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Summary TechnicalOnly Patient Monitor

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146 views40 pages

Summary TechnicalOnly Patient Monitor

specfication for patient monitor

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Fidaa Jaafrah

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‘SUMMARY’ FILE ONLY - VIEW ONLY

Period Contract and Leasing Patient Monitoring

RFT 0601503

TECHNICAL PARTICULARS

PATIENT MONITORING PERIOD CONTRACT

T100 GENERALLY

This part of the tender document outlines particular technical requirements for Patien Monitoring, MRI Suite
Monitoring, Electrophysiological and Haemodynamic Monitoring, Cardiovascular Information System, Anaesthesia
Information and Clinical Information System.

The equipment offered through this tender will be selected to form a Period Contract arrangement, facilitating
purchase of such equipment by various hospitals.

T100.1 Number Of Tenderers To Be Accepted Into The Standing Offer Agreement

Patient Monitoring Equipment (Schedule of Prices 1 To 10) Up To 11

MRI Suite Monitoring System (Schedule of Prices 11) Up To 6
Electrophysiological Monitoring System (Schedule of Prices 12) Up To 7
Haemodynamic Monitoring System (Schedule of Prices 13) Up To 7
Cardiology Archival System (Schedule of Prices 14) Up To 6
Cardiovascular Information System (Optional) (Schedule of Prices 15) Up To 12
Anaesthesia Information System (Optional) (Schedule of Prices 16) Up To 8
Clinical Information System (Optional) (Schedule of Prices 17) Up To 8

The work to be carried out shall include: supply, delivery, installation and testing, including freight, insurance and
tuition of staff associated with the following equipment:

Unit to include the following parameters:-

(1) Bedside Colour Monitor

(2) ECG (5 and or 12 Lead)
(3) Respiration
(4) x2 Invasive Pressure (2 Channel)
(5) Temperature (1 Channel)
(6) NIBP
(7) SaO2
(8) Bedside Printer (Trends and strips) networked to Central Station
(9) Capnography
(10) Wall Mounting System for Bedside Units
(11) Accessories
Note:- The units should be capable of reading from Neonatal to Adults.

2. OBSERVATION MONITORS 3/4 CHANNELS (T100-T115)

Units to include the following parameters with all to be capable of neonatal readings through to adults:-

(1) Bedside Monitor

(2) ECG (5 and or 12 Lead)
(3) Respiration
(4) NIBP
(5) SaO2
(6) Temperature (1 Channel)
(7) Printer (Trends & Strips) networked to Central Station
(8) Wall Mounting System for Bedside Units

3. TRIAGE MONITORS COLOUR 3 CHANNELS (OPTIONAL) (T100-T115)

Units to include the following parameters:-

The nominal size of the display screen 21 cm.

(1) Bedside Monitor

(2) ECG (5 and or 12 Lead)
(3) SaO2
(4) NIBP
(5) Accessories

4. TRANSPORT MONITORS - 3/4 CHANNELS (T100-T115)

Units to include the following parameters and to be compatible with other module inputs from
above when required. The unit should be capable of taking readings from neonatal through to
adults:-

(1) Monitor
(2) ECG (5 and or 12 Lead)
(3) Respiration
(4) Invasive Pressure (2 channel)
(5) Capnography
(6) NIBP
(7) SaO2 (Pulse Oximetry)
(8) Temperature
(9) Accessories

5. CORONARY CARE MONITORS (COLOUR) (T100-T115)

6. INTENSIVE CARE MONITORS (COLOUR) (T100-T115)

7. OPERATING SUITE MONITORS (COLOUR) MODULAR FORMAT (T100-T115)

(1) Bedside Colour Monitor (Minimum 6 channels) with plug-in facility for Modules below
(2) ECG (5 and or 12 Lead)
(3) Respiration
(4) Pressure (2 Channel)
(5) Temperature (1Channel)
(6) N.I.B.P
(7) SaO2
(8) Multigas Monitoring
(8.1) Oxygen Nitrous Oxide
(8.2) E T Co2
(8.3) 5x Agents FIO2 with dual agent identification
(8.4) Fast Oxygen measurement
(9) Accessories

8. DIGITAL UHF/VHF TELEMETRY FOR 8 PATIENTS (T100-T115)

(1) Digital UHF/VHF Telemetry for 8 patients (two Channel Analysis)

(2) 5 Lead Snap Patient Cables
(3) Antenna System (Minimum Coverage 100m²)
(4) Remote 14 inch Slave Display
(5) Accessories

9. CENTRAL STATION (T100-T115)

(1) Central Station Colour (Minimum 4 Channels)

(2) Central Printer (Trends and Strips)
(3) Laser A4 Printer
(4) Network Hub and Cabling Connectors
(5) Accessories

10. FOETAL MONITORS (T100-T115)

10.1 Maternal/ Foetal Monitor

(1) Accessories
10.2 External Foetal Monitor

11. MRI SUITE MONITORING SYSTEM (T116)

(1) ECG (with enhanced ECG performance and removal of MRI gradient artifact)
(2) NIBP (with cleaner and enhanced signal resulting in faster and increased accuracy for all
readings)
(3) Fibreoptics Pulse Oximetry (SpO2 Sensor for neonates and adults)
(4) 2 Channels Invasive BP
(5) 3 Part monitoring system in Anaesthetic and General Monitoring
(6) Colour LCD Screen display with capability of 6 traces display
(7) Back-up battery with 8 hours battery life
(8) 2 Channels Pressure wave display and x2 ports invasive pressure
(9) Dual Channel Recorder/ Printer
(10) Accessories

Optional items:
i) Monitor ECG & Cardiac Gating with set of electrodes
ii) 3.0 Tesla MRI compatible
iii) PCMCIA Card Port for monitor upgrade
iv) Software/ hardware upgrade & download capability
v) Neonates and paediatric accessories
vi) ECG monitoring while gating
vii) Solid state thermopile technology for anaesthetic gas analysis with infrared detector and
no added mechanical moving parts
viii) Multigas monitoring of O2, NO2, ETCO2, 5 gas agents

12. ELECTROPHYSIOLOGICAL MONITORING SYSTEM (EPS) (T118, T118-1)

1.) Amplifiers
2.) Computerised EP Data Analysis
3.) Signal Acquisition and Display as in
4.) Stimulator
5.) RF Generator
6.) Two (2x) Large 55cm (min. size) colour monitor in the control room
7.) One (1x) Large 55cm (min. size) colour monitor in the cath lab

13. HAEMODYNAMIC MONITORING SYSTEM (T118, T118-2)

(1) Haemodynamic Physiological Recording & Analysis

(2) Physiological Recording
(3) Physiological Processing & StorageUnit
(4) Two (2x) Large 55cm (min. size) colour monitor in the control room
(5) One (1x) Large 55cm (min. size) colour monitor in the cath lab
(6) Modules for Cardiac output
(7) 12 lead patient input unit
(8) 5 lead ECG
(9) 3 pressures
(10) 1 auxiliary input

14. CARDIOLOGY ARCHIVAL SYSTEM (T119-A)

(1) Work Station /Reporting System/ Webserver

(2) Webserver T119 (3.2)
(3) Review/ Reporting Workstation
(4) Database Function
(5) Networking
(6) Optical disc drive or other image storage media
(7) Image Archival & Backup
(8) Laser Printer
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15. CARDIOVASCULAR INFORMATION SYSTEM, CVIS (OPTIONAL) (T119-B)

(1) Work Station /Reporting System

(2) Cath Lab Management
(3) Echo Lab Management
(4) Clinical Database/ Webserver
(5) Image Archival & Backup
(6) Network hardware/ software
(7) Laser Printer

16. ANAESTHESIA INFORMATION SYSTEM (OPTIONAL) (T120)

(1) Data Acquisition Workstation

(2) Remote Review Workstation
(3) Database/ Server
(4) Database Analysis/ Acquisition Software
(5) Software Licences (Preoperative, Intraoperative, Post operative & Acute Pain Service)
(6) Interface/ Network hardware/ software
(7) Laser Printer

17. CLINICAL INFORMATION SYSTEM, CIS (OPTIONAL) (T121)

(1) CIS as per Clause T121

(2) Data Analysis/ Reporting Workstation
(3) Bedside Thick & Thin Client Workstation
(4) Office, HIS Thick & Thin Client Workstation
(5) Servers, Network, Communication
3.1 Chart Server/ Database
3.2 Network hardware/ software
3.3 Information System Database Server
3.4 Application Server
3.5 Terminal Services Server
(6) Laser Printer

18. CONSUMABLE COMPONENTS:

Tenderers shall provide breakdown of the current price of all consumables that are necessary for the
proper use of the equipment offered.

The technical specification details are described in the subsequent clauses below.
The equipment to be supplied and the work to be carried out shall be in the quantities specified and as
described herein and as listed in the Schedule of Prices.

Items not included in or not specified in detail but required for the proper functioning of the
equipment shall be of a type and quality generally accepted as industry standard in hospital
environment.

The offers shall comply with all the Particular requirements and detailed technical specification for
the individual items as outlined in the following subsequent clauses of this specification. Any non-
compliance shall be clearly stated as detailed under Part C2 “Statement of Compliance with
Specification”. Tenderers shall complete a separate response for each model of equipment offered.

The works shall comprise the supply, delivery, installation and demonstration of the performance of
the units for compliance with the specification and to the requirements of the relevant regulatory
authorities.

19. DELIVERY AND INSTALLATION OF EQUIPMENT

The co-ordination of the installation, the supervision of the works and the testing of the completed
installation shall be carried out under the direction of the hospital senior biomedical engineer or as
directed by the Superintendent’s Representative.

Electrical Work

The Tenderer shall allow in the installation cost for the following electrical work to be carried out.

Supply and installation of all cable enclosures colour co-ordinated with existing paintwork where
visible or cable trays including any necessary core holes. All wiring shall comply with AS 3000 and
AS 3003 as amended.

Testing:

Final acceptance on site will be supervised by the Biomedical Staff at the Hospital or as directed by
the Superintendent’s Representative.

Tenderers are to indicate separately what their standard test procedures are and the quality assurance
manual should reflect the specifications of the tender. All test equipment will be supplied by the
tenderer and certified as to accuracy. The Quality Assurance acceptance test results are to be supplied
to the Superintendent’s Representative and the Hospital prior to the final commissioning of the
equipment.

Building and Other Services

Provision of electrical supply to an isolating switches will be provided by others. Existing cable
ducting may be utilized where applicable, otherwise the Contractor shall provide all other ducting,
cable trays and conduits required for the interfacing of monitors involved.

The Tenderer should provide and install all mounting brackets as required to walls etc and ensure that
the fittings are secured to take the full weight of the mounted equipment with adequate safety
margins.

All work must meet with the approval of the Hospital Senior Biomedical Engineer or nominated
representative.

The Tenderer is therefore requested to examine the site to ensure the conditions are acceptable for the
offered equipment.

The successful Tenderer shall fully co-operate with other contractors and sub-contractors during the
installation of the equipment.

20. TRAINING AND TUITION

Tenderers are to indicate what training they are prepared to give the Hospital's personnel. This shall
include at least four (4) days during the first month of the defects liability period, to make sure that
the operators know how to achieve the best results with the equipment. What are the training
methods and materials provided by the Company.

21. SERVICE SUPPORT

In addition to the following also refer to Section 1 Electromedical Specific – Annexure 1 to Part B.

The successful tenderer is to provide the hospital with software updates as they become available.
During the warranty period these are to be at no cost to the hospital. The tenderer shall advise the
hospital every 3 months on any upgrades available.

This shall be arranged at a mutually accepted time frame within the 12 months defects liability period.

Any specialised testing equipment required to maintain the equipment shall be listed with the tender
submission.

22. OPERATIONAL COMPREHENSIVE MAINTENANCE (Optional)

The Tenderer should include listed and priced an annual etc. operational comprehensive maintenance,
as detailed in Clause 7, Section 1 Electromedical Specific – Annexure 1 to Part B.

Monitoring Equipment Generally

The equipment shall be designed to enable it to be free-standing compact and self-contained. The
equipment shall be constructed in a manner which allows it to be upgraded at a future date, i.e. on a
modular pattern internally, to take advantage of improvements in technology and/or to add additional
facilities to those specified. During all modes of operation the equipment shall be free from spurious
signals due to mains interference and/or other extraneous factors.

All equipment shall be suitable for use in Class CF procedures. Tenderers shall state how patient
isolation is achieved and to indicate the amount of isolation under normal conditions: Patient
isolation shall be such that with all sensing electrodes and/or transducers attached to the patient, the
patient is adequately protected against electric shock under normal environmental conditions. All
equipment shall conform with relevant Australian Standard Codes.

The patient input circuits shall be fully protected from damage due to direct current shock induced by
the use of a defibrillator.

Controls, indicators and terminals shall be neatly and logically arranged on all equipment for speed
and ease of operation. Controls and terminals shall be grouped into one of the following sets:-

(1) All frequently used controls and terminals shall be easily accessible on the front of the equipment.

(2) All infrequently used controls and terminals may be located on the less obtrusive front portions of the
equipment.

Controls shall be labelled in concise and acceptable medical terminology.

The design of each individual model and the system as a whole shall allow for the production of data
capable of conveying information with the greatest possible clarity and requiring a minimum of
interpretation.

Where applicable, facilities shall be incorporated in the system to permit cancellation of alarms either
from the bedside units or from the central monitoring units as desired.

All mains supply flexible cords shall be fitted with transparent plugs to facilitate inspection of the
earthing connection to the plug top.

NOTE : The following definitions will apply to this Specification:-

3 lead selection : Cable of monitoring Lead I, Lead II and Lead III

(switchable) without moving any electrodes.

7 lead selection : Capable of monitoring Lead I, II, III, aVf, Av1, Avr and V lead
(switchable) without moving any electrodes.

Monitors should be colour etc. as specified with Optional monochrome being an alternative offer.

The monitors should be capable of being viewed at a distance of 300cm for numerals, for the
Resuscitation and Observation Monitors.

T101 THE EQUIPMENT SPECIFICATIONS:

The equipment to be supplied by the contractor shall be in the quantities specified, and described herein and as
listed in Schedule of Prices. Items not included or specified in detail but required for proper functioning of
the equipment shall be listed in the Schedule of prices (e.g. cardiac output), under option items and be of
type and quality generally accepted as standard in Patient Monitoring work.

Clause Specification Parameters/ Y/N or

No. requirements specify
T102 PRECONFIGURED MONITORS √
1 All parameter modules shall be separately quoted, as an equal
number may not be required for each monitor. Integrated multi-
parameter modules are acceptable. √
Costing for each module is to be priced separately. √
2 The monitors shall be capable of monitoring the following input √
parameters simultaneously. These shall include:-
ECG 5 lead
Temperature 1 Channel
Respiration √
Non invasive blood pressure √
Two invasive pressure channels √
Pulse oximetry SaO2 √
Capnography √
3 A minimum size of modular printer to be supplied with each monitor. 50mm,2 channel

4 The display monitor should be colour or monochrome and of high

resolution. √
5 Touch Screen or trim knob or Push Button Operation should be
available for ease of use. √
6 Intensive Care, Coronory Care, Operating Suite and Resuscitation
monitors shall be capable of displaying waveforms at once with 4 waveforms
numerical information available for other monitored parameters. minimum
7 Observation monitors shall be capable of displaying waveforms at
once with numerical information available for other monitored 3 or 4 waveforms
parameters.
8 The monitor shall provide at least:- √
8.1 waveform display at normal speed minimum 4.2 second
8.2 sweep speed and user selectable 12.5, 25 and 50
mm/second
8.3 Waveform area preferably 220 cm² or >
8.4 Trending of all measured parameters for all patients √
8.5 Arrhythmia Detection (Tenderer to specify in detail) √
8.5 All monitors to have fatal Arrhythmia Detection (Tenderer to
specify in detail) √
9 Operation is to be user friendly √

10 All parameters to be clearly labeled. All cables must allow for

connection to appropriate socket. √
11 Screen format is to be clear and user adjustable. √

T103 ECG (3 or 5 Lead Input) √

1 Circuitry shall include ESU suppression and protection. √

2 Circuitry shall include defibrillator protection. √

3 Patient circuit to be CF class and be stated in accordance with

AS3200. √
4 Common mode rejection ratio > 90dB

5 Selectable 50 Hz filter to be included. √

6 1 or 2 leads to be monitored simultaneously as specified. √

7. Lead selection to include I, II, III AVF, AVL, AVR and V lead.
Selection is to be displayed. √
8. Gain fault (optional) 1 mV input.

9. Frequency response must be deemed clinically appropriate and

selectable between diagnostic and monitor modes. √
10. Heart must be accurately monitored for a range of normal and
abnormal QRS forms. Numerical display must be displayed. Heart
should be obtainable from sources including ECG, NIBP, INV
pressure, SA02 as selected. √
11. Heart rate alarms must be user adjustable within clinically useful
ranges. √
12. The monitor must include leads off alarm. √

13. Trending of all parameters to be available on monitor and printer. √

14. ST Monitoring √
a. Most monitor 2 or 3 channels (Tenderer to specify) √
simultaneously.
b. Has the ability to learn patient normal beat and template for √
abnormals. √
c. Trending to be available. √
d. Alarms to be user selectable and adjustable.

T104 RESPIRATION
1 To be incorporated into ECG 3 or 5 Lead ECG
Cable
2 To use impedance method. √
3 Limit Alarms according to current Australian Standards √
4 APNEA Alarms delay provision to be advised on ranges applicable. √
Trending to be available on monitor. √

T106 TEMPERATURE √
1. Specify compatibility, preferably YSI 400 series
2. Accuracy ± 0.2 ºC
3. Range minimum 30 to 42 ºC.
4. Display 0.1 º increments.
5. Display is to be clearly visible. √
6. Trends are to be available on monitor. √
7. Alarms. High or Low.
8 The temperature connections must be compatible to. YSI 400 series

T107 NON-INVASIVE BLOOD PRESSURE MONITOR √

1 Non-invasive blood pressure (NIBP) should measure and display on

the monitor screen the following: √
a) systolic √
b) diastolic √
c) mean pressure √
d) alarm limits √
e) alarm status √
f) time of last reading √
g) time interval selected √
h) indication of manual or automatic cycle √
2 The measurement method shall be by the oscillometric method,
utilising standard single tube cuffs. The systolic diastolic and mean
pressures shall be clearly labeled and easily read. √
3 The unit should meet the following requirements: √
3.1 Overpressure protection:
a) For Adults cuff pressure should never exceed 315mm Hg.
b) For Neonatals cuff pressure should never exceed 141mm Hg.
c) For Paediatrics cuff pressure should never exceed 200mm Hg
3.2 Programmable mode: to program automatic 1,2,3,4,5,10,15,
inflate/deflate/measurement cycles variable over the minimum range: 30 & 60 minute
intervals.
3.3 Manual mode: inflate/deflate/measurement cycle after manual
initiation. √
3.4 Measurement ranges: √
a) Adult √
a1 Systolic 30 - 260mm Hg
a2 Diastolic 20 - 235mm Hg
a3 Mean 20 - 255mm Hg
b) Neonatal √
b1 Systolic 25- 120mm Hg
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b2 Diastolic 10 - 105mm Hg
b3 Mean 10 - 110mm Hg
c) Paediatric √
c1 Systolic 30-160mm Hg
c2 Diastolic 15-130mm Hg
c3 Mean 15-140mm Hg
3.5 Separate alarm settings should be provided for systolic, diastolic and
mean pressure values. √
3.6 The measurement should incorporate motion artifact rejection √
(optional)
3.7 Measurement cycle time shall be not greater than (60) seconds
3.8 An alarm should also indicate air leaks and hose disconnection. √
3.9 Each unit shall come complete with nominally 2.5m of tube plus
cuffs (refer Accessories Section) plus interconnection and calibration
accessories as required. √
4.0 Standard Accessories √
Tenderers shall supply for each unit ECG cables, NIBP cuffs, hoses
and connectors. Sizes shall range from Neonate to Adults as √
required.
T108 PULSE OXIMETRY (SA02)
1. Measurement method (Oxygen Saturation of Functional
Haemoglobin). √
1.1 Measurement Range √
a) 02 Saturation 50-100%
b) Pulse Rate 30-250BPM
2. Saturation Resolution 70 to 100% range
± 2.0% (or digits) for
3. Selectable alarms for SA02: √
a) Low 50-98 Limit
Ranges
b) High 70-100 Limit
Ranges
4. Must be suitable for adult, paediatric and neonates use. √
5. The following Sensors are to be supplied with each unit.
1x Ear Sensors (optional) √
1x Finger Sensor √

T109 BEDSIDE PRINTER √

1 The printer should be a minimum two-channel waveform provided
with a thermal array print head. √
Paper minimum size 50mm.
2 Various chart speeds at least 6.25, 12.5 and 25
per sec
3 Traces all monitored parameters including trends. √
4 Auto run facility provided with alarm violations. √
5 Annotation facilities to be provided for time/date/patient I.D. etc. √

T110 CAPNOGRAPH √
1 CO2 Waveform √
2 Selectable Scale 0-30mm Hg
0-60mm Hg
0-100mm Hg
3 Warm up time nominal to display a waveform either main stream and
or side stream CO2 sampling technology. 60 seconds
4 CO2 Digital Values
Range 0 - 99mm Hg
5 Respiration Digital Values

T111 MOUNTING OPTIONS FOR BEDSIDE MONITORS √

1 Each monitor assembly is to be provided with an integrated designed
unit compatible to the model/ system on offer. √
2 The facility shall provide tilting of the monitor assembly with swivel
range of at least 180o.
3 The bedside monitor assembly will be mounted to the walls behind
each bed. √
4 Final location to be agreed with the Unit Director, in liaison with the
Hospital engineer and Biomedical Engineer. √
5 Refer to building and other services as applicable. √

T112 TRANSPORT MONITOR √

i The primary purpose of this monitor is to transport patient between
departments. It is required to have the following parameters, fully
compatible with the Resuscitation monitors. √
1. The monitor shall be provided complete with the following units,
complete with input cables as specified for each input. √
a) ECG (3 or 5 Lead) √
b) One invasive pressure √
c) Temperature (Single Channel) √
d) Respiration √
e) NIBP √
f) Sao2 √
g) Capnography √
2. It shall be capable of secure attachment to the bed for transport
purposes. √
3. Trending shall be provided for all parameters. √
4. The monitor shall provide user adjustable alarms for physiological
parameters as well as fault conditions. √
5. The monitor shall be capable of withstanding the rigours of hospital
use. In addition, it must withstand high humidity and dusty
environments. √
6. Battery operation should be possible for at least 1 to 2 hours with
ECG, SaO2 Capnography with NIBP being taken at 15 minute
intervals. Audio or visual alarm device shall be included to indicate
battery status. √
7. It is preferred that patient trending information be transferred from
Bedside Monitor to transport monitor to facilitate continuation of
data acquisition e.g. via network or PCMCIA card or data card. √
8. Additional accessories required are
Optional One Drip pole mount (1 Off) √
9. A universal roll type stand shall be provided for mobile use within
the Department with quick manual release for bedside transport
purposes as required. √

T113 OPERATING SUITE √

1 Measure and display with automatic identification the concentrations

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of: √
a) Halothane √
b) Isoflurane √
c) Enflurane √
d) Sevoflurane √
e) Desflurane √
f) Nitrous Oxide √
g) Oxygen √
h) Carbon-di-oxide √
2 Measurements of inspiratory and expiratory concentrations shall be
possible and displayed as a percentage in a breath-by-breath
waveform. √
3 Accuracy of Anaesthetic gas measurement shall be no less than: 0.2% (vol %)
for volatile agents and for nitrous oxide and oxygen. 2% (vol %
4 Alarms should be adjustable with limits for high and low
concentrations of all gases √
5 The range of oxygen measurement shall be 0 to 100%
5.1 with an accuracy of no less than +2% (vol%)
5.2 and be displayed on a breath by breath interval.
5.3 Measurement rise time should be less than 500ms
6 A low FiO2 alarm must be provided with a threshold at 18%
7 The anaesthetic agent monitor should be capable of measuring
respiratory rate and to alarm in the event of a circuit disconnect or
apnoea. √
8 Combined system of monitoring and anaesthesia delivery may be
accepted to the contract.
√
T114 TELEMETRY/ AMBULATORY MONITORING
The following requirements shall be provided:- √
1 The monitor shall transmit the following:
1.1 Digital telemetry ECG waveform.
1.2 (i) Nurse call signal and/or (ii) a patient record facility
1.3 Two Channel for analysis as per AHA Standard
1.4 Optional SPO2
2 The unit shall be able to select different LEADS, by operator
selection or automatically if one lead fails. √
3 The telemetry signal area shall cover the area as per the client
requirements. Sufficient antennas, amplifiers etc. to cover the range
are to be provided as per the client requirements √
4 The transmitter shall be easily portable, waterproof and weigh less
than 900 grams (including batteries but not including transducers). √
5 A means of carrying the transmitter shall be provided such as a
washable shoulder strap or similar. √
6 Licensing and any other regulatory costs shall be included during the
Defects Liability Period; the expected costs for the subsequent year
should be stated. √
7 The battery shall last for a minimum 24-48 hours, or greater,
continuous ambulatory use. The operating time for both disposable
and or rechargeable batteries shall be stated. √
8 The Tenderer shall state the type(s) of battery required and the
minimum expected life of the battery (during continuous ambulatory
use) √
9 A low battery indicator shall also be included. Tenderers should state
how operation remains after low battery indication. √
10 The carrier frequency shall be either a) in the UHF band and comply
with the relevant authorities requirements. Transmitter and receiver
shall be tunable and user definable and should be able to be tunable
in order to avoid interference caused by digital television broadcast,
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b) in the ISM 2.4 GHz band and shall conform to specifications as
per IEEE 802.11 or similar for WLAN technologies including the
bridge (Access Point) to the IEEE 802.3 wired LAN. The WLAN
technologies used should be implemented in a way that optimizes
their inherent interference immunity. √
11 Selection of frequency shall ensure no interference to and from other
equipment likely to be encountered in a hospital environment (eg.
Diathermy equipment, pocket pagers etc.) and external sources such
as digital signal. √
12 Each transmitter shall be allocated a different frequency to give
independent operation. The Tenderer shall describe how the
transmitter frequency can be programmed or changed (please ensure
the description is brief and includes all costs). √
13 The receiver shall be able to distinguish pace maker spikes and reject
these as artifact, display the captured pace maker spike with a
marker, and recognise, distinguish and show the following alarms:- √
a) Asystole
b) Ventricular fibrillation
c) Tachycardia
d) Bradycardia
e) Leads Off
f) Out of Range / transmitter turned off
g) Low Battery
h) ST Analysis
i) Arrhythmia analysis (please include as separate item)
14 The receiver shall: √
a) show the identification of traces
b) show the LEAD displayed
c) include a V LEAD facility
d) show the ECG waveform size
e) count PVC and display in {min/count}
f) show the current PVC limit
g) show the date and time
h) show system messages / status etc.
i) show transmitter messages
j) be able to freeze waveforms
k) initiate printing of all waveforms
l) allow the operator to enable /disable alarms
m) Trend HR, PVC and ST
n) initiate printing of trends (above)
o) allow operator adjustment of the arrhythmia detection software. The
Tenderer should state the way the system allows the operator to
adjust the arrhythmia detection.
15 UHF SYSTEMS & ISM BAND WLAN SYSTEMS √
a) UHF SYSTEMS - Fade Margin The system shall have a 'fade
margin' of 20 dB meaning the minimum system signals (i.e. when
transmitted with low batteries from the weakest {not necessarily the
furthest} place in the area) shall be 20 dB above that needed to
achieve reliable transmission (and operation).
b) ISM BAND WLAN SYSTEMS - The WLAN shall be designed to
minimize telemetry dropout. The Contractor shall provide a WLAN
Performance Guarantee including the specified telemetry dropout as
a percentage of operating time.
16 UHF & ISM SYSTEMS √
a) UHF SYSTEMS √
The Contractor shall demonstrate reliable operation with this fade
margin as part of the commissioning testing. The contractor shall
supply [only for the duration of the commissioning tests] a
commercially available attenuator(s) (rated at the fade margin (dB) or
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greater over the appropriate frequency range) with suitable
connectors to enable the unit to be plugged 'in-line' [and removed and
the line plugged back together], an ECG simulator and two mobile
radios (or similar to enable the weak spots to be quickly identified).
As the attenuator is unlikely to be inserted before the transmit, it shall
be inserted after the receive antenna. If more than one antenna is
used the others shall be either similarly attenuated or disconnected. If
the signal passes through any active devices then the Contractor shall
demonstrate that the signal has indeed been reduced by 20 dB (this
would include the provision of a signal meter).
b) ISM SYSTEMS √
The Contractor shall demonstrate reliable operation using the system
log file or other records to calculate the actual telemetry dropout
performance. The Contractor shall provide on request network
diagrams and site survey results showing how redundant coverage
and Access Point loading factors are taken into account in the
WLAN design.
c) The tenderer shall ensure reliability and safety specification. √

T115 MONITORING SYSTEMS (Networks Hardwired or Wireless) √

T115.1 Networks Generally √
The following requirements shall be provided:- √
1) The displays and keyboards located on/near the Nurse's Desk shall be
compact and not restrict the amount of desk space. Multiple displays
may require ceiling mounting. √
2) Computer cabinets even if disk or maintenance access is required
should be mounted elsewhere. The use of swivel / tilt stands (which
allow corners of books etc to slide underneath hence increasing the
effective desk area) and/or stands which allow the keyboard to be
'put away' when not in use shall be provided. If there are additional
operating cabinets necessary, these must be able to be positioned
remote from the display units. The location of item shall be at the
direction of the Superintendent. √
3) Viewing Remote bedsides; Any bedside monitor on the network as
required by the user and the specialised application be capable of
displaying alarming data, trending and waveforms from any other
patient (including bedside monitors and telemetry) on the network.
When this feature is enabled, it shall be blatantly obvious that the
waveform does not relate to the nearby patient (whose waveforms
would normally be displayed on this monitor). This is to avoid a mix
up between patients and is regarded as an important safety feature. √
4) Multiple Centrals on a network; If more than one central station
display unit is required per network or is needed to fulfill the
requirements of the Tender (in which case Tenderer should state that
extra components are offered) then the Tenderer should state whether
it will be possible to use either central station as a backup for the
other in case of a failure. This is a preferred feature. The Tenderer
should also indicate the time taken and cost of a temporary upgrade
to ensure the continuity of monitoring in the event of a failure of
either central monitor. √
5) One single (or dual) channel recorder is required for recording alarm
states and one printer to allow full screen copies/recordings and trend
waveform information. Refer to the table of monitors for the
requirements of printers. √
6) It is preferable that there should be a Switch-HUB-LAN dependent
network. √
T115.2 Bedside Monitoring Central Display √
The following requirements shall be provided:- √

T115.3 Telemetry Monitoring Central Display √

At the central nurses station for all the patients on the telemetry
system, the Central Display shall be able to perform the following:- √
1 The Central Display shall be capable of showing the following:
4 to 16 ECG traces, with patient identification.
and associated Heart Rate displays.
Trending information (as required).
2 The patient's name shall be displayed on the monitor alongside the
relevant waveform / data.
3 Continuous monitoring and display of the alarm status of each
patient.
4 Instantaneous revision on occurrence of alarm conditions to the
appropriate patient and for the automatic initiation of a recording of
the monitored data from the patient.
5 Following automatic initiation of printing the unit shall stop the chart
recorder/page printer after a preset time.
6 Elective record button for obtaining suitable identified tracing (i.e.
patient's name, date, time and other digital information) from the
adjacent chart recorder or printer. A method of obtaining trended
information to a page printer shall be provided.
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7 The provision to indicate the trace of the alarming patient by both
audible and visual means.
8 Differentiation between different alarms status levels:- √
a) Alarm condition of the monitors (serious - e.g. VF, Asystole).
b) Monitor INOPERATIVE condition (leads off warning, etc.).
c) Alarm Condition - Alarm Violation e.g. HR or SPO2.
9 Refer to telemetry clause for the list of alarms to be provided.
10 A trace brightness control of sufficient range to fully compensate for
ambient light variation.
11 Minimum screen size diagonal. shall be: 350mm (14
inches)
12 An on/off main power switch and "power on" indication light.
12.1 Mains voltage: nominally 240 V RMS ±
10%
12.2 Mains frequency: nominally 50 Hz
13 Depth should not exceed 500 mm.
14 The central monitor to be user friendly or include "HELP" screens
for the guidance of users. √

T115.4 Telemetry Slave monitors √

a) The following requirements shall be provided:- √
1) Screen diagonal at least 350 mm
2) Mounted so the monitor is above head height minimum 2000 mm
and satisfy the standard safety requirement
3) Display one waveform per patient
4) Colour display
5) State whether the signal to the monitor is composite video
(preferred), RGB or otherwise.
6) Distance of Slave monitor from Central monitor to be at least 20
metres for the purposes of Schedule (8)
7) Audible/ visual alarms (optional) for slave monitors.
b) The following requirements maybe be provided as an alternate to √
Telemetry Slave Monitors:
1 Visual Display Screen located on the front of the Transmitter/
Ambulatory Monitor
2 Screen diagonal at least 50 mm
3 Display a minimum of 1 waveform
4 Display parameter numerics
5 Audible & visual alarms (optional)

T115.5 Network Printer or Recorders √

1) The page printer/recorder shall be able to record the following: √
a) waveform information
b) trendgraph
c) list or table displayable on the central monitor
d) list of table displayable on the bedside screen
e) accurate copies of all data as displayed on any monitor (i.e. whole
screen dumps).
(2) The printer shall be a laser type and use plain paper of A4 size. √
Refer Accessories Clause for the list of accessories required.

T115.6 Strip Chart (Network) Recorders √

The strip chart recorder for single or dual channel recordings shall
provide at least the following facilities:- √
(1) Alphanumeric markings alongside the ECG or invasive pressure
waveforms giving the following information. √
a) Bed number

T115.7 Foetal Monitoring System √

(1) Maternal Foetal Monitoring √
1.1 The Maternal Foetal Monitoring shall provide basic foetal
information for assessment of a wide range of perinatal cases and
shall include the following:
a) Foetal ECG for accurate continuous direct heart rate data with
waveform display and print capabilities.
b) High/ Low Foetal Heart Rate Alarms
c) Uterine Activity captured externally
d) Obstetrical Telemetry
e) LCD Display
f) Touch screen
g) Adjustable Recorder Font Size
h) Accessories

(2) External Foetal Monitoring √

2.1 The External Foetal Monitoring shall be designed for prenatal, labour
and delivery needs suited for office, home & hospital shall include
the following:
a) High/ Low Foetal Heart Rate Alarms
b) Foetal Movement Detection
c) Remote Event Marker Interface
d) Standard Z-Fold Paper Recorder
e) Accessories

T116 MRI (1.5 Tesla) Patient Monitoring System √

T117 ACCESSORIES √
The following accessories are to be provided with each parameter in
each module [where the respective parameters are included].
Tenderers should be careful to ensure that the price of the accessories
is included with the appropriate monitor / module in the Lump Sum
Tender Price.
(1) One (1) ECG patient lead and one fly lead interconnecting cable
(Patient cable 3 metres long). √
(2) One (1) operator instruction handbook for each item of equipment.
(e.g. 4 monitors = 4 operators handbooks. Please state this price
separately) √
(3) One (1) cuff set per NIBP monitor/module consisting of one small,
one normal and one large (arm) cuff and one (1) thigh cuff. NB
additional paediatric/ neonatal cuffs required for those monitors/
modules so assigned). √

(4) Three (3) pulse oximetry reusable sensor:- Ear, Finger and General
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Paediatric/Multisite sensor.
(5) Cardiac Output when provided shall come complete with its own
interconnecting cables, etc. for the performance of cardiac output,
and its calibration, in addition one spare set per Hospital/ ward area
is required. √
(6) Carbon dioxide shall come complete with the sensors and associated
tubing/cables/adaptors for the measurement of carbon dioxide
content in expired or inspired air, plus its calibration. (NB If a
separate calibration unit is required; this calibrator unit MUST be
included in the Lump Sum Tender Price). If any disposable adaptors
are required than at least a box of ten per module are to be provided. √
(7) One (1) full set of service manuals to cover all monitors, central
station, printers, modules etc. Further to the above sub clause:- at
least two (2) of every type of operators manual shall be supplied.
One copy should be given to the Biomedical Engineering √
Department.
(8) Each page printer/recorder shall be supplied with the following
accessories:-
(a) Power lead
(b) Operator's Manual and/or card
(c) Interconnecting cable to central display/control unit √
(9) Each chart recorder shall be supplied with the following accessories:- √
(a) Power lead
(b) Operator's Manual and/or card
(c) Interconnecting cable to central display/control unit
(d) 10 Rolls of recording paper.
(10) Special tools or devices such as extender boards and cables that are
required for calibration or maintenance shall be included as
accessories. √

T118 CARDIAC CATHETERISATION LABORATORY (CATLAB)

PHYSIOLOGICAL AND ELECTROPHYSIOLOGICAL (EP)
MONITORING EQUIPMENT √
I General Requirements √
a) A physiological and electrophysiological system is required to record
at least 32 and preferably 40 to 60 simultaneous intracardiac leads
plus RF generator and stimulator outputs and four or more pressure
channels. Twelve lead ECGs should be available any time with a
single keystroke.
b) Preamplification should be at the bedside with an optical link to the
control room and main display area (or other appropriate low noise,
low patient leakage current link). Catheter connections to the
preamplfiers must be sterile. Connections must be able to be un-
plugged, catheters manipulated then reconnected yet maintain
sterility. Remote electronic switching to enable pacing or recording
through any of the leads is mandatory. These should be a floating
front end to CF requirements of AS3200.1 standard with
defibrillation protection on all leads. Effective RF filters are required
on all leads but some method of indicating that RF power is being
administered must also be provided.
c) Automated analysis of recordings for the standard
electrophysiological measurements is required. Automatic analysis
of haemodynamic studies and physiological measurements is
desirable but offers to provide at later date when available may be
acceptable. At least 24 simultaneous tracings must be able to be
displayed on easy to view table side monitors.
d) The ability to record X-ray image intensifier images as a single frame
or video segment on disk recording the electrophysiological
electrograms in chronological sequence with the electrophysiological
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tracings is mandatory. These images must be able to be called up
with a single keystroke or click of mouse. Effective automated logs
and recall systems (so called “Holter” displays) must be provided for
quick and easy recall of relevant data.
e) Output terminals should be available to drive chart recorders in the
event of computer malfunction or for input into research signal
analysis devices for further processing.
f) A computer based stimulation system is required with the capacity
for up to 6, and preferably more, individually programmable
extrastimuli, and including at least 2 independent stimulator outputs
and a reliable sensing system for delivery of stimulation in sensed
rhythm. User defined stimulation programmes should be easy to set
up in default modes, especially for induction of ventricular
tachycardia and delivery of extrastimuli during tachycardia (the so
called Zipes test). The stimulator should be able to accommodate
current stimulation protocols easily. The stimulator should have
standby pace termination programmes accessible at a single key-
stroke.

T118.1 Detailed Specifications √

1.0 Electrophysiological Monitoring System (EPS) √
1.1 AMPLIFIERS √
a) At least 32 and preferably 40 to 60 simultaneous intracardiac leads,
plus RF generator and stimulator inputs, and 12 surface ECG leads
plus 2 or more pressure channels are required. DC channels for RF
current, voltage, impedance, or temperature are also necessary. 12
lead ECGs should be able to be recorded with only a single key-
stroke or mouse click at any stage during the recording of data.
b) Preamplifiers must be located at the bedside with a cable link of up to
5 metres in length running under the floor or via the ceiling to the
main equipment in the control room. The cable link and front end
must provide patient safety to AS3200.1, defibrillation protection of
the equipment, low noise recordings with noise levels of less than 10
microvolt peak to peak and preferably as low as 3 microvolt peak to
peak, and appropriate insulation of the individual channels to prevent
crosstalk of both recorded signals and pacing and RF impulses.
c) All inputs to be defibrillation protected.
d) Band pass to be selectable from DC to 100 Hz at the low end and 25
to 10,000 Hz at the high end.
e) CMMR to be at least. 100 & 120 dB
f) Input impedance greater than 10 MOhms.
g) Ten sterilisable catheter lead input connection boxes must be
provided with the EP lab system. These connection boxes must be
robust with a low failure rate with repeat use and sterilisation. Inputs
must be clearly labelled to prevent error. The cost of individual
boxes must be indicated to help estimate maintenance costs of the
laboratory in the future.
h) Extension leads to enable catheters placed via neck approaches to
reach the connection boxes must be provided if the connection box is
too distant.
i) Signals must be able to be recorded in both bipolar and unipolar
mode relative to Wilson Central Terminal or a specified indifferent.
1.2 COMPUTERISED ELECTRO-PHYSIOLOGICAL DATA
ANALYSIS √
a) Automated analysis of standard parameters of AV and VA
conduction including accessory pathways and dual AV junctional
pathways is required. Different methods of selecting the relevant
part of each electrogram for marking should be available and user

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selectable.
b) Automatic plots of AV and VA conduction curves with operator
selection of variables and both auto & manual scales for X and Y
axes. Ability to add labels and notations to the plots by the user is
essential.
c) Software for mapping and comparison during both supraventricular
and ventricular tachycardia and RF ablation is desirable.
d) Data on the accuracy and usefulness of the manufacturer’s
algorithms for automated analysis compared to manual analysis
should be provided.
1.3 SIGNAL ACQUISITION AND DISPLAY √
a) The microprocessor should be at least a Pentium (or other processor
with an equivalent or better system response time). A fast clock
speed of 150 MHz or more is preferred.
b) The hard disk should have a rapid access time and a large capacity of
approximately 1Gb or more. Sixteen Mb of RAM should be
provided.
c) Optical disk should be used for long term storage of data and should
have a capacity of at least 650 Mb and preferably more. Estimates of
the number of cases due to be stored on one disk given an average
duration of recorded data per case of 50 to 60 minutes should be
provided together with expected costs of disks.
d) Automatic back up of data during the case and protection against loss
of data in the event of system crash or power failure is required.
System software should be protected similarly.
e) Two large, at least 55cm colour monitors with a resolution of at least
1280 by 1024 pixels (and preferably more) are required in the control
room with user defined formats and colours. The monitor should be
able to be tilted to give optimum visibility.
f) It is essential that continuous display of all relevant leads be possible
without recording data to disk. A second monitor screen in the
control room dedicated to real time signals is essential in addition to
the analysis monitor.
g) Multitasking is essential and should permit acquisition of data,
printing and analysis to be performed concurrently without
noticeable slowing of processing.
h) One large, at least 55cm slave monitors is required at the table side
mounted on a ceiling mobile gantry in conjunction with the 2 image
intensifier monitors.
i) These monitors adjacent to the X-ray table must be able to be placed
on the opposite side of the patient table from the usual cardiologist
position at the right groin, but must be mobile so that they can be
seen from both left and right arm and neck approaches as well, and
must not interfere with parking of the C arm or access to the patient
j) Sweep speed adjustable from 10 to 500 mm/sec.
k) The system should enable comparison of different segments of
recorded data side by side or one above another while lined up on a
specifiable fiducial point.
l) User selectable clip and line frequency notch filters are required.
m) User friendly digital callipers for interval measurement.
o) Grid lines with variable time scales able to be toggled on or off are
desirable.
p) Efficient RF filters are required to ensure clean and high fidelity
intracardiac and surface ECG leads during delivery of RF current.
Visual display of delivery of RF current is mandatory.
q) Detailed data logs and times should also be constructed automatically
during the study and be readily accessible. Total disclosure Holter
methods of choosing relevant parts of the recordings for inspection
or analysis should be available, selectable by mouse.
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r) An onscreen stopwatch accessory for timing drug infusions and an
onscreen alarm clock to give warning of time elapsed for heparin
doses etc is desirable.
s) A reliable high speed laser printer capable of 600 by 600 dpi
resolution and 16 pages per minute or better is required.
t) External input and output sockets for chart access to recording
channels in the event of computer failure or external input of
additional signals is necessary and must be specified.
1.4 STIMULATOR √
a) A computer based stimulator sited in the control room with the main
EF lab system is an essential requirements. This stimulator must
provide at least 2 isolated constant current outputs with an accuracy
of delivered current to within 1% of the indicated settings. The
maximum output should be at least 20 mA. Extrastimuli should be
adjustable with at least 10 ms increments from 0 to 1990 ms. Drive
chains should be adjustable in increments of 10 or less ms with range
from 0 to 1990 ms. At least 2 stimulator outputs must be available
and able to be adjusted individually. It should be possible to pace at
2 locations simultaneously in the drive train but at only one location
for the extrastimulus. At least 6 and preferably more individually
programmable extra-stimuli are required. A programmable pause
following each drive chain for 1 to 10 or more seconds is required.
A reliable sensing system for delivery of extrastimuli in sensed
rhythm is required including facility to include lockout periods
following each sense to enable appropriate sensing of double
electrograms such as coronary sinus electrograms. The start of drive
chains should be able to be gated to previous native beats to prevent
competition at the onset of a drive chain (this feature to be user
selectable). Ability to vary stimulation parameters and protocols to
provide similar to better versatility than the current WPI stimulator is
required.
b) Stand by algorithms or burst pacing for termination of tachycardias
should be available instantly without leaving the current stimulation
protocol.
c) There must be preset and stored stimulation protocols, which
reproduce current stimulation protocols readily without inefficient
steps being introduced.
d) Remote electronic switching to permit recording and pacing from any
lead is essential. Standard pacing sites and protocols should be stored
as default settings and should be able to be activated with only 1 or 2
keystrokes or mouse clicks.
e) The stimulator must be isolated from unwanted inputs such as
defibrillation shocks and must not give unwanted extra-stimuli in
those circumstances.
f) The stimulator must not be able to deliver sustained DC pacing
impulses likely to induce ventricular fibrillation.

1.5 RF GENERATOR √
a) A suitable RF generator for catheter ablation must be provided. This
system must have a constant voltage output with power of at least 60
watts and preferably 120 W or more. A dedicated RMS RF current
meter shall be provided. Preferably it should be a controlled
temperature feedback system and operable by the cardiologist at the
table. Settling times, durations and power settings must be
individually adjustable. There should be outputs for display and
recording of temperature and RF current during ablation on the
electrophysiological system.
1.6 OPTIONAL ITEM
Intra-cardiac echocardiography
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2.0 HAEMODYNAMIC PHYSIOLOGICAL MONITORING √
SYSTEM
2.1 HAEMODYNAMIC PHYSIOLOGICAL RECORDING &
ANALYSIS √
a) Four or more simultaneous pressure channels must be able to be
recorded & displayed, either above one another (with non-
overlapping ranges and individual zero lines) or overlaid with
common zero line. Display shall be at the same range of sweep
speeds as for electrophysiological readings.

2.2 PHYSIOLOGICAL RECORDINGS √

1 Amplifiers
Modular transport design
2 ECG
12-lead with ST segment analysis and 5 lead capability
Frequency response and filtering options
Triggering options
Auxiliary inputs (isolated or non-isolated)
ECG lead options
3 Respiration
Impedance method (1- 200 breaths per minute range)
4 Cardiac Output
Thermal dilution, calculated and estimated Fick
5 Invasive Pressure
4 channels with means (-98 to 350mm/Hg range)
6 Non-invasive Pressure
Automatic and manual modes (oscillometric)
7 Pulse Oximetry
Saturation range 0-100% (accuracy 90-100%, 1.5%)
8 Analog Outputs
12 on RAU, 8 per TRAM module
9 Compliance with Standards
UL 2601-1, IEC 601-1, European Union Medical Device Directive
(CE Marked)
10 Automatic calculation of valve areas, shunts and cardiac output
should be provided directly from the relevant recordings. Provision
of this facility by free software upgrade within the next 1-2 years
may be acceptable. Selection of recording segments for analysis and
editing of automated data points should be possible.
11 Analysis software shall also be capable of handling haemodynamic &
physiological measurements for congenital heart disease. Again
provision of this facility by free software upgrade within the next 1-2
years may be acceptable. Ability to directly measure oxygen uptake
and carbon dioxide production would be considered advantages.
12 The system should be suitable for detecting shunts by hydrogen
inhalation and recording from strategically placed intravascular
platinum electrodes.
13 OPTIOANAL ITEMS
End tidal CO2 monitoring capability
EP capability
128 Channel capability
Real time screen scrolling
3D Mapping interface
2.3 PHYSIOLOGICAL PROCESSING AND STORAGE √
1 Processor PIV >1 GHz
2 Memory 512 MB
3 Hard Disc Drive Storage 20 GB HDD

T119 (A) CARDIOLOGY ARCHIVAL SYSTEM √

1 Work Stations/ Reporting System/ Webserver √

a) The workstation shall operate on digital data transmission and shall
come complete with all hardware and software to perform all the
listed functions. The system offered should be a stand-alone
workstation and be able to interface to the existing LAN used in the
Hospitals’ cardiology department.
b) The system as a whole shall be “user friendly” with compatible
network for access from any cardiology workstation on the network,
easy to operate and maintain - and shall require only minimal
instruction to familiarise the medical and technical staff with its
operation.
c) The workstation shall also be the means which detailed notes
concerning the patient and the diagnosis enter data. The workstation
shall be able to be used as a stand alone terminal for word processing
and data manipulation for statistics and research work. The software
shall at least include the latest word processing and database
package.
1.2 Cardiology Image & Report Distribution Via A Web-Browser √

i Full details shall be provided for the architecture and approach for
image & report distribution using a web client-server environment,
which shall includes the following:
.1 Web browser products supported (product name/version)?
.2 Viewing features for Web Viewer: Number of runs/images that can
be displayed simultaneously; Type of Modalities supported?
.3 Approach for integrating text results reporting with the image

3B Nursing Notes Workstation (OPTIONAL) √

.1 Processor PIV >1 GHz
.2 Memory 512 MB
.3 Hard Disc Drive Storage 20 GB HDD
.4 Monitor Resolution 256 colors, 1024
x 1280
.5 Network Interface, Fast Ethernet, 100 Mbps,
TCP/IP
.6 Media & Accessories 3.5-inch floppy
keyboard, mouse, required drive
cables and accessories CD-ROM drive
.7 Monitor 46 cm flat panel
8 Software Nursing Note
Software

4 Clinical Database Function √

i An electrophysiology laboratory database is normally maintained on
the Cardiology Data Acquisition and Reporting System
(CACDARS). Patient data entered into a new Cardiology Archival
System can be copied automatically into an existing EP lab database
for report generation and connection to CACDARS. The details of
the Clinical Database system offered shall be provided, which should
includes the following:
.1 Clinical Summary Reporting (for example Cath, Echo, Nuclear
Cardiology)
a) Comment menus in the Reports is user customizable
b) Insertion of annotated images into the reports
c) One monitor may be used to display both the reporting interface and
images
d) Clinical database support multi-modality query builder and pre
defined queries
.2 Cath Lab Reporting module:
a) Cath Lab Reporting SW support an annotatable coronary tree
b) Solution for integrating the Hemodynamic results (procedure logs,
materials used, waveforms, etc.) from the Hemodynamic systems;
with which Hemodynamic system do you have actual field
integration
.3 Echo Reporting module:
a) Vascular Ultrasound Reporting
b) Echo Reporting support on-line calibrated Echo measurements
c) Support for the automatic transfer of measurements from the Echo
system into the Echo report and clinical database
d) Echo systems integration of measurements

.4 Creation Of Slides Of Figures For Scientific Papers (Optional) √

a) Ability to prepare selections of the recordings for slides or research
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papers with appropriate editing of colours, enhancement of various
segments, labelling and arrows and graphic tools must be possible
using this equipment. The images as generated shall be able to be
easily transported and imported into standard programs such as
Power point & Pro-colour slide maker system.
b) Examples of figures and slides made from the equipment must be
provided to illustrate the best features of the tenderer’s system.

.5 Furniture And Ergonomic Configuration Of Equipment

(Optional) √
i The cath lab system shall be housed in the control room on an
ergonomically designed desks to be constructed by others. Tenderer
shall submit their designs and layout that should be sufficiently
spacious to allow room for all the X-ray and physiological/ electro-
physiological equipment and computer terminals plus bench space
for general work and writing by all necessary staff. Four
comfortable typist type chairs with wheels and adjustable heights
shall be costed separately. Equipment must be easily accessible for
service and repair.

5 Networking √
a) The networking terminal shall be able to view calculated data and
waveforms, to edit the data and analysis points, re-
analyse/recalculate the case so as to include these changes, and
generate patient reports.
b) The network shall have a system for failsafe operation. The cardiac
cath rooms shall be able to fully function independently of the
network without loss of patient data in the event of network failure.
This data is to be able to be transferred to the network server when
the network is restored.
c) The connectivity network shall allow users to link critical cath lab
and EP devices throughout the department without the need for
physically transporting optical media. It shall include a central server
and a series of point-of-care workstations to avoid delays and
redundant data entry while allowing users to instanly create a single
and comprehensive case record for every patient. The Networking
system shall include the following:
i) In the patient waiting area, a case log is automatically created and
updated via the Pre- Operation Workstation.
ii) In the cath lab the exclusive Nursing Notes Workstation
accommodates simultaneous and real-time charting of medications,
supplies and procedure notes.
iii) In the recovery area, the Post-Operation Workstation automatically
appends new information to the case log.
iv) In the physician reading room or distant offices, the Remote Review
Workstation lets physicians complete reports without delaying the
next procedure or observe procedures currently underway in near
real-time -- by providing fast, full-disclosure access to raw patient
waveforms and all procedural events.

5.1 Connectivity & Integration √

i Integration and sharing of information in support of enterprise-wide

processes shall be provided in details and shall includes the following:
.1 DICOM Services supported by the system and provision of DICOM
conformance statement.
.2 DICOM Store, Q/R, Worklist for both SCU and SCP support and for
various modalities.
.3 DICOM Query/Retrieve features of your Cardiology Imaging
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Network and Archiving System.
.4 HL7/DICOM interfaces which are part of or available with the
applications. Other standards supported.
.5 Provision of updates to interfaces at no additional cost when new
versions of HL7 are released.
.6 Support of images and/or reports to transfer to the HIS.
.7 Support of Standard Query Language (SQL); ie system builds and
responds to SQL queries; the security as provided to prevent
unauthorized SQL access.
.8 On-line access to external databases ie providing application hooks
or simply adding icons to a toolbar and shall provide the list of
external databases to which the offered system has been interfaced.
.9 Product(s) offered promote virtual integration of data through the
use of Internet-based technologies such as Web servers, Web
browsers, Web development languages and collaborative processing
tools; progress toward achieving the vision and expected timetable.
.10 Support the CCOW (Clinical Context Object Workgroup) standard
for clinical desktop integration; installations in which this interface is
implemented.
.11 Solution for incorporating digital radiology series/images from the
PACS on the cardiac workstation for use as comparison studies
during the diagnostic review process.
.12 Workstation features which has for viewing non-Cardiac images
such as CT, MRI etc.

6 Image Archival And Backup √

i The Tenderer shall provide storage facilities, which provide for
optimal
.1 Performance
.2 Redundancy
.3 Scalability
.4 The storage facility shall guarantee 100% data integrity, ie: the data
will not change or degrade over time or during transfer between
devices or over the network. Liquidated damages for loss of data
integrity will be $50 per examination for system
administration/management purposes only (and does not indemnify
or prevent further claims such as negligence). The data integrity
excludes patient identification problems associated with faulty data
presented through the interface, Cardiology Information System
(CIS) failure and typographical entry errors.
.5 The Tendere shall detail levels of protection incorporated to
minimise the loss and ensure the integrity of data and the ability to
recover data in the event of catastrophic failure.
.6 Full details shall be provided for:
a The media utilised in this facility
b The storage capacity in Gigabytes (and hence in month/ years of
image workload)
c The physical and logical configuration of the proposed system shall
be detailed
d Justification and all implications of the configuration as proposed
shall be included.
e Detail of how the system archives procedures are
f The archiveplatform (DVD, MOD, tape
g Download viewing from archive system to view stations
h Steps required to generate a second copy of all case studies (image
files/database) for offsite storage
i Hardware/software modifications are required to update system to
next generation capacity in archive media
j Function/design that ensure data integrity and data availability
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k Database backed up ie long-term archive
l Disaster recovery” functions of the system
m Capabilities of off-site storage
n Features relating to backup, restore, and archive functions with your
system.
o The operation between the short-term and long-term archival system
shall be a database automated operation, ie: no human intervention
shall be required to archive or restore an image/ study and related
information between the two levels of storage, apart from loading
image media from the off-line archive shelf.
.7 Data storage must be on a reliable low cost high capacity optical disk
with no analog paper record other than those chosen for printout on a
rapid laser printer from the digitised record.
.8 A separate reporting system using a PC platform connected to the
Ethernet and LAN to the Cardiology Data Acquisition and Reporting
System (CACDARS) based on CRS software must be provided.

T119 (B) CARDIOVASCULAR INFORMATION SYSTEM, CVIS √

(OPTIONAL)
T119.1 The hardware and software to be supplied and the work to be carried
out shall be in the quantities specified and as described herein and as
listed in the Schedule of Prices attached to this specification. √
1 This part of the specification describes the requirements for the
supply, implementation and commissioning of a new Cardiovascular
Information System (CVIS). The CVIS shall be offered as optional
part of the Period Contract.
Generally:
The CVIS shall integrate/ interface images and patient information
from all cardiology imaging modalities and information sources into
one central system. The CVIS shall be designed with scalable
architecture and open standards to allow acquisition, storage,
interpretation and management of images, reports, waveforms and
information from various imaging modalities i.e. EP & Haemo Lab
and Ultrasound etc.
The offered product shall include the following:
1.1 Cath Lab Management System:
Basic requirements:
• Effectively manage cath lab workflow, documentation,
scheduling, inventory, statistics, reporting, costing and
streamlines billing
• Clinical application should include qualitative coronary and
left ventricular analysis and vascular post-processing.
• Provides seamless exchange of data and images between all
cath lab equipment
• Cardiology report generation, create report templates,
comprehensive patient report etc.
• Dicom structure reporting
• Integrate with third party EP and Haemodynamic
monitoring system.
• Integrate with HIS
• Assists in measuring and improving quality performance
1.2 Echo Lab Management System basic requirement:
• Review echo, cardiac and vascular cath lab information and
create reports from a single workstation.
• 3D Ultrasound quantification, 3D imaging and ejection
fraction measurement
• Assess disease progression using graphs showing trending
of measurements over time

T120 ANAESTHESIA INFORMATION SYSTEM, AIS √

(OPTIONAL)
T120.1 The equipment to be supplied and the work to be carried out shall be
in the quantities specified and as described herein and as listed in the
Schedule of Prices attached to this specification..
T120.3 WORKSTATION SYSTEM BENEFITS √
The ability to program Hospital specific data organisation (layouts,
fields, nomenclature, network data transfer, external systems data
capture, interfaces and gate-ways) could be demonstrated by the
ability to conform exactly to the various requirements of the
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Appendices. The broad benefits of the anaesthetic information
system are described in Appendix 1 Desirable Features.
Tenderers may briefly describe the benefits of integration.
T120.4 NETWORKED SYSTEM HARDWARE REQUIREMENTS √
1. The system must provide a network server solely for the provision of
AIS. For the purposes of the period contract Tenderers should
assume the maximum cabling distance between the server and the
anaesthetic machines is 40 metres. Tenderers may include a rate per
metre for greater distances.
2. The system network should be distributed on a Local Area Network
(LAN) dedicated for use AIS data flows.
3. Each Workstation Anaesthetic Machine should have a dedicated
screen for the purposes of inputting, viewing and editing the
electronic anaesthesia record.
4. Response times to data entry should not be noticeable by the
anaesthetist. The response time shall be less than 1.0 second
(Tenderers are reminded that this requirement is under all operating
conditions/ loads).
5. Backed-up: At the completion of each clinical case the record
should be archived. Server files should be automatically backed-up
daily to a suitable storage medium.
6. Recovery options: The system must allow clinical data to be stored
at the Workstation Anaesthetic Machine in the event of a server
outage. There should be automatic updating of the server files once
on-line. There should be a capacity for workstation data to be
downloaded to a system PC or server independently to the LAN
connection (eg using serial/parallel cable, memory card, disc or
module).
7. Printing: A network central laser printer will be provided for
production of Anaesthetic Records and should be located in the Post
Anaesthetic Care Unit.
8. A mobile laser printer should also be available to allow direct hard
copy printing from Workstation Anaesthetic Machines in the event of
server downtime.
9. System Interface OPTIONAL ITEMS
(Shall be included as an option where indicated in the Schedule of
Prices)
In order to eliminate data redundancy and re-keying of data the AIS
should interface with the hospital’s Operating Theatre System,
Anaesthetic Audit database and Pathology Order Entry/Results
Reporting modules, Radiology reporting. The system should be
capable of bi-directional interfacing with future data repositories
10. Uninterruptible Power Supply (UPS)
(Shall be included as an option where indicated in the Schedule of
Prices)
The UPS shall maintain full functionality of the workstation for
twenty minutes. The system shall either maintain power to external
GPOs (power outlets) for this period or disconnect supply to these
outlets.
The system shall indicate when the mains are disconnected and the
UPS are in use. The system shall allow data to be saved during the
use of the UPS.
The Contractors shall explain to Hospitals in any proposal (or order)
from the period contract any compromises to reliability or any earth
leakage protection equipment resulting from the supply and use of
the UPS.
T120.5 WORKSTATION FUNCTION AND DATA SET √
1. Direct Capture of Patient Data: All patient physiological
measurements on the Anaesthesia Workstation and anaesthetic

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machineshall be captured and be capable of conversion from
analogue to digital data. There shall be facility to network and
record waveform data. Physiological data shall include:
• ECG Heart Rate
• Pulse Oximetry
• Blood pressures (NIBP or IBP) giving systolic, mean and
diastolic pressures
• Capnography (inspiratory and end-tidal)
Data elements should be captured upon each measurement in the
case of periodic parameters (such as NIBP) and no less than 1
minute in the case of continuous measurements such as ECG and
invasive blood pressure.
Alarm settings during the case shall be recorded. There should be
the capability of importing physiological measurements from other
devices.
2. Direct Capture of Mechanical Data
A log of the Anaesthesia Workstation self test and faults must be
maintained automatically.
Gas delivery data should include (preferably automatically):
• Oxygen flow rate
• Nitrous oxide flow rate
• Medical air flow rates
• Fractional concentration of oxygen in free gas delivery
• Dialled anaesthetic vapour concentration
• Fractional concentration of anaesthetic vapour in fresh gas
• Airway pressure
• Ventilator settings
• Respiratory flow and volume (optional)
• Alarm settings during the case shall be recorded.
• Capability of importing functional data from other devices
such as syringe pumps is desirable.
3. Capture of information from other Systems e.g. infusion manage
devices, OPTION
(Shall be included as an option where indicated in the Schedule of
Prices)
It would be desirable for the AIS to interface with other computer
systems either directly or from a data repository (eg via a
Gateway). Each of these interfaces should be priced separately and
listed in the schedule of prices as an option. Data from systems for
which the AIS should be capable of accessing similar to that
4. included in Appendix 2
Direct Clinical Input: There should be the capability to input
comments and other clinical observations including those in
5. Appendix 3.
Quality Indicators
The data set for the hospital’s current audit database is listed
below. The AIS should be capable of collecting and outputting this
data. Selected quality indicators should be stored as a separate
table and exported to a secure QA database and should not form
6. part of the electronic anaesthetic record.
Remote Access
There should be capability to access to electronic anaesthesia
records from networked PC platforms. All clinical inputs and
updates should be captured with the facility to maintain an audit
trail of edited changes.
Following completion of a patient record there should be security
7. access to patient files.
Records and Reporting
There should be a facility to request standard, ad hoc and user
defined reports. Report selection should be via an on-line menu.
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Data downloads and reporting should be capable of running during
real-time and by batch. Running reports must not interfere with the
functioning of the anaesthetic information system. The vendor will
a) provide a list of standard reports.
Production of an Anaesthetic Record
A paper record should be pre-configured. Electronic records
should be stored on the server and should be accessible for a
b) period of at least than 3 days.
Production of a Post Anaesthetic Record (OPTIONAL)
There should be the facility to produce paper and electronic records
on the post-anaesthetic care consistent with Anaesthetic Record
c) requirement directly from (future) Recovery Room monitors.
Produce Activity Reports
An activity report will include:
• Procedure date
• Time patient first monitored
• Time induction
• Time patient monitors disconnected
• Procedure
There should be capability of using the activity report as a
d) validation tool for the operating theatre information system.
Produce Resource Utilisation Reports
• staff
• equipment by patient and period
• consumables by patient and period
e) • pharmaceuticals by patient and period
Produce Quality Reports
• workstation testing
f) • faults log
Produce Ad Hoc Reports
• The Hospital shall be able to produce Ad Hoc reports for
8. research or other special purposes.
System and Data Security
The Anaesthetic Information System should provide a system wide
security facility to protect data and provide a common security
interface to users across the network. The protection of data is to be
a) achieved by providing:
A security management system that allows security profiles to be
b) developed.
c) Access to data according to the job responsibilities of the users.
Protection from accident or malicious destruction of data
The facility to automatically detect, report and investigate
d) unauthorised access or attempted unauthorised access.
The vendor should be able to provide details of the security sub-
d.1 system including a conceptual diagram, which should include:
d.2 • A description of how the security system can be
d.3 administered.
d.4 • A description of how user privileges are established.
• A description of how user access privileges are revoked.
d.5 • Facility to design user menus for groups with common
e) access privileges.
Facility to prompt users on a regular basis to change passwords.
Facility to impose restrictions on users’ Access to specific functions,
e.1 by providing the ability to apply restrictions to the following levels
e.2 • Enquiry only
e.3 • Update
e.4 • Prints
e.5 • Menus
e.6 • Commands
f) • Fields
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Security Violations
f.1 The system should provide a facility to:
f.2 • Limit the number of unsuccessful or unauthorised attempts
• Suspend users after a specified number of unauthorised
f.3 attempts
f.4 • Maintain a log of violations
• Maintain a log on security violations with the following
f.4 information
f.6 • Terminal/PC identification
f.7 • Locations
f.8 • Date and time of violation
9. • User identification attempted
Administration
Provide details on how the system administration is driven, and the
likely time required for the system administration. Training for
system administration shall also be provided as part of the Defects
Liability Period (DLP) ongoing training. The System should provide
the ability to alert for users who have not accessed the system for a
a) specified configurable period.
Audit Trails
a.1 Facility to maintain a log of user transactions
a.2 • User ID
a.3 • Date and time
a.4 • Terminal/PC location
b) • Terminal/PC identification
b.1 Facility to maintain a log of prints:
b.2 • User ID
b.3 • Date and Time
b.4 • Terminal/PC location
b.5 • Terminal PC Identification
b.6 • Patient identification if applicable
• Document involved
T120.6 WORKSTATION SYSTEM OPTION
(Shall be listed and priced separately as an option where indicated in
the Schedule of Prices.)
a) Post anaesthetic record (optional)
There system should allow migration to a comprehensive CIS
encompassing the Post Anaesthetic Care Unit (Recovery Ward). The
components of a PACU module include:
a.1 Direct capture of patient data from recovery monitors
a.2 Direct clinical input such as comments and other clinical
observations and treatments.
a.3 Quality indicators.
a.4 Touch Screen PC in Theatres
T120.7 INSTALLATION √
1) The installation shall include the supply, installation and
commissioning of the equipment.
2) A General Purpose Outlet (power point) will be provided by the
Hospital at each theatre pendant location and at the server location.
3) The existing network (where applicable) and which has been
reserved for the Anaesthetic Information System may be used, as
directed by the Superintendent (or his/her representatives) for the
network cabling, if further conduits, cable trays, etc., are required by
the contractor, these must be included in the installation cost, and
provided by the contractor.
4) Core holes (if necessary) are to be drilled in an approved manner
taking in to account what is on the floor below
T120.8 TESTING √
1) Each anaesthetic machine shall be tested individually on site prior to

T121.1 The equipment to be supplied and the work to be carried out shall be
in the quantities specified and as described herein and as listed in the
Schedule of Prices attached to this specification. √
T121.2 Items not included or specified in detail but required for the proper
functioning of the equipment shall be of a type and quality generally
accepted as standard for Clinical Information System (CIS) in a
major Teaching Hospital. √
T121.3 The CIS shall include the following: √
1 Comprehensive CIS to provide a complete medical record for the
entire patient stay
2 Comprehensive flowsheet with tabular and graphical sections with
configurable patient summary displays
3 Nursing progress notes
4 Integration with monitoring system of all vendors for bed
management
5 Interfaces for other bedside devices including ventilators, infusion
pumps, infusion management systems, urimeters, etc.
6 Browse and import monitoring system wave strips
7 Notes and forms for documentations of assessments, progress and
procedure notes and discharge summaries
8 Configurable phrase builder for documents
9 Diagnosis and procedure coding
10 Clinical calculations
11 SAPSII and TISS-28 scoring
12 Data integration across notes, forms and flowsheets
13 Patient census information
14 HIS integration for patient admission
15 Fluid charting, including totals and balances
16 Real time decision support for protocols, evidence-based medicine
and quality initiatives
17 Medication orders management including administration record,
worklist, medications overview and prescription pad
18 Document import from other systems, e.g. diagnostic results,
including scanned paper documents into the permanent record
19 Departmental order entry
20 Configuarable export of data in HL7 format
21 Full suite of configuration tools for clinical content, documents,
reports and interfaces
22 Industry standard SQL database for storage, retrieval and querying of
data for unit management, research and other data intensive
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requirements
23 Comprehensive system manamgemet tools to manage and monitor
servers, users, authorization roles, etc

Required=√

High Level Benefits Lower level benefits Benefit Indicator

Improved quality of patient care Patient safety improved through electronic Reduced complication rate
notification of alerts, allergies and other
risk factors
Time spent with patient increased Reduced spent producing records
Better informed clinical decision Better access to clinical information Availability of results
Improved presentation and interpretation
of physiological and anaesthetic data
Improved time measurement Ability to record patient event times Report anaesthetic preparation times
Ability to view or print dynamic worklists
from anaesthetic location
Reduced administrative workload Reduced paper work Hand written records reduced
for clinicians Reduced manual recording of
physiological data
Improved job satisfaction
Reduced costs Eliminate pre-printed forms Requirement for preprinted forms
Enables patient outcomes to be Appropriate data is captured to facilitate Production of performance indicators
determined identification and monitoring of clinical
targets
Appropriate data is captured to enable Production of outcome data
desired patient outcomes to be tracked
Reports can be generated to identify and Production of risk factors
monitor adverse clinical events and their
associated risk factors
Provides integration of Duplication of biographical information is Transcription of biographical data
information reduced
Improves access to information
Improved service delivery Care standards for clinical practice can be Production of standardised case cards
developed, maintained and monitored on-
line
Information from patient acuity indicators Identification of casemix/acuity
enables effective resource utilisation, demands and clinical costing
allocation and cost reduction
Improves communication Standardisation of data relating to clinical Anaesthetic records meet indicator
between service providers practice improves communication with benchmarks
health professionals
Illegibility of documentation is eliminated Improved legibility of records
Improves accountability Provision of audit trail improves Ability to track compliance to
accountability performance indicators
Facilitates resource allocation Provides framework for clinical costing Production of cost-per-case data
data related to anaesthetics relating to anaesthetic time and
Resource utilisation reports provide pharmaceutical and consumables.
objective data for allocation

OT System
The following data should be accessible and transferred with facility to create (if not transferred), and
update:
planned procedure date
proposed procedure
proposed surgeons
proposed anaesthetists
patient demographics including
Surname
Given name(s)
File Number (MRN)
Case Number
Age
Sex
Urgency code
Ward
Preoperative details including
ASA
Identified comorbidities
Medications
Allergies
Biohazard alert
Other alerts

Pathology results
Access to computerised pathology results.

Radiology results
Access to computerised radiology or other imaging results.

Other diagnostic results

Access to any other computerised diagnostic results available on the hospital network.

Perioperative system
Details of computerised pre-operative assessments.

APPENDIX 3 - Direct Clinical Input

Pre-operative details:
ASA
Identified co-morbidities
Medications
Allergies
Biohazard alert
Other alerts
Intraoperative details:
airway management techniques and observations
special ventilator manoeuvres (eg jet ventilation, apnoeic oxygenation)
vascular access
IV fluid therapy, including blood product transfusion
estimated blood loss
urine output
regional anaesthetic techniques
all drug therapies
patient positioning
thermoregulatory devices (eg warmers)
infection control precautions
other procedures/interventions (eg nasogastric tube, chest drain insertion, urinary catheterisation)
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other monitors (eg neuromuscular blockade)
other comments
Postoperative details:
Orders for fluids, analgesia
Observations
Special treatment (eg drugs, positioning)
Special destinations (eg. radiology, ICU, HDU, transfer, other)

End of Summary Document

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