Product longevity and warranty

Repair or replacement of the product shall be covered by the warranty terms given by the manufacturer. The tenderer shall further ensure that genuine or equivalent spare parts are available (direct or via other nominated agents) for the expected service life of the equipment, at least for 5 years over warranty.

Training for energy efficiency optimisation

The tenderer shall provide training that includes elements regarding adjustment and fine-tuning of the equipment’s electricity using parameters (for example, standby mode) in order to optimise the electricity use. The training can be included in the clinical and technical education to be provided by the tenderer.

Installation with energy efficiency optimisation

The tenderer shall provide when installing the equipment, a needs assessment of the user (i.e. the ward) (for example frequency of use, type of examinations etc.). On the basis of the analysis, the tenderer shall provide documentation and information to the contracting authority on how to optimise the purchased equipment’s electricity using parameters. If applicable, this process shall be repeated and revised at every preventive maintenance of the equipment done by the supplier.

Energy performance requirements

Energy performance of health care EEE except from CT, haemodialysis equipment, MRI, medical sterilizers and disinfectors.

Points will be awarded according to the daily energy consumption E (kWh)/day), as shown in the table below (the lower the daily energy consumption, the more points will be awarded).
Definitions of modes are according to Appendix 1. The proposed means of verification is indicated below the table.

For incubators and medical freezers, points will be awarded according to the daily energy consumption per volume, E (kWh/day and m3).

The procurer needs to indicate the expected daily use patterns of the equipment (“customised scenario”), the tenderer will need to state the energy use of the equipment in the different modes. The pre-determined use scenario is a recommendation to the procurer based on average use scenarios of European hospitals. The procurer is however free to adapt the use scenario to the specific needs.

Energy performance for Computed Tomography (CT)

Points will be awarded according to the daily energy consumption E (kWh)/day), see below (the lower the daily energy consumption, the more points will be awarded). Definitions of modes are according to Appendix 2.

The procurer needs to indicate the expected daily use patterns of the equipment (“customised scenario”), the tenderer will need to state the power consumption of the equipment in the different modes. The pre-determined use scenario is a recommendation to the procurer. The procurer is however free to adapt the use scenario to the specific needs.

Predetermined use scenario (to be used as the reference to compare CTs) Tenderers shall state the daily energy consumption, E (kWh)/day), for one of the 3 scenarios2 according to the methodology and test conditions in the COCIR SRI for Computed Tomography Equipment, see www.cocir.org, or equivalent. The procurer states for which scenarios the energy consumption shall be provided.

• Scenario Off: energy consumption according to use scenario 20 scans per day with 12h in Off mode overnight
• Scenario Idle: energy consumption according to use scenario 20 scans per day with 12h in Idle mode overnight
• Scenario LowPower: energy consumption according to use scenario 20 scans per day with 12h in LowPower mode overnight

Customised use scenario

Tenderers deliver the following values according to the methodology and test conditions in the COCIR SRI for Computed Tomography Equipment, see www.cocir.org/site/index.php?id=46, or equivalent:
POff :Power consumption (kW) in Off mode
PIdle : Power consumption (kW) in Idle mode
PLow: Power consumption (kW) in Low Power mode
EScan: Energy consumption during abdomen scan
TScan: duration of abdomen scan (from prescription to power back in idle mode)
The daily energy consumption can be calculated with the following formula ( values in italics to be determined by the purchaser, in bold declared by the supplier)
E=kWh/day = POff x TOff + PLow x TLow + NScan x EScan + PIdle x (24h – TOff – TLow – NScan x TScan)
Where:
NScan is the number of scans per day.
Considering the little influence of energy used in scan mode over 24 hours, results from the COCIR methodology have shown that energy usage for scan mode can be approximated by using the abdomen scan only.

TLow,off is time in hours per day for each mode.
TScan is time duration for each scan (stated by the tenderer).

Energy performance for haemodialysis equipment:

Points will be awarded according to the energy consumption per treatment, E (kwh) / treatment, and the test conditions below. (The lower the energy consumption per treatment, the more points will be awarded). io 20 scans per day with 12h in LowPower mode overnight

• The treatment cycle shall be as follows, in accordance with IEC 60601-2-16 or equivalent:
• Test – time duration depends on machine
• Filling/Rinsing – 10 Minutes
• Pre-Circulation – 15 Minutes
• Dialysis- 4h
• Heat/Chemical Disinfection – time duration depends on machine Type of disinfection to be stated by the procurer.

The energy usage per treatment shall be measured according to test conditions specified in Appendix 5.

Points will be awarded if the dialysis equipment is equipped with an automatic function to reduce the dialysis flow during the time between priming and dialysis phase. The tenderer shall state the reduced dialysis flow. The larger the reduction of the dialysis flow, the more points will be awarded. Points will be awarded if the dialysis equipment turns itself off when not in use within 10 minutes after the disinfection.

Energy performance for Magnetic Resonance Imaging (MRI)

Points will be awarded according to the daily energy consumption E (kWh)/day), see below (the lower the daily energy consumption, the more points will be awarded).
Definitions of modes are according to Appendix 2.
The procurer needs to indicate the expected daily use patterns of the equipment (“customised scenario”), the tenderer will need to state the energy use of the equipment in the different modes. The pre-determined use scenario is a recommendation to the procurer. The procurer is however free to adapt the use scenario to the specific needs.

Predetermined use scenario (to be used as the reference to compare MRIs)
Tenderers deliver the daily energy consumption E (kWh)/day), according to the methodology and test conditions in the COCIR SRI for Magnetic Resonance Imaging Equipment or equivalent, see www.cocir.org/site/index.php?id=46.

Customised use scenario
Tenderers deliver the following values according to the methodology and test conditions in the COCIR SRI for Magnetic Resonance Imaging Equipment, see www.cocir.org/site/index.php?id=46, or equivalent:
POff :Power consumption (kW) in Off mode
PLow: Power consumption (kW) in Low Power mode
PReady: Power consumption (kW) in Ready-to-scan mode
EScan: Energy consumption during scan for 5 body regions (head, spine, abdomen, knee, angio)
TScan: duration of scan (including sequences scan time and a fixed ready-to-scan time defined in the COCIR methodology)
The daily energy consumption can be calculated with the following formula (values in italics to be determined by the purchaser, in bold declared by the supplier)
kWh/d = POff x TOff + PLow x TLow + NScan x EScan + PReady x (24h – TOff – TLow – NScan x TScan)
Where:
NScan is the number of scan for each body region: NScan x TScan = NHead x THead + NAbdomen x TAbdomen + NSpine x TSpine + NKnee x TKnee + NAngio x TAngio.
Tlow, off is time in hours per day for each mode.
Tscan is time duration for each scan (stated by the tenderer).

Energy performance for medical sterilizers

Pre-determined use scenario

The capacity and the loading of a sterilizer both have an impact on the energy performance depending on the usage of the available capacity. The more goods that are sterilized with one single cycle, the lower the energy consumption per good. The energy consumption of sterilizers can be either rated based on the usable chamber
volume in litres or on the maximum load capacity in kg. The tenderer shall state both criteria in numbers to give the contracting authority an average impression of energy consumption.
Points will be awarded according to the energy consumption per cycle , i.e.:

• how low the reported energy consumption per litre is, EV (Wh /l), according to the test conditions in appendix 4.
• how low the reported energy consumption per load is, EW (Wh /kg), according to the test conditions in appendix 4.

The lower the energy consumption per cycle, the more points will be awarded.
The tenderer will specify energy consumption:

• EV for empty chamber
• EW for maximum load as specified in Appendix 4
• the usable chamber volume (in litres)
• the applied product standard (EN 13060 or EN 285)

• Definitions of modes are according to Appendix 1.
• The measurements shall be carried out according to the test conditions specified in Appendix 4.

• Tenderers shall provide energy performance data, EV and EW for the equipment, based on test protocols according to the standard EN 50564:2011 (6.1, 6.2, 6.3, and 6.4) or equivalent. The data shall be measured in the modes and according to the test conditions in appendix 4. The testing shall be performed by laboratories according to the general requirements of EN ISO 17025,
  U.S. 21 CFR Part 820, ISO 13485 or equivalent according to the test conditions stated above.

Customised use scenario

Points will be awarded according to the daily energy consumption E (kWh)/day), see table below (the lower the daily energy consumption, the more points will be awarded). Please, fill in the table below. Definitions of modes are according to Appendix 1. Verification description can be viewed below the table.

Energy performance for flusher and washer disinfectant equipment

Points will be awarded according to the energy consumption per cycle, E (kwh) / cycle, see below (the lower the energy consumption per cycle, the more points will be awarded).

The procurer states the type of disinfector to be procured:

• Disinfector for flexible endoscopes
• Disinfector for all other instruments (General surgical instruments, MIS, Anaesthetics, Orthopaedics, etc.)
• Disinfector for bulky goods like Sterile Containers, Trolleys, OP-Theatre-Shoes, etc.
• Disinfector for human waste containers

and needs to specify the following:

• Specific required load (amount of load)
• Drying stage used (Yes/No)
• HW (Hot Water) (Yes/No)
• Treated Water in Final rinse (Yes/No)
• Heating methods (Steam or Electrical)
• Voltage

Measurements shall be carried out by manufacturer according to A0 Value:

• • Disinfector for surgical and analytical instruments: A0 3000
  • Disinfector for Instruments and bulky goods: A0 600
  • Disinfector for human waste containers: A0 60

• CW (Cold Water) Max temperature 20°C
• HW (Hot Water) Max temperature 60°C
• Treated Water Max temperature 20°C
• Steam Max 500 kPa

Additional test conditions for energy performance measurements are found in Appendix 3.
The manufacturer states what acceptance criteria is for cleaning, disinfection and drying performance in accordance to EN ISO 15883.

The tenderer states the energy performance per cycle, based on above parameters.

Automatic low power mode for medical sterilizer, disinfector, CT, ECG diagnostic, MRI, and ultrasound

Points will be awarded if the equipment can be configured to go automatically into a standby or off mode after a certain period of inactivity or after a predetermined schedule, according to the pattern below. For CT and MRI points will be awarded if the scanner is equipped with a low power mode which can be activated by the operator:

Points will also be awarded if the equipment has a short and automated start-up to full functionality after its automatic function according to above has been activated. Specify the time in seconds and the active efforts required of the staff. The shorter time and the smaller active efforts needed, the more points will be awarded.
Definitions of modes are according to appendix 2 for CT and MRI and according to appendix 1 for the remaining equipment above.

The tenderer shall declare that this documentation will be available for access on the tenderer’s or manufacturer’s website, on a CD, or in paper format.

Equipment with a metering device

Equipment with a metering device

Points will be awarded if the equipment has or can be equipped with a metering device, so that a log of the current consumption (of electricity, water (if relevant), and gas (relevant for anaesthesia and intensive care equipment)) can be observed and registered. The user should also be able to obtain statistics from historic consumption in report form. The tenderer shall state the conditions for consumption metering, as well as if additional cost will be applied3. The tenderer shall also state the restrictions regarding what or how the staff can measure with the metering device. Points will be awarded if the acquired data can automatically be sent to a central point of data gathering.

Water consumption for haemodialysis equipment

Points will be awarded according to the water consumption per treatment (the lower the water consumption, the more points will be awarded).
The treatment cycle shall be as follows, in accordance with IEC 60601-2-16 or equivalent:

• Test – time duration depends on machine
• Filling/Rinsing – 10 Minutes
• Pre-Circulation – 15 Minutes
• Dialysis- 4h
• Heat/Chemical Disinfection – time duration depends on machine Type of disinfection to be stated by the procurer.

Points will be awarded for equipment with a low water consumption function (at least 50 % reduction of the water consumption for the pre-circulation phase).
Points will be awarded for equipment with a no water consumption function during standby (100 % reduction in saving mode).
Contracting authorities will have to indicate in the contract notice and tender documents how many points will be awarded for each award criterion.