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PART 1 new kpk logo

PART 2

PART 3


Government of Khyber Pakhtunkhwa

Health Department

DETAILED SPECIFICATIONS

For

BIO-MEDICAL EQUIPMENTS, INSTRUMENTS, GLASS WARE AND OTHER GENERAL ITEMS FOR DEPARTMENT OF Radiology
march 2017


S#

Name of Equipments

1

DIGITAL COLOR DOPPLER

The Equipment must be FDA approved

  • DIGITAL COLOR DOPPLER WITH SHEARWAVE MORE THAN 400,000 RECEIVING / PROCESSING CHANNELS HAVING 2D/M-MODE AND DOPPLER FACILITIES HAVING DICOM COMPATABILITY AND UPGRADEABLE TO GPRS GUIDED BIOPSY AND FUSION IMAGING OF CT/ MRI 3D VOLUME DATA TO SYNCHRONIZED WITH ULTRASOUND IMAGING.

1) B-MODE SPECIFICATION :

A) SECTOR SCAN ANGLE VARIABLE IN FOUR STEPS.

B) VIEWING DEPTH: 30 CM OR MORE (BOTH IN B&W AND COLOR).

C) BUILT IN CINE LOOP WITH ABILITY TO VARY REVERSE AND SLOW MOTION

DISPLAY; INTERNAL MEMORY 256MB/ 2000 IMAGES OR MORE.

D) REAL TIME AND FREEZE IMAGE MAGNIFICATION AT LEAST 15X OR MORE WITH PANNING FOR REAL, FREEZE.

E) FRAME RATE: 1700 FRAMES MINIMUM FOR B-MODE IMAGES.

2) M-MODE SPECIFICATION :

A) MAGNIFICATION/ZOOM: X20 OR MORE.



  1. SWEEP SPEED: SLOW, MEDIUM, FAST.

  2. COLOR DISPLAY OF M-MODE.

3) D-MODE SPECIFICATION :

  1. PULSE-WAVE DOPPLER MEASURABLE VELOCITY RANGE.

  2. HPRF DOPPLER.

  3. COLORIZED SPECTRUM DISPLAY.

  4. AUTOMATIC BASELINE AND VELOCITY RANGE CONTROL.

  5. LIVE MEASUREMENTS FOR DOPPLER SPECTRUM.

4) COLOR DOPPLER MODE SPECIFICATIONS :

- PW DOPPLER MUST BE CONTINUOUS STEERABLE IN THE COLOR BLOOD FLOW IMAGE MODE IN REAL TIME.



  • 2D IMAGE WITH COLOR, CW AND PW DOPPLER.

  • WINDOWS BASED SYSTEM FOR EASY USAGE WITH PROGRAMMABLE CONTROL PANEL KEYS.

  • TISSUE HARMONIC IMAGING WITH 3 THI OR MORE FREQUENCY.

  • POWER DOPPLER.

  • TRIPLEX MODE FOR SIMULTANEOUS DISPLAY OF COLOR B/M AND D-MODE DISPLAYS.

  • 250 dB SYSTEM DYNAMIC RANGE OR MORE.

5) MEASUREMENT PACKAGE :

TO PROVIDE COMPREHENSIVE SOFTWARE PACKAGE FOR MEASUREMENT OF DISTANCE, CIRCUMFERENCE, AREA, TIME DEPTH, VELOCITY, FREQUENCY, HEART RATE, VOLUME, NUCHAL THICKNESS MEASUREMENT SOFWARE TO BE PROVIDED AS STANDERD.

6) SYSTEM COMPLETE WITH FOLLOWING FACILITIES AND ACCESSORIES:

- FULL 21-INCHES OR MORE DISPLAY AREA FOR DIAGNOSTIC IMAGING LCD/TFT COLOR MONITOR, WITH RESOLUTION 1280 x 1024 PIXELS MINIMUM .

- 4 ACTIVE TRANSDUCER CONNECTOR FOR TRANSTHURASIC PROBES.

- DVD/CD DRIVE FOR IMAGE STORAGE TO BE BUILT-IN TO THE SYSTEM.

- 500GB HARD DISK DRIVE TO BE BUILT-IN TO THE SYSTEM.

- BUILT IN DICOM COMPATIBILITY.

- COMPARE ASSISTANT

- TOUCH COMMAND SCREEN CONTROL AT LEAST 10-INCHES COLOR LCD/TFT.

- B-FLOW/SMI/MICRO CPA



7 ) STANDARD PROBES :

2– 6 MHz OR BETTER MULTI-FREQUENCY CONVEX PROBE FOR B/M/CDI/PW WITH SHEARWAVE ELASTOGRAPHY.

2-8MHz OR BETTER MULTI-FREQUENCY LINEAR PROBE FOR VASCULAR STUDIES AND FOR STRAIN ELASTOGRAPHY.

5-10MHz OR BETTER MULTI-FREQUENCY ENDOCAVITY PROBE FOR B/M/CDI/PW .





  1. TISSUE DOPPLER IMAGING MODE.

  2. TISSUE HARMONIC IMAGING WITH 3 HARMONIC FREQUENCIES.

  3. AUTO IMAGE OPTIMIZATION/QUICK SCAN IMAGING FOR AUTOMATIC STC / GAIN AND DOPPLER SPECTRUM ADJUSTMENT WITH OPTIMAL IMAGE QUALITY BY USING ONE TOUCH OPERATION.

  4. TRAPEZOID IMAGING / WIDE VIEW IMAGING.

  5. SONO CT/COMPOUND/APLIPURE IMAGING FOR BOTH FREQUENCY COMPOUNDING AND SPATIAL COMPOUNDING IN B/W AND COLOR MODE.

  6. ADAPTIVE SUPRESSION IMAGING /PRECISION IMAGING TO ENHANCE B-MODE IMAGING, DETAILED IN LAYERS AND BOUNDARIES AND SHARPENED OUTLINES OF THE LESIONS AND REDUCE CLUTTERING.

  7. LIVE STRAIN RATE ELASTOGRAPHY WITH QUANTIFICATION

  8. LIVE SHEARWAVE ELASTOGRAPHY WITH QUANTIFICATION

  9. WITH HARDWARE & SOFTWARE UPGRADABLE.

  10. Online UPS (5KVA) with thermal printer and DVD Writer

  11. A.Volume navigation: (Along Biopsy guides)

B. Needle tracking

C) Ability to track needle in and out of plane to support

interventional procedures.


  1. Technical Training + Services Manual



Other accessories

  1. 7-14 MHZ MULTI-FREQUENCY LINEAR PROBE FOR B/M/CDI/PW FOR BREAST IMAGING AND STRAIN ELATOGRAPHY.

  2. SMART 3D FOR THE ACQUISITION OF VOLUME DATA AND DISPLAY OF 3D IMAGES IN B/W AS WELL AS COLOR WITHOUT USING A 4D TRANSDUCER.

  3. 3-7 MHZ MULTI-FREQUENCY 4D VOLUME CONVEX PROBE FOR 4D IMAGING WITH RENDERING MODES INCLUDING VOLUME RENDERING, MAXIMUM INTENSITY PROJECTION (MIP), MULTIPLE PLANE RENDERING (MPR) AND CAVITY ALSO WITH MULTIVIEW (.SIMULTANEOUS CORONAL, SAGITTAL AND OBLIQUE VIEW), AND FULL VOLUME VIEW.

  4. 4-10 MHZ MULTI-FREQUENCY 4D VOLUME ENDOCAVITY PROBE FOR 4D IMAGING.

  5. HD IMAGING / LUMINANCE IMAGING PROCESS TECHNOLOGY TO MAKE 3D/4D IMAGES OF FETUSES AND ANATOMICAL STRUCTURES

APEARS MORE REALISTICS.

SYSTEM MUST HAVE FDA & CE



COMPREHENSIVE WARRANTY OF 03 YEARS WITH EXTENDED 02 YEARS (TOTAL 05 YEARS) SHOULD BE PROVIDED BY THE PRINCIPAL.

  • Site renovation/preparation and air conditioning for this machine will be the responsibility of the vendor. Two Weeks training of 02 Radiologist for Elastography in any eminent Elastography centre abroad on the expense of the vendor.

The supplier will have to make interior of the suite necessary furniture branded upper end computer with all accessories, printing paper, ultra sound gel, ultra sound paper, ups Backup & stabilizer, wheel chair, air condition 2.5 ton.

2

X-Ray DR Suite

Digital Radiography/ Fluoroscopy unit of high quality digital imaging chain, optimal

dose conservation, high patient throughput with over table tube and Flat Panel Detector.



  • The output of the X-ray high-voltage generator should be 80 kW. The X-ray control should use a high-frequency inverter.

  • The tabletop move approx. 16 cm in the lateral direction.

  • The table tilts should be from the upright vertical position (approx. +90/30°) to the horizontal position (0°) to the head-down-tilt position (approx. -15°).

  • The tabletop should be convex type to allow patient centering.

  • The startup time should be short.

X-Ray Diagnostic Table:

Table tilting

Tilt range: Upright vertical position (approx.+90/30°)

Compression force of the compression cone: 70 N or more

Allowable patient mass: 150kg or more.

X-Ray High Frequency Generator:

Ratings

High-voltage generation method: Inverter method



Nominal maximum electric power: 80 kW

Radiography

Radiographic tube voltage setting range: 40 kV to 125 kV, in 1-kV increments

Radiographic tube current setting range: 10 mA to 1000 mA

Radiography time setting range: 1.0 ms or less

X-Ray Tube:

Focal Spot (mm): 0.6/1.2 (Dual Focus)

Anode Heat Storage Capacity of 350KHU or more.

FLAT PANEL DETECTOR :

Pixel size: 160μm (non-binning) or better.

DQE: 55% or better.

Field Size 14x17 inches or more

Effective pixel: 2000 x 2000 or better

DIGITAL IMAGING SYSTEM:

Basic image processor performance Images from the detector should be input in digital

format.


Image storage Capacity of hard disk: 80,000 images for 1024 × 1024 2-Image display Monitors

  1. System monitor display for Playback images, processed images,

Multi-Images, etc.

b) Live monitor 1280 × 1024 pixels for Digital fluoroscopic images, fluorography images, playback images, etc.

Fluoroscopic function

Image processing

· Recursive filter with motion detection

· Last image hold

· Image flipping

· Spatial filter (edge enhancement, smoothing)

· Digital Compensation Filters.

Recording

Fluoroscopic image and last-image-hold image can be stored to hard disk.

Fluoroscopic image acquisition

· Frame rate: 0.5 to 15 fps

· upto15fps

Nominal min.exposure time 3ms
Fluorography function

Images should be recorded to hard disk processed, and displayed on the monitor.

Real-time image processing: Digital Compensation Filter and Super Noise Reduction Filter.

Post processing

Grayscale: Adjustment of contrast and brightness Filming

Laser imager with multi-sizes of 14 x 17 and 8 x 10

Provision of DICOM facility

Local Controller Console in examination room with Dual Monitors.



PRINTER

    1. High resolution digital medical grade, DICOM compatible, high throughput as per customer requirement will be preferred.

CE/MHWL/FDA approval required for the quoted equipment.
It shall be fully DICOM compliant with all standards DICOM. Specifications with interface to the hospital RIS/PACS networks/system.

DICOM CD DVD writing software should also be included.

Equipment and computer cabinets and control console desk and lead glass (2” x 3”)and a, with operator chair shall be included with the system price.

Comprehensive warranty of complete system including detectors should be three (03) years with 02 years extended and free software up-gradation up to 10 years should be responsibility of vendor.

Power Requirements

Line voltage: Three-phase, 200-440VAC

Line frequency: 50 Hz

Permissible line voltage fluctuation rate (no load): ±10%

Country of Manufacturer; Japan /USA/Europe.

PC and MS Software (IMAGE AUQUISITION CONSOLE/ WORK STATION).

X-Ray Tube, Work Station and Detector compatibility certificate should be provided

by the manufacturer

Equipments must be FDA/CE/JIS or MHLW certified.

The supplier will have to make interior of the suite necessary furniture, ups Backup for the whole system, stabilizer, Viewer X-Ray Films , Gloves Lead Rubber With Gauntlets, Thermometer, Lead Apron (sample based), Lead Goggles, Goggles Darkness Adaptation, wearing Suites & Shoes for technician, Foot Steps, air condition 2.5ton(2) .






3

Digital Mammography Suite

Mammography System with Tomosynthesis



Suitable for Tomosynthesis, Mammography and Biopsy.

  • Advanced digital mammography unit providing a comprehensive breast care solution including

  • Breast Tomosynthesis (DBT)

  • Mammography (FFDM)

  • Combined DBT/FFDM examinations within the same breast compression (COMBO)

  • Biopsy Device Unit offering lesion localization by either Tomosynthesis or stereotactic approach




Technical Specification







GENERATOR







  • High Frequency

  • Microprocessor Controlled

  • Very low ripple:  1

  • Microprocessor Controlled

  • Max. Power: 5 kW or better

  • kV: 25– 35 with 0.5 kV steps

  • mAs: 2 – 600 steps 1mAs

  • mA : 110 – 140 mA or better




GANTRY / DBT







  • Total scan angle : 30 degrees

  • Number of projections : 11

  • Scan time (Tomo/Combo) : ~ 10 s / ~14s

  • Tube movement : “Step and Shoot”

  • Stereotactic angle movement : 0°/-15° ; 0°/15°

  • Source to image distance: 685 mm

  • Arm Rotation : -/+180;







X-RAY TUBE







  • Rotating High Speed:

  • Anode Thermal Capacity: 300 kHU (222 KJ)

  • Cooling rate : 60 kHU/min

  • Small Focus: 0.1 mm; up to 2.5 kW

  • Large Focus: 0.3 mm; up to 9.6 kW

  • Inherent Filtration: 0.63 mm Be

  • Tube overload protection







DETECTOR

  • Detector dimensions: 24x30 cm (239x305 mm)

  • Amorphous Selenium

  • Matrix: 2816 x 3584 pixel

  • Pixel dimension: 85 m or better. The pixel should remain 85 m under all circumstances

  • Spatial resolution (DBT and FFDM) : > 6 lp/mm

  • Image depth : 13 bit (visualization)

  • Single Slice DBT Image dimension: ~19Mbyte

  • Quantum Efficiency (DQE) at 1 lp/mm  65%






PART 4 BUCKY






  • Dimensions: 24 x 30 cm

  • Grid: ratio 4:1, 31 lines/cm, carbon fibre interspaced

  • Focal distance : 69 cm

  • Bucky factor : 2.0 (@28kV)

  • Retracting grid system for the Tomosynthesis acquisition mode







A.E.C.







  • Fully Computer Controlled

  • Fully automatic: all parameters (kV, mAs, filters) automatically selected by the computer

  • Manual tech: all parameters (kV, mAs, filter) manually selected







S.C.S.” - SENSITIVE COMPRESSION SYSTEM

  • Fully computer controlled power driven and manual mechanism

  • High approach speed and reduction speed during the compression; foot-pedal control

  • Manual fine compression according with FDA regulations

  • Max Force 200 N (20 kg)

  • Min Force (0-50 N) configurable

  • x-ray inhibited in automatic modes if no compression applied

  • Compression paddle size: 18 x 30 and 24 x 30 cm










PROTECTION GLASS

  • Dimensions: 1928 mm (H) x 700 (L) mm

  • Radiation protection: following the rules EN 60601-1-3 (0.1 mm lead equivalent)










ACQUISITION WORKSTATION SOFTWARE







  • Computer system

  • Interface towards DICOM peripheral units –compatible: RIS, PACS, validated laser printers

  • Touch screen Panel: to control the operation of the equipment and to display set and exposure parameters (kV, mAs, AEC technique, AGD, Filter, Compression force and thickness, Mag level, Paddle used, Collimator size, Tube heat, Status)

  • TFT High Res. Display: 21.3 inch 2 MPixel monitor to view acquired images using same software interface of the AWS







RAFFAELLOAW Software should have following features:-


  • Window level: very large possibility to adjust the contrast and the brightness

  • Electronic zoom on the whole image

  • Pan the zoomed image on the monitor

  • Ruler with multiple application

  • Automatic and/or manual extension of the “window level” to all images of the same pat

  • Image inversion

  • Annotation on image

  • Magnifying glass with adjustable magnification factor and lens dimensions

  • Possibility to restore only the original dimension or window level and dimension

  • Possibility to visualize 1:1 so that every image pixel corresponds to a pixel of the monitor

  • key function to hide/display all labels with patient data (as to enable a

best visualization of the displayed of the displayed image)

  • Possibility to visualise one, two or four image on the same monitor, minimizing mouse clicks.

  • Possibility to go to next page contents other image

  • Possibility to send the image to other DICOM entities or to a PACS

  • Tomosynthesis image in DBT format




Breast biopsy with Stereotactic Device




  • Original solution for inserting the needle in the breast at a variable angle. Allows the radiologist to optimize the needle’s angle in X-Y-Z direction according to the software indication.

  • Digital control panel with touch screen display.

  • Wide biopsy area

  • Suitable for all types of procedures in the prone or the upright position with frontal, inclined, and lateral approach.

  • Biopsy Gun with disposables for 50 patients




Review Work Station







WS-FP Review & diagnostic workstation dedicated to the Radiologist, breast cancer specialist. It receives directly images from the acquisition workstation (AWS).

Dedicated Computer for images processing.

Software dedicated for Tomosynthesis & digital mammography, user interface for visualization, processing and transmission of Tomosynthesis & mammographic images.

Dual head LCD 5M pixel medical display system, designed for digital mammography, with integrated front sensor for automatic and intervention free

Calibration and QA.

Professional burner to store the digital images on DVD disk (with a capacity of 4, 7 GB) or CD (with capacity of 700MB).

DICOM 3 interface




Computer Aided Detection (CAD)







The system should have FDA and CE.







LASER IMAGER TWO TRY







UPS to run the entire system including mammography system and printer for 20 minutes backup :




WARRANTY: Comprehensive warranty of the whole system including

Detector and equipment should be 03 years with 02 years

extended and free software up-gradation should be up to 10

Years.

The supplier will have to make interior of the suite necessary furniture, ups Backup, stabilizer,Viewer X-Ray Films (04) , Gloves Lead Rubber With Gauntlets(04 pairs), Thermometer, Lead Apron(04) (sample based), Lead Goggles(02 pairs), Goggles Darkness Adaptation(02 pairs), wearing Suites(03) & (05 pairs)Shoes for technician, Foot Steps, one thousand Cds and air condition 2.5 ton.

4

Standardized Specifications of Mobile X-Ray

1. General. Mobile X-Ray machine with Battery & Motor Driven.

2. X-Ray Generator.

a. High Frequency microprocessor bases 100kHz or better

b. Max Power 30 kW or more

c. Max Voltage 125kV or more

d. Max Current 400mA or more

e. Max 320mAs or better

3. X-Ray Tube

a. X-ray tube with rotating anode 3000 rpm or better

b. Focal spot 0.6-1.3mm or better

c. Thermal Anode Heat Storage capacity 140 kHU or more

4. Control Desk

Microprocessor control console with Colour 9” touch screen Display or better

5. Operating Modalities

a. 2 point or 3 point X-ray technique (S.M,L) or equivalent

b. 150 Programmed anatomical radiography or more

c. X-Ray push button with double release with extension cable up to 4 meters

d. Operation without main plug > 300 exposure or better without recharge

e. Battery Powered motor driven movement

6. kV selection

From 40 to 125 kV (in steps) or better

7. mA selection

From 50 to 400 mA or better

8. Selection of exposure times

From 0.001 to 6.3 sec or better

9. mAs selection

From 0.5 to 320mAs or better

10. Collimator

a. Collimator with multiple layer blades and manual control

b. Collimator rotation + 90o or equivalent

11. Mechanical Unit

a. Arm rotation+ 90o or equivalent

b. Dead-man brake system

c. Rotation of mono-black supporting fork +90o/-180o or equivalent

d. Rotation of mono-black in fork 0o/+90o or equivalent

12. Safety Devices and Guards

a. Protection and automatic control of filament current

b. Protection from over load, over current and over voltage (mAs, kV, mA)

c. Protection from maximum load of X-ray tube

d. Operator error or malfunctioning indication

13. Power Supply

a. Standard voltage 230V + 10%, 50HZ

b. Compact batteries within the system for standalone operation of the system without electric supply for both X-Ray exposure and system breaks.

14. Certification: FDA of USA/ESMD-13485/CE

15. WARRANTY : Comprehensive warranty of 03 years.

The supplier will have to supply Lead Apron (sample based), Lead Goggles,


5

FLUOROSCOPY SYSTEM

X-RAY DIAGNOSTIC TABLE

 

Tilting range:

Vertical position (+90°) approximately to

horizontal position (0°) to head down



position (-15° or more)

Lateral movement of the tabletop:

22 cm (±12.5 cm)

Distance between the X-ray tube focus and the I.I. input surface:

100 cm or similar

Compression cone pressure controlled by remote:

Max. 80 N or better

Maximum load capacity:

Max.150 kg or more

X-ray grid:

12:1 Ratio or better


X-RAY GENERATOR 80 KW or more

 

Ratings

 

High-voltage generation method:

Inverter method

Radiography ratings:

100 kV @ 500 mA or more

Fluoroscopy rating:

125 kV/4 mA or more


X-RAY TUBE

 

Max. tube voltage:

150 kV or more

Focal spot:

0.3/0.8 mm or better

Anode heat storage capacity:

250 kHU or more


IMAGE INTENSIFIER

 

Input size:

Triple field (12/9/6 inches) or better







DIGITAL FLUOROGRAPHY SYSTEM

 

Image input

 

Continuous fluoroscopy:

2000 × 2000 pixels @ 7.5fps or better

Radiographic image acquisition:

1024 × 1024 pixels

Maximum number of images:

150 images per examination or more

Image storage

 

Disk:

10,000 images or more

Fluoroscopic function

 

 

Fluoroscopic image processing

 

Dynamic recursive filter processing

 

Last image hold processing

 

Image vertical and lateral flip processing

Fluorographic function Images should be recorded on the hard disk and should be processed and displayed on the monitor.

 

 

Digital single fluorography

 

Digital sequential fluorography

 

Sequence parameters to be preset.

Radiographic image processing

 

 

Gray-scale processing

 

Auto-window processing

 

Spatial filter processing (edge

enhancement, smoothing)

 

Negative/positive reversal processing

 

Magnification processing.

 

Rotation

 

Image vertical and lateral flip processing

Display functions

 

 

Multiframe display

 

Subdivided display

 

Auto display shutter

 

Graphics (letters, arrows, rectangles,

ellipses) Distance and angle

measurement.


Filming

 

 

Laser imager interface: DICOM print

Connection

 

Network communication

 

DICOM storage

 

DICOM print

MONITOR:

 

LCD size:

19 inches or more

Resolution:

1600 × 1200 or better

Laser Camera: Integrated DICOM interface supports printing from DICOM print modalities
SECOND STATION FACILITY:

GENERAL RADIOGRAPHY SYSTEM
FLOOR TO CEILING TYPE TUBE SUPPORT



Longitudinal Movement: 200cm or more

Lateral Movement: 38cm or more

Vertical Movement: 160cm or more


X-RAY TUBE Max Tube voltage: 150Kv or more

Focal Spot: 0.6/1.2mm or better

Anode Heat Storage capacity: 600KHU or more
VERTICAL BUCKY STAND Compatible Cassette Size: 8" x 10" to 14" x 17"

Bucky Device Movement: 680 to 180cm or more

System must have FDA/CE/MHLW.

WARRANTY: Comprehensive warranty of the whole system including

Detector and equipment should be 03 years with 02 years

extended and free software up-gradation should be up to 10

Years.

The supplier will have to make interior of the suite necessary furniture, ups Backup, stabilizer, Viewer X-Ray Films , Gloves Lead Rubber With Gauntlets, Thermometer, Lead Apron(04) sample based, Lead Goggles(03 pairs), Goggles Darkness Adaptation (03 pairs), Viewer X-Ray Films (04), wearing Suites(03),mobile lead glass partition(2)& Shoes for technician (10 pairs), Foot Steps and air condition 2.5ton.

6

Ultra Sound Work Horse

FULLY DIGITAL BEAM FORMER HAVING 128 PHYSICAL AND MORE THAN 300,000 PROCESSING CHANNELS COLOR DOPPLER SYSTEM WITH 12-BIT A/D CONVERSION , 2D/M-MODE AND DOPPLER FACILITIES, (PW, HPRF, & COLOR FLOW IMAGING) AND WITH A HIGH RESOLUTION IMAGING DOPPLER SIGNAL QUALITY.HAVING DICOM COMPATABILITY AND UPGRADEABLE TO STRAIN ELASTOGRAPHY WITH LINEAR PROBE.



1) B-MODE SPECIFICATION :

A) SECTOR SCAN ANGLE VARIABLE IN FOUR STEPS.

B) VIEWING DEPTH: 30 CM OR MORE (BOTH IN B&W AND COLOR).

C) BUILT IN CINE LOOP WITH ABILITY TO VARY REVERSE AND SLOW MOTION OF DISPLAY; INTERNAL MEMORY 256MB/ 2000 IMAGES OR MORE.

D) REAL TIME AND FREEZE IMAGE MAGNIFICATION AT LEAST 10X OR MORE WITH PANNING FOR REAL, FREEZE.

E) FRAME RATE: 1000 FRAMES MINIMUM FOR B-MODE IMAGES.



2) M-MODE SPECIFICATION :

A) MAGNIFICATION/ZOOM: X10 OR MORE.



  1. SWEEP SPEED: SLOW, MEDIUM, FAST.

  2. COLOR DISPLAY OF M-MODE.

3) D-MODE SPECIFICATION :

  1. PULSE-WAVE DOPPLER MEASURABLE VELOCITY RANGE.

  2. HPRF DOPPLER.

  3. COLORIZED SPECTRUM DISPLAY.

  4. AUTOMATIC BASELINE AND VELOCITY RANGE CONTROL.

  5. LIVE MEASUREMENTS FOR DOPPLER SPECTRUM.

4) COLOR DOPPLER MODE SPECIFICATIONS :

- PW DOPPLER MUST BE CONTINUOUS STEERABLE IN THE COLOR BLOOD FLOW IMAGE MODE IN REAL TIME.



  • 2D IMAGE WITH COLOR, CW AND PW DOPPLER.

  • WINDOWS BASED SYSTEM FOR EASY USAGE WITH PROGRAMMABLE CONTROL PANEL KEYS.

  • TISSUE HARMONIC IMAGING WITH 3 THI OR MORE FREQUENCY.

  • POWER DOPPLER.

  • TRIPLEX MODE FOR SIMULTANEOUS DISPLAY OF COLOR B/M AND D-MODE DISPLAYS.

  • 230 dB SYSTEM DYNAMIC RANGE OR MORE.

5) MEASUREMENT PACKAGE :

TO PROVIDE COMPREHENSIVE SOFTWARE PACKAGE FOR MEASUREMENT OF DISTANCE, CIRCUMFERENCE, AREA, TIME DEPTH, VELOCITY, FREQUENCY, HEART RATE, VOLUME, AUTO-NUCHAL THICKNESS MEASUREMENT SOFWARE TO BE PROVIDED AS STANDERD.

COMPARE ASSISTANT

B-FLOW/SMI/MICRO-CPA



6) SYSTEM COMPLETE WITH FOLLOWING FACILITIES AND ACCESSORIES:

- FULL 21-INCHES OR MORE DISPLAY AREA FOR DIAGNOSTIC IMAGING LCD/LED COLOR MONITOR, WITH RESOLUTION 1280 x 1024 PIXELS MINIMUM .

- 4 ACTIVE TRANSDUCER CONNECTOR FOR TRANSTHURASIC PROBES.

- DVD/CD DRIVE FOR IMAGE STORAGE TO BE BUILT-IN TO THE SYSTEM.

- 500GB HARD DISK DRIVE TO BE BUILT-IN TO THE SYSTEM.

- BUILT IN DICOM COMPATIBILITY.

- TOUCH COMMAND SCREEN CONTROL AT LEAST 10-INCHES COLOR LCD/TFT.
7) STANDARD PROBES :

- 2-5MHz or better MULTI-FREQUENCY CONVEX PROBE FOR B/M/CDI/PW.

- 4-12 MHz or better MULTI-FREQUENCY LINEAR PROBE FOR B/M/CDI/PW.

- 3-11MHz MULTI-FREQUENCY ENDOVIGINAL PROBE




  1. TISSUE DOPPLER IMAGING MODE.

  2. TISSUE HARMONIC IMAGING WITH 3 HARMONIC FREQUENCIES.

  3. AUTO IMAGE OPTIMIZATION/QUICK SCAN IMAGING FOR AUTOMATIC STC / GAIN AND DOPPLER SPECTRUM ADJUSTMENT WITH OPTIMAL IMAGE QUALITY BY USING ONE TOUCH OPERATION.

  4. TRAPEZOID IMAGING / WIDE VIEW IMAGING,ILIVE IMAGING.

  5. SONO CT/COMPOUND/APLIPURE IMAGING FOR BOTH FREQUENCY COMPOUNDING AND SPATIAL COMPOUNDING IN B/W AND COLOR MODE.

  6. ADAPTIVE SUPRESSION IMAGING /PRECISION IMAGING TO ENHANCE B-MODE IMAGING, DETAILED IN LAYERS AND BOUNDARIES AND SHARPENED OUTLINES OF THE LESIONS AND REDUCE CLUTTERING.

15) A.Volume navigation: (Along Biopsy guides)

B. Needle tracking

C. Ability to track needle in and out of plane to support

interventional procedures.

16) Technical Training + Services Manual

OPTIONALS (SHOULD BE QUOTED SEPERATELY)


  1. 4-14 MHZ MULTI-FREQUENCY LINEAR PROBE FOR B/M/CDI/PW FOR BREAST IMAGING AND STRAIN ELATOGRAPHY.

  2. SMART 3D FOR THE ACQUISITION OF VOLUME DATA AND DISPLAY OF 3D IMAGES IN B/W AS WELL AS COLOR WITHOUT USING A 4D TRANSDUCER.

  3. 3-7 MHZ MULTI-FREQUENCY 4D VOLUME CONVEX PROBE FOR 4D IMAGING WITH RENDERING MODES INCLUDING VOLUME RENDERING, MAXIMUM INTENSITY PROJECTION (MIP), MULTIPLE PLANE RENDERING (MPR) AND CAVITY ALSO WITH MULTIVIEW (.SIMULTANEOUS CORONAL, SAGITTAL AND OBLIQUE VIEW), AND FULL VOLUME VIEW.

  4. 4-10 MHZ MULTI-FREQUENCY 4D VOLUME ENDOCAVITY PROBE FOR 4D IMAGING.

  5. HD IMAGING / LUMINANCE IMAGING PROCESS TECHNOLOGY TO MAKE 3D/4D IMAGES OF FETUSES AND ANATOMICAL STRUCTURES

APEARS MORE REALISTICS.

SYSTEM MUST HAVE FDA & CE



COMPREHENSIVE WARRANTY OF 03 YEARS WITH EXTENDED 02 YEARS (TOTAL 05 YEARS) SHOULD BE PROVIDED BY THE PRINCIPAL.

The supplier will have to make interior of the suite necessary furniture branded upper end computer with all accessories, printing paper, ultra sound gel, ultra sound paper, ups Backup & stabilizer, wheel chair and air condition 2.5 ton.

7

PORTABLE Ultra Sound MACHINE

GENERAL:

  • A fully portable color Doppler Ultrasound system with maximum 6kg weight and 100000 or more digital channel, with complete cardiac functionality and imported trolley.

DISPLAY:

  • High resolution 15 inches or more LCD/LED

OPERATING MODES:

  • 2-D and M-modes, PW HPRF, CW, Color Doppler, Real Time Duplex mode, Real time Triplex Mode, Tissue Doppler, B-Flow/SMI.

CONTROL PANEL:

  • Alphanumeric touch keyboard with built-in trackball/touchpad.

  • Audio volume control.

  • User selectable image magnification control.

  • Adjustable transmit focusing control.

  • Digital TGC

FRAME RATE:

  • Minimum 1000 frames per second (more are preferable) in 2-D mode

MEASUREMENTS:

  • Complete calculations including Z scores available in system

  • Retrospective/Prospective saving of images and cine

  • Ob/Gyn/Abd/Urology/Super ficial/Small parts Radiology Calculations

CINE MEMORY:

  • Minimum cine memory for 1000 frames (more are preferable).

IMAGE VIEWING DEPTH:

  • 15-350mm or more for radiological applications.

PROBES:

  • Multi frequency sector probes to minimum cover 2 to 5 MHz or better range for adults.

  • Multi frequency sector probes to minimum cover 6 to 12 MHz or better range for pediatrics.

PORTS:

  • 3 active probe ports with imported trolley.

IMAGING MODES / TECHNIQUES:

  • Tissue harmonic imaging for cardiac and vascular imaging,

  • Tissue Doppler imaging,

  • Tool for calculating deformation and rate of deformation of the tissue, visualization of small vessels, velocity of myocardial segments, real time myocardial systolic displacement, wider field of view/Trapezoid with phased array probe

  • Steerable M-Mode

  • Auto IMT measurements

  • System should be capable to set Stress Protocols

  • Tool for comprehensive reporting in system

  • Built in battery with three hours backup

ACCESSORIES:

  • B&W Thermal Printer, Casing

INTERNATIONAL QUALITY AND SAFETY STANDARDS:

  • FDA/CE

Warranty: 3 years standard warranty

POWER MANAGEMENT:

  • 220V, 50HZ.

The supplier will have to make interior of the suite necessary furniture branded upper end computer with all accessories, printing paper, ultra sound gel, ultra sound paper, ups Backup & stabilizer, wheel chair.


8. CT Scan

WHOLE BODY MULTISLICE (128 OR MORE SLICES) COMPUTERIZED TOMOGRAPHY SCANNER



PRE-REQUISITE:
• The medical equipment must comply with 510(K) FDA (Food & Drug Administration), CE,MDD (Medical Device Directive) and MHLW (Ministry of Health, Labour & Welfare) for specific quoted model.
• The firms must quote their latest and leading brands from the above mentioned origins with the proven past performance nationally and internationally. The firm must possess its related back up support services including trained engineers, workshop facilities, spare parts availability and repair/calibration tools etc.
• The firm/s should have proper infrastructure to handle and execute the complete package. Latest model having the latest hardware and all latest software on console & Standalone /Thin client workstations.





CT Scan

S#

PARAMETER

DESCRIPTION

1.

GANTRY

    1. System should be capable of Acquiring / Generating 128 or more-slices per gantry rotation in real time.







    1. Gantry bore / aperture to be at least 70cm or more.







    1. Minimum gantry rotation time to be at least 0.35seconds or better, for 128 slices per 360 degree rotation, for cardiac applications. All the firms should quote their latest model scanner.







    1. Gantry tilt range must be + 30 degree.







    1. Maximum scan field of view to be at least 50cm for Paeds& Children the system should be able to reduce the field of view to 200mm or less.







    1. Minimum slice thickness of at least 0.625mm.







    1. Dual Control (including tilt,) of gantry and table from the gantry-housing and console.

2.

TUBE

2.1 Heat storage capacity of at least 7MHU or better without Iterative Dosage.

The system is able to reduce within one rotation or one FOV to protect sensitive organs







2.2 Anode heat dissipation of 800KHU/min or better







2.2 Generator output of up to 600mA or more for Cardiac applications.

3.

GENERATOR

3.1 High frequency power generator with minimum power of at least 70kW or more







3.2 should be capable of variable kV setting in steps (80 TO 135 KvP or more)







3.3 should have ability to vary the power (mAs) automatically in steps.







3.4 Real-time dose reduction hardware / software and with ECG modulation







3.5 Able to calculate patient dose in mili-sevriert preferably before image acquisition (CTDI) Iterative dose reduction must be offered.







3.6 Low contrast detectability (LCD) is the most important specifications of CT Scanner. The CT Scan must be capable to show LCD of 3mm at 3HU (0.3%) contrast difference with radiation dosage of not more than 10mGy.







3.7 Scan Length of at least 1.75meters or more of helical or axial scan in a single acquisition.







3.8Maximum Scan Time 120sec. or more for handling heavy patient load.

4.

DETECTORS

4.1 Solid state crystal ceramic detectors with conversion efficiency (X-Ray to signal strength) of nearly 100% latest technology.







4.2 Isotropic voxel size of 0.33mm or better, in all three axis







4.3 Minimum 64 physical detectors and detector electronics capable of providing more than 128 slices per gantry rotation or more.







4.4 Detectors width 38mm or more per gantry rotation.

High contrast resolution should 18lp/cm at 0% MTF across full detector coverage of x, y and z axis,Dynamic image coverage of 27cm or more,



All application should be available on console and workstation.

5.

COUCH

5.1 Dual motorized control (from console and gantry) of table movements in horizontal and vertical axis.







5.2 Maximum weight allowed on the couch up to 200kg or more







5.3. Horizontal movement speed up to 100mm per second.







5.4 Single acquisition scan range of at least 1.75meter







5.5 Scan with at least 0.25mm accuracy / reproducibility on a 200kg patient.







5.6 Lateral table shift of +/- 42mm for easy patient centering during cardiac and trauma scanning.

6.

CONSOLE COMPUTER

6.1 System architecture and operating system must be based on latest technology (64 bit RISC or Dual Xenon Processor PC) original.







6.2 Multitasking and parallel processing CPU system.







6.3 At least 32gb Ram or more







6.4 Hard disc capacity for image storage of at least 900GB or more.







6.5 Capable of storing at least 3000 raw data files / rotations or 700 GB raw data / 450000 images in 512 x 512 format







6.6 Reconstruction of at least 35 images per seconds or better at 512 x 512 matrix with iterative dose reduction.







6.7 Image area display matrix dimensions (1024 x 1024 )







6.8 Console color monitor, TFT type of at least 19inches x 2, medical grade with maximum viewing angle







6.9 CD / EOD and DVD writer







6.10 Console soft ware

all the latest cardio-vascular and whole body software should be supplied as standard which is available at the time of shipment.

USER INTERFACE SOFTWARE

6.10.1 True isotropic volume acquisition

6.10.2 Prospective and retrospective ECG gated acquisition

6.10.3 Variable Delay algorithm like fixed percent delay ( FPD) and fixed offset delay ( FOD ) or better , for selection of period of least motion in cardiac cycle ( temporal resolution of 60 milli second or better; less will be preferred )

6.10.4 Automated contrast media bolus tracking software

6.10.5 3D RECONSTRUCTION DISPPLAY ORIGINAL COMPANY SOFTWARE.

a. Maximum and minimum intensity projections

b. Multiplaner and curved planer reconstruction

c. 3D shaded surface display

d. 3D volume rendering software

e. 3D virtual endoscopy, colonoscopy and bronchoscopy

f. 3D cone beam correction.

6.10.6 CT angiography







6.10.7 Brain perfusion analysis







6.10.8 Dental CT







      1. Image reconstruction







      1. Fat Index View to calculate body fat area based on a single slice of non-contrast-enhanced CT data. Body fat area to be calculated including total fat, visceral fat and subcutaneous fat area. BMI should also be calculated with Reporting function and color display.







      1. Lung Nodule Detection and analysis







      1. Cardiac Function Analysis







6.10.13 a) Artifact reduction algorithm

  1. Automatic control of tube current over high and low attenuation areas for patient dose reduction software for low dose to patient original / certified.

  2. ITERATIVE DOSE REDUCTION SOFTWARE SHOULD BE APPLICABLE FOR WHOLE BODY ORGANS.

7.

WORK-STATION/ SERVER SOLUTION


FDA/CE approved, independent, multimodality, fully functional. All companies will supply the work-stations as recommended by the manufacturer and supplier by them worldwide.

THREE INDEPENDENT STAND ALONE WORKSTATIONS/ CONCURRENT Licences ARE REQUIRED, THESE SHOULD NOT BE THIN CLIENT







7.1 High speed link to operator console on DICOM network







7.2 System architecture and operating system

a. Dual processor Xeon

b. 2.66 GHz or more speed

c. 512 cache or more

d. Graphic cord and network cord








7.3 Should have one high resolution TFT monitor of 18 inch or more







7.4 DVD RW (super-drive will be preferred )







7.5 DICOM-3 viewer with universal PC display capability (licensed )







7.6 Heavy duty Laser black and white printer A4 /letter size 2400 dpi or higher, two paper trays for A4/ letter size media, ( HP, Lexmark, Xerox, CANNON ) network-ready







7.7 WORK STATION SOFTWARE

7.7.1 3D RECONSTRUCTION DISPLAY

a. Maximum and minimum intensity projections

b. Multi-planer and curved planer reconstruction

c. 3D shaded surface display

d. 3D volume rendering software

e. 3D virtual endoscopy, colonoscopy and bronchoscopy

7.7.2 CT Angiography

7.7. 3 Advanced coronary vessels analysis

7.7.4. Calcium scoring with ECG gating and prospective / retrospective reconstruction with automatic report regeneration.

7.7.5 Cardiac function analysis –

7.7.6 Advanced peripheral /general vessels analysis

7.7.7 Lung nodule detection and analysis

7.7.8 Brain perfusion analysis

7.7.9 Bone Mineral Density software and CT Phantom.

7.7.10 Latest software for liver analysis to visualize and measure the entire liver, liver segments and liver lesions.

Liver Automated tools liver lobes,liver segmentation and measurement portal vein based liver segmentation capacity with colour coding of segments

7.7.11 Metal artifact reduction software.

8.

DICOM

DICOM 3 ready (multi-vendor and multimodality compatible for send, receive, achieve, retrieve and print, on main console and workstations).

9.

QUALITY and SAFETY STANDARD

9.1 MDD ( CE ) / FDA (510K) / MHLW

9.2 Lead lining of the CT suit according to PNRA protocaol.

10

Power requirement

Three phase with line voltage of 380-440V, 50Hz along with power cable etc and compatible main Electric transformer by the supplier.

11.

ACCESSORIES SHOULD INCLUDE

11.1 Programmable, dual head power injector with flow/volume and temperature control. Mounted on mobile base, with 500 syringes of 150 ml capacity and connecting tubes ( Medrad-Bayer, Angiomat, Nemoto)







11.2 DICOM 3 ready dry laser camera / imager, Multi-size upto 14 x17 in. (Agfa, Fuji, Kodak, Konica,Codonics) for black and white printing on films including 5000 films.







11.3 On-line sine wave branded UPS for whole CT suite, with a minimum back-up time of 20 minute on full load.







11.4 Lead glass for control room (5 x 3 feet), 0.5 mm lead equivalent.







11.5 Standard set of Phantoms for calibration of CT







11.6 Pediatric scanning package - software and hardware with small FOV as low as 200mm or less.







11.7 Dedicated Cardiac Monitor for synchronize with cardiac scan.







11.8 TABLE ACCESSORIES – Table pads, arms rest, patient restraint kit, IV pole, infant cradle, flat head holder.







11.9 FILM VIEWER ( x 04 ) for images up to 14 x 17 inch with variable light control and shutters for control of viewing area, with 04 x 1 format .

12.

UPGRADIBILITY

12.1. All vendors will quote their latest, advanced and best system.







12.2.1 the system should have an software upgrade route to higher versions
12.2.2 With undertaking of above two by the principal manufacture, that is their latest version been used in USA/EU & Japan.

12.2.3 The system should have an upgrade route to higher version and responsible for upgradation of soft ware for 10 years. With undertaking of above two by the principal manufacture.



13.

WARRANTY

13.1 Warranty with all parts including consumable along with CT Tube etc for 05 years and additional 02 years service without parts . Local qualified Degree holder CT engineer having all the facilities (workshop with tools) should be available at local station.

14.


TRAINING

14.1.1 Foreign Training of Consultant Radiologist for 04 weeks in two settings( 02 weeks each) at supplier expense from the country of origin of equipment in Cardiac, Neuro and body multi-slice CT Imaging one immediately after installation of system ,second after 3 months.

14.1.2 Local training of 04 CT technicians for period of 02 weeks on the same machine in Pakistan.

14.1.3 Application training from foreign application expert for 14 days in two settings for 01 week each.





The supplier will have to make interior of the suite, necessary furniture, branded upper end computer with all accessories, Laptop core i9, printing paper, ups Backup & stabilizer, wheel chair, AC 2.5 tone both for suite and workstation ,Lead Aprons(04) of variable sizes with hangers (sample based), Lead Goggles(04 pairs), (04)wearing Suites & (10 pair)Shoes of variable sizes for technician, Foot Steps, one thousand Cds

Vendor will be responsible for all electrical installation, (installation of transformer from Wapda of required KVA ) and up to 100 meter cable from transformer to CT suite and all type of panels, main boards & switches, proper electrical earthling, complete electric wiring including main cable to the machine - of international standard companies.

HOD


Of Radiology Department GKMC Swabi

Dr. Arshad Abbas

Assistant Professor ENT

Member T&E Committee

GKMC Swabi

Dr. Shazia Ala Uddin

Assistant Professor Micro-Biology

Member T&E Committee

GKMC Swabi

Dr. Ibrahim Shah

Assistant Professor Cardiology

Member T&E Committee

GKMC Swabi

Dr. Sadia Haroon

Assistant Professor Hematology

Member T&E Committee

GKMC Swabi

Engineer Nadir Shah

Representative of DGHS Member T&E Committee

GKMC Swabi

Dr. Zahid Khattak

Associate Professor Medicine

Chairman Technical & Evaluation Committee

GKMC Swabi




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