Patient couch troubleshooting — vertical lift, horizontal slide, rollers, and noise (by symptom)
Use this page when the patient couch misbehaves mechanically or hydraulically — it won't go up or down, the couch top won't slide into or out of the gantry opening, it jolts/rattles/is curved, or it makes noise — and you need to go from what you observe to the check to run to the fix, without guessing.
Tools & parts
| Item | Part number | Qty |
|---|---|---|
| Hydraulic pump (vertical-drive lift) | n/a in source | |
| Solenoid valve (vertical-drive hydraulic circuit) | n/a in source | |
| Tilt encoder (gantry) | n/a in source | |
| Overcurrent relay | n/a in source | |
| IN-limit sensor (couch top) | n/a in source | |
| OUT-limit sensor (couch top) | n/a in source | |
| Longitudinal movement drive unit | n/a in source | |
| Drive pulley / idler pulley | n/a in source | |
| Horizontal drive belt | n/a in source | |
| Couch-top coupling chain | n/a in source | |
| Encoder (couch-top horizontal position, mounting screw) | n/a in source | |
| LM guide / U-shaped rail (couch-top slide mechanism) | n/a in source |
Safety
Hazard: Confirming these symptoms means running the couch under power — hydraulic lift raising/lowering, or the horizontal drive moving the couch top in/out over the rollers, belt, and chain — while you observe it up close
Consequence: pinch/crush injury to hands, tools, or clothing caught between the couch top, rollers, belt, chain, or gantry opening
Avoidance: clear hands, tools, and clothing from the couch travel path, rollers, belt, and chain before commanding vertical or horizontal motion during diagnosis
Hazard: Several checks in this table are electrical checks on live circuits: the couch electrical system (180 VAC or more), the clutch/brake circuit (24 VDC ±10%), the motor circuit, the solenoid valve, and the control PWB
Consequence: electric shock
Avoidance: treat every "check ... electrically" instruction in this table as live-circuit work; verify isolation/PPE per the Gantry/Couch Control volume before opening the electrical enclosure
Hazard: Hydraulic oil leakage from the vertical-drive system, or running the hydraulic pump low on oil
Consequence: slip hazard from spilled oil, and further pump/valve damage if run without adequate oil
Avoidance: locate and record the leak source and conditions (see method below) before adding oil or replacing the solenoid valve; do not ignore an oil-leak symptom
Full step-by-step for Patient couch troubleshooting — vertical lift, horizontal slide, rollers, and noise (by symptom)
All 3 steps are documented in the FSELIB Activion16 (TSX-031A) service manual — re-authored, web-first, with the real figures from the source.
Open the full procedureRelated Couch/Table guides
Source: 2D201-112EN*D §2.3 Troubleshooting and repair (pp.127–131). Preview re-authored by FSELIB — the full procedure with figures and steps is in the paid service manual.