Revised Specifications, Quantity, EMD s and Average Annual Turn Over of the bidder is as follows. 2. Endoscopic ultrasound System

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1 Andhra Pradesh Medical Services & Infrastructure Development Corporation, nd Floor, Plot no.09, Survey No.49, IT Park, Mangalagiri, Guntur aphmhidc@gmail.com **** Amendment No. 1 dt: to Tender Notice No. 9.3A/APMSIDC/Equipment/018-19, Dt Revised Specifications, Quantity, EMD s and Average Annual Turn Over of the bidder is as follows. Sl. No. Name of the Equipment Qty EMD in Rs. 3% Average Annual Turnover of the bidder in the last three financial years (01-16, , ) 1. APC with Electro surgery machine and water jet machine Endoscopic ultrasound System Video Endoscopy System with enhanced imaging, optical chromo endoscopy (NBI/Iscan/BLI) Video ERCP Scope Pediatric Endoscope Enteroscope Laser Lithotripsy Manometry Choledochoscope Mechanical Endowasher Water flushing pump C0 Insufflator UPS - KVA Fr drainage catheter Alliance gun with syringe 1 16 Bending cannula 17 Biliary balloon dilator 4 mm

2 18 Biliary balloon dilator 6 mm 19 Biliary balloon dilator 8 mm 0 Biliary cytology brush 1 Biliary plastic stent Fr, cm, Straight Biliary plastic stent Fr, 7 cm, Amsterdam 3 Biliary plastic stent Fr, 7 cm, double pigtail 4 Biliary plastic stent 7 Fr, cm, double pigtail Biliary plastic stent 7 Fr, 1 cm, Straight 6 Biliary plastic stent 7 Fr, 7 cm, double pigtail 7 Biopsy forceps 19 mm diameter, 1 cm length 8 Biopsy forceps 40 cm length, 4 mm diameter, with needle 9 Biopsy forceps 300 cm length reusable chiba needle 18 G, cm chiba needle 18 G, 1 cm 0 3 Cystotome 6 Fr 33 Dilator Fr, 0 cm 0 34 Dilator 1 Fr, 0 cm 3 Dilator 14 Fr, 0 cm 36 Dilator 8 Fr, 0 cm 0 37 Electrosurgical snare 300 cm length reusable 38 Endoloop (3 cm size) Endoloop ligating device 1 40 Endoloop ligating handle 1

3 41 Endoscopic mechanical lithotripter 1 4 EUS access tip needle 19 G 43 EUS celiac plexus needle 0 G (CPN needle) 44 EUS FNAC needle G 4 EUS FNAC needle G 46 EUS FNAC needle procore G 47 Foreign body removal basket 70 cm length 48 Geenen graduated dilation catheter (7--4) 49 Guidewire with hydrophilic tip (00 inch, 40 cm, J tip) 0 Guidewire with hydrophilic tip (00 inch, 40 cm, straight tip) 1 Guidewire with hydrophilic tip (003 inch, 40 cm, J tip) Guidewire with hydrophilic tip (003 inch, 40 cm, straight tip) 3 3 Haber Ramp catheter 4 Hemoclips (large size, 13 degrees) Hemoclips (large size, 90 degrees) Hot biopsy forceps 1 7 Hydrophilic guidewire (003 inch, 30 cm, angulated tip) 8 Hydrophilic guidewire (003 inch, 30 cm, straight tip) 9 Injection gold probe Fr, 330 cm 60 Injector needle 300 cm length reusable 61 Injector needles 1 G 160 cm 0

4 length 6 Injector needles 3 G 160 cm length with bendable tip 63 Injector needles 3 G 30 cm length 64 Injector needles G 160 cm length with bendable tip 0 6 Lithotripter hander 1 66 Malecot cather Fr, 30 cm 0 67 Malecot cather 1 Fr, 30 cm Malecot cather 14 Fr, 30 cm 0 69 Malecot cather 8 Fr, 30 cm 0 70 Mechanical lithotripter 4 mm diameter, 0 cm length 71 Mechanical lithotripter basket 40* mm 7 Mechanical lithotripter6 mm diameter, cm length 73 Multipurpose drainage catheter set 74 Nasobiliary drainage catheter 7 Fr, 0 cm 7 Nasojejunal tube 14 Fr, 1 cm, with style Needle knife 77 Net snare 7 Fr, 160 cm 78 Pancretic stent Fr, 1 cm Pancretic stent Fr, 7 cm Pancretic stent 7 Fr, 1 cm Pancretic stent 7 Fr, 7 cm 30 8 Percutaneous endoscopic gastrostomy set, 4 Fr Polypectomy snares mm

5 width * 6 cm, 30 cm length 84 Polypectomy snares 1 mm * 6 cm width, 30 cm length 8 Polypectomy snares 0 mm width with spiral wire, 30 cm length 86 Polypectomy snares 3 cm * 6 cm, 40 cm length 87 Quantum inflation device 4 88 Raptor grasping device 30 cm length, 4 mm diameter 89 Raptor grasping device mini 00 cm length, 19 mm diameter 90 Rat tooth forceps 91 Rotatable clip fixing device (30 cm length) 9 Soehendra biliary dilation catheter (-6) 93 Soehendra biliary dilation catheter (11-7) 94 Soehendra biliary dilation catheter (8-) 9 Soehendra biliary dilation catheter (9-6) 96 Sphincterotome 97 Stent pusher Fr 3 98 Stent pusher 7 Fr 3 99 Stone extraction basket 3 0 Stone extractor balloon (1-0 mm) 1 Stone extractor balloon (8-1 mm) Wire guided CRE balloon -1 mm 3 3 Wire guided CRE balloon 1-1

6 mm 4 Wire guided CRE balloon 1-18 mm 3 Product Specifications can be read as: SI. No Equipment Technical specifications 1 APC with Electrosurgery Machine and Waterjet machine Endoscopic Ultrasound System 1. The equipment should consist of an APC unit, an electrosurgical generator and water jet system module.. Should ensure effective, even surface coagulation for uniform hemostasis and tissue coagulation. 3. It should have facility for cutting and coagulation for gastroenterology applications such as sphincterotomy and polypectomy with modes including pre cut, pure coagulation, spray coagulation and blended current. 4. It should have a water jet system for lifting up the mucosa during endoscopic sub mucosal dissection. Technical requirement: Power output - around 00 watt Maximum cut output - upto 10 watt Maximum Coag output KHZ Type of Gas - Argon Adjustable Gas Flow L upto 8L/minimum Gas cylinders 0 APC probes Length -. meters, diameter -. mm in number Length 3.0 meters, diameter -. mm in number Special APC probe with facility for water jet and Argon Plasma Coagulation in number Reusable patient contact pad with suitable cord 3 in number Broad based technical specification for endoscopic ultrasound system includes: 1. Linear echoendoscope. Radial echoendoscope 3. Ultrasound processor 4. Video processor with light source. High resolution monitor 6. Endoscopy Trolley 7. Computer with recording software for image capture and video recording 1. Linear echoendoscope: should have following

7 features a. Should have electrical curved linear scanning b. Should have EUS images with switchable frequencies from MHz c. Should have color and power doppler d. Angle of view should be 0-10 degree (4- degree forward-oblique) e. Focal range should be 6 to 0 mm f. Angulation should be degree up, degree down, degree right, degree left g. Insertion tube outer diameter should be around 1 13 mm h. Instrument channel diameter should be around mm i. Working length should be at least 100 mm j. Total length should be at least 0 mm k. Scope should be fully immersible for thorough cleaning. Radial echoendoscope: should have following features a. It should be a360 degree electronic radial scanning echoendoscope with facility for image rotation b. Should have color and power Doppler c. Anlge of view should be around 140 degree (forward viewing) d. Focal range should be 4 to 0 mm or less e. Insertion tube outer diameter should be around 1-13 mm f. Instrument channel diameter should be around -3 mm g. Working length should be at least 100 mm h. Total length should be at least 0 mm i. Angulation should be degree up, 0-70 degree down, 0-70 degree right, 0-70 degree left j. Should have EUS images with switchable frequencies from MHz k. Scope should be fully immersible for thorough cleaning l. Should be provided with atleast 0 removable balloons 3. Ultrasound processor a. Should be compatible with the above mentioned scopes (linear echoendoscope, radial echoendoscope) b. Should have color and power Doppler function c. Should have elastography function

8 3 Video endoscopy system with enhanced imaging, optical chromo endoscopy (NBI/Iscan/BLI) 4. Video Processor with light source a. Should be compatible with the above echoendoscopes and ultrasound processor b. Capable of storage patient data c. Should be compatible for analog (RGB,Y/C), digital (HD-SDI or DVI) output d. Should be 300 w xenon light source. High resolution monitor a. Full HD LCD monitor with high resolution image and video quality, 6 inch screen size 6. Endoscopy trolley a. MS trolley b. 4 cluster wheels to move the trolley c. Scope hanger to hold the scope during the procedure d. Provision to keep video processor and monitor 7. Computer with 1 TB hard disk, 1 MB RAM should be provided along with connection to this endoscopy system and compatible video recording software Broad based technical specification for video endoscopy system full set includes 1. Video processor with light source. Video gastroscope 3. Video colonoscope 4. Monitor. Endoscopy trolley 6. Computer with compatible image capture and video recording software 1. Video processor with light source: a. Should be compatible with analog, HD-SDI, or DVI output for HDI monitor should be available b. Equipped with high resolution HDTV imaging capacity c. Should be compatible with HD plus video scopes with optical chromoendoscopy imaging such as NBI/IScan/BLI d. Should have in built light source or separate light source with NBI/I Scan/ BLI e. Image capability/ HD plus video high intensity xenon light source (300 Watt) with 00 hours life with emergency halogen light/ LED for backup f. Should be supplied with two extra xenon bulbs and two extra halogen bulbs (in case back up bulb is halogen). Video gastroscope with NBI/I Scan/ BLI a. Should have optical chormoendoscopy imaging such as NBI/I Scan/BLI/ equivalent

9 imaging b. Fully immersible in disinfectant solution c. Insertion tube outer diameter: 9- mm or less d. Field of view/ angle of view: normal/ near focus 130- degree or more e. Direction of view: forward viewing f. Depth of view: 4/-0 mm or better g. Distal end outer diameter: 9- mm or less h. Angulation of tip: Upwards degree or more Downwards 80-0 degree or more Right 90-1 degree or more Left 90-1 degree or more i. Instrument channeldiameter.8 mm j. Working length: 00mm or more k. Total length: 00mm or more 3. Video colonoscope with NBI/I Scan/ BLI a. Should have optical chromoendoscopy imaging such as NBI/I Scan/BLI/ equivalent imaging b. Fully immersible in disinfectant solution c. Should have auxiliary water jet for mucosal cleaning d. Insertion tube outer diameter: 14 mm or less e. Field of view/ angle of view: normal/ near focus degree or more f. Direction of view: forward viewing g. Depth of view: 4/-0 mm or better h. Distal end outer diameter: 14 mm or less i. Angulation of tip: Upwards 160- degree or more Downwards 160- degree or more Right -180 degree or more Left -180 degree or more j. Instrument channel 3. to 4 mm k. Working length: 160 cm or more l. Total length: 190 cm or more 4. High resolution monitor a. Full HD LCD monitor with high resolution image and video quality, 6 inch screen size. Endoscopy trolley a. MS trolley b. 4 cluster wheels to move the trolley c. Scope hanger to hold the scope during the procedure d. Provision to keep video processor and monitor 6. Computer with 1 TB hard disk, 1 MB RAM should be provided along with connection to this endoscopy system and compatible video recording software

10 4 Video ERCP system Broad based technical specification for video endoscopy system full set includes 1. Video processor with light source. Video ERCP scope 3. Monitor 4. Endoscopy trolley. Computer with compatible image capture and video recording software 1. Video processor with light source a. Integrated unit of video processor with light source b. It must be 300w xenon lamp with standby halogen lamp of at least 0w c. Provision for lamp switch over from main lamp to stand by lamp d. Electronic zoom can be upto 1. times or better e. Provision for XGA output function f. Should have future upgradation for Endosonography (EUS) and enteroscope g. Should have RGB, DVI and Y/C with simultaneous output possibility. Video ERCP scope or side viewing scope a. Fully immersible in disinfectant solution b. Compatible with manual or semi-automatic leakage testing device c. Field of view: 9 degree or more d. Direction of view: degree backward side viewing or better e. Depth of view: to 60 mm or better f. Distal out end diameter: 14 mm or less g. Insertion tube outer diameter: 13 mm or less h. Tip bending range: up degree, down and left 80-0 degree, right 0-10 degree i. Working length: 100 mm or more j. Total length: 0 mm or more k. Channel inner diameter: 3.8 mm or more 3. Monitor a. Screen size 6 inch LCD panel monitor with recording facility 4. Endoscopy Trolley a. MS trolley b. 4 cluster wheels to move the trolley c. Scope hanger to hold the scope during the procedure a. Provision to keep video processor and monitor. Computer with 1 TB hard disk, 1 MB RAM should be provided along with connection to this endoscopy system and compatible video

11 Pediatric Endoscope recording software 1. Pediatric endoscope a. Should have slim design b. Field of view degree c. Direction of viewing forward viewing d. Depth of field 3 to 0 mm e. Distal end outer diameter -6 mm f. Insertion tube outer diameter -6 mm g. Angulation range up degree, down 80-0 degree, right/ left 90-1 degree h. Working length should be at least 10 mm or more i. Total length should be 1400 mm or more j. Instrument channel should be mm in diameter k. Should be compatible with ERCP video processor, mentioned in (Item No.04) 6 Enteroscope 1. Should be fully immiscible in disinfectant solution. Compatible with manual or semi-automatic leakage testing device 3. Field of view: 140 degree or more 4. Direction of view: forward viewing. Depth of view: 3 to 0 mm or better 6. Distal out end diameter: mm or less 7. Insertion tube outer diameter: mm or less 8. Tip bending range: up -190 degree, down degree, left -180 degree, right -180 degree 9. Total length: 300mm or more. Channel inner diameter:.8 mm or more 11. Should be compatible with the processor of the above mentioned ERCP video processor (mentioned in Item No.04) 1. Compatible over tube or equivalent devices in number 13. Compatible balloon control or inflation unit 1 7 Laser lithotripsy Should have following specifications: 1. Should be based on holmium laser. Should have output power upto3 W 3. Repetition rate upto 30 Hz 4. Pulse energy upto J per pulse. Wavelength,1 μm 6. Pulse duration 9 to 0 μs 7. Fiber recognition system for automatic detection of connected laser fibers 8. Should have activation double footswitch to enable controlling from the footswitch itself 9. Aiming beam should be of 3 nm, (adjustable <mw) - Class 3R

12 . Electrical requirements 30 VAC, single phase; 0/60 Hz; A - 11 VAC, single phase; 0/60 Hz; 0 A 11. Operating temperature C to 30 C Accessories: 1. 36µM core m long - Fibre 8 Manometry Should be high resolution type Should have both esophageal and anorectal manometry Should be water perfusion system Should have atleast 16 channels for esophageal manometry Should have atleast 6 channels for anorectal manometry Should have compatible manometry software Should have water reservoir Should have compatible computer for the software Should have biofeedback in the selected channel Catheters for both high resolution esophageal manometry and high resolution anorectal manometry to be provided Should have in addition 4 hour PH and impedance recording software and recorder (1 in number) along with PH and impedance recording probes (0 in Number) 9 Choledochoscope 1. Should be fiber optic. Outer diameter of the insertion tube should be 3.1 mm 3. Should have an instrument channel of ~ 1. mm diameter 4. Should be passable through the instrument channel of the above quoted ERCP scope. Field of view should be 90 degree in air and 64 degree in water 6. Depth of field should be 1 to 0 mm 7. Tip deflection should be 90 degree upward and 90 degree downward 8. Working length should be 190 cm 9. Total length should be 18 cm or more. Should be provided with a compatible halogen light source with W halogen lamp for good

13 Mechanical Endo washers 11 Water flushing pump illumination 11. Two spare W halogen lamps should be provided 1. Compatible accessories such as biopsy forceps ( in number) and basket ( in number) to be provided 1. Should have fully automatic operation.. It should have touch screen for operation. 3. Should have drying mechanism at the end of cleaning and disinfection process. 4. Should have provision for operation in manual mode as well.. Should have leakage testing facility. 6. Should be able to accommodate two endoscopes at the same time. 7. Should be compatible with all the above mentioned endoscopy systems (endoscopy system, endoscopy system with NBI/I Scan/BLI, endoscopic ultrasound scopes. 1. Should have peristaltic irrigation pump. Should have provision for selection of water flow rate 3. Should have foot switch control 4. Should have compatibility with all the above mentioned endoscopy systems and endoscopic ultrasound system.. Should have water tank of litres capacity 6. Extra tubings to be supplied 0 in number 7. Extra water tank to be supplied 4 in number 1 CO insufflator 1. Should have automatic flow management. Should be compatible with all the above mentioned endoscopy systems 3. Should be provided with connector and type of cylinder which are locally refillable. 13 UPS KVA capacity 14 8 Fr drainage catheter 1 Alliance gun with syringe 16 Bending cannula 17 Biliary balloon dilator 4 mm 18 Biliary balloon dilator 6 mm 19 Biliary balloon dilator 8 mm 0 Biliary cytology brush 1 Biliary plastic stent Fr, cm, Straight

14 Biliary plastic stent Fr, 7 cm, Amsterdam 3 Biliary plastic stent Fr, 7 cm, double pigtail 4 Biliary plastic stent 7 Fr, cm, double pigtail Biliary plastic stent 7 Fr, 1 cm, Straight 6 Biliary plastic stent 7 Fr, 7 cm, double pigtail 7 Biopsy forceps 19 mm diameter, 1 cm length 8 Biopsy forceps 40 cm length, 4 mm diameter, with needle 9 Biopsy forceps 300 cm length reusable 30 chiba needle 18 G, cm 31 chiba needle 18 G, 1 cm 3 Cystotome 6 Fr 33 Dilator Fr, 0 cm 34 Dilator 1 Fr, 0 cm 3 Dilator 14 Fr, 0 cm 36 Dilator 8 Fr, 0 cm 37 Electrosurgical snare 300 cm length reusable 38 Endoloop (3 cm size) 39 Endoloop ligating device 40 Endoloop ligating handle 41 Endoscopic mechanical lithotripter 4 EUS access tip needle 19 G 43 EUS celiac plexus needle 0 G (CPN needle) 44 EUS FNAC needle G 4 EUS FNAC needle G 46 EUS FNAC needle procore G 47 Foreign body removal basket 70 cm length 48 Geenen graduated dilation catheter (7--4)

15 49 Guidewire with hydrophilic tip (00 inch, 40 cm, J tip) 0 Guidewire with hydrophilic tip (00 inch, 40 cm, straight tip) 1 Guidewire with hydrophilic tip (003 inch, 40 cm, J tip) Guidewire with hydrophilic tip (003 inch, 40 cm, straight tip) 3 Haber Ramp catheter 4 Hemoclips (large size, 13 degrees) Hemoclips (large size, 90 degrees) 6 Hot biopsy forceps 7 Hydrophilic guidewire (003 inch, 30 cm, angulated tip) 8 Hydrophilic guidewire (003 inch, 30 cm, straight tip) 9 Injection gold probe Fr, 330 cm 60 Injector needle 300 cm length reusable 61 Injector needles 1 G 160 cm length 6 Injector needles 3 G 160 cm length with bendable tip 63 Injector needles 3 G 30 cm length 64 Injector needles G 160 cm length with bendable tip 6 Lithotripter hander 66 Malecot cather Fr, 30 cm 67 Malecot cather 1 Fr, 30 cm 68 Malecot cather 14 Fr, 30 cm 69 Malecot cather 8 Fr, 30 cm 70 Mechanical lithotripter 4 mm diameter, 0 cm length 71 Mechanical lithotripter basket 40* mm 7 Mechanical lithotripter6 mm diameter, cm length 73 Multipurpose drainage catheter set 74 Nasobiliary drainage catheter 7 Fr, 0 cm 7 Nasojejunal tube 14 Fr, 1 cm, with style

16 76 Needle knife 77 Net snare 7 Fr, 160 cm 78 Pancretic stent Fr, 1 cm 79 Pancretic stent Fr, 7 cm 80 Pancretic stent 7 Fr, 1 cm 81 Pancretic stent 7 Fr, 7 cm 8 Percutaneous endoscopic gastrostomy set, 4 Fr 83 Polypectomy snares mm width * 6 cm, 30 cm length 84 Polypectomy snares 1 mm * 6 cm width, 30 cm length 8 Polypectomy snares 0 mm width with spiral wire, 30 cm length 86 Polypectomy snares 3 cm * 6 cm, 40 cm length 87 Quantum inflation device 88 Raptor grasping device 30 cm length, 4 mm diameter 89 Raptor grasping device mini 00 cm length, 19 mm diameter 90 Rat tooth forceps 91 Rotatable clip fixing device (30 cm length) 9 Soehendra biliary dilation catheter (-6) 93 Soehendra biliary dilation catheter (11-7) 94 Soehendra biliary dilation catheter (8-) 9 Soehendra biliary dilation catheter (9-6) 96 Sphincterotome 97 Stent pusher Fr 98 Stent pusher 7 Fr 99 Stone extraction basket 0 Stone extractor balloon (1-0 mm) 1 Stone extractor balloon (8-1 mm) Wire guided CRE balloon -1 mm

17 3 Wire guided CRE balloon 1-1 mm 4 Wire guided CRE balloon 1-18 mm

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