5. PROJECT NUMBER (if applicable)

CODE 7. ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER 3. EFFECTIVE DATE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED

PAGE OF PAGES

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED

BPA NO. 1. CONTRACT ID CODE

FACILITY CODE CODE

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

E. IMPORTANT:

is extended,

(a) By completing Items 8 and 15, and returning __________ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY is not extended.

12. ACCOUNTING AND APPROPRIATION DATA

(REV. 11/2016)

is required to sign this document and return ___________ copies to the issuing office. is not, A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.

15C. DATE SIGNED

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER

Contractor

16C. DATE SIGNED

14. DESCRIPTION OF AMENDMENT/MODIFICATION

16B. UNITED STATES OF AMERICA

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.

15A. NAME AND TITLE OF SIGNER 16A. NAME AND TITLE OF CONTRACTING OFFICER

15B. CONTRACTOR/OFFEROR

STANDARD FORM 30 PREVIOUS EDITION NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.243

(Type or print) (Type or print)

(Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

(Number, street, county, State and ZIP Code)

(If other than Item 6)

(Specify type of modification and authority)

(such as changes in paying office, appropriation date, etc.)

(If required)

(SEE ITEM 11)

(SEE ITEM 13)

(X)

CHECK

ONE

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

(Signature of person authorized to sign) (Signature of Contracting Officer)

1 22 J-FFP

06-02-2026 N/A

None

36C598

Department of Veterans Affairs Network Contracting Office 16 Chief, A&MM (90C/NLR) Central Arkansas Veterans HCS 2200 Fort Roots Drive, Bldg 41, Room 200 AT 72114-1706 Kolbi Barton, Contract Specialist kolbi.barton@va.gov

36C598

Department of Veterans Affairs Network Contracting Office 16 Central Arkansas Veterans HCS 2200 Fort Roots Drive, Bldg 41, Room 200 North Little Rock, AR 72114-1706

To all Offerors/Bidders 36C25626Q0801

X

X X

N/A

X

The purpose of this amendment 0002 is to:

1. HOUR & DATE for Receipt of Offers is EXTENDED to: 06-12-2026 12:00 PM CST

2. Provide final Q& A session and updated Statement of Work

Ashley Haslauer Contracting Officer

QUESTIONS:

1) Typically service IS included and in the best interest of the site to take care of equipment that does not fall under warranty. Should service be included in the response? Yes

2) We understand that there is equipment on site- will trade-in credits be permitted in our response to allow for a lower price to the government? Yes

(Left Blank Intentionally)

Statement of Work Specification/Statement of Work:

The G.V. (Sonny) Montgomery VA Medical Center, 1500 E. Woodrow Wilson Ave., Jackson, MS 39216, is seeking a three (3) year lease agreement for replacement of Surgical Operating Rooms Laparoscopic Equipment and Video, Ear, Nose and Throat (ENT) equipment and Urology equipment for patient procedures.

1.Background:

The purpose of the lease is to provide the G.V. (Sonny) Montgomery VA Medical Center, 1500 E.

Woodrow Wilson Ave., Jackson, MS 39216 with state-of-the-art Surgical Operating Rooms Laparoscopic Equipment, Ear, Nose and Throat (ENT) equipment and Urology equipment for patient procedures.

2. Objectives:

The objective of this procurement is to replace existing equipment and acquire all compatible and comparable equipment and instrumentation, as detailed in the requested items list. This replacement aims to enhance our surgical capability and ensure seamless integration with current clinical operations.

3. Scope, Tasks, or Requirements:

A. The general scope of the work the contractor will be performing is to supply the G.V.

(Sonny) Montgomery VA Medical Center with current generation Surgical Operating Rooms Laparoscopic Equipment, Ear, Nose and Throat (ENT) equipment and Urology equipment for patient procedures.

B. Brand Name or equal Operating Room Laparoscopic Equipment and new ENT, Urology equipment required by this VA facility include:

A. Two (2) mobile carts with wireless secondary stands (Laparoscopic)

B. Twelve (12) 32” inch 4k monitors

C. Six (6) camera consoles

D. Six (6) light sources

E. Six (6) printers (4K COLOR)

F. Nine (9) image capture system (transfer to pt. chart)

G. Five (5) insufflators

H. Three (3) integrated surgical rooms - video routing systems + cables (Integration/Router)

I. Ten (10) -4K camera heads with (ICG ability)

J. Four (4) laparoscopic instrument sets.

K. Four (4) 10mm- 0° laparoscopic lens, Four (4) 10mm- 30° laparoscopic lens, and Four

(4) 10mm- 45° laparoscopic lens

L. Four (4) 5mm- 0° laparoscopic lens, Four (4) 5mm- 30° laparoscopic lens, and Four

(4) 5mm- 45° laparoscopic lens

M. Four (4) Rigid cystoscopy sets (17fr-23fr) with compatible 30degree, & 70degree lens on each set.

N. Four (4) ureter flexible scopes

O. Two (2)- 0° VIU scopes

P. Two (2) VIU sets

R. Three (3) semi rigid ureter scopes

S. Four (4) Flexible cystoscopes

T. Two (2) Nephroscopes

U. Two (2) Extended Nephroscopes

V. Three (3) FESS instrument sets

W. Three (3) 0° FESS lens, Three (3) 45°FESS lens. Three (3) fess 30° FESS lens

X. Four (4) 5mm 0° telescopes for laryngoscopy.

Y. Ten (10) flexible nasal scopes

Z. Two (2) flexible Laryngeal/pharyngeal scopes

AA. Two (2) Mediastinoscopes

BB. Two (2) Endoscopy mobile workstations with wireless (ENT)

CC. Two (2) portable light sources

DD. One Endoscopy mobile workstations with Irrigation setup (ENT)

C. Contractor must also provide cabling, video connections, and video routing components needed to enable integrated functionality for surgical cases, and associated connections for carts as well as clinic endoscopy / imaging systems.

D. Contractor must submit a service agreement for all leased equipment that must include the capability to provide loaner equipment within 24 hours of when leased equipment is returned for repair. Loaner equipment must be equivalent models to equipment under repair. Equipment under repair must be returned or replaced within 30 days of receipt.

E. PENTALTES FOR FAILURE TO COMPLY

1) The VA will withhold payments until the contractor fulfills their obligations.

2) Failure to comply constitute a breach of contract or default.

3) The government will issue a cure notice or show cause letter.

4) Continued non-compliance will result in termination for default, allowing the government to acquire the equipment or services elsewhere and charge the contractor for any excess costs.

Salient Characteristics:

Nephroscope — Salient Characteristics

1. Optical System Rigid or Flexible Design: Available in both rigid and flexible configurations according to procedural needs.

High-Resolution Optics: Provides clear, color, magnified visualization of renal pelvis, calyces, and stones.

Multi-element lens system or digital tip chip (for flexible nephroscopes).

2. Construction Medical-Grade Stainless Steel/Polymers: For corrosion resistance and repeated sterilization.

Diameter: Typically 5 Fr to 30 Fr (1.7 mm – 10 mm) to accommodate different patient anatomy and procedure types.

Length: Common working length is 16–34 cm, allowing reach to the renal collecting system.

3. Working Channel(s) Single or Multiple Channels: For passage of instruments (grasper, laser fiber, lithotripter, biopsy forceps, irrigation/suction devices).

Adequate Diameter: Working channel sized appropriately—commonly ≥3 Fr for therapeutic tool passage.

4. Light Transmission Integrated Fiberoptic Light Port: Or built-in LED (for flexible digital models).

Uniform, bright illumination of field via standard light cable or proprietary connectors.

5. Irrigation/Suction Capabilities Dedicated Channel(s): For effective continuous saline or water flow, maintaining clear visualization and removing debris.

6. Ergonomics Handpiece Design: Allows precise manipulation, angulation, and control of working tip.

Rotating and angulating tip (if flexible): Controls via thumb lever or joystick.

7. Sterilization Autoclavable Construction: Withstands repeated high-temperature steam sterilization.

Sealed joints and smooth surfaces to prevent microbial retention.

8. Compatibility Interfacing: Compatible with major camera systems, video processors (C-mount or digital connectors), and standard instrument sets.

9. Safety Atraumatic Distal Tip: Rounded and polished for minimally invasive renal entry.

Latin-free and biocompatible materials.

10. Regulatory FDA 510(k)-cleared and/or CE marked—approved for human use in urology and renal surgery.

Feature Requirement/Specification Type Rigid or flexible nephroscope Diameter 5–30 Fr (approx. 1.7–10 mm) Length 16–34 cm Optics High-res lens or chip-tip digital Working Channel ≥3 Fr, for instrument/irrigation/suction passage Illumination Fiberoptic or LED, standard light cable Ergonomics Rotating/angulating tip (flexible), ergonomic handle Sterilization Autoclavable, smooth sealed surfaces Compatibility Major camera/video/monitor systems Safety Atraumatic, biocompatible, latex-free Regulatory FDA/CE marked

Extended Nephroscope — Salient Characteristics

1. Extended Working Length Longer Shaft Length: Typically longer than standard nephroscopes (often ≥36 cm); designed for deep pelvic or renal access or use in patients with larger body habitus.

Maintains rigidity/flexibility as required by the procedure (i.e., available in both rigid and flexible models).

2. Optics and Visualization High-Resolution Optical System: Multi-element, color-corrected rod lens or distal-chip digital imaging for clear intra-renal visualization.

Bright Illumination: Integrated fiber optic light port or built-in LED, compatible with standard surgical light sources.

3. Diameter and Channel Configuration Outer Diameter: Typically ranges from 5 Fr to 30 Fr (approx. 1.7 mm to 10 mm), sized for the intended percutaneous tract.

Working Channel(s): At least one channel (≥3 Fr) for instrument passage, irrigation, and suction.

4. Irrigation/Suction Dedicated Channels: Allows for continuous or intermittent saline irrigation and removal of debris and scope lens cleaning.

5. Compatibility Universal Instrument Interface: Compatible with major endoscopic camera heads, light sources, and ancillary instruments (grasper, forceps, laser fibers, lithotripter, etc.).

Adapter Fit: Standard C-mount or proprietary connections for video processor integration.

6. Construction and Ergonomics Medical-Grade Stainless Steel/Polymer: Ensures durability, corrosion resistance, and ease of cleaning.

Ergonomic Handle: Designed for precise manipulation and prolonged use without user fatigue.

Tip Control: Rigid models for direct access; flexible models include angulation controls (lever/joystick).

7. Sterilization & Safety Autoclavable: Withstands repeated high-temperature steam sterilization cycles.

Atraumatic tip design: Minimizes risk of tissue injury during deep access.

Latex-free, biocompatible construction.

8. Regulatory Compliance FDA/CE Approved: Fully cleared for medical use in the kidney and urinary tract.

Feature Specification Working Length ≥36 cm (extended reach) Diameter 5–30 Fr (1.7–10 mm typical) Optics/Imaging High-res rod lens/distal-chip, bright lighting Channel(s) ≥1 working/irrigation channel (≥3 Fr) Ergonomics Comfortable grip, intuitive controls Compatibility Cameras, light sources, surgical instruments Sterilization Autoclavable, waterproof, smooth surfaces Safety Atraumatic tip, biocompatible Regulatory FDA/CE marked, hospital-grade

Portable Flexible Laryngeal/Pharyngeal Endoscope System (Non-vendor, clinical-use specification)

Salient Characteristics

1. Portability: Lightweight, compact design suitable for bedside, clinic, or field/remote use. Handheld and/or carry-case included for safe device transport.

2. Insertion Tube: Outer diameter typically 2.8–4.2 mm (must accommodate laryngeal and pharyngeal anatomy in adult and/or pediatric patients). Working length ~300–400 mm for adequate anatomical reach.

3. Imaging: Integrated high-resolution digital image sensor at distal tip (CMOS or CCD). Capable of providing clear, color video and still imaging of laryngeal/pharyngeal anatomy. Minimum resolution:

VGA (640×480 pixels) or better; ideally HD. Adjustable/automatic white balance. Integrated LED or fiberoptic distal tip illumination with even, shadow-free light distribution.

4. Deflection: Two-way or four-way tip articulation (minimum 130° up/down), controlled via proximal lever or joystick. Smooth, precise angulation for full exam coverage.

5. Control & Display: Ergonomic controls for suction, deflection, image capture. Portable system includes integrated display (LCD screen, ≥3.5”) OR compatibility with laptop, tablet, or external video monitor. Optional wireless connectivity or USB output for recording and teaching.

6. Working Channel: Some models may feature a 1.2 mm (or larger) working channel for passage of biopsy forceps, suction, or topical anesthetic application.

7. Power Source: Battery-powered operation (rechargeable lithium-ion or equivalent); sufficient for ≥60 minutes continuous use. Optional AC adapter for stationary use.

8. Cleaning & Disinfection: Designed for high-level disinfection (HLD) or low-temperature sterilization per FDA/CDC/ISO standards. Waterproof construction (minimum IPX7) for immersion during cleaning.

9. Safety & Comfort: Soft, atraumatic distal tip with clearly visible markings for safe user guidance.

Latex-free and biocompatible construction. Pediatric-compatible options available or clearly indicated.

10. Documentation & Accessories: Image/video capture for documentation, teaching, and EMR transfer.

Inclusion of bite block, cleaning brushes, storage/carry case.

11. Regulatory: FDA 510(k) cleared and/or CE marked for human use in ENT and airway evaluation.

Feature Requirement

Portability Handheld, case-included, lightweight

Tube Diameter 2.8–4.2 mm (pediatric/adult compatible)

Length 300–400 mm

Imaging High-res sensor, color, digital/analog output

Light Integrated distal LED or fiberoptic

Deflection 2–4 way, ≥130° articulation Display Integrated or external (screen/tablet/laptop) Power Rechargeable battery + AC option Disinfection Waterproof, HLD/sterilizable Safety Soft tip, anatomical markings, latex-free Documentation Video/image capture, EMR/data export Regulatory FDA/CE marked

Laparoscopic Instrument Sets — Salient Characteristics General Features Diameter & Length: Usually 5mm or 10mm shaft diameter; 33cm standard working length (other lengths available for special procedures or patient size).

Construction: Medical-grade stainless steel or equivalent for durability and corrosion resistance.

Modularity: Many sets feature modular (disassemblable) instruments with interchangeable shafts and handles for cleaning and customization.

Sterilization: Fully autoclavable and designed for repeated sterilization cycles; meets AAMI/ISO standards.

Handle Ergonomics: Comfortable, balanced handle design for surgeon fatigue reduction.

Insulation: Insulated to prevent accidental burns (monopolar or bipolar energy-compatible).

Locking Mechanism: Some instruments have ratcheting or locking handles for holding tissue.

Types of Instruments Typically Included Graspers (atraumatic, traumatic, fenestrated jaws) Dissectors (Maryland, right/left angle, dolphin nose) Scissors (Metzenbaum, hook, straight, curved) Needle holders (long jaw, short jaw) Clip appliers (medium, large, polymer, or metal clips) Suction/Irrigation Cannula (dual or single lumen).

Babcock forceps, Allis forceps Specimen retrieval bag introducer Electrosurgical Instruments (monopolar/bipolar hook, spatula electrodes) Veress needle (spring loaded, for initial insufflation) Trocars (various diameters, bladed/blunt, with or without valves) Probe or spatula Optical & Compatibility Features Color Coding or Marking: For easy size and function identification.

Compatibility: Adaptable to major brands of laparoscopic towers, light sources, and camera systems.

Instrument Locks & Quick Release: For safety and easy part exchange.

Safety & Compliance Biocompatible, latex-free construction.

FDA 510(k)-cleared and/or CE marked.

Meets ISO 13485 and ASTM standards.

Optional Components Sterilization Case/Tray: Specialized trays for storage and steam penetration, with secure instrument holding.

Single Use/Disposable Options: Available for infection control or specialty use.

Instrument Type Quantity Salient Feature Atraumatic grasper (Fenestrated) 1-2 Gentle tissue handling (e.g., bowel) Traumatic grasper 1 Firm hold on stronger tissue Metzenbaum scissors 1 Fine tissue cutting Maryland dissector 1 Precise dissection/separation Needle holder 1 Secure suture handling Suction/irrigation device 1 Fluid management Clip applier 1 Vessel occlusion L Hook electrode 1 Precise monopolar dissection

Laparoscopic Lens Sets — 10mm, 0°, 30°, 45° Scopes General Characteristics for All Three Scopes Diameter: 10 mm (outer diameter of insertion tube).

Length: Typically 30–33 cm (standard for adult laparoscopic procedures).

Material: Medical-grade stainless steel shaft with high-quality rod lens optical system.

Eyepiece: Compatible with standard camera heads (C-mount or bayonet attachment), designed to fit major surgical camera systems.

Light Transmission: Integrated fiberoptic light post, compatible with standard light cables (Storz, Olympus, Wolf, etc.).

Sealing: O-ring or equivalent waterproofing; scope is fully submersible and autoclavable.

Sterilization: Autoclavable (high-temperature steam sterilization) per IFU.

Markings: Clearly etched scope size, working length, and degree of viewing angle on the shaft.

Individual Salient Features 10mm, 0° Scope Viewing Angle: 0° direct (forward-facing) view for straight-ahead visualization.

Field of View: Wide, undistorted image; ideal for orientation and direct manipulation.

10mm, 30° Scope Viewing Angle: 30° oblique (angled) view for enhanced visualization of tissues and structures not directly in front of the scope.

Field of View: Allows “look around the corner” maneuvers and better visualization of lateral/adjacent anatomy.

10mm, 45° Scope Viewing Angle: 45° oblique (more steeply angled) view for maximum lateral visibility and inspection of hidden or overhanging tissues.

Field of View: Useful for advanced procedures requiring wide visual access with minimal scope repositioning.

Optical and Mechanical Properties Optics: High-resolution, anti-fog, multi-element lens system; color-corrected, high-light transmission, and minimal distortion.

Durability: Impact-resistant tip; reinforced shaft for repeated clinical use.

Lens Protection: Sapphire or hardened glass distal window to resist scratches and fogging.

Regulatory and Safety FDA 510(k)-cleared and/or CE marked for medical use.

Latex-free; complies with ISO 8600 and ASTM F2504 standards for endoscopes.

Video Routing Systems — Salient Characteristics

Centralized Switching/Distribution Enables real-time switching and distribution of video signals from multiple sources (endoscopic cameras, room cameras, imaging modalities) to surgical monitors, recorders, and remote displays.

Matrix switching (digital/analog), supports true 4K/HD resolutions.

Multi-Format Compatibility Accepts and routes HDMI, SDI, DVI, DisplayPort, VGA, and composite video signals.

Including network/IP streaming capability.

Low Latency & Lossless Transmission Ensures instant, uncompressed signal routing with no perceptible lag between image capture and display.

Touch Panel or Remote Control User interface allows selection of input/output channels, picture-in-picture, quad view, or source overlay.

Integration with IT/OR Systems Connects with hospital networks for streaming, recording, patient data overlay, and PACS/HIS/EMR integration. Vista/CPRS and Cerne Oracle Security: encrypted transmission and password/user authentication.

Scalability and Expandability Modular—may support scalability from a few rooms/devices to site-wide integration.

Compliance UL, IEC, NFPA, and FDA medical electrical device standards.

Video Cables — Salient Characteristics Signal Type and Quality High-bandwidth, shielded HDMI, SDI (BNC), DVI, DisplayPort, and fiber optic cables for 4K/HD transmission.

EMI/RFI shielding to reduce interference in clinical environments.

Length Options Available in multiple lengths (commonly 6ft, 10ft, 20ft, 50ft) for flexible integration.

Extended/repeater options for longer distances without signal loss.

High-Quality Connectors Medical-grade, robust connectors for repeated use and easy cleanability.

Locking options to prevent accidental disconnect.

Compatibility Match the interfaces of cameras, processors, monitors, recorders, and routing switches.

Durability and Sterility Resistant to abrasion, bending, and cleaning solutions; may be hospital/environmental grade.

System/Cable Key Characteristics Video Routing System Matrix switcher; 4K/HD multi-format; low latency; touch/control HDMI Cable High-bandwidth, shielded, medical-grade, secure connectors SDI/BNC Cable 4K/HD video, robust, shielded, locking, long/short available DVI/DisplayPort Digital output, shielded, medical connectors IT/Network Cable Ethernet for streaming/remote integration, Encrypted

4K Camera Heads with ICG Ability — Salient Characteristics Ultra-High-Definition Imaging Provides native 4K resolution (3840×2160 pixels) for highly detailed, true-color visualization during surgery.

Low noise, high-dynamic-range CMOS or CCD imaging sensors.

ICG Fluorescence Capability Integrated near-infrared (NIR) imaging channel for detection of ICG dye fluorescence.

Switches seamlessly between white light (standard) and NIR fluorescence modes (including overlay or split-screen).

Optimized for real-time visualization of vasculature, lymphatics, and perfusion using ICG dye.

Universal OR Integration Compatible with leading camera consoles/video processors and various surgical systems.

Standardized connectors (HDMI, DVI, SDI, etc.) for output to 4K monitors and recorders.

Ergonomic and Sterilizable Design Lightweight, balanced, and ergonomic for prolonged hand-held use or mounting.

Autoclavable camera head or disposable sterile drapes available.

Waterproof and sealed against liquids (per IPX7+/NEMA standards).

Intuitive Controls On-head buttons or joystick to control zoom, focus, image mode (white light/NIR), and image capture.

Preset surgeon profiles and easy access to camera settings.

Image Enhancement and Recording Real-time digital zoom, brightness/contrast adjustment, and overlay of ICG signal onto color images.

Compatible with 4K image and video recording solutions.

ICG Imaging Performance Sensitive NIR detection at the wavelength of ICG fluorescence (typically around 820nm).

High contrast, sharp demarcation of fluorescence for intraoperative decision-making.

Safety and Certification FDA-cleared, CE-marked, and designed for medical use in surgical environments.

Feature Description Resolution Native 4K UHD imaging (3840×2160 px) ICG/NIR Fluorescence Integrated NIR sensitivity, real-time ICG imaging/switching Controls On-camera switching of modes, zoom, image capture Ergonomics Lightweight, autoclavable or drapable, sealed for fluid protection Output Compatibility HDMI/SDI/DisplayPort/DVI for 4K consoles and monitors Image Enhancement Digital overlay, split-screen, gain/contrast adjustment Certification Medical device (FDA/CE); designed for OR/integration system use

Integrated Surgical Rooms — Salient Characteristics

Centralized Control and Integration Platform Unified control system for lights, cameras, imaging, video routing, boom arms, room audio, and other OR infrastructure.

Touchscreen or wall station interfaces enable simple switching between sources and device controls.

Audio/Video Routing and Management High-definition (HD) or 4K video signal distribution from multiple imaging devices (endoscopy, laparoscopy, microscopes, ultrasound, PACS) to displays or recording/streaming devices.

Multiple wall- or boom-mounted monitors, including large displays for surgeons and staff.

Picture-in-picture or multi-image display support.

Integrated audio systems for team communication or teleconferencing.

OR Device Integration Connectivity for endoscopy towers, insufflators, camera consoles, surgical tables, electrosurgical units, anesthesia machines, etc.

Universal mounting booms for flexible placement of monitors, lights, and medical equipment.

Data Management and Connectivity Recording and archiving of procedural video/images to PACS, HIS/EMR, or cloud storage.

Real-time telemedicine/remote consultation capabilities (secure streaming or conferencing).

Integration with surgical checklists, patient data, and scheduling systems.

Ergonomics and Safety Ceiling-mounted booms and arms improve workflow and minimize floor clutter/cabling.

Easy-clean, infection-control-compliant surfaces and enclosures.

Redundant power and emergency features (e.g., backup lighting).

Room Lighting and Environmental Control Programmable/smart surgical light systems, adjustable color temperature, field, and focus.

Integration with HVAC and environmental controls for optimal OR conditions.

Compliance and Security Complies with National Fire Protection Association (NFPA), Underwriters Laboratories (UL), IEC, and facility safety standards.

Secure, HIPAA-compliant handling of patient data and images.

Workflow and Documentation Enhancement

Digital patient greeting, safety checklists, team sign-in/out modules.

Automated report and record generation linked to procedure video/photos.

Feature Description Unified Control Central touch panel for all room systems A/V Routing 4K/HD video, image, and audio sharing/recording Device Connectivity Integration with wide range of surgical infrastructure Multi-monitor Display Monitors at surgeon, wall, and staff locations Data Integration Links patient/procedure data to EMR and PACS Ergonomic Mounting Booms/arms keep work area clutter-free Telemedicine & Collaboration Real-time video/voice sharing in/out of OR Infection Control Seamless, nonporous surfaces, cable management Safety & Redundancy Emergency power, device fail-safes

Salient Characteristics: Compatible Flexible Scope Connections & Components Scope/Camera Head Interface Universal Connection Port: Compatible with specified processor/camera console (e.g., Olympus OTV- S500, Stryker, Pentax, etc.).

Secure Locking Mechanism: Ensures stable attachment of camera head/light cable to flexible scope.

Sealed Design: Prevents fluid ingress, protects electronics.

Light Source Cable Connection Standardized Light Connector: Compatible with scope and light source (often Storz, Olympus, Wolf, ACMI, or other standards).

High-Transmission Optical Fiber: Ensures optimal light transmission with minimal degradation.

Video/Data Connection Camera Chip on Tip or CCD Connector: Transfers high-definition (HD) video signal from distal chip or camera in scope to video processor.

Specific Pin/Plug Arrangement: Matches scope brand/model for proper alignment and functionality.

Insufflation/Irrigation Channel Adaptors Luer-Lock Style Ports: For connecting to insufflator, suction, irrigation tubing.

Sealed/Valved: Maintains insufflation pressure; minimizes fluid or gas leaks.

Sterilization/Disinfection Compatibility Autoclavable or Low-Temp Compatible: All connecting surfaces withstand cleaning/sterilization cycle appropriate to scope type (per IFU).

Scope-Accessory Interface Working Channel Caps/Seals (e.g., MAJ-2092): For introducing/withdrawing instruments while maintaining system integrity.

Electrical/Software Compatibility Recognition Chip/“Smart” Interface (if present): Some systems auto-recognize attached scope/component type and adjust processor parameters accordingly.

Strain Relief Features Anti-Bend Strain Relief Boots: At high-movement junctions to prevent fiber/electrical cable damage.

Salient Characteristics of an Insufflator:

Primary Function: Supplies controlled amounts of gas (most often CO₂) into a cavity (typically the abdomen) to inflate (insufflate) it, providing better visibility and working space for the surgeon.

Gas Supply: Usually uses medical-grade CO₂ due to its safety, rapid absorption, and minimal risk of embolism.

Flow Rate Control: Allows adjustment of gas flow (typically 0.1–30 liters per minute depending on the device and procedure).

Pressure Regulation: Monitors and maintains preset intra-cavitary pressure (usually between 10 and 20 mmHg for laparoscopic procedures).

Safety Features: Includes alarms for overpressure, underpressure, empty gas tank, flow blockages, and leakage; automatic shut-off in case of malfunction.

Display & Interface: Digital or analog interface showing real-time pressure, flow rate, and total volume insufflated.

Tubing & Filters: Connects to the patient via sterile tubing with bacterial/particulate filters.

Compatibility: Used with trocar/cannula systems to allow safe gas entry.

HDVC-6-1 (HDVC-6 6FT HD-SDI Cable) Six-foot medical-grade High-Definition Serial Digital Interface (HD-SDI) cable.

BNC to BNC connectors for reliable, uncompressed video signal transmission.

Shielded for EMI/RFI suppression; compatible with HD video signals up to 1080p.

Suitable for OR integration between processors/monitors/recorders.

FlexCystoNephroVideoscope) Flexible video cystoscope or nephroscope with distal CMOS imaging chip.

High-definition image sensor for detailed anatomical visualization.

Steerable tip with dual bending section.

Ergonomic handle with integrated suction/irrigation and working channel.

Autoclavable or compatible with low-temperature sterilization.

(Luer-Split Forceps/Irrigation Plug) Bi-lumen plug for simultaneous use of instruments and fluid management in endoscope channel.

Constructed from biocompatible silicone and polycarbonate.

Maintains channel seal during passage of endoscopic devices to minimize leakage, maintain insufflation.

(Sterilization Case, Flexible Video) Rigid sterilization/storage tray for flexible endoscopes or video scopes.

Approximately 23.5" x 11" x 4".

Constructed from medical-grade polymer or stainless steel with perforation for steam/ETO sterilization.

Includes latches, protective silicone mat/inserts for device protection.

(Sony 31-inch 4K/3D Surgical Monitor) 31-inch Ultra HD (3840 × 2160) 4K medical-grade LCD.

Native 3D display capability, wide viewing angle, high brightness.

Medical-grade, designed for OR use with multiple digital input outputs (SDI, DVI, HDMI, DisplayPort).

Protective front glass with anti-reflective surface.

Patient Greeting System (PGS) & Checklist Manager (CLM) Digital/interactive workflow management for patient check-in and surgical team communications.

Touchscreen or remote operation; secure patient data interface.

FDA-grade system for surgical center documentation.

Auxiliary Components Universal Anchor Plates: Device/rail mounting for booms/shelves/walls.

Electric Brake Control Units: For powered arms, boom mount positioners.

Console Mount Cubby Holders, Canister Holders: For organizing accessory equipment; medical-grade polymers.

Emergency Duplex Outlets, Data Provisions: Hospital grade, single/dual gang, supports medical and IT integration.

Rollstands (OL-0015-02): Mobile stands for monitors or processors.

HiQ+ and Hicura Laparoscopic Instrument Sets Modular, autoclavable laparoscopic hand instruments: handles, ratchets, various inserts (graspers, dissectors, scissors, needle holders).

Available 5mm or 10mm, 33cm shaft length.

Monopolar or bipolar energy capability.

Ergonomic handle options (semi-inline, ergoratch).

FDA 510(k) and CE marked.

Sinuscopes & Endoscopes (WA96300A, WA96301A, WA96302A, etc.)

Rigid endoscopes, autoclavable.

Typical size: 2.7mm diameter x 187mm length.

0°, 30°, 70° view angle options.

HD lens system, fiberoptic light transmission, standard eyepiece adaptable to camera system

Sony Photo Printers (Medical Grade) High-speed dye-sublimation color printer.

Designed for surgical documentation, compatible with OR integration systems.

DICOM and standard digital input compatibility.

DSDPP100 (Reusable Power Packs, CELERIS) & DSD4000BA (Bipolar Handpieces) Reusable or disposable bipolar forceps and energy handpieces.

Ergonomically designed, compatible with CELERIS generator.

Suitable for minimally invasive/resectoscopic procedures.

Salient Characteristics of Camera Consoles Video Processing: Receives analog or digital signals from surgical/endoscopic cameras; processes them into clear, high-resolution images for display.

Display Compatibility: Supports HD (High Definition), 4K, and sometimes 3D output; connects to surgical monitors, recording devices, streaming systems, and printers.

Multiple Input/Output Options: Interfaces include HDMI, SDI, DVI, USB, and/or proprietary connectors for flexible integration.

Image Enhancement: May offer features such as digital zoom, Salient Characteristics of Mobile Carts Mobility: Equipped with swivel casters (usually locking) for easy mobility and secure positioning.

Construction: Made from medical-grade, easy-to-clean materials (such as powder-coated steel or anodized aluminum).

Load Capacity: Designed to support and safely transport heavier medical devices (video processors, insufflators, monitors, etc.).

Shelving: Multiple, often adjustable shelves to accommodate equipment of various sizes.

Cable Management: Built-in channels or holders to organize and secure cabling for safety and organization.

Accessory Mounts: May include mounting brackets, hooks, or rails for additional devices (e.g., baskets, bins, monitor arms, printer trays).

Electrical Outlets: Some include integrated power strips or outlets for medical equipment.

Ergonomics: Designed for user comfort, accessibility, and infection control (rounded edges, minimal seams).

Customization: Modular, with optional drawers or enclosures for specific uses (medications, supplies, sharps, etc.).

Locking Features: Wheels and sometimes drawers or bins can be locked for safety and security.

Mobile Cart for Flexible Endoscopic Video/Integration System (For: Sigmoidoscope/EGD/Colonoscope, Ncare/video relay, 4K printer, insufflator, light source, and camera system)

Salient Characteristics Physical & Construction Medical-Grade Construction: Made from corrosion-resistant, high-durability materials such as powder-coated steel or anodized aluminum; smooth, easy-clean surfaces.

Mobility: Four antistatic swivel casters (minimum two with lock/brake function) for stable positioning and easy movement between rooms.

Weight Capacity: Rated to securely support a total equipment load of no less than 120 lbs (54 kg).

Shelving: Minimum three (3) customizable/easily adjustable shelves to support a flexible video processor, light source-camera combo, insufflator, image relay/integration box, and 4K printer.

Monitor Mount: Integrated mounting arm or platform, adjustable in height and angle, supporting a medical-grade monitor (minimum 24”).

Cable Management: Channeling or clips to securely organize and hide all video, power, and network cables, minimizing trip hazards and facilitating cleaning.

Integration & Flexibility Universal Power Distribution: Built-in medical-grade power strip/outlet bar with circuit protection (minimum 6 outlets); securely mounted inside cart with easy access.

Accessory Mount Points: Provisions (rails, brackets) for securing additional accessories such as gas cylinders (for insufflator), suction units, or peripherals.

Printer Platform: Flat, vibration-isolated surface or tray sized to safely accommodate a medical-grade video or 4K printer.

Open and Enclosed Spaces: Combination of open shelves for frequently accessed gear and enclosed spaces or drawers for consumables/accessories.

Device Accommodation Device Footprints: Each shelf/platform sized for minimum 17” wide x 16” deep devices (to fit standard endoscopy system components).

Ventilation: Ample vented space between and around shelves to allow for heat dissipation from electronics.

Height: Cart height not to exceed 70 inches; overall footprint not to exceed 28” x 32” for maneuverability.

Safety & Ergonomics Easy-Grip Handles: Ergonomic push/pull handles on both sides for safe transport.

Infection Control: Surfaces and components designed for compatibility with standard healthcare cleaning/disinfection protocols; minimal crevices.

Stability: Low center of gravity and wide base to prevent tipping, even when fully loaded and in motion.

Compliance Medical Use Certification: Designed for hospital/clinical environments; meets appropriate IEC/UL safety and infection control standards.

No Proprietary Components: All mounting platforms/shelves and cable management features are universal and adaptable; the cart does NOT require use of any particular manufacturer’s brand of flexible video equipment or peripherals.

Feature Specification/Requirement Construction Medical-grade, anti-corrosive, easy-clean Casters 4 with locks (anti-static) Shelves ≥ 3, adjustable, supports endoscopy, printer, insufflator, etc.

Monitor Mount Adjustable for medical-grade video display Power Built-in, hospital-grade multi-outlet strip Cable Management Integrated channels/clips Accessories Mounts for tanks, accessories, consumables Dimensions Footprint ≤ 28"x32", height ≤ 70" Load Capacity ≥ 120 lbs (54 kg) Safety Locking casters, low center gravity, easy-grip handles Compliance Meets medical electrical and infection-control standards

4. Delivery Schedule:

Milestone Deadline

Contract Award Day 0

Coordination and Scheduling Days 1-10

Equipment Delivery Days 11-30

Installation, Setup, and Assembly Days 31-45 (starting immediately after delivery is complete and equipment inspected by HTM)

Calibration and Testing Days 46-52

Onsite Initial Staff Training Days 53-60

Follow-Up Training (if required) Within 14 days of the follow-up request

Initial Maintenance Check 30 days after installation completion

Ongoing Maintenance and Support As per the maintenance contract (typically quarterly)

5. Government-Furnished Equipment and Government-Furnished Information:

A. The contractor will have a certified and/or licensed technician available/on call and readily available, daily when the procedure(s) is/are being performed. Only VAMC’s employees, while in the performance of their official duties, and not the contractor’s employees, are covered by the Federal Tort Claims Act, 28 U.S.C. §1346(b), 2671 through 2680.

6. Place of Performance:

A. This work will be performed at G.V. (Sonny) Montgomery VA Medical Center, 1500 E.

Woodrow Wilson Ave., Jackson, MS 39216 and not at the contractor’s site.

7. Period of Performance:

Period of performance base year 1 July 2026 – 30 June 2027

A. Option Year 1: 1 July 2027 – 30 June 2028.

B. Option Year 2: 1 July 2028 – 30 June 2029

The option provision may be exercised more than once, but the total extension of performance hereunder shall not exceed 6 months. The Contracting Officer may exercise the option by written notice to the Contractor within 60 days.

8. Contractor’s Responsibility:

A. The contractor is responsible for keeping equipment in good order and shall provide all maintenance, repairs, and upgrades to the equipment as required, keeping it in optimal condition.

B. Technicians(s) are subject to the same quality assurance standards as established by the Joint

Commission (JC).

(1). Preliminary Responsibilities

A. Coordination: Coordinate installation schedules with the VA Medical Center to minimize disruption to ongoing operations.

B. Site Preparation: Ensure that the installation site is prepared according to the equipment’s requirements and specifications.

C. Documentation: Provide all necessary documentation, including installation manuals, schematics, and compliance certificates.

(2). Installation Process

A. Delivery and Unpacking: Safely deliver and unpack the equipment at the installation site, ensuring no damage occurs during transit.

B. Inspection: Inspect the equipment upon delivery to verify that all components are present and in good condition.

C. Setup and Assembly: Properly assemble the equipment as per the manufacturer's guidelines and specifications.

D. Integration: Ensure that the equipment is compatible with existing systems and properly integrated without any interference or malfunctions.

9. Government Responsibility:

1. Coordination and Communication

A. Schedule Coordination: Coordinate with the contractor to schedule installation dates and times that minimize disruption to hospital operations.

B. Point of Contact: Designate a primary point of contact (POC) for communication with the contractor. This POC will facilitate coordination and address any issues or questions during the installation process.

2. Site Preparation A. Access: Provide the contractor with necessary access to the installation sites, including secured areas, during agreed-upon times.

B. Environment: Ensure that the installation environment meets all required specifications, such as adequate power supply, space, HVAC requirements, and any other preconditions necessary for the equipment setup.

C. Clearances: Clear the installation area of any obstructions and ensure it is ready for the contractor to begin work.

3. Technical Support A. Technical Assistance: Provide technical support and necessary information about existing systems to ensure proper integration with new equipment. This includes the sharing of system specifications, network configurations, and any interoperability requirements.

B. IT Support: Deploy internal IT staff as needed to assist the contractor, especially if the installation involves network integrations or system configurations.

4. Documentation and Compliance

A. Compliance Documentation: Provide all required compliance documentation, health and safety regulations, and VA-specific guidelines that the contractor must adhere to during the installation.

B. Data Security Policies: Ensure the contractor is aware of and complies with VA data security policies, especially if the equipment handles patient health data (PHI or ePHI).

5. Facility and Utilities Support A. Utility Provisions: Guarantee the availability of necessary utilities such as electricity, water, and internet connectivity required for the installation and operation of the equipment.

B. Environmental Management: Manage and control the environment to meet the specific needs of the equipment, like temperature, humidity control, and cleanliness.

6. Training and User Readiness A. Staff Designation: Identify and make available key staff representatives who will be operating the new equipment for training sessions provided by the contractor.

B. Training Coordination: Coordinate the timing and logistics for training sessions to ensure all designated personnel can attend without disrupting normal operations.

7. Inspection and Acceptance A. Inspection: Conduct a thorough inspection of the installed equipment with the contractor to verify it meets all specified requirements and functions correctly.

B. Acceptance Testing: Participate in acceptance testing to ensure the installed equipment operates according to the performance standards and criteria outlined in the contract.

C. Sign-Off: Provide formal acceptance of the equipment installation once all tests are satisfactorily completed and the equipment is fully operational.

8. Maintenance and Support A. Maintenance Scheduling: Collaborate with the contractor to establish a schedule for regular maintenance checks and necessary repairs.

B. Support Contact: Designate a support contract within the VA Medical Center to handle ongoing communications and coordination for maintenance and technical support.

9. Security and Access Control A. Access Control: Ensure that access to the installation site is controlled and security protocols are observed, including background checks and security clearances for contractor personnel as necessary.

B. Security Briefing: Provide a security briefing for contractor personnel before commencing work on-site regarding VA’s security policies and protocols.

10. Documentation and Records A. Record Keeping: Maintain detailed records of the installation process, including compliance with health and safety regulations, equipment specifications, and any issues encountered and resolved.

B. Performance Monitoring: Monitor the performance of the installed equipment and maintain contact with the contractor to address any post-installation issues or adjustments needed.

10. Services Not Covered:

A. Any work other than as specified in the contract shall be identified as a non-priced task, and if determined by the Contracting Officer to be within the overall scope of the contract, work shall be added by a modification to the contract.

B. Any work requested that is identified as outside the scope of the contract shall be addressed by the facility as a separate procurement.

11. Service Contract Coverage:

1. Scope of Contract

a. The Contractor shall provide all necessary labor, equipment, parts, materials, tools, transportation, and supervision required for the leased operation, service, preventive maintenance, repair, and emergency services for the following medical equipment at G.V. Sonny Montgomery VAMC as listed:

b. Operating Room Equipment – [e.g., laparoscopic instrument sets, other equipment listed on quote]

c. Urology Equipment – [e.g., Flexible cystoscopes for urology clinic, one camera console, one light source, video relay for GU Clinic (transfer to pt. chart)

d. other equipment listed on quote]

e. ENT Equipment – [e.g., endoscopes, other equipment listed on quote]

2. Service Requirements

1. Preventive maintenance shall be performed as recommended by the original equipment manufacturer (OEM) and conducted at least [frequency, e.g., quarterly, semi-annually].

2. Contractor shall respond to service requests within 4 hours during regular business hours and within 24 hours for after-hours or emergency calls.

3. All repairs and maintenance shall be performed by OEM-trained and certified technicians with proof of certification provided upon request.

4. All parts, tools, and replacement components used shall be OEM or OEM-equivalent.

3. Loaner Equipment

1. If equipment must be removed or is inoperable for more than 48 hours, the Contractor will provide equivalent loaner equipment at no additional charge.

2. If Contractor fails to provide an equivalent loaner within 48hours, the Government will assess liquidated damages of $100 per day until such time that an equivalent loaner is provided.

3. Loaner equipment must match the technical and functional specifications of the equipment being serviced.

4. Equipment under repair must be returned or replaced within 30 calendar days of the Contractor's receipt.

5. If the repaired equipment is not returned or replaced within 30 calendar days, the Government will terminate the contract for default and obtain equipment from another source at the Contractor’s expense.

(End of Document)