Q16838_04 Faruk Medical Centre Specialist Theatres (1)

Faruk Medical Centre – Sulaymaniyah

Page 1 of 45

SPECIFICATION

For Proposed

TURNKEY INSTALLATIONS TO SPECIALIST

THEATRES

FARUK MEDICAL CENTRE

SULAYMANIYAH

Technical Specification

Howorth Ref #: Q16838.04 10 November 2009


Page 2 of 45

CONTENTS

1 SCOPE OF WORKS

2 BUILDING WORKS

3 MECHANICAL SERVICES INSTALLATION

4 ELECTRICAL SERVICES INSTALLATIONS

5 SPECIALIST EQUIPMENT

6 COMMISSIONING

7 OPTIONAL EQUIPMENT

8 QUOTATION SUMMARY

9 TENDER CLARIFICATIONS




Page 3 of 45

SECTION 1.0

SCOPE OF WORKS




Page 4 of 45

The works generally comprise a Turnkey Fit-out package of the specialist theatre areas as listed in

Appendix A.

The following is an outline summary of the proposed installations;

Building Works

• Construct Metal Framed (M/F) Plaster Stud partition walls

to form the rooms/departments as listed in Appendix A

• Install M/F plasterboard ceilings throughout the rooms

detailed.

• Form all necessary apertures in the walls and ceilings for

Pressure Stabilisers, ventilation grilles/diffusers and

luminaries etc. as necessary

• In Theatres, Trespa Virtuon wall lining shall be applied to all

walls

• Install Vinyl flooring throughout the rooms detailed

together with self levelling compound to pre-finished floors

• Install laminated faced solid core door sets with matched

solid core frames

• Provide automatic sliding doors to the Theatre Entrance

• Decorate all walls and ceilings with anti-microbial paint

finishes to rooms detailed. Non clinical rooms shall have

eggshell finish or similar.

• Provide secondary steel support framing for soffit mounted

specialist equipment (Ultra Clean Ventilation canopies,

Medical Gas Pendants etc)

• Provide wall and corner protection systems to areas where

trolley damage may occur.

Mechanical Services

Installations

Mechanical Services

• Extend Supply & Extract Ventilation systems to serve each

rooms as listed, from connections left at the periphery of

the area, designed and constructed in accordance with

HTM03-01 recommendations including all necessary

thermal insulation, complete with volume control and fire

dampers where necessary (subject to review on receipt of

fire strategy).

• Provision of Supply Diffusers, Extract Grilles and Pressure

Stabilisers to suit the required layouts

• Connection of specialist equipment to the Building

Management Systems ( BMS system provided by others)

• Extension of the Medical Gas AVSU’s (supplied by Others) to

all necessary terminal outlets

• Domestic hot and cold water systems extended from valved

connections at the perimeter of our works.

• Pre Plumbed modular Sanitaryware system for Washbasins,




Page 5 of 45

Installations cont’d Scrub Sinks, Disposal Sinks etc to Clinical Areas.

• Surface mounted sanitary fittings in non clinical areas

• Provision of foul waste and drainage services within the

rooms, connected to drain stacks provided by the main

contractor

• Thermal Insulation to all installed pipework distributions

Electrical Services

Installations

• Small power installation

• Lighting installation – clean room quality luminaries for

Clinical Areas, Recessed Downlighter’s in non clinical areas

• Provide wiring from distribution boards (by Electrical

Contractor) to all lighting circuits

• Provision of Nurse Call System

• Installation of digital intercom system

• Fire Alarm wiring from all points connected back to

addressable alarm system by others

• Cable containment installations for all above services

• Provide containment for cabling by BMS specialist

• Provide “Room In Use” lights for necessary rooms

Specialist Equipment

• Exflow 32 UCV Canopies to 4No Specialist Theatres

• Two Multi-movement Medical Gas Pendants per theatre

room

• Howorth Bed Head Units incorporating medical gas outlets,

electrical sockets and low level extract grilles to the

Recovery

• Maquet PowerLED Operating Lights and Battery Back-up

Unit (BBU )to each Speciality Theatre

• High performance examination lights to all Recovery bed

spaces

• Membrane Surgeons Panel in each theatre room Triple

Screen X-Ray viewers to Theatres,

• Laser In Use system interlocks to two Specialist Theatres

Commissioning

• Carry out a full builders clean prior to final Handover to

Client

• Test and commission all electrical Installations (by Howorth)

from Distribution Boards

• Pressure test all medical gas pipework installed from AVSUs

• Pressure test all Domestic Water services installed from

valves (by others)

• Proportionally balance ventilation systems from the Air

handling Units to each installed area.




Page 6 of 45

SECTION 2.0

BUILDING WORKS




Page 7 of 45

2.0 BUILDING WORKS

All walls shall be constructed using dual skin MF (Metal Framed) plasterboard wall construction. All

walls shall be complete with a plywood first board finished with 12.5mm plasterboard.

All surfaces shall be plaster skimmed ready for a painted finish.

The walls in all Theatres, shall have Trespa Virtuon modular walling system fitted using the TS2000

suspension systems.

The system comprises support rails fitted continuously to the substrate walls. The Trespa panels are

then clipped onto the rails with integral carrying clips.

The Trespa Virtuon panels are a high pressure laminate capable of withstanding repeated bacterial

attack.

Floor finishes will be Tarkett Granit (or similar) sheet vinyl with homogenously welded joints to the

sheets.

The flooring shall be coved to approximately 100mm up the wall at the edge of each wall. The

flooring shall be finished behind the door frames in line with the manufacturers recommendations.

In wet areas such as Scrub up Rooms or Clean/Dirty Utility an anti slip flooring from the same

manufacturer.

Generally all floor finishes shall be 2mm thick and shall be laid over a self levelling latex screed of no

more than 3mm thickness.

We have assumed that the floors to all areas will be of a power floated or similar finish and shall be

level with in accepted United Kingdom tolerances.

All ceilings shall be MF plasterboard and plaster skimmed. Galvanised metal framing shall be installed

from the soffit to the ceiling level to provide a level solid structure.

All apertures for light fittings, grilles and diffusers shall be formed as required. Prior to second fixing

of the mechanical and electrical equipment the ceiling shall plaster skimmed to provide an

impervious surface.

All walls and ceilings not lined with Trespa Virtuon panelling shall be decorated with anti bacterial

paint in the areas covered under the scope of this package.

This comprises a primer coat followed by the application of three further paint coats to achieve the

finish recommended by the manufacturer.




Page 8 of 45

Sanitaryware shall generally be manufactured by Armitage Shanks from the Venesta IPS range. All

sanitaryware, wash hand basins, scrub troughs, slop hoppers, cleaners sinks etc will be fully

compliant with HTM64.

Venesta comprises a pre-built metal frame fitted to apertures in the structure. A further mounting

assembly is installed which connects to the water, waste and electrical services (as required).

The sanitary fittings are mounted on a decorative high pressure laminate panel. The panel can be

easily removed for maintenance access to the services but provides a strong easily cleaned fascia to

the room side.

In toilet/shower areas the sanitary fittings shall be surface mounted onto the wall.

Door shall be supplied as matched sets comprising solid core laminate faced door with laminate post

formed two piece door frames. All ironmongery shall be stainless steel for ease of cleaning.

All doors excluding Janitorial closets and Toilet/Changing Facilities shall have clear glass vision panels.

Where Vision Panels are installed in Theatre Doors these shall have Vistamatic type glass blinds for

patient privacy.

Two of the Specialist Theatres shall also be equipped with Laser Protection screens for use during

procedures involving Laser equipment.

All doors shall provide 30 minute fire rating as standard. Those doors deemed to be Fire doors i.e.

Departmental Corridor doors will be 60 Minute rated and shall have intumescent and smoke seals .

These will be subject to review on receipt of the Fire Strategy drawings. We have made assumptions

based upon previous knowledge of these areas.

Doors to the following Theatres shall be automatically operated sliding doors;

4 x Operating Theatre – Specialist

These shall be mounted externally in the corridor and shall provide adequate air seals to maintain

the required pressure regime. Operation shall be by infra red proximity sensor with the sensitivity

reduced to 1.5cm to remove nuisance operation.

The doors shall be wired via the essential electrical supply to maintain automatic operation in the

event of a power outage. However manual operation can be used in emergency situations.

Each door set shall comprise the following items of stainless steel door furniture;

o Kick Plates to both faces

o D Ring Pull Handle

o Push Plate

o Matched heavy duty hinge sets

o Matched door closer with easy clean operating gear.

Reception Desks/Nurse Stations etc will be supplied under the FF&E contract provided by others




Page 9 of 45

Where indicated on the drawings for the Sterility & IVF Suite all benching shall be High pressure

laminate (Trespa Top Lab or similar). The HPL shall be 20mm thick and shall be supported on powder

coated 25mm box section cantilever frames installed to remove deflection from the work surface.

The Trespa surface is non porous and therefore is not penetrable by bacteria or mould growths. Its

anti-bacterial properties are incorporated into the product at manufacture and these properties will

remain active throughout its lifetime.

Independent tests by the British company Independent Microbiological Services Limited show a

reduction in bacteria of 99.99% after 24 hours.

Ceiling mounted equipment such as medical Gas Pendants, Surgical Lights, Ultra Clean Ventilation

canopies etc shall be supported from the concrete soffit by secondary Steel support frames. These

shall be designed, manufactured and installed as part of this works package.

Design approval for fixing to the structure shall be provided by the clients own Structural Engineer.

All corridors where the use of trolleys and waste transfer bins are to be used shall have wall and

corner protection installed. This shall comprise PVC wall rails in a complimentary coloured finish.

The rails incorporate a continuous steel rail clad with the moulded and textured PVC cover. Brackets

will be installed at regular intervals to absorb and spread any collision impact along the rail, therefore

protecting the wall structure.

Crash Rail to be installed with all walls shall be Acrovyn SCR200 HD Classic. 204mm deep with a flat

fascia styling (or similar). All corners will be purpose manufactured to provide continuous protection.

At corners vertical protection shall be provided by Acrovyn SM20 HD shock absorbing corner guards

(or similar).

All PVC fascias are available in different colours from the Acrovyn standard colour chart.

Please refer to the C/S Acrovyn Brochure in Appendix B




Page 10 of 45

SECTION 3.0

MECHANICAL SERVICES




Page 11 of 45

3.0 MECHANICAL SERVICES

As agreed previously the main air conditioning plants, BMS control systems and distribution ducting

shall be installed to the periphery of the various Howorth work package areas by the sites main

Mechanical Services Contractor.

Howorth shall design and install all supply and extract ducting to each of the rooms/departments as

listed in Appendix A.

Howorth shall provide to the Main Mechanical Contractor the supply and extract air duties for each

area to be provided by the air conditioning plants.

From the connections left at the periphery of the works areas, Howorth shall manufacture and install

all supply and extract ducting.

The ductwork distributions shall be designed in accordance with HTM 03-01, HVCA DW144 and the

requirements of HVCA TR19 for duct cleaning.

All ventilation ducting shall be thermally insulated to meet the requirements of NHS Estates

Engineering Standard CO4. This generally shall comprise phenolic foam sections/slabs complete with

foil faced vapour membrane.

All ducts shall have phenolic foam inserts on the hangers to maintain the insulation integrity

throughout the installation.

The ventilation system shall be controlled by a Building Management System to be provided and

installed by others. Howorth will extend any cabling as required to the various sensors, indicators etc

as required with the scope of the controls work within the Howorth Works Package.

Building Management System (BMS) connections shall be required to the following items;

o Exflow UCV Canopies

o Exflow UCV Power Distribution Panels

o Howorth Membrane Theatre Control panels




Page 12 of 45

PIPEWORK SERVICES INSTALLATIONS

The following pipe work services will be provided to serve the Theatre Suites,

• Domestic Hot & Cold Water

• Medical Gases Services

• Foul and Waste Drainage Services

Domestic Hot and Cold Water

The domestic hot and cold water distribution will be extended from valved mains connections at the

perimeter of our works and then run at high level within the ceiling voids from where it will be

distributed to serve the following,.

• Scrub sinks

• Utility sinks

All pipe work will be installed in Mapress Stainless Steel pipework to BS316, utilising the Mapress

Pressfit hydraulic compression fittings. Mapress fittings remove the need for hot works within the

building and due to the nature of the joint reduce installation times.

All cold-water pipe work will be encased in a layer of 46/G aluminium foil, neatly taped on and then

insulated with rigid section aluminium foil faced Phenolic foam securely taped joints to maintain a

vapour seal. The thickness of the Phenolic foam will be to meet with the requirements of CO2

All hot water pipe work will be insulated with rigid section aluminium foil faced Phenolic foam

securely taped joints. The thickness of the Phenolic foam will be to meet with the requirements of

CO2.




Page 13 of 45

Medical Gases

Medical Gas Area Valve Service Units (AVSU’s) shall be installed by the Site Medical Gas Contractor.

Howorth Engineers shall extend the piped services from the AVSU to each the various terminal units

located on the Service Pendants and where required wall mounted terminals.

The following medical gases will be extended from Area Valve Service Units Nitrous Oxide

• Oxygen

• Nitrous Oxide

• Vacuum

• 7 bar Medial Air

• 4 bar Medical Air

• AGSS

Anaesthetic Gas Scavenging pipework shall be connected to the pipework from the main plant at the

periphery of the works. The AGS pump sets shall be provided under the main contract.

All the above will be designed and installed to meet with the requirements of HTM 02-01 and will be

installed by a specialist contractor

Medical Gas Pendants

Howorth Medical Gas Service Pendants shall be installed as detailed in the Specialist Equipment

Section




Page 14 of 45

SECTION 4.0

ELECTRICAL SERVICES




Page 15 of 45

4.0 ELECTRICAL INSTALLATIONS

Distribution Boards for essential and non essential power supplies in the Low/Medium current

switchrooms on the floors shall be provided by the Main Electrical Contractor. The power supplies

into these boards shall be by glanded connection and the ends of each terminal “made off” prior to

Howorth Engineers installation commencing.

Sub Mains Distribution

The following equipment will be supplied from the above Distribution Boards: -

• Surgeons Theatre Control panels

• Exflow UCV Canopy Power Distribution Panels

• Small Power distributions

• Lighting installation

Power supplies to plant / control items will be in the form of either 6491B type single core cables or,

particularly where screening or EMC issues may arise, in Steel Wire Armoured or SY type flexible

cables.

Inverter driven supplies will be installed on a separate containment system, installed at a suitable

distance from other electrical services and utilising screened cables – so as to avoid radiated noise

problems.

Mechanical equipment will be fitted with integral and / or local isolation devices where required.

Generally these will be controlled via connections within the power circuits, to facilitate safe local

isolation for maintenance and emergency purposes.

All control and isolation equipment will be suitably IP rated.

Final connections to equipment will be carried out using either flexible conduit, flexible cables, or by

direct connection utilising suitably IP rated compression fittings / glands.

Separate LV & ELV Containment systems routed within ceiling space shall be installed as follows: -

• Medium gauge return edge galvanised cable (MRF)

• Heavy duty basket tray

All containment system shall be fixed / suspended via Unistrut channel support systems




Page 16 of 45

Luminaires & Lamps

All luminaires shall be low energy type as follows: -

Sterile Areas - Recessed 600 x 600mm 3 x 36W TCL fluorescent colour

4000K. IP65 rated.

Emergency 3-hour maintained lighting packs to be provided integral within the luminaires to comply

with BS5266

All llights and luminaries shall be manufactured by Whitecroft PLC (or similar)

Lighting Installation

A concealed lighting installation shall be provided throughout the areas wherever possible the

installation shall be carried out with flexishield multicore LSF cable ref: BS8436

Cables shall be routed within ceiling space basket trays. Where installed across ceilings to switch

drop locations to be fixed to building structure via light gauge cable tray or individually clipped.

Termination at luminaires shall be via Klix 3-pin and 4-pin (i.e. for emergency luminaires) plug-in

ceiling roses with multicore heat resisting flexible cable connection

Power Installation

Installation shall be carried out with flexishield multicore LSF cable ref: BS8436. Cables shall be

routed within ceiling space basket trays. Where installed across ceilings to socket outlet locations to

be fixed to the building structure via light gauge cable tray or individually clipped.

All accessories will be white flush mounted Logic Plus range, except where installed on a surface

conduit installation where these shall be Metalclad Plus as manufactured by MK Electric Ltd. All

socket outlets will be complete with duplicate (high integrity) earth terminals. The separate sections

of the ring CPC circuit at each socket outlet shall be terminated individually into separate earth

terminals on the socket.

Each individual leg of a ring circuit CPC shall be terminated into its own earth terminal at the

distribution board, i.e. one earth conductor per terminal. Wiring systems shall generally comprise

LSF insulated single core cables having stranded copper conductors.

All circuits shall have separate CPCs rated as the circuit conductor.

All circuits shall have copper conductors.

All switched socket outlets shall be double pole.




Page 17 of 45

Mechanical Plant Wiring

Provide cable containment system for the installation of BMS control cabling within the work area.

Cables will be brought from the main panels in the plantroom by others.

These cables shall be extended by Howorth engineers to the relevant equipment.

Testing commissioning of the controls system will be carried out by the system integrators under the

main contract.

Testing & Commissioning

We have included for the testing and issuing of relevant certificates for the electrical installation

detailed above.

Where required Witness Tests will be carried out..

All ventilation installations shall be proportionally balanced from the AHU to the relevant areas.

Hot & Cold water systems shall be pressure tested. This shall be prior to chlorination by the main

contractor.

Earthing & Bonding

To be carried out in accordance with BS7671

Fire Alarm System

To be carried out utilising soft skin LSF cables to equipment supplied by others

Nurse Call

Nurse Call wiring has been included to the nurse call system hardware provided by others

Intercom System

Installation of a 20 station intercom system has been included

Operating Lamp & Battery Back Up

The operating lamp installations will include light controls, all necessary switches and intensity

selectors for the operating lights, which will be incorporated into the Surgeon’s Control panels.

Each operating lamp will be supplied complete with a three hour battery backup unit.




Page 18 of 45

Medical Gas & AGSS Wiring

Power supplies and control cabling to the medical gas installations detailed above has been included

within the budget cost.

Telephone and Data

A containment system shall be provided for, with cabling by others




Page 19 of 45

SECTION 5.0

SPECIALIST EQUIPMENT




Page 20 of 45

5.0 SPECIALIST EQUIPMENT

Howorth Exflow Ultra Clean Ventilation canopies shall be installed in the Theatres as listed;

Main Hospital

2 x General Theatres Exflow 28 UCV Canopy

4 x Specialist Theatres Exflow 32 UCV Canopy

EXFLOW 28 SPECIFICATION

Howorth Air Technology Exflow 28 U.C.V. system for operating theatres fitted with an exclusive

diffuser to give a unique graded discharge airflow profile. The system complies with the

recommendations of HTM 03-01.

Contained within the main body of the U.C.V. system are:- pre and main HEPA filters, return air

grilles, sound absorption materials, recessed perimeter background lighting, filter cleanliness gauge,

ceiling mounting frame and acrylic infill panel terminating 2.0m from floor level.

Clean Zone: 2.8 x 2.8 metre

Finish: Polyester powder coated. Standard Colour RAL 9010 white.

Integral Fan Model

Including four double inlet centrifugal fans, one located at each corner.

Exflow power distribution panel (800mmW x 800mmH x 300D) incorporating all necessary circuit

breakers, terminals, contactors, relays, variable frequency drives and CPU with fascia mounted

interface panel also to be provided and to be located within 15metres of UCV canopy.

Please note the Exflow power distribution panel requires a 32A 3-phase supply, to be provided by

others to end plant room wall.

Canopy Lighting will be dimmable from the Theatre Control Panel

Commissioning

Commission and validate the Exflow UCV systems in accordance with HTM03-01 protocol and

commissioning procedures.




Page 21 of 45

EXFLOW 32 SPECIFICATION

Howorth Air Technology Exflow 32 U.C.V. system for operating theatres fitted with an exclusive

diffuser to give a unique graded discharge airflow profile. The system complies with the

recommendations of HTM 03-01.

Contained within the main body of the U.C.V. system are:- pre and main HEPA filters, return air

grilles, sound absorption materials, recessed perimeter background lighting, filter cleanliness gauge,

ceiling mounting frame and acrylic infill panel terminating 2.0m from floor level.

3.2 x 3.2 metre Clean Zone

Finish: Polyester powder coated. Standard Colour RAL 9010 white.

Integral Fan Model

Including four double inlet centrifugal fans, one located at each corner.

Exflow power distribution panel (800mmW x 800mmH x 300D) incorporating all necessary circuit

breakers, terminals, contactors, relays, variable frequency drives and CPU with fascia mounted

interface panel also to be provided and to be located within 15metres of UCV canopy.

Please note the Exflow power distribution panel requires a 32A 3-phase supply, to be provided by

others to end plant room wall.

Commissioning

Commission and validate the Exflow UCV systems in accordance with HTM03-01 protocol and

commissioning procedures.




Page 22 of 45

HOWORTH MEDICAL- MEMBRANE THEATRE PANEL

The Howorth Membrane Theatre Panel is designed to

be a hygienic, easy clean user interface, providing

simple clear control and indication of status of the

theatre suites essential services, centred on a system

mimic for the theatres air conditioning and ventilation

systems, including the Exflow ultra clean ventilation

canopy (UCV). The theatres air conditioning and

ventilation systems mimic incorporates a red, amber

and green traffic light system which indicates the

operational status of the Theatre and is designed to

meet the requirements of the up coming HTM 03.

The Theatre panel’s membrane facia incorporates tactile push buttons and high intensity LED’s, with

the following standard features.

1 - Time of day clock, Digital (Green)

1 - Time elapse clock, Digital (Red)

1 - Start/Stop/Reset pushbuttons for TE clock

1 – LED Temperature indicator (0-10 volt input signal from BMS)

1 – LED Temperature set point adjustment (0-10 volt output signal to BMS)

1 - Humidity indicator (0-10 volt input signal from BMS)

1 - Operational ventilation: block LED indicator

1 - Set back ventilation: block LED Indicator

1 – Time clock override push button

1 - Ventilation fault: block LED indicator

1 – SAX6 medical gas alarm panel

1 - Exflow Systems Controls mimic incorporating the following

• UCV operational switch

• UCV setback switch

• UCV lighting switch

• UCV dirty HEPA filter: strip LED indicator

• Theatre ventilation status: strip LED indicator (traffic light warning

system)

• Main operating lamp controller

• Satellite operating lamp controller

The membrane panel incorporates the following service panels which are programmable via the

Theatre panels PLC controller.




Page 23 of 45

ELECTRICAL SERVICES Panel

2 – General light switches (momentary (digital dimming) or latched)

1 – Panel lamp test button

3 – User defined monetary or latched push buttons complete with LED

GENERAL SERVICES Panel 1

1 – AGSS on / off switch (momentary or latched) complete with LED

1 – AGSS normal: block LED indicator

1 – AGSS fault: block LED indicator

2 – User defined momentary or latched push buttons complete with LED

Note: this panel also incorporates the SAX6 medical gas alarm panel

GENERAL SERVICES Panel 2

1 – Isolated Power System System Normal– LED Indicator

1 – Isolated Power System System Fault – LED Indicator

1 – Generator in use: block LED indicator

1 – UPS on: block LED indicator

1 – UPS fault: block LED indicator




Page 24 of 45

MEDICAL GAS SERVICE PENDNATS

Operating Theatre - General

Howorth 2VM Pendant comprising lateral rotation through 180deg, and vertical movement of

300mm. The pendants have medical gas and electrical services connections as listed;

Anaesthetists Pendant - (2VM Multi Movement)

Medical Gas Terminals (East Healthcare)

Oxygen x 1

Nitrous Oxide x 1

4 Bar Air x 1

7 Bar Air x 1

Vacuum x 1

AGSS x 1

Electrical (MK Logic Plus)

Double Un-Switched Socket x 8

Equipotential Earth Socket x 2

Data Outlet x 1

Surgeon’s Pendant - (2VM Multi Movement)


Oxygen x 1

Nitrous Oxide x 1

4 Bar Air x 1

7 Bar Air x 1

Vacuum x 1

AGSS x 1




Data Outlet x 1

Notes:

1 The electrical sockets wiring will be terminated in an adaptable box at the top of the

pendants for connection to the mains supply in the ceiling collar for ease of maintenance

access.

2 The Sockets will be coloured Blue and be engraved “FOR MEDICAL EQUIPMENT USE ONLY”

3 The flexible medical gas pipes will be connected to NIST fittings in the ceiling collar for ease

of maintenance access




Page 25 of 45

Operating Theatre - Speciality

Anaesthetists Pendant - (2VM-UCV Multi Movement)


Oxygen x 1

Nitrous Oxide x 1

4 Bar Air x 1

7 Bar Air x 1

Vacuum x 1

AGSS x 1




Data Outlet x 1

Surgeon’s Pendant - (2VM-UCV Multi Movement)


Oxygen x 1

Nitrous Oxide x 1

4 Bar Air x 1

7 Bar Air x 1

Vacuum x 1

AGSS x 1




Data Outlet x 1

1 The electrical sockets wiring will be terminated in an adaptable box at the top of the

pendants for connection to the mains supply in the return section of the Exflow UCV canopy

for ease of maintenance access.

2 The Sockets will be coloured Blue and be engraved “FOR MEDICAL EQUIPMENT USE ONLY”

3 The flexible medical gas pipes will be connected to NIST fittings in the return section of the

Exflow UCV canopy for ease of maintenance access




Page 26 of 45

Rack Carrier Pendant

Articulated arm 1000/1200mm, fixed height, fitted with pneumatic brakes at primary and secondary

bearings, each with 330 degrees rotation.

Arm carrying capacity is 175kg gross, less the combined weight of the service column/equipment

carrier and accessories selected.

Suspension is single mount and ceiling cover is included as standard.

EQUIPMENT CARRIER R3

A three-legged Equipment Carrier 1270mm high x 560mm wide x 450mm deep will be fitted to the

secondary arm. It will have one shelf as standard, but can accommodate a further 2 shelves and a

drawer box. Gas outlets are mounted on one face and electrical/data outlets on the opposite face,

within segregated compartments.


Oxygen x 2

Nitrous Oxide x 1

4 Bar Air x 1

7 Bar Air x 1

Vacuum x 1

AGSS x 1




Data Outlet x 4




Page 27 of 45

Accessories (per Pendant)

1 x Integrated Consumables Drawer

1 x Stainless Steel Pull Out Writing Shelf

1 x Fixed IV Pole complete with 4 hook drip holder

1 x Plain Handle

1 x Control Handle with Brake Operation Buttons

1 x Flat Screen Monitor Arm – suitable for upto 23” Flat Screen Monitor




Page 28 of 45

OPERATING LIGHT SYSTEMS

Maquet PowerLED surgical lights shall be installed in all Theatres and associated areas as listed

below;

Main Hospital

2 x Specialist Theatres Maquet PowerLED 55/DF

2 x Specialist Theatres Maquet PowerLED 55/DF/V (Satellite Suspension)

The Lights comprise a single tube suspension system fixed to the structure. The lights comprise

double fork suspension systems for maximum user flexibility.

The PowerLED surgical lights utilise the “Point & Shoot” focus technology which automatically

focuses the light beam on the operating site from up to 1Mtr from the required area.

The depth of beam is almost 120cm which means that the light head can be positioned well away

from the Surgeons Head.

The PowerLED 500 has 128 individual LED light sources in a Fresnel arrangement which generates the

diverging beams, which in turn provide the superior shadowless performance of the light.

Where indicated the lights can be fitted with video camera. These lights are pre-wired to accept a

removable video camera. The camera cable is connected to a Control Unit or a specific

manufacturers stack system (e.g. Smith & Nephew)

All Surgical Lights shall be supported by a Battery Back-up Unit (BBU) providing 3Hours duration in

the event of a power outage.

The BBU shall be located in a plantroom area adjacent to the lights. Indication is made on the

Theatre Control Panel in the event of the BBU operating.

2No Maquet Prismavision PAL zoom cameras shall be supplied within the contract. These are loose

items and can be used with any of the video enabled surgical lights. The lights will be handed over

during commissioning of the systems to the Client.

The lights in the Specialist Theatres in the Main Hospital block shall have Maquet Satellite suspension

systems installed to provide multi arm installations supporting the Flat Screen Monitors as described

later.




Page 29 of 45

SECTION 6.0

COMMISSIONING




Page 30 of 45

6.0 TESTING, COMMISSIONING AND VALIDATION

Commissioning will be carried out in accordance with the Commissioning Codes published by the

Chartered Institution of Building Services Engineers, (CIBSE).

All air distribution and extraction systems will be commissioned in accordance with the CIBSE

Commissioning Code Series ‘A’ (Air Distribution Systems, High & Low Velocity).

All pressure testing of ductwork and pipework will be satisfactorily completed and test certificates

issued prior to commencement of any commissioning. All ductwork will be fully cleaned and sterilsed

by others before commissioning commences.

It will be the responsibility of the main services design that the correct volume of supply and extract

air is provided into the relevant areas before commissioning and air balancing commences.

The commissioning and testing will be carried out by a firm specialising in this work; in the manner

described in the CIBSE Code(s). All specialist equipment such as the IPS/UPS, Autoclaves, Digital

Video Equipment, Operating Lights etc will be commissioned by the manufacturer, and certificates

included in the O & M instructions.

The plant will be maintained in accordance with manufacturers instructions throughout the

commissioning and testing period and until the plant is handed over.

Comprehensive commissioning reports will be prepared for each of the Building Services Systems,

these will be collated and indexed and incorporated as part of the Operating and Maintenance

Manuals.




Page 31 of 45

SECTION 7.0

OPTIONAL ADDITIONAL INSTALLATIONS




Page 32 of 45

Isolated Power Systems provide electrical shock protection to patients who are under the influence

of anaesthetic gases and have intra-cardial connections to electrical equipment.

The IPS/UPS systems are offered as an option to the main installation. The additional price listed

incorporates the systems being installed into the areas listed below;

Main Hospital Building

General Theatres 2 x 6KVA IPS

Speciality Theatres 4 x 6KVA IPS

8 Bed PACU 2 x 8 KVA IPS

The Isolated Power systems serving each area shall have the circuits interleaved to provide diversity

of supply to each of the areas. Therefore in the event of any power failure on one unit, then that

room is not completely isolated.

For example, the IPS systems serving the 2 General Theatres and 4 Specialist Theatres in the Main

Hospital shall have 4 x 10 KVA IPS distribution units. The circuits from each of the IPS distribution

boards shall be interleaved into each Theatre. Therefore there will 4 x 16 circuits wired through 6

Rooms.

A typical specification for an Isolated Power System shall be

Single Isolated Power Supply – 8KVA

1 –SIPS unit comprising,

1 – Mild steel enclosure, surface mounted

1 – Insulation Monitor

1 – Load CT

1 – DP panel / transformer isolator

1 – Eight way DP distribution board c/w 20A. MCB’s

1 – 6A. DP MCB (control MCB’s)

1 – set for terminals for IPS alarm conditions

1 – Earth bar

1 – Alarm unit for remote mounting

1– 8KVA Isolation Transformer

Un-interruptible Power Supplies shall be installed to provide load protection for the Isolated Power

Systems. These shall be installed with in a temperature controlled environment (up to 25 Deg C). The

cooling to the switchroom shall be provided to the Main Contractor.

The UPS systems shall be sized to provide N+1 protection to the Isolated Power Systems. N+1

protection assumes that in the event of one of the UPS systems failing there is back-up to meet the

electrical requirements without interruption of supply.

We envisage a central systems being installed to serve the Day Surgery centre and a separate system

to serve the Main Hospital Block, comprising;




Page 33 of 45

3 x 60KVA UPS for the Main Hospital Block

All UPS systems shall generally be Three Phase power supply into the UPS and Three Phases on the

outgoing side. The supplies will then be fed through a local distribution board, from there to be fed

to the individual Isolated Power System units in the various areas.

Each UPS will be sized to serve IPS systems which are assumed to operate at 0.8 lagging power factor

and also to have an inrush <12 x FLC. All UPS systems shall provide 60 minute battery duration.

A manual by-pass will also to be provided, in addition to a static by-pass to allow the UPS to be

removed without loss of supply. The by-pass supply is to be routed separately to the normal UPS

supply and connected directly into the IPS panel.




Page 34 of 45

DIGITAL VIDEO INSTALATIONS

Background Information on ORTV®, OR3G® and ORcast®

ORTV® is the trademark of the latest systems in flexible, open-system operating theatres and digital

video teaching links, specifically designed and tailor made, to meet the specific requirements of

varying surgical procedures and specialities.

At the heart of, and exclusive to, the OR3G® theatres are lighting, mounting and table solutions from

the market leaders Maquet, and ORTV® medical video and control systems from OR Networks,

providing the best in performance and value of integrated operating theatres.

ORTV® systems are installed in over ten countries across Europe with in excess of 100 current theatre

users. The core principle is to distribute the highest possible resolution of each video or image

source with an easy to use, icon-based graphic user interface.

All of the ancillary software and support products detailed in our brochure and summarised at the

front of this document are all retrospectively upgradeable to the system.

Our digital video distribution system, ORcast®, is installed in numerous teaching hospital networks

including Northumbria Healthcare Trust (3 sites), Oxford Radcliffe Hospitals Trust (4 sites) and

University College Galway and Leeds Teaching Hospitals.

� System Overview

The network at Faruk Medical Centre will comprise of 4 surgical sites, each configured with a

bespoke ORTV® video display and relocatable control system to enable the best viewing options for

the surgical staff during procedures and to provide excellent video transmission systems for remote

teaching of live operations.

We have included a Seminar Room within the Hospital and a fibre optic HD link system to a local

hotel for very large conferences.




Page 35 of 45

OR3G® INTEGRATED OPERATING THEATRES

Each theatre will have an ORTV® video display and control system, specifically designed to meet the

customer requirements as required and to reflect the needs of each speciality.

We have identified 2 main configurations for the theatre areas: Endoscopy & Speciality Theatres.

ENDOSCOPY SUITES

HD Surgical Screens

The endoscopist will view two 24” HD screens mounted on a multimedia arm from the Maquet

Satellite mounting: This will provide the surgeon with the endoscopy view and an optional view of

other images/sources (e.g. PACs). The assistant will view a screen mounted on a separate arm, that

may be placed behind the surgeon's back.

Fig 1 – Drawing of operating lights, third arms and LCD Monitors

Speciality Theatres

Generally as the description for the Endoscopy Theatre but with the addition of a 42” wall mounted

general observation screen.




Page 36 of 45

ORTV® CONTROL SYSTEM

ORTV® Theatre Touch Control System

Our standard ORTV® control system offers a single page

of clearly designed, icon-based control buttons for all of

the required functions.

The touch panel will be a 19” medical grade meeting the

same environmental specifications as the surgeon’s

monitors. It will be mounted on pendant and permits a

preview of the selected image prior to switching to a

display or a remote location.

Controls for the selected device will appear on-screen

until another device is selected.

Controllable Devices

Operating lights

Operating light camera

Operating table (optional)

Room view camera

Audio volume/mute

Remote video links

Room lights (optional)

HVAC room temperature control (optional)

Image sources

Each viewing screen will have the ability to display any of the following sources in native resolution –

with the option to extend this list as your equipment level increases.

Currently, the system will be configured to permit the following:

Maquet In-light camera (controllable zoom and focus)

Endoscopic camera (all video formats will be supported)

PACs PC images

Anaesthetic display facsimile

Room view camera (used mainly for remote links or teaching). Complete with pan, tilt and

zoom control from both the seminar room and the operating theatre

Return video from the ORcast® Teaching Network and other conferencing devices

C-Arm displays

Ultrasound

Fluoroscope

Surgical microscope

Optional third arm camera




Page 37 of 45

Connections via Pendants

The endoscopic and other video devices will be on 1No transportable rack unit which will connect via

the pendants supplied with the Exflow UCV canopies.

Each Exflow shall be provided with a Video Integration Panel on a panel on two sides of the clean

zone. This will provide maximum flexibility tot eh surgical users.

Audio

Studio quality speakers are installed that output 150W of high fidelity audio (70-20KHz).

Radio tie clip microphones on a pre-licensed UHF frequency provide crystal clear narrative from the

operating surgeon.

Mobile handheld radio microphones are installed in the seminar rooms for full-duplex (natural two

way) conversation with the surgeon from any seminar room.




Page 38 of 45

ORCast® DIGITAL VIDEO TEACHING NETWORK

Please note:

As of this time, we do not for certain what teaching room facilities will be provided, but we will

assume a local seminar room for small group teaching for each clinical area, a single large conference

room on site and a fibre link to the nearby hotel for large conferences.

Our ORcast® video system links offer the following features:

Fully interactive, two way connectivity with any teaching area or remote location.

Direct access to other devices in the main control area including: video- conferencing

systems, printing and digital recording.

Monitoring and preview of transmissions.

All of these features are available directly from the OR3G® control touch panel in the operating

theatre.

Typical ORTV® seminar room

These rooms can have single or dual projector

or LCD panel screens with professional sound

systems.

Seamless integration (including automated

control) with video conferencing and other

communication systems.




Page 39 of 45

SECTION 8.0

Quotation Summary £ GBP

Price for Undertaking the above work 3,237,291.00

Additional Items:

Isolated Power/Uninterruptible Power Systems 127,618.00

Digital Operating Room Video Installations 481,014.00




Page 40 of 45

SECTION 9.0

QUALIFICATIONS, EXCLUSIONS

AND

CLARIFICATIONS TO PROPOSAL




Page 41 of 45

QUALIFICATIONS, EXCLUSIONS AND CLARIFICATIONS TO PROPOSAL

1 This quotation is subject to Howorth Air Technology Ltd (hereafter referred to as Howorth(s))

standard terms and conditions of sale which are available to view on our website at

www.howorthgroup.com

2 In order to finance the initial design and procurement programme before works commence

on site, Howorth’s offer is based on an up-front advance payment of 10% of the order value

at signature of the Contract for this work

3 Interim payments will be applied for on a monthly basis against work done on and off site

and for materials and equipment available on and off site in order to achieve a neutral cash

flow basis during Howorth’s performance of the work. All payments will be approved within

7 days of application and payments shall be made within 30 days thereafter

4 As part of our commitment to ongoing training and support for the Faruk Medical Centre,

Howorth Air Technology Ltd will offer a full and detailed maintenance, training and

management proposal for the first two years (or other such period to be mutually agreed)

after commencement of operation of the scope of works covered by this proposal. This offer

will be submitted under separate cover as a separate quotation in due course.

5 General site attendances to be provided by others and excluded from this offer are as

follows:

• Craneage

• Hoisting

• Hardstanding to allow the offloading, distribution and erection/installation of the

supply

• Assistance with offloading (i.e provision of a fit for purpose all terrain forklift)

• Mains power for the works

• Water for the works

• Waste disposal

• Use of standing scaffold

• Clear and safe access/egress to the workface

• Watching, lighting, guarding and fencing

6 Site security for operatives and protection of materials and equipment from theft or damage

will be the responsibility of others free of cost to Howorth

7 Howorth’s offer is based on the structural integrity and robustness of the existing building

elements being adequate and fit for purpose to support the proposed equipment. Should

any additional structural work be required to facilitate Howorth’s installation then all such

work will be the responsibility of others free of cost to Howorth

8 Howorth’s offer is based on all stripping out of existing services or other installations and/or

alterations to the existing structure to allow the erection/installation of Howorth’s supply to

be carried out in an effective manner being free of cost to Howorth. All such costs associated

with same are excluded from Howorth’s offer

9 Finishes and fittings to the lift and stair lobby and waiting area on the second floor(GL E-G

and 03-05) are excluded from this offer

10 Howorth have based it’s offer on there being sufficient and adequate capacity within the

primary services that are supplied by others free of cost to Howorth to cater for all cooling

and heating loads, hot and cold water, steam supplies, essential and non-essential electrical

supplies and sufficient generator back-up

11 In the absence of a fire strategy the provision of fire rated walls, doors and/or pressure

stabilisers are excluded from this offer




Page 42 of 45

12 Adequate mains electrical supplies and distribution boards suitable to allow Howorth to

connect to will be provided free of cost by others.

13 No radiation protection to theatres is currently included within this offer

14 No Laser protection to theatres is currently included within this offer

15 No allowance has been made for Microbiological testing within this offer.

16 No allowance has been made within this offer for a Pharmacist to carry out medical gas anti-

confusion and purity tests on completion of installation.

17 No allowance has been made for making theatres sterile after completion of installation

within this offer

18 A provisional sum for additional insurance premiums of £200,000 (two hundred thousand

pounds) has been included within this offer to cover additional Employers Liability,

Contractors all risk, Transport, Travel and General Insurances. Any increase or reduction to

these premiums during the course of the project will be passed on to the Client

19 This quotation is priced in Sterling (GBP) and will be invoiced in sterling (GBP)

20 All payments on the project are to be guaranteed by an irrevocable Letter of Credit backed

by a UK bank. Approval of the payment guarantor shall be at the discretion of Howorth. Such

approval shall not be unreasonably withheld. The wording of the irrevocable LOC must be

constructed to ensure a neutrally funded project cash flow

21 All customs, import taxes, duties and levies whatsoever either local, national or international

are excluded from this offer and will be charged separately at the time they become due.

This quotation is priced to Incoterms 2000 DDU (Delivered Duty Unpaid)

22 We have excluded the provision for and cost of a Performance Bond

23 We do not accept delay damages of any description

24 We do not accept retention withholdings. Invoices are to be paid 100%

25 This quotation has a validity and acceptance period which will expire on 31 October 2009,

after which Howorth reserve the right to review and re-quote as necessary.

26 The quotation is a GBP Sterling fixed price quotation until June 2011. We envisage Howorth’s

work as described herein commencing 1 November 2009 and completing by 31 May 2011

27 The quoted price for the project is a lump sum price for the whole scope of works as

described in the attached quotation document ref: Q16838.04 . Should any part of the works

be excluded from the overall scope of our supply, we reserve the right to use non-analogous

rates when re-quoting the remaining scope of works

28 This quotation is subject to and governed by the laws of England and Wales

HOWORTH AIR TECHNOLOGY STANDARD TERMS AND CONDITIONS OF SALE

Our standard terms and conditions can be found by visiting the Howorth Air Technology Group web

site by clicking on the following link:

http://www.howorthgroup.com/terms_and_conditions/




Page 43 of 45

APPENDIX A

Schedule of Departments & Rooms covered by this

Proposal




Page 44 of 45

APPENDIX A

Schedule of Departments & Rooms

With in the new Faruk Medical Centre Howorth Air Technology Limited shall construct the rooms

listed below as part of the following Departments;

Department List

Main Hospital

Second Floor

1. Operation Suite

Room Schedule

Construction and fit out of the following rooms are included within our proposal;

Main Hospital

Second Floor

Operation Suite

Two general operating rooms (Trespa Virtuon Lining)

Four speciality operating rooms (Trespa Virtuon Lining)

Two dirty corridors

Central scrub-up area

Central shared sterile prep area

Theatre Supervisors office

Patient Holding

Patient Transfer

Post Anaesthesia Care Unit (PACU)

Male Locker Room

Female Locker Room




Page 45 of 45

Documents

Q16838_04 Faruk Medical Centre Specialist Theatres (1)