36C244-20-AP-4283 Emergency SSJ Ventilators Signed final_Redacted.pdf

DEPARTMENT OF VETERANS AFFAIRS

Justification for Single Source Awards IAW FAR 13.106 1 For

Over Micro Purchase Threshold but Not Exceeding the SAT ($250K)

Acquisition Plan Action ID: 36C244 20 AP 4283

1. Contracting Activity: Department of Veterans Affairs, VISN 04, Lebanon VA Medical Center, 1700 South Lincoln Avenue, Lebanon, PA 17042. Purchase Request (2237) Number: 595 20 4 039 0184

2. Brief description of supplies required, the intended use, and estimated amount: The Lebanon VA Medical Center (LVAMC) has a new, brand name, urgent and compelling COVID19 related requirement for an Acutronic Monsoon III Jet Ventilator, training, and supporting components.

These ventilators will be used to treat patients with Severe Acute Respiratory Syndrome (SARS) with artificial respiration and will also be utilized for diagnostic and surgical procedures. The Acutronic Monsoon III Jet Ventilator is critical to providing artificial respiration with high frequency jet ventilation. The Acutronic Monsoon III et Ventilator provides continuous ventilation for an open and unblocked respiratory system. The intended purpose will be to meet the VA’s mission to care for potential Veteran patients impacted by the Coronavirus.

Brand Name requirement – Acutronic Monsoon III Jet Ventilator CLIN Description Qty

0001 Monsoon III with 9 inch Color touch display with Humidification. One Year Warranty Parts Labor Includes startup kit. ACU 7700

0002 System Training & In Service On Site by an SMI employee. There shall be 1 day of training at no charge on the Monsoon III Jet Ventilator

0003 Cart / Trolley for Monsoon III Jet Ventilator. Includes: Drawer, I/V Pole & Mounts. ACU MONOONCART

0004 V set for Monsoon III Humidification. Sold 5 per pack ACU 7718 PK5 1

0005 Laserjet, jet vent catheter double lumen, for ENT laser interventions, 40 cm 12 CH Teflon sterile. Sold 5 per pack. ACU 1928 PK5

0006 Disposable Patient connecting Tube (blue) Monsoon III with Vent Connector. Sold 5 per pack ACU 7720T 5PK

0007 Disposable Airway pressure Tube (red) for Monsoon III with Vent Connector. Sold 5 pack ACU 7723T 5PK

3. Unique characteristics that limit availability to only one source, with the reason no other supplies or services can be used: The unique characteristics that limit availability to one source is the ability to deliver high pressures to ventilate the patient with small tubes or narrow catheters. The instruments are also unique because the monsoon jet ventilator will keep the lung fields still and avoid the expansion and contraction associated with conventional ventilation. This could decrease procedure time and reduce the incidence of low oxygen tension from breath holding that is performed repeatedly during long biopsies. These ventilators will assist the Lebanon VA Medical Center with treating Veterans with SARS related complications during diagnostic and surgical procedures. No other supplies can be used because these ventilators are extremely efficient in the