Supply of Medical Equipment(Part LXXI )for SES of the Republic of Uzbekistan.

New amendment added #2: The ITB has been amended to:1. Upload the revised Section III Returnable Bidding Forms, Form D Technical Bid Form, incorporating all changes resulting from the clarification requests received under the tender prior to the clarification deadline.

New clarification added: Q.9:Thank you for the clarification and for amending the requirement to include “with water warmer to supply water at body temperature (37 °C) or equivalent solution.”To ensure a correct and uniform interpretation, we kindly request confirmation as to whether an equivalent solution may be understood as the use of irrigation water that is externally pre-warmed to approximately 37 °C and filled into the water tank, without requiring an integrated water-heating mechanism within the suction or irrigation system itself.As previously noted, in routine clinical practice, warmed irrigation is commonly achieved by preparing the water externally and then delivering it through the endoscope using a standard pump. In such cases, the pump’s primary function remains the controlled delivery of water at the required pressure and flow rate, independent of the method used to achieve the target water temperature.We would appreciate your confirmation that this approach would be considered compliant with the amended requirement.A.9:We confirm that the approach described in your request, namely the use of irrigation water that is externally pre-warmed to approximately 37 °C and supplied through the system without an integrated water-heating mechanism, is considered an equivalent solution. Such an approach will be evaluated as compliant with the amended requirement.

New amendment added #1: The RFQ has been amended in order to:Extend the bid submission deadline from 31-Dec-2025 07:00 UTC till 08-Jan-2026 07:00 UTC.Extend the deadline for clarifications from 22-Dec-2025 07:00 UTC till 26-Dec-2025 07:00 UTC.

New clarification added: Q.8: We kindly request your clarification on the questions below.Q1Lot 2.1Position 16: Image processing chain allows the user to view in a selected spectrum of colours (at least red, blue, and green) to highlight the structure of capillaries and other changes in the mucous membrane.Question: The processor features a color spectrum including red, blue, and chroma (15 shades). We consider that red and blue, together with their chroma variations, more accurately reflect the functional capabilities of the processor, including NBI, LCI, and RDI, and support more detailed diagnostics. Kindly clarify whether the requirement can be amended to allow this configuration.Q2Lot 2.1Position 52: Working length of the inserted tube: approximately 1450 mm.Question: The requirements specify an approximate working length of 1450 mm, while our endoscope has a working length of 1350 mm. As no exact length is mandated and the specification uses the term “approximately,” please clarify whether 1350 mm can be accepted. Alternatively, we can offer another model with a working length of 1700 mm. Please advise.Q3Lot 2.1Position 63: Inserted tube outer diameter: approximately 9.2 mm.Question: The requirements specify an approximate diameter of 9.2 mm, while our endoscope has a diameter of 10.5 mm. Since no exact diameter is mandated and the specification uses the term “approximately,” please clarify whether a diameter of 10.5 mm can be accepted.Q4Lot 2.1Position 76: Drawer for storing accessories and tools.Question: As the presence of a drawer does not impact the functionality of the examination procedure performed using a flexible endoscope, would the absence of a drawer be considered a non-compliance?Q5Lot 2.2Position 15: Exhaust air condenser with heat recovering.Question: Our washer-disinfector features an exhaust outlet for used air and includes an internal air pump for drying within the treatment chamber. The temperature is consistently maintained at the specified level. As the required condenser does not impact the disinfection process of endoscopes nor contribute to disinfection safety, we kindly request clarification on the relevance of this requirement for washer-disinfectors used for flexible endoscope reprocessing.Q6Lot 4Position 5: Built-in LED light source.Question: The light source is not integrated into the processor; however, it fully complies with the specified requirements. Functionally, our solution offers no difference compared to processors with a built-in light source. Please clarify whether a standalone LED light source can be accepted.Q7Lot 4Position 10: Improvement of structures, at least 4 levels.Question: The tender requirements specify structure enhancement with at least four levels. Our system provides three levels of structure enhancement (low, medium, and high). However, the specifications do not mention the zero or disabled state (OFF), which is also available within the processor functionality. May the OFF state be considered as the fourth level to meet the requirement?Q8Lot 4Position 23: The diameter of the inserted tube is no more than 9.8 mm.Question: Our endoscope has a diameter of 10.5 mm, whereas the specification requires a maximum of 9.8 mm. This difference of 0.7 mm has no impact on the functionality of the endoscope. Kindly clarify whether this minor deviation would be regarded as a non-compliance.Q9Lot 4Position 28: Field depth not less than 0 to 100 mm.Question: Our endoscope has a depth of field of 3 to 100 mm, which is comparable to the specifications of many leading endoscope manufacturers. This minor difference of 3 mm has no impact on functionality. We kindly request confirmation that a depth of field of 3 to 100 mm will not be regarded as a non-compliance.Q10Lot 4Position 38: The diameter of the inserted tube is no more than 12.8 mm.Question: Our endoscope has a diameter of 13.8 mm, whereas the specification requires a maximum of 12.8 mm. This difference of 1 mm has no impact on the functionality of the endoscope. Please clarify whether this deviation would be considered a non-compliance.Q11Lot 4Position 60: At least two shelves and one drawer.Question: As the presence of shelves does not influence the functionality of the examination procedure performed with a flexible endoscope, would the absence of a shelf be regarded as a non-compliance?Q12Lot 4Position 62: Endoscope holder with a clamp.Question: The tender specifications require a specific clamp mechanism. However, the trolley we propose is equipped with a holder that provides secure fixation through sliders. We kindly request clarification on whether this requirement can be broadened, as the current strict specification significantly limits the number of potential participants.Q13Lot 4Position 64: Dimensions not less than L/W/H: 490 mm / 450 mm / 1530 mm.Question: Our trolley has a height of 1100 mm, which exceeds the height specified in the requirements. This increased height facilitates washing procedures for medical personnel after operations, reduces the risk of damage to both the trolley and the monitor mounted above the trolley, and has no impact on functionality. Please clarify whether this height would be regarded as a non-compliance.Q14Lot 4Position 66: Load capacity not less than 80 kg.Question: Each shelf of the trolley we propose has a load capacity exceeding 40 kg. However, the tender requirements specify a load capacity of not less than 80 kg. We kindly request clarification on whether this requirement refers to the overall trolley load capacity or to individual shelves.Q15As the tender submission deadline has been extended until 8 January 2026, we kindly request that the deadline for submitting clarifications also be extended accordingly.A.8: A1 - Lot 2.1, line 16 will be amended into " Image processing chain allows the user to view in a selected spectrum of colours (at least red, blue, and green OR CHROMA) to highlight the structure of capillaries and other changes in the mucous membrane.A2 - Lot 2.1, solution 1350 mm will be considered as tecnically compliant.A3 - Lot 2.1, solution 10.5 mm will be considered as tecnically compliant.A4 - Lot 2.1, line 76 will be amended into "Drawer for storing accessories and tools OR ADEQUATE SOLUTION", to allow variability of solutions.A5 - Lot 2.2, line 15 will be amended into "Exhaust air condenser with heat recovering OR ADEQUATE SOLUTION".A6 - Lot 4, line 5 will be amended into: "Built-in OR STANDALONE LED light source".A7 - Lot 4, the OFF state is considered as fourth level under line 10.A8 - Lot 4, line 23 will be amended into "The diameter of the inserted tube is no more than 9.8 mm +/-10%"A9 - Lot 4, line 28 will be amended into "Field depth, not less than 0-3 up to 100 mm".A10 - Lot 4, line 38 will be amended into "The diameter of the inserted tube is no more than 12.8 mm +/-10%"A11 - Lot 4, line 60 will be amended into "At least two shelves and one drawer OR ADEQUATE SOLUTION".A12 - Lot 4, line 62 will be amended into "Endoscope holder with a clamp OR ADEQUATE SOLUTION".A13 - Lot 4, line 64 will be amended into "Dimensions APPROXIMATELY L/W/H: 490 mm / 450 mm / 1530 mm"A14 - Lot 4, LINE 66 refers to the overall trolley load capacity.A15 - Suggestion is accepted.

New clarification added: Q. 7: Kindly find below an additional clarification request regarding "Lot 2.1: Endoscopy Tower including Colonoscope and Gastroscope".With reference to your response A.3, Line 40, stating that “the primary purpose of using warmed water is to enhance patient comfort and support improved procedural outcomes” and that this requirement reflects a specific client request, we kindly ask for further clarification on the following points:• Could you please explain how the use of irrigation water at 37 °C, compared to room-temperature water, enhances patient comfort and/or improves procedural outcomes in standard gastroscopy and colonoscopy procedures?• Is there a clinical or guideline-based justification supporting this requirement in routine endoscopy practice?Additionally, we would like to note that major endoscopic equipment manufacturers (e.g., Fujifilm JW-3, Olympus OFP-2, Pentax equivalents) do not provide suction/irrigation pumps with integrated water-heating functionality for standard endoscopy.As such, this parameter may restrict participation of manufacturers offering clinically equivalent systems, without a clearly substantiated clinical necessity.From a technical standpoint, the primary function of the irrigation pump is to deliver water at a controlled pressure and flow rate.When irrigation water is prepared at the required temperature externally and added to the tank, it can be delivered through the endoscope without the need for an integrated heating mechanism.In light of the above, we kindly request further clarification to better understand the clinical rationale for this requirement and to assess whether functionally equivalent solutions may be considered acceptable.A.7: Dear bidder find below explanations to questions:A1. Using irrigation water at 37 °C (body temperature) during gastroscopy and colonoscopy provides distinct physiological and procedural advantages over room-temperature water (~20–24 °C) as responded in previous clarification request, such as:- Reduced Bowel Spasms: Warm water helps minimize colonic spasms by relaxing the intestinal smooth muscles, which is a common cause of pain during scope advancement.- Lower Pain Scores: Patients receiving 36–37 °C irrigation reported lower pain scores compared to those receiving cooler water (~17.5 °C), even when sedation levels remained the same.- Minimal/Unsedated Success: Warm water immersion significantly increases the success rate and patient tolerance of procedures performed with minimal or no sedation.- Post-Procedural Comfort: The use of warm water is linked to lower levels of discomfort up to two hours after the procedure's completion- Improved Visibility: Room-temperature water has been linked to increased mucus secretion in the rectosigmoid colon, which can impair mucosal visualization. Maintaining water at 37 °C helps keep the luminal view clear, reducing the need for additional cleansing during the withdrawal phase.- Enhanced Cecal Intubation: Warm water facilitates the passage of the colonoscope through difficult or angulated segments by straightening the sigmoid colon and reducing friction.- Detection of Active Bleeding: In cases of massive diverticular bleeding, 37 °C water can induce vasodilation to help identify the source of bleeding. In contrast, room-temperature or cold water may cause vasoconstriction, potentially masking the bleeding site.- Efficiency and Recovery: Procedures using warm water often result in shorter recovery room times and higher overall efficiency for the endoscopy unit.All functionality equivalent solutions will be considered as compatible and technical specifications for lot 2.1, line 40 will be amended into "With water warmer to supply water at body temperature (37ºC) OR EQUIVALENT SOLUTION"

New clarification added: Q.6:Please find below our questions and comments regarding Lot 4 – Videoendoscopic System (Gastroscope and Colonoscope):Line 17 – Quality and color temperature not less than 5000 K to 7000 K:The specification refers to color temperature expressed in Kelvin, which is typically applicable to xenon light sources. However, LED light sources are generally characterized by lumen output rather than a fixed Kelvin value. As the offered system is equipped with an LED light source, a specific Kelvin value cannot be indicated; instead, the lumen specification is provided.Kindly confirm whether compliance may be demonstrated based on the lumen specification.Line 54 – Noise level not more than 39 dB:Kindly clarify whether this noise level requirement may be interpreted in a functional and performance-based manner. The specified value of 39 dB may be restrictive, as many aspiration pumps used in endoscopic procedures operate at higher noise levels while remaining within internationally accepted limits and without adversely affecting patient safety, clinical performance, or user comfort.Please confirm whether aspiration systems with proven clinical usability and compliance with applicable standards may be considered acceptable.Line 57 – Pump weight not more than 12 kg:Kindly clarify whether this requirement may be interpreted in a functional and performance-based manner. The specified pump weight appears to reflect a design preference rather than a clinical or safety requirement. Aspiration pumps intended for stationary use within an endoscopy unit may exceed this weight while remaining fully compatible with the system and without affecting functionality, safety, or clinical workflow.Please confirm whether pumps with higher weight but equivalent clinical performance may be considered acceptable.Line 67 – Cart weight not more than 50 kg:Kindly clarify whether this requirement may be interpreted in a functional and performance-based manner. Carts with reinforced structures and higher load-bearing capacity may exceed the specified weight while remaining fully suitable for stationary use, system integration, and clinical workflow.Please confirm whether carts with higher weight but equivalent functionality, stability, and safety may be considered acceptable.A.6:Please find below the responses related to Lot 4:Line 17:LED light sources used in endoscopy are specified using both color temperature (measured in Kelvins) and brightness (measured in lumens). Both parameters are essential for accurate visualization during medical procedures. Therefore, both quality and color temperature must be demonstrated in the bid submission.Line 54:The specified noise level reflects a specific client request. However, offers with higher noise levels will be considered during evaluation, as this characteristic does not affect the functionality of the equipment.Line 57:The specified maximum pump weight reflects a specific client request. However, offers with higher weight will be considered during evaluation, as this characteristic does not affect the functionality of the equipment.Line 67:The specified maximum cart weight reflects a specific client request. However, offers with higher weight will be considered during evaluation, as this characteristic does not affect the functionality of the equipment.

New clarification added: Q.5:Line 16 – Manual or automatic switch between steam and electric heating:Kindly clarify whether this requirement is applicable to washer-disinfectors for flexible endoscopes, which typically operate using validated low-temperature processes and do not employ steam or thermal heating. Features such as steam/electric heating selection are more commonly associated with thermal washer-disinfectors or sterilization equipment.Please confirm whether systems providing compliant low-temperature endoscope reprocessing in accordance with applicable standards may be considered acceptable without this feature, in order to allow broader manufacturer participation and enhance competition for the benefit of the institution.Line 18 – Accessories (scope rinsing syringe, mixing beaker, leakage tester, channel cleaning brush, cleaning opening brush):Kindly clarify whether this requirement applies to accessories that must be supplied as separate items, or whether functionally equivalent solutions may be considered acceptable.In current market practice, some washer-disinfectors incorporate built-in or automated functions (e.g. internal leak testing) and therefore do not require separate external accessories. Please confirm whether systems providing equivalent functionality through integrated features may be considered compliant, in order to allow broader manufacturer participation and enhance competition.Line 19 – Leakage and spill-over box included:Kindly clarify the intended purpose and applicability of this requirement for washer-disinfectors for flexible endoscopes. In current market practice, flexible endoscope washers generally do not incorporate a separate leakage or spill-over box, as such functions are either not required or are managed through integrated system design and facility drainage arrangements.Please confirm whether washer-disinfectors that provide safe and compliant operation in accordance with applicable standards may be considered acceptable without a separate leakage and spill-over box, in order to allow broader manufacturer participation and enhance competition for the benefit of the institution.A.5:Lot 2.2 – Lines 16, 17, and 18:The suggested solutions will be considered technically compliant, provided that alternative integrated solutions are offered and demonstrate equivalent functionality and performance.

New clarification added: Q.4:Please find below our questions regarding Lot 2.2 – Washer for Flexible Endoscopes:Line 7 – Washing based on cassette system to avoid hand contact:Kindly clarify whether this requirement may be interpreted in a functional manner, namely as a system that ensures minimal direct handling of flexible endoscopes during loading and processing, regardless of whether this objective is achieved through a cassette-based mechanism or through alternative validated loading methods.In current market practice, washer-disinfectors for flexible endoscopes may employ different design approaches (e.g. direct placement in a chamber with dedicated connectors) that equally achieve the objective of reducing operator contact and ensuring safe handling.Please confirm whether such functionally equivalent solutions may be considered compliant, provided they meet all applicable standards and safety requirements, in order to allow broader manufacturer participation and enhance competition.Line 8 – Preferably cassette coding for automatic program selection and start:Kindly clarify whether this requirement may be interpreted in a technology-neutral and functional manner, allowing systems that ensure correct and safe program selection either through cassette coding or, in the absence of cassette mechanisms, through manual or system-guided program selection by the user.Please confirm whether such functionally equivalent solutions may be considered compliant, provided all applicable standards and safety requirements are met.Line 9 – Preferably automatic cassette drive and door opening:Kindly clarify whether this requirement may be interpreted in a functional and technology-neutral manner, allowing washer-disinfectors that do not employ cassette-based systems and where door or cover opening is performed manually by the operator.Please confirm whether such solutions may be considered compliant, provided they meet all applicable safety and performance requirements.Line 10 – Glass top door:Kindly clarify whether this requirement may be interpreted in a material-neutral manner, allowing top doors made of glass or other transparent materials such as medical-grade acrylic, which are commonly used in current market offerings and provide equivalent visibility, durability, and safety.Please confirm whether such functionally equivalent solutions may be considered compliant.Line 11 – Drying by high-performance turbine with HEPA filter:Kindly clarify whether this requirement may be interpreted in a functional and technology-neutral manner, recognizing that hospital endoscopy units typically operate within controlled ventilation environments and that many washer-disinfectors for flexible endoscopes on the market ensure safe and effective drying without incorporating a dedicated HEPA filter within the device.Please confirm whether washer-disinfectors providing validated drying performance and compliance with applicable standards may be considered compliant regardless of whether a separate HEPA filter is integrated.Line 12 – Independent sensors for temperature control according to EN ISO 15883:Kindly clarify whether this requirement is intended to apply to low-temperature processing of flexible endoscopes. Exposure to high temperatures may damage endoscope materials, and independent temperature sensors are typically associated with thermal washer-disinfectors rather than flexible endoscope washers.Please confirm whether systems providing validated low-temperature process control in accordance with applicable standards may be considered compliant.Line 14 – Steam heating for shorter program cycles:Kindly clarify the applicability of this requirement for washer-disinfectors used for flexible endoscopes. In standard practice, flexible endoscopes are reprocessed using low-temperature chemical disinfection, as exposure to steam or elevated temperatures may adversely affect endoscope materials.Please confirm whether washer-disinfectors employing validated low-temperature processes in accordance with applicable standards may be considered compliant.Line 15 – Exhaust air condenser with heat recovery:Kindly clarify the relevance of this requirement for washer-disinfectors used for flexible endoscope reprocessing. Exhaust air condensers with heat recovery are typically associated with thermal washer-disinfectors or sterilization equipment, whereas flexible endoscope washers generally operate using low-temperature processes.Please confirm whether washer-disinfectors that comply with applicable standards and provide validated low-temperature processing may be considered acceptable without an integrated exhaust air condenser with heat recovery.To be continued in the next message.A.4: Please find below the responses related to Lot 2.2:Line 7:The suggestion is accepted. Line 7 will be amended to read:“Washing works based on cassette system to avoid contact with the hands of the operator or equivalent solution.”Line 8:The suggestion is accepted. Line 8 will be amended to read:“Preferably cassette coding for automatic program selection and start or equivalent solution.”Line 9:The suggestion is accepted. Line 9 will be amended to read:“Preferably automatic cassette drive and door opening or equivalent solution.”Line 10:The suggestion is accepted. Line 10 will be amended to read:“Glass top door or equivalent solution.”Line 11:The suggestion is accepted. Line 11 will be amended to read:“Drying by high-performance turbine with HEPA filter or equivalent solution.”Lines 12 and 14:The suggested solutions will be considered technically compliant provided that alternative integrated solutions are offered and demonstrate equivalent performance.Line 15:The requirement for an exhaust air condenser with heat recovery reflects a specific client request. Therefore, solutions not meeting this requirement and not offering an adequate technical alternative will be considered non-compliant.

New clarification added: Q.3:Please find below our questions and comments regarding the technical specifications.Lot 2.1: Endoscopy Tower including Colonoscope and GastroscopeLine 7: Color temperature, minimum 6000 KThe specification refers to a color temperature value in Kelvin, which is typically applicable to xenon light sources. LED light sources, however, are generally characterized by lumen output rather than color temperature expressed in Kelvin. As the offered system is equipped with an LED light source, a Kelvin value cannot be indicated; instead, the lumen output is provided.Kindly confirm whether compliance may be demonstrated based on lumen output for LED-based systems.Line 11: Automatic failed lamp replacing systemThe requirement for an automatic failed lamp replacement system is commonly associated with xenon-based light sources, where redundant lamps are used to mitigate lamp failure. Modern LED-based illumination systems, including those with multiple LED arrays, are designed as integrated systems and provide longer service life, higher reliability, lower heat generation, and reduced maintenance compared to xenon technology. As such, they do not incorporate a lamp replacement mechanism.Please clarify whether LED-based illumination systems that provide equal or superior performance and operational continuity may be considered compliant with this requirement.Line 40: Water warmer supplying water at body temperature (37 °C)The requirement for warm water may be more relevant to laparoscopy systems rather than endoscopy. In endoscopic procedures, water is typically used for short durations to clean the visual field, and water at room temperature is generally clinically sufficient. Accordingly, a water-warming function supplying water at body temperature is not considered necessary for endoscopic applications.Please confirm whether this requirement may be treated as optional or considered functionally equivalent, allowing systems without an integrated water-warming function, provided that:the system supports effective irrigation for visualization and cleaning purposes; andthe absence of water warming does not affect patient safety, diagnostic quality, or clinical outcomes in endoscopy.Alternatively, please advise whether compliance may be demonstrated through external or procedural means, such as manual preparation of irrigation water, in order to allow participation of a wider range of compliant manufacturers.Line 84: Accessories for duodenoscopeThis line refers to accessories for a duodenoscope. However, the tender specifications do not include any technical requirements or parameters for a duodenoscope.Kindly clarify whether this reference should be disregarded or amended accordingly.A.3:Please find below the responses related to Lot 2.1:Line 7:The color temperature of LED light sources used in endoscopic towers typically ranges between 5500 K and 6500 K, which approximates natural daylight and ensures optimal visualization during procedures. Therefore, Line 7 remains unchanged.Line 11:The suggestion is accepted, and Line 11 will be removed from the technical specifications.Line 40:The primary purpose of using warmed water is to enhance patient comfort and support improved procedural outcomes. As many modern endoscopic irrigation systems include this functionality and this requirement reflects a specific request of the client, Line 40 remains unchanged.Line 84:The suggestion is accepted, and Line 84 will be removed from the technical specifications.

New clarification added: Q.2:As the Christmas and New Year holidays are approaching, many manufacturers will be unavailable during this period. In addition, due to year-end closing activities, manufacturers are currently focused on completing pending orders and are therefore unable to issue new quotations at this time. Please also note that our office will remain closed during the Christmas and New Year holidays until 5 January 2026.In view of the above, we kindly request your consideration for an extension of the tender submission deadline, which would allow us sufficient time to obtain the required quotations from manufacturers and submit our best and most competitive offer.A.2:The request is accepted, and the bid submission deadline is extended until 8 January 2026.

New clarification added: Q.1:Please kindly clarify the following:Lot 2.1Position 1: “Fully digital system, including light source, colonoscope, gastroscope, video processor, monitor, suction and irrigation, duodenoscope, cart, rack and accessories.”Question: Is a duodenoscope required to be supplied under this position? If yes, the detailed technical requirements are not specified in the document. If no, we kindly request that the duodenoscope be removed from the description, along with Position 84 (“For the duodenoscope: carrying case, lubricating oil, end caps for working channel, end caps for connectors, protective nozzle, cleaning set”).A.1:Lot 2.1Position 1: The suggestion is accepted. The reference to “duodenoscope” will be removed from Line 1.Position 84: The requirement under Line 84 will be removed from the technical specifications.