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					National Non-Drug List                                                   PHYSIOTHERAPY DEPARTMENT                                                                             1st Edition, 2012




                                                                            ANNUAL INDENT: 2013-2014

Name of the Health Centre:                                                                                                                                   Date:

  Note: Fill in the quantity required only against those rows which has "√" marks against the level of your Health Centre. You are strictly advised to follow this standard format only
                                                                                                                Qty.     Qty.   Current Average   Qty.
                                                                                                      BHU BHU
   S/No                    Particular Specification                  Sub Div P/Size NRH RRH DH                Indented Received stock monthly Required Remarks
                                                                                                       I   II
                                                                                                                12-13   12-13   Balance   use   for 13-14
                                                                                      Equipment
          Cervical & Lumbar Traction Machine with
          Versatility, Tension Main Timer, Hold Timer, Patient
          control switch, Traction pilot light Safety Fuse with
          table and cervical and Lumbar harness, Thoracic
          Harness, Spreader bar, Pillow and triangular flexion
          stool. Power cord with round 3 pin top. Appropriate
PHY/E-101                                                             PEM     Set     √     √     √
          voltage stabilizer should be provided with the unit. a.
          Cervical & Lumbar Traction Machine Cables (chains).
          b. Cervical & Lumbar Traction Machine: Cervical.
          Environmental operating condition: 2Power supply:
          220V-230V,50Hz, Power cord of round 3 pin plug top.
          Suitable voltage stabilizer. RH >80%.

          Cold Pack Machine: Top loading unit with five cubic
          feet of storage. Fast freeze circuit with adjustable
          thermostatic control standard size: a. Cold pack 23 inch
          neck contour with cover. b. Cold pack Half size with
PHY/E-102                                                             PEM     Set     √     √     √
          cover. c. Cold pack Oversize with cover. Environmental
          operating condition: Power supply: 220V-230V,50Hz,
          Power cord of round 3 pin plug top. Suitable voltage
          stabilizer. RH >80%.




                                                        Quality Assurance and Standardization Division, Ministry of Health, THimphu
National Non-Drug List                                                   PHYSIOTHERAPY DEPARTMENT                                       1st Edition, 2012




          Combined Ultrasound and Interferential: Combined
          with muscle stimulator including 3 waveforms:
          Interferential, Russian, premodulated. To be used
          independently or in combination. Rubber electrodes
PHY/E-103 with sponge or self adhesive electrodes for Combined        PEM     Set     √      √    √
          Ultrasound and Interferential. Environmental operating
          condition: Power supply: 220V-230V,50Hz, Power
          cord of round 3 pin type plug top. Suitable voltage
          stabilizer. RH >80%.

          Electric muscle stimulator: Diagnostic cum
          therapeutic unit, suitable for taking S.D curve,
          producing different types of stimulating currents i.e
          Galvanic and faradic current . The stimulating current
          outputs are: Galvanic - continuous DC upto 135 volts
          for a maximum of 0-75mA load. Interupted Galvanic -
PHY/E-104 Pulse durationof 0.01, 0.03, 0.1, 0.3, 1, 3, 10, 30, 100,   PEM     Set     √      √    √
          300m sec. Faradic - 80 pulse per second duration with
          0.6 ms width. Accessories - Inactive and active plate
          electrodes, ball tip electrode with handle, 2 pair
          electrode wires. Environmental operating condition:
          Power supply: 220V-230V,50Hz, Power cord of round
          3 pin plug top. Suitable voltage stabilizer. RH >80%.

          Hot Pack Machine: Stainless steel with on/off switch
          and thermostatic control. Preset normal operating
          temperature control, Preset normal operating
          temperature control. a. Hot Pack Contour cervical Pack
PHY/E-105                                                             PEM     Set     √      √    √
          with cover. b. Hot Pack Half size Pack with cover.
          Environmental operating condition: Power supply:
          220V-230V,50Hz, Power cord of round 3 pin type
          plug top. Suitable voltage stabilizer. RH >80%.
          Infrared 500 watt with Automatic timer, thread type
          bulb. Environmental operating condition: Power
PHY/E-106                                                             PEM     Set     √      √    √
          supply: 220V-230V,50Hz, Power cord of round 3 pin
          type plug top. RH >80%.




                                                          Quality Assurance and Standardization Division, Ministry of Health, THimphu
National Non-Drug List                                                  PHYSIOTHERAPY DEPARTMENT                                       1st Edition, 2012




          Interferential Machine: Two oscillators of medium
          frequency are generated and cross- applied to the body
          by means of four electrode pads/self adhesive
          electrodes. Oscillator frequency fixed to 4000 Hz and
          second can be ranged to 4000 – 4150 Hz. a.
          Interferential Machine cable to the pads. b.
          Interferential Machine pad-large with cover/self
PHY/E-107                                                             PEM    Set     √      √    √
          adhesive electrodes. c. Inferential machine pad -
          medium with cover/self adhesive electrodes. d.
          Inferential machine pad small with cover/self adhesive
          electrodes. e. interferential machine switch cable.
          Environmental operating condition: Power supply:
          220V-230V,50Hz, Power cord of round 3 pin type
          plug top. Suitable voltage stabilizer. >80%.

          Short Wave Diathermy SWD: High power short wave
          Diathermy with patient’s switch & internal cooling
          system along with additional voltage stabiliser 450
PHY/E-108 watts. Environmental operating condition: Power             PEM    Set     √      √    √
          supply: 220V-230V,50Hz, Power cord of round 3 pin
          plug top. Suitable high quality voltage stabilizer should
          be provided with the unit. RH >80%.

          Therapeutic LASER: Mid laser used by
          physiotherapist. Helium-neon laser producing red light
          at 630nm combined with infrared laser at 904nm, or
PHY/E-109 other physiotherapy laser. Environmental operating          PEM    Set     √      √
          condition: RH >80%. Input voltage 220-230V, Power
          cord with round 3 pin top. Appropriate voltage
          stabilizer should be provided with the unit.
          Therapeutic Ultra Sound Machine: Ultra sonic Deep
          Therapy Unit with complete set including Transducer.
PHY/E-110 Environmental operating condition: RH >80%. Input           PEM    Set     √      √    √
          voltage 220-230V, Power cord with round 3 pin top.
          Appropriate voltage stabilizer should be provided with
          the unit..




                                                         Quality Assurance and Standardization Division, Ministry of Health, THimphu
National Non-Drug List                                                 PHYSIOTHERAPY DEPARTMENT                                       1st Edition, 2012




          Transcutaneous Electrical Nerve Stimulator
          (TENS): Small home stimulation pack (dual channel)
          with wire attachments, electrodes, 9 V batteries. a.
          Transcutaneous Electrical Nerve Stimulator (TENS):
          9V battery. b. Transcutaneous Electrical Nerve
          Stimulator. 1. Dual channel: individually isolated
          circuits. 2. Amplitude: 0 mA - 80 mA; indication only;
          actual mA will tend to be less than indicated due to
          electrode impedance. 3. Type: Constant Current. 4.
          Waveform: Asymmetrical, rectangular bi-phasic with
          zero DC current. 5. Selectable pulse width: 50 µS - 300
PHY/E-111                                                            PEM    Set     √      √    √
          µS [2% accuracy]. 6. Pulse Rate selection: in the
          continuous mode 2 Hz – 200 Hz [2% accuracy]. 7.
          Mode: Continuous, Burst or Modulated. 8. Burst mode:
          Bursts of 9 pulses [200 µS] at 150 Hz, repeating twice
          every second. 9. Modulation mode: 6-second cycle of
          concurrent width modulation and pulse repetition rate
          modulation. Width starting at 200 µS and decreasing
          exponentially to 100 µS in three seconds and then
          returning back to 200 µS in the next three seconds. Rate
          starting at 100 Hz, decreasing exponentially to 65 Hz
          and then returning to 100 Hz. 10. Time duration of the
          treatment selectable: 1 minute to 12 hours. 11. Low




                                                        Quality Assurance and Standardization Division, Ministry of Health, THimphu
National Non-Drug List                                                 PHYSIOTHERAPY DEPARTMENT                                      1st Edition, 2012




          Adaptive sitting chair: A sturdy and comfortable
          seating system, the High Low Chair (for children up to
          45" in height) is a combination high chair and mobile
          floor sitter for children. Comfortable, Secure
          Positioning. Easily converts to a mobile floor sitter by
          detaching the upper frame from the pedestal base.
          Adjusts in height with the use of a single lever that
          activates a pneumatic cylinder. The mobile floor sitter
          frame is constructed of 1" powder coated tubular steel
          with locking casters. The cushioned seat is covered
PHY/E-112 with a water proof, easy to clean polymer coated fabric. PMA      Set    √      √
          The durable melamine tray remains securely in place
          with a quick release locking lever. Include H-strap
          harness, washable cotton quilted trunk support,
          removable abductor and tray. An accessory head
          support and lateral supports are available. The high low
          chair, seat depth: 7" - 10", seat back height: 22", seat
          width: 12", High chair seat height: 19", Floor sitter seat
          height: 24", Tilt in space angle: 15°, 20°, 25°, Weight
          of seat and frame: 46 lbs, Weight capacity of Hi Low
          chair:75 lbs, Wheel diameter: 2", Foot rest dimensions:
          6" x 12", Tray dimensions: 12" x 18". Input voltage 220-
          Assorted square & round pegboard: wooden board
PHY/E-113 with 20 multi colour wooden pegs (10 round & 10            PEE   Set     √      √
          square) in four rows. Peg size - 76 x 16 mm
          Corner Chairs: Provide support for symmetrical
          posture and mid-line control of head and trunk and
          improve breathing for children who have low trunk
          tone. Prevents scapular and shoulder retraction, a
          pattern frequently seen in children who cannot stabilize
          against gravity. Age/Size: 8 months - 4 years, 4 years -
PHY/E-114                                                            PMA    Set    √      √
          8 years. Height of chair with head supports, adjusts
          from 51 cm - 69 cm, adjust from 74 cm - 104 cm.
          Removable tray: 38 cm x 43 cm, 46 cm x 51 cm. Seat
          depth with insert: 20 cm, 26 cm. Seat depth without
          insert: 30 cm, 36 cm. Removable abductor: 8 cm wide,
          10 cm wide. Chair with 4" swivel, locking casters.




                                                       Quality Assurance and Standardization Division, Ministry of Health, THimphu
National Non-Drug List                                                  PHYSIOTHERAPY DEPARTMENT                                       1st Edition, 2012




          Delux revolving hole punch, length 22 cm, throat
PHY/E-115 depth 3.8 cm with replacement tubes of 2.4 mm tube,        PEE    Piece    √      √
          2.8 mm, 3.2 mm, 4 mm, 4.4 mm, & 4.8 mm
          Dumbbell of Stainless steel with weight of 1 kg, 1.5
PHY/E-116 kg, 2 kg, 2.5 kg, 3 kg, 3.5 kg, 4 kg, 4.5 kg, 5 kg (one    PEE     Set     √      √    √
          pair each) in a set with stand frame.
          Electric Treadmill: 0.1mph to 11 mph adjustable
          speed (0.1 mph increments). Incline range from 0 -15 %
          in 1% increments. Support bars on both sides. Surface
PHY/E-117 area - 51 x 140 cm, safely stop button, hand rails,        PEE     Set     √      √    √
          weight capacity 400Ibs. Environmental operating
          condition: RH >80%. Power supply: 220V-230V,50Hz,
          Power cord of round 3 pin plug top. Suitable voltage
          stabilizer,
          EMG bio-feedback, pressure feedback, electrotherapy
          and electro diagnostics. The myofeedback unit is
          provided with separate part for myofeedback, pressure
          feedback and combination with electrotherapy. Several
          surface and cavity electrodes can be connected. This
PHY/E-118                                                            PEE     Set     √
          makes the unit extremely suitable for all kinds of
          exercise and relaxation therapies including Pelvic floor
          re-education. Environmental operating condition:RH
          >80%. Power supply: 220V-230V,50Hz, Power cord
          of round 3 pin plug top. Suitable voltage stabilizer.

          Heat gun (230 volt - UK Plug): A free standing, light
          weight heat gun for use with all types of thermoplast
PHY/E-119 with 2 hot air settings 300°C - 500°C. Weight 550 gm.      PEE     Set     √      √
          Environmental operating condition: RH >80%,
          Voltage: AC 210-240V, 50Hz .




                                                         Quality Assurance and Standardization Division, Ministry of Health, THimphu
National Non-Drug List                                                  PHYSIOTHERAPY DEPARTMENT                                       1st Edition, 2012




          Magnetic Field Therapy Unit, MG-Wave is a portable
          unit for therapy with low-frequency pulsating
          electromagnetic field. Specification: Field Pilot Signal:
          rectangular. Pulse Duration: Upto 5ms, Frequency: 1 +
          750Hz, Max B Induction: 150 gauss (peak) (± 15%) on
          Piece coil, Timer: 0+240min, end-of-treatment acoustic
PHY/E-120                                                             PEE    Set     √
          signal and automatic interruption of operation. Power
          Supply: 100-200 Vac, 50-60Hz wall-mounted power
          supply. Input: 75VA, Safety Class: II- BF type (CEI EN
          60601-1). Environmental operating condition: Power
          supply: 220V-230V,50Hz, Power cord of round 3 pin
          plug top. Suitable voltage stabilizer. RH >80%.

          Manu med Optimal 6-Section: Hydraulic high-
          low/Electric high-low, head section, flexion position,
PHY/E-121                                                             PEE    Set     √      √
          separate leg section, table top size 280 x 67cm, height
          adjustment 48-98cm.
          Mirror (movable) for therapeutic - size (27 inch W x72
PHY/E-122                                                             PEE   Piece    √      √    √
          inch H)
          Mobile Pulley Weight system: Pulley height to be
          fully adjustable to any height. Adjustable weight stacks
PHY/E-123                                                             PEE    Set     √      √    √
          in 5lb increments, with removable 0.25 kg weight slug.
          With ankle strap, handle, and bar.
            Parallel Bars (adjustable) Height and width by crank
PHY/E-124                                                             PEE    Set     √      √
            arm 3 m long. with base included - Paediatric
            Parallel Bars (adjustable) Height and width by crank
PHY/E-125                                                             PEE    Set     √      √    √
            arm 4.5 m long. with base included - Adult
          Paediatric positioner: Half roll with two lateral
          supports. Wedge, Log roll, Tray with mirror for creative
          positioning, Carrying bag, Modules allow for a variety
PHY/E-126                                                          PMA        Set    √      √
          of creative positioning, Three positioning belts help to
          secure child, Soft covering is easy to clean and is
          nontoxic. Size: 34"x 19" (86 cm x 48 cm) base




                                                         Quality Assurance and Standardization Division, Ministry of Health, THimphu
National Non-Drug List                                                 PHYSIOTHERAPY DEPARTMENT                                       1st Edition, 2012




          Recumbent Cycle Trainer: Adjustable seat height and
          distance and adjustable resistance. Electric or battery
PHY/E-127                                                           PEE     Set     √      √    √
          operated display to show RPM, time, resistance level,
          distance, speed.
            Shape sorting cube with 10 multi colour wood blocks:
PHY/E-128                                                           PEE     Set     √      √
            size of box - 5.5 inch L x 5.5 inch W x 5.5 inch D.
PHY/E-129 Compact Shoulder Wheel                                    PEE    Piece    √      √    √
          Stacking cones with sequencing & colour identity, size
PHY/E-130                                                           PEE     Set     √      √    √
          - 4.5 inch H x 2.5 inch diameter
PHY/E-131 Standing frame - Adult                                    PEE     Set     √      √    √
PHY/E-132 Standing frame - Paediatric                               PEE     Set     √      √
          Tilt Table: Adult size, manual, dimension 78" lengthX
PHY/E-133 28" widthx 33" height, weight capacity 230 lbs with       PEE     Set     √      √    √
          angles from 0-90 degrees
PHY/E-134 Wire cutter, heavy duty, length 22 cm                     PEE    Piece    √      √
          Crank adjustable Hi-Lo Mat platform. 183cm x 244
PHY/E-135                                                           PEE     Set     √      √    √
          cm
          Therapeutic ball, red: Treat individual demonstrating
          difficulty with balance equilibrium kinesthesia
PHY/E-136 proprioception, motor planning, vision, behavior          PEE    Piece    √      √
          disorders or muscle imbalance. Use as an evaluation
          device when an individual's inability to adequately per

          Therapeutic ball, blue: Treat individual demonstrating
          difficulty with balance equilibrium kinesthesia
PHY/E-137 proprioception, motor planning, vision, behavior          PEE    Piece    √      √
          disorders or muscle imbalance. Use as an evaluation
          device when an individual's inability to adequately.
          Therapeutic ball, green Treat individual
          demonstrating difficulty with balance equilibrium
PHY/E-138 kinesthesia proprioception, motor planning, vision,       PEE    Piece    √      √
          behavior disorders or muscle imbalance. Use as an
          evaluation device when an individual's inability to
          adequately




                                                        Quality Assurance and Standardization Division, Ministry of Health, THimphu
National Non-Drug List                                                     PHYSIOTHERAPY DEPARTMENT                                    1st Edition, 2012




            Therapeutic ball, orange: Treat individual
            demonstrating difficulty with balance equilibrium
PHY/E-139   kinesthesia proprioception, motor planning, vision,       PEE    Piece   √      √
            behavior disorders or muscle imbalance. Use as an
            evaluation device when an individual's inability to
            adequately
            Therapeutic ball, yellow: Treat individual
            demonstrating difficulty with balance equilibrium
PHY/E-140   kinesthesia proprioception, motor planning, vision,       PEE    Piece   √      √
            behaviour disorders or muscle imbalance. Use as an
            evaluation device when an individual's inability to
            adequately
            Inflation valve plug remover: Quickly and easily
PHY/E-141   removes stubborn air valve plugs from inflatable balls,   PEE    Piece   √      √
            toys.
            Two-way Air pump: Manually operated pump inflates
PHY/E-142   balls, toys air mattresses etc on up and down strokes     PEE    Piece   √      √
            cutting effort in half.
            Trampoline: The trampoline comes with an easy grip
            handle, to encourage children to exercise and keep fit.
            Suitable for both indoor and outdoor use, the
            trampoline has a tough weatherproof mat and tubular
            steel frame with a durable coated finish, padded cover
PHY/E-143   around the mat that cushions the frame and prevents       PEE    Set     √      √
            children from stepping through the bungee cord. The
            handle simply screws off and the legs fold down for
            ease of storage. Weight: 8 Kg, from handle to floor:
            32.25", dimensions: 33.75" x 33.75", maximum weight:
            supports up to 68Kgs.
                                                                                     Consumables
            Cold pack 23 inch neck contour with cover(It should be
PHY/C-201                                                             PC     Piece   √      √    √
            compatible for Cold pack machine)
            Cold pack Half size with cover (It should be compatible
PHY/C-202                                                             PC     Piece   √      √    √
            for Cold pack machine).
            Cold pack Oversize with cover (It should be compatible
PHY/C-203                                                             PC     Piece   √      √    √
            for Cold pack machine).
            Cold pack Standard size with cover (It should be
PHY/C-204                                                             PC     Piece   √      √    √
            compatible for Cold pack machine).




                                                         Quality Assurance and Standardization Division, Ministry of Health, THimphu
National Non-Drug List                                                      PHYSIOTHERAPY DEPARTMENT                                    1st Edition, 2012




            Electric muscle stimulator Pads - medium (It should be
PHY/C-205                                                              PC     Piece   √      √    √
            compatible for Electric Muscle Stimulator machine)

            Electric muscle stimulator Pads - small (It should be
PHY/C-206                                                              PC     Piece   √      √    √
            compatible for Electric Muscle Stimulator machine)
            Finger Hooks, 6.4 mm, steel used in splinting (Packet
PHY/C-207                                                              PC     Pkt     √      √
            of 100)
            Hot Pack Contour cervical Pack with cover (It should
PHY/C-208                                                              PC     Piece   √      √    √
            be compatible for Hot Pack Machine)
            Hot Pack Half size Pack with cover (It should be
PHY/C-209                                                              PC     Piece   √      √    √
            compatible for Hot Pack Machine)
            Hot Pack Oversize Pack with cover (It should be
PHY/C-210                                                              PC     Piece   √      √    √
            compatible for Hot Pack Machine)
            Hot Pack Standard size Pack with cover(It should be
PHY/C-211                                                              PC     Piece   √      √    √
            compatible for Hot Pack Machine)
            Interferential Machine cable to the pads (It should be
PHY/C-212                                                              PC     Piece   √      √    √
            compatible for Interferential machine).
            Interferential Machine Pad - medium (It should be
PHY/C-213                                                              PC     Piece   √      √    √
            compatible for Interferential machine).
            Interferential Machine Pad - small (It should be
PHY/C-214                                                              PC     Piece   √      √    √
            compatible for Interferential machine).
            Interferential Machine Pad cover – medium (It should
PHY/C-215                                                              PC     Piece   √      √    √
            be compatible for Interferential machine).
            Interferential Machine Pad cover- small (It should be
PHY/C-216                                                              PC     Piece   √      √    √
            compatible for Interferential machine).
            Interferential Machine Switch cable (It should be
PHY/C-217                                                              PC     Piece   √      √    √
            compatible for Interferential machine).
            Exercise Band: Natural rubber latex resistive exerciser,
PHY/C-218   color-coded levels of progressive resistance. Size: 15     PC     Piece   √      √    √
            cmx5.5 m long (Yellow: Light)
            Exercise Band: Natural rubber latex resistive exerciser,
PHY/C-219   color-coded levels of progressive resistance. Size: 15     PC     Piece   √      √    √
            cmx5.5 m long (Red: Medium)
            Exercise Band: Natural rubber latex resistive exerciser,
PHY/C-220   color-coded levels of progressive resistance. Size: 15     PC     Piece   √      √    √
            cmx5.5 m long (Green: Heavy)




                                                          Quality Assurance and Standardization Division, Ministry of Health, THimphu
National Non-Drug List                                                    PHYSIOTHERAPY DEPARTMENT                                    1st Edition, 2012




          Exercise Band: Natural rubber latex resistive exerciser,
PHY/C-221 color-coded levels of progressive resistance. Size: 15     PC     Piece   √      √    √
          cmx5.5 m long (Blue: Extra Heavy)

          Exercise Band: Natural rubber latex resistive exerciser,
PHY/C-222 color-coded levels of progressive resistance. Size: 15     PC     Piece   √      √    √
          cmx5.5 m long (Black:2X Heavy)
          Transcutaneous Electrical Nerve Stimulator (TENS):
PHY/C-223 Machine cable (It should be compatible for                 PC     Piece   √      √    √
          Transcutaneous Electrical Nerve Stimulator)
          Transcutaneous Electrical Nerve Stimulator (TENS):
          Reusable Self Adhering Electrodes (connecter to the
PHY/C-224                                                            PC     Pkt     √      √    √
          pads) (It should be compatible for Transcutaneous
          Electrical Nerve Stimulator)
          Air cushion: Providing additional shock and vibration
          absorption provides a more pain relieving ability and a
          more stable seating environment. Inflates by mouth or
          with a small portable hand air pump that comes with the
          cushion. Standard size: 22" x 22"/56 cm x 56cm,
          Weight: 1 Kg, Cell Height: 2"/5cm fully inflated (due to
PHY/C-225                                                            PMA     Set    √      √
          the required immersion of the user in the cushion, it
          will raise the user only (1/2")/(1 cm) above the seat),
          Cushion material: Neoprene rubber, Cover material:
          Polyester blend with a non-skid polyester and vinyl
          base, Water Resistance: Cushion and cover are water
          resistant.
                       Consumables - (Mobility Aids)
PHY/C-226   Adjustable Axillary Crutch (Aluminum) - Large            PMA    Pair    √      √    √     √     √
PHY/C-227   Adjustable Axillary Crutch (Aluminum) - Medium           PMA    Pair    √      √    √     √     √
PHY/C-228   Adjustable Axillary Crutch (Aluminum) - Small            PMA    Pair    √      √    √     √     √
PHY/C-229   Adjustable Elbow Crutch (Alumunium) - Large              PMA    Pair    √      √    √     √     √
PHY/C-230   Adjustable Elbow Crutch (Alumunium) - Medium             PMA    Pair    √      √    √     √     √
PHY/C-231   Adjustable Elbow Crutch (Alumunium) - Small              PMA    Pair    √      √    √     √     √
PHY/C-232   Elbow Crutch Rubber Tips                                 PMA    Pair    √      √    √
PHY/C-233   Walker Rubber Tips                                       PMA    Pair    √      √    √
PHY/C-234 Adjustable Walker with wheels (Alumunium) - Large          PMA    Piece   √      √    √     √




                                                        Quality Assurance and Standardization Division, Ministry of Health, THimphu
National Non-Drug List                                                   PHYSIOTHERAPY DEPARTMENT                                       1st Edition, 2012




PHY/C-235 Adjustable Walker with wheels (Alumunium) - Medium           PMA   Piece    √      √    √     √

PHY/C-236 Adjustable Walker with wheels (Alumunium)- Small             PMA   Piece    √      √    √     √
          Adjustable Walker without wheels (Alumunium) -
PHY/C-237                                                              PMA   Piece    √      √    √     √
          Large
          Adjustable Walker without wheels (Alumunium) -
PHY/C-238                                                              PMA   Piece    √      √    √     √
          Medium
          Adjustable Walker without wheels (Alumunium) -
PHY/C-239                                                              PMA   Piece    √      √    √     √
          Small
          Wheel chair: Solid tires, folding, removable armrests,
          adjustable, swing away, raising footrests, firm and
PHY/C-240                                                              PMA    Set     √      √    √     √
          strong backrest, belt for back stability, strong base
          support, strong and durable brake - Adult

          Wheel chair: Solid tires, folding, removable armrests,
          adjustable, swing away, raising footrests, firm and
PHY/C-241                                                              PMA    Set     √      √    √     √
          strong backrest, belt for back stability, strong base
          support, strong and durable brake - Paediatric
                         Consumables - (Supportive)
          Strapping and Taping Tape: Breathable porous
          athletic tape protects joints from sprains and injuries.
PHY/C-242 Provides support to help speed recovery from injuries,       PSD    Roll    √      √
          high strength, versatile tape for a wide range of uses.
          Easy to tear, no scissors necessary. Size: 3.8 cm x 13.7 -
          32 per case
          Strapping and Taping Tape: Breathable porous
          athletic tape protects joints from sprains and injuries.
PHY/C-243 Provides support to help speed recovery from injuries,       PSD    Roll    √      √
          high strength, versatile tape for a wide range of uses.
          Easy to tear, no scissors necessary. Size: 5 cm x 13.7 -
          24 per case
          Ankle Support/brace: Extra strong highly porous
          orthopedic webbing, containing heat resistant rubber
PHY/C-244                                                              PSD   Piece    √      √    √
          with high modulus of elasticity. Hook loop closure -
          Large




                                                          Quality Assurance and Standardization Division, Ministry of Health, THimphu
National Non-Drug List                                                    PHYSIOTHERAPY DEPARTMENT                                       1st Edition, 2012




            Ankle Support/brace: Extra strong highly porous
            orthopedic webbing, containing heat resistant rubber
PHY/C-245                                                               PSD   Piece    √      √    √
            with high modulus of elasticity. Hook loop closure -
            Medium
            Ankle Support/brace: Extra strong highly porous
            orthopedic webbing, containing heat resistant rubber
PHY/C-246                                                               PSD   Piece    √      √    √
            with high modulus of elasticity. Hook loop closure -
            Small
            Pouch arm sling with ring and straps around the neck
            support and stabilization of shoulder joint. For shoulder
PHY/C-247                                                               PSD   Piece    √      √    √
            dislocation and subluxation, prevention and treatment -
            below 26 cm (child size)
            Pouch arm sling with ring and straps around the neck
            support and stabilization of shoulder joint. For shoulder
PHY/C-248                                                               PSD   Piece    √      √    √
            dislocation and subluxation, prevention and treatment -
            26-30 cm (small)
            Pouch arm sling with ring and straps around the neck
            support and stabilization of shoulder joint. For shoulder
PHY/C-249                                                               PSD   Piece    √      √    √
            dislocation and subluxation, prevention and treatment -
            30-34 cm (medium)
            Pouch arm sling with ring and straps around the neck
            support and stabilization of shoulder joint. For shoulder
PHY/C-250                                                               PSD   Piece    √      √    √
            dislocation and subluxation, prevention and treatment -
            34-38 cm (Large)
PHY/C-251   Back supports: 80 cm                                        PSD   Piece    √      √    √
PHY/C-252   Back supports: 85 cm                                        PSD   Piece    √      √    √
PHY/C-253   Back supports: 90 cm                                        PSD   Piece    √      √    √
PHY/C-254   Back supports: 95 cm                                        PSD   Piece    √      √    √
PHY/C-255   Back supports: 100 cm                                       PSD   Piece    √      √    √
PHY/C-256   Back supports: 105 cm                                       PSD   Piece    √      √    √
PHY/C-257   Back supports: 110 cm                                       PSD   Piece    √      √    √
          Soft Cervical collar, high density polyurethane foam
          cover with cotton stockknitte, plastic bushes to provide
          enough ventilation and Velcro closures for easy
PHY/C-258                                                               PSD   Piece    √      √    √
          application, removal and adjustment, polythylene sheet
          reinforcement for better immobilization: size neck
          circumference in cm 38-42 (large)




                                                           Quality Assurance and Standardization Division, Ministry of Health, THimphu
National Non-Drug List                                                       PHYSIOTHERAPY DEPARTMENT                                   1st Edition, 2012




          Soft Cervical collar, high density polyurethane foam
          cover with cotton stockknitte, plastic bushes to provide
          enough ventilation and Velcro closures for easy
PHY/C-259                                                              PSD     Piece   √     √    √
          application, removal and adjustment, polythylene sheet
          reinforcement for better immobilization: size neck
          circumference in cm 34-38 (medium)

          Soft Cervical collar, high density polyurethane foam
          cover with cotton stockknitte, plastic bushes to provide
          enough ventilation and Velcro closures for easy
PHY/C-260                                                              PSD     Piece   √     √    √
          application, removal and adjustment, polythylene sheet
          reinforcement for better immobilization: size neck
          circumference in cm 30-34 (small)

PHY/C-261 Crepe Bandage - 5 cm x 450 cm (4.5 m stretch length)         PSD     Roll    √     √    √
          Crepe Bandage - 10 cm x 450 cm (4.5 m stretch
PHY/C-262                                                              PSD     Roll    √     √    √
          length)
          Crepe Bandage - 15 cm x 450 cm (4.5 m stretch
PHY/C-263                                                              PSD     Roll    √     √    √
          length)
          Knee Cap/Brace: Elastic construction provides
          effective joint control for weak or injured knees. Aids
          stiff, swollen and painful knees. Ideal for sports, works,
          or home. Feature 11" long thermal neoprene sleeve with
PHY/C-264 nylon facing on both sides and 4-way stretch. Heavy          PSD     Piece   √     √    √
          duty outside for durability and is contoured and darted
          for optimum fit. Retains warmth, promotes healing, and
          reduces abrasions. Fits right or left knee. Measure
          around knee. (Size: small - 12" - 14")




                                                          Quality Assurance and Standardization Division, Ministry of Health, THimphu
National Non-Drug List                                                       PHYSIOTHERAPY DEPARTMENT                                   1st Edition, 2012




          Knee Cap/Brace: Elastic construction provides
          effective joint control for weak or injured knees. Aids
          stiff, swollen and painful knees. Ideal for sports, works,
          or home. Feature 11" long thermal neoprene sleeve with
PHY/C-265 nylon facing on both sides and 4-way stretch. Heavy          PSD     Piece   √     √    √
          duty outside for durability and is contoured and darted
          for optimum fit. Retains warmth, promotes healing, and
          reduces abrasions. Fits right or left knee. Measure
          around knee. (Size: Medium - 14" – 15"

          Knee Cap/Brace: Elastic construction provides
          effective joint control for weak or injured knees. Aids
          stiff, swollen and painful knees. Ideal for sports, works,
          or home. Feature 11" long thermal neoprene sleeve with
PHY/C-266 nylon facing on both sides and 4-way stretch. Heavy          PSD     Piece   √     √    √
          duty outside for durability and is contoured and darted
          for optimum fit. Retains warmth, promotes healing, and
          reduces abrasions. Fits right or left knee. Measure
          around knee. (Size: Large - 15"-17")

          Knee Cap/Brace: Elastic construction provides
          effective joint control for weak or injured knees. Aids
          stiff, swollen and painful knees. Ideal for sports, works,
          or home. Feature 11" long thermal neoprene sleeve with
PHY/C-267 nylon facing on both sides and 4-way stretch. Heavy          PSD     Piece   √     √    √
          duty outside for durability and is contoured and darted
          for optimum fit. Retains warmth, promotes healing, and
          reduces abrasions. Fits right or left knee. Measure
          around knee. (SizeX-Large: 17" - 20")
          Silicon Polymer Heel Pad/cup/Shoe Lift : shoe size 9
PHY/C-268                                                              PSD     Pair    √     √
          and 10 (Large)
          Silicon Polymer Heel Pad/cup/Shoe Lift : shoe size 7
PHY/C-269                                                              PSD     Pair    √     √
          and 8 (Medium)
          Silicon Polymer Heel Pad/cup/Shoe Lift : shoe size 5
PHY/C-270                                                              PSD     Pair    √     √
          and 6 (Small)
             High density foam with synthetic cover (Open-
PHY/C-271                                                              PSD     Piece   √     √    √
             Cell/Urethane-Ether Foam - 2 inches thick, 82" x 76")




                                                          Quality Assurance and Standardization Division, Ministry of Health, THimphu
National Non-Drug List                                                     PHYSIOTHERAPY DEPARTMENT                                    1st Edition, 2012




            High density foam with synthetic cover (Open-
PHY/C-272                                                            PSD     Piece   √      √    √
            Cell/Urethane-Ether Foam - 4 inches thick, 82" x 76")
            Incentive Spirometer: 500 - 4000 ml capacity Latex +
PHY/C-273                                                            PSD     Piece   √      √
            DNR free.
            Moleskin Padding with self adhesive backing, roll of
PHY/C-274                                                            PSD     Roll    √      √
            0.8 mm x 300 mm x 4.6 m
            Splinting material (Thermoplast/ Aquaplast/
PHY/C-275   EZEform): Perforated, thickness 2.4 mm, size - 61 x 91   PSD     Sheet   √      √
            cm
            Splinting material (Thermoplast/ Aquaplast/
PHY/C-276   EZEform): Perforated, thickness 3.2 mm, size - 61 x 91   PSD     Sheet   √      √
            cm
            Splinting material (Thermoplast/ Aquaplast/
PHY/C-277                                                            PSD     Sheet   √      √
            EZEform): Solid, thickness 2.4 mm, size - 61 x 91 cm
            Splinting material (Thermoplast/ Aquaplast/
PHY/C-278                                                            PSD     Sheet   √
            EZEform): Solid, thickness 3.2 mm, size - 61 x 91 cm
PHY/C-279   Tennis Elbow Strap - Large (30-35 cm)                    PSD     Piece   √
PHY/C-280   Tennis Elbow Strap - Medium (25-30 cm)                   PSD     Piece   √
PHY/C-281   Tennis Elbow Strap - Small (18-25 cm)                    PSD     Piece   √
            Varicose vein support stocking: Measures
PHY/C-282   circumference around mid thigh-approximate 6 inches      PSD     Pair    √      √
            above. Extra Large (55-61 cm)
            Varicose vein support stocking: Measures
PHY/C-283   circumference around mid thigh-approximate 6 inches      PSD     Pair    √      √
            above. Large (49-55 cm)
            Varicose vein support stocking: Measures
PHY/C-284   circumference around mid thigh-approximate 6 inches      PSD     Pair    √      √
            above. Medium (43-49 cm)
            Varicose vein support stocking: Measures
PHY/C-285   circumference around mid thigh-approximate 6 inches      PSD     Pair    √      √
            above. Small (37-43 cm)
PHY/C-286   Velcro loop, size - 25 mm, reel 25 meter                 PSD     Roll    √      √
PHY/C-287 Velcro self adhesive hook, size - 25 mm, reel 25 meter     PSD     Roll    √      √
          Wrist brace - strong porous, orthopaedic webbing.
          Double hook loop locking system enhances the
PHY/C-288                                                            PSD     Piece   √      √
          immobilization and provides a firm grip to the wrist.
          Size 20.0-23.8 cm (Large)




                                                         Quality Assurance and Standardization Division, Ministry of Health, THimphu
National Non-Drug List                                                    PHYSIOTHERAPY DEPARTMENT                                       1st Edition, 2012




          Wrist brace - strong porous, orthopaedic webbing.
          Double hook loop locking system enhances the
PHY/C-289                                                             PSD     Piece    √      √
          immobilization and provides a firm grip to the wrist.
          Size 16.3-20.0 cm (Medium)
          Wrist brace - strong porous, orthopaedic webbing.
          Double hook loop locking system enhances the
PHY/C-290                                                             PSD     Piece    √      √
          immobilization and provides a firm grip to the wrist.
          Size 12.5-16.3 cm (Small)
                                                                                        Instrument
           Scissors: Curved Mayo , right handed, Stainless steel,
 PHY/I-301                                                            PEE     Piece    √      √
           length 16 cm
           Scissors: Fiskars, right handed, stainless steel, length
 PHY/I-302                                                            PEE     Piece    √      √
           16 cm
                                                                                        Accessories
          Cervical & Lumbar Traction Machine Cables
PHY/A-401 (chains) (It should be compatible for Cervical &            PEE     Piece    √      √       √
          Lumbar Traction Machine)
          Cervical & Lumbar Traction: Cervical collar for
PHY/A-402 traction (It should be compatible for Cervical &            PEE     Piece    √      √       √
          Lumbar Traction Machine)
          Cervical & Lumbar Traction: Lumbar belt (It should
PHY/A-403 be compatible for Cervical & Lumbar Traction                PEE     Piece    √      √       √
          Machine)
          Combined Ultrasound and Interferential Machine
PHY/A-404 Cable (connector to the pads) (It should be compatible      PEE      Pair    √      √       √
          for Combined Ultrasound and Interferential)
          Combined Ultrasound and Interferential Switch codes
PHY/A-405 (It should be compatible for Combined Ultrasound and     PEE        Piece    √      √       √
          Interferential)
          Electric muscle stimulator Machine cable (connector
PHY/A-406 to the pads)(It should be compatible for Electric muscle PEE         Pair    √      √       √
          stimulator)
          Electric muscle stimulator Switch cable (It should be
PHY/A-407                                                          PEE        Piece    √      √       √
          compatible for Electric muscle stimulator)
          Self adhesive electrodes for TENS and Interferential
PHY/A-408                                                         PEE        Packet    √      √       √
          Machine




                                                           Quality Assurance and Standardization Division, Ministry of Health, THimphu
National Non-Drug List                                        PHYSIOTHERAPY DEPARTMENT                                       1st Edition, 2012




Prepared by (Name & Sign):


Controlling Officer (Name & Sign of CMO/MO):


Supervised by (Name & Sign of DHO):




                                               Quality Assurance and Standardization Division, Ministry of Health, THimphu

				
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