Department Of Medical And Health Services Tender

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Department Of Medical And Health Services Tender

Eprocure

Lakshadweep, Lakshadweep

Opening Date7 Jul 2021

Closing DateCancelled

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Costs

EMD
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Document Cost
₹ 1,180
Tender Fee
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Summary

Supply And Installation Of Picu/nicu Equipments For Igh Kavaratti

Description

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Tender Id
2021_UTL_1519_1
Bid Award Id
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Tender No
F.No.42-45/2021-DHS
Tender Authority
Department Of Medical And Health Services View
Purchaser Address
-
Website
http://tendersutl.gov.in

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Documents

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Tender Notice-49.2 MBTendernotice_1.pdf

Tender Document

Tender Notice-3312.3 kBTendernotice_4.pdf

Notice

Tender Notice-2308.4 kBTendernotice_2.pdf

List

Tender Notice-1123.2 kBTendernotice_3.pdf

Annexure B

BOQ-2411.6 kBBOQ_1561.xls

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BOQ Items

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4. Should have a minimum flow rate range from 0.1 – 1200 ml/hr for 50ml syringe, 0.1 -100 ml/hr for 20ml syringe and 0.1 – 60 ml/hr for 10ml syringe.

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5. Syringe range from 20-50/60 ml.

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6. Should have a flow rate accuracy of ±2%

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7. Should have a bolus rate up to 1000ml/hr for 50 ml syringe.

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8. Should have automatic and manual bolus.

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9. Should have at least 3 levels of programmable occlusion pressure.

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10. Should have automatic bolus reduction system to avoid accidental bolus delivery afterocclusion incident.

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11. Should have a rechargeable battery with back up time of minimum 3 hours.

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12. Pump must trigger following alarms with visual indication:- i. Occlusion Pressure Alarm ii. KVO or 3 min pre- alarm iii. Syringe empty and volume infused alarm iv. Internal malfunction and Battery Charge Low Alarm v. Syringe disengaged and incorrectly placed alarm vi. Alarm loudness control. vii. No mains viii. Line disconnected (rapid pressure drop).

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13. Should work with input 200 to 240Vac 50 Hz supply.

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14. Should have safety certificate from a competent authority CE / FDA (US) / STQC CBcertificate / STQC S certificate or valid detailed electrical and functional safety test report from ERTL. Copy of the certificate / test report shall be produced along with the technical bid

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Infusion pump Specification 1. The syringe pump should be programmable, user friendly, safe to use and should have battery backup and comprehensive alarm system.

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2. Must Work on commonly available standard 5ml/10ml/20ml/50ml/60 ml Syringes with accuracy of minimum of +/-2% or better, with automatic syringe size recognition.

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3. Manufacturer should be ISO and European CE certified for quality standards.

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4. Flow rate programmable from 0.1 to 1000 ml/hr or more in steps of 0.1 ml/hr with user selectable flow set rate option. SAVE last infusion rate even when the AC power is switched OFF.

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5. Bolus rate should be programmable to 40 to 1000 ml/hr or more with infused volume display and one key press bolus, auto bolus as a advance feature with programmable bolous rate.

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6. Display of Drug directory of more than 50 drugs, customized and adjustable.

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7. Key board locking system for patient safety.

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8. Keep Vein Open (KVO) must be available 1.0 ml/hr or set rate if lower than 1.0 ml. User should have choice to disable KVO whenever desired.

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9. Selectable Occlusion pressure trigger levels selectable from 300/500/900 mmHg.

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10. Automatic detection of syringe size & proper fixing. Must provide alarm for wrong loading of syringe such as flanges out of slot; disengaged plunger, unsecured barrel etc.

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11. Manual pusher with plunger protection guard.

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12. Anti-bolus system to reduce pressure on sudden release of occlusion.

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13. Should have comprehensive ALARM package including: Occlusion limit exceed alarm. Near end of infusion pre-alarm & alarm, Volume limit prealarm& alarm, KVO rate flow, Low battery prealarm and alarm, AC power failure, Drive disengaged and preventive maintenance.

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14. Rechargeable Battery having at least 8 hours backup for about 5ml/hr flow rate with 50ml syringes. Larger battery life and indication of residual life will be preferred.

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15. Docking Station for two or four pumps as per requirement so as to enable to power up to 2-4 pumps with one power cord when mounted on IV pole.

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16. The unit shall be capable of stored and operating continuously in ambient temperature of 10 - 50deg C and relative humidity of 15- 90% .

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17. Power input to be 220-240VAC, 50Hz.

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18. User Manual and service manual in English.

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Double surface LED phototherapy Specification 1. Should last for at least 30,000 hours

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2. Should be made of easily cleanable material

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3. Minimum irradiance should be 20 µW/cm2/nm at 45cm distance between bed and light unit

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4. Wave length should be 450-460 nm and should be free from UV and IR radiation

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5. Should have visual and audible alarms for the following - • Internal temperature 550C • If cooling fan fails • If LED current increases or decrease • If LED volt increases or decreases

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6. Cooling fan to be provided to dissipate the heat created by LED

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7. Should be compact to use along with the radiant warmer and should have tilting facility so that unit is not coming directly under warmer

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8. Smooth height adjustment mechanism & adjustable height

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9. Peak spectral irradiance: at least 30 µW/cm²/nm at 30 cm distance and 50 µW/cm²/nm at 20 cm distance (as measured with Minolta-Airshields or Olympic flux meter)

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10. It should be possible to increase or decrease the irradiance by a switch without changing the distance to the baby

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11. Large effective surface area: mean spectral irradiance of at least 20 µW/cm²/nm over an area of 25cm by 50cm at 30cm distance

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12. Emissions spectrum: blue light with a peak wavelength between 440 and 470 nm

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13. The source of lamps (manufacturer) should be identified and acertificate of the emission spectrum from a government/research laboratory should be provided.

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14. Quality control: device is produced by manufacturer with ISO 9001 certification (certificates to be submitted)

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15. Electrical: device is compatible with 220 -240 V50/60 Hz power input

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16. Durability: LEDs are protected by suitable cover made of fire-resistant transparent material

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17. Digital Lamp time counter

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18. Digital Treatment time counter

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19. LEDs are protected by suitable cover made of fire-resistant transparent material

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20. Sturdy mobile stand

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21. At least 2-inch sturdy Castors, at least 2 should have breaks

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22. Height of stand’s base must be less than 8cm to fit under radiant warmers/incubators and baby cots

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23. Height adjustable from 1.20m to 1.50 m (measured from bottom surface of enclosure to ground) i. Light enclosure must be tiltable from horizontal to at least 30 degrees ii. tiltable from horizontal to at least 30 degrees

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24. The base of the unit should be such that it will go beneath any incubator/ bed/ trolley with minimum of 100 mm floor clearance.

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25. 1 spare set of fuses per machine 1. All the material /equipment should be European CE & US FDA. 2. All the Electronic equipment’s should comply with Electrical safety conforms to standards for electrical safety IEC 60601-1. 3. All the equipment’s power input should be 220- 240V AC, 50Hz fitted with Indian plug.

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Multipara Monitor with paediatric and neonatal BP cuff Specification General: • Parameters – ECG, heart rate, respiratory rate, SpO2, NIBP, Dual IBP, EtCO2, Dual Temperature. • Should be Modular and capable of being connected to a central station.

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• The equipment should come with all standard accessories required to run all parameters.

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• Waveform display: at least 12 channels at a time, user selectable.

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• Digital display: Heart rate, respiratory rate, oxygen saturation, temperature, Blood Pressure (systolic, diastolic, mean).

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• System should be compatible with HIS.

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• System should be US FDA & European CE approved for quality assurance.

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• Monitor must be able to connect to central monitoring station and should use single network for all kind of networking with the central station or other hospital information system (HIS). It should have dual display, one for continuous display of all beds and other for trend review, full disclosure etc.

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Individual Monitors: • Wall-mountable and pivotable. * Medical grade, TFT Flast screen,, slim size, at least 19" display • Flexible display mode for various monitoring needs. • Should be knob control and touch screen. • Viewing angle at least 90o. • Bigger font of numeric should also be available. • Should have standby mode for temporary leaving of patients. • Adjustable contrast and brightness.

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Should have facility to record data for individual patients identifiable by their name and hospital registration number The following modules complete with their accessories for each monitor: • Heart rate • ECG • Respiration • Oxygen saturation • Temperature: 2 ports • Non-invasive Blood pressure • Invasive blood pressure 2 ports • EtCO2

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The following modules are also required in the quantity mentioned Parameters monitored: Cost of following modules should be quoted separately. • EEG – 2 • NMT – 1 • Minimal invasive Cardiac Output monitor – 2 • BIS - 1

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3. Heart rate/ECG: • 10-lead selectable ECG • Built in arrhythmia monitoring in all leads • Inbuilt ST segment analysis and arrhythmia detection facility • Display of 2 ECG leads simultaneously at a time • Heart rate range 20-250 bpm • Accuracy ± 5 bpm • Display sweep speeds 12.5, 25 mm/sec (user adjustable) • Averaging time: user selectable up to 8 seconds • ECG amplitude user adjustable • Defibrillator protected

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4. Respiratory rate • Measured by transthoracic impedance using the same ECG lead • Range 0 to 150 breaths/min • Accuracy ± 2 bpm • Display sweep speeds 6.25, 12.5 & 25 mm/sec (user adjustable) • Averaging time: user selectable up to 8 seconds • User selectable apnea alarm time

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5. Oxygen Saturation • Masimo-SET/FAST Technology to take care of low perfusion states and motion artifacts • Dual wavelength LED pulse oximetry • Range 1 to100% • SpO2 accuracy : ± 2 % ( 70-100% range) • Averaging time: user selectable up to 8 seconds • Plethysmographic waveform display • System must display perfusion index (PI %) from SpO2 as an indication of pulse strength at the sensor site.

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6. Temperature • 2-channels • Continuous digital display of two site temperatures • Range: 25-50 degree Celsius • Resolution: ± 0.1 degree Celsius • Accuracy: + 0.1 degree Celsius • Should provide skin temperature probe and rectal temperature probe for every monitor.

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7. Noninvasive Blood pressure: • Capable of measuring blood pressure including in neonates weighing 500 g • Microprocessor software with unit in mmHg • Oscillometric technique • Manual, auto and time limited stat modes • User selectable automatic time intervals • Display systolic, diastolic and mean BP • Blood pressure range Systolic : 30-250 mm Hg Diastolic : 10-200 mm Hg Mean: 20 – 100 mmHg • Pulse rate range : 20-250 bpm • Cuff : auto deflate with over pressure protection • Should automatically establish zero reference after each reading

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8. Invasive Blood pressure • At least 2 channels • Compatible with reusable and disposable pressure transducers • Transducer should allow continuous infusion into the artery through an infusion pump while pressure is simultaneously displayed • Input through pressure transducer that functions through a fluid filled catheter system

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· Unit: mmHg • Should allow continuous fluid infusion into the artery /vein through an infusion pump without any volume limitation • Compatible with arterial BP, CVP and intracranial pressure monitoring catheters with user selectable display names

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· Range 0-350 mmHg • Display resolution: ±1 mmHg • Accuracy ± 1mmHg • Digital waveform display • User selectable pressure channel display

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· Should be Compatible with ICP monitoring system • Name of manufacturer of compatible ICP monitoring system should be provided with documentary evidence. • Monitor must measure dynamic preload parameters such as pulse pressure variation (PPV) and systolic pressure variation (SPV) from arterial waveform and display on main screen.

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9. EtCO2 • Should provide mainstream modules-2nos and microstream – 2 nos. • Warm up time: capnogram displayed in less than 15 sec • Measurement method: infrared spectrum • Unit: %, mmHg, kPa • CO2 Accuracy: +/- 2.0 mmHg • Measurement range: 0-150 mmHg • Resolution: 1 mmHg • Resp rate accuracy +/- 1 rpm • Range of resp rate measurement: 0-150/ min • Should also be able to monitor Etco2 by non-invasive (nasal) way from the same module.

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10. EEG • EEG module should be interchangeable with any of the monitors Input: 6 lead • Sensitivity: 20, 50,100,250/μV/cm • Display: Left or right sided waveform • Small, cup type EEG electrodes and lead set kit suitable for neonatal use with a low impedance

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11. User selectable alarms • High and low heart rate • High and low respiratory rate • Apnea with adjustable time 5-20 seconds • High and low saturation • High and low SBP • High and low DBP • High and low MAP • Probe failure • Poor signal • Power failure • Audio & visual alarms with message with separate alarm indicator with 3600viewing.

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12. Trends • Memory storage : at least 72 hours • Data display interval : not more than 20 sec • Display range : last ½ hour to 72 hours • Graphical and tabular format of display of variables • Full waveform disclosure of 24 hrs.

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13. Power • 220/240 V 50/60 Hz AC • Rechargeable internal / external battery with a backup of at least 1 hr

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14. Manuals: One set of operator & service manuals with each monitor 15. Comprehensive warranty period: 5 years and CMC for 5 years after warranty 16. Availability of spares for at least 10 years after date of installation

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The following quantities are to be supplied for every monitor with the initial order: ECG/Respiration • ECG patient cable : 2 • Reusable ECG lead wires set : 2 sets

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Oxygen saturation • Patient extension cables: 2 • Reusable neonatal wrap around probes: 4 • Reusable pediatric clip/ finger probes: 4

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Temperature • Reusable surface (skin) temperature probes: 2 • Reusable rectal temperature probes: 2

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NIBP • Patient extension cable – 2 • Disposable NIBP cuffs suitable for neonates, children and adults (1000g, 1000-2000g, 2000g, pediatric, adolescent and adult): 5 no of each size.

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IBP • Transducer connecting cables: 2 • Reusable pressure transducer: 5 • Disposable pressure dome kit with neonatal flush device: 10 • Quotation must include a compliance statement and in addition, each of the above points is marked in the technical brochure. Points not covered in the brochure must be specifically addressed in a separate certificate.

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Manuals: • One set of operator & service manuals with each monitor • Should be able to provide training of all healthcare personnel during first 1 month of installation in the group of 5 trainees per session. • FDA (USA) and CE certificate must be enclosed. • Onsite physical demonstration of the machine with all standard actual accessories of the same make which the firm intends to supply will be mandatory if demanded by the technical committee. • The Machine with all the accessories has to be left in the unit for demonstration on real patients for at least 1 month. • Prices of the above consumable accessories should be quoted separately, which will be fixed for the duration of comprehensive warranty and CAMC.

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5. Pulse Oximeter Specification 1. Desktop sturdy compact model which is light weight 2. Resistant to motion artifact 3. Able to reliably pick up signal in low perfusion states 4. Should have clinically proven track record to work during motion and very low perfusion conditions 5. Compatible with reusable and disposable probes

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6. Device should be able to continuous monitor the following parameters non-invasively: a) Oxygen saturation b) Pulse rate c) Perfusion index d) Pleth Variability Index e) Total Hemoglobin f) Carboxyhemoglobin g) Methemoglobin h) Oxygen Content

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7. Oxygen saturation a) Display Range 0 to 100 % b) Resolution 1% c) Accuracy + 3 at 70-100% range d) Alarm Range 1% to 99%

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8. Pulse rate a) Display Range 25 bpm to 240 bpm b) Resolution 1 beats per minute c) Accuracy ± 3 bpm d) Alarm range 30 bpm to 235 bpm

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9. Perfusion index a) Display Range 0.02% to 20% b) Alarm range 0.03% to 19%

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10. Pleth variability index a) Display Range 0% to 100% b) Alarm range 1% to 99%

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11. Total hemoglobin a) Display Range 0 g/dl to 25.0 g/dl b) Resolution 0.1 g/dL c) Accuracy 8 g/dL to 17 g/dL ±1 g/dL d) Alarm range 1.0 g/dL to 24.5 g/dL

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12. Carboxy hemoglobin a) Display Range 0% to 99% b) Resolution 1% c) Accuracy 1% to 40% ± 3% d) Alarm range 1% to 98%

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13. Methemoglobin a) Display Range 0% to 99.9% b) Resolution 0.1% c) Accuracy 1% to 15% ± 1% d) Alarm range 0.1% to 99.5%

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14. Oxygen content a) Display Range 0 ml to 35 ml

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15. Should be able to measure parameters reliably in patient 1kg of weight

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16. Should be defibrillator proof

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17. Display a. Large bright LCD display with contrast adjustability b. Readable from at least 3 feet c. Alarms and alarm limits d. Status of battery charging, sensor off

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18. Alarms a. Type of alarm Audible and visual b. Alarm volume Adjustable c. System alarms Probe failure, system failure, low battery

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19. Alarm override facility should be present

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20. Trends a. Memory At least 48 hours with 2 sec resolution b. Data interval 20 sec c. Display 2-24 hours d. Type of display Graphical & tabular display

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21. Power a. 220/240 V AC, 50/60 Hz b. Rechargeable internal battery c. Battery back-up at least 3 hours d. Automatic switch from mains to battery in case of power failure

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22. RS 232C interface for data communication

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23. Should have provisions for wireless and blue tooth connectivity

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24. Accessories i. Patient extension cables -2 with each monitor ii. Reusable flexible neonatal multi-site probes-4 with each monitor

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25. Operator Manual to be provided. 26. Should have local service facility and should have the necessary equipments to carry out preventive maintenance test

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27. Onsite physical demonstration and training of the equipment to all the end users with all the requested facilities will be mandatory 28. Availability of spares for at least 7 years after date of installation

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29. Items covered under warranty/CMC a) Prices of consumables should be quoted separately and frozen for the period including warranty and CMC period

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30. Standards, safety and training a) Should be US FDA and European CE approved product and certificate of the offered model must be submitted with the bid documents b) Manufacturer should be ISO certified for quality standards Electrical safety conforms to standards for electrical safety IEC 60601-1 (OR EQUIVALENT international/national standard)General requirement for Electrical safety of Medical Equipment Should have local service facility c) 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

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31. Environmental factors a) Shall meet IEC-60601-1-2:2001(Or Equivalent BIS) General Requirements of Safety for Electromagnetic Compatibility or should comply with 89/366/EEC; EMC-directive. b) The unit shall be capable of being stored continuously in ambient temperature of 0-50deg C and relative humidity of 15-90% c) The unit shall be capable of operating continuously in ambient temperature of 20-40 deg C and relative humidity of 15-90%

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32. Onsite physical demonstration/training of the equipment to all the end users with all the requested facilities will be mandatory

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33. Documentation a) User/Technical/Maintenance manuals to be supplied in English b) Certificate of calibration and inspection from factory c) List of important spares and accessories with their part number and costing out.

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Neonatal Bubble CPAP with oxygen blender Specification 1. The instrument should be suitable to provide respiratory care in both term and preterm neonates weighing 500 g to 5000 g.

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2. Light weight, portable and sturdy. 3. Stainless steel stand - corrosion-free, dust resistant, stainless steel 4. CPAP pressure with oscillations should be generated by creating resistance in water column and bubbling of exhaled gas in the water column. 5. The system should be suitable for both CPAP and high flow nasal cannula therapy.

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6. CPAP generator • Pressure: 3 to 12 cm H2O • Has detachable overflow container • Delivers intended pressure constantly and accurately (+ 1cm) • Easy to clean/sterilize • Gradations on the sliding rod should be easily visible from a distance of 4 feet.

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7. Safety features • Limiting the delivered pressure in the event of an occlusion • A stand or arm support for holding the circuit in support

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8. Humidifier It should be servo controlled heated humidifier with following features: • Temperature and flow sensor with feedback mechanism. • Monitoring temperature of gas at chamber end and near patient end additionally temperature of airway, chamber and heater plate. • Display for temperature of saturated gas. • Modes: intubated and mask mode.

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Alarms • High temperature and low temperature. • Water out alarm / POP off pressure adjustment. • Heater adaptor faulty/ disconnect. • Temp cum probe faulty / disconnect. • Hardware faults. • Heater wire with adapter to be provided

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9. Delivery system The patient heating circuit should have integrated heated coil for uniform heating. The delivery system should have Maximum Input Flow- 15L/min and maximum mean CPAP- 15cmH20.

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Humidification chamber should be auto feed with dual float system Chamber Compressible volume 260- 300 ml Compliance of chamber 0.4ml/cm/H20 Max peak flow should be 180 L/min.

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10. CPAP Bubble generator should have adjustable probe for pressure settings 3-10 cm of H2O.It should have detachable overflow container to maintain constant water level. Volume for generator ~ 500 ml.

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11. Air-oxygen blender • The instrument should be suitable to provide air-oxygen mixture to neonates • Should be compatible with bubble CPAP system • FiO2 concentration will be adjustable (21-100%) and accurate • Should be High & Low Flow (Flow rate of 3-30 L/m), accuracy of +/- 3 percentage and bleed flow of 2.5-3.5 • Should have stand & pole assembly to incorporate Air & O2 blender with flow meter • Should be supplied with connecting tubes and adapter to be attached with oxygen and compressed air source

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12. The system should have safety mechanism with pressure relief valve and ports for pressure and FiO2 monitoring. Pressure relief should be 17 cmh20 and above @8L.

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13. Interface • Nasal prongs/ masks of silicon of at least five different sizes useful for babies weighing between 750-1250g, 1250-1750g, 1750-2000g, 2000-2500g. Where the resistance to flow at pressure port of nasal tubing should be 0.4 cm H20, 0.6 cmH20 or 0.2 cm/H20.

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· Flexible nasal tubing with glider technology from block and fixing guide with sizes ranging from 50mm to 100mm where resistance to flow should be 0.49 cm/H20,0.53cm/H20, 0.55 cm/H20 respectively flow of 6 lit/min. • Infant caps of following sizes: 17-22, 22-25, 25-29, 29-36 cm Circumference. • Nasal cannula of preterm and term sizes. Cannula should be kink proof and have hydrocolloid based adhesive to secure on skin and facilitate kangaroo mother care. • Nasal masks suitable for preterm and term babies. • Nasal masks should be interchangeable to nasal prongs. • The mask should be soft and anatomically shaped.

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14. It should have mobile trolley to fix Humidifier, CPAP generator and monitor and pole with castors & IV hook and mounting brackets Gas supply lines to blender.

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15. Documentation • User/Technical/Maintenance manuals to be supplied in English • Certificate of calibration and inspection from factory

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16. General requirement for Electrical safety of Medical Equipment 17. Onsite physical demonstration of the monitor with all the requested modules will be mandatory 18. Should have local service facility

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19. The service provider should have the necessary equipment’s recommended by the manufacturer for installation and to carry out preventive maintenance test as per guidelines provided in the service/maintenance manual.

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20. Patient circuits a. Disposable circuits should be readily available and reasonably priced b. A single patient circuit pack should contain ALL the necessary tubing/connectors needed to assemble a complete circuit c. Should have all connections /connecting tube with standard wall fittings /air-oxygen outlets d. Should have heater wire in inspiratory limb e. Should have water trap in expiratory limb f. Should be compatible with available interfaces including nasal masks

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21. The entire system including Air oxygen blender should be approved by US FDA or its equivalent National Certifying Authority

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22. Each unit to be supplied with: • Disposable circuits: 25 • Nasal interface: 25 • All size nasal prongs: 10 sets • All size head bonnets: 10 sets

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23. Prices of above consumables and accessories should be quoted separately in the financial bid. 24. Comprehensive warranty for at least 5 years.

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25. Good after sales service with at least 3-monthly visits for routine checking and in between whenever called for troubleshooting. 26. Company should ensure the supply of consumables and accessories for the period of warranty and CMC.

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Portable blood gas analyser Specification 1. The system is required to analyse blood gases in arterial and venous blood at bedside.

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2. It should provide the readings of pH, pO2, pCO2, TCO2, HCO3, base excess, sodium, potassium and haematocrit.

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3. The system should be able to report the values accurately in the range – pH (6.5-8.0), pO2 (40-400 mmHg), pCO2 (10-100 mmHg), TCO2 (5-50 mmol/L), HCO3 (5-70 mmol/L), base excess (-25 - +25 mmol/L), sodium (110-170 mmol/L), potassium (2-8mmol/L) and haematocrit (20-60%).

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4. The process time should be 5 minutes 5. The system should preferably have facility for wireless transfer of reports to the hospital information system.

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6. The system should be supplied along with inbuilt printer. 7. The system should be factory calibrated. The supplier should perform quarterly calibration, to maintain accuracy of the system.

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8. It should have provision to be battery operated. 9. It should be US FDA/ European CE certified. 10. It should function at temperature range 15℃ to 50℃.

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11. Manufacturer should have ISO 9001:2008 certification. 12. Analyzer should comply with IVD Medical Device Directive 98/79/EC

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Heated Humidified High Flow Nasal cannula Therapy device Specification 1. Suitable for treatment of Hypoxemic patients with respiratory distress 2. It should be complaint for use on patients in ICU, wards, emergency department and home oxygen therapy

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3. It should be single system for treating infants, paediatric and adult patients 4. Inbuilt flow generator capable of delivering wide range of flows:2-25 litres in paediatric mode and 10-60 litres in adult mode

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5. Inbuilt Air/O2 blending and Fio2 monitoring, facility to deliver wide range of oxygen concentration (Fio2) from 21 to 100% 6. It should have inbuilt Air source without need for external compressor 7. Integrated heated humidifier

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8. Color display to monitor humidity setting, flow, Fio2 and faults 9. Visual and audible alarm indication for: a. Tubes disconnect leaks, tube blockages and water out and hardware fault with error codes. Audible power failure alarm

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10. Disinfection mode with heated disinfection tube for sterilization of the device after patient use 11. Supplied with heated wire patient breathing tube and nasal cannula of different sizes 12. Paediatric nasal cannula should be made of kink proof material and has adhesive wiggle pads to stick on skin to facilitate kangaroo care

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13. It should be compatible for use on tracheostomy patients 14. Should have safety certificate from a competent authority CE issued by a notified body registered in the European commission / FDA (US)/ STQC CB Certificate/ STQC S Certificate or valid detailed electrical and functional safety test report from ERTL. Copy of the certificate/ test report shall be produced along with the technical bid

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15. Complaint with international safety standards and regulations.

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9.Cash cart Specification 1. Size -940x490x1535 mm approx. 2. Trolley with 25 mm diameter SS tubular frame 3. Drawers maximum number possible of adequate size

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4. Flat surfaces should be stainless steel. 5. Two/three rows of hand out bins of different size &color to hold different sizes of ampoules/vials of emergency medicine.

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6. Light weight plastic box with drawers of different sizes and colors to hold emergency medicines, ambu bag, IV solution , catheters etc separately. 7. Facility to carry monitor & suction apparatus. 8. Stainless steel saline rod-one.

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9. Castor wheels of 12.5 cm diameter with two having locking arrangement. 10. Pull out cardiac massage board above drawers. 11. Oxygen cylinder stand on one side. 12. All parts should be epoxy polyster coated with 50 micronethichness approx. ebonite rubber , PVC and castor wheel etc. 13. Whole crash cart should be washable.

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Radiant Baby Warmer/ Neonatal resuscitation unit Specification 1. Essential parts a) Quartz based warming system with microprocessor based controls, probes & alarms b) Cart & bassinet c) Examination light d) X-ray cassette holder

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2. Cart a) Should swivel on 4 wheels of at least 4” diameter with foot operated brakes on at least 2 front wheels

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3. Dimensions a) Height - 180- 200 cms b) Width - 65-80 cms c) Depth - 100-120 cms d) Working level - 95-105 cm

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4. Bassinet a) Collapsible transparent acrylic side walls

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5. Mattress a) Width - 70 - 80 cms b) Length - 90 - 100 cms c) Thickness - 3-5 cm d) Material i. Soft and easy to clean ii. X-ray transparent iii. Fire retardant iv. Allows air to pass through but does not allow water to seep in

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6. Bassinet tilt a) Should allow tilt for Trendelenburg as well as reverse Trendelenburg position

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7. Warming system a) Quartz based heating system encapsulated heater tube placed in a parabolic reflector b) Should have single element quartz infrared heater c) Control - Microprocessor controlled d) Self-test function performed at power on e) Digital display should show following parameters i. Set temperature ii. Present temperature of the baby iii. Heater output iv. The temperatures should be in numerical LED display

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f) Mode - Manual & skin (servo) g) Manual mode i. Adjustable in steps from 0 to 100% in increments of 10% ii. Heater power should be reduced to 50 - 60% after 10-15 minutes in manual mode for baby safety

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h) Skin mode (servo mode) i. Set point range - 32 – 38 degrees C i) Skin temperature display i. Accuracy - ±0.2 degrees C ii. Resolution - 0.1 degree C j) Temperature probe- Wire should be easy to clean and long lasting k) No need of temperature probe calibration

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8. Alarms a) Audiovisual alarms with a display of text messages about the alarms i. Probe failure ii. Heater failure iii. High and low baby temperature (more than 0.5 deg C difference) iv. Power failure v. System failure vi. Silence/reset switch vii. Should have Automatic cut-off of heater at 39°C for Over Temperature Protection

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9. Heating unit - Should be swivable for accommodating X-Ray unit and should have self-lock facility.

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10. Examination light a) Illuminance - at least75 foot candles at mattress centre 11. Apgar Timer a) Timer with stopwatch facility b) Reset facility

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12. I.V. stand a) Strong IV stand (S.S) with height adjustable and facility to fix large number of infusion pumps

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13. Monitor shelves - Two in number 14. Should have T piece resuscitator inbuild inside with standard recommendation for neonatal resuscitation. 15. Should have two drawers

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16. X- Ray cassette holder a) Sliding holder located just below undersurface of bassinet, with markings to help placement of cassette

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17. Power consumption - Less than 1 K.W

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18. All metal parts of the equipment should be corrosion resistant and Epoxy/Powder coated

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19. All consumables required for installation and standardization of system to be given free of cost

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20. Standards, safety and training. a) Should be European CE approved product and certificate needs to be submitted along with the catalogue b) Manufacturer should be ISO 13485 certified for quality standards c) Electrical safety conforms to standards for electrical safety IEC 60601-1 (OR EQUIVALENT international/national standard)General requirement for Electrical safety of Medical Equipment d) Should have type of protection against electric shock: Class 1 e) Should have degree of protection against electric shock: Type B

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21. Power supply and electrical specifications a) Power input to be 220-240VAC, 50Hz b) Suitable Autovoltage corrector with spike protector should be available c) Should have overload protection at 4A d) Should have leakage current 0.5mA e) Should have earth resistance 0.2 Ohm f) Should be Low Noise g) Fuse Rating should be i. For main supply: for 230V: 4A & for 110V: 8A ii. For examination lamp: for 230V: 2A & for 110V: 2A

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22. Enviornmental factors a) Shall meet IEC-60601-1-2 :2001 General Requirements of Safety for Electromagnetic Compatibility or should comply with 89/366/EEC; EMC-directive b) The unit shall be capable of being stored continuously in ambient temperature of 10-55 deg C and relative humidity of 15-90% c) The unit shall be capable of operating continuously in ambient temperature of 20- 40 deg C and relative humidity of 15-90%

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23. Documentation a) User/Technical/Maintenance manuals to be supplied in English b) List of important spares and accessories with their part number and costing

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24. Essential accessories to be supplied at initial purchase with each piece of equipment a) Reusable temperature probes (full set): 5 nos/per equipment.

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25. The rates of consumable accessories should also be quoted separately 26. Onsite physical demonstration/training of the equipment to all the end users with all the requested facilities will be mandatory.

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ICU Beds Specification Size approx. 2160mmL x 1020mmW x 450mm to 810mm Height (without Mattress) Bed Platform size: 2070mm L x 960mm W; Mattress Platform size: 1900 mm L x 865 mm W

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Five section Polypropylene detachable tops fitted on four section top bed frame with perforated design for easy breathing of mattress

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Back rest and leg rest both shall have detachable mattress guards (3 nos. on each section respectively)

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Back rest: min. 45% of the frame length

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Should be able to adjust Back rest, knee rest, height adjustment and trendelenburg /reverse trendelenburg positions using lever.

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Backrest and knee rest shall retract as they are individually and simultaneously raised

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Bed frame shall be mainly made from 50 x 25mm x 2mm thick ERW tube with proper support.

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This frame should be fitted on the base frame mainly made of 60 x 30 x 1.6mm ERW tubes on various supporting links

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The base frame shall be mounted on 125 mm dis non-rusting twin wheel castor with central & directional locking mechanism

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Twin wheel castors with castor housing and wheels made from high grade non floor staining synthetic materials and integrated thread guards. Wheel centre having precision ball bearing to run smoothly

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The bed shall have polymer moulded head and foot side panels detachable by hand without need of any tool. Four corner rubber buffers

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Bed shall have split type swing down railing, 2 on each side (head and middle sections) made from polymer moulded material. These shall be fitted to the mattress support sections and should be able to raise and lock through spring lock mechanism through an operating lever. When put down, they should undergo and level with bed frame

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Railing shall avoid any finger and neck entrapments and comply with IEC standards 60601-2-52

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31.7mm dia; 18G stainless steel outer covering tube with a knob to mount syringe pump Built-in bed extension of approx. 200mm shall be provided

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Accessories: 12mm diameter stainless steel SS304 telescopic heavy duty IV rod with 2 hooks with provision to park when not in use Urine bag holder – one Chart holder – one

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Four section mattress with 4 inch thick PU Foam of 40 density, covered with superior cover material (water proof, anti- bacterial and flame retardant properties) Oxygen cylinder Cage

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DEFIBRILLATOR- CARDIOVERTER WITH ECG MONITOR Specification 1 Description of Function 1.1 Defibrillator is required for reviving the heart functions by providingselected quantum of electrical shocks with facility for monitoringvital parameters.

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2 Operational Requirements 2.1 Defibrillator should be Bi- Phasic, light weight and latest model 2.2 Should monitor vital parameters like ECG, heart rate etc. and display them 2.3 Should print the ECG when required. 2.4 Should work on Manual mode (0-200J or more). 2.5 Should be capable of doing synchronized & asynchronized cardioversion both. 2.6 Can be operated from mains as well as battery. 2.7 Should have defibrillator testing facility.

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2.8 Facility for trans-cutaneous pacing and trans-venous pacing should be available 2.9 Demonstration of the equipment is a must.

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3 Technical Specifications 3.1 Should be a Low Energy Biphasic defibrillator monitor with Recorder, having capability to arrest all arrhythmia within a maximum energy of 200 Joules for manual mode.

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3.2 Should monitor ECG through paddles, pads and monitoringelectrodes and Defibrillate through pads and paddles. Should have Automatic or Manual Lead switching to see patient ECG through paddles or leads

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3.3 Should measure and compensate for chest impedance 3.4 Should have a built in printer/ thermal recorder. 3.5 Should have minimal charging time for maximum energy with charging indicator (mention the time in the bid – shorter is preferred).

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3.6 Should have bright LCD/TFT display for viewing messages and ECG waveform 3.7 Adult and paediatric paddles should be available 3.8 Should have event summary facility for recording, printing and patient data storage of ECG and events.

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3.9 Should have a battery capable of usage for at least 60 minutes or 30 discharges 3.10 Should be capable of printing Reports on Event summary, configuration, self-test, battery capacity etc 3.11 Should have facility for self-test/check before usage and set up function 3.12 3.12 Should be capable of delivering energy in increments of 1-2 joules up to 30J and increments of max. 50J thereafter. (Narrow increments preferable) 3.13 Should have user friendly colour coded operation.

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4 System Configuration Accessories, spares and consumables 4.1 Defibrillator -01 4.2 Paddles Adult & Paediatric -01 each 4.3 Patient cable -01 4.4 ECG Rolls -5 4.5 Disposable pads-5 nos. 4.6 Complete set of ECG Leads- 02 4.7 Price has to be quoted inclusive of the above (4.1 – 4.6) items and separately for the accessories and consumables as mentioned (4.2 – 4.6).

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5 Environmental factors 5.1 The unit shall be capable of being stored and operating continuously in ambient temperature of 10-40◦C and relative humidity of 15-90%.

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6 Power Supply 6.1 Power input to be 220-240VAC, 50Hz 6.2 Resettable overcurrent breaker shall be fitted for Protection.

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7 Standards, Safety and Training 7.1 Should be USFDA and European CE approved product. 7.2 Electrical safety conforms to acceptable standards (provide certificate) 7.3 Should conform to international test protocols on exposure to shock forces and to vibration forces. The standard should be documented. 7.4 Should have local service facility with necessary equipments recommended by the manufacturer to carry out preventive maintenance test as per manual.

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8 Documentation 8.1 User Manual & Service manual in English 8.2 List of important spare parts and accessories with their part number and costing 8.3 Certificate of calibration and inspection from factory. 8.4 Log book with instruction for daily, weekly, monthly maintenance checklist. The job description of the hospital technician and company service engineer.

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8.5 List of Equipments available for providing calibration and routine maintenance support. 8.6 Compliance Report to be submitted in a tabulated and point wise manner clearly mentioning the page/Para number of original catalogue/data sheet. Any point, if not substantiated with authenticated catalogue/manual, will not be considered.

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8.7 Must submit user list and performance report within last 5 years from major hospitals/government hospitals.

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Warranty for 3 Years AMC for 5 years.

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Automatic double breast pump Specification 1. Unique programmable breast pump available with program card with initiate, build & maintenance program.

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2. Breast pump should be electrical & battery operated. 3. Should have LCD display; equipped within internal rechargeable batteries. 4. Should be made up of hospital grade material for use by multiple mothers and heavy duty.

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5. Parts should be cleanable and sterilisable easily without any damage. 6. Double pump: must be able to pump both breasts at the same time to get more and better-quality milk. 7. Two phase expression technology: designed to mimic baby’s sucking pattern to optimise milk output i.e., stimulation followed by expression.

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8. Should be a closed system; membrane cap & diaphragm should be attached to breast pump machine only. No diaphragm & membrane cap should be attached to collection bottle.

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9. Pump should automatically change mode after 2 minutes; changes from stimulation to expression mode; Along with this, there should be facility to change mode individually.

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10. Pump should be portable with weight of 3-4 kg 11. Live demonstration and training of end users for the equipment is must. 12. Catalogue/Brochure should be submitted along with technical bid mentioning each and every point of technical specification. 13. Pump should be European CE/US FDA/ISO approved. 14. Breast Pump should have Protection Class II, Type B

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15. 5 years’ comprehensive warranty. Company should ensure the supply of consumables and accessories for the period of warranty and CMC.

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16. Availability of spares from installing date must be there for a period of at least 10 years.

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17. The bidder must be a manufacturer or its authorized agent.

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18. Mandatory accessories/consumables should be from same manufacturer: - • Tubing, Breast shield- 24mm, Valve membrane) – 40PCS • Disposable milk collection bottles 150 ml : 40 pcs • Bottle Stand- 01

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19. Should construct and fabricate four breast feeding chambers in the designated breast feeding room.

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20. Documentation • User/Technical/Maintenance manuals to be supplied in English • Certificate of calibration and inspection from factory

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21. General requirement for Electrical safety of Medical Equipment.

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T piece resuscitator Specification 1. Should be manually operated, gas powered resuscitator with consistent Peak Inspiratory Pressure(PIP) and Positive End Expiratory Pressure (PEEP) to infants.

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2. Should accept and deliver oxygen concentrations from 21% to 100%. 3. T-piece circuit should be connected to infant resuscitation masks or endo tracheal tubes. 4. The gas flow outlet should allow easy and secure connection of T-piece circuit and humidified T-piece circuit.

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5. Manometer range : -10 to 80 cmH20; ± 2% accuracy 6. Maximum pressure relief : 8L/min 5 to 70 cmH20 7. Peak Inspiratory Pressure : 5L/min 2 to 70 cmH20 8L/min 3 to 72 cmH20 10L/min 4 to 73 cmH20 15L/min 8 to 75 cmH20 8. Input gas flow range : 5L/min (minimum) to 15L/min (maximum) 9. Should be supplied with the following accessory a. Gas supply line – 3 Nos

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10. Should be supplied with the following consumables a. Disposable infant resuscitation Tpiece circuit – 10 Nos b. Disposable infant resuscitation Tpiece mask – 10 Nos c. Disposable humidifier T-piece circuit with heated wire – 10 Nos

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11. Should have safety certificate from a competent authority CE issued by anotified body registered in the European commission / FDA (US)/ STQC CB Certificate/ STQC S Certificate or valid detailed electrical and functional safety test report from ERTL. Copy of the certificate/ test report shall be produced along with the technical bid

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Spot light Specification 1. Central illumination intensity at a distance of 1 meter: minimum 30000 Lux 2. Central illumination intensity at a distance of 0.5 meter: minimum 70000 Lux

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3. Light field diameter at a distance of 1 meter: minimum 165mm 4. Light field diameter at a distance of 0.5 meter: minimum 110mm 5. Color Temperature: minimum 4500 K 6. Color Rendering index (Ra) in every color temperature setting: 90 or more 7. LED Life time: minimum 50000 hours

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8. Should be mounted on stable mobile stand with at least five wheels. 9. Stand should have hinged arm on which the light is mounted. 10. Light should be height adjustable and angle adjustable. 11. Class II Medical Electrical Equipment Protection (IEC 60601-1)

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12. Light Housing Ingress Protection Class (IEC 60601-1 & IEC 60601-2-2): IP20 or better 13. System should have BIS/ US FDA/ European CE with four-digit no. certificate for the intended use.

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Cardiac Table

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