May 2022 Consolidation - Schedule of Line Items with QAs - Updated 8-24-22.xlsx

Schedule of Line Items

Questions_Answers

Request 8.b. Prostate Glan volume and edge boundaries computation capabilities be removed or added to Value Add as this is not typically required for Cardiology.

Request 8.c. Tracking and recording of needle movement during biopsy in 3D coordinates be removed or added to Value Add as this is typically not required for Cardiology.

Request 8.d. Availability of projected, future needle movement during biopsy in 3D coordinates be removed or added to Value Add as this is typically not required for Cardiology.

Request 8.e. Semi-robotic arm, physically attached to biopsy system, with at least 3 degrees of freedom used to stabilize needle and ultrasound probe movements be removed or added to Added Value as this is typically not required for Cardiology. Request 8. Removed Request 8.b. Removed Request 8.c. Removed Request 8.d. Removed Request 8.e. Removed

2k. Moved to Value Add

2.i Minimum patient table load capacity(Dynamic) 800lbs --> Please change from 800lbs to 683lb to ensure maximum competition.

2.k Minimum table width 35" --> Please change from 35" to 32" to ensure maximum competition. Only one vendor meet 35" and it appears to be a lockout spec eliminating other vendors from competing.

3.n Motor-driven tabletop movement in the X and Y axis at stated maximum weight capacity --> Motor-driven X-Y table top movement is not a spec for general radiography rooms, more for fluoroscopy.

3.r Please remove "Dual Energy" or modify to equivalent function of bone suppression in SW to ensure maximum competition.

3.s Please remove "Digital tomography" for full competition 2h. Changed to 705 lbs 2i. Changed to 683 lbs 2k. Changed to 32”

3p. Requirement removed

2g. please clarify if you are in fact looking for a full UPS or a Partial UPS?

3a. please change monitor size to 21.0 x 20.5 to allow full and fair competition.

3d. please change monitor size to 21.0 x 20.5 to allow full and fair competition. 2c – Yes

2g – Full UPS

3a – Approved to change, new Specifications attached

3d – Approved to change, new Specifications attached VISN 23: VA Midwest Health Care Network 636 IOWA CITY, IA 499B29003 • 1.19 Would customer consider a 17x17 inch Fixed Detector in the Wall stand vs a wireless detector with the benefit of less damage, avoiding drops, etc.? (**A wireless digital detector would be proposed in the overall system configuration)

• 1.23 Would customer consider a 17x17 inch wireless detector vs. a 17x17 inch fixed detector in the patient table?

• 1.23 Would customer consider a 14x17 inch wireless detector vs. a fixed 17x17 detector in patient table? (*A 17x17 inch detector would be proposed at wall stand for improved anatomical coverage.)

1.23 – Yes (wireless vs fixed)

1.23 – Yes, 14x17 easier for patients to hold for patella view, 17x17 nice for more coverage on table abdomen views

1.28 - Yes

4d - Yes; touch screen requirement removed from tech spec

3.n. - Motor-driven X-Y table top movement IS a spec for general radiography rooms AND fluoroscopy.

• 1.23 Would customer consider a 17x17 inch wireless detector vs. a 17x17 inch fixed detector in the patient table?

• 1.23 Would customer consider a 14x17 inch wireless detector vs. a fixed 17x17 detector in patient table? (*A 17x17 inch detector would be proposed at wall stand for improved anatomical coverage.)

1.23 – Yes (wireless vs fixed)

1.23 – Yes, 14x17 easier for patients to hold for patella view, 17x17 nice for more coverage on table abdomen views

1.28 - Yes

4d - Yes; touch screen requirement removed from tech spec

3.n. - Motor-driven X-Y table top movement IS a spec for general radiography rooms AND fluoroscopy.

2)CAN THE MINIMUM TOUCHSCREEN MONITOR SIZE CHANGE FROM 20" TO 19"?

3)CAN YOU FURTHER EXPLAIN ITEM 3(i) IN GREATER DETAIL?

4)CAN YOU FURTHER EXPLAIN ITEM 3(m) IN GREATER DETAIL?

5)CAN THE TABLE WEIGHT LOAD MAX OF 700LBS BE MOVED TO 649LBS?

2.h Minimum tube height from floor when used with wall stand : 12" --> Please change from12" to 14" to ensure maximum competition.

1e. Please change minimum scan time at 1% CV for femur to 10 seconds to allow full and fair competition.

Request 2.k. Maximum equipment weight of 230 lbs. be revised to 265 lbs.

Request 2.j. Minimum battery life (min) 60 be moved to value add.

Request 6.l. Ability to enter standby mode or sleep mode be moved to Vale Add Section.

Request Section 9 Advanced Features b to h be removed as these are not typical procedures for a Cardiology System. The monitor height from the floor was changed from 10in to 55in The equipment weight from 230lb to 265lb The battery life and standby/sleep mode was moved to the added value section Removed the “standard planning templates for prostate biopsies” and “prostate gland volume and edge boundaries computation capabilities” from the Advanced features section

1f - To maximize competition, please change to +/- 270 degrees.

1l - Please remove spec. Unit battery life is incredibly subjective based on type of images taken, age of battery, distance and incline driven, kV, mA, repeat rate and many other factors.

3p - Please clarify what functionality is being requested 1c – TS updated with change 1f – TS updated with change 1l – removed from TS 3p – removed from TS

2 – yes; TS updated 4 – no

2. Leased space

2. Clarification – NO requirement for table tilt of 315 degrees; should read Zero (0) Wall Stand bucky tilt 110 degrees tilt ( -20 degrees to 90 degrees )

Minimum patient table load capacity is changed to (dynamic) [lbs] = 650 lbs VISN 19: VA Rocky Mountain Network 554 VAMC PUEBLO 554B23018 2.d Minimum spatial resolution 5.0lp/mm --> Please change to 3.57lp/mm to ensure maximum competition. 5.0lp/mm resolution means 100um pixel size and 100 micron pixel pitch detector aggregates 4 pixels for chest images in background and it is equivalent as 200 micron pixel pitch for chest images that mostly common exams in DR. It means 100 micron pixel pitch resolution has not clinical benefit at chest X-Ray. It appears to be a lockout spec eliminating other vendors from competing.

2.e Please modify from 100 micron pixel pitch detector to allow 140 micron pixel pitch. 100 micron pixel pitch detector aggregates 4 pixels for chest images in background and it is equivalent as 200 micron pixel pitch for chest images that mostly common exams in DR. It means 100 micron pixel pitch resolution has not clinical benefit at chest X-Ray. It appears to be a lockout spec eliminating other vendors from competing.

2.f Please explain clearly what requirement of "Minimum tilt of imaging surface 315 degrees" means.

2.g Minimum patient table load capacity(static) [Ibs] 880lbs --> Please change from 880lbs to 771lbs to ensure maximum competition.

2.h Minimum patient table load capacity(Dynamic) 700lbs --> Please change from 700lbs to 683lb to ensure maximum competition.

2.i Minimum table height from floor [in] 19 --> Please change from 19" to 21.5" for fair competition. It appears to be a lockout spec eliminating other vendors from competing.

Removed motor-driven tabletop movement in the x and y axis

2 Unit Physical Specifictions h. Minimum patient table load capacity (static) [lbs] 800. Should this be Maximum vs. Minimum? Can the limit be changed from 800 to 705 lbs?

1k. Please change Maximum system dimensions to 113x52x49 to allow full and fair competition.

1. w. Please change to 19 inches to allow full competition

1.g. Please clarify. Lateral gantry is found on a biplane system. The requirement includes specifications for a ceiling mounted single plane system.

1.h. Please clarify. Lateral gantry is found on a biplane system. The requirement includes specifications for a ceiling mounted single plane system.

1.i. Please clarify. Lateral gantry is found on a biplane system. The requirement includes specifications for a ceiling mounted single plane system.

1.n. Optimal detector for cardiac cath lab is 20x20cm. Please consider adjusting this requirement to at least 20x20? 1a The technical specification has been updated.

1g The technical specification has been removed.

1h The technical specification has been removed.

1i The technical specification has been removed 1n The technical specification has been updated

1k The technical specification will remain as is due to clinical requirements.

VISN 10: VA Healthcare System of Ohio 583 Indianapolis 583B20036 Request 1.d. Minimum monitor rotation 360 degrees be revised to 180 degrees.

Request 1.k Minimum battery life 120 minutes be revised to 60 min.

1d The technical specification will remain as is due to clinical requirements.

1k The technical specification changed to 60 minutes- added 120 as a value add

2) How many slices do you require for the CT?

3) Regarding required Benchmark Trade-in - What is the serial number and installation date of the system being traded in? Has it been under a full service agreement? 1) No

2) 128

3) Serial #: 269717HM5, installation date: 6/2011; equipment has been under full service contract

2.j Minimum patient table load capacity(static) [Ibs] 820lbs --> Please change from 820lbs to 771lbs to ensure maximum competition.

2.l Minimum table height from floor [in] 20 --> Please change from 20" to 21.5" for maximum competition.

3.m Motor-driven tabletop movement in the X and Y axis at stated maximum weight capacity --> Motor-driven X-Y table top movement is not a spec for general radiography rooms, more for fluoroscopy. 2d) Tech specs updated to reflect 80 kVp 2j) Tech specs updated to reflect minimum static patient table load capacity of 771lbs 2l) No change; minimum table height from floor of 20” includes a table height of 21.5” 3m) No change; this item is standard per the VA tech spec template for digital radiography equipment

1. Unit physical specifications a.(line 18) minimum number of slices acquired simultaneously—640. Could you please clarify what slice count is required for reconstruction slice count and acquired slice count?

c.(line 20) minimum detector width z-axis--.5mm. Could you please clarify if you are requiring a minimum detector width? Please allow for detector width of 38.4mm to ensure fair competition.

d.(line 21) minimum scan field of view—16cm. Could you please clarify what specification is needed? Did you intend to specify the maximum scan field of view?

f.(line23) minimum table height range from floor---430mm. Please allow for floor to table range of 39.4 in minimum to ensure fair competition?

g.(line24) minimum patient table load capacity—20 lbs. Please clarify if you are requiring a minimum table load or maximum table load. Tables are not generally limited to a minimum patient load as staff will conduct QA procedure with no weight on the table.

h.(line25) maximum 360 rotation time---.27s. Could you please clarify if you are requesting to limit the rotation time to a maximum of .27s (meaning not to exceed .27s). Would you allow for a minimum rotation time of .28s? See also E. Added Value. D. Vendors are encourage to propose the fastest rotation time available.

i. (line 26) Maximum system dimensions---700. Could you please clarify what unit of measurement is 700?

2. Additional specifications

o. (line 42) Gantry tilt +/- 30 degrees. Is gantry tilt a necessary specification? Would you accept a CT system without gantry tilt?

C. Training Requirements

1. Clinical Training Per System

c. (line 74) OFFSITE clinical applications training for 2 technologist. Please remove this requirement, per NAC training memo. 1a. reduced to a minimum slice count of 512.

1c. increased minimum detector width to 80 mm

1d. Approved to be removed from requirements.

1f. increased minimum table to floor height range to 1000 mm.

1g. removed from tech spec

1.h Clarification: maximum amount of time to make a 360-degree rotation ie. (360-degree rotation cannot be 0.29 s or greater).

Increased to 0.28s.

1.i. Requirement to be removed from specifications.

2. +/- 30 degrees gantry tilt is a necessary for the proposed clinical applications.

C.1.c.moved to the added value section.

1.c. increased minimum detector width to 80 mm VISN 19: VA Rocky Mountain Network 635 OKLAHOMA CTY, OK 635B20007 • Can you identify if the trade-in is required in the Compliance Matrix - Line 172 - Trade-in? If so, can you confirm the linac equipment specifications, such as the vendor, installed year, serial number, and included software and configuration? Will the vault be empty, and if so, what specifications will be provided?

• We have reviewed the Compliance Matrix provided and need clarity on Appendix A. We are proposing QA equipment based on our equipment recommendations, please confirm this is allowable. Please advise best way to incorporate this into the document as these cells are locked and not able to make edits to existing or insert additional lines. Can you please provide a new unprotected Compliance Matrix?

• Appendix A of Compliance Matrix requests QA…