Customer
Technical Bulletin
CTB Information
Title IGRT Couch Top Inspection
DWG Number P1016178 CTB PS-998
Complaint No. N/A Est. Labor Hrs N/A
Purpose To provide a clear guide for inspecting IGRT couch tops for overall condition, visible damage
and following a collision
Product Product Code: H14, H18, H19, H27, H29, HCX and H77
Code(s) Product Name: High and Low Energy Clinacs, UNIQUE, TrueBeam/VitalBeam and Acuity
Affected
Prerequisites Standard or Integrated IGRT Couch Top
AN UPDATE TO THIS CTB MAY BE AVAILABLE ON [Link]
Tools Information
Tools and N/A
Equip
Reference STB-PS-083 IGRT Couch Top Protective Cover
Documents
Modification Inspect an IGRT couch top for overall condition and visible signs of damage.
Overview Use the IGRT couch top evaluation table within this document to determine severity, risk and
recommendations.
Order Kit Information
Order Number Description
P1016178 N/A
Order From: CSS Logistics [Link] Not Applicable
Revision Information
REV DATE AUTHOR NAME DESCRIPTION OF CHANGE FILE NAME
A Jan 11, 2016 Colin Pennington Initial Release [Link]
ATTENTION: This information is provided for use by qualified service technicians. Varian Medical Systems, Inc. makes no representation to the qualifications of any service technicians other than its own employees. Improper or
uninformed maintenance or repair of the Product may expose a maintenance technician, operator and/ or patient to safety hazards including but not limited to one or more of the following: mechanical collision, electrical shock, and radiation.
Any of these hazards could cause serious injury and even death. Copyright © 2016, Varian Medical Systems, Inc. All rights reserved.
SHEET
1 OF 5
P1016178 A
DWG NO. REVISION
Format TMP-GE-CTB Rev S
Customer Technical Bulletin
GENERAL INFORMATION
Read this entire document, carefully reviewing all instructions.
PERFORMANCE CHECK
Complete a thorough performance verification before disassembling and modifying any system. Make a
note of any operational discrepancies.
SAFETY PROCEDURES
Become familiar with Customer Support Service’s safety policies before working on Oncology Systems
Products. Ensure compliance with CSS’s safety practices and procedures while performing this
modification. Refer to the Product Users’ Manual for safety instructions.
CONTACT INFORMATION
If there are any questions, issues, or concerns contact Varian at [Link].5 (1.888.827.4265) or go
to [Link] and click on Contact Us.
ATTENTION: This information is provided for use by qualified service technicians. Varian Medical Systems, Inc. makes no SHEET
representation to the qualifications of any service technicians other than its own employees. Improper or uninformed P1016178
maintenance or repair of the Product may expose a maintenance technician, operator and/ or patient to safety hazards including
but not limited to one or more of the following: mechanical collision, electrical shock, and radiation. Any of these hazards could DWG NO.
PS-998 Rev A 2 of 5
cause serious injury and even death. Copyright © 2016, Varian Medical Systems, Inc. All rights reserved.
Format TMP-GE-CTB Rev S
Customer Technical Bulletin
1. OVERVIEW
The IGRT couch top is manufactured from a foam core wrapped in a 2mm thick carbon fiber skin,
using special resins to achieve its strength and stiffness. Minor scuffs, scratches and surface wear
can be covered and the overall couch top appearance can be significantly improved by installing or
replacing an IGRT couch top protective cover. This cover and the fitting instructions are available
from Varian via [STB-PS-083].
Figure 1: IGRT Couch Top Construction (Cross-Section)
2. COUCH TOP INSPECTION
2.1. Visually inspect all of the couch top surfaces and edges, looking for minor scuffs, scratches,
surface wear, dents, punctures, evidence of collision and unapproved repairs.
2.2. If there are any signs of damage or wear, see Table 1: IGRT Couch Top Damage
Evaluation to determine severity, risk and recommended actions.
3. CUSTOMER DOCUMENTATION
This document and the latest version of the instructions for users are available for download at
[Link]
This CTB includes new information, not available in other Varian documents. Please advise the
appropriate personnel, working in your radiotherapy department, of the content of this CTB and
place a copy of this CTB with the user manuals for the affected Varian product.
ATTENTION: This information is provided for use by qualified service technicians. Varian Medical Systems, Inc. makes no SHEET
representation to the qualifications of any service technicians other than its own employees. Improper or uninformed P1016178
maintenance or repair of the Product may expose a maintenance technician, operator and/ or patient to safety hazards including
but not limited to one or more of the following: mechanical collision, electrical shock, and radiation. Any of these hazards could DWG NO.
PS-998 Rev A 3 of 5
cause serious injury and even death. Copyright © 2016, Varian Medical Systems, Inc. All rights reserved.
Format TMP-GE-CTB Rev S
Customer Technical Bulletin
Damage Severity Risk Recommendation
Minor scuffs, visible marks Unsightly Installation of IGRT protective cover
Farecla - Compound G10
Nu Finish - Scratch Doctor (USA)
Scratches and surface wear Unsightly, biological hazard, dirt Installation of IGRT protective cover
trap, imaging artefacts
Farecla - Compound G10
Nu Finish - Scratch Doctor (USA)
Small dents (no puncture) to Unsightly, biological hazard, dirt Installation of IGRT protective cover
upper/lower surfaces trap, imaging artefacts
Establish possible cause and modify
≤ 25 mm diameter workflow
≤ 1 mm deep
Dents (no puncture) to sides and Loss of mechanical integrity, Replace Couch Top
or edge imaging artefacts
Establish possible cause and modify
workflow
Large dents (no puncture) to Loss of mechanical integrity, Replace Couch Top
upper/lower surfaces
biological hazard, dirt trap, Establish possible cause and modify
> 25 mm diameter workflow
imaging artefacts
> 1 mm deep
Punctures on upper/lower Loss of mechanical integrity, Replace Couch Top
surfaces, or the sides
biological hazard due to possible
fluid ingress,
possibility of patient contact with
material fibers
Collision (no visible damage) Unknown damage, Replace Couch Top
loss of mechanical integrity
Mechanical fastener damage Other internal damage, Replace Couch Top
mechanical instability Replace Couch Top Fasteners
Unapproved repairs Loss of mechanical strength, Replace Couch Top
bio-compatibility issues,
imaging artefacts
Table 1: IGRT Couch Top Damage Evaluation
ATTENTION: This information is provided for use by qualified service technicians. Varian Medical Systems, Inc. makes no SHEET
representation to the qualifications of any service technicians other than its own employees. Improper or uninformed P1016178
maintenance or repair of the Product may expose a maintenance technician, operator and/ or patient to safety hazards including
but not limited to one or more of the following: mechanical collision, electrical shock, and radiation. Any of these hazards could DWG NO.
PS-998 Rev A 4 of 5
cause serious injury and even death. Copyright © 2016, Varian Medical Systems, Inc. All rights reserved.
Format TMP-GE-CTB Rev S
Customer Technical Bulletin
Bill Of Materials
Part Number Description
N/A -
Drawing or
Other Documents Included
Document Number
N/A -
ATTENTION: This information is provided for use by qualified service technicians. Varian Medical Systems, Inc. makes no SHEET
representation to the qualifications of any service technicians other than its own employees. Improper or uninformed P1016178
maintenance or repair of the Product may expose a maintenance technician, operator and/ or patient to safety hazards including
but not limited to one or more of the following: mechanical collision, electrical shock, and radiation. Any of these hazards could DWG NO.
PS-998 Rev A 5 of 5
cause serious injury and even death. Copyright © 2016, Varian Medical Systems, Inc. All rights reserved.
Format TMP-GE-CTB Rev S
