CORRIGENDUM-1. Ref. Tender No: HLL/PCD/PMSSY-IMS/26/12-13 Dated 18/04/2012
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1 CORRIGENDUM-1 Ref. Tender No: HLL/PCD/PMSSY-IMS/26/12-13 Dated 18/04/2012 Pre-bid meeting held on: 27/04/2012 Representation/queries received during the pre-bid are being clarified/amended below. Item No.1 Low End Modular Operation Theatre Bidder shall be responsible for commissioning of Medical Gas lines, Area valve service units, alarm systems, gas outlets and AGSS systems Bidder shall be responsible for commissioning of Medical Gas lines, Area valve service units, alarm systems, gas outlets and AGSS systems in OT area Bidder shall be responsible for maintain suitable air conditioning inside the Operation theatre Bidder shall be responsible to maintain suitable air conditioning environment inside the Operation theatre The following lines deleted from the specification One engineer of HLL and one biomedical engineer of IMS, BHU have to be trained for a week at factory or the team of engineers from Original Equipment Manufacturer (OEM) should provide training at IMS,BHU for a period of six working days to the selected staffs and engineers Scope of Work- General: Page 1 of 38
2 The Pre-fabricated Operating Room will be constructed using either (i) 1.6mm thick EGP panels backed by 12 mm Gypsum board The Pre-fabricated Operating Room will be constructed using 1.6mm thick EGP panels backed by 12 mm Gypsum board Wall Paneling System-SS The internal surfaces of the room walls will be sprayed with water based liquid plastic, wall glaze or equivalent, approved by the client to a minimum dry film thickness of 300 microns. The plastic coating will overlap the floor covering ceiling system and doorframes by 25mm to provide a continuous sealed surface. The plastic coating will be non- reflective and the color will be submitted to the client for approval. All the four corners should have return air duct outlets, the grill of which should be made of MS steel, duly powder coated with colour choice to suit the hospital Wall Paneling System The internal surfaces of the room walls will be sprayed with antifungal water based liquid plastic, wall glaze or equivalent, approved by the client to a minimum dry film thickness of 300 microns. The plastic coating will overlap the floor covering ceiling system and doorframes by 25mm to provide a continuous sealed surface. The plastic coating will be non- reflective and the color will be submitted to the client for approval. All the four corners should have return air duct outlets, the grill of which should be made of MS steel, duly powder coated with colour choice to suit the OT finish Ceiling System Page 2 of 38
3 The ceiling plates /cassettes should be made up of Stainless steel sheets, 0.8 mm thick with matt finish and should be polyurethane powder coated. Ceiling System The ceiling plates /cassettes should be made up of 1.6 mm thick EGP steel panels backed by 8mm gypsum board. PVC Flooring Thickness not less than 3mm. Continuous roll should be used and joints should be welded by special PVC thermal welding units using PVC welding bars of same colour PVC Flooring Thickness not less than 2mm. Continuous roll should be used and joints should be welded by special PVC thermal welding units using PVC welding rods of same colour Hermetically Sealed Doors The controller should be capable of being operated by elbow switches/foot switches as well as radar switch (touch less sensor). The door material should be SS powder coated fixed to SS frame (same as the wall panels). Colour should match the interior case should be taken to make the leaf strong and light weight. The overall thickness of the finished door should not exceed 60 mm. The inner part of the door should not be filled with CFC free polyurethane foam of thickness of 48mm or nearby. (Sealed airtight to prevent further ingress of any microbial organism) Page 3 of 38
4 Door should be with vision window 1.2 m X0.8 m with double glazed panels and hermetically sealed motorized roller blind inside. Hermetically Sealed Doors The controller should be capable of being operated by elbow switches / foot switches. The door material should be steel powder coated fixed to SS frame (similar to wall panels). Colour should match the interior care should be taken to make the leaf strong and light weight. The overall thickness of the finished door should not exceed 60 mm. The inner part of the door should be filled with CFC free polyurethane foam of thickness of 48mm or nearby. (sealed airtight to prevent further ingress of any microbial organism) Door should be with vision window 400mmx300mm with double glazed panels and hermetically sealed motorized roller blind inside. Door should provide X ray protection as per AERB regulation (Lead equivalent at 100 kv is 0.27mm) Control Panel The room Surgeon s control panel should be designed to cope with changing technology & equipment in operating environments. Control Panel will be user friendly & ease of operating & maintaining purpose. The panel should have provision to adjust temperature and RH by the surgeon. The surgeon control panel should meet Electrical safety codes for high & low voltage system, wired to the current IEE regulations. Control Panel Page 4 of 38
5 The room control panel should be designed to cope with changing technology & equipment in operating environments. Control Panel will be user friendly & ease of operating & maintaining purpose. The panel should have provision to adjust temperature and RH The control panel should meet Electrical safety codes for high & low voltage system, wired to the current IEE regulations. 12. X ray Film Viewer ED type flat panel X-ray viewing panel should be supplied. This should be a 3 panel viewing screen. Each panel should be able to illuminate films up to 14 x17 size. (Total 3 panels) 12. X ray Film Viewer LED type flat panel X-ray viewing panel should be supplied. This should be a 2 panel viewing screen. Each panel should be able to illuminate films up to 14 x17 size. (Total 2 panels) 13. Scrub Station Compact surgical scrub sink should be designed for use in OT complex providing for pre-ot scrub up.( Double sink combination) Thermostatic mixing, valve control should be located behind the access panel and maintain constant water temperature. Page 5 of 38
6 13. Scrub Station one unit Compact surgical scrub sink should be designed optimally so that it is common for 2 OT for use in OT complex providing for pre-ot scrub up.( Double sink combination) Thermostatic mixing, valve control should be located behind the access panel and maintain constant water temperature. Adjustable water temperature setting should be provided Following lines deleted from the specification Scrub Station- User defined setting of 1 to 3 should be available. This timing should be adjustable to meet individual application requirements. Provided with infrared sensors, thermostatic control taps with fail safe temperature controls Knee operated switch should be there. Knee operated switch should be provided 15. Pendant for Anesthetist and Surgeon (one each) Should be single arm pendant Anesthesia pendant should have oxygen outlets X 2, Air (4 bar) X 1, Nitrous oxide X1 and Vacuum outlet X 2, AGSS outlet x 1 Pendant should have eight 5A/15A combined electrical socket. Electrical socket should be of reputed make. One electrical socket should be connected with central UPS and should of different colors for easy identification. Page 6 of 38
7 The manufacturer should have valid quality management certification (DIN EN ISO 9001:2000, guideline 93/42/EWG of Medical Products or equivalent 15. Pendant for Anesthetist Should be dual arm pendant Anesthesia pendant should have oxygen outlets X 2, Air (4 bar & 7 bar) X 1, Nitrous oxide X1 and Vacuum outlet X 2, AGSS outlet x 1 Pendant should have 12 each 5A/15A combined electrical socket. Electrical socket should be of reputed make. One electrical socket should be connected with central UPS and should of different colors for easy identification.to be fed from suitable UPS It should be according to international standards 16. Peripheral Lighting and Imported Clean Room Luminaries Peripheral lights and clean room luminaries fitted in the CG frame should be 8 in numbers for each OR. High quality imported surface mounted and recessed luminaries should be with at least 3 Nos of 54W fluorescent lamps (TS or equivalent). Should be with highly specular anodized aluminum reflectors and optical antiglare system for individually adjustable light distribution 16. Peripheral Lighting and Clean Room Luminaries To provide peripheral light intensity min 500Lux and clean room luminaries fitted in the CG frame should be 8 in numbers each OR The following lines deleted from the specifications Page 7 of 38
8 This should be with adjustable multilamp ballast with interface 1-10V, controllable from the panel. Should be suitable for extruded aluminium areas where infrared remote controls are in use. 17. Electrical Installations Light fittings within the clinical areas should be recessed fluorescent type, with high frequency tubes and control gear. 17. Electrical Installations Light fittings within the clinical areas should be recessed LED type with control gear 18. Medical Gas Line Installation The bidder should ensure that all works carried out are to the recommendation made in the Department of Health and Social Security s Health Technical Memorandum number 2022 (HTM 2022) & C11 and any other appropriate British Standards The line valve should be brass 25 mm ball valve with PTPE sealthes/seats operated by a quarter turn handle with a pin to prevent over travel in both directions. The ball valve shall be connected by HTM 2022 & C11 stub pipes to the distribution system by either top, bottom, side or rear entry pipes Each terminal unit should be identified by the appropriate recognized name or symbol, colour, coding and shape as detailed below as in HTM 2022 & C11. These markings shall be permanent and be an integral part of the terminal unit. The medical gas alarm system shall be an advanced/ multiplexing data transmission system which fully satisfies the principles of HTM 2022 and conforms in all respects to the National Health Service Model Engineering Specification C11 Page 8 of 38
9 Pipe work materials shall be manufactured by a licensee of the Bs 5750 quality assurance certification scheme and all pipes and fittings are marked with the BSI kitemark 18. Medical Gas Line Installation The bidder should ensure that all works carried out are to the recommendation made in the Department of Health and Social Security s Health Technical Memorandum number (HTM 02-01) & C11 and any other appropriate British Standards The line valve should be brass 25 mm ball valve with PTPE sealthes/seats operated by a quarter turn handle with a pin to prevent over travel in both directions. The ball valve shall be connected by HTM & C11 stub pipes to the distribution system by either top, bottom, side or rear entry pipes Each terminal unit should be identified by the appropriate recognized name or symbol, colour, coding and shape as detailed below as in HTM & C11. These markings shall be permanent and be an integral part of the terminal unit. The medical gas alarm system shall be an advanced/ multiplexing data transmission system which fully satisfies the principles of HTM and conforms in all respects to the National Health Service Model Engineering Specification C11 Pipe work materials shall be manufactured by a licensee of the Bs 5750 quality assurance certification scheme and all pipes should be Lloyd certified 20. FIRE EXTINGUISHERS Bidder should provide suitable fire fighting mechanism as per international standards Bidder should provide suitable fire extinguishers OT Light- Halogen Page 9 of 38
10 1. Description of Function Surgical lights illuminate the surgical site for optimal visualization of small, low-contrast objects at varying depths in incisions and body cavities. 3.2 Each unit should provide more than lux light at 4200 k colour temperature OT light- LED 1. Description of Function Ceiling mounted surgical lights to illuminate the surgical site for optimal visualization of small, low-contrast objects at varying depths in incisions and body cavities. 3.2 Unit should provide more than Lux(main dome) lux (satellite dome) light at 4200 k colour temperature The following lines deleted from the specification 3.3 The optimum colour temperature of the light should be between kelvin, with colour rendering index of at least 90. The following points added in the specification It should be CE/US FDA approved product BOQ for Low End Modular OT 1. Prefabricated EGP steel room walls: 2567m 2 3. PVC Flooring for Modular OT: m 2 4. False ceiling as per tender specification: m Bay Scrub Sink made of 304 grade steel as per Tender specification: 4 Nos Page 10 of 38
11 BOQ for Low End Modular OT 1. Prefabricated EGP steel room walls: 550m 2 3. PVC Flooring for Modular OT: 325m 2 4. False ceiling as per tender specification: 300m Bay Scrub Sink made of 304 grade steel as per Tender specification- one for 2 OTs: 4 Nos The following line added under the Heading BOQ Areas mentioned may have ±10% variations The following line deleted from the BOQ Surgeon Pendant as per tender specification Item No.2 Mid End Modular Operation Theatre Bidder shall be responsible for commissioning of Medical Gas lines, Area valve service units, alarm systems, gas outlets and AGSS systems Bidder shall be responsible for commissioning of Medical Gas lines, Area valve service units, alarm systems, gas outlets and AGSS systems in OT area Bidder shall be responsible for maintain suitable air conditioning inside the Operation theatre Bidder shall be responsible for maintaining suitable air conditioning environment inside the Operation theatre Page 11 of 38
12 The following lines deleted from the specification One engineer of HLL and one biomedical engineer of IMS, BHU have to be trained for a week at factory or the team of engineers from Original Equipment Manufacturer (OEM) should provide training at IMS,BHU for a period of six working days to the selected staffs and engineers Scope of Work- General: The Pre-fabricated Operating Room will be constructed using 1.5 mm thick 304 Grade Stainless Steel (duly certified) panels with suitable backing board. The core will consist of rigid polyurethane foam, which has been injected under high pressure, with a minimum density of 40 kg/m3. All wall mounted equipments should be flush-mounted and sealed into theatre wall by means of durable sterile jointing system. The Pre-fabricated Operating Room will be constructed using 0.8 mm thick 304 Grade Stainless Steel (duly certified) free standing insulated steel wall panels double band lamination. The core will consist of rigid polyurethane foam, which has been injected under high pressure, with a minimum density of 40 kg/m3. All wall mounted equipments should be flush-mounted and sealed into theatre wall by means of durable sterile jointing system. 1. Wall Paneling System-SS The wall will be constructed using 1.5mm thick 304 Grade Stainless Steel (duly certified) panels with suitable backing board. The core will consist of rigid polyurethane foam, which has been injected under high pressure, with a minimum density of 40 kg/m3 1. Wall Paneling System- SS Page 12 of 38
13 The wall will be constructed using 0.8mm thick 304 Grade Stainless Steel (duly certified) free standing insulated steel wall panels double band lamination. The core will consist of rigid polyurethane foam, which has been injected under high pressure, with a minimum density of 40 kg/m3 5. PVC Flooring Thickness not less than 3mm. Continuous roll should be used and joints should be welded by special PVC thermal welding units using PVC welding bars of same colour 5. PVC Flooring Thickness not less than 2mm. Continuous roll should be used and joints should be welded by special PVC thermal welding units using PVC welding rods of same colour 6. Hermetically Sealed Doors Door should be with vision window 1.2 m X0.8 m with double glazed panels and hermetically sealed motorized roller blind inside. 6. Hermetically Sealed Doors Door should be with vision window 400mmx300mm with double glazed panels and hermetically sealed motorized roller blind inside. Door should provide X ray protection as per AERB regulation (Lead equivalent at 100 kv is 0.27mm) The existing specification of control panel is replace by below specification Page 13 of 38
14 7. Control Panel The room control panel should be designed to cope with changing technology & equipment in operating environments. Control Panel will be user friendly & ease of operating & maintaining purpose. The panel should be Membrane type; configured to incorporate all the services that operation room staff required. The fascia should be made with superior quality UV resistance membrane with sterilization feature. The Panel should contain 9 service tiles as below: 1. Time Day Clock 2. Elapse Time Clock 3. General Lighting System 4. Medical Gas Alarm Panel 5. Hand Free Telephone set with memory 6. Temperature & humidity indicator with controller 7. HEPA Filter Status module 8. Room Pressure Indicator 9. Music control Time day clock should be digital & clocks should have high brightness characters. Elapsed time Clock should be digital type & clocks having high brightness characters Temperature indicator should indicate the room temperature which should be connected to the local pressure switches of Air-Conditioning System. Indicators should be digital type & clocks having high brightness characters, not less than 30 mm in height. The panel should have provision to adjust temperature and RH. Page 14 of 38
15 Central Lighting system should incorporate all the necessary controls of the lighting system inside the theatre The medical gas alarm should indicate High, Normal & Low gas Pressure for each gas service present in the operating system & should have an audible buzzer with mute facility. Pressure sensors should be connected to MGPS for monitoring the pressures A hand free set Telephone System should be incorporated in the panel with memory type card. The control panel should be designed for front- access only All internal wires should be marked with plastic Ferrule type cable markers for ease of identification The control panel should meet Electrical safety codes for high & low voltage system, wired to the current IEE regulations. The following lines are deleted from the specification 11. Digital display panel 29 flat panel, TFT color screen (monitor) with alphanumeric touch screen for messages and data. For displaying operating list and particular details etc Message storage and scroll display Touch screen operating with stylus 13. Scrub Station Thermostatic mixing, valve control should be located behind the access panel and maintain constant water temperature. Page 15 of 38
16 13. Scrub Station Thermostatic mixing, valve control should be located behind the access panel and maintain constant water temperature. Adjustable water temperature setting should be provided Following lines deleted from the specification Scrub Station- User defined setting of 1 to 3 should be available. This timing should be adjustable to meet individual application requirements. Provided with infrared sensors, thermostatic control taps with fail safe temperature controls Knee operated switch should be there. Knee operated switch should be provided 15. Pendant for Anesthetist and Surgeon (one each) Anesthesia pendant should have oxygen outlets X 2, Air (4 bar) X 1, Nitrous oxide X1 and Vacuum outlet X 2, AGSS outlet x 1 Pendant should have eight 5A/15A combined electrical socket. Electrical socket should be of reputed make. One electrical socket should be connected with central UPS and should of different colors for easy identification. The manufacturer should have valid quality management certification (DIN EN ISO 9001:2000, guideline 93/42/EWG of Medical Products or equivalent 15. Pendant for Anesthetist Page 16 of 38
17 Anesthesia pendant should have oxygen outlets X 2, Air (4 bar & 7 bar) X 1 each, Nitrous oxide X1 and Vacuum outlet X 2, AGSS outlet x 1 Pendant should have 12 each 5A/15A combined electrical socket. Electrical socket should be of reputed make. One electrical socket should be connected with central UPS and should of different colors for easy identification. It should be according to international standards 16. Peripheral Lighting and Imported Clean Room Luminaries Peripheral lights and clean room luminaries fitted in the CG frame should be 8 in numbers for each OR. High quality imported surface mounted and recessed luminaries should be with at least 3 Nos of 54W fluorescent lamps (TS or equivalent). Should be with highly specular anodized aluminum reflectors and optical antiglare system for individually adjustable light distribution 16. Peripheral Lighting and Clean Room Luminaries To provide peripheral light intensity min 500Lux and clean room luminaries fitted in the CG frame should be 8 in numbers each OR The following lines deleted from the specifications This should be with adjustable multilamp ballast with interface 1-10V, controllable from the panel. Should be suitable for extruded aluminium areas where infrared remote controls are in use. 17. Electrical Installations Light fittings within the clinical areas should be recessed fluorescent type, with high frequency tubes and control gear. Page 17 of 38
18 17. Electrical Installations Light fittings within the clinical areas should be recessed LED type with control gear 20. Medical Gas Line Installation The bidder should ensure that all works carried out are to the recommendation made in the Department of Health and Social Security s Health Technical Memorandum number 2022 (HTM 2022) & C11 and any other appropriate British Standards The line valve should be brass 25 mm ball valve with PTPE sealthes/seats operated by a quarter turn handle with a pin to prevent over travel in both directions. The ball valve shall be connected by HTM 2022 & C11 stub pipes to the distribution system by either top, bottom, side or rear entry pipes Each terminal unit should be identified by the appropriate recognized name or symbol, colour, coding and shape as detailed below as in HTM 2022 & C11. These markings shall be permanent and be an integral part of the terminal unit. The medical gas alarm system shall be an advanced/ multiplexing data transmission system which fully satisfies the principles of HTM 2022 and conforms in all respects to the National Health Service Model Engineering Specification C11 Pipe work materials shall be manufactured by a licensee of the Bs 5750 quality assurance certification scheme and all pipes and fittings are marked with the BSI kitemark 18. Medical Gas Line Installation Page 18 of 38
19 The bidder should ensure that all works carried out are to the recommendation made in the Department of Health and Social Security s Health Technical Memorandum number (HTM 02-01) & C11 and any other appropriate British Standards The line valve should be brass 25 mm ball valve with PTPE sealthes/seats operated by a quarter turn handle with a pin to prevent over travel in both directions. The ball valve shall be connected by HTM & C11 stub pipes to the distribution system by either top, bottom, side or rear entry pipes Each terminal unit should be identified by the appropriate recognized name or symbol, colour, coding and shape as detailed below as in HTM & C11. These markings shall be permanent and be an integral part of the terminal unit. The medical gas alarm system shall be an advanced/ multiplexing data transmission system which fully satisfies the principles of HTM and conforms in all respects to the National Health Service Model Engineering Specification C11 Pipe work materials shall be manufactured by a licensee of the Bs 5750 quality assurance certification scheme and all pipes should be Lloyd certified 21. Demolishing, Reconconstructing, Water proofing, Plumbing, Repainting and Replacement Any demolishment,reconstruction,water proofing, necessary plumbing,repainting,replacement of any door or windows to provide structured design for modular OT should be carried out by the bidder. 19. Demolishing, Reconconstructing, Water proofing, Plumbing, Repainting and Replacement Any demolishment,reconstruction,water proofing, necessary plumbing,repainting,replacement of any door or windows to provide structured design for modular OT should be carried out by the bidder. Page 19 of 38
20 22. Fire extinguishers Bidder should provide suitable fire fighting mechanism as per international standards Bidder should provide suitable fire extinguishers 20. Fire extinguishers Bidder should provide suitable fire extinguishers in OT area OT Light with Camera & Monitor Description Dual Dome LED Surgical Lighting System with one dedicated Spring-Arm Suspension for Progressive Scan HD Flat Panel with an Integrated In-Light Camera System. Color Temperature : K Depth of Field : inch Such Surgical Light System Should be compliant with relevant European (CE) /US FDA standards C. Flat Panel Monitor Should be 23 High Definition Progressive Scan Flat-panel Monitors with ceiling mounted spring arm suspension to support high-definition/hdtv progressive Scan images and should be able to support and display DVI/HDTV, RGBHV, S-Video, Composite video signals. OT Light with Camera & Monitor Page 20 of 38
21 Description Dual Dome LED Surgical Lighting System with one dedicated Spring-Arm Suspension for Progressive Scan HD Flat Panel with an Integrated In-Light Camera System. Price should be quoted separately for each items. Color Temperature(variable) : K Depth of Field : inch approx Such Surgical Light System Should be compliant with relevant CE /US FDA standards C. Flat Panel Monitor Should be 24 or more High Definition Progressive Scan Flat-panel Monitors with ceiling mounted spring arm suspension to support high-definition/hdtv progressive Scan images and should be able to support and display DVI/HDTV, RGBHV, S-Video, Composite video signals. BOQ for Mid End Modular OT- 4 nos 1. Prefabricated SS room walls: 1986m 2 4. False ceiling as per tender specification: m 2 BOQ for Mid End Modular OT 1. Prefabricated SS room walls: 380m 2 4. False ceiling as per tender specification: 236m 2 The following line added under the Heading BOQ Areas mentioned may have ±10% variations Item No.3 High End Modular Operation Theatre Page 21 of 38
22 Bidder shall be responsible for commissioning of Medical Gas lines, Area valve service units, alarm systems, gas outlets and AGSS systems Bidder shall be responsible for commissioning of Medical Gas lines, Area valve service units, alarm systems, gas outlets and AGSS systems in OT area Bidder shall be responsible for maintain suitable air conditioning inside the Operation theatre Bidder shall be responsible for maintaining suitable air conditioning environment inside the Operation theatre The following lines deleted from the specification One engineer of HLL and one biomedical engineer of IMS, BHU have to be trained for a week at factory or the team of engineers from Original Equipment Manufacturer (OEM) should provide training at IMS,BHU for a period of six working days to the selected staffs and engineers Scope of Work- General: The Pre-fabricated Operating Room will be constructed using 1.5 mm thick 304 Grade Stainless Steel (duly certified) panels with suitable backing board. The core will consist of rigid polyurethane foam, which has been injected under high pressure, with a minimum density of 40 kg/m3. All wall mounted equipments should be flush-mounted and sealed into theatre wall by means of durable sterile jointing system. Page 22 of 38
23 The Pre-fabricated Operating Room will be constructed using 0.8 mm thick 304 Grade Stainless Steel (duly certified) free standing insulated steel wall panels double band lamination. The core will consist of rigid polyurethane foam, which has been injected under high pressure, with a minimum density of 40 kg/m3. All wall mounted equipments should be flush-mounted and sealed into theatre wall by means of durable sterile jointing system. 1. Wall Paneling System-SS The wall will be constructed using 1.5mm thick 304 Grade Stainless Steel (duly certified) panels with suitable backing board. The core will consist of rigid polyurethane foam, which has been injected under high pressure, with a minimum density of 40 kg/m3 1. Wall Paneling System- SS The wall will be constructed using 0.8mm thick 304 Grade Stainless Steel (duly certified) free standing insulated steel wall panels double band lamination. The core will consist of rigid polyurethane foam, which has been injected under high pressure, with a minimum density of 40 kg/m3 The following lines deleted from the specification Wall should provide X rays protection as required by AERB (lead equivalent at 100kV is 0.4mm) 5. PVC Flooring Thickness not less than 3mm. Continuous roll should be used and joints should be welded by special PVC thermal welding units using PVC welding bars of same colour Page 23 of 38
24 5. PVC Flooring Thickness not less than 2mm. Continuous roll should be used and joints should be welded by special PVC thermal welding units using PVC welding rods of same colour 6. Hermetically Sealed Doors Door should be with vision window 1.2 m X0.8 m with double glazed panels and hermetically sealed motorized roller blind inside. 6. Hermetically Sealed Doors Door should be with vision window 400mmx300mm with double glazed panels and hermetically sealed motorized roller blind inside. Door should provide X ray protection as per AERB regulation (Lead equivalent at 100 kv is 0.27mm) 11. Scrub Station Thermostatic mixing, valve control should be located behind the access panel and maintain constant water temperature. 11. Scrub Station Thermostatic mixing, valve control should be located behind the access panel and maintain constant water temperature. Adjustable water temperature setting should be provided Following lines deleted from the specification Page 24 of 38
25 Scrub Station- User defined setting of 1 to 3 should be available. This timing should be adjustable to meet individual application requirements. Provided with infrared sensors, thermostatic control taps with fail safe temperature controls Knee operated switch should be there. 13. Peripheral Lighting and Imported Clean Room Luminaries Peripheral lights and clean room luminaries fitted in the CG frame should be 8 in numbers for each OR. High quality imported surface mounted and recessed luminaries should be with at least 3 Nos of 54W fluorescent lamps (TS or equivalent). Should be with highly specular anodized aluminum reflectors and optical antiglare system for individually adjustable light distribution 13. Peripheral Lighting and Clean Room Luminaries To provide peripheral light intensity min 500Lux and clean room luminaries fitted in the CG frame should be 8 in numbers each OR The following lines deleted from the specifications This should be with adjustable multilamp ballast with interface 1-10V, controllable from the panel. Should be suitable for extruded aluminium areas where infrared remote controls are in use. 14. Central UPS Bidder should supply one 200KVA UPS for equipment and 100 KVA UPS for lighting Page 25 of 38
26 Bidder should supply one 200KVA UPS for equipment and 100 KVA UPS for lighting with 30 min back up The following line added in the specification Central UPS- Price to be quoted separately 15. Electrical Installations Light fittings within the clinical areas should be recessed fluorescent type, with high frequency tubes and control gear. 15. Electrical Installations Light fittings within the clinical areas should be recessed LED type with control gear 16. Medical Gas Line Installation The bidder should ensure that all works carried out are to the recommendation made in the Department of Health and Social Security s Health Technical Memorandum number 2022 (HTM 2022) & C11 and any other appropriate British Standards The line valve should be brass 25 mm ball valve with PTPE sealthes/seats operated by a quarter turn handle with a pin to prevent over travel in both directions. The ball valve shall be connected by HTM 2022 & C11 stub pipes to the distribution system by either top, bottom, side or rear entry pipes Each terminal unit should be identified by the appropriate recognized name or symbol, colour, coding and shape as detailed below as in HTM 2022 & C11. These markings shall be permanent and be an integral part of the terminal unit. Page 26 of 38
27 The medical gas alarm system shall be an advanced/ multiplexing data transmission system which fully satisfies the principles of HTM 2022 and conforms in all respects to the National Health Service Model Engineering Specification C11 Pipe work materials shall be manufactured by a licensee of the Bs 5750 quality assurance certification scheme and all pipes and fittings are marked with the BSI kitemark 16. Medical Gas Line Installation The bidder should ensure that all works carried out are to the recommendation made in the Department of Health and Social Security s Health Technical Memorandum number (HTM 02-01) & C11 and any other appropriate British Standards The line valve should be brass 25 mm ball valve with PTPE sealthes/seats operated by a quarter turn handle with a pin to prevent over travel in both directions. The ball valve shall be connected by HTM & C11 stub pipes to the distribution system by either top, bottom, side or rear entry pipes Each terminal unit should be identified by the appropriate recognized name or symbol, colour, coding and shape as detailed below as in HTM & C11. These markings shall be permanent and be an integral part of the terminal unit. The medical gas alarm system shall be an advanced/ multiplexing data transmission system which fully satisfies the principles of HTM and conforms in all respects to the National Health Service Model Engineering Specification C11 Pipe work materials shall be manufactured by a licensee of the Bs 5750 quality assurance certification scheme and all pipes should be Lloyd certified The following lines deleted from the specifications 17. Pendant for anesthetist and for surgeon ( one each) Should be double Arm Pendant Page 27 of 38
28 One swivel arm of 800 mm and another of 600 mm. Both arms should have electromagnetic/pneumatic brake. Swiveling angle should be 3300 The swivel arms move only horizontally and the length in fully stretched position is ( ) = 1400mm Anesthesia pendant should have oxygen outlets X 2, Air(4 bar) X 1, Nitrous oxide X 1 and Vacuum outlet X 2, AGSS outlet X 1 Surgeon s pendant should have provision of 7 bar air/nitrogen outlet for pneumatic drills Surgeon s pendant should have carbon dioxide outlet in laparoscopy and endoscopy theatres. Pendant should have eight 5A/15A combined electrical socket. Electrical socket should be of reputed make. One electrical socket should be connected with central UPS and should of different colors for easy identification. Surgeons pendant should have provision for infusion management Both pendant should have two open shelves to keep Monitors/ESUs etc Should have provision RJ 45 /cat 5 for telephone communication. Should have provision RJ 45 /cat 6 for data communication. The manufacturer should have valid quality management certification (DIN EN ISO 9001:2000, guideline 93/42/EWG of Medical Products or equivalent The following lines added in the specification 17. Control panel The Touch Screen control panel should be 19 medical grade color TFT/LED panel with 1280 x1024 (SXGA) resolution stationed in the sterile field. This control panel should work as the Page 28 of 38
29 central control panel for the surgical devices and theatre devices (table, lights, HVAC controls, instruction board, communication interfaces- both audio and video etc. The panel should accommodate all necessary controls for the correct operation and monitoring of the equipment and services within the operating room (OR): The touch screen should be spring arm mounted, stationed in the visibility line of the surgeon, ideally boom-mounted to carry all communicating cables. The access height should be convenient for the nurse to operate and help/assistant when in need. The Digital clock and the elapsed time indicator: The Medical gas alarm should indicate high and low gas pressures for each gas service present in the OT including vacuum. This should be supported by audible alarm also. The panel should have an alarm mute (fault annunciation) facility. The sensors (pressure switches) should be at the nearest isolation valve. Control for general lighting: ON/OFF and dimming controls organized in groups to provide uniform illumination. Control of the operating light (major and satellite and camera control- on/off and intensity control) should be provided. Hand free telephone set with memory should be located at one side. Temperature and humidity control for the room connected to the AHU. (Adjustable from the panel) Digital room pressure indicator in cm of H2O or equivalent (signal from pressure sensor) HEPA filter bank differential pressure indicator desirable. Music control with (MP3 or equivalent player) and selection facility- desirable. (either individual OT or through central music system for the complex from the control room) Page 29 of 38
30 19. Fire Extinguishers Bidder should provide suitable fire fighting mechanism as per international standards Bidder should provide suitable fire extinguishers Bidder should provide suitable fire extinguishers in OT area BOQ for High End Modular OT 1. Prefabricated SS room walls: m 2 3. PVC Flooring for modular OT: 158.7m 2 4. False ceiling as per tender specification: 158.7m 2 BOQ for High End Modular OT 1. Prefabricated SS room walls: 315m 2 3. PVC Flooring for modular OT: 250m 2 4. False ceiling as per tender specification: 240m 2 The following line added under the Heading BOQ Areas mentioned may have ±10% variations Item No.4 Integration and Data Management System for High End MOT The following lines are deleted from the specification 1. Control panel Page 30 of 38
31 The Touch Screen control panel should be 19 medical grade color TFT/LED panelwith 1280 x1024 (SXGA) resolution stationed in the sterile field. This control panelshould work as the central control panel for the surgical devices and theatre devices(table, lights, HVAC controls, instruction board, communication interfaces- bothaudio and video etc. The panel should accommodate all necessary controls for the correct operation andmonitoring of the equipment and services within the operating room (OR): The touch screen should be spring arm mounted, stationed in the visibility line of thesurgeon, ideally boom-mounted to carry all communicating cables. The access heightshould be convenient for the nurse to operate and help/assistant when in need. The Digital clock and the elapsed time indicator: The Medical gas alarm should indicate high and low gas pressures for each gas servicepresent in the OT including vacuum. This should be supported by audible alarm also. The panel should have an alarm mute (fault annunciation) facility. The sensors(pressure switches) should be at the nearest isolation valve. Control for general lighting: ON/OFF and dimming controls organized in groups toprovide uniform illumination. Control of the operating light (major and satellite and camera control- on/off andintensity control) should be provided. Hand free telephone set with memory should be located at one side. Temperature and humidity control for the room connected to the AHU. (Adjustablefrom the panel) Digital room pressure indicator in cm of H2O or equivalent (signal from pressuresensor) HEPA filter bank differential pressure indicator desirable. Music control with (MP3 or equivalent player) and selection facility- desirable. (eitherindividual OT or through central music system for the complex from the control room). Page 31 of 38
32 2. Digital display panel 29 flat panel, TFT color screen(monitor) with alphanumeric touch screen formessages and data. For displaying operating list and particular details etc Message storage and scroll display Touch screen operating with stylus 2. Digital display panel Ceiling Mounted/Desktop 26 or more flat panel monitor with video & data inputs should be able to at least take DVI D input. Duplication of this monitor on wall/or desktop on pendents in the line of sight of surgeon to be provided. For displaying Video/data. Backed up by suitable micro-computer with archiving memories for the data management and storage. Following lines deleted from the specification under the heading Audio-Visual Communication System 8 digital SD-SDI inputs and outputs A digital telephone system shall be connected to the system and shall allow thesurgeon or his assistant to make telephone calls by Dialing form the touch screen. Thetelephone system should be controlled via the touch screen from within the sterilefield. An In-ear monitoring system should be provided to allow the caller to makediscrete telephone conversation. The user can place and/or receive telephone calls byusing ceiling mounted directional microphones. The following lines are deleted from the specification 4.Image data management Individual high definition monitor (2kx1k to display images through PACS) Operating Panel should be fully integrated in to the wall. 21 Medical grade Monitor Page 32 of 38
33 Patient and Image data should be able to call up and distributed to required monitorsin the Operating Room. 5. Central Control Room High definition 21 monitor (2kx1k) for the display of live transmission of images andvideo sequences from the Operating Room ( foreg, images from C arm, endoscope,or light camera and Microscope 4. Central Control Room High Definition 26 or more monitor for the display of live transmission of images andvideo sequences from the Operating Room (for eg, images from C arm, endoscope,or light camera and Microscope. One console room should be used as a central control room.audio-video and data from all 3 OTs to be connected to this room via switeches/cables. From this room fibre optic cable to be lay down to auditorium for two way audio & one way video communication. Another Video project (fiber optic) between central control to seminar/lecture room LED HD monitor with audio video facility in each OT to be wall mounted flushed in panel to be provided.. Required cable per metre is to be quoted separately. The following lines deleted from the specification under the heading Central Control Room Should have a dual channel capturing & recording capability as well as built-in PIP(picture-in-picture) functionality. Following lines added in the specification under the heading Central Control Room Page 33 of 38
34 Room Camera should be sensitive for capturing the image of the OR scene at low 1-3 lux. Camera should have remote Pan, tilt andzoom controls in the console room. It should be provided with at least 26 HD monitor in the control room and seminar room. A. OT Light Controls: Wall control Touch panel A. OT Light Controls: Touch Panel/feather switches near surgeon/nurse on the wall, separately. B. Camera System Description :Integrated In-Light Camera System should be integrated at the centre of one ofthe domes of this lighting system in order to capture images & video sequences of the opencases. B. Camera System Description :Integrated In-Light HD Camera System should be integrated at the centre of one ofthe domes of this lighting system in order to capture images & video sequences of the opencases. C. Flat Panel Monitor Should be 23 High Definition Progressive Scan Flat-panel Monitors with ceiling mountedspring arm suspension to support high-definition/hdtv progressive Scan images and should beable to support and display DVI/HDTV, RGBHV, S-Video, Composite video signals Page 34 of 38
35 Should be 26 High Definition Flat-panel Monitors with ceiling mountedspring arm/swing arm suspension. The monitor should beable to support and display DVI/HDTV, RGBHV, S-Video, Composite video signals. 1. Control panel as per tender specification :3 Nos. 2. Digital display panel(writing board) as per tender specification- 29 flat screen: 3 nos 3. Image data management system-21 medical grade monitor: 3 OTs 4. Audio Visual Communication System as per Tenderspecification: 3 OTs 5. Digital Documentation System and High Definition 21 Monitor as per tender Specification in Central Control Room: 1 System 6. OT Light LED Double dome with integrated camera andmonitor: 3 nos : 1. Control panel touch screen 19 as per tender specifications: 6 Nos (3 Nos. for surgeon in the sterile area and 3 nos. in the non-sterile area and mounted on the wall). 2. Digital display panel(writing board) as per tender specification- 26 or more flat screen: 3 Nos +3 nos ( total 6 nos) 4. Audio Visual Communication System as per Tenderspecification: 3 OTs 5. Digital Documentation System and High Definition 26 Monitor as per tender Specification ineach OT: 3 System for each OT separately. 6. OT Light LED Double dome with integrated camera andmonitor: 3 Nos. 7. Digital documentation system with flat screen with key board, movie in central control room:1 system. Page 35 of 38
36 color LED HD monitor in each OT: 3 no The following lines are to be added : 1. Video projector in the seminar hall ; 1 no 2. Surgeon and Anesthetist Pendant set 3 Nos for 3 OTs. The specification of Pendant given below: Pendant for anesthetist and for surgeon (one each): Should be double Arm Pendant One swivel arm of 800 mm and another of 600 mm. Both arms should have electromagnetic/pneumatic brake. Swiveling angle should be 330 deg. The swivel arms move only horizontally and the length in fully stretched position is( ) = 1400mm Anesthesia pendant should have oxygen outlets X 2, Air(4 bar) X 1, Nitrous oxide X1 and Vacuum outlet X 2, AGSS outlet X 1 Surgeon s pendant should have provision of 7 bar air outlet for pneumaticdrills Surgeon s pendant should have carbon dioxide outlet in laparoscopy and endoscopytheatres. Pendant should have eight 5A/15A combined electrical socket. Electrical socketshould be of reputed make. All electrical socket should be connected with centralups and should of different colors for easy identification. Surgeons pendant should have 5 shelves to keep all medical equipment. Page 36 of 38
37 Anesthetic pendant should have two open shelves to keep Monitors with DVI/RGB port inbuilt to hook up vital sign monitor signals on flat panel as well as LCD panel Should have provision RJ 45 /cat 5 for telephone communication. Should have provision RJ 45 /cat 6 for data communication. The manufacturer should have valid quality management certification (DIN EN ISO9001:2000, guideline 93/42/EWG of Medical Products or equivalent; CE/US FDA Item No. 5a.1 Surgical Microscope W xenon illumination with 300W Xenon back up through fiber optic cable W xenon illumination with 150W Halogen back up through fiber optic cable Item No. 5b.2 Arthroscopy System Following line added in the specification All the items should be from the same manufacturer and should be CE/US FDA approved 1. Camera console 220 v with universal coupler &Autoclavable camera head 2. Pure digital signal with high definition video (1280*1024 native resolution) 1. Camera console 220V with universal coupler with zoom lens must which can be sterilized by cold sterilization methods 2. Pure digital signal with high definition video HDTV : 1920 X 1080 P, with aspect ratio of 16: 9 Page 37 of 38
38 Light source xenon, 300W lamp Light source xenon 300W lamp with Facility to integrate with communication port. stand by mode Following line added in the specification under High Definition Monitor 26 must. Price should be quoted separately Page 38 of 38
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