36A79720Q0010-0001002.xlsx

February 2020 Team A

Q&A

3.3 Multi-unit discounts shall be applied by equipment modality for the entire consolidation.

Technical training information to include detailed information about the curriculum and length of the biomedical technical training required for each equipment type.

What was provided: 1) There are 3 Main folders, 6550, Information, Quotes-Workups-Matrix. 2) Information folder does NOT contain any subfolders

Question: The Caudal Tilt is a restrictive requirement provided by one vendor, please remove this minimum requirement.

2.g. Automatic collimator changer Question: The automatic collimator changer is a restrictive requirement for a specific vendor. Please change this requirement to, Automatic or Semi-Automatic collimator changer or remove the requirement.

5.h. Integrated collimator changer Question: The integrated collimator changer is a restrictive requirement for a specific vendor. Please change this requirement to, “Fast, efficient and reliable collimator exchange process” or remove the requirement.

5.i. ECG Triggering software for CT and SPECT Question: Please change this requirement to “ECG triggering software for SPECT/CT.” The CT is typically not triggered, or gated, in a SPECT/CT with a non-diagnostic CT.

5.q. Auto QC Question: This is a restrictive requirement for a specific vendor. Please change this requirement to: Fast, efficient and reliable Quality Control process, or remove the requirement. 2.c. Caudal Tilt Clinical staff said that this is required to meet their clinical need.

2.g. Automatic collimator changer Changed to “Automatic or Semi-Automatic collimator changer”

5.h. Integrated collimator changer changed to, “Fast, efficient and reliable collimator exchange process”

5.i. ECG Triggering software for CT and SPECT Changed to “ECG triggering software for SPECT/CT.”

5.q. Auto QC Changed to: “Fast, efficient and reliable Quality Control process” A VISN 05 613B91030 2.j. Full UPS Question: Please clarify this requirement to full or partial UPS. If you are requesting a full UPS (ability to scan patients without power) please confirm that the facility has the room, the correct HVAC and power to install this unit.

3.a. Minimum acquisition workstation monitor size 27”.

Question: To allow for full competition, please change this spec to minimum of 19” monitor. 2.j. Provide a UPS that provides the ability to do one full scan when not on power

3.a. specification changed to 19 - updated specifiations and compliance matrix provided A VISN 05 613B91030 Need more Trade-in information Serial nuber, Make and Model. As listed in the specifications:

Manufacturer: Canon/Toshiba Model: Aquilion 64 EE/Asset Number: 43504 Serial Number: JDA10Z2215

1e. Is this really 75 T/m/s? NO vendor today offers this slow slew rate. Minimum should be at least 155 T/m/s. There is also no specification for minimum Aplitude. This should be a minimu of at lease 34 mT/m.

1f. 8 channel minimum is very low. Typical would be at leaset 32 channel.

1h. Is this for the entire system or just the workstation? 1200 seconds is 20 minutes and would require a massive UPS if for the entire system. Typical UPS is 7 min or 420 seconds. Would require more space for all the batteries if 1200 seconds.

1j. Is this requiremetn for the magnet? 1d.-cm adjusted to maximum FOV 50cm.

1e.- adjusted to minimum slew rate 155 T/m/s 1.f- adjusted to minimum number of channels 32 1h.adjusted to minimum UPS time at full functionality 10 Min.

1.yes A VISN 08 673B40006 Technical Requirements 1.d. Minimum field of view [cm] 500 Question: please change this specification to Minimum FOV 10 cm or Maximum FOV 50 cm.

1.g. Minimum patient table load capacity 550lbs.

Question: To allow for full competition, please change this specification to 500lbs.

1.h. Minimum UPS time at full functionality – 1200 Question: Does the facility want a UPS that will allow the scan to continue with a power loss (full UPS) and if yes, please change the requirement to 10 min. The 1200 seems to be an error. Does the facility have the facility room and power requirements for a full UPS, or should this be changed to a partial UPS, (110v only) will cover computers only for a controlled shutdown – lasting about 10 min.?

Table Requirements 4.a. Motorized Question: Please remove this requirement. All systems have tables that are motorized to move the patient into the gantry. Some vendors require a motorized detachable table because the table is heavy and difficult to handle. This is an option that is very specific and should be removed from the minimum requirements.

4.b. Adjustable height when table is attached and detached.

Question: Please remove the word, “detached”, from this requirement. 1.d-adjusted to maximum FOV 50cm.

1.g- adjusted to minimum patient table load capacity 500lbs.

1.h- adjusted to minimum UPS time at full functionality 10 Min.

4.a-Motorized moved to the Added Value section 4.b-Detached moved to the Added Value section

Brownsburg CBOC is quantity of 2 Radiographic X-Ray rooms of the same technical specifications. Please quote two systems utilize PO 583-B01055 for both rooms.

Please expand item 2n to at least 21 inches, as 20 inches is unduly restrictive.

Items 4c and 4f - Please reduce to minimum of 256GB, as there appears to be no clinical need for 1TB of hard drive size. Images are taken and then sent to PACS. 256GB holds over 22,000 images.

"Version/platform long-range plan" - Can NAC please expand on the type of information being requested in this section including examples of how one meets a minimum requirement for having a version/platform long-range plan?

Please confirm no trade-ins.

Two fixed detectors and 1 wireless detector

Changed specification to 21 inches.

Changed to 256GB

Version/platform long-range plan is in the Added Value section therefore it is not a requirement. Information provided can include details about the long range plans for the support, upgrades, etc. for the platform being proposed.

Confirmation there are No Trade Ins.

Terre Haute COBIC has a quantity of 1 Radiographic X-Ray room. Please utilize PO 583-B01056 for that room.

A VISN 12 537B98023 1.e. Table height range from floor [cm] 49-92 Question: In order to allow for full competition please change this minimum requirement to 55-103cm.

2. j. Gantry- or ceiling-mounted contrast injector with proven reliable synchronicity.

Question: This requirement conflicts with the requirements overview that stated the injectors should not be replaced. Please confirm if vendors should include a new injector.

2.k. Full UPS Question: Please clarify this requirement to full or partial UPS. If you are requesting a full UPS (ability to scan patients without power) please confirm that the facility has the room, the correct HVAC and power to install this unit.

3. Workstation Requirements Question: Please confirm that this requirement is for a post processing workstation? Would you prefer a workstation or a thin client server?

3.a. Minimum acquisition workstation monitor size 24”.

Question: To allow for full competition, please change this spec to minimum of 19” monitor. 1.e. Clinical requirement and multiple vendors can meet therefore this specification will remain as is.

2.j. No new injector - this has been removed from the specifiations 2.k. Full UPS

3. Post processing, workstation 3.a. Clinical requirement and multiple vendors can meet therefore this specification will remain as is.

A VISN 12 537B98023 Would you be able to also send over:

3. Original Year of Manufacture

4. Gantry Count

5. Tube Model + Year of Manufacturer

6. Tube Count in seconds

7. Removal Path (i.e. system will come out through doors or will require wall removal?

8. Service on system - OEM Full service? Biomed only? Third Party? No additional information about the unit will be provided at this time other then that it is serviced by the OEM.

A VISN 15 589B00016 Requirements Overview Overview states the requirement is for a SPECT/CT unit used for “…low dose non-diagnostic CT for anatomic localization and CT attenuation correction.”

Question: Please clarify if this request is for a SPECT/CT with a low-dose, non-diagnostic CT or is the requirement for a SPECT/CT with a diagnostic CT.

Technical Requirements 1.a. Minimum number of slices 16 Question: If this requirement is for a non-diagnostic SPECT/CT please change the minimum requirement to a 4 slice CT or update the requirements overview and section 2.a. to a diagnostic SPECT/CT.

1.l. Maximum system dimensions [in] 92 in x 54 in x 92 in Question: Please confirm that this specification is for the full system? Please clarify the room dimensions so we can ensure our product will fit.

1. m. Maximum system weight [lbs.] 9,000 lbs.

Question: This is a restrictive requirement, please change the weight to 10,000.

Additional Specifications 2.a.SPECT CT Type – Non-diagnostic Question: This specification identifies a low dose non-diagnostic CT requirement, however many of the specifications are for a SPECT/CT that has diagnostic quality . Please clarify the requirement the requirement.

2.c. Cephalic and caudal tilt.

Question: Cephalic and caudal tilt is a restrictive requirement provided by one vendor. Please remove this as a minimum requirement.

2.h. Automatic collimator changer Question: Automatic Collimator Changer is a restrictive requirement for a specific vendor. Please change this requirement to, “Automatic or Semi-Automatic Collimator Changing,” or remove this requirement

3.k. Supplemental in-room SPECT acquisition control Question: This is an unduly restrictive requirement for one vendor not required for all vendors please remove this requirement.

3.l. Professional interpretation workstation hardware Question: Please clarify this requirement. Are you requesting a second post processing workstation, a post processing server with clients or is the intent to confirm the workstation included in the configuration is capable of “professional interpretation” functionality?

4.m. 3D/CTA fusion overlay (Advanced Applications) Question: Please confirm this is a required option. This is normally a CT application.

Software Requirements

5.h. Integrated collimator changer Question: This is an unduly restrictive requirement for one vendor not required for all vendors please remove this requirement. 5.i. ECG triggering software for CT and SPECT Question: The CT is typically not triggered, or gated, in a SPECT/CT with a non-diagnostic CT. Please change this requirement to “ECG triggering software for SPECT/CT,” or remove this requirement.

5.k. List mode acquisition software Question: List mode is normally required only if you're doing research and may require a higher end system than the specs indicate. Please explain the clinical requirement to understand how we can fulfill the need.

5.v. Auto QC Question: Auto QC is a restrictive requirement for a specific vendor. Please change this to “Fast, efficient and reliable Quality Control process,” or remove this requirement.

5.x. Oncology/Treatment Planning Positioning/Pallet Question: This is normally a PET/CT requirement, please remove this from as a minimum requirement.

Additional Questions:

Question: Is the customer requesting CT dose reduction software?

Question: Does the customer need Metal Artifact Reduction included in the offer?

1.a. Minimum number of slices is 16 as outlined in the technical specification.

1.l. Maximum full system dimensions is 92 in x 54 in x 92 in 1.m. Changed tech spec to Maximum System Weight 10,000.

2.a. Clinical purpose is for non-diagnostic. Requirement to remain 16 slices 2.c. Changed tech spec - Remove Cephalic and caudal tilt as requirement 2.h. Changed tech spec to Semi-Automatic collimator changer 3.k. Technical specification will not change.

3.l. Changed tech spec - One acquisition and one post processing workstation 4.m. Changed tech spec - Removed specification 3D/CTA fusion overlay (Advanced Applications) 5.h. Addressed on 2.h.

5.k. List-mode software allows for refinement of myocardial perfusion SPECT by interrogating particular data from selected cardiac cycles.

5.v. Changed tech spec to - Fast, efficient and reliable Quality Control process 5.x. Changed tech spec – removed Oncology/Treatment Planning Positioning/Pallet

Additional questions:

Question: Is the customer requesting CT dose reduction software? Offer as an option

Question: Does the customer need Metal Artifact Reduction included in the offer?

Offer as an option A VISN 15 589B00016 SPECT CT type: It states Non-Diagnostic – what do they mean by that?

You've listed required specs for: energy range 60-560KeV - What studies are you looking to perform? Anythig over 511+ is considered, PET energy. Our system covers a range from 4-200KeV.

B. Repeat question - See above.

C. Up to 7 concurrent users D. Repeat question - See above.

E. Confirmed Syngo Via F. Internal should be accessible for patient monitoring on the bed/table.

G. Repeat question - See above.

H. No pin hole desired.

I. Both J. This is a request for an attached P-scope.

K. Repeat question - See above.

• Diagnostic? If so, are you doing needle locs? Diagnostic yes, no needle locs.

• Biopsy? If so, what is your vacuum assist system? No

• Do you need the biopsy chair? No (on AWS, would you like double screens if you are doing biopsy, most facilities like this for diagnostic and biopsy) No

• Reading workstation needed? No

• What is the PACS? Philips IntelliSpace

• Is your PACS upgraded to latest mammo module for tomo? Yes

• Please send in pics of current mammo system and the serial number. See attached for photos and serial numbers.

A VISN 21 612B96007 I see that there are Mobile Trailer requirements. We wish to inquire if a modular building is an option?

1. We wish to inquire if a modular building is an option?

1g. Yes, this is the weight for the magnet only.

A VISN 21 612B96007 Technical Requirements 1.c. Minimum field of view [cm] 55 Question: To allow for full competition, please change this specification to 50cm.

1.f. Minimum patient table load capacity 550lbs.

Question: To allow for full competition, please change this specification to 500lbs.

1.g. Maximum system weight 3060 lbs.

Question: Maximum system weight appears to be an error, please change this requirement to Magnet Weight: 7500 lbs.

Table Requirements 5.b. Motorized Question: Please remove this requirement. All systems have tables that are motorized to move the patient into the gantry. Some vendors require a motorized detachable table because the table is heavy and difficult to handle. This is an option that is very specific and should be removed from the minimum requirements. 1c. Agreed. Min FOV changed to 50 cm.

1f. Agreed. Min patient table capacity changed to 500 lbs.

1g. Agreed with changes. Maximum System weight changed to Maximum Magnet Weight: 7500 lbs.

5b. Agreed. Motorized requirement moved to added value section

1.i. Minimum UPS time at full functionality – 6 Hours Question: Does the facility want a UPS that will allow the scan to continue with a power loss (full UPS) and if yes, please change the requirement to 10 min. A UPS just keeps the system functional until a generator starts, or power is restored. Does the facility have the facility room and power requirements for a full UPS, or should this be changed to a partial UPS, (110v only) will cover computers only for a controlled shutdown – lasting about 10 min.?

Table Requirements 5.b. Motorized Question: Please remove this requirement. All systems have tables that are motorized to move the patient into the gantry. Some vendors require a motorized detachable table because the table is heavy and difficult to handle. This is an option that is very specific and should be removed from the minimum requirements. 1.h. UPS time has been changed to 600 seconds. This is full functionality, not just workstations Table requirements remain as is. The requirement is for a table that is motorized to move the patient into the gantry, as described in the question, and also detachable and dockable. The detached table does not need to be motorized to move it around with the patient on it.

Do they require de-installation of an existing MR?

1i. Minimum UPS time at full funcitionality (s) - Is this requirement for the entire system to allow full scanning or just for the workstation? 1.h. UPS time has been changed to 600 seconds. This is full functionality, not just workstations There is no existing MR to de-install 1i. UPS time has been changed to 600 seconds. This is full functionality, not just workstations A VISN 21 662B00011 1d. Is the 80cm requirement referring to a calibrated or extrapolated FOV? Please clarify 2k. Seek clarification of whether the intent of the requirement is to propose a UPS for the entire system including the gantry?

3c. Seek clarification on whether the intent of the requirement is for a 2nd operator's console or an advanced visualization workstation?

3e/f. Please clarifly if the intent of the requriemetn is for redundant UPS systems for both acquisition & post processing workstations given requirement 2k Trade-in: Please provide additional information to assist in determining system value (i.e. date of installation, total rotations/scan seconds on the gantry, date of last tube replacement, rotation/scan seconds on current x-ray tube, general condition, etc). 1d. 80cm calibrated FOV 2k. CT System will be plugged into back-up generator. UPS will be required to bridge an approximate 10 second gap till the generator power kicks in.

3c. Advanced processing workstation 3e/f. Do not require a redundant UPS Trade in: Installation Date: Mar 30, 2011 Tube Replacement Dates: 5/30/19 A VISN 21 662B00011 1.d. Minimum detector field of view [cm] 80.

Question: Please clarify this requirement. If the requirement is Minimum scan field of view, please change to 50 cm. If the requirement is Minimum detector coverage please change to 80 mm.

2.k. Full UPS Question: Please clarify this requirement to full or partial UPS. If you are requesting a full UPS (ability to scan patients without power) please confirm that the facility has the room, the correct HVAC and power to install this unit.

3.a. Minimum acquisition workstation monitor size 20”.

Question: To allow for full competition, please change this spec to minimum of 19” monitor.

Additional Question: The specification does not require Metal Artifact Reduction software should this be a requirement? 1.d 80cm calibrated FOV 2.k CT System will be plugged into back-up generator. UPS will be required to bridge an approximate 10 second gap till the generator power kicks in.

3.a. Requirement can change to 19” for full competition Additional question: Metal Artifact Reduction software desired - included in the Added Value section