1) 1/4" x 20 x 1" contractor-
provided drop-in anchor 2" [50] from the right
edge Modulator pull box on both Left and Right
Moving configurations.”
x Designers’ Desk Reference, TrueBeam/VitalBeam Edition

List of Revisions

268 Vol. 15, No. 2 3.6.10.1 3-37 Figure 3-32: Removed
incorrect requirement note
for the conduit between the
Control Equipment pull
box and the Accessory pull
box
269 Vol. 15, No. 2 3.10 3-65 Figure 3-52: Added Added “9'-7" to 15'-0" (2921 to 4572)”
minimum and maximum
isocenter to rear concrete
wall dimension for the
Baseframe pit
minimum and maximum
Baseframe pit
271 Vol. 15, No. 2 3.11 3-69 Figure 3-56: Revised the Changed from “94" (2388)" to "86" (2185)”
cooling conduit sleeve
maximum length limitation
minimum and maximum
Baseframe pit
maximum distance from
the end of conduit to the
NPT valves
NPT valves
NPT valves
Designers’ Desk Reference, TrueBeam/VitalBeam Edition xi

List of Revisions

280 Vol. 15, No. 2 4.2.2.5 4-13 Updated the GEXPRO Added “Email:
order and contact Healthcareservices@gexpro.com” and
information “Contact your Varian Regional Planner for
order information in the following markets:
Latin America; Europe, Middle East, and
Africa; and Asia/Pacific Rim.”
281 Vol. 15, No. 2 4.3.5.3 4-20 Revised the GEXPRO Changed from “1-800-200-9760” to
phone number “1-800-279-7925”
282 Vol. 15, No. 3 Multiple Globally changed from

“PAVS” to “VVS”
283 Vol. 15, No. 3 3.6.4 3-32 Figure 3-27: Updated the Replaced the original Hawk camera with the
Infrared Camera photo new Osprey camera
284 Vol. 15, No. 3 3.6.4 3-32 Figure 3-28: Revised the Changed from “Power Supply/Hub and Related
figure name System Components” to “Camera Power
Supply and Hub Unit”
285 Vol. 15, No. 3 3.7.1 3-48 Revised OSMS Changed from “120V” to “100-240V @
Workstation voltage power 50/60 Hz”
range
286 Vol. 15, No. 3 3.7.1 3-48 Added physical 6.6"w x 1"h x 5"d (170 x 25 x 130), 1.3 lbs
specifications for the KVM (0.6 kg)
switch
287 Vol. 15, No. 3 3.7.1 3-48 Added physical 7"w x 4"h x 10.5"d (170 x 95 x 270), 16.5 lbs
specifications for the (7.5 kg)
600VA Isolation
transformer
288 Vol. 15, No. 3 3.7.1 3-48 Added the power The PSU requires one 100-240V @ 50/60 Hz
requirement for the OSMS switched power receptacle
PSU
289 Vol. 15, No. 3 3.7.3 3-49 Revised OSMS Remote Changed from “120V” to “100-240V @
Terminal voltage power 50/60 Hz”
range
290 Vol. 15, No. 3 3.7.3 3-49 Added physical 6.6"w x 1"h x 5"d (170 x 25 x 130), 1.3 lbs
specifications for the KVM (0.6 kg)
switch
291 Vol. 15, No. 3 3.7.3 3-49 Added physical 6"w x 3.5"h x 9.5"d (150 x 85 x 240), 9.9 lbs
specifications for the (4.5 kg)
300VA Isolation
transformer
292 Vol. 15, No. 3 3.7.3 3-49 Added physical 16"w x 16.5"h x 7.5"d (404 x 419 x 188),
specifications for the 8.5 lbs (3.83 kg)
Remote Terminal Monitor
293 Vol. 15, No. 3 3.7.4.1 3-50 Figure 3-45: Added a
100-240V @ 50/60 Hz
receptacle for the Remote
Terminal
294 Vol. 15, No. 3 5.1 5-5 Figure 5-3: Revised the Changed from “March 2015” to
Valid for Equipment “July/August 2015”
delivery date
xii Designers’ Desk Reference, TrueBeam/VitalBeam Edition

List of Revisions

“TrueBeam” to
“TrueBeam/VitalBeam”
“Site Solution - Services”
to “Site Services”
297 Vol. 15, No. 4 Chapter 1 1-1 Add VitalBeam
Description paragraph
298 Vol. 15, No. 4 1.1 1-1 Added for “TrueBeam

only” to “High Intensity
Beam Mode”
299 Vol. 15, No. 4 1.1 1-1 Added Standard Definition
80 leaf MLC for
“VitalBeam only”
300 Vol. 15, No. 4 1.1 1-1 Added for “TrueBeam
only” to “Standard and
High Definition 120 MLC”
301 Vol. 15, No. 4 1.1 1-1 Added “Option for

VitalBeam” for Integrated
MV Portal Imaging
302 Vol. 15, No. 4 1.1 1-1 Added “Option for
VitalBeam” for Cone
Beam CT
303 Vol. 15, No. 4 1.1 1-1 Added OSMS key features
304 Vol. 15, No. 4 1.2 1-3 Added TrueBeam,

TrueBeam STx, and
VitalBeam to DDR
Supported Accelerator
Models
305 Vol. 15, No. 4 3.4 3-17 Added note that second set
of Dual In-Room Monitors
is an “option on TrueBeam
only-not available on
VitalBeam”
306 Vol. 15, No. 4 3.4.1 3-18 Added note that the
TrueBeam Optical
Imaging Subsystems is
“Optional on VitalBeam”
307 Vol. 15, No. 4 3.4.2 3-21 Added note that second set
of Dual In-Room Monitors
is an “option on TrueBeam
only-not available on
VitalBeam”
308 Vol. 15, No. 4 3.4.2.2 3-22 Figure 3-15: Added note
that second set of Dual
In-Room Monitors is an
“option on TrueBeam
only”
Designers’ Desk Reference, TrueBeam/VitalBeam Edition xiii

List of Revisions

309 Vol. 15, No. 4 3.5 3-26 Figure 3-19: Added note
that VVS System is an
“option on TrueBeam
only”
310 Vol. 15, No. 4 3.6 3-31 Added note that the
Calypso Extracranial
Radiosurgery Subsystem
“Option is not available on
VitalBeam”
311 Vol. 15, No. 4 3.7 3-48 Added note that the OSMS
Intracranial Radiosurgery
Subsystem “Option is not
available on VitalBeam”
312 Vol. 15, No. 4 3.8.4.1 3-60 Revised the Heat Load Changed from “1.1 kW (3,770 Btu/hr)” to
requirement for the 2-1 “0.75 kW (2,560 Btu/hr)”
Cabinet Configuration
313 Vol. 15, No. 4 3.8.4.1 3-60 Revised the Heat Load Changed from “1.5 kW (5,118 Btu/hr) at the
requirement for the Control Console Cabinet” to “0.5 kW
Stacked Cabinet (1,707 Btu/hr) at the Control Console Cabinet”
Configuration and from “1.5 kW (5,118 Btu/hr) at the Control
Console Imaging Cabinet” to “0.25 kW
(853 Btu/hr) at the Control Console Imaging
Cabinet”
314 Vol. 15, No. 4 Chapter 4 4-1 Table 4-1: Revised Changed from “30A” to “20A”
Console 50Hz Amperage
315 Vol. 15, No. 4 Chapter 4 4-1 Table 4-1: Revised the Changed from “These feeds can be supplied” to
footnote “These feeds are supplied”
316 Vol. 15, No. 4 4.3.6.1 4-22 Added EDGE and

VitalBeam to supported
accelerators
xiv Designers’ Desk Reference, TrueBeam/VitalBeam Edition

Table of Contents
CHAPTER 1 INTRODUCTION ...................................................................................................1-1

1.1 Technical Key Features ................................................................................................. 1-1
1.2 Supported Accelerator Models ....................................................................................... 1-3
1.3 TrueBeam Installation Timeline Description................................................................... 1-3
CHAPTER 2 GENERAL SYSTEM INFORMATION ...................................................................2-1

2.1 Typical Room Shielding Tables...................................................................................... 2-1
2.2 Typical Room Isometric View ......................................................................................... 2-5
2.3 Typical Room Configuration ........................................................................................... 2-7
2.4 Optional Room Configurations ..................................................................................... 2-11
2.5 Detail – Plan View ........................................................................................................ 2-15
2.6 Detail – Elevations ....................................................................................................... 2-17
2.7 Shipping/Rigging Dimension Clearances ..................................................................... 2-20
CHAPTER 3 FACILITIES REQUIREMENTS .............................................................................3-1

3.1 Cable Conduit/Ducts ...................................................................................................... 3-2
3.1.1 Circuit Breakers .................................................................................................. 3-2
3.1.1.1 TrueBeam Main Circuit Breaker Panel ...................................................... 3-2
3.1.2 Pull/Junction Boxes ............................................................................................ 3-2
3.1.2.1 Control Equipment Pull Box....................................................................... 3-2
3.1.2.2 Modulator Pull Box .................................................................................... 3-3
3.1.2.3 Baseframe Pull Box ................................................................................... 3-3
3.1.2.4 In-Room Monitor Pull Box.......................................................................... 3-3
3.1.2.5 Accessory Pull Box.................................................................................... 3-3
3.1.2.6 Relay Junction Box.................................................................................... 3-4
3.2 Cable Access Diagrams ................................................................................................. 3-5
3.3 Major System Components – Modulator Cabinet .......................................................... 3-9
3.3.1 Standard Modulator ............................................................................................ 3-9
3.3.2 Moving Modulator ............................................................................................. 3-11
3.4 Major System Components – Optical Imaging with IRM .............................................. 3-17
3.4.1 TrueBeam Optical Imaging Subsystems (Optional on VitalBeam) ................... 3-18
3.4.1.1 Mounting Location ................................................................................... 3-18
3.4.1.2 Mounting Method..................................................................................... 3-20
3.4.1.3 Dedicated Ground Wire – TrueBeam Optical Imaging ............................ 3-20
3.4.2 TrueBeam Dual In-Room Monitors (IRM)......................................................... 3-21
3.4.2.1 Standard Mounting Location – TrueBeam IRM ....................................... 3-21
3.4.2.2 Mounting Method..................................................................................... 3-22
3.4.2.3 Mounting Method..................................................................................... 3-24
3.4.2.4 Dedicated Ground Wires – TrueBeam IRM............................................. 3-24
3.4.2.5 Alternate Wall-Mounting Location – TrueBeam IRM ............................... 3-25
xv
3.5 Minor System Components – Live View Camera, CCTV, VVS, and
Intercom Subsystems................................................................................................... 3-26
3.5.1 Live View Camera Subsystem ......................................................................... 3-27
3.5.1.1 Live View Mounting Locations and Method ............................................. 3-27
3.5.1.2 Dedicated Ground Wire – Live View Camera.......................................... 3-27
3.5.2 Closed Circuit TV (Motion View) Subsystem.................................................... 3-28
3.5.2.1 Mounting Locations ................................................................................. 3-28
3.5.3 Audio Subsystem – Microphone(s) and Speakers ........................................... 3-30
3.5.3.1 Dedicated Ground Wire – Microphone(s) ................................................ 3-30
3.6 Calypso Extracranial Radiosurgery Subsystem (Optional) .......................................... 3-31
3.6.1 Treatment Room Console ................................................................................ 3-31
3.6.2 Array Panel....................................................................................................... 3-32
3.6.3 Touch Screen Computer .................................................................................. 3-32
3.6.4 Optical System ................................................................................................. 3-32
3.6.4.1 Infrared Cameras..................................................................................... 3-33
3.6.4.2 Camera Power Supply/Hub Unit.............................................................. 3-33
3.6.5 Tracking Station ............................................................................................... 3-33
3.6.6 Beacon Transponders ...................................................................................... 3-34
3.6.7 Software ........................................................................................................... 3-34
3.6.8 Fixtures............................................................................................................. 3-34
3.6.8.1 QA Fixture ............................................................................................... 3-34
3.6.8.2 Calibration Fixtures.................................................................................. 3-35
3.6.9 System Options ................................................................................................ 3-35
3.6.9.1 Radiation Detector................................................................................... 3-35
3.6.9.2 Dynamic Edge Gating.............................................................................. 3-35
3.6.9.3 Adaptive Couch Repositioning ................................................................ 3-36
3.6.9.4 Treatment Planning Data Import ............................................................. 3-36
3.6.10 Calypso System Assembly............................................................................... 3-37
3.6.10.1 Typical Room Configuration .................................................................... 3-37
3.6.11 Camera Mounting Locations ............................................................................ 3-38
3.6.11.1 Preferred Ceiling Mount Load Plate Locations ........................................ 3-38
3.6.11.2 Acceptable Ceiling Mount Load Plate Areas ........................................... 3-43
3.6.12 Camera Elevation Heights and Clearances ..................................................... 3-45
3.6.13 Camera Support Mounting Methods ................................................................ 3-46
3.6.13.1 Ceiling Mount Load Plate ........................................................................ 3-46
3.6.13.2 Ceiling Mount Cantilever Extension Bar .................................................. 3-47
3.6.14 Shipping/Rigging Dimension Clearances ......................................................... 3-47
3.7 OSMS Intracranial Radiosurgery Subsystem (Optional).............................................. 3-48
3.7.1 OSMS Workstation........................................................................................... 3-48
3.7.2 OSMS Optical System...................................................................................... 3-48
3.7.3 Treatment Room Remote Terminal.................................................................. 3-49
xvi Table of Contents

3.7.4 OSMS System Assembly ................................................................................. 3-50
3.7.4.1 Typical Room Configuration .................................................................... 3-50
3.7.5 OSMS Camera Mounting Locations ................................................................. 3-51
3.7.6 Camera Elevation Heights and Clearances ..................................................... 3-53
3.7.7 Camera Support Mounting Methods ................................................................ 3-54
3.7.7.1 Ceiling Mount Load Plate ........................................................................ 3-54
3.8 HVAC and Plumbing Requirements ............................................................................. 3-55
3.8.1 Operational States............................................................................................ 3-55
3.8.2 TrueBeam Coolant System .............................................................................. 3-56
3.8.2.1 TrueBeam Coolant Requirements ........................................................... 3-58
3.8.2.2 Coolant Specifications ............................................................................. 3-59
3.8.2.3 Pressure Regulator Specifications .......................................................... 3-60
3.8.3 Compressed Air System................................................................................... 3-60
3.8.4 Environmental Specifications ........................................................................... 3-60
3.8.4.1 Ventilation................................................................................................ 3-60
3.8.5 Plumbing .......................................................................................................... 3-61
3.8.6 Fire Protection .................................................................................................. 3-61
3.9 Shielding ...................................................................................................................... 3-62
3.9.1 Radiation Shielding Details .............................................................................. 3-62
3.9.2 Radiation Shielding Calculation Assumptions .................................................. 3-63
3.9.3 Other Shielding Information.............................................................................. 3-64
3.10 Baseframe Pit and Installation ..................................................................................... 3-65
3.11 Baseframe Cable Access Details ................................................................................. 3-69
3.12 Baseframe Cooling Line Access Details ...................................................................... 3-71
3.13 Patient Positioning Lasers............................................................................................ 3-74
3.13.1 Side Laser Mounting Detail .............................................................................. 3-75
3.13.2 Ceiling Laser Mounting Detail .......................................................................... 3-78
3.13.3 Sagittal Laser Mounting Detail – Recessed ..................................................... 3-79
CHAPTER 4 ELECTRICAL REQUIREMENTS ..........................................................................4-1

4.1 General Electrical Specifications.................................................................................... 4-1
4.1.1 Wiring and Components ..................................................................................... 4-1
4.1.2 Lighting and Accessories Circuits ...................................................................... 4-1
4.1.3 Electrical Connections ........................................................................................ 4-2
4.1.4 Dedicated Grounding Requirements .................................................................. 4-2
4.1.5 Power Conditioning Requirements ..................................................................... 4-7
4.1.6 Network Cabling and Termination ..................................................................... 4-7
4.1.6.1 Cabling ...................................................................................................... 4-7
4.1.6.2 Termination................................................................................................ 4-7
4.1.6.3 TCP/IP Protocol......................................................................................... 4-8
4.2 TrueBeam Linear Accelerator Subsystem ..................................................................... 4-9
4.2.1 Circuit Breaker.................................................................................................. 4-10
4.2.1.1 TrueBeam Main Circuit Breaker Panel .................................................... 4-10
Table of Contents xvii

4.2.2 TrueBeam Main Circuit Breaker Panel – VWB Series ..................................... 4-11
4.2.2.1 Application ............................................................................................... 4-11
4.2.2.2 Features .................................................................................................. 4-12
4.2.2.3 General Features..................................................................................... 4-12
4.2.2.4 Benefits.................................................................................................... 4-12
4.2.2.5 Ordering Information................................................................................ 4-13
4.3 Interconnection Wiring Diagram................................................................................... 4-15
4.3.1 General Notes .................................................................................................. 4-17
4.3.2 Laser Positioning Lights and Optional Bypass/Override Switch....................... 4-17
4.3.3 Room Lighting .................................................................................................. 4-17
4.3.3.1 Room Lights, Setup Lights, Laser Positioning Lights, and CCTV ........... 4-17
4.3.3.2 Setup Lights............................................................................................. 4-18
4.3.3.3 Main Room Lights.................................................................................... 4-18
4.3.4 Safety Device Systems .................................................................................... 4-18
4.3.4.1 Beam-On Warning Lights ........................................................................ 4-18
4.3.4.2 Beam Ready Warning Light..................................................................... 4-19
4.3.4.3 Beam-Off Light ........................................................................................ 4-19
4.3.4.4 X-RAY ON (Integrated Imaging) Warning Light....................................... 4-19
4.3.4.5 Generator ON (Integrated Imaging) Warning Light ................................. 4-19
4.3.4.6 Emergency-Off Switches ......................................................................... 4-19
4.3.4.7 Safety Door Interlock Switches................................................................ 4-20
4.3.5 Power Receptacles/Switches ........................................................................... 4-20
4.3.5.1 Setup Lights............................................................................................. 4-20
4.3.5.2 CCTV Camera ......................................................................................... 4-20
4.3.5.3 TrueBeam/VitalBeam Control and Imaging Cabinets.............................. 4-20
4.3.5.4 ARIA Workstation Components (Optional) .............................................. 4-21
4.3.6 Varian Relay Junction Box ............................................................................... 4-22
4.3.6.1 Application ............................................................................................... 4-22
4.3.6.2 Features .................................................................................................. 4-22
CHAPTER 5 FINISHES ..............................................................................................................5-1

5.1 Typical Control Equipment Casework ............................................................................ 5-1
5.2 General Room Storage Requirements........................................................................... 5-8
5.3 Typical Accessory Storage Dimensions......................................................................... 5-9
5.4 Carpeting, Vinyl, Wood, and other Flooring Requirements.......................................... 5-12
5.5 Acoustical Requirements ............................................................................................. 5-12
5.6 Ceiling Finishes............................................................................................................ 5-13
APPENDIX A TRUEBEAM/VITALBEAM PRE-INSTALLATION CHECKLIST ...........................A-1
APPENDIX B CALYPSO PRE-INSTALLATION CHECKLIST ....................................................B-1
xviii Table of Contents

APPENDIX C SHIPPING LISTS.................................................................................................. C-1
C.1 Varian TrueBeam Shipping List (Typical)...................................................................... C-1
APPENDIX D H.E. ACCELERATOR VS. TRUEBEAM SITE REQUIREMENT

COMPARISON SUMMARY.................................................................................. D-1
GLOSSARY...................................................................................................................GLOSSARY-1
Table of Contents xix

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xx Table of Contents
List of Figures
CHAPTER 2
Figure 2-1 Typical Room Isometric View .......................................................................... 2-5
Figure 2-2 Typical (Intermediate) Room Plan View .......................................................... 2-7
Figure 2-3 Typical (Intermediate) Room Section .............................................................. 2-9
Figure 2-4 Typical (Intermediate) Vault Configuration - Exterior Primary Barriers.......... 2-11
Figure 2-5 Traditional (Large) Vault Configuration.......................................................... 2-11
Figure 2-6 Minimum Vault Configuration - Direct Entry (Silhouette Retrofit) .................. 2-13
Figure 2-7 Minimum Vault Configuration - Maze Entry (Silhouette Retrofit) ................... 2-13
Figure 2-8 Plan View....................................................................................................... 2-15
Figure 2-9 Side Elevation................................................................................................ 2-17
Figure 2-10 Front Elevation .............................................................................................. 2-19
Figure 2-11 Standard Shipping Configuration — Dimensions .......................................... 2-20
Figure 2-12 Optional “Factory Break” Shipping Configuration — Dimensions.................. 2-21
Figure 2-13 Shipping Configuration — Weights................................................................ 2-22
Figure 2-14 Minimum Rigging Clearances for the Standard Configuration ...................... 2-23
Figure 2-15 Minimum Rigging Clearances for the Optional Factory Break Configuration 2-24
CHAPTER 3
Figure 3-1 Treatment Room Overview, Sample Set-up.................................................... 3-1
Figure 3-2 Typical TrueBeam Conduit Diagram (Plan View) ............................................ 3-5
Figure 3-3 Typical TrueBeam Conduit Diagram (Section View) ....................................... 3-7
Figure 3-4 Modulator Cabinet, Plan View ......................................................................... 3-9
Figure 3-5 Modulator Cabinet, Elevation View................................................................ 3-10
Figure 3-6 Left Moving Modulator Pull Box Location ...................................................... 3-12
Figure 3-7 Right Moving Modulator Pull Box Location.................................................... 3-13
Figure 3-8 Moving Modulator Cabinet – Plan View......................................................... 3-14
Figure 3-9 Moving Modulator Cabinet – Elevation View ................................................. 3-15
Figure 3-10 Moving Modulator Floor Positioning – Plan View .......................................... 3-16
Figure 3-11 Optical Imaging and In-Room Monitors (Typical) – Front Elevation .............. 3-17
Figure 3-12 TrueBeam Optical Imaging Mount – Plan View............................................. 3-18
Figure 3-13 TrueBeam Optical Imaging Mount – Elevation Views ................................... 3-19
Figure 3-14 Ceiling Mounting Plate – Optical Imaging Camera........................................ 3-20
Figure 3-15 Dual In-Room Monitor Mount – Plan View .................................................... 3-22
Figure 3-16 Dual In-Room Monitor Mount – Elevation View............................................. 3-23
Figure 3-17 Ceiling Mounting Plate – In-Room Monitor Bracket....................................... 3-24
Figure 3-18 Alternate Wall-Mount Dual In-Room Monitor Installation............................... 3-25
xxi
Figure 3-19 Interior Elevation – Component Location ...................................................... 3-26
Figure 3-20 Live View Camera – Wall Mount (Section View) ........................................... 3-27
Figure 3-21 Typical CCTV System Diagram..................................................................... 3-28
Figure 3-22 Multiple CCTV Camera Locations – Elevation .............................................. 3-29
Figure 3-23 Treatment Room Speaker, Microphone, and Live View Camera
Layout: Top View........................................................................................... 3-30
Figure 3-24 Treatment Room Console ............................................................................. 3-31
Figure 3-25 Array Panel.................................................................................................... 3-31
Figure 3-26 Touch Screen Computer ............................................................................... 3-31
Figure 3-27 Infrared Camera ............................................................................................ 3-32
Figure 3-28 Camera Power Supply and Hub Unit ............................................................ 3-32
Figure 3-29 Tracking Station, Keyboard, Monitor, and Mouse ......................................... 3-33
Figure 3-30 Beacon Transponder..................................................................................... 3-34
Figure 3-31 Radiation Detector......................................................................................... 3-35
Figure 3-32 Calypso System Conduit Diagram – Typical Plan View ................................ 3-37
Figure 3-33 Preferred Ceiling Mount Load Plate Locations – Plan View
(Cartesian Dimensions)................................................................................. 3-39
Figure 3-34 Preferred Ceiling Mount Load Plate Locations – Plan View
(Polar Dimensions)........................................................................................ 3-40
Figure 3-35 Preferred Ceiling Mount Load Plate Locations – Typical Section ................. 3-41
Figure 3-36 Calypso Camera #2 Mount Location – Section View .................................... 3-42
Figure 3-37 Acceptable Camera Mount Areas – Plan View ............................................. 3-44
Figure 3-38 Calypso Infrared Camera – Typical Elevation ............................................... 3-45
Figure 3-39 Ceiling Mount Load Plate – Infrared Camera ................................................ 3-46
Figure 3-40 Ceiling Mount Load Plate – Isometric............................................................ 3-46
Figure 3-41 Cantilever Extension Bar............................................................................... 3-47
Figure 3-42 Camera with Cantilever Extension Bar.......................................................... 3-47
Figure 3-43 OSMS Camera .............................................................................................. 3-48
Figure 3-44 OSMS Power Supply Unit (PSU) .................................................................. 3-48
Figure 3-45 OSMS System Conduit Diagram – Typical Plan View .................................. 3-50
Figure 3-46 OSMS Camera Mount Locations – Plan View............................................... 3-51
Figure 3-47 OSMS Camera Mount Locations – Section View.......................................... 3-52
Figure 3-48 OSMS Camera – Typical Elevation............................................................... 3-53
Figure 3-49 Ceiling Mount Load Plate – OSMS Camera.................................................. 3-54
Figure 3-50 Minimum Coolant Flow Requirements .......................................................... 3-56
Figure 3-51 TrueBeam Coolant System Diagram............................................................. 3-57
Figure 3-52 TrueBeam Baseframe Pit Dimensions .......................................................... 3-65
Figure 3-53 TrueBeam Baseframe Installed..................................................................... 3-66
Figure 3-54 Grout After Baseframe Installation ................................................................ 3-67
xxii Table of Contents

Figure 3-55 TrueBeam Installed on Baseframe ................................................................ 3-68
Figure 3-56 Standard Side Cable Access Plan and Section at Pull Box .......................... 3-69
Figure 3-57 Alternate Bottom Cable Access Plan and Section at Pull Box ...................... 3-70
Figure 3-58 Typical (Intermediate Vault) Cooling Line Access Plan................................. 3-71
Figure 3-59 Traditional (Large Vault) Cooling Line Access Plan ...................................... 3-72
Figure 3-60 Minimum (Small Vault) Cooling Line Access Plan......................................... 3-73
Figure 3-61 Laser Positioning Light – Isometric and Plan Views...................................... 3-74
Figure 3-62 Laser and Mounting Plate (Typical) – Exploded View ................................... 3-74
Figure 3-63 Side Laser Mounting Details (Recessed in Wall) – Elevation View............... 3-75
Figure 3-64 Side Laser Mounting Details (Recessed in Wall) – Plan View ...................... 3-76
Figure 3-65 Side Laser Mounting Details (Recessed in Wall) – Section View.................. 3-77
Figure 3-66 Ceiling Laser Mounting Detail – Side View.................................................... 3-78
Figure 3-67 Sagittal Laser Mounting Details (Recessed in Wall) – Elevation View .......... 3-79
CHAPTER 4
Figure 4-1 Ground/Earthing Conductor Diagram .............................................................. 4-5
Figure 4-2 Interconnection Wiring Diagram .................................................................... 4-15
Figure 4-3 Varian Relay Junction Box ............................................................................ 4-23
CHAPTER 5
Figure 5-1 Typical Control Equipment Layout, 2-1 Cabinet Configuration........................ 5-1
Figure 5-2 TrueBeam/VitalBeam 2-1 Cabinet Floor Positioning Bracket
Installation – Plan View ................................................................................... 5-3
Figure 5-3 Control Equipment Layout, Stacked Configuration.......................................... 5-5
Figure 5-4 ARIA Treatment Workstation (Optional) .......................................................... 5-7
Figure 5-5 Typical Room Storage Elevation ..................................................................... 5-8
Figure 5-6 Wedge Storage................................................................................................ 5-9
Figure 5-7 Block Storage ................................................................................................ 5-10
Figure 5-8 Applicator Storage ......................................................................................... 5-11
Figure 5-9 Typical Reflected Ceiling Plan....................................................................... 5-14
Table of Contents xxiii

xxiv Table of Contents

List of Tables
CHAPTER 2
Table 2-1 Typical Shielding for Standard Procedures......................................................2-1
Table 2-2 Typical Shielding for Standard Procedures with 50% IMRT of a Factor F=3...2-1
Table 2-3 Typical Shielding for SRS Procedures with 20% IMRT of a Factor F=3..........2-2
Table 2-4 Concrete to Lead and Steel Ratios..................................................................2-2
Table 2-5 Tenth Value Layer (TVL) for Concrete vs. X-Ray Energy ................................2-2
Table 2-6 Typical Minimum TrueBeam Room Door Shielding .........................................2-3
Table 2-7 Quality of X-Ray Beams (BJR 11 vs. BJR 17 Values) .....................................2-3
CHAPTER 3
Table 3-1 Ideal Mechanical Specifications.....................................................................3-55
Table 3-2 TrueBeam Coolant Requirements .................................................................3-58
Table 3-3 Coolant Specifications for External and Internal Water Sources ...................3-59
CHAPTER 4
Table 4-1 Recommended Power Specification Summary ...............................................4-1
Table 4-2 TrueBeam/VitalBeam Linear Accelerator Power Requirements ......................4-9
xxv
xxvi Table of Contents

Chapter 1 Introduction
The Varian Medical Systems, Inc. TrueBeam is the only system specifically designed to deliver both
radiotherapy and radiosurgery. A sophisticated and highly intelligent technology, this breakthrough
system unlocks the ability to do tailored ground-breaking treatments with unprecedented ease,
versatility, and speed. The TrueBeam system brings together state-of-the-art, real time imaging with
the ability to deliver higher doses with high precision. Because of this intelligent design, physicians
are able to treat more complex cases and more patients. As sophisticated as it is, the TrueBeam system
has been developed for ease of use. Single-button operation and fast treatments are the cornerstone of
a system that optimizes clinical workflow. Designed with an emphasis on efficiency, the TrueBeam
system is easy for a technician or a clinician to learn and operate.
VitalBeam™ is a new cost-effective technology package for offering high-quality, high-throughput

radiation therapy, and for expanding clinical capabilities over time. VitalBeam leverages the best of
Varian’s technology; incorporating many of the innovations we developed for our popular
TrueBeam® radiosurgery system to enhance precision, safety, and speed of treatment. It is a flexible
and upgradeable system that affordably meets the clinical needs clinic today as they grow in the
future. Each of the five VitalBeam configurations offers up to three photon and four electron energy
levels for flexibility in treatment. Customers can choose to start with one configuration and add
capabilities over time, at a pace that suits them. It is distinct from our versatile TrueBeam radiotherapy
and radiosurgery platform in that VitalBeam is optimized for advanced radiotherapy while TrueBeam
systems were designed to handle both.
1.1 Technical Key Features
TrueBeam/VitalBeam Accelerator
 Multiple Full Field (40 x 40) Photon Energy Accelerator @ 600 MU/min in High Intensity
Mode (HIM).
 High Intensity Mode Beams.
 6MV@1400 MU/min in HIM.
 10MV @ 2400MU/min in HIM with HD MLC (TrueBeam only).
 Up to Nine (9) Electron Energies.
 Standard 80, 120, or High Definition 120 Leaf MLC.
 Standard Definition 80 leaf MLC with 10mm leaves. Maximum field size of 40 x 40 for fixed
field (VitalBeam only).
 Standard Definition 120 leaf MLC with 5mm leaves for the central 20cm and 10mm leaves
for the external 10cm on each side. Maximum field size of 40 x 40 for fixed field and
32 x 40 for IMRT (TrueBeam only).
 Optional High Definition 120 leaf MLC with 2.5 mm leaves for the central 8cm and 5mm
leaves for the external 7cm on each side. Maximum field size of 22 x 40 for fixed field and
22 x 32 for IMRT (TrueBeam only).
 Integrated MV Portal Imaging system with 1024 x 768 resolution, option for VitalBeam.
 .5mm radius Isocenter (Gantry/Collimator), .75mm radius Isocenter (Gantry/Collimator/Couch).
1-1
Technical Key Features TrueBeam/VitalBeam Edition
 Klystron Driven system.

 Triode Electron gun enabling advanced capabilities such as gating of radiation beam during
delivery.
Note: Additional items may be required to perform this capability.
Integrated Imaging
 Gantry mounted Oil cooled kV X-ray tube and Amorphous Silicon Imaging panel.
 Robotic arms allowing both in room and console area control for retracting imaging system and
moving into position.
 Radiographic Mode: Allowing Stereoscopic Imaging including Marker matching mode.
 Cone Beam CT: 3D Imaging with full 3D Volumetric Matching Capabilities, option on
VitalBeam.
 Allowing sub-cGy volumetric Cone Beam CT acquisition in both full (360 degrees) and half
rotation (200 degrees) modes.
 Fluoroscopic Mode: Allowing Pre-treatment Fluoro verification of treatment field.
Calypso Extracranial Radiosurgery Subsystem
Option on TrueBeam only; not available on VitalBeam.

 Real-Time Tumor Position Management.
 Infrared Camera and Bracket.
 LCD for displaying Patient Marker Motion.
 Integrated Workstation with TrueBeam Control.
OSMS Intracranial Radiosurgery Subsystem
Option on TrueBeam only; not available on VitalBeam.

 High Resolution and Accurate 3D Surface Imaging.
 Real-time tracking of the patient’s surface.
 Highly Accurate Tracking of Cranial Positions for all Couch Angles.
 Fully compatible with Non-Coplanar Treatments.
 Direct Calibration to Treatment Beam Isocenter.
1-2 Chapter 1 Introduction

TrueBeam/VitalBeam Edition Supported Accelerator Models
This document provides essential information and detailed descriptions about the
TrueBeam/VitalBeam Edition’s installation requirements.
Note: Varian highly recommends you read this document prior to the baseframe and
pre-installation kit delivery. To ensure a simple and timely system installation, several
pre-working/pre-assembly steps must be accomplished. It is also very important to
inform Varian of all information regarding the hospital’s electrical and spatial
conditions.
Appendix A “TrueBeam/VitalBeam Pre-Installation Checklist” includes a checklist you can use to

ensure that all listed requirements are completed and finalized.
1.2 Supported Accelerator Models

This Designer’s Desk Reference (DDR) TrueBeam/VitalBeam Edition describes equipment facility
requirements for the following high energy medical linear accelerators:
 TrueBeam
 TrueBeam STx
 VitalBeam
Note: This DDR does not apply to Clinac 2100C/D, Clinac 21EX, Clinac 23EX, Clinac iX,
Silhouette, Novalis Tx, Novalis Tx Silhouette, or Trilogy.
For unsupported accelerators, as described above, please contact your Regional Planner or Varian’s
Global Planning Department for the appropriate planning documents at:
Varian Medical Systems
Planning Group, Site Services
660 N. McCarthy Blvd., Milpitas, CA 95035
Phone: (800) 278-2747 or (408) 232-4231
Email: planning@varian.com
http://www.varian.com/us/oncology/services_and_support/architectural_planning/contact.html
1.3 TrueBeam Installation Timeline Description

Installations of Varian’s TrueBeam/VitalBeam Genus linear accelerators typically consist of the
Accelerator with the Optical Imaging system. The TrueBeam installation currently takes 6 weeks
from Delivery and Rig-In through completion of the Linear Accelerator and Varian Optical Imaging
Installation Product Acceptance (IPA). The installation process cannot be split based on its
subsystems.
The IPA for the TrueBeam will begin no later than the 5th week, barring unforeseen conditions, and
will require full-time services of the site physicist.
Chapter 1 Introduction 1-3

TrueBeam Installation Timeline Description TrueBeam/VitalBeam Edition
The Sample timeline is based on the following assumptions and is in a perfect world scenario.
 The Design and Planning, Contract Bid and Mobilization, and Construction processes shall take
5 weeks, 3 weeks, and 9 weeks, respectively, after the placement of the TrueBeam accelerator
order. Activities prior to order placement are not considered in this timeline.
 The accelerator rig date shall be no earlier than 120 days after the order initiation date. This is
Varian’s standard manufacturing lead time.
 The Baseframe shall be installed ~30 days prior to the accelerator rig date.
All pre-installation dates and considerations are individually scheduled by the Varian Project
Manager, based on mutual agreement between the customer and project manager and
communications with Varian Planning and Sales. The District Sales Manager will coordinate with the
customer and the Varian Project Manager for a Configuration Confirmation Meeting or conference
call. The Project Manager will engage the customer with regular communications throughout all
phases of the project. In addition, the Project Manager typically performs site visits to help answer
questions and observe construction progress. Site visits are commonly held for the Initial Site
Meeting/Project Kickoff, the Baseframe Pre-Installation Inspection or the Baseframe installation, and
the Construction Completion/Pre-Installation Final Inspection. This final visit typically occurs 10-14
days prior to the rig date to verify 100% completion as defined by the TrueBeam Final Checklist.

TrueBeam/VitalBeam Edition TrueBeam Installation Timeline Description
ID Task Name Duration Month 1 Month 2 Month 3 Month 4 Month 5 Month 6 Month 7
Week -1 Week 1 Week 2 Week 3 Week 4 Week 5 Week 6 Week 7 Week 8 Week 9 Week 10 Week 11 Week 12 Week 13 Week 14 Week 15 Week 16 Week 17 Week 18 Week 19 Week 20 Week 21 Week 22 Week 23 Week 24 Week 25 Week 26 Week 27 Week 28 Week 29 Week 30
0 TrueBeam Timeline - Sample 141 days 01/06 07/20
1 Project Launch 35 days 01/06 02/21
2 Receive Installation Request (GPOT) 1 day 01/06 01/06
3 Create project, include all equipment / upgrades 1 day 01/07 01/07
4 Send Letter of Introduction to Client 1 day 01/07 01/07
5 Prepare ALL Sales Orders & Project Folders 1 day 01/07 01/07
6 Ensure Customer has DDR Iinformation 1 day 01/08 01/08
7 Review Sales Order w/ Sales and Contract Admin 1 day 01/14 01/14
8 Schedule customer kick-off meeting / site visit 1 day 01/15 01/15
9 Obtain Drawing Review from Varian Planning 3 wks 01/15 02/04
10 Confirm Drawing Review Comment Responses 2.6 wks 02/05 02/21
11 First Site Visit 5 days 01/29 02/05
12 Joint Initial Site Meeting 0 days 01/29
13 Review Sales Order & Customer's P.O. 1 day 01/30 01/30
14 Review Pre-Installation Check List 1 day 01/30 01/30
15 Verify Pulse Cables Less than 50Ft 1 day 01/30 01/30
16 Coordinate Room Readiness and Delivery Dates 1 day 01/30 01/30
Sa
17 Deliver State's Radiation License Letter 1 day 01/30 01/30
18 Prepare & Distribute Site Visit Report 1 day 01/31 01/31
19 Remedy Sales Order Problems 3 days 02/03 02/05
20 Initial Site Meeting Follow-up Complete 0 days 02/05
21 Customer Site Preparation 85 days 01/06 05/01
22 Existing Equipment Removal (If Applicable) 1.5 days 02/29 03/01
26 Desing and Planning 5 wks 01/06 02/07
27 Bid Process and Mobilization 3 wks 02/28
28 Construction/ Site Preperation 9 wks 03/02 05/01
29 TrueBeam Project 96 days 03/09 07/20
30 03/09 05/07
mp
TrueBeam Pre-Installation Coordination 44 days
31 MICAP Recived by Customer 0 days 04/13
32 MICAP Submitted by Customer & Posted to FTP Website 0 days 04/17
33 Issue Argus / Argus IMRT Pre-Install Survey 0 days 04/20
34 Request TrueBeam S/W Support 0 days 04/13
35 Schedule Outside Vendor Shipping & Delivery 1 day 03/09
36 Baseframe Coordination 1 day 03/
03/09
37 Confirm Baseframe Configuration, Availability & Shipping D 1 day 03/0
03/09
38 Schedule Baseframe installation with Site Contractor 1 day 03/0
03/09
39 Issue Baseframe Ship Request 1 day 03/09
40 Schedule Baseframe Rigger (3 week lead-time) 1 day 03/09
41 Pre-Baseframe Installation Visit 2 days
le
42 Complete Pre-Baseframe Installation Inspection 1 day
43 Obtain conduit lengths from Contractor 1 day
44 Release Baseframe for Delivery 1 day
45 Baseframe Installation - TrueBeam 1 day 03/31
46 Request Interconnect Cables (3 week lead time) 1 day
47 Final Site Coordination 12 days 05/07
48 Issue TrueBeam Ship Request 1 day
49 Confirm Extended Rigging Contractor 1 day
50 Inform Applications Department of Rig Dates 1 day 05/06
51 Final Site Inspection 3 days
52 Complete Pre-Installation Checklist 1 day
53 Confirm Radiation License Requirements Complete 1 day
54 Distribute Site Status and Pre-Installation Checklist 1 day 05/05
55 Confirm All Site Readiness Items Complete 1 day 05/07
56 Release Equipment for Delivery 1 day 05/05
57 TrueBeam System Installation 40 days 05/15 07/09
58 TrueBeam Installation 39 days 05/15 06/22
59 TrueBeam Start 1 day 05/15
60 Equipment Rig-In 2 days 05/15 05/16
61 Clinac Extended Rig-In 3 days 05/17 05/19
62 Electrical and Mechanical Setup/Test 34 days 05/20 06/22
63 Winston-Lutz Testing & Fine Isocenter Adjustment 1 day 06/04
64 4D ITC Installation & Integration 0 days 06/03
65 Customer Acceptance Testing 3 days 06/23 06/25
66 Varian Customer Acceptance Procedure 3 days 06/23 06/25
67 TrueBeam Complete 0 days 06/25
68 Physics Commissioning (Time Varies ) 2 wks 06/26 07/09
69 TrueBeam Education & Training 46 days 05/18 07/20
70 Varian Education - Las Vegas 5 days 05/18 05/22
71 Varian Education Cntr - OBI Clinical Implementation for Phy 5 days 05/18 05/22
72 Varian Education Cntr - OBI Clinical Implementation for RTs 3 days 05/18 05/20
73 Varian Education Cntr - Cone Beam CT eLearning 0 days 05/22
74 Varian Applications Training 5 days 07/14 07/20
75 TrueBeam Applications Training 2 days 07/14
76 OBI Applications Training 2 days 07/16
77 CBCT v1.x Applications Training 1 day 07/20
Project: TrueBeam Timeline - Sample Task Critical Task Slack Completed Milestone Summary Rolled Up Critical Task Rolled Up Progress External Tasks Group By Summary
Date: Thu 07/22/10
Task Progress Critical Task Progress Milestone Critical Milestone Rolled Up Task Rolled Up Milestone Split Project Summary Deadline
Page 1
Chapter 1 Introduction 1-5

TrueBeam Installation Timeline Description TrueBeam/VitalBeam Edition

Chapter 2 General System Information
2.1 Typical Room Shielding Tables

The shielding values found in these tables were based on the assumptions shown in “Radiation
Shielding Details” on page 3-62. For more information on shielding, also see “Other Shielding
Information” on page 3-64.
WARNING: Varian Medical Systems shall have no approval or other responsibility for any
matter affecting or related to the adequacy of the radiation protection walls and
barriers or related safety devices. All radiation shielding designs must meet codes
and regulations of all Authorities Having Jurisdiction (AHJ) and must be
approved by the Customer’s or Facility’s Physicist of Record and shall be the sole
responsibility of the Customer/Facility. The hours of operation, patient workload,
accelerator energy, and the shielding materials should all be taken into
consideration when calculating shielding requirements. Serious injury or death
can result from improper radiation shielding.
Table 2-1 Typical Shielding for Standard Procedures
Primary Barrier 4MV 6MV 8MV 10 MV 15 MV 18 MV 20 MV

At 100% occupancy 66 (1676) 75 (1905) 84 (2134) 86 (2184) 91 (2311) 93 (2362) 96 (2438)
At 10% occupancy 53 (1346) 62 (1575) 70 (1778) 72 (1829) 75 (1905) 78 (1981) 80 (2032)
Secondary Barrier
At 100% occupancy 30 (762) 33 (838) 39 (991) 40 (1016) 43 (1092) 43 (1092) 44 (1118)
At 10% occupancy 21 (533) 22 (559) 27 (686) 28 (711) 30 (762) 31 (787) 32 (813)
Note: Inches (mm) of 147 lbs./cu. ft. (2355 kg/cu. M) Concrete.
Table 2-2 Typical Shielding for Standard Procedures with 50% IMRT of a Factor F=3
Secondary Barrier 4MV 6MV 8MV 10 MV 15 MV 18 MV 20 MV

At 100% occupancy 34 (864) 37 (940) 42 (1067) 43 (1092) 47 (1194) 47 (1194) 48 (1219)
At 10% occupancy 24 (610) 26 (660) 31 (787) 32 (813) 34 (864) 35 (889) 36 (914)
2-1
Typical Room Shielding Tables TrueBeam/VitalBeam Edition
Table 2-3 Typical Shielding for SRS Procedures with 20% IMRT of a Factor F=3
Primary Barrier 6MV 10 MV

At 100% occupancy 81 (2057) 92 (2337)
At 10% occupancy 68 (1727) 77 (1956)
Secondary Barrier
At 100% occupancy 40 (1016) 46 (1168)
At 10% occupancy 29 (737) 35 (889)
Table 2-4 Concrete to Lead and Steel Ratios
4 MV 6 MV 8MV 10 MV 15 MV 18 MV 20 MV
Steel Primary Barrier 3.5 3.7 3.8 4.0 4.0 4.1 4.2
Secondary Barrier 3.2 3.5 3.6 3.6 3.8 3.8 3.9
Lead Primary Barrier 6.1 6.5 7.0 7.2 7.7 7.9 8.1
Secondary Barrier 5.4 6.2 6.3 6.6 7.0 7.0 7.0
Note: Inches (mm) of 147 lbs./cu. ft. (2355 kg/cu. M) Concrete Equal to Inches (mm) of Lead/Steel.
Table 2-5 Tenth Value Layer (TVL) for Concrete vs. X-Ray Energy
4 MV 6 MV 8 MV 10 MV 15 MV 18 MV 20 MV
Primary Beam X-Rays 11.4 (290) 13.5 (343) 14.3 (363) 15.3 (389) 17.0 (432) 17.5 (455) 18.0 (457)
Leakage X-Rays (90°) 10.0 (254) 11.0 (279) 11.5 (292) 12.0 (305) 13.0 (330) 13.0 (330) 13.5 (343)
2-2 Chapter 2 General System Information

TrueBeam/VitalBeam Edition Typical Room Shielding Tables
Table 2-6 Typical Minimum TrueBeam Room Door Shielding
4 MV 6 MV 8 MV 10 MV 15 MV 18 MV 20 MV
Lead 1/8 (3) 1/8 (3) 1/4 (6) 1/4 (6) n/a n/a n/a
Wood 2 (51) 2 (51) 3 (76) 3 (76) n/a n/a n/a
Lead n/a n/a n/a n/a 1/4 (6) 3/4 (19) 3/4 (19)
5% Borated Polyethylene n/a n/a n/a n/a 3 (76) 4 (102) 5 (127)
Steel-Both Sides n/a n/a n/a n/a 1/4 (6) 1/4 (6) 1/4 (6)
Note: Thickness in Inches (mm).
Table 2-7 Quality of X-Ray Beams (BJR 11 vs. BJR 17 Values)
X-Ray Energy (MV)

BJR 11 Value 4 6 8 10 15 18 20
BJR 17 Value 4 6 8 10 16 23 25
Note: % of Primary X-Ray Dose at Isocenter.
Chapter 2 General System Information 2-3

Typical Room Shielding Tables TrueBeam/VitalBeam Edition

TrueBeam/VitalBeam Edition Typical Room Isometric View
2.2 Typical Room Isometric View

Isocenter - This is the primary reference point for Varian equipment.
Show the isocenter location clearly on all relevant drawings. Maintain Bulk and shelf storage are required for Varian accessories and various
the isocenter location on site by extending perpendicular axis lines materials used for therapy. The Varian-supplied Accessories include
along slab and up walls in all four directions. The standard isocenter Electron Applicators (cones), Wedges, and other field-defining devices.
height for TrueBeam is 4'-3" (1295)
Provide beam-on and x-ray on warning lights in the treatment room, and
over the door, or at eye level adjacent to the door outside the treatment
room. They are usually located adjacent to the emergency-off switches.
In-Room Monitors provide important They indicate beam-on condition and may be required to blink when the
Exposed grid ceilings allow for access to patient setup information to the Therapist. beam is on. Verify local requirements with regional regulatory agencies.
the overhead laser and relay junction box For installation details, see Chapter 3.
without the use of access doors. Major Provide emergency-off switches in room (normally closed type, manual
service at the equipment Stand is simplified reset). In addition to the switches required as part of the room,
where there are removable ceiling tiles. Optical Imaging emergency-off devices are built into the TrueBeam Stand and Couch,
Coordinate the layout of ceiling tile to ensure camera and bracket. Console and at the TrueBeam Modulator. Adequate switches
that ceiling support system shall not interfere must be provided in TrueBeam rooms so that one need not
with overhead laser positioning light beam port. pass through the primary beam to disable the TrueBeam. Do not locate
This is the primary emergency-off switches in primary beam. Locate switches to avoid
beam shielding. inadvertent contact, such as by gurneys or carts. Verify all requirements
with regional regulatory agencies.
This is the secondary shielding.
HVAC Duct penetration.
Modulator Cabinet
In-Room
Monitor
A sink with running hot and cold water is highly recommended
in Accelerator rooms. A hose spigot is necessary to fill the
water phantom, and a drain is necessary to service the
TrueBeam's internal cooling system and drain the water phantom. Line of
Floor drains and floor sinks should not be located in the Baseframe
room to avoid possible backup into the equipment floor TrueBeam pit.
recesses. Do not run water lines directly above the Door Actuator Couch
Accelerator components or control console. Switch
The patient's position on the Couch is fixed by body markings that are
aligned with "cross hairs" cast by the laser lights. Two wall laser positioning
lights at isocenter height, a ceiling laser and the sagittal laser are
Two-way verbal communication with the patient is required. The two powered by a common circuit controlled via the user interface in the
speakers should be located as shown in Figure 3-18. Speakers can Control Room or Couch Pendant or Couch Side Panels, through a relay.
be furnished with the TrueBeam system as an option, are Lasers are usually distributed and installed, at the Customer's option, by
Contractor-installed, and should be installed per the manufacturer’s Varian. The Customer is responsible for verification of laser types and
instructions. See section 3.5.3 for additional information. Beam-on and x-ray on lights. mounting configurations.
Emergency-off switches.
Provide a dimmer switch for set-up lights.

This switch is used to adjust the
illumination level of the set-up lights so
that they are dim enough for clear visibility
of the lasers, but bright enough for safe
movement through the room.
The layouts shown on DDR drawings represent typical plans only. Clearances and wall thickness may vary.
Figure 2-1 Typical Room Isometric View

Typical Room Isometric View TrueBeam/VitalBeam Edition

TrueBeam/VitalBeam Edition Typical Room Configuration
2.3 Typical Room Configuration

A sink with running hot and cold water is highly recommended in TrueBeam rooms. A hose spigot is
necessary to fill the water phantom and a drain is necessary to service the TrueBeam’s internal cooling
system and drain the water phantom. Floor drains and floor sinks should not be located in the room to avoid
Provide a minimum 4'-0" x 7'-0" (1219 x 2134) clear opening for equipment possible backup into the equipment floor recesses. Do not run water lines directly above the TrueBeam
clearance at radiation shielded entrance doors to treatment rooms. This components or control console.
clearance allows proper access for rigging Varian equipment.
The In-Room Monitors should be located where the operator can observe it without turning away from either
The amount and type of shielding on treatment room entrance doors have varying the machine or patient on the couch. The monitors provide information during patient setup and it is unsafe
requirements based on the presence and length of the maze, and the energy of the to turn away from the patient while the machine is moving and the patient is on the couch. See Section 3.4.2
TrueBeam. Generally, low energy Accelerators will require wood doors with a lead for more information.
core and manual operation. Dual Energy Accelerators usually require steel doors with
a lead and borated polyethylene core and motorized operation. Specific door Control
shielding requirements are dependent on maze and shielding configuration. See equipment
typical minimum suggested door shielding. casework Extent of primary beam. The total beam angle is 28 degrees (14
degrees either side of isocenter). Primary barrier shielding should
extend a minimum 1'-0” (305) beyond edge of the primary beam. Do
not locate sensitive electronic equipment (for example, In Room
Monitor) in the primary beam path.
Verbal communication with the patient is required. The two speakers should be In Room Keyboard. Store
located as shown in Figure 3-18. Primary beam
in securable location shielding Customer-provided casework for storing accelerator accessories.
when not in use. See Figure 5-5 for suggested storage details.
The TrueBeam Couch with IGRT couch top is standard with TrueBeam
The maximum Couch Arc clearance is 9'-0" (2743) - recommended. Line of Baseframe pit.
The minimum REQUIRED Full Couch Arc clearance is 8'-4 1/2" (2553).
In-Room
The recommended couch arc clearance allows complete rotation of the Couch This is the recommended dimension to concrete for typical
Optional Monitor
at its maximum radius (retracted). Obstructions inside the minimum required procedures. Recommended face of concrete dimensions assume up
VVS System
couch arc are unacceptable. However, obstructions between the minimum to 6" (152) of wall furring. Approximately 16'-6" (5029) isocenter to
required couch arc and the maximum couch arc may be acceptable provided wall distance may be required at one side of Couch. Consult with
they are reviewed and approved by Varian and the Customer. In specific Customer.
situations, such as dynamic stereotactic treatment, a larger area may be
required.
This dimension is provided for illustrative purposes only. Actual
dimensions will vary with shielding requirements and construction
practices.
Varian-provided CCTV cameras are Contractor-installed. See Figure 3-16 for
installation details.
This is the recommended dimension to concrete. Recommended
Verify adequate equipment access into room and around maze. face of concrete dimensions assume up to 6" (152) of wall furring.
The sagittal laser positioning light is located on the wall at the end of
the longitudinal couch axis. Unlike the side lasers, which are at
isocenter height, the sagittal laser is typically mounted at a laser output
height of 7'-6" (2286) above the floor. Secondary shielding
Live View camera. This special radiation-hardened CCTV camera is Varian- Isocenter - This is the primary reference point for Varian equipment.
furnished, Contractor-installed. For installation details, see Figure 3-15. Show the isocenter location clearly on all relevant drawings. Maintain
the isocenter location on site by extending perpendicular axis lines
along slab and up walls in all four directions. The standard isocenter
There are no recognized acoustical standards for therapy rooms. The primary height for TrueBeam is 4'-3" (1295).
sound source on dual energy TrueBeam systems is the Modulator Cabinet. Modulator
Varian has met no acoustical problems when the Modulator is located in the Cabinet
treatment room. The patients are in the room for a very short time and some The patient's position on the Couch is fixed by body markings that
seem reassured by the changing sound levels as the machine goes through its are aligned with "cross hairs" cast by the laser lights. Two wall laser
cycles. Noise is a concern, however, when the Modulator Cabinet is located positioning lights at isocenter height, a ceiling laser and the sagittal
next to therapists or others who are exposed to it often. Placing the Modulator laser are powered by a common circuit controlled via the user
in a nearby closet is acceptable. Consult with the Customer regarding preferred interface in the Control Room or Couch Pendant or Couch Side
location. The use of acoustically absorbent materials is recommended. Panels, through a relay. Lasers are usually distributed and installed,
at the Customer's option, by Varian. The Customer is responsible for
verification of laser types and mounting configurations.
This dimension is provided for illustrative purposes only. Actual dimensions will
vary with shielding requirements and construction practices.
The two side laser positioning lights are located on the side walls at
isocenter height.
The layouts shown on DDR drawings represent typical plans only. Clearances and This is the recommended dimension to concrete. Recommended
wall thickness may vary. face of concrete dimensions assume up to 6" (150) of wall furring.
Figure 2-2 Typical (Intermediate) Room Plan View

Typical Room Configuration TrueBeam/VitalBeam Edition

TrueBeam/VitalBeam Edition Typical Room Configuration
To reduce radiation exposure outside room, air handling ducts should The sagittal laser positioning light is located on the Exposed grid ceilings allow for access to the
enter/exit the room through penetration(s) above the maze door. The wall at the end of the longitudinal couch axis. overhead laser and relay junction box without
ducts should be placed as high as possible in order to minimize radiation Unlike the side lasers, which are at isocenter height, the use of access doors. Major service at the
exposure to occupied space. The ducts should be designed to minimize the sagittal laser is typically mounted at a laser equipment Stand is simplified where there are
the area of penetration through the wall. In most cases, duct shielding will output height of 7'-6" (2286) above the floor. removable ceiling tiles. Coordinate the layout
not be required, provided the duct design conforms to this criteria. Clear of ceiling tile to insure that ceiling support
space should be left around the duct (outside the treatment room) for shielding Optical Imaging Camera. Locate 7’-6” (2286) system shall not interfere with overhead laser
retrofit, in case the post installation radiation survey indicates a requirement. from finished floor (F.F.) and the bracket at positioning light beam port.
Penetration, including ducts, directly into the treatment room should be avoided. 6’-7” (2007) from isocenter as shown.
For no-maze treatment rooms, duct design and shielding must be addressed by The overhead laser positioning light
the Physicist of Record. is located directly over the isocenter.
In-Room monitors locate
as shown 7’-0” above FF.
For safety reasons, locate
monitors such that the
If possible, provide two 4" (100) conduits tight therapist doesn’t need to
to the ceiling, adjacent to the mechanical duct look away from the patient
opening, to facilitate cable access for future to view the monitors. For
room renovations. Review all vault penetrations mounting details, see
with the Physicist of Record. Section 3.4.2.
This dimension is provided

for planning purposes only.
Actual dimensions will vary
with shielding requirements
and construction practices.
This is the recommended
height above the finish floor.
minimum clear dimension
to the ceiling over the
equipment Stand and
Gantry. For information on
The ceiling height recommendation the ceiling requirements,
shown at the equipment applies to see section 5.6.
the area over the TrueBeam Stand
and Gantry. The ceiling height may
be lowered as desired in the This is the recommended
remainder of the room and maze. minimum dimension to
concrete above. This
dimension allows minimum
clearance for laser and
TrueBeam utilities above ceiling.
Couch
Isocenter - This is the primary reference point for A steel frame is used to anchor the TrueBeam Stand, Gantry,
Varian equipment. Show the isocenter location and Couch to the facility. The frame is set in a recessed
clearly on all relevant drawings. Maintain the equipment pit, leveled (by Varian), and held in place with
isocenter location on site by extending grout. Baseframes are positively anchored to the slab to avoid
perpendicular axis lines along slab and up floating during grout placement. Verify anchorage details with
walls in all four directions. The standard isocenter your Installation Project Manager office. Varian information
height for TrueBeam is 4'-3" (1295). regarding pit design assumes a ground floor installation.
Upper floor installations require a thorough review by a
qualified structural engineer. In typical installations,
The layouts shown on DDR drawings represent typical plans only. Clearances and wall thickness may vary. Baseframes for TrueBeams are not positively anchored
sufficiently to accommodate seismic loads. All seismic
anchoring is by the Customer. Sample seismic calculations
and details of the preferred anchoring methods for
TrueBeams are available from the Planning Department.
Figure 2-3 Typical (Intermediate) Room Section

Typical Room Configuration TrueBeam/VitalBeam Edition

TrueBeam/VitalBeam Edition Optional Room Configurations
2.4 Optional Room Configurations
Figure 2-4 Typical (Intermediate) Vault Configuration - Exterior Primary Barriers Figure 2-5 Traditional (Large) Vault Configuration

Optional Room Configurations TrueBeam/VitalBeam Edition

Moving Modulator Cabinet is

required for this configuration.
See Section 3.3.2.
This is the minimum This is the minimum

dimension to finished wall dimension to finished wall.
This is the minimum This is the minimum

dimension to face of concrete dimension to face of
concrete.
Figure 2-6 Minimum Vault Configuration - Direct Entry (Silhouette Retrofit) Figure 2-7 Minimum Vault Configuration - Maze Entry (Silhouette Retrofit)


TrueBeam/VitalBeam Edition Detail – Plan View
2.5 Detail – Plan View

This is the recommended dimension to face of
concrete. This dimension assumes up to 6" (152)
of wall furring.
This is the dimension from the isocenter to the target,
which is the source of x-ray production and is used to
locate the primary beam spread.
The TrueBeam Couch with IGRT Couch top is standard with the TrueBeam.
The maximum Couch Arc clearance is 9'-0" (2743) - recommended.
The minimum REQUIRED Full Couch Arc clearance is 8'-4 1/2" (2553). This is the recommended minimum clear distance
to the side wall for full couch rotation. Provide
The recommended couch arc clearance allows complete rotation of the adequate additional clearance for side lasers.
Couch at its maximum radius (retracted). Obstructions inside the Longitudinal axis line
minimum required couch arc are unacceptable. However obstructions
between the minimum required couch arc and the maximum couch arc
may be acceptable provided they are reviewed and approved by Varian
and the Customer. In specific situations, such as dynamic stereotactic
treatment, a larger area may be required.
Isocenter - This is the primary reference point for
The couch top must be able to extend out to the maximum distance of Varian equipment. Show the isocenter location
8'-9" [2667] at a minimum of at least one angle along the couch rotation clearly on all relevant drawings. Maintain the
arc for calibration testing. isocenter location on site by extending perpendicular
axis lines along slab and up walls in all four
directions. The standard isocenter height for
Minimum required Couch Arc. TrueBeam is 4'-3" (1295).
Extent of primary beam. The total beam

angle is 28 degrees (14 degrees either
side of isocenter). Primary barrier
shielding should extend a minimum 1'-0"
(305) beyond edge of the primary beam.
Do not locate sensitive electronic
equipment (for example, In Room
Monitor) in the primary beam path.
The TrueBeam Couch can rotate ± 95° about

isocenter from the longitudinal axis line.
This is the recommended minimum
dimension to face of concrete.
The couch top has a lateral range of 9.8" [250] to
either side of the centerline of the TrueBeam Couch.
This is the recommended minimum
dimension to the face of the back
finished wall (furring). This minimum
clearance allows for proper installation,
service, and air circulation. TrueBeam Stand
and Gantry
“A” – Isocenter to Rear “B” – Isocenter to Rear
Vault Configurations
Concrete Wall Finished Wall
Minimum (Small) – Direct Entry 9’-7” (2921) 9’-5” (2870)
MANDATORY MINIMUM MANDATORY MINIMUM
Minimum (Small) – Maze Entry 9’-7” (2921) 9’-5” (2870) Provide adequate clearance that is free of
obstructions in the equipment service access
MANDATORY MINIMUM MANDATORY MINIMUM area.
Typical (Intermediate) – 11’-0” (3353) 10’-6” (3200)
Face of finished wall.
Interior Barriers
Face of concrete.
Typical (Intermediate) – 11’-0” (3353) 10’-6” (3200)
Exterior Barriers .
WARNING: The Small Vault Configuration Layout may require the use of
Traditional (Large) 12’-6” (3810) 11’-6” (3505) the Moving Modulator, see Section 3.3.2 for more information.
Figure 2-8 Plan View

Detail – Plan View TrueBeam/VitalBeam Edition

TrueBeam/VitalBeam Edition Detail – Elevations
2.6 Detail – Elevations
Extent of primary beam. The total beam

angle is 28 degrees (14 degrees either
side of isocenter). Primary barrier shielding
should extend a minimum 1’-0” (305)
beyond edge of the primary beam. Do not
locate sensitive electronics equipment (for
example, In Room Monitor) in the primary This is the recommended minimum clear
beam path. dimension to the ceiling over the equipment
Stand and Gantry.
For information on the ceiling requirements,

see section 5.6.
Isocenter - This is the primary reference This is the

point for Varian equipment. Show the recommended
isocenter location clearly on all relevant minimum dimension
drawings. Maintain the isocenter location to concrete above.
on site by extending perpendicular axis This dimension
lines along slab and up walls in all four allows minimum
directions. The standard isocenter height clearance for laser
TrueBeam
for TrueBeam is 4’-3” (1295). and utilities above
Stand & Gantry
ceiling.
TrueBeam
Couch
Line of Baseframe pit.
Figure 2-9 Side Elevation

Detail – Elevations TrueBeam/VitalBeam Edition

TrueBeam/VitalBeam Edition Detail – Elevations
Exposed grid ceilings allow for

access to the overhead laser and
relay junction box without the use
of access doors. Major service at
the equipment Stand is simplified
where there are removable
ceiling tiles. Coordinate the layout
of ceiling tile to insure that ceiling
support system shall not interfere
with overhead laser positioning
light beam port.
Isocenter - This is the primary

reference point for Varian
equipment. Show the isocenter
location clearly on all relevant
drawings. Maintain the isocenter
location on site by extending
perpendicular axis lines along
slab and up walls in all four
directions. The standard
isocenter height for the
TrueBeam is 4'-3" (1295).
Line of Baseframe pit.
Figure 2-10 Front Elevation
Chapter 2 General System Information -19

Shipping/Rigging Dimension Clearances TrueBeam/VitalBeam Edition
2.7 Shipping/Rigging Dimension Clearances
The standard TrueBeam shipping This is the maximum dimension of the

configuration consists of a TrueBeam Gantry in this configuration.
combined Stand and Gantry.
A steel shipping pallet

is provided by Varian. Appropriate rolling equipment
shall be provided by the rigger.
During installation, TrueBeam components must be stored in

a secure area of about 250 square feet (23 square meters).
Figure 2-11 Standard Shipping Configuration — Dimensions

TrueBeam/VitalBeam Edition Shipping/Rigging Dimension Clearances
This is the maximum dimension of the TrueBeam Gantry.

In this configuration, the TrueBeam Stand and Gantry are
separated, at Varian’s factory, to reduce the rigging
clearances required.
A steel shipping pallet Appropriate rolling

is provided by Varian. equipment shall be
provided by the rigger.
During installation, TrueBeam components must be stored in

a secure area of about 250 square feet (23 square meters).
Figure 2-12 Optional “Factory Break” Shipping Configuration — Dimensions

The standard TrueBeam shipping configuration

is a combined Stand and Gantry.
The optional "Factory Break" TrueBeam shipping

configuration is a separated Stand and Gantry.
Figure 2-13 Shipping Configuration — Weights

TrueBeam/VitalBeam Edition Shipping/Rigging Dimension Clearances
This is a sample 90 degree rigging

turn, stand first orientation.
Provide a minimum 4’-0” x 7’-0”

(1219 x 2134) clear opening for
equipment clearance at radiation
shielded entrance doors to
treatment rooms. This clearance
allows proper access for rigging.
Create an overlay sheet to simulate the Gantry rig clearances during Rigging is defined as the positioning of the Baseframe
the project planning stage. Use the DWG file to print the Gantry and Linear Accelerator components into the treatment
(plan-view) onto a clear sheet of acetate to ensure scale accuracy. room. The Baseframe is rigged prior to the rest of the
equipment and delivery must be scheduled by the
Verify adequate equipment access into room and around maze. construction Contractor with the Installation Project
Manager. As designated in the final Varian/Customer
The dimensions shown on the rig route details are to face of finish Terms and Conditions of Sale, a rigging company is
and represent minimum configurations only. Verify adequate rigging hired by the Customer or Varian to off-load these items
clearances for specific site using the Shipping Configuration overlay. from the truck and to move them through the facility
If the templates cannot be easily rotated through the maze without and into the treatment room. The Customer’s architect
wall obstruction, review by a qualified Rigger will be required. Varian and structural engineers shall review the entire rig
will review the installation route upon request. Coordinate all rigging route for adequate clearance and structural support.
with the Installation Project Manager. Final confirmation of rig route The work can include temporary demolition and
clearances and review of adequate structural support along shoring. Final equipment positioning is part
the route is the responsibility of the Customer and the of the rigging contract.
Structural Engineer of Record.
Figure 2-14 Minimum Rigging Clearances for the Standard Configuration

This is a sample 90 degree rigging

turn, stand first orientation.
Provide a minimum 4’-0” x 7’-0”

(1219 x 2134) clear opening for
equipment clearance at radiation
shielded entrance doors to
treatment rooms. This clearance
allows proper access for rigging.
Create an overlay sheet to simulate the Gantry rig clearances

during the project planning stage. Use the DWG file to print the
Gantry (plan-view) onto a clear sheet of acetate to ensure
scale accuracy.
Rigging is defined as the positioning of the Baseframe and
Verify adequate equipment access into room and around maze. Linear Accelerator components into the treatment room.
The Baseframe is rigged prior to the rest of the equipment
The dimensions shown on the rig route details are to face of and delivery must be scheduled by the construction
finish and represent minimum configurations only. Verify Contractor with the Installation Project Manager. As
adequate rigging clearances for specific site using the designated in the final Varian/Customer Terms and
Shipping Configuration overlay. If the templates cannot be Conditions of Sale, a rigging company is hired by the
easily rotated through the maze without wall obstruction, Customer or Varian to off-load these items from the truck
review by a qualified Rigger will be required. Varian will review and to move them through the facility and into the
the installation route upon request. Coordinate all rigging with treatment room. The Customer’s architect and structural
the Installation Project Manager. Final confirmation of rig route engineers shall review the entire rig route for adequate
clearances and review of adequate structural support along clearance and structural support. The work can include
the route is the responsibility of the Customer and the temporary demolition and shoring. Final equipment
Structural Engineer of Record. positioning is part of the rigging contract.
Figure 2-15 Minimum Rigging Clearances for the Optional Factory Break Configuration

Chapter 3 Facilities Requirements
Figure 3-1 Treatment Room Overview, Sample Set-up
3-1
Cable Conduit/Ducts TrueBeam/VitalBeam Edition
3.1 Cable Conduit/Ducts

CAUTION: The customer is responsible for permissibility of the installation at site with respect to
applicable local or regional standards.
This might affect the choice of cable routes, number of conduits, specifications of
mains power and data cables, and the choice of installation locations of some of the
system components.
The customer shall provide conduit or raceways for all system cables, as described in
this section.
The customer must be aware that fire protection engineering aspects (plenum rating)
may be affected when installing cables and system components.
 Ensure all components are placed so that the shortest cable length is sufficient.
 TrueBeam conduit runs must not exceed 75 feet (22,860), start to finish.
 All conduits run underground shall be dry and watertight. Therefore, all PVC pipes must be glued
together, and metal conduits must be properly sealed.
 All conduits must be terminated with insulating bushings or similar means to protect cables from
abrasion.
3.1.1 Circuit Breakers
3.1.1.1 TrueBeam Main Circuit Breaker Panel

The TrueBeam Main Circuit Breaker Panel is typically contractor provided but may be included with
the equipment order, contact your Regional Planner to verify. Locate the panel in sight and within
10 feet (3048) of the TrueBeam console control cabinet. The panel may be surface or semi-recessed
mounted. For semi-recessed installations, 8" (200) of the enclosure may be recessed in the wall. For
more information, see Section 4.2.1.1 on page 4-10.
3.1.2 Pull/Junction Boxes
3.1.2.1 Control Equipment Pull Box
The Control Equipment pull box shall have a minimum size of 30" x 12" x 6" (750 x 300 x 150). This
pull box may be mounted below the control counter top or recessed in the floor slab similar to details
in “Baseframe Cable Access Details” on page 3-69. Locate this pull box so that the free ends of cables
are protected from physical damage and located within 5'-0" (1524) of the TrueBeam Control Cabinet.
3-2 Chapter 3 Facilities Requirements

TrueBeam/VitalBeam Edition Cable Conduit/Ducts
3.1.2.2 Modulator Pull Box
The Modulator pull box is recessed into the floor slab and shall be 18" x 24" x 10" deep (450 x 600 x
250). As no connections are made at this location, many regulatory agencies allow a pull box to be
formed within the concrete floor in lieu of requiring a metallic pull box. The size and location of the
Modulator Pull Box is very specific, in order to ensure proper placement of the Modulator and
Interconnect Cable access. See “Major System Components – Modulator Cabinet” on page 3-9 for
further details
Note: If a Moving Modulator is required to keep the Modulator out of the primary beam path,
see Section 3.3.2 for the Modulator Pull Box dimensions.
3.1.2.3 Baseframe Pull Box
Conduit termination/cable access to the Baseframe (BF) is accomplished one of 3 methods:
1. Standard, recessed pull box below the BF pit, see Figure 3-56.
2. Alternative, surface-mounted pull box, see Figure 3-57.
In methods 1 and 2 above, the BF pull box shall have a size of 12" x 24" x 10" deep (300 x 600 x 250).
As no connections are made at this location, many regulatory agencies allow a pull box to be formed
within the concrete BF pit floor in lieu of a metallic pull box.
3.1.2.4 In-Room Monitor Pull Box
Provide a signal pull box for each pair of Dual In-Room Monitors. This is a standard computer signal
cable outlet. If the signal cables are to be recessed, provide a signal outlet and conduits from the
in-room monitor to the Accessory Junction Box.
3.1.2.5 Accessory Pull Box
Provide a 24" x 18" x 12" (600 x 450 x 300) Junction Box. Locate above the finished ceiling space
near the foot of the couch. Vertical-mounting, on a wall or suspended from the concrete ceiling with
side access, is recommended. This pull box serves as a collection/distribution point for the cable
conduits between the control console and all ancillary accelerator subsystems, such as In-Room
Monitor, Optical Imaging, Live View Camera, CCTV, Audio components, and so on. Consequently,
excess cable will be coiled and stored at this location.
The Accessory Pull Box shall incorporate a #6-32 x 1" (M3.5 -0.7 x 25mm) screw stud, with lock
washer and nut, to accommodate dedicated Ground or Earthing wires from multiple TrueBeam
Subsystems. See Section 4.1.4, “Dedicated Grounding Requirements” on page 3-2 for additional
details.
Chapter 3 Facilities Requirements 3-3

Cable Conduit/Ducts TrueBeam/VitalBeam Edition
3.1.2.6 Relay Junction Box

The Relay Junction Box (RJB) is provided by Varian and is 20" x 16" x 6" (508 x 406 x 152). For
more information, see Section 4.3.6 on page 4-22. Wall mount this junction box above the acoustical
tile ceiling. Service access to the RJB must be maintained so DO NOT locate the RJB directly above
the TrueBeam Stand, Modulator Cabinet, or treatment room casework. See Figure 3-2, Typical
TrueBeam Conduit Diagram (Plan View) for further details. Locate this junction box within 68'-0"
(20276) of the Baseframe Pull Box.
WARNING: To prevent injury during installation and service, DO NOT locate the RJB
directly above the TrueBeam Stand, Modulator Cabinet, or casework.
DO NOT locate the RJB in the primary beam path.

TrueBeam/VitalBeam Edition Cable Access Diagrams
3.2 Cable Access Diagrams

A 3” (75) experimental access (physics) conduit may be required by
the Customer. The experimental access conduit is used to
periodically monitor radiation in the equipment room. The conduit
Provide power outlet feed from Main Circuit Breaker panel with IEC 60309
should be oriented as perpendicular to the isocenter as possible.
receptacle. See section 4.3.5.3 and Section 5.1 for details and exact location.
Provide a locking 6” x 6” (150 x 150) access door at the conduit
termination location. Review all vault penetration with the Physicist
of Record.
Provide a 30” x 12” x 6” (750 x 300 x 150) Control Equipment Pull Box located under
Provide one 2” (50) conduit from the Control Pull Box to the Main the counter at the Control Console. For more information, see Section 3.1.2.1.
Circuit Breaker panel. The length of this conduit run shall not
exceed 35 feet (10,668).
Provide four 4” (100) conduits between the Control

Connections for two or more warning lights, usually red colored, Console pull box and the Baseframe pull box. The length
incandescent (no fluorescent lighting) are provided. Locate over the of this conduit run shall not exceed 75 feet (22,860).
door, on the outside of the treatment room. They may be required to
blink when the x-ray is on. Verify local requirements with regional
regulatory agencies. For more information, see Sections 4.3.4.1
through 4.3.4.5 “Warning Lights.”
Provide one 2" (50) conduit between each set of Dual In-
For information on the TrueBeam Main Circuit Room Monitor pull boxes and the Accessory pull box
Breaker Panel see Sections 3.1.1.1 and 4.2.1.1. mounted in the ceiling space. The length of this conduit
run shall not exceed 75 feet (22,860) from monitor to
Control Room pull box.
Provide 1/2” (13) conduit(s) for AC and DC Door Interlock
Switches recessed within door frame. For more information, Provide one 1 1/4" (32) conduit from the IRM pull box and
see Section 4.3.4.7. the ceiling mounted Secondary Microphone.
Secondary
Provide two 4” (100) conduits tight to the ceiling, adjacent to the Microphone
mechanical duct opening, to facilitate cable access for future room
renovations. Review all vault penetrations with the Physicist of Record. As no connections are made at this location, many
regulatory agencies do not require a Baseframe pull box.
If a pull box is not used, keep this area free of grout. If
Provide two 2” (50) and one 3” (75) conduits from the Control Pull required, provide a 12” x 24” x 10” deep (300 x 600 x 250)
Box to the Accessory Pull Box. In-Room Baseframe pull box. Top access is required.
Monitor
Provide 1/2" (13) conduit between X-RAY warning light(s) and the
Relay Junction box.
Provide two 2" (50) conduits between the Baseframe pull
box and the Relay Junction box. The length of this conduit
run shall not exceed 68 feet (20,726).
Provide one 1" (25) conduit from the Accessory pull box to each of the
following devices: CCTV cameras (2), In-Room wireless keyboard with
optional VVS System (1), and speakers (2).
Provide one 3” (75) conduit from the Accessory Pull Box
Provide two 1-1/4" (32) conduits from the Accessory pull box to a 4" x 4" x 2"
to the Optical Imager mounting plate. Terminate conduit
(100 x 100 x 50) electrical enclosure for the following devices: the Live View
with an insulating bushing.
(Radiation Hardened) camera (1) and the Primary Microphone (1).
Opt. set of
Dual IRM
Provide one 3" (75) conduit from the Control Pull Box to the Accessory Pull
Box for the optional Calypso and OSMS systems, see Sections 3.6 and 3.7 The RJB is provided by Varian and is 20" x 16" x 6" (508 x
406 x 152). Wall mount this junction box above the
acoustical tile ceiling. Service access to the RJB must be
maintained. DO NOT locate directly above the
Provide a 24” x 18” x 12” (600 x 450 x 300) Accessory Pull Box mounted TrueBeam Stand, Modulator Cabinet, or treatment
in the ceiling space, typically located near the foot of the couch as shown. room casework.
Provide three 4” (100) conduits between the Baseframe

pull box and the Modulator pull box. The length of this
Provide two 2” (50) conduits between the Main Circuit Breaker panel conduit run shall not exceed 75 feet (22,860).
and the Modulator pull box.
Verification of appropriate utility and cable access is the
responsibility of the Customer. Selection of the
The Modulator pull box is recessed into the floor slab and shall be appropriate cable access method is determined by site-
18” x 24” x 10” deep (450 x 600 x 250). See “Modulator Cabinet” specific conditions and Customer preference. The
drawing for pull box location. The cable access to this box shall be standard side cable access details are appropriate for the
similar to Baseframe Cable Access Details. majority of installations. Side access conduit details are
included for installations with sub-floor clearances of at
. least 24” (610). Duct access details are included for
Provide adequate clearance for typical conduit radius of six times the diameter. Conduit
bends shall not exceed 270 degrees per cable run. Route all room penetrations as
WARNING: Conduit run lengths for Varian supplied cables installations with minimal subfloor clearance. All conduits
or cable ducts must be suitably sealed and protected to
perpendicular to the isocenter as possible to avoid radiation scatter. Verify all room shall not exceed 75 feet (22,860). keep them clean and dry.
penetrations with the Physicist of Record.
Figure 3-2 Typical TrueBeam Conduit Diagram (Plan View)

Cable Access Diagrams TrueBeam/VitalBeam Edition

TrueBeam/TrueBeam Edition Cable Access Diagrams
Provide one 1" (25) conduit from the Accessory pull box to each of the following devices: CCTV
cameras (2), In-Room wireless keyboard with optional VVS System (1), and speakers (2).
TrueBeam Power Supply (Recommended) Provide two 1-1/4" (32) conduits from the Accessory pull box to a 4" x 4" x 2" (100 x 100 x 50)
480VAC, 48kVA, 60Hz, 3 Ph. + N + G (N. America) electrical enclosure for the following devices: the Live View (Radiation Hardened) camera (1) and the
400VAC, 48kVA, 50Hz 3 Ph. + N + G. Primary Microphone (1).
See Section 4.2, TrueBeam Linear Accelerator
Subsystem for complete power specification. Provide one 3" (75) conduit from Accessory pull box to the Optical Imaging mounting plate. Terminate
Provide two 4" (100) conduits, tight to conduit with an insulating bushing. The length of this conduit run shall not exceed
the ceiling, adjacent to the mechanical 75 feet (22,860) from Optical Imager to Control Room pull box..
duct opening, to facilitate cable access
for future room renovations. Review all Provide one 2" (50) conduit between each set of Dual In-Room Monitor (IRM) pull boxes and the
vault penetrations with the Physicist Accessory pull box mounted in the ceiling space. The length of this conduit run shall not exceed
of Record. 75 feet (22,860) from monitor to Control Room pull box.
Provide network cabling outlets at all Provide one 3" (75) conduit from the
server or workstation equipment Control Pull Box to the Accessory Pull Provide one 1 1/4" (32) conduit from the IRM pull box and the ceiling mounted Secondary Microphone.
locations. All network cabling must be in Box for the optional Calypso and OSMS
place and tested prior to equipment systems, see Sections 3.6 and 3.7
installation. Network patch panels, hubs
and routers are typically located in a Provide 1/2" (13) conduit between X-RAY
server room or closet. For information on the Accessory warning light(s) and the Relay Junction box.
Provide two 2" (50) and one 3" (75)
conduits from the Control Pull pull box, see Section 3.1.2.5.
Box to the Accessory Pull Box. Provide 1/2" (13) conduit(s) for AC and DC
Connections for two or more warning Door Interlock Switches recessed within door
lights, usually red colored, incandescent frame. For more information, see
(no fluorescent lighting) are provided. Section 4.3.4.7.
Locate over the door, on the outside of
the treatment room. They may be
required to blink when the x-ray is on. The RJB is provided by Varian and is 20" x 16" x 6"
Verify local requirements with regional (508 x 406 x 152). Wall mount this junction box
regulatory agencies. see Sections above the acoustical tile ceiling. Service access to
4.3.4.1 through 4.3.4.5 “Warning Lights.” the RJB must be maintained. DO NOT locate
directly above the TrueBeam Stand, Modulator
Cabinet, or treatment room casework.
Speaker Speaker
For information on the TrueBeam Provide two 2" (50) conduits
Dual between the Baseframe pull box
Main Circuit Breaker Panel, see
IRM and the Relay Junction box. The
Sections 3.1.1.1 and 4.2.1.1. Opt. set of
Dual IRM length of this conduit run shall
Secondary
not exceed 68 feet (20,726).
Microphone
Live View Camera
w/Microphone
Optical
Opt. VVS Imaging
CCTV Camera
Provide power outlet feed from Main Cameras
Circuit Breaker panel with IEC 60309 Keyboard and The Modulator pull box is
receptacle. See Sections 4.3.5.3 and Mouse recessed into the floor slab and
5.1 for details and exact location. shall be 18" x 24" x 10" deep
(450 x 600 x 250). Refer to the
"Modulator Cabinet" drawing for
Provide one 2" (50) conduit from the pull box location. The cable
Control Pull Box to the Main Circuit access to this box shall be
Breaker panel. similar to Baseframe Cable
Access Details.
Provide two 2" (50) conduits between
the Main Circuit Breaker panel and For information on the Control
the Modulator pull box. Provide three 4" (100) conduits
Equipment pull box see section 3.1.2.1.
between the Baseframe pull box
and the Modulator pull box. The
A 3" (75) experimental access (physics) conduit may be required Provide four 4" (100) conduits As no connections are made at this location, length of this conduit run shall not
by the Customer. The experimental access conduit is used to between the Control Console pull many regulatory agencies do not require a exceed 75 feet (22,860).
periodically monitor radiation in the equipment room. The conduit box and the Baseframe pull box. Baseframe pull box. If a pull box is not used,
should be oriented as perpendicular to the isocenter as possible. The length of this conduit run keep this area free of grout. If required, provide
Provide a locking 6" x 6" (150 x 150) access door at the conduit shall not exceed 75 feet (22,860). a 12" x 24" x 10" deep (300 x 600 x 250)
termination location. Review all vault penetrations with the Baseframe pull box. Top access is required.
Physicist of Record.
Figure 3-3 Typical TrueBeam Conduit Diagram (Section View)

Cable Access Diagrams TrueBeam/TrueBeam Edition

TrueBeam/VitalBeam Edition Major System Components – Modulator Cabinet
3.3 Major System Components – Modulator Cabinet

3.3.1 Standard Modulator
Provide a minimum
3" (76) clearance
behind the
Modulator Cabinet
Finished Wall. for ventilation.
Modulator Cabinet
The Modulator pull box is

recessed into the floor slab and
Required Service shall be 18" x 24" x 10" deep
Clearance Area. (450 x 600 x 250). Refer to the
"Modulator Cabinet" drawing for
The Modulator Cabinet rests on four pull box location. The cable
equipment feet. If seismic anchorage is access to this box shall be similar
required, contact the Varian Planning to BaseframeCable Access
Department for sample structural Details.
calculations. A seismic mounting kit is
available (contact the Regional
Installation Project Manager to order a
kit). This cabinet weighs approximately
1800 lbs. (816 kg).
The Modulator Cabinet may be located either in the TrueBeam room or remotely.
Ventilation, acoustics, service provisions and cable length must be considered. The
Modulator Cabinet has service panels at both sides and front. Provide 11'-0" (3353)
clear space, side to side. For non-U.S. sites, verify electrical equipment service
clearance requirements with applicable local code. Do not locate this cabinet in
the primary beam path.
Figure 3-4 Modulator Cabinet, Plan View
WARNING: DO NOT locate the Modulator Cabinet in the primary beam path.
See Section 3.3.2 for Moving Modulator option.
In seismically active areas, floor-mounted equipment must be secured to a

concrete or steel sub-floor structure.
It is acceptable to install Varian-furnished seismic brackets over the finished

flooring as long as the material is equal to or less than 1/4” (6.35). If the flooring
material is greater than 1/4” (6.35), the flooring must be removed to allow the
seismic brackets to be secured directly to the concrete or steel sub-floor structure.
Alternative methods of mounting the seismic brackets may be acceptable,
following design or approval by the Structural Engineer of Record.

Major System Components – Modulator Cabinet TrueBeam/VitalBeam Edition
The Modulator Cabinet may be located either in the TrueBeam

room or remotely. Ventilation, acoustics, service provisions, and
cable length must be considered. The Modulator Cabinet has service
panels at both sides and front. Provide 11'-0" (3353) clear space,
side to side. For non-U.S. sites, verify electrical equipment service
clearance requirements with applicable local code. Do not locate
this cabinet in the primary beam path.
Minimum
Modulator Cabinet
The Modulator pull box is recessed

into the floor slab and shall be
18” x 24” x 10” deep (450 x 600 x 250).
Refer to the “Modulator Cabinet” drawing
for pull box location. The cable access to
this box shall be similar to Baseframe
Cable Access Details.
The conduits may terminate anywhere

within the pull box. See the Cable Access
Diagram for quantity and size of conduits.
Figure 3-5 Modulator Cabinet, Elevation View

3.3.2 Moving Modulator

The optional Moving Modulator Kit permits the Modulator Cabinet to be located in treatment rooms
that cannot meet the required service clearance area, as shown in Section 3.3.1. This kit positions one
side of the Modulator Cabinet closer to the wall during clinical use while allowing it to be rolled away
from the wall for servicing.
This optional Moving Modulator Kit can be purchased separately from your Varian Regional Sales
Manager. The Moving Modulator Kit includes the following components:
 (2) Floor positioning brackets (seismic)
 (2) Castor Assemblies
 (2) Modulator Cabinet locking pins
 (1) NEMA 6P enclosure (IEC - IP68)
 Terminal Block Assembly (3-phase and ground)
 (1) TrueBeam main power cable
 (1) Modulator pull box cover plate
There are two installation configurations for the Moving Modulator. A “Left” Moving
(recommended) and a “Right” Moving Modulator.
The Customer/Contractor shall:

 Install the Varian-supplied floor positioning brackets.
 Install the Varian-supplied NEMA enclosure.
 Install the main power supply 2" [50] conduit and ensure a watertight seal to the NEMA
enclosure.
 Supply and connect 3-phase power supply and ground from the Main Circuit Breaker Panel to the
Varian-supplied Terminal Block in the NEMA enclosure.
 Make the final power connection using the Varian-supplied TrueBeam main power cable from
the Terminal Block in the NEMA enclosure to the Modulator (under Varian supervision).
 Supply and install (1) 1/4" x 20 x 1" drop-in anchor for the Modulator pull box cover plate.

The Modulator Pull Box is recessed into the floor

slab and shall be 40" x 18" x 16 to 24" deep
[1000 x 450 x 400 to 600].
Concrete Wall
Finished Wall Modulator Cabinet

(Clinical Position)
Finished Wall
Modulator Cabinet
(Service Position)
Isocenter
TrueBeam Stand
and Gantry
Radiation
beam path
Figure 3-6 Left Moving Modulator Pull Box Location
Note: The Modulator pull box location is dimensioned from the face of the finished wall.

The Modulator Pull Box is recessed into the floor Modulator pull box cover plate
slab and shall be 40" x 18" x 16 to 24" deep 25" x 20" x 1/8" [635 x 508 x 3]
[1000 x 450 x 400 to 600].
Concrete Wall
Modulator Cabinet
(Clinical Position)
Finished Wall
Finished Wall
Modulator Cabinet
(Service Position)
Isocenter
Radiation
beam path
TrueBeam Stand
and Gantry
Figure 3-7 Right Moving Modulator Pull Box Location
Note: The Modulator pull box location is dimensioned from the face of the finished wall.

(1)-2" [50] power supply conduit The Modulator Pull Box

to Main Circuit Breaker Panel, 40" x 18" x 16 to 24" deep
provide a watertight seal to the [1000 x 450 x 400 to 600].
NEMA enclosure.
NEMA enclosure 17" x 15" x 8 1/2"

[424 x 373 x 213] Varian supplied,
(1)-2" [50] Conduit to Main Contractor installed.
Circuit Breaker Panel
(3)-4" [100] Conduits to

Baseframe pull box.
Outline of Modulator
(1)-2" [50] power supply conduit to

Main Circuit Breaker Panel, provide
a watertight seal to the NEMA
enclosure.
The Modulator Pull Box
40" x 18" x 16 to 24" deep
[1000 x 450 x 400 to 600].
Modulator pull box cover plate
25" x 20" x 1/8" [635 x 508 x 3]
Outline of Modulator
(1)-2" [50] Conduit to Main

(3)-4" [100] Conduits to Circuit Breaker Panel
Baseframe pull box.
NEMA enclosure 17" x 15" x 8 1/2"

[424 x 373 x 213] Varian supplied,
Contractor installed.
Figure 3-8 Moving Modulator Cabinet – Plan View
Note: The NEMA enclosure must be installed on the Modulator pit floor. Maintain a
minimum of 6" [152] clearance from the side wall to the NEMA enclosure (to the side
with [4] knockouts).
Conduit penetrations into the Modulator pull box must access through one of the side
walls. Maintain a minimum of 10" [254] from the conduit centerline to the pull box
floor with the exception of the 2" [50] power supply conduit.

Modulator Cabinet
Modulator Cabinet (Clinical Position)
(Service Position)
(1)-2" [50] power supply Floor Positioning Bracket

conduit to Main Circuit
Breaker Panel, provide (3)-4" [100] Conduits to
a watertight seal to the Baseframe pull box.
NEMA enclosure.
Finished Floor
The Modulator Pull Box

NEMA enclosure 17" x 15" x 8 1/2" 40" x 18” x 16 to 24” deep
[424 x 373 x 213] Varian supplied, [1000 x 450 x 400 to 600].
Contractor installed.
Modulator Cabinet Modulator Cabinet

(Clinical Position) (Service Position)

Floor Positioning Bracket 25" x 20" x 1/8" [635 x 508 x 3]
(3)-4" [100] Conduits to (1)-2" [50] power supply conduit

Baseframe pull box. to Main Circuit Breaker Panel,
provide a watertight seal to the
NEMA enclosure.
Finished Floor

The Modulator Pull Box NEMA enclosure 17" x 15" x 8 1/2"

40" x 18” x 16 to 24” deep [424 x 373 x 213] Varian supplied,
[1000 x 450 x 400 to 600]. Contractor installed.
Figure 3-9 Moving Modulator Cabinet – Elevation View
Note: The NEMA enclosure must be installed on the Modulator pit floor. Maintain a
minimum of 6" [152] clearance from the side wall to the NEMA enclosure (to the side
with four knockouts).
Conduit penetrations into the Modulator pull box must access through one of the side
walls. Maintain a minimum of 10" [254] from the conduit centerline to the pull box
floor with the exception of the 2" [50] power supply conduit.

Modulator Pull Box

Finished Wall
Floor
Positioning
Brackets

25" x 20" x 1/8" [635 x 508 x 3]
Finished Wall
Modulator pull box
Floor
Positioning
Brackets
Figure 3-10 Moving Modulator Floor Positioning – Plan View
Note: The Floor Positioning Brackets can be used as a seismic attachment.
A minimum of 4 1/4" [108] is required from the edge of the Modulator pull box and
the face of the floor positioning bracket.
Bottom flange of bracket is pre-drilled for 3/8" [9.5] ø anchor bolts,

contractor-provided.
Drill and install (1) 1/4" x 20 x 1" contractor-provided drop-in anchor 2" [50] from the
right edge Modulator pull box on both Left and Right Moving configurations.

TrueBeam/VitalBeam Edition Major System Components – Optical Imaging with IRM
3.4 Major System Components – Optical Imaging with IRM

The TrueBeam includes a ceiling-mounted Optical Imaging Camera system and one set of
ceiling-mounted Dual In-Room Monitor (IRM) displays. A second set of Dual In-Room Monitor
displays can be added as an option on TrueBeam only—not available on VitalBeam.
One set of Dual In-Room

Monitors (Included)
Second set of Dual In-Room

Monitors (Optional)
Optical Imaging Camera
Figure 3-11 Optical Imaging and In-Room Monitors (Typical) – Front Elevation
WARNING: The customer/contractor must maintain a minimum clearance of 7'-0" (2130)

between the floor and ceiling mounted equipment.

Major System Components – Optical Imaging with IRM TrueBeam/VitalBeam Edition
3.4.1 TrueBeam Optical Imaging Subsystems (Optional on VitalBeam)
3.4.1.1 Mounting Location
See Figures 3-13 and 3-14 for ceiling mounting plate

Control Equipment pull box, details. Center the bracket and camera on the
see Section 3.1.2.1 longitudinal couch and isocenter axis.
Accessory pull box,

see Section 3.1.2.5
Figure 3-12 TrueBeam Optical Imaging Mount – Plan View

Front Elevation Side Elevation
Figure 3-13 TrueBeam Optical Imaging Mount – Elevation Views

3.4.1.2 Mounting Method

The ceiling mount of the Optical Imaging subsystem is standard with the TrueBeam. The Ceiling
Mount Monitor Bracket with Ceiling Mounting Plate is furnished by Varian and shipped in advance
of the TrueBeam system. The ceiling mount support bracket is Contractor-installed. Mount Ceiling
Plate in accordance with local code/regulations using appropriately-sized anchors engineered to
support a combined maximum load of 30 lb. (13.6 kg.). For location details with respect to Isocenter,
see Figure 3-12.
The ceiling mounting plate for the

Optical Imaging bracket should
be oriented as shown with the
Suggested location within slot plates’s center line on the
for anchor bolts, Owner-sized, longitudinal axis of the couch.
Contractor-provided and installed.
(113) (113)
(121)
(51) (51)
Ceiling mounting plate comes with

the Varian-furnished, Contractor-installed MX106-1
Monitor bracket.
Figure 3-14 Ceiling Mounting Plate – Optical Imaging Camera
3.4.1.3 Dedicated Ground Wire – TrueBeam Optical Imaging
The Contractor shall install one (1) 18 AWG (1.0 mm2) Ground or Earthing wire from the Optical
Imaging Ceiling Mount to the Accessory Pull Box using the existing 3" (75) conduit. The wire color
shall be green with yellow stripe. Each wire shall be terminated with #6 (M3.5) ring terminals, one
end of which shall be affixed to the Accessory Pull Box ground stud. The contractor shall leave excess
wire at the Ceiling Mount Bracket to reach a point 7'-0" (2134) above finished floor..

3.4.2 TrueBeam Dual In-Room Monitors (IRM)

One set of ceiling-mounted Dual IRM displays is included. A second set of Dual In-Room Monitor
displays can be added as an option on TrueBeam only—not available on VitalBeam.
3.4.2.1 Standard Mounting Location – TrueBeam IRM
The In-Room Monitors should be located as shown in the plan and hung from the ceiling. For ceiling
mount details, see Figure 3-15 on page 3-22. The monitor provides information during patient setup
and it is unsafe to turn away from the patient while the machine is moving and the patient is on the
couch. Alternatively, the In-Room Monitors may be mounted on a wall (see Figure 3-18 on page 3-25
for mounting details).
CAUTION: Do not locate the In-Room Monitors inside or within 2'-0" (610) of the Primary Beam
Path.
The ceiling mount In-Room Monitor is standard with the TrueBeam. The ceiling mount monitor
bracket is furnished by Varian and shipped with the system, and the ceiling mount support bracket is
Contractor-installed.

Control Equipment pull box, Dual In-Room Monitors. For details, see Figures 3-16
see Section 3.1.2.1 and 3-17 for ceiling mounting plate details.
Second set of Dual

In-Room Monitors
Accessory pull box, (Option on
see Section 3.1.2.5 TrueBeam only)
Figure 3-15 Dual In-Room Monitor Mount – Plan View

Front Elevation Side Elevation
Figure 3-16 Dual In-Room Monitor Mount – Elevation View


The ceiling mount of the Dual In-Room Monitor subsystem is standard with the TrueBeam. The
Ceiling Mount Monitor Bracket with Ceiling Mounting Plate is furnished by Varian and shipped in
advance of the TrueBeam system. The ceiling mount support bracket is Contractor-installed. Mount
Ceiling Plate in accordance with local code/regulations using appropriately-sized anchors engineered
to support a combined maximum load of 70 lb. (31.8 kg.). For location details with respect to
Isocenter, see Figure 3-15.
The ceiling mounting plate for the

Optical Imaging bracket should
be oriented as shown with the
Suggested location within slot plates’s center line on the
for anchor bolts, Owner-sized, longitudinal axis of the couch.
Contractor-provided and installed.
(113) (113)
(121)
(51) (51)
Ceiling mounting plate comes with

the Varian-furnished, Contractor-installed MX106-1
Monitor bracket.
Figure 3-17 Ceiling Mounting Plate – In-Room Monitor Bracket
3.4.2.4 Dedicated Ground Wires – TrueBeam IRM
The Contractor shall install two (2) 18 AWG (1.0 mm2) Ground or Earthing wires from the In-Room
Monitor signal box to the Accessory Pull Box using the existing 2" (50) conduit. The wire color shall
be green with yellow stripe. Each wire shall be terminated with #6 (M3.5) ring terminals, one end of
which shall be affixed to the Accessory Pull Box ground stud. The contractor shall leave excess wire
at the In Room Monitor signal box to reach a point 7'-0" (2134) above finished floor.

3.4.2.5 Alternate Wall-Mounting Location – TrueBeam IRM
If equipment is to be anchored to a wall or ceiling, provide structural backing and support (by
Customer/Contractor). Install per bracket manufacturer's instructions. Verify mounting height with
local codes. A ceiling mounting bracket is furnished by Varian, Customer/Contractor installed.
This is the recommended height

above the finish floor.
Provide an electrical power receptacle
at the In-Room Monitor.
This is the line of the suspended ceiling.

In-Room Monitor
Provide a signal pull box for the In-Room Monitor. This is a
standard computer signal cable outlet. If the signal cables
are to be recessed, provide a signal outlet and conduits
from the In-Room Monitor to the Accessory Pull Box.
Provide one 2” (50) conduit between the Pull Box at In-

Room Monitor and the Accessory Pull Box in the ceiling
space. The length of this cable run shall not exceed 75
feet (22,860) from monitor to Control Pull Box.
At locations where access to the

In-Room Monitor is difficult, a
switch may be installed in the room
to control the power receptacle.
This is the line of the finish floor.
Elevation
Provide a signal pull box for the

In-Room Monitor.
Provide one 2" (50) conduit between
the pull box at In-Room Monitor and
the Accessory Pull Box.
This is the line of the

shielding barrier.

dimension to concrete.
Recommended face of
concrete dimensions
For information on assume up to 6" (152)
component anchorage of wall furring.
brackets, see section 3.4.2.
Provide an electrical
power receptacle at the
In-Room Monitor.
For information on equipment
layout/clearances, see
section 3.4.2.
In-Room Monitor Plan
Figure 3-18 Alternate Wall-Mount Dual In-Room Monitor Installation

Minor System Components – Live View Camera, CCTV, VVS, and Intercom SubsystemsTrueBeam/Vi-
3.5 Minor System Components – Live View Camera,

CCTV, VVS, and Intercom Subsystems
Intercom speakers (typical),

Varian-furnished and
Contractor-installed. Install
per manufacturer's instructions.
Live View (Radiation

Hardened) camera.
Varian-furnished,
For more information,
see Section 3.5.1.
Optional VVS System

(TrueBeam only)
In Room Keyboard
and Mouse
CCTV cameras, typical of two.

Varian-furnished, Contractor-installed.
For installation details, see Section 3.5.2.
Figure 3-19 Interior Elevation – Component Location

TrueBeam/VitalBeam Edition Minor System Components – Live View Camera, CCTV, VVS, and Intercom
3.5.1 Live View Camera Subsystem
3.5.1.1 Live View Mounting Locations and Method
The Live View (LV) Camera is a radiation-hardened system that enables monitoring of the TrueBeam
and the patient and at all times, the system provides proximity information while the machine is
moving to help prevent injury to the patient.
The LV Camera should be mounted to the wall. Provide structural backing and support for a
maximum 10 lb. (4.5 kg) load. Install per bracket manufacturer’s instructions. Alternately, a
ceiling-mount is acceptable.
Figure 3-20 Live View Camera – Wall Mount (Section View)
3.5.1.2 Dedicated Ground Wire – Live View Camera
The Contractor shall install one (1) 18 AWG (1.0 mm2) Ground or Earthing wire from the Live View
Camera signal box to the Accessory Pull Box using one of the existing 1-1/4" (32) conduit. The wire
color shall be green with yellow stripe. The wire shall be terminated with #6 (M3.5) ring terminals,
one end of which shall be affixed to the Accessory Pull Box ground stud. The contractor shall leave
excess wire at the Live View Camera signal box to reach a point 7'-0" (2134) above finished floor.

3.5.2 Closed Circuit TV (Motion View) Subsystem

There are no windows in an accelerator treatment room. However, it is critical to patient safety that
the therapist maintain visual contact with the patient at all times.
 A Closed-Circuit Television system is required for TrueBeam operation. The CCTV System
Diagram (see Figure 3-21) represents a typical installation only. The CCTV System components
and cabling is furnished by Varian, the power receptacles and conduit shall be supplied and
installed by the Customer.
 The CCTV Cameras are located in the room with the accelerator. While a sales option, they are
typically Varian-furnished, Contractor-installed in a 2-Camera, 4-Camera (recommended), or
6-Camera configuration. Provide a standard power outlet directly adjacent to the camera.
 CCTV monitors must be located as close as possible to the TrueBeam display monitors at the
control counter, and must be visible during treatment. The CCTV monitors must be located with
patient privacy in mind. Small, high-resolution monitors may be more exposed as the image is not
clear from a distance. Refer to Figure 3-21 and the CCTV System manufacturer’s literature for
conduit, mounting, and installation requirements. A non-interruptible power source may be
required by regulatory code.
3.5.2.1 Mounting Locations
The typical but optional Varian-furnished, Contractor-installed

CCTV System includes the following:
Camera, Mount, Display Assembly, and Cables - CCTV System

is supplied in pairs.
1. Dome Camera housing with P/T Mechanism and Zoom Lens.

2. Mounting Bracket.
3. Associated Cables and Power Transformer.
4. Monitor Assembly with integrated Pan/Tilt/Zoom Control.
Figure 3-21 Typical CCTV System Diagram

TrueBeam/VitalBeam Edition Minor System Components – Live View Camera, CCTV, VVS, and Intercom
As an option, up to three sets of CCTV cameras can be furnished with the TrueBeam.
 When using a system with only two cameras, it is mandatory to position the cameras in the
Primary Location, as shown in Figure 3-22.
 When using a system with four cameras, locate two of the cameras in the primary position. The
location shown for the second set of cameras is recommended as shown in Figure 3-22, but is at
the customer’s discretion.
 When using a system with six cameras, locate two of the cameras in the primary position. The
second set of cameras should be located in the recommended secondary position, and the third set
shall be located at the customer’s complete discretion.
 Never locate a CCTV camera in the Primary Beam path.
(1753)
MX112-1
Figure 3-22 Multiple CCTV Camera Locations – Elevation

3.5.3 Audio Subsystem – Microphone(s) and Speakers

 The Accelerator system is shipped with two wall-mounted speakers, two microphones, and a
special Live View (Radiation Hardened) camera.
 The microphones should be mounted above 8'-2 1/2" (2500) above finished floor (AFF).
Mount the microphones using the Varian-supplied acoustical ceiling grid and Live View camera
body brackets.
 If the microphone is mounted below 8'-2 1/2" (2500), the microphone body will have to be
grounded using a customer-supplied ground. See Section 3.5.3.1 for details.
 No details are provided for mounting the speakers on the wall. Install per manufacturer’s
recommendations.
Figure 3-23 Treatment Room Speaker, Microphone, and Live View Camera Layout: Top View
3.5.3.1 Dedicated Ground Wire – Microphone(s)
If the Microphone is mounted below 8'-2 1/2" (2500), the Contractor shall install one (1) 18 AWG
(1.0 mm2) Ground or Earthing wire from the Microphone signal box to the Accessory Pull Box using
one of the existing 1-1/4" (32) conduit. The wire color shall be green with yellow stripe. The wire
shall be terminated with #6 (M3.5) ring terminals, one end of which shall be affixed to the Accessory
Pull Box ground stud. The contractor shall leave excess wire at the Microphone signal box to reach a
point 7'-0" (2134) above finished floor.

TrueBeam/VitalBeam Edition Calypso Extracranial Radiosurgery Subsystem (Optional)
3.6 Calypso Extracranial Radiosurgery Subsystem (Optional)

The Calypso System option is not available for VitalBeam.
The Calypso System has four major hardware components:

 Treatment Room Console
 Optical System
 Tracking Station
 Beacon® Transponders
In addition, the system has proprietary software that runs on the Treatment Room Console and
Tracking Station. These components are shown in Figure 3-24, Figure 3-25, Figure 3-26, and
Figure 3-29.
3.6.1 Treatment Room Console

The Console contains the system components that generate and detect electromagnetic signals. It is a
portable unit with locking wheels that is used in the treatment room and positioned next to the
treatment table during localization and tracking. Components of the Console include the Array Panel
and a Touch Screen Computer.
Treatment Room Console – 78.5"H x 23.4"W x 51"D (1995 x 595 x 1295), 650 lbs (295.5 kgs)
Treatment Room Console Components
Figure 3-25 Array Panel
Figure 3-24 Treatment Room Console
Figure 3-26 Touch Screen Computer

Calypso Extracranial Radiosurgery Subsystem (Optional) TrueBeam/VitalBeam Edition
3.6.2 Array Panel

The Array is a flat panel that extends from the Console via an articulating mechanical arm. It contains
source coils and sensor coils that enable it to briefly excite the Beacon transponders and then measure
the transponders’ response signals. The Array has handles to facilitate positioning and nine embedded
optical targets that permit the system to determine the Array’s location.
The Array is positioned over the patient during patient setup and, for most patients, remains in place
during radiation therapy to monitor treatment target motion relative to the linear accelerator isocenter.
3.6.3 Touch Screen Computer

When in the treatment room, users interact with the system software using a touch screen computer
that is part of the Console.
3.6.4 Optical System

The optical system includes a set of three infrared cameras and a power supply/hub unit that are
permanently mounted in the treatment room. The optical system is used to locate and continuously
monitor the position of the Array relative to the linear accelerator isocenter. It is connected by
Ethernet to the Tracking Station.
Optical System Components
Figure 3-28 Camera Power Supply and Hub Unit
Figure 3-27 Infrared Camera

3.6.4.1 Infrared Cameras
The cameras detect infrared light emitted by the optical targets embedded in the Array. Each camera
is permanently attached to a ceiling mounting system. Ceiling mounting systems include concrete
anchors, I-beam mounts, and wall mount systems. The mount type is selected based on the treatment
vault survey. There are also cantilever offset options for the camera mounts that allow flexible
positioning of the ceiling mounts. The cameras receive their power and data connection through the
camera power supply/hub unit.
3.6.4.2 Camera Power Supply/Hub Unit
The power supply/hub unit is located in the treatment room, outside the beam, but within a 50-foot
cable run from each camera. It accepts all point-to-point Ethernet connections for the Calypso System
network (cables from the Console, the Tracking Station computer, and each camera) and requires
120 VAC power.
3.6.5 Tracking Station

The Tracking Station includes a dedicated computer, monitor, keyboard, and mouse. It is located in
the control room outside the treatment room. The Tracking Station is used to log in to the system, to
track the position of the treatment target during the delivery of radiation therapy, and to perform
system administration tasks, among other functions.
 PC – 19"w x 3.5"h x 13.75"D (482 x 89 x 350), 25 lbs (11.4 kg)
 Monitor Display – 15.25"w x 19"h x 9"d (387 x 474 x 230), 10.8 lbs (4.9 kg)
Figure 3-29 Tracking Station, Keyboard, Monitor, and Mouse

3.6.6 Beacon Transponders

Each transponder includes a sealed glass capsule containing a miniature passive electrical circuit.
A set of three transponders are permanently implanted in the patient’s prostate or prostatic bed to
enable localization and tracking of the treatment target before and during delivery of radiation
therapy.
Figure 3-30 Beacon Transponder
3.6.7 Software
The Calypso System software is a set of proprietary applications that run concurrently on the Tracking
Station and Console. The software enables all system control and signal-processing functions. Users
interact with the software both at the Console (by touching elements on the touch screen) and at the
Tracking Station (by clicking elements on the screen and typing and by using the mouse and
keyboard).
3.6.8 Fixtures
A set of fixtures are used to calibrate and ensure correct operation of the Calypso System.
3.6.8.1 QA Fixture
The Quality Assurance (QA) fixture is used to verify correct operation of the Calypso System. The
QA procedure is performed daily. The QA fixture is provided in a protective carrying case and is
stored between uses.
 QA Phantom – 6.35" x 4" x 4" (159 x 102 x 102), 3 lb (1.4 kg)
 Pelican Case – 11" x 10" x 7" (280 x 254 x 178), 6.5 lb (3 kg) with QA Phantom

3.6.8.2 Calibration Fixtures
The calibration fixtures are used to calibrate the cameras and to establish the coordinate reference
frame for the Calypso System relative to the linear accelerator isocenter. The calibration procedure is
performed monthly. There are three calibration fixtures: the L-Frame fixture, the T-Frame fixture, and
the isocenter calibration fixture. These fixtures are also provided in a protective carrying case and are
stored between uses.
 T-Frame Fixture - 13.5" x 10.5" x .75" (343 x 267 x 20), 0.3 lbs (0.14 kg)
 L-Frame Fixture - 19" x 11.25" x .75" (483 x 286 x 20), 1.5 lbs (0.68 kg)
 Isocenter Calibration Fixture - 9" x 8" x 8" (229 x 203 x 203), 13 lbs (5.9 kg)
 Pelican Case - 24" x 20" x 12" (610 x 508 x 305), 36.5 lbs (16.5 kg) with all 3 fixtures
3.6.9 System Options
3.6.9.1 Radiation Detector
The Calypso System’s Beam On Detection and Reporting feature provides an indicator to correlate
tumor position and motion with therapy beam on/off status documented in the daily patient session
report with tracking graphs timestamps. This option requires additional on-site support from the
customer’s physics group to setup the software and calibrate.
Figure 3-31 Radiation Detector
3.6.9.2 Dynamic Edge Gating
The Dynamic Edge Gating option provides automatic signaling to hold and re-enable the beam in
response to organ motion for Varian or Siemens linear accelerators capable of gating.

3.6.9.3 Adaptive Couch Repositioning

Adaptive Couch Repositioning allows you to remotely reposition the treatment couch from the
control area utilizing target offset data from the Calypso System. This option requires network
connectivity support from the customer’s IT group and Varian.
3.6.9.4 Treatment Planning Data Import

The Calypso System’s software will allow data import from the Varian Eclipse™ and Philips
Pinnacle3 (V9.0) treatment planning systems. This option requires network connectivity support from
the customer’s IT group.

3.6.10 Calypso System Assembly

3.6.10.1 Typical Room Configuration
Provide one 3" (75) conduit Control Equipment pull box, Provide a dedicated receptacle (100-240V
from the Control Pull Box to see Section 3.1.2.1 @ 50/60Hz), locate within 3'-0" (914) from
the Accessory Pull Box for the the Calypso Tracking Station.
optional Calypso and OSMS
systems. See Figure 3-2
“Typical TrueBeam Conduit
Diagram (Plan View).”
Provide (2) dedicated

receptacles (100-
240V @ 50/60Hz) for
the Treatment Room
Console. Locate (1)
on the sagittal wall
and (1) on the side
wall opposite the
longitudinal axis line
from Camera #2 each
within 13'-0" (3962)
from the couch
midpoint.
Provide (2) standard

electrical boxes,
locate adjacent to the
Treatment Room
Console receptacles.
Varian will provide
cabling and cover
plate.
For information on the

Accessory pull box,
see Section 3.1.2.5.
Provide a dedicated receptacle (100-240V Provide a 6"w x 3"h x 3.5"d (150 x 75 x 90) Pull Box
@ 50/60Hz), locate within 3'-0" (914) from (min.) mounted in the wall, locate within 12" (305)
Power Supply & Hub Unit. from Power Supply & Hub Unit as shown.
Figure 3-32 Calypso System Conduit Diagram – Typical Plan View
Note: Conduit runs from the Power Supply and Hub Unit to each treatment room location
shall not exceed 40'-0" [12m].

3.6.11 Camera Mounting Locations

The Calypso System includes three ceiling-mounted infrared cameras, each attached to a
Varian-furnished, contractor-installed ceiling mount load plate and support post. For additional
details, see Section 3.6.13.
The Ceiling Mount Load Plate Location details can be found in Figure 3-33 and Figure 3-34.
3.6.11.1 Preferred Ceiling Mount Load Plate Locations
The following mounting location diagram applies to the TrueBeam accelerators with a clear
unobstructed path to overhead concrete mounting surface for Cameras #1 and #3. A Varian provided
bracket and cantilever bar will be used to attach Calypso Camera #2 to the TrueBeam’s GCX Optical
Imaging post.
Note: When installing Camera #2 on the GCX Optical Imaging post the concrete ceiling
height must at or below 11'-6" [3505] from finished floor, see Figure 3-36.
If the concrete ceiling mounting height is above 11'-6" [3505] from finished floor, use
Section 3.6.11.2 to locate the Camera #2 ceiling mount load plate.
For retro-fit installations, where the preferred ceiling mount load plate locations for
cameras #1 and #3 are obstructed by overhead objects, see Section 3.6.11.2 for
acceptable ceiling mount load plate areas.
CAUTION: Place Camera #2 on the same side of the longitudinal axis line as the maze opening,
and position the Treatment Room Console on the opposite side.
If the Treatment Room Console is located on the same side of the longitudinal axis line
as Camera #2, there will be a high likelihood for creating gray bars, making the system
inaccurate.

Figure 3-33 Preferred Ceiling Mount Load Plate Locations – Plan View (Cartesian Dimensions)
Note: Dimensions are to the center of the Ceiling Mount Load Plate. See Section 3.6.13.1 for
more information.
The ceiling mount load plates should only be installed after the BaseFrame is grouted
in and isocenter is verified.

Figure 3-34 Preferred Ceiling Mount Load Plate Locations – Plan View (Polar Dimensions)
Note: Dimensions are to the center of the Ceiling Mount Load Plate. See Section 3.6.13.1 for
more information.

Figure 3-35 Preferred Ceiling Mount Load Plate Locations – Typical Section
Note: The Calypso camera lens height and mounting post length will be determined by the
Varian Project Manager using a site survey after isocenter is identified.

Figure 3-36 Calypso Camera #2 Mount Location – Section View
Note: When installing Camera #2 on the TrueBeam’s GCX Optical Imaging post, the
concrete ceiling height must be at or below 11'-6" [3505] from finished floor.
If the concrete ceiling mounting height is above 11'-6" [3505] from finished floor, use
Section 3.6.11.2 to locate the Camera #2 ceiling mount load plate.

3.6.11.2 Acceptable Ceiling Mount Load Plate Areas
The following mounting location diagram applies to installations that are not able to obtain an
unobstructed path to overhead concrete mounting surface as shown in Figure 3-33 and Figure 3-34 by
using a Varian provided post and cantilever extension bar (see Figure 3-37).
CAUTION: Place Camera #2 on the same side of the longitudinal axis line as the maze opening,
and position the Treatment Room Console on the opposite side.
If the Treatment Room Console is located on the same side of the longitudinal axis line
as Camera #2, there will be a high likelihood for creating gray bars, making the system
inaccurate.

Allowed area for

Camera #3 Ceiling
Mount Load Plate
Alternate
Camera #2 Area
Allowed area for

Camera #2 Ceiling
Mount Load Plate
Allowed area for

Camera #1 Ceiling
Mount Load Plate
Figure 3-37 Acceptable Camera Mount Areas – Plan View
Note: The cantilever extension bar allows placement of the ceiling mount load plate
anywhere within the green shaded area, which is centered directly over the preferred
camera position.
The center of the Ceiling Mount Load Plate must fit inside the Allowed Area.
See Section 3.6.13.1 for more information.

3.6.12 Camera Elevation Heights and Clearances

A minimum clearance of at least 3/4" (20) between any surface of the ceiling mount and any other
object is recommended. A minimum clearance of 1 1/2" (40) between the camera and drop ceiling is
recommended (see Figure 3-38).
Figure 3-38 Calypso Infrared Camera – Typical Elevation
Note: The ceiling mount must be free of contact with any object other than the concrete
ceiling, the camera cable, and the camera mount in order to prevent coupling of
vibrations into the mount or conduction of heat between the mount and other objects.
WARNING: The customer/contractor must maintain a minimum clearance of 7'-0' (2130) between
the floor and ceiling mounted equipment.

3.6.13 Camera Support Mounting Methods

The Ceiling Mount Camera Post, Ceiling Mount Load Plate, and expansion anchors are furnished by
Varian. The Ceiling Mount Load Plate is Contractor-installed. Install the Ceiling Mount Load Plate
in accordance with local code/regulations.
3.6.13.1 Ceiling Mount Load Plate
Figure 3-39 Ceiling Mount Load Plate – Infrared Camera
Ceiling Mount Load Plate

6" x 6" x 3/4" (152 x 152 x 19)
Expansion Anchors
(1/2" x 5 1/2" L)
Torque to 40 ft. lbs (54.23 Nm)
Figure 3-40 Ceiling Mount Load Plate – Isometric
Note: The ceiling mount load plates should only be installed after the BaseFrame is grouted
Do not install ceiling mount load plate closer than 3 1/4" (83) to a vertical surface.
For additional seismic mounting requirements, contact your Varian Regional Planner
for additional information.

3.6.13.2 Ceiling Mount Cantilever Extension Bar
When a suitable surface for the ceiling mount load plate cannot be obtained directly above the camera
location, a Cantilever Extension Bar can be used to achieve proper positioning.
Figure 3-41 Cantilever Extension Bar Figure 3-42 Camera with Cantilever
Extension Bar
Note: Cantilever Extension Bars are available in 6" (152), 12" (305), and 18" (457) offset
options.
3.6.14 Shipping/Rigging Dimension Clearances

 Console Crate: 42”x 30”x 86”(L x W x H)
(1067 x 762 x 2185)
 kVue Table Crate: 80”x 30”x 12”
(2032 x 762 x 305)
 System Crate: 48”x 48”x 48”
(1219 x 1219 x 1219)
Prior to installation, the Calypso components require approximately 50 square feet
-
Note:
(4.5 square meters) of secure storage area.

OSMS Intracranial Radiosurgery Subsystem (Optional) TrueBeam/VitalBeam Edition
3.7 OSMS Intracranial Radiosurgery Subsystem (Optional)

The OSMS system option is not available for VitalBeam.
The Optical Surface Monitoring Solution (OSMS) System has three basic components:
 OSMS Workstation
 OSMS Optical System
 Treatment Room Remote Terminal
3.7.1 OSMS Workstation

The OSMS Workstation includes a dedicated computer, KVM switch, monitor, keyboard, mouse, and
isolation transformer. These components are located at the control room console outside the treatment
room and require one 100-240V @ 50/60 Hz power receptacle.
 Workstation PC – 7"w x 20"h x 14"D (178 x 508 x 357), 25 lbs (11.4 kg)
 Monitor Display – 16"w x 16.5"h x 7.5"d (404 x 419 x 188), 8.5 lbs (3.83 kg)
 KVM Switch – 6.6"w x 1"h x 5"d (170 x 25 x 130), 1.3 lbs (0.6 kg)
 600VA Isolation Transformer – 7"w x 4"h x 10.5"d (170 x 95 x 270), 16.5 lbs (7.5 kg)
3.7.2 OSMS Optical System

The OSMS optical system includes a set of three cameras and a Power Supply Unit (PSU) that are
permanently mounted in the treatment room. The optical system is used to locate and continuously
monitor the position of the patient. Each camera is connected to the OSMS Workstation using a
Data BNC cable. The PSU requires one 100-240V @ 50/60 Hz switched power receptacle
(see Figure 3-45).
 Power Supply Unit – 9.5"w x 4.75"h x 7.75"D (241 x 121 x 197), 20 lbs (9.1 kg)
Figure 3-43 OSMS Camera Figure 3-44 OSMS Power Supply Unit (PSU)

TrueBeam/VitalBeam Edition OSMS Intracranial Radiosurgery Subsystem (Optional)
3.7.3 Treatment Room Remote Terminal

The Remote Terminal includes a KVM switch, monitor, keyboard, mouse, and isolation transformer.
These components are located in the treatment room (outside the primary beam path) and require one
100-240V @ 50/60 Hz power receptacle.
 KVM Switch – 6.6"w x 1"h x 5"d (170 x 25 x 130), 1.3 lbs (0.6 kg)
 300VA Isolation Transformer – 6"w x 3.5"h x 9.5"d (150 x 85 x 240), 9.9 lbs (4.5 kg)
 Monitor Display – 16"w x 16.5"h x 7.5"d (404 x 419 x 188), 8.5 lbs (3.83 kg)

3.7.4 OSMS System Assembly
3.7.4.1 Typical Room Configuration
Provide one receptacle (100-240V @ 50/60Hz)

for the OSMS Workstation.
Provide one 3" (75) conduit
from the Control Pull Box to
the Accessory Pull Box for
the optional Calypso and
OSMS systems. See
Figure 3-2 “Typical
TrueBeam Conduit
Diagram (Plan View)”
Provide one receptacle

(100-240V @ 50/60 Hz)
for the Remote Terminal.
Provide a switched
receptacle (100-240V
@ 50/60 Hz) for the
OSMS PSU. Locate
within 3’-0” (914) from
the PSU.
Locate the switch for the

OSMS PSU receptacle
so that it will not be
accidentally turned off.
A switch guard should
be considered if
installed in a “gang” of
switches.
Mount the PSU above

the false ceiling, typically
near the Accessory pull For information on
box. The total cable run the Accessory
to each camera pod pull box, see
should not exceed Section 3.1.2.5.
30'-0” (10m) max.
Figure 3-45 OSMS System Conduit Diagram – Typical Plan View

3.7.5 OSMS Camera Mounting Locations

The OSMS System includes three ceiling-mounted cameras, each attached to a Varian-furnished,
contractor-installed mounting plate and support post. For additional details, see Section 3.7.7.
Mount Camera Pod #3

to the Optical Imaging
post.
See Sections 3.6.6 and 3.6.7

for more details on mounting
heights and clearances
Figure 3-46 OSMS Camera Mount Locations – Plan View
Note: Camera POD #1 and #2 should be mounted symmetrically for best results.

Figure 3-47 OSMS Camera Mount Locations – Section View

3.7.6 Camera Elevation Heights and Clearances

A minimum clearance of at least 3/4" (20) between any surface of the ceiling mount and any other
object is recommended, see Figure 3-48.
For Mounting Post lengths

shorter than 14 5/8” (371)
or longer than 58 9/16”
(1488), contact your
Varian Installation Project
Manager to order custom
mounting lengths at least
60 days prior to
installation.
Figure 3-48 OSMS Camera – Typical Elevation

3.7.7 Camera Support Mounting Methods

The Ceiling Mount Camera Post and Ceiling Mount Load Plate are furnished by Varian. The Ceiling
Mount Load Plate is Contractor-installed. Install the Ceiling Mount Load Plate in accordance with
local code/regulations using appropriately-sized anchors engineered to support a combined maximum
load of 30 lb. (13.6 kg.).
3.7.7.1 Ceiling Mount Load Plate
Figure 3-49 Ceiling Mount Load Plate – OSMS Camera
Note: Do not install ceiling mount load plate closer than 3 1/4" (83) to a vertical surface. For
additional seismic mounting requirements, contact your Varian Regional Planner for
additional information. The Ceiling Mount Load Plate should be mounted parallel or
perpendicular to the longitudinal axis line.

TrueBeam/VitalBeam Edition HVAC and Plumbing Requirements
3.8 HVAC and Plumbing Requirements

Table 3-1 includes the ideal mechanical specifications. Individual site conditions may vary. For
complete specifications, see the specific subsections within HVAC and Plumbing Requirements.
Table 3-1 Ideal Mechanical Specifications
Coolant flow 65°F. at 4 GPM (18°C. at 15 LPM).
Glycol content of coolant Not to exceed 50%.
Compressed air Not required for new Varian installations.
Room humidity 50% Relative Humidity, Non-condensing.
Room temperature 70°F (21°C).
Maximum coolant heat load 25 kW (85,379 Btu/hr).
Nominal coolant load during 13.3 kW (45,422 Btu/hr).

normal treatment cycles
(TrueBeam Operational States)
3.8.1 Operational States

Use the following description of the TrueBeam operational states to determine the estimated utility
load based on normal treatment cycles:
 Low Power – A condition usually in effect on weekends and overnight with only DC power to
the control systems and Vac-Ion power supplies and AC power only to the TrueBeam Imager
Detection Unit (DU) and the Multi-Leaf Collimator.
 On – A condition with no energy selected, all magnet and steering power supplies off, but with
the klystron solenoid power supplies operative. Approximately 42 minutes per hour.
 Ready/Energy Select – A condition with the machine ready to Beam-On. Approximately
6 minutes per hour.
 Beam-On – The full-duty condition in which all primary heat sources operate at their maximum
levels. Approximately 12 minutes per hour. The Beam-On State is maintained continuously for
one hour or more during physics and calibration use.
 The estimated number of minutes per hour of each state is based on an average of six patients
treated per hour.
 Heat loads for each of these states can be found in Section 3.8.2.1, TrueBeam Coolant
Requirements.

HVAC and Plumbing Requirements TrueBeam/VitalBeam Edition
3.8.2 TrueBeam Coolant System
The typical incoming coolant temperature range is 50 deg. F. to 75 deg. F. (10 Deg. C. to 25 deg. C.).
The coolant system must be designed to eliminate the possible formation of condensation. If lower
temperature coolant is used, a psychrometric chart must be consulted to determine the dew point in
the facility. If the inlet coolant temperature is at or below this dew point, condensation will form on the
coolant system pipes, which could result in equipment damage.
U.S. Systems - Imperial SI Systems - Metric
Figure 3-50 Minimum Coolant Flow Requirements

The bypass shut-off valve is located in

the TrueBeam Stand. During installation,
Terminate cooling water supply and this valve is closed for "one-pass" coolant
return lines in the rear wall behind the systems or opened to provide constant
Provide a 1" pressure regulator on the supply line stand with 1" (25) FNPT valves and flow for "closed-loop" coolant systems. If
to control the incoming external coolant pressure. plugs. Refer to Section 3.12 for location a "closed-loop" system design with
If installed on a "closed-loop" system, coordinate details. The customer/ contractor will domestic water backup is selected,
the pressure setting with the chiller manufacturer make the final connection to the provide a means to notify the user that
(NOT to exceed 100 PSIG [7 kg/cm2]). TrueBeam Stand using a Varian- the TrueBeam bypass valve should be
provided hose kit during installation. closed in the event that the domestic
water backup system is used.
Domestic
Water Supply Internal heat exchanger
Fresh Water Supply
(Make-Up Water) (City Water)
For cooling requirements Internal cooling loop

and specs, see Figure 3-50.
Supply
Provide shut-off valves on

Chiller Unit the supply and return coolant Outline of
lines in an accessible location TrueBeam
outside the vault. Stand
Return
The modulating temperature control valve is

located in the TrueBeam Stand. This valve
monitors the temperature of the returning
coolant in the internal coolant loop. It opens or
Waste Drain Waste Drain closes to control the flow of external coolant
through the internal heat exchanger in order to
maintain an internal coolant loop temperature
Provide a flow meter on the supply of 104 deg. F. (40 deg. C). This valve may
or return line in an accessible close completely during minimum demand
location near the vault. periods. If the bypass loop shut-off valve is
open, the coolant is directed through the
bypass loop.
For information on determining the

estimated utility load, see Section 3.8
HT059-0
“HVAC and Plumbing Requirements.”
Figure 3-51 TrueBeam Coolant System Diagram

3.8.2.1 TrueBeam Coolant Requirements

The TrueBeam coolant heat load varies with the Operational State as outlined in Table 3-2.
Table 3-2 TrueBeam Coolant Requirements
Low Power (Power Save) State coolant heat load. 2 kW (6,830 Btu/hr)
On (No Mode) State coolant heat load. 10 kW (34,152 Btu/hr)
Ready/Energy Select State coolant heat load. 12.5 kW (42,690 Btu/hr)
Beam-On State coolant heat load. 25 kW (85,379 Btu/hr)
Normal treatment cycles (see “Operational States” on Requires heat dissipation into cooling water of
page 3-55). 13.3 kW (45,422 Btu/hr)
Minimum operational heat load. 2 kW (6,830 Btu/hr) – 24 hour cooling required.
Maximum heat load (during Beam-On). 25 kW (85,379 Btu/hr)
Maximum overall input pressure, including normal back 100 PSIG (7 kg/cm2)
pressure.
The pressure differential between the inlet and outlet fittings Adjusted to between 10 PSI (0.7 kg/cm2)
at the TrueBeam Stand. and 24 PSI (1.7 kg/cm2) @ 3.0 – 5.0 GPM
(11.4 – 18.9 LPM), respectively (while in the
Ready State).
Actual pressure drop through the TrueBeam. 24 PSI (1.7 kg/cm2) (under maximum heat load
conditions).
Periodic cooling water flow through the TrueBeam. 0 GPM (with the internal bypass valve closed
only).
Average water temperature rise during Beam-On, Standby, 27 deg. F. (15 deg. C.)
and Ready States (w/closed bypass valve).

3.8.2.2 Coolant Specifications
The cooling water requirement can be satisfied with a Closed-Loop system or a One-Pass system.
Although most water and sanitary districts restrict the use of one-pass cooling, it can generally be used
for backup. If a closed-loop system is used, provide a one-pass system for backup.
Table 3-3 Coolant Specifications for External and Internal Water Sources
External Coolant External Coolant

One-Pass: City Water Closed-Loop: Facility Water
Water Sourcesa b Direct water from the domestic city Direct chilled/cold water from Hospital
water supply. Water is disposed in a closed loop system or chiller system
waste drain after it exits the machine. dedicated to machine
Base Water Qualityc Clean, Clear (non-turbid) water. Clean, Clear (non-turbid) industrial
Disinfected, Potable grade surface water, Appropriately treated with nitrite,
water, Aquifer, or Well water. Mo, silicate, borate, or other suitable
corrosion inhibitor.
Pathogens (cfu/ml) Nil Nil
Heterotrophic plate <100 <100

count (HPC) (cfu/ml)
pH 7.0-9.0 7.5-10.0
Electrical conductivity >250 >2000d

(µS/cm)
Total dissolved solids >160 >1300d

(Mg/L)
Total chlorides >50 >150

(mg/L as Cl)
Total hardness >75e >150e

(mg/L as CaCO3)
a. City Water is intended solely as a backup supply and is not recommended for permanent use as the external
coolant source.
b. Facility Water is preferred for permanent use as the external coolant source.
c. Experience has shown that some local potable water supplies have caused excessive corrosion and frequent replacement
of the internal heat exchanger.
d. Facility Water has higher conductivity and total dissolved solids limits because added corrosion inhibitors would raise
these control measures. In a small percentage of systems, the conductivity could be lower based on the type of corrosion
inhibitor used.
e. For systems where soft water or purified water is used for makeup, lower total hardness is acceptable if there is
sufficient corrosion inhibitor in the system.

 When glycol is added to external facility water, propylene glycol is preferred (due to its better
environmental safety record compared to other glycols) at a strength not to exceed 50% by
volume (v/v).
 External water (from city or facility) will require secondary disinfection (i.e. in addition to any
bleach/chlorine/chloramine reserve present) to avoid biofilm formation in the machines heat
exchanger. Seek advice from a water treatment professional.
Note: The water coolant specification in this section does not apply to the Accelerator’s
internal coolant water loop. Only qualified operators or service personnel should refer
to the appropriate Varian maintenance/service manual or contact the Varian Help Desk
at 1-(888)-Varian5 (827-4265) for the internal coolant water quality specifications.
3.8.2.3 Pressure Regulator Specifications

 Provide a 1" Pressure Regulator on the incoming coolant supply line. The maximum overall input
pressure including normal back pressure is 100 PSIG (7 kg/cm2). Pressure Regulator
requirements:
 Brass body (corrosion resistant), non-relieving diaphragm, 5 to 125 PSIG (0.3 to 8.5 bar)
outlet pressure range, flow rate of 27.5 GPM (104 LPM @ 100 PSIG [6.9 bar]) inlet pressure.
3.8.3 Compressed Air System

Compressed air is not required for the TrueBeam. If an existing system is available from a
previously-installed Varian Clinac, it is recommended that the compressed air system remain in place
for TrueBeam servicing.
3.8.4 Environmental Specifications

 Humidity range – 15% to 80% Relative Humidity, Non-condensing.
 Room temperature range – 60° to 80°F (16° to 27°C).
 Maximum allowable temperature shift of Imager from time of calibration to time of treatment –
± 2.0°C (± 3.6°F). Applies to the Stereotactic Optical Imager only.
3.8.4.1 Ventilation
TrueBeams will produce detectable levels of ozone under certain conditions. Four to six air changes
per hour are normally required to maintain undetectable levels, depending on the size of the vault and
air circulation efficiency. Ventilation required to remove the heat dissipated to the vault air normally
accomplishes this. The ventilation system should use fresh-air as part of its design. Treatments should
not be performed if the ventilation system is not in operation. Long irradiation's at high dose rates,
such as those performed for physics measurements, should be followed by airing out the vault. It is
important to provide positive air pressure in the TrueBeam vault to hold swing-type doors closed.

Provide ventilation sufficient for removal of equipment air heat load as follows:
 TrueBeam Vault
 7.25 kW (24,760 Btu/hr) at TrueBeam Stand/Gantry during Ready and Beam-On States.
 1.5 kW (5,119 Btu/hr) at TrueBeam Stand/Gantry during No Mode State.
 1.0 kW (3,413 Btu/hr) at TrueBeam Stand/Gantry during Power Save State.
 5.25 kW (17,930 Btu/hr) at Modulator Cabinet during Beam-On State.
 0.5 kW (1,707 Btu/hr) at Modulator Cabinet during other States.
 TrueBeam Control Console Area (see Section 5.1)
 2-1 Cabinet Configuration
 0.75 kW (2,560 Btu/hr) at the Control Console Cabinet.
 Stacked Configuration
 0.5 kW (1,707 Btu/hr) at the Control Console Cabinet.
 0.25 kW (853 Btu/hr) at the Control Console Imaging Cabinet.
 0.5 kW (1,707 Btu/hr) at optional ARIA Workstation.
3.8.5 Plumbing
A sink with running hot and cold water is highly recommended in TrueBeam vaults. Appropriate
codes should be followed regarding paddle or foot controls and type of faucet. A hose spigot is
necessary to fill the water phantom and a drain is necessary to service the TrueBeam’s internal cooling
system and drain the water phantom. Floor drains and floor sinks should not be located in the vault to
avoid possible backup into the equipment floor recesses. Do not run water lines directly above the
TrueBeam components or control console.
3.8.6 Fire Protection

Sprinklers inside the treatment room are discouraged. Their discharge or inadvertent leakage into the
Couch pit or into the Stand generate expensive repairs with extended shut-downs. Some jurisdictions
allow substitution of Type I construction for fire protection. Detectors are strongly recommended and
normally adequate if a type “C” fire extinguisher is available in the treatment room. Heat detectors or
photo-electric smoke detectors are preferred because ionization-type detectors can, under certain
circumstances, give false alarms. If fire sprinklers are required by local authorities, sprinkler heads
should not be located above the equipment. A system valved and controlled by the smoke detector
(dry pre-action) can be incorporated so that sprinklers are wet only upon specific need. Semi- or fully
recessed, high temperature heads are recommended in wet systems. The safety of non-ambulatory
patients should be reviewed if a chemical system is considered. Verify all regional regulatory code
requirements.

Shielding TrueBeam/VitalBeam Edition
3.9 Shielding
For detailed information on shielding data, see “Typical Room Shielding Tables” on page 2-1.
WARNING: Varian Medical Systems shall have no approval or other responsibility for any
matter affecting or related to the adequacy of the radiation protection walls and
barriers or related safety devices. All radiation shielding designs must meet codes
and regulations of all Authorities Having Jurisdiction (AHJ) and must be
approved by the Customer’s or Facility’s Physicist of Record and shall be the sole
responsibility of the Customer/Facility. The hours of operation, patient workload,
accelerator energy, and the shielding materials should all be taken into
consideration when calculating shielding requirements. Serious injury or death
can result from improper radiation shielding.
3.9.1 Radiation Shielding Details

 Treatment room shielding is required for the protection of therapists and others while the Linear
Accelerator has the beam on. Linear Accelerator shielding is provided by either poured-in-place
concrete alone (low or dual x-ray energy), lead/steel plates alone (low x-ray energy only), or a
prescribed combination of both (low or dual x-ray energy).
 The amount and type of shielding on treatment room entrance doors have varying requirements
based on the presence and length of the maze, and the energy of the Linear Accelerator.
Generally, low energy accelerators will require wood doors with a lead core and manual
operation. High Energy accelerators usually require steel doors with a lead and borated
polyethylene core and motorized operation. Exact accelerator door shielding requirements are
dependent on maze and shielding configuration. See typical minimum suggested door shielding.
Accelerator neutron leakage calculations down the maze follow the general guidelines of NCRP
Report 79. A Varian monograph titled: “Neutron Doors for High Energy Accelerators,” is
available on request. As these doors do not have latching mechanisms, room air pressure must be
positive relative to the department. Typically, shielded doors must be “exempted” where fire code
labeling is required.
 To reduce radiation exposure outside room, air handling ducts should enter/exit the room through
penetration(s) above the maze door. The ducts should be placed as high as possible in order to
minimize radiation exposure to occupied space. The ducts should be designed to minimize the
area of penetration through the wall. In most cases, duct shielding will not be required, provided
the duct design conforms to this criteria. Clear space should be left around the duct (outside the
treatment room) for shielding retrofit, in case the post installation radiation survey indicates a
requirement. Penetration, including ducts, directly into the treatment room should be avoided. For
no-maze treatment rooms, duct design and shielding must be addressed by the Physicist of
Record.
 Provide adequate radiation shielding (usually lead or steel with a 1" (25) margin) behind all
junction and pull boxes recessed in concrete walls. Verify thickness and location with the
Physicist of Record.

TrueBeam/VitalBeam Edition Shielding
 Steel or lead shielding at Linear Accelerator rooms may be embedded in or mounted on the inside
surface of concrete walls and ceiling. Additional structural reinforcement may be required.
Neutron shielding must be carefully analyzed by the Physicist of Record when lead or steel is to
be located on primary or secondary barriers on installations with photon energies higher than 10
MV.
 Linear Accelerator shielding calculations follow the general guidelines of NCRP Reports 49 and
51. The TVL of leakage x-rays have been modified based on the report of W.R. Nelson and P.D.
LaRiviere: “Primary and leakage Radiation Calculations at 6, 10 and 25 MeV,” Health Physics,
38811 (1984). Copies are available on request.
 The shielding table suggestions are based on calculations using NCRP report 151 methodology
and measured data. Distances of point of interest from isocenter are taken from Varian’s Typical
Room Configuration (see Figure 2-2 on page 2-7). The room dimensions are based on machine
clearance. This would translate into a distance of 10 feet from the isocenter to the nearest inner
wall surface of the primary barrier.
3.9.2 Radiation Shielding Calculation Assumptions

 The primary beam use factor is defined as 25%.
 The occupancy is defined as either 100% or 10%.
 The weekly dose limit is defined as 20μSv/week (2 mrem/week).
The workload for standard procedures is defined as 75000 rads/week with 0% IMRT procedures when
using the system for 10 hours per day, five days per week, five patients treated per hour at 250 rads
per session.
 W = 75,000 rads per week for primary walls.
 W = 75,000 rads per week for secondary walls.
The workload for standard procedures with 50% IMRT procedures and a modulation factor of F=3.
 W = 75,000 rads per week for primary walls.
 W = 150,000 rads per week for secondary walls.
The workload for SRS procedures in utilizing the High Intensity Mode (HIM) (dose rates >
1000 MU/min) is defined as 200,000 rads/week with 20% IMRT procedures and a modulation factor
of F=3. The assumed system usage is 10 hours per day, five days per week, two treatments per hour
at 2000 rads per treatment, average six sessions per day.
 W = 200,000 rads per week for the primary walls.
 W = 280,000 rads per week for the secondary walls.

Shielding TrueBeam/VitalBeam Edition
The dose output in the HIM is assumed to be 1400 rads/min for the 6MV and 2400 rads/min
for 10MV.
 Except where specifically noted, radiation leakage in non-controlled areas shall not exceed
20μSv/week (2 mrem/week), assuming 100% occupancy beyond the shielding barriers (per
NCRP Report 91 “Recommendations of Limits for Exposure to Ionizing Radiation”).
 Most treatment rooms are entered through a maze. This hallway is designed to reduce radiation
levels at the entrance door. The length of the maze and the occupancy outside the entrance door
affects the amount of shielding required in the door. “No-maze” doors are available from several
shielding manufacturers. The use of these doors must be reviewed by the Physicist of Record
early in the design process.
 Supplement No. 11 (1972) and Supplement No. 17 (1983) of the “British Journal of Radiology”
describes two different conventions for referencing the quality of an x-ray radiotherapy beam.
The convention presented in Supplement No. 11 has been adopted for this sheet.
 The typical room shielding tables information is provided to assist early treatment room design.
The Physicist of Record for the project should become involved with the treatment room design
as early as possible. With regard to facility shielding, the Physicist of Record is responsible for
designing the treatment room radiation shield barriers and confirming they meet applicable
regulatory requirements. The facility design is based on regulatory requirements of the regulatory
body tasked with oversight of Radiation Producing Devices in the Region, and recommendations
of the national Council of Radiation Protection and Measurement (NCRP).
3.9.3 Other Shielding Information

During Schematic Development for a TrueBeam and associated video monitors, consideration should
be taken of the proximity to Magnetic Resonance Imaging (MRI) units or other magnetic field
generating equipment. According to MRI manufacturers, linear accelerators and simulators should be
located outside of the 100 µT (1 Gauss) magnetic field created by the MRI. A map of the magnetic
field emanating from the particular MRI unit can be obtained from the manufacturer of the MRI unit.

TrueBeam/VitalBeam Edition Baseframe Pit and Installation
3.10 Baseframe Pit and Installation

Verification of appropriate utility and
cable access is the responsibility of the Vault Configurations “A”
Customer. Selection of the appropriate
cable access method is determined by Minimum (Small) 6’-8” (2032)
site-specific conditions and Customer
preference. The standard side access Typical (Intermediate) 2’-6” (760)
conduit details are appropriate for the
majority of installations, those with Traditional (Large) 2’-6” (760)
sub-floor clearances of at least 24”
(610). Alternate bottom access conduit
details are included for installations Terminate cooling water supply and
with sub-floor clearances of at least return lines on the rear wall behind
39”(991). Alternate duct access details the Stand with 1" (25) female NPT
are included for installations with Line of Baseframe pit valves and plugs. Refer to Section
minimal sub-floor clearance. All 3.12 the Baseframe Cooling Line
conduits or cable ducts must be Access Details for termination
fully sealed and protected to keep location. The customer/contractor
them clean and dry. will make the final connection to the
valves in TrueBeam Stand using the
Varian provided hose kit during
installation.
Refer to Figures 3-57, 3-58,

and 3-59 for more information
Verify slab, subgrade and moisture

protection requirements. All exposed
concrete shall be suitably sealed before
the Baseframe arrives on site. Pit depth
shall not vary more than 1/4" (6).
Isocenter - This is the primary reference point for Varian equipment.

Show the isocenter location clearly on all relevant drawings.
Maintain the isocenter location on site by extending perpendicular
axis lines along slab and up walls in all four directions. The standard
isocenter height for the TrueBeam is 4'-3" (1295).
Figure 3-52 TrueBeam Baseframe Pit Dimensions
Note: The installed weight of the TrueBeam Accelerator is approximately

26, 530 lbs. (12,034 kg)
 Baseframe ≈ 2,260 lb. (1,025 kg.)
 Treatment Couch ≈ 1,600 lb. (726 kg.)
 Combined Stand/Gantry ≈ 22,670 lb. (10,283 kg.)
The design of the Baseframe Pit for this load should be reviewed by a Structural Engineer.
WARNING: In all seismically active locations, the design of the Baseframe Pit for this load, and its
anchorage, should be approved by a licensed Structural Engineer. During a seismic
event, serious injury or loss of life may result from a substandard design.

Baseframe Pit and Installation TrueBeam/VitalBeam Edition
Terminate cooling water

supply and return lines on
the rear wall behind the
Stand with 1" (25) female
NPT valves and plugs.
Line of the shielding barrier. Refer to Section 3.12 the
Baseframe Cooling Line
Access Details for
termination location. The
customer/ contractor will
make the final connection
For side conduit access situations, to the valves in TrueBeam
provide a Baseframe pull box measuring Stand using the Varian
12” x 24 x 10” total depth (300 x 600 x provided hose kit during
250). Top access is required. As no installation.
connections are made at this location,
many regulatory agencies do not require a
top box, If a top pull box is not used, keep
this area free of grout.
TrueBeam VEO
Baseframe
A steel frame is used to anchor the

TrueBeam Stand, Gantry and Couch to
the facility. The frame is set in a recessed
equipment pit, leveled (by Varian), and
held in place with grout. Baseframes are
The floor shall be level with the positively anchored to the slab to avoid
top of the Treatment Couch floating during grout placement. Verify
bearing mount to within ±1/8" (3) anchorage details with your Installation
for 6'-0" (1829) radius about Project Manager office. Varian information
isocenter. regarding pit design assumes a ground
floor installation. Upper floor installations
require a thorough review by a qualified
structural engineer. In typical installations,
Baseframes for TrueBeams are not
positively anchored sufficiently to
Isocenter - This is the primary reference point accommodate seismic loads. All seismic
for Varian equipment. Show the isocenter location anchoring is by the Customer. Sample
clearly on all relevant drawings. Maintain the seismic calculations and details of the
isocenter location on site by extending preferred anchoring methods for
perpendicular axis lines along slab and up walls TrueBeams are available from the
in all four directions. The standard isocenter Planning Department.
height for the TrueBeam is 4'-3" (1295).
The Baseframe shall be ordered at least
three weeks prior to the required delivery
date. Contact the Varian Installation
Project Manager to schedule delivery.
Figure 3-53 TrueBeam Baseframe Installed

TrueBeam/VitalBeam Edition Baseframe Pit and Installation
Terminate cooling water

supply and return lines on
the rear wall behind the
Stand with 1" (25) female
NPT valves and plugs. Refer
to Section 3.12 the
Baseframe Cooling Line
Line of the shielding barrier. Access Details for
termination location. The
customer/contractor will
make the final connection to
the valves in TrueBeam
Stand using the Varian
provided hose kit during
The Couch Turntable installation.
Assembly, Stand mounting
pads, and Baseframe pull
box shall be free of grout.
After Baseframe is in place

and leveled, fill recess with
grout (by Customer). For
standard grout, provide a
minimum seven days cure
time prior to Equipment
installation. Use normal weight
grout, 28 day strength of
2000 lb./sq. in (141 kg/sq. cm),
The floor shall be level 6" (152) to 7" (178) slump,
with the top of the 3/8" (10) maximum pea gravel
Treatment Couch aggregate size.
bearing mount to within
±1/8" (3) for 6'-0" (1829)
radius about isocenter.
Isocenter - This is the primary reference point

for Varian equipment. Show the isocenter location
clearly on all relevant drawings. Maintain the
isocenter location on site by extending
perpendicular axis lines along slab and up walls
in all four directions. The standard isocenter
height for the TrueBeam is 4'-3" (1295).
Figure 3-54 Grout After Baseframe Installation

Baseframe Pit and Installation TrueBeam/VitalBeam Edition
Line of shielding barrier
TrueBeam Stand
and Gantry
TrueBeam Couch
Isocenter - This is the primary reference

point for Varian equipment. Show the
isocenter location clearly on all relevant
drawings. Maintain the isocenter location
on site by extending perpendicular axis
lines along slab and up walls in all four
directions. The standard isocenter height
for the TrueBeam is 4’-3” (1295).
For information on flooring requirements,

see section 5.4 “Carpeting and Flooring
Requirements.”
Figure 3-55 TrueBeam Installed on Baseframe

TrueBeam/VitalBeam Edition Baseframe Cable Access Details
3.11 Baseframe Cable Access Details
Outline at the
TrueBeam Stand
Hold down anchor bolts are installed
by Varian during the Baseframe
installation. These bolts are used
exclusively to avoid movement of the
frame during grouting. They are not
seismic attachment anchors.
Provide adequate
The conduits may terminate anywhere reinforcing steel
within the pull box. See the Cable in slab.
Access Diagram for quantity and size
of conduits.
Provide two 2" (50) conduits
for the Varian provided hose
For side conduit access situations,
kit, the maximum length for
provide a Baseframe pull box
each conduit is 86" (2185)
measuring 12” x 24 x 10” total depth
with a minimum bend radius
(300 x 600 x 250). Top access is
The Couch Turntable of 12" (305), see Section 3.12
required. As no connections are made
Assembly and Stand for detailed information.
at this location, many regulatory
mounting pads shall
agencies do not require a top box, If a
top pull box is not used, keep this be free of grout.
area free of grout.
Line of
Baseframe pit.
TrueBeam VEO
Baseframe
Isocenter to centerline
of pull box dimension.
A steel frame is used to anchor the TrueBeam Stand, Gantry and Couch to the Verification of appropriate utility and cable access is the
facility. The frame is set in a recessed equipment pit, leveled (by Varian), and held responsibility of the Customer. Selection of the appropriate
in place with grout. Baseframes are positively anchored to the slab to avoid floating cable access method is determined by site-specific conditions
during grout placement. Verify anchorage details with your Installation Project and Customer preference. The standard side access conduit
Manager office. Varian information regarding pit design assumes a ground floor details are appropriate for the majority of installations, those
installation. Upper floor installations require a thorough review by a qualified with sub-floor clearances of at least 24” (610). Alternate
structural engineer. In typical installations, Baseframes for TrueBeams are not bottom access conduit details are included for installations
positively anchored sufficiently to accommodate seismic loads. All seismic with subfloor clearances of at least 39” (991). Alternate duct
anchoring is by the Customer. Sample seismic calculations and details of the access details are included for installations with minimal
preferred anchoring methods for TrueBeams are available from the Planning sub-floor clearance. All conduits or cable ducts must be fully
Department. sealed and protected to keep them clean and dry.
Figure 3-56 Standard Side Cable Access Plan and Section at Pull Box

Baseframe Cable Access Details TrueBeam/VitalBeam Edition
Outline at the
Hold down anchor bolts are installed TrueBeam Stand
by Varian during the Baseframe
installation. These bolts are used
exclusively to avoid movement of the
frame during grouting. They are not
seismic attachment anchors.
Provide adequate clearance for typical

conduit radius of six times the diameter.
Conduit bends shall not exceed 270
degrees per cable run. Route all room Provide adequate
penetrations as perpendicular to the reinforcing steel
isocenter as possible to avoid radiation in slab.
scatter. Verify all room penetrations with
the Physicist of Record.
Provide two 2" (50) conduits

As no connections are made at this location,
for the Varian provided hose
many regulatory agencies do not require a
kit, the maximum length for
Baseframe pull box. If a pull box is not used, The Couch Turntable each conduit is 86" (2185)
keep this area free of grout. If required, provide Assembly and Stand with a minimum bend radius
a 12" x 24" x 10" deep (300 x 600 x 250) mounting pads shall of 12" (305), see Section 3.12
Baseframe pull box. Top access is required. be free of grout. for more detailed information.
The conduits may terminate anywhere within

the pull box. See the Cable Access Diagram
for quantity and size of conduits.
Line of
Baseframe pit
TrueBeam VEO
Baseframe
Isocenter to centerline
of pull box dimension
A steel frame is used to anchor the TrueBeam Stand, Gantry and Couch to the Verification of appropriate utility and cable access is the
facility. The frame is set in a recessed equipment pit, leveled (by Varian), and held responsibility of the Customer. Selection of the appropriate
in place with grout. Baseframes are positively anchored to the slab to avoid floating cable access method is determined by site-specific conditions
during grout placement. Verify anchorage details with your Installation Project and Customer preference. The standard side access conduit
Manager office. Varian information regarding pit design assumes a ground floor details are appropriate for the majority of installations, those
installation. Upper floor installations require a thorough review by a qualified with sub-floor clearances of at least 24” (610). Alternate
structural engineer. In typical installations, Baseframes for TrueBeams are not bottom access conduit details are included for installations
positively anchored sufficiently to accommodate seismic loads. All seismic with subfloor clearances of at least 39” (991). Alternate duct
anchoring is by the Customer. Sample seismic calculations and details of the access details are included for installations with minimal sub-
preferred anchoring methods for TrueBeams are available from the Planning floor clearance. All conduits or cable ducts must be fully
Department. sealed and protected to keep them clean and dry.
Figure 3-57 Alternate Bottom Cable Access Plan and Section at Pull Box

TrueBeam/VitalBeam Edition Baseframe Cooling Line Access Details
3.12 Baseframe Cooling Line Access Details
Customer provided
cooling water lines
(Supply and Return)
Isocenter
The maximum
distance from the end
of conduit to the NPT
valve is 30" (762)
Customer provided access panel

Line of Baseframe pit
Provide two 2" (50) conduits for

the Varian provided hose kit, the
maximum length for each conduit
is 86" (2185)
Provide adequate clearance for

Line of typical conduit radius of six times the
Baseframe pit diameter. Conduit bends shall not
exceed 270 degrees per conduit run.
52" VEO
Baseframe
Outline at the
TrueBeam Stand Terminate cooling water supply and
return lines in the rear wall behind
the Stand with 1" (25) female NPT
valves and plugs. The customer/
contractor will make the final
connection to the valves in
TrueBeam Stand using the Varian
provided hose kit during installation.
Figure 3-58 Typical (Intermediate Vault) Cooling Line Access Plan
Note: Install the two conduit sleeves for the Varian provided cooling hoses after the
BaseFrame is installed (before grout). The conduits must rest against the rear of the
BaseFrame at the specified location, to ensure the stand will completely cover the
exposed end.

Baseframe Cooling Line Access Details TrueBeam/VitalBeam Edition
Customer-provided
cooling water lines
(Supply and Return)
Isocenter The maximum

distance from the
end of conduit to the
NPT valve is 30"
(762)
Customer-provided access

the Varian provided hose kit, the
maximum length for each
conduit is 86" (2185)

typical conduit radius of six
times the diameter. Conduit
Line of bends shall not exceed 270
Baseframe pit degrees per conduit run.
52” VEO
Baseframe
Outline at the Terminate cooling water supply
TrueBeam Stand and return lines in the rear wall
behind the Stand with 1" (25)
female NPT valves and plugs.
The customer/contractor will
make the final connection to
the valves in TrueBeam Stand
using the Varian-provided
hose kit during installation.
Figure 3-59 Traditional (Large Vault) Cooling Line Access Plan
Note: Install the two conduit sleeves for the Varian provided cooling hoses after the
BaseFrame is installed (before grout). The conduits must rest against the rear of the
BaseFrame at the specified location, to ensure the stand will completely cover the
exposed end.

TrueBeam/VitalBeam Edition Baseframe Cooling Line Access Details
Customer-provided
cooling water lines
(Supply and Return)
Isocenter The maximum

distance from the
end of conduit to the
NPT valve is 30"
(762)
Customer-provided access

the Varian provided hose kit,
the maximum length for each
conduit is 86" (2185)
Outline at the
TrueBeam Stand
typical conduit radius of six
Line of
times the diameter. Conduit
Baseframe pit
bends shall not exceed 270
degrees per conduit run.
52” VEO
Baseframe
Install the centerline of the

2" (50) conduit sleeves a
maximum of 1 1/2" (38) off
the rear concrete wall. Terminate cooling water supply
and return lines in the rear wall
behind the Stand with 1" (25)
female NPT valves and plugs.
The customer/contractor will
make the final connection to the
valves in TrueBeam Stand using
the Varian-provided hose kit
during installation.
Figure 3-60 Minimum (Small Vault) Cooling Line Access Plan
Note: Install the final leg of the two conduit sleeves for the Varian provided cooling hoses
after the BaseFrame is installed (before grout). The conduits must rest against the rear
of the BaseFrame at the specified location, to ensure the stand will completely cover
the exposed end.

Patient Positioning Lasers TrueBeam/VitalBeam Edition
3.13 Patient Positioning Lasers

The patient’s position on the couch is fixed by body markings that are aligned with cross hairs cast
by the laser lights. Two wall laser positioning lights at isocenter height, a ceiling laser, and the sagittal
laser are powered by a common circuit controlled by the user interface in the Control Room or Couch
Pendant or Couch Side Panels, through a relay. Lasers are usually distributed and installed, at the
Customer’s option, by Varian. The Customer is responsible for verification of laser types and
mounting configurations.
Isometric Plan View
Figure 3-61 Laser Positioning Light – Isometric and Plan Views
Figure 3-62 Laser and Mounting Plate (Typical) – Exploded View

TrueBeam/VitalBeam Edition Patient Positioning Lasers
3.13.1 Side Laser Mounting Detail

Do not mount lasers on sheet rock, point for Varian equipment. Show the
drywall, or suspended ceilings. Secure isocenter location clearly on all relevant
directly to rigid structure. Varian furnishes drawings. Maintain the isocenter location
the steel plate for installation onto onsite by extending perpendicular axis
concrete walls. Without rigidly mounted lines along slab and up walls in all four
steel plate backing for lasers, stable directions.
isocenter positioning cannot be
guaranteed. The differential movement The two side laser plates are located on
between the laser location and the the side walls centered on the lateral axis
isocenter shall not exceed 1mm. Do not with the ‘Isocenter Target Hole” centered
mount lasers until isocenter has been at the isocenter height of 4’-3” (1295).
established. Lasers may be installed
“upside down” (with the beam port
nearest the bottom of laser) or “sideways”
at locations with obstructions below laser.
If the lasers are provided by Varian, the
laser mounting will be done by Varian.
Otherwise, the laser mounting is to be
done by the Customer.
Varian-furnished,
Contractor-installed
1/4” (6) thick steel
backing plate.
The power to lasers is typically

supplied by a grounded power
receptacle at each laser location.
A 3'-0" (914) power cord is
provided with each laser. The
receptacles are controlled
through the Relay Junction Box
as defined by the Interconnection
Wiring Diagram (see Figure 4-2).
Wall furring shall not overlap steel

backing plate. Steel plate minimum
dimensions exceed laser dimensions to
allow for adjustment during installation.
Figure 3-63 Side Laser Mounting Details (Recessed in Wall) – Elevation View

Varian-furnished,
Contractor-installed Contractor-furnished,
steel backing plate. Contractor-installed
For dimensions, see anchors.
Figure 3-50.
The power to lasers is

typically supplied by a
grounded power
receptacle at each laser The beam port center line
location. A 3'-0" (914) is the primary reference
power cord is provided point for laser location.
with each laser. The
receptacles are controlled
through the Relay
Junction Box as defined
by the Interconnection Decorative/protective laser recess cover (by
Wiring Diagram. See Customer) must allow full access to recess.
Figure 4-2. Do not allow the cover to contact the laser
when closed. Locate and drill laser beam
hole in cover after laser has been installed.
Figure 3-64 Side Laser Mounting Details (Recessed in Wall) – Plan View

Contractor-furnished and Contractor-installed

expansion anchors are typically used to secure
the steel laser mounting plate to the concrete
structure. The steel laser mounting plate must
be installed level and plumb in both planes.
Varian-furnished, Contractor-installed,
1/4” x 14 5/8” x 8 5/16” (6 x 371 x 211)
mild steel plate required for mounting.
The Isocenter Axis and the “Isocenter Target

Hole” of the laser mounting plate are the
references for mounting the laser plate.
Decorative/protective laser recess cover (by

Customer) must allow full access to recess.
Do not allow the cover to contact the laser
when closed. Locate and drill laser beam
hole in cover after laser has been installed.
The power to lasers is typically supplied by a

grounded power receptacle at each laser
location. A 3'-0" (914) power cord is provided
with each laser. The receptacles are
controlled through the Relay Junction Box as
defined by the Interconnection Wiring
Diagram (see Figure 4-2).
Figure 3-65 Side Laser Mounting Details (Recessed in Wall) – Section View

3.13.2 Ceiling Laser Mounting Detail

Varian-furnished, Contractor-installed
1/4” thick steel backing plate. Steel
plate dimensions are shown in Figure 3-50.
Securely anchor the ceiling

laser support structure to the
rigid structure above.
Verify appropriate code for

enclosure requirements.
Provide Unistrut or similar
rigid box frame where
dimensions exceed
2'-0" (610). Surface mount
laser on steel plate where
ceiling to concrete distance
is less than 2'-0" (610).
Provide 3" (76) clearance from

the bottom of the overhead
laser to the ceiling to permit Exposed grid ceilings allow for access to the
access. overhead laser and relay junction box without
the use of access doors. Major service at the
The beam port center line is the primary equipment Stand is simplified where there are
reference point for laser location. removable ceiling tiles. Coordinate the layout of
ceiling tile to insure that ceiling support system
The overhead laser positioning light is shall not interfere with overhead laser positioning
located directly over the isocenter.
light beam port.
The power to lasers is typically supplied by
a grounded power receptacle at each laser
location. A 3'-0" (914) power cord is provided
with each laser. The receptacles are controlled
through the Relay Junction Box as defined by
the Interconnection Wiring Diagram (see Figure 4-2).
Mount the 120v power receptacle on the

vertical surface of the enclosure.
MX029-1
Figure 3-66 Ceiling Laser Mounting Detail – Side View

3.13.3 Sagittal Laser Mounting Detail – Recessed

Do not mount lasers on sheet rock, point for Varian equipment. Show the
drywall, or suspended ceilings. Secure isocenter location clearly on all relevant
directly to rigid structure. Varian furnishes drawings. Maintain the isocenter location
the steel plate for installation onto onsite by extending perpendicular axis
concrete walls. Without rigidly mounted lines along slab and up walls in all four
steel plate backing for lasers, stable directions.
isocenter positioning cannot be
guaranteed. The differential movement The sagittal laser plate is located on the
between the laser location and the wall at the end of the longitudinal couch
isocenter shall not exceed 1mm. Do not axis. Unlike the side lasers, which are at
mount lasers until isocenter has been isocenter height, the sagittal laser is
established. Lasers may be installed typically mounted in a vertical
“upside down” (with the beam port configuration with the “Isocenter Target
nearest the bottom of laser) or “horizontal” Hole” centered on the longitudinal axis
at locations with obstructions below laser. and at a height of 7’-6” (2286) above the
If the lasers are provided by Varian, the floor.
laser mounting will be done by Varian.
Otherwise, the laser mounting is to be
done by the Customer.
Varian-furnished,
Contractor-installed
1/4” (6) thick steel
backing plate.
The power to lasers is typically

supplied by a grounded power
receptacle at each laser location.
A 3'-0" (914) power cord is
provided with each laser. The
receptacles are controlled through
the Relay Junction Box as defined
by the Interconnection Wiring
Diagram (see Figure 4-2).
Wall furring shall not overlap steel backing plate.

Steel plate minimum dimensions exceed laser
dimensions to allow for adjustment during
installation.
The wall furring and recess construction are similar

to details shown in Figure 3-51 and Figure 3-52.
Figure 3-67 Sagittal Laser Mounting Details (Recessed in Wall) – Elevation View


Chapter 4 Electrical Requirements
Table 4-1 Recommended Power Specification Summary
Component Voltage Amperage Phase

aTrueBeam/VitalBeam 60 Hz 480V 80A 3-phase + Neutral + Ground (Parity-Sized)
50 Hz 400V 100A 3-phase + Neutral + Ground (Parity-Sized)

a
Console 60 Hz 208V 20A 1-phase + Ground (Parity-Sized)
50 Hz 230V 20A
a. These feeds are supplied simultaneously by the GEXPRO VWB Series TrueBeam Main Circuit Breaker Panel.
CAUTION: Ground/Earthing conductor must meet or exceed local code requirements and be equal
in size (Parity-Sized) to the supply/power conductors, but no smaller than #6 AWG
(16mm2).
4.1 General Electrical Specifications
4.1.1 Wiring and Components

The dashed lines indicate wiring provided by Varian. The Customer shall provide the wiring shown
as solid lines as well as the TrueBeam Main Circuit Breaker panel on the left side of the reference
lines in Figure 4-2, Interconnection Wiring Diagram. The Relay Junction Box is Varian-furnished,
The main power and ground conductors as well as the room interconnection with the Relay Junction
Box are sized, pulled, and terminated by the Contractor. The Varian-provided control interconnect
cables are not shown in Figure 4-2, Interconnection Wiring Diagram.
4.1.2 Lighting and Accessories Circuits

Provide 120 VAC (typical 60Hz) or 240 VAC (typical 50Hz) 20 amps maximum power for lighting,
laser positioning lights, and warning lights to the Relay Junction Box, as discussed in Section 4.1.1,
Wiring and Components. 277 VAC lighting is acceptable but will require that the remaining items be
on a separate circuit. Lighting, lasers, and warning lights may each be on separate circuits.
4-1
General Electrical Specifications TrueBeam/VitalBeam Edition
4.1.3 Electrical Connections

The Customer shall (under Varian supervision):
 Route all system power from an isolated power source through the TrueBeam Main Circuit
Breaker Panel.
 Ensure that rough-in for conductors for listed items includes 12'-0" (3658) left coiled in pull box.
 Supply and connect phase, neutral, and ground power supply wires.
 Supply and connect wiring at the Relay Junction Box for Under Voltage Relay, Beam-On Lights,
Door Interlocks, Emergency-Off Switches, Positioning Laser Relay and Room Lights Relay.
 Make all power and wiring harness connections to the Modulator per Figure 4-2, Interconnection
Wiring Diagram.
 Connect wiring harness from the TrueBeam Main Circuit Breaker panel to the Control Console
Cabinet.
 Review connections and equipment function with the Varian Installer.
 Bundle all wiring in conduits shared by Varian cables.
 Pull Varian-supplied TrueBeam/VitalBeam control cables as specified by the Varian Project
Manager.
4.1.4 Dedicated Grounding Requirements

The TrueBeam/VitalBeam accelerator requires two Ground or Earthing circuits, as shown in
Figure 4-2, Interconnection Wiring Diagram. The first circuit is part of the main power supply and
provides grounding for the TrueBeam/VitalBeam Accelerator’s major system components: the
Gantry/Stand, the Modulator, and the Console Cabinets. The minimum size of the copper wire ground
conductor shall be equal in size (Parity-Sized) with the supply conductors. Ground conductors shall
be installed from the Modulator to the TrueBeam Main Circuit Breaker Panel (MCB) and from the
MCB to the facility’s main ground through the Hospital Grid System. The equipment is sensitive to
electrolysis from water pipe grounding. Do not use water supply piping for ground.
(16mm2).
The second grounding circuit is for wall- and ceiling-mounted TrueBeam/VitalBeam Accelerator’s
subsystems located at or below 8'-2 1/2" (2500) above finished floor (AFF). The Contractor shall
install a Ground or Earthing wire from each of the subsystems listed below to the Grounding Stud in
the Accessory Pull Box and from there to the facility’s main ground, as noted above. Please see
Figure 4-1, Ground/Earthing Conductor Diagram.
See the following for additional details.

 Accessory Pull Box – See also Section 3.1.2.5, Accessory Pull Box.
 Optical Imaging Subsystem – See also Section 3.4.1.3, Dedicated Ground Wire – TrueBeam
Optical Imaging.
4-2 Chapter 4 Electrical Requirements

TrueBeam/VitalBeam Edition General Electrical Specifications
 Dual In-Room Monitor Subsystem – See also Section 3.4.2.4, Dedicated Ground Wires –
TrueBeam IRM.
 Live View Camera Subsystem – See also Section 3.5.1.2, Dedicated Ground Wire – Live View
Camera.
This grounding system provides compliance with IEC 60101 and -01.
Chapter 4 Electrical Requirements 4-3


Provide one 14 AWG (2 mm2) Ground/Earthing Provide Ground/Earthing conductor that is equal in size (Parity-Sized)
conductor from the Accessory Pull Box, via the Control to the supply/power conductors for Control Console Receptacle.
Equipment Pull box, to the facility's main ground. See Section 4.3.5.3 for details.
See Section 4.1.4 for details.
Control Console power outlet feed from TrueBeam Main Circuit
Breaker panel with IEC 60309 receptacle. See Section 4.3.5.3 and
Section 5.1 for details.
Provide Ground/Earthing conductor that is equal in Control Equipment

size (Parity-Sized) to the supply/power conductors Pull Box. See
from the Main Distribution Panel, but no smaller than Section 3.1.2.1
#6 AWG (16mm2). See Section 4.2 and Table 4-2 for details.
for details.
TrueBeam Main Circuit breaker Panel, see

Sections 3.1.1.1 and 4.2.1 for details. Provide one 18 AWG (1.0
mm2) Ground/ Earthing
conductor from the Dual
Provide Ground/Earthing conductor that is equal in In-Room Monitor signal box to
size (Parity-Sized) to the supply/power conductors. the Accessory Pull Box. See
See Table 4-2 and Section 4.2.1 for details. Section 3.4.2.4 for details.
Microphones do not require Ground/Earthing TrueBeam/VitalBeam

conductors, if placed at or above 8'-2 1/2" (2500) AFF. Accelerator Gantry and Stand
If placed lower, provide 18 AWG (1.0 mm2) Ground or with recessed BaseFrame
Earthing conductor each Microphone signal box to the Pull Box.
Accessory Pull Box. See Figure 3-19, Figure 3-21,
and Section 3.5.3.1 for details.
Provide one 18 AWG

(1.0 mm2) Ground/Earthing
conductor from the Optical
Optional set Imaging signal box to the
2
of Dual IRM Accessory Pull Box. See
Provide one 18 AWG (1.0 mm ) Ground/Earthing Section 3.4.1.3 for details.
conductor from the Live View Camera signal box to the
Accessory Pull Box. See Section 3.5.1.2 for details.
Accessory Pull Box, mounted in the ceiling space,

with #6 (M3.5) grounding stud. See Section 3.1.2.5
for details.
Ground/Earthing conductor-
provided and installed by
Varian.
Modulator Cabinet with recessed Modulator Pull Box.

Figure 4-1 Ground/Earthing Conductor Diagram


4.1.5 Power Conditioning Requirements

The equipment is sensitive to line voltage variations and source impedance. A complete survey of the
electrical supply should be conducted prior to the equipment installation and a copy of this survey
should be sent to the regional Installation Project Manager for the equipment file. Isolation
transformers and/or power conditioners are required where the electrical power requirements
specified herein cannot be met.
Caution should be taken when powering the TrueBeam/VitalBeam from the same distribution source
as elevators, HVAC equipment, and other phase-controlled loads, because of potential adverse affects
on the operation of the x-ray equipment. The supply voltage waveform should be practically
sinusoidal with less than 5% total harmonic distortion. Signals from devices that use the power line
as a means of distribution can be the source of problems. Efforts should be taken to minimize such
effects.
Transients lasting no more than a few cycles will not cause harm if limited to the specified steady state
line voltage regulation. Transient suppression is required where larger, longer lasting or frequent
transients occur as these can cause interruption of operation and/or equipment damage.
Note: If an isolation transformer and/or power conditioner is installed, verify the output
breaker size on this equipment and size the wiring accordingly before connecting to the
TrueBeam Main Circuit Breaker Panel. For more information on the TrueBeam Main
Circuit Breaker Panel requirements, see Section 4.2.2 on page 4-11.
4.1.6 Network Cabling and Termination
4.1.6.1 Cabling
Network cabling must be minimum Category 5e with a minimum bandwidth of 100 Mbps full duplex
(100BaseT). The cable run must be a single segment of less than 100 meters (328 feet) from the wall
plate to the network switch or router, located within the telecommunications closet. The RJ-45
connector will be labeled as a DATA connection with a unique identifier that delineates the
termination point at the Patch Panel, Switch, or Router.
Note: The network data drops must be active at the time of installation with a live connection
to the network switch or router.
4.1.6.2 Termination
The Control Console requires a minimum of one (1) network cable outlet (RJ-45) located within
three (3) feet of the Control Console. Although the Control Console requires a single network drop,
Varian Medical Systems recommends three (3) additional drops for customer-supplied computers
and/or a network printer. Varian Medical Systems recommends the use of a modular wall plate that
4-7
meets TIA/EIA and NEC standards and codes for data communications. The RJ-45 jack must meet
TIA/EIA-568-A wiring pattern. Orientation of the RJ-45 wall jack should be at a 45-degree down
angle.
Note: The customer may require additional workstations and printers in the vicinity of the
Control Console to run customer required applications. Therefore, Varian Medial
Systems recommends that the customer pulls three (3) additional Cat 5e cables and
terminates each connection into a four-plex modular wall plate. Thus bringing the total
number of network drops to the Control Console to four (4).
4.1.6.3 TCP/IP Protocol
The Control Console makes use of the TCP/IP protocol suite. Varian Medical Systems recommends
that the customer eliminate all unnecessary protocols. Varian Medical Systems requires subnets for
the TCP/IP protocol in order to reduce the number of broadcast messages that must be processed by
the Control Console to the Radiation Oncology network. The subnet of the Radiation Oncology
Department should be kept as small as possible. Large, flat TCP/IP networks running broadcast
intensive software will adversely impact the performance of the radiation delivery system. Varian
Medical System recommends isolating the Radiation Oncology broadcast domain from the Enterprise
Network.
Note: The Control Console requires a static Internet Protocol (IP) address at the time of
installation. Varian Medical Systems requires that the network drop provided for the
Control Console is “hot” with a live connection to the network switch or router.
4-8
TrueBeam/VitalBeam Edition TrueBeam Linear Accelerator Subsystem
4.2 TrueBeam Linear Accelerator Subsystem
Table 4-2 TrueBeam/VitalBeam Linear Accelerator Power Requirements
Input voltage 200VAC, 208VAC, 240VAC, 380VAC, 400VAC, 415VAC, or 480VAC (nominal),
line-to-line, 5-wire (3-phase, neutral, and ground [Parity-Sized]).
Line voltage ±5%. This is the maximum allowable steady-state deviation from nominal
regulation value selected.
Maximum phase 3% of the nominal value. This is the maximum difference between any two phase voltages
voltage imbalance when operating at full load (Beam-On).
Input frequency 50 or 60 Hz ±1 Hz.
Electrical loads 7kVA in Stand-By state, 48kVA in Beam-On state. (4kVA & 45 kVA Accelerator loads
(with Console) only, respectively.)
Long-Time Load 48kVA (45kVA Accelerator Only). This is the maximum load that the source is expected
(with Console) to sustain during normal (Beam-On) operation; that is, during treatment. It must also be
capable of sustaining this load occasionally for much longer periods of test and calibration.
Power factor Estimated to be 90% or more. Most of the load is inductive. The line-current waveform is
non-sinusoidal.
Source impedance 2.5% maximum. This maximum recommendation is based on the minimum required source
capacity; namely, 48kVA. At 208 VAC, this corresponds to 133A full load current. The
recommended maximum impedance is therefore 24mOhm. At 400 VAC, the full load
current is 69A and the recommended maximum impedance is 89mOhm. No minimum is
specified, however, the fault current available shall not exceed 10,000A.
Mandatory The minimum size of the copper wire ground conductor shall meet or exceed local code
grounding requirements and be equal in size (Parity-Sized) to the supply/power conductors, but no
conductor smaller than #6 AWG (16mm2). Ground equipment through the “Hospital Grid System.”
The equipment is sensitive to electrolysis from water pipe grounding. Do not use water
supply piping for ground.
(16mm2).
4-9
TrueBeam Linear Accelerator Subsystem TrueBeam/VitalBeam Edition
4.2.1 Circuit Breaker
4.2.1.1 TrueBeam Main Circuit Breaker Panel
Varian Medical Systems strongly recommends the use of the TrueBeam Main Circuit Breaker Panel
specifically designed for the unique requirements of the TrueBeam/VitalBeam accelerator. This
custom panel provides a single-input, dual output design and incorporates/supports Emergency Off
and Console UPS circuitry.
Note: The TrueBeam Main Circuit Breaker Panel is typically contractor provided but may be
included with the equipment order, contact your Regional Planner to verify. Locate the
panel in sight and within 10 feet (3048) of the TrueBeam/VitalBeam console control
cabinet. The panel may be surface or semi-recessed mounted. The panel should be
conspicuously identified as “Main Disconnect for Accelerator” per NEC. This
statement may vary per country/region. Please consult the appropriate governing body.
For additional information, see Section 4.2.2, TrueBeam Main Circuit Breaker Panel – VWB Series.
If the TrueBeam Main Circuit Breaker Panel cannot be obtained, this panel must be replicated in full
functionality. Please contact your Regional Planner for additional specifications.
4-10
4.2.2 TrueBeam Main Circuit Breaker Panel – VWB Series
4.2.2.1 Application
The VWB Series of Main Circuit Breaker Panels are

custom panels that serve as the main power disconnect
between the Varian TrueBeam/VitalBeam system and
the facility power source. These panels provide
overcurrent protection and a panel mounted
Emergency System Disconnect push-button providing
immediate shut down of the entire system, complying
with the NEC disconnect requirements. The
standardized designs provide the customer, specifier,
and installer several advantages by combining a variety
of individual components into a single, pre-engineered,
factory tested panel. Each panel is UL, and cUL Listed
for compliance with approvals required by the NEC
Articles 100 and 110-3. All panels are also CE marked
for the many countries that require CE marking. The
VWB panel may be surface or semi-recessed mounted.
Designed for use with the following Varian Medical

Systems:
 EDGE
 TrueBeam
 TrueBeam STx
 VitalBeam
Physical Specifications
 Height: 36 inches (914.4 mm).
 Width: 25.38 inches (644.5 mm).
 Depth: 9.23 in. (234.5 mm).
 Weight: 179 pounds (81.1 kg).
8" (203.2) of enclosure may be recessed in wall for

semi-recessed installations.
 Mounting: Via keyhole slots: width is 19.38

inches (492.3mm) on centers. Height is 37.25
inches (946.2 mm) on centers (see diagram).
 Conduit Access: Conduits may enter or exit from
top, bottom, or sides. Preferred location is
incoming near top and outgoing at the bottom. Rear
conduits not possible. Exact location must be field
verified.
4-11
There are several configurations of the VWB panel to accommodate domestic and international power
requirements.
Catalog Number Ampere Rating Voltage Rating Short Circuit Current Rating
VWB175A208V 175 Amps 200, 208Y 25,000 Amps RMS
VWB150A240V 150 Amps 240 25,000 Amps RMS
VWB100A400V 100 Amps 380Y, 400Y, 415Y 25,000 Amps RMS
VWB80A480V 80 Amps 480Y 25,000 Amps RMS
4.2.2.2 Features 4.2.2.4 Benefits

 Single Incoming Power Source with Main Circuit  Provides local Lock Out/Tag Out capability.
Breaker/Disconnect. Coordinated with Modulator and Console, and
control circuits.
 Configurable Auto Restart Feature.  If enabled, re-applies power to the Modulator after
a power outage. If disabled, pressing the START
push-button is required to start the Modulator.
 Pre-Terminated Interface Cables.  Facilitates system installation and
troubleshooting.
 Surge suppression for each relay coil.  Provides protection for the sensitive electronic
equipment.
 Single panel completely assembled and tested.  A pre-engineered panel with a permanent wiring
diagram.
 Custom tailored for Varian Systems.  Standardized design and testing assures high
product quality and reliability.
4.2.2.3 General Features

 Developed specifically for Varian Medical Systems.
 Off white exterior paint finish.
 May be surface or semi-recessed mounted.
 UL and cUL Listed and CE marked.
4-12
200, 208, 240, 380Y, 400Y, 415Y, 480Y
4.2.2.5 Ordering Information
Available from GEXPRO – Milwaukee, WI

Toll free (800) 279-7925, local (414) 527-6600
7:30 a.m. to 5:00 p.m. U.S. Central Standard Time (Monday-Friday).
Email: Healthcareservices@gexpro.com
Contact your Varian Regional Planner for order information in the following markets:
Latin America; Europe, Middle East, and Africa; and Asia/Pacific Rim.
4-13
4-14
TrueBeam/VitalBeam Edition Interconnection Wiring Diagram
4.3 Interconnection Wiring Diagram

Power Connections Safety and Warning Devices
See Section 4.1.1
Provide 120 VAC,

VWB-Series MCB. 60Hz or 240 VAC,
See Section 4.2.1. 50Hz power,
10 Amps maximum.
See Section 4.3.5.
Provide 120 VAC or

277 VAC, 60Hz or
240 VAC, 50Hz power,
20 Amps maximum per
contact for Fluorescent
or 10 Amps maximum per
contact for Incandescent,
(2 contacts).
See Section 4.3.3. Provide 120 VAC, 60Hz or 240 VAC,
50Hz power, 10 Amps maximum.
See Section 4.3.4.
See Section 4.1 See Section 4.3.4.

See Section 4.2
See Section 4.2.1.1
See Section 4.3.4.6.
See Section 4.3.4.6

and Section 4.3.4.7.
Note: All neutral and safety ground connections

are terminated inside the Relay Junction Box.
Figure 4-2 Interconnection Wiring Diagram

Interconnection Wiring Diagram TrueBeam/VitalBeam Edition

4.3.1 General Notes

Use the following description of the TrueBeam/VitalBeam operational states to determine the
estimated utility load based on normal treatment cycles:
 Low Power – A condition usually in effect on weekends and overnight with only DC power
to the control systems and vacion power supplies and AC power only to the DU and MLC.
 On – A condition with no energy selected, all magnet and steering power supplies off, but
with the klystron solenoid power supplies operative. Approximately 42 minutes per hour.
 Ready/Energy Select – A condition with the ready to Beam-On. Approximately 6 minutes
per hour.
 Beam-On – The full-duty condition in which all primary heat sources operate at their
maximum levels. Approximately 12 minutes per hour. The Beam-On State is maintained
continuously for one hour or more during physics and calibration use.
 The estimated number of minutes per hour of each state is based on an average of six patients
treated per hour.
 Heat loads for each of these states can be found in Section 3.8.2.1, TrueBeam Coolant
Requirements.
4.3.2 Laser Positioning Lights and Optional Bypass/Override Switch

The power to the lasers is typically supplied by a grounded power receptacle at each laser location. A
3'-0" (914) power cord is provided with each laser. The receptacles are controlled through the Relay
Junction Box (RJB) as defined by the Interconnection Wiring Diagram (see Figure 4-2). Each laser
can consume up to 25W, which varies per manufacturer.
For Q/A or maintenance purposes, a bypass/override switch can be installed to independently

illuminate the laser positioning lights. These laser positioning lights are normally controlled through
the hand pendant on the couch simultaneously dimming the room lights. This switch will allow the
positioning lights to come on without dimming the room lights. If desired, a Single-Pole,
Triple-Throw (SPTT) or a Single-Pole, Center Off (SPCO) wall switch should be installed, as shown
in Figure 4-2. As an alternative, a Single-Pole, Double-Throw (SPDT) wall switch can be installed;
however, the SPDT switch does not incorporate the center off functionality, which terminates power
before reaching the RJB.
4.3.3 Room Lighting
4.3.3.1 Room Lights, Setup Lights, Laser Positioning Lights, and CCTV
The room lights, setup lights, laser positioning lights, In-Room Monitor, and Closed Circuit
Television System (CCTV) can be controlled by a single room master switch, often outside the room
and including a pilot light. The room lights can be on a separate circuit. Laser positioning lights
control is automatically subordinated to room lights control on TrueBeam/VitalBeam and Acuity. A
warning that lasers are on is implied when the room lights are off (lasers are turned off when room

lights are on). The room lights and laser positioning lights may have wall switches inside the room,
but this is not necessary when they are connected to the Relay Junction Box. Three-way switching is
not recommended.
4.3.3.2 Setup Lights
Setup lights are normally dimmable incandescent fixtures, that allow the intensity to be adjusted by
the therapists, while aligning the patient to the laser lights. The setup lights are usually located above
and to either side of the longitudinal axis. The range of illumination for the setup lights is usually 25
to 40 foot-candles (269 to 431 meter-candles). Their operation is independent of the Pendant and
Couch controls.
4.3.3.3 Main Room Lights
Main room lights are used for general illumination, while the patient is moving into and out of the
room and for machine and room maintenance. Typically, fluorescent fixtures are used. The range of
illumination for this activity is 75 to 100 foot-candles (807 to 1076 meter-candles) at the working
level, approximately 3'-0" (914) above the floor. The fixtures are operated from the
TrueBeam/VitalBeam Couch and the Couch Pendant through a relay. If skylights and atria are used
for general illumination, their contribution to the light level must be coordinated with the
requirements during patient setup.
4.3.4 Safety Device Systems

System warning lights are customer-provided fixtures that are required in the treatment room, and/or
over the door, and/or at eye level adjacent to the door outside the treatment room to indicate
beam-on/beam-off conditions. They may be required to blink when the beam is on. Colored (usually
red) lights must be placed such that one is visible from any point in a TrueBeam/VitalBeam room.
They are usually located adjacent to the emergency-off switches. Verify local requirements with
regional regulatory agencies.
Each of the five Warning Light circuits has a maximum incandescent lamp load of 60 watts. If a
greater load is required, these circuits can be used to control separate, customer-provided relays.
Alternately, LED fixtures can be substituted. Fluorescent fixtures are not approved.
4.3.4.1 Beam-On Warning Lights
The BEAM ON warning light illuminates when treatment radiation (MV) is being produced by the
accelerator and is mandatory. Provide no less than one Beam On warning light located over the door,
on the outside of the treatment room. Verify additional requirements with regional regulatory
agencies.

4.3.4.2 Beam Ready Warning Light
The BEAM READY warning light illuminates when all interlock conditions have been cleared and the
accelerator is in a ready state to generate treatment radiation (MV). A Beam Ready warning light in
the room and/or over the door may be required. Verify local requirements with regional regulatory
agencies.
4.3.4.3 Beam-Off Light

The BEAM OFF warning light illuminates when the accelerator is not in a radiation-generating state.
Most sites do not use this feature. Verify local requirements with regional regulatory agencies.
4.3.4.4 X-RAY ON (Integrated Imaging) Warning Light
The X-RAY ON warning light illuminates when imaging radiation (KV) is being produced by the
Integrated Imaging and is mandatory. Provide no less than one X-RAY ON warning light, located over
the door, on the outside of the treatment room. This light is commonly red-colored and may be
required to blink when the Integrated Imaging X-Ray is on. Verify additional requirements with
regional regulatory agencies.
4.3.4.5 Generator ON (Integrated Imaging) Warning Light

The GENERATOR ON warning light illuminates when the Integrated Imaging is in a ready state to
generate imaging radiation (KV). A Generator On warning light warning light in the room and/or over
the door may be required. This light is commonly white-colored and may be required to blink when
the Integrated Imaging X-Ray is on. Verify local requirements with regional regulatory agencies.
4.3.4.6 Emergency-Off Switches
Provide Emergency-Off (E-Off) switches in treatment room. The TrueBeam/VitalBeam E-Off switch
shall be Allen-Bradley 800T-FX6AV or equivalent, two pole, dry contact type with manual reset.
Each switch shall be wired in series to two separate parallel circuits. The first contact shall be
normally closed (NC) and make up the “safety loop.” The second contact shall be normally open (NO)
and include the “sensor loop.” Each E-Off switch shall incorporate a Varian-provided,
contractor-installed resistor across the Sensor Loop pole (see Figure 4-2). Specific directions for
installing the Sensor Loop Resistors will be provided by the Varian Project Manager in advance of
and in preparation for his Pre-Installation Inspection Site Visit.
In addition to the switches required as part of the room, Emergency-Off devices are built into the
TrueBeam/VitalBeam Stand and Couch, Console, and at the TrueBeam/VitalBeam Modulator.
Therefore, an adequate quantity of switches must be provided in Accelerator rooms so that one need
not pass through the primary beam to disable the TrueBeam/VitalBeam. Do not locate
Emergency-Off switches in primary beam. Locate switches to avoid inadvertent contact, such as by
gurneys or carts. Verify all requirements with regional regulatory agencies.

4.3.4.7 Safety Door Interlock Switches

Safety door interlock switches are required for all installations. Provide door switches for both
24VDC (1 mA typical load) and 120 VAC (500 mA typical load) door interlocks. They are normally
open type switches and are used to ensure the room doors are closed during TrueBeam/VitalBeam
operation. Verify with the door manufacturer the type of switches supplied with the door or provide
compatible type. Neutron door switches should be connected to the Neutron door inputs on the RJB.
Note: Second door interlock switches are shown for paired entry doors. Both interlock
switches must be provided at each entry door.
The TrueBeam/VitalBeam system allows for several additional interlocks to be used at the customer’s
discretion for ancillary purposes such as roof hatches, in-vault storage room doors, radiation
dosimeter interlock, and so on. Contact your Regional Planner for additional details.
4.3.5 Power Receptacles/Switches
4.3.5.1 Setup Lights
Provide a dimmer switch for setup lights. This switch is used to adjust the illumination level of the
set-up lights so that they are dim enough for clear visibility of the lasers, but bright enough for safe
movement through the room.
4.3.5.2 CCTV Camera
Provide a power receptacle at each CCTV Camera.
4.3.5.3 TrueBeam/VitalBeam Control and Imaging Cabinets
Provide one 200VAC-240VAC power receptacle with an IEC60309, Blue, 30A, 250V (UL/CSA) or
32A, 220/240V (European) 50/60HZ, 2 Pole, 3Wire, Grounding receptacle (available from GEXPRO
1-800-279-7925).
This receptacle shall be powered by the GEXPRO VWB-Series MCB, located below the counter, and
24" (610) to either side of the TrueBeam/VitalBeam Control Cabinet. Do not place this receptacle
directly behind either control cabinet. See Section 5.1, Typical Control Equipment Casework for
details.
Contractor furnished IEC60309 receptacle

The Contractor furnished receptacle provides power to the TrueBeam/VitalBeam Control Cabinet
through the Varian supplied W106 Cable with IEC60309 power plug.
Varian furnished cable

(W106) with IEC60309
plug
The electrical loads for the Varian control console equipment are:
 TrueBeam/VitalBeam Control Cabinet – Receives power from GEXPRO MCB-fed wall
receptacle via Varian-furnished W106 cable.
 TrueBeam/VitalBeam Imaging Cabinet – Receives power from TrueBeam/VitalBeam Control
Cabinet.
 Control Console and CCTV Monitors – Receive power from TrueBeam/VitalBeam Control
Cabinet.
 Log Printer – 120VAC - 1A.
Provide one grounded 4-plex electrical power receptacle for the Log Printer. Locate below the
counter.
In addition, optional duplex or 4-plex electrical power receptacles should be provided above and/or
below the counter for operators’ convenience.
4.3.5.4 ARIA Workstation Components (Optional)
Provide a grounded 4 plex electrical power receptacle for any optional workstation.

4.3.6 Varian Relay Junction Box

4.3.6.1 Application
The Varian-provided Relay Junction Box provides an interface

with the TrueBeam/VitalBeam Accelerator via a factory
assembled and tested control panel designed to provide a
convenient, organized, labor saving central connection point for
the Laser positioning system status warning lights, room
lighting, and door interlocks and remote emergency off push
buttons. The panel includes wiring diagrams to enable it to be
used as a radial junction and control point simplifying the
connection of the various systems. Multiple terminals are
dedicated for connecting these devices. The Relay Junction Box
is designed for wall mounting.
Designed for use with the following Varian Medical Systems:
 EDGE  TrueBeam
 TrueBeam STx  VitalBeam
4.3.6.2 Features  Isolated contacts accommodate different lighting

circuit voltages.
 Dedicated terminals and multiple ground terminal
bars are clearly marked with Varian drawing  Easy mounting wall mounted enclosure utilizing
reference numbers. (4) holes for ¼ mounting screws.
 Provided by Varian Medical Systems.  Hinged door provides easy access.
 Polarity protection diode installed for each relay  Finish is gray powder coat inside and out.
coil.
 All components selected for high reliability and
 All DC switches input and relay output signals are long life.
protected with fuses and transient voltage
 Provides a standardized platform for future
suppressors, except room light relay.
applications or upgrading.

Figure 4-3 Varian Relay Junction Box


Chapter 5 Finishes
5.1 Typical Control Equipment Casework

The TrueBeam Main Circuit Breaker Panel
is typically contractor provided but may be
included with the equipment order, contact
your Regional Planner to verify. Locate the
panel in sight and within 10 feet (3048) of
HVAC Return Acoustical Tile Ceiling the TrueBeam/VitalBeam console control
cabinet. The panel may be surface or HVAC Return
semi-recessed mounted. For semi-
recessed installations, 8" (200) of the
enclosure may be recessed in the wall.
For more information, see Section 4.2.1.1.
Acoustical
Tile Ceiling
Upper Cabinets
Data Image Exhaust Vent

Monitor Monitor
TrueBeam/VitalBeam
Keyboard 2-1 Cabinet
Provide at least two convenience Control Equipment

outlets above the counter. Also, Pull Box
provide at least one double duplex Provide a grounded quad power
TrueBeam/VitalBeam 2-1 Cabinet receptacle for the customer's ancillary
and two duplex outlets below the
control counter. control console equipment. Locate
adjacent to the underside of the
Varian Medical Systems requires a counter to provide maximum power
single network cable outlet (RJ-45), cable extension.
and recommends an additional three
(3) outlets, within 3'-0” (914) of the
Control Console. The network cable
must be a minimum of Category 5e
with a minimum bandwidth of 100 Acoustical
Mbps full duplex (100BaseT). See Tile Ceiling
Section 4.1.6 for more information. 200-240 VAC Outlet - Contractor TrueBeam Main Circuit
provided IEC 60309, 30A, 250V Breaker Panel TrueBeam/VitalBeam
receptacle. See Section 4.3.5.3. 2-1 Cabinet
HVAC Return
Monitor
Dedicated
Keyboard
Exhaust Vent
200-240 VAC Outlet - Contractor
Dedicated Keyboard provided IEC 60309, 30A, 250V
receptacle. See Section 4.3.5.3.
Printer CCTV Monitors
TrueBeam/VitalBeam 2-1 Cabinet.

Refer to Figure 5-5 for Floor
Positioning Bracket details.
Figure 5-1 Typical Control Equipment Layout, 2-1 Cabinet Configuration
5-1
Typical Control Equipment Casework TrueBeam/VitalBeam Edition
5-2 Chapter 5 Finishes

TrueBeam/VitalBeam Edition Typical Control Equipment Casework
Concrete Wall
Finished Wall
The positioning bracket

is Varian-furnished,
The positioning bracket
shall be installed prior
to machine delivery.
This is the minimum dimension required

to provide adequate clearance on each
side of the 2-1 Cabinet.
Figure 5-2 TrueBeam/VitalBeam 2-1 Cabinet Floor Positioning Bracket Installation – Plan View
Note: The Positioning Bracket can be used as a seismic attachment. The minimum clearance
dimensions to Positioning Bracket is to the finished wall. Bottom flange of bracket is
pre-drilled for 7/16" [11] ø anchor bolts, contractor-provided.
WARNING: In seismically active areas, floor-mounted equipment must be secured to a

concrete or steel sub-floor structure. It is acceptable to install Varian-furnished
seismic brackets over the finished flooring as long as the material is equal to or
less than 1/4” (6.35). If the flooring material is greater than 1/4” (6.35), the
flooring must be removed to allow the seismic brackets to be secured directly to
the concrete or steel sub-floor structure. Alternative methods of mounting the
seismic brackets may be acceptable, following design or approval by the
Structural Engineer of Record.
Chapter 5 Finishes 5-3


*** This Console Layout is only valid for equipment delivery prior to July/August 2015 ***
The TrueBeam Main Circuit Breaker

Panel is typically contractor provided
but may be included with the
equipment order, contact your
Regional Planner to verify. Locate the
panel in sight and within 10 feet (3048)
of the TrueBeam/VitalBeam console CCTV Monitors
control cabinet. The panel may be
surface or semi-recessed mounted.
For semi-recessed installations, 8"
(200) of the enclosure may be
recessed in the wall. For more
information see Section 4.2.1.1. Printer
Data Image
Provide at least two convenience Monitor Monitor
outlets above the counter. Also, TrueBeam/VitalBeam
provide at least one double duplex Imaging Cabinet
and two duplex outlets below the
control counter.
TrueBeam/VitalBeam Dedicated Keyboard

Control Cabinet
Varian Medical Systems requires a single
network cable outlet (RJ-45), and
recommends an additional three (3) outlets, The positioning bracket is 200-240 VAC Outlet
within 3’-0” (914) of the Control Console. Varian-furnished, w/Varian-furnished
The network cable must be a minimum of Contractor-installed. The Power Cord. See
Category 5e with a minimum bandwidth of positioning bracket Section 4.3.5.3.
100 Mbps,full duplex (100BaseT). See shall be installed prior to
Section 4.1.6 for more information. machine delivery.
Provide grounded 4 plex electrical power

receptacles for the customer’s ancillary
control console equipment. Locate adjacent
to the underside of the counter to provide
maximum power cable extension.
See Section 4.3.5.3.
WARNING: In seismically active areas, floor-mounted equipment must be
secured to a concrete or steel sub-floor structure.
It is acceptable to install Varian-furnished seismic brackets over

the finished flooring as long as the material is equal to or less than
1/4” (6.35). If the flooring material is greater than 1/4” (6.35), the
flooring must be removed to allow the seismic brackets to be
secured directly to the concrete or steel sub-floor structure.
Alternative methods of mounting the seismic brackets may be
acceptable, following design or approval by the Structural
Engineer of Record.
Figure 5-3 Control Equipment Layout, Stacked Configuration

Typical Control Equipment Casework TrueBeam/VitalBeam Edition

ARIA Monitor
Provide network cabling outlets

at all server or workstations
equipment locations. All network Provide convenience electrical
cabling and jacks must be power receptacles as required.
minimum CAT5e. All network
connections must operate at a
minimum of 100 Mbit full
duplex. TCP/IP data drops must
be active at the time of
installation. Network patch
panels, hubs, and routers are ARIA Keyboard
typically located in a server
room or closet. See Section
4.1.6 for more information.
The ARIA/Eclipse Servers

should be located in an air
conditioned server room or
well ventilated central location.
Routine access to the Server
is usually not required, except
by authorized service
personnel. Depending on
purchased options, there could
be 1-4 servers.
ARIA
Computer
Provide minimum 4” (102) high Provide a grounded 4 plex electrical power

platform at computers under the receptacle for ARIA option components. Locate
counter to prevent damage. The adjacent to the underside of the counter to
flooring may be coved up the platform provide maximum power cable extension room.
edge for ease of cleaning. Verify
under counter clearance height.
Where space permits, these
components may be located on the
counter.
Figure 5-4 ARIA Treatment Workstation (Optional)

General Room Storage Requirements TrueBeam/VitalBeam Edition
5.2 General Room Storage Requirements

Note: The type and quantity of storage is at the customer’s discretion.
Provide cabinets with adjustable shelves

for general storage.
Provide cabinets with adjustable

shelves for linen storage.
Provide drawers for general storage.
A sink with running hot and cold water

is highly recommended in
TrueBeam/VitalBeam rooms. A hose
spigot is necessary to fill the water
phantom and a drain is necessary to
service the TrueBeam/VitalBeam's
internal cooling system and drain the
water phantom. Floor drains and floor
sinks should not be located in the room
to avoid possible backup into the
equipment floor recesses. Do not run
water lines directly above the
TrueBeam/VitalBeam components or
control console.
For information on Wedge Tray and
Compensator Tray storage, see note
in Figure 5-6.
shelves for general storage.

shelves for general storage.
For information on Block Tray

Provide FFDA Storage (Dual Energy Storage, see note in Figure 5-7.
TrueBeam/VitalBeam and Acuity only).
FFDAs are accessories mounted into
the electron applicator to shape the
electron treatment field. They are
usually stored in drawers that are
approximately 2" (51) deep by 2'-0"
(610) wide. Due to their heavy weight,
store them as near as possible to the
Collimator and at accessible heights.
Typical TrueBeam/VitalBeam rooms
require storage for 40 FFDAs. Typical
Acuity rooms may require storage for
10 FFDAs. FFDA sizes vary from 4"x4"
(102x102) to 11"x11" (279x279). The
required number of drawers will vary For information on Electron
with drawer size. Several 4" (100) Applicator Storage, see note
deep drawers should also be provided. in Figure 5-8.
Provide drawers for general
storage.
Bulk and shelf storage are required for Varian accessories General TrueBeam/VitalBeam room storage requirements are The storage drawing shows a suggestion only
and various materials used for therapy. The Varian-supplied outlined below. This is only a partial list of storage items required for of possible storage provisions and is intended
Accessories include Electron Applicators (cones), Wedges, a typical TrueBeam/VitalBeam room: as a guide to aid in the design of site specific
and other field-defining devices. Storage space in the treatment > Treatment room furniture - chair, mirror, coat rack, foot stool, casework. Due to differences in treatment
room should be planned to reduce travel required for patient set-up. waste can, I.V. poles, oxygen bottle cart, film holder cart, soiled practices, the exact quantity and types of
Patient block tray storage should be located on the entrance side of linen cart and total body irradiation "stage." accessories varies with each institution. Verify
the Treatment Couch. Linen storage in the treatment room and > Miscellaneous storage items - spare parts, demineralized requirements and storage preferences with the
storage space for many patient positioning pads and devices is water, physics dosimetry equipment, film markers (letters), solder Customer. This is not a construction document.
desirable. wire, restraints, "easy mover" stretchers, immobilization devices, All casework/storage shall be provided by
patient shielding accessories, patient set-up accessories, patient the Customer.
Many spare parts are shipped with the equipment and an optional marking accessories, arm/shoulder extenders, hand grips, breast
spare parts kit can be ordered. These will require secure storage in boards and "alpha cradles (formed foam cradle).”
or near the treatment room.
Figure 5-5 Typical Room Storage Elevation

TrueBeam/VitalBeam Edition Typical Accessory Storage Dimensions
5.3 Typical Accessory Storage Dimensions

Provide Wedge Tray and Compensator Tray storage.
Trays are accessories mounted to the Collimator that
are used to shape the treatment field. They are usually
stored on shelves as shown on the storage dimensions
drawing. Due to their heavy weight, store them as near
as possible to the Collimator and at accessible heights.
Typical TrueBeam/VitalBeam rooms require storage for
8 Wedge and Compensator Trays depending on the
specific treatment objectives. Their maximum weight is
(381) 15 lbs. (7 kg) per tray.
This is a minimum clear dimension.
Plan View
Provide Wedge Tray and Compensator Tray storage.

Trays are accessories mounted to the Collimator that
are used to shape the treatment field. They are usually
stored on shelves as shown on the storage dimensions
drawing. Due to their heavy weight, store them as near
as possible to the Collimator and at accessible heights.
Typical TrueBeam/VitalBeam rooms require storage for
8 Wedge and Compensator Trays depending on the
specific treatment objectives. Their maximum weight is
15 lbs. (7 kg) per tray.
Elevation View
Solid shelving.
Provide continuous wood support rails.
Detail 3
Provision should be considered for labeling Accessory Storage Compartments.
MX035-1
Figure 5-6 Wedge Storage

Typical Accessory Storage Dimensions TrueBeam/VitalBeam Edition
Due to the heavy weight of some block trays, a rear support rail is recommended.
Provide Block Tray storage. Block trays are accessories mounted to the Collimator that are
used to shape the treatment field. They are custom made for each patient. They are usually
stored in slots as shown on the storage dimensions drawing. Due to their heavy weight, store
them as near as possible to the Collimator and at accessible heights. Typical TrueBeam/VitalBeam
rooms require storage for 10 to 20 Block Trays. This may vary with the use of the Multileaf
(381) Collimator. Typical Their maximum weight is 50 lbs. (23 kg) per tray.
Plan View
Provide Block Tray storage. Block trays are accessories

mounted to the Collimator that are used to shape the
treatment field. They are custom-made for each patient.
They are usually stored in slots as shown on the storage
dimensions drawing. Due to their heavy weight, store them
as near as possible to the Collimator and at accessible
heights. Typical TrueBeam/VitalBeam rooms require storage
for 10 to 20 Block Trays. This may vary with the use of the
Multileaf Collimator. Their maximum weight is 50 lbs. (23 kg)
per tray.
Elevation View
Block Tray.
Provide continuous wood stop.
Provide continuous wood support rails
Detail 3
MX036-1
Figure 5-7 Block Storage

TrueBeam/VitalBeam Edition Typical Accessory Storage Dimensions
This is the Electron Applicator (sizes vary).
(381)
Plan View
(279)
The Electron Applicator is typically suspended by its metal support rail for storage.
This is the Electron Applicator (sizes vary).
Elevation View
Provide a continuous wood stop.
Provide a continuous metal support angle.
Provide a wood stop at support rails (required for non-computerized equipment only).
Detail 1
Provide a continuous wood stop.
Provide a continuous metal support angle.
Provide Electron Applicator Storage. Electron Applicators, otherwise known as "cones” are
accessories mounted to the Collimator that are used in combination with FFDAs to shape
the electron treatment field. They are usually stored in compartments with slots as shown
on the storage dimensions drawing. Due to their heavy weight, store them as near as
Detail 2 possible to the Collimator and at accessible heights. Typical TrueBeam/VitalBeam
rooms require storage for 6 Electron Applicators. Their maximum weight is 20 lbs.
(9 kg) per applicator.
MX034-1
Figure 5-8 Applicator Storage

Carpeting, Vinyl, Wood, and other Flooring Requirements TrueBeam/VitalBeam Edition
5.4 Carpeting, Vinyl, Wood, and other Flooring Requirements

As with most computer components, the electronic components for this equipment are sensitive to
localized static electricity. Vinyl composite tile (VCT) or vinyl sheet goods (VSG) adjacent to the
equipment in the room or at the control equipment area should be considered as static dissipative as
outlined in EOS/ESD S7.1 and ANSI/ESD S20.20. Retrofit static dissipative coatings are also
available from various manufacturers.
Carpet, while having advantages, can make gurney movement difficult. In addition, liquids and stains
on carpeting can be difficult to clean/remove, thereby posing an infection control risk. Those facilities
that do choose carpeting often use carpet squares that can be replaced or cleaned and allow access to
floor conduit/duct if used. Similar to vinyl flooring above, the electrostatic propensity of carpeting
must be limited. Carpeting should not exceed a 2.0 kV rating at 20% relative humidity when measured
as outlined by the methods in AATCC-134 or equivalent.
To avoid potential damage to the accelerator and its sub-systems, it is recommended that the final
floor covering be installed before the equipment has been rigged onto the Baseframe. Coordinate
equipment rigging and required floor protection with the Varian Installation Project Manager prior to
machine delivery.
WARNING: In seismically active areas, floor-mounted equipment must be secured to a

concrete or steel sub-floor structure.
It is acceptable to install Varian-furnished seismic brackets over the finished

flooring as long as the material is equal to or less than 1/4” (6.35). If the flooring
material is greater than 1/4” (6.35), the flooring must be removed to allow the
seismic brackets to be secured directly to the concrete or steel sub-floor structure.
Alternative methods of mounting the seismic brackets may be acceptable,
following design or approval by the Structural Engineer of Record.
5.5 Acoustical Requirements

There are no recognized acoustical standards for therapy rooms. The primary sound source on
TrueBeam/VitalBeam systems is the Modulator Cabinet. Varian has encountered no acoustical
problems when the Modulator is located in the treatment room. The patients are in the room for a very
short time and observations indicate that some seem reassured by the changing sound levels as the
machine goes through its cycles. Noise is a concern, however, when the Modulator Cabinet is located
next to therapists or others who are exposed to it often. When located outside the vault, placing the
Modulator in a nearby closet is acceptable and the use of acoustically absorbent materials is
recommended. Consult with the Customer regarding preferred location.

TrueBeam/VitalBeam Edition Ceiling Finishes
5.6 Ceiling Finishes

Varian Medical Systems does not specify a type of ceiling finishing. However, experience has shown
the benefit of a 2' x 4' (600 x 1200) or 2' x 2' (600 x 600) Lay-in Acoustical Tile. Among its benefits
are easy access to above ceiling structures/systems, low repair and modification cost, acoustical
attenuation, and the aesthetic benefits of modern ceiling grids and tiles.
The recommended minimum finish floor to finish ceiling clearance is 9'-0" (2743). For sites with
ceiling clearance issues, a portion of the ceiling not located directly above the TrueBeam/VitalBeam
may be installed below the recommended height. However, to allow for rigging, assembly, and
operational clearances, certain area central to the accelerator must remain 9'-0" (2743) or greater.
See Figure 5-9, Typical Reflected Ceiling Plan for additional information.
To avoid interference with the overhead laser start the ceiling support grid pattern so that Isocenter is
at the center of a tile. If a solid ceiling is used, provide an access panel with adequate space for
servicing the laser. See Figure 5-9, Typical Reflected Ceiling Plan.
When laying out the air conditioning and fire suppression systems, do not route the duct or water pipes
directly over the accelerator. Inadvertent leaks may occur and can seriously damage the accelerator
and mechanical systems within the Baseframe.
Verify ceiling height requirements with local and regional regulatory agencies.
For ceiling conflicts located directly above the TrueBeam/VitalBeam, contact your Regional Planner.

Ceiling Finishes TrueBeam/VitalBeam Edition
The recommended minimum finish floor

to finish ceiling clearance is 9’-0” (2743).
For sites with ceiling clearance issues,
the ceiling may be installed below the
recommended height.
The In-Room Monitor and the To allow for rigging, assembly,

Optical Imaging camera are and operational clearances, the
located as shown. Coordinate finish ceiling in this area must be
all HVAC, electrical, structural, 9’-0” (2743) or greater.
and plumbing systems to
ensure 1’-0” (305) clear radius
around these brackets. For
bracket mounting locations,
see section 3.4.
Setup Lights - Locate on both

sides of the couch. The setup
lights should be controlled by
dimmer switch to allow the
therapist to adjust the light
levels to their preference.
Main Room Lights - The ceiling support grid

Incandescent or fluorescent pattern places isocenter
fixtures. Typically used for at the center of the tile
housekeeping, servicing to avoid interference
of the machine, and with the projection of the
transporting the patient in laser output. See
and out of the treatment section 3.12.
room.
Figure 5-9 Typical Reflected Ceiling Plan

Appendix A TrueBeam/VitalBeam Pre-Installation Checklist
TrueBeam™9LWDO%HDP Pre-Installation Checklist
In accordance with current Varian “Standard Terms and Conditions of Sale” RAD 1652 the following are minimum facility requirements to be
accomplished before the machine can be released for shipment. Requests for any exceptions should be referred to your Varian Installation Project
Manager. The Customer is responsible for meeting these minimum requirements prior to the scheduled day of this inspection. If delays in facility
completion postpone Varian’s installation, the Customer shall reimburse Varian, at Varian’s standard service rates, for any extra time and /or travel
by Varian made necessary by the delay. I have explained these requirements to the Customer on this date along with the specific requirements
listed below.
Varian Representative Date Customer Representative Date
Site Name Address same as Sales Order “Ship To”. Serial Number
Address 1:
Address 2:
City, State, Postal Code:
NOTE: The Customer is responsible to confirm, provide, and/or demonstrate to the Varian Installation
Project Manager the following items meet or exceed minimum requirements set forth in Varian’s Designer
Desk Reference (DDR). The Varian work area is defined as the treatment room, control room, and ancillary
areas wherein Varian equipment will be installed.
Y N NA GENERAL REQUIREMENTS: Y N NA TREATMENT ROOM (VAULT):

1. A&E Drawings reviewed by Varian Planning 19. Treatment room door and related hardware on-hand. Door
Department and a copy of the drawing review on file. should be hung only if it does not interfere with machine
2. Customer has applied for or obtained all approvals or rigging.
licenses, as required. 20. Clear 4’-0” x 7’-0” (1225mm x 2125mm) opening at vault
3. Building is dry and secure. entry.
4. Customer affirms they have met Varian’s HVAC 21. Varian base-frame correct levelness and height
requirements for the equipment to be installed. confirmed.
5. Debris removal arranged for approximately 30 cu. yds. 22. Correct number and size of conduits. All conduits must be
on day of delivery. clean and dry.
6. The area is isolated from the general construction area 23. Primary power wiring and ground conductors meet Varian
if construction continues elsewhere in the building. This minimum requirements.
area should be sealed to ensure that construction dust x 480V/80A, 3-phase + Ground (parity with power
particles from those adjoining areas do not enter the conductors, but no smaller than #6 GA)
Varian work area through any means.
x 208V/175A, 3-phase + Ground (parity with power
7. Varian personnel have access to the building for all
conductors, but no smaller than #6 GA)
purposes related to equipment installation.
Note: Neutral not required for either power input.
8. No trades allowed during equipment installation.
24. Base-frame pull-box installed or formed in concrete.
9. Walls, lighting, and ceilings are complete and/or
operational. Primer coat is required at a minimum on 25. Relay junction box installed and a conduit/route
all walls. connected to:
10. Casework is complete, if not located in the rig path. Base-frame pull-box (new construction) OR
11. Flooring has been completed or prepared as previously Modulator pull-box (renovations).
agreed. Note: Mark “Y” if existing floor is to be used. 26. Main room lights connected to the relay junction box.
12. Restroom facilities and sink with running water 27. Two independent door interlock switches installed, tested,
available for installation personnel throughout the and connected to the relay junction box.
duration of the installation. 28. Facility emergency-off switches installed, tested, and
13. Customer confirms arrangements have been made for connected to the relay junction box. Sensing resistors
initial and ongoing debris removal by others. installed per A&E Drawings.
14. For safety purposes, demonstrate a working telephone 29. Warning lights installed, tested, and connected to the
in the control room area, number: relay junction box.
15. Network live and in-place. 30. Laser light wiring, receptacles, and mounting plates
16. High speed internet access installed/operational and login installed. Verify location, heights, and recess size.
information provided for installation personnel. 31. Dual In-room Monitors and directional microphone -
Please provide login credentials or IT contact mount(s) installed, power ready, and data cable
name/number: conduit/box installed.
17. A clear rig path exists – measure all clearances from Ceiling mount OR
the unloading/staging area to the vault. Remove all Wall mounts - T-rail mount for microphone required.
construction materials and other obstacles from the rig 32. Optical Camera location - ceiling mount and data cable
path on the day of delivery and sweep the rig path conduit/box installed.
clean.
33. Closed Circuit TV camera locations, power ready, and
18. Permanent power live and in-place. data cable conduit/box installed.
34. Live View Camera and directional microphone - data
cable conduit/box installed.
July 03, 2013 1 of 2 TBCLISO.1.7
A-1
TrueBeam9LWDO%HDP™ Pre-Installation Checklist
Y N NA 45. Casework is complete and ready. Cable routing access

35. Data conduit/box installed at PAVS wireless keyboard provided with 3” (72.6mm) grommets.
and mouse location. Power outlet installed near data 46. Ventilation sufficient for removal of heat from console
outlet. equipment.
36. Data conduit/box installed at each audio speaker 47. Control cabinets: stacked split side-by-side
location. 48. Arrangements have been made to have the cabinet
37. Accessory pull-box installed and connected to in-room positioning bracket(s) installed at time of rig.
device locations.
38. Cooling water supply system is complete and available
in service pit, valved below floor level, pressure tested, OTHER:
flushed clean, and terminated with threaded body, 1” 49. Power Conditioning Unit installed and ready for service, if
NPT, female, shut-off valves. applicable.
39. Electrician will be available to pull Varian interconnect 50. Chiller Unit installed and ready for service, if applicable.
cables, and/or assist under direction, before or at rig-in. 51. Varian installation cables on site. If not on-site, provide
Qualified personnel available to connect utilities to due date: Note: Not applicable for most sites
Varian equipment as required. Name(s) and contact outside of North America.
information: 52. MICAP survey has been completed and submitted.
40. Acceptable clearances to install and operate 53. Customer confirms they will supply 2 boxes of localization
equipment. X-Ray film and wet processor or radio chromic dry film for
CONTROL ROOM: the Varian installation.
41. Main disconnect breaker is complete, wired, and ready 54. Secure, environmentally controlled, storage area (located
for service. Note: GE VWB panel is recommended. near Varian work area) available for approximately 400
sq. ft. of material. Varian installation personnel will require
42. Console breaker is complete, wired, and ready for
continuous access.
service. N/A if using the GE VWB panel.
Please indicate location/room number:
43. Console power receptacle (IEC 60309) is complete,
wired, and ready for service. Location is not more than 55. Qualified physicist available for preliminary radiation
24 inches from Control Cabinet and not directly behind survey. Coordinate timing with installation personnel and
the cabinet. record physicist’s name and number:
44. Verify grounded electrical power receptacles available 56. Qualified physicist and dosimeter calibration equipment
for control equipment components, per DDR available for acceptance testing. Coordinate timing with
requirements. installation personnel and record physicist’s name and
number:
57. Are any Vendor Credentialing or special requirements
needed for Varian’s representative to access the building?
Y N NA
In the box below, precede all notes with the respective item number from the list above.
Please use the box below for general comments.
STOP DELIVERY
RIG AND HOLD
RIG AND CONTINUE – high risk for completion date.
RIG AND CONTINUE – at risk for completion date.
SITE READY
Varian Representative Customer Representative Date
July 03, 2013 2 of 2 TBCLISO.1.7
A-2 Appendix A TrueBeam/VitalBeam Pre-Installation Checklist

Appendix B Calypso Pre-Installation Checklist
Calypso Pre-Installation Checklist
In accordance with current Varian “Standard Terms and Conditions of Sale” RAD 1652 the following are the minimum facility requirements to be
accomplished before the upgrade device can be released for shipment. Requests for any exceptions should be referred to your Varian Regional
Installation Project Manager. The Customer is responsible for having the building, utilities, lighting, ventilation, air conditioning, mounting facilities,
all necessary radiation shielding, and access to the room completed by the day of final inspection. (If delays in completion delay installation, the
Customer shall reimburse Varian, at Varian’s standard service rates, for any extra time and /or travel by Varian made necessary by the delay). I
have explained these requirements to the Customer on this date along with the specific requirements listed below.
Varian Representative Date Customer Representative Date

<enter>
Site Equipment Type Serial Number
Y N ARCHITECTURAL REQUIREMENTS:
1. Installation drawings reviewed by Varian. Customer Contact information:
2. All required permits completed. IT Weekend Support
Name: Number:
Y N GENERAL REQUIREMENTS FOR ALL SYSTEMS: Physics Support
Vault Name: Number:
3. Varian supplied ceiling mounts installed per DDR. Ensure Electrician
space available for a 3” camera mount protrusion below Name: Number:
drop ceiling. Bolts are torqued to 40 ft/lbs for 6 inch and
Other (specify)
25 ft/lbs for 5 inch ceiling mounts.
Name: Number:
4. Send PM vault elevations for each camera position as
soon as possible. Note: 12 week lead time on custom Control Room
camera mount fabrication.
16. Single 120VAC 15A un-switched power receptacle no
a. Height of drop ceiling from finished floor: more than 3’ away from Tracking Station.
Cam 1 cm Cam 2 cm Cam 3 cm 17. Customer approved console layout or drawing,
incorporating the new upgrade components insuring
b. Height of concrete overhead from finished floor adequate space and depth for cable service loop,
Cam 1 cm Cam 2 cm Cam 3 cm provided to Varian.
18. 3” cable access hole from Control Pull box to Tracking
c. Distance from Isocenter. Station for fiber optic cable. No more than 3’ away.
Cam 1 cm Cam 2 cm Cam 3 cm 19. Hospital LAN Connection.
Note: Not required for TrueBeam 2.0+
5. Camera Hub/Power Supply unit location outside beam but
within a 50’ cable run from each camera. (18”l x 12”w x 20. IT Data Template completed by customer and sent to
12”h). installer.
6. Single 120VAC 15A un-switched power receptacle no
more than 3’ away from Camera Hub/PS unit. Y N N/A CLINAC REQUIREMENTS
7. Electrical pull box 6”w x 3”h x 3.5”d (min.) in wall near 21. Dynamic Edge Gating on order? If so pre-requisites
Camera Hub/PS unit. No more than 3’ away. include:
8. Cover plate with 3” cable access hole and grommet for C-Series – 4D 10.0+, MMI, Type II MLC 120, Console
item #7 Software 7.6 +
9. (2) - 120VAC 15A un-switched power outlets for Calypso TrueBeam – 1.6 and below not available.
Console - (1) on sagittal line, (1) on the side wall opposite TrueBeam – 2.0+, MMI.
the longitudinal axis line from Cam #2, all within 13’ of Note: TrueBeams undergoing upgrade to 2.0+ , STB-IC-
couch midpoint. 543 and MMI STB-IC-544 must be completed before
10. (2) - Data drops no more than 6” away from Calypso Calypso can be scheduled.
Console power outlets (item #9). Varian will provide Siemens – Gating option
plenum rated CAT5 cable.
22. Automated Couch Repositioning on order? If so pre-
11. (2) – 3/4” Conduits. (1) Conduit from each data drop to the requisites include:
Accessory pull box. Pull string in place.
C-Series – Console Software 7.6 +, Juniper Router, 4D,
12. (3) – 1 1/4” Conduits. (1) Conduit from each Camera MMI, Remote Couch Motion if NO OBI
mount to the Accessory pull box. Pull string in place.
Note: May require linac serial number so that new console
13. (1) – 1 1/2” Conduit installed from the Control Pull box to configuration files can be created to have Dose Export
the Accessory pull box. Customer to provide conduit enabled for MMI if not already enabled.
length (38 meters max). Pull string in place.
TrueBeam – 1.6 and below not available.
14. (3) – 2” Conduits installed from the Accessory pull box to
the Camera Hub/PS electrical box. Pull string in place. TrueBeam – 2.0+ none
15. Identify Console storage location. Location MUST be Note: TrueBeams undergoing upgrade to 2.0+ , STB-IC-
outside the beam path. ConsoleSystem does NOT need 543 must be completed and if MMI is being installed STB-
to be plugged in while in storage. IC-544 must be completed before Calypso can be
scheduled.
Varian Medical Systems 1 of 2 Calypso 1.3
B-1
Calypso Pre-Installation Checklist
23. Data Import on order? If so pre-requisites include: 31. Provisions made for removal of shipping crates, boxes
Varian – Eclipse and packing material. Note: Arrangements can be
made to remove crates and packing material if delivery
Philips – Pinnacle 9.0+, may require customer to acquire
and installation coincide. If delivery and installation do
additional licensing form Philips.
not coincide, then arrangements will have to be made for
24. Radiation Detector on order? the customer to remove/dispose of crates and packing
25. Establish Network folder on Hospital network for material.
Patient Reports. 32. Ensure a qualified physicist is available for Acceptance
26. Confirm pedestal base for tabletop replacement per Testing.
linac manufacturer. (Reference compatibility list in DDR).
27. kVue Qfiix Kevlar couchtop on order? If so
prerequisites include:
TrueBeam – LaserGuard installed Y N VARIAN OTHER:
28. Confirm Tabletop replacement with customer. Ensure 33. Is project created for labor and expense?
all current accessories and test phantoms are compatible. 34. License files posted to PSE website and features match
If this is a relocation and a Qfix is on order ensure the Sales Order?
Universal Tips panel is on the order. 35. Provide Calypso SN, Sales Order, FRM0080 and MDA0078
to installers
36. Ship request completed and date of delivery provided to
installers?
Y N CUSTOMER OTHER:
37.Has Belair tools been scheduled for delivery?
29. Inform Applications of Installation Dates.
30. Provide 100 sq. ft. of temporary storage for Calypso
materials and tooling in close proximity to Treatment Provide completed copy of checklist to installer.
Room for tooling.
In the area below, please precede all notes or comments with the respective item number from the previous page.
Please use the area below for general notes/comments that DO NOT relate to any of the checklist items.
Varian Representative Customer Representative Date
Varian Medical Systems 2 of 2 Calypso 1.3
B-2 Appendix B Calypso Pre-Installation Checklist

Appendix C Shipping Lists
C.1 Varian TrueBeam Shipping List (Typical)

Note: Table removed pending final system validation.
C-1
Varian TrueBeam Shipping List (Typical) TrueBeam/VitalBeam Edition
C-2 Appendix C Shipping Lists

Appendix D H.E. Accelerator vs. TrueBeam Site
Requirement Comparison Summary
TrueBeam DDR
HE Clinac IDP
Specification
Specification
IDP Page # Vol. 10, No. 2 DDR Page # Change in Requirement
Architectural
Typical Room 1.21 Typical Room 2-1

Shielding Tables Shielding Tables
Shielding Shielding information No change required.
information including SRS
including SRS procedure
procedure update
In-Room Isometric 1.22 New TrueBeam 2-5 Additional information
In-Room devices summarized below and
detailed in DDR.
Typical Room 1.23 TrueBeam Plan View 2-7 No change required.
Configuration
TrueBeam Section 2-9 No change required.
View
Overlay – Shipping 1.24 Shipping/Rigging 2-20 to 2-22 No change required.
Configuration Dimensions
Clearances
Overlay – Plan View 1.25 Detail Plan View 2-15 No change required.
Overlay – Elevations 1.26 Detail Elevation 2-17, 2-19 No change required.
Typical Control 1.27 Typical Control 5-1 to 5-7
Equipment Casework Equipment Casework
Three electronic Two electronic Counter height is
cabinets, multiple cabinets, two lowered to 2'6" (762).
monitors, requires monitors, requires Cabinets secure to
16 (~4.9m) ~12 linear feet floor-mounted plates.
linear feet (~3.7m) – less with Existing iX or
stacked cabinet TrueBeam sites will
option. accommodate
TrueBeam.
Shows two circuit Shows one main TrueBeam requires
breaker panels circuit breaker panel new MCB and conduits
(main CB and and 200V-240V from MCB to Control
optional OBI TrueBeam Control console.a See electrical
panel). Cabinet outlet. section below.
D-1
TrueBeam DDR
HE Clinac IDP
Specification
Specification
Laser Positioning 1.29 Patient Positioning 3-66 to 3-71
Lights Lasers
Unspecified- LAP laser recess: 10 Existing iX or
brand Laser 1/2" x 26" (267x660) TrueBeam sites will
Recess: 16" x 25" accommodate
(406 x 635) TrueBeam.
LAP laser mounting GC must mount plate
plate provided by directly to concrete
Varian wall or existing steel
plate.
Typical Closed 1.32 Minor System 3-26 to 3-30
Circuit Television Components
(CCTV) System
Details two Two CCTV cameras, Locations for primary
CCTV system Varian-furnished and set are specified.
location specific. Locations for optional
Additional camera sets are suggested.
sets are optional. Requires new conduit
runs from Console Pull
Box via Accessory Pull
Box located above
vault ceiling.a
Live view CCTV, 3-27 Location is specified.
Varian-furnished Requires new conduit
Box located above
vault ceiling.a
Intercom System Two, Locations are
with integrated Varian-furnished specified/suggested.
microphone and microphones Requires new conduit
speaker runs from Console Pull
Box located above
vault ceiling.a
Two speakers 3-30 Locations are
supplied specified/suggested.
Requires new conduit
Box located above
vault ceiling.a
D-2 Appendix D H.E. Accelerator vs. TrueBeam Site Requirement Comparison Summary
TrueBeam DDR
HE Clinac IDP
Specification
Specification
In-Room Monitor 1.33 TrueBeam Dual 3-21 to 3-24
(IRM) In-Room Monitors
(IRM)
Single IRM, Dual IRM display Location is specified.
usually wall with ceiling-mount Requires new conduit
mounted bracket runs from Console Pull
Box located above
vault ceiling.a
Optical Guidance TrueBeam Optical 3-18 to 3-20 Location is specified.
Platform Imaging Subsystem Requires 3"conduit
(optional, not with ceiling-mount runs from Console Pull
shown) bracket (Standard Box via Accessory Pull
feature on all Box located above
TrueBeams) vault ceiling.
Structural
Baseframe Pit and 1.35 Baseframe Pit and 3-57 to 3-60 No change required.
Installation Installation
Electrical
Modulator Cabinet 1.34 Major System 3-9 to 3-10

Components –
Modulator
Three 4" (100) Three 4" (100) No change required.
conduits from conduits from Stand
Stand
Two 4" (100) Not required Abandon in place. May
conduits from be used as spares for
Console Value Engineering.a
One 2" (50) Two 2" (50) conduits Add one 2" (50)
conduit from from MCB (power conduit from MCB to
MCB (power) and signal) Modulator.a
Two 2" (50) Two 2" (50) conduits Provide two 2" (50)
conduits from from Relay Junction conduits from RJB to
RJB Box (RJB) to Stand Stand. In a retrofit
scenario, route cables
to Stand via Modulator
conduits.
Appendix D H.E. Accelerator vs. TrueBeam Site Requirement Comparison Summary D-3
TrueBeam DDR
HE Clinac IDP
Specification
Specification
Baseframe Cable 1.36 Baseframe Cable 3-61 to 3-62 No change required.
Access Details (main Access Details
conduits)
Cable Access 1.37 Cable Access 3-2 to 3-7
Diagram Diagram
Console to Stand Console to Stand – Add one 4" (100)
– three 4" (100) four 4" (100) conduits conduit from Console
conduits to Stand.a
Console to Not required Abandon in place. May
Modulator – two be used as spares for
4" (100) conduits Value Engineering.a
Modulator to Modulator to Stand – No change required.
Stand – three 4" three 4" (100)
(100) conduits conduits
RJB to Modulator RJB to Stand – two Provide two 2" (50)
– two 2" (50) 2" (50) conduits conduits from RJB to
conduits Stand. In a retrofit
conduits.
Clinac Main TrueBeam MCB – Add one 2" (50)
Circuit Breaker – Two 2" (50) conduits conduit from MCB to
one 2" (50) to to Modulator (power Modulator.a
Modulator and signal)
Add one 2" (50)
TrueBeam MCB – conduit from MCB to
One 2" to Console Console Pull Box.a
Pull Box
Install one outlet at
TrueBeam MCB – Console, spec. per
One power outlet at code, with
Console, spec. per IEC 60309-32A
code, with receptacle. Location is
Varian-furnished specified in
receptacle Section 4.3.5.3.
OBI Breaker – Not required. Abandon in place. May
one 2" (50) to be used as spares for
Stand Value Engineering.a
TrueBeam DDR
HE Clinac IDP
Specification
Specification
Additional Additional Console to Install one 3" (75), and
Console to In-Room devices two 2" (50) conduits
In-Room devices (Minor System from Console Pull Box
(Minor System Components) to Accessory Pull Box
Components) in vault.a
Interconnection 1.39 Electrical Chapter 4
Wiring Diagram Requirements
Clinac Main TrueBeam Main Increased power from
Power Power Specification 45kVA to 48kVA.
Specification and and Main Circuit Now compatible with
Main Circuit Breaker multiple incoming
Breaker (VWR-series) – voltages.
(CBB-series) multiple voltage
compatibility Requires new
GEXPRO VWR-series
MCB.a
OBI (optional) Not required Abandon in place. May
Main Power be used in Value
Specification and Engineering.a
GEXPRO
OBI-series
Circuit Breaker
Control Console: Control Console: Install one outlet at
multiple outlets single outlet for Console, spec. per
for components components code, with IEC
60309-32A receptacle.
Location is specified in
Section 4.3.5.3.
Relay Junction Relay Junction Box Install
Box (RJB) (RJB) connects to Varian-furnished RJB.
connects to Stand Provide two 2" (50)
Modulator (Varian-furnished) conduits from RJB to
(GC-furnished) Stand. In a retrofit
conduits.
Appendix D H.E. Accelerator vs. TrueBeam Site Requirement Comparison Summary D-5
TrueBeam DDR
HE Clinac IDP
Specification
Specification
Mechanical
HVAC and Plumbing 1.40 HVAC and Plumbing 3-48 to 3-53

Requirements Requirements
Clinac air load – Clinac air load – 2.0 kW (6,826 Btu/hr)
5.0 kW 7.0 kW (23,891 increased capacity
(17,065 Btu/hr) Btu/hr) max required.
max
Modulator max Modulator max air 2.0 kW (6,826 Btu/hr)
air load – 3.0 kW load – 5.0 kW increased capacity
(10,239 Btu/hr) (17,065 Btu/hr) max required.
max
Clinac chilled Clinac chilled water No change required.
water heat load – heat load – 25 kW
25 kW (85,379 Btu/hr) max
(85,379 Btu/hr)
max
Clinac chilled Clinac chilled water System must
water pressure pressure differential – accommodate
differential – 24 PSI (1.7 kg/cm2) additional 4 PSI
20 PSI (0.3 kg/cm2) pressure
(1.4 kg/cm2) differential.
a. Opportunities for Value Engineering and re-use of existing infrastructure possible. Please consult with
your Regional Planner for details.
Glossary
Term Definition
Acuity™ Varian tradename for its simulator. The simulator is used to assist with
treatment planning for determining the method and position to use during
actual treatment.
Arc Therapy A form of radiation therapy in which the radiation beam is continuously
directed toward the isocenter as the Linear Accelerator Gantry is rotated in
an arc.
ARIA® An advanced information platform designed to unify the clinical and

administrative aspects of radiation oncology. This Varian product consists
primarily of software that will run on Customer or Varian-supplied
computer hardware. The effect of ARIA system on the architectural
requirements is limited to an increase in the control console size
requirement. The Clinac and Acuity Workstations can be linked by the
Network Fileserver to form a local area Network. Editing Workstations are
optional stations located away from the Clinacs and/or Acuity consoles.
See also Network.
Attenuation The reduction of intensity upon passage of radiation through a medium

caused by absorption and scattering.
Backpointer Laser A Linear Accelerator accessory, usually mounted to the Gantry, used to
identify the central axis of the radiation beam.
Baseframe/Plate Varian-supplied assembly that anchors the Stand/Gantry and the Couch to
the building structure.
Blocks and Block Trays Accessories used to shape the treatment field. Blocks are custom made for
each patient and are supported by the Block Tray at the Clinac Collimator.
10 to 20 Block Trays may be in use daily.
Breakdown The manner in which a Clinac is disassembled for shipment. The two-piece
breakdown, or standard configuration, leaves the Stand and Gantry
connected. A three-piece breakdown, or factory breakdown, separates the
Stand and Gantry and is used to shorten the space required for passage into
the treatment room. The factory breakdown might involve extra cost.
CCTV A closed-circuit television is used for observing patients from the control
console. The system is typically color but can be black-and-white and
consists of two or more cameras and two or more monitors. Verify quantity
of cameras required with regional regulatory agencies. The primary camera
will normally include an auto-focus and low-light level lens with power
zoom. It will be mounted on a bracket incorporating pan-tilt features. The
control console must include remote controls for the zoom and pan-tilt.
Glossary-1
Term Definition
Circuit Breaker An automatically-operated electrical switch designed to protect an

electrical circuit from damage caused by overload or short circuit. Unlike a
fuse, which operates once then has to be replaced, a circuit breaker can be
reset, either manually or automatically, to resume normal operation.
Clinac® Varian trade name for a range of Linear Accelerator models used in cancer
treatment and stereotactic radiosurgery. Low Energy (600C, 4EX, 6EX,
and 600SR) models have different facility requirements from Dual Energy
(2100C/D, 2300C/D, 21EX, 23EX, iX, and Trilogy) models. Rebuilt
Clinacs (4R, 6XR, and 18R) have similar characteristics to the
in-production models.
Collimator A movable, radiation-limiting device, located in the head of the Gantry,

used to define the radiation field.
Computerized Technique for making computer-generated images of a predetermined

Tomography (CT) plane section of a patient’s body by rotating an x-ray tube around a patient.
Cone See Electron Applicator.
Console Cabinet An electronics enclosure provided by Varian that houses computing

workstations and other electronics that operate the Clinac or TrueBeam
machine.
Control Equipment Casework designed to accommodate Varian control equipment and

Casework workstations. The Control Equipment Casework is located outside the
Clinac, TrueBeam, VariSource, or GammaMed room and usually located
behind a wall within the Acuity room. The control equipment is used for
setting mechanical and treatment parameters.
Couch The assembly used to support the patient during treatment or simulation. It
can move vertically, longitudinally, and transversely to position the patient
treatment field at isocenter. The minimum travel radius must be free of
obstructions. Its maximum travel radius defines the maximum distance
from isocenter throughout its travel range that the couch can operate. As the
couch is seldom used in all orientations, the maximum travel radius can
have obstructions without detriment, but it is recommended that the
Customer and Varian’s Planning Department be consulted.
Door Interlock A switch that enables a fail-safe safety circuit linked to the Clinac,
VariSource, GammaMed, or Acuity when the door to the room is closed.
The door must be closed before radiation treatment or simulator can
proceed. If the door is opened during treatment or simulation, the beam is
turned off.
Dynamic Wedge An accessory used to generate a wedge-shaped isodose contour, analogous

to physical wedges, by moving one of the Collimators during the course of
an x-ray treatment.
Glossary-2
Term Definition
Dynamic Compensation A superset of the Dynamic Wedge where one or more mechanical axes
move during the course of an x-ray treatment to conform the dose
distribution to the treatment volume.
Eclipse™ A comprehensive treatment planning system that simplifies modern

radiation therapy planning for all kinds of treatment, allowing clinicians to
quickly customize treatment plans for any disease site with precision and
accuracy.
Electron Applicator An accessory, often called a cone that is mounted to the accelerator or
Acuity Collimator that defines the treatment field for electron therapy.
These are required for accelerators with energies above 10MV and are
optional with the Acuity. There are five, and one additional optional, units
per set. They measure approximately 1'-0" x 1'-0" x 1'-4" (305x305x406)
and weigh up to 20 lbs. (9kg) each. Their storage requires special design
attention when it is incorporated into the treatment and Simulator room
cabinetry.
Electron Radiation A Primary Beam of radiation generated by the Clinac for treatment. Low
energy accelerators have no electron mode, while Dual Energy accelerators
have several selectable electron energies. Electron Radiation is less
penetrating than Photon Radiation, and is used less often than Photon
Radiation.
Electronic Cart Assembly The VariSource Transportable 200t system comprises the VariSource
Remote Afterloader (VRA) and Electronic Cart Assembly (ECA). The
ECA houses the VariSource, GammaMed Control Console and Treatment
Planning System plus peripherals and storage for accessories. The ECA and
VRA form a single articulated vehicle facilitating transport and installation
once at the designated site. This ECA is connected via Varian supplied
cables to the Wall Box and the grounded duplex electrical power receptacle
located in the control console area.
Emergency-Off Switch A “mushroom” button used to disable the Clinac, TrueBeam, VariSource,
(also known as Emergency GammaMed or Acuity. The switch must have a manual reset feature.
Power Off Switch or [EPO] Emergency-Off switches are provided at equipment Stand, Couch, and
or as Emergency Stop Modulator Cabinet. Additional switches must be provided to disable the
Switch) TrueBeam without entering the Primary Beam and in accordance with local
regulations.
Emergency Stop Switch A “mushroom” button used to disable the TrueBeam. The switch must have
a manual reset feature. Emergency-Stop switches are provided at the
equipment Stand, Couch, and Modulator Cabinet. Additional switches
must be provided to disable the TrueBeam without entering the Primary
Beam and in accordance with local regulations.
Glossary-3
Term Definition
ExacTrac (ETX) A high resolution stereo x-ray imaging system that targets tumors and
corrects patient positioning with sub-millimeter precision. The room-based
design enables continuous tracking of patient and tumor movement,
including IGRT verification, throughout the treatment. This system is
combined with the Varian Clinac Linear Accelerator to form the Novalis
TX.
Experimental Access The installation of an experimental access (physics) conduit between the
Conduit (also known as interior of a Clinac or VariSource, GammaMed treatment room and an
Physics Port) accessible point outside the treatment room, may be requested by the
Customer. It is used periodically with a Water Phantom/Beam Scanner
System in Clinac treatment rooms. The conduit should be oriented as
perpendicular to the isocenter as possible.
Final Field Defining An accessory that is fabricated to shape a patient’s electron beam treatment
Aperture (FFDA) field. It installs into the Electron Applicator during patient set-up.
Fluoroscopy Real-time imaging by means of a fluoroscope, which is a device used for

viewing patients during simulations. Fluoroscopic capability is a standard
feature of the Acuity.
Freight Refers typically to the shipment of Varian equipment, beginning with the
pick-up at the factory and ending freight-on-board (FOB) at the facility.
See also Rigging.
GammaMedplus™ See VariSource™.
Gantry Rotating part of the Stand/Gantry assembly. The Clinac or TrueBeam

Gantry contains the accelerator guide, bending magnet (Dual Energy
Accelerators) and Collimator.
In-Room Monitor Display that describes the status of the equipment setup and patient
parameters. The staff uses this monitor in the treatment room as they set up
the patient. It is important to locate the monitor such that viewing the
monitor during the Setup process shall not distract the therapist from the
patient. Consult with the Customer regarding monitor location preference.
The In-Room monitor should not be located in any x-ray primary beam.
Installation Product The IPA procedure provides testing procedures and data recording tables to
Acceptance (IPA) enable Varian to demonstrate that Varian Products have been successfully
installed and meet required manufacturer specifications.
Glossary-4
Term Definition
Intercom Two-way electronic communication device used to monitor the patient

audibly in the treatment room from the control console during treatment.
The intercom is important for dialog between the therapist setting the
patient up and the radiation equipment operator, and to monitor the patient
when the therapist is out of the treatment room. The intercom should have
duplexing and be voice-activated or continuous-on in the room and
push-to-talk at the control console. When the Acuity and its console are in
two adjacent areas with no door between, an intercom may not be needed.
Isocenter The point in three-dimensional space about which the Gantry, Collimator
and Couch turntable rotate in common. This point is the central reference
for all calibrations and critical shielding dimensions. It is the reference for
positioning the Baseframe pit, Lasers, Couch, Clinac/TrueBeam/Acuity
and the patient during treatment procedures.
Junction Box A conduit body that is used to access and terminate conductors or house an
electrical device. For purposes of Clinac and Acuity requirements, the
Varian-supplied cables are pulled and housed in conduits terminated at Pull
Boxes, while the lighting control relays are housed in a junction box.
Laser Positioning Lights Laser devices used to position the patient on the couch for treatment or
simulation. Four lasers are used in the treatment room. Their light beams
intersect at the isocenter. The side and overhead lasers throw both vertical
and horizontal beam planes that create a crosshair. The sagittal laser is
located ahead of the Couch and at least seven feet above the floor and
throws only a vertical beam plane. Rigid installation of the lasers is critical.
A back pointer laser, which is mounted on the Gantry counterweight or
beamstopper, may be ordered with the equipment. The back pointer laser,
along with the wall-mounted lasers, creates an intersection of light defining
the radiation exit axis.
Last Man Out See Search/Evict.
Longitudinal Axis also An imaginary vertical plane that coincides with the rotational axis of the
known as Sagittal Plane Gantry and bisects the patient couch.
Maze A treatment room entrance hallway designed to reduce radiation levels,

particularly neutrons, at the entrance door. The length of and occupancy
beyond the maze affects the amount of shielding required in and around the
door.
Modulator Cabinet Power control unit for all Dual Energy Accelerators. The Modulator is
located in the cabinet behind the machine. Cable length should be
considered relative to the console.
Glossary-5
Term Definition
Multileaf Collimator Collimator system designed to define the silhouette of a beam of radiation.
(MLC) This optional system, available on all Varian Accelerators, reduces the
need for blocks and block trays. The effect of the MLC system on the
architectural requirements is limited to an increase in the control console
requirements.
MV Imager Real-time MegaVoltage imaging system for monitoring and verifying

treatment field in relation to anatomical landmarks.
Network A system of interconnected computers. A computer network usually links

two or more personal computers (Workstations) to a centralized storage
device (File Server). Networks provide users at different locations with the
capability to share software, information and peripheral devices, such as
printers. See ARIA®.
Neutron Radiation A particle form of Secondary Radiation produced by high (>= 10 MV)
energy photons incident on high atomic number materials such as steel and
lead.
Occupancy The purpose or activity for which a space is used with regard to an
occupant's length of stay while radioactivity is present. The values used for
determining requirements in Varian documents are: 0% for no occupancy
within a 60 foot (18,300) radius from the radiation source; 10% for exterior
areas; 25% for service or circulation areas; 50% for treatment, exam and
waiting areas; 100% for control, office or areas of unknown occupancies.
Pendant Hand-held remote control unit attached to the Couch that is used to position
and adjust the Couch, Gantry and Collimator for patient treatment. The
Pendant also houses controls for room lights and Laser Positioning Lights.
Photon Radiation A Primary Beam of low (< 10 MV) or high (>= 10 MV) energy penetrating
x-ray radiation generated by the accelerator for treatment. Low energy
accelerators have a single x-ray energy of less than 10 MV, while Dual
Energy accelerators have one similar low energy, and one high energy
x-ray energy of 10 MV or greater. The term “Photon Radiation” also refers
to the x-ray leakage radiation and scatter radiation that is either emitted
from the accelerator or scattered from the shielding barriers, respectively.
Glossary-6
Term Definition
Physicist of Record The physicist with the responsibility for assessing parameters and limits
associated with the Clinac, TrueBeam, VariSource, or GammaMed. With
regard to facility shielding, the Physicist of Record is responsible for
designing the treatment room radiation shield barriers and confirming they
meet applicable regulatory requirements. The facility design is based on
regulatory requirements of the regulatory body tasked with oversight of
Radiation Producing Devices in the Region, and recommendations of the
National Council of Radiation Protection and Measurement (NCRP).
Confirmation of the shielding adequacy is assessed with a radiation survey
performed by a qualified physicist, which may or may not be the Physicist
of Record. The Physicist of Record will correspond with the Region's
Department of Health Services (or equivalent) regarding the design and
results of the radiation survey.
Physics Port See Experimental Access Conduit (also known as Physics Port).
PortalVision™ (PV) Real-time imaging system for monitoring and verification of treatment
field and shielding blocks in relation to anatomical landmarks. The effect
of PortalVision on the architectural requirements is limited to an increase
in the control console requirement.
Power Panel An assembly of circuit protection and control devices.
Primary Beam Radiation The emission or propagation of photons or electrons along the main axis or
direction of the generating equipment (see Photon Radiation and Electron
Radiation). Varian accelerators generate a 28-degree primary radiation
beam cone from a source in the Gantry (measured one meter back from
isocenter). Acuity generates a 39-degree primary radiation beam cone from
a source in the Gantry (measured one meter back from isocenter). Shielding
for the primary beam must consider the 360-degree rotation of the Gantry
and should extend at least one-foot (305) beyond the beam cone.
Pull Box A conduit body that is used only to access conductors. The distinction is
made to simplify the NEC or other regulatory agency requirements for
placement and construction of these structures. The Control Console,
Baseframe, and Modulator boxes are Pull Boxes.
Radiation Device that senses radiation and issues a warning when the radiation level
monitor/detector exceeds the preset standards. Some jurisdictions require them in accelerator
rooms as a precautionary measure.
Radiosurgery A method of treatment that uses a single, high dose of radiation to alter the
tissue to cause necrosis or fibrosis. This procedure uses Gantry, and
sometimes Couch, movement during the treatment to minimize exposure to
surrounding tissue.
Radiotherapy A method of treatment using multiple, small radiation doses to gradually

shrink and kill malignant tumor cells.
Glossary-7
Term Definition
Relay Automatic electromagnetic or electromechanical device that responds to a

small current by activating switches in an electric circuit. Lasers and room
lights are connected through relays to the switches in the Pendant and on
the Couch.
Rigging Positioning of the Baseframe and the accelerator, VariSource, GammaMed

or Acuity components into the treatment room. The Baseframe is rigged
prior to the rest of the equipment. A rigging company is usually hired by
the Customer to off-load these items from the truck and to move them
through the facility into the treatment room. The Customer's architect and
structural engineers must review the entire rig route for adequate clearances
and structural support. The work can include temporary demolition and
shoring. Final equipment positioning is part of the rigging contract. See
also Freight and Breakdown.
Safety and Monitoring Special equipment required to assure that the technical and service
Devices personnel are not exposed to radiation. These items are Emergency-Off
Switch (also known as Emergency Power Off Switch or [EPO] or as
Emergency Stop Switch), Radiation monitor/detector, and Warning Light.
(See definitions.) Other monitoring equipment is used to observe and
position the patient during treatment. These items are CCTV, Intercom,
Laser Positioning Lights, and View Window. (See definitions.)
Sagittal Plane also known An imaginary vertical plane that coincides with the rotational axis of the
as Longitudinal Axis Gantry and bisects the patient couch.
Search/Evict A procedure, usually involving some form of electro-mechanical interlock

to the equipment, which provides added assurance that only the patient is
in the room during treatment. (Also called “Last man out” procedure.)
Secondary Radiation The emission or propagation of neutrons and/or photons as a result of

bouncing or reflecting in various directions. Its sources are leakage from
the equipment head and scatter from the room surfaces (see Electron
Radiation, Neutron Radiation, and Photon Radiation).
Simulator Radiotherapy equipment, such as the Varian Acuity, that uses radiographic
and fluoroscopic imaging to duplicate the beam geometry of medical
Linear Accelerators as a means to localize the treatment field.
Stand Fixed part of the Stand/Gantry assembly containing the Klystron, power
converters, cooling water heat exchanger, microwave generator and other
elements of the Linear Accelerator and similar components of the Acuity.
Start Button An override connected to the Emergency-Off circuit and to a separate,

interim power source, which allows interim power to close the UVR circuit
until Clinac power is available.
Glossary-8
Term Definition
Stereotaxis (n), The principle of locating a point in three dimensional space, within the
Stereotactic (adj) brain, with a high degree of accuracy, by using an external reference
coordinate system or plane.
Total Body Irradiation A technique during which a large-field x-ray or electron beam is used to
(TBI) treat the entire patient's body. Due to the increased field size, a distance of
10 to 20 feet (3 to 6 meters) is required from the isocenter to the wall on one
side of treatment rooms designed to accommodate the procedure.
Under Voltage Release Safety feature that trips the breaker when an under-voltage condition
(UVR) occurs. Used in conjunction with the accelerator and Acuity emergency off
circuits to trip the main circuit breaker power to the equipment.
VariSource™ Varian's high dose rate remote afterloader delivers high radiation doses to
patients by way of a radioactive source wire that is extended through
catheters into body cavities.
View Window Patient monitoring opening in the wall between the Control Equipment
Casework and the Acuity room spanned with leaded glass. Low energy
accelerators occasionally have view windows but this is not recommended.
Warning Light A light (usually red) that indicates “beam-on” condition. A light for
“ready” mode may be required also.
Water Phantom/Beam A clear tank, part of a set of components, used to simulate a human body
Scanner System on the treatment couch to determine an accurate radiation output and dose
distributions of a Linear Accelerator. The water phantom, which measures
up to 2'-0" x 2'-0" x 2'-0" (610 x 610 x 610), is used by the therapists and
physicists. It needs to be filled with water before use and the water needs to
be siphoned off after use. Water supply, drain, and water-resistant storage
space for the tank should be provided within the treatment room.
Glossary-9
Glossary-10
Index
A cantilever extension bar, ceiling mount 3-47

accelerator models supported 1-3 carpeting requirements 5-12
acceptable ceiling mount load plate areas 3-43 CCTV camera, power receptacles for 4-20
accessory pull box 3-3 ceiling
accessory storage dimensions, typical 5-9 finishes 5-13
acoustical requirements 5-12 laser mounting detail 3-78
adaptive couch repositioning 3-36 ceiling mount
air system, compressed 3-60 cantilever extension bar 3-47
alternate mounting location for IRM 3-25 load plate 3-46
ARIA workstation components 4-21 load plate areas, acceptable 3-43
array panel 3-32 load plate for OSMS 3-54
audio subsystem, described 3-30 locations, preferred for TrueBeam 3-38
checklist, pre-installation A-1, B-1
B circuit breaker panel
baseframe benefits 4-12
cable access details 3-69 described 4-11
cooling line access details 3-71 features 4-12
pit and installation 3-65 main 3-2, 4-10, 4-11
pull box 3-3 order information 4-13
Beacon transponders 3-34 specifications 4-12
Beam Ready warning light 4-19 circuit breakers 3-2, 4-10
Beam-Off warning light 4-19 clearances for shipping/rigging dimension 2-20
Beam-On warning lights 4-18 closed circuit TV
bypass/override switch 4-17 described 3-28
mounting locations for 3-28
C compressed air system 3-60
cabinets, control and imaging 4-20 configurations
cable access details for baseframe 3-69 optional room 2-11
cable access diagram 3-5 typical room 2-7, 3-37
cable conduit/ducts 3-2 connections, electrical 4-2
cabling 4-7 control and imaging cabinets 4-20
cabling and termination, network 4-7 control equipment
calculation assumptions for radiation shielding 3-63 casework, typical 5-1
calibration fixtures 3-35 pull box 3-2
Calypso Extracranial Radiosurgery Subsystem 3-31 coolant
cameras diagram 3-57
elevation heights and clearances 3-45 flow requirements 3-56
elevation heights and clearances, OSMS 3-53 requirements 3-58
infrared 3-33 specifications 3-59
mounting locations 3-38 system 3-56
mounting locations, OSMS 3-51 coolant system 3-56
power supply 3-33 cooling line access details, baseframe 3-71
support mounting methods 3-46
support mounting methods, OSMS 3-54
Index-1
D I
detail infrared cameras 3-33
elevations 2-17 in-room monitor
plan view 2-15 alternate mounting location for 3-25
detector, radiation 3-35 and optical imaging 3-17
diagram mounting methods 3-22
cable access 3-5 pull box 3-3
coolant 3-57 standard mounting location 3-21
interconnection wiring 4-15 installation timeline description 1-3
dimensions for typical accessory storage 5-9 interconnection wiring diagram 4-15
ducts/cable conduit 3-2 Intracranial Radiosurgery Subsystem, OSMS 3-48
dynamic edge gating 3-35 introduction to TrueBeam DDR 1-1
isometric view for typical room 2-5
E
electrical J
connections 4-2 junction box, relay 4-22
requirements 4-1
specifications 4-1 K
elevations detail 2-17 key features of TrueBeam 1-1
emergency-off switches 4-19
environment specifications 3-60 L
Extracranial Radiosurgery Subsystem, Calypso 3-31 laser positioning lights 4-17
lasers
F ceiling, mounting detail for 3-78
facilities requirements 3-1 patient positioning 3-74
features 4-22 sagittal, mounting detail for 3-79
list for TrueBeam 1-1 side, mounting detail for 3-75
relay junction box 4-22 lighting and accessories circuits specifications 4-1
finishes 5-1 lights
fire protection 3-61 laser positioning 4-17
fixtures 3-34 room 4-17
calibration 3-35 setup 4-17, 4-18, 4-20
QA 3-34 Live View camera
flooring requirements 5-12 mounting locations for 3-27
subsystem 3-27
G load plate, ceiling mount 3-46
gating, dynamic edge 3-35
general M
electrical specifications 4-1 main
room storage requirements 5-8 circuit breaker panel 4-10, 4-11
system information 2-1 room lights 4-18
Generator ON (Integrated Imaging) warning light 4-19 main circuit breaker panel 3-2
major system components
H modulator cabinet 3-9
heights and clearances, camera elevation 3-45 optical imaging with IRM 3-17
hub unit 3-33 microphones and speakers 3-30
HVAC and plumbing requirements 3-55 minimum coolant flow requirements 3-56
minor system components 3-26
Index-2
modulator P
cabinet 3-9 patient positioning lasers 3-74
moving 3-11 plan view detail 2-15
pull box 3-3 plumbing
standard 3-9 described 3-61
mounting detail requirements 3-55
ceiling laser 3-78 positioning lights, laser 4-17
sagittal laser 3-79 power conditioning requirements 4-7
side laser 3-75 power receptacles
mounting locations ARIA workstation 4-21
camera 3-38 ARIA workstation components 4-21
closed circuit TV 3-28 CCTV camera 4-20
IRM 3-21, 3-25 control and imaging cabinets 4-20
Live View camera 3-27 power requirements for TrueBeam 4-9
optical imaging subsystem 3-18 power supply, camera 3-33
mounting methods power switches for setup lights 4-20
camera support 3-46 preferred ceiling mount load plate locations
in-room monitor 3-22 TrueBeam 3-38
optical imaging subsystem 3-20 pre-installation checklist A-1, B-1
moving modulator 3-11 pressure regulator specifications 3-60
Protocol, TCP/IP 4-8
N pull/junction boxes 3-2
network cabling and termination 4-7 accessory pull box 3-3
baseframe pull box 3-3
O control equipment pull box 3-2
operational states 3-55, 4-17 in-room monitor pull box 3-3
optical imaging subsystem 3-18 modulator pull box 3-3
mounting locations 3-18
mounting method 3-20 Q
optical imaging with IRM 3-17 QA fixture 3-34
optical system 3-32
optical system, OSMS 3-48 R
optional radiation detector 3-35
bypass/override switch 4-17 radiation shielding
Calypso Extracranial Radiosurgery Subsystem 3-31 calculation assumptions for 3-63
room configurations 2-11 details 3-62
options, system 3-35 relay junction box 3-4, 4-22
OSMS described 4-22
camera elevation heights and clearances 3-53 requirements
camera mounting locations 3-51 acoustical 5-12
camera support mounting methods 3-54 carpeting 5-12
ceiling mount load plate 3-54 coolant 3-58
Intracranial Radiosurgery Subsystem 3-48 electrical 4-1
optical system 3-48 facilities 3-1
system assembly 3-50 flooring 5-12
treatment room remote terminal 3-49 general room storage 5-8
typical room configuration 3-50 HVAC and plumbing 3-55
workstation 3-48 minimum coolant flow 3-56
power 4-9
power conditioning 4-7
Index-3
rigging/shipping dimension clearances 2-20, 3-47 supported accelerator models 1-3
room configurations, optional 2-11 switches
room lighting 4-17 bypass/override 4-17
CCTV 4-17 emergency-off 4-19
laser positioning lights 4-17 setup lights 4-20
main room lights 4-18 system assembly for OSMS 3-50
room lights 4-17 system components
setup lights 4-18 minor 3-26
room shielding tables 2-1 modulator cabinet 3-9
room storage requirements, general 5-8 optical imaging with IRM 3-17
system information, general 2-1
S system options 3-35
safety device systems 4-18 systems
Beam Ready warning light 4-19 coolant 3-56
Beam-Off warning light 4-19 safety device 4-18
Beam-On warning lights 4-18 TrueBeam Linear Accelerator 4-9
emergency-off switches 4-19
Generator ON (Integrated Imaging) warning T
light 4-19 tables for typical room shielding 2-1
safety door interlock switches 4-20 TCP/IP Protocol 4-8
X-RAY ON (Integrated Imaging) warning light 4-19 technical key features for TrueBeam 1-1
safety door interlock switches 4-20 termination 4-7
sagittal laser mounting detail 3-79 termination and cabling, network 4-7
sample timeline 2-5 timeline
setup lights 4-17, 4-18, 4-20 installation 1-3
shielding 3-62 sample 2-5
other 3-64 touch screen computer 3-32
radiation details 3-62 tracking station 3-33
shipping list C-1 transponders, Beacon 3-34
shipping/rigging dimension clearances 2-20, 3-47 treatment planning data import 3-36
side laser mounting detail 3-75 treatment room console 3-31
software 3-34 treatment room overview, sample set-up 3-1
speakers and microphones 3-30 treatment room remote terminal for OSMS 3-49
specifications TrueBeam, preferred ceiling mount locations 3-38
circuit breaker panel (with battery backup) 4-12 typical room
coolant 3-59 configuration 2-7, 3-37
electrical connections 4-2 configuration, OSMS 3-50
environmental 3-60 isometric view 2-5
general electrical 4-1 shielding tables 2-1
lighting and accessories circuits 4-1
V
power conditioning requirements 4-7
Varian relay junction box, described 4-22
pressure regulator 3-60
ventilation 3-60
wiring and components 4-1
standard modulator 3-9
W
standard mounting location for IRM 3-21 wiring and components, specifications 4-1
subsystems wiring diagram, interconnection 4-15
audio 3-30 workstation for OSMS 3-48
closed circuit TV 3-28
Live View camera 3-27 X
optical imaging 3-18 X-RAY ON (Integrated Imaging) warning light 4-19
Index-4

Designers' Desk Reference: Truebeam/Vitalbeam Edition

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Designers’ Desk Reference

VOL. 15, No. 4

Varian Document #: DDR-HT-V

Document History List

Version Issue Date eSign Workflow #

Vol. 12, No. 3 r2 December 7, 2012 N/A

Vol. 12, No. 4 N/A N/A

Vol. 13, No. 1 N/A N/A

Vol. 13, No. 2 January 18, 2013 N/A

Vol. 13, No. 3 April 1, 2013 #26983753

Vol. 13, No. 4 July 1, 2013 #29749484

Vol. 14, No. 1 October 1, 2013 #33085546

Vol. 14, No. 2 January 2, 2014 #36890436

Vol. 14, No. 3 April 1, 2014 #40492623

Vol. 14, No. 4 July 1, 2014 #45234921

Vol. 15, No. 1 October 1, 2014 #50035039

Vol. 15, No. 2 January 5, 2015 #52382301

Vol. 15, No. 3 April 6, 2015 #57207674

Item # Version Section Page # Revision Remarks

iv Designers’ Desk Reference, TrueBeam/VitalBeam Edition

Item # Version Section Page # Revision Remarks