MAY 2026 TKY Schedule of Requirements with QAs - Updated 8-19-26.xlsx

Schedule of Line Items

QA

2a-d.) Based on these collimator requirements, does the customer prefer an NaI SPECT/CT and not CZT?

If CZT is preferred, please remove the PH collimator requirement as this is not possible with CZT.

3b.) Is a traditional dual head SPECT/CT is required?

The clinical staff preferred a12 detector CZT system.

3h.) Please remove or move to Value Adds to allow full and fair competition as only one vendor can meet this requirement.

6e.) Please remove or move to Value Adds to allow full and fair competition as only one vendor can meet this requirement.

6l.) Please remove or move to Value Adds to allow full and fair competition as only one vendor can meet this requirement. 1e.) Nal SPECT/CT is preferred.

2a-d.) Nal SPECT/CT is preferred.

3b.) Yes, traditional dual head SPECT/CT is required.

3h.) This feature is required for clincal workflow.

6e.) This feature is required for clinical workflow.

6l.) This feature is required for clinical workflow.

VISN 02: VA Healthcare Network Upstate New York 620 HUDSON VALLEY, NY 620B60005 620B60006 1a.) Minimum number of slices acquired: 220 — Please adjust to 256 to allow for fair competition.

1i.) Minimal lateral table slide: +/- 4 — This specification is specific to a single vendor.

Please remove this requirement to allow for fair competition.

1g.) Minimal table height from floor [cm]: 32 — Please change to 52cm to allow for fair competition.

2o.) Q: Is the requirement for this obligation a Photon Counting CT? 1a) The lower number of slices will allow for fair competition 1i) Minimal lateral table slide can be moved to added value 1g) Minimal table height from floor ccan be 52cm 2o) Yes the requirement is for this obligation a Photon Counting CT VISN 02: VA Healthcare Network Upstate New York 630 BROOKLYN, NY 630B60011 630B60018 2mn.) Table motion: 4-way and allows tilt +15°/-20° and a +/-15° cradle — Please move this to optional/added value section to allow for fair competition.

Q1.) Are your physicians looking for tools that can improve lesion visualization and support more targeted embolization procedures?

Q2.) Would advanced 3D imaging for diagnosis, procedural planning, and post-treatment follow-up be of value?

Q3.) Would operators benefit from the ability to control advanced imaging applications directly from the procedure table?

Q4.) Is there value in displaying images from other modalities directly within the procedure room without additional workstations?

Q5.) Would tools that help identify feeding vessels and streamline embolization workflows be valuable to your interventional team? 2mn.) Facility radiology chief has deemed the technical feature as an essential element to the equipment during IR procedures.

Q1.) Yes Q2.) Yes Q3.) Yes Q4.) Yes Q5.) Yes VISN 08: VA Sunshine Healthcare Network 573 TALLAHASSEE, FL 573B65020 573B65016 3l. Can the Motor-driven tabletop movement in the X and Y axis at stated maximum weight capacity be removed to allow for full and fair competition? 4g. Do you need a UPS for the workstation only? 3l- Removed 4g-UPS is only needed for the workstation

1ab.) Please change wall detector to 14x17 to accommodate more open competition.

1cb.) Please change additional detector to 14x17 to accommodate more open competition. 573B65021 is for an R/F system

1ab-the service requires 17x17 wall and additional detector are requirements of the facility

4e.) Please clarify the clinical use for this spec?

5a.) Please change to 18.5 in.

6a.) Please change to 23 in.

6b.) Please change to 23 in.

7a.) Please remove this spec for RF room. 1cb.) Agree, see updated tech spec and compliance matrix 4e.) This feature supports weight-bearing and specialty upright radiographic exams where detector angulation improves patient positioning and image acquisition. The tilt range facilitates studies such as standing knees, lower extremity imaging, and other exams where patient mobility or positioning is limited while maintaining the use of an inherent grid for image quality.

5a.) Agree can be 18.5in, see updated tech spec and compliance matrix 6a.) Disagree The requested 32-inch control room monitor supports simultaneous viewing of fluoroscopy, prior images, and patient information, improving workflow efficiency during procedures. A reduction to 23 inches would reduce available viewing area and clinical usability.

6b.) Agree, see updated tech spec and compliance matrix 7a.) Disagree - The primary intended applications include fluoroscopic procedures such as arthrograms, modified barium swallow studies, and myelograms, the system is also intended to function as a multifunctional radiographic/fluoroscopic room. Bone suppression enhances general radiographic imaging by improving soft tissue visualization and supports broader clinical utilization of the room. Therefore, this requirement remains appropriate to meet the facility's operational needs

7a. No change, please bid on the requirement as is or your company’s equivalent solution.

3t. UPS for the system,not just workstation

1b.) Please amend to 60-170 to allow full and fair competition as only one vendor can meet this requirement.

There are no clinically used isotopes with energies lower than 70keV.

4a.) Please amend to 19” to allow full and fair competition as only one vendor cam meet this requirement.

1d.) Please change minimum reconstructed slice width to 0.625 mm to be vendor inclusive.

2p.) Please remove continuous bi-directional scan mode with extended z-coverage or place it in the "Value Add" section to make this vendor inclusive.

2m.) How may uptake rooms do you currently have?

4i.) Please remove Automated Quality Control or place it in the "Value Add" section to make this vendor inclusive.

4e.) Please clarify the tumor tracking and tumor comparison necessary for PERSIST quantitative software?

5g.) Please clarify if you want four concurrent users? One server will cover four workstations and we do not want to over-configure the quote with four users unless necessary. 2g. Updated technical specification 2p. Updated technical specification.

2m. Updated technical specification 4i. Updated technical specification.

4e. No adjustment needed 5g. Updated technical specification

1j.) Please amend to 64-79 degrees F to allow for full and fair competition.

4f.) Please modify to UPS full functionality to 10 minutes in order accommodate a partial UPS otherwise a FULL UPS would be required which would require construction and lots of space. 1i.) Range is 30-80%. No adjustment needed 1j.) Range is 64 to 86. No adjustment needed 4f.) This is a workstation UPS not a system UPS. Tech spec updated.

4g.) Workstation UPS tech spec updated.

1ba.) Table Detector Wireless - please change to fixed to allow more open competition.

2h.) Please change to table (vs. tower) lateral movement.

2i.) Please change to table (vs. tower) vertical table movement.

3u.) Please move barcode to Value Add for open competition.

3y.) Do you want a new TIMS unit or are you using an existing one?

7a.) Bone Supression - please remove this spec for RF room. 1 ab) corrected 1ba) Wireless is the requirement to be able to move the detector when performing x-table exams 2h) and 2i) Tower movement laterally and vertically is necessary to perform studies 3u) Corrected 3 y) New 7a) Removed

1ba.) Table Detector Wireless - please change to fixed to allow more open competition.

2h.) Please change to table (vs. tower) lateral movement.

2i.) Please change to table (vs. tower) vertical table movement.

3u.) Please move barcode to Value Add for open competition.

3y.) Do you want a new TIMS unit or are you using an existing one?

7a.) Bone Supression - please remove this spec for RF room. 1 ab) corrected 1ba) Wireless is the requirement to be able to move the detector when performing x-table exams 2h) and 2i) Tower movement laterally and vertically is necessary to perform studies 3u) Corrected 3 y) New 7a) Removed VISN 16: South Central VA Health Care Network 580 HOUSTON, TX 580B60007 580B60010 Spec 1j-SID: Please expand the SID range to 65cm-70cm to allow for fair competition.

Spec 1n-Max system weight- Must meet facility floor load thresholds: Please provide the floor load thresholds.

Spec 2f-2j -Review workstation requirements: Is the site requesting a diagnostic reading workstation?

Spec 3j-CAD: Is this spec for 2D CAD? 2D & 3D CAD?

Updated to 60-70cm.

100 PSF.

Specifications currently request acquisition and physician review workstations.

For 2D and 3D CAD.

2d.) Minimum acquisition workstation hard disk size [GB] 2,000 MB for 2GB?

2i.) Minimum review workstation hard disk size [GB] 2,000 MB for 2GB?

3j). Computer-aided detection (CAD): Quote to include 2D/3D-both?

Q1.) Provide your current vacuum assisted device being used or will be used during biopsy?

Q2.) Does the quote require a biopsy chair? - updated to 1 TB

- updated to 1 TB

- Include both 2D and 3D

- Vaccum device: ATEC and Bvrevera. - Biopsy System: Affirm.

- no VISN 16: South Central VA Health Care Network 580 HOUSTON, TX 580B60011 580B60012 1b.) Please change to minimum gantry aperture of 75 cm, or equivalent patient access and clearance achieved through the combined gantry and patient table design.

1h.) Please change number of crystal to total crystal volume to allow for fair competition.

Please change 60,800 to 12,451,840 mm³ crystal volume.

Crystal count alone does not reflect system performance, as crystal dimensions vary by manufacturer.

Total crystal volume is a more objective measure of detector material available for photon detection.

1i.) Please update to 'Detector design shall provide clinical spatial resolution equivalent to or better than that achieved by 3.2 × 3.2 × 20 mm crystals, as demonstrated through published performance specifications and standard clinical reconstruction methods'.

1j.) Please change to minimum effective sensitivity of 100 cps/kBq, or equivalent lesion detectability, image quality, and dose efficiency demonstrated through published manufacturer specifications and accepted industry performance standards.

1k.) Please change to 'System shall provide time-of-flight performance resulting in an effective sensitivity of at least 100 cps/kBq, or equivalent clinical performance, allowing reduced scan times, reduced administered dose, and improved lesion detectability.' 1n.) Please update to 'System weight shall not exceed 10,273 lbs, or shall be supportable within the existing facility structural limitations without requiring extraordinary structural modifications.' 1b.) No change needed. Tech spec submitted lists that the gantry needs to be at minimum 75cm.

1h.) Updated 1i.) Tech spec already states states minimum. Added ""in regards to detector and clinical spatial resolution).

1j.) Updated 1k.) 1k and1l removed in regards to 1j update 1n.) Updated

Please change to minimum 50cm to allow open competition.

1i.) Maximum system weight [lbs] 5000 — Please change to "gantry" 6,170 lbs.or "Full System" 10,000lbs to allow open competition.

2f.) UPS – maintains full functionality of the entire modality / system for a minimum of 15 minutes during a power outage. — Please confirm you are looking for a full UPS and have the siting for it? If not dedicated space for full UPS, please change to a partial UPS specs of 5 min and to all the patient to safely be removed from the gantry and table and technologist to shut down CT.

2g.) Gantry Tilt — Rad Onc scans typically do not allow for gantry tilt, please clarify the clinical need for Gantry Tilt or remove this spec for open competition. 1d.) Changed to 50cm 1i.) Updated 2f.) Space for full UPS in closet of room 2g.) Moved to added value

1k.) Please change 55 dimension to 67 for fair competition.

2d.) Please explain what you mean by review server.

For example, would you like a nano cloud server or review server line MIMS?

Q1.) What is the average daily patient count?

Q2.) Are your patients a mix of oncology and cardiology? 1b.) No, multiple vendors meet this requirement.

1k.) Updated.

2d.) Is a gating spec and has nothing to do with a server.

Q1.) 11-12 Q2.) Yes

will not have a separate row on the evaluation matrix but you can list this feature in the 'Vendor Explanation' column of the most appropriate particular row/tech spec.

4i.) Auto QC is a vendor-specific phenomenon.

Instead, please udpate language to “Auto QC or alternative” to allow for open competition.

4j.) Continuous Table Movement is neutral but 'FLOWMOTION' is a vendor-specific name.

Instead, please update language to "Continuous Table Movement or alternative" to allow for open competition. 1) Require full UPS and have the availability so

2) Unable to find "Auto QC", removed any mentions of vendor-specific systems

3) Unable to find "Flowmotion", removed any mentions of vendor-specific systems

3bb.) Please remove or move to Value adds to allow full and fair competition as only one vendor can meet this requirement.

5j.) Please remove or move to Value Adds as this is not something typically done in an NM department.

6c.) Please remove or move to Value adds to allow full and fair competition as only one vendor can meet this requirement.

6i.) Please remove or move to Value adds to allow full and fair competition as only one vendor can meet this requirement.

1i.) Please amend these dimensions as no SPECT/CT system (from any OEM) manufactured today can meet these…