Detail Package
Procurement of Radiography Equipment
Project
SIHREN Co-Financing
Project Description
Strengthening Indonesia's Healthcare Referral Network (SIHREN WB/AIIB): a joint co-financing between WB and AIIB for the referral hospital component.
Package Name
Procurement of Radiography Equipment
Loan No.
9626-ID (IBRD), P000787 (AIIB)
Activity Reference No.
ID-PMU SIHREN-395632-GO-RFB
Market Approach
International Open
Procurement Method
Request for Bids (RFB) - 1 Stage 2 Envelope (Rated Criteria)
Estimated Total Cost
$252,233.00
Currency
US Dollar
Stages
Contract Signed
Bid Submission Deadline
27 Aug 2024
Package Lot
| Name Of Lots | Units | Amount |
|---|---|---|
| Lot 1: Procurement of C-arm | 7 | $1,990,921.00 |
| Lot 2: Procurement of Digital Mobile X-Ray | 2 | $531,411.00 |
Documentation
Responses to Clarification of Bidding Document (Procurement of Radiography Equipment)
| No. | Date of Received | Question | Responses | Part (RFB) | Cluster | Sub Cluster |
|---|---|---|---|---|---|---|
| 1 | 2024-07-26 | 5. Row 29 : Image Display Time, seconds, required < 2 for preview image; < 5 full images Question : : Is there any significant impact on 2 seconds and < 5 second requirement? If not then can we propose to reduce min requirement less than or equal with 2.5 sec for image preview ; and less than or equal with 6 sec for final processed images ? |
Many thanks for this feedback. MoH has reviewed this input and the specification has been updated to increase the mandatory specification for time to display an image and this will be reflected in a forthcoming amendment to the Bidding Document. | Evaluation Process | Technical Evaluation | |
| 2 | 2024-07-26 | 8. Row 45 : mAs Range : Requirement is 0.5 – 200 mAs Question : why it has to be in that limited range, meanwhile wider range of mAs, could help on wider application such as MSK, etc. proposing to open the mAs Range into 0.2 – 630 mAs |
Many thanks for this feedback. All values and/or ranges must be intended as minimum requirements, allowing bidders to offer devices with better performances (e.g. wider ranges). This spec will be revised for clarity reflected in a forthcoming amendment to the Bidding Document. |
Evaluation Process | Technical Evaluation | |
| 3 | 2024-07-26 | 3. Row 132 : Compatible Data Management System (Middleware) Question : Please clarify the meaning of this row. |
Many thanks for your question. Bidders are requested to to specify if the X-Ray is compatible with any other data management systems. | Supply Requirements | Evaluation Process | Technical Evaluation |
| 4 | 2024-07-26 | 3. Line 77 - Does frame integration refer to reviewing and saving most recent frames? | Already addressed in row 23 Frame integration is a software feature that integrated (averages) several image frames and descreases the image noise. This is a mandatory feature to be retained. |
Supply Requirements | Evaluation Process | Technical Evaluation |
| 5 | 2024-07-26 | 4. Row 24 : Time to display image, The device shall display the image for preview in a time not longer than 2 seconds Question : Is there any significant impact on 2 seconds requirement? If not then can we have to reduce the minimum requirement to at least / not longer than 2.5 - 3 sec. |
This question is similar to the previous question #35. Please refer to the respective response | Evaluation Process | Technical Evaluation | |
| 6 | 2024-07-26 | 7. Row 43 : kVp Range : Requirement is 40 – 120 kVp Question : why it has to be in that range ? meanwhile bigger kVp in most application needs high kVp. Proposing to open the range into at least 50 – 125 kVp |
Many thanks for this feedback. All values and/or ranges must be intended as minimum requirements, allowing bidders to offer devices with better performances (e.g. wider ranges). This spec will be revised for clarity reflected in a forthcoming amendment to the Bidding Document. |
Evaluation Process | Technical Evaluation | |
| 7 | 2024-07-26 | . Line 81- Additional image processing to zoom an image up to 4X in any mode without additional dose is recommended to be added as an additional preferred requirement as it supports low dose to patients suitable for small anatomy cases like urology/uronephrology Clarification for X-Ray |
Many thanks for this feedback. MoH has considered this input and will update the specification as suggested, and include in a forthcoming amendment to the specifications as a rated specification. | Supply Requirements | Procurement Regulations | Rated Criteria (Scoring Methodology) |
| 8 | 2024-07-26 | X-Ray , Row Number 58 Criteria : Motorized Existing Specification : The device shall be motorized, with brakes, Proposed specification : Yes. Using motor to move from one place to another., Comment : Line 58 : Request to change the Self Propelled Motorized movement, to : The device shall be motorized with separate battery (different from battery for scanning), to avoid out of battery after transporting the mobile X-ray to another location. | Many thanks for this feedback. MoH has considered this input and we will retain the current specification. | Evaluation Process | Technical Evaluation | |
| 9 | 2024-07-26 | 4. Line 17 – To clarify that uronephorology cases are equivalent to urology cases? |
Thank you for your question. Yes, uronephorology cases are equivalent to urology cases. |
Supply Requirements | Evaluation Process | Technical Evaluation |
| 10 | 2024-07-26 | 6. Row 42: Maximum Output kVp : Requirement is 120 kVp Question : Why it has to be max at 120 kVp, meanwhile for certain of application, we will need higher kVp to have best image quality, can we propose to increase the Max Output kVp to 125 kVp? |
Many thanks for this feedback. All values and/or ranges must be intended as minimum requirements, allowing bidders to offer devices with better performances (e.g. wider ranges). This spec will be revised for clarity reflected in a forthcoming amendment to the Bidding Document. |
Evaluation Process | Technical Evaluation | |
| 11 | 2024-07-26 | 2. Row 41 : Cooling min 15,000 HU/min, Question : conventional x-ray will not heating up that much, due to not frequent x-ray exposure compare to CT and Cath Lab, therefore >14,000 HU/min will be very sufficient. Please clarify. |
Many thanks for this feedback. MoH has considered this input and will update the specification and reflect such changes in a forthcoming amendment to the Bidding Document. | Supply Requirements | Evaluation Process | Technical Evaluation |
| 12 | 2024-07-26 | 1. Row 40 : Heat capacity, more than 200,000 HU Question : Conventional x-ray will not heating up that much, due to not frequent x-ray exposure compare to CT and Cath Lab, therefore >200,000 HU will not be necessary. Please clarify. |
Many thanks for this feedback. MoH has considered this, and will update this specification in a forthcoming amendment. | Bidding Procedure | Evaluation Process | Technical Evaluation |
| 13 | 2024-07-26 | X-Ray , Row Number 90 Criteria : Weight, kg Existing Specification : < 450kg Proposed specification : 580 kg, Doc: Philips MobileDiagnost wDR_Specifications Page 8 No.5, Comment : Line 90 : Request to change the weight to <600 kg, as this mobile X-ray requires to have motorized movement, so the system weight will not be crucial, additionally with motorized movement will requires larger or additional battery which will increase the total weight of the system. Additionally this requirement is locking to certain product and rule out Philips | Many thanks for this feedback. MoH has considered this input and we will retain the current specification. | Evaluation Process | Technical Evaluation | |
| 14 | 2024-07-26 | 2. Line 30 - "Digital C-arm technology does not use cassette to capture images. As an industry standard today, radiographic mode is equivalent to XXX's Digital Spot. Digital spot utilizes an higher mA and longer exposure time to capture higher radiographic image quality. It can support both small and local focal spots as requested in the specification. We recommend using "Radiographic digital mode" | Many thanks for this feedback. Upon consideration, MoH will drop these specific criteria while retaining the mandatory Snapshot Mode specification. These changes will be reflected in a forthcoming amendment to the Bidding Document. | Supply Requirements | Evaluation Process | Technical Evaluation |
| 15 | 2024-07-26 | 5. Line 20 – To clarify that low power C-arm means less than 5kW? | Thank you for your question. Yes. Low power mobile C-Arm refer to devices with less than 5kW of power, as specified in the technical specifications. | Supply Requirements | Evaluation Process | Technical Evaluation |
| 16 | 2024-07-26 | . Line 48 – To clarify that this requirement to provide image noise reduction? | Thank you for your question. Yes, snapshot mode is required to improve the signal-to-noise ratio (SNR), as stated in the technical specification. | Supply Requirements | Evaluation Process | Technical Evaluation |
| 17 | 2024-07-26 | Dear Sir/Madam, We would like to ask a few questions regarding technical specification document (attached) Thank you and i look forward to hearing from you soon. X-Ray , Row Number 23 Criteria : Display size Existing Specification : ≥ 19 inches. Preferred Proposed specification : 17 inch touch-screen display provides Doc: Philips MobileDiagnost wDR_Specifications Page 7 No.2 Comment : Line 23 : Request The display size to be changed to 17" and delete the ≥ 19 inches requirement. As 17" display size is sufficient to provide a good and clear display, and the display size is very specific for each system design and will not affecting the image quality and workflow of the system. | Many thanks for this feedback. As this specification is Rated Criteria, the bidder can choose to comply or not. MoH will retain the current specification. | Evaluation Process | Technical Evaluation | |
| 18 | 2024-07-26 | X-Ray , Row Number 24 Criteria : Time to display image Existing Specification : The device shall display the image for preview in a time not longer than 2 seconds Proposed specification : Typical time to preview image 5 seconds, Additional time to full image 7 seconds Typical cycle time 12 seconds, Doc: XXXX, Page XXXX, Comment : Line 24 : Request the Time to display image to change the display the image for preview in a time not longer than 6 seconds, as this requirement is locking to certain product and rule out XXXX. | This question is similar to the previous question #35 and #74. Please refer to the respective response. | Evaluation Process | Technical Evaluation | |
| 19 | 2024-07-26 | X-Ray , Row Number 29 Criteria : Image Display Time, seconds Existing Specification : < 2 for preview image; < 5 full images Proposed specification : Typical time to preview image 5 seconds, Additional time to full image 7 seconds Typical cycle time 12 seconds, Doc: Philips MobileDiagnost wDR_Specifications Page 20 No.1, Comment : Line 29 : Request the image display time to change the Image display time to < 6 seconds for preview image; < 12 seconds full images, as this requirement is locking to certain product and rule out Philips. | This question is similar to the previous question #74 Please refer to the respective response. | Evaluation Process | Technical Evaluation | |
| 20 | 2024-07-26 | X-Ray , Row Number 35 Criteria : Charging time Existing Specification : It is preferred that the device charges in less than 4 hours, Proposed specification : Time to charge generator battery (from empty to fully charged) :, 10 hours, Doc: Philips MobileDiagnost wDR_Specifications Page 9 No.3, Comment : Line 35 : Request the charging time to be changed to not more than 10 hours, as larger battery will requires longer changing time and this requirement is locking to certain product and rule out Philips. | Many thanks for this feedback. As this specification is a rated criteria, the bidder can choose to comply or not. MoH will thus retain the current specification. | Evaluation Process | Technical Evaluation | |
| 21 | 2024-07-26 | X-Ray , Row Number 40 Criteria : Heat Capacity (HU) Existing Specification : ≥ 200,000 HU Proposed specification : 140,000 HU, Doc: Philips MobileDiagnost wDR_Specifications Page 17 No.2, Comment : Line 40 : Request to change the Heat capcity requirement to ≥ 140,000 HU, as 140,000 HU is sufficient to privide a good image quality for mobile X-Ray with an efficient power, consumption | Many thanks for this feedback. MoH has considered this, and will update this specification in a forthcoming amendment. | Evaluation Process | Technical Evaluation | |
| 22 | 2024-07-26 | X-Ray , Row Number 48 Criteria : Power rating, kW @ 100 kVp Existing Specification : at least 30kW Proposed specification : 20 kW, Doc: Philips MobileDiagnost wDR_Specifications Page 17 No.5, Comment : Line 48 : Request to change the Power rating to at least 20 kW as 20 kW is sufficient to privide a, good image quality for mobile X-Ray with an efficient power consumption. | Many thanks for this feedback. MoH has considered this input and we will retain the current specification. | Evaluation Process | Technical Evaluation | |
| 23 | 2024-07-28 | Related to the Specific Procurement Notice (SPN) that was released: RFB number: ID-PMU SIHREN-395632-GO-RFB, Contract title: Procurement of Radiography Equipment (Lot 1: Procurement of C-arm (7 units)) and Lot 2: Procurement of Digital Mobile X-Ray (2 units) The most recently published set of technical specifications (R8) for C-arms: The parts which require bidders to fill in are LOCKED (columns C/D/E): We ask for your urgent and kind assistance to please upload the unlocked and most updated version of the specifications (with our questions/input considered) so that we can fill in appropriately for timely submission. | Many thanks for this feedback. The technical specification was updated on the website on July 29, 2024, with cells unlocked for Bidders to fill in the required information. | Procurement Regulations | Forms | |
| 24 | 2024-07-29 | C-Arm , Row Number 98 Criteria : Weight Limit, kg Existing Specification : Bidder to specify Proposed specification : Please clarify, Remarks : We request that the Ministry of Health clarify if this specification, refers to the weight of the C-arm system itself, or the system’s weight capacity (i.e., the weight of the patient on the table). | Many thanks for the feedback, this already addressed in the previous amendment. | Evaluation Process | Technical Evaluation | |
| 25 | 2024-07-29 | C-Arm , Row Number 76 Criteria : Image Matrix Size Existing Specification : ≥ 1.5k x 1.5k, ≥ 10 bits Proposed specification : REMOVE SPECIFICATION, Remarks : This request that this bonus specification be removed. Only one manufacturer can comply with this requirement with its low power C-arm system. The industry standard for image matrix size is 1K x 1K, which is sufficient details for accurate clinical diagnosis. Higher resolution is not required for C-arm procedures. Further, this specification, if left unchanged, would afford 2 bonus points to the sole company that can fulfill it, and thus impact the competitive dynamic of this tender. Modifying this specification would level the playing field, while shifting focus away from requirements that do not deliver additional clinical value to the end user. | Many thanks for the feedback, this already addressed in the previous amendment. | Procurement Regulations | Rated Criteria (Scoring Methodology) | |
| 26 | 2024-07-29 | 3. Price schedule forms I understood that the Price schedule is composed of three parts: Goods, Related Services, and Recurrent costs for Operation and Maintenance. There are some aspects where i am confused, I want to ensure my understanding is correct. Please correct me if im wrong. - Price and completion schedule - related services : What should be included in this section? - Recurrent costs for operation and maintenace : The spare parts and accessories should be included in the starter kit. And once the acceptance testing is cleared, we should be able to provide those spare parts and accesories for 10 years in fixed price? Is this correct? |
a. Table of Price and completion schedule-Related Services is all costs other than inland transportation and other services required to convey the Goods/equipment to the final destination. The list of items is included, but not limited to the list in the respective table. b. The bidder is requested to quote the recurrent costs for operation and maintenance for mandatory warranty period (years 1-5), which shall be included in the bid prices, while also quoting comprehensive service and maintenance prices for year 6 up to 10 for which the bidder will commit to for such peeriod. This recurrent costs will be used for the purpose of financial evaluation. |
Evaluation Process | Financial Evaluation (including related services) | |
| 27 | 2024-07-29 | C-Arm , Row Number 67 Criteria : Pivot Rotation, deg Existing Specification : ≥ +/- 225 ⁰, Proposed specification : REMOVE SPECIFICATION, Remarks : We request that this bonus specification be removed. There is no clinical benefit to having a pivot rotation of ≥ +/- 225 degrees. All C-arm applications can be successfully performed with systems that have a pivot, rotation of +/- 180 – 200 degrees, which is standard in the industry. Further, this specification impacts the competitive dynamic of this tender, as only 2 companies can meet this requirement with their low power C-arm systems. Removing this specification will level the playing field for greater competition and shift the focus away from specifications that, have no clinical impact on the performance of the equipment. | Many thanks for the feedback, this already addressed in the previous amendment. | Procurement Regulations | Rated Criteria (Scoring Methodology) | |
| 28 | 2024-07-29 | . Technical part Excel sheet The Excel file has 5 different sheets. I have a question with the very last sheet 'Proposed post warranty service'. I understood that the product warranty is for 5 years. Should I fill out this sheet indicating the type of after-sales service we can provide after the 5-year warranty period? Please guide me on what should be included in this sheet. |
In the 'Proposed Post Warranty Service' tab, the bidder is requested to fill in all items for year 6 up to 10 that make up the service contract, noting this should be comprehensive and include working hours, transportation, charges related to labor, spare parts, and any other elements of service to be provided. The price provided includes the price per package as stated in the details of service contract, noting this price is to be included in the financial part of the bid for the purposes of financial bid evaluation. | Evaluation Process | Financial Evaluation (including related services) | |
| 29 | 2024-07-29 | C-Arm , Row Number 54 Criteria : Display Monitor Existing Specification : Dual-monitor, high resolution, at least 2K, Proposed specification : Dual-monitor, high resolution, at least 1K, Remarks :We request that this specification be modified to allow C-arm systems with high resolution, dual display monitors of at least 1K pixels. The current specification locks out our company, which manufactures among the highest performing and safest C-arm solutions globally. There is only one manufacturer who can fulfill the tender’s current requirement with its low power C-arm system. Further, consistent with the tender’s specification on image size (row 75; image matrix size of at least 1K x 1K), the clinical images that are transferred to the monitors will have a resolution of 1K pixels. Given this, display monitors of at least 1K pixels is sufficient. Monitors of higher resolution are not needed and do not have any additional clinical value. Modifying this specification upholds the desired performance and functionality of the equipment, while ensuring broad competition. | This question is similar to the previous question #42. Please refer to the respective response. | Evaluation Process | Technical Evaluation | |
| 30 | 2024-07-29 | C-Arm , Row Number 53 Criteria : Detector size, cm Existing Specification : ≥ 30x30cm, Proposed specification : REMOVE SPECIFICATION, Remarks : We request that this bonus specification be removed from the tender. Only one manufacturer can meet this requirement with its low power C-arm system. No other vendor offers a low power C-arm with a 30 x 30 cm detector. There is no clinical advantage to having a larger detector, as all C-arm applications can be performed successfully using the standard 20 x 20 cm detector size. However, this requirement, if left unchanged, will award 3 bonus points to the only company can fulfill this requirement. This would significantly impact the competitive dynamic of this tender,by affording that sole company a substantial advantage vis-a-vis the other bidders in this tender. Removing this specification will level the playing field, and shift focus away from those specifications that do not have a clinical impact on the performance of the equipment. | Many thanks for the feedback, this already addressed in the previous amendment. | Procurement Regulations | Rated Criteria (Scoring Methodology) | |
| 31 | 2024-07-29 | C-Arm , Row Number 52 Criteria : Detector size, cm Existing Specification : ≥ 25x25cm, Proposed specification : REMOVE SPECIFICATION, Remarks :We request that this bonus specification be removed from the tender. All clinical C-arm applications can be successfully performed using a detector that measures 20 x 20 cm, which is the mandatory detector size specification for this tender. A larger detector in a low power Carm system is not needs as it provides no additional clinical benefits. This bonus specification, however, if left unchanged, will have a large impact on the competitive dynamic of this tender. There are only 2 companies that can meet this requirement with their low power Carm systems. While this specification does not deliver additional benefit to the end user, it will afford those 2 companies an unfair advantage in this tender. Removing this specification will level the playing field, and shift focus away from those specifications that do not have a clinical impact on the performance of the equipment. | Many thanks for the feedback, this already addressed in the previous amendment. | Procurement Regulations | Rated Criteria (Scoring Methodology) | |
| 32 | 2024-07-29 | C-Arm , Row Number 39 Criteria : Exposure Time, sec Existing Specification : 0.001sec to 10sec, bidder to specify Proposed specification : Within the range of 1 to 125mA 0.001 sec to 10sec, bidder to specify, Remarks :We request that this specification be modified to permit C-arm systems in which the X-ray generator exposure time falls within the range of 0.001 to 10 seconds. There are no low power C-arm systems that can fulfill the tender’s exposure range requirement of 0.001 to 10 seconds. Modifying this specification to include the language “within the range of” upholds the desired performance and functionality of the equipment, while permitting broad competition. | Many thanks for the feedback, this already addressed in the previous amendment. | Evaluation Process | Technical Evaluation | |
| 33 | 2024-07-29 | C-Arm , Row Number 37 Criteria : mAs Minimum Range Existing Specification : 1 to 125mA, Proposed specification : Within the range of 1 to 125mA, Remarks : We request that this mandatory specification be modified to allow C-arm systems with an X-ray generator current that falls within the range of 1 to 125mA. There are no low power C-arm systems (<5kW) on the market in which the X-ray generator current meets the tender’s requirement of 1 to 125 mA. Our industry-leading low power C-arm system, for example, utilizes an X-ray generator with a current range of 1.8 to 19.1mA for single shot exposure. Without modifying the tender’s X-ray generator current requirement to include the language “within the range of”, we will be locked out from participating in this important tender. Modifying the specification upholds the desired performance and functionality of the equipment, while permitting broad competition. | Many thanks for the feedback, this already addressed in the previous amendment. | Evaluation Process | Technical Evaluation | |
| 34 | 2024-07-29 | Bonus points awarded for features without clinical benefits The tender includes 4 bonus specifications that do not deliver additional clinical value. The specifications, however, deliver extra points that can have a significant impact on the tender’s outcome. The above-mentioned manufacturer stands to benefit the most from these unfair specifications, which we request be removed from the tender. These specifications include 2 that pertain to the detector size as well as one that related to the, image matrix size and another to the C-arm pivot rotation. Removing these specifications upholds the desired performance and functionality of the equipment and promotes a more competitive environment to the benefit of the project and the public health system in Indonesia. | Many thanks for this feedback. As this specification is Rated Criteria, the bidder can choose to comply or not. MoH will retain the current specification. | Procurement Regulations | Rated Criteria (Scoring Methodology) | |
| 35 | 2024-07-29 | 2 mandatory specifications preclude XXXX from participating Only one company can fulfill the specification that requires the display monitor to have a resolution of at least 2K pixel. In addition to creating a lock-out, such a high resolution is not needed. The images that will be transferred to the monitors will have a resolution of 1K pixels, as per row 75 of this tender’s technical specifications. | This question is similar to the previous question #42 Please refer to the respective response. | Evaluation Process | Technical Evaluation | |
| 36 | 2024-07-29 | We have few questions regarding the bidding documents. 1. Currency According to your presentation, it says "The bidder may express the bid price in any currency, but shall use no more than three foreign currencies in addition to the currency of the purchaser's country" Does this mean we can quote our financial proposal in two different currency? For example, Indonesia Rupiah and US Dollar. |
Yes, you can quote the bid price in US$ and IDR shall use no more than three foreign currencies. | Evaluation Process | Financial Evaluation (including related services) | |
| 37 | 2024-07-29 | 2. Technical Bid Checklist The bidding document form includes a 'Technical Bid Checklist.' Is it mandatory to include this checklist in our technical proposal, or can we replace it with a 'Table of Contents'? |
Yes, the Technical Bid Checklist is mandatory document and shall be submitted by the bidder as part of their bids. | Procurement Regulations | Forms | |
| 38 | 2024-07-29 | C-Arm , Row Number 136 Criteria : MRI compatible medical gas panel and waveguides within RF Cabin, Existing Specification : Bidder to provide installation Proposed specification : REMOVE SPECIFICATION, Remarks : We request that this specification be removed from the tender. The inclusion of this specification appears to be an error. RF cabins are not required with C-arm systems. Rather, they form part of the MRI. Removing this specification upholds the desired performance and functionality of the equipment, while permitting broad competition. | Many thanks for the feedback, this already addressed in the previous amendment. | Evaluation Process | Technical Evaluation | |
| 39 | 2024-07-30 | We hope to find you well. With reference to the RFB in object and procurement notice attached, we express our interest in this opportunity and We kindly ask to receive the complete set of bidding documents. “We hereby inform you that all our publications (presentations, videos, images, technical sheets, etc.) are only for internal use or only usable for specific cases such as the one currently in progress. Therefore, forwarding, disclosing, modifying the above- mentioned material is forbidden in any manner or form; likewise, you are not allowed to publish nor share the above- mentioned material on the web, social networks and YouTube channels without our prior written authorization. |
Many thanks for your interest in this Procurement of Radiography Equipment. MOH will take note for your concern. However, the electronic version of the Bidding Document (including Technical Specification) for this tender can be downloaded from the following website: https://ihss. kemkes.go.id/ | Procurement Regulations | Forms | |
| 40 | 2024-07-31 | Dear Sir/Madam, Related to the Specific Procurement Notice (SPN) that was released: RFB number: ID-PMU SIHREN-395632-GO-RFB, Contract title: Procurement of Radiography Equipment (Lot 1: Procurement of C-arm (7 units)), On top of the previously sent specific question for the C-arms, we have additional questions/input: With regards to technical specifications line 105 mandatory requirement of being "Compliant with IEC 60601 - Safety of Medical Electrical Equipment" and the need to provide certification, we wish to give the feedback that IEC 60601 certification specifically for medical safety compliance in combination with the single-phase requirement limits the UPS options/ranges to be under the 10KVa threshold (which is the relevant fit for C-arms). While market options fulfilling both of these criteria do not carry the IEC 60601 certification, they are backed by similar/equivalent certifications that ensure comprehensive safety compliance generally across industries, including medical equipment. We kindly recommend MOH to consider removing IEC 60601 as a mandatory requirement in the technical specifications as this will enable the market to introduce options which not only conform to safety standards but also fulfill sustainability aspects in terms of energy efficiency. To further minimize the usage of power consumption, physical space and increased room temperature for the UPS in the operating environment, we would recommend a lower battery back-up time of 10 minutes instead of the currently mandated 30 minutes. We hope that MOH will kindly consider our recommendations as this will ultimately benefit MOH, the clinical users as well as patients and also ensure fair market participation of the tender. | The updated requirement is: Compliant with IEC 60601 Safety of Medical Electrical Equipment and/or IEC62040-1 Uninterruptible power systems (UPS) Part 1: Safety requirements. | Evaluation Process | Technical Evaluation | |
| 41 | 2024-07-31 | If we had 2 types of product in one package, the main unit is the import product, the accessories are purchased locally, which document that we need to submit? Price Schedule: Goods Manufactured Outside the Purchaser’s Country, to be Imported, or Price Schedule: Goods Manufactured Outside the Purchaser’s Country, or already imported or Price Schedule: Goods Manufactured in the Purchaser’s Country Thank You | Type of equipment on whether it is considered as to be imported, already imported or supplied within the Purchaser's Country shall be based on main equipment (radiography). | Procurement Regulations | Forms | |
| 42 | 2024-07-31 | Price schedule for, to be imported : the formulation of Total Price per Line item (Col. (5x9) + 7 + 8). since for c-arm product there will be 7 units, so for column 7 and 8 should it be multiplied by column 5? or we create 1 row of counts per unit location? so the total would be 7 row. | Thank you for raising the question. Yes, column 7 and column 8 must be multiplied by column 5 | Evaluation Process | Financial Evaluation (including related services) | |
| 43 | 2024-07-31 | Manufacturing Authorization and Sexual Exploitation and Abuse (SEA) and/or Sexual Harassment Performance Declaration, if some of our accessories produce by other company, do we need to attached the Manufacturing Authorization and Sexual Exploitation and Abuse (SEA) and/or Sexual Harassment Performance Declaration from the other company also ? | Manufacturer Authorization is required for main equipment (radiography) where the bidder is not a manufacturer. The bidder either as sole firm of in the form of JV shall submit sexual exploitation and abuse (SEA) and/or sexual harassment (SH) performance Declaration. | Procurement Regulations | Eligible Bidders (including joint venture) | |
| 44 | 2024-07-31 | Dear Sir/Madam, We, XXXX would like to ask clarification for some point in RFB that issued by July 2nd, 2024, as follows : If the letter of incorporation/ deed of company in Indonesian, do we need to translate the document ? |
Thank you for raising the question. Not required translate in english. However, for bid the language shall be english. | Evaluation Process | Qualification Requirements | |
| 45 | 2024-08-01 | Dear Sir/Madam, Please allow us to introduce ourselves. We are PT Poly Jaya Medikal, an Indonesian manufacturer of Radiology Medical Devices that has obtained a Production Permit from Bapeten. Following up on the procurement tender process for Radiology Equipment for the Mobile X-Ray unit, we would like to inquire about the Specifications required in the Technical Part bidding Document, specifically: Regarding the General Technical Specification/features on cell no. 28, there is a mention of Grid software. We kindly request clarification on the required specifications for this software. Regarding cell 34, Energy Capacity mAs @ 80 kV requirement 100,000 mAs, we kindly request clarification on whether this energy capacity requirement is for the battery or the Generator. This is all we would like to inquire about. We kindly request that you provide us with information on the above matters. Thank you for your attention. Sincerely, | Thank you for your question, the Software Grid is needed as its primary function is to reduce scatter radiation, which is crucial for enhancing image quality by improving contrast and reducing noise, its an alternative of using traditional physical anti-scatter grid. On the Energy Capacity, its for the generator. | Evaluation Process | Technical Evaluation | |
| 46 | 2024-08-02 | Dear Sir/Ma'am, This is regarding above mentioned subject kindly send us bid documents by email at XXXX | Many thanks for your interest in this Procurement of Radiography Equipment. The electronic version of the Bidding Document (including Technical Specification), can be downloaded from the following website: https://ihss. kemkes.go.id/ Thanks & regards Any amendment to the Bidding Document (if needed) and responses to clarification to the Bidding Document are also published on the same website. | Other | Procurement Regulations | Forms |
| 47 | 2024-08-02 | We are interested to participate in this tender and offer our Bid. Our company details are as under: Company: XXXX Contact / Focal Person: XXXX Mobile No.XXXX E-mail Address: XXXX Please forward Bidding Documents via e-mail & oblige. | Many thanks for your interest in this Procurement of Radiography Equipment. The electronic version of the Bidding Document (including Technical Specification), can be downloaded from the following website: https://ihss. kemkes.go.id/ Any amendment to the Bidding Document (if needed) and responses to clarification to the Bidding Document are also published on the same website. | Other | Procurement Regulations | Forms |
| 48 | 2024-08-03 | In reference to the tender "Procurement of Radiography Equipment" (Reference Nr.: P000787/WB-P2124529-07/24) 1 request for you to kindly provide us with the English bidding documents. | Many thanks for your interest in this Procurement of Radiography Equipment. The Bidding Document is issued in English. The electronic version of the Bidding Document (including Technical Specification), can be downloaded from the following website: https://ihss.kemkes.go.id/ Any amendment to the Bidding Document (if needed) and responses to clarification to the Bidding Document are also published on the same website. | Other | Procurement Regulations | Forms |
| 49 | 2024-08-03 | Dear Sir/Madam, We confirm our interest for the project Bid No. / RFB Reference No.: ID-PMU SIHREN-395632-GO-RFB, Procurement of Radiography Equipment, and hereby apply for the E-copy of official bidding document in English. Hope to receive your reply! | Many thanks for your interest in this Procurement of Radiography Equipment. The Bidding Document is issued in English. The electronic version of the Bidding Document (including Technical Specification), can be downloaded from the following website: https://ihss.kemkes.go.id/ Any amendment to the Bidding Document (if needed) and responses to clarification to the Bidding Document are also published on the same website. | Other | Procurement Regulations | Forms |
| 50 | 2024-08-08 | Following up on our previous correspondence, we are reaching out again to request the bidding document in English. Could you please send it to us? | Many thanks for your interest in this Procurement of Radiography Equipment. The electronic version of the Bidding Document (including Technical Specification), can be downloaded from the following website: https://ihss. kemkes.go.id/ Any amendment to the Bidding Document (if needed) and responses to clarification to the Bidding Document are also published on the same website. | Procurement Regulations | Forms | |
| 51 | 2024-08-09 | Kindly reminder for the below email. Thanks & Best regards, | Many thanks for your interest in this Procurement of Radiography Equipment. The Bidding Document is issued in English. The electronic version of the Bidding Document (including Technical Specification), can be downloaded from the following website: https://ihss.kemkes.go.id/ Any amendment to the Bidding Document (if needed) and responses to clarification to the Bidding Document are also published on the same website. | Supply Requirements | Unrelated Questions | Unrelated Questions |
| 52 | 2024-08-09 | Dear Sir/Madam, Related to the Specific Procurement Notice (SPN) that was released: RFB number: ID-PMU SIHREN-395632-GO-RFB, Contract title: Procurement of Radiography Equipment (Lot 1: Procurement of C-arm (7 units)). Thank you very much for your consideration of our input, per the latest Q&A document MOH has published on the official website. We appreciate very much the openness and transparency of this process. While the questions and input have been replied to, we request MOH and the World Bank to please release today urgently the final technical specifications on the same webpage for us to download and fill in - for both the technical specifications (technical) and technical specifications (financial) excel sheets, latest/updated versions in view of the latest Q&A publication. In view of the latest updates, we also kindly request please an extension of the submission deadline by at least a week to allow fair preparation time for bidders. Thank you very much. | Many thanks for your interest in this Procurement of Radiography Equipment. The electronic version of the Bidding Document (including Technical Specification), can be downloaded from the following website: https://ihss. kemkes.go.id/ Any amendment to the Bidding Document (if needed) and responses to clarification to the Bidding Document are also published on the same website. | Procurement Regulations | Procurement Methodology | |
| 53 | 2024-08-10 | We request you to send us the tender documents which will enable us to study, prepare and submit our bid on time. We await to receive your positive response. Thanking you with best regards, with reference to the request for quotation n° ID-PMU SIHREN-395632-GO-RFB Procurement of Radiography Equipment (9 units) - 2 lots (contracts), this is to request the bidding document, given our interest in participating in this tender. I thank you in advance for your cooperation. | Many thanks for your interest in this Procurement of Radiography Equipment. The electronic version of the Bidding Document (including Technical Specification), can be downloaded from the following website: https://ihss. kemkes.go.id/ Any amendment to the Bidding Document (if needed) and responses to clarification to the Bidding Document are also published on the same website. | Bidding Procedure | Procurement Regulations | Forms |
| 54 | 2024-08-10 | My name is XXXX and I'm contacting you from XXXX in the Netherlands regarding the project Indonesia Health Systems Strengthening, RFB Ref. No.: ID-PMU SIHREN-395632-GO-RFB. Is it possible to clarify whether we can only submit our bid for lot 2 - Procurement of Digital Mobile X-Ray (2 units)? Or if you'll only consider supliers bidding on both lots? Thank you in advance and I'm looking forward to hearing from you, | Yes, bidder may submit the bid for one lot only (either lot 1 or lot 2) or both lots. Bidders are allowed to participate in maximum one bid per lot, either as sole bidder, or as part of a JV. If the bidder either as sole bidder or JV intends to submit a bid for more than one lot, the bidder is reminded to only submit one bid for each lot. | Other | Related to Proc Plan and Packaging Arr. | Question related to Procurement Planning and Packaging Arrangements |
| 55 | 2024-08-10 | We are interested to participate in this tender and offer our Bid. Our company details are as under: Company: XXXX Contact / Focal Person: XXXX Please forward Bidding Documents via e-mail & oblige. | Many thanks for your interest in this Procurement of Radiography Equipment. The electronic version of the Bidding Document (including Technical Specification), can be downloaded from the following website: https://ihss. kemkes.go.id/ Any amendment to the Bidding Document (if needed) and responses to clarification to the Bidding Document are also published on the same website. | Other | Procurement Regulations | Forms |
| 56 | 2024-08-10 | Dear Sir: XXXX part of XXXX an Engineering, XXXX Company having Quality System with ISO 9001, Environmental Management System with ISO 14001, Health and Safety Management Systems with OHSAS 18001 having presence in African Continent and Far East. We have successfully implemented diversified projects for Rural Electrification, Agricultural Modernization, Health Care Facilities and Water Distribution Network. We had successfully implemented projects for Health sector Projects in Guinea Conakry, Senegal, Uganda and Malawi for supply and delivery of Health care equipment CT-Scanners, Angiography, Radiography, and Laboratory Items. We are interested in participating ourselves in the bidding process pertains to-ID-PMU SIHREN-395632-GO-RFB - Procurement of Radiography Equipment. | Many thanks for your interest in this Procurement of Radiography Equipment. The electronic version of the Bidding Document (including Technical Specification), can be downloaded from the following website: https://ihss. kemkes.go.id/ Any amendment to the Bidding Document (if needed) and responses to clarification to the Bidding Document are also published on the same website. | Other | Unrelated Questions | Unrelated Questions |
| 57 | 2024-08-11 | We have some questions regarding the technical specifications regarding Procurement of Radiography Equipment (ID-PMU SIHREN-395632-GO-RFB., please refer to attached feedback. feedback template questions xianqin C-Arm, Row Number 37, criteria: mAs Minimum Range, Existing Specification: 1 to 125mA Proposed specification: 1 to 125 mAs Remarks: mAs and mA are different, please revise this typo. | Many thanks for this feedback. MoH has reviewed this input and updated the specification to read "1 to 50mAs". | Bidding Procedure | Evaluation Process | Technical Evaluation |
| 58 | 2024-08-11 | C-Arm, Row Number 51, Criteria: Detector size, cm, Existing Specification: ≥20×20cm Proposed specification: ≥30×30cm Remarks: If the size of the detector is 30x30cm, it can display whole Pelvis image, the operator can get accurate images without movig the machine and patient. | The feedback matches the current specifications, and this larger detector size would be awarded a technical score as part of the rated criteria. Therefore, the specification is retained as is. | Contract | Evaluation Process | Technical Evaluation |
| 59 | 2024-08-11 | C-Arm, Row Number 38, Criteria: Automatic Exposure Control (AEC) or Phototimers, Existing Specification: Required To control the length of x-ray exposure to minimize radiation applied to patient, Proposed specification: Suggest to cancel this parameter, Remarks: Automatic Exposure Control (AEC) or Phototimers is mainly used for DR, which is used for radiography, but the main application of C-arm is fluoroscopy, which is not used for radiography. | Many thanks for this feedback. MoH has reviewed this input and updated the specification to become a preferred specification, given its intended use of the C-Arm. | Bidding Procedure | Evaluation Process | Technical Evaluation |
| 60 | 2024-08-11 | C-Arm, Row Number 54, Criteria: Display Monitor, Existing Specification: Dual-monitor, high resolution, at least 2K, Proposed specification: Dual- monitor or single monitor with dual screen,, high resolution, at least 2K, Remarks: Double monitor and single monitor with dual screen, can observe two images at the same time, the same function. | Many thanks for this feedback. MoH has reviewed this input and updated the specification to allow ultra-hihg definition single monitors as a possibility. The specification now allows for a dual monitor of at least 2K resolutoin, or a single monitor with equivalent number of pixels (4k). | Bidding Procedure | Evaluation Process | Technical Evaluation |
| 61 | 2024-08-11 | X-Ray, Row Number 61, Criteria: Maximum inclination Existing Specification : 7 degrees Proposed specification: 27 degrees Remarks: 27 degrees is a reasonable parameter. | Many thanks for this feedback. MoH has reviewed this input and updated the specification to read "27 degrees". | Supply Requirements | Evaluation Process | Technical Evaluation |
| 62 | 2024-08-11 | C-Arm, Row Number 65, Criteria: Pivot Rotation, deg Existing Specification: ≥+/−180∘ Proposed specification: ≥ +/- 225° Remarks: Larger rotation range makes positioning more convenient. | The feedback matches the current specifications, and this rotation would be awarded a technical score as part of the rated criteria. Therefore, the specification is retained as is. | Contract | Evaluation Process | Technical Evaluation |
| 63 | 2024-08-11 | C-Arm, Row Number 64, Criteria: Panning Motion, deg Existing Specification: ≥+/−10∘, bidder to specify Proposed specification: We suggest that this parameter be marked in green. ≥±15°, bidder to specify Remarks: Larger swing range is necessary for orthopedic surgeries, some patients have more than one lesion. A larger swing angle allows multiple surgical sites to be examined without moving the patient. Moving the patient during surgery may cause unexpected consequences/ problems. | The current specification allows the panning motion as per the feedback, while enabling all bidders to partipate and specify the panning motion degrees in line with user feedback. This specification is therefore retained as is. | Supply Requirements | Evaluation Process | Technical Evaluation |
| 64 | 2024-08-11 | C-Arm, Row Number 66, Criteria: Pivot Rotation, deg Existing Specification: ≥ +/- 200° Proposed specification: Suggest to cancel this parameter | The feedback matches the current specifications, and this rotation would be awarded a technical score as part of the rated criteria. Therefore, the specification is retained as is. | Supply Requirements | Evaluation Process | Technical Evaluation |
| 65 | 2024-08-11 | X-Ray, Row Number 56, Criteria: X-axis, ° Existing Specification: ±90° Proposed specification: -5°to 40° Remarks: it can be replaced by X-ray tube rotation, no practical clinical significance | This vertical tube movement is in line with user expectations and common market availability. The specification is therefore retained. | Supply Requirements | Evaluation Process | Technical Evaluation |
| 66 | 2024-08-11 | X-Ray, Row Number 53, Criteria: Vertical, cm Existing Specification: ≥130cm Proposed specification: ≥110cm Remarks: Vertical movement of 130 cm does not conform with the actual movement, there is no clinical significance. | This vertical tube movement is in line with user expectations and common market availability. The specification is therefore retained. | Contract | Evaluation Process | Technical Evaluation |
| 67 | 2024-08-11 | X-Ray, Row Number 27, Criteria: Grid Existing Specification: The device shall support a grid. Proposed specification: Suggest to cancel this parameter Remarks: Not a common parameter, most mobile Digital Mobile X-Ray does not have a grid. | Many thanks for this feedback. MoH has reviewed this input and updated the specification to become a rated specification, with a score awarded to bidders offering this functionality. | Supply Requirements | Evaluation Process | Technical Evaluation |
| 68 | 2024-08-11 | CArm-, Criteria: Virtual collimator, display exposure area in workstation without radiation dose Existing Specification: Required Proposed specification: with virtual collimator Remarks: virtual collimator can display exposure area without radiation dose, to protect patients and operators. | Upon collecting user feedback, this feature may be offered but will not be made mandatory nor receive a technical score. | Supply Requirements | Evaluation Process | Technical Evaluation |
| 69 | 2024-08-11 | CArm-, Criteria: Machine can work ≥10 minutes without power supply Existing Specification: Required Proposed specification: 10 minutes working without power supply Remarks: This function makes it easier to move the machine to multiple operating rooms, and no need to restart it repeatedly. If there is a sudden power outage during surgery, the operator still has enough time to save data and complete the surgery. | A minimum 30-minute UPS requirement is already included and mandatory. Hence the specification is retained as is. | Contract | Evaluation Process | Technical Evaluation |
| 70 | 2024-08-11 | C-Arm, Row Number 77, Criteria: Frame Integration Existing Specification: Required Proposed specification: integrated C arm frame with workstation Remarks: Please share detailed requirements. The workstation is integrated on C arm frame, no separate workstation cart, which will help save space and make it more convenient to move. | Frame integration is a software feature that integrated (averages) several image frames and descreases the image noise. This is a mandatory feature to be retained. | Supply Requirements | Evaluation Process | Technical Evaluation |
| 71 | 2024-08-11 | C-Arm, Row Number 67, Criteria: Pivot Rotation, deg Existing Specification: ≥ +/-225° Proposed specification: Suggest to cancel this parameter | The feedback matches the current specifications, and this rotation would be awarded a technical score as part of the rated criteria. Therefore, the specification is retained as is. | Supply Requirements | Evaluation Process | Technical Evaluation |
| 72 | 2024-08-11 | C-Arm, Row Number 53, Criteria: Detector size, cm, Existing Specification: ≥30x30cm Proposed specification: Suggest to cancel this parameter | The feedback matches the current specifications, and this larger detector size would be awarded a technical score as part of the rated criteria. Therefore, the specification is retained as is. | Contract | Evaluation Process | Technical Evaluation |
| 73 | 2024-08-11 | C-Arm, Row Number 52, Criteria: Detector size, cm, Existing Specification: ≥25x25cm Proposed specification: Suggest to cancel this parameter | The feedback matches the current specifications, and this larger detector size would be awarded a technical score as part of the rated criteria. Therefore, the specification is retained as is. | Supply Requirements | Evaluation Process | Technical Evaluation |
| 74 | 2024-08-11 | with reference to the Procurement Notice "Procurement of Radiography Equipment" with the RFB Reference Nr ID-PMU SIHREN-395632-GO-RFB, as advertised by the World Bank, we request for you to kindly send us the corresponding bidding documents. Wishing you a pleasant day and with best regards, | Many thanks for your interest in this Procurement of Radiography Equipment. Bidder may find the Bidding Document (including Technical Specification) in the website and can be downloaded from the following website: https://ihss.kemkes.go.id/ Any amendment to the Bidding Document (if needed) and responses to clarification to the Bidding Document are also published on the same website. | Supply Requirements | Procurement Regulations | Forms |
| 75 | 2024-08-11 | X-Ray, Row Number 71, Criteria: PHI removal Existing Specification: PHI removal shall be automatic or able to be scheduled Proposed specification: Suggest to cancel this parameter Remarks: Please help clarify what is PHI. Please write the full name, This is not a common function | PHI stands for "Personal Health Information". This is the information displayed on a digital image showing the name of a patient, age, etc. When images are used for public use, this information must be removed. A software tool makes this task easier, and its inclusion is rewarded with a score by the rated specification. | Supply Requirements | Evaluation Process | Technical Evaluation |
| 76 | 2024-08-12 | 2. Section II ITB 22.1, Bid Submission Date to be revised to August 27, 2024, at 10.00 AM (Western Indonesia Time). If we already prepare some letter mentioning the date of submission : August 15th, 2024, should we revise the documents ? | Thank you for your question. Yes, you should revise the document according to the latest amendment published on August 9, 2024. Referring to ITB 6.4 The Bidder is expected to examine all instructions, forms, terms, and specifications in the bidding document and to furnish with its Bid all information or documentation as is required by the bidding document. However, ensure that your bid aligns with the latest amendment to comply with all requirements. | Procurement Regulations | Procurement Methodology | |
| 77 | 2024-08-12 | We, XXXX Indonesia would like to ask clarification for some point in 2nd Amendment of RFB No ID-PMU SIHREN-395632- GO-RFB that issued by August 9th, 2024, as follows : 1. Technical Specification - R9_C-Arm_For Amendment_Technical Part as issued on August 9, 2024 C-Arm , Row Number 21, Criteria : Power, Existing Specification : ≥ 5KW, Proposed specification : Less than or equivalent to 5KW, Remarks : In Row Number 20,and in Row Number 33, the tender specifications asked are - Low power mobile c-arms and ≥ 2 kW. However, the specification in Row Number 21 is in contradiction to the specifications mentioned in these Row Numbers 20 and 33. Moreover, for the proposed usage and clinical applications of Uronephrology applications (Please see Row Number 17), and especially in a Flat Panel Detector (Please see Row Number 44) based Mobile C-arms, even a 2KW Power Generators with today's advanced Image Processing Technologies enable clear and crisp Image Quality that is required for the Surgical Procedures, with a LESSER DOSE Radiation to users and patient. In view of this, we humbly request you to please change the specification of Row Number 21, as ""Less than or equivalent to 5KW"", to ensure that undue advantage is not given to certain vendors who offer 5KW systems and to ensure neutral specification that encourages wider participation by various reputed vendors who can serve not only the Uronephrology applications, but also useful in procedures such as orthopedic, neurologic, critical care, peripheral vascular, endoscopic, cholangiographic and emergency room procedures also with 2KW Power Generators. | Many thanks for this feedback. MoH has considered this input, and will remove row 21 on the specification in a forthcoming amendment, retaining the mandatory specification specified in row 33. | Procurement Regulations | Rated Criteria (Scoring Methodology) | |
| 78 | 2024-08-12 | 3. We also want to asked the some point in the first amendment document : ADDENDUM No.1. Dated: July 23, 2024, mention: Section VII Schedule of Requirements, 8. Functional Guarantees: The current provision is deleted and replaced with: Bidder is asked to provide a list of detailed functional guarantees covered by the warranty period in the Device- Specific Excel Spreadsheet of the Technical Specification (Technical Part) available in the following link https://ihss. kemkes.go.id/. Based on the information provided, we want to confirm that: We don't need to list the orange highlighted specification to functional guarantee letter. What is the list of detailed functional guarantees covered by the warranty period in the Device-Specific Excel Spreadsheet meaning? Thank you for the consideration. If there is additional information needed, please inform us. Thank you. | Functional guarantees are covered as part of the mandatory and rated criteria in the technical specification Excel document, and the bidder commits to these functional guarantees listed in the relevant specifications, including in terms of response time, turn around time, as well as uptime guarantees listed in the technical specifications and required as per the bidding document. The bidder shall organized the list of functional guarantees covered and its format and present in the requested excel spreadsheet. | Contract Management | Warranty | |
| 79 | 2024-08-13 | Mandatory weight limit for digital mobile x-ray specifications precludes XXXX from participating. We request that this mandatory specification be modified to allow digital mobile X-rays that weight < 600kg. The current requirement is restrictive and precludes XXX and several other vendors from bidding on this tender. Increasing the permitted weight digital mobile X-rays will not impact the medical staff’s ability to move the equipment, as these devices are equipped with motorized wheels and brakes that facilitate transportation. Modifying the specification will permit broader competition, while upholding the desired performance and functionality of the equipment. | This question is similar to the previous question #53 and #85. Please refer to the respective response. | Procurement Regulations | Rated Criteria (Scoring Methodology) | |
| 80 | 2024-08-13 | We are XXXX, in connection with Procurement of Radiography Equipment ID-PMU SIHREN-395632-GO-RFB we have some question about technical part, would you mine to help us for the question bellow : X-Ray, On Point No. 67 : Criteria: Size, The requirements state: ""Two different sizes of detectors are required: (1) up to 35x43 cm (+/- 1cm), and (2) up to 24x30 cm (+/- 1cm)"". Our question is whether the detector size requirement ""(2) up to 24x30cm (+/- 1cm)"" can be increased?, we recommend that this be changed to ""(2) up to 27x35cm"". We believe that the 27x35cm size has a larger effective imaging area. In addition, there are no clinical / technical implications to this request. Thank you for your attention. | Many thanks for this feedback. MoH has considered this input and will update the detector size specification in a forthcoming amendment. | Procurement Regulations | Rated Criteria (Scoring Methodology) | |
| 81 | 2024-08-13 | We would like to seek for clarification on below : Latest document Line 21 -- Power greater than 5 KW -- Based on clarification document provided on Aug 8, and also previous versions of the technical specs, the requirement is of a low power mobile C-arm LESS Than 5KW, however, in the latest document R9 it is changed to GREATER than 5KW. Please confim that the requirement is LESS THAN 5KW. Many thanks in advance. | This question is similar to the previous question #111. Please refer to the respective response. | Procurement Regulations | Rated Criteria (Scoring Methodology) | |
| 82 | 2024-08-13 | We, XXXX Indonesia would like to ask clarification for some point in 2nd Amendment of RFB No ID-PMU SIHREN-395632- GO-RFB that issued by August 9th, 2024, as follows : 1. Technical Specification - R10_Digital Mobile X-Ray_For Amendment_Technical Part as issued on August 9, 2024 Digital Mobile X-ray , Row Number 51, Criteria : Source-to-Image-Distance Range, cm, Existing Specification : Device shall have a range from 70 to 190cm, Proposed Specification : The Device shall have at least three types of SID between 100 to 180 cm, Remarks : As per the Best Practices like Americal Society of Radiologic Technologists (ASRT) and as per other international protocols, the 'Source to Image Distance' is usually maintained between 100 to 180 cm (while 100 cm, 130cm or 150 cm, and 180cm being the usual practice). The Equipment manufacturers design their Mobile Digital Radiography systems to facilitate optimal Imaging at a optimal dose using these distances. If the x-ray Imaging is done based on the current tender specification of 70 to 190cm, we are afraid that it may not lead optimal Image Quality and may also lead to more radiation. In view of this, we humbly request you to modify the specification as ""The Device shall have at least three types of SID between 100 to 180 cm"" | Many thanks for this input. MoH will retain the current specification. | Procurement Regulations | Rated Criteria (Scoring Methodology) | |
| 83 | 2024-08-13 | Low power C-arm does not support larger detectors. Our questions center on 4 technical specifications under lot 1 (C-arms) that do not deliver clinical value, yet the tender is awarding those specifications with additional points that will greatly impact the competitive dynamic of this bidding process. Under lot 2 (digital mobile X-rays), we request modifications to 2 specifications that preclude us from bidding. Below you will find a top-level overview of these matters. For details on the specifications in question, and our recommended modifications, which aim to ensure the broadest possible competition while upholding the desired performance and functionality of the equipment, in keeping with the World Bank procurement rules, please see Annex 1, attached to this letter. | This question is similar to the previous question #57, #91, #92. Please refer to the respective response. | Procurement Regulations | Rated Criteria (Scoring Methodology) | |
| 84 | 2024-08-13 | Monitor image matrix size is over specified. This tender is procuring low power C-arm systems. Such systems, which are powered by a generator with a power output of ≥ 2 kW, are used for low complexity procedures. These systems typically have detectors ~20 x 20 cm and are not designed to support larger detectors. Higher power C-arm, which are needed for longer procedure times, greater image detail, and larger anatomical areas, do include larger detectors. These systems, however, are equipped with larger generators, usually with a power output of up to 15 kW. There is no clinical advantage to having a larger detector on a low power C-arm system, and we request that the 2 bonus specifications relating to large detectors be removed from the tender. | This question is similar to the previous question #57, #91, #92. Please refer to the respective response. | Procurement Regulations | Rated Criteria (Scoring Methodology) | |
| 85 | 2024-08-13 | 4x zoom delivers unnecessary radiation dose. The industry standard for low power C-arm monitor image matrix size is 1k x 1k pixels. This level of resolution is clinically sufficient for accurate diagnosis, given the types of procedures conducted by this equipment, and leading manufacturers can comply with this value. Low power C-arm systems are not designed to include high resolution monitors. Such monitors are typically found on imaging solutions that conduct more complex procedures. In the interest of ensuring a level playing field for this tender, we request that this bonus specification be removed. | Many thanks for this feedback. This is rated, hence not exclusive. Noted that the preffered image zoom is updated to required digital zoom and this will be reflected in a forthcoming amendment. | Procurement Regulations | Rated Criteria (Scoring Methodology) | |
| 86 | 2024-08-13 | Power rating digital mobile x-ray specifications. We request that the digital mobile X-ray generator’s power rating specification be modified to 20kW, which is consistent with the latest generation of efficient power consumption units that can produce among the highest quality clinical images. | This question is similar to the previous question #83. Please refer to the respective response. | Procurement Regulations | Rated Criteria (Scoring Methodology) | |
| 87 | 2024-08-13 | Lot 1: C-Arm, Row Number : 46 Criteria: Detector size, cm, Existing Specification: ≥ 25x25cm, Proposed Specification: REMOVE SPECIFICATION. Row Number : 47 Criteria: Detector size, cm, Existing Specification: ≥ 30x30cm, Proposed Specification: REMOVE SPECIFICATION. Remarks: We request that these bonus specifications be removed. This topic was raised in our 25 July 2024 clarification letter; however, the Ministry did not accept our recommendation. We respectfully request the Ministry to reconsider its position. This tender seeks to procure low power C-arm systems. There is no clinical benefit for a low power C-arm to have such large detectors. Low power C-arm systems are designed to conduct low-complexity procedures using a ~20 x 20 cm detector. Such systems are not designed to support larger detectors, such as the 25 x 25 cm or 30 x 30 cm detectors, which are the subject of bonus points for this tender. On the other hand, higher power C-arm systems, which are needed for longer procedure times, greater image detail, and larger anatomical areas, do include larger detectors. These systems, however, are powered by a higher capacity generator, usually around 15kW, to accommodate the larger detector, among other things. The low power system under procurement calls for a generator with a power output of only ≥ 2 kW, which is far too small to support the typical procedures conducted with large detectors. The removal of the 25x25 cm and 30x30 cm bonus point detector specifications is consistent with C-arm industry standards and best practices. Further, this modification will ensure the critical performance and functionality of the equipment under procurement, while permitting the broadest possible competition for this tender. | This question is similar to the previous question #91 and #92. Please refer to the respective response. | Procurement Regulations | Rated Criteria (Scoring Methodology) | |
| 88 | 2024-08-13 | Lot 1: C-Arm, Row Number : 70, Criteria: Image Matrix Size, Existing Specification: ≥ 1.5k x 1.5k, ≥ 10 bits Proposed Specification: REMOVE SPECIFICATION. Remarks: We request that this bonus specification be removed. This topic was raised in our 25 July 2024 clarification letter; however, the Ministry did not accept our recommendation. We respectfully request the Ministry to reconsider its position. This tender seeks to procure low power C-arm systems. Such systems are designed to conduct low complexity imaging procedures. Monitors with an image matrix size of 1K x 1K pixels are the industry standard for this equipment and such monitors are clinically sufficient for accurate diagnosis. Monitors with higher resolution are typically used in conjunction with other more complex imaging solutions, where there is a need for higher resolution images. Removing this specification will level the playing field and help ensure that only specifications that deliver clinical value to the end user be considered. | This question is similar to the previous question #60 and #95. Please refer to the respective response. | Procurement Regulations | Rated Criteria (Scoring Methodology) | |
| 89 | 2024-08-13 | Lot 1: C-Arm, Row Number : 75, Criteria: Image Image zoom, at least 4X, Existing Specification: Preferred; Zoom in any mode without additional dose, Proposed Specification: Image zoom, at 3X Zoom. Remarks: We request that this bonus specification, which was newly inserted into the tender through Addendum #2 dated 8 August 2024, be modified to 3x zoom. The need for Zoom is typically due to the close proximity of the patient to the X-ray source. However, this effectively leads to higher radiation dose for the patient. In keeping with the guiding principle for radiation safety ALARA (As Low As Reasonably Achievable), manufacturers of radiology equipment design their solutions to deliver the lowest possible X-ray dose while still maintaining a suitable image quality for accurate diagnosis. In the interest of patient safety and quality, other vendors prefer to offer up to 3x zoom. We would like to request that this tender should not award a bonus point to vendor(s) whose C- arm systems could potentially expose patients to unnecessary additional radiation. Modifying this specification upholds the desired performance and functionality of the equipment under procurement, while ensuring the broadest possible competition. | Many thanks for this feedback. As this specification is a rated criteria, bidders can choose to comply or not. As such, MoH has decided to retain the current specification. | Procurement Regulations | Rated Criteria (Scoring Methodology) | |
| 90 | 2024-08-13 | Lot 2: Digital Mobile X-ray, Row Number : 49, Criteria: Power rating, kW @ 100 kVp Existing Specification: at least 30kW Proposed Specification: at least 20kW. Remarks: We request that this mandatory specification be modified to permit the latest generation of efficient power consumption mobile digital X-rays with a 20 kW generator power output. Such systems are designed to deliver sufficient power to produce clinical images of the highest quality. Modifying the specification will broaden competition, while upholding the desired performance and functionality of the equipment. | This question is similar to the previous question #83. Please refer to the respective response. | Procurement Regulations | Rated Criteria (Scoring Methodology) | |
| 91 | 2024-08-13 | Lot 2: Digital Mobile X-ray, Row Number : 92 Criteria: Weight, kg, Existing Specification: < 450kg Proposed Specification: < 600kg. Remarks: We request that this mandatory specification be modified to allow digital mobile X-rays that weight < 600kg. The current requirement is restrictive and precludes Philips and other vendors from bidding on this tender. Increasing the permitted weight digital mobile X-rays will not impact the medical staff’s ability to move the equipment, as these devices are equipped with motorized wheels and brakes that facilitate transportation. Modifying the specification will permit broader competition, while upholding the desired performance and functionality of the equipment. | This question is similar to the previous question #53 and #85. Please refer to the respective response. | Procurement Regulations | Rated Criteria (Scoring Methodology) | |
| 92 | 2024-08-13 | Product category : Digital Mobile X-ray Row : 25, Requirement : Preview image time within 3 seconds Question: Is it possible to preview an image within 5 seconds? Considering that a difference of 3 to 5 seconds is not very significant and most current mobile DR systems are not capable of providing an image preview in less than 3 seconds. | Many thanks for this feedback. As this specification is a rated criteria, bidders can choose to comply or not. As such, MoH has decided to retain the current specification. | Procurement Regulations | Rated Criteria (Scoring Methodology) | |
| 93 | 2024-08-13 | Product category : Digital Mobile X-ray Row : 27, Requirement : Full image time within 3 seconds Question: Is it possible to display a full image within 10 seconds? Showing a full image in less than 3 seconds is still a challenge for most mobile DR systems on the market today. | Many thanks for this feedback. As this specification is a rated criteria, bidders can choose to comply or not. As such, MoH has decided to retain the current specification. | Procurement Regulations | Rated Criteria (Scoring Methodology) | |
| 94 | 2024-08-13 | Product category : Digital Mobile X-ray Row : 67, Requirement : Two different sizes of detectors required: (1) Up to 35x43 cm (+/- 1 cm), and (2) Up to 24x30 cm (+/- 1 cm) Question: Is it possible to change the detector size from 24x30 cm to 27x35 cm? The 27x35 cm size can be used for more examinations (the tray size on infant ventilators usually refers to the 27x35 cm size). Please consider this. | This question is similar to the previous question #114. Please refer to the respective response. | Procurement Regulations | Rated Criteria (Scoring Methodology) | |
| 95 | 2024-08-16 | XXXX would like to take part in the request for bids referenced above. Please find attached our written application to obtain the bidding document. | Many thanks for your interest in this Procurement of Radiography Equipment. The electronic version of the Bidding Document (including Technical Specification), can be downloaded from the following website: https://ihss. kemkes.go.id/ Any amendment to the Bidding Document (if needed) and responses to clarification to the Bidding Document are also published on the same website. | Supply Requirements | Procurement Regulations | Forms |
| 96 | 2024-08-16 | We request you to send us the tender documents which will enable us to study, prepare and submit our bid on time. We await to receive your positive response. | Many thanks for your interest in this Procurement of Radiography Equipment. The electronic version of the Bidding Document (including Technical Specification), can be downloaded from the following website: https://ihss. kemkes.go.id/ Any amendment to the Bidding Document (if needed) and responses to clarification to the Bidding Document are also published on the same website. | Supply Requirements | Procurement Regulations | Forms |
| 97 | 2024-08-16 | we have some question about technical part, would you mine to help us for the question bellow: 1. In the technical part table of the specification point no 34 about energy capacity mAs @80 kV, it is written that the request for 100,000 mAs. is the number 100,000 mAs or 100 mAs? 2. In the proposed consumable section, there is a statement Include description and pricing for all consumable items required for a typical procedure using a Digital Mobile X-Ray and offered by your company. Provide total consumable pricing for 100 typical procedures, whether the request is per year during the warranty period or granted in the first year?. | 1. Many thanks for this feedback. MoH has reviewed this input and removed the specification. 2. The upfront pricing is a fixed price for consumables for 100 typical procedures at any point in the first five years. The Purchaser retains the right to order batches of consumables for 100 typical procedures in any quantity and at any time in these first five years. Moreover, the bidder is also require to provide a separate quotation for these consumables for years 6-10. | Bidding Procedure | Evaluation Process | Technical Evaluation |
| 98 | 2024-08-23 | X-Ray , Row Number 52, Criteria: Horizontal, cm Existing Specification : ≥45cm Proposed specification: We request please change to ≥35cm; previous specs might be referring to specific vendor/brand |
Many thanks for this feedback. MoH has considered this input and will update the specification and reflect such changes in a forthcoming amendment to the Bidding Document. | Supply Requirements | Evaluation Process | Technical Evaluation |
| 99 | 2024-08-23 | X-Ray , Row Number 81, Criteria: d) Sterile Covers Existing Specification : Bidder required to supply Proposed specification: Industrial standard/common for Mobile Xray system is without sterile covers as the units is not used in the operating theater / sterile environment. Please consider taking out from the specification requirement |
Many thanks for this feedback. MoH has considered this input and will retain the original specification, as this provision of sterile covers is not restrictive. | Bidding Procedure | Evaluation Process | Technical Evaluation |
| 100 | 2024-08-23 | X-Ray , Row Number 89, Criteria: Dimension, H x W x D, cm Existing Specification : No bigger than 185 x 67 x 135cm Proposed specification: We recommend an update to the specs of "no bigger than 195 x 67 x 135cm." The height requirement for standard doors in Indonesia is 200cm, with the maximum height of 195cm, the system will still be able to maneuver freely within Indonesian hospitals and there is no clinical significance/impact for patients. |
Many thanks for this feedback. MoH has considered this input and will retain the original specification, as these dimensions are not restrictive. | Supply Requirements | Evaluation Process | Technical Evaluation |
| 101 | 2024-08-23 | Regarding mobile C-Arm and referring to the responses dated 23 July 2024, technical specifications line #11, we have noticed the change of existing specification of "1 to 125mA" to "1 to 50mAs". However, due to the request for a low power mobile C-arm with a power rating of less than 5kW (according to technical specifications line #21), the maximum mAs output is unlikely to technically fulfil the requirement of mAs range of "1 to 50mAs". We recommend to change the requirement to mA range between "1 to 24mA" to match industrial and clinical standards. | Many thanks for this feedback. Upon consideration, MoH will drop these specific criteria while retaining the mandatory Snapshot Mode specification. These changes will be reflected in a forthcoming amendment to the Bidding Document. | Bidding Procedure | Evaluation Process | Technical Evaluation |
| 102 | 2024-08-23 | X-Ray , Row Number 24, Criteria: Time to display image Existing Specification : The device shall display the image for preview in a time not longer than 2 seconds Proposed specification: As the industry norm/common display time is not longer than 3 seconds, we recommend this to be updated to 3 seconds. In addition, there is no clinical/technical impact with this request. |
Many thanks for this feedback. MoH has reviewed this input and the specification has been updated to increase the mandatory specification for time to display an image and this will be reflected in a forthcoming amendment to the Bidding Document. | Supply Requirements | Evaluation Process | Technical Evaluation |
| 103 | 2024-08-23 | 2. If we, XXXX, has sold almost the same equipment, can that be considered our experience in making sales?. | Thank you for your question. Yes, prospective bidders can fulfill the minimum specific experience requirements, as specified in the relevant bidding document, by demonstrating that they have supplied and installed equipment that have the same or similar functions/use, have a similar level of complexity, meet a similar set of standards/specifications, and involve similar installation processes and requirements as the equipment being procured, and in the volumes specified in the releavant bidding document. | Supply Requirements | Evaluation Process | Specific Experience |
| 104 | 2024-08-23 | X-Ray , Row Number 58, Criteria: Motorized Existing Specification : The device shall be motorized, with brakes X-Ray , Row Number 60, Criteria: Speed, mph Existing Specification : 0-3, mph X-Ray , Row Number 61, Criteria: Maximum inclination Existing Specification : 7 degrees Proposed specification: We recommend motorized device to be made optional (max system weight is 280kg). There are market options/products which are small in footprint, light- weight and easy to maneuver for users with the same good levels of clinical/technical benefits, hence the requirement of motorized device should not be made mandatory. With a non- motorized product, the product's system durability and lifespan can be longer since there is no risk of defect on the motorization parts/mechanics and will be more economical for MOH, taking into consideration TCO being critical. |
Many thanks for this feedback. MoH has considered this input and will retain the original specification, as motorization is very important on devices of this weight. | Supply Requirements | Evaluation Process | Technical Evaluation |
| 105 | 2024-08-23 | X-Ray , Row Number 68, Criteria: Tools for post-processing of images acquired Existing Specification : The software shall offer, tube and line visualization, bone suppresion Proposed specification: We recommend bone suppression capabilities as optional, as bone suppression is considered as an advanced feature in the industry for mobile systems, not a general specification for general use |
Many thanks for this feedback. MoH has considered this input and will update the bone suppression specification to become a rated criterion. This will be included in a forthcoming amendment to the specifications. | Bidding Procedure | Evaluation Process | Technical Evaluation |
| 106 | 2024-08-23 | We are XXXX, in connection with Procurement of Radiography Equipment ID-PMU SIHREN-395632-GO-RFB we have some question about technical part, would you mine to help us for the question bellow : 1. In the technical section table specifications in point 94, regarding the Power Plug type The Requirement is written “Hospital grade Type F power plug in compliance with Indonesia requirement” is it possible for the Requirement for Type Plug in to be expanded as long as it still meets the Hospital Grade compliance with Indonesia requirements so that it does not lead to specifications on one product. |
Many thanks for this feedback. Upon review, MoH has determined that this specification is not restrictive, and has therefore retained this specification. | Supply Requirements | Evaluation Process | Technical Evaluation |
| 107 | 2024-08-23 | Related to the Specific Procurement Notice (SPN) that was released: RFB number: ID-PMU SIHREN-395632-GO-RFB Contract title: Procurement of Radiography Equipment (Lot 1: Procurement of C-arm (7 units)) We kindly request clarification for the following question, related to technical specifications excel sheet “R7_C-Arm - Technical Part.xlsx”: Line #68 “Reverse Position” that is listed as “Required”, can the Procurement Committee please clarify what does "Reverse Position" mean? Is it referring to the horizontal movement of the C-arm? |
Thank you for your question. Yes, the reverse position refers to the horizontal movement of the C-Arm. Yet, given the mandatory specification for pivot rotation, this specification will be removed. | Supply Requirements | Evaluation Process | Technical Evaluation |
| 108 | 2024-08-23 | Regarding mobile C-arms and according to the documented feedback given at the pre-bid meeting on 17 July 2024, technical specifications line #54, we (also) recommend that it is in the interest of MOH and the hospitals to have access to a wider range of models when the resolution per screen is at 1k. Industrial and clinical standards are not compromised for patients procedures, and certainly brings more value for the investment/TCO. For any resolution that is more than 1k per screen, to be fair, we recommend MOH to consider that as an orange requirement for additional technical scoring. | Many thanks for this feedback. MoH has considered this input and will update the mandatory specification for display monitor to at least 1K, as well as add an additional rated specification for at least 2K. This will be included in a forthcoming amendment to the specifications. | Bidding Procedure | Evaluation Process | Rated Criteria (Scoring Methodology) |
| 109 | 2024-08-23 | X-Ray , Row Number 50, Criteria: Source-to-Image-Distance Range, cm Existing Specification : Device shall have a range from 50 to 200cm Proposed specification:As the industrial standard/common SID range = 55 to 190cm; we recommend to change to range from 52 to 192 cm; previous specs might be referring to a specific vendor/brand only |
Many thanks for this feedback. MoH has considered this input and will update the specification and reflect such changes in a forthcoming amendment to the Bidding Document. Note for prospective Bidders: This question similar question #52 |
Supply Requirements | Evaluation Process | Technical Evaluation |
| 110 | 2024-08-24 | We, XXXX would like to give feedback regarding the Technical Specification for Mobile C-arm that issued by July 2nd, 2024, as follows : C-Arm , Row Number 37 Criteria: mAs Minimum Range Existing Specification : 1 to 50mAs Proposed specification : 1 to 25 mAs or above Remarks : As the tender specification asked is for a generator capacity starting from 2KW, most of the Generators in this range would be able to offer the mAs range usually up to 25mAs, which is sufficient for the surgical applications including UroNephrology applications. Because the tender specifications is for a Digital Flat Panel based C-arm, 25mAs will be able to provide excellent image quality in comparison to image intensifier based analogue C-arms. Also, as per the Global Best Practice Guidelines by various recognized radiology bodies (like American Society of Radiologic Technologists (ASRT) etc.,) suggest to use lesser mAs and more KV in the Digital Flat Panel based Imaging Systems so as to ensure lesser dose and lesser radiation effect to the subject and users |
This question is similar to the previous question #43. Please refer to the respective response. | Bidding Procedure | Evaluation Process | Technical Evaluation |
| 111 | 2024-08-25 | C-Arm , Row Number 39 Criteria : Exposure Time, sec Existing Specification : 0.001sec to 10sec, bidder to specify Proposed specification : Within the range of 1 to 125mA 0.001 sec to 10sec, Remarks : We request that this specification be modified to permit C-arm systems in which the X-ray generator exposure time falls within the range of 0.001 to 10 seconds. There are no low power C-arm systems that can fulfill the tender’s exposure range requirement of 0.001 to 10 seconds. Modifying this specification to include the language “within the range of” upholds the desired performance and functionality of the equipment, while permitting broad competition. |
Many thanks for this feedback. Upon consideration, MoH will drop these specific criteria while retaining the mandatory Snapshot Mode specification. These changes will be reflected in a forthcoming amendment to the Bidding Document. | Supply Requirements | Evaluation Process | Technical Evaluation |
| 112 | 2024-08-25 | C-Arm , Row Number 54 Criteria : Display Monitor Existing Specification : Dual-monitor, high resolution, at least 2K Proposed specification : Dual-monitor, high resolution, at least 1K Remarks : We request that this specification be modified to allow C-arm systems with high resolution, dual display monitors of at least 1K pixels. The current specification locks out our company, which manufactures among the highest performing and safest C-arm solutions globally. There is only one manufacturer who can fulfill the tender’s current requirement with its low power C-arm system. Further, consistent with the tender’s specification on image size (row 75; image matrix size of at least 1K x 1K), the clinical images that are transferred to the monitors will have a resolution of 1K pixels. Given this, display monitors of at least 1K pixels is sufficient. Monitors of higher resolution are not needed and do not have any additional clinical value. Modifying this specification upholds the desired performance and functionality of the equipment, while ensuring broad competition. |
This question is similar to the previous question #42. Please refer to the respective response | Contract | Evaluation Process | Technical Evaluation |
| 113 | 2024-08-25 | C-Arm , Row Number 136 Criteria : MRI compatible medical gas panel and waveguides within RF Cabin Existing Specification : Bidder to provide installation Proposed specification : REMOVE SPECIFICATION Remarks : We request that this specification be removed from the tender. The inclusion of this specification appears to be an error. RF cabins are not required with C-arm systems. Rather, they form part of the MRI. Removing this specification upholds the desired performance and functionality of the equipment, while permitting broad competition. |
Many thanks for this feedback. MoH has considered this input and will remove the specification. This will be reflected in a forthcoming amendment to the Bidding Document. | Supply Requirements | Evaluation Process | Technical Evaluation |
| 114 | 2024-08-25 | X-Ray , Row Number 90, Criteria: Weight, kg Existing Requirements : < 450kg Inputs : Equipment weight <450 kg = locking / restrictive spec. This specification point refers to certain brand. Equipment weight is influenced by many factors, including the capacity of the battery and radiation capability. The higher capacity of the battery & radiation capability, the higher the equipment weight will be. This should be changed into <600 kg so that many brands / equipment could qualify for the bid, and not be a locking / restrictive spec. |
Many thanks for this feedback. Upon further reivew, MoH has determined that this specification is not restrictive, and has therefore decided to retain the original specification. | Bidding Procedure | Evaluation Process | Technical Evaluation |
| 115 | 2024-08-25 | X-Ray , Row Number 41, Criteria: Cooling, HU/min Existing Requirements : ≥15,000 HU/min Inputs : Only limited number of manufacturers could fulfill this requirement (locking / restrictive spec). Advise to change the requirement to Cooling, HU/min.: > 10,000 HU/min to align with standards of most equipment in the market. |
Many thanks for this feedback. MoH has considered this input and will update the specification and reflect such changes in a forthcoming amendment to the Bidding Document. | Bidding Procedure | Evaluation Process | Technical Evaluation |
| 116 | 2024-08-25 | C-Arm , Row Number 76 Criteria : Image Matrix Size Existing Specification : ≥ 1.5k x 1.5k, ≥10 bits Proposed specification : REMOVE SPECIFICATION Remarks : This request that this bonus specification be removed. Only one manufacturer can comply with this requirement with its low power C-arm system. The industry standard for image matrix size is 1K x 1K, which is sufficient details for accurate clinical diagnosis. Higher resolution is not required for C-arm procedures. Further, this specification, if left unchanged, would afford 2 bonus points to the sole company that can fulfill it, and thus impact the competitive dynamic of this tender. Modifying this specification would level the playing field, while shifting focus away from requirements that do not deliver additional clinical value to the end user. |
Many thanks for this feedback. As this speciication is a rated criteria, bidders can choose to comply or not. As such, MoH has decided to retain the current specification. | Supply Requirements | Procurement Regulations | Rated Criteria (Scoring Methodology) |
| 117 | 2024-08-25 | X-Ray , Row Number 50, Criteria: Source-to-Image-Distance Range, cm Existing Requirements : Device shall have a range from 50 to 200cm Inputs : Taking 50 cm as the lowest range of Source-to-Image- Distance (SID) is not reasonably appropriate. Theoretically, minimum SID for the upper & lower extremity, and cranium is 90 cm. SID for thorax is approximately around 150 - 170 cm. Often on practice, taking image / exposure at 50 cm SID would most likely result on image distortion (macroimaging). To add, majority of the equipment in the market does not use 50 cm as the lowest SID range. Thus, our recommendation is to change the SID range from 70 to 200 cm ; align with the practice and the standard on most equipments (not locking / restrictive spec). |
Many thanks for this feedback. MoH has considered this input and will update the specification and reflect such changes in a forthcoming amendment to the Bidding Document. | Bidding Procedure | Evaluation Process | Technical Evaluation |
| 118 | 2024-08-25 | C-Arm , Row Number 67 Criteria : Pivot Rotation, deg Existing Specification : ≥ +/- 2250 Proposed specification : REMOVE SPECIFICATION Remarks : We request that this bonus specification be removed. There is no clinical benefit to having a pivot rotation of ≥ +/- 225 degrees. All C- arm applications can be successfully performed with systems that have a pivot rotation of +/- 180 – 200 degrees, which is standard in the industry. Further, this specification impacts the competitive dynamic of this tender, as only 2 companies can meet this requirement with their low power C-arm systems. Removing this specification will level the playing field for greater competition and shift the focus away from specifications that have no clinical impact on the performance of the equipment. |
Many thanks for this feedback. As this speciication is a rated criteria, bidders can choose to comply or not. As such, MoH has decided to retain the current specification. | Supply Requirements | Procurement Regulations | Rated Criteria (Scoring Methodology) |
| 119 | 2024-08-25 | Hereby, we would like to give inputs regarding some points on technical specification which we find restrictive (based on R7_Digital Mobile X-Ray - Technical Part.xls). as follows; X-Ray , Row Number 36, Criteria: Number of images per battery charge Existing Requirements : Device shall be capable of performing at least 200 exposures per battery charge Inputs: 200 exposures per battery charge = locking / restrictive spec. Only refers to certain brand. Recommend to change into at least 100 images, so then most of the equipment & manufacturers in the market could fulfill this requirement. |
Many thanks for this feedback. MoH has considered this input and will update the specification and reflect such changes in a forthcoming amendment to the Bidding Document. | Bidding Procedure | Evaluation Process | Technical Evaluation |
| 120 | 2024-08-25 | C-Arm , Row Number 37 Criteria : mAs Minimum Range Existing Specification : 1 to 125mA Proposed specification : Within the range of 1 to 125mA Remarks : We request that this mandatory specification be modified to allow C-arm systems with an X-ray generator current that falls within the range of 1 to 125mA. There are no low power C-arm systems (<5kW) on the market in which the X-ray generator current meets the tender’s requirement of 1 to 125 mA. Our industry-leading low power C-arm system, for example, utilizes an X-ray generator with a current range of 1.8 to 19.1mA for single shot exposure. Without modifying the tender’s X-ray generator current requirement to include the language “within the range of”, we will be locked out from participating in this important tender. Modifying the specification upholds the desired performance and functionality of the equipment, while permitting broad competition. |
Many thanks for this feedback. Upon consideration, MoH will drop these specific criteria while retaining the mandatory Snapshot Mode specification. These changes will be reflected in a forthcoming amendment to the Bidding Document. | Bidding Procedure | Evaluation Process | Technical Evaluation |
| 121 | 2024-08-25 | In the bidding document, it states that “Manufacturer’s authorization: A Bidder who does not manufacture an item/s where a manufacturer authorization is required in accordance with BDS ITB 17.2 (a), the Bidder shall provide evidence of being duly authorized by a manufacturer (Manufacturer’s Authorization Form, Section IV, Bidding Forms)” Then, we would like to ask your confirmation If a bidder is a Joint Venture consisting of Distributor, Affiliate, and Manufacturer: a. What does “Bidder” mean in this? Is it the lead bidder or all members in the JV? b. If the lead bidder is the distributor, then does the manufacturer's authorization is still required? While the manufacturer/ principle is part of the JV |
a. In the event of a JV, the "bidder" refers to all JV members. As stated in the respective bidding document, all JV members shall be jointly and severally liable, and the JV shall nominate a representative who shall have the authority to conduct all business for and on behalf of any and all the members of the JV during the bidding process and, in the event the JV is awarded the contract, during contract execution. b. In the event that the bidder is a JV and submits a bid for equipment which is manufactured by any of the JV members, no Manufacturer's Authorization is required. However, if the proposed equipment is not manufactured by any of JV members, a Manufacturer's Authorization is required. |
Bidding Procedure | Procurement Regulations | Eligible Bidders (including joint venture) |
| 122 | 2024-08-25 | C-Arm , Row Number 53 Criteria : Detector size, cm Existing Specification : ≥30x30cm Proposed specification : REMOVE SPECIFICATION Remarks : We request that this bonus specification be removed from the tender. Only one manufacturer can meet this requirement with its low power C-arm system. No other vendor offers a low power C-arm with a 30 x 30 cm detector. There is no clinical advantage to having a larger detector, as all C-arm applications can be performed successfully using the standard 20 x 20 cm detector size. However, this requirement, if left unchanged, will award 3 bonus points to the only company can fulfill this requirement. This would significantly impact the competitive dynamic of this tender, by affording that sole company a substantial advantage vis-a-vis the other bidders in this tender. Removing this specification will level the playing field, and shift focus away from those specifications that do not have a clinical impact on the performance of the equipment. |
Many thanks for this feedback. As this speciication is a rated criteria, bidders can choose to comply or not. As such, MoH has decided to retain the current specification. | Bidding Procedure | Procurement Regulations | Rated Criteria (Scoring Methodology) |
| 123 | 2024-08-25 | C-Arm , Row Number 52 Criteria : Detector size, cm Existing Specification : ≥25x25cm Proposed specification : REMOVE SPECIFICATION Remarks : We request that this bonus specification be removed from the tender. All clinical C-arm applications can be successfully performed using a detector that measures 20 x 20 cm, which is the mandatory detector size specification for this tender. A larger detector in a low power C-arm system is not needs as it provides no additional clinical benefits. This bonus specification, however, if left unchanged, will have a large impact on the competitive dynamic of this tender. There are only 2 companies that can meet this requirement with their low power C- arm systems. While this specification does not deliver additional benefit to the end user, it will afford those 2 companies an unfair advantage in this tender. Removing this specification will level the playing field, and shift focus away from those specifications that do not have a clinical impact on the performance of the equipment. |
Many thanks for this feedback. As this speciication is a rated criteria, bidders can choose to comply or not. As such, MoH has decided to retain the current specification. | Supply Requirements | Procurement Regulations | Rated Criteria (Scoring Methodology) |
| 124 | 2024-08-25 | C-Arm , Row Number 98 Criteria : Weight Limit, kg Existing Specification : Bidder to specify Proposed specification : Please clarify Remarks : We request that the Ministry of Health clarify if this specification refers to the weight of the C-arm system itself, or the system’s weight capacity (i.e the weight of the patient on the table) |
Many thanks for this feedback. Upon review, MoH will remove this specification. Such changes will be reflected in a forthcoming amendment to the Bidding Document. | Supply Requirements | Evaluation Process | Technical Evaluation |
| 125 | 2024-08-25 | For the manufacturing experience and technical capacity, it is stated that we need to provide documentary evidence to demonstrate that: a. It has manufactured goods of similar nature and complexity for at least four (4) years, prior to the bid submission deadline; and b. Its annual production capacity of goods of similar nature and complexity for each of the last four (4) years prior to the bid submission deadline, is at least 30% the quantities specified under each lot. We would like to ask your confirmation for this requirement. Does it mean the production capacity can be calculated for the SIMILAR products (different brand, similar specification) the same as with the specific experience capacity or should be specific for the particular products that we bid? |
This question is similar to the previous question #33. Please refer to the respective response | Supply Requirements | Evaluation Process | Qualification Requirements |
| 126 | 2024-08-25 | Specific Experience Capacity: Because of the confidentiality issues, we would like to ask your confirmation for our proposals in order to fulfill the specific experience requirement which are: a. Proposal 1: Provide the ordering notes document with censored purchaser name and address. b. Proposal 2: Provide a memo describing the quantity of deliveries to our customers and provide the delivery information within a year in the tracking format (inc. the amount of instruments sold within which year, and customer name information (A, B located in country X); Delivery notes (DO) only will be provided upon request by the MoH, and only to specific requests (will not be enclosed as supporting documents during submission). For these two proposals, we still need to anonymize the data (purchaser’s name, address, and other confidential customer’s data). We only can provide the contact details if the customer grants authorization to do so. We kindly seek your confirmation regarding the acceptability of these two proposals. |
Thank you for raising this question. As stated in the bidding document, prospective bidders are required to furnish detailed information regarding contracts completed, including: the purchaser’s name and address, country, name and object of the contract, scope of services, date of contract completion, equipment supplied, contract amount, contract role (prime supplier, subcontractor, partner in Joint Venture) and percent of the contract value undertaken by subcontract. As a proof of the compliance, the bidder shall provide copies of relevant pages of signed contracts and corresponding completion certificates. If any such contract includes a confidentiality/non-disclosure clause and the bidder does not agree to provide a copy (to be confirmed by a formal letter), such bidder must provide other documents acceptable for MoH (such as copy of purchase order/delivery order). |
Bidding Procedure | Evaluation Process | Specific Experience |
| 127 | 2024-08-26 | Kindly need your clarification for below questions. Thank you for your cooperation. Clarification for C-arm : 1. Line 88 - Uronephrology accessories – could you please elaborate more what are the expectation with some examples. That will be helpful to make sure Bidder offers the right accessories according to the needs. |
Many thanks for this feedback. MoH has considered this input and will remove uronephrology accessories from the list of mandatory accessories. This will be reflected in a forthcoming amendment to the Bidding Document. | Supply Requirements | Evaluation Process | Technical Evaluation |
| 128 | We, XXXX would like to give feedback regarding the Technical Specification for Digital Mobile X-ray that issued by July 2nd, 2024, as follows : Mobile X-Ray , Row Number 68, Criteria : Tools for post-processing of images acquired Existing Specification : The software shall offer, tube and line visualization, bone suppression Proposed specification : The software shall offer, tube and line visualization, bone suppression or similar software to improve the detection of lung nodules and pneumothorax. Remarks : The objective of 'Bone Suppression' software is to clear up the Chest X-ray Images so as to improve the detection of lung nodules and pneumothorax. Different manufacturers have different post-processing tools and technologies to meet this objective of clear up the Chest X-ray Images, improve the detection of lung nodules and pneumothorax. If your tender specification mentions only about 'Bone Supression', this will tilt the specifications in favour of few vendors. However, if you modify the specification as "The software shall offer, tube and line visualization, bone suppression or similar software to improve the detection of lung nodules and pneumothorax.", it will be a unbiased and neutral specification which serves your purpose both in terms of obtaining the best possible technologies and Clinical Outcomes without any compromise while allowing all reputed manufacturers an equal unbiased opportunity. |
This question is similar to the previous question #39. Please refer to the respective response | Bidding Procedure | Evaluation Process | Technical Evaluation | |
| 129 | C-Arm , Row Number 54 Criteria : Display Monitor Existing Specification : Dual-Monitor, High Resolution, at least 2K Proposed specification : Dual-Monitor, High Resolution, at least 1K Remarks : While it is completely understandable that the Surgeons or users of the C-arm would like to see the best possible resolution on the display monitor, we would like to draw your kind attention to the fact that the Image Quality and sharpness depends on various factors, mainly based on the RAW DATA of the acquisition system in a Digital Flat Panel based C-arm. For example, if the Raw Data is of 1K x 1K Matrix, and the Display Monitor is of 2K or 4K resolution, the Image Quality still remains as a 1K Matrix on the Display Monitor. And, some manufacturers offer 2K or 4K Display resolution by BINNING the Raw Data to match to 2K or 4K Display resolution which is not the real resolution or not the real Image Quality. And, if you examine the Raw Data acquisition engine of most of the reputed manufacturers in the Digital Flat Panel Based C-arm systems in the market, their core engine offers a 1K raw data acquisition only. In view of these technical nuances, we humbly request you to please modify the Display Monitor Specification as "Dual-Monitor, High Resolution, at least 1K" to ensure that some of the authentic and ethical manufacturers are not left behind and will have the equal opportunity in your prestigious project. |
This question is similar to the previous question #42. Please refer to the respective response | Bidding Procedure | Evaluation Process | Technical Evaluation |
Contract Award Notice
Contact Us
Procurement Bureau
Ministry of Health of The Republic of Indonesia
Prof. Dr. Sujudi Building, 14th Floor.
Jl. H.R. Rasuna Said Blok X-5 Kav. 4-9
Jakarta 12950, Indonesia
Ministry of Health of The Republic of Indonesia
Prof. Dr. Sujudi Building, 14th Floor.
Jl. H.R. Rasuna Said Blok X-5 Kav. 4-9
Jakarta 12950, Indonesia
+62 82240166289 (Weekdays, office hours)
