Statement of Work - 4K OR Tower Lease.pdf

STATEMENT OF WORK (SOW)

1. Contract Title. 4K (or Better) OR Tower System Lease

2. Period of Performance. This will be a firm-fixed contract. The period of performance will be established upon acceptance and will consist of a base year plus four (4) option years.

Estimated performance period is the following:

Base Year: March 9, 2025, to March 8, 2026 Option Year 1: March 9, 2026, to March 8, 2027 Option Year 2: March 9, 2027, to March 8, 2028 Option Year 3: March 9, 2028, to March 8, 2029 Option Year 4: March 9, 2029, to March 8, 2030

3. Background. An equipment lease and full-service repair maintenance is required for a 4K or better OR tower system for the facility’s operating room to addresses the need to upgrade the endoscopic equipment and instrumentation. Specifically, the VA New Mexico Healthcare System utilizes laparoscopic surgical towers where the tower is a system comprised of a monitor, video processor, and light source. The camera and telescope connect to the surgical tower providing an image on the monitor to give the surgeon a view of a patient’s anatomy. Laparoscopic procedures cover multiple specialties including general surgery, urology, gynecology, and orthopedics.

4. Statement of Work. The purpose of this contract is to upgrade the current endoscopic equipment and instrumentation, specifically the 4K OR tower systems, at the VA New Mexico Healthcare System. The Operating Room requires a lease of five (5) endoscopic towers, five (5) secondary monitors, and associated accessories and instruments required for the respective surgical services to continue providing their veteran patients the best care possible. The equipment and instrumentation will be used for the following procedures:

1. Knee arthroscopy

2. Shoulder arthroscopy

3. Endoscopic wrist/hand

4. Laparoscopic cholecystectomy

5. Laparoscopic hernia

6. Laparoscopic appendectomy

7. Laparoscopic colon resection

8. Endoscopic Plantar Fasciotomy (EPF)

9. Ankle arthroscopy

10. Sinus endoscopy

11. Robotic surgeries

12. CT vein harvesting

13. Urology cystoscopy

5. Equal-to-Product Information.

The platform must include 4K or better technology, camera control units, camera heads and lenses, light sources, insufflations units, and printers. Additionally, full-service repair maintenance is needed for telescopes, camera heads, semi-rigid scopes, and a generator. Please see Section 12 for the brand-name product information.

Equal-to-Product Information:

4K (or Better) Integration:

1) System must deliver full uncompressed 4K or better resolution

2) System must deliver expanded BT2020 color gamut or better throughout the 4K or better camera console to the 4K or better surgical display

3) System must be validated to maintain the critical elements of 4K or better image quality including full

4K or better resolution

4) System must have no signal compression or conversation with 4K video imaging routing

5) System must integrate with the 4K video platform

6) System have a combined up to 64 input/output matrix switcher

7) System must deliver 3D-video image routing

8) Surgical monitor must include an auto-sensing feature where it switches between 4K or better and 3D images

Camera Control Unit:

1) Must be able to connect to and be natively compatible with camera heads, telescopes, and all laparoscopes/telescopes

2) Must produce full 4K or better ultra-high-definition images (4096 x 2160 resolution)

3) Must utilize BT2020 color space (1.073 billion colors) or greater color space

4) Must have an auto iris adjustment feature

5) Must be capable of 2X zoom

6) Must have two 4K or better digital outputs

7) Must have quad 3G/HD-SDI full 4K outputs

Camera Head:

1) Must transmit full 4K or better images (4096x2160 resolution)

2) Must include a contrast LCD panel or equivalent

3) Must be compatible with BT2020 wider color gamut for 4K or better

4) Must have a feature where auto focus can be obtained with one touch

5) Must have a native resolution of image 17x9 or 16x9.

6) Must be capable of 2X digital zoom

7) Must have multiple camera disciplines hold ergonomics

Lenses:

1) Must utilize Extra-low Dispersion (ED) glass to assist with color accuracy

2) Must use aspherical lenses

3) Must be optimized for high-resolution 4K or better imaging

4) Must have a feature or option for sharp contrast for high spatial frequencies

Light Source:

1) Must be 4K or better resolution

2) Scopes and equipment must communicate with camera control unit and camera head

3) Must utilize 300W or greater for optimal anatomy color

4) Must be able to control brightness via light control connector to video processor

5) Must have an auto brightness feature

Printer:

1) Must be a medical-grade color printer

Insufflator:

1) Must have surgical specialty operating modes that include, but are not limited to: general surgery, colorectal, ENT, ortho, podiatry, gyn. surgery, uro gyn. surgery, and urology

Autoclavability:

1) All components (camera head, scopes, and light guide cables) must be autoclavable for reprocessing

Other Medical Requirements as Directed by the Government:

1) Must be compatible with the existing Olympus scopes and equipment already in-use

2) Must be able to provide additional surgical scopes due to changing needs of the service line (e.g., cystoscopes, laparoscopes)

3) Must be able to provide additional manual instruments (e.g., graspers, scissors, obturators) to help with minimally invasive surgery as required by a surgeon

4) Must be able to provide accessories in support of equipment (e.g., trays, cables, roll stand, cart)

5.1.1 Subtask 1

Safety Regulations:

1) Scopes and equipment must have FDA 510(k) clearance.

2) All applicable safety regulations shall be observed during all work of this contract.

3) The VA Safety Officer shall have full authority to see that the contractor obeys all safety rules and regulations relative to the fulfillment of this contract.

6. Performance Monitoring: Routine inspection of purchased items will occur. Items will be checked for sterility, packaging, and outdates quarterly. Documentation of the OEM (Original Equipment Manufacturer) Representative performance will be completed yearly.

7. Government-Furnished Equipment (GFE)/Government-Furnished Information (GFI). None.

8. Other Pertinent Information or Special Considerations.

a. Identification of Possible Follow-on Work. The Raymond G. Murphy Department of Veterans Affairs Medical Center is a full-service facility and the surgical service providers are requesting a 4K or better OR tower system for use in their surgical procedures to provide specialized veteran patient care.

b. Identification of Potential Conflicts of Interest (COI). N/A

c. Identification of Non-Disclosure Requirements. N/A

d. Packaging, Packing and Shipping Instructions. N/A

e. Inspection and Acceptance Criteria. All packaging will be inspected for sterility, outdates and correctness of items.

9. Risk Control: All items should be free of defects and sterility uncompromised.

10. Place of Performance.

VA New Mexico Healthcare System Raymond G. Murphy Department of Veterans Affairs Medical Center 1501 San Pedro Drive, Southeast Albuquerque, NM 87108

11. Delivery Schedule. As required or requested to provide 4K or better OR tower system for use in veteran patient care.

12. Brand-Name Information

Brand-Name Manufacturer: Olympus America Brand-Name Product Information:

Quantity Part # Equipment Description

5 ISM-1007409 NCARE, REC, DUAL, 2 DIR SDI

5 ISM-1000230 22" MEDICAL GRADE, TOUCHPANEL

15 WA03310A Light-guide cable, 4.25 mm, 3 m, CF type

6 A70950A A70950A SHEATH HIGH FLOW, 4MM 1 STOPCOCK

5 OTV-S400 OTV-S400 VISERA 4K UHD Camera Contl Unit

5 OL-0015-10 TALL HEAVY ROLL STAND FOR 32" MONITOR LM

1 MAJ-1871 MAJ-1871 Communication cable short 1 MAJ-1876 MAJ-1876 Docking fixture

1 MAJ-619 MAJ-619 ADAPTER FOR THE OLYMPU S A-CORD

7 LAPROTRAY1 LAPROTRAY13INSRTS:CH/SCP/INST&TRC SC06FG

8 WA4KA430 WA4KA430 Telesc. "ULTRA", 4 mm, 30

2 A70950A A70950A SHEATH HIGH FLOW, 4MM 1 STOPCOCK

6 WA4KL100 WA4KL100 UHD 10mm/0 degree telescope 6 WA4KL130 WA4KL130 UHD 10mm/30 degree telescope 10 WA4KL500 WA4KL500 UHD 5mm/0 degree telescope 10 WA4KL530 WA4KL530 UHD 5mm/30 degree telescope

12 WA05990A WA05990A INSTRUMENT TRAY FOR T ELESCOPES

5 K10035366 WM-NP3 MOBILE WORKSTATION US GI 20A

5 MAJ-1653 MAJ-1653 DUAL CO2 CYLINDER HOLDER WM-P2

5 MAJ-2167 MAJ-2167 NURSES CONTROL ARM

8 ARTHROTRAY1 ARTHROTRAY12INSRTS:CH/SCP/INST&TRC(SC06Q

8 A70951A A70951A SHEATH HIGH FLOW, 4MM 2 STOPCOCK

8 SC06QG SC06QG MID SIZE CONTAINER (18.1xX11x6) 5 MAJ-2254 MAJ-2254 4K Cable 28FT

8 A70954A A70954A TROCAR SPIKE, 4MM TRIA NGULAR FO

8 A70955A A70955A TROCAR SPIKE, 4MM BLUN T FOR A70

10 LMD-X310S LMD-X310S 31 inch 4K Sony Monitor

15 CH-S400-XZ-EA VISERA 4K UHD AUTOCLAVABLE CAMERA HEAD

5 CLV-S400 CLV-S400 VISERA 4K UHD Xenon Light Source

5 UPDR-80MD UPDR-80MD SONY DYE SUB. LETR W/ 12' USB

6 WA03310A Light-guide cable, 4.25 mm, 3 m, CF type

2 CS-W7S CS-W7S CIRON SEAL (6/BOX)

12 A42091A A42091A OES-PRO Working Insert 8.5mm 8Fr 12 WA03310A Light-guide cable, 4.25 mm, 3 m, CF type

5 WA2UR22A URETEROSCOPE DUALCH, STRAIGHTOC, 330MM

1 WA2UR21A URETEROSCOPE DUALCH, ANGLEDOC, 430MM

6 WA2BSKTB WA2BSKTB Ster.Tray OES Elite Semi-Rigid

12 A20906A A20906A BLIND OBT 22.5FR FOR A20914A

12 A20976A A20976A CYSTO BRIDGE SINGLE CHANNEL

12 A22026A A22026A OUTER SHEATH 2 STPCCK ROT 26FR

12 A22040T A22040T INNER 24 FR W/ TIMBER FOR 26FR

12 A22071A A22071A OBTURATOR OPTICAL 24 FR

14 75U 75U UNIVERSAL STOPCOCK LUER LOCK

12 WA22367A WA22367A PASSIVE WORKING ELEMENT TURIS

12 CH-S190-08-LB CH-S190-08-LB HD ULTRA-LIGHT URO CAMERA

5 WA2T400A Telescope "OES Elite", 4 mm, 0 deg, HD,a 11 WA2T430A Telescope "OES Elite", 4 mm, 30 deg,HD,g 12 WA2T470A Telescope "OES Elite", 4 mm, 70 deg, HD, 4 WA4KA470 WA4KA470 Telesc. "ULTRA", 4 mm, 70° 1 WA91327U ESG-410 Surgical Energy Platform 1 WA91302W Footswitch Double Pedaled, Wireless 1 WA91301W Footswitch Double Pedaled, Wired

1 TC-E410 TC-E410 CART 110-120V US SET 1

14 03664 03664 ADAPTER FOR ELLIK EVACUA TOR

12 ST-CR ST-CR STERILIZATION TRAY SINGLE LAYER

Quantity Part # Equipment Description

6 A70950A A70950A SHEATH HIGH FLOW, 4MM 1 STOPCOCK

2 A70950A A70950A SHEATH HIGH FLOW, 4MM 1 STOPCOCK

8 A70951A A70951A SHEATH HIGH FLOW, 4MM 2 STOPCOCK

8 A70954A A70954A TROCAR SPIKE, 4MM TRIA NGULAR FOR A70950A, A70951A

8 A70955A A70955A TROCAR SPIKE, 4MM BLUN T FOR A70950A, A70951A

8 ARTHROTRAY1 ARTHROTRAY12INSRTS:C

3 ISM-1000230 22 MEDICAL GRADE TOUCHPANEL

2 ISM-1000230 22 MEDICAL GRADE TOUCHPANEL

1 K10021611 K10021611 WM-NP2 CAR/WM-NP2 WORKSTATION SI/CO2 STANDARD SET

1 K10021611 K10021611 WM-NP2 CAR/WM-NP2 WORKSTATION SI/CO2 STANDARD SET

1 K10021611 K10021611 WM-NP2 CAR/ WM-NP2 WORKSTATION SI/CO2 STANDARD SET

1 K10021611 K10021611 WM-NP2 CAR/ WM-NP2 WORKSTATION SI/CO2 STANDARD SET

1 K10021611 K10021611 WM-NP2 CAR/ WM-NP2 WORKSTATION SI/CO2 STANDARD SET

7 LAPROTRAY1 LAPROTRAY13INSRTS:CH

5 MAJ-1664 MAJ-1664 Nurses Control Panel Arm - Long WM-P2 1 MAJ-1871 MAJ-1871 Communication cable short 1 MAJ-1876 MAJ-1876 Docking fix 5 MAJ-2254 MAJ-2254 4K Cable 28

1 MAJ-619 MAJ-619 ADAPTER FOR THE OLYMPU S A-CORD OR VALLEYLAB

5 OL-0015-10 TALL HEAVY ROLL STAND/GCX STD ROLLSTAND 47-61.5" 25# MAX W/PWR

SPLY HOLSTER & CORD

7 SC06FG SC06FG FULL SIZE CON

8 SC06QG SC06QG MID SIZE CONT

2 WA03310A Light-guide cable 4.25mm x 3.0mm

13 WA03310A Light-guide cable 4.25mm x 3.0mm

22 WA05990A WA05990A INSTRUMENT TRAY FOR TELESCOPES

14 3664 03664 ADAPTER FOR ELLIK EVACUATOR

14 75U 75U UNIVERSAL STOPCOCK LUER LOCK

2 A20712A A20712A BIOPSY FORCEPS, SPOON TYPE, OPTICAL FOR 12 DEG

TELESCOPE

6 A20712A A20712A BIOPSY FORCEPS, SPOON TYPE, OPTICAL FOR 12 DEG

TELESCOPE

2 A20712A A20712A BIOPSY FORCEPS, SPOON TYPE, OPTICAL FOR 12 DEG

TELESCOPE

1 A20712A A20712A BIOPSY FORCEPS, SPOON TYPE, OPTICAL FOR 12 DEG

TELESCOPE

1 A20712A A20712A BIOPSY FORCEPS, SPOON TYPE, OPTICAL FOR 12 DEG

TELESCOPE

4 A20714A A20714A GRASPING FORCEPS, DOUB LE ACTION, OPTICAL, 12DEG

TELESCOPE

1 A20714A A20714A GRASPING FORCEPS, DOUB LE ACTION, OPTICAL, 12DEG

TELESCOPE

2 A20714A A20714A GRASPING FORCEPS, DOUB LE ACTION, OPTICAL, 12DEG

TELESCOPE

2 A20714A A20714A GRASPING FORCEPS, DOUB LE ACTION, OPTICAL, 12DEG

TELESCOPE

1 A20714A A20714A GRASPING FORCEPS, DOUB LE ACTION, OPTICAL, 12DEG

TELESCOPE

2 A20714A A20714A GRASPING FORCEPS, DOUB LE ACTION, OPTICAL, 12DEG

TELESCOPE

1 A20914A A20914A CYSTOURETHROSCOPE SHEA TH 22.5 FR

1 A20914A A20914A CYSTOURETHROSCOPE SHEA TH 22.5 FR

3 A20914A A20914A CYSTOURETHROSCOPE SHEA TH 22.5 FR

6 A20914A A20914A CYSTOURETHROSCOPE SHEA TH 22.5 FR

1 A20914A A20914A CYSTOURETHROSCOPE SHEA TH 22.5 FR

12 A20976A A20976A CYSTOURETHROSCOPE BRIDGE SINGLE CHANNEL

6 A22026A A22026A OUTER SHEATH 26FR 2 STOPCOCKS ROTATABLE

6 A22026A A22026A OUTER SHEATH 26FR 2 STOPCOCKS ROTATABLE

12 A22071A A22071A OBTURATOR OPTICAL 24 FR

4 A42091A A42091A OES-PRO CFR WORKING IN SERT,7FR,ABS for 8.5MM OUTER S 8 A42091A A42091A OES-PRO CFR WORKING IN SERT,7FR,ABS for 8.5MM OUTER S

12 A5976 A5976 TRAY INSERT UROLOGY PRE- MOLDED

2 CS-B612 CS-B612 Seal Kit, 6-12Fr, 12/Box

1 TC-E400 TC-E400 ENERGY CART

12 WA03310A Light-guide cable 4.25mm x 3.0mm

12 WA05970A WA05970A HIQ+ STERILIZATION TRAY W/ LID

5 WA22367A WA22367A PASSIVE WORKING ELEMENTS FOR TURIS

7 WA22367A WA22367A PASSIVE WORKING ELEMENTS FOR TURIS

1 WA95622A WA95622A: USA POWER CORD FOR ESG-400

1 WB50403W WB50403W FOOTSWITCH WITH ONE PEDAL

9. Risk Control: All items should be free of defects and sterility uncompromised.