PRE-BID CLARIFICATIONS / AMENDMENTS IN RESPONSE TO THE QUERIES RAISED BY PROSPECTIVE BIDDERS IN THE PRE-BID MEETING HELD ON DT.06.03.2019AT 11.00 A.M. AND SUBSEQUENTLY TECHNICAL COMMITTEE MEETING ON DT.10/05/2019 AT 11.00 A.M. IN THE CONFERENCE HALL, OSMCL FORVIDEO ENDOSCOPES WITH ERCP, VIDEO COLONOSCOPE, VIDEO SIGMOIDSCOPE, VIDEO BRONCHOSCOPE, ENDOSCOPIC ULTRASOUND SYSTEM AND HIGH FREQUENCY MOBILE C-ARM IMAGE INTENSIFIER SYSTEM UNDER TENDER FOR SUPPLY & INSTALLATION OF SURGICAL, ONCOSURGICAL & ANESTHESIA EQUIPMENTS AT AHRCC- CUTTACK & GREEN LIGHT LASER AT SCBMCH-CUTTACK (Bid Ref. No. : OSMCL/2018-19/AHRCC- SURGERYEQUIPMENT/17)

Brief note on the Tender:

 Date & Time of release of bid -25.02.2019, 3 PM.  Date & time of Pre-bid meeting - 06.03.2019, 11 AM.  Date & time of Online bid submission Start Date - 13.03.2019, 3 PM.

The tender was published in:

1. The Times of 2. 3. The Dharitri 4. The 5. OSMCL Website

 Total No. of prospective bidders/ representatives present in the pre-bid meeting are: 35 (Thirty-five) and 9 nos. of query was received through mail/letter for abovementioned items.

 The queries raised by the prospective bidders on the above mentioned tender reference were thread barely discussed on dt.10/05/2019 and the following recommendations were made:

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6.VIDEO ENDOSCOPES WITH ERCP

Sl. Queries raised by the Original Technical Clarifications /Amendments No. prospective bidders Specifications 1 Please add that it should Section – VII (Pg. No.66) Amended be of the same series as A. Upper GI Video Endoscope (End Upper GI Video Endoscope (End viewing) of processor viewing)-1 one should be a high definition scope with compatible processor. 2 Instrument channel with Section – VII (Pg. No.66) auxiliary water jet 3. Instrument channel No Change channel facility may be a. Channel inner Diameter: 2.8mm added and Minimum or more Visible Distance: 3 mm b. Minimum Visible Distance: 3 mm from distal end point from distal end. Should be removed 3 4.a.Bending section Section – VII (Pg. No.66) Up/Down 210 degree / 4. Bending Section No Change 90 degree or better a.Bending section Up/Down 210 b. Bending section degree / 90 degree Right/Left:100 Degree b. Bending section Right/Left:100 /100 Degree or better Degree /100 Degree 4 Total length 1350 mm or Section – VII (Pg. No.66) Amended more / Total length 1400 5. Total length 1350 mm 5. Total length 1350 mm or more mm or less 5 The scope should have Section – VII (Pg. No.66) the facility of optical 6. Camera (Compatible with No Change enhancement technology system) i.e. NBI/BLI/OE i SCAN Camera & light source must be integrated system of same manufacturer only. 6 Section – VII (Pg. No.66) HD-SDI or DVI output (I) Video Processor and Light No Change Source-1 One 1. Should have built in HD – SDI & DVI output & 16:9 &16:10 output for an HDTV Monitor. 7 It should be latest, hi Section – VII (Pg. No.66) definition technology, (I) Video Processor and Light No Change Latest Model Compact Source-1 One (separate or Integrated ) 2. It should be latest, hi definition and economically technology, Latest Model Compact designed with optical (separate or integrated) and enhancementtechnology economically designed, Compatible i.e. NBI/BLI/OE/I SCAN with NBI/BLI/OE/FICE scopes. It should be latest, hi definition technology, Latest Model Compact (separate or Integrated ) and economically designed with optical enhancement technology i.e. NB / BLI/OE/FICE/S Technology scopes 8 Section – VII (Pg. No.66) Amended Light Source should be (I) Video Processor and Light 3. Light Source should be equipped with equipped with 300W Source-1 One 300W Xenon Lamp with emergency light for Xenon Lamp or LED with 3. Light Source should be equipped back up and additionally 1 No. of 300W Xenon inbuilt / separate CO2/ with 300W Xenon Lamp with lamp shall be provided. Air insufflations pump. emergency light for back up. 9 High definition LCD Section – VII (Pg. No.67) Amended Monitor 24 inch or more (II) High definition LCD Monitor 24 inch or more full HD LCD monitor of full HD LCD monitor of 21 inch or more full HD LCD Medical grade having aspect ratio 16:9 & Medical Grade monitor of Medical grade having 16:10.

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26 inch or more full HD aspect ratio 16:9 & 16:10. LCD monitor of Medical grade having aspect ratio 16:9 & 16:10. It should be 24”or more HD monitor 10 GI endoscopic Section – VII (Pg. No.67) Amended Accessories should be (VII) GI endoscopic GI endoscopic Accessories should be from the from the same Accessories same endoscope manufacturer. Only in case manufacturer/USFDA of accessories not manufactured by the approved endoscope company they may be supplied from other manufacturer having USFDA approval. 11 1. Biopsy Forceps: Section – VII (Pg. No.67)  Rotatable Swing (VII) GI endoscopic No Change Jaws Alligator type Accessories Rat Tooth with 1. Biopsy Forceps: needle Biopsy  Rotatable Swing Jaws Alligator Forceps should be type Rat Tooth with needle removed. Biopsy Forceps Fenestrated for 2. Haemo-Clips & Loop upper GI (Reusable)-2 Two ligators: pieces  Entire segment 2. Haemo-Clips & Loop ligators: should be removed. 4. Diathermy Accessories 4. Diathermy Accessories  Snare master Polypectomy  Snare master snare (Oval) Disp. (10pc/1 box) Polypectomy snare –one box (Oval) should be  Hot Biopsy Forceps Reusable removed. Type.-One  Hot Biopsy Forceps 5. Foreign Body Forceps Reusable should be removed. 5. Foreign Body Forceps Entire segment should be removed. 12 Please add that it should Section – VII (Pg. No.67) Amended be of the same series as B. Video Endoscope with ERCP Video Duodenoscope (Side viewing of processor (Therapeutic & Side Viewing)- One endoscope) should have therapeutic capability as per tender specification. 13 1. Optical System Section – VII (Pg. No.67) b. Direction of View : 5- 1. Optical System No Change 10 Degree backward b. Direction of View : 5 Degree oblique viewing backward oblique viewing 14 2. Insertion Tube Section – VII (Pg. No.68) Amended a. Distal end outer 2. Insertion Tube 2. Insertion Tube Diameter: 12.7 mm or a. Distal end outer Diameter: 13.7 a. Distal end outer Diameter: 13.7 mm or less less mm or less b. Insertion Tube Outer Diameter: 11.6 mm b. Insertion Tube Outer b. Insertion Tube Outer Diameter: or less Diameter: 12.6 mm or 11.3 mm or less less 2. Insertion Tube b. Insertion Tube Outer Diameter: 11.6 mm or less 15 Should be removed Section – VII (Pg. No.68) 3. Instrument Channel No Change b. Minimum Visible Distance: 10 mm or closer from distal end. 16 4. Bending Section Section – VII (Pg. No.68) b. Right/Left: more than 4. Bending Section No Change 100 Degree /90 Degree b. Right/Left: 90 Degree /110 Degree

17 5. Total Length: 1550 Section – VII (Pg. No.68) Amended mm or less 5. Total Length: 1550 mm 5. Total Length: 1550 mm or less

18 The scope should have Section – VII (Pg. No.68) the facility of optical 6. Camera ( compatible system) No Change enhancement technology i.e. NBI/BLI/OE i SCAN Camera & light source must be integrated system of same manufacturer only. Page 3 of 11

19 Section – VII (Pg. No.68) HD-SDI or DVI output (I) Video Processor and Light No Change Source 1. Should have built in HD – SDI & DVI output & 16:9 &16:10 output for an HDTV Monitor. 20 It should be latest, hi Section – VII (Pg. No.68) definition technology, (I) Video Processor and Light No Change Latest Model Compact Source (separate or Integrated) 2. It should be latest, hi definition and economically technology, Latest Model Compact designed with optical (separate or integrated) and enhancement technology economically designed, Compatible i.e. NBI/BLI/OE/I SCAN with NB/BLI/OE/FICE scopes. It should be latest, hi definition technology, Latest Model Compact (separate or Integrated) and economically designed with optical enhancement technology i.e. NB / BLI/OE/FICE/S Technology scopes 21 Section – VII (Pg. No.68) Amended Light Source should be (I) Video Processor and Light 3. Light Source should be equipped with equipped with 300W Source 300W Xenon Lamp with emergency light for Xenon Lamp or LED with 3. Light Source should be equipped back up and additionally 1 No. of 300W Xenon inbuilt / separate CO2/ with 300W Xenon Lamp with lamp shall be provided. Air insufflations pump. emergency light for back up. 22 Section – VII (Pg. No.68) Amended 26 inch or more full HD (II) High definition LCD Monitor 24 inch or more full HD LCD monitor of LCD monitor of Medical 21 inch or more full HD LCD Medical grade having aspect ratio 16:9 & grade having aspect monitor of Medical grade having 16:10. ratio 16:9 & 16:10. aspect ratio 16:9 & 16:10. 23 GI endoscopic Section – VII (Pg. No.68) Amended Accessories should be (VII) GI endoscopic GI endoscopic Accessories should be from the from the same Accessories same endoscope manufacturer. Only in case manufacturer/USFDA of accessories not manufactured by the approved endoscope company they may be supplied from other manufacturer having USFDA approval. 24 Section – VII (Pg. No.68) (VII) GI endoscopic No Change Should be removed Accessories 1. Cannulaes:  Swing tip-10 nos.

7.VIDEO COLONOSCOPE Sl. No. Queries raised by the Original Technical Clarifications /Amendments prospective bidders Specifications

1 Please add that it should Section – VII (Pg. No.69) Amended be of the same series as Video Colonoscope (Adult) Video Colonoscope (Adult) should be a high of processor Colonoscope L definition scope with compatible processor. 2 b. Insertion Tube Outer Section – VII (Pg. No.69) Amended Diameter: 12.9 mm or 2. Insertion Tube 2. Insertion Tube less b. Insertion Tube Outer Diameter: b. Insertion Tube Outer Diameter: 12.9 mm c. Working Length: 12.8 mm or less or less Long: 1600 mm or more c. Working Length: Long: 1680 mm c. No Change

or more 3 Instrument channel with Section – VII (Pg. No.69) auxiliary water jet Video Colonoscope (Adult) No Change channel facility may be Colonoscope L added 3. Instrument Channel

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4 4. Bending Section Section – VII (Pg. No.69) a. Up /Down: 180 Video Colonoscope (Adult) No Change Degree/180 Degree or Colonoscope L better 4. Bending Section b. Right/Left:160 Degree a. Up /Down: 180 Degree/180 /160 Degree or better Degree b. Right/Left:160 Degree /160 Degree 5 The scope should have Section – VII (Pg. No.69) the facility of optical Video Colonoscope (Adult) enhancement technology Colonoscope L No Change i.e. NBI/BLI/OE i SCAN 6. Camera (Compatible with Camera & light source system) must be integrated system of same manufacturer only. 6 Section – VII (Pg. No.69) HD-SDI or DVI output (I) Video Processor and Light No Change Source 1. Should have built in HD – SDI & DVI output & 16:9 &16:10 output for an HDTV Monitor. 7 It should be latest, hi Section – VII (Pg. No.69) definition technology, (I) Video Processor and Light Latest Model Compact Source No Change (separate or Integrated) 2. It should be latest, hi definition and economically technology, Latest Model Compact designed with optical (separate or integrated) and enhancement technology economically designed, Compatible i.e. NBI/BLI/OE/I SCAN with NBI/BLI/OE/FICE scopes. It should be latest, hi definition technology, Latest Model Compact (separate or Integrated) and economically designed with optical enhancement technology i.e. NB / BLI/OE/FICE/S Technology scopes 9 Section – VII (Pg. No.69) Amended Light Source should be (I) Video Processor and Light 3. Light Source should be equipped with equipped with 300W Source 300W Xenon Lamp with emergency light for Xenon Lamp or LED with 3. Light Source should be equipped back up and additionally 1 No. of 300W Xenon inbuilt / separate CO2/ with 300W Xenon Lamp with lamp shall be provided. Air insufflations pump. emergency light for back up. 10 26 inch or more full HD Section – VII (Pg. No.69) Amended LCD monitor of Medical (II) High definition LCD Monitor 24 inch or more full HD LCD monitor of grade having aspect 21 inch or more full HD LCD Medical grade having aspect ratio 16:9 & ratio 16:9 & 16:10. monitor of Medical grade having 16:10. High definition LCD aspect ratio 16:9 & 16:10. Monitor 24 inch or more full HD LCD monitor of Medical Grade 11 GI endoscopic Section – VII (Pg. No.70) Amended Accessories should be (VII) GI endoscopic GI endoscopic Accessories should be from the from the same Accessories same endoscope manufacturer. Only in case manufacturer/USFDA of accessories not manufactured by the approved endoscope company they may be supplied from other manufacturer having USFDA approval. 12 1. Biopsy Forceps: Section – VII (Pg. No.70)  Biopsy Forceps (VII) GI endoscopic Fenestrated for Accessories upper GI (Reusable) 1. Biopsy Forceps:

should be removed.  Biopsy Forceps Fenestrated for No Change  Rotatable Biopsy upper GI (Reusable) - two (2) Forceps Fenestrated no. for upper GI  Rotatable Biopsy Forceps (Reusable) should be Fenestrated for upper GI removed. (Reusable) - two (2) no.  Rotatable Swing  Rotatable Swing Jaws Alligator Page 5 of 11

Jaws Alligator type type Rat Tooth with needle Rat Tooth with Biopsy Forceps Fenestrated for needle Biopsy upper GI (Reusable) - two (2) Forceps Fenestrated no. for upper GI 2. Haemo-Clips & Loop ligators (Reusable) should be 3. Endo- Loop (Ligation Device) removed. 5. Diathermy Accessories 2. Haemo-Clips & Loop  Reusable snare Oval Including ligators Snare wire -2 no., Snare tube-2  Entire segment nos. should be removed.  Hot Biopsy Forceps Reusable 3. Endo- Loop (Ligation Type Device)  Entire segment should be removed. 5. Diathermy Accessories  Reusable snare Oval & Hot Biopsy Forceps Reusable Type 13 (VII) GI endoscopic Section – VII (Pg. No.70) Amended Accessories (VII) GI endoscopic 1. Biopsy Forceps: 1. Biopsy Forceps: Accessories  Biopsy Forceps Fenestrated for Lower GI  Biopsy Forceps 1. Biopsy Forceps: (Reusable) - two (2) no. Fenestrated for  Biopsy Forceps Fenestrated for  Rotatable Biopsy Forceps Fenestrated for Lower GI (Reusable) upper GI (Reusable) - two (2) Lower GI (Reusable) - two (2) no. - two (2) no. no.  Rotatable Swing Jaws Alligator type Rat  Rotatable Biopsy  Rotatable Biopsy Forceps Tooth with needle Biopsy Forceps Forceps Fenestrated Fenestrated for upper GI Fenestrated for Lower GI (Reusable) - two for Lower GI (Reusable) - two (2) no. (2) no. (Reusable) - two (2)  Rotatable Swing Jaws Alligator no. type Rat Tooth with needle  Rotatable Swing Biopsy Forceps Fenestrated for Jaws Alligator type upper GI (Reusable) - two (2) Rat Tooth with no. needle Biopsy Forceps Fenestrated for Lower GI (Reusable) - two (2) no.

8.VIDEO SIGMOIDSCOPE

Sl. Queries raised by the Original Technical No. Clarifications /Amendments prospective bidders Specifications 1 2. Insertion Tube Section – VII (Pg. No.71) Amended a. Distal end outer 2. Insertion Tube 2. Insertion Tube Diameter: 11.2 mm or a. Distal end outer Diameter: 13.2 a. Distal end outer Diameter: 13.2 mm or less mm or less less b. Insertion Tube Outer b. Insertion Tube Outer Diameter: b. Insertion Tube Outer Diameter: 12.8 mm Diameter: 11.2 mm or 12.8 mm or less or less less c. Working Length: Intermediate: c. Working Length: Intermediate: 1000 mm c. Working Length: 1330 mm or more or more Intermediate: 800-1000 mm or more 2 3. Instrument Channel Section – VII (Pg. No.71) a. Channel inner 3. Instrument Channel No Change Diameter: 3.4 mm or a. Channel inner Diameter: 3.7 mm more or more 3 5. Total Length: 1200 Section – VII (Pg. No.71) Amended mm or more 5. Total Length: 1330 mm 5. Total Length: 1200 mm or more

4 The scope should have Section – VII (Pg. No.71) the facility of optical 6. Camera (Compatible with No Change enhancement technology system) i.e. NBI/BLI/OE i SCAN Camera & light source must be integrated system of same manufacturer only.

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5 It should be latest, hi Section – VII (Pg. No.71) definition technology, (I) Video Processor and Light No Change Latest Model Compact Source (separate or Integrated) 2. It should be latest, hi definition and economically technology, Latest Model Compact designed with optical (separate or integrated) and enhancement technology economically designed, Compatible i.e. NBI/BLI/OE/I SCAN with NB/BLI/OE scopes. It should be latest, hi definition technology, Latest Model Compact (separate or Integrated) and economically designed with optical enhancement technology i.e. NB / BLI/OE/FICE/S Technology scopes 6 Section – VII (Pg. No.71) Amended Light Source should be (I) Video Processor and Light 3. Light Source should be equipped with equipped with 300W Source 300W Xenon Lamp with emergency light for Xenon Lamp or LED with 3. Light Source should be equipped back up and additionally 1 No. of 300W Xenon inbuilt / separate CO2/ with 300W Xenon Lamp with lamp shall be provided. Air insufflations pump. emergency light for back up. 7 26 inch or more full HD Section – VII (Pg. No.71) Amended LCD monitor of Medical (II) High definition LCD Monitor 24 inch or more full HD LCD monitor of grade having aspect 21 inch or more full HD LCD Medical grade having aspect ratio 16:9 & ratio 16:9 & 16:10. monitor of Medical grade having 16:10. High definition LCD aspect ratio 16:9 & 16:10. Monitor 24 inch or more full HD LCD monitor of Medical Grade 8 GI endoscopic Section – VII (Pg. No.71) Amended Accessories should be (VII) Accessories GI endoscopic Accessories should be from the from the same same endoscope manufacturer. Only in case manufacturer/USFDA of accessories not manufactured by the approved endoscope company they may be supplied from other manufacturer having USFDA approval. 9 (VII) Accessories Section – VII (Pg. No.71 & 72) Amended 1. Biopsy Forceps: (VII) Accessories 1. Biopsy Forceps:  Biopsy Forceps 1. Biopsy Forceps:  Biopsy Forceps Fenestrated for Lower GI Fenestrated for  Biopsy Forceps Fenestrated for (Reusable) - two (2) no. Lower GI (Reusable) upper GI (Reusable) - two (2)  Rotatable Biopsy Forceps Fenestrated for - two (2) no. no. Lower GI (Reusable) - two (2) no.  Rotatable Biopsy  Rotatable Biopsy Forceps  Rotatable Swing Jaws Alligator type Rat Forceps Fenestrated Fenestrated for upper GI Tooth with needle Biopsy Forceps for Lower GI (Reusable) - two (2) no. Fenestrated for Lower GI (Reusable) - (Reusable) - two (2)  Rotatable Swing Jaws Alligator two (2) no. no. type Rat Tooth with needle  Rotatable Swing Biopsy Forceps Fenestrated for Jaws Alligator type upper GI (Reusable) - two (2) Rat Tooth with no. needle Biopsy Forceps Fenestrated for Lower GI (Reusable) - two (2) no.

9.VIDEO BRONCHOSCOPE Sl. Queries raised by the Original Technical No. Clarifications /Amendments prospective bidders Specifications 1 1. Optical System Section – VII (Pg. No.72) Amended b. Depth of Field : Must 1. Optical System 1. Optical System be 3-50 mm or better b. Depth of Field : Must be 3-100 b. Depth of Field : Must be 3-50 mm or better mm or better 2 2. Insertion Tube Section – VII (Pg. No.72) Amended a. Distal end outer 2. Insertion Tube 2. Insertion Tube Diameter: 6.3 mm or a. Distal end outer Diameter: 6 mm a. Distal end outer Diameter: 6.3 mm or less less or less b. Insertion Tube Outer Diameter: 6.4 mm or b. Insertion Tube Outer b. Insertion Tube Outer Diameter: less Diameter: 6.4 mm or 6 mm or less less Page 7 of 11

3 The scope should have Section – VII (Pg. No.72) the facility of optical 5. Camera (Compatible with No Change enhancement technology system) i.e. NBI/BLI/OE i SCAN 4 Section – VII (Pg. No.73) (I) Video Processor and Light No Change HD-SDI or DVI output Source 1. Should have built in HD – SDI & DVI output & 16:9 &16:10 output for an HDTV Monitor. 5 It should be latest, hi Section – VII (Pg. No.73) definition technology, (I) Video Processor and Light Latest Model Compact Source No Change (separate or Integrated) 2. It should be latest, hi definition and economically technology, Latest Model Compact designed with optical (separate or Integrated) and enhancement technology economically designed, Compatible i.e. NBI/BLI/OEI SCAN with NBI/BLI/OE /FICE scopes. 6 GI endoscopic Section – VII (Pg. No.73) Amended Accessories should be (VII) Accessories GI endoscopic Accessories should be from the from the same same endoscope manufacturer. Only in case manufacturer/USFDA of accessories not manufactured by the approved endoscope company they may be supplied from other manufacturer having USFDA approval. 7 Accessories (entire Section – VII (Pg. No.73) Amended segment) should be (VII) Accessories (VII) Accessories removed (Wrong  EUS FNA Needle- Nitinol Needle  Biopsy Forceps- 20 Nos. each accessories) min. working Channel required is 2.8 mm working length of  TBNA (Trans bronchial Needle Aspiration) sheath is 1400 mm & needle Needle- 20 Nos. each length is 80 mm with the width of 22G. This needle is available with side hole for better  Cytology Brush- 20 Pcs. sampling yield – (10 pc)  EUS FNA Needle – Nitinol Needle, min. working channel required is 2.8 mm. working length of sheath is 1400 mm and needle length is 80mm with the width of 19G – (10PC)  Diathermy Accessories: Snare master Polypectomy snare (Oval) Disp. (10pc/1 box)-1 box

11. ENDOSCOPIC ULTRASOUND SYSTEM

Sl. Queries raised by the Original Technical Clarifications /Amendments No. prospective bidders Specifications 1 Section – VII (Pg. No.75) Amended Should have more than (I) ULTRASONIC Should have more than 150 degree electrical 150 degree electrical GASTROVIDEOSCOPE (LINEAR) curved linear scanning curved linear scanning 1. Should have 180 degree electrical curved linear scanning 2 Section – VII (Pg. No.75) Amended Direction of view : 45-60 (I) ULTRASONIC Direction of view : 45-60 degree Forward- degree Forward-oblique GASTROVIDEOSCOPE (LINEAR) oblique or forward viewing or forward viewing Direction of view : 50-60 degree Forward-oblique or forward viewing 3 Section – VII (Pg. No.75) Amended Bending section : Up 160 (I) ULTRASONIC Bending section : Up 130 deg or more, Dn 90 deg / Dn 130 deg GASTROVIDEOSCOPE (LINEAR) deg or more, Rt & Lt 90 deg or better Bending section : Up 130 deg, Dn 90 deg, Rt& Lt 90 deg or better 4 Section – VII (Pg. No.76) Direction of view should (II) ULTRASONIC No Change be zero degree GASTROVIDEOSCOPE (RADIAL) 7. Direction of view : 50-60 degree Forward-oblique or forward viewing

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5 Section – VII (Pg. No.76) Amended Insertion tube outer (II) ULTRASONIC 9. Insertion tube outer diameter: 12.2 mm or diameter: 12.2 mm or GASTROVIDEOSCOPE (RADIAL) less less 9. Insertion tube outer diameter: 12 mm or less 6 Section – VII (Pg. No.76) Amended Bending section : Up 150 (II)ULTRASONIC 12. Bending section : Up 130 deg or more, Dn deg, Dn 70 deg, Rt& Lt GASTROVIDEOSCOPE (RADIAL) 70 deg or more, Rt & Lt 90 deg or better 70 deg or better 12. Bending section : Up 130 deg, Dn 90 deg, Rt& Lt 90 deg or better 7 Please remove this Section – VII (Pg. No.76) Amended clause as these are no (III) RECTAL PROBE for High (III) RECTAL PROBE for High resolution rectal longer available resolution rectal and anal and anal endosonography segment is deleted. endosonography 8 Should be removed Section – VII (Pg. No.76) Amended (IV) ULTRASOUND PROCESSOR Compatible with Electronic scanning and 2. Compatible with Electronic mechanical scanning probes scanning and preferably mechanical scanning probes 9 Should be removed Section – VII (Pg. No.76) Amended (IV) ULTRASOUND PROCESSOR 3D imaging option for radial scanning probes. 3. 3D imaging option for radial scanning probes preferred 10 Section – VII (Pg. No.76) Touch screen should be (IV) ULTRASOUND PROCESSOR No Change removed. It should be 5. Touch screen, dedicated and dedicated/integrated user friendly key board. user friendly keyboard. 11 Section – VII (Pg. No.76) Request to include (IV) ULTRASOUND PROCESSOR elastography and stain 9. Display Mode: B Mode, Colour No Change histogram Mode, Power Mode and H- Flow mode 12 Should have chromo Section – VII (Pg. No.76) endoscopy technology (V) VIDEO PROCESSOR (NBI/BLI/i SCAN OE). 7. Should have Optical No Change Enhancement Technology (NBI/BLI/i SCAN OE) to enhance the visibility of capillaries and other structures on the mucosal surface. 13 ACCESSORIES (Should Section – VII (Pg. No.77) Amended be from the same (VIII) ACCESSORIES Accessories should be from the same manufacturer or 3rd 2. BALLOONS: 40 Nos. each for endoscope manufacturer. Only in case of party reputed Radial and Linear Scope accessories not manufactured by the manufacturer & Balloons endoscope company they may be supplied should be removed. from other manufacturer having USFDA approval. 14 Should be removed to Section – VII (Pg. No.77) Amended accommodate the The manufacturing company must The manufacturing company must have at upgraded product have at least 5 installations of the least 1 installation of the quoted models in quoted models in the last 3 years the last 3 years i.e. 2015-16, 2016-17 & i.e. 2015-16, 2016-17 & 2017-18, 2017-18 in government organization / in reputed government/private Corporate Hospitals/ PSU Hospitals/ UN institutions in India and the Agencies in India (executed directly by company should have good service manufacturer or through distributor) and the structure and facility of repairing company should have good service structure scopes in India. and facility of repairing scopes in India. 15 Addition of Intubation Additional points discussed in Amended Set & Trolley along with the technical expert committee Complete intubation set along with Trolley the machine under scope meeting and followings shall be supplied along with of supply the machine, 1. Laryngoscope with handle and 3 Macintosh blades no. 2,3 & 4) 2. Plaster Cloth, Pean forceps, Syringe (10 ml), Bandage scissors and exploration flash light 3. Magill forceps for Adult-1 & Paediatric-1 4. LMA (size 3-1 & 4-1) 5. Endotracheal tubes no. 5, 6, 7, 8, & 9 along with balloon 6. Two stylets (Adult) and One stylet (Paediatric) and One Bougie Page 9 of 11

18.HIGH FREQUENCY MOBILE C-ARM IMAGE INTENSIFIER SYSTEM

Sl. Queries raised by the Original Technical No Clarifications /Amendments prospective bidders Specifications . 1 Model should be US FDA & Section-VII(Pg.No-89) Amended European CE approved. 1. Should be USFDA or European 1. The model Should be USFDA or European ISO 13485, AERB TYPE CE approved product. CE and AERB type approved and the APPROVAL, US FDA & manufacturer should have ISO 13485 European CE. certification for quality standards. 2 Brand name of Toshiba Section-VII(Pg.No-89) Amended Japan to be removed 2. Image Intensifier : Toshiba 2. Image Intensifier : 9” triple field image Japan Make 9” triple field image intensifier cassette holder for 8” X 10”, 10” intensifier cassette holder for 8” X X 12” cassette for Radiography 10”, 10” X 12” cassette for Radiography 3 Please remove the brand Section-VII(Pg.No-89) Amended name of Camera 3. C.C.D Camera : B/W Sony, 3. C.C.D Camera with a progressive scan Japan or Rodenstock, Germany sensor of 1Kx1K medical grade. C.C.D Camera 4 Kindly amend as 15” / Section-VII(Pg.No-89) Amended 17”/ 19”/25” or more 4. Monitors : B/W High Resolution 4. Monitors: 02 Nos. medical grade colored/grayscale monitor Monitors of 15” / 17” monochrome high brightness, high contrast should be provided 19” or more LCD monitors should be provided. 5 Mobile Trolley for monitor Section-VII(Pg.No-89) Amended should be provided. 5. Monitor Trolley : Mobile Trolley 5. High end monitor trolley with foldable for mounting 2 monitors arms for monitors and actuator driven height adjustment of monitors should be provided. 6 Output Power : 2.5 KW or Section-VII(Pg.No-89) No Change more (I) X-Ray Generator 6. Output Power : 3.5 KW 7 Kindly delete Pulsed mode Section-VII(Pg.No-89) No Change (I) X-Ray Generator 8. Fluoroscopy : Manual , ADRC, Pulsed 8 Fluoro mA - 12 mA or Section-VII(Pg.No-89) No Change more (I) X-Ray Generator 10. MA : 0.3 to 6 Ma 9 Radiography mA - 20 mA Section-VII(Pg.No-89) Amended or more (II) Radiography 15. MA: 70 mA or more. 15. MA : 80Ma MA : 70 mA or more 10 Focal Spot : 0.6 & 1.5 mm Section-VII(Pg.No-89) Amended or better (II) Radiography 17. Focal Spot : 0.6 mm or better (small) & 17. Focal Spot : 0.6 & 1.5 mm 1.5 mm or better (large) 11 Section-VII(Pg.No-89) Inh. Filerations: 0.5 Al or (III) X-Ray Tube No Change equivalent 19. Inh. Filerations: 0.5 Al

Total filtration should be 2.5 mm Al or more 12 Section-VII(Pg.No-89) Amended Kindly generalize as (III) X-Ray Tube 22. Image Reversal: Horizontal & Vertical. Auto/Self error detection 22. Image Reversal: Horizontal & i. Auto/Self Error detector & all parameters Vertical. display In LCD Screen i. Auto Error detector & all parameters display In LCD Screen 13 Horizontal Travel : 200 Section-VII(Pg.No-89) Amended mm (20 cm) or more (IV) C – ARM STAND 25. Horizontal Travel : 200 mm (20 cm) or Horizontal Travel : 210 25. Horizontal Travel : 220 mm (22 more mm or more cm) Horizontal Travel : 200 mm (20 cm) 14 10,000 or more image Section-VII(Pg.No-89) Amended permanent storage with (V) Image Processing & 29. more than 1000 image storage capacity PC interface with facility to Memory System: with PC interface with facility to view view multiple stored 29. 100 image permanent storage multiple stored images at a time images at a time with PC interface with facility to view multiple stored images at a time Page 10 of 11

15 The machine should have Additional points suggested to No Change LASER AIMER and specification AIRKERMA. 16 Image Processing software Additional points suggested to Amended for measurement tool to specification Image Processing software with real time measure length and angle image capturing, storage and display in of image study for 1Kx1K format. orthopaedic case. 17 The machine should have Additional points suggested to Amended Circular IRIS Collimator specification IRIS Collimator should be provided. with electrically operated hard & soft shutter. 18 Virtual Collimation for Additional points suggested to No Change alignment and adjustment specification of X-ray field. 19 The machine should have Additional points suggested to Amended DSA and Roadmap facility specification The machine should have DSA and for peripheral vascular Roadmap facility for peripheral vascular study. study. 20 Additional points suggested in Amended Pre-bid meeting Accessories  5 Nos. BARC approved whole body lead aprons with all attachments.

N.B:- 1. The amendments mentioned above are to be treated as amendments in the term(s) and condition(s) and scope of work of the above tender reference. All other terms conditions remain unchanged.

2. Since any text in the price BOQ can’t be changed in the e-tender portal, the amendments mentioned above are to be treated as amendments pertaining to price bid/ BOQ (if applicable).

Sd/- Managing Director OSMC

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