S6 YTE QUANGNINHBENH VIEN DA KHOA TINH

CONG HOA XA HOI CHU NGHIA VIET NAM Doc lap - Tir do - Hanh phuc

S6: 1959/TB -BYT Qudng Ninh, ngdy 06 thdng 10 ndm 2021

THONG BAOVe vice moi bao gia trang thiet bi y te

Kinh gui: Cac to chuc/ca nhan kinh doanh trang thi4t bi y te

Thirc hien Thong tu so 14/2020/TT-BYT ngay 10/7/2020 ciia Bo Y t6 quy

dinh mot s6 noi dung trong dau thau trang thiSt bi y t4 tai cac co sd y t4 edng lap

va Cong van so 5888/BYT-TB-CT ngay 29/10/2020 cua Bo Y tS v6 hudng dan

trien khai dau thau trang thiet bi y tl theo Thong tu s6 14/2020/TT-BYT.

Benh vien Da khoa tinh Quang Ninh co nhu cau mua sam cac trang thiet bi y te nhu sau: -r'lNI

STT Ten hang hoa SoluongDon vi tinh BENHMay do huyet dong xam lan (PICCO)

_H? thong npi soi tieu hoa (da day, dai trang)

Cdu hinh, thong so ky thuqt tham khdo tqi Phu luc 1

>\bakhc1 Chiec 12 He thong 1

Be nghi cac to chuc/ca nhan kinh doanh trang thiSt bi y t4 co kha nang cung

cap trang thiet bi y te neu tren bao gia, cung cap cac thong tin ve hang hoa theo

man tai Phu luc 2 kem bi<§u de xudt thong s6 ky thuat va cac tai lieu chung mirth

thong so ky thuat, phan loai, phan nhom cua hang hoa.

- Thbi han cung cap thong tin: Truoc 16 gia 30 ngay 11/10/2021.

- Bia chi nhan thong tin: Phong K6 hoach t6ng hop Benh vien Ba khoa tinhQuang Ninh.

+ Bia chi: Pho Tue Tinh, phuong Bach Bing, thanh pho Ha Long, tinhQuang Ninh.

+ Email: muasamhanghoabvtqn@gmailx + B$ phan thuong true: Qng Trdn Van Minh - Nhan vien phong K6 hoach

tong hop Benh vien Ba khoa tinh Quang Ninh. SBT: 0979.520.014;

Hoac Ong Nguyln Quy Hung - Nhan vien phong Kg hoach t6ng hop Benh

vien Ba khoa tinh Quang Ninh. SBT: 0904.878.839;

.com

Benh vien Da khoa tinh Quang Ninh tran trong thong bao./.

No'i nhan:- Nhu tren;- Phong TT&HCQT (dang tai len CTTDT);- Liru: VI, KHTH.

^vidoc%f benh VIEN )z

^AKHOATi^r

Trinh Van Manh

2

TtNH

\lbenh via,, , ^ LUC1(Kern theo Thong bdo sdm Dmojmi cm benh vien Da khoa tinh Qudng Ninh)-tw....-................. ...... .... t.......—.—.—____ _______________________________________________ ______________________I. May do huyet dong xam lan rPIftCftT <Yeu cau chung: “ ^- Thi4t bi mai 100%, san xuk tu nam 2020 tra di "

— san xu4t phai dat tieu chuan quan ly ch4t lucmg ISO 1 MR*, hnxr t.r^na- Dien nguon su dung: 220V (±10%)/ 50Hz ?- Bieu kien boat dong:+ Nhiet do moi truong t6i da: > 30 do C + Do am moi truong toi da: > 75%Cau hinh ky thuat:May chinh kem phu kien tieu chuln: 01 bo, bao g6m:

May chinh tfch hop bo do huy4t dong xung mach: 01 chiec Cap noi cam bien: 01 chi4cPhu kien c6 djnh may chfnh (d4 c6 dinh va vlt): 01 bo '

Bo do huyet dong bang phirong phap boa ioang nhigt qua nbOi: 01 ho h^n aAm- + Bo do huyet dong: 01 chile

Cap n6i cam bien nhiet d£u vao: 01 chigcCap noi cam bien nhiet dau ra: 01 chiec_________________Cap n6i voi bo cam bi4n do huylt ap dong mach: 07. rhier.Adapter truyan thong s6 huy4t ap xam l^n: 02 chi^c

Bo do nong do bao hoa oxy mau tinh mach trung tam lien tuc: 01 chi§c Cac bo vat tu tieu hao:__ Catheter dpng mach dui co ddu nhan cam biln ap lire va nhiet do: 05 bo "__ Bo cam bien do huylt ap dong mach va bo phan cam bign nhiet: 05 ho

Bo do cac thong s6 huylt dong xung mach: 01 hd " "Dau do n6ng do bao hoa oxy mau tinh mach trung tam: 01 ho

Gia giu cam bien do huy4t ap xam Idn: 01 chile *Kep c6 djnh gia giu cam bi4n: 01 chi4cBao tao ap lire: 01 chiec ~ “ --------------Xe dat mdy: 01 chi^c “--------------------Tai lieu hudng dan su dung tieng Aiili va ti£ng Viet: 01 hoTai lieu huong dan sua chira, bao duang: 01 ho " " -----------------Thong so ky thu^t; - --------------------ung dung lam sangTheo doi benh nhan s6c nhiem kliudnTheo doi benh nhan s6c tim Theo doi benh nhan soc chan thuongTheo doi benh nhan ARDS (Hoi chtog suv ho hdp edn ti^n tnAn^Theo doi benh nhan bong nangTheo doi benh nhan viem tuy cap -------------Theo doi benh nhan phau thuat co nguy co cao ~Thong so ky thuat: ~ ------------------------Bo do huyet dong b^ing phuong phap hoa loang nhiet qua nhma. Dac diem chung ’ --------------------Dam bao do chinh xac cac thong so huyet dong bang su kit hop phuong phap phan tfch duong viln jjying mach duac hieu chinh thong qua phuong phap hoa loang nhiet qua ph6iCac thong^so chinh xac cho phep bac sy thuc hien dilu trj thfch hop d6i vai timg benh nhan" hieu qua toi da thuoc tra tim va thuoc van mach.Cho phep do luong nuac ngoai mach trong phoi dl danh gia phii phdi

+++

+//

++

++++

su dung

Da dirge kiem chimg lam sang, dirge chap nhan su dung rong rai nhu la mot bien phap theo doi huyit dgng xam lan toi thieu thay the catheter dong mach ph6i_______Lgi ich^do huy4t dong Mng phuong phap hoa bang nhiet qua phdi mang lai:• Tra loi cho bac sy cac cau hoi ve: tinh trang tim mach hien tai cua benh nhan, tien ganh va hau ganh, dap img truyen dich va muc tien trien phu phdi.r Chi s6 t6ng thl tich cu6i tarn truong toan bo (GEDI) la chi s6 dang tin cay va da dugc kikm

;CT vm W 36 t6n-gih4 1 •Ch Cu6‘ ta“trirang t0^n b§ (GEDI) thi tfch nildc "goai mach trong ph6i

s;gsss,s^^(svv> *w ^««pic“»* ^ »i““ ””8 'o4n bs d’° p“p e“ “ ®"

- ____ Toi uu hoa dieu tri cac benh nhan phau thuat tim, giam ti le bi§n chung 36% “-------- Chi so th<§ tich mrocngoai mach trong phdi (ELWI) cho phep danh gidphu phdi

La thong so d£ canh bao tinh trang truy£n dich audthi— ^hQ P^P. g^m th^u t^n c^c ca chup X quang dk danh gia phu phoiL___ _ Giam thdi gian benh nhan nam trong khoa hdi she can emi 32% "b. Dai do cua thong so do PiCCO ---------------------Chi s6 cung lugng tim: Tir < 0,1 d4n > 15 lit/nhut/m2 -----------------------------Chi s6 the tich nhat bop: Tir < 1 d4n> 125 ml/m2 ----------------Chi s6 co bop thdt trai: Tir < 200 den > 5000 mmRg/s “-------------------Chi so cong suat tim: Tu < 0,01 d6n > 9.99 W/ m^ -----------------------Chi so sue can mach he th6ng: Tu < 1 ddn > 30.000 dvn s rm-5m2 Bien thien tM tich nhat bop: Tir 0 d8n > 50 %Bien thien huyet ap xung mach: Tir 0 d£n > 50 % “ ---------- -----Chi so the tich cudi tarn truong toan bo: Tir < 80 den > 2400 ml/m2 “ “Chi so chuc nang tim: Tu < 1 d6n > 15 1 /phht-------------------------------Ti s6 tdng mau toan phan: Tir < 1 dgn > 99 % -------------------- —

-Chi s6 the tich nuoc ngoai mach trong phdi: Tir 0 d^n > 50 ml/kg----------------------Chi so do tham mach phdi: Tir < 0,1 d4n > 9,9 ^ ----------------Nhiet do mau benh nhan: Tir < 25 den > 45 do rHuyet ap dong mach: Tir 0 d4n > 300 mmHg “ -----------------Huyet ap trung binh: Tir 0 d§n > 300 mmHcT --------------------------------------Ap lire tinh mach trung tarn: Tu < -10 d£n > SO tr.tr.RaNhip tim: Tir < 30 d4n > 240 nhin/nhht ----------------- -Bo do huyet dong xung mach a. Dac diem chung

iKaastg ssssr *vi d* ^ “* d’uin •“» ^ ® »«««Cho phep phat hien dap ung truv^n dich ----------------------------- --------------Nghien cun da trung tarn chi ro giam thilu cac biAn chima --------------------------------------Lgi ich do cung lugng tim xung mach mang lai:

■ Cho phep thu'c hien dich dieu tri som co huong d§n, giiip giam thai gian va chi phi dieu tri- h6 tra t6i u_4 hoa truyen djeh hoi sue, giam thieu cac bien chung hau phlu. giam thi&. nhiAm

£!SSmSS^gt^^llm"^^401‘°'n phptppVl>i ^“t". "

chuan

Su dung cho cac ca benh nhan: thuc hien nhigu thu thuat phuc hop vai nguy eg bign chung cao trong mo va sau mo dv doan mat mau cao (>20%) va thl tich dich thay tron| su6t qua trinh phlu thuat dan den giam the tich hoac qua tai, thdi gian phau thuat dai (>120 phut)

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b. Dai do cua thong so xung machChi sd cung luang tim: Til < 0,1 d4n > 15 lit/phut/m2~Chi s6 the tich nhat bop: Tu < 1 din > 125 ml/m2 ------------Chi so co bop Mt trai: Tir < 200 din > 5000 mmHg/s "Chi s6 cong su^t tim: Tir < 0,01 d4n > 9.99 W/ m2Chi s6 sue can mach he thdng: Tir < 1 d§n > 30.000 dvn.s.cm-Sm?Bien thien thk tich nhat bop: Tu 0 d§n > 50 %BiSn thien huygt ap xung mach: Tir 0 d6n > 50 %Thiet bi do nong do bao hoa oxy mau tinh mach trung tam lien tiic Dim tren phep do quang hoc qua dhu do. * * "

_C6 do nhay cao dg danh gia tinh trang thilu mau mo tir do danh gia som tinh trang aiAm t,,^ n^„Dai do ac thong so:• Do bao hoa oxy mau tinh mach trung tam lien tuc: Tir < 1 % > QQ%• Chi s6 cung c^p oxy tai mo: Tir < 10 d6n > 5.000 ml/nhut/m? '• Chi s6 tieu thu oxy a mo: Tu < 10 d6n > 5.000 ml/phht/m? -------------Man hinh dieu khien va hien thiMan hinh mau, cam ung: > 8 inchDo phan giai: > 800 x 480 pixel ------------------Tren man hinh hi£n thi: --------------------------------

— Hisn thi thong tin cua benh nhan, thong tin cac ohen do dac tnma thnna ia;-Bien thj bieu do huy6t ap dong mach xam Idn, ap lire tinh mach trung tam then thm pian

• Hien thi cac thong so theo cac hinh dang khac nhau, hikn thi cac thong s6 dirac lira chon._ Hien thi cac bieu do theo tien trinh thai gian tuang ung vai cac thon^ sA ftirrrr li^ rh™

• Hien thi cac phim chuc nang i 1 iHien thj thong so tren man hinh > 9 thong s6 ------------------Hign thi cac thong s6 huydt dong hoc lien tuc: Tir < 3 d4n > 7 thnna qA Hikn thi cac thong s6 huyet dong hoc khong lien tuc: > 4 thong s6Co the hien thi duong cong > 2 thong so trong cira s6 xu huang vai cac khoang thai gian xu hirdng la

-J.5.phut^ 30 phClt/.1 giey/ 3 gi6f/ 6 gifr/ 12 gid/ 24 gi&/ 2 "gay/ 3 ngav/ 6 ngay/ 12 ngay Hien thi man hinh toan bo cac thong so do: The hien tinh trang benh nhan dang ndm trong dai thong thirong hay dai ngoai bang cac mau xanh. vang va dojji4n thi man hinh theo d5i moi lien quan gifra cac bo phan ohm, tim va rap mnch -May co the ket noi dirge may tha Servo-i dk nhan trang thai ch£ do thfr vA th^ i.Vh i.n,Lira chon cac kieu man hinh khac nhau: > 10 b6 cue man hinh 5 -------------jghirc nang in: Thong qua cong USB, thong qua mang LAN hoac qua mav in ngoai then m^vCo chirc nang tra cmi cac thong tin cua tat ca cac thong s6 tir cung lirgng tim, tien ganh, hau ganh sue co bop ca tim va chuc nang cua ca quanCo man hinh sq do t6ng quan vl cong nghe PiCCQ -------------------Co man hinh gai y dilu tri sau mdi lan bam “Co chuc nang ghi lai toan bo qua trinh theo doi cua mot ca die.n tri ------------------Co chuc nang xdit du lieu thong qua c6ng USB 1 --------------------------Co chuc nang kiem tra the tich (Volume test): Diing h§ trer quan \y thi tich bang each kiem tra dap ungthe tich nhu sau: Dap ung dich truyen, nang chan thu dong va kiem tra the tai cu6i kv tha raTren may chinh co cac cong kh noi: :--------- -----------------------• Cong ket noi vai cam bi4n bo do cung lugng tim xung mach• Cong ket n6i do cung luang tim PiCCQ• Cong kh noi mang LAN ---------------------------^ Cong kit noi USB ~ --------------------------

BAN

Canh baoHien thi canh bao, ma loi va cac thong tin quan trgng cung muc do uu tien khac nhau tren man hinh

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Co > 3 loai dan den canh bao: Canh bao ky thuat, canh bao sinh ly va canh bao chunp --------------------Thong so canh bao: Huyet ap dpng mach tarn thu cao, huydt ap d6ng mach tarn thu thap, huygt ap trungtam cao, huyet ap trung birth thap, huyet ap tlnh mach trung tam cao, huygt ap tinh mach trung tam thap, nhip tun cao, nhtp tim thap, nong do bao hoa tinh mach trung tam cao, n6ng do bao hoa tlnh trung tam thap, cung lirong tim cao. cung lucmg tim thipDai do thong so canh bao: ---------• Huy£t ap dong mach tam thu: Tir 0 d6n >300 ---------------• Huygt ap trung binh: Tir 0 den > 30Q~• Nhip tim: Tu < 30 d§n 240 " " -------------' ^ ___l^Nong do bao hoa oxy tinh mach trung tam: Tir < 1 d4n > 99• Chi sd cung lugng tim: Tir < 0,1 d^n > 15 -------------------------Thong bao ma loi ve huy^t ap xung mach: > 12 ma l^i Thong bdo ma 16i ve cung luong tim xung mach: > 4 m3 lAi Thong bao ma loi ve pha loang nhiet qua nhm- > 11 ma lAiThong bao ma 16i vk ddu dat tcatheteri: > 7. ma Ini ----------------Thong bao ma loi chung: > 6 ma 16i “He thong noi soi tieu hoa (da day, dai trang)Yeu cau chung: ' ------------- Thiet bi mai 100%, san xuk tu nam 2020 trd di -------------------^_Nha san xuat phai dat tieu chudn quan ly chdt luong ISO 13485 hoac t.rana rt.rrvna- Difn nguon su dung: 220V (±10%)/ 50Hz 1 ----------------- Dieu kien boat dong: ------------

Nhift do moi truong t6i da: > 30 do CDo am moi truang t6i da: > 75% --------------------------

Cau hinh ky thuatT^ ----------

mach

:

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Bo xu ly hinli anh: 01 bo___________Nguon sang (loai LED hoac Xenon cong suat tuong duong): 01 boOng noi soi da day video: 01 boPhu kien tieu chudn di kem:Choi rira dai: 01 chileBo dung cu rua: 01 boDay nap kenh: 01 chile_____________Choi rua ngan: 01 chiecAdapter ve sinh khi va nuoc: 01 chileOng rua: 01 chileMp biopsy valve: 01 goi (10 chile/ gopNgang mieng nhira: 02 chile__________Tai lieu huoug dan su dung: 01 boOng noi soi dai trang video: 01 boPhu kien tieu chudn di kem:Choi rua dai: 01 chileBo dung cu rua: 01 boDay nap kenh: 01 chile_____Chli rua ngan: 01 chile_____________Adapter ve sinh klh va nuoc: 01 chile Ong rua: 01 chileNap biopsy valve: 01 goi (10 chile/ goi) Tai lieu hudng dan su dung: 01 bo

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Man hinh noi soi chuyen dung: 01 boBo kiem tra ro ri: 01 bo__________________________Kim sinh thiet Da day chuyen dung dung nhik l^n: 01 chi^oKim sinh thiet Dai trang chuyen dung dung nhilu \kn: 01 chi6cXe day may chuyen dung: 01 chiec____________Bo may tfnh (CPU, man hinh, ban phim, chuot, cap kh noi): 01 boMay in man: 01 bo__________Bo lim dien online: > 2KVA_____________Ban, ghe lam vice: 01 boTai lieu ky thuat huong dan bao quan va sir dung: 01 bo Tai lieu huong dan sua chua, bao duang: 01 boThong so ky thuat:Bo xu’ ly hinh anh- NBI (Hinh anh buoc song hep) cung cSp khoang each nhin glp 2 lan so vai thg he truac va sir tuong phan giua cac mach mau va cac lop niem mac cung ro net ban rdt nhieu.

Thiet ke mdi cho bo phan ket noi co kha nang chong nude- Qua trinh xu ly hinh anh cung duac nang dp dl cho anh noi soi dugc net va ro rang hon nha vao vice tai tao mau, giam do nhieu va giam chdi 16a.- Co chuc nang dung hinh d£ chon anh noi soi- The hien hinh trong hinh. -------------------- Tin hieungora HDTV: Co the lua chon RGB hn5r VPhPr ------------ ------------ Tin hieu ngo ra SDTV: Phuc hap VBS (TAU Y/C v* RrtR- Tin hieu ngo ra djen tu: HD-SDI, DV vd DVI ---------------- ---------------

Bieu chinh can bang tr^ng: Bang each su dung nut can bang tring chudn d phia trude bo xu ly- Ngo ra thanh mau chuan: The hien thanh mku chuST ------------------------------- Dieu chinh mau: Cung clp khoang di6u chinh rong 16 bude R & B; CHROMA dg tinh chinh hinhanh thich hop cho tung ngudi su dung__________- Tu dong tinh chinh inh sang (AGC): He thdng se tu dong dieu chinh anh sang trong moi truerng hop

anh sang nham dam bao hinh anh luon ro net trong moi truong hop quan sat thuong t6n d xa^ hi^ “h:- C6 cai dat 1 trong 3 che do (Nfl.L); N (Nomal): Hinh anh thudng”

H} Hlgh>: vu«g tot se tot hon va nhirng viing sang se sang hon; L(Low): Nhtrng vung anh sangyeu se sang hon va nhung vung anh sang manh se giam di.- Iris: Co the chon ch6 dd Iris tu dong.- Co chuc nang tang cudng do s^c net cua hinh anh- Kich cd anh noi soi cd the thay ddi dugc- Co chuc nang dung hinh anh noi soi- Chuc nang chong anh bi suong mu' Dai,HlU ^ Ciich"S';r d™g b®n pWra c6 dil H?u b?"h va duac th4 hien trenman hinh nhu sau: So ID, ten tuoi, gjgj tinh, ngay sinh. diln giai va mo ta t6n thuong.- Nhap truac dtr lieu benh nhan: cac du lieu sau day cua benh nhan co the nhap vao trude S6 ID tentuoi, giai tinh, ngay sinh, ’ ’

I

- Cai dat bo nhd: Cac y4u to sau day dugc luu lai trong bo nhd tham chi sau klii CV-190 duac tk _nguon nhu: Can bang trang. Iris, Che do tang cudng, klch cd anh, do x- Loai bao ve chong soc dien: class I

, mau.

Nguon sang Xenon 300W- NBI (Hinh anh bude song hep) cung dip khoang each nhin gap 2 l4n so vdi the he trude va su tuong jman giua cac mach mau va cac lap niem mac cung ro net han rk nhilu.

Thiet ke mdi cho bo phan ket noi co kha nang chong nude ^Tu dong dieu chinh anh sang de dat duac tdi anh sang ly tudnu cho viec n„an 4,^. u,..- Tu dong dieu chinh do phat sang theo 17 bude: ^---------------- Bom khi: Loai bom mang chap ---------------

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- Bam kbi ap luc theo 4 muc: Tk, Md. trung hinh.- Bam nirac theo phuang thuc: Nen khi vao binh nuac- Den bao dir phong tren bang dieu khien: Cho biet dang dung hay khong dung bong du phong hoac:co hay khong co bong dir phong.______

Den bao ch£ do NBI: Khi chi do NBI bat, den chi bao NBI ohat— ^ liru trQ': Cai dat (tru bo loc) duoc luu tru nnav c.a khinonbn tat.- Bong den chinh: Bong Xenon 3Q0W -----------------------“- Tu6i thp trung binh cda bong den: 500 gio sir dung hen tur- Dieu chinh do sang: Di§u chinh man cMn sang. '- Lam mat: Lam mat bang khong khi_______________- Sir chuy4n mau: Sir dung man loc co muc dich dac biet- Bong den dir phong: Bong Halogen 12V, 35W- Tuoi tho bong dir phong: 500 gig_____________- Loai bao ve chong soc dien: Class I_________________Ong noi soi da day video loai Iirdug tieu cu’- He thong quang hoc:_______________- Truong nhin: Binh thuang 140 do, Nhin gdn 140 do- Huang quan sat: Nhin Mng- Do sau truong nhin: Binh thudng 5-100 mm, Nhin gdn 2-6- Phan than ong soi: Duong kinh ngoai phanmm__________________- Chieu dai lam viec: 1030 mm

mmcuoi ong soi: 9.9 mm, Duong kinh ngoai than 6ng soi: 9.9

/II- Kenh dung cu:- Duong kinh ben trong kenh: 2.8 mm ------------------------------ Khoang each quan sat tdi thidu: 3.0 mm U tir pMn cu6i 6ng soi- Phan udn cong: Pham vi tao goc: Len 210°. Xudng 90°. Phni 100° TY^i inno- Tong chieu dai: 1350 mm ~ " ----Ong npi soi dai trying video luong tieu cu-- He thong quang hoc:- Truong nhin: Binh thudng 170°, Nhin gdn 160° “----------------------- -- Huong nhin: Nhin thing ------------ ------------ -—^ Do sau truong nhimBinh thudng 5-100 m. Nhin gdn 2-6 mm ---------------- Ph“ than 6ng soi: Duong kinh ngoai phan cu6i 6ng soi: 13.2 mm, Duong kmh ngoai phim than 6^soi: 12.8 mm b- Chieu dai lam viec: 1330 mm-Kenh dung cu: Duong kinh ben trong kenh: 3.7 mm, Khoang each quan sat tdi thidu: 4.0 mm (Chd do Binh thuong) tu phan cudi dng soi_______________^Phdn udn cong: Pham vi tao goc: Len 180°, Xudng 180°. Phai 160° Trai 1^0°- Tong chieu dai: 1655 mm ----------------------Man hinh noi soi chuyen dung- Man hinh tinh thd long 24 inch -------------------- Do phan giai 1920 x 1080 pixels (Tull HP^ ----------------------------------- Loai tin hieu ra: DVI-D -Ti le chia man hinh: 16:9-Tin hieu vao: Phuc hpp, Y/C, RGB, DVI-D, SDL HD 15 --------------------- Mdu: khoang 16,700,000 mdu ------------------------------------ Dong bo ngoai- He thong loa trong- Goc nhin 89789789789°Bo kiem tra ro ri______________________- Dung kiam tra ro ri truoc va sau khi su dung

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- Bao gom: dong ho kiem tra ap suat, tui hai, bam haiXe day may chuyen dune^La loai xe day chuyen dung cho he thong noi soi- Banh xe co khoa ham an loan khi su dung- Co gia treo ong noi soi

N

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PHU LUC 2BANG CUNG CAP THONG TIN VA CHAO GIA

Thong tin cua don vj bao gia (Ten, dia chi, so dien thoai, email)

Kinh gui: Benh vien Da khoa tinh Quang Ninh

t WOTWTgJMwm ci. BM van D, tho. Uni QningNinh vi vi?c bin gii ,„„e mk bi y ,j. Chung ,6i............................................ ^in S111 Quy Benh vien bao gia va thong tin cua hang hoa nhir sau:

Can cu Van ban so don vi...........

So dang ky lira hanh

hoac so giay phep

nhap khau.

Nude Gia trung th§u 12 thang gan nhltTen

Thuong mai, ky ma

hieu

capPhanloai

TTBYT(A,B,C,

Ten Thong so kT thuat co-

ban

giaychungnhan

Phan nhom

theo TT 14/2020

DonSTT Hang/nuoc chu so' hu u

hang Hang san xuat

S6Nude san xuat

DVT GhiDongiahoa Giatriingthau

QD, ChiivjngayluuD) triingth3uphehanhty

duyetdo1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17Ghi day du ten theo chung

nhan ISO 13485

hoac CFS, Hoac

GPNK

Ghi day du ten theo

chung nhan ISO 13485 hoac CFS,

Hoac GPNK

Ghi day du ten theo

chung nhan ISO 13485 hoac CFS,

Hoac GPNK

Ghi chii:Den vi phai cung cap day’ dit thong tin veto bang tren.af™ W 'cEVZr ba°rdm CiCJ~°9JthUl pMl ba° hiim’^n Chuyin’ giao hdng ‘w B?nh vit" Quing NinhVm. >5, 16) G,a tru„g thau ^s,a ,a C(i„g khai tr,n edng ^ ,in ^ Bm v. ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^

Dai dien hop phap cua don vi bao gia

[ghi ten, chirc danh, ky ten va dong dan]

& "-Vi