36C26219Q1067-001.xlsx

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GI and PUL Medical Scopes and Related Services Blanket Purchase Agreement for VISN 22 West
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36C26219Q1067
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36C26219Q1067 Attachment A Schedule GI Pul Final.xlsx

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1. Schedule of Items

Discipline (GI, PUL, ENT, URO, SUR, Other)Part NumberNomencaltureMarket Purchase PriceBPA Purchase PriceMonthly Lease Price (36 Month Agreement)Monthly Service Agreement Price (36 Month Agreement)Buyout at end of 36 Month LeaseMonthly Lease Extension after 36 MonthsMonthly Service Lease Price after 36 months not to exceed 12 months
GI Examplea12345HD Colonoscope$ 10,000.00$ 8,000.00$ 200.00$ 50.00$ 800.00$ 50.00$ 55.00

2. Loma Linda Lease Req

Discipline (GI, PUL, ENT, URO, SUR, Other)Part NumberBrand Name Nomenclature (Equivalent is allowable)General CategorizationEquivalent Part NumberEquivalent NomenclatureTotal Quantity NeededCurrent Quantity OwnedFull Coverage Service/Repair/Maintenance RequestedBPA Purchase PriceMonthly Lease CostMonthly Service Cost
* Items marked with an asterisk are representative of a primary part with all associated accessories
Endoscopes
GIPCF-H190DLPCFH190DLW/SCOPEGUIDEPediatric Colonoscopes (11.7mm diameter, 3.2 mm channel)8Yes
GIPCF-PH190LEEIII Ultraslim HD ColonoscopeUltraslim Colonoscope2
GIGIF-XP190NEEIII Ultra Slim Scope, 4-Way NBIUltra Slim Gastroscope (5.4mm diameter, 2.2 mm channel)3Yes
GIGIF-1TH190EEIII Therapeutic GastroscopeTherapeutic Gastroscopes (10.0mm diameter, 3.7 mm channel)1Yes
GIGIF HQ-190EEIII Video Diagnostic GastroscopeDiagnostic Gastroscopes with Close Focus Capability (9.9mm diameter, 2.8 mm channel)13Yes
GIGIF-H190EEIII Gastroscope HD w/ NBIDiagnostic Gastroscopes (9.2mm diameter, 2.8 mm channel)1Yes
GICF-HQ190LEEIII HD GastroscopeTherapeutic 2 channel Gastroscope (12.2mm diameter, 3.7 & 2.8 mm channels)12Yes
GITJF-Q180VEEII DuodenoscopeVideo Duodenoscope NBI, Guide4Yes
GISIF Q180Small Intestinal EnteroscopeEnteroscope, with electronic single balloon control unit2Yes
GIUCRCO2 Regulation UnitCO2 Insufflator for C02 regulation7Yes
GIOBCUBalloon Control UnitEnteroscopy Balloon control unit1Yes
GI/PULGIF-2TH180Therapeutic 2 channel scopeTherapeutic 2 channel scope1
GI/PULCF-Q160SEVIS EXERA CF-Q160 sigmoidovideoscopeEVIS EXERA CF-Q160 sigmoidovideoscope1Yes
Endoscopic Ultrasound Scopes
GIGF-UC140P-AL5EUS Curved Linear Array ScopePediatric Linear EUS Gastroscope (11.8mm diameter, 2.8 mm channel)1Yes
GIGF-UE160-AL5Radial Array EUS ScopeRadial Ultrasound Gastroscope2Yes
GIGF-UCT180Curvilinear EUS scope, 3.7 mmTherapeutic Linear Ultrasound Gastroscope (12.6mm diameter, 3.7 mm channel)2Yes
Electronics and Equipment with installation, cables, and full functionality for operation
GI/PULEU-ME2 *Ultrasound ProcessorEndoscopic Ultrasound Processor with EUS/EBUS capabililty, wireless video capability
GI/PULARIETTA 850*Ultrasound EUS ProcessorEndoscopic Ultrasound Processor with peripheral radial mini-probe capabililty and 1.7mm radial probe, drive unit, cart attachment1
GI/PULLMD-X310S w/Rollstand and accessories *31 inch 4K Sony Monitor31" LCD wireless video Monitor and roll stand with multi-electrical port capability3
GI/PULOEV262H w/Rollstand accessories*HD LED LCD Monitor26" LCD wireless video monitor and roll stand with multi-electrical port capability7
GI/PULOFP-2Flushing PumpForward Flushing irrigation Pumps7Yes
GIOIS-09680Video CablesVideo cables for Monitor7
GIMAJ 1653Dual CO2 Cylinder HolderAccessory for Carts for CO2 Regulation Unit7
GI/PULUSB 200Image Capture MedicaptureElectronic Video Recording Unit (S-Video recording)7
GI/PULK10022086 w/ accessories *Double Wide Equipment Cart with 2 x CO2 tank holders, locking drawer, scope holder, side shelf, CO2 tank switch for fast replenishmentDouble Wide Equipment Cart with 2 x CO2 tank holders, locking drawer, scope holder, side shelf, CO2 tank switch for fast replenishment4
GI/PULK10021769 w/ accessories*Single Wide Equipment Cart with 2 x CO2 tank holders, locking drawer, scope holder, side shelf, CO2 tank switch for fast replenishmentSingle Wide Equipment Cart with 2 x CO2 tank holders, locking drawer, scope holder, side shelf, CO2 tank switch for fast replenishment3
GI/PULCLV 190CLV-190 EVIS EXERA III LightLight sources, for use in HD videoendoscopic procedures7Yes
GI/PULCV 190CV-190 EVIS EXERA III VideoVideo Processor7Yes
GIISM-1006539nCare Medical RecorderMedical recorder for HD Images1Yes
GIIS50060Accutouch MonitorTouchscreen 19 Inch Monitor1Yes

3. San Diego Lease Req

Discipline (GI, PUL, ENT, URO, SUR, Other)Part NumberBrand Name Description (Equivalent is allowable)General CategorizationEquivalent Part NumberEquivalent NomenclatureTotal Quantity NeededCurrent Quantity OwnedFull Coverage Service/Repair/MaintenanceBPA Purchase PriceMonthly Lease CostMonthly Service Cost
* Items marked with an asterisk are representative of a primary part with all associated accessories
Endoscopes
PULBF-MP190FEEIII Ultra Slim ScopeDiagnostic Bronchoscopes (3.1mm diameter, 1.7 mm channel)21Yes
PULBF-H190EEIII HD Diagnostic BronchoscopeDiagnostic Bronchoscopes (5.5mm diameter, 2.0 mm channel)6Yes
PULBF-1TH190EEIII HD Therapeutic BronchoscopeTherapeutic Bronchoscopes (6.2mm diameter, 2.8 mm channel)5Yes
PULBF-P190EEIII Slim BronchoscopePediatric Bronchoscopes (4.0 mm diameter, 2.0 mm channel)2Yes
PULBF-Q180-ACDiagnostic bronchoscopeAutoclavable diagnostic bronchoscopes11Yes
GIPCF-H190DLPediatric Scope with scopeguidePediatric Colonoscopes (11.7mm diameter, 3.2 mm channel)3Yes
GICF-HQ190LEvis Exera III HD ColonoscopeAdult Colonoscopes (12.8mm diameter, 3.7 mm channel)10Yes
GIPCF-SSigmoidoscopeSigmoidoscopes, Flexible10Yes
GIGIF-XP190NEEIII Ultra Slim Scope, 4-Way NBIUltra Slim Gastroscope (5.4mm diameter, 2.2 mm channel)2Yes
GIGIF-1TH190EEIII Therapeutic GastroscopeTherapeutic Gastroscopes (10.0mm diameter, 3.7 mm channel)41Yes
GIGIF HQ190EEIII Video Diagnostic GastroscopeDiagnostic Gastroscopes with Close Focus Capability (9.9mm diameter, 2.8 mm channel)6Yes
GIGIF-H190EEIII Gastroscope HD w/ NBIDiagnostic Gastroscopes (9.2mm diameter, 2.8 mm channel)4Yes
GIGIF-2TH180EEIII HD GastroscopeTherapeutic 2 channel Gastroscope (12.2mm diameter, 3.7 & 2.8 mm channels)22Yes
GISIF-Q180EnterscopeEnteroscope, with electronic single balloon control unit11Yes
GITJF-Q180VDuodenoscopeDuodenoscope, Therapuetic42Yes
Endoscopic Ultrasound Scopes
PULBF-UC180F-AUltrasound BronchoscopeBronchoscope, Ultrasound linear32Yes
GIGF-UC140P-AL5Not on quote from what I see.Pediatric Linear EUS Gastroscope (11.8mm diameter, 2.8 mm channel)11Yes
GITGF-UC180JNot on quote from what I see.EUS Forward Viewing Gastroscope1Yes
GIGF-UE160-AL5Radial Array EUS ScopeRadial Ultrasound Gastroscope3Yes
GIGF-UCT180Curvilinear EUS scope, 3.7 mmTherapeutic Linear Ultrasound Gastroscope (12.6mm diameter, 3.7 mm channel)31Yes
Electronics and Equipment with installation, cables, and full functionality for operation
GI/PULEU-ME2*Ultrasound ProcessorEndoscopic Ultrasound Processor with EUS/EBUS capabililty, wireless video capability1
GI/PULArrieta 850*Ultrasound EUS ProcessorEndoscopic Ultrasound Processor with peripheral radial mini-probe capabililty and 1.7mm radial probe, drive unit, cart attachment1
GI/PULLMD-X310S w/Rollstand and accessories *31 inch 4K Sony Monitor31" LCD wireless video Monitor and roll stand with multi-electrical port capability1
GI/PULOEV262H w/accessories*HD LED LCD Monitor26" LCD wireless video monitor and roll stand with multi-electrical port capability5
GI/PULOFP-2Flushing PumpForward Flushing irrigation Pumps5Yes
GI/PULUSB 200Image Capture MedicaptureElectronic Video Recording Unit (S-Video recording)5
GI/PULK10022086 w/ accessories *Double Wide Equipment Cart with 2 x CO2 tank holders, locking drawer, scope holder, side shelf, CO2 tank switch for fast replenishmentDouble Wide Equipment Cart with 2 x CO2 tank holders, locking drawer, scope holder, side shelf, CO2 tank switch for fast replenishment3
GI/PULK10021769 w/ accessories*Single Wide Equipment Cart with 2 x CO2 tank holders, locking drawer, scope holder, side shelf, CO2 tank switch for fast replenishmentSingle Wide Equipment Cart with 2 x CO2 tank holders, locking drawer, scope holder, side shelf, CO2 tank switch for fast replenishment2
GI/PULCV-190 w/accessories*Evis Exera SystemVideo Systems with HD, enhanced light optics, Image Capture storage (portable and integrated), SDI Wireless transmission capability6Yes
GI/PULCLV 190 w/accessories*Evis Exera Light SystemLight sources, for use in HD videoendoscopic procedures6Yes

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