23.01.2018 tender for fixing rate contract … text add to the end of technical ... 6. govt. rajaji...
TRANSCRIPT
23.01.2018
TENDER FOR FIXING RATE CONTRACT FOR SUPPLY AND INSTALLATION OF LINEAR ACCELERATOR TO MEDICAL
INSTITUTIONS IN THE STATE OF TAMIL NADU TENDER NO. 246/LINAC/TNMSC/ENGG/2017, DT.12.12.2017
CORRIGENDUM
A. The following amendment is issued:
SI.
No.
Location Instead of Read as
1. Page no. 51 Section V: Schedule
of requirements
Existing text Revised text at Annexure I
2. Page no. 54
Section VI: Technical Specification
Existing text Add to the end of technical
specification. 4. Technical Specification
for Advanced Dual Energy
Linear Accelerator at Annexure II
3. Page no. 218 Section VII : Bid form
and Price Schedules
Price Schedule
Existing text Revised text Annexure III
The due date is extended as follows:-
Sale of Bid document : up to 08.02.2018
Date & time of submission of bids : 09.02.2018 up to 11.00 AM
Date and time of opening of bids : 09.02.2018 at 12.00 Noon
All other terms and conditions of the tender remain unaltered.
The above corrigendum with annexure forms part of the tender
document. The bidder shall attach a copy of this corrigendum duly signed by
their authorized signatory in their bid.
Sd/-
General Manager (Equip)
Annexure-I
SECTION – V
SCHEDULE OF REQUIREMENTS -REVISED
Sch.
No.
Brief Description Unit Qty.
Bid security
(Rs.)
1. Dual Energy Linear Accelerator with optional items
Nos. 6 Rs. 45,00,000/- 2. Dual Energy Linear Accelerator
3. Single Energy Linear Accelerator
4. Advanced Dual Energy linear Accelerator
Delivery Schedule: - 90 days from the date of purchase order
Place of Delivery:- The above equipment is delivered at
1. Rajiv Gandhi Government General Hospital, chennai
2. Govt. Royapettah Hospital, Chennai.
3. Govt. Coimbatore Medical College Hospital, Chennai
4. Govt. Thanjavur Medical College Hospital, Chennai
5. Govt. Tirunelveli Medical College Hospital, Tirunelveli
6. Govt. Rajaji Hospital, Madurai
Note:
1) The quantity indicated is tentative and the actual quantity may vary at the time of
placement of orders. No claim on such variation will be entertained.
2) The bidders are permitted to quote any one or all the Schedule.
3) TNMSC reserves the rights to procure any number of Linear accelerator to any of the
listed hospitals in any of the four categories based on the price differential and case
loads and the relative advantage of prices with respect to higher specification. The
decision of TNMSC in this aspect shall be final.
4) The rate contract will be for a period of 3 years from the date of notification of
award.
5) The bidders are also permitted to quote the imported component price in any foreign
currency which will be converted into Indian Currency fixed by SBI on the date of
opening of technical bid for evaluation of prices and the bidders should quote for the
other component in Indian Rupees.
6) For the rate contract, the imported component price will be frozen at the foreign
currency rates for a period of three years from the date of notification of award and
the payment will be made at the time of actual placement of order and at the
prevailing exchange rates. The customs duty, GST etc., will be at the actual rate at
the time of placement of order. For the local currency quoted items, an annual
increase of 4% per year will be given.
7) The bidder should indicate the following break up in their price bid.
a) CIF value of imported component.
b) Applicable customs duty on the assessable value.
c) Customs clearance charges.
d) Local transport to site.
e) Local accessories.
f) Installation and commissioning including turnkey.
Annexure-II
Technical specifications of ADVANCED DUAL ENERGY LINEAR
ACCELERATOR (LA)
Advanced Dual Energy Medical Linear Accelerator shall have futuristic advanced platform and
shall have minimum photons of 6 and 15 MV & any five electron beams from 6 to 20 MeV range. The
Linac shall deliver 1.IMRT, 2.VMAT/RAPID ARC, 3.ARC, 4.3D CRT, 5.SRS/SBRT and gated Delivery as
package and shall be upgradable in future. Such options shall be offered in the tender and shall have
validity of at least 3 years for such upgrade / any options, if the hardware upgrade is required, that
shall be costed in and quoted to avoid any hidden charges in executing such options / upgrades. The
main equipment and major features shall have AERB type approval / NOC and shall have FDA or CE
approval.
1. The unit shall meet all the radiation safety standards & Quality Assurance of it mechanical,
electrical and electronic provisions set by regulatory bodies(AERB).Machine shall be typed
approved by A.E.R.B and System shall have all safety interlocks as per AERB guideline.
2. FDA or CE certificate must be provided.
3. It should be the Current model of the machine and software of Treatment Planning system
should be of latest version and should be fully digital .It shall be brand new machine.
Supporting documents to be furnished.
4. Company should provide the certificate of life of machine.
5. Company should give the undertaking for supply of spares for 10 years.
6. Software updates with all added features should be provided free of cost of warranty
period.
7. Company should be responsible for commissioning and handling over the machine to
institute in fully running (proper working) condition.
8. The scope of works for the rate quoted should include installation and commissioning also.
9. Prices quoted for optional items and future upgradation shall be valid for three years after
installation.
10. Company shall make free replacement of damaged parts within 72 hours during warranty at no
additional cost.
11. In case of any replacement of parts during warranty/ guarantee period all formalities such as
import license AMI and DE certificate etc connected with such as import of replacement shall be
compiled with by the bidder. In addition, the payment of custom duty clearing and transportation
charges shall be borne by the bidder.
12.Bidder must provide list of spare parts.
13. Proof of all & every statement, certificates should be enclosed from the principals if quoted by
their authorized bidder.
14. Networking and configuration with existing CT/MRI & procuring equipment should be done by
the bidders at their own cost. No extra payment will be made to them for this work.
15. Company shall provid ecertificate of trouble free operation of machine for five years for current
year from existing five users.
16.The warranty for the LINAC and its associated systems shall start from the date of AERB’s
commissioning approval and the date of handing over of the machine after Complete Acceptance
procedures by the enduser shall not be counted for the warranty.
17.Please note that the price SHALL INCLUDE ALL EXPENSES including the Customs clearance,
insurance, freight, customs duty, clearance charges and also all expenses towards the maintenance
and repairs of the entire LINAC assembly including spare-parts, electrical and electronic items, computer systems, Chiller systems (including refilling of distilled / industry standard water),
networking, accessories, etc. All necessary licences should be enabled and made to be avilable to the end user atleast till completion of CAMC .
18.List of consumable items like printer cartridges, etc which are not covered by the warranty clauses
must be clearly identified and declared by the vendors in the tender. The cartridges and other
consumable items of the printer must be available locally for a minimum period of 3 years.
19.Posting of a resident engineer on site is highly preferred . A list of certified service engineers
available should be provided.
20.The installation of the LINAC shall be done by the experienced engineer(s), who has installed at
least 5 installations of similar model.
21.The Chiller system shall be provided along with the machine and the warranty and maintenance
costs should be included in this LINAC offer.Chiller room responsibility (installation, maintenance, off
time etc.) should be of company.Chiller room architectural drawing and other details should be provided
by the company.
22.A closed-circuit color TV system with TV monitors and two cameras in the LINAC treatment room
shall be supplied.
23.A patient calling system with 6 channels shall be supplied.
24.Last five purchase prices of the same equipment should be provided along with supporting
documents and complete address and telephone numbers of purchaser is to be provided.
25.The company should be responsible for installation, commissioning, maintenance and down time
of the machine, software, accessories and networking which will help directly and indirectly
in proper functioning of the machine.
26.In case the Indian representative (agency/company) of company changes it shall be
responsibility of company to run machine till it’s full life. Original company should submit declaration
for this.
2. BASIC EQUIPMENT
a. The accelerator shall be capable of producing two clinically useful photon beams with energies of 6
MV and 15 MV. The minimum characteristics of each energy for a 10x10 cm field at 100 cm TSD should
be as follows:-
For all the energies quoted, specify the above characteristics. A difference of + 2% in the depth dose
data from the IEC published values.
Energy (MV)
Nominal D max (cm)
%
%Depth Dose at 10 cm
depth (10x10cm field)
6 1.5+0.2 67.1+1.5
15 3.0+0.2 76.5+2.0
b. Dose Rate Beam Stability
1. The X-ray dose rate shall be variable in steps and the X-ray dose rate shall be variable 100-600
MU/minute or more for both 6 and 15 MV X-ray energies. The treatment dose rate should be at least
600 MU/minute.
2.Linac Dosimetry Control System The LINAC shall have built in dosimetry chambers with two separate
sealed or unsealed chambers. Parameters of dosimetry system shall be as follows:- Precision + 1% or 1
MU Linearity + 1% or 1 MU Reproducibility + 2% or 1 MU Dose Rate Dependence.
c. Photon Beam Energy Stability:
1.The quality index of a photon beam should not vary with time by more than + 1% or comply AERB
requirements.
2.The bend magnet system shall be provided with energy defining apertures such that the nominal
energy of the electrons beam existing from the bend magnet shall be within + 3% of the nominal energy
selected at control console for both photons and electrons.
3. RF Source: Magnetron / Klystron, RF Driver, Thyretron (RF) and RF coupler combination with 10 years
full replacement warranty on full RF chain
4. Waveguide Type : Standing / Travelling wave
The Wave guide shall have at least 15 years full replacement warranty.
5. Electron Gun : Sealed / Unsealed and shall have at least 10 years full replacement warranty.
f. Treatment Modes Normal – TSD / TAD Rotation – CW / CCW ARC – CW / CCW Dose rate – MU /
degree
3. Field size specifications
The field size is defined as the distance along the radial and transverse axes between the points of 50%
density on an x-ray film taken at 100 cm TSD with minimum buildup. The display, light field size and
mechanical display should be accurate to within + 1 mm for field sizes _10 x 10 cm2 and _2 mm for field
sizes >10x10 cm2 or comply AERB requirements.
The accelerator shall provide a continuously variable rectangular, unclipped field size from 1 x 1 cm2 to
35 x 35 cm2 at 100 cm SSD. The Maximum clipped field size should be equal or exceed 40x40 cm2 at 100
cm SSD. Clipped corners are unacceptable for field smaller than 35x35 cm2.
4. Radiation Field Penumbra
The width between the 20% and the 80% isodose lines measured for 10x10 cm at depth of 10 cm at 100
cm SSD should not be more than 7 mm.
5. Congruence between optical & Radiation fields:
The congruence between optical and radiation fields for all photon energies for 5x5 cm2, 10x10 cm2,
30x30 cm2 or for a field of maximum dimension for 0 deg, 90 deg, 180 deg and 270 deg deg gantry
angles with SSD=100 cm at the depth of reference plane should be as per FDA / AERB recommendation.
6. Beam Profile
Field Flatness Specifications Variation of x-ray intensity relative to the central axis shall be _ + 3% at 100
cm SSD and 10 cm depth over the central 80% of the field for the longitudinal, transverse and diagonal
axes of all field sizes from 10x10 cm to 40x40 cm. Stability of the flatness with gantry rotation at 0 deg,
90 deg, 180 deg and 270 deg at 10 cm depth on x, y and diagonal axis for all field sizes from 10x10 cm to
maximum field size should not be more than + 3% (As per IEC guideline). The
flatness criteria applied to beam profile at D max should show peripheral horns not exceeding 105% of
the central axis dose.
7. Field Symmetry Specifications:
The maximum percent difference of average doses shall not exceed + 2% for the longitudinal and
transverse halves of the field at 100 cm TSD and 10 cm depth at gantry angles of 0, 90, 180 and 270
degrees. Field sizes shall be specified as 10x10 and 40x40 cm2. Average dose is defined as the
arithmetic average of minimum and maximum doses within the central 80% of the field for both axes.
8. Beam matching : The successful bidder shall have to do the beam matching of the photon beams of
the system with the photon beams of same energy of existing LA machines of the Institute.
9. X-ray Contamination
The X-ray / electron / Neutrons leakage and contaminations should comply the AERB guidelines. All
safety systems including head leakage should be as per IEC / AERB guidelines.
The x-ray contamination of the electron beam shall be less than 5% of the maximum dose for all
energies specified previously.
a. X-ray absorbed dose due to leakage radiation (excluding neutrons) outside useful beam but inside
a plane circular area of radius 2 m centered around and perpendicular to central axis at normal
treatment distance as per AERB.
b. The electron contamination should not be more than 1%.
c. Radiation leakage limits shall be within appropriate regulatory agency guidelines as follows:-
1. Photon leakage. The photon leakage rate at any point one meter from the target outside the cone
defined by the primary x-ray collimator shall be less than 0.1% of the absorbed dose at the isocenter.
2. Collimator transmission. The movable collimators shall not permit transmission of radiation exceeding
0.5% of the central axis dose at Dmax measured in air for both photon energies.
d. Neutron leakage. The neutron leakage rate should not exceed 0.15% expressed in neutron dose
equivalent (REM) when added to the photon leakage for a 10x10 cm field at the isocenter at any point
one meter from the target when the jaws are closed or to comply AERB requirement.
10. Electron Energy : minimum 4 Beam energies between 4-18 MeV (more energies if available may be
offered without any additional cost).
a) Dose-Rate for electron energy : Please specify the dose rates and higher dose rates for special
treatments.
b) Field Size
The electron beam size is defined by the inside dimensions of the electron beam applicators projected
geometrically to a plane surface at 100 cm SSD. At least 4 applicators preferably with
Minimum – 5 x 5 cm2, Maximum – 20x20 cm2 or more; there shall be an arc applicator provided for
electron arc treatment.
A method to obtain irregular field shapes shall be provided.
It shall be possible to visualize both the field defining light and the optical distance indicator with an
electron applicator in place.
c) Beam Flatness (Electrons)
Variation of electron intensity relative to the central axis shall not exceed 5% over within the central
80% of radial and transverse axes for photons field sizes 10x10 cm to 20x20 cm at 10 cm depth and
satisfy local and Indian regulatory AERB requirements.
d) Beam Symmetry:- The maximum percent variation in the average electron intensity to the
longitudinal and transverse halves of the electron field at D max for a 10x10 cm and 25 x 25 cm field at
100 cm SSD shall not exceed + 2% at gantry angles of 0, 90, 180 and 270 degrees.
The average electron intensity is the average of the maximum and minimum points within the central
80% of the field for each of the axes.
11. Other Specifications
a) The target to axis distance should be 100 + 0.2 cm or to comply AERB requirement
b) The isocenter shall lie within a sphere of radius 1 mm or to comply AERB requirement
c) The accelerator gantry shall be capable of rotation equal to or greater than 360 degrees with a
variation of the mechanical and radiation isocenter during rotation of less than + 1.0 mm throughout
the entire rotation with variable gantry speed.
d) Digital scales indicating gantry angle position shall be provided both in then treatment room at the
control console. Accuracy of the scales shall be + 0.5 degree.
e) The distance from the end of the lower collimator to the isocenter shall be > 41 cm.
f) The bottom of the blocking tray should be greater than 30 cm from the isocenter.
g) The height of the isocenter above the finished floor shall be less than 130 cm
h) Digital scales indicating collimator angle position shall be provided both in the treatment room and at
the control console. Accuracy of the scales shall be + 0.5 degree.
i) The Chiller system shall be the integral part of the equipment supplied. Local chillers shall not be
accepted.
j) Imported voltage stabilizer shall be provided for power spike protection.
k) In addition to meeting above specifications for radiation leakage, the LINAC should also meet all the
mandatory safety and radiation leakage regulations or as specified by AERB.
l) Focal Spot size should be 1-2 mm (smallest is preferable)
m) 80 KVA or more UPS along with battery should be provided to give back up at least 30min for the
machine, machine room & control console room in case of power failure.
12. Photon Arc Therapy Bi-directional arc therapy should be included with Automatic calculation of Dose
per Degree based on the Dose Rate selected and the Arc angle set.
13. Beam characteristics: for electrons and Photons shall satisfy local and Indian regulatory authority
which is mandatory.
14. Gantry
a) Rotation + 1800 (3600 total) b) Read out – Digital and Mechanical c) Accuracy dig-readout 0.50
d) Control – Hand pendent and control –console e) Target – Axis Distance. -100 + 2 mm or better f)
ODI Range – 75 cm to 150 cm g) ODI Accuracy + 0.1 cm h) Gantry Rotation Isocentre less than or
equal to 2 mm dia. Sphere please specify.
15. Collimator: i) Rotation - Preferably + 1800 rotation j) Control – Hand pendent and control –
console k) Readout accuracy - + 0.50 l) Collimator Rotation Isocentre 2 mm dia. Sphere
16. Physical / Motorized / Dynamic / Virtual Wedge – Please specify.
17. Asymmetric jaws
a) X & Y both Asymmetrical b) Travel ranges – X & Y : Please specify
18. Multi-leaf collimator(MLC)
a) No of leaves 120 or more.
b) Independent drives for each leaves .
c) Leaf size/width : atleast 5mm at the isocentre with suitable thickness at the periphery.
d) Work station : Latest version.
e) Integration (full Networking), conventional Simulator, CT scanner, CT Simulator, MRI & RFA should be
done via Planning System) .
f) 3D CRT, IMRT, VMAT/RAPID ARC delivery shall be offered. VMAT / RAPID ARC shall have dynamic
control of MLC, dose rate, diaphragm, gantry, collimator rotation and shall be capable of full field
VMAT / RAPID ARC, SRT & SBRT capability.
g) Leaf retracting position : please specify
h) High over center travel of MLC leaves (>10cm) for all treatments.
i) Leaf height : please specify
j) Leaf material : please specify
k) Coincidence of light & x-ray field + 2mm .
l) Penumbra shall be < 7 mm for( 10x10 field ) Transmission within 0.5% .
n) X-ray leakage within 0.2% .
o) Minimum leaf speed shall be 0cm / second .
p) Positional accuracy of the leaves during treatment 0.5 mm .
q) Inter-digitization of leaves shall be provided.
s) Two nos. of treatment in-room monitors 19” TFT to be provided.
Stereotactic solution:
Detachable micro-multileaf collimator should be fully networked, integrated and compatible
with offered linear accelerator, latest model and technology to perform SRS/ SRT . All the necessary
software and hardware should be quoted and all the licenses required for routine clinical uses should be
permanent ones and should be offered.
1.14.1. Field size should be at least 10 cm X 10 cm.
1.14.2. Number of leaf pairs should be more than 25
1.14.3. Leaf size/width should be atleast ≤ 5 mm at center with suitable thickness at the periphery.
1.14.4. Through leaf the radiation leakage should be less than 1% of the photon intensity for all photon
energies. The interleaf radiation leakage should be less than or equal to 3% (i.e. ≤ 3%) of the photon
intensity for all photon energies.
1.14.5. Clearance to isocenter ≥ 30 cm.
1.14.6. Leaf speed ≥1.5 cm./sec.
1.14.7. Leaf over travel = 10 cm.
1.14.8. Optical and radiation field congruence should be within ± 2 mm at 100 cm SSD.
1.14.9. The system should have latest version of CPUs and mMLC controller computer and workstation
computer with adaptability for future upgradation.
1.14.10. The mMLC should be integrated to the computer control system of the LINAC.
1.14.11. The mMLC should be fully integrated with Linear accelerator and should be part of the
networking systems (Stand alone systems will not be considered)
1.14.12. Provide details of complete QA kit for SRS & SRT.
1.14.13. The system should have automatic safety interlocks. System should be able to switch the
LINAC beam off incase of any malfunctioning. Leaf positioning control should be monitored by the
secondary feedback system.
1.14.14. The mMLC should allow IMRT techniques. The device should be supplied on separate storage
trolley.
1.14.15. The Linac system should function and continue to treat patients with conventional treatments
even if MLC leaves are in repair.
1.15. Stereotactic radiosurgery accessories
1.15.1. Head Ring assembly for SRS:
Should be supplied with artifact free, autoclaveable pins of different sizes, a torque wrench to adjust
the safe pin pressure, adjustable fixation post in length to treat deep seated lesions down to C1 and
intubation front piece for the emergency intubation.
1.15.2. Mask System for Cranial SRT:
The device should ensure repeat fixation accuracy in lateral & axial directions. The system should
ensure access to oral treatments & intubation without removal of the device. The system should ensure
consistent reposition accuracy.
1.15.3. Head & Neck System for immobilization:
The device should cover treatment area up to T1 vertebra. The system should ensure consistent
reposition accuracy. The device should offer tilt adjustment in X & Y axis.
1.16 :Planning System for SRS/ SRT .
1.16.2. The planning system should be compatible, networked and demonstrated to the customer
with the Micro multi-leaf collimator and the linear accelerator and perform conformal planning for
Stereotactic radio-surgery/ radiotherapy .
1.16.2.1. Hardware:
1.16.2.1.1. A Latest High Power Intel dual Processor workstation
1.16.2.1.2. 2048 MB Main Memory
1.16.2.1.3. 2 x 70 GB Hard disk (RAID Level 1) min.
1.16.2.1.4. DVD R/RW burner
1.16.2.1.5. Keyboard and Mouse
1.16.2.1.6. MS-Windows XP
1.16.2.1.7. 21" Flatscreen Monitor (1280 x 1024)
1.16.2.1.8. 48 cm visible screen diagonal
1.16.2.1.9. ISO A3 color laserjet printer for documentation of treatment plan
1.16.2.1.10. Prints patient set-up templates for Target Positioning
1.16.2.2. Software
1.16.2.2.1. The Planning System should provide data acquisition, for treatment planning, can be done
using CT/MRI/SPECT/PET and Simulator CT slices and angiographic films via film scanner.
1.16.2.2.3. The software must be capable to import patients’ data from CT scanner, MRI and simulator
(existing in the department) by RT DICOM. Complete DICOM-RT license must be given (import/export
for all DICOM-RT objects and IMRT fluence) to facilitate seamless integration with all other planning
systems, imaging systems and QA systems in the department.
1.16.2.2.4. The software should include all the licenses required (DICOM RT, DICOM-3 etc.) and these
licenses should be permanent ones. The successful bidder should demonstrate its actual applications
with patients during installation. Mere wordings like capable of / compatible etc are not accepted.
1.16.2.3. Treatment Planning
1.16.2.3.1. The s/w should offer the automatic treatment planning tools
1.16.2.3.2. Automatic Marker detection
1.16.2.3.3. Automatic image fusion
1.16.2.3.4. Automatic isocenter placement
1.16.2.3.5. Beam library
1.16.2.3.6. Automatic field shaping
1.16.2.3.7. Automatic collimator optimization
1.16.2.3.8. Auto-contouring
1.16.2.3.9. Editing of contours without completely reentering of data Possibility to expand/shrink
Objects (e.g. definition of boost volumes) independently in all 3 dimensions.
1.16.2.3.10. Auto Segmentation using atlas or template information.
1.16.2.3.11. Possibility to elastically fuse structures from a brain atlas onto the specific patient data for
auto segmentation.
1.16.2.4. Intensity Modulation
1.16.2.4.1. Software should feature inverse planning capabilities. The system should offer an integrated
leaf-sequencing algorithm, tongue and groove optimization based on leaf sequencing & leakage for the
dose calculation.
1.16.2.4.2. The system should individually adjustable Dose-Volume constraints for PTV, Boost
Volume and OARs. The system should offer importance weighting for OARs and simultaneous multiple
plan optimization.
1.16.3. The offered mMLC based SRS/SRT system should be able to support frameless stereotactic
radiosurgery procedure. Similarly it would be highly preferable to have the latest clinical applications
like dynamic IMRT, and dynamic conformal arc techniques in the offered mMLC system.
1.16.4. The stereotactic ion chamber detectors (Pinpoint & diamond detector) along with electrometer
shall be provided. Provide its characteristics and specifications.
The chamber must be supplied with calibration certificate.
19. Treatment Couch:
a) Versatile extended range shall be supplied. b) Movement range : Please specify. c) Electrical &
Mechanical Control in case of power failure. d) Control-Local and / or Remote e) Shall have indexed
carbon fibre table top f} shall be provided with laser gaurd or any other anticollision mechanism.
20. Accessories:
a) Front and back pointer – mechanical and / or laser. b) CCTV / Camera Two nos. one wide angle &
one remote control with remote zoom & focus facility . c) Laser alignment system – Green / Red
colour (3 cross + 1 line) . d) A patient communication system with 6 channels shall be supplied. e)
Interface mount to be provided for shadow trays.
21. Portal Imaging(EPID) &Accessories
a) Portal imaging should be fully integrated with Accelerator. b) Should be able to take images at
any Gantry angles with variable X-Y movements , Robotics Arm with remote control. c) Should have
Digital technology with High Resolution 1024 x 768 pixels or more Imaging (Amorphous Silicon Flat Panel
Based /scintillator Based Technology) d)The retractable arm of the detector should be either manual or
robotics type and remote controlled
22. (a) Preferably KV based 3D IGRT and KV/MV based Portal Imaging shall be provided and such
system shall have FDA/CE clearance. The System shall have x-ray source which may be manual or
automatic movement with an automatic flat panel system of 1024 x 1024 pixel or higher and shall have
software for 2D radiography, 2D fluoroscopy and 3D cone beam (volume) CT software’s, with manual /
automated DICOM. kV / MV IGRT QA tools.
23. Oncology Information System complete with Networking
Features shall include –
a) Record & Verify System
b) Transfer of all parameters from available CT Simulator / scanner, MRI, PET-CT, if DICOM is available to
Treatment Planning System and contouring station for Automatic contouring etc.
c) Transfer of all parameters Treatment Planning System to the linear accelerator for Automatic
treatment setup & delivery.
d) Transfer of Fluoroscopy images from CT Simulator to Portal Imaging System for Comparison.
e) Transfer & Execution of MLC Position Parameters for normal treatment & IMRT treatment including
step & shoot and Sliding Window (Dynamic), VMAT/RAPID ARC or SRS/SRT techniques from Treatment
Planning System.
24. Dosimetry and QA
Radiation Therapy Beam Analyzer
Require a full-fledged three dimensional Water Phantom & Dosimetry System and therapy beam
analyzer for performing Off-axis profiles, PDD, point dose measurement, beam symmetry tuning, Dose
rate constancy check, vector scan and TG51 lead foil measurement for flow and high energy Photon and
electrons. All the measurements should be computer controlled and user friendly. All components
comply with national and international regulations and safety rules. All components of the system and
all available options are controlled by the same software that runs under Microsoft Windows of latest
version of window 2000 and Windows XP. The system should suitable to measure pulsed radiation with
fluctuation dose rate.
Ion Chamber:
Necessary thimble ionization chamber should be there for measurement of field and reference
signal. A thimble chamber of 0.6 cc volume and a plane parallel chamber should be there for photon and
electron absolute dose measurement. The necessary holding devices and extension cables for the above
chambers must be included. The chamber specifications should be quoted. The position accuracy
should be better than + 0.1mm. The chambers should be properly calibrated and given necessary
calibration certificate. The positioning tool should be there to allow easy and exact
positioning of the chamber’s geometrical centre in the central beam and at the water surface. Apart
from this the exact position of the chamber in the radiation beam should be possible via software.
The detector unit should be driven by stepper motor and step length should be adjustable in steps of 0.1
mm. The scanning speed should be adjustable between 5mm/s and 50mm/s in 5mm/s small steps.
Further the delay times for each step should also be adjustable by the user. The acceleration of the step
movement should also be changed as and when required.
The system should allow simultaneous movement in available direction for any vector scan.
The zero point, reference point and limit of the different detector units should be stored separately and
permanently in the control unit.
The control pendant should display the actual position of the chamber position at any given measuring
time.
Water Phantom / Radiation Field Analyzer:
a)The scanning volume should be large enough to scan and should not be less than 48x40x48 cm.
b)To avoid bending of the tank’s walls by water pressure and water absorption of the acrylic material
the wall thickness should be not less than 2.0 cm.
c)The motor of the moving mechanism should not touch not nor dip to the water to avoid mechanical
stress to the acrylic tank.
d) The reproducibility of a position should be + 0.1 mm throughout the whole phantom.
e) The digitally driven stepper motors should provide hysteresis free movements (stick and slip free).
f) The lift table should be electrically as well as manually operable.
g)The velocity of the vertical motion should be quoted and preferably should have two vertical
velocities.
h)The Water Tank must be rotatable into positions 0 degree, + 45 degree and + 90 degree.
i)A highly accurate Positioning device directly supplied by the principals must be included.
Water reservoir:
The water reservoir should be large enough to store the water and can be pump and drain to the
water phantom as quick as possible. The water Reservoir must be able to hold the entire weight of the
water without any change .The weight of the whole assembly can be puss or pull though the wheel with
polyethylene or equivalent.
The lifting carriage should be electromechanical / elevating screw mechanism that keeps the height
absolutely accurate.
The Lifting carriage and Water Reservoir must be imported and directly from the suppliers and must be
complete with all facilities including TPR and TMR measurements.
Completely Integrated Lifting Carriage and Water Reservoir.
The Water Reservoir must be compatible for TPR measurements and hence for TPR measurements the
pump of the reservoir should drive automatically and electromagnetic valves makes sure that no water
can flow the phantom tank to the reservoir during automatic TPR measurement.
The water reservoir should have a safety circuit that avoids the dry pump running.
Control Unit / Electrometer:
A separate control unit for controlling the movement of the detector in any three directions should be
possible.
A separate electrometer to collect the ions / dose from the chamber / detector should be there. The
voltage to the chamber should be adjusted in the electrometer in steps of 50 V. The polarity of the
chamber should be toggled between +/-. The electrometer should also be able to measure absolute
doses for low and high energy photon and electron.
The gain of the electrometer should be automatic depending upon the signal collected by the field and
reference detector. Further the user should also be given an option to change the gain to field and
reference separately.
Necessary software to use the electrometer for absolute measurements should be provided.
The time constant should allow 10ms measurement times.
The external dosimeter should also be connecting to the water phantom.
The control unit should permanently store zero point, reference point and limit points for water
phantom, air scanner and mechanical film densitometer separately.
These different sets of limit, zero and reference points can be retrieved independently.
The co-ordinates of the probe should display for all directions, simultaneously on a control pendant.
The control pendant can be attached either to the water tank or to the control unit.
The communication between the control unit and the computer should performed by a standard RS232
interface.
The high voltage for the probe should be switchable independently for each decreased in different
voltage and sign of the measuring signal can be reversed.
A solid, water equivalent phantom made up of slabs of different thicknesses shall be provided by the
vendor for external beam teletherapy dosimetry. It shall be possible to use this phantom for both
photon and electron beam dosimetry. The phantom shall be free of contaminants and air bubbles. The
slab shall be of 30x30 cm or more size totaling a thickness of 30 cm.
Control Computer: The latest version of windows computer should have all the latest feature with color
monitor and with printer / plotter (color) and branded UPS (45 min. back-up).
The software
Measurements can be done against time, against a monitor signal or against reference chamber.
Within the moving range arbitrary points can be measured. An arbitrary vector scan measurement
should be possible.
Point dose measurement, Beam symmetry tuning and TG51 foil measurement should also be possible.
2D planes can be measured at any solid angle.
Isodose can be displayed and plotted that can constructed out of profiles and depth dose curves or
measured matrices. The Isodose level should be freely closable Warning before unsaved date in the
RAM should be overwritten.
The Isodose levels can be chosen after the measurement and without the necessity to have the water
phantom connected.
Multiple closed Isodose lines and hot spots should be detected automatically.
Single measuring points, complete curves and parts of curves should be remeasured from a user
definable point.
During the measurement the measuring curve should be display graphically and online on the screen.
A special measuring program allows a dose rate constancy check including a statistical evaluation.
Any kind of open, regular shaped, blocked or wedged field can be measured.
Fields from asymmetric collimators can easily be measured.
A special measuring routine for service purposes allows to easily checking the beam with respect to
symmetry, flatness, homogeneity and energy.
Implemented routines allow the measurement, formatting and transferring of basic date to all-
important therapy planning systems.
Ion chamber based survey meters to be provided.
Secondary standard dosimeter with appropriate thimble chamber and parallel plate chambers with
latest calibrations to be provided including pin point chamber for small field dosimetry with phantoms,
barometer and thermometer.
Solid equivalent slab water phantom with adapters for the above mentioned chambers should be
provided.
Film Dosimetric software should be provided for treatment verification.
Administrative Data:
Comprehensive documentation of the measured data by automatic saving of the used measuring
environment should simplify the interpretation of data even a long time.
The used measuring routine data can be reused either unchanged or with some of the parameter
changed.
Data can be printed and plotted in numerical and graphical form on all printers and plotters that are
supported by windows.
The administrative data can be changed after saving the measuring data. All measuring data should
furnished automatically with their administrative information and comprehensive filter function allows
the easily selection of specific data.
The necessary software to network the 3D TBA system with the existing 3D TPS in the department of
Radiotherapy must be offered.
Data Analysis:
Various normalization should possible viz. normalization to maximum for depth dose curves,
normalization to maximum or center for profiles and normalization to maximum, enter, position and
value for isodose lines.
Homogeneity and symmetry should calculated automatically and various national and international
protocols can be selected.
Depth dose curves can be analyses according to the protocols DIN 6800/2 IAEA TR277, ICRU 35, CRMRI
no.2, AAPM TH21/TG 25 and NACP.
Data transfer and data presentation:
Modules should allow automatic formatting and transferring of measured data to treatment planning
system available in the department.
The measured data can be stored in two different ASCII-formats (with selectable separation characters).
ASCII-data can be sent from external computers and be imported in to the water phantom software.
Image date for film dosimetry can be imported in to water phantom software. Data can be display
graphically on the screen.
Crosshairs should allow the easy manual evaluation of a curve.
1. Plotting / printing of the measured data and correction functions can be printed (alphanumerically)
and plotted (graphically).
2. Accessories for 3-D planning and treatment delivery
2.1. General: The following items are required in developing and implementing of a comprehensive,
ultra-modern 3-D conformal radiotherapy, and intensity modulated radiation therapy program
in the department of Radiotherapy. For all the items the vendor should provide the product
information brochures.
2.2. Hot-wire Cutter / Manual Styrofoam Cutter: One hot-wire cutter for making custom shaped
blocks for variable SSDs should be quoted. Low melting alloy should be supplied. High quality
Flatfoams 40 PSI DOW® Oncology Styrofoams for Photons (6 & 15 MV) and Electron foams with
different thickness for electron energies 6, 9, 12 & 15 MeV, with 100 numbers for each energy
for both photon and electron beams, should be included in the offer.
2.3. Block Casting System: A block casting system should be quoted for filling the Styrofoam milled
using the above system with low melting point alloy. The system should have a solid-state Alloy
Melter with digital readout. It should have precise temperature control and have advanced
alloy dispenser.
2.4. Electron Foam Cutter (220 volts with Nickel chrome wire assembly) Two electron foam cutters
with large cutting surface for cutting high density foam for making electron cut outs for
radiotherapy patients. Appropriate high density flat foams of 30x30x1.5 size for making
electron cutouts shall be provided (two cartons).
2.5. 300 Kg of Cadmium free Low melting point alloy for making customized shields should be
included in the offer.
25. Immobilization Device:
1) 2 set Universal treatment base plate Made of Carbon Fiber Immobilization devices having a
total solution to treat Pediatric to Adult, Head and Head & Neck Breast, Thorax, Abdomen, Pelvic with
facility to make custom made Supine and prone head rest for Individual Patients to maintain an accuracy
of less than 2 mm. along with appropriate a)thermoplastic Sheets 200 nos. 40 for head, 40 H&N, 40 for
breast, 40 for thorax, 40 for abdomen and pelvic. The same base plate shall be upgraded by adding
localizer box, thorax abdomen bridges, wedges, Upper Arm support, lower arm support, Indexed Couch
stoppers, knee rest, feet fix to adopt for SBRT and SRS/SRT frameless and there shall be 2 set of each to
be provided.
The vendor shall provide 2 set of carbon fiber based Head rest, prone Head rest universal, Pediatric
Supine, Cushion for shoulder, Breast, board Carbon fiber with all required accessories.
Also the vendor shall provide – - Water bath with digital temperature control (1 no.) - Bolus 0.5 cm (3
nos.) - Bolus 1.0 cm (3 nos.) - Body caliper (2 nos.) - Heat Gun (1 no.) - Essential tools set (1 no.) -
Electron Foam cutter (1 no.) - CT markers (1000 nos.) - Vacuum cushions for Head & Neck (6 nos.) -
Vacuum cushions for Thorax (10 nos.) - Vacuum cushions for Abdomen (10 nos.) - Vacuum cushions for
whole body (10 nos.) - Suitable Vacuum pump (1 no.)
The immobilization devices should be compatible with the existing sets of immobilization devices.
26. Training Schedule
a) On-site training should be provided to all staff for at least two weeks.
b) Additional training to be imparted on the equipment as follows, for one Physicist ,one Radiation
Technologist and one Oncologist for two working weeks in a RT facility located in reputed centre in any
developed country and reputed centre in India where the Linear Accelerator with high precision
technology is being extensively used .
27. Software up-gradation, if any, within the period of comprehensive warranty should be supplied free
of cost.
28. General :
The vendor should specify whether their system will be compatible with existing XiO TPS / Oncentra TPS
for IMRT, IGRT and VMAT / Rapid Arc planning.
The successful tenders will have to liaison with the agency appointed for site preparation.
Pre installation requirement should be specified clearly.
OPTIONAL ITEMS WITH THE HIGHENERGY LINEAR ACCELERATOR
SYSTEM
Note : The technical and price comparison between various firms will be done for essential items only
and NOT the optional items. Depending on the availability of extra funds at the time of placing the
supply order, each option may be purchased in a sequential manner that is one by one starting from
OPTION-1.
OPTION-1
4D IMAGE GUIDANCE:
4DCBCT image Acquisition software:-
In CBCT, the software shall do in line acquisition & reconstruction of 4D volumetric data by sorting
and reviewing the moving anatomy within the projection images and calculating a respiratory trace
directly from the internal anatomy without external surrogates. Each reconstructed phase of the
respiratory cycle is matched to a 3D reference image automatically to review the results quickly and
efficiently and correction vectors calculated automatically to position the tumor in either the average or
the exhale position. Also, with diagnostic images, there shall be visualization and utilization of 4D image
sets to create structures and review treatment options with respiratory-correlated CT images, the
robust toolset to multiple view such as CINE MODE and variable window formats, and automate
processes for creation of Internal Target Volumes.
The software shall help in visualization and navigation of 4D patient data from CT, PET, MR and
Respiratory Correlated CT, to allow clinicians to display any data set in any window and review changes
to the tumor over the respiration cycle and enhances the planning process by importing Maximum
Intensity Projection and other specialty images directly from the imaging device, or create these images
from 4D image data. MIP and MinIP images are formulated from the original data set based on the
needs of the clinic and the viewing preferences of the clinicians. In this the Internal Target Volumes shall
automatically be created from the envelope of structures that constitute the tumor volume on multiple
respiratory correlated image sets with automatic margins for the Planning Target Volume. Segmentation
with rapid structure delineation performed on any view including transverse, sagittal and coronal and
updated in real-tile on other planar views. The procedure is to correct the base line shift that occurs in
lung tumors and for this the 4D CT scanner software will be made available by the buyer institute to
make the system complete.
Additionally the CBCT shall have option to do Registration Region of Interest generated from any
structure imported from the Treatment Planning System, or created manually using tools in the
software for generation of a 3D registration volume which conforms to anatomical structures. The
registration of two separate areas of anatomy in CBCT, utilizing both the Clipbox and the Shaped
Registration Region of Interest. CBCT software will calculate the relationship of both areas of anatomy to
the proposed correction vectors and alert the user if the target has moved closer to the critical
structures due to anatomical changes which enable user to select a compromise between the two areas,
or send the patient for re-planning.
Software
a) It should be possible to match kV – MV and MV – kV set-up images with DRR.
b) Compare kV radiographic images with reference to compute correction table coordinates and
execute the correction from console and inside the treatment room.
c) Cone beam CT images should be transferrable to the quoted TPS to do the online / offline planning
d)It should be possible to acquire images in gated mode using both kV and MV imagers
e)Digital Fluoroscopy should be available to visualize the gate-on and gate-off fields
f)The image verification tools should include: Blend images, split window, moving window and
complementary colour blending
g)Calibrated Hounsfield units (HU) must be available for CBCT images to be used for RT planning.The
system must be fully DICOM compliant with CT import and export, RT Plan import, RT structures import
and RT image import.Calibration and Flexmap Phantoms should be provided.
h)Phantoms: All necessary QA phantoms for IGRT, Gating, kV imaging and SRS/SRT should be
supplied
i)Shifts calculated during off line image review should be automatically available on Linear Accelerator
during next treatment.
j)System should have collision detector and laser guard and or any anti collision mechanism.
OPTION-2
High End Patient Positioning System of Linear Accelerator Meant For
Real Time Image Guided Radiotherapy, Frameless Radiosurgery &
Stereotactic Body Radiotherapy Treatment
The specialized & independent patient positioning platform should be able to perform various
specialized treatment techniques such as : Real time Image Guided Radiotherapy, Frameless
Radiotherapy & Stereotactic Body Radiotherapy. Room based Real time IGRT system (Patient Positioning
and Tracking Platform)
User Workstation Intel quad core 2.66 GHz workstation with below configuration as below: - Min. 4 GB
RAM - Min 500 GB HDD - CD / DVD writer - Min 4x ports - Min 2x x-ray frame grabber - Video frame
grabber - High-end graphic card - TFT 19” for workstation with keyboard & monitor Room based IGRT
Hardware should include- - Ceiling mounted IR cameras - Ceiling mounted Flat panel detector - Power &
cabling - Ceiling mounted Monitor system - Floor mounted KV X-ray system
Optical Tracking System: Real-time Infrared optical tracking of the patient’s position and motion /
external breathing patterns for initial set-up and during treatment delivery. It should have Couch
motion to correct patient setups online based on reflective body markers. Interactive control suitable
for 6D robotic couch. Two Stereoscopic infrared cameras for patient tracking in 3 translational and 3
rotational degree of freedom. In-room software interface via ceiling mounted touchscreen monitor
Infrared tracking system should continuously track the external marker in any possible treatment
position (coplanar & non-coplanar).
Room based KV imaging System : Two linac-independent kV X-ray units floor mounted and two
ceiling mounted flat panel detectors combined with IR tracking to monitor patient’s position throughout
treatment delivery and error in both coplanar & non-coplanar couch position by entering the values in
the Imaging system. It should have dual x-ray generator, x-ray tubes & ceiling mounted digital imagers. It
should have a seamless interaction with Optical tracking system to provide a fast & accurate workflow.
The 6D correction should utilize stereoscopic high resolution kV imaging in the treatment room. The KV
imaging should be such that it should be able to provide standalone as well as intratreatment imaging
(while the beam is on) for any couch and gantry angle to accommodate
verification needs for advanced SBRT treatment. It should have the capability of generating monoscopic
or dual snap shot simultaneously allowing quick intra-fraction tumour motion & immediate output of
required corrections (should support all non-coplanar fields). It should perform multiple 6D DRR
calculation from CT data in different planes to identify rotational errors. It should have the capability to
manually & automatically fuse DRR with X-ray images. It should calculate
positioning errors in 6 degrees of freedom It should allow import of images, isocenter & volumes in
DICOM RT format It should support region of interest definition for patient registration.
It should have seamless interaction with the Record & Verify system It should have a comprehensive QA
checks It should support the following modules: - Frameless SRS - DICOM RT Export to R&V - X-ray snap
monitoring - IGRT review & approval Advanced Real time IGRT planning. It should have automatic
detection of internal markers & urethral stent markers. It should have an advanced review system for
the room based IGRT X-ray treatment. It should have seamless review & approval of IGRT setup with
password protected workflow. It should have target localization, patient positioning, and motion
management utilizing bony anatomy or implanted fiducials for both Cranial & Extra cranial indication
(whole body IGRT). It should have Frameless Radio Surgery setup in x,y,z and all 3 rotational dimensions
in combination with Robotics module.
Intra-fraction imaging for detection of PTV misalignments and movements at any point in time during
the treatment (beam on / off; any gantry rotation, any couch rotation).
Interaction with Robotic Couch top: The system should have the capability to calculate and generate the
shift values, which can then be entered into robotic couch top for 6D corrections to happen based on
these values with the 6D robotic couch system.
Frameless SRS capabilities integrated with robotic couch top: It should have a non-invasive patient
immobilization for image guided set-up and should be integrated with robotic couch top with the
Frameless Extension. It should have imaging support and correction for highly accurate & precise SRS in
coplanar & non-planar position. It should be capable of positioning the patient within all six degrees of
freedom to precisely align the tumour within the beam path throughout the entire course of treatment.
The workflow optimized x-ray acquisition and the therapist from outside the treatment room operates
verification procedure. It should include customized mask for each patient in order to immobilize the
patient while repositioning should be done based on internal structures or body anatomy detected with
x-rays images.
The Frameless mask system should have all relevant accessories, disposable cranial SRS masks &
Infrared Body markers
Quality Assurance : Relevant QA phantoms like – - Pelvic Phantom - Isocenter Phantom - X-ray
calibration phantom
OPTION-3
Please specify the software and hardware for adaptive radiotherapy.
Note : Software up-gradation if any of optional items purchased, within the period of comprehensive
warranty should be supplied.
Turnkey
Civil Construction and Electrification : Turnkey will include whole as under mentioned :-
Construction of adequate size UPS room with aluminium partitions, TPS contouring
station (10x10m2), Physicst TPS room planning station (10x10m2), Patient review room
(5x5m2), in the reception area, Chiller and Air handling room. Provision of multi-storey rags in
the mould room for keeping the moulds to be given. Provision of tiles in the patient waiting hall
of old cancer, Block and entrance door to access the path for LINAC room. Vendor must visit
the site / department for inspection of area, construction and scope for any modification.
All wires used must be FRLS (Fire Retardant with Low Smoke) type only.
Floor trenches with block board covers will be provided for the cables in the LA and
Equipment rooms.
Furniture should be of high quality (branded/superbrand). False ceiling in all the areas
will comprise of metal suspension system, perforated fireproof aluminium panels with integrated
acoustic lining. Smoke detectors to be accommodated / integrated in the false ceiling.
All the internal wiring including that of telephone, LAN, DICOM & PACS etc., will be of
concealed variety. Modular Cabinets should be provided. Fire Safety measures : A Fire alarm
system of reputed make with smoke / heat detectors, indicators panels, call boxes, electronic
sirens and wiring will be installed. Audio call bell system, with intercom and remote locking/
unlocking facility, to be provided at the main door of the complex. Closed Circuit cameras of
reputed company should be provided in the examination room, console room, Linear
Accelerator and waiting areas to be provided. Sun-film and Venetian blinds will be put up in all
windows. The entire complex will be made rodent/ pest proof.
Electrical Services : The LA and all connected / required equipment for treatment
planning, scanning, post-processing and filming are to be connected to the supplied UPS. All
the equipment/computers along with peripherals, light points, fire alarm system, EPAX and view
boxes are to be supplied power through the common or a separate UPS with suitable capacity
or more with 60 minutes back up. Dimmer controlled incandescent light fixtures are to be
provided in the gantry room, console room. Different parts of the complex will have separate
wiring for light and power circuits through MCBs of suitable capacity. Adequate safety
measures will be incorporated in the electrical power supply system. Dedicated isolated
earthling is to be provided for the complex.
The entire turnkey project (building and the supplied items) should have an underlying
colour scheme so that it gives a homogenous, aesthetically pleasant and patient friendly
appearance. Any addition and alteration as and when required during turnkey work will be done
by mutual discussion between the supplier and technical committee. The whole turnkey work
has to be done to the fullest satisfaction of the technical committee and End user. In case of
any difference of opinion the decision of the technical committee shall be final and binding on
the supplier.
Furniture Console, Gantry room Modular furniture of branded company for console
equipment and staff. Modular cupboard and cabinet with lock and key. Equipment Room
Modular Cupboard with lock and key to keep spares and user manual Modular Cupboard for
stationary and record.
Annexure-III
PRICE SCHEDULE
1 2 3 4 5 6 7 8
PRICE FOR EACH UNIT Sch
No.
Item Description Country
of
origin
Quantity
& Unit
Ex-factory Ex-
warehouse Ex-
showroom off-the
shelf for CIF
(a)
Packing
&
forwarding
(b)
Inland transport,
Insurance and
Incidental costs
incidental to
delivery
(c)
Incidental
services as
listed in
clause 7 of
SCC
(d)
Custom
s duty
(e)
Unit price
a+b+c+d+e
Total price per
schedule for
delivery at final
destination
(4 x 6)
GST –
IGST/CGS
T/ SGST
payable if
contract is
awarded
1.
Dual Energy Linear
Accelerator with optional
items
1 no.
Optional items
1a. Option 1- Treatment
planning System
1 no.
1b. Option 2- Array detector 1 no.
1c. Option 3- Stereotactic
Solution
1 no.
1d. Option 4 – 4D image
Guidance
1 no.
1e. Option 5- Biological
Optimization algorithm
1 no.
1f.
Option 6 - 4D Advanced
patient monitoring device
marker free, surface scan
based gating system for
patient monitoring in LA
Room
1 no.
1g. Option 7 – Robotic Couch
top
1 no.
1h.
Option 8- High End Patient
Positioning System of
Linear Accelerator Meant
For Real Time Image
Guided Radiotherapy,
Frameless Radio surgery
& Stereotactic Body
Radiotherapy Treatment
1 no.
1i.
Option 9 - software and
hardware for adaptive
radiotherapy
1 no.
2. Dual Energy Linear
Accelerator
1 no.
3. Single Energy Linear
Accelerator
1 no.
4. Advanced Dual Energy
Linear Accelerator
1 no.
Optional items
4a 4D Image Guidance 1 no.
4b
High End Patient
Positioning System of
Linear Accelerator Meant
For Real Time Image
Guided Radiotherapy,
Frameless Radio surgery &
Stereotactic Body
Radiotherapy Treatment
1 no.
4c Software and hardware for
adaptive radiotherapy
1 no.
i. Unit price in (6) (Rs. in words)
1. Dual Energy Linear Accelerator with optional items as per specification with HSN Code/rate of GST..........................................................................................................
2. Dual Energy Linear Accelerator as per specification with HSN Code/rate of GST..........................................................................................................................................
3. Single Energy Linear Accelerator as per specification with HSN Code/rate of GST......................................................................................................................................
4. Advanced Dual Energy Linear Accelerator as per specification with HSN Code/rate of GST ………………………….……………………………………………………………………………………….
Options for Schedule no. 1
1a.Treatment planning System…………………………………………………………………………………………………………………………………………………
1b.Array detector………………………………………………………………………………………………………………………………………………………………
1c.Stereotactic Solution………………………………………………………………………………………………………………………………………………………….
1d.4D image
Guidance…………………………………………………………………………………………………………………………………………………………………………
1e.Biological Optimization algorithm………………………………………………………………………………………………………………………………………….
1f.4D Advanced patient monitoring device marker free, surface scan based gating system for patient monitoring in LA Room
1g.Robotic Couch top………………………………………………………………………………………………………………………………………………………….
1h.High End Patient Positioning System of Linear Accelerator Meant For Real Time Image Guided Radiotherapy, Frameless Radio surgery & Stereotactic Body
Radiotherapy Treatment………………………………………………………………………………………………………………………………………………………..
1i. software and hardware for adaptive radiotherapy…………………………………………………………………………………………………………………………..
Options for Schedule no. 4
4a. 4D Image Guidance………………………………………………………………………………………………………………………………………………………………………………………………………………………………
4b. High End Patient Positioning System of Linear Accelerator Meant For Real Time Image Guided Radiotherapy, Frameless Radiosurgery & Stereotactic Body
Radiotherapy Treatment……………………………………………………………………………………………………………………………………………………...
4c. Software and hardware for adaptive radiotherapy…………………………………………………………………………………………………………………………...
a) Annual Maintenance Charges (labour only) per year /per unit for 7 years after 3 years free warranty maintenance period
1. Dual Energy Linear Accelerator with optional items as per specification with HSN Code/rate of GST............................................................................... ...........................
2. Dual Energy Linear Accelerator as per specification with HSN Code/rate of GST..........................................................................................................................................
3. Single Energy Linear Accelerator as per specification with HSN Code/rate of GST......................................................... .............................................................................
4. Advanced Dual Energy Linear Accelerator as per specification with HSN Code/rate of GST ………………………………..…………………………………………….
b) Annual Maintenance Charges (Comprehensive) for 7 years / per year / per unit after free warranty maintenance period
1. Dual Energy Linear Accelerator with optional items as per specification with HSN Code/rate of GST..........................................................................................................
2. Dual Energy Linear Accelerator as per specification with HSN Code/rate of GST..........................................................................................................................................
3. Single Energy Linear Accelerator as per specification with HSN Code/rate of GST......................................................................................................................................
4. Advanced Dual Energy Linear Accelerator as per specification with HSN Code/rate of GST ………………………….……………………………………………………………………………………….
Note:
(a) In case of discrepancy between unit price and total price, the unit price shall prevail.
(b) This price schedule should be placed in separate sealed cover “Cover B”
(c) GST applicable for Annual Maintenance Charges shall be indicated separately.
(d) The bidder should indicate the HSN code of the equipment/ service and applicable GST rates.
(e) The bidder should quote for the prices separately from column 5(a) to 5(e) and should not state “as inclusive”.
(f) The bidders are permitted to quote any one or all the Schedule.
(g) TNMSC reserves the rights to procure any number of Linear accelerator to any of the listed hospitals in any of the four categories based on the price
differential and case loads and the relative advantage of prices with respect to higher specification. The decision of TNMSC in this aspect shall be final.
Place : Signature of Bidder......................……………..
Date : Name ……………………………
Business Address ……………………………