MEDICAL AND TECHNICAL REQUIREMENTS FOR THE SUBJECT OF PROCUREMENT
High-class anesthesia apparatus (EZS code DK 021:2015:33170000-2 Equipment for anesthesia and resuscitation (331721000-7) (code NK 024:2019:47769 - Inhalation anesthesia apparatus, mobile))
№ |
Requirements | Compliance |
1. |
Description of the anesthesia and respiratory apparatus: |
|
1.1 |
The device shall be used for various types of general anesthesia and ventilation in operating rooms, clinics, and surgical centers in children and adults |
|
1.2 |
The possibility of anesthesia with low and minimal flow |
|
1.3 |
The presence of a color touchscreen display of at least 15 inches diagonally with adjustable screen brightness |
|
1.4 |
Ability to control the device without using the touch screen using the buttons on the panel |
|
1.5 |
Ability to simultaneously visualize at least 4 curves on the screen |
|
1.6 |
The device must be ventilated: - pressure-controlled - controlled by the volume - manual ventilation, including spontaneous breathing of the patient - intermittent volume and pressure-controlled ventilation synchronized with the patient's spontaneous breathing - auxiliary ventilation synchronized with spontaneous breathing with pressure support |
|
1.7 |
Availability of an adjustable airway pressure limiting valve with parameters not worse than 0 to 90 cmHg |
|
1.8 |
Availability of a multi-gas module integrated into the device |
|
1.9 |
Possibility to use N2O and various liquid anesthetics (halothane, enflurane, isoflurane, sevoflurane, or desflurane) for anesthesia by means of evaporators |
|
1.10 |
Availability of electronic rotameter of gases |
|
1.11 |
Availability of inspiratory and expiratory flow sensors |
|
1.12 |
Availability of emergency oxygen supply in the range of not worse than 4 to 15 l/min in case of failure of the fresh gas mixer and when the device is turned off |
|
1.13 |
Availability of a built-in vacuum source for bronchial aspiration with a vacuum display |
|
1.14 |
The presence of a paramagnetic oxygen sensor |
|
1.15 |
Ability to connect backup cylinders with oxygen and nitrous oxide |
|
1.16 |
The device must have graphical and digital monitoring of ventilation parameters |
|
1.17 |
Availability of menu in Ukrainian or Russian languages |
|
1.18 |
Availability of a built-in battery that is self-charging during operation and provides at least 100 minutes of autonomous operation with battery charge indication |
|
1.19 |
The weight of the device with the evaporator is not more than 145 kg |
|
2. |
Characteristics of the gas mixture circulation system: |
|
2.1 |
Absorber volume not less than 1700 ml |
|
2.2 |
Supply of gases for ventilation under pressure not worse than 2.8 - 6.0 bar |
|
2.3 |
Supply of fresh gas in the range of not less than 0.2 - 18 l / min |
|
2.4 |
Possible leakage from the respiratory system not more than 150 ml/min |
|
2.5 |
Regulation of oxygen content not worse than 21 - 100% (in a mixture of air and oxygen) and not worse than 25 - 100% (mixture of oxygen and nitrous oxide) |
|
3. |
Characteristics of the ventilation unit: |
|
3.1 |
Availability of pediatric and adult ventilation modes |
|
3.2 |
Respiratory volume not worse than from 3 to 1600 ml |
|
3.3 |
Peak pressure level not worse than 10-80 cm Hg |
|
3.4 |
PEEP level regulation is not worse than 1-20 cmHg |
|
3.5 |
T/T ratio is not worse than 1:4 - 4:1 |
|
3.6 |
Inhalation time in the range of not worse than 0.2 - 10 s |
|
3.7 |
The ventilation rate is not worse than 4 - 100 1/min. |
|
3.8 |
Trigger level not worse than 0.1 - 10 l/min. |
|
3.9 |
The maximum inspiratory flow is not worse than 180 l/min. |
|
4. |
Monitored ventilation parameters: |
|
4.1 |
Respiratory volume |
|
4.2 |
Minute ventilation volume |
|
4.3 |
Pressure at the end of exhalation in the airways |
|
4.4 |
Peak pressure in the airways |
|
4.5 |
The average pressure in the airways |
|
4.6 |
% leakage |
|
4.7 |
Respiratory rate |
|
4.8 |
Airway resistance |
|
4.9 |
Static and dynamic lung compliance |
|
4.10 |
Ability to measure C20 / C |
|
4.11 |
Monitoring results in graphical and digital form |
|
4.12 |
Display of loops: flow-volume, pressure-volume, flow-pressure |
|
4.13 |
Monitoring of oxygen concentration on inhalation and exhalation |
|
4.14 |
Monitoring of CO2 concentration on inspiration/end-expiration in % or mm Hg |
|
4.15 |
Monitoring of N2O concentration on inhalation/end of exhalation |
|
4.16 |
Monitoring of anesthetic gas concentration (halothane, enflurane, isoflurane, sevoflurane, or desflurane) on inspiration/end-expiration |
|
4.17 |
Measurement of minimum alveolar concentration of anesthetic |
|
5. |
Audible and visual alarms of anesthesia and respiratory apparatus:: |
|
|
Availability of a multi-level alarm system with alarm priority and volume control |
|
The scope of supply shall include:
- main ventilation unit-1 pc.
- gas circulation system with carbon dioxide absorber - 1 pc.
- breathing circuit for adults, reusable - 2 pcs.
- evaporator for sevoflurane - 1 pc.
- paramagnetic oxygen sensor - 1 pc.
- oxygen supply hose - 1 pc.
- air supply hose - 1 pc.
- nitrous oxide supply hose - 1 pc.
- medical air compressor - 1 pc.
- breathing circuit holder - 1 pc.
- user manual in Ukrainian or Russian - 1 pc.
(с) 2023