Indira Gandhi Medical College And Research Institute Tender

FABRICATED WALL PANELLING SYSTEM SS 304 Wall Panel (Pre fabricated) Supply of 50 mm thick wall panel with one side Stainless Steel 304 and other side PCGI filled with PUF. PUF quality 40 kg/m3 density with 0.6 mm thick sheet. Aluminum profiles for reinforcement along the periphery With aluminum grid with supporting system like, tie rod, turnbuckle etc., All wall-mounted equipment should be flush mounted. The wall panel design and construction should allow for the installation and support of all equipment and the provision of openings required for installations, without affecting rigidity and strength. The modular Ceiling are engineered to produce seamless surface. Process finishing of Modular Ceiling cavities using Metallic Epoxy Filling agents, process grinding the same to achieve a flush finish and seamless surface, coated with a special grade of antibacterial coating, providing a non-sticky, non-accumulating surface with easy cleaning properties. All wall-mounted equipment should be flush mounted. The wall panel design and construction should allow for the installation and support of all equipment and the provision of openings required for installations, without affecting rigidity and strength. There should not be any sharp edges and the corners should be smoothened. A shell type substructure should be designed as a non-load bearing wall. Structural analysis in compliance with EN/DIN 4103T1 should be available. Resistance against recommended hospital cleaning and disinfection agents must be ensured. The wall elements, when fixed, provide a hermetic and hygienic circumferential and sealed connection. Expert Hygienic safety certificate shall be produced [4 sides of wall]

Coving & Reverse Coving • For the best air circulation and bacteria free OT, all the four vertical corners should be round and have radius R300 mm. The upper horizontal corners should also be round and have 300mm radius. The support structure should have compatible supports. MAKE: TATA/SAIL/JINDAL/BHUSION

PRE-FABRICATED GLASS WALL PANELLING SYSTEM • Pre- fabricate wall panels should be made with 10 mm thick thermally toughen glass as per BSEN 12150, easily withstand temperature differential up to 50°C.The manufacturing process should be controlled heating and cooling process in order to give maximum resistance to mechanical and thermal stress and prescribed fragmentation. (Test certificate should be provided) • The wall panels should be screen printing as per the approved colour & design. The printed surface should be partially or wholly covered. The chemical properties should be as per 11D tempered Glass, Air-bubble Proof, Anti Bacterial, Anti Fingerprint, Scratch Resistant, UV Protection. • Pre- fabricate g l a s s wall panel should be assemble/ fixed to the support structure by nonefastening method There should be minimum possible cavity/gap in between the 2 p an e l s an d should not b e m or e t h an 3 mm. The total distance between the inside and outside surfaces of the operating room should be variable to suit the architect’s layout, but should be sufficient for the flush mounting of equipments • The individual g l a s s wall panels should be fixed together at equal intervals to render Equal support to the panels. All joints should be filled with metal silicone filler and flush like plastic finish. cavity between the inner and outer walls should be left with minimum obstruction MAKE:- MEC/DIGILINE/ALTOS/MDD CORNERS: Coving & Reverse coving • For the best air circulation and bacteria free OT, all the four vertical corners should be round and have radius R300 mm. The upper horizontal corners should also be round and have 300mm radius. The support structure should have compatible supports. MAKE: MEC/DIGILINE/ALTOS/MDD

• Extruded Aluminum powder coated clip on type R 52 covings for the entire wall to wall and wall to ceiling MAKE:- MEC/DIGILINE/ALTOS/MDD CEILING SYSTEM • Supply of 50 mm thick ceiling panel one side Stainless Steel 304 and other side PCGI filled with PUF. PUF quality 40 kg/m3 density with 0.6 mm thick sheet. Aluminum profiles for reinforcement along the periphery With aluminum grid with supporting system like, tie rod, turnbuckle etc., • Room lighting, air supply inlet, ceiling service units; return air outlets, etc as should be integrated with ceiling system. • The individual panels should be fixed and painted as per walls. it should be flush with plain air box and hermetically sealed lights IP65. MAKE:- MEC/DIGILINE/ALTOS/MDD

EPOXY FLOORING INCLUDING SELF LEVELLING Epoxy Flooring of screed 2 mm and topping 1 mm of - total thickness 3 mm Fabrication, supply and Installation of seamless antistatic & conductive flooring, 2 mm thick, with perfectly curved flash covings, all joints welded as per the colour and pattern approved by hospital. They are to be laid on the smooth & levelled floor with anti fungal & anti bacterial materials. • It should be with 2 mm antistatic & conductive seamless epoxy flooring. • Floor should be smooth, non slip, impervious material conductive enough to dissipate static electricity but not conductive enough to endanger personnel from electric shock. • Electrostatic charge dissipation combat epoxy flooring with very high quality should be provided. • The epoxy flooring should be highly durable with resistance to shock and indentation. It should be scratch proof also. The conductive material should be uniformly impregnated as grains. • It should be inert to body fluids. Chemicals and disinfectants should not be affected by temperature variation. • The floor should efficiently discharge electric charge up to 2 KV. • Self leveling compounds should be used. • Corners should be uniformly curved • Final surface should be non corrosive to biological fluids and detergents.

• Colour should be uniform pleasant and matching with ambience. (Blue or Green) The conductive copper grid laid underneath should be supported by liquid epoxy compounds allowed to set as a uniform and level surface. The copper strips to be made visible by grinding and no copper strip should project more than 0.5 mm above level surface. One earthing lead should be brought out from 150 sqft area and attaching it to the main earthing strip/ground. Sound insulation: Without any additional measures the sound insulation values have to be a minimum of 50dB. Test reports of sound insulation will be required. Testing to be carried out on the basis of EN 20140-3:1995-01, EN ISO 717-1: 1996-12. Fire protection: The wall system (panels and substructure) should be made of non-flammable material. No dangerous concentrations of gases should be produced in an event of fire. It should confirm to Class B. MAKE:- JEOFLOR/GERFLOR/ARMSTRONG

CONTROL PANEL Fabrication, supply, Installation ,testing and commissioning of touch screen type surgeon control panel, flush mounted in the theatre wall comprising of the following: • The panel should accommodate all necessary controls for the correct operation and monitoring of the equipments and service within the operation room • The control panel should have display and control for • Standard clock- Date, time, Real time Clock • Elapsed clock • Hands free telephone set with memory located at one side • Temperature and humidity control for the room connected to the HVAC system • Temperature & Humidity indicators with settings • Lighting controls -Peripheral light control with dimmer and OT light On/Off • The medical gas alarm for 5 Gas and 1 Vacuum should indicate high and low gas pressure for each gas service present in the OT including vacuum. This should be supported by audible alarm also. The panel should have an alarm mute (fault annunciation) facility. The sensors (pressure switches should be near isolation valve. • HEPA filter status indicators. • Fire Sensor Indicator • Operation timing-Elapsed time • Anesthesia timer - Count down time • Differential Pressure • Music player MAKE:- MEC/DIGILINE/ALTOS/MDD

X RAY FILM VIEWER Fabrication, supply, Installation, testing and commissioning of 3 panel dimmable X-Ray viewing screen designed to provide a high level of control luminance without flicker. • LED type flat panel X-ray viewing panel should be supplied. • This should comply with relevant electrical safety codes. • This should be a 3 panel viewing screen. • Mounting should be flushed with wall to avoid dust accumulation and growth or organisms between wall and panel. • Body should be flushed or extruded aluminium powder coated black with bacteria resistant and disinfectant resistant finish. • The diffuser on the front panel should be a uniformly lit screen. • Dimming electronic control should be enclosed at the button of the cabinet. • Proper spring loaded film clips with rollers should be provided to hold the films firmly and to remove the film without scratches. • Each panel should be able to illuminate films up to 14”X17” size. ( Total 3 panels)*** MAKE:- MEC/DIGILINE/ALTOS/MDD

HERMETICALLY SEALED DOORS AUTOMATIC Fabrication, Supply, Installation and Commissioning of Automatic Hermetically sealing Sliding Doors of size 1800x2100mm with the following Specification: • Automatic Hermetically Sealing Sliding double doors having finished surface in high pressure laminate on both sides with flushed vision glass panels of 300 X 300 mm. For smooth sliding the door moves on nylon wheels within a single piece SS track. • The controller should be capable of OS being operated by Hand sensor/foot switches. • The track should be of stainless steel and the running surface for the top rollers should be suitably angled to reduce resistance to movement • The door leaf should be hung by means of hard plastic rollers of huge quality with double bearing at the top. Rollers should be provided under the stainless steel track to enable smooth and noiseless movement. • Opening and closing of the door should be microprocessor controlled electromechanical movement with PLC Controller, Motor Photo cell Sensor, Magic, Switch and Foot Switchs on both sides with AISI 304 grade Stainless Steel and with high quality inductive Sensors • The door material should be high quality laminate and should match the interior and care should be taken to make the leaf strong and light weight. • One should be able to open and close the door effortlessly in case of failure of automatic mechanism. • Door opening handle should be strong and study. Material should be of SS 304 grade. • Door leaf should have high quality synthetic rubber gasket with long life to ensure hermetic sealing (to maintain air pressure difference). Air tightness 99.99% at a pressure of 100KPa.

• The finishing on the either side of the door should be perfectly leveled (maximum permissible difference +1mm) • The overall thickness of the finished door should be 55 to 60mm. The inner part of the door should be filled with CFC free polyurethane foam thickness of 48mm or nearby. (Sealed airtight to prevent further ingress of any microbial organism). • The door and control should comply with IEE regulation and BS 7971 standardization. All motors used should be DC brushless motors with essential; isolation from mains. • Noise level should not exceed 50 db. • The starting time after receiving the signal should be adjustable between 0.5 to 20 seconds. • Door should provide X-ray protection as per AERB regulation (Lead equivalent at 100 KV is 0.27mm) • The complete door assembly should be CE marked. • Test certificate for hermetically sealed frame (factory test certificate) should be enclosed with the pre dispatched documents. MAKE:- HERMED / ALTOS / METAFLEX/ MEC

Modular OT Door : HERMETICALLY SEALED (Double leaf) door with view window Material: Stainless Steel 304 Skin Thickness: 0.8 mm Infill: PUFF With flush double glazing glass, (300 mm x 300 mm) hardware like door closure, D handles, ball bearing butt hinges and provision for concealed automatic door bottom seal etc. Colour will be chosen subsequently Size: (Double Door) 1800 x 2100 mm MAKE: HERMED/ALTOS/METAFLEX/MEC

PRESSURE RELIEF DAMPERS Fabrication, Supply Installation and Commissioning of proper pressure Relief Dampers having multi 304 grade stainless steel blade for maintaining the positive pressure inside the operation theatre. • Pressure relief dampers of over flow ports should be provided in each room to prevent contamination of air from clean and dirty areas. • Suitably sized air pressure relief damper should be strategically placed, enabling differential room pressure to be maintained and ensure that when doors are opened between clean and dirty areas. • Counter – weight balancing system should be provided in the PRD to maintain positive pressure inside the operation room. • Air pressure stabilizer should have unique capability of controlling differential pressure to close at a pressure only fractionally above the threshold pressure. • The body should be epoxy powder coated as per standard BS colours. High grade electrolyzed steel plate should be used for body and high grade SS304 stainless steel for blades. MAKE:- MEC/DIGILINE/ALTOS/MDD

SCRUB STATION Fabrication, Supply, installation, Testing and commissioning of 3 bay ( two nos Auto tap+ one normal tap) Scrub Sink with the following specification:- • Compact surgical scuba sink should be designed for use in OT complex providing for pre procedural scrub up. ( Double sink combination as suitable) • Each fixture should be fabricated from SS 304 grade (minimum thickens 1.58 mm) and should be seamless welded construction, polished to a satin finish. • The scrub sink should be provided with affront aces panel which should be easily removed for access to the water controlled valve, waste connection, stoppers and strainers. • Hands free operation should include infra red sensors with programmable adjustment. • Timing should be adjustable to meet individual application requirements. • Knee/foot operated switch should also be provided additionally. MAKE:- MEC/DIGILINE/ALTOS/MDD

WRITING BOARD/WHITE BOARD Supply & Installation of writing board/white board of size 900/600 mm flush mounted 1.60 mm thick white laminate board, bonded to a 40 mm high density fiber board sheet for additional rigidity. The unit should open to create a wall mounted writing surface within the operating room. The white board should be constructed from 1.6 mm thick, white laminate. MAKE:- MEC/DIGILINE/ALTOS/MDD

LAMINAR AIR FLOW SYSTEM ( MINI PLEET FILTER TYPE) • Fabrication, supply, Installation, testing and commissioning of Laminar Air Flow Ceiling system. Air filtration and distribution system for operation theatres, with vertical unidirectional air flow from the centre to the edge of the ceiling to ensure the cleanliness of all the area covered by the air flow. • Aluminium epoxy powder coated PLENUM made out of Double skin 16 G sheet having following technical specification:  Offered PLENUM is in Double skin SS sheet of 0.8 & 0.6mm both side with PUF filling duly powder coated sealed with different type of entire stainless steel 304 extruded section of 1.5 mm thick with housing for each installation of HEPA filters, both sides made out of CRC powder coated 1.5mm thick sheet. The whole unit should be factory made with OT light ceiling arrangement, made out of OT light podsters at the other end. The plain air box should be with length 2400x2400mm with aluminium, 16 nos equal diffusers for unidirectional laminar flow construction.  Entry of air housing shall be from both sides.  Plenum shall be complete with 08 Nos. DOP tested point scanned HEPA Filters having efficiency better than 99.97% down to 0.3 micron particle size. Capacity of each Plenum 4500 CFM @ 80 % of design capacity).  Maintenance of filters shall be from bottom i.e. from OT room.  12 nos aluminium powder coated diffuser shall be provided below HEPA filters.  Two nos. Pressure measurement ports shall be provided in each Housing.  Airflow: 50 +- 10 % FPM.  Class 100/ISO class 5 as per international standard and meets DIN 1946-4.

• HEPA Filters specification:  Frame – Aluminium Type- Flange type/Box type  Media- Micro Fiber Glass(Imported)  Sealing of media- By means of epoxy.  Efficiency- 99.99 % down to 0.3 micron particle size.  I.P.D- 15 mm WG  F.P.D.- 50 mm WG  Separators – concealed AI. Or hot melt glue.  Capacity- 750 CFM • Should be CE certified. MAKE:- MEC/DIGILINE/ALTOS/MDD

VIEW WINDOW The view window should be of specified size 1.0mtr x 1.25mtr should be provided with each operation theatre should be double isolated fixed glazing with not less than 8 mm thick toughened glass on both the sides with 12 mm air gap. Window frame should be made of SS 304 flush mounted with wall paneling. MAKE:- MEC/DIGILINE/ALTOS/MDD

STORAGE UNIT Fabrication, supply, Installation, testing and commissioning of storage unit with the following specification: • The storage unit should be made with 1.5 mm thick stainless steel 304 panels. • It should be continuously ventilated by positive air in the room through ventilation holes provided at the bottom and top of opposite sides. • The shelves should be welded SS mesh of size 3 mm and grid size 30mm X 30 mm removable for cleaning. • The storage unit should be divided into 2 or more parts and each part should have individual glass doors with high quality locking system. • The overall size should be approx 180 cm X 60 cm X 45 cm MAKE:- MEC/DIGILINE/ALTOS/MDD

SURGEON DOUBLE ARM PENDANT: Supply and Fixing of Double Arm multipurpose surgeon pendant with rotation of each arm upto 340 degrees and with a long vertical console length of 1350 mm and following provisions are provided in each surgeon pendant • Having weight carrying capacity of the arm should not be less than 200 Kgs, • Eight modular electrical sockets 5/15 Amp , • Console in aluminium extrusion profile duly powder coated , IV Pole, Infusion Pump Pole, Three equipment shelf and Indian gas outlet (2 for Oxygen, 1 for Vacuum, 2 for Air 4 Bar), RJ1lsocket, RJ45 socket. Comply with NFPA99/HTMO2-01. • Provision for fixing of HD Monitor -1No • Each pendant should have: 1. Oxygen Outlets - 2 nos. 2. Vacuum Outlets - 2 nos 3. Nitrous oxide - 2 nos. 4. Air (4 bars) Outlets - 2 nos. 5. AGSS outlet - 1 no 6. Electrical sockets- 8 nos. 7. Shelf with two rails one on each side - 3 nos. 8. Data socket RJ - 45 – no • The pendant should be European CE or USFDA Certified MAKE:- MEC/DIGILINE/ALTOS/MDD

PENDANT – DOUBLE ARM Providing, Fixing, supply, Installation, Testing and commissioning of Surgeon double Arm Pendant with the following specification. • The pendant should comply with NFPA 99C/HTM 02-01. The support arms should be extremely robust and revolve on high quality bearing, so that the pendant head glides smoothly and quickly to any desired position. • Weight carrying capacity of the arm should not be less than 200 kgs. Should have electromagnetic barkers. • Each arm should be capacity of 300-340 degrees of rotation, which can be easily adjusted to suit the desired mode of operation. The pendant service Heads should be modular with 400 mm head. The head should be capable of accepting a range of shelves, and infusion poles or other accessories. The pendant heads should support the range of physiological monitor’s solution. • The pendant Services head should be supplied with medical gas terminal units 15 Amps. Sockets. • Each pendant should have: 1. Oxygen Outlets - 2 nos. 2. Vacuum Outlets - 2 nos 3. Nitrous oxide - 2 nos. 4. Air (4 bars) Outlets - 2 nos. 5. AGSS outlet - 1 no 6. Electrical sockets- 8 nos. 7. Shelf with two rails one on each side - 3 nos. 8. Data socket RJ - 45 – no • The pendant should be European CE or USFDA Certified MAKE:- MEC/DIGILINE/ALTOS/MDD

LED OT LIGHT Double Dome Ceiling OT LED Light with wireless Detachable IP cameras enabled 1. Double dome LED Light suspended from the ceiling. 2. Each dome should have a multi-lens matrix for a shadow free, homogenous, pure white, natural light field 3. It should be designed for laminar air flow ceilings. 4. It should have an IR-free Illumination. 5. It should have controls for all controllable parameters on dome assembly 6. It should be possible to adjust the dome at any position, have easy maneuverable, free up and down and swing movements and freely rotatable at any angle. 7. It should be supplied with 4 nos. of additional sterile handles. 8. Wireless High Definition Camera- The OT lights camera system should have a uniform CE Certification The Camera should be High dimension and have full HD video output. The camera should have facility for zoom (min 6 x optical/12 x digital) The Camera should have convenient control of all camera functions via a separate control unit. There should be no image interference caused by electro-surgery unit. Camera should have the following Technical Features:- Image Sensor:1/2.8” CMOS or equivalent Effective pixel number: Approx.2, 000,000 Signal System/Video Standard : 1080p Aspect (height-to-width) ratio : 16:9 Sensitivity :1.4 lx Signal-to-noise ratio (SNR) : 50dB Zoom :10 x optical / 12 x digital Focal length (zoom lens): f = 3.8 mm to 38 mm

Mark of Conformity : CE/USA FDA. 10. Medical grade HD monitor -1 No, more than or equal to 26+ inch inside theatre on 3rd arm to visualize the video. It should have provision and compatibility to connect laparoscopic HD camera, endoscopic and room camera. Colour Temperature 4000 k-4500 k (+_10%) ( White Led) Field Size Diameter 18cm-20cm- 25-cm-27cm Depth of Field 80-30cm- 120-60cm Illumination Level 160000Lux (each Dome) Rotation 360-330 degrees Sterilization Handle Yes Light head Diameter 65 - 70cm Mounting Type Ceiling Supply Voltage 230 VAC 50 Hz Bulb Type LED Dimming Range 30%-80% Operating/Storage Humanity 10-95% Life of Light Source 60,000 Hrs • Should be CE/ 4 digit Certified. • Should be CE/ 4 digit Certified. MAKE:- /DRAGER/MARTIN/MAQUET

PERIPHERAL LIGHTING AND CLEAN ROOM LUMINARIES • To provide peripheral lighting and clean room laminate min 500 Lux of size 1200x300x75 It should be 8 in numbers for each OT. Should be with highly secular anodized aluminium reflectors and optical antiglare system • Luminaries cover should be made of highly resistant, disinfectant proof laminated safety glass with stylish fine grained surface, glass panel with white coated steel frame. • The reflectors should be of high Quality, cleanable and non deteriorating. • The white luminaries body should be made of sheet/perfectly powder coated, supplied ready for connection optionally for individual or series circuit with digital electronic control gear in milliamp technology. • Recess frames should be gas tight. The fitting should be flushed with the ceiling and should be removable from top or bottom. The light fitting should be uniformly and aesthetically distributed on the ceiling to provide uniform illumination and the OT light should not interfere when green mode endoscopy is performed. • Peripheral lighting should be done according to IP65 (international protection rating 65). • Control equipment for the general lighting and the light dimming should be providing in the theatre control panel. MAKE:- MEC/DIGILINE/ALTOS/MDD

ELECTICAL SYSTEM INSIDE THE OT • Laying conduits, switch Boxes, Switch plates, Power and light Electro Multi- plug Sockets, including Wiring, Earthing all the lighting controls, Pendent and other equipment fixtures and fitting complete as per approved design. • Power socket within the Operating Theatre ancillary areas should be matched to the rest of the hospital. • Light fitting within the clinical areas should be recessed LED type with control gear (Philips). • Fittings should be sealed in accordance with the standard IP54. • All equipment should be fully and permanently labelled to identify and describe the function, operation and voltage of the apparatus concerned. Throughout and upon completion of the electrical installation tests in accordance with relevant sections of the local wiring regulation should be carried out and the result recorded. MAKE:- HAVELLS/RR CABLES/FINOLEX

HATCH BOX A SS 304 Hatch should be provided in each operation theatre to remove waste materials from the operation theatre to dirty linen area/corridor just adjacent to Operation Theatre. Each Hatch box should be equipped with two doors and the door should be operated electronically. The Hatch should be designed in such a way that only one door should be opened at one time. The UV light should be so installed that it is kept ON while both the doors are closed. This UV light has to be automatically turned off in case of opening of either of the doors. Indicators should be provided on both sides of the OT so that door open / close status can be monitored from both sides. The size should be 630mmX630mmX350mm. MAKE:- MEC/DIGILINE/ALTOS/MDD

OT table Technical specifications for OT table : 1. Multipurpose surgical table that can be used for all type of surgeries 2. It is an Electro Hydraulic system made from imported quality raw materials with weight bearing capacity of 350kgs and ultra low height 3. Two way operated: Electric and Battery with Change over and Emergency switch -Electrical and battery 4. Mattress made in P.U.Material 5. Concealed imported P.U.central lock castors and Safety locks incorprated in the side rails 6. Electrical remote operated power brakes 7. In built battery backup with recharging circuit 8. Electrical override panel fitted in up and down column cover 9. Heavy and big cord remote 10. Safety protection device incorporated 11. ABS heavy base cover 12. Sealed bottom prevents water and dust from entering inside 13. Imported up and down columns (made in heavy steel material) 14. Table top is made out of strong radiolucent material compatible for 'C' arm 15. All Stainless steel material is 304 grade 16. The entire top is constructed out of 10SWG (3MM) square pipe 17. Suitable for for bariatric, nuero, spine, cardiac, cancer, laparoscopy, urology, and Replacement surgeries 18. Zero position switch in handset and eletrical override panel 19. Should have a CE Certified. Certificate to be enclosed 20. Total length min: 2020 mm +/-5%

21. Total width min: 550 mm +/-5% 22. Table-top height adjustment in range min: 660 - 1016 mm 23. Leg Bed adjustment min: -85 ̊/+20 ̊ 24. Leg bed abduction - 0 deg to 180 deg 25. Both sides lateral tilt adjustment min: +/-25 ̊ 26. Trendelenburg/Rev- Trendelenburg position adjustment, +/-30 ̊ 27. Head Rest - 20 deg/ 50 deg 28. Should have kindley bridge 29. Table top longitudinal sliding - 200 mm to 300 mm 30. Maximum patient weight: 360 kgs 31. Standard Accessories 32. 1.Arm Rest-2 33. 2.Side Support-2 34. 3.Shoulder Support-2 35.Accessories: 1.Arm Rest-2 2.Side Support-2 3.Shoulder Support-2 4.Anesthesia Screen Rod-1 5.Incorporate Kidney Bridge With Handle-1 6.Mattress for Table-1 7.Simple Clamp-4 8.Lithotomy Crutches-2 9.Radial Setting Clamp-2 Make: Maquet/BenQ

ELECTRO SURGICAL UNIT Description REMTM Contact Quality Monitoring System • Measurement Frequency: 80 kHz ± 10 kHz • Measurement Current: Less than 10 Pa • Acceptable Resistance Ranges: -REMTM pad - 5- 135 ohms -Non-REMTM pad - less than 20 ohms • Acceptance range is 5-135 ohms after REM PolyHesive II return electrode is applied. Adaptive REMTM • REMTM trip is baseline impedance plus 40%. For example, if the baseline impedance is 30 ohms, the upper level trip approximately 42 ohms. If the pad-patient impedance falls below the baseline impedance, a new baseline is established Output Characteristics Bipolar Precise Mode: - Maximum P-P Voltage: 450 Rated Load (OHMS): 100 Maximum Power (Watts): 70 - Crest Factor* (Typical): 1.5 Standard Mode: - Maximum P-P Voltage: 320 - Rated Load (OHMS): 100 - Maximum Power (Watts): 70 - Crest Factor* (Typical): 1.5 Macro Mode: - Maximum P-P Voltage: 750 - Rated Load (OHMS): 100 - Maximum Power (Watts): 70 - Crest Factor* (Typical): 1.5 Monopolar Coag Desiccate Mode: - Maximum P-P Voltage: 3500 - Rated Load (OHMS): 500

Maximum Power (Watts): 120 - Crest Factor* (Typical): 5 Fulg. High Crest Factor* Mode: - Maximum P-P Voltage: 8500 - Rated Load (OHMS): 500 - Maximum Power (Watts): 120 - Crest Factor* (Typical): 7.0 Fulg. Low Crest Factor *Mode: - Maximum P-P Voltage: 6900 - Rated Load (OHMS): 500. - Maximum Power (Watts): 120 - Crest Factor* (Typical): 5.5 Spray Mode: - Maximum P-P Voltage: 9000 - Rated Load (OHMS): 500 - Maximum Power (Watts): 120 - Crest Factor* (Typical): 8 CEMTM Mode Monopolar Cut (Low): - Maximum P-P Voltage: 1000 - Rated Load (OHMS): 300 - Maximum Power (Watts): 100 - Crest Factor* (Typical): 1.5 Monopolar Coag (Dessicate): Maximum P-P Voltage: 3500 - Rated Load (OHMS): 500 - Maximum Power (Watts): 70 - Crest Factor* (Typical): 5 * Crest Factor is an indicator of a waveform's ability to coagulate without cutting Output Waveforms Bipolar: Precise: 470 kHz sinusoid Standard: 470 kHz sinusoid Macro: 470 kHz sinusoid

Monopolar Cut: • Low: 390 kHz sinusoid. Similar to the Pure Cut mode except the maximum voltage is limited to a lower value. • Pure: 390 kHz sinusoid • Blend: 390 kHz bursts of sinusoid, recurring at 27 kHz intervals. 50% duty cycle envelope Monopolar Coag: • Desiccate: 240 kHz sinusoid repeated at 39 kHz. 8% duty cycle. • Fulgurate: 390 kHz damped sinusoid bursts with a repetition frequency of 30 or 57 kHz into 500 ohms • Spray: 390 KHz damped sinusoidal bursts with a randomized repetition centered at 28 KHz frequencies include 21 KHz • Output power changes by less than 15% or 5 watts, whichever is greater, as the line voltage varies from 104-132 volts and 208- 264 volts (at rated load). Low Frequency Leakage (50-60 Hz); source current, patient leads, all outputs tied together: Normal polarity, intact chassis ground: 10 pA Normal polarity, ground open: 50 pA Reverse polarity, ground open: 50 pA Sink current, 140V applied, all inputs: 50 pA PER = 98 PER (Power Efficiency Rating) is the measure of an electrosurgical generator's ability to accurately deliver the selected power into a wide range of tissue types. Weight and Dimensions Height: 11.1 cm (4-3/8 in.) Width: 35.6 cm (14 in.) Length: 43.9 cm (17 in.) Weight: 8.1 kg (18 lbs)

Input Power Requirements Operating range is 85 to 132 AC volts. Maximum current is 7 amperes in Cut and 4 amperes in Coag. High Frequency Leakage Bipolor: Less than 60 mA (ms) • Monopolar: Less than 150 mA (rms) MAKE : VALLEY LAB / ERBE

Anaesthesia Workstations (Advanced) Components: Integrated Gas Delivery system, Circle absorber,Vaporizer, ventilator, Modular patient monitoring system Key points: 1. Anesthesia Workstation Should be with integrated Ventilator and circle absorber to facilitate low flow technology and to Monitor parameters like ECG, SPO2, NIBP, TEMP, Respiration, IBP and ETCO2 , AGM, BIS & NMT and should be of fully modular type 2. It should be fully electronic gas mixing machine with direct adjusting of oxygen% with Fresh Gas Flow Optimizer with flow accuracy or any equivalent mechanism 3. AWS should be able to adjust the delivery of anaesthetic agent & nitrous oxide based on MAC value (Automated ET control) 4. The ventilator should be suitable for adult pediatric infants and neonatal applications. 5. The ventilator should be pneumatically / mechanically driven (Piston technology) or equivalent mechanism such as volume reflection 6. If pneumatically driven, the belows should be visible and ascending type 7. Should have automatic self test plus automatic and manual leak test. 8. The flow meter should be having electronic display and additional gas flow tube to show total fresh gas flow. 9. The AGM should measure all 5 anesthetic agents and should display both inspired and expired concentration with automatic colour identification and MAC value. 10. It should have auxiliary flow meter incorporated. 11. It should have active anaesthesia gas scavenging system. 12. Oxygen sensor should be of paramagnetic technology

13. It should have Active fresh gas outlet. 14. It should have heated patient circuit or equivalent mechanism to reduce water condensation. 15. It should have inbuilt suction facility. 16. The soda lime canister should be easily detachable and a single chamber 17. It should have a battery backup of at least 90 mins. 18. Should be ISO/CE certified. 19. Vaporizer: Electronic type. 20. Should fulfil standard safety guidelines 21. Each WS should be supplied with one Vaporizer of either Isoflurane /Sevoflurane /Desflurane 22. Ventilator : Should have colour touch screen with minimum 15" inches color touch screen. with pressure, flow and volume graph and loops of p-v, f-v-p-f loops. 23. Display parameters: All setting and alarm parameters breath rate, I:E ratio, Tidal volume minute volume, PEEP , Peak pressure, Resistance, Compliance, FIO2,ETCO2,Pmean, Pplat, electronic indicated bars/loops, anaesthetic gas parameters and BIS parameters. 24. Waves of pressure- time, flow-time,Volume- time, loops of P-V,F-V,wave of CO2. 25. It should have stand by modes with facility to set ventilator and alarm setting in stand by mode. 26. MODES OF VENTILLATION: VCV, PCV, SIMV (VOUME AND PRESSURE) PSV WITH APNEA BACK UP. SIMV-VG 27. VENTILLATOR PARAMETER RANGES : TIDAL VOUME : 20-1500 ML (VCV and SIMV-VCV) 28. PRESSURE (INSPIRED) RANGE - 5-60 CM H20 29. PRESSURE (LIMIT) RANGE - 10-100 CM H20 30. PRESSURE (SUPPORT) RANGE -5 TO 60 CM H20

31. RATE RANGE : 4-100 BPM INCREMENTS OF 1 BPM (VCV,PCV) 32. PRESSURE TRIGGER : -20 TO -1 CM H20 33. FLOW TRIGGER : 0.5—15 L/MIN INCREMENTS OF 0.5 L/ MIN (SIMV , PSV) 34. INSPIRATORY PAUSE TIME : OFF , 5-60% OF INSPIRATION TIME 35. POSIIVE END EXPIRATORY PRESSURE(PEEP) TYPE : INTEGRATED, ELECTRONICALLY CONTROLLED OFF 4-30 CM H20 INCREMENTS OF 1 CM H20 36. Standard alarm setting for the following 37. Tidal volume (expiratory) : High : 5 -1600 ML, Minute volume, inspired Oxygen flow airway pressure, high pressure, Apnea alarm Rate. 38. Trend chart : Continuous trend information together with the Discrete events are store and shown by lines for the latest 24 hours with 5 seconds resolution for TVE, P Peak, MV, P Plat, Peep, Pmean, rate and optional FIO2, ETCO2. 39. Trend Table : Continuous trend information together with time discrete events are stored and shown by Table for the latest 24 hours for TVE, P Peak. 40. BATTERY BACKUP:minimum of 90 minutes 41. INLET AND OUTLET MODULES: 42. Wire network: RJ 45 connector 100-base -TX 43. support HL7 communication and upgrading of main unit. 44. GAS SUPPLY: 45. pipeline input range -0.28-6 Mpa. 46. pipeline connectors: NIST or DISS 47. cylinder input: one for oxygen and nitrous oxide each. 48. AUXILLARY 02 FLOWMETER: 49. Range: 0-15 L/min 50. Indicator: flow tube

51. HYPOXIC GUARD SYSTEM: should be mechanical and ensure 25% concentration of oxygen and N20 mixture. 52. 02 FLUSH: 25-60L/ MIN. 53. Should have a provision for mounting additional monitors on top of the machine and with drawers. 54. Should have antistatic wheels and Foot brakes. 55. Should supply with Standard bains circuit – 2nos, Adult and pediatric Reusable circuit – 2nos each, JR Circuit (Reusable)-1 No, and HME filters-25 Nos. The circuits shall be of Anaesthetics/ Flexicare/ Neon make.56. Reservoir bag (500ml, 1 litre, 1.5 litre and 2liters):-2 nos.each along with the machine. 57. Connectors for bains circuit: 5 nos with each machine. 58. AMBU bag( adult & pediatric): 1 no each along with the machine. It should be autoclavable. 59. Pressure regulated valve with 5 meter hose and connector (conversion kit) for oxygen and N2O should be provided with each machine – 1 each. 60. Should be supplied with driver gas hoses with necessary attachments (colour coded). 61. Should work in 220-240Vac 50 Hz input supply. 62. Should have inbuilt Electrical outlets of minimum 3nos with switches 63. Should be supplied with automatic servo stabilizer of suitable capacity 64. Should have Medical grade IP44 or above rated power cord to match D-Type plug. The protective earthling resistance (PER) and leakage current (LC) values should be as per IEC 62353/AAMI/NFPA-99. 65. Battery, and flow sensor should be covered under warranty as well as CAMC. 66. Should be supplied with medisorb or equivalent for circle absorber (4 kg) MAKE:MAQUET/DRAGER/GE

Anaesthesia Workstations (Mid range) should be an integrated Anesthesia machine with Ventilator and breathing systems with vapourizer and Supplied Monitors should be attached with the workstation by means of side arm 1.The workstation should have a built-in AGM and integrated Anesthesia ventilator with pressure, volume controlled SIMV, Pressure support with Apnoea backup and spirometry. 2. It should be electronically controlled, pneumatically operated. 3. Should provide with adult and paediatric reusable and autoclavable light weight tubing breathing circuit. 4. Should be able to deliver a tidal volume from 20 /10ml to 1500ml. (20 ml in VCV & 10 ml in PCV) to enable Adult, paediatrtic and neonatal ventilation 5. Should have a battery backup for at least 3 hr with low battery alarm and over charge protection. 6. Should have monitoring facility of airway pressure, tidal volume, frequency, oxygen concentration and AGM with modular integration. AGM should be able to measure the concentration of all standard anaesthetic agents and display the MAC value, EtCo2 &FiO2 7. Should have touch screen display of at least 10 inches for set parameters and graphical display for measured parameters 8. Should have automatic self test plus automatic and manual leak test.. 9. Anaesthesia machine should be with 3 gas supply system (O2, N2O, Air) with pipeline connections and reserve cylinder yokes. 10. Gas cylinder (pin indexed) yokes with sturdy clamping bars for easy handling.

11. Should supply pin index yokes for connecting cylinders for O2-1No, N2O – 1No and 1no for Air through pipeline. 12.Should have pressure measurements for all gas inlets including central lines mounted on the front panel for easy visibility. 13. Should have audible and visual alarm for major events 14. Oxygen and Nitrous oxide should be linked either mechanically or pneumatically to ensure a minimum of 25% oxygen delivery at all times to avoid delivery of hypoxic mixture. 15. Should have Virtual type flow meter for O2 and N2O and AIR calibrated in multiple scale. 16. The anaesthesia machine should have a master control ON/OFF switch. 17. Provision to mount any two selected vaporizer from standard manufacturer with interlocking facility to allow use of only one vaporizer at a time. 18. Sevoflurane / Isoflurane vaporizer of newer generation having specifications equivalent to tech type to be provided . & It Should be FDA Approved 19. Non-return cum pressure relief valve when pressure exceeds 120cmof H2O. 20. Should have only one common gas outlet (ACGO) and auxiliary O2 Outlet. 21. Should provide with oxygen flush switch. 22. Circle absorber with heated manifold / some inbuilt mechanism to remove water condensation. It should be with ventilator selector switch and circle on/off switch. Should have an automatic Co2 bypass. . Should have low flow anaesthesia technique facilities 24. Should have a facility to connect the Active /passive scavenging system

25. Should have safety certificate from a competent authority such as 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 26. Should have a provision for mounting additional monitors on top of the machine and with drawers. 27. Should have antistatic wheels and Foot brakes. 28. Should supply with Standard bains circuit – 2nos, Adult and pediatric Reusable circuit – 2nos each, JR Circuit (Reusable)-1 No, Limbo Circuit (disposable)- 5 Nos and HME filters-25 Nos. The circuits shall be of Anaesthetics/ Flexicare/ Neon make. 29. Reservoir bag (500ml, 1 litre, 1.5 litre and 2liters):-2 nos.each along with the machine. 30. Connectors for bains circuit: 5 nos with each machine. 31. AMBU bag( adult & pediatric): 1 no each along with the machine. It should be autoclavable. 32. Pressure regulated valve with 5 meter hose and connector (conversion kit) for oxygen and N2O should be provided with each machine – 1 each. 33. Should be supplied with driver gas hoses with necessary attachments (colour coded). 34. Should work in 220-240Vac 50 Hz input supply. 35. Should have inbuilt Electrical outlets of minimum 3nos with switches 36. Should be supplied with automatic servo stabilizer of suitable capacity

38. Should have Medical grade IP44 or above rated power cord to match D-Type plug. The protective earthling resistance (PER) and leakage current (LC) values should be as per IEC 62353/AAMI/NFPA-99. 39. Battery, O2 Cell and flow sensor should be covered under warranty as well as CAMC. 40. Should be supplied with medisorb or equivalent for circle absorber (4 kg) MAKE: DRAGER/GE/MINDRAY/BPL

Multi parameter Modular monitor 1. The monitor should be of modular configuration 2. Advanced Modular Monitor -3 Nos, Monitoring parameters should include ECG, SpO2, Respiration, Temperature, NIBP, Dual IBP & with following NMT (2), CO measurement (1), BIS /Entropy (1) 3. Should have transport module (Monitor) (Should be totally Unpluggable from the parent monitor along with leads) with minimum screen size of 4.5” which can be used during transport of patients without disconnecting the patient from monitor 4. Should have minimum of 15 inch Color TFT LCD Display with touch screen facility 5. Should have a high screen resolution of 1280x1024 pixels or more 6. Device should be light-weight and portable 7. Should have dual modes of operation: touch screen and rotary knob 8. Short-cut keys should be provided for easy operation for the user 9. Should be suitable for adult, pediatric and neonatal applications ECG: 10. Should be able to monitor 12-Lead ECG Of the patient 11. Should have heart rate measurement in the range of 15-350 bpm 12. Should be able to display 12-Lead ECG in a separate window 13. Should be able to monitor arrhythmias, display and store them 14. Should have Multi-ST Segment Analysis function 15. Should be able to detect & cancel pacemaker signals

Pulse oximetry: 16. Should have advanced Masimo /Nelcor Technology for accurate monitoring in critical care situations 17. Should have a measuring range of 1-100% 18. Should have a resolution of 1% 19. Should have display of plethysmograph with perfusion index NiBP: 20. Should have oscillometric method of measuring NiBP 21. Should be available with cuffs suitable forLarge adult, adult, pediatric and neonatal patients 22. Should display the systolic, diastolic and mean arterial pressure 23. Should have a measuring range of 0-300 mmHg Respiration: 24. Respiration should be measured through thoracic impedance method 25. Should have respiration rate of 6-150 rpm 26. Should display the respiration waveform on screen 27. Should have apnea detection facility Temperature: 28. Should have dual temperature monitoring modes 29. Should display both the values on screen, with the difference of temperature values as well 30. Should have a measuring range 0-50 degree Celsius 31. Thermal Recorder: 32. Should have integrated thermal recorder 33. Should be able to record on triggering of alarms Invasive BP monitoring : 34. Should be able to monitor dual channel IBP 35. Should be able to display the value as well as the waveform

36. Should display the systolic, diastolic and mean arterial pressure 37. Should have a measurement range of -50 to 300 mmHg 38. Modules to be supplied: 39. Neuromuscular transmission monitor : 2 40. Entropy /BIS : 1 41. Cardiac output monitoring : 1DATA MANAGEMENT 42. Should have extended Data Storage capabilities: 43. Maximum of 150 Hours of Trend Data Storage 44. 1000 NiBp Measurements 45. 200 Arrhythmia events review 46. 2 Hours of Full Waveform disclosure General Specifications 47. Should have a smart alarm system 48. Should have technical and physiological alarms 49. Should have different color coded alarms indicating different levels of criticality 50. Should have an alarm when heart rate is equal to respiration rate 51. Should have calculation interfaces of drug dose, titration, ventilation, oxygenation, renal and 52. kidney function interfaces 53. Should have USB port 54. Should have RS-232 port, DVI port and Nurse Call 55. Should be able to work on 220V 56. Should have inbuilt Li-ion Battery with back-up 2 hours or more 57. The monitor should be CE / FDA certified product Accessories (For each monitor) 58. Should be supplied with standard accessories 59. ECG Patient Cable (12 Lead) – 1 no. 60. Disposable electrodes – 100 nos.

61. NIBP Cuff for Neonatal, Peadiatric and Adult & large adult -01 each 62. Skin Temperature probe – 1 no. 63. Rectal Probe-01 no. 64. SPO2 Adult sensor – 1 no. 65. Neonatal sensor : 2 nos 66. SPO2 Extension Cable-01 no. 67. Disposable IBP Transducers- 05 nos. 68. ETCO2 Sampling lines-5 nos. Power cord MAKE:PHILIES/DRAGER/MINDRAY/BPL/ NIKHOEN KHODEN

Multiparameter monitor (Preconfigured ) 1. Monitoring parameters should include ECG, SpO2, Respiration, Temperature, NIBP, Dual IBP 2. Should be able to upgrade to other advanced parameters like NMT, CO measurement, BIS /Entropy in future 3. Should have minimum of 12 inch Color TFT LCD Display with touch screen facility 4. Should have a high screen resolution of 1280x1024 pixels or more 5. Device should be light-weight and portable 6. Should have dual modes of operation: touch screen and rotary knob 7. Short-cut keys should be provided for easy operation for the user 8. Should be suitable for adult, pediatric and neonatal applications ECG: 1. Should be able to monitor 12-Lead ECG Of the patient 2. Should have heart rate measurement in the range of 15-350 bpm 3. Should be able to display 12-Lead ECG in a separate window 4. Should be able to monitor arrhythmias, display and store them 5. Should have Multi-ST Segment Analysis function 6. Should be able to detect pacemaker signals Spo2: 1. Should have advanced Masimo /Nelcor Technology for accurate monitoring in critical care situations 2. Should have a measuring range of 1-100% 3. Should have a resolution of 1% 4. Should have display of plethysmograph with perfusion index

NiBp: 1. Should have oscillometric method of measuring NiBp 2. Should be available with cuffs suitable for adult, pediatric and neonatal patients3. Should display the systolic, diastolic and mean arterial pressure 4. Should have a measuring range of 0-300 mmHg Respiration: 1. Respiration should be measured through thoracic impedance method 2. Should have respiration rate of 6-150 rpm 3. Should display the respiration waveform on screen 4. Should have apnea detection facility Temperature: 1. Should have dual temperature monitoring modes 2. Should display both the values on screen, with the difference of temperature values as well 3. Should have a measuring range 0-50 degree Celsius 4. Thermal Recorder: 5. Should have integrated thermal recorder 6. Should be able to record on triggering of alarms IBP: 1. Should be able to monitor dual channel IBP 2. Should be able to display the value as well as the waveform 3. Should display the systolic, diastolic and mean arterial pressure 4. Should have a measurement range of -50 to 300 mmHg DATA MANAGEMENT 1. Should have extended Data Storage capabilities: 2. Maximum of 72 Hours of Trend Data Storage 3. 1000 NiBp Measurements 4. 200 Arrhythmia events review 5. 2 Hours of Full Waveform disclosure

General Specifications 1. Should have a smart alarm system 2. Should have technical and physiological alarms 3. Should have different color coded alarms indicating different levels of criticality 4. Should have an alarm when heart rate is equal to respiration rate 9. Should have calculation interfaces of drug dose & titration 10. Should have USB port 11. Should have RS-232 port, DVI port and Nurse Call 12. Should be able to work on 220V 13. Should have inbuilt Li-ion Battery with back-up 2 hours or more 14. Manufacturer should be ISO Certified 15. The monitor should be CE certified product Accessories (For each monitor) 16. Should be supplied with standard accessories 17. ECG Patient Cable (12 Lead) – 1 no. 18. Disposable electrodes – 100 nos. 19. NIBP Cuff for Neonatal, Peadiatric and Adult-01 each 20. Skin Temperature probe – 1 no. 21. Rectal Probe-01 no. 22. SPO2 Adult sensor – 1 no. 23. SPO2 Extension Cable-01 no. 24. Disposable IBP Transducers- 05 nos. 25. ETCO2 Sampling lines-10 nos. 26. Power cord Make: NIKHOEN KHODEN/ GE/DARGER/ SKANRAY/BPL