Section 335.8200  Periodic Spot-Checks for Gamma Stereotactic Radiosurgery Units

a)         A licensee authorized to use a gamma stereotactic radiosurgery unit for medical use shall perform spot-checks of each gamma stereotactic radiosurgery facility and on each unit: 

1)         Monthly;

2)         Before the first use of the unit on a given day; and

3)         After each source installation.

b)         A licensee shall:

1)         Perform the measurements required by subsection (a) of this Section in accordance with written procedures established by the authorized medical physicist.  That individual need not actually perform the spot-check measurements.

2)         Have the authorized medical physicist review the results of each spot‑check within 15 days.  The authorized medical physicist shall notify the licensee as soon as possible in writing of the results of each spot‑check.

c)         To satisfy the requirements of subsection (a)(1) of this Section, spot-checks must, at a minimum:

1)         Assure proper operation of:

A)        Treatment table retraction mechanism, using backup battery power or hydraulic backups with the unit off;

B)        Helmet microswitches;

C)        Emergency timing circuits; and

D)        Stereotactic frames and localizing devices (trunnions).

2)         Determine:

A)        The output for one typical set of operating conditions measured with the dosimetry system described in Section 335.8080(b) of this Part;

B)        The difference between the measurement made in subsection (c)(2)(A) of this Section and the anticipated output, expressed as a percentage of the anticipated output (i.e., the value obtained at last full calibration corrected mathematically for physical decay);

C)        Source output against computer calculation;

D)        Timer accuracy and linearity over the range of use;

E)        On-off error; and

F)         Trunnion centricity.

d)         To satisfy the requirements of subsections (a)(2) and (a)(3) of this Section, spot-checks must assure proper operation of:

1)         Electrical interlocks at each gamma stereotactic radiosurgery room entrance;

2)         Source exposure indicator lights on the gamma stereotactic radiosurgery unit, on the control console and in the facility;

3)         Viewing and intercom systems;

4)         Timer termination;

5)         Radiation monitors used to indicate room exposures; and

6)         Emergency off buttons;

e)         A licensee shall arrange for the repair of any system identified in subsection (c) of this Section that is not operating properly as soon as possible.

f)         If the results of the checks required in subsection (d) of this Section indicate the malfunction of any system, a licensee shall lock the control console in the off position and not use the unit except as may be necessary to repair, replace or check the malfunctioning system.

g)         A licensee shall retain a record of each spot-check for gamma stereotactic radiosurgery units required by this Section for 5 years.

1)         The record must include:

A)        The date of the spot-check;

B)        The manufacturer's name, model and serial number for the gamma stereotactic radiosurgery unit and the instrument used to measure the output of the unit;

C)        An assessment of timer linearity and accuracy;

D)        The calculated on-off error;

E)        A determination of trunnion centricity;

F)         The difference between the anticipated output and the measured output;

G)        An assessment of source output against computer calculations;

H)        Notations indicating the operability of radiation monitors, helmet microswitches, emergency timing circuits, emergency off buttons,  electrical interlocks, source exposure indicator lights, viewing and intercom systems, timer termination, treatment table retraction mechanism, and stereotactic frames and localizing devices (trunnions); and

I)         The name of the individual who performed the periodic spot-check and the signature of the authorized medical physicist who reviewed the record of the spot-check.

2)         A licensee shall retain a copy of the procedures required by subsection (b) of this Section until the licensee no longer possesses the gamma stereotactic radiosurgery unit.

(Source:  Added at 30 Ill. Reg. 9029, effective April 28, 2006)