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Government of Khyber Pakhtunkhwa Health Department DETAILED SPECIFICATIONS For BIO-MEDICAL EQUIPMENTS, INSTRUMENTS, GLASS WARE AND OTHER GENERAL ITEMS FOR DEPARTMENT OF Radiology march 2017 1 S# Name of Equipments 1 DIGITAL COLOR DOPPLER The Equipment must be FDA approved DIGITAL COLOR DOPPLER WITH SHEARWAVE MORE THAN 400,000 RECEIVING / PROCESSING CHANNELS HAVING 2D/M-MODE AND DOPPLER FACILITIES HAVING DICOM COMPATABILITY AND UPGRADEABLE TO GPRS GUIDED BIOPSY AND FUSION IMAGING OF CT/ MRI 3D VOLUME DATA TO SYNCHRONIZED WITH ULTRASOUND IMAGING. 1) B-MODE SPECIFICATION : A) SECTOR SCAN ANGLE VARIABLE IN FOUR STEPS. B) VIEWING DEPTH: 30 CM OR MORE (BOTH IN B&W AND COLOR). C) BUILT IN CINE LOOP WITH ABILITY TO VARY REVERSE AND SLOW MOTION DISPLAY; INTERNAL MEMORY 256MB/ 2000 IMAGES OR MORE. D) REAL TIME AND FREEZE IMAGE MAGNIFICATION AT LEAST 15X OR MORE WITH PANNING FOR REAL, FREEZE. E) FRAME RATE: 1700 FRAMES MINIMUM FOR B-MODE IMAGES. 2) M-MODE SPECIFICATION : A) MAGNIFICATION/ZOOM: X20 OR MORE. B) SWEEP SPEED: SLOW, MEDIUM, FAST. C) COLOR DISPLAY OF M-MODE. 3) D-MODE SPECIFICATION : A) PULSE-WAVE DOPPLER MEASURABLE VELOCITY RANGE. B) HPRF DOPPLER. C) COLORIZED SPECTRUM DISPLAY. D) AUTOMATIC BASELINE AND VELOCITY RANGE CONTROL. E) LIVE MEASUREMENTS FOR DOPPLER SPECTRUM. 4) COLOR DOPPLER MODE SPECIFICATIONS : - PW DOPPLER MUST BE CONTINUOUS STEERABLE IN THE COLOR BLOOD FLOW IMAGE MODE IN REAL TIME. - 2D IMAGE WITH COLOR, CW AND PW DOPPLER. - WINDOWS BASED SYSTEM FOR EASY USAGE WITH PROGRAMMABLE CONTROL PANEL KEYS. - TISSUE HARMONIC IMAGING WITH 3 THI OR MORE FREQUENCY. - POWER DOPPLER. - TRIPLEX MODE FOR SIMULTANEOUS DISPLAY OF COLOR B/M AND MODE DISPLAYS. - 250 dB SYSTEM DYNAMIC RANGE OR MORE. 5) MEASUREMENT PACKAGE : TO PROVIDE COMPREHENSIVE SOFTWARE PACKAGE FOR MEASUREMENT OF DISTANCE, CIRCUMFERENCE, AREA, TIME DEPTH, VELOCITY, FREQUENCY, HEART RATE, VOLUME, NUCHAL THICKNESS MEASUREMENT SOFWARE TO BE PROVIDED AS STANDERD. 6) SYSTEM COMPLETE WITH FOLLOWING FACILITIES AND ACCESSORIES: 2 D- - FULL 21-INCHES OR MORE DISPLAY AREA FOR DIAGNOSTIC IMAGING LCD/TFT COLOR MONITOR, WITH RESOLUTION 1280 x 1024 PIXELS MINIMUM . - 4 ACTIVE TRANSDUCER CONNECTOR FOR TRANSTHURASIC PROBES. - DVD/CD DRIVE FOR IMAGE STORAGE TO BE BUILT-IN TO THE SYSTEM. 500GB HARD DISK DRIVE TO BE BUILT-IN TO THE SYSTEM. - BUILT IN DICOM COMPATIBILITY. - COMPARE ASSISTANT - TOUCH COMMAND SCREEN CONTROL AT LEAST 10-INCHES COLOR LCD/TFT. - B-FLOW/SMI/MICRO CPA 7 ) STANDARD PROBES : 2– 6 MHz OR BETTER MULTI-FREQUENCY CONVEX PROBE FOR B/M/CDI/PW WITH SHEARWAVE ELASTOGRAPHY. 2-8MHz OR BETTER MULTI-FREQUENCY LINEAR PROBE FOR VASCULAR STUDIES AND FOR STRAIN ELASTOGRAPHY. 5-10MHz OR BETTER MULTI-FREQUENCY ENDOCAVITY PROBE FOR B/M/CDI/PW . 9) TISSUE DOPPLER IMAGING MODE. 10) TISSUE HARMONIC IMAGING WITH 3 HARMONIC FREQUENCIES. 11) AUTO IMAGE OPTIMIZATION/QUICK SCAN IMAGING FOR AUTOMATIC STC / GAIN AND DOPPLER SPECTRUM ADJUSTMENT WITH OPTIMAL IMAGE QUALITY BY USING ONE TOUCH OPERATION. 12) TRAPEZOID IMAGING / WIDE VIEW IMAGING. 13) SONO CT/COMPOUND/APLIPURE IMAGING FOR BOTH FREQUENCY COMPOUNDING AND SPATIAL COMPOUNDING IN B/W AND COLOR MODE. 14) ADAPTIVE SUPRESSION IMAGING /PRECISION IMAGING TO ENHANCE B-MODE IMAGING, DETAILED IN LAYERS AND BOUNDARIES AND SHARPENED OUTLINES OF THE LESIONS AND REDUCE CLUTTERING. 15) LIVE STRAIN RATE ELASTOGRAPHY WITH QUANTIFICATION 16) LIVE SHEARWAVE ELASTOGRAPHY WITH QUANTIFICATION 17) WITH HARDWARE & SOFTWARE UPGRADABLE. 18) Online UPS (5KVA) with thermal printer and DVD Writer 19) A.Volume navigation: (Along Biopsy guides) B. Needle tracking C) Ability to track needle in and out of plane to support interventional procedures. 20) Technical Training + Services Manual 21) Other accessories i) 7-14 MHZ MULTI-FREQUENCY LINEAR PROBE FOR B/M/CDI/PW FOR BREAST 3 IMAGING AND STRAIN ELATOGRAPHY. ii) iii) iv) SMART 3D FOR THE ACQUISITION OF VOLUME DATA AND DISPLAY OF 3D IMAGES IN B/W AS WELL AS COLOR WITHOUT USING A 4D TRANSDUCER. 3-7 MHZ MULTI-FREQUENCY 4D VOLUME CONVEX PROBE FOR 4D IMAGING WITH RENDERING MODES INCLUDING VOLUME RENDERING, MAXIMUM INTENSITY PROJECTION (MIP), MULTIPLE PLANE RENDERING (MPR) AND CAVITY ALSO WITH MULTIVIEW (.SIMULTANEOUS CORONAL, SAGITTAL AND OBLIQUE VIEW), AND FULL VOLUME VIEW. 4-10 MHZ MULTI-FREQUENCY 4D VOLUME ENDOCAVITY PROBE FOR 4D IMAGING. v) HD IMAGING / LUMINANCE IMAGING PROCESS TECHNOLOGY TO MAKE 3D/4D IMAGES OF FETUSES AND ANATOMICAL STRUCTURES APEARS MORE REALISTICS. SYSTEM MUST HAVE FDA & CE COMPREHENSIVE WARRANTY OF 03 YEARS WITH EXTENDED 02 YEARS (TOTAL 05 YEARS) SHOULD BE PROVIDED BY THE PRINCIPAL. Site renovation/preparation and air conditioning for this machine will be the responsibility of the vendor. Two Weeks training of 02 Radiologist for Elastography in any eminent Elastography centre abroad on the expense of the vendor. The supplier will have to make interior of the suite necessary furniture branded upper end computer with all accessories, printing paper, ultra sound gel, ultra sound paper, ups Backup & stabilizer, wheel chair, air condition 2.5 ton. 2 X-Ray DR Suite Digital Radiography/ Fluoroscopy unit of high quality digital imaging chain, optimal dose conservation, high patient throughput with over table tube and Flat Panel Detector. The output of the X-ray high-voltage generator should be 80 kW. The X-ray control should use a high-frequency inverter. The tabletop move approx. 16 cm in the lateral direction. The table tilts should be from the upright vertical position (approx. +90/30°) to the horizontal position (0°) to the head-down-tilt position (approx. -15°). The tabletop should be convex type to allow patient centering. The startup time should be short. X-Ray Diagnostic Table: Table tilting Tilt range: Upright vertical position (approx.+90/30°) Compression force of the compression cone: 70 N or more Allowable patient mass: 150kg or more. X-Ray High Frequency Generator: Ratings High-voltage generation method: Inverter method Nominal maximum electric power: 80 kW 4 Radiography Radiographic tube voltage setting range: 40 kV to 125 kV, in 1-kV increments Radiographic tube current setting range: 10 mA to 1000 mA Radiography time setting range: 1.0 ms or less X-Ray Tube: Focal Spot (mm): 0.6/1.2 (Dual Focus) Anode Heat Storage Capacity of 350KHU or more. FLAT PANEL DETECTOR : Pixel size: 160μm (non-binning) or better. DQE: 55% or better. Field Size 14x17 inches or more Effective pixel: 2000 x 2000 or better DIGITAL IMAGING SYSTEM: Basic image processor performance Images from the detector should be input in digital format. Image storage Capacity of hard disk: 80,000 images for 1024 × 1024 2-Image display Monitors a) System monitor display for Playback images, processed images, Multi-Images, etc. b) Live monitor 1280 × 1024 pixels for Digital fluoroscopic images, fluorography images, playback images, etc. Fluoroscopic function Image processing · Recursive filter with motion detection · Last image hold · Image flipping · Spatial filter (edge enhancement, smoothing) · Digital Compensation Filters. Recording Fluoroscopic image and last-image-hold image can be stored to hard disk. Fluoroscopic image acquisition · Frame rate: 0.5 to 15 fps · upto15fps Nominal min.exposure time 3ms Fluorography function Images should be recorded to hard disk processed, and displayed on the monitor. Real-time image processing: Digital Compensation Filter and Super Noise Reduction Filter. Post processing Grayscale: Adjustment of contrast and brightness Filming Laser imager with multi-sizes of 14 x 17 and 8 x 10 Provision of DICOM facility Local Controller Console in examination room with Dual Monitors. PRINTER a. High resolution digital medical grade, DICOM compatible, high throughput as per customer requirement will be preferred. CE/MHWL/FDA approval required for the quoted equipment. 5 It shall be fully DICOM compliant with all standards DICOM. Specifications with interface to the hospital RIS/PACS networks/system. DICOM CD DVD writing software should also be included. Equipment and computer cabinets and control console desk and lead glass (2” x 3”)and a, with operator chair shall be included with the system price. Comprehensive warranty of complete system including detectors should be three (03) years with 02 years extended and free software up-gradation up to 10 years should be responsibility of vendor. Power Requirements Line voltage: Three-phase, 200-440VAC Line frequency: 50 Hz Permissible line voltage fluctuation rate (no load): ±10% Country of Manufacturer; Japan /USA/Europe. PC and MS Software (IMAGE AUQUISITION CONSOLE/ WORK STATION). X-Ray Tube, Work Station and Detector compatibility certificate should be provided by the manufacturer Equipments must be FDA/CE/JIS or MHLW certified. 3 The supplier will have to make interior of the suite necessary furniture, ups Backup for the whole system, stabilizer, Viewer X-Ray Films , Gloves Lead Rubber With Gauntlets, Thermometer, Lead Apron (sample based), Lead Goggles, Goggles Darkness Adaptation, wearing Suites & Shoes for technician, Foot Steps, air condition 2.5ton(2) . Digital Mammography Suite Mammography System with Tomosynthesis Suitable for Tomosynthesis, Mammography and Biopsy. Advanced digital mammography unit providing a comprehensive breast care solution including Breast Tomosynthesis (DBT) Mammography (FFDM) Combined DBT/FFDM examinations within the same breast compression (COMBO) Biopsy Device Unit offering lesion localization by either Tomosynthesis or stereotactic approach Technical Specification GENERATOR High Frequency Microprocessor Controlled Very low ripple: 1 Microprocessor Controlled Max. Power: 5 kW or better kV: 25– 35 with 0.5 kV steps mAs: 2 – 600 steps 1mAs mA : 110 – 140 mA or better GANTRY / DBT 6 Total scan angle : 30 degrees Number of projections : 11 Scan time (Tomo/Combo) : ~ 10 s / ~14s Tube movement : “Step and Shoot” Stereotactic angle movement : 0°/-15° ; 0°/15° Source to image distance: 685 mm Arm Rotation : -/+180; X-RAY TUBE Rotating High Speed: Anode Thermal Capacity: 300 kHU (222 KJ) Cooling rate : 60 kHU/min Small Focus: 0.1 mm; up to 2.5 kW Large Focus: 0.3 mm; up to 9.6 kW Inherent Filtration: 0.63 mm Be Tube overload protection DETECTOR Detector dimensions: 24x30 cm (239x305 mm) Amorphous Selenium Matrix: 2816 x 3584 pixel Pixel dimension: 85 m or better. The pixel should remain 85 m under all circumstances Spatial resolution (DBT and FFDM) : > 6 lp/mm Image depth : 13 bit (visualization) Single Slice DBT Image dimension: ~19Mbyte Quantum Efficiency (DQE) at 1 lp/mm 65% BUCKY Dimensions: 24 x 30 cm Grid: ratio 4:1, 31 lines/cm, carbon fibre interspaced Focal distance : 69 cm Bucky factor : 2.0 (@28kV) Retracting grid system for the Tomosynthesis acquisition mode A.E.C. Fully Computer Controlled Fully automatic: all parameters (kV, mAs, filters) automatically selected by the computer Manual tech: all parameters (kV, mAs, filter) manually selected S.C.S.” - SENSITIVE COMPRESSION SYSTEM 7 Fully computer controlled power driven and manual mechanism High approach speed and reduction speed during the compression; foot-pedal control Manual fine compression according with FDA regulations Max Force 200 N (20 kg) Min Force (0-50 N) configurable x-ray inhibited in automatic modes if no compression applied Compression paddle size: 18 x 30 and 24 x 30 cm PROTECTION GLASS Dimensions: 1928 mm (H) x 700 (L) mm Radiation protection: following the rules EN 60601-1-3 (0.1 mm lead equivalent) ACQUISITION WORKSTATION SOFTWARE Computer system Interface towards DICOM peripheral units –compatible: RIS, PACS, validated laser printers Touch screen Panel: to control the operation of the equipment and to display set and exposure parameters (kV, mAs, AEC technique, AGD, Filter, Compression force and thickness, Mag level, Paddle used, Collimator size, Tube heat, Status) TFT High Res. Display: 21.3 inch 2 MPixel monitor to view acquired images using same software interface of the AWS RAFFAELLOAW Software should have following features: Window level: very large possibility to adjust the contrast and the brightness Electronic zoom on the whole image Pan the zoomed image on the monitor Ruler with multiple application Automatic and/or manual extension of the “window level” to all images of the same pat Image inversion Annotation on image Magnifying glass with adjustable magnification factor and lens dimensions Possibility to restore only the original dimension or window level and dimension Possibility to visualize 1:1 so that every image pixel corresponds to a pixel of the monitor key function to hide/display all labels with patient data (as to enable a best visualization of the displayed of the displayed image) Possibility to visualise one, two or four image on the same monitor, minimizing mouse clicks. Possibility to go to next page contents other image Possibility to send the image to other DICOM entities or to a PACS Tomosynthesis image in DBT format 8 Breast biopsy with Stereotactic Device Original solution for inserting the needle in the breast at a variable angle. Allows the radiologist to optimize the needle’s angle in X-Y-Z direction according to the software indication. Digital control panel with touch screen display. Wide biopsy area Suitable for all types of procedures in the prone or the upright position with frontal, inclined, and lateral approach. Biopsy Gun with disposables for 50 patients Review Work Station WS-FP Review & diagnostic workstation dedicated to the Radiologist, breast cancer specialist. It receives directly images from the acquisition workstation (AWS). Dedicated Computer for images processing. Software dedicated for Tomosynthesis & digital mammography, user interface for visualization, processing and transmission of Tomosynthesis & mammographic images. Dual head LCD 5M pixel medical display system, designed for digital mammography, with integrated front sensor for automatic and intervention free Calibration and QA. Professional burner to store the digital images on DVD disk (with a capacity of 4, 7 GB) or CD (with capacity of 700MB). DICOM 3 interface Computer Aided Detection (CAD) The system should have FDA and CE. LASER IMAGER TWO TRY UPS to run the entire system including mammography system and printer for 20 minutes backup : WARRANTY: Comprehensive warranty of the whole system including Detector and equipment should be 03 years with 02 years extended and free software up-gradation should be up to 10 Years. 4 The supplier will have to make interior of the suite necessary furniture, ups Backup, stabilizer,Viewer X-Ray Films (04) , Gloves Lead Rubber With Gauntlets(04 pairs), Thermometer, Lead Apron(04) (sample based), Lead Goggles(02 pairs), Goggles Darkness Adaptation(02 pairs), wearing Suites(03) & (05 pairs)Shoes for technician, Foot Steps, one thousand Cds and air condition 2.5 ton. Standardized Specifications of Mobile X-Ray 1. General. Mobile X-Ray machine with Battery & Motor Driven. 2. X-Ray Generator. a. High Frequency microprocessor bases 100kHz or better b. Max Power 30 kW or more c. Max Voltage 125kV or more 9 5 d. Max Current 400mA or more e. Max 320mAs or better 3. X-Ray Tube a. X-ray tube with rotating anode 3000 rpm or better b. Focal spot 0.6-1.3mm or better c. Thermal Anode Heat Storage capacity 140 kHU or more 4. Control Desk Microprocessor control console with Colour 9” touch screen Display or better 5. Operating Modalities a. 2 point or 3 point X-ray technique (S.M,L) or equivalent b. 150 Programmed anatomical radiography or more c. X-Ray push button with double release with extension cable up to 4 meters d. Operation without main plug > 300 exposure or better without recharge e. Battery Powered motor driven movement 6. kV selection From 40 to 125 kV (in steps) or better 7. mA selection From 50 to 400 mA or better 8. Selection of exposure times From 0.001 to 6.3 sec or better 9. mAs selection From 0.5 to 320mAs or better 10. Collimator a. Collimator with multiple layer blades and manual control b. Collimator rotation + 90o or equivalent 11. Mechanical Unit a. Arm rotation+ 90o or equivalent b. Dead-man brake system c. Rotation of mono-black supporting fork +90o/-180o or equivalent d. Rotation of mono-black in fork 0o/+90o or equivalent 12. Safety Devices and Guards a. Protection and automatic control of filament current b. Protection from over load, over current and over voltage (mAs, kV, mA) c. Protection from maximum load of X-ray tube d. Operator error or malfunctioning indication 13. Power Supply a. Standard voltage 230V + 10%, 50HZ b. Compact batteries within the system for standalone operation of the system without electric supply for both X-Ray exposure and system breaks. 14. Certification: FDA of USA/ESMD-13485/CE 15. WARRANTY : Comprehensive warranty of 03 years. The supplier will have to supply Lead Apron (sample based), Lead Goggles, FLUOROSCOPY SYSTEM X-RAY DIAGNOSTIC TABLE 10 Tilting range: Lateral movement of the tabletop: Distance between the X-ray tube focus and the I.I. input surface: Compression cone pressure controlled by remote: Maximum load capacity: X-ray grid: Vertical position (+90°) approximately to horizontal position (0°) to head down position (-15° or more) 22 cm (±12.5 cm) 100 cm or similar Max. 80 N or better Max.150 kg or more 12:1 Ratio or better X-RAY GENERATOR 80 KW or more Ratings High-voltage generation method: Radiography ratings: Fluoroscopy rating: Inverter method 100 kV @ 500 mA or more 125 kV/4 mA or more X-RAY TUBE Max. tube voltage: Focal spot: Anode heat storage capacity: 150 kV or more 0.3/0.8 mm or better 250 kHU or more IMAGE INTENSIFIER Input size: Triple field (12/9/6 inches) or better DIGITAL FLUOROGRAPHY SYSTEM Image input Continuous fluoroscopy: Radiographic image acquisition: Maximum number of images: Image storage Disk: Fluoroscopic function 2000 × 2000 pixels @ 7.5fps or better 1024 × 1024 pixels 150 images per examination or more 10,000 images or more Fluoroscopic image processing Dynamic recursive filter processing Last image hold processing Image vertical and lateral flip processing Fluorographic function Images should be recorded on the hard disk and should be processed and displayed on the monitor. Digital single fluorography Digital sequential fluorography Sequence parameters to be preset. Radiographic image processing Gray-scale processing Auto-window processing 11 Spatial filter processing (edge enhancement, smoothing) Negative/positive reversal processing Magnification processing. Rotation Image vertical and lateral flip processing Display functions Multiframe display Subdivided display Auto display shutter Graphics (letters, arrows, rectangles, ellipses) Distance and angle measurement. Filming Laser imager interface: DICOM print Connection Network communication DICOM storage DICOM print MONITOR: LCD size: Resolution: Laser Camera: Integrated DICOM interface supports printing from DICOM print modalities 19 inches or more 1600 × 1200 or better SECOND STATION FACILITY: GENERAL RADIOGRAPHY SYSTEM FLOOR TO CEILING TYPE TUBE SUPPORT X-RAY TUBE Longitudinal Movement: 200cm or more Lateral Movement: 38cm or more Vertical Movement: 160cm or more Max Tube voltage: 150Kv or more Focal Spot: 0.6/1.2mm or better Anode Heat Storage capacity: 600KHU or more VERTICAL BUCKY STAND Compatible Cassette Size: 8" x 10" to 14" x 17" Bucky Device Movement: 680 to 180cm or more System must have FDA/CE/MHLW. WARRANTY: Comprehensive warranty of the whole system including Detector and equipment should be 03 years with 02 years 12 6 extended and free software up-gradation should be up to 10 Years. The supplier will have to make interior of the suite necessary furniture, ups Backup, stabilizer, Viewer XRay Films , Gloves Lead Rubber With Gauntlets, Thermometer, Lead Apron(04) sample based, Lead Goggles(03 pairs), Goggles Darkness Adaptation (03 pairs), Viewer X-Ray Films (04), wearing Suites(03),mobile lead glass partition(2)& Shoes for technician (10 pairs), Foot Steps and air condition 2.5ton. Ultra Sound Work Horse FULLY DIGITAL BEAM FORMER HAVING 128 PHYSICAL AND MORE THAN 300,000 PROCESSING CHANNELS COLOR DOPPLER SYSTEM WITH 12-BIT A/D CONVERSION , 2D/MMODE AND DOPPLER FACILITIES, (PW, HPRF, & COLOR FLOW IMAGING) AND WITH A HIGH RESOLUTION IMAGING DOPPLER SIGNAL QUALITY.HAVING DICOM COMPATABILITY AND UPGRADEABLE TO STRAIN ELASTOGRAPHY WITH LINEAR PROBE. 1) B-MODE SPECIFICATION : A) SECTOR SCAN ANGLE VARIABLE IN FOUR STEPS. B) VIEWING DEPTH: 30 CM OR MORE (BOTH IN B&W AND COLOR). C) BUILT IN CINE LOOP WITH ABILITY TO VARY REVERSE AND SLOW MOTION OF DISPLAY; INTERNAL MEMORY 256MB/ 2000 IMAGES OR MORE. D) REAL TIME AND FREEZE IMAGE MAGNIFICATION AT LEAST 10X OR MORE WITH PANNING FOR REAL, FREEZE. E) FRAME RATE: 1000 FRAMES MINIMUM FOR B-MODE IMAGES. 2) M-MODE SPECIFICATION : A) MAGNIFICATION/ZOOM: X10 OR MORE. D) SWEEP SPEED: SLOW, MEDIUM, FAST. E) COLOR DISPLAY OF M-MODE. 3) D-MODE SPECIFICATION : F) PULSE-WAVE DOPPLER MEASURABLE VELOCITY RANGE. G) HPRF DOPPLER. H) COLORIZED SPECTRUM DISPLAY. I) AUTOMATIC BASELINE AND VELOCITY RANGE CONTROL. J) LIVE MEASUREMENTS FOR DOPPLER SPECTRUM. 4) COLOR DOPPLER MODE SPECIFICATIONS : PW DOPPLER MUST BE CONTINUOUS STEERABLE IN THE COLOR BLOOD FLOW IMAGE MODE IN REAL TIME. - 2D IMAGE WITH COLOR, CW AND PW DOPPLER. - WINDOWS BASED SYSTEM FOR EASY USAGE WITH PROGRAMMABLE CONTROL PANEL KEYS. - TISSUE HARMONIC IMAGING WITH 3 THI OR MORE FREQUENCY. - POWER DOPPLER. - TRIPLEX MODE FOR SIMULTANEOUS DISPLAY OF COLOR B/M AND DMODE DISPLAYS. - 230 dB SYSTEM DYNAMIC RANGE OR MORE. 5) MEASUREMENT PACKAGE : TO PROVIDE COMPREHENSIVE SOFTWARE PACKAGE FOR MEASUREMENT OF DISTANCE, CIRCUMFERENCE, AREA, TIME DEPTH, VELOCITY, FREQUENCY, HEART RATE, VOLUME, AUTO-NUCHAL THICKNESS MEASUREMENT SOFWARE TO BE PROVIDED AS STANDERD. 13 6) 7) COMPARE ASSISTANT B-FLOW/SMI/MICRO-CPA SYSTEM COMPLETE WITH FOLLOWING FACILITIES AND ACCESSORIES: FULL 21-INCHES OR MORE DISPLAY AREA FOR DIAGNOSTIC IMAGING LCD/LED COLOR MONITOR, WITH RESOLUTION 1280 x 1024 PIXELS MINIMUM . 4 ACTIVE TRANSDUCER CONNECTOR FOR TRANSTHURASIC PROBES. DVD/CD DRIVE FOR IMAGE STORAGE TO BE BUILT-IN TO THE SYSTEM. 500GB HARD DISK DRIVE TO BE BUILT-IN TO THE SYSTEM. BUILT IN DICOM COMPATIBILITY. TOUCH COMMAND SCREEN CONTROL AT LEAST 10-INCHES COLOR LCD/TFT. STANDARD PROBES : - 22) 23) 24) 25) 26) 27) 2-5MHz or better MULTI-FREQUENCY CONVEX PROBE FOR B/M/CDI/PW. 4-12 MHz or better MULTI-FREQUENCY LINEAR PROBE FOR B/M/CDI/PW. 3-11MHz MULTI-FREQUENCY ENDOVIGINAL PROBE TISSUE DOPPLER IMAGING MODE. TISSUE HARMONIC IMAGING WITH 3 HARMONIC FREQUENCIES. AUTO IMAGE OPTIMIZATION/QUICK SCAN IMAGING FOR AUTOMATIC STC / GAIN AND DOPPLER SPECTRUM ADJUSTMENT WITH OPTIMAL IMAGE QUALITY BY USING ONE TOUCH OPERATION. TRAPEZOID IMAGING / WIDE VIEW IMAGING,ILIVE IMAGING. SONO CT/COMPOUND/APLIPURE IMAGING FOR BOTH FREQUENCY COMPOUNDING AND SPATIAL COMPOUNDING IN B/W AND COLOR MODE. ADAPTIVE SUPRESSION IMAGING /PRECISION IMAGING TO ENHANCE B-MODE IMAGING, DETAILED IN LAYERS AND BOUNDARIES AND SHARPENED OUTLINES OF THE LESIONS AND REDUCE CLUTTERING. 15) A.Volume navigation: (Along Biopsy guides) B. Needle tracking C. Ability to track needle in and out of plane to support interventional procedures. 16) Technical Training + Services Manual vi) OPTIONALS (SHOULD BE QUOTED SEPERATELY) 4-14 MHZ MULTI-FREQUENCY LINEAR PROBE FOR B/M/CDI/PW FOR BREAST IMAGING AND STRAIN ELATOGRAPHY. vii) SMART 3D FOR THE ACQUISITION OF VOLUME DATA AND DISPLAY OF 3D IMAGES B/W AS WELL AS COLOR WITHOUT USING A 4D TRANSDUCER. viii) 3-7 MHZ MULTI-FREQUENCY 4D VOLUME CONVEX PROBE FOR 4D IMAGING WITH RENDERING MODES INCLUDING VOLUME RENDERING, MAXIMUM INTENSITY 14 IN ix) PROJECTION (MIP), MULTIPLE PLANE RENDERING (MPR) AND CAVITY ALSO WITH MULTIVIEW (.SIMULTANEOUS CORONAL, SAGITTAL AND OBLIQUE VIEW), AND FULL VOLUME VIEW. 4-10 MHZ MULTI-FREQUENCY 4D VOLUME ENDOCAVITY PROBE FOR 4D IMAGING. x) IMAGES HD IMAGING / LUMINANCE IMAGING PROCESS TECHNOLOGY TO MAKE 3D/4D OF FETUSES AND ANATOMICAL STRUCTURES APEARS MORE REALISTICS. SYSTEM MUST HAVE FDA & CE COMPREHENSIVE WARRANTY OF 03 YEARS WITH EXTENDED 02 YEARS (TOTAL 05 YEARS) SHOULD BE PROVIDED BY THE PRINCIPAL. 7 The supplier will have to make interior of the suite necessary furniture branded upper end computer with all accessories, printing paper, ultra sound gel, ultra sound paper, ups Backup & stabilizer, wheel chair and air condition 2.5 ton. PORTABLE Ultra Sound MACHINE GENERAL: A fully portable color Doppler Ultrasound system with maximum 6kg weight and 100000 or more digital channel, with complete cardiac functionality and imported trolley. DISPLAY: High resolution 15 inches or more LCD/LED OPERATING MODES: 2-D and M-modes, PW HPRF, CW, Color Doppler, Real Time Duplex mode, Real time Triplex Mode, Tissue Doppler, B-Flow/SMI. CONTROL PANEL: Alphanumeric touch keyboard with built-in trackball/touchpad. Audio volume control. User selectable image magnification control. Adjustable transmit focusing control. Digital TGC FRAME RATE: Minimum 1000 frames per second (more are preferable) in 2-D mode MEASUREMENTS: Complete calculations including Z scores available in system Retrospective/Prospective saving of images and cine Ob/Gyn/Abd/Urology/Super ficial/Small parts Radiology Calculations CINE MEMORY: Minimum cine memory for 1000 frames (more are preferable). IMAGE VIEWING DEPTH: 15-350mm or more for radiological applications. PROBES: 15 Multi frequency sector probes to minimum cover 2 to 5 MHz or better range for adults. Multi frequency sector probes to minimum cover 6 to 12 MHz or better range for pediatrics. PORTS: 3 active probe ports with imported trolley. IMAGING MODES / TECHNIQUES: Tissue harmonic imaging for cardiac and vascular imaging, Tissue Doppler imaging, Tool for calculating deformation and rate of deformation of the tissue, visualization of small vessels, velocity of myocardial segments, real time myocardial systolic displacement, wider field of view/Trapezoid with phased array probe Steerable M-Mode Auto IMT measurements System should be capable to set Stress Protocols Tool for comprehensive reporting in system Built in battery with three hours backup ACCESSORIES: B&W Thermal Printer, Casing INTERNATIONAL QUALITY AND SAFETY STANDARDS: FDA/CE Warranty: 3 years standard warranty POWER MANAGEMENT: 220V, 50HZ. The supplier will have to make interior of the suite necessary furniture branded upper end computer with all accessories, printing paper, ultra sound gel, ultra sound paper, ups Backup & stabilizer, wheel chair. 8. CT Scan WHOLE BODY MULTISLICE (128 OR MORE SLICES) COMPUTERIZED TOMOGRAPHY SCANNER PRE-REQUISITE: • The medical equipment must comply with 510(K) FDA (Food & Drug Administration), CE,MDD (Medical Device Directive) and MHLW (Ministry of Health, Labour & Welfare) for specific quoted model. • The firms must quote their latest and leading brands from the above mentioned origins with the proven past performance nationally and internationally. The firm must possess its related back up support services including trained engineers, workshop facilities, spare parts availability and repair/calibration tools etc. 16 • The firm/s should have proper infrastructure to handle and execute the complete package. Latest model having the latest hardware and all latest software on console & Standalone /Thin client workstations. CT Scan S# 1. PARAMETER GANTRY 2. TUBE 3. GENERATOR 4. DETECTORS DESCRIPTION 1.1. System should be capable of Acquiring / Generating 128 or moreslices per gantry rotation in real time. 1.2. Gantry bore / aperture to be at least 70cm or more. 1.3. Minimum gantry rotation time to be at least 0.35seconds or better, for 128 slices per 360 degree rotation, for cardiac applications. All the firms should quote their latest model scanner. 1.4. Gantry tilt range must be + 30 degree. 1.5. Maximum scan field of view to be at least 50cm for Paeds& Children the system should be able to reduce the field of view to 200mm or less. 1.6. Minimum slice thickness of at least 0.625mm. 1.7. Dual Control (including tilt,) of gantry and table from the gantryhousing and console. 2.1 Heat storage capacity of at least 7MHU or better without Iterative Dosage. The system is able to reduce within one rotation or one FOV to protect sensitive organs 2.2 Anode heat dissipation of 800KHU/min or better 2.2 Generator output of up to 600mA or more for Cardiac applications. 3.1 High frequency power generator with minimum power of at least 70kW or more 3.2 should be capable of variable kV setting in steps (80 TO 135 KvP or more) 3.3 should have ability to vary the power (mAs) automatically in steps. 3.4 Real-time dose reduction hardware / software and with ECG modulation 3.5 Able to calculate patient dose in mili-sevriert preferably before image acquisition (CTDI) Iterative dose reduction must be offered. 3.6 Low contrast detectability (LCD) is the most important specifications of CT Scanner. The CT Scan must be capable to show LCD of 3mm at 3HU (0.3%) contrast difference with radiation dosage of not more than 10mGy. 3.7 Scan Length of at least 1.75meters or more of helical or axial scan in a single acquisition. 3.8Maximum Scan Time 120sec. or more for handling heavy patient load. 4.1 Solid state crystal ceramic detectors with conversion efficiency (XRay to signal strength) of nearly 100% latest technology. 17 5. COUCH 6. CONSOLE COMPUTER 4.2 Isotropic voxel size of 0.33mm or better, in all three axis 4.3 Minimum 64 physical detectors and detector electronics capable of providing more than 128 slices per gantry rotation or more. 4.4 Detectors width 38mm or more per gantry rotation. High contrast resolution should 18lp/cm at 0% MTF across full detector coverage of x, y and z axis,Dynamic image coverage of 27cm or more, All application should be available on console and workstation. 5.1 Dual motorized control (from console and gantry) of table movements in horizontal and vertical axis. 5.2 Maximum weight allowed on the couch up to 200kg or more 5.3. Horizontal movement speed up to 100mm per second. 5.4 Single acquisition scan range of at least 1.75meter 5.5 Scan with at least 0.25mm accuracy / reproducibility on a 200kg patient. 5.6 Lateral table shift of +/- 42mm for easy patient centering during cardiac and trauma scanning. 6.1 System architecture and operating system must be based on latest technology (64 bit RISC or Dual Xenon Processor PC) original. 6.2 Multitasking and parallel processing CPU system. 6.3 At least 32GB RAM or more 6.4 Hard disc capacity for image storage of at least 900GB or more. 6.5 Capable of storing at least 3000 raw data files / rotations or 700 GB raw data / 450000 images in 512 x 512 format 6.6 Reconstruction of at least 35 images per seconds or better at 512 x 512 matrix with iterative dose reduction. 6.7 Image area display matrix dimensions (1024 x 1024 ) 6.8 Console color monitor, TFT type of at least 19inches x 2, medical grade with maximum viewing angle 6.9 CD / EOD and DVD writer 6.10 CONSOLE SOFT WARE All the latest cardio-vascular and whole body software should be supplied as standard which is available at the time of shipment. USER INTERFACE SOFTWARE 6.10.1 True isotropic volume acquisition 6.10.2 Prospective and retrospective ECG gated acquisition 6.10.3 Variable Delay algorithm like fixed percent delay ( FPD) and fixed offset delay ( FOD ) or better , for selection of period of least motion in cardiac cycle ( temporal resolution of 60 milli second or better; less will be preferred ) 6.10.4 Automated contrast media bolus tracking software 6.10.5 3D RECONSTRUCTION DISPPLAY ORIGINAL COMPANY SOFTWARE. a. Maximum and minimum intensity projections b. Multiplaner and curved planer reconstruction c. 3D shaded surface display 18 7. WORKSTATION/ SERVER SOLUTION d. 3D volume rendering software e. 3D virtual endoscopy, colonoscopy and bronchoscopy f. 3D cone beam correction. 6.10.6 CT angiography 6.10.7 Brain perfusion analysis 6.10.8 Dental CT 6.10.9 Image reconstruction 6.10.10Fat Index View to calculate body fat area based on a single slice of non-contrast-enhanced CT data. Body fat area to be calculated including total fat, visceral fat and subcutaneous fat area. BMI should also be calculated with Reporting function and color display. 6.10.11Lung Nodule Detection and analysis 6.10.12Cardiac Function Analysis 6.10.13 a) Artifact reduction algorithm b) Automatic control of tube current over high and low attenuation areas for patient dose reduction software for low dose to patient original / certified. c) ITERATIVE DOSE REDUCTION SOFTWARE SHOULD BE APPLICABLE FOR WHOLE BODY ORGANS. FDA/CE approved, independent, multimodality, fully functional. All companies will supply the work-stations as recommended by the manufacturer and supplier by them worldwide. THREE INDEPENDENT STAND ALONE WORKSTATIONS/ CONCURRENT Licences ARE REQUIRED, THESE SHOULD NOT BE THIN CLIENT 7.1 High speed link to operator console on DICOM network 7.2 System architecture and operating system a. Dual processor Xeon b. 2.66 GHz or more speed c. 512 cache or more d. Graphic cord and network cord 7.3 Should have one high resolution TFT monitor of 18 inch or more 7.4 DVD RW (super-drive will be preferred ) 7.5 DICOM-3 viewer with universal PC display capability (licensed ) 7.6 Heavy duty Laser black and white printer A4 /letter size 2400 dpi or higher, two paper trays for A4/ letter size media, ( HP, Lexmark, Xerox, CANNON ) network-ready 7.7 WORK STATION SOFTWARE 7.7.1 3D RECONSTRUCTION DISPLAY a. Maximum and minimum intensity projections b. Multi-planer and curved planer reconstruction c. 3D shaded surface display d. 3D volume rendering software e. 3D virtual endoscopy, colonoscopy and bronchoscopy 7.7.2 CT Angiography 19 7.7. 3 Advanced coronary vessels analysis 7.7.4. Calcium scoring with ECG gating and prospective / retrospective reconstruction with automatic report regeneration. 7.7.5 Cardiac function analysis – 7.7.6 Advanced peripheral /general vessels analysis 7.7.7 Lung nodule detection and analysis 7.7.8 Brain perfusion analysis 7.7.9 Bone Mineral Density software and CT Phantom. 7.7.10 Latest software for liver analysis to visualize and measure the entire liver, liver segments and liver lesions. Liver Automated tools liver lobes,liver segmentation and measurement portal vein based liver segmentation capacity with colour coding of segments 7.7.11 Metal artifact reduction software. DICOM 3 ready (multi-vendor and multimodality compatible for send, receive, achieve, retrieve and print, on main console and workstations). 9.1 MDD ( CE ) / FDA (510K) / MHLW 9.2 Lead lining of the CT suit according to PNRA protocaol. 8. DICOM 9. QUALITY and SAFETY STANDARD 10 Power requirement ACCESSORIES SHOULD INCLUDE Three phase with line voltage of 380-440V, 50Hz along with power cable etc and compatible main Electric transformer by the supplier. 11.1 Programmable, dual head power injector with flow/volume and temperature control. Mounted on mobile base, with 500 syringes of 150 ml capacity and connecting tubes ( Medrad-Bayer, Angiomat, Nemoto) 11.2 DICOM 3 ready dry laser camera / imager, Multi-size upto 14 x17 in. (Agfa, Fuji, Kodak, Konica,Codonics) for black and white printing on films including 5000 films. 11.3 On-line sine wave branded UPS for whole CT suite, with a minimum back-up time of 20 minute on full load. 11.4 Lead glass for control room (5 x 3 feet), 0.5 mm lead equivalent. 11.5 Standard set of Phantoms for calibration of CT 11.6 Pediatric scanning package - software and hardware with small FOV as low as 200mm or less. 11.7 Dedicated Cardiac Monitor for synchronize with cardiac scan. 11.8 TABLE ACCESSORIES – Table pads, arms rest, patient restraint kit, IV pole, infant cradle, flat head holder. 11.9 FILM VIEWER ( x 04 ) for images up to 14 x 17 inch with variable light control and shutters for control of viewing area, with 04 x 1 format . UPGRADIBILI TY 12.1. All vendors will quote their latest, advanced and best system. 12.2.1 the system should have an software upgrade route to higher versions 12.2.2 With undertaking of above two by the principal 11. 12. 20 manufacture, that is their latest version been used in USA/EU & Japan. 12.2.3 The system should have an upgrade route to higher version and responsible for upgradation of soft ware for 10 years. With undertaking of above two by the principal manufacture. 13.1 Warranty with all parts including consumable along with CT Tube etc for 05 years and additional 02 years service without parts . Local qualified Degree holder CT engineer having all the facilities (workshop with tools) should be available at local station. 14. TRAINING 14.1.1 Foreign Training of Consultant Radiologist for 04 weeks in two settings( 02 weeks each) at supplier expense from the country of origin of equipment in Cardiac, Neuro and body multi-slice CT Imaging one immediately after installation of system ,second after 3 months. 14.1.2 Local training of 04 CT technicians for period of 02 weeks on the same machine in Pakistan. 14.1.3 Application training from foreign application expert for 14 days in two settings for 01 week each. The supplier will have to make interior of the suite, necessary furniture, branded upper end computer with all accessories, Laptop core i9, printing paper, ups Backup & stabilizer, wheel chair, AC 2.5 tone both for suite and workstation ,Lead Aprons(04) of variable sizes with hangers (sample based), Lead Goggles(04 pairs), (04)wearing Suites & (10 pair)Shoes of variable sizes for technician, Foot Steps, one thousand Cds Vendor will be responsible for all electrical installation, (installation of transformer from Wapda of required KVA ) and up to 100 meter cable from transformer to CT suite and all type of panels, main boards & switches, proper electrical earthling, complete electric wiring including main cable to the machine - of international standard companies. 13. WARRANTY HOD Of Radiology Department GKMC Swabi Dr. Ibrahim Shah Assistant Professor Cardiology Member T&E Committee GKMC Swabi Dr. Arshad Abbas Assistant Professor ENT Member T&E Committee GKMC Swabi Dr. Shazia Ala Uddin Assistant Professor MicroBiology Member T&E Committee GKMC Swabi Dr. Sadia Haroon Assistant Professor Hematology Member T&E Committee GKMC Swabi Engineer Nadir Shah Representative of DGHS Member T&E Committee GKMC Swabi 21 Dr. Zahid Khattak Associate Professor Medicine Chairman Technical & Evaluation Committee GKMC Swabi Government of Khyber Pakhtunkhwa Health Department DETAILED SPECIFICATIONS For BIO-MEDICAL EQUIPMENTS, INSTRUMENTS, GLASS WARE AND OTHER GENERAL ITEMS FOR DEPARTMENT OF Dermatology March 2017 22 Department of Dermatology S# Name of Items 1 IPL (Intensive Pulse Light) 2 Cautry Machine 3 Cryo Gun with Liquid N2O Container 4 CO2 Laser Specification Light Source: Intense Pulsed Light Wavelength: 420/510/560/640~1200nm (IPL+RF Standard) 640/690/755~1200nm (IPL Standard) 480/585~1200nm (Optional) Spot size:15x50 mm2 (IPL) Cooling System: Water cooling, forced-air cooling and semiconductor cooling IPL Light Energy: 10~50 J/cm2 RF Energy: 1~10MHz (Bi-Polar) Pulse Duration: 2~15ms Pulse Sequence: 1~15 pulses (adjustable) Pulse Delay Time: 5~50 ms Integrated Skin Cooling: -4~ +10 Operative Interface: 8.4 TFT True Color LCD touch screen IPL Power: 1,200w Prepay Light Shots: Selectable and Management by USB joint built in the machine Electrical Source: 220V / 50Hz or 110V 60Hz Unit will provide with 10000 VA Stabilizer Power source: AC 110V/220V, 50/60 Hz Output: Average 50W Discharging Mechanism: Spark – gap Frequency: High frequency of 1.5 – 2.3 MC Cryogun smaller size for easier handling Capacity: 10 oz (300 ml) Height: 8.5 in (215 mm) Weight: Full: 25.2 oz (715 g) Empty: 17.3 oz (490g) Static Holding Time: 10 to 12 hours. Liquid Nitrogen Container: Capacity: 20 L Static Holding time: 14 – 17 weeks Body martial: rust proof high strength aluminum alloy Light empty weight, multi-layer, thermal isolation design Static evaporation rate: 0.313 L/Day Laser Type: CO2 Wavelength: 10600 nm Laser emission mode: Pulsed Output power: 60 watts (Maximum peak) Pulse repetition rate: Up to 16.7 kHz Pulse duration: 2-1166 usec 23 QYT 1 1 1 5 6 Iontophoresis for Hand and Feet Narrow Band Therapy Machine (Whole Body) Laser Beam Energy: Variable from 1 – 70/80 mJ Beam Size: Ǿ 1.8 +/- 0.5mm Maximum scan are: 10 mm diameter Aiming laser: 5mW, 650nm (red) diode laser Articulated Arm: Lightweight, aluminum fiber, 7 joint, pneumatically balanced Treatment radius at full arm extension: 85 cm (33.5”) Horizontal rotation: 360 degree Lens assemblies: 150 um spot size 120 um spot size Hand piece: Fractional and surgical hand piece User Interface: 10.4” High resolution color LCD Touch Screen technology Accessories Stabilizer 10KVA from local market Patient Eye Shields 2 Nos Operator’s Eye Goggles 2 Nos Operational Chair Electric Operated Up/Down, Back Up/Down (from local market) Light with Stand (form local market) Best quality The Whole body UV irradiation cabin Due to its compact design the cabin required only a minimum of space and adjusts flexibly to the room setting. Thanks to the special reflectors behind the lamps the irradiation intensity is increased, this grants comparatively short treatment times for the patients. The 8 integrated fans are switched on then necessary and provide for a constant and pleasant temperature inside the cabin. The emergency switch inside the cabin, a window in the door for surveilling the patient and the solid door handles inside and outside provide for the safety of the patient. The cabin offers the possibility of mono therapy with UVB/ 311. A mixed equipment of UV-A and UVB/311 lamp is also possible. This allows a multitude of therapy forms, according to different indications. Features: Special high quality reflectors for a consistant irradiation distribution. Plexiglass panels in front of the lamps Economic control of the fans, dependent on the temperature Surveillance window in the door Emergency switch for the patient Separate main switch and built in circuit breakers 230 volt power supply 24 1 7 Narrow Brand UVB (Hand & Feet Chamber) Selectively time or dosage control Practical storage shelf Optional: door stop and pedestal for the patient Indications Mono therapy 28 x 100W UV-B/ 311 nm Outer dimension: (LxWxH): 1000 x 950 x 2000 mm Inner dimension: (L x W x H): 650 x 650 x 1950 mm Power supply: 230V, 50 Hz Power consumption: 3 kW, when all lamps are working The variable UV irradiation unit for treatment of hands / feet/ face or body parts Features: Microprocessor control with dosage limitation and safety shut down Selectively time or dosage control Operation hour counter Plexiglass plate over the lamps as protection against direct contact and contamination Basic unit with armature rack for different treating positions Steeples height adjustment by pneumatic spring (for the system with tripod) Movable and space saving tripod Integrated safety temperature shout down HOD Of Dermatology Department GKMC Swabi Dr. Arshad Abbas Assistant Professor ENT Member T&E Committee GKMC Swabi Dr. Shazia Ala Uddin Assistant Professor Micro-Biology Member T&E Committee GKMC Swabi Dr. Ibrahim Shah Assistant Professor Cardiology Member T&E Committee GKMC Swabi Dr. Sadia Haroon Assistant Professor Hematology Member T&E Committee GKMC Swabi Engineer Nadir Shah Representative of DGHS Member T&E Committee GKMC Swabi Dr. Zahid Khattak Associate Professor Medicine Chairman Technical & Evaluation Committee GKMC Swabi 25