36A77620Q0190-A00001001.docx

VA Nebraska-Western Iowa Healthcare System Initial Outfitting, Transition & Activation Statement of Work Packet 143 – Surgical Instrument Sets

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 Packet 143 – Surgical Instrument Sets with an authorized vendor to supply and deliver the item(s) identified in Table 1 below. This is in support of a brand name or equal. See salient characteristics below. 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 Surgical Instrument Sets for surgical use in the new Operating Rooms. Storz is the basis for design.

Table 1 – Package Items Summary

Additional Item Requirements For all Surgical Instrument Sets the vendor shall provide user manuals that describe proper use, care, and cleaning for users of the equipment.

In addition, the vendor shall provide service manuals that include 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 shall not be greater than two (2) years before the purchase order date. The equipment shall not be used or refurbished and shall have the latest manufacturer’s software/hardware updates installed. Any batteries provided with the unit shall 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 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.com, and Robert Stonerook at (706) 304-7194, Robert.stonerook@sme-solutions.co.

☒ VANWIHS Omaha VA Ambulatory Care Clinic (Direct Delivery to address detailed in paragraph 2.1.1) Special Note: There is no loading dock available at this location. All delivery vehicles must be equipped with a “Tommy Gate” type lift to facilitate unloading to ground level.

☐ 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

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 in the new ACC 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.

Scope of Work

VA Nebraska-Western Iowa Healthcare System U0098

Omaha, NE 68105

☐ Finish BMET Sample Required if Checked ☐ Manufacturer Certified Installation Required if Checked ☐ Training Required if Checked ☐ End User Training Required if Checked

JSN Nomenclature: JSN U0098 – Bowel Grasper Salient Characteristics:

· All instruments must be made of surgical grade stainless steel, unless otherwise specified

· All instruments are requested to be etched for use with Censitrac

CLICKLINE BOWEL GRASPER FORCEPS INSERT, FENESTRATED DOUBLE ACTION JAWS, 5MMX43CM Qty 4 Part No. 33410C

CLICKLINE INSULATED OUTER TUBE, 5MMX43CM Qty 4 Part No. 33400

CLICKLINE PLASTIC HANDLE W/DISENGAGEABLE RATCHET, WITH COMFORT GRIP Qty 4 Part No. 33156

VA Nebraska-Western Iowa Healthcare System U0099

☐ 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 U0099 – Endo Ear Lens

· All instruments must be made of surgical grade stainless steel, unless otherwise specified

· All instruments are requested to be etched for use with Censitrac

HOPKINS 0º TELESCOPE, 2.7MM X 11CM, AUTOCLAVABLE Qty 4 Part No. 1230AA

HOPKINS 30º TELESCOPE, 2.7MM X 11CM, AUTOCLAVABLE Qty 4 Part No. 1230BA

HOPKINS II 30º TELESCOPE, 1.9MM X 10CM, AUTOCLAVABLE Qty 4 Part No. 1232BA

STERRAD COMPATIBLE STERILIZATION TRAY F/FOUR SINUS TELESCOPES AND LIGHT CABLE Qty 4 Part No. 39311AS-ZBD

SILICONE TELESCOPE HOLDERS FOR TWO SCOPES TO 4MM, FOR 39301A/B/D TRAYS Qty 12 Part No. 39301AH-ZBD

VA Nebraska-Western Iowa Healthcare System U0100

☐ Finish Sample Required if Checked ☐ Manufacturer Certified Installation Required if Checked

JSN Nomenclature: JSN U0100 – Endobrow Set

· All instruments must be made of surgical grade stainless steel, unless otherwise specified

· All instruments are requested to be etched for use with Censitrac

Hopkins II 30 Deg Wide Angle Telescope, 4mm x 18cm, Autoclavable Qty 2 Part No. 50230BWA

Optical Dissector with Large Sharp Fenestrated Spatula F/4mm 30 Deg Telescope Qty 2 Part No. 50200ES

Clickline Scissors Insert/Out Tube, CRVD Blades, DBL, ACTN, Curved Sheath, 5mm x 18cm Qty 2 Part No. 50235GW

Clickline Grasping Forceps Insert/Outer Tube, Heavy, DBL, ACTN Curved 3mm x 18cm Qty 2 Part No. 50235GW

Clickline Plastic Handle w/o Ratchet Qty 2 Part No. 33151P-HN

Sharp Straight Raspatory Spatula Color Code: Red 12x12mm, Length 15cm Qty 2 Part No. 58210CA

Sharp Curved Raspatory Spatula Color Code: Red 12x12mm, Length 15cm Qty 2 Part No. 58210CGA

Sharp Curved Elevator, Distal End 90 Deg up upper Part Sharp, Width: 9mm, WL: 15cm Qty 2 Part No. 58210LGA

Sharp Curved Elevator, Color Code Red, Width: 9mm, Length: 15cm Qty 2 Part No. 58210AGA

Elevator, Slight, Bended, Hollow Grinding, 8mm x 15cm Qty 2 Part No. 58210UKA

VA Nebraska-Western Iowa Healthcare System U0101

☐ Finish Sample Required if Checked ☐ Manufacturer Certified Installation Required if Checked

JSN Nomenclature: JSN U0101 – ENT Lens Set

· All instruments must be made of surgical grade stainless steel, unless otherwise specified

· All instruments are requested to be etched for use with Censitrac

0º TELESCOPE, 4MM X 18CM, AUTOCLAVABLE Qty 2 Part No. 7230AA

Hopkins II 30º TELESCOPE, 4MM X 18CM Qty 2 Part No. 7230BA

STERRAD COMPATIBLE STERILIZATION TRAY FOR TWO SMALL SCOPES TO 4MM X 18CM Qty 2 Part No. 39301AS-ZBD

STAINLESS STEEL MEDICINE CUP, 100CC, HEIGHT:30MM, DIAMETER:80MM Qty 4 Part No. 810810

HARTMANN NASAL SPECULUM, LENGTH:13CM FOR ADULTS Qty 4 Part No. 400500

LUCAE EAR DRESSING FORCEPS, SERRATED, LENGTH: 14CM Qty 4 Part No. 156000

GENERIC STERILIZATION/STORAGE TRAY, 19.8" X 9" X 1.8", F/ENT Qty 4 Part No. 39301H-ZBD

VA Nebraska-Western Iowa Healthcare System U0103

☐ Finish Sample Required if Checked ☐ Manufacturer Certified Installation Required if Checked

JSN Nomenclature: JSN U0103 – ENT Plastic Micro Set

· All instruments must be made of surgical grade stainless steel, unless otherwise specified

· All instruments are requested to be etched for use with Censitrac

MICRO SCISSORS, W/ROUND HDL, SPRING ACTION CURVED, SERRATED, LENGTH:14CM Qty 1 Part No. 799714

MICRO SCISSORS, W/ROUND HDL, SPRING ACTION STRAIGHT, SERRATED, LENGTH:14CM Qty 1 Part No. 799614

BARRAQUER MICRO NEEDLE HOLDER, W/ROUND HANDLE, SPRING ACTION, CURVED, SERRATED, 18CM Qty 1 Part No. 799418

BARRAQUER MICRO NEEDLE HOLDER, CURVED W/ROUND HANDLE, SPRNG ACTION, SERRATED, 14CM Qty 1 Part No. 799414

MICROLARYNGEAL INSTRUMENT STERILIZATION TRAY, DOUBLE LAYER, 20.5" X 12.5" X 2" Qty 1 Part No. 27678AB-ZBD

VA Nebraska-Western Iowa Healthcare System U0104

☐ Finish Sample Required if Checked ☐ Manufacturer Certified Installation Required if Checked

JSN Nomenclature: JSN U0104 – Esophagoscopy & Bronchoscopy

· All instruments must be made of surgical grade stainless steel, unless otherwise specified

· All instruments are requested to be etched for use with Censitrac

ROBERTS-JESBERG OVAL ESOPHAGOSCOPE, OD:10X14MM, LENGTH:30CM Qty 2 Part No. 12060D

FIBER OPTIC LIGHT CARRIER FOR 30CM ESOPHAGOSCOPES Qty 2 Part No. 12061B

PRISMATIC LIGHT DEFLECTOR, AUTOCLAVABLE Qty 2 Part No. 10101FA

BIOPSY FORCEPS WITH ROUND CUP DOUBLE ACTION JAWS, 2.5MM Qty 4 Part No. 10370L

INSERTABLE SUCTION TUBE FOR 30CM ESOPHAGOSCOPES Qty 2 Part No. 12062B

FIBER OPTIC LIGHT CARRIER FOR 10318B/C/D ADULT BRONCH TUBE, OUTER DIAMETER:2.7MM Qty 2 Part No. 10318L

ADULT BRONCH TUBE W/10318L FIBER OPTIC LIGHT CARRIER, SIZE:7.5, 10.2MM X 43CM Qty 2 Part No. 10318CK

FLEXIBLE STAINLESSSTEEL RULER LENGTH:20CM Qty 4 Part No. 525500

ADAPTOR WITH SLIDING WINDOW AND RUBBER TELESCOPE GUIDE FOR ADULT SCOPE Qty 2 Part No. 10315P

RUBBER TELESCOPE GUIDE F/10318 Qty 2 Part No. 10315N

GLASS WINDOW PLUG F/10318 Qty 2 Part No. 13015M

INSTRUMENT GUIDE WITHOUT STEM FOR ADULT BRONCHOSCOPES Qty 2 Part No. 10318S

RESPIRATOR ADAPTOR FOR RIGID BRONCHOSCOPE TUBES Qty 2 Part No. 10924D

FULL LUMEN OPERATING BRONCH TUBE W/VENT HOLES, F/STENTS, OUTSIDE DIAMETER:14MM, LEGTH:43CM Qty2 Part No. 10318FL

OPTICAL FORCEPS F/REMOVAL OF STENTS F/10320AA/BA SCOPES, INCL 8295391 Qty 2 Part No. 10318GL

HOPKINS 0º TELESCOPE, 4.5MM X 50CM AUTOCLAVABLE Qty 2 Part No. 10328AA

FULL LUMEN OPERATING TRACHEO TUBE W/O VENT HOLES, OD:14MM, LEGTH:33CM Qty 2 Part No. 0318G

FULL LUMEN OPERATING BRONCH TUBE WITH VENT HOLES, OD:12MM, LEGTH:43CM Qty 2 Part No. 10318FL

UNIVERSAL ADULT BRONCH TUBE W/0 LIGHT CARRIER, VENT HOLES, SIZE:8.5MM, 11.2MMX43CM Qty 2 Part No. 10318BP

ADULT BRONCHOSCOPE STERILIZATION TRAY ID: 25.5" X 9.5" X 5" Qty2 Part No. 39316B-ZBD

VA Nebraska-Western Iowa Healthcare System U0105

☐ Finish Sample Required if Checked ☐ Manufacturer Certified Installation Required if Checked

JSN Nomenclature: JSN U0105 – Marchal Complete Set

· All instruments must be made of surgical grade stainless steel, unless otherwise specified

· All instruments are requested to be etched for use with Censitrac

MARCHAL MINI SIALENDOSCOPY 0° TELESCOPE IRRIG:0.25MM, 1.3MMX12CM, AUTOCLAV Qty 2 Part No. 11575A

MARCHAL MINI SIALENDOSCOPY 0° TELESCOPE IRRIG:0.20MM, 0.89MMX12CM, AUTOCLAV Qty 2 Part No. 11581A

MARCHAL MINI SIALENDOSCOPY 0° TELESCOPE IRRIG:0.25MM, 1.6MMX12CM, AUTOCLAV Qty 2 Part No. 11583A

BOUGIE, OUTER DIAMETER:1MM FOR USE WITH 745725 GUIDE WIRE Qty 2 Part No. 745708

BOUGIE, OUTER DIAMETER:1.5MM, FOR USE WITH 745725 GUIDE WIRE Qty 2 Part No. 745709

2MM BOUGIE FOR SIALENDOSCOPY Qty 2 Part No. 745710

2.5MM BOUGIE FOR SIALENDOSCOPY Qty 2 Part No. 745711

3MM BOUGIE FOR SIALENDOSCOPY Qty 2 Part No. 745712

3.5MM BOUGIE FOR SIALENDOSCOPY Qty 2 Part No. 745713

ANGLED SERRATED DISSECTING FORCEPS LENGTH:15CM Qty 2 Part No. 745715

ANGLED TISSUE FORCEPS, 1X2 TEETH LENGTH:15CM Qty 2 Part No. 745716

DELICATE SCISSORS, ANGLED W/BALL END LENGTH:12.5CM Qty 2 Part No. 745717

MARCHAL SALIVARY DUCT PROBE, SIZE:0000 Qty 2 Part No. 745847

MARCHAL SALIVARY DUCT PROBE, SIZE:000 Qty 2 Part No. 745848

MARCHAL SALIVARY DUCT PROBE, SIZE:00 Qty 2 Part No. 745849

MARCHAL SALIVARY DUCT PROBE, SIZE:0 Qty 2 Part No. 745850

MARCHAL SALIVARY DUCT PROBE, SIZE:1 Qty 2 Part No. 745851

MARCHAL SALIVARY DUCT PROBE, SIZE:2 Qty 2 Part No. 745852

MARCHAL SALIVARY DUCT PROBE, SIZE:3 Qty 2 Part No. 745853

MARCHAL SALIVARY DUCT PROBE, SIZE:4 Qty 2 Part No. 745854

MARCHAL SALIVARY DUCT PROBE, SIZE:5 Qty 2 Part No. 745855

MARCHAL SALIVARY DUCT PROBE, SIZE:6 Qty 2 Part No. 745856

MARCHAL SALIVARY DUCT PROBE, SIZE:7 Qty 2 Part No. 745857

MARCHAL SALIVARY DUCT PROBE, SIZE:8 Qty 2 Part No. 745858

SALIVARY DUCT DILATOR, LENGTH:14CM Qty 2 Part No. 745910

SIALENDOSCOPY INSTRUMENT SET TRAY DM:21.55"L X 10.18"W X 4.37"H Qty 2 Part No. 39312A-SIA-ZBD

MICRO BURR FOR SALIVARY STONES DIAM:0.38MM Qty 2 Part No. 11573MB

SALIVARY DUCT DILATOR, LENGTH:11.5CM SIZE 1, 0.5MM-0.8MM Qty 2 Part No. 745920

SALIVARY DUCT DILATOR, LENGTH:11.5CM SIZE 2, 0.7MM-1.0MM Qty 2 Part No. 745921

SALIVARY DUCT DILATOR, LENGTH:11.5CM SIZE 2, 0.9MM-1.2MM Qty 2 Part No. 745922

SALIVARY DUCT DILATOR, LENGTH:11.5CM SIZE 2, 1.0MM-1.6MM Qty 2 Part No. 745923

SALIVARY DUCT DILATOR, SIZE 5 1.3MM-1.8MM, LENGTH: 11.5CM Qty 2 Part No. 745924

VA Nebraska-Western Iowa Healthcare System U0106

☐ Finish Sample Required if Checked ☐ Manufacturer Certified Installation Required if Checked

JSN Nomenclature: JSN U0106 – Micro Laryngeal Set

· All instruments must be made of surgical grade stainless steel, unless otherwise specified

· All instruments are requested to be etched for use with Censitrac

Kleinsasser Mini Forceps with Round 1mm Cup Jaws, Straight, WL:23cm Qty 2 Part No. 8591AM

Kleinsasser Mini Forceps with Round 1mm Cup Jaws, Curved Up, WL:23cm Qty 2 Part No. 8591BM

Kleinsasser Mini Forceps with Round 1mm Cup Jaws Curved Right, WL:23cm Qty 2 Part No. 8591CM

Kleinsasser Mini Forceps with Round 1mm Cup Jaws Curved Left, WL:23cm Qty 2 Part No. 8591DM

Kleinsasser Mini Alligator Grasping Forceps, Straight, WL:23cm Qty 2 Part No. 8593AM

Kleinsasser Mini Grasping Forceps Curved Right, Serrated, WL: 23cm Qty 2 Part No. 8593BM

Kleinsasser Mini Grasping Forceps Curved Left, Serrated, WL: 23cm Qty 2 Part No. 8593CM

Kleinsasser Mini Grasping Forceps Curved Up, Serrated, WL: 23cm Qty 2 Part No. 8593 EM

Laryngeal Mini Grasping Forceps, Curved Up Right wTriangular Fenstrated Jaws, WL: 23cm Qty 2 Part No. 8593GM

Laryngeal Mini Grasping Forceps, Curved Up Left wTriangular Fenstrated Jaws, WL: 23cm Qty 2 Part No. 8593HM

Kleinsasser Laryngeal Scissors, Straight Horizontal Cutting, Working Length, 23cm Qty 2 Part No. 8594E

Kleinsasser Mini Laryngeal Scissors, Straight, Working Length, 23cm Qty 2 Part No. 8549AM

Kleinsasser Mini Laryngeal Scissors Angled 45 Deg Working Length: 23cm Qty 2 Part No. 8594BM

Kleinsasser Mini Laryngeal Scissors Curved Right, Working Length: 23cm Qty 2 Part No. 8549CM

Kleinsasser Mini Laryngeal Scissors Curved Left, Working Length: 23cm Qty 2 Part No. 8594

Benjamin-Havas Clip F/Prox Illumination Qty 2 Part No. 497AC

Fiber Optic Light Carrier, F/8574RA/RB, 8587P, 8574JB, Length: 6.5cm Qty 2 Part No. 8587PF

Fiber Optic Light Carrier, F/8587A/AA/KK, Lindholm Laryngoscope, Length 7.5mm Qty 2 Part No. 858GF

Insertable Suction Tube, for use with 8574N/P, Length 6.5cm Qty 2 Part No. 858PM

Insertable Suction Tube, for use with F/8587A/AA Lindholm Laryngoscope, Length 6.5cm Qty 2 Part No. 8587M

Fiber optic Light Carrier F/8580B Holinger Laryngoscope Qty 4 Qty 2 Part No. 8580BL

Light Cable, 3.5mm x 300cm Qty 2 Part No. 459ND-ENT

Hopkins II 0 Deg Telescope, 5mm x 29cm Autoclavable Qty 2 Part No. 8713AA

Hopkins II 70 Deg Telescope, 5mm x 24cm Autoclavable Qty 2 Part No. 8712CA

Hopkins II 0 Deg Telescope, 5mm x 24cm Autoclavable Qty 2 Part No. 8712AA

Rudert Anterior Commissure Triangular Laryngoscope, Medium Size, Length 17cm Qty 2 Part No. 8589C

Holinger Anterior Commissure, Laryngoscope, Adult Size, Length 17cm Qty 2 Part No. 8580BK

Lindholm Operating Laryngoscope, Adult Size, Distal End: 18mm Length: 15cm Qty 2 Part No. 8587A

Dedo Operating Laryngoscope with Extra Light Weight Handle: Length 18cm Qty 2 Part No. 8890A

Kleisasser Suction Tube, With Cut Off Hole Ø:: 2mm Length 23cm Qty 2 Part No. 8602

Kleisasser Suction Tube, With Cut Off Hole Ø: 3mm Length 23cm Qty 2 Part No. 8604

Suction Tube, Ø: 4mm, Length 23cm Qty 2 Part No. 8604E

Suction Tube with Cut Off Hole, Tip with Central Opening, Ø: 1mm, Length: 20cm Qty 2 Part No. 8691A

Laryngeal Spoon Forceps with Round 4mm Cup Jaws Straight, Working Length: 23cm Qty 2 Part No. 8591T

Laryngeal Cutting Forceps with Round 4mm Cup Jaws curved Up, Working Length: 23cm Qty 2 Part No. 8591U

Lindholm Vocal Cord/False Cord retractor Self Retaining with Ratchet Handle, Working Length: 24cm Qty 2 Part No.8564B

Standard Ring Handle f/use w/3mm Instrument for Phonosurgery/Endolaryngeal, Length: 9cm Qty 2 Part No. 8567H

Kleinsasser Laryngeal Hook, Blunt with Probe End Angled 90 Deg, Length 5mm, Working Length 23cm Qty 2 Part No. 8596C

Straight Oval Spoon Curette, Delicate 3mm to 1mm Tapered Shaft, Length 23cm Qty 2 Part No. 8656R

Slightly Curved Blunt Elevator, Delicate 3mm to 1mm tapered Shaft, Length 23cm Qty 2 Part No. 8656L

Handle for 8508B Laryngoscope Qty 2 Part No. 8580H

Kleinsasser Laryngeal Knife, Curved, Pointed F/8597 Handle, Working Length 23cm Qty 2 Part No. 8595C

Handle only F/8595A-8596T Laryngeal Knifes Qty 2 Part No. 8597

Benjamin-Parsons Laryngoscope Holder with Lateral Stabilization Screws, Ring 12cm Qty 2 Part No. 8575KC

Goettingen Support Table F/Laryngoscope Holders 8575K/KC, 8574KT/KW, Autoclavable Qty 2 Part No. 8575L

Sterilization/Storage Tray with Two Levels 20.5" X 9.8" X 5.7" Qty 2 Part No. 39351J-ZBD

Adult Bronchoscope Sterilization Tray ID: 25.5" X 9.5" X 5" Qty 2 Part No. 39316B-ZBD

VA Nebraska-Western Iowa Healthcare System U0107

☐ Finish Sample Required if Checked ☐ Manufacturer Certified Installation Required if Checked

JSN Nomenclature: JSN U0107 – Myringotomy Set

· All instruments must be made of surgical grade stainless steel, unless otherwise specified

· All instruments are requested to be etched for use with Censitrac

BARON ANGLED CYLINDRICAL SUCTION TUBE W/CUT-OFF HOLE + STYLET, LUER, 1MMX7.5CM Qty 2 Part No. 203410

BARON ANGLED CYLINDRICAL SUCTION TUBE W/CUT-OFF HOLE+STYLET, LUER, 1.7MMX7.5CM Qty 2 Part No. 203417

BARON ANGLED CYLINDRICAL SUCTION TUBE W/CUT-OFF HOLE+STYLET, LUER,2.3MM X 7.5CM Qty 2 Part No. 230423

HARTMANN NASAL SPECULUM, LENGTH:13CM FOR ADULTS Qty 2 Part No. 400500

BILLEAU EAR LOOP, SIZE 3, LENGTH:16CM Qty 2 Part No. 152803

WULLSTEIN NEEDLE WITH SLIGHT CURVE AND SHARP POINT, LENGTH:16.5CM Qty 2 Part No. 224303

HARTMANN EAR FORCEPS WITH VERY FINE SERRATED JAW:1 X 4.5MM, WK LGTH:8CM Qty 2 Part No. 221100

FISCH-HARTMANN EAR FORCEPS WITH FINE SERRATED JAWS:1.2 X 8MM, WK LGTH:8CM Qty 2 Part No. 221105

FARRIOR EAR SPECULUM, OVAL, SIZE 2 OUTER DIAM:4.8MM X 5.8MM, LENGTH:4.5CM Qty 2 Part No. 123042

FARRIOR EAR SPECULUM, OVAL, SIZE 1 OUTER DIAM: 3.8MM X 4.8MM, LENGTH:4.5CM Qty 2 Part No. 123041

HARTMANN EAR SPECULUM, 3.6CM, OD:3MM Qty 2 Part No. 122003

HARTMANN EAR SPECULUM, 3.6CM, OD:4MM Qty 2 Part No. 122004

HARTMANN EAR SPECULUM, 3.6CM, OD:5MM Qty 2 Part No. 122005

GENERIC STERILIZATION/STORAGE TRAY, 20.5" X 9.7" X 4.7" (WDH) Qty 2 Part No. 39301J-ZBD

VA Nebraska-Western Iowa Healthcare System U0108

☐ Finish Sample Required if Checked ☐ Manufacturer Certified Installation Required if Checked

JSN Nomenclature: JSN U0108 – New Sinus Endocopy Set

· All instruments must be made of surgical grade stainless steel, unless otherwise specified

· All instruments are requested to be etched for use with Censitrac

HOPKINS II 0º TELESCOPE, 4MM X 18CM AUTOCLAVABLE Qty 2 Part No. 7230AA

HOPKINS II 30º TELESCOPE, 4MM X 18CM AUTOCLAVABLE Qty 2 Part No. 7230BA

STERRAD COMPATIBLE STERILIZATION TRAY FOR TWO SMALL SCOPES TO 4MM X 18CM Qty 2 Part No. 39301AS-ZBD

LISTER BANDAGE SCISSORS, LENGTH:18CM Qty 4 Part No. 797518

BLUNT HOOK FOR 660530 HANDLE, LENGTH:18CM Qty 4 Part No. 660521

LUCAE EAR DRESSING FORCEPS, SERRATED Qty 4 Part No. 156000

JANSEN BAYONET SHAPED NASAL DRESSING FORCEPS, LENGTH:16.5CM Qty 2 Part No. 426516

DOUBLE-ENDED FREER ELEVATOR LENGTH:20CM Qty 2 Part No. 474000

FREER SUCTION ELEVATOR, LENGTH:19CM DISTAL TIP WIDTH: 4.8MM LENGTH:19CM Qty 2 Part No. 474001

DOUBLE-ENDED COTTLE ELEVATOR, SEMI SHARP AND BLUNT, GRADUATED, LENGTH:20CM Qty 2 Part No. 479100

V.EICKEN LONG CURVED ANTRUM CANNULA, LUER-LOCK, Ø: 3MM, LENGTH: 12.5CM Qty 2 Part No. 586030

V.EICKEN SHORT CURVED ANTRUM CANNULA, LUER-LOCK, Ø: 4MM, LENGTH: 12.5CM Qty 2 Part No. 586240

BLUNT SICKLE KNIFE, DOUBLE CUTTING LENGTH:19CM Qty 2 Part No. 628002

KUHN-BOLGER FRONTAL SINUS CURETTE, 5º CURVE, SMALL, OBLONG, LENGTH:19CM Qty 2 Part No. 628712

MAXILLARY SINUS OBLONG ANTRUM CURETTE, SMALL SIZE, LENGTH:19CM Qty 2 Part No. 628702

KUHN-BOLGER FRONTAL SINUS CURETTE, 90º CURVE, SMALL, OBLONG, LENGTH:19CM Qty 2 Part No. 628714

DBL-ENDED CURETTE, CURVED OVAL TIPS, SEMI-SHARP/SHARP, WORKING LENGTH:19CM Qty 2 Part No. 628720

BLUNT HOOK FOR 660530 HANDLE, LENGTH:18CM Qty 2 Part No. 660521

TROCAR AND CANNULA WITH FENESTRATED BEAK, 5MM X 8.5CM Qty 2 Part No. 723005A

CURVED SCISSORS W/TUNGSTEN CARBIDE INSERTS, SHARP/SHARP, LENGTH:11CM Qty 8 Part No. 512311

CURVED SCISSORS W/TUNGSTEN CARBIDE INSERTS, BLUNT/BLUNT, LENGTH:11CM Qty 2 Part No. 512511

MAYO SCISSORS, STRAIGHT, LENGTH: 17CM Qty 2 Part No. 791905

BACKHAUS TOWEL FORCEPS, LENGTH:9CM Qty 8 Part No. 796008

HALSTEAD CURVED MOSQUITO ARTERY FORCEPS LENGTH:12.5CM Qty 4 Part No. 535212

CRILE CURVED HEMOSTATIC ARTERY FORCEPS LENGTH:14CM Qty 12 Part No. 563514

CRILE-WOOD NEEDLE HOLDER, LENGTH:15CM Qty 8 Part No. 515515

COTTLE NASAL SPECULUM WITH SET SCREW BLADE LENGTH:35MM, LENGTH:13CM Qty 2 Part No. 403835

COTTLE NASAL SPECULUM WITH SET SCREW BLADE LENGTH:55MM, LENGTH:13CM Qty 8 Part No. 403855

RHINOFORCE NASAL SCISSORS, CURVED RIGHT WORKING LENGTH:13CM Qty 2 Part No. 449202

SLIM SERRATED NASAL SCISSORS, STRAIGHT 10MM BLADE, WORKING LENGTH:11CM Qty 2 Part No. 449201

SLIM SERRATED NASAL SCISSORS, CURVED LEFT, 10MM BLADE, WORKING LENGTH:11CM Qty 2 Part No. 449403

BLAKESLEY SILCUT STRAIGHT NASAL CUTTING FORCEPS, THRU CUTTING, SIZE:1, WL:13CM Qty 2 Part No. 451021

BLAKESLEY SILCUT NASAL CUTTING FORCEPS THRU CUT, 45º UPTURNED, SIZE:1, WL:13CM Qty 2 Part No. 451021

STAMMBERGER RHINOFORCE ANTRUM PUNCH UPSIDE BACKWARD CUTTING, WL:10CM Qty 2 Part No. 459010

STAMMBERGER ANTRUM PUNCH, 360º ROTATABLE SHEATH W/LOCKING SCREW, ADULT, WL:10CM Qty 2 Part No. 459016

STAMMBERGER-LUSK ANTRUM PUNCH, PEDIATRIC SIZE, UPSIDE BACKWARD CUTTING, WL:10CM Qty 2 Part No. 459030

STAMMBERGER ANTRUM PUNCH, 360º ROTATABLE BACKWARD CUTTING, PEDIATRIC SIZE,WL:10CM Qty 2 Part No. 59036

OSTRUM PEDIATRIC PUNCH, SHEATH SLIGHTLY CRVD DWN,BCKWARD CUT,3.5X4MM BITE,WL:9CM Qty 2 Part No. 459091

BLAKESLEY STRAIGHT NASAL FORCEPS SIZE:1, 3.5MMX9MM, WORKING LENGTH:11CM Qty 2 Part No. 456001

BLAKESLEY NASAL FORCEPS,STRAIGHT, SIZE 3 JAW:3.5MM, WORKING LENGTH:11CM Qty 2 Part No. 456003

BLAKESLEY STRAIGHT NASAL FORCEPS THRU CUTTING, WIDTH:2.5MM, WL:11CM Qty 2 Part No.456100

BLAKESLEY NASAL FORCEPS, THRU-CUTTING TIP 45º UPTURNED, WIDTH:2.5MM, WL:11CM Qty 2 Part No. 45612

BLAKESLEY NASAL FORCEPS, THRU-CUTTING TIP 45º UPTURNED, WIDTH:4.2MM, WL:11CM Qty 2 Part No. 456122

BLAKESLEY-WILDE NASAL FORCEPS TIP 45º UPTURNED, SIZE:0, WL:11CM Qty 2 Part No. 456500

BLAKESLEY-WILDE NASAL FORCEPS TIP 45º UPTURNED, SIZE:1, WL:11CM Qty 2 Part No. 456501

BLAKESLEY-WILDE NASAL FORCEPS 90º UPTURNED, SIZE:1, WL:11CM Qty 2 Part No. 456801

BLAKESLEY-WILDE NASAL FORCEPS 90º UPTURNED, SIZE:2, WL:11CM Qty 2 Part No.456802

KERRISON MICRO PUNCH, UPBITING 90º NOT THRU CUT, SIZE 2MM, WL:17CM Qty 2 Part No.662102

KERRISON PUNCH, DOWNBITING 90º NOT THRU CUT, SIZE 2MM, WL:17CM Qty 2 Part No. 662112

CLEARVISION II LENS IRRIGATION SYSTEM SET, INCL: UNIT, POWER CORD, FOOTSWITCH Qty 1 Qty 2 Part No. 40334101

IRRIGATION SHEATH, F/7230AA 0º HOPKINS II TELESCOPES, 5MM X 14CM Qty 2 Part No. 28164CBA-ENT

IRRIGATION SHEATH, F/7230BA 30º HOPKINS II TELESCOPE, 5MM X 14CM Qty 2 Part No. 28164CBB-ENT

IRRIGATION SHEATH, F/7230CA 70º HOPKINS II TELESCOPE, 5MM X 14CM Qty 2 Part No. 28164CBC-ENT

IRRIGATION SHEATH, F/7230FA 45º HOPKINS II TELESCOPE, 5MM X 14CM Qty 2 Part No. 28164CBF-ENT

FRAZIER SUCTION TUBE WITH CUT OFF HOLE AND STYLET, ANGULAR, 2.3MM X 10CM Qty 2 Part No. 529207

FRAZIER SUCTION TUBE WITH CUT OFF HOLE AND STYLET, ANGULAR, 3MM X 10CM Qty 2 Part No. 529209

LIGHT CABLE, 3.5MM X 300CM (9.8') Qty 2 Part No. 495ND-ENT

SINUS INSTRUMENT STERILIZATION TRAY, 19.75" X 14.5" X 9.5" (WDH) Qty 2 Part No. 39312A-ZBD

STERILIZATION/STORAGE TRAY WITH TWO LEVELS 20.5" X 9.8" X 5.7" Qty 2 Part No. 39351J-ZBD

VA Nebraska-Western Iowa Healthcare System U0109

☐ Finish Sample Required if Checked ☐ Manufacturer Certified Installation Required if Checked

JSN Nomenclature: JSN U0109 – Plastic Set

· All instruments must be made of surgical grade stainless steel, unless otherwise specified

· All instruments are requested to be etched for use with Censitrac

NO.3 SURGICAL HANDLE FOR 208010-15 AND 208210-15 BLADES, LENGTH:12.5CM Qty 6 Part No. 208000

ADSON TISSUE FORCEPS, SERRATED 1X2 TEETH, LENGTH:12CM Qty 12 Part No. 533312

ADSON TISSUE FORCEPS WITH 1X2 TEETH LENGTH:12CM Qty 12 Part No. 533112

ADSON TISSUE FORCEPS WITH FINE SIDE GRASPING TEETH, LENGTH:12CM Qty 12 Part No. 533212

JEWELER FORCEPS WITH FINE POINTS, LENGTH:11CM Qty 12 Part No. 214500

BIPOLAR FORCEPS, INSULATED, BAYONET SHAPE, TIPS 0,3 MM, LENGTH:21CM Qty 12 Part No. 844421

DELICATE CURVED SCISSORS, LENGTH:10CM Qty 12 Part No. 511210

STEVENS CURVED SCISSORS, LENGTH:10.5CM Qty 6 Part No. 513310

STEVENS STRAIGHT SCISSORS, LENGTH:10.5CM Qty 6 Part No. 513311

METZENBAUM CURVED SCISSORS, LENGTH:14CM Qty 12 Part No. 511514

MAYO STRAIGHT DISSECTING SCISSORS, LENGTH:15CM Qty 6 Part No. 791903

MAYO CURVED DISSECTING SCISSORS, LENGTH:15CM Qty 6 Part No. 792003

LISTER BANDAGE SCISSORS, LENGTH:14CM Qty 6 Part No. 797514

TOWEL FORCEPS WITH SERRATED INSERTS FOR PAPER COVER SHEETS, LENGTH:9.5CM Qty 24 Part No. 196109

HALSTEAD CURVED MICRO MODEL MOSQUITO ARTERY FORCEPS, LENGTH:12.5CM Qty 96 Part No. 535312

CRILE CURVED HEMOSTATIC ARTERY FORCEPS LENGTH:14CM Qty 24 Part No. 535312

ROCHESTER-PEAN CURVED HEMOSTATIC FORCEPS LENGTH:16CM Qty 24 Part No. 794216

ALLIS FORCEPS, 5 X 6 TEETH, LENGTH: 16CM Qty 24 Part No. 795016

NEEDLE HOLDER W/TUNGSTEN CARBIDE INSERTS LENGTH:13CM Qty 24 Part No. 516013

CRILE-WOOD NEEDLE HOLDER, LENGTH:15CM Qty 6 Part No. 515515

SENN-MÜLLER RETRACTOR, DOUBLE-ENDED 3 SHARP PRONGS + BLUNT BLADES, LENGTH:16CM Qty 12 Part No. 505610

TRACHEAL RETRACTOR WITH 4 SHARP PRONGS, LENGTH:17CM Qty 12 Part No. 786004

JOSEPH SHARP DOUBLE HOOK, WIDTH:2MM, LENGTH:15CM Qty 12 Part No. 499202

JOSEPH SHARP HOOK WITH ONE SHARP CURVE, LENGTH:15CM Qty 12 Part No. 499201

SINGLE TENACULUM WITH SMALL CURVE LENGTH:17CM Qty 12 Part No. 499201

DOUBLE-ENDED FREER ELEVATOR LENGTH:20CM Qty 6 Part No. 747000

FLEXIBLE STAINLESS STEEL RULER LENGTH:20CM Qty 6 Part No. 525500

CASTROVIEJO CALIPER, LENGTH:8CM MEASURING RANGE:0-15MM Qty 6 Part No.525510

BARRAQUER MICRO NEEDLE HOLDER,W/ROUND HANDLE,SPRING ACTION,STRAIGHT,LGTH:14CM Qty 6 Part No. 799114

BARON ANGLED CYLINDRICAL SUCTION TUBE W/CUT-OFF HOLE+STYLET, LUER,2.3MM X 7.5CM Qty 6 Part No. 203423

BARON ANGLED CYLINDRICAL SUCTION TUBE W/CUT-OFF HOLE+STYLET, LUER, 1.7MMX7.5CM Qty 6 Part No. 203417

COTTLE RETRACTOR, WIDE, LENGTH: 14CM Qty 6 Part No. 498401

COTTLE RETRACTOR, LENGTH:14CM Qty 12 Part No. 498400

GENERIC STERILIZATION/STORAGE TRAY, 20.5" X 9.7" X 4.7" (WDH) Qty 12 Part No. 39301J-ZBD

VA Nebraska-Western Iowa Healthcare System U0110

☐ Finish Sample Required if Checked ☐ Manufacturer Certified Installation Required if Checked

JSN Nomenclature: JSN U0110 – Septoplasty Set #1

· All instruments must be made of surgical grade stainless steel, unless otherwise specified

· All instruments are requested to be etched for use with Censitrac

NO.3 SURGICAL HANDLE FOR 208010-15 AND 208210-15 BLADES, LENGTH:12.5CM Qty 2 Part No. 208000

SURGICAL HANDLE NO. 7 F/208010-208015, 208210-208215 BLADES Qty 4 Part No. 748000

ADSON MICRO MODEL DRESSING FORCEPS LENGTH:12CM Qty 4 Part No. 533113

ADSON TISSUE FORCEPS WITH 1X2 TEETH LENGTH:12CM Qty 4 Part No. 533112

ADSON TISSUE FORCEPS WITH FINE SIDE GRASPING TEETH, LENGTH:12CM Qty 4 Part No. 533212

LUCAE EAR DRESSING FORCEPS, SERRATED LENGTH:14CM Qty 2 Part No. 156000

GRUENWALD BAYONET SHAPED NASAL DRESSING FORCEPS, LENGTH:20CM Qty 2 Part No. 426620

JEWELER FORCEPS WITH FINE POINTS, LENGTH:11CM Qty 2 Part No. 214500

FREER SUCTION ELEVATOR, LENGTH:19CM DISTAL TIP WIDTH: 4.8MM LENGTH: 19CM Qty 2 Part No. 474001

DELICATE CURVED SCISSORS, LENGTH:10CM Qty 2 Part No. 511210

CURVED SUTURE SCISSORS, SHARP/SHARP LENGTH:12.5CM Qty 4 Part No. 791600

SCISSORS, ANGLED, VERY DELICATE, SHARP/SHARP, LENGTH 11CM Qty 2 Part No. 213111

STEVENS CURVED SCISSORS, LENGTH: 10.5CM Qty 2 Part No. 51330

STRAIGHT DELICATE SCISSORS, LENGTH:10CM Qty 2 Part No. 511010

METZENBAUM CURVED SCISSORS, LENGTH:14CM Qty 2 Part No. 511514

MAYO STRAIGHT DISSECTING SCISSORS, LENGTH:15CM Qty 2 Part No. 791903

FOMON DELICATE ANGULAR SCISSORS WITH SERRATED BLADES, LENGTH:6.5CM Qty 2 Part No. 513700

COTTLE ANGULAR SCISSORS, HEAVY W/SERRATED BLADES, LENGTH:8.5CM Qty 2 Part No. 513800

FOMON STRONG CURVE SCISSORS, LENGTH:12CM Qty 2 Part No. 513612

LISTER BANDAGE SCISSORS, LENGTH:14CM Qty 2 Part No.797514

BACKHAUS TOWEL FORCEPS, LENGTH:9CM Qty 8 Part No. 796008

PROVIDENCE HOSPITAL DELICATE ARTERY FORCEPS, CURVED, LENGTH: 14CM Qty 8 Part No. 532614

CRILE CURVED HEMOSTATIC ARTERY FORCEPS LENGTH:14CM Qty 2 Part No. 536514

ROCHESTER-PEAN CURVED HEMOSTATIC FORCEPS LENGTH:16CM Qty 8 Part No. 794216

HEGAR-MAYO NEEDLE HOLDER, HEAVY, WITH TUNGSTEN CARBIDE INSERTS, LENGTH 18CM Qty 4 Part No. 798718

SENN-MÜLLER RETRACTOR, DOUBLE-ENDED 3 SHARP PRONGS + BLUNT BLADES, LGTH:16CM Qty 4 Part No. 505610

JOSEPH SHARP HOOK WITH ONE SHARP CURVE, LENGTH:15CM Qty 2 Part No. 499201

JOSEPH SHARP DOUBLE HOOK WIDTH:7MM, LENGTH:15CM Qty 2 Part No. 499207

RHINOFORCE NASAL SCISSORS, CURVED RIGHT WORKING LENGTH:13CM Qty 4 Part No. 499202

COTTLE KNIFE GUIDE AND RETRACTOR LENGTH:19CM Qty 2 Part No. 505700

RETTINGER NASAL RETRACTOR, W/FLAT HANDLE BLADE:1.5CMX4.5CM, HANDLE LENGTH:10CM Qty 2 Part No. 506020

AUFRICHT NASAL RETRACTOR WORKING LENGTH:40MM Qty 2 Part No. 506400

KILLIAN-STRUYCKEN NASAL SPECULUM BLADE LENGTH:40MM, LENGTH:13.5CM Qty 2 Part No. 403540

HARTMANN NASAL SPECULUM, LENGTH:13CM FOR ADULTS Qty 2 Part No. 400500

HARTMANN NASAL SPECULUM FOR CHILDREN, LENGTH:13CM Qty 2 Part No. 400600

SMALL LIGHTWEIGHT MALLET WITH REPLACEABLE HAMMER SURFACE, LENGTH: 18CM Qty 2 Part No. 174700

TAKAHASHI STRAIGHT ETHMOID FORCEPS WORKING LENGTH: 11CM Qty 2 Part No. 455500

TAKAHASHI NASAL FORCEPS W/ CUPPED JAWS 30º UP, 9MMX2.5MM, WORKING LENGTH: 11CM Qty 2 Part No. 457700

BLAKESLEY STRAIGHT NASAL FORCEPS SIZE:1, 3.5MMX9MM, WORKING LENGTH: 11CM Qty 2 Part No. 456001

JANSEN-MIDDLETON ANGULAR SEPTUM FORCEPS THRU CUTTING, WORKING LENGTH: 10CM Qty 2 Part No. 468000

JANSEN ANGULAR SEPTUM FORCEPS SPOON SHAPED, WORKING LENGTH: 9CM Qty 2 Part No. 467500

RUBIN SEPTUM MORCELIZER WITH DOUBLE ACTION JAWS, WORKING LENGTH: 8.5CM Qty 2 Part No. 469600

DOUBLE-ENDED COTTLE ELEVATOR, SEMI SHARP AND BLUNT, GRADUATED, LENGTH: 20CM Qty 2 Part No. 479100

COTTLE RETRACTOR, LENGTH: 14CM Qty 2 Part No. 498400

DOUBLE-ENDED FREER ELEVATOR LENGTH: 20CM Qty 2 Part No. 474000

JOSEPH ELEVATOR, SLIGHTLY CURVED LENGTH: 17.5CM Qty 2 Part No. 478000

FREER-JACOBS DOUBLE-ENDED ELEVATOR, 5MM SLIGHT CRVD END/2.5MM 45º ANGLE END, 20CM Qty 2 Part No. 474005

MCKENTY ELEVATOR, DOUBLE-ENDED 4.5MM AND 5.0MM WIDE, LENGTH: 19CM Qty 2 Part No. 478400

JOSEPH CURVED BUTTON-END KNIFE LENGTH: 15.5CM Qty 2 Part No. 493800

COTTLE NASAL KNIFE WITH ROUNDED EDGE LENGTH: 14CM Qty 2 Part No. 493000

MALTZ NASAL RASP WITH COARSE TEETH BACKWARD CUTTING, LENGTH: 18.5CM Qty 2 Part No. 521401

COTTLE CROSSBAR OSTEOTOME, W/DEPTH MARKINGS, STRAIGHT, 4MM, LGTH: 18.5CM Qty 2 Part No. 484224

COTTLE CROSSBAR OSTEOTOME, W/DEPTH MARKINGS, STRAIGHT, 6MM, LGTH: 18.5CM Qty 2 Part No.484226

MASING CHISEL, STRAIGHT WITH ROUNDED GUARD ON RIGHT SIDE, LENGTH: 18CM Qty 2 Part No. 484800

CURVED FLAT COTTLE CHISEL WITH GRADUATED DISTAL END, 6MM X 18.5CM Qty 2 Part No. 484106

MASING CHISEL, SLIGHTLY CURVED WITH ROUNDED GUARD ON LEFT SIDE, LENGTH: 18CM Qty 2 Part No. 484700

BALLENGER BAYONET SHAPED SWIVEL KNIFE 3MM WIDE, LENGTH: 19.5CM Qty 2 Part No. 477703

COTTLE BONE CRUSHER W/CLIP, LENGTH: 7.5CM Qty 2 Part No. 523900

FRAZIER SUCTION TUBE WITH CUT OFF HOLE AND STYLET, ANGULAR, 2.3MM X 10CM Qty 2 Part No. 529207

FERGUSON SUCTION TUBE W/CUT-OFF HOLE AND STYLET,LUER,MATTE FINISH,Ø:10FR,WL:11CM Qty 2 Part No. 488085

CASTROVIEJO CALIPER, LENGTH:8CM MEASURING RANGE:0-15MM Qty 2 Part No. 525510

COTTLE COLUMELLA CLAMP, LENGTH:11CM Qty 2 Part No. 534500

FREER-JOSEPH DOUBLE-ENDED ELEVATOR DELICATE, LENGTH:20CM Qty 2 Part No. 474200

MASING CHISEL, STRAIGHT WITH ROUNDED GUARD ON RIGHT SIDE, LENGTH:18CM Qty 2 Part No. 484700

MASING CHISEL, SLIGHTLY CURVED WITH ROUNDED GUARD ON RIGHT SIDE, LENGTH:18CM Qty 2 Part No. 484600

MASING CHISEL, SLIGHTLY CURVED WITH ROUNDED GUARD ON LEFT SIDE, LENGTH:18CM Qty 2 Part No. 484700

RUBIN FLAT OSTEOTOME W/ROUNDED CORNERS STRAIGHT, FINGER STABILIZER, 14MMX16.5CM Qty 2 Part No. 487014

WHITE PLASTIC CUTTING BLOCK, AUTOCLAVABLE, 8CM X 4CM X 1CM Qty 2 Part No. 231010

TEFLON CUTTING BLOCK, AUTOCLAVABLE DIMENSIONS: 20CM X 15CM X 1CM Qty 2 Part No. 231011

STERILIZATION/STORAGE TRAY WITH TWO LEVELS 20.5" X 9.8" X 5.7" Qty 2

VA Nebraska-Western Iowa Healthcare System U0111

☐ Finish Sample Required if Checked ☐ Manufacturer Certified Installation Required if Checked

JSN Nomenclature: JSN U0111 – Typanomastiod Set

· All instruments must be made of surgical grade stainless steel, unless otherwise specified

· All instruments are requested to be etched for use with Censitrac

NO.3 SURGICAL HANDLE FOR 208010-15 AND 208210-15 BLADES, LENGTH:12.5CM Qty 4 Part No. 208000

ADSON TISSUE FORCEPS, SERRATED 1X2 TEETH, LENGTH:12CM Qty 12 Part No. 533312

ADSON SERRATED DRESSING FORCEPS, LENGTH: 12CM Qty 12 Part No. 5333012

JEWELER FORCEPS WITH FINE POINTS, LENGTH: 11CM Qty 4 Part No. 214500

ATRAUMA NON-ATRAUMATIC TISSUE FORCEPS WIDTH OF JAWS 2MM, LENGTH:20CM Qty 8 Part No. 530420

SENN-MÜLLER RETRACTOR, DOUBLE-ENDED 3 SHARP PRONGS + BLUNT BLADES, LGTH:16CM Qty 2 Part No. 506610

LUCAE EAR DRESSING FORCEPS, SERRATED LENGTH:14CM Qty 4 Part No. 156000

FOMON STRONG CURVE SCISSORS,LENGTH:12CM Qty 4 Part No. 513612

FOMON LOWER LATERAL SCISSORS STRONGLY CURVED, LENGTH: 17CM Qty 4 Part No. 513617

STEVENS CURVED SCISSORS, LENGTH:10.5CM Qty 4 Part No. 513310

DELICATE CURVED SCISSORS, LENGTH:10CM Qty 4 Part No. 511210

STEVENS STRAIGHT SCISSORS, LENGTH:10.5CM Qty 4 Part No. 513311

METZENBAUM CURVED SCISSORS, LENGTH:14CM Qty 4 Part No. 5115514

MAYO STRAIGHT DISSECTING SCISSORS, LENGTH:15CM Qty 4 Part No. 791903

LISTER BANDAGE SCISSORS, LENGTH:14CM Qty 4 Part No. 79514

TOWEL FORCEPS WITH SERRATED INSERTS FOR PAPER COVER SHEETS, LENGTH:9.5CM Qty 8 Part No. 796109

HALSTEAD CURVED MOSQUITO ARTERY FORCEPS LENGTH:12.5CM Qty 16 Part No. 535121

KELLY ARTERY FORCEPS, CURVED, LENGTH: 14CM Qty 16 Part No. 536914

ROCHESTER-PEAN CURVED HEMOSTATIC FORCEPS LENGTH:16CM Qty 16 Part No. 794216

CRILE-WOOD NEEDLE HOLDER, LENGTH:15CM Qty 8 Part No. 55515

WHITE PLASTIC CUTTING BLOCK, AUTOCLAVABLE, 8CM X 4CM X 1CM Qty 4 Part No. 231010

SENN-MÜLLER RETRACTOR, DOUBLE-ENDED 3 SHARP PRONGS + BLUNT BLADES, LGTH:16CM Qty 8 Part No. 505610

WEITLANER SHARP RETRACTOR WITH 3 X 4 PRONGS, LENGTH:16CM Qty 8 Part No. 214816

FISCH RETRACTOR WITH 2X2 SHARP PRONGS, LENGTH: 13CM Qty 8 Part No. 220213

LEMPERT CURVED ELEVATOR, TIP WIDTH:7MM, LENGTH:18CM Qty 4 Part No. 212807

DOUBLE-ENDED FREER ELEVATOR LENGTH:20CM Qty 4 Part No. 474000

GELFOAM PRESS, LENGTH:18CM Qty 4 Part No. 228200

HARTMANN EAR SPECULUM, 3.6CM, OD:3MM Qty 4 Part No. 122003

HARTMANN EAR SPECULUM, 3.6CM, OD:4MM Qty 4 Part No. 122004

HARTMANN EAR SPECULUM, 3.6CM, OD:5MM Qty 4 Part No. 122005

HARTMANN EAR SPECULUM, 3.6CM, OD:6MM Qty 4 Part No. 122006

HARTMANN EAR SPECULUM, 3.6CM, OD:7MM Qty 4 Part No. 122007

FARRIOR EAR SPECULUM, ROUND SIZE 1, Ø: 4MM, LENGTH: 4.5CM Qty 4 Part No. 123031

FARRIOR EAR SPECULUM, ROUND SIZE 2, Ø: 5MM, LENGTH: 4.5CM Qty 4 Part No. 123032

FARRIOR EAR SPECULUM, ROUND SIZE 3, 6MM X 4.5CM Qty 4 Part No. 123033

FARRIOR EAR SPECULUM, ROUND SIZE 4, Ø: 7MM, LENGTH: 4.5CM Qty 4 Part No. 123034

FARRIOR EAR SPECULUM, ROUND SIZE 5, Ø: 8MM, LENGTH: 4.5CM Qty 4 Part No. 123035

FARRIOR EAR SPECULUM, ROUND SIZE 6, Ø: 9MM, LENGTH: 4.5CM Qty 4 Part No. 123036

FARRIOR EAR SPECULUM, ROUND SIZE 7, Ø: 10MM, LENGTH: 4.5CM Qty 4 Part No. 123037

GLASS PREPARATION PLATE, 10CM X 8CM Qty 4 Part No. 231008

AIACH GRADUATED GRID FOR PREPARATION OF CARTILAGE AND BONE GRAFTS, 50MM X 90MM Qty 4 Part No. 498820

WULLSTEIN EAR FORCEPS WITH VERY FINE 1MM ROUND CUP JAWS, WK LGTH:12.5CM Qty 4 Part No. 221450

WULLSTEIN EAR FORCEPS W/VERY FINE 0.9MM OVAL CUP JAWS CURVED RIGHT, WK LGTH:8CM Qty 4 . Part No.221509

WULLSTEIN EAR FORCEPS W/VERY FINE 0.9MM OVAL CUP JAWS CURVED LEFT, WK LGTH:8CM Qty 4 Part No. 221609

FISCH-HARTMANN EAR FORCEPS WITH VERY FINE JAWS:1 X 4.5MM, WORKING LENGTH:8CM Qty 8 Part No. 221110

FISCH-HARTMANN EAR FORCEPS WITH FINE SERRATED JAWS:1.2 X 8MM, WK LGTH:8CM Qty 4 Part No. 221105

FISCH-HARTMANN EAR FORCEPS, SERRATED DELICATE, 1.2MMX12MM, WL: 8CM Qty 4 Part No. 221107

MCGEE WIRE CRIMPER, WORKING LENGTH:8CM Qty 4 Part No. 227400

FISCH-MCGEE WIRE CRIMPER, WORKING LENGTH:8CM Qty 4 Part No. 227401

FISCH CRUROTOMY SCISSORS, CURVED RIGHT, WORKING LENGTH:7.5CM Qty 4 Part No. 222710

FISCH CRUROTOMY SCISSORS, CURVED LEFT, WORKING LENGTH:7.5CM Qty 4 Part No. 222720

FISCH-HARTMANN EAR FORCEPS WITH FINE SERRATED JAWS:1.2 X 8MM, WK LGTH:8CM Qty 4 Part No. 221105

HARTMANN EAR FORCEPS WITH VERY FINE SERRATED JAW:1 X 4.5MM, WK LGTH:8CM Qty 4 Part No. 221100

FISCH-BELLUCCI MICRO EAR SCISSORS BLADES 7MM, WORKING LENGTH: 8CM Qty 4 Part No. 222601

FISCH-BELLUCCI MICRO EAR SCISSORS, EXTRA DELICATE, BLADE:2MM, WL:8CM Qty 4 Part No. 222603

BELLUCCI EAR SCISSORS, DELICATE BLADES: 8MM, WORKING LENGTH:8CM Qty 4 Part No. 222600

HOUSE-DIETER MALLEUS NIPPER, UPBITING, WORKING LENGTH:8CM Qty 4 Part No. 222800

HOUSE-DIETER MALLEUS NIPPER, DOWNBITING, WORKING LENGTH:8CM Qty 4 Part No. 222900

ROUND KNIFE WITH STRAIGHT TIP, Ø: 2MM, LENGTH: 16CM Qty 4 Part No. 226720

WULLSTEIN NEEDLE WITH MEDIUM CURVE AND SHARP POINT, LENGTH:16.5CM Qty 8 Part No. 224302

WULLSTEIN NEEDLE WITH SLIGHT CURVE AND SHARP POINT, LENGTH:16.5CM Qty 8 Part No. 224303

HOUSE ELEVATOR WITH 15º ANGLED TIP TIP - Ø: 1MM, LENGTH:12MM, WL:16CM Qty 4 Part No. 223510

FISCH MICRO RASP WITH SINGLE CURVE TO RIGHT, LENGTH:16CM Qty 4 Part No. 226101

FISCH MICRO RASP WITH SINGLE CURVE TO LEFT, LENGTH:16CM Qty 4 Part No. 226102

SPRATT MASTOID CURETTE, SIZE 1 LENGTH:17CM Qty 4 Part No. 175801

SPRATT MASTOID CURETTE, SIZE 2 LENGTH:16.5CM Qty 4 Part No. 175802

SPRATT MASTOID CURETTE, SIZE 3 LENGTH:17CM Qty 4 Part No. 175803

SPRATT MASTOID CURRETTE, SIZE 4 LENGTH:17CM Qty 4 Part No. 175804

WEBER-LOCH EAR CURETTE, SIZE 0 LENGTH:14.5CM, 4MM X 3MM Qty 4 Part No. 153010

WEBER-LOCH EAR CURETTE, SIZE 1 LENGTH:14.5CM, 5.3MM X 3.5MM Qty 4 Part No. 153001

WEBER-LOCH EAR CURETTE, SIZE 2 LENGTH:14.5CM, 7.5MM X 4.2MM Qty 4 Part No. 153002

HOUSE CALIPER STRUT FOR 4MM DISTANCE, LENGTH:16CM Qty 4 Part No. 226540

HOUSE CALIPER STRUT FOR 4.5MM DISTANCE, LENGTH:16CM Qty 4 Part No. 226545

HOUSE CALIPER STRUT FOR 5MM DISTANCE, LENGTH:16CM Qty 4 Part No. 226550

EAR HOOK WITHOUT BALL END SIZE 1, LENGTH:15.5CM Qty 4 Part No. 152301

FISCH 0.2MM HOOK WITH FOOTPLATE LENGTH:16CM Qty 4 Part No. 224802

PLESTER 0.6MM HOOK WITH FOOTPLATE, LENGTH:16CM Qty 1 Part No. 224806

FISCH PERFORATOR, Ø:0.3MM, LENGTH: 16CM Qty 4 Part No. 226600

FISCH PERFORATOR, Ø: 0.4MM, LENGTH: 16CM Qty 4 Part No. 226604

FISCH PERFORATOR, Ø: 0.5MM, LENGTH: 16CM Qty 4 Part No. 226605

FISCH PERFORATOR, 0.6MM X 16CM Qty 4 Part No. 226606

FISCH CYLINDRICAL SUCTION IRRIGATOR, SUCTN TUBE:4.5MM,IRRIG TUBE:2MM,WL:9.5CM Qty 8 Part No. 206400

FISCH CONICAL SUCTION IRRIGATOR, SUCTN TUBE:3.2MM,IRRIG TUBE:2MM,WL:9.5CM Qty 8 Part No. 206300

FISCH CYLINDRICAL SUCTION IRRIGATOR, SUCTN TUBE:2.5MM,IRRIG TUBE:2MM,WL:9.5CM Qty 8 Part No. 236600

FISCH CYLINDRICAL SUCTION IRRIGATOR SUCTION + IRRIG TUBES:1.9MM, WL:9.5CM Qty 8 Part No. 206700

FISCH CYLINDRICAL SUCTION IRRIGATOR SUCTION TUBE:1MM,IRRIG TUBE:1MM,WL:9.5CM Qty 8 Part No. 206900

ANGLED SUCTION CANNULA WITH LUER-LOCK, Ø: 0.7MM, WL: 6CM Qty 8 Part No. 204007

ANGLED SUCTION CANNULA WITH LUER-LOCK Ø: 0.5MM, WL: 6CM Qty 8 Part No. 204005

ANGLED SUCTION CANNULA WITH LUER-LOCK, Ø: 1MM, WL: 6CM Qty 8 Part No. 204010

ANGLED SUCTION CANNULA WITH LUER-LOCK, Ø: 0.7MM, WL: 6CM Qty 8 Part No. 204007

ANGLED SUCTION CANNULA WITH LUER-LOCK, Ø: 0.8MM, WL: 6CM Qty 8 Part No. 204008

FISCH ADAPTOR WITH CUT-OFF HOLE, CONE F/204005-204020,204305-204330 CANNULAS Qty 4 Part No. 204200

JEWELER FORCEPS WITH FINE POINTS, LENGTH:11CM Qty 8 Part No. 214500

ROUND KNIFE WITH 45º ANGLED TIP, Ø: 2MM, LENGTH: 16CM Qty 4 Part No. 226820

ROUND KNIFE WITH 45º ANGLED TIP, Ø: 1MM, LENGTH: 16CM Qty 4 Part No. 226810

ROUND KNIFE WITH 45º ANGLED TIP, Ø: 2.5MM, LENGTH: 16CM Qty 4 226825

PLESTER DOUBLE EDGE SICKLE KNIFE SLIGHTLY CURVED, LENGTH:16CM Qty 4 Part No. 223300

STERILIZATION/STORAGE TRAY WITH TWO LEVELS 20.5" X 9.8" X 5.7" Qty 4 image2.png