PORTION-BBIDDING DOCUMENTS OF MISSING SPECIALTIES & ICU

VETTED TENDER SPECIFICATIONS FOR THE PURCHASE OF LAB / INSTRUMENTS PLANT AND MACHINERY ITEMS FOR DHQ HOSPITALGUJRANWALA DURING THE FINANCIAL YEAR 2014-15C&F AND F.O.R BASIS

Name of Item Description QTY

1. Bedside cardiacmonitor

For monitoring of patients vital signsOperating Features and Characteristics:Non fade TFT color displayElectro-surgical interference suppression/protectionDefibrillator protectionFreeze and cascade facilityWaveform trace speed: 25 to 50 mm/secScreen Size: min. 15” or more TFT/LCD color true Touch Screen displayPARAMETERS:

ECG:Numeric: heart rateWaveform: 10 Wave forms minimum, real time and freezeECG trace

Non-Invasive Blood Pressure (NIBP):Method: Oscillometric principleNumeric: Systolic, diastolic and mean pressuresSelectable auto inflate interval settingsRising cuff / continuous pressure display

Temperature:Numeric: Temperature selectable in oC / oFChannels: 2 channels

Pulse Oximetry:Numeric: 0-100% oxygen saturation measuring range.Waveform: plethysmograph pulse with pulse strength indication.Reusable sensor electrode.Reusable cuff.

Arrhythmia Analysis:

12

Arrhythmia analysis and st analysis.Minimum 15 arrhythmia items.

Respiration:Breath rate display and alarms.Sweep speed; 12.5 to 50 mm/sec.

Other Features:Trend Data; 72 hours trend graphical and tabular

Alarms:High & low (settable) on all parametersVisual and audible indication of alarms.

Operating Requirements:Ac 22ov/50hzBuilt-in rechargeable battery for at least 1-2 hours AC power failure at full parameter.

Capnography (EtcO2) Mainstream for intubated & non-intubated patients. CO2 Airway Adapters (30pcs). Nasal Adapters (30pcs)

OPTIONAL:

MULTIGAS UNIT 3-CHANNEL RECORDER INVASIVE BLOOD PRESSURE

Note: The system must be complete with all sensors, probes,cables or any other accessories required for measuringall the above selected parameters. Monitor should becompatible with central monitoring system.

Note 1: The system should have future upgradeable capabilityto measure advance parameter i.e., IBP, CardiacOutput, Gas Agent.

Note-2: All allied accessories should be original and from thesame manufacturer.

Country Of Manufacturer & Origin should be: USA, EUROPE and JAPAN.2. 6-Channel resting

EKG machine6-CHANNEL ECG MACHINE WITH COMPLETE ACCESSORIES AND THERMAL

HEAD HAVING:

- BRIGHT BACKLIT COLOR LCD 5.7” SCREEN WITH 320 X 240 DOTS OR

4

MORE RESOLUTION.

- 12-LEAD ECG SIMULTANEOUS DISPLAY. UNIT SHOULD BE CAPABLE TO

EXTEND ECG IN CASE ANY ARRHYTHMIA OCCURS.

- HIGH LEVEL 12-LEAD ECG ANALYSIS PROGRAM OF AT LEAST 200

FINDINGS.

- LATEST INTERPRETATION PROGRAM AND ALPHA NUMERIC KEYBOARD

FOR PATIENT ID INPUT AND REPORTING.

- BATTERY BACK-UP OF AT LEAST 60 MINUTES CONTINUOUS RECORDING.

- LARGE DATA STORAGE OF AT LEAST 3000 ECG FILES.

- 6-ECG TRACES RECORDING ON 110MM PAPER.

- PROVISION OF TRANSFERRING WAVE FORMS AND ANALYSIS RESULTS

TO A PC.

- EASY DATA TRANSFER BY USB OR WIRELESS LAN.

- PATIENTS PRINTING DENSITY OF 200DPI (8 DOTS/MM), 320 DOTS/MM 2

(25MM/SEC.) WITH PAPER SPEED OF 10, 12.5, 25, 50MM/SEC.

- SENSITIVITY: 5, 10, 20MM/mV

- PERFORMANCE STANDARD: IEC 60601-2-51 (2003)

COUNTRY OF ORIGIN: JAPAN/U.S.A./WESTERN EUROPE.

3. Table top pulseoximeter with

NIBP

Non-invasive measurement of oxygen saturation and pulse rate with Colour LCD Touch screendisplay.Display of oxygen saturation and pulse rate.Oxygen saturation measurement range from 0 -100%.Pulse strength indicationPulse rate measurement from 20-250 bpm.Visual and audible indication of alarms.High and low alarms settings.Adult finger and paediatric sensor (reusable type) Built-in Battery up-to 6 hrsPower of 220 V/ 50 Hz.

4

COUNTRY OF MANUFACTURING & ORIGIN: USA / EUROPE / JAPAN4. Multimedia

projectorPT-AE8000 3D full HDCOUNTRY OF ORIGIN: JAPAN/U.S.A./WESTERN EUROPE.

2

5. Ophthalmoscopes Professional ophthalmoscope on slimline handle, easy access maywheel,+29D to -30D range, Xenon illumination, swing over filter and brow restCOUNTRY OF ORIGIN: JAPAN/U.S.A./WESTERN EUROPE.

4

6. Laryngoscopeswith standard setof accessories

Single piece stainless steel blade, bright white 3.5V halogen HPXillumination, knurled finish, fiber optic halogen handles, rechargeablebattery, fiber-optic laryngoscope blades set, Charger with power cordCOUNTRY OF ORIGIN: JAPAN/U.S.A./WESTERN EUROPE.

6

7. Glucometer 3 volt lithium coin cell battery1000 test battery life4.6H x 1.7W x 0.9D200 value memory 7-14 days

12

8. Bag mask forventilation withmask, deflector,valve and oxygenenrichment port

Volume 1488ml, patient valve dead space 7.8ml, patient connection outsidedia 22mm and inside dia 15mm, peep connection 30mm outside diaCOUNTRY OF MANUFACTURING & ORIGIN: USA / EUROPE / JAPAN

6

9. Dirty linen trolly With SS 3 selves and a bag, push or pull handle at one endFour wheel, Local Made

3

10.

ElectrovideoEndoscopy System

(EVE SYSTEM)

GASTROINTESTINALVIDEOSCOPE (Adult)

ZOOM SCOPE

System Comprising Following Endoscopes with built in CCD miniature Camera with high resolution with standard set of accessories of latest technological featuresField of view: 140° (or better) (In WIDE position) 75° (or better) (In TELE position)Outer diameter: 10.8mm (or better)Instrument channel: 2.8mm (or better)Standard Functional Devices Sclerotherapy needles 21, 23 & 25 Gauge Needles Mucosal Washing/medicine spray catheterGrasping Forceps for handling difficult objectHot biopsy forceps Achalasia Balloon Dilator, 3.cm, 3.5 cm and 4.0cmVariceal Band Ligation Device Hemostasis clip fixator with clips

2Set

Mucosal Washing/medicine spray catheter Biopsy Forceps Standard Type With Needle Fenestrated Biopsy Forceps Rat Tooth FenestratedGrasping Forceps W ShapedGrasping Foceps Rat ToothGrasping Forceps Covered TipGrasping Forceps Tripod Type

HIGH DEFINATIONGASTROINTESTINAL

VIDEOSCOPE

Grasping Forceps Pantapod Type(Adult) with standard set of accessories of latest technological features.Field of view: 140° (or better)Outer diameter: 10.0mm (or better)Instrument channel: 2.8mm (or better)Standard Functional DevicesSclerotherapy needles 21,23 & 25 Gauge NeedlesMucosal Washing/medicine spray catheterGrasping Forceps for handling difficult object Hot biopsy forcepsAchalasia Balloon Dilator, 3. cm, 3.5 cm and 4.0cm Variceal Band Ligation DeviceHemostasis clip fixator with clipsMucosal Washing/medicine spray catheterBiopsy Forceps Standard Type Fenestrated Biopsy Forceps Elongated Cup Fenestrated Field of view: 140° (or better)Outer diameter: 9.8mm (or better)

2 Sets

Instrument channel: 2.8mm (or better)Hot biopsy forcepsAchalasia Balloon Dilator, 3. cm, 3.5 cm and 4.0cm Variceal Band Ligation DeviceHemostasis clip fixator with clipsMucosal Washing/medicine spray catheter

ElectrovideoEndoscopy System

(EVE SYSTEM)

Endoscope Mucosal Resection Kit with standard set of accessories of latest technological features. Field of view: 140° (or better) (In WIDE position) 50° (or better) (In TELE position)Outer diameter: 12.8mm (or better)

2 sets

HIGH DEFINATIONCOLONOVIDEOSCOPE

(AdjustableFlexibility)

Instrument channel: 3.7mm (or better)with standard set of accessories of latest technological features.Field of view: 170° (or better)Outer diameter: 14.0mm (or better)Instrument channel: 3.5mm (or better) Standard Functional DevicesEndoscope Mucosal Resection Kit Polyp retrieval forceps

2 sets

SIGMOIDOVIDEOSCOPE

Hot biopsy forcepsWith standard set of accessories of latest technological features. Field of view: 140° (or better)Outer diameter: 12.8mm (or better)

2 Sets

VIDEO SYSTEMCENTRE

Instrument channel: 3.5mm (or better)capable to support latest technological feature of endoscopyWhite balance adjustment,

4 No.

XENON LIGHTSOURCE

featuring latest technology and supporting variety endoscopes in technological features.Powerful 300W xenon lamp,Average emergency lamp life: Approx 500 hours, 4 No.

LCD Monitor 14" featuring latest technology. 4 No.LCD High DefinitionColor Monitor 19" 2 No.

Mobile Workstationfor Video Scope 4 No.

System.Imaging EquipmentTrolley 4 No.

DUODENOVIDEOSCOPE (Locking System)

with standard set of accessories of latest technological features.Field of view: 100º (or better)Outer diameter: 13.5 mm (or better)

2 Sets

Standard FunctionalDevices

Instrument channel: 4.0 mm (or better)Swing Tip Cannula Biliary stone extraction Balloon ( 3-Step inflation.)Biliary drainage stents ( 10 Fr size only) 3-Lumen Sphincterotome x 2 ERCP guide wire straight x 5Mechanical Lithotripter, basket with sheath.along with handle Retrieval Basket, Soft Type x 2Pyloric Balloon Dilator set, 15mm,18mm,20mm,wire guided + inflation devices + gum Flower basket

2 sets

Video Disc System foron line digitalrecording Max-Pass 1 No.

Endoscopic UltrasonicCleaner

Endoscopic Ultrasonic Cleaner Heater with Timer Upto 8 Litters 2 NO.

Electrosurgical Unit dedicated for endotherapy devices. 2 No.

Heat Probe Unit

Electrosurgical unit for all endoscope procedures. Heat probe of 2.8 - 3.7mm, 250 C.C. capacity water container. Autoclavable. Foot pedal control, push button switches in 5 preset pressure level. Preset heat control levels 220-240 V, 50 Hz. 2 No.

Suction Pump (Low)

Probes for upper and lower GI scope one eachHeavy duty mobile suction unit with twin jars of capacity upto 4 to 5 litre each. Diaphram type Min 1/6 Hp of motor. Aspiration rate upto 40-45 litres minutesat 650-900mm Hg. Vacuum continuously adjustable. (10) bacterial filter. bottles. Autoclavable and explosion proof footswitch, with complete aspiration set. Overflow safety device. 220V/50Hz 2 No

Suction Pump (High)

1 phase. (Details of aspiration set to be given by tenderer.)Heavy duty mobile suction unit with twin jars of capacity upto 4 or 5 litre each. Reciprocating type \min 1/6 Hp motor, aspiration rate upto 40-45 litres/ minutes at 650-900mm. Hg.Vacuum continuously complete aspiration set. Overflow safety device.220V/50Hz 1 phase/(Details of aspiration set to be given by tenderers.)

2 No.

C.D.S Facilities toObserve Standard

Protocol

Comprising:Endoscopies Security Cabinet For 4 Endoscopes.Ventilator (Fan) incorporated. endoscopes hangers for 4 scopes.2 Acc hanger.Soft Padded base and sidewalls.Viva-Prewash Leakage test.Water filter at inlet.Auto water filling auto shut off through imported tap.Power water drain.Viva 3 Plus Auto DisinfectorWater filter at inlet.Fully automatic cycles with LED display for water disinfectant, rinsing, retrieval and drainage.Selectable immersion timer from 0-30 minutes.Auto fluid level controller.Recycle/rinse filters.End process alarm.Endoscopic Ultrasonic Cleaner Olympus.

2 No.

VOLTAGESTABILIZERS Heavy Duty for the whole system protection, 4 No

Argon PlasmaCoagulation

System (Apc)

Electrosurgical Unit along with EndoplasmaFoot Switch, P-Cord, S-Cord, P-Plate, Erbe Nessy PlateErbe Sillicone Electrode, Rubber Strap, APC CableIrrigation Adapter, Pressure Reducer, APC Filter MembraneCart, Reusable ProbeTechnical Specifications:Output Method Monopolar / BipolarMonopolar Cut Auto Cut / Endo Cut ( Max.200W )Monopolar Coag. Soft / Forced / Argon Plasma ( Max 120W)Bipolar Coag. Soft ( 120W ) with auto startFrequency 350kHZ - 447kHZType of protection Class 1Deg. Of protection Type CFCOUNTRY OF ORIGIN: JAPAN/U.S.A./WESTERN EUROPE.

1 set

11. FIBEROSCAN. SYSTEM

TOP OF THE LINE COLOR DOPPLER WITH MORE THAN 70,000 RECEIVING /PROCESSING CHANNELS WITH 12-BIT A/D CONVERSION FULLY DIGITAL BEAMFORMER HAVING 2D/M-MODE AND DOPPLER FACILITIES, (PW, HPRF, &COLOR FLOW IMAGING) WITH A HIGH RESOLUTION IMAGING DOPPLERSIGNAL QUALITY. HAVING DICOM COMPATABILITY AND UPGRADEABLE TOCW AND 4D IMAGING IN CONVEX, LINEAR AND ENDOCAVITY PROBE.

B-MODE SPECIFICATION :A) SECTOR SCAN ANGLE VARIABLE IN FOUR STEPS.B) VIEWING DEPTH: 38CM OR MORE (BOTH IN B&W AND

COLOR).C) FRAME RATE: 500 F/SEC OR MORE.D) BUILT IN CINE LOOP WITH ABILITY TO VARY REVERSE

AND SLOW MOTION OF DISPLAY; INTERNAL MEMORY4000 COLOR IMAGES OR MORE.

E) REAL TIME AND FREEZE IMAGE MAGNIFICATION ATLEAST 20X OR MORE WITH PANNING FOR REAL, FREEZEAND MEMORIZED IMAGES.

2) M-MODE SPECIFICATION :A) MAGNIFICATION: X2 OR MORE.B) SWEEP SPEED: SLOW, MEDIUM, FAST.

C) COLOR DISPLAY OF M-MODE.

3) D-MODE SPECIFICATION :A) PULSE-WAVE DOPPLER MEASURABLE VELOCITY RANGE.B) HPRF DOPPLER.C) CONTINUOUS-WAVE DOPPLER (OPTIONAL): - MEASURABLE VELOCITY RANGE: STEERABLE.

- MUST HAVE DOPPLER BEAM STEERING ANDBI-DIRECTIONAL STEREO-AUDIO.

D) COLORIZED SPECTRUM DISPLAY.E) AUTOMATIC BASELINE AND VELOCITY RANGE CONTROL.F) LIVE MEASUREMENTS FOR DOPPLER SPECTRUM.

4) COLOR DOPPLER MODE SPECIFICATIONS : - BOTH CW AND PW DOPPLER MUST BE CONTINUOUS

STEERABLE IN THE COLOR BLOOD FLOW IMAGE MODE INREAL TIME.

- 2D IMAGE WITH COLOR, CW AND PW DOPPLER.- WINDOWS BASED SYSTEM FOR EASY USAGE WITH

PROGRAMMABLE CONTROL PANEL KEYS.- TISSUE HARMONIC IMAGING WITH 4 THI OR MORE

FREQUENCY.- POWER DOPPLER.- TRIPLEX MODE FOR SIMULTANEOUS DISPLAY OF COLOR

B/M AND D-MODE DISPLAYS.- 300 db SYSTEM DYNAMIC RANGE OR MORE.

5) MEASUREMENT PACKAGE :TO PROVIDE COMPREHENSIVE SOFTWARE PACKAGE FORMEASUREMENT OF DISTANCE, CIRCUMFERENCE, AREA, TIMEDEPTH, VELOCITY, FREQUENCY, HEART RATE, VOLUMMES, AUTO NUCHAL THICKNESS ,EASUREMENT SOFTWARE TO BEPROVIDED AS STANDERD..

6) SYSTEM COMPLETE WITH FOLLOWING FACILITIES ANDACCESSORIES:- 19-INCHES MINIMUM TFT/LED COLOR MONITOR, WITH

RESOLUTION 1280 x 1024 PIXELS MINIMUM.- FOOT-SWITCH- 4 TRANSDUCER CONNECTOR FOR TRANSTHURASIC

PROBES AND FIFTH CONNECTOR FOR PENCIL PROBE. - DVD/CD DRIVE FOR IMAGE STORAGE TO BE BUILT-IN TO

THE SYSTEM.- 300GB AOR MORE HARD DISK DRIVE TO BE BUILT-IN TO

THE SYSTEM.BUILT IN DICOM COMPATIBILITY.

- TOUCH COMMAND SCREEN CONTROL AT LEAST10-INCHES COLOR LCD/TFT.

- LIVE STRAIN RATE ELASTOGRAPHY WITHQUANTIFICATION FOR BODY ORGANS SPECIALLYBREAST TO VISUALIZE LESIONS IN FATTY BODY AREAS.

- LIVE SHEARWAVE ELASTOGRAPHY QUANTIFICATION FORBODY ORGANS SPECIALLY LIVER WITH CONVEX &LINEAR PROBES TO VISUALIZE TISSUE STIFFNESS BYGENERATING IMAGES THORUGH SHEAR WAVEPROPOGATION.

7) UPGRADEABILITY :- SYSTEM SOFTWARE MUST BE UPGRADEABLE.

8) STANDARD PROBES :- 2-6MHz MULTI-FREQUENCY SINGLE CRYSTAL CONVEX

PROBE FOR B/M/CDI/PW.- 4-11MHz LINEAR PROBE FOR B/M/CDI/PW MODES FOR

CAROTID/SMALL PARTS STUDIES- 5-10MHz ENDOCAVITY PROBE FOR B/M/CDI/PW- 7-14 MHz MULTI-FREQUENCY LINEAR PROBE FOR

B/M/CDI/PW FOR BREAST /MUSTUSKELETAL IMAGING..

NOTE : PROBES SHOULD BE OF SAME COUNTRY OF MANUFACTURER &ORIGIN AS MAIN UNIT

9) STANDARD RECORDING DEVICES:- THERMAL PAPER PRINTER WITH TEN ROLLS OF PAPER

(BLACK & WHITE).

10) NEEDLE GUIDENCE LINES FOR BIOPSY PROCEDURE11) NEEDLE TIP ENHANCEMENT SOFTWARE FOR BIOPSY NEEDLE

VISULIZATION

12) TISSUE DOPPLER IMAGING MODE.13) TISSUE HARMONIC IMAGING WITHOUT CONTRAST WITH 4

HARMONIC FREQUENCIES.14) DIFFERENTIAL TISSUE HARMONIC IMAGING TO ENHANCE

EFFECTIVE WIDE BAND FREQUENCY RANGE TO PROVIDE

SIMULTANEOUSLY SPATIAL RESOLUTION, CONTRAST

RESOLUTION AND INCREASED PENETRATION USING TWO

TRANSMISSION PULSES AT DIFFERENT FREQUENCIES

SIMULTANEOUSLY AND RECEPTION AT HARMONIC AS WELL AS

DIFFERENTIAL COMPONENT. 15) AUTO IMAGE OPTIMIZATION/QUICK SCAN IMAGING FOR

AUTOMATIC STC / GAIN AND DOPPLER SPECTRUM ADJUSTMENT

WITH OPTIMAL IMAGE QUALITY BY USING ONE TOUCH

OPERATION.16) B-FLOW/DYNAMIC FLOW IMAGING / E-FLOW.17) TRAPEZOID IMAGING.18) COMPOUND/APLIPURE IMAGING FOR BOTH FREQUENCY

COMPOUNDING AND SPATIAL COMPOUNDING IN B/W AND

COLOR MODE.19) PANORAMIC / SIESCAPE / LOGIC VIEW IMAGING WITH

MEASUREMENTS. 20) PRECISION IMAGING TO ENHANCE B-MODE IMAGING, DETAILED

IN LAYERS AND BOUNDARIES AND SHARPENED OUTLINES OF

THE LESIONS AND REDUCE CLUTTERING. 21) CONTRAST HARMONIC IMAGING. 22) UPS ONLINE FOR THE SYSTEM

SYSTEM MUST HAVE FDA & CE / MHLW.

COUNTRY OF MANUFACTURING & ORIGIN: USA / EUROPE / JAPAN

12. Cuscos Speculums Cuscos Speculums (in Three Sizes)

40

13. CTG MACHINE

Single, Twin or Triplet Ultrasound LCD/ digital Display Fetal monitor for Antepartum monitoringUltrasound and transducer with marker and recorder for FHRAlarms: Low Bradycardia, High Tachycardia, Strip chart recorder/ printer Paper Speed: 1,2,3 cm/sec Complete with belt, abdominal fixer / fastener of transducer Paper easily available with the market Trolley, Local made 220V/50Hz ACCOUNTRY OF MANUFACTURING & ORIGIN: USA / EUROPE / JAPAN

02

14.

ULTRASOUNDMACHINE

DIGITAL BEAMFORMER

High resolution Digital Ultrasound Scanner for abdominal & vascular work with fully digitalbeam former.Machine with integrated Trolley type system.

Operating Modes: 2D, M and Combination

Image: Full screen split and dual select screen formats.

Computing System: Computer with alpha numeric key board and built-in trackball. Key board freeze facility including foot switch control. Cine memory for 250 Images. Dynamic range 100 db. Scanning Depth: 24cm Built in DVD/ CD drive. High resolution 12” monitor.

02

Digital acquisition, storage and review of complete ultrasound studies with built inhard disk.

The studies can be stored on to CD or DVD. DICOM compatible.

Measurements & Soft wares: Measurement of length, angle, distance, depth, area, circumference velocity and

volume. Tissue Harmonic Imaging Vascular analysis. Pediatrics imaging.

Transducers & ports: Linear probe multi frequency range of 6 to 10 MHz. Convex probe with multi frequency central frequency (3-3.5) MHz.

Thermal printer: B/W printer with 20 paper rolls of high density 2KVA Online Sine wave UPS with thirty minutes back up

time.(Emerson,Liebert,Chloride,MGE)

Optional:

Multi frequency Vaginal ProbeMulti frequency Micro Convex ProbeCOUNTRY OF MANUFACTURING & ORIGIN: USA / EUROPE / JAPAN

15.

FETAL HEARTRATE

DETECTOR

Desk top type With LCD display and speakerProbe frequency equal to or more than 2 MHzProbe should be water proof /Gel Proof COUNTRY OF MANUFACTURING & ORIGIN: USA / EUROPE / JAPAN

04

16.

VACUUM

EXTRACTOR

Oil free and noise free, vibration free suction unitNoise level of maximum 50dB. Aspiration rate of 40 liter per min at 0-640 mmHgVacuum continuously adjustable Vacuum meter in mmHg or KPa and regulator, on / off switchCasing with carry handle and fitting rail (2) suction tubing and silicone tubing with coupling connection (2) suction bottle, autoclave able 2 liters each (polysulfone)/Un breakable material 10X bacterial filterVaccum Extractor with various combination of silicon cups Silicon cup 50 mm Silicon 60 mm Sterlizable autoclave ableWith foot vacuum regulator COUNTRY OF MANUFACTURING & ORIGIN: USA / EUROPE / JAPAN

02

17. Set of Outlet Forceps

Local Made best Quality 08

18.

DELIVERY TABLE / BED

3 sections, with easy attachment / removing mechanism. Complete with allaccessories Fitted with safety side guards & sliding stainless steel tray.With Standard Accessories including :

Hand grips handles 02 nos Lithotomy Pole, Goepel-type (pair)Mattress set for Delivery Bed (set)Stainless Steel Basin (one)I.V pole 01 No. Bed side cabinet

10

19.NEBULIZER

ULTRASONIC

For nebulization of respiratory tracts.Hospital grade for continuous operation.Ultrasonically generated uniform and highly dense particles of 0.5 -5 microns size.Approximately 65-70% of particles of less than 4 micron size.Autoclave able delivery pipes.Air delivery volume adjustable: 0-10liter/ minAerosol heating facility

06

Nebulizer output adjustment: 0-120 ml/minMist density: 0-200mg/lHF Frequency: 2.4 MHzQuiet operation with noise level of less than 40dB.Nebulizing time setting from 0-30 min.Medication cup .Power of 220 Volts / 50 Hz.One extra Flexible arm/ delivery pipe/masks (all sizes).With original manufacturer floor standComplete with bacteria filter`COUNTRY OF MANUFACTURING & ORIGIN: USA / EUROPE / JAPAN

20.

Mobile C-armX-ray Generator

Out Put Power 12 KW or more Inverter frequency Up to 40 kHz Automatic brightness control system KV range 40 to 120 kV 1-kV steps MA range 20 mA, 100 mA, 150 mA mAs range: Up to 500 mAs

X-ray Tube

Rotating Anode Maximum X-ray tube voltage kV 125 kV Focal spot 0.3/0.6 or better Anode heat storage capacity not less than 300 kHU Target angle 10°

C-arm

SID 100 Cm or better Orbital rotation should have 90˚/45˚ Horizontal travel 20 cm or more Vertical travel 50 cm or more Swinging ±12.5˚ or better C-arm rotation ±225˚ or better DICOM Send to PACS (DICOM 3.0) and CD-BURN and

DICOM CINE to be provided

LIH Image Rotation 100 Frame or better Image study Store 30000 or more Should be able to perform Digital subtraction angiography with

road map facility Frame rate 1 to 30 frames/s or more

Output: DICOM Anatomical programming Image Intensifier (I.I.) Input field size: 215/160/120 mm or similar Central resolution: 50 lp/cm or better

X-ray Grid

Grid density: 60 lp/cm or better Focusing distance: 100 cm TV Camera Resolution: 1024 X 1024 or more A/D-Conversion: 14 bit or more Should be able to LIH Image rotation Image inversion should have both direction Horizontal and

Vertical

LCD Monitor

Screen size: 19" diagonal Pixels: 1280 x 1024 Units to be mounted on the cart Two LCD monitors

21.

OrthopedicTractionExtension

Material Specification:

01- Stainless Steel

02- Aluminum

03- Iron Dimension:

Hip Placing Portion: Height 32" [ minimum]

50" [ maximum]

SeatSize: 12" x 24" [ material Backulite 10mm thickness ]

Base Size: 8" x 12" [ Heavy and Stable ]

Sliding Portion forTraction : 48" [ on stainless Steel Realing ]

FootGriping Portion:

Height: 26" [ minimum] 50" [ maximum]

50" [ maximum] 7" FootGriping : Made of Imported Leather MaximumWeightOf Traction Extension : 90Kg

22. WIRELESSDIGITAL

RADIOGRAPHYSYSTEM

WIRELESS DIGITAL RADIOGRAPHY SYSTEM SHOULD HAVE THE FOLLOWING;

The DR after exposure, a preview image immediately should appear on the display of the console in less thantwo seconds and the console should have ability as user-friendly graphic interface adding new and powerfulfunctions can be modified to customer preferences flexibly, succeeding the conventional console design.The DR simultaneously should read all elements of X-ray fluorescence on the spot and it should be superior in nearness. The DR functionally should read all of the elements to enhance the sharpness and sensitivity and achieving the low-doseradiography.

The optimal combination of the DR detector using a CsI scintillator should be combined with the latesttechnology and developed low noise readout ICs delivers a high DQE 3 even at a low dose reduce the amountof radiation exposure and to achieve the wider dynamic range of DR comparable in radiography of shoulderjoints, the DR permits describing the skin line accurately on the radiographic conditions change .

Type portable flat panel detector

based on amorphous silicon (a-Si)

Scintillator CsI (Cesium Iodide)

Weight 2.9 kg

Pixel Size 180 μm or better

Image Field 1,996 x 2,434 pixels (4.8 million pixels)

Power/Communications Tether Possible

WLAN Standard WLAN standard IEEE 802.11a

Dynamic Range 4 digits

Dimensions (WxLxT) 383.7 x 460.2 x 15.9 mmEquivalent to standard 14 x17"cassette

Charging Time Empty to Full 30 minutes with battery charger

Operating Time 2 hours typ. at 60 images/ hour

Battery Life Cycle Same as the product life cycle

Battery ChargerPower 100/110/115/120/200/230/240 VAC

Weight 7.2 kg

Dimensions ( W x D x H) 560 x 250 x 153mm

COMPLETE UNIT MUST BE FROM USA/EUROPE/JAPAN ORIGIN.

23. WHOLE BODYMULTISLICE(128-SLICES)

COMPUTERIZEDTOMOGRAPHY

SCANNER,CAPABLE OF

CARDIOVASCULARIMAGING (items

PRE-REQUISITE:

The manufacturer of quoted equipment must be of USA, Europe or Japan originsonly.

The medical equipment of USA must comply with 510(K) FDA (Food & DrugAdministration), in case of Europe MDD (Medical Device Directive) and forJapan MHLW (Ministry of Health, Labour & Welfare) for specific quoted

belongs topackage 1-B)

model. The firms must quote their latest and leading brands from the above mentioned

origins with the proven past performance nationally and internationally. The firmmust possess its related back up support services including trained engineers,workshop facilities, spare parts availability and repair/calibration tools etc.

The firm/s should have proper infrastructure to handle and execute the completepackage.

WHOLE BODY MULTISLICE (128-SLICES) COMPUTERIZED TOMOGRAPHY SCANNER, CAPABLE OFCARDIOVASCULAR IMAGING (items belongs to package 1-B)

PARAMETER Description

GANTRY 1.1. System should be capable of Acquiring /Generating 128 slices pergantry rotation in real time.

1.2. Gantry bore / aperture to be at least 70 cm or more.

1.3. Minimum gantry rotation time to be at least 0.35 seconds or better, for128 slices per 360 degree rotation, for all applications. All the firms shouldquote their latest model scanner with shortest rotation time

1.4. Breath holding time 05 sec or less in cardiac scan

1.5. System should be able to acquire helical/ sequential scan with the gantrytilted from the vertical.

1.6. Gantry tilt range must be + 30 degree.

1.7. Maximum scan field of view to be at least 50 cm for Paeds & Children thesystem should be able to reduce the field of view to 250 mm.

1.8. Minimum slice thickness 0.625 mm or better in Helical mode.

1.9. Dual Control (including tilt,) of gantry and table from the gantry-housingand console.

TUBE 2.1 Heat storage capacity of at least 7.5 MHU or better.

2.3 Generator output of up to 600 mA or more.

GENERATOR 3.1 High frequency power generator with minimum power of at least 70 kW ormore

3.2 should be capable of variable kV setting in steps

3.3 should have ability to vary the power ( mAs ) automatically in steps

3.4 Real-time dose reduction hardware / software and with ECG modulation

3.5 Able to calculate patient dose in mili-seviert preferably before imageacquisition (CTDI ) Iterative dose reduction must be offered.

3.6 Low contrast detectability ( LCD ) calculated on a CATPHAN 20 cm, of 5mm resolution with a CT no. of 3 HU ( 0.3 % ) or better, contrast difference

3.7 Scan Length of at least 1.75 meters or more of helical or axial scan in asingle acquisition.

3.8Maximum Scan Time 100sec. or better.

DETECTORS 4.1 Solid state crystal ceramic detectors with conversion efficiency ( x-ray to signal strength ) of nearly 100% latest technology.4.2 Isotropic voxel size of 0.35 mm or better, in all three axis4.3 Minimum 64 Detectors and detector electronics capable of providing 128slices per gantry rotation 4.4 Detectors width 38 mm or more.

COUCH 5.1 Dual motorized control (from console and gantry) of table movements inhorizontal and vertical axis.

5.2 Maximum weight allowed on the couch up to 200 kg or more

5.3. Horizontal movement speed up to 100 mm per second.

5.4 Single acquisition scan range of at least 1.75 meter

5.5 Scan with at least 0.25 mm accuracy / reproducibility on a 180 kg patient.

5.6 Lateral table shift of +/- 42mm for easy patient centering during cardiac scanning.

CONSOLECOMPUTER

6.1 System architecture and operating system must be based on latesttechnology (64 bit RISC or Dual Xenon Processor PC) original.

6.2 Multitasking and parallel processing CPU system.6.3 At least 8 GB RAM or more6.4 Hard disc capacity for image storage of at least 350 GB or more.6.5 Capable of storing at least 3000 raw data files / rotations or 700 GB raw

data / 450000 images in 512 x 512 format 6.6 Reconstruction of at least 30 images FRAMES per seconds or better at

512 x 512 matrix.6.7 Image area display matrix dimensions (1024 x 1024 )6.8 Console color monitor ( x 02 ), TFT type of at least 19 inches, medical

grade with maximum viewing angle6.9 CD / EOD and DVD writer

6.10 CONSOLE SOFT WAREAll the latest cardio-vascular and whole body software should be supplied as

standard which is available at the time of shipment original with their partNo of company.

USER INTERFACE SOFTWARE6.10.1 True isotropic volume acquisition6.10.2 Prospective and retrospective ECG gated acquisition6.10.3 Variable Delay algorithm like fixed percent delay ( FPD) and fixed

offset delay ( FOD ) or better , for selection of period of least motion incardiac cycle ( temporal resolution of 60 milli second or less will bepreferred )

6.10.4 Automated contrast media bolus tracking software6.10.5 3D RECONSTRUCTION DISPPLAY ORIGINAL COMPANY

SOFTWARE. a. Maximum and minimum intensity projections b. Multiplaner and curved planer reconstruction c. 3D shaded surface display d. 3D volume rendering software e. 3D virtual endoscopy, colonoscopy and bronchoscopy f. 3D cone beam correction.6.10.6 CT angiography6.10.7 Brain perfusion analysis6.10.8 Dental CT6.10.9 Image reconstruction6.10.10 a) Artifact reduction algorithm

b) Automatic control of tube current over high and low attenuation areasfor patient dose reduction software for low dose to patient original /certified.

c) ITERATIVE DOSE REDUCTION SOFTWARE.6.10.11 DUAL ENERGY SCANNING SYSTEM WITH BLENDING SOFTWARE FOR COMBINING IMAGES ACQUIRED AT DIFFERENT KV’S. System should show 3 data sets of images at 80/90kv,130/140kv, and blended with both energys combined. Dual energy latest applications like composition analysis to detect uric acid for gout,

and to analyze renal caculi. Iodine maps for detection of tumors in lungs,liver etc.

WORK-STATION- 03 innumber/ thinclient server(work stationwith 03 licenseusers )

FDA / CE approved, independent, multimodality, fully functional. Allcompanies will supply the same manufacturer’s work-stations.Work-stations will be from manufacturer of CT to ensure similar work flow.Third party work-stations not accepted.

7.1 High speed link to operator console on DICOM network

7.2 System architecture and operating system a. Dual processor Xeon b. 2.66 GHz or more speed c. 512 cache or more d. Graphic cord and network cord7.3 Original Licensed software: Window XP/7/8 or Linex ( Windows 07 will be

preferred ), MS Office, Norton / equivalent antivirus (current andupgradeable )

7.4 Should have one high resolution TFT monitor of 18 inch or more

7.5 DVD RW (super-drive will be preferred )

7.6 DICOM-3 viewer with universal PC display capability (licensed )

7.7 Heavy duty Laser black and white printer (qty: 2) A4 /letter size 2400 dpior higher, two paper trays for A4/ letter size media, ( HP, Lexmark, Xerox,CANNON ) network-ready

7.8 UPS 3 KVA ( x 02 ), Branded, dry battery capable of providing 20 minutesof back-up for workstations ( MG, APC, MC, Chloride, Riello, Emerson).The dry batteries will be included in company warranty.

7.9 WORK STATION SOFTWARE (original with certificate) A. All the latest available cardiac and whole body software will be provided

by the vendor as standard, including reporting packages B. Higher Software up-gradation of all existing applications for at least next

05 years will be provided free of cost. C. FOLLOWING SOFTWARES WILL BE PROVIDED AT THE

WORKSTATION THE SAME ORIGIN ARE BEING USED IN USA/EU&JAPAN.

7.9.1 3D RECONSTRUCTION DISPLAYa. Maximum and minimum intensity projections b. Multi-planer and curved planer reconstruction c. 3D shaded surface display d. 3D volume rendering software e. 3D virtual endoscopy, colonoscopy and bronchoscopy7.9.2 CT Angiography7.9. 3 Advanced coronary vessels analysis7.9.4. Calcium scoring with ECG gating and prospective / retrospective

reconstruction.7.9.5 Cardiac function analysis –7.9.6 Advanced peripheral /general vessels analysis7.9.7 Lung nodule detection and analysis7.9.8 Brain perfusion analysis7.9.9 Bone Mineral Density software and CT Phantom. 7.9.10 All the firms should provide the life time registered Software with part

number & products keys / Password of all above CT software’s original.DICOM DICOM 3 ready (multi-vendor and multimodality compatible for send, receive,

achieve, retrieve and print, on main console and workstations).

UPGRADE-ABILITY

a. All vendors will quote their latest and best system.b. the system should have an software upgrade route to higher versionsc. With undertaking of above two by the principal manufacture, that is

their latest version been used in USA/EU & Japan. QUALITY andSAFETYSTANDARD

MDD ( CE ) / FDA (510K) / MHLW

Powerrequirement

Three phase with line voltage of 380-440V, 50Hz.

FLOUROSCOP Fluoroscopy with real time imaging and display of at least 8 frames/sec with

E required hardware & software. One high resolution in-room TFT monitor ofat least 15 inches or more on mobile base/ceiling mounted.

ACCESSORIES 13.1 Programmable, dual head power injector with flow/volume andtemperature control. Mounted on mobile base, with 500 syringes of 150 mlcapacity and connecting tubes ( Medrad, Angiomat, Nemoto)-

13.2 DICOM 3 ready dry laser camera / imager, Multi-size upto 14 x17 in.(Agfa, Fuji, Kodak, Konica ) for black and white printing on films including5000 films– see note at end of this section

13,3 FILM VIEWER ( x 06 ) for images up to 14 x 17 inch with variable lightcontrol and shutters for control of viewing area, with 04 x 1 format -- seenote at end of this section.

13.4 On-line sine wave UPS for whole CT suite, with a minimum back-up timeof 10 minute on full load including air-conditioning system, Two split Airconditioners Two Ton each for UPS room office and waiting area lights/fansetc, sine wave – see note at end of this section.

13.5 Protection devices : Lead aprons ( 06 ) with hangers, Lead-gloves ( 06pairs ), Lead goggles ( 03 )all 0.5 mm lead equivalent European &Japanese.

13.6 Lead glass for control room ( 5 x 3 feet ), 0.5 mm lead equivalent.

13.7 Three desktop computers ( branded), Xeon processors, more than 3GHz processor, SD RAM more than 4 GB, with hard disc capacity – morethan 1 TB, IMB cache, DVD-RW, LED 19” LAN + WIFI. Window 7/8,Microsoft Office 2007, Antivirus suite with full one year License. Onecomputer should be with multimedia functionality.– see note at end of thissection.

13.9. One laser color printer. Capable of printing on different media of A4 /letter size, 3600 dpi image quality or more ( HP, Lexmark, Xerox, Cannon ),two paper trays, 20 PPM, Network ready including 2000 photo-printing

papers(OPTIONAL)

13.10 Three laser printers black and white heavy duty, capable of printing ondifferent media of A4/letter size, 2400 dpi or more ( HP /CANNON)twopaper trays, 20 ppm, network ready, (OPTIONAL)

13.11 Three branded UPS for desktop computers and printers, 3KVA or more( as per requirement of the system ), minimum back-up time of 20 minutes with warranty of batteries included.

13.12 Standard set of Phantoms for calibration of CT

13.13 Pediatric scanning package - software and hardware original.

13.14 Cardiac defibrillator,

13.15 Dedicated Cardiac Monitor for synchronize with cardiac scan.

13.16 Pulse oximeter

13.17 ECG machine, multichannel ( three channel)

13.18 Cardiac Resuscitation trolley completely equipped with all necessaryitems.

13.19 TABLE ACCESSORIES – Table pads, arms rest, patient restraint kit, IV pole, infant cradle, flat head holder, ceiling mounted hand holder patient( original accessories from the vendor )

13.20 Digital Transcription system for reporting ( hand held units – x 03, andComplete steno-type desktops unit ( x 02 ) – manufacturers of panel A

13.21 Dieseal Generator 220 KVA with sound proof canopy ê five yearwarranty including oil filter, Mobil oil change & air filter.

13.22 Electric floor cleansing unit – heavy duty with polishing, extra brushes &

accessories (OPTIONAL).

TRAINING 14.1 Two visits of consultant Radiologist for training in country of origin& equipment for two weeks. TWO visits (of one week each ) ofapplication specialist foreigner trainers are mandatory for training ofdoctors and technicians – one visit will be immediately after completeinstallation of the system and second will follow by 03 months.

Note: The following options / specs are required in the list of accessories as per need of this institution

ITEM NO. 13.2 DRY LASER IMAGER / THERMAL - models with LASER TECHNOLOGY only will be accepted.Basic system specs will be as follows: Dicom 3 /highest ranking latest series, laser exposure thermal developmentsystem, multi film size, multimodality, grey scale level 14 bits, resolution 325 dpi or better, point size 110, 50micron selectable, memory 256 MB, automatic density correction) preference will be given to FUJI dry laserimager 7000 / or its equivalent models from other firms.

15. SPECIAL TERMS AND CONDITIONS

15.1. The contracting firm will install the complete system including all accessories indicated in the specificationswithin a period of maximum 06 months starting from the date of establishing LC.

15.2 Vendor will be responsible for all electrical installation, (installation of transformer from Wapda ofrequired KVA ) and up to 100 meter cable from transformer to CT suit and all type of panels, mainboards & switches, proper electrical earthling, complete electric wiring including main cable to themachine - of international standard companies.

15.3 The warranty period shall be for 05 years from the date of full functional commissioning with all specifiedparameters that shall cover labor and parts of all equipment supplied/stated in the contract including UPSbatteries etc. non-proprietary parts, accessories, transducers, batteries and high vacuum CT tube elementsincluding x-ray tubes & Detectors etc.

15.4 The maintenance will be the responsibility of manufacturer and their agent. An annual optimal uptime of 95% is considered as acceptable level of performance. The uptime will be defined as the time available to theuser for doing data acquisition, and processing during 24 hours, 07 days a week, throughout the year.

15.5 The following sentence will be added below last line 69.99 % or below – the contract will be liable to termination /cancellation and the firm will be

blacklisted.

15.6 The software and hard ware up gradation of the data acquisition, processing and computing system will becarried out as available during operational life of the equipment as desired by the end user or as recommendedby manufacturer both for console and work station.15.7 The manufacturer / supplier shall be responsible for promptly rectifying the faults, short comings anddeficient supplies at their own expense which may develop at any time during installation / commissioning period15.8 Shielding of the CT room will be responsibility of the firm. The firm will be responsible for completeinterference free installation and its surroundings to ensure artifact free examination.15.9 Manufacturer guarantees the availability of spare parts in its stock and accessories for the system for next10 years at their local office in Pakistan. No extra time will be allowed for procurement of spare parts from the

foreign principal. Properly qualified and fully trained, CT experienced service support will be available from themanufacture as a backup to the supplier’s local engineer during the warranty or service contract periods at nocost to the institute.15.10 Manufacturer / supplier shell check system performance during and after every month. The firm will beresponsible for preventive maintenance of the system as per service manual, should keep a check with electrical/ temperature and humidity conditions. Uptime percentage will be calculated by dividing system in service hoursby hours available ( both measured on the basis of working hours as detailed above ).15.11 If the uptime percentage for the measurement period shall fall short of 95 % annually, the following formulawill be applied to determine additional days in the warranty / service contract period

100 -95 % -- no penalty

94.99 -90 % -- warranty period will be extended by 2 times the number of days as extra-down time

89.99 -80 % - - warranty period will be extended by 3 times the number of days as extra-down time

79.99 % - 70 % - - warranty period will be extended by 4 times the number of days as extra-down time

15.12 Down time is defined as the failure in the equipment operation to acquire or process the data, resulting ininability to carry out the required procedure properly.15.13 Down time will start when the end user notified the designated service facility verbally or in writing. (Themanufacturer / supplier will provide the service telephone number accessible round the clock). The responsetime of two-hours will be considered as normal.15.14 Down time will end once the satisfactory repairs have been affected and the system is again fully functionalwith all parameters available for clinical use. 15.15 The scheduled preventive maintenance will not considered as down time and shall not be for more than 02days. Minor faults (software and hardware) which do not obstruct the procedures should be rectified within the 72hours. After that period these fault should be considered as complete downtime15.16 Remote service via modem will be preferred if provided by the manufacturer to pick-up early faults at nocost to the hospital. 15.17 Manufacturer / supplier shell check system performance during and after every month. The firm will beresponsible for preventive maintenance of the system as per service manual, should keep a check with electrical/magnetic / temperature and humidity conditions. Such a check should be made every four weeks and recordshould be maintained by the firm in the hospital register.15.18 Renovation of the CT installation area - consisting of CT examination room, control room & the consolearea, patient waiting area up to 30 patients, doctor office, computer room, generator site construction,department lobby, toilets and other necessities related to installation as per international standards will be theresponsibility of contracting firm. The renovation includes seating arrangement of international standard forpatients/doctors, application of glazed tiles, antistatic floor matting, false ceiling, air conditioning of maininstallation, Office, work-station room and patient waiting area (heating and cooling), reception counter, lighting,

hepa-filters, fans, batteries, fire alarms, smoke detectors, fire extinguishers and all other items / civil works asneeded for proper / smooth operation of the CT installation. Construction of a 8 feet wide covered corridorsneeded between the main entrance of the department to the main-x-ray section with proper grill, fly proofing andglass approved by MS.15.19 Service and operation manuals (for all supplied software and hardware in English language) will beproperty of the hospital and will be placed in the department.15.20 Financial penalty clause or any other clause which is deemed necessary may be added as per institutionrule.

16. POST-WARRANTY SERVICE AND MAINTENANCE CONTRACT

16.1 After completion of the warranty period fixed service charges based on a fixed percentage, as perHealth Department rules, of the final settled FOB price of the equipment requiring maintenance will bepayable on yearly basis to the contracting firm for five year warranty. This includes maintenance includingall spares for all the equipments supplied in the contract. The contract charges will be paid in Pak rupeesand will be paid on quarterly, six-monthly or yearly basis as allowed by government rules andregulations

16.2 Manufacturers / supplier agree to provide the institution post-warranty maintenance ( labor and parts )service for the complete system, included in the package.

16.3 Manufacturer / Supplier also confirm that in the event that the service costs falls / is reduced in linewith manufacturer policy worldwide or other reviews then they will reduce the maintenance costaccordingly.

17. Notwithstanding the above, manufacturer / supplier shall provide complete backup support throughout thenormal operational life of all the equipment(s) purchased under this order/contract at the institute premises.

18. The Contract is to be executed on turnkey basis which means that the contractor will facilitate clearance ofstore / Equipment from Air /Sea Port and will arrange its transportation to the B.V. Hospital Bahawalpurwithout wasting of time for installation / commissioning of Equipment. However the firm will not charge /reimburse any amount paid by them in this regard for transportation, Taxes etc.

19. Any dispute regarding the implementation of above clauses will be resolved by mutual discussion betweenthe parties. In case of failure to reach any conclusion after negotiation, the decision of the department / headof the institution will be considered the final verdict.

NOTE :

1. PRICE COMPARISON WILL BE ON STANDARD CONFIGURATION.

2. THE FIRM WILL QUOTE UNIT PRICES FOR ALL REQUIRED OPTIONAL ACCESSORIES IN ITEM NO

13.

THE AUTHORIZATION LETTER, QUALITY CERTIFICATE & BROCHURES OF THE QUOTED MODELSMUST BE DIRECTLY E.MAILED BY THE PRINCIPAL MANUFACTURE TO THE CUTOMER OTHERWISE THE OFFER CAN BE REJECTED.

24. Cystoscope Set Adult Lateral Telescope, enlarged view,ø 4 mm,autoclavable at 134° C, 1 fiber optic light transmission incorporated, Color code: Following Accessories are Included Lens Cleanner 1Protection Tube autocleavable 1Adaptors for use ligth cable Karl Storz, Wolf, ACMI,Zimmer and Olympus 1

Cystoscope-Urethroscope-Sheath, 22 Fr., Color code:blue 1IncludingLUER-Lock adaptors, 1Obturator 1

Visual Obturator for Cystoscope sheath 1

Cystoscope-Urethroscope-Sheath, 17 Fr., Color code:yellow 1IncludingLUER-Lock adaptors, 1Obturator 1

Cystoscope-Urethroscope-Sheath, 20 Fr., Color code:Red 1IncludingLUER-Lock adaptors, 1Obturator 1

Visual Obturator for Cystoscope sheath 1

Telescope Bridge with 2 lockable instrumentchannels 1

Catheter Deflecting Mechanism, with 2 instrumentchannels, with ratchet 1

Grasping Forceps for removal of foreign bodies, 7 Fr.double action jaws, flexible, length 40 cm 1

Optical Biopsy Forceps double action jaws, For usewith telescope 0° and 30° 1with cystoscope sheath 20Fr, 22Fr and 25Fr.

Coagulating Electrode, 4 Fr., unipolar, length 53 cm 1

Monopolar High Frequency Cord with 4 mm plug,length 300 cm 2

Metal Case for Cystoscopes- Resectoscopes completewith cover, perforated, 400 x 150 x 50 mm. 1

Fiber Optic Light Cable, size 3.5 mm, length 180 cm 125. Peads Cystoscope

Urethroscope setMiniature Straight Forward Telescope 0°, ø 1.2 mm,autoclavable at 134°C, 1fiber optic light transmission incorporated, Colorcode: greenFollowing Accessories are Included Lens Cleanner 1Protection Tube autocleavable 1Adaptors for use ligth cable Karl Storz, Wolf, ACMI,Zimmer and Olympus 1Cystoscope-Urethroscope-Sheath, 8 Fr., workingchannal 4Fr. 1

IncludingLUER-Lock adaptors, 1Obturator 1Cystoscope-Urethroscope-Sheath, 9 Fr., workingchannal 5Fr. 1IncludingLUER-Lock adaptors, 1Obturator 1Cystoscope-Urethroscope-Sheath, 8 Fr., Reflexworking channal 4Fr. 1IncludingLUER-Lock adaptors, 1Obturator 1Biopsy Forceps, 3 Fr., double action jaws, flexible,length 28 cm 1Grasping Forceps, 3 Fr., double action jaws, flexible,length 28 cm 1injection needle 1ELLIK Evacuator 1hook electrode 1Coagulating Electrode, angled, blunt, Color code:green 1Monopolar High Frequency Cord with 4 mm plug,length 300 cm 1

26. Resectoscope Set Forward Oblique- Telescope, enlarged view, ø 4 mm,autoclavable at 134°C, 1Fiber optic light transmission incorporated,Color code: redFollowing Accessories are Included Lens Cleanner 1Protection Tube autocleavable 1Adaptors for use ligth cable Karl Storz, Wolf, ACMI,Zimmer and Olympus 1

Working Element 1

Motion by means of a finger grip. The thumb supportis movable. In rest position the electrode is outside the sheath.

Resectoscope Sheath 26Fr., with quick release lock,rotatable, Color code: yellow 1IncludingOuter Tube 26Fr. 1Oblique beak, inner tube with ceramic insulation, 1Silicon SuctionTube autoclavable 1Silicon Irrigation Tube autoclavable 1

Standard-Obturator 1

Cutting Loops 10

Monopolar High Frequency Cord Length 300cm 2

Deflecting Obturator 1

Optical Biopsy Forceps, double action jaws 1

ELLIK Evacuator with locking device 1

Metal Case for Cystoscopes- Resectoscopescomplete 1

Fiber Optic Light Cable, size 3.5 mm, length 180 cm 1

Maintenance Kit Brush for Cleaning sharp jaws. 1

Oil dropper 1

Oil for Intruments, Bottle of 50ml 1

DURAGLIT, for polishing metal sheaths andinstruments

1

Special-lubricant for stopcocks 1

-Sd- -Sd-Dr. Abdul Rehman Alvi Dr. Asim Saleem

Surgeon Consultant/ Assistant Professor DHQ/Teaching Hospital Gujranwala DHQ/Teaching Hospital Gujranwala

-Sd- -Sd- Dr. Sohail Anjum Butt Dr. Iftikahr Hussain

DMS (Incharge General Stores) AnesthetistDHQ/Teaching Hospital Gujranwala DHQ/Teaching Hospital Gujranwala

-Sd-Professor Dr. Aftab Mohsin

PrincipalGujranwala Medical College/

DHQTeaching Hospital Gujranwala