Gammex RMI Laser Systems
Pre-Installation Checklist
(*) Please review this document with the Site Contractor
Facility / Institution: _______________________________________________________
Address: ________________________________________
City: _____________________ State: ___________
Zip: ________
Contact Name: _____________________ Number: _______________________
Type of Laser System Purchased: ___________________________________
TECHNICAL REQUIREMENTS
1.
Manufacture / Type of CT-Scanner the lasers will be mounted with?
___________________________________
2.
If the walls or CT are angled, to what degree?____________
Note: If the angle is greater than 45 degrees, an adapting mounting plate
or bracket must be used. The mounting plate must be attached to the floor
or walls, parallel to the CT treatment couch.
3.
What kind of surface will the lasers be mounted to? (check type below)
(*) Reference drawing on page 7 & 8
______Mounting to existing walls.
Aluminum mounting plates should be used. (Aluminum preferred)
Minimum plate size needed: 54in x 15in. x 3/8in. (H, W, D).
The plate width should span 3 stud walls for optimum stability. Where
space is not a restriction, we recommend a plate 32 inches in width.
The center of the mounting plate should be at isocenter height, centered 60
cm in front of the CT isocenter.
______Unistrut Construction.
Aluminum mounting plates are needed. (Aluminum preferred)
Minimum plate size needed: 54in. x 15in. x 3/8 in. (H, W, D).
The center of the mounting plate should be at isocenter height, centered
60cm in front of the CT isocenter.
Note: THE MOUNTING PLATE’S SURFACE MUST BE EXPOSED
AND FREE OF VIBRATION. DO NOT COVER WITH CEILING
TILES, DRYWALL OR LEAD. MOUNTING IN A LOCATION
WITH TEMPERATURE CHANGES MAY CAUSE THERMAL
DRIFT OF THE LASER UNITS.
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4.
For CT-Sim lasers, the scan plane needs to be 60cm in front of the CT’s
scan plane. Is this true? YES________ or
NO ________
If NO, where is the laser scan plane located? ______________________
5.
Are there any cabinets or other fixtures between the mounting surface and
the isocenter that may block the path of the laser beams?
YES_______ or
NO_________
If YES,
explain:_____________________________________________________
____________________________________________________________
6.
Is there a false ceiling? YES________ or
NO_____________
****THE CEILING TILES AND RUNNERS MUST BE REMOVED
AROUND THE AREA OF THE CEILING MOUNTING PLATE, AND
FINISHED AFTER THE Gammex RMI LASERS HAVE BEEN
INSTALLED. IF THE CEILING IS FINISHED, THE TILES AND
RUNNERS WILL HAVE TO BE REMOVED AT THE TIME OF THE
INSTALLATION.
7.
The ceiling mounting surface should be unobstructed, stable against all
movement and vibration? YES________ or
NO__________
Note: If the laser is above the suspended ceiling tiles, all cross-bracing
under the laser scan area must be removed. Have they been removed?
YES_________ or
NO __________
8.
110 / 220-volt outlets will be needed to power the computer, monitor and
power supply, (3) wherever the Gammex RMI computer is located. Has
this outlet been provided? YES________ or
NO________
9.
We will need a separate network connection and a cable located next to
Gammex RMI computer. Has that connection and cable been provided?
YES__________ or
NO __________
10.
Have you received all the lasers to be installed at the site?
YES__________ or
NO) __________
If NO, have arrangements been made for the lasers to be on site by the
time the Gammex RMI technicians arrive to do the installation?
YES___________ or
NO) __________
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11.
A one (1”) inch conduit or raceway is needed between each sidewall laser
and the overhead laser, with an open junction box at each, also from one
of the sidewall lasers, or ceiling laser to the control room where the CTSIM computer will be located. Has this conduit or raceway been
installed? YES________ or
NO__________
(*) Reference drawing on page 7 & 8
The two sidewall lasers junction box opening should be located below the
mounting plates and centered. The ceiling junction box should be located
on the center, left end of the mounting plate when facing the front of the
CT-Scanner. Have these installations been completed?
YES__________ or
NO___________
(*) Reference drawing on page 7 & 8
12.
The Gammex RMI Technician will need an IP address for our
Gammex RMI computer. The technician will also need to know the IP
address of the TREATMENT PLANNING SYSTEM COMPUTER, along
with a mask and default address. Has the IP address information been
acquired? YES__________ or
NO _____________
*** Please note: The CT- Scanner MUST be 100% operational.
CT scans need to be preformed for proper installation of the laser
system by the Gammex RMI technician
13.
Signatures: GE Field Rep._________________________
Site Contractor._________________________
INSTITUTION PERSONNEL CONTACTS (REQUIRED)
1.
Name of the on site contact person who will receive the Gammex RMI
Technician and represent the institution for scheduling, power and cable
routing and other installation decisions:
Name: _______________________________________________
Title: ________________________________________________
Phone (area code) ______________________________________
2.
Name of the on site contact person who can provide installation assistance
during the Installation process:
Name: ________________________________________________
Title: _________________________________________________
Phone (area code) _______________________________________
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3.
Names and Titles of staff to be trained on the use of the CT-Sim laser
system.(Clinical staff):
Name: ___________________________________________________
Name: ___________________________________________________
4.
Names and Titles of staff to be trained on Q.C checks, calibration and
Service, as needed.
Name: ___________________________________________________
Name: ___________________________________________________
CUSTOMER SPECIAL INSTRUCTIONS
1.
Please explain any special instructions or installation
concerns:____________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
________________________________________________
Note: Installation technicians request a 1-3 week minimum lead time after
receipt of the installation checklist.
2.
Please list installation dates in order of preference (Month / best day of the
Week / Year
Date: _____________________________
Date: _____________________________
PLEASE DIRECT ANY QUESTIONS REGARDING THIS
PRE-INSTALLATION CHECKLIST TO:
Gammex RMI Service Technical Staff
1-800-232-9699
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IT IS THE RESPONSIBILITY OF THE FACILITY / INSTITUTION TO ENSURE
THAT WHEN AN INSTALLATION DATE IS SCHEDULED, THE ROOMS ARE
READY AND AVAILABLE SO THE INSTALLATION CAN BE COMPLETED
IN THE TIME ALLOCATED. RETURN TRIPS, DELAYS OR EXTRA TIME
OR DAYS NEEDED TO COMPLETE THE INSTALLATION DUE TO
FACILITY / INSTITUTION DELAYS WILL BE CHARGED IN ACCORDANCE
WITH EXISTING GAMMEX/RMI POLICIES AND PRICING IN EFFECT AT
THE TIME OF THE INSTALLATION COMPLETION. RETURN TRIPS WILL
BE CHARGED BY ZONE FOR THE FIRST DAY OF THE INSTALLATION.
DELAYS AND ADDITIONAL DAYS WILL BE CHARGED AT THE DAILY
RATES.
I have read and understand the above installation checklist information.
NAME: (PLEASE PRINT)__________________________________________________
TITLE: _________________________________________________________________
PHONE NUMBER: (
)_________________________________________________
SIGNATURE:____________________________________________________________
DATE:__________________________________________________________________
**Please make a copy for your files and return the original
signed document to:
Gammex RMI
Service Department
P.O. Box 620327
2500 W. Beltline Hwy.
Middleton, Wisconsin 53562-0327
Phone: (800)-232-9699
Fax: (608)-828-7500
For Office Use Only:
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Approved Date of Installation and Training:
____________________________________
Persons to be trained:
_________________________________________________________________
NOTES:
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