Interventional Project Implementation Guide

Interventional Project Implementation Guide
GE Healthcare
Project Implementation Guide for
Interventional Systems
Working together to get your new technology
online so you can begin providing patient care.
Table of Contents
Table of Contents .....................................................................................................................................................................................................3
List of Figures and Tables ....................................................................................................................................................................................7
Figures:..................................................................................................................................................................................................................7
Tables: ...................................................................................................................................................................................................................8
Use of this Guide ......................................................................................................................................................................................................9
Process Flow............................................................................................................................................................................................................ 11
Site Evaluation ........................................................................................................................................................................................................ 17
Overview ........................................................................................................................................................................................................... 17
System Upgrades ......................................................................................................................................................................................... 19
Site Vibration ................................................................................................................................................................................................... 19
Electromagnetic Interference ................................................................................................................................................................. 19
System Delivery ............................................................................................................................................................................................. 19
Project Team ........................................................................................................................................................................................................... 21
Overview ........................................................................................................................................................................................................... 21
Selecting Your Design and Construction Team ............................................................................................................................. 21
Design-Build .................................................................................................................................................................................................... 22
Design-Bid-Build............................................................................................................................................................................................ 22
Team Collaboration ..................................................................................................................................................................................... 22
GE Healthcare Support....................................................................................................................................................................................... 23
GE Healthcare Project Manager ............................................................................................................................................................ 23
HPI Technical Support Group .................................................................................................................................................................. 23
GE Healthcare's Design-Build Services .............................................................................................................................................. 24
Roles and Responsibilities ................................................................................................................................................................................. 25
GE Healthcare Project Manager ............................................................................................................................................................ 25
GE Healthcare Project Manager and Field Service Engineer .................................................................................................. 25
GE Healthcare Field Service Engineer................................................................................................................................................. 25
GE Healthcare Applications Team ........................................................................................................................................................ 25
GE Healthcare Sales, Project Manager, PACS Engineer, and Field Service Engineer................................................... 25
Customer .......................................................................................................................................................................................................... 25
Architect/Engineer ....................................................................................................................................................................................... 26
Project Plan .............................................................................................................................................................................................................. 27
Develop a Preliminary Project Plan ...................................................................................................................................................... 27
Develop a Preliminary Project Schedule............................................................................................................................................ 27
Estimate Your Project Costs .................................................................................................................................................................... 27
Initial Project Definition .............................................................................................................................................................................. 28
Design Kick-Off Meeting ............................................................................................................................................................................ 28
Gantt Chart ...................................................................................................................................................................................................... 30
GE Healthcare Site-Specific Final Equipment Installation Drawings ................................................................................... 31
Construction Drawings .............................................................................................................................................................................. 33
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Table of Contents (Continued)
Building Codes and Regulatory Compliance Requirements.................................................................................................... 33
Critical Design Elements: .......................................................................................................................................................................... 33
Delivery Considerations for Design Team ........................................................................................................................................ 35
Plan Review and Approvals ..................................................................................................................................................................... 35
Plan Review and Permits .......................................................................................................................................................................... 35
Pre-Construction Review Meeting........................................................................................................................................................ 36
Construction ............................................................................................................................................................................................................ 39
Site Readiness Assessment ............................................................................................................................................................................. 41
Critical items to be completed before delivery .............................................................................................................................. 41
GE Healthcare Site Readiness Checklist ............................................................................................................................................ 42
Delivery ...................................................................................................................................................................................................................... 43
Those items include: ................................................................................................................................................................................... 43
System Delivery ............................................................................................................................................................................................. 44
System Turnover ................................................................................................................................................................................................... 47
Installation and Calibration ..................................................................................................................................................................... 47
Application Training and First Patient ................................................................................................................................................ 47
Project Completion Close-Out Meeting ............................................................................................................................................. 48
Summary of Critical Items ................................................................................................................................................................................ 49
Broadband and Network Connectivity .............................................................................................................................................. 50
Mechanical/Electrical Infrastructure .................................................................................................................................................. 51
Power and Grounding ................................................................................................................................................................................ 52
Floor Preparation .......................................................................................................................................................................................... 53
Floor Levelness Survey .............................................................................................................................................................................. 54
Overview of Leveling and Flattening of the Floor Area .............................................................................................................. 54
Discovery™ IGS System General Floor and Subfloor Requirements ........................................................................... 54
Room Radiation Shielding ........................................................................................................................................................................ 55
Optima CL323i System ....................................................................................................................................................................................... 57
Delivery of Optima CL323i System Components .......................................................................................................................... 58
Innova IGS Single Plane and Bi-Plane Systems...................................................................................................................................... 59
Delivery of Innova IGS System Components................................................................................................................................... 60
GE Healthcare Vascular System Components and Function ................................................................................................. 62
Room Preparation for Innova Single and Bi-Plane Systems............................................................................................................ 69
Innova Positioner Base Plate & Electrical/Water Interface Kits ............................................................................................. 69
Elegance Table Base Plate............................................................................................................................................................... 70
Room Size ................................................................................................................................................................................................ 70
Unistrut ..................................................................................................................................................................................................... 70
Mechanical/Electrical Infrastructure .................................................................................................................................................. 71
Discovery™ IGS Systems ................................................................................................................................................................................... 73
Structural Ceiling - Cable Management System Attachment to the Ceiling ................................................................... 74
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Table of Contents
Delivery of Discovery™ IGS System Components......................................................................................................................... 75
Ceiling Height.................................................................................................................................................................................................. 76
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List of Figures and Tables
Figures:
Figure 1 - Illustration of Process Flow .....................................................................................................................................................................................11
Figure 2 - Photo of New Facility .................................................................................................................................................................................................17
Figure 3 - Photo of Building Addition .......................................................................................................................................................................................17
Figure 4 - Photo of Renovation ...................................................................................................................................................................................................17
Figure 5 - Photo of Leased Space ..............................................................................................................................................................................................17
Figure 6 - Photo of Construction ................................................................................................................................................................................................18
Figure 7 - Photo of PDC Cassette/PDC Mini-Clinic ............................................................................................................................................................18
Figure 8 - Sample Gantt Chart (for reference only) ..........................................................................................................................................................30
Figure 9 - Typical Electrical Installation Drawing E1 Sheet ..........................................................................................................................................32
Figure 10 - Photo of Preliminary Floor Work .......................................................................................................................................................................39
Figure 11 - Photo of Concrete Work ........................................................................................................................................................................................39
Figure 12 - Sample Site Readiness Checklist (for reference only) .............................................................................................................................42
Figure 13 - Fork Lift Truck Delivery of Innova Equipment.............................................................................................................................................43
Figure 14 - Flow of Typical System Delivery Events .........................................................................................................................................................44
Figure 15 - Equipment Staging in Corridor ...........................................................................................................................................................................45
Figure 16 - Equipment Staging in Room ................................................................................................................................................................................45
Figure 17 - Masonite Board Floor Protection ......................................................................................................................................................................45
Figure 18 - System Delivery with Dollies ................................................................................................................................................................................45
Figure 19 - Delivery of Gantry at Hospital .............................................................................................................................................................................46
Figure 20 - Elegance Table Delivery .........................................................................................................................................................................................46
Figure 21 - Completed Innova IGS Room ..............................................................................................................................................................................46
Figure 22 - Innova Main Disconnect Panel ...........................................................................................................................................................................51
Figure 23 - Typical Discovery™ IGS Finished Floor...........................................................................................................................................................53
Figure 24 - Stud Walls Ready for Installation of Lead Shielding ...............................................................................................................................55
Figure 25 - Optima CL323i with Ergo Suspension Option.............................................................................................................................................57
Figure 26 - Ergo Monitor Suspension (Optima System Only) ......................................................................................................................................58
Figure 27 - Innova Single Plane with Large Display Monitor ......................................................................................................................................59
Figure 28 - Innova Bi-Plane with Large Display Monitor ...............................................................................................................................................59
Figure 29 - Innova LC Gantry on Shipping Dolly ................................................................................................................................................................60
Figure 30 - Bi-Plane Gantry in Dolly .........................................................................................................................................................................................60
Figure 31 - Typical Vascular Suite .............................................................................................................................................................................................61
Figure 32 - Typical Innova IGS Examination Room ..........................................................................................................................................................62
Figure 33 - Typical Open Suspension ......................................................................................................................................................................................63
Figure 34 - Typical Open Suspension ......................................................................................................................................................................................63
Figure 35 - Overview of Component Connections ...........................................................................................................................................................64
Figure 36 - Typical Large Display Monitor ............................................................................................................................................................................65
Figure 37 - Typical Large Display Monitor ............................................................................................................................................................................65
Figure 38 - User Interfaces (Figure 1 of 2) .............................................................................................................................................................................66
Figure 39 - User Interfaces (Figure 2 of 2) .............................................................................................................................................................................67
Figure 40 - Ductwork Installed Below an Above Grade Innova Installation .......................................................................................................69
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List of Figures and Tables (Continued)
Figure 41 - Elegance Table Base Plate ................................................................................................................................................................................... 70
Figure 42 - Innova Base Plate and Omega Table Contact Area ............................................................................................................................... 70
Figure 43 - Main Disconnect Panel or Power Distribution Box .................................................................................................................................. 71
Figure 44 - System Cabinet in Equipment Room .............................................................................................................................................................. 71
Figure 45 - Finished Discovery™ IGS Operating Room .................................................................................................................................................. 73
Figure 46 - Above Ceiling Cable Management Support ................................................................................................................................................ 74
Figure 47 - Adjustable Cable Management Support Plate .......................................................................................................................................... 74
Figure 48 - Cable Management Support Ready to Attach to Support Plate ...................................................................................................... 74
Figure 49 - Discovery™ IGS Exam Room in Progress ..................................................................................................................................................... 75
Figure 50 - Typical Hybrid Operating Room Elevation ................................................................................................................................................... 76
Tables:
Table 1 - Example of topics to review/discuss (not an all-inclusive list) ............................................................................................................... 38
Table 2 - Critical Predelivery Site Readiness Items .......................................................................................................................................................... 41
Table 3 - Vascular System Components and Function.................................................................................................................................................. 62
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Use of this Guide
Installation of your new GE Healthcare system requires that your site be prepared to comply with the product’s
unique site preparation requirements. Our mutual goal is to prepare for delivery and installation of your system
in a timely manner.
GE Healthcare has extensive experience assisting customers with preparing their sites for the delivery and
installation of their systems. This guide provides an overview of many of the usual site preparation steps GE
Healthcare follows while assisting our customers during the preparation of their sites for the delivery and
installation of their systems. This guide contains information on the following topics.
•
Project Implementation
•
Construction
•
Site Evaluation
•
Site Ready
•
Project Team
•
System Delivery
•
Preliminary Plans
•
Installation and Calibration
•
Construction Plans
•
Applications
•
Plan Review
•
Project Completion
•
Close-Out Meeting
In addition, your site plan and design needs to incorporate the site planning information and requirements
found in the applicable GE Healthcare pre-installation manual and the site-specific final equipment installation
drawings for your system. Please contact your GE Healthcare project manager if you have not yet received a
copy of the applicable GE Healthcare pre-installation manual. PDF copies of the GE Healthcare's preinstallation manuals, along with PDF copies of typical preliminary project drawings and typical final installation
drawings are available for viewing and downloading at the following link:
http://www3.gehealthcare.com/en/Support/Site_Planning
You may find it beneficial to share and utilize this guide with your facilities team, system users, architects,
engineers, contactors, or others involved in the design and construction of your site. Portions of this guide are
repeated in more than one section for completeness of information within a given section.
Your GE Healthcare team is available to provide assistance with your project. Your GE Healthcare project
manager is your GE Healthcare focal point during the project implementation process. Please contact your
GE Healthcare project manager with any questions you may have.
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Process Flow
An understanding of the process steps by team members supports the creation of an objective schedule. In
order to do this, all team members should have a good understanding of the steps in this process. This guide
describes the typical project implementation process steps and time required for each step. Determine if your
project has special needs not addressed by this typical process flow and develop a specific schedule for your
project. GE Healthcare will provide you with assistance during various steps of your site preparation project as
indicated in this guide.
Figure 1 - Illustration of Process Flow
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Process Flow (Continued)
This portion of the Process Flow section outlines additional task descriptions for each process step.
Note: This is not a comprehensive list of tasks or requirements in the project implementation process. You must
work with your team to define all the specific tasks and scope for your site.
Select Site for System
•
Finalize type of system to be installed
•
Determine project type, such as new construction, addition, renovation, upgrade
•
Gather system user inputs
•
Facility planning involvement is critical
•
The applicable GE Healthcare pre-installation manual and typical drawings will be provided to you by
your GE Healthcare project manager
•
Determine if a Certificate of Need or any special permitting is required
Select Design and Construction Team
Cycle 1–2 weeks
•
Select an architect or qualified designer as early as possible
•
Decide on Design-Build or Design-Bid-Build site preparation approach
•
Conduct an on-site pre-bid meeting if the Design-Build approach is selected
•
Consider medical system construction experience as a main criteria for contractor selection
Preliminary Floor Plan and Site Evaluation
•
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Cycle Varies
Cycle 1-2 weeks
Team collaboration
-
GE Healthcare project manager
-
Customer team
•
Perform a complete site evaluation specific to your system type
•
Perform a broadband (high-speed Internet) connectivity assessment
•
Define filming, printing, and PACS interface requirements
•
Review the system delivery route
•
Select the desired system location and room configurations
•
Your GE Healthcare project manager will develop a preliminary floor plan incorporating your input
•
Your written approval of GE Healthcare's preliminary floor plan
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Process Flow (Continued)
Develop Preliminary Project Plan
•
Select an architect for input
•
Define your project scope
-
Unique elements for your system configuration
-
Construction requirements
-
User inputs are critical
Cycle included in preceding
•
Finalize the project floor plan
•
Develop preliminary written project schedule to establish a planned first use date
•
Agreement and commitment is required from all parties involved
GE Healthcare Final Installation Drawings
Cycle 1-2 weeks
•
Your written approval of GE Healthcare's preliminary floor plan is needed to proceed with the sitespecific final equipment installation drawings
•
Your GE Healthcare project manager will coordinate with the GE Healthcare Design Center to complete
the site-specific final equipment installation drawings
•
AutoCAD and PDF files of the site-specific final equipment installation drawings are provided by GE
Healthcare (prints are available upon request)
•
GE Healthcare’s final installation drawings are NOT construction drawings, but portions may need to be
incorporated into the architect’s construction documents/plans
Construction Drawings
Cycle 3-7 weeks
•
Conduct an on-site design kick-off meeting
•
Utilize the GE Healthcare pre-installation manual and equipment installation drawings
•
GE Healthcare's project manager is available for support
•
Facility Planning/Landlord involvement is critical
•
Your architect/engineering team is responsible for applicable code and regulatory compliance
•
Finalize the system delivery route and verify elevator load capacity rating, if applicable (your rigger and
GE Healthcare's project manager input is critical at this stage)
•
Hold periodic team review meetings
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Process Flow (Continued)
Plan Review and Permits
Cycle varies
•
Required governmental approvals vary by location
•
Obtain construction bids, if using the Design-Bid-Build approach
•
Identify and remedy potential risks to the schedule resulting from review and permitting delays
•
Arrange permits to close street or sidewalk for delivery or rigging, if applicable
Pre-Construction Meeting and Finalize Project Schedule
•
Team collaboration is essential
•
Pre-Construction Review:
-
Critical that contractor, all suppliers and subcontractors are present
-
Identify critical path events
-
Identify long lead Items
-
Ensure all shop drawings for construction are complete
-
Finalize the project schedule while focusing initial efforts on the exam room, equipment room, and
control room
•
Schedule input and commitment from the entire team is critical
•
Coordinate the project schedule with the rigging company
•
Distribute appropriate construction drawings to all trade groups
Construction
Cycle varies (site dependent)
•
Complexity of the project drives total project cycle time
•
Order long lead time items
•
Your GE Healthcare project manager is available for support and questions
•
Communicate status updates to your GE Healthcare project manager
•
Critical path items monitored and completed, such as:
•
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Cycle 1 week
-
HVAC operational
-
Power available
Closely monitor site progress
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Process Flow (Continued)
•
Conduct required inspections and measurements
•
Maintain planned completion date while focusing construction efforts on the exam room, equipment
room, and control room
•
Confirm system delivery route
•
Hold periodic project team review meetings
Site Ready!
•
Site Readiness Assessment complete, led by your general contractor and conducted with
GE Healthcare's project manager
•
Maintain planned completion date while focusing construction efforts on the exam room, equipment
room, and control room
•
General contractor completes the items on the construction punch list
•
Schedule and finalize system delivery dates
•
Verify broadband connectivity and IP addresses are obtained
System Delivery
Cycle 1-2 weeks
Your GE Healthcare system typically arrives through a 2-step delivery process so the equipment arrives on-site
when it is needed. The 2-step delivery process and other key tasks are listed below.
•
Final schedule notification sent to rigger and GE Healthcare project manager
•
Coordinate temporary shoring, if needed
•
Step 1: Certain system components typically pre-ship 2 to 6 weeks prior to delivery of the balance of
the system components. The items that typically pre-ship are the main disconnect panel.
•
Step 2: Delivery of the balance of the system components
Installation and Calibration
Cycle 2-3 weeks
•
Identify trades that will be needed during mechanical installation, such as electrician, plumber, HVAC,
facilities personnel
•
Mechanical installation of the system
•
Calibration completed by the GE Healthcare field service engineer
•
Connect to the customer's network/PACS systems
•
Connect to the broadband (high speed Internet and GE VPN)
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Process Flow (Continued)
Applications Training and First Patient Use
Cycle < 1 week
•
GE Healthcare applications specialist scheduled for on-site training
•
Review TiP pre-training materials provided by GE Healthcare
•
Identify staff members who will participate in training
•
Provide supplemental personnel support to allow for the technologists' participation
•
TiP Applications classes scheduled for technologists, if applicable
•
Identify mix of exam types appropriate to the practice
•
Ensure appropriate patient loads are scheduled
Close-Out Meeting
As the project is now essentially completed, it is time to do a final assessment of the project, identify key
contacts, and reflect on what worked and what could be improved upon. Your GE Healthcare project manager
will initiate a project close-out meeting to review the following:
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•
Review the project plan to ensure all tasks have been completed
•
Review follow-up requirements
•
Identify project positives/improvement areas
•
Complete the hand-off to GE Healthcare Service
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Site Evaluation
Overview
There are several ways to accommodate your GE Healthcare system at your site.
Some examples are the following:
•
New Facility
•
Building Addition
•
Renovation
•
Replacement of existing system or upgrade
•
Leased Space
•
PDC Cassette or Mini-Clinic
Figure 2 - Photo of New Facility
Figure 3 - Photo of Building Addition
Figure 4 - Photo of Renovation
Figure 5 - Photo of Leased Space
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Site Evaluation (Continued)
The specific site you select influences the complexity, schedule, and cost of the project. Your GE Healthcare
project manager will help you identify potential locations that could satisfy your patient flow requirements as
well as GE Healthcare's space requirements.
Some questions to consider:
•
What type of GE Healthcare system did you purchase?
•
Is the system to be located at your existing facility or in a new independent clinic, medical office
building, or leased space?
•
Do you plan any future expansion into the surrounding area?
•
Is the location appropriate for the system weight, size, vibration sensitivity, acoustics, and any other
requirements specified in GE Healthcare's applicable pre-installation manual?
•
What system location and layout provides the most efficient workflow for your staff and patient flow,
including proximity to other facility functions and diagnostic imaging systems?
•
Is space available in your existing building to renovate?
•
Is space available to build an addition?
•
Are you replacing or upgrading an existing system in an existing location?
•
Is this an independent clinic constructed on site or a PDC Cassette/Mini Clinic?
Figure 6 - Photo of Construction
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Figure 7 - Photo of PDC Cassette/PDC Mini-Clinic
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Site Evaluation (Continued)
System Upgrades
If you are replacing or upgrading an existing system in an existing room, the existing radiation shielding must
be tested for compliance with the applicable state and local radiation shielding regulatory requirements,
including conducting any applicable surveys. This testing should be conducted prior to de-installation of the
existing system. This testing will indicate the need for repair or modifications to the existing radiation shielding
or the need for new radiation shielding. Repairing, modifying, or replacing the radiation shielding should be
factored into your project cost and schedule. You may also have to make other room modifications to meet
current siting requirements, such as cable concealment, egress, floor levelness, and floor support.
Site Vibration
The vibration environment at your site can affect the performance of certain systems. If applicable for your
new system, you need to have your site tested for the existing vibration levels to assure your site complies with
the requirements provided in the applicable GE Healthcare pre-installation manual. If your site does not comply
with those requirements, appropriate corrective actions will be necessary prior to delivery and installation of
your system.
Electromagnetic Interference
The electromagnetic interference and power quality at your site can affect the performance of certain systems.
If applicable for your new system, you need to evaluate your site to ensure compliance with the requirements
provided in the applicable GE Healthcare pre-installation manual. If your site does not comply with those
requirements, appropriate corrective actions will be necessary prior to delivery and installation of your system.
System Delivery
The system delivery route needs to be reviewed to determine the following:
•
If the floor support is needed along the delivery route during the delivery of the new system
components
•
If the delivery route corridors and doorways to the designated rooms have adequate width and height
clearance to accommodate for the size and turning radius of the new system's components
•
If the size and capacity of the elevators along the delivery route can accommodate the size and weight
of new system's components
Consult your GE Healthcare project manager regarding questions you may have concerning your site or the
delivery route.
You will receive a preliminary floor plan from your GE Healthcare project manager. That floor plan should be
reviewed with your entire team. Your GE Healthcare project manager needs your written approval of that
preliminary floor plan in order to authorize starting your site-specific final equipment installation drawings.
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Project Team
Overview
You may find it helpful for applicable members of your project team to use this guide. Those team members
may include:
•
Senior Management
•
Project Manager
•
Architectural and Engineering Firms
•
Construction Team
•
Information Technology Representative
•
System Users
•
Other personnel that have visibility and an impact on the implementation the project
Your team’s involvement is critical to the success of your project’s design and construction efforts. It is very
important to identify your specific team members and start team meetings early in the project in order to
develop an appropriate floor plan and project schedule.
A well developed and executed project plan and schedule helps to minimize the possibility of delays in system
delivery and installation, thereby potentially avoiding:
•
Delays in scanning patients
•
Cost overruns for construction
The capabilities of your project architect and contractors are critical factors to the overall success of your
project. GE Healthcare can provide Design-Build services through its internal MedFACS team. These DesignBuild services are provided at an additional cost based on a mutually agreed upon scope of work. See the GE
Healthcare Support section for additional information regarding the services the MedFACS team can provide.
Selecting Your Design and Construction Team
Selecting the right design and construction teams is important to the outcome of your project. GE Healthcare's
systems have unique and specific site preparation requirements. The design and construction professionals
that you hire will need to use the applicable GE Healthcare pre-installation manual which is available through
your GE Healthcare project manager.
When assessing the qualifications of the design professionals and the construction contractors, it is a good
idea to consider the amount of experience they have with respect the design and site renovation or
construction for the installation and operation of diagnostic imaging systems that are similar to your new
system.
You need to determine if you will use the Design-Build approach or the Design-Bid-Build approach for your
project.
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Project Team (Continued)
Design-Build
For Design-Build you will be looking for a contractor that has design capability or a design team with
construction capability. You would enter into a contract with a single company for both the design and
construction services. This method will eliminate the need for a construction bid cycle after construction
drawings and specifications are completed.
Design-Bid-Build
For Design-Bid-Build you would be entering into contracts with both a design firm and a general contractor.
This approach may require additional project management from your staff to coordinate the activities between
the other parties. This differs from the Design-Build approach where you usually have a single point of contact.
This method will require obtaining construction bids after the construction drawings and specifications are
completed.
Once you review the qualifications of the design firms and construction contractors, you will need to select a
design firm to prepare the construction drawings and specifications. When the construction drawings and
specifications are completed, you will need to select one or more of more contractors to bid on the
construction work; they should be invited to a pre-bid meeting at the project location. The meeting attendees
should focus on understanding the scope of the construction work, the existing site conditions, and the
planned project schedule.
Your GE Healthcare project manager will develop a preliminary floor plan incorporating your input. The
potential sites for your system need to be evaluated to determine if new or additional radiation shielding is
required or if mitigation of existing vibration conditions is required. You may need to evaluate more than one
location and room configuration to find a location for your new system that meets your requirements and is
consistent with GE Healthcare's site preparation requirements.
Team Collaboration
Identify your project team members. For an effective site design, obtain input from all team members and
users regarding workflow, patient flow, and facility configuration.
It is your responsibility to evaluate potential
design professionals and contractors for your project.
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GE Healthcare Support
GE Healthcare Project Manager
GE Healthcare provides project implementation support through your GE Healthcare project manager. This
support for your project implementation process will be provided through the following primary activities:
•
Assist in assessing sites for the location of your system
•
Assist in developing a preliminary floor plan your system
•
Provide an applicable GE Healthcare pre-installation manual and site-specific final equipment
installation drawings that include the site preparation requirements that your architect and engineer
should utilize when designing your site
•
Provide your architect and engineers with assistance resolving questions regarding GE Healthcare's
site preparation requirements
•
Provide supporting information to your contractor(s) related to schedule development and construction
planning
•
Provide assistance when you conduct periodic site readiness assessments to determine the status of
the site preparation requirements that need to be completed for delivery of the system
•
Assist you with the coordination of the system delivery and installation activities
•
Coordinate the close-out meeting
HPI Technical Support Group
GE Healthcare's HPI Technical Support Group lets you and your contractors connect live with GE Healthcare's
system installation experts to discuss your system siting and installation questions.
Just give GE Healthcare's HPI Technical Support Group specialists a few simple items:
•
Your name and contact information
•
Your site name and location
•
Your GE Healthcare project manager’s name
•
Project drawing number, if available
•
The type and model of system being installed
You’ll get answers to non-site-specific questions related to your system. GE Healthcare's HPI Technical Support
Group specialists will relay any site-specific questions to the applicable GE Healthcare project manager for
follow-up.
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GE Healthcare Support (Continued)
The HPI Technical Support Group's line offers live coverage:
•
Monday through Thursday, 7:00 a.m. to 6:00 p.m. Central time
•
Friday, 7:00 a.m. to 1:00 p.m. Central time
Most callers will be connected immediately with a HPI technical support specialist. If not, you may leave a
message and a technical support specialist will promptly return your call.
Toll-Free: (877) 305 9677
Or Online: http://www3.gehealthcare.com/en/Support/Site_Planning
GE Healthcare's Design-Build Services
GE Healthcare is able to provide Design-Build services our customers through GE Healthcare's MedFACS
(Medical Facilities Construction Services) team. MedFACS provides GE Healthcare's customers with singlesource responsibility for both the equipment and the design and construction services needed to prepare your
site for the installation and operation of your new system. Through this process GE Healthcare is able to deliver
a predictable project schedule and provide its design and construction services in compliance with GE
Healthcare's site preparation requirements for your new system.
The construction is custom tailored to meet your needs while integrating the site preparation requirements for
your new system and the conditions at the existing site. Typical MedFACS projects include single room
renovations, multi-modality imaging departments, modular buildings, and small building additions/clinics. The
MedFACS team utilizes proprietary detailed standard documentation to create a detailed site-specific scope of
work and a site-specific drawing indicating the site floor plan. These drawings are usually either the preliminary
project drawings prepared by GE Healthcare’s project manager or the site-specific final equipment installation
drawings. Once the MedFACS quotation is accepted, the MedFACS team will commence the performance of the
design and construction services.
Please contact your GE Healthcare project manager if you would like to explore this matter further with a
representative of the MedFACS team.
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Roles and Responsibilities
The following individuals or firms, in conjunction with your team, will participate in the implementation of the
project. Some of the participant's key project touch points are listed below:
GE Healthcare Project Manager
•
Participate in the preliminary floor plan and site evaluation phase
•
Participate in the construction kick-off meeting
•
Periodic site visits
•
Project progress report 30 days prior to the planned system delivery date
•
Participate in the site readiness assessment prior to the system delivery
GE Healthcare Project Manager and Field Service Engineer
•
System Delivery
•
Mechanical Installation
GE Healthcare Field Service Engineer
•
Calibration
•
Acceptance
GE Healthcare Applications Team
•
Applications training
GE Healthcare Sales, Project Manager, PACS Engineer, and Field Service Engineer
•
Project completion, Service hand-off, and close-out meeting
Customer
•
Maintain good communications among all team members
•
Ensure all site-specific construction items are completed prior to system delivery
•
Ensure that your representative is available at the site to accept and inventory the system components
when delivered
•
Secure rigging services, if applicable
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Roles and Responsibilities (Continued)
Architect/Engineer
•
Develop an overall floor plan for your site and coordinate with the GE Healthcare project manager
•
Develop site-specific construction drawings and specifications
•
Coordinate the design with the applicable GE Healthcare pre-installation manual and the site-specific
final equipment installation drawings, ensuring all those requirements are incorporated
•
Comply with applicable code and regulation requirements
•
Coordinate plan review and approval processes necessary for applicable governmental approvals and
construction permits
•
Communicate with GE Healthcare’s project manager regarding questions or changes with the
following: floor plan, system selection, schedule changes, and other items that impact the project
schedule and/or the site preparation
Contractor
26
•
Develop the construction schedule and communicate to entire project team
•
Obtain all required demolition and construction permits
•
Keep the project on track with the construction schedule, ensuring all scheduled tasks are achieved by
the scheduled dates
•
Construct the site, manage sub-contractors, deliver the site consistent with the requirements in
construction drawing and specifications, and complete it on time
•
Coordinate/communicate all issues with your team, the project architects and engineers, and GE
Healthcare's project manager
•
Obtain all required demolition and construction permits and coordinate all required construction
inspections
•
Ensure that both the site readiness assessment and the site assessment checklist are completed prior
to system delivery
•
Coordinate the system delivery with GE Healthcare's project manager
•
Comply with all applicable federal, state, local, and project site safety requirements and ensure the
project site and system components are secure
GE Proprietary
Project Plan
Develop a Preliminary Project Plan
Early project planning helps enable on time project execution. The earlier you develop the plan, the earlier you
can identify when your system will be available for patient use, as well as identify potential risks to your project
and schedule.
•
Get input from your architect, construction contractor, facilities team, technologist, landlord, and other
project team members
•
Review and consider the requirements for the installation of your new system specified in the
applicable GE Healthcare pre-installation manual and typical drawings
•
The major project elements and events and their durations and estimated dates should be identified as
you develop your preliminary project plan
•
Typical standard durations of the major project elements and events can be obtained from various
sources, such as architectural/engineering design firms and the construction, mechanical, electrical,
and other specialty contractors
Develop a Preliminary Project Schedule
•
A written project schedule, even though it is preliminary, will help you establish a planned “first use”
date for your new GE Healthcare system
•
Incorporate the durations identified when you developed your preliminary project plan
•
Identify any needed construction drawing review, approval, and permit processes so the applicable
durations can be included in the project schedule
•
Identify any required or potential zoning changes that may be needed. The typical durations required
for such changes should to be included in the project schedule
•
Your GE Healthcare project manager will assist you in preparing the initial system installation durations
that can be included in the project schedule
Estimate Your Project Costs
•
Your costs will vary based on type of construction, the construction schedule, your location, and the
complexity of the project
•
Preliminary cost estimates should be obtained from your architect and/or contractor once you have a
developed a preliminary scope of work and floor plan
GE Proprietary
27
Project Plan (Continued)
Initial Project Definition
•
Your preliminary scope of work, project schedule, and preliminary floor plan will become the basis from
which for your design and construction teams can begin the detailed planning for your project.
•
The scope of work, preliminary floor plan, and project schedule can be used to review, refine, and
obtain the agreement of your team members.
•
Once you have the agreement of your team members, your GE Healthcare project manager can start
to plan your system delivery date.
Design Kick-Off Meeting
The purpose of this meeting is to communicate the preliminary project requirements, begin to set expectations,
review the project schedule, answer questions, explore concerns, and begin the process of refining all of the
project elements.
Usual Attendees:
•
•
Customer team usually consists of:
For a Hybrid Operating Room consider
adding the following customer attendees:
-
Director of Radiology
-
Surgeons
-
Facilities Management
-
Head Nurses
-
IT Representative
-
Infectious Control Representatives
-
Technologist Representatives
-
-
Customer's Internal or External Design Team
Third Party Providers of Operating Room
Surgical Equipment
GE Healthcare team usually consists of:
-
Sales Representative
-
Project Manager
-
Field Service Engineer
Meeting Prerequisites:
28
•
GE Healthcare’s project manager has received AutoCAD drawings of the site from customer’s design
team
•
GE Healthcare’s project manager has provided the applicable GE Healthcare pre-installation manual
and typical final equipment installation drawings to customer's design team
•
Send meeting agenda to attendees prior to meeting
•
Communicate estimated length of meeting (usually 1 to 2 hours)
•
GE Healthcare’s project manager has provided preliminary floor plan drawings to customer
GE Proprietary
Project Plan (Continued)
Usual Agenda Topics:
•
Introductions
•
Discuss roles, responsibilities, and information flow
•
Review initial preliminary floor plan drawings
•
Discuss and identify the GE Healthcare system type on the order, note any changes required
•
Project Implementation items to be discussed
-
GE Healthcare’s project manager received preliminary site layout from customer’s architect
-
Determine when a vibration study will be done, if applicable
-
Determine when an electromagnetic interference study will be done, if applicable
-
Determine if seismic anchoring is required
-
Discuss rigging requirements, if applicable
•
Customer's written approval of GE Healthcare's preliminary floor plan drawings
•
Identify a preliminary system delivery date, discuss the ramifications of changing the delivery date
once it is finalized
•
Identify when the construction drawings and specifications will be completed and determine the likely
schedule for applicable governmental drawing reviews/approvals and the obtaining of construction
permits
•
Meeting Follow-up Activities:
-
Distribute a follow-up e-mail detailing expectations to each of the meeting participants
-
If seismic anchoring is required, obtain the seismic anchoring detail drawings
-
If electromagnetic interference countermeasures are needed, resolve how they will be addressed
GE Proprietary
29
Project Plan (Continued)
Gantt Chart
A Gantt chart is commonly used for developing and tracking project schedules. Some tasks are dependent and
require completion of preceding tasks before they can begin. The Gantt chart provided below is a sample of a
typical project schedule.
The duration of each task will depend on the type of project and specific site requirements. Your project team
will need to collaborate and determine the tasks needed and duration of each task in order to create an
appropriate schedule for your project.
Figure 8 - Sample Gantt Chart (for reference only)
30
GE Proprietary
Project Plan (Continued)
GE Healthcare Site-Specific Final Equipment Installation Drawings
The GE Healthcare site-specific final equipment installation drawings and the applicable GE Healthcare preinstallation manual include the requirements your design team will need to incorporate into the project
construction drawings and specifications.
Installation Drawings Features:
•
The site-specific final equipment installation drawings are provided in both AutoCAD and PDF file
formats for utilization by your design team. Hardcopy drawings are also available upon request.
•
The GE Healthcare site-specific final equipment installation drawings are not construction drawings.
Your architect and engineers must create the project construction drawings and specifications for your
project that meet applicable local, state, and federal requirements.
•
The GE Healthcare site-specific final equipment installation drawings indicate the configuration and
interconnection of your system's components. Your architectural and engineering team will need to
determine patient flow and other functional needs, such as dressing and waiting rooms, toilets, viewing
rooms, lighting, electrical outlets, power feeders, HVAC, and other requirements that are specific to
your project site.
•
The requirements in the applicable GE Healthcare pre-installation manual must be carefully reviewed,
understood, and incorporated into the project construction drawings and specifications by your
architectural and engineering team.
•
Any changes in the project design by you or your architectural and engineering team, contactor, or
plan review agency require coordination with your GE Healthcare project manager. If that occurs and
revised equipment installation drawings are needed, they can be prepared and provided.
•
Your GE Healthcare project manager is available to answer questions regarding GE Healthcare's sitespecific final equipment installation drawings.
•
The GE Healthcare site-specific final equipment installation drawings may need to be revised to
incorporate any mutually agreed upon project design and construction changes.
It is important to work with a competent architectural and engineering team and construction contractor who
both have experience in medical facility design and construction for diagnostic imaging systems.
See the typical electrical installation drawing E1 sheet on the next page.
GE Proprietary
31
Project Plan (Continued)
Figure 9 - Typical Electrical Installation Drawing E1 Sheet
GE Healthcare installation drawings are not construction drawings.
32
GE Proprietary
Project Plan (Continued)
Construction Drawings
The construction documents (drawings and specifications) describe and detail what is needed to prepare your
site for the installation of your GE Healthcare system. Proper and accurate planning by your design team prior
to this stage will reduce issues that might occur during the construction or renovation phase of the project.
It is helpful for you to conduct a design kick-off meeting to get everyone's agreement on the overall project
scope and schedule. This meeting should be held at the project site to help facilitate any discussion around the
existing conditions. The project architect, engineers, and contractor should all be invited to this meeting along
with your facilities team and your GE Healthcare project manager.
Hospital or clinic staff, facility planning department, and/or landlord involvement is critical during the design
phase to ensure any of their special requirements are incorporated and any needed internal reviews and
approvals are obtained.
The construction documents usually consist of design drawings and written specifications. You will need to
check with the state and local authorities having jurisdiction over any plan review and permitting processes to
determine if the drawings need to be sealed by licensed design professionals. Those authorities may include
reviews/approvals by the local planning and building department, the state planning and building department,
the state fire marshal's office, and/or the state department of health.
Building Codes and Regulatory Compliance Requirements
Your design team is responsible for complying with the applicable building codes and regulatory requirements,
including the Americans with Disabilities Act. This includes the applicable building codes and state health
department requirements, as well as any other applicable regional design and construction laws, codes, or
regulations.
Critical Design Elements:
The following is a list of critical design elements that often generate questions. While this list is not an allinclusive listing of all critical design elements, it does contain a number of items that will require the design
team's attention.
•
Foundation design (e.g., seismic, vibration)
•
Lighting in the exam and control rooms
•
HVAC system designed to meet the system requirements specified in the applicable GE Healthcare preinstallation manual
•
Recommended room sizes and ceiling heights
•
System delivery route and access to the exam room, service clearances and egress clearances
•
Floor loading during the delivery process, and staging areas for unloading the equipment
•
Floor levelness and preparation
•
Conduits, overhead cable trays, recessed cable ducts for system cables and interconnects
•
Verify GE Healthcare system cable length
GE Proprietary
33
Project Plan (Continued)
•
Junction box, electrical conduits, raceway size
•
Power feeder requirements that comply with GE Healthcare's applicable power regulation and
grounding requirements
•
Main disconnect panel, verify how it will be sourced
•
Uninterruptible power supply system, if one is required
•
Personnel telephone equipment and services
•
Broadband (high-speed Internet) connectivity
•
Network connectivity
Requirements for many of these items can be found in the applicable GE Healthcare pre-installation manual
or on GE Healthcare's site-specific final equipment installation drawings.
34
GE Proprietary
Project Plan (Continued)
Delivery Considerations for Design Team
Finalize the system delivery route during the construction drawing phase of the process. Make note of any
doors to remove and if temporary floor supports are required along the delivery path during the delivery of the
system components. This needs to be incorporated into the project during the design phase.
Plan Review and Approvals
Once the construction documents are completed, they may need to be submitted for review to the applicable
state and local planning departments having jurisdiction for your location and those issuing construction
permits.
Your design team is responsible for meeting all applicable code and regulatory requirements, as well as the
applicable site preparation requirements for the system. The design team is responsible for coordinating any
plan reviews and necessary follow-up activities with the applicable local state and local planning departments.
Note: Some jurisdictions may require periodic reviews during the construction drawing phase of the design
process.
Plan Review and Permits
This part of the process has the potential for adversely impacting the project schedule. By hiring an
architectural/engineering design team with experience in the medical field and site preparation for diagnostic
imaging systems you may have the opportunity to avoid some of the pitfalls that otherwise might occur with
an inexperienced design team.
The project schedule includes many tasks that have the potential to create delays and the construction
documents planning department review cycle is one of them.
If you are using the Design-Bid-Build approach for your project, the plan review period would be a good time to
obtain bids for the construction work. The bidding process can take several weeks depending on the
complexity of the project.
The duration of the state and local planning review process varies widely, ranging from days to months,
depending on your location, the type of facility, and the type of construction. State and local planning reviews
for projects in hospitals can take longer than projects in a commercial setting. These review processes may
require multiple reviews at different stages during the preparation of the drawings and specifications. During
the planning review process, it may be determined that follow-up submissions and reviews may be required. In
that event it may be difficult to avoid delays in that will adversely affect the project schedule. Once the
construction documents have been reviewed and approved by the applicable agencies, your contractor will be
able to apply for and obtain the appropriate construction permits.
There are some situations and jurisdictions where demolition permits are available. These permits allow
starting the on-site demolition work prior to commencing the construction work, possibly improving the project
schedule.
Your contractor will need to schedule inspections throughout the construction process. The inspecting
authority having jurisdiction may also require a final inspection. When the inspection is satisfactorily
completed, a certificate of occupancy can be applied for and obtained. In some situations the certificate of
occupancy may be required before you can begin to scan patients.
In addition to obtaining construction permits, you may need to obtain a permit to close portions of the street or
sidewalk to accommodate system delivery and rigging vehicles.
GE Proprietary
35
Project Plan (Continued)
Pre-Construction Review Meeting
Purpose:
Reinforce expectations, review specifications, and answer questions. Establish timeline and solidify the system
delivery date
Recommended Attendees:
•
•
•
Customer Team
-
Director of Radiology
-
Facilities Management
-
Networking
-
Technologist
-
IT Representative
-
Customer Design Team
Contractor
-
Project Manager
-
Superintendent
-
Mechanical and Electrical Subcontractors
GE Healthcare
-
Sales Representative
-
Project Manager
-
Field Service Engineer
Prerequisites:
36
•
Contractor's construction schedule and construction drawings
•
GE Healthcare site-specific final equipment installation drawings
•
Send meeting agenda to attendees prior to meeting and communicate estimated duration,
approximately an hour
GE Proprietary
Project Plan (Continued)
Agenda Topics:
•
Introductions
•
Discuss roles, responsibilities, and information flow
•
Verify everyone has current version of the GE Healthcare's site-specific final equipment installation
drawings
•
Review GE Healthcare site-specific final equipment installation drawings page by page
•
Discuss any changes in the system order that may affect the project design and construction work
•
Review the system delivery route
•
Review the rigging requirements, if applicable
•
Review contractor’s project schedule
•
Identify and discuss how to handle any long lead material items related to the system installation
•
Establish final delivery date agreeable to all parties
•
Establish key GE Healthcare milestones in calendar days
-
30 days prior to delivery date
-
15 days prior to delivery date
-
6 days prior to delivery date
•
Discuss disposal of system packing material and return of dollies
•
Discuss safety training and policy requirements and the security of the delivered system components
Follow-up:
•
Plan site visits for milestone reviews
•
Follow-up e-mail detailing expectations sent to each attendee with an attached checklist
•
Communicate delivery date
GE Proprietary
37
Project Plan (Continued)
Other Pre-Construction Items:
Once you obtain construction permits, you are ready to begin the construction phase. Early planning,
agreement, and commitment by all your project participants will help focus on the on-time delivery of your new
system.
The pre-construction review meeting at the project location is a critical step to getting the entire team focused.
This meeting is team collaboration and should include your representative, facilities or landlord representative,
design team, the contractor’s project manager, and superintendent, and your GE Healthcare project manager.
Your contractor is responsible for the construction schedule and adherence to all construction-related
drawings and specifications. Use this meeting to make sure all project participants commit to the current
project schedule. If the parties cannot reach agreement on the current project schedule during this meeting,
schedule a timely follow-up meeting to resolve any schedule issues and obtain consensus from all.
Publish the final written project schedule and distribute it to all members of the project team, including your GE
Healthcare project manager. Your project schedule is instrumental in determining the start of the
manufacturing process at GE Healthcare for your new system.
Topics to review
Facilities or
Landlord
Representative
Architect
Contractor
GE Project
Manager
Review the Site Readiness Assessment Checklist for
items that need to be completed prior to delivery of
the system.
Finalize construction schedule to meet system
delivery dates.
Set delivery dates for the system, including any predelivery items.
Review scope of project and impact on cycle times.
Highlight critical path events/long lead time items,
such as HVAC equipment, permanent power for the
system, power feeder, main disconnect panel, cable
trays, electrical ductwork, and other long lead items.
Identify roles and responsibilities for drawings,
submittals, and review process in order to avoid
schedule delays.
Review the GE Healthcare site-specific final
equipment installation drawings and the
construction drawings in detail with all
subcontractors, including the delivery
requirements/route.
Review and identify the delivery route and method
for the system. Will a crane be utilized? Where will it
be staged? Verify if a local street access permit is
required and how it will be obtained by the delivery
dates
Table 1 - Example of topics to review/discuss (not an all-inclusive list)
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GE Proprietary
Construction
The design and construction teams manage the construction at your site. If you are using the Design-Build
method, you will most likely have a project manager and superintendent managing all aspects of the project.
If you are using the Design-Bid-Build approach, you will probably have separate contacts for both the design
and construction portions of the project and will need someone to coordinate the interaction between them.
Key Items to Remember:
•
Review the site readiness assessment checklist to monitor progress of the project
•
GE Healthcare's project manager is available for system-related questions
•
Project complexity influences schedule times and risks
•
Inform your GE Healthcare project manager about any design changes relative to the system and
associated equipment
•
Confirm system delivery route
•
Coordinate installation of broadband (high-speed Internet) connectivity
•
Testing and/or inspections of anchoring and cable routing methods
•
Floor levelness is critical and may affect image quality
•
Provide critical status updates to your GE Healthcare project manager
•
Governmental inspections related to construction permits and to satisfy the applicable department of
health and other agency requirements may be required
•
Continue to manage the completion date and focus on completing the construction of exam,
equipment, and control rooms
Figure 10 - Photo of Preliminary Floor Work
Figure 11 - Photo of Concrete Work
Contact your GE Healthcare project manager when issues or changes in
the design, floor plan, or project schedule occur.
GE Proprietary
39
Site Readiness Assessment
Critical items to be completed before delivery
Site readiness is critical for the efficient, on-time, and successful delivery and installation of your new
diagnostic imaging system. Your responsibility, as the customer, is to ensure the site is ready on time for the
diagnostic imaging system's delivery and installation. Coordination of the site preparation activities between
you, your internal team, your contractor and design teams, and your GE Healthcare project manager is critical.
The following checklist, although not all inclusive, is provided to assist you with identifying many of the critical
site readiness elements that need to be completed before the delivery of your diagnostic imaging system.
Check when complete
Notes/Issues/Action Plan

All room construction is complete, including priming
and painting, and the site is dust free and secure

Ceiling and lighting fixtures installed

Permanent power and lighting installed and
operating

Network lines installed and operational

The broadband (high-speed Internet) connection is
operational

HVAC equipment is installed and operational

The site meets the applicable GE Healthcare preinstallation manual requirements for your new
diagnostic imaging system

The conduits, cable trays, raceways, and plumbing
are installed

Personnel phone lines and phones are installed and
operational

Applicable governmental inspections are completed
Table 2 - Critical Predelivery Site Readiness Items
For a detailed description of the site requirements for each item, refer to
GE Healthcare's applicable pre-installation manual for your new system.
GE Proprietary
41
Site Readiness Assessment (Continued)
GE Healthcare Site Readiness Checklist
In addition to the assessment items to be completed, a GE Healthcare Site Readiness Checklist will be
completed by your GE Healthcare project manager and field service engineer prior to system delivery. They will
identify any corrections/actions that need to be completed by the contractor/customer prior to system
delivery. Your GE Healthcare project manager can provide a copy of the current GE Healthcare Site Readiness
Checklist on request. The checklist below is a sample for reference only.
Figure 12 - Sample Site Readiness Checklist (for reference only)
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GE Proprietary
Delivery
The system’s delivery includes all of the system’s equipment and electronics for the exam, control, and
equipment rooms. The delivery is coordinated with you, your contractor, and your GE Healthcare project
manager. Final communications should be done to ensure that the loading dock is available, the delivery route
is cleared for the equipment delivery, the exam, control, and equipment rooms are cleared of all contractor
equipment, and the networking requirements are finalized with GE Healthcare’s field service engineer. There
are other preparation activities beyond site readiness that you need to coordinate with your GE Healthcare
project manager.
Those items include:
•
Scheduling GE Healthcare’s early delivery items, if any
•
Scheduling the specific day of the system’s arrival
•
Scheduling of riggers, if applicable
Note: Hiring the rigger is the responsibility of the customer. However, GE Healthcare’s project manager
will provide assistance with coordinating the rigging of the equipment
•
Clearing of delivery pathways
•
Identifying space for staging the delivered equipment
•
Obtaining of any required delivery permits or street use permits
•
Receipt and sign-off of the delivered system components
Contact your GE Healthcare project manager if you have questions regarding the delivery of your new system's
components.
Figure 13 - Fork Lift Truck Delivery of Innova Equipment
GE Proprietary
43
Delivery (Continued)
System Delivery
Below is the typical flow of the events prior to and during the delivery of the diagnostic imaging system's
components.
Figure 14 - Flow of Typical System Delivery Events
44
GE Proprietary
Delivery (Continued)
Figure 15 - Equipment Staging in Corridor
Figure 16 - Equipment Staging in Room
Figure 17 - Masonite Board Floor Protection
Figure 18 - System Delivery with Dollies
GE Proprietary
45
Delivery (Continued)
Figure 19 - Delivery of Gantry at Hospital
Figure 20 - Elegance Table Delivery
Figure 21 - Completed Innova IGS Room
46
GE Proprietary
System Turnover
Installation and Calibration
Once the system arrives at your site, a team of GE Healthcare installers or the GE Healthcare field service
engineers arrive to install and connect the system components. A GE Healthcare field service engineer is also
assigned to calibrate and test your system to verify it is operating in accordance with GE Healthcare's
published performance specifications for that system.
Your broadband (high-speed Internet) service needs to be operational before the calibration activity begins.
This enables GE Healthcare's diagnostic and applications support functions for your system to be activated and
operational.
Schedule any applicable acceptance testing by your team to immediately follow completion of the system
testing and calibration. If you require in-house testing of the system make sure you wait to schedule
applications training until you complete your in-house testing. Coordinate your acceptance testing schedule
with your GE Healthcare project manager and GE Healthcare field service engineer to prevent delays and last
minute cancellations.
Application Training and First Patient
GE Healthcare's TiP (Training in Partnership) clinical applications training offerings enable you to utilize the full
capability of your new GE Healthcare system. The TiP Applications team will contact you to set up your training.
Many training choices are available through the TiP training programs. They can be reviewed with and ordered
through your GE Healthcare sales representative. The “Partnership” is your level of engagement in the training
process along with GE Healthcare commitment to training.
Customers who plan and allow for the recommended time to train their technologists and radiologists are then
positioned to utilize the full capability of your new system. Your team’s level of engagement and dedication to
the training process plays a major role in how effectively your new system is used.
GE Healthcare's TiP offerings provide continuing education credits for your staff if they follow the recommended training curriculum. These offerings will help enable your technologists and radiologists to optimize
their procedures for image quality and improved productivity. For more additional information on TiP training
programs please visit the below link.
http://www3.gehealthcare.com/en/Education
You are now ready to scan patients!
GE Proprietary
47
System Turnover (Continued)
Project Completion Close-Out Meeting
Purpose:
To verify that all project tasks have been completed and that any incomplete items are identified and promptly
completed.
Usual Attendees:
•
•
Customer team usually consists of:
-
Medical Director
-
Director of Radiology
-
Modality Supervisor
-
IT Representative
GE Healthcare team usually consists of:
-
Sales Representative
-
Project Manager
-
Director of Service
Prerequisites:
•
System installation is complete
•
Applications training is complete
•
Serial number of system recorded
•
Unused applications days identified
Agenda topics:
48
•
Status of project tasks
•
Contact information reviewed
•
GE Healthcare escalation process reviewed
•
Future service level/programs reviewed
•
Review equipment warranty details
GE Proprietary
Summary of Critical Items
This section contains a summary of critical items that need to be addressed for the installation of your new
system. These items are provided to give a high level summary of system specific items you, your design team,
and your construction team need to address.
Your site specific plan and design also requires the use of all applicable planning information and requirements
specified in GE Healthcare's applicable pre-installation manual and its site-specific final equipment installation
drawings for your system.
Please contact your GE Healthcare project manager if you have not yet received a copy of the applicable preinstallation manual for your system. Alternatively, you can view and download a PDF copy of the applicable
pre-installation manual electronically at the following link:
http://www3.gehealthcare.com/en/Support/Site_Planning
This section contains information on the following critical items:
•
Broadband and Network Connectivity
•
Mechanical/Electrical Infrastructure
•
Power and Grounding
•
Floor Preparation
•
Floor Levelness
•
Floor and Subfloor Requirements
•
Room Shielding
•
Background Radiation
GE Proprietary
49
Summary of Critical Items (Continued)
Broadband and Network Connectivity
Broadband Highlights
•
High productivity, decreased costly downtime
•
Proactively addresses security
-
Customer controlled and auditable
-
Secure encrypted transactions
•
Improved speed and reliability vs. modem
•
Single point access, reduce telecom costs
•
All IP-based products are compatible
•
Virtual applications assistance and training
•
Remote diagnosis
Your GE Healthcare project manager can assist you on the path to broadband connectivity. You will need to
provide the name of your facility information technology contact person to your GE Healthcare project
manager. This will allow your GE Healthcare project manager to initiate GE Healthcare's process that will assist
you in getting ready for broadband connectivity at the time of your system's delivery.
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GE Proprietary
Summary of Critical Items (Continued)
Mechanical/Electrical Infrastructure
Your GE Healthcare system has specific power, cooling, and HVAC requirements. Those requirements are
provided in the applicable GE Healthcare pre-installation manual. These services must be available and
operational at the time of system delivery.
Procurement and installation lead time for these items can average between 8 and 10 weeks; check their
availability with your supplier. Your GE Healthcare project manager can assist you if you have questions
regarding the environmental requirements.
Figure 22 - Innova Main Disconnect Panel
GE Proprietary
51
Summary of Critical Items (Continued)
Power and Grounding
System site preparation projects can involve extensive electrical work. The system requires that electrical
raceways, conduits, and cable trays be installed for the cables that interconnect to the system's sub-systems.
The GE Healthcare final equipment installation drawings for your site will show a diagram of these
interconnects. The interconnect diagram describes the cable lengths provided with the system. The applicable
GE Healthcare pre-installation manual gives details of cable diameters for each cable. It is important that this
information be considered during the design and layout of the raceway, conduits, and junction boxes. If
alternate solutions are needed, they should be discussed with your GE Healthcare project manager.
Diagnostic imaging equipment has become increasingly sensitive to power quality and proper electrical
grounding. This sensitivity is influenced by the increased speed and complexity of the data acquisition
computers. In order to obtain the specified system performance levels and avoid issues related to image
quality and reliability, it is extremely important to comply with the specific power requirements for your
diagnostic imaging equipment.
Wire size of the power feeder conductors must be carefully determined and specified by your electrical
engineer so the wire size complies with GE Healthcare's wire size requirements. Failure to meet those
requirements could prevent your system from operating in accordance with GE Healthcare's published
performance specifications that system. GE Healthcare's equipment installation drawings include a feeder
table chart listing the recommended wire size for each of the conductors. The wire sizes listed in
GE Healthcare's feeder table chart listing may exceed the wire size requirements specified by National
Electrical Code. In all cases the wire sizes specified in GE Healthcare's feeder table chart listing must be used to
avoid unacceptable levels of impedance.
There are often other questions regarding the following list of critical design elements during the design and
construction phases of the project. Although this is not a comprehensive list of all potential critical design
elements, your electrical engineer and electrical contractor will need to consider on the following:
52
•
Design to meet current version of the National Electric Code for your location and facility
•
Proper grounding materials along the ground path
•
Proper ground and neutral bonding
•
Size of ground wire
•
Ground and circuit conductors run in the same conduit
•
Single ground in the facility
•
Ensure that wire termination connections are tight
•
Ensure wires are terminated properly
GE Proprietary
Summary of Critical Items (Continued)
Floor Preparation
To ensure a quality installation of your system, the room floor must be level and its surface must be smooth. It
is imperative that the system installation area, which includes the gantry and table area, be level and flat and
comply with the requirements listed in the applicable GE Healthcare pre-installation manual.
Where possible, the entire floor of the exam room should be level and flat rather than just the system
installation area. It is important to verify that the floor is both flat and level before system installation begins.
Measurements should be taken left-to-right or right-to-left, front-to-back or back-to-front, and diagonally in
either direction. Please refer to the applicable GE Healthcare pre-installation manual for the specific
requirements.
The floor must be prepared so that it will comply with the floor loading requirements described in the
applicable GE Healthcare pre-installation manual.
Important: The floor loading capacity must be confirmed by your structural engineer.
Figure 23 - Typical Discovery™ IGS Finished Floor
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Summary of Critical Items (Continued)
Floor Levelness Survey
Floor levelness and floor flatness surveys must be completed prior to your system arriving on site to ensure
floor complies with GE Healthcare's floor levelness and floor flatness requirements. Complete the survey
following the detailed instructions provided in the applicable GE Healthcare pre-installation manual.
Contact your GE Healthcare project manager to obtain a copy of the applicable GE Healthcare pre-installation
manual for your system.
Overview of Leveling and Flattening of the Floor Area
No fill material should be used to compensate for holes or depressions in the floor surface. If necessary, level
and flatten the entire floor area. Please refer to the applicable GE Healthcare pre-installation manual for
details.
The exam room floor must be leveled, and its surface must be smooth. Any deviations in levels may have a
detrimental effect on the system performance and operation.
It is desirable for the floor in the entire room to be leveled and flattened in accordance with the requirements
provided in the applicable GE Healthcare pre-installation manual. If this is not possible, then at a minimum it is
imperative that the system installation area is leveled and flattened.
When the exam room floor is ready for installation, verify the floor surface (of the applicable area) complies
with the floor levelness and flatness requirements specified in the applicable GE Healthcare pre-installation
manual using the method specified in that pre-installation manual.
Important:
Customer is responsible for the structural analysis and mounting of the base plates. If
GE Healthcare is required by the customer to mount the base plate, the customer’s
structural engineer needs to design and approve the mounting method and provide
GE Healthcare with an engineering report indicating those mounting requirements.
Optima and Innova Floor Requirements
For the specific floor levelness and flatness requirements for Optima 323i, Innova IGS Single plane, and Innova
IGS Bi-Plane systems please see the applicable GE Healthcare pre-installation manual.
Discovery™ IGS System General Floor and Subfloor Requirements
The Discovery™ IGS system has some unique floor and subfloor requirements. A monolithic flooring system is
required.
Please contact your GE Healthcare project manager for a current list of certified applicators of monolithic
flooring systems.
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Summary of Critical Items (Continued)
Room Radiation Shielding
When using diagnostic imaging systems that generate radiation or use radioisotopes as part of the diagnostic
procedure, appropriate barriers such as walls, lead-shielded glass, lead shields, must be installed to protect
your staff, patients, and others from unnecessary exposure to radiation. GE Healthcare does not make
recommendations regarding radiation protection. It is the customer's responsibility to consult with a qualified
radiation physicist for advice on radiation protection for the rooms associated with diagnostic imaging systems
that generate radiation or use radioisotopes. You will need to have that radiation physicist design the walls and
needed safety barriers to assure the radiation attenuation complies with all applicable regulatory
requirements.
Your qualified radiological health physicist needs verify the radiation barrier for applicable rooms is properly
designed and installed, taking into consideration items such as the following:
•
Scatter radiation levels within the exam room
•
Equipment placement
•
Weekly projected workloads (number of patients/day and techniques (kvp*ma))
•
Materials used for construction of walls, floors, ceiling, doors, and windows
•
Access to surrounding room areas
•
Equipment in surrounding exam room areas (such as film developer, film storage)
•
The need for and location of warning lights and door switches
Figure 24 - Stud Walls Ready for Installation of Lead Shielding
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Optima CL323i System
When siting an Optima system you will want to ensure that you have ample space to site the following
components in the exam room: gantry, table, monitors, radiation shield, surgical lighting, counter top with sink,
and any other peripherals required by your technologist that will be used in the exam room. The technologist’s
control will be located in an adjacent control room with a clear line of sight to the patient when in the scanning
position.
Additional space will be required for installation of your system and for clearances needed to service the
system. Please see GE Healthcare's applicable pre-installation manual for system-specific requirements.
Figure 25 - Optima CL323i with Ergo Suspension Option
Room Radiation Shielding
The customer is responsible for consulting with a qualified radiation physicist for advice on radiation protection
for the rooms associated with diagnostic imaging systems that generate radiation or use radioisotopes, and
for the design of walls and safety barriers to assure the radiation attenuation complies with all applicable
regulatory requirements. Please see the Room Radiation Shielding section for additional information.
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Optima CL323i System (Continued)
Delivery of Optima CL323i System Components
The delivery of your Optima system usually occurs in one shipment. This delivery is coordinated between you,
your contractor, and your GE project manager. There are other delivery preparation activities beyond having
the site ready that need to be coordinated. These activities include:
•
Scheduling GE Healthcare system early delivery items, if any
•
Scheduling specific day of the system’s arrival
•
Scheduling the riggers, if applicable
(The rigging is the customer's responsibility)
•
Clearing of the system delivery route
•
Identifying space for the staging the delivered system components
•
Written acknowledgement of receipt of the delivered system components
•
If applicable, obtaining any permits needed for the delivery and/or rigging of the system components,
including any street use permit that may be needed for the delivery of the system components
Stationary
Rails
Cable Rail Fixed on
Longitudinal Rail
Figure 26 - Ergo Monitor Suspension (Optima System Only)
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Innova IGS Single Plane and Bi-Plane Systems
When siting an Innova IGS system you will want to ensure that you have ample space to site the following
components in the exam room: gantry, table, monitors, radiation shield, surgical lighting, counter top with sink,
and any other peripherals required by your technologist that will be used in the exam room. The technologist’s
control will be located in an adjacent control room with a clear line of sight to the patient when in the scanning
position.
Additional space will be required for installation of your system and for clearances needed to service the
system. Please see GE Healthcare's applicable pre-installation manual for system-specific requirements.
Figure 27 - Innova Single Plane with Large Display Monitor
Figure 28 - Innova Bi-Plane with Large Display Monitor
Room Radiation Shielding
The customer is responsible for consulting with a qualified radiation physicist for advice on radiation protection
for the rooms associated with diagnostic imaging systems that generate radiation or use radioisotopes, and
for the design of walls and safety barriers to assure the radiation attenuation complies with all applicable
regulatory requirements. Please see the Room Radiation Shielding section for additional information.
GE Proprietary
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Innova IGS Single Plane and Bi-Plane Systems (Continued)
Delivery of Innova IGS System Components
The delivery of your Innova IGS system usually occurs in one shipment. This delivery is coordinated between
you, your contractor, and your GE project manager. There are other delivery preparation activities beyond
having the site ready that need to be coordinated. These activities include:
•
Scheduling GE Healthcare system early delivery items, if any
•
Scheduling specific day of the system’s arrival
•
Scheduling the riggers, if applicable
(The rigging is the customer's responsibility)
•
Clearing of the system delivery route
•
Identifying space for the staging the delivered system components
•
Written acknowledgement of receipt of the delivered system components
•
If applicable, obtaining any permits needed for the delivery and/or rigging of the system components,
including any street use permit that may be needed for the delivery of the system components
Key Delivery Details:

The Innova single plane gantry is largest component with dimensions of 109.8 in. long by 45.6 in. wide
by 76.8 in. high while on the dolly

The Innova LC gantry is the heaviest weighing in at 2,337 lb. on the delivery dolly
Figure 29 - Innova LC Gantry on Shipping Dolly
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Figure 30 - Bi-Plane Gantry in Dolly
GE Proprietary
Innova IGS Single Plane and Bi-Plane Systems (Continued)
Figure 31 - Typical Vascular Suite
The three main rooms of the suite consist of:

The examination room (contains gantry, table, monitors…)

The control room

The technical or equipment room (contains the electronics cabinets)
These rooms are usually surrounded by a preparation area, scrub area…
In some cases the control room is an x-ray protected area within the examination room
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Innova IGS Single Plane and Bi-Plane Systems (Continued)
GE Healthcare Vascular System Components and Function
System Component
Main Function
GE Solution
Patient table
Patient support
Omega IV, Omega V, tilting, OR
Gantry
Image chain positioning
21, 31, and 41 cm Detectors
Monitors & suspension
Monitors positioning
Mavig, Ergo, OPEN, LDM
Control room devices
System control
(protected from x-ray)
Depends on configuration
Tech room cabinets
Electronic components
Depends on configuration
Other devices
Additional diagnostic
IVUS, AW, Maclab, etc.
Protection, support, etc.
Radiation shield, injector, etc.
Accessories
Table 3 - Vascular System Components and Function
Light
Detector
In-room
Monitors
Radiation
Shield
User
Interface
LC
Gantry
Figure 32 - Typical Innova IGS Examination Room
X-Ray Tube &
Collimator
62
Patient Table
(Omega IV, Omega V,
Tilt Table, or OR Table)
GE Proprietary
Innova IGS Single Plane and Bi-Plane Systems (Continued)
Open Suspensions
Open suspensions are only used with certain image guided systems. Please check GE Healthcare's preinstallation manual for your new image guided system to determine if it is eligible for use with an open
suspension. Only the monitors are provided with the system. The suspension booms are supplied and installed
by the customer.
Figure 33 - Typical Open Suspension
Figure 34 - Typical Open Suspension
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Innova IGS Single Plane and Bi-Plane Systems (Continued)
Figure 35 - Overview of Component Connections
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GE Proprietary
Innova IGS Single Plane and Bi-Plane Systems (Continued)
Large Display Monitor Option
The large display monitor is only available for the IGS single plane and biplane systems.
Figure 36 - Typical Large Display Monitor
Figure 37 - Typical Large Display Monitor
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65
Innova IGS Single Plane and Bi-Plane Systems (Continued)
User Interfaces
Figure 38 - User Interfaces (Figure 1 of 2)
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Innova IGS Single Plane and Bi-Plane Systems (Continued)
Figure 39 - User Interfaces (Figure 2 of 2)
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67
Room Preparation for Innova Single and Bi-Plane Systems
Innova Positioner Base Plate & Electrical/Water Interface Kits
To ensure proper Innova C-Arm installation, the base plate must be completely level. A base plate installation
kit will be sent. This kit includes a template for the contractor to use for coring and/or drilling the mounting
holes. It is the customer’s responsibility to have the holes drilled and keep them clean. The attachment method
and special considerations should be identified at this time as well. The customer should then coordinate
activities with its structural engineer and GE Healthcare's project manager and installation team. GE
Healthcare's installation team will pour a grout pad on the prepared floor to ensure levelness and provide
clearance for installation of the gantry. GE Healthcare's installation team will then install and torque the
mounting hardware.
More detailed information can be found in the applicable GE Healthcare pre-installation manual.
Electrical/Water
going to C-Arm
Electrical going
to Table
Figure 40 - Ductwork Installed Below an Above Grade Innova Installation
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Room Preparation for Innova Single and Bi-Plane Systems (Continued)
Elegance Table Base Plate
The Elegance table base plate should only be used when initially installing an Omega 5 Angio table and then
swapping out for the Elegance tilting table. This will allow for the tables to be swapped out without changing
raceways, conduits or mounting. The table plate must be level and flush with the finished floor. This table plate
is NOT needed if an Elegance Table is being installed initially or if an Omega 5 table will not be swapped out.
Room Size
Accurately measuring room size is critical in siting your new GE Healthcare Innova System. Usually three rooms
are needed in your Innova Suite: exam, control, and equipment rooms. It is important to keep in mind the space
that is needed to swing the C-Arm, move the table, and load the patient. Please refer to GE Healthcare's
applicable pre-installation manual for room requirements.
Unistrut
Proper measuring of both the universal grid overhead equipment support system and the Unistrut components
is critical to proper structural steel placement. Please refer to GE Healthcare's applicable pre-installation
manual for the dimensional requirements.
More detailed information can be found in the applicable GE Healthcare pre-installation manual.
Figure 41 - Elegance Table Base Plate
70
Figure 42 - Innova Base Plate and
Omega Table Contact Area
GE Proprietary
Room Preparation for Innova Single and Bi-Plane Systems (Continued)
Mechanical/Electrical Infrastructure
Your new Innova system has specific power, cooling, and HVAC requirements. Those requirements are
specified in the applicable GE Healthcare pre-installation manual. The power, cooling, and HVAC services must
be available at the time the Innova system is delivered.
Procurement and installation lead times for these items average 8-10 weeks; check with your contractor. Your
GE Healthcare project manager can assist with interpretation of environment requirements.
Figure 43 - Main Disconnect Panel or
Power Distribution Box
GE Proprietary
Figure 44 - System Cabinet in Equipment Room
71
Discovery™ IGS Systems
When siting a Discovery™ IGS system you will want to ensure that you have ample space to site the following
typical components in the exam room: AVG gantry, table, monitors, radiation shield, surgical lighting, counter
top with sink, and any other peripherals required by your technologist that will be used in the exam room. The
technologist’s control will be located in an adjacent control room with a clear line of sight to the patient when
in the scanning position.
Additional space will be required for installation of your system and for clearances needed to service the
system. Please see GE Healthcare's applicable pre-installation manual for system-specific requirements.
Figure 45 - Finished Discovery™ IGS Operating Room
Room Radiation Shielding
The customer is responsible for consulting with a qualified radiation physicist for advice on radiation protection
for the rooms associated with diagnostic imaging systems that generate radiation or use radioisotopes, and
for the design of walls and safety barriers to assure the radiation attenuation complies with all applicable
regulatory requirements. Please see the Room Radiation Shielding section for additional information.
GE Proprietary
73
Discovery™ IGS Systems (Continued)
Structural Ceiling - Cable Management System Attachment to the Ceiling
There are two alternate methods of attaching to the ceiling:
1. Using a structure provided by the customer. This is typically the case for an operating room (surgical
environment) where the use of rails is prohibited. The structure and the method for attaching it to the
existing structure must be designed by the customer's structural engineer.
2. Using the cable management system intermediate rails provided with the system. This is the cable
management system normally used in standard interventional rooms.
The ceiling structure is the customer's responsibility. Please refer to your site-specific equipment installation
drawings and the applicable GE Healthcare pre-installation manual for the specific requirements.
Figure 46 - Above Ceiling Cable Management Support
Figure 47 - Adjustable Cable Management Support Plate
Figure 48 - Cable Management Support Ready to Attach to Support Plate
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GE Proprietary
Discovery™ IGS Systems (Continued)
Delivery of Discovery™ IGS System Components
The delivery of your new Discovery™ IGS system usually occurs in one shipment. This delivery is coordinated
between you, your contractor, and your GE project manager. There are other delivery preparation activities
beyond having the site ready that need to be coordinated. These activities include:
•
Scheduling GE Healthcare system early delivery items, if any
•
Scheduling specific day of the system's arrival
•
Scheduling the riggers, if applicable
(The rigging is the customer's responsibility)
•
Clearing of the system delivery route
•
Identifying space for the staging the delivered system components
•
Written acknowledgement of receipt of the delivered system components
•
If applicable, obtaining any permits needed for the delivery and/or rigging of the system components,
including any street use permit that may be needed for the delivery of the system components
Figure 49 - Discovery™ IGS Exam Room in Progress
GE Proprietary
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Discovery™ IGS Systems (Continued)
Ceiling Height
The recommended ceiling height for a hybrid operating room is 10.0 ft. The minimum recommended clearance
height above the finished floor for any stationary object is 8'-11" to allow for travel of the Discovery™ IGS
gantry and cable track.
Figure 50 - Typical Hybrid Operating Room Elevation
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GE Proprietary
© 2014 General Electric Company-All rights reserved.
General Electric Company reserves the right to make
changes in specifications and features shown herein,
or discontinue any products described at any time
without notice or obligation. Please contact your GE
representative for the most current information.
GE, GE Monogram, and imagination at work are
trademarks of General Electric Company.
GE Healthcare, a division of General Electric Company
About GE Healthcare
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that are shaping a new age of patient care. Our broad expertise in medical
imaging and information technologies, medical diagnostics, patient
monitoring systems, drug discovery, biopharmaceutical manufacturing
technologies, performance improvement and performance solutions services
help our customers to deliver better care to more people around the world at
a lower cost. In addition, we partner with healthcare leaders, striving to
leverage the global policy change necessary to implement a successful shift
to sustainable healthcare systems.
Our “healthymagination” vision for the future invites the world to join us on
our journey as we continuously develop innovations focused on reducing
costs, increasing access, and improving quality around the world.
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committed to serving healthcare professionals and their patients in more
than 100 countries. For more information about GE Healthcare, visit our
website at www.gehealthcare.com.
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