36A79719Q0013-0001003.xlsx

TEAM A

Q&A

2. One inherent and one additional detector is required.

Technical Requirement: Additional Specifications Section i.

- Upright and supine imaging cabaility. Request - The "upright" imaging capability limits competition. Please remove this word from technical specification. A vendor had contacted us on 5/23/19 and requested a drawing of the Nuc Med room so we provided one to the NAC. Please see revised Technical Specifications. The treadmill system is not currently located in this room, but will be moving into the room with the new cardiac camera. The stress test system cart is approximately 43” wide x 31” deep and the associated treadmill is approximately 30” wide x 80” long. The treadmill should have approximately 3 feet of clearance on each side and 6 feet from the end.

The “upright” imaging capability requirement was included in the specifications because we need to scan many patients either prone or upright. Many of our patients are overweight and scanning prone is difficult due to their size and breathing difficulties.

Technical Specifications

1. 1.d. Single Plane Floor Mounted System Request - Please consider changing this requirement to a Single Plane, Non-ceiling mounted system. This would allow vendors to offer floor mounted system or a system that is robotic and not mounted to the floor.

2. 1.e Heat dissipation rate must be 1,500,000 HU per min.

Request - To allow for full competition, please remove this as a minimum requirement or change to 544KHU/min (6.72kW)

3. 1.h. Ability for ultra-low dosage during 3D image capture with acquisition rate of at least 90 frames per second Request - Please remove this requirement, it is specific to one vendor General Software Specifications.

4. 2.a. Ability to acquire 3D images in less than 5 seconds Request - Please remove this requirement, it is specific to one vendor

5. 2.b. Ability to automatically acquire 3D images using EKG data Request - Please remove this requirement, it is specific to one vendor

6. 2.d. Ability to generate 3D images at a rate of at least 85/second Request - Please remove this requirement, it is specific to one vendor

7. 2.l. Bi-directional interface with Viista/CPRS Request - Please remove this item Vista/CPRS interaces are afunction of the hemodynamic system, not the imaging system, so this is not relevant

8. 2.q. Ability to integrate with any ultrasound system Request - If the intent is to obtain a video feed, please change this requirement to can integrate with industry standard video feed

9. 2. Ability to provide continuous physiological monitoring during procedures to include but not limited to: NIBP, heart rate, pulse oximetry, respiration rate, end tiday CO2 (ddEtCO2) Request - Please confirm that you are requesting vendors quote hemodynamic monitoring with the Imaging system.

General Hardware Requirements

10. 3.b. Foot-switch activated, overhead intercom system enabling bi-directional communication between control and exam rooms Request - Please change this to must have the ability to intercom to/from control room

11. 3.c. Ability to accept at least 8 different video signals in control room and display on multiple screens Request - Please remove this requirement, it is more of a construction project instead of imaging.

12. 3.e. Radiation shield to protect staff from radiation exposure Request - The Radiation shield is normally quoted by the lighting vendor. Please confirm with the customer and remove if possible.

13. 3.g. Include mobile or table-mounted MEDRAD Stellant injector for contrast delivery: Must have capability of automatic reloading of contrast agent, must have minimum dose delivery of 180cc, must have capability to store 250 cc, must haver interface with table Request - Please change this to a generic Power Injector (The Stellant injector is a CT injector)

14. 3.j. Professional-grade image printer Request - Please remove this requirement

C-arm specifications

15. 4.d. Floor-mounted on retractable, multi-axis robotic arm Request - Please change this to Non-Ceiling mount retractable C-Arm

16. 4.j. Usable space greater than 95 centimeters Request - Please remove this requirement is specific to one vendor

17. 4.k. Arm will be fixed and hermetically sealed at floor-unit juncture Request - Please change this requirement to read, if floor mounted Arm will be fixed and hermetically sealed at floor-unit juncture

Power Requirements

18. 5.a. Include a 480-volt output uninterruptable power supply (UPS) capable of lasting at lease 60 minutes to power the imaging modality to its fullest capacity Request - This is a very expensive UPS requirement, please validate this type of UPS and ensure the facility has the power to support or update to a more generic Full System UPS.

19. 5.b. Bi-directional intercom system and all ancillary components between control room and procedure room to include at least 4 ceiling integrated speakers that terminate in control room Request - Please change the requirement to at least 2 ceiling integrated speakers Catherization/Electrophysiology Capabilities

20. 6.a.Requires 510(k) approved interface with: GE CardioLabs, GE micropace, St. Jude EnSite cardiac mapping, Carto cardiac mapping, Karl Storz AIDA HD Request - Please remove this requirement, 510k is not required.

21. 6.c. Ability to interface with any ultrasound modality Request - If the intent is to obtain a video feed, please change this requirement to can integrate with industry standard video feed.

Video Sources

22. 9.a-l - Video Source Request - This is the function of a video integration unit. All those inputs are not necessary to display on the large display monitor for the procedure. They are used for other in the case on monitors around the room. They are the function of a video integration unit that should be evaluated separately as an independent purchase.

Video Destinations

23. 10b Wall Mounted surgical monitor display 10c Video Monitor included into system Request - the two-video monitor requirements are part of a video integration that should be purchased outside of this purchase please remove.

Security Connectivity Requirements

2. Can you please provide the following information for the trade-in at VA Clarksburg Product: GE Serial Number:

Manufacturer: 1. CAD drawings will not be provided at this time. Site specific drawings are not required from vendors at this time. Typical drawings of vendor equipment is suggested to be provided with vendor proposals.

2. GE Innova 4100-IQ digital vascular and interventional system S/N 429442, acquired on 9/18/08.

VISN 05 540-B81007 1. What is the Vintage of BOTH GE Infinia nd what CT is on it?

2. Can we get an actual CAD drawing for room 2170 and room 2171?

3. Is this turnkey? If so, will the room renovations be authorized via a modification? 1. The current equipment is a GE INFINIA HAWKEYE installed in 2010.

2. CAD drawings will not be provided at this time.

3. The method of site prep will be discussed with the awarded vendor. No site prep proposal should be included at this time.

VISN 05 540-B81008 1. What is the Vintage of BOTH GE Infinia nd what CT is on it?

2. Can we get an actual CAD drawing for room 2170 and room 2171?

3. Is this turnkey? If so, will the room renovations be authorized via a modification? 1. The current equipment is a GE INFINIA HAWKEYE installed in 2010.

2. CAD drawings will not be provided at this time.

3. The method of site prep will be discussed with the awarded vendor. No site prep proposal should be included at this time.

VISN 05 688-B80805 1. Does the site require long bone/long length imaging capabilities?

2. What level/type of shielding is required, if any?

The attached benchmark is on the master spreadsheet as a RAD system. Can we please have the spreadsheet updated so that it gets submitted into the correct folder. 1. Yes.

2. Shielding requirements of selected unit will be reviewed following award.

688-B80808 is for a RAD room.

688-B80805 is for an RF system VISN 05 688-B80808 This opportunity pushed from September and was listed and benchmarked as RAD opportunity. It now on the May consolidation listed as a RAD spreadsheet opportunity, however, the benchmark calls for RF. Want to confirm that this is indeed calling for an RF. 688-B80808 is for a RAD room.

688-B80805 is for an RF system

- Manufacturing date of trade-in?

Request - Diagnostic Field of View is 50cm and that is identified in technical requirement d.

Additional Specifications

3. 2.a. The CT scanner shall provide the ability for the user to independently operate the table, gantry, and CT fluoroscopy mode from the control room.

Request - Please confirm if the site is planning to do interventional CT procedures ("Fluoro" - Biopsies, drainages, ablations) on this asset along with the plans to do radiation therapy treatment planning procedures"? If yes, will the interventional procedures be performed from our side of the scan room?

4. 2.b. The CT scanner shall provide the ability for the user to independently operate the table, gantry, and CT fluoroscopy mode while performing biopsy or patient-related exams.

Request - Please confirm if the site is planning to do interventional CT procedures ("Flouro" - Biopsies, drainages, ablations) on this asset along with the plans to do radiation therapy treatment planning drainages, ablations) on this asset along with the plans to do radiation therapy treatment planning procedures"? If yes, will the interventional procedures be performed from our side of the scan room?

2. Will use existing LAP lasers

3. No interventional CT procedures will be performed.

4. No interventional CT procedures will be performed.

5. Currently have a partial UPS with the current system and would like another partial UPS with the new system. Not enough incoming power for a full UPS.

- Age of system

- What collimators, computers included

- Does it include all hard drives, and software with all patient data removed? 1.The method of site prep will be discussed with the awarded vendor. No site prep proposal should be included at this time.

2. N/A - space conversations will take place with the awarded vendors. Space is not a driving factor for this line item. Technology is the driving factor. CAD drawings will not be provided at this time.

3. N/A - space conversations will take place with the awarded vendors. Space is not a driving factor for this line item. Technology is the driving factor.

4. The facility currently has three existing gamma cameras which is inclusive of the specified trade-in. This will be a replacement for one of these units.

5. Please reference the “Instructions to Offers” section 2.8.g for further information about the type of information to provide by equipment type not by specific request. Please also reference the “Instructions to Offers” section 7.3.3. for response format. Technical training information to include detailed information about the curriculum and length of the biomedical technical training required for each equipment type. Although the NAC will not award this training along with the equipment, it is imperative that the customer is informed that this training is available. Vendors must demonstrate that they can provide any required off-site training, therefore off-site training should be quoted as an optional item. Off-site training will be purchased at the time of need via a modification (if the original order remains open) or via a separate order. No travel expenses for any VA employees will be included in any HTME equipment or training order.

6. GE Infinia Hawkeye 4 Acquisition Date: 04/01/2009 2 collimators included.

Equipment will be positioned as required for deinstallation. After positioning, the hard drives will be removed. The vendor/contractor will then be allowed to remove the equipment from the facility.

2. Partial operation; computer running.

3.Yes, we plan to use Coronary Gating on this unit VISN 09 626-B90046 1. 2. Additional Specifications Section:

Line J/K: UPS, Power Conditioner. Please clarify on type of UPS required, e.g. ability to keep scanning or partial operation of computer / monitor only?

2. MedRad injector preferred; dual head injector needed

3. Software applications: Vascular, calcium scoring, metal artifact reduction (MAR)

2. Please leave this as an option.

Technical Requirements 1.a. Minimum Wall detector size 17x17 Request - To allow for full competition fo all vendors, please chane the minimum requiremetn to 14" x 17".

1.c. Maximum pixel size 50 Request - This may be an error, please change this requirment to 148 1.e. Height range for wall Bucky 15.75-75.39 Request - Please change this range to 15.75 Bucky Center - 75.5 1.f. Maximum Patient Weight 600 lbs.

Request - Please clarify if this weight is static or dynamic. If dynamic, please change to 586 lbs.

1.p. Heat Unit X-ray Tubes 783 Request - Please change this requirement to 600 1.s. Minimum control room computer 200 Request - Please explain this requirement and measurement Additional Specifications 2.o. Table and upright auto tracking package Request - This is a very specific vendor option, please remove or make optional 2.p. In-room protocol adjustment via tube head or other in-room mounted system Request - This is a very specific vendor option, please remove or make optional 2.s. - Full articulation

- Age of system?

- What collimators, computers included?

- Does it include all hard drives, and software with all patient data removed?

In general, the specifications for this generic benchmark are very specific to one vendor, as it seems to match a vendor datasheet and may not have much clinical value. Most of the elements can be met by other vendors, but a few are limited to the one vendor; please consider changing the elements below to allow for open competition.

8. Section A., last sentence: Will be equipped with Auto QC and housed table collimator exchanger. Request - Auto QC and Housed table collimator exchanger is a description used by one vendor. Please change this to a generic requirement to allow for full competition and remove this sentence.

9. B. Technical Requirements 1.c. - Intrinsic spatial resolution 3.0mm Request - This is a vendor specific Requirement, please change the specification to ≤ 3.7mm

10. 1.j. Minimum Workstation hard drive space [GB] 1TB Request - Please change this to 750GB

11. 1.g. - Maximum whole-body scan rate [cm/min] - 40 cm/min Request - This is a vendor specific requirement, please change to 30cm/min to allow for full competition

12. 1.l. - Minimum bed weight capacity (lbs.) - 500 lb.

Request - Please change this to a Maximum bed weight capacity (lbs.) - 500 lb.

13. 2. Additional Specifications 2.d. - UPS that provides 10 minutes of backup power to the gantry and workstations to allow for proper shut down.

7. The system age is 11 years.

2 Low Energy High Resolution Collimators 1 High Energy Pinhole Collimator 2 Medium Energy Collimators 1 system workstation/computer

- This does not include hard drives. Hard drives will be retained by the VA facility.

1.f. Maximum Patient Weight withstood 550lb