CANCER INSTITUTE (WIA) CANAL BANK ROAD, ADYAR, CHENNAI

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Minutes of Pre-bid Conference CANCER INSTITUTE (WIA) Procurement of : ENDOSCOPIC ULTRASOUND BIDREFERENCE : CI: SCI:NP/SOG/P-I/2016-17/01 DATED 15/12/2016 Venue : Board Room, Lion Cancer Support Center, Dr. S.Krishnamurthi Campus, Cancer Institute (WIA),38, Sardar Patel Road, Adyar, Chennai-600 036 Date & Time : 05th JANUARY, 2017, 10.00 hrs IST, The following participants attended the conference Representatives of Cancer Institute (WIA), Adyar: 1) Dr. A.Vasanthan, Director (Admin), Cancer Institute (WIA) 2) Dr. Selvaluxmy, Addl. Director, Cancer Institute (WIA) 3) Mr. Narasimhan,C.V General Manager (Finance), Cancer Institute (WIA) 4) Dr. Hemanth Raj, HOD & EX - VICE CHAIRMAN, Dept of SURGICAL ONCOLOGY, Cancer Institute (WIA) 5) Mr. Vijaya Kumar, Bio Medical Consultant, HLL 6) Mr. Prasanth.V.P, Manager (Finance) 7) Mr. Balsingh Chauhan, Manager (P&S), HLL 8) Mr. K.R.Prasad, Officer-V (Procurement), HLL 9) Mr. NallaPerumal, Bio Medical Engineer, HLL Representatives of Prospective Bidders s: Sl.No. Name of the Organization Name of the Participant 1. M/s. Healthcare (P) Ltd Mr. Ramkumar 2. M/s. South India Surgical company, Chennai Mr. C. Alaguvel 3. M/s. Cardinal Medical Technologies (P) Ltd Mr. K.S. Vijayaragavan

Opening Remarks: 1) The Director (Admn), Cancer Institute (WIA), Adyar had conducted the Pre-bid Conference and at the beginning Dr. A. Vasanthan, The Director (Admn), Cancer Institute (WIA), Adyar, welcomed every body attending the Pre-Bid Conference for the Tender No. CI: SCI:NP/MOG/P- I/2016-17/01 DATED 15/12/2016 for the procurement of ENDOSCOPIC ULTRASOUND. 2) It was explained by K.R. Prasad, Officer-V (Procurement) HLL Lifecare Limited & Narasimhan. C.V, General Manager (Finance), Cancer Institute (WIA), Adyar, that the purpose of Pre-Bid conference is to explain the various important provisions of the bidding documents to the prospective bidders and to clarify any queries that the bidders may have in the subject bidding documents. 3) Balsingh Chauhan, Manager (P&S) (Bio-Medical Engineering), HLL Lifecare Limited & Dr.Hemanth Raj, HOD & EX - VICE CHAIRMAN, DEPARTMENT OF SURGICAL ONCOLOGY, Cancer Institute (WIA), Adyar made a brief description about the technical specification of Endoscopic Ultrasound, as per the Section VII of the Tender documents, before the audience. 4) The members representing the bidders were asked to furnish their queries in written format so that the replies to the same can provided by the purchaser. Replies to the queries are presented in Table 1. 5) Dr. Selvaluxmy, Addl. Director, Cancer Institute (WIA), Adyar expressed her profound gratitude to the participants for their active involvement. 6) The meeting ended with a vote of thanks to the chair.

Table - 1 Minutes of Pre-bid Conference Procurement of : ENDOSCOPIC ULTRASOUND. BIDREFERENCE : CI: SCI:NP/SOG/P-I/2016-17/01 DATED 15/12/2016 SL. Query No From 1. M/s. Healthcare (P) Ltd Gist of the Query No Query SL. No 2. Query From M/s. South India Surgical company, Chennai Gist of the Query Linear Ultrasonic Gastro video scope: d. Scan Range :180 We have 120 for better focus e. Field of view: 100 We have 140 for wide view f. Direction of view :50-60 Forward - oblique j. Angulation Range : UP 130 /Down 90 k.right/left: 90 Response 40 We have 150/150 for better viewing We have 120/120 for better viewing Radial Ultrasonic Gastro video scope 1. Frequency Range : 5-12 MHz 5 to 10 MHz 2. Field of viedw: 100 3. Direction of view : 50-60 4. Instrument channel diameter : 2.2 mm 140 for wide view Forward obnlique-0 We have 2.8 mm

5. Angulation Range: UP 130 /Down 90 6. Right / Left 90 190/90 100/100 Ultrasonic Rectal Probe: 1. Distal end diameter: We have 2.6mm 12.0mm Ultrasonographic examination of the region of interest is easily and quickly performed during endoscope examination in a way similar to that of biopsy Radial Probe Driving Unit: Frequency range from 7.5 to 30 MHz to enable observation at high frequencies should provide better resolution of superficial layers, as well as facilitating intraductal ultrasonography and visualization of difficult- to-access location.-7.5 to 25 MHz Endoscopic Ultrasound Processor: (Ultrasound Scan Format : Mechanical & Electronic) A) Mechanical Scan Frequency : Upto 20 25 MHz MHz B) Electronic Scan 3D imaging option should be available for radial scanning probes EUS cable EUS ultrasound cable compatible with the above scopes and processor should be provided as necessary for full functioning of the scopes and processor Video Processor No We have Elastography and its gives the better viewing than 3D imaging is not preferably used in medical diagnostics No inbuilt with scopes No extra cable required

Should have Narrow Band Image facility to enhance the visibility of capillaries and other structures on mucosal surface Our term is FICE S L. N o 3. M/s. Cardinal Medical Technologie s (P) Ltd Query From Gist of the Query Response Technical Please Change As Specifications for Endoscopic Ultrasound a) Depth of Field : 3-100mm 5-100mm b) Scanning Method : Electronic curved linear array c) Frequency Range: 5 to 12 MHz d) Scan Range: 180 e) Field of view : 100 f) Direction of view : 50-60 Forwardoblique j) Angulation Range: UP 130 /Down 90 Electronic linear array(convex) 5-10Mhz or more 120-180 deg 100 deg or more-more field of view better visuvalisation 45* OR MORE UP 130 DEG/down 90 DEG OR MORE k) Right/Left: 90 R/L 90DEG OR MORE Radial Ultrasonic Gastrovideoscope: Depth of Field : 3-100mm Field of view : 100 Direction of view : 50-60 Forwardoblique 4-100mm 100 or more FORWARD OR oblique- Forward viewing can be used as regular OGD also

Insertion tube outer diameter : 11-12 mm Distal end outer diameter Instrument channel diameter : 2.2 mm Angulation Range : UP 130 /Down 90 Right/Left 90 Total Length : 1555 mm Should have the facility of Tissue Harmonic Echo for improved spatial and contrast resolution. Should Have Future Upgradation to Elastography Frequency : 7.5 & 12 Mhz Frequency : 7.5 & 12 Mhz Radial Probe Driving Unit: 11-14mm 11-13mm 2.2-2.4mm Up130 deg or more /down 60 deg or more Right /left 60 or more 1555mm or more Should have HD Tissue Haromic and compound imaging for better image and results Real time tissue Elastography must for efficiant FNA 5-10Mhz 5-10Mhz Please Remove completely as this cannot be used with regular EUS and EBUS scopes and needs mini probe.also miniprobes are less reliable for advanced cancer staging due to limited depth of ultrasound penetration and very expensive and cost of maintance is also more.real time tissue elastography is much better option and less expensive.moreover only one company have this product.apart from limited penetration, Noted

Endoscopic Ultrasound Processor : Ultrasound Scan Format: Mechanical & Electronic Cine Memory: Should have facility upto 160 Frames The Processor Unit should be portable to keep the equipment in endoscopy trolley for easy movement Video Processor : Should have Narrow Band Image facility to enhance the visibility of capillaries and other structures on mucosal surface Should be separate unit from light source Compact, lightweight (10-12 kg) and ergonomically designed Should have the facility to connect small bowl Enteroscope/EUS/EBUS and HD Laparoscope for future updradation Light Source (Xenon 300 Watt) : Must be equipped with which can make lymph node staging difficult. Unless a balloon sheath is used, the lumen needs to be filled with water, which may increase the risk of aspiration. Although the probes are reusable, they have a limited lifetime and undergo image deterioration after a certain number of cases. In a colour doppler system current scanning technology is electronic and mechanical is old technology 160 OR More The processor should be portable. please remove" to keep the equipment in endoscopy trolley" ISCAN/FICE/NBI integrated with processor or Seperate can be Integrated Unit with processor or Seprate Unit Optional or remove Halogen/led bulb optional

Emergency halogen light as standby. Separate unit from video processor and weighing Separate or integrated less than 20 kg. with light source Additional scope Suggestions : Add optional slim linear scope with following specification for regular daily FNAC a) Depth of Field : 5-100mm b) Scanning Method :convex c) Frequency Range: 5 to 10 MHz d) Scan Range: 120 e) Field of view : 120 f) Direction of view : 50 Forward oblique g) Insertion tube outer diameter : 10-11 mm h) Distal end outer diameter: 12-13mm Optional i) Instrument channel diameter :2.5-2.8 mm j) Angulation Range: UP 130 /Down130 k) Right/Left: 120 l) Working Length : 1250 mm m) Total Length : 1560 mm n)videoscope should have high resolution CCD with Chromo Endoscopy o)videoscope should have FNA (dialy) capability. p)eus Scope should be fully immersible for thorough cleaning q)distal end should have short rigid portion