specifications of bio-medical equipments to be …

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1 THE PUNJAB EMPLOYEES SOCIAL SECURITY HOSPITAL MADINA TOWN, FAISALABAD Phone & Fax No. 041-9220066, 041-9220308, Exch. 041-9220411-16 E-Mail: [email protected] SPECIFICATIONS OF BIO-MEDICAL EQUIPMENTS TO BE PROCURED FOR PESSI HOSPITALS (ZONE-II) FOR THE YEAR 2019-20 Technical Bid / Specification Tender will be opened on 29-02-2020 (Saturday) at 11:00 a.m. Sr. No. Name of Equipment / Instrument Total Quantity CIF/FOR Basis 1. NON INVASIVE CARDIAC MONITORS WITH ALL PARAMETERS For Adults & Peads,For monitoring patients vital signs. Operating Features and Characteristics: I. Non fade TFT/LCD color display II. Electro-surgical interference suppression/protection Defibrillator protection III. Freeze and cascade facility. IV. Waveform trache spee: 25 & 50 mm/sec. V. Screen size: min. 15” TFT, LCD color display. ECG : I. Numeric: heart rate. II. Waveform : real time and freeze ECG trace Minimum 6 waveforms NON-INVASIVE BLOOD PRESSURE (NIBP): I. Method: oscillometric principle II. Numeric: systolic, diastolic and mean pressure Selectable auto inflate interval settings III. Rising cuff/continuous pressure display. IV. Reusable cuff for adult & paeds TEMPERATURE: I. Numeric: temperature selectable in ºC/ºF. PULSE OXIMETRY: I. Numeric: 0-100% oxygen saturation measuring range. II. Waveform-plethysmograph pulse. III. Reusable sensor electrode. ARRHYTHMIA ANALYSIS: IV. Arrhythmia analysis and ST analysis. 36

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Page 1: SPECIFICATIONS OF BIO-MEDICAL EQUIPMENTS TO BE …

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THE PUNJAB EMPLOYEES SOCIAL SECURITY HOSPITAL MADINA TOWN, FAISALABAD Phone & Fax No. 041-9220066, 041-9220308, Exch. 041-9220411-16

E-Mail: [email protected]

SPECIFICATIONS OF BIO-MEDICAL EQUIPMENTS TO BE PROCURED FOR PESSI HOSPITALS (ZONE-II) FOR THE YEAR 2019-20

Technical Bid / Specification Tender will be opened on 29-02-2020 (Saturday) at 11:00 a.m.

Sr. No. Name of Equipment / Instrument Total

Quantity CIF/FOR

Basis 1. NON INVASIVE CARDIAC MONITORS WITH ALL PARAMETERS

For Adults & Peads,For monitoring patients vital signs. Operating Features and Characteristics:

I. Non fade TFT/LCD color display II. Electro-surgical interference suppression/protection Defibrillator protection III. Freeze and cascade facility. IV. Waveform trache spee: 25 & 50 mm/sec. V. Screen size: min. 15” TFT, LCD color display.

ECG : I. Numeric: heart rate.

II. Waveform : real time and freeze ECG trace Minimum 6 waveforms NON-INVASIVE BLOOD PRESSURE (NIBP):

I. Method: oscillometric principle II. Numeric: systolic, diastolic and mean pressure Selectable auto inflate interval settings III. Rising cuff/continuous pressure display. IV. Reusable cuff for adult & paeds TEMPERATURE:

I. Numeric: temperature selectable in ºC/ºF. PULSE OXIMETRY:

I. Numeric: 0-100% oxygen saturation measuring range. II. Waveform-plethysmograph pulse. III. Reusable sensor electrode. ARRHYTHMIA ANALYSIS: IV. Arrhythmia analysis and ST analysis.

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RESPIRATION: I. Breathe rate display and settable apnea alarms. Sweep speed; 6.25, 12.5 mm/sec. Ac 220v/50HZ Built-in rechargeable battery for at least 1.5-2 hour.

Accessories: The system must be complete with all sensors, probes, cables or any other accessories required for measuring all the above selected parameters. Optional (If any): I. Qty of Reusable sensors II. Capnography III. IBP two channels Printer 2 channels IV. Mounting stand preferably imported or high quality (S.S 304L) Local with lockable draws(procuring agency

to choose) Warranty; 03 years warranty of complete system including all accessories and allied items

Country of Origin: USA, Europe, Japan only.

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Sr. No. Name of Equipment / Instrument Total

Quantity CIF/FOR

Basis 2. ECG MACHINE 3 CHANNELS

Three channel ECG on at least 3 inches LCD display. Display of Three channel ECG simultaneously. Automatic Operation Variable gain: 1/2, 1, 2 cm/mV. Thermal recorder for printing out of Three channels simultaneously Interpretation Software. Recording Trace speed: 10, 25 and 50 mm/sec Muscle artifact and AC (50Hz) interference filters Built in AC Supply and battery operation with 30min backup Built-in AC interference, Noise filter and Baseline connection. Capability to interface with LAN/WLAN for data transfer Paper Rolls, 50 Accessories: Complete with standard accessories, including separate patient cables for Adult, Pediatric & Neonatal use with re-usable electrodes(procuring agency will specify the type of cable needed) Optional (If any): i. Mobile Cart (Local/Imported) ii. No. of Electrodes

Warranty; 03 years warranty of complete system including all accessories and allied items Country of Origin: USA, Europe, Japan only.

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Sr. No. Name of Equipment / Instrument Total

Quantity CIF/FOR

Basis 3. COMPUTERIZED DIALYSIS MACHINES

Various Dialysis Therapies including double needle system & Single Needle with Single Pump. Dialysis machine system should be open consumable types Variable Bicarbonate & Acetate Concentration. And no binding on consumable or disposable Bicarbonate profiling with monitoring Variable temperature control Water Inlet pressure requirement: 1.5 to 6 Bar maximum Heparin Pump Automatic stop & Bolus with flow rate from 0.1-9.9ml/hour Programmable Ultra filtration with control or varying rate Ultra-filtration with or without diffusion Automatic priming with display Dialysis machine with touch digital display size 10.4-inches or more Touch Display 10.4-inches or more for service diagnostic and calibration Touch Electronic control of flow rate and blood flows Automatic clean, disinfect and rinsing mechanism, built in heat disinfect system Should capable to record disinfection history Should capable to record patient data without/with patient Card Blood Pump: 0, 50 to 500 ml / minute Variable Dialysate Flow: from 300 to 700 ml or better Temperature Control: up to 39 deg. C. (Adjustable) Arterial Pressure Monitor, Venous Pressure Monitor Ultra-filtration Rate Control: Range of UFR 0.0 to 3.00 Kg - hour or above. Air Bubble Detection: Air bubble detector alarm threshold. Blood leak Detection, Sodium profiling Bicarbonate profiling / Proportion /Dialysate Profiling Dialysis Adequacy Monitoring (Kt/v) with graphical Display, Built in Heat disinfect system Universal Bicarbonate Cartridge Holder / Bag Online B.P Monitoring System Battery backup for at least 20-min, 220V, 50Hz

Accessories: Optional (if any):

Pediatric Mode (System should have ability to be used on pediatric patients) Warranty; 03 years warranty of complete system including all accessories and allied items

Country of Origin: USA, Europe, Japan only.

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Sr. No. Name of Equipment / Instrument Total

Quantity CIF/FOR

Basis 4. SEMI AUTO DIALYSIS COUCH / DIALYSIS CHAIR

Safe working load up to 200 kg or better Step less adjustment from sitting to shock position Step less adjustment to comfort position Manually adjustable footrest Hand control unit for step less adjustment Folding upwards and rotatable armrests Castors Ø 7.5 cm, individually lockable Neck roll Dimensions, length x width 200 X 75 cm Armrests, length x width 65 X 12 cm Upholstery, length x width x height 220 X 54 X 7 cm Access height 64 cm or better Adjustment range of seat inclination 46 degree Seat inclination between 4 ° – 50 ° All dimensions are to be considered as approximate. 03 years warranty of complete system including all accessories and allied items

Country of Origin: USA, Europe, Japan only.

.

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Sr. No. Name of Equipment / Instrument

Total Quantity

CIF/FOR Basis

5. RESUSCITATION TROLLEY WITH DEFIBRILLATOR FEATURES: For Emergencies, I.C.U, C.C.U. Recessed top storage area Trolley with imported 4 castors (2-lockable) Cardiac backboard for CPR (Standard size) Defibrillator mounting system, complete with defibrillator IV pole with holder 2 x Cylinder holders / brackets (different sizes) Smooth sliding drawers with trays and dividers for organizing various supplies. Drawers: 6 inch deep drawer-atleast one.3x3 inch approx. deep drawer. Examination Light Halogen/LED Easily focusable

Complete with following accessories: High pressure reducer with gauge. Flow meter with nebulizer Venture suction system with regulator and gauge. Silicon resuscitator complete adult and pediatric (Ambo Bag) Suction container Tubing suction, emergency scissors one piece, face mask small, medium & large size Guedel tube airways

set of 4 Sphygmomanometer mercury type with adult and pediatric cuffs. Laryngoscope with adult and pediatric blades Distribution manifold. Oxygen Cylinders E-Type (Tested & certified)

Defibrillator:- Biphasic transthoracic (external) defibrillator with LCD colour display Synchronized output with ECG. Energy selection & delivery on control panel and paddles for external defibrillation. Energy selection and delivery on control panel for internal defibrillation. Charging Indicator The energy range should be adjustable for Peads and adults up to 200Joules. Charging Time for full energy should be less than 05 sec Screen Size of approx. 5 inch colored. Display of HR, ECG through paddles and Lead I.II & III patient cable. Built in recorder for printing of full summery on standard 50mm paper. Alarms for High and low Heart rate, low battery warning. Built-in Rechargeable battery with charger for minimum 50 shocks at max energy. Auto tester/self check.

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External Paddles (Adult, Peads , Neonate) AED facility with cable. Pacing facility AC 220V / 50Hz operated.

Accessories: Complete with standard accessories, including reusable type Adult, Pediatric & Neonatal Sensors. Qty of Reusable sensors Internal paddles for Adult / Peads. Disposable pacing pads Warranty; 03 years warranty of complete system including all accessories and allied items

Country of Origin: USA, Europe, Japan only.

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Sr. No. Name of Equipment / Instrument Total

Quantity CIF/FOR

Basis 6. SEMI-AUTO BED

INTENSIVE CARE MOTORIZED BED The mattress platform consists of four sections: a backrest, a fixed tying surface, a knee rest and a footrest Lying Surface with detachable high Pressure laminated panels Minimum Height: 495 mm Maximum Height: 975 mm European Multi-Actuator (maintenance free) Rechargeable battery Removable head and foot panels Auto-contour (Knee and Back Simultaneously) Sleeping position by means of one button Mattress platform of the Bed: 200 x 90 cm Split safety side guards and hand held control Manual quick release on both sides for CPR Bed Length: 220 cm Bed Width: 100 cm Under bed night lamp Electric High Low Position Safe Working Load: 230 kg The electrically adjustable backrest: 70o Electric Trendelenburg/Anti-Trendelenburg 17°/25o Maximum angle of inclination of thigh section: 43°. Maximum angle of inclination of foot section: 15°. European Castors Ø 150mm with central brake system. Adjustable Electric Knee rest. Accessories Hooks on the each side of the beds Mattress holder on both side 2 Receptacles for IV rod. 4 Pcs Horizontal protective bumpers AC Voltage: 220-240V outlet Line Frequency: 50/60 Hz (Automatic Switching).

MATTRESS: Medical Grade imported Rexene mattress according to bed dimensions BED SIDE LOCKER: Body constructed of electro galvanized steel sheet. Top made of ABS

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Top with smooth fine finish. All handles recessed type. One drawer on top Drawer fitted with safety pull out mechanism. One compartment underneath the drawer with hinged door and insert shelf. Compartment door is reinforced and fitted with magnetic tape. Mobile on four 2” castors All metal part given rust inhibitor, zinc phosphate treatment with powder resins. Over Bed Table (Hydraulic) Cantilever type over bed table Wooden water proof top. Extra smooth sliding mechanism made of rectangular column and gas spring assisted Safety pullout mechanism installed in lifting column. Mobile on four 2” castors.

Note;- Technical qualification of the participating firms shall be Subject to the following conditions.

1) The firm which shall obtain minimum qualifying marks during Technical Scrutiny of documents shall have to provide Samples of Beds within 03 days of the issuance of demand from the procuring Agency.

2) If the sample is found in accordance with the advertised Specifications then the Technical Committee shall visit the manufacturing unit of the Firm prior to announcement of the Technical Status.

Warranty; 03 years warranty of complete system including all accessories and allied items

Country of Origin: USA, Europe, Japan only.

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Sr. No. Name of Equipment / Instrument Total

Quantity CIF/FOR

Basis 7. FULLY AUTOMATIC BEDS

The mattress platform consists of four sections: a backrest, a fixed lying surface, a knee rest and a footrest. Backrest in solid laminate for x-ray translucency. Built in Rechargeable Battery Sleeping position by means of one button Relax Position by means of one button Bed Length: Approx: 7 ft Bed Width and Side rails: Approx 3 ft Bedside rails: Approx: 3 ft Height Electrically adjustable Electric High Low Position (Height adjustment from 450-750mm) The electrically adjustable backrest Electric Trendelenburg/ Anti-Trendelenburg The angle between the backrest and knee rest is always at least 90°. Castors Ǿ 125 mm. with central brake system. Safe working load 230KG Quick release for CPR. Hand Remote Control system (Back Rest, Knee Rest, High /Low) 220VAC, 50Hz Operation. Receptacles for IV rod. Horizontal protective bumpers. IV Rod Fixed Double Curve

MATTRESS: Mattress (pressure reduction), High elasticity (resilience), Progressive hardness increase at deeper

indentation (better bearing power), Small dynamic fatigue, Fire-retardant characteristics and with washable cover.

BED SIDE CABINET: Laminated bedside table with MDF top panel, door, drawer and open space, castors dia 40 mm.

OVER-BED TABLE: Reading/ meal table on base Colum at the left side Height adjustable Warranty; 03 years warranty of complete system including all accessories and allied items

Country of Origin: USA, Europe, Japan only.

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Sr. No. Name of Equipment / Instrument Total

Quantity CIF/FOR

Basis 8. ICU VENTILATOR (ADULT) WITH FULL ACCESSORIES

Ventilation: Microprocessor controlled powerful ventilation system mounted on imported trolley. TFT color touch screen 12/15” Minimum. Patient Range: Pediatrics and Adult Breathing classification: Pressure control, Volume control Pressure control with set Volume Breath. Autoclaveable reusable patient tubing circuit for paeds and adult (01 each)

Modes Of Ventilation: Volume control Assisted CMV Pressure control PC Assist Pressure Control CPAP SIMV+ Pressure support Noninvasive ventilation Bi-level /APRV/BI-PAP Ventilation

Control: Set & measured parameters simultaneously.

Measurement Range/ Specification: Inspiratory tidal volume: (20 to 2000ml) OR (5ml to 2000ml Neonatal Mode). (Procuring agency to specify) Respiratory frequency: 5 to 120bpm SIMV breath frequency: 1 to 50 bmp Inspiratory pressure: 10 to 80 cmH2O Inspiratory flow: 80 L/Min or cmH2O. I : E ratio : 1:4 / 4:1 PEEP: 3 to 30cm H2O FiO2/ O2 delivery: 21 to 100%

Monitoring parameters for set and measured value simultaneously: Total breath rate. Oxygen concentration FIO2 Expired minute volume Peak expiratory flow I : E ratio Peak Pressure Mean pressure Lung Mechanics with pressure and volume loops.

Others control and functions: Back up ventilation Pause time INSP Microprocessor gas delivery system

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Breath circuit Compliance Compensation Expiratory hold/ Inspiratory hold Pressure / Volume and flow trigger sensitivity Trigger sensitivity indication Trend Data The waveform should be displayed on ventilator’s screen.

Alarms: Apnea AC power failure High and low Expired minute volume High and low peak air way pressure High and low breath rate FiO2 variation Low and high base line pressure Gas supply source failure Low battery

Nebulizer: Built in nebulizer of the patient during ventilation Supply requirements: (Electrical )220 V -50 Hz BATTERY

Backup: With internal battery backup of one hour.

Compressed Air Supply ( Air Compressor). The ventilator should be driven on external/Internal/Built-in air compressor for powerful ventilation and

should have the capability to connect with central medical pipeline system of the hospital. Humidifier: Automatic compensation (Servo) controlled heated humidifier with temperature monitoring at air way and

Humidification camber with alarm for low/ high limits with water tarp in the patient circuit. Note: The warranty of equipment will be including batteries, oxygen sensor, all kind of sensors and flow sensor.

Accessories: Housing pipes with imported nozzle /connector for O2 and compressed air with water trap.

Optional: Capnography module to monitor carbon dioxide of the patient with complete accessories. External battery backup (Compatible Pure sine wave online imported UPS) for additional battery backup of

one hour for complete system functionality. Note: - Post Warranty service contract for 5 Years should be proposed in percentage of the Total Value Warranty:03 years warranty of complete system including all accessories and allied items

Country of Origin: USA, Europe, Japan only.

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Sr. No. Name of Equipment / Instrument Total

Quantity CIF/FOR

Basis 9. ABG BLOOD MACHINE ( BLOOD GAS AND ELECTROLYTE ANALYZER)

Detailed Requirement: Microprocessor based Blood gas Analyzer to measure, blood gas and electrolytes Principal: Assay technology: Potentiometric and Amperometric electrodes (pH & O2 electrode), and a range of Ion-selective electrodes. Sample Type: Whole blood (syringe and capillary) with recommended anticoagulant. Plasma/Serum for electrolytes only. Test menu: pO2, pCO2, O2 saturation, pH, Na+, K+, Cl- and HCT. Easy changing access to electrodes and reagents. Automatic sample recognition and sampling. Possibility of upgrade for data management RS 232 or USB Interface 220V 50 Hz, AC User Adjustable Settings: Throughput: 24- 30 or more samples/hour Sample Volume should be <100 μl Analysis Time: Not more than 80 seconds nominal Control panel with easy setting and monitoring of pCO2, pO2, pH Measuring range: pCO2: 5 - 200 mmHg pO2: 0 - 800 mmHg pH: 6.000 - 8.000 pH Displayed Parameters: LCD display for results Large storage memory for minimum of 250 results or more System should be capable of two point calibration along with manual calibration Calibration history at least 24 hours System should have at least 3-4 programs for quality control Accessories: Complete with standard and operation accessories; Consumables, reagents, calibrators, controls for startup.

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Initial calibration and quality control up to the full satisfaction of end user One roller mixer, spare lamps, fuses, dust cover etc. Built-in or External Laser Printer Imported Compatible Sine wave UPS for back up of up to 30 minutes (Emerson, Liebert, Chloride, MGE, APC or Equivalent) Operating Manual with a Soft Copy Service Manual with a Soft Copy Note: The firm must submit the cost of consumables/kits and details of reagent consumption and approximate cost per cycle along with the tender. It should also submit maintenance cost (per annum) as required after completion of warranty period. Optional: Measurement of Glucose, Lactic Acid, Total Hemoglobin Warranty; 03 years warranty of complete system including all accessories and allied items

Country of Origin: USA, Europe, Japan only. 10. BLOOD WARMER

Microprocessor controlled unit should have facility of reliable transfusion and infusion for intra and postoperative hypothermia. Dry warming system. Online warming with tubing. Pre-selected temperature settings over the range 37OC to 39OC. Indications/ display for different temperatures. Blood warming device with safety cutout at 41-43OC. Visual and audible alarm for low and high temperature

Warranty; 03 years warranty of complete system including all accessories and allied items Country of Origin: USA, Europe, Japan only.

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Sr. No. Name of Equipment / Instrument Total

Quantity CIF/FOR

Basis 11. SYRINGE PUMP

Syringe pump for fluid administration. Flow Rates: 0.1 - 400 ml/hr. (Approx) Digital display of set parameters. Universal Syringe acceptance capability for disposable, Plastic, Size, 10, 20, 50, 60 ml. Drive Accuracy. ±3% Display of drug name, Infusion rate, infused volume and volume to be infused. Automatic adaptation of controls according to syringe /infusion set. Quick freed/rapid infusion facility. Rechargeable battery and mains operated 220V, 50Hz. Safety alarm audible and acoustic for occlusion end of infusion, low battery. Battery back up 3 to 4Hours. Should be compatible with docking station.

ACCESSORIES: OPTIONAL : TCI / Equivalent Technique Docking station of two/four/six/eight or more Warranty; 03 years warranty of complete system including all accessories and allied items

Country of Origin: USA, Europe, Japan only.

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Sr. No. Name of Equipment / Instrument Total

Quantity CIF/FOR

Basis 12. ECG MACHINE 12 CHANNEL

Twelve Channel ECG on at least 5 inches LCD display Automatic Operation Variable gain: 1/2, 1, 2 cm/mV Thermal recorder for printing out Twelve channels simultaneously. Interpretation software. Recording Trace speed: 10, 25 and 50 mm/sec, Muscle artifact and AC (50Hz) interference filters Defibrillator protection Built-in AC operation & battery backup minimum 30mins Paper size: A4/210mm Built-in AC interference, noise filter and baseline drift control. Capability to interface with LAN/WLAN for data transfer Paper Roll 50.

Accessories: Complete with standard accessories, including separate patient cables for Adult, Pediatric & Neonatal use

with re-usable electrodes(procuring agency will specify the type of cable needed) Optional (If any): Mobile Cart (Local/Imported) No. of Electrodes

Country of Origin: USA, Europe, Japan only.

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13. COLOR DOPPLER ECHOCARDIOGRAPHY A complete dedicated digital Echocardiography unit for wide range of premium performance application of cardiovascular imaging in pediatrics and adult. Built in workstation / data management system for digital acquisition, storage and review of complete ultrasound studies including static and dynamic clips in DICOM format, read/write zoom. Studies can be reviewed and output to CD / DVD/MOD. The machine must have sharp and high quality image reproduction with heavy duty performance. It should have minimum following specification : DISPLAY: High resolution 1280x 1024 non interlaced, flicker free. Display size Min. 21” LCD TFT, tilt able and

swiveable type. OPERATING MODES: B, 2D,4D Imaging, M-Mode, Power Doppler, HPRF, Spectral Doppler, Color Doppler, Velocity Mode, Pw

Doppler, Duplex And Triplex Doppler, CW Doppler Steerable and ECG Gating, Capable of Performing 4D View.

CONTROL PANEL: Alphanumeric keyboard with built-in trackball. Direct access to system functions through dedicated keys. Indicator lights identify activated keys. Audio volume control with bidirectional / stereo speakers and foot switch User selectable image magnification control. Adjustable transmit focusing control. Total and Lateral Gran Compensation controls (6 or more).

CALIPER / MEASUREMENTS : 6 to 8 calipers for measurement per screen trace length measurements for:Distance, angle, distance depth

from skin line, area, circumferences, compound / volume, slope, time, heart rate and acceleration. APPLICATION: Cardiac, Peripheral, pediatric, adult cephalic and transesophageal with all required software for

measurements. OPERATING MODES: 2D tissue, 2D angio flow, color M-Mode, tissue velocity M-mode, tissue strain imaging, disynchrony imaging, continuous wave Doppler, tissue m-mode, pulse wave Doppler, tissue velocity imaging, tissue tracking, tissue synchronization, blood flow imaging, blood flow angio flow imaging. DISPLAY MODES: Live and stored display format: full size and split screen. Review image format: for still and cine, simultaneous capability B+PW, B+ CFM/TVI+PW, CW, B+ or triplex mode, , B+ color split screen display.4 D scan, B+Color Screen display, Slice view Tissue Imaging,4D Mode, 2D mode, M- mode, color Doppler imaging, color flow imaging, color Doppler imaging, color angio, color m- mode, blood flow imaging, blood flow angio imaging, tissue velocity imaging, tissue velocity imaging mode, tissue synchronization imaging mode, PW / HPRF Doppler, CW Doppler, LVO Contrast, Vascular / abdominal

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contrast, vascular calculations, cardiac measurements FRAME RATE: (machine to be quoted with Maximum available frame rate) Min. 200fps in B-Mode and 100fps in Doppler mode. CINE MEMORY: Min. Cine Memory for 1000 frames or 250mb min. IMAGE VIEWING DEPTH: 20 – 280 mm or more for cardiac application IMAGING MODES / TECHNIQUES: Tissue harmonic Imaging, Tissue Doppler Imaging, Color Angio, Tissue Velocity Imaging Tissue Imaging (Display real time Doppler shift information from moving tissue to better visualize and quantity myocardial function). Capability to display time difference in myocardial motion in color for CRT (Cardiac resynchronization therapy. Quantitative strain rate imaging (Doppler & speckle tracking rate): An advanced quantitative technique of Tissue Doppler Velocity. Strain rate is a measure of the contractile motion of myocardium. Auto-Tracking contrast quantification: quantitative technique for on-line assessment of contrast agent images. Contrast plus sequencing technology: a real time, low mechanical index, non-linear imaging technique for contrast agent examinations. The software should have the capability to show contrast agent only, tissue only or contrast and tissue displays. Contrast Harmonic Imaging capability. Vascular imaging software for carotids with IMT measurement. STRESS ECHO: Integrated multi stage stress echo system for advance and flexible stress echo Acquisition and

measurement for LV B-Mode imaging. Quantitative analysis for contrast during stress. examinations Used with TDI protocols.

STORAGE DEVICE: Built-in MOD/CD / DVD Drive WITH 10 DISKETTES SYSTEM DYNAMIC RANGE Dynamic range minimum 160 dB or more

COMMUNICATION SOFTWARE: System should conform to DICOM 3 communication software for:Image Storage, print, Query / Retrieve,

Network Communication. Probes: Should be light weight, capable of multiple centre frequencies on transmit for 2D, color Doppler PW/CW

(Steerable) Imaging and to perform Harmonics. PORTS: Video Output USB / RS 232 Networking

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STANDARD TRANSDUCERS: Linear Probe multi frequency to cover frequency of 6.0-8.0 MHz. Multi frequency Phased array sector probe to cover 2.0/2.5 – 4.0MHz. Multi frequency Phased array sector probe to cover 5.0 – 8.0MHz. CW Pencil Probe Multiplane TEE Transducer (3 – 6 MHz) for adults. Transthoracic /4D Volume probe

Accessories: Digital Color Thermal Printer with 10 Packs of 100.. Online UPS for 30 min. backup time for complete unit including Printer.(Emerson, Liebert, Chloride, MGE &

Riello) Digital B/W Thermal Printer with 50 rolls of papers. Jelly 20 L in bottles. Complete with standard accessories.

Optional (If any): Multiplane TEE Transducer (4 – 6 MHz) for peads 4D TEE probe for adult or paeds 4D quantification Procuring agency will specify & justify the imaging software. Warranty; 03 years warranty of complete system including all accessories and allied items

Country of Origin: USA, Europe, Japan only.

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Sr. No. Name of Equipment / Instrument Total

Quantity CIF/FOR

Basis 14. 24-48 HOURS HOLTER MONITORING SYSTEM

PC based digital Holter monitoring system Holter with 24/48/72 HR ECG Monitoring system, (The procuring agency will specify the requirement) Operating features and characteristics: PC based with color monitor of 19”LCD/ TFT monitor, play back module. Keyboard and mouse and laser printer for printing reports. (6CPM for ECG/Grid printing) Full disclosure reports and Superimposition feature, Analysis of ST slope, heart rate, R-R variability &

arrhythmias detection including atrial fibrillation. Pace maker detection and analysis.

Reports: In tabular and summary form, Graphical and Analytical, Arrhythmia data, Heart rates (min. max & AVG), R-R variability time domain calculations of test duration, ventricular and super ventricular ectopic. ST segment reports: adjustment ST-segment criteria, time duration maximum deviation & slope deviation severity & index number. 3 channel simultaneous high resolution Holter Recorder (solid state with even marker, time clock) minimum 48 hours or above recording time. Sampling rate 175/ channel / sec in normal rhythm.Solid-state recorders. Minimum of 3 channel simultaneous acquisition of Holter data. (Two sets of leads per recorder ordered) connectivity: via USB port / flash memory card. Operating requirements: Recorders: Standard long life batteries. (AA) Alkaline, disposable, UPS (imported) for main unit for at least 60-min. back up time Computer: Minimum i5, Hard disk drive 100GB(minimum), DVD R/W, Operating system Windows Printer: HP laser jet , Networking capability, Standard PC keyboard, Mouse. High resolution 19” or more colour LCD/TFT monitor with a maximum of 1280 x 1024 resolutions. Accessories: All allied accessories for the measurement of required parameters should be from original manufacturer. Optional: 07 days of ECG recording Warranty; 03 years warranty of complete system including all accessories and allied items

Country of Origin: USA, Europe, Japan only.

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Sr. No. Name of Equipment / Instrument Total

Quantity CIF/FOR

Basis 15. ULTRASONIC NEBULIZER

For nebulization of respiratory tracts. Hospital grade for continuous operation. Ultrasonically generated uniform and highly dense particles of 0.5-5 microns size. Approximately 65-70% of particles of less than 4 micron size. Autoclave able delivery pipes. Air flow of 10 L/min. Aerosol heating facility Quiet operation with noise level of less than 40dB. Nebulizing time setting from 0-30 min. Medication cup capacity: 150 ml. Power of 220 Volts / 50 Hz. One extra Flexible arm/ delivery pipe/masks (all sizes). Complete with bacteria filter

Warranty; 03 years warranty of complete system including all accessories and allied items

Country of Origin: USA, Europe, Japan only.

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Sr. No. Name of Equipment / Instrument Total

Quantity CIF/FOR

Basis 16. MINIMAL ACCESS SURGERY (LAPAROSCOPE)

Imaging system should have backward and forward compatibility and modularity for futures upgrade and with latest image enhancement modules for better image quality and identifications of the land marks and pathology for better outcomes of the surgery The laparoscope and all allied components of these specifications shall be provided with full HD minimum of 1920 x 1080 pixels with the method of Progressive Scanning. Telescope Diameter 10 mm, 0oworking length 290-310 mm. 10 mm straight, 30o view working length 290-310 mm. 5 mm straight forward “0” degree. 5 mm forward oblique “30” degree

Camera Full HD Camera control unit and video camera Head, Pal system. Resolution 1920 x 1080 pixels progressive scan Integrated (image processing model) Power supply 100-240 VAC 50 Hz

Special Feature Required: Automatic while balance Powerful video signal processing Image enhancement modes Picture in picture mode control via camera head button Control of peripheral i.e. light source, recording system parameter via camera head button Still image capturing in full HD quality (JPEG) format via camera head buttons Video capturing in full HD quality (MPEG 4 format) via camera head buttons Grid & pointer mode for teaching and training purpose 20 individual preset or better 20 patient data backup or better Should have compatibility with future upgrade like flexible scope, 3 D or better or equivailent. Max. resolution : 1920 x 1080 pixel, progressive scan

Video Output: Composite signal to BNC socket S-video signal to 4-pin, mini DIN socket (2X) RGB signal to D-sub socket DV signal to DV socket (only with DV module) SDI signal to BNC socket (only with SDI module) (2X) HDTV signal to DVI-D socket

03

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Monitor Medical graded Full HD LCD/LED 26 inch from the same manufacturer.

Imported Trolley Light Source 300 watt Xenon / LED with all standard accessories, (The replacements of lamps shall be the responsibility of supplying firm during warranty period) Light guide cable, diameter 6mm or more, Length minimum 200 to 300 cm

Electronic CO2 insufflator 40-50 liter/min, complete in all respect with all standard accessories. Clip applicators. Trocar with trocar sleeve 10mm Approx. Trocar with trocar sleeve 5mm Approx. High flow veress needle. Suction Irrigation System complete in all respects with all standard accessories. Reducing sleeve. Integrated / separate medical graded video recorder with storage capacity of 500 GB or more.

Accessories: Online 2KVA UPS with 30 min backup to be provided locally. CO2 Cylinder 240CFT with complete accessories (to be supplied locally) certified by respective agency. Imported storage boxes for instruments and optics. Imported disinfection boxes. Standard cleaning set as per manufacturer recommendations for cleaning of tubular shafts and other instruments. Diathermy leads Autoclaveable. Bipolar forceps and lead.

LIST OF INSTRUMENTS REQUIRED FOR GENERAL SURGERY Note: the minor variation in size and type of the instruments would be acceptable. The size of instruments is approximate. The mentioned shape and style of instruments is for reference and may be quoted their equivalent. Hasson Cone: Trocar size 10/11 mm (with color code) with cannula & multifunction valve, length 10.5 cm, pyramidal tip & conical tip one. Trocar size 5/6 mm (with color code) cannula & multifunction valve length 6cm, conical tip & 8.5 cm pyramidal tip. Reduction sleeve 11/5 mm (Compatible). Veresspneumo peritoneum needle with spring loaded blunt sty let with leur lock 7cm and 13cm. Maryland dissecting forceps slightly curved with Cannula pin for unipolar coagdia 5mm, length 30-36

cm, insulated, relatable.

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Dissecting forceps insulated rotatable needle nose. Reddick-Olsen dissecting and grasping Forceps, heavy. Dissecting and Grasping forceps, alligator jaws with connector pin for unipolar coagulation, size 5mm. (rotatable, straight) Dissecting and Grasping Forceps, (Kelly’s)with connector pin for unipolar coagulation, size 5mm. length 30-36 cm length, double action jaw. Dissecting and grasping forceps, (Kelly’s)with connector pin for unipolar coagulation, size 5mm36 cm length, double action jaw grasping forceps with teeth with connector pin for unipolar coagulation,

size 5mm double action jaw with ratchet. Multifunction grasping forceps, 1x2 teeth with connector pin for unipolar coagulation, size 5mm Bowel grasping forceps, two rows of traumatic teeth without connector pin for unipolar coagulation,size

5/10mm. Bowel Grasping Forceps With connector pin for unipolar coagulation, size 5/10mm. Babcock Grasping Forceps rotating, dismantling with connector pin for unipolar coagulation, size

5/10mm. (with ratchet). Babcock Grasping Forceps rounded without connector pin for unipolar coagulation, size 5/10mm. Claw forceps, single/double/action jaw, with teeth, size 5/10mm, length 33-36, 01short, rotating

consisting of metal handle with ratchet, outer tube, insulated, forceps insert. Clip applicator (medium large) & medium, rotating, ratchet with clips. Tenaculum forceps, rotating, size 5/10 mm, length 33-36 cm, and metal handle with ratchet, outer

tube, insulated, and forceps insert. Metzenbaum scissors, curved rotating, with connector pin for unipolar coagulation, size 5 mm, length

33-36 cm insulated handle, outer tube, insulated. Curved/angled scissors, rotating, size 5mm, length 33-36cm: insulated handle, outer tube, insulated. Micro scissor curved 5mm, insulated with diathermy . Hook scissor single action jaws, size 5 mm, length 33-36 cm: insulated handle, outer tube, insulated,

insert. Scissor straight 5mm insulated with diathermy. L Shaped dissecting electrode /diathermy size 5mm, insulated, length 33-36 cm (L-hook dissector). Coagulating and dissecting electrode, spatula-shaped, blunt with connector pin for unipolar coagulation,

size 5 mm, working length 33-36cm. (Injection) Aspiration needle 5mm. Biopsy forceps insulated (5mm). Bipolar diathermy electrode . Uterine cannula, with 2 cones, large and small spring-loaded fixation for forceps with luer-lock adaptor for cleaning. Uterine tenaculum forceps, length 22cm. Suction and coagulation cannula, 3mm, with connector pin for unipolar coagulation, 30cm. Dissecting electrode l and j shaped.

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Needle holder 5 mm Needle grasper 5 mm Thread manipulator 5 mm Retractor 10 mm (3 blade) Knot pusher

Warranty; 03 years warranty of complete system including all accessories and allied items Country of Origin: USA, Europe, Japan only.

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Sr. No. Name of Equipment / Instrument Total

Quantity CIF/FOR

Basis 17. HARMONIC SCALPEL.

Ultrasonic and advance bipolar generator for general surgery sealing cutting grasping and dissection Sealing Output: Thermal Spread less than 1mm Bipolar, no neutral electrode required 100 VAC RMS maximum 135 watts maximum300 - 490 kHz (330 kHz unless otherwise marked in instrument IFU)

HS Output: 420 VAC RMS maximum 0 - 100 watts continuous (unless marked with a duty cycle in the instrument IFU) 101 - 200 watts 15s On / 15s Off Optional accessories:( according to requirement) Ultrasonic Hand Piece Grey for shears Ultrasonic Hand piece Blue for shear foot pedal Ultrasonic Connector Advance bipolar connector Generator cart/Trolley Ultrasonic Lap shear 36 cm Ultrasonic open shear 23 cm Ultrasonic open shear 9 cm -18cm Advance bi polar open shear Advance bi polar Lap shear

Warranty; 03 years warranty of complete system including all accessories and allied items Country of Origin: USA, Europe, Japan only.

01

18. DHS TRIPPLE REAMER (IMPORTED) Autoclave able Attachable/detachable with drill machine SS Fine High quality meet the requirement of End user Complete in all aspects.i.e Quantity, size and others.

Warranty; 03 years warranty of complete system including all accessories and allied items Country of Origin: USA, Europe, Japan only.

01

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Sr. No. Name of Equipment / Instrument Total

Quantity CIF/FOR

Basis 19. DCS REAMER (IMPORTED)

Autoclave able Attachable/detachable with drill machine SS Fine High quality meet the requirement of End user Complete in all aspects.i.e Quantity, size and others.

Warranty; 03 years warranty of complete system including all accessories and allied items Country of Origin: USA, Europe, Japan only

01

20. FLEXIBLE REAMER AO TYPE (IMPORTED) Autoclave able Attachable/detachable with drill machine SS Fine High quality meet the requirement of End user Complete in all aspects.i.e Quantity, size and others.

Warranty; 03 years warranty of complete system including all accessories and allied items. Country of Origin: USA, Europe, Japan only

01

21. Pneumatic Drills With Accessories (Imported) AO Compatible Complete Pneumatic Drill System Hand piece with Variable Speed Trigger Operating speed: 900RPM or better One hand operation “Forward / Reverse control” right on instrument base Coupling connecting system High Torque Reaming Coupler Nitrogen Regulator Single Output Air Hose 10 foot length approx. Automatic wire driver for wires from 0.7 mm to 1.6 mm. Automatic pin driver for wires from 1.7 mm to 3.2 mm. Standard Twist Drill 1.6 x 127mm Standard Twist Drill 2.0 x 127mm Standard Twist Drill 2.4 x 127 mm Standard Twist Drill 2.8 x 127 mm Standard Twist Drill 3.2 x 127 mm Standard Twist Drill 3.6 x 127 mm 18. Minor deviation in sizes is acceptable.

Warranty; 03 years warranty of complete system including all accessories and allied items. Country of Origin: USA, Europe, Japan only

01

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Sr. No. Name of Equipment / Instrument Total

Quantity CIF/FOR

Basis 22. ORTHO OT TABLE WITH COMPLETE ACCESSORIES (IMPORTED)

( ELECTRO HYDRAULIC /ELECTRO MECHANICAL OPERATION TABLE WITH ACCESSORIES FOR ORTHOPEDIC SURGERY ) TECHNICAL SPECIFICATIONS: Table Top (Radiolucent) with antistatic mattress and equipped with X-ray cassette holder. Table for minimum patient safe working weight of 200 kg in normal position. Table Top is arranged as: Head plate Back plate Seat plate Two separate leg plates. Base of the table stainless steel/ABS cover, 4 swivel castors

MOVEMENT: Position of the table should be operated Electro hydraulically / electrically X-ray cassette tunnel should be full length of the Table Top Sliding table top movement up and down movement height range: 750-1000mm (approx.) Trendelenburg/Reverse Trendelenburg 25-300(approx.) Lateral tilt 200(approx.) Back plate: up 60- 750/down 40-500(approx.) Leg plate: up 200/down 900(approx.) battery operation

Accessories: Leg traction device 01 set Upper limb traction device 01 set Arm rest with clamp 02 each Fixation strap 02 each Anesthesia screen 01 Goepel leg rest 02 each Large width body strap 01 Adjustable bottle holder rod 01

Warranty; 03 years warranty of complete system including all accessories and allied items Country of Origin: USA, Europe, Japan only

01

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Sr. No. Name of Equipment / Instrument Total

Quantity CIF/FOR

Basis 23. AUTOMATIC TORNIQUET SET

Automatic Tourniquet System Should Be Dual-Port, Dual-Cuff System With Microprocessor Controls And Dedicated Ports For Supplying And Measuring Pressure Independently, So That It Can Be Used For Bilateral Joint Replacement Procedures. With The Innovative Limb Occlusion Pressure (Lop) FEATURE: a) Automatic Tourniquet System along with cuffs from International Firms of repute with U.S. FDA approval is required. b) The system should be made available for demonstration as per the requirement of user department. It should have the Following Features:-• Ability To Provide A Specific Recommended Tourniquet Pressure (Rtp) For Each Patient Based On Physiological Characteristics. Limb Occlusion Pressure (Lop) Feature, Dual Cuffs: Dual Port, Colour Coded Dual Displays Should Use Ambient Air Microprocessor Controlled Self-Check Calibration Audible And Visual Alarms Internal Pump For Fast Inflation Time Positive Locking Connectors Should Automatically Checks The Accuracy Of Machine Calibration Every Time The System Is Powered Up Should Alert The User Of The Cuff Status When Attempt Is Made To Power Down The Machine Cuff Lockout Safety Feature Communication Should Asks The User To Confirm A “Deflation” Command During Bilateral Or Ivra Anesthesia Procedures To Reduce The Incidence Of Clinically Significant Issues Related To “Sudden Deflation” Dual Compressors To Allow For Independent Control Over Cuffs “One” And Cuff “Two”, Addressing The Potential Physiological Differences In The Patient Dedicated Pressure Line And Pressure Measurement Line For Cuff “One” And Cuff “Two”

Which Should Be Designed To Provide Most Accurate Readings. Warranty; 03 years warranty of complete system including all accessories and allied items

Country of Origin: USA, Europe, Japan only

01

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Sr. No. Name of Equipment / Instrument Total

Quantity CIF/FOR

Basis 24. ARTHROSCOPE WITH ACL REPAIR INSTRUMENT(IMPORTED)

1. Telescopes, diameter04 mm, length 12 to 18 cm , autoclave able, fiber optic light transmission Wide Angle Forward Oblique Telescope 30 degree

2. High – Flow Arthroscope Sheaths with Automatic Lock-in Coupling Mechanism and with Snap-in Coupling Mechanism

For use with Telescopes, diameter 04mm, length 18cm 3. Obturator, semi sharp, 03 sizes

4. ArthroscopePunches , all in 03 sizes, cutting width 3.4mm, 2.7mm, 1.5mm. a. Punch, through cut , straight b. Punch, through cut , angled 30 degree left c. Punch, through cut, angled 30 degree right 5. Grasping Forceps. a. Grasping Forceps, straight, spoon shaped jaws in 03 sizes,3.4mm, 2.7mm ,4.5 mm, length 13cm b. Alligator Grasping Forceps, surgical, length 13 cm 6. Suction Punch, Sheath Diameter 4.8 mm, working length 13 cm 7. Arthroscope Scissors. a. Scissors curved right, sheath diameter 3.5mm, length 13 cm 8. Meniscus Grasping Forceps, length 13 cm 9. Hooks and Retractors a. Hook and Retractor , Graduated, diameter 3.5 mm, length of hook, 02 sizes, 02mm and 04 mm, working length 12-18cm 10. Curettes, both sides cutting. a. Curette, oval, large, 20 degree, curved upward HD Camera System 1. High Definition Camera Controller with minimumresolution of 1920X1080 pixels with the method of progressive scanning 2. High Definition CCD/CMOS Camera Head 3. Medical Graded Colour LCD/LED Monitor 26 Inch 4. LED / 300 Watt Xenon Light Source with Attachments and Cables. 5. Dual Pump Suction and Irrigation System with mains cord , connecting cable with 12 tubing sets(reusable) 6. Powershaver with mains Cord, Hand Control, two pedal footswitch , SCB Connecting Cable, Multifunctional hand piece with all standard attachments. 7. Shaver Blades in 06 different shapes 8. Built in recording system 9. Multi-specialty Video Cart

Warranty; 03 years warranty of complete system including all accessories and allied items. Country of Origin: USA, Europe, Japan only

01

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Sr. No. Name of Equipment / Instrument Total

Quantity CIF/FOR

Basis 25. MOBILE C-ARM X-RAY UNIT

C-arm x-ray unit mobile for radiography and fluoroscopy High frequency, power output of 2KW or more. 40 to 110kv with one shot fluoroscopy facility of 6ma or more. X-ray tube with stationary anode or better Single / Dual focal spots of 0.6 and 1.5 mm. Automatic Fluoro dose control Collimator : remote control of collimator, iris and blades diaphragms motorized with x-ray grid TV camera : high sensitivity, CCD camera, 1024 x 1024 pixels with last image hold Display : two 48cm (19”) LCD/TFT monitors, medical quality on separate Mobile Trolley Digital video memory 100000 images or more Noise reduction filter, last image hold, pulsed fluoroscopy Edge enhancement, image inversion to be provided Real time digital image rotation Fluoroscopy footswitch: one cassette holder 24x30cm Laser localizer lights cross beam type System should have DICOM Compatibility Provision of USB Port

Accessories: Laser digital printer. Two lead apron large imported.

Warranty; 03 years warranty of complete system including all accessories and allied items Country of Origin: USA, Europe, Japan only

01

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Sr. No. Name of Equipment / Instrument Total

Quantity CIF/FOR

Basis 26. MICROSURGICAL SAW IMPORTED

Suitable for various orthopedic joint surgeries. Long-lasting and consistent batteries. Ergonomic design handpiece for your working comfort. The integrated design has good sealing, and the whole set unit is autoclavable. Optimized weight distribution for balance to enhance function and comfort. The oscillating saw is with a variety of specifications of the saw blade sizes. The saw blades can be

customized. Precise concentricity improves the accuracy of operations and makes the operations more perfect. Battery Charger :Input Voltage 110V-240V/50Hz Battery Operated Battery Capacity 2000mAH or Above Capacity Rated Speed 0-20000rpm Sterilizing Temperature 135-137ºC 02 Batteries

Warranty; 03 years warranty of complete system including all accessories and allied items

Country of Origin: USA, Europe, Japan only

01

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27. SURGICAL SAW FOR LARGE BONES IMPORTED Battery Operated Handpiece - For Drill & Saw Wire And Pin Drill Attachment Drill Chuck Attachment Acetabulum Reaming Attachment With Drill Chuck Adapter Oscillating Saw Attachment Battery Charger Saw Blade Size as per recommemdation by End User Sterilizing Temperature 135-137ºC 02 Batteries

Warranty; 03 years warranty of complete system including all accessories and allied items Country of Origin: USA, Europe, Japan only

01

28. FEMORAL DISTRACTOR IMPORTED Autoclave able SS Fine High quality meet the requirement of End user Complete in all aspects, Quantity size, and others.

Warranty; 03 years warranty of complete system including all accessories and allied items Country of Origin: USA, Europe, Japan only

01

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Sr. No. Name of Equipment / Instrument Total

Quantity CIF/FOR

Basis 29. ANESTHESIA MACHINE WITH VENTILATOR & SCAVENGING SYSTEM

Anesthesia machine to administer anesthetic agents in precise control and flow manner for Adult, pediatric and Neonates. Mobile 3-gases O2/N2O/AIR. It must comprise of the following components: Non-interchangeable pipeline inlets. Pipeline & cylinder gauges for O2, N2O and Air. Central gas/ electronically driven unit. Pin index cylinder yokes for Oxygen & N2O (One each), as backup. Pin index type Cylinders will be provided (2xO2 and 2xN2O: BS standard). Gas outlet and O2 flush control. 1 auxiliary O2 outlet. Two Lockable castors. Stainless steel/fiber work surface. Absorber bag support arm. Three gas flow meters for precise control and monitoring of gases. Drawer unit 4-6'' high. Scavenging system Passive / Active type.

ANESTHESIA VENTILATOR: Anesthesia Ventilator with minimum 6” or more color LCD/TFT Screen. The ventilator shall be capable of ventilating adult and pediatric patients. The ventilator shall have following features as a minimum requirement: Volume Preset Time Cycled Ventilator (IPPV Mode) Pressure Controlled and pressure support Modes Breathing Mode Selection (Standby / Volume / Spontaneous and Pressure) Built in Oxygen Monitor Inverse I:E ratio Capability Gas Specific Input Connectors (Air or Oxygen ISO or ANSI Standards) Tidal Volume from (20ml to 1400ml) OR (5ml to 1400 ml) ( Procuring agency to specify). Rate or Frequency 4 to 60 bpm PEEP (4 to 20 cm H2O) Inspiratory Pressure Limit Power Supply 220 VAC, 50 Hz Battery Backup (60 Minutes or more) Low / High FiO2 Alarm

06

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Incorrect Rate or Ratio alarm Mains Failure alarm Low battery alarm advance indication Hypoxic device guard. Pressure and Volume (Spirometery) Loops / curves . High / Low pressure alarm. The ventilator shall be supplied with complete drive hose and power cable.

Note: Annual maintenance kits (needs to replace annually) will be included in the warranty period as per manufacturer’s guidelines. The warranty of equipment will be including batteries, oxygen sensor and flow sensor. Anesthesia Accessories Power outlet with 3/4 socket outlets to connect the auxiliary equipment. CO2 absorber 800 – 1,500 gm or better complete with valve for bag/ventilator Manometer Breathing bags Re-usable Silicon Autoclave able breathing circuit (Adult, Peads or Infant 01 each) Mounts and Y-piece. Additional breathing hose and connector with 03 adult & 03 pediatric bellows

Optional: Two pre calibrated Vaporizers of Isoflurane & Sevoflurane vaporizer, temperature and flow compensated.

Monitoring: Vital sign monitor. Size of minimum 12” or more for display of vital sign parameters. Measurement of ECG 5 leads. NIBP with re-usable single hose cuff for children and adults SpO2 with re-usable cable and sensors for children and adults size (Massimo Type/Equivalent motion

tolerance technology). HR Temperature with nasal probe. Respiration EtCO2 (main or side stream) (If required Procuring agency to specify). Dual Channel IBP (If required Procuring agency to specify). 220V, 50 Hz operated.

Note: Vital sign Monitor must be supplied by the same manufacture and must be Compatible with the machine and Ventilator. Monitor Accessories: 2 NIBP Cuff each 2 Spo2 probe

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2 temperature probe IBP Leads 2 ECG Leads

Warranty; 03 years warranty of complete system including all accessories and allied items Country of Origin: USA, Europe, Japan only

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Sr. No. Name of Equipment / Instrument Total

Quantity CIF/FOR

Basis 30. ELECTRO CAUTERY MACHINES WITH ALL ACCESSORIES IMPORTED

Microprocessor based electrosurgical unit for normal and under water cutting usages. Automatic self-test function. Operation in radio frequency range. Controls for cutting, coagulation, spray and blends. Monopolar cutting power of 300 watts. Bipolar cutting power of 80 watts. Mono polar coagulation power of 100 Watts. Bipolar coagulation power of 50 Watts. Spray coagulation mode. Different gradations of blending of cutting and coagulation power. Digital display of all controls and set values of cutting and coagulation power. Audio and visual alarms. 220V, 50 Hz.

Accessories: Monopolar handle with cord. Bipolar forceps with cord. Trolley having anti-static lockable wheels. Attachment for monopolar coagulation. Knife electrode. Surgical electrode, ball-shaped. Wire loop electrode. Needle electrode. Ball electrode. Bipolar coagulation forceps. Reusable silicon patient plate. Double paddle foot switch, explosion proof. Trolley with lockable antistatic castors.

Warranty; 03 years warranty of complete system including all accessories and allied items Country of Origin: USA, Europe, Japan only

02

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Sr. No. Name of Equipment / Instrument Total

Quantity CIF/FOR

Basis 31. PORTABLE SUCTION MACHINES IMPORTED

Heavy duty suction machine is used to keep the airways clean and in operation theater for suction of various secretions/fluids from various cavities of body Reciprocating, oil free pump mechanism. Heavy duty Mobile Suction Unit with twin jars (Polysulfone / Polycarbonate type) of capacity up to 4 or 5 liter each, Autoclaveable. Aspiration rate up to 40-50 liters/minutes or more at 650-900mm.Hg Vacuum continuously adjustable Triple flow safety device Change over valve Suction tubing of silicone with coupling connection for each jar Noise Level 45 dB or less. 220V/50Hz.

Accessories: 10 x bacterial filter Original trolley with lockable wheels

Warranty; 03 years warranty of complete system including all accessories and allied items Country of Origin: USA, Europe, Japan only

04

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Sr. No. Name of Equipment / Instrument Total

Quantity CIF/FOR

Basis 32. AUTOCLAVE WITH BUILT-IN STEAM

Fully automatic, programmable, microprocessor type. Touch screen colored display and integrated printer. Automatic motorized/pneumatic single door system. Time cycled, working pressure 32 psi. Safety interlock. Temperature & Pressure recorder. Chamber pressure indicator. Cycle indicator to determine the phase of sterilization cycle. Program/Cycle selection. Complete with standard accessories and removable shelves, capable of taking both packets and containers of all standard sizes. Chamber capacity 01 STU, rectangular shape. Chamber, jacket and doors made of AISI 316 L/Ti. The system complete with built-in water saving system,

automatic heat exchanger and Air detector. Two loading / unloading trolleys and one loading carts compatible with system. UPS of suitable capacity with minimum 15 minutes for Controller cum display for monitoring and controlling of parameters during power shedding provided/ installed by the manufacturer.

Warranty; 03 years warranty of complete system including all accessories and allied items Country of Origin: USA, Europe, Japan only

03

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Sr. No. Name of Equipment / Instrument Total

Quantity CIF/FOR

Basis 33. OT TABLE FOR GENERAL SURGERY

( ELECTRO-HYDRAULIC/ELECTRO-MECHANICAL OPERATION TABLE ) Weight bearing capacity of 200kg or more 4-5 Sectional Operation Table with Single Leg Section Table top equipped with radiolucent material. The mattress covers with washable, antistatic material. X-ray Cassette holder for X-Ray and C-Arm facility Electric Height adjustment: 750 to 1000 mm or more. Electric Trendelenburg/Reverse Trendelenburg: 25° / -25° or better. Electric lateral tilt: 20° / -20° or better. Manual/electricbackrest adjustment:70° / -15°or better. Manual leg section adjustment: 20° / -90° or better. 220-230 V, 50 Hz. Hand control unit. Manual Override panel in the column for back up control in emergency cases. Battery backup control of table in case of main power failure. Accessories: Arm rest with clamp Fixation strap Anesthesia screen Adjustable leg rest pads Large width body strap Adjustable bottle holder rod Shoulder support

Optional (ACCESSORIES): End-user to specify. Provision Of Sliding Table Top Any other accessory to be defined by the end-user. Warranty; 03 years warranty of complete system including all accessories and allied items

Country of Origin: USA, Europe, Japan only

03

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34. OT TABLE FOR UROLOGY TECHNICAL SPECIFICATIONS Table Top (Radiolucent) With antistatic mattress, 5-6 sections and equipped with X-ray cassette holder. Sturdy table for minimum patient weight of 450Kgin normal position. Table must be compatible to be connected with C-ARM. TABLE TOP IS ARRANGED AS: Head plate Back plate Seat plate Two separate leg plates Base of the table stainless steel/ABS cover, 4 swivel castors Sliding table top up to 270 mm

MOVEMENT (Remote Controlled): Up and down movement height range: 700-1000mm Trendelenberg/ Reverse Trendelenberg 250/250 Lateral tilt 200 Back plate: up 700/Down 40-500 Leg plate: up 200/down 900 Operating Voltage: 220V, 50Hz with battery backup and manual override in case of electric supply

failure. STANDARD ACCESSORIES: Arm rest with clamp Fixation strap Anesthesia screen Adjustable leg rest pads Large width body strap Adjustable bottle holder rod Shoulder support U Shape head rest for general Surgery Kidney elevator/ Flex, Reflex Knee crutches with pads Liquid basin Accessories trolley

Any other accessory to be defined by the end-user. Warranty; 03 years warranty of complete system including all accessories and allied items

Country of Origin: USA, Europe, Japan only

01

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Sr. No. Name of Equipment / Instrument Total

Quantity CIF/FOR

Basis 35. CR SYSTEM / DIGITAL RADIOGRAPHY

One Digitizer/ Reader Unit, Multiple Plates Type System for General radiography and Mammography Should be capable to read X-Ray exposed Rigid Imaging Plates (IP) of all Standard sizes in inches/cm. The productivity of reading / digitizing should be minimum 70 IPs/Hr. Reading function 90 μm and 50 μm Should support resolution 10 pixels / mm or more. One Radiographer Console with users software’s: (Unit) CR console with LCD Should be capable to enter & edit Patient ID. Should support Image Preview & Quality Assurance. Should have temporary storage capacity of up to 2,000 or more images. Should comply with DICOM Conformance 3.0 and have standard functions for future connectivity with

PACS or other DICOM Modalities inclusive of Print, Storage, etc. Dry Laser Printers with high throughput providing 3 size online DICOM 3.0 Compliant Gray scale Dry format printers. Should have minimum productivity of 150 films/ hour Printer should have feed plates of size 14 x 17, 8 x10, 10 x 12, 11 x 14. Minimum resolution should be10 pixels/mm and 12-bit gradation. Matrix size should have 90 μm and 50 μm Rigid Imaging Plates (IP) and Cassettes Three 14x17nch (Set of IPs & Cassettes). Three 10x12inch (Set of IPs & Cassettes) Three 8x10inch (Set of IPs & Cassettes) DICOM capability DICOM 3 capability for Send, Receive, Archive, Retrieve and Print.

Power Requirement: Single phase with line voltage of 220V, 50 Hz Warranty; 03 years warranty of complete system including all accessories and allied items

Country of Origin: USA, Europe, Japan only

01

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Sr. No. Name of Equipment / Instrument Total

Quantity CIF/FOR

Basis 36. PATIENTS BED WITH MATTRESSES, BED SIDE LOCKERS & OVERHEAD TABLES

Bed Patient Manual W/Mattress, Cabinet bed side (Fowler Bed) Mine Frame (outer frame) made of rectangular tubular M.S Pipe 2 ¼” x 1 ¼” 16 SWG. Inner Frame. Made of 1 ¼” square pipe 16 SWG, Bedding area made of 2 ½ 8th inch steel mesh (preferably

removeable). Dimensions: 90x200x55cm (WXLXH) Mattress Platform: 1 ¼” square steel tube welded epoxy painted firmly welded steel mesh infour parts, three

moving and one fixed, two crank (separate) system to make fowler position. Head & foot panel of 2 ¼” rectangular pipe 16 SWG fitted with 1 ¼” square pipe bars 16SWG at distance of

4”. Legs: Recessed legs made of 16 SWG square pipe 1 ¼”. Castors: 125m castors / wheels (two with brakes) fitted with strong bolts. Side Guard: high quality chrome plated with lock or ratchet. I.V. Stand. Cllapsible-height adjustable and fitted to bed. Bushes: All moving parts to have plastic / nylon bushess. Colour: Electrostatic polyester powder coated in grey color. Buffers: All four sides & heads foam mattress covered with fine washable raxine (diamond).

(Mattress) Mattress of A grade foam 4 inch thickness with rexine cover. Mattress size 36 x 78

(Cabinet bed side) Bed side cabinet constructed with galvanized sheet bended. Cabinet fitted with laminated melamine on top. Provided with drawer with ball bearing. Mobile on wheels. Metal parts duly phosphate and epoxy resin powder coated.

(Over Head Table) (Fixed Height) Constructed from epoxy coated steel tube. Fix height. Laminated top. Knock down construction.

Local Made - Warranty; 03 years warranty of complete system including all accessories and allied items

200

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Sr. No. Name of Equipment / Instrument Total

Quantity CIF/FOR

Basis 37. PULSE OXIMETER

Non-invasive measurement of oxygen saturation and pulse rate with LED/ LCD display. Desktop model Display of Oxygen Saturation and Pulse Rate. Oxygen Saturation measurement range from 0 -100%. Pulse strength perfusion indication Pulse Rate measurement from 20-250 bpm. Visual and audible indication of alarms. High and low alarms settings. Adult finger and paediatric sensor (reusable type) Power of 220 V/ 50 Hz with battery backup time of 4hrs. Complete with standard accessories, including reusable type Adult, Pediatric & Neonatal sensors

Warranty; 03 years warranty of complete system including all accessories and allied items Country of Origin: USA, Europe, Japan only

12

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Sr. No. Name of Equipment / Instrument Total

Quantity CIF/FOR

Basis 38. HYSTEROSCOPE DIAGNOSTICS & OPERATIVE ACCESSORIES

Telescope Diameter 5mm or better with fore oblique vision of 0o Diameter 5mm or better with fore oblique vision of 30o Outer sheath Inner Sheath

Cold Light source 300 watts xenon/LED light source. In case of halogen lamps firm shall provide the standby. Compatible Suction irrigation unit with complete accessories Video system with 26”Medical Graded Monitor Endoscope HD video camera 3 chip/CMOS Electrosurgical unit (As per specifications defined in Operation theatre PVMS) Hystroflator for hysteroscopy, Specifications to be defined by the end-user.

Accessories: Scissors 5fr Graspers 5fr Loop electrode Needle electrode Hook electrode Instrument Tray Light Guide Cable Imported Trolley (4 shelves )

Optional Further Surgical instruments for the hysteroscopy may be defined by the end-user. Myosure (Hysteroscopic Morcellator) Shavers (blades of different sizes) Shaver system with leads and paddle Trochar and cannula

* End user may avail diagnostic /operative hysteroscope as per their need and expertise Warranty; 03 years warranty of complete system including all accessories and allied items Country of Origin: USA, Europe, Japan only

01

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Sr. No. Name of Equipment / Instrument Total

Quantity CIF/FOR

Basis 39. HEAVY DUTY SUCKER MACHINE

Reciprocating, oil free pump mechanism. Heavy duty Mobile Suction Unit with twin jars (Polysulfone / Polycarbonate type) of capacity up to 4 or 5 liter each, Autoclaveable. Aspiration rate up to 40-50 liters/minutes or more at 650-900mm.Hg Vacuum continuously adjustable Triple flow safety device Change over valve Suction tubing of silicone with coupling connection for each jar Noise Level 45 dB or less. 220V/50Hz.

Accessories: 10 x bacterial filter Original trolley with lockable wheels.

Warranty; 03 years warranty of complete system including all accessories and allied items Country of Origin: USA, Europe, Japan only

07

40. CEILING O.T LIGHT OT Light is a medical device intended to assist medical personnel during a surgical procedure by illuminating a local area or cavity of the patient LED shadow less operation theatre ceiling light, hermetically sealed dust proof. Adjustable light intensity 160000 LUX at 1 meter distance. Satellite combination of 160000 LUX at 1 meter. Color temperature 4000°-5000° Kelvin. Electronic control panel For light field diameter and light adjustment. Color rendition index of 94 or more. LED life 50,000 hours or better. Autoclaveable handles. Operating Voltage 220V, 50Hz

Optional: Integrated digital camera system: Resolution: Full HD (1,920 x 1,080 Pixels) Video outputs: 2x HD-SDI or 1x HDMI/DVI-D Provision of Video transmission facility Medical graded LCD/LED 26’’ minimum along with mountings. Third arm of 160000 LUX at 1 meter. UPS for at-least 2 hours battery backup

Warranty; 03 years warranty of complete system including all accessories and allied items Country of Origin: USA, Europe, Japan only

01

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41. O.T LIGHT DOUBLE DOOM LED LED shadow less operation theatre ceiling light, hermetically sealed dust proof. Adjustable light intensity 160000 LUX at 1 meter distance. Satellite combination of 160000 LUX at 1 meter. Color temperature 4000°-5000° Kelvin. Electronic control panel For light field diameter and light adjustment. Color rendition index of 94 or more. LED life 50,000 hours or better. Autoclaveable handles. Operating Voltage 220V, 50Hz.

Optional: (i) Integrated digital camera system: Resolution: Full HD (1,920 x 1,080 Pixels) Video outputs: 2x HD-SDI or 1x HDMI/DVI-D Provision of Video transmission facility Medical graded LCD/LED 26’’ minimum along with mountings.

(ii) UPS for at-least 2 hours battery backup Warranty; 03 years warranty of complete system including all accessories and allied items

Country of Origin: USA, Europe, Japan only

01

42 AUTOREFRACTOMETER WITH KERATOMETER With auto measurement & printout with standard accessories. Manual or motorized chin rest movement. Measuring range: Spherical: ±17D or better. Cylinder: ±6 D or better. Axis: 1 to 180o Pupil distance: Max 85mm (increment 1mm). Display: digital on TV or LCD monitor with printer. Electric power: 220-240V AC, 50Hz. With 6 paper roll, dust cover and cleaning kit. On locally made motorized table

Warranty; 03 years warranty of complete system including all accessories and allied items Country of Origin: USA, Europe, Japan only

01

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Sr. No. Name of Equipment / Instrument Total

Quantity CIF/FOR

Basis 43. DELIVERY TABLE

Fully Stainless Steel Construction argon welded non foldable sturdy, stable structure. Made of square tubular pipe 1 ½ inch (Appox). Table made in three sections, legs section detachable and adjustable backrest with comb mechanism and hand grips. Collapsible side rails. 2 X Geopal type lithotomy Poles cushioned with rexene and foam. Table top cushioned with high density mattress cover with rexene. Thickness 3 inch (Approx). Rexene cover color should be black or gray. Sliding stainless steel receptacle bowl mounted under hip area, detachable I.V Pole. Dimensions: 1700 X 500 X 800 mm (Approx). Double step stainless steel footstep antiskid.

Warranty; 03 years warranty of complete system including all accessories and allied items Country of Origin: USA, Europe, Japan only.

01

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Sr. No. Name of Equipment / Instrument Total

Quantity CIF/FOR

Basis 44. DIATHERMY WITH VESSEL SEALING SYSTEM

Touch screen/pads generator with 300 Watts or more. Microprocessor based solid state electrosurgical unit for normal and under water cutting with permanent safe sealing of vessel on tissue bundle: 7mm. thermal spread should be minor. RF power for monopolar cutting not below 300 watts. Monopolar coagulation 100 Watt or better. At least 3-4- blend/effect modes Bipolar coagulation Bipolar cutting Spray coagulation 220V 50 HZ

Accessories: Complete with foot switch, reuse-able patient plate, monopolar handle with cord and surgical needles (knifes, ball electrode, loop electrode and needle (Qty: 12). Bipolar forceps straight. Bipolar forceps bayonet. Imported trolley with lockable wheels.

Optional: (procuring agency to specify) (i) Reusable/Disposable Laparoscopic Instrument 5mm,

Standard sealer. Bipolar sealing system. Dissect Seal Autoclaveable at 134°C ( 273°F )

(ii) Reusable/Disposable Open Shear Forceps Standard bipolar forceps, CVD. Bipolar vessel sealing system. Reusable sealing system. Autoclaveable at 134°C (273°F).

(iii) Reusable/Disposable Open Shear bipolar Scissor Standard bipolar-scissors, CVD. Autoclaveable at 134°C ( 273°F ).

Warranty; 03 years warranty of complete system including all accessories and allied items Country of Origin: USA, Europe, Japan only

03

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Sr. No. Name of Equipment / Instrument Total

Quantity CIF/FOR

Basis 45. INFANT INCUBATOR

Double/ Triple wall canopy system Servo Control System. Intensive Care Incubator comprises Microprocessor controlled unit with 5 inch LCD display set/measure

temperature & baby skin temperature. Temperature regulation upto 38 C with uniform heat distribution over the bed surface Sensor attached to child’s skin continuously measures child skin temperature Bed surface 700 mm x 460 mm (approx.) 2 Drawer / Cabinet The radiolucent plastic panel of the incubator to accommodate X-ray cassettes from outside. Highly thermostable acrylic glass or similar material hood fitted with a large hinged flap in front. Four spring operated elbow / hand ports. Replaceable bacteria filters Built in control for Humidification to regulate incubator air up to 60% Alarm signals safety The visual and audible battery powered alarm for power failure Visual & audible alarm for temperature excess (39 C) Audible & Visual alarm warns in case of fan failure and sensor/probe failure. Test buttons to check the individual alarms signals at any time or automatic system. Less than or equal to 45dBA Noise level

Accessories Unit complete with Air temperature sensor Skin temperature Sensor I.V. Pole Guard Rail Restraint straps Pulse Oximeter separate / built in

01

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Note: - Optional Equipment, parts, accessories and items will be finalized by Procuring Agency (Department)

Optional Water nebulizer Bronchial aspirators Vacuum mattress Digital weighing scale for weighing baby inside the incubator High humidification pads Connection of Oxygen to drive flow meter both form oxygen cylinder &manifold of central gas pipeline system Oxygen flowmeter 0-15 liter/min. for incubator Humidity Meter

Warranty; 03 years warranty of complete system including all accessories and allied items Country of Origin: USA, Europe, Japan only

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THE PUNJAB EMPLOYEES SOCIAL SECURITY HOSPITAL MADINA TOWN, FAISALABAD.

LIST OF BIO MEDICAL EQUIPMENTS TO BE PROCURED FOR SSH, FAISALABAD (2019-20)

INVITATION OF BID

Sr. No.

Name of Equipment / Instrument Stations Where Required Total Qty.

Estimated Cost

CIF / FOR Basis FSD MNCH Jaranwala Jouharabad Jhang

1. Non Invasive Cardiac Monitors with all Parameters

26 04 -- 06 -- 36 21,60,000

2. ECG Machine 3 Channels 08 -- -- -- -- 08 10,00,000 3. Computerized Dialysis Machines

Portable Computerized Dialysis Machines

14 01

-- -- -- -- 15 3,00,00,000

4. Semi Auto Dialysis Couch 07 -- -- -- -- 07 14,00,000 5. Resuscitation Trolley with

Defibrillator 06 -- -- 01 -- 07 70,00,000

6. Semi Auto Bed 25 06 -- 08 -- 39 58,50,000 7. Fully Automatic Beds 30 05 -- -- -- 35 70,00,000 8. ICU Ventilator (Adult) with full

accessories 04 -- -- 01 -- 05 1,00,00,000

9. Arterial Blood Gases (ABGs) Analyzer

01 01 -- -- -- 02 13,00,000

10. Blood Warmer 02 -- -- -- -- 02 2,20,000 11. Syringe Pump 25 -- -- -- -- 25 22,50,000 12. ECG Machine 12 Channel 02 -- -- -- -- 02 4,00,000 13. Color Doppler Echocardiography 01 -- -- -- -- 01 50,00,000 14. 24-48 Hours Holter Monitoring

System 01 -- -- -- -- 01 10,00,000

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Sr. No.

Name of Equipment / Instrument Stations Where Required Total Qty.

Total Amount

CIF / FOR FSD MNCH Jaranwala Jouharabad Jhang

15. Ultrasonic Nebulizer Comfort 2000KV-400

04 -- -- -- -- 04 4,20,000

16. Minimal Access Surgery (Laparoscope) with Telescope HD Blue Eye 0°, 30°

01 01 -- 01 -- 03 1,20,00,000

17. Harmonic Scalpel Gen 11 Ethicon / Thunder Beat Valley Lab, Ligasure.

01 -- -- -- -- 01 30,00,000

18. DHS Tripple Reamer (Imported)

01 -- -- -- -- 01 1,00,000

19. DCS Reamer (Imported)

01 -- -- -- -- 01 1,00,000

20. Flexible Reamer AO Type (Imported)

01 -- -- -- -- 01 20,00,000

21. Pneumatic Drills with Accessories (Imported) AO Compatible

01 -- -- -- -- 01 25,00,000

22. Ortho OT Table with complete Accessories (Imported)

01 -- -- -- -- 01 32,00,000

23. Automatic Tornitquet Set (Imported)

01 -- -- -- -- 01 15,00,000

24. Arthroscope with ACL repair instrument(Imported)

01 -- -- -- -- 01 40,00,000

25. Mobile C-Arm X-Ray Unit 01 -- -- -- -- 01 50,00,000 26. Microsurgical Saw Imported 01 -- -- -- -- 01 5,00,000 27. Surgical Saw for Large Bones

Imported 01 -- -- -- -- 01 8,00,000

28. Femoral Distractor Imported 01 -- -- -- -- 01 1,50,000 29. Anesthesia Machines with

Ventilator & Scavenging System.

04 -- -- 01 01 06 1,80,00,000

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Sr. No.

Name of Equipment / Instrument Stations Where Required Total Qty.

Total Amount

CIF / FOR FSD MNCH Jaranwala Jouharabad Jhang

30. Electro Cautery Machines with all accessories Imported

01 01 -- -- -- 02 16,00,000

31. Portable Suction Machines Imported

04 -- -- -- -- 04 12,00,000

32. Autoclave with Built-in Steam

02 -- -- 01 -- 03 60,00,000

33. OT Table for General Surgery

02 -- -- 01 -- 03 21,00,000

34. OT Table for Urology

01 -- -- -- -- 01 7,00,000

35. CR System / Digital Radiography

01 -- -- -- -- 01 40,00,000

36. Patients Bed with Mattresses, Bed Side Lockers & Overhead Tables

200 -- -- -- -- 200 1,60,00,000

37. Pulse Oximeter

10 -- 02 -- -- 12 6,00,000

38. Hysteroscopy Diagnostic & Operative with Accessories

-- 01 -- -- -- 01 10,00,000

39. Heavy Duty Sucker Machine

-- 04 01 02 -- 07 14,00,000

40. Ceiling O.T Light

-- 01 01 -- -- 02 12,00,000

41. O.T Light Double Doom LED

-- -- -- 01 -- 01 15,00,000

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Sr. No.

Name of Equipment / Instrument Stations Where Required Total Qty.

Total Amount

CIF / FOR FSD MNCH Jaranwala Jouharabad Jhang

42. Autorefractometer with Keratometer

-- -- -- 01 -- 01 18,00,000

43. Delivery Table

-- 01 -- 01 -- 02 8,00,000

44. Diathermy with Vessel Sealing System

01 01 -- 01 -- 03 30,00,000

45. Infant Incubator

-- -- -- -- 01 01 2,00,000

Total Amount Rs. 16,83,50,000/-

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