36A77620Q0149-0001002.docx

VA Nebraska-Western Iowa Healthcare System Initial Outfitting, Transition & Activation Statement of Work

Surgical Ortho Imaging Tower and Ortho Instruments, including (JSNs: U0011-U0028, U0036, U0041 and U0042)

VA Nebraska-Western Iowa Healthcare System 4101 Woolworth Avenue Omaha, NE 68105 Ambulatory Care Center Project

Introduction Veteran Affairs Nebraska-Western Iowa Healthcare System (VANWIHS) has a requirement to purchase Surgical Ortho Imaging Tower and Ortho Instruments, including (JSNs: U0011-U0028, U0036, U0041 and U0042) from an authorized vendor to supply, deliver and install the item(s) identified in Table 1 below.

This requirement is in support of a brand name only requirement based on the following need of this Surgical Ortho Imaging Tower and Orthopedic Instruments to be integrated with new ACC OR Video Integration system that already meets all the required VA IT standards.

This requirement is in support of the activation of VA Nebraska-Western Iowa Healthcare System Ambulatory Care Center. The new Ambulatory Care Center has the need for Ortho instruments and Ortho Imaging tower for the Ambulatory Surgery department. The current manufacturer is the basis for design for newly constructed space.

Table 1 – Package Items Summary

Additional Item Requirements

For all equipment, the vendor shall provide 2 user manuals that describe proper use, care and cleaning for users of the equipment.

In addition, the vendor will provide 2 service manuals that includes theory of operation, maintenance requirements, repair information, schematics, part lists and troubleshooting information in electronic format for use by the VA Biomedical Engineering Department.

Date of manufacture must not be greater than 2 years before the purchase order date. The equipment must not be used or refurbished and must have the latest manufacturer’s software/hardware updates installed. Any batteries provided with the unit will not be manufactured more than 12 months before the purchase order issue date.

General Conditions Site Address The address of the VA Nebraska-Western Iowa Healthcare System Ambulatory Care Clinic is provided below.

4101 Woolworth Avenue Omaha, NE 68105

Delivery Schedule Items shall be physically delivered no earlier than the estimated delivery start date and no later than the delivery end date listed in Table 2 below. The site requires initiation of the project management support of this contract immediately in order to coordinate the construction engineering required to support the VA construction management team guiding the site contractor.

Table 2 – Anticipated Building Outfitting Schedule

Schedule and Order Management

Delivery and Receiving

2.4.1 Delivery and receipt of the proposed items is anticipated to be directed to the location identified below. Confirmation of delivery location will be provided post-award. To coordinate delivery, contact Government POC Mark Stockstell at (402) 995-5847, mark.stockstell@va.gov, Colin Beal at (402) 930-7775, colin.beal@va.gov, Dan Thompson at (785) 477-2820, dan.thompson@sme-solutions.co, and Derick Lacky at (301) 602-9109, dlackey@hcrmoves.com.

☒ VANWIHS Omaha VA Ambulatory Care Clinic (Direct Delivery to address detailed in paragraph 2.1.1) ☐ IOT&A Contractor-Provided Warehouse Local to the VANWIHS SME Solutions Warehouse: Attn: SME Solutions-VA Project, Gratton Warehouse Co. 11005 E Circle Omaha, NE 68137

Use of Warehouse

If the vendor requires the use of the Government’s activation contractor’s warehouse to meet the requirements of this contract the vendor must provide a certificate of insurance prior to the delivery and offloading of the item(s). This insurance certificate must be completed and presented to the activation contractor prior to delivery.

The vendor shall communicate through the VA and IOT&A POC any required coordination requirements.

Clean Up and Disposal

2.6.1 There are no dumpsters available for vendor use.

2.6.2 The removal of waste and/or excess material shall be conducted through the loading dock area.

Assembly and Installation Required (Yes ☒ No ☐)

2.7.1 The vendor is required to manage and coordinate installation at the VANWIHS Omaha VA Ambulatory Care Clinic with the COR or his representative IOT&A POC.

2.7.2 On-site assembly and installation of items, and performance of services identified in this document shall take place during normal business hours which are defined as: 8:00 AM to 4:30 PM Central Standard Time, Monday through Friday, and excluding Federal Holidays.

2.7.3 The vendor is required to define the need for a staging area to accommodate item assembly and installation, if needed. Post-award, this information will be confirmed with the vendor.

2.7.4 The vendor is required to provide tools, labor and materials to complete assembly and installation of the items detailed in this document.

2.7.5 The vendor shall protect all finished spaces and surfaces as required from delivery and installation damage. The vendor shall use covering and protection to the extent necessary to prevent damage to finished spaces. Any damage occurred during delivery and installation is the responsibility of the vendor. The vendor will be responsible for paying for and repairing any damage or noted deficiencies to finished spaces and surfaces that occur as a result of the vendor’s (or associated sub-contractors) installation.

2.7.6 During the entire duration of assembly and installation, the vendor will have a competent representative on-site as the vendor’s contact, and to serve as the interface between the vendor and VANWIHS. On-site representative can be the installer. All instructions provided from COR to the representative will be binding as if given to the vendor’s main contact. The COR may provide specific instructions, however, only the Contracting Officer may change the terms or conditions of the contract.

1. SCOPE OF WORK

VA Nebraska-Western Iowa Healthcare System U0011

Omaha, NE 68105

Total Quantity: 1 ☐ Finish Sample Required if Checked ☐ Manufacturer Certified Installation Required if Checked ☐ BMET Training Required if Checked ☐ End User Training Required if Checked

JSN Nomenclature: JSN U0011 - ACL Screwdriver and Taps Salient Characteristics: Surgical Grade Stainless Steel and Etched for Censitrac (preferred)

INTERFERENCE SCREW, DRIVER QTY 2

7MM TAP QTY 2

8MM TAP QTY 2

9MM TAP QTY 2

10MM TAP QTY 2

6MM TAP QTY 2

TAP TRAY QT 2

VA Nebraska-Western Iowa Healthcare System U0012

Total Quantity: 1

JSN Nomenclature: JSN U0012 - ACL Sets Salient Characteristics: Surgical Grade Stainless Steel unless otherwise specified and Etched for Censitrac (preferred)

CANN DRILL BIT 5MM QTY 2

ENDOSCOPIC CANN DRILL BIT 6MM QTY 2

TUBE, SIZING, 6MM QTY 2

TUBE, SIZING, 7MM QTY 2

TUBE, SIZING, 8MM QTY 2

TUBE, SIZING, 9MM QTY 2

TUBE, SIZING, 10MM QTY 2

TUBE, SIZING, 11MM QTY 2

TUBE, SIZING, 12MM QTY 2

CANNULATED VRILL BIT, 6MM QTY 2

CANNULATED VRILL BIT, 7MM QTY 2

CANNULATED VRILL BIT, 8MM QTY 2

CANNULATED VRILL BIT, 9MM QTY 2

CANNULATED VRILL BIT, 10MM QTY 2

CANNULATED VRILL BIT, 11MM QTY 2

CANNULATED VRILL BIT, 12MM QTY 2

TENDON STRIPPER, CLOSED QTY 2

BONE TUNNEL PLUG, SMALL, 7MM 3/BX QTY 4

PLUG, BONE TUNNEL, 9/10, MED 3/BX QTY 4

BONE TUNNEL PLUG, LARGE, 10-11MM 3/BX QTY 4

RASP, CHMFRG QTY 2

RASP, RND, HF, 7MM QTY 2

ENDOSCOPIC CANN DRILL BIT 7MM QTY 2

ENDOSCOPIC CANN DRILL BIT 8MM QTY 2

ENDOSCOPIC CANN DRILL BIT 9MM QTY 2

ENDOSCOPIC CANN DRILL BIT 10MM QTY 2

ENDOSCOPIC CANN DRILL BIT 11MM QTY 2

ENDOSCOPIC CANN DRILL BIT, 12MM QTY 2

DIAMOND RASP 90 DEG QTY 2

DRIVER, SILK SCREW, 1.5MM QTY 2

GAUGE, DEPTH, ENDO-BUTTON QTY 2

HDL, ASSY, DIRECTOR ACL GUIDE QTY 2

AMR, TIP, ARM, DIRECTOR, ACL GUIDE QTY 2

GDE, OFFS DRILL, 3.9MM QTY 2

BLT ASSY 4 POINT DIRECTOR QTY 2

STIPPER, ENDON, LARGE EA QTY 2

DRILL, UNIVERSAL ENDO CANN 5.0MM QTY 2

SLOTTED GRAFT SIZONG BLOCK QTY 2

SYS, TRAY DIRECTOR GUIDE QTY 2

VA Nebraska-Western Iowa Healthcare System U0013

Total Quantity: 1

JSN Nomenclature: JSN U0013 – Ankle Distractor Salient Characteristics:

CLAMP, TABLE QTY 1

FOOT STRAP, ANKLE DISTRACTOR, STERILE 6 BX QTY 1

BAR, SUPPORT, GUHL, ANKLE DISTRACTOR QTY 1

DISTRACTOR, ANKLE, GUHL, NON-INVASIVE QTY 1

TRAY LID AND MAT, GUHL ANKLE QTY 1

VA Nebraska-Western Iowa Healthcare System U0014

Total Quantity: 1

JSN Nomenclature: JSN U0014 – Arthroscopy Equipment Salient Characteristics: Surgical Grade Stainless Steel unless otherwise specified and Etched for Censitrac (preferred)

OBTURATOR, 4.5MM QTY 6

TROCAR, 4.5MM QTY 6

OBTURATOR, 5.5MM QTY 6

WISSINGER ROD, 4.5M QTY 6

4.5MM OPERATIVE CANNULA QTY 6

SWITCHING STICK QTY 12

SWITCHING SLEEVE QTY 6

INTEL 4MM A'SP FOR OBTURATOR QTY 6

BASKET PUNCH 90D ROTARY 2.2MM, LEFT QTY 6

BASKET PUNCH 90D ROTARY 2.2MM, RIGHT QTY 6

TENSIONER, TISSUE, NON-CANNULATED QTY 6

BASKET PUNCH, UPBITER QTY 6

PUNCH, BASKET, SCOOP, STRAIGHT, 1.0M QTY 6

PUNCH, BASKET, DUCKLING, STRAIGHT QTY 6

PUNCH, BASKET, DUCKLING, UPBITER QTY 6

POSTERIOR PUNCH, CURVED LEFT QTY 6

POSTERIOR PUNCH, CURVED RIGHT QTY 6

CANNULA, OPERATIVE 5.5MM FINDGERPOST QTY 3

INFUSION ADAPTER, W/STOPCOC QTY 6

HEAVY HOOK PROBE W/ HANDLE QTY 6

OVAL PUNCH, UPBITER QTY 6

CANNULA, HIGH FLOW, DIAGNOSTIC, 6MM, ROTABLE, DOUBLE VALVE QTY 6

Irrigator Extra High Flow Single Valve QTY 6

VA Nebraska-Western Iowa Healthcare System U0016

Total Quantity: 1

JSN Nomenclature: JSN U0016 – Biters Salient Characteristics: Surgical Grade Stainless Steel unless otherwise specified and Etched for Censitrac (preferred)

TRAY, STERILIZATION, LINEAR QTY 6

PUNCH, BASKET, DUCKBILL, STRAIGHT, 1.5MM QTY 6

PUNCH, BASKET, DUCKBILL, UPBITER, 1.5MM QTY 6

PUNCH, BASKET, SCOOP, UPBITER, 1.3MM QTY 6

PUNCH, BASKET, SCOOP, UPSWEPT, 1.3MM QTY 6

PUNCH, SCISSOR, STRAIGHT QTY 6

PUNCH, SCISSOR, UPBITER, CURVED, LEFT QTY 6

PUNCH, SCISSOR, UPBITER, CURVED, RIGHT QTY 6

PUNCH, BASKET, DUCKLING, STRAIGHT QTY 6

PUNCH, BASKET, DUCKLING, CURVED, LEFT QTY 6

PUNCH, BASKET, DUCKLING, CURVED, RIGHT QTY 6

PUNCH, STINGRAY, RIGHT QTY 6

PUNCH, STINGRAY, LEFT QTY 6

PUNCH, BASKET, DUCKLING, ELEVATED QTY 6

PUNCH, OVAL, UPSWEPT QTY 6

VA Nebraska-Western Iowa Healthcare System U0017

Total Quantity: 1

JSN Nomenclature: JSN U0017 – Compaction Pliers Salient Characteristics: Surgical Grade Stainless Steel unless otherwise specified and Etched for Censitrac (preferred)

TRAY, STERILIZATION, MEDIUM QTY 1

PLIERS, COMPACTION, 7MM (REF IM P/N13499) QTY 1

PLIERS, COMPACTION, 8MM (REF IM P/N13500) QTY 1

PLIERS, COMPACTION, 9MM QTY 1

PLIERS, COMPACTION, 10MM (REF P/N13502) QTY 1

PLIERS, COMPACTION, 11MM (REF P/N13503) QTY 1

PLIERS, COMPACTION, 12MM (REF P/N13504) QTY 1

VA Nebraska-Western Iowa Healthcare System U0018

Total Quantity: 1

JSN Nomenclature: JSN U0018 – Dr Crosby Set Salient Characteristics: Surgical Grade Stainless Steel unless otherwise specified and Etched for Censitrac (preferred)

TRAY, STERILIZATION, LARGE GENERIC QTY 2

SMARTSTITCH SUTURE DEVICE HANDLE QTY 2

5.5 MM PUNCH TAP PACKAGE ASSY QTY 2

EXTRACTION DEVICE QTY 2

6.5MM PUNCH TAP QTY 2

VA Nebraska-Western Iowa Healthcare System U0019

Total Quantity: 1

JSN Nomenclature: JSN U0019 – Shoulder Set Salient Characteristics: Surgical Grade Stainless Steel unless otherwise specified and Etched for Censitrac (preferred)

SWITCHING STICK QTY 4

SHOULDER ELEVATOR QTY 4

SCISSOR DOUBLE HOOK QTY 4

SUTURE MANIPULATOR QTY 4

ARTHROPIERCE STRAIGHT QTY 4

ARTHROPIERCE 45 DEG RIGHT QTY 4

ARTHROPIERCE 45 DEGREE LEFT QTY 4

ARTHROPIERCE 35 DEGREE UP QTY 4

KNOT MANIPULATOR QUICK-T QTY 8

REUSABLE OBTURATOR, 8.5X72M W/4.3CANN QTY 4

ELITE PREMIUM CROCHET HOOK QTY 4

ELITE PREMIUM ALLIGATOR GRASPER QTY 4

ELITE PREMIUM COMBINATION GRASPE QTY 4

BANKER RASP QTY 4

KNIFE RASP QTY 4

AWL, TAPERED, 3.8MM QTY 4

TRAY, ELITE PREMIUM II HLDR ARTHROSYSTEM QTY 4

SUTURE CUTTER QTY 4

4.5MM AWL/DILATOR QTY 4

5.5MM AWL/DILATOR QTY 4

DRILL GUIDE, CROWN TIP, REUSABLE, STD QTY 4

SUTUREFIX FISHMOUTH GUIDE QTY 4

OBTURATOR, S, BLUNT, REUSABLE QTY 4

Obturator S Cannulated Reusable QTY 4

Obturator S Trocar Tip Reusable QTY 4

VA Nebraska-Western Iowa Healthcare System U0020

Total Quantity: 1

JSN Nomenclature: JSN U0020 – Hip Arthroscopy Set Salient Characteristics: Surgical Grade Stainless Steel unless otherwise specified and Etched for Censitrac (preferred)

SWITCHING STICK 4.3MM QTY 4

MTO 3.0 MM PROBE QTY 2

PUNCH, 90 ROTARY RIGHT, EXTENDED, LOOP HANDLE QTY 2

PUNCH, 90 ROTARY LEFT, EXTENDED, LOOP HANDLE QTY 2

GRASPER, ALLIGATOR MAX, EXTENDED QTY 2

GRASPER, EXTENDED 2.25' QTY 2

PUNCH, NARROWLINE UPBITER EXT 2.25' QTY 2

PUNCH SCOOP UPBITER 1.5MM, EXT 2.25' QTY 2

PUNCH, DUCKLNG, UPBITER EXTENDED 2.25' QTY 2

DUCKLING, UPSWEPT EXTENDED 2.25' QTY 2

TRAY, STERILIZATION, HIP ARTHROSYSTEM QTY 2

KNOT MANIPULATOR QUICK-T QTY 2

STINGRAY PUNCH, RIGHT EXTENDED 2.25' QTY 2

STINGRAY PUNCH, LEFT EXTENDED 2.25' QTY 2

4.5MM CANNULATED OBTURATORW/DELRIN QTY 2

5.0MM CANNULATED OBTURATORW/DELRIN QTY 4

5.5MM CANNULATED OBTURATORW/DELRIN QTY 2

CLEAR-TRAC COMPLET CANNULAS. HIP.7.0MMX110MM REUSABLE OBTURATOR QTY 2

ARTHROGRADE SLOTTED CANNULA, HIP QTY 2

ASSEMBLY, 5.5MM HIP CANNULA QTY 6

MTO ARTHRO GUARD 4.5M J LOCK HIP CANNULA QTY 6

MTO ARTHRO GUARD 5MM J LOCK HIP CANNULA QTY 6

HIP REPAIR MICROFRACTURE PICK, 30DEG QTY 2

MICROFRACTURE PICK, HIP, 45DEGREES QTY 2

HIP REPAIR MICROFRACTURE PICK, 60DEG QTY 2

IRRIGATION EXTENDER WITH A J SNAPAND A DOUBLE VALVE QTY 4

OPEN CURETTE, 4.5MM, XL QTY 2

OPEN CURETTE, 4.5MM, XL QTY2

OPEN CURETTE, 6MM, REVERSE CUT, XL QTY 2

ARTHRO-ROUND, XL QTY 2

KNOT MANIPULATOR, XL QTY 2

SUTURE CUTTER XL QTY2

ELEVATOR, XL QTY 2

RASP, XL QTY 2

INSTRUMENT TRAY HIP ARTHROSCOPY QTY 2

VA Nebraska-Western Iowa Healthcare System U0021

Total Quantity: 1

JSN Nomenclature: JSN U0021 – Hip Positioner Salient Characteristics:

UNIVERSAL HIP DISTRACTOR QTY 2

PERONEAL POST QTY 1

RAIL CLAMP | 2/BX QTY 1

BOARD, PATIENT TRANSFER QTY 1

PAD, PATIENT TRANSFER QTY 1

STORAGE CART, SUPINE SYSTEM QTY 1

SUPINE TABLE ATTACHMENT W/PAD QTY 1

VA Nebraska-Western Iowa Healthcare System U0022

Total Quantity: 1

JSN Nomenclature: JSN U0022 – XL Hip Scope Salient Characteristics: Surgical Grade Stainless Steel unless otherwise specified and Etched for Censitrac (preferred) HIP ASCOPE, 4MM, 30DEG DIR VIEW, 278MM WORKING LENGTH, 115DEG FIELD OF VIEW QTY 2

SUCTION PUNCH,2.5MM QTY 2

RAPTOR JR., PUNCH QTY 2

BLUNT NOSE JR. PUNCH QTY 2

PITBULL, JR. QTY 2

VA Nebraska-Western Iowa Healthcare System U0023

Total Quantity: 1

JSN Nomenclature: JSN U0023 – Resection Equipment Salient Characteristics: (Smith & Nephew basis of design)

SHAVER CONTROL UNIT QTY 2

-SOFT TISSUE CUTTING MODES (SOFT TISSUE/BONE RESECTION)

-DUAL POTS FOR SHAVER AND POWER HANDPIECES

CART, PROCEDURE, W. ISOL.TRANSFORMER QTY 2

MOTOR DRIVE UNIT, HAND CONTROL, ELECTRIC, WITH SUCTION LEVERS AND MULTI BLADE POSITIONING QTY 6

KIT, U.S., SHAVER CONTROL UNIT QTY 2

SHAVER FOOTSWITCH QTY 2

FLUID MANAGEMENT PUMP QTY 3

-MAX FLOW: 1.5L/MIN

-PRESSURE RANGE: 5-150MMHG

-USES RFID TUBE RECOGNITION TO PREVENT REPROCESSING

-WASH FUNCTION

COBLATION CONTROLLER QTY 3

-5 Operation Modes based on procedure/tissue type (Coag, Low, Medium, High, and Vac) -Temperature monitoring/over-ride -Personal Settings

WIRELESS FOOT PEDAL QTY 3

VA Nebraska-Western Iowa Healthcare System U0024

Total Quantity: 1

JSN Nomenclature: JSN U0024 – Small Joint Scope Set Salient Characteristics: Surgical Grade Stainless Steel unless otherwise specified and Etched for Censitrac (preferred)

INSTRUMENT VERSITIP ADAPTOR - Intended to interface Universal Fiber Optic Light Cables with endoscopes Qty 2

SOURCE VERSITIP - Intended to interface Universal Fiber Optic Light Cable with light sources Qty 2

HOOK PROBE, 2.2MM Qty 2

2.9MM SHORT CANNULA WITH FLOW PORT Qty 2

2.9MM SHORT OBTURATOR, BLUNT TIP Qty 2

2.9MM SHORT OBTURATOR, CONICAL TIP Qty 2

LIGHT POST ADAPTOR SLEEVE TO FIT ALL ARTHROSCOPES, HYSTEROSCOPES/CYSTOURETHEROSCOPES, AND LAPAROSCOPES WITH 4MM LIGHT POST Qty 2

STERI-TRAY, 3' X 9',4.0MM SCOPE Qty 2

DIRECT VIEW ARTHROSCOPE, AUTOCLAVABLE 2.7MMX30DEG, FIELD OF VIEW 90DEG, WORKING LENGTH 67MM, J-LOCK CANNULA CONNECTION, 4MM LIGH CABLE CONNECTION Qty 2

STERILIZATION TRAY, MULTI-USE Qty 2

SMALL JOINT HANDPIECE WITH BLADE POSITTIONING HAND CONTROLS, SUCTION LEVER AND 10FT CORD – To be used with the electric driver control system Qty 2

UNIVERSAL LIGHT GUIDE ORANGE 4MM X8 FT Qty 2

VA Nebraska-Western Iowa Healthcare System U0025

Total Quantity: 1

JSN Nomenclature: JSN U0025 – Small Joint Set Salient Characteristics: Surgical Grade Stainless Steel unless otherwise specified and Etched for Censitrac (preferred) 2MM HOOK PROBE Qty 2

2.5MM STRAIGHT SUCTION PUNCH Qty 2

RAPTOR JR., PUNCH Qty 2

BLUNT NOSE JR. PUNCH Qty 2

PITBULL, JR. Qty 2

MICROGRASPER, STRAIGHT Qty 2

MICROPUNCH, STRAIGHT Qty 2

MICROPUNCH, TEARDROP, RIGHT Qty 2

MICROPUNCH, TEARDROP, LEFT Qty 2

CURETTE, 2.5MM, SMALL JOINT, 30 DEG Qty 2

CURETTE, 2.5MM, SMALL JOINT, ANTERIOR LESION Qty 2

PICK, CURVED 65 DEGREE Qty 2

ELEVATOR, CURVED, TEARDROP Qty 2

PICK, STRAIGHT 40 DEGREE Qty 2

ELEVATOR, CURVED Qty 2

TRAY, INSTRUMENT, FOOT & ANKLE Qty 2

VA Nebraska-Western Iowa Healthcare System U0026

Total Quantity: 1

JSN Nomenclature: JSN U0026 – Leg Positioner

PIGGY BACK (2) | 2/BX

SPIDER LEG ACCESSORY (LEFT), TENET 7645 | EA

SPIDER LEG ACCESSORY (RIGHT),TENET 7626 | EA

3D SPIDER CONNECTOR, TENET 7625 | EA

VA Nebraska-Western Iowa Healthcare System U0027

Total Quantity: 1

JSN Nomenclature: JSN U0027 – Shoulder Positioner

STERILIZATION TRAY,MULTI-USE Qty 2

TRAY, STERILIZATION, LARGE GENERIC Qty 6

BEACH CHAIR, SHOULDER EXPOSURE POSITIONER Qty 3

ARM BOARD & GEL PAD, ADJUSTABLE Qty 3

CART, BEACH CHAIR Qty 3

CLAMPS, SQUARE RAIL (2) Qty 3

PIGGY BACK (2) | 2/BX Qty 4

BAR, CONNECTOR, SHOULDER (2) | 2/BX Qty 3

BAR, CONN, SHOULDER, LATERAL(2) | 2/BX Qty 1

ACCESSORY, TRACTION Qty 2

CART, TRANSPORT, SPIDER Qty 3

REPLACEMENT BEACH CHAIR BODY STRAP Qty 3

LIMB POSITIONER Qty 3

LIMB POSITIONER BATTERY Qty 3

VA Nebraska-Western Iowa Healthcare System U0028

Total Quantity: 1

JSN Nomenclature: JSN U0028 – Western Arm Positioner

POSITIONER, ELBOW, WESTERN – Fits onto clark clamp for lateral and prone elbow procedures Qty 1

VA Nebraska-Western Iowa Healthcare System U0036

Total Quantity: 1

JSN Nomenclature: JSN U0036 – Ortho Set Salient Characteristics: Surgical Grade Stainless Steel unless otherwise specified and Etched for Censitrac (preferred) 2.2MM HOOK PROBE Qty 2

MICRO VECTOR DRILL GUIDE Qty 2

K-WIRE GUIDE WIRE ALIGNER,.045(1.1MM), MVECT Qty 2

K-WIRE GUIDE WIRE ALIGNER,.062(1.6MM), MVECT Qty 2

DRILL GUIDE OFFSET Qty 2

CANNULA FOR 3.6MM OPERATIVE SET Qty 3

OBTURATOR FOR 3.6MM OPERATIVE SET Qty 3

CLAMP, TABLE Qty 2

FOOT STRAP, ANKLE DSITRACTOR, STERILE (6) | 6/BX Qty 3

BAR, SUPPORT, GUHL ANKLE DISTRACTOR Qty 2

RAPTOR JR., PUNCH Qty 2

BLUNT NOSE JR. PUNCH Qty 2

PITBULL, JR. Qty 2

K-WIRE GUIDE .125 Qty 2

ARTHROSCOPE, AUTOCLAVABLE 2.7MM X30DEG SHORT Qty 3

DISTRACTOR, ANKLE, GUHL, NON-INVASIVE. Qty 2

TRAY LID&MAT, GUHL ANKLE DISTRACTOR NON-INVASIVE Qty 2

MICROGRASPER, STRAIGHT Qty 2

MICROGRASPER, UPBITER Qty 2

MICROPUNCH, STRAIGHT Qty 2

MICROPUNCH, TEARDROP, RIGHT Qty 2

MICROPUNCH, TEARDROP, LEFT Qty 2

CURETTE, 2.5MM, SMALL JOINT, ANTERIOR LESION 15DEG Qty 3

SMALL JOINT HANDPIECE WITH BLADE POSITTIONING HAND CONTROLS, SUCTION LEVER AND 10FT CORD – To be used with the electric driver control system Qty 3

FULL RADIUS 2.0MM SHAVER BLADE, 7CM LENGTH |BX/6 Qty 1

FULL RADIUS 2.9MM SHAVER BLADE, 7CM LENGTH |BX/6 Qty 1

FULL RADIUS 3.5MM SHAVER BLADE, 7CM LENGTH |BX/6 Qty 1

ABRADER 2.9MM BURR DISP. BLADE | BX/6 Qty 1

THIGH SUPPORT FIERCELY Qty 2

SMALL JOINT GRASPER W/ NEW LOCKING RATCHET Qty 3

PICK, CURVED 90 DEGREE Qty 2

PICK, CURVED 65 DEGREE Qty 2

PICK, CURVED 45 DEGREE Qty 2

ELEVATOR, CURVED, TEARDROP Qty 2

CURETTE, CURVED, 90 DEGREE Qty 2

CURETTE, OPEN, 4MM, 15 DEGREE Qty 2

CURETTE, OPEN, 2.5MM, 30 DEGREE Qty 2

CURETTE, OPEN, 2.5MM, 15 DEGREE Qty 2

CURETTE, 90 DEGREE Qty 2

CURETTE, CLOSED, 3MM, 15 DEGREE Qty 2

OSTEOTOME, 3MM, 15 DEGREE Qty 2

OSTEOTOME, STRAIGHT, 4MM Qty2

OSTEOTOME, 20 DEGREE, 4MM Qty 2

PROBE, 3MM Qty2

ELEVATOR, CURVED Qty 2

CURETTE, OPEN, 6MM, 15 DEGREE Qty 2

PICK ASSIST Qty 2

TRAY, INSTRUMENT, FOOT & ANKLE Qty 2

COBLATION CONTROLLER QTY 1

-5 Operation Modes based on procedure/tissue type (Coag, Low, Medium, High, and Vac) -Temperature monitoring/over-ride -Personal Settings

WIRED FOOT PEDAL Qty 1

POWER CORD/MANUAL – US ENGLISH Qty 1

VA Nebraska-Western Iowa Healthcare System U0041

Total Quantity: 1 ☐ Finish Sample Required if Checked ☒ Manufacturer Certified Installation Required if Checked ☐ BMET Training Required if Checked ☒ End User Training Required if Checked

JSN Nomenclature: JSN U0041 – Integration Broker, DICOM

Integration Broker, Dicom – Software application that converts images and videos from the surgical imaging system to a DICOM compatible format for export to the hospital PACS system(wifi enabled) Qty 1

VA Nebraska-Western Iowa Healthcare System U0042

Total Quantity: 1 ☐ Finish Sample Required if Checked ☒ Manufacturer Certified Installation Required if Checked ☐ BMET Training Required if Checked ☒ End User Training Required if Checked

JSN Nomenclature: JSN U0042 – Ortho Imaging Tower Salient Characteristics: Surgical Grade Stainless Steel unless otherwise specified and Etched for Censitrac (preferred) INSTRUMENT VERSITIP ADAPTOR - Intended to interface Universal Fiber Optic Light Cables with endoscopes Qty 7

SOURCE VERSITIP - Intended to interface Universal Fiber Optic Light Cable with light sources Qty 7

CANNULA FOR 3.6MM OPERATIVE SET Qty 3

TROCAR FOR 3.6MM OPERATIVE SET Qty 3

OBTURATOR FOR 3.6MM OPERATIVE SET Qty 3

LIGHT POST ADAPTOR SLEEVE TO FIT ALL ARTHROSCOPES, HYSTEROSCOPES/CYSTOURETHEROSCOPES, AND LAPAROSCOPES WITH 4MM LIGHT POST Qty 12

STERI-TRAY, 3' X 9',4.0MM SCOPE Qty 12

ARTHROSCOPE, AUTOCLAVABLE 2.7MMX30DEG, SHORT QTY 2

CABLE ASSY, SDI/HDTV RG-59 BNC, 10FT QTY 1

CABLE, SDI/HDTV RG-59 BNC, 25 FEET QTY 2

AUTOCLAVABLE SCOPE 4MM, 30DEG-DIRECTION OF VIEW, 115DEG FIELD OF VIEW, 160MM WORKING LENGTH, J-LOCK CANNULA CONNECTION QTY 7

AUTOCLAVABLE SCOPE 4MM, 70DEG-DIRECTION OF VIEW, 115DEG FIELD OF VIEW, 160MM WORKING LENGTH, J-LOCK CANNULA CONNECTION QTY 3

CROSS SPECIALTY CART W/ BOOM AND TRANSFORMER QTY 1

CART, LCD MONITOR QTY 1

PRINTER, COLOR PHOTO, MEDICAL GRADE QTY 1

CAMERA HEAD LENS INTEGRATED SYSTEM QTY 1

-1080P IMAGE

-PROGRAMMABLE CAMERA HEAD BUTTONS

-COMPLEMENTARY METAL OXIDE SEMICONDUCTOR SENSOR(CMOS)

LENS INTEGRATED SYSTEM WIFIVERSION | EA

-INTEGRATED IMAGE CONSOLE AND LIGHT SOURCE THAT CAN SEND IMAGES/VIDEO OVER WIFI

IMAGE MANAGEMENT SYSTEM Qty 1

-HIGH DEFINITION

-FUNCTION TO CAPTURE, EDIT, PRINT, AND STORE INTRAOPERATIVE SURGICAL IMAGES AND VIDEOS TO PACS AND EMR(VISTA)

KIT US, IMAGE MANAGEMENT SYSTEM Qty 1

COUPLER HD 17.2MM AUTOCLAVABLE Qty 1

UNIVERSAL LIGHT GUIDE ORANGE 5MMX10 FT Qty 1

UHD 4K FLAT PANEL DISPLAY LCD SONY31"(SURGICAL GRADE) Qty 1 image2.png