Madhya Pradesh Public Health Services Corporation Ltd. Pre-bid query format Tender Ref. No. Tender Enquiry No.:148 /MPPHSCL/MCH Equipments

Transcription

1 S.No. 1 2 Multipara bedside Monitor- SPO2, Should have TFT/LCD display with at least 10.4 inches with 4 wave forms and numeric display simultaneously Recommendation- Should have TFT/LCD display with at least 12 inches and above with 4 wave forms and numeric display simultaneously. Standard size for Multipara bedside Monitor is 8" & 12". Most of the companies have these sizes, only 2-3 Companies manufacturing this size. 2 2 Multipara bedside Monitor- SPO2, 3 2 Multipara bedside Monitor- SPO2, 4 2 Multipara bedside Monitor- SPO2, 5 2 Multipara bedside Monitor- SPO2, Should have safety certificate from a competent authority CE or FDA (US) approved Monitor should have in built Lithium-ion type battery for 4 Hrs continuous operations in case of mains failure. Reusable adult and paediatric SpO2 finger probes 1 each Disposable SpO2 probes for neonatal use- 10 no s Should have safety certificate from a competent authority European CE & USFDA approved. For better quality products Monitor should have in built battery for 4 Hrs continuous operations in case of mains failure. To be Delete Replaced as- European CE (Notified body) or USFDA. Replaced as- Reusable adult, neonatal and paediatric SpO2 finger probes 1 each 6 2 Multipara bedside Monitor- SPO2, Should have safety certificate from a competent authority CE or FDA (US) approved product. Copy of the certificate/test report shall be produced along with the technical bid. Should have safety certificate from a competent authority European CE notified body numbers or FDA (US) approved product. Copy of the certificate/test report shall be produced along with the technical bid. Deleted- Disposable SpO2 probes for neonatal use- 10 no s 7 2 Multipara bedside Monitor- SPO2, Should have TFT/LCD display with at least 10.4 inches with 4 wave forms and numeric display simultaneously. As this requirement is for government hospitals, it is preferred to have screen size of atleast 12 inch Replaced as- European CE (Notified body) or USFDA. 8 2 Multipara bedside Monitor- SPO2, 9 2 Multipara bedside Monitor- SPO2, 10 2 Multipara bedside Monitor- SPO2, 11 2 Multipara bedside Monitor- SPO2, 12 2 Multipara bedside Monitor- SPO2, Pulse-Oxymeter (SpO2) with Plethysmograph & Pulse strength indicator with variable pitch with change in SpO2 Should have ST Mapping- Continuous ST segment monitoring helps in identifying patients with acute, but often silent myocardial ischemia Should have QT Analysis- Helps in finding out the problem with ventricular functioning Should have HRV Analysis- HRV analysis is mainly to assess cardiac autonomic regulation through quantification of sinus rhythm variability Reduced HRV has been shown to be a predictor of mortality after myocardial infarction SpO2 should be MASIMO- As from accessories it is clear that the requirement is more for neonates. Whereas MASIMO works very finely in Neonates and is specialised for low perfusion cases Replaced as- Pulse-Oxymeter (SpO2- MASIMO/Nellcor/or equivalent technology) with Plethysmograph & Pulse strength indicator with variable pitch with change in SpO2

2 13 2 Multipara bedside Monitor- SPO2, Should have safety certificate from a competent authority CE or FDA (US) approved product. Copy of the certificate/test report shall be produced along with the technical bid. Should have safety certificate from a competent authority CE and FDA (US) approved product. Copy of the certificate/test report shall be produced along with the technical bid. These are high end diagnostic equipment and the US FDA is the only standard which confirms and monitors the clinical efficacy. US FDA must be made mandatory for the equipment like this Multipara bedside Monitor- SPO2, 15 2 Multipara bedside Monitor- SPO2, Should be able to monitor ECG, SpO2, NIBP, Respiration Rate, ETCO2 (upgradable) & Temperature for adult, pediatric and neonatal patients. Upgradable to Side-stream Capnography with display of CO2 wave form & digital values (ETCO2, FiCO2, RR) Multiparamonitor Spo2 NIBP ECG RR Temperature Upgradable to side stream Capnography with display of co2 waveform and digital valyue Bipap Already in RC Should be able to monitor ECG, SpO2, NIBP, Respiration Rate, & Temperature for adult, pediatric and neonatal patients. ETCO2 Upgradabality feature will add cost to Basic Unit for all monitors. Where as we have not seen any Upgradation in past as upgradation Tender will be limited for a perticuler company., If Required Monitor having Co2 Facility can be tendered seperatly... Shoul be deleted.. Co2 Upgradabality feature will add cost to Basic Unit for all monitors. Where as we have not seen any Upgradation in past as upgradation Tender will be limited for a perticuler company., If Required Monitor having Co2 Facility can be tendered seperatly... It should be upgradable to Microstram Capnography as sidestram is old Technology 18 No: BIPAP IPAP 4-30 cm In common brand of BIPAP Machine all have pressure range 4-25 hpa/ cmh2o that you can 12 find in cheap & best Quality 19 No: BIPAP UPS of suitable rating with voltage regulation, spike protection & maintenance free batteries for 60 UPS would cost higher & higher in weight. 12 minutes backup You can ask for inbuilt battery in unit with battery backup of atleast 6 hours instead of UPS, 20 No: BIPAP Should be FDA, CE, UL or BIS approved product. You can get same/better quality only with CE certified products also. USFDA is equivalent to 12 European CE. And USFDA can increase the cost of product. If possible then change it with CE/ USFDA SYRINGE PUMP Double loadable with one syringe of minimum 20ml. Recommendation- Single loadable with one syringe of minimum 20ml.. Double loadable with one syringe, not user friendly and inconvenient for paramedical staff to load the syringe SYRINGE PUMP Comprehensive alarm package required including: occlusion alarm, near end of infusion pre-alarm and alarm, volume limit pre-alarm and alarm, low battery pre-alarm and alarm, AC power failure, drive disengaged, syringe loading error, maintenance required Volume limit pre-alarm and alarm and Alarm Maintenance record need to be removed for Open Competition. Volume limit pre-alarm and alarm and Alarm Maintenance record need to be removed for Open Competition. as it is favored to particular Make 23 6 SYRINGE PUMP Double loadable with one syringe of minimum 20ml. Double loadable with one syringe of minimum 20ml. Need more clarification 24 6 SYRINGE PUMP Battery operated - Internal rechargeable battery having at least 5 hours backup for 10ml/hr flow rate with 50ml syringe. Has internal rechargeable battery with 4 hours battery backup at 5 ml/hr for at 5 ml/hr. For Fair Competition 25 6 SYRINGE PUMP Consumables / reagents (open, closed system) Required More Details. Required More Details or delete Replaced as- European CE (Notified body) or USFDA. Replaced as- Should be able to monitor ECG, SpO2, NIBP, Respiration Rate, & Temperature for adult, pediatric and neonatal patients. Deleted- ETCO2 Deleted- ETCO2 This item "BIPAP"' is deleted from the tender list. Bidders are requested not to quote this item. This item "BIPAP"' is deleted from the tender list. Bidders are requested not to quote this item. This item "BIPAP"' is deleted from the tender list. Bidders are requested not to quote this item. This item "BIPAP"' is deleted from the tender list. Bidders are requested not to quote this item. Replaced as- Single loadable with one syringe of minimum 20ml. Replaced as- Comprehensive alarm package required including: occlusion alarm, near end of infusion pre-alarm and alarm, volume limit prealarm and alarm, low battery pre-alarm and alarm, AC power failure, drive disengaged, syringe loading error. Replaced as- Single loadable with one syringe of minimum 20ml. Replaced as- Battery operated - Internal rechargeable battery having at least 4 hours backup for 10ml/hr flow rate with 50ml syringe. Should be an open system. Rest deleted, 26 6 Syringe Pump Double loadable with one syringe of minimum 20ml. To be Delete Replaced as- Single loadable with one syringe of minimum 20ml.

3 27 6 Syringe Pump Double loadable with one syringe of minimum 20ml. Need Clearification Replaced as- Single loadable with one syringe of minimum 20ml Oxygen cylinder with instrument Oxygen cylinder with instrument Oxygen cylinder with instrument Oxygen cylinder with instrument Oxygen cylinder with instrument Oxygen cylinder with instrument Oxygen cylinder with instrument Oxygen cylinder with instrument Clinical purpose- A container designed as a refillable cylinder used to hold compressed medical oxygen (O2) under safe conditions at high pressure; O2 is used as an essential life support gas, for anaesthesia, and for therapeutic purposes. Technical characteristics(specific to this type of device) 1. Color coded, light weight. Aluminum alloy oxygen cylinder for providing oxygen therapy of total capacity of 4 cu M. 3. Should have membrane pressure reducer with manometer complete with flow meter (0-15 liters /minute) and humidifier bottle. Settings- Flowmeter for controlling unflow of oxygen. Pressure is missing!!! Working Pressure of cylinder: 150 bars Test Pressure: 225 bars 4 Cu M.= 4000 L Our Cylinder 10Ltr. Water capacity = (52.92CU.FT.) Formula:- Gas Capacity In our Cylinders 10Ltr=10 Ltr (Water Capacity)*150 Bar (Working Pressure)=1500 Ltr Gas. Now Gas in CU.FT.=1500 Ltr(Gas capacity)*0.0353=52.92cu.ft. It should be 40 CU.FT(Assuming that cylinder is filled at the pressure of 130Bar in India) Please see the Cut line. Please see the Cut line. It should flow of oxygen. Dimensions (metric) - To contain capacity of 4 cu M. Please clarify Gas Capacity. Accessories & Spares humidifier, key and flow meter Certifications Cylinder should have ISI mark and ISO certificate for quality standard or BIS equivalent; IS Cylinder should have explosive safety certificate and should be provided along with each cylinder during installation. Requirements for sign-off Certificate of Calibration, PESO Certificate and inspection from the factory. Please see the Cut line. As key is not required to operate aluminium cylinders Certifications Cylinder should have ISI mark or ISO (ISO: 7866:2012), Approved by the chief controller of explosive (CCOE) Government of India. Cylinder should have explosive safety certificate and should be provided along with each cylinder during installation. Imt Note: Please see the Cut line. IS 3224 is belong to Valve and not cylinder Please see the Cut line.(calibration Cerificate of what?) PESO Certificate and inspection from the factory or 3rd Party Inspection Certificate Revised specifications of item 13 - Oxygen Revised specifications of item 13 - Oxygen Revised specifications of item 13 - Oxygen Revised specifications of item 13 - Oxygen Revised specifications of item 13 - Oxygen Revised specifications of item 13 - Oxygen Revised specifications of item 13 - Oxygen Revised specifications of item 13 - Oxygen

4 36 14 Oxygen cylinder with instrument set for Oxygen delivery D Type Oxygen cylinder with instrument set for Oxygen delivery D Type Oxygen cylinder with instrument set for Oxygen delivery D Type Oxygen cylinder with instrument set for Oxygen delivery D Type Technical characteristics (specific to this type of device) 1. It should be a standard D' type molybdenum steel cylinder. 2. The capacity should be of approx 7 cu mt. at pressure of lbs/square inch. 3. A pressure regulator/flow meter capable of reducing the pressure to appropriate level to run either a ventilator or provide oxygen therapy. 4. Should be seamless. Accessories & Spares Humidifier, key and flow meter. Certifications - Cylinder should have ISI mark and ISO certificate for quality standard or BIS equivalent; IS Cylinder should have explosive safety certificate and should be provided along with each cylinder during installation Requirements for sign-off- Certificate of Calibration, PESO certificate and inspection from the factory. 1. It should be standard D type 37Mn Steel Cylinder as required working pressure is PSI and Testing Pressure is approx PSI. In India oxygen is not filled beyond your required pressure. Molygdenum Steel Cylinders are used for CNG where working pressure is approx PSI and testing Pressure is approx PSI. (It will unnecessarily add to cost without adding any value) Accessories & Spares Humidifier, key, Regulator and flow meter. Regulator is must as it is desired to be used to support Ventilator. It is mentioned under Technical Characteristic Sr. No.3 BIS for Seemless Steel Cylinder is IS-7285 IS-3224 is for Cylinder Valve Sign off certificate of calibration-no such certificate for cylinders. PESO Filling permission and BIS Inspection Certificate for each cylinder to be provided at the time of supply/installation. Revised specifications of item 14 - Oxygen cylinder with instrument set for Oxygen delivery D Revised specifications of item 14 - Oxygen cylinder with instrument set for Oxygen delivery D Revised specifications of item 14 - Oxygen cylinder with instrument set for Oxygen delivery D Revised specifications of item 14 - Oxygen cylinder with instrument set for Oxygen delivery D 40 5 Laryngoscope Set Technical characteristics (specific to this type of device)- Fiber optic Laryngoscope preferably should be reusable using the latest LED technology. The main body of the handle should incorporate an excellent Technical characteristics (specific to this type of device)- Fiber optic Laryngoscope preferably should be reusable using the latest LED/Bulb technology. The main body of the handle should grip & should feel even wearing a glove.there should be a freely moving light intensifier of light from the incorporate an excellent grip & should feel even wearing a glove.there should be a freely light source through to the tip of the fiber optic blade to prevent any possibility of cross contamination.the moving light intensifier of light from the light source through unit should allow the blade to be inserted easily & should provide a positive locking mechanism when moved in to the closed position to the tip of the fiber optic blade to prevent any possibility of cross contamination.the unit should allow the blade to be inserted easily & should provide a positive locking mechanism when moved in to the closed position. Replaced as- Technical characteristics (specific to this type of device)- Laryngoscope preferably should be reusable using the latest LED/Bulb technology. The main body of the handle should incorporate an excellent grip & should feel even wearing a glove.there should be a freely moving light intensifier of light from the light source through to the tip of the fiber optic blade to prevent any possibility of cross contamination.the unit should allow the blade to be inserted easily & should provide a positive locking mechanism when moved in to the closed position Defibrillator with TCP and AED Should be USFDA & European CE/IEC Approved Should be USFDA / European CE notified body numbers/iec Approved 42 7 Defibrillator with TCP and AED Should be of Rectilinear Biphasic Technology having energy selection upto Joules. Should be of Rectilinear Biphasic Technology having energy selection upto Joules or Above Replaced as- Should be of Rectilinear Biphasic Technology having energy selection upto Joules or more Defibrillator with TCP and AED Should have ability to use ETCO2 both intibated & nonintibated patients with main stream technology. To be Delete ETCO2 deleted Defibrillator with TCP and AED Should have an inbuilt upgradation facility for SpO2, To be Delete Deleted- Should have an inbuilt upgradation facility for SpO2, 45 7 Defibrillator with TCP and AED Should be supplied with following accessories/items. - S.L.A. Battery 1 no s - 3-Lead ECG Cable Should be supplied with following accessories/items. - S.L.A. Battery 1 no s - 3-Lead ECG Replaced as- Should be supplied with following 1no s - External Defibrillator paddles (pediatric inbuilt and adult) 1 no s - Multi-function defibrillator & Cable 1no s - External Defibrillator paddles (pediatric inbuilt and adult) 1 no s - Multifunction accessories/items. -. Battery 1 no s - 3-Lead monitoring pads/gel sheets 150 no s defibrillator monitoring pads 02 no s ECG Cable 1no s - External Defibrillator paddles (pediatric inbuilt and adult) 1 no s - Multifunction defibrillator & monitoring pads/gel sheets 10 no s 46 7 Defibrillator with TCP and AED Machine should be covered under 5 year warranty. Machine should be covered under 3 year warranty. Replaced as-g Defibrillator with TCP and AED List of consumables if any with price frozen for 3 years should be quoted separately. European CE or USFDA certificate approval required, Warranty: 3 years Warranty and 3 years CMC European CE or USFDA certificate approval required, Warranty: 3 years Warranty and 3 years CMC Should be USFDA & European CE/IEC Approved Replaced as- Price should be quoted as per price sheet Defibrillator with TCP and AED Should be USFD & European CE/IEC approved It should be US FDA & European CE Approved

5 49 7 Defibrillator with TCP and AED Should be of Rectilinear Biphasic Technology having energy selection upto Joules. It should have Biphasic Waveform technology having energy selection from 2 Joules to 360 Joules. Higher Biphasic Energy will cover all cardiac emergencies including difficult to defibrillate patients 50 7 Defibrillator with TCP and AED Should not be more than 7 kgs with battery and paddles. Should be less than 7 KGs including Batteries and Paddles Defibrillator with TCP and AED Should have ability to use ETCO2 both intubated & nonintibated patients with main stream technology. it should be Upgradable option ETCO2 for Intubated and Nonitubeted patients. It should be optional or delete becoze it is increases cost of unit and it is not in use Defibrillator with TCP and AED Should have facility to increase/decrease energy selection on paddles preferred. Should be removed for Fair Competition. It is company specific Defibrillator with TCP and AED Should be supplied with following accessories/items - S.L.A. Battery - 1 no s 3-Lead ECG It is repeated in below point. Should be deleted Repeated 54 7 Defibrillator with TCP and AED Should be supplied with following accessories/items. - S.L.A. Battery 1 no s - 3-Lead ECG Cable 1no s - External Defibrillator paddles (pediatric inbuilt and adult) 1 no s - Multifunction defibrillator & monitoring pads/gel sheets 150 no s Should be supplied with latest Li-Ion Battery-1 set,3 lead ECG Cable,External Defibrillator paddels(adult and Pead Interchangable)-1 Set,Multifunction Defibrillator & Monitoring pads - (Adult- 5 & Pead -2 No.s)- Total 07 No.s Replaced as- Should be of Rectilinear Biphasic Technology having energy selection upto Joules or more. ETCO2 deleted. Deleted- Should have facility to increase/decrease energy selection on paddles preferred. Deleted as it is repeated. Replaced as- Should be supplied with following accessories/items. -. Battery 1 no s - 3-Lead ECG Cable 1no s - External Defibrillator paddles (pediatric inbuilt and adult) 1 no s - Multifunction defibrillator & monitoring pads/gel sheets 10 no s 55 7 Defibrillator with TCP and AED Machine should be covered under 5 year warranty Machine should be covered under 3 Year warranty.should be three year warranty Replaced as- 3 year warranty & 3 year CMC 56 7 Defibrillator with TCP and AED List of consumables if any with price frozen for 3 years should be quoted separately. European CE or USFDA certificate approval required, Warranty: 3 years Warranty and 3 years CMC List of consumable if any with Price frozen for 3 years should be quoted separately. Rest should be delated already covered in above points Defibrillator with TCP and AED Should be USFDA & European CE/IEC Approved Should be European CE approved os US FDA. Keeping US FDA as mandatory would limit participation to only American manufacturers. We one of the manufacturers of state of art medical equipments in India under Make in India Project are left out. Which we feel we are leaving the vision of our Ho. PM Make in India 58 7 Defibrillator with TCP and AED 8.4" TFT LCD display for ECG waveform display The display size should be mentioned as without which comparison of product would not be upto the mark 59 7 Defibrillator with TCP and AED Should have ECG waveform display on bright high resolution display. 8.4" TFT LCD display for ECG waveform display. The display size should be mentioned as without which comparison of product would not be upto the mark 60 7 Defibrillator with TCP and AED Should not be more than 7 kgs with battery and paddles. 8KG WEIGHT & comes with inbuilt rechargeable battery & Paddles 61 7 Defibrillator with TCP and AED Should have facility to increase/decrease energy selection on paddles preferred. Energy selection on main unit or paddles 62 7 Defibrillator with TCP and AED Should be USFDA & European CE/IEC Approved Should be USFDA OR European CE/IEC Approved. Both Certificates are international Making both of them compulsery will Limit many International Manufacturers Defibrillator with TCP and AED Should have ability to use ETCO2 both intibated & nonintibated patients with main stream technology. Should have ability to use ETCO2 both intibated & nonintibated patients with main /Side stream technology. Main Stream Co2 Technology is double cost than Side Stream, Also Defibrillator is Emergenccy device chances of Breaking Main Stream Sensor that is out Side of Machine is higher than Side Stream Main Stream Co2 Sensor cost is Very Very High.. Should be USFDA & European CE/IEC Approved Replaced as- Price should be quoted as per price sheet. Deleted- Should have facility to increase/decrease energy selection on paddles preferred Defibrillator with TCP and AED Should be of Rectilinear Biphasic Technology having energy selection upto Joules Should be of Rectilinear Biphasic Technology having energy selection upto Joules. Energy Selection more than 200 will help in some cases ETCO2 deleted. Replaced as- Should be of Rectilinear Biphasic Technology having energy selection upto Joules or more.

6 65 No: 7 66 No: 7 Defibrillator with TCP and AED Defibrillator with TCP and AED Should be USFDA & European CE/IEC Approved Machine should be covered under 5 year warranty. List of consumables if any with price frozen for 3 years should be quoted separately. European CE or USFDA certificate approval required, Warranty: 3 years Warranty and 3 years CMC You can get same/better quality only with CE certified products also. USFDA is equivalent to European CE. And USFDA can increase the cost of product. f possible then change it with CE/ USFDA. It is not clear whether warranty is for 3 years or for 5 years Portable X Ray Machine 5) kv range at least 40kV to 125kV, digitally displayed mas range at least 0.5 to 200 5) kv range at least 40kV to 100kV, digitally displayed mas range at least 0.5 to 200 Replaced as- 3 year warranty & 3 year CMC 68 8 Portable X Ray Machine mas or more with operational current of 100 ma or more. mas or more with operational current of 70 ma or more Portable X Ray Machine 8) Tube power rating up to 20 kw. 8) Tube power rating 3.6 kw 0r More. Replaced as - 5) kv range at least 40kV to 100kV, digitally displayed mas range at least 0.5 to 200:. Replaced As- 8) Tube power rating as appropriate for ma 70 8 Portable X Ray Machine 6) Foot switch should available for trigger X-rays. 6) Foot/Hand switch should available for trigger X-rays. Replaced as - 6) Foot/Hand switch should available for trigger X-rays Portable X Ray Machine Mobility, portability 1) When motor or battery is non-functional, free movement by pushing must be possible with 360 degree rotation and manual locking for various movement. Mobility, free movement by pushing must be possible with 360 degree rotation and manual locking for various movement. Replace as - Mobility, portability- free movement by pushing must be possible with 360 degree rotation and manual locking for various movement" Portable X Ray Machine Voltage (value, AC or DC, monophase or triphase), Input: 220VAC } 10%, 50 Hz. Voltage Input: 220VAC } 10%, 50 Hz Portable X Ray Machine 1) Dosemeter should be available with the operator. To Be Delete Deleted - 1) Dosemeter should be available with the operator Portable Xray Machine point 1.5 KV range KV and mas range 0.5 to 200 for portable Xray it should be KV and mas range.1to 250 mas 75 8 Portable Xray Machine point 1.6 Exposure time 1ms to 5s For portable Xray it should be 10ms to 5 sec 76 8 Portable Xray Machine Point 1.6 Tube power rating up to 20 KW for portable xray it should not be more than 4 KW 77 8 Portable Xray Machine Point 2.6 Footswitch for Xray Trigger For modern days hand switch require for Xray trigger 78 8 Portable Xray Machine Point 3 Exposure release switch cable length min 5 meters. Exposure release switch cable length min 3 meters. Replaced As - 5) kv range at least 40kV to 100kV, digitally displayed mas range at least 0.5 to 200. Replaced as- point 1.6 Exposure time 10ms to 5 sec Replaced as - 8) Tube power rating as appropriate for ma Replaced as - 6) Foot/Hand switch should available for trigger X-rays Portable Xray Machine Point 6 weight - Maximum 500 Kg Maximum weight 100 kg for portable Xray Replace as - Point 3- Exposure release switch cable length 3-5 meters Portable Xray Machine point 20.1 Dosemeter should be available with operator Dosemeter is not standard scope of supply,this point should be remove Portable Xray Machine High Frequency generator of 40KHz or more compatible with conventional and computerized radiography. Working of Computerized radiography is based on different technology. Kindly make it separate unit from asked unit Portable Xray Machine Must have a digital display of mas and kv, and an electronic timer Every company has their own electrical parameters. Remove the display of timer as display of mas integrated with time is given. Kindly amends it as Must have a digital display of mas and KV Replaced as - Point 6 weight Kg and more". Deleted - 1) Dosemeter should be available with the operator. Accepted-Computerized radiography is not required. Replaced as- High Frequency generator of 40KHz or more. Replaced as - Must have a digital display of mas and KV

7 83 8 Portable Xray Machine Foot switch should available for trigger X-rays. Kindly get this point be deleted as offered radiography unit is mobile so foot switch is not of any use. Replaced as - 6) Foot/Hand switch should available for trigger X-rays Portable Xray Machine Software and/or standard of communication-in built Asked unit is Radiographic unit (Non-Digital Radiography) with no post processing software, therefore kindly delete this point. Deleted- Software and/or standard of communication-in built 85 8 Portable Xray Machine Weight (lbs, kg) - Maximum 500 Kg. Asked unit is motor/motorized driven & battery assisted so mention the weight as 550kg or less Replaced as - Point 6 weight Kg and more" Portable Xray Machine Relative humidity of 15 to 90% in ideal circumstances. Kindly change as 75% or more. Replaced as- Relative humidity of 15 to 75% or more in ideal circumstances Transport Ventilator 7. Medical air compressor integral to unit, with inlet filter. Compressor or Turbine based ventilator are never recommended for transport purpose. Transportation requires more sturdy devices. Replaced as- Inbuilt air compressor or turbine required Transport Ventilator 1. a) Tidal volume up to 100 ml. a) Tidal Volume from 50 to 2000 is recommended. This tidal volume is catering to only premature and new born babies. Replaced as- 1. a) Tidal volume from 50 ml to 1000 ml or more Transport Ventilator h) FiO2 between 21 to 100 %. h) FiO2: 21% is Never recommended in Emergency situation & in normal human being only 21% is recommended & normal human being doesn t require ventilator support. We recommend Air Mix or No Air Mix, or 60% - 100% 90 9 Transport Ventilator Capable of being stored continuously in ambient temperature of 0 to 50 deg C and relative humidity of 15 to 90%. Capable of operating continuously in ambient temperature of 10 to 40 deg C and relative humidity of 15 to 90% Transport ventilator- 1. The following variables should be controllable by the operator: a) Tidal volume up to 100 ml. b) Pressure (inspiratory) up to 80 cm H2O. c) Volume (inspiratory) up to 120 l/min.d) Respiratory rate: up to 60 breaths per minute. e) SIMV Respiratory Rate: up to 40 breaths per minute. f ) PEEP up to 20 cm H2O. g) Pressure support up to 45 cm H2O. h) FiO2 between 21 to 100 %. i) Inspiratory and expiratory times up to at least 2 sec and 8 sec respectively Transport ventilator 93 9 Transport ventilator Medical air compressor integral to unit with inlet filter Air and externally supplied oxygen mixture ratios fully controllable. Intel gas supply (O2) pressure range at least 35 to 65 psi Being a daily usage equipment involving rough usage, more stringent standards should be incorporated for much more sturdy and transport worthy equipment. i.e EN Mounting Solutions Should also be asked for as it is major concern to carry a equipment during transport. a) Tidal Volume 20ml to 1500ml. Peaditric to Adult Patient can be Transported with Said Volume Range.. With air compressor weight of the unit has been increased by kgs. In this condition you cannot use the unit in Transport (Ambulance). If possible then Change it with Inbuilt turbine based technology. It is better option to use in Transport with lower weight. High pressure oxygen cannot be possible in transport use. High pressure required more oxygen however practically it is not possible in transportation. For that, we should have backup of 3-4 oxygen cylinders that is also practically not possible in Transportation. Change with should be used in low flow (regulated) O2 for oxygen enrichment As it will use for children and adult both. It should be at least 50 ml to 2 Ltr for 94 9 Transport ventilator Tidal volume up to 100 ml 95 9 Transport Ventilator b) Pressure (inspiratory) up to 80 cm H2O. Pressure (inspiratory) up to 50 cm H2O. High pressure usually recommonds for ICU ventialtors as and when required. Added- Mounting solution and trolley (both should be rust free)should be provided during transport and stationary use respectively. Replaced as- 1. a) Tidal volume from 50 ml to 1000 ml or more. Replaced as- Inbuilt air compressor or turbine required. Replaced as- 1. a) Tidal volume from 50 ml to 1000 ml or more. Replaced as- b) Pressure (inspiratory) up to 50 cm H2O Transport Ventilator d) Respiratory rate: up to 60 breaths per minute. Respiratory rate: up to 50 breaths per minute. To accommodate more bidders in participations. Replaced as- d) Respiratory rate: up to 50 breaths per minute Transport Ventilator e) SIMV Respiratory Rate: up to 40 breaths per minute. SIMV Respiratory Rate: up to 30 breaths per minute. To accommodate more bidders. Replaced as- e) SIMV Respiratory Rate: up to 30 breaths per minute Transport Ventilator 6. Weight (lbs, kg) <5kgs Weight (lbs, kg) 5.5 kgs approx. for basic unit. To accommodate more bidders in participations. Replaced as- 6. Weight (lbs, kg) <6kgs 99 9 Transport Ventilator Battery operated With atleast 6 hours battery backup. Battery backup should have 1 hours standard, if 6 hours required as standard, it should be mounted on trolley. To accommodate more bidders in participations. Replaced as- Battery operated With atleast 4 hours battery backup Transport Ventilator FDA / CE ; IEC :2007; IEC ; IEC SER-Ed ; IEC/TRF Ed ; ISO 13485; ISO (Anestheric & respiratory equipment- compatibility with oxygen). It should have US FDA and European CE approved. To ensure the highest quality of equipments being a life saving equipments Transport Ventilator h) FiO2 between 21 to 100 %. h) FiO2 between 21 to 100 %. It should have same as floated in tender, as it is mandatory requirment of any ventilator. Usually 21-85% FiO2 required in homecare ventilator. Replaced as- It should have US FDA and European CE approved.

8 102 9 Transport Ventilator 8.Visual and audible alarms Accessories and tubing should be supplied for adult, pediatric & neo-natal size requirements. 8.Visual and audible alarms Accessories and tubing should be suitable for adult & pediatric patients. As per required tidal volume, its should have for adult & pediatric patients. Replaced as- 8.Visual and audible alarms Accessories and tubing should be supplied for adult and pediatric/ neo-natal size requirements Transport Ventilator a) Tidal volume up to 100 ml. a) Todal Volume from 100ml to 2000ml. It is mandatory requirement for Adult-Pediatric ventilator. Replaced as- 1. a) Tidal volume from 50 ml to 1000 ml or more. 104 ADDITIONAL REQUIREMENT Transport Ventilator It should have imported trolley of same make, which ensures smooth movement of the system. It also helps the systems for more durability and rustfreeness. 106 Hospital Furniture Section -1 (2) The EMD/BID security of Rs /- should be deposited through RTGS/NEFT. Section II GIT-11.1 (a ) Earnest money shall be Rs /- which should be deposited in MPPHSCL account through RTGS or Neft. 107 Hospital Furniture Section II, GIT -5.2 and GIT 5.3 Price are inclusive of excise Duty.If bidder ask for sales tax / VAT, service tax and work contract Tax to be paid extra, the rate and nature of sales tax applicable should be shown separately. 108 Hospital Furniture Section III SIT 5.1- The supplier shall furnish performance security to the tender inviting Authority for an amount equal to ten percent ( 10% ) of the contract value. Valid for a period up to forty two month from the date of agreement. Please clarify actual amount of EMD which will have to be submitted. EMD should be Rs /- only for this tender. GST will be applicable from July 1 st 2017.Excise Duty and Sales tax / VAT has been murge in GST. Which will not be shown separately. GST rate is not clear up to date. My humble suggestion is that You will ask only price without tax / GST( Excise duty & Sales tax / VAT). GST will be same all over India of same items. After clarification of GST rates from central Govt, You will ask to bidder for impose GST as per Govt. guideline. As per discussion in the meeting held on under the chairmanship of hon ble M.D. and Pre bid meeting, agreed to decrease the rate of Performace security. My humble request you, Kindly decrease the rate of Performance security of contract value and Valid up to 36 Month ( Warranty period ) instead of 42 month. Added- Mounting solution and trolley (both should be rust free)should be provided during transport and stationary use respectively. Bidders are requested to indicate pervailing taxes in the price bid. If GST is implemented before the price bid submission corporation shall revise the price bid accordingly. In case bid submission is before GST implementation and later on GST is implemented then taxes prevalling taxes shall be paid as per bid condition. 109 Hospital Furniture Supply through bidders only My humble suggestion is that supply will allow through Local C&S agent / distributor on following reason 1. Equipment will not be supply in district level at CMHO and CS store due to heavy in nature.thease Equipment supply and install in district hospital, CHC and PHC level at consignee site. manufacturer Company / Importer located mostly in Delhi,Mumbai, Chennai, Calcutta,Bangalore and other places out of M. P. State. Direct transportation facility is not available from these places to District, CHC and PHC level. Transporter charge huge amount. While from local places like Indore, Bhopal, Jabalpur and Gwalior etc. available direct transport facility to all the district, CHC and PHC level. In this way transportation charges will be reduce which will effect the price of goods. 2. Supply will be promptly. 3. Service will be prompt after receipt of complaints from consignee site.

9 4. State Govt.will be earn State GST rates if supply will be made through local C&S agent/ distributor. If supply will be made through bidder which is located out of state then state GST benefit will go to the state where bidder has been located. 5. Company shall be responsible for Guarantee, Warranty and availability of spare parts. 6. In this arrangement, MP state Govt. will be beneifitted by the State GST, Supply will be prompt, service will be available in time and rates will come down of each quoted products. 110 Technical Bid, Page No.11 As per NIT -148,Page -3 EMD amount is Rs /- whereas On Technical Bid,Clause 11.1,page -11-Rs 1 Lac EMD mentioned 111 EMD Hospital Furniture SECTION-I (NIT) Point No.2 'The EMD/Bid Security of Rs.2,00,000 should be deposited through RTGS/NEFT in MPPHSCL Bank Account No payable at Indusind Bank M.P. Nagar, Zone-II, Bhopal, IFSC Code- INDB latest by 05/07/2017 at 15:00 Hrs. Also, details of the EMD have to be mentioned online and a scanned copy of RTGS /NEFT slip is to be uploaded online during e- tendering process at 7. Kindly make an amendment and allow the supply of heavy equipment through Local C& S / distributor. EMD amount should be Rs 1,00,000/- For Fair Competition Please clarify which is the considerable value for EMD/Bid Security? One Lac or Two Lac We would like to state that Rs. Two Lac As EMD is too higher for this Rate Contract tender hence you are requested to kindly retain as Rs. One Lac only. The EMD/Bid Security is Rs.2,00,000 wherever Rs. 1,00,000/- is mentioned please read it as Rs. 2,00,000/ Section- VIII, Bidder Informati on Form Hospital Furniture 113 PERFOR Hospital Furniture MANCE SECURI TY SECTION II GENERAL INSTRUCTIONS TO TENDERERS (GIT) C. PREPARATION OF TENDERS Point No A)a. Earnest Money Deposit shall be Rs 1,00,000/- which should be deposited in MPPHSCL account through RTGS or NEFT, receipt copy of the same should be uploaded online. No exemption from payment of EMD is permitted. Point No. 2 Expertise of Organisation, - Health Authority Registration Information' Section -IV GENERAL CONDITIONS OF CONTRACT (GCC) Sl. No. 5.1 Performance Security Within twenty one (21) days from date of the issue of intimation letter/ notification of award by the Tender Inviting Authority/Ordering Authority, the supplier, shall furnish performance security to the Tender Inviting Authority for an amount equal to ten percent (10%) of the contract value, valid for a period up to forty two months from the date of agreement. Please clarify which Certificates or documents have to be furnished against this point. or Please Remove this point. All required relavents have already been asked in others terms of tender and with technical specifications This has with reference to the meeting held on 01st June 2017 with chairmenship of MD. We would like to suggest that as the tender is Rate Contract and the quantity mentioned in the tender is on higher side and no where in the tender it has mentioned that the value of order or qty. to be ordered so you are humbly requested to kindly reduce the Performance 2 % with validity of Max 24 Months. The EMD/Bid Security is Rs.2,00,000 wherever Rs. 1,00,000/- is mentioned please read it as Rs. 2,00,000/-. Bidder is required to submit product & company releted certifcation if any to be mentioned.

10 114 SUPPLY Hospital Furniture Supply through Bidder only. This has with reference to the meeting held on 01st June 2017 with chairmenship of MD'. OF GOODS The equipment required in your tender such as Full fowler Bed, Hospital Bed, Trolleys are large in size, and heavy in nature. Each of these require expert installation and are service oriented products. In addition to the district level delivery of goods, we are required to install and service the goods at PHC/CHC level. For this herculean task to be as efficient as possible, we need support of local manpower. Thus, it is requested to allow to appoint a Consignee Agent / Local Distributor, and he will raise of supply invoices and collect the payment for and on behalf of the company and help in managing delivery at consignee level, commissioning, installation and servicing etc. The Company shall be responsible for Guarantee, Warranty and availability of spare parts as mentioned in the tender days from date of despatch of Notification of Award through Registered Post/ Speed Post/ e-order to delivery at consignee site. Considering the quantity as follows if the order of all the machines i.e. 10 Nos. is placed in one lot then we requests you to extend the delivery period from 60 days to 120 days with additional time for Installation. For installation you are requested to provide the complete consignee details alongwith site readiness to make the installations effectively on time since as per our past experience there were some sites which were not ready when machine reached at the destination, which affected the completion of contract timely and thus our payments gets delayed. This also affects sometime vacuumatic assisted parts as long idle condition of equipment is also major part of concern due to This is a rate contract tender quantity may increase site not ready cases. ar decrease as per tender conditions and health facilities may palce orders at different timings during the RC period. Order of Full tender quantity is generally not placed at a time by all health facilities hence no change. 116 In 3 rd & 14 th page of tender document the EMD amount is Rs. 2,00,000/- mentioned but in 11 th page of tender document the EMD amount is Rs. 1,00,000/- mentioned. Kindly clarify which EMD amount we refer? The EMD/Bid Security is Rs.2,00,000 wherever Rs. 1,00,000/- is mentioned please read it as Rs. 2,00,000/ In tender terms 3 years CMC asked but in contract Form for CMC 07 years ask. Kindly clarify 3 year warranty & 3 year CMC 118 If the supplier, having been notified during CMC period, fails to respond to take action to repair or replace You are requested to amend the uptime period of equipment as 95% calculated over 1 year. It the defect(s) within 72 hours on a 24(hrs) X 7 (days) X 365 (days) basis, the Tender Inviting Authority shall, without prejudice to other rights and remedies available to the Tender Inviting Authority under the contract, impose liquidated damages, a sum equivalent to 0.1% per day of delay up to 7 days, 0.2% per day of delay up to 14 days and 0.25% per day of delay beyond 14 days of equipment purchase cost. Under Contract Form for CMC: There will be 96% uptime warranty during CMC period on 24 (hrs) X 7 should be calculated on working hours basis i.e. 9am to 6pm considering industry timings, standard off days (Saturday and Sunday) and national Holidays. Our humble submission to amend the penalty in the form of increase in days of warranty /CMC/AMC period instead deductions on the basis of percentage of purchase value as being by various state governments. (days) X 365 (days) basis, with financial penalty and to extend CMC period by double the downtime period. 119 a) On delivery: Our request to amend the Payment terms as in shape of Inland Letter of Credit % payment of the contract price shall be paid on receipt of goods in good condition and upon the submission of the following documents and on Acceptance with proof of FAC- Final Acceptance Certificate as per Section XVII of goods to be issued by the consignees subject to recoveries, if any, either on account of non-rectification of defects/deficiencies not attended by the Supplier or otherwise. FAC shall be issued by the designated consignee after installation, commissioning, testing and within two weeks of successful trail run of the equipment with scanned copy for information to Dy Controller FDA,MP & CGM(technical),MPPHSCL for ensuring detailed entry in CDAC software for timely payments and service records:- 121 (i) Four copies of supplier s invoice showing contract number, goods description, quantity, unit price and total amount; 122 (ii) Test certificate issued by In-house Quality control department; 123 (iii) Consignee Receipt Certificate as per Section XVI in original issued by the authorized representative of the consignee; 124 (iv) Two copies of packing list identifying contents of each package; 125 (v) Inspection certificate issued by the Inspection agency as per clause GCC 8; (vi) Insurance Certificate as per GCC Clause 11; 126 (vii)certificate of origin.

11 127 (viii) Warranty card with details of Service engineer with phone numbers for timely calibrations and servicing on visits. 128 New guidelines of ELORA in order to initiate procurement permission by the department well in time. New Guidelines of elora are attached herewith for your needful consideration and action. Machine is required to be supplied as per AERB certification. 129 Commercial Terms 1. Payment Terms: Existing Point: On Page 32 & 33 The below items can be provided by the manufacturer and not the bidder. Its applicable in case of the imported goods bid in foreign currency. Hence we request for deletion of the same. (ii) Test certificate issued by In-house Quality control department; (v) Inspection certificate issued by the Inspection agency as per clause GCC 8; Payment shall be made in Indian Rupees as specified in the contract in the following manner: a) On delivery: Contract Period: 100% payment of the contract price shall be paid on receipt of goods in good condition and upon the submission of the following documents and on Acceptance with proof of FAC- Final Acceptance Certificate as per Section XVII of goods to be issued by the consignees subject to recoveries, if any, either on account of non-rectification of defects/deficiencies not attended by the Supplier or otherwise. FAC shall be issued by the designated consignee after installation, commissioning, testing and within two weeks of successful trail run of the equipment with scanned copy for information to Dy Controller FDA,MP & CGM(technical),MPPHSCL for ensuring detailed entry in CDAC software for timely payments and service records:- (i) Four copies of supplier s invoice showing contract number, goods description, quantity, unit price and total amount; (ii) Test certificate issued by In-house Quality control department; (iii) Consignee Receipt Certificate as per Section XVI in original issued by the authorized representative of the consignee; (iv) Two copies of packing list identifying contents of each package; (v) Inspection certificate issued by the Inspection agency as per clause GCC 8; (vi) Insurance Certificate as per GCC Clause 11; (vii) Certificate of origin. (viii) Warranty card with details of Service engineer with phone numbers for timely calibrations and servicing on visits Existing Points: Tender Title Page ONLINE TENDERS FOR Rate Contract, of MCH Equipment to be supplied & installed at Various Hospitals of Government of Madhya Pradesh for a Period of 18 months On above two places, the rate contract validity is contradicting. The above texts and wherever the contract validity is mentioned, kindly correct the same to 12 Months, which shall be a standard period. Any extension of the contract period shall be on agreement of bidder and the MPPHSCL both. Page 20: 41.3 The rates quoted and accepted will be binding on the bidder for full contract period of one year from the date of signing of agreement and any increase in price will not be entertained till the completion of this contract period. However, contract can be extended by another 3 months, before the expiry of annual rate contract, with the same terms and conditions of the rate contract. Accordingly this clause will be applicable for all orders placed during the contract period Tender Validity: Existing Points: Page 20: 20. Tender Validity 20.1 If not mentioned otherwise in the SIT, the tenders shall remain valid for acceptance for a period of 180 days (One hundred and eighty days) after the date of techno-commercial tender opening prescribed in the Tender Documents. Any tender valid for a shorter period shall be treated as unresponsive and rejected. Requested Amendment as below: 20. Tender Validity 20.1 If not mentioned otherwise in the SIT, the tenders shall remain valid for acceptance for a period of 180 days (One hundred and eighty days) from the due date of the submission of the tender prescribed in the Tender Documents. Any tender valid for a shorter period shall be treated as unresponsive and rejected Due to unforeseen reason, the tender may not get open on the date of techno-commercial tender opening prescribed in the Tender Documents. To be fair for the bidder, we shall have a definite period of six months from the due date of tender submission. RC period is 18 whereever 12 months is mentioned please read it as 18 months

12 S.No Inspection of the Goods: Page 27: 8. Inspection, Testing and Quality Control 8.1 Before despatch of the ordered goods, supplier, at its own cost, has to carry out pre-despatch inspection of the ordered goods either by empanelled inspection agency (ies) of CE/US FDA 21 CFR compliance certifying body (ies) through ASTM standards Before submitting the product for inspection through empanelled agency(ies), the manufacturer must provide test certificate detailing in house tests carried out and the product s compliance. The test certificate must include performance parameters of all sub-systems and components. 8.2 The Tender Inviting Authority (TIA) and/or its nominated representative(s) may, without any extra cost to the Tender Inviting Authority, inspect and/or test the ordered goods, its manufacturing line and the related services to confirm their conformity to the contract specifications and other quality control details incorporated in the contract. The TIA shall inform the supplier in advance, in writing, the TIA s programme for such inspection and, also the identity of the officials to be deputed for this purpose. The cost towards the transportation, boarding & lodging will be borne by the Tender Inviting Authority and/or its nominated representative(s). Requested Amendment as below: Deletion of the point The inspection terms suggested are valid in case of manufacturer bidding the equipment. In case of a foreign equipment quoted by the Indian party, it will not be able to arrange for the inspection as stated. In case of a foreign equipment quoted by the Indian party, Inspection will be held at warehouse of the selected bidder. Note:-Revised Price sheet as per GST shall be uploaded soon.