2) Minimum scan time for a 360 degree rotation should be 0.7 seconds or less.

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1 TAMILNADU MEDICAL SERVICES CORPORATION LTD TENDER FOR SUPPLY AND INSTALLATION OF WHOLE BODY MULTISLICE CT SCANNER (16 SLICE/ ROTATION) TO VARIOUS MEDICAL COLLEGES TENDER NO.48/CT/TNMSC/ENGG/2016, DT Corrigendum a) The following corrigendum are issued:- Sl. Tender Document Instead of Read as No. Reference 1. Page No.56 Gantry Gantry for Whole 2) Minimum scan time for a 360 degree rotation should be 0.7 seconds or less. 2) Minimum scan time for a 360 degree rotation should be 0.8 seconds or less. 2. Page No.56 for Whole 3. Page No.56 for Whole 4. Page No.56 for Whole Gantry 5) CT should be capable of acquiring at least 0.6 mm slice or less in 16 slice helical mode. Gantry 8) Aperture should be of 72 cm in diameter or more 1) The X-ray tube current should be 10 to 300 ma with increments in steps. Gantry 5) CT should be capable of acquiring at least 0.75 mm slice or less in 16 slice helical mode. Gantry 8) Aperture should be of 70 cm in diameter or more 1) The X-ray tube current should be 30 or less to 300 ma with increments in steps.

2 Sl. No. Tender Document Reference 5. Page No.56 for Whole 6. Page No.56 for Whole 7. Page No.56 for Whole 8. Page No.56 for Whole Instead of 2) The system should work combined with iterative technique to avoid excess X-ray dose, the tube current should not exceed 300 ma to avoid unnecessary radiation to the patient 5) Tube voltage should be variable from 80 to 135 KVA. 6) The X ray tube should be essentially with dual focus with capacity of at least 3.5 MHU or more. Any special feature of the X-ray tube to be highlighted with literature. 8) The X ray tube should have a cooling rate of not less than 700 KHU per min. (Tubes with higher cooling rate preferred) Read as 2) The system should work combined with iterative technique to avoid excess X-ray dose, the tube current should not exceed 360 ma to avoid unnecessary radiation to the patient 5) Tube voltage should be variable from 90 or less to 135 KVA. 6) The X ray tube should be essentially with dual focus with capacity of at least 5 MHU or more. Any special feature of the X-ray tube to be highlighted with literature. 8) The X ray tube should have a cooling rate of not less than 500 KHU per min. (Tubes with higher cooling rate preferred)

3 Sl. Tender Document No. Reference 9. Page No.56 for Whole 10. Page No.56 for Whole 11. Page No.57 for Whole 12. Page No.57 for Whole 13. Page No.57 for Whole Instead of Detectors 1) The Effective Elements / Channels should be at least 750 or more per row. Patient Table 4) The range of metal free scan should be at least 165 cms. Spiral/ Helical 3) The image reconstruction time should be atleast 15 images/second or more. Spiral/ Helical 7) Tilted Helical scan should standard. Computer Section 1) The main console CPU offered should be the Latest Multi tasking Processors and a Read as Detectors 1) The Effective Elements / Channels should be at least 650 or more per row. Patient Table 4) The range of metal free scan should be at least 150 cms. Spiral/ Helical 3) The image reconstruction time should be atleast 10 images/second or more. Deleted Computer Section 1) The main console CPU offered should be the Latest Multi tasking Processors and a

4 Sl. No. Tender Document Reference 14. Page No.57 for Whole 15. Page No.58 for Whole Instead of menu driven platform with a RAM size of at least 32 GB or more. Image Processing section 2) Advanced workstation with minimum of 1TB storage with 3 GB RAM and software s for Abdominal analysis, Vascular Aorta, Circle of Willis, Carotid, Larynx airway, Renal and CT Runoff and all 3D VRT, SSD, Angio application, Virtual Bronchospy and DVD/CD archival is required. Accessories 8) The equipment should have a valid AERB type approval or in case of NOC valid type approval certificate has to be submitted prior to submission of invoice for payments. The renewal of the same shall be the responsibility of the supplier. QA analysis and report shall be the part of the installation process. The license of operation shall be the responsibility of the supplier. The institute / hospital shall provide the necessary support. Read as menu driven platform with a RAM size of at least 16 GB or more. Image Processing section 2) Advanced workstation with minimum of 1TB storage with 3 GB RAM and software for Abdominal analysis, Vascular Aorta, Circle of Willis, Carotid, Larynx airway, Renal and CT Runoff and all 3D VRT, SSD, Angio application, Virtual Bronchoscopy and DVD/CD archival is required with the latest software version in market and unlimited free upgrade of new versions. Accessories 8) The equipment should have a valid AERB type approval. The renewal of the same shall be the responsibility of the supplier. QA analysis and report shall be the part of the installation process. The license of operation shall be the responsibility of the supplier. The institute/ hospital shall provide the necessary support. If required the company shall depute its engineer to complete these formalities.

5 Sl. No. Tender Reference Document 16. Page No.58 for Whole 17. Page No.58 for Whole 18. Page No.58 for Whole 19. Page No.58 Instead of If required the company shall depute its engineer to complete these formalities. Accessories 10) Standby Automatic Generator with diesel motor of adequate capacity to run the unit in case of power failure. Optional : (To be quoted) 1) Upgradability to 32 slice facility Read as Deleted Deleted Add the following points to the end of specification at Accessories:- 1) Dual head fully automatic pressure injector is required 2) LED medical image viewer- 3 film size (4 feet or more)-2 Nos. per unit is required. 3) UPS with atleast 30 minutes backup for console and workstation is required. 4) Laser colour printer and desktop computer is required. Add the following points to the end of specification as

6 Sl. No. Tender Document Reference for Whole 20. Page No. 52 Section V: Schedule of Requirements 21. Page No.64 Section VII: Bid Form and Price Schedule Price Schedule Instead of Existing Text Existing Text Read as Annexure-I Revised Text at Annexure - II Revised Text at Annexure - III b) The following clarification are furnished Sl. Tender Document Point Raised No. Reference 1. Page No.56 1) Request to amend as the system X ray power should be 32 Specification KW or above. 2) Request to amend as the system X ray power should be 50 for Whole KW or above. 3) Request to amend as the system X ray power should be 45 back of existing CT KW or above scanner. 4. The system X ray power should be 40 KW or above. 2. Page No.58 Request to amend as FDA and CE certificate is mandatory. Specification Clarification Furnished No change. Hence, published specification prevails. No change. Hence, published specification prevails.

7 Sl. Tender Document No. Reference for Whole back of existing CT scanner. Accessories 7. CE/USFDA approval is required. 3. Page No.8 Section II: Instructions to Bidders C. Preparation of Bids 13.Bid Security 13.3 (b) A banker s cheque or demand draft obtained from any scheduled bank in favour of TamilNadu Medical Services Corporation Limited, payable at Chennai 4. Page No. 52 Section V: Schedule of Requirements Delivery Schedule:- 60 days from the date of receipt of purchase order 5. Page No. 46 Section IV: Special Conditions of Contract Point Raised Request to amend as EMD by the way of Bank Guarantee 1) Request to amend as 75 days from the date of receipt of purchase order 2) Request to amend as 90 days from the date of receipt of purchase order Request to amend as 100% inland LC with 80% payable on delivery and balance 20% Clarification Furnished No change. Hence, published specification prevails No change. Hence, published specification prevails. No change. Hence, published specification prevails.

8 Sl. Tender Document Point Raised Clarification Furnished No. Reference 10. Payment (GCC Clause immediately after installation and 15) hand over of the system. ii) 100 % payment will be made against supply and installation of the equipments at the respective sites against certification along with necessary stock entry bills from the respective consignee All other terms and conditions of the tender remain unaltered. The above forms part of the bidding documents. The bidder shall attach the copy of this corrigendum duly signed by their authorized signatory, in their bid. Sd/- General Manager (E)

9 ANNEXURE-I Technical Specification:- Software and Capability- Main Console:- 1. Perform whole body scanning including pediatric, infant, trauma, vascular, neurological application. 2. Real time contrast monitoring acquisition with auto scan initiation protocol with auto injector trigger (Bolus tracking). 3. Dose saving protocols must be available. 4. Automatic tube current selection suited for selected exam. 5. Standards functions like measurements, annotations, windowing, image addition and subtraction, artifact reduction capability, reversal of images, filters. 6. Real time MPR (Curved/oblique/coronal/sagittal) 7. Dynamic scanning and cine display-please specify the frame and number of images that can be displayed. 8. Minimum and maximum intensity projections D shaded surface display (SSD). 10. Advanced 3-D volume rendering technique (VRT) 11. CT Angiography with colored facility, MIP, MPR, SSD, VRT D virtual endoscopy( CT endoscopy, Bronchoscopy, Colonoscopy) 13. Automatic bone sculpting / removal 14. Calcium scoring software 15. Perfusion software if available Software Additional Workstation Console (1 Nos) from Principal CT Manufacturer Only:- 1. Standard functions like measurements, annotations, windowing, image addition and subtraction, artifact reduction capability, reversal of images, filters. 2. Real time MPR (Curved/oblique/coronal/sagittal) 3. Dynamic scanning and cine display-please specify the frame and number of images that can be displayed. 4. Minimum and maximum intensity projections D shaded surface display (SSD). 6. Advanced 3-D volume rendering technique (VRT)

10 7. CT Angiography with colored facility, MIP, MPR, SSD, VRT D virtual endoscopy( CT endoscopy, Bronchoscopy) 9. Automatic bone sculpting / removal 10. CT brain perfusion 11. CT Colonoscopy 12. Filming option is mandatory. Tele Radiology Software package (server or Cloud based) - Optional (Price to be quoted separately)

11 SECTION V SCHEDULE OF REQUIREMENTS ANNEXURE-II Sch. No. 1. Brief Description Whole body Multislice CT Scanner (16 Slice/Rotation) as per specification Unit Nos. Qty. 18 Bid security (Rs.) Rs.65,00,000 /- Delivery Schedule: - 60 days from the date of receipt of purchase order. Place of delivery: - The above items are delivered as indicated below Table 1 S.No Name of the centre new CT scan to be installed Present CT scanner Make & Model in the centre indicated in column 1 to be taken in buy back Hospital, Sivagangai 2 Hospital, Thoothukudi 3 Pudukottai Table 2 S.No Name of the centre new CT scan to be installed Present CT scanner Make & Model in the center indicated in column 2 to be dismantled and installed in place in column 4 (TNMSC scope of work) Name of the centre where old dismantled CT scanner to be installed (TNMSC scope of work) Present CT scanner Make & Model in the centre indicated in column 4 to be taken in buy back Govt. Kilpauk Medical College Hospital, Chennai Tiruvallur

12 5 Hospital, Coimbatore Ooty 6 Hospital, Dharmapuri Toshiba, Asteion Super 4 Namakkal 7 Hospital, Chengalpet Virudhunagar 8 Hospital, Kanniyakumari Kovilpatti 9 Hospital, Thanjavur Kumbakonam 10 Hospital, Theni Toshiba, Asteion VP Usilampatti 11 Hospital, Trichy Toshiba, Asteion Super 4 Govt. Hospital, Palani 12 Hospital, Tirunelveli Toshiba, Asteion VP Govt. Hospital, Aruppukottai 13 Hospital, Tiruvanamalai Tiruppur 14 Hospital, Tiruvarur Toshiba, Asteion Super 4 Tenkasi 15 Hospital, Vellore Periyakulam 16 Hospital, Villupuram Kallakurichi 17 Hospital, Karur Toshiba, Asteion VF Mettur Dam 18 Quarters Hospital, Perambalur (Newly proposed Medical College) Toshiba, Asteion VP Govt. Hospital, Tirupathur

13 Note: 1) The shifting of existing CT scanner ( Make-Toshiba, Model- Alexion, Asteion Super 4, Asteion VP, Asteion VF) to the new site will be done by TNMSC and the site will be handed over to the successful bidder within 20 days from the receipt of the new CT scanner at site and buy back cost of the existing CT Scanner should be taken in to consideration while arriving at the price of the new CT Scanner and the bidders are not required to indicate the cost of buy back of the existing CT Scanner Separately in the price bid. The net price of new CT scanner after taking in to account the buyback price of existing CT scanner will be considered as the supply price for evaluation of prices.

14 ANNEXURE-III PRICE SCHEDULE Sch No. 1. 1a Item Description Country of origin Quantity & Unit Whole body Multislice CT 18 Nos. Scanner (16 Slice/Rotation) as per specification Optional Tele Radiology Software 18 Nos. package (server or cloud based) i. Unit price in (6) (Rs. in words) Ex-factory Exwarehouse Ex-showroom off-the shelf (a) Excise duty, if any (b) PRICE FOR EACH UNIT Packing & forwarding Inland transport, Insurance and Incidental costs incidental to delivery (d) Incidental services as listed in clause 7 of SCC (e) Customs duty (f) Unit price a+b+c+d+e+f Total price per schedule for delivery at final destination (4 x 6) 1. Whole body Multislice CT Scanner (16 Slice/Rotation) as per specification... 1a. Tele Radiology Software package (server or cloud based)... a) Annual Maintenance Charges (labour only) per year /per unit for 7 years after 3 years free warranty maintenance period 1. Whole body Multislice CT Scanner (16 Slice/Rotation) as per specification... b) Annual Maintenance Charges (Comprehensive) for 7 years / per year / per unit after free warranty maintenance period 1. Whole body Multislice CT Scanner (16 Slice/Rotation) as per specification... Note: (a) In case of discrepancy between unit price and total price, the unit price shall prevail. (b) This price schedule should be placed in separate sealed cover Cover B (c) Service tax applicable for Annual Maintenance Charges shall be indicated separately. Otherwise it will be considered as included in the rates quoted. (d) The Prices for optional accessories should be quoted by the bidder. However, it will not be taken for price evaluation, but may be ordered at the full discretion of the purchaser. Sales and other taxes payable if contract is awarded Place : Signature of Bidder..... Date : Name Business Address