The HIT accelerator produces protons and carbon beams with a large variety of parameters: 255 different energies, four foci and ten intensity steps per ion are independently available at 5 iso-centres to be requested by the dose delivery system for tumour treatment. Thus the whole accelerator chain is part of a medical product, in case of HIT an in-house manufactured device. The overall risk and quality management has deep influences on the maintenance process. Not only the huge volume of necessary documentation reflects this impact but also the organizational process before, along and after the services at HIT. Especially, the comprehensive testing after the maintenance procedures follows sophisticated checklists (e.g. the ion source service). On the other hand, a high operational availability of the accelerator in a hospital is mandatory. To realize up to 8200 hours of accelerator uptime per year in case of HIT, a maintenance strategy is necessary, which interleaves the regular service of the building infrastructure, e.g. air conditioning, with the periodic maintenance of the accelerator components. In detail, this approach will be discussed along the magnets and the gantry structure.
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