CT System De-Installation

All GE Healthcare (GEH) representatives must meet the minimum requirements to perform de-installation work. GEH shall only utilize trained personnel (i.e., GEH field engineers, personnel of third-party service companies with equivalent training, and licensed electricians) to perform system de-installations.

To lead a de-installation one must be trained as a Field Engineer (FE) or Supplier to install equivalent systems, and have experience with one of the following:

• A full system installation as a leader.

• A de-installation as a helper.

Required training courses include:

1. Environmental Health and Safety (EHS).

2. Hazardous Communication

3. Eye Protection, and Personal Protection Equipment (PPE)

4. Blood Borne Pathogens

5. Lock-out Tag-out procedures

6. Professional Communication

A FE or Supplier may meet the requirements through:

• MyLearning training verification and/or on-demand from supplier.

• Each Supplier is responsible for providing the required training.

• Each Supplier’s team member shall have all required PPE as listed, while on site.

Before performing a de-installation, review system safety procedures in the service manual. During the de-installation one could come in contact with several types of hazards that can cause bodily injuries. Follow all safety requirements when working around and in contaminated areas.

warning Biohazards could be present when removing components and covers that have been exposed to patient contact. follow your organization’s blood bourne pathogene procedures and policies. follow all personal protective equipment requirements.

Bio-hazardous areas can be found around the cradle surface, the table covers, the gantry scan window and base covers. Hazardous items such as broken glass, needles, and bodily fluids are often found behind and under the table foot switch and gantry base covers.

Biohazards involve infectious biological agents present in human blood, bodily fluids and blood products such as:

• Hepatitis B Virus (HBV)

• Human Immune-deficiency Virus (HIV)

• Tuberculosis bacterium

1. Do not accept equipment for removal that has not been cleaned by the user. If the area is contaminated, have the staff clean the area before working in the area.

2. Always wear gloves during the de-installation process.

3. Exercise caution when removing components that have contact with body fluids such as whole blood.

4. Wash your hands before going from a contaminated area to a non-contaminated area, or when gloves are removed or changed. Keep hands away from face.

5. Cover all superficial cuts and wounds before starting work.

6. Disinfect tools and other items that have been near any part of the instrument sample path or waste area with 10% v/v bleach after washing with warm soapy water.

The following tools and supplies are required for a complete de-installation.

Wrenches

• Standard and metric combination wrench sets.

• Standard and metric hex key (Allen wrench) sets

Sockets and Extensions

• 3/8 in. drive metric and standard socket set

• 1in., 1-1/8 in., 1-1/4 in., 1-1/2 in., 1-5/8 in. sockets

• 1/2 in. drive ratchet wrenches

• 3/4 in. deep well socket

• Metric hex bit set 1/4 in. or 3/8 in. drive, including 10 mm and 14 mm hex bit

• 3/8 in. drive universal joint

• 21 mm socket (optional)

Screw Drivers

• Phillips screwdriver set (small, medium, and large)

• Straight blade screwdriver set (small, medium, and large)

• Pozi-drive 0 screwdriver

• Pozi-drive #1 screwdriver

Power Tools

• 3/8 in., or ½ in. drill, cordless or electric

• Reciprocating saw (Sawzall or equivalent) and assorted blades or

• 5 in. grinder with metal cutting wheel

• 25 ft. extension power cords

Electrical Tools

• DVM

• Monitor Static Kit

Hand Tools

• Ball-peen hammer (1lb or 2lb)

• Diagonal cutting pliers, small and large

• Tongue and groove pliers (large)

• Large pry bar

• Diagonal cutting pliersm large (to cut 1/0 ground)

System Cleaners - purchased locally

• 409 Antibacterial Cleaner or equivalent.

• Hand towels

• Hand sanitizer

Personal Protective Equipment (PPE)

• Safety Shoes*

• LOTO Kit* -- Must have approved GE LOTO Kit

• Safety glasses*

• Leather gloves*

• Hearing protection*

• Knee pads

• Step Ladder (6 or 8 ft)

• Rope or strap (300lb load rate)

*Required Items

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In the USA, the Health and Human Services (HHS) department has established a set of standards entitled Health Insurance Portability and Accountability Act (HIPAA). A key component of these standards are the laws and ensuing regulations, which established guidelines for individual patient management and the access to healthcare information. Included is the provision of a legal firewall to prevent inappropriate, unauthorized disclosure of patient information. This applies to access of confidential electronic health information found on the console computer and hard drives, PACC systems, and Advantage Workstations.

PATIENT PRIVACY NOTICE

Laws and regulations are established and globally enforced in all countries for patient privacy management and unauthorized access to patient healthcare information. In an effort to prevent inadvertent disclosures of patient information during a system de-installation, GE Healthcare and/or their agents shall remove all patient data, patient images, and image raw data prior to system final power down at de-installation. Procedures in this manual represent the minimum tasks required to meet global patient privacy standards, acts and regulations. If your country, state, region or local laws regarding patient healthcare and privacy standards are more stringent than stated in this manual, always follow the requirements for your area:

• Included Sub-systems

• Console computers and hard drives

• PACC systems and storage systems

• Advantage Workstations and storage systems

The PMI will notify the customer that prior to the de-installation of their system, the following tasks should be completed:

1. Remove all images from the system.

2. Save images on MOD/DVD or USB, or other media of choice.

3. Empty all personal contents from console drawer.

4. Store all hospital records and data in a secure area.

Refer to this section if you are de-installing the system for the following reasons:

• Moving a system to a different room or floor in the same facility.

• Moving a system to a different facility or building with the same address.

• Moving a system to a location with a different address.

• Moving a system as a result of a Customer-to-third party agreement/sale.

Perform the De-installation explained in this manual, based on the following:

For systems that are being relocated within the same building, resulting in no change of address for the system:

• Use the latest Installation Service manual for the system/product being re-installed.

• Make sure to complete and file e-4879 as part of the re-installation process.

For systems that are being relocated to a different facility with a different address from that of the original Installation:

• Use the latest Installation Service manual for the system/product being re-installed.

• Make sure to complete and file e-4879 as part of the re-installation process.

• Make sure to complete and file 2579 as part of the re-installation process.

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The field engineer will perform these tasks at a minimum prior to the system de-installation.

1. Remove customer image data

2. Remove customer hospital information

3. Regenerate image database

4. Confirm patient and customer information is not present

This process takes approximately 10 minutes, but in some cases it may take up to 30 minutes.

1. Insert the System Save State disc into the drive.

2. Select: Service icon to access the CSD (Common Service Desktop).

3. Select: Utilities

4. Select: System State. The System State screen appears.

5. Select All to select all the calibrations, characterizations, etc

6. Select Save. The Save System State box appears.

7. Select Yes.

8. Verify that the “Save” of System State was successful. If not, correct any errors and re-save the system state.

   A message at the end of the Save should state: Save/Restore System State: Completed Successfully

9. Pack disk with console materials.

1. If Applications is currently running, you must shutdown system applications.

2. Click on the SERVICE DESKTOP icon.

3. On the desktop toolbar, select UTILITIES icon.

4. Click APPLICATIONS SHUTDOWN (to bring down applications only).

1. Shut down applications from the Service Desktop.

2. In an xterm window, log in as root.

   Type: su — and then ENTER.

   Type the root password: password and then ENTER.

3. Launch the Install utility

   Type: reconfig and then ENTER at the prompt.

   The Operator Console displays the Install Utility Window.

4. Select CONFIG and the Operator Console display the CT Software Configuration Screen-System Settings Screen.

   1. Remove the customer name, replace with GEMS.

   2. Remove the Service ID, replace with GEMS.

   3. Under Regenerate Database? select YES.

5. Select ACCEPT. Be patient, this takes a few minutes to generate.

6. Select YES to reboot. The system will automatically log in as ctuser after the reboot.

7. Select OK on the Autostart disabled popup message.

8. Open a Shell window.

9. Type: ST and then ENTER.

10. When the system is at Applications, select IMAGE WORKS.

11. Confirm that customer image data is not present.

Locate an empty box and label it CUSTOMER MATERIALS. Place all remaining customer materials in this box such as image disk, and hospital accessories.

Remove all MODs and DVDs from the PMT tower drives.

1. Press the eject button on the drive.

2. Remove customer’s materials.

3. Place any DVD or MOD in the customer material box.

4. Raise table to maximum height and return gantry to zero. (check to verify tilt brackets fit.)

notice Complete all tasks which require system power ON before performing this process step. This may include: Gantry base cover removal, table operation, etc.

1. Click the Service Desktop icon.

2. Click Shutdown.

3. When the Power Off? message appears, wait two minutes, and then turn off console power switch.

4. Shut down the gantry power switches.

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Locate the installation manual for the system being removed. If the paper manual is not found, locate the service CD and use the installation manual on the disk or on SIMS Content Viewer.

Review the installation procedures for each task prior to disassembly. The procedures in the de-installation manual are to be used as a guideline to disassembling the components. Detailed disassembly procedures are not required.

Gantry tilt brackets and gantry leveler shipping bolts are often located in the FE service cabinet. These items will be reused if the system is being reinstalled.

If a de-installation packaging kit was ordered, locate and unpack the items, which should include: Dollies, Boxes, Packaging materials, Skids, Console skids. Prior to packing equipment in boxes, place the large boxes on skids and ensure the skid will fit through doorways. A typical CT component de-installation can be packed into two large boxes. A third large box is included if necessary. There are also smaller boxes for packing service documentation.

Do not cut system cables. All cables should remain in tact unless the Project Manager of Installation has specified otherwise. Pack and return all installed system cables. The console should be mounted onto the return-shipping skid, supplied. Reminder: Do not lift the console onto the skid. If this is a CT system, remove the hard drives and pack them in the 'supplies box' found in the console. CRT monitors should be packed into the large supplied boxes.

The table footswitch assembly is normally located in a bio-contaminated area. Reminder: Wear and use appropriate BBP procedures when working in and around contaminated areas.

Return the gantry and table floor leveling pads with the system. Use supplied cable ties to secure pads, and pack into plastic bag. Use ties to secure the gantry top covers to the frame. Use the packaging supplies to protect the gantry side covers. Place the two side covers on top of a filled shipping box and strap to skid. Shock watch devices shipped with the de-installation kit can be installed on the boxes and all other returned equipment. The HP table base covers should be wrapped with protecting material shipped with packaging supplies.

Place the two covers onto of table and strap to secure. If the system is being returned, pack all system pads, phantoms and accessories in a box and label as 'Accessories'.

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1. Remove PDU top and front covers.

2. Remove all attached cables:

   1. Main feeders

   2. Gantry and console power cables

   3. System signal cables

   4. System grounds

   5. Warning light connection.

3. Remove PDU flexible cable conduit.

4. If installed, remove all UPS connections.

5. Confirm A1 power is disconnected. Remove remaining UPS connections.

6. If installed, remove seismic mounting.

7. Move PDU away from the wall.

8. Install removed covers.

9. Install supplied PDU packaging.

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1. Remove UPS front cover.

2. Check that UPS is in Service Mode.

3. Turn off circuit breakers, and reinstall covers.

   warning risk of shock or electrocution Voltage is present. Batteries are charged. use caution while disconnecting all cables.

4. Disconnect all attached cables.

5. Follow Powerware’s instruction to disconnect the batteries for shipment.

6. Remove all flexible cable conduit connected to the UPS.

7. If installed, remove seismic mounting brackets.

8. Move UPS away from the wall.

9. Replace covers.

10. Install supplied UPS packaging.

11. Pack UPS cables and place with system.

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warning Biohazards could be present. table covers and components that have been exposed to patient contact, fluids. follow all blood bourne pathogen procedures and policies. follow all personal protective equipment requirements.

1. Remove table footswitch cover. Save all hardware in supplied bags.

2. Remove table base covers. Save all hardware in supplied bags.

3. Remove table vertical side panels to access mounting anchors.

4. For GT tables remove left side cradle cover. Install IMS transportation bracket.

5. Re-install left side cradle cover.

6. Remove table cables.

   1. Power

   2. Ground

7. Remove footswitch assembly by disassembling. Re-assemble for shipping, and pack.

8. Using supplied hardware, attach table dolly.

   note: Inspect anchor method used. If alternate anchor method was used, do not remove any anchor nuts/bolts, until site specific documentation is provided.

9. With the table dollies installed, loosen and remove anchor nuts.

10. Using the dolly, raise the table above the anchors and pull away.

11. Collect the leveler pads and place in supplied bags. Place bag inside the table.

12. Re-install all table side panels.

13. Place protective covering on top of the cradle area, and around each end of the cradle.

14. Place the table base cover in supplied boxes. Place boxes on the cradle for shipment.

15. Collect any loose hardware and ship with the system.

16. Cut all existing floor anchors unless noted in writing from the PMI,.

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warning Biohazards could be present. table covers and components that have been exposed to patient contact, fluids. follow all blood bourne pathogen procedures and policies. follow all personal protective equipment requirements.

1. Remove all five (5) gantry covers. Save all hardware in supplied bags. Pack all covers, except top covers, retain for later use.

2. Remove all gantry base covers, and rear cable cover assembly. Save all hardware in supplied bags. Pack covers.

3. Install the gantry tilt brackets supplied with the hardware.

4. Remove all gantry cables such as: Ground, Power, System Cables.

   notice DO NOT STEP-ON or BEND fiber optic cable. Bending or crushing will destroy cable.

5. Attach Gantry dollies using the hardware supplied in the De-Installation Kit.

   notice DO NOT PIN THE GANTRY. The gantry must have the ability to rotate during shipment or shipping movement will damage components.

   note: Inspect anchor method used. If alternate anchor method was used, do not remove any anchor nuts/bolts, until site specific documentation is provided.

6. Once gantry dollies are installed, loosen and remove anchor nuts.

7. Using the dolly, raise the table above the anchors and pull away.

8. Collect the leveler pads and place in supplied hardware bags. Retain bag with gantry.

9. Reinstall the gantry top covers, and secure for shipping.

10. Cut all existing floor anchors, unless noted in writing from the PMI.

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