36C10G19R0008-007.pdf

ATTACHMENT 5

Minimum Technical Requirements (MTR)

Note: If response is “No”, then clarification must be provided in the justification section

Descriptions HCPCs Yes No Justification

MTR 1. Electric Bed w/Rails (no mattress) E0266

MTR 2. Electric Bed only (no rails or mattress) E0297

MTR 3. 400 lbs. (minimum weight capacity)

MTR 4. Power

Electric head and foot sections both elevate independently, and height of bed raises and lowers independently by electric controls. Will be tested with rails in locked and upright position. Must be capable of this function regardless of which type of rail is on the bed (i.e. full, half, or split rails).

MTR 5. Pendent

Patient pendent a fluid proof that controls all the electrical movements of the bed must be provided.

Pendant light & raised buttons.

MTR 6. Head/Foot Boards

Able to support torque of overhead bar.

MTR 7. Rails

Beds must be able to accept Full Rails.

E0310

MTR 8. Beds must be able to accept Half Rails. E0305

MTR 9. Beds must be able to accept Split Rails (combination of 2 half rails).

E0305

MTR 10. Trapeze E0910

MTR 11. Trapeze, Bed Mount

MTR 12. Mattress

Dry Pressure Mattress – Support Surfaces: Pressure Reducing Beds/Mattresses/Overlays/Pads-Used.”

Minimum sleep surface of 36 x 84 inches. Mattress must follow all federal and state fire codes and regulations and must be clearly marked with industry standard labeling.

E0184

ATTACHMENT 5

Minimum Technical Requirements (MTR)

Note: If response is “No”, then clarification must be provided in the justification section

MTR 13. Minimum Clearance Height Between floor and bed frame 5 inches.

MTR 14. Maximum Overall Length measured from the outside of the headboard and footboard – 90 inches

MTR 15. Motors

For head control, foot control, and elevation control must be independently replaceable.

MTR 16. Electrical Power Plug

If suitable for a 2 - prong outlet, then the electrical components must be double insulated. NOTE: If the award is made for a bed requiring a 3 prong (grounded) outlet, the unavailability of 3 prong (grounded) outlets in some Veterans’ homes may require the VA to purchase beds for those Veterans outside of the contract to ensure patient safety.

MTR 17. Hand Crank Capability

All motors that control the functions of the bed must have hand crank capability. A battery back-up is acceptable, but only in addition to and not in lieu of a crank.

MTR 18. IEC standard 60601-1-11 and IEC standard 60601-2- 52 or current standard in effect.

MTR 19. Hospital Bed Safety Workgroup’s (HBSW) Recommendations for Hospital Bed System Dimensional and Assessment Guidance to Reduce Entrapment, issued, March 10, 2006

*The Healthcare Common Procedure Coding System (HCPCS).

CONTRACTOR/OFFORER (Signature of person authorized to sign)