Abstract: A device to install and remove a structural component in and from a medical large device has a guide system that simplifies the difficult handling of the structural component due to the size or the weight of the structural component. The guide system has a first guide rail that can be positioned on a height-adjustable patient bed of the large device, and a guide groove which is arranged on the structural component. Additionally, another second guide rail can be attached to the medical large device, which forms an extension of the first guide rail when the patient bed is correspondingly positioned. With this device the structural component can be easily raised and lowered with the aid of the height-adjustable patient bed, and can easily be slid into and out of the large device when the first and second rails are at the same height.