TENDER FOR NEUROSURGERY DEPARTMENT, ALLIED HOSPITAL...

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TENDER FOR NEUROSURGERY DEPARTMENT, ALLIED HOSPITAL-FAISALABAD FOR THE YEAR 2016-17 (3rd) Package 01. PRE-REQUISITE • The Firms are required to quote the complete package; incomplete package will straight

away be rejected. For completing the package the firm may form the joint venture with other firm but the leading firm must have 50% share of the package.

• The Manufacturer of quoted equipment mush be of USA, Europe or Japan origin only not incase not mentioned in specifications.

• The Medical Equipment of USA must have comply with 510 (K) FDA, in case of Europe MDD / CE and for Japan MHLW for specific models. The other / non-medical equipment should comply with the relevant National / International product quality standards.

• The Bidder must be a manufacturer, sole agent or authorized distributor of the quoted product / brand. The bidder must have reference site in Public / Private sector.

• The firms must quote their leading brands from the above mentioned origins with the proven past performance nationally and internationally. The Firm must possess its related back up support services including trained engineers, workshop facilities, spare part availability and repair / calibration tools etc. The firm must attached at least 03 references of Public Sector / Private Sector with tender

• The quoted brand /product must be installed and enjoy good reputation in Pakistan market for minimum one Year

• The firm’s should have proper infrastructure to handle and execute the complete package. • Bids without Original documents and Brochure will be rejected.

Neuro Navigation System (Latest & Advanced)

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1. Uses: A. All Type of Emergency & Scheduled Cranial Surgeries including Deep Brain Stimulation DBS

(with frame and frameless) Surgeries as well as microscopic procedures. B. All Types of Emergency & Scheduled Spinal Surgeries. C. Quoted high end Neuro Navigation System must be of latest model, should ideally support

Advanced Navigation in Cranial & Spine Surgeries. Must support intra-operative imaging like iCT, iMRI, C-Arm etc and operating Microscope.

D. System must navigate with precise accuracy through Advanced Optical Navigation Camera with Laser Pointer for easy positioning and Latest Electromagnetic Tracking Technology for pin-less procedures.

2. Requirements High performance Image-Guided-Surgery station, integrated in a mobile display cart with separate mobile camera cart for flexible positioning of the infrared camera - featuring advanced optical, wireless passive marker tracking technology: for pre-op planning and surgical visualization. With UPS and Battery Back up of sufficient power… a) Cranial Surgery software & Hardware; latest & up to date. b) Deep Brain Stimulation Software and Hardware complete package; latest & up to date for

with frame and frameless procedures. c) Image Merging Software to merge CT, MRI (T1, T2, Flare) PET, iCT, iMRI, Fluoro etc of brain

and spine both on main system; latest & up to date (or equivalent) d) 3-D Navigation and volume rendering Software for brain and spine; latest & up to date (or

equivalent) e) Microscope interface for Zeiss. f) Spine surgery software & hardware; latest & up to date

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3. Technical Specifications Two Cart System (or Equivalent): I. The Monitor: Built in wide & Ultra High Definition Touch Screen Monitor 32 display or equivalent for the navigation. II. Intra-operative Imaging’s Interface:

System should accept latest DICOM format Images or preferabably better from intra-operative MRI, intra-operative CT, and C-Arm / must be latest or Better

III. Imaging Interface: System should accept standard DICOM format Images from MRI and CT Scanning Departments via CD/DVD/USB II& III or better enabling surgeon to plan surgery in advance on main navigation system.

IV. Workflow To provide a user friendly experience throughout set up, planning, navigation, shut down and transport.

V. Intelligent Design.

Compact Design with the small footprint; to make it easy to fit navigation system into the OR with built-in battery backup to support during frequent power failures.

VI. Complete control

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Surgeon should have control of the navigation system through touch screen and patient frame without compromising the sterility. VII. Staff Cart (220-240V @ 50-60 Hz) a) Navigation visualization screen and camera with extended camera volume & equipped

with built-in Laser Pointer for precise & hassle free centering of the camera on the field of surgery.

b) Interface for transfer of exams via CD/USB II & III or higher c) Bug Free Operating system d) 8 GB Ram or more e) 4 TB HD or more f) Latest and Highest Graphic Processor with Highest Resolution. g) DICOM query/retrieve compatible h) Advanced Tracking Technology compatible i) Intra Operative Imaging Systems compatible viii) Surgeon Cart: Ultra High Definition touch screen latest verson. Reflection free for best viewing from all angles. Flexible arm to move close to surgical field to provide control and all information the surgeon needs where he needs it.

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Neurosurgery Applications A) Cranial Software: Planning & Navigation in a single Module on Main Navigation Station. The cranial navigation software offering Planning & Navigation. Customized for the surgeon to simplify and standardize the entire navigation process, while in the Operating Room. Software should support Planning, Registration in prone or any required position of the patient, Navigation, 3D and volumetric visualization engine (volume rendering) to check and avoid vessels and probable bleeding points during surgery. The whole cranial setup should allow the surgeon to easily register the patient in ANY position (specially in PRONE). AUTOMATIC IMAGE FUSION SOFTWARE WITH FAST and precise based on mutual information logrithem Including: I. Procedure guided software (next/back buttons) with voice prompt, instruction window and task visualization. II. Personalized equipment set up, instruments and navigation views. III. Choice of different patient registration methods, allowing the end-user to modify any plan or trajectories on the main navigation station intra-operatively. IV. Supported surgical procedures like: a) Frameless Brain Biopsy and DBS b) Pin Less Procedures

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c) Tumor resection d) Shunt Placement e) Navigated Neuro Endoscopy/Micro/Flouro f) Adult & Pediatric B) Spine Software: I. The spine navigation product offering software customized for the surgeon to simplify and

standardize the entire planning and navigation process. II. Personalized Equipment Setup, Instruments and Navigation Views for each type of CT or

Fluoro-Based procedures (Cervical, Thoracic, and Lumber) including iCT & iMRI III. Allowing seamless interface to a variety of C-arm Images from the C-arm should

automatically be imported and be calibrated for navigation use. Real time tool positions overlaid onto previously acquired images.

IV. Image calibration and navigation, allowing seamless interfacing to a variety of C-arms and

Navigation “Real Time Tool Positions”. Images from the C-arm are to be automatically imported and can be calibrated for navigation use.

V. Compatible with Intra-operative CT, C-arms. C) Cranial Instruments: a) Articulated Arm b) Mayfield Adapter c) Passive Planar Blunt

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d) MRI/CT Markers e) Passive Cranial Frame f) Sterile Spheres g) Cranial Navigation Tray h) Equipment Ref. Sheet i) Skull Model with pre-loaded exam D) Spine Instruments: a) Compatible Interface for C-Arm / An interface for C-Arm 9” or 12”. b) Spine Instruments Passive including accessories like: c) Open Spine Clamp d) Open Spine Clamp driver e) Thoracic Clamp f) Reference Frame g) Passive Planer Ball Tip h) Awl, Probe and Tap with trackers. i) Spine model with holder & pre-loaded exam Accessories 1. Universal Instrument Adapter System:Including: I. Small, Medium and Large Passive Trackers II. Small, Medium and Large Mounts III. Mount Driver IV. Sterilization Tray 2. Cranial Biopsy Instrument Kit: Including:

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I. Articulated Arm II. Mount, Double Star Adapter Mayfield III. Biopsy Guide IV. Probe V. All Necessary Accessories 3. Microscope Integration Interface only. I. Display of the microscope focal point on anatomical images II. Display of ROI and Navigation symbols in oculars III. Display of Navigation Monitor in oculars 1x Tracking Hardware (cables & bracket) IV. Tracking Interface Hardware 4. IGS Disposables: I. Disposable Reflective Markers / Spheres= 600pcs II. Registration Markers (compatible with CT / MRI) = 200pcs III. Biopsy Needles= 25 pcs 1. DICOM Query / Retrieve Software: With DICOM Query / Retrieve, to search, view and download patient exams directly from the hospital network to the Navigation System. I. Query of PACS systems for patient data

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II. Push and pull patient data from PACS or single scanner location, from the main Navigation Station.

III. Conform to industry accepted DICOM standards IV. DICOM receive from any DICOM storage class provider V. Patient data viewing capability within the navigation application 3. Planning Station: Separate, Latest & Advanced Computer System for planning of navigated surgical procedures. Including: High-end Main CPU Large Flat Display Screen UHD Keyboard and Mouse. Preloaded planning software for brain and spine. 4. Computer networking. Icluding Networking from Modular Operation Theatre to CT and MRI Rooms and Neurosurgery Ward. Flat Screen branded PCs larest version No. 05 OPTIONAL Accessories with separate itemized Prices 1. E) Deep Brain Stimulation Software: 3. Stereotactic Planning Software with Functional Brain Atlas. 4. Advanced 3-D modeling capabilities and display of three orthogonal views 5. Multiple surgical plans with automatic calculation of frame settings 6. Alternatives for anatomical structures localization such as predefined and customizable

formulas, interactive Schaltenbr and-Wahren Atlas and Talairach Grid.

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7. Image reformatting relative to AC-PC line, so that functional targets are displayed relative to AC-PC

8. Enhanced target localization by audiovisual integration of physiological signal and simultaneous display of recording position

9. Automatic frame detection and registration of stereotactic frames 10. Capable of all commonly used stereotactic frames (Leksell Frames) 11. Capable of Frameless DBS procedures, Depth Electrode and other stereotactic frame-based

procedures 12. Preoperative verification of the surgical plan by virtual “probe’s eye view” 2. Electromagnetic Tracking System for Pin-Less Cranial Navigation with All Necessary Accessories (hardware & software): I. Quoted Navigation System must facilitate the end-user in pin less cranial procedures. II. Technical & Commercial Offer must be inclusive of all the accessories (Hardware, Software,

and Re- Usables & Disposables). III. Procedure Dedicated Kits Pediatric tumor resections as well as shunt replacements = 10 pcs

each. NOTE: a) Quoted System must be of Advanced & Latest version. b) Quotation must cover Complete Equipment. c) Quotation must cover Complete range of disposables / Kits d) Quotation must provide all technical details up to the satisfaction of the end-user. e) CE / FDA Approved Package 01.

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PAKAGE 02

PRE-REQUISITE

The Firms are required to quote the complete package; incomplete package will straight away be rejected. For completing the package the firm may form the joint venture with other firm but the leading firm must have 50% share of the package.

The Manufacturer of quoted equipment mush be of USA, Europe or Japan origin only not incase not mentioned in specifications.

The Medical Equipment of USA must have comply with 510 (K) FDA, in case of Europe MDD / CE and for Japan MHLW for specific models. The other / non-medical equipment should comply with the relevant National / International product quality standards.

The Bidder must be a manufacturer, sole agent or authorized distributor of the quoted product / brand. The bidder must have reference site in Public / Private sector.

The firms must quote their leading brands from the above mentioned origins with the proven past performance nationally and internationally. The Firm must possess its related back up support services including trained engineers, workshop facilities, spare part availability and repair / calibration tools etc. The firm must attached at least 03 references of Public Sector / Private Sector with tender.

The quoted brand /product must be installed and enjoy good reputation in Pakistan market for minimum one Year.

The firm’s should have proper infrastructure to handle and execute the complete package.

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MODULAR FABRICATION OF EMERGENCY NEUROSURGERY OPERATION THEATRE WITH SURGEON PENDANTS, ANESTHESIA WORKSTATION (PENDANT MOUNTED), ELECTRO HYDRAULIC OPERATION TABLE, OPERATION THEATER LIGHT WITH HD CAMERA, MEDICAL GRADE HVAC UNIT(OPTIONAL) AND SCRUB STATION.

01 WALL PANELS

The Wall Cladding System should composed of:

Wall panels type should be of Painted steel/Glass/UPVC

Firms are instructed to quote both options as below

separately.

(i)Wall Panels Stainless Steel/Glass:

The non-load bearing wall system should self-loading and flexible.

Double wall panel design with its own substructure.

The modular sub-structure system consists of wall panels over

the total room height up to false ceiling.

The wall panel system should have prevision to modify at any

time on demand.

Insulation by rock wool in class A1 according to EN 13501-1

Total thickness of panel should 45 mm or Better

Total Height of the panel should be 3000 mm (or according to

height of concrete ceiling)

The wall panels should be Nonconductive and Bacteriostatic,

powder-coated with polyurethane finish.

As per OT

Dimensions

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The wall panels should be in one piece to avoid joints and free of

Screws

Silicone in between the joints should not more than 4mm

Thickness of painted steel/SMS should be 0.8mm/3mm

Fire behavior in acc. With EN13501-1 Euro-class A1

External coatings should be Polyester 25 microns

The U-profile Should non-lacquered steel/Aluminum sheet of 1

mm

The floor rail aligned to the bare floor and mount with screws.

There should be special formed strip to be installed for flooring

to void the corners.

The wall panel system should easily dismantle and reassemble

from the ceiling and floor system.

Round corners of wall to avoid contamination and easy cleaning.

(ii) Wall Panels UPVC:

Wall panels type should be of Antistatic Polyvinyl Chloride

(UPVC)

The non-load bearing wall system should self-loading and flexible.

Wall panel design with substructure.

As per

Drawing

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Sub-structure system consists of wall panels over the total room

height up to false ceiling.

Total thickness of panel should 45 mm or Better

Total Height of the panel should be 3000 mm (or according to

height of concrete ceiling)

The wall panels should be in one piece to avoid joints and free of

Screws

Gap between the joints should overlap with Two-part joint strip.

The Substructure should be non-lacquered Mild steel.

There should be special formed strip to be installed for flooring

to void the corners.

Round corners of wall to avoid contamination and easy cleaning.

02. FALSE CEILING/DAMPA CEILING.

The false ceiling system provides the integration of all components of

ceiling into operation theatre with rigid frame of Galvanized Steel profile

for its perfect installation.

Suspended ceiling perimeter profile with integral coving for the Wall

Cladding and Partition System with a durable thermosetting epoxy

powder coating.

The operation theatre general lights integrate into the frame system of

false ceiling which is perfectly sealed. The false ceiling frame system

should provide the seamless and air sealed coverage of all gaps. Wide

As per OT

Dimensions

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radius cross-section, clipped into the suspended ceiling perimeter rigid

support profile.

Air tight ceiling panels round finish on the corners of the

The ceiling panel size should be 0.7mm thick, 600 x 600 mm or better

and fixable with appropriate suspension system.

The individual ceiling panels will be fixed together panels in such a way

that will be perfectly sealed.

03. ILLUMINARIES

The luminaire specifically designed for Cleanroom

Frame should be Zinc coated CRCA sheet steel finished in epoxy

polyester powder coated of 25 micron thickness or better.

Precisely designed pre-anodized aluminum reflector for desire

distribution of light.

The Electrical connections by mean of 3 way push fit connector and

polycarbonate lamp holders to retain T5 lamps.

Flush with false ceiling

IP rating should be 65

Two lights with emergency battery backup

Light box should be compatible with false ceiling

As per

Requirement

04. OPERATION THEATRE CONTROL PANEL

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Color touch screen central control device for operation room should for

receiving the information about the medical gas system, Plant and

Electrical power supply system.

TECHNICAL FEATURES AND CONTROLS

Color Glass touch screen

Analog clock, digital stop watch and date.

Medical Gas Alarms

Temperature display and control

Relative humidity display and control

General lighting controls

Day/Night Mode

Electrical Power Supply

05. X-RAY VIEWING SCREEN

X-ray viewer in flush-mounting design co-planar to the finishing

panel designed to provide a high level of control luminance

without flickers from a unit that should easy to clean

The X-ray viewing screen illumination will be high frequency

fluorescent lamps controlled by demining control.

Frontal surround in stainless steel with stainless steel finished

with durable thermosetting epoxy powder coating in RAL without

edge and welded joint with hygienic properties.

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The fluorescent lamps will provide a uniform level of illumination

across the entire front screen.

Access for maintenance and lamp changing will be front of the

panel.

Clip for mounting and demounting the x-ray films

Dimensions should be 900 x 900 mm or more.

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ANTISTATIC VINYL FLOORING

Thickness: 2 / 3mm

Anti-Bacterial/fungicidal treated vinyl flooring, to provide a

hygienic surface, selected floor coverings are impregnated with

anti-bacterial and fungicidal treatment.

The antibacterial floor coverings are welded together to provide

perfect air tightness for greater hygiene.

Hot welded for perfect water tightness.

The coving system (3 inch on wall) makes it easier to clean inside

angles and edges.

High performance flexible homogeneous vinyl flooring for

Hospitals.

Polyurethane Reinforced surface.

As per OT

dimensions

07 AUTOMATIC SLIDING DOOR 02

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Clear Opening in mm. 1400 x 2100

The Sliding doors maintain the correct air pressure in the

department doors into and out of the operating theatre and

ancillary rooms. The sliding doors are flash type and hermetically

sealing type.

Sliding doors should electrically operate.

Automatic Door should constitute of sandwich panel of thickness

min. 40 mm or better, with The insulation should be the rock wool

core.

Sub-Panel should be according to existing prefabricated wall

thickness

The Sliding doors maintain the correct air pressure in the

department doors into and out of the operating theatre and

ancillary rooms. The sliding doors are flash type and hermetically

sealing type.

A special extruded non-toxic silicone sealing gasket, offering a

high level of resistance to the chemical action of disinfectants

used in the healthcare field, is mounted in a specific groove on

the vertical profiles and top profile of the door leaf, on the frame

profile side.

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Inspection Window 400mm x 600mm Flush with door with double

glazed laminated safety glass.

automatic sliding door controls should include;

230 V AC – 50 Hz power supply with short-circuit protection

High-performance low-wear DC motor;

Independently adjustable opening and closing speeds.

Automatic limitation of closing torque

Anti-crushing function with closing movement reversal and

locking in open position.

Manual operating in case power failure

Battery powered emergency opening or closing

08 HINGED DOOR

Single leaf hinged door of thickness 40 mm.

Door leaf should have Inner side fabricated with UPVC according

to the prefabricated walls.

The insulation should be the rock wool core.

Two part frame counter frame adapted to wall thickness.

Should be air tight with OT

Standard dimensions 800mm x 2100mm

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09 BUILTIN CABINIT 01

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Size 900mm x 2100mm x 580mm

Storage Cabinet made of stainless steel, Gauge AISI 304,

Thickness 1mm with durable thermosetting epoxy powder

coating with same color as wall panels.

The cabinet is designed for seamless integration with the

proposed theatre system.

Flush mounted into the theatre wall with a sterile jointing system.

Tall cabinet with 2 leaf doors each, sealed all round.

The cabinet has 4 stainless steel shelves with height adjustable.

10 RETURN AIR OUTLET WITH LOWER AND UPPER INTAKE

Dimensions as per requirement

Made of Stainless Steel with Anti-Bacterial Epoxy Powder Coated.

Dust filter on O.T sides

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11 ANESTHESIA PENDANT/SURGEON PENDANT

The ceiling supply unit should consist of a ceiling mounted

interface, arm system and a media column.

The media columns should have even surfaces, rounded edges

and plates without gaps and open screws for easy cleaning and

disinfection.

Pre installation with all necessary parts

01

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Dual brake system with (friction and pneumatic) with control on

column

Double arm ceiling pendant with length of 1750 mm or better

Column Length should be 1000mm or better

Continuous rail for attachment of equipment or for further

extension

There must be Anesthesia Machine Attachment for Pendant

Horizontal Swivel Arm should me 3300

Total Arm’s Length radius should be 1750mm

Load Capacity: 270 Kg or better

1 x Instrument platform / Shelf: 430 x 480 mm

Ceiling cover: 600 x 600 in mm

1 x IV rod on flexible Arm

08 x electrical socket

2 x Oxygen O2

2 x Medical Air 4 bar

1 x Medical Air 7 bar

1 x AGSS outlet

1 x RJ45

1 x telephone

2 x N2O Outlets

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Mounting Accessories for Anesthesia Machine.

Safety standard should be according to 60601-1

12. ANESTHESIA WORKSTATION (PENDANT MOUNTED)

Comprehensive Latest Pendant Mounted Three gas

Anesthesia Machine (O2, N2O and Air). The machine will

equip to monitor the Vital Sign Parameters and

Anesthetic agents during Operation.

Two drawers on sliding channel.

Central Gas / Electronically Driven Unit

Pin Index Cylinder Yokes for Oxygen and & N2O (One

each) as back up.

Pipe Line and Cylinder Gauges for O2, N2O and Air.

Three Gas electronic flow meters and backlight flow

meter tubes for precise control and monitoring of gases.

Two Pre-Calibrated Vaporizers of Isoflurane and

Sevoflurane vaporizer temperature and flow

compensated.

CO2 absorber with capacity of 1-2 kg with excess

pressure relief valve with exhaust connection with

mounting brackets. Circle system should be complete

with manometer as an accessory for monitoring device.

Anti hypoxic device.

AGSS Passive Type

Endotracheal Suction facility with complete accessories.

Non Interchangeable pipe line inlets

Central Gas Hoses for O2, N2O and Air of at least 03

meters.

01

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ANAESTHESIA VENTILATOR FOR ADULTS & PAEDITRICS (With Color LCD DISPLAY)

Modes of Ventilator: Manual / Spontaneous, PCV,

VC\SIMV

Patient circuit should be easily detachable and auto-

clavable inspiratory and expiratory time variable 1:4 to

4:1

Tidal volume 20-1400 ml variable

Frequency 10-60/minute

Max inspiratory pressure 60 cm H2O.

Built in control and monitoring for tidal volume/ minute

volume, airway pressure and inspiratory/expiratory time

Built in rechargeable battery operated alarms (electronic)

for airway pressure drop (leak), high pressure,

disconnection and ventilator failure.

Provision for manual ventilation.

Anesthesia Gas Agent Monitoring

Vital Sign Monitor with parameters (ECG,NIBP, RESP,

TEMP & SPO2, IBP)

Display Size 15 inch minimum touch screen

NOTE: Anesthesia Machine, Agent Monitoring and Vital Sign Monitor and Vaporizers should be from same manufacturer for providing optimal solution. Machine should be properly mounted on above mentioned Pendants for optimal solution.

13. ELECTRO-HYDRAULIC OPERATION TABLE The table and its system strong, sturdy enough to hold

weight of 300 kg or more

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5/6 Sectional Operation Table with Single Leg Section

Table top equipped with radiolucent material.

Width 540 mm or more, length 2000mm or more

The mattress covers with washable, antistatic material.

X-Ray cassette tunnel throughout the table.

Single Leg Sections

Fulfils X-rays and C-arm requirements

Motorized 5 Wheel for easy movement of Table

The following Motor driven movements controlled through hand set controller.

Height adjustment: 650 mm to 1000 mm or more.

Trendelenburg/Reverse Trendelenburg: 35° / -35° or

better

Backrest adjustment 70 Deg. / -45 Deg. or better

Head plate 45 to -45 deg. or better,

Leg plate adjustment motor driven: 70 deg. / -95 deg. or

better

Lateral tilt

220-230 V, connection

Hand Control Unit

Wireless / IR Hand Control Unit

Override panel in the column for Back up control in

emergency cases

Battery Backup control of table in case of main power

failure

Standard Accessories with each Table

Anesthesia Screen (01 No)

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Arm Rest with straps (01 Pair)

IV Rod (01 No)

Devon Strap (Body strap) Large width (01 No)

14. OPERATION THEATER LIGHT WITH HD CAMERA SYSTEM

LED shadow less operation theatre ceiling light, hermetically

sealed dust proof light.

Adjustable Light intensity 160000 LUX at 1 meter distance

Satellite combination of 160000 LUX.

Electronically Adjustable Color temperature 3800° to 5500° Kelvin

Sterile Touch controls with handle to control light intensity and Light Field Diameter

Color rendition index of 95 or better

Adjustable Light field diameter 190-280 mm or better.

Depth of illumination 1300 mm or better

Light head radiates heat away from the operative site

Service Average LED life 50000 hours or better

220-240 Volts,

Two numbers autoclave able handle

Battery backup 2 hours or better INTEGRATED DIGITAL CAMERA SYSTEM: (from same manufacturer)

Resolution: Full HD (1,920 x 1,080 Pixels)

Video outputs per wireless receiver: 2x HD-SDI or 1x HDMI/DVI-D

Video transmission: Wireless.

Medical Grade HD LCD / LED 24” or more will be installed on

separate arm.

01

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15 SCRUB STATION STAINLESS STEEL FOR 2 PERSONS

Scrub station with disinfectant / Soap dispensing Knee operation With all installation.

As per demand

16 AIR CONDITIONER CASSETTE TYPE 3 / 4 TON Acson, Orient, or Equilant.

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Country of Origin: USA, EEC, JAPAN

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Other Items can be quoted Separately minor variations in specifications are

acceptable S.

n

Item name Specification Q

ty

Approved

Panel

1

Digital Intra-

Operative

Ultrasound

Machine

With

Neurosurger

y Probes

Dedicated ultrasound system for Neurosurgery lntra-Operative, applications, Vascular Work. Trolley mounted system, fully digital beam former. DICOM compatible PROBES

2 to 2.5mm diameter Micro Doppler Surgical probe 20 MHz or better with insonation angle 0-degree and 1 × 1 mm beam width Phased array or Equivalent

Applications Mass Lesions localization Inflammatory and Infectious disorders AVM Burrhole /guided biopsies VP shunt Aneurysm Neuronavigation Cranial Uses Resection control To delineate tumor vascularity Localizing site for biospy Minimally invasive hematoma drainage Aspiration of abscess and cysts Patency of arterial bypasses Identification of Vessels Vascularity assessment- Colour duplex sonography – B mode with color mode Brailab Integration option with overlay of ultrasound provides important brain shift information. (Option) Motion compensated Angular Compound Imaging MACI ensuring the clearest imaging during angular & survey imaging Small footprint to be fit in Operation Room Three hours or more plug-free imaging for OR Application

Smooth, sealed keyboard for easy cleaning and disinfection before and after OR usage,

B-Mode, M- Mode, Power Doppler, Spectral Doppler, Color Doppler, Velocity Mode, PW Doppler, Duplex and Triplex Mode. Tissue Harmonic Imaging Simultaneously display: B/W, Color and spectral B- Mode: Angle Linear Steerable Automatic Mode Adjustment (AMA) High Resolution Imaging Frame Rate 200 or more Imaging depth: 28 cm or more Full Screen Split and dual screen select format Easy sterilization and disinfection of surgery probes

01

USA, Europe

Japan

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2

3

Electro Encephalogram Machine Facial Nerve Monitor

Focusing System: 4 to 8 Transmitting Focal Zones.

M- Mode sweep speeds 3 or more. Keyboard: Alpha numeric with built in trackball. Freeze facility: built in keyboard complete with foot switch. Post Processing: image inversion, edge enhancement, correlation/ persistence Image Magnification 4 X or more minimum in real time Caliper calculation: 4 to 8 distance measurement per screen Trace length, angle, and Volume measurement Built In drive CD/DVD/USB Cine Memory 300- 400 or more Monitor: 19 Inch or more LCD/TFT Transducer Ports: 2 or more Electronically Switchable Data Storage and review facility with thumbnail view System Software and Hardware: Should be upgradeable for future options. Video Ports: Input, Output, USB/RS232C, VGA Out, DVI port Biopsy Line: Should be available Operating Voltage: 220-240 V AC, 50 Hz

Optional: To be quoted separately T Shaped Intra operative Probe 4 to 10MHz

Craniotomy Probe 3.8 to 10 MHz

Intra Operative Biplane Probe 4 to 10 MHz

Digital Thermal Printer 256 Gray scale Levels

20 HD/HG Thermal Paper Rolls

should be 32 channel machine,computerized able to give reports on computer with print facility. Should have memory facililty for future reference Facial Nerve Monitoring System, 8-Channel with built-in Touch Screen Monitor Must be capable of Monitors simultaneously during bipolar cautery, Real-time continuous monitoring with electrodeArtifact detection software,Three step simple user environments: Setup, Monitoring, Reports.,Setup and Reports Wizar,Default and customized procedure setting Electrode placementguide built-in in the softwareMultiple USB ports Sleeker designAudio / Visual EMG dataTouch-screen controlsSurgeon / Procedure SettingsMenu drivenContextual trouble shootingIGS IntegrationCurrent Delivered Tone (CDT)“Stimulus”VoiceStimulus Value Event ThresholdAuto Event ThresholdEvent Capture“15S” & “60mS” screens200, 500, 2000uV scalePrint reportVideo OutputElectrode CheckAdjustable MutingMuting IndicatorCurrent Adjustable down to 0.01mA Included Touch-screen monitor Patient Interface Box, 8-Channel Patient SimulatorMuting Detector ProbePower Cord - United Kingdom, 2.5 me

01

01

29

4

5

Defibrillator Mobile X-Ray

User Guide with 2.5 mm Spacing between electrodesColor-coded for easy patient setup18 mm stainless steel needle2-channel and 4-channel monitoring setscolor coding like one green and one white subdermal electrodeSterile, single useMono Polar ProbeUsed for locating, mapping, and stimulating nerves Insulated to the tip to prevent current shuntin 0.5 mm tip Individual sterile packages. Single use

Screen Size 6 inches Color Display or more Out put energy up to 270Joules Charging time should be less than 3 seconds for 200 joules 100 shocks on battery operation

Microprocessor controlled X-Ray convertor generator Exposure time 0.002 + 2.2 seconds or better according to mAs selection Rotatory Anodes x-ray tube (Tungsten) Small focus 0.8 mm large focus 1.3 mm or better Generator Capacity 50 Kw 220 Mas – 150 – 300 MA

LED Light for Operations Theatre for Emergency with back up battery Lux 130000 or above, with adequate battery backup. Focus 14-22 cm

Touch screen Color control unit with built-in cooling unit with integrated irrigation pump (1)

Double pedal foot control unit (1)

Motor cable 3m long (1)

Reverse / forward 150 W high speed motor for different types of hand pieces with 10000-80000rpm (1)

Perforator driver to use with cranial perforators with hudson shank (1)

Angled hand piece for burrs, shaft length 70mm

(1)

Straight hand piece for burrs, shaft length 100mm (1)

01

01

01

01

30

6

7

8

EMERGENVY LED OT

LIGHT

CRANIOTOMY DRILL ELECTRIC OPERATED ALONGWITH ACCESSORIES

Patient Beds

Multipurpose Craniotome hand piece

(1)

Turntable dura guard for to be used with Craniotome burrs (1)

Holding sleeves for Craniotome hand piece (1)

Cranial perforator 9/12mm hudson shank (1)

Craniotome cutter (10)

Diamond burr d1.5mm

(5)

Diamond burr d2.0mm

(5)

Power systems oil spray (12)

Complete Sterilization container consisting of outer and inner lid and bottom (1)

Complete drill fixation set with basket for safety and transportation (1)

Disposable Irrigation Tubing set. (20)

3 sectional Hydraulic Hospital bed with Bed Side Cabinet and over bed table. Adult ICU bed with head and foot panels Overall Bed Width 900mm or better Length 2200 mm or more. Height adjustable from 500 to 800 mm. Position trendelenburg / anti trendelenburg 26⁰/12⁰

Leg section, Trendelenburg backrest should be Gas spring control. Castors of antistatic material, foot operated brake to lock the castors, provide easy steering. Matters with internal hinge and standard cover with bed safe working load 220kg. Collapsible side rails pair slide down. I.V Rod. Removable Head and foot end with locking system. Bedside cabinet, over bed table and mattress and other accessories should be same

manufacturer.

Touch Screen Electrosurgical unit 400 Watt Microprocessor based Solid State Electrosurgical unit for normal and under water cutting Separate controls for Monopolar and bipolar coagulation

60 Plea

se

quote

rater

per bed

quan

tity may

vary

from 40

to 60

03 quan

tity

may vary

from

01 to

03

31

9

10

11

Electrosurgica

l unit

(Diathermy)

HUDSON

BRACE SET

SELF

RETAINING

BRAIN

Simultaneous activation of 02 Monopolar sockets RF power for Monopolar cutting not below 400 watts 02 x Monopolar and 02 x Bipolar sockets should be available in the system. Monopolar coagulation 250 Watt or better. At least 9 step modes Bipolar coagulation 120 watt or better Bipolar Cutting 200 watt or better Spray coagulation Touch screen Display min 7” or better LCD/LED Technology. Earth free patient circuit. Dual Monitoring / Patient plate & patient’s skin contact monitoring during surgery should be available on display of machine. Complete with foot switch, Patient plate, Monopolar handle with cord and surgical needles (knifes, ball electrode, loop electrode and needle (12). Non – Stick Bipolar forceps bayonet size 8” & 10” All electrosurgical unit to conform to I.E.C-601-1 standard. Imported Original Trolley with lockable wheels. The system must have Automatic self-test. 220V 50 Hz I Phase

HUDSON DRILL BRACE ONLY

HUDSON CEREBELLAR ATTACHMENT

HUDSON BURR 14MM DIA

CUSHING FLAT DRILL 14MM DIA

YASARGIL/LEYLA SELF-RETAINING BRAIN RETRACTOR WITH 2- FLEXIBLE ARMS, COMPLETE

SET

32

RETRACTO

R

CONSISTING OF:

FIXATION BASE SKULL MOUNTED FOR TWO FLEXIBLE ARMS

YASARGIL TWO FLEX ARMS FOR ATTACHING COUPLING HEADS&BASES

FLEX ARM SUPPORT FOR FLAT BRAIN SPATULAS FIXING TO FLEXIBLE ARM

FLEX ARM SUPPORT FOR BRAIN SPATULAS WITH ROUND SHAFT FIXING TO FLEXIBLE ARM

FIXATION BASE, FOR MOUNTING TO BARS UP TO 16MM DIAMETER, HOLDING A FLEXIBLE

ARM

MODIF.FIXATION BASE, FOR SHULL MOUNTING HOLDING A FLEXIBLE ARM

Brain Spatulas with Round Shaft:-

BRAIN SPATULA RND MALL 14MM200MM



HEIFETZ SPATULA RND MALL 8MM153M

HEIFETZ SPATULA RND MALL 11MM153MM



Flat Brain Spatulas:-

BRAIN SPATULA FLAT MALL 9MM 2000MM

BRAIN SPATULA FLAT MALL 12MM 200MM

BRAIN SPATULA FLAT MALL 12MM250MM

33

BRAIN SPATULA FLAT MALL 7&9MM 178MM

BRAIN SPATULA FLAT MALL 11&13MM178MM

BRAIN SPATULA FLAT MALL15&18MM178MM

BRAIN SPATULA FLATMALL18&22MM178MM

Accessories for Fixation to OT Table:-

ADAPTER FOR OPERATION THEATRE TABLE WITH BALL AND SOCKET JOINT

HOLDING ROD FOR FIXATION IN BALL AND SOCKET JOINT AND TO TAKE COUPLING HEAD

COUPLING HEAD, ROTATABLE FOR FLEX ARM RTURNABLE CAN BE FIXED IN ANY POSITION

TO TAKE FKEXIBLE ARM

YASARGIL FLEX ARM FOR ATTACHING COUPLING HEADS&BASES

FLEX ARM SUPPORT F/FLAT BRAIN SPATULAS

BRAIN SPATULA SUPPORT W/RND SHAFT-5.5MM

UTILITY TRAY CAN BE FIXED TO THE FLEXIBLE ARM

STORAGE BASKET FOR FLEXIBLE ARMS

PACKING STENCIL F.FF149R

BOTTOM FOR 1/1 CONTAINER HEIGHT:120MM

PRIMELINE 1/1 LID RED

Combined Retractor and Handrest System:-

GILBACH HAND REST BASIC UNIT COMPLETE SET

CONSISTING OF:

34

12

MALLEABL

E BRAIN

RETRACTO

R SET

TABLE ATTACHMENT F/FF150R

INSULATED HOLDING ROD F/FF153R

SEMI-CIRCULAR BASE BARF/GILSBACH RETR

FRAME F/GALEA HOOKS F/FF150R

MALLEABLE BRAIN RETRACTOR/SPATULA MOD. AACHEN, WIDTH 7+8MM, LENGTH 200MM,

8"

MALLEABLE BRAIN RETRACTOR/SPATULA MOD. AACHEN, WIDTH 10+118MM, LENGTH

200MM, 8"


200MM, 8"


200MM, 8"


200MM, 8"


200MM, 8"

MALLEABLE BLD. RETRACTOR, WIDTH 12MM, LENGTH 200MM, 8"



35

MALLEABLE BRAIN RETRACTOR/SPATULA, FLAT, WIDTH 9MM, LENGTH 200MM, 8"



MALLEABLE BRAIN RETRACTOR/SPATULA, FLAT, WIDTH 7+9MM, LENGTH 180MM, 7"




MALLEABLE/FLEXIBLE OLIVECRONA RETRACTOR/SPATULA, WIDTH 7+9MM, LENGTH 180MM,

7"

MALLEABLE/FLEXIBLE OLIVECRONA RETRACTOR/SPATULA, WIDTH 11+13MM, LENGTH

180MM, 7"


180MM, 7"


180MM, 7"

CCR RETRACTOR SET 24MM-SYSTEM SL ( Cloward Retractor Complete)

ANEURYSM CLIPS PERMANENT

YASARGIL TI PERM STD-CLIP STR 7MM



YASARGIL TI PERM STD-CLIP CVD 6.4MM

36

YASARGIL TI PERM STD-CLIP CVD 8MM

YASARGIL TI PERM STD-CLIP CVD 5.4MM

YASARGIL TI PERM STD-CLIP LAT-ANG 7MM

YASARGIL TI PERM STD-CLIPLAT-ANG11.4MM

YASARGIL TIPERM STD-CLIP 3.5FENSTR 12MM

YASARGIL TI PERM MINI-CLIP STRNARR3MM

YASARGIL TI PERM MINI-CLIP STRNARR5MM

ANEURYSM CLIPS TEMPORARY

YASARGIL TI TEMP STD-CLIP STR 7MM



YASARGIL TI TEMP STD-CLIP LAT-ANG 7MM

YASARGIL TI TEMP STD-CLIPLT-AND 11.4MM

YASARGIL TI TEMP CLIP 3.5MM FEN 12/17

YASARGIL TI TEMP MINI-CLIPSTRNARR 3MM

TENDER FOR NEUROSURGERY DEPARTMENT, ALLIED HOSPITAL...

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