Detail Package

Procurement of CT-Scan

Project
SIHREN Parallel Financing
Project Description
Strengthening Indonesia's Healthcare Referral Network (SIHREN IsDB): a parallel financing IsDB for the referral hospital component.
Package Name
Procurement of CT-Scan
Loan No.
IDN1070
Activity Reference No.
KS.01.04/A.VI/5662/2024
Market Approach
International Open
Procurement Method
Request for Bids (RFB) - 1 Stage 2 Envelope (Rated Criteria)
Estimated Total Cost
€822,290,558.96
Currency
Euro
Stages
Contract Signed
Bid Submission Deadline
26 Jun 2025

Package Lot

Name Of Lots Units Amount
Lot 1: Procurement of CT-Scan 64 Slices (West) 122 €317,606,265.79
Lot 2: Procurement of CT-Scan 64 Slices (Central) 51 €132,769,832.42
Lot 3: Procurement of CT-Scan 64 Slices (East: Maluku & Sulawesi) 72 €187,439,763.42
Lot 4: Procurement of CT-Scan 64 Slices (East: Bali, Nusa Tenggara, Papua) 69 €179,629,773.28
Lot 5: Procurement of CT-Scan (128-256-512 Slice) 6 €4,844,924.05

Documentation

Published Date Document Name
2024-08-14 Specific Procurement Notice - Procurement of CT-Scan
2024-08-14 Bidding Document - Procurement of CT-Scan
2024-09-25 Technical Specification - Procurement of CT-Scan
2024-09-19 Minutes of Prebid Meeting - Procurement of CT-Scan
2024-09-25 1st Amendments to Bidding Document - Procurement of CT-Scan
2024-10-04 2nd Amendment to Bidding Document - Procurement of CT-Scan
2024-10-04 Technical Specification (Updated file as per the issued 2nd Amendment to Bidding Document) - Procurement of CT-Scan

Responses to Clarification of Bidding Document (Procurement of CT-Scan)

No. Date of Received Question Responses Part (RFB) Cluster Sub Cluster
1 2024-08-16 We are eligible CT Scan manufacturer from China, Could you kindly share the bidding document for the project Financing No: SIHREN-IDN1070 Contract Title: Procurement of CT-Scan ? Thanks! Many thanks for your interest in this CT-Scan tender. The Ministry of Health looks forward to your bid. Please refer to SPN (paragraph 5). All guidance and documents has been published on the IHSS public website:
https://ihss.kemkes.go.id/project/2/?projectName=sihren_isdb

Any amendments (if any) and responses to questions will be published there as well		 General Inqury Related to IHSS Question related to IHSS project
2 2024-08-17 This is regarding above mentioned subject kindly send us bid documents by email [email protected] Many thanks for your interest in this CT-Scan tender. The Ministry of Health looks forward to your bid. Please refer to SPN (paragraph 5). All guidance and documents has been published on the IHSS public website:
https://ihss.kemkes.go.id/project/2/?projectName=sihren_isdb

Any amendments (if any) and responses to questions will be published there as well		 General Inqury Related to IHSS Question related to IHSS project
3 2024-08-21 While the RFB specifies Payment Terms in Section IX - Special Conditions of Contract 16.1, it is unclear how the payments beyond the 10% advance payment and the 25% onshipment payment (made via letter of credit) will be guaranteed.

35% Acceptance Payment: How will the 35% payment milestone upon acceptance, testing, commissioning, and training (as per SCC 16.1) be guaranteed to the supplier? 30% Uptime Performance Linked Payments: How will the cumulative 50% payment based on up-time performance over four years be guaranteed to the supplier?		 Thank you for your question. The payment milestones, including the 35% upon acceptance, testing, commissioning, and training, as well as the 30% linked to uptime performance over 2 (two) years, are secured under the terms of the contract with the Ministry of Health (MoH). The MoH will be responsible for ensuring that these payments are made as per the agreed schedule in the Special Conditions of Contract (SCC 16.1). The guarantees for these payments are embedded in the contract, and the MoH, as the contracting authority, is committed to fulfilling its financial obligations as stipulated. Contract Contract Management Payment Term
4 2024-08-21 Will these payments be made directly by the Ministry of Health (as per ITB 2.1), or will the Islamic Development Bank (as financier mentioned in ITB 2.1) be directly involved in making these payments?

We kindly request detailed explanation of the payment guarantee mechanisms for these milestones and clarification on the responsible payer(s) to ensure a clear understanding of the financial process and minimize potential risks for the supplier.		 The Ministry of Health (MoH) is responsible for managing the payment process according to the milestones defined in the contract, ensuring that all payments are processed in a timely and secure manner. At the request of the MoH and the Ministry of Finance (MoF), the Islamic Development Bank (IsDB) makes a direct payment to the designated supplier, in accordance with the relevant terms and conditions of the underlying agreement between the MoH and the third party approved by the IsDB.

For detailed explanation of the payment guarantee mechanisms please refer to question number 3 above.		 Contract Contract Management Payment Term
5 2024-08-29 Line No. 166 (128 slice CT)
-Storage Server: Images to be stored in the system for later retrieval and review/ manipulation, hard copies can be printed from digital storage.
-Please clarify if the images are to be stored on PACS or Workstation?		 Many thanks for this question. Storage server for image review stored on workstation and PACS (if available). Image from Console or Worksation can be store or send to PACS System at the hospital. Supply Requirements Evaluation Process Technical Evaluation
6 2024-08-29 Line No.45 (256 slice CT)
-Heat Storage MHU: 7
-There are 2 types of heat storage capacity: anode heat storage capacity, and tube assembly/housing heat storage capacity. Please confirm which heat storage capacity you are referring to.
-Request to amend it to 8MHU, as even on 128 slice CT specification is asked for a 7MHU heat capacity. For 256 slice CT requests to ask for a more powerful tube. Besides that, with higher MHU CT Scan can perform maximal to use in Dual energy acquisition.
-Amendment Request: Heat Storage MHU: 8 (Mandatory)
-If it is on Anode heat storage capacity, propose amendment to have extra line of optional specification for higher capacity/performance (ie ≥ 8 MHU to get extra 2 points)		 Many thanks for this feedback. MoH has considered this request, and will update this specification in a forthcoming amendment. The capacity is the x-ray tube "anode" is to store heat generated during its operation, expressed in million heat units (MHUs). Heat Storage at MHU as ≥ 7; bidder can provide acceptable MHU to model proposed. Supply Requirements Evaluation Process Technical Evaluation
7 2024-08-29 Line No. 167 (64 slice CT)
-Storage Server: Images to be stored in the system for later retrieval and review/ manipulation, hard copies can be printed from digital storage.
-Please clarify if the images are to be stored on PACS or Workstation?		 Storage server for image review stored on workstation and PACS (if available). Image from Console or Worksation can be store or send to PACS System at the hospital. Supply Requirements Evaluation Process Technical Evaluation
8 2024-08-29 Line 96 (256 slice CT)
-Axial Cardiac, Required; Low-dose cardiac (axial acquisition)
-Since the detector width asked in the tender is of 38mm, and we know that the size of the Heart is 1200mm Hence it’s not possible to do a Axial Cardiac with the asked spec in Line No 63.
-Amendment Request: Cardiac Scan Required; Low-dose cardiac (acquisition)		 Many thanks for this feedback. MoH has considered this request, and will update this specification in a forthcoming amendment by removing "Axial". The type of CT Scan Slice described a 256 Slice CT with an acceptable detector size with quality scanning images. Supply Requirements Evaluation Process Technical Evaluation
9 2024-08-29 Line No. 162 (128 slice CT)
-Clarification of Display Monitor Resolution
-Same with line No. 150 display monitor resolution for console we need to apply the same configuration monitor size.
-Propose amendment to ≥1 MegaPixel, because to get the detail image on the workstation we enough with ≥1 MegaPixel		 Many thanks for this feedback. Upon consideration, MoH has decided to retain the current specification. Bidder to provide a minimum requirement stated in the bidding document. Supply Requirements Evaluation Process Technical Evaluation
10 2024-08-29 Line No. 249 (64 slice CT)
-Clarification of Estimated Operation Time, minutes (UPS) – rated criteria
-In the Technical Specification mention at least 30 minutes. We need to change at least 10 minutes, because if we follow 30 minutes will need more space for the installation of the battery and increase maintenance cost.
-Propose amendment operation time 10 minutes back up		 Many thanks for this feedback. MoH has considered this request, and will update this specification in a forthcoming amendment. Supply Requirements Evaluation Process Technical Evaluation
11 2024-08-29 Line No. 163 (256 slice CT)
-Clarification of Display Monitor Resolution
-Same with line No. 151 display monitor resolution for console we need to apply the
same configuration monitor size.
-Propose amendment to ≥1 MegaPixel, because to get the detail image on the
workstation we enough with ≥1 MegaPixel		 Many thanks for this feedback. Upon consideration, MoH has decided to retain the
current specification. Bidder to provide a minimum requirement stated in the
bidding document.		 Supply Requirements Evaluation Process Technical Evaluation
12 2024-08-29 Line No. 261 (128 slice CT)
-Interface with Information System Required; e.g: HIS, RIS, EMR, etc
-Please Clarify the ask, Vendor need to integrate the existing HIS, RIS, EMR etc to the CT or have to provide and integrate the HIS, RIS, EMR etc..		 Many thanks for this question. Vendor need to integrate CT into the existing HIS, RIS, EMR etc. Console or Workstation from CT can accept information patient data from HIS, RIS, EMR, etc Supply Requirements Evaluation Process Technical Evaluation
13 2024-08-29 Line No. 163 (64 slice CT)
-Clarification of Display Monitor Resolution
-Same with line No. 151 display monitor resolution for console we need to apply the same configuration monitor size.
-Propose amendment to ≥1 MegaPixel, because to get the detail image on the workstation we enough with ≥1 MegaPixel		 Many thanks for this feedback. Upon consideration, MoH has decided to retain the current specification. Bidder to provide a minimum requirement stated in the bidding document. Supply Requirements Evaluation Process Technical Evaluation
14 2024-08-29 Line No. 66 (128 slice CT)
-Clarification of standard rotation times 3600 , sec
-All the current generation of CT Scanners have developed a faster rotation mechanism which ultimately result in better runoff studies and overcoming the motion artefact, improved temporal resolution.
-Propose amendment to ≤0,5sec		 Many thanks for this feedback. Upon consideration, MoH has decided to retain the current specification. Supply Requirements Evaluation Process Technical Evaluation
15 2024-08-29 Line No. 160 (128 slice CT)
-Clarification of Display Monitor Size
-Same with line No. 148 display monitor size for console we need to apply the same configuration monitor size.
-Propose amendment to 19’ dual monitor, because with 19’ dual monitor its enough to make image reconstruction with good image quality.		 Many thanks for this feedback. Upon consideration, MoH has decided to retain the current specification. Bidder to provide a minimum requirement stated in the bidding document. Supply Requirements Evaluation Process Technical Evaluation
16 2024-08-29 Line No. 63 (64 slice CT)
-Clarification of Detector Width, z-axis, mm
-Continue point no. 1 for Line No. 37 about 64 slices, or equivalent. With 10 mm Detector Size in z-axis will help the vendors to offer an extremely low-end CT Scanners (8 slice, 16 Slice or 32 slice).
-Propose amendment to minimal 20mm detector		 Many thanks for this feedback. MoH has considered this input and we will retain the current specification. The type of CT Scan Slice described a 64 Slice CT with an acceptable detector size with quality scanning images. Supply Requirements Evaluation Process Technical Evaluation
17 2024-08-29 Line No. 63 (128 slice CT)
-Clarification of Detector Width, z-axis, mm to be ≥ 38 mm
-Propose amendment to minimal 40mm detector (Mandatory)
-If it is not 40mm detector, propose amendment to have extra line of optional specification for wider coverage that provides faster scan time without compromising image quality (ie ≥ 40mm detector to get extra 2 points)		 Many thanks for this feedback. Upon consideration, MoH has decided to retain the current specification. The type of CT Scan Slice described a 128 Slice CT with an acceptable detector size with quality scanning images. Supply Requirements Evaluation Process Technical Evaluation
18 2024-08-29 Line No. 45 (128 slice CT)
-Clarification on Heat Storage, MHU to be ≥7 (under X-Ray Tube)
-There are 2 types of heat storage capacity: anode heat storage capacity, and tube assembly/housing heat storage capacity. Please confirm which heat storage capacity you are referring to.		 Many thanks for this feedback. MoH has considered this request, and will update this specification in a forthcoming amendment. The capacity is the x-ray tube "anode" is to store heat generated during its operation, expressed in million heat units (MHUs). Heat Storage at MHU as ≥ 7; bidder can provide acceptable MHU to model proposed Supply Requirements Evaluation Process Technical Evaluation
19 2024-08-29 Line No. 67 (64 slice CT)
-Clarification of standard rotation times 3600, sec
-All the current generation of CT Scanners have developed a faster rotation mechanism which ultimately result in better runoff studies and overcoming the motion artefact, improved temporal resolution.
-Propose amendment to ≤0.5sec		 Many thanks for this feedback. MoH has considered this input and we will retain the current specification. Supply Requirements Evaluation Process Technical Evaluation
20 2024-08-29 Line 56 (256 slice CT)
-kW OutPut: ≥ 70 kW
-The Generator kW output for 128 slice was also 70kW, Request the tender authority to ask for a powerful generator of 100kW to differentiate between 128 & 256 slice scanners. With powerful generator 256 Slice CT Scan can output low energy and high energy in one acquisition.
-Amendment Request kW OutPut: 100 kW
-If it is not 100 kW, propose amendment to have extra line of optional specification for higher power for lower patient dose (ie 100 kW to get extra 5 points)		 Many thanks for this feedback. MoH has considered this input and we will retain the current specification. Supply Requirements Evaluation Process Technical Evaluation
21 2024-08-29 Line No. 262 (64 slice CT)
-Interface with Information System Required; e.g: HIS, RIS, EMR, etc
-Please Clarify the ask, Vendor need to integrate the existing HIS, RIS, EMR etc to the CT or have to provide and integrate the HIS, RIS, EMR etc..		 Vendor need to integrate CT into the existing HIS, RIS, EMR etc. Console or Workstation from CT can accept information patient data from HIS, RIS, EMR, etc. Supply Requirements Evaluation Process Qualification Requirements
22 2024-08-29 Line No. 37 (64 slice CT)
-Clarification and elaborate on the meaning of 64 slices, or equivalent.
-64 slices, or equivalent.. We all understand that the terminology associated with CT Physics is either Acquisition Slice (which is true slice data acquired from the patient anatomy) or Reconstructed slice (where we use computers to manipulate the acquired data set, further The computer system puts in plastic images in between every slices to make it a higher number of slices than actual). The word equivalent will help the vendors to offer an extremely low end CT scanners (8, 16 or 36 slice). Since the equivalent 64 slice is not actual 64 slice CT, hence the clinical outcome of these CT will be very limited compared to the actual/true 64 slice CT Scanner.

Which will eventually dilute or lower the clinical confidence & capability of the department.
-And the purpose of procuring a current generation CT scanner will be defeated.
-Propose Amendment to 64 Slice Acquisition (mandatory)
-If it is not true 64 Slice Acquisition technology, propose amendment to have extra line of optional specification for higher performance detector (ie 64 Slice Acquisition to get extra 5 points)		 Many thanks for this feedback. Upon consideration, MoH has decided to retain the current specification. Bidder to provide a minimum requirement stated in the bidding document. Bidder must provide 64 slices Aquisition or real 64 slice CT Scan to make sure the CT system capabilities is same as the user expectation. This is a mandatory criteria, CT Scan have abililty for CT angiography and CT Cardiac will be markly reduced and not available in CT scan with multislice specification less than 64 slices Aquisition or real 64 slice CT Scan. Supply Requirements Evaluation Process Technical Evaluation
23 2024-08-29 Line No. 248 (128 slice CT)
-Clarification of Estimated Operation Time, minutes (UPS) – rated criteria
-In the Technical Specification mention at least 30 minutes. We need to change at least 10 minutes, because if we follow 30 minutes will need more space for the installation of the battery and increase maintenance cost.
-Propose amendment operation time 10 minutes back up		 Many thanks for this feedback. MoH has considered this request, and will update this specification in a forthcoming amendment. Supply Requirements Evaluation Process Technical Evaluation
24 2024-08-29 Line No. 249 (512 slice CT)
-Clarification of Estimated Operation Time, minutes (UPS) – rated criteria
-In the Technical Specification mention at least 30 minutes. We need to change at least 10 minutes, because if we follow 30 minutes will need more space for the installation of the battery and increase maintenance cost.
-Propose amendment operation time 10 minutes back up		 Many thanks for this feedback. MoH has considered this request, and will update this specification in a forthcoming amendment. Supply Requirements Evaluation Process Technical Evaluation
25 2024-08-29 Line No. 45 (64 slice CT)
-Clarification on Heat Storage, MHU to be ≥5 (under X-Ray Tube)
-There are 2 types of heat storage capacity: anode heat storage capacity, and tube assembly/housing heat storage capacity. Please confirm which heat storage capacity you are referring to.
-If it is on Anode heat storage capacity, propose amendment to have extra line of optional specification for higher capacity/performance (ie ≥ 7 MHU to get extra 5 points)		 Many thanks for this feedback. MoH has considered this request, and will update this specification in a forthcoming amendment. The capacity is the x-ray tube anode is to store heat generated during its operation, expressed in million heat units (MHUs) Supply Requirements Evaluation Process Technical Evaluation
26 2024-08-29 Line No. 161 (256 slice CT)
-Clarification of Display Monitor Size
-Same with line No. 149 display monitor size for console we need to apply the same
configuration monitor size.
-Propose amendment to 19’ dual monitor, because with 19’ dual monitor its enough
to make image reconstruction with good image quality.		 Many thanks for this feedback. Upon consideration, MoH has decided to retain the
current specification. Bidder to provide a minimum requirement stated in the
bidding document.		 Supply Requirements Evaluation Process Technical Evaluation
27 2024-08-29 Line No. 161 (64 slice CT)
-Clarification of Display Monitor Size
-Same with line No. 149 display monitor size for console we need to apply the same configuration monitor size.
-Propose amendment to 19’ dual monitor, because with 19’ dual monitor its enough to make image reconstruction with good image quality.		 Many thanks for this feedback. Upon consideration, MoH has decided to retain the current specification. Bidder to provide a minimum requirement stated in the bidding document. Supply Requirements Evaluation Process Technical Evaluation
28 2024-09-02 Dear Procurement commitee of MoH
[email protected] <[email protected]>,.

Let me introduce myself, my name is XXXX from XXXX.
We found in the table/excel technical specification R5_CT Scan-256 Technical Part Lot 5_Cannot be filled from row 211 - 218.
Please explain how to fill it,

Best Regards,		 These are well noted. The technical specifications for CT-Scan have been uploaded, with cells unlocked for inputs, allowing Bidders to fill in the required information. Bidding Procedure Procurement Regulations Forms
29 2024-09-02 Dears,.
I tried to send a question via the email address below [email protected] But failed, I don't know why.. is the Q&A session not open yet, or is the email address for the Q&A session not the address above? please explain..

My question on this occasion is:
For all the CT Lots, I found it required that,

*Number of Laser Printer 1

As I understand, this should be a laser printer for films. Please correct me if any mistake.
And also required

*Laser Printer Toner - Bidder to supply quantity for 100 typical patient procedured

I think this is the same printer as mentioned above.
But per my understanding, toner should be a thing used in the paper printer, not in film laser printer.
I guess maybe it requires films for 100 patients. or anything else?

Best Regards		 Many thanks for this feedback. MoH has considered this request, and will update this specification in a forthcoming amendment. Supply Requirements Evaluation Process Technical Evaluation
30 2024-09-03 Lot 1 : Procurement of CT-Scan 64 Slices (West) :
Point No. 294: Will the patient's monitor be connected to the CT via telemedicine or how will it work?		 Many thanks for this feedback. Upon consideration, MoH has decided to retain the current specification. Teleradiology solutions enable radiologists immediate access to medical images via secure telecommunication; asynchronous/ synchronous via PACs; capabilities of integrated hospitals maximizing limited resources e.g. radiologist viewing digitalized scans or "live scans" depending on infrastructure e.g. internet stability/ accessibility. Supply Requirements Evaluation Process Technical Evaluation
31 2024-09-03 Lot 1 : Procurement of CT-Scan 64 Slices (West) :
Point No. 24:Is respiratory gating necessary for diagnostic CT? Considering that scans with respiratory gating are only needed for the CT simulator, can this be removed from the specifications or could an explanation be provided regarding the need for respiratory gating in diagnostic CT scan?		 Many thanks for this feedback. MoH has considered this request, and will update this specification in a forthcoming amendment. MoH will provide Tech Specs Updates: Respiratory gating supports post radiotherapy assessment/ diagnostic tool or clinical measurements, applicable for thoraxic and abdominal organs where breathing may impact image quality. Supply Requirements Evaluation Process Technical Evaluation
32 2024-09-03 Lot 1 : Procurement of CT-Scan 64 Slices (West) :
Point No 293: Is the function of telemedicine only to view images? Or how about that?
Are there any limitations on users who will access that viewer?		 Many thanks for this feedback. Upon consideration, MoH has decided to retain the current specification. Teleradiology solutions enable radiologists immediate access to medical images via secure telecommunication; asynchronous/ synchronous via PACs; capabilities of integrated hospitals maximizing limited resources e.g. radiologist viewing digitalized scans or "live scans" depending on infrastructure e.g. internet stability/ accessibility. Supply Requirements Evaluation Process Technical Evaluation
33 2024-09-03 Lot 1 : Procurement of CT-Scan 64 Slices (West) :
Point No. 222: Clarification about “Laser Printer Toner” TECHNICAL SPECIFICATIONS/FEATURES, please explanation about this?		 Many thanks for this feedback. MoH has considered this request, and will update this specification in a forthcoming amendment. Supply Requirements Evaluation Process Technical Evaluation
34 2024-09-05 To ensure proper experience is submitted, Bidder would like to confirm that since there is no mention that we need to provide specific slices for the CT Scan, is it acceptable to count any type of slices here? Yes, acceptable. Based on Section 3, ITB 32.1 point b: The Bidders shall have past contract experience to supply and install CT-Scan. Supply Requirements Evaluation Process Specific Experience
35 2024-09-05 Letter of Bid in RFB Procurement of CT Scan (pages 73):
Total Price: The total price of our Bid, excluding any discounts offered in item (c) below is:

To ensure appropriate information is filed, please clarify whether we only need to fill the our Bid Price in point “Total Price”, which will be the same as the Total Price in Price Schedule Form?		 The bid price shall include the price schedule for goods manufactured outside or within Purchaser country, related services, which include the recurrent costs for operations and maintenance during mandatory warranty period (5 years), which are to be priced into the bid and will be accounted for in the financial evaluation. The bid prices quoted by the bidders shall be in accordance with ITB 14 while for the purpose of financial part evaluation, it refers to ITB 34 Bidding Procedure Procurement Regulations Procurement Methodology
36 2024-09-05 Technical Specification in Technical Part Lot 1 – Lot 4 CT Scan 64 Slices (line 222):
Mandatory Technical Specification: Bidder to supply quantity for 100 typical patient procedures.
In this line, could you explain more detail about this?		 Many thanks for this feedback. MoH has considered this request, and will update this specification in a forthcoming amendment. Supply Requirements Evaluation Process Technical Evaluation
37 2024-09-05 Technical Specification in Technical Part Lot 1 – 5.
Accessories and Consumables from 3rd party.
What is the documents that we need to provide for the 3rd party (not the same brand/manufacturer as main unit) accessories and consumables? Does a Manufacturer Authorization required?		 In the event that the bidder is a JV and submits a bid for accessories that are not manufactured by any of the JV members, a Manufacturer's Authorization is not required. However, if the primary equipment is not manufactured by any of the JV members, a Manufacturer's
Authorization will be necessary. The bidder is requested to fill in the price schedules according to the offered Goods (manufactured outside Purchaser Country-to be imported or already imported or manufactured in the Purchaser Country). Therefore, for any single lot bid,
more than one price schedules can be filled-in depending on the source of the Goods offered.		 Supply Requirements Evaluation Process Technical Evaluation
38 2024-09-05 Registration in RFB Procurement of CT Scan (pages 109):
Registration of goods based on the Nomor Izin Edar (NIE, Distribution Permit Number) is required for equipment according to the Minister of Health regulation No.62/2017. However, this shall not be a pre-condition for the bidders to participate in the bidding process and shall not be the basis for rejection. Successful bidders will be offered an accelerated track for NIE registration before contract signing. If at the moment of submission, the NIE is not held by any of the JV members, but is transferred to one of the JV members after the contract is signed, does the bidder need to provide the NIE or is another registration license acceptable for submission?		 If NIE not alloted as of yet, bidder to provide evidence (U.S. FDA Clearance, CE Mark (Conformité Européenne mark) (MDD), or other health, safety and environmental standard adherence). NIE will not be a prerequisite at bidding stage, yet required for contract award. Bidder to specify whether NIE has already been alloted, as detailed in the bidding document. Please see requirements for technical spesification row number 10 and 11 in any of lot. The contract award includes NIE as a prerequisite; no other registration license will be accepted. Bidding Procedure Procurement Regulations Eligible Bidders (including joint venture)
39 2024-09-05 During the pre-bid meeting, Bu Anna stated that as long as the same experience is not used from one lot to another, it is acceptable to count it as cumulative. For example, if in Lot 1 we use A + B + C from 2022’s experience, and in Lot 2 we use A + B from 2020’s experience, and in Lot 3 we use A + C from 2019’s experience, is this possible? Thank you for your question. The same specific experience documents can be used repeatedly for different lots provided that meet the minimum requirement for the each respective lots. Each lot must be supported by documentation that demonstrates the necessary experience specifically for that lot. In case one bidder is to be recommended to be awarded the contract for more than one lot, such bidder shall meet the cumulative minimum requirement of point (a) financial capability and (b) specific experience respective lots. The contract will be determined based on the most advantageous bids. Refer to the RFB, Technical Part, Section III Evaluation and Qualification Criteria Bidding Procedure Evaluation Process Qualification Requirements
40 2024-09-05 Technical Specification in Technical Part Lot 1 – Lot 4 CT Scan 64 Slices (line 24):
Optional Technical Specification: Respiratory gating, Preferred.
Does the respiratory gating here need to be external, or is internal or digital respiratory gating acceptable?		 Many thanks for this feedback. Upon consideration, MoH has decided to retain the current specification. Respiratory gating supports post radiotherapy assessment/diagnostic tool or clinical measurements, applicable for thoraxic and abdominal organs where breathing may impact image quality. Supply Requirements Evaluation Process Technical Evaluation
41 2024-09-05 Is it acceptable that the representative of the bidder who sign the bidding documents is different from the representative of the bidder who attends the bid opening meeting? Thank you for your question. Yes, it is acceptable for the representative who signs the bidding documents to be different from the representative who attends the bid opening meeting. However, the representatives who attend must be authorized to act on behalf of the bidder,
and a signed power of attorney letter should be provided to confirm their authority.		 Bidding Procedure Procurement Regulations Forms
42 2024-09-05 Letter of Bid in RFB Procurement of CT Scan (pages 73):
Discounts: The discounts offered and the methodology for their application are:

To ensure appropriate information is filed, please clarify what is the discount needed to be stated? Does the percentage lower than cost value/budget counts as discount or not?		 Thank you for your question. Any explicit discounts should be clearly stated, including the percentage or fixed amount and the methodology for applying them in the Letter of Bid - Financial Part. The prices quoted must correspond to 100% of the items and quantities specified for each lot. If a bid price is lower than the budget or cost value, this lower price should be indicated as the bid amount. Discounts typically apply to the total bid price; thus, any reductions should be clearly reflected in the overall bid. Bidding Procedure Procurement Regulations Procurement Methodology
43 2024-09-05 Should the need arrise, what is the process to change the Power of Attorney representative in a JV once the bid has been submitted and is under evaluation? Yes, changes to the Power of Attorney (POA) are allowed under unforeseen circumstances, but the bidder must strictly follow the bidding document’s requirements in ITB Clauses 20.3 and 20.4. Any amendments must be properly authorized and submitted in writing to the Purchaser before the financial part is opened to ensure compliance. Bidding Procedure Procurement Regulations Eligible Bidders (including joint venture)
44 2024-09-05 Technical Specification in Technical Part Lot 5 CT Scan 128 Slices (line 69):
Optional Technical Specification: Field of view, cm, Preferred; ≥ 70 cm.
Does the FOV here need to be the Scan FOV, or is the Extended FOV acceptable?		 Yes, extended FOV is acceptable Supply Requirements Evaluation Process Technical Evaluation
45 2024-09-10 CT256 Slices, 211, Phantoms, Computed Tomography, Bidder to supply complete set for performance evaluation, quality assurance and quality control.
Bidder to supply the following according to IAEA standards, but not limited to:
1. CTDI Phantom Set
2. Image Quality Phantom
Clarification:
We kindly request to elaborate on the specifications for an image quality phantom due to wide range of phantoms available.		 Many thanks for this queston. Bidder may refer to the Phantoms specification that provided by IAEA. Supply Requirements Evaluation Process Technical Evaluation
46 2024-09-10 CT256 Slices, To be added, Additional dose radiation filter, Prefered; apart from standard alumunium filter
Recommendation:
We recommend that the Ministry of Health award extra points for imaging systems that include an additional dose radiation filter beyond the standard aluminum filter. This advanced filter should be designed to selectively attenuate lower X-ray energies, which are less effective for diagnostic purposes but contribute to unnecessary radiation exposure. By incorporating this additional filter, the system will not only reduce the overall dose of radiation but also optimize contrast between soft tissue and air, which is particularly beneficial for lung and colon imaging. There are more than 1 CT manaufacturers who can offer this important dose reduction feature.
Request: add orange line item
- Additional dose radiation filter: prefered; apart from standard alumunium filter		 Thank you for your input. We are not going to add new specifications. Aluminium absorbs lower energy X-rays, contributing to radiation dose & dependant on x-ray beam & voltage potential (keV). Bidder can elaborate under "dose modulation technique" on its brand feature/s of added dose radiation filter. Supply Requirements Evaluation Process Technical Evaluation
47 2024-09-10 CT 128 Slices, To be added, Brain hemorrhage imaging, Prefered, dual energy
Recommendation:
To allocate extra points for imaging systems that include a dual energy brain hemorrhage. Dual-energy imaging is particularly effective in differentiating between different types of intracranial hemorrhages and other brain tissues, which can significantly enhance the accuracy of diagnoses in acute care settings. This is particularly crucial in emergency situations where every second counts.
Request: orange line item under clinical software application
- Brain hemorrhage imaging : prefered, dual energy		 Thank you for your input. We are not going to add new specifications. Bidder may add the availability of the software under "clinical software application" segment, row of "others, if any". Supply Requirements Evaluation Process Technical Evaluation
48 2024-09-10 CT 64 Slices, Line 211, Phantoms, Computed Tomography, Bidder to supply complete set for performance evaluation, quality assurance and quality control.
Bidder to supply the following according to IAEA standards, but not limited to:
1. CTDI Phantom Set
2. Image Quality Phantom
Clarification:
We kindly request to elaborate on the specifications for an image quality phantom due to wide range of phantoms available.		 Many thanks for this queston. Bidder may refer to the Phantoms specification that provided by IAEA. Supply Requirements Evaluation Process Technical Evaluation
49 2024-09-10 CT512 Slices, line 292, Telemedicine, Bidder to list all telemedicine capabilities We respectfully request that the Ministry of Health provide further clarification regarding the expectations for telemedicine in relation to imaging requirements. Many thanks for this feedback. Upon consideration, MoH has decided to retain the current specification. Teleradiology solutions enable radiologists immediate access to medical images via secure telecommunication; asynchronous/ synchronous via PACs; capabilities of integrated hospitals maximizing limited resources e.g. radiologist viewing digitalized scans or "live scans" depending on infrastructure e.g. internet stability/ accessibility. Supply Requirements Evaluation Process Technical Evaluation
50 2024-09-10 CT256 Slices, line 66, Optional Minimum Slice Width, mm, Prefered; ≤ 0.5 mm
Latest generation 256 slice CT scanner has Multislice Spiral Acquisition
Reconstructed slice widths ranging 0.6, 0.8, 1, 1.5, 2, 3, 4, 5, 6, 7, 8, 10 mm.
Tender specification
Optional Minimum Slice Width, mm: Prefered; ≤ 0.5 mm
Request: amendment
Optional Minimum Slice Width, mm: Prefered; ≤ 0.6 mm		 Many thanks for this feedback. Upon consideration, MoH has decided to retain the current specification. Bidder providing brand specific feature. Supply Requirements Evaluation Process Technical Evaluation
51 2024-09-10 CT 128 Slices, To be added, kV interval setting, prefered, 10 kV steps in kV setting
Recommendation:
To allocate additional points (orange requirement) for the ability to adapt the kilovolt (kV) selection with more option steps. The capability to select the optimal kV setting with in 10 kV interval steps is crucial for achieving reduced radiation dose at maintained image quality for a broad range of patient sizes.
Request: add orange line item
- kV interval setting : prefered, 10 kV steps in kV setting		 Thank you for your input. We are not going to add new specifications. Bidder providing brand specific feature. Supply Requirements Evaluation Process Technical Evaluation
52 2024-09-10 CT512 Slices, To be added, 3D anti-scatter grid, Preferred
Recommendation:
To award additional points (orange requirement) for imaging systems that include advanced components such as a 3D anti-scatter grid integrated into the detector. The inclusion of a 3D anti-scatter grid significantly enhances image quality by effectively reducing scatter noise and maintaining image uniformity. This is particularly crucial for routine neuroimaging. It supports in improved CNR at a lower radiation dose.
Request: add orange line item
- 3D anti scatter grid: prefered		 Thank you for your input. We are not going to add new specifications. 3D antiscatter grid provides enhanced image quality in projection radiography by transmitting a majority of primary radiation and selectively rejecting scattered radiation & part of the proposed brand's integrated system i.e. brand specific features. Adequate radiation scatter safety addressed under radiation dose. Bidder encourage to provide/elaborate. Supply Requirements Evaluation Process Technical Evaluation
53 2024-09-10 CT512 Slices, line 110, Tissue Transparent View, Required
Clarification:
We kindly request that the Ministry of Health provide additional information regarding this requirement. Does this require setting bone transparency? Please specify the tissue in the requirement.		 Many thanks for this feedback. MoH has considered this request, and will update this specification in a forthcoming amendment. MoH will provide Tech Specs Updates: Tissue transparent view provides detailed tissue transition e.g. colon, cardiac/ vascular to identify signs of diseases/ disorders. Supply Requirements Evaluation Process Technical Evaluation
54 2024-09-10 CT 64 Slices (to be added)-kV interval setting, Prefered, 10 kV steps in kV setting
Recommendation:
To allocate additional points (orange requirement) for the ability to adapt the kilovolt (kV) selection with more option steps. The capability to select the optimal kV setting with in 10 kV interval steps is crucial for achieving reduced radiation dose at maintained image quality for a broad range of patient sizes.
Request: add orange line item
- kV interval setting : prefered, 10 kV steps in kV setting		 Thank you for your input. We are not going to add new specifications. Bidder providing brand specific feature. Supply Requirements Evaluation Process Technical Evaluation
55 2024-09-10 CT 64 (to be added)-In-room control interface-Prefered, additional interface is able to control protocol including patient data entry registration, area scan, scan protocol close to the patient inside the examination room.
Recommendation:
Implementation of a dedicated interface within the examination room to streamline the imaging process. This will allow the operator to manage the entire protocol without leaving the patient's side. This enhancement will not only reduce the time spent walking between the examination room and the control room but also significantly speed up patient preparation and positioning. Request: add orange line item for In-room control interface: preferred, additional interface is able to control protocol including patient data entry registration, area scan, scan protocol close to the patient inside the examination room.		 Thank you for your input. We are not going to add new specifications. Bidder providing brand specific features e.g. user control tablet, camera, workflow design to reduce back & forth, however the control room is adjunct to the examination room and layout designing may assist, however applicable for limited staffing resources. Supply Requirements Evaluation Process Technical Evaluation
56 2024-09-10 CT256 Slices, line 119, Dynamic CT-scan, CT Time intensity timeline, Required
Clarification:
We kindly request that the Ministry of Health provide additional information regarding this requirement.		 Many thanks for this feedback. Upon consideration, MoH has decided to retain the current specification. Dynamic CT-Scan benefits from the time-intensity curve using contrast bolus tracking, to determine the start scan time for perfusion studies or dynamic contrast assessments. Encourage bidder to provide supportive evidence of images/reports. Supply Requirements Evaluation Process Technical Evaluation
57 2024-09-10 CT256 Slices, To be added, Brain hemorrhage imaging, Prefered, dual energy
Recommendation:
To allocate extra points for imaging systems that include a dual energy brain hemorrhage. Dual-energy imaging is particularly effective in differentiating between different types of intracranial hemorrhages and other brain tissues, which can significantly enhance the accuracy of diagnoses in acute care settings. This is particularly crucial in emergency situations where every second counts.
Request: orange line item under clinical software application
- Brain hemorrhage imaging : prefered, dual energy		 Thank you for your input. We are not going to add new specifications. Bidder may add the availability of the software under "clinical software application" segment, row of "others, if any". Supply Requirements Evaluation Process Technical Evaluation
58 2024-09-10 CT 128 Slices, To be added, Maximum mA range, Prefered, ≥ 800 mA
Recommendation:
To allocate additional points (orange requirement) for imaging systems with a higher maximum mA range that is ≥ 800 mA. A higher tube current, as measured by mA, is crucial for enhancing image quality when scanning higher-density objects.
Request: add orange line item
- Maximum mA range : Prefered, ≥ 800 mA		 Thank you for your input. We are not going to add new specifications. Bidder providing brand specific feature. Supply Requirements Evaluation Process Technical Evaluation
59 2024-09-10 CT 64 Slices (to be added)-Prefered, ≥ 800 mA
Recommendation:
To allocate additional points (orange requirement) for imaging systems with a higher
maximum mA range that is ≥ 800 mA. A higher tube current, as measured by mA, is
crucial for enhancing image quality when scanning higher-density objects.
Request: add orange line item
- Maximum mA range : Prefered, ≥ 800 mA		 Thank you for your input. We are not going to add new specifications. Bidder providing brand specific feature. Supply Requirements Evaluation Process Technical Evaluation
60 2024-09-10 CT 128 Slices, line 210, Phantoms, Computed Tomography, Bidder to supply complete set for performance evaluation, quality assurance and quality control.
Bidder to supply the following according to IAEA standards, but not limited to:
1. CTDI Phantom Set
2. Image Quality Phantom
Clarification:
We kindly request to elaborate on the specifications for an image quality phantom due to wide range of phantoms available.		 Many thanks for this queston. Bidder may refer to the Phantoms specification that provided by IAEA. Supply Requirements Evaluation Process Technical Evaluation
61 2024-09-10 CT256 Slices, line 292, Telemedicine, Bidder to list all telemedicine capabilities
Clarification:
We respectfully request that the Ministry of Health provide further clarification regarding the expectations for telemedicine in relation to imaging requirements.		 Many thanks for this feedback. Upon consideration, MoH has decided to retain the current specification. Teleradiology solutions enable radiologists immediate access to medical images via secure telecommunication; asynchronous/ synchronous via PACs; capabilities of integrated hospitals maximizing limited resources e.g. radiologist viewing digitalized scans or "live scans" depending on infrastructure e.g. internet stability/ accessibility. Supply Requirements Evaluation Process Technical Evaluation
62 2024-09-10 CT256 Slices, line 23, Lung function analysis, Required
Clarification:
Does this requirement involve the process of isolating and identifying the lung regions within medical images, similar to what is typically done in lung segmentation?		 Many thanks for this feedback. MoH has considered this request, and will update this specification in a forthcoming amendment. MoH will provide Tech Spec Updates: Provides anatomical & physiological lung analysis to detect/ diagnose diseases/ disorders. Supply Requirements Evaluation Process Technical Evaluation
63 2024-09-10 We understand from the GCC and SCC found within the RFB the penalties related to repair/response time required. We have also noticed on the 95% “Uptime” requirement of the systems and the consequence of “recourse to contractual remedies”, at the same time with linkage to the twice a year performance linkedpayments of 7.5%.

Can MOH please clarify what exactly does “recourse to contractual remedies” mean and if it is stacked on top of the existing penalties/liquidated damages already defined?		 Thank you for your question. Suppliers are required to ensure a minimum average of 95 percent uptime across all fully commissioned equipment, calculated over a sixmonthly period. Failure to do so will result in recourse to contractual remedies. These remedies are meant to ensure that performance standards are met and to provide additional recourse beyond the standard penalties. For detailed contractual remedies will be discused further with the successful bidder. Contract Contract Management Penalty
64 2024-09-10 CT512 Slices, To be added, Rib unfolding protocol, Prefered
Recommendation:
To allocate extra points for imaging systems that include software that is able to do rib unfolding on acquisition. Rib unfolding software allows clinicians to visualize the entire rib cage in a single, continuous image. This eliminates the need to manually scroll through multiple slices to assess each rib, providing a comprehensive and clear view of the rib anatomy. This capability is particularly useful for identifying fractures, lesions, or abnormalities that might be missed with conventional imaging techniques.
Request: orange line item under clinical software application
- Rib unfolding protocol : prefered		 Thank you for your input. We are not going to add new specifications. "Thoracic protocol" including Rib unfolding (RU) is a computer-assisted software providing rapid assessment of the ribs in a two-dimensional plan, i.e., rib evaluation. Bidder encourage to provide/ elaborate. Supply Requirements Evaluation Process Technical Evaluation
65 2024-09-10 CT256 Slices, To be added, Rib unfolding protocol, Prefered,
Recommendation:
To allocate extra points for imaging systems that include software that is able to do rib unfolding on acquisition. Rib unfolding software allows clinicians to visualize the entire rib cage in a single, continuous image. This eliminates the need to manually scroll through multiple slices
to assess each rib, providing a comprehensive and clear view of the rib anatomy. This capability is particularly useful for identifying fractures, lesions, or abnormalities that might be missed with conventional imaging techniques.
Request: orange line item under clinical software application
- Rib unfolding protocol : prefered		 Thank you for your input. We are not going to add new specifications. "Thoracic protocol" including Rib unfolding (RU) is a computer-assisted software providing rapid assessment of the ribs in a two-dimensional plan, i.e., rib evaluation. Bidder encourage to provide/ elaborate. Supply Requirements Evaluation Process Technical Evaluation
66 2024-09-10 CT512 Slices, To be added, Bone marrow imaging, Preferred, dual energy
Recommendation:
Allocate points for imaging systems that include a dual energy bone marrow imaging. This advanced imaging technique allows for the differentiation between bone marrow and other tissues, enabling more accurate diagnosis and assessment of conditions such as bone marrow edema, fractures, and lesions.
Request: orange line item under clinical software application
- Bone marrow imaging : prefered, dual energy		 Thank you for your input. We are not going to add new specifications. Bidder may add the availability of the software under "clinical software application" segment, row of "others, if any". Supply Requirements Evaluation Process Technical Evaluation
67 2024-09-10 CT 128 Slices, line 109, Tissue Transparent View, Required
We kindly request that the Ministry of Health provide additional information regarding this requirement. Does this require setting bone transparency? Please specify the tissue in the requirement.		 Many thanks for this feedback. MoH has considered this request, and will update this specification in a forthcoming amendment. MoH will provide Tech Specs Updates: Tissue transparent view provides detailed tissue transition e.g. colon, cardiac/ vascular to identify signs of diseases/ disorders. Supply Requirements Evaluation Process Technical Evaluation
68 2024-09-10 CT256 Slices, To be added, Maximum mA range, Prefered, ≥ 800 mA
Recommendation:
To allocate additional points (orange requirement) for imaging systems with a higher maximum mA range that is ≥ 800 mA. A higher tube current, as measured by mA, is crucial for enhancing image quality when scanning higher-density objects.
Request: add orange line item
- Maximum mA range : Prefered, ≥ 800 mA		 Thank you for your input. We are not going to add new specifications. Bidder providing brand specific feature. Supply Requirements Evaluation Process Technical Evaluation
69 2024-09-10 6. We have noticed that the penalty event of “Delay in Delivery” is mentioned in Clause 27.1 of GCC and 27.1 SCC as well as in 27.2 2nd paragraph SCC. Can MOH please clarify that Delay in Delivery of the Equipment is solely covered by 27.1 GCC and therefore delete or caveat the current 27.2. 2nd paragraph SCC to avoid confusion. i.e. that a delay in delivery which also causes a delay in commissioning, shall not incur both penalties?

The GCC/SCC seems to mention several different penalty reference values (“Unitary Contract Value” vs. “Value of the Delayed Part of the Equipment”). We recommend to use the common term of “Unitary Contract Value of the Delayed Part of the Equipment only” in all cases in view of the total contract value. May we therefore please ask MOH to clarify the penalty rate and upper limit specifically as referenced in 27.1 of the SCC, i.e. with the reference to the phrasing of “1/1000 per day” and “10% of the Unitary Contract Value”?		 Thank you for your question. The Special Conditions of Contract (SCC) are intended to provide additional details and modifications to the General Conditions of Contract (GCC), ensuring that both sections work in conjunction to clarify the terms of the contract. The clause on liquidated damages in SCC 27.1 addresses delays in delivering the Goods by the agreed delivery dates, whereas penalties under SCC 27.2 pertain to the performance of the contract after the goods have been delivered and installed.

Regarding the terms "Unitary Contract Value" and "Value of the Delayed Part of the Equipment," these refer to distinct concepts and therefore cannot be interchanged.

As specified in the relevant bidding documents, penalties will be applied due to delays in repair, full commissioning, preventative maintenance, and corrective maintenance during the extended warranty and service contract periods.

In the case of the CT Scan tender, the penalties related to delayed downtime will be 0.1% of the Unitary Contract Value of the affected quantity per day after 5 days from the notification. The penalty will be increased to 0.3% of the Unitary Contract Value of the quantity that continues to experience delays in downtime, per day from the 16th day. The maximum penalty during the Operational support and Maintenance phase, upon acceptance, will not exceed 25% of the Unitary Contract Value for the entire lot.

In addition, failure to ensure a minimum average of 95% uptime, calculated across all fully commissioned equipment over a 6 monthly period, will result in recourse to contractual remedies.		 Contract Contract Management Penalty
70 2024-09-10 Lots 1, 2, 3, & 4: Procurement of CT Scan 64 Slices
CT Scan 64 Slice, Line 24, Respiratory gating,
Existing Specification: Prefered
Proposed Modification to Specification: Remove Specification
Remarks:
The inclusion of respiratory gating appears to be an error, and we respectfully request the removal of this specification. The subject tender aims to procure CT scanners for diagnostic services within radiology departments. We understand that there will be a separate tender to procure CT simulation solutions to support radiotherapy services for cancer treatment. Respiratory gating is a feature of CT simulators that are paired with Linacs to locate and treat cancer cells near the thorax and lungs. Respiratory gating is completely unrelated to diagnostic services, and as such, we interpret its inclusion in the bidding documents as a mistake. We would appreciate it if the Ministry removed this specification from the tender.
Request: Remove Specification		 Many thanks for this feedback. MoH has considered this request, and will update this specification in a forthcoming amendment. MoH will provide Tech Specs Updates: Respiratory gating supports post radiotherapy assessment/ diagnostic tool or clinical measurements, applicable for thoraxic and abdominal organs where breathing may impact image quality. Supply Requirements Evaluation Process Technical Evaluation
71 2024-09-10 CT 128 Slices, To be added, Max mA at lowest kV, Prefered, 800 mA or more at low kV (70 kV)
Recommendation:
Introduction of a new requirement for specifying the maximum milliampere (mA) at the lowest kilovolt (kV) settings in CT imaging systems. The capability to perform low kV imaging at maximum mA is critical for optimizing contrast media enhancement, resulting in sharper and more detailed images, particularly in challenging areas such as peripheral arteries and coronary vessels. Iodine-to-soft-tissue contrast in the CT image will increase at low-kV imaging and lower average photon energy. Publications have also shown a positive impact on contrast-enhanced studies. This additional request will be helpful in kidney friendly CT contrast studies.
Request: add orange line item
- Max mA at lowest kV : prefered, 800 mA or more at low kV (70 kV/80 kV)		 Thank you for your input. We are not going to add new specifications. Bidder providing brand specific feature. Supply Requirements Evaluation Process Technical Evaluation
72 2024-09-10 CT 128 Slices, Line 23, Lung function analysis, Required
Clarification:
Does this requirement involve the process of isolating and identifying the lung regions within medical images, is it similar to what is typically done in lung segmentation?		 Many thanks for this feedback. MoH has considered this request, and will update this specification in a forthcoming amendment. MoH will provide Tech Spec Updates: Provides anatomical & physiological lung analysis to detect/ diagnose diseases/ disorders. Supply Requirements Evaluation Process Technical Evaluation
73 2024-09-10 CT 128 Slices, To be added, Additional dose radiation filter, Prefered; apart from standard alumunium filter
Recommendation:
We suggest that Ministry of Health award additional points (orange requirement) for imaging systems that include advanced components such as a 3D anti-scatter collimator integrated into the detector.This advanced filter should be designed to selectively attenuate lower X-ray energies, which are less effective for diagnostic purposes but contribute to unnecessary radiation exposure. By incorporating this additional filter, the system will not only reduce the overall dose of radiation but also optimize contrast between soft tissue and air, which is particularly beneficial for lung and colon imaging. There are more than 1 CT manaufacturers who can offer this important dose reduction feature.
Request: add orange line item
- Additional dose radiation filter: prefered; apart from standard alumunium filter		 Thank you for your input. We are not going to add new specifications. Aluminium absorbs lower energy X-rays, contributing to radiation dose & dependant on x-ray beam & voltage potential (keV). Bidder can elaborate under "dose modulation technique" on its brand feature/s of added dose radiation filter. Supply Requirements Evaluation Process Technical Evaluation
74 2024-09-10 CT 64 Slices (to be added)-Max mA at lowest kV, Prefered, 800 mA or more at low kV (70 kV)
Recommendation:
Introduction of a new requirement for specifying the maximum milliampere (mA) at the lowest kilovolt (kV) settings in CT imaging systems. The capability to perform low kV imaging at maximum mA is critical for optimizing contrast media enhancement, resulting in sharper and more detailed images, particularly in challenging areas such as peripheral arteries and coronary vessels. Iodine-to-soft-tissue contrast in the CT image will increase at low-kV imaging and lower average photon energy. Publications have also shown a positive impact on contrast-enhanced studies. This additional request will be helpful in kidney friendly CT contrast studies.
Request: add orange line item
- Max mA at lowest kV : prefered, 800 mA or more at low kV (70 kV/80 kV)		 Many thanks for this feedback. Upon consideration, MoH has decided to retain the current specification. Bidder to provide a minimum requirement stated in the bidding document. Supply Requirements Evaluation Process Technical Evaluation
75 2024-09-10 CT 128 Slices, To be added, 3D anti-scatter grid, Prefered
Recommendation:
To award additional points (orange requirement) for imaging systems that include advanced components such as a 3D anti-scatter grid integrated into the detector. The inclusion of a 3D anti-scatter grid significantly enhances image quality by effectively reducing scatter noise and maintaining image uniformity. This is particularly crucial for routine neuroimaging. It supports in improved CNR at a lower radiation dose.
Request: add orange line item
- 3D anti scatter grid: prefered		 Thank you for your input. We are not going to add new specifications. 3D antiscatter grid provides enhanced image quality in projection radiography by transmitting a majority of primary radiation and selectively rejecting scattered radiation & part of the proposed brand's integrated system i.e. brand specific features. Adequate radiation scatter safety addressed under radiation dose. Bidder encourage to provide/ elaborate. Supply Requirements Evaluation Process Technical Evaluation
76 2024-09-10 CT256 Slices, line 68, Standard Rotation Times 360°, sec, Preferred; ≤ 0.4 sec
We recommend that the Ministry of Health to reduce the prefered standard rotation time even more to have more significant impact. Shorter rotation times are essential for significantly reducing scan times and improving temporal resolution, which in turn minimizes image blurring and enhances the clarity of the results. Fast gantry rotation times are the prerequisite for highest temporal resolution and are therefore essential for motion free cardiovascular imaging. 0.4 second rotation time is not an updated requirement for cardiac examinations and fast scanning. Reference: https://mdct.net/wpcontent/uploads/_mediavault/pdf/ebook/mdctAPract/097_110_Rybicki_Sheth.pdf
Tender Specification
- Standard Rotation Times 360°, sec : Prefered; ≤ 0.4 sec
Request: amendment
- Standard Rotation Times 360°, sec : Prefered; ≤ 0.35 sec		 Many thanks for this feedback. Upon consideration, MoH has decided to retain the current specification. Bidder encourage to provide/ elaborate. Supply Requirements Evaluation Process Technical Evaluation
77 2024-09-10 CT 64 Slices:Expected tube life, scan sec (and calendar) Line 50 (≥ 200,000 scan sec) & Line 51 (Prefered; ≥ 300,000 scan sec):
Recommendation:
The expected tube life is highly dependent on external factors, such as stability of electricity, humidity, patient throughput, etc. Moreover and in view of the mandatory inclusion of 5 years warranty, the functionality of the tube will be covered under the warranty period comprehensively regardless of scan usage and volume, hence leaving this parameter not meaningful for consideration.
Tender Specification:
≥ 200,000 scan sec (mandatory) & ≥ 300,000 scan sec (prefered)
Request: Complete removal of the Specification		 Many thanks for this feedback. MoH has considered this request, and will update this specification in a forthcoming amendment. MoH will provide update by removing "(and calendar)"; maintain the tube life expectancy. Supply Requirements Evaluation Process Technical Evaluation
78 2024-09-10 RFB No: KS.01.04/A.VI/5662/2024 Document – Section VII – 1. List of Goods and Delivery Schedule
In view of the current and timeline of the RFB/procurement process, will MOH please consider releasing an updated delivery schedule (RFB Section VII – Schedule of Requirements, 1. List of Goods and Delivery Schedule) which is more reflective of the end of the RFB process for delivering the systems? i.e. delivery starting from 2025 until May 2027. Additionally, we would appreciate MOH to please inform us early/upfront the communication/mechanism in which quarter of each year the equipment will be required for each hospital listed in the contract document, the relative timing of the notifications and how this will interact with the 210-day window for equipment delivery, when exactly would the Services be required relative to equipment delivery, and when/what exactly the scope of room readiness works will be defined for each location in comparison to the notification issued for that equipment.		 Many thanks for this feedback. Upon consideration, MoH has considered this request, and will update the tentative Delivery Schedule in a forthcoming amendment. Supply Requirements Evaluation Process Technical Evaluation
79 2024-09-10 CT 64 Slices, Line 110, Tissue Transparent View, Required
Clarification:
We kindly request that the Ministry of Health provide additional information regarding this requirement. Does this require setting bone transparency? Please specify the tissue in the requirement.		 Many thanks for this feedback. MoH has considered this request, and will update this specification in a forthcoming amendment. MoH will provide Tech Specs Updates: Tissue transparent view provides detailed tissue transition e.g. colon, cardiac/ vascular to identify signs of diseases/ disorders. Supply Requirements Evaluation Process Technical Evaluation
80 2024-09-10 CT 128 Slices, line 118, Dynamic CT-scan, CT Time intensity timeline, Required We kindly request that the Ministry of Health provide additional information regarding this requirement. Many thanks for this feedback. Upon consideration, MoH has decided to retain the current specification. Dynamic CT-Scan benefits from the time-intensity curve using contrast bolus tracking, to determine the start scan time for perfusion studies or dynamic contrast assessments. Encourage bidder to provide supportive evidence of images/ reports. Supply Requirements Evaluation Process Technical Evaluation
81 2024-09-10 CT 128 Slices, line 291, Telemedicine, Bidder to list all telemedicine capabilities We respectfully request that the Ministry of Health provide further clarification regarding the expectations for telemedicine in relation to imaging requirements. Many thanks for this feedback. Upon consideration, MoH has decided to retain the current specification. Teleradiology solutions enable radiologists immediate access to medical images via secure telecommunication; asynchronous/ synchronous via PACs; capabilities of integrated hospitals maximizing limited resources e.g. radiologist viewing digitalized scans or "live scans" depending on infrastructure e.g. internet stability/ accessibility. Supply Requirements Evaluation Process Technical Evaluation
82 2024-09-10 CT512 Slices, line 119, Dynamic CT-scan, CT Time intensity timeline, Required We kindly request that the Ministry of Health provide additional information regarding this requirement. Many thanks for this feedback. Upon consideration, MoH has decided to retain the current specification. Dynamic CT-Scan benefits from the time-intensity curve using contrast bolus tracking, to determine the start scan time for perfusion studies or dynamic contrast assessments. Encourage bidder to provide supportive evidence of images/ reports. Supply Requirements Evaluation Process Technical Evaluation
83 2024-09-10 We understand that payments will take place only when a “batch” of delivery is requested by MOH, in this regard, we kindly request for more specific information (i.e. by the quarters) of the delivery of any “batch” with a clear number of systems to be delivered e.g. 10-15 systems. Additionally, all guarantees will then be provided accordingly for each of the batches. However, the performance guarantee (GCC 18.1) is due in full amount 28 days after contract signature. We do request that the performance security shall be issued only for an amount corresponding to the requested “batch”. Thank you for your questions. Related to delivery, the facility readiness will be assessed between award notification and contract signing. Upon completion of due verification processes of these readiness criteria, MoH will provide the supplier with a written advance notice of the locations that meet all readiness criteria and are therefore ready to receive the equipment. This delivery schedule can be revised by the Purchaser based on the result of the due verification process of facility readiness within the duration of the contract. We will ensure to share this information with you once it is finalized. Related to the performance guarantee, it applies to each delivery batch. General Inqury Related to Proc Plan and Packaging Arr. Question related to Procurement Planning and Packaging Arrangements
84 2024-09-10 CT 64 Slices, Line 68, Standard Rotation Times 360°, sec, Prefered; ≤ 0.5 sec
Recommendation:
To reduce the prefered standard rotation time even more to have more significant impact. Shorter rotation times are essential for significantly reducing scan times and improving temporal resolution, which in turn minimizes image blurring and enhances the clarity of the results. Fast gantry rotation times are the prerequisite for highest temporal resolution and are therefore essential for motion free cardiovascular imaging. 0.5 second rotation time is not an updated requirement for cardiac examinations and fast scanning. Reference: https://mdct.net/wpcontent/uploads/_mediavault/pdf/ebook/mdctAPract/097_110_Rybicki_Sheth.pdf
Tender Specification
- Standard Rotation Times 360°, sec : Prefered; ≤ 0.5 sec
Request: amendment
- Standard Rotation Times 360°, sec : Prefered; ≤ 0.35 sec		 Many thanks for this feedback. Upon consideration, MoH has decided to retain the current specification. Bidder to provide a minimum requirement stated in the bidding document. Supply Requirements Evaluation Process Technical Evaluation
85 2024-09-10 CT 64 Slices, Line 119, Dynamic CT-scan, CT Time intensity timeline, Required,
Clarification:
We kindly request that the Ministry of Health provide additional information regarding this requirement.		 Many thanks for this feedback. Upon consideration, MoH has decided to retain the current specification. Dynamic CT-Scan benefits from the time-intensity curve using contrast bolus tracking, to determine the start scan time for perfusion studies or dynamic contrast assessments. Encourage bidder to provide supportive evidence of images/ reports. Supply Requirements Evaluation Process Technical Evaluation
86 2024-09-10 CT 64 Slices, to be added, Additional dose radiation filter, Prefered; apart from standard alumunium filter
Recommendation
We recommend that the Ministry of Health award extra points for imaging systems that include an additional dose radiation filter beyond the standard aluminum filter.
This advanced filter should be designed to selectively attenuate lower X-ray energies, which are less effective for diagnostic purposes but contribute to unnecessary radiation exposure. By incorporating this additional filter, the system will not only reduce the overall dose of radiation but also optimize contrast between soft tissue and air, which is particularly beneficial for lung and colon imaging. There are more than 1 CT manaufacturers who can offer this important dose reduction feature.
Request: add orange line item
- Additional dose radiation filter: prefered; apart from standard alumunium filter		 Thank you for your input. We are not going to add new specifications. Aluminium absorbs lower energy X-rays, contributing to radiation dose & dependant on x-ray beam & voltage potential (keV). Bidder can elaborate under "dose modulation technique" on its brand feature/s of added dose radiation filter. Supply Requirements Evaluation Process Technical Evaluation
87 2024-09-10 CT 128 Slices, to be added, In-room control interface, Preferred, additional interface is able to control protocol including patient data entry registration, area scan, scan protocol close to the patient inside the examination room
Recommendation:
Implementation of a dedicated interface within the examination room to streamline the imaging process. This will allow the operator to manage the entire protocol without leaving the patient's side. This enhancement will not only reduce the time spent walking between the examination room and the control room but also significantly speed up patient preparation and positioning.
Request: add orange line item
- In-room control interface: preferred, additional interface is able to control protocol including patient data entry registration, area scan, scan protocol close to the patient inside the examination room.		 Thank you for your input. We are not going to add new specifications. Bidder providing brand specific features e.g. user control tablet, camera, workflow design to reduce back & forth, however the control room is adjunct to the examination room and layout designing may assist, however applicable for limited staffing resources. Supply Requirements Evaluation Process Technical Evaluation
88 2024-09-10 CT256 Slices, To be added, 3D anti-scatter grid, Prefered
Recommendation:
To award additional points (orange requirement) for imaging systems that include advanced components such as a 3D anti-scatter grid integrated into the detector. The inclusion of a 3D anti-scatter grid significantly enhances image quality by effectively reducing scatter noise and maintaining image uniformity. This is particularly crucial for routine neuroimaging. It supports in improved CNR at a lower radiation dose.
Request: add orange line item
- 3D anti scatter grid: prefered		 Thank you for your input. We are not going to add new specifications. 3D antiscatter grid provides enhanced image quality in projection radiography by transmitting a majority of primary radiation and selectively rejecting scattered radiation & part of the proposed brand's integrated system i.e. brand specific features. Adequate radiation scatter safety addressed under radiation dose. Bidder encourage to provide/ elaborate. Supply Requirements Evaluation Process Technical Evaluation
89 2024-09-10 CT512 Slices, To be added, kV interval setting, preferred, 10 kV steps in kV setting
Recommendation:
To allocate additional points (orange requirement) for the ability to adapt the kilovolt (kV) selection with more option steps. The capability to select the optimal kV setting with in 10 kV interval steps is crucial for achieving reduced radiation dose at maintained image quality for a broad range of patient sizes.
Request: add orange line item
- kV interval setting : prefered, 10 kV steps in kV setting		 Thank you for your input. We are not going to add new specifications. Bidder providing brand specific feature. Supply Requirements Evaluation Process Technical Evaluation
90 2024-09-10 For the extension of the operations and maintenance contract years 6 to 10, can we please understand when will the details such as terms, Payment Terms and the contractual party be available? The Payment Terms for years 6 to 10 usually will be based on annual/semi-annual payments made in advance and handled directly by each user/hospital. These payments are required at the beginning of each service period, with the maintenance services carried out throughout the contract period. Contract Contract Management Payment Term
91 2024-09-10 -CT 128 Slices, 50, Expected tube life, scan sec (and calendar), ≥ 200,000 scan sec
-CT 128 Slices, 51, Expected tube life, scan sec (and calendar), Prefered; ≥ 300,000 scan sec
Recommendation
The expected tube life is highly dependent on external factors, such as stability of electricity, humidity, patient throughput, etc. Moreover and in view of the mandatory inclusion of 5 years warranty, the functionality of the tube will be covered under the warranty period comprehensively regardless of scan usage and volume, hence leaving this parameter not meaningful for consideration.
Tender Specification
- ≥ 200,000 scan sec (mandatory) & ≥ 300,000 scan sec (prefered)
Request: Complete removal of the Specification		 Many thanks for this feedback. MoH has considered this request, and will update this specification in a forthcoming amendment. MoH will provide update by removing "(and calendar)"; maintain the tube life expectancy. Supply Requirements Evaluation Process Technical Evaluation
92 2024-09-10 CT 128 Slices, To be added, Rib unfolding protocol, Prefered
Recommendation:
We recommend that the Ministry of Health award extra points for imaging systems that include software that is able to do rib unfolding on acquisition. Rib unfolding software allows clinicians to visualize the entire rib cage in a single, continuous image. This eliminates the need to manually scroll through multiple slices to assess each rib, providing a comprehensive and clear view of the rib anatomy. This capability is particularly useful for identifying fractures, lesions, or abnormalities that might be missed with conventional imaging techniques.
Request: orange line item under clinical software application, as follows:
- Rib unfolding protocol: prefered		 Thank you for your input. We are not going to add new specifications. Bidder may add the availability of the software under "Thoracic protocol" requirement. Rib unfolding (RU) is a computer-assisted software that promises rapid assessment of the ribs in a two-dimensional plan, was developed to facilitate rib evaluation. Supply Requirements Evaluation Process Technical Evaluation
93 2024-09-10 Lot 5: Procurement of CT Scan (128-256-512 Slice)
- CT Scan 128 Slice, Line 24, Respiratory gating, Preferred;
- CT Scan 256 Slice, Line 24, Respiratory gating, Preferred;
- CT Scan 512 Slice, Line 24, Respiratory gating, Preferred;
Existing Specification: Prefered
Proposed Modification Specification: Remove Specification
Remarks:
Please refer to the above statement on removing the erroneous respiratory gating specification.		 Many thanks for this feedback. MoH has considered this request, and will update this specification in a forthcoming amendment. MoH will provide Tech Specs Updates: Respiratory gating supports post radiotherapy assessment/ diagnostic tool or clinical measurements, applicable for thoraxic and abdominal organs where breathing may impact image quality. Supply Requirements Evaluation Process Technical Evaluation
94 2024-09-10 CT512 Slices, line 64, Total Detector Width, z-axis, mm, Preferred; ≥ 80mm
Recommendation:
CT scanners with more than one X-ray tube and more than one CT detector in single Gantry with > 512 slice CT segment is a high end CT technology for patient scanning with lower X-ray radiation dose and long coverage, appropriate to each patient needs regardless of age, size or weight.
The unique CT gantry design and unique table speed introduce precise CT imaging at unprecedented acquisition speed and native temporal resolution. However, 768 slice CT scanner comes with (2 x 64) 128 detector rows which has 2 detectors with width of 38.4mm each.
Tender Specifications:
Total Detector Width, z-axis, mm: Preferred; ≥ 80mm
Request: amendment
Total Detector Width, mm: Preferred; ≥ 80 mm or 2 detectors of 38.4 mm each		 Many thanks for this feedback. Upon consideration, MoH has decided to retain the current specification. The type of CT Scan Slice described a 512 Slice CT with an acceptable detector size with quality scanning images. Supply Requirements Evaluation Process Technical Evaluation
95 2024-09-10 -CT512 Slices, line 50, Expected tube life, scan sec (and calendar), ≥ 200,000 scan sec
-CT512 Slices, line 51, Expected tube life, scan sec (and calendar), Prefered; ≥ 300,000 scan sec
Recommendation:
The expected tube life is highly dependent on external factors, such as stability of electricity, humidity, patient throughput, etc. Moreover and in view of the mandatory inclusion of 5 years warranty, the functionality of the tube will be covered under the warranty period comprehensively regardless of scan usage and volume, hence leaving this parameter not meaningful for consideration.
Tender Specification:
- ≥ 200,000 scan sec (mandatory) & ≥ 300,000 scan sec (prefered)
Request: Complete removal of the Specification		 Many thanks for this feedback. MoH has considered this request, and will update this specification in a forthcoming amendment. MoH will provide update by removing "(and calendar)"; maintain the tube life expectancy. Supply Requirements Evaluation Process Technical Evaluation
96 2024-09-10 CT512 Slices, To be added, Additional dose radiation filter, Preferred; apart from standard alumunium filter
Recommendation:
We recommend that the Ministry of Health award extra points for imaging systems that include an additional dose radiation filter beyond the standard aluminum filter. This advanced filter should be designed to selectively attenuate lower X-ray energies, which are less effective for diagnostic purposes but contribute to unnecessary radiation exposure. By incorporating this additional filter, the system will not only reduce the overall dose of radiation but also optimize contrast between soft tissue and air, which is particularly beneficial for lung and colon imaging. There are more than 1 CT manaufacturers who can offer this important dose reduction feature.
Request: add orange line item
- Additional dose radiation filter: prefered; apart from standard alumunium filter		 Thank you for your input. We are not going to add new specifications. Aluminium absorbs lower energy X-rays, contributing to radiation dose & dependant on x-ray beam & voltage potential (keV). Bidder can elaborate under "dose modulation technique" on its brand feature/s of added dose radiation filter. Supply Requirements Evaluation Process Technical Evaluation
97 2024-09-10 CT256 Slices, To be added, In-room control interface, Preferred, additional interface is able to control protocol including patient data entry registration, area scan, scan protocol close to the patient inside the examination room
Recommendation:
Implementation of a dedicated interface within the examination room to streamline the imaging process. This will allow the operator to manage the entire protocol without leaving the patient's side. This enhancement will not only reduce the time spent walking between the examination room and the control room but also significantly speed up patient preparation and positioning.
Request: add orange line item
- In-room control interface: preferred, additional interface is able to control protocol including patient data entry registration, area scan, scan protocol close to the patient inside the examination room.		 Thank you for your input. We are not going to add new specifications. Bidder providing brand specific features e.g. user control tablet, camera, workflow design to reduce back & forth, however the control room is adjunct to the examination room and layout designing may assist, however applicable for limited staffing resources. Supply Requirements Evaluation Process Technical Evaluation
98 2024-09-10 CT512 Slices, line 23, Lung function analysis, Required Can MOH please clarify if this requirement involves the process of isolating and identifying the lung regions within medical images, similar to what is typically done in lung segmentation? Many thanks for this feedback. MoH has considered this request, and will update this specification in a forthcoming amendment. MoH will provide Tech Spec Updates: Provides anatomical & physiological lung analysis to detect/ diagnose diseases/ disorders. Supply Requirements Evaluation Process Technical Evaluation
99 2024-09-10 CT 128 Slices, line 284, Integration with clinical scoring systems: The application should integrate with established stroke scoring systems (e.g., ASPECTS, NIHSS) to facilitate clinical decision-making, Preferred
Tender Specification:
Integration with clinical scoring systems: The application should integrate with established stroke scoring systems (e.g., ASPECTS, NIHSS) to facilitate clinical decision-making
Request: amendment
Integration with clinical scoring systems: The system automatically calculates the established stroke scoring system (ASPECT) that facilitate clinical decision-making” In addition, Synthetic visualization of stroke results (.e.g ASPECTS, LVO, Neuro Perfusion etc.) in one page as possible, that would enable faster decision making as all results are in one place.		 Many thanks for this feedback. Upon consideration, MoH has decided to retain the current specification. Integrating established stroke scoring system with examples: ASPECTS or NIHSS, etc, to facilitate clinical decision making. Bidder encourage to provide/ elaborate. Supply Requirements Evaluation Process Technical Evaluation
100 2024-09-10 CT256 Slices, line 47, Heat Dissipation Rate, kHU/min, Preferred, ≥ 2,000 kHU/min
Recommendation:
In view of different industrial types of anode and efficient X-ray tubes design, market technologies/systems/products can now leverage on a lower requirement for heat capacity and still produce excellent clinical images for the benefit of clinicians/patients. We kindly request MOH to reduce the preferred heat dissipation rate requirement from ≥ 2,000 kHU/min to ≥ 1,700 kHU/min.
Tender Specification
- Heat Dissipation Rate, kHU/min : prefered, ≥ 2,000 kHU/min
Request: amendment
- Heat Dissipation Rate, kHU/min : prefered, ≥ 1,700 kHU/min		 Many thanks for this feedback. Upon consideration, MoH has decided to retain the current specification. Bidder providing brand specific feature. Supply Requirements Evaluation Process Technical Evaluation
101 2024-09-10 CT256 Slices, To be added, Max mA at lowest kV, Prefered, 800 mA or more at low
kV (70 kV)
Recommendation:
Introduction of a new requirement for specifying the maximum milliampere (mA) at
the lowest kilovolt (kV) settings in CT imaging systems. The capability to perform low
kV imaging at maximum mA is critical for optimizing contrast media enhancement,
resulting in sharper and more detailed images, particularly in challenging areas such
as peripheral arteries and coronary vessels.
Iodine-to-soft-tissue contrast in the CT image will increase at low-kV imaging and
lower average photon energy. Publications have also shown a positive impact on
contrast-enhanced studies. This additional request will be helpful in kidney friendly
CT contrast studies.
Request: add orange line item
- Max mA at lowest kV : prefered, 800 mA or more at low kV (70 kV/80 kV)		 Thank you for your input. We are not going to add new specifications. Bidder providing brand specific feature. Supply Requirements Evaluation Process Technical Evaluation
102 2024-09-10 CT512 Slices, line 66, Optional Minimum Slice Width, mm, Preferred; ≤ 0.5 mm Latest generation CT scanner has Multislice Spiral Acquisition Reconstructed slice widths ranging 0.6, 0.8, 1, 1.5, 2, 3, 4, 5, 6, 7, 8, 10 mm.
Tender specification:
Optional Minimum Slice Width, mm: Prefered; ≤ 0.5 mm
Request: amendment
Optional Minimum Slice Width, mm: Prefered; ≤ 0.6 mm		 Many thanks for this feedback. Upon consideration, MoH has decided to retain the current specification. Bidder providing brand specific feature. Supply Requirements Evaluation Process Technical Evaluation
103 2024-09-10 CT256 Slices, line 110, Tissue Transparent View, Required
Clarification:
We kindly request that the Ministry of Health provide additional information regarding this requirement. Does this require setting bone transparency? Please specify the tissue in the requirement.		 Many thanks for this feedback. MoH has considered this request, and will update this specification in a forthcoming amendment. MoH will provide Tech Specs Updates: Tissue transparent view provides detailed tissue transition e.g. colon, cardiac/ vascular to identify signs of diseases/ disorders. Supply Requirements Evaluation Process Technical Evaluation
104 2024-09-10 CT 128 Slices, Line 67, Standard Rotation Times 360°, sec, Preferred; ≤ 0.4 sec
Recommendation:
To reduce the prefered standard rotation time even more to have more significant impact. Shorter rotation times are essential for significantly reducing scan times and improving temporal resolution, which in turn minimizes image blurring and enhances the clarity of the results. Fast gantry rotation times are the prerequisite for highest temporal resolution and are therefore essential for motion free cardiovascular imaging. 0.4 second rotation time is not an updated requirement for cardiac examinations and fast scanning. Reference: https://mdct.net/wpcontent/uploads/_mediavault/pdf/ebook/mdctAPract/097_110_Rybicki_Sheth.pdf
Tender Specification:
- Standard Rotation Times 360°, sec : Prefered; ≤ 0.4 sec
Request: amendment
- Standard Rotation Times 360°, sec : Prefered; ≤ 0.35 sec		 Many thanks for this feedback. Upon consideration, MoH has decided to retain the current specification. Bidder encourage to provide/ elaborate. Supply Requirements Evaluation Process Technical Evaluation
105 2024-09-10 CT256 Slices, To be added, kV interval setting, prefered, 10 kV steps in kV setting
Recommendation:
To allocate additional points (orange requirement) for the ability to adapt the kilovolt (kV) selection with more option steps. The capability to select the optimal kV setting with in 10 kV interval steps is crucial for achieving reduced radiation dose at maintained image quality for a broad range of patient sizes.
Request: add orange line item
- kV interval setting : prefered, 10 kV steps in kV setting		 Thank you for your input. We are not going to add new specifications. Bidder providing brand specific feature. Supply Requirements Evaluation Process Technical Evaluation
106 2024-09-10 CT 64 Slices Line 23: Lung function analysis
Does this requirement involve the process of isolating and identifying the lung regions within medical images, similar to what is typically done in lung segmentation?		 Many thanks for this feedback. MoH has considered this request, and will update this specification in a forthcoming amendment. MoH will provide Tech Spec Updates: Provides anatomical & physiological lung analysis to detect/ diagnose diseases/ disorders. Supply Requirements Evaluation Process Technical Evaluation
107 2024-09-10 CT 64 Slices, to be added, 3D anti-scatter grid, Preferred,
Recommendation:
To award additional points (orange requirement) for imaging systems that include advanced components such as a 3D anti-scatter grid integrated into the detector. The inclusion of a 3D anti-scatter grid significantly enhances image quality by effectively reducing scatter noise and maintaining image uniformity. This is particularly crucial for routine neuroimaging. It supports in improved CNR at a lower radiation dose.
Request: add orange line item
- 3D anti scatter grid: prefered		 Thank you for your input. We are not going to add new specifications. 3D antiscatter grid provides enhanced image quality in projection radiography by transmitting a majority of primary radiation and selectively rejecting scattered radiation & part of the proposed brand's integrated system i.e. brand specific features. Adequate radiation scatter safety addressed under radiation dose. Bidder encourage to provide/elaborate. Supply Requirements Evaluation Process Technical Evaluation
108 2024-09-10 CT256 Slices, To be added, Bone marrow imaging, Prefered, dual energy
Recommendation:
Allocate points for imaging systems that include a dual energy bone marrow imaging. This advanced imaging technique allows for the differentiation between bone marrow and other tissues, enabling more accurate diagnosis and assessment of conditions such as bone marrow edema, fractures, and lesions.
Request: orange line item under clinical software application
- Bone marrow imaging : prefered, dual energy		 Thank you for your input. We are not going to add new specifications. Bidder may add the availability of the software under "clinical software application" segment, row of "others, if any". Supply Requirements Evaluation Process Technical Evaluation
109 2024-09-10 CT 64 Slices,Line 66, Optional Minimum Slice Width, mm, Prefered; ≤ 0.5 mm
Latest generation 64 slice CT scanner has Multislice Spiral Acquisition
Reconstructed slice widths ranging 0.6, 0.8, 1, 1.5, 2, 3, 4, 5, 6, 7, 8, 10 mm.
Tender specification:
Optional Minimum Slice Width, mm: Prefered; ≤ 0.5 mm
Request: amendment
Optional Minimum Slice Width, mm: Prefered; ≤ 0.6 mm		 Many thanks for this feedback. MoH has considered this request, and will update this specification in a forthcoming amendment. Supply Requirements Evaluation Process Technical Evaluation
110 2024-09-10 CT512 Slices, line 285, Integration with clinical scoring systems: The application should integrate with established stroke scoring systems (e.g., ASPECTS, NIHSS) to facilitate clinical decision-making, Preferred
Tender Specification:
Integration with clinical scoring systems: The application should integrate with established stroke scoring systems (e.g., ASPECTS, NIHSS) to facilitate clinical decision-making
Request: amendment Integration with clinical scoring systems: The system automatically calculates the established stroke scoring system (ASPECT) that facilitate clinical decision-making” In addition, Synthetic visualization of stroke results (.e.g ASPECTS, LVO, Neuro Perfusion etc.) in one page as possible, that would enable faster decision making as all results are in one place.		 Many thanks for this feedback. Upon consideration, MoH has decided to retain the current specification. Integrating established stroke scoring system with examples: ASPECTS or NIHSS, etc, to facilitate clinical decision making. Bidder encourage to provide/ elaborate. Supply Requirements Evaluation Process Technical Evaluation
111 2024-09-10 CT512 Slices, To be added, Brain hemorrhage imaging, Preferred, dual energy
Recommendation:
To allocate extra points for imaging systems that include a dual energy brain hemorrhage. Dual-energy imaging is particularly effective in differentiating between different types of intracranial hemorrhages and other brain tissues, which can significantly enhance the accuracy of diagnoses in acute care settings. This is particularly crucial in emergency situations where every second counts.
Request: orange line item under clinical software application
- Brain hemorrhage imaging : prefered, dual energy		 Thank you for your input. We are not going to add new specifications. Bidder may add the availability of the software under "clinical software application" segment, row of "others, if any". Supply Requirements Evaluation Process Technical Evaluation
112 2024-09-10 CT 128 Slices, line 47, Heat Dissipation Rate, kHU/min, Preffered, ≥ 2,000 kHU/min
Recommendation:
In view of different industrial types of anode and efficient X-ray tubes design, market technologies/systems/products can now leverage on a lower requirement for heat capacity and still produce excellent clinical images for the benefit of clinicians/patients. We kindly request MOH to reduce the preferred heat dissipation rate requirement from ≥ 2,000 kHU/min to ≥ 1,700 kHU/min.
Tender Specification:
- Heat Dissipation Rate, kHU/min : prefered, ≥ 2,000 kHU/min
Request: amendment
- Heat Dissipation Rate, kHU/min : prefered, ≥ 1,700 kHU/min		 Many thanks for this feedback. MoH has considered this request, and will update this specification in a forthcoming amendment. Higher heat dissipation rate is better for the anode tube lifespan. To overcome this challenges, different manufactures have different methods. Heat dissipation rate is required in CT scan is to prevent the failure of X-ray tube. Supply Requirements Evaluation Process Technical Evaluation
113 2024-09-10 RFB No: KS.01.04/A.VI/5662/2024 Document – Section VIII – 5. Inspections and Tests

The tender documents state that an inspection & test may be conducted on suppliers premises before shipment and/or at final destination (GCC 26.2, SCC 26.1 and 26.2 & “Section VIII – 5. Inspections and Tests”).

However, required shipping documents refers to proof of inspection (GCC 13.1 (vii)) which would mean a pre-shipment inspection certificate issued by a nominated agency. For this RFB’s type of product, a defined start-up routine by a certified engineer is required to use the device. This can be combined with on-site inspection obligations as already defined under “Section VIII – 5. Inspections and Tests” at the final. A preshipment inspection would have little to no value-add for the purchaser/MOH/hospitals. However, there are costs for this pre-shipment inspection and extra time required to include within the project plan for to ensure this pre-shipment inspection. For the benefit of MOH and the hospitals receiving the devices/products, we kindly request MOH/ISDB to please remove any pre-shipment inspection and to adjust GCC 13.1. accordingly by removing the sentence (vii).		 We acknowledge your concern regarding the pre-inspection requirement. However, given the high value and advanced nature of the equipment being procured, the preinspection process is crucial to ensure compliance with the technical specifications and contractual obligations before shipment. This measure helps to minimize risks associated with any potential non-conformities or defects, which may otherwise result in delays, disputes, or additional costs. Furthermore, the pre-inspection is directly tied to the Payment Terms to ensure that the equipment meets the agreed standards prior to the final financial disbursement. This procedure is in place to protect the interests of all parties involved and ensure a smooth and successful transaction. Contract Contract Management Contract
114 2024-09-10 CT512 Slices, line72, Vertical Movement Range, cm, Lowered to at least 55 cm, or lower, from the floor
Tender Specification:
Vertical Movement Range, cm:Lowered to at least 55 cm, or lower, from the floor
Request: amendment
Vertical Movement Range, cm:Lowered to at least 57 cm, or lower, from the floor
Justification:
This is to ensure that all market available technologies can participate fairly in the tender.		 Many thanks for this feedback. Upon consideration, MoH has decided to retain the current specification. Bidder encourage to provide/ elaborate. Supply Requirements Evaluation Process Technical Evaluation
115 2024-09-10 CT 64 Slices Line 57: kW output (Prefered, ≥ 60 kW)
Recommendation:
To elevate the preferred kW output requirement from ≥ 60 kW to ≥ 70 kW. Increasing the power output to this level will significantly enhance the imaging system’s capability, ensuring consistently high-quality images across a wide range of patient sizes and examination types.
Different clinical applications require different X-ray spectra and hence different kV settings for optimum image quality and/or the best possible signal-to-noise ratio at the lowest dose. A high capacity generator is a must requirement for its high stability, high penetration, low comptom scatter, reduced noise artifacts, low partial volume effects, while at the same same lesser ionizing radiation and skin dose due to associated technologies.
For CT scanner with 64 slices it is a must that a high generator system with minimum 70kW or more be procured.
Tender Specification:
- kW output : prefered, ≥ 60 kW
Request: amendment
- kW output : prefered, ≥ 70 kW		 Thank you for your input. We are not going to add new specifications. Bidder providing brand specific feature however can comply to specs. Supply Requirements Evaluation Process Technical Evaluation
116 2024-09-10 CT 64 Slices, Line 285, Integration with clinical scoring systems: The application should integrate with established stroke scoring systems (e.g., ASPECTS, NIHSS) to facilitate clinical decision-making, Preferred
Tender Specification
Integration with clinical scoring systems: The application should integrate with established stroke scoring systems (e.g., ASPECTS, NIHSS) to facilitate clinical decision-making
Request: amendment
Integration with clinical scoring systems: The system automatically calculates the established stroke scoring system (ASPECT) that facilitates clinical decision-making.” In addition, synthetic visualization of stroke results (.e.g ASPECTS, LVO, Neuro Perfusion etc.) in one page would enable faster decision making as all results would be in one place.		 Many thanks for this feedback. Upon consideration, MoH has decided to retain the current specification. Integrating established stroke scoring system with examples: ASPECTS or NIHSS, etc, to facilitate clinical decision making. Bidder encourage to provide/ elaborate. Supply Requirements Evaluation Process Technical Evaluation
117 2024-09-10 CT256 Slices, line 50, Expected tube life, scan sec (and calendar), ≥ 200,000 scan sec
CT256 Slices, line 51, Expected tube life, scan sec (and calendar), Prefered; ≥ 300,000 scan sec
Recommendation:
The expected tube life is highly dependent on external factors, such as stability of electricity, humidity, patient throughput, etc. Moreover and in view of the mandatory inclusion of 5 years warranty, the functionality of the tube will be covered under the warranty period comprehensively regardless of scan usage and volume, hence leaving this parameter not meaningful for consideration.
Tender Specification:
- ≥ 200,000 scan sec (mandatory) & ≥ 300,000 scan sec (prefered)
Request: Complete removal of the Specification		 Many thanks for this feedback. MoH has considered this request, and will update
this specification in a forthcoming amendment. MoH will provide update by
removing "(and calendar)"; maintain the tube life expectancy.		 Supply Requirements Evaluation Process Technical Evaluation
118 2024-09-10 CT512 Slices, line 47, Heat Dissipation Rate, kHU/min, Prefered, ≥ 2,000 kHU/min
Recommendation:
In view of different industrial types of anode and efficient X-ray tubes design, market technologies/systems/products can now leverage on a lower requirement for heat capacity and still produce excellent clinical images for the benefit of clinicians/patients. We kinldy request MOH to reduce the preferred heat dissipation rate requirement from ≥ 2,000 kHU/min to ≥ 1,700 kHU/min.
Tender Specification
- Heat Dissipation Rate, kHU/min : prefered, ≥ 2,000 kHU/min
Request: amendment
- Heat Dissipation Rate, kHU/min : prefered, ≥ 1,700 kHU/min		 Many thanks for this feedback. Upon consideration, MoH has decided to retain the current specification. Bidder providing brand specific feature. Supply Requirements Evaluation Process Technical Evaluation
119 2024-09-10 CT256 Slices, line 285, Integration with clinical scoring systems: The application should integrate with established stroke scoring systems (e.g., ASPECTS, NIHSS) to facilitate clinical decision-making.Preferred
Tender Specification
Integration with clinical scoring systems: The application should integrate with established stroke scoring systems (e.g., ASPECTS, NIHSS) to facilitate clinical decision-making
Request: amendment
Integration with clinical scoring systems: The system automatically calculates the established stroke scoring system (ASPECT) that facilitate clinical decision-making” In addition, Synthetic visualization of stroke results (.e.g ASPECTS, LVO, Neuro Perfusion etc.) in one page as possible, that would enable faster decision making as all results are in one place.		 Many thanks for this feedback. Upon consideration, MoH has decided to retain the current specification. Integrating established stroke scoring system with examples: ASPECTS or NIHSS, etc, to facilitate clinical decision making. Bidder encourage to provide/ elaborate. Supply Requirements Evaluation Process Technical Evaluation
120 2024-09-10 CT 128 Slices, To be added, Bone marrow imaging, Prefered, dual energy
Recommendation:
Allocate points for imaging systems that include a dual energy bone marrow imaging. This advanced imaging technique allows for the differentiation between bone marrow and other tissues, enabling more accurate diagnosis and assessment of conditions such as bone marrow edema, fractures, and lesions.
Request: orange line item under clinical software application
- Bone marrow imaging : prefered, dual energy		 Thank you for your input. We are not going to add new specifications. Bidder may add the availability of the software under "clinical software application" segment, row of "others, if any". Supply Requirements Evaluation Process Technical Evaluation
121 2024-09-10 CT512 Slices, line 211, Phantoms, Computed Tomography, Bidder to supply complete set for performance evaluation, quality assurance and quality control.
Bidder to supply the following according to IAEA standards, but not limited to:
1. CTDI Phantom Set
2. Image Quality Phantom
Clarification:
We kindly request to elaborate on the specifications for an image quality phantom due to wide range of phantoms available.		 Many thanks for this queston. Bidder may refer to the Phantoms specification that provided by IAEA. Supply Requirements Evaluation Process Technical Evaluation
122 2024-09-10 CT 128 Slices, Line 65, Optional Minimum Slice Width, mm, Prefered; ≤ 0.5 mm
Latest generation 128 slice CT scanner has Multislice Spiral Acquisition
Reconstructed slice widths ranging 0.6, 0.8, 1, 1.5, 2, 3, 4, 5, 6, 7, 8, 10 mm.
Tender specification:
Optional Minimum Slice Width, mm: Prefered; ≤ 0.5 mm
Request: amendment
Optional Minimum Slice Width, mm: Prefered; ≤ 0.6 mm		 Many thanks for this feedback. Upon consideration, MoH has decided to retain the current specification. Bidder providing brand specific feature. Supply Requirements Evaluation Process Technical Evaluation
123 2024-09-10 CT 64 Slices, Line 292, Telemedicine, Bidder to list all telemedicine capabilities
Clarification
We respectfully request that the Ministry of Health provide further clarification regarding the expectations for telemedicine in relation to imaging requirements.		 The telemedicine functionality should ideally extend beyond just viewing images. It would be beneficial if the system allows for remote analysis, sharing, and possibly annotating images to facilitate collaboration among clinicians. Additionally, it would be helpful to clarify if there are any user limitations on accessing the viewer, such as the number of simultaneous users or role-based access, to ensure smooth integration into the hospital’s workflow and security protocols. General Inqury Related to IHSS Question related to IHSS project
124 2024-09-10 CT 64 Slices,Line 64, Total Detector Width, z-axis, mm, Prefered; ≥ 40 mm
Recommendation:
Important factor to consider is scan coverage speed(due to superior rotation time and faster table speed for example upto 175 mm/s). There are many systems available with detector width, more than or equal to 20mm, however, capable of Cardiovascular imaging at faster scan time due to above mentioned advantages.Also, this scanners are capable of delivering high resolution images even upto slice width of 0.6mm.
We strongly request a change in the requirement as stated above. Similar specification has been already amended in 128 slice tender by MOH as 38mm instead of 40mm.
Advantages of thin slices (0.6 mm) are as below:
• High resolution 3D images and better z-axis resolution
• High quality MPRs
Tender specification
-Total Detector Width, z-axis, mm: Prefered; ≥ 40 mm
Request: amendment
-Total Detector Width, z-axis, mm: Prefered; ≥ 20 mm		 Many thanks for this feedback. Upon consideration, MoH has decided to retain the current specification. The type of CT Scan Slice described a 64 Slice CT with an acceptable detector size with quality scanning images. Supply Requirements Evaluation Process Technical Evaluation
125 2024-09-11 In the bidding document there is a clause about CDAKB. If the vendor/principal does not have CDAKB, can they participate in this tender? Please refer to Section VII.3.18 for the minimum information and formatting requirements. The bidder shall provide at minimum OHS procedure during the implementation phase, as required by the bidding document. Supply Requirements Evaluation Process Qualification Requirements
126 2024-09-12 Lot 1,2,3 and 4
CT Scan 64 Slice, Line 95, Sliding Collimation (Overbeaming Reduction), Preferred
Suggested Technical Specification:
Suggest deleting technical specification ‘Sliding collimation (Overbeaming Reduction)’ from the bidding documents
Justifications:
There are abundant dose reduction technologies on the market, and low-dose iterative noise reduction reconstruction technology has been widely used, it is unnecessary to use sliding collimation to reduce a small amount of overbeam radiation dose.		 Many thanks for this feedback. MoH has considered this request, and will update this specification in a forthcoming amendment. Supply Requirements Evaluation Process Technical Evaluation
127 2024-09-12 Lot 1
CT Scan 64 Slice, Line 52, Max mA for smallest tube spot, ≥ 300 mA, Required
Clarification:
With new dose reduction technologies, developed in recent years, systems are designed for low radiation parameters scanning without loss of image quality.
Hence, we shall request to lower the mA specifications for small focal point of tube to 250mA or higher.		 Many thanks for this feedback. Upon consideration, MoH has decided to retain the current specification. Bidder encourage to provide/ elaborate.

Smaller tube spot combined with an adequate tube current can enhance image quality. This refers to raw data acquired during CT scan.		 Supply Requirements Evaluation Process Technical Evaluation
128 2024-09-12 Lot 1,2,3 and 4
CT Scan 64 Slice, Line 32, Myocardial evaluation, Preferred
Suggested Technical Specification:
Suggest deleting technical specification ‘Myocardial evaluation’ from the bidding documents
Justifications:
Please clarify the techinical specification ‘Myocardial evaluation’ whether it is myocardial perfusion evaluation. If the specification means myocardial perfusion, this technology is commonly used in 512 slice CT, Hospitals don't do myocardial perfusion on 64 slice CT, it is not clinically significant.		 Many thanks for this feedback. Upon consideration, MoH has decided to retain the current specification. Bidder to provided myocardial evaluation features available; part of cardiac acquisition. Encourage bidder to provide supportive evidence of images/ reports. Supply Requirements Evaluation Process Technical Evaluation
129 2024-09-12 Lot 5
CT Scan 128 Slice, Line 22, Lung nodule CAD, Preferred
Suggested Technical Specification:
Suggest adjusting techinical specification ‘Lung noudule CAD’ to ‘Lung noudule CAD or equivalent’
Justifications:
‘Lung noudle CAD’ are named differently by different vendors, but they are actually the same function.		 Many thanks for this feedback. MoH has considered this request, and will update this specification in a forthcoming amendment. MoH will provide Tech Spec Updates: Provides anatomical & physiological lung analysis to detect/ diagnose diseases/ disorders with use of CAD or equivalent. Supply Requirements Evaluation Process Technical Evaluation
130 2024-09-12 Lot 1: CT Scan 64 Slice, Line 222, Laser Printer Toner Can you help to clarify which printer is required, film printer or paper printer ? Many thanks for this feedback. MoH has considered this request, and will update
this specification in a forthcoming amendment.		 Supply Requirements Evaluation Process Technical Evaluation
131 2024-09-12 Lot 5
CT Scan 256-512 Slice, Line 170, Contrast Injection Integration, Required
Suggested Technical Specification:
Suggest adjusting the requirements from ‘Required’ to ‘Preferred’
Justifications:
The techincal specification ‘Contrast Injection Integration’ is not a mandatory feature for a CT system, it will not affect the overall performance of the scanner.		 Many thanks for this feedback. Upon consideration, MoH has decided to retain the current specification. Bidder encourage to provide/ elaborate.

Contrast injection integration with CT scanner seamless in execution (no time delay especially for high speed CT scanners) such as scan delay, injection delay and dynamic scan integrated into the CT acquisition protocol.		 Supply Requirements Evaluation Process Technical Evaluation
132 2024-09-12 Lot 5
CT Scan 128 Slice, Line 94, Sliding Collimation (Overbeaming Reduction), Preferred
Suggested Technical Specification:
Suggest deleting technical specification ‘Sliding collimation (Overbeaming Reduction)’ from the bidding documents
Justifications:
There are abundant dose reduction technologies on the market, and low-dose iterative noise reduction reconstruction technology has been widely used, it is unnecessary to use sliding collimation to reduce a small amount of overbeam radiation dose.		 Many thanks for this feedback. MoH has considered this request, and will update this specification in a forthcoming amendment. Supply Requirements Evaluation Process Technical Evaluation
133 2024-09-12 Lot 1,2,3 and 4
CT Scan 64 Slice, Line 93, Model-based Iterative Image Reconstruction, Preferred
Suggested Technical Specification:
Suggest deleting technical specification Model-based Iterative Image Reconstruction’
from the bidding documents
Justifications:
The reconstruction speed of model-based iterative image reconstruction is very slow, it affects the rountine daily clinical use. Artificial intelligence image reconstruction is the latest reconstruction technology with higher reconstruction speed and less noise, it has a generally better imaging performance than modelbased iterative image reconstruction, the score for both are the same, it is suggested to delete this specification from the bidding documents.		 Many thanks for this feedback. Upon consideration, MoH has decided to retain the current specification. Bidder encourage to provide/elaborate.

Image reconstruction can be done by Iterative reconstruction (IR) or deep learning (refers to AI) reconstruction (DLR). IR refers to an image reconstruction algorithm used in CT that begins with an image assumption and compares it to real-time measured values while making constant adjustments until the two are in agreement. It helps to overcome noise associated with filtered back projection without increasing radiation dose. It can be statistical or model based iterative image reconstruction. The advancement in computer technology over the past decade has improved IR. DLR on the other hand use deep convolutional neural network (DCNN) to recognize image noise patterns and remove those noise patterns from the raw data or from the reconstructed CT image.		 Supply Requirements Evaluation Process Technical Evaluation
134 2024-09-12 Lot 1,2,3 and 4
CT Scan 64 Slice, Line 133, Extended Coverage for 4-D Imaging, Preferred
Suggested Technical Specification:
Suggest Clarifying technical specification ‘Extended Coverage for 4-D Imaging’.
Justification:
Please clarify whether extended coverage for 4-D imaging means shuttle perfusion. If it is shuttle perfusion, it is suggested to delete this techinical specification, because shuttle perfusion is not the technology utilized on 64 slice CT, it is commonly used on 128 slice CT or higher, it is not clinically significant.		 Many thanks for this feedback. Upon consideration, MoH has decided to retain the current specification. Bidder providing brand specific feature. 4D imaging allows the visualization of dynamic processes in the body. While traditional CT scans provide static images at a single point in time (the three spatial dimensions), 4D CT captures a series of images over time, showing how structures and organs change or move.

This technique is particularly useful in applications such as:

Cardiac Imaging: Monitoring the heart’s movement throughout the cardiac cycle.
Tumour Tracking: Observing how tumours change with treatment or how they move due to respiration.
Functional Imaging: Assessing organ function by visualizing blood flow or other physiological processes.		 Supply Requirements Evaluation Process Technical Evaluation
135 2024-09-12 Lot 1,2,3 and 4
CT Scan 64 Slice, Line 154, Display Type, Preferred; Colour LCD with touchscreen
Suggested Technical Specification:
Suggest deleting technical specification ‘Display Type’ from the bidding documents
Justifications:
Touchscreen for console monitor is not commonly used and it is not clinically significant for CT.		 Many thanks for this feedback. MoH has considered this request, and will update this specification in a forthcoming amendment. Supply Requirements Evaluation Process Technical Evaluation
136 2024-09-12 Lot 1,2,3 and 4
CT Scan 64 Slice, Line 22, Lung nodule CAD, Preferred
Suggested Technical Specification:
Suggest adjusting techinical specification ‘Lung noudule CAD’ to ‘Lung noudule CAD or equivalent’
Justifications:
‘Lung noudle CAD’ are named differently by different vendors, but they are actually the same function.		 Many thanks for this feedback. MoH has considered this request, and will update this specification in a forthcoming amendment. MoH will provide Tech Spec Updates: Provides anatomical & physiological lung analysis to detect/ diagnose diseases/ disorders with use of CAD or equivalent. Supply Requirements Evaluation Process Technical Evaluation
137 2024-09-12 Lot 5
CT Scan 256-512 Slice, Line 154, Display Type, Preferred; Colour LCD with touchscreen
Suggested Technical Specification:
Suggest deleting technical specification ‘Display Type’ from the bidding documents
Justifications:
Touchscreen for console monitor is not commonly used and it is not clinically significant for CT.		 Many thanks for this feedback. MoH has considered this request, and will update this specification in a forthcoming amendment. Supply Requirements Evaluation Process Technical Evaluation
138 2024-09-12 Lot 5
CT Scan 128 Slice, Line 169, Contrast Injection Integration, Required
Suggested Technical Specification:
Suggest adjusting the requirements from ‘Required’ to ‘Preferred’
Justifications:
The techincal specification ‘Contrast Injection Integration’ is not a mandatory feature for a CT system, it will not affect the overall performance of the scanner.		 Many thanks for this feedback. Upon consideration, MoH has decided to retain the current specification. Bidder encourage to provide/ elaborate.

Contrast injection integration with CT scanner seamless in execution (no time delay especially for high speed CT scanners) such as scan delay, injection delay and dynamic scan integrated into the CT acquisition protocol.		 Supply Requirements Evaluation Process Technical Evaluation
139 2024-09-12 Lot 5
CT Scan 256-512 Slice, Line 31, Virtual colonoscopy CAD, Preferred
Suggested Technical Specification:
Suggest adjusting techinical specification ‘Virtual colonscopy CAD’ to ‘Virtual colonscopy CAD or equivalent’
Justifications:
‘Virtual colonscopy CAD’ are named differently by different vendors, but they are actually the same function.		 Many thanks for this feedback. Upon consideration, MoH has decided to retain the current specification. Encourage bidder to provide supportive evidence of images/reports.

Virtual colonoscopy/ screening CT colonography using low dose CT provides images of the colon. CAD is computer aided detection, refers to the general function of the software.		 Supply Requirements Evaluation Process Technical Evaluation
140 2024-09-12 Lot 5
CT Scan 256-512 Slice, Line 24, Respiratory gating, Prefered
Suggested Technical Specification:
Suggest deleting technical specification ‘Respiratory gating’ from the bidding documents
Justifications:
Respiratory gating is not used in the radiology department and is often used in the radiotherapy department. It is also not clinically significant for 64 slice CT with gantry aperture around 70cm.		 Many thanks for this feedback. MoH has considered this request, and will update this specification in a forthcoming amendment. MoH will provide Tech Specs Updates: Respiratory gating supports post radiotherapy assessment/ diagnostic tool or clinical measurements, applicable for thoraxic and abdominal organs where breathing may impact image quality. Supply Requirements Evaluation Process Technical Evaluation
141 2024-09-12 Lot 1,2,3 and 4
CT Scan 64 Slice, Line 24, Respiratory gating, Preferred
Suggested Technical Specification:
Suggest deleting technical specification ‘Respiratory gating’ from the bidding documents
Justifications:
Respiratory gating is not used in the radiology department and is often used in the radiotherapy department. It is also not clinically significant for 64 slice CT with gantry aperture around 70cm.		 Many thanks for this feedback. MoH has considered this request, and will update this specification in a forthcoming amendment. MoH will provide Tech Specs Updates: Respiratory gating supports post radiotherapy assessment/ diagnostic tool or clinical measurements, applicable for thoraxic and abdominal organs where breathing may impact image quality. Supply Requirements Evaluation Process Technical Evaluation
142 2024-09-12 2. To fulfill proof of minimum Experience, is it acceptable if we only provide Installation report and confidential statement or we only provide Purchase Order and confidential statement ? As specified in the relevant bidding documents, bidders are required to demonstrate that they have successfully and substantially completed similar goods and related services (including installation) under the relevant contract. To comply with this requirement, the bidder must provide copies of the relevant signed contract pages and corresponding completion certificates. If any such contract includes a confidentiality or non-disclosure clause, and the bidder is unable to provide a copy (which should be confirmed by a formal letter), the bidder must submit alternative documents acceptable to the Ministry of Health (MoH), such as a copy of the purchase order or delivery order. Supply Requirements Evaluation Process Specific Experience
143 2024-09-12 We, PT. xxxx would like to ask clarification for some point in RFB that issued by
August 14th, 2024, as follows :
1. We are attaching "Letter of Oath" , does the letter sufficient for fulfill the boycott
requirement ?		 There is no specific format for the "Letter of Oath." Bidders are welcome to create their own letter. The letter should confirm that the bidder not from or connected to any country or entity subject to the boycott regulations by the Organization of the Islamic Cooperation, the League of Arab States and the African Union. As long as the letter confirms compliance with the boycott requirement, it should be sufficient. General Inqury Contract Management Question related to Procurement Planning and Packaging Arrangements
144 2024-09-12 Lot 5
CT Scan 128 Slice, Line 92, Model-based Iterative Image Reconstruction, Preferred
Suggested Technical Specification:
Suggest deleting technical specification Model-based Iterative Image Reconstruction’ from the bidding documents
Justifications:
The reconstruction speed of model-based iterative image reconstruction is very slow, it affects the rountine daily clinical use. Artificial intelligence image reconstruction is the latest reconstruction technology with higher reconstruction speed and less noise, it has a generally better imaging performance than modelbased iterative image reconstruction, the score for both are the same, it is suggested to delete this specification from the bidding documents.		 Many thanks for this feedback. Upon consideration, MoH has decided to retain the current specification. Bidder encourage to provide/ elaborate.

Image reconstruction can be done by Iterative reconstruction (IR) or deep learning (refers to AI) reconstruction (DLR). IR refers to an image reconstruction algorithm used in CT that begins with an image assumption and compares it to real-time measured values while making constant adjustments until the two are in agreement. It helps to overcome noise associated with filtered back projection without increasing radiation dose. It can be statistical or model based iterative image reconstruction. The advancement in computer technology over the past decade has improved IR. DLR on the other hand use deep convolutional neural network (DCNN) to recognize image noise patterns and remove those noise patterns from the raw data or from the reconstructed CT image.		 Supply Requirements Evaluation Process Technical Evaluation
145 2024-09-12 Lot 5
CT Scan 128 Slice, Line 95, Axial Cardiac, Preferred; Low-dose cardiac (axial acquisition)
Suggested Technical Specification:
Suggest deleting technical specification ‘Axial Cardiac’ from the bidding documents
Justifications:
Retrospective helical scan is the most commonly utilized for heart scan for 128 slice CT because of the limitation of detector width of z-axis, it cannot cover the heart with axial scan. Prospective axial scan is not clinically significant for 128 slice CT.		 Many thanks for this feedback. MoH has considered this request, and will update this specification in a forthcoming amendment by removing "Axial". The type of CT Scan Slice described a 128 Slice CT with an acceptable detector size with quality scanning images. Supply Requirements Evaluation Process Technical Evaluation
146 2024-09-12 Lot 5
CT Scan 128 Slice, Line 24, Respiratory gating, Prefered
Suggested Technical Specification:
Suggest deleting technical specification ‘Respiratory gating’ from the bidding documents
Justifications:
Respiratory gating is not used in the radiology department and is often used in the radiotherapy department. It is also not clinically significant for 128 slice CT with gantry aperture around 70cm.		 Many thanks for this feedback. MoH has considered this request, and will update this specification in a forthcoming amendment. MoH will provide Tech Specs Updates: Respiratory gating supports post radiotherapy assessment/ diagnostic tool or clinical measurements, applicable for thoraxic and abdominal organs where breathing may impact image quality. Supply Requirements Evaluation Process Technical Evaluation
147 2024-09-12 Lot 5
CT Scan 128 Slice, Line 31, Virtual colonoscopy CAD, Preferred
Suggested Technical Specification:
Suggest adjusting techinical specification ‘Virtual colonscopy CAD’ to ‘Virtual colonscopy CAD or equivalent’
Justifications:
‘Virtual colonscopy CAD’ are named differently by different vendors, but they are actually the same function.		 Many thanks for this feedback. Upon consideration, MoH has decided to retain the current specification. Encourage bidder to provide supportive evidence of images/reports.

Virtual colonoscopy/ screening CT colonography using low dose CT provides images of the colon. CAD is computer aided detection, refers to the general function of the software.		 Supply Requirements Evaluation Process Technical Evaluation
148 2024-09-12 Lot 5
CT Scan 256-512 Slice, Line 95, Sliding Collimation (Overbeaming Reduction),
Required
Suggested Technical Specification:
Suggest deleting technical specification ‘Sliding collimation (Overbeaming Reduction)’ from the bidding documents
Justifications:
There are abundant dose reduction technologies on the market, and low-dose iterative noise reduction reconstruction technology has been widely used, it is unnecessary to use sliding collimation to reduce a small amount of overbeam radiation dose.		 Many thanks for this feedback. MoH has considered this request, and will update this specification in a forthcoming amendment. Supply Requirements Evaluation Process Technical Evaluation
149 2024-09-12 Lot 1: CT Scan 64 Slice, Line 215, item Radiation Monitoring Device 1. Surveymeter, 2. Analog/digital pocket dosimeter 3/ Film badge/TLD Does MOH have any detailed technical request on these three items for example, sensor, radiation range, accuracy, display, battery, continuous operation, etc? or could manufacturer propose based on their existing routine practice ? Many thanks for this feedback. Upon consideration, MoH has decided to retain the current specification. Bidder shall propose standard specifications suitable for radiation monitoring, safety and authority requirements. Encourage bidder to provide supportive evidence. Supply Requirements Evaluation Process Technical Evaluation
150 2024-09-12 Lot 1
CT Scan 64 Slice, Line 214, Radiation Protective Equipment, Bidder to supply the following: 1. Lead Apron (2 pcs per unit), 2. Thyroid Shield (2 pcs per unit), 3. Pb Glasses (2 pcs per unit), Required
Question:
Please clarify the PB glasses size requirement ?		 Many thanks for this feedback. Upon consideration, MoH has decided to retain the current specification. Bidder encourage to provide/ elaborate.

Pb Glasses for normal adult size, comfortably worn, securely fastened (holder strap if big size).		 Supply Requirements Evaluation Process Technical Evaluation
151 2024-09-12 Lot 5
CT Scan 128 Slice, Line 47, Heat Dissipation Rate, kHU/min, Preferred; ≥ 2,000 kHU/min
Suggested Technical Specification:
Suggest adjusting ‘Heat Dissipation Rate’ to ‘Physical Heat Dissipation Rate’
Justifications:
The equivalent heat dissipation rate and the physical heat dissipation rate are different concepts. The equivalent heat dissipation rate is the value calculated by the algorithm, not the actual heat dissipation rate of the tube. Only physical heat dissipation rate represents the actual performance of heat dissipation.		 Many thanks for this feedback. MoH has considered this request, and will update this specification in a forthcoming amendment. Higher heat dissipation rate is better for the anode tube lifespan. To overcome this challenges, different manufactures have different methods. Heat dissipation rate is required in CT scan is to prevent the failure of X-ray tube. Supply Requirements Evaluation Process Technical Evaluation
152 2024-09-12 Lot 1,2,3 and 4
CT Scan 64 Slice, Line 134, Dual-Energy Acquisition, Preferred
Suggested Technical Specification:
Suggest deleting technical specification ‘Dual-Energy Acquisition’ from the bidding documents
Justifications:
Dual energy is the advanced technology for CT, commonly used on 128 slice CT or higer, it is not clinically significant for 64 slice CT.		 Many thanks for this feedback. Upon consideration, MoH has decided to retain the current specification. Dual energy allows the interrogation of materials that have different attenuation properties at different energies. Dual energy solution can be from dual source, rapid kV switching, dual-layer detector, gantry rotation kV switching. Supply Requirements Evaluation Process Technical Evaluation
153 2024-09-12 Lot 1,2,3 and 4
CT Scan 64 Slice, Line 66, Optional Minimum Slice Width, mm, Preferred; ≤ 0.5 mm
Suggested Technical Specification:
Suggest adjusting requirements: ‘Preferred; ≤ 0.5 mm’ to ‘Preferred; ≤ 0.6mm’
Justifications:
The original techinical specification reqirement of slice width ≤0.5mm is the unique feature. The slice width is the regular parameter for the CT, it is suggested to extend the requirements.		 Many thanks for this feedback. MoH has considered this request, and will update this specification in a forthcoming amendment. Supply Requirements Evaluation Process Technical Evaluation
154 2024-09-12 Lot 5
CT Scan 256-512 Slice, Line 22, Lung nodule CAD, Preferred
Suggested Technical Specification:
Suggest adjusting techinical specification ‘Lung noudule CAD’ to ‘Lung noudule CAD or equivalent’
Justifications:
‘Lung noudle CAD’ are named differently by different vendors, but they are actually the same function.		 Many thanks for this feedback. MoH has considered this request, and will update this specification in a forthcoming amendment. MoH will provide Tech Spec Updates: Provides anatomical & physiological lung analysis to detect/ diagnose diseases/ disorders with use of CAD or equivalent. Supply Requirements Evaluation Process Technical Evaluation
155 2024-09-12 Lot 1,2,3 and 4
CT Scan 64 Slice, Line 31, Virtual colonoscopy CAD, Preferred
Suggested Technical Specification:
Suggest adjusting techinical specification ‘Virtual colonscopy CAD’ to ‘Virtual colonscopy CAD or equivalent’
Justifications:
‘Virtual colonscopy CAD’ are named differently by different vendors, but they are actually the same function.		 Many thanks for this feedback. Upon consideration, MoH has decided to retain the current specification. Encourage bidder to provide supportive evidence of images/reports.

Virtual colonoscopy/ screening CT colonography using low dose CT provides images of the colon. CAD is computer aided detection, refers to the general function of the software.		 Supply Requirements Evaluation Process Technical Evaluation
156 2024-09-12 Lot 1,2,3 and 4
CT Scan 64 Slice, Line 96, Axial Cardiac, Preferred; Low-dose cardiac (axial acquisition)
Suggested Technical Specification:
Suggest deleting technical specification ‘Axial Cardiac’ from the bidding documents
Justifications:
Retrospective helical scan is the most commonly utilized for heart scan for 64 slice CT because of the limitation of detector width of z-axis, it cannot cover the heart with axial scan. Prospective axial scan is not clinically significant for 64 slice CT.		 Many thanks for this feedback. MoH has considered this request, and will update this specification in a forthcoming amendment by removing "Axial". The type of CT Scan Slice described a 64 Slice CT with an acceptable detector size with quality scanning images. Supply Requirements Evaluation Process Technical Evaluation
157 2024-09-12 Lots 1, 2, 3, & 4: Procurement of CT Scan 64 Slices
CT Scan 64 Slice, Line 211, Phantoms, Computed Tomography, Required;
Existing Specification:
Bidder to supply complete set for performance evaluation, quality assurance and quality control. Bidder to supply the following according to IAEA standards, but not limited to:
1. CTDI Phantom Set
2. Image Quality Phantom
Proposed Modification to Specification:
Bidder to supply complete set for performance evaluation, quality assurance and quality control. Bidder to supply the following according to IAEA standards, but not limited to:
1. Access to CTDI Phantom Set, as needed
2. Image Quality Phantom
Remarks: We respectfully request that this specification be amended to allow access to the CTDI Phantom Set, rather than requiring the bidder to supply said tool. In general, CTDI Phantom is only used for the initial performance evaluation, quality assurance, and quality control test performed by the clinical physicist as part of the system installation. It is highly uncommon for hospitals to own CTDI Phantom as it is rarely needed after the system is handed over to the hospital. Should it be required at any moment after the system handover, hospitals can have access to CTDI Phantom through the standard maintenance services that the supplier will provide at least 2 times per year over the course of the warranty period, as specified in the bidding documents. Unlike CTDI Phantoms, Image Quality Phantoms are typically supplied as part of the CT system and permanently stay at the hospitals for regular system performance checks. Modifying this requirement upholds the desired performance and functionality of the equipment under procurement, while permitting the broadest possible competition for this tender.		 Many thanks for this feedback. Upon consideration, MoH has decided to retain the current specification. Bidder encourage to provide/elaborate.

Phantoms specification as provided by IAEA. However, CTDI Phantom Set are useful in the future for relocation of the CT scanner. The option of 'having access to the CTDI Phantom' puts a lot of restriction to the hospital side, such as appointment for the access due to availability, option for future biomedical engineering planned preventive maintenance.		 Supply Requirements Evaluation Process Technical Evaluation
158 2024-09-12 Lot 1,2,3 and 4
CT Scan 64 Slice, Line 170, Contrast Injection Integration, Required
Suggested Technical Specification:
Suggest adjusting the requirements from ‘Required’ to ‘Preferred’
Justifications:
The technical specification ‘Contrast Injection Integration’ is not a mandatory feature for a CT system, it will not affect the overall performance of the scanner.		 Many thanks for this feedback. Upon consideration, MoH has decided to retain the current specification. Bidder encourage to provide/ elaborate.

Contrast injection integration with CT scanner seamless in execution (no time delay especially for high speed CT scanners) such as scan delay, injection delay and dynamic scan integrated into the CT acquisition protocol.		 Supply Requirements Evaluation Process Technical Evaluation
159 2024-09-12 Lot 5
CT Scan 256-512 Slice, Line 47, Heat Dissipation Rate,kHU/min, Preferred; ≥ 2,000 kHU/min
Suggested Technical Specification:
Suggest adjusting ‘Heat Dissipation Rate’ to ‘Physical Heat Dissipation Rate’
Justifications:
The equivalent heat dissipation rate and the physical heat dissipation rate are different concepts. The equivalent heat dissipation rate is the value calculated by the algorithm, not the actual heat dissipation rate of the tube. Only physical heat dissipation rate represents the actual performance of heat dissipation.		 Many thanks for this feedback. Upon consideration, MoH has decided to retain the current specification. Bidder providing brand specific feature. Supply Requirements Evaluation Process Technical Evaluation
160 2024-09-12 Lot 1,2,3 and 4
CT Scan 64 Slice, Line 97, Arrhythmia Correction, Preferred
Suggested Technical Specification:
Suggest adjusting techinical specification ‘Arrhythmia Correction’ to ‘Optimal Phase Selection’
Justifications:
High-quality coronary imaging firstly requires selecting the optimal phase. Optimal phase selection can select the best phase with the least motion artifacts for reconstruction, it is a more advanced and most commonly and frequently used technology by many manufacturers to improve image quality even for patients with high rate or arrhythmia.		 Many thanks for this feedback. Upon consideration, MoH has decided to retain the current specification. Bidder encourage to provide/ elaborate equivalence feature to arrhythmia correction.

Both features mentioned by the bidder refers to mechanisms to improve image quality for coronary imaging of patient with arrhythmia without need to increase dose by reducing the length of scans.		 Supply Requirements Evaluation Process Technical Evaluation
161 2024-09-12 Lot 5
CT Scan 128 Slice, Line 32, Myocardial evaluation, Required
Suggested Technical Specification:
Suggest deleting technical specification ‘Myocardial evaluation’ from the bidding documents
Justifications:
Please clarify the techinical specification ‘Myocardial evaluation’ whether it is myocardial perfusion evaluation. If the speicifaction means myocardial perfusion, this technology is commonly used in 512 slice CT, Hospitals don't do myocardial perfusion on 128 slice CT, it is not clinically significant.		 Many thanks for this feedback. Upon consideration, MoH has decided to retain the current specification. Bidder encourage to provide/elaborate.

Myocardial evaluation is important for cardiac disease patients, for anatomic and functional assessment of the heart as an organ, to understand cardiomyopathies whether ischemic related or not. CT cardiac and perfusion studies are part of myocardial evaluation.		 Supply Requirements Evaluation Process Technical Evaluation
162 2024-09-12 Lot 5
CT Scan 128 Slice, Line 153, Display Type, Preferred; Colour LCD with touchscreen
Suggested Technical Specification:
Suggest deleting technical specification ‘Display Type’ from the bidding documents
Justifications:
Touchscreen for console monitor is not commonly used and it is not clinically significant for CT.		 Many thanks for this feedback. MoH has considered this request, and will update this specification in a forthcoming amendment. Supply Requirements Evaluation Process Technical Evaluation

Contract Award Notice

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