Implementation of Total Productive Maintenance to Improve Overall Equipment Effectiveness of Linear Accelerator Synergy Platform Cancer Therapy

Abstract

The Jakarta Government Hospital provides cancer services with several available types of equipment, one of which is the Linear accelerator (LINAC) Synergy Platform (SP) machine. The phenomenon of this machine experiencing a low effectiveness value because it is not able to handle the patient queue so it is not able to reduce the severity of cancer. The purpose of this study was to determine the factors causing the low value of Overall Equipment Effectiveness (OEE) and provide suggestions for improvement to increase the OEE value. The new approach of this research is using the Total Productive Maintenance (TPM) approach with OEE analysis as a success parameter because TPM is more identical in the manufacturing industry. Another update is using Failure Mode and Effect Analysis (FMEA) through Focus Group Discussions (FGD) with experts. The results of the study found that the factors that influenced the low OEE value on the LINAC SP machine were caused by breakdown loss of 76.29%, setup loss of 9.59%, idling and minor stop of 8.80%, and a decrease in speed of 5.29%. The continuous and consistent implementation of the TPM Pillar has increased the OEE value of the LINAC SP machine.