Rate Contract for Implant for Neurosurgery at Medical College and Hospital Jhalawar

Amount

Anterior Cervical Plating System (Variable Angle Screws System)

Single plate must provide the option of rigid, toggling and hybrid construct.

The angulations must be of 28 degree cephalad /caudal range with 8 degree of off set.

Locking mechanism of the screws must be one step locking should block the screws from coming out.

The thickness of plate must be 2.0mm OR less and width 16.5 mm.

The core diameter of the screws must be 3mm with outer diameter being 4.0mm and 4.5mm.

The plates must be available in all sizes. I level, II level, III level.

All the screws must be colour coded and available in self tapping as well as self drilling options.

Cervical Peek Cage

The cage must be radiolucent with sharp teeth inter body fusion cage system of implants and instruments designed for anterior cervical interbody fusion (ACIF) and should be compatible with anterior cervical plating system (ACP).

The cages must be Curved cages, which mimic the curvature of the healthy endplate.

The cages must be Wedge-shaped cages, which match the flattened degenerated end plate.

All implants must be 15mm wide and 12.5mm deep and are supplied sterile pre-packed.

The available implant heights must be 5mm, 6mm, 7mm, 8mm, 9mm and 10mm.

Expandable Cervical Corpectomy cages

Expandable vertebral body replacements For Cervical & upper Thoracic (C3-T2) Spine

Should have continuous expansion system so that height can be achieved

Should have rapid & controlled in situ expansion

Should have locking clip to secure the expanded implant to prevent micro movements.

Should have foot print of 11.9 mm X 15.0 mm

Should achieve height from 17mm to 70mm & angle from 4.5 to7 degree

Should be made of medical grade titanium material

Locking Cervical Cage With Plate

Expandable vertebral body replacements cage with in built cervical plate for fixation in situ with in the system for Cervical & upper Thoracic (C3-T2) Spine.

Should have continuous expansion system so that desirable height can be achieved

Should have rapid & controlled in situ expansion with plate providing the option of rigid, toggling and hybrid construct

The plates must be available in all sizes. I level, II level, III level.

Should be made of medical grade titanium material

Locking mechanism of the plate screws must be one step locking which should block the screws from coming out.

The core diameter of the screws must be 3mm with outer diameter being 4.0mm and 4.5mm.

All the screws must be colour coded and available in self tapping as well as self drilling options.

Cervical Disc replacement

Superior and inferior implant plate made of cobalt-chromium molybdenum alloy according ISO 5832-12.

Plasma-sprayed titanium coating.

Inlay made of ultra-high molecular weight polyethylene (UHMWPE)

Ball and socket principal – Metal on polymer.

Modular anatomical design.

Optimal primary stability due to H keel anchorage of the a prosthesis in the vertebral body.

Anatomical foot print design for maximum endplate coverage.

Six different footprints available for optimal coverage of the vertebral end plate : M, MD, L, LD, XL, XLD.

Three different heights (5, 6 and 7mm) allowing adjustments to the individual dimensions of the patient’s disc.

Lumbar Disc Replacement

Superior and inferior implant plate made of cobalt-chromium molybdenum alloy.

Ball and socket principle- Metal on Polymer.

Inlay made of ultra-high molecular weight polyethylene (UHMWPE)

There must be Vacuum Plasma spray Coating

There must be primary stability through central keel.

Superior Plate : 3 °, 6° and 11°

Inferior plate : 0°, 3° and 8°

Combinations : 3°, 6°, 9°, 11°

Posterior Cervical Fixation System (Lateral Mass Fixation System)

The system should have cancellous bone and cortex screws.

The system should have locking screws for angularly stable locking and fixation of the rod.

The system must have self-tapping and self-drilling screws.

The system must have 3.5mm Ti Rod.

The system should have OC fusion option.

The system should offer hooks.

The system should have Cancellous profile bone screws : III. 3.5mm with 2mm increments.

The system should have Cancellous profile bone screws : IV. 4.0 mm with 2mm increments

The system should have Cortical profile bone screws :3.5mm with 2mm increments.

The system should have Rod = 9mm.

Shaft Screws should have 10mm unthreaded portion Rods : IV. 3.0mm , 3.5mm Ti Rod.

Shaft Screws should have 10mm unthreaded portion Rods : V. 3.5mm / 5.0mm Ti Rod.

Shaft Screws should have 10mm unthreaded portion Rods : VI. 3.5mm / 6.0mm Ti Rod.

The system should have Transverse connector: 60mm and 75 mm.

The system should have 3.5mm Ti Transverse Bar.

The system should have Occipital Plate/Rods.

Mesh Cage for vertebral body replacement The mesh cage must be available in the following specifications and must come along with press fit end rings:

Mesh, round (for Cervical))

10mm: heights 4-18mm

12mm: heights 4-88mm

15mm: heights 8-88mm

Corresponding press fit end rings, round - Angles of 00 or 2.50 in 10, 12 and 15mm diameter options.

Mesh, oblong (For thoracic and lumbar region) – - Angles of 00 or 2.50 in 10, 12 and 15mm diameter options.

Mesh, oblong (For thoracic and lumbar region) – - Angles of 00 or 2.50 in 10, 12 and 15mm diameter options.

Mesh, oblong (For thoracic and lumbar region) – Dimensions: 17X22mm, 22X28mm and 26X33mm – Heights: 6-88mm End Rings, oblong

Angles of 00 or 50for the corresponding dimensions; 17X22mm, 22X28mm and 26X33mm.

CV Junction fixation System (occiput to C2)

The system should have medial and lateral plates of 50& 60mm, one & two hole clamps which must allow the medial and lateral rod placement, and should be able to give 15 degree of screw angulations.

The system must have straight and pre contoured ‘3.5mm rods.

The system should have blunt 4.5mm occipital screws Qrid 5mm emergency screws with 4-18mm lengths.

The system should have screwdriver shaft stardrive T15, self holding, with cordan joint as well as straight, for Quick coupling.

The system should have simple locking mechanism of each screws.

The system should have tap for better screw purchase and 2mm torque limiting screw driver for final tightening.

Following components should be available in system : Occipital plate (t or y shaped)

Following components should be available in system : Transverse Connector

CV Junction fixation System (C1 to C2)

The system should be versatile, must have set of 6 screws and two rods

The system must have straight and pre contoured ‘3.5mm rods.

Titanium made 3.5 mm diameter, polyaxial screw of different lengths from 12 mm to 36 mm length for posterior cervical fixation.

The system should have tap for better screw purchase and 2mm torque limiting screw driver for final tightening.

Joint spacer of various sizes made of titanium

Zero profile anterior cervical interbody fusion devices

The implant should act as stand alone interbody fusion device for cervical spine with the benefits of as interbody spacer and as anterior cervical plate.

The implant must be a combination ‘of plate’ and space & where the plate must automatically align when inserted.

The implant must have radio opaque marker for posterior visualization during imaging and teeth on superior and anterior surface for initial stability.

Spacer Component must be made of PEEK optima (polyetherketone).

The implant must have one step locking screw and screws should form a bone wedge with 40° 5° cranial/caudal angle with 2.5° medical lateral angle.

The screw must come with self tapping and self centering options with titanium alloy material (Ti-6AI-7NB)

The screws must come in 3.0mm diameter & must be colour coded by screw length varying from 12, 14 & 16mm.

Implant’s triobular thread cutting flutes should be self centering.

The implants must come in parallel lordotic and convex implants sets with heights varying from 5mm to 12mm with an increment of 1mm each.

Odontoid Screw

Screw should made up of Tianium Alloy (TAN).

Screw should be Cannulated.

Screw should be self-drilling.

Screw should consist of 12mm short thread.

Screw should be of 3.5mm Ø.

Screw should be available in the length of 36mm to 50mm.

The whole system should thus enable the following- Help in preservation of atlantoaxial mobility with lag screw compression technique.

With wire guiding ensures precise positioning of Implants & instruments.

Odontoid Screw

Top loading pedicle screw and rod system for the posterior stabilization of the lower back.

The pedicle screw system must have polyaxial as well as monoaxial head for case specific manipulation.

The polyaxial head should offer 25 degree of angulations about the axis of the screw.

The pedicle screw system must have dual core screws for rapid instertion and secure anchorage in both, cortical and cancellous bone.

The screws must be colour coded

Single step locking mechanism.

The option of achieving case specific lordotic and parallel compression with the same system.

Curved rods in 6mm diameter from length 70mm to 300mm.

Straight rod in 6mm diameter from 80mm to 150mm.

Screw dimensions should be 4.5mm, 5.5mm, 6.5mm diameter LENGTH 30mm, 35mm, 40mm, 45mm, 50mm.

Monoaxial, Multiaxial and Reduction screws should be available. With provision of persuader for spondylo-listhesis reduction.

Trans Foraminal Lumbar Interbody Fusion

The cage must be radiolucent made up of PEEK – optima material with sharp teeth designed for Trans foraminal Lumbar Interbody Fusion (TLIF).

The cage must have rounded tapering edges allowing easy insertion thus minimizing injuries to end plates and neural structures.

The cage must have 3 titanium markers (Two lateral, one central) to indicate the cage position on x-ray.

The cage must have injection moulded roughened surface promoting bone integration and on growth.

The cages must have biconvex shape providing even distribution of compressive forces along the endplates thus stability.

The cage must have one broad graft hole and two lateral holes.

Implants must be available in two footprints sizes 10x27mm, 11mm, 12mm, 13mm, 15mm, 17mm.

Posterior Lumbar Interbody Fusion

The system should be able to provide: Adequate stability - Restores disc height - Restores Lordosis - Preserves the integrity of the vertebral body endplates - Provides an optimized fusion bed

It should be radiolucent interbody fusion system of implants and instruments for posterior Lumbar Interbody Fusion (PLIF).

Cage must be made of PEEK optima® material facilitating radiographic assessment of fusion.

Cage must have two x-ray markers integrated into the cages to enable easy visualization of their position postoperatively.

PEEK material used must contain no carbon fibres, thereby reducing the risk of systemic uptake and local inflammatory response.

Cages must be available in 6 heights in 2 mm increments, and should be supplied sterile pre-packed.

The optimal anatomical shape and supportive superior and inferior surface design of the cage should reduces the risk of subsidence into the adjacent vertebrae.

The cage should have perforated structure which must allows for bony ingrowth through the cage and the design must ensures optimal implant-to-endplate contact.

Cage must be designed for an optimal fit into the natural concavity between two adjacent vertebral bodies.

Cage must have teeth on the superior and inferior surfaces providing additional primary stability.

The cage must be injection moulded PEEK cage so that it has roughened surface, which is superior to a machined PEEK surface in that promotes bone integration and ongrowth.

Anterior stabilization of thoracolumbar spine

The implant should provide anterior stabilization to thoracolumber spine.

The implant should provide the plate and rod construct and be designed to be used along with either bone graft or with a vertebral body replacement.

The implant should come with instruments which are designed for use in open, minima-open or endoscopically assisted approaches.

The implants should come with telescopic mechanism with the facility of in situ compression and distraction.

The implants should comein the following sizes : Mono-segmental : 29-33 mm, 31-37mm, 35-45mm, 41-57mm Bi-segmental : 53-71mm, 66-86mm

Height of the implant above bone without posterior locking screws should be 7.7mm and with posterior locking screws should be 9.0 mm and convergence of screws should be of 7.0°

The posterior screws should be of 7.0 mm diameter, cannulated for use with k-wire, dual core and double lead.

The implants should come with polyaxial bushings which allow an angulation of 15° for screw insertion tailored to the individual anatomical situation.

Expandable Thoracic and Lumber Corpectomy cages.

Expandable vertebral body replacements For Lumber & Lower Thoracic (T5- L4) Spine For mono, bi &trisegmental fusion Should have rapid & controlled in situ expansion. Should have ratchet system so that height can be achieved Should have foot print of 22 X 21 mm and 25 X 28 mm Should achieve height from 20mm to 73mm & angle from -5°, 0°, 10°, 20°, -6°. Should be in Titanium TAN alloy.

Low Profile Neuro (Mini plates)

A Plating systems to offer Neuro surgeons a choice do rigid fixations of craniotomies and other cranial procedures which should be very low profile in nature and be a Complete system for a broad spectrum of cranial indications having following specifications technically – • A modular system having autoclavable module for instruments and implants • All plates are should be 0.5mm thick and implants should be offered in various shapes for an optimal and appropriate choice in the procedure there should include basic plates, frame plates, adaption plates-available in multi holes, burr hole covers, burr hole covers for shunt and mesh plates in various dimensions (both 0.4mm & 0.6mm should be available). • Temporal & mastoid region should have dedicated plates for use. • Screw/plate profile should be not more than 0.6mm for minimum palpability. • Despite the minimum profile, the plate strength should be comparable to thicker cranial plates. • The screws should be designed for hard cranial bones and should have a plus Drive recess for excellent screw retention in the shaft. • The screws should have a flat head and should be easy to pick up with a self holding shaft, means should have adhesive property with screw holder. • The screws must be self-drilling and self-tapping types. • Screw lengths should be available in 3-6mm. • Emergency screws having different colour than regular screws. • The screw driver handles with hexagonal coupling. • Long (66mm) and short (42mm) shafts which should be self holding in nature and compatible with all screws in the system and also fit the handle instantly. • Holding instrument for plates must be a part of the instrumentstion. • A special cutter for strut & mesh plares to be provided in the system. • Appropriate 1.3mm drill bits of 4mm & 6mm depth having stops. • Appropriate Lable clips for the screws which should be replaceable.

Burr hole cover plate

Cranial fixation system for craniotomized bone flaps and bone fragments in neurosurgery (equivalent to Craniofix)

HA coated Multiaxial screws for osteoporotic spine fixation

• (Implants compatible with vertebral column manipulation and vertebral body rotation rotation instrumentation) • Open ended Reverse thread Top loading Top Tightening fixed Angle screws (assorted size) 4.5mm, 5.5mm, 6.5mm with breako off type of plug. • Open ended Reverse thread Top loading Top Tightening Multiaxial screws (assorted size) 4.5mm, 5.5mm, 6.5mm Reduction Screws 4.5mm, 5.5mm, 5.5mm, 7.5mm Break off plugs Reduction Break off plugs Transverse connectors (assorted size) Staples 13mm, 15mm, 17mm Double Rod Staple 21, 23, 25mm rostral and Caudal Domino’s axial connectors Reverse thread Top loading Top Tighteneing pediatric Hooks-upper thoracic, laminar, Pedicular small and medium, right/left offset, Angled hooks.

Percutaneous Pedicular screw Systems for multilevel fixation (For MIS system)

6. The minimal invasive pedical screw system must be offered that is suitable for offset 3 levels of fixation. 7. The raw material used for the implant should be Titanium . 8. MIS screws have to be cannulated, which designed to work in tandem with expandable retractor that facilitates screw implantation in spite of reduced visualisation within narrower working channels. 9. The placement of the rod in MISS is crucial as the surgery is Percutaneous. 10. The Rods should be precontoured.

Bone Substitute

Bone Substitutes should be made up of combination of BTCP (85%) and HA(15%) having capability of re-generating new bone twice as fast as hydroxyapatite. It should also have a dual mechanism of action. It should be in sterile packing and one unit should contain 10cc. It should be available in the form of Block, Cylinder, Wedge, Granules, Strip, Paste.

Digital vertebroplasty -Kit

Consists of: cement delivery system, Biopsy trocar/canula and vertebroplasty cement

Digital kyphoplasty-Kit

Consists of: Balloon placements and cement delivery system, Biopsy trocar/canula kyphoplasty cement, Inflatable balloon – 15mm/20mm, Pressure gauge syringe.

INUSE BONE GRAFT (small, medium, large)

SUBLAMINAR TITANIUM CABLE SYSTEM

The Cable should be made of multiple strands of titanium to enable better grip over tissues. The individual packaging should be available in double cable and Single Cable individual sterilized packaging. It should be malleable. It should with stand twisting and knotting without loosing its tensile strength. It should have a builtin crimp to enable fixation without having to tie a knot and have optimal tension after fixation. It should be of Medical Grade Titanium and should be artifact free on MRI and CT. Titanium double cable with integral crimp Titanium single cable with integral crimp Provisionalcrimps – 2Nos Cable Tensioner – 1Nos Cable Cutter-1Nos Graphic Sterlization case

SHUNT SYSTEM:

1) Omaya Reservoir (Puding type) 2) Ventriculo Peritoneal Shunt (equivalent to VP shunt by Surgiwear/Hindustan Latex Pvt Ltd.) d. Lowpressure e. Medium pressure f. High pressure 5) Programmable Ventriculo peritoneal shunt with variable adjustable pressure with at least 8-10 i. variable pressure settings, non invasive, no mandatory but optional x ray ii. confirmation of pressure settings, MRI compatible 6) Theco-peritoneal shunt 7) External Ventricular drainage system External Lumbar Drainage system

Aneurysm Clips

vii. Sugita type viii. Made of titanium or MRI compatible material ix. Both temporary and permanent type x. Fenesterated/ non fenestrated xi. In various shapes straight/ up curve/downcurve/bayonet type/ right angle bent/ 45 angled/ lateral bent xii. Sizes mini/ 5mm/6mm/7mm/8mm/ 9 mm/10 mm/ 12 mm in each shape and type mentioned above With clip applicators availability for both permanent and temporary clips of variable sizes at the time of surgery

Disposable items for RFTA machine compatible withInomed made model

Patient plate with wire

RF Reusable electrode 10 cm with wire

RF Disposable Cannula 10 cm long , 10mm Tip, 22G

RF Disposable Cannula 10 cm long , 5mm Tip, 22G

RF Disposable Cannula 10 cm long , 10mm Tip, 20G

RF Disposable Cannula 10 cm long , 5mm Tip, 20G

RF Disposable Cannula 5 cm long , 4mm Tip, 22G

RF Disposable Cannula 15 cm long , 10mm Tip, 20G

RF Reusable electrode 15 cm with wire

RF Reusable electrode 5 cm with wire

Disposable items for Electric high speed drill Stryker made

cutter blade

Diamond burr of various size

cutter burr of various sizes

Irrigation cassette with tubing disposable

Burr Perforator

5100060001 PERFORATOR BIT

5820010010 Cutting bur 1mm

5820010220 Cutting bur 2mm

5820010230 Cutting bur 3mm

5820010240 Cutting bur 4mm

5820010250 Cutting bur 5mm

5820010260 Cutting bur 6mm

5820012010 ROUND DIAMOND BUR 1.0MM

5820012020 ROUND DIAMOND BUR 2.0MM

5820012030 ROUND DIAMOND BUR 3.0MM

5820012040 ROUND DIAMOND BUR 4.0MM

5820012050 ROUND DIAMOND BUR 5.0MM

5820012060 ROUND DIAMOND BUR 6.0MM

5407FA2023 FA2 2.3MM TAPERED ROUTER 16MM

5290075000 CORE ESSX/HUMMER IRRIGAT. CAS. ( Pk Of 10)

5290640100 4.0MM 60 DEG. AGG SERR BLADE ( Pk Of 5)

5290740200 4.0MM CONVEX ANGLED AGGRESSIVE ( Pk Of 5)

5290740100 4.0MM ANGLED AGGRESSIVE BLADE ( Pk Of 5)

5290645000 4.0MM AGGRESSIVE SERRATED ( Pk Of 5)

5290011000 4.0MM AGGRESSIVE BLADE 11CM ( Pk Of 5)

5290440100 4.0MM 40 DEG. AGG SERR BLADE

Miscellaneous Items:

Bone cement Depuy or equivalent for cranioplasty

Customised Peek cranioplasty impant for better reconstruction of craniectomy defect

Indocyanine green dye 20ml/50ml

5 amino levulanic acid dye 20ml/50ml

Polyvinyl alcohol Nasal packing with thread

Bipolar cable: (a) Compatible with Alan made cautery (b) compatible with Storz endoscopy cautery

Bipolar forceps non sticky tip bayonet / straight : (a) Compatible with Alan made cautery (b) compatible with Storz endoscopy cautery

Subcutaneous ventriculo peritoneal shunt passer (paediatric)

Subcutaneous ventriculo peritoneal shunt passer (adult)

Disposable Microscope cover for Pentero 900

Autoclaveble OT shoes

NEURO SURGERY INSTRUMENTS SET

CUSHING DURAL HOOK 140mm

GRUENWALD FORCEPS BAYONET SHAPE,7" T.C. TIP -

MAYO HEGARS NEEDLE HOLDERS 200mm

HEGAR NEEDLE HOLDER WITHGROOVE 20CM

INGE LAMINA SPREADER JAWS OPENTO 1-1/4" LENGTH 6" -

FERRIS SMITH I.V.D RONGUERS CD.UP180mm 3mmx 10mm

FERRIS SMITH I.V.D RONGUERS CD.UP180mm 4mm x 10mm

BRAIN CANNULA 8MM

BRAIN CANNULA 10MM

MAYOS SCISSORS CD. 160mm

VENTRICULAR CANNULA 2 X 70MM DIA.

- DO -, 2.5 X 70MM DIA.

GERALD DRESSING FORCEPS BAYONETPLAIN 190mm

HUDSONS BRACE

YASARGIL MICRO SCISSORSTRAIGHT 185mm

JACOBSON MICRO SCISSORCURVED 185mm

POTTS-YASARGIL MICRO SCISSORANGLED 45 DEG, 185mm

MICRO SUTURE TYING FORCEPS ST.TIP0.3mm x 150mm

MICRO SUTURE TYING FORCEPS CD.TIP0.3mm x 150mm

MICRO SUTURE TYING FORCEPS ST.TIP0.5mm x 180mm

MICRO NEEDLE HOLDER WITH CATCHST. 185mm

YASARGIL LIGATURE GUIDE & CARRIER BALL TIPPED CURVED 185MM

YASARGIL MICRO RASPATORY MICRODISSECTOR ANGLED 185mm

DANDY SCALP HAEMOSTATIC FORCEPSCURVED 140mm

CUSHING DISSECTING FORCEPS BAYONETSHAPE PLAIN 180mm

HALSTED MOSQUITO ARTERY FORCEPS CD.125mm

ADSON CEREBELLER RETRACTOR SHARP,ANGLED 180mm

ADSONS DISSECTING FORCEPS PLAIN125mm

ADSONS DISSECTING FORCEPS TOOTHED125mm

ADSONS DISSECTING FORCEPS TOOTHED150mm

CUSHING DISSECTING FORCEPS BAYONETSHAPE TOOTHED 200mm

WULLSTIEN S/R RETRACTOR3 X 3 PRONGS BLUNT 13CM SISCO

RUSKIN BONE RONGUERS D/A CD.4mm x185mm

PENFIELD DISSECTOR DOUBLEENDED 175mm 1,2,3,4 no.

SCHIMIDER TAYLOR SCISSOR16CM

MALLABLE BRAIN SPATULA NARROW WITH SERRATED 200mm

MALLEABLE RETRACTOR of various sizes

Disc Forceps in various sizes

Bone Punches (Ronguers) of various sizes

GILLIES TISSUE FORCEPS 1x2 TEETH150mm

MICRO ADSONS DISSECTING FORCEPSTOOTHED 180mm

YASARGIL MICRO SCISSORSTRAIGHT 225mm

YASARGIL MICRO SCISSOR BAYONETSTRAIGHT 165mm

JACOBSON MICRO PROBE WITH BALLTIP (COUNTER PRESSER) 185mm

CLOWARD CERVICAL VERTEBRA SPREADER

CLOWARD LARGE CERVICAL RETRACTORSET OF 10 BLADES 255mm

MAYO HEGAR NEEDLE HOLDER T/C TIP150MM

TOENNIS-ADSON SCISSORS TC TIPCD. 175MM

METZENBAUM SCISSORS TC TIP ST200mm

COTTLE CHISEL 4mm x 180mm

LANDOLT TUMOUR GRASPING FORCEPSBLUNT SHAFT 200mm

MALLEABLE BRAIN SPATULAS, 8"

CASPAR LONGUS COLLI MUSCLEDISSECTOR 175MM

FARAZIER DURAL HOOK 5"

Suction canula set of four, No. 1,2,3,4

Scalpal handle bayonet shape 210mm 8.50 inch

Cairns neuro scissors

ListonBone cutting Forceps 275 mm curved on flat

Hartman crocodile brain biopsy forceps 175mm

Adson self retaining retractor blunt 330mm

Miskimon cerebellar retractor

Harvey jackson laminectomy retractor hined arms blade 1.5" wide ;1.75" deep ;Length 290mm

Kilner Needle Holder Box Joint 0.4mm ;5" length TC jaws Gold plated

Auto clavables.steel drum's 15"x12"

Auto clavables.s tray with LID for microsurgical ins. with Silicone matt.

Auto clavables.steel tray with LID 12"x18"

Schlesinger IVD Rongeur, Size :- 152 mm shaft :,cup 2x10mm

Schlesinger IVD Rongeur, Size :- 152 mm shaft:, cup 3x10mm

Schlesinger IVD Rongeur, Size :- 152 mm shaft :,cup 4x10mm

Hardy kerrision punch , Size :- 1mm, 40degree up’’ Length

Cervical kerrision thin plate , Size :- 40º degree up, 2mm, 7’’ length Gold screw

Lumbar kerrision Rongeur , Size :- 40º degree up, 3mm, 8’’ Length

Lumbar Kerrison Rongerur Hardy style Handle with Ball spring 40º up 8’’ Length

StilleLeur Rongeur Curved Bite, 5mm Length 229mm

StilleLeur Rongeur curved Bite, 10 mm, Length 216 mm

Biomimetic Synthetic Absorbable Dural Substitute.. 1.It should have thickness between 0.1 to 0.5 mm 2. It can be sutured and onlay on to the dural defect.

Cervical Self Retaining Retractor set Length-254 mm Opening- 144 mm With Seven Pairs Retractor Blade 25mm to 55 mm@ 5mm Interval

Vertebral body spreader with ratchet lock length – 127mm

Mayo Hegar needle holder , length – 7’’ TC Inserts

Adson dural needle holder fenestrated jaws , length -181mm

Arachnoid Knife 2mm / 3 mm / 4mm

Fogarty’s balloon catheter for endoscopic third ventriculostomy 4 Fr/ 5 Fr

Long artery forceps

Cheatle forceps

Tongue depressor

Catspaw retractor

Markham – meyerding hemilaminectomy retractor of various sizes

Mayo table

Craniotomy burr perforator for use with Hudson brace

Yasargil arachnoid knife

Subcutaneous ventriculo peritoneal shunt passer (adult)

Yasargil biopsy forcep

Toothed dissecting forceps

Wooden handle dissector

Titanium made NEURO SURGERY INSTRUMENTS SET

Micro-scissor of various sizes

Micro needle holder of various sizes

Tissue/ tumor grasping forceps of various tips and sizes

Microscopic probe

Microscopic scoop

Microscopic dissector

Microscopic curette

Microscopicrasparatory

Microscopic Tumor knife

Microscopic hooks

Modular suction cannula

Bipolar forceps

Instruments organization system trays

Microscopic Arachnoid knife

Electrical Drill (MANMAN) Craniotome & Perforator

Craniotome cutter blade

Craniotome hand piece

Craniotome cutter hand piece

Shaft for Craniotome

Reusable Perforator 10/12/14mm burr

Non Oxidizad Regenerated cellulose Haemostat used in Trauma and surgical procedure for Mild, Moderate to Severe bleeding, non- exothermic and have non-compression mechanism, can absorb up to 2000% - 2500% of its initial weight in fluid. Size 10x10cm (4x4 inch)

Non Oxidizad Regenerated cellulose Haemostat used in Trauma and surgical procedure for Mild, Moderate to Severe bleeding, non- exothermic and have non-compression mechanism, can absorb up to 2000% - 2500% of its initial weight in fluid. Size 5x7.5cm (2x3 inch)

Clauses For Electrical Drill with Craniotome & Perforator

1. Craniotome and perforator along with shaft should be auto clavable. 2. The perforator should have safety mechanism with automatic release system as soon as it touches the soft portion of dura. 3. Cranitome cutter shoud have dura guard with thin foot plate 4. Manufacture Company should submit warranty period for at least 02 years for complete system, include 5. ng motor, perforator and Craniotome. 6. Manufacture Company should make the accessories available to the dept on demand basis at a short notice of 48 hrs. 7. Firms should quote the prices of accessories like craniotome blade and perforator separately. 8. Company should be ISO/CE certified

Sterilit – Oil Spray

AYUSHMAAN HEALTHCARE (BID ID -2957092)