Specifications of Advance Life Support Ambulance ( 1652KB)
Contents
1. Ole oxygen from the patient fo feservoir bag To be T in proper Carrying case Easy Grip manual resuscitator with Size OA Circular Pedi transparent facemask with silicone cuff e Child models 500 to 250m bag capacity Standard 15 22mm Swivel connector all common Artificial Manual Breathing Unit Child amp neonatal allows connection to masks Endotracheal Tubes Provision to give supplemented oxygen from reservoir providing 100 oxygen Non rebreathing valve enabling the patient to inspire oxygen from the reservoir bag To be supplied in proper Canying case Bia Mouth to Mask ventilation Of Reputed manufacturer s make Parr ee Mouth to Mask ventilation Of Reputed manufacturer s make device Child Oxygen Cylinder Portable rare as a part of the portable resuscitation kit bag e Max Working Pressure at 150 C 150kgf cm2 Test Pressure 250 kgf cm2 e Water capacity 1 0 ltrs e Gas Capacity Cu m 0 15 Cu m Min Wall Thickness t mm 3 2mm e Length L Approx mm 310mm e Tare weight approx kg 2 5 Kg Built in attached with Pressure gauge regulator and cylinder wrench key Oxygen Transfer system from Bulk D type cylinder to Portable cylinder Compressed air nebuliser Atomiser Diaphragm type Piston type electric aspirator Motion Tolerant and for continuous use in Pre Hospital Operating voltage 230 V2. 2 hours on full load during travelling mode of the vehicle The inverter batteries should be situated outside the patient compartment af a suitable location There should be a circuit breaker provided in driver cabin to isolate the inverter from down line connectivity and indicate on or off position This circuit breaker should be labelled and housed at an easily accessible location while also ensuring accidental switching off The inverter shall have the facility for charging from vehicle alternator when vehicle is mobile amp 220V AC when vehicle is stationary External charge port with spring loaded lid suitable for AC charging of the inverter batteries should be provided on the exterior of the vehicle ata suitable place 10 Meter length Three 3 core 10 gauge equivalent charging wire with high quality male three pin ends to be provided This wire should be housed at a suitable and easily accessible location in the ambulance Radio Reaver Interference RFI The ambulance electrical estime and mechanical equipment in running mode on condition should meet the Radio Frequency Interference standards Electro Magnetic interference EMI AIS 004 1999 Electrical Receptacles In Patient Compartment There should be at least three numbers of 230 V marked receptacles each with a switch and a socket with combination of 5 amp 15 AMPS and two receptacles for 12 Y DC of reputed make meeting 151293 stand
3. be used to glve preference to a particular specification during the evaluation of technical bids Page 19 of 31 ce DERE SRE EGRET Ap Sa Equipment for ALS Ambulance NOTE Equipment should be FDA CE BIS Equivalent certified wherever applicable BIDDERS SHOULD QUOTE PRICES ITEM WISE IN THE PRICE BID FOR THE FOLLOWING Sr No 1 38 THE MINISTRY MAY DEPENDING UPON THE AVAILABILITY OF FUNDS PANER ALL FEW OF THESE ITEMS EA Name of Medical Equipment A Stretcher Ambulance Col Roll in Self Foldable preferably with capability to convert into wheel chair of a reputed manufacturer like Ferno etc Collapsible with minimum Four swivel wheels to allow cot to be handled and to slide into the ambulance easily without damaging the ambulance floor One person should be able to raise and lower it into an ambulance easily e Built with anodized aluminium lightweight stainless steel e Swing down side rails to enable convenient patient transfer from bed to cof Adjustable backrest angle from O 65 deg i At least three strap type restraining devices chest hip and knee to prevent longitudinal or transverse distodgment of the patient during transit Provision to fix AA type oxygen cylinder Page 20 of 3 apuntan Dual I V holder capable of being col mounted l Padded wrist and ankle restraints minimum one complete set Fixing devices to secure the stretcher in place not allowing side to s
4. for Injection Inj Sodium Valporate Inj Voveran Inj Paracetamol IV Fluids G V Paint Consumables Cotton Bandage Savion Betadine Leucoplast Pain Spray Mistdress Spray Vinodine Spray Coolex Spray Face Mask Disposable surgical Gloves 7 Page 30 of 31 LMA disposable Wide bore ne dles Disposable L P Needles syringes ABG 24 5 mi Three way stop cork Extension I V lines amp IV canulas Disposable suction pumps ECG electrodes Lighted Stylets of different sizes Guedel s airway 00 5 00 0 1 2 3 4 5 Nasal airways all sizes amp catheters Binasal Cannula Combitube COPA Endotracheal Tubes Various Sizes Tracheostomytubecuff amp Plain alisizes Mini Tracheostomy kit Ventimask facemask with nebulizer Pressure Infusion Bags Rightangled Shivel Connector Micro drip set amp Drip set Nasogastric Tubes Burn Pack Standard package clean bum sheets Towels Triangular bandages Minimum 2 safety pins each Dressings Sterile multi trauma dressings various large and small sizes ABDs 10 x12 or larger 4 x4 gauze sponges Cotton Rolls Gauze rolls Sterile various sizes Elastic bandages Non sterile various sizes Occlusive dressing Sterile 3 x8 or larger Adhesive tape including 2 or 3 Adhesive tape hypoallergenic Various sizes including 2 or 3 Cold packs Disposable bags for vomiting etc Teeth guard Sample collection kits Various sizes Page 31 of 31
5. shall bear any costs related with these or related requirements I Internal and External Photographs of the vehicle 2 Physical Dimensions and checks 3 Vehicle Weight Distribution j 4 Road related performance tests like brake testing gradeability test etc 3 EMI test 6 Air Conditioning test 7 Functions of all controls systems their layouts 8 Water Spray Rain test Fording test Seepage test 10 Dustingresstest 11 Kilometre coverage test 12 Oxygen system test 13 Verification on sample of Fire Retardant materials use 14 Operational and functional testing of medical equipments 15 Type Approval trials as per CMVR 89 as amended up to date 16 Collection of Test Reports of various components aggregates 17 Clause by Clause verification during final inspection Delivery Schedules Qualified bidder would be given 2 months for preparation of prototype and one month for obtaining type approval from any of the testing agencies specified in CMVR 1989 Supply should be completed within six months The pre delivery inspection should be carried out by testing authority indicating the VIN No Engine No and Quality Checks This Report should be submitted to MoRTH prior to release of payment to the bidder The bidder has to supply consistent and quality product NOTE Preferablly desirable wherever used in the above specifications is only indicative of the better sulted opiion and shall in no case
6. should be located towards the front and one should be at the rear of the patient compartment Electrical Requirements In ambulance there should be two YPES of electrical design fitment and performance requirements Electrical power generated by the integrated alternator with engine This alternator power generated should meet the requirement of automobile lighting signalling roof mounted bar beacon lamps ey and audible alarms including HVAC requirements The alternator of the vehicle should be heavy duty fo fulfil all required loads mentioned Moreover it should also provide additional 20 i e 120 of its full rated output for continuous operation 2 For auxiliary power requirements of the patient cabin An inverter to be installed in a suifable place in the vehicle which will fulfil the power requirements of medical equipments interior illumination devices lamps bulbs tubes entrance illumination spot lights etc Solid State vane for Onboard 220 V A C Power The ambulance shall have onboard a Solid State Inverter of reputed brand to meet with the patient compartment power requirements for medical equipment interior illumination devices lamps bulbs tubes entrance illumination spot lights etc Page 14 of 31 Y a a The inverter should be of true sine wave type and should be of sufficient capacity so as to meet all the electrical power requirements in the patient compartmen for a minimum of two
7. with restrains to be supplied along Two 2 transfer sheet with a minimum of six 6 5 handles or equivalent _ Should be light safe and reliable Made of aluminium alloy with 4 wheels Folded size approx 93 51 16 cm Net weight less than 10 Kgs Pull through telescoping long handles built in to lift patients amp carry them through narrow passages Two handles on the top to faciitate the lifting of patients working in harmony with telescoping handles Loading Weight 160 180 kg Wall Mounted Transport defibrillator cum Cardiac Monifor of a reputed brand like Philips Heart Start MRx Zoll M Series CCT etc Lightweight Easy fo Use with both Manual amp AED Capabilities Suitable for ambulance operation with adult and paediatric extemal fixed paddles and Patient cables Minimum 6 5 inches Colour LCD Display Should be able to deliver shock from 2 200 joules through biphasic technology Should have charging time up to 200J in less than 6 seconds with a new fully charged battery Should have built in Non invasive spacing and SpO2 monitoring Should have 12 lead interpretative ECG and synchronized cardio version integrated Multi Parameter Monitor with the following parameters o NIBP Adult and Paediatric o SpO2 Adult amp Paediatric o EtCO2Hear Rate Page 22 of 31 1 1 5ltrs min Therapy inhalational should be built int the kit The above kit should be supplied with al
8. 2 of 31 qa check maintain and refueling for oil lubricants etc should be easily Sa and marked symbolized a The engine horse power torque drive train and transmission and tyres should be such that it should meet the following requirements li over dry hard surfaced level roads 2 The engine of the vehicle should be of minimum 75 HP generation capacity 3 The vehicle should be able to negotiate hilly area gradients and sharp bends 4 As regards gradeability the ambulance should be able to negotiate min gradeability of 7 deg For hilly areas it is desirable to have more than 10 2 deg The vehicle should meet the Central Motor monic Rules requirement of grade ability Steering amp Suspension Ambulance should be fitted with power assisted steering system for easy and comfortable steerability of the vehicle at low and high speeds The vehicle also should comply 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 ride and safety of the patient The suspension maybe reinforced suitable to provided additional comfort Tyres The tyres fitted on the ambulance should be Radial tyres with without tube of Indian make and type approved by any of the testing agencies specified in CMVR 1989 for its load speed performance and durability A spare wheel shou
9. A SPECIFICATIONS OF ADVANCE LIFE SUPPORT AMBULANCE FOR PROCUREMENT UNDER NATIONAL HIGHWAY ACCIDENT RELIEF SERVICE SCHEME NHARSS An Advance Life Support Ambulance is a vehicle that shifts the reasonably stable patient from one hospital clinic to other hospital for further treatment It can also be utilized in the case of any eventuality for transportation of accident victims or any other patient from accident site to nearest possible hospital The Advance life support ambulance will provide primary and secondary patient transportation from one place to another without aggravating the injuries and with sufficient comfort level The primary patient is one who is on a self loading collapsible stretcher whereas secondary patient is on a squad bench This squad bench can additionally be utilized 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 The ambulance patient loading should be from the rear door opening side wise General Vehicular Design and Floor Plans This ambulance should be either of CMVR approved monocoque design or should be fully built on chassis of a major Indian OE manufacturer of repute In either case the vehicle manufacturer should have dealership network and pan servicing facility in major cities of India The ambulance should be designed built and complete with operating accessories as specified herein The ass
10. AC with Battery backup with minimum 90 Page 25 of 31 Nebulizer minutes backup e Maximum pressure 3 5 bar Air power 14 litres per minute Aerosol output 106 ul per minute s Residual volume 1 24 mi Droplet size MMAD 3 3 microns Filling volume maximum 7 mi e Noise level 55 dBA In built thermal cut off systems desirable e Provision for fixing Hanging in the Ambulance Standard equipment in metal with 3 standard size curved blades and one extra large blade Adult amp Child Handle should have comfortable grip Good quality light source Battery baek up LCD programming display Data entry calculator style numeric programming keyboard Pole clamp Multi function mounting Laryngoscope with blades Volumetric Infusion Pump P clamp Quick titration of rate or dose with volume time programming Flow rate range primary 0 1 to 99 9 mi hr 0 1 mi increments and 1 to 1200 mi hr 1ml increments Pa Flow rate range piggy back 0 1 to 99 2 mi hr 0 1 ml increments and 1 to 500 ml hr Imi increments Volume to be infused 0 1 to 99 9 mi o 1ml increments and 1 to 9999 ml 1 mi increments Both flow rates and volume to be infused should be configured to limit the s maximum allowable range i 2 e Accuracy 3 e Basic unit should have 2 or more infusions control system in single unit Flow rate programmable from 0 1 to 200 mi hr or more in st
11. P bumper fo suit front rear facia Side Windows Full Sliding windows combination of fixing amp sliding aluminium frame tiltable aluminium frame square windows with toughened finted glasses Window frames should be black powder coated Curtains for rear side windows to ensure patient privacy in patient compartment should be provided Safety Glass The ambulance should be fitted with safety glasses as per CMVR Windscreen Wiping System The front windshield should have screen wiping system electrically operated The washer system should have minimum 1 5 litres tank copiei 7 The tank should be located at an appropriate location and should be eosily accessible for re filling Patient Compartment The patient compartment shall have the provisions for housing a roll in self foldable collapsible stretcher for the primary patient a folding scoop stretcher a squad bench to accommodate minimum four sitting patients or the above mentionea folding scoop stretcher PageSof3t ara a washbasin with foo operated tap gt Soap Wispenser and Tissue Dispenser Medical Equipment as specified Various drugs and consumables Coal warm box Other Equipment as specified Patient compartment volumetric space shall be sufficient in size to transport occupants and accommodate store all stretchers squad cots and litters The length of the patient compartment measured from partition to the inside edge of the rear l
12. ards The sockets shall be made up of an industrial grade thermo set electrical insulation material and resist heat and fire The sockets shall have tubular contacts to ensure larger area of contact with the pin The ring springs around the tubular contacts shall ensure uniform pressure and a firm unwavering multipoint contact Socket shall have integrated shutters to prevent accidental contacts with live parts The mountings shall be sturdy enough to handle wire plug pressure and vibrations during transit Fuses and Electrical Safety The vehicle battery rating should be such that if should be able to cater for at least 500 numbers of cold cranking amperage and thereafter should have spare reserve capacity of 180 minutes The battery should be continuously charged through alternator and necessary electronic circuit to supply amperage for charging If the battery is mounted in the engine compartment it should be properly ventilated or protected with heat shield against under hood temperature ar gt adas oe oe a S n Page 15 oF 31 e There should be hort circuit as well as overload protection through fuses Mini Circuif Breaking MCB for different segmented electrical installations and the fuse rating should be mentioned on each fuse as weil os three numbers of each fuse should be housed in the fuse box covered or at appropriate place The electrical fixtures shouid be flush mounted and should not protrude more than 50 mm However item
13. ater resistant pouches A 12v Emergency Tyre Inflator with integrated separate non should be provided Page 17 of 31 O EN ges Ed TRG o Eii ES gog r omaras tn E l iad 3 ha k ft 3 j Sample drawing showing the layout of patient cabin is attached along with The sample drawing is only a guidance for designing the ambulance The bidders should strictly adhere to this guidance in consonance with the above detailed specifications as regards the location and positioning of various equipments fitments etc while adapting the same to their vehicle dimensions The bidders should provide initial basic drawings showing location of various components sub assemblies for structure interior layouts fitment of oxygen cylinders layout of doctor s chair attendant chairs wash basin cabinets Inverter etc along with the technical bid It also should show the location for storage of vanous equipment tools and kits Quality Assessment and Inspection Inspection would be carried out by the Commities formed by MoRTH comprising representatives from Roads Wing technical competent authority Road Transport Wing amp Internal Finance Wing of the M o RTH All India Institute of Medical Sciences New Delhi and any of the testing agencies specified in CMVR 1989 a Incase an equipment fitment with specifications detailed in this document is not available in the country or is technically not feasible this committee may cer
14. cation as follows a Front The word AMBULANCE in Red minimum 10 cm in height shall be in mirror image reverse reading for mirror identification by driver s ahead b Side The word AMBULANCE in Red not less than 15 cm in height shall be painted on each side c Rear The word AMBULANCE in Red not less than 15 cm in height All items in this section shall be of reflective quality and in contrasting colour of the exterior painted 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 bulbs for headlamp and fuses a spare wheel ready for use etc as per Rule 138 iv A of CMVR Laminated sheets clearly showing the Patient Driver Cabin Layout with location of equipment fittings switches consumables etc suitably depicted should be fixed in the patient driver cabin at suitable locations Laminated sheet showing the electrical wiring diagram complete with location of various fuses and circuit breakers should be displayed in the vehicle at a suitable location Comprehensive User Manual s written in simple English with detailed parts description operating instructions service contact numbers etc for the Base Vehicle Patient Driver Compartment Equipments Fittings etc shall be provided These should be printed on high quality paper preferably laminated and housed in w
15. d have the following characteristics e Thickness minimum 4 0 mm for FRP or 3 0mm for ABS e inbuilt colour e Fire retardant as per IS 6746 of 1988 or latest e Should meet lamination standard IS 10192 or latest Page 6 of 31 There should be PUF PU min 12 mm thick or thermocol min 40mm thick of equivalent insulation for reduction of heat and noise within the patien compariment The insulating material should be non toxic non settling type vermin proof mild dew proof and non hygroscopic Provision should be made for placement of power switches sockets manifoid outlets major medical equipment like Defibrillator Monitor Ventilator etc in FRP with sufficient reinforcement for holding them securely while in transit Unobstructed access amp full functionality of the fittings equipment as desired for optimal patient care must be ensured during this process Adequate provision for storage of medicines consumables equipment should be made by providing lockable cabinets amp drawers These should be made of fire retardant material in sync with the ambulance s internal look and feel The drawers should be on steel guide ways of reputed brands only amp provided with ball socket locks fo arrest the drawers opening during motion of ambulance The floor should be fitted with minimum 3 125 mm aluminium cladded chequered sheet or fire retardant 12 mm marine plywood with 2mm thick Anti skid PVC vinyl matting or FRP wi
16. e loading The manufacturer under GVW condition and unladen condition should measure the Centre of Gravity CG and declare the stability for roll over angle The gross This payload is after the payload applicable herein is maximum 1 5 ton ambulance is fully built accommodating all necessary fitments equipment tools etc Overall Dimensions The overall length of the ambulance should not exceed 550 cm excluding rear steps and bumper guard he overall width of the ambulance should not exceed 244 cm PAU mirror lights and safety accessories The overall height of the ambulance should not exceed 279 cm including roof mounting equipment viz A c etc and excluding Radio Antenna The finished floor loading height shall be a maximum of 84cm Overhang The front overhang of the vehicle shall not exceed 40 of the wheelbase excluding front tow hook The rear 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 Ill requirements of CMVR TAP Document prevailing in the state of registration of the vehicle as on date of commissioning The engine coolants lubricants oil etc should be able to perform satisfactorily under normal climate conditions for all seasons across India The accessibility to Page
17. e of Nylon tougher material having space for Emergency Airway Management and Resuscitation including essentials drugs equipment amp a portable Oxygen Cylinder of with regulator etc Rescue Equipment Crowbar min 48 inches with pinch point First Aid Kit Bag Page 29 of 31 Ane ee ot oe ae oe 2 A multipurpose tool such as Stanley FuBar Forcible Entry Tool equivalent for vehicle extrication Apart from the above listed equipments the ambulance should have adequate storage space for housing the following suggested list of Drugs Consumables These are not to be supplied along with but shall be the responsibility of the end user However the bidder has to provide adequate space to house these in an appropriate quantity required during the ambulance s day to day running Drugs Inj Adrenaline inj Atropine Inj Calcium Carbonate Inj Dopamine Inj Dobutamine Inj Noradrenaline Inj Nitroglycerine Inj Sodium Bicarbonate Inj Hydrocortisone Inhaler Beclomethasone Inhaler Salbutamol Inj Frusemide Inj Diazepam Midazolam Inj Deriphyllin Inj Phenytoin sodium Inj Avil Inj Metachlorpropamide Inj Ondansetrone Inj KC inj Lignocaine 2 Inj Amiadarone 50 mg ml inj Magnesium sulphate 25 2ml Inj Mannitol 20 Inj Morphine inj Pethidine Inj Noradrenaline bititrate 4mg Activated charcoal inj Naloxone HC Inj Fentanyl Bacteriostatic water
18. embly sub assembly and equipment should be integrated in such a way so as to enable the vehicle function in a reliable way and in a sustained fashion for durability safety and comfort The design of the vehicle and the specified equipment shall permit accessibility for servicing replacement and adjustment of components parts and accessories with minimum disturbance to other components and systems Also the bidder shall ensure that sufficient re inforcement is provided to protect the components assemblies pipelines tubing wirings etc which are susceptible to damage hazards encountered during on road off road cross country operations of ambulance The emergency medical care vehicles including chassis ambulance body equipment devices medical accessories and electronic equipment shall be brand new standard commercial products tested and certified to meet or exceed the requirements of these specifications m Page I of 31 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 side wheel s individually should not exceed 5 of the axle load lo provide for maximum safety the manufacturer shall locate vehicle mounted components equipments and supplies to provide a vehicle that is laterally balanced and has front rear loading that is proportional to axl
19. eps of 0 1 ml hr with user selectable flow set rate option Page 26 of 31 Syringe Infusion Pump a a AC power is switched OFF Bolus rate should be programmable to 400 500 mi hr or more with infused volume display Reminder audio after every 0 5 mi delivered bolus SAVE last Bolus rate even when the AC power is switched OFF Display of Drug Name with a provision of memorizing 10 15 names Keep Vein Open KVO must be available 1 0 mi hr or set rate if lower than 1 0 ml User should have choice to disable KVO whenever desired Occlusion pressure trigger levels selectable from 300 500 900 mmHg Must Work on commonly available ISI CE FDA APPROAVED CERTIFIED 20 50 60 ml Syringes with accuracy of minimum of 2 or better Automatic detection of syringe size amp proper fixing Must provide alarm for wrong loading of syringe such as flanges out of slot disengaged plunger unsecured barrel etc Anti bolus system to reduce pressure on sudden release of occlusion Should have comprehensive alam package including Occlusion limit exceed alarm Near end of infusion pre alarm 8 alarm Volume limit pre alarm 8 alarm KVO rate flow Low battery pre alarm and alarm AC power failure Drive disengaged and preventive maintenance Rechargeable Battery One unit of a reputed brand with 100 units of disposable lancets tips and Gluco Sticks The brand provided
20. ery cables terminals shall be machine crimped to the wiring A ratchet type hand crimper may be used where it is not possible to use a large machine crimper Battery cable terminals component terminals and connectors exposed to the ambient shall be CORIRA with terminal corrosion preventive FARR Electrical panels that are accessible to accidental contact shall have a protective cover shield and so forth to preveni shorts that can result in injury fire or damage to the electrical system Electrical wiring and components shall not terminate in the oxygen storage compartment except for the oxygen controlled solenoid compartment light and switch plunger or trigger device Wiring necessarily passing through an oxygen compartment shall be routed in a metallic conduit Page 16 of 31 AA rn Emblems Marking amp Colour scheme ns Complete body exterior should be painted with PU base 2K paint white in colour It also should incorporate MoRTH specified colour scheme and logo design Name of the Ministry must be painted in the body promontory The logo and the letters will be approved by MORTH before final inspection of the prototype In addition to this it also should incorporate the following There shall be a continuous blue stripe of not less than 8 cm on cab and 15 I cm on patient compartment to encircle the entire ambulance with the exclusion of the hood panel Emblems and markings shall be of the type size and lo
21. g 6 Full leg 27 Roller Splints e Two Nos of reputed manufacture make e The splint should be made from a thin Page 28 of 31 Poly vinyl chloride double lumen tubing a core of alloy sandwiched between two layers of closed cell foam i e Should be extremely plable e Can be used for all the sizes Small Medium large Two Nos of reputed make amp 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 polyethylene and foam padding with one piece design enabling efficient storage where space Is limited Should be X ray lucent and easy to clean and disinfect Two Nos with Thermoplastic handles Should cut a rupee coin 6 made of SS with one edge round and 3 l other edge sharp 30 Toothed Forceps Dissecting 15 cms high tensile stainless Steel 31 Artery Forceps 6 e Two Nos e 6 high tensile stainless Steel Toothed Forceps e 6 high tensile stainless Steel 33 Maglll s forceps e Standard Equipment in High Quality Stainless Steel 34 Kidney Tray Cervical Collars Scissors with Round tip e 20cms x 15 Cm x 4cm e 18 8 Stainless Steel l _ e 500 ml capacity 135 Kiik Clamp 50 nos Of reputed make 7 A Pre Packed Off the Shelf Resuscitation amp First Aid Kit Bag mad
22. gulate the flow from 0 to 19 litres per min and should show the actual oxygen flow rate using a floating bal indicator The flow meters shall be installed vertically so as to not interfere with the other outlets and should be easily readable from the Doctor s Paramedic seat The Humidifier should have a slim impact resistant polycarbonate bowl with metal Cap and T type inlet outlet nipples All the connectors should be of chrome plated on brass material Noise The ambulance should be designed and assembled of its aggregates and components so as to meet the noise level requirements in dB A scale as per IS 3028 1998 and it also should meet the driver inside noise as per AIS 020 Necessarily the noise levels in the patient compartment measured at six different locations patient ear rear side of interior of ambulance front side of interior of patient compartment on left and right side of patient cabin with reference to centreline of the cabin should not exceed 80 aB A Air Conditioning The AC unit should be installed at a suitable location in the patient cabin to ensure there is no congestion in the driver patient cabin With all windows amp doors closed the system should be capable of lowering the cabin temperature to a maximum of 26 degrees Celsius within 30 minutes from 35 degrees Celsius ambient temperature The gas used for Air conditioning should be environment friendly as per International regulatory requirements The AC s
23. h panel and idas light should be adequately provided There should not be any reflecting or glaring eS inside the driver cabin which would distract driver s attention Flashing and audio alarms in the driver cabin should be so provided so as not distract driver s attention during motion Interior Patient Compartment Illumination The nominal light illumination required in the patient compartment should not be less than 15 foot candelas when measured along the centreline of the floor f o Page 13 of 31 without any ambient light The minimum volume of the patient compartment considered here is minimum 9 2 cubic meters The primary patient squad stretcher shall be provided with 35 foot candelas of illumination measured on at least 90 of the squad stretcher surface The patient compartment dome light in the dimming setting and loading lamp shall be automatically activated when the patient compartment door are open All interior doom lighting including check out lights shall be flush mounted and shall not protrude more than 3 8 cm The florescent light or CFL lights can be used in place of incandescent lights which fulfil the above requirements The lamps should be firmly secured and shauld not get loose or fall down during vehicle movement or vibration Check Lights The check lights shall be furnished with at least 6 candle power lamps or equal and with five minute timer switches The checkout light on
24. hould be of reputed manufacturer who has pan India service network The engine idling rom should be so designed and tuned to fulfil the requirements of AC Unit Though it is desirable that the ambulance be equipped with Heating System for the patient driver compartment fitment of the same is optional To ensure proper ventilation in case of AC failure one number each of roof wall mounted fan be provided in the driver s cabin and patient compartment Siren A high quality combination electronic siren with integrated Public Addressing System of minimum 100W PMPO shall be provided The siren s controls should have 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 Speakers shall not protrude beyond the face of the bumper or bumper guards if provided i in there The control panel for this system should be fixed at a suitable location in the driver compariment edo oes daa me Signalling devices direction indicators amp stop lamps The ambulance should be Fitted with signalling devices viz Four chamber rear signalling devices comprising of e Parking signalling device e Reverse signalling device e Brake signalling device and e Direction Indicators signating device Also ambulance should be fitted with front head lamps so as to give sufficient ll
25. ide or vertical movements in the ambulance while on run Locks on wheels legs if required to ensure that the stretcher doesn t collapse move while standing 50 mm thick high density foam mattress holstered with water proof and fire proof material e Dimensions o Length 120 200 cm o Width 55 60 cm o Height 80 85 cm e Loading Capacity 160 180 kg Should be light safe and reliable Aluminium alloy with adjustable length Clutch Design Lateralised in center so that the stretcher can be divided into left and right halves Easy fo lock and unlock e 3 Quick release buckle belts e Dimensions o Max Size L W H 225 45 6cm O Min Size L W H 168 43 7cm Net weight lt 10 Kgs Weight bearing 160 180 kg To be supplied with a mountable 2 detachable Double Head Immobilizer Light weight portable amp easy to carry Made of high sirength AL alloy amp should be 4 Folded when packed Weight Bearing 160 180 kg High Density Polyethylene Single piece Rigid Light amp Floatable Resistant to bumps and corrosion Non absorbent immune to infiltrations Easy to clean water amp soap Scoop Stretcher Page 21 of 31 Transfer Sheet l Wheel chair Bi Phasic Defibrillator Cardiac Monitor Recorder cum with Load Capacity X ray amp MRI compatible 160 180 kg L WtH o approx 184 45 5cm Rigid Head Blocks
26. l required brackets mounts to ensure mounting in ambulance and on stretcher rails without hampering patient care in an acute scenario Should have airway pressure monitor Should have a disconnect alarm Visual and audible Portable amp Lightweight e Vacuum max 550mmHg e Non disposable container connecting jor made polycarbonate Operating environmental temperature 20C to 50C E Maximum Weight 500 gms AC DC Foot Operated Maximum negative pressure from 200 to 700mbar in steps of 100 or less with suitable setting marks Suction capacity 10 16 litre per minutes e Sufficient capacity 500ml secretion botiles with efficient over flow protected with adjustable negative pressure Min 5 Nos Polycarbonate amp autoclavable with Overflow protection Ambulance Wall mountable Rechargeable Battery with capacity of 90 minutes Easy Grip manual resuscitator with Size 4 Clearhood transparent facemask with silicone cuff Adult models 1500 to 2000ml bag capacity e Standard 15 22mm Swivel connector common Suction Pump Manual 250ml out of Suction Pump electronic Artificial Manual Breathing Unit Adult allows connection to alll masks Endotracheal Tubes Provision to give supplemented oxygen from reservoir providing 100 oxygen Non rebreathing valve enabling the Page 24 of 31
27. ld be housed at appropriate place and indicated Brakes The vehicle should meet all requirements of CMVR Though it is desirable that the ambulance be equipped with ABS System fitment of the same is optional Fuel Tank Fuel Storage Capacity Page 3 of 31 The vehicles shall be capable of a sustained speed of not less than 90km h The fuel tank should be approved as a stand alone component as per Indian Standard CMVR arene for ali necessary safety aspects and pee omnee e a The capacity of the fuel tank should be such that it should suffice the need 350 km with one time filling The fuel tank should be with fuel fill solash plates Cab Body Provision Additionally driver s cabin shouid be provided wiin Dual sun visors padded Armrests mounted on each side door Compartment ventilation other than windows Key operated ignition starter switch Fuel Gaugels Engine temperature gauge speedometer with odometer Environmental controls air conditioning etc i Seatbelts and shoulder harness far driver and passenger j Dual dutside mirrors k Cab lighting and controls l Electric hom s m Rear Door open indicator a b e d e f g h Body Structure Ambulances of monocoque design should have body structure as per CMVR In ambulances built on OEM Chassis the ambulance should be fabricated at an IS 16949 2002 or equivalent certified facility amp the fabrication should meet or exceed the fo
28. llowing criteria Combination of 10 12 14G pressed section amp MS square tubes structure with hot dip phosphating process for anti corrosion rolled C channels for the floor cross members with pressed section for the roof amp floor longitudinal Body cross member shall be welded with long members using gusset and shall be designed to support the Ambulance body rigidly and withstand tensional loads Complete structure welding with CO2 process Drip rail s shall be provided around the entire body and have drain points at each corner Body structure shall include gusseling to provide diagonal strength Exterior panelling should be with 18G aluminium sheets amp coils for rooftop Page 4 of 31 made of joint less sandwich elements with e In case of fabrication using the Sandwich Panel Technology The walls shall be e Outer amp Inner Skin Minimum 1 5 MM Thick Traffic White RAL 1016 R 252 G 255 B 255 dyed Glass fiber laminates with high standard gel coat layer based on pepatione acid with UV stabilizer of ene brand CFC free high performance rigid polyurethane block roam minimum 44 mm thickness of reputed brand The ambulance should also have few hook in the front as well as rear Front amp Rear show Original cow front show with single piece curved windscreen laminated glass front bumper and FRP centre grill with headlight housing Rear show with single piece screen glass on both ee of the door and MS FR
29. mm lighting and Illumination Exterior and Interior The basic exterior ambulance lighting should meet the day as well as night time running lights requirements The front and rear side marker lamps should flash in conjunction with the direction indicators The flood lights and spot lights should be operable as and when desired by the user But they must be provided for easy handling The light assemblies should be stainless steel or plastic or weather Peet material The installation of such lights should not cause Seni corrosion of light housing or vehicle body The roof mounted bar emergency light system should provide 360 degrees of conspicuousity during its mission The other lighting system loads of alternator base should not hamper the performance of emergency lights Lamps and its assemblies reflectors should meet the photometric chromaticity and physical requirements of Rule No 124 of CMVR gt The head lamp levelling should be provided either automatic or manual Loading lights shall provide minimum 500 candle power beam and shall illuminate the area surrounding the back loading doors Loading light s shall automatically be activated when rear doors are opened There should be provision for Spot Light to use at night times for surveillance The electrical gadget should be able to manoeuvre through 360 degrees and shall Pe manually operated Driver s compartment room light instrument panel light master switc
30. ned for easy release and should be lockable to ensure the safety of the equipment when the vehicle is parked A Door Open warning device shall signal indicate in the cab when doors are not closed Each door shall have effective compression or overlapping seals to prevent leakage of exhaust fumes dust water and air Page 7 of 31 o E D o 9 The optional side opening door of the patient compartment shall be a sliding type door ane should provide a minimum lett side clear opening of 76 cm wide and of 160 cm high or the monocoque chossis manufacturer s standard opening Should the rear doors be rendered inoperable the side door and interior configuration shall permit emergency removal of the patient either on a backboard or other device used for spinal immobilization The side opening door though desirable is optional The rear loading door for eniry inio Patient Compartment shall not be less than 117 cm in height with minimum width of 112 cm and the door opening should be side ways preferably 270 degrees opening Each door should be hinged at least at 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 each rear door The reflectors shall be so positioned as to provide maximum visibility when the doors are in the fully open position The opening of the door sho
31. o ACCESS PPOOA TREES ES N ee pe e ee vee eee Merb oam m a madim ah am m e r APA A A a ee re cl e E E Looe SF A RA i THE AUTOMOTIVE RESEARCH ASSOCIATION OF INDIa OFF PAUD ROAD PUNE la 004 A Uniens siherwise Dprcdiod eli dimau sre im am T Tole far apem dimas MEDIUN 1S 102 1304 DATA Cerin Anas SPECS FOR AS AMA MEE itie ALL DIMNS ARE IN CMS Arg No Ehret LAYOUT OF PATIENT CABIN AE T je ME s 4 i C k pl s ameme i ee
32. oading door at the floor level shail be at least 310 cm The length should provide at least 44 cm ana not more than 76 cm of unobstructed space at fhe head of the primary patient when measured from the face of the backrest of the Doctor s Paramedic s Seat to the forward edge of the stretcher A min of 25 cm shall be provided from the end of the stretcher to rear loading door to permit clearance for any traction or long board splints The width of the compartment after installation of cabinets shall provide 46 15 cm clear aisle walkway between siretcher cot and the base of squad bench with the cot located in the street side non centred position The patient compartment shall provide at least 152 cm helght over the primary patient area measured from floor to ceiling panels An access window between Driver s Cabin and Patient Compartment should be provided at appropriate location for visual checks and voice communication between the cabin and patient compartment This window should be latch able from the patient cabin side and should be transparent shatter proof ang shali have adjustable opening Complete Interior panelling of the sidewalls partition between patient cabin and driver cabin roof of both patient and driver cabin amp back door panels should made from long life superior quality Fibre Reinforced Polymer FRP or ABS not applicable for Sandwich Panel Fabrication The FRP ABS wherever used shoul
33. oper patient care A washbasin with foot operated tap shouid be provicied at a suitable location A fresh water tank of minimum 10lfs capacity for the wash basin with provision for easy refilling should be installed There should be a soap dispenser and tissue dispenser provided in the vicinity of the washbasin Pape 8 of 31 A reliable robust amp easy to use Sterillium Bactorub equivalent alcohol based hand rub dispenser supporting standard off the shelf bottles of minimum 500m capacity should be provided at a suitable location which should be within easy reach of the doctor paramedic Concealed portable dust bins with spring loaded lids for waste disposal should be provided at suitable locations GSM Fixed Cellular Terminal with Caller id of reputed brand to enable single line PSTN simulation made available from GSM network should be fixed at a suitable place in the patient cabin keeping in view the caller id visibility and the GSM reception This terminal shall be unlocked support minimum Dual Band GSM 900 1800 MHz and should accommodate a standard External SIM Card 3V 1 8V GSM SIM Card shall not be provided along with and shall be the responsibility of the end user This terminal shall be paired with a 2 way Intercom phone preferably cordless of a reputed brand to enable easy communication between the patient amp driver cabin and also to facilitate calls on the GSM network This instrument should be located in the
34. patient compartment at a location within the easy reach of the doctor paramedic The instrument in the driver cabin should be located at an optimal location These instruments should have eed Ns so as to nof distodge fall during travel A battery powered thermo electric cooler cum warmer of minimum 12lts capacity and capable of running on 12 volts DC 230 volts AC should be provided at a suitable place This should allow for a temperature control from 5 C to 65 C at 25 C ambient step lessty controlled with two thermostats and should be secured firmly so as to ensure it doesn t move in the patient cabin during travel A standard quality LED Digital clock to be provided in the patient compartment It should have a minimum Letter font Size of 50 to have better visibility Two numbers of pu os fire extinguishers of ABC lype Si marked amp conforming to BIS 13849 1993 or latest duly filled of capacity and quantity as per the provisions of Central Motor Vehicle Rules 1989 should be provided Provision shall be made with straps Velcro tapes and mounting on the flooring for placing fire extinguisher One fire extinguisher shall be placed in the Driver s cabin and the second in patient s compartment at Reale location where it is easily visible and symbolized All fitments equipment outlets switches storage spaces etc in the patient compartment should be permanently amp clearly labelled in English The font u
35. s such as monitors ventilators etc are excluded The engine electronic system also should be immune to interference of radio frequency transmissions All electrical and electronic components shall be selected to minimize electrical loads thereby not exceeding the vehicle s generating system capacity All electrical system components and wiring shall be readily accessible through access panels for checking and maintenance All switches indicators and controls shall be lacated and installed in a manner that facilitates easy removal and servicing All exterior housings of lamps switches electronic devices connectors and fixtures shall be corrosion resistant and weatherproofed All switches connectors end wiring should be rated to carry out minimum 125 of their maximum ampere load All wiring should confirm to 1S12645 specification The wiring shall be permanently colour coded or marked the entire length of the wire for identification with easily read numbers and letters or both and routed in When cables are supplied by a component manufacturer to conduit interconnect system components these cables need not be continuously colour coded identified They shall be coded identified at the termination or _ interconnection points All added wiring shall be located in accessible enclosed protected locations and kept at least 15 cm 6 in away from exhaust system components Except for those on large wires such as batt
36. sed should be easily readable and in contrasting colour of the background Oxygen Delivery System f The ambulance shall have hospital iyo piped medical oxygen system manifold capable of storing and supplying medical grade oxygen The system should comprise of an oxygen cylinder manifold as specified a cylinder changing wrench chained and clipped with within the oxygen cylinder compartment a pressure regulator oxygen piping approved for medical oxygen a duplex oxygen oullet station with quick disconnect interface for the primary patient and a second duplex oxygen outlet station with quick disconnect Menace for the secondary patient The manifold should have oxygen cylinders of B or D size only minimum one D amp one B type cylinder equivalent An adapter to refill the cylinders from a bulk cylinder should be provided The manifold should be so designed that it shall ensure proper fixation of cylinders during travel and should ensure easy cylinder changing and positioning There should not be any electrical connection in near vicinity or inside the oxygen cylinder housing except pressure regulator integrated with flow control valve A medical grade oxygen pressure regulator with inlet filter amp static outlet pressure of 4 12 bars 60 psi shall be provided at the cylinder manifold It shall include a pressure gauge an inlet filter a safety relief valve a locking mechanism to prevent settings from being inadvertentl
37. should have Page 27 of 31 Handheld Glucometer SAVE last infusion rate even when the supplies easily available across India s Of a reputed brand e Tunable diaphragm and a bell High quality buffed stainless steel snap tight ear tubes 76 cms in length e Soft sealing ear tips Two Nos Of a reputed brand s Motion tolerant self inflating 2 mm of Hg systolic or Diastolic AC DC Rechargeable in Ambulance Supplied with regular extra large and paediatric size cuffs Two Nos Of a repufed brand with Spot illumination without peripheral ring of light l To be placed t an appropriate location to alow easy disposal of needles e Maximum weight 2 5 Kgs Motion Tolerant Two Nos Battery operated e with on and off audio alarm e Measurable in Fahrenheit and Centigrade Memory of the last reading X ray through the splints Inflatory tubes extension with closing clamp makes closing easy and quick after inflation BP Apparatus Digital Pupillary Torch Needle amp Syringe Destroyer Thermometer Digital Pneumatic Splints set of 6 adult sizes with carrying case 1 Hand amp wrist e Fixing of splint is by zipper or belt 2 Half arm lt Distal end left open to expose toes 3 Fullam e Should be washable and reusable l e Should be supplied with the appropriate 4 Foot and ankle pump required to inflate the splints 5 Halfle
38. th Anti skid coating The footsteps should be provided appropriately if the patient compartment floor is more than 46 cm above the ground This step should be transverse length equivalent to the door opening If there is more than one step the steps should be equidistant The steps shall not be located or exposed to the interior of the ambulance even when the rear door is closed The step tread shall have minimum depth of 13 cm and max depth of 27 cm If the steps protrude more than 18 cm from the rear the vehicle fold up steps should be provided The complete interior should be edgeless and suitable for easy cleaning scientific fumigation treatment of disinfectants The ambulance interiors should be designed with care to avoid injuries by fall of equipment or cylinder on persons inside the ambulance in case of turmoil due to bad road conditions Upholstered padding cushions shall be provided at the upper interior areas of the door frames Similar padding cushions also shall be furnished at other areas that may be capable of causing injury The finish of internal amp external patient driver cabin should meet CMVR requirements of external projection Doors Two side opening patient compartment door openings shall be provided at the rear of the ambulance There shall be an optional door opening on the left forward side and two side opening doors the rear of the body for loading a patient on a cot All ambulance body doors shall be desig
39. tify the use of equipment fulfilling the similar functional requirements without any change in financial liability after due consideration and documentation The decision of this Committee shall be final and binding in all respects The first inspection will be carried out at the first stage when bidder completes the initial structure and sheet metal work of roof side panelling flooring prior to laying of necessary electrical cable connections tubing etc based on the approved drawing by competent authority l Prototype second stage inspection will be caried out prior to pre delivery inspection so that the requirements specified above are fulfilled and complies including type approval certificate for ambulance from competent authority The bidder has to provide all necessary documents test reports and compliance certificates prior to delivery of the ambulance ined as the reference sample for ratr AAA The accepted ambulance will be subsequent produced ambulances For any disturbance during subsequent production of other ambulance the reference master ambulance shall be referred for all practical purposes Performance Tests The following ambulance items systems components and the vehicle as a whole shall be necessarily be inspected tested and verified for compliance to the specifications mentioned herein the tender document by the competent Page 18 of 31 authorities specified by MORTH Gol The bidder
40. uld be possible from inside and outside at all times Under no condition during travel mode this door should open A Roll in Self Foldable Stretcher Collapsible Cot of a reputed brand preferably with capability to convert into wheel chair should be provided for the primary patient The said stretched should automatically collapse when wheeled into the patient compartment over a fixed collapsible cot base The collapsible cot base should preferably have built in slot fo accommodate the scoop stretcher and ene board A seat for the Doctor Paramedic should be installed facing towards the rear of the patient compartment amp it should be near to the primary patient s head for easy accessibility This seat shall not be less than 40 cm deep 40 cm wide and 400 cm height measured to the top of the seat cushion and should have adequate restrains for the passenger A Squad bench with backrest suitable to accommodate minimum four sitting patients or folding scoop stretcher shall be installed along the side wall A minimum 50mm thick high density cushion to be provided for comfort The squad bench should be upholstered with waterproof washable cover and should have adequate restrains for the sitting patients as well as the stretcher Grab Rall made of Stainless steel pipe with proper support fixing for ease in entering shall be installed in the ceiling Minimum four IV hooks to be provided at suitable locations to ensure pr
41. umination 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 parking purpose Signalling devices direction indicators and stop lamps should meet the requirements of Central Motor Vehicles Rules 102 103 104 105 amp 106 Fitment of fog lamp is mandatory for all ambulances Besides aforementioned lighting system all ambulances should include a beacon lamp mounted at roof top having three flashers on both sides of the ambulance The beacon shall be rhombic shaped double layered structure combination of continually lit turning lights It should have high luminance voltage 12V DC amp a power of 92 18W The ambulance should have minimum fitment as follows No Po 04 Optional Headlamp ont side marker lamp 3 __ Front Side Reflector ees ef hazard warning signal flasher 15 Rearsidemarkerlamp Rear side markerlamp marker lamp Red J02 6 RearSidereflector Amber 02 Rear Re ector ER E Rear Reflector 18 Rear Stop Tail and Red 02 ieee hazard warning signal flasher Ce LIO White hor Rear Rear backup lamp gt lamp 110 Rear License Plate lamp id lad L B segments White o 112 Rear flood flight J2 fea flood lights Fog lamps in the front o o Page 12 of 31 em
42. y changed shall maintain accurate readings and calibrations during ambulance operation and not be affected by the temperature conditions Only High Pressure Tubing approved for medical oxygen 280 bar 4060 psi test pressure with male female 5 8 inches bull nose forged Brass connectors at both the ends fo connect it from the oxygen cylinder to the posure EF OAC inside the patent cabin should be used Minimum two oxygen outlets for the primary patient concealed in the side wall near the patient head end distance between patient head and oxygen air outlets to be less than 89 cm to be provided one outlet normally meant for Oxygen therapy through flow meter amp one meant for driving breathing equipment like ventilators etc A duplex oxygen outlet for the secondary patient at a suitable location on the opposite side wall is to be provided These duplex outlet stations shall be appropriately labelled and colour coded to indicate their use with medical grade oxygen Oxygen outlet stations shall be installed with sufficient vertical space to accommodate attachment of flow meters humidifiers and nebulizers There shall also be sufficient horizontal clearance to prevent interference with the suction inlet Bee connec if any and equipment directly attached thereto Page 10 of 31 Two 2 Nos of Oxygen Flow Meter with Humidifier shall be provided The Flow Meters should be pressure compensated be able to re
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