corrigendum to pre-bid meeting uploaded on 28/2/2018 and...

Corrigendum to Pre-Bid Meeting uploaded on

28/2/2018 and Held on 17/02/2018.

1. Spine Drill Specs for SPINAL SURGERY Changed as;

SPINAL DRILL SPECIFICATION

Control unit control unit with integrated irrigation pump

easy and comfortable operation through self-explanatory Touch Screen

Control unit stores the most recently used setting and recalls them automatically when the respective motor type gets reconnected.

The control unit allows a customized adjustment of the working parameters. The following settings can be adapted to the individual needs/habits

Any software updates can be performed locally via USB-Stick.

All applied parts can be connected to one cable – no need to bring 2 cables from the unsterile into the sterile area (however the unit offers 2 motor connection sockets – if the user prefers to connect two motors simultaneously).

Foot control rocker switch for pump and forward/reverse selection

flush irrigation mode

pedal can be disassembled for easy cleaning

pedal can be rinsed under the tap

well positioned holding rail allows the convenient relocation of the pedal through the surgeon by foot

High speed hand piece 1. Length of hand piece 70mm 2. Length of hand piece 100mm 3. Length of hand piece 130mm

Specification speed range 0- 80,000 psi

Ergonomic design handpiece can be use as straight and curved no need multiple handpiece

universal burr length – one burr fits all handpiece lengths → less inventory & less costs

extremely large selection of high class burrs for excellent cutting and reaming performance

small size and enhanced ergonomics trough integrated motor

handpiece shaft only 5,6 mm in diameter for good view and access

increased safety: burrs can only be exchanged when headpiece in Off-position

smooth running characteristics through direct drive (motor in line with the burr, no angle gears)

automatic burr coupling – burr just clicks in

clear headpiece burr coding by ring system

Micro Saw Sagittal speed range 8,000–20,000 strokes

very small saw blade couplings for good view into the operating site

scalpel blade like saw blade coupling for easy handling and economic saw blades

sagittal saw: saw blade can be adjusted in steps of 45° Attachment and burr locked in On-position

Max. Motor speed 80,000 rpm

Tubing set for irrigation (10) Spray Nozel

For handpiece irrigation

Motor cable for handpiece Burrs and Blades

Rozen burr 1mm to 3mm 2 each

Rozen burr 1mm to 3mm for soft cut 2 each

Diamond burr 1mm to 3mm 2 each

Diamond burr, coarse 1mm to 3mm 2 each

Sagittal saw blade 10x13x0.3 6 each

Sagittal saw blade 15x05x0.3 6 each

Specialized Container system with equipment fixation system

Fixation basket with fixation holder for above equipment

Container bottom with mate and identification label for equipment

Container lid with bacterial protection filter for 5000 time autoclavable

Sterile oil spray 6 qty

Imported trolley with wire basket. Country of Origin, Manufacturing and Shipment must be same and :UK,USA, GERMANY,JAPAN

2. Main Operation theater 3. Laparoscope: 3D camera Head 0 degree also required.

4. MORTURAY: ‘’Cabinet’’ is not mandatory for mortuary.

5. CSSD Country of Origin for CSSD ‘’Netherland, Italy and Turkey’’ will also be acceptable.

Video Recording line removed, Hydrogen Per Oxide required 100 Liter or above in CSSD.

Autoclave:-

Color touch screen panel should be 10” or more on both sides for better user interface.

The system should have an efficient control system which control all functions and

parameters of the machine.

Built in printer is already mentioned in the specification. Ethernet port and A4 printer is

not mandatory.

Portable Autoclave

Capacity should be from 20-25L for healthy competition.

Please include Rapid program should not more than 12 mint.

Please include Sweden in a country of origin list.

Washing station with built in ultrasonic cleaner:-

Amendment into two sink, and ultrasonic cleaner on the top of sink at left side.

Tank volume for ultrasonic cleaner: 45L or more for healthy competition.

Air compressor:-

Capacity 24L or more

Low temperature sterilizer:-

The system should have an efficient control system which control all

functions and parameters of the machine.

6. LAUNDRY: Drying Tumbler

Drum volume:- 1020-1100L

Flat work ironer

Deep chest for best ironing finish, roll padding spring press, raising/lowering

of roll should be included in an ironer for good efficiency.

Utility press

Built in exhaust

Country of Origin: Same as mentioned in the CSSD.

OTHER Changes in different departments:

7. Non-Invasive Ventilator: Servo Controlled Humidifier will also be acceptable. Country of Origin:

Uk, USA, GERMANY, JAPAN, ITALY will also be acceptable.

8. For all items of Pulmonology Country of Origin: UK, USA, GERMANY, JAPAN, ITALY and Korea will

also be acceptable.

9. Pulmonology Specs on page#38 will be considered as it is on page#40 &43.

10. Non-Invasive Ventilator with Battery Backup: Tidal Volume changed as 40ml-1500 ml or better

and screen size acceptable is 12’’ or more high resolution.

11. RADIOLOGY: DR 800 MA: ’Tube detector and Workstation from Same Manufacturer’’ This line

is removed and not mandatory.

12. Radiology’’ DR 800 MA: ‘’Motorized Chest stand with height-adjustable and tilt able Bucky

having swivel movement for off table exams’’ the word tilt is not mandatory.

13. C2-Electric Beds: Top Height ranges 730-800 or better, Back rest angle between 60-75 degree,

Trendulberg angle between 10 degrees or better, Gas cylinder holder is not mandatory, and in

the Country of Origin: Poland/Netherland added.

14. I3 and I4 Bed Head Units ICU,CCU Country of Origin: France added.

15. I 17 Surgical and Anesthesia Pendants: Country of Origin: France Added.

16. Shredder Auto Calve: Window for Visualization is optional. Temperature sensor not mandatory,

Paddle instrument filling is optional. Unloading should be Auto or Gravity of machine, Auto

Greasing is Optional.

17. C6- Stretcher: Safety Side Rails Dimensions are approximate. Ventilated two Panel base is

optional.

18. In all Electric Beds mentioned everywhere Country of Origin: Turkey and Sweden will also be

acceptable.

19. PACS System Specs are as;

S.No ITEM SOFTWARE SPECIFICATIONS

1 PACS

Picture Archiving & Communication System (PACS)

Server software capable of workflow

management and image archiving

The proposed PACS Viewing application should be full web-based

application and should be working on all internet browsers like

(Chrome, IE, Safari, Firefox)

Capable to archive up to 400,000 studies annually

5 years’ online data storage

Fully enabled VNA solution for archiving DICOM and Non DICOM

images/Data

Supporting unlimited web-viewing

Unlimited DICOM nodes (AE Titles)

Latest version of Oracle/SQL server database enabling unlimited

number of users

Web-viewer application for iOs, Android and Windows based devices

enabling physicians to access patients’ studies via internet

DICOM Query/Retrieve of studies supporting TCP/IP based DICOM

transmission

DICOM Q/R of studies supporting SSI/TLS

based DICOM transmission for tale-radiology

AE title/IP address validation for security (DICOM modalities

Default hardening for servers / OS and application for security (DATA

server security)

Apply user restriction to AE titles for query retrieve and store at least

for institution name, referring and reading physician

Option for Scientific Users: anonymize incoming studies automatically

using customizable templates; adding key notes to studies for easy

later retrieval, e.g. "pancreas cancer"

Forwarding of DICOM studies to workstations and to assign each AE

title a forward query priority defines triggers for auto-forwarding

including immediate forward at a certain day/time, option to delete

studies after successful Archiving

Pre-fetch requests to long-term storage manager to move data from

near-line to online based on information provided by HIS/RIS via HL7

messages

Ability to receive images from all DICOM 3.0 compliant modalities

PACS can be remotely configure through web from any location

Multi-planer Reconstruction MPR

PACS should support different DICOM SR SOP Classes (Basic,

Enhanced, Comprehensive)

PACS should support Mammography CAD SR SOP Classes

PACS should support Enhanced MR and CT SOP classes?

PACS should support Digital Breast Tomosynthesis Image Storage SOP

class and the DBT Workflow

Facility to read and process images with all existing functionalities

before the arrival of entire data set

Provides tools required for analyzing studies like pan, zoom, ROI,

shutters and

magnifying glass

Window center window width / level adjustment

All image processing functions including comparison of different

studies, measurements, modify, delete, Cobb angle, perpendicular,

interior angle, 4-point angle, cardiothoracic ratio and round ROI etc.

Comparison of different studies with drag and drop option

Comparison with prior studies

Customizable display protocols for study type (modality, body part,

imaging procedure, etc.)

Keyboard shortcuts for easy operation

Studies can be viewed from any location from an unlimited number of

users with

internet access and even low bandwidth

Locking mechanism preventing studies from simultaneous

modification ensuring completion of diagnostic review without any

confusion or data loss

Exports images to Windows Clipboard, JPEG and bmp format or

DICOM format

Option for image printing on paper

Technicians can enter History/Symptoms of the patient

Ability to monitor the status of studies

Different log levels and status log including date/time occurred, user,

procedure and study details

Management reports in easy to understand tables and graphs which

can be refined for deeper understanding should be available on a real-

time interface viewable on a smart mobile phone or smart tablet

Referring physicians to have access patient details, Images and reports

on a smart mobile phone or smart tablet

Automatic or manual marking studies as read/unread

VNA (Vendor Neutral Archive) Scalability. 3rd Party Solution not

acceptable

The VNA must be scalable (i.e., support queries and retrievals without

noticeable performance degradation) when the number of studies

increases.

Image Management

System administrator tools must allow for patient and study merge

Tools should allow for changing any DICOM Attribute in the image

header and database

Changes in image headers should be able to propagate to all images in

the respective Exam, Series, Study, and Patient level

Image life cycle management

It shall be possible for images and related information to be deleted

by a PACS

administrator

Images shall be able to be deleted based on configurable retention

rules which

shall include modality type, patient age, study date, and date of last

retrieval

Changes in window width/level, zoom, and pan shall be stored and

retrieved as

DICOM Presentation States

Overlays, such as those that contain measurements and notes, as well

as

markers and shutters, shall be stored and retrieved as DICOM

Presentation

States

Key images shall be stored and retrieved as DICOM Structured Reports

Structured reports--such as to store CAD and measurements--shall be

able to be

stored and retrieved

A complete list of supported Non-Image DICOM SOP Classes shall be

provided

DICOM Supported Classes

Storage and retrieval of Enhanced DICOM objects such as but not

limited to

the new multiframe MRI, CT, XA, and RF shall be supported

A complete list of all supported Image Storage SOP Classes shall be

provided

Non-DICOM Object Support

Query, storage, and retrieval of multimedia formats such as--but not

limited to--

MPEG, JPEG, TIFF, .DOC, .TXT, .PDF, and .XML shall be supported

Must support the zero-footprint, web-based enterprise viewer

enabling faster and easier access to patient’s data and images on

regular PCs, smart phones and tablets

Web-based upload of Non-DICOM data including videos, images,

word. excel and pdf files

Should support Cross-Enterprise Document Sharing (XDS repository,

registry, source and consumer) and other IHE profiles including SWF,

IOCM, ARI, PIR, CPI, XDR, XDSb, XDSbI, PDQv3, PIX, ED, ED-CARD, SINR,

Mammo, KIN, NMI, ATNA, CT and PDI

Native reporting with embedded voice recognition facility, eliminating

the need for typing and manual entry of patient or clinical context

Auto recording of the radiologist’s voice for transcriptionist to type the

report

Structured and interactive multimedia reports with relevant

quantitative clinical data and hyperlink to key images that launches

web-viewer

Linking and synchronizing multiple CT & MRI studies across patient’s

history

Text reports can be stored and retrieved for at least 10 years from the

PACS interface

Option to compare Examination of same and different patients.

The System should support “CT Perfusion” workflow

The System should support “MRI-Diffusion” workflow

The System should support SUV measurement tool.

The system should be capable of sending key images to either “Film”

or “Report”.

System shall have Full Peer Review Module as per the American

College of Radiology ACR Standards. This should be integral part of the

PACS and not a 3rd Party System.

System should have a ED-Discrepancies Module as per international

standards as part of the PACS.

The admin can control groups and permissions for Peer Review.

Enabling the user to search for different status of the “Peer Review” or

“Discrepancies” studies.

Enable the user to merge studies of a patient to another patient

according to the user rights.

Enable the users to chat with other users inside the system

Enable the users to drag and drop study into the chatting dialog and

enable the other user to view it.

The system should have the ability to get detailed information about

number of received studies for every modality in a specific period.

Get detailed information about the relation between users and

reports for example, the number of reports which are Typed, Verified

or Dictated by a specific user.

System should support “Assigned Studies” containing all the user’s

assigned studies and enabling the user to view the assigned study

images.

The System should have the ability to display all the selected patient

prior studies using a user friendly “Patient Timeline” page.

Patient Portal Module to be attached with the PACS System capability

Patient history timeline for prior relevant studies

Critical Results Notification – critical or unexpected results identified in

the worklist should be alerted via SMS or emails to the relevant

person (Radiologist and Referring Physicians) and highlighted with an

icon on the images on the web-viewers

Easy opening/view of images of different patients at the same time

Easy opening of up to 5 studies of the patient at the same time for

image comparison

Manual/Automatic scanning and import of file systems to import

DICOM files to PACS

Ability to ingest non DICOM data and linking it to patient’s history

from various departments including pathology, ophthalmology,

oncology, etc.

Addendum or configurable, "event driven" rules-based automated

routing of medical data throughout the enterprise

Manager user rights and user group rights for view, modify, forward.

query ‘download/export, print, import, ability to share private studies

with other members of the group

Assign user profiles

Easy to perform database integrity check for duplicate patient lDs

Supporting lifecycle management for clinical images to avoid data

overload by automatic deletion based on period, modality, institution

name and referring physician

Automatic pre-fetching of related studies from archive

PACS software should support redundant/multiple networks

One log-in to the global worklist - no need to move between

workstations and log-in separately to each site

Audit Trail conforming to HIPAA

Transparent access to any information in a multi-site environment

according to user privileges

Predefined identification and authentication controls. For example,

personal interactions, digital certificates, security assertions, Kerberos,

and LDAP (User access control)

Auto-Logout ensuring termination of all the inactive sessions after a

specified time

PACS Backup Server for Disaster Recovery (on SERVER as mentioned

at Sr.#: 3)

High availability Cluster for load balancing, backup and failover

purposes.

Integrator for interfacing with thick and thin client HMIS

Integration support IT for existing non-HL7 HMIS DATA with PACS

Automatic patient demographic reconciliation feature

Automatic interface of reports from PACS to HMIS in HL 7 format

For integration with HMIS, easy opening of imaging studies from HMIS

without login to the PACS

Integration with HMIS using HL7 communications protocols.

DICOM Media Reader

DICOM Media Reader for automatic scanning of any DVD inserted in a

computer for DICOM images or any other file based media. The

images are analyzed, converted if necessary, and then transmitted via

DICOM store to any specified viewing station

DICOM Compressor

DICOM Compressor for speedy transmission of DICOM images & /

including DICOM JPEG 2000 data using low cost internet. Should

support multiple standard compression techniques; lossy and lossless

all defined in a DICOM Conformance Statement.

Option to compress all incoming studies to JPEG lossless or JPEG 2000

Must be multi language enabled for GUI and Data Entry of Patients

Data

Cross-browser compatibility (Firefox, Chrome, Internet explorer…).

Cross-platform compatibility (MAC, Windows, Linux….)

Zero foot print (ZFP) doesn’t require any installation or pre-configuration on the Client’s device.

Mammography tracking module.

Job order handling and retrieval of studies from local or remote branches and support multiple branches.

Support Single sign-on (SSO) by adding windows authentication and Active Directory integration.

Customizable Monitoring Dashboard with the following KPIs: • Report turnaround time. • Monitoring system progress and system performance indices: • Number of orders, exams and reports. • Reports verified per radiologists. • Arrived time to exam time. • Exam time to report time. • Arrived time to report time. • Performed/unperformed exams. Order per status. • Exams per machine. • Revenue per branch/machine. • Total profit, refund, remaining and cancelled orders. • Report turnaround time. • Exams per branch and per year.

IHE Technical Framework Compliant - please provide official document

HL7 Compliance Interface with any other systems via HL7 protocols

HIPAA Compliant trail required

Tracing user actions are managed (Audit Worklist)

Data encryption for secure network transmission

Web-based Interface - please confirm if it is 100% web-based? Or use

3rd party utilities?

Shall be able to search patient by last name, first name, date of birth

and social security/CNIC

number

Shall be able to view patient exam histories

Shall be able to scan and send patient document

Shall be able to enter and notice patient medical alert.

Integration with HMIS

Support ADT interface with HMIS (Hospital Management Information

System) to receive patient demographic data

Shall be able to perform ADT functions independent of hospital's ADT

system in the event

the hospital's ADT system is unavailable

Shall be able to generate patient ID automatically and manually

Must be able to send new order message to HMIS

Must be able to send cancel order message to HMIS

Shall be able to generate patient by each institution ID issuer

Shall be able to generate multiple statistics reports based on different

criteria like patients, procedures and modality types, orders

Shall be able to enter patient insurance information

Universal DICOM Modality Worklist license for unlimited modalities

Patient-centric work list to easily access individual patient’s records

Receive radiology procedure requests from HMIS as HL7 order

messages

Provide a modality work list (SCP) to DICOM imaging devices

The system must change DICOM work list information in case of

changing demographics or rescheduled procedures

Read modality performed procedure step information from devices

including radiation exposure and provide this information to HMIS

The work list must include following data: patients name, date of

birth, ID, accession number. Gender, weight. Allergies, referring

physician, requested procedure ID and description. Performing and

reading physicians name

Central global work list for cross reading across different locations

Shall be able to display Daily, Weekly, Monthly Chart

Shall Display time slots by room, date, modality, or department

Shall be able to reschedule by cut & paste, and drag & drop features

Shall display colors classified by study priority

Shall be able to block time slot for modality maintenance

Shall be able to assign a special procedure to a specific station

Shall be able to search all the of the ordered procedures by modality

Shall be able to alter patient-status as " arrived" in the scheduling

chart

Shall be able to schedule patients based on medical staff, Supplies,

and Equipment

Shall be able to schedule patients based on specific equipment

Shall be able to change exam status from "Arrived" to "In Progress",

"Complete" "Halted" and "Canceled"

Shall be able to change procedure room when a modality is out of

order

Consultation feature; supporting online opinion of other

Radiologists/Doctors through viewer screen sharing

Support of HL7 event acknowledgement

HL7 to DICOM message syntax dictionary

Support of multiple procedure requests in a single HL7 message

DICOM Media Writer

Automatic CD/DVD burning Robot capable to burn/print DICOM

studies including Basic Viewer with software licenses (one each for IH,

CH, MCH & FBCSC)

2

Speech

Recognition

Medical Speech Recognition and Dictation software supporting 10

user profiles for Radiologist

Transcription Software for Medical Transcription

3 Radiology

Workstations

Diagnostic Professional Workstation with post processing capability

(Read, Review, Import & Export)

Permitting physicians and radiologists to view and manipulate data

received from DICOM modalities

Printing to any supported local and/or network Postscript paper

printer and provide the ability to print to a network attached DICOM

printer

Support of 1 control display and at least 2 high resolution diagnostic

displays

Ability to assign any feature to any keyboard shortcut. Optionally

including ALT and/or CTRL key

"Thumbnail" view in customizable size depending in order to adapt to

different display resolutions providing a quick glance at the series

within a study

Route studies, series, or a single image from an archive to another

workstation or archive

Provides square, oval and polygonal ROI min, max, mean intensity.

density units including standard deviation and the area

Image sort options, at least ascending and descending by image

number, acquisition time and slice position of images, series or whole

studies including measurements and annotations to at least JPEG.

BMP and TIFF format. Easy export of series to video using variable

resolutions and frame rates

True multi-modality workstation to support at least the following

modalities: CT. MR, CR. DX, PET, NM, Tomosynthesis, visible light

microscopy for pathology images, DICOM PDF, DICOM Structured

reports supporting single frame and multi frame studies of at least

2500 images per series

Possibility to integrate post processing modules into the Radiology

Workstation, e.g. for 3D reconstructions, vascular. Breast etc.

While defining a vessel, a user can declare one or more sections as

occlusions

Ability to create reports from the system based on customizable

templates and add those reports to the current study in a DICOM

format

Possibility to switch overlays on/off for bitmaps, texts and shutters

and customize shutters

Customizable toolbar including adjustable icon and font size of the

user interface in order to optimize the system for different screen

resolutions

Option to automatic or manual display of cutting lines and cutting

polygons and customizing the line thickness in order to adjust the

system to different screen resolutions

Histogram equilibration based on a region of interest in order to semi-

automatically optimize the contrast of a region of interest

Image enhancement filters including sharpening, edge enhancement,

noise reduction and grid line suppression

Should support synchronized stacking

Possibility to change the scope of the center/window function to apply

either to single images or to a whole series

Possibility to calibrate images without pixel or voxel size information

or to recalibrate any existing image in order to perform true

orthopedic measurements in projection images with a calibration

marker

Ability to query multiple PACS servers at the same time with a single

query

Export studies to CD, DVD, USB memory stick or to an email recipient

in various formats including DICOM and JPEG

Easy and IHE compliant import of DICOM studies from any major

vendor and modality into the system directly from USB and CD and

DVD and file system and from an email. Possibility to import non-

DICOM images like pictures. histology or pathology images or scanned

documents and attach them to a study

Possibility to perform searches for the patient first name or parts of

the patient name

Option to easily display all studies of a patient

Single click to display all previous studies of a patient during reading

Simple and deep logging features in order to provide the possibility for

easy trouble shooting

The workstation should automatically decode JPEG or JPEG 2000

compressed studies. The workstation shall automatically refresh the

screen for incoming images of a study when this study is currently

open

Option to open and synchronize series of different modalities and

patient identities simultaneously, e.g. CT and MRI

Local cache of at least 1000 studies in case of network failure

Portable media light viewer to provide images in diagnostic quality,

supports measurement, printing of studies

ANGIOGRAPHY 1. X-Ray Tube required 2.4 MHU or better.

Burning of studies on CDs/DVDs using an IHE PDI compliant format

including basic viewer allowing to open the study in diagnostic quality

on any regular Windows PC with an html user interface

Flip, left/right rotate 90°, 180° angle rotation

Image processing tools – smoothing, sharpening and invert, color

remapping for nuclear medicine: negative color remapping, hot iron,

rain ramp, gold, black body

Next/previous study

next/previous series

next/previous image

Starts digital dictation from the workstation and to forward dictates to

a remote transcriptionist

Diagnostic Professional Workstation with 3D tools: MPR, MIP, export

function of processed images

4 MIGRATION

Data Migration

DICOM 3.0 compliant software application that can be used to migrate

DICOM data (including DICOM Structured Reports) from existing PACS

Server to target PACS Server.

The migration should be smooth and without any data loss

If existing or target PACS cannot be

configured or the configuration is unknown, the software should be

capable to use an existing DICOM node as a proxy to still be able to

perform a successful migration

2. Tube grid switch technology required

3. Pixel size 200 Micro Meter or better required.

4. OEM will be preferred.

5. Echo Cardio graphy (Cardiology)

6. Echo Cardio Graph N4 MICU, For CCU Ward and with 4D Thoracic Probe Frame rate acceptable

will be 1000 FPS or More.

ANGIO-X Modules 1 Base course – 5 modules

1.1 Catheter training exercise – 1 case

1.2 Guide wire training exercise – 1 case

1.3 Embolization coils training exercise – 3 cases

1. Aneurysm (spherical shape)

2. Aneurysm (oval shape)

3. Aneurysm (small)

1.4 Projections of coronary angiography – 1 case

1.5 Common angiography projections – 1 case

2 Balloon angioplasting and stenting – 6 modules

2.1 Carotid stenting – 2 cases

1. Woman: 68 years old

2. Man 64 years old: defeat of the left carotid artery

2.2 Coronary interventions – 11 cases

1. Usual size of the aorta

2. Small diameter of the aorta

3. Extended aorta

4. Extended and unfolded aorta

5. Superior origin of coronary arteries

6. Inferior origin of coronary arteries

7. Anterior origin of LCA

8. Posterior origin of LCA

9. Anterior origin of RCA

10. Posterior origin of RCA

11. High origin of the coronary arteries

2.3 Renal stenting – 7 cases

1. Man: stenosis of the left renal artery

2. Man: tandem stenosis of right renal artery

3. Man: multifocal atherosclerosis

4. Woman: fibromuscular dysplasia of both renal arteries

5. Woman: fibromuscular dysplasia of the left renal artery

6. Woman: stenosis at the mouth of both renal arteries to 70%

7. Man: stenosis of the right renal artery

2.4 Iliac Stenting – 7 cases



3. Man: 50 years old





2.5 Femoral stenting – 7 cases

1. Critical stenosis at the Hunter’s canal outlet

2. Sub-intimal occlusive disease of the SFA

3. Intraluminal occlusive disease of the SFA

4. Atherosclerotic stenosis

5. False SFA post-traumatic aneurism

6. Stenosis of the proximal anastomosis of shunt

7. Stenosis of the distal anastomosis of shunt

2.6 Below the knee – 7 cases

1. Stenosis of popliteal artery. Stenosis of AT artery

2. Occlusision of proximal segment of AT artery

3. Stenosis and occlusion of proximal segment of PTA

4. Occlusive disease of the popliteal artery

5. Occlusive disease of the tibioperoneal

6. Occlussion of proximal segments of AT and PT arteries

7. Occlussion of proximal segments of AT and PT arteries

3 Interventions on the brain vessels – 2 modules

3.1 Cerebral Vessels Stenting – 2 cases

1. Man 69 years old: stenosis of supraclinoid segment of left ICA

2. Man: stenosis of right ICA

3.2 Spiral embolization of intracranial aneurysms – 4 cases

1. Man 43 years old: saccular aneurysm on the branch of right ICA

2. Woman 42 years old: aneurysm of communicating segment of left ICA

3. Man 28 years old: aneurysm on branch of ACOM-ACA

4. Woman 24 years old: aneurysm of cavernous segment of right ICA

4 Uterine artery embolization – 1 module

4.1 Uterine fibroid embolization – 3 cases

1. Symptomatic uterine fibroids, 12 – 14 weeks



5 Endovascular aortic repair (EVAR/TEVAR) – 2 modules

5.1 Endovascular abdominal aortic repair (EVAR) – 2 cases



5.2 Endovascular thoracic aneurism repair (TEVAR) – 2 cases



6 Advanced Coronary – 1 module 6.1

Advanced Coronary – 9 cases

1. Stable IHD; Man, 62 years old

2. Stable IHD; Man, 58 years old

3. Stable IHD; Woman, 70 years old

4. STEMI; Man 54 years old

5. STEMI; Woman 67 years old

6. STEMI; Woman 62 years old

7. Acute coronary syndrome; Man 64 years old



The Simulators Specifications are given below: In country of Origin NORWAY

and SWEDEN Will also be acceptable.

Anesthesia and Monitoring Department

1. Serial No. M29 – Simulator Training

We have gone through complete specifications and they are not generalized. Some points are needs

to be omitted and some are needs to included.

Modules:

All the modules should be deleted and for the Modules it should be mentioned that Simulator

should have the capacity of building your own Scenarios. Because pre-build scenarios have very

limited options rather than the scenario you build yourself.

Drugs Recognition:

Simulator should have the capability of Recognizing Drugs.

*This feature enhances the Learning capacity of Learners and furthermore the effect of life-like

training simulates with this feature.

Battery Operated / AC Power Supply:

Simulator should be operated both by AC & DC Power.

Country of Origin: USA,UK,GERMANY,JAPAN,NORWAY,SWEDEN,ITALY,FRAMCE

Cardiology Department

3. SERIAL NO. N15 – SIMULATOR

Specifications are not mentioned in the tender specifications. We are suggesting below specs

for your convenience.


Specifications:

Simulator should be on haptic mechanism.

System should be stationary simulation solution, combining realism, ergonomics and ultimate flexibility.

Simulator should mimics the cath lab environment providing a full body mannequin, one 4K-UHD screen (fluoro, cine and vitals) and a HD touch screen (controls).

A mindful, ergonomically optimized design:

Height adjustable table

Touch based User Interface (UI)

External control box

Drawer for device storage

Simulator should supports treatment through left and right femoral, radial and subclavian approaches.

Radiation Safety functionality

Calibration FREE It Provides the Case-It functionality, ie the customer can create as many as wished new cases

with lesions and complications for Carotid, Neuro, Stroke. System based on mounted Table with complete Manikin & easy handling.

Self-guided Tutorial Cases Step-by-step instructions, graphical guidance on the fluoroscopy.

Should be configured with a custom-made control panel for control over C-Arm and patient table.

Should be equipped with 2 pedal footswitch for fluoroscopic & CINE.

A 3 coaxial wire tracking system with force feedback. An insertion port allowing independent insertion and tracking of three coaxial instruments (wire and two surrounding catheters).

Real Cath Lab Devices can be used with this system for realistic training.

A manual syringe for contrast injection.

Stent deployment device – for using a specialized control made from an authentic tool handle, the user is able to deploy the stent as in real life.

The simulator should be equipped with an authentic balloon inflation device.

All components should be placed on any uniform platform

Convertible to portable simulator

Control box with fluoroscopy and table controls

Easily moved around on the wheels Components

Height adjustable table legs on wheels

Frame for Screen mounting

50” 4K-UHD screen

23” HD Touch Monitor

Full size mannequin

Size

Length 256cm

Width 79cm

Height (mannequin) 86 – 116cm

Height (total incl. screen + stand) 197cm

07 Modules Should be Inclusive In Package

I. Aortic Valve Implantation II. Coronary Angiography

III. Coronary PRO IV. Endovascular Aortic Repair V. Renal Intervention

VI. Thoracic Endovascular Aortic Repair VII. Vascular Trauma Management

Optional Modules Should also be quoted Separately

I. Acute Ischemic Stroke Intervention

II. Atrial Septal Defect & Patent Foramen Ovale Occlusion

III. Below-the-knee Intervention

IV. Cardiac Rhythm Management

V. Carotid Intervention

VI. Iliac/SFA Intervention

VII. Left Atrial Appendage Occlusion

VIII. Neurovascular Intervention

IX. Prostatic Artery Embolization

X. Renal Denervation

XI. Transarterial Chemoembolization

XII. Transseptal Puncture

XIII. Uterine Artery Embolization

XIV. Vascular Trauma Management

Peripheral Angiography

4. N4 Medical ICU Point Number 9 is removed.

5. In point No-8 Peads Probe is optional.

Cardiology Department

4. Serial No. N16 – ACLS & BCLS Simulators

a. ADULT BLS MANIKIN

Country of Origin: USA/EUROPE Main Features Airway occlusion (head tilt/chin lift, jaw thrust),Realistic chest rise and fall Debriefing through recorded events Quick Review of CPR performance Brachial pulses (pulse bulb) Mouth-to-mouth ventilations Ventilations with pocket mask Ventilation with bag-valve-mask Electronic Scoring system in compliance with AHA Guidelines Should be supplied with Carrying Bag/ Floor Matt. Electronic Feedback Device Features (Tablet)

Compression rate and depth Correct release for each compression Correct hand position parameter Frequency and length of interruptions Appropriate ventilation volume Automatic and manual annotation of key events during simulation Event logging

b. INFANT BLS MANIKIN

Country of Origin: USA/EUROPE Main Features

• Fully Body Baby Manikin • Airway occlusion (head tilt/chin lift, jaw thrust),Realistic chest rise and fall

• Debriefing through recorded events Quick Review of CPR performance

• Brachial pulses (pulse bulb)

• Mouth-to-mouth ventilations

• Ventilations with pocket mask

• Ventilation with bag-valve-mask

• Scoring system in compliance with AHA Guidelines

• Should be supplied with Hard Carrying Case

Feedback Device Features

• Compression rate and depth • Correct release for each compression • Correct hand position parameter • Frequency and length of interruptions • Appropriate ventilation volume • Automatic and manual annotation of key events during simulation • Event logging

c. CHILD CPR MANIKIN Country of Origin: USA/EUROPE Main Features

• Torso/Half Body Manikin • Measurement of real time CPR through Clicker Sound. • Accurate Anatomical Position • Airway occlusion (head tilt/chin lift, jaw thrust),Realistic chest rise and fall • Mouth-to-mouth ventilations, Ventilations with pocket mask & Ventilation with bag-

valve-mask

d. Automated External Defibrillator Trainer Country of Origin: USA/EUROPE Main Features Simulates the operation of original AED Operations & Voice Prompts in English Language.

Physical Parameters:

Ruggedness:

10 cm drop without operation interruption

1 meter drop test retaining full functionality

Operations: On data 1GB SD Card.

Data contains configuration software in multi languages required to change device parameters.

Battery

4 x AA Alkaline (any brand)

Capacity : 10Hrs

e. Accessories For Basic Life Support BLS Program • Ambu Bag (Adult, Child & Infant)

• Pocket Mask (Adult, Child & Infant)

f. ADULT ACLS MANIKIN Country of Origin: USA/EUROPE Main Features

Pulmonology Department

Obstructed Airway

Endotracheal

Ventilation

Surgical and Needle Cricothyrotomy

Suctioning techniques

Stomach auscultation

Cardiac rhythm variations

Manual chest compressions

Pacing

Defibrillation (Manual & Automatic)

Adjustable Pulses Strength

Auscultation of Heart, Lung Sound & Bowel Sounds. Bilateral carotid pulse

Brachial pulses

Blood pressure Monitoring

IV Cannulation

Intramuscular injections

Tension Pneumothorax Decompression

Male & Female Catheterization

Pre-recorded vocal sounds

Live vocal sounds

Debriefing through recorded events

Feedback Device Features

Touch Screen Tablet Debriefing system Scoring system in compliance with AHA Guidelines Synchronized Feedback Event Logging System


2. Serial No. H16 – Simulation Model – Pulmonary Make : USA / Europe Specifications are not mentioned in the tender specifications. We are suggesting below specs for your convenience.

Simulator should offers an anatomically correct simulated human torso designed for trainees to practice several surgical procedures with the full range of airway management and resuscitation skills. Simulator should also allow the use of replaceable tissue sets that allow each learner a life-like & unique surgical experience. Skill Development:

Chest tube insertion: recognition of correct position, surgical incision, blunt dissection through chest wall, perforation of pleura, and finger sweep

Needle Decompression of tension pneumothorax Cardio Pulmonary Resuscitation (CPR) Needle and Surgical Cricothyroidotomy Airway Management Skills including OP and NP airway tube insertion, tracheal

intubation, bag valve mask techniques, supraglottic airway insertion and ventilation Percutaneous Tracheostomy Identification of tracheal deviation and jugular vein distension which are warning signs

attributed to tension pneumothorax

Features: Chest Tube Insertion:

1. Anatomically accurate chest tube insertion in the 5th intercostal space 2. Three layered tissue representing skin, fat tissue and muscle for “real feel” surgical

incision 3. Realistic feel of all thoracic palpable landmarks 4. Cavity for introduction of optional liquids for simulation of haemothorax or pleural

effusion

Needle Decompression:

1. Option to introduce air to create either right or left tension pneumothorax 2. Needle decompression replacement tissue sets located in the 2nd intercostal space at

mid clavicular line 3. Successful needle insertion will release air with the familiar “hiss” sound

Cardio Pulmonary Resuscitation:

1. Realistic chest structure allows for easy identification of all anatomical landmarks 2. Full head tilt, chin lift and jaw thrust capabilities to allow the students to prepare the

airway prior to resuscitation 3. Lifelike recoil during compressions

SPECIFICATIONS OF IT EQUIPMENTS

4. Successful ventilation will provide an accurate representation of chest rise and fall

Airway Management Skills:

1. Anatomically accurate oral and naso pharyngeal AirSim airway 2. Larynx piece with palpable tracheal rings for both surgical and needle

Cricothyroidotomy and percutaneous tracheostomy 3. Full use of supraglottic devices 4. Endo-tracheal tube insertion with direct laryngoscopy 5. Effective bag mask ventilation 6. Single lung isolation capabilities

Tracheal deviation and jugular vein distension:

1. Jugular vein distension can be observed on either the left or right side of the neck during tension pneumothorax

2. Tracheal deviation can be palpitated and clearly visible moving away from the side that has tension pneumothorax

3. Both features revert back to neutral upon successful needle decompression


Item Description

Rack mount Branded Server

Chassis with support of 24 Hard Drives Dual Intel Xeon Scalable 4116 Processor (2.20GHz, 13.75MB L3 Cache, 10C/20T, Max Turbo 3.00GHz, 85W) 128GB (4x 32GB) PC4-2666V RAM Upgradable to 3TB Memory 6x 1.2TB SAS 10K SFF SC DS HDD Maximum Storage Support 197+ TB RAID Controller with 2GB Cache 8GB Dedicated Graphics Card with GPU Enablement Kit 2U Easy Install Rail Kit with Cable Management Arm Quad Port Gigabit Network Adapter Dual Port FC HBA Dual 500W Platinum Hot-plug Power Supplies

Branded 42U Rack Brand

42U Rack Standard Airflow Front Door with Lock Wheels with Lock Gage : 18 or higher KVM Console switch along with minimum 8 adaptors Redundant Intelligent PDUs 32 Amp (7.3kVA) 1U Universal Filler Panel LCD Console with keyboard & Trackpad

Branded Desktop Computers

Processor: Intel® Core™ i7-7700 7th Generation or Higher . Turbo Frequency (3.6 GHz base frequency) 8 MB cache, 4 cores, 8 threads Chipset: Intel 270 or Higher Memory: 8GB DDR4-2400 DIMM (2x4GB) RAM or Higher HDD: 1TB 7200 RPM SATA 6G 3.5 HDD higher Keyboard, Mouse Super Multi DVD Writer Drive Windows: Microsoft Windows 10 Registered Pro 64-bit Pre-installed Standard Power Supply 20 Inch LED

Branded Laptops Processor: Intel® Core i7-8550U 8th 7th Generation or higher Intel® HD

graphics 620 (1.80GHz, up to 4.00GHz with Intel Turbo Boost Technology, 8MB L3 Cache, 4 core) Memory: 8GB (1x8GB) DDR4 2400 or higher HDD: 1TB 5400RPM SATA Windows: Windows 10 Registered Pro 64 Pre-installed 15.6-inch FHD (1920x1080) Anti-Glare UWVA for HD Webcam with 2 Antennas Slim HD 720p Dual Array Mic Webcam Intel 8265 ac 2x2 NVP + Bluetooth 4.2 WW with Two Antennas Carrying Bag

Laser Printers Black and White LaserJet Printer, Printing Speed up to 28 PPM (A4) ;up to 30 PPM (Letter) or higher Print resolution 1200 x 1200 DPI, Automatic Duplex Feature Processor 800 MHZ or higher RAM 256 MB or Higher 1 Hi-Speed USB 2.0; 1 Ethernet 10/100; Wireless Network Ready: Standard (Built-in Ethernet, Wi-Fi 802.11b/g/n)

Color Laser Printers Color LaserJet Printer Print Seed up to 27 PPM (A4) ; up to 28 PPM (Letter) Resolution for color and black Up to 600 dpi Monthly duty cycle Up to 50,000 pages Hi-Speed USB 2.0 port; built-in Gigabit Ethernet 10/100/1000Base-TX network port; Easy-access USB; Host USB 1200MHz Processor Memory 256 MB NAND Flash, 256MB DRAM Duplex printing Automatic (standard)

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