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    MINISTRY OF HEALTH & FAMILY WELFARE

    NIRMAN BHAVAN, NEW DELHI 110 001

    Technical Specifications of Common MedicalEquipments of

    General Surgery & OT, General Medicine,

    Internal Medicine, Trauma, Accident &

    Emergency

    Finalized on 3rd

    & 4th

    October- 2007

    Procured Under PMSSY Scheme

    Hindustan Latex Limited(A Government of India Enterprise)

    For

    Ministry of Health & Family Welfare

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    1

    INDEX

    Contents Page No:

    1. Minutes of the Meeting held on 3rd & 4th October, 2007 2

    2. Attendee list of Experts/ Special Invitees 3

    3. List of Common Medical Equipments & Specificationsa. General Surgery & OT 4-63b. General Medicine, Internal Medicine, 65-101

    Trauma, Accident & Emergency

    -

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    MINUTES OF THE MEETING HELD ON 3rd & 4th OCTOBER, 2007 FOR

    SPECIFICATIONS VETTING/ FINALIZATION FOR COMMON

    EQUIPMENTS OF GENERAL SURGERY, OT, GENERAL MEDICINE,

    INTERNAL MEDICINE, TRAUMA, ACCIDENT & EMERGENCY

    DEPARTMENTS FOR VARIOUS INSTITUTIONS UNDER UPGRADATION

    PMSSY SCHEME

    Meeting of the Specification vetting committee constituted by Ministry of Health and

    Family Welfare, Government of India for specification vetting /finalization for

    GENERAL SURGERY, OT, GENERAL MEDICINE, INTERNAL MEDICINE,TRAUMA, ACCIDENT & EMERGENCY DEPARTMENTS equipments was held on

    3rd

    & 4th

    October 2007 at the premises of Hindustan Latex Limited, Noida on behalf of

    Ministry of Health and Family Welfare under PMSSY scheme.

    List of members of the Expert group, special invitees and representatives from Ministry

    of Health and Welfare who attended are enclosed as Annexure I

    The committee was constituted for drawing generic specifications for GENERAL

    SURGERY, OT, GENERAL MEDICINE, INTERNAL MEDICINE, TRAUMA,

    ACCIDENT & EMERGENCY DEPARTMENT equipments of various institutions underup gradation for PMSSY scheme, so that the equipments required for each medical

    college can be procured in bulk to get benefit of scale.

    The committee discussed in detail the generic specifications for equipments listed,

    required inclusions / deletions were made and final specification drawn, keeping in mind

    the latest technology available, the infrastructure in concerned institutions and the generalterms and conditions of supply / maintenance.

    The committee finalized specification of the equipments listed. (List enclosed)

    The meeting ended with thanks to the chair.

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    Annexure-I

    LIST OF ATTENDEES OF PMSSY MEETING HELD ON 3rd

    & 4th

    Oct.07

    Sl.No. Name of Experts, Special Invitees. Name of Institute

    1 Prof. Munir Khan, HOD (Surgery) SMC, Srinagar2 Dr G.H. Rathode, Prof. of Surgery BJ Medical College, Ahmedabad

    3 Dr. Subnis Grant Medical College, Mumbai

    4 Dr. S. Sarat Chandra, Prof. of Surgery JIPMER, Pondichery

    5 Dr. J. Prasad RIMS, Ranchi

    6 Dr. Manish Singhal AIIMS, Delhi

    7 Dr. Tamal Kanti Chaudhary, Prof. &

    Head ( Gen. Surgery)

    KMC, Kolkata

    8 Dr. A.K. Khanna IMS, BHU, Varanasi

    9 Dr. MSR Sharma, Prof. ( Gen. Surgery) SVIMS, Tirupati

    10 Dr. Shiva Swamy BMC, Bangalore

    11 Dr. Nizarudin, Asso. Prof. Surgery TMC, Trivendrum

    12 Dr. Bhavin Yadav BJ Medical College, Ahmedabad

    13 Dr. Bharat Shah BJ Medical College, Ahmedabad

    14 Prof. MMA Kamli, HOD ( Medicine) SMC, Srinagar

    15 Prof. K. Tripathi IMS, BHU, Varanasi

    16 Dr. AN Shah, Prof. ( Medicine) BJ Medical College, Ahmedabad

    17 Dr. C. Nagraj, Prof. & HOD Pulmonary

    Medicine

    BMC, Bangalore

    18 Dr. DR Mhasde, Prof. & HOD

    (Medicine)

    Grant Medical College, Mumbai

    19 Dr. D. Dalus, Prof. of Medicine TMC, Trivendrum20 Dr. Virsingh Negi, Prof. (Medicine &

    Allied Spec.)

    JIPMER, Pondichery

    21 Dr. S. Siddharth Kumar, Assoc. SVIMS, Tirupati

    22 Dr. S. Badrinath Project Coordinator for PMSSY,

    JIPMER

    23 Mr.S.K. Sinha, Biomedical Engineer Special Invitee from MOH F&W

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    GENERAL SURGERY & OT

    List of the Common Equipments of General Surgery and OT

    1. Modular OT 6-172. OT Table Hydraulic 18-203. OT Light 21-234. OT Light with LED Technology 24-295. Operating Microscope 30-336. Video Thoracoscope 34-377. Holmium Laser 38-418. Ultrasonic Aspirator 42-469. Ultrasonic Cutting and Coagulation device 47-50

    (Harmonic Scalpel)

    10.High Definition Laparoscopic System 51-5311.Washer Disinfector Medium Capacity 54-5812.Washer Disinfector High Capacity 59-63

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    Technical Specifications for Modular OT

    Pre-fabricated Modular Operation Theatres Specifications

    OBJECTIVES

    The Main Objectives of Planning should be:

    Promote high standard of asepsis Ensure maximum standard of safety Optimize utilization of OT and staff time Optimize working conditions Patient & Staff comfort in terms of thermal, acoustic and lighting requirements Allow flexibility Facilitate coordinated services Minimizes maintenance Ensure functional separation of spaces Provide soothing environment Regulates flow of traffic

    SPECIFICATIONS

    a) Operation Theatre DepartmentStructural Steel shell with joint less sealed sterile coating

    - Joint less prefabricated modular Operation Theatres- Paneled Modular Wall & Ceiling System- Ultra Clean Ventilation Through Ceiling (Vertical laminar flow system)

    b) Integrated Air & Light Theatre Ceiling- Hermetically sealing Hospital Doors- Static Conductive Flooring

    c) Medical Gases pipeline system:- Medical Gas pipeline Equipment

    d) Multi-Movement Ceiling & Wall Pendant Systems

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    e) Suction & Oxygen Therapy products- Bed Head Trunking System

    f) Ceilings Integral LightingSsystem- Uniform diffusion of air into theatres- Air and light diffusers- Consists of plenum with conditioned air though HEPA filters.

    g) AGSS Anesthesia gas scavenging system and outlets suck the waste anaestheticgases

    h) Hermetically sealed doors

    i) Flat X-ray imaging screens step less, flicker free and dimmer

    j) To provide writing board

    k) Surgical scrubs sinks elbow action taps or knee operated or flow sensor operated

    l) To provide cascade pressure stabilizers

    m)To provide operation theatre control panel

    n) Ceiling suspension systems for monitor, anesthesia equipment surgical equipment

    a) Versatile pendent (double arm) swivelingb) Vertically movablec) Good maneuverability

    o) OT control panelsp) It should be closed circuit TV facility.q) Service maintenance warranty for 3 years and good service backup

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    Floors should be smooth, non slip, impervous material conductive enough todissipate static electricity but not conductive enough to endanger personnel from

    shock. The flooring should either be inset mosaic with least possible joints and

    copper strips to carry away any static electricity produced or of joint less conductive

    tiles. Conductive copper mesh and self levelling epoxy flooring may be done.

    Ceiling should be painted with washable paint and corners of the rooms should berounded off to prevent collection of dirt and dust.

    Power back up with provision of stand-by generating sets In operating rooms anaesthetic room(s) recovery room, holding area, colour of walls

    and ceilings should be such that they do not alter the observers perception of skin

    colour this will facilitate patient monitoring and management.

    OT should have facilities for high speed autoclaves/ sterilizers for immediate /emergency requirements of sterilizing equipment (plate 9)

    Essential pharmaceutical storage including refrigeration facilities should be available There should be a waiting room with toilet facilities for patient attendants Pass-through cabinets that circulate clean air through them while maintaining

    positive air room pressure allow transfer of supplies from outside the OR to inside it.

    They help ensure the rotation of supplies in storage or can be used only for passing

    supplies as needed from a clean center core (Plate 12)

    There should be emergency communication system that can be activated without theuse of hands.

    Detailed Technical Specification for Modular Operation Theatre

    1. WALLS & CEILING CONSTRUCTION:

    The room wall will have two independent surfaces with a minimum opening in between.

    The external walls of the room will be constructed with solid bricks with cement

    plastering. The inner surfaces walls will be constructed with 1.60mm thick EGP steel

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    panels backed by 12-mm gypsum board ( India gypsum make) these panels will have

    flame resistance to BS1142 part 3

    The inner surface walls will be fixed to the bricks wall with essential supports. There

    should be minimum possible cavity/gap in between the solid and steel walls. The total

    distance between the inside and outside surfaces of the operating room will be variable to

    suit the architects layout, but will be sufficient for the flush mounting of equipments.

    The individual wall panels will be spot welded together at equal intervals to render equal

    support to the panels. Spot welding will be properly grinded to make the surface leveled.

    All joints will be filled with metal filler and sanded flush on site ready to receive the

    plastic finish.

    Wall panels joints will be invisible after the final wall coating is applied.

    The cavity between the inner and outer walls will be left with minimum obstruction for

    the possible addition of equipment at a later date and to enable services, pipes, conduits

    etc. to be run within the cavity. All wall mounted equipment will be flush mounted and

    sealed into theatre.

    The wall panels design and construction will allow for the installation and support of all

    equipment and the provision of opening required for the installation, with out affecting

    rigidity and strength.

    Access boxes will be fitted to the rear of all wall mounted equipment to enable

    maintenance to be carried out from outside the operating room.

    All the sharp edges and corners will be in radius to avoid bacteria contamination.

    The internal surfaces of the room walls will be sprayed with water based liquid plastic,

    wall glaze or equivalent, approved by the architect to a minimum dry film thickness of

    300 microns. The plastic coating will overlap the floor covering, ceiling system and

    doorframes by 25 microns. The plastic coating will overlap the floor covering ceiling

    system and doorframes by 25mm to provide a continuous sealed surface. The plastic

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    3. DOOR AND FRAMES (HERMETICALLY SEALED DOORS):

    To maintain sterically and the correct air pressure in the room, all doors into and out

    should be of the sliding, hermetically sealing type. The door should meet following

    specifications:

    Meets international quality & safety requirements. Doors should be wired to the current IEE regulations & BS7971 standard Motor should be DC 24V 70 W brush less DC Motor Noise level of movement should not be more then 60 decibel. Controller should be microprocessor based and be CE marked. Power efficiency should be .95 (in AC 100V full load). The track should be made up of single piece extruded aluminum. Environment temperature should be -20C to +55C. Starting time should be able to regulate from .5second to 23 second & starting

    speed should be 600 mm per second.

    Electrical safety codes for high & low voltage system Design should meet HTM 2020/2021 standards.

    The doorframe should be made of high quality anodize aluminum and the door panel

    should be made of compact laminate that can withstand high abrasion. To ensure efficient

    sealing of the doors frames should be provided. They will consist of reinforced

    plasterboard panels faced with the same laminate as the doors.

    The door should seal on all four edges in the closed position & should be surface installed

    type.

    The track of the door should be constructed with high quality door lock with aluminum

    extrusion, fixed firmly to the walls.

    Nylon runner guides should be fixed to the door in such a way they do not obstruct

    trolley movement through the door.

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    The doorframes should be edged with an aluminum extrusion & with concealed fixings

    that are adjustable during installation to ensure a 100% hermetic seal is achieved.

    Vision panels, 300mm X 300 mm should be provided in the doors.

    The door controller should be sensing overload condition and in overload case the door

    will automatically stop & reverse the direction of travel.

    The controller should be capable of either being operated by elbow switches/foot

    switches, radar switch (touch less sensor). All doors should be able to be operated easily

    manually in the event of failure of the power supply or the automation unit.

    OPERATION THEATRE CONTROL PANEL:

    The surgeon control panel should meet Electrical safety codes for high & low voltage

    system, wired to the current IEE regulations.

    The room Surgeons control panel should be designed to cope with changing technology

    & equipment in operating environments. Control Panel will be user friendly & ease of

    operating & maintaining purpose.

    The panel should be Membrane type; configured to incorporate all the services that

    operation room staff required. The fascia should be made with superior quality UV

    resistance membrane with sterilization feature.

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    The Panel should contain 6 or 9 service tiles as below:

    1. Time Day Clock2. Time Elapse Day Clock3. General Lighting System4. Medical Gas Alarm Panel5. Hand Free Telephone set with memory6. Temperature & humidity indicator with controller7. HEPA Filter Status module8. Room Pressure Indicator9. Music control

    Time day clock should be digital type & clocks having high brightness characters.

    Time Elapsed Day Clock should be digital type & clocks having high brightness

    characters.

    Temperature indicator should indicate the room temperature which should be connected

    to the local pressure switches of Air-Conditioning System. Indicators should be digital

    type & clocks having high brightness characters, not less than 30 mm in height.

    Central Lighting system should incorporate all the necessary controls of the lighting

    system inside the theatre.

    The medical gas alarm should indicate High, Normal & Low gas Pressure for each gas

    service present in the operating system & should have an audible buzzer with mute

    facility. Pressure sensors should be connected to MGPS for monitoring the pressures.

    A hand free set Telephone System should be incorporated in the panel with memory type

    card.

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    The control panel should be designed for front- access only. All internal wires should be

    marked with plastic Ferrule type cable markers for ease of identification.

    5.DISTRIBUTION BOARD:

    All high voltage equipment should be installed in a separate enclosure.

    The remote cabinet should house the operating lamp transformers, mains failure relays,

    electrical distribution equipment & circuit protection equipment for all circuits within the

    operating theatre.

    All internal wiring should terminate in connectors with screw & clamp spring

    connections of the clip- on type mounted, on a DIN rail & labeled with indelible

    proprietary labels. Individual fees or miniature circuit breakers should protect all internal

    circuits.

    6. X RAY VIEWING SCREENS

    The system should have electrical safety codes for high & low voltage system. The

    theatre is to be equipped with a 2 plate X-ray viewing screen. It should be designed to

    provide flicker free luminance for the film viewing purpose. It should be installed flushed

    with theatre wall for hygienic and ease of cleaning purpose .The X-Ray viewing screen

    should be designed for the purpose of front access.

    The X-Ray viewing screen should be illuminated by 4 pieces of high frequency

    fluorescent lamps and the dimming is controlled by the usage of dimming ballast with the

    PCB that is mounted inside the box.

    The diffuser should be able to diffuse the light evenly and to provide enough luminance

    for film viewing. It should be made of high quality opaque acrylic sheet. The film should

    be held firmly by using spring loaded clips for ease of mounting and demounting. The

    body should be built by using electrolyzed steel with powder coating. It should work on

    PCB button control system.

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    7. PRESSURE RELIEF DAMPERSPressure relief dampers should be provided in each room to prevent contamination of air

    from clean and dirty areas. Suitably sized air pressure relief damper should be

    strategically placed, enabling differential room pressure to be maintained and ensure that

    when doors are opened between clean and dirty areas. Counter- weight balancing system

    should be provided in the PRD to maintain positive pressure inside the operation room.

    Air pressure stabilizers should have unique capability of controlling differential pressure

    to close tolerance. The PRD should remain closed at pressure below the set pressure and

    should open fully at pressure and should open fully at pressure only fractionally above

    the threshold pressure.

    The body should be epoxy powder coated as per standard BS colors.

    First class electrolyzed steel plate should be used for body and with high grade SS304

    stainless steel for blades.

    8. OPERATION THEATRE FLOORING (ANTISTATIC CONDUCTIVE TILES):-

    A floor screed should be provided, flat to within a tolerance of +/- 3mm over any 3 metre

    area. Onto this sub-floor, a self leveling compound should be laid prior to lying of the

    floor finish.

    Copper grounding strips (0.05 mm thick , 50 mm width) should be laid flat on the floor

    in the conductive adhesive and connect to copper wire of grounding . The floor finish in

    the operating room should be 2mm Conductive PVC tiles, laid on a semi-conductive

    adhesive base. The floor finish should terminate at the room perimeter passing over a

    concealed cove former and continuing up the wall for 100mm. All joints should be

    welded with electrodes of the same compatible material to provide a continuous sealed

    surface. The floor should have an electrical resistance of 2.5 * 10 to 106

    Ohms, as per

    DIN 51953 ATM F-150 or NFPA 99, B1 class of fire resistance and should meet UL

    standard 779. Fulfils product requirements as per EN 649.

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    9. STORAGE UNIT:The storage unit should be made with 1.50 mm thick EGP Zinc coated steel panels. The

    storage unit should be divided 2 equal parts and each part should have individual glass

    doors with high quality locking system. Each part will be provided with glass racks.

    10.OPERATING LIST BOARD:One operating list board should be provided in each operating theater. It should be made

    of ceramic having Magnetic properties and should be flushed to the wall of the operating

    room.

    11.HATCH BOX:A Hatch should be provided in each operation theater to remove waste materials from the

    operation theater to Dirty linen area just adjacent to Operation Theater. Each Hatch

    should be equipped with two doors and the door should be operated electronically. The

    Hatch should be designed in such a way that only one door should be opened at one time

    .The UV light should be so installed that it is kept on while both the doors are closed,

    this UV light has to be automatically turned off in case of opening of either of the doors.

    There shall be indicators on both side of the OT so that door open / close status can be

    monitored from both ends.

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    12.SCRUB STATIONCompact surgical scrub sink should be designed for use in OT complex providing

    Surgeons with a convenient sink for pre OT scrub up. Each fixture should be fabricated

    from heavy gauge type 304 stainless steel and should be seamless welded construction,

    polished to a stain finish. The scrub sink should be provided with a front access panel

    which should be easily removed for access to the water controlled value, waste

    connections, stoppers and strainers. Hands free operation should include infra red sensors

    with built-in range of adjustment.

    Thermostatic mixing, valve control should be located behind the access panel and

    maintain constant water temperature. User defined setting of 1 to 3 min are available.

    This timing should be adjustable to meet individual application requirements. Provided

    with infrared sensors, thermostatic control taps with fail safe temperature controls. All

    units should have reduced anti- splash fronts. Knee operated switch should be there.

    13.VIEW WINDOWThe view window of specified size shall be providing consisting of:

    Double insulated fixed glazing with not less than 5mm thick toughened glass.

    Window frame shall be powdered coated Aluminium of approved shape flush mounted

    with wall paneling

    Motorized horizontal Venetian Blinds of powder coated Aluminium strips of vista level

    or equivalent of approved shade including necessary accessories. The motor shall be of

    reputed brand approved by Engineer in charge. The Venetian blinds should be

    motorized for 90 degree rotational

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    Equipment Specifications for OPERATION TABLE HYDRAULIC

    UNSPSC Code:

    ECRI Code:

    1 Description of Function

    1.1 Hydraulic operating Tables are simple tables for performing surgical

    procedures and it works without electrical power.

    2 Operational Requirements

    2.1 OT Table is required for general surgery and should have X-Ray

    transluscent tops.

    3 Technical Specifications

    3.1 1. Four section table top with divided foot section2. Table top should be constructed from a high-pressure laminate to

    permit x-ray penetration and fluoroscopy

    3. All table positioning, i.e., height, back section, lateral tilt,

    trendelenburg, and anti-trendelenburg, except foot and head section

    should be operated hydraulically

    4. Should have a manual position selector, whose location should be

    interchangeable between foot and head end

    5. The casings on the frame and centre supporting column should be

    made of hygienic stainless steel

    6. Mattress should be radio lucent and suitable for fluoroscopy

    7. Measurements :( all dimensions are approximated to +/_ 10 %

    variations)

    a. Height: 730-1040 mm

    b. Side tilt: + 15 degrees

    c. Back section adjustment: - 15 degrees to 70 degrees

    d. Foot section adjustment: - 90 to 0 degree, detachable

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    e. Trendelenburg: 25 degree

    f. Anti trendelenburg: 25 degree

    g. Head section adjustment: -40 to -30 degree, detachable

    h. Maximum width: 555 mmi. Length: 1950 mm

    2. 8. Table top should be completely detachable compatible withtransfer trolley

    4 System Configuration Accessories, spares and consumables

    4.1 System as specified

    4.2 Accessories should includea. Padded arm rest with straps - pair with damps

    b. Anesthesia screen with clamps

    c. Side supports: pair with clamps

    d. Shoulder supports: pair with clamps

    e. Knee crutches: pair with damps

    f. X-ray cassette tray

    g. Kidney bridge

    h. SS bowl with clamps

    i. Infusion rod with clamp

    5 Environmental factors

    6 Power Supply

    None

    7 Standards, Safety and Training

    7.1 Should be FDA , CE,UL or BIS approved product

    7.2 Manufacturer should be ISO certfied for quality standards.

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    7.3 Should have local service facility .The service provider should have the

    necessary equipments recommended by the manufacturer to carry out

    preventive maintenance test as per guidelines provided in the

    service/maintenance manual.

    7.4 Comprehensive warranty for 2 years and 5 years AMC after warranty

    8 Documentation

    8.1 User/Technical/Maintenance manuals to be supplied in English.

    8.2 Certificate of calibration and inspection.

    8.3 List of Equipments available for providing calibration and routine

    Preventive Maintenance Support. as per manufacturer documentation in

    service/technical manual.

    8.4 List of important spare parts and accessories with their part number and

    costing

    8.5 Log book with instructions for daily, weekly, monthly and quarterly

    maintenance checklist. The job descriptin of the hospital technician and

    company service engineer should be clearly spelt out.

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    Equipment Specifications for Operation Theatre

    Light

    UNSPSC Code:

    ECRI Code:

    1 Description of Function

    1.1 Surgical lights illuminate the surgical site for optimal visualization of small,

    low-contrast objects at varying depths in incisions and body cavities.

    2 Operational Requirements

    2.1 The light should comprise of 2 units, one major(diameter around 90 cm) and

    one minor (diameter around 55 cm). Each unit should have a central light

    bulb.

    Should have a facility of continuous brightness adjustment.

    Should be shadow free

    2.2 Should have provision of direct recording & display of operating field via

    an autofocus, motor driven zoom lens, with digital video camera with high

    definition resolution recordable on hard drive/ DVD/ Mini DV tapes. All

    cables should be through the central supporting pillar of light.Each should

    have a single bulb with reserve.

    3 Technical Specifications

    3.1 The light should be easily maneuverable and should have a swivel radius of

    at least 150 cms and height adjustment of at least 100 cms

    3.2 Each unit should provide more than 250000 lux light at 4200 k colour

    temperature

    3.3 The optimum colour temperature of the light should be between 42000

    47000 kelvin, with colour rendering index of atleast 90.;

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    3.4 Each unit should provide a prefocussed beam of light with atleast 50 cms

    depth of field.

    3.5 It should be a cool light and should not interfere with the laminar air flow

    system. The absorption of infrared radiation should be more than 99% and

    infrared radiation to feet at 100000 lux should be less than 35 w per sq

    metre

    3.6 Each unit should have halogen lamp of average life of 1000 hours 25

    spare bulbs should be included

    3.7 There should be reserve light source (halogen) with automatic activation in

    case of a fuse bulb

    3.8

    3.9

    3.10

    Should have option of electro magnetic brakes to maintain the light in a

    steady position

    The light should have 360 degree turning radius with unbreakable head

    Glass.

    Light should automatically switch on in case of resumption of electricity

    after power failure.

    The handle should be Auto clavable & detachable.

    I

    4 System Configuration Accessories, spares and consumables

    4.1 System as specified-

    5 Environmental factors

    5.1 Shall meet IEC-60601-1-2 :2001(Or Equivalent BIS) General Requirements

    of Safety for Electromagnetic Compatibility.or should comply with

    89/366/EEC; EMC-directive.

    5.2 The unit shall be capable of being stored continuously in ambient

    temperature of 0 -50deg C and relative humidity of 15-90%

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    5.3 The unit shall be capable of operating continuously in ambient temperature

    of 10 -40deg C and relative humidity of 15-90%

    6 Power Supply

    6.1 Power input :220-240V/ 50 Hz AC Single phase or 380-400V AC 50 Hz

    Three phase fitted with appropriate Indian plugs and sockets.

    6.2 Suitable Servo controlled Stabilizer/CVT

    7 Standards, Safety and Training

    7.1 Should be FDA , CE,UL or BIS approved product

    7.2 Manufacturer/Supplier should have ISO certification for quality standards.

    7.3 Electrical safety conforms to standards for electrical safety IEC-60601-1

    General Requirements

    8 Documentation

    8.1 User/Technical/Maintenance manuals to be supplied in English.

    8.2 Certificate of calibration and inspection.

    8.3 List of important spare parts and accessories with their part number and

    costing.

    8.4 Log book with instructions for daily, weekly, monthly and quarterly

    maintenance checklist. The job descriptin of the hospital technician and

    company service engineer should be clearly spelt out.

    8.5 List of Equipments available for providing calibration and routine

    Preventive Maintenance Support. as per manufacturer documentation in

    service/technical manual.

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    O T Light with LED Technology

    Surgical light system based on LED technology

    Extremely flat, compact and aerodynamically surgical light based on innovative LED

    technology.

    The light head consists of several, systematically arranged light emitting modules, using

    multitudinous LEDs to form a multi-lens matrix for a shadow free and homogeneous

    illumination of the surgical field.

    Surgical light consisting of:

    Central axis, horizontal extension arm, height adjustable spring arm, vertical and

    horizontal bow and the one-point suspended light head consisting of 5 or 3 light emitting

    modules.

    Suspension system:

    Main light on lowermost axis position:

    Extension arm: 850mm (if 1 or 2 extension arms per axis) or 700mm (if 3

    extension arms per axis) respectively

    Length of spring arm: 930mm (iLED 5), 910mm (iLED 3)

    Operating distance: 70-150cm

    Operating range: 2272mm (iLED 5), 2050mm (iLED 3)

    All arms are freely rotatable (without stops) at all vertical joints.

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    Number of stops: 1 (2 at iLED 3)

    At which joint: connection between horizontal bow and light head (and connection

    between vertical and horizontal bow with iLED 3)

    Rotation range joints with stop : > 400C

    Light system:

    Surgical light with cold and shadow-free light, high lighting intensity and very

    homogeneous large- area and in-depth illumination of the surgical field through unique

    multi lens matrix technology.

    The colour temperature is adjustable in 4 steps from 3500K to 5000K. Within a light

    combination, in order to avoid an undesirable mix of light colour from two separate light

    heads, when adjusting the colour temperature on one light head, it is, as a standard

    setting, automatically synchronized with the other light heads. This synchronization can

    be switched off and on as needed at the touch of a button.

    Light field adjustment from 22cm to 30cm and focusing via steriliseable handle in the

    center of the light head. It is operated by turning clock-wise in an ergonomic angle of not

    bigger than 45C to reach the respective maximum or minimum setting.

    All light heads can be dimmed in a range of 10% to 100%. The colour temperature of the

    light remains constant in all dimming levels and is not subject to unwanted changes.

    Activation and deactivation of the endo-light level (10% remaining lighting intensity) via

    the dimmer control on one light head is, as a standard setting, synchronized for all other

    light heads within the light combination. It can, if the need arises, be adjusted separately

    for each light head at the touch of a button.

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    Exceptional in-depth illumination and avoiding of cast shadows by means of an

    adjustable shadow correction for 4 pre-defined

    Situation through switching on and off and adjusting the lighting intensity of different

    parts of the light emitting surface respectively. (Only iLED5!)

    Switching the light head on and off is possible in a sterile manner directly at the light

    head as well as on the optional wall control panel. From one single control panel either

    only the respective light head or the complete light combination can be switched on and

    off simultaneously. Switching on and off is without any restriction in terms of holding

    time after switching off or with regard to the nominal light values after switching on.

    No heat emission through IR radiation.

    High fail-safely through optical light system consisting of 184 (iLED5) or respectively

    111 (iLED3) single LEDs each with its own lens. In case of failure of one source (LED),

    the illumination of the light field is not affected. Even in case of failure of a second or

    more light sources, negative effects on the illumination of the surgical fields remain

    limited to a minimum.

    Gaps and spaces between the single light emitting modules of the light head support the

    effect of laminar air flow systems.

    Sterilizeable knob at the lower side of the light head for control of all light function

    (dimming, endo-light colour temperature adjustment shadow control, switching on\off

    and if applicable, camera zoom and picture rotation) by the surgical team itself (LED5!)

    Ligting intensity at 1 m distance: 160,000 Lux (LED5)

    130,000 Lux (LED 3)

    Size of light field at 1 m distance: 22-30 CM

    Homogeneous light cylinder : 75 cm

    Colour temperature : 3500- 5000K

    Colour rendering index : RA 95

    Residual illumination with one shadower: 156.800 Lux (iLED 5)

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    94.120 Lux (iLED 3)

    Residual illumination with two shadower: 102.400 Lux (iLED 5)

    67.600 Lux (ILED 3)

    Residual illumination with tube : 147.200 lux (i LED 5)

    113.100 lux (I LED 3)

    Resiudal illum with tube and 1 shadowder : 132.800 lux (iLEd 5)

    76.700 lux (iLED3)

    Resiudal illum with tube and 1 shadowder: 75.000 lux (iLED5)

    55.900 lux (I LED 3)

    Luminosity factor : 280 im/W

    Temperature increase at surgical site : max. 1o degree C

    Life span of main light source : > 20.000h

    Nominal lamp power : 184 x 1W (I LED 5)

    111 X 1w (iLED 3)

    Power input (per light head) : 200 W (I LED 5)

    120 W (iLED 3)

    Supply Voltage : 90- 240 V AC

    24 V DC

    24 V AC

    Protection class : 1

    Light Head:

    Made of powder coated aluminum diecast with smooth and clean surfaces that are easy

    and safely to clean.

    Dust and Splash proof

    One point suspended

    Diamer : 823 mm (Iled 5) or 690 mm (iLED3) respectivey

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    Temperature at working conditions above : approx 45 degree C

    Underneath < 1 degree C

    The light head can be pre-equipped with preparation and the respective cabling for the

    camera system.

    Camera :

    1CCD chip camera for installation either in the central handle of the light head ao at a

    separate carrying arm.

    Control of the camera functions via external control unit . In addition , picture rotation

    and camera zoom can be adjusted via the sterelisable knob at the respective light head

    (only iLED 5 ! )

    Signal transmission and power supply via inlaying cabling with slip rings in all vertical

    joints.

    Chip 1/6 CCD

    Standard PAL / NTSC

    Pixels 800,000 PAL, 680,000 NTSC

    Zoom 25 * optical , 12 * digital

    Lens f+2.4mm(far) bis 60 mm (tele), F1.6 bis F2.7

    Signal/ Noise ratio 49 dB

    Shuter bsi1/10000s , 20 steps(NTSC)

    1/3 bis 1/10000s, 20 steps (PAL)

    Horizontal resolution 470 TV lines ( NTSC), 460 TV lines ( PAL)

    Min illumination 3.0 lux (50 IRE)

    White balance automatic/ manually

    Gain automatic / manually ( -3 bis 28 dB , 16 steps)

    Yn-/ Outputs at the control unit :

    1. 2 * Y/C (S- Video)

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    2. 2* FBAS(Composite)3. Optional 1* SDI4. Optional MPEG 2/4 via LAN connector

    Further connectors

    5 1* LAN connector ( RJ 45)6 1* Serial interface (RS 232 or 485-)7 Optional 1* USB8 Optional 1* Audio in/out

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    Equipment Specifications for Operating Microscope

    UNSPSC Code:

    ECRI Code:

    1 Description of Function

    None

    2 Operational Requirements

    None

    3 Technical Specifications

    3.1 (1)Motorized zoom magnification, 6:1 ratio(2) Magnification from 1.8x to 15.8x or more with 10x eyepiece

    (3) Variable working distance from 207 mm (+/- 25 mm) to 470 mm

    (+/- 25 mm) through motorized multi focal lens.

    (4) Pair of wide-field eyepieces for spectacle wearers 10x, dioptric

    setting + 5D to - 5D

    (5) Ergonomic handles with buttons for motorized control of focus

    and zoom both hand & foot.

    (6) Facility for adjusting speed of the focusing motor to adapt for

    different magnifications.

    (7) 300W xenon illumination and 12V/150W same independent

    Xenon back up lamp through fiber optic cable.

    (8) Inclinable binocular tube, inclinable over range of minimum 0-

    180 Deg.

    (9) Facility for spot illumination

    (10) Floor stand with electromagnetic brakes with freedom of

    movement in all 6 axis.

    (11) Floor stand should have adjustable carrying capacity, not less

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    than 13 kgs.

    (12) system should be upgradable for neuronavigation&

    flouroscence.

    (13) Tool tracking facility(14) It should have a graphic display LCD with background

    illumination with at least 6 user defined settings.

    (15) It should stabilize less than 3 sec. & should rebooted less than 1 min.

    (16) Camera should be independent of microscope.

    (17) there should be a facility of a manual balance.

    3.2 Essential Accessories:

    (1) Stereoscopic coobservation attachment for second observer with tiltableeyepieces, minimum 0-160 Deg.

    (2) Integrated Beam Splitter

    (3) 3-Chip CCD HD (high definition) output camera with c-mount for

    connecting with the microscope & recording on a hard drive on mini DV

    disks.

    (4) Digital video recording facility with appropriate video editing software.

    3.3 Optional Accessories:(1) Diploscope (face to face attachment)

    (2) 12-function footswitch

    (3) Digital still camera for attachment with microscope

    4 System Configuration Accessories, spares and consumables

    None

    5 Environmental factors

    5.1 The unit shall be capable of being stored continuously in ambient

    temperature of 0-50deg C and relative humidity of 15-90%

    5.2 The unit shall be capable of operating in ambient temperature of 20-30 deg

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    C and relative humidity of less than 70%

    6 Power Supply

    6.1 Power input to be 220-240VAC, 50Hz fitted with Indian plug

    6.2 Resettable overcurrent breaker shall be fitted for protection

    6.3 Voltage corrector /stabilizer of appropriate ratings meeting ISI

    Specifications. (Input 160-260 V and output 220-240 V and 50 Hz)

    6.4 Suitable UPS with maintenance free batteries for minimum one-hour back-

    up should be supplied with the system.

    7 Standards, Safety and Training

    7.1 Manufactures/Supplier should have ISO certificate to Quality Standard.

    7.2 Should be compliant with IEC 61010-1:(or any international equivalent eg

    EN/UL 61010) covering safety requirements for electrical equipment for

    measurement control and laboratory use

    7.3 Should be FDA, CE, UL or BIS approved product

    7.4 Comprehensive training for lab staff and support services till familiarity with

    the system.

    8 Documentation

    8.1 User/Technical/Maintenance manuals to be supplied in English.

    8.2 Certificate of calibration and inspection.

    8.3 List of Equipments available for providing calibration and routine

    maintenance support as per manufacturer documentation in service /

    technical manual.

    8.4 List of important spare parts and accessories with their part number and

    costing

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    8.5 Log book with instructions for daily, weekly, monthly and quarterly

    maintenance checklist. The job description of the hospital technician and

    company service engineer should be clearly spelt out.

    8.6 Compliance Report to be submitted in a tabulated and point wise manner

    clearly mentioning the page/para number of original catalogue/data sheet.

    Any point, if not substantiated with authenticated catalogue/manual, will not

    be considered.

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    Equipment Specifications for Video Thoracoscope

    UNSPSC Code:

    ECRI Code:

    1 Description of Function

    1.1 A Thoracoscope is a thin, tube-like rigid endoscope instrument with a light

    and a lens for viewing.

    2 Operational Requirements

    2.1 Thoracoscope with video processing and monitoring is required

    3 Technical Specifications

    3.1 SPECS OF SCOPE:

    1. Direction of view should be zero degree.

    2. Minimum of 100 degree (app) of field of view.

    3. Range of observation from 5 mm to 90 mm.(app)

    4. Angulations of tip not less than 200 deg(Up) and 90 deg( down)with right

    to left movement of minimum 100 deg.(app)

    5. Insertion tube outer diameter of less than 8 mm with a working length of

    not less than 250 mms.

    6. Distal end of less than 8 mm.

    7. Instrument channel of more than 2.5 mm

    8. Compatible with the video system specified.

    3.2 Video processor with light source & Monitor

    1. Power supply 200-240 V A/C

    2. PAL type video signal. The camera should be 3 chips CCD with high

    definition (HD) Output with provision of recording on hard disk, mini DV:

    disk or tape.

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    3. Controls for color adjustment, to enhancement and balance settings.

    4. Controls to freeze images enhance a portion of frozen image (zoom &

    post-processing).

    5. Patient and physician data input keyboard.6. Operates on Xenon lamp.

    7. Emergency lamp.

    8. Compatibility with the gastro scope and colonoscope duodenoscope and

    Enteroscope

    9. 19 LCD color monitor with XGA resolution.

    4 System Configuration Accessories, spares and consumables

    4.1 System as specified

    4.2 1. Rod lens Telescope 0 degree 10mm , Length 31 cm2. Rod Lens Telescope 30 degree 10mm, Length 31 cm3. Trocar 6mm with blunt tip flexible cannula and silicone leaflet valve4. Trocar 9mm with blunt tip flexible cannula and silicone leaflet valve5. Trocar size 11mm with blunt tip flexible cannula and silicone leaflet

    valve

    6. Trocar size 11mm with blunt tip cannula with thread7. Manhes dissecting and grasping forceps size 5mm8. Kelly dissecting and grasping forceps size 5mm9. Babcock grasping forceps size 5mm10. Bowel grasper rotating 5mm11. Scissors rotating with connector pin, spoon blades, double action

    jaw, size 5mm

    12. Scissors rotating serrated, curved, conical and double action jawsize 5mm

    13. Micro hook scissors and single action jaw, size 5mm14. Scissors dismantling rotating serrated, single action jaws bayonet

    shaped size 5mm

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    15. Needle driver Parrat-Jaw straight handle with ratchet length 33 cm16. Assistant Needle driver Flamingo Jaw straight handle length 33 cm17. Manhaes grasping forceps rotating size 5mm atraumatic single

    action jaws18. Suction & irrigation with two way stop cock19. Bipolar & Monopolar high frequency cord with 5mm plug20.3 Chips Camera PAL having Digital Imaging Processor21.Cold Light fountain Xenon 175 power supply 100-125 / 220-240V

    AC, 50/60 Hz complete

    22. TFT Monitor PAL 19(inch) maximum resolution 1280x102423. Video Cart24. Fiber Optic cable25.0 degree, 30 degree & 60 degree upward & downward angulated

    Rongeur forceps 33 cm shaft.

    26.90 degree & 45 degree punch with 30 cm shaft.27.Clip Applicator 5 mm & 10 mm.28.Fan Retractor.29.Endo GI stapler for stapling Bronchi & Vessels.30.Needle Holder 5 mm & 33 cm long.

    5 Environmental factors

    5.1 The unit shall be capable of being stored continuously in ambient

    temperature of 0 -50 deg C and relative humidity of 15-90%

    5.2 The unit shall be capable of operating continuously in ambient temperature

    of 10 -40 deg C and relative humidity of 15-90%

    6 Power Supply

    6.1 Power input to be 220-240VAC, 50Hz fitted with Indian plug

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    6.2 UPS of suitable rating with voltage regulation and spike protection for 60

    minutes back up.

    7 Standards, Safety and Training

    7.1 Should be FDA, CE, UL or BIS approved product

    7.2 Shall be certified to be meeting safety standard IEC 60601-2-18 part 2

    Particular requirements for the safety of endoscopic equipment.

    7.3 Manufactures/Supplier should have ISO certificate to Quality Standard.

    7.4 Comprehensive warranty for 2 years and 5 years AMC after warranty

    8 Documentation

    8.1 User/Technical/Maintenance manuals to be supplied in English.

    8.2 Certificate of calibration and inspection.

    8.3 List of Equipments available for providing calibration and routine

    maintenance support as per manufacturer documentation in service /

    technical manual.

    8.4 List of important spare parts and accessories with their part number and

    costing

    8.5 Log book with instructions for daily, weekly, monthly and quarterly

    maintenance checklist. The job description of the hospital technician and

    company service engineer should be clearly spelt out.

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    Equipment Specifications for HOLMIUM LASER GENERATOR

    UNSPSC Code:

    ECRI Code:

    1 Description of Function

    1.1 The laser should be capable for use in soft tissue vaporization and resection,

    like procedures such as Prostate vaporization and prostate resection (enucleation

    2 Operational Requirements

    2.1 The laser should also be useful in treatment of Bladder Tumor, Urethral

    Strictures or any other soft tissue application

    3 Technical Specifications

    3.1 Laser Type: Solid State Laser System

    3.2 Wavelength: 2.0 2.25 m

    3.3 Power to tissue: Adjustable upto 80 Watts

    3.4 Pilot Beam: To guide the laser

    3.5 Beam transmission: Flexible Fibers for use in resection

    Vaporization: To pass through Ureteroscopes / Resectoscopes

    3.6 Control panel: LCD-display with display of parameters

    3.7 Selected and simultaneous display of energy delivered for each

    procedure

    3.8 Cooling system: Internal closed circuit refrigerant cooling system

    4 System Configuration Accessories, spares and consumables

    4.1 ACCESSORIES: Side Firing Fibers (for Vaporisation) 10 Nos.

    Resterilisable End Firing Fibers (For soft tissue

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    resection) 10 Nos.

    Fiber Stripper for End Fire Fiber 1 No.

    Fiber Cutter, for all fibers 1 No.

    Laser Safety Glasses & Goggles 3 Nos. eachFoot Switch

    4.2 Following should also be quoted as standard accessory

    1. Laser Prostate Resectoscope set including Outer Sheath- 27 Fr, with 2 Stop Cocks Resection Sheath- 24 Fr, for the above outer sheath Telescope 1 No. With 30 deg direction of view Visual Obturator 1 no. Working Element for Laser probes 1 No.

    2. Tissue Morcellator Electro Mechanical tissue morcellator with changeable

    blades for use in morcellation and removal of tissue post-

    prostate enucleation. Should include morcelloscope

    complete set, control box, handpiece, 2 sets of blades,suction device and cleaning brushes.

    5 Environmental factors

    5.1 The unit shall be capable of being stored continuously in ambient

    temperature of 0-50deg C and relative humidity of 15-90%

    5.2 Thu unit shall be capable of operating in ambient temperature of 20-30 deg

    C and relative humidity of less than 70%

    5.3 Shall meet IEC-60601-1-2 :2001(Or Equivalent BIS) General Requirements

    of Safety for Electromagnetic Compatibility.or should comply with

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    89/366/EEC; EMC-directive.

    6 Power Supply

    6.1 Power input to be 220-240 VAC, 50Hz fitted with Indian plug

    6.2 Resettable overcurrent breaker shall be fitted for protection

    6.3 Voltage corrector/stabilizer of appropriate ratings meeting ISI

    Specifications.( Input 160-260 V and output 220-240 V and 50 Hz)

    6.4 Suitable UPS with maintenance free batteries for minimum one-hour back-

    up should be supplied with the system.

    7 Standards, Safety and Training

    7.1 Manufactures/Supplier should have ISO certificate to Quality Standard.

    7.2 Should be compliant with IEC 61010-1:(or any international equivalent eg

    EN/UL 61010) covering safety requirements for electrical equipment for

    measurement control and laboratory use

    7.3 Should be FDA , CE,UL or BIS approved product

    7.4 Comprehensive training for lab staff and support services till familiarity with

    the system.

    7.5 Comprehensive warranty for 2 years and 5 years AMC after warranty

    8 Documentation

    8.1 User/Technical/Maintenance manuals to be supplied in English.

    8.2 Certificate of calibration and inspection.

    8.3 List of Equipments available for providing calibration and routine

    maintenance support as per manufacturer documentation in service /

    technical manual.

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    8.4 List of important spare parts and accessories with their part number and

    costing.

    8.5 Log book with instructions for daily, weekly, monthly and quarterly

    maintenance checklist. The job descriptin of the hospital technician and

    company service engineer should be clearly spelt out.

    8.6 Compliance Report to be submitted in a tabulated and point wise manner

    clearly mentioning the page/para number of original catalogue/data

    sheet.Any point ,if not substantiated with authenticated catalogue/manual,

    will not be considered.

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    Equipment Specifications for ULTRASONIC ASPIRATOR

    UNSPSC Code:

    ECRI Code:

    1 Description of Function

    1.1 Ultrasonic aspirators use mechanical ultrasonic vibration and an

    irrigation/suction system to fragment and remove soft tissue and high-water-

    content growths from various parts of the body.

    2 Operational Requirements

    2.1 The system should be quoted with the paediatric as well as adult handpieces.

    3 Technical Specifications

    3.1 Surgical aspirator should be based on magneto-restriction or piezoelectric

    technology.

    3.2 The hand piece must be cool if required to prevent overheating by coaxial

    flow of water.

    3.3 The hand pieces should be autoclavable and without need to dismantle for

    autoclaving.

    3.4 The vacuum pump should provide preferable the suction of > 600mm of

    Hg.

    3.5 It should incorporate an Electro-surgical unit fitted on ultrasonic hand piece

    for coagultion and cutting function.

    3.6 The console unit should house control panel storage for footswitch,

    electrical cords and self-contained suction apparatus.

    3.7 The unit should include all necessary control preferably color-coded, which

    may include amplitude, irrigation, aspiration and tissue select mode.

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    3.8 It should have safety features like optical signal for failed hand pieces and

    signal for failed unit.

    3.9 It should have on and off button.

    3.10 It should have integral suction with vacuum pressure of-20 to -90 Kpa. in

    continuous low noise and digital display.

    3.11 It should preferably have 2 liter capacity container of unbreakable material

    with level sensor and anti-overflow system.

    3.12 Hand piece should be light, preferable 20 KHz and amplitude should be

    >130 micrometers

    3.13 The hand piece should be able to accommodate selection of tips for wide

    range of applications. It should have inbuilt water cooling system &also

    should be able to differentiate tissue barriers with tactile feedback. It

    should be sterilizable by autoclave and ethylene oxide. Both curved &

    straight hand piece should be available.

    3.14 The internal diameter of tips should range form 1.0 to 2.0mm.

    3.15 The irrigation pump should be inbuilt in the unit, the irrigation output 0-

    65ml/min.

    3.16 All hand-pieces/ instruments should be detachable.

    4 System Configuration Accessories, spares and consumables

    4.1 ACCESSORIES:

    1. Trolley with suction canister.

    2. Ultrasonic probe-curved, 2 each of variable length with extra laproscopic

    probes 23 KHz and 35 KHz.

    3. Assembly kit for aspirator- 1

    4. Aspirator with 2 liters suction bottle with disposable secretion bag-1

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    5. Infusion bottle holder-1

    6. Double foot switch-1

    7. Cleaning brush for instrument lumen-2

    8. Instrument connection cables- 29. Suction / irrigation tubing (5meter each), silicon twin tube-2.

    10. Double set of cable and tubing clips- 10sets.

    11. Metal puncture tube - 2

    12. Sterilizing cassette with silicon mat and textile filter-2.

    4.2 CONSUMABLES:

    1. Textile filters for sterilizing cassette-10 pieces.

    2. Suction/ Irrigation tubing (5 meter each) - 10 pieces.3. Cable and tube clips - 5X 10 pieces.

    4. Suction and Irrigation tubing, silicon twin tube (4.5 meters each) - 5

    pieces

    5. Disposable secretion bags 2 liters- 2 pieces.

    6. Connection nipple, suction tube / secretion reservoir - 5 pieces.

    7. Internal flushing tube - 5 pieces.

    8. Protective cover-4 pieces.

    5 Environmental factors

    5.1 The unit shall be capable of being stored continuously in ambient

    temperature of 0-50deg C and relative humidity of 15-90%

    5.2 Thu unit shall be capable of operating in ambient temperature of 20-30 deg

    C and relative humidity of less than 70%

    5.3 Shall meet IEC-60601-1-2 :2001(Or Equivalent BIS) General Requirementsof Safety for Electromagnetic Compatibility.or should comply with

    89/366/EEC; EMC-directive.

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    6 Power Supply

    6.1 Power input to be 220-240 VAC, 50Hz fitted with Indian plug

    6.2 Resettable overcurrent breaker shall be fitted for protection

    6.3 Voltage corrector/stabilizer of appropriate ratings meeting ISI

    Specifications.( Input 160-260 V and output 220-240 V and 50 Hz)

    6.4 Suitable UPS with maintenance free batteries for minimum one-hour back-

    up should be supplied with the system.

    7 Standards, Safety and Training

    7.1 Manufactures/Supplier should have ISO certificate to Quality Standard.

    7.2 Should be compliant with IEC 61010-1:(or any international equivalent eg

    EN/UL 61010) covering safety requirements for electrical equipment for

    measurement control and laboratory use

    7.3 Should be FDA , CE,UL or BIS approved product

    7.4 Comprehensive training for lab staff and support services till familiarity with

    the system.

    7.5 Comprehensive warranty for 2 years and 5 years AMC after warranty

    8 Documentation

    8.1 User/Technical/Maintenance manuals to be supplied in English.

    8.2 Certificate of calibration and inspection.

    8.3 List of Equipments available for providing calibration and routine

    maintenance support as per manufacturer documentation in service /

    technical manual.

    8.4 List of important spare parts and accessories with their part number and

    costing.

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    8.5 Log book with instructions for daily, weekly, monthly and quarterly

    maintenance checklist. The job descriptin of the hospital technician and

    company service engineer should be clearly spelt out.

    8.6 Compliance Report to be submitted in a tabulated and point wise manner

    clearly mentioning the page/para number of original catalogue/data

    sheet.Any point ,if not substantiated with authenticated catalogue/manual,

    will not be considered.

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    Equipment Specifications for Ultrasonic Cutting & Coagulation Device

    UNSPSC Code:

    ECRI Code:

    1 Description of Function

    1.1 Ultrasound is the basis for an efficient surgical instrument: the Ultrasonic

    Cutting & Coagulation Device cuts and coagulates by using lower

    temperatures than those used by electrosurgery or lasers. Ultrasonic Cutting

    & Coagulation Device technology controls bleeding by coaptive coagulation

    at low temperatures ranging from 50C to 100C: vessels are coapted

    (tamponaded) and sealed by a protein coagulum.

    2 Operational Requirements

    2.1 The system is required for Open & Laparoscopic Surgical Procedures

    3 Technical Specifications

    3.1 1.Ultrasonic generator generating ultrasound at app 55.5 khz

    frequency

    2. Hand-piece with in-built transducer & silicon cable

    3. Hand-switch activation adopter for blade & hook probe

    4. Cart to house the generator and accessories

    5. Dual foot-switch attachment

    6. Stand-by mode for better safety

    7. System diagnostics and troubleshooting guide

    8. Warning system for malfunctioning cable, probe etc

    9. Power entry filters to suppress electromagnetic disturbances to monitors

    10. It should have dual foot switch receptacles to connect two footswitches to

    allow simultaneous use by 2 surgeons.

    11. It should have a vibration range of 50-100micrometer.

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    4 System Configuration Accessories, spares and consumables

    4.1 B) Accessories

    1. Foot-switch with max and min pedals and cable.

    2. 5 mm blade system adopter

    3. Hand switch adopter

    4. Open Surgery Instruments:

    a. Coagulating shears 10 mm dia, 20 cm longb. Short Curved Coagulating shears- 5 mm dia, 14 cm long.c. Dissecting hook, 5 mm dia,10cm longd. Hand Activted Coagulting shears with Clicker 5 mm di ,Curved

    mode 23 cm long.

    5.Endoscopic Surgery Instruments:

    a. Dissecting Hook, 5mm dia, 32 cm long.b. Curved Blade , 5mm dia, 32 cm long.c. Laparoscopic Coagulating shears , 10mm dia , 34cm long.d. Laparoscopic Coagulating shears , 5mm dia ,knife mode, 34cm long.e. Laparoscopic Coagulating shears , 5mm dia , curved mode, 36cm

    long.

    f. Laparoscopic Hand Activated Coagulating shers , 5mm dia, curvedmode, 36 cm long.

    g. Laparoscopic Coagulating shears , 5mm dia , Curved mode, 45cmlong.

    h. Laparoscopic hand activated Coagulating shears with clicker -5mmdia curved mode, 36cm long.

    C) Probes

    1. It Should have both 5 mm & 10 mm instruments.2. It should have the following types of shears for open & laparoscopic

    surgery.

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    a. 10 mm Coagulating shear capable of working in 3 modes flat, Blunt & Sharp.

    b. 5 mm Laparoscopic Curved coagulating Shears, 360 degreerotable, capable of sealing blood vessels upto 5 mm diameterwith clicker & integrated bilateral integrated hand control to

    enable precise operation of system by hand.

    3. All Hand Pieces should be steam autoclavable.

    5 Environmental factors

    5.1 Shall meet IEC-60601-1-2 :2001(Or Equivalent BIS) General Requirements

    of Safety for Electromagnetic Compatibility.or should comply with

    89/366/EEC; EMC-directive.

    5.2 The unit shall be capable of being stored continuously in ambient temperature

    of 0 -50 deg C and relative humidity of 15-90%

    5.3 The unit shall be capable of operating continuously in ambient temperature of

    10 -40deg C and relative humidity of 15-90%

    6 Power Supply

    6.1 Power input to be 220-240VAC, 50Hz fitted with Indian plug

    6.2 UPS of suitable rating with voltage regulation and spike protection for 120

    minutes back up.

    7 Standards, Safety and Training

    7.1 The generator must be CF isolated applied device and defibrillator protectionmust be available.

    7.2 Should be FDA , CE,UL or BIS approved product

    7.3 Manufacturer should have ISO certification for quality standards.

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    7.4 Comprehensive warranty for 2 years and 5 years AMC after warranty

    7.5 Electrical safety conforms to standards for electrical safety IEC-60601 / IS-

    13450

    7.6 Should have local service facility .The service provider should have the

    necessary equipments recommended by the manufacturer to carry out

    preventive maintenance test as per guidelines provided in the

    service/maintenance manual.

    8 Documentation

    8.1 User/Technical/Maintenance manuals to be supplied in English.

    8.2 Certificate of calibration and inspection.

    8.3 List of Equipments available for providing calibration and routine Preventive

    Maintenance Support. as per manufacturer documentation in service/technical

    manual.

    8.4 List of important spare parts and accessories with their part number and

    costing.

    8.5 Log book with instructions for daily, weekly, monthly and quarterly

    maintenance checklist. The job descriptin of the hospital technician and

    company service engineer should be clearly spelt out.

    8.6 Compliance Report to be submitted in a tabulated and point wise manner

    clearly mentioning the page/para number of original catalogue/data sheet.Any

    point ,if not substantiated with authenticated catalogue/manual, will not be

    considered.

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    Specifications for High Definition Laparoscopy System

    High Definition Three Chip Camera System

    1. Camera console 220 v with universal coupler & Autoclavable camera head2. Pure Digital signal with high definition video(1280*1024 native resolution)3. Resolution-2000 horizontal lines4. 8 specialty settings5. Integrated Flexible Scope filter6. Signal to Noise ratio-70 db7. Progressive scan technology both on camera head & console8. Brightness Control on console & camera head9. Aperture Control on console10.Inbuilt 16 step digital Image Enhancer on console11.Digital zoom & white balance on camera head12.Integrated Gain/shutter/Enhancement with brightness control13.Two peripheral control on camera head

    Video Output

    1. 2 DVI output2. 2 SVHS & 1 RGB out put3. One Composite out put

    Automatic Light source

    1. 220 V,300 W. Xenon Bulb(with one spare bulb)2. Elliptical Bulb technology3. Bulb Working life 5800hrs4. Digital Bulb life counter on light source5. Automatic /Manual Light Adjustment6. Stand By Mode7. Universal Jaw Assembly to adapt any make of fiber optic cable without adapter.

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    Fiber optic Cable

    6.5mm*7.5 feet Snap Fit cable

    Monitor

    19 Flat Panel Monitor Colour

    Insufflator

    40Liter of high flow

    Microprocessor controlled unit

    Soft Approach Pressure control for safe recovery of abdominal pressure

    Gas heating

    LCD based central display monitor with multilingual text & graphics

    AV warning signal

    Laparoscopes, Fully Autoclavable with working length 300mm

    Wide angled distortion free view

    Universal adaptor for other light sources

    Yellow Glass index for optimum evenness of focus & contrast

    0 degree, 10mm

    30 degree, 10 mm

    0 degree , 5mm

    Flexible video telescope

    Specifications

    Laparoscopic hand instruments (reusable) with 310mm working length, take apart

    locking / unlocking mechanism, rotable with interchangeable handle with monoploar

    diathermy attachment ( Except trocars and veress needle)

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    Vass needle 12 cm length

    Varss needle 15 cm length

    Carbon-di-oxide gas tubing

    Trocars sleeves 11 mm

    Reducer 11/5 mm

    4

    4

    4

    4

    2

    Trocars sleeves 5.5 mm 4

    Trocars (pyramidal tip) 10 mm 4

    Trocars (pyramidal tip) 5 mm 4

    Trocars washer 5 mm 100

    Trocars washer mm 50

    Laproscopic biopsy forceps 5 mm,

    Maryland dissector 5mm with unipolar diathermy

    2

    2

    Maryland dissector 5mm, high performance with bipolar

    cutting

    2

    Atraumatic graspers, 5mm 2

    Metzenbaum scissors (5cm) with unipolar diathermy

    Metzenbaum scissors (5cm) high performance with bipolar

    cutting

    2

    2

    Fan retractors 5 mm 2

    Laproscopic cautery lead 4

    Suction irrigation device with two way valve 2

    L shaped hook electrode 5mm

    L shaped hook 5mm , high performance with bipolar cutting

    2

    Laproscopic bowel grasper 5mm, length 33-36 cm

    Laproscopic spoon forceps 10mm length 33- 36 cm

    2

    2

    Needle holder 5mm, 33 cm long 4

    Laproscopic suction cannuala, 10 mm

    Laparoscopic suction cannula 5 mm

    2

    2

    Clip applicator 10 mm Large, Medium, Small Clips

    Gall bladder extraction 5mm Large, Medium, Small Clips

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    Hassan cannula

    Lap

    Eondotrainer

    Port closure needleSterilization tray with cover 3 x 1

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    Equipment Specifications for Washer Disinfectors( Medium Capacity)

    UNSPSC Code:

    ECRI Code:

    1 Description of Function

    1.1 Washer/decontaminators are designed to clean instruments and utensils by

    removing blood, bone, fat, and other organic debris that can adhere to

    crevices, providing a substrate for growth of microorganisms

    2 Operational Requirements

    2.1 Medium capacity washer disinfector with minimal floor space is required for

    CSSD, OT, ICU or Wards

    3 Technical Specifications

    3.1 Thermo disinfection should achieved by the temperature of up to 93C and

    maintaining it for a designed period of time & temperature which can be

    modified according to the special need and standards.

    3.2 Should equip with two dosing pump of chemical / detergent products under

    a complete micro-processor control. Dosage of liquid detergent should be

    carried out automatically by means of a pump and can easily be regulated

    for agents with varying concentration

    3.3 The construction of the body should be high quality polished Stainless

    Steel AIAI 304 and the internal chamber should be made up of acid-

    resistant AISI 316 stainless steel,

    3.4 Chamber volume should be more than 100 liters

    3.5 The hot and cold water connections should have check valves, back valves,

    mud filters and siphonage protection. The Machine should have its own

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    integrated water heater so that the machine can function properly in

    absence of external warm water source

    3.6 Water should be taken into the chamber directly to avoid separate cleaning

    and disinfection of integrated water tanks.

    3.7 High efficiency dryer with filter and pre filter.

    3.8 Should have at least three factory preset programs and at least two user

    selectable programs. The program should be available for selection at the

    touch of a button.

    3.9 Control panel should have LED/LCD indications for cycle selection , phase

    indication ,remaining program time indication ,cycle complete indication,digital temperature reading, and fault indications.

    3.10 Should not occupy more than 1 sq meter of floor space.

    3.11 Should be provided with minimum 3 rotating wash arms with removable

    caps facilitating easy cleaning of the inner surfaces of the wash arm. Wash

    arms can be removed without any tools

    4 System Configuration Accessories, spares and consumables

    4.1 System as specified

    4.2 Accessories to be quoted separately and will be addes for evaluation and will

    be frozen for future additional purchases.

    1. Sterilization Basket of app 45 liters capacity.-01

    2. Rack for Anesthesia instruments with drying-01

    3. Mis instrument & Ophthalmology basket with approximately 100 liters,60

    liters and 30 liters sizes with lid- 03( 1 of each size with Lid)

    4. Rubber shoe Rack for 25-30 shoes-01

    5. Laboratory sector basket with height 150 and 210 mm -02( 1 of each size)

    6.Dividers in 4 different sizes- 04( 01 in each size)

    7.Narrowmesh internal basket of app 70, 35 and 15 liters.with LID -03( 01

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    of each size with Lid)

    8. Independently removable, sliding wash shelves- 04

    5 Environmental factors

    5.1 The unit shall be capable of being stored continuously in ambient

    temperature of 0 -50 deg C and relative humidity of 15-90%

    5.2 The unit shall be capable of operating continuously in ambient temperature

    of 10 -40deg C and relative humidity of 15-90%

    6 Power Supply

    6.1 Power input to be 220-240VAC(Single Phase),/400-440 V (3 Phase)/ 50Hzas appropriate fitted with Indian plug

    7 Standards, Safety and Training

    7.1 Should be compliant to ISO 13485: Quality systems - Medical devices -

    Particular requirements for the application of ISO 9001

    applicable to manufacturers and service providers that perform their own

    design activities.

    7.2 Shall be certified to be meeting the Electrical Safety requirements stated in

    IEC 61010-2-45: Particular requirements for washer

    disinfectors used in medical, pharmaceutical, veterinary and laboratory

    fields.

    7.3 Comprehensive warranty for 2 years and 5 years AMC after warranty

    8 Documentation

    8.1 User/Technical/Maintenance manuals to be supplied in English.

    8.2 Certificate of calibration and inspection.

    8.3 List of Equipments available for providing calibration and routine

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    maintenance support as per manufacturer documentation in service /

    technical manual.

    8.4 List of important spare parts and accessories with their part number and

    costing.

    8.5 Log book with instructions for daily, weekly, monthly and quarterly

    maintenance checklist. The job descriptin of the hospital technician and

    company service engineer should be clearly spelt out.

    8.6 User list to be provided with performance certificate .

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    Equipment Specifications for Washer Disinfectors(High Capacity)

    UNSPSC Code:

    ECRI Code:

    1 Description of Function

    1.1 Washer/decontaminators are designed to clean instruments and utensils by

    removing blood, bone, fat, and other organic debris that can adhere to

    crevices, providing a substrate for growth of microorganisms

    2 Operational Requirements

    2.1 High capacity washer disinfector with minimal floor space is required for

    CSSD.

    3 Technical Specifications

    3.1 Thermo disinfection should achieved by the temperature of

    up to 93C and maintaining it for a designed period of time

    & temperature which can be modified according to the

    special need and standards.

    3.2 Should equip with two dosing pump of chemical / detergent

    products under a complete micro-processor control. Dosage

    of liquid detergent should be carried out automatically by

    means of a pump and can easily be regulated for agents

    with varying concentration

    3.3 The construction of the body should be high quality

    polished Stainless Steel AIAI 304 and the internal chamber

    should be made up of acid-resistant AISI 316 stainless steel,

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    3.5 The hot and cold water connections should have check

    valves, back valves, mud filters and siphonage protection.

    3.6 Water should be taken into the chamber directly to avoid

    separate cleaning and disinfection of integrated water tanks.

    3.7 High efficiency dryer with a pre-filter and a HEPA filter

    Class H13/14

    3.8 System should provide for setting up practically an

    unlimited number of user programs. There should be at

    least 10 listed programs in line with proven requirements of

    items. The programs should be available for selection at the

    touch of a button

    3.9 TFT / LCD Touch-screen colour control panel and

    information display cycle selection , phase indication as

    text,remaining program time indication ,cycle complete

    indication as text and with a green led, pressure

    graph,temperature graph,fault indication

    3.10 Multi-level access code system with Special codes for: user,maintenance, authorized person should be there.

    3.11 Integrated printer

    3.12 Should be able to insert and download User identification

    and load tracking data can into full tracking data systems by

    a bar code reader.

    3.13 Should be able to review the operation online, download the

    process data into server or PC by using a Flash Memory

    Card, or

    a direct Ethernet line.

    3.14 Should not occupy more than 1 sq meter of floor space.

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    3.15 Should have separate connections for Cold, Warm and

    Demineralized water. The Machine should have its own

    integrated water heater so that the machine can function

    properly in absence of external warm water source

    3.16 Should have rails to accomodate up to eight racks for

    different types of loads.

    3.17 Miscelaneous instruments basket in three sizes- app 100, 60

    and 30 liters( 1 each)

    3.18 Should be provided with 5 rotating wash arms with

    removable caps facilitating easy cleaning of the inner

    surfaces of the wash arm. Wash arms can be removed

    without any tools.

    3.19 Should have at least three factory preset programs and at

    least two user selectable programs. The program should be

    available for selection at the touch of a button.

    4 System Configuration Accessories, spares and consumables

    4.1 System as specified.

    4.2 Accessories to be quoted separately and will be addes for evaluation and will

    be frozen for future additional purchases.

    1. Sterilization Basket of app 45 liters capacity.-01

    2. Rack for Anesthesia instruments with drying-01

    3. Mis instrument & Ophthalmology basket with approximately 100 liters,60

    liters and 30 liters sizes with lid- 03( 1 of each size with Lid)

    4. Rubber shoe Rack for 25-30 shoes-01

    5. Laboratory sector basket with height 150 and 210 mm -02( 1 of each size)

    6.Dividers in 4 different sizes- 04( 01 in each size)

    7.Narrowmesh internal basket of app 70, 35 and 15 liters.with LID -03( 01

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    of each size with Lid)

    8. Independently removable, sliding wash shelves- 04

    5 Environmental factors

    5.1 The unit shall be capable of being stored continuously in ambient

    temperature of 0 -50 deg C and relative humidity of 15-90%

    5.2 The unit shall be capable of operating continuously in ambient temperature

    of 10 -40deg C and relative humidity of 15-90%

    6 Power Supply

    6.1 Power input to be 220-240VAC(Single Phase),/400-440 V (3 Phase)/ 50Hzas appropriate fitted with Indian plug

    7 Standards, Safety and Training

    7.1 Should be certified to be meeting Standard performance and design

    requirements stated in ISO/DIS 15883-1 Washer-disinfectors - Part 1:

    General requirements and in Part 2: Requirements and tests for surgical

    instruments, anaesthetic and respiratory equipment, hollowware, utensils,

    glassware etc.,

    7.2 Shall be certified to be meeting the Electrical Safety requirements stated in

    IEC 61010-2-45: Particular requirements for washer

    disinfectors used in medical, pharmaceutical, veterinary and laboratory

    fields.

    7.3 Should be equipped with the highest level - Class C -independent,

    full process verification recording system.The critical process values i.e.temperatures,times, pressures, detergent dosage time, flow & volume, errors,

    as well as descriptive cycledata can be independently recorded by three

    different means for Quality Assurance System.

    7.4 Comprehensive warranty for 2 years and 5 years AMC after warranty

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    8 Documentation

    8.1 User/Technical/Maintenance manuals to be supplied in English.

    8.2 Certificate of calibration and inspection.

    8.3 List of Equipments available for providing calibration and routine

    Preventive Maintenance Support. as per manufacturer documentation in

    service/technical manual.

    8.4 List of important spare parts and accessories with their part number and

    costing.

    8.5 Log book with instructions for daily, weekly, monthly and quarterly

    maintenance checklist. The job descriptin of the hospital technician and

    company service engineer should be clearly spelt out.

    8.6 User list to be provided with performance certificate .

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    GENERAL MEDICINE, INTERNAL MEDICINE, TRAUMA,

    ACCIDENT & EMERGENCY

    List of Common Equipments of General Medicine, Internal Medicine, Trauma,

    Accident & Emergency

    1. Cardiopulmonary Exercise, Physiology Test system with Treadmill 66-692. Stress System with TMT 70-723. Video Enteroscope (Single Balloon) 73-754. Video Enteroscope (Double Balloon) 76-785. Video Endoscopy Complete System 79-826. Upper GI Endoscope 83-857. Sleep Screening Test 86-888. Sleep Lab Advanced 89-919. Lung Function Test System 92-9410.Lung Function Test System Advanced 95-9811.ERCP Scope 99-101

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    Equipment Specifications for Cardiopulmonary Exercise Physiology Test System

    with Treadmill

    UNSPSC Code:

    ECRI Code:

    1 Description of Function

    1.1 Cardiopulmonary exercise testing (CPT) system gives a breath-by-breath

    measurement for comprehensive functional analysis of a subjects

    cardiopulmonary, respiratory and metabolic systems.

    2 Operational Requirements

    2.1 System complete with Treadmill and Analysis software is required.

    3 Technical Specifications

    3.1 SPECIFICATIONS FOR AN BREATH BY BREATH EXERCISEPHYSIOLOGY TEST SYSTEM

    1) The unit should be a compact unit for spirometry and allied parameters,

    mounted on a suitable trolley.

    2) The system should measure VO2,VCO2,RQ,VE, spirometry / flow-volume , AT etc.

    3) The system should be interfaced to a PC with the following specifications

    Intel Pentium Core 2 Duo 2.7Ghz and above PC system with 120 GB HDD ,

    512 MBRAM , 1.44MB FDD , 52 x DVD RD/WR drive , Serial /

    Parallel/USB ports , 17 Colour LCD/TFT monitor , Keyboard , Mouse.HP colour inkjet printer

    4) The system should have a fully automatic and computerized volumecalibration system.

    5) The system should measure Nutritional parameters.6) The system software should operate under windows XP environment.

    7) The system should have a bidirectional volume sensor with the following

    specifications:-Volume: 0 to 10 lit.

    Accuracy: 50 ml or 2%

    Resolution: 3 ml

    Flow: 0 to 15 l/s8) System should have oxygen & CO2 analyzer with response time less than

    80 msecs.

    9) The system should record data breath by breath and intrabreath.10) The system should have a unit to automatically detect ambient

    conditions such as pressure, temperature, and humidity.

    11) It should be have a 12 channel ECG unit integrated into the system.12) It should be interfaced a treadmill system.

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    (Specifications of treadmill enclosed).

    13) A suitable interpretation program to evaluate the test results should beavailable.

    14) The system should have the following:

    a) Bodyplethysmography supplement.

    b) PFT Supplement: FRC Helium and Diffusion single breath

    3.2 SPECIFICATION OF TREADMILL

    The new generation of treadmills especially designed in accordance with

    high safety and quality requirements in Pneumology, Cardiology, Stress

    Testing, Endurance Training, Rehabilitation, Sports Medicine as well as inMedical Fitness Training.

    The digital interface (RS 232) should allow the treadmill and all its functionsbeing controlled via an Ergospirometry measuring station or a PC (SW

    program for control via virtuel User Terminal to be included). Currentvalues such as speed, gradient, time, index no., distance as well as pulse ratecan be transferred to the Ergospirometry measuring station.

    For safety purposes the unit should be equipped with an emergency switch

    which stops the treadmill at any stage of operation, and which switches theWHOLE system powerless.

    Technical Specifications:

    Speed:adjustable from 0 - 22 km/h optional: 0 - 30 km/h

    Resolution:0.1 km/h; 0.5 %

    Gradient: 0 - 24 %: electrical engine brake prevents accelerationcaused by body weight at gradient; optional: reverse operation 0 to -24% for

    downhill running (up to 5 km/h)

    Resolution: 0.5 %Acceleration:7 intensities (3 ... 131 sec from 0 to max.) manual or also

    selectable via program step

    Slow down:7 intensities (3 ... 131 sec from max. to 0) manual or also

    selectable via program stepMotor power: 2.2 kW

    Motor: maintenance-free and efficient rotary current asynchronic motor (CE

    mark) with V-belt, low noise and smooth running

    Heart rate measurement: POLAR wireless, 1-channel receiver, beat-to-beatECG precise measurement automatic load control according to

    preprogrammed heart rate (target pulse)Interface: RS232 (V 24) incl. PC-, CosRec-, CosCom- ECG, Oxycon and

    serial printer protocol

    Programs: fixed memory locations incl. test programs Conconi, Ellestad,Naughton, etc. in combination with User Terminal Platform: wear-resistant

    and shock-absorbing

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    Usable platform area:app 150 x 50 cm (L x W)

    Total dimensions: app 210 x 82 x 150 cm (L x W x H)Weight: app approx. 200 kg

    Packing: app 223 x 107 x 83 cm (L x W x H); approx. 294 kg

    Handrails:metallic railing in front and at both sides

    2. User terminal with HR MeasurementIntegrated User Terminal with high contrast LC display. Complete with

    POLAR Heart Rate Measurement system and heart rate dependent load

    control. Current values such as speed, gradient, time, index no., distance aswell as pulse rate should be legibly presented on the LCD. Programs should

    be available with fixed memory locations incl. test programs Conconi,

    Ellestad, Naughton, etc.3. Following should be should be available

    a)Para graphic Software:-

    The PC-software package Para Graphics should provide on-line recording ofthe load parameters and the heart rate in the form of graphs on the colour

    screen. The data should be exported to other programs (e.g. POLAR, CycloVantage, HRCT, etc.) and should thus be evaluated.

    Apart from on-line recording the software package Para Graphics HRCshould provide a heart-rate controlled training. It should work automatically

    to control the speed of the treadmill according to the desired range of the

    heart rate that should be programmed.The following data should be recorded on-line:

    Time [s]

    Speed [km/h]Heart rate [bpm]

    Elevation [%]

    Distance [km]b) Rehabilitation attachment:- comfortable joint adjustment in width andheight ; with scale; the Reha attachment should be fixed to the lateral

    railings of the Treadmill. the Reha attachment should be folded together, and

    should not need to dismantle it after use4. Full Resting ECG Evaluation 12 Leads with Computerized Reporting

    Analysis of Waveform Morphology & Rhythm.

    5. Computerized Treadmill Exercise Testing with 12 Leads, 3 leads ScreenShowing Advanced waveforms Analysis. Accurate ST Segment

    Measurement, Heart Rate, BP Measurement should include noninvasive BP

    measurement from time to time during treadmill evaluations.

    6. Facility for programmability for all variety of protocols.7. Trend Charts for Heart Rate BP & ST shifts in at least 3 leads available at

    the end of the test.

    8. Minute to minute Evaluation of all leads available at the end of the test.9. 12 lead Printout to be available as & when necessary during the test.

    10. Stable Reusable Electrode that gives clear good quality online ECG.

    11. ST Analysis of all 12 leads at maximum ST D