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									National Non-Drug List                                                                 OPERATION THEATRE                                                                           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.
                                                                                        Sub-                   BH BH
Sl/No           Items                        Specification                    P/Size           NRH RRH DH               Indented Received stock monthly Required Remarks
                                                                                        Div                    U I U II
                                                                                                                          12-13   12-13 Balance     use   for 13-14
                                                                                         EQUIPMENTS

                             Double door,Size 1100 X 950 X 950 (working
                             pressure: 5psi-20psi; working temperature: 121
                             degree; shape:square; hydrotest
                              pressure:2.5kgf/cm sq.g(35psi) working
                             chambre:
                             1300x1000x900mm;standard controls:
                             multioperating valve, quick vaccum drying
                             apparatus,accidental vaccum Breaker, safety
         Autoclave
                             valve, dial type thermometer, plug screen,
OT/E-101 horizontal                                                           Piece     CSSD    √    √     √    √
                             chamber condensate line, pressure & compound
         (Large)
                             gauge). Accessories: Automatic pressure
                             controsl switch (Pressure control switch,
                             Automatic water cut-off device, Temperature
                             Indicator dial typr, Mechanical Timer with
                             alarm system. Cost should include the cost of
                             spare parts & accessories.enviromental
                             operating condition:-10-+40 degree
                             centrigrade,RH>80%,altitude>2000m




                                                             Quality Assurance and Standardization Division, Ministry of Health, Thimphu
National Non-Drug List                                                                 OPERATION THEATRE                                          1st Edition, 2012




                            Stainless Steel durable construction Hydraulic
                            testing up to 2.5 times the working pressure
                            Double safety valve Fully automatic
         Autoclave
                            programmable controller Low sterilization
OT/E-102 vertical                                                               Set     CSSD    √     √     √    √     √                    Consult BES
                            process time Long lasting performance Low
         400x600mm
                            maintenance Digital / Manual Operating
                            controls, Power supply: AC 220-240, 50Hz.
                            Power cord of round 3 pin top.

                                                                                                                                            For CSSD
           Autoclave        (Large Size) to support 8 Operation Theatre
OT/E-103                                                                       Piece    CSSD    √                                           (consult BES for
           double door      (350 bedded hospital)
                                                                                                                                            specification)


           Instrument       stainless steel (length -75 cm, breadth - 55 cm.                                                                where there is
OT/E-104                                                                       Piece    OT G    √     √     √
           Trolley          Wheel size: 3 inch and railings on three sides)                                                                 OT


           Mayo's
OT/E-105                    with tray - standard size                          Piece    OT G    √     √     √
           adjustable Table




                                                              Quality Assurance and Standardization Division, Ministry of Health, Thimphu
National Non-Drug List                                                                 OPERATION THEATRE                                   1st Edition, 2012




                         Radiolucent table top, power adjustable height,
                         back, trendelenburg and lateral tilt. Mobile base
                         with manually operated locks remote control
                         facility for table movement operation. Manual
                         removable split leg and head rest sections,
                         pendent hand control, arm board with ball and
                         socket joint adjustment, boay strap polyster
OT/E-106 Operation table fabric. Internal battery power and all accessories      Set    OT G   √     √
                         for general surgery, kidney bridge, leggings
                         (1pair.)One extra remote control, list of essential
                         spareparts and accessories with rates . 3 years
                         warrenty.Power supply: 220V-230V, Power
                         cord of round 3 pin round type plug top ,
                         suitable stablizer.operating condition:-10-+40
                         degree centrigrade,RH>80%,altitude>2000m



                            shadowless, 2 domes - Bulb life of 20,000 Hrs,'-
                            Should be cold infra red free light.'- Colour
                            temperature should be around 4300k, '-
                            Illumination at one meter working distance
                            should be between 130000 to 16000 LUX,'-
                            Colour reproduction index should be round
           Operation
OT/E-107                    93%,'- Should have diameter of approximately         Set    OTG    √     √
           Theatre light
                            700mm (28 inches),'- Should be fixed to ceiling.'-
                            Back up UPS for 4 Hrs. 210-240 V, 50Hz. with
                            extra 8 set of OT light handle.operating
                            condition:-10-+40 degree
                            centrigrade,RH>80%,altitude>2000m.3 pin
                            round type plug top




                                                             Quality Assurance and Standardization Division, Ministry of Health, Thimphu
National Non-Drug List                                                                OPERATION THEATRE                                        1st Edition, 2012




                         including low temperature cycle for heat
                         sensitive goods, leak test, Bowie/Dick tape test,
         Programmable
                         environmental operating condition:-10±40° C,
         sterilizer with
OT/E-108                 RH>80%,altitude>2000m,ISO/TUV/CE                  Piece       CSSD   √    √
         high vacuum
                         certified, Specify loading trays,
         process
                         Volume>1200lts,Chamber depth>1500mm.3 pin
                         round type plug top


                           with complete accessories consisting of cable,
                           reusable patient plate, foot switch and cautery
         Surgical          tips. Should have a safety system to detect
         Diathermy         neutral electrode and ensure patient safety.
OT/E-109 machine           Should be able to detect the attached device and    Set     OT G   √    √     √
         (monopolar &      adjust the output accordingly. All hand held
         bipolar)          devices and patient plates should be reusable
                           and re-sterilizable. Power supply: 220V-230V,
                           Power cord of round 3 pin round type plug top

                                                                                                                                         Where there is
         Automatic
                                                                                                                                         functional OT
         Instrument        Power supply: 220V-230V, Power cord of round
OT/E-110                                                                      Piece    CSSD   √    √     √                               (BES for
         Washing           3 pin round type plug top , suitable stablizer.
                                                                                                                                         Specification)
         Machine,
                                                                                                                                         consult CSSD
         Operation
                                                                                                                                         Where there is
OT/E-111 Theatre Light     compatible to the existing OT machine              Piece    OTG    √    √     √
                                                                                                                                         OT
         handles
         OT fumigation     Power supply: 220V-230V, Power cord of round                                                                  Where there is
OT/E-112                                                                       Set      OT    √    √     √
         machine           3 pin round type plug top                                                                                     functional OT
OT/E-113 Stool revolving   wheel with back rest, SS                           Piece    OT G   √    √
OT/E-114 Stool revolving   wheel without back rest, SS                        Piece    OTG    √    √     √    √     √
         Vaccum,
         Ultrasonic and    Power supply: 220V-230V, Power cord of round                                                                  Where there is
OT/E-115 plasma cleaning                                                      Piece    CSSD   √    √     √
                           3 pin round type plug top , suitable stablizer.                                                               surgeon
         and drying
         equipment
OT/E-116 CO2 D-type                                                           Piece    OTG    √    √
OT/E-117 CO2 B-type                                                           Piece    OTG    √    √




                                                           Quality Assurance and Standardization Division, Ministry of Health, Thimphu
National Non-Drug List                                                               OPERATION THEATRE                                          1st Edition, 2012




         3 stage regulator
OT/E-118 for CO2                                                              Set     OTG     √     √
         Cylinder
                                                                                      CONSUMABLES
                                                                                                                                          Any hospitals
           Abdominal
OT/C-201                  12 x 12 inch, thick layer, X-ray detectable        Piece    OT G    √     √     √                               where there is
           Sponges (Mops)
                                                                                                                                          functional OT
           Abdominal
OT/C-202                  15 x 15 inch, x-ray detectable.                    Piece    OT G    √     √     √                                      do
           sponges (mops)
         Disposable
                             with connecting cable compatible with Cautery
OT/C-203 Bipolar hand                                                        Piece    OT G    √     √     √                                      do
                             machine (Martin)
         piece
         Disposable
                             with connecting cable compatible with Cautery
OT/C-204 Bipolar hand                                                        Piece    OTG     √     √     √                                      do
                             machine (ERRBE)
         piece
         Disposable
                             with connecting cable compatible with Cautery
OT/C-205 Monopolar hand                                                      Piece    OTG     √     √     √                                      do
                             machine (Martin)
         piece
         Disposable
                             with connecting cable compatible with Cautery
OT/C-206 Monopolar hand                                                      Piece    OTG     √     √     √                                      do
                             machine (ERRBE)
         piece
         Disposable
OT/C-207 surgical cap (OT                                                    Piece    OT G    √     √     √                                      do
         caps)
         Disposable
OT/C-208                     compatible with cautery machine (Martin)        Piece    OT G    √     √     √                                      do
         cautery plate
         Disposable
OT/C-209                     compatible with cautery machine (ERRBE)         Piece    OTG     √     √     √                                      do
         cautery plate
         Skin Barrier
OT/C-210 Microporous         75 mm x 9.1 m                                   Piece    OT G    √     √     √    √
         surgical paper
         tape
         Skin Barrier
OT/C-211 Microporous         50 mm x 9.1 m                                   Piece    OT G    √     √     √
         surgical paper
         tape




                                                            Quality Assurance and Standardization Division, Ministry of Health, Thimphu
National Non-Drug List                                                                 OPERATION THEATRE                                          1st Edition, 2012




         Skin Barrier
OT/C-212 Microporous      25 mm x 9.1 m                                       Piece     OT G    √     √     √
         surgical paper
         tape
         Skin Barrier
OT/C-213 Microporous      12.5 mm x 9.1 m                                     Piece     OT G    √     √     √
         surgical paper
         tape
                                                                                                                                            where there is
OT/C-214 Silicon “T” tube size FG-6                                            Pkt.     OTG     √     √     √
                                                                                                                                            surgeon
OT/C-215 Silicon “T” tube size FG-8                                           Pkt.      OTG     √     √     √                                      do

OT/C-216 Silicon “T” tube size FG-10                                          Piece OT G        √     √     √                                      do

OT/C-217 Silicon “T” tube size FG-12                                          Piece     OT G    √     √     √                                      do
         Medical grade
                           4 meter long, with ties in the end for its
         suction tubings
OT/C-218                   connection with any type of cannula                4 Mtr.    OT G    √     √     √
         wide bore
                           (Autoclavable)
         silicon
                         with connecting cable for children (compatible
OT/C-219 Diathermy plate                                                      Piece     OT G    √     √     √
                         with Martin machine)
                         with connecting cable for children (compatible
OT/C-220 Diathermy plate                                                      Piece     OTG     √     √     √
                         with ERRBE machine)
                         with connecting cable for adult (compatible with
OT/C-221 Diathermy plate                                                      Piece     OT G    √     √     √
                         Martin machine)
                         with connecting cable for adult (compatible with
OT/C-222 Diathermy plate                                                      Piece     OTG     √     √     √
                         ERRBE machine)
                                                                                                                                             Where there is
OT/C-223 Prolene mesh      15 cm x 15 cm                                      Piece     OT G    √     √     √
                                                                                                                                            functional OT
OT/C-224 Prolene mesh      6 cm x 11 cm                                       Piece     OT G    √     √     √                                      do
OT/C-225 Prolene mesh      7 cm x 12 cm                                       Piece     OT G    √     √     √                                      do
           Close wound     size 12 (Containing Bellow unit-1, connecting
OT/C-226                                                                       Set      OT G    √     √     √
           suction unit    tube 1, Redon 2, curved needle 1)

           Close wound     size 14 (Containing Bellow unit-1, connecting                                                                    Where there is
OT/C-227                                                                      Piece     OT G    √     √     √
           suction unit    tube 1, Redon 2, curved needle 1)                                                                                surgeon




                                                              Quality Assurance and Standardization Division, Ministry of Health, Thimphu
National Non-Drug List                                                             OPERATION THEATRE                                           1st Edition, 2012




           Close wound     size 16 (Containing Bellow unit-1, connecting
OT/C-228                                                                   Piece    OT G     √     √     √
           suction unit    tube 1, Redon 2, curved needle 1)

           Close wound     size 18 (Containing Bellow unit-1, connecting
OT/C-229                                                                   Piece    OT G     √     √     √
           suction unit    tube 1, Redon 2, curved needle 1)
OT/C-230 Scalpel blades    No 10, packet of 100, SS                         Pkt.    OT G     √     √     √    √     √
OT/C-231 Scalpel blades    No 11, packet of 100,SS                          Pkt.    OT G     √     √     √    √     √
OT/C-232 Scalpel blades    No 15, packet of 100, SS                         Pkt.    OT G     √     √     √    √
OT/C-233 Scalpel blades    No 20, packet of 100, SS                         Pkt.    OT G     √     √     √    √
         Haemostatic Gel                                                                                                                 Where there is
OT/C-234                   (standard) 7 x 5 x 1 cm                         Piece    OT G     √     √     √
         foam                                                                                                                            functional OT
OT/C-235 Surgicel                                                           Pkt     OTG      √     √     √
           Linear GI                                                                                                                     Discuss with Dr.
OT/C-236                   (55 mm)                                         Piece    OT G     √     √     √
           Stapler                                                                                                                       Tashi Dendup
         Linear GI
                                                                                                                                         Discuss with Dr.
OT/C-237 Stapler           (55 mm)                                         Piece    OTG      √     √     √
                                                                                                                                         Tashi Dendup
         Cartridge
                                                                                                                                         Discuss with
           Linear GI
OT/C-238                   (75 mm)                                         Piece    OT G     √     √     √                               Dr. Tashi
           Stapler
                                                                                                                                         Dendup
         Linear GI
                                                                                                                                         Discuss with Dr.
OT/C-239 Stapler           (75 mm)                                         Piece    OTG      √     √     √
                                                                                                                                         Tashi Dendup
         Cartridge
           Angular GI                                                                                                                    Discuss with Dr.
OT/C-240                                                                   Piece    OT G     √     √
           Stapler                                                                                                                       Tashi Dendup
         Curved
                                                                                                                                         Discuss with Dr.
OT/C-241 Intraluminal      with Adjustable Height Staples 33mm             Piece    OTG      √     √
                                                                                                                                         Tashi Dendup
         Stapler
         Curved
                                                                                                                                         Discuss with Dr.
OT/C-242 Intraluminal      with Adjustable Height Staples 25mm             Piece    OTG      √     √
                                                                                                                                         Tashi Dendup
         Stapler
         Curved
                                                                                                                                         Discuss with Dr.
OT/C-243 Intraluminal      with Adjustable Height Staples 21mm             Piece    OTG      √     √
                                                                                                                                         Tashi Dendup
         Stapler




                                                           Quality Assurance and Standardization Division, Ministry of Health, Thimphu
National Non-Drug List                                                              OPERATION THEATRE                                           1st Edition, 2012




           Re- loadable                                                                                                                   Discuss with Dr.
OT/C-244                    30mm                                            Piece    OTG      √
           Linear stapler                                                                                                                 Tashi Dendup
         Reload
                                                                                                                                          Discuss with Dr.
OT/C-245 for Linear         30 mm                                           Piece    OTG      √
                                                                                                                                          Tashi Dendup
         stapler
           Re- loadable                                                                                                                   Discuss with Dr.
OT/C-246                    60 mm                                           Piece    OTG      √
           Linear stapler                                                                                                                 Tashi Dendup
         Reload
                                                                                                                                          Discuss with Dr.
OT/C-247 for Linear         60 mm                                           Piece    OTG      √
                                                                                                                                          Tashi Dendup
         stapler
           Re- loadable                                                                                                                   Discuss with Dr.
OT/C-248                    75 mm                                           Piece    OTG      √
           Linear cutter                                                                                                                  Tashi Dendup
         Reload
                                                                                                                                          Discuss with Dr.
OT/C-249 for Linear         75 mm                                           Piece    OTG      √
                                                                                                                                          Tashi Dendup
         cutter
           Re- loadable                                                                                                                   Discuss with Dr.
OT/C-250                    55 mm                                           Piece    OTG      √
           Linear Cutter                                                                                                                  Tashi Dendup
         Reload
                                                                                                                                          Discuss with Dr.
OT/C-251 for Linear         55 mm                                           Piece    OTG      √
                                                                                                                                          Tashi Dendup
         cutter
                                                                                                                                          Discuss with Dr.
OT/C-252 Round Stapler                                                      Piece    OT G     √
                                                                                                                                          Tashi Dendup
                                                                                                                                          Where there is
OT/C-253 Stapler for skin disposable, 35 mm                                 Piece    OTG      √     √     √
                                                                                                                                          functional OT
OT/C-254 Skin stapler       35 mm clip remover                              Piece    OTG      √     √     √
         Suction nozzle
OT/C-255                                                                    Piece    OT G     √     √     √
         Yankuar plastic
         Oxidized
                                                                                                                                          Where there is
OT/C-256 Regenerated        (Absorbable haemostat) 5 cm x 7.5 cm             Pkt.    OT G     √     √
                                                                                                                                          surgeon
         Cellulose
OT/C-257 Tube drain         size - 8, PVC (Polyvinyl Chloride)              Piece     OTG     √     √     √                                      do
OT/C-258 Tube drain         size - 10, PVC (Polyvinyl Chloride)             Piece    OTG      √     √     √                                      do
OT/C-259 Tube drain         size - 12, PVC (Polyvinyl Chloride)             Piece     OTG     √     √     √                                      do
OT/C-260 Tube drain         size - 14, PVC (Polyvinyl Chloride)             Piece    OT G     √     √     √                                      do




                                                            Quality Assurance and Standardization Division, Ministry of Health, Thimphu
National Non-Drug List                                                               OPERATION THEATRE                                           1st Edition, 2012




OT/C-261   Tube drain       size - 16, PVC (Polyvinyl Chloride)              Piece    OT G     √     √     √                                      do
OT/C-262   Tube drain       size - 18, PVC (Polyvinyl Chloride)              Piece    OT G     √     √     √                                      do
OT/C-263   Tube drain       size - 20, PVC (Polyvinyl Chloride)              Piece    OT G     √     √     √                                      do
OT/C-264   Tube drain       size - 22, PVC (Polyvinyl Chloride)              Piece    OT G     √     √     √                                      do
           Theatre Incise
OT/C-265                    56 cm x 84 cm                                     Pkts    OTG      √     √     √                                      do
           Drape
           Theatre Incise
OT/C-266                    45 cm x 28 cm                                     Pkts    OTG      √     √     √                                      do
           Drape
           Theatre Incise
OT/C-267                    40 cm x 42 cm                                     Pkts    OTG      √     √     √                                      do
           Drape
           Theatre Incise
OT/C-268                    30 cm x 28 cm                                     Pkts    OTG      √     √     √
           Drape
           Disposable
                                                                                                                                           where there is
OT/C-269   Suprapubic       16 Fr.                                            Set     OT G     √     √     √
                                                                                                                                           surgeon
           catheter set
           Disposable
OT/C-270   Suprapubic       14 Fr                                             Set     OT G     √     √     √
           catheter set
           Disposable
OT/C-271   Suprapubic       8 Fr                                              Set     OT G     √     √     √
           catheter set
           Carbon cautry
OT/C-272                    with x-ray detectable                           Packet    OT       √     √     √
           tip cleaner
         Long tip for the
         monopolar
OT/C-273                  (compatible with ERBEE Cautry machine)             Piece    OT       √     √     √
         cautry hand
         piece

         Long tip for the
OT/C-274 monpolar cautry (compatible with Martin Cautry machine)             Piece     OT      √     √     √
         hand piece


         Perforated
OT/C-275 stainless steel    with lid size 23" x 15" x 5.5"                   Piece    OT       √     √     √
         instrument tray

OT/C-276 Instrument tray size 16.5" x 8.5" x 2"                              Piece    Ortho    √     √




                                                             Quality Assurance and Standardization Division, Ministry of Health, Thimphu
National Non-Drug List                                                             OPERATION THEATRE                                          1st Edition, 2012




         Patient Plate
         (Conductive                                                                                                                    Where there is
OT/C-277                    For KLS Martin ME- 402 with connecting cable   Piece    OTG        √       √       √
         Silicon For                                                                                                                    surgeon
         Adult)


         Patient Plate
         (Conductive                                                                                                                    Where there is
OT/C-278                    For KLS Martin ME- 402 with connecting cable   Piece    OTG        √       √       √
         Silicon For                                                                                                                    surgeon
         (Children)

           Disposable                                                                                                                   Where there is
OT/C-279                    small                                          Piece     OT        √       √       √
           surgical gowns                                                                                                               functional OT
           Disposable
OT/C-280                    medium                                         Piece     OT        √       √       √                               do
           surgical gowns
           Disposable
OT/C-281                    large                                          Piece     OT        √       √       √                               do
           surgical gowns
OT/C-282   OT slippers      size- 5                                        Pair      OT        √       √       √                               do
OT/C-283   OT slippers      size- 6                                        Pair      OT        √       √       √                               do
OT/C-284   OT slippers      size- 7                                        Pair      OT        √       √       √                               do
OT/C-285   OT slippers      size- 8                                        Pair      OT        √       √       √                               do
OT/C-286   OT slippers      size- 9                                        Pair      OT    √       √       √                                   do
OT/C-287   OT slippers      size- 10                                       Pair      OT    √       √       √                                   do
                                                                                      Instrument
           Bard Parker
OT/I-301   Blade handle                                                    Piece    OT G       √       √       √   √   √
           No. 3, SS
           Bard Parker
OT/I-302   Blade handle                                                    Piece    OT G       √       √       √
           No. 4, SS
           Bard Parker
OT/I-303   Blade handle                                                    Piece    OT G       √       √       √   √
           No. 7, SS
           Cooley vascular
OT/I-304                   Atraumatic grip, 17 cm, SS                      Piece    OT G       √       √
           clamp




                                                          Quality Assurance and Standardization Division, Ministry of Health, Thimphu
National Non-Drug List                                                                OPERATION THEATRE                                           1st Edition, 2012




           Dissecting right
                                                                                                                                            Where there is
OT/I-305   angle forcep     size - 16 cm, SS                                  Piece    OT G     √     √     √
                                                                                                                                            surgeon
           baby adson

           Dissecting right
                                                                                                                                            Where there is
OT/I-306   angle forcep     size - 18 cm, SS                                  Piece    OT G     √     √     √
                                                                                                                                            surgeon
           baby adson

           Dissecting right
                                                                                                                                            Where there is
OT/I-307   angle forcep     size - 20 cm, SS                                  Piece    OT G     √     √     √
                                                                                                                                            surgeon
           baby adson
                                                                                                                                            Where there is
OT/I-308   Fistula Probe     12.5 cm, SS                                      Piece    OT G     √     √     √
                                                                                                                                            surgeon
OT/I-309   Forceps, artery   curved, size - 12.5 cm, SS                       Piece    OT G     √     √     √    √     √
OT/I-310   Forceps, artery   curved, size - 15 cm, SS                         Piece    OT G     √     √     √    √     √
OT/I-311   Forceps, artery   curved, size - 20 cm, SS                         Piece    OT G     √     √     √    √
OT/I-312   Forceps, artery   mosquito curved, size - 10 cm , SS               Piece    OT G     √     √     √
OT/I-313   Forceps, artery   mosquito curved, size - 12.5 cm, SS              Piece    OT G     √     √     √
OT/I-314   Forceps, artery   mosquito straight, size - 10 cm, SS              Piece    OT G     √     √     √
OT/I-315   Forceps, artery   mosquito straight, size - 12.5 cm, SS            Piece    OT G     √     √     √
OT/I-316   Forceps, artery   straight, size - 15 cm, SS                       Piece    OT G     √     √     √
OT/I-317   Forceps, artery   straight, size - 20 cm, SS                       Piece    OT G     √     √     √
OT/I-318   Forceps, artery   straight, size - 25 cm, SS                       Piece    OT G     √     √
           Forceps,
OT/I-319                     non-tooth, size - 10 cm, SS                      Piece    OT G     √     √     √    √     √
           dissecting
           Forceps,
OT/I-320                     non-tooth, size - 12.5 cm, SS                    Piece    OT G     √     √     √    √     √
           dissecting
           Forceps,
OT/I-321                     non-tooth, size - 15 cm, SS                      Piece    OT G     √     √     √
           dissecting
           Forceps,
OT/I-322                     non-tooth, size - 20 cm, SS                      Piece    OT G     √     √     √
           dissecting
           Forceps,
OT/I-323                     toothed, size - 10 cm SS                         Piece    OT G     √     √     √
           dissecting
           Forceps,
OT/I-324                     toothed, size - 12.5 cm, SS                      Piece    OT G     √     √     √
           dissecting
           Forceps,
OT/I-325                     toothed, size - 15 cm, SS                        Piece    OT G     √     √     √
           dissecting




                                                              Quality Assurance and Standardization Division, Ministry of Health, Thimphu
National Non-Drug List                                                           OPERATION THEATRE                                           1st Edition, 2012




           Forceps,
OT/I-326                    toothed, size - 20 cm, SS                    Piece    OT G     √     √     √
           dissecting
           Forceps,
OT/I-327                    toothed, size - 25 cm, SS                    Piece    OT G     √     √     √
           dissecting
           Forceps,
OT/I-328                    curved, size - 15 cm, SS                     Piece    OT G     √     √     √
           Kocher's
           Forceps,
OT/I-329                    curved, size - 20 cm, SS                     Piece    OT G     √     √     √
           Kocher's
           Forceps,
OT/I-330                    straight, size - 15 cm, SS                   Piece    OT G     √     √     √
           Kocher's
           Forceps,
OT/I-331                    straight, size - 20 cm, SS                   Piece    OT G     √     √     √
           Kocher's
OT/I-332   Forceps, sinus   size - 15 cm, SS                             Piece    OT G     √     √     √    √
OT/I-333   Forceps, sinus   size - 20 cm, SS                             Piece    OT G     √     √     √    √
           Forceps, sponge
OT/I-334                   size - 15 cm, SS                              Piece    OT G     √     √     √    √     √
           holding

           Forceps, sponge
OT/I-335                   size - 20 cm, SS                              Piece    OT G     √     √     √    √
           holding

           Forceps, sponge
OT/I-336                   size - 25 cm, SS                              Piece    OT G     √     √     √    √
           holding
           Forceps, tissue,
OT/I-337                    size - 5 inch, SS                            Piece    OT G     √     √     √
           Allis
           Forceps, tissue,
OT/I-338                    size - 6 inch, SS                            Piece    OT G     √     √     √
           Allis
           Forceps, tissue,
OT/I-339                    size - 7 inch, SS                            Piece    OT G     √     √     √
           Allis
           Forceps, tissue,                                                                                                            where there is
OT/I-340                    size - 5 inch, SS                            Piece    OT G     √     √     √
           Babcock                                                                                                                     surgeon

           Forceps, tissue,
OT/I-341                    size - 6 inch, SS                            Piece    OT G     √     √     √                               do
           Babcock

           Forceps, tissue,
OT/I-342                    size - 7 inch, SS                            Piece    OT G     √     √     √                               do
           Babcock




                                                         Quality Assurance and Standardization Division, Ministry of Health, Thimphu
National Non-Drug List                                                                  OPERATION THEATRE                                           1st Edition, 2012




           Intestinal clamp,
                                                                                                                                              where there is
OT/I-343   crushing curved size - 8 inch, SS                                    Piece    OT G     √     √     √
                                                                                                                                              functional OT
           (payr)

           Intestinal clamp,
OT/I-344   crushing straight size - 8 inch, SS                                  Piece    OTG      √     √     √                                      do
           (payr)

           Intestinal clamp,
           non-crushing
OT/I-345   curved with non- size: 21.5 cm/ 8.5 inch, SS                         Piece    OT G     √     √     √                                      do
           traumatic
           serration

           Intestinal clamp,
           non-crushing
OT/I-346   straight with non-size: 21.5 cm/ 8.5 inch, SS                        Piece    OTG      √     √     √                                      do
           traumatic
           serration

           Kidney stone
OT/I-347   forceps Randall                                                       Set     OT G     √     √
           (Sets of 4)
           Micro-adson
           (delicate
OT/I-348                     size: 12 cm, 4.75 inch, 1 x 2 teeth, SS            Piece    OT G     √     √
           dissecting
           forceps tooth)
           Micro-adson
OT/I-349                     size: 12 cm, 4 .75 inch, SS                        Piece    OT G     √     √
           (non-tooth)
OT/I-350   Needle holder     size - 10 inch , SS                                Piece    OT G     √     √     √    √
OT/I-351   Needle holder     size - 10 inch, Tungsten carbide                   Piece    OT G     √     √
OT/I-352   Needle holder     size - 4 inch, SS                                  Piece    OT G     √     √     √    √
OT/I-353   Needle holder     size - 4 inch, Tungsten carbide                    Piece    OT G     √     √
OT/I-354   Needle holder     size - 5 inch, SS                                  Piece    OT G     √     √     √    √
OT/I-355   Needle holder     size - 5 inch, Tungsten carbide                    Piece    OT G     √     √
OT/I-356   Needle holder     size - 6 inch, SS                                  Piece    OT G     √     √     √    √
OT/I-357   Needle holder     size - 6 inch, Tungsten carbide                    Piece    OT G     √     √
OT/I-358   Needle holder     size - 8 inch, SS                                  Piece    OT G     √     √     √    √     √




                                                                Quality Assurance and Standardization Division, Ministry of Health, Thimphu
National Non-Drug List                                                                OPERATION THEATRE                                           1st Edition, 2012




OT/I-359   Needle holder    size - 8 inch, Tungsten carbide                   Piece    OT G     √     √
           Non traumatic
OT/I-360   bull dog clamp   3 cm, SS                                          Piece    OT G     √     √
           DeBakey
           Non traumatic
OT/I-361   bull dog clamp   8 cm, 3.125 inch, SS                              Piece    OT G     √     √
           DeBakey
           Non traumatic
OT/I-362   bull dog clamps 6 cm, SS                                           Piece    OT G     √     √
           (curved)

           Non traumatic
OT/I-363   bull dog clamps 6.7cm, SS                                          Piece    OT G     √     √
           (curved)

           Non traumatic
OT/I-364   bull dog clamps 8.5 cm, SS                                         Piece    OT G     √     √
           (curved)

           Non traumatic
OT/I-365   bull dog clamps 6 cm, SS                                           Piece    OT G     √     √
           (straight)

           Non traumatic
OT/I-366   bull dog clamps 6.7cm, SS                                          Piece    OT G     √     √
           (straight)

           Non traumatic
OT/I-367   bull dog clamps 8.5 cm, SS                                         Piece    OT G     √     √
           (straight)

           Pelvis Retractor
OT/I-368                    29cm, 193 x 60 mm, SS                             Piece    OT G     √     √
           St. Marks
           Retractor                                                                                                                        where there is
OT/I-369                    100 x 25mm (AxB), 30cm, 12 inch, SS               Piece    OT G     √     √     √
           Deaver                                                                                                                           functional OT
           Retractor
OT/I-370                    100 x 50mm (AxB), 30cm, 12 inch, SS               Piece    OT G     √     √     √
           Deaver




                                                              Quality Assurance and Standardization Division, Ministry of Health, Thimphu
National Non-Drug List                                                                OPERATION THEATRE                                   1st Edition, 2012




           Retractor,
OT/I-371                     14cm, SS                                         Piece    OT G   √     √     √
           langenback
           Retractor,
OT/I-372                     16cm, SS                                         Piece    OT G   √     √     √
           langenback
           Retractor,
OT/I-373                     21cm, SS                                         Piece    OT G   √     √     √
           langenback
           Retractor, Liver,
OT/I-374                                                                      Piece    OT G   √     √     √
           SS
           Retractor,
OT/I-375                                                                      Piece    OT G   √     √     √
           Morris , SS

                            13.5 cm for holding ring handle instruments, SS
OT/I-376   Safety pin                                                         Piece    OT G   √     √     √
                            (Instrument holder)

           Ring retractor
OT/I-377                    size - 340 x 240 mm, SS                           Piece    OT G   √     √
           set, Kirschner
           Scissors curved
OT/I-378                   4 inch, SS                                         Piece    OT G   √     √     √
           metzenbaum

           Scissors curved
OT/I-379                   5 inch carbide coated                              Piece    OT G   √     √     √
           metzenbaum

           Scissors curved
OT/I-380                   6 inch, SS                                         Piece    OT G   √     √     √    √     √
           metzenbaum -

           Scissors curved
OT/I-381                   8 inch carbide coated                              Piece    OT G   √     √     √
           metzenbaum -
           Scissors Mayo,
OT/I-382                    10 inch, SS                                       Piece    OT G   √     √     √
           Curved -
           Scissors Mayo,
OT/I-383                    6 inch, SS                                        Piece    OT G   √     √     √
           Curved -
           Scissors Straight
OT/I-384                     4 inch, SS                                       Piece    OT G   √     √     √
           metzenbaum -

           Scissors Straight
OT/I-385                     5 inch, SS                                       Piece    OT G   √     √     √
           metzenbaum -




                                                            Quality Assurance and Standardization Division, Ministry of Health, Thimphu
National Non-Drug List                                                  OPERATION THEATRE                                           1st Edition, 2012




           Scissors Straight
OT/I-386                     6 inch, SS                         Piece    OT G     √     √     √    √     √
           metzenbaum -

           Scissors Straight                                                                                                  where there is
OT/I-387                     8 inch, SS                         Piece    OT G     √     √     √
           metzenbaum -                                                                                                       surgeon

           Self-retaining
           abdominal
OT/I-388                    SS (100 x 35 mm)                    Piece    OT G     √     √     √
           Retractor,
           Balfour - Adult,
           Self-retaining
           abdominal
OT/I-389                      SS (24 x 20 mm)                   Piece    OT G     √     √     √
           Retractor,
           Balfour - Child,
           Collin
                                                                                                                              where there is
OT/I-390   Retractors         20 mm x 40 mm                     Piece    OT G     √     √     √
                                                                                                                              surgeon
           (Paediatric)
           Collin
OT/I-391   Retractors         45 mm x 80 mm                     Piece    OT G     √     √     √                                      do
           (adult)
           Collin
OT/I-392   Retractors         80 mm x 90 mm                     Piece    OT G     √     √                                            do
           (adult)
           Self retaining
           laminectomy
OT/I-393                  32 cm long                            Piece    OTG      √     √     √                                      do
           retractors,
           Beckman-Eaton,

           Self retaining
OT/I-394                    17.5 cm long                        Piece    OTG      √     √     √                                      do
           retractor, GELPI

           Self retaining
OT/I-395                    18.5 cm long                        Piece    OTG      √     √     √                                      do
           retractor, GELPI
           Skin HooKs -
OT/I-396                                                        Piece    OT G     √     √     √
           Large, SS
           Skin HooKs -
OT/I-397                                                        Piece    OT G     √     √     √
           Small, SS




                                                Quality Assurance and Standardization Division, Ministry of Health, Thimphu
National Non-Drug List                                                OPERATION THEATRE                                           1st Edition, 2012




           Thoracotomy
OT/I-398   Lung Rectractor -                                  Piece    OT G     √     √
           Adult, SS

           Thoracotomy
OT/I-399   Lung Rectractor -                                  Piece    OT G     √     √
           Child, SS
           Thoracotomy
OT/I-400   Rib Rectractor -                                   Piece    OT G     √     √
           Adult, SS
           Thoracotomy
OT/I-401   Rib Rectractor -                                   Piece    OT G     √     √
           Child, SS
           Towel Clamps,
OT/I-402   Backhaus with size - 11.5 cm, SS                   Piece    OT G     √     √     √
           locking device
           Towel Clamps,
OT/I-403                    size – 11 cm                      Piece    OT G     √     √     √
           Backhaus
           Towel Clamps,
OT/I-404   Jones/Jones-     8.5 cm                            Piece    OTG      √     √     √
           Martin
           Varicose vein
                                                                                                                            where there is
OT/I-405   stripper with                                       Set     OT G     √     √     √
                                                                                                                            surgeon
           probes, SS
           Humby's skin
OT/I-406                                                      Piece             √     √     √
           grafting handle
           Humby's skin
OT/I-407   grafting blade                                      Pkt              √     √     √
           (Pkt. of 10)
           Haemorihoid
OT/I-408   Ligating forceps                                    Set              √     √     √
           and Gun set




                                              Quality Assurance and Standardization Division, Ministry of Health, Thimphu
National Non-Drug List                                                              OPERATION THEATRE                                           1st Edition, 2012




           Automatic
           instrument
                            Camber volume 500litres ,Basket volume
           washer,
OT/I-409                    350litres . Reduction of instrument cleaning    Piece    CSSD     √     √     √
           disinfector and cycle up to 30 minutes
           dryer (15DIN
           trays).
           Self-retaining
           abdominal
                                                                                                                                          where there is
OT/I-410   Retractor,                                                       Piece    OT G     √     √     √
                                                                                                                                          surgeon
           Balfour - Adult,
           SS
           Self-retaining
           abdominal
OT/I-411   Retractor,                                                       Piece    OT G     √     √     √                                      do
           Balfour - Child,
           SS
           Self-retaining
           abdominal
OT/I-412   Retractor,                                                       Piece    OT G     √     √     √                                      do
           Balfour - Adult,
           SS
           Self-retaining
           abdominal
OT/I-413   Retractor,                                                       Piece    OT G     √     √     √                                      do
           Balfour - Child,
           SS
           Self-retaining
           abdominal
OT/I-414   Retractor,                                                       Piece    OT G     √     √     √                                      do
           Balfour - Adult,
           SS
           Self-retaining
           abdominal
OT/I-415   Retractor,                                                       Piece    OT G     √     √     √                                      do
           Balfour - Child,
           SS
Prepared by (Name & Sign):




                                                            Quality Assurance and Standardization Division, Ministry of Health, Thimphu
National Non-Drug List                                               OPERATION THEATRE                                       1st Edition, 2012




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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