Tender For Purchase Of Medical Equipment For Trauma Care Ambulance, jhargram-West Bengal

Purchase Of Medical Equipment For Trauma Care Ambulance , A) Biphasic Defibrillator With Monitor:- • The Device Should Be A Combined Device With: Light Weight & Portable, Adult And Paediatric Therapy Unit For Defibrillation And Non-Invasive Pacing, Monitor Unit For Ecg, Spo2, Non-Invasive Blood Pressure, End Tidal Carbon Dioxide. The Device Must Be Supplied With Its Ambulance Wall Mount As An Original Accessory Manufactured And Certified By The Manufacturer. The Ambulance Mount Should Have Built- In Charger To Automatically Charge The Internal Battery Of The Device When The Device In Mounted On It. The Device Must Be Certified Against Environmental Conditions, Operational Shocks, Crash Safety Category As Per Rtca/Do-160F Standard. 3 Ecg Strips Memory, Mains And Battery Operated (Power: 100 -240 V Ac, 50 / 60 Hz) Parameters Displayed: Ecg Channel, Hr, Selected Energy Delivered Energy, Status Bar, Mains And Battery Charge, Led Indicator Etc. Direct Function Keys For Print, Mute & Freeze, Pacer, Nibp, Aed, Alarm Acknowledgement & Synchronization Key, Auto Print On Alarm • Display:Minimum 8 Inch High Resolution (800 X 600 Pixels)Colour Tft Lcd With Led Backlight, Visible From Any Angle. • Trend: All Parameters Are Stored For 24 Hours In Tabular And Graphical Format • Battery: Rechargeable, Sealed Lead Acid Battery (12V, 4.5 Ah), 10-12 Hrs. Charging Time, Operating Time: 2-3 Hrs. In Monitoring Mode, Number Of Shocks On New Fully Charged Battery : >100 @ 200J, >75 @ 360J • Alarms: Visual And Acoustic Graded Alarms, Digital Alarm Volume Control, System Alarms : Monitor, Defibrillator, Battery Charge And Physiological Alarms- All Parameters • Defibrillator Should Be Both Manual And Aed; Changeover From Aed To Manual By Switching The Knob Or Pressing The Button; Biphasic Wave Form With Full Impedance Compensation Selection Level Of Energy From Minimum 2 Joule Up To 360 Joules; Energy Selection And Charging Possible From The Front Panel Of The Device And From The Paddles. Reusable Adult & Paediatric Hard Paddles, Charging Time -Less Than 10 Seconds. User Friendly Method Of Delivering Shock Specified Buttons On The Equipment With Clear Indications Of Steps Of Defibrillation Should Have Capability To Assess Paddle-To-Patient Contact And To Make Compensation To The Selected Deliverable Shock. On Non-Synchronized, Synchronized Manual Defibrillation Mode Message Should Be Flashed On The Screen. • Ecg- Fully Isolated, Defibrillation - Protected, >5 Kv Amplifier Choice Of Leads: I, Ii, Iii, Avr, Avl, Avf, & V Paddle Ecg. 4 Sec Single Trace Or 8 Sec Dual Trace Ecg Display,Hr Display: 30-300 Bpm, Ecg Strip Selection For Storage & Printing, Freeze Ecg, Text Error Messages • Pulse Oximetery. Should Have Separate Displays For Spo2, Pulse Rate And Plethysmographic Waveform, Bar Graph Displays For Pulse Amplitude And Perfusion Quality Indication, A Variable Audible Tone That Varies In Pitch With Rise And Fall Of Oxygen Saturation, On Screen Display Of Spo2 And Pulse Alarm Limits Readings; Audible & Visual Alarm For Low/High Pulse Rate And Saturation Functioning And Accuracy Should Be Low Perfusion Tolerant; Sensor Probe Should Be Reusable; User Selectable Alarm Limits, Amplifier : Fully Isolated And Defibrillation - Protected Up To 5Kv • Nibp - Different Cuff Sizes, Oscillometric, Capable Of Making Continuous, Manual And Interval Measurements, Display Of Systolic, Diastolic And Mean Arterial Pressures. Alarm Limits: Selectable Alarm Limits, Measuring Range: 20 To 280 Mm/Hg, • End Tidal Carbon Dioxide:- • Main Stream Technology- Capable Of Monitoring Both Intubated And Non-Intubated Patients. Configurable Digital Display And Waveform Display As Required. Range: 0 - 9.9 Kpa / 0 - 99 Mmhg, Warm Up Time: 5 Sec, Withstands Repeated 1 Meter Drop, Adult / Pediatric Airway Adapters :< 7 Ml Dead Space • Transcutaneous (Non-Invasive) Pacing - Demand And Fixed Modes; Adjustable Rate And Output (Ma) • Integrated Thermal Printer- Auto Printout On Defibrillator Usage,: Thermo Reactive Chart - Paper 80 Mm ‘Z’ Foldand Speed:25 Mm/S • Usb Interface For Data Storage- Events And Trend Storage 2 Gb Data Storage Viewer Software For Viewing / Printing Defib Events And Trend Data • Aed Mode - Loud And Clear Audible Prompts To Guide Through The Steps Of Cpr As Well Clearly Visible Visual Prompts, Easy To Understand And Operate Controls; Low Battery Indicator. Battery Capacity: At Least 100 Discharges For Use In Adults, Mode: Adult / Child , Shock Delivery Is Via Pads Automatic Detection Of Adult / Child Pad Cycle Time Shock - Shock < 25S, Charge Time Less Than 10 Seconds; Analysis Time Less Than 15 Seconds. Standard Accessories:-5 Lead Ecg Cable - 1 No. , Disposable Electrode - 50 No’S, Chest Bulb Electrode - 1 No., Earth Cable - 1 No., Jelly Bottle - 1 No., Power Cord - 1 No., User Manualand Warranty Card , B.) Multi Channel Monitor:- • Wall Mount And Pole Mount Option For Use On Pre-Hospital Care Ambulance • Operational Temperature Range From 0-50 Degree C • Should Measure Adult, Paediatric And Neonatal Parameters • At Least 48 Hours Of Trend Memory • Alarms- Adjustable And Default Audio As Well As Visual; For Low And High Heart And Respiratory Rates And For Low Saturation (Dynamic Sound Variation; Low And High Blood Pressures; Low Battery Alarms And Arrhythmia Alarms • Display-Minimum 7 Inch And Maximum 12.5 Inch Multicolour Display With Minimum 640 X 480 Resolution; Touch Screen Desirable; Wide Viewing Angle • Battery- Rechargeable Lithium Ion Battery; Able To Last For Minimum Of 3 Hours Of Continuous Monitoring; Chargeable With 220V Ac 50Hz And Dc 12 V As Well; Replacement Guarantee For The Battery For 4 Years; Damages/Penalties Out Of Battery Related Accidents In The Form Of Explosion/Fire Should Be Borne By The Supplier/Manufacturer. • Data- Lan/Wireless (Not Infrared) Port For Networking; Should Be Able To Connect With Telemetry Transceiver • Ecg - Should Be Able To All 12 Leads, Printer- 48 To 50 Mm Paper; 25 Mm/Sec, Heart Rate Minimum Range- 30-300 Bpm, Variation In Accuracy Within +/- 1%; St Segment Elevation Detection; Arrhythmia Detection • Respiration- Minimum Range-0-120 Rpm, Resolution +/- 1Rpm • Nibp- Manual Automatic And Stat Modes; Range 10-260 Mm Hg; Oscillometric Method • Temperature- 25 To 45 Degree C With C & F Selectable • Spo2 Range 0-100%; Nelcor • Etco2 Up Gradation (Side Stream/Mainstream) Capability Is Mandatory A. Should Agree To Upgrade If Asked For At Any Time In The Coming 5 Years B. Cost Of Upgrading Any Time In The Next 5 Years To Be Disclosed And Agreed To Now. C. The Cost For Etco2 Sensor Should Also Be A Part Of Upgrade • Accessories To Be Supplied Along With The Monitor Ecg Cable; Spo2 Adult, Pediatric And Neonatal Sensors; Nibp Cuffs – Adult, Paediatric And Neonatal Cuffs; Temperature Probe; Electrodes; Power Cables; Compatible With The Ambulance Interior • Replacement Guarantee For Each Of Monitor, Cable/Probes- 4 Years. , C.) Mechanical Ventilator (Invasive & Non-Invasive):- The Device Will Provide Mechanical Ventilation To Both Ventilation Dependent And Non-Dependent Patients. It Delivers Pressure And Volume Ventilation Through Either A Valve Or Leak Circuit And Is Compatible With A Range Of Accessories To Support Specific Use Cases. Fda Or Ce Approved Or Both, Wall Mountable And Adult/ Paediatric (>5Kg) Use, Digital Type, Invasive And Non-Invasive Mode, Battery And Electricity Operated, Electronically Controlled And Pnuematically Driven Weight: < 6Kg Including Battery And If Any Accessories Not Including Mounting Latches Not Attached To The Ventilator Body. • Functional Status Classification: Class A To Test Level Iii And Class C To Test Level Iv. • Display Screen- Colour Tft Display, 150 Mm X 90 Mm, Touch Screen (Display Changing According To The Function Being Performed), Should Display Power Source Indicators, Therapy On/Off Indicator, Alarm Bar, Information Bar, Internal Battery Indicator, Menu Bar, Pressure Bar, Manual Breath Button, Clinical Mode Access Button, Lock Touch Screen Button, Start/Stop Ventilation Button Etc. • Trends Screen- Leak, Minute Ventilation, Peak Inspiratory Pressure, Tidal Volume, Respiratory Rate, Inspiratory Time, Spo2, Pulse Rate, Fio2, Alveolar Ventilation Etc. • Internal Battery - Lithium-Ion Battery, 14.4 V, 6.6 Ah, Approx 100 Wh Operating Hours (Standard Case): 8 Hours With A New Battery Under Normal Conditions. Total Lifetime: At Least 3,000 Hours Of Normal Operation On Internal Battery. Charging Time- 4 Hrs Approx, External Battery Should Always Be Available For Ventilator- Dependent Patients. • Power Supply- Ac (100-240V), (50-60Hz), 90 W 3.75 A Continuous, 120 W / 5A Peak, External Dc Power Supply- 12 - 24V Dc 90 W, 7.5 A / 3.75 A. Auto Power Off Option • Ventilation Modes: Cmv(Vc), Cmv(Pc), Av(Vc), Av(Pc), Simv(Vc), Psimv, Cpap, Manual & Cpr • Operating Tidal Volume Range (Volume Control Modes) - Adult Patient Type: 100 To 2500 Ml, Paediatric Patient Type: 50 To 300 Ml. Circuit Components Should Comply With The Relevant Safety Standards Including Iso 5356-1 And Iso 5367 Breath Rate And Tidal Volume Or Minute Volume Adjustment Using Buttons, Respiratory Rate- Adult: Off, 2-50 Bpm, Paediatric: Off, 5-80 Bpm. Should Be Compatible With Levels Of Supplemental Oxygen Up To 30 L/Min. Hmes Should Comply With The Relevant Safety Standards, Including Iso 9360-1 And Iso 9360-2 And Bacterial/Viral Filters With The Relevant Safety Standards, Including Iso 23328-1 And Iso 23328-2. • Alarms: Should Have Apnoea Alarm, High Pressure Alarm, Disconnect Alarm, Fio2 Alarm, Spo2 Alarm, Peep, Pulse Rate, Respiratory Rate, Device Overheating, Power Alarms, Battery Fault, Circuit Fault, Mve, Mvi, Ventilation, Self Test Etc. • Sound Pressure Level- 35 ± 3 Dba, Sound Power Level- 43 ± 3 Dba • Adapter Port - Ingle Limb Adapter, Single Limb Leak Adapter Or Double Limb Adapter, Inspiratory Port Ncludes Fio2 Sensor. Spo2 Sensor Connector, Low Flow Oxygen Input (Up To 30 L/Min) • Pressure Transducers And Flow Transducers -Internally Mounted. Maximum Flow -220 L/Min • Data Connections- Three Data Connection Ports (Usb Connector, Mini Usb Connector, And Ethernet Port). • Data Storage- 7 Days Of High-Resolution Airway Pressure, Respiratory Flow And Delivered Volume, 7 Days Of Breath-Related Therapy Data, 365 Days Of Statistical Data Per Program. • Operating Pressure Range- Single Limb With Valve Or Double Limb With Valve: 3 To 50 Hpa Single Limb With Intentional Leak: 2 To 50 Hpa Cpap: 3 To 20 Hpa. Maximum Working Pressure Limit: 10 To 80* Hpa. Pressure Accuracy: ± (0.5 Hpa + 4% Of Actual Pressure) • Applied Parts- Patient Interface (Mask, Endotracheal Tube, Tracheostomy Tube Or Mouthpiece, Y-Piece Etc), Oximeter, And Cpap And Bilevel Device Oximeter Adapters, Titration Control Devices, Humidifiers And Humidifier Cleanable Water Tubes And Others

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INR 25000.0 /-

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Name of Work: Purchase of Medical Equipments for Trauma Care Ambulance

Sl. No.	Item Description
1	A) Biphasic Defibrillator with monitor:- • The device should be a combined device with: Light weight & portable, Adult and paediatric Therapy Unit for Defibrillation and Non-invasive Pacing, Monitor Unit for ECG, SpO2, Non-invasive Blood Pressure, End Tidal Carbon Dioxide. The device must be supplied with its ambulance wall mount as an original accessory manufactured and certified by the manufacturer. The ambulance mount should have built- in charger to automatically charge the internal battery of the device when the device in mounted on it. The device must be certified against Environmental Conditions, Operational Shocks, Crash Safety Category as per RTCA/DO-160F Standard. 3 ECG strips memory, Mains and battery operated (Power: 100 -240 V AC, 50 / 60 Hz) Parameters displayed: ECG channel, HR, selected energy delivered energy, status bar, mains and battery charge, LED indicator etc. Direct function keys for Print, Mute & Freeze, Pacer, NIBP, AED, Alarm acknowledgement & Synchronization key, Auto Print on Alarm • Display:Minimum 8 inch High resolution (800 x 600 pixels)colour TFT LCD with LED backlight, visible from any angle. • Trend: All parameters are stored for 24 hours in Tabular and graphical format • Battery: Rechargeable, sealed lead acid battery (12V, 4.5 AH), 10-12 hrs. charging time, operating time: 2-3 hrs. in monitoring mode, Number of shocks on New fully charged battery : >100 @ 200J, >75 @ 360J • Alarms: Visual and acoustic Graded alarms, Digital alarm volume control, System alarms : Monitor, Defibrillator, Battery charge and Physiological alarms- all Parameters • Defibrillator Should be both Manual and AED; Changeover from AED to manual by switching the knob or pressing the button; Biphasic wave form with full impedance compensation Selection level of energy from minimum 2 joule up to 360 Joules; Energy selection and Charging possible from the front panel of the device and from the paddles. Reusable Adult & Paediatric Hard Paddles, Charging time -less than 10 seconds. User friendly method of delivering shock Specified buttons on the equipment with clear indications of steps of defibrillation Should have capability to assess paddle-to-patient contact and to make compensation to the selected deliverable shock. On Non-synchronized, synchronized Manual Defibrillation mode message should be flashed on the screen. • ECG- Fully isolated, defibrillation - protected, >5 KV Amplifier Choice of leads: I, II, III, aVR, aVL, aVF, & V paddle ECG. 4 sec single trace or 8 sec Dual trace ECG display,HR display: 30-300 bpm, ECG strip selection for storage & printing, Freeze ECG, Text error messages • Pulse Oximetery. Should have separate displays for SpO2, Pulse rate and Plethysmographic waveform, bar graph displays for Pulse Amplitude and Perfusion quality indication, a variable audible tone that varies in pitch with rise and fall of oxygen saturation, on screen display of SpO2 and Pulse Alarm limits readings; audible & visual alarm for low/high pulse rate and saturation Functioning and accuracy should be Low perfusion tolerant; Sensor Probe should be reusable; User selectable alarm limits, Amplifier : Fully Isolated and defibrillation - protected up to 5KV • NIBP - Different cuff sizes, Oscillometric, Capable of making continuous, manual and interval measurements, Display of systolic, diastolic and mean arterial pressures. Alarm Limits: Selectable alarm limits, Measuring range: 20 to 280 mm/Hg, • End Tidal Carbon Dioxide:- • Main Stream Technology- Capable of monitoring both intubated and non-intubated patients. Configurable digital display and waveform display as required. Range: 0 - 9.9 kPa / 0 - 99 mmHg, Warm up time: 5 sec, Withstands repeated 1 meter drop, Adult / Pediatric airway adapters :< 7 ml dead space • Transcutaneous (Non-invasive) Pacing - Demand and Fixed modes; Adjustable rate and output (mA) • Integrated Thermal Printer- Auto printout on Defibrillator usage,: Thermo reactive Chart - Paper 80 mm ‘Z’ foldand Speed:25 mm/s • USB interface for data storage- Events and trend storage 2 GB data storage Viewer Software for Viewing / Printing Defib Events and Trend Data • AED Mode - Loud and clear Audible Prompts to guide through the steps of CPR as well Clearly visible Visual Prompts, Easy to understand and operate controls; Low Battery Indicator. Battery Capacity: At least 100 discharges for use in adults, Mode: Adult / Child , Shock Delivery is via Pads Automatic detection of Adult / Child pad Cycle time shock - shock < 25s, Charge Time less than 10 seconds; Analysis Time less than 15 seconds. Standard accessories:-5 Lead ECG cable - 1 no. , Disposable electrode - 50 no’s, Chest bulb electrode - 1 no., Earth cable - 1 no., Jelly bottle - 1 no., Power cord - 1 no., User manualand Warranty card
2	B.) Multi channel monitor:- • Wall mount and pole mount option for use on pre-hospital care ambulance • Operational temperature range from 0-50 degree C • Should measure adult, paediatric and neonatal parameters • At least 48 hours of trend memory • Alarms- Adjustable and default Audio as well as visual; for low and high heart and respiratory rates and for low saturation (Dynamic sound variation; Low and high blood pressures; Low battery alarms and Arrhythmia alarms • Display-Minimum 7 inch and maximum 12.5 inch multicolour display with minimum 640 X 480 resolution; Touch screen desirable; Wide viewing angle • Battery- Rechargeable lithium ion battery; able to last for minimum of 3 hours of continuous monitoring; Chargeable with 220V AC 50Hz and DC 12 V as well; Replacement guarantee for the battery for 4 years; Damages/penalties out of battery related accidents in the form of explosion/fire should be borne by the supplier/manufacturer. • Data- LAN/Wireless (not infrared) port for networking; should be able to connect with Telemetry transceiver • ECG - Should be able to all 12 leads, Printer- 48 to 50 mm paper; 25 mm/sec, Heart rate minimum range- 30-300 bpm, Variation in accuracy within +/- 1%; ST segment elevation detection; Arrhythmia detection • Respiration- Minimum range-0-120 rpm, Resolution +/- 1rpm • NIBP- Manual automatic and stat modes; Range 10-260 mm Hg; Oscillometric method • Temperature- 25 to 45 degree C with C & F selectable • SpO2 Range 0-100%; Nelcor • ETCO2 up gradation (Side stream/mainstream) capability is mandatory a. Should agree to upgrade if asked for at any time in the coming 5 years b. Cost of upgrading any time in the next 5 years to be disclosed and agreed to now. c. The cost for ETCO2 sensor should also be a part of upgrade • Accessories to be supplied along with the Monitor ECG cable; SPO2 adult, pediatric and Neonatal sensors; NIBP cuffs – adult, paediatric and neonatal cuffs; Temperature probe; Electrodes; Power cables; compatible with the ambulance interior • Replacement guarantee for each of Monitor, Cable/probes- 4 years.
3	C.) Mechanical Ventilator (Invasive & Non-invasive):- The device will provide mechanical ventilation to both ventilation dependent and non-dependent patients. It delivers pressure and volume ventilation through either a valve or leak circuit and is compatible with a range of accessories to support specific use cases. FDA or CE approved or both, Wall mountable and Adult/ paediatric (>5kg) use, Digital type, Invasive and Non-invasive mode, Battery and Electricity Operated, Electronically controlled and pnuematically driven Weight: < 6kg including battery and if any accessories not including mounting latches not attached to the ventilator body. • Functional status classification: Class A to test level III and Class C to test level IV. • Display Screen- colour TFT display, 150 mm x 90 mm, touch screen (display changing according to the function being performed), should display Power source indicators, Therapy on/off indicator, Alarm bar, Information bar, Internal battery indicator, Menu bar, Pressure bar, Manual breath button, Clinical mode access button, Lock touch screen button, Start/Stop ventilation button etc. • Trends Screen- Leak, Minute ventilation, Peak inspiratory pressure, Tidal volume, Respiratory rate, Inspiratory time, SpO2, Pulse rate, FiO2, Alveolar ventilation etc. • Internal Battery - Lithium-Ion battery, 14.4 V, 6.6 Ah, approx 100 Wh Operating hours (standard case): 8 hours with a new battery under normal conditions. Total lifetime: At least 3,000 hours of normal operation on internal battery. Charging time- 4 hrs approx, External Battery should always be available for ventilator- dependent patients. • Power supply- AC (100-240V), (50-60Hz), 90 W 3.75 A continuous, 120 W / 5A peak, External DC Power Supply- 12 - 24V DC 90 W, 7.5 A / 3.75 A. Auto power off option • Ventilation Modes: CMV(VC), CMV(PC), AV(VC), AV(PC), SIMV(VC), PSIMV, CPAP, Manual & CPR • Operating tidal volume range (volume control modes) - Adult patient type: 100 to 2500 mL, Paediatric patient type: 50 to 300 mL. Circuit components should comply with the relevant safety standards including ISO 5356-1 and ISO 5367 Breath rate and tidal volume or minute volume adjustment using buttons, Respiratory Rate- Adult: Off, 2-50 bpm, Paediatric: Off, 5-80 bpm. Should be compatible with levels of supplemental oxygen up to 30 L/min. HMEs should comply with the relevant safety standards, including ISO 9360-1 and ISO 9360-2 and bacterial/viral filters with the relevant safety standards, including ISO 23328-1 and ISO 23328-2. • Alarms: should have Apnoea alarm, High pressure alarm, Disconnect alarm, FiO2 alarm, SpO2 alarm, PEEP, Pulse Rate, Respiratory rate, Device overheating, power alarms, Battery fault, Circuit fault, MVe, MVi, Ventilation, Self test etc. • Sound pressure level- 35 ± 3 dBA, Sound power level- 43 ± 3 dBA • Adapter port - ingle limb adapter, single limb leak adapter or double limb adapter, Inspiratory port ncludes FiO2 sensor. SpO2 Sensor connector, Low flow oxygen input (up to 30 L/min) • Pressure transducers and flow transducers -Internally mounted. Maximum flow -220 L/min • Data connections- three data connection ports (USB connector, mini USB connector, and Ethernet port). • Data storage- 7 days of high-resolution airway pressure, respiratory flow and delivered volume, 7 days of breath-related therapy data, 365 days of statistical data per program. • Operating pressure range- Single limb with valve or double limb with valve: 3 to 50 hPa Single limb with intentional leak: 2 to 50 hPa CPAP: 3 to 20 hPa. Maximum working pressure limit: 10 to 80* hPa. Pressure accuracy: ± (0.5 hPa + 4% of actual pressure) • Applied parts- Patient interface (Mask, endotracheal tube, tracheostomy tube or mouthpiece, Y-piece etc), Oximeter, and CPAP and bilevel device oximeter adapters, Titration control devices, Humidifiers and humidifier cleanable water tubes and others