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SPECIFICATIONS OF ADVANCE liFE SUPPORTAMBULANCE

fOR PROCUREMENTUNDER

NATIONAL HIGHWAY ACCIDENT RELIEFSERVICE SCHEME (NHARSS)

An Advance LifeSupport Ambulonce isa vehicle that shiftsthe reasonably stablepatient from one hospital/ clinic to other hospital for further treatment. It can alsobe utilized in the case of any eventuality for transportation of accident victims orany other patient from accident site to nearest possible hospital.

TheAdvance life support ambulance will provide primary and secondary patienttransportation from one place to another without aggravating the injuriesandwith sufficient comfort level. .

Theprfmary patfent isone who ison a self loading. collapsible stretcher. whereassecondary paHent is on a squad bench. Thissquad bench can additionally beutilized to transport relative(s} of a patient. alternatively more than one patient /victim. who can travel in seating mode/on a stretcher on this bench. Theambulance patient loading shouldbe from the rear door opening side-wise.

GeneralVehicular Designand FloorPlans:

Thisambulance should be either of eMVR approved monocoque design orshould be fully built on chassis of a major Indian DE manufacturer of repute. Ineither case, the vehicle manufacturer should have dealership network and repairservicingfacility in major citiesof India.

The ambulance should be designed, built and complete with operatingaccessories as specified herein. The assembly, sub-assembly and equipmentshould be integrated in such a way so as to enable the vehicle function in areliable way and in a sustained fashionfor durability. safetyand comfort.

Thedesign of the vehlcte and the specified equipment shall permit accessibilityfor servicing / replacement and adjustment of components / parts andaccessories.with minimum disturbance to other components and systems. Also,the bidder shall ensure that sufficient re-inforcement is provided to protect thecomponents, assemblies,pipelines, tUbing, wirings, etc which are susceptible todamage / hazards encountered during on-road, off-road. cross-countryoperations of ambulance.

The emergency medical care vehicles, including chassis.ambulance body,equipment, devices, medical accessories and electronic equipment shall bebrand new standard commercial products. tested and certified to meet orexceed the requirements of these specifications.

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" .'Vehicle Operation, Performance and Physical Characteristics

The ambulance should meet the axle load distribution as per Central Motor,Vehicles Rules.

The weight distribution between right hand side wheel(s) and left hand sidewheel(s) (individually) should not exceed 5 % of the axle load.

To provide for maximum safety. the manufacturer sholl locate vehicle mountedcomponents, equipments and supplies to provide a vehicle that is laterallybalanced and has front I rear loading that isproportional to axle loading.

Themanufacturer under GVW condition and unladen condition should measurethe Centre of Gravity (CG) and declare the stability for roll-over angie., The grosspayload applicable herein is maximum 1.5 ton, (This payload is after theambulance is fully built accommodating all necessary fitments, equipment, tools,etc). .

Overc;JlIDImensions

Theoverall length of the ambulance should not exceed 550 em. excluding rearstepsand bumper guard.

Theoverall width ofthe ambulance should not exceed 244 cm, excluding mirror,lightsand safety accessories.

Theoverall height of the ambulance should not exceed 279 cm including roofmounting equipment (viz.Alc etc) and excluding Radio Antenna.

TheBnlshed Boor (loadIng) heIght shall be a maximum of 84cm.

Overhang

Thefront overhang of the vehicle shall not exceed 40 % of the wheelbase(excluding fro'nt tow hook). Therear overhang of the vehicle shall not exceed 60% of the wheelbase (excluding rear entry-steps and toe hook).

Ground Clearance, Angle of Approach, Departure and Ramp Breakover

As per CMVR for the specific vehicle category.

Diesel EngIne and Power TraIn

The diesel engine should meet BS III requirements of CMVR TAP Document,prevailing -inthe state of registration of the vehicle as on date of commissioning.

The engine coolants, lUbricants, oil etc should be able to perform satisfactorilyunder normal climate conditions for all seasons across India. The accessibility to

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.. --~.<~('i ~~/check, maintain and refueling for oil, lubricants etc should be easily abees-sibi~and ma~~~d/ symbolized..

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Theengine horsepower, torque, drive train and transmissionand tyresshould besuch that it shouldmeet the following requirements:

I. ·Thevehiclesshollbe capable of a sustained speed of not lessthan 90km/hover dry, hard surfaced, level roods

2. The engine' of the vehicle should be of minimum 75 HP generationcapacity,

3. The vehicle should be able to negotiate hilly area gradients and sharpbends.

4. As regards gradeability, the ambulance should be able to negotiate min.gradeability of 7 deg. Forhilly areas it is desirable to have more than 10.2deg.

Thevehicle should meet the Central Motor Vehicle Rulesrequirement of gradeability.

Steering & Suspension

Ambulance should be fitted with power assisted steering system, for easy andcomtortoble steerability of the vehicle at low and high speeds. The vehicle alsoshouldcomply with the steering requirements, as per CMVR.

Vehicle shall be equipped with laterally matched sets(front and rear) of spring,torsion, or air suspensIon system components suitable to ensure comfortable rideand safety of the patient. Thesuspensionmaybe reinforced suitable to providedadditional comfort. •

Tyres

Thetyres fitted on the ambulance should be Radial tyres (with / without tube) ofIndian make, and type approved by any of the testing agencies specified. inCMVR,1989 for its load, speed performance and durability..

A sparewheel should be housed at appropriate place and indicated.

Brakes

Thevehicle should meet all requirements of CMVR. Thoughit is desirable that theambulance be equipped with ABSSystem, fitment of thesame isoptional.

Fuel Tank (fuel Storage Capacity)

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Thefuel tank shouldbe approved os a stand-alone component, as per IndianStandard/ CMVR requirement.for aii necessarysafety aspecls and·oerforrnonce. II •

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Thecapacity of the fuel tank shouldbe such that it should suffice the need 350kmwith one-timefilling.Thefueltankshouldbe with fuel fill splashplates.

Cab· BodyProvision

Additionally,driver'scobin shouidDeprovided wirn_

a. Dualsunvisors(podded)b. Armrests,mounted on each sidedoorc. Compartment ventilation,other than windowsd. Key operated ignition / starterswitche. FuelGauge{s)f. Enginetemperaturegaugeg. Spef;.,_dometerwith odometerh. Environmentalcontrols (air conditioning etc)i. Seatbeltsand shoulderharnessfor driver and passengerj. Dualoutside mirrorsk. Cob lightingend controls.I. Electrichom(s}m. RearDooropen indicator

Body Structure

-Ambulances of monocoque designshouldhave body structureas'per CMVR.

Inambulances built on OEM-Chassis,the ambulance shouldbe fabricated at an. IS 16949:2002or equivalent certified facility & the fabrication should meet orexceed the followingcriteria:

Combination of 10/12/14G pressedsection & MSsquare tubes, structurewith hotdip phosphating processfor anti-corrosion,rolled "C" channels for the floor crossmemberswith pressedsection for the roof & floor longitudinar..

Body crossmember shallbe welded vAthlong membersusinggusset and shallbedesigned to support the Ambulance body rigidly and withstand tensional loads.Complete structurewelding with C02 process.

Drip rail{s} shall be provided around the entire body and have drain points ateach corner. Bodystructure shall include gussetingto provide diagonal strength.

Exterior panelling.shouldbe with J 8G aluminium sheets& coilsfor rooftop.

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., ...In case of fabrication using the Sandwich Panel Technology, The walls shall be

!~ made gf, joint lesssondwicr, elements with

• Outer & InnerSkin- Minimum 1.5MM Thick,TrafficWhite (RAL1016,R-252,G-255. B-255)dyed Glass fiber laminates with high standard gel coat layerbased on isophthatic acid with UVstabilizerof reputed brand

• CFC free. high performance. rigid polyurethane block foam, minimum 44mm thicknessof reputed' brand.

Theambulance shouldalsohave tow hook in the front aswell as rear.

Fron' & Rear show

Original cowl front show with single piece c.urved windscreen laminated glass,front bumper and FRPcentre grillwith headlight housing.

Rearshow with single piece screen glass on both flaps of the door and MS/FRPbumper to suitfront/rear facia.

SIde Windows

FullSliding windows/ combination. of fIXing & sliding aluminium frame / tiltablealuminiumframe square windowswith toughened tinted glasses.

Window frames should be black powder coated. Curtains for rear/side windowsto ensurepatient privdcy in patient compartment shouldbe provided. .

Safety Glass , '

Theambulance shouldbe fitted with safety glassesasperCMVR.

Windscreen WipIng System

Thefront windshield should have screen wiping system,electrically operated. Thewashersystemshouldhave minimum '.5 litrestank capacity.

The tank should be located at an appropriate location and should be easilyaccessible for re-filling. .

Paffent Compartment

Thepatient compartment shallhave the provisionsfor housing:

- a roll-in self-foldable/collapsible stretcher for the primarypatient- a folding/scoop stretcher- a squad bench to accommodate minimum four sitting patients or the.above mentioned folding/scoop stretcher

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a washbasin with fool operated top. SoopDispenser and TissueDi3pe,,:;e.Medical Equipment os specifiedVarious drugs and consumablesCool/worm box

- Other Equipment os specified

Patient comportment volumetric space sholl be sufficient in size to transportoccupants and accommodate / store all stretchers, squad / cots and litters.

The length of the patient compartment measured from partition to the insideedge of the reor loading door at the floor level shall be at least 3 J 0 cm.

The length should provide at least 64 cm and not more than 76 cm ofunobstructed space at the head of the primary patient, when measured from theface of the backrest of the Doctor's/Paramedic's Seat to the forward edge of thestretcher. .

A min of 25 cm shall be provided from the end of the stretcher to rear loadingdoor, to permit clearance for any traction or long-board splints.

ThewIdth of the compartment after installation of cabinets shall provide 46 ± J 5cm clear aisle walkway between stretcher / cot and the base of squad bench,with the cot located in the street side (non-centred) position.

Thepatient compartment shall provide at least J 52 cm height over the primarypatient area, measured from floor to ceiling panels.

An access wfndow between Driver's Cabin and Patient Compartment should beprovided at appropriate loca~ion for visual checks and voice communicationbetween the cabin and patient compartment. Thiswindow should be latch ablefrom the patient cabin side and should be transparent, shatter proof and shallhave adjustable opening.

Complete Interior panefllng of the sidewalls, partition between patient cabin anddriver cabin, roof (of both patient and driver cat;>inJ& bock door panels shouldmade from long life superior quality Fibre Reinforced Polymer (FRP)or ABS. (notapplicable for Sandwich Panel Fabrication)

The FRP/ABSwherever used, should have the "following characteristics:

• Thickness- minimum 4.0 mm for FRPor 3.0mm for ABS• Inbuilt colour• Fire retardant as per IS- 6746of J 988 or latest• Should meet lamination standard IS- J 0 J 92 or latest

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Thereshould be PUF/ PUmin. 12 mm thick or thermocol min. 40mm thick or~~, equivalent insulotion for reduction of heat and noise- within the patient

comportment. The insulating material should be non-toxic, non-settling type,verminproof. mild dew proof and non hygroscopic.

Provisionshould be mode for placement of power switches / sockets/ manifoldoutlets/ major medical equipment like DeFibrillator. Monitor,Ventilator. etc in FRP.with sufficient reinForcement for holding them securely while in transit.Unobstructed access & full functionality of the fittings/equipment as desired foroptimal patient care must be ensured during this process.

Adequate provisionfor storage of medicines/consumables/equipment should bemade by providing lockable cabinets & drawers. Theseshould be made of fireretardant material, in sync with the ambulance's internal look and feel. Thedrawersshould be on steel guide ways (of reputed brandsonly) & provided withball socket locksto arrest the drawersopening during motion of ambulance.

Thefloor should be fitted with minimum 3.125mm aluminiumcladded chequeredsheet or fire retardaht 12mm marine plywood with 2mm thick Anti-skidPVCvinylmatting or 'FRP with Anti-s~idcoating. .

Thefootsteps should be provided appropriately, if the patient compartment floorismore than 46 cm above. the ground. Thisstep should be transverse lengthequivalent to the door opening. If there ismore than one step, the steps shouldbe equidistant. Thesteps shall not be located or exposed to the interior of theambulance, even when the rear door is closed. The step freed shall haveminimum depth of 13cm and max. depth of 27 cm. If the steps protrude morethan 18cm from the rear the vehicle, fold-up stepsshouldbe provided.

The complete interior should be edgeless and suitable for easy cleaning /scientific fumigation / treatment of. di.sinfectants,The ambulance interiorsshouldbe designed with care to avoid injuriesby fall of equipment or cylinder on personsinsidethe ambulance in case of turmoil due to bad road conditions. Upholsteredpadding/cushions shall be provid~d at the upper interior areas of the doorframes.Similarpadding/cushions also shall be furnished at other areas that maybe capable of causing injury.Thefinishof internal & externalpatient/driver cabinshouldmeet CMVR requirementsof externalprojection.

Doors:Two side opening patient compartment door openings shall be providedat the rear of the ambulance. Thereshall be an optional door opening on the leftforward side and two side opening doors the rear of the body for loading apatient on a cot. All ambulance body doors shall be designed for easy releaseand should be lockable to ensurethe safety of the equipment when the vehicle isparked. A "Door-Open" warning device shall Signal (indicate in the cab) whendoorsare not closed, Each door shall have effective compressionor overlappingsealsto prevent leakage of exhaustfumes, dust, water, and air.

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Theoptionol side opening door of the patient compartment shall be a sliding-typedoor one-snouo provide a minimum iett-sioe clear opening of 7-&cm wide and of . }160cm high or the monocoque chassismanufacturer's standard opening. Shouldthe rear doors be rendered inoperable, the side door and interior configurationshall permit emergency removal of the patient either on a backboard or otherdevice used for spinal immobilization. The side opening door, though desirable, isoptional.

The rear loading door for entry into Patient Compartment shall not be 'Iessthan117cm in height with minimum width of 112cm and the door opening should beside-ways (preferably 270 degrees opening). Each door should be hinged at leastat two places and should have firm latching provision.

When doors are not 270 degrees opening, a red light or reflector, minimum 7.6-cm(3-in.) diameter, shall be installed, one on the interior surface of the side of eachrear door. The·reflectors shall be so positioned as to provide maximum visibilitywhen the doors are in the fully open position. The opening of the doorshould bepossible from inside and outside at all times. Under no condition, during travelmode, this door should open.

A RoII·ln Self Foldable Stretcher (Collapsible Cot)of oreputed brand (preferablywith capability ·to convert into wheel chair) should be provided for the primarypatient. The said stretched should automatically collapse when wheeled into thepatient compartment over a fixed 'collapsible cot base'. The 'collapslble cot,base' should preferably have a built in slot to accommodate the scoop, stretcherand spine board. '

A seat for the Doctor /Paramedlc should be install~d facing towards the rear of'the patient compartment & it should be near to the primary patient's head foreasyaccessibility. Thisseat shall not be less than 40 cm deep, 40 cm wide and 400cm height. measured to the top of the seat cushion and should have adequaterestrainsfor the passenger.

A Squad bench with backrest suitable to accommodate minimum four siftingpatients or folding/scoop stretcher shall be installed along the side wall. Aminimum 50mm thick high density cushion to be provided for comfort. The squadbench should be upholstered with waterproof washable cover and should haveadequate restrains for the sitting patients as well as the stretcher.

Grab Rail mode of Stainless steel pipe with proper support / fixing, for ease inentering shall be installed in, the ceiling. Minimum four IV hooks to be provided atsuitable locations to ensure proper patient care.

A washbasin :Nith foot-operated tap should be pruvided at a suitable location. Afresh water tank: of minimum 10ltscapacity for the wash basin with provision foreasy refilling should be installed. There should be a soap dispenser and tissuedispenser provided in the vicinity of the washbasin.

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A reliable, robust & easy to use Steriliium/Bactorub/equivalent alcohcil based], hand..~~bdispenser supporting standard off the shelf bo!!!.~sof minimum 500ml

capacity should be provided at a suitable location which should be within easyreach of the doctor/paramedic. Concealed portable dust bins with springloaded lidsfor waste disposalshould be provided at suitable locations.

A "GSMFixedCellular Terminalwith Caller·id" of reputed brand to enable singleline PSTNsimulation made available from GSM network should be fixed at asuitable place in the patient cabin keeping in view the caller-id visibilityand theGSMreception. Thisterminal shall be unlocked, support minimum Dual BandGSM900/1800MHzand should accommodate a standard ExternalSlMCard (3V, 1.8V).(GSMSlMCard shall not be provided along with and shall be the responsibilityofthe end-user).

Thisterminal shallbe paired with a "2 way Intercom phone" (preferably cordless)of a reputed brand to enable easy communication between the patient & drivercabin and also to facilitate calls on the GSM network. Thisinstrument should belocated in the patient compartment at a location within the easy reach of thedoctor/paramedic. The instrument in the driver cabin should be located at anoptimal location. Theseinstrumentsshould have adequate restrainsso as to notdislodge/fall dl,lringtravel.

A battery powered 'thermo-electric cooler cum- warmer' of minimum 121tscapacity and capable of running on 12 volts DC / 230 volts AC $hould beprovided at a suitable place. Thisshould allow for a temperature control from -5°Cto + 65°C at + 25°C ambient, step-Iessly controlled with two thermostats andshould be secured firmly so as to ensure it doesn't move in the patient cabinduring travel.

A standard quality LED/Digitalclock to be provided in the patient compartment.Itsholild have a minimum Letter (font) Sizeof 50 to have bettervisibility.

Two numbers of multipurpose fire extinguishers of ABC Type (151marked &conforming to BIS:13849-1993or latest) duly filled, of capacity and quantity asperthe provisionsof Central Motor Vehicle Rules1989should be provided. Provisionshallbe made, with strapsI Velcro tapes and mounting on the flooring for placingfireextinguisher.One fire extinguishershall be placed in the Driver'scabin and thesecond in patient's compartment, at appropriate location, where it iseasilyvisibleand symbolized.

All frtments/equipment/outlets/switches/storage spaces, etc in the patientcompartment should be permanently & clearly labelled in English.The font usedshouldbe easily readable and in contrasting colour of the background.

IOxygen Delivery System

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The ornbuionce shallhave r1ospitoi 1,';.)(; fJiped ITI8dicui OXYQBIi,.s.y"stem(manifold)capable of storingand supplyingmedical grade oxygen, The system shouldcamprise of an oxygen cylinder manifold as specified. a cylinder changingwrench. chained and clipped with/within the oxygen cylinder compartment; apressureregulator;oxygenpiping approved for medical oxygen;a duplex axygenoutlet station with quick-disconnect interface for the primary patient and asecond duplex oxygen outlet station with quick-disconnect interface for thesecondarypatient.'Themanifold shouldhave oxygen cylindersof 8 or 0 sizeonly {minimum one 0 &one B type cylinder / equivalent}. An adapter to refill the cylinders trom a bulkcylinder shouldbe provided.

Themanifold shouldbe so designedthat it shallensureproper fixation of cylindersduringtravel and shouldensureeasy'q!linder changing and positioning.

Thereshouldnot be any electrical connection in near vicinityor inside the oxygencylinder housing,except pressureregulator integrated with flow control valve.

Amedical grade oxygen pressureregulatorwith inlet filter& static outlet pressureof 4.J 2 bars / 60 psi shall be provided at the cylinder manifold. It shall incluqe apressuregauge, an inlet filter, a safety relief valve; a locking mechanism toprevent settings from being inadvertently changed; sholl maintain accuratereadingsand calibrations during ambulance operation and not be affected bythetemperature conditions.

OnlyHIgh 'PressureTubIngapproved for medical oxygen (280bar / 4060psi testpressure),with male female (5/8 inches)bull noseforged Brassconnectors at boththe ends, to connect it from the oxygen cylinder to the pressureregulator insidethepatient cabin shouldbe used.

Minimumtwo.oxygen outlets for the primary patient, concealed in the side wallnear the patient head end (distance between patient head and oxygen / airoutlets to be less than 89 cm) to be provided - one outlet normally meant for,Oxygen therapy through flow meter & one meant for driving breathing,equipment like ventilators, etc.

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A duplex oxygen outlet for the secondary patient at a suitable location on theoppositesidewall isto be provided.

Theseduplex outlet stationsshall be appropriately labelled and colour coded toindicate their use with medical grade oxygen. Oxygen outlet stations shall beinstalled with sufficient vertical space to accommodate attachment of flowmeters, humidifiers, and nebulizers. T"p.r~ shall olso be sufficient horizontalclearance to prevent interference with the suction inlet quiCK-disconnect if anyand equipment directly attached thereto.

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Two (2) Nos.of 'Oxygen FlowMeter with Humidifier' shall be provided. The FlowMe~~~sshould be oressurecompensated, be able to regulate the flow from 0 toJ 5 litres per min and should show the actual oxygen flow rate using a floating-ballindicator. Theflow meters shall be installed vertically so as to not interfere with theother outlets and should be easily readable from the Doctor's/Paramedic' seat.The Humidifiershouldhave a slim impact resistantpolycarbonate bowl with metalCap and T type inlet outlet nipples. All the connectors should be of chromeplated on brassmaterial.Noise

The ambulance should be designed and assembled of its aggregates andcomponents so as to meet the noise level requirements in dB rAJ scale, as per IS3028-1998 and it also should meet the driver inside noiseas per A IS-020.

Necessarily,the noise levels in the patient compartment measured at six differentlocations f patient ear, rear side of interior of ambulance, front side of interior ofpatient compartment, on left and right side of patient cobin - with reference tocentreline of the cabin 1should not exceed 80 dB(A.J

Air-Condlffoning

TheAC unit should be installed at a suitable location in the patient cabin toensurethere isno congestion in the driver/patient cabin. Withall windows & doorsclosed, the systemshould be capable of lowering the cabin temperature to amaximum of 26 degrees Celsiuswithin 30minutes from 35degrees Celsius ambienttemperature. Thegas used for Air conditioning should be environment friendly asper International regulatory requirements. The AC should be of reputedmanufacturer who has pan India service network. Theengine idling rpm should besodesigned and tuned to fulfil the requirements'of AC Unit.Though it isdesirablethat the ambulance be equipped with Heating System for the patient/drivercompartment, titment of the same isoptional. .

Toensureproper ventilation in case of AC failure, one number each of roof / wallmounted fan be provided in the driver's cabin and patient compartment.

Sfren

A high quality combination electronic siren with Integrated Public AddreSSingSystem of minimum JOOW(PMPO) shall be provided. The siren'scontrols shouldhave full range volume control and should permit the following sounds:Manual,Wail, and Yelp. The siren sweep rate should be 10-18 cycles per minute(ambulance mode). The microphone should be of a nOise-cancelling type.Siren/Speakersshpll not protrude beyond the face of the bumper or bumperguardsif provided in there.

Thecontrol panel for thissystem should.be fixed at a suitable location in the drivercompartment.

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Signalling devices, direction indicators & stop lamps

The ambulance should be Fitted with signalling devices, viz, Four chamber rearsignalling devices, comprising of -

• Parking signalling device,• Reverse signalling device,• Broke signalling device and• Direction Indicators signoilirlQdevice

Also, ambulance should be fitted with front head lamps, so as to give sufficientillumination on the road with aid of high beam and low beam. .Further, signalling devices should include fitment of front direction indicators(including front and rear parking indicator) for aid during turning / parkingpurpose.

Signalling devices, direction indicators and stop lamps should meet therequirements of Central Motor Vehicles Rules# 102, 103,104, 105& 106.

Fitment of fog lamp ismandatary for a" ambulances.Besidesaforementioned lighting system, all ambulances should include a beaconlamp (mounted at roof top, having three flashers on both sides of the ambulance.Thebeacon shall be rhombic shaped, double layered structure, combination ofcontinually lit tuming lights. It should have high luminance, voltage 12V DC & apower of 92± '8W.

Theambulance should have minimum fitment, as follows:

Sr. Description of Lamps Colour QtyNo.I. Headlamp White 02 MandatQl}'_

04 (Optional)2. Front side marker lamp Amber 023. Front Side Reflector Amber 024. Front turn signal (includes vehicular Amber 02

hazard warning signal flasher}5. Rear side marker lamp Red. 026. Rear Side reRector Amber 027. Rear Reflector Red 02B. Rear Stop, Tail and .... Red 02

Turn Signal lamp, includes vehicular Amberhazard warning signal flasher

9. Rear backup lamp White 0110. Rear License Plate lamp White' 01II. Roof Mounted bar, consisting of two 02

segments.12. Rear flood flight White 0113. Side flood lights White 0214. Fog lamps, in the front White 02

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"i~' Lig~r.ingand IIIuminati,on (Exterior and tnterlor)

Thebasic exterior ambulance lighting should meet the day as well as night-timerunning lightsrequirements.

TheFrontand rear sidemarker lamps should flash in conjunction with the directionindicators.

Theflood lights and spot lights should be operable as and when desired by theuser.Butthey mustbe provided for easy handling.

Thelight assembliesshould be stainlesssteel or plastic or weather proof material.

The installation of such lights should not cause electrolysis/ corrosion of lighthousingor vehicle body.

Theroof mounted bar emergency light system should provide 360 degrees ofconspicuousityduring itsmission.Theother lighting systemloads of alternator baseshouldnot hamper the performance of emergency lights.

lamps and its assemblies,reflectors should meet the photometric, chromaticityand physical requirementsof RuleNo. 124of CMVR.

Thehead-lamp levelling shouldbe provided either automatic or manual.

Loadinglights shallprovide minimum500 candle power beam and shall illuminatethearea surrqunding the back loading doors.

Loadinglight(sJshallautomatically be activated when rear doors are opened.

Thereshould be provision for spot Ught to use at night times for surveillance. Theelectrical gadget should be able to manoeuvre through 360degrees and shallbemanually operated.

Driver'scompartment room light, instrument panel light, master switch panel andconsole light should be adeqiJately provided.

Thereshould not be any reflecting or glaring surfaces inside the driver cabin,whichwould distract driver's attention.

Fla~hing and audio alarms in the driver cabin should be so provided, so as notdistractdriver's attention during motion.

Interior PaHent Compartment IIIumlnatfon:

Thenominal light illumination required in the patient compartment should not beless than J 5 foot candelas, when measured along the centreline of the floor

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without any ambient light. The minimum volume of the patient compartmentcon5id~r~dhereisminimu(J19.2LuDic '",efers.

The primarypatient squad I stretchershallbe prpvided with 35 foot candelas ofilluminationmeasuredon at leosl90 % of the squad I stretchersurface.

Thepatient compartment dome light (in the dimming setting) and loading lampshallbe automaticallyactivated when the patient compartment door ore open.

All interior doom lighting including check out lights shallbe flushmounted andshallnot protrudemore than 3.8 cm. Theflorescent lightor CFllights can be used.inplace of incandescent lights.which fulfil the above requirements.

The lamps shouldbe firmlysecuredand should not get loose or fall down duringvehiclemovement orvibration.

Check Ughts

Thecheck lights shall be furnishedwith at least 6 candle power tamps or equaland with five minute timer switches.The checkout light one should be locatedtowardsthe frontand one should be at the rear of the patient compartment.

Electrical Requirements

In ambulance, there should be two types of electrical design fitment andperformance requirements.

1. Electrical power generated by the integrated alternator with engine. Thisaltemator power generated should meet the requirement of automobilelighting, signalling, roof mounted bar, beacon lamps, visual and audibleGllcirrns,includingHVACrequirements.

Thealternator of the vehicleshouldbe heavy duty to fulfil all required loadsmentioned. Moreover, it shouldalso provide additional 20 % (i.e. 120%) ofitsfull rated output, for continuousoperation ..

2. For auxiliary power requirementsof the patient cabin - An inverter to beinstalled in a suitable place in the vehicle, which will fulfil the powerrequirements of medical equipments, interior illuminationdevices lamps,bulbs, tubes,entrance iIIuminafion,spot lights,etc.

Solfd State Inverter for Onboard 220-V Ale Power

The ambulance shall have onboard a Solin state InvArierof reputed brand tomeet with the patient compartment power requirementsfor medical equipment,interior illumination devices lamps, bulbs, tubes, entrance illumination,spot lights,etc.

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The invertershouldbe of true sinewave type and should be of sufficient capacityso as to meet all the electrical power requirements in the patient compartmentfor orninirnorn of two (2) hourson full.load during travelling--modeof the vehicle.

The inverter batteries should be situated outside the patient compartment at 0suitable location.

There should be a circuit breaker provided in driver cabin to isolate the inverterfrom down line connectivity and indicate "on" or "off" position.Thiscircuit breakershould be labelled and housed at an easily accessible location while alsoensuringaccidental switching off.

The inverter shall have the facility for charging from vehicle alternator (whenvehicle ismobile) & 220VAC (when vehicle isstationary). .

Externalcharge port with spring loaded lid suitable for AC charging of the inverterbatteries shouldbe provided an the exterior of the vehicle at a suitable place.

10Meter length, Three (3) core, 10gauge! equivalent charging wire with highquality male three pin ends to be provided. Thiswire should be housed at asuitable and easilyaccessible location in the ambulance.

Radio Frequency Interference (RFf)

The ambulance electrical/electronic and mechanical equipment in runningrnode / on condition, should meet the Radio Frequency lnterference standards[ElectroMagnetic Interference (EMI)AIS- 004-19991.

Electrical Receptacles In PaBent Compartment .'

Thereshould be at least three numbers of 230 V marked receptacles (each with aswitch and a socket with combination of 5 & 15AMPS)and two receptacles for 12V DC, of reputed make meeting IS1293 standards. Thesockets shall be made upof an industrialgrade thermo set elecfrical insulation material and resistheat andfire.TheSOCKetsshall have tubular contacts to ensure larger area of contact with. .the pin. Thering springsaround the tubular contacts shallensureuniform pressureand a firm unwavering multipoint contact. Socket shallhave integrated shutterstoprevent accidental contacts with live parts. Themountings shallbe sturdy enoughto handle wire/plug pressureand vibrations during transit.Fusesand Electrical Safety

The vehicle battery rating should be such that it should be able to cater for atleast500 numbers of cold cranking amperage and thereafter should have sporereserve capacity of 180 minutes. The battery should be continuously chargedthrough altemator and necessary electronic circuit to supply amperage forcharging. If the battery is mounted in the engine compartment, it should beproperly ventilated or protected with heat shield against under-hoodtemperature.

Page 15 of31

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Thereshould be :hort-circuitos 'Neli as overload protection through fuses/ Mini­Circuif BreakingrMCB)for differentsegmentedelectrical ins·follationsand the f~serating shouldbe mentionedon each fuseas weil as three numbersof each fuseshouldbe housedin the fusebox covered or at appropriate place.

Theelectrical Fixturesshouldbe flushmounted and shouldnot protrude more than50 mm. However, items such as monitors, ventilators, etc are excluded. Theengine electronic system also should be immune to interference of radiofrequency transmissions.

All electrical and electronic components shall be selected to minimizeelectricalloads thereby not exceeding the vehicle's generating system capacity. Allelectrical' systemcomponents and wiring shall be readily accessible throughaccesspanelsForchecking and maintenance.

All switches.indicators.and controls shall be located and installed in a mannerthat facilitates easy removal and servicing.All exteriorhousingsof lamps. switches.electronic devices. connectors. and fixtures shall. be corrosion resistant andweatherproofed.

AI.Iswitches.connectors. end-wiring should be rated to carry out minimum )25 %of thei( maximumampere load. All wiring should confirm to 1512645specification.Thewiring shallbe permanently colour coded or marked the entire length of thewirefor identification with easilyread numbersand letters.or both. and routed inconduit. When cables are supplied by a component manufacturer tointerconnect systemcomponents. these cables need not be continuouslycolourcoded/identified. They shall be coded/ identified at the termination orinterconnection points.All added wiring·shallbe located in accessible. enclosed.protected locations and kept at least 15 cm (6 in.) away from exhaustsystemcomponents.

Exceptfor thoseon large wires.suchasbattery cables. terminalsshallbe machinecrimped to the wiring. A ratchet type hand crimper may be usedwhere it isnotpossible to use a large machine crimper. Battery cable terminals. componentterminals and connectors exposed to the ambient shallbe coated with terminalcorrosionpreventive compound. .

Electrical panels that are accessible to accidental contact shall have aprotective cover, shield, and soforth. to prevent shortsthat can resultin injury,fire,or damage to the electrical system.

Electrical wiring and components shall not terminate in the oxygen storagecompartment except for the oxygen controlled solenoid,compartment light, andswitch plunger or trigger device. Wiringnecessarilypassing through an oxygencompartment shallbe routed in a metallic conduit.

Page )6 of3)

• ".'" ....~..-.--..

Emblems, Marking & Colour Scheme

Complete body exterior shouldbe painted with PUbase 2Kpaint. white in colour.It also shouldincorporate MaRTHspecified colour scheme and logo design. Nameof the Ministrymust be pointed in the body promontory. The logo and the letterswill be approved by MaRTH,before final inspection of the prototype.

Inaddition to this,it also shouldincorporate the following:J. Thereshallbe a continuous blue stripe, of not lessthan a cm on cab and J5

cm on patient compartment, to encircle the entire ambulance with theexclusionof the hood panel.

2. Emblemsand markingsshallbe of the type, sizeand location as follows:

a. Front:Theword "AMBULANCE"in Red.minimum 10cm in height. shallbein mirror image (reverse reading) for mirror identification by driver'sahead.

b. Side: Theword "AMBULANCE"in Red. not lessthan 15 cm in height shallbe painted on each side.

c. Rear: Theword "AMBULANCE"in Red,.not lessthan 15 cm in height

Allitems in thissection shallbe of reflective quality and in contrasting colour of theexteriorpainted surface of the ambulance.

Tool Kit, Layout Drawings, Operating Manuals, etc.

The bidder should provide bare minimum tool kit for vehicle maintenance,operating manual, warning triangles,a set of spare bulbsfor headlamp and fuses,a sparewheel ready for use,etcos per Rule 138(iv) A of CMVR.

Laminated sheets,clearly showing the Patient/Driver Cabin Layout with locationof equipment, fittings, switches, consumables, etc suitably depicted should befixed in the patient/driver cabin at suitable locations.

Laminated sheet showing the electrical wiring diagram complete with location ofvariousfuses and circuit breakers should be displayed in the vehicle·at a suitablelocation. .

Comprehensive User Manual/s written in simple English with detailed partsdescription, operating instructions, service contact numbers, etc for the BaseVehicle, Patient/Driver Compartment Equipments, Fittings,etc shall be provided.Theseshould be printed on high quality paper (preferably laminated) and housedin water-resistant pouches.

A 12v Emergency Tyre Inflator with integrated/separate Flashlight should beprovided.

Page 17 of31

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.

Sampledrawing showingthe layout af patient cobin isattached along with. Thesample drawing is only a guidnnrA fnr designina the ambulance. The biddersshouldstrictly adhere to thisguidance ill consonance with tFieabove detailedspecifications as regards the location and pOSitioningof various equiprnents.fitments,etc. whileadopting the some to their vehicle dimensions.

Thebidders should provide initial basic drawings showing location of variouscomponents, sub-assembliesfor structure, interior layouts, fitment of oxygencylinders,layout of doctor's chair,attendant chairs,washbasin,cabinets, Inverter,etc along with the technical bid. It also should show the location for storage ofvariousequipment. toolsand kits.

Quality Assessment and Inspection

Inspectionwould be carried aut by the Committee formedby MaRTH.comprisingrepresentatives from Roads Wing( technical competent authority}. RoadTransportWing & Internal Finance Wing of the M/o RTH;. All India Institute ofMedical Sciences.New Delhiand any of the testingagencies specified in CMVR.1989. .

Incase an equipment/fitment with specifications detailed in thisdocument isnotavailable in the country or is technically not feasible, thiscommittee may certifythe use of equipment fulfilling the similar functional requirementswithout anychange in financial liability after due consideration and documentation.

Thedecision of thisCommittee shall be final and binding inall respects.

.Thefirst inspectionwillbe carried out at the firststoge,when pidder completes the. initial structureond sheetmeta.Iwork of roof, sidepanelling;flooring.prior to layingof necessaryelectrical coble connections, tubing, etc. based on the approveddrawingby competent authority.

Prototype second stage inspection will be carried out prior to pre-deliveryinspection,so that the requirementsspecified above are fulfilled and complies,includingtype approval certificate for ambulance from competent authority.

Thebidder has to provide all necessarydocuments, test reportsand compliancecertificatesprior to delivery of the ambulance. .

The accepted ambulance will be retained as the reference sample forsubsequent produced ambulances. For any disturbance during subsequentproduction of other ambulance, the reference / master ambulance shall bereferredfor all practical purposes.

Performance TestsThe following ambulance items / systems/ components and the vehicle as awhole. sholl be necessarily be inspected. tested and verified for compliance tothe specifications mentioned herein .the tender document by the competent

PageJ80f3J

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- ,

authorities specified by MaRTH, Gal. The bidder shollbear any costs related withthe5e or related requirements. .

1. Internal and Externalphotographs of the vehicle2. PhysicalDimensionsand checks3. Vehicle Weight Distribution4. Rood related performance tests(likebrake testing,gradeability test, etc)5. EMI test6. Air Conditioning test7. Functionsof all controlssystems, their layoutsB. Water Spray(Rain test)9. Fording test/ Seepage test10.Dust ingresstest11,Kilometre coverage test12.Oxygen systemtest13.Verification on sample of FireRetardant materials use14.Operational and functional testing of medical equipments.15.TypeApproval trials asper CMVR89 (asamended up-fa-date)16.Collection of TestReportsof various components / aggregatesI7.Clause by Clause verification during final inspection.

Delivery Schedules

Qualified bidder would be given 2 months for preparation of prototype and onemonth for obtaining type approval from' any of the testing agencies specified inC/v1VR,1989 .Supply sh.ouldbe completed within sixmonths.

. ,Thepre-delivery inspection should be carried out by testing authority indicatingthe YIN No., Engine No and Quality Checks. ThisReportshould be submitted toMoRTH prior to release of payment to the bidder. The bidder has to supplyconsistent and quality product.

NOTE: 'Preferablly' / 'desfrable' wherever used In the above specfffcatlons Is onlyIndIcative of the beffer suited opHon and shall In no case be used to givepreference to a particular specfffcaHon durfng the evaluatIon of technical bids.

Page 19 of31

.:, .......

Equipment for ALS Ambulance

NOTE:Equipment should be FDA/CE/BIS/Equivalent certified wherever applicable

BIDDERSSHOULDQUOTEPRICESITEMWISEIN THEPRICEBID FORTHEFOLLOWING Sr.NO.l·38. .

THEMINISTRYMAY DEPENDING UPON THEAVAILABILITY OF FUNDSORDER ALL/FEWOFTHESEITEMS.

S.No. Name ofMedical Equipment Specifications1. Ambulance Cot • Roll-iM . Self Foldable Stretcher' (

preferably with capability to convertinto wheel chair) of a reputedmanufacturer likeFerno,etc

• Collapsible, with minimum Four swivelwheels to alloWcot to be handled andto slide into the ambulance easilywithout damaging the ambulance floor

• One personshouldbe able to raiseandlower it into an ambulance easily

• Built with anodized aluminiumlightweight / stainlesssteel

• Swing-down side rails to enableconvenient patient transferfrom bed tocot

• Adjustable backrest angle from 0 - 65deg

• At least three strap-type restrainingdevices (chest, hip, and knee) toprevent longitudinal or transversedislodgment of the patient duringtransit.

• :Provisionto fixAA type oxygen cylinderPage 20 of31

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• Dual I.V. holder,' capable of being cot

3.

mounted• Padded wrist and ankle restraints.

minimum one complete set• Fixing devices to secure the stretcher in

place not allowing side to side orI

vertical movements in the ambulancewhile on run.

• Locks on wheels/legs if required toensure that the stretcher doesn Itcollapse/move while standing

• 50mm thick high density foam mattressholstered with water proof and fireproof material

• Dimensionso length: J 90- 200cmo Width :5S-60cmo Height: 80- 85cm

• loading Capacity: 160-180kg2. Scoop Stretcher • Should be light, safe and reliable

• Aluminium alloy with adjustable length• Clutch Design (lateralised / in center)

so that the stretcher can be dividedinto left and right halves.

• Easy to lock and unlock• 3 Quick release buckle belts• Dimensions:

o Max. Size' l ·W*H}: 22S*45*6cmo Min. Size L*W*H: 168*43*7cm

• Netweight: <10Kgs• Weight bearing: 160-180kg• To be supplied with a mountable &

detachable 'Double Head Immobilizer'Foldaway Stretcher • Ughtweight, portable & easy to carry

• Made of high strengthAL-alloy & shouldbe 4-Folded when packed

• Weight Bearing: J 60-180kg4. Spine Board • High Density Polyethylene- Singlepiece

• Rigid, light & Floatable• Resistant to bumps and corrosion• Non absorbent, immune to infiltrations• Easy to clean- water & soap

Page 21 of 31

i ~ ~ ~----c_=- »::~~j~--------.~~--~--------~i. x ray & MRIcompatible

• :LoadCapacity : 160~T80 kg• L*W*H approx 184 .. 45" 5 cm• Rigid Head Blockswith restrainsto be

suppliedalong

• Shouldbe light.safe and reliable• Mode of aluminium alloy with 4wheels• folded size: approx 93*51 ..16 cm• Netweight: lessthan 10 Kgs• Pull through. telescoping long handles

built in to lift patients & carry themthrough narrowpassages.

• Two handles on the top to facilitate thelifting of patients i working in harmonywith telescopinghandles

• LoadingWeight: 160-180kg

TransferSheef5. • Two (2) transfersheetwith 0 minimumofsix(6) handles.or equivalent

6. Wheel chair

7. Bf..Phaslc Deflbrfllator cum • Wall Mounted, Transport defibrillatorCardiac MonHor with cum Cardiac Monitor of a reputedRecorder brand like PhilipsHeart Start MRx, loll

M-SeriesCCT, etc• Ughtweight, Easy to Use with both

Manual & AEDCapabilities• Suitable for ambulance operation, with

adult and paediatric extemal fixedpaddles and Patientcables

• Minimum6.5inchesColour'LCDDisplay• Shouldbe able to deliver shock from 2-

200joules throughbiphasic technology.• Shouldhave charging time up to 200Jin

less than 6 seconds with a new fullycharged battery

" Should have built in Non invasive-pacing and Sp02monitoring

• Shouldhave 12lead interpretative ECGand synchronizedcardio version

• Integrated Mum ParameterMonitorwiththe following parameters:

o NIBP- Adult and Paediatrico Sp02 - Adult & Paediatrico EtC02HeartRate

Page 22 of31

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o RespirationRate (Optional)o J 2 Lead'CCG

• ECG signal sholl be via defibrillatorpaddles, disposable defibrillationelectrodes or patient cables

• Should be able. to print critical eventsvia a built in printer

• AC/DC Modules• Shouldhave built in charger• Ambulance Mounting Bracket• Shouldbe FDA/CE/BIS Approved• All required leads,probes, accessories&

manuals to be supplied along with• Spare DisposablePads- 10 no's each• Provision for future up-gradation to

enable transmissionof Patient VitalsviaTelemetryfor remote monitoring

• Should be wall mounted, light weight,robust and userfriendly

• Suitable for adults; children and infantsup to 5kg

• Modes of ventilation:o CMVo AssistControl'o PEEP

• Separate control for inspiratory andexpiratory timeand flow rate.

• Adjustable pressure limit to safelycope with all patients.

• High inflation pressurealarm• Powersource: Compressed air I oxygen.(dependence on battery or AC power snot desirable)

• it should be able to deliver. respiratoryrate ratio of up to I: 2

• FI02: 100%oxygen and air mix, approx.45%

• Equipment should be complete withcarry bag, patient circuit, pressureregulator for the oxygen cylinder andrelief valve. (TransportVentilator Kit)

• Provision for Pneumatic Suction &

8. Transport Ventilator

Page23ofll

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should be built infCnhe kit.• The above kit should be supplied with all

required brackets / mounts to ensuremounting in ambulance and onstretcher roilswithout hampering patientcore in on acute scenario.

• Should have airway pressure monitor .• Should have a disconnect alarm. (Visual

and audible)9. Suction Pump (Manual) • Portable & Lightweight

• Vacuum (max): 550mmHg.o Non disposable container - 250ml

connecting jar made out ofpolycarbonate

• Operating environmental temperature: -2OCto +50C.

• Maximum Weight: 500 gms10. SuctIon Pump (electronic) • AC / DC / Foot Operated

• Maximum negative pressure from -200to -700mbar in steps of 100 or less withsuitable setting marks.

• Suction capacity 10-16litre per minutes• Sufficient capacity 500rhl secretion

bottles' with efficient over-flowprotected with adjustable negativepressure (Min. 5 Nos. Polycarbonate &autoclavable with Overflow protection)

• Ambulance Wallmountable• Rechargeable Battery with capacity of90 minutes

IJ. Artmclal Manual BreathIng • Easy Grip manual resuscitatorUnIt (Adult) . with Size 4 Clearhood transparent

facemask with silicone cuff• Adult models (l qOO . to 2000ml bag

capacity)• Standard J 5-22mm Swivel connector

allows connedion to all commonmasks Endotracheal Tubes

• Provision to give supplemented oxygenfrom reservoir providing 100%oxygen

• Non-rebreathing valve enabling the

Page 24 of31

• t'.......__...

Artificial Manual BreathingUnit (Child & neonatal)

patient to inspire oxygen from the.reservoir bog .--

• To be supplied in proper Carrying case12. • Easy Grip manual resuscitator

with SizeOACircular Pedi transparentfacemask with siliconecuff

• Child models r500 to 250mI bogcapacity)

• Standard J 5-22mm Swivel connectorallows connection to all commonmasks Endotracheal Tubes

• Provisionto give supplemented oxygenfrom reservoirproviding 100%oxygen

• Non-rebreathing valve enabling thepatient to inspire oxygen from thereservoirbag

• Tobe supplied in proper Carrying case13. Mouth to Mask ventilation • Of Reputed manufacturer's make

devfce (Adult)14. Mouth to Mask venHlaffon • Of Reputed manufacturer's make

d~vfce (Child)15. Oxygen Cylinder (Portable) • Preferably as a part of the portable

, resuscitation kit bag• Max. Working Pressure at 150 C:

150kgf!cm2• TestPressure:250kgf/cm2• Water capacity: 1.0Itrs• GasCapacity (Cu.m.):0.15Cu.m.• MIn.Wall Thickness't" (mm): 3.2mm• length 'L' Approx. (mm): 310mm• Tareweight approx. (kg): 2.5'Kg.• Built in / attached with Pressuregauge,

regulator and cylinder wrench/key• Oxygen Transfersystemfrom Bull<D-type

cylinder to Portable cylinder16. Nebulizer • Compressed air nebuliser

• Atomiser ( Diaphragm-type / Piston­type) electric aspirator

• Motion Tolerant and for continuous usein PreHospital

• Operating voltage: 230 V AC withBattery backup (with minimum 90

Page 25 of31

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• Maximum pressure·-:3.5bar• Air power: 14litres per minute• Aerosol output: 106 1-11per minute• Residual volume: 1.24 ml• Droplet size:MMAD 3.3 microns• Fillingvolume: maximum 7 ml• Noise level: 55 dBA• In built thermal cut off systems desirable• Provision for fixing/Hangi(lg in the

Ambulance17. Laryngoscope wIth blades • Standard equipment in metal with 3

standard sizecurved blades. and oneextra large blade (Adult & Child).

• Handle should have comfortable grip.• Good quality light source

J8. Volumetric Infusion Pump • Battery boek-up• LCD programming display• Data entry calculator style numeric

programming keyboard• Pole clamp Multi-function mounting

clamp• Quick titration of rate or dose with

volume-time programming• Flow rate range (primary) O.J to 99.9

ml/hr. (0.' ml increments) and 1 to J 200ml/hr. (' ml lncrements.)

• Flowrate range (piggy back)-O. J to 99.9ml/hr, (0.1 ml increments) and J to 500ml/hr (J ml increments)

• Volume to be infused O.J to 99.9 ml(0.1ml increments) and 1 to 9999 ml(l mlincrements} .

• Both flow rates and volume to beinfused should be configured to limit themaximum allowable range

• Accuracy ±3%.Ii: Basic U:-1:t should have 2 or more

infusions control system in single unit19. SyrInge 'nfuslon Pump • Flow rate programmable from 0.1 to 200

ml/hr or more in steps of O.J ml/hr withuser selectable flow set rate option.

Page 26 of31

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• SAVE last infusion rote even when' the.--AC power isswitched OFF.

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• Bolusrate should be programmable to400 - 500 ml/hr or more with infusedvolume display.

• Reminder audio after every 0.5 mldelivered bolus.

• SAVE last Bolusrate even when the ACpower isswitched OFF.

.• Display of DrugName with a provision ofmemorizing 10-15names

• Keep Vein Open (KVO) must beavailable 1.0 ml/hr or set rate if lowerthan J.O ml. Usershould have choice todisable KVO whenever desired.

• Occlusion pressure trigger levelsselectable from 300/500/900 mmHg

• Must Work on commonly availableISI/CE/FDA APPROAVED/CERTIFIED 20,50/60 ml Syringes with accuracy ofminimum of +/-2%or better.

• Automatic detection of syringe size &proper fixing.

• Must provide alarm for wrong loading ofsy;;n~e such as flanges ou·t of slot;disengaged plunger, unsecured barreletc.

• Anti bolus systemto reduce pressureonsudden release of occlusion

• Should have comprehensive alarmpackage including: Occlusion limitexceed alarm, Near end of infusion pre­alarm & alarm, Volume limit. pre-alarm &alarril, KVO rate flow, low battery pre­alarm and alarm, AC power failure,Drive disengaged and preventivemaintenance

• Rechargeable Battery20. Handheld Glucometer • One unit of a reputed brand with J 00

units of' disposable lancets/tips andGluco sticks

• The brand provided should have

Page 27 of31

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0f2, ---.-~~~-::f::::-:--:-~- __ ~ l- _supplies emily availoble across Indio21. "-'Stethoscope -. Of a reputed brand-

• Tunable diaphragm and a bell• High quality buffed stainless steel snap

tight ear tubes• Poiy vinyl chloride double lumen tubing

76 cms in length• Soft sealing ear tips

: ,~~~_'-

26. PneumaHc Splints set of 6

adult sizes with carrying

• X-ray through the splints• Inflatory tubes' extension with closing

clamp makes closing' easy and quickafter infla.tion

22. BPApparatus (Digital) • Two Nos. OFa reputed brand• Motion tolerant, self inflating• ± 2 mm of Hg systolic or Diastolic• AC / DC , Rechargeable in Ambulance• Supplied with regular/extra large and

paediatric sizecuffs23. Pupillary Torch • Two Nos. Of a reputed brand with Spot

illumination without peripheral ring oflight

24_ Needle & Syringe Destroyer • To be placed at an appropriatelocation to allow easy disposal ofneedles

• Maximum weight 2.5 Kgs• Motion Tolerant

25. Thermometer (Digital) • Two Nos.• Battery operated• with on and off audio alarm• Measurable in Fahrenheit and

Centigrade• Memory of the last reading

case

1. Hand & wrist

2. Half arm

3. Full arm

4. Foot and ankle

5. Half leg

6. Full leg

27. Roller Splints

• Fixing of splint isby zipper or belt

I;Distal end left open to expose toes• Should be washable and reusable• Should be supplied with the appropriate

pump required to inflate the splints

• Two Nos. of reputed manufacture make• The splint should be made from a thin

Page 28 of31

•

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.. core of alloy. sandwiched between two."-- layersof closed-cell room -

• Should be extremely pliable• Can be usedfor all the sizes

• Small• Medium• large

28. Cervical Collars • TwoNos.of reputed make & quality• Should be adjustable to 4 different sizes.• Should have pre-moulded chin support,

locking clips and rear ventilation panel,enlarged trachea opening.

• Should be high-density polyethyleneand foam padding with one piecedesign enabling efficient storage wherespace islimited

• Should be X-ray lucent and easy toclean and disinfect

29. ScIssorswfth RoundHp • TwoNos. with Thermoplastichandles.• Should cut a I rupee coin.• 6" made of SSwith one edge round and

other edge sharp30. Toothed Forceps-DIssecHng • 15cms, high te~silestainlessSteel31. Artery Forceps 6" • TwoNos.

. • 6", high tensilestainlessSteel32. Toothed Forceps6" • 6", high tensilestainlessSteel33. MagDf'sforceps • Standard Equipment in High Quality

StainlessSteel34. KfdneyTray • 20 cms.x 15Cmx 4 em

• 18/ 8StainlessSteel.• 500ml capacity

35. Kffk Clamp • 50 nos.Of reputed make36. Tongue Depressor 100nos.DisposableWooden Spatulas37. FIrstAId Kif Bag A Pre-Packed Off the Shelf Resuscitation&

First Aid Kit Bag made of Nylon/toughermaterial having space for Emer~encyAirway Management and Resuscitationineluding essentialsdrugs, equipment & aportable Oxygen Cylinder of withreguIator, etc.

38. Rescue Equipment Crowbar (min 48 inches, with pinch pOint).t.:':': ," ~""-'-". -. "_,, _ .._._......... ,"_ ._- .__ ........_-- .. _-_._-_ ...._ '_',-'_" ._._ ._- _ ....,.....__ ....._. _ ...,_ ... -

Page 29 of3)

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I 1 .A, multipurpose tool such os '~~anleyFuBar Forcible, Entry Toal'/equivalent forvehicle extrication

•••

Apart from fhe above IIsfed eqOlpments, the ambulance should have adequatestorage space for housing the following suggested list of Dr~gs/Con$umables:

(Theseare not to be supplied along with but shall be the responsibility of the enduser. However the bidder has to provide adequate spqce to house these in anappropriate quantity required during the ambulance's day to day running)

Drugs:• Inj.Adrenaline• Inj. Atropine• Il)j.Calcium Carbonate• Inj.Dopamine• Inj. Dobutamine• InJ.Noradrenaline• loj. Nitroglycerine• Inj.SodiumBicarbonate• InJ.Hydrocortisone• InhalerBeclomethasone• Inhaler Salbutamoi• Inj.Frusemid!3• Inj.Diazepam/Midazolam• Inj.Deriphyllin• Inj.Phenytoinsodium• Inj.Avil• Inj. Metachl6rpropamide• Inj.Ondansetrone• Inj.KC)• Inj.Ugnocaine 2%• Inj.Amiadarone (50mg/mlJ• Inj.Magnesium sulphate 25%2ml.

• Inj. Mannitol 20 %• Inj. Morphine/lnj. Pethidine• Inj.Noradrenaline bititrate 4mg• Activated charcoal• Inj.NaloxoneHe)• Inj.FeQtanyl• Bacteriostaticwater for Injection• Inj.SodiumValporate• Inj.Voveran• Inj.Paracetamol• IVFluids• .G.V.Paint

Consumable!:• Coffon/Bandage• Savlon/Betadine• Leucoplast• PainSpray• MistdressSpray• VinodineSpray• Coolex Spray• FaceMask (Disposable)• Surgical Gloves

Page30 of31

••

• LMAdisposableWide bore needles

• Disposablel.P. Needles• SyringesABG( 2 & 5 mil• Threeway stop cork• ExtensionIIV lines& IVcanulas• Disposablesuction pumps• ECGelectrodes• Lighted Styletsof different sizes• Guedel's airway 00-5.00.0.1.2.3,4,5• Nasal airways(all sizes)& catheters• BinasalCannula, Combitube. COPA• Endotracheal Tubes(VariousSizes)• Tracheostomytubecuff&Plain(alisizes)• Mini Tracheostomykit• Ventimosk,facemask with nebulizer• PressureInfusionBags• Rightangled ShivelConnector• Micro drip-set & Drip-set• NasogastricTubes• Burn Pack : Standard package,

deem bum sheets/Towels• Triangular bandages ( Minimum 2

safety pinseach)• Dressings Sterile multi-trauma

dressings(variouslarge• and small sizes); ABDs, lO"x12" or

larger; 4"x4" gauze• sponges; Cotton Rolls• Gauze rollsSterile(varioussizes)• Elastic bandages Non-sterile (various

sizes)• Occlusive dressing Sterile, 3"x8" or

larger• Adhesive tape Various sizes

(including 2" or 3")• Adhesive tope ( hypoallergenic)

Varioussizes(including 2" or 3")• Cold pocks• Disposablebags for vomiting, etc.• Teethguard• Sample collection kits

Page 31 of31

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