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    RFQ Form - Hemodialysis Machine

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    Stanley Gan
    The document contains a questionnaire for a medical dialysis center. It requests information on [1] the general operations of the center including the number of machines, hours of operation, and treatment costs. [2] specifics of dialysis treatment including regulations, treatment types, and costs of consumables and maintenance. [3] site availability including the area and location. [4] details on dialysis water treatment including capacity and type. [5] a section for other remarks or specific requirements.

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    RFQ Form - Hemodialysis Machine

    Uploaded by

    Stanley Gan
    41 views2 pages
    The document contains a questionnaire for a medical dialysis center. It requests information on [1] the general operations of the center including the number of machines, hours of operation, and treatment costs. [2] specifics of dialysis treatment including regulations, treatment types, and costs of consumables and maintenance. [3] site availability including the area and location. [4] details on dialysis water treatment including capacity and type. [5] a section for other remarks or specific requirements.

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    RFQ Form_Hemodialysis Machine

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    The document contains a questionnaire for a medical dialysis center. It requests information on [1] the general operations of the center including the number of machines, hours of operation, and treatment costs. [2] specifics of dialysis treatment including regulations, treatment types, and costs of consumables and maintenance. [3] site availability including the area and location. [4] details on dialysis water treatment including capacity and type. [5] a section for other remarks or specific requirements.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    41 views2 pages

    RFQ Form - Hemodialysis Machine

    Uploaded by

    Stanley Gan
    The document contains a questionnaire for a medical dialysis center. It requests information on [1] the general operations of the center including the number of machines, hours of operation, and treatment costs. [2] specifics of dialysis treatment including regulations, treatment types, and costs of consumables and maintenance. [3] site availability including the area and location. [4] details on dialysis water treatment including capacity and type. [5] a section for other remarks or specific requirements.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    of 2

    QUESTIONNAIRES - MEDICAL DIALYSIS

    1 General
    No. of machines
    Dialysis centre opening days and hours
    No. of treatment session per day
    Type and range of disposables already in
    use
    Charge per dialysis treatment

    2 Dialysis
    Subject Input
    Regulations
    Treatment Required □ Hemodialysis
    □ Hemodiafiltration
    □ Modulation of dialysate temperature
    □ Dialysate sodium modulation
    □ Single needle
    □ Self assisted
    Current cost Cost of consumables
    - Dialysis circuit =
    - Dialysate =
    - Disinfection =

    Cost of up-keep
    - Maintenance cost =
    - Repair cost =
    Additional considerations - In-centre versus out-centre dialysis (size and weight, mobility,
    sturdiness)
    Pls specify: ___________________________________
    - Display monitor (parameters, keying and selecting, disinfection)
    Pls specify: ___________________________________
    - Self-assisted versus nurse lead dialysis
    Pls specify: ___________________________________
    - Language
    Pls specify: ___________________________________
    - Data recording and connectivity to IT software/cloud
    Pls specify: ___________________________________
    - Alarms (audio, visual)
    Pls specify: ___________________________________
    - Turn around time required between sessions (internal and
    external disinfection, priming)
    Pls specify: ___________________________________
    - Monitoring capabilities (online urea clearance, blood volume
    change, vascular access function, blood pressure and heart rate)
    Pls specify: ___________________________________
    - Emergency (power failure, hypotension)
    Pls specify: ___________________________________

    1
    QUESTIONNAIRES - MEDICAL DIALYSIS

    3 Site Availability
    Area (m2)
    Location

    4 Dialysis Water Treatment


    Type Inputs
    Capacity
    Type
    Others: pls specify

    5 Other Remarks / Specific Requirements

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