TrueBeam™ and TrueBeam™ STx Quick Reference Guide

Control Console Quick Reference

Varian Medical Systems

Oncology Systems
3100 Hansen Way
Palo Alto, CA 94304-1038
Tel: 650.424.5700 | Tel: 800.544.4636
[Link]

Copyright © 2010 Varian Medical Systems, Inc.

A pa
Varian and Varian Medical Systems are registered trademarks.
P/N 100043567-02 | Printed in USA. 12/10 (50)
Abstract The TrueBeam Quick Reference Guide (P/N 100043567-02) provides reference
information for using the TrueBeam™ system, version 1.5.
This document was originally published in English (P/N 100043567‐02).
This manual can be printed on any printer capable of printing PDF documents.

Manufacturer and Manufacturer: European Authorized Representative:

European Varian Medical Systems, Inc. Varian Medical Systems UK Ltd.
Authorized 3100 Hansen Way Gatwick Road, Crawley
Representative Palo Alto, CA 94304-1030, USA West Sussex RH10 9RG
United Kingdom
Control Console
Notice Information in this guide is subject to change without notice and does not

CONTENTS
represent a commitment on the part of Varian. Varian is not liable for errors
contained in this user guide or for incidental or consequential damages in
connection with furnishing or use of this material.
This document contains proprietary information protected by copyright. No part
of this document may be reproduced, translated, or transmitted without the
express written permission of Varian Medical Systems, Inc.
If you want the source code for RealVNC software, a copy will be sent to you at
your request. This offer is valid for a period of three years from the date on which
you first received the TrueBeam system from Varian. You will be charged a fee » Control Console
for fulfilling this request. Please contact your Varian service representative for
more information and to obtain the request form.
» Treatment Screen
FDA 21 CFR 820 Varian Medical Systems, Oncology Systems products are designed and
Quality System manufactured in accordance with the requirements specified within this federal
Regulations regulation. » Image Acquisition
(CGMPs)

ISO 13485 Varian Medical Systems, Oncology Systems products are designed and
manufactured in accordance with the requirements specified within ISO 13485
» Image Analysis
quality standards.

CE Varian Medical Systems, Oncology Systems products meet the requirements of

» Motion View
Council Directive MDD 93/42/EEC.

EU REACH SVHC The link to the current EU REACH SVHC disclosure statement is » Power Up/Down
Disclosure [Link]

HIPAA Varian’s products and services are specifically designed to include features that
help our customers comply with the Health Insurance Portability and
Accountability Act of 1996 (HIPAA). The software application uses a secure login
process, requiring a user name and password, that supports role‐based access.
Users are assigned to groups, each with certain access rights, which may include
the ability to edit and add data or may limit access to data. When a user adds or
modifies data within the database, a record is made that includes which data
were changed, the user ID, and the date and time the changes were made. This
establishes an audit trail that can be examined by authorized system
administrators.

CAUTION: US Federal law restricts this device to sale by or on the order

of a physician.

Trademarks TrueBeam is a trademark of Varian Medical Systems, Inc. All other trademarks
or registered trademarks are the property of their respective owners.
© 2009, 2010 Varian Medical Systems, Inc.
 CONTROL CONSOLE

Motion Controls

Illuminated Indicators

Push Next

Axis Outside Plan Tolerance

Selected for Motion;

Beam State

Beam On (Not Shown)

Beam Controls

Intercom
Display Customer Inputs (Rear View) Console Lock
Volume Up/Down

Microphone
Key

Backup MU Counter External Microphone MP3 Player Unlock Lock

Message:
1 = No Communication with Computer
2 = Power Off or Standby
Image Acquisition
and Gating
Control Console Treatment Screen Image Acquisition Image Analysis Motion View Power Up/Down
TREATMENT SCREEN

Interlocks

Plan ≠ Actual Lock

Pendant Busy

Couch Gantry

Imager Collimator

Door Accessory

No Collision
Communication

Treatment Icons Imaging Icons Plan Icons Data Indicators

Field Showing Machine Plan Actual Collimator/MLC
kV-kV
Beam Direction Override 0.0 0.5 Outside Plan Tolerance
kV-MV
Locked Field Invalid Field 0.0 0.1 Within Tolerance; Not at Plan
CBCT 0.0 0.0 At Plan CIAO To Plan Parked
Setup Notes
Automation
Available MV
Remote Motion Allowed
Setup Field Film
(Nonbeam) Display Tolerance Allowed

Treatment Screen Image Acquisition Image Analysis Motion View Power Up/Down
IMAGE ACQUISITION
Imaging Acquisition Dashboard (kV options shown) Sync Images with Respiration

Start/Stop Audio Coaching

Tracking

Modify Gating Triggered kV

Image Options

Display Images
Acquire Images Brightness/Contrast Show/Hide

Properties Small/Large
Focal Spot
Window Level Auto Window Dashboard Panels

Collimation Tool Blade Tracking View

Reference 2D/3D
Single Image Reference Image
Save Image
Radiographic Zoom In Zoom Out

Fluoro Contours Toggle Layout

Pan Reset Geometry

Image Acquisition Image Analysis Motion View Power Up/Down

IMAGE ANALYSIS
Imaging Tools (top of Imaging screen)

Analysis Marker Match Image Match Advanced Analysis

Auto Detect
Measure Distance Split Window Pixel Info
Marker

Measure Angle Add/Remove Move Window Line Profile

Marker

Display Digital Remove

Blend Image Area Profile
Graticule All Markers

Display Grid Reproject Markers Auto Match Area Histogram

Display ROI
(Region of Interest) Move Marker Manual Match
VOI (3D Volume of Interest)

Edit Contour

Image Analysis Motion View Power Up/Down

MOTION VIEW

Brightness Control

Camera
Zoom out (-); Zoom in (+)

Power On/Off Camera Navigation

Left/Right, Up/Down

Home View
Press to return to home
camera view.
Depress for 2 seconds to
set current view as new
home camera view.

Motion View Power Up/Down

POWER UP/DOWN

Power Up from Standby

1. At the control console, insert the key and unlock the system.
Emergency Stop and Restart
1. Reset the Emergency Stop button that was pressed by depressing
The system will be in Power Saver (Standby) state. or pulling out the Emergency Stop button again.
2. On the Select Major Mode screen, choose Treatment. 2. Push the green Start button on the modulator cabinet.
3. Log in to the system. 3. In the console area, on the Treatment screen, do the following:
n Acknowledge any faults.
The Treatment screen appears.
n Click the Tools button in the lower left of the screen;
4. In the lower left of the Treatment screen, click the Tools button.
then deselect the Power Saver (Standby) option.
Then deselect the Power Saver (Standby) option.
Sign off on the transition to Power On. The Power Saver
n
5. Sign off on the transition to Power On.
message on the right of the Treatment screen clears.
The Power Saver message on the right of the Treatment screen clears. n If the emergency stop ended a treatment in progress, close the

6. Open a patient plan. patient and sign off on a partial treatment.

7. Log in at the prompt. 4. Click Change Mode.
A sound indicates when the system has warmed up and interlocks 5. On the Select Major Mode screen, choose Initialize.
disappear. You are ready to treat your patient.
6. Note the gantry position in the Initialization wizard.
7. If the gantry is not at 0° IEC, enter the treatment room and press one
Power Down to Standby of the four Collision Override buttons (on either side panel or on the
collimator). Use the pendant to rotate the gantry to 0° IEC.
1. Close the patient plan.
8. On the Initialization screen, click Start Initialization.
2. In the upper left of the Treatment screen, click the Change Mode button.
Wait while the MLC initializes.
3. In the upper right of the Treatment screen, click the green
9. On the Initialization screen, click Change Mode.
Power On button.
10. On the Select Major Mode screen, choose Treatment. Log in to the
The system returns to Standby state. information system queue. Then log in to the application.

4. If you are leaving for the day, remove the key from the control console
and place it in a secure location.

Power Up/Down
 TrueBeam™ and TrueBeam™ STx Quick Reference Guide
Treatment Room Quick Reference

TrueBeam™ system TrueBeam™ STx system

Varian Medical Systems

Oncology Systems
3100 Hansen Way
Palo Alto, CA 94304-1038
Tel: 650.424.5700 | Tel: 800.544.4636
[Link]

Copyright © 2010 Varian Medical Systems, Inc.

A pa
Varian and Varian Medical Systems are registered trademarks.
P/N 100043567-02 | Printed in USA. 12/10 (50)
Abstract The TrueBeam Quick Reference Guide (P/N 100043567-02) provides reference
information for using the TrueBeam™ system, version 1.5.
This document was originally published in English (P/N 100043567‐02).
This manual can be printed on any printer capable of printing PDF documents.

Manufacturer and Manufacturer: European Authorized Representative:

European Varian Medical Systems, Inc. Varian Medical Systems UK Ltd.
Authorized 3100 Hansen Way Gatwick Road, Crawley
Representative Palo Alto, CA 94304-1030, USA West Sussex RH10 9RG
United Kingdom
Treatment Room
Notice Information in this guide is subject to change without notice and does not

CONTENTS
represent a commitment on the part of Varian. Varian is not liable for errors
contained in this user guide or for incidental or consequential damages in
connection with furnishing or use of this material.
This document contains proprietary information protected by copyright. No part
of this document may be reproduced, translated, or transmitted without the
express written permission of Varian Medical Systems, Inc.
If you want the source code for RealVNC software, a copy will be sent to you at
your request. This offer is valid for a period of three years from the date on which
you first received the TrueBeam system from Varian. You will be charged a fee » Pendant
for fulfilling this request. Please contact your Varian service representative for
more information and to obtain the request form.
» Side Panel
FDA 21 CFR 820 Varian Medical Systems, Oncology Systems products are designed and
Quality System manufactured in accordance with the requirements specified within this federal
Regulations regulation. » Machine Monitor
(CGMPs)

ISO 13485 Varian Medical Systems, Oncology Systems products are designed and
manufactured in accordance with the requirements specified within ISO 13485
» Patient Monitor
quality standards.

CE Varian Medical Systems, Oncology Systems products meet the requirements of

» Dry Run
Council Directive MDD 93/42/EEC.

EU REACH SVHC The link to the current EU REACH SVHC disclosure statement is » Emergency Operations
Disclosure [Link]

HIPAA Varian’s products and services are specifically designed to include features that
help our customers comply with the Health Insurance Portability and
Accountability Act of 1996 (HIPAA). The software application uses a secure login
process, requiring a user name and password, that supports role‐based access.
Users are assigned to groups, each with certain access rights, which may include
the ability to edit and add data or may limit access to data. When a user adds or
modifies data within the database, a record is made that includes which data
were changed, the user ID, and the date and time the changes were made. This
establishes an audit trail that can be examined by authorized system
administrators.

CAUTION: US Federal law restricts this device to sale by or on the order

of a physician.

Trademarks TrueBeam is a trademark of Varian Medical Systems, Inc. All other trademarks
or registered trademarks are the property of their respective owners.
© 2009, 2010 Varian Medical Systems, Inc.
 PENDANT
Display
Axis
Axis Position AUTO OPERATIONS
Lights/Collimator
Imager Selection

MANUAL OPERATIONS
Room Field Optical Distance
Manual Move Indicator

Collimator/ Imager Jaw Lasers Flashlight MLC/Jaws

Gantry/Couch Selection Selection

Imager
Thumbwheel Indicator Jaw Indicator
(Side of Handle) To Plan Mid Retract

Collimator Y Service/Dry Run

Collimator

Gantry
X
Gantry Menu/Service Cancel

Couch
Couch Imager
Imager Y1 Navigation
Vertical
Vertical Vertical
Vertical

Couch
Couch Imager
Imager
Y2
Longitudinal
Longitudinal Longitudinal
Longitudinal

Couch
Couch
Imager
Imager
X1
Lateral Lateral Navigation Enter
Lateral Lateral

Rotate
Rotate
X 2
Auto Move
Couch
Couch Motion
Enable Bars
Move Couch Gantry/Jaws Rotate Couch

Pendant Side Panel Machine Monitor Patient Monitor Dry Run Emergency Ops
SIDE PANEL
Manual Move Emergency Controls
Emergency Stop
Float Float Vertical Longitudinal Lateral Rotate
Lateral Longitudinal

Float
Auto Move Reset Service
0
00 0

Imagers Collision (Future Tools

100
Retract To19191908Plan
000009 8
88 9 6 100
98
Override Development)
999666
96
Motion Enable Bar
Motion Enable Down

100
98
96

LEFT SIDE PANEL SHOWN

0 0
Lights Audio Coaching Volume
100 100
98 98
96 96

Room Field Optical Lasers Back- Mute Down Up

Distance pointer
Indicator Laser

Side Panel Machine Monitor Patient Monitor Dry Run Emergency Ops
MACHINE MONITOR

Status Interlocks

Collision

Collision Plan ≠ Actual

Door

Imager

Pendant

Accessory

Collimator

Data Indicators Couch

Plan Actual
0.0 0.5 Outside Plan Tolerance

0.0 0.1 Within Tolerance; Not at Plan

0.0 0.0 At Plan

Remote Motion Allowed

Display Tolerance Allowed

Machine Monitor Patient Monitor Dry Run Emergency Ops

PATIENT MONITOR
Setup Notes/Activity Notes Tabs Field Photo B

Selected View

Navigation

• P
 ress Navigation Button
to advance to next tab
or screen

• P
 ress Enter to show
or expand

Field Photo A Patient Photo

Patient Monitor Dry Run Emergency Ops

DRY RUN
To perform a dry run for nonautomated fields: To perform a dry run for automated fields:
1. Open the patient plan. 1. Open the patient plan.
2. In the treatment room, set up the patient in 2. In the treatment room, set up the patient in
the desired position. the desired position.
3. In the console area on the Treatment screen, select 3. In the console area, in the lower left of the
the treatment field at which the dry run will start. Treatment screen, click the Add button; then
Note: A dry run transitions only from one treatment field to the next choose Add Automation from the menu.
treatment field; it cannot move from an imaging field to a treatment field. To stop motion at any time 4. In the lower left of the Treatment screen, click the
4. In the lower left of the Treatment screen, click the during a dry run, release the Tools button.
Tools button. Motion Enable bars; to resume
5. Select Perform Dry Run from the menu that appears.
5. Select Perform Dry Run from the menu that appears. motion, press Enter again.
A check mark next to the menu item and “Dry Run”
A check mark next to the menu item and “Dry Run” displayed in the Live View indicate that the mode
displayed in the Live View indicate that the mode To cancel a dry run before it is selected.
is selected. finishes, press Cancel Dry Run 6. Select the treatment field at which the dry run will start.
6. Press Prepare on the control console. on the pendant. Note: A dry run transitions only from one treatment field to the next
treatment field; it cannot move from an imaging field to a treatment field.
7. Return to the treatment room, and on the pendant
do the following: 7. Press Prepare on the control console.
n P
 ress the Auto Move buttons to go to the planned 8. Return to the treatment room, and on the pendant
values for the first field, if needed. begin holding down the Motion Enable bars and then
n H
 old down the Motion Enable bars and then press press Enter to start the dry run.
Enter to start the dry run. The system automatically moves to all of the treatment
n  hen the first field is finished, release the Motion
W angles for the grouped fields. The equipment pauses
Enable bars. briefly as it transitions from field to field.
n P
 ress Enter to advance to the next field. 9. Continue to hold down the Motion Enable bars until
8. Repeat step 7 to do a dry run on subsequent fields. the dry run is complete.
9. When you have run through all fields, return to the 10. Return to the console area and deselect Dry Run by
console area and deselect Dry Run by clicking the Tools clicking the Tools button at the bottom of the Treatment
button at the bottom of the Treatment screen and screen and selecting Perform Dry Run.
selecting Perform Dry Run. This action clears the check marks and exits the mode.
This action clears the check marks and exits the mode.

Dry Run Emergency Ops

EMERGENCY OPERATIONS
In an emergency, push any Emergency Stop button

Location of Emergency Stop Buttons

To Remove Your Patient from the Couch:
1. On the side panel, hold down the Float button.
Emergency Controls
2. Push the couch top away from the gantry and
Emergency Stop
any restrictions; then release the Float button.
3. Hold down the Down and Motion Enable Float
buttons.
0
4. Lower the couch until you have enough room
to remove the patient.
100
98
96

5. Help your patient from the couch.

Motion Down
6. To start up after an emergency stop, follow Enable

the “Emergency Stop and Restart” procedure

Control Console on the Power Up/Down tab.

Customer Site
Note the location of additional Emergency Stop buttons at your site:

Stand Gantry Couch Modulator

The Emergency Stop buttons shown appear on both sides of the Stand and couch,
and on the front and sides of the modulator.

Emergency Ops