No./DMER/Tender Notice/ CORRIGENDUM/Equip.Pur/17-18/7M Date :-11/08/2017. E-Tender Notice CORRIGENDUM REGARDING SPECIFICATIONS FOR

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1 No./DMER/Tender Notice/ CORRIGENDUM/Equip.Pur/17-18/7M Date :-11/08/2017 E-Tender Notice CORRIGENDUM REGARDING SPECIFICATIONS FOR Sr. E-Tender No. Name of Instruments/ Equipments No. 01 EQC-25(17-18) Transport Portable Ventilator 02 EQC-26(17-18) Mobile Digital Radiography System 03 EQC-27(17-18) Automate Follicular Transplant Machine 04 EQC-28(17-18) Auto Strainer (Automatic Staining Machine) 05 EQC-29(17-18) Operating Microscope 06 EQC-32(17-18) 4-D Color Doppler Ultrasound Sonography Machine 07 EQC-34(17-18) Ventilator Adult/Pediatric Intensive Ventilator with ET 1. Directorate of Medical Education & Research, Mumbai, invited e-tender in two envelope systems from the manufacturers / authorized dealers and suppliers to supply instruments/ equipments for the Government Medical and Dental Colleges. This notice is available on the e-tender site i.e & govt. in and also notified in Maharashtra Govt. Gazette supplement - II 2. All the tenderers are hereby informed that modifications made in the specifications after the Pre-Bid meeting held on 10 August 2017 at a.m & 11 August 2017 at a.m are as follows. 1. e-tender- EQC-25(17-18)Transport Portable Ventilator Sr.No. Previous Specifications Revised Specifications 3 Technicial Specification a)ventilation Mode :- CPAS,S, S/T,PC,T & AVAPS-AE IPAP;4-40cmH2O Spontaneous, Pressure support, Spontaneous /time pressure a)ventilation Mode :- CPAP, S, S/T, PC, T & VAPS-AE IPAP;2-40cmH2O Spontaneous, Pressure support, Spontaneous /time pressure support, Time pressure support, Pressure Control support, Time pressure support, Pressure Support and Hybrid Ventilation mode ( Volume assure pressure support ) Control Support and Ventilation mode ( Volume assure pressure support ) b) EPAP cm H20 b) EPAP cm H20 e) Target Tidal voulme : ml e) Target Tidal volume : ml i) Bi Flex Pressure Relief : 0-3 i) Pressure Relief : 0-3 Should automatic EPAP and automatic respiratory rate to airway resistance. i) Should have detachable battery backup of at least 4 hrs or more. ii) Should have options of nurse call connector. iii) Must have USFDS and CE. Additional Points Should have automatic EPAP and automatic respiratory rate to airway resistance. i) Should have detachable battery backup of at least 4 hrs or more. ii) Should have options of nurse call connector (optional) iii) Must have USFDA and CE. n) FI02 monitoring Kit inbuilt

2 4 Accessories ( optional with additional cost) a) FlO2 monitoring kit b) Oxygen Enrich port for supply supplement oxygen c) System one integrated heated humidifier d) Oximetory device for monitor SpO2 and Heart Rate e) Nurse Call Cable. f) Full face Mask Large, Small and medium each 2 units g)whisper swivel port for exhalation - 2 units. h)flexing tube 2 units. i) Bacterial filter 2 units j) A-40 Stand Rest of the specification are same o) NIV Face Mask Large, small & medium - 2 units each. a) Oxygen Enrich port for supply supplement oxygen b) System one integrated heated humidifier c) Oximetry device for monitor SpO2 and Heart Rate d)whisper swivel port for exhalation - 2 units. e) Flexing tube - 2 units. f) Bacterial filter units g) Stand 2. e-tender- EQC-26(17-18)/Mobile Digital Radiography System Sr.No. Previous Specifications Revised Specifications A) Generator: A) Generator: 4) It should have an electronic timer with shortest exposure time 1 ms or less. 4) It should have an electronic timer with shortest exposure time 2 ms or less. B) X Ray Tube: B) X Ray Tube: 1) Output should match the output of the 1) Output should match the output of the generator. 3) Dual Focal spot X Ray tube with 1 mm or less for small focus and 2 mm or less for large focus. 3. e-tender- EQC-27(17-18) Automate Follicular Transplant Machine generator.(please Specify) 3) Dual Focal spot X Ray tube with 0.6 mm or less for small focus and 1.2 mm or less for large focus is preferable.(please specify) Hand piece Extraction, Implantation Minimal Acceptable Suction 800 mbar Minimal Acceptable Pressure 3 bar/40 psi Rotation per minute Max 10,000 to 20,000/minute Vacuum 650Mbar Pressure (to be used for implantation) KBar Electrical consumption watts Display LCD Touch Screen Power Supply AC Volt,50/60 Hz Harvesting Punches 0.8 mm,0.9 mm,1 mm,1.25 mm (2 each) Implantor 2 hand pieces Implantar Heads 0.8 mm,1mm,1.25mm (2 each) Foot pedals 2 warranty 2 years + 3 years CMC service FDA Classification Class 1 or class 2 UPS 1 Power stabilizer 1 Harvesting speed 600 to 2200 grafts per hour Patient Date Recording System Inbuilt Sterilization Autoclavable Depth Control of grafts (Adjustable options by surgeon's choice)

3 4. e-tender- EQC-28(17-18) Revises Spec.Auto Strainer (Automatic Staining Machine) All bidders should quote as per revised specification as follows Autostainer (Automatic Multi Staining Machine)Technical/Locking Specifications for Autostainer Consistent, high quality results for both routine and special stains and can perform single or multiple protocols at the same time. Safer staining process. Significantly reduce the potential for user errors as it automatically/alternate method to identify the desired stain protocol for individual racks and automatically/ alternetively starts the correct process. Simple programming Operational safety is enhanced by the smart graphical user interface featuring intuitive software visualization with a color TFT touch-screen, multilingual software and context sensitive online help. Match your Laboratory s needs Enjoy flexibility with multiple bath layout with 40 stations including 5-6 wash stations and 2-4 ovens/slide drying stations Saves costs and energy Significantly reduce fume exposure with the easy load and unload draws that hold up to 120 slides. Consistent quality and convenience The reagent management system (RMS) helps to monitor reagent expiration, reagent rotation and stain quality. As a result, reagent changes minimize disruptions to workflow and reduce delays. The RMS in conjunction with validated surgipath reagents and protocols, ensures superior staining and coverslipping quality. CodeRack technology Racks are automatically/alternate method, assigned to the correct staining protocol. Robotics Arms The innovative and patented robotic arm moves the slides through the staining cabinet precisely according to the staining protocol. It is possible to process up to 12 racks simultaneously with multiple staining applications. Capapcity Data Loading capacity : max 12 slide racks with 25 different protocols Slide rack capacity : 30 specimen slides Total no. of stations : reagent station & 5 6 Wash station oven Total no of reagent station : Reagent container volume : 450 ml Number of wash station : 5 6 Staining stations : Container volume : ml Water stations : 5 6 Oven stations : 2 4 Oven temperatures : 40 to 70 degree Celsius (104 F to 158 F) Load stations : 2-4 Unload stations : 2 4 1) It must be upgradable/attachable to cover slippers. 2) It must have CE / FDA certification. 3) Company must have atleast 10 yrs. of standing & service backup facility (with qualified engineers) for servicing & maintaining the machine regularly. 4) Satisficatory performance/demonstration of machine is mandatary. User can reject the manchine on this basis alone even if specification are matching.

4 5. e-tender- EQC-29(17-18) Revised Specification of Operating Microscope All bidders should quote as per revised specification as follows 1. MICROSCOPE BODY: Motorized zoom 1:6 magnification system with apochromatic optics, 2 x 16 and manual override facility working distance from 207 mm to 470mm without exchange of objective lens, integrated continuously variable illumination field from 60mm-155mm or less. 2. BINOCULAR TUBE: degree tilt able binocular tube with focal length mm or higher Graduated knob for continuous adjustment of interpupillary distance from 55 mm to 75mm. 3. EYEPIECES: 12 x magnification, diopter setting from- 5D to +5D, also suitable for spectacles wearers. 4. ILLUMINATION SYSTEM: Coaxial xenon, illumination 300W with back up of 300W xenon lamp 5. HANDGRIPS: Easily maneuverable handgrips with adjustable keys for zoom and focus illumination & magnetic brakes. Programming for magnetic brake for control of stand & Microscope body brakes. 6. FLOOR STAND: Roll able floor stand on base with lockable castors, carrier and swivel arms with large reach of 1.40m or higher, should have free float magnetic system with six magnetic brakes. Three brakes for microscope body & three for microscope stand with, release of magnetic brakes by handgrips. Weight of microscope should be kgs. 7. BALANCE SYSTEM FOR MICROSCOPE: Intra operative balancing system for microscope with user prompt, quick set up of different parameters and their activation at press of a button such as automatic speed adjustment or automatic brightness setting depending on magnification. 8. VIDEO CAMERA SYSTEM: C mounted CMOS camera of same company full HD video camera with LED display and appropriate recording systems 9. USER PROGRAMMING: Programming for starting illumination, Magnification, working distance, zoom speed & focus speed for at least 8-9 different users. 10. STEREO CO OBSERVER ATTACHMENT: Apart from the main surgeon. 11. Field diameter automatically adjusted to the field of vision & manually Adjustable 12. Zoom & working distance (Focus should be motorized & manual control in case of malfunction of electrical motor. i.e. Manual over ride facility should be must for an emergency.) 13. At least one or more installation report of government of Maharashtra along with the performance certificate should be submitted. 14. Should have completely integrated beam splitter and face-to-face attachment. 15. Should have integrated electronically controllable diaphragm to adjust depth of field. 16. Should have system for data exchange with the hospital network. 17. Should have Back up UPS system for power supply

5 6. e-tender- EQC-32(17-18) 4-D Color Doppler Ultrasound Sonography Machine Sr.No. Previous Specifications Revised Specifications 3 System must have Convex transducer with High Density crystal technology or pure wave technology or matrix technology for excellent grayscale Image quality on Difficult to image patients ( Kindly Specify).Please mention the High Density crystal technology or pure wave technology or matrix technology being used in the transducer. Original technical data sheet should be enclosed in technical bid to support the technology ( Kindly Specify). System must have Convex transducer with High Density crystal technology or pure wave technology or matrix technology for excellent grayscale Image quality on or equivalent technology. Difficult to image patients ( Kindly Specify).Please mention the High Density crystal technology or pure wave technology or matrix technology being used in the transducer. Original technical data sheet should be enclosed in technical bid to support the technology ( Kindly Specify). 15 System must be offered with user friendly high resolution user interface touch panel which is minimum 11 inch.user friendliness will be given priority. SYSTEM MUST BE THE FOLLOWING COMPULSORY TRANSDUCERS 1 to 5 MHz Convex Transducer for General Imaging, Renal, OB/GYN, abdominal imaging with capabilities of CEUS and ARFI or equivalent Elastography imaging for assessing diffused liver and its stiffness. Must have Tissue Harmonic Imaging. Field of view should be 100 degree. This transducer should have either single crystal technology or purewave or matrix technology for excellent graysclale Image quality on difficult to image patients. Please mention the crystal or matrix technology used in the transducer by attaching technical data sheet of trasducer.( Kindly Specify) SYSTEM MUST BE THE FOLLOWING COMPULSORY TRANSDUCERS 1 to 6 MHz Broadband Mechinical/ motorised Volume or Matrix Transducer for General Imaging, Abdomen, Renal. OB/GYN imaging with minimum 5000 plus crystals.this probe must simultaneous display two orthogonal real t ime 2D live high quality image planes. Must have Tissue Harmonic Imaging and minimum 100 volume per second. Should attach technical data sheet of transducer to specify and the vendor must supply the probe with the widest field of view in the above frequency range.among the above Transducers lighter weight transducers will be prederred.(kindly Specify) System must be offered with user friendly high resolution user interface touch panel which is minimum should be 10 inch. & above. User friendliness will be given priority. SYSTEM MUST BE THE FOLLOWING COMPULSORY TRANSDUCERS 1 to 5 MHz Convex Transducer for General Imaging, Renal, OB/GYN, abdominal imaging with capabilities of CEUS and ARFI or equivalent Elastography imaging for assessing diffused liver and its stiffness. Must have Tissue Harmonic Imaging. This transducer should have either single crystal technology or purewave or matrix technology for excellent graysclale Image quality on difficult to image patients. Please mention the crystal or matrix technology used in the transducer by attaching technical data sheet of trasducer.( Kindly Specify) SYSTEM MUST BE THE FOLLOWING COMPULSORY TRANSDUCERS 1 to 6 MHz Broadband Mechinical/ motorised Volume or Matrix Transducer for General Imaging, Abdomen, Renal. OB/GYN imaging with minimum 5000 plus crystals.this probe must simultaneous display two orthogonal real t ime 2D live high quality image planes. volume per second. Should attach technical data sheet of transducer to specify and the vendor must supply the probe with the widest field of view in the above frequency range.among the above Transducers lighter weight transducers will be prederred.(kindly Specify)

6 7. e-tender- EQC-34(17-18) Revised Specs Adult/Pediatric Intensive Ventilator with ETCO2 All bidders should quote as per revised specification as follows Should be suitable for use in Adult & Paediatric patients in all critical care areas Ventilator should have integrated mainstream EtCO2 monitoring. The ventilator should be user friendly, easy to handle and have flexibility in operation Should have both invasive and non invasive ventilation modes. Ventilator should have screen with minimum 12 display of waveforms (pressure, flow and volume) & loops (PV, FP & loop) with freeze and reference capability Ventilator should have multiple screen to view 1. 3 waveforms + monitoring parameters 2. 2 loops + monitoring parameters 3. 1 loop + 3 waveforms + parameters Ventilator should have an inbuilt turbine or compressor based delivery system from the same manufacturer. The ventilator should have minimum internal battery backup of 4 hours with onscreen battery power indication. Machine should have following ventilation modes: 1. Pressure Supported Ventilation (PSV) 2. Volume controlled Ventilation (VCV) 3. Pressure controlled Ventilation (PCV) 4. Volume controlled assist control (VC-A/C) 5. Pressure controlled Assist control (PC-A/C) 6. Duo Level/Bi Level/Biphasic Positive Airway Pressure or Equivalent. 7. Synchronized Intermittent Mandatory Ventilation (SIMV) in both Volume Control and pressure control mode with pressure support 8. APRV (Airway pressure release ventilation mode) 9. PRVC (Pressure regulated volume control mode) in both volume controlled & SIMV 10. Non invasive Ventilation (NIV) 11. Apnea ventilation in both volume controlled and pressure controlled with automatic return to support mode on patient triggering. Ventilator should have visual guide to aid in carry out self test Ventilator should have ideal Body weight setting for fast ventilation Ventilator should have an inlet for low pressure oxygen source Both Inspiratory and Expiratory valve of ventilator should be easily detachable w/o tool and support autoclave sterilization to reduce the chance of cross-contamination Monitoring and display of following parameters: 1. Oxygen concentration; 2. Tidal Volume (inspired and expired) and spont 3. Pressure peak and plateau and mean airway pressure; 4. Respiratory rate-mandatory and spont. 5. PEEP; 6. Minute ventilation (MV, MVspn, MVleak); 7. Compliance both static and Dynamic 8. Resistance- Ri and Re Machine should have following procedures: 1. Insp and Exp Hold 2. Auto PEEP 3. NIF (Negative Inspiratory Force) The equipment should provide at least the following controls and ranges: 1. Tidal volume (20ml 2000ml) 2. Inspiration time ( sec)

7 3. Ventilation rate (1-100 bpm) 4. Flow trigger (0.5 to 15 lt/min) 5. Pressure trigger (-10 to 0.5 cm H20) 6. Oxygen concentration (21 100%) 7. Inspiration/ Expiration ratio (1:104:1); 8. Exp termination criteria (Auto, 10% to 85%) 9. Apnea alarm time (5s-60s) 10. Tpause (5%-60%, off) The Equipment should provide at least the following audiovisual alarms: 1. Sensitive alarms with adjustable high and low limits a) Peak airway high pressure; b) High/low Tidal Volume; c) Low/high Minute Volume; d) High/low Oxygen concentration; e) Low PEEP/CPAP; 2. Other alarms a) Low airway pressure; b) Power loss; c) Low oxygen pressure; d) Apnea; e) Battery low; f) Sustained pressure. Should have a facility to view trended and graphical data up to 24 hrs. Should have integrated Oxygen therapy or equivalent to enhance recovery phase, avoid reintubate and PONV Should have facility to compensate tube resistance with settings of Tube type, I. D. & compensation. Ventilator should have integrated port for jet nebulisation with inspiratory synchronized and setting of duration of nebulisation time. Ventilator should have facility for communication via RS232, Ethernet, USB Port. Ventilator should have facility to export screen shots, patient demographics, trends and logbook via USB, Machine should be European CE and US FDA approved. The equipment should be supplied with following parts/accessories 1. Inbuilt Trolley 2. O 2 sensors Flow sensor - 2 (reusable) 4. ETCO 2 sensors 2 reusable 5. Expiratory valve 6. Inbuilt tube-holder arm Reusable patient circuit 2 no each (Adult and pediatric) Nebulizer Instruction for use Face and Nasal Mask for NIV Two sets of disposable masks of all sizes (Small, medium and large) Disposable patient circuit: Adult - 50, Paediatric - 20 HEPA filters - 50 UPS: True on line ups with isolation transformer for complete system including air source for complete protection against all types of input supply variations Literature: Operating Manual, Service Manual and list of installations in state & country should be given. Past record: User friendly with good past record for after sales service. Demonstration: Physical demonstration of complete system with all accessories as quoted

8 must be given to technical committee well within the time limit prescribed. Warranty: Comprehensive Warranty for 2 years Comprehensive Maintenance Contract: Should include comprehensive maintenance contract for 8 years. Installation Base: 1. Should have at least 20 installation of quoted model in use for last one year in India 2. Cost of the consumables should be quoted separately and will be frozen for 05 years. 3. Scope of supply should be written in details otherwise tender document remain incomplete. The same will be sent to the user with purchase order. 4. For all imported equipment the bidder has to submit bill of entry copy for equipment imported in last 2 years. 5. Successful bidder will be required to submit custom duty clearance copy along with supplies of equipment or else payment will not be released. 5. All the tenderer should note the above modifications in the Specification and do accordingly. 6. The Directorate of medical Education & Research reserves the right to increase or decrease the quantity of tendered equipments and reserves the right to reject the tender without any reason thereto. For e-tendering help/information, please contact. Website:- Contact No.: (Ext. 338 / 339 / 340 ) Sd/- Director Medical Education & Research, Mumbai