Request for Proposals

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1 Request for Proposals Reference: ERDFIAI A Caring First Ltd, is a limited liability company providing healthcare services. The company is currently commissioning a private new-build hospital complete with an advanced radiology department. A 128 slice spiral CT scanner will be part of this radiology suite offering new, innovative radiology techniques to the patient. Caring First Limited is a private limited liability company registered in Malta which has sought and been granted assistance under the ERDF Innovation Actions Grants Scheme (Innovation) Call 4 for the purchase of a 128-Slice CT Scanner. This machine should include the characteristics listed in Annex II: Name of Equipment: Description of Equipment: 128-Slice CT Scanner 64 row, 128 slice spiral CT scanning system. The price quoted, should be excluding VAT. VAT (if applicable) should be quoted separately. Training, Maintenance and Insurance costs shall not be quoted with the machine price, but on a separate quote. The bid shall remain valid for a period of 4 months from closing date of Request for Proposals. Presentation of Bids Bidders must satisfy the following conditions: a. The bidder shall, together with any other documentation submitted with his offer, submit the forms attached to this document as Annexes I and II. Annexes I and II, which form part of this Request for Proposals, should be filled in by the Supplier and attached as the first and second pages of the proposal/s submitted. b. All offers must be submitted in one original, clearly marked original, and one identical copy (including all documentation as in the original) signed in the same way as the original and clearly marked copy. c. Both the original and the copy are to be separately sealed and placed in another sealed envelope/package so that the bid can be identified as one submission.

2 d. All bids must be submitted either by recorded delivery (courier) or hand-delivered by the Closing Date and deposited in the appropriate box with the name of ERDF Grant Schemes Proposals at: Malta Enterprise Malta Industrial Parks Gwardamangia Hill Pieta MEC0001 Malta e. The Closing Date shall be noon (Malta Time) on Wednesday 15th May f. The sealed envelope/package, as per (b) above, must only bear the following details: - Caring first Limited Request for Proposal 128-Slice CT Scanner Ref : ERDFIAI A Malta Enterprise Malta Industrial Parks Gwardamangia Hill Pieta MEC0001 Malta - the name of the tenderer. - ERDF Innovation Actions Grant Scheme (Innovation) Call 4.

3 Annex I Reference: ERDFIAI A 128-Slice CT Scanner A. BID SUBMITTED BY Name of Bidder B. CONTACT PERSON Name Surname Telephone (...).. Fax (...).. VAT No. Address C. OFFER Global Price in Euro ( ), excluding VAT. VAT (if applicable) should be quoted separately.

4 Annex II Caring first Ltd Name of Equipment: CT scanner Description of Equipment: 128 slice, 64 row CT scanner Required / Preferred (P) Parameters 1 Specification Bidder) N.B Other software and accessories (over and above this tender s provisions) advisable by the manufacturer are to be included and quoted for separately and itemised in their offer even if regarded as optional. Gantry configuration Minimum gantry aperture size Gantry tilt The gantry must consist of 64 detectors, Acquiring 128 slices,or better, per rotation. Minimum Gantry aperture size of 70cm Gantry tilt must be of +/- 30 degrees Gantry cooling The gantry must be air cooled type. Tilting must be Tilt control controlled either from gantry or from console (X 1) 128 slice, 64 detector, or better, spiral CT scanner Minimum scan speed for cardiac investigations X-ray generator power X-ray tube heat capacity X- ray tube heat dissipation rate Patient positioning Minimum scan speed should be 0.5 seconds or less per 360 degree rotation for cardiac investigations X-RAY Generator must have a minimum power of 55kW X-RAY tube must be capable of at least 6.0 MHU of heat capacity Heat dissipation rate of Over 800kHU/min The gantry must have Laser lights for accurate patient positioning

5 Required / Preferred (P) Parameters slice, 64 detector, or better, spiral CT scanner (continued) Visual readouts on gantry Emergency stop switches CE and Maltese Certification Specification Visual readout of gantry tilt, bed height and position of gantry should be available on the gantry Emergency stop switches to be available on gantry walls and on the console The device must conform with all appropriate Maltese and european standards for manufacture of medical devices and must be CE marked. Bidder) Operators console and doctors workstation / / / / Dual High-resolution flat panel LCD color monitor Configuration. Readout of dose for planned study must be available prior to scanning, facility to program scanning protocols for various anatomical regions. Operators console Dicom 3 compliant Print, store, and worklist. The device must conform with all appropriate Maltese and european standards for manufacture of medical devices and must be CE marked.

6 Required / Preferred (P) Parameters 1 Specification Dual High-resolution flat panel LCD color monitor configuration. Bidder) The doctors workstation should be linked to the main system and have it s own independent console, allowing viewing, post processing and filming. The workstation should have a dual monitor configuration and preferably have the same user software interface as the CT Scanner for ease of use. Doctor s workstation Dicom 3 compliant Print, store, and worklist. The workstation must include as standard software for Viewing, MPR, 3D and Volume Rendering / surface shading, Maximum and Minimum intensity Projection. Virtual endoscopy (bronchoscopy and colonoscopy) must be possible. The device must conform with all appropriate Maltese and european standards for manufacture of medical devices and must be CE marked.

7 Required / Preferred (P) Parameters 1 Cardiac investigations software Software for colon investigations including virtual colonoscopy Specification Bidder) Cardiac investigations software including Calcium Scoring, Cardiac Viewer for Ventricular assessment, Coronary Artery viewer and evaluation. Must be capable of performing CT angiography. Must include Prospective and retrospective ECG gating with integrated ECG monitor. The CT must include an integrated solution for a simplified bolus injector coupling due to synchronized scanning and contrast injection. This CT feature must facilitate contrast enhanced clinical workflow by synchronizing CT scan and contrast media injection using a single button control. Synchronised CT scan and contrast media injection interface and Bolus tracking software This in order to speed up clinical workflow and allow efficient and confident monitoring of patients during contrast media injection and scan start, even if only one technician is present. The solution should be based on the newly developed international standard for the communication between CT and injector.

8 Required / Preferred (P) Parameters 1 Image Viewing Specification The following must be included on the console; 1. Window level 2. Window width 3. Image rotation 4. Multiple image display 5. Image magnification 6. Comment display 7. Annotation 8. Arrow insertion 9. Distance and angle measurement 10. Density measurements 11. Simultaneous presentation of at least 3 ROIs, stating mean, standard deviation and area. 12. Superimposition of scaled Grid. 13. Multiplanar reconstruction of sagittal, axial, coronal, oblique and user defined projections 14. Combining of images 15. Image subtraction. 16. Reconstructive filters to enhance specific imaging parameters. 17. Fusion imaging techniques for noise reduction 18. Dynamic analysis 19. 3D surface rendering 20. 3D image segmentation Bidder)

9 Required / Preferred (P) Parameters 1 Specification Bidder) Volume scanning The system must be able to perform up to 100 seconds of uninterrupted spiral scanning. The system should provide an integral interface connection to simultaneously trigger the contrast media injector and scan start. Synchronised injector dual head type The injector System must have a pedestal head mount and interface to start the injection from the CT- Console or the CT foot switch. Alternatively the scan start from the injector-console should be possible. The injector should have a dual syringe injection system for CT contrast exams, including Cardiac CT and Coronary CTA. The device must conform with all appropriate Maltese and european standards for manufacture of medical devices and must be CE marked. Dose management (P) The scanner must include features pursuant to dose reduction in line with the ALARA principle

10 Required / Preferred (P) Parameters 1 Patient table Transfer of study data Phantoms Specification Bidder) Load capacity of over 200 KG at full Incremental accuracy of 0.25mm. The tabletop should have a mechanical means to be withdrawn out of the gantry in case of emergency or power failure and returned to the scan plane. Must have a Minimum scannable range of 1600mm ( metal free ). Patient table positioning controls to be located on both sides of the gantry. The patient table should be height adjustable and motorised. The device must conform with all appropriate Maltese and european standards for manufacture of medical devices and must be CE marked. The equipment must be fully compatible with DICOM 3 format and HL7 messages. Relevant recent upgrade of software to ensure efficient transmission of information. The system has to provide for work list on the modality, backup manual data entry, sending to PACS configurable function for transmission. All phantoms necessary for quality Assurance and quality Control phantoms as advised by manufacturer

11 1 Size, Quantity, Material, Colour, Dimensions, Speed, Capacity, Volume, Bills of Quantity, etc. The official quote on the Bidder's letterhead shall be attached to this Annex. Bidder s Signature and Rubber Stamp (if available) Date

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