668-B80015revised_V2.pdf

Equipment Specifications Digital Radiography and Fluoroscopy [20/Mann-Grandstaff VA] [668-B80015]

A. REQUIREMENT OVERVIEW

The requirement for this procurement is for a single general-purpose R/F room for the Mann-Grandstaff VA (668) in Spokane, WA. The intended applications include but are not limited to general radiography; upper GI; lower GI; esophagrams; barium swallows; arthrograms; joint injections; nephrostomy tubes; colostomy tubes; port placement; and weight bearing knees, feet, hips.

Facility Quantity

Mann-Grandstaff VA (668) 1

B. TECHNICAL REQUIREMENTS

1. Unit physical specifications

a. Minimum wall detector size [in x in] 14’’ x 17’’

b. Minimum table detector size [in x in] 17’’ x 17’’

c. Minimum detector resolution [lp/mm] 3.4

d. Maximum pixel size [µm] 148

e. Height range for wall bucky [in] 26”-68.1”

f. Maximum patient weight [lbs] Table 660 lbs

g. Minimum table width [cm] 80

h. Minimum table tilt [deg] +90°/-45°

i. Minimum generator power [kW] 80

j. Minimum generator phases three

k. Radiographic kVp range [kVp] 40 kV to 150 kV

l. Radiographic mA range [mA @ kVp] 530 mA at 150 kV

m. Fluoroscopy kVp range [kVp] 110 kV/23 mA

n. Minimum pulse rate [frames/sec] 30,15,10,7.5, or 3 p/s 0.5,1,2,4 or 8 f/s

o. Minimum acquisition matrix size 12-bit Fluoro/14 bit Digital radiology

p. Minimum acquisition bit depth 16 bits

q. Minimum spatial resolution [lp/mm] DQE 66% at 0.05 lp/mm to 17% at Nquist

r. Minimum SID range [in] 45.3

s. Heat unit x-ray tubes [kHU] Anode heat storage

783,000 HU

2. Additional specifications

Generator

☒ a. High-frequency generator with automatic dose rate control

☒ b. Continuous 30 p/s and pulsed fluoroscopy ma modes

Fluoroscopic Tube

☒ c. Configuration Overhead tube

Floor-mounted tube

☒ d. Pulsed/grid fluoroscopic tube

☒ e. Selectable filtration

☒ f. Dual focal spots (please specify) 0.6 and 1.0

☒ g. Collimation – fully adjustable manual and automatic exposure control with visible light field display.

☒ h. Radiation free collimation

Fluoroscopic spot device/Imaging tower

☒ i. Flat panel detector technology

☒ j. Automated image capture and save, to include last image hold

☒ k. Variable speed power assist controlled in all directions

☒ l. Footswitch and tower controls, to provide the following:

Control of both fluoroscopy and spot shots Automatic shut-off when footswitch or tower control is released

☒ m. Removable lead curtains with counter weights for when curtains are not in use

☒ n. Tabletop travel controls

☒ o. Collimation control

Radiographic/overhead tube crane system

t. Minimum heat dissipation rate [kHU/min] 162,000 HU/min.

u. Minimum control room monitor size [in] 19”

v. Minimum in-room monitor size [in] 19”

w. Minimum control room computer hard drive memory [GB]

4 GB

x. Minimum imaging tower expanded tabletop clearance[in]

45” to 59”

y. Minimum Imaging Tower field of view [in] Fullformat 42cmX42.6cm, Zoom1 30cmX30cm, Zoom2 22cmX22cm, Zoom 3 15cmX15cm

z. Maximum system dimensions [cm] 210 cm to 250 cm

aa. Maximum system weight [kg] 1320 kg system

bb. Other physical specifications Longitudinal table travel 62.9” cc.

☒ p. Patient alignment system (laser alignment/positioning lights)

☒ q. Table and upright auto tracking package

☒ r. Pre-programmed exposure settings located on tube or in control room

☒ s. Ability to change between table top, upright bucky, and table bucky from tube head

☒ t. Ability to lower overhead tube to touch the floor when used with the wall stand

☒ u. Automatic tube crane, protocol-based movement

☒ v. In room protocol adjustment via tube head or other in-room mounted system

Control room fluoroscopic/radiographic control panel

☒ w. Auto HIS/RIS refresh package

☒ x. Quality control tracking package

☒ y. Bar code reader to scan additional detectors (sharing)

☒ z. UPS for x-ray control/image memory

☒ aa. Ability to send images directly from the control panel (no separate workstation required)

☒ bb. Ability to capture live video

☒ cc. DVD recorder-option

Wall stand/fixed wall detector

☒ dd. Ability to lower center of imaging plate to touch the floor

☒ ee. Ability to tilt the imaging surface at least 90◦ and -20°

☒ ff. Automated movement for long axis stitching

☒ gg. Auto tracking of the tube and detector during vertical adjustment at the wall stand and/or tube.

☒ hh. Tilt-able detector holder with inherent grid (-20 degrees to 90 degrees)

☒ ii. Height minimum – low enough to complete standing knee exams while patient is standing on the floor

☒ jj. Height maximum – high enough to complete AP C-spine exams while patient is standing on the floor

In-room monitor

☒ kk. LCD in-room monitor

Ceiling-mounted

Pedestal-mounted ☒ ll. In-room remote control to orientate

☒ mm. High contrast black and white

☒ nn. Anti-glare display

Removable table detector requirements

☒ oo. Wireless detector (not tethered to the system/table)14”x17”

☒ pp. Detector charger in bucky/holder

☒ qq. Additional battery

☒ rr. Charging station (if required)

Table requirements

☒ ss. Ability to tilt 90 degrees in both directions/full tilt option

☒ tt. Full articulation

☒ uu. Auto-centering option to exact middle while the table is in horizontal or vertical position

☒ vv. Table movement controls

Tableside

Trolley ☒ ww. Removable/adjustable patient handgrips

☒ xx. Removable/adjustable footrest

☒ yy. Removable/adjustable shoulder rests

☒ zz. Removable/adjustable stirrups- option

☒ aaa. Bariatric table

☒ bbb. Remote or manual table top movements

☒ ccc. Motor driven table top movement in the X and Y axis at stated maximum weight capacity.

☒ ddd. Auto tracking of bucky / tube for longitudinal travel

☒ eee. Ability to lower tabletop height to at least 18.9” from the floor in the horizontal position at stated maximum weight capacity.

☒ fff. Selectable automatic stop in horizontal position 0 °

☒ ggg. Longitudinal table and tube travel

3. Software Requirements

☒ a. Monitoring of Dosage- The system must be able to supply a technology that allows for monitoring and tracking of radiation dose provided to a patient; DICOM structured reporting is preferred. DAP accuracy must be 99% reproducible with <2% deviation.

☒ b. Bone suppression

☒ c. Repeat rate – ability to track repeat/retake data to include such items as technologist (required unique identifier), reason for repeat, patient dose, exam type, etc. The data should be exportable to Excel or other databases for tracking, trending, and combining with data from other imaging sources within the facility.

☒ d. Rapid image display, < 5 seconds preferred.

☒ e. Stitching – ability to stitch multiple long axis images with options for automated and manual process. Using tube tilt with the upright wall bucky and the table.

☒ f. Ability to apply multiple image processing algorithms both pre and post-acquisition to allow for soft tissue and/or bone enhancement.

☒ g. Dose Reduction- The system must have systems in place to facilitate regular protocol optimization and reduced radiation dose to the patient.

☒ h. Fluoroscopy Loop – Ability to record and store dynamic fluoroscopy sequences after the fluoroscopy has been completed. Storage capacity may be variable according to pulse per second settings (please specify). Please include storage and display options for recorded data review and archive.

☒ i. Automatic movement to position as defined in the programs by pressing a single button.

☒ j. Dose free collimation with the last image hold (side to side and top to bottom of the image)

4. Security/Connectivity Requirements

☒ a. OEM-supported operating system

☒ b. DICOM 3.0 print, store, commit, and modality worklist

☒ c. HL7 integration (HIS/RIS)

☒ d. Wireless connectivity to VA network – compatible with 802.11b/g/n and FIPS 140-2 compliant

☒ e. Encrypted hard drive

☒ f. PACS compatibility – [Agfa, EPIC, Carestream and the majority of all PACS]

☒ g. (NIST)FIPS document

5. Added Value

Specifications listed below are not required, but preferred. Vendors who do not include the below specifications in the submitted offer will not be docked or excluded from consideration. Specifications listed below will be evaluated based on added value.

☒ a. Oblique projections -45o/+45o

☒ b. Version/platform long-range plan

☒ c. Post-warranty remote diagnostic service program

☒ d. Additional year(s) of warranty

C. TRAINING REQUIREMENTS

Description No. of Personnel

1. On-site clinical applications training for technologists during go-live

6+

2. Off-site clinical applications training for technologists (to include tuition) n/a

3. On-site follow-up clinical applications training after technologists have hands-on experience with the system

6+

4. Biomedical technician training package (to include tuition) 2

Biomedical technician training shall include any prerequisites required prior to the training and shall be equivalent to the training received by OEM field service representatives. Technicians shall be given all service manuals, schematics, diagrams, diagnostic software, other special tools, and keys equivalent to what OEM field service representatives have available to diagnose, troubleshoot, repair, and maintain the equipment.

Technologists who complete the clinical applications training shall receive continuing education credits (CMEs).

D. SERVICE REQUIREMENTS

1. VPN/Remote Access – The vendor shall provide any and all equipment service programs, such as remote diagnostics, during the warranty period. The system shall provide vendor remote diagnostics via VPN.

The vendor shall either utilize the VA national site-to-site VPN or work with the Office of Cyber and Information Security and the VAMC Information Systems Security Officer to establish a client-based VPN.

2. Service and Operator Manuals – The vendor shall provide the following documentation for the proposed systems:

a. Two (2) copies of operator instruction manuals (one (1) electronic and one (1) physical copy)

b. Two (2) copies a service manual (one (1) electronic and one (1) physical copy).

3. Minimum Warranty – The system and accessories shall be covered under the manufacturer’s warranty and shall include all parts and labor for one year following acceptance by the VAMC. This warranty must include PMs as required by the manufacturer. The manufacturer’s factory-trained field service representatives shall perform installation and maintenance during the warranty period.

Vendors are encouraged to include any offerings for service, warranty, and training that may exceed the requirements with their proposals. Vendors who do not include any added value offerings for service, warranty, and training will not be docked or excluded from consideration. However, any such offerings will be evaluated based on added value.

E. OTHER INFORMATION/DOCUMENTATION REQUESTED

1. Product brochures

2. Technical specification sheets, to include dimensions and weight of the system

3. DICOM Conformance Statement

4. IHE integration statement

5. FIPS 140-2 certification

6. Completed pre-procurement assessment form (6550)

7. Completed MDS2 form

8. Detailed information about the curriculum and length of the biomedical technical training

9. Details on any off-site training offered for technologists

10. Information about your company’s support structure during the warranty period

a. Describe on-line or telephonic applications support and availability (include third party coverage)

b. Provide a listing of field service engineer locations and availability

c. Provide a listing of part depots

11. Information about your company’s support options following the warranty period, including a description of on-line or telephonic applications support and availability

F. TRADE-IN

The VA will retain any hard drives containing electronic personal health information (ePHI). The following equipment is available for trade-in. Please reflect any credits provided for trade-in equipment in the proposal.

Station 668

Manufacturer GE

Model Precision RXI

EE/Asset Number 24643

Serial Number 776