JAN 2026 TKY Schedule of Requirements w QA - Updated 4-22-26.xlsx

Schedule of Line Items

QA Template

2.w. Please remove "Dynamic Coronary Roadmap" as this is not vendor inclusive and is a lockout spec.

3.p. Please clarify the amount of rail coverage you require, as there are bridge and rail limitations -- unless this is being designed as a trauma room.

3.m. Table should be motorized in the z-axis to go up and down. Power assist can either be motorized in the xy plane or some other mechanism to assist the technologist with moving the table is said xy plane. All vendors don't have motorized capabilities in the xy plane so made the specification more generic to allow better competition for the technologist assist.

3.p. The facility wants the rails to cover the entire room to maximize tube placement in the space.

Added Value d) Facility is requiring 2 detectors as part of the base proposal. There is active discussion on whether the facility will want a 2nd 14x17 detector so it was added included in the added value. This should be included as an option on your proposal.

2.k. Are you looking for a full UPS? This requires its own room and siting. Please reduce time 10 mins, this is enough time to finish the scan, save the date, and remove the patient from the scanner.

2.p. Please remove Photon Counting or place in value-add section, as this is a lock out spec for all vendors except for one.

3.e. Please reduce time 10 mins, this is enough time to finish the scan, save the date, and remove the patient from the scanner.

3.f.Please reduce time 10 mins, this is enough time to finish the scan, save the date, and remove the patient from the scanner.

TIV: For trade in system valuation, please provide number of scans on the tube.

1.j. To safely image Veterans across a broad range of body habitus, including bariatric patients, without unnecessary off-site referral or delay in care patient table weight capacity shall be at least 695 2.k. UPS time will be reduced to a minimum of 10 minutes for emergency power 2.p. This will be adjusted to photon-counting detector technology or equivalent advanced detector/imaging technology with comparable clinical capability 3.e./f. UPS time will be reduced to a minimum of 10 minutes for emergency power VISN 20: VA Northwest Network 668 SPOKANE, WA 668B63000 3.h., 3.aa., 6.e., and 6.j.Please remove or move to Value Adds to allow full and fair competition as only one vendor can meet these requirements.

5.i. Please remove as this is not something done in a NM department.

Can the NAC confirm whether alternative detector architectures — such as a fixed 360-degree solid-state CZT SPECT system — are considered acceptable if they meet or exceed the clinical performance and diagnostic intent of the solicitation?

Are these requirements mandatory, or will the VA consider systems that utilize an integrated collimation design inherent to the detector architecture rather than removable collimators?

Is this language intended to prescribe a specific detector geometry, or is it intended to describe minimum clinical capability that could also be met by a full-ring CZT system without mechanically independent detector heads?

Will the NAC accept alternative performance metrics appropriate to CZT-based systems, provided equivalent or superior clinical performance can be demonstrated?

1.b. Please change to 80 Cm, only one vendor can meet this spec.

2.o. Remove or move to value add section for fair competition only one vendor can meet this spec.

3.g,h. Please change the requirement to partial UPS. Which will allow saved data and to get the patient off the table. Otherwise you will need a full ups and will need full sighting.

4.f. Please remove or place in value add section this is a lock out spec for all vendors except one.

TIV: For trade in system valuation, please provide number of scans on the tube.

1.a. The minimum number of slices is 2 x 144 1.b. Reducing this value impacts the benefits to our veteran population 2.o. Dual source imaging enables VA San Diego to provide the most advanced imaging for our Veterans 3.g.h The request is for partial, the requirement is for a UPS to support the CT scanner workstations only which will allow saved data and to get the patient off the table.

4.f We are requesting a dual source, photon counting CT scanner to provide the most advanced care for our Veterans.

Can the NAC confirm whether alternative detector architectures — such as a fixed 360-degree solid-state CZT SPECT system — are considered acceptable if they meet or exceed the clinical performance and diagnostic intent of the solicitation?

Are these requirements mandatory, or will the VA consider systems that utilize an integrated collimation design inherent to the detector architecture rather than removable collimators?

Is this language intended to prescribe a specific detector geometry, or is it intended to describe minimum clinical capability that could also be met by a full-ring CZT system without mechanically independent detector heads?

Will the NAC accept alternative performance metrics appropriate to CZT-based systems, provided equivalent or superior clinical performance can be demonstrated?

1.cb. Please change detector size to 14x17 to allow full and fair competition.

3.c. Please clarify if an overhead tube is needed only for cross-table lateral work.

3.u. Please move barcode reader to value-add section to allow full and fair competition.

3.z. Please clarify if wallstand is needed if the table can perform radiography work including chest exams.

5.r. Please clarify if you want an embedded compression cone or if a manual compression cone is requested.

7.a. Please move bone suppression to the value-add section in order to allow full and fair competition.

1.aa. Yes 1.cb. Amended 3.c. Overhead tube desired with wall stand configuration 3.u. Amended 3.z. Yes, wall stand required 5.r. Embedded cone 7.a. Amended

VISN 21: VA Sierra Pacific Network 640 PALO ALTO, CA 640B64047 2c) Please update requiremtnt to 43"-71” SID range to broaden competition 3b) Please edit to allow for ceiling or table mounted lead shielding 3i) Plpease clairfy requiremed 'accessories' for ceiling mounitng aside from required dual monitors.

4d – Table width min 38”. Ours is 33.5”. A wider tabletop does not improve imaging, weight capacity, or patient safety — access, reach, and clearance matter more, and the 33.5" Excel Plus table is optimized for those clinical realities. (See if that’ll work, LOL) 4h) Please clarify if 'Ankle clamps' are they are the same as stirrups, used largely for OB/URO exams?.

7) Please remove, as studies on legacy unit should be sent to long term storage, as they will not be compatible with another vendor General: Will the station consider a remote style RF solution? 2c) No. Multiple manufacturers can meet this clinical requirement.

3b) No, a ceiling or table mounted lead shielding cannot be supported due to space constraints.

3i) 'accessories' is an equipment boom with at least 7 shelves.

4d) Changed in tech specs (not because the patient safety argument really worked, LOL).

4h) Removed from tech spec.

7) No. It is a clinical and VA requirement to store and maintain legacy patient data. We require the vendor to provide project management support & technical resources and required hardware to help migrate and maintain the studies from existing R/F system in some form of storage.

General: No.

2.l. Please clarify if wallstand is needed if the table can perform radiography work including chest exams.

2.q. Please change heat unit x-ray tube to 600 kHU to allow for full and fair competition.

3.c. Please clarify if an overhead tube is needed only for cross-table lateral work 5.c. Please change computer hard drive to 1TB to allow for full and fair competition.

6.a. Please move bone suppression to the value-add section to allow for full and fair competition.

1.aa. No, wireless required to reduce trip hazard in small room.

2.l. Spec revised. Wall stand is not needed, room too small.

2.q. Requirement changed to 600 kHU.

3.c. Yes, Overhead Tube for only cross table work, room too small.

5.c. Requirement changed to 1TB.

6.a. Requirement changed to value added section.

2.i. Please change image plate height from floor to 11.5 inches to allow for full and fair competition.

3.t. Please clarify the floor railing need.

1.cc the weight can be increased to 7lbs to match the other wireless detector required but cannot be increased to 9 lbs for a 14x17in detector.

2.i. This requirement can be changed to 11.5 in.

3.t. Some systems have a floor mounted system and as such would require a floor rail. For room standardization, we require a floor rail in addition to a ceiling rail.

3.f. Please clarify if a partial or full UPS for workstation is desired? Are you connected to back up facility power? If you're looking for a full UPS is there siting to accommodate? If you're looking for partial only, please adjust from 10 minutes to "allow for saving exam, and getting patient off the system" 2.k Partial UPS. Yes connected to back up facility power. No, we are nto looking for full UPS. For partial, at minimum 10 minutes.

3.f Partial UPS. Yes connected to back up facility power. No, we are nto looking for full UPS. For partial, at minimum 10 minutes.

The 204 Channel specification is only used by one vendor and does not reflect the true number of RF channels in a system.

3.f. Please clarify if a partial or full UPS is desired? Are you connected to back up facility power? If you're looking for a full UPS is there siting to accommodate? If you're looking for partial only, please adjust from 10 minutes to "allow for saving exam, and getting patient off the system."

5.m. Is an endorectal coil required or just the ability/preference to do high-quality prostate imaging?

1.f 64 minimum channel spec is standard

3.f Partial UPS is sufficient. Must maintain functionality for minimum of 10 minutes. Spec revsied.

5.m An endorecal coil is not required. The bility to do high-quality prostate imaging is required.

VISN 12: VA Great Lakes Health Care System 556 NORTH CHICAGO, IL 556B61003 2.f. Please change the minimum image plate height from floor to 11.5 inches to allow for full and fair competition.

2.p. Please change minimum SID range to 25 to allow for full and fair competition.

The plate height will not be altered since increasing the minimum from 10 in to 11.5 in would tighten the requirements.

2p. This is not a technical requirement of this matrix.

If you require a full UPS is there siting to accommodate?

Alternatively, if you're looking for partial only UPS, please adjust from 10 minutes to "allow for saving exam, and getting patient off the system."

3.h. Please remove or move to Value Adds in order to allow for full and fair competition. Only one vendor can meet this requirement.

3.cc. Please remove or move to Value Adds in order to allow for full and fair competition. Only one vendor can meet this requirement.

5.c. What 3rd party cardiac SW is preferred… Cedars or 4DM?

5.i. Please remove as this is not typically done in an NM department 6.e. Please remove or move to Value Adds in order to allow for full and fair competition. Only one vendor can meet this requirement.

6.j. Please remove or move to Value Adds in order to allow for full and fair competition. Only one vendor can meet this requirement.

3u. Full UPS - requirement has been revised

3h. Requirement has been revised

3cc. Feature moved to Value-Add section.

5c. 4DM

5i. No, half time imaging is a standard pratice at this facility.

6e. Requirement has been revised

6j. No, this is standard of care nuclear imaging processing at this facility.

Can the NAC confirm whether alternative detector architectures — such as a fixed 360-degree solid-state CZT SPECT system — are considered acceptable if they meet or exceed the clinical performance and diagnostic intent of the solicitation?

Are these requirements mandatory, or will the VA consider systems that utilize an integrated collimation design inherent to the detector architecture rather than removable collimators?

Is this language intended to prescribe a specific detector geometry, or is it intended to describe minimum clinical capability that could also be met by a full-ring CZT system without mechanically independent detector heads?

Will the NAC accept alternative performance metrics appropriate to CZT-based systems, provided equivalent or superior clinical performance can be demonstrated?

Alternatively, if you're looking for partial only UPS, please adjust from 10 minutes to "allow for saving exam, and getting patient off the system."

1.bd. Please change IP67 rating to IPX4 rating to allow for full and fair competition.

2.k.,2.l.,2.m. Please clarify that a table is not needed as these specifications refer to table.

1.d. Please update scan field of view FOV) to 50cm for fair competition.

2.k. Full UPS - Please confirm a Full UPS is required, and is there siting to accommodate a full UPS?

Alternatively, please modify tech specs to partial UPS, adjusting to 10mins to "allow for saving exam and getting patient off the system."