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ITEM SPECIFICATION

ITEM No. : DESCRIPTION :

Delta Patient monitor for ICU dept.


Specification:
1 TECHNICAL SPECIFICATIONS OF ICU MONITOR,5 CHANNELS upgradeable to
8 Channels )

1-1 All equipment shall be capable of measuring and displaying


waveforms
for the following hospital desired monitored parameters:
1-1-1 ECG
1-1-1-1 EEG ( Upgradeability of the monitor to monitor EEG )
1-1-1-2 Respiratory rate
1-1-1-3 Blood pressure (systolic, diastolic, and mean)
1-1-1-4 Body temperature
1-1-1-5 Arterial hemoglobin oxygen saturation (SpO2)
1-1-1-6 Cardiac output ( Upgradeability of the monitor to monitor
COP )
1-1-1-7 Airway gas concentrations
1-1-1-8 Arrhythmia
1-1-2 Waveforms shall be displayed at a selectable sweep speed of
25 or
50 mm/sec for a display of at least eight seconds of each waveform.
Alphanumeric data shall be displayed for each parameter.
1-1-3 All patient inputs shall be defibrillator protected.
1-1-4 All patient inputs to comply with IEC and UL standards.
1-1-5 All equipment shall be capable of operating under normal
ambient
environmental conditions of 0 to 45oC, 10% to 95% relative
humidity.
1-2 The display section shall be capable of the digital display of
alarm
limits for each parameter and the alarm status for each parameter
(i.e.,
standby or suspend mode).
1-2-1 Control panel shall incorporate programmed softkeys for
control of monitor functions and display modes, remote record
initiation
control for all waveforms, controls for waveform, visual and
audible alarms, and standard Alarm/acknowledge/reset controls.
Alarms
are to be configured by the hospital as either latching or non
latching.
Pressure channels are to have selectable display of individual or
common
scale.
1-3 Monitors must be modular for at least the advanced parameters other
than the basic functions (i.e. other than ECG, NIBP, SPO2, & Temp), and
screen size should not be less than 10.4”.
1-4 screen will have a split screen capability to permanently view
the mini –trend without obstructing live waveforms. .
1-4-1 Each monitor shall be supplied with a monitor bracket and
necessary hardware for mounting and a patient cable and lead set.
1-5 Trending of all parameters shall be for up to 24 hours of
Graphic and tabular displays of derived numeric
variables shall be for selectable sample intervals of one minute
up to one hour.
1-6 All bedside monitors should be able to be interfaced with the
hospital's
existing information system. Access to individual bedsides can be
obtained through the monitoring system LAN.
then direct connections to each bedside will be required. Specify
the
best methodology for your system.
1-7 The following modules should be used in configuring an
appropriate
acute care physiologic monitoring system:
1-7-1 ECG
1-7-1-1 All equipment shall comply with the following criteria or
requirements: isolated input ECG/respiration module(s) with 12-
lead selection, 1 mV calibration, monitor/diagnostic selection, QRS
beeper with adjustable volume control, digital heart rate display,
adjustable heart rate alarm, lead-fault alarm, and trace size/position
controls.
1-7-1-2 Monitor(s) shall be able to display 12 leads of ECG
simultaneously using 6 leads cable ( not 10 leads Cable ).
1-7-1-3 Module(s) must come complete with patient safety cables and
patient-lead set (5&6 leads).
1-7-1-4 Equipment should include an apnea alarm, which is
triggered if no breaths are detected over a predetermined period of
time.
1-7-2 Arrhythmia
1-7-2-1 The arrhythmia monitoring system shall be a computer-based
system(using either a centralizer on the network or built into each
bedside
monitor or bedside module for the detection and classification of
arrhythmias and paced beats).
1-7-2-2 Each unit shall provided trending, graphic display
editing, and tabular display of arrhythmia parameters.
1-7-2-3 Each unit shall be capable of displaying the following
information without loss on the central station or bedside display
of any continuous patient waveforms:
1-7-2-4 Display of each patient's alarm and rhythm status, heart
rate,and alarm limits for arrhythmia-related criteria .
1-7-2-6 Tabular trend display of arrhythmia data for each patient.
1-7-2-7 Unit status display.
1-7-2-8 Each unit shall be fully integrated with both bedside
monitors and the central station system; that is, all alarms
generated by the arrhythmia monitoring system shall be displayed on
the bedside monitor for the patient, as well as the central
station.
1-7-2-9 Capability for S-T segment analysis, including trending and
curser control, for user-selectable point of analysis determination
should be included.
1-7-3 Pulse Oximeter
1-7-3-1 Pulse oximetry shall include capabilities for
measurement of oxygen saturation with percent digital display,
automatic
calibration, low O2 saturation and low signal alarms, and
adjustable
heart rate and saturation alarms with visual display, and probe.
1-7-4 Invasive Blood Pressure (IBP)
1-7-4-1 IBP module shall be suitable for arterial, venous,
pulmonary artery, wedge, intracranial, and cerebrospinal fluid pressures
with pressure range selection, auto-zero calibration, dual-digital
display for systolic/diastolic and/or mean pressures, pressure alarm,
and trace size/position controls.
To be supplied 2x IBP module with 1 reusable IBP kit including the
transducer.
1-7-5 Non invasive Blood Pressure (NIBP)
1-7-5-1 NIBP shall have adult and pediatric blood pressure
capabilities. At a minimum, they should be able to measure
systolic
pressures up to 250 mm Hg.
1-7-5-2 Module(s) must come complete with one set of adult, large,
thigh, and paediatric cuffs.
1-7-6 Respiration
1-7-6-1 All equipment shall have the capability to measure
respiratory rate through at least one of the following methods:
1-7-6-2 Impedance pneumography, which passes a low-current,
high-frequency carrier signal between two ECG electrodes on either
side of the chest wall.
1-7-6-3 Pressure-sensitive capsule, which is placed on the abdomen
to detect body surface movements caused by breathing.
1-7-6-4 Thermistor, which is placed near the mouth or nose to
detect the temperature changes between inhaled and exhaled air.
1-7-6-5 An apnea alarm, which is triggered if no breaths are
detected over a predetermined period of time, should be included.
1-7-7 End-tidal CO2 ( Option )
1-7-7-1 End-tidal CO2 module(s) shall have capabilities for
measurement of expired gas concentrations of CO2 with digital
percent CO2 and respiratory rate display, calibration controls,
adjustable alarms, trace
size/position controls, and probe.
1-7-8 Temperature
1-7-8-1 Temperature module(s) shall include digital temperature
display for 0E to 50EC with the ability to use standard YSI 400 or
700 probes.
1-7-8-2 Thermistor probe (a semiconductor whose resistance changes
with temperature) shall be included.
1-7-9 Cardiac Output ( Option )
1-7-9-1 Cardiac output module(s) utilizing the thermodilution
principle shall include digital display of injectate and blood
temperatures and CO
consumption constant with injectate volume/temperature controls,
trace size/position controls, and hemodynamic calculations (stroke
volume,
systemic vascular resistance, left ventricular stroke work index).

1-8 Alarms ( 3 levels )


1-8-1 The physiologic monitoring system should have visual or
audible alarms to warn operators of any system fault that may cause

unsafe or erroneous results.


1-8-2 Audible and/or visual indicators should activate when the
display
reading reaches and remains at the alarm limit.
1-8-3 All alarms should be fully explained in the operator's
manual.
1-9 Audible Alarms ( 3 levels )
1-9-1 Audible alarms should be distinct and easily identified.
1-9-2 Audible alarms should be enabled when the physiologic
monitoring
system is turned on (i.e., the default volume should not be set to
OFF)
and should be clearly audible at any volume setting.
1-9-3 If the alarm volume is adjustable, it should not be possible
to
turn the volume down so low that it is not likely to be heard.
1-9-4 Although an audible-alarm silence is acceptable, the alarm
must
recur automatically if the condition is not corrected.
1-9-5 If an alarm is silenced, a visual display should clearly
indicate
which alarm is disabled.
1-10 Visual Alarms
1-11 Monitor Upgradeability & open Plateform Technology for future
parameters
1-11-1 The monitor should be upgradeable to accept and operate
neuromuscular transmission module to be used during Mechanical
ventilation.
1-11-2 The monitor should be upgradeable to accept and operate
Respiratory Mechanics module.
1-11-3 The monitor should be upgradeable to accept and operate EEG
module at least 4 channels.
1-11-4 Rechargeable battery for at least 3 hours operating time
End of specification

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