Government of India DR. RAM MANOHAR LOHIA HOSPITAL, NEW DELHI (PROCUREMENT SECTION)

Transcription

1 Tele No D.R.M.L.H (A) Government of India DR. RAM MANOHAR LOHIA HOSPITAL, NEW DELHI (PROCUREMENT SECTION) No /2014-LH(S)/5523 NEW DELHI Dated: C O R R I G E N D U M The following amendment in Tender Enquiry No.11-01/2014-LH(S) Dated are hereby authorized:- Schedule No. Tender Code Number Brief Description of Goods Amendment Date of Opening /2016-LH(S)# ICU Ventilator (04 Nos.) Revised Technical Specification /2016-LH(S)# Coagulation & Platelet Function Analyser No Change (04 Nos.) /2016-LH(S)# ICU Beds (16 Nos.) Revised Technical Specification /2016-LH(S)# Portable Ultrasound System (03 Nos.) Revised Technical Specification /2016-LH(S)# Defibrillator with Monitor & Pacer with Revised Technical AED (10 Nos.) Specification /2016-LH(S)# Fluid Warming Delivery System (08 Nos.) Revised Technical Specification /2016-LH(S)# DVT Pump (20 Nos.) No Change /2016-LH(S)# Cerebral Oximeter (04 Nos.) Revised Technical Specification /2016-LH(S)# Anaesthesia Workstation (02 Nos.) Revised Technical Specification /2016-LH(S)# Multiparameter Monitors for ICU/Recovery (06 Nos.) Revised Technical Specification All other terms and conditions of the subject tender enquiry shall remain unchanged. Sd/- C.M.O. I/c. Procurement For Medical Superintendent

2 Schedule No. 33 Tender Code No /2016-LH(S) REVISED SPECIFICATION FOR ICU VENTILATOR (HIGH END) 1. The ventilator should be microprocessor based with active exhalation valve. 2. Should work on hospital external high pressure line/ compressor. The compressor of the same manufacturer needs to inbuilt. 3. Suitable for use in ICU for Adult and Paediatric patients. 4. Should undergo automatic calibration system on start-up. 5. In the event of central Air line failure the Inbuilt compressor should activate automatically. 6. It should have in-built programmable nebulizer (vol. & pressure compensated) system. 7. It should be easy to use having a color in-built touch screen at least 12 inch or more in size with screen lock, intuitive menu structure,, Mode preset capability, Pressure bar graph/ breath indicator and prioritized alarms 8. Should have the following Ventilation Modes: a) Volume Controlled ventilation (Assisted / Control) VCV b) Pressure Controlled ventilation (Assisted / Control) PCV c) Synchronized intermittent mandatory Ventilation V-SIMV AND P-SIMV d) Pressure support ventilation (Spont, CPAP, PEEP) PSV e) Non invasive ventilation VCV, PCV, SIMV, PSV f) Volume assured pressure support/ Similar VAPS g) Mandatory rate ventilation or similar MRV h) Airway pressure release ventilation APRV/BI-PHASIC VENTILATION i) Pressure regulated volume control PRVC j) Intermittent positive release ventilation or similar IMPRV k) Continuous positive airway pressure CPAP l) Automatic weaning Tool

3 9. Should have the following Ventilation Settings and Ranges a) Tidal Volume 20 ml to 2000 ml or more b) I:E ratio 1:4 to 4:1 c) Inspiratory Peak Flow 200 LPM or more (Compensated) d) Maximum Inspiratory Peak Flow 200 l/min or more (depending on gas supply pressure) e) Respiratory Rate BPM f) Pressure support 0-40 cm H2O g) Inspiratory Pressure: 0-80 cm H2O h) FiO2 21% to 100% i) Ti sec or more j) PEEP/CPAP 0-50 cm H2O k) Inspiratory pause, Expiratory Pause, sustained exhalation, Programmable/ adjustable SIGH l) Inspiratory Trigger (pressure mbar/ flow trigger L/ min or more) 10. Should monitor the following parameters: Respiratory Phase & Type, Respiratory Rate, Exhaled Tidal Volume, Exhaled Min. Volume Total, % leak, Leak min. vol., Spont. Min. volume, I : E Ratio, Peak Inspiratory Pressure, Average Pressure, Plateau Pressure, End Expiratory Pressure, Auto/Intrinsic PEEP, % Oxygen Delivered, Frequency/ Tidal Volume (RSBI), main stream etco2(end tidal Co2). External etco2 monitor is not acceptable. 11. Should measure following Respiratory Mechanics/ Maneuvers: Static Compliance and Resistance, Low Inflection point (LIP) and upper inflection point (UIP), Maximum Inspiratory Pressure, Work of Breathing, Lung recruitment maneuver & monitoring 12. Should have a Graphics Mode with simultaneous display of all curves and loops a) Scalars Flow vs. Time Pressure vs. Time Adjustable Time Scale.

4 b) Loops Flow / Volume Pressure / Volume Pressure/flow c) Facility for Freeze Screen Individual Analysis of Each Curve Loop Save and Overlay Function Individual Analysis of Each Loop d) Calculated Values Inspiratory pause, Expiratory Pause 13. Scope of supply Ventilator 1 No Patient Tubing (adult) Fisher and Paykel or Equivalent: 2 Nos/unit Patient Tubing (paed) Fisher and Paykel or Equivalent: 2 Nos/unit Nebuliser Kit 10 Nos/ Ventilator NIV Mask with harness (Reusable) 5 No for adult and Pediatric each/ Ventilator Bacteriological filters 10 Nos/ Ventilator Humidifier-Automatic servo controlled (MR850 Fisher and Paykel ) with all accessories: 1 No/ Ventilator Probe for Et CO2 measurment 1 no. with 2 reusable adaptor SpO 2 sensor: 1 Test lung9 Adult and Paeds) :1 no. each Air & Oxygen hose : each 1 no. Support arm to hold pt. circuit - 1 no. Auto-clavable exhalation system with flow sensor- 2 no., with 5 yrs. Warranty. In case of Sensor going faulty, the firm should replace it free of cost basis during warranty as well as during CMC. 14. Should have audio-visual alarms along with appropriate message for : Inspiratory pressure, FiO2 (High/Low), Resp. Rate, Tidal volume, minute ventilation, PEEP, O2/Air fail, circuit leak-disconnection, Apnea 15. Alarm History of 1000 alarms

5 16. Should have Automatic Tube Compensation 17. Displayed Trends Values for hours atleast for above parameters. 18. The company should provide Five years comprehensive warranty (including labour and spares) and five years CMC, rates to be quoted separately. Prices of essential/spare itemsaccessories also to be quoted separately. 19. The unit shall be capable of operating continuously in ambient temperature of deg C and relative humidity of 15-90% 20. The unit shall be capable of being stored continuously in ambient temperature of 0-50 C and relative humidity of 15-90% 21. Power input to be VAC, Current: 2 Amps, 50Hz 22. Should be US FDA approved product 23. Company should have service centre in Delhi/ NCR and should provide service 24x Demonstration is a must 25. Certified for meeting IEC Medical electrical equipment - Part 1-4: General requirements for safety - Collateral Standard: Programmable electrical medical systems 26. 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. 27. Must submit user list and performance report within last 5 years from major Central Govt./State Govt./reputed private hospitals 28. List of important spare parts and accessories with their part number and costing. 29. 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.

6 Schedule No. 35 Tender Code No /2016-LH(S) REVISED SPECIFICATION FOR ICU BED (HIGH END) 1. Bed should have Dual Pedestal Design. 2. Should have built in Bed extender of 200mn for long patients. 3. Tuck away side rails with embedded controls. 4. Electrically operated controls should have lock out facility for electric controls at foot end 5. Backrest & leg section emergency release (CPR) 6. Should have Trendelenbug & covered with bed cover made of AB for the frequent disinfections and washing 7. Synchronized command for bed sprung bas with inclination - backrest 75 degree and above & Femur rest degree 8. Should have electric backrest and pelvic sections with simultaneous movement 9. Should have complying to international standards with acimulated power 1,5 degree 70 VA, electrical current protection class 1, shock protection level type B. 10. Release lever for the side rails with four sectors 11. Protection against water invasion 12. Should have following parameters: a. Length: > 210 cm b. Width: > 85 cm c. Height adjustment: cm d. Back section 0-90 e. Leg Section: 0-25 f. Trendlenberg: g. Reverse Trendlenberg: Should have collapsible /tuck away side rails 14. Should have double X-ray back rest with Cassette tray 15. Should have facility to fix IV rod at all the four corners and place for fixing accessories 16. Should have castors with central braking system and steering facility 17. Should be radiolucent from Neck though Pelvic region 18. Should have bumpers at all 4 corners 19. Should be provided with:

7 a. Bed ends fixed to the frame b. Side rails c. IV rods d. Mattress e. X-ray cassette tray, urine bottle holder, drainage bottle holder 20. Load bearing capacity for the bed should be at least 220kg or more, should have 90 degree upright backrest for chest Imaging. 21. Electrical safety conforms to standards for electrical safety IEC-60601/IS Should have Dual Castors of cm 23. Electric shock protection facility 24. Should be USFDA approved. 25. Zone controls in Bed to track movement of patient on Bed (Optional) 26. The company should provide Five years comprehensive warranty (including labour and spares) and five years CMC, rates to be quoted separately. Prices of essential/spare items-accessories also to be quoted separately. 27. Power input to be VAC, Current: 2 Amps, 50Hz 28. Company should have service centre in Delhi/ NCR and should provide service 24x Demonstration is a must 30. Must submit user list and performance report within last 5 years from major Central Govt./State Govt./reputed private hospitals

8 Schedule No. 36 Tender Code No /2016-LH(S) Revised Specification for Portable Ultrasound System Fully digital, compact portable Colour Ultrasound machine is required with the following Technical features. 1. The unit should be compact, lightweight (Upto 5 Kg: Max) and portable. 2. It should be suitable for vascular access and Nerve block applications (both Superficial and Deep) in both adults and pediatric patients. 3. The unit must have real time compound imaging for improved contrast resolution and eliminating ultrasound artifacts to achieve optimum image quality. 4. The unit must have automatic gain adjustment for imaging. 5. Scanning depth must be available up to 30 cm. 6. System should support transducer technologies like convex, linear, phased array, etc. 7. System must have frequency range from 2 15 MHz (+/- 1 MHz). 8. Imaging modes of Real time 2D, Colour Doppler, Pulsed wave Doppler, Continuous wave Doppler (in all cardiac probes), Power (energy) Doppler must be available. 9. System should have enhanced needle visualization. 10. System must have fast start up to scanning in less than 30 seconds as essential in critical and emergency situation in ICU, emergency, OT. 11. Unit must be sturdy, resistant to breakage & damage on fall/ hit against the wall or hard surface. Certification must be attached. 12. Cine memory on all modes. 13. DICOM ready system with facility to print, store, ready to connect to PACS. 14. Flat LCD/TFT monitor of at least 10 inches with flicker free image. 15. Alphanumeric soft keys keyboard with easy access scans controls, facility to sanitize the system keyboard to avoid cross contamination. 16. Onboard storage of at least images, USB port for connectivity to computer. 17. Should be able to operate both on AC and battery. Battery pack should be self-recharging and should last at least for 90 minwhen fully charged. 18. Transducers to be supplied as standard. a. High Frequency Linear transducer 4-15 ±1 MHz with less then 40 mm size for nerve blocks, vascular access Imaging. Higher frequency will be preferred. b. Convex transducer 2-5 ±1 MHz for deep nerve access e.g. sciatic nerve and abdominal applications.

9 c. High Frequency Linear transducer 6-12 ±1 MHz for nerve block, vascular access, Vascular Imaging, with a small foot print of 25 mm for paediatric applications d. 2-5 MHz Board Band phased array Probe for FAST, cardiac application e. Needle guide must be supplied for linear & convex probe. 19. System should be supplied complete with the following a) B/W Thermal Printer. b) Trolley with 3 universal active port connection and Carry bag of the same company. 20. Power input to be VAC, Current: 2 Amps, 50Hz 21. The unit shall be capable of operating continuously in ambient temperature of deg C and relative humidity of 15-90% 22. The unit shall be capable of being stored continuously in ambient temperature of 0-50 C and relative humidity of 15-90% 23. The equipment should be USFDA and/or European CE approved from notified body. 24. Company should have service centre in Delhi/ NCR and should provide service 24x Demonstration is a must 26. Warranty: The system, transducers and all accessories should be covered with comprehensive warranty for 5 years& 5 yrs comprehensive CMC on expiry of warranty with rates to be quoted separately. 27. Certified for meeting IEC Medical electrical equipment - Part 1-4: General requirements for safety - Collateral Standard: Programmable electrical medical systems 28. 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. 29. Must submit user list and performance report within last 5 years from major Central Govt./State Govt./reputed private hospitals 30. 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. 31. Hands on Training of the equipment is a must.

10 Schedule No. 37 Tender Code No /2016-LH(S) Revised Specifications for Defibrillator with Monitor and Pacer with AED 1. Defibrillator should be Bi- Phasic, light weight and latest model 2. Should monitor and display vital parameters: 5 lead ECG, NIBP, HR, SPO2 and EtCO2. 3. Should print the ECG on thermal recorders. 4. Should work on Manual and Automated external defibrillation (AED) mode. Should have external pacing facility for adults and pediatric patients 5. Should be capable of doing synchronised & asynchronised cardioversion 6. Can be operated from mains as well as battery 7. Should have defibrillator testing facility 8. Should be a Low Energy Biphasic defibrillator monitor with Recorder, with a maximum energy of 200 Joules or more. 9. Should monitor ECG through paddles, pads and monitoring electrodes and Defibrillate through pads and paddles. Should have Automatic Lead switching to see patient ECG through paddles or leads 10. Should measure and compensate for chest impedance for a range of 25 to 1500hms 11. Should have a built in 50mm strip printer/ thermal recorder 12. Should have charging time of less than 5 seconds for maximum energy. Charging indicator should be there. 13. Should have Display- TFT coloured LED at least 8 diagonal for viewing messages and ECG waveform of 5 seconds 14. Should have facility to monitor & display 5 lead ECG-2 channel with ST segment analysis, Pulse oximetry (Masimo technology) with waveform & Non Invasive BP (Oscillometric technology) and side stream capnometry.

11 15. should have pacing facility with demand and fixed mode with rate and current adjustments 16. Should have external paddles with paddles contact indicator for good paddle contact. Both Adult and pediatric paddles should be available. 17. Should have event summary facility for recording and printing at least 250 events and 50 waveforms. 18. Should have a battery capable of usage for at least 120 minutes and/or 100 discharges. 19. Should be capable of printing Reports on Event summary, configuration, self test, battery capacity etc 20. Should have facility for self test/check before usage and set up function 21. Should be capable of delivering energy in increments of 1-2 joules up to 10J and increments 5-10 J till 50 and up to a maximum of 50J thereafter. 22. Should have user friendly 1,2,3 color coded operation. Should have audible and audiovisual alarm with voice prompt 23. List of accessories: Defibrillator with both adult and Pediatric paddles -01 Patient cable -02 ECG Rolls -50 Disposable pads-10 for adult and 5 for pediatric NIBP Cuff Adult - 02 of each size: Small, Medium, Large and Extra Large NIBP Cuff Paediatrics- 02 NIBP Cuff Infants- 02 SPO2 Finger Probe-Adult -05 SPO2 Ear Probe Spo2 finger probe paediatric 02

12 Complete set of ECG Leads- 02 Side stream EtCO2 module with all accessories. 50 sampling tubes and 10 water traps 24. Company shall provide at least 5 yrs warranty & 5 yrs comprehensive CMC on expiry of warranty with rates to be quoted separately. 25. Demonstration of the equipment is essential. 26. Should be US FDA and European CE approved from notified agency. 27. The unit shall be capable of operating continuously in ambient temperature of 0 50 C and relative humidity of 15-90% 28. The unit shall be capable of being stored continuously in ambient temperature of C and relative humidity of 15-90% 29. Shall meet IEC :2001(Or Equivalent BIS) General Requirements of Safety for Electromagnetic Compatibility. 30. Electrical safety conforms to standards for electrical safety IEC General Requirements and IEC Safety of Electrocardiograms (OR EQUIVALENT BIS Standard) 31. Drop Test-Withstands 0.75 meters or above drop to any edge, corner or surface. 32. Should conform to international test protocols on exposure to shock forces and to vibration forces. The standard should be documented. 33. Should meet IEC 529 Level-2 (IP2X) for enclosure protection solid foreign object ingress. 34. Should meet IEC 529 Level 3 (IP3X) (spraying water) for enclosure protection, water ingress. 35. 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

13 36. User Manual and Service manual in English 37. List of important spare parts and accessories with their part number and costing 38. Certificate of calibration and inspection from factory. 39. Log book with instruction for daily, weekly, monthly and quarterly maintenance checklist. 40. The job description of the hospital technician and company service engineer should be clearly spelt out 41. 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. 42. Must submit user list and performance report within last 5 years from major Central Govt./State Govt./reputed private hospitals

14 Schedule No. 38 Tender Code No /2016-LH(S) Revised Specification for FLUID WARMING DELIVERY SYSTEM Description:- System that warms the infusion and irrigating solutions & guarantee the supply of this precisely heated infusion solution to the patient. System: 1. An ideal Modular type, Microprocessor controlled unit for warming & infusion of intravenous & irrigating solutions. 2. Temperature range: 37 0 C-42 0 C, with Accuracy of +/_ C of desired temp. Point. 3. Temperature (in Fahrenheit or Celsius) should be set & monitored through digital LED Display. 4. The desired temperature should be achieved in less than 5-10 sec. 5. Desirable feature of delivery of high volumes and flows while constantly maintaining the infusion temperature. 6. Should have safety feature of cut-off protection with alarms preferably audio-visual, if temp. exceeds C of set temperature. 7. Should operate on V AC/50 Hz. 8. The system should be provided with 100 disposable tubing kits with each machine 9. Power input to be V AC, Current: 2 Amps, 50Hz 10. The unit shall be capable of operating continuously in ambient temperature of deg C and relative humidity of 15-90% 11. The unit shall be capable of being stored continuously in ambient temperature of 0-50 deg C and relative humidity of 15-90% 12. The equipment should be USFDA and/or European CE approved from notified agency. 13. Company should have service centre in Delhi/ NCR and should provide service 24x Demonstration is a must 15. Company shall provide at least 5 yrs warranty & 5 yrs comprehensive CMC on expiry of warranty with rates to be quoted separately.

15 16. Certified for meeting IEC Medical electrical equipment - Part 1-4: General requirements for safety - Collateral Standard: Programmable electrical medical systems 17. 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. 18. Must submit user list and performance report within last 5 years from major Central Govt./State Govt./reputed private hospitals 19. List of important spare parts and accessories with their part number and costing. 20. 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.

16 Schedule No. 40 Tender Code No /2016-LH(S) Revised Specifications for Cerebral Oximeter 1. A portable tissue oximeter that uses spatially resolved spectroscopy (Near Infra Red Spectroscopy: NIRS Technology) to determine tissue oxygen saturations in a non-invasive fashion. 2. Monitors must be 4 channels (2+2) capable of monitoring two tissue sites concentrations simultaneously. 3. Can measure regional oxygen saturations in the range of rso Values must be updated at regular intervals typically every 5 seconds or less. 4. Must comply with biomedical safety standards of the USFDA or European CE. 5. Should be applicable to adult, pediatric and neonatal patients in any clinical setting where the brain and body are at risk of reduced-flow or no-flow ischemic states. 6. Accuracy for reading must be within ± 5 rso2 unit of actual. Repeatability must be ± 1-2 rso2 units. 7. It should give % Arterial and % Venous values 8. It should have analytical tool 9. It should be supplied with 75 adult sensors and 25 pediatric sensors, the cost of which to be quoted separately. 10. A trending memory of 24 hours must be available. 11. Battery backup at least 12VDC; approximately 20 minutes 12. Should have USB Port USB 2.0 Flash Memory 13. Should be provided with appropriate accessories and sensors.

17 14. Equipment must work on V 50 Hz AC 15. Company shall provide at least 5 yrs warranty & 5 yrs comprehensive CMC on expiry of warranty with rates to be quoted separately. 16. Demonstration of the equipment is essential. 17. Should be US FDA/ European CE approved from notified agency. 18. The unit shall be capable of operating continuously in ambient temperature of 0 50 C and relative humidity of 15-90% 19. The unit shall be capable of being stored continuously in ambient temperature of C and relative humidity of 15-90% 20. Shall meet IEC :2001(Or Equivalent BIS) General Requirements of Safety for Electromagnetic Compatibility. 21. Electrical safety conforms to standards for electrical safety IEC General Requirements and IEC Safety of Electrocardiograms (OR EQUIVALENT BIS Standard) 22. Should conform to international test protocols on exposure to shock forces and to vibration forces. The standard should be documented. 23. Should meet IEC 529 Level-2 (IP2X) for enclosure protection solid foreign object ingress. 24. Should meet IEC 529 Level 3 (IP3X)(spraying water) for enclosure protection, water ingress. 25. 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. 26. User Manual and Service manual in English 27. List of important spare parts and accessories with their part number and costing 28. Certificate of calibration and inspection from factory. 29. Log book with instruction for daily, weekly, monthly and quarterly maintenance checklist.

18 30. The job description of the hospital technician and company service engineer should be clearly spelt out 31. 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. 32. Must submit user list and performance report within last 5 years from major Central Govt./State Govt./reputed private hospitals

19 Schedule No. 41 Tender Code No /2016-LH(S) Revised TECHNICAL SPECIFICATION FOR Anesthesia Workstation 1. Anesthesia workstation with integrated ventilator, and monitoring facility. 2. S.S top, shelves and drawers to be provided. 3. Front wheels having foot activated brakes. 4. Microprocessor controlled electronic fresh gas delivery gas system with electronic blender for oxygen, nitrous oxide and air. 5. Digital and virtual flow meter for oxygen, nitrous oxide and air with TFT display screen of minimum size 12 inches. 6. Single yokes for oxygen, nitrous oxide and compressed air, to have non interchangeable gas supply inlet- for oxygen, N2O and air with DISS system for central pipeline with separate pipeline adaptors for the same. 7. Electronic display for cylinder and pipeline pressure of oxygen, N2O and compressed air. 8. Safety features: a) Automatic cut off of nitrous oxide in the absence of oxygen supply. b) Power failure alarms c) Oxygen failure alarm both visual and audible d) Inbuilt hypoxic guard to ensure minimum 25% oxygen at all oxygen and nitrous oxide mixture. e) Facility for switching to manual in event of electronic failure in the anaesthesia machine. f) Separate FGF outlet for attachment of anesthesia circuit for manual / spontaneous ventilation. g) Illumination at the working surface area. 9. Emergency oxygen flow of at least 35 lit/min. with non-lockable push button to be provided. 10. Twin vaporizer manifold with inter-locking facility. 11. Supplied with halothane, isoflurane, desflurane and sevofluorane vaporizers should be temperature, pressure and flow compensated with key filling arrangement and should be quick mountable and allow operation of only one vaporizer at a time. 12. Vaporizer, which allows easy exchange between agents.

20 13. Agent capacity should be minimum 225ml. of free volatile anesthetic agent. 14. Should be fitted with double/single chamber type of CO2 adsorber system. Provision to bypass absorber system through a switch and ability to ventilate with bag; with condensate drain and provision for scavenging of waste anesthesia gases. 15. Bag to ventilator switch should be Bi-stable. 16. Should have anesthesia ventilator. 17. Electrically operated pneumatically or electrically driven anesthesia ventilator, single bellow for adult and pediatric patient, integrated with anesthesia system a) Controls for tidal volume, respiratory rate and inspiratory flow with facility of monitoring and display of minute volume, I:E ratio, Expiratory TV, Inspiratory TV etc b) Monitoring of tidal volume, minute volume and FIO2%. Tidal vol. range ml. electronic peep range 0-20 mbar, respiratory wave from display and able to adjust I:E ratio, plateau time and wave form type. c) Back lit LCD display with visual messages. d) Alarms for high and low Fio2, disconnection, high and low system/airway pressure e) Facility of adding inspiratory pause of 25% of inspiratory time. f) Internal battery backup of 20 min or more g) Ventilator should be mounted on anesthesia machine h) Ventilators mode- spontaneous, manual cycling, pressure support, volume control, pressure, SIMV. 18. INTEGRATED MONITOR. a) 8 channels monitor not less than 15 inches colored TFT touch screen. User adjustable color of parameters and parameter display. b) Two channel ECG display ECG 3 lead system and ECG 5 lead system with ST segment and arrhythmia analysis. Capable to monitor 12 lead ECG. c) Spo2 measurement masimo technology, adult, pediatric and neonatal probes with ear probe. d) Built-in NIBP with adult, pediatric and neonatal cuffs with interval adjustment- stat, and an interval of 1- minute up to 10 min. in one minute interval. e) Should be able to monitor 2 IBP invasive pressure Two temperature probes: skin and rectal End tidal CO 2 side stream technology

21 Anaesthesia agent monitoring and display on monitor or anaesthesia machine Display of oxygen, nitrous oxide and CO2 and anaesthetic agent in inspired and expired gases on monitor or anaesthesia machine Integrated Neuromuscular monitoring Entropy or BIS Audio visual alarms for all parameters with provision for alarm volume and colour adjustment 19. Inbuilt thermal printer with data transfer facility. 20. Trends of 24 hours of real time trends and patient information at the bedside as standard. Both numeric and graphic display of all parameters. 21. Should have monitoring of 5 anaesthetic agents, N2O, CO2, both inspiratory and expiratory valves. 22. Both pressure and capnography curves with MAC value. Should provide ventilation parameters and measurement should be integrated. 23. Provision of up-gradation with compatible, central monitoring station using LAN card. 24. Each machine should be provided with the following: a) Adult NIBP cuff: 2 each of medium, large and extra large size b) Pediatric and Neonatal NIBP Cuff: 2 each c) EtCO 2 complete gas sampling kit with condenser: 100 d) Pressure transducer cables: 2 e) Pressure transducer domes: 100 f) Pressure transducer kit for mounting of domes: 4 g) Temperature Probes- 2 nasopharyngeal, 2 rectal and 2 mid-esophageal each for adults, pediatric and neonates h) Sensors/ Electrodes for Entropy or BIS: 100 for pediatric and 100 for adults i) Reusable and autoclavable silicone ventilator circuits for adult and pediatric cases: 2 each j) Thermal Printer Paper: 50 rolls 25. Supplier must guarantee and ensure a minimum of 10 years of supply of spares and consumables specific to the workstation as whole. 26. The unit shall be capable of operating continuously in ambient temperature of 0-40deg C and relative humidity of 15-90%

22 27. The unit shall be capable of being stored continuously in ambient temperature of -20 to 60 deg C and relative humidity of 15-90% 28. Power input to be VAC, 50Hz fitted with Indian plug 29. Should be US FDA and/or European CE from notified agency approved product. 30. Shall meet the safety requirements as per IEC :1994 Medical electrical equipment Part 2: Particular requirements for the safety of electrocardiographic monitoring equipment. 31. Shall meet IEC :2001(Or Equivalent BIS) General Requirements of Safety for Electromagnetic Compatibility. or should comply with 89/366/EEC; EMC-directive 32. 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. 33. User Manual in English and Service manual in English 34. Must submit user list and performance report within last 5 years from major Central Govt./State Govt./reputed private hospitals 35. List of important spare parts and accessories with their part number and costing. 36. 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. 37. List of Equipments available for providing calibration and routine Preventive Maintenance Support as per manufacturer documentation in service/technical manual. 38. Log book with instruction for daily, weekly, monthly and quarterly maintenance checklist. The job description of the hospital technician and company service engineer should be clearly spelt out 39. Company should have service centre in Delhi/ NCR and should provide service 24x Demonstration is a must 41. Hands- on training of medical and paramedical staff after the equipments are installed. Company shall provide at least 5 yrs warranty & 5 yrs comprehensive CMC on expiry of warranty with rates to be quoted separately. The payments of CMC will be made on yearly basis after successful completion of contract. The rates quoted for CMC will be included for ranking/ comparison purpose.

23 Schedule No. 42 Tender Code No /2016-LH(S) Revised Specifications for Multiparameter Monitors for ICU/ Recovery 1. It should provide complete monitoring solution to meet the requirement of wide spectrum monitoring needs of post operative & critically ill patient 2. ICU monitors are placed at the bedside and with central station. 3. Capability of storage of patient data and printing of patient reports. 4. Minimum 17 inches multicoloured LCD display screen operation through both touch screen with or without knob. 5. Should have facility for enlarge numeric display format and multiple layout of screen. 6. Separate CPU/Module trolly. 7. Six digital and waveforms/traces display 8. Combination of single, dual and multiparameter modules. 9. Parameter modules freely exchangeable between all the monitors. 10. Multichannel (upto 12 leads) ST segment analysis. 11. Facility to monitor and display - ECG, Respiration, NIBP, SpO2 (Masimo technology), CO2 with side stream capnography, Temp, Cardiac output, NMT, BIS, EEG & dual IBP. 12. Minimal invasive/ invasive continuous cardiac output. 13. Should be able to measure anesthetic agents (N20 and inhalational agents) including their inspiratory and expiratory values. 14. Should display perfusion index (PI%) from SpO2 as an indication of pulse strength at the sensor site. 15. Automatic arrhythmia detection & alarm for standard and lethal arrhythmia. 16. NMT Module (Integrated/ Stand alone): For measurement and display of TOF count, TOF %, ST, DBS, Tetanic and Trend for continuous usage. Automatic measurement facility in selected time interval. Automatic selection of supramaximal current. Include standard accessories 17. EEG Module with all accessories. 18. Should have a central station for bedside monitors with independent controlls. 22" and above multi colour LCD Monitor, complete with Ethernet LAN cabling, alarm management, 72 hours trending, bed to bed viewing of waveforms and remote alarm management like silencing of alarms etc.

24 19. Should provide hemodynamic, oxygenation, Ventilation calculation package. 20. Should have drug calculation package. 21. Trend of at least 48 hours nos. event recall/snapshot facility both manually and automatically triggered by alarm. 23. Automatic Zoom in Facility in the monitor display. 24. It should have monitor to overview facility and data transfer over the network. 25. Web browsing facility to review each networked monitors data through hospital LAN via office PC in Hospital LAN Network and/or through dial up facility from remote location(optional) 26. Battery / UPS backup of upto 30 min. when fully charged. 27. Facility for HIS Communications with Information Management Systems Include Laser Printer in the central monitor and dual channel strip chart recorder in each monitor. 28. Accessories per monitor should include: a) ECG/Resp: 5 Lead ECG Cable with clip- 2 sets and 10 Lead ECG Cable with clip- 2 set. b) NIBP: Adult cuff (Large)- 5, Adult Cuff (X-tra Large)- 5, paediatric cuffs (small)- 5, Pediatric Cuff (Large)- 5, neonatal cuffs: 5, NIBP tubings: 2 c) SpO2: Adult SpO2 sensor with cable- 2, Paediatric SpO2 sensors- 2, Neonatal SpO2 sensors: 2. d) IBP: Include four nos. of reusable pressure transducer cable with 1 bracket, holder and 100 nos of disposable domes kit per monitor. e) Temperature: Nasopharyngeal Temperature Probe: 2 Adult and 2 Pediatric, Rectal temperature probe-2 Adult and 2 Pediatric, skin temperature probe- 2. f) Side stream EtCO2 module with all accessories. 50 sampling tubes and 10 water traps g) EEG Modules- with all accessories. Should display at least two channels. h) BIS Module: Adult Sensors-100 numbers, Pediatric Sensors- 50 numbers. Spectral analysis modules by compressed spectral array. 29. Necessary cabling for networking the monitors on turnkey basis. 30. Necessary mounting solution for monitors

25 31. The unit shall be capable of operating continuously in ambient temperature of 10-40deg C and relative humidity of 15-90% 32. The unit shall be capable of being stored continuously in ambient temperature of -20 to 60 deg C and relative humidity of 15-90% 33. Shall meet IEC :2001(Or Equivalent BIS) General Requirements of Safety for Electromagnetic Compatibility. or should comply with 89/366/EEC; EMC-directive. 34. Power input to be VAC, 50Hz fitted with Indian plug 35. Should be US FDA and European CE approved from notified body. 36. Shall meet the safety requirements as per IEC :1994 Medical electrical equipment Part 2: Particular requirements for the safety of electrocardiographic monitoring equipment. 37. 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. 38. Back to back warranty to be taken by the supplier from the principal to supply spares for a minimum period 10 years. 39. User Manual in English and Service manual in English 40. Must submit user list and performance report within last 5 years from major Central Govt./State Govt./reputed private hospitals 41. List of important spare parts and accessories with their part number and costing. 42. 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. 43. List of Equipments available for providing calibration and routine Preventive Maintenance Support. as per manufacturer documentation in service/technical manual. 44. Log book with instruction for daily, weekly, monthly and quarterly maintenance checklist. The job description of the hospital technician and company service engineer should be clearly spelt out 45. Company should have service centre in Delhi/ NCR and should provide service 24x Demonstration is a must 47. Company shall provide at least 5 yrs warranty & 5 yrs comprehensive CMC on expiry of warranty with rates to be quoted separately.