Digital Subtraction Angiography (Biplane DSA)

Equipment Specification

GENERAL SPECIFICATIONS

Gantry:

The system should have two gantries: one floor mounted and one ceiling suspended providing full body coverage. The lateral plane should have motorized longitudinal C-arm movement.

It should be possible to pre-program the gantries for multiple examination positions.

All movements of the gantries should be controlled from the controller on the table side as well as from the control & console room.

The system should have adequate collision protection for the safety of the patient.

Both gantries should have fast speed for angulations and positioning. The frontal system should have a speed of at least 15 degree/sec. for all positions and lateral plane should have a speed of at least 8 degree/sec

Patient Table:

The table should have motorized Vertical & longitudinal and free floating.

It should have the facility for automatic bolus chase for peripheral angiography.

It should be possible to swivel the table in case of emergencies.

it should have patient load capacity of 200Kg or more

X-Ray Generator:

Generator should be multi-pulse/high frequency for constant output.

Output should be 100 KW or more.

Radiography KVP range should be 50 KV – 125 KV or more.

Output at 100 KV should be 1000 MA or more.

It should have automatic exposure control device for radiographic fluoroscopy and angio mode.

It should have digital display or KVP & MAs.

Anatomical programming radiography should be possible.

It should have over loading protection.

It should have the facility for pulsed fluoroscopy at variable rates for reducing the x-ray dose to the patient during intervention procedure.

X-Ray Tubes:

Both planes should be provided with rotating anode high speed tubes.

Minimum two or more focal spots , please Specify the sizes.

Anode heat storage capacity should be 3.5 MHU or more having liquid bearing technology or metal lubricant metal bearing technology.

The system should have adequate heat dissipation or cooling facility rate of at least 3 KW for the x-ray tubes for uninterrupted performance during procedure.

Tube must have secondary Gridswitch technology to reduce the Scattered radiation .

The system should have minimum three spectral filters

Collimator:

One collimator for each plane is to be provided.

The collimator should have facility for automatic /pre-pragram / suitable alterante technology copper pre-filtration for reducing the x-ray dose.

The collimator leaf should have IRIS/rectangular type arrangement.

The collimator should have the facility for the dose measurement chamber in order to display the skin dose on the monitors in the lab.

Biplane Digital System:

Dynamic flat detector system with high spatial and 14 bit or better contrast resolution with 1.5 k matrix resolution

Minimum size of frontal plane should be at least 39 cm or more diagonal.

Minimum size of lateral plane should be at least 39 cm or more diagonal.

It should provide multiple formats/fields at least of 4 sizes.

Spatial resolution should be at least 2.5 LP/mm in frontal plane and 2.5 LP/mm in the lateral plane.

DQE of aleast 70% or more

It should be possible to display the subtracted & the native images for both planes simultaneously alongside the reference image in the examination room

Examination Room Monitor :-

Medical grade large high definition display (minimum 55 inches or larger) which is divided into 6 screens.

6 screens should be for :- 2 Live images , 2 reference images , 1 Hemodynamic Monitor (Anesthesia) as a Slave display , 1 Monitor for CT/MR images from PACS/ IVUS image display .

Also 4 independent medical grade display on back side of same boom or on secondary boom (In any combination) as a standby should be provided.

There should be two slave screens for Anesthesia Hemodynamic Monitor :- one screen of main examination monitor and one screen in console area . All cables, converters ,switches required should be provided as standard.

Console Room Monitors:-

Control room shall have at least 2 no.s of widescreen Medical grademonitors for display of live ,playback , reference images of each plane.

Separate/inbuilt Monitor for patient data registration.

Integrated Two-Way communication system with integrated mic & speaker to allow duplex communication between Console & Exam room.

Music system with speakers in console and examination area

Digital Imaging System and essential softwares:

Biplane digital pulsed fluoroscopy at variable pulse frequencies from 10-30 p/s should be available with real time filter & motion detection. Additional reduced pulse frequencies 1, 2, 3, 5, 7.5, 10, 15 exp/s or better simultaneous for both planes should be available for long procedures simultaneously

Road mapping facility (Real time 2D & 3D) should be available with possibility of superimposing of fluoro image on reference image. Facilities for unlimited subtracted high resolution fluoroscopy should be available.

It should have the capability to acquire images in 1024 x 1024 matrix with a maximum speed of 6 frames or more per second on-line subtraction. Specify the maximum image acquisition rate without subtraction.

Post processing software facilities with real time edge enhancement, positive/negative image display windowing, electronic shuttering, roaming, image reversal, zooming and magnifying with text and annotation junctions.

Rotational angiography facility (2D & 3D) at a speed of at least 40 degree/sec. with acquisition frame rate of at least 25 frames/sec. in 1k matrix with facility for online display of subtracted images should be available. Specify if the rotational angiography is with on- line subtraction in 1024 matrix.

Rotational data acquisition with an output of cross sectional CT like images should be possible.

Last image hold or reference image toggling with fluoro should be available.

It should have minimum image storage capacity of 50,000 or more images in the 1024 x 1024/12 bit.

Digital subtraction angiography software of automatic pixel shift enhancement for iodine and CO2 contrast should be possible.

A separate workstation for 3D reconstruction of the rotational angiography images should be provided. The 3D image measurement and slicing should be possible. Facility to display reconstructed images in the procedure room should be provided.

The complete digital system along with workstation should be networked and connected to a DICOM compatible laser camera.

The digital system should have software for vascular analysis and quantification including stenosis %. All measurement should be possible from the patient table side.

Archiving on a CD/DVD recorder should be provided. 500 DVD should be supplied with the unit.

An OEM globally marketed additional workstation for processing of the DSA images and their documentation should be provided in addition to 3D workstation. Workstation/main console should have the facility to reconstruct the long leg view for peripheral image.This additional workstation will be installed in the radiology reporting room remote from the planned console/machine room and the location will be shown during the site visit. The scope of work for installation of this workstation at a remote location shall be with the tenderer.

The system should be able to receive/display on reference monitor,DICOM format images from other modalities like CT & MR. DICOM print facility should be available. Also compliant with EXISTING HIS,RIS,PACS in TMC

Bolus chase software should be provided.

It should have facility to measure dose during the procedures.

The system should be possible to assess lesion in ischemic stroke patients with intravenous injection.

It should be possible for different density structures such as bone, contrast filled vessels, stents, clips & coils to be identified separately in image in real time.

It should be possible to fuse the 3D CT data with 3D Angio to combine high resolution vessel information with soft tissue information.

It should be possible to have CT/MR fusion application.

3D road maping facility directly from CT/MR 3D image without rotational angio 3D image to save contrast and radiaiton.

The system should have latest radiation safety package.

Standard accessories:

Complete hemodynamic Monitor 12 " Display with IBP , NIBP , ECG ,EtCO2 , SpO2 , Temperature ,Invasive Pressure transducers ,Slave Monitoring option enabled ( Softaware and hardware as standard ) , with battery backup

Invasive Pressure transducers :4 no.s

SPO2 Probe : 01 Adult , 01 Pediatric

Temperature Probe - 2no.s,

Slave display on the main monitor

5 lead ECG cable : 2no.s

EtCO2 Module :-01 nos

NIBP cuff :- Adult 02 nos , pediatric 02 nos

NIBP cable :- 01 nos

Monitor stand / mount (Monitor will be mounted on anesthesia machine )

Anesthesia Workstation -01 Qty

Durable with a sturdy kit.

Antistatic wheels with brakes

Shelves for monitors

The anesthesia workstation should have in built ventilator with min. 6'' TFT display or larger.

Gas delivery system:

Gas specific high pressure blocks.

Non interchangable gas supply inlet for cylinders with step down regulators

Pressure reducing valves.

Color coded indexed gas supply hoses.

Provision of additional O2 port for powering a ventury device.

Provision for manual as well as mechanical ventilation.

Provision for both open as well as closed circuit.

Provision for attachement of 2 cylinders one each of O2 and N2O cylinders.

Provision to monitor the expired gas volume, O2 monitor sensor probe along with all the tubings and connections with alarms.

Ability to monitor the expired TV/minute volume,respiratoy rate and FiO2

Quick and easy change over form open circuit to closed cicuit and vice versa.

Ability to bypass the soda lime canister and convert to an open circuit.

Provision for emergency flow of 100% O2 under high pressure through both circuits.

Audible and visual alarms for airway pressure, disconnection, oxygen failure.

Flow meters:

For oxygen, nitrous oxide and air with safety feature

Oxygen failure alarm, audible and visible

Anti-hypoxia safety mechanism to ensure that O2 concentration doesn’t fall below minimum 23% at any time.

Vaporisers: 2Nos with each Unit

Should have provision to connect two vaporisers.

Vaporiser safety lock.

Vendor Should provide Vaporisers-2Nos (isoflurane-1No,sevoflurane-1No)

Ventilators:

Ventilators for controlled ventilation of adults as well as children

Volume contorlled/pressure controlled/Pressure Support.

Inbuilt PEEP administration.

Provision for manual and mechanical ventilation

Monitoring for airway prsesure- Peak and PEEP, plateau

Provision to monitor expired gas volume, O2 monitor sensor probe along with all the tubings and connections with alarms.

Ability to monitor the expired TV/minute volume, tidal volume, respiratoy rate and FiO2

Tidal volume delivery should be in the range from atleast 20ml-1400ml

Respiration rate: 4-60 bpm (or more)

PEEP setting: upto 20 cmH20

Peak pressure setting upto 50cmH20

Breathing system:

Should have integrated CO2 absorber with easy removal and refitting during the operation.

Should be autoclavable at 134 deg C.

Should have APL valve, inspiratory valve, expiratory valve.

should have mechanism to prevent moisture condensation (eg. Heating circuit or equivalent )

Should work on mains Power and with battery backup of 45 minutes minimum with fully charged batteries

International standards : The unit should comply with international standards and should have markings of European CE/USFDA/BIS/ICMED and the bidder should submit a copy of certificates.

Gas monitoring: It should have inbuilt gas monitoring for CO2, N2O, O2 and Anesthesia agent for inspiratory and expiratory values. It should be to monitor and display MAC value on the screen.

The financial bid should include all the essential accessories

Open and closed circuit for both adult and pediatric

Venturi system need to be provided

Essential consumables:

AGM Water trap, Sample line-10 nos

Mask No. 3 & 4 - 1+1 each

Sodalime Box -1 box

Dry Chemistry Laser Imager with resolution of 500 DPI or more. DICOM ready and online for film size of 14x17 with 500 Nos of films

Focused ceiling mounted light with a handle for positioning the light with additional autoclavable light handles :- 05 nos

ACT machine and 30 nos cartridges / tubes

Accessories for the table:-

Head fixing aids - 02 nos

Chin support - 02 nos

Carbon fibre radiolucent arm support - 04 nos

Body straps - 02 nos

Shoulder harness - 02 nos

Ankle restrainer - 02 nos

Soft mattress - 02 nos

Drip stands - 02 nos

Table top which can be positioned over patients legs for keeping procedure materials - 01 nos

Head end holder, handles with supports, articulated arm support and hand rest -- 01no each

Should comply to US FDA/ European CE/ BIS/ ICMED certification. Please attach copy of the certificate(s).

For Radiation Protection:-

Wrap around lead Aprons of -06 nos (Zero lead or equivalent)

Coat Apron of -10 nos (Zero lead or equivalent)

Thyroid Collars of -10 nos.(Zero lead or equivalent)

Table mounted lead protection shield

Ceiling suspended lead protection sheild large size with rotating arm and roatating lead glass .

Lead Glass window for console room 150 x 200 cm - 2 number.

Lead Goggles - 05 No

Gonadal Shield - 2 nos

Paediatric Gonadal Protection- 02 No

Head Shield - 05 No (Zero lead or equivalent)

Mobile Apron Hangers (for 10 aprons) - 02 Nos

Should comply to US FDA/ European CE/ BIS/ ICMED certification. Please attach copy of the certificate(s).

For Patient Care:-

Head Support (donut shape Gel material): 01 qty

Head Support Pediatric (donut shape Gel material): 01 qty

Head Support Prone position 01 qty

Universal Positioning elements (36 x 12.5 x 7): 2 qty

Universal Positioning elements Half rounded, flat bottom side (30.5 x 10 x 8.5cm): 2 qty

Complete set of Adept Medical positioning aids: -

Prone Support -02 Qty

Head Immobiliser- 02 Qty

Overhead Arm Support -02 Qty

Retrograde IR Platform – 02 Qty

IR system for left radial -02 Qty

Pressure Infusor -02 Qty

Should comply to US FDA/ European CE/ BIS/ ICMED certification. Please attach copy of the certificate(s).

Dual Channel VBM Automatic Pressure Infusors (Qty -02) for the use with Pressure Infusion Cuffs for automatic irrigation purposes during minimal invasive surgery with following features :-

Precision Pressure Regulator

Coil extension Hose

Protection Cover

Universal Clamp

Two Pressure Infusion Cuffs

With Two Pressure hose of 4 m .

Should comply to US FDA/ European CE/ BIS/ ICMED certification. Please attach copy of the certificate(s).

Foot/Hand Switch for fluoro & acquisition control in console room

Bi Phasic Defibrillator with ECG , AED mode AND inbuilt pacing mode .

Dehumidifier of 110 Litre - 2 Nos.

Personal Dosimeters should be provided which will give cumulative reading of the radiation dose - 10 qty. There should be system for display of time taken for IR procedure & the radiation dose to the operator. The dosimeters should have wireless connectivity to the dose monitoring system for recording the dosages & archiving.

Automatic single head ceiling mounted pressure injector compatable with the Equipment , along with 200 syringes to be supplied along with the system.

Phased injections should be up to 4 phases with different flow rates and volumes ­delivered in a single contiuous injection

Volume should be 1–150 ml in 1 ml ­increments

Pressure Limit Should be 100 –1200 psi in 1 psi increments and 689 –8273 kPa in 1 kPa increments

Rise Time should be 0.0–9.9 seconds in 0.1 sec increments

Delay Time should be 0.0–99.9 seconds in 0.1 sec increments

Fill Speed should be 1–10 ml/s in 1 ml/s increments

Fill Volume should be 1–150 ml in 1 ml increments

150 ml Syringe Size should be provided.

It should have 35 Protocol Memory

It should have 50 Injections Memory History

It should have color touch screen on console room display for easy operations

Injector should have front load syringe design with clear syringe (Not opaque)

For safety the injector should not operate unless tilted down during injection

Facility to have dual display connectivity

Consumables: Pleasae quote for the following consumabes. The vendor should supply the 3 months consumables with machine as mentioned below. The rate of the consumables should be fixed for at least 2 years without any escalation.

Connector tubings- Approximate 25 Nos/Month

Syringes for contrast and saline-- Approximate 25 Nos/Month

USG machine should be provided with the biplane system :- 01 Qty

Top of the Line Colour Doppler Equipment with 2D Shearwave Elastography.

The equipment must be capable of operating in B, M, Doppler, Color flow and Power Doppler modes, Contrast microbubble ultrasound & 3D / 4D Volume Scanning, 2D Shear Wave elastography & Fusion capabilities.

It should support transducers with Single crystal & Matrix technology. Further, it must include a full array of measurement and calculation packages. The specific minimum requirements for this equipment are as follows

System should have the latest technology to eliminate manual focus position and automatically focus the entire field of view on all the probes.

User Interface & Ergonomics

The console should have height & rotation option

The system shall include at least a 21” LED/HDU monitor.

The monitor shall be mounted on an articulating arm that moves side-to-side, forward, and backward.

The system should have a touch panel of 12” or more

The system shall have minimum Four active universal probe Ports.

Productivity

The system shall offer an extended field-of-view imaging that operates by sweeping a transducer over the anatomy of interest. This mode shall build the extended field-of-view in a real-time manner, showing the image as it builds.

System shall have image management features that store images by patient and include the ability to review images from different exam dates.

System shall support the ability to store digital data in, that allows to optimize imaging parameters such as B Gain, TGC, Color Gain, Dynamic Range, Speckle Reduction levels, Doppler Gain, Doppler Base Line on old Images & old loops recalled from the image archive.

System shall allow for live image and archive images side-by-side or quad display on a single monitor. This display shall allow any type of image – B-Mode, Color, or power Doppler on either side.

Workflow

Shear Wave Elastography with color coded adjustable box and quality indicator should be available in Convex, Linear Probe, also measurement should be available in Kpa & m/s simultaneously. A maximum number of 8 or more measurements should be taken in 1 single frame.

System should be capable to quantify liver steatosis to aid in early identification and monitoring of patients with NAFLD, NASH or ASH. Units should be in dB/m or dB/cm/MHz

System should have the capability to integrate both Shearwave elastography & fat quantification tools for better workflow

System should be Fusion/ Navigation ready for future upgrades with built in sensors & Auto registration feature for end user comfort.

Contrast Ultrasound Capability (CEUS) with Times Intensity Curve Graphs.

System should have the capability to compare previous patient images during live scan

System should have the capability to pick micro vessel flow using a non doppler technology.

System should have the capability to measure the area of lesions/Cyst automatically

System should have an AI feature in doppler studies which automatically places the color box by understanding the location and direction of the vessels.

Data Processing.

The system shall allow for Post-Storage image manipulation to provide maximum image flexibility, review and productivity. It shall include the ability to change all following on recalled old Stored Images/Loops :

a) Overall B-Mode gain, dynamic range and gray scale maps.

b) Overall Doppler gain, base line shift, sweep speed and inverted spectral waveform.

c) Anatomical M-Mode

The system shall provide a display zoom function on frozen images.

Scanning Parameters

The system should have minimum 47,00,000 or better digital system processing channels.

The system shall provide the ability to scan in the compound imaging mode with up to 9 lines on all linear and convex probes.

The system shall provide scan depths from a minimum of 2 cm to a maximum of at least 40 cm.

System Should have frame rate more than 1900f/s.

System should have 256 gray shades

B-Mode / M-mode Imaging

The system shall provide the capability for coded tissue harmonic imaging on all offered transducers.

Color flow/Bi -Directional Power Doppler/Pulse Wave Doppler

Measurements and Calculations

Measurements should be possible on frozen images as well as on images recalled from the image archive.

The system shall provide a comprehensive set of obstetrical and gynecologic calculations and vascular calculations with summary reports.

Image Archive and Networking

The device should store images onto an integrated DVD-R Multidrive and a USB port storage device.

The system shall include at least 1TB HDD with 800GB space to store images.

The device should store images in DICOM, JPG, WMV and AVI formats for maximum flexibility.

DICOM Connectivity

The system should be capable to connect to our existing PACS through HL7/RIS/HIS at no extra cost. Highest version of DICOM connectivity to be provided. It should have the capacity of plug and play. Interfacing with our existing PACS system will be vendors responsibility.

Transducers

1 to 5 MHz (+/- 1 MHz) Single Crystal Convex Probe with Shearwave Elastography - 01 Qty with Reusable Biopsy Guide – 01 Qty.

2-9 MHz (+/- 1 MHz) Single Crystal/Broadband Linear Probe for Vascular Applications - 01 Qty with Reusable Biopsy guide -01 Qty.

6-15 MHz (+/- 3 MHz)-Single Crystal/ Broadband Linear Probe for Small Parts, MSK, Neonates & Pediatrics - 01 Qty with Reusable Biopsy guide -01 Qty.

8-18 Mhz(+/- 3 MHz) Hockey Stick Probe for Interoperative Scans 01 Qty.

3-10 MHz (+/- 2 MHz) Single Crystal Micro Convex probe for paediatric applications -01 Qty.

5-9 Mhz (+/- 2 MHz) - Broad band/Single Crystal – TV/TR Probe - 01 Qty with Reusable Biopsy guide -01 Qty.

Desktop computer For Reporting with following specifications :- 01 Qty

5 TB External HDD -01 QTY

External USB DVD Reader and writer -01 Qty

Virtual Reality Endovascular Simulation Systems :- 01 Qty

System requirements :-

In the portable configuration it should include haptic device and run on a laptop with touch screen and one external LCD screen

The portable system should offer full bifemoral support with an extension haptic device.

The extension haptic device for bifemoral support must be possible to integrate alongside the first portable haptic unit.

It should allow the simultaneous manipulation of up to 8 devices

The force feedback mechanism of the simulator shall be capable of outputting a realistic push/pull force of at least

15 Newton on the first tracker (sheaths and guide catheters, etc.) without modifying the devices

7 Newton on the second and third trackers (diagnostic catheters, balloons, stent and guidewires, etc.) without modifying the devices

7 Newton on the fourth and fifth side branch trackers (diagnostic catheters, balloons, stent and guidewires, etc.) without modifying the devices.

The force feedback should be automatically adjusted by the system depending on the friction between the brake mechanism and the device surface.

The haptic device should have built-in automatic self-cleaning of the tracker sensors by means of an integrated air pump.

The haptic device should be able show its connection status with external light indicators.

The system should allow for realistic bifurcation procedures and branching techniques

It should contain five trackers that are internally connected in a way that allows for manipulating four devices at the same time while physically inserted through a common catheter or sheath, which should also be possible to manipulate freely at any given time.

It should have support for true bifurcation training, i.e. two parallel clinical devices physically passing through the same physical catheter and into one single haptic unit.

It should offer force feedback on all five trackers.

System should be fully calibration free, easy-to-use and reliable.

It should not require any kind of recalibrations when using different sizes of guidewires, catheters, microcatheters.

It should not require any kind of recalibrations when switching between devices and cases. i.e.: if running EVAR using 24 F devices and then you want to shift to running Neuro using micro catheters it is not necessary to calibrate the system to make this change.

System should be flexible and intuitive to set up and use, including printed quick setup guides

Should be built on a solid and reliable hardware platform with a minimum global install base of 1000 systems

The hardware platform should use proprietary and in-house developed technology, and the vendor must have full control of all hardware design and manufacturing.

System must be fully integrated, with all tracking stations fixed inside of the portable simulator and ready for immediate use as it is taken out of the transportation box. It should not have any trackers that require assembly or must be removed for cleaning.

Software/ Hardware - updates / upgrades should be covered under warranty and CMC without any additonal cost to the TMC.

Hardware functionality :-

Detachable control panel with 22 physical buttons and 5 joysticks to control the following functionality:

Table (table position, table height)

C-arm (c-arm angle, detector height, detector rotation)

Collimation (shutters, left/right wedge filters, open shutters, magnification, silence alarm)

Image store (fluoro store, cine play, cine pause/step)

Fluoroscopy (capture roadmap, toggle roadmap, blend roadmap, radiation dose level)

Biplane (c-arm front/lateral/both, fluoro front/lateral/both)

Other (toggle 3D mode, auto device tracking)

Foot pedal for live fluoroscopy and cine acquisition should be included.

The following peripheral devices should be supported

Manual contrast injector.

Stent deployment devices, possible to connect to a catheter for realistic deployment

Ballooning inflation device and manometer

Optional: wireless Bluetooth deployment handle for EVAR, TEVAR, TAVI and other procedures

Allow use of real clinical devices, including but not limited to the following actual physical devices:

0.014", 0.018" and 0.035" guide wires

2.0F-2.9F micro catheters

0.014" and 0.035" compatible balloon and stent catheters, OTW and Rapid Exchange (RX)

4F-6F diagnostic catheters

Transseptal dilators

Embolic Protection devices (e.g. Angioguard, Spider FX)

6F compatible rapid exchange aspiration catheters

6F, 7F, 8F and 9F guide catheters

Up to physical 24F real world handles in its standard configuration (for EVAR, TEVAR, TAVI and other procedures)

Additional industry specific device handles (permission needed by respective company)

The system must be able to run simulation of real-life interventional procedures in full integrated with an actual C-arm.

Networking :-

Image transfer from digital system should be possible in background mode without affecting the system operation.

The system should be DICOM ready for DICOM send / receive, query / retrieve. Print and Modality Worklist functions. The system should be fully compatible with our GE Centrino PACS, HIS/RIS for data transfer, Archival of images on the PACS, and Retrieval of archived images from PACS.

The system should be plug & play with Hospital HIS / Treatment planning system (Plato and Eclipse) and PACS for data transfer, archival of images on the PACS, and retrieval of archived images from PACS.

System should have ability to record DSA runs on the CD and the embedded viewer should support review of these DSA runs at referring physicians PC.

Communication system between console and equipment room.

Other requirements:

Main Gantry system , UPS , Equipment room pannels should get occupied in given space as per layout shared . Please find attached layout plan .The vendors should inspect the site before quoting and ensure that the unit and all accessories can be installed in the available space without any functional compromise.

Vendors will provide training of 3 faculty for at least 2 weeks at world renowned centre abroad.

Live Demonstration of the equipment is required.

Please provide a list of installations of the quoted model.

Please submit the floor plan for installation and commission.

The Equipment/ System should comply to US FDA/ European CE/ BIS/ ICMED certification. Please attach copy of the certificate(s).

Should provide AERB NOC for quoted model.

Should provide AERB Type approval for quoted model.

The institute shall apply for AERB approval for layout and the tenderer shall facilitate in getting the same for institute.

Must provide online UPS with isolation transformer of adequte capacity for the complete systems. With minimum 15 minutes back up. SNMP card should be provided with the UPS as a standard. SNMP card should have a facility remotely examine/access the battery charge levels , input & output voltage , frequency, temperature ,alerts,alarms and other characteristics .

Training to be provided to Doctors , technicians and Biomedical Engineers.

Service tool kit hardware & software should be be kept on site to reduce down time.

All the software related licence, keys to the system should be handed over to USER.

Performance certificate from five govermrnt institutes is mandatory.

Please specify pre installation requirements (electrical, HVAC etc.)

Please specify footprint size & weight.

Please visit the site to check whether quoted model can be accomodated in the available space.

Please specify power consumption.

Vendor has to provide complete design for entire turnkey work related to the said equipment with concurrence of OEM .Vendor will also be responsible to vet the design and BOQ prepared by the turnkey agency / Chandigarh.

All Necessary standards and norms. (As applicable).

Local Service Support: Should have local office and service support/service engineer for attending the breakdown calls, please provide the address along with list of engineers, their location and contact details in India.

Response Time: Should not be more than 06 hrs from lodging a breakdown complaint on toll free or by email.

Warranty: 2 years comprehensive-on site- Factory warranty for the entire equipment system. Warranty will cover the complete system inclding X-ray tube, Detector, Hardware, software and third party supplies. All bought out items used in system should also be included in the warranty. Warranty should include upgrades / update of sotwares and Hardware, No separate software licence fees will be payable should also cover 2 years factory warranty from respective manufacturers. The vendor should perform 4 nos. of preventive maintenance services/ year and QA/QC as per AERB prescribed protocol during the warranty period.

Comprehensive Maintanence Contract(CMC): Vendor to qoute for cmc for 8 years post 2 yeas warranty. CMC should include 4 preventive maintenances/ year and all breakdown visits. CMC will cover the complete system inclding X-ray tube, Detectors, Hardware, software and third party supplies allied equipment by the vendor. All bought out items used in system should also be included in the CMC. CMC should include upgrades / update cost sotwares and Hardware, No separate software licence fees will be payable. Should include QA QC annually as per AERB noms.Planned preventive maintenance and other planned maintenace activity should be done on Public Holdays and on Sundays.

PENALTY CLAUSE

The supplier and / or its Indian agent will be required to maintain the equipment and all its bought out items (including software updates and various licenses) used for the functionality of the system in good working condition during the warranty/ CMC period with 96% uptime guarantee.

Equipment shall be fully functional to be considered as the uptime. In case of partial functionality, the proportion of functionality shall be determined and downtime shall be adjusted by such proportion (i.e. if the equipment is 70% functional, 30% downtime shall be applicable). In cases where it is not possible to definitely determine the proportion of functionality, the downtime shall be considered as 100%.

The decision of the TMC management or its representative in determining the % of the downtime shall be final and binding.

Essential period to shut down the equipment entirely or partially during warranty/CMC period shall also be included in the downtime while calculating the guaranteed uptime i.e. all features as per specifications in purchase order should be functional for uptime.

The penalty applicable for downtime shall be calculated on an hourly basis and will be at the rate of 0.004% per hour (0.1% per day) of the total cost of the equipment (excluding works), during and up to the period of warranty/ CMC. There shall be a permissible down time of 360 hours per year, beyond which the down time penalty will be applicable.

However, in case of the downtime exceeding seven days (i.e. 168 hrs) at a stretch, the downtime beyond these 168 hours will be considered for calculation of downtime penalty.

The levy of this penalty shall be at the discretion of director TMC irrespective of the overall up time of the equipment throughout the period of the warranty or CMC.

This clause is to ensure maximum uninterrupted service to patients and hence Director, TMC’s decision in enforcing / invoking this clause will be final and binding for all.

For CMC, W.O. issued by TMC shall be final as per D.A.E. Norms. TMC & its units shall not sign separate legal contract as per vendor’s format.

Important terms to be noted by the bidders:

Read the above scope of supply carefully and quote accordingly. Incomplete and /or partially complete offers are liable to be rejected.

Manufacturer/bidder should clearly indicate typical life span / Life expectancy of the quoted equipment.

Item/Equipment quoted should not be a second hand/refurbished/on verge of obsolescence/outdated model. Similarly, after award of contract, the item supplied should be a newly manufactured item .

Past experience of the bidders in terms of quality of supplied equipments, after sales service and application support will be taken into consideration while technical evaluation.. Bidders who has unsatisfactory past experience in any of the TMC/DAE unit in last 2-3 years, in terms of quality of supplied equipments, after sales service and application support, bids of such bidders may liable to be rejected.

Complete and detailed information should be provided in respect to each point specified in the specifications. Technical bids that are incomplete in any respect are liable to be rejected. Provide relevant supportive information, publications, catalogue, etc. Bidders providing misleading or wrong information are liable to be rejected. All technical claims should be printed in the technical brochure of the equipment.

If any contradictory statements /figures/information is observed in the compliance chart and in the technical bid, then the technical information mentioned in the product literature/brochure will be considered true and further evaluation will be done based on the information given in the product literature/brochure. Regarding the warranty and CMC terms, information quoted in the technical bid will only be taken as valid terms.

Compliance column may be filled with relevant data, figures, range etc. as applicable. Do not just mention "YES / NO / Complied ".

Declaration by the bidder

We have quoted for all the items meeting the description/scope of supply in the Financial bid as per prescribed format of the Tender documents and we agree that Partial/incomplete offers are liable for rejection.

L1 Calculation

Payment will be made by the ICICI Foundation.