Attachment one .xlsx

Table 1

invasive ventilation, modes: NIV and

Medical,

servo control, 2 temperatures, servo humidity control, oxygen therapy) ATOM Medical,

(top type of irradiation, LED, on a tripod, large irradiation area) ATOM Medical,

1. High-end artificial respiration unit with humidifier and reusable circuit for newborns Is to provide continuous respiratory support of all categories of patients in health care facilities, the ability to ventilate the lungs of patients with a body weight from 0.1 kg.

Features:

built in color touch screen LCD display with real time and digital monitoring capabilities;

ability to work with flow sensors of several types (at least 2) Ventilation operating modes, not less than:

apnea reserve ventilation function;

Pressure controlled ventilation mode A/C (Assist/Control);

SIMV;

APRV / BIPHASIC;

PSV in APRV/BiPhasic modes;

apnea APRV/BIPHASIC mode;

constant positive pressure respiration CPAP;

СРАР/PSV;

PSV;

The following are to be displayed or similar information:

- APRV/BIPHASIC;

- Volume A/C;

- Pressure A/C;

- Volume SIMV;

- Pressure SIMV;

- CPAP / PSV;

- PRVC A/C;

- PRVC SIMV;

Ventilation capabilities not less than:

- Pressure ventilation (pressure control, pressure limit control, runs in time or volume cycles);

- Pressure controlled ventilation on a time cycle (in hale flow control);

- Limited volume ventilation;

- Mandatory ventilation;

- Ventilation on-call;

- Pressure ventilation with verified volume;

- spontaneous breathing;

Built in display with the possibilities to:

- Color charting;

- inhale phase of ventilation;

- additional and spontaneous ventilation;

- exhale phase of ventilation;

- readings of the exhale flow sensor;

- Alarm system for critical valve malfunctions;

- Not less than three layers of images simultaneously display capabilities with pause and print screen option;

- compliance of the breathing circuit loop, not less than two;

- flow/volume, inhale flow volume, pressure/volume in respiration system, esophageal pressure/volume, tracheal pressure/volume, inhale pressure/volume;

- Loop comparison, loop save and loop creation;

- Actions identification;

- capnography;

- Not less than 15 parameters updated every 10 seconds or with the new inhale;

- Actions log. Auto save with data storage for blood gas level, ribcage x-ray, diagnosis, nutrition, intubation, therapeutic procedure;

- Trends plotting based on the last 24.

Doctor individual parameters display in the range:

- inhales per minute 1-150;

- inhale volume 0,002-2,50 liters;

- inhale pressure 0-90 cmH2O;

- max inhale flow 0,4-150 liters/min;

- inhale timing 0,15 -5 seconds;

- inspiratory hold 0,0-3,0 seconds;

- supporting pressure 0-90 cmH2O;

- pressure at the end of the exhale (PEEP) 0 - 50 cmН2О;

- flow trigers 0,1 - 20,0 liters/min;

- oxygen level display 21% - 100%; Special modes:

- Pressure basis;

- Minimal pressure 0,20 - 30,0 seconds.

Monitored range of parameters, not worse than:

- Inhale volume 0-4 liters

- Volume per minute 0 – 99,9 liters;

- respiratory rate 0 - 200 per minute;

- inhale/exhale timing 0,00 - 99,99 seconds;

- inhale/exhale ratio 1:99,9 – 99,9:1;

- rapid shallow breathing index0 – 500;

- pressure (max, average, general) 0 to 120 cm. Н2О;

- Positive pressure at the end of the exhale 0-60 cmН2О;

- incoming air/oxygen pressure 0 – 5.5 Bar;

- atmospheric pressure 760-545 mmНg (101-72.7 кPa)

- oxygen delivery rate 0-100%;

- tolerance (dynamic, static, thoracal plate, absolute and correlated to the weight of the patient) 0 – 300 ml/cmН2О and 0 – 5,0ml/cmН2О/кg;

- resistance (respiratory system, general, max exhale) 0 – 100 cmН2О/liters/seconds;

- flow speed of inhale/exhale 0 to 300 liters/minute;

- basic and max pressure difference (respiratory ways, esophagus) -120 till+120 cmН2О;

- patient breath energy 0,0 – 20,0 J/liter;

- end of the action pressure (respiratory ways, esophagus 0 - 50 cmН2О;

- transpulmonary pressure -60 – 120cmН2О;

Built-in functions or similar but not worse than:

- artificial respiration compensation, active in all modes;

- outflowliquidscompensation;

- respiratory contour flexibility;

- automatic available respiratory compensation readings during system test;

- active/passive moisturizing;

- flow control according to the body temperature, pressure, humidity and outside weather conditions;

- independent lung ventilation (ILV);

- pause/save data flow on the display;

- ventilation stop/go switch for the doctor.

possibility to choose not less than 60 parameters to control:

- respiratory center activity;

- in volume terms (breathing including general, spontaneous, forced) «dead spot»;

- in frequency terms (general, spontaneous, forced), outcome %, inhale/exhale time and ratio;

- shallow breathing index;

- pressure (max, average, general, delta, automatic, transpulmonary, positive, atmospheric, air/oxygen);

- oxygen %;

- tolerance dynamic, static (correlated to the weight of the patient);

- resistance (respiratory system, max, forced);

- fluid flow speed;

- energy utilized (used, forced);

- carbon dioxide (amount, concentration);

automatic pressure calibration according to the system and patient;

Special control features: flow cycle, max volumes, equipment volume, dedicated volume, inhale pressure, input pressure;

- patient weight and identification input;

- Resistance compensation settings;

- Air escape compensation;

- Tolerance compensation;

- Moisture setting (active or passive).

self-test on start-up with audio and visual effects;

comprehensive system test for leaks from the patient contour, flexibility, oxygen sensor calibration with two inputs;

Multi display capabilities, charting, monitoring, trends, actions, waiting list, software;

multi-language interface possibilities, date and time;

automatic ventilation support to keep the set blood oxygen level;

hard copy print possibility for displayed information;

Reserve ventilation capabilities should patient need extra volume;

Equipped with line-out for:

- emergency call;

- independent ventilation source;

- air supply or helium-oxygen mix with built-in liquid separator/filter;

- oxygen supply.

built-in autonomous moisturizer, heater 30-39 С0, water supply that keeps the contour tight;

Moisture proof design, corrosive resistant;

One hour emergency energy supply;

Brakers in proximity with the main power supply;

Not less than two triggers: flow trigger and adaptive trigger for pressure stabilization;

Adaptive airways to size;

Integrated on-demand oxygen supply;

Indicators that are to be displayed:

- Compressor on/off (if available) indication, oxygen-helium line connection indication, electric AC line connection indication, auxiliary battery operation indication, battery life indication;

- emergency (high, medium, low);

- emergency valve open;

- not in order;

- not ventilating;

- ventilator malfunction/defect;

- contour open/unattached/occlusion;

- disruption of supply of gas mix/oxygen/air;

- oxygen % rate high/low;

- flow sensor disruption/error;

- pressure level low/high, peak, positive pressure low;

- volume low/high/cutoff;

- apnoe interval;

- frequency;

- max inhale time;

- inhale/exhale limiter;

Emergency signal assignment to critical indicators possibilities;

Emergency volume levels controls;

Technical characteristics, not worse than:

- Line-in for compressed air, dry, medical quality;

- Supply from 1.5 Bar;

- Electric supply;

- AC 220 v, 50hZ;

- Data input/output for ventilation synchronization;

- Digital compatible;

- 2 digitalslots RS-232;

- Software;

- Printer line-out;

- Generalline-outforconnectingto outside systems;

- Video line-out for additional display;

- Multi-language compatible;

Warranty – not less than 12 months;

Warranty and service support, supplier training of the end users;

Сan operate without replacement of components for at least 2 years.;

Minimum two years free operation from spare-parts and long term consumables;

The Machine will include:

- Operation manual Ukrainian/English language;

- Artificial ventilation machine unit with full color display – one item;

- Autonomous humidifier with built-in indirect heating, unidentified mode of ventilation – one item;

- Moisturizing chamber long time use, reusable – one item;

- Moisture collector – one item;

- Water refill unit with contour leak-proof capabilities – one item;

- Remote long time flow sensor for newborns, hot-wire type, reusable – one item;

- Built-in sensor of oxygen saturation – one item;

- Built-in battery – one item;

- Rack – one item;

- Set of silicon multiuse contour for newborns - one item;

- Nasal cannula set for newborns of 500 to 2500 grams - one item.

2. High-frequency jet pulmonary ventilation machine for newborns (AVM) For lung ventilation support and treatment of respiratory distress, disbarism, pneumonectasia, or respiratory arrest; long and short term ventilation mode with active exhale for newborns, to be used in clinical settings.

Instruments and sensors:

- Flow,

- Average unfold pressure,

- Inhale timing,

- Oxygen concentration in respiratory gas,

- Breathing frequency;

Respiration gas heating capability in the range of 30-390С and moisturizer;

Must include a set of comprehensive moisturizing capabilities running without affect to the respiration contour;

Controls:

- Flow from 0 to 40 liters/minute,

- Average pressure 3-45 cmH2O,

- Average pressure cutoff 10-45 cmH2O,

- Max pressure 90 cmH2O,

- Oscillation 3-15 hZ,

- Exhale 30-50% of the cycle,

- Emergency signal attachment to:

a. Min/max pressure cutoff 20-50 cmH2O,

b. Respiratory gas or air cooling less than 2 bar,

c. Overheating,

d. Low battery,

e. Electric circuit disruption;

Max pressure 90 cmH2O capability, measured in the respiratory contour of the patient;

Pressure measure range -130 to +130 cmH2O in airways;

Max breathing volume 365 ml with respect to tubing and lung tolerance;

Overheating and overstraining safety, equipped with condensate collector;

Pneumatic connectors to the air-oxygen mixer starting from 3.5 Bar and lower;

Warranty not less than 12 months;

Warranty and service support availability, training;

The AVM should comprise of:

- Jet ventilation unit with pneumatics, pressure control in airways and CPU,

- Rack,

- External moisturizer,

- Power supply,

- Multi-use patient contours,

- Operation manual in Ukrainian/Russian language.

3. Non-Invaisive Artificial Ventilation Machine for newborns (AVM) For noninvasive lung ventilation and СРАР, for premature, small premature, wasted infants in all related medical establishments were treatment with constant positive airway pressure is required utilizing mask or nasal cannulas.

Positive Pressure requirements not less than from 1 to 20 см Н2О, 2% accuracy;

Oxygen saturation possibility from 21% to 100%, flow speed not less 0-15 liters per minute;

Equipped with sets of masks and nasal cannulas for infants weighing from 500 grams with fasteners herein;

Minimum five ventilation modes for newborns, including spontaneous breathing absence;

Ventilation mode that can be synchronized with spontaneous breathing of the patient and have a synchronization trigger;

Built-in monitor of spontaneous breathing frequency of the patient with an apnea alarm;

Must include a set of comprehensive moisturizing and heating gear and capabilities running without affect to the respiration contour;

Respiration gas heating capability in the range of 30-390С for special mode artificial ventilation;

The AVM should comprise of:

- CCU with Color display;

- Automatic moisturizer with in direct warm-up of the inhale contour;

- Moisturizer chamber;

- Multi-use silicon air contour for newborns –one set;

- Built-in air-oxygen mixer;

- Remote spontaneous breathing indicator;

- Range of special nasal cannulaes for newborns from 500 gram weight, all sizes – one set;

- Mask and nasal cannulae gear, all sizes starting from 500 gram weight – one set;

- Flow generating unit for newborns from 500 gram weight – one set;

- Built-in battery for 2 hours constant back-up operation.

4. Open resuscitation system with oxygen therapy system Open type incubator with radiant heating designed for newborns and premature infants after birth to be used in intensive care units, surgery for temperature control with hyperthermia cases CCU to display mode, settings, temperature, emergency alarms;

Have a save option;

Manual and automatic modes of operation;

Preheating mode;

Temperature control to keep the set skin temperature of the infant;

Automatic heat delivery system with different modes;

Plate with tilt possibilities, able to be in Trendelenburg position;

Integration possibilities with and stations for: intensive care unit, oxygen mixer, suction unit, weight monitoring;

Oxygen Flowmeter 0-15LM;

Wheel locks;

X-ray plate holder;

Automatic recharging of the auxiliary battery;

Technical characteristics (or better):

The plate must have the capability to turn 170 degrees clock and counter-clock wise (±85˚left/right from center), The plate must have the tilt capability ±13˚;

Temperature control in the range 34–38˚С, with 0.1˚С increment, Infant temperature display in the range 30.0-42.0˚С, with 0.1˚С increment, accuracy ±0,3°, Heat delivery in the range 0-100% with 10 levels;

Audio-visual alarm (with High, Medium, Low priority) for:

Skin temperature discrepancy of 1˚С and up;

Skin temperature discrepancy of 0.5˚С and up;

Skin temperature exceeds 40˚С;

Temperature sensor out of order;

Short circuit;

Skin temperature sensor not in precise contact;

System malfunction;

No power;

Alarm volume adjustable.

5. Infant Incubator of enclosed-type Inside temperature control;

• Skin temperature control;

• Humidity control;

• Oxygen level control inside;

• Color multi-function display;

• Infant Incubator should consist of:

- transparent double-sided bell with access ports to the infant;

- comprehensive control unit of air temperature, humidity, skin temperature, oxygen saturation inside the incubator;

- LCD to show all relevant information and have save option;

- cradle and mattress;

- leaver to position the height of the incubator;

- accessories drawer;

- integrated x-ray plate holder;

- tubing and holding places;

- two sensor ports for skin temperature;

- line-in for oxygen;

- oxygen sensor;

- stop watch for emergency procedures and apnea;

- multi-use skin thermometer for newborns;

- thermometer for small premature infants;

- set of static air filters, with time of change indication;

- all wheels must have stop locks;

- User manual.

• Protection from all sides to prevent the infant to fall-out when in open mode;

• Antiseptic capabilities for the moisturizer;

• Temperature control in conjunction with skin temperature;

• Servo assisted temperature regulation and automatic temperature sustainability:

- Inside temperature range 23-37°С,

- Skin temperature range 34-37,5°С,

- Humidity range 40-95%, increment 1%,

• Display information:

- infant temperature from 30 till 42 ±0,3°С,

- inside temperature 20 till 42 ±0,3°С,

- humidity 15-99%,

• Emergency alarms:

- 1°С distortion of skin temperature,

- 3°С discrepancy with the set inside temperature,

- Temperature increase inside the incubator;

- Terminal humidity cases;

- Terminal oxygen supply cases;

- Other terminal cases (electricity, sensors, hardware).

• Oxygen sensor and supply capabilities to hold up to 65% of oxygen rate;

• Lead time for starting operation less than 60 minutes with the room temperature at 25°С;

• Auto save in case of power surge;

• Two channels of infant temperature reading;

• X-ray compatible;

Constant moisturizing for up to 8 hours without water refill.

2. The patien tmonitor shall provide non-invasive measuremen tof blood pressure (NIBP), systolic, diastolic blood pressure and mean arterial pressure, arterial blood oxygen saturation SpO2 and pulse rate.

3. The device must include:

- a monitor for monitoring vital signs;

- NIBP cuff for infants, reusable;

- set of cuffs for newborns (4 sizes, cuff width from 2,5 to 5,1cm);

- NIBP hose;

- reusable SpO2 sensor for newborns;

- SpO2 extension cable;

- internal battery;

- user manual.

4. The monitor should have measurement modes: adults, children, newborns

5. The monitor should be able to measure blood pressure readings for neonate:

- systolic blood pressure, at least 40-135 mmHg

- diastolic pressure, not less than 10-100 mm Hg

- average pressure, not worse than 20-110 mmHg with an accuracy of not more than ±5 mmHg

- overpressure protection for neonates, not more than 150 mm Hg.

6. The monitor shall measure blood oxygen saturation in neonate patients with an error of no more than 3% and range 0-100%.

7. The monitor shall measure heart rate in the range of 25-250 beats per minute with an error of not less than ±1 bpm.

8. The monitor shall be capable of manual, automatic and sequential measurement of systolic, diastolic blood pressure and mean arterial pressure.

9. The monitor must have the technology to measure blood pressure in a non-invasive way (oscillometric method).

10. The monitor must store at least 50 measurement results in its memory.

11. The monitor must have a power supply of 100-240V 50/60Hz AC and the ability to operate from a fully charged battery for at least 12 hours.

12. The weight of themonitor with the battery should not exceed 1.5 kg. The monitor must be able to be mounted on a mobile stand or wall arm, without restrictions

13. The monitor must have a self-diagnostic mode to check the integrity of the system.

14. The monitor must have the ability to updates of software and an RS232 port.

15. The warranty period of the equipment must be at least 12 months.

7. Infusion two- channel syringe pump Provides administration and precise dosage of drugs and infusion solutions, by moving the syringe plunger at a user-specified rate that corresponds to a certain infusion flow rate.

Complete set:

- electronic pump unit with separate LCD displays and keyboards for 2 independent infusion channels, network lamp indicator;

- output RS 232

- syringes systems with holders - 2 pieces;

- syringe size sensor;

- sensor for detecting the correct fixation of the syringe piston;

- external power supply Operating modes:

- infusion rate, volume and time;

- infusion rate in units of mass or concentration of the drug or the patient's body weight;

- infusion rate depending on the time schedule. Programming:

- Type of syringe;

- Rate and volume;

- Rate and time;

- Volume and time;

- Choice of rate units;

- Choosing the name of the drug;

- Entering the concentration in selected units;

- Entering the patient's body weight;

- Entering the induction dose;

- Rapid infusion Specifications:

- automatic reduction of the residual bolus dose after occlusion removal (anti-bolus system);

- automatic determination of the syringe size;

- the function of drug dosage calculation;

- battery charge indicator;

- drugs library enabling the user to choose the names of the necessary drugs;

- entering liquids of non-standard consistency;

- monitoring and indication of infusion pressure;

- multistage infusion

- event log;

- parameters password protection;

- data blocking using a password system;

- infusion closing function (standby mode);

- mounting on a rack or other horizontal surface at different heights;

- ability to choose the User language;

- adjusting the volume and type of sound alarm;

- weight, not more than 4,5 kg Programmable infusion rate from 0.1 to 2000.0 ml/h, independently for each infusion channel with a step of 0.1 ml/h, infusion volume in the range of 0.1 ÷ 999 ml, with a step of 0.1 ml and duration not less than 90 h.

Operates with more than 30 types of syringes from 5 to 60 ml. of different manufacturers. Provides occlusion pressure limits in nine levels from 40 ÷ 120 kPa with a step of 10 kPa.

Automatic and manual control of bolus administration with maximum rate control up to 2000 ml/h.

Programmable units of mass: ml/h, μg/h, mg/h, μg/kg/h, mg/kg/h, μg/kg/min, mg/kg/min and drug concentration in the range of 0.1 μg/ml ÷ 9999 mg/ml.

Supportive dose administration with rate control from 0 to 5.0 ml/h with a step of 0.1 ml/h.

Record of 1800 events in real time: display or file demonstration Built-in battery with a battery life of 20 hours at an infusion rate of 5 ml/h and 4 hours at an infusion rate of 100 ml/h.

Operates both from a hospital network 220V and from car's lighter socket 12V.

8. Portable electric aspirator Application: for general use, for aspiration and removal of fluids from the respiratory tract in intensive care units, operating rooms and other cases.

The electric aspirator must be an electrically driven vacuum pump. The aspirator mus be equipped with:

- electronic unit;

- 2L aspirate collection flask;

- silicone tube with necessary connections;

- set of antibacterial filters;

- overflow protection mechanism.

The aspirator must be able to operate continuously, have minimal vibration and below - noise, the noise level should not exceed 57dBA.

The aspirator must have a vacuum regulator with protection that ensures rapid vacuum build-up and precise regulation.

The aspirator must produce a maximum continuous flow of at least 40 l/min.

The aspirator must create a maximum vacuum of at least -92 kPa with smooth vacuum adjustment.

The aspirator must have at least 6 years warranty on the vacuum pump.

The aspirator must be able to work with 1 L, 2 L, or 4 L flasks, both disposable and reusable.

The aspirate collection flask should b made of impact-resistant plastic and able to with stand sterilization by autoclaving.

The aspirator must be able to be powered from a 230V hospital network without any limitation on continuous operation time.

9. Overhead Lamp for Light Treatment To be operated to treat newborns from hyperbilirubinemia in clinical settings, under personnel attention in bed, incubator, cart, or in radiant heater.

The lamp is to be portable, floor usable delivering high intense narrow spectrum radiation to cure hyperbilirubinemia;

Up-down, left-right, angle adjustable;

Can be used without turning rack;

Can be used in close proximity or inside the incubator;

The turning rack is to be equipped with locks on wheels;

Light spectrum 450-475 nm;

Two modes: intense and standard;

Rate of radiation not less than 35 mkVt/cm2/nm Effective treatment surface 20 by 30 cm;

Height adjustment – 1.5 meters, tilt 40 degrees;

Life cycle of the element not less than 50 000 hours;

Minimal impact of infrared and ultraviolet radiation for the infant;

The set:

Ensures the placement of various equipment: infusion hoses, infusion pumps, pulse oximeters, etc.

The support stand has at least 1 height-adjustable shelf, built-in set of electric sockets for connection of the fixed equipment.

Stand weight not more than 6 kg.

11. Medical compressor Oil-free medical compressor that produces clean dry air without the need for an external condensing system.

The compressor can withstand heavy loads during continuous operation without any restrictions Complete with: special soundproof material to eliminate the noise of the pump and fan, dehumidification system to reduce condensation in the air lines and supply cooled, dehumidified and clean air; two grounded air outlets, with external connections and internal control valves with a switch.

The compressor is designed on wheels for easy movement within the medical facility.

Creates a constant pressure in the working system of at least 3 atm. and airflow not less than 42 l/min.

Has a time indicator and gives visual or audible signals in case of violations: work indicator; overheating; pressure; pump problems; problems with air dehumidification.

The compressor has protective elements (valves), electric safety locks, overheat control and air filtration system/