MAR 2024 EQ Only Consolidation - Schedule of Line Items w QA - Updated 7-17-24.xlsx

MAR 24 Schedule of Line Items

Q&A

- Fusion-Targeted Biopsy System

- Capable of accepting MRI (both 1.5T and 3.0T) and ultrasound images from other modalities as input and displaying these images on a screen

- Prostate gland volume and edge boundaries computation capabilities

Request item 1.b. Minimum active size or 21 in be reduced to 19 in.

Request item 1.b. Minimum active size or 21 in be reduced to 19 in.

Request item 1.d. Minimum Monitor Rotation of 90 degrees be changed to 80 degrees.

Transducers: This system has a significant number of transducers - can you verify that all of the transducers are required? All specifications have been changed to the recommendations.

All transducers are required VISN 7: VA Southeast Health Care Network 509 AUGUSTA, GA 509B42004 Request item 1.a. Minimum screen size or 20 in be reduced to 19 in.

Request item 1.b. Minimum active size or 20 in be reduced to 19 in.

Request item 1.d. Minimum Monitor Rotation of 90 degrees be changed to 80 degrees.

Request 1.c. Minimum Monitor Rotation of 90 degrees be changed to 80 degrees.

Please verify if obligation 528B47008 is for a fixed RAD Room or an RF room Please verify location of obligation 528B47008 is Bath or Buffalo NY Please change weight requirement from 6.2lbs to 7 lbs or all three detectors to allow full and fair competition (1ac, 1bb, 1cb) Please advise if you prefer a 17x17 as one of your three detectors (9lbs) 15 minutes of uptime (full functionality) would require a full UPS. Does this site expect a full UPS ($$$) for this XR system?

If obligation is in fact for a Fixed Rad room, please remove all RF specifications.

Minimum table tilt is an RF specification please remove if this is a Fixed RAD opportunity -Ability to Tilt 90 degrees in both directions/full tilt is an RF specification please remove if this is a Fixed RAD opportunity -Please remove Imaging tower longitudinal movement requirement if this is a fixed rad system -Please remove Imaging tower lateral movement requirement if this is a fixed rad system -Please remove dual focal spots if this is a fixed rad system -Please remove full articulation if this is a fixed rad system. 1.Technical specifications updated

2.Fixed Rad Room

3.Bath, NY

4.Technical specifications updated

5.Technical specifications updated

6.No full functionality UPS required. Acq station only

7.Removed all RF specs

Please remove gantry mounted injector to allow full and fair competition, or update to other types of injectors beside gantry mounted. offsite clinical applications training removed from requirement

Gantry mounted injector changed to ceiling mounted

1f) Please reduce SID to 80inches; 900 inches appears to be a typo

Item 2.g. Continuous Wave Doppler, please remove or move to added value. Continuous Wave Doppler is typically applicable to cardiac exams and is not included as part of a standard vascular package.

Yes, this was changed to 40 minutes on the updated Tech Specs and Compliance Matrix.

Line 44 – Please remove to allow for full and fair competition as only one vendor offers this.

Line 70 – Which 3rd party cardiac package is preferred (Cedars, ECTb, or 4DM)?

Line 91 - Please remove to allow for full and fair competition as only one vendor offers this. Line 22 - Updated tech specs Line 44 - Moved to Added Value section Line 70 - Added preference in tech specs Line 91 - Moved to Added Value Section

For the wireless detector in the table, can the spec be changed to either wireless 14x17 or fixed 17x17?

Can you clarify the request is for 3 detectors, 1 in wallstand, 1 in table and 1 free?

If there is a 3rd detector, can the spec be changed to 14x17 wireless?

Can the minimum table weight for dynamic be switched to 660 lbs?

Can the lowest table height from floor be increased to 20.5 inches?

Can you clarify the maximum system weight?

Is digital tomosynthesis required for clinical use or is it an optional feature you would like to evaluate?

Is the clinical need for dual energy for chest imaging? If so, can the specification be Dual energy imaging or equivalent function of bone suppression in software in place of dual energy?

Can you clarify what AI Technology you are requesting for common department errors and inefficiencies with a Live Streaming Camera?

- Facility requests that this detector to be wireless to move the detector from the bucky for exams or move between rooms.

- This detector must be 17x17 wireless for patient and staff safety to allow for flexibilty within the exam.

- Requesting 2 detectors: 1 for wall bucky and 1 for table.

- No 3rd detector.

- Updated to 700 lbs dynamic which is able to be met by 2 or more vendors.

- Updated to 21"

- Requirement removed.

- Requirement removed.

- Dual energy is used for chest imaging. See requirement 5.b in the tech specs for equivalent.

- Application would be for camera to monitor patient and ensure that they stay in the position needed for the imaging once the tech walks away to the control station. Requirement moved to Added Value section.

For the wireless detector in the table, can the spec be changed to either wireless 14x17 or fixed 17x17?

Can you clarify the request is for 3 detectors, 1 in wallstand, 1 in table and 1 free?

If there is a 3rd detector, can the spec be changed to 14x17 wireless?

Can the minimum table weight for dynamic be switched to 660 lbs?

Can the lowest table height from floor be increased to 20.5 inches?

Can you clarify the maximum system weight?

Is digital tomosynthesis required for clinical use or is it an optional feature you would like to evaluate?

Is the clinical need for dual energy for chest imaging? If so, can the specification be Dual energy imaging or equivalent function of bone suppression in software in place of dual energy?

Can you clarify what AI Technology you are requesting for common department errors and inefficiencies with a Live Streaming Camera?

- Facility requests that this detector to be wireless to move the detector from the bucky for exams or move between rooms.

- This detector must be 17x17 wireless for patient and staff safety to allow for flexibilty within the exam.

- Requesting 2 detectors: 1 for wall bucky and 1 for table.

- No 3rd detector.

- Updated to 700 lbs dynamic which is able to be met by 2 or more vendors.

- Updated to 21"

- Requirement removed.

- Requirement removed.

- Dual energy is used for chest imaging. See requirement 5.b in the tech specs for equivalent.

- Application would be for camera to monitor patient and ensure that they stay in the position needed for the imaging once the tech walks away to the control station. Requirement moved to Added Value section.

Request item 1.m. Maximum equipment weight of 250 lbs be revised to 255 lbs.

Request item Training Requirement 1.f. remove Travel cost requirement. Yes Yes - increase to 290 lbs. above Yes

Question: Can you please provide more clarification on how intrafraction triggered planar (MC) is used? Is this for clinical use or QA?

• Line 45 4. Additional specifications: a. ROEMS interface with CPRS and/or CERNER HER Question: Can you please clarify if this is meant to be ROEMR Radiation Oncology Electronic Medical Record?

• Line Item 96 ☒ Ability for Patient Positioning Devices to provide backup connection to 3rd party system (purchased separately) and allow output of patient treatment images & correction vectors and System configuration, DICOM import/export settings Question: Is this a requirement for immobilization device compatibility or TPS/OIS DICOM import/export features? What do you mean by ‘back up to a 3rd party sys?

Line 45 4: ROEMR is the Radiation Oncology Electronic Medical Record system (such as Varian Aria or Elekta Mosaiq).

Line item 92: Patient positioning devices from, for example, VisionRT generate patient treatment images and correction vector data elements. We are requiring these patient specific images and correction vectors including system configurations datasets to be backed up in 3rd party data storage systems in DICOM-DICOM-RT formats.

Line 93: The 3rd party systems can be for example MIM or Velocity like true DICOM-RT archive systems or Commvault like drive backup systems which can store non-DICOM-RT datasets too.

Question: Can you please clarify if this was meant to be ROEMR Radiation Oncology Electronic Medical Record?

• Line 105 Added Value ☒ n. Ability for Patient Positioning Devices to provide backup connection to 3rd party system (purchased separately) and allow output of patient treatment images & correction vectors and System configuration, DICOM import/export settings Question: Is this a requirement for immobilization device compatibility or TPS/OIS DICOM import/export features? Could you please clarify what you mean by ‘backing up to a third-party system’?

Line 52 4: Yes, ROEMR is the Radiation Oncology Electronic Medical Record system (such as Varian Aria or Elekta Mosaiq).

Line 105: Backing up to a third party system means disk/drive backup which creates a redudent copy of the data and can be used to restore the data incase of a disk corruption or other like events. Commvault is one 3rd party system used for these kind of backups.

Please verify if you are looking for qty 2 14x17 detectors or one 14x17 and one 10x12 to ensure detectors fit in bins.

1d) Please reduce max kVp to 150 to broaden competition 1i) Please reduce max SID to 80 inches as 200inches appears to be a typo 1m) Please confirm a wireless detector is required for this portable solution 1n) Please confirm a wireless detector and reduce lp/mm to 3.6 lp/mm to broaden competition 1o) Please increase pixel size to 140 micron to broaden competition 1w) Please increase maximum system weight to 1250 to broaden competition

Request item 6.k. Mitral Value Navigator be removed or moved to Added Value as this is not typically used by this department.

- D. Sector Array

- E. PW/CW Doppler

These are used in Cardiac Scanning and not generally in a General Imaging/Radiology environment. Will these machines be used in “Shared Service” capacity between Radiology Ultrasound and Cardiology?

Or will the Sector Array be used just for Transcranial Doppler?

1l: Length dimension appears to be a typo - Change spec to 113" (requested dimension wouldn't fit a compact table, please confirm) 1m: Change height dimension to 53" Minimum distance between table and c-arm is 24 in.

The maximum system dimensions (HxWxL) are 56 in. x 52 in. x 113 in.

The maximum operator console dimensions (HxWxD) are 53 in. x 26.5 in. x 24 in.

1t) Please increase system weight to 1300lbs to broaden competition 1t) Please reduce dimension to 55" High x 23" Wide x 47" Long to broaden competition 2b) Please reduce to industry standard 10"x12" detector; 11"x13" seems to be proprietary or for a grid cover for a 10"x12" detector The generator range of 01. - 500 mAs is needed.

The maximum system weight is 1300 lbs.

The maximum system dimensions in parked position, HxWxD is 55 in. x 23 in. x 47 in.

A 14 in. x 17 in. detector is bare minimum required, a 10 in. x 12 in. is an added bonus, but body imaging can not be completed on a 10 in. x 12 in. detector.

If so, please specify application for shear wave i.e. Liver/small parts or both

6. Analysis packages

7. Transducers

The overview states these machines are to be used in a Vascular Access capacity, but the analysis package and transducers suggest a machine that is used in a Vascular Lab.