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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 Eye Ophthalmology march 2017
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Mar 11, 2018

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Page 1: Government of - Gajju Khan Medical College | Homegkmcs.edu.pk/gallery/downloads/1495183429.docx · Web viewHexadisq (Six Piezo Plates) Ultrasonic Phaco Hand piece titanium Easy Phaco

Government of Khyber PakhtunkhwaHealth Department

DETAILED SPECIFICATIONSFor

BIO-MEDICAL EQUIPMENTS, INSTRUMENTS, GLASS WARE AND OTHER GENERAL ITEMS FOR DEPARTMENT OF Eye

Ophthalmology

march 2017

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SPECIFICATION FOR THE ITEM OF EYE / OPHTHALMOLOGY

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S.NONAME OF EQUIPMENTS /ITEMS

SPECIFICATION QTY

1 Autorefracto/Keratometer

Type Full Auto Ref-Keratometer Alignment Mode Full Auto/Auto/Manual Auto Function Auto Shoot Fixation Target Internal fixation/ Automatic fogging system Corneal Pupil Diameter 2 to 16 mm Retro-Illumination 2 images may be stored in memory Data Memory Maximum 10 measurements of REF and KER for each eye Interface RS-232C, USB Host, LAN Display Tilting 5.7 inch VGA color TFT LCD screen Operation Range Front/Back: 40 mm Left/Right: 90 mm Up/Down: 30 mm Built-In Printer Thermal line printer with easy loading and auto cutter Chin Rest Up/Down: 60 mm (Electrical) Joystick Single-Axis (Electrical) Refractometry Sphere (SPH) -30 to +22 D (when Vertex distance of 12 mm) Cylinder (CYL) 0 to ±10D (Increments: 0.12D and 0.25D) Axis (AX) 1° to 180° (Increments: 1 mm) Pupil Distance (PD) 30 to 88 mm Minimum Pupil Size 2 mm Keratometry Radius of Curvature 5 to 10 mm (Increments: 0.01 mm) Corneal Power 33.75 to 67.5D (When cornea equivalent refractive index is 1.3375) Corneal Astigmatism 0 to -15D Axis 1° to 180° (Increments: 1 mm) Corneal Periphery Measurement area: 30° (When radius of curvature is 8 mm) Corneal Diameter 2 to 14 mm Electrical and Environmental Power Saving System Available Power Supply 100-240V 50/60Hz Power Consumption 80VAMotorized stand local made

1

2 Air Puff Tonometer

Type: Non-contact tonometer+ pachymeterMeasurable range: Non-contact tonometer 0-60mm HgInclude automatic shifting between 30/60 mmHgNon-contact pachymeter: 150 to 1300 microns

1

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Measuring increment: non-contact tonometer: 1 mm HgNon-contact Pachymeter: 10 micronsEye fixation target: Non-contact tonometer: inner fixation light/ external eye fixation lightLight source: non-contact pachymeter: Blue LEDOperation distance: 11 mm from the front of the nozzleAlignment: Full Auto/ Auto/ManualMemory: Maximum 10 measurement for each eyeData output: RS232C, USB, LANPower saving system: AvailableDisplay: Tiltable 5.7-inch color TFT LCD moniterPrinter: thermal line printer with auto-cutterOperating Range: Front/ Back: 40 mmLeft / Right: 90 mmUp/ Down: 30 mmMotorized stand local made Power voltage: AC 100v-240 V, 50/60 HzPower consumption: 60 VA

3 Ultrasound A-scan bio-meter

Accurate measurement and calculation power, should be designed for all types of eyes, High performance intuitive software. Frequency: 11 MHz Diameter of tip: 5mm Method: Contact, immersion Aiming beam: LED Depth:60mm Point of X: 1536 Levels on Y:256 Types of measurement: Anterior chamber, lens, vitreous, total length, automatic calculation of standard deviation & average results analysis. No. of measurements: 10 Precision:±0.03 mm (±0.002”) Velocity: Adjustable for each segment, Frozen Image: Auto, auto + save, manual, Automatic detection of scleral spike 6 Formulas of implant calculation: SRK-T, SRK-II, Holladay, Binkhorst -II, Hoffer-Q, Haigis. Post refractive IOL calculation i.e. pre-op and post-op refraction, pre-op refrective calculation. Pre-op and Post-op refraction,, Pre-op and Post-op keratomery 6 different methods for keratometric correction and implant calculation: history derived, refraction derived, contact lens method, ROSA regression, SHAMMAS regression, double / SRK –T (Dr. ARAMBERRI’S formula), 9 different implant powers for desired ametropia value Screen display of 4 different implant calculations.

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Implant values available in increments of : 0.25D or 0.50D Gain: 20 to110 dB TCG: 0 to -30 dB

4 Ultrasound B-scan

B-Mode: Gain adjustable from 20 to 110 dB, Gain before (T.G.C.) adjustable from 0 to – 30 dB., Dynamic range adjustable from 20 to 90 dB., Unlimited Image storage, Post-processing measuring tools i.e. calipers, areas, angles, markers, comments, Frequency: 10MHz Scanning angle: 50 degree Depth: 60mm Focus: 24 to 26mm. Axial resolution: 200µm Lateral resolution: 600µm. A-Scan: for detection of spikes for different structures Frequency: 11MHz, Electronic resolution: 0.03mm, Depth: 60mm, Points on X: 1536, Levels on Y: 256. Measurements of anterior chamber, lens, vitreous and total length, Automatic calculation of the standard deviation and average, Velocity: Adjustable for each segment.

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5 Keratometer(Manual)

Sutcliff type, Illumination by LED. Latest technology requiring NO change of Lamps, Dual calibrated measuring drums, Graduated in both in Diopters and millimeters, Corneal Refractive Power: 52.00D to 36.00D Corneal Radius of Curvature: 6.50 to 9.40 Axis Corneal astigmatism: 0 - 180 degrees External reading system, Conveniently positioned dual focusing knob. Objective: 1.27 X, Eyepiece: 15 X, Total: 19 X Diopters adjusting scal: + /- 7D Scales, Dust Cover, Test Ball, Local made motorized stand

1

6

Applanation Tonometer Perkin’s (Hand held)

The Perkins hand-held applanation tonometer combinesaccuracy as the clinically trusted PerkinsLonger lasting battery and excellent internal LED illumination.Ergonomic designInnovative LED illumination‘Tonogrip’ prism holderIntegrated rechargeable batteryClinically trusted accuracy

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7 Phacoemulsificatoin/Posterior Vitrectomy with 2 phaco hand pieces with Built in Endolaser or External endolaser

Hexadisq (Six Piezo Plates) Ultrasonic Phaco Hand piece titaniumEasy Phaco Technology for COMICS (1.6 mm) ,2.2mm or 2.8mm incisionPeristaltic Pump with auto venting and restrict able reflux.Vacuum 0-600mmHg & flow up to 50 ml /MinBuilt-in RF Capsulotomy

1

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Vacuum override functionReady for CMP (Cool Micro Incision Phaco)Option for HFDS for glaucoma surgery.Linear Pulse, Burst,CMP and panel ModeOcclusion Mode activation optionOptional Electric Vitrectomy Cutter of 1200 cuts per minuteTwinac Dual Pneumatically driven Guillotine Vitrectomy cutter, linear or progressive, 10 to 10000 cuts per minute, single cut, endo phaco.Ready for 20G, 23G & 25G VitrectomySilicon Oil injection/extraction facilityElectric I/V pole control for gravity infusion.Good light LED light, LED plus light source with adjustable colors.Source with filter free exit and antiglare panorama illuminationDual Linear and linear multifunctional pedal control.Electric pump for constant air pressure control with compensating reservoir.Caliburn PMS system for suturless posterior segment surgery.Wireless remote control option.Instant bipolar diathermy functions for endo and macro diathermy.Fluid-air change over through pedal3 programme memories with direct accessElectrical pumpGreen endolaser 532 nmLaser control without extra pedalLaser output controllable with pedalOr External laser system

8 Ophthalmic Cyclocryopexy

Unit can be operated on CO2 or N2O. Automatic defrosting of the cryopencil on release of footswitch without electrical heating. (Non electric defrost system) Integrated regulator for selection of freezing temperature. .Built in moisture filter for trouble free running of the system. Pin Index Yoke cylinder connector.

Main Unit 01Cylinder connector 01Footswitch 01Gas Hose 01Ophthalmic Cryoprobe Retinal with thermocouple 2.5mm 02

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9

Slitlampbiomicroscope with applanation tonometer with

• Type Galilean magnification changer with converging binocular tubes • Magnification selection 5 steps, by drum rotation • Eyepiece 12.5X

3

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video Aid

• Magnification ratio, (field of view) 6x (35,1mm) 10x (22,5mm), 16x (14,1mm), 25x (8,8mm), 40x

(5,6mm) • Slit width Continuous from 14mm to 0mm (at 14mm, slit becomes a circle) • Slit length Continuous from 14mm to 1mm (at 14mm, slit becomes a circle) • Slit angle 0 to 180 degree with horizontal scanning capability • Filters Blue, Red-free, Amber, UV Cut (normal use), IR Cut (normal use) • Illumination lamp: halogen lamp • Longitudinal movement: 90mm • Lateral movement: 100mm • Fine base movement: 15mm • Vertical movement: 30mm • Chinrest vertical movement: 80mm • Chinrest fixation target: Red-LED• Suspended Goldman Applanation tonometer

Digital Imaging Systems - Digital Camera Adaptor connected to screen with facility of still photos and recording with computer and LCD.

With each slit lamp: one 90 D and 78 D double Aspheric lensesMotorized stand local made

10 Autolensometer

Hartmann Sensor with 108 multiple measurement points Automatic lens type detection Green measurement light UV transmittance measurement Quick and easy wireless data transfer

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11 Lensometer manual

With external reading system with eyepiece Target: Pinhole corona Measurement range 0 to +/- 25D Steps: 0.125D and 0.25D Cylinder axis: 0 to 180o Prismatic power range: 0 – 5D Battery operated

2

12 Vision Drums Snellens Vision Screens 313 Nd: Yag Laser • Laser wavelength: 1064 nm

• Mode: Super-Gaussian • Optical breakdown: Typically 2.5 mJ in air • Pulse length: < 4 ns (typically 2-3 ns) • Max. laser energy: Single pulse: typically 10 mJ, Double pulse: typically 23 mJ, Triple pulse: typically 35 Mj • Energy attenuation: 22 levels

1

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• Pulse repetition frequency: Max. 2.5 Hz • Focus diameter: 10 µm in air • Exit aperture angle: 16° • Aiming beam: Diode approx... 670 nm, power 5 µW-150 µW; 4-point aiming beam focusing system • Focus shift: Variable: +150 µm; 0; -150 µm • YAG Laser connected Slit Lamp • Safety goggles • Capsulotomy, iridotomy lens. • Motorized stand.

Enough power to treat all ophthalmic procedures i.e.: • Capsulotomy, Irridectomy, Irridotomy, Cutting of Vitreous bands.Motorized stand local made

14 ArgonLaser

Laser: 532 nm Optically Pumped Semiconductor laser (OPSL)Pattern: single spot, array, Triple Arc, Wedge, Triple Ring, Arc, Line, Octant.Power: 0-2000 mWPower control: Dual slit lamp mounted control and touch screen user interface.Treatment pulse duration: 10-1000 ms Aiming Beam: 635 + 10 nmAiming Beam Power: Adjustable to < 1 mWDelivered spot size: 60, 100, 200 and 400 µmRetinal spot size: Determined by the product of spot size and the contact lensLaser magnification factorPattern position control: adjustable bu Joystick, pattern selection, and electronic micromanipulator.Graphical user interface: Adjustable touch screen control panel display, mounted on slit lamp tableSlit LampInput power requirement: 100-240 V- 50/60 Hz 500 VACooling: Air cooled.Aiming Beam : Red Laser Diode Local made motorized stand Safety goggles Mainster standard laser lens Mainster widefield laser lens

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15 Fully Automatic High Speed Flash Autoclave

For Class “S” sterilization of flat instruments & Instruments with medium size cavity e.g. Phaco HandpiecesFeatures:The Autoclave must be equipped with a powerful vacuum pump which at the beginning of thecycle, expels any air pockets still present inside the chamber and,

1

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at the end of the sterilizationphase, guarantees perfect drying of the materials treated. A sophisticated electronic systemshould ensures constant monitoring of pressure, temperature and time. It can work alsowithout the presence of the operator / automatic functions. The Autoclave must includeelectromagnetic block device on the door. The total automatism of each phase of the cycleshould safeguards against human error, even by inexperienced personnel. Stainless steelchamber, uniformly heated by a band heating element. Twin tank for clean and used /contaminated water: with has 5 sterilization cycles: 121oC and 134oC for unwrapped andwrapped instruments, and a “flash” cycle for rapid sterilization. with the printer builtin-into the drive board.Specifications:Dimensions LxHxP: 450 x 385 x 540Diameter: 243 mmDepth: 320 mmWattage: 2 KwRack for four trays

16 Hot Air Ovan for Eye Digital Hot air oven, 32 Liters and with 4 trays capacity

17 Operating microscope for anterior and posterior segment surgeries with BIOM and video Aid

Surgical Microscope with BIOM: Apochromatic optics Motorized zoom system, 1:6 zoom ratio, magnification factors Y=0.4 to 2.4 Focusing range: 50 mm, Deep View: depth of field management system Illumination: SCI: Stereo Coaxial Illumination for brilliant red reflex illumination and surrounding field illumination, both are adjustable. Integrated 408 nm UV barrier filter Swing-in GG475 filter to reduce blue ratio Retinal protection device, Fiber optic Halogen illumination

Light Source: 12V – 100W halogen illumination with fully automatic Bulb change when necessary

X-Y Coupling: 61 mm x 61 mm adjustment range Button for starting positions of the X-Y coupling and

1

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focus Suspension Systems: Floor stand

Consisting of: with motorized zoom & xy-coupling. 01 180o inclinable binocular tube 01 Eyepieces: 10x 02 Objective lens f=200mm 01 Asepsis set 01 Dust cover 01 Water proof foot control panel (wired) 01

With: a. Beam splitter. c. Assistant tube, laser filter b. 1CCD HD Camera attachment with camera for posterior and anterior segment from the original manufacturer with recording facility. c. 40” LED Sony • Binocular Indirect Ophthalmo microscope (BIOM) attachment for Vitreo-Retinal Surgery 01 Consisting of: Dovetail 01 Reduction lens 01 Adapter for microscope 01 Steri container 01 90D lens, diamond dusted (autoclaveable) 01 Wide field lens, diamond dusted (autoclaveable) 01

18 Hydraulic surgeon chair

Height Adjustable Stool With Height Adjustable Back.Height Adjustable By Spring Blocking Hydraulic Gas Spring.Revolving Rigid Seat With Multilayered Best Quality Foam With Guarantee Covered With Good Quality Leather / Leathered.Levered Back Rest Cushioned With Multilayered Best Quality Foam And Good Quality Leather.Min Height: 17" Or Better. Max Height: 25" Or Better.Seat Section Size Diameter 15" Or Better.Five Prong Base Of Polyamide, Aluminum.Mobile On Five 50 X 60 Mm Swivel Castors With Lock Ring Pins.

2

19 Ophthalmic Operating Table

Universal Hydraulic Operation Table With Accessories For Ophthalmology 2 Sections WithDetachable Headrest, Mechanical Driven, Table Top Revolving In Both Directions Screen Frame,Height Adjustable With Face-Towel Elevated Beam

20 Lens Bars for pediatrics

Lens Bars for pediatric refraction ranging from -1D to -10D and from +1 D to +10 D 2

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21Head Mounted Binocular Indirect ophthalmoscope

• With LED or XHL Xenon Halogen Lamp illumination. • “Synchronized Adjustment of Convergence and Parallax” for high quality, stereoscopic fundus images through any pupil size. • Precise selection of the observation and illumination optics for small pupils down to 1.0 mm. • Multi-coated illumination system. • Mounting of the optics on aluminum chassis. • HC 50 L Headband Rheostat. • Apertures and Filters: Can be “locked” into a desired position. • Increased PD Range: From 46 – 74 mm. • Soft Touch Controls: All key adjustment controls feature soft touch surfaces for precise and positive adjustment control. • With 20D Double Aspheric design. • ACS (AutoClave Sterilizable) design.

1

22 Direct ophthalmoscope

• Aspherical Optical System” (AOS). • + in 1D steps: 1 – 10 15 20 40D – in 1D steps: 1 – 10 15 20 25 35 D. • Rechargeable Handel and the EN 100 Wall Transformer. • Xenon Halogen illumination. • With 6 apertures Slit, fixation star with polar coordinates, cobalt blue filter, large spot, small spot, hemispot. • With red-free filter.

2

23 Retinoscope

• XHL Xenon Halogen Technology. • Streak or Spot Retinoscope simply by changing the bulb. • Metal controls. • Single control for vergence and rotation. • Integrated polarisation filter. • Orange filter. • Detachable brow rest. • Recharcheable Handels

2

24 Trial lens set with 2 sizes trial frame

o Spherical lenses: ± 0.25 to ± 20.00 D in pairs. o Cyliderical lenses: ± 0.25 to ± 10.00 in pairs. o Steps prisms 16.00 to 20.00. o Accessories : Maddox rod, stenopaic slit, Pinhole, 2 blank discs, red glass, green glass, Trial Frame for children and adults with each set

3

25Prism bars (Horizontal & vertical)

• Vertical prism bar with the following powers: 1,2,3,4,5,6,8,10,12,14,16,18,20,25 & 30 • Horizontal prism bar with the following powers: 1,2,4,6,8,10,12,14,16,18,20,25,30,35,40 & 45.

3

26 Manual visual field analyzer (Bjerrum screen)

• Bjerrum Tangent Screen with a flat, black surface, used to measure the central 30 degrees of the visual field. • Made of black matte material and stitched with radial lines at 15 degree intervals and circles at 5 degree intervals.

1

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• For use at 1 meter with Traquair or similar stimuli. • Size: 64" H x 44" W

27 Hess screen

• Rigid matte screen, tangent screen, calibrated for use at 50 cm (20"), with intersecting horizontal and vertical lines faintly marked on the screen every 5 degrees. • Red LEDs may be illuminated in the cardinal positions of gaze at 15 degrees and 30 degrees by pressing the buttons on a handheld infrared remote control. • Includes one green Foster torch, red/green goggles and a 100 sheet marking pad.

1

28 Ishhara Chart Ishhara chart for color blind patients with 25 plates 2

29Electrosurgical diathermy unit (unipolar /Biploar)

Electrocautry for ophthalmological use 1

30 Portable surgical lights

• Multi-LED-lighting-beam. • Easy to control and positioned accurately. • Adjustable focusing.

1

Surgical Instruments (EYE)31 Phaco surgical

setsThornton Open Wire Speculum KratzBarraquer Pediatric Speculum Btroutman Superior Rectus Forceps Schaedel Towel Clamp, non-magnetic (2) Sinskey II Lens Manipulator (Titanium) Kirby Expresser Hook and Loop Corneal 0.12 Colibri Forceps Bishop-Harmon Dressing Forceps Castroviejo Suturing Forceps, 0.5 mm Harms-Tubingen Straight Tying Forceps Harms-Tubingen Curved Tying Forceps LehnerCapsulorhexis Forceps LehnerCapsulorhexis Forceps, Angled Barraquer Iris Scissors Castroviejo corneal Section Scissors, Miniature (Universal) Westcott Curved Tenotomy Scissors Gills-Welsh Angled Vannas Scissors Barraquer Curved Needle Holder W/O Lock Simcoe Double Barreled I/A Unit Micro-Surgical Instrument Tray

5

32 DCR sets Stevenson Lacrimal Sac Retractor Knapp Lacrimal Sac Retractor

2

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Wilder Lacrimal Dilator, Short Taper Wilder Lacrimal Dilator, Medium Taper Wilder Lacrimal dilator, Long taper Ruedemann Lacrimal Dilator Bowman Lacrimal Proble 0000-000 Bowman Lacrimal Proble 00-0 KerrisonRongeur #0 Belz Lacrimal Sac Rongeur Tenzel Double Ended peri-osteal Elevator West Lacrimal Sac Chisel Mallet –Lead Filled Nasal Speculum #1 Bishop-Harmon Tissue Forceps Schaedel Towel Clamp (2) Halstead Curved Mosquito Forceps (2) Halstead Straight Mosquito Forceps (2) Straight Dressing Forceps Stevens Tenotomy Scissors Westcott Stitch Scissors Straight Eye Scissors Barraquer Needle Holder, Curved w/Lock Miro-Surgical Instrument Tray

33 Ectrpion set Ectrpion surgical set 234 Entropion set Entropion surgical set 235 Squint Surgery

SetBard Parker Knife Handle (No. 15) Maumenee-Park Speculum Jameson Muscle Hook Jameson Muscle Hook, Small Culler Rectus muscle Hook, Graefe Strabismus Hook, #1 Graefe Strabismus Hook, #2 Graefe Strabismus Hook, #3 Jameson Muscle Forceps, Left Jameson Muscle Forceps, Right Bishop-Harmon Dressing Forceps Castroviejo Fixation Forceps Castroviejo 0.5mm Forceps Kelman –McPherson Angled Tying Forceps Castroviejo Caliper Halstead Mosquito Forceps 92) Stevens Straight Tenotomy Scissors Westcott Curved Tenotomy Scissors, Right Westcott Stitch Scissors Sterilizable Steel Ruler Barraquer needle Holder, Curved w/o Lock Serrefine

2

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Straight Eye Scissors Microsurgical Instrument Tray

36 Evisceration set Evisceration surgical set 137 Intraocular

foreign body setBarraquer Wire Speculum , BigDesmarres Lid Retractor , Size.2Foreign Body SpudCilia ForcepsJewelers Forceps StandardCastroviejo Lacrimal Dilator , Double EndLacrimal Cannula Straight , 23GSterilization TrayIntraocular magnet

2

38 Pars Plana vitrectomy sets

Tapered Extrusiuon NeedleCharles Flut Beedel: 4Scleral Plug Holding ForcepsInfusion Cannula: 545 Diaptor Irrigating Contact Lens90 Diaptor Irrigating Contact LensMembrance PeelerMay 30 Degree Bent NeedleScleral PlugsVitreoretinal Serrated Straight ForcepsEndocautrySilicone Oil InjectorVR scissors

2

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Government of Khyber PakhtunkhwaHealth Department

DETAILED SPECIFICATIONSFor

BIO-MEDICAL EQUIPMENTS, INSTRUMENTS, GLASS WARE AND OTHER GENERAL ITEMS FOR DEPARTMENT OF Plastic Surgery

March 2017

GENERAL PLASTIC SURGERY SET S No Instrument Specifications Quantity

1 Instrument Box 10X 12 inch 042 Kidney Tray 6 inches 043 Bowl 4 inches 044 Ink pot standard size 045 Pen autoclavable standard 046 B P handle Size 15 047 Barren knife handle Size 24 04

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8 Ruler 15 cm 049 Adson,s tooth forceps (Fine ) 4” 0410 Adson,s tooth forceps (Medium ) 4” 0411 Adson’s Brown Forcipes 4” 0412 Mc Indo plain forceps 4” 0413 Mc Indo Toothed forceps 4” 0414 Skin hook standard size 0815 Instrument hanger standard size 0416 Artery forceps 4” 2417 Needle holder 5” 0818 Supercut scissor (Straight) 4” 0419 Supercut scissor (Curved) 4” 0420 Stelle Steven,s Scissor 4” 0421 Suture cutting scissor 6” 0422 Metzebom Scissor 6” 0423 Towel clips 4” 2424 Cat’s paw retractor standard size 0825 Sponge Holding 8” 0426 Self-retaining retractor small 0427 Sinus forceps 6” 0428 Dressing cutting scissors 8” 0429 Howard’s periosteum elevator Allen 9A 0430 Suction canulla (American Style) 0431 Gillie’s tooth forcep 5” 0432 Mc Indo scissors long 04

SPECIFICATION FOR THE Plastic Surgery Equipment

CLEFT PALATE SETS No Instrument Specifications Quantity

1. Kidney Tray 6” 022. Bowel 4” 023. Ink pot standard size 024. Baran handle long 8” 025. Dissecting forceps long Plain fine 026. Adson forceps Long 027. Adson forcep fine Long 048. Adson forceps medium 02

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9. Ding man retractor with 3 tongue plates 0210. Double ended elevator long 0211. Hockey stick dissector /Periostium elevator long 0212. Suction canulla American Style 0213. Tie/ knot pusher Long 0214. Stelle Steven,s Scissor 4” 0215. Stelle Steven,s Scissor 6” 0216. Medzebom Scissor 8” 0217. Super cut scissors straight 4” 0218. Super cut scissors curved 4” 0219. Caliper Standard size 0220. Dissecting Forceps Medium size 0221. Towel clips Standard size 1222. Skin hook Standard size 0423. Needle holder 7” (Obaid’s) 0224. Needle holder 4” 0225. Ruler 15cm 0226. Instrument box 12 X 10” 0227. Marking Pen (autoclavable) Standard size 02

Hand Surgery SetS No Instrument Specifications Quantity1 Hand Lead Adult size 22 Hand Lead Pediatric size 22 Hand Surgery Osteotome set standard 2 (set)3 Bone Cutter small 24 Nerve hook standard size 45 Tendon stripper standard size 26 Tendon retriever Standard size 27 Double hook Standard size 28 Awl (HS-320-12-X) 29 Barrons handle 15 size blade 210 Mcindoe NT forceps 6” 211 Adson toothed forceps fine 4” 212 Adson toothed forceps 4” 213 Mcindoe scissors Long 214 Supercut scissors straight sharp point 4” 215 Supercut scissors curved 4” 216 Stilles scissors 4” 217 Cats paw retractors standard size 418 Ruler 15cm 219 Maping pen autoclavable standard size 220 Howard elevator standard size 221 Suction Cannula (American style) 222 Mayo Dressing scissors 6” 2

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23 Kilner skin hooks standard size 824 K wire twister standard size 225 K wire cutter small 226 Chisel Small 227 Chisel medium 228 Chisel large 2

Rhino plasty setS No Instrument Specification Quantity1 Alfright Nasal Retractor standard size 12 Nasal speculum standard size 13 Straight Spencer Well Artery forceps standard size 14 Scissors angled on flat 8” 15 Alar cartilage scissors straight 5” 16 Alar cartilage scissors curved 5” 17 Stonz nasal saw right and left 18 Meltz nasal rasp fine and heavy 19 Joseph skin hooks small 110 Joseph skin hooks medium 111 Joseph skin hooks large 110 Joseph nasal Raspastory standard size 111 Barren handle No. 15 blade 112 Alae retractor 8cm, sharp prongs 213 Mallet 16cm 114 Set of osteotomes 5,7,9,11,15 mm 1set15 Nasal Dressing forceps Tilley 17 cm 116 Suction cannula American pattern 117 Cottle Blund Hook Retractor 145mm 218 Marking pen autoclavable standard size 119 Rhinoplasty osteotome right & left 120 Volkman’s Currette Small size 121 Volkman’s Currette Medium size 122 Instrument box 10 X 12” 1

Bone Graft SetS No Instrument specifications Quantity

1 Bone cutter Small, large 01 each2 Wire cutter Small, large 01 each3 Hand Drill standard size 014 Hand chuck standard size 015 Chisel 10, 15, 20, 25 mm 01 each6 Osteotome 10, 15, 20, 25 mm 01 each7 Gouges Small, large 01 each8 Bone Nibler Small, large 01 each

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9 Curette small, medium, large 01 each10 Hammer 16cm 0111 Bone holding Small, large 01 each12 Rib shear --- 0113 Rib cutter --- 0114 Periostium elevator Small, large 01 each15 Instrument box autoclavable 10x12 inches 01

Liposuction cannula setS No Instrument Specification Quantity

1 Lipo suction cannula for face (set of 3) 1 set2 Lipo suction cannula Horizontal holes 3mm, 6” 13 Lipo suction cannula Horizontal holes 6mm, 6” 14 Lipo suction cannula Horizontal holes 3mm, 12” 15 Lipo suction cannula Horizontal holes 6mm,12” 16 Lipo suction cannula Vertical holes 3mm, 6” 17 Lipo suction cannula Vertical holes 6mm, 6” 18 Lipo suction cannula Vertical holes 3mm, 12” 19 Lipo suction cannula Vertical holes 6mm, 12” 110 Lipo suction cannula Mercedes holes 8mm, 6” 111 Lipo suction cannula Mercedes holes 8mm, 12” 112 Handle for canuulas -- 213 Connecting syringes with locks -- 414 Suction Pipe Non collapsible 2

S/No

Instrument / Equipment Specification Quantity

1 Cautry machines With Bipolar and unipolar out put 2

2 Bipolar forceps Fine / Autoclavable 6

3 Bipolar leads Autoclavable 6

4 Pneumatic tourniquet Pediatric size 2

5 Pneumatic tourniquet Adult size 2

6 Hand Held Doppler 8MHz & 10MHz 1 each

7 Hand held Nerve stimulator With Sterlizable probe 1

8 Magnification loupes 3.5X, Prismatic, Telescopic, 1

9 Magnification loupes 4.5X, Prismatic, Telescopic 1

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10 Dermatome Battery operated quailty 1

11 Skin graft Mesher Imported 2

12 Skin graft knives Watson modification 5

13 Silver Skin graft Knives -- 4

14 VAC (vacuum assisted Closure Device)

Portable 2

15 Digital Camera Good image resolution/Quality Facilty of image transfer to computer via USB port or card system

1

WARD DRESSING SETS No Instrument specifications Quantity

1 Kidney Tray large 062 Dressing Scissors 8” 063 Stitch Scissors fine 064 Gillies Plain Forcep 4” 065 Toothed forcep 4” 066 Suture forcep Curved on edge 4” 067 Metzenbaum Scissors 8” 068 Instrument Box 5x8” 069 Artery Forceps Small 4” 12

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Government of Khyber PakhtunkhwaHealth Department

DETAILED SPECIFICATIONSFor

BIO-MEDICAL EQUIPMENTS, INSTRUMENTS, GLASS WARE AND OTHER GENERAL ITEMS FOR DEPARTMENT OF PAEDS/

PAEDIATRICS

March 2017

SPECIFICATION FOR THE ITEM OF PAEDS/ PAEDIATRICS

S.NONAME OF EQUIPMENTS / ITEMS

SPECIFICATIONS

1Weighing scales older children neonatal

 Scales to be highly accurate and stable. Touch controls with splash proof keyboard. The baby weighing pan to removable. Automatic hold, slow and tare controls to be standard. Capacity: 30Kg x 5 Gm. To have a baby measuring rod.

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2 Height/length measuring scale

 Scale to have low level platform finished with non-slip cover, the steel yard arm to be waist high.

Capacity: 200Kg x 100gms. Imperial and metric height measure to be fitted to the machine.

3 Nebulizers Fine and uniform Nebulizer with bacteria filter,ultra-fine mist of particles from 1 to 5 microns. Germ free inhalation circuitry, incorporating two steps filters.

4 pediatric Ventilator Patient typeVentilation settingsVentilation mode

Enhancements

Ventilation frequency (RR)

Inspiration time (Ti)

Tidal volume (VT)

Inspiratory flow (Flow)

Adults, pediatrics, neonates

VC-CMVVC- SIMVVC- ACVC MMVPC-BIPAP1) /SIMV+PC-SIMVPC-ACPC-APRVPC-PSVSPN-CPAP/PSSPN-CPAP/VSSPN-CPAPSPN-PPS

- AutoflowTM / Volume Guarantee- Automatic adaptation of inspiratory flow in volume controlled modes (VC-AC)

- Variable pressure support- Smart pulmonary view- ATCTm – automatic Tube compensation Tm

- NIV – Mask Ventilation- Smartcare® /PS 2.0 –Automatic clinical protocol

in SPN-CPAP/PS- Low flow PV loop- O2 therapy

0.5 to 98/min (adults)0.5 to 150/min(padiatric ,patients ,neonates)

0.11to 10 s(adults)0.1 to 10 s (padiatric ,patients ,neonates).01 to 3.0 L (adults) under BTPS0.02 TO 0.3 L (pediatric patients) under BPTS0.0002 TO 0.1 L(Nenotaes)under BTPS2 to 120L/min (adults)2 to 30 L/min (padiatric ,patients ,neonates)

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Inspiratory pressure (Pinsp)Inspiratory pressure limit (pmax)PEEP/intermittent PEEP(Δ int PEEP)Pressure assist (Psupp)Rise time for pressure assist(slope)O2 concentration (FiO2) Trigger sensitivity (Flow trigger)

PC-APRV (optional)

Termination criteria (expiratory)(exp.term.)

Proportional pressure supportPPS (optional)

1 to 95 mbar(or hPa or cmH2O)

2 to 100 mbar (or hPa or cmH2O)

0 to 50 mbar (or hPa or cmH2O)

0 to 95 mbar (or hPa or cmH2O)0 to 2 s

21 to 100Vol. %0.2 to 15L/min

- Inspiratory time(Thigh) 0.1 to 30 s- Expiratory time (Tlow) 0.1 to 30 s- Inspiratory pressure (Phigh) 1 to 95

mbar (or hPa or cmH2O)- Expiratory pressure (Plow) 0 to 50 mbar

(or hPa or cmH2O)

1 to 80 %

Flow assist- Adults 0 to 30mbar/L/s (or hPa/L/s or

cmH2O/L/s)- Pediatric patients 0 to 100 mbar/L/s (or

hPa/L/s or cmH2O/L/s)- Neonates 0 to 300 mbar/L/s (or hPa/L/s

or cmH2O/L/s)

Volume assist- Adults 0 to 100 mbar/L(or mL/hPa or

cmH2O/L corresponds to compliance compensation:10000 to 10 mL/mbar (or mL/hPa or mL/ cmH2O

- Pediatric patients 0 to 1000 mbar/L (or mL/hPa or cmH2O/L)

Correspond to compliance compensation:1000 to 1 mL/mbar (or mL/hPa or mL/ cmH2O

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Automatic tube compensation ATC TM

O2 therapy

Measured values displayed Airway pressure measurement

Flow measurement Minute volume measurement

Tidal volume measurement

Frequency measurement

02 measurement (inspiratory side)

- Neonates 0 to 4000 mbar/L (or hPa/L or cmH2O/L)

Correspond to compliance compensation:10000to 0.5 mL/mbar (or mL/hPa or mL/ cmH2O

Inside tube diameter tube Ø- Endotracheal tube ET

Adults 5 to 12 mm (0.2 to 0.47 inch)Pediatric patients 2 to 8 mm(0.08 to 0.31 inch)

- Neonates 2 to 5 mm (0.08 to 0.2 inch)- tracheostoma tube trach.

Adults 5 to 12mm (0.2 to 0.47 inch)Pediatric patients 2.5 to 8 mm(0.1 to 0.31 inch)

- neonates 2.5 to 5 mm (0.1 to 0.2 inch)degree of compensation 0 to 100 %

continuous flow 2 to 50 L/Mino2 concentration FiO2 21 to 100 Vol%

plateau pressure Pplatpos. end-exp. Pressure PEEPpeak inspiratory pressure PIPMean airway pressure PmeanMin. airway pressure PminRange -60 to 120mbar (or hpa or cmH2O)

Total minute volume MVMandatory minute volume MVmandSpontaneous minute volume MVsponRange 0 to 99 L /min BTPS

Tidal volume VTRange 0 to 5500 ML BTPS

Breathing frequency RRSpontaneous breathing frequency RRsponRange 0/min to 300/min

Inspiratory O2 concentration FiO2

Range 18 to 100 Vol%

End-expiratory CO2 concentration etCO2

Range 0 to 100 mmHg

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CO2 measurement in main flow(adults and pediatric patients only)

Computed value display

Compliance CResistance R

Leakage minute volume MVleak

Rapid shallow breathing (RSB)Negative inspiratory force (NIF)Occlusion pressure PO.1Curve displays

Alarm/monitoringExpiratory minute volume Airway pressureInsp, O2 concentrationEnd-expiratory CO2 concentrationTachypnoea monitoringVolume monitoringApnea alarm time

Performance dataControl principleIntermittent PEEP durationMedicament nebulisationBronchial suctionDisconnection detectionReconnection detectionOxygen enrichment

Active suction phaseFinal oxygen enrichment

Supply system for spontaneous breathing Psupp

Inspiratory flow Dead space volume With CO2 cuvetteWithout CO2 cuvette

Operating data

Range 0 to 650mL/mbar (ormL/cmH2O) Range 0 to 1000 mbar/ (l/s) (or cmH2O/ (L/d))

Range 0 to 99 L/min

Range 0 to 9999(/min/L)Range -80 mbar to 0 mbar (or hPa or cmH2O)Range-60 to 130 mbar (or hPa or cmH2O)Airway pressure paw (t) -30 to 100 mbar (or hPa or cmH2O)Flow (t) -180 to 180 L/minVolume v (t) 2 to 3000mLExp. CO2 concentration etCO2 to 100 mmHg

High/lowHigh/lowHigh/lowHigh/lowHighHigh/low5to 60 seconds

Time-cycled, vomume-constant,pressure-controlled1 to 20 expiratory cyclesFor 5 ,10 ,15 ,30 minutes

AutomaticAutomaticMax,3 minutes, adults 100 vol%, for pediatric patients and neonates factor 1 to 2 from actual FiO2 concentration

Max, 2 minutesMax,2minutes, adults 100 vol%, for pediatric patients and neonates factor 1 to 2 from actual FiO2 concentrationAdaptive CPAP system with high initial flow

Max 180 L/min

<15mL<11mL

100 V to 240 V, 50/60 Hz

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Main supplyMains power connection

Current consumption

Power consumption

In operation , without loading of internal battery

Gas supplyO2 gauge pressure

At 230 V max. 1.1 A ventilation Unit with Medical CocKpitAt 230 V max. 1.6 A with GS500At 100 V max. 2.5 A Ventilation Unit with Medical CocKpitAt 100 V max. 3.7 A with GS500

max. 2.5 A ventilation Unit with Medical CocKpitmax. 3.7 A with GS500

approx. 100 W ventilation Unit with Medical CocKpitapprox. 180 W with GS500

2.7 to 6.0 bar (or 270 to 600 kPa or 39 to 87 psi)5 Neonatal Ventilator Ventilation

settingsVentilation modes

Enhancements

Special maneuvers

Therapy types

Pressure – controlled ventilation:- PC- CMV- PC- AC- PC- SIMV- PC- PSV- PC- MMV- PC- HFO- PC- APRV

Support of spontaneous breathing:- SPN-CPAP/PS- SPN-CPAP/VS- SPN-PPS- SPN-CPAP

- Apnea ventilation - Flow trigger - Sigh- Volume ventilation option(VG)- Automatic tube compensationₒ(ATC)- auto release

- HFO-sigh- Volume guarantee for HFO(HFO-VG)- Leak compensation

- Suction maneuver- Manual inspiration/hold- Medication nebulization

- Invasive ventilation (tube)- Non-invasive ventilation(NIV)

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Respiratory rates (RR)Inspiratory time(Ti)

Maximum inspiratory time for flow cycled breaths(timax)

Tidal volume(VT)

Tidal volume for pressure support(VT)

Activation of Apnea ventilation

Tidal volume during Apnea ventilation (VTapn)

Respirator rate during apnea Ventilation (RRapn)

Inspiratory pressure (Pinsp)Inspiratory pressure limit(Pmax)Positive edn-expiratory pressure (PEEP)

Rise time for pressure support (slope)

O2 concentration FIO2Trigger sensitivity (flow trigger)

- O2 Therapy

0.5 to 150/min

0.1 to 3s

Neonates .01 to 1.5 sPediatric patients 20 to 300 ml

Neonal 2 to 100 mlPediatric patients 20 to 300 mlNeonal 2 to 100 mlPediatric patients 20 to 300 ml

On ,of

Neonal 2 to 100 mlPediatric patients 20 to 300

2 to 150/min

1 to 80 mbar( or hPa or cmH2o)

2 to 100 mbar ( or hPa or cmH2o)

0 to 35 mbar ( or hPa or cmH2o)

Neonates 0 to 1.5 sPadiatric patients 0 to 20 s

21 to 100 Vol%0.2 to 5L/min- Inspiratory time thigh 0.1 to 30 s

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Airway pressure release ventilation(PC-APRV)

Proportional pressure support(SPN-PPS)

Automatic tube compensation (ATC)

High frequency oscillation(PC-HFO)

- Expiratory time tlow 0.05 to 30 s- Inspiratory pressure phigh 1 to 80 mbar ( or hPa

or cmH2o)- Expiratory pressure Plow 0 to 35 mbar ( or hPa

or cmH2o)- Termination criterion (peak expirtory flow) 1 to

80% PEF

Flow assist- Neonates 0 to 300mbar/L/s(or hPa/L or

cmH2o/L/s)- Padiatric patients 0 to 100 mbar /L/s (or hPa/L/s

or cmH2o/L/s)- Volume assist (vol. Assist)- Neonates 0 to 4000 mbar /L(or hPa/L or

cmH2o/L) correspond to compliance compensation : 1000 to 0.3 mL/mbar (or mL/hPa or mL/cmH2O)

- Pediatric patients 0 to 1000 mbar/L (or hPa/L or cmH2o/L) correspond to compliance compensation : 1000 to 1 mL/mbar (or mL/hPa or mL/cmH2O/L)

Inner diameter of the tube (tube Ø)- Endotracheal tube (ET)- Pediatric patients 2 to 8 mm (0.08 to 0.31

in)neonates 2 to 5 mm (0.08 to .02in)- Tracheostomy tube (trach.)- Pediatric patients 2.5 to 8mm (0.1to 0.31 in)- Degree of compensation 0 to 100%- Activation of ATC during mandatory

inspirations (inspiratory compensation )on/off- Activation of ATC during mandatory

inspirations (expiratory compensation) on/off

- Mean airway pressure (MAPhf) 5 to 50 mbar (or hPa or cmH2O)

- Frequency of oscillation (fhf)5 to 20 Hz- I to E (I:Ehf) 1:1 to 1:3- Pressure amplitude (Ampl hf)5 to 90mbar (or

hPa or cmH2O)- Maximum pressure amplitude I HFO(VG)5 to

90 mbar (or hPa or cmH2O) Ampl hf max

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Leakage compensation

O2 therapy

Maneuver settingSigh pressure (Δint PEEP)

Time interval between sighs(interval sigh):

Number of cycles for a sigh (cycle sigh)

Medication nebulization

Endotracheal suction

Oxygen enrichment for suction maneuver

Disconnection detectionReconnection detectionInitial oxygen enrichmentActive suction phase

- Tidal volume (VThf) 0.2 to 40 ml- Sigh pressure (Psigh) 60to 80 mbar(or hPa or

cmH2O)- Respiratory rate of sigh (RRsigh)0 to 30/min- Sigh pressure rise time (slope sigh)- Pediatric patients 0 to 2 s- Neonates 0 to 1.5 s- Sigh inspiratory time (Tsigh) 0.1 to 3 s

- On/off- On: full compensation active- Off: trigger compensation active

Continuous flow (BTPS)2 to 50 L/minO2 concentration FIO2 21 to 100 Vol%

0 to 20 mbar (or hPa or cmH2O)

20 s to 180 min

1 to 20 exhalations

For 5,10,15,30 minutes

Factor for neonates 1 to 2Factor for padiatric patients 1to 2

Automatic

Automatic

Max.3min

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Final oxygen enrichmentDisplayed measured valuesAirway pressure measurement

Flow measurement (proximal)

Tidal volume measurement

Respiratory rate measurement

O2 measurement (inspiratory side)

CO2 measurement in mainstream

Displayed calculated valuesLeakage minute volume (MVleak)

Max.2min

Max.2min

Positive end-expiratory pressure (PEEP)Peak inspiratory pressure (PIP)Mean airway pressure (Pmean)Minimum airway pressure (Pmin)Lower pressure level in APRV(Plow)End-inspiratory pressure for mandatory breaths (EIP)Upper pressure level in APRV(Phigh)Range-60 to 120 mbar (or hPa or cmH2O)

Minute volume measurement Expiratory minute volume(MVe)Inspiratory minute volume (MVi)Mandatory expiratory minute volume(MVemand)Spontaneous minute volume (MVspon)Minute volume(MV)Range 0 to 30 L/min BTPS

Tidal volume (VT)Inspiratory tidal volume of mandatory breaths (VTimand)Expiratory tidal volume of mandatory breaths (VTemand)Inspiratory tidal volume of spontaneous breaths (VTispon)Range 0 to 1000mL BTPS

Respiratory rate(RR)Mandatory respiratory rate(RRmand)Spontaneous respiratory rate RRsponRange 0 to 300/min

Inspiratory o2 concentration (etCO2)Range 18 to 100 Vol%

End- expiratory CO2 concentration (etCO2)Range 0 to 100 mmHg or 0 to 13.2 Vol%(at 1013 mbar(1013cmH2O)) or 0 to 13.2kPa

Range 0 to 30 L/min BTPS

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Spontaneous portio of minute volume in percent %(MVspon)

Compliance (C)Resistance (R)

Curve display

Alarm /MonitoringExpiratory minute volume (Mve)Airway pressure (paw)Insp. O2 concentration (FIO2)End-expiratory CO2 concentration(et CO2)Respiratory rate (RR)Volume monitoring (VT)Apnea alarm time (tapn)Disconnect alarm delay time (tdisconnect)Performance dataControl principleInspiratory flow (BTPS)Base flow, neonatesBase flow, padiatric patients

Operating dataMains power

0 to 100%

Range 0 to 650 mL/mbar (or mL/hPa or mL/cmH2)Range 0 to 1000 mbar/(L/s) (or hPa/(L/s)or hPa or cmH2O) flow (t) -40 to 40 L/minAirway pressure Paw (t)-30 to 100 mbar (or hpa or cmH2O ) flow (t) -40 to 40 L/minVolume V (t)2 to 300 mLCO2 (t) 0 to 100 mmHg or 0 to 13.2 Vol% (at 1013 mbar (1013 cmH2O)) or 0 to 13.3 kPa)

High/lowHigh/lowHigh/low (automatic)

High/low

High

Low (automatic)

5 to 60 second, off

0 to 60 second

Time-cycled, pressure-controlled, volume-constantMax.60 L/min

6 L/min

3 L/min

100 V to 240 V, 50/60Hz

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supplyCurrent consumption

Gas supplyO2 pressure Air pressure

At 230 V max. 0.8 A ventilation Unit with c500At 230 V max.1.4 A with GS 500At 230 V max.0.8 A with PS500At 230 V max.1.4 A with GS 500 and PS500At 100 V max. 1.8 A ventilation Unit with C500At 100 V max. 3.0 A with GS 500At 100 V max. 1.8 A with PS500At 100 V max. 3.0 A with GS 500 and PS500

2.7to 6.0 bar (or 270 to 600 kPa or 39 to 87psi)2.7to 6.0 bar (or 270 to 600 kPa or 39 to 87psi)

6 Pulse Oximeter Pulse Rate: 15 to 300 bpm% SpO2: 0 to 100%Perfusion: 0.1 to 20%

Saturation AccuracySaturation: 70 to 100 %Adults: ±2 digitsPediatrics: ±2 digitsPulse Rate AccuracyPulse Rate: 15 to 300 bpmAdults: ±3 digitsPediatrics: ±3 digitsResolutionSaturation (%SpO2): 1 %Pulse Rate: 1 bpmElectricalBatteryType: 1.5V Alkaine two “AA” size batteriesCapacity: up to 10 hoursPower supplyOutput  DC9VEnvironmentOperating Temperature: 5 ℃ to 40 ℃Storage Temperature: 20 ℃ to 70 ℃Operating Humidity: 5% to 95%Operation Altitude: -1,000 ft ~ 12,000 ft

Physical Characteristics

Weight: 113 g (without batteries)

Dimensions: 120(H) x 65(W) x 22(D) mm

Alarm The alarm will sound at the conditions of SpO2 limits and pulse rate limits, system

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failure and low battery.

Display/Indicators

Type: LCD Segment display with LCD.Displayed Data: SpO2, pulse rate, SpO2 limits, pulse rate limits, Battery status, signal bar, signal amplitude,

Perfusion index barOutput Interface Serial RS-232Trend Memory SpO2 and pulse rate (Up to 12 hours) and sampling rate per 10secs

7 Fibreoptic Paediatric Upper G.I Endoscope Not required.

8 Infusion Pump A Wide range of Flow Rate setting 0.1 – 99.9 ml/h in 0.1 m/h steps -100- 1500 ml/h in 1 ml/h steps

COMPATIBLE SYRINGS -10, 20, 30, 50/60, 100 ml more than 30 brands

AUDIO- VISUAL ALARMS Low battery, Very low battery Occlusion X min Pre- alarm [KVO] XX ml/h End of infusion Syringe Empty Illegal Syringe Plunger Not Flitted Clamp Opened Internet Error

SAFETY A physician updatable drug name library with up to 30 drug names

helps to decrease the potential for clinical errors Anti- bolus and anti-siphon functions increase patient safety 3 sensors ensure that syringe is correctly fitted as well as verifies

it’s size and plunger position Class II enables the use of pumps without the need to connect to a

protective ground in the hospital Lockable keypad prevents unauthorized access.

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Long life NiMH battery

FLEXIBILITY “Easy mode” allows fast start capability Wide range of infusion rates and units expands application area Use of 100 ml syringe reduce changeover time Titration allows changing of parameters without interruption of

infusion

APPLICATION ICU, CCU, NICU or Operation room for the infusion of chemicals

such as vasopressor drugs. Anti-cancer drugs, oxytocic, nutrition, drug for chemotherapy

medication and blood transfusion.

CUSTOMIZED OPERATION. Automatic/ manual purge. Purge rate programming. Calculation of concentration. Total volume display. Auto save, Drug name display. Titration, Standby. Keypad lock. Quiet mode. KVD function. Date and time display. Selectable infusion modes (continuous/ easy pump)

FLOW RATE RANGE0.1 to 99.9 ml/h (in 0.1 ml/h steps)100- 1500 ml/h (in 1 ml/h steps)VOLUME INFUSED0.1- 99999 mlVOLUME TO BE INFUSED (VTBII)0.1 ml-999 ml or unlimited volumeMECHNICAL ACCURACY+ 1%VOLUMETRIC ACCURACY WITH APPROVED SYRINGES+ 2% or + 0.1 ml/h [the greater of these Values)COMPATABLE SYRINGES [ml]10, 20, 30, 50/60, 100 ml more than 30 brandsPURGE/ BOLUS RATE0, 10~ 1500 ml/h in 1 ml/h stepsNote: Maximum infusion and Bolus rateSyringe 10ml: 450ml/hSyringe 20ml: 750ml/h

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Syringe 30ml: 950ml/hSyringe 50/60 ml and 100 ml: 1500ml/h

POWER SUPPLY220~ 230 VAC + 10% 50/60Hz, or 115 VAC [Optional] + 10%, 50/60 HzPOWER CONSUMPTION10 VA (max)BATTERY TYPEBuilt-in NiMH 9.6 V 1300 mAhBATTERY LIFE8 H @5 ml/h2 h @ 100ml/hBATTERY CHARGING TIMEUp to 24 hours to 100% chargeDISPLAY TYPE16 characters x 2 line LCD with back- lightPROTECTIONClass II, CF, IPX4CE 0120 markedCouncil Directive 93/42/EEC concerning medical devicesELECTRICAL safety and EMCEN 60601- [1,1-2,2-24]KEEP VEIN OPEN (KVO) RATE & VOLUME0.1 ml/h – 10 ml/h in 0.1 ml/h steps, 1% of the syringe volumeINTERFACERS232

9 Transport Incubators Physical attributes (without options)HeightWidth LengthWeight(1)

Distance from vertical hood to mattress

Standard featuresDouble wallSkin temperature probeO2 inlet Examination lamp2 access doors2 disposable infant restraint straps1 Iris port2 quirt touchtm port doors

TI500 TI with147 stand20 in(50.8cm) min-32 in(81.3cm)max-44in (111.8cm)

20.8 in (52.7cm) 22.3 in(56.5cm)37.8cm (95.9cm) 40.3 in(102 cm)108.5lbs (49.2kg) 159lbs (72kg)

Low hood 8.25 in(21cm) high hood 9.84 in (25cm)

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6 tubing portsLocking power control receptacles DC cable2D or 2E size tank mounts

Humidity pad(2)

Optical featuresAccessory self.IV pole , *high hood, *pressure regulator and flowmeter

General specificationsO2 concentration rangeHumidity capacity Noise level

Performance characteristicsTemperature set rangeTemperature rise time Temperature variabilityTemperature overshootTemperature uniformityCorrelation of display temperature to set point at temperature equilibrium

humidity pad

air filter

relative humidity

check calibration key

controller displayson/standby

battery condition status

The tank mount permits mounting gas cylinders with a diameter of up to 4.5 in(11.6 cm)and up to 34 in (85cm)in length

21% to 58% minimum50% to 70%<60 dBA(3)

22.0 ₒC -38 ₒC(71ₒF -100 ₒF)30 minutes

≤1.0 ₒC

≤2.0ₒC

≤1.0 ₒC

≤2.0ₒC in 10-20 ₒC ambient ≤1.5 ₒC in 20-

30ₒC ambient Holds 400 ml.(14oz)sterile distilled water

with no significant spillage for up to 45ₒ

tilt in either direction.Removes >99% of airbone particles greater than 0.5 micron diameter 50 to 70% for 10-12 hours using humidity pad

36.0ₒ± 0.1 ₒC

Illuminates when “on”

4 LED indication of battery charge condition 25-100%

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power mode heater power

baby temperature ₒC

air temperature ₒCset temperature

alarm indicators

battery specificationsincubator type

battery ratting

life expectancy

charge time

safety alarmshigh temperature

sensor (temperature)

heater temperature

power fail

air flowlow DC

silence/reset

Illuminates AC, DC or external DC4 LED indication of heater power; 25-100%Displays infant temperatureDisplays incubator air temperatureIlluminates when changing set temperature

High temp, power fail , sensor fault , heater temp , air flow , low DC

1 battery standard (2nd optional)Vented rechargeable , 12 Vdc, 24 AH gel-type battery (lead acid)Incubator maintains a differential of 25 ₒC(77ₒF) between ambient and set point for 90 minutes on 1 battery 0r 180min. on 2 batteries at full heater power

200 complete charge/discharge cycles minimum10 hours per battery from full discharge

Actuates if incubator air temp. >39±0.5ₒC

Actuates if sensor fails

Actuates if heater temp>77ₒC(170ₒF)

Actuates if AC fails and no DC power present , and activates if unit switches from AC to DC currentActuates if fan failureActuates if DC <10.5 Vdc Vdc , or external 28 Vdc falls below 25.5 Vdc nominal

Silences the audible portion of alarms for 5 minutes, except power fail. Resets sensor and high temp alarms after 100% conditions corrected. Resets intermittent power alert if unit switches from AC to DC current

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EnvironmentalStorage temperatureOperating range

Relative humidityOperating range

Electrical AC power requirements

DC power requirements

Observation lamp1 weight include one battery 2 humidity pad prevents spills3 in ambient of 50 dBa or less4 TI500 will maintain a differential of 25 ₒC (44ₒF) between ambient and set point for 90 minutes (one battery)or 3 hours (two batteries).At differentials <25ₒC (<77ₒF), the TI500 maintains temperature for longer periods

-40ₒC to 70 ₒC ambientSea level to 3 km(10,000 ft.) non pressurized environment . sea level to 12 km(40,000ft.)pressurized environment

0% to 95% RH, non-condensing

110/120V, 50/60/400 Hz – 220/240V, 50/60/400Hz

11/13 V,200 W(max) - 26-30 V, 200 W(max)

35 foot-candles – 4 inches above mattress 376 lux – 10cm above mattress

10 Neonatal Resuscitatire

Complete kit in a carry bag including:Infant Resuscitator Silicon Resuscitation Bag with infant face mask sizes 00 & 01 with non-

rebreathing valve with 40cm of H2O pressure release Fully auto-clavable. Reservoir Bag volume 250 ml 360° swiveling patient connector Resuscitation bag to be manually operable and able to be connected to an

oxygen source up to 100% for ventilation through a mask or an endotracheal tube.

To be able to connect to an oxygen source up to 100%. 1.5 mtr O2 tubingFoot Suction Compact, lightweight, easy to handle and operate durable rubber bellow long

lasting stainless spring to provide friction free pumping Completely auto-clavable polycarbonate vacuum jar with lid (400 ml capacity)

Scratch proof powder coated frameLaryngoscope Fiber-optic laryngoscope with stainless steel straight blades of size 0 & 1

with penlight handle Airways Silicone, auto-clavable & reusable in sizes 000, 00 & 0Oxygen Cylinder Portable Aluminium Oxygen Cylinder 1.5 lit complete with oxygen regulator

and tubing

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Complete kit is one carrying case11 Oxygen Analyzer Same as pulse oximeter.

12 Low Grade Suction Apparatus

1. Max Vacuum: ≥ 0.09MPa (680 mmHg)2. Adjustable Vacuum Range: 0.02MPa (150~680mmHg)3. Flow rate: ≥32L/min4. Noise: ≤60dB(A)5. Storage bottles: 2500ml x 26. Power Supply: AC 220V ± 10%, 50Hz

13 Neonatal Vital Signs Monitor

(6ch ECG, SpO2, NIBP, 2TEMP, Resp, 2IBP, ETCO2) Display for easy Viewing 10.4” Superior resolution color TFT LCD

Visible Pop-up menu for easy set-up User selective up to 8 channels of waveform can be displayed on the screen simultaneously.

Modular design with plug-and-play technology. Comfortable handle for ease of transportation.

Advantage for high-end user 6ch ECG, SpO2, NIBP, 2-IBP, 2-TEMP, and Respiration EtCO2 (Sidestream type) Full (24 kinds) Arrhythmias analysis S-T segment Pacemaker detection (120) hours tabular and graphic trend Save up to (100) Event management (15 (8s, 16s or 32s) sec Arrhythmia ECG wave recall) Fast set-up time VGA (Analogue and USB) signal output to external monitor Main Option Sidestream EtCO2 with basic acc IBP cable and sensor kit Oximeter available (Nellcor) Central Monitoring system Graphic & tabular trend Up to (120) hours of graphic and tabular trend of all parameters, (a set per minute) of vital signs list data can be stored and reviewed Specifications: PERFORMANCE: ECG: Channel: (6) channels Electrode: 3 or (6) electrode Heart rate: (15) ~ 300 bpm Respiration Respiration rate: 2~150 bpm SPO 2

Range: 0 ~ 100% Neonate ±3% for readings 70~100%

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Unspecified 0~49% NIBP Measurement range: 0 ~ 300mmHg Auto deflation pressure: Adult: 300mmHg Neonate: 150mmHg Measurement time: max40 sec. Automatic/ STAT Mode IBP Measurement range: -50~300mmHg Temperature: Sensor: Temp sensor GENERAL: Display Display: (10.4 Inches) Color TFT LCD Alarm Alarm: All parameters on/off selective independently Alarm silence: 30 sec. Power input 100 ~ 240Vac, 50/60Hz Battery 12V 2.4Ah Operating time: (4hr) EtCO2

Measurement range: 0~99mmHg Respiration range: 0~150 bpm Accuracy: ±2mmHg, 0~38mmHg ±5%, 39~99mmHg Sampling rate: 50ml/min Initialization time: 30 seconds(typical), reaches+/-5% ACCESSORIES: ECG (5)Lead Wire, AHA

1ECG (3)Lead Extension cable CANDLE AHA 1Disposable & reusable Electrodes Adult, Neonatal and Peads

10 eachSPO2 Finger sensor (Nellcor type)

1SPO2 Extension cable CAbLE (Nellcor type)

1NIBP Reusable ADULT NEONATAL PEADS CUFF

1Hose

1AC power code

1Ground cable

1

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Operation Manual 1

ETCO2(Sidestream with basic acc)1

IBP Cable1

14 Resuscitator ,Infant/Child, manual Not required

15Suction machine, dual operation with tubes.

1. Max vacuum: ≥ 0.09MPa (680mmHg) 2. Adjustable vacuum range : 0.02MPa ~0.09Mpa 3. Flow rate :≥80 L/min 4. Noise: ≤60dB(A) 5. Jar: 4000mL ×26. Power supply: ~220V ± 10 % 50HZ7. Input power : 280VA8. G. W : 29kg N.W:25.5kg9. Dim: 49 cm ×39 ×94cm10. Suction Tube Autoclavable 1 Meter. 11. Change Over Switch

16 Otoscope ,with infant diagnostic head

Diagnostic Set Battery Handle with chargeable batteries Charging holder with the transformer Otoscope head with halogen bulb One each reusable ear speculum sizes: 2, 3, 4 and 5mm Five each disposable ear specula 2.5 and 4.0 mm One magnifying glass for operation 2.5

With spare bulb

17 Forceps,splinter/repilation,spring type

For all instruments made of stainless steel. All die made with hidden joints and leak proof. Manufacturer’s mark must be indicated on all instruments

18 Speculum,nasal,child size

For all instruments made of stainless steel. All die made with hidden joints and leak proof. Manufacturer’s mark must be indicated on all instruments

19 Scale infant

Scales to be highly accurate and stable. Touch controls with splash proof keyboard. The baby weighing pan to removable. Automatic hold, slow and tare controls to be standard. Capacity: 30Kg x 5 gm. To have a baby measuring rod.

20 Height measuring unit,infant

Baby Height Measuring Board for children upto 2 years age Smooth and precise easy glide foot piece for accuracy of measurements, Headpiece to be perpendicular to base with cut-out handle for increase

mobility. Measuring Range: 21 to 99 cm Graduations 1 mm

21 Thermometer,armpit Glass mercury type clinical thermometer graduated in centigrade and Fahrenheit

22 Neonatal incubator Physical attributes (without options /accessories)HeightWidth

132.6cm to152.7cm(52.2 in to60.1 in)104cm(41in)

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DepthWeight(without options/accessories)Hood specificationStandard hood includes:

Access panel opening heightMattress tray sizeMattress to hood height Soft bed mattress sizeMattress tiltVariable height specificationCastersStorage volumeDoor closing mechanismOpening angle of the doorsVariable height stand accessories

Controller systemAlgorithm type of the servo control system

Controller with LCDSelectable color combinations

RS-232 outputKeypad lock

Temperature control modesTemperature control modesAir mode control temperature range

Air mode control override temperature rangeSkin mode control temperature rangeSkin mode control override temperature rangeDual-skin temperature monitoring

Trend parameter24- hour trend

75cm(29.5in)93kg(205lb)± 3%

Front and rear access panel 6 access ports3 left and 3 right tubing grommets – front2 left and 2 right tubing grommets – rear28.0cm(11in)40.6*81cm(16*32in)41.2cm(16.25in)40cm*76cm*2.3cm(15.7in*29.9in*0.9in)±12ₒ(±1ₒ), continuously variable

4 dual wheel casters,12.7cm(5in)all with fraction brakeApprox. 80 ISoft –stop hinges>90ₒ

Gas tank mountShelfIV pole

PID(proportional differential integral)control algorithm

With brightness controlWhite on blue background(default)or yellow on black backgroundYesyes

skin and air temperature control mode20.0ₒc(68.0ₒF)to 37.0ₒc(98.6ₒF)

37..0ₒc(98.6ₒF)to 39.0ₒc(102.2ₒF)

34.0.0ₒc(93.2ₒF)to 37.0ₒc(98.6ₒF)

37.0ₒc(98.6ₒF)to 38.0ₒc(100.4ₒF)

Yes

Air temperature Skin temperature (1 and 2)Relative humidity Oxygen concentrationHeater power

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7- day trendPerformanceAir flow velocity across mattressTemperature rise time at 22ₒc(72ₒF)ambientTemperature variabilityTemperature overshootTemperature uniformity with a level mattressCorrelation of the indicated air temperature to the actual incubator temperature (after the incubator temperature equilibrium is reached)Operating noese level in hoodServo control oxygenCarbon dioxide (co2)level (perEN0601-2-19)

Micro air intake filter

Particle size removal

Servo humidity optionHumidity control rangeHumidity control operating time without refillingHumidity control reservoir capacityHumidity display accuracy

Servo oxygen optionOxygen control range

Oxygen control accuracy of full scaleOxygen display accuracy (100% calibration)Oxygen display accuracy(21% calibration)

Oxygen display resolution

Scale optionWeight range Weight display resolutionWeight accuracy

Device classification

Weight gain and loss

<10cm/sec<35min

<0.5ₒc<0.5ₒc maximum<0.8ₒc

<0.8ₒc

<47dBA(without servo oxygen control)

<0.5%

99.9% efficiency

0.3 micron

30%to 95%in 1% increments24 hours maximum@85%RH and 36ₒc,in air mode1,600ml±6%RH(between 10 %and 90% at 20ₒc(68ₒF)to 40ₒc(104ₒF)

21%to 65%

±2%

±3%

±5%

1%

0(0lb) to 7 kg (15.4lb) 1%1 g or 1 oz (OIML=10 g or 1 oz)2 g ±1/2digit up to 2 kg (OIML=10 G)5 G ±1/2 Digit over 2 kg

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Protection class

Ingress of liquids

Class I, type BF , continuous operation, not APIPXO

23 Oxygen Cylinder Large size

24 Ambu bags i. Infant size

ii. Medium sizeiii. Different size

25 Nasal Cpap

Mode NCPAP Nasal CPAPNCPAP + Apnea Breath rate monitoring, featuring Apnea alarm function Biphasic Intermittent mandatory ventilationBiphasic + Apnea Intermittent mandatory ventilation, Breath rate monitoring, Apnea alarm functionBiPhasic tr Synchronized mandatory ventilation: Breath rate monitoring, Apnea alarm and Apnea backup functionSet parameterInspiratory time(T-high) 0.1 to 3 secRate(Rate/Ra) 1 to 120 bpmApnea interval(T apnea) 10 to 30 seconds, 5 second intervalsNCPAP/Pressure low flow meter 0 to 15 L/min Accuracy: ±15% of selected outputPressure high flow meter 0 to 5 L/min Accuracy: ±15% of selected outputManual breath Every breath, depends on selected output of T-high(Inspiratory time)% O2 21 –100%AlarmAirway over-pressure limit alarm Maximum 11cmH2O Maximum 15cmH2O during BiPhasic tr modeHigh airway pressure alarm Activates when pressure reaches 3cmH2O above set airway pressureLow airway pressure alarm Activates if pressure falls 2cmH2O below set airway pressure or at pressure less than 1.5cmH2OHigh/Low % O2 alarm Activates at ±5% of the set ratio. Lower limit: 18%, Upper limit: 104%No breath rate(Apnea) alarmLow battery charge alarmFlat battery charge alarmSupply gases failure alarm

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Government of Khyber PakhtunkhwaHealth Department

DETAILED SPECIFICATIONS

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For

BIO-MEDICAL EQUIPMENTS, INSTRUMENTS, GLASS WARE AND OTHER GENERAL ITEMS FOR DEPARTMENT OF PAEDIATRIC

SURGERY

March 2017

EQUIPMENTS REQUIRED FOR PAEDIATRIC SURGERYPAEDIATRIC LAPAROSCOPE SPECIFICATION

Pediatric Laparoscopy instruments with full HD endovision system latest model

Pediatric Laparoscopy hand instruments set Autoclave able.S.NO NAME OF

ITEMSSPECIFICATION Qty

1 Telescope 0 0 degree Telescope diameter 3.3mm length 25cm or better

02

2 Telescope 30 30 degree Telescope diameter 3.3mm length 25cm or better

01

3 Telescope 0 0 degree Telescope diameter 5mm length 24cm or better 014 Telescope 30 30 degree Telescope diameter 5mm length 24 cm or

better01

5 Trocar 3.9 Trocar 3.9mm length 5cm with valve and cannula 046 Trocar 5 Trocar 5mm length 5cm with valve and cannula 037 Trocar 10 Trocar 10mm length 8cm with valve and cannula 018 Reducer External Reducer 5/3 019 Reducer External Reducer 10/5 0110 Veress needle Veress needle 2mm, length 6cm or better 0211 Grasping forcep Marry land grasper 3.5mm, length 20 cm or better 0112 Grasping forcep Right Angel grasper 3.5mm, length 20cm or better 0113 Grasping forcep Johan grasper 3.5mm, length 20cm or better 01

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14 Grasping forcep Gallblader holding forcep 3.5mm, length 20cm 0115 Grasping forcep Bowel grasper 3.5mm, length 20cm or better 0116 Grasping forcep Babcock grasper 3.5mm, length 20cm or better 0117 Grasping forcep Large bowel grasper 3.5mm, length 20cm or better 0118 Grasping forcep Grasper strong 3.5mm , length 20cm 0119 Grasping forcep Non crushing grasper 5mm, 30cm or better 0120 Grasping forcep Johan grasper 5mm, 30cm or better 0121 Marry land Marry land forcep 5mm, 30cm or better 0122 Grasping forcep Right Angel grasping forcep 5mm, 30cm or better 0123 Grasping forcep Gall bladder holding forcep 5mm, 30cm or better 0124 Grasping forcep Tooth Grasper 5mm, 30cm or better 0125 Grasping forcep Johan forcep 5mm , 30cm or better 0126 Grasping forcep Babcock grasper 5mm, 30cm or better 127 Grasping forcep Large babcock 5mm, 30cm or better 128 Grasping forcep Claw forcep 5mm, 30cm or better 129 Grasping forcep Tooth grasper 5mm, 30cm or better 130 Grasping forcep Spoon grasper 5mm, 30cm or better 131 Grasping forcep Bowel grasper large 5mm, 30cm or better 132 Grasping forcep Bowel grasper short 5mm, 30cm or better 133 Scissor cvd Curved scissor 3.5mm, 20cm or better 234 Hook scissor Hook scissor 3.5mm, 20cm or better 235 Scissor cvd Curved scissor 5mm, 30cm or better 236 Hook scissor Hook scissor 5mm, 30cm or better 237 L-electrode Electrode L type 3.5mm ,20cm or better 238 L-electrode Electrode L type 5mm, 30cm or better 239 Diathermy lead Diathermy/caurty lead 440 Retractor Fan retractor 3.5mm, 20cm or better 141 Retractor Fan retractor 5mm, 35mm or better 142 Needle holder Needle holder 3.5mm, 20cm or better 143 Needle holder Needle holder 3.5mm, 20cm or better 144 Needle holder Needle holder 5mm, 32cm or better 145 Knot passer Knot passer 3.5mm, 20 cm or better 146 Knot passer Knot passer 5mm, 30cm or better 147 Suture needle Suture needle 2.7mm, 16cm or better 148 Clip ligature Clip applicator 10mm, 35cm or better 149 Suction tube Suction tube with two way stop cock 3.5mm, 20cm 150 Suction tube Suction tube with two ways stop cock 5mm,30cm 151 Needle Injection needle 3.5mm, 1.5mm, 29cm 152 Needle Injection needle 5mm,1.5mm, 36cm 153 Telescope Box Telescope sterilization box for telescopes 254 Instruments box Instruments sterilization box for instruments 2

Instruments spray 2Instruments cleaning brush set. 2

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1- CAMERA HEAD 3 chip FULL HD CAMERA HEAD FOR MODULAR HD CAMERA SYSTEM

1 CAMERA SENSOR 3 chip ccd2 Resolution 1920X1080 p (FULLHD)3 Scan mode , Ratio Progressive,16:9

4 camera head buttons 2 to 3 programmable buttons with 5 to 6 functions in icon form 5 Integrated Par focal

ZoomOptical Zooming and focusing through individual couplers f=15-31mm(2x optical par focal zoom)

7 Weight Less than 250g8 Minimum light

intensity1.17 lux (f=1.4mm)

9 Integrated Control Should be able to control complete cameras system i.e. light source, endoflator, Video Capturing, Still images. Through camera head.

10 integrated, innovative visualization technology

At least 4 different image enhancement for better visualization in surgery

11 Cleaning/Sterilization Sterrad® 100S, NX 100NX, Steris® System1, V-Pro1, ETO-Gas Sterilization

2- MAIN PROCESSOR FULL HD VIDEO PROCESSING WITH INTEGRATED DOCUMENTATION SYSTEM, COMPATIABLE FOR 3 MODULES

1 Video output connections

2x dVI-D , 1x3G-SDI, 3x inputs for compatible camera modules, LAN Connection

2 USB Recording 4x USB Connection for video recording and stills3 Resolution 1920x1080P4 Power supply 100-120VAC, 50/60Hz, 200-2014VAC 50/60HZ5 Certification IEC601-1, 601-2-18, CSA 22.2 No. 601, UL2601-1 and CE

acc. to MDD,6 Special Display Parallel live display of visualization modes besides white light

mode (picture-in-picture) with 3 display settings7 3D Compatibility Should be able to upgrade in 3D Camera system.8 Modularity Compatible Up to three camera modules can be connected to

Video processing module 9 Integrated PIP Primary and secondary camera signals display through PIP in

3 different sizes in full HD mode simultaneously 10 Video Capturing Via USB in Full HD quality (MPEG4)

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13 White balancing Can be perform through button on video processing module15 Orientation

/teaching featuresAt least 2 selections during procedure: 1- grid. 2- pointer

16 Integrated control Parameters can be adjust during surgery 17 Brightness and

fiberscope filters Integrated digital imaging processing module for a 4 level brightness regulation and 2 electronic anti-moirée filters for fiberscope’s

3- CAMERA HEAD PROCESSOR Digital FULL HD camera module for use with Three-Chip-FULL-HD camera Head

1 Camera Input 1 x three-chip-FULL HD camera head.2 Resolution 1920x10804 Power supply 100 - 120 VAC, 50/60 Hz, 200 - 240 VAC, 50/60 Hz.5 Certified to: IEC601-1, 601-2-18, CSA 22.2 No. 601, UL2601-1 and

CE according to MDD, protection class 1/CF defib.

4- INTIGRATED/DEVICE RECORDING SYSTEM 1 Device type In built/External Device2 Still Images FULL HD Quality (JPEG) 3 Video Capturing Full HD quality (MPEG4)4 Patient record Up to 50 patients data record facility5 Data Storage 32GB USB External

OR Internal Storage 32GB or better

6 Printer compatibility Device or system should have compatibility for medical grade printer

7 System compatibility Device or Integrated system should be from same manufacture

LED LIGHT SOURCE UNIT

1 Lamp type High Performance LED2 Color Tempurature 6400K

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3 Lamp Out let 14 Control Knob or Buttons6 Fiber optic light cable From same manufacture. Fiber Optic Light Cable for

laparoscopy qty 02

26 inches full HD monitor from same manufacture

1 Max. screen resolution 1920 x 10802 Image Format 16:93 Video Signal Input DVI, VGA, S-Video, Composite 4 Video Signal Output DVI, S-Video, Composite5 Power Supply 12 to 24V External Power Supply6- Monitor quality From same manufacture

5- 20 Liter Endoflator with automatic control from same manufacture 6- Laparoscopy trolley best quality local made.

PAEDIATRIC SIGMOIDOSCOPE SPECIFICATIONPAEDIATRIC SIGMOIDOSCOPE

S.NO

NAME OF THE ITEM

SPECIFICATION

1 Angulation Angulation Range Up 180Angulation Range Right 160

12 Insertion Tube Insertion Tube Diameter 13.3 mm

Instrument Channel Diameter 3.7 mm

Working Length 73 cm

Total Length 103 cm

3 Optical System Field of View 140Direction of View ForwardDepth of Field 5-100 mm

PAEDIATRIC PROCTOSCOPE SPECIFICATIONS.NO NAME OF THE

ITEMSPECIFICATION QYT

1 PROCTOSCOPE Proctoscope of size ranging from 145mmto 225mm , and diameter of 22mm

2

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PAEDIATRIC SYSTOSCOPE SPECIFICATIONS.NO SPECIFICATION QYT1 0° 2.7 mm Panoview Plus® endoscope 8672.421

30° 2.7 mm Panoview Plus® endoscope 8672.42270° 2.7 mm Panoview Plus® endoscope 8672.42511 Fr. sheath and obturator, examination only 8672.014112 Fr. sheath and obturator, 1 x 4 Fr. cap. 8672.024112 Fr. sheath, oblique tip, and obturator,1 x 4 Fr.cap. 8672.824113 Fr. sheath and obturator, 1 x 5 or 2 x 4 Fr. cap. 8672.0341

1

PAEDIATRIC Cleft Lip and Palate SPECIFICATIONS.NO NAME OF THE

ITEMSPECIFICATION (Each 2)

1 Cleft Palate Hook Author: BlocksmaDescription: Cleft Palate HookLength: 18 cm - 7 1/8”Characteristics: curved shankTip / Working End: sharp, one prong

2 Cleft Palate Hook Author: BlocksmaDescription: Cleft Palate HookLength: 18 cm - 7 1/8”Characteristics: curved shankDiameter: Ø 3,0 mmTip / Working End: sharp, one prong

3 Cleft Palate Raspatory

Description: Cleft Palate RaspatoryLength: 14 cm - 5 1/2”Characteristics: curved shankTip / Working End: leftNumber / Size: # 1

4 Cleft Palate Raspatory

Description: Cleft Palate RaspatoryLength: 14 cm - 5 1/2”Characteristics: curved shankTip / Working End: rightNumber / Size: # 2

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5 Cleft Palate Raspatory

Author: KahreDescription: Cleft Palate RaspatoryLength: 17 cm - 6 3/4”Characteristics:

double-ended

6 Cleft Palate Raspatory

Author: McIndoeDescription: Cleft Palate RaspatoryLength: 16.5 cm - 6 1/2”Characteristics: double-ended, littleTip / Working End: 3.0 x 3.5 mm

7 Cleft Palate Raspatory

Author: WangDescription: Cleft Palate RaspatoryLength: 18 cm - 7 1/8"Characteristics:

right

8 Cleft Palate Raspatory

Author: WangDescription: Cleft Palate RaspatoryLength: 18 cm - 7 1/8"Characteristics:

left

9 Cleft Palate Raspatory

Author: WangDescription: Cleft Palate RaspatoryLength: 18 cm - 7 1/8"Characteristics:

left, angled

10 Cleft Palate Raspatory

Author: WangDescription: Cleft Palate RaspatoryLength: 18 cm - 7 1/8"Characteristics:

left, angled

11 Cleft Palate Raspatory

Author: WangDescription: Cleft Palate RaspatoryLength: 15.5 cm - 6 1/8"Characteristics:

straight

12 Retractor Description: Muco-Periosteal Retractor for Cleft Palate Surgery and for use in

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OsteosynthesisLength: 19 cm - 7 1/2"Characteristics:

curved

13 Retractor Description: Muco-Periosteal Retractor for Cleft Palate Surgery and for use in Osteosynthesis

Length: 19 cm - 7 1/2"Characteristics:

curved

14 Retractor Description: Versatile Cleft Palate Muco-Periosteal Retractor (Mucoperiost retractor)

Length: 19 cm - 7 1/2"Characteristics:

Curved

15 Dingman mouth gag With smaller, medium and large blade

ANORECTAL INSTRUMENTS SPECIFICATIONS.NO NAME OF THE ITEM SPECIFICATION (Each 1)1 Pratt rectal speculum 21.6cm long, blades 8.9cm long X 2.5cm

wide at distal end2 SIMS Rectal Speculum 15.2cm long, fenestrated blades 8.9cmlong

X 1.6cm wide at distal end3 BODENHAMMER Rectal

speculum15.2cm long with set screw blades 8.9cmlong X 1.9cm wide at distal end

4 BARR Anal Retractor 20.3cm, self-retaining blades 7cm X 2.2 cm5 COOK Rectal Retractor 20.3cm, triple bladed self-retaining 10.2cm

deep blades, lower blade 1.3cm wide6 PENNINGTON Rectal

Speculum8.6cm long X 2.5cm , with boillabeobturator, 12.1cm long handle, chrome

7 HIRSCHMAN Anoscope Small size , 5.7cm long X 1.4cm8 KELLY Sphincteroscope 5.4cm long X 2.5cm , tapering to 2.1cm9 Biopsy Forceps 22.9cm shaft/33cm shaft, 3.5 X 10mm bite

with basket10 Rectal Cotton Carrier 38.1cm shaft with spring action11 Rectal Biopsy Forceps with

piston GripPistol Grip Spring Handle , 25.4cm shaft,straight 3.5 X 10mm bite jaws

12 Hagar dilator (QYT 4) Complete set starting from size 3mm to 18mm13 Anal sphincter stimulator Electric muscles stimulator with fine electrode

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EQUIPMENT FOR PEDIATRIC GENERAL ANESTHESIA

S.No

Name of item

Specification QYT

1 Umbobag Bag volume Pediatric 635ml Neonate 220ml Dimension Peads 234x99mm Neonate 165x70mm Weight Peads 230g Neonate 112g

2

2 Laryngoscope Miller sizes 0, 1, 2, 3, and 4.Macintosh sizes 1, 2, 3, and 4.

22

3 Air way Set Sizes 000, 00, 0, 1, 2, 3. 2

EQUIPMENT FOR HYPOSPADIAS

S.No Name of item Specification QYT

1 Needle Holder Spring needle Holder with soft grip and lock to aid in 6.0 & 7.0 sutures for urethroplasty

2

2 Needle Holder Needle Holder with Tc tip for 4.0 & 5.0 sutures for stay sutures 2

3 Scissors Spring scissors with curve for onlay urethroplasty 24 Scissors Small reynold scissors to trim flap and prepucial skin. 2

5 Scissors Small metzenbaum scissors to trim flap and prepucial skin for degloing the penis and cutting the delicate structures

2

6 Toothed forceps

Micro toothed forceps to provide firm atraumatic grip on urethal and glans tissues.

2

7 Fine toothed forceps

Adson toothed forceps for prepucial skin 2

8 Skin Hooks 02 fine skin hooks 2

9 Small artery forceps

Micro mosquito forceps to catch fine sutures and tissues flaps 10

10 Knife Handle Small and medium size 2

Basic Pediatric surgical instrument set:S# Name Specifications Size Qty.1 Scalpel Handle #3 12 Iris Scissors Straight Sharp/Sharp 4-1/2" 13 Metzenbaum Dissecting Scissors Curved 6" 14 Metzenbaum Dissecting Scissors Delicate Straight 6" 1

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5 Metzenbaum Scissors Delicate Curved 6" 16 Micro Mosquito Forceps Straight Delicate 4-3/4" 67 Micro Mosquito Forceps Curved Delicate 4-3/4" 68 Crile Forceps Curved Delicate 5-1/2" 49 Rochester-Ochsner Forceps Pediatric Straight 1x2 Teeth 5-1/2" 410 Rochester-Ochsner Forceps Pediatric Curved 1x2 Teeth 5-1/2" 411 Baby Mixter Scissors Curved Partial Serrations 5" 212 Baby Mixter Scissors Curved Partial Serrations 7" 213 Backhaus Towel Clamp 3-1/2" 614 Ballenger Sponge Forceps Straight Serrated 7" 415 TC Ryder Needle Holder Micro-Serrated Tungsten Carbide 6" 116 Tissue Forceps 1x2 Teeth 5" 217 Dressing Forceps Delicate Serrated 5" 118 Tissue Forceps Delicate 1x2 Teeth 5-1/2" 219 Tuttle Forceps Light Pattern 7" 120 Allis Tissue Forceps 5x6 Teeth 6" 221 Allis Tissue Forceps Delicate 4x5 Teeth 5-1/2" 222 Babcock Forceps 5-1/2" 223 Benson Pylorus Separator 5-3/4" 124 Payr Pylorus Clamp Light 5-3/4" 125 Probe Double End 5" 226 Poole Suction Tube 16 French 7-3/4" 127 Tracheal Retractor Blunt Three Prong 6-1/2" 228 Roux Retractor Double End Small 5-1/2" 229 Langenbeck Retractor Small 3/8" x 1 1/8" Blade 9" 230 Langenbeck Retractor Large 5/8" x 1 1/4" Blade 9" 231 Deaver Retractor 5/8" x 8" 132 Zalkind Ribbon Retractor Malleable 1" x 7" 233 Weitlaner-Beckman Retractor Sharp 6-1/2" 134 Balfour Retractor Pediatric 1 1/4" Deep 4" Spread 1

OTHER EQUIPMENTSS.NO NAME OF

EQUIPMENTS/ITEMSSPECIFICATIONS

1 Weighing scales for neonates and children

Scales to be highly accurate and stable Touch controls with splash proof

keyboard The baby weighing pan to removable Automatic hold, slow and tare control to

be standard Capacity 30kg …5Gm To have a baby measuring rod

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2 Height/length measuring scale

Scale to have low level platform finished with non-slip cover, steel yard arm to be waist highCapacity 200kg into 100Gm. Imperial and metric height measure to be fitted to the machine.

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Government of Khyber PakhtunkhwaHealth Department

DETAILED SPECIFICATIONSFor

BIO-MEDICAL EQUIPMENTS, INSTRUMENTS, GLASS WARE AND OTHER GENERAL ITEMS FOR DEPARTMENT OF

PULMONOLOGY

March 2017

S# Name of items Specification QYT1 Flexible video

bronchoscopeVideo Bronchoscope, color system PAL, including mounted Suction Unit 11900 AE,deflection of distal tip 180  /100  ,direction of view , 0angle of view 120deflection up 180down 100dept of view 3-50mmworking length 61cm

1

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outer diameter 6.2mmConsisting of:11900 BP Video Bronchoscope, PAL27677 KV Case11001 KL Biopsy Forceps, diameter 1.8 mm, working length 120 cm27651 B Cleaning Brush, flexible, length 100 cm13991 DA Sealing Cap, for working channel, package of 1013272 Mouthpiece11025 XE Pressure Compensation Cap, ETO cap20213070 Video Connecting Cable13242 LX Leakage Tester27656 B Instrument Oil, 50 ml13990 SFN Protective Film11900 RA Irrigation Tube, for cleaning

2 TELEPACK X LED ENDOSCOPIC VIDEO UNIT

TELE PACK X LED, endoscopic video unit for use with all TELECAMone-chip camera heads and video endoscopes, including LED light source similar to Xenontechnology, with integrated digital Image Processing Module, 15" LCD TFT monitorwith LED backlight, USB/SD memory module, color systems PAL/NTSC,power supply 100 - 240 VAC, 50/60 Hz,Including:20040240US USB Silicone Keyboard, with touchpad, US character set20040282 USB Flash Drive, 32 GBTP001 SD-Card, 32 GB400 F Mains Cord, length 300 cmLight Adaptor for Video Endoscopes, for TELE PACK X in combination withBronchoscopes 11900 BP/BN.

3 BIPAP machine GENERAL SYSTEMPressure Range EPAP

4----30 cmH2OIPAP

4----25 cmH2OCPAP

4----20cmH20Dimensions 18cmL*14 cmW*10cm HStarting Ramp 4 to EPAP

2

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Breath Rate 0 ----30 Breaths/minFlex pressure Relief 0 ---- 30 s-modeRamp time 0 ----45 minWeight without humidifier 3 kgOn-board Data storage Capacity Upto 3 monFilters Foam and optional ultra-fineElectrical Requirements 100----240(50/60)

VAC(Hz)Device setup LCD/Control wheel/push buttonCompliance meter breathing detectionAltitude compensation AutomaticHumidification Integrates with system

4 Pulmonary functions tests machine

Flow sensor: Bi-directional digital turbine Flow range: ±16L/s Volume accuracy: ±3% or 50mL, whichever is greater Flow accuracy: ±5% or 200mL/s, whichever is greater Dynamic resistance: <0.5cmH2O/L/s (at 12L/s) Temperature sensor: Semiconductor (0-45°C) SpO2 range: 0-99% SpO2 accuracy: ±2% (70-99% SpO2) Heart rate range: 30-254BPM Heart rate accuracy: ±2BPM or 2%, whichever is greaterCentral unitDisplay: LCD Backlit Touch screen Resolution: 128x64 pixels Power supply: Lithium ion 3.7V, 1100mA rechargeable battery Data transmission: USB 2.0 On-The-Go and Bluetooth® 2.1 Accelerometer: Triaxial ± 2g, 400Hz sampling Dimensions: central unit: 101x48x16mm

1

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removable turbine head: 46x47x24mm, Weight: central unit: 99g removable turbine head: 17g Battery charger 100VAC - 240VAC, 50Hz-60Hz output (optional): 5VDC, 500mA, micro USB type B

5 ABRAMS NEEDLES

 Reusable pleural biopsy punch with obdurator. This punch has three parts. The outer part has a short trocar point, with an aperture at the side just behind the point. The mount for this part has a small knob fitted to indicate the position of the aperture. There is a helical groove in the mount. The inner part has a close fitting, sharp edged punch at the distal end. A pin on the mount engages with the groove on the outer part. A spring on the outer mount engages with this pin to latch the punch at either end of its travel.  A blunt obdurator is supplied to eject the biopsy after the punch has been withdrawn from the trocar. The punch and trocar are matched parts and the hexagonal mounts are marked as pairs. Rotating the inner punch causes it to advance as it turns. This creates a cutting action at the tip of the punch.

5

6 NEBOLIZER Portable, compressor driven nebulizer pump Easy to operate and sturdy design for use in demanding environment Cup capacity: min 3 ml to max 10 ml Nebulization, approx: 0.3 to 0.8 ml/min Residual volume: max 2 ml Flow delivery range (under load): 0.5 to max 10 L/min Mass median aerodynamic diameter of particles (MMAD): 0.5 to 4 um Operating temperature range: +5 to +50 C Operating relative humidity range: up to 65 % Compressor requires no maintenance and delivers oil-free flow Device, with carry handle, is provided with accessory storage compartment Power supply: 220 V / 50 Hz Power consumption, approx: 80 W Supplied with: 1 x Nebulizer atomizer body piece (dome) 1 x Reusable mouth piece, size pediatric (fitting atomizer body piece) 1 x Reusable mouth piece, size adult (fitting atomizer body piece) 2 x Air tubing, diameter approx 9 mm (inner diameter 6 mm), length approx 1 m 2 x Dosage cup 1 x Reusable mask, size pediatric 1 x Reusable mask, size adult 5 x Spare inlet filters 5 x Spare particle filters 1 x Set of spare

4

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fuses List of accessories / parts. Accessories/Spare parts/Consumable: Flexible tubing, mouth pieces, masks, filters, fuses

7 Autoclave (small) Stainless steel, gas and electric, 15 liters, single drum 1