Healthcare · Orthopaedics & implants

C-arm: settle intensifier or flat panel before price is opened

Mobile fluoroscopy for fracture fixation inside the OT.

Indicative cost in IndiaRs. 20–60 lakh
Register this requirement — free

The range above is an indicative planning figure taken from our own research, not a quotation and not an offer. buytogethr is pre-launch and has closed no pools.

What you are actually buying

A C-arm is a mobile fluoroscopy unit for the theatre: a C-shaped gantry carrying tube and receptor, a generator, and a separate monitor trolley with image storage. Two decisions govern the quote. The receptor is either a conventional image intensifier or a flat panel, and the two are different products at different prices. Generator output then decides whether the unit copes with lateral spine and heavier patients or is honest only for extremity work. Quotes also diverge on pulsed fluoroscopy rates, image memory, motorised movements and vascular software. The frequent error is specifying for trauma lists, then needing spine work, or overlooking that the C must physically clear the operating table already in the theatre.

Why c-arm suits collective purchasing

C-arms pool well. The specification standardises across orthopaedic and general theatres, and any group of institutions needs several times more of them than it needs scanners, so volume accumulates quickly. The buyers are exactly the fragmented mid-size private hospitals and teaching hospitals that never purchase more than one or two at a time and so have no standing leverage. The supply side stretches from the major imaging OEMs to specialist and Indian manufacturers, which is a healthy field for competitive bidding. One caveat: split the pool into intensifier and flat-panel tiers, or the quotes will not be comparable and the exercise loses its point.

Pin down before price

  • Receptor tier stated first: intensifier diameter or flat-panel size, with tiers never compared against each other
  • Generator output and whether the tube is stationary or rotating anode, judged against your heaviest planned list
  • Pulsed fluoroscopy rates, dose-reduction features and a displayed cumulative skin dose
  • C geometry: free space, depth and orbital travel, checked against the operating table you already own
  • Image memory, DICOM export to PACS, plus theatre radiation survey and AERB registration

What drives ten-year cost

  • Receptor ageing: intensifier degradation or flat-panel replacement is the defining lifecycle cost
  • Tube life under fluoroscopy duty cycles, which are nothing like radiography duty cycles
  • Service response time, because a C-arm out of action stops a whole theatre list rather than one examination

How a pool for this runs

1
Aggregate the demand. Institutions register a requirement and a timeline. Nothing is committed and nothing is paid — the pool simply establishes how much demand exists in one window.
2
Standardise the specification. One technical specification is written for the pooled requirement, so every bidder quotes the same machine. Clinical and engineering specification is never traded away for price.
3
Qualify the suppliers. OEMs and authorised distributors are qualified on manufacturer authorisation, past performance, end-user certificates, financials and demonstration — before any price is opened.
4
Run the price competition. Only technically qualified bidders enter an online reverse auction, with a minimum decrement and automatic extension so the close cannot be sniped.
5
Award on ten-year cost. Lowest is judged on total cost of ownership over ten years — machine, turnkey, software, accessories, transport, insurance, taxes, warranty, maintenance contract, tubes, uptime and training.
6
Buy directly, individually. Each institution raises its own purchase order against the negotiated price and pays the OEM or dealer directly. buytogethr never takes title, never holds stock and never holds your money.

Also pooled under Orthopaedics & implants