STANDARD LIST OF MEDICAL EQUIPMENT & THEIR TS

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HSMP ArmeniaEquipment & Furniture ComponentHPIU: HHSTANDARD LIST OF MEDICAL EQUIPMENT & THEIR TSItemNoNameQuantityTechnical Specifications and StandardsProcessing machine for X-ray films from 13x18 cm. 18x24 cm.24x30cm.30x40cm.35.6x35.6 cm. 35x43cm.Capacity at least 60 films per hour12X-Ray Film processortabletop1X-ray Film Viewer813X-Ray Unit Universalequipment specifications[1].docStandard Equipment: Processor set of 3 replenish bottlesAccessories: Water supply connection with shut-off valve , Filter , Light-tightcover , Processor standAutomatic stand-by mode.Automatic film detectionPower Requirements :220 VAC 10 % 50 Hz .X-ray Film Illuminator (Viewer) . 2 Fields . Wall-MountDiffuse, uniform, flicker free illuminationTransparent Spring-loaded film Retainers shall grip lightly and firmly withoutobscuring top edge detailsScreen shall be recessed into the cabinet to help keep the interior dust free andeliminate side light spillThe film retainers shall always operate effectively maintaining an even pressureacross the full width of the illuminator.Direct Starting , Luminous Source : DaylightCommand and Control on Front Side.Bipolar Switch with Pilot lampWall Fixations shall be provided for . Cord , Local PlugPower Supply : 220V/50HzCE;EC MarkedUS FDA;ISO certificationUniversal, Remote controlled Universal UnitProcessor controlled, Mixed Cassette’s Radiography and Digital Fluoroscopyscreening System.Overhead Tube on the freely moving Tube Arm without floor mounted column.The System to be suitable for Standard Skeletal and Radiographic Examinations,Including Lateral Exposures and Oblique Beam ProjectionsFully Automatic Under Table Spot Film Device for Cassette Radiography withExtensive Range of Cassettes, Grids and Attachments for Image Intensifier.Free Cassette Exposures on Table, Floor, Wheelchair or Gurney.Table.Tilt: Motor Driven, 90º to -15º, automatic stop in horizontal positionHeight: approximately 85 cm.Tabletop Outside Dimensions: length approximately 200cm,Width approximately80cmRadiolucent: not less than 190cm x 55cm.Longitudinal Travel: Motor Driven, at least 160 cmTransverse Travel: at least 20 cmPatient Weight: at least 200 kg.Tube Assembly.Max. exposure voltage : 150 kVAnode heat dissipation rate at least 30 kW for small focus and 60 kW for largefocusAnode heat storage capacity at least 500 kHUDual focus 0.6 mm and 1 mmComplete filtration W 2.5 mm AlFocus-Film Distance (SID) Fixed Variable : 115cm / 150cm. 115cm and 150cmmust be set by Motor Driven with Adjustment SpeedOblique Projections: max.-40º- 40º ( SID 115cm.) and -35º- 35º (SID 150cm),Automatic Parallax Compensation Between Cassette and Image Intensifier InputScreen in Central Ray.16/03/2011page 1 of 27

HSMP ArmeniaEquipment & Furniture ComponentHPIU: HHTube Assembly Swivel: Manually in the Range 90º to -90º with Stops max. every10º and -90º to 180º with stops max. every 30º.Spot Film Device.Front loading, automatically drawing in and out, centering and format sensing forCassettes, of the Formats 18x24cm (8"x10") to 35 x 43cm (14"x17"), StandardizedAccording to IEC, ANSI and DINAutomatic Format Collimation: must be Selected Separately According to FormatHeight/Width for Cassette Spot filming; Automatic Formatting for BuckyExposures, Object-related Collimation.Film Segmentation: Minimum 4 on 1., in Multiple Segmentation According toCassettes ProgramInward Movement Time: Park to Exposure position not more than 1sec.Time Interval: Fluoroscopy/Radiography 1.0 sec. without grid movement.Scattered Radiation Grid: Stationary 17:1, 70 Lines/cm, Fo 125cm.,Excursion: minimum 105cm, Remote-controlled.Compression Device.Radio transparent, Remotely Controlled, Detachable and Replaceable Coneminimum 3 Shapes.Compression Force range: from 5 to 155N, Movement Blockage starting from 50NForce Indication: Digital at the System Remote Control Console.Projection Angle: -30º- 30º.Image Intensifier and TV System3 Image Fields 13 to 23 cmVisual resolution: Mean Value 5.2; 5.8; 6.4 Lp/mmTelevision System Standard: Line Frequency 50Hz; 625 Lines with 50Hz.TV Technology : CCD sensor, noise suppression, LIH functionAutomatic Dose Stabilization (ADR)Monitor: 44cm or more, Frame Rate at least 50 Hz.X-Ray GeneratorHigh Frequency, MultipulseUp to 150 kV, 50kW.Automatic System: 1-Point Technique with Continuously Falling Load; 2 -,3- PointTechnique with Constant Load; 3-Point Technique with AECOrgan Programs: minimum 20 Organ Programs must be generated and stored.Number of Workstations: not less than 5 of with 1 Fluoroscopic WorkstationFluoroscopy working range: minimum 40kV/ 0.5mA up to maximum110kV 10mA.Fluoroscopic Mode Selectable: Fluoroscopy Under Manual Control / AutomaticControlFluoroscopy Under Manual Control: manual select kV but mA must be calculatedfrom Anti-isowatt, curveFluoroscopy Under Automatic Control: Minimum 2 required Characteristic Curvemust be selected for Automatic Dose Rate Control : us Minimal Dose/ ContrastLitho ( or other according customer ordering)Tube Connection: minimum 2 Double-Focus Tube Assembly.3 field Automatic Exposure ControlPrimary Collimator: Inherent Filtration 1.0mm Al; additional Filters 0.1mm Cu,0.2mm Cu, 0.3mm Cu.Ambient ConditionsOperation: 10Cº to 35Cº; 20% to 75% relative humidity, non-condensing; 70kPato 106kPaStorage and Transport: -20Cº to 70Cº; 10% to 95% relative humidity, noncondensing; 70kPa to 106kPaPower ConnectionNominal Voltage: 3/N/PE, 380V 10%Nominal Frequency: 50Hz.Completeness:Lead glass, radiation protection window 80x100cm. 10 % , 2,1 Pb equivX-ray protection:1x Coat apron, 0.35 Pb, size medium, 110cm. X-ray protection coat apron forgeneral examinations.1x Gonad protection apron 40x37cm, 0.5 Pb. Apron for adults forprotection of ovarian and gonad.1x Gonad protection capsule for boys, 1.0 Pb.- Set of cassettes- Cassette without patient ID window- Fitted with green screen2x Cassette with green screen, 18 cm x 24 cmequipment specifications[1].doc16/03/2011page 2 of 27

HSMP Armenia4X-Ray MobileEquipment & Furniture Component1HPIU: HH1x Cassette with green screen, 18 cam 43 cm2x Cassette with green screen, 24 cm x 30 cm2x Cassette with green screen, 35 cm x 43 cm1x Cassette with green screen, 35 cm x 35 cmExposure range at least 0.5–200 mAsShortest exposure time: not more than 10ms.Max. exposure time: not less than 5 sec.Tube head must be rotatable in all planes.Adjustable collimator and light marker Easy to use and to move. Non automotiveTwo point technique – kV and mAs.High- frequency X-ray generator with multipulse voltage provider.The touch-screen keys and digital display of kV and mAs values.Output: not less than 2.5kW. 120 kV, 40mA.Focal spot not more than 1 mm.Collimator: rotatable 90 Max. horizontal extension at least 800mmPower Requirements220 V 10%, 50HzWide Dynamic Range Digital Front-endThe 12-bit A/D converter15Ultrasound (3 probes)6Gastroscope (With halogenlight source)equipment specifications[1].docMulti-beam processing.Image Display ModesB: gray-scale imaging, M,D: Spectral Doppler (PW,HPRF PW),Flow: Color Doppler and Power Flow imaging, Dual B, B and M, B and D, B(Flow),Dual B (Flow), M(Flow), B(Flow) and M(Flow), B(Flow) and D,Triplex mode: B, Flow and PW Doppler simultaneous real-time display,Dual Dynamic Display (DDD): B and B (Flow) simultaneous real-time display, TDI(Tissue Doppler Imaging)-Available on electronic scanning probes.Request function: In multi-mode display, it is possible to select one image for fullscreen display.DMS (Integrated Data Management System)Measurement and Analysis.General measurementsOn B-mode imageOn M-mode imageOn spectral DopplerOn B/D-mode imageOn B(Fiow) mode imageObstétrical measurements & calculationsGynecological measurements & calculationsPeripheral vessels analysisUrological measurements & calculationsAbdominal measurementsReport FunctionsData Communication FunctionPreset FunctionCharacters and graphic displaysProbe connectorsStandardActive connectors: 2 connectorsDummy connector for rest: 1 connectorViewing Monitor15-inch diagonal color Liquid Crystal Display with brightness and contrast controlsAcoustic Power0 to 100%, changeableEnvironmental RequirementsTemperature: 10 to 40 degrees CRelative Humidity: 30 to 75%Power Requirements: 220V / 50 Hz.ProbesGeneral abdomen OB/GYN 2.5-6.0 MHz.Small parts, PV (steered linear) 5.0-10.0 MHz.Adult heart (harmonic echo) 2.1-3.8 MHz.Optical System :Field of view: at least 100 Depth of field: at least 4 to 100 mm16/03/2011page 3 of 27

HSMP ArmeniaEquipment & Furniture ComponentHPIU: HHDistal end : Outer diameter: not more than 10mm.Bending SectionRange of tip bending: not less than Up 210 , Down 90 , Right 100 , Left 100 Insertion tube : Outer diameter: not more than 13.3mmWorking length: not less than 1025mm.Length markingsInstrument channel :Inner diameter: not less than 2.8mm.Light sourceHalogen technology shall provide a high light intensity of at least 150W.Variable light intensity.1Fast and easy bulb change during operation : In case of a bulb failure immediateswitch to the second bulb with the reverser shall be possible.Adjustment ofbrightness and power with buttons and switches on the front panel.Shall be connectable with conventional telescopes, fiberscope.Shall be adaptable to all endoscopic proceduresOptionally , an automatic built-in swivel mechanism will bring the spare halogenbulb into working position.Technical Data : Halogen , 150 watts , Halogen, 2 piecesManual switch , 2 x 150 W , 24 VPower Supply : 220 VAC 50 Hz .StandardsCE;EC MarkedUS FDA;ISO certification1Optical System :Field of view: at least 120 Depth of field: 5 – 100 mm.Distal end : Outer diameter: not more than 13mm.Bending SectionRange of tip bending: not less than Up 180 , Down 180 , Right 160 , Left 160 Insertion tube : Outer diameter: not more than 13.3mmWorking length: not less than 1680mm.Instrument channelInner diameter: not less than 3.2mm.Light SourceHalogen technology shall provide a high light intensity of at least 150W .Variable light intensity7Colonoscope(With halogen lightsource)Fast and easy bulb change during operation : In case of a bulb failure immediateswitch to the second bulb with the reverser shall be possibleAdjustment of brightness and power with buttons and switches on the front panel.Shall be connectable with conventional telescopes, fiberscope,Shall be adaptable to all endoscopic proceduresOptionally , an automatic built-in swivel mechanism will bring the spare halogenbulb into working position.Technical Data : Halogen , 150 watts , Halogen, 2 piecesManual switch , 2 x 150 W ,24 VPower Supply : 220 VAC 50Hz .StandardsCE;EC MarkedUS FDA;ISO certificationequipment specifications[1].doc16/03/2011page 4 of 27

HSMP Armenia8Electrocardiograph 3channelsEquipment & Furniture Component3HPIU: HHRecording ECG Leads: 12 standard LeadsRecording Channels: 3/1 user selectableLCD display of ECGLead switching: manual and automatic.Sensitivity, mm/mV: 5, 10, 20.Calibration signal: automatic and manual.Diagnostic frequency range 0.67–150 Hz or betterFilters for mains frequency, low frequency, muscle artefact, high frequencyRecorder:Recording method: thermal paperRecording speed, mm/sec: 25/ 50 user selectableChannels acquired simultaneously:1/ 3 user selectableChannels printed simultaneously:1/ 3 user selectableOther features:PortableMains and internal rechargeable battery operationBattery operating time, minimum: 90 min.Power requirements: 220 V, 50 HzAccessories:1. Patient cable2. 6 chest limb electrodes3. 4 limb electrodes4. 4 strap electrodes5.6. 1 bottle ECG Gel7. 2 rolls of paper or Z-Fold8. Carry bagStandardsCE;EC MarkedUS FDA;ISO certification39Operating theatre light (5spotlights)Surgical Lighthead with five Projectors , Ceiling SuspendedLight intensity (Ec) at least150 000 lxColor rendering index (general) Ra 96Color rendering index (red) R9 89Light field size 15 – 30 cm.Colour temperature 4200º KelvinWorking range without focusing approximately 70 – 140 cmPower supply 220 VAC, 50 HzAdjustable light intensityPower Supply , 220V/50 Hz.Power Stabilizer shall be suppliedThis equipment shall be supplied with all necessary fixation gears to the BuildingstructureReplacement Bulbs (5) and Sterilizable Handles (5) shall be suppliedStandardsCE;EC MarkedUS FDA;ISO certificationAccessories/Spares :10Operating Table(Trauma/Multifunction,electric/hydraulic drivenequipment specifications[1].doc5 Bulbs per unit2 Handles per unitOperating table designed for carrying out treatments, dressing interventions andoperations of general surgery and traumatologyAll exposed metallic parts shall be made from stainless, acid proof steel.The table base shall be mobile and shall have central brakesBack rest and leg rest inclination angle, kidney elevator, Trendelenburg andreverse-Trendelenburg positions and height adjustment of the table top shall be16/03/2011page 5 of 27

HSMP ArmeniaEquipment & Furniture ComponentHPIU: HHactivated by electro - hydraulic systemThe table top shall be translucent for x-rays with 5 separate SectionsTable top length approximately 2000 mmTable top width approximately 600mmMinimal height of the table 750mmMaximal height of the table 1100mm indicativelyTrendelenburg at least 25Reverse Trendelenburg at least 25ºLateral tilt at least 18ºBack rest inclination angle at least 55º to -25ºHead rest inclination angle at least 45º upHead rest inclination angle at least 20º down111Power requirements220 VAC 10 % , 50HzAccessories:Anaesthetic Screen with clamp with telescopic tubes : 1Body restraint Strap with clamp : 1Padded Shoulder supports : 2Padded Leg support with swivel type clamp : 2Padded arm Rests 450 -500 mm long with two arm Clamps : 2Padded Lateral support with universal attachment Clamp : 2Padded rubber mattresses with Anti Microbial agent incorporated into all componentsthat assists in Prohibiting growth of bacteria & fungi and easy to clean and maintainand of at least of 1” thickness : 2 X5 SectionsHead rest , I.V drip Stands attachable to the tableEnvironmental factors:The unit shall be capable of being stored continuously in ambient temperature of 0 50deg C and relative humidity of 15-90%The unit shall be capable of operating continuously in ambient temperature of 10 -40deg C and relative humidity of 15-90%Accessory for traumatology are optional and shall be listed separatelyStandardsCE;EC MarkedUS FDA;ISO certificationOperating table for carrying out treatments, dressing interventions and operationsof general surgery (3-4 surgeries daily).All exposed metallic parts shall be made from stainless, acid proof steel.The table base shall be mobile and shall have central brakesBack rest and leg rest inclination angle, Trendelenburg and reverseTrendelenburg positions and height adjustment of the table top shall be activatedby electro - hydraulic systemThe table top shall be translucent for x-rays with 5 separate SectionsTable top length approximately 2000 mmTable top width approximately 600mmMinimal height of the table 750mmMaximal height of the table 1100mm indicativelyTrendelenburg at least 25ºReverse Trendelenburg at least 25ºLateral tilt at least 18ºBack rest inclination angle at least 55º to -25ºHead rest inclination angle at least 45º upHead rest inclination angle at least 20º downOperating Table(Multifunction,electric/hydraulic driven)2equipment specifications[1].docPower requirements220 VAC 10 % , 50HzAccessories:Anaesthetic Screen with clamp with telescopic tubes : 1Body restraint Strap with clamp : 1Padded Shoulder supports : 2Padded Leg support with swivel type clamp : 2Padded arm Rests 450 -500 mm long with two arm Clamps : 2Padded Lateral support with universal attachment Clamp : 2Padded rubber mattresses with Anti Microbial agent incorporated into all componentsthat assists in Prohibiting growth of bacteria & fungi and easy to clean and maintainand of at least of 1” thickness : 2 X5 SectionsHead rest , I.V drip Stands attachable to the tableEnvironmental factors:16/03/2011page 6 of 27

HSMP ArmeniaEquipment & Furniture ComponentHPIU: HHThe unit shall be capable of being stored continuously in ambient temperature of 0 50deg C and relative humidity of 15-90%The unit shall be capable of operating continuously in ambient temperature of 10 -40deg C and relative humidity of 15-90%StandardsCE;EC MarkedUS FDA;ISO certification312Anesthesia trolley(anesthesia machine withventilator and monitor)Anesthesia Machine used for delivering anesthesia Agents to Patient during SurgeryProcedures. The complete set-up shall also ventilate the PatientPatient monitoring system ECG, EtCO2, Pulse Oximeter and airway pressure, NIBP,rectal/&skin Temperature.The full System shall be completed with :Anaesthesia gas delivery system, O2/N2O/Compressed Air .Circle absorber system.Precision vaporiser for halothaneAnaesthesia ventilatorPatient CircuitAnesthesia gas delivery system:Shall have provision for delivery of oxygen, nitrous oxide and medical air withpressure gauges.Oxygen and Nitrous oxide should be linked either mechanically or pneumatically toensure a minimum of 25% oxygen delivery at all times to avoid delivery of hypoxicmixture.Shall have audio-visual oxygen Failure Warning System with Nitrous oxide cut off.Shall have back bar ISO pin type to attach Vaporizer easily.Flowmeter oxygen : 0 2; 2 10 litres/min, minimum rangeFlowmeter N2O : 0 2; 2 10 litres/min, minimum range with safety mechanism(hypoxic link) or similarFlowmeter , Medical Air 0 10 litres/min.Shall be supplied with necessary Attachments for use of the breathing Circuits(Ruben , Bains, Jackson-Rees or Magill )Construction :Shall have top Shelf to keep monitors and a Tabletop with Drawers to keepanaesthetic drugs, equipments etc.Castor wheels should be durable , moisture resistant and antistaticThe Anaesthesia machine frame shall be made of rust proof material/Stainless steelor sheet Steel protected with Epoxy-PaintStandard Circle Absorber SystemShall have adjustable pressure limiting Valve, breathing circuit pressure measuringdevice.Shall have a Bag/Ventilator selecting Valve integrated onto the Absorber.Facility to attach oxygen sensorShall have CO2 absorbent Chamber Canister (Soda Lime )Precision Vaporizers (Temperature, Pressure and Flow compensated) for HalothaneShould be easy to mount and dismount from the back bar.Vaporisers shall have ISO pin type (Selectatec) Mounting and Vaporiser interlockingfacilityShall have a standard filling port with keyed filling deviceShould be designed for transport with liquid in Vaporiser Chamber with protectionagainst tipping and shakingMaintenance free VaporiserVentilatorShall be a bag in bottle anaesthesia Ventilator with standing (ascending/Piston)BellowsShall be supplied with adult and paediatric BellowsShall be able to set Tidal Volume, Respiratory rate and I:E ratioVentilator should have audible alarms for ventilator failure, low oxygen supplyPressure, inadequate volume delivery, disconnection alarm, and power supply failure.Ventilation mode: CMV-SV – manual , Minute volume: 2 – 30 l/MnTidal volume: approx.50 – 1400ml , Breathing frequency: approx.6-60 times/minequipment specifications[1].doc16/03/2011page 7 of 27

HSMP ArmeniaEquipment & Furniture ComponentHPIU: HHFlow rate range: 5 – 60 l/minHigh pressure relief valvePower supply 220VAC, 50HzAccessories :Accessories required for Ventilator :Resuscitators , Adult / Child : 1 EachSet of face masks , 3 Sizes : 2 EachCorrugated hoses and tubing set for Pipeline O2 : 2 SetsCorrugated hoses and tubing set for Pipeline Air : 2 SetsAccessories required for Anaesthesia Machine :Hose assembly for piped Oxygen supply : 2 SetsHose assembly for piped Nitrous Oxide supply : 2 SetsHose assembly for piped Air supply : 2 SetsRegulator and manometer for the pipe pressure hose ( 60 psig) : 1 SetConnection from ventilator to anaesthetic apparatus , autoclavable/reusable : 1 SetTest bag, 1 litre : 2Peak Flow Meter : 1Power cord with grounding wire : 1D

Recording speed, mm/sec: 25/ 50 user selectable 3 Recording ECG Leads: 12 standard Leads Recording Channels: 3/1 user selectable LCD display of ECG Lead switching: manual and automatic. Sensitivity, mm/mV: 5, 10, 20. Calibration signal: automatic and manual. Diagnostic frequency range 0.67–150 Hz or better

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