Q16838_04 Faruk Medical Centre Specialist Theatres (1)

SPECIFICATION

For Proposed

TURNKEY INSTALLATIONS TO SPECIALIST THEATRES FARUK MEDICAL CENTRE SULAYMANIYAH

Faruk Medical Centre – Sulaymaniyah Page 1 of 45

Technical Specification Howorth Ref #: Q16838.04

10 November 2009

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

Faruk Medical Centre – Sulaymaniyah Page 2 of 45

Technical Specification Howorth Ref #: Q16838.04

10 November 2009

SECTION 1.0

SCOPE OF WORKS

Faruk Medical Centre – Sulaymaniyah Page 3 of 45

Technical Specification Howorth Ref #: Q16838.04

10 November 2009

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

• • •

• • • • •

•

•

Mechanical Services Installations

•

• • • •

Mechanical Services

•

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.

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,

Faruk Medical Centre – Sulaymaniyah Page 4 of 45

Technical Specification Howorth Ref #: Q16838.04

10 November 2009

Installations cont’d • •

•

Electrical Services Installations

• • • • • • • • •

Specialist Equipment

• • •

• • • •

Commissioning

• • • • •

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

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

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

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.

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Technical Specification Howorth Ref #: Q16838.04

10 November 2009

SECTION 2.0

BUILDING WORKS

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Technical Specification Howorth Ref #: Q16838.04

2.0

10 November 2009

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.

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Technical Specification Howorth Ref #: Q16838.04

10 November 2009

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 o o o o

Kick Plates to both faces D Ring Pull Handle Push Plate Matched heavy duty hinge sets Matched door closer with easy clean operating gear.

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

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Technical Specification Howorth Ref #: Q16838.04

10 November 2009

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

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Technical Specification Howorth Ref #: Q16838.04

10 November 2009

SECTION 3.0

MECHANICAL SERVICES

Faruk Medical Centre – Sulaymaniyah Page 10 of 45

Technical Specification Howorth Ref #: Q16838.04

3.0

10 November 2009

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 o o

Exflow UCV Canopies Exflow UCV Power Distribution Panels Howorth Membrane Theatre Control panels

Faruk Medical Centre – Sulaymaniyah Page 11 of 45

Technical Specification Howorth Ref #: Q16838.04

10 November 2009

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.

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Technical Specification Howorth Ref #: Q16838.04

10 November 2009

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

Faruk Medical Centre – Sulaymaniyah Page 13 of 45

Technical Specification Howorth Ref #: Q16838.04

10 November 2009

SECTION 4.0

ELECTRICAL SERVICES

Faruk Medical Centre – Sulaymaniyah Page 14 of 45

Technical Specification Howorth Ref #: Q16838.04

4.0

10 November 2009

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

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Technical Specification Howorth Ref #: Q16838.04

10 November 2009

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.

Faruk Medical Centre – Sulaymaniyah Page 16 of 45

Technical Specification Howorth Ref #: Q16838.04

10 November 2009

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.

Faruk Medical Centre – Sulaymaniyah Page 17 of 45

Technical Specification Howorth Ref #: Q16838.04

10 November 2009

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

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Technical Specification Howorth Ref #: Q16838.04

10 November 2009

SECTION 5.0

SPECIALIST EQUIPMENT

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Technical Specification Howorth Ref #: Q16838.04

5.0

10 November 2009

SPECIALIST EQUIPMENT

Howorth Exflow Ultra Clean Ventilation canopies shall be installed in the Theatres as listed; Main Hospital 2 x General Theatres 4 x Specialist Theatres

Exflow 28 UCV Canopy 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.

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Technical Specification Howorth Ref #: Q16838.04

10 November 2009

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.

Faruk Medical Centre – Sulaymaniyah Page 21 of 45

Technical Specification Howorth Ref #: Q16838.04

10 November 2009

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.

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Technical Specification Howorth Ref #: Q16838.04

10 November 2009

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

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Technical Specification Howorth Ref #: Q16838.04

10 November 2009

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 Nitrous Oxide 4 Bar Air 7 Bar Air Vacuum AGSS

x1 x1 x1 x1 x1 x1

Electrical (MK Logic Plus) Double Un-Switched Socket Equipotential Earth Socket Data Outlet

x8 x2 x1

Surgeon’s Pendant - (2VM Multi Movement) Medical Gas Terminals (East Healthcare) Oxygen Nitrous Oxide 4 Bar Air 7 Bar Air Vacuum AGSS

x1 x1 x1 x1 x1 x1

Electrical (MK Logic Plus) Double Un-Switched Socket Equipotential Earth Socket Data Outlet

x8 x2 x1

Notes: 1

2 3

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. The Sockets will be coloured Blue and be engraved “FOR MEDICAL EQUIPMENT USE ONLY” The flexible medical gas pipes will be connected to NIST fittings in the ceiling collar for ease of maintenance access

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Technical Specification Howorth Ref #: Q16838.04

10 November 2009

Operating Theatre - Speciality Anaesthetists Pendant - (2VM-UCV Multi Movement) Medical Gas Terminals (East Healthcare) Oxygen Nitrous Oxide 4 Bar Air 7 Bar Air Vacuum AGSS

x1 x1 x1 x1 x1 x1

Electrical (MK Logic Plus) Double Un-Switched Socket Equipotential Earth Socket Data Outlet

x8 x2 x1

Surgeon’s Pendant - (2VM-UCV Multi Movement) Medical Gas Terminals (East Healthcare) Oxygen Nitrous Oxide 4 Bar Air 7 Bar Air Vacuum AGSS

x1 x1 x1 x1 x1 x1

Electrical (MK Logic Plus) Double Un-Switched Socket Equipotential Earth Socket Data Outlet

1

2 3

x8 x2 x1

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

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Technical Specification Howorth Ref #: Q16838.04

10 November 2009

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.

Medical Gas Terminals (East Healthcare) Oxygen Nitrous Oxide 4 Bar Air 7 Bar Air Vacuum AGSS

x2 x1 x1 x1 x1 x1

Electrical (MK Logic Plus) Double Un-Switched Socket Equipotential Earth Socket Data Outlet

x 12 x6 x4

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Technical Specification Howorth Ref #: Q16838.04

10 November 2009

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

Faruk Medical Centre – Sulaymaniyah Page 27 of 45

Technical Specification Howorth Ref #: Q16838.04

10 November 2009

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 2 x Specialist Theatres

Maquet PowerLED 55/DF 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.

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Technical Specification Howorth Ref #: Q16838.04

10 November 2009

SECTION 6.0

COMMISSIONING

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Technical Specification Howorth Ref #: Q16838.04

6.0

10 November 2009

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.

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Technical Specification Howorth Ref #: Q16838.04

10 November 2009

SECTION 7.0 OPTIONAL ADDITIONAL INSTALLATIONS

Faruk Medical Centre – Sulaymaniyah Page 31 of 45

Technical Specification Howorth Ref #: Q16838.04

10 November 2009

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 Speciality Theatres 8 Bed PACU

2 x 6KVA IPS 4 x 6KVA IPS 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;

Faruk Medical Centre – Sulaymaniyah Page 32 of 45

Technical Specification Howorth Ref #: Q16838.04

10 November 2009

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