Topic ID: id_23554480
Version: 2.0
Date: Jan 3, 2020 12:21:58 PM

Anzai Respiratory Gating System Installation

Prerequisites

Overview

This procedure defines the process to install the Anzai Respiratory Gating System. An overview of the system setup is as follows:

1. Make sure Laptop is off.

2. Connect Ethernet cable from Laptop to facility network access.

3. Insert USB adapter cable assembly into (any) USB port on the Laptop and connect opposite end to Wave Deck.

4. Connect ground cable from Wave Deck to Console ground point.

5. Connect one AC IEC Power Adapter to Console AC outlet.

6. Connect Laptop Power Supply cable to AC Power Adapter Cable (IEC) at Accessory Panel (Gantry) or Console AC Distribution box.

7. Connect Laptop Power Supply to Laptop power input jack.

8. Make sure Wave Deck is off.

9. Connect the second AC IEC Power Adapter to Console AC outlet.

10. Connect Wave Deck AC power cable to AC Power Adapter (IEC) cable at Accessory Panel (Gantry) or Console AC Distribution box.

11. Connect AC power cable to back of Wave Deck.

12. Connect Wave Deck to Accessory Panel Respiratory jack on Gantry.

note: This cable is not part of the Anzai Gating Installation kit. It is part of the System Installation cable collector and has been installed as part of the system installation. It is located in the cable conduit or cable trough between the Scan Room and Control Room.

13. Connect cable between Sensor Port and Wave Deck.

14. Connect Load Sensor to Sensor Port.

15. Turn Wave Deck Power On.

16. Turn Laptop On.

17. Start Anzai Respiratory Gating software.

18. Perform Functional Tests.

1 Anzai Installation Kit Contents

Procedure

notice

All drawings and illustrations within this document are representative unless specifically stated.

Table 4 lists all parts in the Anzai Gating System installation kit. They are part of the Anzai Catalog E8819AN.

Table 4. Cable Collector, GEHC Interface Cables to Anzai Respiratory Gating System (5432300)
Item	Qty	Description	P/N
1	1	Cable Assembly, Anzai Adaptor, Gantry Sub-D Bulkhead to Anzai interface box	5338119
2	2	Adaptor, AC Power cord, Nema 5-15 to IEC C14, 200mm long, 18AWG 3SVT, black, Anzai to PET_CT Scanner	5338711
3	1	Ground Cable, Anzai Gating System, Ring Terminal to Spring Spade Terminal	5338526
4	1	Cable, Gantry to Respiratory Gating Unit, Short Version, Option Inside Scan Room	5212250-2
5	1	Ground Cable, Anzai Gating System, Multi Contact to Spring Spade Terminal	5338525
6	1	Cable asm, Ethernet, RUN205, CT J8 to Console, Respiratory	5313938-11
7	1	USB to Wave Deck Sub-D adapter cable	-
9	1	Laptop Power Supply	-
10	1	Laptop AC line cord	-
11	1	Wavdeck AC line cord	-
300	1	Hexagon Socket Head Cap Screw, M6-1, X20mm Long, Grade 8.8 Steel, Zinc Plated, RoHS Fastener	1000-M6C020-04
400	1	Flat Washer, ISO7089, M6, Steel 140HV, Zinc Plated, RoHS Fastener	2000-M6-02
500	1	Curved Lock Washer, DIN 128A, M6, Spring Steel, Zinc Plated, RoHS Fastener	2203-M6-07
600	1	Anzai Gating System Install Reference	5368038-1EN

note: Grounds are recommended in all configurations.

note: Some cables may not be used in some configurations.

2 Anzai Gating System Installation Options

Procedure

Unpack the Anzai system from it’s packaging.
Select the appropriate Installation option from Table 5.

Table 5. Installation Diagrams
Section 4.3: Typical Control Room Installation with TIO Console

Section 4.4: Typical Scan Room Installation With TIO Console

3 Typical Control Room Installation with TIO Console

Procedure

Install the Anzai Gating System according to Figure 1.
Discard cables that are not used in this configuration.

note: The cables and their respective connectors are unique and should be easy to connect. If necessary, refer to Appendix A: Indicators and Cable Connector Descriptions.

Figure 1. Control Room Installation with TIO Console

* This conduit may not exist on some sites; alternate route is through door opening.

** Cable 5199717 is not part of the Anzai Gating Installation kit. It is part of the System Installation cable collector and has been installed as part of the system installation. It is located in the cable conduit or cable trough between the Scan Room and Control Room.

note: If cable 5199717 is NOT present in the cable trough/conduit and cable 5174616 is present, this cable may be used in place of 5199717. If cable 5212250 is present in the cable trough/conduit, it must be replaced with the most current cable (5199717) for the Anzai system to properly function.

note: Item 7 is a cable assembly and is shipped as one cable unit by design. These two cables must not be reconfigured in any way.

note: The Ethernet connection to Facility network is used for motion file transfer to AW or Console for Advantage 4D application. In case of Prospective gating, this motion file is not needed/not used.

4 Typical Scan Room Installation With TIO Console

Procedure

Install the Anzai gating system according to Figure 2.
Discard cables that are not used in this configuration.

note: The cables and their respective connectors are unique and should be easy to connect. If necessary, refer to Appendix A: Indicators and Cable Connector Descriptions.

Figure 2. Scan Room Installation with TIO Console

* May also use existing long cable 5212250 (if present) instead of 5212250-2.

note: Item 7 is a cable assembly and is shipped as one cable unit by design. These two cables must not be reconfigured in any way.

5 Initial Power Up

After all cable connections have been completed, proceed to turn power on as follows:

Procedure

Place Sensor Port unit on the end of the cradle.
Connect load cell to load cell port on the sensor port.
Connect the sensor cable to the sensor port on the back of the wave deck.
Connect the other end of the sensor port cable to the sensor port in the scan room.
Confirm each connection of the units before turning ON the system.
Turn ON the power of Wave Deck.
Turn ON the power of Sensor Port.
Turn ON the power of Computer. (Windows XP will boot up).
From the Window XP Desktop select the AZ733V icon to launch the application.
Perform an initial test of the Load Sensor by pressing it lightly between your fingers while observing the indicators on the top of the Sensor Port unit. Notice that the indicator will change from UNDER to GOOD to OVER when varying the amount of pressure applied. If this does not occur check cables and the possibility of a bad Load Sensor. Refer to Figure 3.

Figure 3. Initial Sensor Port and Load Sensor Test Indicators
At the front of the Sensor Port Unit, unplug the Load Sensor from the Load Cell port. (Pull back on the metal sheath to disengage the plug.)
Observe that the two green LED’s above the two connections (Load Cell and Laser) flash on and off continuously.
Reconnect the Load Sensor cable.
Observe that green LED indicator above the Load Cell port is on steady, and the LED on the Laser port is off.

note: If the two LED's are still flashing, this indicates that the Load cell is bad or has been damaged and must be replaced.

6 Anzai Respiratory Gating System Functional Test

Procedure

Select: Display and make sure Estimated Respiratory Wave and Estimated Respiratory Wave of file are checked.
Select: System and then Parameter…
Select/ensure that the Respiratory Wave Form parameters are set as follows:
- Sweep Point Respiratory Phase “IN” is checked and level is set to a value of 50.
- Estimated Respiratory Waveform “Indication” box is checked.
- Moving Average Cycle is set to a value of 3.
- Range of Normal Respiratory Level is set to values of Min = -20, Max = 120.
- Range of Normal Respiratory Rate is set to values of Min depth = 30, Min = 1, and Max = 50.
- Level difference from Estimated Respiratory Wave Form, Being Judged Abnormal Respiration Level is set to 90 and “Use” box is unchecked.
- Breath-period-end error Process “Use” check box is checked.
- Error clear time of Sweep-point is set to a value of 3.
Select OK.
Select: System and Test Signal Setup... then set parameters as follows:
- Test Signal from Sensor Port is selected.
- Sine Wave is selected, Respiratory Rate is set to 12.
Select OK.
Select: System and then Test Signal on….
At this point a test message “Attention! Test signal is On display.” should be flashing at the bottom of the display. (Indicating the unit is using the internal test signal.)
Select the Waveform Setup button (3rd icon from left).
Select Auto Setup button to automatically select the position and magnification parameters. The green waveform will eventually settle itself between the red lines.
Close Waveform Setup Dialog window.

note: If Green waveform does not appear, check the cable connection between the Wave Deck and Sensor Port. Either the connection or the cable is bad.

This concludes the functional test of the simulated waveform.

7 Anzai Load Sensor Functional Test

Procedure

Uncheck: System and Test Signal on....
At this point the test message “Attention! Test signal is On display.” will disappear from the bottom of the display.
Insert the Load Sensor into the belt pocket. (Either direction is OK for this test.) See Figure 4.

note: Either direction is OK for this test. For customer use, the Load Sensor should be placed into the pocket with the curved side facing towards the chest.

Figure 4. Load Sensor Operation
Select Setting Lock icon (4th icon from left).
Select OK.
Select Start icon (5th icon from left) to start respiratory acquisition.
If New Patient File does not exist, select Yes to continue.
Select OK when the next dialog window appears.
A green waveform will begin tracking across the display.
Gently press the load cell in the belt between your fingers and observe that the waveform changes with the amount of pressure applied.
DO NOT stop the acquisition. Resume with next section, X-Ray On Signal Test.

8 X-Ray On Signal Test

Procedure

Observe that the Total Time (in Green) is counting.
Observe that the X-Ray Apply Time (in Orange) is not counting and that the Orange line (Beam) at the bottom of the display is a straight line (low) at the bottom of the display.
At the back of the Wave Deck, disconnect cable 5338119 from the “EXT I/O” connector.
Verify that the X-Ray Apply Time (in Orange) is now counting and that the Orange line (Beam) at the bottom of the display has jumped to a High state.
Reconnect the cable to the “EXT I/O” connector and verify the that the X-Ray Apply Time (in Orange) counter has stopped, and the Orange line (Beam) at the bottom of the display has returned to a Low state.
Select the Stop icon (7th icon from the left).
Select No when the next dialog box (Save Results) appears.
This completes the test:
1. If there was not a good indication of proper function check all cables and repeat the tests.
2. If the Customer is not going to use the system, exit the AZ733V Respiratory gating application.

9 Appendix A: Indicators and Cable Connector Descriptions

Procedure

Refer to Figure 5 and Figure 6, and to Table 6 and Table 7 for definitions, Connector functions, and cable locations.

Table 6. Wave Deck Connectors and Indicator Functions
NO.	NAME	FUNCTION
1	Main Power Switch	It controls the power to all the system except for Personal Computer. It turns green when the power of the system is turned on.
2	Emergency Stop Switch	It shuts off the power of all the system except for Personal Computer by pressing this switch at emergency. When the system needs to be turned off, this switch should not be used but Main Power Switch should be used.
3	Gate LED	It turns green when gating signal is being output to imaging device like X-ray CT or radiation therapy system.
4	Interlock LED	It turns orange when the system receives Beam Signal from the exterior imaging device or radiation therapy system.
5	AC Inlet	AC power inlet. The exclusive AC power cable should be connected.
6	Fuse Holder	Fuse to protect excessive over current.
7	Additional Protective Ground Terminal	It is to ground the system with the ground cable.
8	To SENSOR PORT Terminal	It is to connect to Sensor Port with Connection Cable A.
9	Computer Terminal (RS232C)	It is to connect to Personal Computer with Connection Cable B and USB/232C Adapter Cable.
10	EXT I/O	It is to input Beam Signal from imaging device or radiation therapy device, and to out put Gating Signal , Interlock Signal to these devices.
11	Sensor Monitor Output Terminal	It is to output analog signal of Respiratory Sensor.

Table 7. Wave Deck Connectors and Indicator Functions
NO.	NAME	FUNCTION
1	Load Cell Connector	Connector for Load Cell
2	Laser Sensor Connector	Connector for Laser Sensor (option)
3	Power Switch	Power Switch for Sensor Port and/or Accessories
4	Wave Deck Connector	Connector for Cable A to connect with Wave Deck
5	Accessories Connector	Terminal for future extension use.
6	Beam Monitor Signal Input Terminal	Terminal to input irradiation signal of X-ray CT or Radiation Therapeutic Apparatus
7	ECG Signal Input Terminal	Terminal to input cardio graphical signal for ECG
8	Gate Monitor Signal Output Terminal	Terminal to output Gate Monitor Signal
9	LED Indicator for Power (Error)	It turns green when Sensor Port power is on. It turns orange when an error occurs in Sensor Port
10	LED Indicator for Load Cell Connection	It turns green while connected Load Cell is active.
11	LED Indicator for Laser Sensor Connector	It turns green while connected Laser Sensor (option) is active.
12	LED Indicator for Sensor Level (Good; Green Light)	It indicates the condition of respiratory sensor. Respiratory sensor should be applied as this LED turns and remains “Good”. When Load Cell is applied, it indicates the condition of mounting pressure of its fastening belt. When Laser Sensor (option) is applied, it indicates the distance between a patient and Laser Sensor.
13	LED Indicator for Sensor Level (Over; Orange Light)	In case of Load Cell, it indicates mounting pressure exceeds appropriate pressure. In case of Laser Sensor, it indicates the distance between a patient and Laser Sensor is nearer than appropriate distance.
14	LED Indicator for Sensor Level (Under; Orange Light)	In case of Load Cell, it indicates mounting pressure does not reach appropriate pressure. In case of Laser Sensor, it indicates the distance between a patient and Laser Sensor is further than appropriate distance.
15	Load Cell Calibration Switch	When Load Cell needs calibration, this switch needs to turn on. Except for this purpose, this switch usually should be turned off.
16	Load Cell (High) Zero Adjustment Trimmer	It adjusts zero point of Load Cell (High) so the LED of Load Cell Calibration Zero Adjustment turns green.
17	Load Cell (High) Gain Adjustment Trimmer	It adjusts Gain zero point of Load Cell (High) so the LED of Load Cell Calibration Gain Adjustment turns green.
18	Load Cell (Low) Zero Adjustment Trimmer	It adjusts zero point of Load Cell (Low) so the LED of Load Cell Calibration Zero Adjustment turns green.
19	Load Cell (Low) Gain Adjustment Trimmer	It adjusts Gain zero point of Load Cell (Low) so the LED of Load Cell Calibration Gain Adjustment turns green.
20	Load Cell Calibration Zero Adjustment LED	It turns green when zero point of applied Load Cell is being calibrated within appropriate performance range.
21	Load Cell Calibration Gain Adjustment LED	It turns green when Gain zero point of applied Load Cell is being calibrated within appropriate performance range.

10 Finalization

No finalization steps.