1.I.V. Injection Arm
Maharaja Agrasen Medical College Agroha (Hisar)Corrigendum for in E-Tender for Skill Lab.E-Tender is invited for supply of SKILL Lab. Equipment for Maharaja Agrasen Medical College, Agroha (Hisar). The last date of submission is extended to 05:00PM on 03/03/2021. Technical Bid will be opened on 04/03/2021 at 10:00AM. Details may be seen at Tender ID:- 2021_HRY_158901_1Following Amendment should be done in the tender:-1.European CE certification is essential for all items.2.Demonstration at MAMC, Agroha within 07 days of request failing which bid may cancelled.3.The specification for items as per DNIT are given below.1.I.V. Injection ArmShould be Made of skin like silicone and allows realistic trainingShould be high quality, stain resistance and easy-to-clean soft material.It is ideal for practicing the following:Correct puncture of peripheral veins for blood sampling. The following veins can be punctured: basilica vein, cephalic vein, median cubital vein, dorsal venous rete of handIntravenous injectionsPositioning of a butterfly catheterDelivery content1 injection arm with already mounted tubing system1 infusion bottle1 stand1 bottle of artificial blood concentrate (250ml)1 plastic cup1 disposable syringe and 2 injection cannulas (recommended cannula size: 20 and 21 gauge)2 tubing systems as replacement parts1 container of talcum powder2.Injection Training PadShould be able to Practice intradermal, subcutaneous, and intramuscular injections safely and conveniently.Should be made up of soft, realistic material can be punctured repeatedly without showing needle holes.3.Buttock Injection SimulatorIntramuscular simulator of a right buttock.Should have all important anatomical landmarks for intramuscular (I.M.) injections: iliac crest, anterior superior iliac spine and greater trochanter.Should have integrated fine electronics provide extremely graphic feedback when training the intramuscular injection technique, correctly administered injections will produce audiovisual feedback.Additional training and control modes are available for checking results either immediately or upon completion of a training session.Should be supplied with a 21G/0.8 injection needle and a 5 ml syringe.4.Intramuscular Injection Simulator - Upper ArmI.M. simulator represents a right upper armShould have all important anatomical palpable landmarks such as acromion and humerus.The realistic anatomy allows for placing correct intramuscular injections in an exceptionally graphic way.Should have built-in fine electronics produce audio-visual feedback of the result, e.g. correct or incorrect injection, bone contact, or wrong location.Additional trainings and control modes optionally provide an immediate or subsequent performance check under training conditions.Skin should be lifelike made up of silicone and is extremely durable and can be quickly and easily exchanged when necessary.The intramuscular simulator is supplied with:2 AA batteriesdetailed instruction manualreplacement skin5-ml injection syringe21G/0.8 injection needle5.Airway Management ModelModel FeaturesInnovative airway with and nasal cavity created from DT DICOM dataAnatomically correct internal features and visually accurate landmarks in airway and nasal passageWraparound replaceable neck skin rotates for up to 20 incisionsEasy identification of sternal notch, tracheal rings and cricoid and laryngeal cartilagesInflatable tongue with lifelike texture can simulate edemaReplaceable lung bags inflate with successful ventilationOptional difficult airways available for more advanced trainingMedical Procedure TrainingNeedle and surgical cricothyroidotomyPercutaneous tracheostomyDouble naso-tracheal intubationBag-valve mask (BVM) ventilation techniquesFull range of supraglottic device insertionDirect and video laryngoscopy including Sellick ManeuverAwake fiber optic examinationEndotracheal tube insertionCombi tube insertionNaso gastric tube insertion techniques Package Contents1 Carrier/storage case1 USB pen drive user manual1 Bottle of TruCorp lubrication3 Adult lung bags replicating 2 lungs and stomach5 Larynx inserts (1 attached, 4 extra)1 Wrap around neck skin (attached)6.Pediatric Airway Management Model FeaturesPediatric airway with nasal cavity created from DT DICOM dataAnatomically correct internal features and visually accurate landmarks in airway and nasal passageWraparound replaceable neck skin rotates for up to 20 incisionsEasy identification of sternal notch, tracheal rings and cricoid and laryngeal cartilagesInflatable tongue with lifelike texture can simulate edemaReplaceable lung bags inflate with successful ventilation Medical Procedure TrainingNeedle and surgical cricothyroidotomyPercutaneous tracheostomyDouble naso-tracheal intubationBag-valve mask (BVM) ventilation techniquesFull range of supraglottic device insertionDirect and video laryngoscopy including Sellick ManeuverAwake fiber optic examinationEndotracheal tube insertionCombi tube insertionNaso gastric tube insertion techniques Package Contents1 Carrier/storage case1 USB pen drive user manual1 Bottle of TruCorp lubrication3 Child lung bags replicating 2 lungs and stomach5 Larynx inserts (1 attached, 4 extra)1 Wrap around neck skin (attached)7.CPR SimulatorShould be in Compliance with 2019 AHA GuideleinesShould enable accurate and effective training with apps and sensor kitStudent and instructor apps provide real-time feedback and feature adult capabilities, as well as a realistic interfaceCPR manikin simple to assemble and maintainComprehensive manikin design allows for practice of Heimlich maneuver and abdominal thrusts, as well as CPR and mouth-to-mouth breathingRealistic anatomical markings (Adam’s apple, carotid arteries, navel, rib cage, and chest notch) make it easy to learn correct hand placement for checking pulse and performing chest compressionsDelivers the head-tilt/chin-lift method to open the airway or simulate obstructed airway with a visible chest rise when ventilatedEasy-to-clean heads are dishwasher safe and can easily be sanitizedAudible compression clicker included for use with manikin only Package Contains:Adult/child manikin10 face shield lung bags and insertion toolCPR add-on kit student* and instructor* appsAdd-on kitBreath moduleLung/mouth protection bag with a set of breath module holdersCarry cartonAssembly instructionsRequires 2 AAA batteries (not included)8.Infant CPR ManikinShould be realistic 6- to 9-month-old infant manikin for CPR training and practice.The manikin features sanitary individual mouth/nosepieces that can be snapped on and off in 2 seconds, a disposable airway system that can be replaced in 20 seconds, and an airway cutoff and non-rebreathing valve.Filled with lightweight foam with no internal parts to break.Carrying bag should be included.9.03 Year-Old CPR ManikinThe manikin should realistically portrays a 3-year-old child for instruction of CPR techniques.This lightweight manikin is foam filled with no internal parts to break.Features an airway cutoff, individual mouth/nosepieces, and a completely disposable airway system with a non-rebreathing valve. Carrying bag included.10Lower Stump Bandaging SimulatorShould allow Practice and demonstrate standard bandaging procedures.The lower torso is long enough to allow carrying the bandage around the body over the uninvolved hip at the level of the iliac crest.Should be used to demonstrate the attachment of prosthetic devices.The lower torso is representative of a patient in a supine position with legs slightly abducted.One leg is amputated below the knee, the other at mid-thigh.11Upper Stump Bandaging SimulatorShould allow Practice and demonstrate standard bandaging procedures.Should be used to demonstrate the attachment of prosthetic devices.Includes the two arms - one is amputated above the elbow, the other above the wrist.Both arms must be slightly extended in a patient-like position to facilitate bandaging.The compressibility of the material very closely duplicates actual experience with a patient.12.Suture KitShould allow the different types and techniques of sutures and other skills needed for wound closure.Should allow the instructor or student to make incisions and determine the depth of suturing and the technique to be used.Practice and demonstrate tying knots, stapling and placement of staples, use of surgical glue, suturing deep tissue (placement and closure), and suturing subcutaneous tissue (placement and closure). Features epidermis, dermis, fascia, fat, and muscle layers.The skin allows placement and closure of superficial sutures. Includes suture pad, tray to hold pad (not shown), durable carry case, needle holder, suture scissors, tissue forceps, scalpel, nylon suture, and small carry case to hold the instruments13Birthing SimulatorBirthing Simulator should be able to train the following delivery skills and techniques:Normal vaginal deliveryNormal delivery of umbilical cord and placentaPalpation and assessment of fetal position and presentationDiagnosis of all normal and abnormal fetal positions and presentations (like face, neck, or brow) to represent routine and difficult deliveriesIntrauterine manipulation of fetusShoulder dystocia demonstration and managementBreech deliveries (including complete, footling or incomplete, and frank breech presentation)Palpation of fetal fontanelles featuresComplete and incomplete placenta birthDemonstration of placenta previa: total, partial, and marginalProlapse of umbilical cordNuchal umbilical cordCesarean delivery with incisionArtificial rupture of membranes (ARM or AROM, amniotomy)Clamping and cutting of umbilical cordSimulated suctioning of baby’s mouth and noseLeopold maneuverPinard’s maneuverMauriceu-Smellie-Veit maneuverPrague maneuverWoods maneuverRubinBirthing Simulator offers the following features for effective obstetric teaching and training:Fully articulating fetus with open mouth, tiltable head, shoulder blade, and anatomical correct fontanellesLife-size adult female lower torso, anatomically correct landmarks like pelvis, pelvic cavity, and spineManual birthing system to control rotation and speed of fetus deliveryEasy to change position of fetus during birthing process including descend, flexion, extension, internal and external rotation, and restitutionUterus with correct positioning of fetus, inflatable to lift fetus for Leopold maneuverEasy change-out of parts through pin connections, no tools necessaryAnti-slip base and handles for extra support on tablesBelt for fastening to table or bedDelivery content:Birthing simulatorDetachable, padded stomach cover with advanced insert for caesarian sectionInflatable uterus insert for Leopold Maneuver including cover that can be cut for caesarian sectionBirth canal (portio, cervix, vulva)Fastening beltLubricantAmniotic fluid and 100 insertsAssembly kitFully articulating fetal babyUmbilical cordPlacenta14.Advanced Pelvic Examination and Gynecological SimulatorAdvanced Pelvic Examination and Gynecological Simulator is ideal for all aspects of gynecological education, training, and competency evaluation, including the bimanual exam, speculum exam, and cytology sampling.Should have the interchangeable components that make up its unique modular system.Should allows you the flexibility of customizing your scenarios with use of included makeup, blood, and thickener.Additional specialized modules are also available (STD, post-menopause, S.A.N.E., and pre-puberty).Starter unit should include torso, normal genital pad, normal pelvic organ block with vagina and rectum, abdominal gel pad, fabric abdominal pad, abdominal overlay skin, seven uterus/cervix pieces (normal/normal with discharge option, retroverted/cervicitis, cancer/cancer, transparent IUD trainer, post-menopause/herpes, fibroids/polyp, early pregnancy), five detachable ovaries (normal, polycystic, small cyst, large adnexal mass), bladder insert, pelvic organ prolapse insert, baby powder.15.Male & Female Catheterization Trainers Models SetPractice male and female urinary catheterization with anatomically correct models.Both models utilize a 16 FR catheter and can be used to demonstrate balloon inflation procedures.The models are individually mounted on a training stand and can be used on a tabletop or for patient simulation.A fluid reservoir allows for urine output upon successful completion of the insertion procedure.Models should able to teach sterile technique and insertion and removal of catheter, as well as practice preparing the patient for the procedure.16.Breast Examination SimulatorThe most lifelike model available for teaching and practicing breast palpation techniques.Special vinyl formulations have been used to create the most lifelike look and feel possible.A unique feature of this simulator is the realistic fluid breast mass. This mass allows displacement of breast tissue under palpation almost exactly as it occurs in a live patient.Each breast contains abnormalities. The left has a small nodule in the upper outer quadrant and a fibroadenoma in the lower inside quadrant. The right breast has a fixed lump in the upper outer quadrant and a fluid filled cyst in the lower inside quadrantThe simulator allows women to practice all phases of breast examination in both a sitting and supine position. This lightweight simulator is designed with a concave back to allow placement against the patient for ease in demonstrating or practicing palpation techniques.17.Nursing Manikin with AuscultationNursing Manikin with Auscultation offers 11 anterior and 4 posterior auscultation sites with 42 high quality sounds. The auscultation sounds library includes:21 heart sounds15 lungs sounds6 bowel soundsThe instructor can easily change the auscultation sounds on the controller tablet foreach of the 15 locations using NursingScope’s wireless functionality.Training with Nursing Manikin meets the OBRA requirements of Nurse Aide Training and Competency Evaluation Programs (NATCEP).See below for a complete list of training possibilities. Patient and personal care:Transfer skills: lifting, carrying, and moving a patientBed care of a patientPosition changing and alignment of a patientBathing a patient (genital care)Hair care (washing, combing, drying)Care and cleaning of eyes, ears and nosePersonal hygiene and mouth denture care (partially removable prosthesis)Bandaging (includes amputation stump)Wound treatment and care (surgical staple seam, laceration and abrasions)Communication skills, especially step by step explanation of care measures Enema administration Medical care:Prevention of bedsores (Decubitus)Decubitus evaluation (stages 2-4)Decubitus carePrevention of muscle crampsPrevention of pneumoniaPrevention of blood clots (Thromboses)Prevention of healthcare associated infection (HAI) by measures of medical asepsis and clean techniquesInhalation therapyOxygen inhalationUse of ventilation bag (mouth to mouth and mouth to nose)Artificial respiration, oxygen treatmentCare of tracheostomyCare of Diabetic Foot Syndrome (DFS)Ostomy care (colostomy)Irrigation of eyes and earsIntramuscular injections (buttocks)Subcutaneous injections (upper arms and thighs)Subcutaneous infusion The manikin also includes removable organs for additional patient care training features:Male catheterizationFemale catheterizationGastric (stomach) lavageIntestinal irrigationIrrigation of the bladderIrrigation of the vaginaAuscultation training with the included NursingScope simulated stethoscope:Train correct stethoscope placementTrain diagnosis of normal and abnormal heart, lung and bowel sounds and their variationsTrain correct anatomical terminologyTrain essential communication skills with patients and medical staffFeature overview of the Nursing Scope Auscultation Training Stethoscope:Nursing Scope’s Wi-Fi technology allows the trainer to remotely select sound scenarios for auscultation training and change them during a scenarioPerfect for training of one-on-one student or patient interactionUser friendly software that enables maximum flexibility: The system adapts to your specific requirements allowing virtually unlimited sound selections and scenariosQuick change of AAA battery Delivery content:Nursing ManikinNursingScope Auscultation Training StethoscopeNursingScope software (delivered on the tablet)RouterUSB cableOrgans (lungs, heart, stomach, bladder and intestinal section)Injection pads (upper arm, thigh, and buttocks)Intestine tube, catheter, duodenal probe18.MultiPad clinical skills trainers VenipunctureIM/SQ InjectionsNasogastric tube insertionLinear wound careDeep wound care/tunnelingTracheostomy careSuture careFemale perineum hygieneFemale urinary catheterizationRectal medication insertionSinus wound care/Packing19.ACLS Manikin Technical Specification of ACLS SimulatorSIMULATOR :Should have realistic aesthetic, easy to use, true mobility, wireless and tether less manikin.Should have Two Platforms (interchangeable genitalia) in one (Easy to convert from Femaleto Male) for teaching and training.NEUROLOGIC SYSTEM:Should have realistic eyes with reactive pupils to display different state of pupil : Normal ,Dilated and BlownMannequin should have simulated eyes to indicate patient condition for these ailments(Keyhole, Jaundice, Blood shot eye, Cataracts, Haemorrhage and Droopy Eyelid pupils)ARTICULATIONShould have realistic articulationShould have range of motion in hips, knees, ankles, shouldersShould have Cervical motion for practice of patient stabilizationAIRWAYShould allow practice of following techniques:Bag valve mask (BVM)ventilationOrotracheal and nasotracheal intubationEndotracheal,retrograde and fiberoptic intubation and placement of various airway adjunctsTranstracheal jet ventilationNeedle and surgical CricothyrotomyTracheostomyRight mainstem intubation and detectionStomach distention with esophageal intubationLaryngospasmBREATHINGIt should have spontaneous breathingIt should have bilateral and unilateral chest rise and fallIt should have lung auscultation sites on anterior chestIt should have upper airway sounds : Stridor and GurglingIt should allow practice of bilateral needle decompressionCPRIt should be compliant with 2015 AHA guidelines and ERC guidelinesIt should have realistic chest compression depth and resistanceIt should have CPR performance metrics that detects hand placement, rate and depth of compressions, recoil, ventilations and ventilation: compression ratioIM MEDICATION ADMINISTRATIONIt should have three intramuscular sites: Deltoid and bilateral Vastus lateralisCARDIACIt should have 4 lead ECG monitoring with real patient monitorIt should have 12 –Lead dynamic ECG displayIt should have Defibrillation, cardioversion and pacing using real equipmentCIRCULATIONIt should have unilateral blood pressure measurement by auscultation and palpationIt should have bilateral carotid and femoral pulsesIt should have unilateral radial and brachial pulsesIt should have variable pulse strength based on patient conditionSOUNDSIt should have properties of auscultation of normal and abnormal heart ,lung and bowelsoundsIt should have simulated stethoscope utilizing radio frequency technology for auscultation ofHeart ,Lung and Bowel.It should have bidirectional audio communication between manikin and operatorVASCULAR ACCESSIt should have Unilateral IV cannulation at antecubital and dorsum of handIt should have ultrasound training module insert for IV cannulation/PICCURINARYshould allow practice of urinary catheterization without fluidsIt should have interchangeable genitaliaIt should be supplied complete with:Simulator -1 nos.Wireless simulated stethoscope -1 nos.Tablet with integrated software for running simulator and creating various patient scenarios -1 nos.Simulated Eyes -1 nos.SimDefib 01 nos.Ultrasound training model insert for peripheral IV cannulation and infusion – 1 nos.Consumables 01 set (IV Hand Injecting Site, IV Elbow Injection Site, Deltoid Injection, Thigh Injection adult, Full Length Sleeve, Neck band, Crico Tape, IV Replacement Tubing Kit)Six preconfigured clinical scenarios:Cardiopulmonary ArrestClosed Head Injury and Pneumothorax Heroin OverdoseInferior-Posterior Myocardial Infarction Sepsis with HypotensionStrokeartery, subsclavian artery, and axillary artery as well as anatomical landmarks including the trachea clavicle the two head of the sternocleidomastoid muscle manubrium and the sterna notchPositive fluid flowin the vessels should provide users with immediate feedback when vessels are accessedSimulated blood fluids in the arterial vessels should differ from the venous system allowing for user to easily verify successful venous access proceduresTissues shouldmatch ch the acoustic characteristics of real human tissue.Arterial pulsation are simulated using a provided integrated automated pumping system Sd/-Director ................
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