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["ANNEXURE A. : TECHNICAL SPECIFICATION"]
["GT/GDH/111/2023 THE SUPPLY, DELIVERY, INSTALLATION, COMMISSIONING AND MAINTENANCE OF SMALL LINAC WITH LOW ENERGY PHOTONS OR ALTERNATIVE TECHNOLOGY (E.G. TOMOTHERAPY UNIT) FOR A PERIOD OF THREE YEARS"]
["ANNEXURE A.: TECHNICAL SPECIFICATION EVALUATION"]
["Note:                                                                                                                                                                                                                                                                                                                                                                                                 \n1.  Bidders are required to indicate compliance/non-compliance with the specification by typing 'YES/NO' on each line item on column C.                                                                                                                                                                                                                                                                                                                                                 \n2. In the case where an equivalent or better option is provided, bidders must type the full description of the equivalent or better item on column D. Comments on the equivalent item must be provided on Column E.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              \n3. Bidder is required provide details of the product offer on column F.                                                                                                                                                                                                                                                                                                                   \n4. Bidder to provide reference to brochure (page number) / technical data sheet / supporting documents  on column G.                                                                                                                                                                                                                    \n5. If a bidder does not meet the technical specifications requirements, the bid will be disqualified.                                                                                                                                                                                                                                                                                                                                                                                                                          "]
[]
["Item no.","Technical Specification","Comply (Yes/No)","Provide Equivalent/Better          (if applicable)","Comments","Details of Product Offer                                           (Provide your answers in this Column. You are advised to be straight to the point)","Reference to Brochure / Technical Data Sheet (verification) /  Supporting Document"]
[1,"TECHNICAL SPECIFICATION"]
["1.1","Linear Accelerator"]
["1.1.1","A Linac that incorporates a high-resolution Image Guided Radiotherapy Technique (IGRT) devices, to include both kV and MV imaging, fully integrated with the linear accelerator and the Oncology Information Management System to allow for automated fast patient repositioning. "]
["1.1.2","3D Conformal Treatment option included. "]
["1.1.3","Intensity Modulated Treatment (IMRT) option included. "]
["1.1.4","Volumetric Modulated Treatment (VMAT (or equivalent)) option included. "]
["1.1.5","Special emphasis is placed on the following:"]
["1.1.5.1","- High patient comfort."]
["1.1.5.2","- Optimised  workflow for high treatment throughput."]
["1.1.5.3","- The lowest possible leakage from the collimator system for optimal patient protection."]
["1.1.5.4","- The highest possible speed of the multi-leaf collimator with constant precision for the unrestricted usability of high dose rates in dynamic therapy techniques."]
["1.2","Technical Design and Applications"]
["1.2.1","The linear accelerator offered must have a beam stopper to enable treatment with photon 6MV FFF beams in the cobalt bunker."]
["1.2.2","Full set of positioning lasers to allow for positioning to 1mm accuracy.  Bidder to specify number and type of lasers (including  both outer and inner laser system). "]
["1.2.3","Patient audio-visual monitoring system. Remote-controlled colour movable camerer and monitor size of at least 14 inch. "]
["1.3","Linear Accelerator Systems"]
["1.3.1","The linear accelerator offered should be a space-saving system that fits into a small bunker."]
["1.3.2","Patient treatment couch with a minimum of 120kg  load capacity.  Automatic repositioning of couch from control area required. "]
["1.3.3","The position of the gantry, collimator, dynamic jaws and couch must be displayed on the operator console."]
["1.3.4","The accuracy of set gantry angles should be less than ± 0.5°."]
["1.3.5","Linear accelerator to have a radiation isocentre accuracy of ≤ 1mm radius measured at  isocentre distance .  Bidder to specify. "]
["1.3.6","The bore diameter should be ≥ 85 cm."]
["1.3.7","Since the project is for the procurement of two linear accelerators, the bidder shall make sure that the beams of the two units are matched."]
["1.3.8","The accuracy of the couch positioning must be at least +/- 1mm."]
["1.4","Photon Beam"]
["1.4.1","Medical Linear accelerator with a 6MV FFF  photon beam with high doserate treatment capabilities (>=800 MU/Min).  Bidder to specify maximum doserate. "]
["1.4.2","Beam output accuracy and stability ≤ 2%. "]
["1.5","MLC (Multi-Leaf-Collimator)"]
["1.5.1","Multileaf collimator field shaping with at least 5mm effective leaf definition, with dynamic leaf capabilities in support of VMAT (or equivalent) treatments.  "]
["1.5.2","MLC leaf transmission <0.5%."]
["1.6","Imaging Systems"]
["1.6.1","MV Imaging"]
["1.6.1.1","The active detector surface should be ≥ 40 x 40 cm."]
["1.6.1.2","The maximum imageable field size in the isocenter should be about ≥ 28 x 28 cm."]
["1.6.1.3","The image resolution of 2D portal imaging should be ≥ 512 x 512 or better."]
["1.6.1.4","Export of image data in DICOM format to an external system for further analysis must be possible."]
["1.6.2","kV Imaging"]
["1.6.2.1","The active detector surface should be ≥ 43 x 43 cm."]
["1.6.2.2","The alignment of kV to MV isocenter should be ≤ 0.5 mm."]
["1.6.2.3","Volumetric 3D kV CT beam is desired (Helical fan or CBCT). "]
["1.6.2.4","The linear accelerator offered should allow the export of kV CT image data (DICOM) to an external system for further analysis."]
["1.7","Treatment Planning"]
["1.7.1","Fundamental of the planning system"]
["1.7.1.1","The offer shall include the latest version treatment planning system (TPS) three calculation workstations, with all licenses needed to operate the linac to its optimum performance. "]
["1.7.1.2","The offer shall include at least minimum, three oncology management workstations. If a server is required, this should be included and will be incorporated onto the existing server room infrastructure. "]
["1.7.1.3","Full integration with latest  3D treatment planning. "]
["1.7.1.4","Full integration with latest  IMRT treatment planning. "]
["1.7.1.5","Full integration with latest treatment planning system for VMAT (or equivalent) "]
["1.7.1.6","Fusion and registration of MRI,PET and CT datasets must be possible."]
["1.7.2","Plan Creation, Segmentation, Dose Calculation"]
["1.7.2.1","Plan transfer to phantoms for quality assurance must be possible."]
["1.7.3","Adaptive Treatment Delivery"]
["1.7.3.1","Simplified adaptive radiation planning with a simple workflow is desired to track applied dose versus planned dose over the duration of the overall radiation plan using daily MV or kVCT and setup data, as well as to detect intrafractional changes, target, or risk structures. "]
["1.7.3.2","Adaptive radiation should detect the following patient-related changes and adjust the existing radiation plan accordingly: Translational shifts, rotations, anatomical changes such as loss of target volume, deformities of organs at risk, and weight loss. "]
["1.7.3.3","The application of adaptive treatment delivery is simple, objective and quantitative, without time-consuming dosimetric evaluation."]
["1.7.3.4","A single isocenter for imaging and treatment delivery should prevent potential sources of error, as well as the need for additional quality assurance."]
["1.7.3.5","Accurate, non-rigid deformable registration of multiple acquisition types should be possible. "]
["1.7.4","Real-Time Adaptive Treatment Delivery"]
["1.7.4.1","A simplified patient-specific real-time adaptive treatment delivery technique is desired, whereby tumor motion can be tracked with submillimeter precision and radiation can be applied in real time to provide uninterrupted treatment."]
["1.7.4.2","The real-time adaptive function should be able to track cyclic as well as sporadic movements."]
["1.7.4.3","The duration of real-time adaptive treatment delivery should not exceed the duration of non-adaptive treatment delivery."]
["1.7.4.4","The real-time adaptive function should work marklessly in the treatment of certain indications and without the need for an additional surface tracking system."]
[2,"CONSUMABLE AND ANCILLARY DEVICES"]
["2.1","Immobilisation And Positioning devices"]
["2.1.1","5-point setup for H&N :  Quantity: 2 sets"]
["2.1.2","3-point setup for H&N :   Quantity: 2 sets"]
["2.1.3","Breast board:     Quantity: 2 sets"]
["2.1.4","Knee/feet rest :  Quantity:  2 sets"]
["2.1.5","Immobilisation and positioning devices for the extremities with appropriate accessories:  Quantity: 2 sets"]
["2.1.6","H&N masks f:  or both 3-point and 5-point setups: Quantity:  Initial 12-month supply. (40 pts/machine)"]
["2.2","Other Ancillary devices"]
["2.2.1","Bidder to supply, install and maintain Water Chiller as per linear accelerator specifications. "]
["2.2.2","Bidder to supply and install an electrical distribution board and connected to the hospital generator  as per linear accelerator requirements.  "]
["2.2.3","Bidder to supply and install all radiation safety monitoring equipment (warning signs, radiation warning lights, integration with existing bunker) to allow for full compliance with Department of Health Radiation Safety control requirements. "]
["2.2.4","Bidder to ensure connection of the current units and all its auxiliary systems to the current radiation oncology network. "]
["2.2.5","Bidder to provided appropriate onsite and out of site patient backup systems. The maintenance and support of the connection and network issues should be provided by the supplier. (back up need to be POPIA compliant). "]
[3,"QUALITY ASSURANCE"]
["3.1","Medical Physics dosimetry and quality assurance equipment"]
["3.1.1","The linear accelerator offered should have an Integrated (Electronic Portal Imaging Device) EPID-based dosimetry capability for rapid review of treatment plans prior to the start of treatment using MV imaging system on the accelerator."]
["3.1.2","Beam scan Adaptive plate for PTW BeamScan tank or MP3T tank (if applicable)"]
["3.1.3","Bidder to include all Linac-specific medical physics quality assurance phantoms and instruments required for all daily, weekly monthly, and yearly quality assurance tests as per department of radiation control requirements. (NB: These only include phantoms and QA equipment that are specific to the provided unit, which the institution wont be in position of)"]
["3.1.4","The bidder shall also include a quality assurance management system for the whole department (e.g. SunCheck). "]
["3.1.5","The bidder should include a calibrated PTW Framer chamber with the Latest PTW spectrometer used for reference dosimetry."]
[4,"OPTIONAL EXTRAS"]
[4.1,"Auto contouring and auto planning systems or equivalent to RayStation. With or without a remote planning option."]
[4.1,"Bidder to supply, install and maintain heavy Duty UPS for Linear Accelerators unit & TPS with a backup of at least 30 minutes. For the entire life cycle. Bidder to evaluate and provided site reinforcement of the identified UPS space."]

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["DOCUMENT TWO: WORKSHEET TWO: TENDER SPECIFICATION"]
["THE SUPPLY, DELIVERY, INSTALLATION, COMMISSIONING AND MAINTENANCE OF DIALYSIS MACHINES"]
["WORKSHEET 2: TENDER SPECIFICATION FOR RENAL DIALYSIS MACHINES"]
["Item no.","Tender Specification","Weight","Comply (Yes/No)","Details of Bid Offer                                            (Provide your answers in this Colum. You are advised to be straight to the point)","Reference to Brochure / Technical Data Sheet (verification) /  Supporting Document"]
["Note:                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   "]
["Note:\na. The rows and columns of the tender specification:\n1) The rows:\nThe rows are the tender specifications (line items), i.e. A.1 to A.8, B.1 to B.9, C.1 to C.19, D.1 to D.17, E.1 to E.7\n2) The columns:\nb) The columns have the following headings:\no Item Number\no Tender Specification                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          o Weight\no Comply (Yes/No)\no Details of Bid Offer (Provide your answers in this Colum. You are advised to be straight to the point)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            o Reference to Brochure / Technical Data Sheet (verification) / Supporting Document\n"]
["b. The rows and columns that the bidders must complete:\nThe bidders must complete the following columns in each row (each specification line item):\no Comply (Yes/No)\no Details of Bid Offer (Provide your answers in this Colum. You are advised to be straight to the point)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            o Reference to Brochure / Technical Data Sheet (verification) /  Supporting Document\n"]
["c.  The scoring of the bids:                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   1) Weights:                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Each specification will have a weight of 1, or a hash (#), which indicates the level of importance, as follows:                                                                                                                                                                                                                                                                                                                                                                                                                                    A specification (line item) with a weight of 1 is a specification with a standard level of importance that should be complied with. The specifications with a standard level of importance include row A.4 to A.8, B.2, B.5 to B.6, B.8 to B.9, C.3, C.5, C.7 to C.10, C.15 to C.17, C.19,  D.2, D.4, D.6 to D.11, D.13, D.16 to D.17, E.2 to E.7.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  A specification (line item) with a # weight is a specification with  a mandatory level of importance, where the bid offer will be disqualified if the specification is not complied with. The specifications with a mandatory level of importance include row A.1 to A.3, B.1, B.3 to B.4, B.7, C.1 to C.2, C.4, C.6, C.11 to C.14, C.18, D.1, D.3, D.5, D.11 to D.12, D.14 to D.15, E.1\n2) Scores: \nThe column for the score is not included in the tender specification. However, it shall be included in the scoring sheets during the evaluation of the bids by the Bid Evaluation Committee. Each specification (line item) shall have a score of 0 or 1, which indicates the level of compliance, as follows:\n0 -   The specification does not comply.\n1 -   The specification is fully compliant.\nNote: If the bidder responds Yes in the Comply (Yes/No) column, the bidder must provide the Reference to Brochure / Technical Data Sheet (verification) / Supporting Document.\n3) Weighted Score:                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          The score of 0 or 1 of each of the specifications (line items) will be multiplied with the weight of 1. \n4) Total Score: \nThe weighted score of each of the specifications (line items) will be added up to obtain the total score. The total score is 115 points that is made up as follows:\nA.4 to A.8 (5 points), B.2, B.5 to B.6 and B.8 to B.9 (5 points), C.3, C.5, C.7 to C.10, C.15 to C.17 and C.19 (10 points),  D.2, D.4, D.6 to D.11, D.13 and D.16 to D.17 (21 points), E.2 to E.7 (6 points), F.3, F.6.1 to F.6.6 and F.7 to F.10 (11 points), G.2, G.5 to G.9, G.14 to G.15 (8 points), H.1 to H.14 (14 points), I.1 to I.12 (12 points), J.1 to J.10 (10 points), K.1 to K.5 (5 points), M.1 to M.8 (8 points)\n"]
["d.  The required score to considered for an award:\n1) The bidders must comply with all the specifications (line items) with a # weight otherwise the bid will be diqualified.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                2) The bidders must allobtain a minimum score of 92 points out of 115 points in respect of the specifications (line items) with a weight of 1 otherwise the bid will be diqualified."]
["A.","Haemodialyisis Machine 4008S:"]
["A.1","Haemodialysis machine, 4008S 1.5.6.0 bar water inlet pressure",1]
["A.2","5’C -30 C water inlet temperature","#"]
["A.3","1m suction height,230 V-10% to 6 %, 50Hz,16","#"]
["A.4","A power supply, 9A maximum current consumption, with 2 blood pumps","#"]
["A.5","internal pressure/pressure control with variable stroke volume, by ultrasound transmission","#"]
["A.7","additional optical monitoring in venous clamp, 1330 x 495 x 340mm (hxwxd), 80kg approximate weight","#"]
["A.8"]
["B."]
["B.1"]
["B.2"]
["B.3"]
["B.5"]
["B.6"]
["B.7"]
["B.8"]
["B.9"]
["C."]
["C.1"]
["C.3"]
["C.4"]
["C.5"]
["C.6"]
["C.7"]
["C.8"]
["C.9"]
["C.10"]
["C.11"]
["C.12"]
["C.13"]
["C.14"]
["C.15"]
["C.16"]
["C.17"]
["C.18"]
["D."]
["D.1"]
["D.2"]
["D.3"]
["D.4"]
["D.5"]
["D.6"]
["D.7"]
["D.8"]
["D.9"]
["D.10"]
["D.12"]
["D.13"]
["D.14"]
["D.15"]
["D.16"]
["D.17"]
["E."]
["E.1"]
["E.2"]
["E.3"]
["E.4"]
["E.5"]
["E.6"]
["E.7"]
["F."]
["F.2"]
["F.3"]
["F.4"]
["F.5"]
["F.6"]
["F.6.1"]
["F.6.2"]
["F.6.3"]
["F.6.4"]
["F.6.5"]
["F.6.6"]
["F.7"]
["F.8"]
["F.9"]
["F.10"]
["G."]
["G.1"]
["G.2"]
["G.3"]
["G.4"]