Jan 2022 Consolidation - Schedule of Line Items with QA - FINAL 4-3-22.xlsx

Schedule of Line Items

Q&A

1d. Minimum tube rotation from axis in both directions (degrees): 300 Is this axis meant to describe column rotation?

To allow for open and fair competition, please change to ± 180°.

1e. Minimum fixed detector size (in x in): 14x17 Please remove or revise - there are no fixed detectors for portable x-ray systems

2a. Quantity of wireless detectors: 2 Detector quantity labeled as 2. Specifications only specify 14x17. Does the site require 2 - 14x17 or are there other sizes required?

1d. Tech spec updated. Changed to 180.

1e. Tech spec updated. Revised to wireless detector

2a. Tech spec updated. Revised to 1 wireless detector VISN 17 504 AMARILLO, TX 504 504B20001 1a - Please reduce to 32 kW to ensure maximum competition 1c - 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.

1e - Please change to "wireless" instead of "fixed" 1f - Please change to "wireless" instead of "fixed" 2 - Please better define what the site is looking for with respect to requesting 2 detectors with a minimum size of 14"x17". Does the site want qty 1 14"x17" and qty 1 greater than 14"x17"? Qty 2 14"x17" detectors? Qty 2 17"x17" detectors?

3y - Please remove the spec as only one vendor offers this software. 1a Tech spec updated. Changed to 30kW 1c - Tech spec updated. Changed to .1-320 1e - Tech spec updated. Changed to wireless 1f - Tech spec updated. Changed to wireless 2 - Tech spec updated. Changed to 1 wireless 3y - Tech spec updated - removed.

VISN 17 504 AMARILLO, TX 504 504B20001 1.b - 65kV max HVG power is too low for clinical use. Recommend 150kVp requirement since 150kVp is getting required in clinical use for obese patient.

2.d - Detector distribution weight of 300lb is too low for obese patient in portable use. Recommend max 881lb(400kg) requirement for obese patient.

3.x - Pls add comments as dual laser alignment for SID positioning. Single laser cannot guide SID, but dual laser can provide it. 1b Tech spec updated. Changed to 150kVP 2d - Tech spec updated. Changed to equal to greater than 600 3x - Tech spec updated. Changed to single laser VISN 17 504 AMARILLO, TX 504 504B20001 1A. High Frequency Generator Power - Q: Please change this specification to 30 kW to allow for more fair competition.

3G. Algorithms to Reprocess For Tubes and Lines - Q: Please elaborate on this specification regarding reprocessing algorithms, would a list of ALL image processing algorithms on the system be sufficient?

3I. Ability To Move Portable From Tube Head - Q: Please make optional, as this feature limits open competition

3K. Trickle Charge Method For Detector Battery - Q: Is this specification looking to confirm whether or not the detector is charged while it is still in the bucky?

3M. Adjustable Motor Drive - Q: Can you please elaborate on the clinicial / operatoinal goal for this specification?

1A. Tech spec updated. Changed to 30 kW

3G. This is the portable unit’s ability to have additional technology to reprocess certain exams when looking for central lines, feeding tubes, etc. This ability is to be able to enhance such lines for better viewing. We will not need a list of ALL image processing algorithms

3I. This is a clinically relevant, desired feature

3K. This is a descriptive equipment specification simply asking whether it is desired or not. Trickle charging is assumed that the portable will continue to charge the detector while plugged in to a power source but not actively shut down for a full charge.

3M. This is a descriptive equipment specification simply stating whether this feature is desired or not. Low vs. High speed typically comes in to factor when the tube head is not parked sufficiently, and a clinician needs to move at a heightened speed to quickly address patient needs.

4. Advanced Applications - There are multiple references to "FORCE" software applications. These are vendor specific trade name which refer to Siemens specific product catalogs. This requirement for a specific vendors catalog names to be included in an open bid is unduly restrictive as only one vendor can meet this specification. Please remove these trademark Siemens catalog names or make them optional to allow full and fair competition

1. a. This is a vendor specific specification. Please change to 256 slices to allow full and fair competition

1. c. Please make dual detectors optional to allow for full and fair competition

1. e. Please change to .625mm to allow full and fair competition

1. j. This is a vendor specific requirement which would only allow a single vendor to bid. Please change the requirement for 2 tubes to optional to allow full and fair competition

1. l. This is a vendor specific requirement which would only allow a single vendor to bid. Please make this requirement optional to allow for full and fair competition

1. n. "Turbo Flash" is a vendor trade name and is unduly restrictive. Plesae make "Turbo Flash" optional to allow full and fair competition Dual-Source was moved to the added value section E.

All references to FORCE were removed from Tech Specs

1a.Changed to 256

1c. Dual Detectors moved to Added Value Section E.

1e. Changed to .625 1j. 2 Tubes moved to Added Value Section E.

1l was removed

1n “with Turbo Flash” was removed VISN 05 512 BALTIMORE, MD 512 512B21007 Question #60- consider 500lbs to promote fair competition?

Question #61- consider 350lbs to promote fair competition?

Question #64- please clarify full articulation definition?

Questions #71 and #72- consider 19” monitors to promote fair competition? Minimum patient table load capacity (static) has been updated to 500lbs to promote competition

Minimum patient table load capacity (dynamic) has been updated to 350lbs to promote competition

Vertical, transverse, and longitudinal movement of the patient table

Minimum control room monitor size has been updated to 19” to promote competition

Minimum in-room monitor size has been updated to 19” to promote competition VISN 05 512 BALTIMORE, MD 512 512B21007 Technical Specifications matrix:

Added Value, Question d - Wider patient table Please specify the required measurements for a wider table.

1.b 80 cm bore is not available on a mobile configuration. Would the site consider modifying to 70 cm to allow for a greater range of options to consider.

1.c 8 cm detector is not available on a mobile. Would the site consider revising to 38.4 mm to allow for a greater range of options to consider

2.a/b Fluoroscopy / intervention is not performed on mobile units. There would be challenges with maintaining a sterile environment for these types of procedures. Would the site consider removing this spec. 1.a Changed to 128 slices

1.b Changed to 70 cm

1.c Changed to 40mm

2.a/b Removed requirements for fluoroscopy VISN 08 516 ST PETERSBURG, FL 516 516B20002 Requirement Overview: The project requests a "mobile" CT. Is the intention of the facility to routinely move the system or will the system remain in place. If the system will remain in place, would a modular building similar to the existing MRI be an acceptable or desired solution?

1. Unit Physical Specifications e. .5 mm is unduly restrictive. Please change this specification to .625mm to allow full and fair competition

1. h. CT scanners routinely utilize rotations above .3 seconds. Please change maximum rotation time to 1 second to accommodate routine CT protocols

1. j. 1900 lbs is unduly restrictive. Please change this specification to "maximum system weight must accommodate placement in a mobile environment" to allow full and fair competition

2. k. Mobile CT trailers are not designed to accommodate the required space for a full UPS back up. The normal mobile trailer will accommodate a partial UPS to power the CPU's during a power outage. Please change the requirement to a partial UPS to safely save patient data during a power outage. Must be a trailer; will be moved eventually

1.e Changed to 0.625 mm

1.h Changed to 1 second

1.j Removed Maximum System Weight requirement

2.k is now 2.i Changed to Partial UPS VISN 08 516 ST PETERSBURG, FL 516 516B20004 1. c. Current MRI technology is designed to minimize bore depth. Please change to 105cm to allow full and fair competition.

1. f. The industry standard for RF Channels is the number of Analog- to- Digital Converters (ADC) for a system. No commercial MR system has 200 ADC. Please change to 64 to allow full competition.

1. g. maximum system dimensions 60 inches x 30 inches - Please clarify as these dimensions are too small for a 1.5T MR system

2. c. Please change to 500 lbs to allow full competition

3. f. UPS - maintains full functionality of the system for a minimum of 30 minutes during a power outage - Please change to 6 minutes to align with industry standards and clarify if UPS is for full MR system or system console 1.c Changed to 105 cm

1.f Changed to 64

1.g Changed to 235 cm x 200 cm x 235 cm

2.c Changed to 500 lbs

3.f Changed UPS requirement to 7 minutes

1.b Would the site consider allowing for 78 cm gantry opening to allow for a greater range of options that can achieve or exceed the stated clinical objectives

1.c Would the site consider an alternative detector size that would allow for a greater range of options that can achieve the stated clinical objectives?

2.l Is a full system UPS needed or can a partial UPS for the acquisition workstation / reconstruction computer suffice?

2.p Would the site consider removing the requirement for gantry tilt to allow for a greater range of options that can achieve the stated clinical objectives?

2.r Would the site consider removing the requirement for gantry tilt to allow for a greater range of options that can achieve the stated clinical objectives?

1.a: No, High slice CT is a clinical need. More than one vendor can meet the 512 requirement

1.b: No, the largest gantry aperture is required by our facility. We have a large bariatric patient population. More than one vendor can meet the requirement

1.c:.No, We have developed a cardiac imaging program and hope to further it by providing quality cardiac scans to a wider range of veterans to include those with higher heart rates and arrythmias. The 16cm detector size allows for the acquisition of the entire heart in one rotation, mitigating motion artifact and misregistration artifact caused when a smaller detector size is present

2.l Yes, Partial UPS is acceptable, however please also include a full UPS as an option

2.p:: No, Gantry tilt can be performed mechanically or digitally. More than one vendor can meet the requirement.

2.r: No, Gantry tilt can be performed mechanically or digitally. More than one vendor can meet the requirement

1.g Yes, Changed to .23 mm to allow for more competition

2. Updated to reference 3D rotation speed

3. Yes, updated to say minimum

4. No, the fastest rotation time allows for less noise when performing cardiac imaging procedures. The VA hopes to hope to further it by providing quality cardiac scans to a wider range of veterans to include those with higher heart rates and arrythmias.

5. No, more than one vendor can meet the need.

6. CT and MR image fusion is a requirement. PET image fusion was moved to added value section

7. No, Live 2K provides improved visibility and resolution of procedures in real time. The VA is looking for a High resolution suite with real time image processing

55f. Advanced Visualization System Integration has been removed from the technical specification.

VISN 10 541 CLEVELAND, OH 541 541B20003 1) On the solicitation there is no reference to the trade in of any MRI coils. Please see the attached trade in request form and please list the coils that will be traded in. The following coils are available with the MRI trade-in:

Canon/Toshiba Coils: NV Head, Cervical, Spine, Hand/Wrist, Shoulder, 2 Flex, Abdomen, Knee, 3 round surface coils (small, medium, large), rectangle surface coil (for extremities), Breast, and a T/R head coil.

In section 1: Technical Requirements Line C: Minimum detector width z-axis [mm] 50

2. Specs ask for a fixed or wand type metal detector. Would they prefer a fixed? We offer a fixed type that will record the event with real time video, and generate a report.

3. Specs call for a MRI Compatible Anesthesia Ventilator. The Anesthesia Vent is part of the anesthesia machine. We would suggest that they purchase a MRI Compatible anesthesia machine with vent. We do not furnish either the ventilator, or the machine with ventilator.

2. Either option would be acceptable

3. No mention of “Anesthesia Ventilator” in tech spec. A MRI-Compatible Ventilator is a value-add option which does not affect vendor eligibility.

4.

• Is it a GEMS system? Yes

• What coils are included?

- Full Coil Package

- Abdominal

- Large Flex

- Small Flex

- Long leg run-off

- Breast

- Neurovascular Head

- Shoulder

- Extremities

• What software?

- 3D applications

- Syngo.via

- Neuro Package

- Cardiac Package

• Will the hard drive be removed? - YES

• Is the system currently operational? - YES

• Is the system currently filled with helium and is the cold head running? - YES VISN 17 549 DALLAS, TX 549 549B20214 1. For row 54, will a mobile MRI compatible injector be acceptable?

2. For row 114, will security/password software be sufficient?

3. For row 124, Per NAC rules of engagement off-site training can be offered only in the “option” section, do you still want this included or more on site hours?

4. Please clarify id these items listed in the “Added Value” section should be listed as options and not included in the body of the quotation?

-MRI compatible stretcher, MRI compatible ventilator, MRI compatible fusion pump, User presents to standardize workflows, Advanced software/applications to improve or create efficient clinical workflows to decrease patient wait times and increase case throughput, Continuous clinical training opportunities to combat against staff overturn and new hires, Human factors system and area design to improve patient and staff experience 1. Yes

2. Yes

3. Yes, add more hours for on-site hours.

4. Yes, added values are shall be listed as options.

VISN 17 549 DALLAS, TX 549 549B20214 1f. System weight 6000lbs - Please increase maximum weight to 9000lbs to allow fair competition 3v. MRI Compatible injector ceiling mounted -Please change to MRI compatible injector pedestal or ceiling mounted to allow fair competition.

4c Workstations 2 - Please clarify if you would like a total of 4 workstations between to the 2 MRI systems or would you like 1 workstation per MRI? 1f. Tech spec will not change. Multiple vendors meet this requirement.

3v. Tech spec will not change. Multiple vendors meet this requirement.

4c. 2 workstations are required per MRI VISN 17 549 DALLAS, TX 549 549B20215 1.Specs call for an optional ceiling mount injector. This done in CT, but not in MRI as the ceiling mount means that the contractor has to penetrate the RF shield. To my knowledge injector companies do not offer MRI ceiling mounts for this reason.

5. Specs call for a MRI Compatible Anesthesia Ventilator. The Anesthesia Vent is part of the anesthesia machine. We would suggest that they purchase a MRI Compatible anesthesia machine with vent. We do not furnish either the ventilator, or the machine with ventilator.

6. Specs ask for a fixed or wand type metal detector. Would they prefer a fixed? We offer a fixed type that will record the event with real time video, and generate a report.

8. Off site applications are requested for three technologists. This is not a problem for us to furnish, but normally the VA is not able to allow off site applications.

5. No mention of “Anesthesia Ventilator” in tech spec. A MRI-Compatible Ventilator is a value-add option which does not affect vendor eligibility.

6. Please provide whatever option is available. There is currently no preference to a fixed or wand type.

7. The software needed for the workstation is outlined in the Advanced Applications section.

8. It is something VA North Texas would like to have. It has been converted to on-site training if things change.

9. • Is it a TIM system? - YES

• What coils are included?

• What software?

• Will the hard drive be removed? - YES

• Is the system currently operational? - YES

• Is the system currently filled with helium and is the cold head running? - YES VISN 17 549 DALLAS, TX 549 549B20215 1f. System weight 6000lbs - Please increase maximum weight to 9000lbs to allow fair competition 3v. MRI Compatible injector ceiling mounted -Please change to MRI compatible injector pedestal or ceiling mounted to allow fair competition.

4c Workstations 2 - Please clarify if you would like a total of 4 workstations between to the 2 MRI systems or would you like 1 workstation per MRI? 1f. Multiple vendors meet this requirement.

3v. Multiple vendors meet this requirement.

4c. 2 workstations are required per MRI.

VISN 17 549 DALLAS, TX 549 549B20220 a. Minimum scan time at 1% CV for whole body [s] 40 - Please change minimum standard scan time to 339 seconds for whole body to allow fair competition

g. Exposure time [s]/entrance dose [mGy] for lumbar spine 10/0.040 - Please change minimum spec to 10x/0.047mGy to allow fair competition

h. Exposure time [s]/entrance dose [mGy] for proximal femur 10/0.040 - Please change minimum spec to 10x/0.047mGyto allow fair competition

j. Exposure time [s]/entrance dose [mGy] for IVA option HD 15/0.025 - Please change minimum spec to 15/0.0269mGy (183s/.329mGy)to allow fair competition

l. Minimum patient table load capacity [lbs]- 450 - Please change Minimun patient weight to 350 to allow fair competition

p. Maximum system dimensions [in]: 40x100x50 - Please chnage system dimensions to 113x52x49 to allow fair competition a. Tech spec will not change, clinical requirement

g. Tech spec will not change, clinical requirement

h. Tech spec will not change, clinical requirement

j. Tech spec will not change, clinical requirement

i. Tech spec will not change, clinical requirement

p. Tech spec will not change, clinical requirement VISN 12 550 DANVILLE, IL 550 550B20013 1.c Would the site consider modifying to a detector width of 38.4 mm to allow for a greater range of options that can achieve or exceed the stated spec of 256 slices (1a) and allow for a greater range of options that can all achieve or exceed the stated clinical objectives?

1. Lines 18 and 20 you are requesting minimum 256 acquired slices per rotation and an 8 cm wide CT detector. Will you accept a 128 acquired slice system with a 4 cm detector?

2. Line 24 – benchmark for table height range from floor is 55-103. Our table height has a range of 67-104. This is a difference of 12 mm or ~ 0.5 inch. Will you accept this difference?

1c. Danville will consider a detector size of 38.4 so long as it achieves or exceeds stated clinical objectives.

1. Danville will consider a 128 acquired slice system with a 4cm detector.

2. Table height range is a categorical difference and it will be considered comprehensively. Danville will consider a table with this range.

2.) Adjusted the total number of transducers. The need is for the Curved Array transducers to be able to be used for Transrectal Ultrasound and Prostate Biopsies. A total of 3 Curved Array and 1 Linear Array transducers are needed.

VISN 08 573 GAINESVILLE, FL 573 573B25008 3. h. automatic collimator exchanger - Please change to "semi-automated collimator exchange" as this requirement is exclusive to one vendor and is unduly restrictive based on available technology

4. a. minimum workstation monitor size - Please change to 17 inches to allow full and fair competition

6. l. Auto QC - Please make this requirement optional to allow full and fair competition 3h. Semi-Auto collimator is acceptable 4a. 17in is acceptable 6I. Auto QC is required

iii. Software version Syngo VB10E/ Operating system Windows 10

iv. Yes

v. NO

vi. Not available on site VISN 08 573 GAINESVILLE, FL 573 573B25009 1.c Site requested 64 slices (1.a) and 160 mm detector. This configuration is not possible. Would the site consider revising the specification to be 38.4 mm to allow for a greater range of technology that delivers 64 slice scanning and meets or exceeds the stated clinical objectives?

2.j Site requested a full system UPS to allow for 20 minutes. Is a full-system UPS actually needed or only a partial UPS for the acquisition workplace and reconstruction computers? If the answer is "Yes, full system" would the site consider revising the number of minutes of uptime to allow for ~7 minutes of scanning. 20 minutes of scanning time is not possible even on a full system UPS.

1.c Yes 2j. UPS was removed from the specification - only a partial UPS for the acquisition workplace and reconstruction computers is needed.

VISN 08 573 GAINESVILLE, FL 573 573B25010 1.c Site requested 64 slices (1.a) and 160 mm detector. This configuration is not possible. Would the site consider revising the specification to be 38.4 mm to allow for a greater range of technology that delivers 64 slice scanning and meets or exceeds the stated clinical objectives?

2.j Site requested a full system UPS to allow for 20 minutes. Is a full-system UPS actually needed or only a partial UPS for the acquisition workplace and reconstruction computers? If the answer is "Yes, full system" would the site consider revising the number of minutes of uptime to allow for ~7 minutes of scanning. 20 minutes of scanning time is not possible even on a full system UPS. 1.c Yes 2j. UPS was removed from the specification - only a partial UPS for the acquisition workplace and reconstruction computers is needed.

VISN 08 573 GAINESVILLE, FL 573 573B25012 Technical Specifications matrix:

2c. Minimum generator voltage range (kV): 10 - 120kV To allow for open and fair competition, please change to 40 - 150kV

2j. Minimum table height from floor (in): 15in To allow for open and fair competition, please change the requirement to (22 in 2c. 40-150kV is acceptable 2j. Specification changed to 22in

3l. Specification removed - please note specification 3k - Tabletop should be free floating

4c. Touch screen is optional VISN 08 573 GAINESVILLE, FL 573 573B25013 Technical Specifications matrix:

2f. Minimum SID range (in): 34" - 48" Please revise the minimum SID range of 34" as this is not recommended for best practices of radiation protection. Please revise to 45".

4a. Maximum lowest table height from floor (in): 18in To allow for open and fair competition, please change the requirement to 20 in 2f. Specification has been updated 4a. Specification changed to 20in

2. Full UPS specification was removed 3.+/-89 is acceptable VISN 08 573 GAINESVILLE, FL 573 573B25015 Technical Specifications matrix:

2c. Minimum generator voltage range (kV): 10 - 120kV To allow for open and fair competition, please change to 40 - 150kV

2j. Minimum table height from floor (in): 15in To allow for open and fair competition, please change the requirement to (22 in) 2c. Specification changed to 40-150kV 2j. Specification changed to 22in

3l. Specification removed - please note specification 3k - Tabletop should be free floating

4c. Touch screen moved to the value added section

2c. Minimum generator voltage range (kV): 10 - 120kV To allow for open and fair competition, please change to 40 - 150kV

2j. Minimum table height from floor (in): 15.7in To allow for open and fair competition, please change the requirement to (22 in) 2c. Specification changed to 40-150kV 2j. Specification changed to 22in

3l. Specification removed - please note specification 3k - Tabletop should be free floating VISN 08 573 GAINESVILLE, FL 573 573B25018 1. b. If the detectors in both the wall bucky and the table are wireless do you need an additional 3rd wireless detector?

4. c. Please make touchscreen optional to allow full and fair competition

5. a. Are stitching capabilities required at the table and wall bucky?

5. b. Ability to apply multiple image processing algorithms both pre and post-acquisition to allow for soft tissue and/or bone enhancement - Is the requirement for Dual Energy to be part of the offer system/offer? 1b. Yes, an additional wireless detector is required 4c. touchscreen was moved to the "Added Value" section 5a. yes 5b. Dual Energy is not needed.

VISN 16 580 HOUSTON, TX 580 580B20019 1. Can the Vendor quote a 3rd Party mobile rental trailer for the site , or does this need to be done by the site outside of this award ?

2. Specs call for an optional ceiling mount injector. This done in CT, but not in MRI as the ceiling mount means that the contractor has to penetrate the RF shield. To my knowledge injector companies do not offer MRI ceiling mounts for this reason.

3. In the specs, a MRI Compatible Stretcher is desired. Due to the inpatient load, and heavy use of the system, would the VA Houston prefer a second table instead? This would allow the patient to be moved to the table, prepped, and then brought into the room in one easy step, instead of transferring from a stretcher in two steps. The second table would increase throughput and make it much easier on the staff in terms of moving patients.

2. Updated tech spec

3. please quote a stretcher and include a table as an and added value option for consideration

4.

Coils: unknown SW version: unknown HDD will be removed Yes It is currently filled and running VISN 16 580 HOUSTON, TX 580 580B20019 Technical requirements:

c. Minimum bore depth [cm] 105cm. How is this measurement calculated? True Bore size or cover to cover?

d. Minimum field of view[cm]. Please adjust minimum field of view requirements to 50x50x45cm?

3. e. UPS – maintains full functionality of the system for a minimum of 30 minutes during a power outage. Please adjust to 20 minutes?

3. k. RF shielding – Please explain RF Shielding and who would be responsible for installing the shielding? Typically included with the room construction and not by the magnet vendor.

3. l. Magnetic shielding. – Please explain what Magnet Shielding statement? In the Room design or internal within the Magnet?

3.s Ceiling-mounted – Will a mobile MRI compatible injector be acceptable?

3. w. Patient Comfort/Experience package. Could this be included in with the Design and Construction Contractor? If not, please consider moving to added value section.

6. Safety Requirement

c. cover to cover

d. Updated tech spec

3e. Updated tech spec

3k. RF shielding will be designed, procured and installed as part of site prep scope. MRI vendor must provide recommended specs with bid

3l. After survey if it is determined that Magnetic shielding is required, this will be designed, procured and installed as part of site prep scope. If shielding internal to the magnet is available, it should be quoted. If external to the magnet, MRI vendor must recommend specs

3s. Updated tech spec - pedestal mounted/mobile injector acceptable 3w. No, this must be through by MRI vendor

6. Fire suppression and life safety devices will be designed, procured and installed as part of site prep scope. Technical specifications changed to add “compatibility with” to statement. Please provide recommendations/specifications if applicable.

VISN 16 580 HOUSTON, TX 580 580B20019 5n. Endorectal Coil - Do you specifically need an endorectal coil or do you need the clinical capability to perform a prostate exam?

3s. MRI injector- ceiling mounted - Please change MRI injector to ceiling OR pedestal mounted to allow fair competition 3w. Patient comfort/experience package - Please give specific information regarding custom cabinet/storage requirements and exact lighting needs in order to give a comprehensive quote meeting facility needs and expectations Please clarify if you would like post processing included to support advanced clinical applications? 5n.clinical capability and coils(if applicable))

3s. Updated tech spec - pedestal injector acceptable

3w. cabinet storage should be sufficient to store provided coils. Vendor is recommended to make the best judgement based on facility conditions.