May 2021 Consolidation - Schedule of Line Items - QAs_FINAL.xlsx

Schedule of Line Items

Q&A

Line 54. Intego System - Do you want this to also include the following?

*Radiation Dose Management System (RDMS) software:

* WLIST: Wireless worklist import. Will import patient worklist detail into Intego system.

* IRPACS: Wireless infusion export detail. Will export patient infusion detail to PACS system.

* RDPACS: Wireless Radiation Dose export. Will export patient radiation dose detail to PACS system.

Line 57 CT Simulation Lasers - What color light would you like (Red, Green or Blue)? Do you have a preference for LAP DoradoNova or Gammex? Wall, Bridge or Post installation? Does Movable indicate “Laser Steering” such as in Radiation oncology CT SIM applications? (Green, LAP, Wall is common). Line 51: No additional Injector, only one which comes with the system.

Line 54: Yes Line 57: No CT Sim Lasers are needed as this function will never be used at CNVAMC VISN 07 509B12003 1. Unit physical specifications

d. patient portal diameter Question: please change to 70 cm to allow for full competition

f. minimum 360 degree rotation time Question: please change to .35 s to allow for full competition

h. number of crystals Question: please change to 24,000 pixel crystals to allow for full competition

i. minimum size of crystals Question: please change to 3.95mm x 5.3mm crystal dimension to allow for full competition

m. minimum time of flight Question: please change to 385 psec to allow for full competition

t. coincidence timing window Question: please change to 5.25ns to allow for full competition

v. required reconstruction algorithms Question: “FORE” is a Siemens trade name. Please specifiy “Fore algorithm”

w. X-Ray generator output Question: Please change to 72kw to allow full competition

x. mA range Question: please change to 600mA to allow full competition 1. d. 70cm

f. .35s

h. 24,000 pixel crystals

i. 3.95 mm x 5.3 mm

m. 385 psec.

t. 5.25ns

v. Fore Algorithm

w. 72kw

x. 600mA

VA Requirement: System must be able to perform auto QC.

Trade In included: Biograph PET-CT

1c - Please confirm desired detector sizes are 17"x17" (qty 2), 14"x17" (qty 1), 10"x12" (qty 1) 2e - Please remove; unduly restrictive, as only 1 vendor has 4.0 lp/mm 2f - Please remove; unduly restricive, as only 1 vendor has 100um detector 2k - Please reduce to 700 lbs 2n - please provide justification for system weighing less than 700kg 1c Total of two 14”x17” detectors needed 2e- Specification removed per request 2f- Specification removed per request 2k- reduced to 700 lbs

Sect 2- i. Change specification to 2.7 inches.

Existing equipment for trade-in GE (2nd floor) Distance to freight elevator-not available Distance to loading dock-not available

2) There are currently no plans to interface the bone densitometry system with the post processing software.

Added Value, e. Lithium batteries. Question: please provide an explanation for “lithium batteries” or remove this line as it is not applicable to the computed tomography system requested in the obligation.

4. Advanced applications Question: Since existing AW Server with thin client will be used on VA computer, will you require that all vendors quote new post-processing software licenses for the advanced applications listed (CT Fluoroscopy, CT Perfusion, CT Cardiac, Lung CAD, CT Colonoscopy)? Types of studies that will be performed are CCTA, Coronary Disease, Calcium Score, TAVR, Atrial Appendage, Prospective and Retrospective studies.

Removed Lithium batteries line.

4. Answer; Depending on the vendor selected.

2. Current spec provides needed flexibility in operating field and numerous c-arms meet spec.

3. Lighter weight increases mobilities in smaller operating space and numerous c-arms meet spec.

4. Current minimum matrix size provides necessary resolution and numerous c-arms meet spec.

4. 1p. Minimum SID range [in] "40 – 72 – are you referring to the radiographic tube to wallstand or the Fluoro tower to table SID?

6. 2cc. - Ability to capture live video,,, are you referring to a 3rd party video capture system i.e. TIMS or are you looking for an inherent video functionality like “cine loop”

8. 2pp. – you are asking for removable table detector but all vendor’s remote systems come with a fixed table detector. Are you referring to a wireless detector for tabletop and stretcher work?

9. 2rr. – how many batteries do you want in total? Our wireless DR panel comes with 2 batteries standard.

10. 2w. – what is “automatic tube crane, protocol-based movement”?

11. 2z. - can you clarify what the “Quality control tracking package” is?

12. Do you want a compression cone built into the system? 1. Remote RF System

a. VANJ is asking for a wireless detector in addition to a fixed table detector. There are manufacturers in the marketplace that have wireless detectors.

2. a. 2 DR panels

b. Minimum 14 x 17

c. This is not a question.

d. Yes

i. Yes

3. 1f. Yes, Tech Specs is adjusted. The maximum weight capacity is now 700 lbs. There is no minimum weight capacity.

4. 1p. Referring to the radiographic tube to wall stand.

5. 1t. Updated Tech specs to be optional for Minimum Imaging Tower FOV

6. 2cc. Inherent video functionality like “cine loop”

7. 2n. Tech Specs have been updated

a. Not all procedures will be done exclusively remote. There is a requirement for lead shields.

8. 2pp. Yes

9. 2rr. Minimum of 2 batteries

10. 2w. Pre-programmed undulation, automatic positioning based on preset protocols

11. 2z. Tracks repeat analysis which is a requirement

12. This is not a requirement

b. The requirement for the system is to have remote functionality but still include lead acrylic shield on ceiling suspension for all procedures. Not all procedures will be done remotely.

a. Minimum wall detector size [in x in]: 15 x 15. Question: Please adjust specification to be 14x17 to allow for fair competition

p. Please update to 45 – 71 inches (115 cm to 180 cm) to allow for fair competition.

v. Please adjust spec to 18.5" to allow for fair competition.

2. Additional specifications

hh. Auto tracking of the tube and detector during vertical adjustment at the wall stand and/or tube. Question: Please remove or make this requirement optional to allow for fair competition.

ii. Tilt-able detector holder with inherent grid (-20 degrees to 90 degrees). Question: Please remove or make this requirement optional to allow for fair competition.

ddd. Ability to lower tabletop height to at least 18” from the floor in the horizontal position at stated maximum weight capacity. Question: Please increase to 19” to allow for fair competition.

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. DAP accuracy must be 99% reproducible with <2% deviation.

Question: Please change this specification to <5% deviation to allow for full competition. 1. a. Technical specifications adjusted to 14x17 for competition

b. Minimum is 72 inches and technical specifications to remain as is.

c. Specification is a clinical requirement and will not be adjusted.

2. hh. Specification is a clinical requirement and will not be removed

ii. Adjusted technical specification to optional ddd. Minimum monitor size to remain

3. a. Updated technical specification to <5% deviation.

VISN 06 565B10026 1a - To ensure maximum competition, please change to 32kW 1d - To ensure maximum competition, please change to 0.1 - 320. There are no portable x-ray exams that should ever require 500 mAs given the efficiency (DQE and TQF) of today's detectors.

1f - To ensure maximum competition, please change to 130cm 1h - Please remove specification; given most, if not all, vendors have detector charging mechanisms either on the cart, within the detector bins, or via external chargers, battery life without recharge is not a necessary spec. Additionally, site has included spec 2g, which requires detector battery charging on the unit. Further, as all batteries degrade over time, the accuracy of this specification cannot be verified, nor are kVp and mAs consistent throughout all exposures, making the spec obsolete.

1j - To ensure maximum competition, please change to -90/+90. Only one vendor features -90/+180.

11 - To ensure maximum competition, please change to 19" or less.

1m - Please clarify or remove. Is this width, height, length?

2o - To ensure maximum competition, please remove this requirement; only one vendor features this software. 1a – reduced to 32 kw 1d changed to 0.1 – 320 1f changed to 130cm 1h reduced to one hour 1j changed to -90/+90 1L changed to 19” 1m 22 inches wide 2o tube and detector alignment is up and coming and is a clinical requirement VISN 06 565B10026 1. Unit Physical specifications, a. High frequency generator power [kW]: 40. Is there a clinical reason this requirement is 40kW? Can this be changed to 32 kW as this appears to be a lock out spec eliminating other vendors from competing.

Same section, c. Tube maximum kVp [kVp]: 150 kVp. Is there a clinical reason this is set to 150 kVp? Can this be amended to 133 kVp? This appears to be a lockout spec eliminating other vendors from competing.

Same section, d. Generator mAs range [mAs]: 0.1 - 500. Is there a clinical reason this is set 0.1 - 500 mAs? This appears to be a lockout spec eliminating other vendors from competing. Can this be changed to 50-400mAs?

Same section, f. Maximum tube reach: 134cm. Is there a clinical reason this is set at 134cm? Can this be changed to 120 cm? This appears to be a lockout spec eliminating other vendors from competing.

Same section, i. Maximum charge time from no charge [hr]: 4 hrs. Is there a clinical reason this is set at 4 hrs charge time? This appears to be a lockout spec eliminating other vendors from competing. Can this be changed to 8 hours?

Same section, l. Minimum display monitor size [in]: 21 inches. Can this be changed to 19 inches? This appears to be a lockout spec eliminating other vendors ffrom competing.

New section - 2. System wireless detector configuration, e. Maximum pixel size [µm]: 140. Is there a clinical reason this is set at 140? This appears to be a lockout spec eliminating other vendors from competing. Can this be changed to 150?

Section 2. System wireless detector configuration, f. Minimum detector battery life without recharge [exposure/hour]: 500/4. Can this be updated/changed to 400/4? This appears to be a lockout spec favoring one vendor and eliminating other vendors from competing. 1a – reduced to 32 kw 1c remains 150kVp.

some service calibrations go past clinical use.

1d changed to 0.1 – 320 1f changed to 130cm 1h reduced to one hour 1i increased to 8 hours 1j changed to -90/+90 1L changed to 19” 1m 22 inches wide 2e increased to 150 2f changed to 400/4 VISN 06 565B10026 1. Unit physical specifications

l. minimum display monitor size – Question: please change to minimum display size of 19 inches to allow for full competition

a. high frequency generator power – Question: please change to 30kw generator to allow for full competition

b. Generator kv range – Question: please change to 50-125 kV to allow for full competition

f. maximum tube reach – Question: please change to 110 cm to allow for full competition

i. maximum time from no charge – Question: please change to 4.5 hours to allow for full competition

3. Additional Specifications

c. collapsible column – Please make collapsible column optional to allow full competition

l. display monitor at tube head – Question: please make optional to allow for full competition

o. tube and detector alignment software – Question: please make optional to allow for full competition 1a – reduced to 32 kw 1b changed to 40 -125 1c remains 150kVp.

some service calibrations go past clinical use.

1d changed to 0.1 – 320 1f changed to 130cm 1h reduced to one hour 1i increased to 8 hours 1j changed to -90/+90 1L changed to 19” 1m 22 inches wide 2e increased to 150 2f changed to 400/4 VISN 21 570B10020 Specifications Matrix Questions i. and j. refer to a fixed detecor. Is this what is intented for the portable DR or do you want a wireless detector? Question does not pertain to 570B10020.

In 570B10020 under Physical specifications requirement (i) refers to Minimum SID while requirement (j) refers to Minimum tube reach. Under Additional Specifications requirement (i) refers to Ability to move portable from tube head and requirement (j) refers to Ability to charge detector battery on unit.

No changes will be made.

1q. focal spot size .6-1.2, is .7-1.3 acceptable?

3k. trickle charge method for detector battery, we provide 2 slot battery chargerand extra batteries, is this acceptable if you are referring to on board trickle charging of detector? 1b. Range is acceptable. Tech spec revised.

1n & 2e Range is acceptable. Tech spec revised.

1q. Range is acceptable, Technical specifications have been updated, range increased.

3k. Request Denied, this is not an acceptable option.

VISN 21 570B10020 1a. Please change generator frequency to 30kw to allow fair competition.

1b. Please update generator KV range to 50-125KV to allow fair competition 1g. Please update to 170 GB to allow fair competition 1p. Please update to 140KUH to allow fair competition 1s. please update collimation light field accuracy to 2% to align with industry standards 1v. Please update display monitor to 15” to allow fair competition

2f. update detector distributor limit to 330 to allow fair competition

3d. Please make collapsible column optional to allow fair competition 3i. Please make ability to move portable from tube head to optional as there are safety concerns 3u. Please make Display Monitor on Tube Head optional to allow fair competition 3y. Is the goal to provide proper patient alignment with tube and detector? If so, please revise requirement to read “vendor to provide quality assurance software to maintain proper patient positioning with tube and detector” 1a. Request accepted. Technical specification has been updated.

1b. Request denied. More than one vendors meet this requirement.

1g. Request denied. More than one vendors meet this requirement.

1p. Request accepted. Technical specification has been updated.

1s. Request accepted. Technical specification has been updated.

1v. Request accepted. Technical specification has been updated.

2f. Request denied. More than one vendors meet this requirement.

3d. Request denied. More than one vendors meet this requirement.

3i. Request denied. More than one vendors meet this requirement.

3u. Request denied. More than one vendors meet this requirement.

3y. Request denied. More than one vendors meet this requirement.

2. Revised per request.

3. Revised per request.

4. Removed

5. Revised per request.

6. Revised per request.

7. Revised per request.

8. Revised per request.

9. Revised to - Linear Array Transducer. Original frequency of 12-3 MHz remains

10. Revised to – Linear Array Transducer. Original frequency of 18-4 MHz remains

2. Revised per request.

3. Revised per request.

4. Removed

5. Revised per request.

6. Revised per request.

7. Revised per request.

8. Revised per request.

9. Revised to - Linear Array Transducer. Original frequency of 12-3 MHz remains.

10. Revised to – Linear Array Transducer. Original frequency of 18-4 MHz remains VISN 08 573B15042 2. Table Requirements

d. motorized – Question: please change to “table facilitates safe and easy patient transport throughout facility” to allow for fair competition.

3. Additional Specifications

t. MRI-compatible injector Ceiling mounted – Question: please remove the requirement for ceiling mount. All commercially available MRI injectors are pedestal mounted 2 d. Requirement remains- no revision necessary 3 t. Requirement remains- no revision necessary VISN 16 580B10031 Can you verify the quantities as two Ultrasound Systems are listed as well as 3 ireless Connections and 5 Batteries. Qty 2 systems.

Each system must be capable of FIPS compliant wireless connectivity. The specific qty and part numbers will vary from manufacturer to manufacturer.

Qty 5 between 2 systems is preferred however, vendor must provide at least 2 per system for minimum quantity of 4.

2. Reduced to 4 – 16 Mhz

2. Reduced to 4 – 16 Mhz VISN 06 590B10008 2d - Please remove or provide clarification for why limiting mA at 100 kVp is required. Most systems feature 800 mA at 100 kVp to provide the most flexible techniques.

2e - Please remove or reduce to 150um; unduly restrictive, as only 1 vendor has 100um.

2f - Please reduce to 700 lbs; 881 lbs is incredibly specific and overkill 4c - Please provide the generic requirement for "AutoGrid"; is this equivalent to a non-physical grid 2d changed to 800 2e increased to 150 2f reduced to 600 4c yes, equivalent to a non-physical grid VISN 06 590B10008 2. Unit Physical Specifications d. Maximum radiographic mA exposure @ 100 kVp: 630. Is this a lockout spec? Is there a clinical reason the maximum is set at 630? Can this be updated to 800 so as not to specifically lock out vendors?

Also, same section: 2. Unit Physical Specs, f. Minimum patient table load capacity (static) [lbs]: 881 lbs. What is the clinical reason the minimu patient table load capacity (static) is set at 881 lbs? This appears to also be a lockout spec eliminating other vendors from competing. Can this patient weight limit be changed to 600 lbs?

2d changed to 800 2f reduced to 600 VISN 06 590B10008 4. Software Requirements

a. Stitching – ability to stitch multiple long-axis images with options for automated and manual process. Question: Do you want Stitching on both table and wall stand?

Question: Please provide the following information to determine an accurate trade-in value: Software Level, List of Coils and Channels, Software Level, Year of Installation, and Projected De-Installation date.

Question: Is there a trade-in? Please provide the following information to determine an accurate trade-in value: Year of Installation, number of detectors, and Projected De-Installation date.

Question: Would you like Separate 72” and 40” focus grids included in addition to midrange grid? Stitching on just wall stand NO trade in Just Midrange grid

Q: What is your preferred vacuum assisted device?

Q: Do you require a Chair?

Q: Is a device needed for imaging core samples?

5. Security/Connectivity Requirements Q: What is the version of your McKesson PACs and are you planning to read off of PACs? 3. Unsure of what is meant by vacuum assisted device.

No chair Yes to core sample

5. Will read from MRS 8/9 VISN 06 590B10010 2d - Please remove or provide clarification for why limiting mA at 100 kVp is required. Most systems feature 800 mA at 100 kVp to provide the most flexible techniques.

2e - Please remove or reduce to 150um; unduly restrictive, as only 1 vendor has 100um.

2f - Please reduce to 700 lbs; 881 lbs is incredibly specific and overkill 4c - Please provide the generic requirement for "AutoGrid"; is this equivalent to a non-physical grid 2d changed to 800 2e increased to 150 2f reduced to 600 4c yes, equivalent to a non-physical grid VISN 06 590B10010 Question: Do you want 17”x17” Detector (wall stand) included in the quote?

Question: Do you want the wall stand to accommodate the use of a mobile table?

Question: Would you like Separate 72” and 40” focus grids included in addition to midrange grid?

Question: Is there a trade-in? Please provide the following information to determine an accurate trade-in value: Year of Installation, number of detectors, and Projected De-Installation date 14 x 17 only No mobile table Just Midrange NO Trade in

2.Will this do cardiac procedures?

3.Can you provide a list of studies?

4.Are you setting up demos for vendors? 1. Vascular Lab (Radiology/ Surgery)

2. No

3. See tech specs for study packages

4. No, please provide all applicable brochures and/or videos

2k- Cantilever mounted X-ray tabletop that's capable of pivoting between 0 and 90 degrees on the pedestal base. Sometimes referred to as a “Diving Board” table.

Why is this a minimum requirement?

A radiographic Table that pivots 90 degrees is beneficial in an outpatient clinic setting for patients that are not able to ambulate independently and the x-ray table needs to move to adjust for the patient lifting equipment.