36C25526R0074 0006.docx

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Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

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Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

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AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

(Signature of person authorized to sign) (Signature of Contracting Officer) 05-20-2026 None 36C255 Department of Veterans Affairs Network Contracting Office (NCO) 15 3450 S 4th Street Trafficway Leavenworth KS 66048 36C255 Department of Veterans Affairs Network Contracting Office (NCO) 15 3450 S 4th Street Trafficway Leavenworth KS 66048 To all Offerors/Bidders

36C25526R0074 02-25-2026

X X X Scope Lease and Service for VISN 15

The purpose of this amendment is to make a final change to the Statement of Requirements.

The following sentence is removed:

Trade In’s: Will work with the VA on trade in and provide the VA a credit for VA owned scopes.

Trade In’s will not be considered with this procurement.

Arnold Payne Contracting Officer

STATEMENT OF REQUIREMENTS

VISN 15 Heartland

Introduction: The purpose of this document is to provide a statement of requirements (SOR), for the lease of various endoscopes and peripheral equipment to support the use of the endoscopes. This lease will be for all facilities in Veterans Integrated System Network (VISN) 15, for the terms specified in this agreement. The endoscopes listed herein encompass a broad range of medical specialties across VISN 15, necessitating diverse types of endoscopes to meet varying clinical requirements. For the purposes of this document, the term “scope” must be used as an umbrella term to collectively refer to all types of endoscopes required by this contract.

Contracting Officer: The contracting officer Is the only approved authority to allow any changes to the schedule or contract. This includes, but not limited to, any change of equipment to include technical upgrades.

Additional Locations and Facilities: The Contractor must provide services and support at the locations identified in this Statement of Work. The Government reserves the right to add, remove, or modify locations, facilities, and equipment as mission requirements evolve across the current and future operational footprint. The Contractor must accommodate these changes within the scope of the contract without disruption to services. Any required adjustments to the schedule must be addressed through the appropriate contractual modification process in accordance with the applicable Changes clause.

Deliverables: All devices must be the latest technology available on the market. Must have all scopes listed to support Network Scopes; gastroscopes, colonoscope (regular, slim, single or dual ports), small intestines. The following peripheral equipment to support the use of the scopes may also be required by the facility and must be included but not limited to: video monitor, flushing pumps, roll stand, various cables, cords, processors, generator with footswitch, carts, trolley, various accessories for the carts or trolley, connectors, lamps, footswitch, keyboards, super pulsed laser system, serial digital interface (SDI), printers, forceps, graspers, camera’s, light sources, travel cart, video monitor for travel cart, electrosurgical generator (ESU), CO2 regulation unit, and other items that may be needed for the scopes to be fully operational.

Period of Performance: Four (4) Year Ordering Period

Scope of Requirement:

Deliverable Specifications:

· Must be the latest technology available on the market to include Artificial Intelligence (AI) capabilities

· Must be FDA approved 510(k) clearance

· Vendor must have all scopes listed in this statement of work to support VISN 15 to include all Veterans Healthcare facilities and Community-based Outpatient Clinics (CBOCs).

· All scopes and peripheral equipment must be compatible with VA’s Endoscopic Information System (EIS), ProVation MD

· ProVation MD is standardized across VISN 15 as the procedure documentation software for Gastroenterology scopes.

· Scopes and image capture equipment must interface with ProVation MD to allow clinical staff to document photos/procedures in the ProVation MD procedure note

· Any exceptions must be detailed in the Offeror’s response

· The Contractor must ensure compatibility with this system or provide all items for connectivity, testing, and validations to ensure that compatibility is not lost when transferring and saving images. This includes DICOM validation and other necessary protocol testing.

· High performance video filters must be included to allow providers to change light color or wavelength to better visualize suspicious tissues or better identify cancerous growths

· Catalog to include: Colonoscopes, Gastroscopes, Pediatric Colonoscopes, Pediatric Gastroscopes, Bronchoscopes, Endoscopic Ultrasounds, Endobronchial Ultrasounds, Duodenoscopes.

· All gastroscopes, colonoscopes, and bronchoscopes must have 4-way angulation of a minimum of (180°up, 180°down and 160° right and left). Must be compatible with a water jet function. Must be able to provide multiple optical observations to allow providers better imaging. Must be compatible with video processor and video processor light source. Must be ergonomically designed to improve maneuverability.

· ENT scopes: Rhino Laryngo scopes, flex, HD, therapeutic, and pediatric. Must be able to provide flexible and ridged scopes.

· ENT scopes must have the capabilities to show the vascular structures using high performance video filtering light to highlight abnormal tissue.

· Urology Scopes: HD flex, cysto nephron videoscope, various cystos, cysto bridge single and double channel, cysto sheath, cystourethroscope sheath, telescope OES elite, and ureteroscopes (various). Flexible cystoscopes; rigid cystoscopes, resectoscopes, and lenses; cystoscopic working-elements/sheaths; flexible ureteroscopes.

· Urology Scopes and equipment must have high performance video filtering.

· Image capturing devices must be capable of being networked to save images digitally to our current and future electronic medical record, import HL-7 data such as daily work schedule/patient information. 4K preferable. ProVation MD is the report generator used throughout the VA to generate reports and print pictures. If ProVation MD is not used, Offeror must supply compatible technology for replacement technology. Wichita VAMC currently uses both Provation MD and Stryker OR Hub.

· Must have the ability to connect to the following sources HDMI, HD SDI, SDI, DVI, VGA, RCA. Must have the capacity to include AI technology for all towers.

· A joint inventory of equipment shall be completed biannually with Contractor and a Contracting Officer Representative (COR).

Peripheral Equipment:

· Video monitor, flushing pumps, roll stands, various cables, cords, processors, generator with footswitch, carts, trolley, various accessories for the carts or trolley, connectors, lamps, footswitch, keyboards, printers, forceps, graspers, cameras, light sources, travel cart, video screen for travel cart, electrosurgical unit, CO2 regulation unit, laser system, printer, camera heads, electrosurgical generator, and other items that may be needed for operation of the scopes and system.

· The following equipment must be compatible with high performance video filtering: cameras, light sources, laser system, printer, camera heads, processors, video monitor, video cables, connectors.

Ancillary Equipment:

· All ancillary equipment needed for scopes and carts to function must be included. This includes, but is not limited to, docking interface monitor cables, monitor cables, connectors, cylinder holders, keyboards, monitors, irrigation and insufflation tubing, distal caps, dual CO2 cylinder holders, CO2 insufflators, SDI cables, digital cables, tally lamps, throat mics, and rolling stands.

Salient Characteristics:

Flexible Rhino-Laryngo Digital Scope:

· Bending of minimum 140° in both directions

· Field of view 85°

· High performance video filtering

· Therapeutic or diagnostic

· Wide field view

Rigid Laryngo Digital Scope:

· Must be high definition

· High performance video filtering

· No less than 4-year autoclavable guarantee

· 4K compatible

· Fluorescence imaging

· 70 degrees

Rigid Rhino-Laryngo Digital Scope:

· Must be high definition

· High performance video filtering

· No less than 4-year autoclavable guarantee

· 4K compatible

· Fluorescence imaging

Cysto-Nephro Flexible Digital Scope:

· Max angulation down to 140°, up 210° or greater

· Working length 370mm to 400mm or 37cm to 40cm

· Channel width 2.1mm to 2.4mm

· Field of view 80° to 100° or greater

· High performance video filtering

· Wide field view

Ureteroscope Flexible Digital Scope:

· Max angulation down to 260° to 280°, up 260° to 280°

· Working length 660mm to 680 mm

· Channel width no more than 3.8fr

· Field of view 80° to 110°

· High performance video filtering

· Wide field view

Spiral Enteroscope:

· High performance video filtering

· No less than 4-year autoclavable guarantee

· Must have various directions of views and length

· 4K compatible

· ICG capabilities

Urology Laser:

· Needs to be air cooled

· Color coding to identify fibers and sizes

· Stone fragmentation: should be able to fragment stones rapidly, capable of breaking into fine particles that can easily pass. Should be less likely to cause stone migration during fragmentation.

· Broad range of fibers, including capable of using smaller fibers that allow for better irrigation flow, and better access into kidney

· Capable of cutting through tissue or providing hemostasis

Telescopes/Laparoscopes:

· Must be high definition

· High performance video filtering

· No less than 4-year autoclavable guarantee

· Must have various directions of views and length

· 4K compatible

· ICG capabilities

· Fluorescence imaging

Arthroscopes:

· Must be high definition

· High performance video filtering

· No less than 4-year autoclavable guarantee

· Must have various directions of views and length

· 4K compatible

Video Processor:

· Must be compatible with multiple types of endoscopes

· Must optimize the structure, color tone, and brightness of mucosal surface

· Must have multiple connectivity outputs to include but not limited to: HDMI, DVI, and SDI

Video Processor Light Source Video System:

· Must be compatible with multiple types of endoscopes

· Must optimize the structure, color tone, and brightness of mucosal surface

· Must improve the visibility of deep blood vessels and bleeding points

· Must improve the brightness in darker portions of the image

· Must deliver increased brightness, as well as increased viewable distance in the lumen

· Aspect Ratio: Switch between at minimum16:9 and 4:3

· Must be able to freeze the endoscopic image

· Must have a memory back-up

· Must come with cooling fan to reduce operating noise

Video Processor with Strobe Source/License:

· Must be compatible with multiple types of endoscopes

· Must optimize the structure, color tone, and brightness of mucosal surface

· Must improve the visibility of deep blood vessels and bleeding points

· Must improve the brightness in darker portions of the image

· Must deliver increased brightness, as well as increased viewable distance in the lumen

· Aspect Ratio: Switch between at minimum16:9 and 4:3

· Must be able to freeze the endoscopic image

· Must have a memory back-up

· Must come with cooling fan to reduce operating noise

Colonoscope:

· Must have a rounded handle for maneuverability.

· Must have at least 3.7mm wide instrument channel.

· Must have a field of view of a minimum of 170°.

Pediatric Colonscope:

· Must have a rounded handle for maneuverability.

· Must have at least 3.2mm wide instrument channel.

· Must have a field of view of a minimum of 170°.

Therapeutic Colonscope:

· Must be dual channel

· Must have maximum 13.1 mm diameter

· Must have at least 3.8mm channel

Gastroscope:

· Must have a rounded handle for maneuverability.

· Must have at least 2.8 mm wide instrument channel.

· Must have a field of view of a minimum of 140°.

Pediatric Gastroscope:

· Must have a rounded handle for maneuverability.

· Must have at least 2.2 mm wide instrument channel.

· Must have a field of view of a minimum of 140°.

Therapeutic Gastroscope:

· Must be dual channel

· Must have at least 2.8mm and 3.7mm wide instrument channel.

· Must have a field of view of a minimum of 140°.

Slim Gastroscope:

· Must have a field of view of a minimum of 140°.

· Must have at least 3.2 mm wide instrument channel

· Must be at maximum 5.4mm outer diameter

· Suitable for pediatric and adult patients.

Small Intestinal Videoscope:

· Must be a minimum of 200cm in length

· 2.8mm instrument channel

· Outer diameter max 9.2mm

· Must have a field of view of a minimum of 140°.

Duodenoscope:

· Must have at least 4.2 mm wide instrument channel

· Ability to expose the entire distal tip for brushing and flushing of the elevator. (Disposable Tip Cover)

Radial Array Ultrasound Gastrovideoscope:

· Allow endoscopic imaging

· Must have at least 2.2 mm wide instrument channel

· Must have compatible processor

Linear Array Ultrasound Gastrovideoscope:

· Allow endoscopic imaging

· Must have at least 3.7 mm wide instrument channel

· Must allow for working channel to complete biopsies

· Must have compatible processor

Intubation Airway Mobile Scope:

· Must be able to provide high-quality, non-line-of-sight imaging for difficult airways

Ultrasonic Processor for Endoscopic Ultrasound:

· Must be able to interpret electrical signals from the transducer at the tip to create b-mode, Doppler, and elastography images.

· Must be compatible with the Endoscopic Ultrasound (EUS).

Ultrasonic Processor for Endobronchial Ultrasound:

· Must be able to interpret electrical signals from the transducer at the tip to create b-mode, Doppler, and elastography images.

· Must be compatible with the Endobronchial Ultrasound (EBUS).

Side Viewing Scope – Duodenoscope:

· Must be able to examine duodenum, bile ducts, and pancreatic ducts.

· Must have a maximum of 11.3 insertion tube

· Must have a biopsy channel

· Must have a maximum of 13.1mm diameter

Bronchoscope – Diagnostic:

· Must have a rounded handle for maneuverability.

· Must have at least 2.0 mm wide instrument channel.

· Outer diameter max: 5.5mm

Bronchoscope – Therapeutic:

· Must have a rounded handle for maneuverability.

· Must have at least 2.8 mm wide instrument channel.

· Outer diameter max: 6.2mm

Bronchoscope – Peripheral:

· Must have a rounded handle for maneuverability.

· Must have at least 2.0 mm wide instrument channel.

· Outer diameter max: 4.1mm

Bronchoscope – Slim:

· Must have a rounded handle for maneuverability.

· Must have at least 1.7 mm wide instrument channel.

· Outer diameter max: 3.0mm

Radial Endobronchial Ultrasound (EBUS) Probes:

· Must be compatible with 1.7mm channel diameter.

Endobronchial Ultrasound Bronchoscopes:

· Must have a rounded handle for maneuverability.

· Must have at least 2.2 mm wide instrument channel.

· Outer diameter max: 6.6mm

Bronchoscopy Video Processor:

· Must have a one-step connection of endoscopes to the light source

· Must be able to link connections to the peripheral devices.

· Must have cooling fans to reduce operating noise.

Probe Driving Unit:

· Must be able to drive a wide range of miniature probes.

· Must be able to enable both radial and linear scanning.

· Must be able to connect to the ultrasound processor.

4K UHD Autoclavable Camera Head:

· Must have one touch auto focus and electronic zoom

· Must support 4K high speed transmission

· Must have minimal 16 axial color phase adjustment

Biopsy forceps:

· Must have a minimum 12° rigid optical

Camera:

· All cameras required must be compatible with endoscope system

· Must be at minimum high definition

· Must be easily connected

Digital Remote Monitor Cable:

· Must be a minimum of 10 feet long

· Must be compatible with video processor

Monitor cables:

· Must be able to transmit high-definition video signals with minimal interference and signal degradation.

· Must be between 50-60 feet long.

Endoscopic Guidewire:

· Must have hydrophilic coating

· Must have radiopaque markers for improved visibility with fluoroscopy

· Must be flexible and kink resistant

· Maximum length of 190cm

· Maximum diameter 0.85mm

Irrigating Flushing Pumps with Water Container:

· Must be able to irrigate fluid via the instrument or auxiliary water channels of endoscopes.

· Must have a controlled flow rate allowing organic material to be washed away.

· Must be able to be controlled via remote or foot switch.

· Must have flushing compatibility via the instrument channel with a high flow rate.

· Water container to be transparent or semi-transparent.

Roll Stand:

· Must be able to hold a monitor with a minimum screen size of 31 inches.

· Must be mobile.

LCD Monitors:

· Must be a minimum of 31-inches to 50 inches

· 4K Resolutions

· Compatible with cart

· SDI/DVI (Digital Visual Integration) compatible

LCD Monitor Arm:

· Must be able to support at minimum 31-inch monitors

Cart:

· Must have small footprint cart, video cart with IV pole, mobile arm for high-definition monitor to maximize mobility with up, down, and lateral movement.

· Must be able to hold all ancillary equipment.

· Size: minimum 2 foot by 2 foot and maximum 2 foot by 4 foot.

· Ergonomic and easy to control.

· Single and/or Double wide Interface Converter:

· Must facilitate communication between different instruments and computer systems, allowing seamless transfer and synchronization of imaging data.

· Must connect and interface various imaging equipment and accessories, such as microscopes, cameras, and other imaging devices.

· Must have the ability to convert signals between different formats, ensuring compatibility and optimal performance of the connected devices

Printer:

· Must be surgical grade and have the ability to upload video and photos into the medical record.

· Must have the ability to print photos in color and black and white.

· Must have image still or picture and picture feature when taking an image for storage within the EMR (electronic medical records).

Service and Maintenance The contractor must provide a full service and maintenance agreement for all leased scopes and equipment, effective at the end of the standard manufacturer’s warranty period and will last until the expiration of the lease contract. Will include the following:

· Full repair coverage to include all parts and labor with no cap for all leased equipment, including accidental damage coverage at no extra charge

· The Contractor must utilize the facility vendor check in process.

· Only Original Equipment Manufacturer (OEM) parts to be utilized for repairs.

· Prioritized repairs, typically with 24-48-hour turnaround.

· Replacement of broken ancillary equipment shall be replaced at no additional cost to the Government and expedited, unless the negligence is found to be the cause.

· Next day shipping in both directions included at no extra charge

· 24/7 technical support

· Online repair tracking and history for each repaired item

· Detail maintenance report history for each repaired item sent per email, upon request

· Full access to preventative maintenance and educational courses offered through the Original Equipment Manufacturer’s website.

· Contractor must provide customers with a loaner unit while customer’s equipment is being serviced, to facilitate minimal impact to patient care and procedures

· All loaner equipment must be at no cost to the Government.

· All loaner equipment must be delivered to the Warehouse only.

Delivery Locations: All scopes and equipment for all sites must be delivered, installed, in-service, and fully operational within 30 days of contract award at the facilities listed below:

A. Kansas City VAMC Kansas City VA Medical Center Attn: Bldg. 6 Warehouse 4801 Linwood Blvd Kansas City, MO 64128

B. Columbia VAMC Harry S. Truman Memorial Veterans Hospital Attn: Warehouse 800 Hospital Drive Columbia, MO 65201-5275

C. Topeka VAMC Colmery-O’Neil VA Medical Center Attn: Bldg. 20 Warehouse 2200 SW Gage Blvd Topeka, KS 66622

D. Leavenworth VAMC Dwight D. Eisenhower VA Medical Center Attn: Bldg. 41 Warehouse 4101 4th Street Trafficway, Leavenworth, KS 66048

E. Wichita VAMC Robert J. Dole VA Medical Center Attn: Bldg. 34 Receiving 5500 E. Kellogg Drive Wichita, KS 67218-1607

F. St. Louis VAMC St. Louis VA Medical Center - JC Div.

Attn: Warehouse 915 N Grand Blvd Saint Louis, MO 63106

G. Poplar Bluff VAMC John J. Pershing VA Medical Center Attn: Bldg. 23 Warehouse 1500 N. Westwood Blvd.

Poplar Bluff, MO 63901-3318

H. Cape Girardeau Cape Girardeau Health Care Center 711 S. Mount Auburn Road Cape Girardeau, MO 63703

I. Marion VAMC Marion VA Medical Center Attn: Bldg. 16 Warehouse 2401 West Main Street Marion, IL 62959-1188

Federal Holidays Observed by the VA Medical Center

Independence Day and any other day specifically designated by the President of the United States.

Sterilization Specifications:

Equipment and endoscopes must be compatible with each facility’s current cleaning equipment. MUST be compatible with VISN 15’s current low temperature sterilization process. The facilities and their cleaning equipment are listed below:

· Columbia – Scope Buddy+, Veriscan, Mediator ADV+ for Urology, low temp sterilization, Sterrad 100NX, VPRO MAX, and Sterrad NX.

· Kansas City – High Level Disinfection, Scope Buddy plus, Medivators Advantage plus. Low temp sterilization, Sterrad All Clear 100 NX and Sterrad NX. Rigid scopes, either low temp sterilization Sterrad All Clear 100 NX and Sterrad NX. Steam sterilization for approved rigid scopes.

· Poplar Bluff – Scope Buddy Plus, Veriscan, Sterrad All Clear 100NX, Medivator Advantage Plus, also does high level disinfectant (HLD) should they need to.

· Marion – for Urology use Sterrad. Medivator AER, Veriscan, Cantel drying and storage units, and scope buddy

· St. Louis – Medivator, low temp sterilization, Sterrad 100NX, VPRO.

· Wichita – Steris Medivator Advantage Plus AER, Olympus Alt-Pro Leak Tester, Steris Scope Buddy Plus, ASP Sterrad 100NX

· Leavenworth and Topeka – Medivator, Scope Buddy+, Veriscan, V-PRO MAX 2 Training: Contractor must provide on-site training for all VA personnel who perform routine care and maintenance to the equipment for no additional charge to the VA. Contractor must provide operating, reprocessing, cleaning, and routine maintenance training for VA staff at no additional charge to the VA. Provide training yearly, when any changes arise, and as needed at no charge to the VA.

Scopes/Equipment needs: Must work with the VA to provide additional scopes or equipment that may be needed during the contract period, when facility needs to increase scopes or equipment. Able to transfer scopes or equipment to another facility under this contract if the need arises, as long as vendor is provided a modification in advance to change the address of the equipment. For scopes that are returned as the needs change, payment for that scope will stop and VA will only pay for time used.

Scope Storage: Compliant with the use of both EndoDry and vertical hanging storage cabinets.

Trade In’s: Will work with the VA on trade in and provide the VA a credit for VA owned scopes.

Delivery: Contractor must make delivery of the scopes and equipment F.O.B. destination point. Upon delivery, the Department of Veterans Affairs must inspect the equipment for acceptance and will notify the contractor within 15 working days that the equipment has been received and accepted. If equipment is damaged or unacceptable for patient care, vendor must be notified within 10 days and the equipment will be returned to the contractor for replacement

Title to Equipment: Equipment will remain the property of the contractor. Equipment must remain with the Department of Veterans Affairs’ possession and use of the equipment must not be disturbed in the event of bankruptcy of the contractor, corporate dissolution of the contractor, or other event, so long as Department of Veterans Affairs is not in default. Equipment must remain in the possession of the Department of Veterans Affairs until expiration or earlier termination of this lease, unless the VA no longer needs the equipment due to change in services provided. Any assignment, sale, bankruptcy, or other transfer of the equipment by the contractor will not relieve the contractor of its obligations to the Department of Veterans Affairs (DVA) and will not change the DVA’s duties or increase the burdens or risks imposed on the DVA under this lease.

Use of equipment: The equipment will be used only by the Department of Veterans Affairs in accordance with all applicable manuals and instructions, as provided by the contractor. The Department of Veterans Affairs will maintain the equipment in good repair, operating condition, and working order (ordinary wear and tear excepted), including but not limited to the performance of reprocessing, cleaning, and maintenance procedures described in the manufacturer’s instruction manuals.

Loss or damage of equipment. The contractor must be responsible for all loss or damage to the equipment during periods of transportation and installation. During the time the equipment is in possession of the Department of Veterans Affairs, the DVA must be responsible for any loss or damage due to the DVA’s fault or negligence. If the equipment or any component or accessory is lost while in DVA possession, the DVA will be liable for no greater than the fair market value of the lost item or items at the time of loss. The DVA must assume risk of loss or damage to the equipment during relocation (i.e. moving the equipment from one Government location to another Government location) unless the contractor undertake such relocation.

Fixed cost: The cost must remain fixed for the term of the contract unless adjusted as a result of a request for equipment modification from the VA.

Warranty: The Contractor warrants that it has full right and authority to lease the scopes described in this Lease Agreement and that such equipment is free from any liens, claims, and encumbrances. The Contractor warrants that the leased scopes will be in good working condition and free from defects at the commencement of the lease term. The scopes are warranted to perform substantially in accordance with the specifications provided for their standard medical use. Upon receiving notice of any defect or malfunction, the Contractor will, at its option, either: Repair the scopes at the VAMC location or another location specified by the Contractor; or replace the defective or malfunctioning scopes with comparable equipment.

Return of Equipment at expiration/termination of contract: The Department of Veterans Affairs, at the expense of the contractor, must immediately return the equipment, decontaminated, complete, and in good working order and condition (normal wear and tear excepted), to such place within the continental United States as is designated by the contractor. The contractor must de-install and pack the Equipment. The government will reimburse the contractor for all damaged, broken, or missing equipment parts unless the parts were broken or lost by the contractor during de-installation. The contractor must conduct a timely inspection of the returned equipment and must submit a claim within 30 days if the condition of the equipment exceeds normal wear and tear.