T SPG 01000 3

S
RadixactTM System, Accuray PrecisionTM System, iDMSTM System Site Planning Guide
T-SPG-01000, Rev F
Customer Support
For more information, to request documentation, or if you have a service issue, please contact
Accuray Customer Support (North America) at +1-866-368-4807, contact your Distributor, or visit the
Accuray Technical Solution Center at www.accuray.com/services-support/accuray-support.
NOTE: If your facility works with a third-party service provider, please contact them directly for
your service-related issues.
© 2020 Accuray Incorporated. All Rights Reserved. The stylized Accuray logo, CyberKnife, VSI, M6,
S7 TomoTherapy, H Series, Tomo, TomoH, TomoHD, TomoHDA, TomoEDGE, TomoHelical,
TomoDirect, Hi·Art, PlanTouch, PreciseART, PreciseRTX, Radixact, Accuray Precision and iDMS, Iris,
Xchange, RoboCouch, InCise, MultiPlan, Xsight, Synchrony, Synchrony Fiducial Tracking,
Synchrony Lung Tracking, Synchrony Respiratory Modeling, InTempo, TxView, PlanTouch,
QuickPlan, TomoHelical, TomoDirect, TomoEDGE, CTrue, VOLO, Planned Adaptive, TQA, TomoLink,
TomoPortal, OIS Connect and AERO are trademarks or registered trademarks of Accuray
Incorporated in the United States and other countries and may not be used or distributed without
written authorization from Accuray Incorporated. Use of Accuray Incorporated’s trademarks
requires written authorization from Accuray Incorporated.
Accuray Incorporated reserves the right to revise this publication and to make changes in content
from time to time without obligation on the part of Accuray Incorporated to provide notification of
such revision or change.
Accuray Incorporated provides this guide without warranty of any kind, implied or expressed,
including, but not limited to, the implied warranties of merchantability and fitness for a particular
purpose. Accuray Incorporated and its directors, officers, representatives, subsidiaries, employees,
agents, heirs and assigns assume no responsibility or liability, either express or implied, for injury,
death, or losses to consumers, users or service personnel resulting from improper handling of the
Accuray products by unauthorized, untrained or otherwise unqualified personnel. Accuray
Incorporated expressly denies any responsibility or liability for abuse, neglect, misuse or tampering
with TomoTherapy® Treatment System components by persons not authorized, trained, or otherwise
associated with Accuray Incorporated.
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Trademark Information
IBM is a registered trademark of International Business Machines Corporation. Microsoft and
Windows are registered trademarks of Microsoft Corporation.
© 2020 Accuray Incorporated, All Rights Reserved, the stylized Accuray logo, CyberKnife, VSI, M6, S7,
TomoTherapy, H Series, Tomo, TomoH, TomoHD, TomoHDA, TomoEDGE, TomoHelical, TomoDirect,
Hi·Art, PlanTouch, PreciseART, PreciseRTX, Radixact, Accuray Precision and iDMS, Iris, Xchange,
RoboCouch, InCise, MultiPlan, Xsight, Synchrony, InTempo, TxView, PlanTouch, QuickPlan, TomoHelical,
TomoDirect, TomoEDGE, CTrue, VoLO, Planned Adaptive, TQA, TomoLink, TomoPortal, OIS Connect and
AERO are trademarks or registered trademarks of Accuray Incorporated, in the United States and
other countries and may not be used or distributed without written authorization from Accuray
Incorporated. Use of Accuray Incorporated’s trademarks requires written authorization from Accuray
Incorporated.
Warranty Information
If any Accuray products are modified in any manner all warranties associated with such products
shall become null and void. Accuray Incorporated does not assume any responsibility or liability with
respect to unauthorized modification or substitution of subsystems or components.
With proper care and maintenance, the expected service life of the system is 10 years.
The Accuray System, including each computer workstation and associated system software, has
been validated to demonstrate that the system will perform as expected. The installation of
additional software not released by Accuray Incorporated (e.g. third party, off-the-shelf, etc.) on
these computer workstations is not permitted. This includes any Microsoft® Windows® updates. Any
effect on the safe and intended operation of the Accuray System caused by the introduction of
additional software is unknown and Accuray cannot be responsible for any impact caused by
adding such software.
Hardware and Software Maintenance
Only qualified service personnel should service or maintain system hardware components. If you feel
that Accuray System hardware components or associated features or functions do not perform as
expected, or they provide results that are inconsistent with your established clinical and research
protocols, call Accuray Customer Support (North America) at 1-866-368-4807, contact your
Distributor, or visit the Accuray Technical Solution Center located at www.accuray.com/Services-
Support.
Device Disposal
When an Accuray product reaches the end of its useful life and your facility desires to remove the
device, contact Accuray Customer Support to decommission, uninstall, and appropriately dispose of
the components.
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T-SPG-01000, Rev F
Use of Third-Party Software

Accuray Incorporated's software is being distributed together with certain third-party software that
is made publicly available under open-source software licenses. Notices relating to such third party
software and the license terms under which these software components were obtained by Accuray
are located in this user's guide, in any applicable release notes, or in the about box that displays to
the customer for the appropriate software program. Source code for an applicable open source
software component is available upon written request. Automatic image registration is based on
routines in Numerical Recipes: The Art of Scientific Computing, published by Cambridge University
Press, which are used with permission.
Use of Third-Party Hardware
Use of other Medical Devices and non-Medical Devices within the Accuray Treatment Delivery
system room must be assessed by the responsible party at the customer facility to ensure that use
of the device does not introduce possible safety limitations or other compatibility concerns.
Instructions for Use of the Accuray System
Safe operation of the Accuray System requires careful attention to the serious hazards associated
with the use of linear accelerators and complex radiation therapy equipment and ways to avoid or
minimize the hazards, and familiarity with emergency procedures. Untrained or careless operation of
the Accuray System can damage the system, its components or other property; cause poor
performance; or lead to serious bodily injury and possibly death. Anyone who operates, services,
maintains, or is otherwise associated with the Accuray System must read, understand, and be
thoroughly familiar with the information in this manual, and take precautions to protect themselves,
their associates, patients, and the equipment. At each step in the installation, specific warnings and
cautions are given for specific actions. Personnel must be trained by Accuray Incorporated before
the Accuray System is used for research or clinical purposes. Accuray System documentation was
originally drafted, approved, and supplied in English (US).
Prescription Device Statement
Caution: Federal law restricts this device to sale by or on the order

of a physician.
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TABLE OF CONTENTS
1.0 System Components, Descriptions and Site Planning Considerations ................................................................................................ 8
1.1 Treatment Room (Also known as the Vault or Bunker) ..................................................................................................................... 8
1.2 Control Room ............................................................................................................................................................................... 12
1.3 iDMSTM System Server Room ...................................................................................................................................................... 14

1.4 Mechanical Room......................................................................................................................................................................... 15
1.5 Accuray PrecisionTM System Room(s) .......................................................................................................................................... 17
2.0 Radiation Shielding Guidelines ........................................................................................................................................................ 19

2.1 Initial Site Planning....................................................................................................................................................................... 19
3.0 Room Specifications ........................................................................................................................................................................ 31

3.1 Treatment Room .......................................................................................................................................................................... 31
3.2 Control Room ............................................................................................................................................................................... 32
3.3 iDMSTM Data Management System Server Room ........................................................................................................................ 33

3.4 Mechanical Room......................................................................................................................................................................... 33
3.5 Accuray PrecisionTM System Room(s) .......................................................................................................................................... 34

3.6 Sample Drawings.......................................................................................................................................................................... 34
4.0 Electrical and Environmental Requirements .................................................................................................................................... 36

4.1 Electrical Requirements ................................................................................................................................................................ 36
4.2 Environmental Requirements........................................................................................................................................................ 43
5.0 Other System Implementation Considerations ................................................................................................................................ 48

5.1 Synchrony® Respiratory Tracking System ...................................................................................................................................... 48
5.2 Patient Positioning Lasers............................................................................................................................................................. 48
5.3 Radixact™ System Shipping and Rigging Considerations ................................................................................................................ 52
5.4 Storage ........................................................................................................................................................................................ 55
5.5 Information Technology................................................................................................................................................................ 55
5.6 Seismic Regulations ...................................................................................................................................................................... 55
5.7 Power Conditioners (60Hz Sites Only)............................................................................................................................................ 56
5.8 Frequency Converter (50 Hz Sites Only) ......................................................................................................................................... 56
5.9 Closed Circuit TV (CCTV)................................................................................................................................................................ 57
5.10 Common Supplier ......................................................................................................................................................................... 57
5.11 Quality Assurance and Commissioning Tools and Equipment ......................................................................................................... 58
NOTES .......................................................................................................................................................................................................... 58
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T-SPG-01000, Rev F
INTRODUCTION
Scope
This guide covers the Radixact™ Treatment Delivery System, Accuray PrecisionTM Treatment Planning System
and iDMS™ Data Management System.
Overview
This guide was written to provide essential information to our customers and their contractors to support
the design and construction of their Radixact™ System, Accuray PrecisionTM System and iDMSTM System
facility infrastructure. The information in this guide is meant to provide a starting point of general
information, upon which site-specific information can be added.
Each customer will be assigned a dedicated Accuray Project Manager, who will provide both remote and
on-site assistance.
Accuray’s goal during the site planning process is to help our customers achieve both a timely and trouble-
free system installation.
Regulatory Requirements
In the United States, Accuray is available to assist our customers with their CON (Certificate of Need) or
OSHPD (Office of Statewide Health Planning and Development) processes, if applicable to their state. The
Accuray Sales representative will act as the contact for the CON process, and the Accuray Project Manager
for the OSHPD process.
Internationally, Accuray, or our distributor, is available to assist our customers with any regulatory
requirements that they may have.
The customer is responsible for obtaining all local, state and national permits and requirements associated
with site planning, shielding, site preparation, construction, system installation and system maintenance.
Accuray customers are responsible for all reports and submissions to any governing body related to
radiation surveys, radiation safety and physics reports.
Use of other Medical Devices and non-Medical Devices within the Accuray Treatment Delivery system room
must be assessed by the responsible party at the customer facility to ensure that use of the device does not
introduce possible safety limitations or other compatibility concerns.
Accuray Site Planning Contact Information
Accuray Incorporated
Manufacturing Site
1209 Deming Way
Madison, Wisconsin 53717 USA
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Roles and Responsibilities

The Accuray Project Manager (Customer Operations) assists the customer and their representatives to
successfully integrate the Radixact™ System, Accuray PrecisionTM System and iDMSTM System into their
facility. The roles and responsibilities are defined below.
Accuray Project Manager Responsibilities

The Accuray Project Manager (Customer Operations) is the main point of contact to assist in the successful
integration of the Radixact™ System, Accuray Precision™ System and iDMS™ System into the facility. The
roles and responsibilities are as follows:
• Coordinate the A-Z meeting as well as introduce additional Accuray resources such as Training,
Reimbursement, Service and Sales Operations.
• Assist with project schedule, aid in achieving critical milestones and support customer timeline.
• Assist in the coordination of facility construction to Accuray specifications.
• Assist with the development of site-specific drawings, entailing the project specifications.
• Interface with the customer’s architects, engineers, contractors, I.T and other facilities-related
personnel.
• Conduct all Accuray inspections and coordinate the installation of the Accuray-supplied equipment.
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1.0 System Components, Descriptions and Site Planning

Considerations
1.1 Treatment Room (Also known as the Vault or Bunker)
The treatment room typically contains the components in the following table.
Table 1 Treatment Room Equipment Specifications (Accuray supplied)
WEIGHT WEIGHT
ITEM DESCRIPTION L x W x H (IN) L x W x H (MM)
(LBS) (KGS)
Gantry and
1 Equipment 77.5 x 110 x 99 1970 x 2800 x 2524 13000 5900
Enclosures
Radixact™ System
2 107.7 x 25.6 x 44.4 2735 x 651 x 1127 1100 500
Couch
Power Distribution
3 31 x 22 x 56 787 x 559 x 1428 1001 454
Unit
Dorado Laser
4 Positioning System 31.26 x 8.66 x 7.21 794 x 220 x 183.1 40 18.1
(5 lasers)
Apollo Laser
5 Positioning System 8.7 x 4.33 x 4.13 221 x 110 x 105 4.5 2
(2 lasers)
Intercom Speaker
14 7 x 6.3 x 9.4 177 x 160 x 240 5 2.2
System
Synchrony®
16 Respiratory Tracking 28 x 7.5 x3 720 x 190 x 74 10 4.5
System
Note: The item numbers in bold refer to the identifiers on the site-specific drawings.
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1.1.1 Accuray Supplied

1. Gantry and Equipment Enclosures (Item 1 – Floor Mounted)
Description: The rotating gantry assembly generates and delivers radiation to patients.
The enclosures cover the gantry. The equipment enclosures are designed to detach and
roll forward for service access.
Site planning considerations: There are HVAC, pit, electrical, and mechanical
considerations for the gantry. Due to gantry clearances, a pit with a sloped floor and
moisture sensor is required. Conduits/trenches leading from the PDU to the gantry are
required. Supplemental chilled air is required to cool the gantry. A compressed air line is
required to supply air to the MLC. During installation, Accuray will drill and anchor the
gantry to the floor. Anchor bolt locations for the gantry must be free from rebar structure,
conduits and pipelines. See site-specific drawings for more information.
2. Radixact™ Couch (Item 2 – Floor Mounted)
Description: The Radixact™ System Couch is used to position the patient during treatment
using automatic patient positioning technology. The maximum patient weight load
capacity of the Radixact™ System Couch is 440 lbs (200 kg).
Site planning considerations: During installation, Accuray will drill and anchor the
Radixact™ Couch to the floor. Anchor bolt locations for the Radixact™ System Couch must
be free from rebar structure, conduits and pipelines. See site-specific drawings for more
information.
3. Power Distribution Unit (PDU) (Item 3 – Floor Mounted)
Description: The Power Distribution Unit (PDU) isolates the power source for all critical
Accuray components in the treatment vault and control area and provides power to
system components.
Site planning considerations: During installation, Accuray will install the PDU and run
cables from the PDU to the gantry. For sites with specific seismic requirements Accuray
will drill and anchor the PDU to the floor.
NOTE: The PDU’s optimal location is in the treatment vault. An optional location is
outside the vault but the location of the PDU must be within 35 linear feet (10.7 meters)
of the Gantry.
4. Laser Positioning System (Items 4 & 5 – Wall and Ceiling Mounted)
Description: A laser positioning system is used in the treatment room to accurately
position patients on the Radixact™ System Couch. The five Dorado lasers and two Apollo
lasers are mounted on the treatment vault walls and ceiling. There is a total of seven
lasers included with the Radixact™ System.
Site planning considerations: The customer’s contractor is required to install the
mounting plates and structures that support the laser positioning system and provide
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power to the lasers. Accuray installation engineers will mount and align the lasers and will
assist the contractor in measurements for cabinet and ceiling cutouts.
5. Intercom Speaker System (Item 14 – Wall Mounted)
Description: The Noise Eliminating Intercom System (NEIS) is standard on the Radixact™
System which allows the patient and clinician to communicate during the treatment.
Site planning considerations: The speaker is wall mounted behind the patient on the
gantry centerline above the Apollo Laser. The maximum length of the signal conduit
between the speaker and the back of the gantry cannot exceed 15 ft-0 in (4570 mm). The
customer’s contractor is responsible for: supply and installation of the conduit for the
microphone cable connection. A CAT6 (or higher) signal cable running between the
speaker unit in the Treatment Room and the Control Room, and junction box(es)
[termination point(s)] in the bunker and in the Control Room, as called out in the site-
specific drawings. The best practice is to terminate the CAT6 cable (or equivalent) with
RJ45 outlets (female connectors) both in the Treatment Room and in the Control Room.
These terminations must be installed near the intercom speaker unit in the Treatment
Room and the desktop unit in the Control Room - to allow for short patch cords
connections to these components. Accuray installation engineers will install and connect
the speaker and associated components.
6. Synchrony® Respiratory Tracking System (Item 16 – Ceiling mounted)
Description: The Synchrony® Camera is used to track, detect, and correct for respiratory
motion.
Site planning considerations: The Synchrony® Camera is attached to a suspended strut
mounted to the vault ceiling near the foot of the treatment couch. The customer’s
contractor will install a base plate to the concrete or steel ceiling. If steel ceiling, the
contractor will weld an adaptor plate, supplied by Accuray. Service access to the
Synchrony camera and Unistrut are required. Customers should install an acoustical
ceiling (or at minimum large access panels) in this area.
Note: If the customer plans for a drywall ceiling, Accuray requires a 1 ft (30 cm) square
access panel near the Synchrony® Camera. If the space between the vault ceiling and
finished ceiling is 1 ft (30 cm) or more, Accuray requires a 2 ft (60 cm) square access
panel near the Synchrony® Camera.
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1.1.2 Customer Supplied Items (Required)

1. Steel or Aluminum Plates and Mountings for the Patient Positioning Lasers
2. Radiation Warning Lights including cables and a power connection (within 48-240 VAC
range)
3. Emergency Off / Emergency Stop Buttons and cabling
4. Door Interlock and cabling (1 required depending on vault entry configuration)
5. Closed Circuit TV Cameras (CCTV)
6. Conduits (wired and empty) and cable management system as shown on the site-
specific drawings.
7. SF6 Gas (Contact Accuray Project Manager for details)
1.1.3 Customer Supplied (Optional – Unless Required by Local Regulations)

1. Nurse Call Button(s)
2. Medical Gas Lines
Customers may elect to install medical gas and vacuum outlets directly in the Treatment
Room or use mobile gas carts. Please consult with the site administrator and/or
physicians to determine the exact needs. These installations may include:
• Oxygen
• Air
• Nitrous Oxide
• Vacuum
• Waste Anesthetic Gas Disposal
3. Remote Patient Monitoring
This is typically used for monitoring anesthetized or other critical patients and can be
accomplished via several methods:
• The mobile monitoring system can be kept in the Treatment Room, with one of the
pan/tilt/zoom cameras focused on the screen for viewing in the control area.
• The remote monitoring cables can be run through the physics port that exists
between the Treatment Room and the Control Room.
• The customer can have a system built into the Treatment Room.
4. Cabinetry
Storage for QA tools, Synchrony® vests, patient masks, and body immobilization devices
should be taken into consideration. The Site-Specific drawings will indicate areas in the
Treatment Room where it is acceptable to install sinks and cabinets.
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1.2 Control Room

The Treatment Delivery Console (TDC) in the Control Room area can be configured in many
ways, depending upon the site layout and desire of the customer. Typically, it includes the
following equipment.
Table 2 Treatment Delivery Console (TDC) Equipment Specifications
WEIGHT WEIGHT
(LBS) (KGS)
Status Console User

10 8.5 x 4.5 x 3 216 x 114 x 76 2.6 1.1
Interface
Treatment Delivery Console

20.75 x 7.5 x 17 527 x 190 x 432 45 21
computer (TDC)
12 Treatment Delivery Console

accessories
(flat screen monitor, 21.9 x 16.1 x 9.1 556 x 409 x 231 16.8 7.6
keyboard, mouse) (Monitor
size & weight)
Intercom System
14 5.9 x 8.7 x 2.8 150 x 221 x 71 10 4.5
(desktop unit)
15 Printer 18 x 18.9 x 15.7 457 x 480 x 399 60.6 27

1. Status Console User Interface (Item 10 – Placed on Countertop)
Description: Device that allows the customer to operate the emergency stop, key switch
for image/program/treat options, start button, stop button, radiation on notification.
Site planning considerations: Provide adequate counter space.
2. Treatment Delivery Console (TDC) (Item 12 – Placed on Countertop)
Description: The Treatment Delivery Console is the computer workstation that the
technologists use for calibration, patient positioning, registration, imaging and treatment.
The console is composed of a computer, flat screen monitor, and keyboard. Noise level of
console is ~25dB.
Site planning considerations: Provide adequate counter space.
3. Intercom System (Item 14 – Placed on Countertop)
Description: The intercom desk control unit.
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Site planning considerations: The intercom desk control unit is placed on Control Room
countertop. The customer’s contractor is responsible for installing the wired conduit and
terminating with RJ45 connections as called out in the site-specific drawings. Accuray
installation engineers will install the desk control unit and connect to the termination
points.
4. Printer (Item 15 – Placed on Countertop)
Description: Standard laser jet printer.
Site planning considerations: Provide adequate counter space and a power outlet.
1.2.2 Customer Supplied

1. Main Power Disconnect
Description: See Section 4.1: Electrical Requirements.
2. Emergency Off (EO) Push Button
Description: The EO push button is provided and installed by the Customer’s contractor.
It should be installed on the wall in the Control Room. Reference the site-specific
drawings for exact location.
3. Phone with Long Distance Access
Description: The phone is used for routine service and emergency communication.
4. Closed Circuit TV (CCTV) Monitoring System
Description: See Section 5.9: Closed Circuit TV (CCTV).
5. Customer Network Data Port with Internet Access or Wireless Internet Access
Description: To be used by Accuray personnel during system installation and service
activities.
6. System Status Indicators
Description: “X-ray On” light and optional “Power On”, “Room Ready”, and “Standby” lights
are positioned above the Treatment Room door. Additional warning lights in the
treatment vault need to be considered, if required by facility or local safety regulations.
The customer supplies all the materials related to this light, including power, within 48-
240VAC range. The facility should provide two conductors for each light to the
front/bottom of the PDU. The two conductors are the facility line in and then the switched
line out from the PDU. The Radixact™ System provides solid-state relays that close and
complete the circuit to illuminate the light(s). Allow for approximately 6’ (2 m) extra length
for termination.
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7. Facility Supplemental Air Relay: Description: The zero cross relay is provided and
installed by the Customer’s contractor. It should be installed on in an electrical panel.
Reference the site drawings for wiring details.
8. Physics Conduit Port (Dosimetry Tube) into the Treatment Room
Description: This port is used for running QA and Commissioning tools and equipment
cables between the Control Room and Treatment Room.
Site planning considerations: It is typically a 4 inch (100 millimeters) conduit that runs
from the top of the Control Room desk to the lower wall of the Treatment Room at a 45-
degree angle, both vertically and horizontally, with access boxes and/or doors on either
end.
9. Computer Workstation: A personal computer to install the TomoTherapy ElectroMeter
Measurement System (TEMS) application to the water tank during ATP. Computer must
meet these minimum specifications:
- Mictorsoft® Windows® 7 or 10 - CD ROM Drive
- .NET Frameork 4.5.2 - 2 GB (4 GB recommended)
- Adobe Acrobat Reader® memory
- Microsoft Excel® - > 50 MB hard drive
- Intel® or AMD® Processor >1 - > 1024 x 768 screen resolution
GHz
1.3 iDMSTM System Server Room

The iDMSTM System Server Room location can be configured in many ways, depending
upon the site layout, and desire of the customer. The iDMSTM System room is intended to
hold the iDMS TM server rack.
Table 3 iDMSTM System Server Rack Specifications
WEIGHT WEIGHT
(LBS) (KGS)
8 iDMSTM System Server Rack 37 x 24 x 63.5 940 x 609 x 1613 900 408
Standby iDMSTM System 37 x 24 x 63.5 940 x 609 x 1613 900 408

Server Rack

1. iDMSTM System Server Rack (Item 8 – Floor Mounted)
Description: The iDMSTM System server is where patient data is imported and stored.
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Site planning considerations: Refer to the Network System Requirements document

(supplied by Accuray Project Manager) for maximum cable length between the iDMSTM
System and the Treatment Delivery Console (TDC) and Accuray Precision™ System. Refer
to Section 4.0 for the electrical and environmental requirements for the iDMSTM System
server rack. For sites with specific seismic requirements Accuray will drill and anchor the
iDMS to the floor.
2. Standby iDMS Server (option)
Description: The Standby iDMS Server is a purchasable option to reduce the down time
on one or more connected Treatment Delivery Systems when service and repair is
required on the primary iDMS server due to a catastrophic failure.
Site planning considerations: The customer may install the standby iDMS server
anywhere within a 50-mile radius as long as it’s not installed within the same room as the
primary iDMS server and network bandwidth from primary iDMS to standby iDMS is 1000
Mbps or faster.
1.3.2 Customer Supplied (Required)

1. Air Conditioning Unit
Description: See Section 4.2: Environmental Requirements of this document for more
information.
2. Network Connections
Description: Please see Section 5.5: Information Technology Needs of this document for
more information or refer to the Network System Requirements document.
3. Electrical
Description: Please see Section 4.1: Electrical Requirements of this document for more
information.
1.4 Mechanical Room
The Mechanical Room is typically located near the Treatment Room and is intended tohold
the mechanical equipment required for the Radixact™ System product line.
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Table 4 Mechanical Room Equipment Specifications
WEIGHT WEIGHT
(LBS) (KGS)
Power Conditioner.
6a (OPTION for 60 Hz mains power sites) 31.5 x 22 x 63 800 x 559 x 1600 640 290
(Facility Supplied)
Frequency Converter
6b (REQUIRED for 50 Hz mains power sites) 51.5 x 26.75 x 71.25 1308 x 673 x 1810 1502 680
(Facility Supplied)
Air Compressor (REQUIRED) Typical

863 x 533 x 838 300 136
7 Oil-Free Class “0” / Dryer and Air Tank Comp 34 x 21 x 33
1270 x 635 x 914 200 90
(Facility Supplied) Tank 50 x 25 x 36
1.4.1 Customer Supplied (Required)

1. Compressed Air Line
The facility must supply a dedicated oil-free air compressor. In the floor of the Treatment
Room, embed a copper compressed air line from the facility-supplied oil-free air
compressor. Behind the gantry, add an access panel with a shut off valve and quick-
disconnect fitting to the compressed air line. Terminate the compressed air line
underneath the gantry with a barbed fitting so that a hose may be attached for system
cleaning during planned maintenance procedures.
Use thick-body or wide-body copper pipe. Use 3/4 in (20 mm) inside diameter for up to a
maximum of 300 ft (91.44 m) or 1.0 in (25.4 mm) for up to 500 ft (152.4 m). See site-
specific drawings for more information. Air Compressor and Tank (Item 7 – Floor
Mounted)
Install a dedicated, facility-supplied oil-free air compressor to meet the flow-rate and
quality requirements. We recommend installing a scroll compressor. The facility must
supply a 60 US-gallon (227-liter) or greater air tank and install it in the Mechanical Room
near the air compressor. Set the air tank to automatically purge for 4 to 5 seconds every
30 minutes.
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Table 5 Air flow rate and quality requirements
Environmental Requirements
30 scfm at 90 psig (measured at sea level), 14.2 lps at 6.2

Flow Rate bar
(flow rate requirement is per system)
Free of condensed water.

Water Content
Dew point: -40°F (-40°C) or lower at 90 psig (6.2 bar).
Zero oil content allowed. Compressed air must be

completely free of oil droplets and vapor. (Oil filters to
Oil Content
reduce oil content are not adequate for this
requirement.)
Filtered to allow no particulate matter larger than 0.5

Filtration
microns
2. Dryer
The facility must supply compressed with a dew point at or below -40°F (-40°C) at 90
psig (6.2 bar). This typically requires multiple dryers in series, most often a refrigerated
dryer supplemented by a self-regenerating desiccant dryer.
NOTE: If a refrigerated dryer is used, consider placing it between the compressor and
thetank to minimize the possibility of icing.
3. Common Supplier for Desiccant dryer
Parker: https://ph.parker.com/us/en/k-mt-1-8-series-heatless-compressed-air-dryers
Suggested model for a single system: Parker K-MT Series
1.5 Accuray PrecisionTM System Room(s)

The Accuray PrecisionTM System can be located anywhere, and configured in many ways,
depending upon the site layout and desire of the customer. It is important that this room be
ready for equipment and setup prior to system installation. Typically, the Accuray PrecisionTM
System room includes the following equipment:
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Table 6 Accuray PrecisionTM System Room Equipment Specifications
WEIGHT WEIGHT
(LBS) (KGS)
Accuray Precision™ System

13 20.75 x 7.5 x 17 527 x 190 x 432 45 21
workstation
Accuray Precision™ System

accessories (flat-screen
21.9 x 16.1 x 9.1 556 x 409 x 231 16.8 7.6
monitor, and keyboard)
(monitor size & weight)
15 Printer 18 x 18.9 x 15.7 457 x 480 x 399 60 27

1. Accuray PrecisionTM System (Item 13 – Placed on a Desktop or Countertop)
Description: The Accuray Precision™ System workstation is the computer workstation
where the clinician analyzes the patient’s computed tomography (CT) data and uses it to
create an optimized treatment plan. The facility must have a CT device that generates
DICOM images. The sound level for the Accuray Precision workstation is ~25dB.
2. Printer (Item 15 – Placed on a Desktop or Countertop)
Description: Standard LaserJet printer.
Site planning considerations: Provide adequate counter space and power outlets for the
Accuray Precision™ workstation and printer.
1.5.2 Customer Supplied

1. Network Connections (Required).
Description: See the Section 5.5: Information Technology Needs of this document, or
Accuray’s Network System Requirements document for more information.
2. Computer for RIT package (If RIT option is purchased).
Site planning considerations: Provide adequate counter space and power outlets for
scanner and computers.
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T-SPG-01000, Rev F
2.0 Radiation Shielding Guidelines

2.1 Initial Site Planning
Description: Radixact™ System shielded barrier thickness requirements will vary from site to
site depending upon many factors including: local regulations, shielding design goals,
exposure limits, adjacent area occupancy rates, and the weekly or yearly accelerator
workload (these measurements typically result in facilities building walls of at least 42” (1066
mm) concrete. It is highly recommended that a qualified radiation physicist estimates the
anticipated clinical case workload at each specific facility, paying particular attention to the
type, duration of treatment and total number of treatments. Typically, shielding calculations
performed by a Qualified Expert (using standard therapy vault and treatment system
geometry, while incorporating customary design goals and weekly workload values), will
indicate standard density concrete wall thicknesses of at least 42” (1066 mm). The customer
is ultimately responsible for determining the proper shielding for their treatment room and
ensuring compliance with all applicable local, state and country regulations.
2.1.1 System Description and Specifications

The Radixact™ System combines the principles of computed-tomography imaging with
intensity-modulated radiation therapy (IMRT). The two modalities delivering image guided
IMRT are Radixact™ TomoHelical™ Treatment Delivery and Radixact™ TomoDirect™ Treatment
Delivery. Both modalities employ a compact linear accelerator waveguide that produces a
nominal 6 MV X-Ray beam.
• Radixact™ TomoHelical™ Treatment Delivery generates a slit beam of radiation
that continuously rotates on a slip-ring gantry while the patient is translated
through the gantry opening and beam.
• Radixact™ TomoDirect™ Treatment Delivery generates a slit beam of radiation for
different static angles, while the patient is translated through the gantry bore
opening and radiation beam.
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T-SPG-01000, Rev F
Figure 1 Radixact™ System critical structures related to shielding design
The Radixact™ System produces a maximum of 1060 +/- 30 beam monitor units (MU) per
minute. Note that 1 MU is nominally equal to 1 cGy, at 850 mm source-axis distance (SAD) in a
50 mm x 400 mm field size at a depth of 15 mm in water (these parameters define the
reference beam conditions used in this report). The approximate 1060 MU/min output value
stated above is intended to aid with shielding design assumptions which are necessarily
required in advance of system installation. However, each system’s output is uniquely
determined after installation. The output of each Radixact™ System is calibrated to achieve
agreement between planning calculations and delivery measurements for helical IMRT plans.
The static, open field output can vary from one machine to another, depending on how
various beam and alignment parameters fall within their respective tolerance ranges.
The slit radiation beam is 400 mm wide in the transverse direction. A primary set of moveable
tungsten jaws (117 mm thick in the beam axis) define the delivery slice width, which can be
adjusted from 4 mm at MVCT to 50 mm in the inferior-superior direction of the patient.
Therefore, the maximum field size of the primary treatment beam, at isocenter (850 mm
SAD), is limited to 50 mm in the longitudinal direction by 400 mm in the transverse direction.
The primary beam is further collimated by 64 pneumatically driven tungsten leaves, with a
tongue-and groove design. The leaves are arranged on a curve with focus that is not
coincident with the X-ray spot. This helps to reduce radiation leakage [1]. Each leaf is 100 mm
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T-SPG-01000, Rev F
thick (in the beam axis) and projects to 6.25 mm along the transverse axis at isocenter. By
either attenuating the radiation or allowing it to pass through, this multi-leaf collimator (MLC)
enables the Radixact™ System to provide a range of low to high levels of intensity modulation.
The system is also equipped with an on-board primary beam stop. The 152 mm thick lead-
slab beam stop is located on the rotating gantry opposite the beam source and provides a
high degree of primary radiation beam attenuation. Figure 1 illustrates the location and
arrangement of critical structures pertinent to shielding design. Note: isocenter is
approximately 1125 mm above the concrete floor but may differ slightly due to leveling pad
adjustments.
Workload Estimation and Intensity Modulated Radiation Therapy Factor (IMRT Factor)
Since the Radixact™ System is equipped with a primary beam stop, barrier thickness
requirements are dominated by secondary radiation. Therefore, properly estimating the site-
specific weekly leakage workload (WL) is critical. The following equation is an example
calculation for the weekly leakage workload (WL).
WL = 5 days/wk * 32 fx/day * 6 min/fx * 1060 cGy/min = 1.02 x 106 cGy/wk
Included within the WL calculation (above) is the recommended IMRT factor of 16 MU/cGy
applicable to a 100% IMRT facility. The IMRT factor accounts for the increase in accelerator MU
due to small field sizes that are needed to achieve the desired absorbed dose to the patient.
In short, for a given absorbed dose, the MU needed for IMRT is much greater than the MU
needed for conventional treatment. One methodology for determining the IMRT factor
involves multiplying the ratio of max. /avg. leaf open time by the ratio of max. /avg. open
leaves during treatment by the ratio of max. /avg. field width (see below).
IMRT Factor = max/avg {leaf open time} * max/avg {# leaves open} * max/avg {field
width} IMRT Factor = 100% / 50% * 64 / 16 * 50 mm / 25 mm = 16
To determine the primary barrier weekly workload (Wpri), simply divide WL by the IMRT Factor:
Wpri = WL / 16 MU/cGy = 6.36 x 104 MU/wk
NCRP 151 section 3.2.2 provides a thorough treatment of IMRT considerations [2]. Table 14
provides examples of treatment parameters.
Table 7 Example Treatment Parameters

Fraction Beam-On Max.
Total Dose Dose Time Field Width Possible/Avg.
(Gy) (Gy) (min) (mm) (leaf open time)
Prostate 70.0 2.0 2.5 2 30.6%
SRS Liver 40.0 8.0 7.9 25 53.7%
SBRT Lung 30 6.0 7.5 25 63.7%
Head & Neck 60.0 2.0 5. 0 25 30.4%
Breast / SC with SIB 50.4 1.8 6.5 25 55.6%
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T-SPG-01000, Rev F
2.1.2 Primary, Leakage and Scatter Radiation Testing

At Accuray, we determined the levels of primary, leakage, and scatter radiation from a
representative Radixact™ System during both rotating and static beam delivery. We
compared this comprehensive set of radiation measurement data to various leakage
radiation related compliance tests and also incorporated the standard leakage data
obtained from every system we build. The results of this study are intended to provide
qualified radiation physicists (shielding design experts) with the information needed to
calculate the shielding requirements at our customers’ sites.
We used three different radiation measurement techniques to quantify primary, leakage and
scatter radiation. The first method involved deploying National Voluntary Laboratory
Accreditation Program (NVLAP) dosimetry at all locations of interest (see Figure 2). We also
obtained direct measurements, at select locations, using large-volume ion chambers. The
third method of data collection involved the use of sensitive Optically Stimulated
Luminescence Dosimetry (OSLD). The data from all three measurement techniques were in
close agreement but the NVLAP dosimetry (Radiation Detection Company; Code 82 TLD
model XGBN) is considered the principal and official data set. All primary, leakage and scatter
radiation values are presented as a percentage or fraction of the calibrated reference beam
(850 mm SAD; 1 MU = 1 cGy; 50 mm x 400 mm field; 15 mm depth in virtual water).
Figure 2 Measurement locations for leakage and scatter radiation within the horizontal plane
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T-SPG-01000, Rev F
2.1.3 Leakage Radiation with Continuous Rotation

Leakage radiation was measured as a function of angle and distance from isocenter with the
jaws and MLC closed while the gantry rotated at 3 rotations per minute (RPM) (20 second
period). Data were collected using the three techniques outlined above at 56 locations of
interest. The maximum observed %Gy/Gy values, 2 meters from isocenter, were at dosimeter
positions between 60o - 105o and 255o - 300o degrees (see Figure 2 and Figure 3) – near the
plane of gantry rotation where primary beam transmission and head leakage are expected
to be at a maximum. The leakage values at 2 meters from isocenter, within the plane of
gantry rotation, did not exceed 2.7 x 10-3 %Gy/Gy or 2.7 x 10-5 as a fraction of the calibrated
reference beam. Table 7 and Figure 3 and Figure 4 illustrate measurement locations and
results.
2.1.4 Leakage and Maximum Scatter Radiation with Continuous Rotation

Leakage and maximum scatter radiation were measured as a function of angle and distance
from isocenter with the jaws and MLC set to their maximum aperture (50 mm x 400 mm)
while the gantry rotated at 3 RPM. A large, cylindrical solid water phantom (top half of the
Radixact™ Commissioning Phantom [Virtual Water™] which is 300 mm in diameter and 180
mm thick) was placed at isocenter to simulate patient scatter. Data were collected using the
three techniques outlined above at 56 locations of interest. The maximum observed %Gy/Gy
values, 2 meters from isocenter, were found at dosimeter positions between 30 to 75 degrees
and 285 to 330 degrees (see Figure 2 and Figure 3). The leakage and maximum scatter
values at 2 meters from isocenter did not exceed 1.0 x 10-2 %Gy/Gy (1/10,000th of the reference
dose at isocenter; 1E-4). Table 7 and Figure 2 and Figure 3 provide greater details on
measurement locations and results.
2.1.5 Leakage and Clinically Relevant Patient Scatter Radiation with Continuous
Rotation
Leakage and clinically relevant scatter radiation were measured as a function of angle and
distance from isocenter with the jaws and MLC configured to simulate an IMRT factor of 16
while the gantry rotated at 3 RPM. With the Virtual Water phantom in the bore, data were
collected using the three techniques outlined above at 24 locations of interest (2 meters from
isocenter, within the horizontal plane, at 15o intervals). The maximum observed %Gy/Gy
values, 2 meters from isocenter, were found at dosimeter positions between 30 to 105 degrees
and 255 to 330 degrees (see Figure 2 and Figure 3). While simulating an IMRT factor of 16, the
maximum leakage and scatter values at 2 meters from isocenter did not exceed
3.4 x 10-3 %Gy/Gy. Table 7 and Figure 2 and Figure 3 provide greater details on measurement
locations and results.
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T-SPG-01000, Rev F
Table 8 %Gy/Gy values during continuous rotation for leakage and scatter radiation
Leakage &
Angle Distance Leakage &
Clinically
Leakage Only Maximum
(degrees) (meters) Relevant
Scatter
Scatter
0 2.0 8.3E-04 1.1E-03 4.5E-03
15 2.0 1.2E-03 1.6E-03 6.3E-03
30 2.0 1.6E-03 2.4E-03 7.6E-03
45 2.0 2.1E-03 2.7E-03 6.8E-03
60 2.0 2.7E-03 2.9E-03 9.7E-03
75 2.0 2.1E-03 2.9E-03 7.5E-03
90 2.0 2.2E-03 2.6E-03 3.1E-03
105 2.0 2.5E-03 2.6E-03 2.9E-03
120 2.0 2.1E-03 2.1E-03 2.5E-03
135 2.0 8.6E-04 9.0E-04 1.7E-03
150 2.0 5.2E-04 8.2E-04 3.8E-03
165 2.0 2.1E-04 6.6E-04 4.1E-03
180 2.0 1.8E-04 4.4E-04 2.6E-03
195 2.0 2.4E-04 6.1E-04 3.7E-03
210 2.0 5.5E-04 8.8E-04 3.6E-03
225 2.0 8.0E-04 8.1E-04 1.6E-03
Page 24 of 58
T-SPG-01000, Rev F
Leakage &
Angle Distance Leakage &
Clinically
Leakage Only Maximum
(degrees) (meters) Relevant
Scatter
Scatter
240 2.0 2.2E-03 2.3E-03 2.5E-03
255 2.0 2.6E-03 2.6E-03 3.3E-03
270 2.0 2.2E-03 2.2E-03 3.1E-03
285 2.0 2.4E-03 2.7E-03 7.0E-03
300 2.0 2.6E-03 3.3E-03 8.4E-03
315 2.0 2.1E-03 2.6E-03 7.2E-03
330 2.0 1.9E-03 2.5E-03 7.4E-03
345 2.0 1.2E-03 1.5E-03 6.6E-03
0 1.0 2.7E-03 Not measured 2.1E-02
0 1.5 1.5E-03 Not measured 9.5E-03
0 2.0 8.3E-04 1.1E-03 4.5E-03
0 2.5 5.9E-04 Not measured 2.9E-03
0 3.0 4.7E-04 Not measured 2.2E-03
45 1.0 3.8E-03 Not measured 2.4E-02
45 1.5 3.0E-03 Not measured 1.2E-02
45 2.0 2.1E-03 2.7E-03 6.8E-03
45 2.5 1.4E-03 Not measured 4.5E-03
45 3.0 1.2E-03 Not measured 3.2E-03
180 1.0 3.3E-04 Not measured 1.5E-02
180 1.5 1.8E-04 Not measured 6.0E-03
180 2.0 1.8E-04 4.4E-04 2.6E-03
315 1.0 3.5E-03 Not measured 2.7E-02
315 1.5 3.1E-03 Not measured 1.2E-02
315 2.0 2.1E-03 2.6E-03 7.2E-03
315 2.5 1.3E-03 Not measured 4.8E-03
315 3.0 9.4E-04 Not measured 3.4E-03
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T-SPG-01000, Rev F
Figure 3 Top view of Radixact™ System with angles defined for leakage and patient scatter radiation testing
within the horizontal plane (intersecting the isocenter).
2.1.6 Leakage Radiation near the Head Area with a Static Gantry
Leakage radiation near the head area was measured as a function of angle and distance
from the Bremsstrahlung target with the jaws and MLC closed. This trial was conducted with a
non-rotating (static) gantry. Data were collected using the three techniques outlined above
at 144 locations of interest. The maximum observed leakage values at 1 meter from the target
did not exceed 3.6 x 10-2 %Gy/Gy. The average leakage value at 1 meter from the target was
7.0 x 10-3 %Gy/Gy. T 8 & Figure 4 provide greater details on measurement locations and
results.
Figure 4 Front view of Radixact™ System with ‘leakage radiation heat map’ corresponding to head area
leakage only radiation measurements.
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T-SPG-01000, Rev F
2.1.7 Primary Radiation Transmission through the Lead Beam Stop

Primary radiation transmission through the lead beam stop was measured with the jaws and
MLC at their maximum aperture. We placed a large array of XGBN dosimeters (37 in total
spanning an area of 125 mm x 800 mm) behind the beam stop (1689 mm from the
Bremsstrahlung target). The maximum observed %Gy/Gy value was 8.2 x10-2.
Table 9 %Gy/Gy values during continuous rotation for leakage and scatter radiation (the maximum
observed values)
Primary Beam Stop Transmission
Measurement ID Distance from Target %Gy/Gy %Gy/Gy @ 2 m
Maximum Value 1689 mm Max Value = 0.082 0.059
Anticipated %Gy/Gy with Rotating Gantry (Use Factor = 0.10) 0.0059
Head Leakage
Measurement ID Distance from Target %Gy/Gy %Gy/Gy @ 2 m
Maximum Value 1000 mm 0.036 0.009
Average Value
1000 mm 0.007 0.00175
(144 measurement points)
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T-SPG-01000, Rev F
2.1.8 Tenth Value Layers (TVLs)

The TVL for leakage radiation was previously measured using the standard measurement
setup as described by Nelson and LaRiviere [3]. A cylindrical lead shield was used to reduce
room scatter from contributing to the measurements. The leakage radiation TVL measured in
ordinary concrete (ρ = 2.35 g/cm3) was 290 mm; TVL lead = 57 mm.
Similarly, the TVL for primary radiation was measured, but in this case the ion chamber was
positioned beyond the lead beam stop. The primary radiation TVL measured in ordinary
concrete (ρ = 2.35 g/cm3) was 340 mm; TVL lead = 57 mm.
2.1.9 Discussion and Recommendations

Leakage only radiation (jaws and MLC closed; no solid water phantom) was at a maximum
near the plane of gantry rotation. Primary radiation transmission through the lead beam stop,
when modified for gantry rotation (Use factor = 0.10), was negligible compared to head
leakage values. We conservatively estimate that the primary beam stop reduces
transmission by 10-3 at isocenter. Leakage and full scatter radiation at two meters from
isocenter, in the horizontal plane, is at a maximum at +/- 60º from the couch centerline (60º
and 300º). However, the full scatter conditions used during this study with an isocenter beam
projection of 5 x 40 cm2 is not clinically relevant.
Considering that head leakage and primary beam stop transmission were contributing to
leakage and scatter radiation measurements when the jaws and MLC were set to simulate a
clinically relevant IMRT factor of 16, the angular specific leakage values listed in Table 9 are
most appropriate for determining therapy vault shielded barrier thickness requirements. The
values in Table 9 have been adjusted upward by 10% to account for measurement
uncertainty and potential system variances. The leakage and scatter fractions at 1 meter
from isocenter (listed in Table 9) were calculated using the inverse square law and are based
on the leakage and scatter fraction values measured at two meters. The inverse square law
applies to Radixact™ System at distances applicable to therapy vault shielding design (dose
points > 3.0 meters from isocenter). See example equations and calculations (next page).
Additional conservatism will be achieved by applying the “two source rule” or “add HVL rule”
that is applicable when the calculated, required barrier thickness is comparable among two
or more sources of radiation (primary, scatter and/or leakage).
Table 10 Fraction (not percentage) of secondary radiation (relative to calibrated reference beam) for
various room angles and radial distances that are most applicable to therapy vault shielding
design.
Leakage Radiation Only Leakage & Clinically Clinically Relevant
Angle (degrees)
@1m Relevant Scatter @ 1 m Scatter Only @ 1 m
0 3.63E-05 4.98E-05 1.35E-05
15 5.25E-05 6.88E-05 1.63E-05
30 7.12E-05 1.06E-04 3.45E-05
45 9.08E-05 1.20E-04 2.92E-05
60 1.17E-04 1.27E-04 9.67E-06
75 9.38E-05 1.29E-04 3.49E-05

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90 9.46E-05 1.13E-04 1.84E-05
105 1.11E-04 1.15E-04 4.18E-06
120 9.28E-05 9.40E-05 1.23E-06
135 3.80E-05 3.95E-05 1.53E-06
150 2.27E-05 3.59E-05 1.32E-05
165 9.43E-06 2.90E-05 1.96E-05
180 8.03E-06 1.96E-05 1.15E-05
195 1.07E-05 2.70E-05 1.63E-05
210 2.44E-05 3.87E-05 1.43E-05
225 3.53E-05 3.55E-05 1.27E-07
240 9.80E-05 1.02E-04 3.76E-06
255 1.16E-04 1.14E-04 1.00E-07
270 9.88E-05 9.87E-05 1.00E-07
285 1.03E-04 1.19E-04 1.57E-05
300 1.14E-04 1.47E-04 3.26E-05
315 9.14E-05 1.13E-04 2.18E-05
330 8.48E-05 1.08E-04 2.32E-05
345 5.41E-05 6.69E-05 1.28E-05
Sample Equations and Calculations (at 90º) for Barrier Thickness Requirements
Bscat (scatter) = (P * d2) / (Ψ * WL * T);

Bleak (leakage) = (P * d2) / (Ψ * WL * T);
Bpri = (P * d2) / (Wpri * BSR * U * T);
n(TVL) = - log (B)
B = Barrier Transmission Factor for leakage, scatter or primary radiation: Bleak; Bscat; Bpri
Ψ = Radixact™ System angular specific leakage or scatter fraction at 1 m (Table9).);
note: Ψscat is“clinically relevant scatter” and incorporates a modulation factor of 16 MU/cGy;
therefore, the leakage workload (WL) is appropriate.
WL = 1.02 x 104 Gy/wk
Wpri = 4.59 x 102 Gy/wk (IMRT Factor = 16; adjusted to 1m)
P = 1 x 10-4 Sv/wk (controlled or restricted area, non-public)
Page 29 of 58
T-SPG-01000, Rev F
d = distance from isocenter to a dose point of concern

U = use factor to account for primary beam workload directed at a given barrier
T = occupancy factor (adjacent vault = 1/2)
BSR = Beam Stop Reduction Factor at isocenter (1 x 10-3)
n(TVL) = the number of tenth value layers required
Assuming a dose point of interest located 4 m from isocenter in an adjacent vault 90o; Ψleak = 9.46 x
10-5; Ψscat = 1.84 x 10-5; U = 0.10; T = 0.5; P = 1 x 10-4 Sv/wk
BLeak = (P * d2) / (Ψleak * WL * T) = 0.00332 => nTVL = 2.48
Bscat = (P * d2) / (Ψscat * WL * T) = 0.017 => nTVL = 1.76
Bpri = (P * d2) / (Wpri * BSR * U * T) = 0.070 => nTVL = 1.16
2.1.10 References
1) Balog, J., et al. Multileaf collimator interleaf transmission. Med Phys., 26 (2), 1999.
2) National Council on Radiation Protection and Measurements, 2005. NCRP 151: Structural
shielding design and evaluation for megavoltage x- and gamma-ray radiotherapy
facilities (Bethesda, MD: National Council on Radiation Protection and Measurements).
3) Nelson, W.R. and P.D. LaRiviere. Primary and leakage radiation calculations at 6, 10, and
25 MeV. Health Phys. 47 (6), 811-18, 1984.
2.1.11 Other Shielding Consideration

During Schematic Development for the Radixact™ System, consideration should be taken of
the proximity to Magnetic Resonance Imaging (MRI) units and other magnetic field
generating equipment. Magnetic fields in the proximity of the Radixact System may impact
the beam steering of electron accelerators. The Radixact™ System shall not be installed in
any location where the magnetic field can be greater than 100 µT (1 Gauss) in any
orientation.
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T-SPG-01000, Rev F
3.0 Room Specifications

3.1 Treatment Room
Figure 5 Reference picture for room dimensions
3.1.1 Floor Space

Recommended: The recommended dimensions for the treatment room are 25 ft long (B) x 17
ft wide (C) (7.6m x 5.2 m) between the finished walls. If you are including an equipment room
for the PDU behind the vault, please add a minimum of 5 ft in length (1.5 m) but the PDU
cannot exceed 35 ft (10.7 m) from the back of the gantry. The recommended dimensions will
provide ample space for sink, countertops, and storage cabinets. Facility design to ensure
adequate access and clearances around the Radixact™ couch for patient beds. Do not use
floor covering that produces static electricity to cover the floors in the Treatment Vault. Select
an ion-resistant, antistatic carpet or a carpet treated with an anti-static solution.
Minimum: The minimum dimensions for the treatment room are 19 ft - 9 in long (B) x 15 ft – 2
in wide (C) (6.02 m x 4.62 m) between the finished walls.
3.1.2 Ceiling Cap Height

Recommended: 9 ft 10 in (3 m) or greater between finished floor and rough ceiling cap
(whether concrete or steel). This is the absolute minimum dimension acceptable to allow for
HVAC, lighting, etc. between the finished ceiling and the ceiling cap.
Finished Ceiling Height: Minimum ceiling height over the Radixact™ System gantry is 9’-0”
(2700 mm) (A) height between the finished floor and finished ceiling.
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T-SPG-01000, Rev F
3.1.3 Minimum Door Clearance

Noted below are the required rigging clearances for installation:
Minimum Clearances: 4 ft (1220 mm) wide x 7 ft (2082 mm) tall for rigging on wheels
(standard option), at least 8 ft (2130 mm) tall for rigging on skates (depends on the skates’
design)
3.1.4 Recommended Equipment Orientation within the Treatment Room

Your Accuray Project Manager or Accuray Distributor Project Manager will help to determine
the optimal orientation for your Radixact™ System based on:
• Ease of patient loading
• Exact system configuration
• System clearances
• Shielding considerations
• Ease of access to sinks and cabinets
• Customer preferences
3.2 Control Room

3.2.1 Recommended Floor Space
150 square ft (14 m2) will provide adequate counter space for at least 2 people and 3 – 4
workstations. This room should be large enough to easily accommodate 4 – 5 people during
training and go-live activities. Do not use floor covering that produces static electricity to
cover the floors in the Control Room. Select an ion-resistant, antistatic carpet or a carpet
treated with an anti-static solution.
3.2.2 Recommended Location

The Control Room should be located within view of the Treatment Room door and should be
designed in accordance with the facility private healthcare information policy and local
healthcare informant privacy regulations. Cable lengths to the Treatment vault will limit the
distance. Note: Refer to the site-specific drawings for actual distances.

Standard door clearances are acceptable for moving equipment into the Control Room.
NOTE: If the Mechanical Room is located off of the Control Room, the door into the Control
Room must meet the same minimum door clearance as the Mechanical Room to
accommodate the designated equipment.
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3.3 iDMSTM Data Management System Server Room

45 square feet (4.2 m2).
3.3.2 Fixed Rule about Floor Space

Additional floor space must be built into the iDMSTM System Server Room for any customer-
supplied equipment such as power conditioners (voltage stabilizers), floor mounted air
conditioning units, data and server equipment, phone equipment, storage cabinets, etc.
Service access and regulatory requirements must be considered when planning for
adequate space around each piece of Accuray or customer-supplied equipment.

The iDMSTM System Server Rack can be located anywhere in the facility. Refer to the Network
System Requirements document for maximum cable length between the iDMSTM System and
the Treatment Delivery Console (TDC) and Accuray Precision™ System.
3.3.4 Minimum Finished Ceiling Clearance

7 ft (2134 mm) between finished floor and finished ceiling.

3 ft wide x 7 ft high (900 x 2134 mm) for rigging the equipment into the iDMSTM System Room,
door clearances for the rig path need to be 82-83 inches, the United States standard
measurement.
NOTE: The iDMSTM System Server Room door(s) must be secure, ensuring that the room
cannot be accessed during treatment by anyone other than trained operators.
3.4 Mechanical Room

160 square feet (15 m2)
3.4.2 Fixed Rule about Floor Space

Additional floor space must be built into the Mechanical Room for any customer-supplied
equipment such as transformers, power conditioners (voltage stabilizers), floor mounted air
conditioning units, data and server equipment, phone equipment, storage cabinets, etc.
Service access and regulatory requirements must be considered when planning for
adequate space around each piece of Accuray or customer-supplied equipment.
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T-SPG-01000, Rev F

The mechanical room should be located near the treatment vault.
3.4.4 Minimum Finished Ceiling Clearance

7 ft (2.135 m) between finished floor and finished ceiling.

3 ft wide x 7 ft high (914 x 2134 mm) for rigging the equipment into the Mechanical Room, door
clearances for the rig path need to be the United States standard measurement of 82–83 in.
NOTE: The Mechanical Room door(s) must be secure, ensuring that the room cannot be
accessed during treatment by anyone other than trained operators.
3.5 Accuray PrecisionTM System Room(s)

Insure enough workspace for two or more workstations and a desktop color laser printer.
Accuray will attempt to show the exact number of purchased workstations on the customer
site-specific drawings. Otherwise, we will show a generic workspace. Contact your Accuray
Project Manager for additional information.

The Accuray PrecisionTM System can be located anywhere in the facility. The distance
between the Accuray PrecisionTM System and the iDMSTM System will determine which network
cabling option is required. See the Network System Requirements for more information.

Standard door clearances are acceptable for moving equipment into the Accuray PrecisionTM
System.
3.6 Sample Drawings

The following two illustrations show two typical floor plan layouts. For a complete package of
sample drawings and design details, please contact your Accuray Regional Project Manager.
Legend:
A = Treatment Room (vault)
B = Treatment Delivery Console
C = iDMSTM System Room
D = Accuray PrecisionTM System Room
E = Mechanical Room
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Figure 6 Typical Radixact™ System Floor Plan with Maze Walkway
Figure 7 Typical Radixact™ System Floor Plan without Maze Walkway
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T-SPG-01000, Rev F
4.0 Electrical and Environmental Requirements

4.1 Electrical Requirements
4.1.1 Power Monitoring Expectations
1. New customers are responsible for initiating a power monitoring study to understand
existing power conditions.
2. Accuray will provide a power monitoring study for Trade In-Trade Up (TITU) customers on
a service contract (US Only).
3. The Customer’s electrical engineer will evaluate the power monitoring results and the
decision related to the purchase of a power conditioner/ Uninterrupted Power Source
(UPS). The customer is responsible for the maintenance of that equipment.
4. During planning and project execution, the Accuray Project Manager will schedule a
dedicated site-specific environmental meeting.
4.1.2 Facility-Supplied and Installed Equipment

The table below lists the electrical equipment that the facility must supply and install.
Table 11 Facility-Supplied Equipment
Equipment Specifications Installed by
Shunt trip breaker required. If the main disconnect

Main Disconnect Panel for cannot be placed at the Control Room, contact the
Facility
incoming power Accuray Project Manager to review alternatives. Refer
to table 13 to establish disconnect breaker settings.
Emergency Off and

Push to operate, twist to reset. Facility
Emergency Stop Buttons
Door/Entrance Switch Local regulations/facility requirements. Facility
System Status Indicators Incandescent bulbs, 40 to 200 W fluorescent bulbs,

fluorescent lamp with electronic or inductive ballast, or
(System Power On, Room Facility
auditory indicators. NOTE: Some LED displays may not
Ready, Radiation On,
function correctly with solid state relays. Check with
Standby).
manufacturer of LED display before purchasing.
Thermostats 2°F /1°C response Facility
Alarm activated if iDMSTM System room temperature

Temperature Sensors Facility
exceeds 68°F (20°C).
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T-SPG-01000, Rev F
Junction Boxes and

Local regulations/facility requirements. Facility
Receptacles
Power and Signal Conduits Local regulations/facility requirements. Facility
Electrical Trenches Local regulations/facility requirements. Facility
Lighting Local regulations/facility requirements. Facility
Fire Safety Equipment Local regulations/facility requirements. Facility
Emergency Power System

Configured to meet system power requirements. Facility
(optional)
Power Conditioner
Double conversion configured to meet system power
(option for 60 Hz mains Facility
requirements.
power sites)
Physics Conduit Local regulations/facility requirements. Facility
Closed-Circuit TV
Local regulations/facility requirements. Facility
Cameras
Frequency Converter
(Required for 50 Hz mains Configured to meet system power requirements. Facility
power sites)
Facility Supplemental Air

Zero cross relay Facility
Relay
4.1.3 Incoming Electrical

The Accuray-supplied Power Distribution Unit (PDU) supplies power to components in the
Treatment Vault and the Control Room. Power must be derived directly from a main
distribution panel and be dedicated to the Radixact™ System. Any peripheral devices must be
powered directly by facility power and not through the PDU; for example:
• Accuray-supplied printers
• Lasers
• The Accuray PrecisionTM System workstation components
 Any facility-supplied devices such as cameras, viewing monitors, and system-
status indicators.
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T-SPG-01000, Rev F
Table 12 Power source for Radixact™ System and facility-supplied components
Equipment PDU Power Facility Power
Power Distribution Unit (PDU) X
Gantry and Patient Table X
Control Room computer components (except

X
printer)
Accuray Precision™ workstation components X
Apollo Lasers (2) X
*iDMSTM System Rack X
Dorado Lasers (5) X
Accuray-supplied printers X
Facility-supplied Door Interlock switch n/a Low-voltage signal n/a
Facility-supplied System Status Indicators X
Facility-supplied CCTV X
Facility-supplied Viewing Monitors X
Facility-supplied optional Frequency Convertor Unit

X
(Required for 50Hz mains power site)
Facility-supplied Power Conditioner

X
(Option for 60 Hz mains power site)
NEIS (Noise Eliminating Intercom System) X
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T-SPG-01000, Rev F
4.1.4 Input Power Requirements
Table 13 Input Power Requirements
Requirements
Power Factor 0.90 at maximum level
Power Rating 50 kVA maximum
For all routings, dedicated earth ground (conductor) should be at least the
same size as the power wires. Do not use electrical conduits or electrical
Grounding Conductor
raceways as the sole grounding conductors. Add a ground electrode to the
PDU.
Locate power conditioners, step-down transformers or isolation transformers

Transformers
close to the Treatment Vault.
Do not locate electrical conduit or junction boxes under the gantry or patient
Conduit
table anchor locations.
Lighting Ensure that all lighting fixtures remain outside of the equipment service areas.
Emergency power supply is not required for the Radixact™ System. If you do
establish an emergency power supply, use the same power requirements that
are specified for the PDU. Also, provide emergency power for all HVAC systems
Emergency Power that support the Radixact™ System. It is critical that room temperature be
maintained when operating the Radixact™ System. If facility power is lost,
there will be an interruption in voltage during transfer to emergency power
and, therefore, an interruption in treatment.
Page 39 of 58
T-SPG-01000, Rev F
Table 14 PDU Power Requirements
Power
Input Frequency 60 +/- 2Hz
480 VAC line voltage, 3 Phase Delta Configuration. Other voltages allowed with approval:
Nominal Input 380, 400, 415, 440, 460 VAC.
Voltage Unloaded Voltage Range: +5% nominal voltage with no load
Loaded Voltage Range: +/-5% nominal voltage at full load
4 AWG (25 mm2) wire per phase and 4 AWG (25 mm2) wire for ground, minimum. Use the
same size as the phase conductors. Rated for 194°F (90°C) The PDU accepts up to #2/0
Input Power AWG (70 mm2) Encase incoming power in a 2” diameter (50 mm maximum) connector
Cable to the face of the PDU. The facility-contracted electrician must provide separation by
means of flexible conduit within the PDU junction box for exposed wire. The input wire
gauge should be sized for voltages/currents shown in table below and meet local codes.
Phase Balance Phase voltages balanced within 2%
Reference the table below for the PDU main circuit breaker settings for a given facility
input voltage.
Circuit breaker CB1 settings
Main Circuit Input Voltage Ir (Amps) tLD (s) ISD (x lr)
Breaker or 380 VAC "H" 100 A "2" "2"
Disconnect
400 VAC "G" 90 A "2" "2"
415 VAC "G" 90 A "2" "2"
440 VAC "G" 90 A "2" "2"
460 VAC "F" 80 A "2" "2"
480 VAC "F" 80 A "2" "2"
The local ground should have an earth ground conducted impedance of 25 Ohms or
less. Use dedicated safety grounds that are not used for grounding any functional
currents from other equipment. Wiring must comply with local and national codes for
Grounding Input
safety ground conductors. The PDU requires a local grounding electrode for optimal
Conductors
equipment performance. Use building steel, metal water pipe, or grounding rod. If water
pipe is used, it must have ground exposure for a minimum of 10 ft (3.05 m).
Important: Do not use any pipe related to gas supplies as a grounding electrode.
Page 40 of 58
T-SPG-01000, Rev F
4.1.5 Treatment Room Component Minimum Power Recommendations
Table 15 Treatment Room Components Minimum Power Requirements
Component Power Power Supplied by
Gantry 400 VAC, 3-phase Accuray PDU
Patient Table 230 VAC, 3-phase Accuray PDU
Power Distribution Unit (PDU) See Table 3 Facility
Apollo Lasers North America: 120 VAC, 1 phase Facility

International: 240 VAC, 1 phase
North America: 120 VAC, 1 phase

Dorado Lasers International: 240 VAC, 1 phase. Facility Facility
must provide over- current protection
System Status Indicators (System 8A maximum 50/60 Hz, 48-240 VAC

Power On, Room Ready, Radiation Facility must provide over-current
Facility
On and Standby) protection for all three indicator
outputs.
Frequency Convertor Unit (for 50 Typically, 380 – 400 VAC input in EIMEA
Facility
Hz mains power facilities) region, Japan – 200 VAC, adjustable
Facility Supplemental Air Relay Coil: 50/60 Hz, 24-240 VAC Facility
4.1.6 iDMSTM and/or Standby iDMSTM System Room Component Minimum Power
Recommendations
Table 16 iDMSTM and/or Standby iDMSTM System Room Component Minimum Power Requirements
Facility-Supplied Power/ Rated Component

Component
Power
Cluster rack circuit 1 200-240 VAC, 20 A, 50/60 Hz
Cluster rack circuit 2 200-240 VAC, 20 A, 50/60 Hz
4.1.7 Conduits
Power cables must be separated from signal cable. Install dedicated conduits from the PDU
to the Radixact™ System components.
Page 41 of 58
T-SPG-01000, Rev F
Due to the complexity and variety of requirements of local, state, and country electrical
codes, facility-employed electrical contractors must determine the size of input conduit and
the actual layout of embedded electrical conduits that meet both code requirements and
Accuray specifications.
4.1.8 Component Minimum Power Recommendations
Table 17 System Wiring
Wiring from Wiring to Details
Power and Signal

Main Bunker Ground
Conduits
Facility-supplied PDU junction box Must meet local regulations. (24-10 AWG)
System Status Accuray recommends that facility wires be
Indicators (System comprised of insulated conductors with an
Power On, Room overall cable jacket. Do not use or coil
Ready, Radiation On excessive cable length to avoid introducing
and Standby) noise that could interfere with the SSI signals.
Label the wire ends accordingly: System
Power On, Room Ready, and Radiation On. Pull
the wires to the front of the PDU via the
electrical trench. Accuray will make the
connection to the PDU.
Facility-supplied zero PDU Junction Box 240 V, 10 A (PDU Relay Rating) Must meet local
cross relay coil regulations. (24-10 AWG) Accuray
reference recommends that facility wires be comprised
of insulated conductors with an overall cable
jacket. Do not use or coil excessive cable
length to avoid introducing noise that could
interfere with the SSI signals. Label the wire
ends accordingly: Facility Temperature
Control Relay. Pull the wires to the front of the
PDU via the electrical trench. Accuray will
make the connection to the PDU.
Door/Entrance PDU 24 VDC, 3 A

Interlock For safe machine operation and compliance
with local regulations, install a normally open
switch. Use minimum 20 AWG (0.5 mm2)
Page 42 of 58
T-SPG-01000, Rev F
shielded, twisted-pair wire or wire specified

by local regulations. Pull the wire back to the
PDU junction box. Accuray will make the final
connection.
Power for Dorado & Facility power 110/240 VAC, 20 A (Dorado Laser Rating)
Apollo Lasers Use 14 AWG (2.5 mm2) wire in a line / neutral /
ground configuration. Lasers wired in parallel
to the JB3 ceiling junction box, then wired in
series from this box to the PDU. This is a series
parallel circuit. The Dorado Lasers are
switched by the PDU.
Apollo Laser Rating 110/240 VAC 15 A. Switched
by facility switch on wall.
Emergency Stop PDU Set the switch in the normally closed position.
Buttons Use twist-to-reset style, wired in series.
24VDC, 3A.
Use minimum 20 AWG (0.5 mm2) shielded,
twisted-pair wire or gauge specified by local
regulations.
Pull the end wire back to the PDU junction box.
Accuray will make the final connection.
Emergency Off Button Shunt trip breaker in Main

Disconnect
4.1.9 Lighting
Install lighting outside the service clearance areas. Ensure that lighting is operational before
the system is installed. Accuray recommends:
• Fixtures which are flush with the finished ceiling.
• A combination of incandescent and fluorescent lighting.
• Dimmers to control light levels at the Control Room and in the Treatment Vault.
4.2 Environmental Requirements

4.2.1 Facility Supplied Items
The table below lists the mechanical equipment that the facility must supply and install.
Page 43 of 58
T-SPG-01000, Rev F
Table 18 Facility Supplied Equipment
Equipment Specifications Installed by
Treatment Vault HVAC Facility

Capable of cooling to 68-75°F (20-24°C).
equipment
iDMSTM System Room HVAC Facility

Capable of cooling to 68°F (20°C).
equipment
Remote temperature-monitoring Alarm activated if iDMSTM System room

Facility
system or temperature alarm temperature exceeds 68°F (20°C).
Air Compressor, tank, and dryer See specifications below. Facility
Fire Safety Equipment Local regulations/facility requirements Facility
Floor Pit Moisture Sensor Sensor: Comply with local regulations/facility Facility
requirements
4.2.2 Treatment Room HVAC

A dedicated Heating Ventilation and Air Conditioning (HVAC) system is required to maintain
the environmental specifications. An acceptable alternate would be to dedicate a separate
zone on the facility HVAC system. Environmental specifications to be maintained 24/7.
Table 19 Treatment Room environmental requirements
Heat output 51228 BTU/h (15 kW) (sensible only)
Room Temperature 68-75°F (20-24°C)
Relative Humidity 30-60%, non-condensing
Supply Air Temperature

55°F (12.8°C)
(maximum)
NOTE: Of the 51,228 BTU/h (15 kW) heat output in the Treatment Vault, the gantry generates
up to 48,837 BTU/h (14.3 kW) and the PDU generates up to 2391 BTU/h (0.7 kW). If you place
the PDU in an equipment room that is separate from the Treatment Vault, consider the
heatoutput of all components in that room, including the added heat output of the PDU,
when determining cooling needs. These numbers only represent the sensible heat load,
and
Page 44 of 58
T-SPG-01000, Rev F
additional margins must be accommodated in the calculations to satisfy additional

latentheat loads that are largely dependent on HVAC system losses and the ambient
humidity for that geographic location.
4.2.3 Thermostat Location

Install a dedicated thermostat behind the machine isocenter on the wall and 5 ft (1530 mm)
above the finished floor as per the site drawings.
The thermostat should have a 2°F/1°C response range.
4.2.4 Return Air Duct

Install two or more return-air vents above the patient table. Air vents should be placed
approximately 4-5 ft (1-2 meters) from the machine isocenter.
4.2.5 Gantry Supply Air

Provide dedicated cooling unit if possible. Install three supply-air vents behind the gantry for
the cooling air intakes. Supply 95% of the coldest air (preferably 55°F / 12.8°C) to the cooling
air intakes. Provide a separate thermostat for gantry supply air.
4.2.6 Vault Supply Air

For patient comfort, provide patient side supply-air vents from the facility HVAC system.
Provide a separate thermostat if for vault supply air.
4.2.7 Supplemental Air

Facility to provide 55°F (12.8°C) supplemental air flow greater than 264 CFM (449 m3/h).
Install an under-slab 12 in x 10 in (305 mm x 200 mm) air duct or 12 in (305 mm) round (or
equivalent minimum cross-sectional area) PVC duct to the underside of the gantry covers.
Route the duct under the slab and terminate no more than 2 in (50 mm) total height above
the finished floor 2 ft- 5 in (736 mm) from isocenter (see M-101 of the Accuray site-specific
drawings).
Leave open the exposed portion of the air duct under the gantry covers and include a debris
screen. Facility to provide a relay from Supplemental Air Unit back to the PDU Junction Box to
turn on/off the air. A damper placed on the duct is another acceptable solution. See site-
specific drawings for further information.
4.2.8 Facility Standby

The standby power relay will interface with the facility supplemental colling unit, which
supplies cool air underneath the Radixact system covers. The added relay will enable the
Radixact System to shut off this cool air supple while the system is not in operation. The new
Page 45 of 58
T-SPG-01000, Rev F
relay cabling will interface with the Radixact Power Distribution Unit (PDU). See site-specific
drawings for further information.
4.2.9 Treatment Room HVAC Design Summary

The Radixact™ System gantry is air cooled. It has two air intakes at the backside of the gantry
built into the cosmetic covers. The cooling air is supplied to the rear of the gantry through
(quantity 3) ceiling mounted vertical discharge supply grilles. The supplied cooling enters the
gantry intake grilles, cools the equipment, and then is discharged from the top of the gantry
through two built-in grilles, towards the ceiling return diffusers. The location of the return
grilles is important as it’s critical to not allow the discharged air to re-circulate to the intakes
at the rear of the gantry. The gantry discharges approximately 2028 cfm (3446 m^3/h) (the
gantry pulls in 1764 cfm (2997 m^3/h) of room air plus a minimum of 264 cfm (449 m^3/h) of
supplemental air delivered at the bottom of the gantry) so it’s critical to supply the quantity
of cooling outlined above. The actual required air volume is to be calculated by the
customer’s HVAC engineer. The Air Handle Unit (AHU) that supplies cooling to the gantry
should be on a dedicated thermostat separate from the vault supply thermostat. The
recommended location of the thermostat is described above as well as contained on the
Accuray site-specific drawings.
Figure 8 Radixact™ System Gantry HVAC Schematic
4.2.10 Control Room

There are no special environmental requirements with regards to the Radixact™ System in the
Control Room.
Page 46 of 58
T-SPG-01000, Rev F
4.2.11 iDMSTM System Server Room

Place the iDMSTM System Server components in a dedicated room that can be independently
temperature-controlled. The iDMSTM System components generate an average combined
heat output of 18,000 BTU/h ((5.28 kW) sensible only). Install a dedicated HVAC system on 24-
hour operation with emergency power backup. Install a thermostat with 2°F /1°C response
range within 4 ft (1220 mm) of the iDMSTM System Rack if the requirements cannot be met
shown in Table 19.
Table 20 Server Room environmental requirements (Primary or Standby)
Heat output 18,000 BTU/h (5.3 kW) (sensible)
Room Temperature 68°F (20°C) or cooler
Relative Humidity 30-60%, non-condensing
Supply Air Temperature

53°F (12°C)
(maximum)
NOTE: These numbers only represent the sensible heat load, and additional margins must
be accommodated in the calculations to satisfy additional latent heat loads that are
largely dependent on HVAC system losses and the ambient humidity for that geographic
location.
4.2.12 Remote Monitoring

1. Install a remote temperature-monitoring system or temperature-activated alarm. If the
iDMSTM System room becomes overheated, you will have less than two hours to perform
a controlled shut down of the Radixact™ System. A temperature-monitoring system will
alert you and allow you to respond quickly to overheating. Mechanical Room
2. The Mechanical Room houses the oil-free air compressor, air tank, dryer, and filter. For 50-
Hz sites, it also holds the Frequency Converter Unit (FCU) & the 60 Hz Power Conditioner if
being used. The Mechanical Room should include an acoustical barrier due to noise
generated by the equipment if located near patient areas.
4.2.13 Accuray PrecisionTM System Room(s)

There are no special environmental requirements with regards to the Accuray Precision™
workstation in the Accuray PrecisionTM System room.
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T-SPG-01000, Rev F
5.0 Other System Implementation Considerations

5.1 Synchrony® Respiratory Tracking System
Description: The Synchrony® Camera is used to track, detect and correct for respiratory
motion. It is attached to a strut mounted to the vault ceiling near the foot of the treatment
couch or to a wall bracket if there is a wall close to the foot of the couch. The camera should
be centered on the long axis of the couch.
5.1.1 Synchrony Mounting Options

Description: The camera wall mount supplied by Accuray and installed by contractor. The
preferred method is a single vertical strut 12'-8" (3868 mm) up to 13'-5 3/4" (4108 mm) from
Iso-Center to a mounting base attached to the ceiling. If the wall is slightly beyond this
distance, the customer may choose to add additional structure to the wall to close the gap or
use the ceiling mounting option. The Synchrony ceiling mount system consists of several
linkages, struts and mounting bases provided by Accuray and is intended to accommodate
different ceiling constructions and overhead equipment.
Site planning considerations: The camera requires one cable to be routed to the back of the
gantry. The cable is 28 meters in length and has a maximum diameter of 12mm. The cable is
plenum rated. A junction box or conduit or other cosmetic cover is recommended near the
mounting plate to route the cable into.
5.2 Patient Positioning Lasers

Description: A laser positioning system is mounted in the RadixactTM System room to
accurately position patients on the table. The five Dorado lasers and two Apollo lasers are
mounted on the treatment room walls and ceiling.
Page 48 of 58
T-SPG-01000, Rev F
Figure 9 Required Routing of Laser Conduits
5.2.1 Laser Mounting Plates

Laser mounting plates must be spaced 1/2 in (12 mm) off any concrete surface. Five Dorado
lasers and two Apollo lasers will be mounted to the walls and ceiling of the Treatment Room
by Accuray. To prepare for laser installation, provide and install 3/8 in (10 mm) aluminum or
1/4 in (6 mm) steel laser mounting plates either directly on the wall and ceiling surface or in
recessed openings. Lasers are used to help accurately position the patient, so it is important
to install the laser mounting plates precisely in the positions listed in this guide. See the
Accuray site-specific drawings for clearance and mounting information, and laser cabinet
and laser guard specifications. If you protect the lasers with cabinets or doors, keep the
openings free from obstructions. Do not insert windows into the cabinet or door openings.
Page 49 of 58
T-SPG-01000, Rev F
As you plan for construction or renovation, consider which of the three mounting options
described below will work best for the site.
5.2.2 Fully Recessed Openings

Recommended to provide fully recessed openings within the finish walls for the lasers.
Consider providing additional protection by installing doors over the lasers.
5.2.3 Partially Recessed Openings

If the Treatment Vault lacks enough available space for a fully recessed opening, consider
constructing a partially recessed open. You can provide additional protection for the lasers
by constructing cabinets around them.
5.2.4 Surface
When a recessed opening is not feasible, you must mount the laser plates to the wall and
ceiling surfaces. Construct cabinets around the lasers or install laser guards to ensure their
protection.
NOTE: If you plan to install doors over the lasers, a facility physicist must mark the position
of the openings in the cabinet doors, with help from the Accuray Installation Technician,
and a facility contractor must cut the door openings to allow the 60º divergent laser beam
projection.
5.2.5 Surface-Mounted Lasers

Construct the mounting surface with unistrut or concrete.
Install steel bars or a plastic laminate enclosure on either side of wall-surface-mounted
lasers to protect them. An 8 in (200 mm) minimum recessed laser guard is required.
Page 50 of 58
T-SPG-01000, Rev F
Table 21 Surface-Mounted Laser Plate Locations
Laser Vault Location Plate/Surface Placement
Apollo Ceiling 18 in x 12 in x 1/4 in thick Centered on the ceiling at virtual

Overhead steel or 3/8 in isocenter 2 ft 3.5 in (700 mm) from the
aluminum (457 mm x machine isocenter.
305 mm x 6 mm thick
steel or 10 mm
aluminum)
Apollo Gantry Wall behind the 18 in x 12 in x 1/4 in thick Vertical, centered at isocenter height 3
Rear gantry steel or 3/8 in ft 8.25 in (1124 mm) above the finished
aluminum (457 mm x floor.
305 mm x 6 mm thick
steel or 10 mm
aluminum)
Dorado Ceiling 42 in x 16 in x 1/4 in thick Centered on the ceiling, 5 ft (1524 mm)

Overhead steel or 3/8 in in front of the machine isocenter.
aluminum (1067 mm x
406 mm x 6 mm)
Dorado Each wall to the left 42 in x 16 in x 1/4 in thick Vertical, centered at virtual isocenter 2
Vertical Side and right side of steel or 3/8 in ft 3.5 in (700 mm) from the machine
(2) the gantry aluminum (1067 mm x isocenter. Install so that the center of
406 mm x 6 mm thick the plate is 3 ft 8.25 in (1124 mm.) above
steel or 10 mm the finished floor.
aluminum)
Dorado Each wall to the left 42 in x 16 in x 1/4 in thick Horizontal, centered at virtual isocenter
Horizontal and right side of steel or 3/8 in 2 ft 3.5 in (700 mm) from the machine
Side (2) the gantry aluminum (1067 mm x isocenter. Install so that the center of
406 mm x 6 mm thick the plate is 12 in (305 mm) minimum
steel or 10 mm below the ceiling.
aluminum)
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T-SPG-01000, Rev F
5.2.6 Recessed-Opening-Mounted Lasers

If the facility plans to install the lasers in recessed openings, follow the guidelines listed in the
table below to determine the size of the openings.
The finished wall must not overlap the mounting plate. The plate must remain independent of
the furred-out wall.
Table 22 Treatment Room laser opening dimensions
Laser Vault Location Clear Opening Size Clear Recess Depth
Apollo Ceiling 18 in x 12 in At least 10 in (254 mm.) from the steel

Overhead (457 mm x 305 mm) mounting plate to the ceiling plane.
Apollo Gantry Wall behind the 18 in x 12 in At least 8 in (200 mm) from the
Rear gantry (457 mm x 305 mm) mounting plate to the recess opening
on the wall plane or laser-box door.
Ceiling At least 10 in (254 mm) from the

Dorado 42 in x 16 in
mounting plate to the dropped ceiling
Overhead (1067 mm x 406 mm) plane.
Dorado Each wall to the left At least 8 inches (200 mm) from the
42 in x 16 in
Vertical Side and right side of the mounting plate to the recessed
(2) gantry (1067 mm x 406 mm) opening on the wall plane.
Dorado Each wall to the left At least 8 inches (200 mm) from the
42 in x 16 in
Horizontal and right side of the mounting plate to the recessed
Side (2) gantry (1067 mm x 406 mm) opening on the wall plane.
5.3 Radixact™ System Shipping and Rigging Considerations

The following table lists typical crate measurements for any rigging or storage purposes.
NOTE: These measurements and weights may vary or change over time.
Table 23 Crate Sizes and Weights for Shipments

Actual
Item Length Width Height
Weight
121 in 62 in 93 in 4284 kg
Gantry
307 cm 157 cm 236 cm 9425 lbs
36 in 49 in 70 in 337 kg
iDMSTM System Server Rack 91 cm 125 cm 178 cm 743 lbs
123 in 41 in 45 in 667 kg
Radixact™ System Couch 312 cm 104 cm 114 cm 1467 lbs
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T-SPG-01000, Rev F
Actual
Item Length Width Height Weight
35 in 31 in 79 in 598 kg
PDU
89 cm 79 cm 200 cm 1318 lbs
77 in 24 in 82 in 310 kg
Gantry Back Section
195 cm 61 cm 208 cm 682 lbs
24 in 24 in 27 in 111 kg
DI Water
61 cm 61 cm 68 cm 244 lbs
Cover Set on wheels Radixact™ System 92 in 60 in 81 in 323 kg
crate 1 234 cm 152 cm 206 cm 710 lbs
crate 2 198 cm 178 cm 221 cm 981 lbs
crate 3 267 cm 79 cm 244 cm 778 lbs
45 in 35 in 40 in 247 kg
Accessory E 114 cm 89 cm 101 cm 543 lbs
45 in 35 in 40 in 132 kg
Accessory F 114 cm 89 cm 101 cm 290 lbs
45 in 35 in 40 in 150 kg
Accessory G 114 cm 89 cm 101 cm 330 lbs
45 in 35 in 40 in 164 kg
Accessory H 114 cm 89 cm 101 cm 361 lbs
45 in 35 in 56 in 189 kg
Accessory J 114 cm 89 cm 142 cm 416 lbs
45 in 35 in 40 in 130 kg
Accessory O 114 cm 89 cm 101 cm 286 lbs
45 in 35 in 40 in 112 kg
Accessory W2 114 cm 89 cm 101 cm 247 lbs
45 in 38 in 31 in 106 kg
Accessory R2 114 cm 97 cm 79 cm 233 lbs
45 in 35 in 40 in 314 kg
60 in 30 in 52 in 506 kg
45 in 35 in 40 in 126 kg
Accessory T 114 cm 89 cm 101 cm 278 lbs
59 in 26 in 21 in 96 kg
Accessory D 150 cm 66 cm 53 cm 211 lbs
78 in 36 in 50 in 486 kg
Accessory K1 198 cm 91 cm 127 cm 1071 lbs
45 in 35 in 40 in 197 kg
Accessory X ***OPTIONAL*** 114 cm 89 cm 101 cm 434 lbs
Page 53 of 58
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Actual
Item Length Width Height Weight
45 in 35 in 56 in 132 kg
Accessory Y ***OPTIONAL*** 114 cm 89 cm 142 cm 291 lbs
48 in 39 in 88 in 732 kg
Frequency Converter ***OPTIONAL*** 122 cm 99 cm 223 cm 1610 lbs
11,229 kg
Total Weight:
24,756 lbs
5.3.1 Shipping and Rigging

The Radixact™ System is shipped to arrive at the site, at approximately 7:00 am. Installations
typically start on a Tuesday or Wednesday but can be scheduled according to the
customer’s needs based on Accuray personnel availability.
Accuray will schedule and pay for the shipment of the crated system to the customer
location, unless specified otherwise in the sales contract.
Unless otherwise specified in the Customer’s contract Accuray is responsible for rigging. The
Accuray Project Manager can answer any questions regarding contractual rigging terms.
Accuray allows a total of $8,000 (US dollars) for standard rigging cost, unless otherwise
noted. The customer will be responsible for any additional cost incurred where applicable.
This occasionally occurs if a crane or other special equipment is required. In the event that
the customer is responsible for rigging the Accuray Project Manager can refer rigging
resources to the customer if requested.
5.3.2 Rig-In Manpower and Equipment Requirements

1. Clearance
• Treatment vault minimum Clearances: 4 ft (1200 mm) wide x 6 ft -10 in (2083 mm)
tall for rigging on wheels (standard option), at least 7 ft (2130 mm) tall for rigging
on skates (depends on the skates’ design)
• iDMSTM System room: 3 ft wide x 7 ft high (900 mm x 2000 mm) for rigging the
equipment into the, door clearances for the rig path need to be the United States
standard measurement of 82 in (2083 mm)
2. Manpower
• One experienced rigger, two or three additional movers.
• Our installers will be present to help answer questions and assist where required.
3. Equipment
• One 15,000 lb (6800 kg) forklift with 8 ft (2.4 m) fork blades.
• One electric two-ton pallet jack.
• One, hand-operated genie lift (>300 lbs (136 kg) capacity
Page 54 of 58
T-SPG-01000, Rev F
• One J-bar.
• Eight (8) four-wheel dollies.
• Two metal plates for crossing doorways.
• Floor protection for the length of the route (Masonite or Lexan sheets 4 ft x 8 ft) (1.2
m x 2.4 m). The Gantry, at 8,500 lbs (3,856 kg), is the heaviest piece to move.
• Basic tools for uncrating the equipment.
• Tarps to cover or “stage” the equipment if the weather is an issue.
• Straps
NOTE: Because the rig-in typically starts at 7:00 am, it is preferred that the rigging
equipment be delivered the day before the system delivery. If this is not feasible, the
equipment must be on site before 7:00 am on the delivery date.
5.4 Storage
The facility must establish a locked storage area where the Accuray Installation Technicians
can store tools and testing equipment for approximately one month during installation.
Choose a location that is near the installation site and that is accessible 24 hours per day.
Also, supply a clean 12 ft x 12 ft (3650 mm x 3650 mm) low-traffic, indoor storage area where
the Accuray Installation Technicians can place the gantry enclosures during installation. The
enclosures are delivered in sections, so you may establish multiple storage areas if one area
cannot accommodate all of the enclosures.
5.5 Information Technology

Refer to Accuray’s Network Systems Requirements document. The Accuray Project Managers
will provide this document to you.
NOTE: The IT setup work must be completed prior to the system delivery.
5.6 Seismic Regulations

If the facility is required to meet local or regional seismic regulations, provide the Accuray
Project Manager with the specifics of those regulations in writing. Add time to the site-
preparation schedule so an Accuray Installation Technician can visit the site prior to system
delivery to install anchors for the Gantry, Patient Table, PDU, Computer rack and Frequency
Convertor Unit. Anchors must be specified by a facility-contracted structural engineer.
Accuray will supply and install the specified anchors. If local or regional seismic regulations
require support angles for the PDU and iDMSTM System Server Rack, Accuray will supply a
Seismic Mounting Kit. The PDU is shipped with seismic brackets.
Successful regulatory inspections of anchors must occur before the system is installed. It is
the facility’s responsibility to contact the regulatory agencies and arrange for any required
inspections prior to system installation.
Page 55 of 58
T-SPG-01000, Rev F
5.7 Power Conditioners (60Hz Sites Only)

5.7.1 Equipment Needed
1. Power Conditioning
The equipment is sensitive to line voltage variations and source impedance. A
complete survey of the electrical power monitoring should be conducted prior to the
equipment installation and a copy of this survey should be sent to the Accuray Project
Manager and the customer's Electrical Engineer for record. The customer’s Electrical
Engineer will evaluate the power monitoring results and the decision related to the
purchase of a power conditioner/ Uninterrupted Power Source (UPS) if the input voltage
cannot be regulated to within +/- 5% phase to phase. Double conversion power
conditioning must be used if facility power conditioning is needed. The customer is
responsible for the installation and maintenance of that equipment.
5.7.2 Common Supplier

Eaton Powerware – www.eaton.com (Model # 9390-40 30kVA)
OnLine Power- www.onlinepower.com (Model OLP075MRT-US 75kVA)
5.8 Frequency Converter (50 Hz Sites Only)

For sites that require it, Accuray supplies a frequency converter (as an option) that converts
the input power to the Power Distribution Unit (PDU) from 50 to 60 Hz and acts also as a power
conditioner. The Frequency Converter is based on dual conversion technology and provides
improved output power to the PDU. Install the frequency converter no closer than 6 inches
(152 mm) to any adjacent wall surface.
Table 24 Frequency converter location requirements
Minimum Distance
Clearance above the unit for heat

3 ft (1 m)
dissipation
Clearance in front of the unit to open the

3 ft (1 m)
access panel
Distance from any wall 6 in (152 mm)
NOTE: The frequency converter is capable of continuous normal operation when the
environmental requirements listed are maintained.
Page 56 of 58
T-SPG-01000, Rev F
Table 25 Frequency converter environmental requirement
Heat output 12000 BTU/h (3.52 kW)

Temperature range 0 to 40°C (32 to 104°F). For optimal
performance and reliability,
maintain the room temperature
below 25°C (77° F)
Relative humidity Below 60%, non-condensing
NOTE: These numbers only represent the sensible heat load, and additional margins must
be accommodated in the calculations to satisfy additional latent heat loads that are
largely dependent on HVAC system losses and the ambient humidity for that geographic
location.
Site planning considerations: Typically, the Frequency Converter is located in a Mechanical
Room outside of the Treatment Room. Ensure that the room provides adequate ventilation
and cooling according to the manufacturer’s documentation. Do not use in a flammable gas
environment. Installation of the Frequency Converter in the Treatment Room is not
recommended, as this will result in increased heat load. During installation, Accuray will drill
and anchor the FCU to the floor in seismic locations. Ensure that the room that contains the
FCU meets all local fire and safety codes.
5.9 Closed Circuit TV (CCTV)

The facility may supply and install a video system. Accuray recommends these closed-circuit
television camera locations:
• One stationary camera 5 ft (1524 mm) above the finished floor behind the gantry
on the isocenter.
• One pan, tilt, and zoom camera on the wall or ceiling at the foot of the patient
table.
See site-specific drawings for specific camera locations.
5.10 Common Supplier

• General Electric – www.gesecurity.com
• Panasonic – www.panasonic/business/security.com
• Samsung – www.samsungsecurity.com
• Nuvico – www.nuvico.com
NOTE: The camera system must be installed prior to the Radixact™ System installation as it
is used during system testing and calibration.
Page 57 of 58
T-SPG-01000, Rev F
5.11 Quality Assurance and Commissioning Tools and Equipment

Please consult with your Accuray Project Manager for specific requirements. All of the
required tools must be on site before the Radixact™ System installation.
NOTES
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1.3 iDMSTM System Server Room ...................................................................................................................................................... 14

1.5 Accuray PrecisionTM System Room(s) .......................................................................................................................................... 17

2.0 Radiation Shielding Guidelines ........................................................................................................................................................ 19

3.0 Room Specifications ........................................................................................................................................................................ 31

3.3 iDMSTM Data Management System Server Room ........................................................................................................................ 33

3.5 Accuray PrecisionTM System Room(s) .......................................................................................................................................... 34

4.0 Electrical and Environmental Requirements .................................................................................................................................... 36

5.0 Other System Implementation Considerations ................................................................................................................................ 48

Accuray Site Planning Contact Information

Roles and Responsibilities

Accuray Project Manager Responsibilities

1.0 System Components, Descriptions and Site Planning

Table 1 Treatment Room Equipment Specifications (Accuray supplied)

1.1.1 Accuray Supplied

1.1.2 Customer Supplied Items (Required)

1.1.3 Customer Supplied (Optional – Unless Required by Local Regulations)

1.2 Control Room

Table 2 Treatment Delivery Console (TDC) Equipment Specifications

Status Console User

Treatment Delivery Console

12 Treatment Delivery Console

15 Printer 18 x 18.9 x 15.7 457 x 480 x 399 60.6 27

1.2.1 Accuray Supplied

1.2.2 Customer Supplied

1.3 iDMSTM System Server Room

Standby iDMSTM System 37 x 24 x 63.5 940 x 609 x 1613 900 408

1.3.1 Accuray Supplied

Site planning considerations: Refer to the Network System Requirements document

1.3.2 Customer Supplied (Required)

Table 4 Mechanical Room Equipment Specifications

Air Compressor (REQUIRED) Typical

1.4.1 Customer Supplied (Required)

Table 5 Air flow rate and quality requirements

30 scfm at 90 psig (measured at sea level), 14.2 lps at 6.2

Free of condensed water.

Zero oil content allowed. Compressed air must be

Filtered to allow no particulate matter larger than 0.5

1.5 Accuray PrecisionTM System Room(s)

Table 6 Accuray PrecisionTM System Room Equipment Specifications

Accuray Precision™ System

Accuray Precision™ System

15 Printer 18 x 18.9 x 15.7 457 x 480 x 399 60 27

1.5.1 Accuray Supplied

1.5.2 Customer Supplied

2.0 Radiation Shielding Guidelines

2.1.1 System Description and Specifications

Figure 1 Radixact™ System critical structures related to shielding design

Table 7 Example Treatment Parameters

Prostate 70.0 2.0 2.5 2 30.6%

SRS Liver 40.0 8.0 7.9 25 53.7%

SBRT Lung 30 6.0 7.5 25 63.7%

Head & Neck 60.0 2.0 5. 0 25 30.4%

Breast / SC with SIB 50.4 1.8 6.5 25 55.6%

2.1.2 Primary, Leakage and Scatter Radiation Testing

2.1.3 Leakage Radiation with Continuous Rotation

2.1.4 Leakage and Maximum Scatter Radiation with Continuous Rotation