INTENSIVE CARE AMBULANCE TYPE VEHICLE WITHOUT EQUIPMENT — VAN — MINIMUM 10.5 m³ — 0 KM

New van-type vehicle, zero kilometers, adapted for ICU ambulance without equipment, with maximum power of at least 160 hp; PROCONVE P8, maximum torque of at least 38 kgfm; cargo compartment of at least 10.5 m³; gross vehicle weight (GVW) of at least 3,500 kg; rear-wheel drive, high roof, capacity for 01 (one) driver and 02 passengers in the cabin; electric windows in the front doors; sliding side door and double rear doors; steel wheels and factory-original load-capacity tires.
Fuel tank with minimum capacity of 65 L, ARLA32 tank minimum: 17 liters; manual transmission with at least 6 (six) forward gears and 1 (one) reverse gear; painted in white; air conditioning, electric lock, radio with USB and Bluetooth input, meeting the current standards regarding pollutant gas control; technical specifications required by CONTRAN. Minimum warranty of 12 (twelve) months.
Implementation description:
two fire extinguishers, dry chemical type, preferably ABC class, with capacity of at least 2 kg for the driver’s compartment and 4 kg for the patient compartment. Both extinguishers must be mounted on a secure and easily removable support;
two highlighted warnings with the phrases: “no smoking – oxygen equipped” and “fasten seat belts,” in the cabin and in the patient compartment;
ceiling handrail, at least 152 cm long and protruding no more than 10 cm from the ceiling, mounted above the primary patient area. The handrail must be made of stainless steel, aluminum, or other corrosion-resistant material, having curved or protected ends and rounded corners.
The mounting brackets must be chrome-plated, stainless steel, cast and polished aluminum, or other material with similar mechanical strength and corrosion resistance.
The handrail must be installed in a way that minimizes the possibility of detachment and must withstand a traction test of 136 kg in all three axes. The handrail test must comply with AMD STD 009;
must meet the requirements of SAE J 994, with (SAE) performance for type A or B (97 dB(A) or 107 dB(A) at 122 cm);
electric lock for all doors (cabin and rear compartment) remotely operated;
other compulsory equipment required by CONTRAN, the Brazilian Traffic Code, and compliant with PROCONVE.
Cabin / bodywork:
The structure of the cabin and body will be original to the vehicle, built in steel.
Minimum internal height after conversion must be 1,800 mm in the care area (cargo compartment), with total volumetric capacity not less than 10 (ten) cubic meters, equipped with two rear doors with horizontal opening from 90 to 270 degrees, with minimum height of 1,700 mm, with an automatic device to keep them open, preventing spontaneous closing if the vehicle is parked on uneven ground. Equipped with a step coated in steel with surface treatment, non-slip steps, both at least 2 mm, under the side doors (driver’s side and passenger side in the cabin and side door for access to the care compartment), to facilitate passenger entry whenever the distance from the ground to the floor is greater than 40 cm, this step having dimensions compatible with the vehicle in accordance with ABNT standards.
Doors made of sheet metal, with lower and upper internal coating in polystyrene or ABS, with latches, both internal and external, resistant and with easy-open operation.
In the bodywork, the internal coating between the sheets (metal – external and laminate – internal) will be polyurethane, with thickness up to 4 cm as the vehicle allows, for thermo-acoustic insulation purposes, and Styrofoam must not be used for this purpose.
The intercommunication between the cabin and the care compartment must be through an opening that allows the passage of a person comfortably and ergonomically, with a minimum opening height of 1,650 mm, without a door, with finishing without edges or sharp points. Thus, the vehicles must be supplied with 2 one-third seats in the cabin.
Must be equipped with a step coated in non-slip aluminum for access to the care compartment at the rear door of the ambulance, with provision for insertion of the retractable stretcher, whenever the distance from the ground to the floor of the care compartment is greater than 50 cm for stretcher entry; with dimensions compatible with the vehicle in accordance with ABNT standards.
The spare tire must not be stored in the care compartment. It will be the vehicle’s original tire.
With installation of an additional battery, the power supply must be made by two batteries, being the chassis battery original from the manufacturer and another, independent, for the care compartment. This second battery must be of the deep cycle type and have at least 150 A, maintenance-free type, 12 volts, installed in an easily accessible location, and must have protective drainage to prevent corrosion in case of solution leakage.
The electrical system must be sized for the simultaneous use of all items of the vehicle and the equipment specified in this technical description for ICU ambulance, whether the vehicle is in motion or parked, without risk of overload in the alternator, wiring, or breakers.
The vehicle must be supplied with a factory-original alternator with the capacity to charge both batteries to full capacity simultaneously and supply the electrical system of the whole unit.
Regardless of the alternator power required, alternators smaller than 140 A will not be accepted.
The system must include a floating battery charger, minimum 16 A, automatic dual voltage, for recharging the auxiliary battery when the vehicle is not in use; this charger must be connected to the external power inlet.
There must be a system that automatically blocks the use of the engine battery to power the care compartment and the additional emergency lights when the vehicle engine is turned off.
This system must have a solenoid switch with body in metallic material.
The care compartment and the secondary electrical equipment must be served by circuits totally separated and distinct from the chassis circuits of the vehicle.
The wiring must have permanent color codes or identification with numbers/letters of easy reading, arranged in harnesses or similar systems, manufactured with automotive-standard cables with resistance to minimum temperature of 105ºC.
They shall be identified by codes at the terminals or connection points.
All harnesses, frames and wiring must be fixed to the care compartment or frame with insulated plastic clamps in order to avoid rust and movements that may result in friction, pinching, protrusions, and damage.
All openings in the vehicle for passing wiring must be adequately sealed.
All items used to protect or secure wiring must be suitable for use and must be automotive, aviation, marine, or electronic standard.
All electrical components, terminals and points must have a wire loop that allows at least two replacements of the wiring.
All electrical circuits must be protected by main circuit breakers or electronic current protection devices (automatic or manual circuit breakers), and must be easily removable and accessible for inspection and maintenance.
The wiring diagrams and schematics in Portuguese, including codes and standard parts lists, must be supplied separately.
All electrical components and wiring must be easily accessible through an inspection panel, through which inspections and maintenance can be performed. The keys, indicator devices and controls must be located and installed in a way that facilitates removal and maintenance. The external fittings of the lamps, switches, electronic devices and fixed parts must be corrosion-proof and weather-resistant; the electro-electronic equipment must include filters, suppressors or protectors in order to avoid electromagnetic radiation and the resulting interference in radios and other electronic equipment.
Electrical center composed of thermal and automatic circuit breaker and relays installed on the upper part of the cabinet.
Main switch with continuous nominal current minimum of 120 A, made of material resistant to breakage and damage due to frequent handling and located within the driver’s reach.
DC-to-AC inverter (12 V to 110 V) with minimum capacity of 1,000 W of continuous maximum power (not peak), with pure sine wave.
The internal electrical panel, located on the wall above the bench near the patient’s headboard, must have an integrated strip with at least eight sockets, six being three-pin (2P+T) 110 V (AC) and two 5 V (DC) USB standard, in addition to switches with “illuminated” type keys or with light indicator.
Must have a voltmeter for monitoring voltage.
The electrical outlets must maintain a minimum distance of 35 cm from any oxygen outlet.
Two three-pin (2P+T) 110 V (AC) outlets mounted on the opposite wall, at the height of the thoracic region of the secondary patient (crew seat).
External three-pin outlet for power intake installed on the upper left side of the vehicle. This outlet must be protected against weather and waterproof (IP66), whether in use or not.
Must be accompanied by a heavy-duty extension cord resistant to weather, compatible with the plug system, with minimum length of 20 meters.
An automatic transformer connected to the power intake outlet, allowing the vehicle to be connected to an electrical grid of either 110 or 220 VAC and with automatic switching system between the transformer and the inverter, so that it always provides 110 VAC to the internal outlets.
The lighting of the patient care compartment must be of two types:
Natural – through lighting provided by the vehicle windows (cabin and body), with opaque or frosted glass and three transparent bands in the care compartment.
Artificial – must be provided by at least six luminaires installed on the ceiling, with minimum diameter of 200 mm, with stamped aluminum base in white color or injected in plastic, in LED model, using any of the following LED concepts:
a) Must have at least 06 LEDs of 01 watt each, each LED having minimum luminous intensity of 40 lumens.
b) Must have at least 50 high-efficiency LEDs, each LED having minimum luminous intensity of 7,000 mcd and beam angle of 70° (high-brightness category).
c) Must have at least 50 LEDs with luminous intensity of 12,000 mcd and beam angle of 20°.
d) Must have minimum 100 LEDs with minimum luminous flux of 1,000 lumens and beam angle of 120° (high-brightness category).
In all options, each luminaire must have operating voltage of 12 V and nominal consumption of 1 ampere per luminaire.
The LEDs must have predominantly crystal color with minimum temperature of 5,350°K and maximum of 10,000°K.
With translucent polycarbonate lens, with corrugated finish for light diffusion, distributed so as to illuminate the entire patient compartment, according to minimum established standards.
Must also have two luminaires with directed focus over the stretcher, which may be:
• With LED-model lamps, with at least 12 high-efficiency LEDs, each LED having minimum luminous intensity of 7,000 mcd and opening angle of 120° (high-brightness category).
• With articulated module with minimum 04 LEDs of 1 W each, each LED having minimum luminous intensity of 40 lumens, equipped with collimating lens in engineering plastic with automotive resistance and high visibility. The LEDs must have predominantly crystal color with minimum temperature of 5,350°K and maximum of 10,000°K.
• With articulated module with minimum 04 LEDs of 1 W each, each LED having minimum luminous intensity of 40 lumens, equipped with collimating lens in engineering plastic with automotive resistance and high visibility. The LEDs must have predominantly crystal color with minimum temperature of 5,350°K and maximum of 10,000°K.
Whichever option is applied, it must include translucent polycarbonate lens.
The actuators must be arranged on the control panel inside the patient compartment, with switches having individual illuminated indicators or luminous markers.
The external lighting must include floodlights-type adjustable headlamps, manually regulated, on the rear and sides of the bodywork, with independent activation and 180° adjustable vertical focus, which may be:
a) With halogen lamp with minimum power of 50 watts each;
b) With 9 high-power LEDs, fifth generation, compact and sealed, with optical set in engineering plastic with automotive resistance and high visibility in crystal color, circular, with lenses of minimum 80 mm diameter.
Specifications: crystal color; typical color temperature 6500°K; minimum luminous capacity: 1000 lumens (typical for each headlamp); application voltage: 12 VDC; average current: 1.1 A.
Emergency acoustic and luminous signaling:
Primary front signaler:
a) Must have a primary linear-type, arc-shaped or similar lightbar, with single module and single lens or multiple lenses and modules, with minimum length of 1,000 mm and maximum of 1,300 mm, minimum width of 250 mm and maximum of 500 mm, and minimum height of 55 mm and maximum of 110 mm, installed on the roof of the vehicle cabin.
Bar structure in reinforced ABS with extruded aluminum, or extruded aluminum in black color, dome injected in polycarbonate in red color, impact- and discoloration-resistant, with UV treatment;
b) Light set composed of minimum 250 light-emitting diodes (LEDs suitable for illumination — high-brightness category) or 11 (eleven) modules with minimum 04 LEDs of 1 W each, each LED having minimum luminous intensity of 40 lumens, equipped with collimating lens in engineering plastic with automotive resistance and high visibility, being directive in the central modules and diffusive in the lateral modules in red color, high frequency (minimum 240 flashes per minute) distributed evenly over the entire visible length of the bar, without luminous blind spots, provided the vehicle design allows, with maximum consumption of 6 A.
This equipment must have automatic load management system, managing battery charge when the vehicle is off, automatically turning off the signaler if necessary, thus avoiding complete battery discharge and possible failures in vehicle engine ignition.
Secondary front signalers:
a) Must have 02 white signalers distributed along the upper front grilles according to the vehicle design, which can be activated together with the main signaling system, each signaler being composed of one module with at least 6 LEDs of 3 W each, each LED having minimum luminous intensity of 40 lumens, equipped with engineering-plastic lens with automotive resistance and high visibility.
b) Must have 04 signalers in ruby-red color, distributed (lower and/or upper) according to the vehicle design, activated together with the main signaling system, each signaler being composed of one module with at least 6 LEDs of 3 W each, each LED having minimum luminous intensity of 40 lumens, equipped with engineering-plastic lens with automotive resistance and high visibility.
Side signalers:
 Three alternating flashing signalers on each side of the ambulance body, two red and a central one in crystal color, with minimum frequency of 90 flashes per minute, with injected polycarbonate lens, impact- and discoloration-resistant with UV treatment.
May use one of the following LED concepts:
a) at least 08 LEDs of 3 watts each, each LED with luminous intensity of 40 lumens;
b) at least 50 LEDs with luminous intensity of 7,000 mcd and 70° beam angle;
c) at least 50 LEDs with luminous intensity of 12,000 mcd and 20° beam angle.
In all options, the signaler must have operating voltage of 12 VDC and maximum nominal consumption of 1 ampere per luminaire.
The LEDs must have red color with wavelength of 620 to 630 nm.
Rear signalers:
Two signalers on the rear part of the ambulance in red color, with minimum frequency of 90 flashes per minute, operating even with the rear doors open, allowing visualization of emergency signaling in traffic when activated.
With injected polycarbonate lens, impact- and discoloration-resistant with UV treatment.
May use one of the following LED concepts:
a) at least 08 LEDs of 3 watts each, each LED with luminous intensity of 40 lumens;
b) at least 30 LEDs with luminous intensity of 7,000 mcd and 70° beam angle;
c) at least 30 LEDs with luminous intensity of 12,000 mcd and 20° beam angle.
Acoustic signaling:
Acoustic signaler with minimum power amplifier of 100 W RMS @ 13.8 VDC, minimum of four distinct tones, megaphone system with gain adjustment, and sound pressure at 1 meter of at least 100 dB @ 13.6 VDC.
These devices must not generate electromagnetic noise or any other form of signal that interferes with radio reception or mobile telephony.
All controls of all visual and acoustic signaling must be located in a single panel inside the driver’s cabin, near the multimedia center installation at the center of the vehicle, within easy reach of both the driver and support crew in the cabin, and must include an attached control allowing operation by both cabin occupants, with independent operation of the visual and acoustic systems.
Must include:
a) Control for four signaling types (for non-emergency use; for emergency use; for emergency use during stationary care; for emergency use during vehicle movement);
b) On/off button for siren;
c) Momentary button for siren “quick touch”;
d) Button for switching between the four types of siren tones;
e) Microphone for using the siren as a megaphone;
f) Megaphone volume control.
All sound controls must allow configuration changes (for non-emergency use; for emergency use; for emergency use during stationary care; for emergency use during vehicle movement) through the vehicle horn and also through the control attached to the central unit.
A user manual must be provided for the entire signaling system, with instructions for operation and consumption optimization for several usage conditions, such as: emergency driving, non-emergency driving, stationary care, among others as necessary.
Oxygen system:
The vehicle must have a fixed oxygen and compressed air system, in addition to being accompanied by a portable oxygenation system.
Fixed oxygen and compressed air system (networks integrated to the vehicle):
Containing two oxygen cylinders and one compressed air cylinder of at least 16 liters each, located at the rear of the ambulance, on the left side, between the cabinet and the rear door, in individual supports for the cylinders, with adjustable straps and reliable mechanism resistant to vibrations, oscillations and/or rollovers, allowing cylinders of different capacities, equipped with pre-regulated valve for 3.5 to 4.0 kgf/cm² and interconnected pressure gauge;
So that any of the cylinders can be used without the need to change hose or valve from one cylinder to another.
All components of this system must comply with applicable current safety standards (including vehicular).
The cylinder supports may not be fixed by means of rivets. The fastening screws must withstand impacts without coming loose. The fixing straps of the cylinders must have a “ratchet”-type adjustment. The straps may not undergo stretching, deformation, or become loose with use, and must withstand a traction load greater than two thousand kg.
The hoses must pass through conduits embedded in the side wall of the patient compartment, to prevent damage and to facilitate replacement or maintenance.
At the cylinder support where the cylinder makes contact, rubber must be applied.
The cylinder fixation compartment must have its floor coated with rubber or another material with suitable characteristics to protect the cylinder paint, and stainless-steel protections where the cylinders rest, to prevent scratches and floor wear.
In the bench region, beside the patient’s head, there must be a quadruple rail with two oxygen outlets and two compressed air outlets, coming from the fixed cylinders, composed of resistant metallic structure with automatic shutoff, threads and standards according to ABNT.
Such rail must be attached to a removable panel for better access to the piping system for maintenance.
The quadruple rail must have: flowmeter, O₂ humidifier, and Venturi-type aspirator for compressed air, with ABNT-standard threads; the hose must be made of nylon according to ABNT specifications, along with the O₂ mask in non-toxic material.
The design of the fixed oxygen system must have an approval report from a licensed company, distributor of the equipment.
Complete portable oxygen system:
Containing aluminum oxygen cylinder of at least 0.5 m³ / 3 liters, pressure-reducing valve with manometer, flowmeter, suction outlet with regulating valve, and patient circuit (bottle, hose, nebulizer and mask).
This cylinder must be aluminum in order to facilitate transport.
The entire system must be integrated into a support structure with carrying handle, made of resistant and washable material, and must have a fixation device inside the patient cabin, secure and easy to remove when needed.
The fixed and portable oxygen systems must have components with the following characteristics:
Pressure regulator valve:
Body in chrome-plated brass, calibrated relief valve, aneroid manometer from 0 to 300 kgf/cm², working pressure calibrated to approximately 3.5 kgf/cm².
Connections according to ABNT.
Oxygen humidifier:
Only for fixed system.
Bottle in non-toxic PVC or similar with capacity of at least 250 ml, graduated to allow easy visualization.
Screw cap and outlet hole in resistant plastic or similar material, according to ABNT standards.
Connection butterfly externally made of plastic or similar and internally in metal, providing perfect fitting with sealing system to prevent leaks.
Bubble (or diffuser) system composed of metal in the upper part and conducting tube in non-toxic PVC or similar; the oxygen outlet tip in non-toxic PVC or similar, with holes arranged to allow homogeneous oxygen humidification.
Flowmeter for oxygen and compressed air network:
Flowmeter 0–15 L/min, composed of body in chrome-plated brass or anodized aluminum, gasket and measuring tube in crystal polycarbonate, stainless-steel sphere.
Maximum flow of 15 L/min at pressure of 3.5 kgf/cm².
Flow adjustment system by needle valve.
Connection nut, with tabs to allow manual tightening. Dual-cone scale, standardized inlet and outlet connections for the portable oxygen therapy system flowmeter: the flowmeter of the portable equipment may not be of the type that controls the flow by a steel ball, but must be of the type that controls the flow by a rotary key with pre-calibrated holes that determine the variations in flow, from zero (flowmeter fully closed) up to a maximum of 15 L/min, with flow graduation read through two small openings (side and front) on the body of the flowmeter, with numbers engraved on the rotating part itself, allowing the cylinder to be used in the lying or standing position, without the position causing interference in the flow adjustment.
It must be compatible with national accessories, according to ABNT standards.
Venturi-type aspirator:
For use with compressed air, based on the Venturi principle. Transparent bottle with 500 ml capacity and lid in nylon body reinforced with fiberglass. Removable check valve with needle-type adjustment system.
Sealing of the bottle-lid set by means of a rubber or silicone O-ring; inlet connections provided with tabs to ensure better tightening. Inlet and outlet connections and safety float standardized by ABNT, with high suction capacity.
Hose for oxygen and compressed air:
With female connection for oxygen, with sufficient length to interconnect the panel to the cylinders, manufactured in 3 layers with braided nylon, PVC, and polyethylene.
Inlet connections provided with high-resistance tabs and standardized by ABNT. With cross-section designed to allow flexibility, adequate flow, and resistance to accidental kinking.
Connection butterfly externally made of plastic or similar, and internally in metal, for connection to the cylinders; hexagonal metal connections for connection to the panel to ensure perfect fitting, with sealing system to avoid leaks.
Face mask with reservoir bag:
Anatomical shape, with PVC or similar connector, non-toxic, transparent, lightweight, flexible, provided with an opening to avoid CO₂ concentration in its interior, equipped with elastic strap for fixation at the back of the patient’s head.
Adequate ventilation of the vehicle must be provided by windows and air conditioning.
The climate control of the patient compartment must allow cooling and heating.
All windows in the patient compartment must provide ventilation, equipped with opening and closing system.
The driver compartment must be provided with the original system from the chassis manufacturer or factory-approved system for air conditioning, ventilation, heater, and defogger.
For the patient compartment, a system must be provided with heating and ventilation according to item 5.12 of NBR 14.561, with thermal capacity of at least 30,000 BTUs, with roof-mounted condenser unit to ensure better efficiency.
The air-conditioning system of the patient compartment must be equipped with an air purification system with HEPA (High Efficiency Particulate Air Filter) filtration technology capable of removing particles of up to 0.01 micrometer.
All seats, both in the cabin and in the patient compartment, must have padded backrest, head support, and seat belt, washable, waterproof, and resistant to weather and cleaning; three-point belt, and for the fixed rotating medical chair, retractable sub-abdominal belt or three-point belt.
In the patient compartment, parallel to the stretcher, a foldable side bench, trunk-type, covered in washable, waterproof “courvin,” resistant to soap, 70% alcohol and weather, with minimum length of 1.83 m, allowing the transport of at least three seated patients or one immobilized victim on a long spine board, equipped with three sub-abdominal or three-point safety belts, enabling the fixation of the victim on the long board to the bench.
The long board must be safely stored over this bench with fixation systems that prevent its movement.
The backrest of the trunk-type bench must have maximum thickness of 70 mm.
This trunk-type bench must contain an opening with lid at the lower base, allowing water drainage during interior washing.
The trunk-type bench must also have a single simple lock, preventing its involuntary opening. Inside this trunk bench there must be a trash bin with easy access for use and removal, for placement of trash bags of approximately 7 liters. The access to the trash bin must be vertical and with a lid, in order to reduce contamination and facilitate handling of waste.
It must also contain a compartment for a sharps container inside this bench; this compartment must have an opening at the upper part, with a stainless-steel tube, located at the height of the stretcher headboard near the side bench for the disposal of sharps.
At the stretcher headboard, located between the cabin and the stretcher, along its axis, facing the rear of the vehicle, there must be a bench, of ergonomic design, with a 360-degree rotating system and with locking in at least 8 equidistant positions, in order to provide total safety to the occupant, with level and distance adjustment suitable to allow a health professional to offer care to the victim, including access to the airways.
Bi-articulated stretcher, entirely made of duralumin, with its main structure in rectangular or circular bars; total weight maximum 40 kg, folding lateral handles, with minimum length of 1,800 mm, 550 mm width and capacity for patients up to 300 kg (tested with minimum 500 kg), with retractable system for each axle operated by retraction levers; with four (4) 200 mm swivel casters with brake system.
This stretcher must have three safety belts fixed to it, equipped with quick-release buckles, allowing perfect safety and quick disengagement, without risk to the victim.
It must be equipped with a system for raising the patient’s torso and legs by at least 45 degrees and must support in these items a minimum weight of 100 kg.
The stretcher must be installed longitudinally in the patient compartment with the headboard facing the front of the vehicle; once inside the vehicle, this stretcher must remain properly fixed to its structure, preventing lateral or vertical movement during the vehicle’s motion.
When assembled outside the ambulance, it must have a maximum height of up to 1,200 mm.
There must be minimum spaces between the cabinets and the counters located on both sides of the ambulance, with minimum 120 mm for the left side cabinet and minimum 500 mm for the base/cover of the right rear wheelhouse.
The system that fixes the stretcher to the ambulance floor must be assembled in a manner that allows the drainage of liquids on the floor below the stretcher, preventing accumulation.
The base of the bench and the stainless-steel protections for the stretcher and its floor-mounted locks must be sealed, except for the stretcher guide, which must be partially sealed so as not to allow water accumulation.
Accompanying items: split mattress, made of foam or similar, coated with resistant and waterproof material, without seams or points that allow entry of fluids or secretions; other components or accessories necessary for its proper use.
Rescue and evacuation board/stretcher:
Two sets of rescue and evacuation board/stretcher systems must be supplied with the following specifications; this is a stabilization, immobilization, emergency and patient/victim transport system that shall follow the description below:
Each system shall be composed of 01 unit of long board, made of fully waterproof material, plastic or polyethylene, non-foldable, washable, in yellow color.
It must have rounded corners and edges, with oblong holes along the edges for passing the straps and holes for hand grips. It must be lightweight, weighing at most 7.5 kg.
Approximate dimensions: 1800 mm x 450 mm.
It must not conduct electricity, must not have welds or metallic joints or reinforcements.
Must have flotation in water.
Must be radiotransparent (to X-rays) and waterproof.
It must allow proper immobilization and transport of adults and children, and must have at least 30 openings, meaning openings on the ends and on the internal area, to allow proper immobilization of children and adults.
Both ends must have a rectangular shape.
It must have, at one of the ends of the board, the coupling system for the head immobilizer blocks, which allows adjustment at the moment of use, directly on the board and without the use of stitching or Velcro, so as to facilitate use and proper cleaning.
The system must be accompanied by 01 pair of blocks for adult use and 01 pair of blocks for pediatric use; the blocks must be made of resistant, waterproof, washable material, free of fabric, stitching or Velcro.
Must have a central hole that covers the auricular region.
The sizes must be different for adult use and for pediatric use.
Must have dedicated openings, directly on the board, for fitting the head strap and chin strap.
Forehead strap:
900 mm length x 30 mm width, made of polypropylene strap in black color with adjustment through Velcro system, having in the central region a cushion made of ethyl vinyl acetate of 190 mm x 30 mm x 16 mm.
Chin strap:
900 mm x 30 mm width, made of polypropylene strap in black color with adjustment through Velcro system, having in the central region an opening 100 mm in length for chin fitting.
These straps provide immobilization of the head and neck, preventing flexion, extension, rotation and lateral inclination movements.
All stitching of the piece is reinforced with at least two overlapping passes, and in some points up to four passes, with backstitch reinforcement.
Measurements may vary by 5%.
It must come accompanied by sets composed of 03 units (01 in red color, 01 in yellow color and 01 in black color) of belts made of polypropylene with quick-release buckle in black color made of nylon, measuring 160 cm in length and 50 mm in width each.
It must come packed in a case with proper compartments for storing the above-mentioned material.
External part: made of 420 nylon fabric, in blue or green color, and hand straps of 50 mm width in blue color.
Each long board comes with three…
(03) safety belts made of nylon in the colors red, yellow and green with black buckles in resistant polypropylene with X-shaped stitching, measuring 1,600 mm in length and 50 mm in width.
Spider-type belt: made of polypropylene straps with width of 50 mm.
At the lower end of the central strap, it must have a device made of black strap with maximum length of 110 cm with adjustable length (quick-release buckles) in such a way as to prevent the victim from slipping down the board.
Above this device, there is a black strap fixed perpendicularly to the central strap with maximum length of 125 cm to secure the ankle region, with adjustable length mechanism.
In the intermediate part of the central strap, it must have three loops fixed perpendicularly to the central strap to secure, in sequence:
● the victim’s legs with a red strap with maximum length of 180 cm with adjustable length;
● the hip region with a black strap with maximum length of 185 cm with adjustable length;
● the thorax with a yellow strap with maximum length of 210 cm with adjustable length (quick-release).
The perpendicular straps must secure the heel, legs, hip and thorax and have a mechanism that allows them to slide along the central strap so that the fixing points may be adjusted according to the victim’s height.
At the upper part of the central strap, fixed perpendicularly, there is a moss-green strap. Attached to this strap are two perpendicular straps in green with maximum length of 130 cm with adjustable length (quick-release), intended to secure the victim’s shoulders.
The internal finish is made of thermoplastic profile 25 mm x 0.8 mm in black color.
User manual written in Portuguese.
Internal and external design
Technical characteristics of the coating:
The internal coating of the side panels, walls and the wheel housings, if exposed, must have coating identical to that of the walls, which must be coated with washable material resistant to cleaning and disinfection processes common to hospital surfaces, with minimum thickness of 3 mm, molded according to the geometry of the vehicle in acrylonitrile butadiene styrene (ABS), and all materials must comply with CONTRAN Resolution No. 498 of July 29, 2014, and JIS Z 2801:2000 (antimicrobial) standard in their composition, proven by a report issued by a regulated company, with the manufacturer also linked to the supplying company and the bidder, allowing traceability.
Furniture characteristics:
The furniture design must be in acrylonitrile butadiene styrene (ABS), and all materials must comply with CONTRAN Resolution No. 498 of July 29, 2014, and JIS Z 2801:2000 (antimicrobial) standard in their composition, proven by a report issued by a regulated company, with the manufacturer also linked to the supplying company and the bidder, allowing traceability.
Their positioning must be adequate, aiming at maximum space optimization, proper equipment fixation, and vehicle asepsis. All doors must be equipped with a latch to prevent their spontaneous opening during vehicle movement.
All shelves must have front stoppers, in order to prevent materials from falling when the vehicle is in motion.
Bench for accommodation of equipment, with lateral stopper of at least 50 mm and rounded edge.
The internal cabinets must have the dimensions described below, as close as possible depending on vehicle availability:
(i) 02 upper cabinets for storage of materials, with 50 mm front stopper, measuring 1,100 mm in length by 250 mm in depth, with a height of 180 mm;
(ii) 02 cabinets for storage of materials with nylon retention straps to prevent materials from falling during movement, with 50 mm front stopper. Each shelf measuring 490 mm in length by 310 mm in depth, with a height of 410 mm;
(iii) 01 cabinet for storage of materials with sliding polycarbonate doors, divided, measuring 950 mm in length by 370 mm in depth, with a height of 220 mm;
(iv) 01 cabinet for storage of materials, with 50 mm front stopper, measuring 520 mm in length by 280 mm in depth and 140 mm in height;
(v) 01 cabinet for storage of 2 O₂ cylinders, door with vertical opening, opening at least 90°, with latch to prevent spontaneous opening during vehicle movement, measuring 520 mm in length by 270 mm in depth and 950 mm in height;
(vi) 01 bench-type cabinet for accommodation of equipment, with 50 mm front stopper for support of medication and equipment, measuring 1800 mm in length by 370 mm in depth;
(vii) 02 drawers located near the divider, measuring 250 mm in length, 300 mm in depth and 70 mm in height;
(viii) 01 trash compartment, located next to the divider with identification, measuring 150 mm in length, 150 mm in width and 200 mm in height;
(ix) trunk-type bench for three occupants, including internal storage for two rescue boards, with rear door equipped with latch to prevent opening during vehicle movement.
Handrail:
There must be a grab bar on the ceiling of the patient compartment. Both positioned near the edges of the stretcher, rear-to-front direction of the vehicle.
Made of aluminum of at least 1-inch diameter, with 3 fixing points on the ceiling and two sliding IV support systems.
Floor:
Must be resistant to heavy traffic, coated with vinyl-type or similar material in light color, high resistance, washable, waterproof, and non-slip even when wet.
Short and long polyethylene spine boards for immobilization of the spine (infant and adult), spider straps (adult + infant); installation of wheelchair with rubber-coated caster wheels and braking system, with 127 mm diameter. Locking system in the open position to prevent unintentional folding. Load capacity 160 kg. Structure in hard aluminum with steel fitting joints. No welding. Base in high-resistance polymer (SITMED exclusive). Safety belt with automotive-type buckle. Complete anchoring (fixation) system for installation in ambulances. Footrest in steel plate. Folding system for storage. Rubber handles to assist in transport, two of which with telescopic system to facilitate transport on staircases. Equipment not suitable for use in MRI rooms.
Portable cylinder set – 0.5 m³, aluminum, with pressure-reducing valve, pressure gauge, flowmeter, suction outlet with reducing valve, and patient circuit (jar, hose, nebulizer and mask) with bag.
External design: the ambulance colors shall be white, and the logos to be affixed to the ambulance shall be defined by the municipality. The initial warranty period shall begin on the date of signature of the definitive vehicle acceptance term.
Other equipment and materials to be supplied with the ambulance: complementary equipment and materials, which shall be supplied together with the ambulance, according to the technical description below:
a) 01 ABC powder extinguisher, 6 kg;
b) 05 traffic safety cones, with height between 700 and 760 mm and base with sides of 400 (+ or – 20) mm, in plastic, orange, with long-durability reflective bands, in accordance with ABNT standards, which shall be fixed to the left rear door by a secure fixation system that allows easy placement and removal;
c) 01 portable flashlight: battery-powered flashlight with attached or built-in charger, portable, allowing at least 08 hours of high-intensity use, body in impact-resistant thermoplastic, maximum weight of 1.5 kg, with automatic bivolt input (110–240 V), rechargeable battery.
Drivability and safety: tire system: anti-puncture tire additive: immediate repair of punctures and prevention of perforations between 8 mm and 50 mm, with reduction of downtime due to punctures and consequently: reduction in assistance costs, and elimination of productivity loss; permanently prevents and repairs punctures in tires without the need for later repairs; reduces tire temperature by up to 30 degrees Celsius; by capillarity through the sidewalls and long-term pressure management, prevents pressure loss and extends inflation for long periods (weeks/months).
It increases the tire’s lifespan between 25% and 35%.
The vehicles, as well as their required accessories, components, and auxiliary tools, must be supplied new and in compliance with the regulations and standards of ABNT – Brazilian Association of Technical Standards, INMETRO, and other applicable norms. Items considered inadequate, of inferior quality, or not meeting the requirements shall be returned, and payment shall remain suspended until they are fully regularized. The replacement period, at the discretion of the contracting party, may be renewed without prejudice to penalties for the initial delay.
Technical reports that must be presented:
1. Antimicrobial ABS report;
2. Declaration authorizing the implementer to use antimicrobial ABS;
3. Report of the signaling bar;
4. Report of the amplifier (siren);
5. CAT and CCT in the name of the company that will perform the implementation;
6. Seat belt anchorage report;
7. Stretcher report;
8. Bench (storage seat) report;
9. Flammability test of the thermal and acoustic insulation.
Technical Specification: Documents to be submitted together with the commercial proposal after accreditation:
The company must submit with the commercial proposal the Certificate of Compliance with Traffic Legislation – CAT, referring to the vehicle transformation, specifying: brand/model/version, together with the basic adaptation project “descriptive memorial,” in accordance with DENATRAN Ordinance 190/2009, in the name of the bidding company.
Proof that the product to be used in assembling the visual system meets the specifications established in this Terms of Reference, through a statement issued by the manufacturer or supplier to the transforming company.
Proof that the product to be used in assembling the acoustic signaling system with an amplifier does not generate electromagnetic noise or any other type of signal that interferes with the reception of radio or mobile telephony signals.
A report must be provided proving compliance with SAE J575 and SAE J595 standards (Society of Automotive Engineers), regarding tests for vibration, moisture, dust, corrosion, deformation, and Class 1 photometry for the luminous signal and ruby-colored auxiliary lights, and Class 2 photometry for auxiliary lights of other colors, when required.
A catalog and/or brochure of the signaling device written in Portuguese must be submitted.
 Reports must be presented for flammability to meet CONTRAN 498/2014 regarding non-metallic internal coverings of the patient compartment for the following items: thermal insulation, side wall covering, ceiling covering, floor covering, door covering, partition covering, and seat upholstery; stretcher anchorage tests; and product registration with ANVISA.
Tests of anchorage of the seat belt of the storage-bench seat installed in the patient-care compartment on the vehicle body, pursuant to ABNT NBR 14561:2000, in the name of the transformer company.
Test of anchorage of the three-point seat belt of the physician’s seat pursuant to ABNT NBR 6091:2015, in the name of the transformer company.
Flammability report of the ABS covering.
Declaration that the ambulance interior covering contains an antimicrobial additive meeting standard JIS Z 2801:2000 and CONTRAN Resolution 498, with proven traceability, issued in the name of the manufacturing company for the transformer company.
Certificate(s) of proof of aptitude for the supply of goods compatible with the object of this procurement, issued by a legal entity under public or private law in the name of the bidding/transformer company.
Proof of registration or certificate of enrollment of the company in the Regional Council of Engineering and Agronomy (CREA).
CREA registration certificate of the engineer responsible for the company.
Report for the oxygen hose.
Report for the compressed-air hose.
Acoustic and visual signaling — certificate of conformity or laboratory test proving that the visual signaling system to be supplied meets the following standards, in their respective latest editions:
SAE J575 — visual signal
SAE J595 — Class 1 red — visual signal
SAE J578 — visual signal
SAE J845 — Class 1A red — visual signal.
External lighting — notarized copy or original laboratory test proving that the sequential external luminaires comply with standards SAE J575 and SAE J595.
Strobe lights — notarized copy or original laboratory test proving that the strobe lights to be installed in the headlights comply with standards SAE J575 and SAE J595.
Include with the proposal the Technical Thermal-Comfort Test Report for Passenger-Transport Vehicle, RT:2303/23 or RT:2310/23, in the name of the bidding company. Warranty: 12 months.