JAN 23 Consolidation - Schedule of Line Items with - QAs - Updated 4-26-23.xlsx

Jan 23 Schedule of Line Items

QAs

Trade in Philips Epiq 7

Could you expand the range of acceptable active screen size to include a minimum of 18 inches to allow for increased competition?

Yes, the features identified in Section 9, a, b, c, and d are required.

45 12 VISN 12: VA Great Lakes Health Care System 537 CHICAGO, IL 537B38004 1. Does Customer want a Vacuum system?

2. Does Customer want a biopsy chair?

3. Does Customer want ICAD?

4. Does Customer want to do needle locations?

5. Does customer need a CAD? If so is 2D or 3D CAD preferred? 1. Does Customer want a Vacuum system? Yes

2. Does Customer want a biopsy chair? Yes

3. Does Customer want ICAD? Not for stereotactic system

4. Does Customer want to do needle locations? Yes

5. Does customer need a CAD? If so is 2D or 3D CAD preferred? No CAD for stereotactic system 46 12 VISN 12: VA Great Lakes Health Care System 537 CHICAGO, IL 537B38004 Requirement Overview 15. Please clarify this is for 1 of 2 total systems for this requisition.

1.20c. Please change generator ampere range to 40-100mA.

1.24g. Please change SID to 66cm to allow full and fair competition

2. Additional Specifications. Please specify which vacuum assisted biopsy device you plan to use.

3. Technical Specifications. Please verify if you want 2D and 3D included.

3. Technical Specifications. Please clarify if this a prone position system.

5.54f. What is the Software version, Agfa PACS software version and Change PACS software version? Which one is used for storage, which is for reading of the mammography studies? Requirement Overview 15. Please clarify this is for 1 of 2 total systems for this requisition.

537B38004 is requesting one stereotactic mammography system. 537B38005 is requesting two 3D Mammography systems

1.20c. Please change generator ampere range to 40-100mA. Changed specs 1.24g. Please change SID to 66cm to allow full and fair competition Changed specs

2. Additional Specifications. Please specify which vacuum assisted biopsy device you plan to use. Depends on the vendor we use. Hologic Atec is an option. We are looking for a vacuum-assisted biopsy device for use for stereotactic and tomosynthesis guided biopsies.

3. Technical Specifications. Please verify if you want 2D and 3D included. yes 2D and 3D

3. Technical Specifications. Please clarify if this a prone position system. yes prone system. Would consider upright system as well 5.54f. What is the Software version, Agfa PACS software version and Change PACS software version? Which one is used for storage, which is for reading of the mammography studies? Version Agfa Impax is 6.55, Version Change (undecided until we know the go live date.). Site will eventually be transitioning from Agfa to Change Healthcare 47 12 VISN 12: VA Great Lakes Health Care System 537 CHICAGO, IL 537B38005 1. Does customer need Spot & Mag Views on 2 systems?

2. Does customer need 2D or 3D CAD? 1. Does customer need Spot & Mag Views on 2 systems? Yes, we need to do spot and mag views on both systems.

2. 2D CAD

48 12 VISN 12: VA Great Lakes Health Care System 537 CHICAGO, IL 537B38005 Requirement Overview. Please clarify if this requisition is Quantity 1 of 2 total systems for this site or if this requisition is 2 systems plus 1 system for requisition 537B38004.

3.48. CAD - AI Detection. Are you looking for 2D and 3D CAD.

3.49i. HD Imaging. Please remove as this is Vendor Specific.

4.56f. Curved compressions. Please remove Curved Compressions (small medium large) as this is Vendor Specific.

5.54f. What is the Software version, Agfa PACS software version and Change PACS software version? Which one is used for storage, which is for reading of the mammography studies? Requirement Overview. Please clarify if this requisition is Quantity 1 of 2 total systems for this site or if this requisition is 2 systems plus 1 system for requisition 537B38004.

537B38004 is requesting one stereotactic mammography system. 537B38005 is requesting two 3D Mammography systems

3.48. CAD - AI Detection. Are you looking for 2D and 3D CAD. 2D CAD 3.49i. HD Imaging. Please remove as this is Vendor Specific. Changed specs 4.56f. Curved compressions. Please remove Curved Compressions (small medium large) as this is Vendor Specific. Moved to added value 5.54f. What is the Software version, Agfa PACS software version and Change PACS software version? Which one is used for storage, which is for reading of the mammography studies? Version Agfa Impax is 6.55, Version Change (undecided until we know the go live date.). Site will eventually be transitioning from Agfa to Change Healthcare

Ok, changed max pixel size to 150 micron

Yes, each system has an operational 14x17 detector

2. Section Additional Specifications Line i. What size of Digital Detectors needed? Is there an injector needed? If so ceiling or floor? The requirement has been changed to 500GB The requirement for floor mounted injector has been included

2. F. Rotational angiography Please clarify the need for Rotational angiography in the Cath Lab? If not needed, can this spec please be removed?

3. Please confirm if a new Injecotr is needed, or will an existing Injector be used? If existing, please provide details on what injector you have.

4. Would you like vendors to provide a Microphone communication System? Partial UPS required. The requirement has been changed to include a minimum total system run time of 15mins Requirement will remain as is. It is required The requirement for floor mounted injector has been included Yes the requirement has been changed to include the microphone communication system

The UPS system needs to be able to keep workstations and system running for at least 10 minutes in order to close out case and get patient off table. The requirement will remain as is for the section line h, as this is not a turn key order.

2. Line 27: Please confirm that a total quantity of two wireless detectors is desired.

3. Line 59: In what application is Linear tomography requested for? Can this be removed as a minimum requirement to allow for more non vender specific bids?

4. Line 58: If the purpose of Dual-Energy is for bone suppression, please modify benchmark to say "Bone Suppression Capabilities" 1. The requirement will remain as is. Fixed detector on wall stand

2. Yes, total 2 (two) wireless detectors and 1 (one) fixed detector.

3. The requirement has been removed

4. The requirement will remain as is.

Section 5 j - Can you verify if this is required?

Section 6 j., k., an l. - Can you verify if this is required?

Section 8 a. to h. - Can you verify if this is required?

All of the above items are typically not required for a system in the Pain Management Dept. Yes Yes Yes Yes These systems will be shared amongst services to include podiatry/pain/gynecology/cardiology and ortho

2. Line 43: Please change the UPS minimum to 5-7 minutes to allow for less restrictive competition

3. Line 65: Can this specifications changed to say a rear MR bore LCD be acceptable to allow for less restrictive competition?

4. Line 65: This appears to have multiple requirements within the single line item. Please parse individual requirements to separate lines.

4. Line 68: Please change storage requirement to 500 GB to allow for less restrictive competition.

5. Line 129 "C" Per Memorandum of Training, the NAC will not approve off-site clinical applications training during the consolidation period. Please remove this line.

6. Line 130 "D" Per Memorandum of Training, the NAC will not approve off-site clinical applications training during the consolidation period. Please remove this line. 1. This requirement has been removed

2. Requirement will remain as is

3. Requirement has been changed to allow for rear bore LCD

4. Requirement has been changed to allow for rear bore LCD

5. Requirement will remain as is

6. Requirement will remain as is 267 17 VISN 17: VA Heart of Texas Health Care Network 756 EL PASO, TX 756B35006 1.f. Please change maximum Gradient Amplitude change to 45mT/m to allow full and fair competition 1.h. Please change Maximum system weight to15,000 lbs to allow full and fair competition

4. Please change 2nd Console monitor to optional/value add to allow full and fair competition 1.f. The requirement has been changed to 45mT/m 1.h. This requirement has been removed

4. This requirement has been changed to one for both

2. Requirement will remain as is 274 17 VISN 17: VA Heart of Texas Health Care Network 756 EL PASO, TX 756B35007 Please clarify if you need a Lung CAD solution or just Low Dose Lung screening capability?

Please change Minimum Slice Reconstructed width from .4mm- to .625 allow full and fair competition Please change Table Height range from floor 40-100cm to 50-100cm Please clarify if you would like a full or partial UPS Please remove 2p. Tin Filtration Tube Voltage Range 70-150kv as this is a Vendor Specific feature please adjust mA spec to industry standard minimum of 1200mA Please remove offsite Tech and Physician training to align with NAC instructions Please clarify minimum desired detector width to correspond to 128 slice spec. 40, 80, 160 mm Z axis coverage.

For the trade in, may we please have some more specifics?? What is the specifc model number that would indicate the size of the detector?? What is the estimated annual utilization on the CT tube and when was it last replaced?? 1. Low dose capability

2. The requirement has been changed to 0.625mm

3. Requirement will remain as is

4. Partial UPS

5. Requirement will remain as is

6. Requirement will remain as is

7. The requirement has been changed to 40, 80, 160 mm Z axis coverage

8. The model information is as provided by the manufacturer in our inventory

Please change maximum system dimensions to 100x100x100in to allow full and fair competition Please change minimum patient table load to 500lbs to allow full and fair competition Please change ceiling mounted injector to pedestal injector to align to industry safety standards Please remove OFF site clinical applications for technologists to align with NAC instructions of no offsite training

Please change 14x17 detector weight to 7lbs to allow full and fair competition Please remove Pregnancy status to allow full and fair competition

Do you plan to process stroke on the console or a post processing workstation Please verify if you are looking for a low dose lung screening program or in fact a full Lung CAD solution? Full Either – Please see stipulation in section 3 Full Lung CAD; removed “within one-second” from 2.q

Do you plan to process stroke on the console or a post processing workstation Please verify if you are looking for a low dose lung screening program or in fact a full Lung CAD solution? Full Either – Please see stipulation in section 3 Full Lung CAD; removed “within one-second” from 2.q

Trade in system in tech specs is correct.

Please change Table detector from wireless to fixed to allow full and fair competition Please clarify if you would like a Full or Partial UPS Please remove changing from upright bucky from tube head functionality to allow full and fair competition Please advise if you would prefer the in room monitor (in the exam room) ceiling mounted or on a mobile cart?

Please change maximum lowest table height from floor from 60” to 39” to align with industry standards Please remove free floating manual table top to allow full and fair competition Please remove bone suppression to allow full and fair competition

HIPPA requirements are listed as “if possible”. Whatever the vendor has available in a package.

Full UPS

Please clarify if you specially want an endorectal coil or would like the clinical capability to do prostate?

Please remove Offsite clinical applications for technologists per NAC proposal guidance Please remove offsite clinical applications for physicians per NAC proposal guidance Trade-in specified.

Prostate.

Off-site clinical training removed.

141 22 VISN 22: VA Desert Pacific Healthcare Network 644 PHOENIX, AZ 644B38014 Please verify if there is a trade in to be included in this obligation? If so please provide system, install date, Serial Number and Asset ID.

Please clarify how much Applications Traning should be included, the BM appears to only include 1 day?

Should vendors include an ECG trigger?

Should vendors include a Main disconnect panel?

Current Condition Operational Installation Date 2011

Contrast Injector

Current Condition Operational Installation Date 2011

There should be: Pre-installation clinical applications training, on-site clinical applications training during go live, and on site follow-up clinical application training.

Yes, ECG trigger should be included.

Yes, a Main disconnect panel should be included.

Yes, Calcium Scoring should be included.