36C24923Q0338 LineItems.xlsx
XLSX spreadsheet 442 KB Posted
- Solicitation number
- 36C24923Q0338
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This document provides line item details for federal contract number 36C24923Q0338 to procure pelvic rehab equipment from the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 9. The contract seeks various pelvic rehab devices and accessories including a Pathway CTS 1500 module, computer, sEMG and electrical stimulation devices, sensors, electrodes, dilators, anatomical models, massage tools, treatment manuals, and lubricant samples. The line items set the pricing, quantities, periods of performance, and other terms for these products and services. Delivery locations and points of contact are also provided for the James H. Quillen VA Medical Center in Mountain Home, Tennessee.
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Action Line Item Information
| Action Type Name | Primary ID | Secondary ID | Mod Number | Title | Order Discount Type Name | Order Discount Type | Order Discount |
| RFQ | 36C24923Q0338 | 36C249-23-AP-1902 - Pelvic Rehab Equipment | Percent | 0 |
KB Version: FY23.07A
Items
| Item Number | SLIN | Description | Ref CLIN | Comment | Include Comments in Document | Contract Period | Pop Begin | Pop End | Quantity | Unit of Measure | Packaging Multiple | Receipt Type | Line Item Is | Unit Price | Item Discount Type Name | Item Discount | Date Updated | Address1 | Address2 | Address3 | City | State | Zip | Zip4 | Country | Mark For | Contact Name | Contact Phone | Contact Email | Delivery Date | FOB | Special Instructions | Include Instructions/Comments in Document | PRINCIPAL NAICS CODE | PRODUCT/SERVICE CODE | UNSPSC | SIC CODE | MANUFACTURER PART NUMBER (MPN) | NATIONAL STOCK NUMBER | LOCAL STOCK NUMBER | DM DOC ID | DELIVERY REF. COUNTER | UNIT TEXT/DESCRIPTION | DELIVERY REFERENCE | ITEM MASTER FILE NUMBER | EXPENDABLE/NON-EXPENDABLE | QUANTITY REQUESTED | UNIT OF PURCHASE CODE | UNIT OF PURCHASE TEXT/DESC. |
| 0001 | Pathway CTS 1500 | Pathway CTS 1500 Equipment Includes: One Prometheus CTS 1500 Module consisting of two channels of EMG, and one channel of electrical stimulation with CTS 1500 Rehab Version Software. Starter Accessory Package: (1)-Extended Pathway Preamplifier (2583E) (4)-Pathway Electrodes Sample Packets (6750) (1)-6' Adapter for Disposable Lead Wire Electrodes (7300) (4)-White Cloth Pregelled Disposable Leadwire Electrodes (VM-A10057-S) (4) PG-6330 Vaginal Sensor (2) PG-6340 Rectal Sensor | No | 1 | EA | 0 | Quantity | Priced | 6200 | Percent | 0 | NONE | No | PG-CTS-1500 | 0 | 0 | E | 1 | EA | EACH | |||||||||||||||||||||||||||||
| 0002 | Name Brand Computer | Name Brand Computer with the following Minimum Specifications: Windows 11 Pro, 64 Bit intel I5 or higher processor, 8 Gig RAM minimum, 500 GB HD (2) USB 2.0 ports, Bluetooth, HDMI port and display resolution of 1920 x 1080. Computer is setup turnkey for the system purchased. | No | 1 | EA | 0 | Quantity | Priced | 1350 | Percent | 0 | NONE | No | CMT-Comp | 0 | 0 | E | 1 | EA | EACH | |||||||||||||||||||||||||||||
| 0003 | Pathway TR-10c | Pathway TR-10c single channel sEMG w/ protocol storage | No | 1 | EA | 0 | Quantity | Priced | 750 | Percent | 0 | NONE | No | PG-8615 | 0 | 0 | E | 1 | EA | EACH | |||||||||||||||||||||||||||||
| 0004 | Pathway STM-10 | Pathway STM-10; single channel pelvic floor stimulator. | No | Base | 1 | EA | 0 | Quantity | Priced | Percent | 0 | James H. Quillen VA Medical Center | Dogwood Avenue, Bldg. 205 | Mountain Home | TN | 37684 | USA | Webb, Aaron | (423) 926-1171 7251 | James.webb14@va.gov | NONE | No | 334510 | 6515 | PG-STM10 | PG-STM10 | 0 | 0 | E | 1 | EA | EACH | |||||||||||||||||
| 0005 | Snap Lead Wire Set | 24?? Snap Lead Wire Set (3/Set) (Replaces CMP-W21010 for use with PG-7300) | No | Base | 3 | EA | 0 | Quantity | Priced | Percent | 0 | James H. Quillen VA Medical Center | Dogwood Avenue, Bldg. 205 | Mountain Home | TN | 37684 | USA | Webb, Aaron | (423) 926-1171 7251 | James.webb14@va.gov | NONE | No | 334510 | 6515 | CMT-RLW-73 | CMT-RLW-73 | 0 | 0 | E | 3 | EA | EACH | |||||||||||||||||
| 0006 | Pathway Adaptor for Incontinence sensors | Pathway Adaptor for Incontinence sensors | No | Base | 1 | EA | 0 | Quantity | Priced | Percent | 0 | James H. Quillen VA Medical Center | Dogwood Avenue, Bldg. 205 | Mountain Home | TN | 37684 | USA | Webb, Aaron | (423) 926-1171 7251 | James.webb14@va.gov | NONE | No | 334510 | 6515 | PG-3660 | PG-3660 | 0 | 0 | E | 1 | EA | EACH | |||||||||||||||||
| 0007 | Pathway PreGelled Electrodes | Pathway PreGelled Electrodes | No | Base | 1 | EA | 0 | Quantity | Priced | Percent | 0 | James H. Quillen VA Medical Center | Dogwood Avenue, Bldg. 205 | Mountain Home | TN | 37684 | USA | Webb, Aaron | (423) 926-1171 7251 | James.webb14@va.gov | NONE | No | 334510 | 6515 | PG-6750 | PG-6750 | 0 | 0 | E | 1 | EA | EACH | |||||||||||||||||
| 0008 | TenderTrode, Square Prewired Foam Electrode | TenderTrode, Square Prewired Foam Electrode - 3 Leads/Pk; 25 Pks/Bag | No | Base | 1 | EA | 0 | Quantity | Priced | Percent | 0 | James H. Quillen VA Medical Center | Dogwood Avenue, Bldg. 205 | Mountain Home | TN | 37684 | USA | Webb, Aaron | (423) 926-1171 7251 | James.webb14@va.gov | NONE | No | 334510 | 6515 | VM-A10057-S | VM-A10057-S | 0 | 0 | E | 1 | EA | EACH | |||||||||||||||||
| 0009 | Pathway combo sEMG/ NMES Rectal Sensor | Pathway combo sEMG/ NMES Rectal Sensor | No | Base | 5 | EA | 0 | Quantity | Priced | Percent | 0 | James H. Quillen VA Medical Center | Dogwood Avenue, Bldg. 205 | Mountain Home | TN | 37684 | USA | Webb, Aaron | (423) 926-1171 7251 | James.webb14@va.gov | NONE | No | 334510 | 6515 | PG-6340 | PG-6340 | 0 | 0 | E | 5 | EA | EACH | |||||||||||||||||
| 0010 | Pathway Vaginal Sensor sEMG/NMES | Pathway Vaginal Sensor sEMG/NMES | No | Base | 5 | EA | 0 | Quantity | Priced | Percent | 0 | James H. Quillen VA Medical Center | Dogwood Avenue, Bldg. 205 | Mountain Home | TN | 37684 | USA | Webb, Aaron | (423) 926-1171 7251 | James.webb14@va.gov | NONE | No | 334510 | 6515 | PG-6330 | PG-6330 | 0 | 0 | E | 5 | EA | EACH | |||||||||||||||||
| 0011 | Pre-gelled Ag/AgCl | Pre-gelled Ag/AgCl disposable Electrode 150 pieces per bag | No | Base | 1 | EA | 0 | Quantity | Priced | Percent | 0 | James H. Quillen VA Medical Center | Dogwood Avenue, Bldg. 205 | Mountain Home | TN | 37684 | USA | Webb, Aaron | (423) 926-1171 7251 | James.webb14@va.gov | NONE | No | 334510 | 6515 | DE-301 | DE-301 | 0 | 0 | E | 1 | EA | EACH | |||||||||||||||||
| 0012 | Soul Source Dilators(SSD-1, SSD-3, SSD-5, SSD-7) | Progressive ??it Soul Source Dilators(SSD-1, SSD-3, SSD-5, SSD-7) | No | Base | 1 | EA | 0 | Quantity | Priced | Percent | 0 | James H. Quillen VA Medical Center | Dogwood Avenue, Bldg. 205 | Mountain Home | TN | 37684 | USA | Webb, Aaron | (423) 926-1171 7251 | James.webb14@va.gov | NONE | No | 334510 | 6515 | SSD-PK | SSD-PK | 0 | 0 | E | 1 | EA | EACH | |||||||||||||||||
| 0013 | A complete life-size female pelvis | A complete life-si??e female pelvis with a highly detailed pelvic floor made of flexible plastic. Features the genitalia and associated muscles. Dissects into 5 parts. | No | Base | 1 | EA | 0 | Quantity | Priced | Percent | 0 | James H. Quillen VA Medical Center | Dogwood Avenue, Bldg. 205 | Mountain Home | TN | 37684 | USA | Webb, Aaron | (423) 926-1171 7251 | James.webb14@va.gov | NONE | No | 334510 | 6515 | LWW-267A | LWW-267A | 0 | 0 | E | 1 | EA | EACH | |||||||||||||||||
| 0014 | This life sizee male pelvis | This life si??e male pelvis is of synthetic bone-like material. It has detailed and dissectible pelvic floor in carefully coloured flexible material. The pelvis separates into three parts. There is a removable section of the bladder with prostate and seminal vesicle. The muscle layers are in two parts and include the pubococcygeus, iliococcygeus, puborectalis, ischiocavernosus, bulbocavernosus muscles and the anal sphincter. | No | Base | 1 | EA | 0 | Quantity | Priced | Percent | 0 | James H. Quillen VA Medical Center | Dogwood Avenue, Bldg. 205 | Mountain Home | TN | 37684 | USA | Webb, Aaron | (423) 926-1171 7251 | James.webb14@va.gov | NONE | No | 334510 | 6515 | ESP-270D | ESP-270D | 0 | 0 | E | 1 | EA | EACH | |||||||||||||||||
| 0015 | Female Reproductive System Anatomical Chart. | Female Reproductive System Anatomical Chart. | No | Base | 1 | EA | 0 | Quantity | Priced | Percent | 0 | James H. Quillen VA Medical Center | Dogwood Avenue, Bldg. 205 | Mountain Home | TN | 37684 | USA | Webb, Aaron | (423) 926-1171 7251 | James.webb14@va.gov | NONE | No | 334510 | 6515 | LWW-1-58779- | LWW-1-58779- | 0 | 0 | E | 1 | EA | EACH | |||||||||||||||||
| 0016 | Male Reproductive System Anatomical Chart. | Male Reproductive System Anatomical Chart. | No | Base | 1 | EA | 0 | Quantity | Priced | Percent | 0 | James H. Quillen VA Medical Center | Dogwood Avenue, Bldg. 205 | Mountain Home | TN | 37684 | USA | Webb, Aaron | (423) 926-1171 7251 | James.webb14@va.gov | NONE | No | 334510 | 6515 | LWW-1-58779- | LWW-1-58779- | 0 | 0 | E | 1 | EA | EACH | |||||||||||||||||
| 0017 | CMT Brand MC-200 V-Tone Vaginal Weights | CMT Brand MC-200 V-Tone Vaginal Weights (Replaces aquaflex vaginal cones) | No | Base | 1 | EA | 0 | Quantity | Priced | Percent | 0 | James H. Quillen VA Medical Center | Dogwood Avenue, Bldg. 205 | Mountain Home | TN | 37684 | USA | Webb, Aaron | (423) 926-1171 7251 | James.webb14@va.gov | NONE | No | 334510 | 6515 | CMT-MC200 | CMT-MC200 | 0 | 0 | E | 1 | EA | EACH | |||||||||||||||||
| 0018 | Vaginismus.com dilator set | Vaginismus.com dilator set | No | Base | 1 | EA | 0 | Quantity | Priced | Percent | 0 | James H. Quillen VA Medical Center | Dogwood Avenue, Bldg. 205 | Mountain Home | TN | 37684 | USA | Webb, Aaron | (423) 926-1171 7251 | James.webb14@va.gov | NONE | No | 334510 | 6515 | VCOM-T8077 | VCOM-T8077 | 0 | 0 | E | 1 | EA | EACH | |||||||||||||||||
| 0019 | Serenity-TW 3/4' | Serenity-TW 3/4' diameter pelvic floor massage and trigger point tool. | No | Base | 1 | EA | 0 | Quantity | Priced | Percent | 0 | James H. Quillen VA Medical Center | Dogwood Avenue, Bldg. 205 | Mountain Home | TN | 37684 | USA | Webb, Aaron | (423) 926-1171 7251 | James.webb14@va.gov | NONE | No | 334510 | 6515 | CMT-STW-V | CMT-STW-V | 0 | 0 | E | 1 | EA | EACH | |||||||||||||||||
| 0020 | Serenity-TW 1/2' | Serenity-TW 1/2' diameter pelvic floor massage and trigger point tool. | No | Base | 1 | EA | 0 | Quantity | Priced | Percent | 0 | James H. Quillen VA Medical Center | Dogwood Avenue, Bldg. 205 | Mountain Home | TN | 37684 | USA | Webb, Aaron | (423) 926-1171 7251 | James.webb14@va.gov | NONE | No | 334510 | 6515 | CMT-STW-R | CMT-STW-R | 0 | 0 | E | 1 | EA | EACH | |||||||||||||||||
| 0021 | Urinary Incontinence Manual 3rd Edition | Urinary Incontinence Manual 3rd Edition; Download; A comprehensive tool for the practitioner using behavioral treatment for adult urinary incontinence. | No | Base | 1 | EA | 0 | Quantity | Priced | Percent | 0 | James H. Quillen VA Medical Center | Dogwood Avenue, Bldg. 205 | Mountain Home | TN | 37684 | USA | Webb, Aaron | (423) 926-1171 7251 | James.webb14@va.gov | NONE | No | 334510 | 6515 | HW-001 | HW-001 | 0 | 0 | E | 1 | EA | EACH | |||||||||||||||||
| 0022 | Prolapse and Colorectal Care | Prolapse and Colorectal Care; Download; A comprehensive tool for the practitioner using behavioral treatment for constipation and fecal incontinence. | No | Base | 1 | EA | 0 | Quantity | Priced | Percent | 0 | James H. Quillen VA Medical Center | Dogwood Avenue, Bldg. 205 | Mountain Home | TN | 37684 | USA | Webb, Aaron | (423) 926-1171 7251 | James.webb14@va.gov | NONE | No | 334510 | 6515 | HW-002 | HW-002 | 0 | 0 | E | 1 | EA | EACH | |||||||||||||||||
| 0023 | Clinician Samples of CMT creams and lubricants. | Clinician Samples of CMT creams and lubricants. | No | Base | 1 | EA | 0 | Quantity | Priced | Percent | 0 | James H. Quillen VA Medical Center | Dogwood Avenue, Bldg. 205 | Mountain Home | TN | 37684 | USA | Webb, Aaron | (423) 926-1171 7251 | James.webb14@va.gov | NONE | No | 334510 | 6515 | CMT-S-C\T\L | CMT-S-C\T\L | 0 | 0 | E | 1 | EA | EACH |
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